Irish adoption site Use-Case

When an Irish citizen goes abroad within the EU or to another location within Ireland, and requires medical attention, they seek medical attention and try to describe their symptoms, diagnoses, and medications to the HP in country of treatment. They have no paper or digital means to show the HP and rely on HP ability to understand patient and get their relevant health data. In many cases, patients, under duress, cannot remember their full medical history, medication lists etc. 

An Irish citizen can also have “Planned Medical Treatment” (scheduled care) either Nationally or Cross Border. On arrival to the selected HP, they have a large paper file (in English) with personal health data. As stated before, they have no means to show the HP and rely on HP ability to understand patient and material in file.

Acute Hospitals: St. James, Mater and Tallaght, Dublin (different vendors).

National systems: Maternal & Newborn Clinical Management System (MN-CMS) in most maternity hospitals and units, roll out to be completed this year. (Cerner).

National Integrated Medical Imaging System (NIMIS) – Medical Images (McKesson).

National Laboratory Information System (MedLIS) – Laboratory Reports and Studies (Cerner).

Ireland will be using several standards based on the application e.g. HL7 FHIR, HL7 CDA, SNOMED.

Faster assessment and diagnoses by HP. Reduced waiting times and improved patient care resulting in increased patient safety.

xShare Yellow Button is pressed, SCR system accessed securely and data available for sharing.

• Patient summary

Slaintecare – National Strategy, 10-year programme to transform health and social care in Ireland.

eHealth Strategy – national strategy, to be published May 2024.

HSE – Reorganising into 6 new Health regions as an important part of Slaintecare strategy

HSE – Data strategy, to define standards and interoperability.

Ireland is fully committed to EHDS and are currently setting up our Health Data Access Body and completing relevant legislation to support EHDS.

• Faster assessment and diagnoses by HP. 
• Reduced waiting times. 
• Improved patient care. 
• Increasing patient safety. 

On a patient mobile app or web portal.

Data must be valid, available, and come from NCP as this validates its accuracy and integrity.

Mobile app/ Web portal must be live and has the xShare Yellow Button integrated.

User should be able to access mobile app/web portal and their health data.

Must understand why they can or should do this.

They should also have given prior explicit consent (opted in) in the NCP to enable data sharing “legal requirement”.

Patient needs medical attention from HP and needs to share their patient summary information

• Localisation, where required.
• Inability to read source language.
• Mobile data access.
• Ability/process for HP to receive patients’ health data.

Patients or their representatives, and healthcare providers.

• Yes – Secondary data use.
• No – Primary data use.

Scenario 1:

1. Patient goes on holiday within the EU.
2. Patient is unwell and seeks medical attention.
3. HP requests medical history and current medications. 
4. Patient opens App/Portal and views PS information. 
5. Patients click on the xShare Yellow Button. 
6. Information is translated using MVC (if required). 
7. Translated information is then transferred to HP. 
8. HP reads health information. 
9. HP treats patient as appropriate. 

Scenario 2: 

1. Patient goes on holiday within the region. 
2. Patient is unwell and seeks medical attention. 
3. HP requests medical history and current medications. 
4. Patient opens App/Portal and views PS information. 
5. Patients click on the xShare Yellow Button. 
6. Information is translated using MVC (if required). 
7. Translated information is then transferred to HP. 
8. HP reads health information. 
9. HP treats patient as appropriate. 

Scenario 3:

1. Patient goes treatment/procedure within the EU. 
2. HP requests medical history and current medications. 
3. Patient opens App/Portal and views PS information.
4. Patients click on Yellow Button. 
5. Information is translated using MVC (if required). 
6. Translated information is then transferred to HP. 
7. HP reads health information. 
8. HP treats patient as appropriate. 

N/A