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My Shared Health Record

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My Shared Health Record

What is it ?

This is a set of documents that your doctor, in consultation with you, decides to share because they are necessary and relevant for better care of your health. Materials on health networks in Brussels, Flanders and Wallonia are your shared health records.

Since there is no legal obligation to publish documents, shared health records are not intended to be exhaustive.  Be mindful that shared health records are not an automatic pooling of all available medical data among all doctors who have treated you in or out of a hospital.

Do not hesitate to ask the doctors that have treated you if they actually publish your medical documents.

Your consent is the starting point for creating your shared health records that are added to each time of you visit different doctors.

The Brussels Health Network platform is your access gateway to your shared health records.

Advantages of the Shared Health Record :

  • Keep your health data online and make them available to all the health professionals who care for you (doctors, nurses, physiotherapists, etc.).
  • Simplify the transmission of your medical history and state of health during your consultations.
  • Avoid unnecessary examinations and prescriptions or interactions between medications.
  • Better care for you in case of emergency by saving precious time time thanks to the history of your state of health.

What it is used for ?

During your lifetime, you will consult different health professionals. Each creates a folder concerning your health. Unfortunately, these folders are not connected to each other, which can result in important missing information when you visit one doctor or another.

Moreover, no one is protected from the unexpected and sometimes a person has to consult a doctor other than his or her regular doctor (doctor on duty, emergency doctor, another specialist, etc.). They have no knowledge of your health history.

Wherever you are being treated in Belgium; the Brussels Health Network allows access 24/7 to all doctors connected to your shared health records, provided of course that you have given your consent. The information is accessible even to doctors who do not know you but will have to treat you.

Your GP may share an emergency medical summary (SUMEHR) to inform other doctors who will be treating you of your current state of health. He or she will not publish your entire patient file.

What is it in it?

Watch this video to learn more about which document are shared through the Brussels Health Network in FR or NL.

All data held by health professionals can be shared provided they are helpful for your treatment.

Some examples:

  • Summarized Electronic Health Record (SUMEHR)
  • Blood sampling results
  • X-rays
  • medications that have been prescribed and dispensed
  • consultation report
  • information provided to your GP after hospitalization

All this data creates the so-called ‘shared health record‘.

Genetic data shall, however, be considered particularly sensitive and is subject to strict access rights reserved for doctors.

GPs do not share patient records in their entirety.  They only publish relevant information for continuity of patient care in summarized electronic health records (SUMEHR)

How to manage your Shared Health Record online ?

Brussels Health Network is your gateway to your shared health record.

You need to sign up to securely access your shared health records.

Access to your shared health records is via the Brussels Health Network platform :

  • e-ID card. In this case, have your identity card, pin code and a card reader ready
  • Itsme application: In this case, make sure you have already activated your Itsme account

Watch this video and find out how to connect to your safe healthplatform.

What it is used for ?

During your lifetime, you will consult different health professionals. Each creates a folder concerning your health. Unfortunately, these folders are not connected to each other, which can result in important missing information when you visit one doctor or another.

Moreover, no one is protected from the unexpected and sometimes a person has to consult a doctor other than his or her regular doctor (doctor on duty, emergency doctor, another specialist, etc.). They have no knowledge of your health history.

Wherever you are being treated in Belgium; the Brussels Health Network allows access 24/7 to all doctors connected to your shared health records, provided of course that you have given your consent. The information is accessible even to doctors who do not know you but will have to treat you.

Your GP may share an emergency medical summary (SUMEHR) to inform other doctors who will be treating you of your current state of health. He or she will not publish your entire patient file.

What is it in it?

Watch this video to learn more about which document are shared through the Brussels Health Network in FR or NL.

All data held by health professionals can be shared provided they are helpful for your treatment.

Some examples:

  • Summarized Electronic Health Record (SUMEHR)
  • Blood sampling results
  • X-rays
  • medications that have been prescribed and dispensed
  • consultation report
  • information provided to your GP after hospitalization

All this data creates the so-called ‘shared health record‘.

Genetic data shall, however, be considered particularly sensitive and is subject to strict access rights reserved for doctors.

GPs do not share patient records in their entirety.  They only publish relevant information for continuity of patient care in summarized electronic health records (SUMEHR)

How to manage your Shared Health Record online ?

Brussels Health Network is your gateway to your shared health record.

You need to sign up to securely access your shared health records.

Access to your shared health records is via the Brussels Health Network platform :

  • e-ID card. In this case, have your identity card, pin code and a card reader ready
  • Itsme application: In this case, make sure you have already activated your Itsme account

Watch this video and find out how to connect to your safe healthplatform.

NE PAS SUPPRIMER
1. Read the content of your summary health record (also called SUMEHR)

Since January 15 2019, you have standard access to the content of your medical summary (SUMEHR) shared by your general practicioner, unless the access settings have been changed.

The SUMEHR, summarized Electronic Health Record to be complete is a summary of your health produced by the general practicioner.

This medical summary in case of emergency consist in, as its name refers to, a summary of your electronic medical files. It resumes the administrative data of a patient such as his contact details, the risks related to his health as for example:

  • allergies,
  • drugs to avoid,
  • social factors, etc.

The doctor will also keep track of vaccination data, any family history, active and passive health elements, active medication, emergency contact person, patient’s wishes, and so on.

2. Check who accessed your documents

All access to your data is monitored.  Only physicians with a valid therapeutic relationship with you have access to your medical data. It is possible that you do not personally know these people: this is particularly the case when you are taken care of in hospital by a team.

In “access history” you can see which doctor has accessed your entire shared health record and when. If you want to see precisely what document was viewed, select the document and click on the link “Show monitoring”.

If you do not see a document in your shared health record it means that no documents have been shared on the health networks since you gave your consent.

3. Declare or remove a therapeutic relationship

The doctor creates this therapeutic relationship directly via the GP’s software during your consultation. If you wish, you can manage these links via the Brussels Health Network platform.

Remember, that in order to exist, this “therapeutic relationship” must be proved: this being the case when you give your electronic identity card to the admissions department of a hospital, a doctor or a pharmacist.

You can add them yourself by clicking on the button “Add access authorization.”

If you want to terminate an existing therapeutic relationship before the end of its expiry date, click the red cross next to the name of the doctor in question. From the moment you remove a therapeutic relationship, the health professional has no access to your data through the health networks.

4. Exclude a Healthcare professionnel

You can manage your access to your shared health record with complete confidentiality.

For personal reasons you may decide to never give access to a specific care provider, even in an emergency. The ban will remain valid as long as you do not re-establish this right.

To do this:

  • go to “My Account”
  •  “access authorization”
  •  select “add an exclusion link”
  •  and enter the name of the doctor that you want to exclude from your entire shared health records.

Doctors excluded do not see any shared documents concerning you.

5. Manage access to documents

The patient can authorize or refuse access to doctors for all documents or for each individual document referenced on the Brussels Health Network.

Each category of professional has access to certain shared data depending on their access rights. The access rules vary depending on the professionals who consult your data. For example, a pharmacist will not be able to see your laboratory results, but a doctor will be able to see the medication that has been dispensed to you.

Do you wish to give partial access to your shared medical record?

You can. It is in fact one of the foundations of the computerized health record. Partial access to the shared medical record is commonplace. This condition is closely related to the confidentiality requirement for your health data.

The procedure for granting a health professional partial access to the medical record, or rather to a document in your shared medical record in your private space is as follows:

  • go to “my file,” “documents”
  • select the document for which you wish to deny access to a health professional
  • click on “manage”, select the option “this document is accessible by all doctors with access authorization except”
  • enter the doctor’s name under “add a prohibition”

Other levels exist in the management of access to the medical record: you can reduce access to certain doctors, consult the list of your health documents, delete or add the reference of a medical document, etc.

6- Restrict access to a document by one or more doctors of my choice

By default you restrict access to all physicians of a specific document except the person or persons you specifically choose. This privacy option restricts access to all parties who may be involved in your care (eg, doctor on call, emergency room, etc.). Use this function for very sensitive documents.

  • Select a document and click “manage”.
  • Select “This document is only accessible by”
  • and fill in the doctor’s name under “add allow”.
7- Check the list of shared documents and content of documents

You have access to a list of your shared documents, but not their contents.

You cannot change the data referenced on the Brussels Health Network. However, you can always request a hard copy of your health records from each health care institution or every doctor you have consulted.

From now on, pursuant to the “patient’s rights” act, a patient can consult or obtain a paper copy of the patient record concerning him or her, except in the case of a therapeutic exception, i.e. when the doctor considers that the provision of the information could, at the time, cause harm to the patient. On this basis, you are of course already entitled to ask a practitioner to be able to consult or obtain a paper copy of the data he or she has made available as part of the shared electronic health record.

As part of some pilot projects, electronic access “on line” by the citizen-patient to data content is possible.

8. Delete the referencing of a document

Deleting a medical document in your shared health record also means dereferencing or deleting the referencing of that health document. To cancel the referencing of a document, click on the red cross to the right of the document you want to dereference.

Supprimer un document médical ne veut pas dire qu’il n’existe plus, il n’est juste plus accessible par les médecins qui consultent votre dossier santé partagé.

The document is no longer accessible by physicians who view your shared health records. This document still exists on the server of the institution that produced the document but cannot be searchable through health networks. If specified in the procedure, your GP can still receive the paper document by another communication channel.

Watch the videos on our Youtube channel that explains how to perform these actions.

However, if a computer is not available, you can manage your shared health folder using the pdf forms. 

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