In future, insured persons in Germany could have their personal emergency data stored on their health card if they so wish. This option has been provided for by the legislator. If an emergency actually occurs, an emergency doctor, for example, could immediately read out data relevant to emergency medicine, such as the injured person's previous illnesses and possible allergies. The "Gesellschaft für Telematikanwendungen der Gesundheitskarte mbH" ("gematik") commissioned the IZT to conduct a risk analysis of those processes that are emerging when handling emergency data. 30 acute and emergency physicians agreed to contribute their know-how and to submit their risk assessments; the IZT chose the new survey method Real-Time Delphi as the instrument. What effect might gaps in the data have? And how do errors in data collection affect the results? gematik" published the risk analysis.

The Social Code Book V and here especially § 291a ff. regulates the introduction of the electronic health card (eGK) and the development of the telematics infrastructure - as well as, among other things, the topic of emergency data management (NFDM) as one of the first specialised medical applications of the eGK. The development of NFDM is in the hands of "gematik" - Gesellschaft für Telematikanwendungen der Gesundheitskarte mbH (our client) - and the German Medical Association as the leading partner.

With the introduction of the NFDM, doctors (typically a general practitioner, possibly also specialists or hospital doctors) will be able to record emergency data at the request of their patient and store it on the chip of the electronic health cards - and doctors in emergency care or the emergency services will be able to view this information via their card reader. Until then, however, a whole series of technical prerequisites must be created in health care facilities (e.g. surgeries, hospitals). gematik" is currently preparing the testing of NFDM.

In future, patients will be able to have two separate data records stored on the eGK via the - voluntary - NFDM application:

  1. Emergency-relevant medical information (emergency data set, abbreviated: NFD)
  2. Information on the storage location of insured persons' declarations of intent (data set Personal Declarations, in short: DPE).

With the risk analysis, a theoretical analysis of the future NFDM specialist application and the processes associated with and influenced by it for the care of patients in emergency situations was carried out. On this basis, any existing medical risks associated with the use of the NFDM specialist application in emergency care were assessed and described with the help of medical expertise. Furthermore, it was determined whether and, if so, which medical risks should be examined more closely and with which measures within the framework of the testing and evaluation of the NFDM specialist application. As a result, it was possible to estimate the period of time and the quantity structures to be used for risk monitoring.