THIS SPACE IS UNDER CONSTRUCTION

Used Documentation

CookbookVersionLocation
Therapeutic Exclusion
Cookbook
1.2https://www.ehealth.fgov.be/ehealthplatform/nl/search?q=therapeutic+exclusion

General Information

Therapeutic Exclusion

The existence of an active ‘therapeutic exclusion’ is a fundamental prerequisite for the citizen to prevent
healthcare providers from accessing his medical data. Therefore, the eHealth platform makes available to the
citizen a new web service (WS) called Therapeutic Exclusion.


Technically, we identify the following attributes for a therapeutic exclusion:

  • If the excluded healthcare party is a practitioner
    o The identification number of the Belgian National Register (INSS) of the patient
    o The INSS of the practitioner

          Therefore, if the practitioner has multiple healthcare professions i.e. multiple NIHII, multiple professional

          categories and being excluded for one profession, the practitioner is considered as excluded for other professions
          as well.

  • If the excluded healthcare party is an organization
    o The INSS of the patient;
    o The NIHII (Number assigned by the National Institute for Health and Invalidity Insurance) of the
    organization.

A citizen can exclude one or more healthcare parties and one or more citizens can exclude one healthcare party.

According to the current business rules, for the purpose of the therapeutic exclusion:

  • ‘Citizen’ means any patient; parent and mandatary of the concerned patient managing therapeutic
    exclusion through the Therapeutic Exclusion WS integrated in their usual software. 
  • Only following HC Parties can be excluded by citizen:
    o As practitioner: Physician, Nurse, Dentist, Midwife, Audician, Physiotherapist, Occupational
    therapist, Practical nurse, Dietician, Audiologist, Podologist, Truss maker, Logopedist, Orthoptist,
    Lab technologist, Imaging technologist.
    o As organization: Pharmacy


The management of the therapeutic exclusions consists of the following operations

PutTherapeuticExlusionAllows the end-user to declare a therapeutic exclusion
RevokeTherapeuticExlusionAllows the end-user to revoke of an active therapeutic exclusion
GetTherapeuticExlusionAllows the end-user to consult the active therapeutic exclusion(s)

Basic Flow

FlowSpecifications

IDUC-327-BF
NameGet Therapeutic Exclusion - Patient - Input Patient
DescriptionGet Therapeutic Exclusion allows end-users to check the existence of the therapeutic exclusion. Input criteria only patient.
Actor(s)Concerned patient
Requirements 
  • End-user is a patient
  • Input criteria: only patient
  • Identification end-user: 

     °Patient software information

     °Identification patient: SSIN

  • Identification concerned patient: SSIN, support card number (optional), first and family name (optional)
TriggerThe user wants to Get a Therapeutic Exclusion 
Precondition(s)
  • The user has an account for the application
  • The user is logged out
Flow
  1. The user attempts to access the eHealth Consent WS
  2. The user needs to request a SAML Token by using his eID 
  3. A request for a SAML Token is sent to the Secure Token Service (STS)
  4. The STS responds with a SAML Token
  5. The user has access to the eHealth WS Therapeutic Exclusions
  6. The user does a request for Get Therapeutic Exclusion
  7. The Get Therapeutic Exclusion Request is sent to the WS Therapeutic Exclusions
  8. The list returns all existing active exclusions of the concerned patient and all excluded HC parties, if any
  9. The request is logged 
  10. The WS Therapeutic Exclusions responds with a Get Therapeutic Exclusion Response
Post Condition(s)
  • The request is logged 
  • The list returns all existing active exclusions of the concerned patient and all excluded HC parties, if any
Test Data
End point(s)Therapeutic Exclusions Database
Additional InformationThe support card numbers of the INSS either e-ID, ISI+ are optional: provided or not, it will be ignored i.e. not submitted to card status validation. 
Remarks
  • If no corresponding exclusions, the service returns an empty list
  • HCP who can be excluded: KB78 except pharmacists
  • No labels