National Electronic Health Records (NEHR) is a key enabler for Singapore’s strategic vision of “One Patient, One Health Record”. It receives patients’ key health information from different healthcare settings and consolidates into a holistic picture of patients’ healthcare history, enabling greater coordination and informed decision-making, and support for more accurate diagnosis, improved treatment, and patient-centric integrated care.
With “One Patient, One Health Record”, care teams would be able to deliver safer, better and more personalised care for patients. The National Electronic Health Record (NEHR) is a key enabler of Singapore’s strategic vision for “One Patient, One Health Record” where patients move seamlessly across the national healthcare network, receiving coordinated patient-centric care at the most appropriate settings.
It provides secure access to a patient’s summary health record by authorised clinicians and healthcare professionals to:
- Enable greater coordination and informed decision-making,
- Support more accurate diagnosis, better treatment, and patient-centric integrated care.
NEHR is a repository that manages patient’s summary health record centrally by storing clinically relevant information from their encounters with clinicians and healthcare professionals across the national healthcare network throughout their life.
The goal of the NEHR is for patients to enjoy hassle-free healthcare delivery, higher quality of care, fewer duplicate or unnecessary tests and/ or referrals, reduced medical errors and adverse drug events.
To ensure security and confidentiality of patient data while the best care is provided, the NEHR enforces measures to authenticate, authorise and audit healthcare institutions and users’ access to patient’s health record.
Opportunity
It is common to visit multiple healthcare providers in our lifetime – from General Practitioner clinics, polyclinics, specialists, therapy centres to hospitals. As a result, each of these providers will have some parts of our medical history.
To provide optimal care for patients, we need seamless contribution of data to the NEHR that will allow for the sharing of holistic records across providers.
Solution
The NEHR serves as a repository for key health information from various healthcare institutions, consolidating them into a holistic health record. Data contribution is done seamlessly via system-to-system integration. Public healthcare institutions have been contributing data to the NEHR since 2011, while private healthcare institutions are progressively doing so.
Individuals who have received care in Singapore’s public healthcare clusters since February 2011 will have a record in the NEHR, accessible only to authorised healthcare providers.
Impact
The NEHR provides a consolidated longitudinal view of patient’s key health information. This includes allergies and adverse drug reactions, admission and visit history, discharge summaries, clinical and radiological laboratory results, history of past procedures, medication and immunisation, amongst others. In a medical emergency, access to the NEHR for key health information could save lives.
Patients will also be able to access selected health information through HealthHub.
Future Outlook
The NEHR will further enrich data and enhance data sharing between public and private healthcare providers to support Healthier SG and other national initiatives.
Vanda Clinic Management System (CMS)
As Vanda is currently integrated with NEHR, which means that clinical data created in Vanda will be synchronized to NEHR.
Reference: Synapxe
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