Recent legislative initiative foresees a number of provisions affecting the structure and organization of the database. One of these provisions stipulates that the database must record the insurance status of patients and distinguish between insured and uninsured. For the insured, the costs of hospitalization and clinical examinations are covered by the (more than one) insurance funds in which the patient may be insured at a given time and which must be recorded for each insured patient. For the uninsured patients, the costs of hospitalization and clinical examinations resulting from hospital visits are covered by a special purpose allowance / benefit that has a unique identification code and description. An uninsured person is entitled to the allowance / benefit as long as s/he has no other type of insurance, while the right to the allowance is abolished as soon as the uninsured person changes insurance status (i.e. by becoming insured in at least one fund). Especially in the case of uninsured patients who make use of the benefit, the database must record the total nursing expense that is progressively billed to the uninsured.

On the occasion of the changes to the database due to the legislative initiative, it was deemed appropriate to make two further amendments. The first concerns the recording of the supervision of doctors in a hospital who are in the stage of obtaining their specialty by other doctors in the same hospital who are already qualified.

For this purpose, each hospital should assign one or more interns to qualified doctors and this relationship should be recorded in the database. The strict condition that must be observed is that doctors obtaining their specialty can only have one supervising doctor.

Finally, in an attempt to evaluate the services provided, the legislative initiative foresees the possibility for patients to post comments on the internet regarding their experience during a visit to a hospital. These comments are recorded with a serial number and the content chosen by the patient.