Welcome to "Gestructureerde Uitwisseling" Wiki.
This project aims to improve the information exchange between general practitioners and hospitals by moving from unstructured free‑text referral letters and result reports to structured, coded clinical communication.
General practitioners currently send referrals as free text and receive equally unstructured reports in return. Although these messages are typically transmitted electronically via the eHealthBox, their content is not standardized or encoded.
To address this, the project introduces the exchange of a structured, SNOMED CT‑coded problem list (PL)—containing medical history, diagnoses, treatments, and procedures—using FHIR. When a GP sends a referral, the hospital receives both the referral letter and the patient’s coded problem list, allowing the hospital to automatically incorporate validated elements into its own electronic record. During the hospital stay, clinicians enrich the problem list further. At discharge, the hospital sends back its updated, SNOMED‑coded FHIR problem list, enabling the GP to selectively adopt new or refined codes. This reciprocal exchange ensures that both parties progressively maintain a richer, more accurate, and up‑to‑date clinical problem list.
By structuring communication using international standards (SNOMED CT, FHIR) while relying on existing channels such as the eHealthBox, the project enhances data quality, reduces duplication, improves continuity of care, and lays the groundwork for interoperable, future‑proof health information exchange across care settings.
The project was coordinated by Sofie Sergeant (sofie.sergeant@uzleuven.be)