## 2 Transformation of the Healthcare System in Poland: Current State
In 2000, the Ministry of Health created the Center for Information Systems in Healthcare (Centrum Systemow Informacyinych Ochrony Zdrowia) tasked with monitoring and constructing communication and informatics systems in the healthcare field as well as analyzing undertaken operations [28]. The main goal was to develop six complementary systems spanning the healthcare field. Those systems are [28] as follows:  
* P1--Electronic Platform for Collecting, Analyzing, and Sharing Digital Resources on Medical Events--a project aimed at creating a central information system that integrates healthcare entities. * P2--Platform for sharing medical records with private healthcare facilities (including private medical offices). Figure 1: Data flow diagram between the medical entity and the P1 system. P3--Healthcare Registry Platform--a project involving the integration of registries and the sharing of data contained in them with other information systems. * P4--A package of small integration projects related to improving and integrating information systems in healthcare and public information systems. * P5--Electronic platform for telemedical consultation services--a project covering hospitals and specialized centers, enabling remote medical consultations for rare and complex conditions or surgeries. * P6--Enabling the Polish Liaison Institution to transmit data on medical events abroad--a project for the National Health Fund (Narodowy Fundusz Zdrowia) headquarters, which settles the costs of healthcare services provided to foreigners. The system is embedded within legal frameworks that delineate the principles of its operation and define and clarify concepts that lack international definitions. Authors clarify legal matters within the terminology in [29; 30]. One problem that arises from terminology disorder is that without a clear vision, there can be many interpretations of issues. For example, one of the most basic definitions is the definition of a description of diagnosis tests. Document [31] defines what can be considered a part of EHRs and which data have to be included. The value SS1 enumerates what constitutes an EHR, and points 4 and 5 of this paragraph state, respectively, (4) laboratory test results along with a description; (5) a description of diagnostic tests other than those indicated in point 4. Parties that have participated in the consultation process of this legislation have raised concerns about the ambiguity of the term \"description\". In the work [32], in the table entitled 'Table of comments--a reference to comments', the authors proposed clarification on this issue: \"In the context of diagnostic tests, the term 'description of diagnostic tests' refers to the description of tests as defined by the regulations of the Minister of Health regarding the types, scope, and templates of medical documentation, as well as the manner of its processing. This includes a verbal description along with commentary on the test results, taking into account key information relevant to the treatment and diagnosis of the patient. On the other hand, laboratory test results consist of numerically or verbally expressed parameters\" and \"laboratory test results consist of parameters expressed numerically or verbally\". Each healthcare domain has its acts that provide a framework for this domain to operate within and regulate how it operates. We will take a closer look at the legal framework surrounding two particular fields--radiology and laboratory testing. The Polish healthcare system adapts RADS standardization, but it also provides a plethora of legislation for radiology. Since this field operates with dangerous radiation, it has become one of the healthcare sector's most standardized and regulated parts. Many countries have developed good practices for the radiology field; for example, the American College of Radiology has proposed a set of good practices for the radiology field within the USA. In Poland, a similar result was obtained by [33]. It contains the list of standardized radiological procedures in the field.