AI translation of the German original. Legal references and sources remain those of the original document. German version.
¶ EPD and E-GD – What Is to Change
Language versions: Deutsch · Français · Italiano · English · Rumantsch
¶ Comparison with Clearly Identified Versions
| Area | Current EPD | Proposed E-GD |
|---|---|---|
| Opening | Active application and consent | In principle automatic opening with right to object |
| Participation of healthcare professionals | Inpatient facilities and newly licensed practices obliged; further participation partly voluntary | Broader obligation for healthcare providers covered by health, accident, disability and military insurance |
| Technical organisation | Several certified communities and platforms | Uniform information system for which the federal government is responsible |
| Support structure | Various anchor communities | Federal Council draft: communities; National Council: a single national community designated by the cantons |
| Data | Cross-organisational treatment-relevant documents; structured formats partly available | Documents and more strongly standardised structured information |
| Primary medical documentation | Remains in practice and hospital | Is likewise not fully replaced by the dossier |
Sources: Current EPD · Mandatory connection requirement and reform overview · Federal Council model · National Council decision, Art. 30 · Technical aspects
¶ Keeping Three Decisions Separate
Editorial orientation: The automatic creation of an account, the recording of medical information and the reading of that information are different processes. The existence of a dossier implies neither a treatment obligation for its holder nor a general right of access for all doctors, insurers or authorities.
The intended rights are explained under Data Access. The opt-out page explains the initial process. National Council amendments are set out under Message and Parliamentary Decision.
¶ A New Name Is Not Evidence of Benefit
The effect of the reform must be assessed after introduction. The comparison "old voluntary system versus new automatic system" is not sufficient for that purpose: it would also need to take into account usability, connection costs, data protection, data quality and medical information gain. Implementation Review Points