health registers in the czech republic jiří kofránek 1st faculty of medicine, charles university

Health registers in the Czech Republic

Jiří Kofránek

1st Faculty of Medicine,

Charles University

Acute respiratory infections register

ophthalmology register

Intensive healthcare registerArthral implant register

Vascular surgery register

Agioplastic register

Cardiosurgery register

Tuberculosis register

Veneral diseases register

National transplantation register

National oncologi

c register

CentralHealth

Registers

Individual biomedical data

!!!Very sensitive personal data!!!

CentralHealth

Registers

!!!Very sensitive personal data!!!

Individual biomedical data

Strong data security management

Anonymous

data incentralregisters!

Individualdata incentralregisters!

For therapy and diagnosis

Individual data

For evaluation of effectiveness of various therapeutical and diagnostical approaches

Statistical data


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Danger of misuse of the sensitive data

Requirement of tracking of individual cases

Record in

register


Anonymous





Record in

register

Evidence based medicine

Statistical evaluation


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Technological solution

Neu

tral

dat

a

document identifier

Patient name… (personal ID)

document identifier

Medical record content

Sen

siti

ve p

erso

nal

dat

a



Neu

tral

dat

a

Neu

tral

dat

a

document identifier


document identifier


Neu

tral

dat

a

Cross connection table

Medical record database

Sen

siti

ve p

erso

nal

dat

a



Reconnection is permitted to authorised

persons only

Transaction register

Protected access to

the register

Record for check-up of the

Office for Personal Data

Protection

Referential Shareable and

Secure Interface

Access portal

Protected registers

Protected register

Verification

Patient ID Register ID Case ID

Case IDAnonymised

patient‘s record

Register ID

Central Health Register(without sensitive personal data)

Cross-connection tablePatient IDName,surrname..

Insured person register

Public anonymised register

European Health Care Information and Clearing Centre

Patient ID Document IDHead ID

CROSS CONNECTION TABLE

Patient ID Document IDHead ID

Document ID


Head ID




Portal of National Reference Centre

Reconnection is permitted to authorised persons only

The text proposal to Prague’s Declaration

We will seek to have a transparent and quick settlement of health service allowances from the European Union’s member states via the interconnection of European Health Insurance companies through the proposed European Health Care Information and Clearing Center.

Transparency and acceleration of the payment

settlement processes by health services

The vision

Health Insurance Company



Health Care Provider Health Care

Provider

Health Care Provider






Member state 2

Member state 1

Portal of National Reference Centre



Health Insurance CompanyHealth

Insurance CompanyHealth Insurance Company


ATIT

SENL



Health Care ProviderHealth Care

ProviderHealth Care Provider





DE CZ

Portals of member states reference centers

1




ATIT

SENL









2

2

DE CZ


1

1




ATIT

SENL









23

2

3

DE CZ


1

1




ATIT

SENL









23

2

3

4

DE CZ


1

1

4




ATIT

SENL









23

2

3

4

1

DE CZ


5

1

4




ATIT

SENL









23

2

3

4

1

CZ


6

DE

7

1

4

Advantages of EHCICC

• Maintenance of data interfaces and dial indicators in one place

• The speed and the availability of data• The quality of data• The provision and the security of data• The uniform basis of information• The simplification of communication, both the health care

provider and• The health insurance company communicate only with the

Center

health registers in the czech republic jiří kofránek 1st faculty of medicine, charles university

Documents

diagnosis individual

statistical data slide

central registers

register record

register slide

register id central

personal id neutral

individual cases record