Information about NHIS

The role of the National Health Information System (NHIS) is defined in

Act no. 372/2011Sb, On health services and conditions of their provision (Act on health services) in Section 70, paragraph 1 (the Act is valid since April. 2012).

NHIS is a unified all-state information system designated:

Administration of NHIS is delegated by MH to the Institute of Health Information and Statistics of the Czech Republic (IHIS CR) in accordance with the basic purpose and objective of its activity that follows from the Statute of IHIS CR. The extent of the mandate is defined in Section 72, paragraph 1, letters a) to d) and f) of Act no. 372/2011Sb, on health services.

IHIS CR is a component of the State Statistical Service (on the basis of the competence act) and performs this activity according to Act no. 89/1995 Sb., On state statistical service, in wording of later regulations.

In handling personal data in NHIS the Institute proceeds in accordance with Act no. 101/2000 Sb., On personal data protection, in wording of later regulations.

National Health Registers

History

Until 2002, individual notifications were filed in the Program of statistical investigations of Ministry of Health, which is a part of the Program of statistical investigations directed by Czech Statistical Office.

In 2002 Ministry of Health of the CR established National Health Registers on the basis of the mandate granted by Act no. 20/1966 Sb., on health care for the people, in the valid version. For the established registers information was published on their purpose and its justification, on the executive authorities of the register and on their competence, and on the Council of the register. An amendment to the Act that entered into force in 2004 explicitly declares 13 National health registers and defined the personal and other data that may be processed in the registers without the consent of the subjects of data. The number of registers increased to 14 in 2006 when the National register of assisted reproduction was established by another amendment to the Act.

The development of National health registers was prevalently due to the initiative of professional medical societies that also determined their specific contents. Each National health register is in the care of a state institution, the Administrator of the register that guarantees correspondence of contents, methods and purpose of the register. The Council of the registry is a consulting authority, consisting of representatives nominated by the pertinent professional medical society, representatives of MH and employees of the Administrator and, if needed, of an institution performing the processing. The appropriate professional medical society guarantees professional quality of the register. Many registers are based on traditions lasting many years, e.g. the oncological register originated already in 1976 and the register of hospitalisation in 1960.

Present state

Since April 1, the new Act no. 372/2011 Sb., on health services and conditions of their provision (act on health services) is in force and replaces the former Act no. 20/1966 Sb.; for National health registers it means codification of the presently existing state and further specification of their operating conditions. In contrast to Act no. 20/1966 Sb.; the new Act lists 10 National health registers.

In Act no. 372/2011 Sb., some existing registers were abolished, some fused and several new registers were established. The new National health registers are National register of injuries, National register of persons permanently excluded from blood donation and National register of autopsy and toxicological examination performed at forensic medicine departments.

Survey of National health registers

The extent of information communicated by health care providers to National health registers will be exactly determined in the data standard issued by Ministry of Health and in binding methodological instruction to the National Health Information System.

Basic information on the registers

The purpose of the registers is monitoring of the evolution, causes and consequences  of not only serious diseases, including the economic consequences and the impact on the social sphere and on the economy of the social system; further, registering and following up patients, including deceased patients, with selected serious diseases, monitoring of the prevalence, trends, causes and consequences of these diseases and of the follow-up care and also monitoring  of patients with injuries; in addition, also statistical and scientific processing of the registered data, focused particularly on the analysis of the health status of the population and of the utilisation and quality of health care, with the aim of improving health of the population.

The importance of heath registers is further enhanced by their role in monitoring contemporary trends in the quality of provided health care in the whole CR in comparison with other countries. Information from the registers is used for the databases of health indicators of Eurostat, World Health Organization (WHO), the Organization for Economic Co-operation and Development (OECD) and for other international comparison.

Data stored in the registers do not contain names, surnames or addresses of the subjects of data (the patients) or any other personal characteristics.

Access to data and their protection

Individual data from the registers are not publicly accessible. Data from the registers are provided to users only in aggregated form (e.g. for territories, kinds of health establishments, groups of diagnoses or individual diagnoses). Anonymised individual data may only be provided for scientific studies and research. Except for cases when data are directly used in provision of health care, identification of subjects of data is not applicable to identification of persons but only to determination whether different reports to the registers pertain to the same person or to different persons. Without identifiers of persons it would not be possible to enter data in controllable manner, remove duplicate notifications, supplement at in time and space, purge for deaths where appropriate, and thus enhance the precision of statistical processing.

Data protection in the registers is on a very high level. Access to individual data is only granted to authorised employees of the Administrator or of the processor of the register and the providers of health care services. Officers of state administration generally do not belong to authorised persons; these officers have only access to aggregated data and by no means to individual personal data. Most authorised persons are health professionals who enter data to the registers and they can only see “their entered data”. The number of other authorised persons with access to all data in a certain register is strictly limited to single individuals. The Administrator of the register grants access rights to authorised users, safeguards the operation of the data collection network, secures information technology (HW, SW. communication), authentication, authorisation and protection of data and also nominates the database administrator, i.e. the authorised employee who has access to the data and is responsible for their processing. Only the database administrator has unambiguous unique access rights to the data and also full responsibility for their protection.

In processing personal data in the registers, their protection and transfer, the Administrator and the processor consequently obey Act no. 101/2000 Sb., on personal data protection, in wording of later regulations. Data protection and security have the same character as in the banding systems. After fixed periods determined by law the data in individual registers are anonymised by means of one-way encryption algorithms.

Information about registers abroad

Many European countries operate large numbers of health registers with personal identification numbers (PIN). This concerns first of all North European countries with long-term tradition and experience in operation of registers similar to those kept in the CR and of many others. Documents existing on the level of EU recommend using PIN as a necessary prerequisite for good functionality and quality of health registers and information systems, naturally, along with adoption of necessary elements of protection of data and privacy of the patients. On the EU level, a much higher harmonisation is required, in order to secure unified interpretation of the directive on personal data protection.

Central Repository of Mandatory Notifications

Other Registers

The data portal of IHIS CR performing automated collection of statistical data electronically submitted in xml format directly to the central database designated for National Health Registers of NHIS:

  • National register of hospitalised patients
  • National register of reproduction health
    • National register of mothers at childbirth
    • National register of newborns
    • National register of abortions
    • National register of congenital malformations

Czech National Cancer Registry (CNCR)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of the Czech National Cancer Registry (CNCR) is registration of cases of oncological diseases and periodic monitoring of their further evolution, i.e. aggregation of data, their verification, storage, protection and processing. CNCR provides aggragated data for statistical surveys on national as well as international levels, further also for epidemiological studies and health related research.

Data in CNCR serve also for support of timely diagnostics and therapy of neoplasms and precancerosis conditions, for monitoring of their prevalence, causal factors and social consequences.

Aggragated data are the basis for design, realisation and evaluation of preventive health care programmes and for estimates of necessary financial costs of securing complex oncological care. Anonymous individual data may be provided for epidemiological studies and health related research only in accordance with valid legislation and with the consent of the Council of CNCR.

CNCR is member of International Association of Cancer Registries (IACR) in Lyon, it collaborates with European Network of Cancer Registries (ENCR) and maintains contact with registers abroad. CNCRis an inseparable component of the complex oncological care.

We use data from CNCR in the publication Cancer Incidence, in the Data Presentation System and in some other publications. An external web portal called System for Visualizing of Oncological Data (SVOD) also uses data from CNCR.

RANGE OF DATA PROVIDED BY HEALTH ESTABLISHMENTS TO CNCR

CNCR is a nationwide population cancer registry that builds on the registry maintained in IHIS CR since 1976.

On January 1, 2006 significant changes were made in organisation of data collection for the CNCR. Changes were made in the contents of the data structure in CNCR, including the basic tool for data collection and entry, which is the newly regulated “Notification and therapy of malignant neoplasm”. At the same time, a significant change occurred in the definition of the subject that fill in the notification of a neoplasm. Now the duty of filling in the notification is shared by two  health care facilities:

  • health care facility that determines the diagnosis (fills in and transmits the notification within 1 month from determination of diagnosis)
  • health care facility responsible for therapy (fills in and transmits the notification within 8 months from determination of diagnosis).

This division allow to obtain fast operative survey of incidence of neoplasms in the Czech Republic and, on the other hand, to obtain a more complete and precise survey of therapy of these neoplasms.

CNCR is operated as a web application with central database. Regional workplaces of CNCR insert data to the registry by means of internet connection via secure https protocol. Access to the registry and assignment of user roles is authorised by the administrator of the registry.

1. Data connected with the state of health of the patients in relation to their disease and therapy

  • personal identification number
  • municipality of place of residence
  • citizenship in EU
  • social status (employee, self-employed, unemployed, not working, homeless, unknown)
  • status (living in family, single, unknown)
  • malignant neoplasm in family anamnesis
  • family anamnesis – number of neoplasms
  • smoking
  • main life occupation – verbally
  • migration – country
  • in what context detected (e.g. preventive examination, other examination, screening, autopsy)
  • date of 1st consultation with physician
  • date of determination of diagnosis

2. Data on the monitored disease

  • diagnosis (verbally), code of International statistical classification of diseases and related health problems in wording of the 10th revision (ICD-10)
  • diagnosis determined on the basis (clinically obvious, imag, examination method, surgery, histology, cytology, labor. examination incl. tumour markers, autopsy, DCO (data on tumour are not in health documentation but it is included in the Death Examination Document (further DED)))
  • laterality (left, right, both sides, inapplicable, unknown)
  • TNM classification for description of anatomic extent of disease, extent of primary tumour (T), absence or presence of metastases in regional lymph modes (N) and absence or presence of distant metastases (M)
  • pTNM classification – post-operative histo-pathologic classification is based on findings obtained prior to therapy supplemented or modified by other findings obtained in surgical operation and pathologic examination
  • clinical stage
  • disease (localised - advanced)
  • histology (verbally)
  • histology - topography code
  • histology – morphology code

3. Data on method of therapy of the disease

  • proposed therapeutic procedure (verbally)
  • malignant neoplasm not treated (state reason why)
  • surgery, surgical operation (verbally)
  • kind of surgery
  • date of surgery
  • removal of tumour (complete, residual tumour, tumour retained)
  • endoscopic operation
  • radiotherapy (verbally)
  • kind of radiation
  • form of therapy
  • date of beginning of radiotherapy
  • chemotherapy (verbally)
  • form of therapy
  • type of therapy
  • date of beginning of chemotherapy
  • hormonal therapy (verbally)
  • kind of therapy
  • date of beginning of hormonal therapy
  • other therapy (verbally)
  • kind of therapy
  • date of beginning of other therapy
  • number of tumours in the same patient
  • previous neoplasms
  • disease is considered to be late recognised
  • evaluation of procedure
  • conclusion (therapy terminated, suspended, continues, symptomatic, without therapy, unknown)

4. Data on death of patient

  • date on death of patient
  • diagnosis of disease that directly led to death (direct cause of death), diagnosis stated in DED
  • diagnosis of basic, main disease (primary cause of death), diagnosis stated in DED
  • diagnosis of other serious accompanying disease stated in DED
  • autopsy

5. Information on further monitoring of patient

  • Identification date on patient, including number of malignant neoplasm, date of determination of diagnosis, code of diagnosis in International statistical classification of diseases and related health problems in wording of the 10th revision (ICD-10), topography, morphology, TNM, pTNM
  • date of latest contact
  • status of patient (living, died)
  • therapy from the latest notification
  • kind of therapy
  • date of death
  • diagnosis of disease that directly led to death (direct cause of death), diagnosis stated in DED
  • diagnosis of basic, main disease (primary cause of death), diagnosis stated in DED
  • diagnosis of other serious accompanying disease stated in DED
  • changes
  • notification is made after several years

6. Information on health establishments taking part in therapy

Identification data of:

  • registering general practitioner
  • health establishment that performed surgical operation
  • health establishment that began radiotherapy
  • health establishment that began chemotherapy
  • health establishment that began hormonal therapy
  • health establishment that began other therapy
  • health establishment that will provide follow-up care

STATISTICAL UNIT OF INVESTIGATION

All diseases in the group of diagnoses:

  • malignant neoplasms (C00 - C97),
  • neoplasms in situ (D00 - D09),
  • neoplasms of uncertain or unknown behavior (D37 - D48) and
  • other specified diseases with participation of lymphoreticular tissue and
  • reticulohistiocytic system (D76.0)

detected in persons, disregarding gender and age, with state citizenship of the CR and in foreigners with permanent residence permit, detected clinically (including cases histologically or cytologically not verified) or detected at death.

National Register of Hospitalised Patients (NRHOSP)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of detection of requested data is obtaining sources of information on health status of the population. National register of hospitalised patients at the same time provides reference data for qualitative and quantitative evaluation of activity of individual establishments for institutional (bed) care and their departments.

Data from NRHOSP are an important tool for management of health services and determination of conceptions and realisation of health policy of the state necessary for determination of the optimum network of institutional heath care establishments. Resulting information from NRHOSP are provided to World Health Organization (WHO) and other international organisations according to contract obligations.

RANGE OF DATA PROVIDED BY HEALTH ESTABLISHMENTS TO NRHOSP

NRHOSP is a nationwide population register that builds on the information system Hospitalisation maintained in IHID CR since 1960. NRHOSP keeps evidence on persons that were hospitalised in bed departments and whose hospitalisation was terminated in the monitored period. Data collection from all bed departments of bed care establishments was performed for the first time in 1981 and then in 1986. Data are regularly processed every year since 1992. Since 1994 registration of basic hospitalisation diagnoses is performed according to the 10th revision of International classification of diseases (ICD-10) that replaced the previously used 9th revision. Up to 1997 data were collected from bed care establishments without establishments of central organs (sectors of transport, defence and justice) that until then did not provide data.

1. Data on health establishment for institutional (bed) care (reporting unit)

  • Identification number of organisation (IČO/PČZ) of establishment
  • region, district of seat of establishment
  • kind of establishment
  • department, serial number of department
  • workplace

2. Data on patient

  • personal identification number (from which gender and age are derived)
  • health insurance company
  • marital status
  • occupation
  • municipality of place of residence
  • citizenship in EU

3. Data concerning admission and stay of patient in establishment of institutional care

  • admission recommended by
  • date of admission (day, month, year)
  • time of admission (hr., min.)
  • reason of admission
  • admission
  • beginning of symptoms – date (day, month, year) – validity for urgent admission
  • beginning of symptoms – time (hr., min.) – validity for urgent admission
  • basic diagnosis - diagnosis of basic disease that is the cause of hospitalisation according to International statistical classification of diseases and related health problems in wording of the 10th revision (ICD-10)
  • for the basic diagnosis hospitalised for the first time in life
  • external cause of injury, diagnosis (ICD-10)
  • additional diagnoses (ICD-10)
  • date of operation (day, month, year)
  • time of operation (hr., min.)
  • main operation diagnosis, diagnosis of disease that is the main cause of performing the operation according to ICD-10
  • list of other performed performances (výkonová větě)
  • hospital infection – validity for operated patients
  • kind of operation
  • reoperation (repeated operation of patient in connection with main operation diagnosis)
  • post-operation complications
  • number of days in Intensive Care Unit (ICU)
  • main operative performances (after List of medical performances)
  • DRG group (classification of patient by DRG (diagnosis related group)
  • number of days of suspended hospitalisation
  • date of discharge (death)
  • hour, min. of discharge (death)
  • category of patient (numbers of days in certain conditions)
  • basic cause of death (Ic) – diagnosis (ICD-10) of primary cause of death taken over fro, Death Examination Document
  • direct cause of death (Ia) – diagnosis (ICD-10) of direct cause of death taken over fro, Death Examination Document
  • termination of hospitalisation
  • compensation
  • necessity of further care after discharge

Classification of hospitalised patients IR-DRG

Classification of hospitalised patients IR-DRG was implemented in cooperation with MH with validity as of January 1, 2006 on the basis of communication of CZSO no. 427/2005 Coll. It enables us to classify patients in acute bed care by their clinical similarity and comparability of costs of their stay in the bed care establishment. For IR-DRG classification in 2011 (the update of IR-DRG was declared in Communication of CZSO no. 323/201 Coll. with effect as of January 1) the definition manual version 008.2011 was used, with the software for automated grouping of cases according to DRG, so-called grouper, version 008.2011, and binding methodology material and code lists for use in IR-DRG classification, version 008.2011. CZSO issues every year an updated Communication concerning IR-DRG. Reference is presented on web pages of Ministry of Health and further on web pages of National reference centre.

STATISTICAL UNIT OF INVESTIGATION

A statistical units subject to mandatory reporting is a terminated hospitalisation of patient (including foreigners) in one bed care department of a health establishment disregarding the kind of admission and termination (discharge, transfer, death). NRHOSP does not register day care (one day surgery) that belongs to out-patient care

 

National Register of Reproduction Health (NRRZ)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

This register was created by fusion of existing National register of mothers at childbirth, register of newborns, National register of congenital malformations, National register of abortions and National register of assisted reproduction into one system that will simplify administration and increase the added value of information in the united register. This fusion improves coordination and coherence and will facilitate evaluation of quality of provided care in the field of reproduction health.

ESTABLISHMENT OF NATIONAL REGISTER OF REPRODUCTIVE HEALTH

According to section 127, par. 6 of Act no. 372/2011 Coll. data kept according to legal regulation in wording in force before the day of entry into force of this Act in National register of mothers at childbirth, register of newborns, National register of congenital malformations, National register of abortions and National register of assisted reproduction maintained by Institute of Health Information and Statistics of the Czech republic according to Act on care for health of the population will be transferred by the Institute at the latest on the day of establishment of National register of reproduction health into that register.

National Register of Abortions (NRPOT)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of detection of the requested data is to secure data for assessment of quality of care for reproduction health. Collection of data concerning abortions in the Czech Republic became a longtime tradition and an indispensable component of demographic and perinatologic  information on Czech population. Anonymised data are transmitted with monthly periodicity to Czech Statistical Office for the needs of demographic statistics.

Analysis of the data provides a series of internationally recognised criteria of quality of care and quality of health and provides an indispensable complement to other perinatologic data without which it is not possible to make complex assessment of the quality of the care for reproduction health.

RANGE OF DATA PROVIDED BY HEALTH ESTABLISHMENTS TO NRPOT

National Register of Abortions is a nationwide population register that builds on the information system Abortions maintained in IHIS CR since 1960. The file registers all kinds of abortions, spontaneous abortions, menstrual regulations, artificially (legally) induced abortions (up to 12 gestation weeks) and other abortions, including cases of ectopic pregnancy, performed in gynaecologic departments in health establishments in the CR.

1. Data on patient

  • Identification number of establishment (IČO/PČZ) where the performance was performed
  • Identification number of establishment (IČO/PČZ) which performed the performed
  • personal identification number
  • municipality of place of residence
  • number of municipality of residence
  • number of municipality with extended competence
  • occupation
  • marital status
  • citizenship in EU
  • education
  • number of births
  • number of live born children
  • number of previous legally induced abortions (further only LIA)
  • number of previous spontaneous abortions
  • data on abortion
  • kind of abortion
  • LIA for reasons of health
  • diagnosis of reasons of health for LIA (dg. from International statistical classification of diseases and related health problems in wording of the 10th revision (ICD-10))
  • date of performance of abortion (day, month, year)
  • age of fetus (weeks)
  • for fetus older than 17 weeks – weight in grams
  • for fetus older than 17 weeks – length in cm
  • contraception
  • fee for LIA

STATISTICAL UNIT OF INVESTIGATION

Statistical unit is termination of pregnancy (including ectopic).

The following abortions are subject to mandatory notification:

  • spontaneous
  • menstrual regulation (vacuum aspiration)
  • other LIA
  • other abortion
  • cases of termination of ectopic pregnancy

National Register of Assisted Reproduction (NRAR)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of the register is registration of all women in whom ovarial stimulation was started or monitoring with the purpose of therapy of sterility (their own sterility or sterility of another woman in case of oocyte donation) was started by method of extracorporal fertilisation (IVF) or by related technique. Monitoring of IVF cycles secures necessary information on the method, progress, results and possible complications for the needs of professional health care workers, Ministry of Health of the CR, health insurance companies and also for international presentation of data. Information thus obtained allows evaluation f therapeutic procedures and are used for management and qualitative improvement of care for infertile couples and for realisation of state policy in the field of assisted reproduction and therapy of sterility. National register of assisted reproduction ()NRAR is a nationwide population register.

RANGE OF DATA PROVIDED BY HEALTH ESTABLISHMENTS TO NRAR

Since 2007, NRAR is operated as a web application with central database. Assisted reproduction centres insert data into the register by means of internet connection via secure https protocol. Access to the register and assignment of user roles is authorised by the administrator of the register.

Identification of cycle

  • number of record
  • assisted reproduction centre
  • control ending of cycle

Identification of woman

  • personal identification number
  • date of birth
  • citizenship in EU

Initial health data

  • woman has been pregnant before
  • primary woman identification
  • secondary woman identification
  • identification of man
  • previous effort (or possibility) for pregnancy with this partner

Course of cycle

  • date of beginning of cycle
  • intended aim of cycle
  • intended number of embrya for ET
  • stimulation of ovaria/endometium KET
  • method of sperm acquisition

Oocyte collection from ovaria

  • date of collection
  • number of oocytes found
  • number of deep-frozen oocytes
  • oocytes originating from donor
  • embya originating from donor
  • oocytes or embya from own earlier cycles (KRYO)
  • oocytes or embya originating from next own cycl

Impregnation and evolution 

  • impregnation by IVF method (report number of oocytes)
  • impregnation by ICSI method (report number of oocytes)
  • number of zygotes total
  • of that with polyploidia
  • number of deep-frozen zygotes/embrya
  • date of embryotransfer

Complications

  • hyperstimulation sy III. degrees
  • infection
  • hemorrhage

PGD

  • preimplantation diagnostics – type of biopsy
  • preimplantation diagnostics – type of examination

Summary and conclusion of cycle

  • cycle covered by
  • ZP performance codes
  • actually performed in cycle
  • date of termination of cycle

Results of cycle

  • result of hCG test 10-20 days after embryotransfer
  • date of 1st ultrasonics
  • number of fetal eggs
  • number of fetuses with heart action
  • number of extraurine nested fetal eggs
  • clinical gravidity was achieved
  • artificial reduction of multiple gravidity – date
  • artificial reduction of multiple gravidity – by how many fetuses

Result of gravidity

  • result of gravidity
  • date of termination of gravidity
  • number of fetuses birthed

Supplementary data

  • number of donated embrya
  • termination of zygote/embrya storage – date
  • termination of zygote/embrya storage – number

STATISTICAL UNIT OF INVESTIGATION

Statistical unit is therapy or monitoring of a woman with the aim of artificial impregnation.

National Register of Congenital Malformations (NRVV)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of detection of the requested data is registration of congenital malformations diagnosed in prenatal and postnatal screening; this is presently one of the basic necessary factors for evaluation of the health status of the population and an inseparable component of evaluation of prenatal, perinatal and postnatal health care.

Monitoring of prevalence of congenital malformations serves for evaluation of timely detection of congenital malformations. The obtained information is used for evaluation of the health status and quality of new population.

This information is also used as reference for conceptions of state health policy in this field. It is also used in international presentation of the monitored data, particularly in databases of World Health Organisation (WHO) and the Organisation for Economic Cooperation and Development (OECD).

RANGE OF DATA PROVIDED BY HEALTH ESTABLISHMENTS TO NRVV

National Register of Congenital Malformations is a nationwide population register that builds on the Information system Congenital Malformations maintained in IHIS CR since 1965. NRVV registers all congenital malformations detected in children up to 15 years, in fetuses in the course of pregnancy and also malformations in stillbirths.

1. Data on fetus

  • Identification number of establishment (IČO/PČZ), department
  • pregnancy
  • completed gestation week at detection of congenital malformation
  • detection of congenital malformation (year, month, day)
  • termination of pregnancy (year, month, day)

2. Data on child

  • personal identification number
  • citizenship in EU
  • health insurance company
  • birth data – weight (g)
  • birth data – length (cm)
  • birth weight (g)
  • birth length (cm)
  • detection of congenital malformation (year, month, day)
  • date of death (year, month, day)

3. Additional joint data on child

  • assisted reproduction
  • reason of detailed examination
  • prenatal diagnostics
  • prenatal diagnostics performed beyond the framework of biochem. and ultrasound screening – method
  • reason of absence of prenatal diagnostics
  • result of pregnancy
  • sex
  • congenital malformation – diagnosis (dg. from International statistical classification of diseases and related health problems in wording of the 10th revision (ICD-10)
  • data on mother
  • personal identification number
  • citizenship in EU
  • municipality of residence of mother
  • number of municipality of residence of mother
  • number of municipality with extended competence
  • marital status
  • occupation in 1st trimester
  • sector in 1st trimester
  • completed gestation week – of fetus – of child
  • multiplicity of pregnancy
  • congenital malformations in family – who afflicted
  • congenital malformations in family – diagnosis of congenital malformation in afflicted person (ICD-10)
  • diabetes mell. in 1st trim.- diagnosis (dg. from ICD-10)
  • infectious disease in 1st trim. – in gestation week
  • infectious disease in 1st trim. – diagnosis (dg. from ICD-10)
  • other disease in 1st trim. – diagnosis (dg. from ICD-10)
  • medication in 1st trim.
  • order of gravidity
  • order of parity
  • number of previous spontaneous abortions
  • number of previous artificially induced abortions (LIA)
  • data on father
  • year of birth
  • occupation
  • sector

STATISTICAL UNIT OF INVESTIGATION

Diagnosed congenital malformation (further only CM)

  • in fetuses, when CM was detected in prenatal diagnostics and in spontaneous abortions over 500 gram
  • in children up to completed 15th year of life
  • in stillbirths

National Register of Mothers at Childbirth (NRROD)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of detection of the requested data is to secure basic data on the reproduction anamnesis of the woman, on the course of her pregnacy, childbirth and on the newborn. Monitoring of mothers serves for evaluation of her state of health from the viewpoint of quality of care. The obtained information is a valuable source of information for gynaecologic and obstetric care and an important instrument for improvement of the care for pregnant and parturient women. Information of the register is used for determination of conceptions and realisations of the state health policy in the field of gynaecologic and obstetric care and at the same time it is used tor databases World Health Organisation (WHO) and the Organisation for Economic Cooperation and Development (OECD) and other international organisations according to contract obligations.

RANGE OF DATA PROVIDED BY HEALTH ESTABLISHMENTS TO NRROD

National Register of Mothers at Childbirth is a nationwide population register that builds on the information system on mothers at childbirth maintained in IHIS CR since 1991. NRROD registers all mothers at childbirth subject to the notification duty.

1. Data on mother

  • number of medical record
  • Identification number of establishment (IČO/PČZ), department
  • personal identification number
  • health insurance company
  • municipality of residence
  • number of municipality of residence
  • number of municipality with extended competence
  • citizenship in EU
  • date of admission (year, month, day, hour)
  • marital status
  • education
  • previous pregnancies – births – total
  • previous pregnancies – births – of that preterm
  • previous pregnancies – births – of that caesarean section (SC)
  • previous pregnancies – died – stillbirths
  • previous pregnancies – died – early newborn’s death
  • previous pregnancies – died – late newborn’s death
  • previous pregnancies – abortions – spontaneous
  • previous pregnancies – abortions – artificial (LIA)
  • previous pregnancies – abortions – ectopic

2. Data on pregnancy

  • prenatal care – beginning (week) – number of controls
  • number of all institutional care (hospitalisations) and total of concluded weeks of stay in establishments for institutional care
  • increase of weight (kg)
  • addictive substances (smoking, alcohol, drugs)
  • ultrasonic examination – first – week, last – week
  • ultrasonic examination – detection lf congenital malformation – week
  • ultrasonic examination – multiple pregnancy – week
  • diabetes
  • serious complications of pregnancy and delivery – diagnoses (dg. from International statistical classification of diseases and related health problems in wording of the 10th revision (ICD-10))
  • presumed date of birth (year, month, day) according to stated method of determination of term of birth

3. Data on delivery

  • date of birth (year, month, day, hr.)
  • date of rupture of membranes (amniotic fluid) (year, month, day, hr.)
  • multiplicity of pregnancy
  • gestation age
  • induction – indication (diagnosis for induction after ICD-10 states reason for induction of birth)
  •   status of fetus A, B, C (order of newborns in delivery of multiple pregnancy)
  • symptoms of risk
  • cardiotocographic monitoring of fetal heart frequency and uterine action (CTG)
  • indication for SC (diagnosis of indication for SC 1, for SC 2, after ICD-10)
  • anesthesia
  • termination vaginal A, B, C
  • termination per SC
  • termination per SC – of that breech delivery
  • complications during delivery
  • medication during delivery
  • delivery conducted by
  • evaluation of delivery
  • date of conclusion of Report on mother at childbirth (ZR)–year, month, day, hr.
  • reason of conclusion of ZR
  • complications in puerperium – dg. from ICD-10

4. Data on child

  • sex A, B, C
  • vitality A, B, C
  • birth weight (g) A, B, C
  • Apgar scores A, B, C (after 1, 5, 10 minutes)
  • pH (pH values of umbilical cord blood in newborns A, B, C)
  • status of child A, B, C at discharge of mother

STATISTICAL UNIT OF INVESTIGATION

Information on mother at childbirth, pregnancy, delivery and child obtained in hospitalisation of the mother in connection with childbirth or puerperium.

National Register of Newborns (NRNAR)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of detection of the requested data is to secure indispensable information from the field of perinatal care for the needs of professional health care workers, Ministry of Health and for international data reporting. The obtained information is an important source of data for evaluation of the health status of newborns and it is also used for management, evaluation and improvement of the care for newborns.

National Register of Newborns (further only NRNAR) contains basic data in the immediate state of he newborn after birth, the subsequent state of health, complications, therapy.

The obtained information also serves for databases of World Health Organisation (WHO) and the Organisation for Economic Cooperation and Development (OECD).

RANGE OF DATA PROVIDED BY HEALTH ESTABLISHMENTS TO NRNAR

NRNAR is a nationwide population register that builds on the information system on newborns operated by IHIS CR since 1991.

NRNAR registers all newborns including stillbirths.

1. Data on newborn

  • number of report
  • number of child (medical record)
  • identification of establishment: IČO/PČZ/department
  • personal identification numbers (of newborn, mother)
  • citizenship in EU
  • multiplicity of pregnancy
  • order (X; multiple pregnancy A, B, C)
  • health insurance company
  • year of birth of father
  • municipality of residence of mother
  • number of municipality of residence of mother
  • number of municipality with extended competence

2. Data from delivery form

  • delivery
  • mode of delivery
  • mode of delivery – vaginal – use of forceps
  • position of fetus
  • date of birth (year, month, day, hr., min.)
  • vitality
  • sex
  • birth data – weight (g)
  • birth data – length (cm)
  • birth data – gestation age
  • therapy in delivery room
  • Apgar scores (action, breath, tonus, reflex, colour, total)

3. Data from department

  • date of admission of child to department (year, month, day, hr., min.)
  • therapy
  • therapy – artificial lung ventilation (ALV) number of days of ALV
  • therapy – operation – operation diagnosis (dg. from International statistical classification of diseases and related health problems in wording of the 10th revision (ICD-10)
  • in the first 12 hours of life of children up to 1500 g – min. basal excess (BE)
  • in the first 12 hours of life of children up to 1500 g – maximum O2 in % 
  • in the first 12 hours of life of children up to 1500 g – minimum O2 in % 
  • selected diseases and complications
  • TB patch test
  • screening performed
  • congenital malformation
  • diagnoses of congenital malformations (dg. from ICD-10)

4. Information on discharge of child

  • date and hour of conclusion of Report on Newborn (ZN) - year, month, day, hr., min.
  • values at discharge – weight (g)
  • values at discharge – head circumference (cm)
  • nutrition
  • reason of conclusion of Report on Newborn (ZN)
  • reason of conclusion of ZN – transfer – identification numbers of establishment and department (IČO, PČZ)
  • reason of conclusion of ZN – death – cause
  • other diagnoses (ICD-10) – at discharge, transfer, death

STATISTICAL UNIT OF INVESTIGATION

Information on newborn and mother, course of delivery, therapy during and after birth and status of newborn.

National Register of Cardiovascular Surgery and Interventions (NRKOI)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

This register was created by fusion of existing National register of cardiac surgery (NKCHR) and National register of cardiovascular interventions (NRKI) into one system that will diminish administration requirements and increase the added value of information in the united register. The databases of the two original registers will be individually retained, the arrangement will support data sharing between them.

The expected result of the fusion of the two registers is improved coordination and coherence of the two types of provided health care.

ESTABLISHMENT OF NATIONAL REGISTER OF CARDIOVASCULAR SURGERY AND INTERVENTIONS

According to section 127, par. 7 of Act no. 372/2011 Coll. data kept in National register of cardiac surgery and in National register of cardiovascular interventions by Institute of Health Information and Statistics of the Czech Republic according to Act on care for health of the population will be transferred by the Institute at the latest on the day of establishment of National register of cardiovascular surgery and interventions into that register.

STATISTICAL UNIT OF INVESTIGATION

A statistical unit is a performed cardiac surgery or cardiovascular intervention.

National Register of Cardiac Surgery (NKCHR)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of detection of requested data is establishment of a nationwide central health register of persons with serious heart diseases who underwent heart surgery.

NKCHR is the continuation of the National register of cardiovascular interventions that had been maintained since 1997 by the Centre MEDICON - IKEM. N NKCHR was established in 2002 in order to satisfy the needs of all participating cardiac surgery facilities to obtain information in the numbers on heart surgery operations performed in the individual centres and to facilitate more precise evaluation and analysis of quality of the performances including mortality, length of hospitalisation and stratification of the risk factors.

The register includes processed personal data necessary for identification of the patient, data connected with the status of the patient in relation to he disease – preoperative information (cardiac anamnesis, previous interventions, changes hazardous for development of IHD, cardiac examination and preoperative status and support incl. reason of present operation), operative information (date of operation, age at time of operation, identification of the surgeon, specific medical information on the operation performed) and post-operative information (specific medical information on the patient’s stay in intensive care unit of the health establishment, post-operative complications, on discharge from health establishment or on death of the patient). The register also contains data necessary for identification of the health establishment in which cardiac surgery was performed.

RANGE OF DATA PROVIDED BY HEALTH ESTABLISHMENTS TO NKCHR

Since the end of 2003, NKCHR is operated as a web application with central database. The commissioned NKCHR workplace inserts data to the register by means of internet connection via secure https protocol. Access to the register and assignment of user roles is authorised by the administrator of the register.

A. Pre-operative information

  • Identification of workplace
    – name of  workplace
    – code of workplace
  • Personal data of the patient
    – Personal Identification number
    – name (not entered)
    – Surname (not entered)
    – date of  birth
    – sex
    – height
    – weight
    – BMI
  • Admission for hospitalisation
    – date of admission
    – number of medical record (local code of the case)
    – place of residence (municipality)
  • Cardial anamnesis
    – angina pectoris before operation (CCS classification)
    – dyspnoea before operation
    – number of previous myocardial infarctions in anamnesis
    – interval between operation and the last MI
    – heart failure in anamnesis
  • previous interventions 
    – previous PCI
    – date of the last PCI
    – previous, vascular or thoracic heart surgery
    – date of the last heart surgery
    – number of previous heart surgeries
  • Changes hazardous for development of IHD
    – tobacco abuse
    – therapy of diabetes mellitus
    – anamnesis of hypertension
    – dysplaidemia – renal disease
    – last preoperative serum creatinine
    – anamnesis of lung disease
    – anamnesis of neurological disease
    – anamnesis of neurological dysfunction
    – significant infliction of arteries supplying brain
    – disease (infliction) of peripheral arteries
    – preoperative cardiac rhythm
    – other additional diseases or complications
  • Cardiac examination
    – left-sided or right-sided cardiac cathetrisation
    – date of last cathetrisation
    – number of inflicted coronary arteries
    – infliction of left coronary artery stem
    – systolic pressure in a pulmonalis
    – LVEDP
    –mean PAWP/LA value
    – ejection fraction
    – category of ejection fraction
    –mean gradient on aortic valve
    – aortic stenosis
    – mitral stenosis
    – insufficiency of aortic valve
    – insufficiency of mitral valve
    – insufficiency of tricuspid valve
  • Pre-operative status and support
    – intravenous nitrates or any heparin before operation
    – intravenous inotropic substances before operation
    – other pre-operative medication during 1 week before operation
    – hemodynamic status before operation
    – cardiogenic shock before operation
    – cardiopulmonary resuscitation < 24 hours before operation
    – artificial lung ventilation before operation
    – reason for present operation
    – examining physician

B. Operative information

  • Beginning of operation
    – date and time of beginning of operation
    – age at time of operation
    – surgeon
    – operative approach
    – type of operation
    – main reason for urgent operation
  • Aortocoronary bypass 
    – number of performed peripheral anastomoses by arterial grafts
    – number of performed peripheral anastomoses by vein grafts
    – total number of performed peripheral anastomoses
    –location of performed peripheral anastomoses
    – used graft
  • operations on valves
    – operation on aortic valve
    – operation on mitral valve
    – operation on tricuspid valve
    – operation on pulmonary valve
    – number of valves on which operation was performed
  • Other performed interventions
    – other cardiosurgery interventions
    – other interventions
    – segment of aorta
    – operation performed on aorta
    – kind of operation
  • Extracorporeal circulation and myocardial protection
    – extracorporeal circulation
    – use of  clamp
    – circulatory arrest duration of EC
    – total duration of clamp
    – total duration of circulatory arrest
    – myocardial protection in use of EC
    – cardioplegia – solution
    – cardioplegia – temperature
    – cardioplegia – method of application
    – cardioplegia – form of application
    – myocardial protection without cardioplegia
    – intraaortic balloon counterpulsation
    – reason of IABC
    – mechanical heart support
    – mechanical heart support - time

C. Post-operative information 

  • Stay in ICU
    – blood derivatives applied
    – number of blood derivative units
    – total blood loss
    – stay in ICU
  • – admission date and time in ICU
    – date and time of extubation
    – reintubation
    – total duration of intubation
    – therapy in ICU
    – date and time of discharge from ICU
    – duration of stay in ICU
  • Post-operative complications
    – post-operative revisions
    – renal complications
    – neurological complications
    – other neurological complications
    – early complications and infection
    – other complications
    – multiorgan failure
    – myocardial ischemia
  • Discharge/exitus
    – status of patient at discharge from health establishment
    – date and time of discharge (exitus) from health establishment
    – duration of hospitalisation
    – duration from operation to discharge
    – discharged into
    – place of exitus
    – primary cause of death
    – date of exitus
    – status
    – remarks
    – discharging physician
    – date of completion and closing this form

STATISTICAL UNIT OF INVESTIGATION

A statistical unit is a performed cardiac surgery.

National Register of Cardiovascular Interventions (NRKI)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of detection of requested data is establishment of a nationwide central health register of persons with socially serious ischemic heart diseases who underwent cardiovascular intervention (cathetrisation, angioplasty).

The register includes processed data necessary for identification of the case and the patient, data connected with the status of the patient in relation to he disease and execution of cardiovascular intervention of coronary vessels by cathetrisation (indication, course of problems, personal anamnesis, results of angiography, description of operation including procedures, associated performances and status), data on any non-coronary vascular interventions (in extremities) and data necessary for identification of the health establishment in which the intervention was performed.

The register helps to evaluation of the evolution of morbidity and quality of provided care in the field of cardiovascular interventions. In acute cases it provides information on previous therapy of the patient.

RANGE OF DATA PROVIDED BY HEALTH ESTABLISHMENTS TO NRKI

Since the end of 2003, NRKI is operated as a web application with central database. Health service workplaces commissioned by NRKI insert data to the register by means of internet connection via secure https protocol. Access to the register and assignment of user roles is authorised by the administrator of the register.

Health care facility

  • Name of health care facility
  • Code

1. Identification of the case

  • date of operation
  • catheterising
  • type of performance
  • code of case
  • code of performance

2. Patient

  • personal identification number
  • name
  • surname
  • born
  • age
  • sex
  • height
  • weight
  • BMI

3. Intervention

  • place of residence (municipality)
  • indication
  • STEMI times
  • anamnesis
  • angiography
  • PCI procedures
  • other performances
  • non-coronary interventions
  • status post PCI
  • exitus

STATISTICAL UNIT OF INVESTIGATION

A statistical unit is a performed cardiovascular intervention.

National Register of Joint Replacement (NRKN)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of detection of requested data is registration of data on patients treated by means of operation using endoprosthesis and of specific information describing this therapy more precisely (e.g. type, size, specification of the surface of the endoprosthesis, use of cement, presence of complications).

National Register of Joint Replacement (further only NRKN) provides aggregated data for statistical surveys on the national level as well as for international comparison, for epidemiological studies and for medical research. It also provides information on the materials of the used replacements, particularly from the view point of their lifetime and also of the costs of these materials.

Comprehensive data are the basis for design, realisation and evaluation of preventive health care programmes and for estimates of necessary financial costs of securing complex orthopedic care. Anonymised data may be provided for epidemiological studies and health related research.

RANGE OF DATA PROVIDED BY HEALTH ESTABLISHMENTS TO NRKN

Since the end of 2003, NRKN is operated as a web application with central database. Health service workplaces commissioned by NRKN insert data to the register by means of internet connection via secure https protocol.

Access to the register and assignment of user roles is authorised by the administrator of the register.

1. Data on performed operation

  • personal identification number of the patient
  • residence of the patient
  • citizenship in EU
  • date of completion of the record
  • date of operation
  • type of operation
  • localisation of the operation
  • date of primary implantation (first introduction of joint replacement)
  • method of fixing the endoprosthesis (way of anchoring the joint replacement)
  • diagnosis for primary implantation (code from International statistical classification of diseases and related health problems in wording of the 10th revision (ICD-10) 
  • type of any previous operation of the monitored hip joint
  • cause(s) of revision (repeated) operation
  • type(s) of revision (repeated) operation(s)
  • characteristics of operative approach to the operated joint
  • localisation of any skeletal transplants (inserted skeletal grafts)
  • characteristics of used skeletal grafts
  • type of acetabular augmentation (method of reinforcement of the pelvic hole)
  • data on the acetabular component (pelvic part of the joint replacement)
  • data on any use of cement in combination with ATB in acetabular component
  • data on the femoral component (pelvic part of the joint replacement)
  • data on any use of cement in combination with ATB in femoral component
  • presence of hydroxyapatite surface on any component

STATISTICAL UNIT OF INVESTIGATION

A statistical unit is a performed operation with application of artificial joint replacement.

National Register of Occupational Diseases (NRNP)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of detection of requested data is obtaining information on occupational diseases as reference data for determination of national health policy, for analysis of problems in the field of health protection at work, for scientific research, for education in the field and for international comparison. In the framework of international cooperation, information on occupational diseases and risks of occupational disease registered in the CR is transmitted to the system European Occupational Diseases Statistics (further EODS) of the Statistical Office of European Union (further  also EUROSTAT), further to WHO and ILO.

NRNP monitors the evolution of the prevalence and structure of occupational diseases and risks of occupational disease, including date of termination of these diseases.

NRNP is the continuous sequel of the long time statistical monitoring since 1973 by means of mandatory notifications. Since its establishment in 1991 the register was maintained by Centre of occupational medicine of the State Institute of public health in Prague as Central register of occupational diseases. By Act no. 156/2004 Coll. it was included under its present name into the 13 health registers that constitute National Health Information System (NHIS). In connection with joining EU, NRNP was already in 2003 connected to the statistical system EODS (European Occupational Diseases Statistics) of EUROSTAT.

RANGE OF DATA PROVIDED BY HEALTH ESTABLISHMENTS TO NRNP

1. Data on patient

  • number of report
  • personal identification number (not available to IHIS CR)
  • health insurance number
  • district of residence of patient and citizenship in EU
  • name of  profession (occupation) performed when disease originated

2. Data on place of work and exposition

  • ID number of employer (IČO)
  • name of employer
  • address of seat of employer
  • place of performed work
  • CZ-NACE (Classification of economic activity)
  • CZ-ISCO (Classification of occupations)
  • category of work from the viewpoint of risk factor decisive for origin of reported disease
  • level of risk factor decisive for origin of reported disease – in case that category of this factor was not yet formally defined
  • noxa that caused the reported disease (risk factor)
  • code of source of exposure
  • length of exposure to adverse influence (days, months, years)

3. Data on disease

  • diagnoses 1 - 3 (verbally), codes of International statistical classification of diseases and related health problems in wording of the 10th revision (ICD-10)
  • occupational disease
  • chapter of List of occupational diseases
  • item of List of occupational diseases
  • letter
  • risk of occupational disease
  • date (detection, notification and, if applicable, withdrawal of notification and death)

STATISTICAL UNIT OF INVESTIGATION

A statistical unit is every detected newly arising and recognised occupational disease of persons having employment contract with an employer on the territory of the Czech Republic. Cases of occupational disease are registered according to registration codes of the List of occupational diseases. Updated List of registration codes is available in the publication issued since 2009 by State Institute of public health.

National Register of Therapy of Drug Users (NRLUD)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

National Register of Therapy of Drug Users is a register focused on assembling data on patient starting and finishing therapy of addiction including contact consulting and resocialisation programmes for drug users, i.e. data collection, verification, storage, protection and processing. This register provides data for statistical surveys on national as well as international levels, further also for epidemiological studies and health related research. The data will be used for drug control policy-making and strategy in the CR and in the international context also in EU.

The indicator of request of therapy is one of the five key indicators of drug epidemiology defined by European Monitoring Centre for Drugs and Drug Addiction (further EMCDDA) to be collected in EU member countries according to Article 5 of the Regulation of European Parliament and Council (of EC) no. 1920/2006 of  December 12, 2006. Monitoring of requests of therapy is a component of the Drug Information System that is supposed to be realised according to a series of resolutions of the government on national strategies of drug control policy and their action plans, currently of National strategy of drug control policy for the period 2010-2018 and of the action plan for the period 2010-2012. Therapy together with social reintegration and harm reduction, i.e. diminishing negative consequences of using drugs, are two of the four pillars of Czech dug control strategy. Without monitoring of the evolution in the provision of therapy and of specialised services to drug users it is not possible to monitor and evaluate the evolution in these fields of drug control policy.

STATISTICAL UNIT OF INVESTIGATION

The statistical unit is a person with problems caused by using addictive substances or a person addicted to them, who entered or was included into a programme focused on consulting and therapy of addiction performed by therapeutic and consulting establishments.

National Register of Users of Medically Indicated Substitution Substances (NRULISL)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The basic task of detection of requested data in National Register of Medically Indicated Substitution Substances (further only NRULISL) is to enable health establishments providing substitution treatment to verify whether the patient is not provided with substitution therapy in another health establishment. This should prevent multiple prescription and leak of substitution substances to illegal market.

The purpose of detection of requested data is to assemble data on patient starting and finishing substitution therapy programmes, followed by verification, storage, protection and processing of the data. National Register of Medically Indicated Substitution Substances provides data for statistical surveys, epidemiological studies and health related research. The comprehensive data are used in defining, realisation and evaluation of preventive public health programmes and for estimates of financial costs necessary for securing substitutional therapy. The data are also used for drug control policy-making and strategy in the CR and in the international context also in EU.

NRULISL is a nationwide population register that builds on the information system operated in IHIS CR since 2000.

RANGE OF DATA PROVIDED BY HEALTH ESTABLISHMENTS TO NRULISL

The register records all patients included in substitution programme (see Standard of substitution therapy, Journal of MH CR, part 3/2008) by all physicians disregarding medical speciality.

1. Information on patient

  • personal identification number
  • municipality, district, region of permanent residence 
  • citizenship in EU
  • country (state)
  • health insurance company
  • health insurance number

2. Information on therapy

  • date of application of prescribed substitution substance (year, month, day)
  • prescribed substitution substance /medical preparation
  • result of examination for human immunodeficiency virus (HIV)
  • result of HBsAg examination
  • result of anti-HBsAg examination
  • result of anti-HCV examination
  • result of anti- HCV PCR RNA examination
  • drug used, declared by patient
  • date of report
  • diagnosis (F11, F19)

3. Information on termination and change of substitution therapy

  • reason of  termination
  • patient in conclusion of therapy underwent controlled detoxification
  • duration of detoxification in days
  • used substitution substance /medical preparation
  • records transferred– to whom (name of health facility)
  • date of  termination

STATISTICAL UNIT OF INVESTIGATION

The statistical unit is a patient included in substitution programme performed in any health establishment disregarding medical specialisation.

National Register of Injuries (NRU)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of detection of requested data is registration of data concerning injuries treated in connection with hospitalisation, data connected with the health status of the patient in relation to the injury and its diagnostics and therapy, the circumstances of the injury, its causes, detailed description of the place and time of the injury, the speed of intervention of emergency service, data on primary transport, detailed record of care provided on emergency admission and subsequent health service provision, and data need for identification of the providers of in-patient health care to the hospitalised patient.

Data assembled in National Register of Injuries will be used for achieving higher quality of health services in cases of injuries and of their better results, determination of optimum efficient therapeutic procedures and for identification of risks of occurrence of individual kinds of injury, and finally for determination of preventive measures, i.e. measures leading to their prevention. Every injury will be recorded individually from the viewpoint of causes of its occurrence and evolution, character of impairment, procedures of therapy, results of therapy and any complications, possibly in relation to other health problems of the patient. Only serious injuries are registered, such that required hospitalisation of the patient.

The monitored data will correspond with standards formulates in the framework of European Union and will satisfy the requirements of compatibility. The reason is the need of exchange of appropriate data between individual countries. European Union has at its disposal already longtime historical data on monitoring of injuries in surgical clinics. An EU database of injuries was created including a system of their recording ((IDB). This system serves for standardisation of monitoring of injuries and accidents in European Union and it is at the same time the basis for comparison of situations in individual member countries.

ESTABLISHMENT OF NATIONAL REGISTER OF INJURIES 

Ministry of Health will establish National Register of Injuries within 24 months from the day of entry into force of Act no. 372/2011 Coll. on health services (section 127, par. 1, letter b).

STATISTICAL UNIT OF INVESTIGATION

The statistical unit will be every patient hospitalised for injury.

National Register of Persons Permanently Excluded from Blood Donation (NROVDK)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of detection of requested data is registration of persons who are excluded from blood donation for defined reasons, mostly for carriage of serious blood-borne infections (e.g. hepatitis B or C, HIV). The objective of registration is to increase safety of blood transfusion preparations to be used in therapy of patients in the CR, and to diminish the risk of transmission of a serious infection. With regard to the gravity of possible transmission of a serious infection in blood transfusion it is necessary to register persons excluded from blood donation even without their consent. Excluded persons must be traced and registered nominally, anonymisation is not possible (except for statistical outputs). The register must be operated in electronic version allowing immediate identification of a potentially hazardous blood donor, right on entry into the facility of transfusion service, prior to any blood or blood component transfer. 

ESTABLISHMENT OF NATIONAL REGISTER OF PERSONS PERMANENTLY EXCLUDED FROM BLOOD DONATION

Ministry of Health will establish National Register of Persons Permanently Excluded from Blood Donation within 24 months from the day of entry into force of Act no. 372/2011 Coll. on health services (section 127, par. 1, letter b).

STATISTICAL UNIT OF INVESTIGATION

The statistical unit will be every persons permanently excluded from blood donation, to be registered immediately after verification of a positive result of a confirmation examination of the person for persons permanent exclusion from blood donation.

National register of autopsies and toxicological examinations performed at forensic medicine departments (NRPTV)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of detection of requested data is registration of data obtained in autopsies and toxicological examinations performed at forensic medicine departments. The register should be a source of information on details and circumstances of sudden and violent deaths and also on their causes. The register will also be a source of information on so-called drug deaths, i.e. deaths caused by overdose of addictive substances and deaths for other causes but connected with the presence of drugs.

Aggregated data will be a supporting source for preparation and transmission of data on mortality and its causes to international institutions, like particularly World Health Organisation, European Commission and the Organisation for Economic Cooperation and Development.

Establishment of National register of autopsies and toxicological examinations performed at forensic medicine departments

Ministry of Health will establish National register of autopsies and toxicological examinations performed at forensic medicine departments within 24 months from the day of entry into force of Act no. 372/2011 Coll. on health services (section 127, par. 1, letter b).

STATISTICAL UNIT OF INVESTIGATION

The statistical unit will be every performed autopsy including results of toxicological examinations obtained from autopsy.

Other Registers

Central Repository of Statistical Statements

Other Registers

System of operation of statistical statements in IHIS CR allowing electronic answering and returning of statistical questionnaire forms. The application is accessible only to registered users (institutions).

 

 

 

 

 

 

 

 

 

National register of persons disagreeing with post-mortem removal of tissues and organs

Other Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of recording is registration of persons who do not agree with donation of tissues and organs in order to prevent improper manipulation with their body after death.

Donation of organs and tissues is a highly humane decision. Donated organs and tissues save lives of many people in acute cases and enable many others to live longer in good health. This concerns particularly patients wit h diseases of kidney, heart, lung and liver.

Everyone may express disagreement with removal of organs and tissues suitable for transplantation from one’s body after death. In order to keep evidence of such expressed disagreements and thus to prevent their violation, MH established National register of persons disagreeing with post-mortem removal of tissues and organs. A valid expression of such disagreement must satisfy certain requirements and include requested data according to Act no. 285/2002 Coll. On donation, removal and transplantation of tissues and organs (transplantation act). The established registry fulfills the tasks set by Act no. 285/2002 Coll. allowing to satisfy fundamental opponents of donations of organs and tissues and to prevent improper manipulation with their body after death. According to the transplantation Act an implicit agreement with donations of organs and tissues after death is assumed with the condition of duty to check whether the Registry contains an expression of disagreement with removal of organs and tissues.

STATISTICAL UNIT OF INVESTIGATION

The statistical unit is every registered disagreement with post-mortem removal of organs and tissues on the territory of the Czech Republic.

 

Register of Electronic Statements (REV)

Other Registers

The web application Register of Electronic Statements (REV) is designated for on-line electronic collection of basic economic data, structure of wage and salary funds and numbers of workers in health establishments. It allows for outputs to Word and Excel files for further processing.

Register of Health Care Professionals Qualified to Pursue a Paramedical Profession Without Professional Supervision

Other Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of registration is provision of a survey about lifelong education of health care professionals. The main objective is to secure high quality of nursing care.

Act no. 96/2004 Coll. regulates the Register of Health Care Professionals Qualified to Pursue a Paramedical Profession Without Professional Supervision (further only Register).

The Register includes health care professionals who obtained the Certificate to pursue a paramedical profession without professional supervision according to Section 67 of the above Act.

Verification of registration of a health care professional will be available to everybody of the general public. The public will have access only to basic data about the health care professional (see Act no. 101/2000 Coll.).

STATISTICAL UNIT OF INVESTIGATION

The statistical unit is every health care professionals qualified to pursue a paramedical profession without professional supervision.

 

Register of Health Establishments (RZZ)

Other Registers

PURPOSE

The Register of Health Establishments provides an overview of the network of health establishments, profiles of the provided health care on the levels of municipalities with extended competence, districts, regions and of the CR. It is used for rational and effective territorial distribution and utilisation of health establishments. It also serves for up-to-date awareness of the public about the offer of medical services provided in health establishments.

RZZ provides information on all health establishments without regard to their founders, i.e. the legal entities, their incorporated establishments and detached units, from the viewpoint of kinds of establishments, founders and from the viewpoint of the extent of provided health care by branches and of appropriate personnel resources of physicians and paramedics. Further on the numbers of personnel by categories and professional structure, depending on the degree of education.

Find Establishment

Application designated for the general public for search of data on the network of health establishments, profiles of provided health care, on the levels of municipalities with extended competence, districts, regions and of the CR.

The purpose of this application is to provided up-to-date information from the Register of health establishments on the structure of the network of health establishments and profiles of provided health care on the selected territory. It provides information on all state and non-state health establishments that obtained registration and on their detached units, from the viewpoint of kinds of establishments, founders and branches of provided health care. . It also serves for up-to-date awareness of the public about changes in the structure of the network of health establishments and facilitates search for a certain health establishment.

Register of Medical Devices

Other Registers

PURPOSE

In order to secure provision of health care by means of appropriate, safe and efficient medical devices it is necessary to establish registration of legal entities and of physical persons, registration of medical devices, notification of undesirable effects, notification of clinical tests and registration of diagnostic devices in vitro.

Information about the register is presented on internet pages www.mzcr,cz.

 

Register of physicians, Dentists and Pharmacists (RLZF)

Other Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of detection of the requested data is to record data on the age and gender structure, branches of activity and qualification structure of physicians, dentists and pharmacists and on the kind and ownership type of the health establishments where they work, without regard to the supervising sectors of health, defence, interior, justice or labour and social affairs.

Register of physicians, dentists and pharmacists is a file of persons who graduated in medical. Pharmaceutical or social health faculties in the Czech Republic or abroad. The basic condition for inclusion of a physician, dentist or pharmacist into the file as of 31. 12. is that they either have an employment contract with a (state or non-state) health establishment, or that they are founders of a health establishment. The employment contract may be concluded for a definite or indefinite period, or the physician, dentist or pharmacist may be the owner, companion or tenant of a health establishment.       

RLZF is updated once a year, always as of 31. 12. every year. The updated subjects are changes that may occur for the physician, dentist or pharmacist during that year, e.g. issue of a specialisation index, passing an attestation, termination or start of an employment contract, change of the payroll status or of the contract.

Data from RLZF are transmitted to Czech Statistical Office for the Statistical Yearbook of the Czech Republic, to Ministry of Health, to the Institute for Postgraduate education in Health Care, to individual professional groups of Czech Medical Association of J. E Purkyně. .

Aggregated data are transmitted to international organisations (numbers of physicians by age and gender, speciality or NUTS II), like e.g. World Health Organisation (WHO) and the Organisation for Economic Cooperation and Development (database OECD Health Data).and EU (database of Eurostat).

RANGE OF DATA PROVIDED BY HEALTH ESTABLISHMENTS TO RLZF

Register of physicians, dentists and pharmacists as a component of NHIS is maintained in IHIS CR since 1962.

1. Data on the physician, dentist or pharmacist

  • personal identification number
  • category (physician, dentist or pharmacist)
  • academic title (degree)
  • scientific degree
  • pedagogic title
  • branch of study (faculty)
  • year of graduation
  • speciality index (speciality certificate)
  • year of inclusion into speciality index (year of issue of speciality certificate)
  • attestation (for all concluded)
  • year of obtaining attestation (for all concluded)

2. Workplace

  • employment contract
  • payroll status
  • date of start of employment (month, year)
  • main branch of activity in department
  • contract

STATISTICAL UNIT OF INVESTIGATION

The basic condition for inclusion of a physician, dentist or pharmacist into the file as of 31. 12. is that they either have an employment contract with a (state or non-state) health establishment, or that they are founders of a health establishment, and that they provide health care.

Information systems of Institutions Protecting Public Health

Information system of infectious diseases (IS IN)

Information systems of Institutions Protecting Public Health

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of investigation is to obtain information on incidence of infectious diseases for assessment of the evolution of the epidemiological situation on the CR territory, for monitoring of the health status of the population and for management of provision of health care.

For efficient management of mandatory notifications, registration and analysis of incidence of infections, in 1991 a new EPIDAT software was developed, building on the earlier information system of contagious diseases (ISPO). Since 1993, EPIDAT is is used nationwide in all public health stations as the basis of local, regional and national surveillance of infectious diseases.

STATISTICAL UNIT OF INVESTIGATION

Statistical units are all reported cases of disease from a list of selected serious infections; notifications concern verified cases, suspected diseases, carriage and deaths. Individual cases are statistically monitored according to ICD-10. Several serious infections are not monitored in this system but in separate individual information systems and registers. It concerns tuberculosis (dg. A15–A19), infections prevalently transferred by sexual intercourse (dg. A50–A64) and infection by human immunodeficiency virus (HIV, dg. B20–B24). Separate information systems are also established for acute respiratory infections (ARI) and influenza-like infections (ILI). A fully independent set of problems is monitored in Register of nosocomial infections. The EPIDAT system further monitors certain diseases listed in ICD-10 chapters IV, X and XX that are not connected with infection.

Register of venereal diseases (RPN)

Information systems of Institutions Protecting Public Health

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of investigation is to obtain information on selected venereal diseases for assessment of the evolution of the epidemiological situation on the CR territory, for monitoring of the health status of the population and for management of provision of health care. The results are transmitted to World Health Organization and to OECD.

RPN is a continuous sequel of the longtime statistical monitoring in IHIS CR (since 1959). Since 2003, RPN is operated as a web application with central database. Regional public health stations insert data to the register by means of internet connection via secure https protocol. Access to the register and assignment of user roles is authorised by the administrator of the register.

The internet component of RPN is founded by Ministry of Health of the Czech Republic and constitutes a component of the Information System of Public Health Service. Public Health Service is responsible for protection of public health and contributes to execution of Act no. 258/2000 Coll. on protection of public health and of Regulation of Ministry of Health no. 195/2005 Coll. on prevention of origin and apread of infectious diseases and on hygienic demands on operation of health establishments and institutions for social care.

STATISTICAL UNIT OF INVESTIGATION

Statistical units are all reported cases of venereal disease subject to notification, including relapses. The register includes all epidemiological notifications of venereal disease, on deaths with venereal disease, on suspected venereal disease and on identified sources of infection of venereal disease including cases detected in foreigners.

The following venereal disease are subject to mandatory notification:

Congenital syphilis (A50), early syphilis (A51), late syphilis (A52), other and unspecified syphilis (A53), gonococcal infection (A54), Chlamydial lymphogranuloma venereum (A55), chancroid-ulcus molle (A57).

Register of tuberculosis (RTBC)

Information systems of Institutions Protecting Public Health

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of investigation is to secure surveillance of TB in the CR and preparation of programmes of control of TB incidence.

The register monitors all persons in whom active tuberculosis or other mycobacteriosis was detected on the CR territory and persons followed-up in groups of active or inactive tuberculosis or other mycobacteriosis.

In the Czech Republic, since the 1950s all physicians are obliged to report as infected all persons in whom a new case or relapse of any form of tuberculosis is diagnosed. Data on all notified TB cases are monitored in the central register. The TB Register replaces local processing of parts dealing with aggregation of data from statistical forms and thus helps in creation and maintenance of high quality topical database protected against misusing of personal data, in the field of TB incidence in the framework of the CR.

 Since 2003, RTBC is a component of the information system of organs of public health protection and operated as a web application with central database. Regional public health stations insert data to the register by means of internet connection via secure https protocol. Access to the register and assignment of user roles is authorised by the administrator of the register.

An inseparable component of RTBC is now the database if the Information system of bacillary tuberculosis (ISBT). ISBT is a system of notification of positive results of mycobacteriological examinations. Every laboratory performing detection of TB is obliged to report positive findings. Connectivity of RTBC and ISBT contributes to control of completeness and validity of data on TB. At present the ISBT is operated by the National TB Surveillance Unit in the Faculty Hospital Na Bulovce.

Register of TB secures:

  • regular monthly collection of data on notified TB patients after validation by regional consultants of Surveillance over TB
  • semi-annual output files reports on epidemiological situation of TB and on TB control measures that are analysed by the National TB Surveillance Unit
  • if necessary and on request, processing of additional reports for analysis of epidemiological situation.

STATISTICAL UNIT OF INVESTIGATION

A statistical unit is every detected case of active tuberculosis or other mycobacteriosis and every microbiologically positive laboratory finding.

Information systems from data files of CZSO

AGREEMENT BETWEEN CZSO AND IHIS CR

Agreement on mutual provision of statistical information and confidential statistical data for the purposes of securing state statistical service (section 17, par. 1, letter a) of Act no. 89/1995 Coll., on state statistical service, in wording of later regulations) between CZSO and IHIS CR (in force as of 16.6.2010)

Information System of Population Balance

Information systems from data files of CZSO

PURPOSE

Data on population by age and gender in the CR, areas, regions, districts, administration areas of municipalities with extended competence and in municipalities provided by CZSO to IHIS CR on the basis of the agreement serve for calculations of relative indicators in the information systems.

Information system Deaths (IS ZEM)

Information systems from data files of CZSO

PURPOSE

The purpose of statistical investigation is obtaining complex information for the needs of the decision sphere and regional planning, for use in social and natural sciences, for international organisations and institutions, for public awareness.

IS ZEM is created on the basis of printed forms of CZSO Obyv 3-12 „Notification of death”.

STATISTICAL UNIT OF INVESTIGATION

A statistical unit is every death of a person with permanent or long-term stay on the territory of the CR.

Information system Newborns (IS NAR)

Information systems from data files of CZSO

PURPOSE

The purpose of statistical investigation is obtaining complex information for the needs of the decision sphere and regional planning, for use in social sciences, for international organisations and institutions, for public awareness.

IS NAR is created on the basis of printed forms of CZSO Obyv 2-12 „Notification of birth“. Czech Statistical Office provides data for further processing to IHIS CR that processes demographic statistics in detail. Aggregated numbers of newborns also serve as basis for calculation of relative indicators in the field of tasks with themes of mother and child.

STATISTICAL UNIT OF INVESTIGATION

A statistical unit is every birth of a person with permanent or long-term stay on the territory of the CR.

Information system from data files of CASS

Czech Administration of Social Security provides data for further processing to IHIS CR that processes in detail the statistics of terminated cases of incapacity for work.

CASS transmits to IHIS CR preliminary data semi-annually and final anonymised data annually in contractually agreed structure.

Information system Incapacity for Work (IS PN)

Information system from data files of CASS

CHARACTERISTICS AND PURPOSE

Czech Administration of Social Security provides anonymised data for further processing to IHIS CR that maintains the information system Incapacity for Work (IS PN).

The file includes all terminated cases of incapacity for work in the CR that were reported on the printed form “Decision on temporary incapacity for work”.

The guarantor of collection and methodology is Czech Administration of Social Security.

The statistics connected with incapacity for work differs from statistics of morbidity due to its close connection with economy. Data on IFW (PN) are classified by groups of diagnoses, gender, age groups and length of duration of IFW.

STATISTICAL UNIT OF INVESTIGATION

A statistical unit is every terminated case of incapacity for work of a social insurance client.