Bosnia and Herzegovina has a more advanced health information system than other countries in the region

The health information system of Bosnia and Herzegovina (BiH)is one of the best in the region, and electronic medical record (eCard – eKarton)which works well in our country, has just been introduced in Croatia, while it is not even planned in other countries of the region.

Recently, the introduction of eCards in 25 hospitals in Croatia has been promoted in the Croatian media, which according to the public is certainly very positive and necessary for Croatia. They predict that this service will reach other hospitals across Croatia next year. On the official website of the World Health Organization (WHO) for Europe, the countries that have set up thCards are marked, and from all the countries of the region, BiH and Montenegro are the only “blues”. Other countries of the former Yugoslavia are marked in red, which means that they do not have a digitized health system in this form.

What is the situation in BiH?

Canton of Sarajevo (CS) set up the health eCard 9 years ago, more precisely during 2013-2014 across all institutions. All health facilities are linked in a single electronic health card, which represents the forensic medical documentation of the citizens of CSbut also citizens of other cantons who are treated in CS.

During the CoVID19 pandemic, it is precisely the centralization and availability of health data that has increased the need for comprehensive health informatization.

This is how the question arose after, unfortunately, the case of the daughter of Kakanj operated in private practice about the ultimate informatization and the private health sector, which needs a system of values and certification which can only be implemented through the ultimate in computerization.

Outraged the CSthe Health eCard has also been set up by Canton of Tuzla (JVS), ZenicaCanton of Doboj (ZDVS) and Una-Sana Township (WEVS), where health data is in one place, available by health sector. The situation in Central Bosnia Canton (CBC) and Herzegovina-Neretva Canton (HNVS) is also at an enviable level, but there is no centralization in the form of data exchange by health vertical, but health facilities are computerized. In the other cantons, there is no central health card.

in the republicka Srpska (RS), eCard implementation has been underway for 4-5 years with varying success, but it has not taken off. The tender for the establishment of a single healthcare information system in RS was announced in 2017 when the system was acquired.

To finishthe question arises: do we know how to recognize the areas in which we are ahead of the region with regard to the IT sector, or will we become a colony of inferiors in this area?

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