Doctors responsible for fake records, NHSU has verification authority – Helsi

KYIV. May 12 (Interfax-Ukraine) – Recordings of fictitious appointments made by medical workers without notifying the patient may appear in the user accounts of the electronic medical information system Helsi, while representatives of the Helsi system cannot influence their appearance or verify them, the system’s press service told Interfax-Ukraine on Friday in response to the resonance in social networks.

“We sorted out the cases that users wrote about on Facebook, and everything fell into place. Most of the incomprehensible visits are appointments when they were vaccinated. But it really rarely happens that doctors add appointments that did not take place,” the press service said, pointing out that due to the transparency of the Helsi system, it was possible to expose cases of doctors adding fictitious appointments.

The press service said it is the doctors who are responsible for entering the medical data of patients. “Helsi is the link between the doctor and the patient, and no one except the doctor enters any data,” the system’s press service said.

Helsi said it does not affect the state budget expenditures on medical care for the population, since, according to part 8, article 10 of the law On state financial guarantees of medical care for the population, the basis for paying the tariff is a report that is generated in the electronic health care system based on information and documents entered by the provider of medical services into the system (health care institution, doctor registered as an individual entrepreneur).

It is also specified that Helsi is a part of the electronic health system, which includes a central database and electronic medical information systems, between which an automated exchange of information, data and documents is provided through an open application programming interface (API). The owner of the central database, including the property rights to the software of the central database, is the state represented by the National Health Service of Ukraine (NHSU). A register of medical records, referral records and prescription records is also maintained in a central database. The manager of the register and the owner of its data is also the NHSU.

Creating, entering and viewing information and documents in the central database, making changes and additions to them are carried out by users, in accordance with the Procedure for the functioning of the electronic health, which was approved by Cabinet of Ministers decision No.411 of April 25, 2018 and regulatory legal acts regulating the procedure for maintaining the relevant registers. Operators of electronic medical information systems and their employees do not have such rights, Helsi said.

Entries about referrals and prescriptions in the electronic healthcare system are entered into the Register in accordance with the Procedure approved by order of the Ministry of Health No. 587 dated February 28, 202 and must contain a qualified electronic signature of a doctor, junior specialist with a medical education, medical administrator. The right to verify data in the registry in accordance with applicable law belongs to the authorized person of the NHSU, and not to the medical information system, Helsi said. “It is the authorized persons of the NHSU who carry out verification in the manner prescribed by law, and in case of discrepancies, make the appropriate entries in the register,” the press service said.

Helsi is a medical information system and a leading digital healthcare provider in Ukraine. It is known as a provider of SaaS medical information system solutions for 1,300 public and private clinics.

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