The Bulgarian digital healthcare experience: Modernisation of the NHIS
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The Bulgarian digital healthcare experience: Modernisation of the NHIS

On July 5, 2024, significant amendments to Ordinance No. H-6 were promulgated, affecting the Bulgarian National Health Information System (NHIS). These changes aim to improve access to health information and enhance personal data security.

What’s changing?

1. Mobile Access through “eHealth”

The major innovation is the ability to access electronic health records via the “eHealth” mobile application. Using a QR code, citizens will be able to view their health information directly on their smartphones. The Ministry of Health has until September 1, 2024, to implement this functionality.

2. New Identification Methods

In addition to the traditional qualified electronic signature (QES), citizens will now be able to identify themselves using an electronic health card, SMS password, or mobile application. This will facilitate access and increase data security.

3. Better Control Over Personal Data

Citizens will have greater control over their health data, with the ability to give and withdraw consent for processing in various ways, including electronically.

Why is this important?

Until now, only about 10% of Bulgarians had real access to their electronic health records due to the QES requirement. The new changes will significantly expand this access, allowing practically anyone with a smartphone to monitor their health status, received services, and issued documents.

These innovations are a substantial step towards modernizing Bulgarian healthcare. They will improve system transparency, facilitate communication between patients and healthcare facilities, and give citizens greater control over their personal health information.

These changes are expected to increase the efficiency of the healthcare system and improve the quality of care. Additional instructions on activating the new features will be provided in “eHealth” and patients have to be prepared to take a more active role in managing their own health.