CONFLICT OF INTEREST: NONE DECLARED New discoveries in technology indeed enabled significant improvement of health care in the last three decades. Only during the last few years a significant breakthrough is achieved in the field of antiviral drugs, biotechnology, digital diagnostic technology, molecular diagnosis, tissues and organs transplantation as well as surgical and information technologies, which all contributed to the improvement of health care. Rapid growth of medical technology has led to the increase in costs of health care, increased access to these technologies and improvement of health care that is permanently encouraging the further development of technology. Technology encompasses the skills, knowledge and ability to understand, use and create useful things. It is the practical application of knowledge. Evaluation of health technology is the systematic evaluation of characteristics, results or impact of health technologies. The primary purpose of evaluation is to provide information to responsible parties for the technology in the health care system, which will be used in decision-making and introduction of these technologies. Information technology in medicine and health care represents all medical and health technology in the process of work, monitoring and evaluation done using computer technology. Progress of medical science in recent years especially needs to thank to the development of information technologies. The health care system of Bosnia and Herzegovina is currently operating in the two sub-systems of primary health care. One is inherited from the past system, in which the primary health care is provided by general practitioners, specialists in general practice, as well as gynecologists, pediatricians and pulmologists, and the second subsystem occurs when in PHC is introduced the system of family medicine doctors and family medicine specialists. Family medicine, based on the concept of orientation towards the methods which are more effective, rational and cost-effective health care, use of defined procedures and evidence-based medicine, and more adequate education can empower and stimulate general practice doctors, especially family medicine specialists, who have passed various forms of training and courses in this area, to more rational and efficient use of diagnostic technology in their daily practice, without unnecessary duplication of tests. With this they make savings to the healthcare system, improve the financial position of overall health system, especially in the PHC segment, increase satisfaction of doctors providing that health care, but also the users of health services.

In early 2007 the decision was made to start the project to implement quality systems according to ISO 9001:2008 at the Cantonal Institute for Public Health in Zenica. Gaining certification in June 2009 completed the first phase of project implementation. This initial stage, besides commitment to building quality, and the formation of the department for the quality lead by a quality manager, has marked the preparation of project documents: the Rules of quality, quality policy, objectives, functional and process models of the Institute, and procedures that detail the processes of the Institute. Also, the drafting of accreditation standards for public health in cooperation with the Federal Agency for Quality and Accreditation in Health Care was started. With these activities the Cantonal Institute for Public Health in Zenica will improve their work processes. With the acquired experience the Institute wants to help and encourage other National Institutes of Public Health on the implementation of quality systems. This would contribute to strengthening the field of public health in Bosnia and Herzegovina.

CONFLICT OF INTEREST: NONE DECLARED Introduction The International classification of diseases (ICD) is the most important classification in medicine. It is used by all medical professionals. Concept The basic concept of ICD is founded on the standardization of the nomenclature for the names of diseases and their basic systematization in the hierarchically structured category. Advantages and disadvantages The health care provider institutions such as hospitals are subjects that should facilitate implementation of medical applications that follows the patient medical condition and facts connected with him. The definitive diagnosis that can be coded using ICD can be achieved after several visits of patient and rarely during the first visit. Conclusion The ICD classification is one of the oldest and most important classifications in medicine. In the scope of ICD are all fields of medicine. It is used in statistical purpose and as a coding system in medical databases.

It is very expensive and long-termed process to establish a complex information system, and it requires to include large number of people and processing of large number of information. As I believe that health economics and management are the key factors for maintaining health system, I think that it is now essential to create information system which will, above all, ensure accurate and prompt information to the health managers. Therefore, I suggest building of a cheaper variant of the information system which could be upgrated, and which will involve, on this stage, small number of health workers. Computerized part of this information system would be built in several levels. At each of these levels data for the needs of health statistics, economic-financial activities, and management would be processed. Communication within information system, on this stage, would be enabled through telephone lines and modems. The system would work "off line". The change of data would be carried out periodically.