1364731000000104 Enhanced review indicated before granting access to your own health record
Add this code to a patient's record to prevent them from automatically being able to see new entries. This will mean that you will have to undertake a review to determine if it is safe to offer online records access.
Applying this code before access at the practice is switched on will prevent a patient’s GP Online Services account from being updated to provide access to future information. After the script has run at the general practice, applying either the '...104' or '...106' code alone has no automatic effect to any access the patient currently has, but can affect the level of access when a patient sets up a new online account in the future. (For the code to be effective it must be applied before the script is run).
We are aware that some practices have suggested applying the SNOMED CT exclusion code to all their patients. This is not advisable, as access to records is appropriate for the vast majority of patients and should the patient transfer general practice, this code will transfer with them and may give a false indication of need for enhanced review before record access is provided to mitigate a risk of harm. This also introduces an additional workload on practices to manually review suitability and update online account settings for every patient after access at the practice is switched on in order to meet their obligation to provide prospective access for all patients.
Undertaking the tasks described in the general practice readiness checklist alongside the resources to support staff should allow practices to prepare for access to be switched on.
Early adopter sites have also shared good practice and tools to identify potentially at-risk patients.
Should practices see challenges with providing the necessary safeguards, they are advised to contact their commissioner so they can be supported in achieving this first step towards greater citizen access to health records.
1364751000000106 Enhanced review not indicated before granting access to your own health record
Should the patient be considered as being no longer at risk, adding this code into a patient’s record will override the SNOMED code 1364731000000104 Enhanced review indicated before granting access to your own health record. This means the patient will automatically receive access to information when access at the practice is switched on or when a new GP Online Services account is created, for example by registering for the NHS App.