Sharing a Patient Summary with a healthcare provider

Scenario context: 

One possible way in which the patient may want to distribute the information is to give it to a new health professional on the occasion of a new medical encounter, whether this intervention is scheduled or unscheduled. This step is relevant only if the health professional does not, for some reason, have access to the patient summary9 .

NOTE from epSOS: “It is important to note that the patient access service is a national prerogative. As such, neither functionality nor requirements thereto are regulated by epSOS”. (quote from D4.E.1)

PHR System
NCP-A (National Contact Point A, own country)
NCP-B (National Contact Point B, other country)
Translation Service
Patient identification
Patient Summary retrieval
Technical Process Flow: 
  1. Patient requests information about Patient Summaries via NCP-B using (for example) his/her PHR System
  2. Patient is authenticated by the NCP-B
  3. Patient requests Patient Summary from country A
  4. NCP presents selected Patient Summary
  5. Translation of selected Patient Summary in country A is made available by a Translation Service 
Possible issues: 
  • Document management: when the HCP makes a copy of the Patient Summary, is the provenance of that document safeguarded?
  • How to determine that the patient is who he says he is (authentication)
  • Does patient’s authentication provides same level of trust and security of HCP’s authentication

For more issues/disadvantages of patient access please see D3.2.2. of epSOS