Minutes - Referral WG 2021-11-16

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Attendees
  • Alexis Van Zeveren (arrived late)
  • Dr Alain Derom
  • Bart Decuypere
  • Benny Verhamme
  • Frédéric Istace
  • Frederik Lenaerts
  • Hans De Keersmaecker
  • Jean-Michel Polfiet
  • Joost Van Averbeke
  • Jos Bellen
  • José Costa Teixeira
  • Karlien Erauw
  • Kristof Jaubin
  • Nick Hermans
  • Nico Vannieuwenhuyze
  • Peter Laridon
  • Robert Nicolas (Medispring)
  • Thibault Mahieu
  • Tom Tollenaere
  • Stefan Waegemans
  • Toon Schiemsky
Excused/Not present
  • Frederik De Kegel
  • Mieke Buckinx
  • Olivier Lothaire
  • Paul Neyens
  • Richard Francken
  • Theo Schumacher
  • Tom Fiers
Agenda
  • Rework on issues resulted from the pilot phase
Minutes
  • goal of the pilot: implementation proof documentation for the project
  • 5 pilot participants (2 GP softs + EPD soft + 2 LIS) + 2 biologists
  • tracking of issues is done in github
  • testcases will be used in the future for the end-to-end solution
  • combination of system and value has to be unique
  • Medina will remove the lab prefix : lab riziv number + unique number for the lab (f.e. riziv request number)
  • HL7 Belgium has to work on naming system : HL7 Belgium will set this up in the way "this is the approved url as agreed" - it will be the identifier of the bundle, not the unique ID
  • please note: one request cannot have 2 bundles as outcome
  • The Bundles have to be unique, any reference identifiers in the bundle do not have to be unique ? They only have to be unique within the same bundle
  • Issue #26 "Multilevel titles on protocols"
  • a lab protocol has titles and none or multiple subtitles and each level can have results
  • need for agreement on way of encoding
  • proposal: using "hasMember" as this has been created to have hierarchy
  • Issue #38 is almost the same issue "Subtitles and panels"
  • nuance of narrative generation
  • is there a need for a dummy narrative to a panel ?
  • Conclusion: if you have a child you have to use "hasMember"
  • Narrative: the receiving party needs to be able to rebuild the protocol
  • Macsys wants to leave the narrative empty - is this against the HL7 FHIR standard mandatory guidance ? Macsys will create plain text in the narrative
  • copy of the protocol could be sent as a blob, not in the narrative
  • Issue 34 about coding system to include in the observation
  • can we use multiple ones ?
  • link to coding system : FHIR allows Loinc, Albert or lab codes
  • should we not determine how we have to identify lab coding systems - will Medidoc, Medigest codes be identified ?
  • is there a repository page of the used lab coding systems ? needs to be created & option to be re-validated by this WG
  • a terminology server could be an option for the future


Action items

  • HL7 Belgium to make up naming system for identifier for bundles
  • HL7 Belgium to make up repository page of the used lab coding systems
  • HL7 Belgium to update status of discussed items

Next Meeting: additional meeting on Thursday Nov 25 at 1PM to make progress