Frequently Asked Question

What is a care set
Last Updated 9 months ago

Within the framework of action point 4.1 of the eHealth 3.0 roadmap "multidisciplinary electronic exchanges", RIZIV, in partnership with other health actors, is busy developing and implementing solutions for multidisciplinary electronic data exchanges via structured, standardized and codified Care Sets. More specifically, the project aims to make a transition from the current Sumehr to an evolving, dynamic, modular, historicized and multidisciplinary Sumehr composed of different Care Sets that will be exchanged through the regional vaults (Vitalink for Flanders, RSB for Brussels, RSW for Wallonia).
For the time being, the Care Sets envisaged are Allergy/Intolerance, Vaccination, Patient's Wishes, Problems, ...

Care sets consist of the following elements:

  • A functional logic model, tailored to the needs of Belgian providers, which illustrates how the required information elements are linked together.
  • The Belgian profile of the FHIR resource that will be used to exchange the content of this Care Set.
  • The value sets (spreferably in SNOMED CT or LOINC) that the variables of the logical model elements can take.
  • The business rules: the rules to be taken into account so that the structure and content of the Care Set are valid.

The advantages of these Care sets forming the new modular Sumehr are multiple:

- The information is structured, captured in a standardized way in small modular blocks that can be reorganized for different Use Cases;

- They have been created to enable multidisciplinary data exchange between in- and outpatient AR78 providers. These data are stored in the eHealth exchange network (the regional vaults) and accessible based on roles defined in an access matrix. As a result, the care provider only sees the information that concerns him and that he is authorized to consult;

- Each modification is "historicized" and linked to the person making the modifications, there is no loss of data and the modifications can be traced back to the source;

- They are coded in SNOMED CT wherever SNOMED CT terminology can bring added value (or in LOINC for laboratories). This allows for better quality and interoperability of the data but also for automatic translation of the data into the languages supported by SNOMED CT terminology. Snomed CT is a unique medical language, which reduces the risk of misunderstandings;

- No storage of heavy PDFs;

- No multiple encoding (meets the Only Once vision);

- The exchange of care sets is standardized using the resources of the international HL7 FHIR standard

Below you will find a short presentation on the evolution of Sumehr that was given on April 24, 2021 during the Abrumet/Besafeshare/CSCT congress presenting the Belgian Care Sets policy for 2021.

Please note the presentation is in French.

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