COVID-19 LaboratoryTestResultVariants
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.
The following table is available to download in CSV and JSON here.
VARIABLES | DESCRIPTION | Instructions |
---|---|---|
MessageType | Type of COVID-19 message. | Default value "7" Mandatory; |
PatientIdentificationNumber | Patient NISS identification number. | Format NISS: 11 numbers; Web service ConsultRN (NL / FR) Validation: modulo97 Mandatory. |
FirstNamesPat | The person’s official first names. | Text; Mandatory IF no NISS. |
LastNamePat | The person’s official last name. | Text; Mandatory IF no NISS. |
Street | Street name of the address. | Text; Mandatory IF no NISS. |
HouseNumber | House number of the address. | Text; Mandatory IF no NISS. |
HouseNumberLetter | A letter following the house number. | Text; Mandatory IF no NISS. |
Postcode | Postcode of the address. | Text; Mandatory IF no NISS. |
Municipality | Municipality of residence. | Text; Mandatory IF no NISS. |
Country | Country in which the address is located. | Text; Mandatory IF no NISS. |
DateOfBirth | Patient’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. |
Sex | Patient’s administrative sex. | SexCodelist; Single select choice ; Mandatory IF no NISS. |
TelephoneNumberMobilePat | The patient's mobile telephone number. | Text; Mandatory IF sample collection by laboratory. |
TelephoneNumberLLPat | The patient's landline telephone number. | Text; Mandatory IF sample collection by laboratory. |
HealthProfessionalIdentificationNumberPrescr | The 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. |
HealthcareProviderIdentificationNumberHosp | The 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. |
HealthcareProviderLocation | Campus 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. |
DepartmentSpecialty | The specialty of the healthcare provider’s department where patient is admitted. | DepartmentSpecialtyCodelist Single select choice ; Optional (only for Hospital). |
HealthProfessionalIdentificationNumberDmg | The 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. |
CoronaTestPrescriptionCode | Code 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. |
CollectionDateTime | The date and the time at which the material was collected. | Format for DateTime should be "YYYY-MM-DD hh:mm:ss" Mandatory. |
SpecimenId | Identification 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. |
SpecimenMaterial | SpecimenMaterial describes the material obtained. | Use valueset "SpecimenMaterialCodelist"; Single select field; Mandatory; (update 22.02.2021: NEW FIELD). |
TestId | Unique Identification number of the executed test. This code is unique per executed test. (Update 18.03.2021) | Text; Mandatory. |
TestCode | The code of the executed test. | Use valueset "TestCodeCodelist"; Single select field; Mandatory. |
TestDateTime | The date and the time at which the test was carried out. | Format for DateTime should be "YYYY-MM-DD hh:mm:ss" ; Mandatory. |
TestIndicationWgs | Indication for which the sample was selected to perform Whole Genome Sequencing (WGS). | Use valueset "TestIndicationCodelistWgs"; Single value field; Mandatory IF "TestCode" = "96741-4" |
TestedMutation | The 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. |
DetectedMutation | The 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. |
TestResult | The test result. | Use valueset "TestResultCodelistVoC". ATTENTION: This valueset is different from the "regular" message LaboratoryTestResult! Single select field. Mandatory. |
PangolinLineage | Pangolin 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" |
GisaidAccession | GISAID accession numbers of uploaded SARS-CoV-2 sequence ('EPI accession numbers'). | Format: 'EPI_ISL_123456'; Single value field; Optional. |
ClusterId | Cluster-ID in case of outbreak as indication for Whole Genome Sequencing (WGS). | Text; Optional; Can only be reported IF "TestIndicationWgs" = "WI0004". |
HealthcareProviderIdentificationNumberLab | The 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
- CollectivityCodelist
- CollectionLocationCodelist
- ContactTypeCodelist
- CTTestResultCodelist
- CVTestResultCodelist
- DepartmentSpecialtyCodelist
- SexCodelist
- MutationCodelist
- PostcodeCodelist
- RelationshipCodelist
- ResultFlagsCodelistLTR
- SARSCoV2AntigenCodeList
- SpecimenMaterialCodelist
- TestCodeCodelist
- TestIndicationCodelistWgs
- TestPrescribedReasonCodelist
- TestResultCodelistVoC
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:
- https://www.ehealth.fgov.be/ehealthplatform/nl/service-webservices-consultrr
- https://www.ehealth.fgov.be/ehealthplatform/fr/service-webservices-consultrn
- This is also the case for foreign tourists.
- In that case, the address information of his / her stay in BELGIUM should be recorded in the LaboratoryTestPrescription form.
- As for the field “Country”, the country of permanent residence should be recorded in the LaboratoryTestPrescription form.
- 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".