The Patient Data Protection Act (PDSG) has been in force since last Monday. This “law for the protection of electronic patient data in the telematics infrastructure” regulates a large number of things – from IT security in hospitals, which must be adhered to 2022, until the emergency data set of an insured person is created by the doctor. Many of these new regulations lead to changes elsewhere. Doctors are responsible for creating the emergency data record (NFD) from 20. October 2020 to 19. October 2021 specially remunerated, after that this should be routine work.

What is missing: In the rapid world of technology, there is often time to rearrange the many news and backgrounds. At the weekend we want to take it, follow the sidewalks away from the current, try different perspectives and make nuances audible.

Some regulations have implications for the insured themselves. For example, they should apply to the electronic prescription, the middle 2021 should come, get a new electronic health card (eGK) with NFC chip and a PIN letter to activate the card. With an APP and an NFC-enabled smartphone, they can then select the pharmacy in which the e-prescription is redeemed. Another app comes with the electronic patient record (EPR), which doctors fill with diagnoses and data from their practice management systems (PVS) from the beginning 2021 should. The EPR is patient-centered: insured persons have the option of deleting diagnoses or of concealing them (from the middle 2022) if they do not want certain doctors to see diagnoses , about the dentist pointing out a mental illness. As a kind of compensation, KIM is started, the secure “communication in medicine” that connects doctors, hospitals and health insurance companies.

First idea of ​​networking 1997 fizzled out With the arrival of the computer in Many years ago, doctors feared a “degenerate, diagnostic-therapeutic self-service shop” as the Spiegel im Jahr 1970 put it at the time. What they got were practice and hospital management systems (PVS / KVS) to manage the patients, combined with ever greater documentation requirements in the electronic medical record.

The idea of ​​networking all these individual systems and such Building something like health telematics can be dated to the year 1997 when the management consultant Roland Berger carried out the study Telematics in Health Care – Perspectives of Telemedicine in Germany (PDF file) published. The extremely optimistic report raved about the introduction of an electronic patient file in which all doctors save the medical data of an insured person across all systems and sign their findings with a key. The advance of Roland Berger on behalf of the Ministry of Research and the Ministry of Health fizzled out.

Digital medication plan and prescriptions The situation changed in the year 1997 when the problem with the so-called Lipobay scandal drug therapy safety (AMTS) was discussed. After deaths due to the use of two contraindicative drugs, the introduction of a mandatory medication pass for a