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Information about the e-Health Record Sharing System

YANG Zhenfei made this Freedom of Information request to Food and Health Bureau

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We're waiting for YANG Zhenfei to read a recent response and update the status.

Dear Food and Health Bureau,

We are students from Hong Kong Baptist University, and we are writing to ask for information about the e-Health Record Sharing System (hereinafter referred to as eHealth).
However, learning that there are relatively few doctors using eHealth at present, we find some deficiencies existing in the exchanged record. As a platform for sharing medical records, we hope it can be more perfect, so as to be convenient for both doctors and patients at the same time.
And I have the following questions for the Food and Health Bureau to answer under the Code on Access to Information.

1). As we have shown in the first attached photo, Dr. Cindy mentioned that the medical records are not open to all hospitals.
(https://www.facebook.com/drcindywong/pos... )

A. Referring to Cindy’s views, to what extent could private doctors access patients’ records in the public hospital? Please provide a list of records that are accessible through eHealth, the records that are accessible through paper-based applications and the records that are not accessible.
B. And what records do those hospitals in eHealth share? (for example, doctor's diagnosis records, patient's operation reports, drug records, etc.)
C. Do the hospitals have more available records now, and what is the latest progress?

2). Referring to Dr Wong’s comments, how long does it usually take for the medical records of public hospitals to be uploaded to eHealth?

3) To what extent does the delay mentioned in Q2 may affect the HCP from the private sectors using eHealth?

4) Dr Wong (Cindy) complained that medical records in the past could not be uploaded to eHealth (no dateback) https://www.facebook.com/drcindywong/pos... . Is this the case? What comments does the eHealth team have on this issue.

(https://www.facebook.com/drcindywong/pos... )

5) Has the eHealth team collected any feedback from the users such as the patients and the HCPs (from both public hospitals and private sector)?

Please answer these questions above under the Code on Access to Information. We hope that ehealth can be further optimized to ensure that doctors from all kinds of hospitals can obtain various records of patients (in real time). Thanks in advance for your assistance.

Yours faithfully,
YANG Zhenfei

Food and Health Bureau

This is to acknowledge receipt of your e-mail. All personal data provided
in your e-mail, if any, will only be used by the Food and Health Bureau
(FHB) for purposes which are directly related to the processing of your
email. Such personal data may be transferred to other Government
departments/bureaux or concerned parties involved in the handling of your
email. Please read our Personal Information Collection Statement
(http://www.fhb.gov.hk/en/contact_us/enqu...) and personal data privacy
protection policy(http://www.fhb.gov.hk/en/notice/privacy....).

Regards

Food and Health Bureau
HKSAR Government

(This message is an auto-reply generated by the email system)

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(http://www.fhb.gov.hk/cn/notice/privacy....

香港特別行政區政府
食物及衞生局

(此乃電郵系統自動發出的覆函)

Food and Health Bureau

Dear YANG Zhenfei,
 
The Food and Health Bureau (FHB) has received your application under the
Code on Access to Information on 3 October 2021.  Your application is now
under processing.  
 
According to paragraph 1.16 of the Code on Access to Information, you will
be informed of the latest progress of the case separately on or before 22
October 2021.  
 
In the meantime, please contact us by e-mail at [1][Food and Health Bureau request email] if
you have any enquiry.  Thank you.
 
(Miss S MAN)
Food and Health Bureau

From:        YANG Zhenfei <[2][FOI #804 email]>
To:        FOI requests at Food and Health Bureau <[3][Food and Health Bureau request email]>,
Date:        03/10/21 03:48 AM
Subject:        Freedom of Information request - Information about the
e-Health Record Sharing System

--------------------------------------------------------------------------

Dear Food and Health Bureau,

We are students from Hong Kong Baptist University, and we are writing to
ask for information about the e-Health Record Sharing System (hereinafter
referred to as eHealth).

However, learning that there are relatively few  doctors using eHealth at
present, we find some deficiencies existing in the exchanged record. As a
platform for sharing medical records, we hope it can be more perfect, so
as to be convenient for both doctors and patients at the same time.

And I have the following questions for the Food and Health Bureau to
answer under the Code on Access to Information.

1). As we have shown in the first attached photo, Dr. Cindy mentioned that
the medical records are not open to all hospitals.

([4]https://www.facebook.com/drcindywong/pos... )

A. Referring to Cindy’s views, to what extent could private doctors access
patients’ records in the public hospital? Please provide a list of records
that are accessible through eHealth, the records that are accessible
through paper-based applications and the records that are not accessible.

B. And what records do those hospitals in eHealth share? (for example,
doctor's diagnosis records, patient's operation reports, drug records,
etc.)

C. Do the hospitals have more available records now, and what is the
latest progress?  

2). Referring to Dr Wong’s comments, how long does it usually take for the
medical records of public hospitals to be uploaded to eHealth?

3) To what extent does the delay mentioned in Q2 may affect the HCP from
the private sectors using eHealth?

4) Dr Wong (Cindy) complained that medical records in the past could not
be uploaded to eHealth (no dateback)
[5]https://www.facebook.com/drcindywong/pos... . Is this
the case? What comments does the eHealth team have on this issue.

([6]https://www.facebook.com/drcindywong/pos... )

5) Has the eHealth team collected any feedback from the users such as the
patients and the HCPs (from both public hospitals and private sector)?

Please answer these questions above under the Code on Access to
Information. We hope that ehealth can be further optimized to ensure that
doctors from all kinds of hospitals can obtain various records of patients
(in real time). Thanks in advance for your assistance.

Yours faithfully,

YANG Zhenfei

-------------------------------------------------------------------

This is a request under the Code of Access to Information facilitated via
the accessinfo.hk website.

Please use this email address for all replies to this request:
[7][FOI #804 email]

Is [8][Food and Health Bureau request email] the wrong address for Freedom of Information
requests to Food and Health Bureau? If so, please contact us using this
form:
[9]https://accessinfo.hk/en/change_request/...

Disclaimer: This message and any reply that you make will be published on
the internet. Our privacy and copyright policies:
[10]https://accessinfo.hk/en/help/officers

If you find this service useful as an FOI officer, please ask your web
manager to link to us from your organisation's FOI page.

-------------------------------------------------------------------

References

Visible links
1. mailto:[Food and Health Bureau request email]
2. mailto:[FOI #804 email]
3. mailto:[Food and Health Bureau request email]
4. https://www.facebook.com/drcindywong/pos...
5. https://www.facebook.com/drcindywong/pos...
6. https://www.facebook.com/drcindywong/pos...
7. mailto:[FOI #804 email]
8. mailto:[Food and Health Bureau request email]
9. https://accessinfo.hk/en/change_request/...
10. https://accessinfo.hk/en/help/officers

Food and Health Bureau

Dear YANG Zhenfei,
Thank you for your email dated 3 October 2021 enquiring about the
Electronic Health Record Sharing System (eHealth).
eHealth provides a secure electronic information sharing platform that
allows authorised healthcare providers (HCPs) in the public (such as the
Hospital Authority (HA) and the Department of Health) and the private
sectors, with patients' consent, to view and upload their electronic
health record (eHR) under the sharable scope for healthcare purposes.
 Currently, the sharable scope includes (1) personal identification and
demographic data; (2) allergies and adverse drug reactions; (3) diagnosis,
procedures and medication; (4) encounters/appointments; (5) clinical
note/summary; (6) birth and immunisation records; (7) laboratory and
radiology reports; (8) other investigation reports; and (9) healthcare
referrals.  The scope of eHR sharable data will be continuously reviewed
and enhanced.  You may find more details on sharable records the eHealth
website
([1]https://www.ehealth.gov.hk/en/whats-ehea...).
For sharing of medical records, HCPs are encouraged to upload to eHealth
as soon as practicable after each episode of care.  Yet, the data to be
uploaded and the time required for uploading vary across different HCPs,
depending on relevant HCP’s specific circumstances and clinical
operations, such as the time required to process the data, quality check
etc. before sharing to eHealth.  The sharable data provided by respective
HCP are listed on the eHealth website
([2]https://apps11.ehealth.gov.hk/hcp/en/).
As advised by HA, the sharable clinical data for inpatients of public
hospitals are uploaded to eHealth together with other relevant information
upon their discharge for the sake of data completeness and accuracy.  This
arrangement is in line with the intention to enhance continuity of care
and quality of healthcare services for patients, discharged from HA
hospitals, should they wish to seek care in the private sector.  On the
other hand, during the hospitalisation, relatives of HA patients or
concerned healthcare providers may contact the HA clinician-in-charge for
enquiries about their latest condition and clinical care, when required.
 Clinical care records could also be obtained through the established data
access request mechanism via the Medical Records Offices of HA hospitals.
With patient’s sharing consent, participating HCPs can share their medical
records which are within the sharable scope, readily available and
conforming to the standard requirements to eHealth for the healthcare
purpose.  Except for radiology images which can only be viewed in eHealth
for 3 years from the examination date in order to balance the practical
use and storage of image data, there is no time limit for retention of
other shared eHealth records.  Yet, due to technical constraints and
readiness of electronic records, individual HCP may only be able to share
some but not all data within the sharable scope.
The general public could provide their feedback on eHealth and its 醫健
通eHealth App (App) to the Electronic Health Record Registration Office by
telephone, email, fax, post (details are available at
[3]https://www.ehealth.gov.hk/en/contact-us...) or through the App.
For more details and latest development about eHealth, please visit our
website ([4]www.ehealth.gov.hk).
 
Electronic Health Record Office
Food and Health Bureau
 
 
 
From: Enquiry FHB [[5]mailto:[Food and Health Bureau request email]]
Sent: Monday, October 11, 2021 2:38 PM
To: YANG Zhenfei <[6][FOI #804 email]>
Subject: Re: Freedom of Information request - Information about the
e-Health Record Sharing System
 
Dear YANG Zhenfei,
 
The Food and Health Bureau (FHB) has received your application under the
Code on Access to Information on 3 October 2021.  Your application is now
under processing.  
 
According to paragraph 1.16 of the Code on Access to Information, you will
be informed of the latest progress of the case separately on or before 22
October 2021.  
 
In the meantime, please contact us by e-mail at [7][Food and Health Bureau request email] if
you have any enquiry.  Thank you.
 
(Miss S MAN)
Food and Health Bureau

From:        YANG Zhenfei <[8][FOI #804 email]>
To:        FOI requests at Food and Health Bureau <[9][Food and Health Bureau request email]>,
Date:        03/10/21 03:48 AM
Subject:        Freedom of Information request - Information about the
e-Health Record Sharing System

--------------------------------------------------------------------------

Dear Food and Health Bureau,

We are students from Hong Kong Baptist University, and we are writing to
ask for information about the e-Health Record Sharing System (hereinafter
referred to as eHealth).

However, learning that there are relatively few  doctors using eHealth at
present, we find some deficiencies existing in the exchanged record. As a
platform for sharing medical records, we hope it can be more perfect, so
as to be convenient for both doctors and patients at the same time.

And I have the following questions for the Food and Health Bureau to
answer under the Code on Access to Information.

1). As we have shown in the first attached photo, Dr. Cindy mentioned that
the medical records are not open to all hospitals.

([10]https://www.facebook.com/drcindywong/pos... )

A. Referring to Cindy’s views, to what extent could private doctors access
patients’ records in the public hospital? Please provide a list of records
that are accessible through eHealth, the records that are accessible
through paper-based applications and the records that are not accessible.

B. And what records do those hospitals in eHealth share? (for example,
doctor's diagnosis records, patient's operation reports, drug records,
etc.)

C. Do the hospitals have more available records now, and what is the
latest progress?  

2). Referring to Dr Wong’s comments, how long does it usually take for the
medical records of public hospitals to be uploaded to eHealth?

3) To what extent does the delay mentioned in Q2 may affect the HCP from
the private sectors using eHealth?

4) Dr Wong (Cindy) complained that medical records in the past could not
be uploaded to eHealth (no dateback)
[11]https://www.facebook.com/drcindywong/pos... . Is this
the case? What comments does the eHealth team have on this issue.

([12]https://www.facebook.com/drcindywong/pos... )

5) Has the eHealth team collected any feedback from the users such as the
patients and the HCPs (from both public hospitals and private sector)?

Please answer these questions above under the Code on Access to
Information. We hope that ehealth can be further optimized to ensure that
doctors from all kinds of hospitals can obtain various records of patients
(in real time). Thanks in advance for your assistance.

Yours faithfully,

YANG Zhenfei

-------------------------------------------------------------------

This is a request under the Code of Access to Information facilitated via
the accessinfo.hk website.

Please use this email address for all replies to this request:

[13][FOI #804 email]

Is [14][Food and Health Bureau request email] the wrong address for Freedom of Information
requests to Food and Health Bureau? If so, please contact us using this
form:

[15]https://accessinfo.hk/en/change_request/...

Disclaimer: This message and any reply that you make will be published on
the internet. Our privacy and copyright policies:

[16]https://accessinfo.hk/en/help/officers

If you find this service useful as an FOI officer, please ask your web
manager to link to us from your organisation's FOI page.

-------------------------------------------------------------------

References

Visible links
1. https://www.ehealth.gov.hk/en/whats-ehea...
2. https://apps11.ehealth.gov.hk/hcp/en/
3. https://www.ehealth.gov.hk/en/contact-us...
4. http://www.ehealth.gov.hk/
5. mailto:[Food and Health Bureau request email]
6. mailto:[FOI #804 email]
7. mailto:[Food and Health Bureau request email]
8. mailto:[FOI #804 email]
9. mailto:[Food and Health Bureau request email]
10. https://www.facebook.com/drcindywong/pos...
11. https://www.facebook.com/drcindywong/pos...
12. https://www.facebook.com/drcindywong/pos...
13. mailto:[FOI #804 email]
14. mailto:[Food and Health Bureau request email]
15. https://accessinfo.hk/en/change_request/...
16. https://accessinfo.hk/en/help/officers

We don't know whether the most recent response to this request contains information or not – if you are YANG Zhenfei please sign in and let everyone know.