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The National eHealth Infrastructure (EESZT) is a central IT system that has set the foundations for ensuring communication between healthcare service providers.
According to the EESZT official website, most hospitals' systems in Hungary are integrated with the EESZT system and therefore data that are added to the patients' records in the hospital EHR are automatically added also to the national infrastructure.
The EESZT system transfers the health data of every patient to a central database which the various health professionals can consult through the corresponding hospital, general practitioner, or pharmacy systems with the appropriate authorisation (e.g. pharmacists can only see prescriptions).
As well as professionals, also patients can access their personal medical data, through the citizen portal and also a mobile application which is constantly being developed and updated.
The platform provides patients with a variety of features. Patients can view:
see ePrescriptions,
eReferrals;their prescriptions and dispensed medications and medical aids
referrals
health documents,
EU COVID-related data: vaccination certificate, EU test certificate, EU health certificate;. Patients can also book COVID vaccinations
outpatient records; appointments notes
and final reports of their health care;admissions and discharges documents
test results
eProfile: this includes allergies, pregnancy status and implants. This is the never or rarely-changing health data uploaded by the GP will be uploaded, which affects health and can even could be life-saving in case of the patient’s record is accessed during emergency care. Such health data is, for example, information about allergies, pregnancy, and implanted implants.
All events when patients used healthcare in outpatient and inpatient specialist care facilities or at family doctor services appear in the ‘Event Catalog’. The data is uploaded by the institutions;
Patients can continuously monitor who has requested access to their data (the GP and treating clinicians have access), and they can set which EESZT event they request an e-mail notification from the system. The data displayed for treating physicians depends on the settings, permissions, and restrictions made during self-determination. More info herePatients have the ability to book an appointment related to taking a COVID vaccination;
( EESZT, n.d. )
Challenges and areas for improvement
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ability for patients to input data manually is limited to some specific measurements. Patients can’t add other medical data manually (such as allergies, files etc)
There’s no ability for patients and professionals to communicate with each other via the platform.
there is no device integrations, i.e. patients can contribute to the record data from their device by uploading a file which contains the data extract from the device, but there is no possibility to connect the device to the record.
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