1. Knowledge for welfare and health Päivi Hämäläinen Unit for eHealth and eWelfare
1
Most complex issue; to get agreement on the commons structures of
EHR
(The EHR strategy defines the common semantic and technical
structure that should be used in every EPR system in all
organisations (includes core data, codes, interoperability standards)
Used standards;
commonly defined core data, codes, (semantic
interoperability), open standards for interoperability (xml-
based HL7 CDA R2-standards, Diacom)
Promoters:
code server, support for easy use for professionals, funding for
HR system purchasers (municipalities, hospitals),
legislation
The technical infrastructure for sharing information has to be
built also, common standards of structure do not help
13.10.2006
alone National Research and Development Centre for Welfare and Health

2. Knowledge for welfare and health Päivi Hämäläinen Unit for eHealth and eWelfare
2
Different roles;
Strong steering role by the Ministry
The National Social Insurance Institute (Kela) will provide
the archive system
National PKI system for professionals by the National
Authority for medicolegal Affairs (TEO)
National code server content by Stakes
A permanent national advisory board will nominated by
the government in July
The Association of Local and Regional Authorities leads the work of
vendors and municipalities to implement core data in to products
Hospital districts and municipalities participate in projects
(pay 50 % of the development costs)
National Research and Development Centre for Welfare and Health 13.10.2006

3. Knowledge for welfare and health Päivi Hämäläinen Unit for eHealth and eWelfare
3
Demands to share information
The new legislation will make it obligatory
to share patient data (with patient
consent)
The new legislation will regulate some of
the common structures that have to be in
the products
National Research and Development Centre for Welfare and Health 13.10.2006

4. Knowledge for welfare and health Päivi Hämäläinen Unit for eHealth and eWelfare
4
Digital patient information exchange between
organizations
100
80
60
40
20
0
Patient record Images Laboratory
Hospitals Health centres
The proportion (%) of hospitals and health centres able to exchange EHR
information, digital images and laboratory requests/results
in regional networks or in bilateral set ups in 2005.
Since 2003 the use of the systems
have generalized significantly.
National Research and Development Centre for Welfare and Health 13.10.2006

5. Knowledge for welfare and health Päivi Hämäläinen Unit for eHealth and eWelfare
5
The ability to accept electronic referrals and
deliver electronic discharge letters in hospital
districts
2003
in use 48%
in use pilot ing none
The progress
2005
planning(4)
piloting (1) in use 76%
in use (16)
in use pilot ing none
Genimap Oy
National Research and Development Centre for Welfare and Health 13.10.2006

6. Knowledge for welfare and health Päivi Hämäläinen Unit for eHealth and eWelfare
6
Electronic referral and discharge letters in
primary health care centres
2003
in use 24 %
in use pilot ing none
The progress
2005
in use 45 %
piloting (12)
in use pilot ing none
in use (151)
Primary care centres able to send electronic referrals to
specialized care and receive electronic discharge letters in
2005
Genimap Oy
National Research and Development Centre for Welfare and Health 13.10.2006

7. Knowledge for welfare and health Päivi Hämäläinen Unit for eHealth and eWelfare
7
The current regional networks
for exchange of electronic patient The regions are not able to communicate
information With each other because there is no full
interoperability
Information is exchanged also
outside to regional networks in
bilateral set ups. (messages)
A new national plan to have a national
ICT architecture where all organizations
are able to exchange digital information
Is needed
planning(6)
piloting (3)
in use (11)
Genimap Oy
National Research and Development Centre for Welfare and Health 13.10.2006

8. Knowledge for welfare and health Päivi Hämäläinen Unit for eHealth and eWelfare
8
Program budgets
MoH budget for national level planning/implementation
800 000 euros/year 2003-07
Regional implementation, state funding circa 10 milj euros
yearly 2004 - 2005 and 5 milj 2006 and 15 milj expected
2007. (+ same amount from hospital districts and
municipalities )
2003-2006 total amount 13,3 milj/year (2,6 euros per
inhabitant) and budget for 2007 is 40,8 milj (7,4 euros per
inhabitant) (not all final decisions for 2007)
National Research and Development Centre for Welfare and Health 13.10.2006