Data from LPR2 to LPR3

Case 8: Data From LPR2 to LPR3

Case 8: Data from LPR2 to LPR3 Cases are examples of questions and inquiries we receive in the Guidance Function, which we would like to share for inspiration. A researcher contacted the Guidance Function with an inquiry regarding the change of the National Patient Register (in Danish: Landspatientregisteret (LPR) from version 2 (LPR2) to version 3 (LPR3). The researcher wished to know more about the differences between the two versions. The Danish Health Data Agency began the change from LPR2 to LPR3 in 2019. With the new version, the National Patient Register has become a “true” contact model, as any contact between the patient and the healthcare system is now reported as a separate contact with a separate diagnosis. This differentiates from the older LPR2, where all outpatient visits in an outpatient treatment was considered and reported as one contact with one shared diagnosis. This change provides support of the clinical practices in the healthcare system that is more true to the underlying data flow. The change also provides the opportunity to differentiate parallel treatment courses, and improves the performance and analysis of routine measurements regarding treatment regiments and the national clinical guidelines. Private hospitals and clinics must now report their data in the same format and under the same requirements as public hospitals and clinics. As a user of the National Patient Register, it is important to note that data from February 2019 is a mix of the new and the old method of incident reporting. This is considered as a data breach due to the changes in the method of incident reporting, meaning that the data structure will differ from February 2019 onwards. Read more about data breach and data quality (link in Danish): https://sundhedsdatastyrelsen.dk/da/registre-og-services/om-de-nationale-sundhedsregistre/sygdomme-laegemidler-og-behandlinger/landspatientregisteret/landspatientregisteret-moderniseres. In this case, we provided the researcher with information regarding the change from LRP2 to LPR3 and forwarded the data quality reports from the Danish Health Data Agency, in which the researcher could read more about the differences and data breaches. Please feel free to contact us if you need guidance in your research project. Our services are completely free. The Guidance Function offer first-level support for Danish and international researchers in need of help to navigate the requirements and processes surrounding research projects. Call us on tel. +45 2494 7969 Monday – Thursday 09:00-16:00 Friday 09:00-15:00 Or send us an email by clicking info@vejledningsfunktionen.dk or visit our LinkedIn page.

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Local authority data

Case 7: Health Data From Local Authorities

Case 7: Health Data from Local Authorities Cases are examples of questions and inquiries we receive in the Guidance Function, which we would like to share for inspiration. A researcher contacted the Guidance Function to learn more about the rules for obtaining access to health data from the local authorities, including data about home care, nursing care at home and nursing home residents. This health data falls in the categories of health indicators from local authorities and patient record data. A researcher can apply for permission to use both types of data for specific research projects. Until July 1st 2020, this permission was obtained through the Danish Patient Safety Authority, but today the permission is obtained through an application to the Regional Council in the region the researcher works in. This applies to both new permissions and supplementary permissions – e.g. if the researcher wishes to change the period for a research project or request additional data. As a rule of thumb, the Regional Councils have a processing time of 35 calendar days. Therefore, we encouraged the researcher to proofread their application before sending it, as any shortcomings will result in an unnecessarily long processing time. In a few situations, the research project does not need permission from the Regional Council to obtain the data: If the patients have previously provided written consent, allowing their patient record data to be handed over to the specific research project If the patient record data is obtained from approved databases, e.g. a clinical quality database. The researcher must then apply through the database administrator If the regional Committees on Health Research Ethics has given permission to the research project. The permission must include handoer of patient record data. As a researcher, it is important to note that the Regional Councils only issue permissions. The researcher is responsible for arranging the practical details regarding the handover of patient record data with the involved departments. In this case, we helped the researcher gain an overview of the rules for applying to the Regional Councils. We also passed along information about the specific application process for the region in which the researcher worked. Please feel free to contact us if you need guidance on your research project. Our services are completely free. The Guidance Function offer first-level support for Danish and international researchers in need of assistance in navigating the requirements and processes surrounding research projects. Call us on tel. +45 2494 7969 Monday – Thursday 09:00-16:00 Friday 09:00-15:00 Or send us an email by clicking info@vejledningsfunktionen.dk

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