Care in Belgium¶

The Care app works the same way in every country. In Belgium, the country pack plugs the Belgian answers into it: the Katz scale as the dependency assessment, SAM as the medication reference, the INAMI number of the care staff, the AViQ screening thresholds and the tags for Belgian documents.

The care workflow itself — medical record, anamnesis, prescriptions, care plans, registers, meals — is described in the neutral pages: see Care.

The Katz scale in the resident’s record¶

The dependency assessment is the Katz scale. It appears wherever the Care app shows the resident’s dependency:

• Medical record — above the Medical Information tab, a Katz stat button opens the resident’s assessments. The Dependency section shows, read-only, the current Katz category (O, A, B, C, Cd), the end of validity of the Katz assessment and the active care plan.

• Care plans — the plan and the list of plans show the resident’s Katz category and its validity.

• Anamnesis — the clinical context it composes includes the resident’s Katz assessments and their current category, never re-entered.

• Residents list — the side panel filters residents by Katz category.

You never edit the category from these screens: it comes from the validated Katz assessment. See The Katz assessment.

The SAM medication catalogue¶

The facility’s medication catalogue is fed from SAM (Source Authentique des Médicaments), the official Belgian medication database. Rather than entering a medication by hand, you search for it in SAM and import it with its CNK code, active ingredient, ATC code and leaflets. It then serves as the source for prescriptions.

In Care → Configuration, the SAM Database menu gives read-only access to the reference database. See The SAM medication database.

Physicians and care staff: the INAMI number¶

The resident’s Attending Physician and Medical Contacts are reused in the eHealth exchanges with the health insurer (see eHealth). The Belgian pack adds an INAMI Number field to identify the care professionals:

• on the physician’s record, next to the specialty;

• on the employee record, for care roles (nurse, head nurse, physician, physiotherapist, occupational therapist, speech therapist).

The INAMI number has 11 digits. On the employee record, it is stored on the employee’s contact, so the same number follows the person everywhere.

Undernutrition screening: the AViQ thresholds¶

The undernutrition monitoring of the Meals app raises a Re-screen (MNA) signal on thresholds that are the default values of the AViQ screening (PWNS-be-A):

• weight loss of more than 5% over about 1 month;

• weight loss of more than 10% over about 6 months;

• BMI below 23 in a resident over 70;

• overdue MNA: no MNA, or a last MNA more than 6 months old.

This screening has no effect on billing: the INAMI allowance follows the Katz category, not the nutritional status. See Nutritional monitoring and undernutrition.

Belgian document tags¶

Among the predefined tags of the resident’s document folder, four file Belgian documents:

Like the other tags, they can be applied automatically as Default tags. See Resident documents and Public welfare centre (CPAS).

What’s next¶

• The Katz assessment

• The INAMI dependency allowance

• The SAM medication database

• eHealth

• The resident’s medical record