A significant technological advance in Luxembourg’s healthcare sector. Interview with Maud Delporte, CVE project manager and health business expert at Agence eSanté.
Can you tell us more about the Electronic Vaccination Record (CVE – Carnet de Vaccination Electronique), its benefits and its functionalities?
The CVE is a free national service set up by Agence eSanté, under a mandate from the Ministry of Health. It provides effective solutions for managing medical data relating to vaccinations, thanks to a centralised platform for storing, managing, processing and sharing information in a secure and accessible way. This data can then be processed, after due anonymisation or pseudonymisation, to calculate population immunisation coverage and the effectiveness of vaccinations, with a view to supporting public health.
The CVE also provides vaccinating doctors with an interactive vaccine decision tool thanks to an integrated rules engine. This combines the recommendations of the Conseil Supérieur des Maladies Infectieuses (CSMI), which change regularly, with the patient’s health profile and vaccination history to establish a vaccination status that guides the doctor in his or her decisionmaking. Patients, for their part, receive reminder notifications one month before their next vaccination.
How does it fit into the eHealth ecosystem?
First of all, among Agence eSanté’s services, the DSP (Dossier de Soins Partagé – electronic health record) centralises an individual’s medical data in order to optimise the coordination of treatment and improve the quality of care. Each time a vaccination is recorded in the CVE, the interoperability between the CVE and the DSP allows for the patient’s vaccination history and status to be updated in the DSP continuously. In addition, an API will soon be available for doctors to automatically integrate their patients’ vaccination data into their professional software.
Two vaccination registration systems currently co-exist in Luxembourg: CVE and MSVAC. How does this work?
MSVAC was set up during the health crisis, solely for vaccinations against COVID-19. An API between the two tools (MSVAC and CVE) was set up to transfer data for these specific vaccinations. With the patient’s consent, all vaccination data recorded in MSVAC is sent to the CVE. Therefore as soon as it is opened, the CVE already contains the history of vaccinations against COVID-19.
What is the current state of deployment in Luxembourg?
The CVE has been rolled out since January 2022, currently among 400 self-employed vaccinators who have created 34,000 records totalling more than 186,000 vaccinations. Moreover, we are proud to propose the Luxembourg CVE in the EUVABECO European project with other European countries, in order to offer the concept of our service to Europe and improve it with new features, such as portability.
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