Minutes - Referral WG 2023-04-21

Attendees

• Anne Nerenhausen
• Bart Decuypere
• Bart Reekmans
• Dorsan de Fabricheckers
• Emily Sevrin
• Geert Vandenhole
• Hans De Keersmaecker
• Jean-Michel Polfliet
• Julien Beard
• Karlien Erauw
• Katrien Dickx
• Marleen Van Eygen
• Lionel Cremer
• Philippe Baise
• Philippe Lejoly
• Robin Merckx

Excused

• Anthony Maton
• Ben Goosse
• Christophe Behaegel
• Cyprien Janssens
• Dorsan de Fabricheckers
• Jacques Yakoub
• Jean-Francois Coquelet
• José Costa Teixeira
• Katleen Smedts
• Katrien Thorré
• Maarten Cobbaert
• Maxime Daive
• Nathan Peeters
• Laurent Lamouline
• Pablo Christiaens
• Pieter Devolder
• Richard Francken

Agenda

• review update of logical model following the update of the business rules
• continue resolution of issues

Meeting Minutes

• Bart presents the changes in the logical model as a result of the updated business rules

• focus is on the June (first) release so the changes to the logical model are limited to that
• creating of the use cases to the templates that will be released in June
• in the business rules V0.21 is more information than in the profiles
• the IG and logical model will be in sync

in the business rules it will be highlighted what is not included in the first release

• for the next release (after June) a new branch will be created in github
• the focus will be on the master branch, that corresponds with the June (first) release

• Questions and issues resulting from the FHIR UHMEP workshop on 20 April

• can we indicate for each field in the logical model who can fill in/update the field ?

• the info will be made available in the cookbook and the business rules, not in the logical model

• confusion between the recorder and the requester ; can we clarify the definition of the recorder in the logical model ? it the person who last updated the serviceRequest/referral prescription

• if a co-prescriber signs the referral/requst he will become the recorder ; the prescriber will not change
• the prescriber is the origin of the referral/request
• the wording in the logical model will be adapted by Bart

• for nursing prescription : annex 81 ; a nurse sends some comments that she has to sign and which have to be signed by a doctor, who will be the co-prescriber

• validationPeriod: can this be changed into validityPeriod

• WG agrees to make the change

• Presentation of updated versions of the valuesets

• problem codes: for wound care there are different types of wounds

• combination of Snomed CT and temporary codes
• the Belgian refset for problem is under construction
• GP softs don't use Snomed for this yet, will have to be looked into with NRC
• GP softs need indications when to use this

• anamnesis has a new value set, specific for annex 81, so not used
• orderDetail: list has been completed as some codes were missing
• the color orange means that the code has not been found, so a temporary code is needed
• Route: 2 new additions (at the bottom)
• Device: new additions of temporary codes
• BodySite: the list was provided by Wit Gele Kruis, some details were missings (f.e. on foot) so these details have been added, with other key parts

• there is no link with the body parts used in wound care, which is a frustration of the nurses as nurses can not document on body parts mentioned in the prescription

• the issue on Body locations inconsistencies, see here will be updated as there might be a need for a mapping table or a more future proof solution, it should be consistent with what is in the patient dossier

Agenda next meeting

• review update of logical model following the update of the business rules
• continue resolution of issues

Next meeting: next week Friday 28 April at 9AM