Introducing 

Prezi AI.

Your new presentation assistant.

Refine, enhance, and tailor your content, source relevant images, and edit visuals quicker than ever before.

Loading…
Transcript

E-Health overview in Estonia

Health and Welfare Information Systems Centre

Artur Novek- IT architect

SOCIAL SECURITY

HEALTH

LABOUR

HWISC

Health and Welafare Information Systems Centre

About us

HWISC is a

ICT competence centre

founded on 1st of January 2017 which consolidates the roles and responsibilities of former ICT department of Ministry of Social Affairs and Estonian eHealth Foundation

VISION

By 2020 HWISC is a centre,

with dedicated and committed employees and

provides human-based and cross-integrated ICT services

HWISC

CUSTOMERS

ICT CONSOLIDATED

HWISC customers under the Minsitry of Social Affairs

NON CONSOLIDATED

1500 EMPLOYEES

SOCIAL SECURITY

HEALTH

LABOUR

LABOUR INSPECTORATE

HEALTH BOARD

SOCIAL INSURANCE BOARD

AGENCY OF MEDICINES

ASTANGU VOCATIONAL REHABILITATION CENTRE

NATIONAL INSTITUTE FOR HEALTH DEVELOPMENT

OTHER CLIENTS AND PARTIES OF HWISC

MINISTRY OF SOCIAL AFFAIRS

  • Gender Equality and Equal Treatment Commissioner Agency
  • Official Mediator Agency
  • Estonian Health Insurance Fund
  • Estonian Unemployment Insurance Fund
  • Other ministries and agencies
  • Estonian and EU habitants
  • Estonian enterprises
  • Local government
  • Healthcare providers/hospitals

Three pillars of HWISC

Three pillars of HWISC

HEALTH

SOCIAL SECURITY

LABOUR

Social Security IS

Social Services and Benefits IS

EESSI

(EU electronical exchange of social security information

Aids IS

Health IS

Estonian Healthcare Professionals IS

Medicine Registry IS

Estonian Communicable Diseases

Working Environment IS

Worklife IS

Risk Assessment IS

HIS

Health Information System

HIS

MAJOR ARCHITECTURAL DECISIONS

ARCHITECTURAL DECISIONS

MAJOR ARCHITECTURAL DECISIONS

OF CURRENT HEALTH INFORMATION SYSTEM

1700

1500

1300

1100

900

Integration through Central system

Opt-out policy in form „patient can close data from doctors“

XML based HL7 v3 (extended) messages

Documents are kept in XML format (HL7 CDA R2)

Only final versions of clinical documents are sent into central system after case is closed

Reuse of national infrastructure

  • e-ID for authentication and digital signature
  • X-road for secure data exchange

700

500

300

100

STANDARDS

2004

2007

2012

2017

HL7 v3 and DICOM (Picture Archive)

International classification: ICD-10, LOINC, NCSP, ATC

Estonian eHealth’s OID registry

Estonian eHealth classificators

Published in publishing centre

Classificators are regulated by government act

eHealth architecture

eHealth architecture

X-Road, ID-card, Administration system for the state information system RIHA

SECURITY & AUTHENTICATION

SECURITY & AUTHENTICATION

A secure authentication of all users with ID-card or Mobile ID

Digital signing or stamping of all medical documents

Coding of personal data: separating of personal data from medical data

Encrypted database that allows to remove the confidentiality risk from the technical administrators

Monitoring of all actions together with the corresponding counter-measures (both organizational and technical)

eHealthAREA

eHealth AREA

LAWS AND REGULATIONS

LAWS AND REGULATIONS

  • All healthcare providers must send data to

Health Information System

  • Access only to licensed medical professionals
  • e-ID for authentication and digital signature
  • Patient has the right to close his/her own data collected in the central database (opt out)
  • Patient can access their own data (Patient’s Portal)
  • Patient can declare their intentions and preferences
  • Patient can monitor visits to their HIS
  • Health Care Services Organisation Act;
  • Statute of Health Information System

(governments Statute no 131 August 14th 2008);

  • The Statute no 53 September 17th 2008 of

Ministry of Social Affairs on The Composition of Data, Conditions and Order of Maintaining of the Documents Forwarded to the Health Information System;

  • Data protection law;
  • Public Information Act.

STATISTICS

STATISTICS

ePrescription covers 100% of used prescriptions.

98% are prescribed digitally, remaining 2% are entered in pharmacy.

97% of Hospital discharge letters are sent to the central DB.

60% of ambulatory case summaries

60% of dental care summaries are digital and sent to the central DB

around 1,6 million person have documents in central DB

Documents and events in HIS (02. 2019)

HIS usage per month

eHealth services

in Estonia

SERVICES

LATEST SERVICES

Currently under development

Currently under development

Currently under development

Currently under development

Currently under development

PATIENT PORTAL

Thank You

THANK YOU

CONTACT US:

info@tehik.ee

Learn more about creating dynamic, engaging presentations with Prezi