Sumehr

From Wikipedia, the free encyclopedia

Sumehr or Summarized Electronic Health Record is a Kmehr message, used for the exchange of medical information. It summerizes the minimal set of data that a physician needs in order to understand the medical status of the patient in a few minutes and to ensure the continuity of care.

[edit] Layout

Date of creation
Author
Patient Identification
- Health Number (mandatory item – empty if no available number)
Patient Presentation
- Family name
- Forenames
- Sex
- Birth date
- Usual language
Contact person
Risks
- Allergies
- Adverse drug reactions
- Social factors
- Other factors
Relevant personal antecedents
- IBUI (Fr.:Identificateur Belge Unique, Dutch: Belgische Unieke Identificator) and ICPC-2 and ICD10 (empty IBUI allowed)
- Begin date
- End date
- Text
Actual problems list
- IBUI and ICPC-2 and ICD10 (empty IBUI allowed)
- Begin date
- Text
Relevant medications
- CNK (Code National(e) Kode) or other Id (if no available CNK)
- Administration informations
- Instructions for patient
- Begin date
- End date
- Text
Vaccination status
- Administrated
  - CNK and/or ATC (Anatomical Therapeutic Chemical-code)
  - Date
- To be administrated
  - CNK and/or ATC
  - Date
Contextual comment