Kmehr Kindly Messages for Electronic Healthcare Records Laboratory Result Message

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KmehrKindly Messages forElectronic Healthcare
RecordsLaboratory Result Message

• Tom Fiers
• 14 November, 2009

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Laboratory Result message scope

• Hematology
• Chemistry
• Serology
• Microbiology
• Toxicology
• Molecular biology
• Anatomopathology

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(No Transcript)
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General structure
Heading

Heading

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Header
ltcd S"CD-STANDARD" SV"1.0"gt20021205lt/cdgt
ltid S"ID-KMEHR" SV"1.0"gt71067049.
20021204-0002lt/idgt
ltdategt2002-12-04lt/dategt message creation date
 lttimegt0815lt/timegt message creation time
Oragnisation / Laboratory / Med.Department /
Physical person
ltid S"ID-HCPARTY" SV"1.0"gt 84470073383lt/idgt
(or empty) ltcd S"CD-HCPARTY"
SV"1.0"gtdeptlaboratorylt/cdgt
Oragnisation / Laboratory / Med.Department /
Physical person
ltid S"ID-HCPARTY" SV"1.0"gt14101251002lt/idgt (or
empty)   ltcd S"CD-HCPARTY" SV"1.0"gtpersphysici
anlt/cdgt
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Folder
ltid S"ID-KMEHR" SV"1.0"gt1lt/idgt
ZIS (Zorg Inschrijvings nummer/Identifiant Santé)
nr / SIS nr ltid S"ID-PATIENT" SV"1.0"gt4303101195
7lt/idgt (or empty) ltid S"LOCAL" SLUZNR"
SV1.0"gt380708 057A16lt/idgt
ltfirstnamegtChristophe lt/firstnamegt
ltfamilynamegtVan De Wielelt/familynamegt
ltdategt1938-07-08lt/dategt
ltcd S"CD-SEX" SV"1.0"gtmalelt/cdgt
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Transaction
ltid S"ID-KMEHR" SV"1.0"gt1lt/idgt
ltcd S"CD-TRANSACTION" SV"1.0"gtlabresultlt/cdgt
ltdategt2002-12-03lt/dategt Reporting date
(Examination date)
lttimegt160001lt/timegt
hcparty, medical responsible
ltiscompletegttruelt/iscompletegt
ltisvalidatedgttruelt/isvalidatedgt
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Headings / Items
Requestnumber
Requestor (hcparty)
Requestdatetime
RequestedRecipient (copy to...)
Heading / Specimen
Specimendatetime
Receptiondatetime
Lab
Lab
Lab
Lab
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Headings / Items
ltitemgt ltcd S"CD-ITEM" SV"1.0"gtrequestnumberlt/c
dgt ltcontentgt ltcd S"LOCAL" SLGLIMS"
SV5.4"gt021203-1342lt/cdgt lt/contentgt lt/itemgt
Requestnumber
ltitemgt   ltcd S"CD-ITEM" SV"1.0"gtrequestdatetimelt
/cdgt ltcontentgt  ltdategt2002-12-02lt/dategtltti
megt161201lt/timegt   lt/contentgt lt/itemgt
Requestdatetime
ltheadinggt ltcd S"CD-HEADING-LAB" SV"1.0Lnl"
DN" Hormonologie gt0045lt/cdgt ltcd
S"CD-SPECIMEN" SV"1.0Lnl" DNUrine
gtURlt/cdgt ltitemgt ltcd S"CD-ITEM"
SV"1.0"gtspecimendatetimelt/cdgt
ltcontentgtltdategt 2002-12-03 lt/dategtlttimegt091412lt/
timegt lt/contentgt  lt/itemgt lt/headinggt
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Lab items
Heading / Specimen
ltcd S"CD-ITEM" SV"1.0"gtlablt/cdgt ltcd S"CD-LAB"
SV"1.0 Lnl" DNNatrium gt0086lt/cdgt
ltdecimalgt142lt/decimalgt (or code, or text for
microbiology )
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Codification issues...

• CD-LAB
• Unique codes
• Roots ACTH, Medidoc,Medigest, LOINC
• CD-HEADING-LAB
• Roots Diverse systems
• CD-SPECIMEN, CD-SITE
• Roots LOINC

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In Conclusion

• Messages stable
• Codification issues
• Not yet stable
• Need for loads of further refinement and domain
  input.
• Updating
• National structured body needed
• Extensive domain knowledge needed