Minutes - Patient Dossier WG 2024-10-09

Attendees

• Bart Decuypere, eHealth platform/HL7 Belgium
• Benny Tops, Remecare
• Bruno Neckebroek, MoveUP
• José Costa Teixeira, imec/ chair HL7 Belgium
• Kamil Kakareko, Comarch
• Karlien Erauw, Agoria/HL7 Belgium
• Margo Welvaarts, Comarch
• Nele Averens, Remecare
• Stef Schots, Comarch
• Tim Bogaert, Byteflies
• Tom Massaer
• Peter Van Vooren, Remecare
• Piotr Nieciecki, Comarch
• Ysaline Chiliatt, Comarch

Excused/absent

• Christopher Hex, Fibricheck
• Jean-Michel Polfliet, eHealth platform/HL7 Belgium
• Peter Van Vooren, Remecare

Agenda

• Round table
• Discuss possible FHIR profiles

Minutes

• Possible FHIR profiles: vital signs, observations (in general)

• Remecare has already done some work on observations
• Byteflies and Remecare are aligned on vital signs

• a FHIR profile is not enough, we need extra data on top of the FHIR profile/implementation guide
• Tim suggests to work on a template for a care path, explaining the usage and guidance on which FHIR resources to use

• working document is here

• A patient monitoring logical model & FHIR IG are here

• Discussion on how we want to standardise

• each care path has its own requirements regarding granularity

• is also applicable for orthopedics but more specific, intense after the surgery where more data are captured

• reports can already be made available through the hubs, but not in FHIR
• the FHIR IG can contain an URL pointing to the dashboard and/or pdf

• are these linked to diagnostic report or to observation?
• we need to agree on where the line is b/w observation and diagnostic report

• we have to investigate where we want to include the PDF and URL (to dashboard)
• F.e. a measurement is done during 60 sec for which there is an outcome and a PDF report is generated
• FHIR R5 has value attachment, but it is not available in R4 yet

• goal is to profile observations: capture of a parameter, some qualitative, some quantative

• we need an exhaustive list of quantative observations, we will start working on this here

• Work on some examples has already been done, see section 3.0.5 here

• some more examples, from other vendors, are necessary to check off the profile

Action items

• Work on listing of observations
• investigate where to put pdf and URL
• provide examples

Next meeting

Next WG meeting: Wednesday 23 October 11AM CET