Minutes - Patient Dossier WG 2025-01-30

Attendees

• Alfred Attipoe
• Jean-Michel Polfliet
• José Costa Teixeira
• Karlien Erauw
• Nele Averens
• Tim Bogaert
• Tom Massaer

Excused/absent

• Bart Decuypere
• Benny Tops
• Bruno Neckebroek
• Christopher Hex
• Jan Pannecoeck
• Filip Rommelaere
• Nick Garrard
• Patrick Duflot

Agenda

• Continue our work on FHIR profiling

Minutes

• A merge has been done into the main branch of https://github.com/RemeCare/patient-monitoring into https://github.com/hl7-be/patient-monitoring
• There is some incomplete work due to missing terminology codes

• emails have been sent to NRC requesting LOINC and Snomed codes by Remecare, no reply yet

• it is up to NRC to decide to go for Snomed or Loinc and to indiciate which Snomed codes to use

• formal process on new codes is expected soon to be communicated by NRC, WG will be updated on this

• Tom will only be able to present the work at their end in 4 weeks
• Alfred is starting to look into FHIR

• Priority use cases

• heart failure : it has been defined, see use case in IG: https://build.fhir.org/ig/hl7-be/patient-monitoring/heartfailure.html

• survey has been profiles
• observation has been profiled

• will need alignment with the RIZIV reimbursement

• goal is that the RIZIV convention links to this IG, so to point out to RIZIV

• holter monitoring

• use case will be described in the upcoming weeks
• this WG has already worked on holter monitoring

• TM project & coupling with FHIR work: update on workflow

• EHR presribes the telemonitoring through going to the TM portal
• provider accepts/sends status (in progress, completed, cancelled) and is notifying the EHR through the TM hub
• provider sends output (dashboard, FHIR, pdf) to EHR through TM hub

in this process links to the HL7 Belgium work have been added

• link to the HL7 Belgium care path/use cases and the HL7 Belgium FHIR implementation guide IG

• we do want to check with HL7 international and HL7 Europe, we want to know what is happening outside of Belgium and to find concerned experts

• HL7 Belgium has to check what is ongoing beyond Belgium

• we are going to explore the option if a workshop on this topic is possible during the FHIR devdays in Amsterdam beginning of June

Action items

• Move forward with pull requests to be able to approve them
• Provide telemonitoring observations examples
• Review issues & submitted work

Next meeting

Next WG meeting: Wednesday 12 February 11AM CET