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Germany's Electronic Patient Record Prepares for Nationwide Rollout

With over 70 million records created and a low opt-out rate, the system launches voluntarily on April 29, despite ongoing privacy concerns.

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Overview

  • The electronic patient record (ePA) will begin its voluntary nationwide phase on April 29, 2025, with mandatory provider use starting October 1.
  • Approximately five percent of statutory insured Germans, or several million people, have opted out, a figure much lower than the government’s initial 20 percent projection.
  • The ePA aims to centralize health data such as diagnoses, immunizations, and X-rays to improve care coordination and reduce redundant testing.
  • Critics warn of potential data misuse by tech and pharmaceutical companies, as well as risks of hacking or unintended disclosures of sensitive information.
  • A security flaw identified in December 2024 was resolved, with assurances from the Federal Office for Information Security, though concerns about system vulnerabilities persist.