Appendix 4: National EHR system features by jurisdiction Country Northern Process Feature Australia Austria Denmark England Ireland Scotland Wales (Elektronische (National Health 2008 Emergency Emergency (2016) General EHR name; date 2012 Gesundheitsakte) Record) 2014 Care Summary Care Summary (formerly the introduced; main 2015 (ECS) 2008 (ECS) -2006 Individual – website This is the GP (no public Health summary. access to main Record – (NIECR) 2013 site) 2005) – This is the Key broader record / Information system Summary providing (KIS) -2013 access to data Palliative Care from a range of Summary sources see (PCS) - 2009 – below. Approximately Data not 67% of individual 96% of people 99% of 1.8 ECS - 99.9% 65% of 3 Coverage 21% of total available healthcare registered with million of people million (population with population is providers use a GP have a population registered with record) registered (as sundhed.dk portal Summary Care a GP have an of 14/9/17) through which the Record (55 ESC (5.1 National Health million records) million). Record is (2016) KIS 2-3% – accessed have a KIS (generally for complex, chronically ill) Pilot only Public hospital Public hospital roll Progressively 2008 2006 National Accessible in ED / roll out in 2015 out (from 2013) from 2008 agreement for urgent care (roll out in ED not (roll out in ED not introduction to settings specified) specified) ED from 2009 (Individual Health Record) ELGA GmbH National eHealth Managed by eHealth and NHS Wales Governance Overseeing Information Authority (NSI) Implemented by Social Care Informatics agencies Regional eHealth NHS Digital Board Sharing Board Service Organisation (RSI) (previously the Health and Social Care Information Centre)
Appendix 4: National EHR system features by jurisdiction Process Feature Country Australia Austria Denmark England Northern Ireland Scotland Wales General EHR name; date introduced; main website 2012 (Elektronische Gesundheitsakte) 2015 (National Health Record) 2014 2008 Emergency Care Summary (ECS) – 2008 This is the GP summary. (NIECR) – 2013 This is the broader record / system providing access to data from a range of sources – see below. Emergency Care Summary (ECS) -2006 (no public access to main site) Key Information Summary (KIS) -2013 Palliative Care Summary (PCS) - 2009 (2016) (formerly the Individual Health Record – 2005) Coverage (population with record) Approximately 21% of total population is registered (as of 14/9/17) Data not available 67% of individual healthcare providers use sundhed.dk portal through which the National Health Record is accessed 96% of people registered with a GP have a Summary Care Record (55 million records) (2016) 99% of 1.8 million population ECS - 99.9% of people registered with a GP have an ESC (5.1 million). KIS – 2-3% have a KIS (generally for complex, chronically ill) 65% of 3 million Accessible in ED / urgent care settings Pilot only Public hospital roll out in 2015 (roll out in ED not specified) Public hospital roll out (from 2013) (roll out in ED not specified) Progressively from 2008 2008 2006 National agreement for introduction to ED from 2009 (Individual Health Record) Governance Overseeing agencies ELGA GmbH National eHealth Authority (NSI) Regional eHealth Organisation (RSI) Managed by Implemented by NHS Digital (previously the Health and Social Care Information Centre) eHealth and Social Care Board Information Sharing Board NHS Wales Informatics Service
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