The principal development point is preparing for the changes in data sharing management required under the new Client Data Act.
Changes in data sharing management under the Client Data Act
The main changes to be introduced to the Patient Data Repository in 2023 will be the Repository’s new non-disclosure form and the non-disclosure form required under section 55 of the Act on the Secondary Use of Health and Social Data.
New non-disclosure form for the Patient Data Repository
The Patient Data Repository’s new non-disclosure form updates the existing form to include the new aspects of non-disclosure permitted by the Client Data Act:
- patients will be able to issue a blanket denial of consent to data sharing for all their patient data at once,
- patients will be able to issue a denial of consent to data sharing for a private occupational health care register,
- guardians and other legal representatives will be able to issue denials of consent to data sharing on behalf of minor and adult patients.
The specifications of the new non-disclosure form have been published, and the new form will be available for testing in the client test environment during the first quarter of 2023. It will be possible to issue new denials of consent on MyKanta and in health care services from 1 January 2024, and therefore this change must be quickly implemented and introduced in health care services.
Non-disclosure form pursuant to Section 55 of the Act on the Secondary Use of Health and Social Data
From 1 January 2024, an individual may issue a denial of consent to contact based on clinical findings. It will be possible to issue denials of consent to contact on MyKanta and in health care services as of 1 January 2024, and therefore this change must be quickly implemented and introduced in health care services.
Monitoring access to treatment in health care
The principal development points in monitoring access to treatment in health care in 2023 are the following:
- changes regarding data entrants,
- appointment bookings in health care,
- authorisation of outsourcing service providers 2.0,
- the care needs assessment document.
Changes regarding data entrants
Support for three new types of data entrant is being introduced to the Patient Data Repository:
- KOR: KOR is the ‘corrector’ data entrant role, meaning amending an existing entry in order to correct details that have been incorrectly entered or generated. An entry made using the KOR role will show the identity of the corrector along with the identity of the original data entrant (e.g. on MyKanta).
- The OHJ role and related guidelines are needed because various software bots, medical devices, etc., are increasingly generating content entered in the Patient Data Repository. Medical devices conforming to the EU Medical Devices Regulation (2017/745) are identified using their Unique Device Identifiers (UDI).
- KAN: The KAN role will be allowed as a data entrant role in an appointment booking document if the patient themselves was the last person to have entered information in the document.
The new specifications roster for data entrants will also include other amendments to the data contents of the Patient Data Repository. Among the first to be introduced are amendments to the data content of laboratory tests and imaging examinations, based on imaging procedures and client feedback.
The Patient Data Repository will support the archiving and searching of health care appointment booking details.
The ability to transfer and consult appointment booking details between operators has been identified as an essential need. Online appointment booking can be integrated into the process for both clients and professionals. Appointment bookings also constitute a major part of the overview and summary data of a client’s case, which is important for professionals caring for them.
The following will be enabled for clients on MyKanta:
- reviewing appointment booking details
- a link to the appointment booking system.
The appointment booking document will be the first document in the Patient Data Repository that is compliant with the FHIR standard. Work on this will begin early in 2023 with the updating of functional and technical specifications.
Authorisation of outsourcing service providers 2.0
Development requests arising from client needs have been incorporated into the ‘authorisation of outsourcing service providers 2.0’.
Care needs assessment document
Support for the structured entry of care needs assessments will be added to the Patient Data Repository. The care needs assessment is an essential element in monitoring access to treatment on the basis of data entered in the Patient Data Repository.