Overview

• Germany's electronic patient record (ePA) system will be available nationwide starting April 29, with mandatory use by healthcare providers set for October 2025.
• The system has already seen 70 million records created since January, representing nearly all statutory health-insured individuals in the country.
• Objection rates average just over 5%, significantly lower than the federal government's initial forecast of 20%, with variations by insurer ranging from 2% to 9%.
• Patients can manage data access through an app or health card and may object to the ePA's creation or specific uses, such as research data sharing, at any time.
• The rollout follows pilot testing that informed security measures, though debates over data privacy and system functionality continue among experts.