Dossier · Dutch digital healthcare

What is a PGO and what can you do with it?

A Dutch personal health environment (PGO) brings copies of health records from different providers together in one place. It can improve your overview - if you know what it does, what it cannot do and why information may be missing.

Start with the distinction

A PGO is your own environment

PGO stands for persoonlijke gezondheidsomgeving, or personal health environment. It is an app or website you choose yourself. You can retrieve copies of health information from several providers, add your own information and - where supported - share information. The original records remain with your GP, hospital, pharmacy or other provider.

PGO

Chosen by you. It can collect information from several connected providers and remains available when you change provider.

Patient portal

Offered by one healthcare organisation. It mainly shows that organisation’s records and services, such as appointments, messages or video consultations.

In short

A patient portal starts from one organisation. A PGO is designed to start from you.

What can and cannot a PGO do?

Often possible

Retrieve medication, allergies, test results and basic health information
Collect available letters and documents
Add your own readings, such as blood pressure or weight
Review information and prepare for an appointment

Not automatic

Guarantee that your full medical record is visible
Correct missing or inaccurate source records
Make a diagnosis or interpret information medically
Make providers coordinate your care

Availability varies by care sector, provider and connection. Even a connected provider may exchange only part of its records. Features also differ between PGOs.

Practical steps

How do you retrieve records?

1

Check your provider

Find out whether your provider can connect to a PGO through MedMij.

2

Choose a PGO

Compare supported data services, features, accessibility and support.

3

Create an account

Follow the provider’s registration process and secure your access.

4

Retrieve data

Select the provider, identify yourself with the DigiD app and authorise the exchange.

Does it fail?

Search for the healthcare organisation rather than only the clinician. Check whether both the PGO and provider connection support the right data service. A fault can lie with the PGO, the provider’s system or the connection.

Which PGO should you choose?

There is no single best PGO. Start with the providers and types of records you want to connect, then check:

Coverage

Does it support the relevant data services for your GP, hospital, mental healthcare provider or other provider?

Use

Does it offer the documents, self-recorded measurements, authorisation or accessibility features you need?

Trust

Does it have a valid MedMij label, and are privacy, support and account closure explained clearly?

Using a PGO and retrieving medical data is free. A provider may charge for additional features. Compare current options at PGO.nl.

Security, privacy and the MedMij label

A PGO with the MedMij label retrieves and exchanges information under national agreements covering technology, information security, privacy and participants. You identify yourself with the DigiD app and an ID check. Your health insurer cannot simply view your PGO, and a MedMij participant may not sell your data.

The label does not replace your own choices. You decide whom to authorise and what to share. Protect your device and credentials, and read the privacy terms of your chosen PGO.

MedMij is not a PGO

MedMij provides the rules and network for secure exchange. The PGO provider makes the app or website. Read the separate MedMij explanation.

Does a PGO contain your complete medical record?

Not automatically. A PGO collects copies of information that a provider makes available through supported data services. Older records, free-text notes, images or information from an unsupported sector may be absent.

If you need to see what a provider actually holds, or need a complete copy, request access or a copy directly from that provider. Learn how to request your medical records.

The Zorgfuik perspective: data is not coordination

A PGO can make fragmented information more visible. It does not create a shared care plan, resolve conflicting conclusions or decide who must take the next step.

Zorgfuik’s position

A PGO strengthens your information position. It must not become a way to shift responsibility for coherence back to the patient. Complex care still needs a recognisable contact with overview and authority to act.

Practical answers

Frequently asked questions about PGOs

Is a PGO the same as my hospital portal?
No. A portal belongs to one organisation. You choose a PGO yourself and it can collect information from several connected providers.
Is a PGO free?
Using a PGO and retrieving medical data is free. A provider may charge for extra features.
Why can I not see my whole record?
A PGO receives only information the provider makes available through a supported data service. Request a complete copy directly from the provider.
Can my health insurer see my PGO?
Not without your involvement. You decide who can access or receive information. Secure your account and read the provider’s terms.
Can I retrieve records from every provider?
Not yet. Not every organisation or sector can exchange through MedMij, and some connections support only part of the available records.
What if information is missing or wrong?
The provider is responsible for the source record, so contact them about corrections. Report technical problems to your PGO provider as well.