Delivery of Medical Certificates is part of a service ensemble in which certificates and reports issued in the health service or their data are shared outside the healthcare service. The data is shared with organisations that need it in order to manage their statutory tasks.
A certificate or report is entered in healthcare service first in the Patient Data Repository, after which sharing of its data with an outside organisation is possible with the Delivery of Medical Certificates.
For operators outside the health service to obtain certificate and report information for their own use, the data systems must contain certain technical capabilities. Both organisations outside the health service wishing to join Delivery of Medical Certificates and health service organisations entering certificates must have such capabilities.
The patient records database used by the health service organisation must have the facility of entering the certificate or report in a prescribed structured format in the Patient Data Repository. A further required facility concerns forwarding the certificate or report, if it is one that may be forwarded.
Benefits of the Delivery of Medical Certificates
Electronic delivery of information brings benefits both to clients and professionals. The transfer is secure, easy and fast. Certificates no longer need to be printed or posted, removing the need for handling paper, and the service processes and handling times become faster.
Clients currently using Delivery of Medical Certificates are Kela, the Social Insurance Institution of Finland and Traficom, the Finnish Transport and Communications Agency. Forwarding of certificate data to Kela has been possible since 2015. Traficom joined the service in 2018.
Uptake of the service will increase in the near future, when other authorities will also be able to utilise the information in certificates and reports digitally via the Kanta services.
With the Delivery of Medical Certificates, the data of a certificate or report can be retrieved for electronic use. The query functionality of the Delivery of Medical Certificates is utilised by Traficom.
In certain cases, Traficom needs the data of a medical report for the processing of driving permission. With the Delivery of Medical Certificates functionality, it will receive the necessary conclusion data for the report directly from the Kanta Services, and the client need not deliver the certificate in paper format.
Utilisation of reports at Traficom
Currently, Traficom can utilise electronically the data on the report on fitness to drive form (F122). If the processing of the driving permission requires the data of the medical report, Traficom can retrieve the data electronically with the Delivery of Medical Certificates. This requires that the healthcare service has entered the report on fitness to drive form in the Patient Data Repository.
Traficom uses an electronic service, through which the client can manage several transactions related to driving licenses. The client can either use the online service or visit an Ajovarma service point. In both cases, the client gives their case-specific consent to the fact that the data of the medical report required in the processing of the driving permission is retrieved from the Patient Data Repository using the Delivery of Medical Certificates.
Traficom can only obtain information concerning specific certificates and reports. It is not possible gain access to other data in the Patient Data Repository via Traficom’s query service.
If the healthcare service is unable to enter the data on the report on fitness to drive form in the Patient Data Repository, the retrieval of data electronically with the query service is not possible. In such a case, the fulfilment of driver health requirements must be proven with a medical report in paper format.
With the Delivery of Medical Certificates, it is currently possible to share healthcare certificates and reports with Kela. In order for successful sharing with Kela, the healthcare patient data system must have
- certain certificate or report has been entered in the Patient Data Repository
- sharing functionality.
The client’s case-specific consent is always required for sharing.
The delivery function currently permits forwarding of details on medical certificates and reports to Kela.
The following certificates and reports can currently be forwarded to Kela
- SV 6 Medical certificate A for sickness allowance
- SV 7 Medical report B
- SV 10 Medical Certificate D for special care allowance for a child
- SV 97 Medical report on the need for special maternity leave
- SV 75 Certificate of pregnancy or postnatal examination
- SV 67 Certificate for reimbursement of travel expenses.
Acting on client's permission
Sharing of a certificate with the Delivery of Medical Certificates requires that the client gives a separate permission for it each time. Consents and refusals to share data entered in Kanta Services do not affect the sharing of certificate and report information to bodies outside the healthcare service.