The health record of my patients
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Conditions for accessing my patients’ records: Consent and therapeutic link
To benefit from the services of the Brussels Health Network, doctors and patients must have given their consent to the electronic sharing of health data for the sake of the continuity of care.
Only doctors who have a therapeutic link with a patient can access the latter’s records with his or her prior consent.
What I can do in my patients’ files
Thanks to the Brussels Health Network, you can access your patients’ referenced data
– either via the private area accessible via the website,
– or via your electronic patient record management software (DMI).
The functions available to you via your private area are indicated below:
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1. Register a patient to the Brussels Health Network
Use Internet Explorer to register a patient (if he or she consents). Log on to the Brussels Health Network, click on the “Add patient” tab and enter the contact details.
If you do not see a specific patient in your patient list, either he or she is not registered with the Brussels Health Network, or you do not have a valid therapeutic link with him or her.
If you have registered or created a therapeutic link and your patient still does not appear, please contact the helpdesk
2. Declare a therapeutic link with a patient already registered
To access your patient’s Shared Health Record, you must activate a therapeutic relationship with your patient. Insert the patient’s ID card into your card reader and follow the online instructions. It may take a few minutes for the reader to read the card.
3. Consult the list of a patient’s referenced documents
If you do not see any documents for one of your patients, it probably means that no documents about him or her have been shared on the Brussels Health Network since his or her consent was registered. Some hospital institutions already publish the precedence of documents, others not yet.
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4. Consult the contents of medical documents, plus any attachments (images, etc.)
5. Publish the patient’s summary electronic health record (SUMEHR)
At the request of health professionals, the Brussels Health Network has activated by default the patient’s access to his or her summary electronic health record (SUMEHR). The Brussels Health Network wants to make life easier for the majority of GPs who wish to allow their patients to read the content of their SUMEHR.
In order for patients to access the content of their SUMEHR, they must connect as usual to the secure portal of the Brussels Health Network as usual. Certain hospital documents can also be made accessible to the patient by the health professional.
Each health professional is nonetheless free to proceed to technical settings in accordance with his or her wishes. Only information relevant to the patient’s care will be shared via SUMEHR on the healthcare networks. In most cases, you will record the content of this summary electronic health record with your patient in a fully transparent manner.
Watch the video to find out how to manage your settings in general and how to access to a specific document. Then connect to the Brussels Health Network web portal and adapt your settings.
If you want to allow all your patients to access their SUMEHRs immediately, no action is required on your part. SUMEHRs shared before 15 January 2019 are not accessible to the patient by default.
If, on the other hand, you do not want any of your patients to be able to read the content of their SUMEHRs, you can change these settings by logging in to the secure area of the Brussels Health Network. Click on the top right-hand corner of your profile page. Discover the steps to follow in the video tutorial.
If you wish to modify a specific patient’s access to the content of a given SUMEHR for a particular reason, you will need to modify the access rule for this SUMEHR manually via the web portal. Here are the steps to follow:
- Select this specific patient from the list of your patients.
- Click on “manage” to adapt the access rule for your SUMEHR.
- You can then make it accessible 30 days after its publication or make it inaccessible.
- Ask your software provider to find out the network on which your SUMEHRs are published. You will be able to obtain a regional premium for practice support.
What is a quality SUMEHR ?
It is important that GPs share a quality SUMEHR for their patients, with all relevant data for possible hospital care, whenever they have the opportunity.
A quality SUMEHR must be up to date, and include mainly:
- The contact/trusted persons
- Current health problems of the patient
- Relevant medical and surgical history
- Observations following the last examinations
- Active treatments
- Vaccination status
We are well aware that this is not always possible in a time of crisis.
But the more relevant and up-to-date the patient’s data, the more effective the hospital management will be.
6. Modify the access rights to the documents you have drawn up
Access management is carried out at two levels at the request of your patient:
- Globally, by defining therapeutic links between the patient and doctors or exclusions: “Access authorizations” tab in the menu
- For each medical document, you can modulate the access rights specifically: “Access” column in the list of documents, click on “manage”.
You can also ask to delete the referencing of a health document that you have published by completing the form
7. Enable patients to read their health data shared by hospitals
Pursuant to the 10th action point of the federal e-health plan, patients can now access and read the contents of their medical records electronically.
As producers of health data, hospitals can activate the option in their medical software to allow the patient to access the content of the data they publish.
The settings of hospital medical software (DPI) can be used to adapt the access procedures (immediate, after a certain delay or no access) according to the different types of documents that are shared electronically on the health network.
Certain documents, particularly from hospitals, have a special status because they require the presence of an attending physician in order to reveal the content to the patient under optimal conditions.
These documents may have “releasable by the attending physician” status. Ask your doctor to release your documents as soon as they have told you the contents of your hospital report. He or she will have to do this manually for each document via his secure web portal. See the steps to follow in the second part of the video.
The medical management of each healthcare institution decides about its own rules of publication and patient access. We can therefore imagine that some patients may experience a disparate situation at the outset depending on the decisions of the different institutions where they were treated.
Furthermore, through your DMI you can:
- Report an emergency medical summary
- Use the eHbox to receive and send medical mail securely, and integrate the documents into your file
As part of the integration of the Brussels Health Network into the federal Hub-Metahub system, which connects the various local and regional networks under the umbrella of the eHealth platform, we are making it easier for you to use the free eHbox to receive and send secure messages and to integrate health documents into your DMI.
To use the eHbox, the healthcare provider must have an eHealth certificate (authentication and encryption) in the production environment. The certificate can be requested at the following address: http://www.ehealth.fgov.be/JWS/ETEE/etee-requestor_fr.jnlp
To find out the deployment schedule for your DMI, please contact your provider.
Please note that the integration of these functions in the DMIs varies from one software solution to another, so we refer you to your supplier for a description of how to use them.
Help to communicate with my patients
Videos available to patients and to be shared with them
The Brussels Health Network has produced a series of short videos to inform patients about the main aspect of their electronically shared health record. Please feel free to share them with your patients.
These videos are available in French or Dutch.
We are here to help you. If you need information, have a question, or if you notice a hitch, please do not hesitate to contact us (email@example.com)