health registers in the czech republic jiří kofránek 1st faculty of medicine, charles university
TRANSCRIPT
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Health registers in the Czech Republic
Jiří Kofránek
1st Faculty of Medicine,
Charles University
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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!!!
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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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Strong data security management
Anonymous
data incentralregisters!
Individualdata incentralregisters!
Danger of misuse of the sensitive data
Requirement of tracking of individual cases
Record in
register
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Strong data security management
Anonymous
data incentralregisters!
Individualdata incentralregisters!
Danger of misuse of the sensitive data
Requirement of tracking of individual cases
Record in
register
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Strong data security management
Anonymous
data incentralregisters!
Individualdata incentralregisters!
Danger of misuse of the sensitive data
Requirement of tracking of individual cases
Record in
register
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Strong data security management
Anonymous
data incentralregisters!
Individualdata incentralregisters!
Danger of misuse of the sensitive data
Requirement of tracking of individual cases
Record in
register
![Page 8: Health registers in the Czech Republic Jiří Kofránek 1st Faculty of Medicine, Charles University](https://reader036.vdocuments.net/reader036/viewer/2022062421/56649e155503460f94aff7d6/html5/thumbnails/8.jpg)
Strong data security management
Anonymous
data incentralregisters!
Individualdata incentralregisters!
Danger of misuse of the sensitive data
Requirement of tracking of individual cases
Record in
register
![Page 9: Health registers in the Czech Republic Jiří Kofránek 1st Faculty of Medicine, Charles University](https://reader036.vdocuments.net/reader036/viewer/2022062421/56649e155503460f94aff7d6/html5/thumbnails/9.jpg)
Strong data security management
Anonymous
data incentralregisters!
Individualdata incentralregisters!
Danger of misuse of the sensitive data
Requirement of tracking of individual cases
Record in
register
Evidence based medicine
Statistical evaluation
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Strong data security management
Anonymous
data incentralregisters!
Individualdata incentralregisters!
Danger of misuse of the sensitive data
Requirement of tracking of individual cases
Technological solution
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Neu
tral
dat
a
document identifier
Patient name… (personal ID)
document identifier
Medical record content
Sen
siti
ve p
erso
nal
dat
a
Medical record content
Patient name… (personal ID)
Neu
tral
dat
a
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Neu
tral
dat
a
document identifier
Patient name… (personal ID)
document identifier
Medical record content
Neu
tral
dat
a
Cross connection table
Medical record database
Sen
siti
ve p
erso
nal
dat
a
Medical record content
Patient name… (personal ID)
Reconnection is permitted to authorised
persons only
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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
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European Health Care Information and Clearing Centre
Patient ID Document IDHead ID
CROSS CONNECTION TABLE
Patient ID Document IDHead ID
Document ID
Medical record content
Head ID
Patient name… (personal ID)
Medical record content
Patient name… (personal ID)
Portal of National Reference Centre
Reconnection is permitted to authorised persons only
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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.
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Transparency and acceleration of the payment
settlement processes by health services
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The vision
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Health Insurance Company
Health Insurance Company
Health Insurance Company
Health Care Provider Health Care
Provider
Health Care Provider
Health Insurance Company
Health Insurance Company
Health Care Provider
Health Care Provider
Health Insurance Company
Member state 2
Member state 1
Portal of National Reference Centre
Health Care Provider
European Health Care Information and Clearing Centre
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Health Insurance CompanyHealth
Insurance CompanyHealth Insurance Company
European Health Care Information and Clearing Centre
ATIT
SENL
Health Care Provider
Health Insurance Company
Health Care ProviderHealth Care
ProviderHealth Care Provider
Health Insurance Company
Health Insurance Company
Health Care ProviderHealth Care
ProviderHealth Care Provider
DE CZ
Portals of member states reference centers
1
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Health Insurance CompanyHealth
Insurance CompanyHealth Insurance Company
European Health Care Information and Clearing Centre
ATIT
SENL
Health Care Provider
Health Insurance Company
Health Care ProviderHealth Care
ProviderHealth Care Provider
Health Insurance Company
Health Insurance Company
Health Care ProviderHealth Care
ProviderHealth Care Provider
2
2
DE CZ
Portals of member states reference centers
1
1
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Health Insurance CompanyHealth
Insurance CompanyHealth Insurance Company
European Health Care Information and Clearing Centre
ATIT
SENL
Health Care Provider
Health Insurance Company
Health Care ProviderHealth Care
ProviderHealth Care Provider
Health Insurance Company
Health Insurance Company
Health Care ProviderHealth Care
ProviderHealth Care Provider
23
2
3
DE CZ
Portals of member states reference centers
1
1
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Health Insurance CompanyHealth
Insurance CompanyHealth Insurance Company
European Health Care Information and Clearing Centre
ATIT
SENL
Health Care Provider
Health Insurance Company
Health Care ProviderHealth Care
ProviderHealth Care Provider
Health Insurance Company
Health Insurance Company
Health Care ProviderHealth Care
ProviderHealth Care Provider
23
2
3
4
DE CZ
Portals of member states reference centers
1
1
4
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Health Insurance CompanyHealth
Insurance CompanyHealth Insurance Company
European Health Care Information and Clearing Centre
ATIT
SENL
Health Care Provider
Health Insurance Company
Health Care ProviderHealth Care
ProviderHealth Care Provider
Health Insurance Company
Health Insurance Company
Health Care ProviderHealth Care
ProviderHealth Care Provider
23
2
3
4
1
DE CZ
Portals of member states reference centers
5
1
4
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Health Insurance CompanyHealth
Insurance CompanyHealth Insurance Company
European Health Care Information and Clearing Centre
ATIT
SENL
Health Care Provider
Health Insurance Company
Health Care ProviderHealth Care
ProviderHealth Care Provider
Health Insurance Company
Health Insurance Company
Health Care ProviderHealth Care
ProviderHealth Care Provider
23
2
3
4
1
CZ
Portals of member states reference centers
6
DE
7
1
4
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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