Kmehr

Kmehr or Kind messages for electronic healthcare record is a proposed Belgian medical data standard, compatible with Health Level 7, in order to enable the exchange of structured clinical information. It is funded by the Belgian federal Ministry of public health and assessed in collaboration with Belgian industry.

The initative lead to the specification of about 20 specific XML messages (the Kind Messages for Electronic Healthcare Records - Belgian Implementation Standard or KMEHR-bis).

tructure

The Kmehr standard consists of the following elements:
* An XML (eXtensible Markup Language) message format defined by the Kmehr XSchema
* A set of reference tables

Message structure

A Kmehr XML message is composed of two components a header and at least one folder. The header of the message describes the sender, the recipient(s) and a few technical statuses.

The folder itself gathers the information about a patient, where each folder identifies the subject of care (patient) and contains at least one medical transaction.

The medical transaction item gathers the information reported by one healthcare professional at a given instance. Its attributes are type, author, date and time.

Coding

The Kmehr-bis standard comprises a set of dictionaries which define the transaction types, heading types, item types, severity levels and administration routes.

Links

The Kmehr-bis standard supports links to either internal or external objects, e.g. an image or another Kmehr-message.

ervices

The Kmehr-Bis specification is extended with web services, based on SOAP which define request and response elements to offer standard web services.

ee also

* Summarized Electronic Health Record (Sumehr)
* Belgian Health Telematics Commission (BHTC)
* FLOW
* Electronic Health Record (EHR)
* Electronic medical record
* Health Level 7
* Clinical Document Architecture (CDA)
* Clinical Data Interchange Standards Consortium (CDISC)

ource

* [http://www.chu-charleroi.be/kmehr/htm/kmehr.htm Kmehr-Bis: Kind messages for electronic healthcare record, Belgian implementation standard]
* [https://portal.health.fgov.be/pls/portal/docs/PAGE/INTERNET_PG/HOMEPAGE_MENU/GEZONDHEIDZORG1_MENU/AUTOMATISERING1_MENU/SYMPOSIA1_MENU/AVIS25_MENU/AVIS25_DOCS/A04-UK.PDF Advice nr 4 of the Telematics Commission]