On September 2, 2022, the first certification audit was conducted by the international certification service of the "Eco-Spectrui" Ltd. at the "Tbilisi Central Hospital" Ltd. At the first stage of the certification audit, the issues to be discussed by the parties were the main approaches of the international standard - quality management systems and the structure according to which the activities of the organization should be conducted. The number of certification audits in the first stage is 3 days.