Almost 40,000 electronic medical notes have been issued to students in the first 15 days of the school year. The total number of doctors who have issued electronic documents to excuse students' absences for medical reasons has exceeded 3,300. On average, more than 5,000 medical notes are generated per day, according to the Ministry of Electronic Governance. These figures reflect the so-called grace period, during which students from grades I to XII could have their absences excused with a paper document for medical reasons. As of today, October 1st, medical notes are issued only electronically.

After conducting a physical examination, the general practitioner or medical personnel from outpatient or inpatient care registers the electronic note into the National Health Information System. At the moment of issuing the electronic medical note, its data is entered into the National Electronic Information System for Pre-school and School Education, from where it is automatically transmitted to the electronic book reports to excuse the absences of the student. No additional administrative actions are required, and there is no need to print and store the note on paper. The information that reaches the schools is solely for excusing absences and does not contain specific medical or other personal information. This ensures the confidentiality and protection of medical and personal data. The new functionality eliminates the possibility of abuse and the issuance of "fake" notes, thus avoiding the risk of unauthorized access to personal health information.

The transition to fully electronic medical excuse notes for students is part of the implementation of the third phase of the National Health Information System, with the additional functionality developed by Information Services. By the end of the year, other important documents are also expected to be digitized, such as the medical certificate for marriage, the health certificate for drivers/candidates for obtaining a driving license, the medical certificate for work, and the personal health record.