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

From Health Level 7 Belgium Wiki
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::::* not decided if contained mechanism will be mandatory or if bundles will be used
 
::::* not decided if contained mechanism will be mandatory or if bundles will be used
 
::* requisition: if multiple orders/prescriptions exist using the same identifier  
 
::* requisition: if multiple orders/prescriptions exist using the same identifier  
::* intent
 
 
::* category will be LaboratoryTest
 
::* category will be LaboratoryTest
 
::* priority is optional
 
::* priority is optional
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::* patientInstruction: when patient has to be sober or medication cannot be taken 3 days prior
 
::* patientInstruction: when patient has to be sober or medication cannot be taken 3 days prior
 
::* important to keep link with specimen
 
::* important to keep link with specimen
** you can have multiple codes per requester - to be doublechecked
+
::* you can have multiple codes per requester - to be doublechecked
  
 
* '''Next Meeting:''' Monday January 4 at 4PM  
 
* '''Next Meeting:''' Monday January 4 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 [http://mailto:karlien.erauw@agoria.be by email] or through this [https://docs.google.com/forms/d/e/1FAIpQLSdrWQl4Uhu7SbtCrEYdXI1cOEmPpKyKSVl7apgNIDIRm-kZ1g/viewform?entry.1353807103=HL7.COUNTRY.FHIR.IG%5CGuidance%20-%20FHIR%20v4.0.1&entry.247644557=The%20laboratory%20order feedback form]
 
* '''Action points for all:''' please have a closer look at the labo order (through thinking of reallife examples) and provide us with your feedback [http://mailto:karlien.erauw@agoria.be by email] or through this [https://docs.google.com/forms/d/e/1FAIpQLSdrWQl4Uhu7SbtCrEYdXI1cOEmPpKyKSVl7apgNIDIRm-kZ1g/viewform?entry.1353807103=HL7.COUNTRY.FHIR.IG%5CGuidance%20-%20FHIR%20v4.0.1&entry.247644557=The%20laboratory%20order feedback form]

Revision as of 17:08, 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
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 4 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 or through this feedback form