Arvato Finance SolutionsAleksandr Kormiltsyn2016Tallinn

ESTONIAN EXPERIENCE IN DIGITAL HEALTHCARE

Historical timeline Medicum Information System

Overview First healthcare provider using SNOMED CT First online booking system in Estonia

eHealth foundation Overview System architecture ePrescription

Synlab – services oriented to individuals Estonian eHealthcare: way to go Scientific background in Estonia

Table of contents

• First healthcare software solutions.

1992

• Estonian Health Insurance Fund switches to digital billing. Start of ID card.

2002

• First online booking system in Medicum

2004

• eTervis organization established

2005

• Start of eTervis

2009

• ePrescription

2010

• Synlab offers patients to order laboratory tests

2014

Historical events

1999 - Medicum Information System

Main tool for doctors Different modules Integration with partners Application is still being used

The biggest ambulatory healthcare provider in Estonia 300+ users at the same time(Tallinn and Tartu) International healthcare standards

SNOMED CT ICD10 NOMESCO HL7 DICOM NPU, LOINC

1999 - Medicum Information System

2004 – First online booking system

Book doctor’s time online Reminders by email before the

visit Connection with Estonian Health

Insurance Fund to check whether patient is allowed to book free time or not

Now 35% of times are booked online for both family doctors and specialists 65%

35%

BookingsUsual book-ingOnline book-ing

Shared repository of Electronic Health Records (EHR) for all Estonian healthcare providers and patients

All children born from 2008 have all their medical data stored in digital way

4 sub projects Digital health records (API for healthcare providers, patient portal) ePrescription Scheduling Medical images

2005 – eHealth foundation

Main tasks Develop new services for citizens and doctors Estonian Health Information System services management Standardization and developing digital documents

OID management, terminology management, publishing of technical standards International cooperation Scientific cooperation with universities

2009 – eHealth foundation goLive

eHealth foundation: architectural view

Opt out data access policy

Connection via security server and xRoad

Access only by ID card for patients and doctors

2010 - ePrescription

Substitution for paper prescription with some benefits: More easy to manage own

medications Always best discount for

patient

2011 – ePrescription: some statistics

After 1 year after goLive Around 20% of ePrescription

are not sold out 88,4% are ePrescriptions

12%

88%

Prescriptions

PaperePrescriptions

2014 - Synlab

Order laboratory test and pay for them online without visiting a doctor

The results are automatically available online for client when tests are done

Access only by ID card

Personal oriented systems

CDSS integration Individual is responsible

for health Processing both PHR

and EHR to improve the healthcare processes

Future vision of Estonian eHealthcare

Celsius Healthcare Online booking for all Estonian healthcare providers Integration of Sweden decision support system SFINX with Estonian Health Insurance Fund

and legacy systems of the healthcare providers HealthIn

Personal data visualization in the context of individual centric applications Special prize of Garage48 in 2014

All Systems Go Individual oriented system development Supporting integrations with legacy healthcare providers systems Scientific approach

… and much more

Estonian innovative companies

Special faculty of healthcare engineering (cross discipline for IT and healthcare)

Master’s and PhD programs

Tallinn University of Technologies