Minutes - Referral WG 2022-03-22

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Attendees

  • Dr Alain Derom
  • Bart Decuypere
  • Frederik De Kegel
  • Frederik Lenaerts
  • Hans De Keersmaecker
  • Jean-Michel Polfiet
  • Jos Bellen
  • Karlien Erauw
  • Kristof Jaubin
  • Lotte Adriaensen
  • Nico Vannieuwenhuyze (arrived late)
  • Olivier Lothaire
  • Peter Laridon
  • Philippe Cauchie
  • Stefan Waegemans
  • Sven Bisaro
  • Thibault Mahieu
  • Tom Tollenaere

Excused/Not present

  • Alexis Van Zeveren
  • Bart Havermans
  • Benny Verhamme
  • Filip Migom
  • Frédéric Istace
  • Hendrik De Moor
  • Joost Van Averbeke
  • José Costa Teixeira
  • Mieke Buckinx
  • Nick Hermans
  • Paul Neyens
  • Richard Francken
  • Robert Nicolas
  • Roland Vueghs
  • Theo Schumacher
  • Tom Fiers
  • Toon Schiemsky
  • Veerle Claessens
  • Werner De Mulder
  • Yulia Shornikova

Agenda

  • Discuss and resolve open issues

Minutes

Resolution of open issues: https://github.com/hl7-be/hl7-be-fhir-laboratory-report/projects/1

  • Issue 98 - accreditation comment
  • what is really required for the Belac accreditation ?
  • do we need a general accr comment for the entire report
  • if we keep the comment on the result level
  • Answers - was already covered before, see all details here and here
  • Belac requires your accr nbr
  • Belac requires info at test level
  • Belac requires to put more info in the "footer" ; behind every test you can put more details
  • experiences abroad: see question in FHIR chat - CLIA in the US, see here
  • Issue 103 - DNA info :
  • add it to note to BeLaboratroyObservation level
  • validate tomorrow with UZ Gent on 23/3
  • Issue 105 - microbiology reporting :
  • it is in the scope of the pilot
  • structured microbiology lab reporting might be very difficult for some lab/LIS vendors
  • for some labs it would require a big change in the microbiology reporting
  • it is not an official viewpoint of the vendors
  • blob is a an option until the lab is ready for structured microbiology (the labs will need a lot of time for this change)
  • receiver will be able to parse it but not be able to save it in a unstructured way ; might not be a big problem
  • structured microbiology reporting is possible and the pilot has a proposal/way of working
  • does Belgium will only do this in an unstructured way ? no, structured microbiology reporting should be looked into as this is valuable
  • how many Snomed CT codes are needed ? it seems that there are +/- 200
  • there will have to be in the implementation guide
  • WG decision: if the string value for the result field contains a new line character the content should be rendered in a non-proportional font. This will be added to the guidance.
  • New issue: plan is to have a new release of the FHIR core resources
  • canonical url's of the core elements will change
  • does this FHIR group want to use the new/future version that will be released in the upcoming weeks, i.e. evolve to the 2.X.X version of the Belgian Profiles Standards
  • WG does not want take a decision now
  • To be checked: note field at diagnostic report level available in latest FHIR impl guide ?
  • Info only: the GP softs part of the pilot will have 2 more months to import the structured FHIR lab reports once the FHIR profile is frozen
  • Philippe Cauchie has shared a table with codes for micro organisms Snomed CT after the meeting re. microbiology

Agenda for next meeting:

  • wrap-up and resolution of any open issues if they arise

Next Meeting - on Tuesday April 19 at 4PM as the Easter break is coming up - if plenty of new issues arise we'll meet also on April 12