In Germany, the public health insurance provider manage of the ePatient file ( ePA) application delivery. MobiHealthNews asked Sandra Hoyer, ePA work manager at one of Germany’s main insurance coverage companies, Techniker Krankenkasse (TK), specifically just how the implementation works – in addition to simply exactly how it has really been used so far.

Q. The payers supervise of using the across the country ePA in Germany. Simply exactly how does that work?

Currently we offer an ePA application. Because 2022, there will definitely in addition be a non-web-based home computer variant. The just mobile technique currently guarantees us risk-free and also safe and secure access to the ePA because it allows us to establish ID systems with the required safety and security and also safety demands.

As a clinical insurance coverage fund in Germany, we have really been legally called for to provide the ePA by 1 January 2021 in addition to to make it conveniently offered to the ensured. Essential efficiencies in addition to structure have really been specified by gematik in addition to are mostly predefined.

We perform the ePA through a mobile application that maintains Android as well as additionally apple iphone. Access to our ePA ‘TK-Safe’ is through the option application, the TK application. Consequently, the ePA is not a various application. Surefire people do not call for a variety of applications, nonetheless can access all remedies through one application. Anybody that clicks the ‘TK-Safe’ function in the TK application is called for to their ePA.

As a friend of TK, IBM created the entire backend records system according to gematik demands. We produced the frontend ourselves – to place it just, the application interface that the customer sees.

Q. Simply exactly how have TK insurance plan owners been using the ePA so far?

TK presently started 2 years ago with the electronic health file (eGA) under the name ‘TK-Safe’ – throughout that time still on a different legal basis. At the turn of the year, when the change from eGA to ePA took place, 280,000 of our overall of 10.8 million ensured were using eGA. These can presently switch to the ePA.

90,000 TK customers have really been using the ePA due to the fact that its launch on 1 January 2021.

Q. What are the challenges of developing the ePA application?

Since ensured people can maintain their fragile health details in the electronic specific records, the ePA requires to be specifically secured. Suitably, registering for the ePA requires far more activities than people recognize with from commercial applications. One activity, as an example, is confirmation using the recognition card. TK takes advantage of a Robo-Ident system to make certain that ensured people do not require to visit the customer suggesting option as well as additionally can experience the confirmation treatment entirely digitally. By doing this, we had the capacity to enable our insured people to see to the ePA additionally throughout the lockdown as well as additionally closed customer visits.

Q. Can the ePA presently be used in technique?

Yes, it has really been launched. The ePA has really been presented as a meant MVP (Minimum Feasible Product). This shows that the ePA is initially presented as a basic variant in addition to the attributes are gradually ended up. The core benefit of the ePA is the exchange of details in between the insured as well as additionally physician.

On the side of the supplier, nonetheless, risk-free and also safe and secure access must be guaranteed. The ports with which the business are connected to the telematics centers to trade information with the ePA do not yet have last ePA consent. For this, they must pass a location exam.

After that will definitely the second facet will definitely be completely satisfied – that physician are not simply almost, yet in addition legally able to select the details move right into a customer’s ePA. After the location exams, supplier will definitely similarly have the capacity to pack the ePA in method from 1 July 2021, as well as additionally at the existing, best into the 3rd to fourth quarter of 2021.

For us, it was enormously important to have the ability to utilize our ensured a filled out records as well as additionally great deals of helpful attributes presently at the start of the ePA essential variant. That is why we at TK integrated self-management attributes such as preventative therapy in addition to shot tips, medication regimens as well as additionally invoicing details right into TK-Safe right from the get go. This shows that ensured people have numerous helpful attributes in their information, although that they can not yet share their details with their physician.

Q. What can Germans make with the health and wellness and also health details within their ePA?

Utilizing the ePA is volunteer. The person can authorize access to authorisations for particular experts as well as additionally limit them to one day as long as 540 days. The insured can share their data from their specific area to ensure that physician could view them. From adhering to year, they will definitely have the capacity to develop which doctor has access to every document.

Q. What lessons learnt can you pass on to different other countries?

In idea, it is suggested to trust around the world standardisation, similarly when it concerned arranged details in the ePA in the future. The variety of special crucial systems is a challenge. We can observe that especially for the joined doctors yet similarly for the university hospital rather. Several system manufacturers are not naturally motivated to provide such required interoperability.

Sandra Hoyer is the work manager accountable of the production in addition to plan of the ePA in the therapy management of Techniker Krankenkasse (TK).

MobiHealthNews is a HIMSS Media publication.