Overview

• From 1 October, providers must document diagnoses, treatments and medications in the ePA, while patients grant access at check‑in via the health card with a default 90‑day permission they can adjust.
• Gematik reports more than 93% of practices, dental offices and pharmacies are technically ready; about 61,600 of 98,500 practices were already participating, with roughly 22 million documents uploaded this year.
• Hospitals trail in integration, with industry groups expecting many facilities to reach routine, hospital‑wide use only in 2026, and some report slow uploads and intermittent outages.
• Active patient use remains low, with about 1.37–1.5 million logins among tens of millions of created records, though new video identity verification is intended to ease access.
• Authorities say data are encrypted and stored in Germany with access logging after fixes prompted by the Chaos Computer Club, and a next phase foresees pseudonymised research use with an opt‑out.