Difference between revisions of "Minutes - Payment Insurance WG 2023-04-26"

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(Created page with "=== Attendees === * Bart Decuypere * Bruno Bossaert * François Van Hees * Jean-Michel Polfliet * Karlien Erauw * Philippe Baise === Excused === * Baptiste Pierre * Cédric F...")
 
 
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* Bruno Bossaert
 
* Bruno Bossaert
 
* François Van Hees
 
* François Van Hees
−
* Jean-Michel Polfliet
 
 
* Karlien Erauw
 
* Karlien Erauw
 
* Philippe Baise
 
* Philippe Baise
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* Flora Fosset
 
* Flora Fosset
 
* Guillaume Emmanuel
 
* Guillaume Emmanuel
 +
* Jean-Michel Polfliet
 
* Stijn Goris
 
* Stijn Goris
  
 
== Agenda ==
 
== Agenda ==
−
* Resolution of issues
+
* Work on logical model of eTarification
  
 
=== Minutes ===
 
=== Minutes ===
−
* [https://build.fhir.org/ig/hl7-be/eattestation/branches/issue-13/Bundle-ex05.html eAttest issue 13]
+
* Discuss logical models of eTarification: [https://build.fhir.org/ig/hl7-be/etariff/]
−
::* in th eclaim there is a fixed value for type (all professional)
+
::* this is available the the following health care providers: GP's and dentists - specialists is still under discussion, it might become available for them as from the end of this year
−
::::* there will be other types for eAttest (oral for dentist)
+
::* there are two logical models: the request and the response
−
::::* the type will not be imposed anymore
+
::* [https://build.fhir.org/ig/hl7-be/etariff/branches/issue-1/StructureDefinition-BeModeleTariffRequest.html eTarif request: is being discussed]
−
::* claimResponse
+
::* [https://build.fhir.org/ig/hl7-be/etariff/branches/issue-1/StructureDefinition-BeModeleTariffResponse.html eTarif response: is being discussed]
−
::* 2.3 link in guidance has to be changed/removed, also in the guidance of mycarenet
+
::::* a tarif can be provided or it can be refused
−
::* work will be done by next meeting
+
::::* coverage will be used: https://www.hl7.org/fhir/R4/valueset-coverage-type.html
 +
 
 +
https://build.fhir.org/ig/hl7-be/mycarenet/
 +
::* a new value set has been created: basic laterality based on the values provided by RIZIV/INAMI
 +
::::* these values are present in/a subset of the body laterality list
 +
::::* is present in [https://build.fhir.org/ig/hl7-be/eattestation/StructureDefinition-be-eattestation-claim.html profile of eAttestation], bodyLaterality
 +
 
  
 
* eAttest: serviceRequests - linked to Referral Prescription project  
 
* eAttest: serviceRequests - linked to Referral Prescription project  
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::* as such changes in master branch are approved
 
::* as such changes in master branch are approved
 
::* this concludes the work on eAttestation
 
::* this concludes the work on eAttestation
−
 
−
* eTarification
 
−
::* new package will be created
 
−
::* logical model has to be created [https://docs.google.com/spreadsheets/d/17dHuH4g820ydMWc6vmPqSxPCcmXu9Q0_/edit?usp=share_link&ouid=105469359652835948544&rtpof=true&sd=true based on the following input]
 
−
::* eAttest sends what has been done
 
−
::* eAgreement is an accord
 
−
::* eTarification is sent by the VI/OA on what will be paid
 
−
::::* in Claim use there are 3 values (claim, preauthorization, predetermination): field predetermination refers to the eTarifcation
 
−
::::* an insured patient has a profile indicated by a code
 
−
::* codes titularis have to be looked up
 
−
::* work on logical modal will be started
 
  
 
=== Agenda ===
 
=== Agenda ===
−
* work on logical model of eTarification
+
* continue work on logical models of eTarification towards approval of the logical models
  
 
'''Next meeting - 10 May 9AM'''
 
'''Next meeting - 10 May 9AM'''

Latest revision as of 07:41, 26 April 2023

Attendees

  • Bart Decuypere
  • Bruno Bossaert
  • François Van Hees
  • Karlien Erauw
  • Philippe Baise

Excused

  • Baptiste Pierre
  • Cédric Fabre
  • Flora Fosset
  • Guillaume Emmanuel
  • Jean-Michel Polfliet
  • Stijn Goris

Agenda

  • Work on logical model of eTarification

Minutes

  • Discuss logical models of eTarification: [1]

https://build.fhir.org/ig/hl7-be/mycarenet/

  • a new value set has been created: basic laterality based on the values provided by RIZIV/INAMI
  • these values are present in/a subset of the body laterality list
  • is present in profile of eAttestation, bodyLaterality


  • eAttest: serviceRequests - linked to Referral Prescription project
  • linked to serviceRequestNurses
  • values snomed will remain, there are other values determined by INAMI
  • category is mandatory, code is optional for the time being, might become mandatory in the future
  • support for eAttest will be optional
  • as such changes in master branch are approved
  • this concludes the work on eAttestation

Agenda

  • continue work on logical models of eTarification towards approval of the logical models

Next meeting - 10 May 9AM

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