Completed digitization of the Ukrainian healthcare system with over 36,5 million accounts and personal records numbering in the tens of millions.
National eHealth system
About the project
The eHealth system ensures the availability of high-quality and verified data about all key participants in the process of providing medical services and provides a REST API for working with processes around these entities. Data integrity and security are ensured by electronic digital signatures and blockchain-like algorithms. The system itself was created with an understanding of the criticality of the information that it will operate, and therefore all possible mechanisms are applied to protect against data leaks. This is one of the world’s largest HL7 FHIR projects in production.
Task
Final Goal: complete digitization of the Ukrainian healthcare system
Challenges
outdated Soviet-model system (designed back in the 1960s)
outdated clinical registries
low level of computer literacy among GPs and poor ICT infrastructure
lack of national infrastructure, such as a population registry
up to 7% of facilities with mostly private EHR solutions
inefective financial model
Process Description
1 step
- • Development of Central Component/Open API
- • Connection of all Medical Information Systems (MIS)
- • Support of the PHC (Primary Healthcare)
- • E-prescriptions program
2 step
- • Secondary healthcare
- • Support inpatient/tertiary healthcare
- • Fully anonymous monitoring
3 step
- • Patient’s cabinet
- • Care plan
- • Sensitive patient’s data (AIDS, etc.)
Key parameters
- • Interoperability
- • HL7 FHIR for data storage
- • ICPC-2 methodology for primary care settings
- • Blockchain solution for data storage
- • ML for deduplication data
- • Secure access to medical data.
Results
- • 36,5M patient records
- • 15000 pharmacies
- • 8275 facilities
- • 33 Regional EHRs integrated
- • 1000 TPS current system load
- • 75M digital prescriptions issued.
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