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Electronic medical file exchange between on-duty care providers and the attending paediatrician: a Belgian paediatric
M Deneyer1, S Hachimi-Idrissi, L Michel
1Department of Paediatrics, Universitair Kinderziekenhuis Brussel. michel.deneyer@telenet.be
Insights
The Paediatric Core File Exchange in Emergencies (PCF-EXEM) project facilitates secure medical data sharing for children during emergencies. This system ensures timely access to critical health information, improving emergency care quality.
Area of Science:
- Health Informatics
- Pediatric Emergency Medicine
- Data Security
Background:
- Emergency medical care for children requires rapid access to comprehensive patient history.
- Current data sharing limitations can impede timely and effective treatment in pediatric emergencies.
- Care providers need continuous access to vital clinical information for optimal patient outcomes.
Purpose of the Study:
- To introduce the Paediatric Core File Exchange in Emergencies (PCF-EXEM) pilot project.
- To establish a secure system for exchanging pediatric medical data between attending pediatricians and on-call medical units.
- To ensure permanent availability of essential health data for high-quality emergency care.
Main Methods:
- Development of a protected server (PCF-server) to host pediatric core files (PCF).
- Implementation of a feedback mechanism for on-call physicians to report findings to attending physicians.
- Ensuring technical and practical feasibility of the data exchange system.
Main Results:
- The PCF-EXEM project provides permanent access to critical pediatric health data.
- It enables swift access to a child's relevant medical history for emergency physicians.
- The system balances patient privacy with the need for quality healthcare in emergencies.
Conclusions:
- The PCF-EXEM project enhances emergency care by ensuring continuous access to pediatric medical information.
- It aligns with Belgian data protection laws and European interoperability initiatives.
- PCF-EXEM serves as a potential model for pediatric emergency data exchange in other EU countries.
Abstract:
The authors propose the introduction of a pilot project: "paediatric core file exchange in emergencies" (PCF-EXEM) which enables the exchange of medical data between the attending paediatrician (AP), holder of the medical record, and on-duty medical units (i.e. general practitioners, paediatricians, surgeons, emergency physicians,...). This project is based on two pillars: a protected server (PCF-server) containing paediatric core files (PCF), with important clinical data that should be available for the physician in order to quickly get a clear insight into the relevant clinical medical history of the child, and secondly, the possibility to provide feedback to the attending physician about the findings recorded during the on-call duty. The permanent availability of health data on the PCF-server and the possibility to provide feedback represent together the PCF-EXEM-project. This project meets the demand of the care providers to have relevant medical information permanently available in order to guarantee high quality care in emergency situations. The frail balance between the right to informative privacy and professional confidentiality on the one hand and the right to quality health care on the other hand has been taken into account. The technical and practical feasibility of this project is described. The objectives and vision of the PCF-EXEM project are conform to Belgian legislation concerning the processing of medical data and are in line with the still under consideration European projects which are focusing on interoperability and the development of a common access control to databanks containing health data for care providers. PCF-EXEM could therefore be a model for other EU countries as well.
