The consultation of the data and documents present in the Electronic Health Record (EHR) can only take place with the consent of the patient and always in compliance with the professional secrecy of the doctors who are treating him, except for specific cases of health emergency for which special procedures are envisaged.

Who can and how to access the Electronic Health Record

The assisted persons can access their EHR through the credentials and access methods established by the legislation and provided for by the autonomous region / province of assistance (such as SPID, TS-CNS, etc.) and begin to consult the documentation contained therein. The assisted persons may, at any time, change the information on who can consult their EHR and what can be consulted, without any consequence for the provision of the services provided by the NHS and the social and health services. The revocation of the consent for the consultation of the data and documents present in the EHR disables access to the data and documents for the previously authorized health and socio-medical professionals, who only in the event of a new and subsequent provision of consent by the assisted, will be rehabilitated and will be able to consult the documentation again starting from the previous consent withdrawal operation.
You can access your regional EHR by consulting the "Regional EHR" section of this Portal (https://www.fascicolosanitario.gov.it/en/regional-EHR) and selecting your assistance region.

How the elements subject to greater protection of anonymity are managed

The Electronic Health Record may contain some health and socio-health data and documents which are subject to greater protection of anonymity and which may only be visible with the explicit consent of the patient, taking into account that, in the event of a choice of anonymity, the professionals who provide the services are not allowed to feed the EHR. These data concern, for example, HIV-positive people, women who undergo voluntary termination of pregnancy, victims of sexual violence or paedophilia, people who use drugs, psychotropic substances and alcohol, women who decide to give birth anonymously, as well as the data and documents referring to the services offered by family counselling centres. The consent given by the patient is also valid as consent for access to the EHR by health professionals and operators in cases of health emergency or public hygiene, a serious, imminent and irreparable risk for the health and physical safety of the person concerned, according to the procedures defined by law.

The assisted person may, at any time and in the manner provided for by the regional reference system, view the various subjects who have had access to their EHR, both for consultation and feeding activities.