Difference between revisions of "Minutes - Referral WG 2021-01-21"

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===== Attendees =====  
 
===== Attendees =====  
* Robin Bosman, eHealth Platform -
+
* Robin Bosman, eHealth Platform  
* Karlien Erauw, Agoria/IHE Belgium -
+
* Karlien Erauw, Agoria/IHE Belgium  
* Arnaud Lippert -
+
* Pieter Devolder
* Elfi Goesaert, Domus Medica
+
* Arnaud Lippert
* Erwin Bellon, UZ Leuven
+
* Elfi Goesaert, Domus Medica  
 +
* Erwin Bellon, UZ Leuven  
 
* José Costa Teixeira, chair HL7 Belgium
 
* José Costa Teixeira, chair HL7 Belgium
* Bruno Casneuf, recip-e -
+
* Bruno Casneuf, recip-e
* Karen Anthonissen, GP (Domus Medica) -
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* Karen Anthonissen, GP (Domus Medica)  
* Nicolas Delvaux, GP/prof Medicine Univ Leuven (CDS & radiology (Domus Medica)
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* Katleen Smedts, UZ Antwerpen  
* Katleen Smedts, UZ Antwerpen -
+
* Filip Deferme, UZ Antwerpen  
* Filip Deferme, UZ Antwerpen -
+
* Geoffrey Stenuit, Odissee, teacher of computer science  
* Nils Devos
+
* Robin Decoster, Odissee, education program & part of research group ZINN  
* Geoffrey Stenuit, Odissee, teacher of computer science -
 
* Robin Decoster, Odissee, education program & part of research group ZINN -
 
  
 
===== Agenda =====  
 
===== Agenda =====  
* Roll call of attendees
+
* GP: current situation
* Set context for referral for medical imaging
 
* Assess representation of stakeholders & identify others
 
  
 
===== Minutes =====
 
===== Minutes =====
* BSR would try to attend, no one is present
+
* Presence of stakeholders: representation for the moment is +/- ok
* Representation for the moment is ok
+
::* BSR would try to attend, unfortunately no one is present today. We will keep them posted of this WG's progress and ask them for feedback when we have a draft implementation guide
* Erwin suggests to do a walk through to the patient FHIR resource
+
* Erwin suggests to do a walk through to the patient FHIR resource for the present stakeholders
 
::* the [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/StructureDefinition-be-model-referralprescription.html logical model] and the [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/StructureDefinition-be-referralprescription.html FHIR profile] for the general referral have been drafted (see snapshot table for the best overview)
 
::* the [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/StructureDefinition-be-model-referralprescription.html logical model] and the [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/StructureDefinition-be-referralprescription.html FHIR profile] for the general referral have been drafted (see snapshot table for the best overview)
 
::* a first draft of the [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/StructureDefinition-be-model-diagnosticimagingprescription.html logical model] and the [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/StructureDefinition-be-referralprescription-diagnosticimaging.html FHIR profile] for the medical imaging referral are here
 
::* a first draft of the [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/StructureDefinition-be-model-diagnosticimagingprescription.html logical model] and the [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/StructureDefinition-be-referralprescription-diagnosticimaging.html FHIR profile] for the medical imaging referral are here
* Presence of stakeholders 
+
* Quick overview of FHIR by Robin by looking at the FHIR patient resource: typical is the way content is structured in FHIR, i.e. in modular form
::* radiologists are missing
+
* Karen had done some preparations prepared : how is the referral done by using the instruction document used by a GP now ?
::* possible candidates: Geert Villeirs, odissee, radiology nurses from NVKVV, radiologists from university hospitals,...
+
::* Karen has used softwareGP's careconnect & healthone that are very similar
 +
::::* information from kidney function is automatically taken
 +
::::* in border areas there are people from the Netherlands without rijksregisternummer
 +
* what is crucial: body part + type of medical image/examination + contract (for GP)
 +
* do the GP's want to specify deatils of the imagination or do they leave it up to the radiologist ?
 +
::* sometimes: GP mention artrosis in the remark section which is enough for the radiologists
 +
::* for mammographies other words are mentioned in the remark section
 +
* does the GP get contacted by the radiologists ? it never happened for KAren
 +
* do we need a list ?
 +
::* UZA has a list with examinations, like probably other hospitals
 +
::* link with Clinical Decision Support systems are being discussed
 +
::* is it an option to use the catalog from RIZIV?
 +
::* there is a need for a list but it seems not an action item for this WG to create it
 +
* questionnaire: are there questionnaires that have to be completed prior to the examination
 +
::* does this happen at the hospital side ? not when the GP creates the referral
 +
::* for an MRI people need to fill out a questionnaire
 +
::::* would be great if the questionnaire was completed upfront the examination
 +
::::* GP will not like it if they have to fill out more than 4-5 questions, it would be great if the software system prefills questionnaires
 +
::::::* be careful: there are legal implications on questionnaires (safety regulations)
 +
::::* there are contra indications for specific examinations that should be asked prior to planning the appointment - relevant for examinations that require appointments months in advance
 +
 
 +
* Karen's documents are shared [https://drive.google.com/file/d/1RIukasxa84FldjNO1Mfa_VZnfQdl3-5c/view?usp=sharing here (general referral form)], [https://drive.google.com/file/d/15YoEfGUHJsPxZFZ93NPGGZR_uGro__bJ/view?usp=sharing here (referral form for othopaedic problem)] and [https://drive.google.com/file/d/1kZyu51FJHO8tXkjIce7Blqb7tJSz7nfZ/view?usp=sharing here (referral form for internal problem)]
 +
 
 +
Agenda next meeting:
 +
* Trying to get onboard stakeholders from radiology
 
* Missing information in the logical model for the medical imaging referral: klacht, vraagstelling, onderzoek, aanvullende info (denk aan nierfunctie, prothese, CI, etc) : to be discussed in detail next meeting
 
* Missing information in the logical model for the medical imaging referral: klacht, vraagstelling, onderzoek, aanvullende info (denk aan nierfunctie, prothese, CI, etc) : to be discussed in detail next meeting
  
* Action items
 
::* asap: engage more stakeholders from radiology side (Geert Villeirs, odissee, radiology nurses from NVKVV)
 
::* representatives from GP's to bring real time examples of medical imaging referrals to the next meeting to identify missing fields in the model for the medical imaging referral
 
  
''' Next Meeting : Feb 4 at 4PM'''
+
''' Date Next Meeting : Feb 4 at 4PM'''

Latest revision as of 16:41, 24 January 2021

Attendees
  • Robin Bosman, eHealth Platform
  • Karlien Erauw, Agoria/IHE Belgium
  • Pieter Devolder
  • Arnaud Lippert
  • Elfi Goesaert, Domus Medica
  • Erwin Bellon, UZ Leuven
  • José Costa Teixeira, chair HL7 Belgium
  • Bruno Casneuf, recip-e
  • Karen Anthonissen, GP (Domus Medica)
  • Katleen Smedts, UZ Antwerpen
  • Filip Deferme, UZ Antwerpen
  • Geoffrey Stenuit, Odissee, teacher of computer science
  • Robin Decoster, Odissee, education program & part of research group ZINN
Agenda
  • GP: current situation
Minutes
  • Presence of stakeholders: representation for the moment is +/- ok
  • BSR would try to attend, unfortunately no one is present today. We will keep them posted of this WG's progress and ask them for feedback when we have a draft implementation guide
  • Erwin suggests to do a walk through to the patient FHIR resource for the present stakeholders
  • Quick overview of FHIR by Robin by looking at the FHIR patient resource: typical is the way content is structured in FHIR, i.e. in modular form
  • Karen had done some preparations prepared : how is the referral done by using the instruction document used by a GP now ?
  • Karen has used softwareGP's careconnect & healthone that are very similar
  • information from kidney function is automatically taken
  • in border areas there are people from the Netherlands without rijksregisternummer
  • what is crucial: body part + type of medical image/examination + contract (for GP)
  • do the GP's want to specify deatils of the imagination or do they leave it up to the radiologist ?
  • sometimes: GP mention artrosis in the remark section which is enough for the radiologists
  • for mammographies other words are mentioned in the remark section
  • does the GP get contacted by the radiologists ? it never happened for KAren
  • do we need a list ?
  • UZA has a list with examinations, like probably other hospitals
  • link with Clinical Decision Support systems are being discussed
  • is it an option to use the catalog from RIZIV?
  • there is a need for a list but it seems not an action item for this WG to create it
  • questionnaire: are there questionnaires that have to be completed prior to the examination
  • does this happen at the hospital side ? not when the GP creates the referral
  • for an MRI people need to fill out a questionnaire
  • would be great if the questionnaire was completed upfront the examination
  • GP will not like it if they have to fill out more than 4-5 questions, it would be great if the software system prefills questionnaires
  • be careful: there are legal implications on questionnaires (safety regulations)
  • there are contra indications for specific examinations that should be asked prior to planning the appointment - relevant for examinations that require appointments months in advance

Agenda next meeting:

  • Trying to get onboard stakeholders from radiology
  • Missing information in the logical model for the medical imaging referral: klacht, vraagstelling, onderzoek, aanvullende info (denk aan nierfunctie, prothese, CI, etc) : to be discussed in detail next meeting


Date Next Meeting : Feb 4 at 4PM