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Kjernejournal for safer healthcare

Kjernejournal gathers selected and important information about your health. This is particularly useful if you need urgent medical assistance.

Kjernejournal is particularly useful if you need urgent medical assistance
Foto: Johnér Bildbyrå AB

Why kjernejournal?

Your ​Kjernejournal (Summary Care Record) contains selected and important information about your health.

Kjernejournal gives health care professionals immediate access to selected and important information about your health, regardless of where you receive treatment.

This means that health care professionals can spend less time looking for information about each patient before treatment can start. When it is urgent, this could have serious consequences for you.

Kjernejournal complements the medical records kept by general practitioners (GP), out-of-hours services and hospitals. Kjernejournal will contribute to safer patient treatment, and may save lives.

Kjernejournal gathers health information from several sources:

 

Where can I find my kjernejournal?

​On the Norwegian public health portal helsenorge.no you can view the information saved about you, and add some information yourself.

How to contribute

You can add information to give health care professionals a more complete picture of you and your health:

  1. Log in to helsenorge.no using your electronic ID (e.g. Bank ID).
  2. Enter information concerning:
    • Next of kin (for health care professionals to contact).
    • Special communication needs (challenges related to sight, hearing, speech or language).
    • Your medical history (medical conditions or disorders health care professionals should be aware of).
  3. Contact your regular general practitioner to check whether any serious medical conditions or allergies you might have needs to be entered.

One of several services available

Kjernejournal is one of several self-service possibilities at helsenorge.no. You can also look up your prescriptions, user fees for medication, and the contact information to your regular general practitioner.

What does kjernejournal contain?

Kjernejournal contains information from national registries, serious medical conditions or allergies registered by your physician, and any information you enter yourself.

Under the heading "Innhold" (Contents), you will find the following:

Kritisk informasjon (Critical information)

Critical information is important health-related information that health care professionals should know about when treating you. You can not enter these yourself - you must get your doctor or other health care professional to help you.

Critical information falls into the following categories:

  • Overfølsomhetsreaksjoner (allergier m.m.): Medicines and other substances that give you serious allergies or other severe reactions.
  • Komplikasjoner ved anestesi (narkose og bedøvelse): If you have experienced serious side effects from pain relief medication or anesthesia, this should be listed here.
  • Kritiske medisinske tilstander: Medical conditions that are difficult to discover and that may lead to wrong or delayed treatment if they are not known by those giving treatment.
  • Pågående behandling og implantater: Ongoing medical treatment and current implants.
  • Endringer i behandlingsrutiner: Earlier findings and decicions about treatments, that may affect your later health care.
  • Smitte: If you have or have had long-term infections or diseases, they should be listed here. This may affect for instance what types of antibiotics you should be given.

Legemidler (Prescriptions)

If you have any active or valid prescriptions, you will find them listed here.

Dine registreringer (Your own entries)

To add to or change the information in this section, go to the "Profil og innstillinger"-menu by clicking on your name when you are logged in to helsenorge.no.

Sykdomshistorikk (Medical conditions)
If you have had any serious illnesses or medical conditions that you or your health care givers have entered in your kjernejournal, they will be listed here.

Go to "Sykdomshistorikk og kritisk informasjon" to change the information that appears in this list.

Pårørende (Next of kin)
Here you can identify who your next of kin are, and how they can be reached. In case of an emergency, those labeled as closest to you ("nærmeste pårørende") will be alerted first, if possible. You can change this information by going to the "personopplysninger" page.

Arbeidsgivere (Employers)
If you have entered your employer's details into your kjernejournal, you will see them here. You can change this information by going to the "personopplysninger" page.

Personopplysninger (Personal information)

This information is imported from the National Registry (Folkeregisteret). If you find errors or have questions, please contact them directly. Your telephone number is imported from the Difi kontakregister.

If you have special needs regarding communication, you can indicate that on the "personopplysninger" page.

Fastlege (Your General Practitioner)

Here you can see who your general practitioner is, and the address of his or her office. You can read more about the right to a doctor here.

Besøkshistorikk (Past visits)

Here you can see your visits to hospitals and other medical services since 2008. The information is collected from Norsk Pasientregister (NPR) and it may take a month or more for new visits to appear in the list.

Innstillinger (Settings)

Here you can see settings for receiving alerts, and if you have added any limitations on the access to your kjernejournal.

Varslingsprofil: This is the list of alerts for when your kjernejournal is being accessed. You can decide what alerts to receive, except for the most important ones, which can not be deactivated.

To select which alerts you receive, go to "Logg over bruk" next to "Innhold", and select "Innstillinger for oppsummering på e-post".

Helsepersonells tilgang til din kjernejournal: If you have added limitations to the access to your kjernejournal, you will see them in this list.

Logg over bruk (Usage log)

Here you can see a list of various activities in your kjernejournal. You can see who has accessed it, and if any changes have been made or new information has been added.

Select "Innstillinger for oppsummering på e-post" to change what alerts you receive when your kjernejournal has been accessed.

Helsekontakter (Contacts in the health service)

To view or change this information, go to the "helsekontakter" page.

Your current contacts in the health services will be shown on the left. When the treatment ends, they will automatically be moved to the right-hand column, labelled "tidligere" ("former").

Click the plus sign labelled "Registrer ny helsekontakt i din kjernejournal" to register a new active contact that has not already been automatically added.

Once added, you can either change ("endre") or delete ("slett") a contact from the list, by clicking "Handlinger" in that contact's box.

Aktive (Current)
Here, you may find the following types of contacts:

  • Behandlere og spesialister: Health care professionals assigned to you, or otherwise involved in providing specialised treatment to you.
  • Kommunal helse og omsorg: Local health services, such as care for the elderly or assisted living.
  • Primærkontakt i helsetjenesten: This is your general practitioner.
  • Alternative behandlere: Alternative treatment is not proven to work, but may cause side effects when combined with conventional health care. You should therefore list any alternative treatment you are receiving.

Tidligere (Former)
Your former contacts in the health service will be shown here.

When will I have a kjernejournal?

​Kjernejournal is automatically created for all inhabitants of Norway, but you can also establish it yourself, if you do not already have one. If you do not have a national ID-number, use your D-number to establish your kjernejournal. The information in it will automatically be transferred to your new kjernejournal which will be established once you get your permanent national ID number.

Who will be using kjernejournal?

Health care professionals at out-of-hours services, medical centers, emergency departments and hospitals will be able to access your kjernejournal when providing you with medical care. They will be able to look up information registered about you, and use this when deciding what treatment you should receive.

In addition, your GP or other physicians will be able to register critical information, in consultation with you.

Is my data privacy protected?

  • Kjernejournal was developed by the Norwegian Directorate of eHealth in strict compliance with statutory requirements for security and data privacy.
  • Access to your kjernejournal will be granted solely to health care facilities authorised by the Norwegian Directorate of eHealth. Access is obtained in a closed health service network.
  • Only authorised health care professionals will be permitted to look up information in kjernejournal, and only when providing you with medical care.
  • Health care professionals must identify themselves at the highest security level in order to gain access, and all activity is logged.
  • You alone have access to your data at helsenorge.no. Here you can also monitor who has accessed your kjernejournal.

Opt out of kjernejournal?

You can opt out of kjernejournal at any time. If you opt out, there will be no kjernejournal containing health information about you.

Forms

These are forms you can use for managing the information in your kjernejournal and who has access to it.

Forms for gaining access

Forms for limiting access and blocking information

Forms for opting out

Forms for authorisation

Forms for reporting errors

Forms for recording data on your own

Form for reporting suspicion of snooping