LaboratoryTestResultVariants

Last updated: 2021-11-22 18:21

The federal, regional and community governments and experts have decided to expand the COVID-19 Test strategy. It concerns the use of COVID-19 tests to detect mutations and variants of the SARS-coronavirus-2 reference strain EPI_ISL_402124 . These tests will be used in a limited number of laboratories. ONLY those laboratories need to implement this message "LaboratoryTestResultVariants".

IMPORTANT: This message (available since 01/03/2021, in use as of 31.03.2021) can ONLY be used to report the results of a secondary test or analysis for Variants of Concern. Thus, the message "LaboratoryTestResultVariants" is always preceded by a COVID-19 "LaboratoryTestResult" message , either by the same laboratory or by another laboratory.


A. Content of the message

Translations into Dutch and French of the variables can be found here.

VARIABLESDESCRIPTIONInstructions
MessageTypeType of COVID-19 message.Default value "7"
Mandatory;
PatientIdentificationNumberPatient NISS identification number.Format NISS: 11 numbers;
Web service ConsultRN (NL FR)
Validation: modulo97
Mandatory.
FirstNamesPatThe person’s official first names.Text;
Mandatory IF no NISS.
LastNamePatThe person’s official last name.Text;
Mandatory IF no NISS.
StreetStreet name of the address.Text;
Mandatory IF no NISS.
HouseNumberHouse number of the address.Text;
Mandatory IF no NISS.
HouseNumberLetterA letter following the house number.Text;
Mandatory IF no NISS.
PostcodePostcode of the address.Text;
Mandatory IF no NISS.
MunicipalityMunicipality of residence.Text;
Mandatory IF no NISS.
CountryCountry in which the address is located.Text;
Mandatory IF no NISS.
DateOfBirthPatient’s date of birth. An incomplete date (such as only the year) is permitted.Format for Date should be "YYYY-MM-DD" ;
Mandatory IF no NISS.
SexPatient’s administrative sex.SexCodelist;
Single select choice ;
Mandatory IF no NISS.
TelephoneNumberMobilePatThe patient's mobile telephone number.Text;
Mandatory IF sample collection by laboratory.
TelephoneNumberLLPatThe patient's landline telephone number.Text;
Mandatory IF sample collection by laboratory.
HealthProfessionalIdentificationNumberPrescrThe health professional NIHDI identification number of the prescriber.Format: 8 consecutive numbers, as in COBRHA (NL/FR), and therefore without punctuation marks such as spaces, periods, underscores or hyphen and without the authorization code;
Mandatory.
HealthcareProviderIdentificationNumberHospThe organization’s NIHDI identification number.Format: 8 consecutive numbers, as in COBRHA (NL/FR), and therefore without punctuation marks such as spaces, periods, underscores or hyphen and without the authorization code; Mandatory IF Hospital.
HealthcareProviderLocationCampus number of the location where the patient is admitted ("VESTIGINGSNR" / "NUMERO DE SITE" granted by FOD/SPF public health).Text;
Mandatory IF patient is/was admitted on campus of hospital.
DepartmentSpecialtyThe specialty of the healthcare provider’s department where patient is admitted.DepartmentSpecialtyCodelist
Single select choice ;
Optional (only for Hospital).
HealthProfessionalIdentificationNumberDmgThe health professional NIHDI identification number of the DMG / GMD (dossier médical global / Globaal medisch dossier) owner.Format: 8 consecutive numbers, as in COBRHA (NL/FR), and therefore without punctuation marks such as spaces, periods, underscores or hyphen and without the authorization code;
Optional.
CoronaTestPrescriptionCodeCode sent by SMS by the call center to persons who should be tested for COVID-19 infection as a priority, such as high-risk contacts of an infected person or persons who return to Belgium from abroad and have stayed in a hospital for the past 14 days.Code has 16 alphanumerical positions (4 blocks of 4 positions: xxxx xxxx xxxx xxxx)
Mandatory IF no NISS OR no NISS-BIS number is available AND the lab has a CTPC code;
Mandatory IF sample collection by laboratory AND IF patient received a CoronaTestPrescriptionCode.
CollectionDateTimeThe date and the time at which the material was collected.Format for DateTime should be "YYYY-MM-DD hh:mm:ss"
Mandatory.
SpecimenIdIdentification number of the material obtained, as a reference for inquiries to the source organization. In a trans mural setting, this number will consist of a specimen number including the identification of the issuing organization, to be unique outside of the borders of an organization.Text;
Optional.
SpecimenMaterialSpecimenMaterial describes the material obtained.Use valueset "SpecimenMaterialCodelist";
Single select field;
Mandatory;
(update 22.02.2021: NEW FIELD).
TestIdUnique Identification number of the executed test. This code is unique per executed test. (Update 18.03.2021)Text;
Mandatory.
TestCodeThe code of the executed test.Use valueset "TestCodeCodelist";
Single select field;
Mandatory.
TestDateTimeThe date and the time at which the test was carried out.Format for DateTime should be "YYYY-MM-DD hh:mm:ss" ;
Mandatory.
TestIndicationWgsIndication for which the sample was selected to perform Whole Genome Sequencing (WGS).Use valueset "TestIndicationCodelistWgs";
Single value field;
Mandatory IF "TestCode" = "96741-4"
TestedMutationThe mutations of SARS-CoV-2 tested for.Use valueset "MutationCodelist"; multiple value field (values should be separated in csv or json message by a "pipe" : "|");
Optional.
DetectedMutationThe detected mutations of SARS-CoV-2.Use valueset "MutationCodelist"; multiple value field (values should be separated in csv or json message by a "pipe" : "|");
Optional.
TestResultThe test result.Use valueset "TestResultCodelistVoC".
ATTENTION: This valueset is different from the "regular" message LaboratoryTestResult!
Single select field.
Mandatory.
PangolinLineagePangolin nomenclature of identified SARS-CoV-2 lineage.e.g. B.1.1.7 or B.1.351;
Single value field;
Mandatory IF "TestCode" = "96741-4"
GisaidAccessionGISAID accession numbers of uploaded SARS-CoV-2 sequence ('EPI accession numbers').Format: 'EPI_ISL_123456';
Single value field;
Optional.
ClusterIdCluster-ID in case of outbreak as indication for Whole Genome Sequencing (WGS).Text;
Optional;
Can only be reported IF "TestIndicationWgs" = "WI0004".
HealthcareProviderIdentificationNumberLabThe NIHDI identification number of the laboratory that executed the test(s).Format: 8 consecutive numbers, as in COBRHA (NL/FR), and therefore without punctuation marks such as spaces, periods, underscores or hyphen and without the authorization code;
Mandatory;

B. Valuesets


C. Points of attention

  • In case the patient has a NISS or a NISS Bis number, the regular address information, date of birth and gender should not be provided. This information is available at the COVID-19 central database, through ConsultRN.
  • In case the patient has no NISS or a NISS Bis number, a NISS should be created using the ConsultRN integration in EMD or HIS:
  • In case the patient is a minor (child), one of the parents, guardian or legal representative, should be provided as first contact person to (“FirstNamesContp1”; “LastNameContp1”; “TelephoneNumberMobileContp1”).

D. Destinations

The completed COVID-19 LaboratoryTestResult form should be transferred directly to the:
• COVID19 Laboratory Test Result Database
• Prescribing general practitioner, or
• Physician responsible for the Globaal Medisch Dossier (GMD) / Dossier Médical Global (DMG), If patient has one.

The transfer methods available for the message LaboratoryTestResultVariants form are described in the "Technical guidelines".