After the first testing phase in about 300 practices in Hamburg, Frankonia and North Rhine-Westphalia, the electronic patient file (EPA) will actually begin on 29th, as Health Minister Carl Looterback, despite other expert opinions, consider it safe. For the beginning, at least large software providers are prepared, as asked by Medical Services Services (AEND). However, it can still take a time before all practices and pharmacies are equipped with EPA modules, related updates are installed and doctors and practice staff have introduced themselves to new procedures. It was indicated by the participants.
Health insurance companies already invested EPA files for all insured persons who had not objected to the beginning of the year. “After successful testing, EPA can be used for all from April 29, 2025 by practices, hospitals and pharmacies”, It tells the Ministry of Federal HealthIf you want to test your EPA app, or front of the insured person, you need a healthide that can be made with an ID card or electronic health card. Apart from the EPA app, an app is also required for some providers for Healthid. On the app, the insured may also object to the regular settings of billing data by health insurance companies.
Sometimes there are technical problems, which can be caused by various factors, for example due to a disorder in the health ID. Partly in the WhatsApp channel of gametic Or in T-district portal Informed This may appear more with further rollouts of the EPA, as for example, the case with e-rap. Especially at the beginning of further rollouts, only a few insured people will meet doctors who can load the documents to the EPA or edit them. Pharmacies will also take time to access EPA and data from electronic medicine list.
IT according to Federal Association of Health (BVITG) So far, “sometimes there are technical problems that are usually caused by the system configuration of network architecture and features”. From 1 October, the use of EPA should be mandatory for doctors; Restrictions are planned in early 2026. “Crucial and initially voluntary introduction is the right way to enable EPA-Taiyar practices,” the Board Member of National Association of Legislative Health Insurance Physicians. Sibel Steiner says.
“Many testing practices are able to work with EPA only since March, that is, fill them and fill them. Experience with their performance and purpose in everyday practice is very low. However, we need information whether the EPA can be brought into care.

Big manufacturers are ready
Practical management systems “Turbomede”, “Medistar”, “Albis”, “M1 Pro” and “Data Vital” Compugroup Medical (CGM) are ready to be used on the start date, ” Aend reportedIn most cases, a software update was already rolled out. Already rolled but the passive EPA module will be re -activated in Duria at good time. According to AEnd information, the EPA module is also strongly integrated for other practical management systems, such as T2Med or Tomedo. Gematik’s TI score is no longer indicated by the EPA module.
According to Managing Director Jens Naaman, the tests were “stable and useful” for Medatixx. He recommendsNow to actively test EPA. In the TI score of The Gemptix, there is no information about EPAs currently (till 25 April, 2025, 11:49 pm). However, it is not clear whether all the practice management systems currently available on the market are especially less common systems-less common systems have EPA modules. More than a year ago, Health Minister Carl Looterback said that doctors had to replace PVS for a job EPA.
Bundweiter starts premature
Manual Hoffman from German Edshilf explains, “EPA’s nationwide start is prematurely, as technical safety intervals are not clear and verified. For patients, a beginning is without a compulsory participation for medical features in the beginning: You cannot know if the concerned practice can already reach the EPA,” German Edshilf is the manual Hofman. With the electronic drug lists and automatically invited billing data to the EPA, sensitive diagnosis is potentially visible, “Hofman said. Among other things, Aidshilfe informs about this on its website,
“In general, as a German Aidshilfe, we will continue to look at the introductory process carefully,” Hofman said. Pediatricians also warned in advance that information in EPA could probably endanger the best interests of the child. Therefore, a new guideline was recently published for better security. The Lower Saxony Medical Association recently spoke against the resolution of objection in children.
(Mac)
