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Germany’s Electronic Patient Record Becomes Mandatory Oct. 1 With Few Users and Readiness Gaps

Low uptake alongside incomplete practice readiness raises doubts about a smooth rollout.

Overview

  • From October 1, doctors and clinics must populate the ePA after insurers auto-created tens of millions of records through an opt-out rollout.
  • About 1.5 million insured people—roughly 3 percent—have activated access via their insurer apps despite roughly 50 million records at TK, Barmer, DAK and the AOKs.
  • The KBV reports that around one fifth of practices still cannot work with the system because required software modules and infrastructure are not fully in place.
  • Insurers expect the provider obligation to lift engagement, yet onboarding remains cumbersome, though video identification has been allowed since August to simplify registration.
  • No immediate sanctions apply for non-use starting in October, and the ePA is designed to consolidate findings, lab values and medication data to improve care and reduce duplicate tests.