Minutes - Referral WG 2020-01-25

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Attendees
  • Robin Bosman
  • Dr Alain Derom
  • Benny Verhamme
  • Frederik Lenaerts
  • Hans De Keersmaecker
  • Joost Van Averbeke
  • Jos Bellen
  • José Costa Teixeira
  • Kristof Jaubin
  • Paul Neyens
  • Peter Laridon
  • Karlien Erauw
  • Theo Schumacher

Not present

  • Andries Demont
  • Frank Vandewiele
  • Mieke Buckinx
  • Thibault Mahieu
  • Tom Fiers
Excused
  • Hendrik Plaetinck
Agenda
  • updated items since last meeting
Minutes

Intro:

  • Discussion on the deadlines and questions on the way the FHIR messages will be exchanges b/w labo's and GPsofts and hospitals
  • Question on status of referral platform (at RIZIV end)
  • Abrumet and RSW have the links to lab results, Coozo not - results are available in the LIS ; at Coozo you need to request a patient's transactions list and then you can request the details
  • it has been decided that there will be an asynchroon communication through the eHealthBox
  • The architecture has not been decided yet

Review of updated items of Labo ordering after last meeting's discussions/open items:

  • Labo ordering: Priority codes as part of the laboratory service request (routine, urgent, asap, stat= emergency)
  • 4 FHIR basic codes will be used: routine, urgent, asap, stat (= emergency)
  • the definition of each of these codes have to be respected, see here
  • Labo ordering: Testing codes - see 2.6.2 here
  • Labo ordering: clarification has been added, see 2.6.3 here
  • callback result/requested result notification : FHIR extension seems necessary: be-ext-urgent-communication, see here
  • when needed to communicate urgently any results
  • 3 elements :
  • channel: by phone, by mail, will be codeable concept
  • party: having the reference to the patient or practioner who needs to be notified
  • instructions: text/string having additional info
  • looks like we need an additional optional value : phone nbr, email address
  • is there a need to be able to have multiple be-ext-urgent-communication ? sometimes you need to notify the requester and the patient - extension will be made repeatable and channel as well (if party wants to be notified by phone before 10PM, otherwise by text)
  • Results: copy to - HL7 V2 element: be-ext-inform-party can be used
  • Action points:
  • Robin asks for examples to be converted in FHIR f.e. creatinine clearance with 2 specimens (blood + urine)
  • Labo results: is there any additional feedback on the profiling ?

Next Meeting: Monday February 8 at 4PM

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