Which information comes on the electronic health card
As of January 1, 2014, the time has come: the electronic health card (eGK) will become mandatory. Only personal data should be stored on the card without further approval. However, the eGK is designed so that highly sensitive patient data could also be recorded in the future.
Years of delays The electronic health card (eGK) was to replace the health insurance card (KVK) that had been in force since 1995. Technical problems as well as fundamental discussions about necessity and data security delayed the introduction for years. Now it should be the first of January 2014 and the old KVK loses its validity. The data protection concerns about the new card have been an issue since its planned introduction.
Interference with the right to self-determination must be accepted. This also applies to an insured person from Berlin who has submitted an application for legal protection to oblige his health insurance company to provide him with a certificate of his insurance cover that he can use instead of the eGK. He justified this among other things with the public criticism of the card and that he did not want to use the "biometric health cards". But he was defeated legally and the social court justified his decision with the words: "The general interest in the presentation of the photo and the storage of the data outweigh the individual interest of the applicant. The associated interference in the right to informational self-determination must be accepted. The mandatory personal data do not affect the personal or sensitive circumstances of the insured. "
Initially only master data on the card The eGK should simplify the exchange of medical and patient data in the future. However, many functions are still in the planning phase and will not be available in early 2014. Initially, only the insured person's master data, such as name, address, date of birth, insurance status and co-payment status, are saved on the card. In the future, however, additional information such as electronic patient files, organ donation declarations, emergency data and electronic prescriptions could be stored on the microprocessor. According to the Federal Ministry of Health, this information must be stored in encrypted form and protected against unauthorized access. In addition, except for electronic prescriptions, all other information is voluntary.
Data according to the Social Security Code According to the Social Security Code, the electronic health card must be able to record information about medical data as far as it is necessary for emergency care. In addition, findings, diagnoses, therapy recommendations and treatment reports must be saved in electronic and machine-usable form for cross-facility, case-related cooperation (electronic doctor's letter). In addition, data on the testing of drug therapy safety and on findings, diagnoses, therapeutic measures, treatment reports and vaccinations for a case and institution-wide documentation about the patient (electronic patient file).
Bad experiences in Austria The example in Austria shows what can go wrong with the introduction of the electronic health card. A few years ago the reading system there completely failed and the doctors had to write down their patients' billing data by hand. At the time, a representative of the main social insurance association was quoted in press reports as saying: "We have a so-called super meltdown." A medical representative described the Austrian eCard as "a disaster". As the ORF reported, the card would have incorrectly displayed the status "uninsured" in numerous patients. (ad)