1. Health registers in the Czech Republic Jiří Kofránek 1st Faculty of Medicine, Charles University

2. Acute respiratory infections register ophthalmology register Intensive healthcare register Arthral implant register Vascular surgery register Agioplastic register Cardiosurgery register Tuberculosis register Veneral diseases register National transplantation register National oncologic register Central Health Registers Individual biomedical data !!!Very sensitive personal data!!!

3. Central Health Registers !!!Very sensitive personal data!!! Individual biomedical data Strong data security management Anonymous data in central registers! Individual data in central registers! For therapy and diagnosis Individual data For evaluation of effectiveness of various therapeutical and diagnostical approaches Statistical data

4. Strong data security management Anonymous data in central registers! Individual data in central registers! Danger of misuse of the sensitive data Requirement of tracking of individual cases Record in register

5. Strong data security management Anonymous data in central registers! Individual data in central registers! Danger of misuse of the sensitive data Requirement of tracking of individual cases Record in register

6. Strong data security management Anonymous data in central registers! Individual data in central registers! Danger of misuse of the sensitive data Requirement of tracking of individual cases Record in register

7. Strong data security management Anonymous data in central registers! Individual data in central registers! Danger of misuse of the sensitive data Requirement of tracking of individual cases Record in register

8. Strong data security management Anonymous data in central registers! Individual data in central registers! Danger of misuse of the sensitive data Requirement of tracking of individual cases Record in register

9. Strong data security management Anonymous data in central registers! Individual data in central registers! Danger of misuse of the sensitive data Requirement of tracking of individual cases Record in register Evidence based medicine Statistical evaluation

10. Strong data security management Anonymous data in central registers! Individual data in central registers! Danger of misuse of the sensitive data Requirement of tracking of individual cases Technological solution

11. 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

12. 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

13. 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 IDRegister IDCase ID Anonymised patient‘s record Register ID Central Health Register (without sensitive personal data) Cross-connection table Patient IDName,surrname.. Insured person register Public anonymised register

14. 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

15. 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.

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

17. The vision

18. 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

19. 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

20. 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

21. 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

22. 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

23. 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

24. 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

25. 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