Since 1 April 2012, the National Health Information System (NHIS) has been defined in § 70 par 1 of the Act No. 372/2011 Coll., on Health Services and Conditions of Their Provision (Act on Health Services).
NHIS includes the following components:
- Programme of Statistical Investigations of the Ministry of Health,
- National Health Registers,
- National Registry of Health Services Providers,
- National Registry of Healthcare Professionals,
- National Health Registry maintained in accordance with the Act No. 285/2002 Coll., on the Donation, Procurement and Transplantations of Tissues and Organs and on Amendments to Some Acts (Transplantation Act),
- data from information systems on infectious diseases maintained in accordance with the Act No. 258/2000 Coll. on Protection of Public Health and Amendment to Some Related Acts,
- other information systems.
In compliance with § 70 par. 3 of the Act No. 372/2011 Coll., on Health Services and Conditions of Their Provision (Act on Health Services), the administration of the National Health Information System (NHIS) has been delegated by the Ministry of Health of the Czech Republic (MZ CR) to the Institute of Health Information and Statistics of the Czech Republic (IHIS CR). The extent of the mandate is defined in § 72 par. 1, letters a) to d) and f) of the above-mentioned Act.
IHIS CR was explicitly commissioned by the administration of:
a) data from the Programme of Statistical Investigations of the Ministry of Health, collected in accordance with the Act No. 89/1995 Coll., on the National Statistical Service,
b) national health registries, including:
- Czech National Cancer Registry,
- National Registry of Hospitalized Patients,
- National Registry of Reproduction Health,
- National Registry of Cardiovascular Surgery and Intervention,
- National Registry of Joint Replacement,
- National Registry of Occupational Diseases,
- National Registry of Drug Addict Therapy,
- National Registry of Injuries,
- National Registry of Persons Permanently Excluded from Blood Donation,
- National Registry of Autopsy and Toxicological Examination Performed at Forensic Medicine Departments,
c) National Registry of Health Services Providers,
d) National Registry of Healthcare Professionals,
e) data from information systems on infectious diseases maintained in accordance with the Act No. 258/2000 Coll. on Protection of Public Health and Amendment to Some Related Acts.
Decisions on establishment and disestablishment of national health registries and the allocation of resources for the development and performance of NHIS remain in competence of Ministry of Health.
1) Programme of Statistical Investigations of the Ministry of Health
Ministry of Health performs state statistical service in the extent and conditions defined in Act no. 89/1995 Sb., on state statistical service, in wording of later regulations. The extent of activity follows first of all from the CZSO decree that determines the Program of statistical investigations for the given calendar year. The full wording of this Program is always published in the Collection of Laws in October to November of the preceding year. Institute of Health Information and Statistics of the CR (IHIS CR) is responsible for protection of confidentiality of the provided data. Confidential data protection is secured in accordance with Act no. 89/1995 Sb., on state statistical service, in wording of later regulations and with internal regulations of the Institute issued in this field.
Act no. 89/1995 Sb., on state statistical service, in wording of later regulations
Programme of Statistical Investigations for 2012
Program of statistical investigations contains the list of statistical investigations and the characteristics of individual investigations determined by Act no. 89/1995 Sb., on state statistical service, in wording of later regulations. The program of statistical investigations of MH for 2012 was published in “Decree no. 275 as of September 12, 2011, on the program of statistical investigations for 2012”, in Part no. 98/2011 Sb., distributed with Annexes no. 1 and 2 on September 26.
(Annex no. 2). Contains the list of statistical investigations performed by the Ministries. Publication of the Program of statistical investigations for the given year is the basic condition that establishes the reporting duty for economic entities that are, as a rule, prompted to fulfil this duty by written notice from the appropriate office of state statistical service under the given Ministry.
Note: Changes that follow from Act no. 372/2011 Sb., on health services, will be included in the Program of statistical investigations for 2013.
Electronic data collection
For convenient and fast data provision by respondents, IHIS CR offers the option of electronic reporting. Its purpose is to enable the respondents, besides filling in printed statistical forms, to enter their data from computers by means of a web application or the Central Report Storage (CRS) that facilitate filling-in and sending the statistical forms electronically. The applications are accessible to registered users.
Contact persons: Please send questions and remarks to Head of the Department of data collection, control and processing (DCCP) or to Head of the Regional unit of IHIS CR (see „contacts“ below).
Statistical Investigations of the Ministry of Health
The statistical forms and the binding instruction for their processing are published at the IHIS CR website: http://www.uzis.cz/vykazy/vykazy-rok-2012
The characteristics of each statistical investigation includes the purpose of the statistical investigation and its contents, the range of reporting units having the reporting duty, the means of statistical investigation, its periodicity and the terms of data delivery, and also the organ that performs the statistical investigation.
2) National Health Registries
The purpose of the registries 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 registries are parts of NHIS as defined in Act no. 372/2011 Sb., on health services (Section 70, paragraph 1, letter b)). Individual registries are listed in Annex of this Act and personal data that may be processed in the registries without consent of the subject of data are defined in Section 70, paragraph 2 of the Act.
The following registries are concerned: National oncological registry, National registry of hospitalisation, National registry of reproduction health, National registry of cardiovascular surgery and intervention, National registry of joint replacement, National registry of occupational diseases, National registry of drug addict therapy, National registry of injuries, National registry of persons permanently excluded from blood donation, National registry of autopsy and toxicological examination performed at forensic medicine departments.
The range of providers and other persons providing personal data to the National Health Information System for storage in the registries and the periodicity and terms of data delivery are defined by Decree no. 116/2011 Sb., on data provision to the National Health Information System.
Health service providers are obliged to submit data to NHIS only in electronically readable form, by means of network transmission or on technical data carriers as specified in implementing regulations (Section 70, paragraph 6 of Act no. 372/2011 Sb.).
3) National Registry of Health Services Providers
The registry of providers will be a basic element in data acquisition for the components of the National Health Information System (NHIS). This registry is used for generation of the sets of reporting units for all other information systems in NHIS (and subsequent checking of correctness and completeness of data collection), of address books for securing mass correspondence and distribution of instructions and of statistical forms to health establishments for reporting with monthly, quarterly, semi-annual and annual periodicity; and also for generation of a variety of address books for the professional and lay public (in printed form and on the www pages of IHIS CR).
The new Act on health services defines the contents of the National registry of providers that contains data on providers of health services. The registry is conceived as a central information system with synoptic subsystems facilitating data acquisition and search for optimum providers for the needs of the lay public (potential patients) as well as of the providers, health insurers, public and municipal administration.
The regional office will remotely process data in the central system for the range of providers of health services, to whom it granted permission, and for the range of providers of social services providing health services, and of persons legally providing health services on the territory of the Czech Republic, who announced provision of health services to the office. The regional office is responsible for timely processing of all changes and/or erasure of such data.
National registry of providers will utilise the existing Registry of health establishments of MH and the registries of non-state health establishments maintained by Regional offices. National registry of providers will be established by Ministry of Health within 24 months after entry into force of Act no. 372/2011 Sb., on health services (Section 127, paragraph 1, letter a)).
National registry of providers will be connected with the basic and agenda registries of public administration, which will facilitate verification of identity of providers and of their statutory and professional representatives, as well as of their professional qualification and integrity.
4) National Registry of Healthcare Professionals
The purpose of the National registry of health care professionals is central registration of all health care professionals performing and/or qualified to perform health care professions. So far, only partial specialised registries exist, e.g., Registry of health care professionals qualified to pursue a paramedical profession without professional supervision and Registry of physicians, dentists and pharmacists.
The National registry of health care professionals will be established by Ministry of Health within 24 months after entry into force of Act no. 372/2011 Sb., on health services (Section 127, paragraph 1, letter a)).
The National registry of health care professionals will serve particularly for verification of permissions of persons in the CR and in EU to perform health care professions, and will be decisive for granting access rights to health information in the framework of electronic health care.
5) National health registries maintained according to the Act concerning regulation of transplantation
The conditions for removing organs for transplantation in the CR are defined by Act no. 285/2002 Sb., on donation, removal and transplantation of tissues and organs and on amendment of some Acts (Transplantation act). This Act defines, among other things, the conditions for removal of tissues and organs from living or deceased donors.
Act no. 372/2011 Sb., on health services and conditions of their provision (act on health services) states in Section 70, paragraph 1, letter e) that the National Health Information System includes National health registries maintained according to the Act concerning regulation of transplantation, belonging to the group of health registries.
6) Information systems on infectious diseases maintained according to the Act on public health protection
The purpose of these information systems is to provide background for assessment of epidemiologic situations on the territory of the CR, for monitoring of the health status of the population and for management of health care provision.
The National Institute of Public Health in Prague provides annually data from the information system of infectious diseases to IHIS CR that secures regular publication of outputs from this information system and provision of data to international organisations.
7) Other information systems
Other information systems, from which some data are transferred to NHIS, include the National registry of persons disagreeing with post-mortem removal of tissues and organs. This registry is based on Act no. 285/2002 Sb., on donation, removal and transplantation of tissues and organs and on amendment of some Acts (Transplantation act) and from the Implementing Regulation no. 434/2004 Sb., on the extent, contents and details of data provided to the National registry of persons disagreeing with post-mortem removal of tissues and organs.
NHIS also obtains data from information systems of authorities of public health protection (Registry of tuberculosis, Registry of venereal diseases) on the basis of Act no. 258/2000 Sb., on public health protection and amendments of some related Acts, in wording of later regulations.
Other “administrative” registries include the Registry of medical devices, managed according to Act no. 123/2000 Sb., on medical devices and amendments of some related Acts, in wording of later regulations.
Processing of personal data, their protection and provision proceeds in IHIS CR according to Act no. 101/2000 Sb., on personal data protection, in wording of later regulations.
Appropriate performance of the tasks of IHIS CR also requires respect to Act no. 106/1999 Sb., on free access to information, in wording of later regulations and other, particularly ministerial decrees.
Full text of the mentioned Acts is accessible on the internet pages of Ministry of Interior: http://www.mvcr.cz/clanek/sbirka-zakonu-stejnopisy-sbirky-zakonu.aspx