The access

Who has access to my health record ?

• Consent
• Therapeutic relationship (as part of continuity of care)
• Access matrix

1 – The consent

Your registration with the Brussels Health Network is valid everywhere in Belgium and is free.

Once you have given your consent, you do not have to give it again later on. Your doctor, pharmacist, hospital, immediately sees via its software if you have already given your consent

Your consent allows the exchange of digital health data securely between all the care providers and institutions with whom you have a therapeutic relationship.

You are free to subscribe and unsubscribe at any time. Deregistration also has a national scope. If you withdraw your consent, all the services related to these projects will be deactivated (your health documents will no longer be published).

2 – The therapeutic relationship

A “therapeutic relationship” is created when there is contact between a patient and a health care provider as part of a care relationship. The concept of a therapeutic relationship encompasses any health professional who is involved in the continuity of care of a patient, including specialists in analysis or medical imaging. If you have given your consent, the creation of this relationship allows the healthcare professional to access your shared data.

This means that your company doctor, your mutual insurance company doctor or your insurance company doctor do not have access to your health data.

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 able to be proven: this is the case, for example, when you give your electronic identity card to a hospital admissions department, doctor or pharmacist.

The duration of the therapeutic relationship varies depending on the context of your care and the type of relationship you have with the health professional.

• If you have a long-term relationship with your GP or pharmacist, the period of access to your data by your doctor can be up to 15 months.
• However, if you have occasional contact with a health professional, the period of access to your data will be limited to a period of three months.
• And finally, an emergency room doctor will have access to your data for a period of one month.

3 – The access matrix

• Green “Yes” = Access.
• Grey “No” = No access.
• Yellow “Partialy” = Detailed access in the matrix specific to SumEHR.
• Blue “Extended access” = Extended access if explicit patient autorisation.
• Orange “Limited”
  • “Limited” = Access limited to documents issued by a professional in th same category or explicity classified as belonging to that speciality (typically the data issued by the corresponding hospital departements). (For example : a dietician accesses data published by dieticians and documents published as relating to dietetics by hospitals).
  • “Limited*” = This principle of transversal access “by profession” is extended to nurses, physiotherapists, occupational therapists, speech therapists and dieticians). Access means that nurses, physiotherapists, occupational therapists, speech therapists and dieticians can access documents in all 5 categories.This principle of transversal access “by profession” is extended to nurses, physiotherapists, occupational therapists, speech therapists and dieticians).
• Line “Other (general rule)” = Describes access rights that are not explicitly described by another line.
• Line “Patient note” = Any note made by the patient other tha, a diary note. This covers, in particular, the “Summary of health declared by the patient” and the “BeCoag” passport made available to haemophilia patients who so wish via the BeCoag portal.