STRATEGY FOR THE INFORMATION SOCIETY DEVELOPMENT 2020.
matization of the health care system,
in accordance with the project of health care system improvement and
all related reform processes.
The informatization of the different
levels of the health care system started in 2004 with the informational
support of reforms of primary health
care, and continued with the informational support of secondary health
care, statistical reporting, production
and distribution control of drugs in
Montenegro. The informatization of
primary health care was focused on
supporting implementation of new
methods of financing the work in the
beginning, later moving on to support
of medical processes themselves.
The informational health care system was implemented in the following institutions:
• at the primary level (all community health centers, private dental offices under contract with the Fund, Emergency Department),
• at the secondary level (all
general hospitals), blood
transfusion medical services
(Blood Transfusion Institute
of Montenegro), health insurance services (Health Insurance Fund),
• health-statistics reporting
system (public health) and
microbiological diagnostics
(Public Health Institute)
• Pharmaceutics (ZU Pharmacies of Montenegro “Montefarm“), control of drug production and distribution in
Montenegro (Drug and Medical Resources Agency).
All users of the health insurence system in Montenegro have an electronic health record (EZK) in the form
of a centralized electronic document
available to the health care employees, and the institutions connected to
the integral health care information
system (IZIS). Each patient’s EZK
contains data structured according
to the specifications and contents of
the electronic record.
Records of around 80% of the health
care serices in the existing IZIS (not
including labs, radiology and similar
services) are kept by way of the ICT.
The Clinical Center of Montenegro
(KCCG), which keeps its own internal records and procedures, is not
connected to IZIS. Thereby, the overall percentage of the records in IZIS
is reduced significantly.
Special attention is paid to the system security and data protection,
considering that medical and health
data require particular care in the
sense of general human rights, as
well as the international and national legal norms and ethical principles of data protection and their use
within the health care system.