HSE Shared Care Record

The Shared Care Record is available across all 6 HSE health regions. It is a secure clinical system that gives authorised healthcare staff read-only access to key patient information from various sources.

These include:

• hospitals
• primary care
• community services
• eventually, private healthcare providers

It aims to improve clinical decision-making by ensuring staff have access to trusted information at the point of care.

The Shared Care Record reduces the time spent searching for records or repeating tests. It also shows more about a person's overall health. This helps staff plan and deliver safer and more efficient care.

Key features

The Shared Care Record provides authorised healthcare staff with access to:

• Primary Care Reimbursement Scheme medication details
• GP requested laboratory reports
• GP requested radiology reports
• GP general and some GP specialist referral information
• chronic disease management assessments
• discharge summaries
• appointment details from statutory hospitals and limited voluntary, telehealth and community sites
• inpatient and day case waiting lists from statutory hospitals and some voluntary, telehealth and community sites
• Hospital In-Patient Enquiry (HIPE) procedure details
• National Immunisation Office vaccination records
• connects to patients' HSE Health app providing self-reported information including GP details, emergency contacts, self-reported allergies and self-reported medications

Who can access

The Shared Care Record is available to authorised and trained healthcare staff who meet the access requirements. All access requests follow HSE policy and data protection laws.

Data Protection Impact Assessment (DPIA) Summary

Access is available to HSE staff on the HEALTHIRL network who have completed a 45 minutes e-learning training module. This module is delivered on HSeLanD (account required).

The Shared Care Record is designed as a support tool to aid clinical decision-making. Users are not able to input or edit data on the SCR. It should always be used alongside professional clinical judgment.

Why it matters

As the system grows, it will bring benefits to patients, staff and the wider health service. Important metrics are being tracked to understand the impact the Shared Care Record will have over time.

These benefits include:

• improving time released to care, allowing healthcare staff to spend more time on higher-value tasks or for self-care
• reducing administrative burden, streamlining workflows and minimising time spent on lower-value tasks
• improving clinical decision-making to support the delivery of safe patient care
• better management of patients with complex needs
• improving patient and clinician experience
• helping hospitals to keep running if their systems aren't working, so patients still get care
• making sure patients get good care even when doctors can't access their usual systems

Overall, the Shared Care Record aims to make healthcare delivery safer, more efficient and more patient-centred, while supporting staff and strengthening system resilience.

How the system was developed

Following HSE board approval in early 2025, work began on designing the Shared Care Record and planning its implementation. This included building a secure digital platform that brought together seven datasets from different clinical systems for the first release. This work required collaboration across technical, project and clinical teams.

The first release took place in November 2025 to staff in Integrated Healthcare Area Waterford Wexford (IHA WW). They tested the system and provided feedback as it became part of their daily clinical workflows.

It was released nationally in early 2026.

What’s next

The system is continuously being developed and improved based on user feedback. The information available on the system will increase over time as more healthcare data is digitised.

One further data release is planned for 2026, which will expand access to new patient information. This is subject to agreement and may change.

They include:

• T-Pro documentation
• attendance, discharge and transfer inpatient event details
• emergency department event details
• additional GP specialist referral information
• HSE Laboratory Information System (MedLIS) results, phase 1
• further datasets subject to agreements

More information

For more information, email the National Shared Care Record team at
nscr@hse.ie

If you are a registered HSeLanD user, you can access additional information, guidance and training resources on the HSeLanD Shared Care Record Discovery page.