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E-Health overview in Estonia
Health and Welfare Information Systems Centre
Artur Novek- IT architect
SOCIAL SECURITY
HEALTH
LABOUR
Health and Welafare Information Systems Centre
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
CUSTOMERS
ICT CONSOLIDATED
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
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
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
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
X-Road, ID-card, Administration system for the state information system RIHA
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)
Health Information System
(governments Statute no 131 August 14th 2008);
Ministry of Social Affairs on The Composition of Data, Conditions and Order of Maintaining of the Documents Forwarded to the Health Information System;
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
Currently under development
Currently under development
Currently under development
Currently under development
Currently under development
CONTACT US:
info@tehik.ee