The management

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.

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.

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.

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.

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.

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”.

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.

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 prestataire de soinss 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.