Overview

• Doctors, clinics and pharmacies must now enter diagnoses, treatments and medications into each insured person’s ePA, with access typically granted for 90 days when the health card is read.
• Gematik reports more than 93% of practices, dental offices and pharmacies equipped, with 61,600 practices participating and about 22 million documents uploaded this year.
• Actual patient use remains limited, with roughly 1.3–1.5 million logins across major insurers, though activation has been eased via video identification.
• Early feedback notes benefits like fewer duplicate tests alongside software glitches, upload delays and uneven hospital readiness, with many clinics expected to go live broadly in 2026.
• Authorities cite end-to-end encryption, in-country storage and added safeguards after hacker warnings, and a planned expansion would make pseudonymized data available for research unless individuals opt out.