About Slovenian eHealth

It all started in 2013

● Population 2.1 million

● 2 University medical centres
● 45 Hospitals
● 1200+ GPs
Digital services available in Slovenia today
Centralised registry of patient data for structured (openEHR),
unstructured (IHE) data, and operational data (FHIR)

● Structured core data set: diagnoses, allergies, vaccinations,

surgical procedures, dispensed medications, diagnostics
data (Lab, Imaging),…

● Medical documentation (discharge summary, clinical notes).

Digital health platform to enable data governance and

infrastructure for national digital services

● Shared-care records,
● Referral,
● ePrescribing,
● Patient Summary,
● Screening,
● Digital Covid certificate,
● Patient portal.
Scope

250+ 87 / 13 108%
million clinical records Structured/ unstructured document ratio Growth of documents (CAGR)

98% 6 1.500
of the shared national health data stored Average number of clinical health providers included
on a platform documents per person
Why?

● Disconnected healthcare IT solutions on all levels of care.

● Interoperability is done on paper by patients.
● Ambitions to set up different national eHealth programs
such as ePrescriptions, eReferrals, eVaccinations, etc.

● Improve patient engagement using digital solutions.

● Have patient data readily and securely available for
secondary use cases and population health management.

● Ambitions for more joined-up care are often hindered by a

lack of easy access to relevant patient information.
The mission

● Set up a national digital health platform

● Create a national vendor-neutral patient record for life.
● Create a digital foundation to build a national ecosystem
of connected IT applications.

● Store and share structured and unstructured patient

data.

● Ability to work with different vendors.

● Easy, safe and seamless access to data for point of care
and secondary use cases and research.
 What else was
needed to set up
such a national
solution?
● Legislation
● Accreditation and certification
● Technological infrastructure
● Organisation and eHealth management
● Strong leadership
Vison & new Slovenian eHealth Strategy
National federated digital health platform approach

National apps
Key concepts
• National federated clinical data repository
Local ecosystem (CDR) based on openEHR

• National federated operational data

repository based on FHIR

• Digital health platform as a foundation to

set up the multivendor ecosystem on a
national and local level

• Clinical registries and secondary use of

Local data built on top of the national infrastructure
ecosystem
and CDR

• Set up national data governance

• Collaboratoin with differnt IT vendors

 Better data,
better care.

Anže Droljc
Anze.droljc@better.care
https://www.linkedin.com/in/anzedroljc/