Changes in the management of data sharing by virtue of the Client Data Act for definitions

Changes in the management of data sharing by virtue of the Client Data Act for definitions

The Act on the Electronic Processing of Client Data in Healthcare and Social Welfare (Client Data Act) will possibly be reformed in spring 2021. This will also bring changes in the sharing of client and patient data from the Kanta Services and the definitions related to the management of sharing.

In the first stage, the changes related to the management of data sharing will be implemented. If the act enters into force, the sharing of data will be based on informing the client on the Kanta Services and on their rights, as well as on the refusals issued by the client. 

Schedule for publishing the definitions and joint testing

The schedule for implementing the changes in the management of sharing is based on the progress of the client data act and is fully dependent on it in terms of the time schedule and the contents.

Definitions

The definitions concerning the management of sharing of data in the Patient Data Repository will be published after the act has been approved at the latest. The definitions concerning the management of sharing will be updated on the Definitions of the Patient Data Repository page. In addition, the general description of the Management of Sharing will be published in the same context.

Joint testing and production readiness

  • The joint testing readiness of the Kanta Services in late 2020
  • The production environment of the Patient Data Repository ready in early 2021

Further information about the schedule is available in the publication schedule of the Kanta Services.

Changes to data sharing as a result of the new law

The new law will bring the following changes in the sharing of client and patient data from the Kanta Services:

  • The clients will have to be issued with new information 
    • All clients must be informed again with regard to the Kanta Services and the related rights. Clients must be informed in connection with the first contact at the latest. Clients can also be informed via My Kanta Pages.
  • Right to refusal
    • In future, clients can issue a refusal of sharing all of their patient data at once. The current refusals will remain in force, i.e. a client can issue a refusal concerning individual appointments or service providers in the healthcare service.
  • Consents in the healthcare service will no longer be applied 
    • Consent to sharing patient data with persons taking part in the patient care will no longer be applied. In addition, verbal consents in the Prescription service will no longer be applied. In future, the sharing of client or patient data via the Kanta Services will be based on informing as well as refusals issued by the client.
  • Declaration of intent service
    • New provisions of information as well as refusals are entered in the new declaration of intent service where a client’s all declarations of intent are entered. The patient data management service will be used for key health data.

Period between the approval and enforcement of the new act

Informing in accordance with the current law will be given if the client can issue the current refusals and consents until the enforcement of the new act. Informing in accordance with the new act will be provided at the same time, and the client can issue a refusal concerning all patient data at once.

After the act has entered into force

Once the new act has entered into force, informing in accordance with the new act will be complied with in sharing of data in the Kanta Services. If new informing has not been given and information about it has not been entered in the Kanta Services, sharing of patient data via the Kanta Services between healthcare organisations will not be possible. 

However, patient data can still be shared between healthcare units that belong to the same joint register. Sharing of data requires informing on the joint register as well as a patient care context or other appropriate connection with the patient.  

Clients can still specify refusals to apply to certain appointments or service providers only, or they can issue the refusal to apply to all patient data. Consents in the healthcare service will no longer be used.

National interface for recording provisions of information and refusals

The national browser-based interface is implemented by Kela. With the interface, social welfare and healthcare professionals can enter the informing of patients as well as their refusals by virtue of the new Client Data Act. Social welfare and healthcare organisations can utilise the interface until the new features are available in their own systems. The information system suppliers can also utilise the interface by integrating it in the patient data system.

Implementations in social welfare services

New information will not be given and the right to refusal will not be used in the first stage in social welfare services. However, new information given in the healthcare service will also include the archive for social welfare services.

Further information