Re-open issue #23 --> HCO identifier for Flemish HC organizations

[HanneVuegen]

No description provided.

[bdc-ehealth]

#23

[bdc-ehealth]

@HanneVuegen

As of now, the official position of the eHealth DEV COBHRA team is as follows (I refer to a mail of 20/01/2025, also available at https://be-ehealth-standards.atlassian.net/browse/ESI-1011 )

After consultation with the COBRHA team, the following has emerged:

The awarding authorities are a regional/community authority.
The awarding authorities are known in COBRHA by means of a self-chosen identifier (string)

There is therefore sufficient information for the regions or communities to manage a URL themselves based on the identifier in COBRHA without the intervention of the eHealth platform.

The proposal is as follows:

The HCO number is formed in FHIR by

1. a naming system to be determined by the granting authority itself (a synonym in URL form for the code of the granting authority as known in COBRHA)

2. the HCO number granted by the recognizing authority itself

If these two elements are known, HCO numbers can be used in FHIR documents without the intervention of the eHealth Platform. We strongly advise against the use of URLs based on ehealth.fgov.be, because we play no role in the management of these URLs.

[HanneVuegen]

@bdc-ehealth, ok thank you for the public confirmation.

I copy what was proposed in #23

Since eHealth advices against the use of URL based on eHealth.fgov.be.
Since it is known that the HCO is always to be combined with CBE or authentic source.
Since the authentic source is not available in the identity tokens for HCO organizations (I.AM/UMOE), but CBE is
Since the overlap in HCO for active 'Vlaamse Overheid' organisations is limited
and to avoid unneccesary complexity for implementers/endusers I propose the following URL for Flemish HealthCare Organizations:

https://www.vlaanderen.be/standards/fhir/Namingsystem/hco/VO
https://www.vlaanderen.be/standards/fhir/Namingsystem/site/VO

FYI, all implementers should be able to add this organisation information whenever adding immunizations, allergys,... so we need this to be part of the eHealth IG NS/guidances. If no workgroups to discuss this issue are active, this request should be send by email to all involved.

For now we can work with project documentation but when can this be added to the different IG's? Or to NIHDI's the data glossary?