Role of the State Enterprise Centre of Registers in Creating eHealth System in Lithuania

Arvydas Bagdonavičius

Deputy Director

State Enterprise Centre of Registers

Main topics

• State registers development strategy;

• eHealth starting position, main principles

and tasks;

• State Enterprise Centre of Registers;

• State Electronic Health Services and

Cooperation Infrastructure Information

System.

State registers development strategy

• State registers integrated system should be the basic information source for public institutions IS, for

business and public IS, for Lithuanian image creation

• (Approved by Resolution No 1332 of 22 August 2002• of the Government of the Republic of Lithuania)

“Integral system of state registers development

strategy”

www.ivpk.lt

Health care

Register of medicinal products

The National Health Insurance Fund

State Health Care Accreditation Agency

ESPBI IS

LIFE AND IT

Portals

Registers &

Information

systems

e.Government portal (Interoperability platform)

BusinessCitizenCitizen

Public electronic

services

Business

Interoperability platform

www.ivpk.lt

eHealth starting position, main principles and

tasks

Patient

Service

coding

Information flows before eSPBI IS*

Hospital

Health dataAccounting data

Clinics

Reception desk

Statistics

*the State Electronic Health Services and Cooperation Infrastructure Information System

eHealth main principles and tasks:

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Main principles:

•Better efficiency and effectiveness in

healthcare;

•Better quality healthcare;

•Better access to healthcare.

Main tasks:

•Greater access to accurate data and

information for p patients/citizens;

•Safer and better healthcare;

•Cost savings through the use of IT

solutions;

•Re-definition of the healthcare process

and access to healthcare provided with,

by and through IT systems.

• Protocol No 85 of the Meeting of the Government of the Republic of Lithuania as of 15 December 2010

approved a provision that the State Enterprise Centre of Registers is appointed as the keeper (administrator)

of eHealth system.

• On 7 June 2011 the Seimas of the Republic of Lithuania adopts the Law Supplementing Article 2 and Part I

with Chapter III of the Law on Health System (7 June 2011, No XI-1432), which introduces eHealth concept,

appoints the Ministry of Health as the manager of the system, legalises the State Electronic Health Services

and Cooperation Infrastructure Information System (ESPBI IS).

• On 23 August 2011 the Information Society Development Committee under the Ministry of Transport and

Communications by the Ministry Order No T-120 included eHealth projects into the list of State projects of the

Implementation Measure No VP2-3.1-IVPK-10-V “Electronic Health Services”, Priority 3 “Information Society

for All”, Economic Growth Action Programme (hereinafter referred to as the List of State projects).

• On 7 September 2011 the Government of the Republic of Lithuania by its Order No 1057 Regarding Approval

of the Regulations of the State Electronic Health Services and Cooperation Infrastructure Information System

approves Regulations of ESPBI IS and appoints the State Enterprise Centre of Registers as the main system

keeper.

State Electronic Health Services and Cooperation Infrastructure Information System

State Enterprise Centre of Registers

SERVER

SURVEYOR ADMINISTRATOR

(SRCR)

CADASTREDATA

DATA

CONTROL

RP REGISTER

ADDRESSREGISTER

GIS DATABASE

VALUATIONSYSTEM

RC - experience in data and process integration

INT

ER

NE

T

REAL PROPERTY TRANSACTION AND REGISTRATION OF RIGHTS TO REAL PROPERTY BEFORE

IMPLEMENTATION OF NETSVEP

NOTARY OFFICE

APPROVEREAL PROPERTY

TRANSACTION

DOCUMENTS FROM A NOTARY TO THE CENTRE OF REGISTERS

MAY BE

DELIVERED BY POST

ISSUE OFCERTIFICATE

NECESSARY FORTRANSACTION

FROM CDB

PRESENTATION OFAPPLICATION

TO ISSUE

A CERTIFICATE

FOR TRANSACTION

OWNER

PRESENTATION

OF APPLICATION TO REGISTER

RIGHTS

EXPERTISE OF

SUBMITTED DOCUMENTS

REGISTRATION OF RIGHTS

ISSUE

OF CERTIFICATEPROVIDINGTHE RIGHT

TO DISPOSEOF PROPERTYNEW

OWNER

PRESENTATION

OF APPLICATIONTO ISSUE

A CERTIFICATEFOR TRANSACTION

DATA ABOUT THE CONCLUDED

TRANSACTIONWithin 8 working hours

BUYERCHECKING OF

PROPERTY CADASTRE

AND REGISTRE DATA:OWNER’S RIGHTS,OBLIGATIONS ANDENCUMBERANCESON R. PROPERTY

(1-10 DAYS)

REAL PROPERTY E-CONVEYANCE

Order for preparation of data and Certificate for

Transaction

Certificate for transaction

Registers data

Central Data Bank

Digital archive

Digital transaction data withe-signature

Notification on registration

�Expertise of order for transaction

�Preparation of Certificate for

Transaction and data

�Expertise of data for

registration of legal fact and transaction

�Registration of legal fact and transaction

CENTRE OF REGISTERS

INTERNET

Draft contract

NOTARIES

Preparation

of transactions

Parties of propertytransaction

Ap

pli

cati

on

Co

ntr

act

Tit

le

do

cu

men

t

USE OF E-SIGNATURE WHEN FORMING A REAL PROPERTY OBJECT

INTEGRATED DATA SUPPLY SYSTEM

Using information system users may get:

• geographical location of an immovable property and its view on the electroniccadastral map,

• excerpt of register data,

• plans of building premises,

• photo of the object.

E-SERVICES OF THE STATE ENTERPRISECENTRE OF REGISTERS

State Electronic Health Services and

Cooperation Infrastructure Information System

• eHealth information system – a common system of electronic health records collected and stored in the database of Electronic Health

Services and Cooperation Infrastructure Information System (eSPBI IS). Electronic health records are received from information systems

of health promotion institutions or directly through the eHealthspecialists portal.

•• Health promotion institutions, which have their own information

systems, will transfer eHealth records through the integration interface. Data and electronic documents will be transferred (in HL7

standard).

• Doctors who do not have local information systems will be able to fill in, revise, etc. health records of the patient directly in eSPBI IS

through the eHealth portal for specialists after their identification and receipt of confirmation that they have the right to access and maintain

records of a concrete patient.

• Medical treatment institutions will send accounting information to ESPBI; then information about services will be transferred to health

insurance funds.

eHealt Decision-making

The main keeper

submits proposals to ESPBI IS

manager regarding ESPBI IS

development projects and

implements them.

Makes decisions related to

ESPBI IS creation,

development, liquidation,

modernisation, supervision,

administration and controls

their execution.

Project management group(s)

(specialists of health promotion

institutions, Ministry of Health,

Centre of Registers)

develops proposals, investigates

alternatives.

Proposal

Draft solutionand implementation

Decision and control

eSPBI IS information flows

eSPBI IS

Registers

Information systems …Institutions engaged in health

promotion activities

Internet

(web services,

web applications)

Common access to the information necessary for

health care activities

VLK, SODRA, NDNT Archives Scientific research

Patients

e.prescription

eSPBI IS information structure

……Data providers/

recipients

RegistersHealth promotion

institutions

Patients

EHR

Health care specialists

Health care institutions

Medicinal products

Medical equipment

Classifiers

Medical images

E. prescriptions

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Central DB

Thank you for your attentionThank you for your attention!!

Arvydas Bagdonavičius

Deputy Director

State Enterprise Centre of Registers

e-mail: arvydas.bagdonavicius@registrucentras.lt