Digitization vs. Data Privacy: The Electronic Health Card

Last updated:
05.12.2023
The ongoing digitalization of the healthcare sector, particularly regarding the handling of patient data on the electronic health card (eGK), raises important questions about data privacy in medicine.
Digitization vs. Data Privacy: The Electronic Health Card
Key Takeaways
  • The ongoing digitalization of the healthcare sector is raising data protection concerns regarding the electronic health card (eGK).
  • The eGK stores highly sensitive health data that is subject to special data protection measures.
  • Security precautions for the eGK include encryption and PIN-based access control.
  • The GDPR requires strict security measures for the processing of health data.
  • The future of data protection in healthcare remains a subject of debate due to the eGK and digitalization.

The introduction of the electronic health card took place a few years ago, but the project is still not complete – as its electronic functions raise significant data protection concerns. Storing sensitive health data on the eGK, as defined under Article 9 of the General Data Protection Regulation (GDPR), presents a challenge. We take a closer look at data protection in the medical sector and the significance of health data in the context of the GDPR.

Electronic Health Card: A Wealth of Sensitive Patient Data

The eGK was introduced to facilitate the exchange of information between doctors while simultaneously reducing costs for health insurance providers. The data stored on the card includes basic information such as name, address, and gender, but also highly sensitive health data, including health insurance details, electronic patient records, medical reports, diagnoses, treatment plans, and medication history.

This comprehensive collection of personal information raises the question of appropriate data protection in the medical field. This is especially true since it became known that new guidelines and laws for electronic workflows in administration, and particularly among doctors, are increasingly leading to problems. In extreme cases, digitalization even leads to the closure of practices.

Data Protection in the Healthcare Sector

In the healthcare and nursing industry, there is more to consider regarding data protection than in other sectors. This is primarily because work here involves sensitive data such as health information. We specialize in providing data protection consulting for this industry.

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Data Protection Measures on the Electronic Health Card

To ensure data protection in the medical field, the eGK is equipped with security measures such as photographs and the telematics infrastructure. The encrypted data is decrypted on-site using a card reader, which requires a PIN. These measures are intended to ensure that only authorized persons can access sensitive health data. However, the widespread availability of these security measures has not yet been achieved. The Federal Ministry of Health explains that the goal of all these measures is "to improve the quality of medical care and strengthen the role of patients." In addition, the eGK is intended to help "improve the efficiency, quality, and transparency of care."

Health Data and Data Protection under the GDPR

Under the GDPR, health data is considered particularly worthy of protection. The processing of such data stored on the eGK therefore requires special security precautions. Data protection advocates emphasize the importance of informational self-determination and question whether it is necessary for all doctors to have unrestricted access to all of a patient's health data. This discourse is reflected in the debate surrounding the "transparent patient" and raises questions about the use of data to monitor doctors and patients.

Outlook on the Future of Data Protection in Healthcare

Despite controversial opinions on the electronic health card, work continues on its nationwide implementation. Data protection in the medical sector and the security of health data will be decisive factors in this process. It remains to be seen whether the eGK represents an innovative modernization of the healthcare system, as proponents claim, or whether data protection concerns will continue to take center stage. Developments in this area will significantly influence the future of data protection in healthcare.

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Alexander Ingelheim
Co-Founder & CEO
Alexander Ingelheim is Co-founder and CEO of Proliance. His driving force from day one has been to support companies with the hurdles and challenges of data protection and GDPR. He brings extensive experience from his work in international consulting, including positions at Bregal Unternehmerkapital GmbH and McKinsey & Company. He is also a certified Data Protection Officer (TÜV & DEKRA).
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Proliance stands for Professional Compliance for businesses. We are a digitally driven Legal Tech company based in Munich, established in 2017 and now with over 90 privacy enthusiasts. Our more than 2,500 clients include start-ups, medium-sized businesses, and corporate groups from almost all industries.
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