LaboratoryTestResultVariants

Last updated: 2022-04-08 15:07

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.

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

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".