*e-Nabız – electronic and personal health record system (2024)

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Organisation name Republic of Türkiye Ministry of Health – General Directorate of Health Information Systems

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Contact person: Neslihan Öztürk

neslihan.ozturk3@saglik.gov.tr

Third prize winnerin category Digital Transformation in EPSA 2023-24

Context

The digitalisation in healthcare services has become a widely prevalent global trend with the increase in technological developments. Main factors influencing this trend include ageing, childhood diseases and deaths, epidemics, high costs, migration and the negative effects of poverty on access to healthcare services. Having a population of 85 million inhabitants and hosting numerous immigrants and refugees, Türkiye has prioritised the advancement of the digitalisation of its healthcare services and the production of solutions for current healthcare needs. The Ministry of Health of the Republic of Türkiye intensified its efforts towards digitalisation in healthcare with the implementation of the Health Transformation Programme in the first decade of the 2000s and, after 15 years of development, in 2015 it launched e-Nabız, an integrated National Health System developed by the General Directorate of Health Information Systems.

Objectives

e-Nabiz is a digital platform that stores and shares all medical and demographic data of patients and healthcare services. It aims to facilitate service delivery to the citizens, as well as increase efficiency and transparency within the healthcare system. It functions as both an electronic health record and a personal health record system, allowing for the collection of accurate data in a standardised manner. It enhances the quality and speed of the diagnosis and treatment, establishes a strong communication network between citizens and healthcare professionals, and stands as a comprehensive health informatics infrastructure that can be securely accessed over the internet. The e-Nabız system, which centrally preserves users’ entire medical histories in a database, mitigates the risk of loss or damage to health information. Citizens can access a wide range of health data, including diagnosis and treatment details, and laboratory test results. Furthermore, it integrates wearable devices to reflect medical data measurements on the user profile. The project also offers features such as scheduling doctor and vaccination appointments, and assessing health risks. This encourages citizens to make more informed health decisions, promotes health literacy and encourages active health management. The integrated and comprehensive database of the e-Nabız system plays a crucial role in the development of effective health policies at all levels.

Implementation

The vast data ecosystem of the e-Nabız system is built on multiple information management systems used by nearly 2000 hospitals, 9000 medical centres, 27 000 family medicine centres and 29 000 pharmacies. e-Nabız integrates with over 40 of these information management systems, ensuring the consolidation of data produced at roughly 60 000 points into a single platform. The system is developed and coordinated by an eight-person project team under the General Directorate of Health Information Systems in the Ministry of Health. The project team is responsible for the coordination and development of e-Nabız, integrating it with various digital applications under the Ministry of Health. As a public project under the Republic of Türkiye, e-Nabız is directly financed from the public budget and undergoes procurement processes for maintenance services. The e-Nabiz system has brought an innovative service approach to health management in administrative, medical and financial aspects as it is integrated with over 40 information management systems in healthcare facilities nationwide. It has recorded 7.7 billion drug entries, 6.3 billion test processes and 15 million organ donation records to date, with an average of 1.7 million daily logins. Additionally, 240 000 healthcare professionals have conducted 500 million queries in the platform. These figures demonstrate that serving more than 75 million users, e-Nabiz contributes significantly to improving healthcare access and quality in Türkiye.

* EIPA has been informed that the technology used in the “e-Nabız” project is subject to an on-going legal dispute regarding Intellectual Property Rights. The presentation of an award by EIPA for the project does not in any way constitute recognition of these intellectual property rights, and by awarding the price, EIPA does not take a stance in the legal dispute amongst the parties. By issuing this disclaimer, EIPA acknowledges the dispute and the positions of the parties which are under the purview of the law courts.

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*e-Nabız – electronic and personal health record system (2024)

FAQs

What is the electronic health record in your own words? ›

An Electronic Health Record (EHR) is an electronic version of a patients medical history, that is maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care under a particular provider, including demographics, progress notes, problems, medications, ...

What is the electronic health record and the personal health record? ›

Whereas an electronic health record (EHR) is a computer record that originates with and is controlled by doctors, a personal health record (PHR) can be generated by physicians, patients, hospitals, pharmacies, and other sources but is controlled by the patient.

What is the electronic patient record system? ›

An EPR system is a digital platform that brings all your patient information, from medical history to results of investigations and medications prescribed, together in one place. Currently we hold your records in different places, such as paper-based notes and on several digital systems.

What is an electronic health record quizlet? ›

Electronic Health Records are the portions of a patient's medical records that are stored in a computer system as well as the functional benefits derived from having an electronic health record.

What is an example of electronic medical record? ›

EHRs include information like your age, gender, ethnicity, health history, medicines, allergies, immunization status, lab test results, hospital discharge instructions, and billing information.

What type of information is an electronic health record? ›

In summary, Electronic Health Records (EHRs) are a type of clinical software that stores and manages patient health information. Healthcare Information Systems (HIS) use connections to form a network that allows healthcare information to be shared quickly and securely between devices.

What is the difference between an electronic health record and an electronic? ›

An EMR (electronic medical record) is a digital version of a chart with patient information stored in a computer and an EHR (electronic health record) is a digital record of health information.

What is a true electronic health record? ›

Basically, it is a comprehensive digital compilation of a patient's health data. The real benefit of EHRs over traditional paper charts is ease of access. With EHRs, the information moves with the patient, and can be consulted electronically by a specialist, hospital or nursing home, and even across borders.

Who is the owner of a health record? ›

HIPAA states that the patient owns their own information, with very few exceptions, and they have the right to receive a copy of the information. In the states that fall under Federal Guidelines, the medical records belong to the provider, practice or facility that created the record.

What is the purpose of the electronic health record system? ›

An EHR is an electronic system used and maintained by healthcare systems to collect and store patients' medical information. EHRs are used across clinical care and healthcare administration to capture a variety of medical information from individual patients over time, as well as to manage clinical workflows.

How many different electronic health record systems are there? ›

With over 600 EMR/EHR and Practice Management Software companies today, there are many things to consider when thinking about using or switching your Electronic Medical Records Software (EMR Software). You must make sure that you have covered every aspect involved before making a final decision.

What is the medical record electronic health record? ›

An electronic health record (EHR) digitizes a patient's paper chart. It collects the patient's history of conditions, tests and treatments and can be used to create a more holistic view of the patient's care.

What should be in the electronic health record? ›

EHRs are a vital part of health IT and can: Contain a patient's medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory and test results.

What is the name of the electronic health record? ›

An electronic health record (EHR) is the systematized collection of patient and population electronically stored health information in a digital format. These records can be shared across different health care settings.

What are the disadvantages of electronic health records? ›

Disadvantages of EHR systems - dispelling your fears
  • What are the disadvantages of EHR? ...
  • Lost productivity. ...
  • Lack of Interoperability. ...
  • Negative financial consequences. ...
  • Mitigating EHR risk in your practice.
Mar 20, 2024

What is an electronic medical record best described as? ›

An electronic (digital) collection of medical information about a person that is stored on a computer. An electronic medical record includes information about a patient's health history, such as diagnoses, medicines, tests, allergies, immunizations, and treatment plans.

What is the meaning of EMR? ›

The EMR, or electronic medical record, refers to everything you'd find in a paper chart, such as medical history, diagnoses, medications, immunization dates, and allergies. While EMRs work well within a practice, they're limited because they don't easily travel outside the practice.

What are other words for electronic health records? ›

The terms EHR, electronic patient record (EPR) and EMR have often been used interchangeably, but differences between the models are now being defined. The electronic health record (EHR) is a more longitudinal collection of the electronic health information of individual patients or populations.

What is the term electronic medical record? ›

Electronic medical records (EMRs) are a digital version of the paper charts in the clinician's office. An EMR contains the medical and treatment history of the patients in one practice.

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