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.

VARIABLESDESCRIPTIONInstructions
MessageType Type of COVID-19 message.Default value "7"
Mandatory;
PatientIdentificationNumberPatient NISS identification number.Format NISS: 11 numbers;
Web service ConsultRN (NL / FR)
Validation: modulo97
Mandatory.
FirstNamesPatThe person’s official first names.Text;
Mandatory IF no NISS.
LastNamePatThe person’s official last name.Text;
Mandatory IF no NISS.
StreetStreet name of the address.Text;
Mandatory IF no NISS.
HouseNumberHouse number of the address.Text;
Mandatory IF no NISS.
HouseNumberLetter A letter following the house number.Text;
Mandatory IF no NISS.
PostcodePostcode 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.
DateOfBirthPatient’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.
SexPatient’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.
TelephoneNumberLLPatThe patient's landline telephone number.Text;
Mandatory IF sample collection by laboratory.
HealthProfessionalIdentificationNumberPrescrThe 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).
HealthProfessionalIdentificationNumberDmgThe 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.
CoronaTestPrescriptionCodeCode 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.
CollectionDateTimeThe date and the time at which the material was collected.Format for DateTime should be "YYYY-MM-DD hh:mm:ss"
Mandatory.
SpecimenIdIdentification 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.
SpecimenMaterialSpecimenMaterial describes the material obtained.Use valueset "SpecimenMaterialCodelist";
Single select field;
Mandatory;
(update 22.02.2021: NEW FIELD).
TestIdUnique Identification number of the executed test. This code is unique per executed test. (Update 18.03.2021)Text;
Mandatory.
TestCodeThe code of the executed test.Use valueset "TestCodeCodelist";
Single select field;
Mandatory.
TestDateTimeThe date and the time at which the test was carried out.Format for DateTime should be "YYYY-MM-DD hh:mm:ss" ;
Mandatory.
TestIndicationWgsIndication for which the sample was selected to perform Whole Genome Sequencing (WGS).Use valueset "TestIndicationCodelistWgs";
Single value field;
Mandatory IF "TestCode" = "96741-4"
TestedMutationThe 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.
DetectedMutationThe 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.
TestResultThe test result.Use valueset "TestResultCodelistVoC".
ATTENTION: This valueset is different from the "regular" message LaboratoryTestResult!
Single select field.
Mandatory.
PangolinLineagePangolin 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"
GisaidAccessionGISAID accession numbers of uploaded SARS-CoV-2 sequence ('EPI accession numbers').Format: 'EPI_ISL_123456';
Single value field;
Optional.
ClusterIdCluster-ID in case of outbreak as indication for Whole Genome Sequencing (WGS).Text;
Optional;
Can only be reported IF "TestIndicationWgs" = "WI0004".
HealthcareProviderIdentificationNumberLabThe 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:
    • 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".