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eHealth initiatives in Estonia. Baltic IT&T 2004 Forum. 22.04.04
Tartu University Hospital - Flagship of Estonian medicine
Erkki Leego - IT director
(1/11)
eHealth initiatives in Estonia
Erkki LeegoIT director
Tartu University Hospital
eHealth initiatives in Estonia. Baltic IT&T 2004 Forum. 22.04.04
Tartu University Hospital - Flagship of Estonian medicine
Erkki Leego - IT director
(2/11)
eHealth initiatives in Estonia
2000 20072001 2002 2003 2004 2005 2006
Digital health record
PAS - Central system of GPs
eHL – Digital patient record system
eHealth initiatives in Estonia. Baltic IT&T 2004 Forum. 22.04.04
Tartu University Hospital - Flagship of Estonian medicine
Erkki Leego - IT director
(3/11)
Digital health record
• Essence– National project – Draws together essential medical information and
passes it on to the relevant parties – Time-critical medical information– Reference register
• Challenge– Involve large number of parties– Ethical issues and legal arena
• Timeline 2002-2007– Vision 2002, Pilot 2004-2005, 80% of parties
connected 2007
• Project leader– Ministry of Social Affairs, www.sm.ee
eHealth initiatives in Estonia. Baltic IT&T 2004 Forum. 22.04.04
Tartu University Hospital - Flagship of Estonian medicine
Erkki Leego - IT director
(4/11)
Parties to the HIS
Populationregister
Health Insurance Fund
Digital health record
Hospitals ~50
X-road
Statistics
E-Citizen
Prescription center
Central systemof GP-s
Certification centreor bank link
MedicalResearchers
Statistics users
Doctors
Patient
Pharmacies ~350
Emergencymedical care ~30
GPs ~800
Ambulatory medical care ~450
Medical unitsof institutions
(kindergartens,schools, prisons)
eHealth initiatives in Estonia. Baltic IT&T 2004 Forum. 22.04.04
Tartu University Hospital - Flagship of Estonian medicine
Erkki Leego - IT director
(5/11)
Digital patient record system - eHL
• Essence– Complex medical information system for large
hospital (3000 employees)– Started from scratch
• Challenge– Doctor-friendly environment– Well documented and flexible IT environment
• Timeline 2001-2004– Vision 2001-2002, IT developement 2003, main
functionality 2004
• Project leader– Tartu University Hospital, www.kliinikum.ee/eHL
eHealth initiatives in Estonia. Baltic IT&T 2004 Forum. 22.04.04
Tartu University Hospital - Flagship of Estonian medicine
Erkki Leego - IT director
(6/11)
eHL - modules
Billing
Document management
Cash register
Patient portal
GPs portal
Statistics Management
Treatment
Surgeries Food&Nutrition
Doctors desk Tests and procedures
Supplies management
RegistrationBooking
Schedules Insurance check
Check inTransfer
AdministrationIndexes
System Rights
eHealth initiatives in Estonia. Baltic IT&T 2004 Forum. 22.04.04
Tartu University Hospital - Flagship of Estonian medicine
Erkki Leego - IT director
(7/11)
eHL – look
•Outpatient registration
eHealth initiatives in Estonia. Baltic IT&T 2004 Forum. 22.04.04
Tartu University Hospital - Flagship of Estonian medicine
Erkki Leego - IT director
(8/11)
Central system of GPs
• Essence– Central system for GPs – replaces local information
systems– Patient registration for all involved doctors– Health portal for patients
• Challenge– To involve majority of GPs (800)– Connection to other parties
• Timeline 2002-2004– Vision 2002, IT development 2003, main functionality
2004
• Project leader– The Estonian Society of Family Doctors
eHealth initiatives in Estonia. Baltic IT&T 2004 Forum. 22.04.04
Tartu University Hospital - Flagship of Estonian medicine
Erkki Leego - IT director
(9/11)
Central system of GPs - look
•Doctor’s desk
eHealth initiatives in Estonia. Baltic IT&T 2004 Forum. 22.04.04
Tartu University Hospital - Flagship of Estonian medicine
Erkki Leego - IT director
(10/11)
Other eHealth activities
• Health Insurance Fund– Bills of health care services are submitted
electronically (2000)
• Medicum (Private outpatient clinic)– Access to medical info and registration via web using
Estonian ID card (2003)
• ePrescription– Digital data exchange between physicians and
pharmacies (pilot since 2002)
eHealth initiatives in Estonia. Baltic IT&T 2004 Forum. 22.04.04
Tartu University Hospital - Flagship of Estonian medicine
Erkki Leego - IT director
(11/11)
Conclusion
• High activity in eHealth since 2002• Three major initiatives
– Digital health record – Digital patient record system– Central system for GPs
• All initiatives complement each other• Many interesting challenges ahead