1. Basic Dataset Protocol (General Practitioner)

1.1. Overview

1.1.1. Contact

Healthconnect <support@healthconnect.be>

1.1.2. Revisions

  • 01/01/2014 (1.0) : initial version

  • 01/04/2016 (1.1) : added 2 parameters GLY and TEMP (ZNA e-consult)

  • 14/09/2016 (1.2) : added employer contactperson, employer prevention service contact details, insurability (Reintegration project)

  • 23/02/2017 (1.3) : added EID-NO patient, KMEHR set to 1.18, BDS version added , cleanup application, contact added (UZ-Brussel)

  • 09/05/2017 (1.4) : added laboratory results, careplansubscription (Healthdata)

1.1.3. Description

The basic dataset protocol (BDS) is used to transfer data from the integrating system (EMD) to eForms.

Currently the following information can be specified in the dataset:

  • Administrative information : sender, recipient, patient, sending application

  • Active and passive diagnoses (cd-item→healthcareelement)

  • Active and passive treatments (cd-item→treatment)

  • Active and passive medication (cd-item→medication)

  • Social risks (cd-item→socialrisk)

  • Family risks (cd-item→familyrisk)

  • Vaccination (cd-item→vaccine)

  • Adverse drug reaction (cd-item→adr)

  • Allergy (cd-item→allergy)

  • Parameters (cd-item→parameter): see parameter table for allowed values

  • GMD manager (cd-item→gmdmanager)

  • Employer contact details (cd-item→contactperson(employer)

  • Employer Prevention service contact details (cd-item→contactperson(employerpreventionservice)

  • Insurability (cd-item→insurancystatus)

  • Laboratory results (cd-item→lab): see laboratory result table for allowed values

  • Carepaths (cd-item→careplansubscription)

  • Last patient contact (cd-transaction-eforms). In case there are multiple contacts, the first contact will be used.
    All possibilities of the contact transaction are supported, except for binary attachments.

Important:

  • Each item should have a unique ID

  • The patient identifier format should be INSS

  • The employer identifier format should be CBE

  • If not provided, eForms cloud can automatically fetch employer contact, employer prevention service, GMD holder and insurability through connection with authentic sources.

Parameters
Code Meaning

weight

weight

bmi

BMI

sbp

systolic blood pressure

dbp

diastolic blood pressure

pulsecharacter

character of pulse

heartrate

heart rate

pulsecharacter

character of pulse

peakflow

peak flow

gpa

GPA

headcircumference

head circumference

hipcircumference

hip circumference

apgar

APGAR

katz

katz

belrai

belrai

tmp

temparature

gly

blood sugar

Laboratory results

Result

HbA1C

Blood lipids

Renal function parameters

Microalbumin

Blood hemoglobin

Creatinine

eGFR

ratio microalbumin/creatinin

1.1.4. Owner

HealthConnect

1.2. KMEHR

kmehr.xml
<?xml version="1.0" encoding="UTF-8"?>
<kmehrmessage xmlns="http://www.ehealth.fgov.be/standards/kmehr/schema/v1">
    <header>
        <standard>
            <cd S="CD-STANDARD" SV="1.18">20160601</cd>
        </standard>
        <id S="ID-KMEHR" SV="1.0">a99de341-417b-47da-9ff0-bcfd592caf37</id>

        <date>2016-08-30</date>
        <time>13:46:04</time>

        <!-- The sender -->
        <sender>
            <hcparty>
                <id S="ID-HCPARTY" SV="1.0">41161652401</id>
                <id S="INSS" SV="1.0">79070436460</id>
                <cd S="CD-HCPARTY" SV="1.6">persphysician</cd>
                <firstname>Mickey</firstname>
                <familyname>Met Alle Rechten</familyname>
                <address>
                    <cd S="CD-ADDRESS" SV="1.0">work</cd>
                    <country>
                        <cd S="CD-FED-COUNTRY" SV="1.0">be</cd>
                    </country>
                    <zip>2000</zip>
                    <city>Antwerpen</city>
                    <street>Groenplaats</street>
                    <housenumber>3</housenumber>
                </address>
                <telecom>
                    <cd S="CD-ADDRESS" SV="1.0">work</cd>
                    <cd S="CD-TELECOM" SV="1.0">phone</cd>
                    <telecomnumber>+13790882</telecomnumber>
                </telecom>
                <telecom>
                    <cd S="CD-ADDRESS" SV="1.0">work</cd>
                    <cd S="CD-TELECOM" SV="1.0">email</cd>
                    <telecomnumber>john.doe@gmail.com</telecomnumber>
                </telecom>
            </hcparty>

            <!-- The application generating the data  -->
            <hcparty>
                <cd S="CD-HCPARTY" SV="1.0">application</cd>
                <name>CareConnect 2.8</name>
            </hcparty>
        </sender>

        <!-- Recipient -->
        <recipient>
            <hcparty>
                <id S="ID-HCPARTY" SV="1.0">14032237</id>
                <cd S="CD-HCPARTY" SV="1.0">persphysician</cd>
                <firstname>John</firstname>
                <familyname>Doe</familyname>
            </hcparty>
        </recipient>
    </header>

    <folder>
        <id S="ID-KMEHR" SV="1.0">1</id>

        <!-- The patient -->
        <patient>
            <!-- INSS number -->
            <id S="ID-PATIENT" SV="1.2">79070430027</id>
            <!-- EID cardno-->
            <id S="EID-CARDNO" SV="1.0">563-1544395-45</id>
            <id S="LOCAL" SV="1.0">79</id>
            <firstname>Kobe</firstname>
            <familyname>Bryan</familyname>
            <birthdate>
                <date>1998-11-29</date>
            </birthdate>
            <sex>
                <cd S="CD-SEX" SV="1.0">male</cd>
            </sex>
            <address>
                <cd S="CD-ADDRESS" SV="1.0">home</cd>
                <country>
                    <cd S="CD-FED-COUNTRY" SV="1.0">be</cd>
                </country>
                <zip>6700</zip>
                <city>Arlon</city>
                <street>Rue de vitess</street>
                <housenumber>1</housenumber>
                <postboxnumber>A</postboxnumber>
            </address>
            <telecom>
                <cd S="CD-ADDRESS" SV="1.0">home</cd>
                <cd S="CD-TELECOM" SV="1.0">phone</cd>
                <telecomnumber>+13790762</telecomnumber>
            </telecom>

            <telecom>
                <cd S="CD-ADDRESS" SV="1.0">home</cd>
                <cd S="CD-TELECOM" SV="1.0">email</cd>
                <telecomnumber>kobe.bryan@gmail.com</telecomnumber>
            </telecom>
            <usuallanguage>FR</usuallanguage>
        </patient>

        <!-- Patient basic dataset  -->
        <transaction>
            <id S="ID-KMEHR" SV="1.0">1</id>

            <!-- BDS transacion -->
            <cd S="LOCAL" SV="1.4" SL="CD-TRANSACTION-EFORMS">gpdataset</cd>

            <date>2016-08-30</date>
            <time>13:46:04</time>
            <author>
                <hcparty>
                    <id S="ID-HCPARTY" SV="1.0">41161652401</id>
                    <id S="INSS" SV="1.0">79070436460</id>
                    <cd S="CD-HCPARTY" SV="1.6">persphysician</cd>
                    <firstname>Mickey</firstname>
                    <familyname>Met Alle Rechten</familyname>
                    <address>
                        <cd S="CD-ADDRESS" SV="1.0">work</cd>
                        <country>
                            <cd S="CD-FED-COUNTRY" SV="1.0">be</cd>
                        </country>
                        <zip>2000</zip>
                        <city>Antwerpen</city>
                        <street>Groenplaats</street>
                        <housenumber>1</housenumber>
                        <postboxnumber>A</postboxnumber>
                    </address>
                    <telecom>
                        <cd S="CD-ADDRESS" SV="1.0">work</cd>
                        <cd S="CD-TELECOM" SV="1.0">phone</cd>
                        <telecomnumber>+13790882</telecomnumber>
                    </telecom>
                    <telecom>
                        <cd S="CD-ADDRESS" SV="1.0">work</cd>
                        <cd S="CD-TELECOM" SV="1.0">email</cd>
                        <telecomnumber>mickey@gmail.com</telecomnumber>
                    </telecom>
                </hcparty>
            </author>
            <iscomplete>true</iscomplete>
            <isvalidated>true</isvalidated>

            <!-- Patient GMD Manager -->
            <item>
                <id S="ID-KMEHR" SV="1.0">1</id>
                <cd S="CD-ITEM" SV="1.6">gmdmanager</cd>
                <content>
                    <hcparty>
                        <id S="ID-HCPARTY" SV="1.0">41161652401</id>
                        <id S="INSS" SV="1.0">79070436460</id>
                        <cd S="CD-HCPARTY" SV="1.6">persphysician</cd>
                        <firstname>Mickey</firstname>
                        <familyname>Met Alle Rechten</familyname>
                        <address>
                            <cd S="CD-ADDRESS" SV="1.0">work</cd>
                            <country>
                                <cd S="CD-FED-COUNTRY" SV="1.0">be</cd>
                            </country>
                            <zip>2000</zip>
                            <city>Antwerpen</city>
                            <street>Groenplaats 3</street>
                            <housenumber />
                            <postboxnumber />
                        </address>
                        <telecom>
                            <cd S="CD-ADDRESS" SV="1.0">work</cd>
                            <cd S="CD-TELECOM" SV="1.0">phone</cd>
                            <telecomnumber>+13790882</telecomnumber>
                        </telecom>
                        <telecom>
                            <cd S="CD-ADDRESS" SV="1.0">work</cd>
                            <cd S="CD-TELECOM" SV="1.0">email</cd>
                            <telecomnumber>patient@gmail.com</telecomnumber>
                        </telecom>
                    </hcparty>
                </content>
                <beginmoment>
                    <date>2016-08-30</date>
                </beginmoment>
                <lifecycle>
                    <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
                </lifecycle>
                <isrelevant>true</isrelevant>
            </item>

            <!-- Employer contact -->
            <item>
                <id S="ID-KMEHR" SV="1.0">2</id>
                <cd S="CD-ITEM" SV="1.0">contactperson</cd>
                <content>
                    <hcparty>
                        <!-- KBO -->
                        <id S="ID-HCPARTY" SV="1.0">301020200</id>
                        <cd S="LOCAL" SV="1.0">employer</cd>
                        <name>employer name</name>
                        <address>
                            <cd S="CD-ADDRESS" SV="1.0">other</cd>
                            <country>
                                <cd S="CD-FED-COUNTRY" SV="1.0">be</cd>
                            </country>
                            <zip>3100</zip>
                            <city>Brussel</city>
                            <street>Tervurenlaan</street>
                            <housenumber>333</housenumber>
                        </address>
                        <telecom>
                            <cd S="CD-ADDRESS" SV="1.0">other</cd>
                            <cd S="CD-TELECOM" SV="1.0">mobile</cd>
                            <telecomnumber>0488219319</telecomnumber>
                        </telecom>
                        <telecom>
                            <cd S="CD-ADDRESS" SV="1.0">other</cd>
                            <cd S="CD-TELECOM" SV="1.0">fax</cd>
                            <telecomnumber>+13790881</telecomnumber>
                        </telecom>
                        <telecom>
                            <cd S="CD-ADDRESS" SV="1.0">other</cd>
                            <cd S="CD-TELECOM" SV="1.0">email</cd>
                            <telecomnumber>employer@gmail.com</telecomnumber>
                        </telecom>
                    </hcparty>

                </content>
            </item>

            <!-- Prevention service -->
            <item>
                <id S="ID-KMEHR" SV="1.0">3</id>
                <cd S="CD-ITEM" SV="1.0">contactperson</cd>
                <content>
                    <hcparty>
                        <!-- KBO -->
                        <id SV="1.0" S="ID-HCPARTY">2111212122</id>
                        <cd S="LOCAL" SV="1.0">preventionservice</cd>
                        <name>prevention service name</name>
                        <address>
                            <cd S="CD-ADDRESS" SV="1.0">work</cd>
                            <country>
                                <cd S="CD-FED-COUNTRY" SV="1.0">be</cd>
                            </country>
                            <zip>3100</zip>
                            <city>Brussel</city>
                            <street>Tervurenlaan</street>
                            <housenumber>333</housenumber>
                        </address>
                        <telecom>
                            <cd S="CD-ADDRESS" SV="1.0">other</cd>
                            <cd S="CD-TELECOM" SV="1.0">mobile</cd>
                            <telecomnumber>0488219319</telecomnumber>
                        </telecom>
                        <telecom>
                            <cd S="CD-ADDRESS" SV="1.0">other</cd>
                            <cd S="CD-TELECOM" SV="1.0">fax</cd>
                            <telecomnumber>+13790881</telecomnumber>
                        </telecom>
                        <telecom>
                            <cd S="CD-ADDRESS" SV="1.0">other</cd>
                            <cd S="CD-TELECOM" SV="1.0">email</cd>
                            <telecomnumber>prevention@gmail.com</telecomnumber>
                        </telecom>
                    </hcparty>

                </content>
            </item>

            <!-- Patient Insurability -->
            <item>
                <id S="ID-KMEHR" SV="1.0">4</id>
                <cd S="CD-ITEM" SV="1.2">insurancystatus</cd>
                <content>
                    <insurance>
                        <id S="ID-INSURANCE" SV="1.0">302</id>
                        <membership>123456</membership>
                        <siscard>1758499809889908F9D980098</siscard>
                        <cg1>110</cg1>
                        <cg2>110</cg2>
                    </insurance>
                </content>
            </item>

            <!-- Healthcare elements -->
            <item>
                <id S="ID-KMEHR" SV="1.0">5</id>
                <cd S="CD-ITEM" SV="1.6">healthcareelement</cd>
                <content>
                    <text L="NL">type II diabetes</text>
                </content>
                <content>
                    <cd S="CD-CLINICAL" SV="1.0">10116023</cd>
                    <cd S="ICD" SV="10">E14</cd>
                    <cd S="ICPC" SV="2">T90</cd>
                </content>
                <beginmoment>
                    <date>2016-08-30</date>
                </beginmoment>
                <lifecycle>
                    <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
                </lifecycle>
                <isrelevant>true</isrelevant>
            </item>

            <!-- allergy -->
            <item>
                <id S="ID-KMEHR" SV="1.0">6</id>
                <cd S="CD-ITEM" SV="1.6">allergy</cd>
                <content>
                    <text L="NL">codeïne fosfaat</text>
                </content>
                <beginmoment>
                    <date>2016-08-30</date>
                </beginmoment>
                <lifecycle>
                    <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
                </lifecycle>
                <isrelevant>true</isrelevant>
            </item>

            <!-- Adverse drug reaction  -->
            <item>
                <id S="ID-KMEHR" SV="1.0">7</id>
                <cd S="CD-ITEM" SV="1.6">adr</cd>
                <content>
                    <text L="NL">Zwak werkzame preparaten</text>
                </content>
                <content>
                    <cd S="CD-ATC" SV="2">D07AA02</cd>
                </content>
                <beginmoment>
                    <date>2016-08-30</date>
                </beginmoment>
                <lifecycle>
                    <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
                </lifecycle>
                <isrelevant>true</isrelevant>
            </item>

            <!-- Medication product-->
            <item>
                <id S="ID-KMEHR" SV="1.0">8</id>
                <cd S="CD-ITEM" SV="1.6">medication</cd>
                <content>
                    <text L="nl">SIMVASTATINE EG</text>
                </content>
                <content>
                    <medicinalproduct>
                        <intendedcd S="CD-DRUG-CNK" SV="1.0">2371789</intendedcd>
                        <intendedname>SIMVASTATINE EG</intendedname>
                    </medicinalproduct>
                </content>
                <content>
                    <cd S="CD-ATC" SV="2011.0">C10AA01</cd>
                </content>
                <beginmoment>
                    <date>2015-02-25</date>
                </beginmoment>
                <posology>
                    <text L="nl">1 tablet 1 x per dag; 7 dag/7 dag</text>
                </posology>
            </item>

            <!-- Medication substance -->
            <item>
                <id S="ID-KMEHR" SV="1.0">9</id>
                <cd S="CD-ITEM" SV="1.6">medication</cd>
                <content>
                    <text L="NL">benzylpenicilline injectie/infusie 2 000 000 IE</text>
                </content>
                <content>
                    <substanceproduct>
                        <intendedcd S="CD-INNCLUSTER" SV="20100701">3327</intendedcd>
                        <intendedname>benzylpenicilline injectie/infusie 2 000 000 IE</intendedname>
                    </substanceproduct>
                </content>
                <beginmoment>
                    <date>2016-08-30</date>
                </beginmoment>
                <endmoment>
                    <date>2016-10-29</date>
                </endmoment>
                <lifecycle>
                    <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
                </lifecycle>
                <isrelevant>true</isrelevant>
                <temporality>
                    <cd S="CD-TEMPORALITY" SV="1.0">acute</cd>
                </temporality>
                <posology>
                    <text L="NL">1xdag</text>
                </posology>
            </item>

            <!-- vaccination -->
            <item>
                <id S="ID-KMEHR" SV="1.0">10</id>
                <cd S="CD-ITEM" SV="1.6">vaccine</cd>
                <content>
                    <cd S="CD-VACCINEINDICATION" SV="1.0">papillomavirus</cd>
                </content>
                <content>
                    <medicinalproduct>
                        <intendedcd S="CD-DRUG-CNK" SV="20100701">3147410</intendedcd>
                        <intendedname>Cervarix (PIP) inj. susp. i.m. [voorgev. spuit] 1x 0,5ml</intendedname>
                    </medicinalproduct>
                </content>
                <content>
                    <cd S="CD-ATC" SV="1.2">Z</cd>
                </content>
                <beginmoment>
                    <date>2016-08-30</date>
                </beginmoment>
                <lifecycle>
                    <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
                </lifecycle>
                <isrelevant>true</isrelevant>
            </item>

            <item>
                <id S="ID-KMEHR" SV="1.0">11</id>
                <cd S="CD-ITEM" SV="1.6">vaccine</cd>
                <content>
                    <cd S="CD-VACCINEINDICATION" SV="1.0">hib</cd>
                </content>
                <content>
                    <medicinalproduct>
                        <intendedcd S="CD-DRUG-CNK" SV="20100701">0320879</intendedcd>
                        <intendedname>Act-Hib inj. oploss. i.m. [flac.+voorgev. spuit] 1dos.</intendedname>
                    </medicinalproduct>
                </content>
                <content>
                    <cd S="CD-ATC" SV="1.2">J07AG01</cd>
                </content>
                <beginmoment>
                    <date>2016-08-30</date>
                </beginmoment>
                <lifecycle>
                    <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
                </lifecycle>
                <isrelevant>true</isrelevant>
            </item>

            <!-- risks -->
            <item>
                <id S="ID-KMEHR" SV="1.0">12</id>
                <cd S="CD-ITEM" SV="1.6">socialrisk</cd>
                <content>
                    <text L="NL">probleem met werk</text>
                </content>
                <content>
                    <cd S="ICPC" SV="2">Z05</cd>
                </content>
                <beginmoment>
                    <date>2016-08-30</date>
                </beginmoment>
                <lifecycle>
                    <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
                </lifecycle>
                <isrelevant>true</isrelevant>
            </item>

            <item>
                <id S="ID-KMEHR" SV="1.0">13</id>
                <cd S="CD-ITEM" SV="1.6">familyrisk</cd>
                <content>
                    <cd S="CD-CLINICAL" SV="1.0">10075194</cd>
                    <cd S="ICD" SV="10">H57.8</cd>
                    <cd S="ICPC" SV="2">F02</cd>
                </content>
                <content>
                    <cd S="CD-CONTACT-PERSON" SV="1.0">mother</cd>
                </content>
                <content>
                    <text L="NL">rood oog</text>
                </content>
                <beginmoment>
                    <date>2016-08-30</date>
                </beginmoment>
                <lifecycle>
                    <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
                </lifecycle>
                <isrelevant>true</isrelevant>
            </item>

            <!--  Laboratory result -->
            <item>
                <id S="ID-KMEHR" SV="1.0">14</id>
                <cd S="CD-ITEM" SV="1.0">lab</cd>
                <cd S="CD-LAB" SV="1.0">11559-2</cd>

                <content>
                    <decimal>12.9</decimal>
                    <unit>
                        <cd S="CD-UNIT" SV="1.0">g/dl</cd>
                    </unit>
                    <minref>
                        <decimal>12</decimal>
                    </minref>
                    <maxref>
                        <decimal>16</decimal>
                    </maxref>
                </content>
            </item>

            <!-- care path -->
            <item>
                <id S="ID-KMEHR" SV="1.0">15</id>
                <cd S="CD-ITEM" SV="1.6">careplansubscription</cd>
                <cd S="LOCAL" SL="CD-CAREPATH" SV="1.2">002</cd>
                <content>
                    <text L="NL">this is the careplane description</text>
                </content>
                <beginmoment>
                    <date>2016-08-30</date>
                </beginmoment>
                <lifecycle>
                    <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
                </lifecycle>
                <isrelevant>true</isrelevant>
            </item>

            <!--  Parameters -->
            <item>
                <id S="ID-KMEHR" SV="1.0">16</id>
                <cd S="CD-ITEM" SV="1.6">parameter</cd>
                <cd S="CD-PARAMETER" SV="1.0">sbp</cd>
                <content>
                    <decimal>22</decimal>
                    <unit>
                        <cd S="CD-UNIT" SV="1.0">mmhg</cd>
                    </unit>
                </content>
                <beginmoment>
                    <date>2016-08-30</date>
                </beginmoment>
                <lifecycle>
                    <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
                </lifecycle>
                <isrelevant>true</isrelevant>
            </item>

            <item>
                <id S="ID-KMEHR" SV="1.0">17</id>
                <cd S="CD-ITEM" SV="1.6">parameter</cd>
                <cd S="CD-PARAMETER" SV="1.0">dbp</cd>
                <content>
                    <decimal>22</decimal>
                    <unit>
                        <cd S="CD-UNIT" SV="1.0">mmhg</cd>
                    </unit>
                </content>
                <beginmoment>
                    <date>2016-08-30</date>
                </beginmoment>
                <lifecycle>
                    <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
                </lifecycle>
                <isrelevant>true</isrelevant>
            </item>

            <item>
                <id S="ID-KMEHR" SV="1.0">18</id>
                <cd S="CD-ITEM" SV="1.6">parameter</cd>
                <cd S="CD-PARAMETER" SV="1.0">heartrate</cd>
                <content>
                    <decimal>33</decimal>
                    <unit>
                        <cd S="CD-UNIT" SV="1.0">bitperminute</cd>
                    </unit>
                </content>
                <beginmoment>
                    <date>2016-08-30</date>
                </beginmoment>
                <lifecycle>
                    <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
                </lifecycle>
                <isrelevant>true</isrelevant>
            </item>

            <item>
                <id S="ID-KMEHR" SV="1.0">19</id>
                <cd S="CD-ITEM" SV="1.6">parameter</cd>
                <cd S="CD-PARAMETER" SV="1.0">weight</cd>
                <content>
                    <decimal>44</decimal>
                    <unit>
                        <cd S="CD-UNIT" SV="1.0">kg</cd>
                    </unit>
                </content>
                <beginmoment>
                    <date>2016-08-30</date>
                </beginmoment>
                <lifecycle>
                    <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
                </lifecycle>
                <isrelevant>true</isrelevant>
            </item>

            <item>
                <id S="ID-KMEHR" SV="1.0">20</id>
                <cd S="CD-ITEM" SV="1.6">parameter</cd>
                <cd S="CD-PARAMETER" SV="1.0">height</cd>
                <content>
                    <decimal>55</decimal>
                    <unit>
                        <cd S="CD-UNIT" SV="1.0">cm</cd>
                    </unit>
                </content>
                <beginmoment>
                    <date>2016-08-30</date>
                </beginmoment>
                <lifecycle>
                    <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
                </lifecycle>
                <isrelevant>true</isrelevant>
            </item>

            <item>
                <id S="ID-KMEHR" SV="1.0">21</id>
                <cd S="CD-ITEM" SV="1.6">parameter</cd>
                <cd S="CD-PARAMETER" SV="1.0">bmi</cd>
                <content>
                    <decimal>145.5</decimal>
                    <unit>
                        <cd S="CD-UNIT" SV="1.0">kg/m2</cd>
                    </unit>
                </content>
                <beginmoment>
                    <date>2016-08-30</date>
                </beginmoment>
                <lifecycle>
                    <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
                </lifecycle>
                <isrelevant>true</isrelevant>
            </item>

            <!-- treatments -->
            <item>
                <id S="ID-KMEHR" SV="1.0">22</id>
                <cd S="CD-ITEM" SV="1.6">treatment</cd>
                <content>
                    <text L="NL">Watkins operatie</text>
                </content>
                <beginmoment>
                    <date>2016-08-30</date>
                </beginmoment>
                <lifecycle>
                    <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
                </lifecycle>
                <isrelevant>true</isrelevant>
            </item>
        </transaction>

        <!-- Last patient contact -->
        <!-- This will be used because it is the first contact -->
        <transaction>
            <id S="ID-KMEHR" SV="1.0">3</id>
            <!-- BDS transacion + Version -->
            <cd S="LOCAL" SV="1.0" SL="CD-TRANSACTION-EFORMS">contact</cd>
            <date>2002-10-01</date>
            <time>18:25:00</time>
            <author>
                <hcparty>
                    <id S="ID-HCPARTY" SV="1.0">15858523580</id>
                    <cd S="CD-HCPARTY" SV="1.0">persphysician</cd>
                    <firstname>Alain</firstname>
                    <familyname>Juvenois</familyname>
                </hcparty>
            </author>
            <iscomplete>true</iscomplete>
            <isvalidated>true</isvalidated>
            <item>
                <id S="ID-KMEHR" SV="1.0">1</id>
                <cd S="CD-ITEM" SV="1.0">transactionreason</cd>
                <content>
                    <text L="NL">this is the reason 1</text>
                </content>

            </item>
            <item>
                <id S="ID-KMEHR" SV="1.0">2</id>
                <cd S="CD-ITEM" SV="1.0">complaint</cd>
                <content>
                    <text L="NL">this is the complaint 1</text>
                </content>
            </item>
            <item>
                <id S="ID-KMEHR" SV="1.0">3</id>
                <cd S="CD-ITEM" SV="1.0">clinical</cd>
                <content>
                    <text L="NL">this is the clinical result 1</text>
                </content>
            </item>
        </transaction>
        <!-- This will not be used because it is the second contact -->
        <transaction>
            <id S="ID-KMEHR" SV="1.0">4</id>
            <!-- BDS transacion + Version -->
            <cd S="LOCAL" SV="1.0" SL="CD-TRANSACTION-EFORMS">contact</cd>
            <date>2005-10-01</date>
            <time>20:25:00</time>
            <author>
                <hcparty>
                    <id S="ID-HCPARTY" SV="1.0">15858523580</id>
                    <cd S="CD-HCPARTY" SV="1.0">persphysician</cd>
                    <firstname>Alain</firstname>
                    <familyname>Juvenois</familyname>
                </hcparty>
            </author>
            <iscomplete>true</iscomplete>
            <isvalidated>true</isvalidated>
            <item>
                <id S="ID-KMEHR" SV="1.0">1</id>
                <cd S="CD-ITEM" SV="1.0">transactionreason</cd>
                <content>
                    <text L="NL">this is the reason 2</text>
                </content>

            </item>
            <item>
                <id S="ID-KMEHR" SV="1.0">2</id>
                <cd S="CD-ITEM" SV="1.0">complaint</cd>
                <content>
                    <text L="NL">this is the complaint 2</text>
                </content>
            </item>
            <item>
                <id S="ID-KMEHR" SV="1.0">3</id>
                <cd S="CD-ITEM" SV="1.0">clinical</cd>
                <content>
                    <text L="NL">this is the clinical result 2</text>
                </content>
            </item>
        </transaction>
    </folder>
</kmehrmessage>

2. Basic Dataset Protocol (Dentist)

2.1. Overview

2.1.1. Contact

Healthconnect <support@healthconnect.be>

2.1.2. Description

The basic dataset protocol (BDS) is used to transfer data from the integrating system (EMD) to eForms.

Currently the following information can be specified in the dataset:

  • Administrative information : sender, recipient, patient, sending application

Important:

  • Each item should have a unique ID

  • The patient identifier format should be INSS

  • The employer identifier format should be CBE

2.1.3. Owner

HealthConnect

2.2. KMEHR

kmehr.xml
<?xml version="1.0" encoding="UTF-8"?>
<kmehrmessage xmlns="http://www.ehealth.fgov.be/standards/kmehr/schema/v1">
  <header>
    <standard>
      <cd S="CD-STANDARD" SV="1.18">20160601</cd>
    </standard>
    <id S="ID-KMEHR" SV="1.0">a99de341-417b-47da-9ff0-bcfd592caf37</id>

    <date>2016-08-30</date>
    <time>13:46:04</time>

    <!-- The sender -->
    <sender>
      <hcparty>
        <id S="ID-HCPARTY" SV="1.0">41161652401</id>
        <id S="INSS" SV="1.0">79070436460</id>
        <cd S="CD-HCPARTY" SV="1.6">persphysician</cd>
        <firstname>Mickey</firstname>
        <familyname>Met Alle Rechten</familyname>
        <address>
          <cd S="CD-ADDRESS" SV="1.0">work</cd>
          <country>
            <cd S="CD-FED-COUNTRY" SV="1.0">be</cd>
          </country>
          <zip>2000</zip>
          <city>Antwerpen</city>
          <street>Groenplaats</street>
          <housenumber>3</housenumber>
        </address>
        <telecom>
          <cd S="CD-ADDRESS" SV="1.0">work</cd>
          <cd S="CD-TELECOM" SV="1.0">phone</cd>
          <telecomnumber>+13790882</telecomnumber>
        </telecom>
        <telecom>
          <cd S="CD-ADDRESS" SV="1.0">work</cd>
          <cd S="CD-TELECOM" SV="1.0">email</cd>
          <telecomnumber>john.doe@gmail.com</telecomnumber>
        </telecom>
      </hcparty>

      <!-- The application generating the data  -->
      <hcparty>
        <cd S="CD-HCPARTY" SV="1.0">application</cd>
        <name>CareConnect 2.8</name>
      </hcparty>
    </sender>

    <!-- Recipient -->
    <recipient>
      <hcparty>
        <id S="ID-HCPARTY" SV="1.0">14032237</id>
        <cd S="CD-HCPARTY" SV="1.0">persphysician</cd>
        <firstname>John</firstname>
        <familyname>Doe</familyname>
      </hcparty>
    </recipient>
  </header>

  <folder>
    <id S="ID-KMEHR" SV="1.0">1</id>

    <!-- The patient -->
    <patient>
      <!-- INSS number -->
      <id S="ID-PATIENT" SV="1.2">79070430027</id>
      <!-- EID cardno-->
      <id S="EID-CARDNO" SV="1.0">563-1544395-45</id>
      <id S="LOCAL" SV="1.0">79</id>
      <firstname>Kobe</firstname>
      <familyname>Bryan</familyname>
      <birthdate>
        <date>1998-11-29</date>
      </birthdate>
      <sex>
        <cd S="CD-SEX" SV="1.0">male</cd>
      </sex>
      <address>
        <cd S="CD-ADDRESS" SV="1.0">home</cd>
        <country>
          <cd S="CD-FED-COUNTRY" SV="1.0">be</cd>
        </country>
        <zip>6700</zip>
        <city>Arlon</city>
        <street>Rue de vitess</street>
        <housenumber>1</housenumber>
        <postboxnumber>A</postboxnumber>
      </address>
      <telecom>
        <cd S="CD-ADDRESS" SV="1.0">home</cd>
        <cd S="CD-TELECOM" SV="1.0">phone</cd>
        <telecomnumber>+13790762</telecomnumber>
      </telecom>

      <telecom>
        <cd S="CD-ADDRESS" SV="1.0">home</cd>
        <cd S="CD-TELECOM" SV="1.0">email</cd>
        <telecomnumber>kobe.bryan@gmail.com</telecomnumber>
      </telecom>
      <usuallanguage>FR</usuallanguage>
    </patient>
  </folder>
</kmehrmessage>

3. Covid vaccination barometer

This form captures the result of a biweekly AUDIT in your general practice.
With the help of these 43 figures we get a view of the COVID-19 vaccination progress in your practice.
Combined with the data from other practices, we get a total view of the vaccination coverage in your region.
These data are used to further refine the COVID-19 vaccination policy.

The COVID-19-VACCINATION-BAROMETER document can be prefilled using the following JSON:

{
	"EHR": "CareConnect GP",
	"numberOfPatientsWithCMR": "2000",
	"patientsAbove65": {
		"total": "200",
		"vaccinatedOnce": "50",
		"vaccinatedCompletely": "40"
	},
	"patients45To64WithRisk": {
		"total": "200",
		"vaccinatedOnce": "50",
		"vaccinatedCompletely": "40"
	},
	"patients18To44WithRisk": {
		"total": "200",
		"vaccinatedOnce": "50",
		"vaccinatedCompletely": "40"
	},
	"patients45To64NoRisk": {
		"total": "200",
		"vaccinatedOnce": "50",
		"vaccinatedCompletely": "40"
	},
	"patients18To44NoRisk": {
		"total": "200",
		"vaccinatedOnce": "50",
		"vaccinatedCompletely": "40"
	},
	"patientsIncreasedCompensation": {
		"total": "200",
		"vaccinatedOnce": "50",
		"vaccinatedCompletely": "40"
	},
	"patientsDiabetes": {
		"total": "200",
		"vaccinatedOnce": "50",
		"vaccinatedCompletely": "40"
	},
	"patientsKidneyCondition": {
		"total": "200",
		"vaccinatedOnce": "50",
		"vaccinatedCompletely": "40"
	},
	"patientsLungCondition": {
		"total": "200",
		"vaccinatedOnce": "50",
		"vaccinatedCompletely": "40"
	},
	"patientsLiverCondition": {
		"total": "200",
		"vaccinatedOnce": "50",
		"vaccinatedCompletely": "40"
	},
	"patientsCardiovascularCondition": {
		"total": "200",
		"vaccinatedOnce": "50",
		"vaccinatedCompletely": "40"
	},
	"patientsObesity": {
		"total": "200",
		"vaccinatedOnce": "50",
		"vaccinatedCompletely": "40"
	},
	"patientsNeurologicalCondition": {
		"total": "200",
		"vaccinatedOnce": "50",
		"vaccinatedCompletely": "40"
	},
	"patientsCancer": {
		"total": "200",
		"vaccinatedOnce": "50",
		"vaccinatedCompletely": "40"
	}
}

The dataset can be uploaded in the same way as the Basic Data Set.
The dataset is interpreted by using the content type: application/vnd.healthconnect.eforms.covid-vaccination-barometer.prefill.v1+json

POST /cloud/api/v1/forms/HVAXL/data-set HTTP/1.1
Accept-Language: nl-BE
Authorization: Bearer eyJhbGciOiJSUzI1NiIsInR5cCI6IkpXVCJ9.eyJleHAiOjE0NzE5MDAy...
Accept: text/plain
Content-Type: application/vnd.healthconnect.eforms.covid-vaccination-barometer.prefill.v1+json;charset=UTF-8
Host: e-forms.be
Content-Length: 2337

{
	"EHR": "CareConnect GP",
	"numberOfPatientsWithCMR": "2000",
	"patientsAbove65": {
		"total": "200",
		"vaccinatedOnce": "50",
		"vaccinatedCompletely": "40"
	}
...

4. EWZC Tranfer Protocol

4.1. Overview

4.1.1. Contact

4.1.2. Revisions

/

4.1.3. Description

The eWZC project supports patients of retirement homes or home services. It allows caregivers and retirement homes to send detailed and accurate data to the party taking care of the patient. It identifies 2 flows:

  • patient transfer from retirement home to a hospital.

  • liason information given by the treating general practitioner after a visit to the patient in the retirement home.

This document describes the structure of the KMEHR and how it needs to be passed on via eHealthBox.

4.1.4. Owner

Woonzorgcentrum Dijlehof (http://www.dijlehof.be)
Woonzorgcentrum St. Bernardus (http://www.stbernardus.be)

4.2. KMEHR

The EWZC KMEHR is composed out of three transactions : SUMEHR,NOTIFICATION and NOTE. Kmehr level 4 is required for both transactions.

Only exceptions on the KMEHR standard in context for this specific protocol are mentioned.

Table 1. KMEHR Header
item type occurences description

sender

1

hcparty elements of the sending healthcare party. A mandatory hcparty element of type application should be added with the software name and version of
the software generating this message.

recipient

1..*

hcparty element with the receiving healthcare party

folder.patient

1

Patient identified with INSS and EWZC-PATIENT-ID

Table 2. SUMEHR Transaction
item type occurences description

sumehr.author

1

Describes the author of the transaction. This author must be a health care professional. It is usually a general practitioner.

sumehr.item.healthcarelement

0..*

Specifies either a 'current problem' or a 'relevant passive care element'.

sumehr.item.treatment

0..*

Proposed treatment other than pharmaceutical

sumehr.item.parameter

0..*

Measurable parameters

sumehr.item.adr

0..*

Specifies a risk relative to a an adverse drug reaction.

sumehr.item.risk

0..*

Specifies other risk factors.

sumehr.item.medication

0..*

Specifies a patient’s medication.

Table 3. Notification Transaction (CD-TRANSACTION-TYPE = transferdocument [EWZC])
item type occurences description example

note.item.contactperson

1

The contact person for this patient.

note.item.contactperson (cd = [EWZC-CONTACT-PERSON])

1

The legal representative contact of the patient.

note.item.healthcareelement (with content cd CD-SNOMED 371538006)

1

true/false and where to find written intent

note.item.healthcareelement (with content cd CD-SNOMED 273617000)

1

No mmse = not available or the mmse score ranging from 1 - 30

note.item.healthcareelement (with content cd CD-SNOMED 439272007)

1

date of procedure

note.item.parameter (with content cd CD-SNOMED 426794005)

1

KATZ score 1-4 : oriented to time

note.item.parameter (with content cd CD-SNOMED 427161009)

1

KATZ score 1-4 : oriented to place

note.item.healthcareelement (with conent cd CD-SNOMED 284504009)

1

Text: Difficult to manage behavior

note.item.healthcareelement (with content cd CD-SNOMED 1431002)

1

boolean : fixation needed?

note.item.healthcareelement (with content cd CD-SNOMED 465230007)

1

text: fixation tools

note.item.parameter (with content cd CD-SNOMED 286852005)

1

KATZ 1-4: washing self

note.item.parameter (with content cd CD-SNOMED 313332003)

1

KATZ 1-4: Ability to dress

note.item.parameter (with content cd CD-SNOMED 171301009)

1

KATZ 1-4: Ability to move

note.item.healthcareelement (with content cd CD-SNOMED 243751002)

1

text: Mobility aid

note.item.parameter (with content cd CD-SNOMED 266826009)

1

KATZ 1-4: Incontinence

note.item.healthcareelement (with content cd CD-SNOMED 414191008)

1

Boolean : Fall risk

note.item.healthcareelement (with content cd CD-SNOMED 257192006)

1

Text: Vision aid

note.item.healthcareelement (with content cd CD-SNOMED 6012004)

1

Text: Hearing device

note.item.healthcareelement ( cd = [EWZC-WILL])

1

true/false and where to find the negative will.

note.item.healthcareelement ( cd = [EWZC-WILL])

1

true/false and where to find the negative will.

Table 4. EWZC local code dictionary
code description value(s)

EWZC-HCPARTY

Sender specification

orgRetirementHome/deptRetirementHome

EWZC-CONTACT-PERSON

Contact relation

legalrepresentative/ewzccontactperson

EWZC-UNIT

followup notes antecedents

MSSE

EWZC-NUTRITION

Nutrition specification

foodgrindage

EWZC-AGREEDTREATMENT

treatment specification : Do everything/Maintenance of functions/comfort care/terminal phase comfort care

A/B/C/CTF

EWZC-DNR

DNR level

0/1/2/not discussed

EWZC-WILL

Declaration of will: Negative will/Hospitalisation

NEGATIVE-WILL/WISH-HOSPITALISATION

EWZC-NOTE

Notes : Follow-up notes/Active diagnose notes/Care instructions

COMMON-NOTE/DIAGNOSE-NOTE/CARE-INSTRUCTION-NOTE

EWZC-PATIENTID

Unique patient ID in the hospital/careunit

text

4.3. eHealthbox Message

4.3.1. Subject

The subject should be one of the following strings:

  • EWZC Transferfiche

4.3.2. Addressee

The ehealthbox receiver can be any hospital

4.3.3. Metadata

The message should be constructed using the following additional metadata :

KEY

VALUE

Description

EFORMS_TYPE

EWZCTRANSFER

the type of the eForm (always EWZCTRANSFER)

HC-FunctionalType

EFORMS

the functional type of the first attachment

HC-FunctionalType-X

EFORMS-ATTACHMENT

the functional type of attachment X

HC-AttachmentFilename

filename.ext

the filename of the first attachment

HC-AttachmentFilename-X

filename.ext

the filename of attachment X

4.3.4. Patient

Add the patient with INSS identifier to the message.

4.3.5. Attachments

All attachments should be added as binary content to the message

The following attachment should be added to the message :

  1. First attachment with name form-data.xml. This is the form KMEHR XML, the functional type should be EFORMS

  2. Second attachment with name <form_id>.pdf . This is the form PDF representation, the functional type should be EFORMS-ATTACHMENT (See PDF rendering)

  3. Other attachments added to the form by the sender with functional type EFORMS-ATTACHMENT

4.4. Examples

4.4.1. KMEHR

kmehr.xml
<?xml version="1.0" encoding="UTF-8"?>
<kmehrmessage xmlns="http://www.ehealth.fgov.be/standards/kmehr/schema/v1">
    <header>
        <standard>
            <cd S="CD-STANDARD" SV="1.0">EWZCTRANSFER/EWZCTRANSFER_LDU31625</cd>
        </standard>
        <id S="ID-KMEHR" SV="1.0">1</id>
        <sender>
            <hcparty>
                <id S="ID-HCPARTY" SV="1.0">10830643004</id>
                <cd S="LOCAL" SV="1.0" DN="Woonzorgcentrum" L="nl" SL="EWZC-HCPARTY"/>
                <name>Dijlehof</name>
            </hcparty>
        </sender>
        <recipient>
            <hcparty>
                <id S="ID-HCPARTY" SV="1.0"/>
                <cd S="CD-HCPARTY" SV="1.0">application</cd>
                <name>Geracc 4.4</name>
            </hcparty>
        </recipient>
    </header>
    <folder>
        <id S="ID-KMEHR" SV="1.0">1</id>
        <patient>
            <id S="ID-PATIENT" SV="1.0">53033104166</id>
            <id S="LOCAL" SV="1.0" SL="EWZC-PATIENT-ID">1231211</id>
            <firstname>Tony</firstname>
            <familyname>Stevelinck</familyname>
            <birthdate>
                <date>1953-03-31</date>
            </birthdate>
            <sex>
                <cd S="CD-SEX" SV="1.0">male</cd>
            </sex>
            <usuallanguage>fr</usuallanguage>
            <civilstate>
                <cd S="CD-CIVILSTATE" SV="1.0"/>
            </civilstate>
        </patient>
        <transaction>
            <id S="ID-KMEHR" SV="1.0">1</id>
            <cd S="CD-TRANSACTION" SV="1.2">notification</cd>
            <cd S="CD-TRANSACTION-TYPE" SV="1.2">transferdocument</cd>
            <author>
                <hcparty>
                    <id S="ID-HCPARTY" SV="1.0">10830643004</id>
                    <name/>
                </hcparty>
            </author>
            <iscomplete>true</iscomplete>
            <isvalidated>true</isvalidated>
            <item>
                <id S="ID-KMEHR" SV="1.0">1</id>
                <cd S="CD-ITEM" SV="1.0">contactperson</cd>
                <cd S="CD-CONTACT-PERSON" SV="1.0"/>
                <content>
                    <person>
                        <id S="INSS" SV="1.0"/>
                        <firstname/>
                        <familyname/>
                        <telecom>
                            <cd S="CD-TELECOM" SV="1.0">phone</cd>
                            <telecomnumber/>
                        </telecom>
                        <telecom>
                            <cd S="CD-TELECOM" SV="1.0">mobile</cd>
                            <telecomnumber/>
                        </telecom>
                    </person>
                </content>
            </item>
            <item>
                <id S="ID-KMEHR" SV="1.0">2</id>
                <cd S="CD-ITEM" SV="1.3">contactperson</cd>
                <cd S="LOCAL" SV="1.2" DN="The legal representative of the patient" SL="EWZC-CONTACT-PERSON">legalrepresentative</cd>
                <content>
                    <person>
                        <id S="INSS" SV="1.0"/>
                        <firstname/>
                        <familyname/>
                        <telecom>
                            <cd S="CD-TELECOM" SV="1.0">phone</cd>
                            <telecomnumber/>
                        </telecom>
                        <telecom>
                            <cd S="CD-TELECOM" SV="1.0">mobile</cd>
                            <telecomnumber/>
                        </telecom>
                    </person>
                </content>
            </item>
            <heading>
                <id S="ID-KMEHR" SV="1.0">1</id>
                <cd S="LOCAL" SV="1.0" SL="EWZC-HEADING" DN="Care information" L="en">CareInformation</cd>
                <cd S="LOCAL" SV="1.0" SL="EWZC-HEADING" DN="Zorginformatie" L="nl">CareInformation</cd>
                <heading>
                    <id S="ID-KMEHR" SV="1.0">1</id>
                    <cd S="LOCAL" SV="1.0" SL="EWZC-HEADING" DN="The psychic functioning" L="en">PsychicFunctioning</cd>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">1</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="mini-mental state examination">273617000</cd>
                        </content>
                        <content>
                            <unit>
                                <cd S="UCUM" SV="1.0">MMSE</cd>
                            </unit>
                        </content>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">2</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="Date of procedure" L="en">439272007</cd>
                        </content>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">3</id>
                        <cd S="CD-ITEM" SV="1.7">parameter</cd>
                        <cd S="CD-PARAMETER" SV="1.7">KATZ</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="oriented to time">426794005</cd>
                        </content>
                        <content/>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">4</id>
                        <cd S="CD-ITEM" SV="1.7">parameter</cd>
                        <cd S="CD-PARAMETER" SV="1.7">KATZ</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="oriented to place">427161009</cd>
                        </content>
                        <content/>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">5</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="difficult to manage behavior" L="en">284504009</cd>
                        </content>
                        <content>
                            <text L="nl"/>
                        </content>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">6</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="fixation needed?" L="en">1431002</cd>
                        </content>
                        <content/>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">7</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="fixation tools" L="en">465230007</cd>
                        </content>
                        <content>
                            <text L="nl"/>
                        </content>
                    </item>
                </heading>
                <heading>
                    <id S="ID-KMEHR" SV="1.0">2</id>
                    <cd S="LOCAL" SV="1.0" SL="EWZC-HEADING" DN="The functional state description" L="en">FunctionalState</cd>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">1</id>
                        <cd S="CD-ITEM" SV="1.7">parameter</cd>
                        <cd S="CD-PARAMETER" SV="1.7">KATZ</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="washing self" L="en">286852005</cd>
                        </content>
                        <content/>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">2</id>
                        <cd S="CD-ITEM" SV="1.7">parameter</cd>
                        <cd S="CD-PARAMETER" SV="1.7">KATZ</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="Ability to dress" L="en">313332003</cd>
                        </content>
                        <content/>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">3</id>
                        <cd S="CD-ITEM" SV="1.7">parameter</cd>
                        <cd S="CD-PARAMETER" SV="1.7">KATZ</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="Ability to move" L="en">171301009</cd>
                        </content>
                        <content/>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">4</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="Mobility aid" L="en">243751002</cd>
                        </content>
                        <text L="nl"/>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">5</id>
                        <cd S="CD-ITEM" SV="1.7">parameter</cd>
                        <cd S="CD-PARAMETER" SV="1.7">KATZ</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="Incontinence" L="en">266826009</cd>
                        </content>
                        <content/>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">6</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="Fall risk" L="en">414191008</cd>
                        </content>
                        <content/>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">7</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="Vision aid" L="en">257192006</cd>
                        </content>
                        <content>
                            <text L="nl"/>
                        </content>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">8</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="Hearing device" L="en">6012004</cd>
                        </content>
                        <content>
                            <text L="en"/>
                        </content>
                    </item>
                </heading>
                <heading>
                    <id S="ID-KMEHR" SV="1.0">3</id>
                    <cd S="LOCAL" SV="1.0" SL="EWZC-HEADING" DN="The nutritions description" L="en">Nutrition</cd>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">1</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="Diet" L="en">41829006</cd>
                        </content>
                        <content>
                            <text L="nl"/>
                        </content>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">2</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="Dental Prothese" L="en">27606000</cd>
                        </content>
                        <content>
                            <text L="nl"/>
                        </content>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">3</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="swallowhandicap" L="en">288936000</cd>
                        </content>
                        <content/>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">4</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="thickened fluids diet" L="en">226213003</cd>
                        </content>
                        <content/>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">5</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <content>
                            <cd S="LOCAL" SV="1.0" SL="EWZC-NUTRITION" DN="Food grindage" L="en">228055009</cd>
                        </content>
                        <content/>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">6</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="gavage" L="en">61420007</cd>
                        </content>
                        <content>
                            <text L="nl"/>
                        </content>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">7</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="oral nutrition" L="en">26643006</cd>
                        </content>
                        <content/>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">8</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="food refusal" L="en">105481005</cd>
                        </content>
                        <content/>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">9</id>
                        <cd S="CD-ITEM" SV="1.7">parameter</cd>
                        <cd S="CD-PARAMETER" SV="1.7">KATZ</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="Eating assistance" L="en">165221002</cd>
                        </content>
                        <content/>
                    </item>
                </heading>
                <heading>
                    <id S="ID-KMEHR" SV="1.0">4</id>
                    <cd S="LOCAL" SV="1.0" SL="EWZC-HEADING" DN="The medications description" L="en">Medication</cd>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">1</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="medicationIntakeAssistance" L="en">129019007</cd>
                        </content>
                        <content>
                            <text L="nl"/>
                        </content>
                    </item>
                </heading>
            </heading>
            <heading>
                <id S="ID-KMEHR" SV="1.0">2</id>
                <cd S="LOCAL" SV="1.0" SL="EWZC-HEADING" DN="Medical information" L="en">MedicalInformation</cd>
                <item>
                    <id S="ID-KMEHR" SV="1.0">1</id>
                    <cd S="CD-ITEM" SV="1.2">contacthcparty</cd>
                    <content>
                        <cd S="CD-SNOMED" SV="1.0" DN="referring physisian" L="en">129019007</cd>
                    </content>
                    <content>
                        <hcparty>
                            <id S="ID-HCPARTY" SV="1.0"/>
                            <cd S="CD-HCPARTY" SV="1.1">persphysician</cd>
                            <firstname/>
                            <familyname/>
                            <telecom>
                                <cd S="CD-TELECOM" SV="1.0">phone</cd>
                                <telecomnumber/>
                            </telecom>
                            <telecom>
                                <cd S="CD-TELECOM" SV="1.0">mobile</cd>
                                <telecomnumber/>
                            </telecom>
                        </hcparty>
                    </content>
                </item>
                <item>
                    <id S="ID-KMEHR" SV="1.0">2</id>
                    <cd S="CD-ITEM" SV="1.2">contacthcparty</cd>
                    <content>
                        <cd S="CD-SNOMED" SV="1.0" DN="general practitioner" L="en">62247001</cd>
                    </content>
                    <content>
                        <hcparty>
                            <id S="ID-HCPARTY" SV="1.0"/>
                            <cd S="CD-HCPARTY" SV="1.1">persphysician</cd>
                            <firstname/>
                            <familyname/>
                            <telecom>
                                <cd S="CD-TELECOM" SV="1.0">phone</cd>
                                <telecomnumber/>
                            </telecom>
                            <telecom>
                                <cd S="CD-TELECOM" SV="1.0">mobile</cd>
                                <telecomnumber/>
                            </telecom>
                        </hcparty>
                    </content>
                </item>
                <item>
                    <id S="ID-KMEHR" SV="1.0">3</id>
                    <cd S="CD-ITEM" SV="1.2">contacthcparty</cd>
                    <content>
                        <cd S="CD-SNOMED" SV="1.0" DN="department in retirement home" L="en">397670001</cd>
                    </content>
                    <content>
                        <hcparty>
                            <cd S="LOCAL" SV="1.0" DN="Department inside retirement Home" L="en" SL="EWZC-HCPARTY"/>
                            <name/>
                            <telecom>
                                <cd S="CD-TELECOM" SV="1.0">phone</cd>
                                <telecomnumber/>
                            </telecom>
                        </hcparty>
                    </content>
                    <content>
                        <person>
                            <id S="INSS" SV="1.0"/>
                            <firstname/>
                            <familyname>do not use</familyname>
                            <sex>
                                <cd S="CD-SEX" SV="1.0">unknown</cd>
                            </sex>
                        </person>
                    </content>
                </item>
                <heading>
                    <id S="ID-KMEHR" SV="1.0">1</id>
                    <cd S="LOCAL" SV="1.0" SL="EWZC-HEADING" DN="The History description" L="en">History</cd>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">1</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="Important medical history" L="en">417662000</cd>
                        </content>
                        <content>
                            <text L="nl"/>
                        </content>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">2</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="allergies" L="en">408439002</cd>
                        </content>
                        <content>
                            <text L="nl"/>
                        </content>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">3</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="medication treatment" L="en">18629005</cd>
                        </content>
                        <lnk TYPE="multimedia" SIZE="">attachmentb64medicationattachmen</lnk>
                    </item>
                </heading>
                <item>
                    <id S="ID-KMEHR" SV="1.0">4</id>
                    <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                    <content>
                        <cd S="CD-SNOMED" SV="1.0" DN="dementia" L="en">52448006</cd>
                    </content>
                    <content/>
                </item>
                <item>
                    <id S="ID-KMEHR" SV="1.0">5</id>
                    <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                    <content>
                        <cd S="CD-SNOMED" SV="1.0" DN="Transfer Reason" L="en">28260004</cd>
                    </content>
                    <content>
                        <text L="nl"/>
                    </content>
                </item>
                <heading>
                    <id S="ID-KMEHR" SV="1.0">2</id>
                    <cd S="LOCAL" SV="1.0" SL="EWZC-HEADING" DN="The CareAgreements" L="en">CareAgreements</cd>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">1</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <cd S="LOCAL" SV="1.0" DN="Written Intent" SL="EWZC-WILL" L="en">DECLARATION-OF-INTENT</cd>
                        <cd S="LOCAL" SV="1.0" DN="Geschreven wilsverklaring" SL="EWZC-WILL" L="nl">DECLARATION-OF-INTENT</cd>
                        <content>
                            <cd S="CD-SNOMED" SV="1.0" DN="Advance directive" L="en">371538006</cd>
                        </content>
                        <content/>
                        <content>
                            <text L="nl"/>
                        </content>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">8</id>
                        <cd S="CD-ITEM" SV="1.7">healthcareelement</cd>
                        <cd S="LOCAL" SV="1.0" DN="Negative will" SL="EWZC-WILL" L="en">NEGATIVE-WILL</cd>
                        <cd S="LOCAL" SV="1.0" DN="Negatieve wilsverklaring" SL="EWZC-WILL" L="nl">NEGATIVE-WILL</cd>
                        <content/>
                        <content>
                            <text L="nl"/>
                        </content>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">2</id>
                        <cd S="CD-ITEM" SV="1.7">agreedtreatment</cd>
                        <cd S="LOCAL" SV="1.0" DN="Do everything" SL="EWZC-AGREEDTREATMENT" L="en">A</cd>
                        <cd S="LOCAL" SV="1.0" DN="Alles doen" SL="EWZC-AGREEDTREATMENT" L="nl">A</cd>
                        <content/>
                        <content>
                            <text L="nl"/>
                        </content>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">3</id>
                        <cd S="CD-ITEM" SV="1.7">agreedtreatment</cd>
                        <cd S="LOCAL" SV="1.0" DN="Maintenance of functions" SL="EWZC-AGREEDTREATMENT" L="en">B</cd>
                        <cd S="LOCAL" SV="1.0" DN="Behoud van functies" SL="EWZC-AGREEDTREATMENT" L="nl">B</cd>
                        <content/>
                        <content>
                            <text L="nl"/>
                        </content>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">4</id>
                        <cd S="CD-ITEM" SV="1.7">agreedtreatment</cd>
                        <cd S="LOCAL" SV="1.0" DN="comfort care" SL="EWZC-AGREEDTREATMENT" L="en">C</cd>
                        <cd S="LOCAL" SV="1.0" DN="comfortzorg" SL="EWZC-AGREEDTREATMENT" L="nl">C</cd>
                        <content/>
                        <content>
                            <text L="nl"/>
                        </content>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">6</id>
                        <cd S="CD-ITEM" SV="1.7">agreedtreatment</cd>
                        <cd S="LOCAL" SV="1.0" DN="terminal phase comfort care" SL="EWZC-AGREEDTREATMENT" L="en">CTF</cd>
                        <cd S="LOCAL" SV="1.0" DN="comfortzorg terminale fase" SL="EWZC-AGREEDTREATMENT" L="nl">CTF</cd>
                        <content/>
                        <content>
                            <text L="nl"/>
                        </content>
                    </item>
                    <item>
                        <id S="ID-KMEHR" SV="1.0">7</id>
                        <cd S="CD-ITEM" SV="1.7">agreedtreatment</cd>
                        <cd S="LOCAL" SV="1.0" DN="other treatment limitation" SL="EWZC-AGREEDTREATMENT" L="en">GENERIC</cd>
                        <cd S="LOCAL" SV="1.0" DN="andere behandelbeperking" SL="EWZC-AGREEDTREATMENT" L="nl">GENERIC</cd>
                        <content>
                            <cd S="LOCAL" SV="1.0" SL="EWZC-DNR" DN="DNR code" L="nl"/>
                        </content>
                        <content>
                            <text L="nl"/>
                        </content>
                        <content>
                            <text L="nl"/>
                        </content>
                    </item>
                </heading>
            </heading>
        </transaction>
        <lnk TYPE="multimedia" SIZE="">photobas</lnk>
    </folder>
</kmehrmessage>

5. Handicare Medical Questionaire Protocol

5.1. Overview

5.1.2. Revisions

/

5.1.3. Description

Civilians can apply for several types of recognitions, allowances, certificates and a disability parking card at the Federal Public Service Social Security (FPS SS).

In order to treat these applications the FPS SS sends a Request For Information (RFI) to the treating physician’s eHealthBox. The Handicare form supports general practitioners to pass on the requested information of the patient. The data will be passed on in a structured format (KMEHR) and PDF to the FPS SS.

This document describes the structure of the KMEHR and how it needs to be passed on via eHealthBox.

5.1.4. Owner

Handicare - FOD Sociale Zekerheid

5.2. KMEHR

The handicare KMEHR is composed out of two transactions : SUMEHR and NOTE. Kmehr level 4 is required for both transactions.

Only exceptions on the KMEHR standard in context for this specific protocol are mentioned.

Table 5. KMEHR Header
item type occurences description

sender

1

hcparty elements of the sending healthcare party. A mandatory hcparty element of type application should be added with the software name and version of
the software generating this message.

recipient

1..*

hcparty element with the receiving healthcare party

folder.patient

1

Patient identified with INSS

Table 6. SUMEHR Transaction
item type occurences description

sumehr.author

1

Describes the author of the transaction. This author must be a health care professional. It is usually a general practitioner.

sumehr.item.healthcarelement

0..*

Specifies either a 'current problem' or a 'relevant passive care element'.

sumehr.item.treatment

0..*

Proposed treatment other than pharmaceutical

sumehr.item.parameter

0..*

Measurable parameters

sumehr.item.adr

0..*

Specifies a risk relative to a an adverse drug reaction.

sumehr.item.risk

0..*

Specifies other risk factors.

sumehr.item.medication

0..*

Specifies a patient’s medication.

Table 7. NOTE Transaction

item type

occurences

description

note.item.healthissue

0..*

Describes a healthissue with a cd item of the codifications described in [HCA-NOTE] local code dictionary.Each parameter type should occur maximum once.

note.item.parameter

0..*

Describes a parameter with a cd item of the codifications described in [CD-SNOMED] local code dictionary. Each parameter type should occur maximum once.

Table 8. HCA-NOTE local code dictionary
code description value

PRIORITY

Reason for priority

text

KNOWN-IN-PRACTICE

registerdate of patient in the GP’s office

date

NOTE-DIAGNOSIS

follow up notes active diagnosis

text

NOTE-ANTECEDENT

followup notes antecedents

text

NOTE-OTHER-TREATMENT

followup notes other

text

NOTE-GENERAL

general followup notes

text

NOTE-ATTACHMENTS

attachments comments

text

Table 9. CD-SNOMED local code dictionary
code (SNOMED-ID) description value

161152002

Problème social sévère

boolean

170969009

Maladie dégénérative à évolution rapide

boolean

363676003

Soins palliatifs en phase terminale

boolean

42796001

Cancer à un stade avancé

boolean

5.3. eHealthbox Message

5.3.1. Subject

The subject should be one of the following strings:

  • "Evaluatie van de handicap FOD Sociale Zekerheid"

  • "Evaluation du handicap SPF Sécurité sociale"

5.3.2. Addressee

The ehealthbox receiver address of DGHAN is: 0367303366-institution

5.3.3. Metadata

The message should be constructed using the following additional metadata :

KEY

VALUE

Description

EFORMS_TYPE

HANDICARE

the type of the eForm (always HANDCARE)

RFI-id

RFI-id value on the form (text)

RFI-id value on the form

HC-FunctionalType

EFORMS

the functional type of the first attachment

HC-FunctionalType-X

EFORMS-ATTACHMENT

the functional type of attachment X

HC-AttachmentFilename

filename.ext

the filename of the first attachment

HC-AttachmentFilename-X

filename.ext

the filename of attachment X

5.3.4. Patient

Add the patient with INSS to the message.

5.3.5. Attachments

All attachments should be added as binary content to the message

The following attachment should be added to the message :

  1. First attachment with name form-data.xml. This is the form KMEHR XML, the functional type should be EFORMS

  2. Second attachment with name <form_id>.pdf . This is the form PDF representation, the functional type should be EFORMS-ATTACHMENT (See PDF rendering)

  3. Other attachments should be added using the rules described in the table below.

When particular diagnoses are added to the form, specific reports should be added. E.g when a diagnose is added with ICD Cxxx, an oncology report should be added.

ICD Rule Report to add

Cxxx

If available

Joindre un bilan de l’oncologue

Mxxx

If available

Joindre les protocoles les plus récents d’imagerie médicale, rapports les plus récents orthopédiques… au formulaire

Fxxxx

If available and age > 21

Joindre les rapports d’hospitalisation, de spécialistes au formulaire

Fxxxx

If available and age < 21

Joindre rapport PMS (CLB) Bilan pour l’enseignement spécialisé avec le QI, le type d’enseignement, le niveau scolaire atteint par l’enfant, et les bilans éventuels du centre de rééducation.

Sxxx

If available

Joindre les protocoles les plus récents d’imagerie médicale, rapports les plus récents orthopédiques… au formulaire

Gxxxx

If available

Joindre un rapport le plus récent du neurologue et un éventuel rapport d’hospitalisation en neurologie au formulaire

Jxxxx

If available

Joindre.rapport du pneumologue (EFR…) au formulaire

Ixxxx

If available

Joindre bilan cardiologique au formulaire

Hxxx

If available

Joindre rapport ophtalmo ( acuité et champs visuel avec corrections optimales) ou rapport ORL avec audiométries avec et sans correction au formulaire

Exxx

If available

Joindre un rapport de l’endocrinologue

Nxxx

If available

Joindre un rapport du néphrologue ou de l’urologue

Kxxx

If available

Joindre un rapport du spécialiste en gastro-enterologie

Qxxx

If available and age < 21

Joindre dernier bilan du spécialiste

Other

If available

Joindre un rapport du spécialiste

5.4. Additional Requirements

5.4.1. PDF Requirements

The following rules should be taken into account when rendering the KMEHR to PDF:

  • All information entered on the form should be available on the PDF

  • The diagnoses should be sorted on priority, the list of priorities (priorities.xlsx)

  • Only selected items are visible on the PDF

5.4.2. Form User Interface Requirements

  • A selectable priority list will be available which indicates the dossier should be handled by priority (example 1)

  • Their should be a clear indication on which attachments to add according to the selected diagnoses (example 2)

  • It should be possible to add/remove and select diagnoses (example 3)

  • It should be possible to add/remove and select points of attention

  • It should be possible to add/remove and select medication

  • It should be possible to add/remove and select treatments

  • It should be possible to add/remove and select parameters

  • Reeducation location is only visible when the age of the patient < 21j

  • A diagnose can be marked as work accident

  • A diagnose can be marked as important

  • It should be possible to indicate that not all attachments where added

5.5. Examples

5.5.1. User Interface

Example 1 : Priorities

Priorities

Example 2 : Attachments

Attachments

Example 3 : Item management

Items

5.5.2. KMEHR

kmehr.xml
<?xml version="1.0" encoding="UTF-8"?>
<kmehrmessage xmlns:ns2="http://www.w3.org/2001/04/xmlenc#" xmlns="http://www.ehealth.fgov.be/standards/kmehr/schema/v1" xmlns:ns3="http://www.w3.org/2000/09/xmldsig#">
  <header>
    <standard>
      <cd S="CD-STANDARD" SV="1.0">HANDICARE/HANDICARE_MFJ85823</cd>
    </standard>
    <id S="ID-KMEHR" SV="1.0">1</id>
    <date>2016-02-22</date>
    <time>13:27:37</time>
    <sender>
      <hcparty>
        <id S="ID-HCPARTY" SV="1.0">41161652401</id>
        <cd S="CD-HCPARTY" SV="1.0">persphysician</cd>
        <firstname>Mickey</firstname>
        <familyname>Met Alle Rechten</familyname>
        <address>
          <cd S="CD-ADDRESS" SV="1.0">work</cd>
          <country>
            <cd S="CD-FED-COUNTRY" SV="1.0">be</cd>
          </country>
          <zip>
          </zip>
          <city>
          </city>
          <street>
          </street>
          <housenumber>
          </housenumber>
        </address>
      </hcparty>
    </sender>
    <recipient>
      <hcparty>
        <id S="ID-HCPARTY" SV="1.0">
        </id>
        <cd S="CD-HCPARTY" SV="1.0">orghospital</cd>
        <name>
        </name>
      </hcparty>
    </recipient>
  </header>
  <folder>
    <id S="ID-KMEHR" SV="1.0">1</id>
    <patient>
      <id S="ID-PATIENT" SV="1.0">20111474115</id>
      <id S="LOCAL" SV="1.0" SL="RFI-ID">
      </id>
      <firstname>Kobe</firstname>
      <familyname>Bryan</familyname>
      <birthdate>
        <date>1998-11-29</date>
      </birthdate>
      <sex>
        <cd S="CD-SEX" SV="1.0">male</cd>
      </sex>
      <address>
        <cd S="CD-ADDRESS" SV="1.0">home</cd>
        <country>
          <cd S="CD-FED-COUNTRY" SV="1.0">be</cd>
        </country>
        <zip>6700</zip>
        <city>Arlon</city>
        <street>Rue de vitesse 1</street>
        <housenumber>
        </housenumber>
        <postboxnumber>
        </postboxnumber>
      </address>
      <usuallanguage>NL</usuallanguage>
      <civilstate>
        <cd S="CD-CIVILSTATE" SV="1.0">
        </cd>
      </civilstate>
    </patient>
    <transaction>
      <id S="ID-KMEHR" SV="1.0">1</id>
      <cd S="CD-TRANSACTION" SV="1.0">sumehr</cd>
      <date>2016-02-22</date>
      <time>13:27:37</time>
      <author>
        <hcparty>
          <id S="ID-HCPARTY" SV="1.0">41161652401</id>
          <cd S="CD-HCPARTY" SV="1.0">persphysician</cd>
          <firstname>Mickey</firstname>
          <familyname>Met Alle Rechten</familyname>
          <address>
            <cd S="CD-ADDRESS" SV="1.0">work</cd>
            <country>
              <cd S="CD-FED-COUNTRY" SV="1.0">be</cd>
            </country>
            <zip>
            </zip>
            <city>
            </city>
            <street>
            </street>
            <housenumber>
            </housenumber>
          </address>
        </hcparty>
      </author>
      <iscomplete>true</iscomplete>
      <isvalidated>true</isvalidated>
      <item>
        <id S="ID-KMEHR" SV="1.0">1</id>
        <cd S="CD-ITEM" SV="1.6">healthcareelement</cd>
        <content>
          <text L="NL">type II diabetes</text>
        </content>
        <content>
          <cd S="CD-CLINICAL" SV="1.0">10025768</cd>
          <cd S="ICD" SV="10">E11</cd>
          <cd S="ICPC" SV="2">T90</cd>
        </content>
        <beginmoment>
          <date>2015-08-26</date>
        </beginmoment>
        <lifecycle>
          <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
        </lifecycle>
        <isrelevant>true</isrelevant>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">3</id>
        <cd S="CD-ITEM" SV="1.6">healthcareelement</cd>
        <content>
          <text L="NL">hoesten</text>
        </content>
        <content>
          <cd S="CD-CLINICAL" SV="1.0">10041728</cd>
          <cd S="ICD" SV="10">R05</cd>
          <cd S="ICPC" SV="2">R05</cd>
        </content>
        <beginmoment>
          <date>2015-10-27</date>
        </beginmoment>
        <lifecycle>
          <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
        </lifecycle>
        <isrelevant>true</isrelevant>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">2</id>
        <cd S="CD-ITEM" SV="1.6">healthcareelement</cd>
        <content>
          <text L="NL">acinuscellever</text>
        </content>
        <content>
          <cd S="CD-CLINICAL" SV="1.0">10002162</cd>
          <cd S="ICD" SV="10">D48.9</cd>
          <cd S="ICPC" SV="2">A99</cd>
        </content>
        <beginmoment>
          <date>2015-08-26</date>
        </beginmoment>
        <lifecycle>
          <cd S="CD-LIFECYCLE" SV="1.6">inactive</cd>
        </lifecycle>
        <isrelevant>true</isrelevant>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">12</id>
        <cd S="CD-ITEM" SV="1.6">treatment</cd>
        <content>
          <text L="NL">folder mazelen wvvh</text>
        </content>
        <beginmoment>
          <date>2015-10-27</date>
        </beginmoment>
        <lifecycle>
          <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
        </lifecycle>
        <isrelevant>true</isrelevant>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">13</id>
        <cd S="CD-ITEM" SV="1.6">treatment</cd>
        <content>
          <text L="NL">APO biopsie a.temporalis links</text>
        </content>
        <beginmoment>
          <date>2015-09-07</date>
        </beginmoment>
        <lifecycle>
          <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
        </lifecycle>
        <isrelevant>true</isrelevant>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">14</id>
        <cd S="CD-ITEM" SV="1.6">treatment</cd>
        <content>
          <text L="NL">kinesitherapie</text>
        </content>
        <beginmoment>
          <date>2015-08-26</date>
        </beginmoment>
        <lifecycle>
          <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
        </lifecycle>
        <isrelevant>true</isrelevant>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">15</id>
        <cd S="CD-ITEM" SV="1.6">treatment</cd>
        <content>
          <text L="NL">CAT-scan abdomen zonder en met contrast</text>
        </content>
        <beginmoment>
          <date>2015-09-07</date>
        </beginmoment>
        <lifecycle>
          <cd S="CD-LIFECYCLE" SV="1.6">inactive</cd>
        </lifecycle>
        <isrelevant>true</isrelevant>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">8</id>
        <cd S="CD-ITEM" SV="1.6">parameter</cd>
        <cd S="CD-PARAMETER" SV="1.0">sbp</cd>
        <content>
          <decimal>222</decimal>
          <unit>
            <cd S="CD-UNIT" SV="1.0">mmhg</cd>
          </unit>
        </content>
        <beginmoment>
          <date>2015-10-27</date>
        </beginmoment>
        <lifecycle>
          <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
        </lifecycle>
        <isrelevant>true</isrelevant>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">9</id>
        <cd S="CD-ITEM" SV="1.6">parameter</cd>
        <cd S="CD-PARAMETER" SV="1.0">weight</cd>
        <content>
          <decimal>80</decimal>
          <unit>
            <cd S="CD-UNIT" SV="1.0">kg</cd>
          </unit>
        </content>
        <beginmoment>
          <date>2015-09-07</date>
        </beginmoment>
        <lifecycle>
          <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
        </lifecycle>
        <isrelevant>true</isrelevant>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">10</id>
        <cd S="CD-ITEM" SV="1.6">parameter</cd>
        <cd S="CD-PARAMETER" SV="1.0">height</cd>
        <content>
          <decimal>180</decimal>
          <unit>
            <cd S="CD-UNIT" SV="1.0">cm</cd>
          </unit>
        </content>
        <beginmoment>
          <date>2015-09-07</date>
        </beginmoment>
        <lifecycle>
          <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
        </lifecycle>
        <isrelevant>true</isrelevant>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">11</id>
        <cd S="CD-ITEM" SV="1.6">parameter</cd>
        <cd S="CD-PARAMETER" SV="1.0">bmi</cd>
        <content>
          <decimal>24.7</decimal>
          <unit>
            <cd S="CD-UNIT" SV="1.0">kg/m2</cd>
          </unit>
        </content>
        <beginmoment>
          <date>2015-09-07</date>
        </beginmoment>
        <lifecycle>
          <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
        </lifecycle>
        <isrelevant>true</isrelevant>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">4</id>
        <cd S="CD-ITEM" SV="1.6">adr</cd>
        <content>
          <text L="NL">Amoxicilline Apotex bruistab 20x 1 g</text>
        </content>
        <content>
          <cd S="CD-ATC" SV="2">J01CA04</cd>
        </content>
        <beginmoment>
          <date>2015-08-26</date>
        </beginmoment>
        <lifecycle>
          <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
        </lifecycle>
        <isrelevant>true</isrelevant>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">7</id>
        <cd S="CD-ITEM" SV="1.6">familyrisk</cd>
        <content>
          <cd S="CD-CLINICAL" SV="1.0">10056050</cd>
          <cd S="ICD" SV="10">M54.5</cd>
          <cd S="ICPC" SV="2">L03</cd>
        </content>
        <content>
          <cd S="CD-CONTACT-PERSON" SV="1.0">daughter</cd>
        </content>
        <content>
          <text L="NL">lumbago</text>
        </content>
        <beginmoment>
          <date>2015-10-27</date>
        </beginmoment>
        <lifecycle>
          <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
        </lifecycle>
        <isrelevant>true</isrelevant>
      </item>
    </transaction>
    <transaction>
      <id S="ID-KMEHR" SV="1.0">2</id>
      <cd S="CD-TRANSACTION" SV="1.0">note</cd>
      <date>2016-02-22</date>
      <time>13:27:37</time>
      <author>
        <hcparty>
          <id S="ID-HCPARTY" SV="1.0">41161652401</id>
          <cd S="CD-HCPARTY" SV="1.0">persphysician</cd>
          <firstname>Mickey</firstname>
          <familyname>Met Alle Rechten</familyname>
          <address>
            <cd S="CD-ADDRESS" SV="1.0">work</cd>
            <country>
              <cd S="CD-FED-COUNTRY" SV="1.0">be</cd>
            </country>
            <zip>
            </zip>
            <city>
            </city>
            <street>
            </street>
            <housenumber>
            </housenumber>
          </address>
        </hcparty>
      </author>
      <iscomplete>true</iscomplete>
      <isvalidated>true</isvalidated>
      <item>
        <id S="ID-KMEHR" SV="1.0">1</id>
        <cd S="CD-ITEM" SV="1.7">healthissue</cd>
        <cd S="LOCAL" SV="1.0" DN="Follow up notes active diagnosis" SL="EWZC-NOTE" L="en">NOTE-DIAGNOSIS</cd>
        <content>
          <text L="nl">
          </text>
        </content>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">2</id>
        <cd S="CD-ITEM" SV="1.7">healthissue</cd>
        <cd S="LOCAL" SV="1.0" DN="followup notes antecedents" SL="EWZC-NOTE" L="en">NOTE-ANTECEDENT</cd>
        <content>
          <text L="nl">
          </text>
        </content>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">3</id>
        <cd S="CD-ITEM" SV="1.7">healthissue</cd>
        <cd S="LOCAL" SV="1.0" DN="followup notes antecedents" SL="EWZC-NOTE" L="en">NOTE-OTHER-TREATMENT</cd>
        <content>
          <text L="nl">
          </text>
        </content>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">4</id>
        <cd S="CD-ITEM" SV="1.7">healthissue</cd>
        <cd S="LOCAL" SV="1.0" DN="general followup notes" SL="EWZC-NOTE" L="en">NOTE-GENERAL</cd>
        <content>
          <text L="nl">
          </text>
        </content>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">5</id>
        <cd S="CD-ITEM" SV="1.7">healthissue</cd>
        <cd S="LOCAL" SV="1.0" DN="general followup notes" SL="EWZC-NOTE" L="en">NOTE-GENERAL</cd>
        <content>
          <text L="nl">
          </text>
        </content>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">6</id>
        <cd S="CD-ITEM" SV="1.7">healthissue</cd>
        <cd S="LOCAL" SV="1.0" DN="Kown in practice since" SL="EWZC-NOTE" L="en">KNOWN-IN-PRACTICE</cd>
        <content>
          <text L="nl">19/02/2016</text>
        </content>
        <content>
          <date>2016-02-19</date>
        </content>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">7</id>
        <cd S="CD-ITEM" SV="1.7">healthissue</cd>
        <cd S="LOCAL" SV="1.0" DN="Priority" SL="HCA-NOTE" L="en">PRIORITY</cd>
        <content>
          <text L="nl">Kanker in gevorderd stadium  </text>
        </content>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">8</id>
        <cd S="CD-ITEM" SV="1.0">parameter</cd>
        <content>
          <cd S="CD-SNOMED" SV="1.0" DN="Cancer à un stade avancé">42796001</cd>
        </content>
        <content>
          <boolean>true</boolean>
        </content>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">9</id>
        <cd S="CD-ITEM" SV="1.0">parameter</cd>
        <content>
          <cd S="CD-SNOMED" SV="1.0" DN="Soins palliatifs en phase terminale">363676003</cd>
        </content>
        <content/>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">10</id>
        <cd S="CD-ITEM" SV="1.0">parameter</cd>
        <content>
          <cd S="CD-SNOMED" SV="1.0" DN="Maladie dégénérative à évolution rapide">170969009</cd>
        </content>
        <content/>
      </item>
      <item>
        <id S="ID-KMEHR" SV="1.0">11</id>
        <cd S="CD-ITEM" SV="1.0">parameter</cd>
        <content>
          <cd S="CD-SNOMED" SV="1.0" DN="Problème social sévère">161152002</cd>
        </content>
        <content/>
        <content>
          <text L="nl">
          </text>
        </content>
      </item>
    </transaction>
  </folder>
</kmehrmessage>

6. Defense Consultation Protocol

6.1. Overview

6.1.1. Contact

6.1.2. Revisions

/

6.1.3. Description

This transaction allows the physician, who has an agreement with Belgian Defense, to send a summarized electronic health record (SumEHR) and share information about the services he delivered for military patients.

The information will subsequently be integrated into the military electronic patient record. Ultimately this approach will serve two purposes:

  • Improve patient safety of military personnel by exchanging important healthcare information, such as allergies, vaccines and medical history.

  • Reduce the caretaker’s paperwork and facilitate payment for the services delivered.

6.1.4. Owner

Belgium Defense (http://www.mil.be)

6.2. KMEHR

The defense consultation KMEHR is composed out of one transaction : declarationservices. Kmehr level 4 is required for both transactions.

Only exceptions on the KMEHR standard in context for this specific protocol are mentioned.

Table 10. KMEHR Header
item type occurences description

sender

1

hcparty elements of the sending healthcare party. A mandatory hcparty element of type application should be added with the software name and version of
the software generating this message.

recipient

1..*

hcparty element with the receiving healthcare party

folder.patient

1

Patient identified with INSS

Table 11. DECLARATIONSERVICES Transaction
item type occurences description

declarationservices.author

1

Describes the author of the transaction. This author must be a health care professional. It is usually a general practitioner.

declarationservices.gmdmanager

1

Specifies the manager of the DMG/GMD

declarationservices.item.healthcareelement

0..*

Specifies either a 'current problem' or a 'relevant passive care element'.

declarationservices.item.risk

0..*

Specifies other risk factors.

declarationservices.item.vaccine

0..*

Specifies an administrated vaccine.

declarationservices.item.medication

0..*

Specifies a patient’s medication.

declarationservices.item.claim

0..*

Specifies on or more claims of the consultation (CD-NIHDI).

6.3. eHealthbox Message

6.3.1. Subject

The subject should be:

  • Defensie Consultation

6.3.2. Addressee

The ehealthbox receiver is fixed : 0308357555-institution

6.3.3. Metadata

The message should be constructed using the following additional metadata :

KEY

VALUE

Description

EFORMS_TYPE

MIL-CONSULTATION

the type of the eForm (always MIL-CONSULTATION)

HC-FunctionalType

EFORMS

the functional type of the first attachment

HC-FunctionalType-X

EFORMS-ATTACHMENT

the functional type of attachment X

HC-AttachmentFilename

filename.ext

the filename of the first attachment

HC-AttachmentFilename-X

filename.ext

the filename of attachment X

6.3.4. Patient

Add the patient with INSS identifier to the message.

6.3.5. Attachments

This form does not support attachments

6.4. Examples

6.4.1. KMEHR

kmehr.xml
<?xml version="1.0" encoding="UTF-8"?>
<kmehrmessage xmlns="http://www.ehealth.fgov.be/standards/kmehr/schema/v1">
    <header>
        <standard>
            <cd S="CD-STANDARD" SV="1.18">20160901</cd>
        </standard>
        <id S="ID-KMEHR" SV="1.0">329f472f-69f7-475d-9b9f-c5a4814ef6ac</id>
        <date>2016-12-22</date>
        <sender>
            <hcparty>
                <id S="ID-HCPARTY" SV="1.0">41161652401</id>
                <id S="INSS" SV="1.0">79070436460</id>
                <id S="LOCAL" SL="AUTHOR-CONTRACT-ID" SV="1.0">MED1234</id>
                <cd S="CD-HCPARTY" SV="1.0">persphysician</cd>
                <firstname>Mickey</firstname>
                <familyname>Met Alle Rechten</familyname>
                <address>
                    <cd S="CD-ADDRESS" SV="1.0">work</cd>
                    <country>
                        <cd S="CD-FED-COUNTRY" SV="1.0">be</cd>
                    </country>
                    <zip>2000</zip>
                    <city>Antwerpen</city>
                    <street>Groenplaats 3</street>
                    <housenumber/>
                </address>
                <telecom>
                    <cd S="CD-ADDRESS" SV="1.0">home</cd>
                    <cd S="CD-TELECOM" SV="1.0">phone</cd>
                    <telecomnumber>+13790882</telecomnumber>
                </telecom>
                <telecom>
                    <cd S="CD-TELECOM" SV="1.0">email</cd>
                    <telecomnumber>pemrtester3@gmail.com</telecomnumber>
                </telecom>
            </hcparty>
            <hcparty>
                <id S="LOCAL" SV="1.0">CareConnect 2.92.9</id>
                <cd S="CD-HCPARTY" SV="1.6">application</cd>
                <name>CareConnect 2.9</name>
            </hcparty>
        </sender>
        <recipient>
            <hcparty>
                <id S="ID-HCPARTY" SV="1.0">0308357555</id>
                <cd S="CD-HCPARTY" SV="1.0">persadministrative</cd>
                <name>Belgian Defense</name>
            </hcparty>
        </recipient>
    </header>
    <folder>
        <id S="ID-KMEHR" SV="1.0">1</id>
        <patient>
            <id S="ID-PATIENT" SV="1.0">79070430027</id>
            <firstname>Kobe</firstname>
            <familyname>Bryan</familyname>
            <birthdate>
                <date>1998-11-29</date>
            </birthdate>
            <sex>
                <cd S="CD-SEX" SV="1.0">male</cd>
            </sex>
            <address>
                <cd S="CD-ADDRESS" SV="1.0">home</cd>
                <country>
                    <cd S="CD-FED-COUNTRY" SV="1.0">be</cd>
                </country>
                <zip>6700</zip>
                <city>Arlon</city>
                <street>Rue de vitesse 1</street>
                <housenumber/>
                <postboxnumber/>
            </address>
            <usuallanguage>FR</usuallanguage>
        </patient>
        <transaction>
            <id S="ID-KMEHR" SV="1.0">1</id>
            <cd S="CD-TRANSACTION" SV="1.0">declarationservices</cd>
            <cd S="CD-TRANSACTION-TYPE" SV="1.1">declaration-persphysician</cd>
            <date>2016-12-22</date>
            <author>
                <hcparty>
                    <id S="ID-HCPARTY" SV="1.0">41161652401</id>
                    <id S="INSS" SV="1.0">79070436460</id>
                    <id S="LOCAL" SL="AUTHOR-CONTRACT-ID" SV="1.0">MED1234</id>
                    <cd S="CD-HCPARTY" SV="1.0">persphysician</cd>
                    <firstname>Mickey</firstname>
                    <familyname>Met Alle Rechten</familyname>
                    <address>
                        <cd S="CD-ADDRESS" SV="1.0">work</cd>
                        <country>
                            <cd S="CD-FED-COUNTRY" SV="1.0">be</cd>
                        </country>
                        <zip>2000</zip>
                        <city>Antwerpen</city>
                        <street>Groenplaats 3</street>
                        <housenumber/>
                    </address>
                    <telecom>
                        <cd S="CD-ADDRESS" SV="1.0">home</cd>
                        <cd S="CD-TELECOM" SV="1.0">phone</cd>
                        <telecomnumber>+13790882</telecomnumber>
                    </telecom>
                    <telecom>
                        <cd S="CD-TELECOM" SV="1.0">email</cd>
                        <telecomnumber>pemrtester3@gmail.com</telecomnumber>
                    </telecom>
                </hcparty>
            </author>
            <iscomplete>true</iscomplete>
            <isvalidated>true</isvalidated>
            <item>
                <id S="ID-KMEHR" SV="1.0">1</id>
                <cd S="CD-ITEM" SV="1.0">gmdmanager</cd>
                <content>
                    <hcparty>
                        <id S="ID-HCPARTY" SV="1.0">41161652401</id>
                        <cd S="CD-HCPARTY" SV="1.0">persphysician</cd>
                        <firstname>Mickey</firstname>
                        <familyname>Met Alle Rechten</familyname>
                    </hcparty>
                </content>
            </item>
            <item>
                <id S="ID-KMEHR" SV="1.0">101</id>
                <cd S="CD-ITEM" SV="1.0">healthcareelement</cd>
                <content>
                    <text L="NL">probleem met bril (10000423 / F17 / Z46.0)</text>
                </content>
                <content>
                    <cd S="CD-CLINICAL" SV="1.0">10000423</cd>
                    <cd S="ICD" SV="10">Z46.0</cd>
                    <cd S="ICPC" SV="2">F17</cd>
                </content>
                <lifecycle>
                    <cd S="CD-LIFECYCLE" SV="1.6">active</cd>
                </lifecycle>
            </item>
            <item>
                <id S="ID-KMEHR" SV="1.0">303</id>
                <cd S="CD-ITEM" SV="1.0">risk</cd>
                <content>
                    <text L="NL">Aandoeningen door overmatige inspanning van peesscheden, van het weefsel van peesscheden en van inplantingen van spieren en pezen bij de schouwspelartiesten</text>
                </content>
            </item>
            <item>
                <id S="ID-KMEHR" SV="1.0">405</id>
                <cd S="CD-ITEM" SV="1.0">medication</cd>
                <content>
                    <text L="NL">Dafalgan bruistabl. (deelb.) Forte 40x 1g (3391273 / Dafalgan bruistabl. (deelb.) Forte 40x 1g)</text>
                </content>
                <content>
                    <medicinalproduct>
                        <intendedcd S="CD-DRUG-CNK" SV="20100701">3391273</intendedcd>
                        <intendedname>Dafalgan bruistabl. (deelb.) Forte 40x 1g</intendedname>
                    </medicinalproduct>
                </content>
            </item>
            <item>
                <id S="ID-KMEHR" SV="1.0">406</id>
                <cd S="CD-ITEM" SV="1.0">medication</cd>
                <content>
                    <text L="NL">paracetamol + codeïne + coffeïne oraal 500 mg + 30 mg + 50 mg (- / -)</text>
                </content>
                <content>
                    <medicinalproduct>
                        <intendedcd S="CD-DRUG-CNK" SV="20100701"/>
                        <intendedname/>
                    </medicinalproduct>
                </content>
            </item>
            <item>
                <id S="ID-KMEHR" SV="1.0">601</id>
                <cd S="CD-ITEM" SV="1.0">claim</cd>
                <content>
                    <cd S="CD-NIHDI" SV="1.0">101032</cd>
                </content>
            </item>
        </transaction>
    </folder>
</kmehrmessage>

7. Re-Integration Transfer Protocol

7.1. Overview

Within the re-integration project one KMEHR has been defined to define the re-integration record.

The data within this defined KMEHR is used to define multiple structured communication flows.

7.1.1. Contact

7.1.2. Revisions

/

7.2. KMEHR

7.2.1. Header

Table 12. Werknemer

Description

item type

occurences

Varia

Familienaam

folder.patient.familyname

1

Voornaam

folder.patient.firstname

1

Adres

folder.patient.address

0..1

See example :(https://www.ehealth.fgov.be/standards/kmehr/content/page/39/patient)

Geboortedatum

folder.patient.birthdate

0..1

 

INSZ

folder.patient.id

1

Taal

folder.patient.usuallanguage

0..1

Geslacht

Folder.patient.sex

0..1

Nationaliteit

folder.patient.nationality

0..1

7.2.2. Request transaction

Table 13. Request

Description

item type

occurences

Varia

Aanvrager (Werknemer/ Behandelende arts / Adv.geneesheer / werkgever)

item.request.content.HCPARTY

1

Describes a requester with a cd item of the codifications described in [RI-actor] local code 

Reden tot aanvraag (Vrije tekst, bv opmerkingen, begeleidende tekst in te vullen door aanvrager)

item.re-request.content.cd

1

Describes a type of reason of request with a cd item of the codifications "RI-Request-Reason" 

Eventuele oplossing

item.re-request.content.cd

0..1

Describes a type of reason of request with a cd item of the codifications "RI-Request-Solution" 

Ontvangen op

item.request.beginmoment

1

Describes the received date of the request

7.2.3. Dossier transaction

Table 14. Relatie - Werkgever-Preventiedienst

Description

Item type

Occurences

Varia

KBO nummer werkgever

item.membership.content.HCPARTY.cd

1

Describes a HCPARTY with a cd item of the codifications described in [RI-actor] local code. Always use "employer"

Adres werkgever

item.membership.content.HCPARTY.address

0..1

Naam Werkgever

item.membership.content.HCPARTY.NAME

0..1

Naam Werkgever

item.membership.content.HCPARTY.NAME

0..1

KBO nummer preventiedienst

item.membership.content.HCPARTY.ID

1

HCPARTY of type "ORGPREVENTION"

Adres preventiedienst

item.membership.content.HCPARTY.address

0..1

Naam Preventiedienst

item.membership.content.HCPARTY.cd

0..1

Is intern departement medisch toezicht?

item.membership.content.cd

1

Startdatum

item.membership.beginmoment

1

Einddatum

item.membership.endmoment

0..1

Table 15. Mutualiteit

Description

Item type

Occurences

Varia

Naam

Item.insurance

0..1

See key elements (https://www.ehealth.fgov.be/standards/kmehr/content/page/36/key-elements)

Table 16. Record state

Description

Item type

Occurences

Varia

Status dossier

Item.dossierstate.content.cd

1

Describes a state of the RI-dossier with a cd item of the codifications described in [RI-State] local code 

Reden dossier afgesloten

item.dossierstate.content.cd

0..1

Describes a close reason with a cd item of the codifications "RI-CloseReason" local code

Table 17. Arbeidsongeschiktheid

Description

Item type

Occurences

Varia

Reden

item.incapacity

1

Describes a reason for incapacity with a cd item of the codifications "RI-INCAPACITYRESASON" local code 
Content cd : CD-INCAPACITY

Van

item. incapacity.beginmoment

1

Start date of the incapacity

Tot

item. incapacity.endmoment

0..1

End date of the incapacity

Table 18. Behandelende artsen
Description Item type Occurences Varia

RIZIV nummer

item.contactperson.content.HCPARTY.id

1

item with cd-item of the codifications [RI-Treating-Party]

Describes a HCPARTY with a cd item of the codifications [RI-actor] local code. Always use "RI-TREATINGPHYSICIAN"

Value id : RIZIV nummer

Familienaam

item. contacthcparty.content.HCPARTY.familyname

1

item with cd-item of the codifications [RI-Treating-Party]

Describes a HCPARTY with a cd item of the codifications [RI-actor] local code. Always use "RI-TREATINGPHYSICIAN"

Value id : RIZIV nummer

Voornaam

item. contacthcparty.content.HCPARTY.firstname

1

item with cd-item of the codifications [RI-Treating-Party]

Describes a HCPARTY with a cd item of the codifications [RI-actor] local code. Always use "RI-TREATINGPHYSICIAN"

Value id : RIZIV nummer

Specialiteit

item contacthcparty.text

1

Contains speciality of the treating physician

Toegevoegd op datum

item. contacthcparty.beginmoment

1

Date when the treating physician is added in the system

Table 19. Overeengekomen werk
Description Item type Occurences Varia

Overeengekomen werk

item.jobcontent.content.text

1

Table 20. Afspraak met de werknemer
Description Item type Occurences Varia

Datum

item.encounter.beginmoment

1

Met

item. encounter.content.HCPARTY

1

Hcparty cd : "RI-COMPANYPHYSICIAN"

Status

item. encounter.local.text

1

local cd : "RI-Meeting-State"
Values : see "RI-MEETING-STATE"

Bemerkingen

item. encounter

1

local cd : "RI-Meeting-comment"

Table 21. Akkoordverklaring
Description Item type Occurences Varia

Akkoordverklaring (Ja/neen)

item. agreement.content.cd

1

Datum

item. agreement.beginmoment

1

Table 22. Overleg
Description Item type Occurences Varia

Voorstel

item.deliberation

1

Values : see "RI-Options"

Ontvangen op

item. deliberation.beginmoment

1

item cd : "RI-Deliberation"

Feedback

item. deliberation.content.cd

0..1

local cd : "RI-Feedback"

Table 23. Bevindingen en beslissing
Description Item type Occurences Varia

Beslissing

item.conclusion.

content.cd

1

local cd : "RI-Decision-Options"
Values : see "RI-Options"

Modaliteiten

item. conclusion. content.cd

0..1

local cd : "RI-Modality"

Motivatie beslissing

item. conclusion. content.cd

0..1

item cd : "RI-Decision"
local cd : "RI-Motivation

Genomen op

item. conclusion.beginmoment

1

Table 24. Re-integratieplan - feedback
Description Item type Occurences Varia

Akkoord

item. outcome.local.Boolean

0..1

local cd : "RI-Feedback-Agreed"

Ontangen op

item. outcome.beginmoment

1

item cd : "RI-Feedback"

Feedback

item.outcome. content.cd

0..1

item cd : "RI-Feedback"

Table 25. Re-integratieplan - feedback Mutualiteit
Description Item type Occurences Varia

Bijkomende informatie

item. outcome.local.text

0..1

local cd : "RI-additional-info"

Akkoord

item. outcome.local.Boolean

1

local cd : "RI-Mutuality-agreed"

Ontvangen op

item. outcome.beginmoment

1

Reden niet akkoord

item. outcome.local.text

0..1

local cd : "RI-Mutuality-Reason"

Table 26. Akkoord werknemer

Description

Item type

Occurences

Varia

JA/NEEN

item. outcome.local.Boolean

1

local cd : "RI-Agreed"

7.2.5. Note transaction

7.2.6. RI-Actor list

Code

Description

Value

treatingphysician

huisarts

tekst (RIZIV-nummer)

employer

Werknemer

tekst (KBO-nummer)

employee

Werkgever

tekst (INSZ-nummer)

companyphysician

Arbeidsgeneesheer

tekst (RIZIV-nummer)

7.2.7. RI-STATE list

Code

Description

Value

RI-State-1

Vervolledigen gegevens

Tekst

RI-State-2

Afronden aanvraag

Tekst

RI-State-3

Verzamelen gegevens voor beoordeling

Tekst

RI-State-4

Overleg beoordeling

Tekst

RI-State-5

Wachten op RI-voorstel

Tekst

RI-State-6

Feedback voorzien op RI-voorstel

Tekst

RI-State-7

Feedback RI-voorstel adv. Geneesheer

Tekst

RI-State-8

Wachten op akkoord van de werknemer

Tekst

RI-State-9

Dossier afgesloten

Tekst

RI-State-10

Werknemer heeft beroep ingediend

Tekst

7.2.8. RI-CloseReason list

Code Description Value

RI-CLOSED-1

Werknemer heeft voorstel ondertekend

Tekst

RI-CLOSED-2

Werknemer heeft voorstel niet ondertekend

Tekst

RI-CLOSED-3

Werknemer werkt niet meer bij huidige werkgever

Tekst

RI-CLOSED-4

Medische toestand van de werknemer is verergerd.

Tekst

RI-CLOSED-5

Werknemer is terug beginnen werken.

Tekst

RI-CLOSED-6

Foute invoer

Tekst

RI-CLOSED-7

N.v.t voor arbeidsongeval of beroepsziekte

Tekst

7.2.9. RI-Meeting-State list

Code

Description

Value

RI-PLANNED

Afspraak ingepland

tekst

RI-PHYSICIAN-ABSENT

Afspraak niet doorgegaan: afwezigheid arts

tekst

RI-EMPLOYEE-ABSENT

Afspraak niet doorgegaan: afwezigheid werknemer

tekst

7.2.10. RI-OPTIONS List

Code

Description

Value

RI-option-A

optie A

tekst

RI-option-B

optie B

tekst

RI-option-C

optie C

tekst

RI-option-D

optie D

tekst

RI-option-E

optie E

tekst

8. Re-Integration Transfer Protocol For EMD

8.1. Overview

Within the re-integration project one KMEHR has been defined to define the re-integration record.

The data within this defined KMEHR is used to define multiple structured communication flows.

Within the re-integration project a General Practioner can send 3 different types of messages depending on the stage of the worfklow.

rido emd

1) A re-integration request is send to the occupational physician.

2) More information concerning the patient is send the the occupational physician.

3) The General Practioner provides feedback regarding the proposition that the occupational physician has provided.

So that other stakeholder of the re-integration workflow (mutuality, prevention services) can incorporate the messages correctly we will define beneath the 3 xml’s files (KMEHR-based) that need to be send by a general practioner.

In this section we only define the XML structure that need to be send through an adr message through the eHealthBox.
In addition to the XML/KMEHR message also a pdf is send so that the other party can easily read the content of the file without any technical knowledge.

8.1.1. Contact

8.2. Authentic sources

8.3. Common for all 3 messages

The header and folder are basic KMEHR elements and are the same for the 3 types of messages.
For more information about basic KMEHR please navigate to https://www.ehealth.fgov.be/standards/kmehr/content/page/45/specifications.

8.3.1. Header

For more information about the header and mandatory fields, please navigate to (https://www.ehealth.fgov.be/standards/kmehr/content/page/38/header)

The minimal required information for the re-integration project are :

Table 27. header

Description

item type

occurences

Varia

Standard

header.standard

1

id

header.id

1

Date

header.date

1

Time

header.time

1

Sender

header.sender

1

Recipient

header.recipient

1

Example :

header.xml
<header>
       <standard>
           <cd S="CD-STANDARD" SV="1.5">20121001</cd>
       </standard>
       <id S="ID-KMEHR" SV="1.0">a99de341-417b-47da-9ff0-bcfd592caf37</id>
       <date>2017-03-15</date>
       <time>14:56:45</time>
       <sender>
           <hcparty>
               <id SV="1.0" S="ID-HCPARTY">0410064629</id>
               <cd S="CD-HCPARTY" SV="1.6">orgprevention</cd>
               <name>Premed</name>
               <address>
                   <cd S="CD-ADDRESS" SV="1.0">work</cd>
                   <country>
                       <cd S="CD-FED-COUNTRY" SV="1.0">be</cd>
                   </country>
                   <zip>3010</zip>
                   <city>Leuven</city>
                   <street>Tiensevest</street>
                   <housenumber>61</housenumber>
                   <postboxnumber/>
               </address>
           </hcparty>
           <hcparty>
               <id S="LOCAL" SV="2.6">CareConnect</id>
               <cd S="CD-HCPARTY" SV="1.0">application</cd>
               <name>CareConnect2.6</name>
           </hcparty>
       </sender>
       <recipient>
           <hcparty>
               <id S="ID-HCPARTY" SV="1.0">00000097</id>
               <cd S="CD-HCPARTY" SV="1.0">persphysician</cd>
               <name>eForms</name>
           </hcparty>
       </recipient>
   </header>

8.3.2. Folder

For more information about the folder and mandatory fields, please navigate to (https://www.ehealth.fgov.be/standards/kmehr/content/page/38/header)

The minimal required information for the re-integration project are :

Table 28. folder

Description

item type

occurences

Varia

id

folder.id

1

Patient

folder.patient

1

transaction

folder.transaction.*

see later

Example :

folder.xml
<folder>
       <id S="ID-KMEHR" SV="1.0">1</id>
       <patient>
           <id S="LOCAL" SV="1.0">79</id>
           <id S="ID-PATIENT" SV="1.2">94060428757</id>
           <firstname>Daan</firstname>
           <familyname>Callaert</familyname>
           <birthdate>
               <date>1994-06-03</date>
           </birthdate>
           <sex>
               <cd S="CD-SEX" SV="1.0">male</cd>
           </sex>
           <address>
               <cd S="CD-ADDRESS" SV="1.0">home</cd>
               <country>
                   <cd S="CD-FED-COUNTRY" SV="1.0">be</cd>
               </country>
               <zip>9860</zip>
               <city>Oosterzele</city>
               <street>Hoogstraat</street>
               <housenumber>15</housenumber>
               <postboxnumber>A</postboxnumber>
           </address>
           <usuallanguage>NL</usuallanguage>
       </patient>
       <transaction>
         see later
      </transaction>

8.4. Re-integration Request

The first step is the request that need to be send is a re-integration request.
The header and folder fields are already described above.
In this section we will focus on the content of the transaction for this specific message.
2 types of transaction are defined, one for the request and one that makes the base for the record.

Table 29. Request

Description

item type

occurences

Varia

Requestor

item.request.content.cd

1

Describes a requester with a cd item of the codifications described in [RI-actor] local code 

Reason for request

item.re-request.content.cd

1

Describes a type of reason of request with a cd item of the codifications "RI-Request-Reason" 

Table 30. Relatie - Werkgever-Preventiedienst

Description

Item type

Occurences

Varia

CBE number employer

item.membership.content.HCPARTY.cd

1

Describes a HCPARTY with a cd item of the codifications described in [RI-actor] local code.
Always use "employer"

Address employer

item.membership.content.HCPARTY.address

0..1

Name employer

item.membership.content.HCPARTY.NAME

0..1

CBE number prevention service

item.membership.content.HCPARTY.ID

1

HCPARTY of type "ORGPREVENTION"

Address prevention service

item.membership.content.HCPARTY.address

0..1

Name prevention service

item.membership.content.HCPARTY.cd

0..1

Is internal prevention service?

item.membership.content.cd

1

StartDate

item.membership.beginmoment

1

EndDate

item.membership.endmoment

0..1

Example :

re-integration request
<?xml version="1.0" encoding="UTF-8"?>
<kmehrmessage xmlns="http://www.ehealth.fgov.be/standards/kmehr/schema/v1">
    <header>
        ...
    </header>
    <folder>
        <id S="ID-KMEHR" SV="1.0">1</id>
        <patient>
          ...
        </patient>
        <transaction>
            <id S="ID-KMEHR" SV="1.0">1</id>
            <cd S="CD-TRANSACTION" SV="1.5">request</cd>
            <item>
                <id S="ID-KMEHR" SV="1.0">1</id>
                <cd S="CD-ITEM-REINTEGRATION" SV="1.0">request</cd>
                <content>
                    <cd S="LOCAL" SV="1.0" SL="RI-ACTOR">advisingPhysician</cd>
                </content>
                <content>
                    <cd S="LOCAL" SV="1.0" SL="CD-RIREQUEST">reason</cd>
                    <text L="nl">Eventueel aangepast werk mogelijk ?</text>
                </content>
            </item>
        </transaction>
        <transaction>
            <id S="ID-KMEHR" SV="1.0">1</id>
            <id S="LOCAL" SV="1.0">sumehr.07f3792a-4c37-4746-81ff-be5f9b0de894</id>
            <cd S="CD-TRANSACTION" SV="1.5">dossier</cd>
            <date>2017-03-15</date>
            <time>14:56:45</time>
            <item>
                <id S="ID-KMEHR" SV="1.0">2</id>
                <cd S="CD-ITEM" SV="1.0">membership</cd>
                <content>
                    <hcparty>
                        <id SV="1.0" S="ID-HCPARTY">0478895136</id>
                        <cd S="LOCAL" SV="1.0" SL="RI-ACTOR">employer</cd>
                        <name>HealthConnect</name>
                        <address>
                            <cd S="CD-ADDRESS" SV="1.0">other</cd>
                            <country>
                                <cd S="CD-FED-COUNTRY" SV="1.0">be</cd>
                            </country>
                            <zip>1800</zip>
                            <city>Vilvoorde</city>
                            <street>Luchthavenlaan</street>
                            <housenumber>15</housenumber>
                            <postboxnumber>B</postboxnumber>
                        </address>
                    </hcparty>
                </content>
            </item>
            <item>
                <id S="ID-KMEHR" SV="1.0">3</id>
                <cd S="CD-ITEM" SV="1.0">membership</cd>
                <content>
                    <hcparty>
                        <id SV="1.0" S="ID-HCPARTY">0410064629</id>
                        <cd S="CD-HCPARTY" SV="1.6">orgprevention</cd>
                        <cd S="LOCAL" SV="1.0" SL="CD-RIPREVDEPARTTYPE">external</cd>
                        <name>Premed</name>
                        <address>
                            <cd S="CD-ADDRESS" SV="1.0">work</cd>
                            <country>
                                <cd S="CD-FED-COUNTRY" SV="1.0">be</cd>
                            </country>
                            <zip>3010</zip>
                            <city>Leuven</city>
                            <street>Tiensevest</street>
                            <housenumber>61</housenumber>
                            <postboxnumber/>
                        </address>
                    </hcparty>
                </content>
                <beginmoment>
                    <date>2016-10-23</date>
                </beginmoment>
                <endmoment>
                    <date>2016-12-25</date>
                </endmoment>
            </item>
            <item>
                <id S="ID-KMEHR" SV="1.0">4</id>
                <cd S="CD-ITEM" SV="1.2">insurancystatus</cd>
                <content>
                    <insurance>
                        <id S="ID-INSURANCE" SV="1.0">302</id>
                        <cg1>100</cg1>
                    </insurance>
                </content>
            </item>
        </transaction>
    </folder>
</kmehrmessage>

8.5. More information concerning the patient

In this section we will focus on the content of the transaction for this specific message.
2 types of transaction are defined, one for the request and one that makes the base for the record.

Currently the following information can be specified in the dataset:

  • Administrative information : sender, recipient, patient, sending application

  • Active and passive diagnoses (cd-item→healthcareelement)

  • Active and passive treatments (cd-item→treatment)

  • Active and passive medication (cd-item→medication)

  • Allergy (cd-item→allergy)

For this we use the standard transaction defined by ehealth

Additionel information
<transaction xmlns="http://www.ehealth.fgov.be/standards/kmehr/schema/v1">

            <item>
                <id S="ID-KMEHR" SV="1.0">101</id>
                <cd S="CD-ITEM" SV="1.6">medication</cd>
                <content>
                    <text L="nl">Random medicatie 1</text>
                </content>
            </item>
            <item>
                <id S="ID-KMEHR" SV="1.0">10</id>
                <cd S="CD-ITEM-REINTEGRATION" SV="1.0">RI-CURRENT-MEDICATION-EXTRA-INFORMATION</cd>
                <content>
                    <text L="nl">Extra med info</text>
                </content>
            </item>
            <item>
                <id S="ID-KMEHR" SV="1.0">201</id>
                <cd S="CD-ITEM" SV="1.6"/>
                <content>
                    <text L="nl">Random antecedent 1</text>
                </content>
            </item>
            <item>
                <id S="ID-KMEHR" SV="1.0">20</id>
                <cd S="CD-ITEM-REINTEGRATION" SV="1.0">RI-ANTECEDENTS-EXTRA-INFORMATION</cd>
                <content>
                    <text L="nl">Extra ante info</text>
                </content>
            </item>
            <item>
                <id S="ID-KMEHR" SV="1.0">301</id>
                <cd S="CD-ITEM" SV="1.6">treatment</cd>
                <content>
                    <text L="nl">Random behandeling 1</text>
                </content>
            </item>
            <item>
                <id S="ID-KMEHR" SV="1.0">30</id>
                <cd S="CD-ITEM-REINTEGRATION" SV="1.0">RI-TREATMENTS-EXTRA-INFORMATION</cd>
                <content>
                    <text L="nl">Extra behandeling info</text>
                </content>
            </item>
        </transaction>

8.6. The General Practioner provides feedback

In this section we will focus on the content of the transaction for this specific message.
2 types of transaction are defined, one for the request and one that makes the base for the record.

The general practioner states if he agrees with the proposition he has received from the occupational physician.

Table 31. feedback

Description

item type

occurences

Varia

code

item.cd

1

RI-Agreed

Who has agreed

item.content

1

see options

Boolean

item.content.boolean

1

True/false

Counter proposition - value

item.content.local

see CD-RIOptions

counter proposition - text

Additionel information
<transaction>
            <id S="ID-KMEHR" SV="1.0">1</id>
            <cd S="CD-TRANSACTION" SV="1.5">request</cd>

            <item>
                <id S="ID-KMEHR" SV="1.0">2</id>
                <cd S="CD-ITEM" SV="1.0">membership</cd>
                <content>
                    <hcparty>
                        <id SV="1.0" S="ID-HCPARTY">0478895136</id>
                        <cd S="LOCAL" SV="1.0" SL="RI-ACTOR">employer</cd>
                        <name>HealthConnect</name>
                    </hcparty>
                </content>
            </item>
            <item>
                <id S="ID-KMEHR" SV="1.0">3</id>
                <cd S="CD-ITEM" SV="1.0">membership</cd>
                <content>
                    <hcparty>
                        <id SV="1.0" S="ID-HCPARTY">0410064629</id>
                        <cd S="CD-HCPARTY" SV="1.6">orgprevention</cd>
                        <name>Premed</name>
                    </hcparty>
                </content>
            </item>
            <item>
                <id S="ID-KMEHR" SV="1.0">4</id>
                <cd S="CD-ITEM-REINTEGRATION" SV="1.0">RI-AGREED</cd>
                <content>
                    <cd S="LOCAL" SL="CD-RIOUTCOME" SV="1.0">agreement_treatingphysician</cd>
                </content>
                <content>
                    <boolean>false</boolean>
                </content>
                <content>
                    <cd S="LOCAL" SL="CD-RIOPTIONS" SV="1.0"/>
                </content>
                <content>
                    <text L="nl">Example</text>
                </content>
            </item>
        </transaction>