Parents and guardians will have the right to act on behalf of all minors in phases. Some guardians can already view the data of minors over 10 years of age.
An adult and fully authorised person may also act on behalf of another adult in My Kanta Pages. Access is based on e-authorisation.
Acting on behalf of a minor
Parents and guardians will have the right to act on behalf of all minors in phases. Before the data of all minors can be shown to parents or guardians, the healthcare service must make the necessary changes in the patient data systems. The modification work will proceed in accordance with the decisions of individual healthcare organisations. The new functionality will be deployed gradually throughout Finland.
Once the changes have been implemented in the organisation in question, a healthcare professional will assess a minor’s decision-making capacity in a care situation and record in the patient data system the wishes of a minor who is capable of making decisions concerning sharing of data with the parents or guardians.
The assessment of the decision-making capacity and any refusal to share data always apply to an individual appointment or treatment period and the related documents. The information must be entered in a structured way in connection with both the appointment and the prescription.
- New online training offers basic information about operating models based on the decision-making capacity of a minor in the healthcare service and pharmacies (extraverkkokoulu.kela.fi) (in Finnish).
A minor who has been assessed to be capable of making decisions may refuse to share the following data with his or her parents or guardians:
- information related to the appointment
- information related to the treatment period
- information related to prescriptions.
Acting on behalf of a minor in My Kanta Pages
When a parent or guardian acts on behalf of their minor child in My Kanta Pages, they will log in to the service with their own username and password, and then select the Child’s Data link and the child in question. The right to view a minor’s data is verified from the Population Information System. It is not possible to act on behalf of a minor with a mandate.
Further information about acting on behalf of a minor and the related limitations, e.g. in shared custody situations is available here:
Benefits of acting on behalf of a minor
Showing the data concerning a minor in My Kanta Pages
- supports the participation and the right to access by parents or guardians strengthens the minor’s right to a confidential patient care relationship
- improves the flow of information and reduces the number of letters sent by post enables viewing of data regardless of time or place.
Some data may remain undisclosed
Not all health data concerning a minor will necessarily be accessible by parents or guardians in My Kanta Pages. This applies especially to minors who
- after the deployment of the new functionality have been assessed by the healthcare service to be capable of deciding on their own care and have refused the showing of their data to their parents or guardians in My Kanta Pages.
- are over 10 years of age and visit a healthcare unit whose patient data system still does not support the functionality of acting on behalf of a minor.
Data concerning a child over 10 years of age that has no accompanying information about the minor’s decision-making capacity and their wish to share data will not be shown to parents or guardians.
Healthcare services are not required to retrospectively enter in the minor’s information the assessment of the minor’s decision-making capacity or the minor’s opinion on sharing data with their parents or guardians.
Acting on behalf of a minor and joint custody
As of January 2022, the My Kanta Pages is able to read encoded joint custody agreements registered in the Population Information System. With an encoded joint custody agreement, guardians are allowed to act on behalf of an underage child in the My Kanta Pages.
If, however, the joint custody agreement is in text format and is not encoded, the guardians can authorise one another to act on behalf of the child in the My Kanta Pages. This authorisation can be submitted to the Suomi.fi online service. Old joint custody agreements are only encoded in the Population Information System upon special request.
Previously, if one of a child’s guardians had a non-disclosure for personal safety reasons, this prevented the other guardian from acting on behalf of the child in the My Kanta Pages. As of January 2022, they can now act on the child’s behalf with a Suomi.fi authorisation. Previously, if both guardians had a non-disclosure for personal safety reasons, neither could access the My Kanta Pages to act on behalf of an underage child. Access is now also possible in this situation, using a Suomi.fi authorisation.
However, if the child has a non-disclosure for personal safety reasons, it will still not be possible for the guardians to act on behalf of the child.
As of January 2022, a person with right of access to information concerning an underage child’s health may view the child’s details in the My Kanta Pages. A person with right of access to information may inspect view results and prescriptions, for instance. However, a person with right of access to information is not allowed to act on behalf of the child in the My Kanta Pages to e.g. request prescription renewals.
Acting on behalf of a person over the age of 18
An adult and fully authorised person may act on behalf of another adult in My Kanta Pages, provided that they have been granted a mandate. Access is based on e-authorisation with Suomi.fi authorisations (suomi.fi). Granting a mandate requires strong identification with e.g. online banking IDs or a mobile certificate.
The authorisation for My Kanta Pages is under the heading Managing matters related to healthcare . It entitles to view, report and receive information related to the health status of the principal and to make healthcare appointments on behalf of another in the channels covered by the authorisation.
For the time being, guardians cannot act on behalf of an adult principal in My Kanta Pages. Moreover, a person who does not have means of electronic authentication cannot grant the mandate. The Digital and Population Data Services Agency is currently investigating how to grant a mandate in these cases.
Acting on behalf of someone in social welfare services
In the future, client data of social welfare services will also be shown in My Kanta Pages. This means that acting on behalf of someone in My Kanta Pages on the basis of custody or electronic authorisation will also be possible in terms of client data in social welfare services.