The German Bundestag passed a new law (GeDIG) concerning electronic patient records and data usage. This advances the standard technical infrastructure for sharing clinical information, but securing public trust regarding data usage remains the primary challenge.
In Germany, multiple institutional frameworks (such as ISiK and MIOs), led by bodies like gematik and KBV, are advancing FHIR R4 adoption. This is now compounded by the EU's EHDS regulation, creating a complex interplay between national laws and international interoperability requirements.
Based on the new Digital Health Act (GeDIG), the German government plans to evolve the electronic patient record (ePA) into a central 'Health Hub'. This aims to improve national data linkage and user convenience by utilizing unified data standards like FHIR.
In the hospital IT industry, high-cost interfaces are obstructing data exchange and digitalization. This is presented not merely as a technical issue but as a market barrier.
InterSystems is modernizing the IT infrastructure of DR. FONTHEIM by replacing its existing Mirth-Connect environment with InterSystems Health Connect. This upgrade aims to enhance security and availability, establishing a foundation for future digitalization projects.
Starting in 2026, all legally insured individuals in Germany will automatically receive an electronic patient record (ePA). This transition replaces the previous voluntary registration with an opt-out system, advancing digitalization.
Driven by hospital digitalization mandates and federal funding (KHZG), the German patient referral tracking system market is projected to grow at an annual rate of 8–12% through 2035. Interoperability, particularly integration with ePA and FHIR-compliant APIs, has become a critical requirement.
Germany is advancing the construction of a data-driven healthcare system based on the European Health Data Space (EHDS) and EU AI regulations. It aims to standardize and securely share data through the introduction of electronic patient records (ePA) and national data centers.
The DGBMT (German Society for Biomedical Engineering) recommends that hospitals leverage their purchasing power to establish 'interoperability' as a mandatory criterion when procuring medical technology and IT systems. This change can be achieved by integrating it into the procurement process itself, rather than solely relying on new legislation.
The German Association for Biomedical Engineering (VDE DGBMT) has called for the mandatory inclusion of 'interoperability' as a core procurement criterion when purchasing medical technology. The paper suggests that hospitals can leverage their market power and existing international standards to enforce compliance without needing new legislation.
The Medical Informatics Initiative (MII) conducted a large-scale, distributed analysis using data from various university hospitals to detect risks associated with polypharmacy. Researchers developed an ETL pipeline based on HL7 FHIR standards and employed decentralized statistical methods to integrate and analyze vast clinical datasets from multiple institutions.
Certified centers are significantly improving post-fall care by closely integrating orthopedic surgery and geriatrics. Simultaneously, digital follow-up workflows are enabling the seamless transfer of hospital inquiries into nursing CRM processes.
Jameda and T2med have jointly developed a FHIR-based interface. This allows documentation generated by Noa Notes (AI) to be directly integrated into the structured patient records of T2med, aiming to improve workflow efficiency in clinical settings.
The company provides interoperability and system integration for medical software using standards like FHIR and HL7 v2. Services cover the entire process, from requirements analysis and architecture design to API development and legacy data migration.
The Medizininformatik-Initiative (MII) has developed the 'Document' core dataset module, which structures clinical free texts—such as discharge summaries—making them usable for research across institutions. This is based on HL7 FHIR's Resource DocumentReference and aims to promote academic use within Germany.
The FHIR-native backend, Fire Arrow, supports compliance with Germany’s Digital Healthcare Act (DiGA). It excels by meeting strict security and interoperability requirements demanded by the BfArM, particularly regarding authentication, authorization, and adherence to domestic profiles like ISiK/KBV.
Meierhofer and Tiplu announced a strategic partnership at DMEA 2026. This collaboration aims to utilize clinical data and provide advanced decision support to medical staff, thereby improving hospital efficiency and care quality.
ID et al. propose building a Clinical Data Repository (CDR) based on the FHIR® standard to eliminate data silos in hospitals. This enables centralized management of patient data, allowing for viewing across entire treatment paths and even across institutional boundaries.