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X-ROAD INSIGHTS · Digilugu
DEEN
Register hub · Dec 2025 – May 2026

Estonia's e-health platform Digilugu answers around 5.38 million requests per day — touching nearly every citizen, day after day.

Since 2008 the Health Information System (TIS) — operated by the Health & Welfare IT Centre TEHIK under the Ministry of Social Affairs — has centralised findings, prescriptions, referrals and billing data. 80 service endpoints span the patient portal, the pharmacy/prescription layer, the medicines register. Measured by the share of the population using it, one of the largest e-health stacks in the world.

E-health requests / day
— der gesamten X-Road-Last
Service endpoints
across 5 subsystems (TEHIK stack)
Avg. latency
ms
across all services — HL7 slower than registry reads

Three thematic clusters

The Digilugu services fall into four clusters — patient record (clinical HL7 exchange), e-prescription and the medicines register. Shares are daily averages over Dec 2025 – May 2026. Each cluster has its own detail page.

Top 20 services in the Digilugu stack

The most-used service endpoints across all three clusters, as requests per day. The cluster pill links to the detail page.

#ServiceClusterCalls / dayAvg ms

Sankey flow: clusters → top consumers

How do the 5.38 M calls/day flow from the service clusters to the 16 largest consumers?

Daily load — when is Digilugu used most?

Classic clinical rhythm with a morning peak, a lunch dip, a second afternoon peak and an evening batch rise (billing jobs).

Low  
  High

Key facts about overall usage

What the aggregate data reveals about Estonia's e-health stack.

54 %

HL7 dominates the data pattern

The HL7 endpoints (digilugu, ehealth, heda) generate about 54 % of all calls — HL7 is the national standard for clinical exchange.

80

Specialised service portfolio

80 distinct service endpoints — from the main HL7 channel to drug-interaction checks in the e-prescription.