SumEHR or Summarised Electronic Health Record is a KMEHR

Kmehr

KMEHR or Kind Messages for Electronic Healthcare Record is a proposed Belgian medical data standard, in order to enable the exchange of structured clinical information...

 message, used for the exchange of medical information. It summarizes the minimal set of data that a physician

Physician

A physician is a health care provider who practices the profession of medicine, which is concerned with promoting, maintaining or restoring human health through the study, diagnosis, and treatment of disease, injury and other physical and mental impairments...

 needs in order to understand the medical status of the patient in a few minutes and to ensure the continuity of care. The SumEHR standard was introduced by the Belgian

Belgium

Belgium , officially the Kingdom of Belgium, is a federal state in Western Europe. It is a founding member of the European Union and hosts the EU's headquarters, and those of several other major international organisations such as NATO.Belgium is also a member of, or affiliated to, many...

 government in 2005 and an EMD software package used by a physician (GP) should be capable of exporting a SumEHR message (KMEHR message level 4) for any given patient.

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 (French: Identificateur Belge Unique, Dutch: Belgische Unieke Identificator) and ICPC-2
    International Classification of Primary Care
    The International Classification of Primary Care is a classification method for primary care encounters. It allows for the classification of the patient’s reason for encounter , the problems/diagnosis managed, primary or general health care interventions, and the ordering of the data of the...
    
     and ICD-10
    ICD-10
    The International Statistical Classification of Diseases and Related Health Problems, 10th Revision is a medical classification list for the coding of diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases, as maintained by the...
    
     (empty IBUI allowed)
  • Begin date
  • End date
  • Text
• Actual problems list
  • IBUI and ICPC-2 and ICD-10 (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 Classification System
      The Anatomical Therapeutic Chemical Classification System is used for the classification of drugs. It is controlled by the WHO Collaborating Centre for Drug Statistics Methodology , and was first published in 1976....
      
       (Anatomical Therapeutic Chemical-code)
    • Date
  • To be administered
    • CNK and/or ATC
    • Date
• Contextual comment

See also

• Belgian Health Telematics Commission
  Belgian Health Telematics Commission
  The Belgian Health Telematics Commission is a Belgian government committee working on standards for exchanging and sharing of health information, between health care participants. The committee provides advice on eHealth to the Belgian government...
  
   (BHTC)
• FLOW
  FLOW (Belgium)
  FLOW is a Belgian national health care network, meant for health care providers and patients. It is an acronym which stands for Facilities , Legal implementation , Organisations and Wisdom...
  
  
• Electronic Health Record
  Electronic Health Record
  An electronic health record is an evolving concept defined as a systematic collection of electronic health information about individual patients or populations...
  
   (EHR)
• Electronic medical record
  Electronic medical record
  An electronic medical record is a computerized medical record created in an organization that delivers care, such as a hospital or physician's office...
  
  
• Health Level 7
  Health Level 7
  Health Level Seven , is an all-volunteer, non-profit organization involved in development of international healthcare informatics interoperability standards...
  
   (HL7)
• Clinical Document Architecture
  Clinical Document Architecture
  The HL7 Clinical Document Architecture is an XML-based markup standard intended to specify the encoding, structure and semantics of clinical documents for exchange.CDA is part of the HL7 version 3 standard...
  
  (CDA)

Source

• Sumehr
• Transaction: Summarised Electronic Healthcare Record