Minutes - Patient Care WG 2025-01-29

Attendees

• Alexis Van Zeveren
• Bart Decuypere
• Benny Verhamme
• Brian Thieren
• Dominiek Leclerq
• Elien De Koker
• Filoretta Velica (joined later)
• Hanne Vuegen
• Jean-Michel Polfliet
• José Costa Teixeira
• Karlien Erauw
• Steven Van den Berghe

Excused/Not present

• Anne Nerenhausen
• Didier Temans
• Félix De Tavernier
• Isabelle Pollet

Agenda

• work on Belgian profiles for patient care resources following the demand on the field/ongoing projets
• agree on way of working

Minutes

• There is a demand from the field (projects) to work on Belgian profiles on goal, care team, care plan, communication and task

• the scope is limited
• we don't want to deviate a lot from the international profiles

• Goal is to ensure interoperability between different projects in Belgium
• There are 2 projects (that we know of) that are using these FHIR resources: Alivia and Born in Belgium
• Alivia started as Flemish project a couple of years ago and is running as pilots in specific regions

• webapplication and mobile application, the patient decides who from his care team can access Alivia (HCP from RD 68, care instituions, "mantelzorgers")
• see more here: https://www.departementzorg.be/nl/alivia-english

• Born in Belgium

• project was initial raised by RIZIV in the plan of integrated care, it started as Born in Brussels
• detect social issues with pregnant women, follow-up is organised around it
• there is more federal structurisation around the follow-up
• stand alone platform, exchanges & integration is being explored
• from business point of view RIZIV will be in the lead

• The already existing repository patient coordination has been renamed into patient care, according to international guidelines/repository

• work that was out there has been cleaned up

• The business document done for Alivia included also the BIHR experts and is a very generic business document, without specific focus on Alivia

• see here: https://github.com/hl7-be/patient-care/issues/12

• Steven will be chairing this WG, HL7 Belgium takes care of the meeting minutes and schedule
• Objective is to work on Care Plan, Care Team, Communication, Goal and Task

• some alignment and preparatory work has already been done
• this has resulted in the following draft FHIR profiles, see here: https://build.fhir.org/ig/hl7-be/patient-care/artifacts.html

• Steven presents the proposed/draft logical models & FHIR resources

• Care Plan: there are no semantics in the care plan

• BeAuthor: some changes need to be applied

• Goal: was not defined before

• objective: description of the goal
• there are some elements in the business document
• there are internationally defined limited set of categories

• Task: can be used for generic reasons and is therefore flexible

• some changes need to be applied

• Communication: this needs a review

• the origin comes from the journal note in the early days of FHIR in Belgium
• we have published a BeCommunication in the patient core, see here: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition-be-communication.html
• the WG agrees to use it for patient care as it is in patient core

• Naming convention has to be followed which will need

• Changes will be done on the build, Steven will review it afterwards, repository will be cleaned up

• We will communicate out of HL7 Belgium and ask for feedback, outlining that the scope is limited

• eHealth platform to propose a plan on when it will be published as eHealth profile

• The WG and HL7 Belgium calls out to everyone to review the draft work and to input any comments/issues asap here: https://github.com/hl7-be/patient-care

Action items for next meeting

• follow-up on incoming issues/comments/remarks

Next meetings

• Wednesday 12 February at 9AM