How to reduce administrative burden on specialists, shorten the patient pathway and ensure that critical clinical information is accessible when needed
Healthcare business areas
Within the sector, patient flows, clinical risk, systems used, diagnostic scope and service continuity differ, therefore a separate, more specific digitalisation analysis is applied to each business area.
Critical patient information is fragmented across systems and institutions
Specialists repeatedly collect medical history, order duplicate tests, make decisions without full context, and the patient becomes an intermediary for information transfer.
Biggest opportunity
Consistent patient pathway and reliable clinical information
Connect registration, referrals, clinical records, investigations, medicines, specialist tasks, patient information and ongoing care so that at each stage there is clear responsibility and next action.
Recommended first step
Select one patient journey with the highest friction
For the selected service or patient group, connect registration, preparation, consultation, examination, results review, patient communication and other actions.
The greatest value is created not by attempting to replace the specialist, but by the ability to reduce their administrative work, shorten the patient pathway and ensure that important information is not lost between systems and organisations.
Complete sector analysis
The full digital sector analysis is presented below. A more detailed analysis tailored to the specific operating model is available on the business area pages.
6
How this sector operates
The sector includes primary care centres, outpatient clinics, hospitals, diagnostic centres, rehabilitation, mental health, nursing, home care and remote care services. These activities are connected by clinical accountability, sensitive long-term data, many different specialists and limited physical capacity.
Clinical decisions are always context-dependent
The same symptom or test result may have different significance depending on patient history, age, medications, comorbidities and treatment goal.
Many different specialists are involved in the patient pathway
Information is transferred between doctors, nurses, diagnostic specialists, pharmacists, reception, social care and home care teams.
Data is sensitive and used over a long period
Health information has significant privacy, clinical and legal importance, and patient history may remain relevant for many years.
Service capacity is constrained by specialists and infrastructure
Queues and capacity are determined by the time of doctors and nurses, consulting rooms, beds, operating theatres and diagnostic or treatment equipment.
Errors and system failures can have a direct impact on the patient
Incorrect information, delayed results or an unavailable system can disrupt diagnosis, treatment and the work of the entire institution.
Technology solutions operate in a strictly regulated environment
Data protection, cybersecurity, clinical governance, medical device and AI requirements must be reconciled.
Market and Technology Context
The European Health Data Space regulation came into force on 26 March 2025, with its key provisions to be applied in phases from March 2029. The HL7 FHIR health data exchange standard is becoming an important technical direction, but application programming interfaces alone are not enough – common profiles, terminologies, data provenance and clinical semantics are needed. At the same time, the importance of remote care, AI and cyber resilience is growing.
European Health Data Space (EHDS)The EHDS regulation came into force on 26 March 2025. Its key provisions will be applied in phases from March 2029, requiring organisations to systematically prepare for data accessibility, interoperability and security requirements.
FHIR and clinical data semanticsStandardised data exchange helps connect systems, but organisations still need to agree on what specific data means, which fields are mandatory and how their provenance is managed.
AI use in clinical environmentsDocumentation, image analysis or risk assessment solutions require a clear clinical purpose, validation, human oversight and continuous performance monitoring.
Cyber resilienceHealthcare organisations are critical services and attractive attack targets, so security must be embedded in system procurement, integrations, medical devices and business continuity plans.
Remote and continuous careMonitoring of chronic conditions, rehabilitation and post-treatment increasingly takes place outside the facility, but collected data must enter clinicians' workflows and trigger clear action.
Shortage of specialist timeGrowing demand for services increases the value of documentation automation, self-service, advance data collection and more precise patient flow management.
Digital maturity model
0
Processes depend on paper and staff memory
Patient information, registration, referrals and tasks are managed through paper documents, phone calls and separate notes.
1
Core clinical systems in use
Registration and clinical records are digital, but departments and diagnostics transfer much information via documents or manually.
2
Individual patient journey stages digitalised
Electronic prescriptions, patient portal or diagnostics integrations are in place, but the entire process between specialists and facilities remains fragmented.
3
Key patient and clinician processes connected Typical current situation
In selected patient journeys, clinical data, tasks, diagnostics, medicines, patient communication and documents are used in one coherent workflow, but coverage is not yet uniform across departments and facilities.
4
Services managed by real-world data and risk Siektina
Patient flows, clinical risk, capacity, quality and continuous care are managed using near real-time data.
5
The system continuously learns from outcomes and adapts securely
Clinical practice, processes and IT solutions are continuously evaluated based on outcomes, impact on different patient groups, safety and data quality.
Key finding
There is no shortage of data in the healthcare sector. The problem is that it is created in different systems, in different formats and at different points in the patient pathway, so it does not always support decision-making when it is most needed.
The greatest value emerges from connecting the entire process: registration, referral, consultation, examination, result review, treatment plan, medicines, discharge and follow-up monitoring. A separate portal or new interface without integration of clinical systems does not solve this problem.
It is worth choosing first one specific patient pathway with the most waiting, data re-entry and unclear responsibilities. Only once this process, data and integrations have been sorted should remote monitoring, advanced analytics or AI be expanded.
Related topics
Patient self-service portalHealth data integrationFHIR integrationClinical process managementClinical documentation automationRemote patient monitoringHealthcare IT solutionsHealthcare sector cybersecurityEuropean Health Data Space
9
Critical patient information is fragmented across systems and institutions
Critical
Diagnoses, tests, medications, procedures, discharge summaries, images and patient-reported data are stored in different institutional, national, laboratory, radiology or specialised systems.
Consequences
Specialists repeatedly collect medical history, order duplicate tests, make decisions without full context, and the patient becomes an intermediary for information transfer.
The referral and appointment process requires extensive manual checking
Critical
Patient eligibility for the service, referral validity, priority, specialist competence, test sequence and available appointment slots are checked across multiple systems or by phone.
Consequences
The pathway to service becomes longer, improperly booked appointments increase, as do non-attendances, reception workload and patient dissatisfaction.
The patient pathway across specialists and services is managed inconsistently
Critical
Primary care, specialists, diagnostics, inpatient care, rehabilitation, nursing and monitoring use separate tasks, plans and communication channels.
Consequences
Control actions are missed, test results are not always reviewed on time, the patient does not know the next step, and responsibilities between teams remain unclear.
Medication information is not always updated in one place
Critical
Active medications, allergies, changes, medicines prescribed during hospitalisation, actual patient consumption and discharge recommendations are not always aligned in a single workflow.
Consequences
The risk of drug interactions, duplication, incorrect use, readmission and additional specialist checks increases.
Legacy systems and numerous integrations increase operational and cyber risk
Critical
Clinical, medical equipment, laboratory and administrative systems have different life cycles, access models, vendors and upgrade options.
Consequences
The risk of data breaches, unmanaged access and situations where a technological failure directly halts patient care increases.
Clinical documentation takes up too much specialist time
High
Consultations, medical history, procedures, diagnoses, codes, discharge summaries and recommendations are often completed in multiple forms, duplicated or finalised after the visit.
Consequences
Time with the patient decreases, the working day becomes longer, and documents become inconsistent in quality and transferred to another specialist with delay.
Test ordering, execution and result review operate as separate stages
High
Laboratory, radiology and other test orders, sample status, images, reports, critical values and physician confirmation are managed in different systems.
Consequences
Diagnosis is delayed, tests are repeated, critical results may be noticed late, and responsibility for the next action remains unclear.
Patient communication and self-service are fragmented across too many channels
High
Appointment reminders, preparation instructions, questionnaires, documents, results and recommendations are sent through different channels or conveyed verbally.
Consequences
No-shows, inadequately prepared patients, repeated calls, misunderstood recommendations and administrative work increase.
Capacity of specialists, consulting rooms, beds and equipment is planned separately
Medium
Schedules, procedure durations, staff competencies, no-shows, bed occupancy, operating theatre and diagnostic equipment load are analysed in different systems.
Consequences
Queues form in one place whilst unused capacity remains in another, overtime increases, procedures are rescheduled and expensive infrastructure is used inefficiently.
7
Digitalisation of a single patient pathwayVery high impactFor a selected service or patient group, integrate referral, registration, preparation, consultation, examination, result review, patient notification and other actions.
Reduction of clinical documentation and pre-population of dataHigh impactUse structured templates, pre-consultation questionnaires, voice recognition, AI-prepared drafts and automatic data transfer.
Management of clinical tasks and responsibilitiesVery high impactBased on diagnosis, test result or other event, automatically create a task, deadline, alert, patient notification and clear confirmation.
Reliable view of key patient informationVery high impactIntegrate diagnoses, investigations, medications, allergies, procedures, plans and documents based on common identifiers, FHIR profiles and clinical terminologies.
More reliable diagnostics and medication controlVery high impactEnsure that every investigation, critical result, medication prescription, change and monitoring action has a clear status, responsible person and confirmation.
Management of patient flows and clinical capacityHigh impactJointly plan specialists, consulting rooms, beds, operating theatres, diagnostic equipment, procedure durations, priorities and risk of non-attendance.
Health data governance and operational resilienceVery high impactStandardise access controls, audit records, consents, data classification, supplier risk, backups and continuity scenarios for critical clinical functions.
Biggest opportunity
Consistent patient pathway and reliable clinical information
Connect registration, referrals, clinical records, investigations, medicines, specialist tasks, patient information and ongoing care so that at each stage there is clear responsibility and next action.
More specialist time for direct patient care
Shorter time from need to diagnosis, treatment or follow-up
Fewer duplicate investigations and repeated data collection
Lower risk of missed results, medication discrepancies and unclear responsibilities
Better utilisation of consulting rooms, beds and diagnostic equipment
Clearer patient self-service and better understanding of treatment plan
More reliable data for analytics, research and AI solutions
Expected business impact on operations and service quality
More clinician time with patientsLess time spent searching for data, re-entering information and coordinating allows more time for direct care.
Shorter patient journeyBetter connected referrals, registration, examinations and tasks reduce the time from need to diagnosis, treatment or follow-up.
Lower clinical riskMore reliable information on medications, allergies, tests, alerts and responsibilities reduces the risk of missed actions.
Better capacity utilisationMore accurate planning of clinicians, consulting rooms, beds and diagnostic equipment reduces unproductive gaps and procedure rescheduling.
Clearer patient experienceA single care plan, self-service, questionnaires and remote monitoring help patients better understand what is happening and what to do next.
Less administrative workAutomatic data transfer, document preparation and patient communication reduce the workload of reception and other support teams.
Greater operational resilienceStandardised integrations, access controls, audits and recovery scenarios reduce the impact of technology disruption and data breaches.
7
Problema
Referral and registration process requires extensive manual checking
→
Sprendimo kryptis
Patient self-service and digital journey portal
A single environment for registration, referrals, questionnaires, preparation instructions, appointments, results, documents, payments, messages and other care plan actions.
Problema
Patient journey between specialists and services is managed inconsistently
→
Sprendimo kryptis
Patient self-service and digital journey portal
A single environment for registration, referrals, questionnaires, preparation instructions, appointments, results, documents, payments, messages and other care plan actions.
Problema
Patient communication and self-service are fragmented across too many channels
No-shows, inadequately prepared patients, repeated calls, misunderstood recommendations and administrative work increase.
→
Sprendimo kryptis
Patient self-service and digital journey portal
A single environment for registration, referrals, questionnaires, preparation instructions, appointments, results, documents, payments, messages and other care plan actions.
Problema
Critical patient information is fragmented across systems and institutions
Specialists repeatedly collect medical history, order duplicate tests, make decisions without full context, and the patient becomes an intermediary for information transfer.
→
Sprendimo kryptis
Health data integration and patient record platform
A FHIR and clinical terminology-based integration layer connecting key patient records, tests, medicines, allergies, images, documents and access rights.
Problema
Test ordering, execution and results review operate as separate stages
→
Sprendimo kryptis
Health data integration and patient record platform
A FHIR and clinical terminology-based integration layer connecting key patient records, tests, medicines, allergies, images, documents and access rights.
Problema
Medicine information is not always updated in one place
→
Sprendimo kryptis
Health data integration and patient record platform
A FHIR and clinical terminology-based integration layer connecting key patient records, tests, medicines, allergies, images, documents and access rights.
Recommended digital solutions
Solutions must operate as a single patient and clinician workflow architecture. Portal, clinical systems, diagnostics, medicines and integration layer must use the same patient identifiers, statuses, accountabilities and access rules.
Patient self-service and digital journey portal
A single environment for registration, referrals, questionnaires, preparation instructions, appointments, results, documents, payments, messages and other care plan actions.
Health data integration and patient record platform
A FHIR and clinical terminology-based integration layer connecting key patient records, tests, medicines, allergies, images, documents and access rights.
Clinical task and accountability management system
Based on diagnosis, test result, discharge or other event, creates a responsible clinician task, deadline, alert, patient communication and confirmation.
Clinical documentation and preliminary data collection workstation
Structured templates, patient questionnaires, voice recognition, AI-prepared drafts and automatic data transfer reduce repetitive entry.
Patient flow and clinical capacity management platform
Integrates specialist competencies, procedure durations, rooms, equipment, beds, priorities, no-show risk and actual service delivery.
Diagnostics and medication safety process integration
Integrates test ordering, specimen or imaging status, results, critical value alerts, medication reconciliation, prescription and confirmed review.
Cyber resilience and health data governance programme
Unified identity and access control, audit, consents, data classification, medical device and supplier risk, fallback modes and clinical function recovery scenarios.
Investment priorities
Select one patient journey with the highest frictionFor the selected service or patient group, connect registration, preparation, consultation, examination, results review, patient communication and other actions.
Define the data and integrations required for this journeyAgree on patient identifiers, data sources, FHIR profiles, terminologies, access rights, statuses and data quality rules.
Reduce the burden of documentation and task coordinationReduce repetitive entry and ensure that every significant result or decision creates a clear task, deadline and accountability.
Connect patient safety and operational resilience controlsDesign diagnostics, medicines, access, audit, suppliers and critical clinical function continuity controls together with the process.
Only then expand capacity management, remote care and AIDeploy advanced scenarios only when reliable data, clear clinical purpose, accountable team and continuous impact monitoring are in place.
Key implementation requirements
Each step must have clear clinical accountability
The system may create a task or alert, but it must be clear who is required to review the information and make a decision, and within what timeframe.
The FHIR standard does not by itself resolve data semantics
Profiles, code systems, terminologies, mandatory fields, versions and how information is used in a specific clinical process must be agreed upon.
The specialist must see the origin, time and state of the data
It is important to know who, when and under what conditions created the diagnosis, result, medication list or patient-provided measurement.
Critical functions must operate when integrations fail
Limited operation, controlled emergency access, data recovery and subsequent synchronisation scenarios are essential.
AI and the user interface must be assessed as part of patient safety
The purpose of the model, the volume of warnings, the information hierarchy, default values and error scenarios must be tested in real clinical work.
Recommended Implementation Sequence
01
Single Patient Journey and Systems Analysis
Identify how the patient moves between registration, specialists, diagnostics, treatment and continuing care, and where information is re-entered, delayed or loses context.
Patient Journey and Accountability Map
Systems and Integrations Map
Data and Terminology Quality Assessment
Initial Clinical, Operational and Safety KPIs
02
First Version and Data Boundary Definition
Select one clearly measurable problem and agree on the data, statuses, integrations and responsibilities required for the first version.
Target service or patient group
Users and responsibilities
FHIR profiles and terminology scope
Integration, Access and Security Requirements
03
Integrated Patient Journey Implementation
Connect registration, pre-consultation data collection, specialist workflow, investigations, documents, patient notifications and other actions.
Patient Self-Service
Specialist Tasks and Workflow
Clinical Systems Integration
Structured Questionnaires, Documents and Statuses
04
Pilot in Real Clinical Process
Assess specialist time, patient journey duration, data quality, patient safety, utilisation and unexpected exceptions.
User Training
Clinical and Technical Incident Register
Patient and Staff Feedback
Before and After KPIs Comparison
05
Interoperability, Resilience and Advanced Scenarios Development
Expand the validated patient journey model to other departments, and only deploy remote care, analytics and AI once reliable data is in place.
Additional Integrations and FHIR Profiles
Diagnostics, Medication and Capacity Management Scenarios
Business Continuity and Access Modernisation
Remote Care or Managed AI Pilot
8
Recommended KPIs
Specialist time on documentation after visitmin. / visit
Measure the impact of documentation automation.
Time from referral to serviced.
Assess the efficiency of registration, prioritisation and coordination.
Proportion of patients who did not attend%
Measure the impact of reminders, self-service and preparation processes.
Proportion of visits where all required information is immediately accessible%
Assess the benefit of the patient record and integrations.
Proportion of critical results reviewed within specified timeframe%
Assess the safety of diagnostic processes.
Proportion of medication reconciliation discrepancies%
Measure the quality of active medications and changes information.
Proportion of clinical data transferred automatically%
Measure the use of integrations instead of manual re-entry.
Availability of critical systems%
Measure technological and clinical business continuity.
Key risks
A portal or integration layer is created without clinical processThe patient submits information digitally, but specialists still re-enter it, whilst tasks and responsibilities remain in core systems or email.Kaip suvaldyti Design the first version as a coherent patient and specialist workflow, encompassing key integrations, exceptions and accountability for the next action.
Inaccurate data is combined into a misleading patient pictureOutdated diagnoses, unclear medication status or different terminologies can begin to appear as a single reliable source of information.Kaip suvaldyti Display data provenance, timing and status, manage terminologies and apply clinical quality rules.
The flow of alerts and remote measurements becomes unmanageableA high volume of low-value alerts encourages specialists to ignore them, whilst remote monitoring data is left with unclear responsibility for response.Kaip suvaldyti Define clinical thresholds, the responsible team, response times, escalation, and regularly evaluate the clinical benefit of alerts.
AI-generated text is accepted as verified clinical factThe system may miss, misunderstand or generate information that later enters the patient record.Kaip suvaldyti Require active specialist review, clearly mark unverified content and maintain a history of data, model and validation.
Security measures or technology failure hinder patient careSlow access, unavailable integrations or unprepared fallback mode can encourage process circumvention or directly disrupt clinical work.Kaip suvaldyti Design security alongside clinical workflows, provide convenient strong authentication, controlled emergency access, degraded mode and recovery scenarios.
6
Advanced clinical solutions should only be implemented when their purpose is clear, reliable data is used, specialist review is planned and continuous monitoring ensures the solution actually improves outcomes and safety.
Already applied in the sector1
AI assistance in medical image analysis
Highly urgent
Models help detect, measure or mark visible features in images and provide results for review by a radiologist or other specialist.
How it is applied Suitable for clearly defined image analysis tasks where the solution has been validated in a specific clinical environment.
What value can be created
Faster assessment of large volumes of images
Identification of priority cases
More consistent measurements
Second layer of verification for the specialist
What is needed for this to work
Integration with picture archiving and communication systems (PACS) and clinical workflow
Validation in the target patient population
Assessment of medical devices and AI Act requirements
Human decision-making and traceability
Monitoring of model performance changes
Short-term perspectiveApplied in practice
Market expansion3
Consultation documentation assistant
Highly urgent
AI prepares a draft of the consultation record, tasks and patient instructions from the conversation between clinician and patient.
How it is applied Used to reduce documentation burden, but the specialist must review, correct and approve the final clinical record.
What value can be created
Less documentation after visit
More attention to the patient
More consistent record structure
Faster information transfer
What is needed for this to work
Clear patient information and lawful data processing
Integration with clinical system
Assessment of medical terminology and language quality
Mandatory specialist review
Monitoring of errors and impact
Short-term perspectiveCommercial solutions are available
Early identification of increased clinical risk
Relevant
Models analyse vital signs, tests, diagnoses and care history and alert to possible deterioration or risk of complications.
How it is applied Used to identify which patients require attention first and additional specialist assessment, rather than for autonomous clinical decision-making.
What value can be created
Earlier identification of at-risk patients
More targeted specialist care
Fewer preventable complications
Better allocation of limited resources
What is needed for this to work
Reliable time series and clinical data
Clear action following alert
Calibration by patient groups
False alert control
Continuous clinical impact assessment
Medium-termApplied in practice
Remote patient monitoring
Relevant
Symptom, vital sign, activity or treatment adherence data collected at the patient's home is transmitted to the clinical team according to defined thresholds.
How it is applied Relevant for chronic disease, rehabilitation, post-operative and other continuing care programmes, provided it is clear who responds to deviations and when.
What value can be created
Earlier detection of condition deterioration
Fewer unnecessary physical visits
Greater patient engagement
Continuing care beyond institutional boundaries
What is needed for this to work
Clinically validated measurement KPIs
Medical device and data security assessment
Clear alert thresholds
Integration into clinician workflow
Patient training and accessibility
Short-term perspectiveCommercial solutions are available
Early stage2
Clinical information summaries from multiple data sources
Relevant
AI simultaneously analyses structured records, text, tests and images, and presents a summary of the most important information to the clinician.
How it is applied The solution must be limited to specific scenarios, show sources and not create the impression that it makes the final decision itself.
What value can be created
Faster review of large volumes of information
Less important information missed
More consistent consultation preparation
Support for complex multidisciplinary cases
What is needed for this to work
Unified patient data foundation
Traceability of sources and versions
Clinical validation
Human oversight
Analysis of AI Act and medical device requirements
Medium-termResearch results
Health data analysis without transferring all primary data
Moderately urgent
Federated learning and secure analysis environments enable multiple organisations to conduct research or develop models without pooling all primary data in one location.
How it is applied Relevant for multi-organisational research, quality analysis and secondary health data use scenarios.
What value can be created
Greater coverage of data available for research
Reduced transfer of primary data
Ability to collaborate between institutions
Improved modelling of rare cases
What is needed for this to work
Clear legal basis and data permissions
Unified terminologies and data models
Secure execution environments
Result disclosure risk control
Data quality and bias assessment
Long-term perspectiveApplied in practice
6
Where to start healthcare digitalisation?
Select one specific patient journey with the most waiting, phone calls, data re-entry and unclear responsibilities. The first version must include the patient interface, specialist workflow, core integrations and several clear clinical and business KPIs.
Is it sufficient to create a patient portal?
Not if registration, questionnaires, results and documents do not flow directly into clinical systems and specialist tasks. In that case, the portal merely moves information to a new channel, whilst staff still re-enter it manually.
Does the clinical system already in use need to be replaced?
Most often not. It is worth first assessing which data the system can reliably transmit and receive. A custom solution is often needed between systems – to connect patient self-service, diagnostics, medication, tasks and other patient journey stages.
What should the first project version be?
It should cover one frequent and clearly measurable scenario, for example, the patient journey from referral to test result and follow-up action. There is no need to cover all specialties, facilities and data categories at once.
Why are healthcare integrations so complex?
Not only technical formats need to be connected, but also clinical meaning, patient identity, data provenance, access rights, terminologies and the process in which the information will be used. Two identically named fields in different systems do not necessarily mean the same thing.
How to assess the return on investment of a digitalisation project?
Specialist time, patient journey duration, non-attendances, duplicate tests, amount of manual re-entry, capacity utilisation, review of critical results and incident impact need to be measured. The number of system users alone does not demonstrate real benefit.
Next step
Let's assess where the patient journey is most constrained today
The registration, clinical data, diagnostics, specialist tasks, patient communication and integrations will be reviewed, and support provided in selecting one first stage whose benefit can be clearly measured.