Development and Maintenance of the Integrated System of Improved Registers (SIRI) – INSP Romania

The National Institute of Public Health (INSP) is Romania’s leading public health authority, coordinating national health data, epidemiological surveillance, and medical research. To modernize public health data management, INSP initiated the development of SIRI – an Integrated System of Improved Registers, designed to consolidate and enhance existing health registries and reporting tools.

Romania's legacy health registries were siloed, inconsistent, and lacked interoperability. Key issues included:

• Fragmented health data across multiple systems and regions

• Duplicate or inconsistent entries across registries

• Difficulty tracking epidemiological trends in real-time

• Inefficient reporting workflows for public health professionals

• Limited decision-making support due to scattered data

INSP required a centralized, scalable, and interoperable platform to consolidate these registers into a unified digital ecosystem aligned with national and EU health data policies.

We led the design, development, and ongoing maintenance of the SIRI system, which acts as a centralized data hub for multiple public health registers. Core components include:

Unified Health Registers

• Central integration of disease registries (e.g., communicable diseases, chronic illnesses, immunizations)

• Real-time data syncing from regional public health centers

• Automated data validation and deduplication

Role-Based Access & Collaboration

• User-friendly web interfaces for epidemiologists, data entry staff, and policymakers

• Multi-level user rights and audit trails

• Collaboration tools for inter-regional data exchange and analysis

Reporting & Analytics

• Custom dashboards for national and regional health trends

• Exportable reports for national programs and EU compliance

• API integration with external systems (e.g., WHO, EU eHealth systems)

Security & Compliance

• Full GDPR compliance for handling personal and health data

• Encrypted data in transit and at rest

• Secure authentication with public sector identity systems

• Backend: .NET Core

• Frontend: Angular

• Database: PostgreSQL with spatial data support

• Reporting: Power BI integration

• APIs: HL7 FHIR for health data interoperability

• Hosting: Romanian Government Cloud infrastructure

• Improved data quality and consistency across national registers

• Faster access to epidemiological insights for outbreak response

• Reduction in duplicate data entry through automation

• Enhanced collaboration between public health centers

• Streamlined reporting for national and EU-level authorities

We continue to provide:

• System upgrades and feature enhancements aligned with new health policies

• User training and helpdesk support for nationwide users

• Continuous security monitoring and performance optimization

• Data migration and onboarding for additional registries

The SIRI platform has become a strategic public health asset for Romania, driving improved data governance, operational efficiency, and epidemiological decision-making at the national level.