[Electronic health records in Germany].
Electronic health records (EGA), as overall medical applications for the documentation of medical information under the guidance and sovereignty of the patient, change the traditional doctor-patient relationship. Unlike the electronic patient record (EPA), which the treating physician is in charge of, the patient has the sole right to decide who may insert which data into it and who may see his electronic health record (EGA). Thus, the patient's right of informational self-determination and his possibilities to get involved in the treatment process are substantially strengthened. The current situation of the EGA in Germany is described and the parallel development of EGA and EPA is discussed. The electronic health record acquires extensive significance, especially in line with the imminent introduction of the electronic health card on the basis of a standardised telematics infrastructure in Germany.
Deutsches Institut für medizinische Dokumentation und Information, Köln. warda@dimidi.de
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D003195:Computer Communication Networks / Q000458:organization & administration*; D016494:Computer Security; D003219:Confidentiality; D005858:Germany; D016247:Information Storage and Retrieval / Q000379:methods; D008490:Medical Informatics / Q000458:organization & administration; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D009313:National Health Programs / Q000458:organization & administration*; D010355:Patient Identification Systems / Q000379:methods* / Q000458:organization & administration*; D013685:Telecommunications / Q000458:organization & administration*; D017216:Telemedicine / Q000379:methods* / Q000458:organization & administration*; D014584:User-Computer Interface