Kmehr-Bis Kind messages for electronic healthcare record Belgian implementation standard

This site has been developped in 2002, for demonstration purpose. It has been upgraded in September 2006, to reflect the progresses of Kmehr in different areas (essentially sumehr and the web services). Among its various weaknesses, it does not support an appropriate version management. A proposal for a version 2 has been presented in Sept, 2006. It is currently analysed by the Ministry of Health. Nor the CHU de Charleroi, nor the author can give any warranty or other assurance as to the content of the material appearing on the site, its accuracy, completeness, timelessness or fitness for any particular purpose.

• a simple XML format defined by the Kmehr XSchema,
• a set of reference tables (those codes are also included in the Kmehr XSchema), and
• a cookbook to build 20 priority medical transactions.

Methodology
We have followed a very pragmatic bottom-up approach:

• we have produced a minimal generic structure implementing the recommendation 4
• we have derived the 20 recommended transactions from that generic structure, in close collaboration with domain specialists
• during this process, we have progressively added
  • required elements and attributes to the structure
  • required reference tables
  • required values within those reference tables
• when possible, we have reused HL7 or other national/international codes
• we have always given priority to
  • readability and usability rather than exhaustivity
  • immediate results rather than considering all potential complex or specialised matters
• to avoid theoretical deviations, this specification has been built in parallel with concrete implementations.
• we have paid major attention to ensure backward compatibility of future versions.

Documentation
The normative part of Kmehr-Bis is only composed of the Kmehr XSchema complemented by the Kmehr validation XSL-T.
All other documents on this site are just informative. We strongly advise you to follow the menu options step by step.

GP software acreditation
This site proposes a full Kmehr-Bis specification that should be implemented in Belgium in the coming years.
In the context of the accreditation of GP software, a simplified version of Kmehr (including a simplified version of the XSchema) has been proposed.