General Information
Cases/Enablers
OOP Case
Appetizer
Every person needs to have a valid medical certificate for the duration of their driving license. When a medical certificate expires, a new medical certificate must be submitted to the Road Administration. Once issued, the certificate is automatically transmitted to the motor registry.
OOP aspect
The e-medical certificate is automatically transmitted to the motor registry. There is no need to come in personally to the Road Administration to submit your medical certificate.
Short summary
Every person needs to have valid medical certificate for the duration of their driving license. Generally the medical certificate issued by the family doctor is valid up to maximum 10 years. When a medical certificate expires or the next medical falls due, a new medical certificate must be submitted to the Road Administration. The validity of a medical certificate can be checked via the e-services to the Road Administration.
Since 1 April 2015 doctors have only been issuing e-medical certificates (only in special cases on paper – for instance in the event of a system malfunction at the doctor’s surgery, whereby the doctor must digitalize it later). In order to obtain an medical certificate, you must fill in a medical declaration online at the National Health Information system regarding your health and then make an appointment with a doctor. Once issued, an e-medical certificate is automatically transmitted to the motor registry. There is no need to come in personally to the Road Administration to submit your medical certificate
Since 1 April 2015 doctors have only been issuing e-medical certificates (only in special cases on paper – for instance in the event of a system malfunction at the doctor’s surgery, whereby the doctor must digitalize it later). In order to obtain an medical certificate, you must fill in a medical declaration online at the National Health Information system regarding your health and then make an appointment with a doctor. Once issued, an e-medical certificate is automatically transmitted to the motor registry. There is no need to come in personally to the Road Administration to submit your medical certificate
Focus
Citizens
Start date
Domain
Health
Scope
National/Federal
Country
Estonia
Nature and status of project
Rolled Out
Is the OOP case/enabler mandatory?
Opt-in
ENABLING ASSETS OR COMPONENTS
Relevant Enablers
Legal interoperability
Traffic Act, https://www.riigiteataja.ee/en/eli/520102014003/consolide
(§ 101.Medical examination of driver of power-driven vehicle and applicant for right todrive)
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National Health Information System Regulation, https://www.riigiteataja.ee/akt/106122016011
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Requirements for Health Certificate, https://www.riigiteataja.ee/akt/121062011008
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Personal Data Protection Act, https://www.riigiteataja.ee/akt/12805972?leiaKehtiv
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Public Information Act, https://www.riigiteataja.ee/en/eli/518012016001/consolide
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Population Register Act, https://www.riigiteataja.ee/en/eli/523032017001/consolide
(§ 101.Medical examination of driver of power-driven vehicle and applicant for right todrive)
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National Health Information System Regulation, https://www.riigiteataja.ee/akt/106122016011
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Requirements for Health Certificate, https://www.riigiteataja.ee/akt/121062011008
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Personal Data Protection Act, https://www.riigiteataja.ee/akt/12805972?leiaKehtiv
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Public Information Act, https://www.riigiteataja.ee/en/eli/518012016001/consolide
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Population Register Act, https://www.riigiteataja.ee/en/eli/523032017001/consolide
Socio-cultural influence factors
Legal and organizational interoperability: legislation approved by stakeholders
All registers must linked by use commonly accepted keys:
• personal code for citizens,
• code of institution,
• standardised address presentation.
Secure data exchange layer X-Road (https://www.ria.ee/en/x-road.html) is used for gathering data from different registers. X-Road is a technological and organizational environment enabling a secure Internet-based data exchange between information systems. All registers and Statistics Estonia must be a member of X-Road Information regarding the X-Road members and the services they provide is available via the Administration System for the State Information System (RIHA).
RIHA (https://www.ria.ee/en/administration-system-of-the-state-informationsystem.html) serves as a catalogue for the state’s information system. At the same time RIHA is a procedural and administrative environment via which the comprehensive and balanced development of the state’s information system has ensured. RIHA guarantees the transparency of the administration of the state’s information system and helps to plan the state’s information management.
PKI or the public key infrastructure (https://www.ria.ee/en/public-keyinfrastructure.html) enables secure digital authentication and signing. The infrastructure also allows forwarding data by using an encrypting key pair: a publicencryption key and a private decryption key. In Estonia, this technology is used in relation with electronic identity (ID card, mobile ID, digital ID). All members of XRoad are using Digital seal certificates for signing messages. Citizens and officials are using electronic identity tokens.
All participants must be implemented three-level IT baseline security system ISKE (https://www.ria.ee/en/iske-en.html). The goal of implementing ISKE is to ensure a security level sufficient for the data processed in IT systems. The necessary security level achieved by implementing the standard organisational, infrastructural/physical and technical security measures.
Data guidelines of Estonian Data Protection Inspectorate (http://www.aki.ee/et/juhised) must followed.
All registers must linked by use commonly accepted keys:
• personal code for citizens,
• code of institution,
• standardised address presentation.
Secure data exchange layer X-Road (https://www.ria.ee/en/x-road.html) is used for gathering data from different registers. X-Road is a technological and organizational environment enabling a secure Internet-based data exchange between information systems. All registers and Statistics Estonia must be a member of X-Road Information regarding the X-Road members and the services they provide is available via the Administration System for the State Information System (RIHA).
RIHA (https://www.ria.ee/en/administration-system-of-the-state-informationsystem.html) serves as a catalogue for the state’s information system. At the same time RIHA is a procedural and administrative environment via which the comprehensive and balanced development of the state’s information system has ensured. RIHA guarantees the transparency of the administration of the state’s information system and helps to plan the state’s information management.
PKI or the public key infrastructure (https://www.ria.ee/en/public-keyinfrastructure.html) enables secure digital authentication and signing. The infrastructure also allows forwarding data by using an encrypting key pair: a publicencryption key and a private decryption key. In Estonia, this technology is used in relation with electronic identity (ID card, mobile ID, digital ID). All members of XRoad are using Digital seal certificates for signing messages. Citizens and officials are using electronic identity tokens.
All participants must be implemented three-level IT baseline security system ISKE (https://www.ria.ee/en/iske-en.html). The goal of implementing ISKE is to ensure a security level sufficient for the data processed in IT systems. The necessary security level achieved by implementing the standard organisational, infrastructural/physical and technical security measures.
Data guidelines of Estonian Data Protection Inspectorate (http://www.aki.ee/et/juhised) must followed.
DATA HANDLING / DATA EXCHANGE
Type of data sharing
Actual data
Data handler
Stakeholder name
Health Information System services - certificates (TEHIK)
Stakeholder category
Government
Stakeholder Role
Database owner
Kind of data
Health data
Stakeholder name
Population Register
Stakeholder category
Government
Stakeholder Role
Data provider
Kind of data
Health data
Stakeholder name
Business Register
Stakeholder category
Government
Stakeholder Role
Data provider
Kind of data
Health data
Stakeholder name
Citizen (www.digilugu.ee)
Stakeholder category
Citizen
Stakeholder Role
Data consumer
Kind of data
Health data
Stakeholder name
Health Care providers (GP, Hospital, Emergency service, Dentists IS)
Stakeholder category
Business
Stakeholder Role
Data provider
Kind of data
Health data
Stakeholder name
Health care providers Register (Health care Board)
Stakeholder category
Government
Stakeholder Role
Data provider
Kind of data
Health data
Stakeholder name
Health professionals Register (Health care Board)
Stakeholder category
Government
Stakeholder Role
Data provider
Kind of data
Health data
Stakeholder name
HIS X-Road MISP – Portal for GP
Stakeholder category
Business
Stakeholder Role
Data recorder
Kind of data
Health data
Stakeholder name
Patient Portal
Stakeholder category
Citizen
Stakeholder Role
Data consumer
Kind of data
Health data
Stakeholder name
Road Administration Board
Stakeholder category
Government
Stakeholder Role
Data consumer
Kind of data
Health data
Stakeholder name
State Information Board (X-road, eID, Mobile-ID, ID-card)
Stakeholder category
Government
Stakeholder Role
Data supervisor
Kind of data
Health data
Image upload
Lessons learned
Benefits:
- Already collected data can be used to develop various new services
- Decrease the number of GP visits
- Makes the certificates reproduced form for long period (for 10 years for drivers licences)
- Certificates are available for the Road Administration as well as Police
Enablers:
• Legal, organizational, technical, social-cultural, fiscal and professional interoperability between different sectors (Health care and Road Administration)
• Security and technical
• Clear Responsibilities, rules and technical solutions are made for optimizing the working flow
Barriers :
Economical motivation and feasibility
Cooperation between different authorities
Doctors dashboards needs the general modernization for adding new services to their desks
- Already collected data can be used to develop various new services
- Decrease the number of GP visits
- Makes the certificates reproduced form for long period (for 10 years for drivers licences)
- Certificates are available for the Road Administration as well as Police
Enablers:
• Legal, organizational, technical, social-cultural, fiscal and professional interoperability between different sectors (Health care and Road Administration)
• Security and technical
• Clear Responsibilities, rules and technical solutions are made for optimizing the working flow
Barriers :
Economical motivation and feasibility
Cooperation between different authorities
Doctors dashboards needs the general modernization for adding new services to their desks