Slovenia has launched its EU Digital COVID Certificate (a Digital Green Certificate), which was developed in only three weeks, and built on top of a clinical data repository (CDR) as a core component (for the persistence of data) of the National Centralised Patient Data Registry, all of which was powered by Better Platform. The service generates a certificate based on the persistent data available in Slovenia’s national CDR. This rapid development of a citizen certificate was made possible by an open-platform approach, which was adopted by Slovenia and separated the data from the application. The certificate document is available on-demand in digital or PDF form, with QR codes.
Accelerating the transformation for integrated care systems at scale
The fundamental prerequisite for supporting an integrated care system is a data-driven digital health platform with a standards-based, vendor-neutral clinical data repository. This enables healthcare systems to work with different vendors to develop any kind of applications without the fear of data being locked in, which is currently a major obstacle to progress among organisations using monolithic solutions.
The Covid pandemic has reinforced the notion that the most significant value of IT systems in healthcare is that they make data available when and where it is needed. That is why the integration of health information systems across a region – or a country – is a crucial foundation for successful care delivery. The pandemic pushed national health systems to quickly develop new digital solutions for health and care services, manage epidemiological data, and organise Covid tests and vaccinations. The EU Digital COVID Certificate is the latest example of a solution that was developed at this new fast pace in order to allow citizens to travel safely this summer.
The Slovenian healthcare system already had the national eHealth infrastructure needed to support Slovenia’s health and care services. It already enables document-level sharing and the mobilisation of documents produced by legacy systems and ensures the capability of putting data into an open, structured format that is technology- and vendor-neutral. It also provides an integrated care record (a centralised registry of patient data) which makes data available for any digital services instantly, at scale and volume. Currently, it contains:
- more than 150 million health records for 2.1 million unique individuals (98% of the population);
- more than 86% (135 million) of records in the form of structured data that uses openEHR models, with 63% of records being the core data set, or patient summary data (diagnoses, surgical procedures, vaccinations, allergies, dispensed medication, and more);
- more than 4 million records of Covid-19 screening (test) results;
- unstructured data that includes discharge summaries, clinical notes, opt-in statements, consent documents and other clinical data;
- data which is sent to the national system by more than 1,250 registered healthcare providers in Slovenia;
- a large number of queries, as, on average, healthcare providers trigger almost 10 million queries or “retrieve calls” per month.