Difference between revisions of "Minutes - Referral WG 2020-11-14"

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* Welcome and quick wrap-up to newcomer Joost from MIPS
 
* Welcome and quick wrap-up to newcomer Joost from MIPS
 
* Changes in the implementation guide can be followed up [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/changes.html here]
 
* Changes in the implementation guide can be followed up [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/changes.html here]
* Narrative: is this mandatory ? see [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/guidance.html guidance], FHIR's  
+
* Narrative: is this mandatory ? see [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/guidance.html guidance], FHIR's philosophy is to have one
 
* Labo ordering, link is included in the guidance, see also [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/StructureDefinition-be-lab-prescription.html here]: presentation of the different resources
 
* Labo ordering, link is included in the guidance, see also [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/StructureDefinition-be-lab-prescription.html here]: presentation of the different resources
 
::* based on the ServiceRequest, used for non-medication issues
 
::* based on the ServiceRequest, used for non-medication issues

Revision as of 16:07, 14 December 2020

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 -

not yet present:

  • Jamie Verelst
  • Kristof Jaubin
  • Tom Fiers
  • Frank Vandewiele
  • Olivier Lothaire
  • Nick Hermans
Excused
  • José Costa Teixeira
  • 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
  • intent
  • 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




  • Next Meeting: Monday January 4 at 4PM
  • Action points for all: please review the implementation guide & send us your comments (through the feedback icon on the top right)