1. The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

2. 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.

3. Transparency and acceleration of the payment settlement processes by health services

4. The current status

5. Health Insurance Company Health Care Provider Health Insurance Company Health Care Provider Health Insurance Company Health Care Provider Health Insurance Company Member state 2 Member state 1

6. Health Insurance Company Health Care Provider Health Insurance Company Health Care Provider Health Insurance Company Health Care Provider Health Insurance Company Member state 2 Member state 1 1 2 3 4

7. The vision

8. Health Insurance Company Health Care Provider Health Insurance Company 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

9. Health Insurance Company European Health Care Information and Clearing Centre AT IT SE NL Health Care Provider Health Insurance Company Health Care Provider Health Insurance Company Health Care Provider DE CZ Portals of member states reference centers 1

10. Health Insurance Company European Health Care Information and Clearing Centre AT IT SE NL Health Care Provider Health Insurance Company Health Care Provider Health Insurance Company Health Care Provider 2 2 DE CZ Portals of member states reference centers 1 1

11. Health Insurance Company European Health Care Information and Clearing Centre AT IT SE NL Health Care Provider Health Insurance Company Health Care Provider Health Insurance Company Health Care Provider 2 3 2 3 DE CZ Portals of member states reference centers 1 1

12. Health Insurance Company European Health Care Information and Clearing Centre AT IT SE NL Health Care Provider Health Insurance Company Health Care Provider Health Insurance Company Health Care Provider 2 3 2 3 4 DE CZ Portals of member states reference centers 1 1 4

13. Health Insurance Company European Health Care Information and Clearing Centre AT IT SE NL Health Care Provider Health Insurance Company Health Care Provider Health Insurance Company Health Care Provider 2 3 2 3 4 1 DE CZ Portals of member states reference centers 5 1 4

14. Health Insurance Company European Health Care Information and Clearing Centre AT IT SE NL Health Care Provider Health Insurance Company Health Care Provider Health Insurance Company Health Care Provider 2 3 2 3 4 1 CZ Portals of member states reference centers 6 DE 7 1 4

15. Secure transfer of health documentation

16. Neutral data document identifier Patient name… (personal ID) document identifier Medical record content Sensitive personal data Medical record content Patient name… (personal ID) Neutral data

17. document identifier Patient name… (personal ID) document identifier Medical record content Neutral data Cross connection table Medical record database Sensitive personal data Medical record content Patient name… (personal ID) Reconnection is permitted to authorised persons only

18. European Health Care Information and Clearing Centre Patient IDDocument IDHead ID CROSS CONNECTION TABLE Patient IDDocument IDHead IDDocument 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

19. Benchmarking of The consumption and price structures of pharmaceuticals in individual E.U. countries The quality and the costs the health care provided

20. EU pharmaceutical policy coordination Consumption structure Price structure European Health Care Information and Clearing Centre AT IT SE NL DE CZ Portals of member states reference centers Benchmarking Member states comparison