The Digital Health Record is clearer, safer, and more reliable than the paper-based health record and is instantly available when you need it
Salud.uy representative
Salud.uy began its activities in 2012 under the framework of the Agency for Electronic Government and the Information and Knowledge Society (AGESIC) of the Uruguayan government. The purpose of this program, co-governed by the Presidency of the Republic, the Ministry of Public Health, the Ministry of Economy and Finance, and Agesic itself, is to integrate information and communication technologies into the Sistema Nacional Integrado de Salud (SNIS), the National Integrated Health System. The program is jointly funded by the Uruguayan government and the Inter-American Development Bank.
Its main task is the development of the National Electronic Health Record (HCEN). It is based on a federated model of digital health records that are stored in the healthcare service providers chosen by the system user to receive assistance. The State provides the interoperability platform that makes its operation possible with the necessary guarantees, adopting international computer standards.
THE CHALLENGE
Antes de Mi Historia Clínica Digital, un sector minoritario de los usuarios del SNIS ya podía acceder a toda o parte de su información clínica digital, debido a que sus prestadores ofrecen este servicio. Sin embargo, la amplia mayoría de la población no tenía acceso. Mi Historia Clínica Digital tiene, por tanto, su principal fundamento en brindar equidad de acceso a la información clínica para todos los uruguayos.
Aquellas organizaciones de salud que no contaban con el desarrollo de un portal para el usuario, entre ellas el principal prestador público del país, se benefician inmediatamente de esta solución universal provista por el Estado. Para ello, contar con Sistemas de Gestión Hospitalaria resulta fundamental.
For the production deployment of MI HCD, Salud.uy and GeneXus Consulting tackled multiple technological challenges over the course of four months. First, it was necessary to analyze and define the product's architecture on the HCEN platform. It's worth noting that Mi HCD is the first application developed and made available to the public by Salud.uy through the Internet, so there were no prior precedents for a project of this nature on the platform.
Additionally, it was necessary to integrate with the user authentication methods provided by the Uruguayan government through the Electronic Identification area of AGESIC. This includes the Digital ID and Mobile Digital Identity.
Finally, the study of the user interface design required the collective expertise and knowledge of both parties, both at the national and international levels, to arrive at a successful and highly satisfying product.
THE SOLUTION
The Historia Clínica Digital es más clara, segura y confiable que la historia clínica en papel y está disponible al instante, cuando sea necesaria.
Through the Mi Historia Clínica Digital (My Digital Health Record) application, as a user of the Sistema Nacional Integrado de Salud (SNIS) and being over 18 years old, it is possible to access your own digital clinical information and configure permissions and privacy settings from any computer, tablet, or mobile phone.
Furthermore, the tool allows for the configuration of access privacy policies, meaning the selection of healthcare providers that the user will enable to access their digital clinical information through the HCEN platform for an unlimited timeframe.
Finally, it displays the access history to the user's clinical information by healthcare professionals from various providers, or the user themselves. Authentication is done through their Digital ID or their Mobile Digital Identity; both options allow access with the highest level of cybersecurity established by AGESIC.
The Work Team
The program's executive team, along with healthcare ecosystem experts, began conceptualizing this application in 2017. They considered previous experiences from other countries, as well as local initiatives from some of the healthcare providers. By early 2019, it was understood that the conditions were in place to open access to the owners of clinical information, namely the users of SNIS. To do this, an interdisciplinary work team was formed, which included program members along with technical experts from GeneXus Consulting. The excellent collaboration between both parties was a key factor in the project's success.
Additionally, an external group of experts was called upon to act as advisors throughout the project.
El equipo de GeneXus Consulting proporcionó un aporte significativo para el éxito del proyecto, poniendo a disposición los técnicos más calificados en el conocimiento de la plataforma de la HCEN con una alta dedicación y compromiso durante todo el proceso de trabajo. Esto se observó tanto a nivel de desarrollo de la solución y todos los desafíos que surgieron en el proceso, como a nivel de estudio del diseño de la interfaz, apoyados por los Servicios de Transformación Digital en Salud de GeneXus Consulting.
Salud.uy representative
The team's performance was not limited to efficiently and effectively meeting the requested requirements but also made contributions that demonstrated a continuous commitment and dedication to achieving the best possible product within a very tight timeframe..
Salud.uy representative
The Electronic Health Record Software desarrollado en este proyecto marcó un hito en el acceso ciudadano a la información clínica en Uruguay.