Minutes - Patient Dossier WG 2022-02-17

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Attendees

  • Anne Nerenhausen
  • Brecht Van Vooren
  • Clément Brasseur
  • Félix De Tavernier
  • Filoretta Velica
  • Isabelle Pollet
  • Jean-Michel Polfliet
  • José Costa Teixeira
  • Karlien Erauw
  • Kris Deceunynck
  • Marleen Martens
  • Michaël Cauchie
  • Sabine Withofs
  • Stijn Longin
  • Tatiana Pereira
  • Tom De Backer

Excused

  • Bart Decuypere
  • Dominique Bastille
  • Geert Top
  • Jan Lenssen
  • Pablo d'Alcantara
  • Walter Bollaert

Agenda

  • Discuss open issues for resolution

Minutes

  • Discuss email conversation
  • Can we use CTI-extended ?
  • globally (VIDIS, allergy tolerance) we move to CTI-extended so we have to foresee this
  • CTI-extended is linked to the reimbursement
  • CTI-ext might be too detailed, vaccinet suggests to go to product level
  • it is suggested that the FHIR profile supports multi coding - the business rules will have to be determined by RIZIV
  • we should have maximum flexibility
  • what about historical CNK codes ? Does SAMv2 have historical (depricated) CNK codes ?
  • --> So, the Codeable concept should have the CTI-extended, CNK and ATC (=product category code)
  • valueset of administeredProduct will have all CTI-extended, all CNK codes and all ATC codes
  • Change in structure needed: change the extension from “value [x] only Reference” to “value[x] only CodeableConcept” ?
  • see structure here
  • CodeableConcept is necessary so FHIR profile has to be changed
  • removing the reference to a Medication resource is not adviseable as we want to add it in the future
  • CNK or CTI-extended will not be understood outside of Belgium
  • within the CodeableConcept you can have several codings and slicing can be used
  • a very big valueset is not adviseable
  • we could have 3 valuesets (CNK, ATC, CTI-ext) which is advisable, slicing within the CodeableConcept is possible, valueset for ATC exists: www.whocc.no/atc
  • values have been added
  • Action items for next meeting
  • please raise any objections/issues with the profile asap by email or preferably in github
  • Next steps for the next meeting
  • timing of publication of FHIR profile has to be discussed
  • status of resolution of issues

Next meeting Friday March 11 at 9AM until 10.30AM