Head of Medical Law Practice
Specializes in medical, corporate, and migration law. Has extensive experience working with medical and pharmaceutical businesses, particularly in licensing, circulation of medicines, and comprehensive legal support of healthcare institutions, including corporate, tax, and employment matters, as well as market entry projects of foreign companies into Ukraine.
Registration of a medical institution in the Unified State Register of Health Care – a mandatory requirement in 2026
Table of Contents:
- What is the EHS and how does it work?
- Why is registration in the ESZH mandatory?
- Registration of a medical institution in the ESZH: how does it happen?
- Where do problems most often arise?
- Do I need to register with the ESZH after obtaining a license?
- Why should you contact lawyers to connect to the Unified Health System?
Today, registration of a medical institution in the Electronic Health System (EHS) is not just a technical stage after obtaining a license, but a mandatory legal requirement for conducting medical practice in Ukraine. Without connecting to the electronic health system (EHS), it is impossible to fully work with patients, conclude contracts with the National Health Insurance Fund (NHIU) and maintain medical documentation.
Many heads of institutions are faced with a situation where a license has already been obtained, but work is actually blocked due to the lack of registration in the EHS or errors during connection. That is why it is important to understand: connection to the EHS is part of the licensing conditions, and not a separate option.
In this article, we will analyze:
- how a medical institution is registered in the EHS;
- what requirements are established by law;
- how to properly connect to the system without errors;
- why most clinics choose legal support.
What is the EHS and how does it work?
The electronic health system (EHS) is a state system that provides accounting for medical services, patients, and interaction between health care institutions and the state.
The system consists of two key components:
- The central database (CDB) - contains state registers, medical records, data on patients, doctors, and institutions. This is where all information that has legal significance is stored.
- Medical information systems (MIS) are programs through which medical institutions work with the EHS: enter data, create records, and receive patients.
That is, a doctor or administrator does not work directly with the CDB - interaction occurs through the MIS, which must be connected to the system.
Why is registration in the ESZH mandatory?
According to the licensing conditions for conducting medical practice, each licensee is obliged to:
- comply with the requirements for maintaining medical records;
- work in accordance with the Procedure for the functioning of the ESZH (CMU Resolution No. 411);
- ensure the entry of data on patients and medical services;
- use electronic tools in daily activities.
So, if you have a license for medical practice, you are obliged to be connected to the ESZH.
Without this, the following are possible:
- problems during inspections by the Ministry of Health;
- inability to conclude an agreement with the National Health Service;
- risks of fines.
Registration of a medical institution in the ESZH: how does it happen?
The procedure for connecting to the ESZH consists of several stages, and in practice this is where the most errors occur. Main steps:
- Choosing a medical information system (MIS) - it is important to choose a system that will be most convenient for you to use.
- Registration of an institution in the Unified Health System, namely entering data on: legal entity or individual entrepreneur; place of business; structure of the institution.
- Adding doctors and staff, places of business, work schedule, etc.
- Connecting to the central database (CDB), setting up interaction between the MIS and the Unified Health System.
- Starting work in the system, maintaining: electronic medical records; declarations; accounting of services.
Where do problems most often arise?
In practice, registration of a medical institution in the Unified Health System is often delayed due to typical errors:
- incorrectly entered data about the institution;
- errors in the data of doctors (specialty, certificates);
- inconsistency of information with the licensing file;
- choosing an MIS that does not suit the tasks of the institution;
- technical problems when connecting to the Central Database;
- lack of understanding of how to properly keep records of patients.
Do I need to register with the ESZH after obtaining a license?
Many people believe that obtaining a license for medical practice is the final stage. But in fact, without connecting to the ESZH, you will not be able to fully carry out medical activities.
This applies without exception to:
- clinics that plan to work with the National Health Service;
- private medical centers;
- communal medical institutions;
- sole proprietors.
Find out the cost of legal support
Why should you contact lawyers to connect to the Unified Health System?
At first glance, registering with the Unified Health System looks like a technical procedure. But in practice, it is a combination of:
- legal requirements;
- technical settings;
- compliance with license conditions.
That is why most medical institutions choose professional support.
The law firm "Prikhodko and Partners" supports medical institutions at all stages - from obtaining a license to fully launching work in the Unified Health System.
We:
- analyze your institution and the format of work;
- select the optimal solution for connecting to the Unified Health System;
- register the institution and staff without errors;
- support connection to the MIS;
- help set up work with patients in the system.
To receive a consultation and find out the cost of registering a medical institution in the Unified State Register of Health Care in 2026, fill out the form below.
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