Documents can be placed in the eMedical history in two ways:
- Physically stored (internal) document are documents stored in the EESZT eMedical history (EHR) module.
- (External) document stored as a reference documents are stored in other modules of the EESZT. Referrals are stored in the eReferral module, prescriptions are stored in the ePrescription module, image diagnostics files are stored in the Digital Image Transfer and Remote Consultation Module (DKTK).
eMedical history documents are stored and can be queried in a hierarchic system. The SSN (TAJ) is a unique identification number for identifying patients. eMedical history assigns a unique internal ID to every patient in the country. Cases can be identified by their case number and documents by their document ID which is transferred from the submitting system to the eMedical history module, and the eMedical history module assigns a unique internal ID to every case in the country.
Currently, the law requires the care institution to report on the initiation and completion of various medical encounters (inpatient and outpatient specialised care, family physician and dental care, CT and MR examinations) to the EESZT. The record of encounters shows the patient's life cycle in the health care provider system, in the case of events prescribed by law.
Patients can find a list of their own treatment events in the event catalogue on the Citizen Portal, and have access to view the eMedical documents related to the treatments in the Case History section.