Minutes - Referral WG 2020-02-08
From Health Level 7 Belgium Wiki
Contents
Attendees
- 16
- Robin Bosman -
- Dr Alain Derom -
- Benny Verhamme -
- Frederik Lenaerts -
- Hans De Keersmaecker -
- Joost Van Averbeke -
- Jos Bellen -
- José Costa Teixeira -
- Kristof Jaubin
- Olivier Lothaire -
- Paul Neyens -
- Peter Laridon -
- Karlien Erauw -
- Theo Schumacher -
- Thibault Mahieu -
- Tom Fiers -
Not present
- Andries Demont
- Frank Vandewiele
- Mieke Buckinx
Excused
- Hendrik Plaetinck
Agenda
- updated items since last meeting
Minutes
Continuations from last meeting:
- examples for creatinine clearance & microbiology : still to be provided
- be-ext-urgent-communication
- multiple channels: technical definition for the lab order, see here
- contactway and contactsystem have been added. HL7 FHIR has a valueset for contact-point-system. some codes will be added to cover the very frequent communication means
- a disclaimer about the legislation on medication information distribution will be added
- Order examples have some interesting elements on the coding to use
- element "code" : mandatory
- element "orderDetail" : zero to many to use
- remark: the result can have more order details
- the receiver has to be aware that he will have to be able to receive possible type of messages
- general communication of the result: what is the standard way of sending back the FHIR results ?
- it is expressed that there is a need for a national viewer to view FHIR messages
Review of updated items of Labo ordering after last meeting's discussions/open items:
- Labo ordering: Priority codes as part of the laboratory service request (routine, urgent, asap, stat= emergency)
- 4 FHIR basic codes will be used: routine, urgent, asap, stat (= emergency)
- the definition of each of these codes have to be respected, see here
- Labo ordering: Testing codes - see 2.6.2 here
- Labo ordering: clarification has been added, see 2.6.3 here
- callback result/requested result notification : FHIR extension seems necessary: be-ext-urgent-communication, see here
- when needed to communicate urgently any results
- 3 elements :
- channel: by phone, by mail, will be codeable concept
- party: having the reference to the patient or practioner who needs to be notified
- instructions: text/string having additional info
- see example
- looks like we need an additional optional value : phone nbr, email address
- is there a need to be able to have multiple be-ext-urgent-communication ? sometimes you need to notify the requester and the patient - extension will be made repeatable and channel as well (if party wants to be notified by phone before 10PM, otherwise by text)
- Results: copy to - HL7 V2 element: be-ext-inform-party can be used
- Action points:
- Robin asks for examples to be converted in FHIR f.e. creatinine clearance with 2 specimens (blood + urine)
- Labo results: is there any additional feedback on the profiling ?
Next Meeting: Monday February 22 at 4PM
