nationwide e-estonia mind-set
DESCRIPTION
Introduction of Estonian digital society with special attention to e-Health. Presented at BBMRI-ERIC scientific retreat in Tartu 08.09.2014.TRANSCRIPT
Nationwide e-Estonia mind-set
Erkki Leego
IT adviser
Estonian E-services
• 99% of bank transfers are performed electronically
• 94% of income tax declarations made via the e-Tax Board
• 24% of votes were cast over the internet on 2011
• 62% persons have completed the e-census 2012
• 2000: Launch of e-Tax Board
• 2000: Launch of m-Parking
• 2002 : Introduction of national electronic ID-Card
• 2005: i-Voting was introduced
• 2007: Introduction of m-ID
• 2007: Launch of e-Police system
• 2008: Launch of e-Health system
• 2010: Launch of e-Prescription
• 2012: e-census
• 2014: e-residency
Estonian information system
06.02.2013 4
Authentication
The Estonian ID card
• The ID card is a mandatory ID document for all Estonian residents from the age of 15
• Enables secure digital authentication and signing
• A digital signature has the same legal consequences as a hand-written signature
• Does not have any additional information – No bank account, no health information etc.
• Active cards: 1 221 948 (08.09.2014) – Digital signatures: 174 385 946
– Estonian Population 1 286 540 (01.01.2013)
– Estonia has been issuing electronic ID cards from January 1st 2002
– Also Mobile-ID
PHARMACIES AND
FAMILY DOCTORS
2009
X-Road, ID-card, State IS Service Register
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NATION- WIDE
HEALTH
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EXCHANGE PLATFORM
2008 december
PRESCRIPTION
CENTRE
2010 january
PATIENT PORTAL
2009
X-ROAD
GATEWAY
SERVICE
2009
7
Documents total – 10.8 mio
1.1 mio persons medical data (growth 20% during 2012)
National Patient Portal
Genomic
information
To be added…
Acceptance
• ePrescription covers 94% of issued prescriptions.
• Over 90% of Hospital discharge letters – digital
• Over 97% of stationary case summaries have sent to
the central DB
• Ambulatory case summaries sending
– No certain rules for sending ambulatory case
summaries!
• 1,1 mio person have documents (82% of population)
11
ePrescription (94%)
-
100 000
200 000
300 000
400 000
500 000
600 000
700 000
800 000
900 000
1 000 000
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ISSUED SOLD
12
Retrieval of Medical Documents
by Healthcare Professionals
0
20 000
40 000
60 000
80 000
100 000
120 000
140 000
160 000
180 000
200 000
220 000
240 000
260 000
280 000
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2009 2010 2011 2012 2013
National Digital Health Record DB
Online access to database
Scientists
Health data. No identification
data
Phenotype database
Patient Portal National DHR
Cancer Registry
Citizen RegistryCauses of Death Registry
Participant
Participant
Participant
Participant
Participant
Participant
Participant
EGCUT databasePersonal health
information
Additional questions.
Timeline data
Updated phenotype
data
Participant
Data release
EGCUT IS 2011-2015
Primary care physician
...
Ver. 5.0
Tools and enablers of
information exchange
• One universal national identification code – Registries and databases use same code to uniquely
identify persons
• National PKI infrastructure
• The Estonian ID card – Smartcard with two digital certificates
– Mobile-ID – safe digital ID with mobile phone
• National Data Exchange Layer X-Road
• Obligatory national data security framework
• High public acceptance and trust – No public incidents or misuses (10 years)
President Barack Obama
03.09.14 in Tallinn:
• „ … With their digital IDs, Estonians can use
their smart phones to get just about anything
done online — from their children’s grades to
their health records. I should have called
the Estonians when we were setting up
our health care website“