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.
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
- CountryISOCodelist
- CTTestResultCodelist
- CVTestResultCodelist
- DepartmentSpecialtyCodelist
- SexCodelist
- HealthcareProviderIdentificationNumberCodelist
- HealthcareProviderLocationCodelist
- HealthProfessionalIdentificationNumberCodelist
- MutationCodelist
- PostcodeCodelist
- RelationshipCodelist
- ResultFlagsCodelist
- 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".