Elektroninis sveikatos įrašas ir teisinė aplinka: esama situacija bei problemos

LTElektroniniai sveikatos įrašai įvairiose valstybėse plinta dideliu greičiu. Tačiau tam turi būti sukurta tinkama teisinė aplinka. Straipsnyje nagrinėjami kai kurie svarbiausi elektroninių sveikatos įrašų teisinės aplinkos elementai (elektroninio sveikatos įrašo reglamentavimas strateginiuose dokumentuose, elektroninio sveikatos įrašo teisinė galia), taip pat elektroninės sveikatos teisinio reguliavimo srityje pažangiausių valstybių bei ES teisės aktai, reglamentuojantys elektroninius sveikatos įrašus, lyginant su Lietuvos teisine baze bei analizuojant Lietuvos teisinį reguliavimą atitinkamoje srityje. Privatumo ir asmens duomenų apsaugos teisinio reguliavimo Lietuvoje klausimai, kiek tai susiję su elektroniniais sveikatos įrašais, nagrinėjami atsižvelgiant į atitinkamas Europos Komisijos rekomendacijas. [Iš leidinio]Reikšminiai žodžiai: E-sveikata; Elektroninis sveikatos įrašas; Elektroninis sveikatos įrašas, teisinis reguliavimas, sveikatos apsauga; Sveikatos teisė; E-health; Electronic health record; Electronic health record, legal regulation, health care; Health law.

ENElectronic health record systems are becoming a reality. However, emerging electronic health record systems present numerous challenges, including challenges for legal systems. Therefore, the legal regulation of electronic health record is one of the most relevant problems in the sphere of e-health in the world, including Lithuania. So far, the analysis of legal problems related to electronic health record in scientific literature has been rather limited. Despite the fact that several foreign scientists have analysed electronic health records and the legal regulation, the author of this paper has not succeeded in finding any scientific article with analysis of Lithuanian legal regulation situation in the area of electronic health record. The main goal of the thesis paper is to analyze and compare the legal regulation of electronic health record in the EU and several EU countries, including Lithuania. Special focus is put on strategical documents, legal status of electronic health record and protection of privacy and data protection and electronic health record. Several different approaches have been used in the research. The author has used a comparative method to investigate the laws/legal frameworks and strategic documents of the EU, several EU countries, including Lithuania, in the area of electronic health records. The empirical analysis of legal documents was used to determine the legal regulation of the legal status of electronic health record and also to determine problems on privacy and data protection. Having analyzed the official documents, the method allows identifying and describing the relationship between the valid legal regulations accurately. Using literature resources, the author has used the deductive method, which allows drawing sufficiently reliable conclusions. The latest scientific literature and dictionaries have been used to study the definitions.The article consists of four parts. The first part deals with the comparative aspect of strategic documents – the programs governing electronic health records in the EU, EU countries, including Lithuania. The second part of the article examines the legal status of electronic health record in fundamental legal norms. It was found that there is a lack of Lithuanian law related to electronic health records. The third part of the article examines legal protection of privacy and personal data in the case of using electronic health records. It was found that in principle, legal norms in Lithuania (which has implemented EU general data protection directive No. 95/46/EC) are enough to protect privacy and personal data of patients in electronic health records systems. In the fourth part, the author mentions other main areas of legal regulation problems, related to electronic health records. Those problems need to be analysed in the nearest future. [From the publication]

• Actions to ensure personal data protection in a business enterprise / Gintarė Kulbeckienė, Nijolė Litevkienė. Profesinės studijos: teorija ir praktika 2021, Nr. 23, p. 50-62.
• Oficialiųjų elektroninių dokumentų valdymo ir jų formatų teisinio reglamentavimo aspektai Lietuvoje / Daiva Lukšaitė, Eglė Venckienė. Viešoji politika ir administravimas. 2016, t. 15, Nr. 4, p. 623-640.