to transfer medical information about one or several patients (using one folder per patient). to restrict the list of healthcare parties allowed to access to the content of the parent element to identify a healthcare professional, organisation or medical specialty. to specify the routing of the message this must be a unique number within the Belgian Telematics Healthcare system . It should result of the concatenation of the first sender hcparty id of the current message, a dot and a unique identifier within the sending system. In addition, it can also specify alternative local numbers. creation date of the message creation time of the message to link the header with another element of the Belgian Healthcare Telematics System to specify the version of the kmehr specification to which this message complies the sender can be specified by a free combination of hcparty elements (organisation(s), medical specialty(ies), person(s)). The recipient can be specified by a free combination of hcparty elements (organisation(s), medical specialty(ies), person(s)). If no individual person can be identified as recipient, you should specify a medical specialty or, at least the identification of the organisation that receives the message for further distribution (a S3 server for example). to specify the type of acknowledgment that is desired by the sender contains the clinical information related to one patient this must be a sequential number within the parent element. In addition, it can specify alternative local identifier(s). to link the folder with another element of the Belgian Healthcare Telematics System a transaction is a set of medical information validated by one healthcare professional at one given moment. this must be a sequential number within the folder. In addition, it can specify alternative local identifier(s). the transaction must contain at least one code from the CD-TRANSACTION scheme. Local codes can be associated. usually this is the date of reporting. Please refer to detailed specification for particular cases. usually this is the time of reporting. Please refer to detailed specification for particular cases. the author endorses the medical responsibility of the content of the transaction. It must identify at least one physical person. In addition, it can also identify its medical specialty and/or organisation. to specify if the transaction is partial or complete. to specify if the content of the transaction has been medically validated. to link the transaction with another element of the Belgian Healthcare Telematics System the author assumes the medical responsibility of the content of the transaction. It can be specified by a combination of hcparty elements (organisation, medical specialty, person), but it must necessarily contain one hcparty identifying one person. The author is not the transcriptionist that has typed the report. The author is not necessarily the performer of the act that is reported by the transaction. In that case, the author of the transaction can be overwritten at the level of the item a heading is used to organise the content of a transaction among chapters or paragraphs. this must be a sequential number within the parent transaction or parent heading. In addition, it can be alternative local identifier(s). the heading must contain at least one code from the CDHEADING scheme. Local codes can be associated. to link the heading with another element of the Belgian Healthcare Telematics System the item is used to describe atomic medical information. this must be a sequential number within the transaction. In addition, it can specify alternative local identifier(s). the item must contain at least one code from the CD-ITEM scheme. Local codes can be associated. this is used to specify the content of the item. to comment the content this can be used to specify the medical responsible of the content of the item when it differs from the transaction 's author. to specify the value of the item to specify the maximal range of the content to specify the minimal range of the content to specify the unit to specify if the minref and maxref references are adjusted to the patient's age, sex, ..., to specify reference values for a given context to specify the reason of an incapacity to specify a CNK to specify an international non-proprietary name to describe a magistral prescription as free text, possibly complemented by a list of CNK serial number of the product package to justify voluntary 'overdosing' to indicate the type of reimbursement based on medical justification for treatment to specify if the substitution by the pharmacist is allowed galenic form administration route ideally this should refer to a INAMI/RIZIV number. It can refer to alternative local identifiers. must at least refer to a value of CD-HCPARTY. to specify the type of address (home, work,...) the first cd specifies the type of address (home, work,...) and the second cd specifies the type of telecom device (phone, gsm, fax, ...) Nr goedkeuring betalingsverbintenis van de VI to specify possible errors