Nationwide e-Estonia mind-set

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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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%)

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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

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Participant

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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“

Thank you!

Erkki Leego

IT adviser

Estonian Genome Center, University of Tartu

[email protected]