Difference between revisions of "Minutes - Patient Dossier WG 2023-12-08"

From Health Level 7 Belgium Wiki
 
Line 9: Line 9:
  
 
=== Excused/absent ===  
 
=== Excused/absent ===  
 
 
* Jean-Michel Polfliet, eHealth platform/HL7 Belgium
 
* Jean-Michel Polfliet, eHealth platform/HL7 Belgium
 
* Tim Bogaert, Byteflies
 
* Tim Bogaert, Byteflies
Line 18: Line 17:
  
 
=== Minutes ===
 
=== Minutes ===
* MoveUp/Bruno did some review of the logical model & the FHIR IG
+
* MoveUp/Bruno did some review of the [https://hl7-be.github.io/patient-monitoring/StructureDefinition-PatientMonitoring.html logical model] & the [https://hl7-be.github.io/patient-monitoring/StructureDefinition-PatientMonitoringObservation.html FHIR IG]
 
::* by checking some examples on bariatrics and orthopedics
 
::* by checking some examples on bariatrics and orthopedics
::::* lots of parameters are being captured, for bariatrics some texts
+
::::* lots of parameters are being captured, for bariatrics also some some values as texts
::::* how do we fit a report in different time series, how do we add these, how do we group these series in the data structure
+
::::* how do we fit a report in different timeseries, how do we add these, how do we group these series in the data structure?
::::::* initial scop of the IG is one event, so time series don't fit in here  
+
::::::* initial scop of the IG is one event, so timeseries don't fit in here  
::::::* is the duration of the follow-up indicated, f.e. for Fibricheck 7 or 15 or 30 days, this could be captured in one single report
+
::::::* is the duration of the follow-up indicated, f.e. for Fibricheck 7 or 15 or 30 days, as this could be captured in one single report
::::::* is also applicable for orthopedics bute more specific, intense after the surgery where more data are captured
+
::::::* is also applicable for orthopedics but more specific, intense after the surgery where more data are captured
 
::::* reports can already be made available through the hubs, but not in FHIR
 
::::* reports can already be made available through the hubs, but not in FHIR
 
::::* the FHIR IG can contain an URL pointing to the dashboard and/or pdf  
 
::::* the FHIR IG can contain an URL pointing to the dashboard and/or pdf  
::* observations: capture of a parameter
+
::::::* are these linked to diagnostic report or to obversation?
 +
::::::* we need to agree on where the line is b/w observation and diagnostic report
 +
:::::* we have to investigate where we want to include the PDF and URL (to dashboard)
 +
:::::* F.e. a measurement is done during 60 sec for which there is an outcome and a PDF report is generated
 +
:::::* FHIR R5 has value attachment, but it is not available in R4 yet
  
::* development of FHIR profiles in Belgium is done within HL7 Belgium under NBN sectoral standardisation operator Agoria-ICT following the Belgian FHIR governance, [https://www.ehealth.fgov.be/standards/kmehr/en/page/hl7-fhir-governance see here] and [https://www.ehealth.fgov.be/standards/fhir/documents/20230921_FHIR_Governance_process_v2.pdf here]
+
::* goal is to profile observations: capture of a parameter, some qualitative, some quantative
::* This is linked to the [https://www.caresetsbelgium.org/ care sets project in Belgium, led by RIZIV]
+
::::* we need an exhaustive list of quantative observations, we will start working on this [https://docs.google.com/spreadsheets/d/1sk4dY9VfKaVQuIhrmO3l-pFRDIBCiD4g9SbIGNBFUb0/edit#gid=0 here]
::* HL7 Belgium has had informal meetings with all involved parties and there is alignment, this will continue
 
  
* Way of working
 
::* meeting minutes are available on [https://wiki.hl7belgium.org/index.php?title=Patient_Monitoring_Outcome_Workgroup the HL7 Belgium wiki], openly available for everyone
 
::* useful information is shared on the [https://drive.google.com/drive/folders/1tH0YX26mRFgB1g2rlwn5WXLTWFzPlwna WG google drive] (only open to WG members)
 
::* comments/questions on the logical model and FHIR profile have to be logged [https://github.com/hl7-be/patient-monitoring/issues through github], afterwards all issues are being discussed in the WG meetings
 
 
* FHIR-a-thon initiative in Belgium
 
::* see [https://www.agoria.be/en/services/expertise/digitalisation/healthtech/agenda/be-fhir-a-thon-2024 official program here]
 
::* informal test tracks/test ateliers supported by HL7 Belgium are possible: this is considered to be very useful for this profile. The present vendors are asked to consider their participation to this test atelier on 29 & 30 Jan 2023
 
 
* Preparation work has been done on the logical model and FHIR patient monitoring outcome profile
 
::* there is currently an issue with the build, this will be resolved asap
 
::* see [https://hl7-be.github.io/patient-monitoring/overview.html an overview as explanation to the logical model here]
 
::* logical model is [https://build.fhir.org/ig/hl7-be/patient-monitoring/StructureDefinition-PatientMonitoring.html also in detail here]
 
::* draft of FHIR profile can be consulted here
 
* Tim raises the fact that he wants the Belgian profile to be an European one, it is up to him to guard this during the work within this WG
 
 
* Work on some examples has already been done, see [https://build.fhir.org/ig/hl7-be/patient-monitoring/artifacts.html#example-example-instances section 3.0.5 here]  
 
* Work on some examples has already been done, see [https://build.fhir.org/ig/hl7-be/patient-monitoring/artifacts.html#example-example-instances section 3.0.5 here]  
 
::* some more examples, from other vendors, are necessary to check off the profile
 
::* some more examples, from other vendors, are necessary to check off the profile
::::* Bruno and Peter will provide the info in resp 1, 1.5 week
 
 
 
  
 
=== Action items ===
 
=== Action items ===
* Review of draft profile
+
* Work on listing of observations
* some intermediary meetings will be set-up to work on the examples
+
* investigate where to put pdf and URL
 +
* provide examples  
  
 
=== Next meeting ===
 
=== Next meeting ===
Next WG meeting will take place online on Friday 8 December 10AM CET
+
Next WG meeting will take place online on Tuesday 19 December 10AM CET

Latest revision as of 10:49, 8 December 2023

Attendees

  • Bart Decuypere, eHealth platform/HL7 Belgium
  • Benny Tops, Remecare
  • Bruno Neckebroek, MoveUP
  • Christopher Hex, Fibricheck
  • José Costa Teixeira, imec/HL7 Belgium
  • Karlien Erauw, Agoria/HL7 Belgium
  • Peter Van Vooren, Remecare

Excused/absent

  • Jean-Michel Polfliet, eHealth platform/HL7 Belgium
  • Tim Bogaert, Byteflies
  • Ward Servaes, MoveUP

Agenda

  • Review of logical model & FHIR IG

Minutes

  • by checking some examples on bariatrics and orthopedics
  • lots of parameters are being captured, for bariatrics also some some values as texts
  • how do we fit a report in different timeseries, how do we add these, how do we group these series in the data structure?
  • initial scop of the IG is one event, so timeseries don't fit in here
  • is the duration of the follow-up indicated, f.e. for Fibricheck 7 or 15 or 30 days, as this could be captured in one single report
  • is also applicable for orthopedics but more specific, intense after the surgery where more data are captured
  • reports can already be made available through the hubs, but not in FHIR
  • the FHIR IG can contain an URL pointing to the dashboard and/or pdf
  • are these linked to diagnostic report or to obversation?
  • we need to agree on where the line is b/w observation and diagnostic report
  • we have to investigate where we want to include the PDF and URL (to dashboard)
  • F.e. a measurement is done during 60 sec for which there is an outcome and a PDF report is generated
  • FHIR R5 has value attachment, but it is not available in R4 yet
  • goal is to profile observations: capture of a parameter, some qualitative, some quantative
  • we need an exhaustive list of quantative observations, we will start working on this here
  • some more examples, from other vendors, are necessary to check off the profile

Action items

  • Work on listing of observations
  • investigate where to put pdf and URL
  • provide examples

Next meeting

Next WG meeting will take place online on Tuesday 19 December 10AM CET