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Transfers Of Data To The National Health Information System

Original Language Title: o předávání údajů do Národního zdravotnického informačního systému

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116/2010 Sb.



DECREE



on 2 December. April 2012



transfers of data to the national health information system



The Ministry of health shall, pursuant to section 120 of Act No. 372/2007 Coll.

on health services and conditions of their provision (law on

health services), to implement section 70 para. 6, section 75 para. 3, § 77

paragraph. 3 and section 78 of the Act on health services:



§ 1



(1) personal and other data are to be transmitted to the national health

information system (hereinafter referred to as the "information system") in electronic

the form of the direct registration or on a technical medium.



(2) direct registration is implemented with secure data transmission protocol

through remote access to the specified e-mail address

listed on the website of the Ministry of health or the

website by designated information System Manager



and) telemedicine,



(b)) online registration through the Web application, or



(c) by filling in the electronic form) and sends it to the appropriate

the data store.



(3) the technical data medium, the data in the information system

forwarded to the person or by the holder of the postal licence, which

must be substantiated by the acknowledgement of receipt. The transmitted files must be encrypted

the public key of the administrator.



§ 2



(1) an application for permission to access to personal data and other information

led by the national health registries, national registry

providers and the national register of health care workers (hereinafter referred to as

"the register") in addition to the requirements provided by law for health services

It also contains



and the name, registry)



(b) the subject's identifier information) authorized to submit the request, and it

the identification number of the person, the serial number and the name of the requesting entity,

address and the name of the statutory authority of the entity, which is obliged by the

the law on health services provide data in the registers, and

the identifier of the data boxes, if it was established and made available,



(c) the authorized worker identification data), and it features the name,

where appropriate, the name and surname, academic, scientific, or educational

title, date of birth, type of work, expertise, the Department

the site and its part, phone, and e-mail address,



d) advanced electronic signature of the person under the law governing

electronic signature, authorized to act on behalf of a body which is in accordance with

the law on health services shall be entitled to submit a request, if it is not

request is received via data boxes.



(2) an application for the cancellation of access permissions to the registry contains next to the

the formalities referred to in paragraph 1 whether or not the reason for the cancellation of the permission for access to

personal information and other data listed in this registry.



(3) the request for the purposes of transmission of the remote access is located on the

the website of the Ministry of health, or on the website

It authorized the administrator of the information system.



§ 3



The circle of providers and other persons that is forwarding the information to the registry, and

the periodicity and deadlines for transmission are set out in the annex to

This Decree.



§ 4



This Decree shall take effect on the date of publication.



Minister:



doc. MUDr. Heger, CSc., r.



Annex



The circle of providers and other people forwarding personal data and other

data in the national health information system for the needs of

the registers and the periodicity and time limits for the transmission of



1. The national cancer registry



1.1 range of providers and other persons that is forwarding the data:



Each provider, which provided for the diagnosis of, and each provider,

who is responsible for the treatment and monitoring of disease from a group of diagnoses

malignant neoplasms [C00-There codes according to the valid version of the International

statistical classification of diseases and related health problems in the

the text of the 10 revision ("ICD-10")] ^ 1), rated as

in situ neoplasms (ICD-10 codes: D00-D09), neoplasms of uncertain or

unknown behavior (ICD-10 codes: D37-D48).



1.2 the Periodicity and deadlines, the transmission of data:



Details of any new diseases are passed to the diagnostikovaném 1

months from the date of diagnosis and its treatment-related data and

treatments are to be transmitted within 8 months from the date of diagnosis.

Data on the health of the patient after the first are to be transmitted to

the fifth, seventh and 10th year of monitoring; later in 5-year intervals, and also

on the death of the patient.



2. the national registry of hospitalized



2.1 range of providers and other persons that is forwarding the data:



Each provider that provided hospital bed health care with the exception of

Spa sanatorium rehabilitation care, and that the provision of such

inpatient care for the patient.



2.2 the Periodicity and deadlines, the transmission of data:



Data shall be transmitted for each completed hospitalization of the patient to

inpatient Department or workplace for that calendar month, to

the end of the next calendar month.



3. National Register of reproductive health



3.1 range of providers and other persons that is forwarding the data:



Each provider,



and) which take the methods and techniques of assisted reproduction for the purpose of artificial

fertilization of a woman



(b)) in which the birth occurred, a medical facility, or who has made

Postpartum treatment of expectant mothers,



(c)) that provided the neonatal health services in connection with childbirth

or has provided newborn babies bed care,



(d)) that the fetal congenital defect or of a child under 15 years of age,



e) who performed the abortion or provide treatment after

abortion,



(f)) in which the medical facility occurred the death of women in the context of

pregnancy, miscarriage, childbirth or the puerperium or that such

death has found.



3.2 the Periodicity and deadlines, the transmission of data:



Data shall be forwarded



and) for each cycle of assisted reproduction within 3 days from the date on which the

the relevant phase of treatment is started or performed the relevant power or

the examination,



(b)) for each pregnancy ended, each born child and

discovered a birth defect of the fetus or the child after using the provided

health services for each calendar month, by the end of the next

calendar month,



(c)) for each pregnancy artificially broken and every pregnancy terminated

abortion, for each calendar month, the tenth day of the following

calendar month,



(d)) for each death of women in connection with pregnancy, miscarriage, childbirth

and the puerperium per calendar month, until the end of the following

the calendar month.



4. National Register of cardiovascular operations and interventions



4.1 range of providers and other persons that is forwarding the data:



Each provider that has provided health care services to a patient in

the context of cardiovascular surgery or interventions.



4.2 Frequency and time limits for the transmission of data:



Data shall be transmitted for each operation and for kardiochirurgickou

each cardiovascular intervention after the release of the patient from the

medical care always for that calendar month, until the end of the following

the calendar month.



5. the national joint replacement registry



5.1 Circuit providers and other persons that is forwarding the data:



Each provider that has provided health care services to a patient in

connection with implantation of the artificial joint or reimplantací.



5.2. Periodicity and time limits for the transmission of data:



Data shall be transmitted for each implantation of artificial joint

refund within 30 days from the date of their inpatient medical care to the patient.



6. National Register of occupational diseases



6.1 Circuit providers and other persons that is forwarding the data:



Each provider, which has recognised occupational disease pursuant to other legal

regulations ^ 2).



6.2 the Periodicity and deadlines, the transmission of data:



Data shall be transmitted for each occupational disease or risk of disease from the

professions that no longer meets the conditions for recognition of occupational diseases

or the risk of occupational disease, not later than the 10th day of

calendar month following the month in which you become a testimonial

about their occupational diseases or threats of occupational diseases with a valid

or a decision on it has power.



7. National Register of treatment of drug users



7.1 range of providers and other persons that is forwarding the data:



7.1.1. each provider of health services providing expert care

persons using addictive substances and persons dependent on those substances

under the law governing the measures to protect against the harm caused by

tobacco products, alcohol and other addictive substances ^ 3) in the form of:



and outpatient care),



(b)) a day care,



c) bed care,



(d)) the detoxification carried out within ambulatory or inpatient care, or



e) substitution treatment by all providers

health services, regardless of their scope or field of expertise.



7.1.2. Each provider of social services ^ 4) support

assistance to persons using addictive substances and persons on these substances

dependent under the law governing the measures to protect against damage

caused by tobacco products, alcohol and other addictive substances;


in the form of social welfare services, social prevention or programmes of social

advice.



7.2 the Periodicity and deadlines for transmission of data:



7.2.1. Periodicity and deadlines for transmission of substitution treatment: data

related to substitution treatment are to be transmitted for each commenced,

modified or completed treatment. Before the start of substitution treatment is

the provider shall be obliged to verify that the patient is not provided

replacement therapy with another provider. Data related to

substitution treatment are to be transmitted within 24 hours after the first dose

substitution substances and within 24 hours after the termination of or change in the substitution

treatment.



7.2.2. Periodicity and deadlines for transmission of data to other forms of professional

care:



Data related to other forms of specialized care shall be transmitted



and the first treatment) in the opening of the client provider in a given year; u

outpatient counselling or low-threshold programmes

harm-reduction interventions will transmit data at first contact with

the client in a given year, as soon as possible after finding all the necessary

data for the report; structured intervention no later than 3

working days from the date of the initiation of treatment with low-threshold services

as a general rule not later than on the third contact with the client,



(b)) in the opening additional or repeated treatment provider in the

from the end of the year, if previous treatments have passed 6 + calendar

months; for out-patient counselling programs or low-threshold

harm-reduction interventions reports repeated contact with the client in the

year, if from the previous reporting contact 6 or more have elapsed since the

calendar months, as soon as possible after finding all the necessary

data for the report, usually within 3 working days from the date of the start of treatment

or contact by the client,



(c)) on the first visit with a provider in a given year, if it is a

continued from the previous year, and that confirmation of treatment by

by the end of January of that year, structured interventions usually

during the first seven working days of the year,



(d)) at the end of treatment, if it is a structured intervention that is

the moment of discontinuation the obvious, to transmit data within 3 working days after

date of termination of treatment.



8. National Register of accidents



8.1 circle of providers and other persons that is forwarding the data:



Each provider of inpatient health care that hospitalizoval

the patient with injury.



8.2. Periodicity and time limits for the transmission of data:



Data shall be transmitted for each patient hospitalised persons with injury, and that

not later than the 25th day of the next calendar month after the date of

their hospitalization.



9. National Register of persons permanently excluded from blood donation



9.1 the range of providers and other persons that is forwarding the data:



Each provider of transfusion services, which identified the person permanently

excluded from blood donation.



9.2 the Periodicity and deadlines, the transmission of data:



Data shall be transmitted for each person permanently excluded from blood donation,

immediately after the verification of confirmation of a positive result

examination of the person concerned on finding a permanent exclusion from blood donation.



10. National Register of autopsies and Toxicology tests carried out on the

Department of forensic medicine



6.3 Circuit providers and other persons that is forwarding the data:



Each of the departments of forensic medicine where an autopsy was performed and

toxicological examination.



10.2 the Periodicity and deadlines, the transmission of data:



Data shall be transmitted for each autopsy, including the results

the toxicological examination obtained at autopsy, and it immediately after

finding all the necessary data.



11. National Register of providers



11.1 Circuit providers and other persons that is forwarding the data:



Each body referred to in section 75 para. 1 of the law on health services.



11.2 the Periodicity and time limits for the transmission of data:



Data shall be transmitted for each provider of health services to 10

working days from the date of issue or obtain permission to provide

health services or as in the case of changes in those data

or suspension or cessation of activities.



12. National Register of health care workers



12.1 the circle of providers and other persons that is forwarding the data:



Each body referred to in § 77 para. 1 of the law on health services.



12.2 the Periodicity and time limits for the transmission of data:



Data shall be transmitted for each person professionally qualified to carry

the medical professions of doctor, dentist, pharmacist ^ 5)

health-care workers eligible for the medical profession without

professional supervision after obtaining a professional qualification or vocational and

specialized qualifications ^ 6) within 10 working days from the date of acquisition

vocational or specialized qualifications or after commencement, interruption or

termination of the medical profession. In the case of new facts and changes in

the abovementioned data, the data is supplied without undue delay.



13. National Register of donors



8.1 circle of providers and other persons that is forwarding the data:



Each provider of health services, which has identified potential

donors of organs, tissues and hematopoietic cells.



13.2 the Periodicity and time limits for the transmission of data:



Data shall be transmitted after the assessment of the medical fitness of potential donors, and

immediately after the identification of the potential donors of organs, tissues and

hematopoietic cells.



14. National Register of people waiting for a transplant



14.1 range of providers and other persons that is forwarding the data:



Each provider of health services, which seems to indicate the trainee to

inclusion in the registry, or dispose of it.



14.2 the Periodicity and time limits for the transmission of data:



Data shall be transmitted immediately after the fact, that indicate the

patient waiting to write to. Also be forwarded immediately to the

for information about the



and) such changes the health status of people waiting for transplants,

that could threaten or prevent transplant as indicated,



(b) deterioration of the health status of the patient) is already registered in the national

Register of persons waiting for organ transplants, which increases the

the urgency of transplantation,



(c)) the findings to patient deaths registered in the national register of persons

waiting for an organ transplant.



15. National Register of transplant carried out



15.1 Circuit providers and other persons that is forwarding the data:



Each provider of health services, which provided health services

under the law governing transplants.



15.2 the Periodicity and time limits for the transmission of data:



Data shall be forwarded within 7 days from the date of the transplant.



1) communication from the Czech Statistical Office no 340/2007 Coll., on update

The international statistical classification of diseases and related health

problems (ICD-10).



2) for example, Act No. 582/1991 Coll., on the Organization and implementation of social

security, as amended, law No 373/2007 Coll.

specific health services.



3) Law No 379/2005 Coll., on measures to protect against damage

caused by tobacco products, alcohol and other addictive substances and

amending related laws, as amended.



4) Act No. 108/2006 Coll., on social services, as amended

regulations.



5) Act No. 95/2004 Coll., on conditions for the acquisition and recognition of professional

competence and specialized competence to perform the medical

the professions of doctor, dentist, pharmacist, as amended

regulations.



6) Law No 96/2004 Coll., on conditions for the acquisition and recognition of eligibility

to the exercise of paramedical professions and to pursue activities

related to the provision of health care and on amendments to certain

related laws (the law on the paramedical professions),

in the wording of later regulations.