Medical Records and Confidentiality

Medical Records

All contacts within the healthcare system must be documented on a patient record. Student Wellbeing Centre uses the CGM J4 electronic health record system. The purpose of the patient record is to contribute to safe and high-quality healthcare, and it may only contain information necessary for the provision of care. Provisions regarding patient records are set out in the Patient Data Act (2008:355).

Right of Access to Information

As a general rule, you have the right to access information contained in your patient record. In certain exceptional circumstances, however, Student Wellbeing Centre may refuse access to specific information. This applies primarily:

· if, having regard to the purpose of the care or treatment, it is of exceptional importance that the information is not disclosed to you (see Chapter 25, Section 7 of the Public Access to Information and Secrecy Act (2009:400)); or

· if disclosure could be assumed to endanger a person who has provided information for your patient record, or if a related person risks being subjected to violence or other serious harm if the information is disclosed.

Your Rights

· You have the right to request access to your patient records, either orally or in writing, in accordance with the principle of public access to official documents.

· You have the right to have inaccurate or incomplete information corrected. However, this does not mean that healthcare providers may completely delete incorrect information.

· If you believe that your patient record contains incorrect information, you have the right to request that Student Wellbeing Centre records your opinion in the patient record. You do not, however, have the right to write in the record yourself or otherwise decide what should be included in it.

· You have the right to restrict access to (block) your patient information for electronic access or interoperable/shared health records. Please note that healthcare providers may override such restrictions in emergency situations.

You can read more about your rights in Chapter 2 of the Freedom of the Press Act, Article 16 of the General Data Protection Regulation (GDPR), and Chapters 3 and 4 of the Patient Data Act (2008:355).

Confidentiality

Information held by Student Wellbeing Centre is protected by strict confidentiality under the healthcare confidentiality provisions. This means Student Wellbeing Centre staff may not disclose your information to anyone outside the service, either verbally or in writing. Information concerning your personal circumstances may only be disclosed following an individual confidentiality assessment. Information from your patient record may only be disclosed if it is clear that neither you nor any related person would suffer harm as a result.

The general principle is therefore that information about illness, treatment or other personal circumstances may not be disclosed without your consent. However, there are statutory exceptions that permit disclosure without your consent. Examples include:

· when information must be provided to social services because staff are concerned that a child may be at risk of harm (a so-called report of concern);

· when the Swedish Social Insurance Agency (Försäkringskassan) requires the information to investigate a case;

· when Student Wellbeing Centre staff become aware that you have been the victim of a serious crime;

· when there is reason to believe that you may commit certain violent offences against a related person;

· when information is required to prevent an imminent crime or interrupt certain ongoing crimes; or

· when disclosure is necessary for KI to carry out its activities.

You can read more about confidentiality in the Public Access to Information and Secrecy Act (2009:400), particularly Chapters 10 and 25.