Date post: | 08-Feb-2017 |
Category: |
Healthcare |
Upload: | aleksandr-kormiltsyn |
View: | 19 times |
Download: | 0 times |
Historical timeline Medicum Information System
Overview First healthcare provider using SNOMED CT First online booking system in Estonia
eHealth foundation Overview System architecture ePrescription
Synlab – services oriented to individuals Estonian eHealthcare: way to go Scientific background in Estonia
Table of contents
• First healthcare software solutions.
1992
• Estonian Health Insurance Fund switches to digital billing. Start of ID card.
2002
• First online booking system in Medicum
2004
• eTervis organization established
2005
• Start of eTervis
2009
• ePrescription
2010
• Synlab offers patients to order laboratory tests
2014
Historical events
1999 - Medicum Information System
Main tool for doctors Different modules Integration with partners Application is still being used
The biggest ambulatory healthcare provider in Estonia 300+ users at the same time(Tallinn and Tartu) International healthcare standards
SNOMED CT ICD10 NOMESCO HL7 DICOM NPU, LOINC
1999 - Medicum Information System
2004 – First online booking system
Book doctor’s time online Reminders by email before the
visit Connection with Estonian Health
Insurance Fund to check whether patient is allowed to book free time or not
Now 35% of times are booked online for both family doctors and specialists 65%
35%
BookingsUsual book-ingOnline book-ing
Shared repository of Electronic Health Records (EHR) for all Estonian healthcare providers and patients
All children born from 2008 have all their medical data stored in digital way
4 sub projects Digital health records (API for healthcare providers, patient portal) ePrescription Scheduling Medical images
2005 – eHealth foundation
Main tasks Develop new services for citizens and doctors Estonian Health Information System services management Standardization and developing digital documents
OID management, terminology management, publishing of technical standards International cooperation Scientific cooperation with universities
2009 – eHealth foundation goLive
eHealth foundation: architectural view
Opt out data access policy
Connection via security server and xRoad
Access only by ID card for patients and doctors
2010 - ePrescription
Substitution for paper prescription with some benefits: More easy to manage own
medications Always best discount for
patient
2011 – ePrescription: some statistics
After 1 year after goLive Around 20% of ePrescription
are not sold out 88,4% are ePrescriptions
12%
88%
Prescriptions
PaperePrescriptions
2014 - Synlab
Order laboratory test and pay for them online without visiting a doctor
The results are automatically available online for client when tests are done
Access only by ID card
Personal oriented systems
CDSS integration Individual is responsible
for health Processing both PHR
and EHR to improve the healthcare processes
Future vision of Estonian eHealthcare
Celsius Healthcare Online booking for all Estonian healthcare providers Integration of Sweden decision support system SFINX with Estonian Health Insurance Fund
and legacy systems of the healthcare providers HealthIn
Personal data visualization in the context of individual centric applications Special prize of Garage48 in 2014
All Systems Go Individual oriented system development Supporting integrations with legacy healthcare providers systems Scientific approach
… and much more
Estonian innovative companies