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Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: It is individual patient identifier or unique patient identifier.

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: It is called different things but let us not confuse things even more. At the moment, people attending Beaumont hospital will have their own medical number. If they then go in to St. James's Hospital for a different operation, they generate a different number. That is what happens currently. The witnesses said that everybody has been assigned a unique identifier so we all have one. Is...

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: The intent is to get to the point that that no longer happens and they will use the IHI. Is that correct?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: How does the HSE use the IHI right now?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: I am even be more confused now. I imagine it would be better not to have separate numbers generated by the hospitals and for them to simply use the IHI.

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: Is Mr. O'Connor saying that is not what will happen, not even in the future?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: That is what I am saying - the hospitals should embed the IHI in their systems. Is it the case that a medical record number will still be generated when people go into hospital and this will then be traced to their IHI but if the hospital shares information with a different hospital, the IHI will be used?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: It is proposed to move from using IHIs, which are 16-digit numbers, to using the PPSN because it is more practical?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: Mr. Lennon stated that the advantage of linking the IHI with the PPSN is that it adds an additional layer of security. Will he explain that?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: We have built up the IHI system in which we all have an IHI assigned to us, even though people probably do not know how to get their number. If we were starting from scratch, would we just use the PPSN or would we still use the 16-digit number?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: I know that but that is not the question I asked.

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: That answers my question. My time is limited so I want to come to a very important point.

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: What is it in practical terms?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: That is step one. Is that basic information - the skeleton?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: We are being asked to support this Bill but if I am on "Drivetime" this evening and the presenter asks me when the summary care records will be in place and when we will see shared care records and electronic health records, I will not be able to answer that question.

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: Can Mr. O'Connor answer it?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: Will it be in five years or ten years?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: I am not suggesting that, to be fair. I am just saying that from what I have heard, if we were starting from scratch it would make sense to do it that way. On summary care records, shared care records and electronic health records, what is the difference between a summary care record and a shared care record?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: The whole purpose of this Bill is to have that level or depth of information in a person's health records, including information on scans that can be seen by different hospitals. It strikes me that it will take some time to get to that point. The summary care record is basically a very simple, basic set of information that will not provide a real difference to a patient's experience, in my...

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: The IHI is being added. It is a number that has been assigned to people but, as we speak, I could go into St. Vincent's Hospital this week and St. James's Hospital next week and they will still generate different numbers.

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