Minutes - Referral WG 2021-03-18

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Attendees
  • Andries Nelissen
  • Arnaud Lippert
  • Bruno Casneuf
  • Erwin Bellon
  • Jean-Michel Polfliet
  • José Costa Teixeira
  • Karlien Erauw
  • Nick Hermans
  • Pieter Devolder
  • Robin Bosman
  • Robin Decoster
  • Sander Van den Wyngaert
  • Wouter Huysse
Excused
  • Elfi Goessaert
  • Karen Anthonissen
  • Katleen Smedts
  • Tom Deprez


Agenda
  • Review of the updated datamodel and technical FHIR artefact
  • Review of example on modalities
  • Further take-up in other organisations
Minutes
  • Andries is involved in the European working group op cross border exchange of medical imaging & dismissal form, project leader for FOD Volksgezondheid. This project is an extension of the CEF project that includes the summary & eprescription and is now also looking f.e. in the lab results. Andries is involved in the functional part.
  • Robin presents the
  • modifierExtension: obligatory to pass on, v3-NullFlavor can be given, example of null flavor: asked but unknown (ASKU)
  • the Belgian FHIR profile for vaccination has been used to influence the FHIR profile at European level
  • Erwin has composed a list with questions that mainly need to be answered by the politics
  • Review of the updated datamodel after the discussion in the previous WG ; unfortunately there was a technical issue with the publication
  • logical model has been cleaned, heritage from BeReferralPrescription
  • diagnostic questioning
  • extension for codeable concept
  • modifier extension for contra indication as it is important ; with its own structure and preferrably expressed as a structure
  • supporting info: goal is that only relevant information is sent in the referral
  • Clarification by RIZIV: the referrals will be active and identical intramuros and extramuros
  • however if intramuros there are additional requests, it would be fine as long as it fits in the general model
  • for complex cases it might be difficult to capture all the details in the referral (f.e. 3D modelling for surgery)
  • intramuros there are detailed modules for medical imaging
  • a good balance will have to be sought here to avoid that we keep discusssing for years
  • Robin will finalise the technical structure to finish the medical imaging referral
  • can we move to a federal standard ? We will have to go through a formal request, then through the WGSE (WG Structural Elements) and the eHealth Program Board


Date Next Meeting : April 1 at 4PM which will be the final meeting re. Medical Imaging referral Action point:

  • Karlien should ask for 45/60minute slot to present to 3 associations: BVR, Belg vereniging voor Nuclaire geneeskunde, BELMIP ?Karlien to take action here