1. On-line consultation about diagnostic issues: critical points Zrinjka Mišak Referral Centre for Paediatric Gastroenteorology and Nutrition Children’s Hospital Zagreb Zagreb, Croatia Palermo Meeting 2014

2. Critical points Identifying problems Diagnostic methods - availability Quality of diagnostic tools Case definition

3. Identifying problems Availability of diagnostic tools at each center serology biopsy genetics Repeat the audit – to see changes / improvements

4. Identifying problems Quality of diagnostic tools Serology - check validation of the test intra-laboratory control local inter-laboratory controls inter-laboratory control within the network Biopsy Sharing the knowledge on how to interpret biopsies

5. Identifying problems Difficult / unclear cases Discussing diagnostic work-up Sharing photos on histology

6. Defining problems Regular group online meetings Reporting problems → suggesting solutions Presenting difficult cases or unclear diagnosis discussing online biopsy slides consulting pathologists

7. Reporting problems One sheet forms: Serology YN HLAYN BiopsyYN Problems _______ Comments _______ Suggestions ________ Difficult cases: Short history Test results: Dilemmas

8. Online meetings Online discussions Changing „hosts” of the online meetings „Host” prepares and presents data to the group Data shared within the group some time before the online meeting Online meeting „Host”sums up conclusions

9. Sharing experience within the group at national level creating the national network