"The ePA is currently nothing more than a jumble of documents." (heise.de)

• Current ePA functions as a static file repository rather than an integrated system.
• Lack of semantic data limits clinical decision support.
• Significant administrative overhead persists despite digitization efforts.

"The current implementation of the electronic patient record (ePA) is being criticized as a disorganized repository rather than a functional diagnostic tool. Within the primary care framework, physicians report that the ePA lacks the structural data integration necessary to support clinical decision-making. By operating primarily as a storage vault for unstructured files, the system fails to reduce the administrative burden on doctors, falling short of its goal to modernize patient care through genuine digital interoperability."