ECHI - list of indicators

The European Community Health Indicators (ECHI) are the result of 14 years of cooperation between the EU Member States and the European Commission, financed by the EU Health Programmes. Three ECHI projects (1998-2001, 2001-2004, 2005-2008) established the first lists of ECHI indicators, aiming to create a comparable health information and knowledge system to monitor health at EU level.

Under the Second Programme of Community Action in the Field of Health 2008-2013, the EU funded the Joint Action (JA) on European Community Health Indicators Monitoring (ECHIM). The ECHIM JA built on previous achievements and developed more precise definitions of the indicators and continued the implementation of the indicators in the Member States. One of the aims of the ECHIM was to consolidate and expand the ECHI indicator system towards a sustainable health monitoring system in Europe supporting the EU Health Strategypdf. The work was carried out in close collaboration with Member States, the European Commission, Eurostat, WHO, OECD and other international organisations. The JA came to an end in June 2012 were the main result was a shortlist of 88 health indicators well documentedpdf and classified by policy areas.

In May 2013, the Experts Group on Health Information agreed to name the EU system of health indicators as the European Core Health Indicators (ECHI).

Within the list of 88 indicators, there are over 50 already implemented (I) European Core Health Indicators. They are grouped below under five main chapters. To access data and metadata, click on the indicator to go to the Heidi data tool. This tool allows presenting the selected indicator in different layouts: line chart, bar chart, map or table. Indicators under development (D) still need further refinement before being accessible in the Heidi data tool.

Indicators are at the crossroads of policy questions and data sets. They reflect a policy interest as well as a selected set of possibilities in terms of what can be calculated. For these reasons, DG SANCO also provides other European health indicators that are not part of the ECHI system but are still useful to health stakeholders. These indicators are identified with DG Health and Consumers logo and are also directly accessible through the Heidi data tool.

Below is the full list of indicators, including both ECHI and European health indicators. This data is readily available and is reasonably comparable (mostly based on assessment by Eurostat). For all indicators where this is considered useful or appropriate, stratification by gender and age is applied. When available, breakdowns by socio-economic or regional level are provided.


Demography and socio-economic situation

Health status

      Life expectancy by educational attainment (I)
11. Infant mortality (I)
12. Perinatal mortality (D)
euhiEuropean health indicator on perinatal mortality rate

13. Disease-specific mortality (I)
14. Drug-related deaths (I)
15. Smoking-related deaths (D)
16. Alcohol-related deaths (D)
17. Excess mortality by heat waves (D)
18. Selected communicable diseases (I)
euhiEuropean health indicator on communicable diseases

19. HIV/AIDS (D)
euhiEuropean health indicator on HIV/AIDS

20. Cancer incidence (D)
21(a). Diabetes: self-reported prevalence (I)
21(b). Diabetes: register-based prevalence (D)
22. Dementia (D)
euhiEuropean health indicator on dementia

23(a). Depression: self-reported prevalence (I)
23(b). Depression: register-based prevalence (D)
24. Acute myocardial infarction (AMI) (D)
25. Stroke (D)
26(a). Asthma: self-reported prevalence (I)
26(b). Asthma: register-based prevalence (D)
27(a). Chronic obstructive pulmonary disease (COPD): self-reported prevalence (I)
27(b). Chronic obstructive pulmonary disease (COPD): register-based prevalence (D)
28. Low birth weight (I)
29(a). Injuries: home, leisure, school: self-reported incidence (D)
29(b). Injuries: home, leisure, school: register-based incidence (D)
30(a). Injuries: road traffic: self-reported incidence (D)
30(b). Injuries: road traffic: register-based incidence (D)
euhiEuropean health indicator on road accidents

31. Injuries: workplace (I)
32. Suicide attempt (D)
33. Self-perceived health (I)
34. Self-reported chronic morbidity (I)
35. Long-term activity limitations (I)
36. Physical and sensory functional limitations (D)
37. General musculoskeletal pain (D)
38. Psychological distress (D)
39. Psychological well-being (D)
40. Health expectancy: Healthy Life Years (HLY) (I)
41. Health expectancy, others (I)


Determinants of health

42. Body mass index (I)
43. Blood pressure (I)
44. Regular smokers (I)
45. Pregnant women smoking (D)
46. Total (recorded + unrecorded) alcohol consumption (I)
euhiTotal (recorded) alcohol consumption

47. Hazardous alcohol consumption (D)
48. Use of illicit drugs (I)
49. Consumption of fruit (I)
50. Consumption of vegetables (I)
51. Breastfeeding (D)
52. Physical activity (I)
53. Work-related health risks (D)
54. Social support (D)
55. PM10 (particulate matter) exposure (I)


Health interventions: health services

56. Vaccination coverage in children (I)
57. Influenza vaccination rate in elderly (I)
58. Breast cancer screening (I)
59. Cervical cancer screening (I)
60. Colon cancer screening (I)
61. Timing of first antenatal visits among pregnant women (D)
62. Hospital beds (I)
63. Physicians employed (I)
64. Nurses employed (I)
euhiEuropean health indicator on other health professionals

65. Mobility of professionals (D)
66. Medical technologies: MRI units and CT scans (I)
67. Hospital in-patient discharges, limited diagnosis (I)
68. Hospital day cases, limited diagnosis (D)
69. Hospital day cases/in-patient discharge ratio, limited diagnoses (D)
70. Average length of stay (ALOS), limited diagnoses (I)
71. General practitioner (GP) utilisation (D)
72. Selected outpatient visits (D)
euhiEuropean health indicator on self-reported visits to a dentist or orthodontist

73. Selected surgeries (I)
74. Medicine use, selected groups (I)
75. Patient mobility (D)
76. Insurance coverage (I)
77(a). Expenditures on health care as percentage of GDP (I)
77(b). Expenditures on health care in millions of Purchasing Power Standard (PPS) (I)
78. Survival rates cancer (D)
79. 30-day in-hospital case-fatality of AMI and stroke (D)
80. Equity of access to health care services (I)
euhiEuropean health indicator on equity of access to dental care services

81. Waiting times for elective surgeries (D)
82. Surgical wound infections (D)
83. Cancer treatment quality (D)
84. Diabetes control (D)

Health interventions: health promotion

85. Policies on environmental tobacco smoke (ETS) exposure (D)
86. Policies on healthy nutrition (D)
87. Policies and practices on healthy lifestyles (D)
88. Integrated programmes in setting, including workplace, schools, hospital (D)

Ongoing work