Elektronische Gesundheitsakte

What Elektronische Gesundheitsakte does

Elektronische Gesundheitsakte (ELGA GmbH) operates Austria's national electronic health record system, providing a secure platform through which citizens and licensed healthcare providers can access, exchange, and author structured clinical documents. The platform is built on HL7 Clinical Document Architecture Release 2 for documents, SNOMED CT and LOINC for terminology, ICD-10 for diagnoses, IHE XCA profiles for cross-community access, DICOM for imaging, and SAML authentication — combined in a distributed architecture with centralized authorisation and decentralised data storage. ELGA's operational products include the citizen-facing ELGA-Portal, the e-Befund module for discharge letters and lab/radiology reports, e-Medikation for centralised prescribed and dispensed medication records with duplicate and interaction checks, e-Impfpass for the national vaccination registry, and e-Bilddaten for X-ray, MRI and CT image exchange. Supporting infrastructure includes the Austrian e-Health Terminology Browser (TerminoloGit) and the open-source Java ELGA-Referenz Client under Eclipse Public License.

The company is a non-profit service GmbH founded on 20 November 2009 and owned jointly by the Austrian federal government, all nine federal states (Bundesländer), and the Dachverband der österreichischen Sozialversicherungsträger (social insurance umbrella organisation). Healthcare providers — public hospitals, physicians in private practice, pharmacies, and care facilities — are required by law to participate; public hospitals rolled out from December 2015, pharmacies joined via the e-Medikation rollout starting March 2018, and by Q4 2025 e-Bilddaten was active at 172 providers with ~18,000 monthly retrievals. The platform extends nationwide through 13 ELGA-Bereichsbetreiber (regional operators) that run XCA gateways connecting healthcare facilities, and through certified software manufacturers embedding ELGA capabilities into clinical systems.

The revenue model is government-funded managed services: usage is free for citizens (authentication via ID Austria at gesundheit.gv.at), and funding flows from federal, state and social-insurance budgets. The company has 11-50 employees and is headquartered at Treustraße 35-43, Vienna. Strategic direction is signalled by recent milestones including the February 2026 launch of EU-Rezept for cross-border e-prescription redemption, ISO 9001:2015 certification in February 2026, ongoing e-Bilddaten scale-up, and a November 2025 reconstitution of the Supervisory Board under new chair DDr. Meinhild Hausreither. The company holds a registered ELGA trademark and operates as Austria's official SNOMED CT National Release Center.

Name

Elektronische Gesundheitsakte

Legal name

ELGA GmbH

Website

https://elga.gv.at

Company type

Private

Founded year

2009

Operating status

Operating

Headcount range

11–50 employees

Short description

ELGA GmbH is the Austrian government-owned, non-profit operator of Austria's nationwide electronic health record system, providing citizens and mandated healthcare providers secure 24/7 access to e-Befund, e-Medikation, e-Impfpass, and e-Bilddaten via the ELGA-Portal.

Ownership category

akta.pro rank

Product category

National Electronic Health Record Infrastructure

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)

SIC

Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

Public Health & Immunization Data Exchange (ELR, case reporting, registry reporting) (HLACABAL)

akta.pro secondary industry

ePrescribing & Medication Workflow Platforms (EPCS, formulary, prior auth, med history) (HLALAIAD)

Keywords

• Electronic health records
• National health infrastructure
• Medication management systems
• Vaccination record platform
• Medical imaging archive

Headquarters

HQ city

Vienna

HQ country

Austria

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Infrastructure, Operations, Marketing or Sales

Revenue model

1. Government Funding: ELGA infrastructure is funded jointly by federal government, all nine Austrian states (Bundesländer), and the Dachverband der österreichischen Sozialversicherungsträger (social insurance umbrella organization). Usage is free for citizens.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels5 records

Core offering

ELGA is Austria's nationwide electronic health record system that provides citizens with 24/7 access to their personal health data and enables healthcare providers (hospitals, physicians, pharmacies) to securely exchange medical information. The platform consists of core modules including e-Befund (medical findings), e-Medikation (medication records), e-Impfpass (vaccination records), and e-Bilddaten (medical imaging), supported by standardized medical terminologies (SNOMED CT, LOINC) and open-source integration tools.

Product overview

ELGA (Elektronische Gesundheitsakte) is Austria's national electronic health record system operated by ELGA GmbH as a not-for-profit public service infrastructure. The platform consists of core modules: e-Befund (electronic medical findings), e-Medikation (electronic medication records), e-Impfpass (electronic vaccination pass), and e-Bilddaten (electronic medical imaging), all accessible through the ELGA-Portal web interface. Supporting infrastructure includes the Österreichischer e-Health Terminologie-Browser (TerminoloGit) for standardized medical terminology management, the e-Health Codierservice for SNOMED CT and ICD-10 coding, and the ELGA-Referenz Client as an open-source Java SDK for software developers. ELGA connects healthcare providers including hospitals, physicians, pharmacies, and care facilities across Austria through standardized health networks and interfaces.

Differentiator

Problem solved

Functional benefit

Brands

• ELGA-Portal: Web portal for citizens to access their electronic health records, manage permissions, and view e-Befunde, e-Medikation, and e-Impfpass.
• e-Befund
• e-Medikation
• e-Impfpass
• e-Bilddaten
• Austrian e-Health Terminology Browser (TerminoloGit)

Products and services

• ELGA-Portal Web-based citizen portal providing 24/7 access to personal health records, enabling users to view e-Befunde, manage e-Medikation, access e-Impfpass, control healthcare provider access permissions, and review access logs. Access requires ID Austria authentication.
• e-Befund Digital medical findings module providing standardized access to physician and nursing discharge letters, laboratory results, radiology reports, and outpatient reports. Documents are created in Clinical Document Architecture (CDA) format for machine readability and unified layout.
• e-Medikation Electronic medication module storing all physician-prescribed and pharmacy-dispensed medications for 18 months. Supports detection of duplicate prescriptions and drug interactions. Includes OTC medications when e-card is read. Data is stored encrypted in a centralized database at the Austrian Social Security umbrella organization.
• e-Impfpass Electronic vaccination pass using secure ELGA infrastructure to store vaccination records in a centralized Austrian immunization register. Enables citizens to view vaccinations, receive personalized recommendations via Austrian vaccination plan integration, and provides epidemiological data for public health analysis.
• e-Bilddaten Electronic medical imaging module enabling radiological institutions to provide and retrieve image data (X-ray, MRI, CT) through ELGA. Image data is stored in specialized DICOM archives with references stored in ELGA. As of 2026, over 3 million image references are available in ELGA.
• Austrian e-Health Terminology Browser (TerminoloGit) Central platform providing standardized medical terminologies including CodeSystems, Value-Sets, and Concept-Maps for interoperable health data exchange. Hosts SNOMED CT, LOINC, and other international standards for Austria. ELGA GmbH serves as SNOMED National Release Center (NRC) for Austria.
• ELGA-Referenz Client Open-source Java-based reference client (Eclipse Public License 1.0) providing example implementation of required profiles and processes for communication with ELGA and e-Health applications. Based on Swiss eHealth Connector framework following IHE, HL7 CDA, and OASIS SAML standards. Includes source code for e-Befund, e-Medikation, e-Impfpass, and Virtual Organization functions.
• EU-Rezept (EU Prescription) Electronic service enabling cross-border redemption of e-Prescriptions issued in Austria at pharmacies in other participating EU/EEA countries. At launch, available in Czech Republic with more countries to follow. Requires one-time voluntary opt-in consent via ELGA-Portal with ID Austria.
• e-Health Codierservice Free service by BMASGPK and ELGA GmbH providing standardized and interoperable documentation and communication vocabulary for healthcare. Offers medical terminology vocabulary including mapping to SNOMED CT and ICD-10 codes. Establishes foundation for Patient Summary in Austria.

Quantifiable outcome

• >30 million radiological findings stored in ELGA
• +2 more outcomes

Named customers4 records

Segments2 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

Nine partnerships are on record, tiered core.

• A1 Telekom Austria AGcoreTechnology or IntegrationProvides M365 services with baseIT as sub-processor for M365 support. Also operates as one of 13 ELGA-Bereichsbetreiber (ELGA regional area operators). Hosts video conference solutions (MS Teams).
• ELGA-Bereichsbetreiber (Regional Operators)coreTechnology or Integration13 regional operators manage ELGA areas: A1 Telekom, AURA, AUVA, eGOR, Health-Net, Kärnten, Niederösterreich, Oberösterreich, Salzburg, Steiermark, Tirol, Vorarlberg, Wien. Each operates XCA gateways connecting healthcare facilities.
• Federal Government (Bund)coreOthersFederal Ministry for Health (BMASGPK) represents federal government as ELGA system partner. Provides legislative framework and partial funding.
• Austrian States (Bundesländer)coreOthersAll nine Austrian states participate as ELGA system partners. Provide partial funding and coordinate regional healthcare provider participation.
• Dachverband der SozialversicherungsträgercoreOthersAustrian social insurance umbrella organization. Co-owner of ELGA, operates ELGA-Widerspruchstelle, hosts e-medication database.
• Software Manufacturers (Softwarehersteller)coreTechnology or IntegrationVarious software companies develop ELGA-compatible systems for physicians, pharmacies, hospitals, and care facilities. Certified through integration testing by ELGA GmbH.
• SNOMED InternationalcoreTechnology or IntegrationAustria joined SNOMED International in December 2018. ELGA GmbH serves as SNOMED National Release Center (NRC) in Austria, managing SNOMED CT licensing and distribution.
• HL7 InternationalcoreTechnology or IntegrationHL7 standards (CDA, FHIR) used as basis for ELGA document architecture. ELGA follows international HL7 standards for health data exchange.
• IHE (Integrating the Healthcare Enterprise)coreTechnology or IntegrationELGA uses IHE profiles (XCA, XDW) for cross-community document access and workflow. IHE defines implementation guides for healthcare IT interoperability.

Scale indicators7 records

Recent moves6 records

Expansion highlights5 records

Others

• IHE International (Integrating the Healthcare Enterprise): Standards organization whose XCA, XDS, and XDW profiles underpin ELGA's cross-community document exchange; ecosystem participant rather than competitor, but defines the interoperability framework ELGA implements.
• InterSystems HealthShare: Provides health information exchange and interoperability platforms (HealthShare) used in national and regional EHR deployments including IHE-based infrastructure; adjacent/ecosystem player that supplies technology components similar to ELGA's underlying stack.
• SNOMED International: International standards body for SNOMED CT clinical terminology; ELGA serves as Austria's National Release Center for SNOMED CT, making SNOMED International a strategic ecosystem partner rather than competitor.

Direct peers

• eHealth Suisse (Switzerland): Switzerland's national competence and coordination body for the electronic patient dossier (EPD), explicitly referenced by ELGA whose reference client is built on the Swiss eHealth Connectors framework; highly comparable as a federated national EHR program.
• Sundhed.dk (Denmark): Denmark's national public eHealth portal operated jointly by regions, municipalities, and the state, giving citizens and providers unified access to health data; mirrors ELGA's multi-stakeholder ownership and universal citizen access model.
• Estonian e-Health Foundation: Operates Estonia's national health information system including the Patient Portal, covering nearly all Estonian residents; comparable as a digitally advanced small-country national EHR with cross-border EU service participation.
• Kanta Services (Finland): Finland's national electronic health record system operated by Kela, providing My Kanta Pages for citizens and integrated services for healthcare providers; directly comparable as another EU member-state national EHR infrastructure with patient portal and ePrescription.

Broad incumbents

• Oracle Health (Cerner): Global EHR and health-IT vendor serving hospitals and health systems that connect to national records; comparable as a broad incumbent in the digital health infrastructure space overlapping with ELGA's provider-side integrations.
• Epic Systems: Leading US-headquartered EHR vendor whose systems are deployed in many Austrian and European hospitals that interface with ELGA; not a direct competitor to the national record, but a broader incumbent whose integrated workflows could encroach on ELGA's role.
• NHS Digital (NHS England): The national digital, data, and technology arm of NHS England operating the NHS App, NHS Login, and Summary Care Record at population scale; broader in scope than ELGA but a comparable government-led national health-IT infrastructure.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/@ELGAGmbH
• LinkedInlinkedin.com/company/elga-gmbh

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

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