ePA-Integration und elektronische Dokumentationspflichten (2025 Digital Health Act)
Definition
The 2024 Digitalgesetz (Digital Act) mandates ePA creation by 14 January 2025 for all publicly insured members. ePA contains patient summary, discharge letters, lab results, and emergency data. Hospitals must be able to write/read ePA during admission and discharge. Non-integration creates documentation gaps and violates GDPR audit expectations. The new 2025 Hospital Reform also links flat-fee reimbursement (replacing DRG) to care coordination and data sharing—hospitals without ePA integration are seen as non-compliant with modern care pathways.
Key Findings
- Financial Impact: €10,000–€50,000 per hospital for ePA system integration; €0–€100,000+ in opportunity cost if lost reimbursement incentives/quality metrics
- Frequency: One-time integration (Jan 2025 deadline); ongoing annual compliance maintenance
- Root Cause: Legacy hospital admission systems not designed for ePA interoperability; lack of HL7/FHIR standards compliance; no standardized API to Gematik infrastructure; integration friction with DATEV billing modules
Why This Matters
This pain point represents a significant opportunity for B2B solutions targeting Hospitals.
Affected Stakeholders
Hospital IT Directors, Chief Medical Information Officers, Compliance Officers, Discharge Coordinators, Billing/Reimbursement Teams
Deep Analysis (Premium)
Financial Impact
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Current Workarounds
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Methodology & Sources
Data collected via OSINT from regulatory filings, industry audits, and verified case studies.
Evidence Sources:
Related Business Risks
Datenschutzviolationen bei der Patientenaufnahme (DSGVO-Verstöße)
Verzögerter Leistungsgruppen-Nachweis und DRG-Abrechnungsfähigkeit
Fehlende Versicherungsverifikation und Abrechnungsverluste
Manuelle Patientenaufnahme und Zeitverschwendung bei der Datenerfassung
Mangelnde Echtzeit-Datenvisibilität bei der Leistungsgruppen-Planung und Kapazitätsallokation
Verpasste OPS-Codes und DRG-Unterabrechnung
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