- Sumehr
Sumehr or Summarized Electronic Health Record is a
Kmehr message, used for the exchange of medical information. It summerizes the minimal set of data that aphysician needs in order to understand the medical status of the patient in a few minutes and to ensure the continuity of care.Layout
* Date of creation
* Author
* Patient Identification
** Health Number (mandatory item – empty if no available number)
* Patient Presentation
** Family name
** Forenames
** Sex
** Birth date
** Usual language
* Contact person
* Risks
** Allergies
** Adverse drug reactions
** Social factors
** Other factors
* Relevant personal antecedents
** IBUI (Fr.:Identificateur Belge Unique, Dutch: Belgische Unieke Identificator) and ICPC-2 andICD10 (empty IBUI allowed)
** Begin date
** End date
** Text
* Actual problems list
** IBUI and ICPC-2 and ICD10 (empty IBUI allowed)
** Begin date
** Text
* Relevant medications
** CNK (Code National(e) Kode) or other Id (if no available CNK)
** Administration information
** Instructions for patient
** Begin date
** End date
** Text
* Vaccination status
** Administrated
*** CNK and/or ATC (Anatomical Therapeutic Chemical-code)
*** Date
** To be administrated
*** CNK and/or ATC
*** Date
* Contextual commentee also
*
Belgian Health Telematics Commission (BHTC)
* FLOW
*Electronic Health Record (EHR)
*Electronic medical record
*Health Level 7
*Clinical Document Architecture (CDA)ource
* [https://portal.health.fgov.be/pls/portal/docs/PAGE/INTERNET_PG/HOMEPAGE_MENU/GEZONDHEIDZORG1_MENU/AUTOMATISERING1_MENU/HOPITAUX9_MENU/SUMEHRPHOTOSANTE1_MENU/SUMEHRPHOTOSANTE1_DOCS/SUMEHR-CONTENTS.PDF Sumehr]
* [http://www.chu-charleroi.be/kmehr/htm/spec-msg22.htm Sumehr]
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