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Germany Mandates Use of Electronic Patient Records by Providers

Early outages with low patient engagement pose hurdles to the rollout.

Overview

  • From October 1, doctors, hospitals and pharmacies must record key diagnoses, findings and medication data in patients’ ePA files.
  • Insurers auto-created roughly 70 million records out of about 74 million statutory insured, yet only around 1.37 to 1.5 million people have actively unlocked their accounts.
  • Gematik reports over 93% of outpatient practices, dental offices and pharmacies are technically equipped, but many hospitals lack updates and broad hospital-wide use is expected to stretch into 2026.
  • Gematik warned on launch day of impairments tied to a fault in IBM’s record system affecting insured persons of several major funds.
  • Default access is granted for 90 days when patients insert their health card at reception, with finer controls available in insurer apps, as physicians cite early workflow issues and added workload.