A Digital Vaccination Pass Using Fast Healthcare Interoperability Resources: A Proof of Concept

Abstract

The traditional manual recording of vaccination records in Germany faced challenges during the COVID-19 pandemic, prompting the introduction of a COVID smartphone app with QR codes. However, this solution brought new challenges, emphasizing the need for a centrally managed European digital vaccination record for efficiency and validity. This study assesses the feasibility of using the HL7 FHIR standard in the healthcare industry for implementing a digital vaccination pass management and monitoring system. The system aims to offer convenience and improved efficiency for both patients and healthcare providers while promoting interoperability with other healthcare systems. To this end, we developed a prototype using modern technologies, such as React, Quarkus, and Keycloak. Results indicate potential benefits for patients and healthcare providers, offering access to immunization records, personalized recommendations, and streamlined management. However, integrating nuanced vaccination processes into the standardized FHIR system requires custom extensions, which might hinder interoperability. Manual data entry and the integration of an identity provider present further obstacles in industry scenarios. Despite these challenges, this study suggests that implementing HL7 FHIR can enhance efficiency, data accessibility, and accuracy in the vaccination process, supporting broader digitization efforts in the German healthcare system and beyond.