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NHIS legislation

Since April 1, 2012, National Health Information System (NHIS) is defined in Section 70, paragraph 1 of Act no. 372/2011 Sb., on health services and conditions of their provision (act on health services).

NHIS includes the following components:

On the basis of its mandate, MH delegated administration of NHIS to the Institute of Health Information and Statistics of the CR (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 was explicitly commissioned by administration of:

a) Data from the Program of statistical investigations of MH collected according to Act on state statistical service

b) National health registers, including:

  • Czech National Cancer Registry
  • National register of hospitalisation
  • National register of reproduction health
  • National register of cardiovascular surgery and intervention
  • National register of joint replacement
  • National register of occupational diseases
  • National register of drug addict therapy
  • National register of injuries
  • National register of persons permanently excluded from blood donation
  • National register of autopsy and toxicological examination performed at forensic medicine departments

c) National register of providers

d) National register of health care professionals

e) Data taken over from information systems on infectious diseases maintained according to Act on public health protection.

Decisions on establishment and disestablishment of National health registers and allocation of resources for the development and performance of NHIS remain in competence of Ministry of Health.

1) Program of statistical investigations of 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

Program 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 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 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 registers are parts of NHIS as defined in Act no. 372/2011 Sb., on health services (Section 70, paragraph 1, letter b)). Individual registers 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 registers are concerned: National oncological register, National register of hospitalisation, National register of reproduction health, National register of cardiovascular surgery and intervention, National register of joint replacement, National register of occupational diseases, National register of drug addict therapy, National register of injuries, National register of persons permanently excluded from blood donation, National register 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 registers 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 register of providers

The register of providers will be a basic element in data acquisition for the components of the National Health Information System (NHIS). This register 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 register of providers that contains data on providers of health services. The register 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 register of providers will utilise the existing Register of health establishments of MH and the Registers of non-state health establishments maintained by Regional offices. National register 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 register of providers will be connected with the basic and agenda registers 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 register of health care professionals

The purpose of the National register 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 registers exist, e.g., Register of health care professionals qualified to pursue a paramedical profession without professional supervision and Register of physicians, dentists and pharmacists.

The National register 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 register 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 registers 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 registers maintained according to the Act concerning regulation of transplantation, belonging to the group of health registers.

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

NHIS also obtains data from information systems of authorities of public health protection (Register of tuberculosis, Register 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” registers include the Register 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