What are the different permissions for acting on someone else’s behalf?
When you authorise someone to act on your behalf in Maisa, you will also define the type and extent of access you want to give.
- Full permissions: the person acting on your behalf has the same permissions to your account as you do.
- Appointment booking and messages: the person acting on your behalf does not have access to view your health issues or medications but can book appointments and send messages on your behalf.
- Read-only permissions: the person acting on your behalf has full access to view your Maisa account but can’t book appointments or send messages.
What does proxy access mean?
Legally competent adults can choose to give another adult the right to act on their behalf in health and social care matters through their Maisa account. This is called proxy access. Depending on the authorisation permissions, a person acting on someone else’s behalf can for instance read and send messages and book and view appointments. In addition to that, guardians have an automatic proxy access to act on behalf of minors that are under their guardianship.
Please note, that acting on behalf of someone else requires a proxy authorisation in Maisa, and that this authorisation covers only the Maisa portal. An authorisation mandated, for instance, in the suomi.fi service, does not cover the Maisa portal.
NB! When you are acting on behalf of someone else in Maisa, always log in to the portal with your own credentials and then switch to the proxy account from the Switch button in the top bar of the Maisa portal. It is very important to switch to the correct account, because Maisa messages are saved as part of the patient and client record of the active account.
How do I grant someone proxy access to my Maisa account?
No one can request proxy access to your Maisa account. Only you can authorise someone to act on your behalf through your own Maisa account. You can also deliver the required power of attorney to the social or health care unit responsible for your care and services.
If the person, whom you wish to authorise to act on your behalf, lives in the Uusimaa region, you can grant them proxy access directly via Maisa. If the person lives outside of the Uusimaa region, deliver the required power of attorney to the social or health care unit responsible for your care and services.
Granting proxy access via Maisa
Go to the Maisa main Menu > Manage Proxy Access Rights > Authorise someone to act on your behalf in Maisa. Fill in the name and e-mail address of the person you want to authorise to act on your behalf, define permissions for the authorisation and send the invite.
The person to whom you are granting access will receive a proxy invite via e-mail and they need to accept the invitation. Then, they need to fill in the required additional information, and after this the authorisation is in valid.
Instructions to people acting on behalf of someone else
If you are a guardian of a minor, you are automatically authorised to act on their behalf.
When you receive a proxy invitation, accept the invite through the link provided in the invitation message. NB! If you are already logged in to the Maisa portal, first, log out, and click the “Accept Proxy Invite” link only after you have logged out.
If the person has drafted a power of attorney authorising you to act on their behalf and delivered it to their health or social care unit, the authorisation will be valid after a provider has activated the proxy access by saving the power of attorney to the client and patient information system.
Can I act on behalf of my underage child?
You can act on behalf of minors that are under your guardianship. The guardian’s right to act on behalf of the child is verified using the Suomi.fi e-authorisation service.
To act on behalf of a minor in Maisa, log in using your own credentials and select the child’s profile using the Switch link in the top menu.
Note that you will see alerts about new events on the child’s account on your home page even when you’re using your own profile.
You can manage your child’s Maisa account even if you do not live in the HUS area, in Helsinki, in the wellbeing services county of Vantaa and Kerava or in Kauniainen if your child is receiving services from HUS.
Adolescents over the age or 10 can use Maisa with their own passcodes, as long as they have the means for strong electronic identification, such as online banking credentials or an electronic ID card.
A guardian must make sure, that their phone number and email address are up to date also in the child’s Maisa account information. The guardian’s phone number and email are not transferred to the child’s Maisa account information automatically, because two person’s records can’t be linked and information cannot be transferred between them even when acting on behalf of someone else. However, the guardian’s name and address are pulled in from the Finnish Population Information System and are automatically filed to the child’s information.
Why can’t I see all information about my 12 to 17-year-old child’s care in Maisa, unlike with my younger children?
For a child aged 12-17 some views and functionalities are disabled for proxy access. According to national legislation, service providers must secure the minor’s right to decide about their own health and social care and hide any information they wish from their guardians, as long as a health care professional has conducted an assessment of the minor’s capability to make such decisions.
The maturity assessment is made separately in each case, and it depends on the matter at hand. If a health care professional has assessed the child to be mature enough to decide on their care on a particular matter, and the minor has refused the showing of the data to their guardian, information related to that matter is hidden from the guardian acting on behalf of the child in Maisa.
In some sections of Maisa it is not possible to make restrictions according to maturity assessments.
The following information of a minor is not shown to a guardian after the child has turned 12 in order to respect the child’s decision-making capacity:
- Allergies, diagnoses and lab test results
- Growth Chart
- Referrals and ordered test and procedures
- Flowsheets, self-assessment questionnaires and history questionnaire report
- Care team information
- Test results
- Social care applications, decisions and plans
- Admissions to social care units.
See also: Why do I only see some of the appointments of a minor in Maisa?
Why do I only see see some of the appointments of a minor in Maisa?
A guardian with proxy access can book appointments for their underaged child in Maisa. If a guardian has booked an appointment for a child in Maisa, they are able to see these appointment bookings. Appointments that a provider has booked for the minor and appointments booked with an appointment ticket sent by a provider are not always shown to the minor’s guardian. A guardian also can’t see appointments that the child aged 12-17 has booked in Maisa for themself.
Who decides what data the guardian can view in Maisa?
The assessment about the child’s capability to make their own decisions is always carried out by a healthcare professional. If the professional deems the child capable, the minor can also decide whether the data can be viewed by their guardian.
If needed, a social care provider can prohibit the disclosure of data in Maisa in such instances, where sharing the child’s data to their guardian would be against the child’s interests.
What information can a minor hide from a guardian if they wish to do so?
A minor has access to see all their own information. Some sections and functionalities are hidden from a guardian acting on behalf of a child aged 12 or over.
A maturity assessment is made by a health care professional separately in each case and it depends on the matter at hand. If a health care professional has assessed the child to be mature enough to decide on their care on a particular matter and the minor has refused the showing of the data to their guardian, information related to that matter is hidden from the guardian acting on behalf of the child in Maisa. This applies to, for instance, prescriptions, visits, and other encounters.
Can a guardian acting on behalf of a minor see what information is hidden from them?
No. If some information concerning a minor has been hidden from a guardian based on an assessment of maturity made by a health care professional, it is not possible for the guardian to see what the hidden information is or what it concerns.
If a social care provider has prohibited the disclosure of certain data in Maisa to protect the child’s best interests, the guardian will not be able to see the information or what it is regarding.
Can a minor authorise a person of their choosing to act on their behalf in Maisa?
No, the law prohibits this. Only a legally competent adult can authorise another adult to act on their behalf. Therefore, only a guardian has the right to act on behalf of a minor.