May my GP share my medical record with other doctors?
Yes, for direct treatment (Dutch Medical Treatment Act + implied consent). But you always have the right to object, opt out of LSP/PGO, or block specific parts.
Medical data is special category data (GDPR Art. 9) — under extra strict protection. Legal frameworks: Dutch Medical Treatment Act (Civil Code Art. 7:446-7:468), GDPR Art. 9, UAVG Chapter 3, Dutch Healthcare Data Processing Act (Wabvpz). When may the GP share? (1) Direct treatment — implied consent on referral to specialist, hospital admission, or substitute GP. No separate consent form needed. (2) With explicit consent — separate form required for sharing with non-treaters (e.g. occupational doctor, insurer, municipality). (3) Legal obligation — reports to inspectorate, infectious diseases, certain criminal offences (Dutch Mandatory Reporting Act). (4) Vital interest — on unconsciousness, life threat. The LSP (national exchange point): central system where care providers can retrieve your record. Opt-in by default since 2013 — but you can opt out anytime via volgjezorg.nl. On opt-out, only direct treaters share what they share manually, not automatically via LSP. Personal Health Environment (PGO): since 2024 healthcare providers must offer access. Your device choice, your control. What is NOT allowed: sharing with GP partners (e.g. an uninvolved practice assistant), commercial parties, or non-treaters without your explicit consent. On violation: KNMG complaint + IGJ + AP complaint. Disciplinary law on serious privacy breach.
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