Difference between revisions of "Minutes - Payment Insurance WG 2023-05-10"

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== Agenda ==
 
== Agenda ==
 +
* Issues on eAttest
 
* Work on logical models of eTarification
 
* Work on logical models of eTarification
  
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::* examples have to be modified
 
::* examples have to be modified
  
 +
* Review [https://build.fhir.org/ig/hl7-be/etariff/branches/issue-1/artifacts.html#2 logical models of eTarification] for GP softs and dentists:
 +
::* Tariff request by care provider, [https://build.fhir.org/ig/hl7-be/etariff/branches/issue-1/StructureDefinition-BeModeleTariffRequest.html see here]
 +
::* Response for tariff request by careprovider, [https://build.fhir.org/ig/hl7-be/etariff/branches/issue-1/StructureDefinition-BeModeleTariffResponse.html see here]
 +
::* remark : mediprima is not taken into account
  
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* Discuss logical models of eTarification: [https://build.fhir.org/ig/hl7-be/etariff/]
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* work on FHIR profiles has started, [https://build.fhir.org/ig/hl7-be/etariff/branches/issue-3/ see here]
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::* 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
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::* 2 bundles have been created for Request and Response
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::* there are two logical models: the request and the response
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::* resources for Claim  profile, Claim response and Coverage have been created
−
::* [https://build.fhir.org/ig/hl7-be/etariff/branches/issue-1/StructureDefinition-BeModeleTariffRequest.html eTarif request: is being discussed]
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::* [https://build.fhir.org/ig/hl7-be/etariff/branches/issue-3/StructureDefinition-be-etariff-claim.html presenting Claim]
−
::* [https://build.fhir.org/ig/hl7-be/etariff/branches/issue-1/StructureDefinition-BeModeleTariffResponse.html eTarif response: is being discussed]  
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::::* physiotherapy has to be removed from eTariff types, new issue 5
−
::::* a tarif can be provided or it can be refused
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::::* total has to be removed, new issue
−
::::* coverage will be used: https://www.hl7.org/fhir/R4/valueset-coverage-type.html
 
  
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https://build.fhir.org/ig/hl7-be/mycarenet/
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* NIC has no planning for eAttest as there was a recent change towards version 3
−
::* a new value set has been created: basic laterality based on the values provided by RIZIV/INAMI
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* eTariff: objective would be to implement it by end of 2024 for the specialist and then the FHIR service eTariff would be open for all HCP
−
::::* 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
 
−
::* 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
 
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::::* support for eAttest will be optional
 
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::* as such changes in master branch are approved
 
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::* this concludes the work on eAttestation
 
  
 
=== Agenda ===
 
=== Agenda ===
 
* continue work on logical models of eTarification towards approval of the logical models
 
* continue work on logical models of eTarification towards approval of the logical models
  
−
'''Next meeting - 10 May 9AM'''
+
'''Next meeting - 24 May 9AM'''

Latest revision as of 17:18, 11 May 2023

Attendees

  • Bart Decuypere
  • Bruno Bossaert
  • Karlien Erauw
  • Nicolas Poussard, Corilus
  • Philippe Baise
  • Stijn Goris

Excused

  • Baptiste Pierre
  • Cédric Fabre
  • Flora Fosset
  • François Van Hees
  • Guillaume Emmanuel
  • Jean-Michel Polfliet

Agenda

  • Issues on eAttest
  • Work on logical models of eTarification

Minutes

  • how to use use "chain" in location
  • see All eAttest ServiceRequest
  • through partOf we reference
  • we will change the invariant to take into account the managingOrganisation, 2 resources of Location are kept (using partOf), example has to be modified
  • eAttest: in prestation reference to supporting info, information sequence has to be removed
  • examples have to be modified
  • Tariff request by care provider, see here
  • Response for tariff request by careprovider, see here
  • remark : mediprima is not taken into account
  • work on FHIR profiles has started, see here
  • 2 bundles have been created for Request and Response
  • resources for Claim profile, Claim response and Coverage have been created
  • presenting Claim
  • physiotherapy has to be removed from eTariff types, new issue 5
  • total has to be removed, new issue
  • NIC has no planning for eAttest as there was a recent change towards version 3
  • eTariff: objective would be to implement it by end of 2024 for the specialist and then the FHIR service eTariff would be open for all HCP


Agenda

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

Next meeting - 24 May 9AM

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