Lithuania’s National Digital Health System Architecture, Evolution, and Lessons From a Centralized Approach Using Longitudinal Document Analysis: Descriptive National Case Study

Austėja Dapkutė   ¹ , MD ;   Olegas Niakšu   ² , PhD ;   Julius Juodakis   ^{2, 3} , PhD ;   Danguolė Jankauskienė   ⁴ , PhD ;   Justas Trinkūnas   ^{2, 5} , PhD ;   Arvydas Laurinavičius   ² , MD, PhD ;   Tomas Jovaiša   ⁶ , MD, PhD ;   Donata Ringaitienė   ⁶ , MD, PhD ;   Martyna Atraškevičienė   ⁷ , MPA ;   Rytis Masiliūnas   ^{1, 2} , MD, PhD

¹ Clinic of Neurology and Neurosurgery, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania

² Center for Digital Medicine, Institute of Translational Health Research, Faculty of Medicine, Vilnius University, Vilnius, Lithuania

³ State Data Agency, Vilnius, Lithuania

⁴ Health Research Laboratory, Mykolas Romeris University, Vilnius, Lithuania

⁵ Department of Information Systems, Faculty of Fundamental Sciences, Vilnius Gediminas Technical University, Vilnius, Lithuania

⁶ Clinic of Anaesthesiology and Intensive Care, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania

⁷ Innovation and Technology Transfer Department, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania