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Medical-record checklist: what to collect and how to get it in Skåne

What 1177 Journalen shows in Skåne

J can see some records himself online (1177 Skåne, Läs din journal) [E].

Visible online:

  • Journal notes, as soon as they are signed. A 14-day filter can hide the newest notes.
  • Radiology referrals and reports since June 2020.
  • Clinical-chemistry results.
  • Vaccinations given by Region Skåne's public services.

Not visible online: diagnoses, care contacts, medications and the care plan. Pathology (PAD) and flow cytometry are not listed as visible, so they must be ordered.

How to order copies

[E] There are three routes, plus a reply deadline for GDPR requests:

  1. E-service or phone. Use the 1177 e-service Beställ utskrift från journal, or call Journalservice on 0771-86 66 00 (weekdays 9–12). Printouts go mainly as a PDF to the 1177 inbox.
  2. GDPR access request. Region Skåne's GDPR Art. 15 form (version 2026-06-01) gives a free printout of journal notes in about a week, sent by registered post. The same form can request X-ray images, referrals and lab or biobank registers. Send it to Region Skåne, Regionarkivet, Journalservice, Box 24046, 224 21 Lund (form).
  3. Freedom-of-press request. The Tryckfrihetsförordningen (TF) route gives copies of named documents. A request "ska behandlas skyndsamt" (must be handled promptly); a fee may apply (TF 2 kap. 16 §).
  4. GDPR response time. Under GDPR the controller must answer within one month, extendable by two (IMY).

Unverified:

  • Region Skåne's current fees for paper copies and images. Two Region Skåne leaflets reportedly give conflicting fees, and neither fee schedule is verified.
  • [I] Whether the clinic or contact nurse will print the PAD and flow reports directly. This is often the fastest route.

Checklist

Item Why it matters How to get it in Skåne
☐ PAD for both nodes, including immunohistochemistry addenda and PAD/block numbers Diagnosis, accelerated features, exclusion of other lymphomas, second review Not shown online: ask the clinic, or order via Journalservice or the GDPR form
☐ Whether slides and blocks are available, and where they are stored A second pathologist needs them Ask the treating doctor or the pathology department. Transfer goes institution to institution (Biobankslagen)
☐ Flow-cytometry reports (node and blood) CLL vs SLL; phenotype Ask the clinic; order
☐ Full blood-test history (Hb, white cells, differential, platelets, reticulocytes, LD, creatinine, protein fractions, DAT, immunoglobulins) Stage, trends, lymphocyte doubling time Clinical chemistry visible online (some back to 2014); order other labs
☐ Imaging reports and images Node and spleen size; TLS risk later Reports visible online; request the images (GDPR form) or ask for digital transfer in the referral
☐ Medication and supplement list Drug interactions Not shown online: request it, and keep your own list
☐ Diagnosis list and comorbidities Treatment choice Not shown online: request it
☐ Operation note for the excision (and day-surgery record) Which nodes, their size, findings Order
☐ Physician and nurse notes (surgery, oncology/haematology) Reasoning, plan, SVF status Visible online once signed; order the full set
☐ Referrals and replies, including the SVF referral Pathway, timing GDPR form: "Remisser, remissvar"
☐ FISH, TP53, IGHV and bone marrow reports (if done) Treatment selection Ask the clinic; order
☐ Vaccination history Plan vaccines Public Skåne vaccinations visible online; bring other records
☐ Min vårdplan Shared plan 1177 Stöd och behandling, via the contact nurse
☐ Your own one-page timeline (symptoms, dates, tests, decisions) Speeds up any second opinion Write it yourself

Sources: 1177 Läs din journal; Region Skåne GDPR form; Patientdatalag; 1177 Min vårdplan.

Other record rights. J can also ask for a log extract showing who has read his record. If a correction is refused, he can require a note in the record (IMY, rights in health care).