Minutes - Referral WG 2020-01-11

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Revision as of 14:55, 11 January 2021 by KarlienErauw (talk | contribs) (Created page with "===== Attendees ===== * Robin Bosman * Frederik De Kegel * Paul Neyens * Dr Alain Derom * Karlien Erauw * Thibault Mahieu * Dieter De Gruyter * Joost Van Averbeke (MIPS) * Ha...")
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Attendees
  • Robin Bosman
  • Frederik De Kegel
  • Paul Neyens
  • Dr Alain Derom
  • Karlien Erauw
  • Thibault Mahieu
  • Dieter De Gruyter
  • Joost Van Averbeke (MIPS)
  • Hans De Keersmaecker
  • Benny Verhamme
  • Theo Schumacher
  • Peter Laridon
  • Frederik Lenaerts
  • José Costa Teixeira
Excused
  • Mieke Buckinx
Agenda
  • incoming issues
  • labo ordering
Minutes
  • Discussion of the issues raised since the previous meeting: no issues were raised since last meeting
  • Welcome and quick wrap-up to newcomer Joost from MIPS
  • Changes in the implementation guide can be followed up here
  • Narrative: is this mandatory ? see guidance, FHIR's philosophy is to have one
  • Labo ordering, link is included in the guidance, see also here: presentation of the different resources
  • based on the ServiceRequest, used for non-medication issues
  • see example
  • use of contained resources <> labo report uses bundle : we will evolve in Belgium to a "server" that will handle all referral prescriptions, UHMEP identifier is the reference ID in this system that RIZIV is working on
  • other FHIR instances are included in the ServiceRequest using the FHIR contained mechanism (using hashtags #)
  • not decided if contained mechanism will be mandatory or if bundles will be used
  • requisition: if multiple orders/prescriptions exist using the same identifier
  • category will be LaboratoryTest
  • priority is optional
  • in CDA something was foreseen so this has to be included
  • f.e. result has to be communicated by phone (does not include urgent)
  • subject = the patient
  • encounter: is optional, can be removed
  • occurence: can this be practical for "kweek" ? or for diabetic day curves
  • insurance: can have multiple occurences (0..x)
  • if labo order is needed as a pre-condition for a life insurance, the insurance company will pay and not RIZIV, how will this be handled in the order
  • bodySite: is this relevant for a labo order ? as this is already included in the specimen - better to remove it as it can cause confusion
  • patientInstruction: when patient has to be sober or medication cannot be taken 3 days prior
  • important to keep link with specimen
  • you can have multiple codes per requester - to be doublechecked
  • Next Meeting: Monday January 25 at 4PM
  • Action points for all: please have a closer look at the labo order (through thinking of reallife examples) and provide us with your feedback by email (karlien.erauw@agoria.be) or through this feedback form