Minutes - Referral WG 2020-02-08

From Health Level 7 Belgium Wiki
Attendees
  • Robin Bosman
  • Dr Alain Derom
  • Benny Verhamme
  • Frederik Lenaerts
  • Hans De Keersmaecker
  • Joost Van Averbeke
  • Jos Bellen
  • José Costa Teixeira
  • Karlien Erauw
  • Kristof Jaubin
  • Olivier Lothaire
  • Paul Neyens
  • Peter Laridon
  • Theo Schumacher
  • Thibault Mahieu
  • Tom Fiers
Excused
  • Hendrik Plaetinck
Agenda
  • updated items since last meeting
Minutes

Continuations from last meeting:

  • examples for creatinine clearance & microbiology : still to be provided
  • be-ext-urgent-communication
  • multiple channels: technical definition for the lab order, see here
  • contactway and contactsystem have been added. HL7 FHIR has a valueset for contact-point-system. some codes will be added to cover the very frequent communication means
  • a disclaimer about the legislation on medication information distribution will be added
  • Order examples have some interesting elements on the coding to use
  • element "code" : mandatory
  • element "orderDetail" : zero to many to use
  • remark: the result can have more order details
  • the receiver has to be aware that he will have to be able to receive possible type of messages
  • general communication of the result: what is the standard way of sending back the FHIR results ?
  • it is expressed that there is a need for a national viewer to view FHIR messages

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 22 at 4PM

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