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Germany Launches Nationwide Rollout of Electronic Patient Records

The opt-out system, now in a voluntary phase, consolidates health data for 75 million citizens ahead of mandatory use starting October 1, 2025.

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Overview

  • The electronic patient file (ePA) system began its nationwide rollout on April 29, 2025, following a successful pilot in three regions earlier this year.
  • The ePA automatically creates centralized health records for all statutory insured citizens unless they actively opt out, with 75 million records already established.
  • Patients can manage access rights via insurer-specific apps, requiring an NFC-enabled smartphone, a compatible health card, and a PIN for registration.
  • Healthcare providers can voluntarily use the system during the current soft-start phase, with mandatory adoption for all providers from October 1, 2025.
  • The ePA aims to improve care coordination by consolidating health data like doctor letters, prescriptions, and imaging, while offering robust security measures and detailed access logging.