Software AG Case Studies Estonian eHealth Foundation: Nationwide Electronic Health Record System
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Estonian eHealth Foundation: Nationwide Electronic Health Record System

Software AG
Application Infrastructure & Middleware - API Integration & Management
Application Infrastructure & Middleware - Data Exchange & Integration
Healthcare & Hospitals
Procurement
Quality Assurance
Predictive Maintenance
Remote Asset Management
Cloud Planning, Design & Implementation Services
System Integration
In 2008, the Estonian eHealth Foundation set out to build a nationwide Electronic Health Record (EHR) system. The country’s goal was to improve the quality and convenience of healthcare for 1.3 million citizens by centrally storing their health records. To make the best decisions at the point of care, physicians would be able to access a citizen’s EHR online, anytime. This massive undertaking needed a flexible integration platform. After extensive research, the foundation selected webMethods Integration Server, an Enterprise Service Bus (ESB), to link disparate information silos and local databases.
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The Estonian eHealth Foundation promotes and develops national e-solutions within the healthcare system. The foundation creates solutions and offers services to assist in providing high-quality and accessible healthcare services. Its broader goal is to promote the development of a patient-centered healthcare system that has well-informed patients. At the eHealth Foundation, the Estonian citizens’ health is at the center of their vision. The foundation was tasked with the responsibility of building a nationwide Electronic Health Record (EHR) system in 2008. The goal was to improve the quality and convenience of healthcare for Estonia's 1.3 million citizens by centrally storing their health records.
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The Estonian eHealth Foundation makes the central EHRs a reality by using the webMethods Integration Server. Supported by the webMethods platform, medical documents are now digitally and seamlessly exchanged nationwide amongst the many disparate health-care provider databases and systems. No reengineering of the providers’ underlying in-house systems or communications infrastructures was required. webMethods Integration Server enables virtually any system, as well as packaged and custom apps, to communicate efficiently in a Service-Oriented Architecture (SOA). As a result, the EHR system is now the first nationwide, complex eHealth platform for eHealth services in Estonia, and was created at low cost.
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More efficient healthcare delivery in Estonia
More patient-centered care—citizens get the care they need faster and are more informed about their health
Less paperwork, giving physicians more time for patients
By July 2010, the EHR system contained more than 1.6 million medical documents, up from 350,662 documents in only one year.
The system also had more than 230,000 links to digital images, such as X-rays.
From January to July, e-prescriptions grew from nearly 277,000 to more than 745,000.
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