Minutes - FHIR Validation Group 2024-02-29

From Health Level 7 Belgium Wiki

Thursday, 29th February 2024, 10:00 CET

Agenda

  • New Topics
    • Presentation of Frederic Magnée
    • Post-Coordination in SNOMED-CT
    • Terminology Center Process
    • Data Dictionary Template
    • Datacapabilities Project - Andries
    • Allergy - Request for change from Corilus
    • General Rule Core package
    • Unique Identifier
  • Projects Status
    • Give projects overview for all active projects
    • European Joined Actions feedback
    • FHIR-a-Thon - JM & Karlien
    • Caresets
      • Next steps - Anne
    • Others
  • FHIR Strategy
    • FHIR Versioning Strategy
  • New Projects Proposal
  • New Projects to come
    • Cohbra over FHIR - JM - to be started
  • Other Topics


Participants

  • Anne Nerenhausen
  • Bart Decuypere
  • David Op de Beeck (partially)
  • Félix De Tavernier
  • Hanne Vuegen
  • Karlien Erauw
  • Marie-Alexandra Lambot
  • Philippe Baise
  • Philippe Vandenbergh
  • Veerle Michiels

Minutes

1) New topics for the agenda: organization of HL7 WG Allergy, because of open issues (Karlien), European projects (Marie Alexandra Lambot), tracking progress for agenda of 15/02/2024

2) Marie Alexandra Lambot requests the support of Agoria, RIZIV/INAMI and eHealth for the European project XiA – Xpanding Innovative Alliance for interoperability skills in digital Health. Marie Alexandra would like to have a letter of support from each institution. Bart Decuypere will forward the message to Kris Van Aken, who is responsible for European projects at eHealth. Karlien is requested to do the same for Agoria, and Anne Nerenhausen for RIZIV/INAMI.

3) AllergyIntolerance: there are some requests by Hans Dekeersmaker from Corilus. There are issues on several levels: a) there are issues related to the access matrix, and there are issues on the level of professional responsibility (physician vs. nurse vs. patient) b) there are issues related to the architecture for the reconciliation of the contents of different versions of the resource. c) there is additional information regarding this to be added to the IG. First, an experts workgroup will have to be organized by RIZIV/INAMI regarding the professional responsabilities. Secondly, there should be a clarification on the architectural level. Anne Nerenhausen indicates that this will be managed by Frédéric Magnée. Thirdly, the consequences of the first two steps should be translated to the FHIR profiles by the HL7 FHIR Workgroup Allergy and approved. For the last step, we encourage the industry to set up a CoW to have a litmus test on the modified profiles so that the profiles are workable on a technical level. The HL7 FHIR workgroups can start in the second half of April, and can be intensified to take place weekly if needed. We also need to tackle the use of ATC-codes and warn about the use of Conditions to express Allergies.

4) PSS/Prescription Search Support (support for the prescriber in a number of fields). For the antimicrobial use case, there is a clear interaction with the prescription in the HL7 FHIR WG Medication, headed by José Costa Teixeira. It is not clear what the status is of Katrien Thorrés project to get Recipe on FHIR. Can we invite her to bring some clarity? Philippe Baise draws the attention to the interaction with the Chapter IV reimbursement rules. There is also a strong dependency on the UHMEP project for subjects that are not ready yet, such as radiology. Is this project mature enough to start the technical HL7 FHIR WG for this project?

5) Frédéric Magnée: After his introduction in the session of 15/02/2024, the question is raised what his role will be. Anne Nerenhausen indicates that his role will be the coordination of BIHR, and that this includes the technical architecture. Any projects about the technical roll-out of terminology capabilities could also be his responsibility (-> important for David Op de Beeck, who already left the meeting at this point).

6) Post-coordination: Marie-Alexandra Lambot explained the concept of Postcoordination. The use of postcoordination has a number of consequences for the interoperability, which we are not capable of handling right now, because there is no consensus on its use in the field, and because of the limited support on a technical level. There should be a note by RIZIV/INAMI on the limitation of its use (by Anne Nerenhausen with the help of Marie Alexandra Lambot), so that we can clearly answer the questions from software vendors, consultancy agencies and datacapabilities projects.

7) BE FHIR-a-Thon II: The datacapabilities projects are required by their contracts to participate to a FHIR-a-thon in October. However the organization (both on a practical level and on the level of contents) has not been started. There is a fear that there will be no venues available. Because of the link with the datacapabilities projects, there is the expectation that the FPS Health will organize this FHIR-a-thon, however, there is no confirmation about that. Agoria and RIZIV/INAMI will contact Katrien Scheerlinck (FPS), Brecht Stubbe (RIZIV/INAMI), Mike Daubie (RIZIV/INAMI) and Erik Vertommen (FPS) to obtain more information about the 2nd FHIR-a-thon.

8) Datacapabilities projects: there is a fear that there is not enough integration/collaboration between the different datacapabilities projects. We would like to invite Andries Nelissen (-> Anne Nerenhausen) to update the validation team about the status of the different projects, and their use of FHIR. The small amount of questions that we receive raises the suspicion that most projects work alone, and do not try to reach out to the HL7 FHIR Belgium community or to each other to obtain interoperable results. We would like to obtain a list of all involved software vendors from Andries Nelissen (FPS Health) to make them aware of the existence of the HL7 FHIR Belgium community.

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