Understanding the EESZT System: Discovering and Addressing Missing Treatments

The Electronic Health Service Space (EESZT) is Hungary's centralized healthcare information system, designed to improve patient care through better data accessibility and communication between providers. This guide explains how the system works and what to do when you discover missing information in your records.

The EESZT System Overview

EESZT is Hungary's central, unified healthcare information system that launched in 2017. The system facilitates communication and data exchange between healthcare providers, enabling faster, more efficient, and safer patient care.

EESZT connects:

• General practitioners and family doctors
• Outpatient specialists and clinics
• Public and private hospitals
• Pharmacies and medication dispensing
• Private healthcare providers (mandatory since 2021)
• Emergency ambulance services
• Diagnostic and laboratory centers
• Medical imaging facilities

How I Discovered Missing Treatments in EESZT

There are three proven methods for monitoring events related to your Social Security Number (TAJ):

Method 1: Email Notification Monitoring

I configured email notifications for all important events on the EESZT Patient Portal. When no notification arrived after a treatment, this indicated potential issues:

• The notification was not created because the mandatory data reporting obligation was not fulfilled
• The spam filter blocked the notification email
• A technical issue occurred in the email delivery or EESZT system
• The healthcare provider's system failed to communicate with EESZT

Method 2: Direct Portal Verification

After noticing missing notifications, I logged into the EESZT Patient Portal to directly examine:

• Event Catalog entries for recent treatments
• Electronic Health Record (EHR) documents
• Prescription and medication records
• Referral and appointment documentation

I found no entries for either the treatment or the conscious sedation procedure.

Method 3: Mobile App Cross-Verification

The Health Window (Egészségablak) mobile application provides similar functionality to the Patient Portal:

• Real-time access to health records
• Prescription tracking and management
• Appointment and referral information
• Provider access logging and transparency

The treatment records were also missing from the mobile application, confirming the systematic data reporting failure.

Setting Up EESZT Notifications

When accessing the EESZT Patient Portal or mobile application, you can configure notifications for various healthcare events:

• Referral writing and specialist appointments
• Health document arrival and updates
• Medical appointment scheduling and changes
• Prescription writing and medication updates
• Reminder alerts for expiring prescriptions
• Digital self-determination declaration modifications
• Provider access to your medical records
• Laboratory and imaging result availability

Action Steps When Healthcare Services Are Missing from EESZT

Healthcare providers have a legal obligation to record interventions and treatments in the EESZT system. Their Patient Management System (PMS) should handle this automatically. Failure to comply violates regulations and endangers patient safety.

Contact the Appropriate Authority

The National Hospital Directorate General (OKFŐ) supervises healthcare providers' EESZT-related obligations and has authority to:

• Verify proper connection to the EESZT system
• Audit compliance with data provision requirements
• Apply sanctions for data reporting omissions
• Mandate corrective actions from healthcare providers

Filing an Effective Complaint

When submitting a complaint to OKFŐ, include comprehensive documentation:

• Screenshots of missing entries in EESZT Patient Portal
• Copies of any paper receipts or documentation from the treatment
• Email correspondence with the healthcare provider
• Timeline of the treatment and discovery of missing data
• Medical significance of the missing information
• Any payment receipts proving services were rendered

OKFŐ will investigate your complaint and implement necessary corrective measures against the non-compliant healthcare provider.

Understanding EESZT System Components

Core Features and Benefits

• Centralized data storage: All healthcare information accessible from one secure location
• Real-time data exchange: Information becomes immediately available to authorized healthcare professionals
• Strict access control: Comprehensive authorization system regulates who can view your data
• Complete transparency: Patients can track exactly who accessed their data and when
• Patient empowerment: Direct access to your own comprehensive health records
• Emergency accessibility: Critical health information available during emergencies

EESZT data availability spans from 2018, including digitized handwritten prescriptions and treatments financed by the National Health Insurance Fund. All private providers achieved compliance by 2021.

Electronic Health Record (EHR)

EHR represents the foundational element of the EESZT system, containing your complete medical history:

• Primary and secondary medical diagnoses
• Outpatient examination sheets and reports
• Hospital discharge summaries and treatment plans
• Laboratory test results and interpretations
• Medical imaging examination results and images
• Detailed surgical procedure descriptions
• Comprehensive medication administration records
• Allergies and adverse reaction documentation

EHR Advantages

1. Medical continuity: Every healthcare provider sees your complete medical history
2. Enhanced accuracy: Significant reduction in errors from paper-based documentation
3. Instant access: Immediate availability of previous examination results
4. Efficiency gains: Eliminates unnecessary duplication of medical tests and procedures

Healthcare providers upload EHR documents to EESZT automatically through integrated patient management software systems.

eRecipe Electronic Prescription System

eRecipe serves as EESZT's most widely recognized service, providing a comprehensive digital alternative to traditional paper prescriptions. Since 2020, electronic prescribing has become the primary method.

eRecipe Process Flow

1. Doctor electronically prescribes medication, automatically entering the EESZT system
2. Patient accesses prescriptions at any pharmacy using personal identification
3. Pharmacist views all prescribed medications not yet dispensed
4. System automatically records transaction after medication dispensing

eRecipe Access Methods

• Social Security (TAJ) card: Most common identification method
• Electronic ID card: e-ID functionality for identification
• Authorized pickup: Dispensing prescriptions for others with proper documentation
• Prescription token: Paper backup when electronic systems are unavailable
• Foreign citizen access: Passport or foreign ID presented during prescribing

EESZT Patient Portal Access and Advanced Features

The EESZT Patient Portal provides comprehensive access to your health data. Ügyfélkapu (Client Gateway) registration is required for secure login.

Available Patient Portal Functions

• Declaration management: Configure access permissions and digital self-determination declarations
• Data access monitoring: Track who viewed your data, when, and for what purpose
• Document retrieval: Download discharge summaries, outpatient sheets, and medical reports
• eRecipe management: Review prescribed medications and dispensing history
• Referral tracking: Monitor issued specialist referrals and appointments
• Appointment information: View scheduled appointments (where provider systems support this)
• Notification preferences: Customize which healthcare events trigger notifications
• Health summary reports: Generate comprehensive health overview documents

The Patient Portal enables data requests for different time periods and PDF downloads of health documents for personal records.

eProfile Health Summary System

eProfile provides a concise summary of essential health data, primarily designed to support emergency medical care scenarios.

eProfile Content Components

• Allergies and hypersensitivities: Drug, food, and environmental allergies
• Chronic conditions: Long-term diseases requiring ongoing treatment
• Medical implants: Data on implanted devices and prosthetics
• Current medications: Regularly prescribed and taken medications
• Lifestyle factors: Smoking status, alcohol consumption, exercise habits
• Blood type information: ABO and Rh-factor data
• Organ donation status: Documented donation intentions
• Emergency contacts: Designated family or healthcare proxy contacts

eProfile data is primarily maintained by your general practitioner, though specialists can contribute relevant information. Access your eProfile through the Patient Portal interface.

Critical eProfile Usage Scenarios

• Emergency medical situations requiring immediate health information
• Initial consultations with new medical specialists
• Hospital admissions and pre-operative evaluations
• Situations requiring rapid medical history overview

Comprehensive Event Catalog

The Event Catalog maintains a chronological log of all healthcare interactions, serving as your complete medical "digital footprint".

Event Catalog Characteristics

• Chronological organization: Healthcare events listed in temporal order
• Comprehensive logging: Records outpatient care, hospitalizations, prescriptions, referrals
• Metadata inclusion: Event type, timing, location, and healthcare provider details
• Access control: Granular permissions for who can view specific events
• Advanced search: Filter events using multiple criteria and date ranges
• Export functionality: Generate reports for personal or provider use

Access your complete Event Catalog through the Patient Portal to track and verify your healthcare history accuracy.

EESZT Health Document Management

Healthcare providers must upload all treatment-related documents to EESZT following this standardized process:

1. Automatic upload: Provider's patient management software communicates directly with EESZT
2. Digital authentication: Documents receive digital signatures from treating physicians
3. Immediate availability: Uploaded documents become instantly accessible to authorized users
4. Structured storage: Documents are categorized and stored in standardized formats

Required Document Types

• Outpatient examination sheets and consultation notes
• Hospital discharge summaries and treatment plans
• Laboratory test results and interpretations
• Medical imaging results, interpretations, and images
• Specialist consultation protocols and recommendations
• Nursing care documentation and progress notes
• Surgical procedure descriptions and operative reports
• Pathology and histological examination results
• Patient information sheets and informed consent forms

Common Reasons for Missing Documents

• Healthcare provider failed to upload required documentation
• Technical system failures during the upload process
• Documents remain in processing queue awaiting approval
• Provider's system lacks proper EESZT integration
• Staff training deficiencies in EESZT procedures
• Deliberate non-compliance with reporting obligations

Systematic Approach When Documents Are Missing

1. Verify obligations: Confirm the provider is required to use EESZT (private providers since 2021)
2. Direct inquiry: Contact the healthcare institution to explain missing documentation
3. Technical support: Report the issue to EESZT customer service for system-related problems
4. Request upload: Formally request retroactive document upload from the healthcare provider
5. Regulatory complaint: File complaint with OKFŐ if previous steps prove ineffective
6. Legal consultation: Consider legal advice for serious cases affecting patient safety

Summary and Strategic Recommendations

EESZT represents a comprehensive, modern healthcare information system that significantly enhances the safety, efficiency, and continuity of medical care in Hungary.

Patient Empowerment Through EESZT

• Medical history oversight: Complete visibility into your healthcare journey
• Medication management: Track prescribed and dispensed medications
• Result accessibility: Direct access to examination and test results
• Privacy monitoring: Track who accessed your data and when
• Digital rights: Exercise comprehensive self-determination over health data
• Emergency preparedness: Critical health information available during crises

Proactive Health Data Management

• Regularly monitor EESZT Patient Portal for completeness
• Enable all notification categories to maintain oversight
• Maintain personal copies of important medical documents
• Report missing data promptly to appropriate authorities
• Stay informed about EESZT system updates and new features

The EESZT system continues to evolve with new services and enhanced functionality, providing an increasingly comprehensive picture of patients' health status and medical history. By understanding and actively using these tools, patients can take greater control of their healthcare journey while ensuring their medical information remains complete and accurate.