Presented in Baltic IT&T 2005 Forum in Riga, Latvia on 07.04.2005

1. When there is a will there is a way!
Estonian National
Digital Health Record Project
Erkki Leego
CEO
Hansson, Leego & Partner
Erkki Leego – CEO
Estonian National Digital Health Record Project / Baltic IT&T 2005 Forum / 07.04.05
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2. Digital health record
When there is a will there is a way!
Erkki Leego – CEO
Estonian National Digital Health Record Project / Baltic IT&T 2005 Forum / 07.04.05
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3. Parties to the Health IS
When there is a will there is a way!
Ambulatory medical
care ~450
Certification centre
or bank link
Population
register
Health
Insurance Fund
Patient
E-Citizen
X-road
GPs
~800
Pharmacies
~350
Central system
of GP-s
Prescription center
Digital health
record
Emergency
medical care ~30
Hospitals ~50
Statistics
Doctors
Statistics
users
Medical
Researchers
Medical units
of institutions
(kindergartens,
schools, prisons)
Estonian National Digital Health Record Project / Baltic IT&T 2005 Forum / 07.04.05
Erkki Leego – CEO
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4. What is DHR project?
When there is a will there is a way!
• National eHealth initiative since 2002
• Based on “Health information system
development plan”
• Bounds together all Estonian eHealth
initiatives
– Reference register, communicator
– Digital registration, Digital images, Digital
prescription
• Public Procurement – summer 2005
– Coordinator Ministry of Social Affairs
– EU Structural Funds (28.3% of IT funds to eHealth
projects, 2.2 MEUR)
Erkki Leego – CEO
Estonian National Digital Health Record Project / Baltic IT&T 2005 Forum / 07.04.05
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5. Digital health record
When there is a will there is a way!
• Patient medical events
with references to IS’s
• Epicrisis database
• Time-critical medical
information
• Information for medical
statistics
Erkki Leego – CEO
Estonian National Digital Health Record Project / Baltic IT&T 2005 Forum / 07.04.05
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6. Digital prescription
When there is a will there is a way!
• Replaces paper
document
• Automated
discount
calculation
• Purchase and
prescription
information
Prescription
Reference to
prescription and
purchased
medicinal product
Pharmacy IS
Purchase information
Prescriptions
Prescription
DHR
references
Doctor IS
Prescription
Health
Insurance Fund
IS
Discount, controls
Erkki Leego – CEO
Estonian National Digital Health Record Project / Baltic IT&T 2005 Forum / 07.04.05
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7. Digital images
When there is a will there is a way!
Refrence to
examination results
• Digital medical
images available for
all healthcare
providers
Medical
imaging IS
Medical images
Reference to
image
Digipiltide
Digipiltide
arhiiv
Archive of
arhiiv
medical
images
DHR
references
Erkki Leego – CEO
Estonian National Digital Health Record Project / Baltic IT&T 2005 Forum / 07.04.05
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8. Digital registration
When there is a will there is a way!
Patient
Registration
• Unified patient
registration system
• Information about
patient waiting list’s
Registration and
waiting list information
Registration
portal
Doctor’s IS
Health care
institutions,
health services
Register of
health care
providers
Doctors,
specialities
Register of
health care
professionals
Erkki Leego – CEO
Estonian National Digital Health Record Project / Baltic IT&T 2005 Forum / 07.04.05
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9. What I like about this project
When there is a will there is a way!
• Register of medical events with references to
actual systems
• Standardization of health documents and
communication environment
• All healthcare parties are involved
• Uses eState infrastructure (X-tee, ID-card)
• When there is a will there is a way!
Erkki Leego, erkki.leego@hlp.ee, www.hlp.ee
Erkki Leego – CEO
Estonian National Digital Health Record Project / Baltic IT&T 2005 Forum / 07.04.05
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