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NHI contracted medical institutions can access real-time medication records and medical images to ensure the safety of emergency patients 

Emergency patients who are rushed to a hospital may not have their NHI cards with them, and it means that ER physicians would not be able to access the NHI MediCloud System by patients' NHI card to learn about the patients' relevant medical history, such as medication and examination records. In response to this issue, the National Health Insurance Administration (NHIA) launched the "Inquiry Service Responding to Natural Disasters and Emergency Medical Treatment" on March 30, 2020. This service only requires the use of the IC cards of physicians/medical professionals working at NHI contracted medical institutions, the Security Access Module cards of medical institutions (SAM cards), and national ID numbers of patients with Level 1 to Level 3 emergencies. The service provides patients' medical information, such as their western medicine medication records over the past 6 months, examination results (including medical images), and Chinese medicine medication records over the past 3 months, thereby serving as references for physicians treating emergency cases. 

 

According to the NHIA, current medical operations require three-card verification for frontline physicians to access the NHI MediCloud System and obtain patients' medical history, namely the patients' NHI cards, the physicians/medical professionals' IC cards, and the SAM cards of medical institutions. However, not all patients would bring their NHI cards when they are admitted to the emergency room, but there is a need for physicians to be able to obtain real-time information from the NHI MediCloud System when they are saving lives. Therefore, the NHIA decided to launch the "Inquiry Service Responding to Natural Disasters and Emergency Medical Treatment" after discussing this issue with the Taiwan Society of Emergency Medicine. This service allows physicians working at NHI contracted medical institutions to check the medical records of patients with Level 1 to Level 3 emergencies. The service not only helps physicians to save patients in life-and-death situations, but also prevents unnecessary repeated prescriptions and examinations. 

 

The NHIA noted that when ER physicians working at NHI contracted medical institutions use the "Inquiry Service Responding to Natural Disasters and Emergency Medical Treatment," all browsing history will be recorded at the NHIA's database. Furthermore, the stored browsing history will serve as the basis for NHIA to provide guidance and advice to the contracted medical institutions, to ensure that the information is used for emergency medical care only, and should be responsible for protecting patients' personal data. 

 

According to the NHIA's statistics, there were 7.2 million visits by ER patients in 2019, among them, 5.85 million visits were Level 1 to Level 3 emergency conditions, representing 81% of all emergency visits. Furthermore, the percentage of ER patients whose condition were level 1 to level 3 is 90% in medical center, 85% in regional hospitals, 64% in local hospitals respectively. 

  • Date:2020-04-13