General Information
Hospitalization module contains records of all e-hospitalizations - both current and completed - regardless of source of funding, for which data has been saved into National Health Information System (NHIS). Records are arranged chronologically, and for each of them, following details are visible: admission date to the hospital, National Reference Number (NRN) of the document, clinical pathway activity, and hospital where hospitalization took place.
Each e-hospitalization includes information about the type of admission (planned or emergency), outpatient procedures performed at admission, diagnoses, patient condition, comorbidities, and more.
Information about completed hospital stays is divided into two main sections - at admission and at discharge. For completed hospital stays, there is a Discharge section that describes the patient’s condition, number of days spent in the medical facility, the outcome of the hospital stay, instructions for further care, and the patient’s ability to work after hospitalization.
The discharge summary (epicrisis) from completed hospital stays can be viewed via a special button located in Details section. It opens in a separate screen and includes: a free-text note describing the patient’s condition; name and UIN of the doctor who issued it; and options to contact the doctor via email or phone.*In the National Health Information System, data is visible only if it has been entered by medical professionals.
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Information about the newborn(s) and the birth itself is available in the Details section.
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Birth Process
If the reason for the hospital stay is childbirth, a new subsection called “Birth” is loaded in Details section. It contains information about both the process of the birth itself and details about the newborn(s). Regarding birth process, information is available about the due date. The next two fields provide exact data on the date and time when labor began and when it ended. It also shows which number birth this is for the mother.
Birth subsection also includes a Note field, where the doctor can save additional information in free text related to how the birth progressed. The date and time of birth are displayed depending on the settings of the software used by the medical professional.
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Information about the Baby
In Newborn subsection, the baby’s name is displayed. If there is more than one baby born during this delivery, their names are listed. The name of the first newborn appears at the top, followed by the names of the other newborns, arranged according to the order of birth.
Next to each newborn’s name, there is an arrow that opens a new screen with detailed information about the baby.
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Newborn Data
If the newborn is a boy, the screen that loads is blue; if it’s a girl, the screen is pink. On this additional screen, the baby’s data immediately after birth is displayed. Next to baby’s name, a number indicates the birth order within the delivery. Below the baby’s name, you can see the gestational age at birth, weight, and gender. A special graphic provides additional information about the head, chest, and hip circumference, as well as the baby’s height.
Newborn screen also shows date and time of birth, along with results of the Apgar tests conducted in the first and fifth minute after birth. Reference values for the Apgar tests are also provided. If the doctor has entered additional information related to the newborn in free text, it can be read in Note field.
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Sharing with Loved Ones
Information about each newborn can be shared via a mobile messaging app used by mother or via SMS using special “Share” button. This allows mother to share the joyful news with her loved ones without need to write messages or make phone calls during this emotional moment. Everyone who receives the information can be confident that it has been entered by a medical professional and is accurate.
Newborn’s data is stored in electronic health records within National Health Information System, both in mother’s and newborn’s profiles. Access to this information is available through my.his.bg and the mobile app eZdrave.
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Information about the newborn(s) and the birth itself is available in the Details section.
-
Birth Process
If the reason for the hospital stay is childbirth, a new subsection called “Birth” is loaded in Details section. It contains information about both the process of the birth itself and details about the newborn(s). Regarding birth process, information is available about the due date. The next two fields provide exact data on the date and time when labor began and when it ended. It also shows which number birth this is for the mother.
Birth subsection also includes a Note field, where the doctor can save additional information in free text related to how the birth progressed. The date and time of birth are displayed depending on the settings of the software used by the medical professional.
-
Information about the Baby
In Newborn subsection, the baby’s name is displayed. If there is more than one baby born during this delivery, their names are listed. The name of the first newborn appears at the top, followed by the names of the other newborns, arranged according to the order of birth.
Next to each newborn’s name, there is an arrow that opens a new screen with detailed information about the baby.
-
Newborn Data
If the newborn is a boy, the screen that loads is blue; if it’s a girl, the screen is pink. On this additional screen, the baby’s data immediately after birth is displayed. Next to baby’s name, a number indicates the birth order within the delivery. Below the baby’s name, you can see the gestational age at birth, weight, and gender. A special graphic provides additional information about the head, chest, and hip circumference, as well as the baby’s height.
Newborn screen also shows date and time of birth, along with results of the Apgar tests conducted in the first and fifth minute after birth. Reference values for the Apgar tests are also provided. If the doctor has entered additional information related to the newborn in free text, it can be read in Note field.
-
Sharing with Loved Ones
Information about each newborn can be shared via a mobile messaging app used by mother or via SMS using special “Share” button. This allows mother to share the joyful news with her loved ones without need to write messages or make phone calls during this emotional moment. Everyone who receives the information can be confident that it has been entered by a medical professional and is accurate.
Newborn’s data is stored in electronic health records within National Health Information System, both in mother’s and newborn’s profiles. Access to this information is available through my.his.bg and the mobile app eZdrave.
Key Functionalities
Key Functionalities
For hospital stays, information is available about the patient’s admission - specifically, which clinic they were admitted to and who their attending/admitting physician is. Details also include dietary regimen, room, and bed assignment. Using a special button in eZdrave app, this information can be shared with loved ones via a mobile messaging app or SMS.
This section includes all primary diagnoses and related complications from comorbid conditions that the patient has.
This section contains information about allergies recorded in the e-hospitalization document, including food allergies, environmental sensitivities, and intolerances to medications and biological materials. For each allergy or intolerance, data is available on the risk level, date of last occurrence, and any free-text notes entered by the physician.
This section displays all tests and examinations performed during the hospitalization.
This section provides access to all documents related to the hospital stay, such as test results, referrals, sick leave certificates, and more. Each document can be accessed via an arrow icon in the corresponding field.
If a sick leave certificate has been issued, it opens in a new screen showing the certificate number, diagnosis, number of sick leave days divided into two periods - before, during, and after the hospital stay - as well as start and end dates of the certificate.
This section includes reason for hospitalization, source of funding, medical facility where it took place, and date and time of patient admission. For completed hospitalizations, the discharge date and clinical pathway used at discharge are also visible.
Stages for Creating and Processing an e-Hospitalization Document
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1 Patient visits a hospital. The patient may have an issued e-referral for hospitalization from a doctor working in outpatient care, or may have self-referred to the hospital.
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2 On-duty doctor retrieves the issued e-referral for hospitalization from NHIS (if available) and creates a new e-examination document in NHIS. The doctor performs a preliminary examination of the patient, regardless of whether a referral has been issued or the patient has self-referred.
If during preliminary examination the on-duty doctor determines that the patient needs to be examined by a specialist, an e-consultation document is created in NHIS linked to the existing e-examination. A specialist then examines the patient.
If tests are required during consultation, an e-performance document is created in NHIS with results of medical-diagnostic activities. -
3 The on-duty doctor assesses whether hospitalization is necessary, completes the e-examination document, and closes it. If hospitalization is needed and an e-referral has already been issued, status of the referral must be changed to “in progress” by the on-duty doctor.
If a planned admission is required, admission time is scheduled. For immediate hospitalization, an e-hospitalization document is created in NHIS, and e-referral status is updated to “completed.”
If the patient does not have an issued e-referral, the on-duty doctor must issue one, then complete and close the e-examination document. -
4 If a vaccination is performed during hospitalization (including for newborns), an e-immunization document must be created in NHIS. For medical-diagnostic activities, an e-performance document must be created. If patient transfer or ward admission is needed, a placement request must be added to the existing e-hospitalization document in the NHIS.
If childbirth occurs during the e-hospitalization, an e-birth document must be registered in NHIS, linked to the ongoing e-hospitalization. ! Each of these scenarios can occur independently of the others! -
5 Upon patient discharge, the existing e-hospitalization document in NHIS must be completed. If patient needs to be transferred to another medical facility, a new e-referral for hospitalization must be created in NHIS.
If additional time is needed for histology results, final diagnosis must be updated. This is done by updating e-hospitalization document in NHIS once results are available. -
6 Issuing discharge summary (epicrisis) is the final step that completes the e-hospitalization process.
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1 Patient visits a hospital. The patient may have an issued e-referral for hospitalization from a doctor working in outpatient care, or may have self-referred to the hospital.
-
2 On-duty doctor retrieves the issued e-referral for hospitalization from NHIS (if available) and creates a new e-examination document in NHIS. The doctor performs a preliminary examination of the patient, regardless of whether a referral has been issued or the patient has self-referred.
If during preliminary examination the on-duty doctor determines that the patient needs to be examined by a specialist, an e-consultation document is created in NHIS linked to the existing e-examination. A specialist then examines the patient.
If tests are required during consultation, an e-performance document is created in NHIS with results of medical-diagnostic activities. -
3 The on-duty doctor assesses whether hospitalization is necessary, completes the e-examination document, and closes it. If hospitalization is needed and an e-referral has already been issued, status of the referral must be changed to “in progress” by the on-duty doctor.
If a planned admission is required, admission time is scheduled. For immediate hospitalization, an e-hospitalization document is created in NHIS, and e-referral status is updated to “completed.”
If the patient does not have an issued e-referral, the on-duty doctor must issue one, then complete and close the e-examination document. -
4 If a vaccination is performed during hospitalization (including for newborns), an e-immunization document must be created in NHIS. For medical-diagnostic activities, an e-performance document must be created. If patient transfer or ward admission is needed, a placement request must be added to the existing e-hospitalization document in the NHIS.
If childbirth occurs during the e-hospitalization, an e-birth document must be registered in NHIS, linked to the ongoing e-hospitalization. ! Each of these scenarios can occur independently of the others! -
5 Upon patient discharge, the existing e-hospitalization document in NHIS must be completed. If patient needs to be transferred to another medical facility, a new e-referral for hospitalization must be created in NHIS.
If additional time is needed for histology results, final diagnosis must be updated. This is done by updating e-hospitalization document in NHIS once results are available. -
6 Issuing discharge summary (epicrisis) is the final step that completes the e-hospitalization process.