Kmehr

1

• Kmehr
• Kind Messages
• for
• Electronic Healthcare Records
• Specification
• André Vandenberghe
• December 5th, 2002

2
The Kmehr web site

• Normative part
• Kmehr XSchema (structure, datatypes, reference
  tables)
• Kmehr Validation XSLT
• Transaction Cookbook
• Graphical presentation of the Kmehr Xschema
• Tutorial, Demonstration XMLs, Demonstration
  XSLs
• FAQ, changelog, next steps
• Kmehr web services (on going)

3
Basic data types

• Reuse of W3C data types for
• Date CCYY-MM-DD
• Time HHMMSS
• Boolean true, false
• Decimal (-)NN(.NNNN)
• Language fr, nl, en,
• String

4
General structure
5
Unique identifiers and codes
6
id

• ltidgt has 3 attributes S, (SL) and SV
• ID-PATIENT SIS card number
• ID-HCPARTY RIZIV/INAMI number
• ID-KMEHR
• Header sender.id.local_uid
• Folder, Transaction, Heading, Item sequential
  number
• so, the full item identifier is
• sender.id.local_uid.folder.id.transaction.id
  .heading.id.item.id
• 18464642001.20021205101512002.1.1.1.4

7
cd

• ltcdgt has 5 attributes S, (SL), SV, (DN) and (L)
• Many reference tables
• Transaction, heading, items
• Laboratory tests, drugs,
• Severity, certainty, urgency, units,
• Most of the times, local codes can be appended.
  In that case the meaning must be provided as free
  text

8
hcparty

• Id ID-HCPARTY
• RIZIV/INAMI number
• 3 types
• Person physician, nurse,
• Specialty cardiology, surgery,
• Organisation hospital, public health,
  laboratory,
• Used by
• Author, sender, recipient, confidentiality,

9
confidentiality

• At many levels
• Header, Folder, Transaction, Heading, Item
• This is a list of hcparty that are explicitly
  allowed to consult the content of the parent
  element. By default no restriction is applied.
• This is the responsibility of certified compliant
  systems to apply the restrictions.

10
text

• At most levels
• header, folder, transaction, heading, item,
  content,
• site, address, beginmoment,
• Language is mandatory
• The medical content of a transaction can be full
  text
• Smooth evolution to coded information

11
lnk

• At key levels header, folder, transaction,
  heading, item, content
• 5 attributes
• Type
• isareplyto, isaconsequenceof,
• isanewversionof
• multimedia
• Mediatype word, pdf, jpeg, dicom,
• Url
• To external document
• To internal element (through XPATH)
• Self ! embedded object
• Size
• Compression

12
header

• ltconfidentialitygt
• ltstandardgt
• ltidgts
• ltdategt, lttimegt
• ltsendergt
• ltrecipientgts
  ALWAYS EXISTING !
• lturgencygt
• ltacknowledgmentgt
• lttextgt
• ltlnkgt

13
General structure
Graphical presentation of the Kmehr
Xschema Site Enabling smooth evolution to
structuration Ensuring backward compatibility
14
TRANSACTION COOKBOOK

• Recommendations for implementation
• Proposed by domain experts
• Specific constraints that will be put in the
  validation XSL-T