{"id":3412,"date":"2025-11-10T06:16:50","date_gmt":"2025-11-10T06:16:50","guid":{"rendered":"https:\/\/www.markus-schall.de\/?p=3412"},"modified":"2026-04-12T15:40:24","modified_gmt":"2026-04-12T15:40:24","slug":"elektroni%cc%87k-hasta-kaydi-epa-fact-check-ri%cc%87skler-haklar-ve-i%cc%87ti%cc%87razlar","status":"publish","type":"post","link":"https:\/\/www.markus-schall.de\/tr\/2025\/11\/elektroni%cc%87k-hasta-kaydi-epa-fact-check-ri%cc%87skler-haklar-ve-i%cc%87ti%cc%87razlar\/","title":{"rendered":"Elektronik hasta dosyas\u0131na (EPR) ili\u015fkin ger\u00e7eklerin kontrol\u00fc: riskler, haklar ve itirazlar"},"content":{"rendered":"<p>Elektronik hasta dosyas\u0131 ya da k\u0131saca ePA, Alman sa\u011fl\u0131k sistemindeki en iddial\u0131 dijitalle\u015ftirme projelerinden biridir. Bulgular ve laboratuvar sonu\u00e7lar\u0131ndan ila\u00e7 planlar\u0131na, a\u015f\u0131lara ve hastane raporlar\u0131na kadar t\u0131bbi bilgilerin merkezile\u015ftirilmesi ama\u00e7lan\u0131yor. Doktorlar, terapistler, eczaneler ve hastalar aras\u0131nda daha iyi bir a\u011f kurulmas\u0131, m\u00fckerrer muayenelerin \u00f6nlenmesi ve tedavi kalitesinin art\u0131r\u0131lmas\u0131 hedefleniyor.<\/p>\n<p>K\u00e2\u011f\u0131t \u00fczerinde modern ve verimli g\u00f6r\u00fcnen bu uygulama, pratikte pek \u00e7ok soruyu beraberinde getirmektedir: Kimin eri\u015fimi var? Veriler ne kadar g\u00fcvenli? Ve hepsinden \u00f6nemlisi: Ben istememi\u015f olsam bile t\u00fcm sa\u011fl\u0131k bilgilerimin merkezi olarak depolanmas\u0131n\u0131 ve eri\u015filebilir olmas\u0131n\u0131 istiyor muyum?<!--more--><\/p>\n<p>Ben \u015fahsen EPO'nun otomatik olarak kurulmas\u0131na kar\u015f\u0131 \u00e7\u0131kt\u0131m ve itiraz hakk\u0131m\u0131 kulland\u0131m. Nedenini bu makalede a\u00e7\u0131kl\u0131yorum. Ancak ele\u015ftirilere ge\u00e7meden \u00f6nce ge\u00e7mi\u015fe bir g\u00f6z atmakta fayda var: Elektronik hasta dosyas\u0131 ilk etapta nas\u0131l ortaya \u00e7\u0131kt\u0131? Bunu kim planlad\u0131? Kim ileriye g\u00f6t\u00fcr\u00fcyor? Ve son y\u0131llarda yasal \u00e7er\u00e7eve nas\u0131l de\u011fi\u015fti?<\/p>\n<hr \/>\n<h2>Elektronik hasta dosyas\u0131 ile ilgili son haberler<\/h2>\n<p><strong>12.04.2026<\/strong>Siyasi bask\u0131lara ve teknik uygulamalara ra\u011fmen elektronik hasta dosyas\u0131 (ePA) ancak yava\u015f yava\u015f hayata ge\u00e7iriliyor. Techniker Krankenkasse'nin g\u00fcncel rakamlar\u0131 sadece <a href=\"https:\/\/www.zm-online.de\/news\/detail\/nur-acht-prozent-der-tk-versicherten-nutzen-die-epa\" target=\"_blank\" rel=\"noopener\"><strong>sigortal\u0131lar\u0131n yakla\u015f\u0131k y\u00fczde sekizi ePA'y\u0131 aktif olarak kullanmaktad\u0131r<\/strong><\/a> - Bu da yakla\u015f\u0131k bir milyon ki\u015fiye tekab\u00fcl etmektedir. Ayn\u0131 zamanda, ePA'n\u0131n bir\u00e7ok i\u015flevinin, \u00f6rne\u011fin otomatik olarak kaydedilen bulgular veya re\u00e7eteler gibi, aktif kullan\u0131m olmadan da arka planda \u00e7al\u0131\u015ft\u0131\u011f\u0131 vurgulanmaktad\u0131r. Bununla birlikte, aktif kullan\u0131m seviyesinin d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc a\u00e7\u0131k bir i\u015faret olmaya devam etmektedir: altyap\u0131 halihaz\u0131rda \u00fclke \u00e7ap\u0131nda yayg\u0131nla\u015ft\u0131r\u0131lm\u0131\u015f olsa da, halk aras\u0131nda kabul hala s\u0131n\u0131rl\u0131d\u0131r.<\/p>\n<div class=\"lyte-wrapper\" style=\"width:640px;max-width:100%;margin:5px;\"><div class=\"lyMe\" id=\"WYL_wetlmtUm0RY\"><div id=\"lyte_wetlmtUm0RY\" data-src=\"https:\/\/www.markus-schall.de\/wp-content\/plugins\/wp-youtube-lyte\/lyteCache.php?origThumbUrl=%2F%2Fi.ytimg.com%2Fvi%2FwetlmtUm0RY%2Fhqdefault.jpg\" class=\"pL\"><div class=\"tC\"><div class=\"tT\"><\/div><\/div><div class=\"play\"><\/div><div class=\"ctrl\"><div class=\"Lctrl\"><\/div><div class=\"Rctrl\"><\/div><\/div><\/div><noscript><a href=\"https:\/\/youtu.be\/wetlmtUm0RY\" rel=\"nofollow noopener\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.markus-schall.de\/wp-content\/plugins\/wp-youtube-lyte\/lyteCache.php?origThumbUrl=https%3A%2F%2Fi.ytimg.com%2Fvi%2FwetlmtUm0RY%2F0.jpg\" alt=\"YouTube video k\u00fc\u00e7\u00fck resmi\" width=\"640\" height=\"340\" \/><br \/>Bu videoyu YouTube'da izleyin<\/a><\/noscript><\/div><\/div><div class=\"lL\" style=\"max-width:100%;width:640px;margin:5px;\"><\/div><br \/>\n39C3: Elektronik hasta dosyas\u0131 (ePA) ile ilgili sorunlar g\u00fcvenlik ara\u015ft\u0131rmac\u0131s\u0131 Bianca Kastl taraf\u0131ndan a\u00e7\u0131kland\u0131 | <a href=\"https:\/\/www.youtube.com\/@heise-ct\" target=\"_blank\" rel=\"nofollow noopener\">heise &amp; c't<\/a><\/p>\n<p>Bu \u00e7er\u00e7evede, BT g\u00fcvenlik uzmanlar\u0131ndan gelen ele\u015ftiriler a\u011f\u0131rl\u0131k kazanmaya devam ediyor. G\u00fcvenlik ara\u015ft\u0131rmac\u0131s\u0131 Bianca Kastl yak\u0131n tarihli bir makalesinde ePA'n\u0131n \u00f6zellikle kimlik y\u00f6netimi, \u015feffafl\u0131k ve kurumsal sorumluluk a\u00e7\u0131s\u0131ndan temel zay\u0131fl\u0131klar\u0131n\u0131 a\u00e7\u0131kl\u0131yor. Temel ele\u015ftiri: yap\u0131sal sorunlar basit\u00e7e geriye d\u00f6n\u00fck olarak \u201eonar\u0131lamaz\u201c, ancak sistemin derinliklerine k\u00f6k salm\u0131\u015ft\u0131r. D\u00fc\u015f\u00fck kullan\u0131mla birlikte bu durum temel bir soruyu g\u00fcndeme getirmektedir: burada teknik olarak var olan ancak ger\u00e7ekte ne yeterince kullan\u0131lan ne de tam olarak anla\u015f\u0131lan bir sistem mi kurulmaktad\u0131r? A\u015fa\u011f\u0131daki video tam da bu \u00e7eli\u015fkiyi vurgulamaktad\u0131r.<\/p>\n<p><strong>21.01.2026<\/strong>: Psikolojik ve terap\u00f6tik meslek \u00f6rg\u00fctleri <a href=\"https:\/\/www.heise.de\/news\/Psychologische-und-therapeutische-Verbaende-fordern-besseren-Schutz-der-ePA-Daten-11147250.html\" target=\"_blank\" rel=\"noopener\"><strong>s\u0131n\u0131r \u00f6tesi eri\u015fime kar\u015f\u0131 uyar\u0131yor<\/strong><\/a> AB Kan\u0131t Y\u00f6netmeli\u011fi'nin bir par\u00e7as\u0131 olarak elektronik hasta kay\u0131tlar\u0131ndaki (EPR) hassas sa\u011fl\u0131k verilerine eri\u015fim. Alman Psikoterapistler A\u011f\u0131 (DPNW) ve Alman Psikologlar Meslek Birli\u011fi'ne (BDP) g\u00f6re, planlanan ulusal uygulama, di\u011fer AB \u00fclkelerinden yetkililerin EPR verilerini talep etmesine izin verebilir - s\u00f6z konusu ger\u00e7ekler Alman yasalar\u0131na g\u00f6re cezaland\u0131r\u0131lmasa bile. Bu nedenle dernekler, t\u0131bbi gizlili\u011fin ve ki\u015fisel verilerin korunmas\u0131n\u0131n sa\u011flanmas\u0131 ve \u00f6zellikle hassas sa\u011fl\u0131k verileri i\u00e7in \u201eg\u00f6zlemden muaf b\u00f6lge\u201c olu\u015fturulmas\u0131 amac\u0131yla yasada iyile\u015ftirmeler yap\u0131lmas\u0131 \u00e7a\u011fr\u0131s\u0131nda bulunuyor. Ele\u015ftiri noktalar\u0131 aras\u0131nda \u015fu anda belirsiz olan yasal durum ve gizli t\u0131bbi bilgilerin yeterli koruma olmaks\u0131z\u0131n aktar\u0131labilece\u011fi riski yer al\u0131yor.<\/p>\n<p><strong>03.11.2025<\/strong>: WELT'e g\u00f6re, her ge\u00e7en g\u00fcn daha fazla hasta elektronik hasta dosyas\u0131n\u0131n (ePA) faydalar\u0131n\u0131 ke\u015ffediyor <a href=\"https:\/\/www.welt.de\/vermischtes\/article68f39624b6a97a0e756aaaff\/elektronische-patientenakte-uebertrieben-bis-frei-erfunden-patienten-klagen-ueber-falsche-diagnosen.html\" target=\"_blank\" rel=\"noopener\"><strong>Yanl\u0131\u015f veya hayali te\u015fhisler<\/strong><\/a> T\u0131bbi kay\u0131tlar\u0131nda - bazen, \u00f6rne\u011fin \u00f6zel sa\u011fl\u0131k sigortas\u0131na ge\u00e7erken ciddi sonu\u00e7lara yol a\u00e7acak \u015fekilde. Bu \u015f\u00fcpheli kay\u0131tlar \u00f6zellikle ak\u0131l hastal\u0131klar\u0131 ya da bay\u0131lma n\u00f6betleri veya gastrit gibi var olmayan durumlarla ilgilidir. Bunun arka plan\u0131nda, g\u00f6r\u00fcn\u00fc\u015fe g\u00f6re, a\u015f\u0131r\u0131 te\u015fhisleri \u00f6d\u00fcllendiren bir mali te\u015fvik sistemi yatmaktad\u0131r. Bu t\u00fcr te\u015fhislerin bir kez girildikten sonra d\u00fczeltilmesi ya da kald\u0131r\u0131lmas\u0131 zordur. Uzmanlar, yanl\u0131\u015f bilgiler uzun vadede ciddi dezavantajlara neden olabilece\u011finden EPA'n\u0131n d\u00fczenli olarak kontrol edilmesi \u00e7a\u011fr\u0131s\u0131nda bulunuyor.<\/p>\n<hr \/>\n\n\t\t\t<div class=\"display-post-types\">\n\n\t\t\t\t\t\t\t<style type=\"text\/css\">\n\t\t\t#dpt-wrapper-352 { --dpt-text-align: left;--dpt-image-crop: center;--dpt-border-radius: 5px;--dpt-h-gutter: 10px;--dpt-v-gutter: 9px; }\t\t\t<\/style>\n\t\t\t<style type=\"text\/css\">#dpt-wrapper-352 { --dpt-title-font-style:normal;--dpt-title-font-weight:600;--dpt-title-line-height:1.5;--dpt-title-text-decoration:none;--dpt-title-text-transform:none;--dpt-excerpt-font-style:normal;--dpt-excerpt-font-weight:400;--dpt-excerpt-line-height:1.5;--dpt-excerpt-text-decoration:none;--dpt-excerpt-text-transform:none;--dpt-meta1-font-style:normal;--dpt-meta1-font-weight:400;--dpt-meta1-line-height:1.9;--dpt-meta1-text-decoration:none;--dpt-meta1-text-transform:none;--dpt-meta2-font-style:normal;--dpt-meta2-font-weight:400;--dpt-meta2-line-height:1.9;--dpt-meta2-text-decoration:none;--dpt-meta2-text-transform:none; }<\/style><div class=\"dpt-main-header\">\n\t\t\t\t\t\t<div class=\"dpt-main-title\">\n\t\t\t\t\t\t\t<span class=\"dpt-main-title-text\">G\u00fcncel sa\u011fl\u0131k konular\u0131<\/span>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\t\t\t\n\t\t\t\t<div id=\"dpt-wrapper-352\" class=\"dpt-wrapper dpt-mag1 land1 dpt-cropped dpt-flex-wrap\" >\n\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"dpt-entry has-thumbnail\" data-title=\"mcs: wenn das leben dich zum dritten mal zwingt umzuziehen\" data-id=\"2822\"  data-category=\"allgemein b\u00fccher gesundheit\" data-post_tag=\"auswandern cmd erfahrungen hypersensibilit\u00e4t krisen mcs pers\u00f6nlichkeitsentwicklung ratgeber\">\n\t\t\t\t\t\t\t<div class=\"dpt-entry-wrapper\"><div class=\"dpt-featured-content\"><div class=\"dpt-permalink\"><a href=\"https:\/\/www.markus-schall.de\/tr\/2025\/09\/hayat-si%cc%87zi%cc%87-uecuencue-kez-tasinmaya-zorladiginda-mcs\/\" class=\"dpt-permalink\"><span class=\"screen-reader-text\">MCS: Hayat sizi \u00fc\u00e7\u00fcnc\u00fc kez ta\u015f\u0131nmaya zorlad\u0131\u011f\u0131nda<\/span><\/a><\/div><div class=\"dpt-thumbnail\"><div class=\"dpt-thumbnail-inner\"><img width=\"1024\" height=\"684\" class=\"attachment-full size-full\" alt=\"MCS (\u00c7oklu Kimyasal Hassasiyet) nedeniyle \u00fc\u00e7 zorunlu uzakla\u015ft\u0131rma\" context=\"dpt\" data-dpt-src=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/mcs-baustelle-krise.jpg\" data-dpt-sizes=\"(max-width: 1024px) 100vw, 1024px\" data-dpt-srcset=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/mcs-baustelle-krise.jpg 1024w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/mcs-baustelle-krise-300x200.jpg 300w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/mcs-baustelle-krise-768x513.jpg 768w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/mcs-baustelle-krise-18x12.jpg 18w\" \/><\/div><span class=\"dpt-thumbnail-aspect-ratio\" style=\"padding-top: 75%\"><\/span><\/div><\/div><div class=\"sub-entry\"><h3 class=\"dpt-title\"><a class=\"dpt-title-link\" href=\"https:\/\/www.markus-schall.de\/tr\/2025\/09\/hayat-si%cc%87zi%cc%87-uecuencue-kez-tasinmaya-zorladiginda-mcs\/\" rel=\"bookmark\">MCS: Hayat sizi \u00fc\u00e7\u00fcnc\u00fc kez ta\u015f\u0131nmaya zorlad\u0131\u011f\u0131nda<\/a><\/h3><\/div><\/div>\n\t\t\t\t\t\t<\/div><!-- .dpt-entry -->\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"dpt-entry has-thumbnail\" data-title=\"cmd verstehen: warum wissen der erste schritt zur heilung ist\" data-id=\"3419\"  data-category=\"b\u00fccher gesundheit\" data-post_tag=\"buch cmd erfahrungen gesundheit ratgeber\">\n\t\t\t\t\t\t\t<div class=\"dpt-entry-wrapper\"><div class=\"dpt-featured-content\"><div class=\"dpt-permalink\"><a href=\"https:\/\/www.markus-schall.de\/tr\/2025\/11\/cmd-bilginin-neden-iyilesmenin-ilk-adimi-oldugunu-anliyor\/\" class=\"dpt-permalink\"><span class=\"screen-reader-text\">CMD'yi anlamak: Neden bilgi iyile\u015fmenin ilk ad\u0131m\u0131d\u0131r?<\/span><\/a><\/div><div class=\"dpt-thumbnail\"><div class=\"dpt-thumbnail-inner\"><img width=\"1024\" height=\"683\" class=\"attachment-full size-full\" alt=\"CMD&#039;yi anlamak iyile\u015fme yolunda at\u0131lacak ilk ad\u0131md\u0131r\" context=\"dpt\" data-dpt-src=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/CMD-verstehen-wissen.jpg\" data-dpt-sizes=\"(max-width: 1024px) 100vw, 1024px\" data-dpt-srcset=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/CMD-verstehen-wissen.jpg 1024w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/CMD-verstehen-wissen-300x200.jpg 300w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/CMD-verstehen-wissen-768x512.jpg 768w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/CMD-verstehen-wissen-18x12.jpg 18w\" \/><\/div><span class=\"dpt-thumbnail-aspect-ratio\" style=\"padding-top: 75%\"><\/span><\/div><\/div><div class=\"sub-entry\"><h3 class=\"dpt-title\"><a class=\"dpt-title-link\" href=\"https:\/\/www.markus-schall.de\/tr\/2025\/11\/cmd-bilginin-neden-iyilesmenin-ilk-adimi-oldugunu-anliyor\/\" rel=\"bookmark\">CMD'yi anlamak: Neden bilgi iyile\u015fmenin ilk ad\u0131m\u0131d\u0131r?<\/a><\/h3><\/div><\/div>\n\t\t\t\t\t\t<\/div><!-- .dpt-entry -->\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"dpt-entry has-thumbnail\" data-title=\"das etwas andere h\u00e4morrhoiden-buch &#8211; offen, ehrlich und ganzheitlich\" data-id=\"2642\"  data-category=\"b\u00fccher gesundheit\" data-post_tag=\"buch erfahrungen gesundheit h\u00e4morrhoiden ratgeber verlag\">\n\t\t\t\t\t\t\t<div class=\"dpt-entry-wrapper\"><div class=\"dpt-featured-content\"><div class=\"dpt-permalink\"><a href=\"https:\/\/www.markus-schall.de\/tr\/2025\/08\/bi%cc%87raz-farkli-hemoroi%cc%87d-ki%cc%87tabi-acik-dueruest-ve-buetuensel\/\" class=\"dpt-permalink\"><span class=\"screen-reader-text\">Biraz farkl\u0131 hemoroid kitab\u0131 - a\u00e7\u0131k, d\u00fcr\u00fcst ve b\u00fct\u00fcnsel<\/span><\/a><\/div><div class=\"dpt-thumbnail\"><div class=\"dpt-thumbnail-inner\"><img width=\"1630\" height=\"1723\" class=\"attachment-full size-full\" alt=\"Hemoroid k\u0131l\u0131f\u0131\" context=\"dpt\" data-dpt-src=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/haemorrhoiden-cover-ot.jpg\" data-dpt-sizes=\"(max-width: 1630px) 100vw, 1630px\" data-dpt-srcset=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/haemorrhoiden-cover-ot.jpg 1630w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/haemorrhoiden-cover-ot-284x300.jpg 284w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/haemorrhoiden-cover-ot-969x1024.jpg 969w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/haemorrhoiden-cover-ot-768x812.jpg 768w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/haemorrhoiden-cover-ot-1453x1536.jpg 1453w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/haemorrhoiden-cover-ot-11x12.jpg 11w\" \/><\/div><span class=\"dpt-thumbnail-aspect-ratio\" style=\"padding-top: 75%\"><\/span><\/div><\/div><div class=\"sub-entry\"><h3 class=\"dpt-title\"><a class=\"dpt-title-link\" href=\"https:\/\/www.markus-schall.de\/tr\/2025\/08\/bi%cc%87raz-farkli-hemoroi%cc%87d-ki%cc%87tabi-acik-dueruest-ve-buetuensel\/\" rel=\"bookmark\">Biraz farkl\u0131 hemoroid kitab\u0131 - a\u00e7\u0131k, d\u00fcr\u00fcst ve b\u00fct\u00fcnsel<\/a><\/h3><\/div><\/div>\n\t\t\t\t\t\t<\/div><!-- .dpt-entry -->\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"dpt-entry has-thumbnail\" data-title=\"lithium: das vergessene spurenelement? eine betrachtung zur mikrodosierung\" data-id=\"2908\"  data-category=\"allgemein b\u00fccher gesundheit tipps &amp; anleitungen\" data-post_tag=\"buch cmd erfahrungen gesundheit hypersensibilit\u00e4t\">\n\t\t\t\t\t\t\t<div class=\"dpt-entry-wrapper\"><div class=\"dpt-featured-content\"><div class=\"dpt-permalink\"><a href=\"https:\/\/www.markus-schall.de\/tr\/2025\/09\/unutulan-eser-element-lityum-mi%cc%87krodozlamaya-bi%cc%87r-bakis\/\" class=\"dpt-permalink\"><span class=\"screen-reader-text\">Lityum: Unutulan eser element mi? Mikrodozlamaya bir bak\u0131\u015f<\/span><\/a><\/div><div class=\"dpt-thumbnail\"><div class=\"dpt-thumbnail-inner\"><img width=\"1024\" height=\"683\" class=\"attachment-full size-full\" alt=\"Mikrodozlarda lityum orotat\" context=\"dpt\" data-dpt-src=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/Lithium-Orotat-Mikrodosierung.jpg\" data-dpt-sizes=\"(max-width: 1024px) 100vw, 1024px\" data-dpt-srcset=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/Lithium-Orotat-Mikrodosierung.jpg 1024w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/Lithium-Orotat-Mikrodosierung-300x200.jpg 300w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/Lithium-Orotat-Mikrodosierung-768x512.jpg 768w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/Lithium-Orotat-Mikrodosierung-18x12.jpg 18w\" \/><\/div><span class=\"dpt-thumbnail-aspect-ratio\" style=\"padding-top: 75%\"><\/span><\/div><\/div><div class=\"sub-entry\"><h3 class=\"dpt-title\"><a class=\"dpt-title-link\" href=\"https:\/\/www.markus-schall.de\/tr\/2025\/09\/unutulan-eser-element-lityum-mi%cc%87krodozlamaya-bi%cc%87r-bakis\/\" rel=\"bookmark\">Lityum: Unutulan eser element mi? Mikrodozlamaya bir bak\u0131\u015f<\/a><\/h3><\/div><\/div>\n\t\t\t\t\t\t<\/div><!-- .dpt-entry -->\n\t\t\t\t\t\t\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\n<hr \/>\n<h2>Tarih\u00e7e ve yasal \u00e7er\u00e7eve<\/h2>\n<p>Merkezi bir dijital kay\u0131t fikri yeni de\u011fildir. Daha 1990'lar\u0131n sonunda, sa\u011fl\u0131k verilerinin nas\u0131l daha yap\u0131land\u0131r\u0131lm\u0131\u015f bir \u015fekilde kaydedilebilece\u011fi ve kurumsal s\u0131n\u0131rlar\u0131n \u00f6tesinde nas\u0131l eri\u015filebilir hale getirilebilece\u011fi konusunda fikirler vard\u0131. Elektronik sa\u011fl\u0131k kart\u0131 (eGK) gibi ilk projeler teknik temelleri atmay\u0131 ama\u00e7l\u0131yordu - ancak proje defalarca durdu. Verilerin korunmas\u0131na ili\u015fkin endi\u015feler, altyap\u0131 eksikli\u011fi ve siyasi anla\u015fmazl\u0131klar h\u0131zl\u0131 uygulamay\u0131 engelledi.<\/p>\n<p>Konu 2010'lu y\u0131llarda ivme kazand\u0131 - \u00f6zellikle de sa\u011fl\u0131k sekt\u00f6r\u00fcnde artan maliyet bask\u0131s\u0131 ve dijital teknolojilerin artan \u00f6nemi nedeniyle. Elektronik hasta dosyas\u0131, daha verimli, a\u011fa ba\u011fl\u0131 bir sa\u011fl\u0131k sisteminin yap\u0131 ta\u015f\u0131 olarak propaganda edildi.<\/p>\n<h3>Hasta Verilerinin Korunmas\u0131 Kanunu (PDSG) ve ePA'n\u0131n uygulamaya konulmas\u0131<\/h3>\n<p>Belirleyici bir ad\u0131m olarak <strong><a href=\"https:\/\/www.bundesgesundheitsministerium.de\/patientendaten-schutz-gesetz.html\" target=\"_blank\" rel=\"noopener\">Hasta Verilerinin Korunmas\u0131 Yasas\u0131 (PDSG)<\/a><\/strong>, Ekim 2020'de y\u00fcr\u00fcrl\u00fc\u011fe girmi\u015ftir. Yasal sa\u011fl\u0131k sigortas\u0131 fonlar\u0131n\u0131n 1 Ocak 2021'den itibaren t\u00fcm sigortal\u0131lara elektronik hasta dosyas\u0131 sunmas\u0131n\u0131 zorunlu k\u0131lm\u0131\u015ft\u0131r - ba\u015flang\u0131\u00e7ta g\u00f6n\u00fcll\u00fcl\u00fck esas\u0131na g\u00f6re. Kullan\u0131m iste\u011fe ba\u011fl\u0131 olmaya devam etti ve kay\u0131t yapt\u0131ranlar hangi verilerin kaydedilece\u011fine ve bunlara kimlerin eri\u015febilece\u011fine kendileri karar verebildi.<\/p>\n<p>Ger\u00e7ekle\u015ftirme i\u00e7in teknik destek \u015fu kurulu\u015flar taraf\u0131ndan sa\u011flanm\u0131\u015ft\u0131r <strong><a href=\"https:\/\/www.gematik.de\" target=\"_blank\" rel=\"noopener\">gematik GmbH<\/a><\/strong>Federal Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131'n\u0131n g\u00f6zetiminde, sa\u011fl\u0131k sigortas\u0131 \u015firketleri, doktor birlikleri, eczaneler ve hastanelerin temsil edildi\u011fi bir \u015firket. ePA sadece t\u0131bbi belgeleri bir araya getirmekle kalmamal\u0131, ayn\u0131 zamanda dijital kimlikler, e-re\u00e7eteler ve uzun vadede elektronik ila\u00e7 plan\u0131 ile de ba\u011flant\u0131l\u0131 olmal\u0131d\u0131r.<\/p>\n<h3>Opt-in'den opt-out'a: \"herkes i\u00e7in ePA \"n\u0131n tan\u0131t\u0131m\u0131<\/h3>\n<p>Ocak 2024'te kabul edilen Dijital Yasa, bir paradigma de\u011fi\u015fikli\u011fine yol a\u00e7t\u0131: gelecekte, aktif olarak itiraz etmedikleri s\u00fcrece, yasal sa\u011fl\u0131k sigortas\u0131 olan herkes i\u00e7in elektronik hasta kay\u0131tlar\u0131 otomatik olarak olu\u015fturulacakt\u0131.<\/p>\n<p>Bu yeni s\u00fcr\u00fcm, genellikle <em><strong>\"Herkes i\u00e7in ePA\"<\/strong><\/em> 1 Ocak 2025 tarihinden itibaren kademeli olarak uygulanacakt\u0131r.<\/p>\n<p>Somut olarak, bu \u015fu anlama gelmektedir <strong>itirazda bulunmazsa<\/strong>, Doktor muayenehaneleri, hastaneler ve di\u011fer taraflar\u0131n veri sa\u011flayabilece\u011fi dijital bir dosya otomatik olarak olu\u015fturulur. Bu prosed\u00fcr \u201eopt-out\u201c modeli olarak bilinir ve bir\u00e7ok veri koruma uzman\u0131n\u0131n bak\u0131\u015f a\u00e7\u0131s\u0131na g\u00f6re olduk\u00e7a sorunludur. Zira her sigortal\u0131 yeterince bilgilendirilmeyecek ya da zaman\u0131nda itiraz edebilecek teknik imkanlara sahip olmayacakt\u0131r.<\/p>\n<p>\u0130tirazda bulunmak i\u00e7in son tarih \u00fclke \u00e7ap\u0131nda standart olmay\u0131p, ilgili sa\u011fl\u0131k sigortas\u0131 \u015firketine ba\u011fl\u0131d\u0131r. Bir\u00e7o\u011fu itiraz\u0131 m\u00fc\u015fteri portal\u0131 \u00fczerinden veya yaz\u0131l\u0131 olarak sunuyor - bazen sadece oturum a\u00e7t\u0131ktan veya kimlik do\u011frulamas\u0131ndan sonra. Sa\u011fl\u0131k verilerim \u00fczerindeki kontrol\u00fc elimde tutmak i\u00e7in ben de bu y\u00f6ntemi se\u00e7tim.<\/p>\n<h3>Opt-out - tart\u0131\u015fmal\u0131 bir standart<\/h3>\n<p>Elektronik hasta dosyas\u0131n\u0131n otomatik olarak olu\u015fturulmas\u0131na ge\u00e7i\u015f, temel yap\u0131s\u0131 itibariyle bana ba\u015fka bir deneyimi hat\u0131rlat\u0131yor: hasta dosyas\u0131n\u0131n <a href=\"https:\/\/www.markus-schall.de\/tr\/2025\/11\/e-postalar-aniden-buluta-duestueguende-hosteuropeta-zorunlu-gecis\/\">E-posta hesaplar\u0131m\u0131n talep edilmeden ta\u015f\u0131nmas\u0131<\/a> HostEurope arac\u0131l\u0131\u011f\u0131yla Microsoft bulutuna ta\u015f\u0131d\u0131m. Benim aktif olarak onay\u0131m olmadan arka planda merkezi bir ta\u015f\u0131ma i\u015flemi de ger\u00e7ekle\u015ftirildi. Basit\u00e7e \u015f\u00f6yle diyordu: <em>\"E\u011fer itiraz etmezseniz, de\u011fi\u015fim i\u015flemini ger\u00e7ekle\u015ftirece\u011fiz.\"<\/em> Benim i\u00e7in bu, dijital egemenli\u011fime a\u00e7\u0131k bir tecav\u00fczd\u00fc.<\/p>\n<p>\u201eHerkes i\u00e7in\u201c ePA'da da durum benzerdir: aktif olmak zorunda olanlar kat\u0131lanlar de\u011fil, kat\u0131lmak istemeyenler harekete ge\u00e7meye zorlananlard\u0131r. Bu ilke bir\u00e7oklar\u0131 i\u00e7in uygun olabilir, ancak ele\u015ftirel bir vatanda\u015f\u0131n bak\u0131\u015f a\u00e7\u0131s\u0131ndan sorunludur. Bunun nedeni, sorumlulu\u011fu sa\u011flay\u0131c\u0131dan kullan\u0131c\u0131ya kayd\u0131rmas\u0131 ve bilin\u00e7li bir karar\u0131n ger\u00e7ekten gerekli olaca\u011f\u0131 durumlarda z\u0131mni bir r\u0131za varsaymas\u0131d\u0131r.<\/p>\n<h2>ePA'n\u0131n tan\u0131t\u0131m\u0131 ve kilometre ta\u015flar\u0131<\/h2>\n<p>EPA'n\u0131n ilk versiyonu 1 Ocak 2021'den itibaren kullan\u0131ma sunuldu - ancak yaln\u0131zca sigortal\u0131 ki\u015finin a\u00e7\u0131k talebi \u00fczerine. Aktif olarak bunu tercih edenler, sa\u011fl\u0131k sigortas\u0131 sa\u011flay\u0131c\u0131lar\u0131 arac\u0131l\u0131\u011f\u0131yla bir ePA olu\u015fturabildiler ve doktor mektuplar\u0131 veya r\u00f6ntgen g\u00f6r\u00fcnt\u00fcleri gibi ilk belgeleri burada saklayabildiler. Doktorlar\u0131n eri\u015fimi de o d\u00f6nemde sadece onay ile m\u00fcmk\u00fcnd\u00fc - her durumda belge d\u00fczeyinde. Bununla birlikte, ilk zay\u0131fl\u0131klar bu erken a\u015famada zaten belirgindi:<\/p>\n<ul>\n<li>Bir\u00e7ok uygulama hen\u00fcz teknik olarak birbirine ba\u011fl\u0131 de\u011fildi,<\/li>\n<li>kullan\u0131c\u0131 aray\u00fczleri tutars\u0131zd\u0131<\/li>\n<li>ve \u00f6zel kullan\u0131c\u0131lar bile anla\u015f\u0131lmaz s\u00fcre\u00e7lerden \u015fikayet\u00e7iydi.<\/li>\n<\/ul>\n<p>Buna ek olarak, ePA'n\u0131n ilk versiyonlar\u0131 uyumlu bir ak\u0131ll\u0131 telefon veya \u00e7evrimi\u00e7i i\u015flevi olan yeni bir kimlik kart\u0131 olmadan kullan\u0131lam\u0131yordu. Bu, \u00f6zellikle ya\u015fl\u0131lar ya da teknolojiye daha az merakl\u0131 hastalar i\u00e7in b\u00fcy\u00fck bir engeldi. Vaat edilen faydalar - \u00f6rne\u011fin doktor de\u011fi\u015ftirirken bulgular\u0131n sorunsuz bir \u015fekilde elde edilebilmesi - ger\u00e7ekte pek ger\u00e7ekle\u015ftirilemedi.<\/p>\n<h3>S\u00fcr\u00fcm 3.0\u201e\u0131n kullan\u0131ma sunulmas\u0131 - \u201cherkes i\u00e7in ePA\"<\/h3>\n<p>2023'te sa\u011fl\u0131k hizmetlerinin dijitalle\u015fmesinin bir par\u00e7as\u0131 olarak, s\u00f6zde sa\u011fl\u0131k hizmetlerinin geli\u015ftirilmesi <a href=\"https:\/\/fachportal.gematik.de\/anwendungen\/elektronische-patientenakte-fuer-alle\" target=\"_blank\" rel=\"noopener\"><strong>Herkes i\u00e7in ePA 3.0<\/strong><\/a> ileriye g\u00f6t\u00fcr\u00fcl\u00fcyor. Bu versiyon 1 Ocak 2025'ten itibaren t\u00fcm sigortal\u0131larda kullan\u0131lacak ve bir itiraz olmad\u0131\u011f\u0131 s\u00fcrece t\u00fcm sigortal\u0131lar i\u00e7in otomatik olarak ayarlanacakt\u0131r. Bu yeni neslin temel \u00f6zellikleri:<\/p>\n<ul>\n<li><strong>Tam otomatik veri aktar\u0131m\u0131<\/strong>Muayenehaneler ve hastaneler t\u0131bbi verileri do\u011frudan ePA'da depolar - hastan\u0131n bunu her durumda ayr\u0131 ayr\u0131 onaylamas\u0131 gerekmez.<\/li>\n<li><strong>Birlikte \u00c7al\u0131\u015fabilirlik<\/strong>Belgeler ve veriler de gelecekte farkl\u0131 kurulu\u015flar aras\u0131nda daha kolay de\u011fi\u015f toku\u015f edilebilecektir.<br \/>\nMerkezi depolama \u00e7\u00f6z\u00fcmleri: ePA, sertifikal\u0131 veri merkezlerinde - gematik veya ortaklar\u0131 taraf\u0131ndan i\u015fletilen sunucularda saklan\u0131r.<\/li>\n<li><strong>Planlanan yapay zeka kullan\u0131m\u0131<\/strong>Gelecekte, ePA'daki veriler de\u011ferlendirmeler, ara\u015ft\u0131rmalar veya otomatik tedavi deste\u011fi i\u00e7in de kullan\u0131labilir - s\u00f6zde sadece anonimle\u015ftirilmi\u015f, ancak bu ger\u00e7ek anonimlikle ilgili tart\u0131\u015fmay\u0131 sona erdirmez.<\/li>\n<\/ul>\n<p>Ancak \u00e7o\u011fu kullan\u0131c\u0131 i\u00e7in verilerinin tam olarak nerede bulundu\u011funu, bunlara kimin eri\u015fimi oldu\u011funu ve arka planda hangi i\u015flemlerin \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131 bilmek imkans\u0131zd\u0131r.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large wp-image-3437\" src=\"http:\/\/www.markus-schall.de\/wp-content\/uploads\/epa-zeitverlauf.jpg\" alt=\"Elektronik hasta dosyas\u0131: Zaman ak\u0131\u015f\u0131\" width=\"1024\" height=\"683\" srcset=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/epa-zeitverlauf.jpg 1024w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/epa-zeitverlauf-300x200.jpg 300w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/epa-zeitverlauf-768x512.jpg 768w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/epa-zeitverlauf-18x12.jpg 18w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/p>\n<h2>Hizmet sa\u011flay\u0131c\u0131lar i\u00e7in y\u00fck\u00fcml\u00fcl\u00fckler<\/h2>\n<p>ePA 3.0'\u0131n devreye girmesi sadece hastalar i\u00e7in de\u011fil, doktorlar, eczaneler ve hastaneler i\u00e7in de sistemi de\u011fi\u015ftirecek. Gelecekte, ilgili t\u0131bbi verileri ePA'ya aktif olarak aktarmakla y\u00fck\u00fcml\u00fc olacaklard\u0131r. Buna \u00f6rne\u011fin \u015funlar dahildir<\/p>\n<ul>\n<li>Te\u015fhisler<\/li>\n<li>\u0130la\u00e7 planlar\u0131<\/li>\n<li>Bulgular ve doktor mektuplar\u0131<\/li>\n<li>A\u015f\u0131lar<\/li>\n<li>Hastaneye yat\u0131\u015f hakk\u0131nda bilgi<\/li>\n<\/ul>\n<p>Bu y\u00fck\u00fcml\u00fcl\u00fck kanunla d\u00fczenlenmi\u015ftir ve 1 Ocak 2025'ten itibaren ge\u00e7erli olacakt\u0131r. Uyum sa\u011flamay\u0131 reddeden hizmet sa\u011flay\u0131c\u0131lar \u00fccretlerinde kesinti veya ba\u015fka sonu\u00e7lar beklemelidir. gematik bunun i\u00e7in teknik standartlar ve aray\u00fczler sa\u011flamaktad\u0131r - ancak t\u00fcm kurulu\u015flar buna haz\u0131r de\u011fildir.<\/p>\n<p>Bu durum muayenehaneler a\u00e7\u0131s\u0131ndan da belirsizli\u011fe yol a\u00e7maktad\u0131r: sadece harcanan eforun artmas\u0131 nedeniyle de\u011fil, ayn\u0131 zamanda bir\u00e7ok doktorun \u00f6ncelikle sisteme a\u015fina olmalar\u0131 gerekti\u011fi i\u00e7in hastalar\u0131n\u0131 sistem hakk\u0131nda ancak bilgilendirebilmeleri nedeniyle. Ger\u00e7ekte bu durum her iki taraf i\u00e7in de zorlay\u0131c\u0131 bir sistem yaratmaktad\u0131r - belirsiz kontrol ve s\u0131n\u0131rl\u0131 \u015feffafl\u0131k.<\/p>\n<h3>Sigortal\u0131lar\u0131n haklar\u0131: denetim, kontrol ve iptal<\/h3>\n<p>Yasaya g\u00f6re, elektronik hasta dosyas\u0131 sigortal\u0131ya ait olmal\u0131d\u0131r - sa\u011fl\u0131k sigortas\u0131 \u015firketlerine, doktorlara ve gematik'e de\u011fil. Asl\u0131nda her sigortal\u0131 bu hakka sahiptir,<\/p>\n<ul>\n<li>EPR'de depolanan t\u00fcm verileri g\u00f6r\u00fcnt\u00fcleyin,<\/li>\n<li>\u00fc\u00e7\u00fcnc\u00fc taraflar\u0131n eri\u015fimini kontrol eder,<\/li>\n<li>tek tek giri\u015fleri silme<\/li>\n<li>ve hatta t\u00fcm dosyay\u0131 devre d\u0131\u015f\u0131 b\u0131rakabilir veya kal\u0131c\u0131 olarak kapatabilirsiniz.<\/li>\n<\/ul>\n<p>Ancak uygulama farkl\u0131 bir tablo ortaya koymaktad\u0131r: Giri\u015f yapan herkes genellikle beklenen genel bak\u0131\u015f\u0131 g\u00f6rm\u00fcyor, ancak teknik engellerle, sa\u011fl\u0131k sigortas\u0131 \u015firketine ba\u011fl\u0131 olarak farkl\u0131 uygulama aray\u00fczleriyle ve genellikle zay\u0131f kullan\u0131labilirlikle kar\u015f\u0131la\u015f\u0131yor. Bireysel d\u00fczeyde vaat edilen belge kontrol\u00fc - yani hangi doktorun neyi g\u00f6rebilece\u011fini tam olarak belirleme yetene\u011fi - de karma\u015f\u0131kt\u0131r ve \u00e7o\u011fu ki\u015fi i\u00e7in sezgisel de\u011fildir.<\/p>\n<p>Bir ba\u015fka nokta: belirli veriler silinse bile, doktorlar, klinikler veya di\u011fer kurulu\u015flar taraf\u0131ndan indirilip indirilmedi\u011fi ve ne \u00f6l\u00e7\u00fcde indirildi\u011fi belirsizdir. Her ne kadar yasa verilerin sadece tedavi amac\u0131yla kullan\u0131labilece\u011fini \u00f6ng\u00f6rse de, ger\u00e7ek bir izlenebilirlik s\u00f6z konusu de\u011fildir. Haklar teoride mevcuttur, ancak pratikte uygulanmas\u0131 bazen zordur.<\/p>\n<hr \/>\n<h3>A\u00e7\u0131klanan dijital kimli\u011fe ili\u015fkin anket<\/h3>\n<div class='bootstrap-yop yop-poll-mc'>\n\t\t\t\t\t\t\t<div class=\"basic-yop-poll-container\" style=\"background-color:#ffffff; border:0px; border-style:solid; border-color:#000000; border-radius:5px; padding:0px 5px;\" data-id=\"4\" data-temp=\"basic-pretty\" data-skin=\"square\" data-cscheme=\"blue\" data-cap=\"0\" data-access=\"guest\" data-tid=\"\" data-uid=\"51e72ac954542d523c48fc7a8b9c7f52\" data-pid=\"2908\" data-resdet=\"votes-number,percentages\" data-show-results-to=\"guest\" data-show-results-moment=\"after-vote\" data-show-results-only=\"false\" data-show-message=\"true\" data-show-results-as=\"bar\" data-sort-results-by=\"as-defined\" data-sort-results-rule=\"asc\"data-is-ended=\"0\" data-percentages-decimals=\"2\" data-gdpr=\"no\" data-gdpr-sol=\"consent\" data-css=\"\" data-counter=\"0\" data-load-with=\"1\" data-notification-section=\"top\"><div class=\"row\"><div class=\"col-md-12\"><div class=\"basic-inner\"><div class=\"basic-message hide\" style=\"border-left: 10px solid #008000; padding: 0px 10px;\" data-error=\"#ff0000\" data-success=\"#008000\"><p class=\"basic-message-text\" style=\"color:#000000; font-size:14px; font-weight:normal;\"><\/p><\/div><div class=\"basic-overlay hide\"><div class=\"basic-vote-options\"><\/div><div class=\"basic-preloader\"><div class=\"basic-windows8\"><div class=\"basic-wBall basic-wBall_1\"><div class=\"basic-wInnerBall\"><\/div><\/div><div class=\"basic-wBall basic-wBall_2\"><div class=\"basic-wInnerBall\"><\/div><\/div><div class=\"basic-wBall basic-wBall_3\"><div class=\"basic-wInnerBall\"><\/div><\/div><div class=\"basic-wBall basic-wBall_4\"><div class=\"basic-wInnerBall\"><\/div><\/div><div class=\"basic-wBall basic-wBall_5\"><div class=\"basic-wInnerBall\"><\/div><\/div><\/div><\/div><\/div><form class=\"basic-form\" action=\"\"><input type=\"hidden\" name=\"_token\" value=\"1c00e8e57e\" autocomplete=\"off\"><div class=\"basic-elements\"><div class=\"basic-element basic-question basic-question-text-vertical\" data-id=\"4\" data-uid=\"1a7955e5cef42e1ffe9ae84d846a4baa\" data-type=\"question\" data-question-type=\"text\" data-required=\"yes\" data-allow-multiple=\"no\" data-min=\"1\" data-max=\"1\" data-display=\"vertical\" data-colnum=\"\" data-display-others=\"no\" data-others-color=\"\" data-others=\"\" data-others-max-chars=\"0\"><div class=\"basic-question-title\"><h5 style=\"color:#000000; font-size:16px; font-weight:normal; text-align:left;\">AB d\u00fczeyinde merkezi bir dijital kimli\u011fi kabul eder misiniz?<\/h5><\/div><ul class=\"basic-answers\"><li class=\"basic-answer\" style=\"padding:0px 0px;\" data-id=\"14\" data-type=\"text\" data-vn=\"7\" data-color=\"#000000\" data-make-link=\"no\" data-link=\"\"><div class=\"basic-answer-content basic-text-vertical\"><label for=\"answer[14]\" class=\"basic-answer-label\"><input type=\"radio\" id=\"answer[14]\" name=\"answer[4]\" value=\"14\"><span class=\"basic-text\" style=\"color: #000000; font-size: 14px; font-weight: normal;\">Evet, e\u011fer g\u00fcvenli ve g\u00f6n\u00fcll\u00fc ise<\/span><\/label><\/div><\/li><li class=\"basic-answer\" style=\"padding:0px 0px;\" data-id=\"15\" data-type=\"text\" data-vn=\"10\" data-color=\"#000000\" data-make-link=\"no\" data-link=\"\"><div class=\"basic-answer-content basic-text-vertical\"><label for=\"answer[15]\" class=\"basic-answer-label\"><input type=\"radio\" id=\"answer[15]\" name=\"answer[4]\" value=\"15\"><span class=\"basic-text\" style=\"color: #000000; font-size: 14px; font-weight: normal;\">Yaln\u0131zca di\u011fer verilerle ba\u011flant\u0131l\u0131 de\u011filse<\/span><\/label><\/div><\/li><li class=\"basic-answer\" style=\"padding:0px 0px;\" data-id=\"16\" data-type=\"text\" data-vn=\"123\" data-color=\"#000000\" data-make-link=\"no\" data-link=\"\"><div class=\"basic-answer-content basic-text-vertical\"><label for=\"answer[16]\" class=\"basic-answer-label\"><input type=\"radio\" id=\"answer[16]\" name=\"answer[4]\" value=\"16\"><span class=\"basic-text\" style=\"color: #000000; font-size: 14px; font-weight: normal;\">Hay\u0131r, bunu prensip olarak reddediyorum.<\/span><\/label><\/div><\/li><li class=\"basic-answer\" style=\"padding:0px 0px;\" data-id=\"59\" data-type=\"text\" data-vn=\"3\" data-color=\"#000000\" data-make-link=\"no\" data-link=\"\"><div class=\"basic-answer-content basic-text-vertical\"><label for=\"answer[59]\" class=\"basic-answer-label\"><input type=\"radio\" id=\"answer[59]\" name=\"answer[4]\" value=\"59\"><span class=\"basic-text\" style=\"color: #000000; font-size: 14px; font-weight: normal;\">\"Merkezi dijital kimlik\" nedir?<\/span><\/label><\/div><\/li><\/ul><\/div><div class=\"clearfix\"><\/div><\/div><div class=\"basic-vote\"><a href=\"#\" class=\"button basic-vote-button\" role=\"button\" style=\"background:#027bb8; border:0px; border-style: solid; border-color:#000000; border-radius:5px; padding:10px 10px; color:#ffffff; font-size:14px; font-weight:normal;\">Oylama<\/a><\/div><input type=\"hidden\" name=\"trp-form-language\" value=\"tr\"\/><\/form><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t<\/div>\n<hr \/>\n<h2>\u0130tiraz veya vazge\u00e7me: Kim, nas\u0131l ve ne kadar s\u00fcreyle?<\/h2>\n<p>ePA 3.0 i\u00e7in s\u00f6zde \"vazge\u00e7me prosed\u00fcr\u00fc\" uygulamaya konuldu\u011fundan beri:<\/p>\n<p><strong>Yasal sa\u011fl\u0131k sigortas\u0131 olan herkes, aktif olarak itiraz etmedikleri s\u00fcrece otomatik olarak dijital bir dosya al\u0131r. <\/strong><\/p>\n<p>\u0130tiraz, otomatik dolum ba\u015flamadan \u00f6nce, yani 1 Ocak 2025'ten \u00f6nce yap\u0131lmal\u0131d\u0131r. Buras\u0131 \u00f6nemli:<\/p>\n<p>Daha sonra itiraz ederseniz, ePA'y\u0131 kullanmay\u0131 b\u0131rakabilirsiniz, ancak halihaz\u0131rda kaydedilmi\u015f olan veriler aktif olarak silinmedi\u011fi s\u00fcrece saklanabilir. \"Geriye d\u00f6n\u00fck iptal\" yasayla \u00f6ng\u00f6r\u00fclm\u00fc\u015f olsa da, sa\u011fl\u0131k sigortas\u0131 \u015firketlerinin sistemlerindeki uygulama genellikle kesin de\u011fildir veya \u015feffafl\u0131ktan yoksundur.<\/p>\n<p>\u0130tiraz\u0131n kendisi merkezi olarak d\u00fczenlenmemektedir. Her sa\u011fl\u0131k sigortas\u0131 \u015firketi kendi prosed\u00fcrlerini sunar:<\/p>\n<ul>\n<li>Genellikle \u00e7evrimi\u00e7i olarak ilgili <strong>M\u00fc\u015fteri portal\u0131<\/strong> - ancak genellikle yaln\u0131zca oturum a\u00e7ma ve iki fakt\u00f6rl\u00fc kimlik do\u011frulama ile,<\/li>\n<li>veya yaz\u0131l\u0131 olarak <strong>Posta veya form<\/strong>.<\/li>\n<\/ul>\n<p>Benim durumumda, m\u00fc\u015fteri portal\u0131na a\u00e7\u0131k\u00e7a giri\u015f yapmam, i\u015flevi aramam ve ard\u0131ndan bir TAN veya \u015fifre ile onaylamam gerekiyordu. Bu sadece teknik anlay\u0131\u015f de\u011fil, ayn\u0131 zamanda zaman ve dikkat de gerektiriyor - \u00f6zellikle ya\u015fl\u0131 veya dijital olarak daha az bilgili ki\u015filerin genellikle art\u0131k toplayamad\u0131\u011f\u0131 \u015feyler.<\/p>\n<p>\u00d6nceden \u015feffaf bilgilendirme mi? Hi\u00e7 de de\u011fil. Bir\u00e7ok sigortal\u0131, bir dosya istemiyorlarsa itiraz etmeleri gerekti\u011fini tesad\u00fcfen, medyada \u00e7\u0131kan haberler veya tan\u0131d\u0131klarla yap\u0131lan konu\u015fmalar yoluyla \u00f6\u011freniyor. Sa\u011fl\u0131k sigortas\u0131 \u015firketlerinin aktif olarak yeterli bi\u00e7imde bilgi sa\u011flama y\u00fck\u00fcml\u00fcl\u00fc\u011f\u00fc yoktur.<\/p>\n<h3>Uygulamada: kay\u0131t, kullan\u0131m, sorunlar<\/h3>\n<p>ePA'y\u0131 aktif olarak kullanmak istiyorsan\u0131z, genellikle sa\u011fl\u0131k sigortas\u0131 sa\u011flay\u0131c\u0131n\u0131zdan bir uygulama indirmeniz gerekir - \u00f6rne\u011fin \u201eMeine DAK\u201c, \u201eTK-App\u201c veya \u201eePA-App der AOK\u201c. Bu uygulamalar elektronik hasta dosyas\u0131 i\u00e7in eri\u015fim alanlar\u0131 i\u00e7erir ve a\u015fa\u011f\u0131daki temel i\u015flevleri sunar:<\/p>\n<ul>\n<li>Kay\u0131tl\u0131 belgeleri g\u00f6r\u00fcnt\u00fcleme (PDF'ler, giri\u015fler, ila\u00e7 planlar\u0131, vb.)<\/li>\n<li>Belgelerin ilgili hekimlerle payla\u015f\u0131lmas\u0131<\/li>\n<li>Eri\u015fim haklar\u0131n\u0131n y\u00f6netimi<\/li>\n<\/ul>\n<p>Kay\u0131t, genellikle ki\u015fisel \u00e7evrimi\u00e7i hesap \u00fczerinden ger\u00e7ekle\u015fir:<\/p>\n<ul>\n<li>Sigorta numaras\u0131,<\/li>\n<li>\u015eifre,<\/li>\n<li>ve baz\u0131 durumlarda \u00e7evrimi\u00e7i kimlik i\u015flevi (eID) etkinle\u015ftirilen yeni kimlik kart\u0131.<\/li>\n<\/ul>\n<p>\u00d6rne\u011fin SMS-TAN veya uygulama onay\u0131 yoluyla iki fakt\u00f6rl\u00fc kimlik do\u011frulama da s\u0131kl\u0131kla gereklidir. Bir\u00e7ok kullan\u0131c\u0131 bu s\u00fcreci teknik olarak a\u015f\u0131r\u0131 y\u00fckl\u00fc bulmaktad\u0131r, \u00f6zellikle de genellikle merkezi bir platform olmad\u0131\u011f\u0131ndan, ancak farkl\u0131 kalitede bir\u00e7ok farkl\u0131 uygulama oldu\u011fundan.<\/p>\n<p>Entegrasyon, doktorlar, klinikler ve eczaneler gibi hizmet sa\u011flay\u0131c\u0131lar a\u00e7\u0131s\u0131ndan da standartla\u015ft\u0131r\u0131lmam\u0131\u015ft\u0131r. \u0130lgili t\u0131bbi verilerin 2025'ten itibaren ePA'ya girilmesi zorunlulu\u011fu olmas\u0131na ra\u011fmen, bir\u00e7ok muayenehanede teknik donan\u0131m hala yetersizdir. E\u011fitim, aray\u00fczler, veri koruma kavramlar\u0131 ve \u00e7o\u011fu zaman da zaman eksikli\u011fi var. K\u0131sacas\u0131: fikir harika, tutku y\u00fcksek - ancak g\u00fcnl\u00fck ya\u015fam bunu g\u00f6steriyor:<\/p>\n<ul>\n<li>Bir\u00e7ok hasta ePA'n\u0131n nas\u0131l kullan\u0131laca\u011f\u0131n\u0131 anlamamaktad\u0131r.<\/li>\n<li>Bir\u00e7ok doktorun bunlar\u0131 do\u011fru bir \u015fekilde dolduracak zaman\u0131 yoktur.<\/li>\n<li>Ve bir\u00e7ok sa\u011fl\u0131k sigortas\u0131 \u015firketi teknik ve ileti\u015fimsel a\u00e7\u0131dan koordinasyonsuz bir \u015fekilde faaliyet g\u00f6stermektedir.<\/li>\n<\/ul>\n<div class=\"lyte-wrapper\" style=\"width:640px;max-width:100%;margin:5px;\"><div class=\"lyMe\" id=\"WYL_AWw0ME1o94c\"><div id=\"lyte_AWw0ME1o94c\" data-src=\"https:\/\/www.markus-schall.de\/wp-content\/plugins\/wp-youtube-lyte\/lyteCache.php?origThumbUrl=%2F%2Fi.ytimg.com%2Fvi%2FAWw0ME1o94c%2Fhqdefault.jpg\" class=\"pL\"><div class=\"tC\"><div class=\"tT\"><\/div><\/div><div class=\"play\"><\/div><div class=\"ctrl\"><div class=\"Lctrl\"><\/div><div class=\"Rctrl\"><\/div><\/div><\/div><noscript><a href=\"https:\/\/youtu.be\/AWw0ME1o94c\" rel=\"nofollow noopener\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.markus-schall.de\/wp-content\/plugins\/wp-youtube-lyte\/lyteCache.php?origThumbUrl=https%3A%2F%2Fi.ytimg.com%2Fvi%2FAWw0ME1o94c%2F0.jpg\" alt=\"YouTube video k\u00fc\u00e7\u00fck resmi\" width=\"640\" height=\"340\" \/><br \/>Bu videoyu YouTube'da izleyin<\/a><\/noscript><\/div><\/div><div class=\"lL\" style=\"max-width:100%;width:640px;margin:5px;\"><\/div><br \/>\nElektronik hasta dosyas\u0131ndaki en \u00f6nemli bilgiler: ePA hackerlar\u0131 ile r\u00f6portaj | <a href=\"https:\/\/www.heise.de\/ct\" target=\"_blank\" rel=\"noopener\">heise &amp; c't<\/a><\/p>\n<h2>Potansiyel: ePA'n\u0131n ba\u015farabilecekleri<\/h2>\n<p>Elektronik hasta dosyas\u0131n\u0131n iyi d\u00fc\u015f\u00fcn\u00fclm\u00fc\u015f bir uygulamas\u0131yla ili\u015fkilendirilebilecek f\u0131rsatlar\u0131 da belirtmeden sadece elektronik hasta dosyas\u0131n\u0131n zay\u0131f y\u00f6nlerine i\u015faret etmek d\u00fcr\u00fcst\u00e7e olmaz:<\/p>\n<ul>\n<li><strong>Acil durumlarda daha iyi bilgilendirme<\/strong>Bir acil durum doktorunun mevcut te\u015fhislere, ila\u00e7lara veya \u00f6nceki hastal\u0131klara eri\u015fimi varsa, bu hayat kurtarabilir.<\/li>\n<li><strong>M\u00fckerrer muayenelerin azalt\u0131lmas\u0131<\/strong>R\u00f6ntgen g\u00f6r\u00fcnt\u00fcleri veya laboratuvar de\u011ferleri merkezi olarak mevcutsa, bunlar\u0131n birden fazla kez toplanmas\u0131 gerekmez - bu da zaman, para ve kaynak tasarrufu sa\u011flar.<\/li>\n<li><strong>Kronik hastalar i\u00e7in geli\u015ftirilmi\u015f kronoloji<\/strong>ePA, \u00f6zellikle karma\u015f\u0131k hastal\u0131k ilerlemeleri durumunda korelasyonlar\u0131n daha h\u0131zl\u0131 tan\u0131nmas\u0131na yard\u0131mc\u0131 olabilir.<\/li>\n<li><strong>Gelece\u011fin teknolojileri<\/strong>Standartla\u015ft\u0131r\u0131lm\u0131\u015f bir veri yap\u0131s\u0131, gelecekte yapay zeka destekli analizlerin veya ki\u015fiselle\u015ftirilmi\u015f tedavilerin anlaml\u0131 kullan\u0131m\u0131 i\u00e7in \u00f6n ko\u015fuldur.<\/li>\n<\/ul>\n<p>Do\u011fru bir \u015fekilde tasarlanan ve tutarl\u0131 bir \u015fekilde uygulanan ePA, sadece doktorlar i\u00e7in de\u011fil, ayn\u0131 zamanda kendi ge\u00e7mi\u015flerini daha iyi anlamak ve kontrol etmek isteyen hastalar i\u00e7in de uzun vadeli bir t\u0131bbi haf\u0131za olabilir.<\/p>\n<h3>Riskler: Veri koruma, k\u00f6t\u00fcye kullan\u0131m, \u015feffafl\u0131k a\u00e7\u0131klar\u0131<\/h3>\n<p>Ancak ger\u00e7ek daha karma\u015f\u0131kt\u0131r. \u00c7\u00fcnk\u00fc t\u0131bbi verilerin dijitalle\u015fmesi yeni riskler de yaratmaktad\u0131r:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.markus-schall.de\/tr\/2025\/11\/abni%cc%87n-di%cc%87ji%cc%87tal-ki%cc%87mli%cc%87gi%cc%87-guenluek-yasamda-kontrol-ve-ri%cc%87ski%cc%87-bi%cc%87rbi%cc%87ri%cc%87ne-bagliyor\/\"><strong>Hassas bilgilerin merkezile\u015ftirilmesi<\/strong><\/a> her zaman potansiyel sald\u0131r\u0131 y\u00fczeyleri yarat\u0131r. Bir yerde ne kadar \u00e7ok veri varsa, sadece bilgisayar korsanlar\u0131 i\u00e7in de\u011fil, ayn\u0131 zamanda ticari \u00e7\u0131karlar\u0131 olan oyuncular i\u00e7in de cazibe o kadar artar.<\/li>\n<li>\u00d6rne\u011fin ara\u015ft\u0131rma amac\u0131yla sa\u011fl\u0131k verilerinin anonimle\u015ftirildi\u011fi varsay\u0131lsa da, bu durum bir\u00e7ok durumda kesin olarak izlenememektedir. Bu nedenle <strong>Ki\u015fisel profillerin yeniden yap\u0131land\u0131r\u0131labilirli\u011fi<\/strong> kombinasyonlara (ya\u015f, ikamet yeri, nadir hastal\u0131klar, vb.) dayal\u0131 olarak ger\u00e7ek bir sorun olmaya devam etmektedir.<\/li>\n<li><strong>\u015eeffaf olmayan vazge\u00e7me prosed\u00fcr\u00fc<\/strong> sorumlulu\u011fu sistemden vatanda\u015fa kayd\u0131rmaktad\u0131r. Aktif olarak itiraz etmeyen herkes - hi\u00e7bir zaman do\u011fru \u015fekilde bilgilendirilmemi\u015f olsalar bile - kabul etmi\u015f say\u0131l\u0131r.<\/li>\n<li><strong>Teknik ba\u011f\u0131ml\u0131l\u0131klar<\/strong>ePA bulutta, gematik'in ortaklar\u0131 taraf\u0131ndan i\u015fletilir - genellikle \u00f6zel olarak organize edilir. Bir sa\u011flay\u0131c\u0131 ba\u015far\u0131s\u0131z olursa veya devral\u0131n\u0131rsa ne olur? Bir veri s\u0131z\u0131nt\u0131s\u0131 durumunda kim sorumludur?<\/li>\n<\/ul>\n<p>\u00dc\u00e7\u00fcnc\u00fc taraf sa\u011flay\u0131c\u0131lar\u0131n ya da \u015firketlerin gelecekte, \u00f6rne\u011fin ila\u00e7 ara\u015ft\u0131rmalar\u0131 ya da sigorta sekt\u00f6r\u00fc gibi alanlarda, bu y\u00f6nde arzular geli\u015ftirmesi de muhtemeldir. Mevcut eri\u015fim yasalarla k\u0131s\u0131tlanm\u0131\u015f olsa bile, tarih, veri koruma gereksinimlerinin zaman i\u00e7inde de\u011fi\u015febilece\u011fini g\u00f6stermektedir - genellikle sessiz ve sessizce.<\/p>\n<h2>Elektronik hasta dosyas\u0131ndan kimler yararlanabilir?<\/h2>\n<p>Karma\u015f\u0131k veya kronik hastal\u0131klar\u0131 olan ki\u015filer i\u00e7in elektronik hasta kayd\u0131 (EPR) asl\u0131nda ger\u00e7ek bir katma de\u011fer sunabilir. \u00d6rne\u011fin, kliniklerde veya rehabilitasyon merkezlerinde birka\u00e7 uzman taraf\u0131ndan d\u00fczenli olarak tedavi edilen hastalar\u0131 d\u00fc\u015f\u00fcn\u00fcn: Bulgular, ila\u00e7 planlar\u0131, hastane raporlar\u0131 ve doktor mektuplar\u0131 merkezi olarak depolan\u0131r ve tedavi eden doktorlar veya terapistler taraf\u0131ndan kontroll\u00fc bir \u015fekilde al\u0131nabilirse, bu durum tedavinin s\u00fcreklili\u011fini belirgin bir \u015fekilde iyile\u015ftirir. Ara\u015ft\u0131rmalar, belgelerin topland\u0131\u011f\u0131, tesisler aras\u0131nda veri al\u0131\u015fveri\u015finin yap\u0131ld\u0131\u011f\u0131 ve bilgiye h\u0131zl\u0131 eri\u015fim gerektiren acil durumlar\u0131n meydana geldi\u011fi senaryolar\u0131n bir ePA'dan en fazla yararlan\u0131lan senaryolar oldu\u011funu g\u00f6stermektedir.<\/p>\n<p>\u00d6zellikle tekrarlardan ka\u00e7\u0131n\u0131lmas\u0131 gerekti\u011finde, beklenmedik olaylar meydana geldi\u011finde veya belirli ila\u00e7lar\u0131n dikkatli bir \u015fekilde koordine edilmesi gerekti\u011finde, ePA - do\u011fru \u015fekilde kullan\u0131ld\u0131\u011f\u0131nda - ger\u00e7ek bir rahatlama sa\u011flayabilir. Merkezi dosya ayn\u0131 zamanda \u00e7ok seyahat eden veya muayenehaneler aras\u0131nda s\u0131k s\u0131k yer de\u011fi\u015ftiren ki\u015filer i\u00e7in de g\u00fcvenilir bir genel bak\u0131\u015f sa\u011flar.<\/p>\n<h3>ePA'dan yararlanan ki\u015filer<\/h3>\n<div style=\"overflow-x: auto;\">\n<table style=\"width: 100%; border-collapse: collapse;\">\n<thead>\n<tr style=\"background-color: #f0f0f0;\">\n<th style=\"padding: 8px; border: 1px solid #ccc;\">Ki\u015fi \/ Durum<\/th>\n<th style=\"padding: 8px; border: 1px solid #ccc;\">A\u00e7\u0131klama<\/th>\n<th style=\"padding: 8px; border: 1px solid #ccc;\">ePA'n\u0131n olas\u0131 avantajlar\u0131<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding: 8px; border: 1px solid #ccc;\"><strong>\u00c7ok say\u0131da uzman\u0131 olan kronik hastalar<\/strong><\/td>\n<td style=\"padding: 8px; border: 1px solid #ccc;\">Diyabet, y\u00fcksek tansiyon ve kalp sorunlar\u0131 olan bir hastayla aile hekimi, kardiyolog ve diyabet uzman\u0131 ilgilenir.<\/td>\n<td style=\"padding: 8px; border: 1px solid #ccc;\">Merkezi dok\u00fcmantasyon, m\u00fckerrer muayeneleri \u00f6nler, ila\u00e7 mutabakat\u0131n\u0131 ve acil durum bilgilerini kolayla\u015ft\u0131r\u0131r.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 8px; border: 1px solid #ccc;\"><strong>Tedavi g\u00f6ren kanser hastas\u0131<\/strong><\/td>\n<td style=\"padding: 8px; border: 1px solid #ccc;\">Bir hasta kemoterapi ve sonras\u0131 bak\u0131m\u0131 farkl\u0131 kliniklerde al\u0131r.<\/td>\n<td style=\"padding: 8px; border: 1px solid #ccc;\">T\u00fcm bulgulara ve laboratuvar de\u011ferlerine h\u0131zl\u0131 bir \u015fekilde eri\u015filebilir, bu da koordinasyonu ve ilerlemenin izlenmesini iyile\u015ftirir.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 8px; border: 1px solid #ccc;\"><strong>Gezginler veya mobil profesyoneller<\/strong><\/td>\n<td style=\"padding: 8px; border: 1px solid #ccc;\">\u0130\u015f i\u00e7in s\u0131k s\u0131k seyahat eden ve farkl\u0131 \u015fehirlerdeki doktorlara g\u00f6r\u00fcnmek zorunda olan bir ki\u015fi.<\/td>\n<td style=\"padding: 8px; border: 1px solid #ccc;\">Doktorlar \u00f6nceki bulgulara do\u011frudan eri\u015febilir - kendi \u015fehirlerinin d\u0131\u015f\u0131nda bile.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<h2>ePA'n\u0131n ba\u015fkalar\u0131 i\u00e7in neden s\u0131n\u0131rl\u0131 faydas\u0131 var?<\/h2>\n<p>\u00d6te yandan, halihaz\u0131rda sa\u011fl\u0131k durumu istikrarl\u0131 olan, \u00e7e\u015fitli uzmanl\u0131k alanlar\u0131ndan \u00e7ok az bak\u0131m gerektiren ve tedavisi b\u00fcy\u00fck \u00f6l\u00e7\u00fcde y\u00f6netilebilir durumda olan sigortal\u0131lar i\u00e7in ePA'n\u0131n uygulamaya konmas\u0131 net avantajlar sunmayabilir ve hatta dezavantajlar bar\u0131nd\u0131rabilir. Neredeyse hi\u00e7 veri veya belge al\u0131\u015fveri\u015fi gerekmiyorsa, birden fazla payda\u015f s\u00f6z konusu de\u011filse ve hastan\u0131n kendi t\u0131bbi ge\u00e7mi\u015fi a\u00e7\u0131ksa, merkezi dosyalar faydadan \u00e7ok \u00e7aba gerektiren bir altyap\u0131ya benzemektedir: Kay\u0131t, haklar\u0131n devri, giri\u015f i\u015flemleri, veri bak\u0131m\u0131.<\/p>\n<p>Ayr\u0131ca bu ki\u015filer i\u00e7in hassas verilerin g\u00fcnl\u00fck hayatta kullan\u0131lmadan merkezi olarak depolanmas\u0131 riski de artmaktad\u0131r - eri\u015fim bo\u015fluklar\u0131, yanl\u0131\u015f anlamalar veya kas\u0131ts\u0131z veri aktar\u0131m\u0131 riski ger\u00e7ek faydaya oranla artmaktad\u0131r. Veri koruma uzmanlar\u0131, merkezi bir dosya sisteminin, \u00f6zellikle de pratikte \u00e7ok az faydas\u0131 varsa, daha ele\u015ftirel bir g\u00f6zle de\u011ferlendirilmesi gerekti\u011fine i\u015faret etmektedir.<\/p>\n<h3 style=\"margin-top: 30px;\">ePA'dan \u00e7ok az faydalanan ki\u015filere \u00f6rnekler<\/h3>\n<div style=\"overflow-x: auto;\">\n<table style=\"width: 100%; border-collapse: collapse;\">\n<thead>\n<tr style=\"background-color: #f0f0f0;\">\n<th style=\"padding: 8px; border: 1px solid #ccc;\">Ki\u015fi \/ Durum<\/th>\n<th style=\"padding: 8px; border: 1px solid #ccc;\">A\u00e7\u0131klama<\/th>\n<th style=\"padding: 8px; border: 1px solid #ccc;\">D\u00fc\u015f\u00fck fayda veya risk<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding: 8px; border: 1px solid #ccc;\"><strong>Sa\u011fl\u0131kl\u0131 ortalama sigortal\u0131 ki\u015fi<\/strong><\/td>\n<td style=\"padding: 8px; border: 1px solid #ccc;\">Kronik bir hastal\u0131\u011f\u0131 olmayan ve nadiren doktora giden 35 ya\u015f\u0131nda bir ki\u015fi.<\/td>\n<td style=\"padding: 8px; border: 1px solid #ccc;\">Neredeyse hi\u00e7 t\u0131bbi veri yok, merkezi depolama yoluyla katma de\u011fer yok - ancak artan veri koruma riski.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 8px; border: 1px solid #ccc;\"><strong>Dijital deneyimi olmayan k\u0131demli<\/strong><\/td>\n<td style=\"padding: 8px; border: 1px solid #ccc;\">Ak\u0131ll\u0131 telefon kullanmayan ve \u00e7evrimi\u00e7i kay\u0131t yapt\u0131ramayan ya\u015fl\u0131 bir sigortal\u0131.<\/td>\n<td style=\"padding: 8px; border: 1px solid #ccc;\">Teknik engeller, veriler \u00fczerinde kontrol eksikli\u011fi, \u00fc\u00e7\u00fcnc\u00fc taraflara ba\u011f\u0131ml\u0131l\u0131k.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 8px; border: 1px solid #ccc;\"><strong>Veriye duyarl\u0131 veya kendi kendini y\u00f6neten hastalar<\/strong><\/td>\n<td style=\"padding: 8px; border: 1px solid #ccc;\">Belgelerini kendileri saklamay\u0131 tercih eden ve genel bir bak\u0131\u015f elde etmek isteyen ki\u015filer.<\/td>\n<td style=\"padding: 8px; border: 1px solid #ccc;\">Veri egemenli\u011finin kayb\u0131, bulut yap\u0131lar\u0131na g\u00fcvensizlik ve belirsiz eri\u015fim.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<h2>Genel g\u00f6r\u00fcn\u00fcm: Sistem nereye do\u011fru gidiyor?<\/h2>\n<p>\u00d6n\u00fcm\u00fczdeki y\u0131llar ePA'n\u0131n yararl\u0131 bir ara\u00e7 m\u0131 yoksa b\u00fcrokratik bir g\u00fcvenlik riski mi olaca\u011f\u0131n\u0131n belirlenmesinde belirleyici olacakt\u0131r. Siyasi sinyaller a\u00e7\u0131k: dijitalle\u015fme istiyorlar - ve bunu h\u0131zl\u0131 istiyorlar. Ancak h\u0131z, titizli\u011fin yerini tutamaz. Sorular cevaps\u0131z kalmaya devam ediyor:<\/p>\n<ul>\n<li>Kimin hangi verilere ne zaman eri\u015fti\u011fine dair merkezi bir genel bak\u0131\u015f olacak m\u0131?<\/li>\n<li>Opt-out di\u011fer projeler i\u00e7in de bir norm haline gelecek mi?<\/li>\n<li>Sa\u011fl\u0131k verileri di\u011fer devlet veri kaynaklar\u0131yla (vergi, i\u015fg\u00fcc\u00fc, sosyal hizmetler) ili\u015fkilendirilecek mi?<\/li>\n<li>\u00c7eli\u015fki daha ne kadar m\u00fcmk\u00fcn olmaya devam edecek? Sessizce ortadan kald\u0131r\u0131lacak m\u0131?<\/li>\n<\/ul>\n<p>Bug\u00fcn hala g\u00f6n\u00fcll\u00fcl\u00fck esas\u0131na dayal\u0131 olan bir uygulama, yar\u0131n prim programlar\u0131, sigorta poli\u00e7eleri ya da tedavi masraflar\u0131n\u0131n geri \u00f6denmesi i\u00e7in bir \u00f6n ko\u015ful haline gelebilir. B\u00f6ylece t\u0131bbi bak\u0131m, bug\u00fcn pek \u00e7ok ki\u015finin hala d\u00fc\u015f\u00fcn\u00fclemeyece\u011fini d\u00fc\u015f\u00fcnd\u00fc\u011f\u00fc kat\u0131l\u0131m ko\u015fullar\u0131na z\u0131mnen ba\u011flanabilir.<\/p>\n<h3>Sonu\u00e7 ve \u00f6neriler<\/h3>\n<p>Elektronik hasta kay\u0131tlar\u0131yla ilgilenen herkes, bunun sadece teknolojiyle ilgili olmad\u0131\u011f\u0131n\u0131, g\u00fcvenle ilgili oldu\u011funu hemen fark eder. Bu \u015feffafl\u0131k, kendi kaderini tayin etme, kamu yarar\u0131 ve ki\u015fisel egemenlik aras\u0131ndaki denge ile ilgilidir. T\u0131pk\u0131 elektronik <a href=\"https:\/\/www.markus-schall.de\/tr\/2025\/11\/di%cc%87ji%cc%87tal-euro-geli%cc%87yor-ne-anlama-geli%cc%87yor-ne-yapmamali-ve-ne-yapabi%cc%87li%cc%87r\/\">Dijital Euro'nun tan\u0131t\u0131m\u0131<\/a> her \u015feyi hafife almamal\u0131 ya da kabul etmemelisiniz.<\/p>\n<p>Kendi ad\u0131ma bu sisteme k\u00f6r\u00fc k\u00f6r\u00fcne g\u00fcvenmemeye karar verdim - teknofobik bir tutumdan de\u011fil, kendi ge\u00e7mi\u015fime, mahremiyetime ve veriler \u00fczerindeki kontrol\u00fcn de\u011ferli bir varl\u0131k oldu\u011fu bilgisine duydu\u011fum sayg\u0131dan dolay\u0131.<\/p>\n<p>Siz de sisteme itiraz etmeyi d\u00fc\u015f\u00fcn\u00fcyorsan\u0131z, sa\u011fl\u0131k sigortas\u0131 \u015firketiniz size uygun se\u00e7enekler sunacakt\u0131r - ancak genellikle bunlar\u0131 aktif olarak araman\u0131z gerekir.<\/p>\n<hr \/>\n\n\t\t\t<div class=\"display-post-types\">\n\n\t\t\t\t\t\t\t<style type=\"text\/css\">\n\t\t\t#dpt-wrapper-353 { --dpt-text-align: left;--dpt-image-crop: center;--dpt-border-radius: 5px;--dpt-small-grid-column: 33.33%;--dpt-large-grid-column: 33.3333333333%;--dpt-h-gutter: 10px;--dpt-v-gutter: 10px; }\t\t\t<\/style>\n\t\t\t<style type=\"text\/css\">#dpt-wrapper-353 { --dpt-title-font-style:normal;--dpt-title-font-weight:600;--dpt-title-line-height:1.5;--dpt-title-text-decoration:none;--dpt-title-text-transform:none;--dpt-excerpt-font-style:normal;--dpt-excerpt-font-weight:400;--dpt-excerpt-line-height:1.5;--dpt-excerpt-text-decoration:none;--dpt-excerpt-text-transform:none;--dpt-meta1-font-style:normal;--dpt-meta1-font-weight:400;--dpt-meta1-line-height:1.9;--dpt-meta1-text-decoration:none;--dpt-meta1-text-transform:none;--dpt-meta2-font-style:normal;--dpt-meta2-font-weight:400;--dpt-meta2-line-height:1.9;--dpt-meta2-text-decoration:none;--dpt-meta2-text-transform:none; }<\/style><div class=\"dpt-main-header\">\n\t\t\t\t\t\t<div class=\"dpt-main-title\">\n\t\t\t\t\t\t\t<span class=\"dpt-main-title-text\">AB yasalar\u0131na ili\u015fkin g\u00fcncel makaleler<\/span>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\t\t\t\n\t\t\t\t<div id=\"dpt-wrapper-353\" class=\"dpt-wrapper dpt-grid1 multi-col dpt-mason-wrap\" >\n\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"dpt-entry has-thumbnail\" data-title=\"regelbasierte weltordnung und v\u00f6lkerrecht: zwischen anspruch, realit\u00e4t und rechtsbruch\" data-id=\"4275\"  data-category=\"allgemein gesellschaft\" data-post_tag=\"denkmodelle eu-gesetze europa geopolitik krisen sicherheitspolitik\">\n\t\t\t\t\t\t\t<div class=\"dpt-entry-wrapper\"><div class=\"dpt-featured-content\"><div class=\"dpt-permalink\"><a href=\"https:\/\/www.markus-schall.de\/tr\/2026\/01\/gercekli%cc%87k-ve-hukukun-i%cc%87hlali%cc%87-arasinda-kurala-dayali-duenya-duezeni%cc%87-ve-uluslararasi-hukuk\/\" class=\"dpt-permalink\"><span class=\"screen-reader-text\">Kurala dayal\u0131 d\u00fcnya d\u00fczeni ve uluslararas\u0131 hukuk: iddia, ger\u00e7eklik ve hukuk ihlali aras\u0131nda<\/span><\/a><\/div><div class=\"dpt-thumbnail\"><div class=\"dpt-thumbnail-inner\"><img width=\"1024\" height=\"683\" class=\"attachment-full size-full\" alt=\"Uluslararas\u0131 hukuk ve kurallara dayal\u0131 d\u00fcnya d\u00fczeni\" context=\"dpt\" data-dpt-src=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/voelkerrecht-weltordnung-titel.jpg\" data-dpt-sizes=\"(max-width: 1024px) 100vw, 1024px\" data-dpt-srcset=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/voelkerrecht-weltordnung-titel.jpg 1024w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/voelkerrecht-weltordnung-titel-300x200.jpg 300w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/voelkerrecht-weltordnung-titel-768x512.jpg 768w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/voelkerrecht-weltordnung-titel-18x12.jpg 18w\" \/><\/div><span class=\"dpt-thumbnail-aspect-ratio\" style=\"padding-top: 67%\"><\/span><\/div><\/div><div class=\"sub-entry\"><h3 class=\"dpt-title\"><a class=\"dpt-title-link\" href=\"https:\/\/www.markus-schall.de\/tr\/2026\/01\/gercekli%cc%87k-ve-hukukun-i%cc%87hlali%cc%87-arasinda-kurala-dayali-duenya-duezeni%cc%87-ve-uluslararasi-hukuk\/\" rel=\"bookmark\">Kurala dayal\u0131 d\u00fcnya d\u00fczeni ve uluslararas\u0131 hukuk: iddia, ger\u00e7eklik ve hukuk ihlali aras\u0131nda<\/a><\/h3><\/div><\/div>\n\t\t\t\t\t\t<\/div><!-- .dpt-entry -->\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"dpt-entry has-thumbnail\" data-title=\"der digitale euro kommt &#8211; was er bedeutet, was er nicht darf, und was er k\u00f6nnte\" data-id=\"3345\"  data-category=\"allgemein apple iphone &amp; ipad gesellschaft\" data-post_tag=\"datenschutz eu-gesetze europa ratgeber\">\n\t\t\t\t\t\t\t<div class=\"dpt-entry-wrapper\"><div class=\"dpt-featured-content\"><div class=\"dpt-permalink\"><a href=\"https:\/\/www.markus-schall.de\/tr\/2025\/11\/di%cc%87ji%cc%87tal-euro-geli%cc%87yor-ne-anlama-geli%cc%87yor-ne-yapmamali-ve-ne-yapabi%cc%87li%cc%87r\/\" class=\"dpt-permalink\"><span class=\"screen-reader-text\">Dijital avro geliyor - ne anlama geliyor, ne yapmamal\u0131 ve ne yapabilir<\/span><\/a><\/div><div class=\"dpt-thumbnail\"><div class=\"dpt-thumbnail-inner\"><img width=\"1024\" height=\"683\" class=\"attachment-full size-full\" alt=\"Dijital Euro geliyor\" context=\"dpt\" data-dpt-src=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/Digitaler-Euro.jpg\" data-dpt-sizes=\"(max-width: 1024px) 100vw, 1024px\" data-dpt-srcset=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/Digitaler-Euro.jpg 1024w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/Digitaler-Euro-300x200.jpg 300w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/Digitaler-Euro-768x512.jpg 768w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/Digitaler-Euro-18x12.jpg 18w\" \/><\/div><span class=\"dpt-thumbnail-aspect-ratio\" style=\"padding-top: 67%\"><\/span><\/div><\/div><div class=\"sub-entry\"><h3 class=\"dpt-title\"><a class=\"dpt-title-link\" href=\"https:\/\/www.markus-schall.de\/tr\/2025\/11\/di%cc%87ji%cc%87tal-euro-geli%cc%87yor-ne-anlama-geli%cc%87yor-ne-yapmamali-ve-ne-yapabi%cc%87li%cc%87r\/\" rel=\"bookmark\">Dijital avro geliyor - ne anlama geliyor, ne yapmamal\u0131 ve ne yapabilir<\/a><\/h3><\/div><\/div>\n\t\t\t\t\t\t<\/div><!-- .dpt-entry -->\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"dpt-entry has-thumbnail\" data-title=\"spieltheorie erkl\u00e4rt 25 jahre geopolitik: wie europa seine strategische rolle verlor\" data-id=\"3850\"  data-category=\"allgemein gesellschaft kunst &amp; kultur\" data-post_tag=\"denkmodelle deutschland energiepolitik eu-gesetze europa geopolitik krisen sicherheitspolitik spieltheorie\">\n\t\t\t\t\t\t\t<div class=\"dpt-entry-wrapper\"><div class=\"dpt-featured-content\"><div class=\"dpt-permalink\"><a href=\"https:\/\/www.markus-schall.de\/tr\/2025\/12\/oyun-teori%cc%87si%cc%87-25-yillik-jeopoli%cc%87ti%cc%87gi%cc%87-acikliyor-avrupa-strateji%cc%87k-roluenue-nasil-kaybetti%cc%87\/\" class=\"dpt-permalink\"><span class=\"screen-reader-text\">Oyun teorisi jeopoliti\u011fin 25 y\u0131l\u0131n\u0131 a\u00e7\u0131kl\u0131yor: Avrupa stratejik rol\u00fcn\u00fc nas\u0131l kaybetti?<\/span><\/a><\/div><div class=\"dpt-thumbnail\"><div class=\"dpt-thumbnail-inner\"><img width=\"1024\" height=\"765\" class=\"attachment-full size-full\" alt=\"Oyun teorisi jeopoliti\u011fin 25 y\u0131l\u0131n\u0131 a\u00e7\u0131kl\u0131yor\" context=\"dpt\" data-dpt-src=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/europa-russland-spieltheorie.jpg\" data-dpt-sizes=\"(max-width: 1024px) 100vw, 1024px\" data-dpt-srcset=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/europa-russland-spieltheorie.jpg 1024w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/europa-russland-spieltheorie-300x224.jpg 300w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/europa-russland-spieltheorie-768x574.jpg 768w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/europa-russland-spieltheorie-16x12.jpg 16w\" \/><\/div><span class=\"dpt-thumbnail-aspect-ratio\" style=\"padding-top: 75%\"><\/span><\/div><\/div><div class=\"sub-entry\"><h3 class=\"dpt-title\"><a class=\"dpt-title-link\" href=\"https:\/\/www.markus-schall.de\/tr\/2025\/12\/oyun-teori%cc%87si%cc%87-25-yillik-jeopoli%cc%87ti%cc%87gi%cc%87-acikliyor-avrupa-strateji%cc%87k-roluenue-nasil-kaybetti%cc%87\/\" rel=\"bookmark\">Oyun teorisi jeopoliti\u011fin 25 y\u0131l\u0131n\u0131 a\u00e7\u0131kl\u0131yor: Avrupa stratejik rol\u00fcn\u00fc nas\u0131l kaybetti?<\/a><\/h3><\/div><\/div>\n\t\t\t\t\t\t<\/div><!-- .dpt-entry -->\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"dpt-entry has-thumbnail\" data-title=\"das 28. regime der eu: der stille umbau des europ\u00e4ischen wirtschaftsraums?\" data-id=\"3747\"  data-category=\"allgemein gesellschaft\" data-post_tag=\"auswandern eu-gesetze europa geopolitik\">\n\t\t\t\t\t\t\t<div class=\"dpt-entry-wrapper\"><div class=\"dpt-featured-content\"><div class=\"dpt-permalink\"><a href=\"https:\/\/www.markus-schall.de\/tr\/2025\/12\/abni%cc%87n-28-reji%cc%87mi%cc%87-avrupa-ekonomi%cc%87k-alaninin-sessi%cc%87zce-yeni%cc%87den-duezenlenmesi%cc%87\/\" class=\"dpt-permalink\"><span class=\"screen-reader-text\">AB'nin 28. rejimi: Avrupa Ekonomik Alan\u0131'n\u0131n sessiz sedas\u0131z yeniden d\u00fczenlenmesi mi?<\/span><\/a><\/div><div class=\"dpt-thumbnail\"><div class=\"dpt-thumbnail-inner\"><img width=\"1024\" height=\"683\" class=\"attachment-full size-full\" alt=\"28. AB rejimi\" context=\"dpt\" data-dpt-src=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/EU-28-Regime.jpg\" data-dpt-sizes=\"(max-width: 1024px) 100vw, 1024px\" data-dpt-srcset=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/EU-28-Regime.jpg 1024w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/EU-28-Regime-300x200.jpg 300w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/EU-28-Regime-768x512.jpg 768w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/EU-28-Regime-18x12.jpg 18w\" \/><\/div><span class=\"dpt-thumbnail-aspect-ratio\" style=\"padding-top: 67%\"><\/span><\/div><\/div><div class=\"sub-entry\"><h3 class=\"dpt-title\"><a class=\"dpt-title-link\" href=\"https:\/\/www.markus-schall.de\/tr\/2025\/12\/abni%cc%87n-28-reji%cc%87mi%cc%87-avrupa-ekonomi%cc%87k-alaninin-sessi%cc%87zce-yeni%cc%87den-duezenlenmesi%cc%87\/\" rel=\"bookmark\">AB'nin 28. rejimi: Avrupa Ekonomik Alan\u0131'n\u0131n sessiz sedas\u0131z yeniden d\u00fczenlenmesi mi?<\/a><\/h3><\/div><\/div>\n\t\t\t\t\t\t<\/div><!-- .dpt-entry -->\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"dpt-entry has-thumbnail\" data-title=\"cloud-act, datenhoheit und die schweiz: ein wendepunkt f\u00fcr europ\u00e4ische it-strategien?\" data-id=\"3727\"  data-category=\"allgemein gesellschaft\" data-post_tag=\"datenbanken datenschutz digitales eigentum eu-gesetze europa\">\n\t\t\t\t\t\t\t<div class=\"dpt-entry-wrapper\"><div class=\"dpt-featured-content\"><div class=\"dpt-permalink\"><a href=\"https:\/\/www.markus-schall.de\/tr\/2025\/11\/bulut-yasasi-veri%cc%87-egemenli%cc%87gi%cc%87-ve-i%cc%87svi%cc%87cre-avrupa-bi%cc%87li%cc%87si%cc%87m-strateji%cc%87leri%cc%87-i%cc%87ci%cc%87n-bi%cc%87r-doenuem-noktasi\/\" class=\"dpt-permalink\"><span class=\"screen-reader-text\">CLOUD Yasas\u0131, veri egemenli\u011fi ve \u0130svi\u00e7re: Avrupa BT stratejileri i\u00e7in bir d\u00f6n\u00fcm noktas\u0131 m\u0131?<\/span><\/a><\/div><div class=\"dpt-thumbnail\"><div class=\"dpt-thumbnail-inner\"><img width=\"1024\" height=\"683\" class=\"attachment-full size-full\" alt=\"\u0130svi\u00e7re&#039;nin bulut karar\u0131 Avrupa i\u00e7in ne anlama geliyor?\" context=\"dpt\" data-dpt-src=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/schweiz-cloud-resolution-eu.jpg\" data-dpt-sizes=\"(max-width: 1024px) 100vw, 1024px\" data-dpt-srcset=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/schweiz-cloud-resolution-eu.jpg 1024w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/schweiz-cloud-resolution-eu-300x200.jpg 300w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/schweiz-cloud-resolution-eu-768x512.jpg 768w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/schweiz-cloud-resolution-eu-18x12.jpg 18w\" \/><\/div><span class=\"dpt-thumbnail-aspect-ratio\" style=\"padding-top: 67%\"><\/span><\/div><\/div><div class=\"sub-entry\"><h3 class=\"dpt-title\"><a class=\"dpt-title-link\" href=\"https:\/\/www.markus-schall.de\/tr\/2025\/11\/bulut-yasasi-veri%cc%87-egemenli%cc%87gi%cc%87-ve-i%cc%87svi%cc%87cre-avrupa-bi%cc%87li%cc%87si%cc%87m-strateji%cc%87leri%cc%87-i%cc%87ci%cc%87n-bi%cc%87r-doenuem-noktasi\/\" rel=\"bookmark\">CLOUD Yasas\u0131, veri egemenli\u011fi ve \u0130svi\u00e7re: Avrupa BT stratejileri i\u00e7in bir d\u00f6n\u00fcm noktas\u0131 m\u0131?<\/a><\/h3><\/div><\/div>\n\t\t\t\t\t\t<\/div><!-- .dpt-entry -->\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"dpt-entry has-thumbnail\" data-title=\"die digitale id der eu: verkn\u00fcpfung, kontrolle und risiken im alltag\" data-id=\"3486\"  data-category=\"allgemein gesellschaft tipps &amp; anleitungen\" data-post_tag=\"datenschutz eu-gesetze europa prozesse ratgeber\">\n\t\t\t\t\t\t\t<div class=\"dpt-entry-wrapper\"><div class=\"dpt-featured-content\"><div class=\"dpt-permalink\"><a href=\"https:\/\/www.markus-schall.de\/tr\/2025\/11\/abni%cc%87n-di%cc%87ji%cc%87tal-ki%cc%87mli%cc%87gi%cc%87-guenluek-yasamda-kontrol-ve-ri%cc%87ski%cc%87-bi%cc%87rbi%cc%87ri%cc%87ne-bagliyor\/\" class=\"dpt-permalink\"><span class=\"screen-reader-text\">AB'nin dijital kimli\u011fi: g\u00fcnl\u00fck ya\u015famda ba\u011flant\u0131, kontrol ve riskler<\/span><\/a><\/div><div class=\"dpt-thumbnail\"><div class=\"dpt-thumbnail-inner\"><img width=\"1024\" height=\"683\" class=\"attachment-full size-full\" alt=\"AB&#039;nin Dijital Kimli\u011fi\" context=\"dpt\" data-dpt-src=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/Digitale-ID-der-EU.jpg\" data-dpt-sizes=\"(max-width: 1024px) 100vw, 1024px\" data-dpt-srcset=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/Digitale-ID-der-EU.jpg 1024w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/Digitale-ID-der-EU-300x200.jpg 300w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/Digitale-ID-der-EU-768x512.jpg 768w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/Digitale-ID-der-EU-18x12.jpg 18w\" \/><\/div><span class=\"dpt-thumbnail-aspect-ratio\" style=\"padding-top: 67%\"><\/span><\/div><\/div><div class=\"sub-entry\"><h3 class=\"dpt-title\"><a class=\"dpt-title-link\" href=\"https:\/\/www.markus-schall.de\/tr\/2025\/11\/abni%cc%87n-di%cc%87ji%cc%87tal-ki%cc%87mli%cc%87gi%cc%87-guenluek-yasamda-kontrol-ve-ri%cc%87ski%cc%87-bi%cc%87rbi%cc%87ri%cc%87ne-bagliyor\/\" rel=\"bookmark\">AB'nin dijital kimli\u011fi: g\u00fcnl\u00fck ya\u015famda ba\u011flant\u0131, kontrol ve riskler<\/a><\/h3><\/div><\/div>\n\t\t\t\t\t\t<\/div><!-- .dpt-entry -->\n\t\t\t\t\t\t\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\n<hr \/>\n<h2>Elektronik hasta dosyas\u0131 hakk\u0131nda s\u0131k\u00e7a sorulan sorular<\/h2>\n<ol>\n<li><strong>Elektronik hasta dosyas\u0131 nedir ki zaten?<\/strong><br \/>\nElektronik hasta dosyas\u0131 (ePA), merkezi olarak depolanan dijital bir t\u0131bbi belge koleksiyonudur. Ama\u00e7, bulgular, te\u015fhisler, a\u015f\u0131lar veya doktor mektuplar\u0131 gibi bilgileri tek bir yerde toplamak, b\u00f6ylece tedavi eden doktorlar\u0131n bunlara istedikleri zaman eri\u015febilmelerini sa\u011flamak ve hastalar\u0131n kendi t\u0131bbi ge\u00e7mi\u015fleri hakk\u0131nda daha iyi bir genel bak\u0131\u015fa sahip olmalar\u0131n\u0131 sa\u011flamakt\u0131r.<\/li>\n<li><strong>ePA t\u00fcm sigortal\u0131lar i\u00e7in zorunlu mudur?<\/strong><br \/>\n\u201eHerkes i\u00e7in ePA\u201c uygulamas\u0131n\u0131n 1 Ocak 2025'ten itibaren y\u00fcr\u00fcrl\u00fc\u011fe girmesinden bu yana, yasal sa\u011fl\u0131k sigortas\u0131 olan herkes - aktif olarak itiraz etmedikleri s\u00fcrece - otomatik olarak bir ePA alacakt\u0131r. Dolay\u0131s\u0131yla bu bir opt-out modelidir. Aktif olarak itiraz etmeyen herkes i\u00e7in bir dosya olu\u015fturulacakt\u0131r.<\/li>\n<li><strong>EPO'ya nas\u0131l itiraz edebilirim?<\/strong><br \/>\n\u0130tiraz, genellikle \u00e7evrimi\u00e7i portal \u00fczerinden veya yaz\u0131l\u0131 olarak kendi sa\u011fl\u0131k sigortas\u0131 \u015firketinize yap\u0131lmal\u0131d\u0131r. Baz\u0131 sigortac\u0131lar iki fakt\u00f6rl\u00fc kimlik do\u011frulama veya \u00f6zel bir form kullan\u0131lmas\u0131n\u0131 talep etmektedir. Otomatik veri doldurma i\u015fleminin ba\u015flamamas\u0131 i\u00e7in itiraz\u0131n 1 Ocak 2025 tarihinden \u00f6nce zaman\u0131nda yap\u0131lmas\u0131 gerekti\u011fini unutmamak \u00f6nemlidir.<\/li>\n<li><strong>Daha sonra itiraz edersem ne olur?<\/strong><br \/>\n1 Ocak 2025'ten sonra itiraz hala m\u00fcmk\u00fcnd\u00fcr, ancak t\u0131bbi veriler o zamana kadar zaten saklanm\u0131\u015f olabilir. Bu verilerin manuel olarak silinmesi gerekir ki bu da her zaman \u015feffaf veya kolay de\u011fildir. Geriye d\u00f6n\u00fck bir itiraz \u00f6ng\u00f6r\u00fclm\u00fc\u015ft\u00fcr - ancak teknik a\u00e7\u0131dan her yerde g\u00fcvenilir bir \u015fekilde uygulanmamaktad\u0131r.<\/li>\n<li><strong>ePA'da hangi veriler saklan\u0131r?<\/strong><br \/>\nBunlar \u015funlar\u0131 i\u00e7erir: Te\u015fhisler, doktor mektuplar\u0131, laboratuvar sonu\u00e7lar\u0131, bulgular, ila\u00e7 planlar\u0131, a\u015f\u0131lar, r\u00f6ntgenler ve hastane raporlar\u0131. 2025 y\u0131l\u0131ndan itibaren doktorlar ve di\u011fer hizmet sa\u011flay\u0131c\u0131lar, hasta itiraz etmedi\u011fi s\u00fcrece bu bilgileri otomatik olarak ePA'da saklamakla y\u00fck\u00fcml\u00fc olacakt\u0131r.<\/li>\n<li><strong>Hangi doktorun neyi g\u00f6rebilece\u011fine kendim karar verebilir miyim?<\/strong><br \/>\nEvet, teoride ince ayr\u0131nt\u0131lara sahip haklar atamak m\u00fcmk\u00fcnd\u00fcr - ba\u015fka bir deyi\u015fle, bireysel doktorlar i\u00e7in belirli belgelere eri\u015fim izni verebilir veya geri \u00e7ekebilirsiniz. Ancak uygulamada bu kontrol genellikle karma\u015f\u0131kt\u0131r, teknik olarak zahmetlidir ve standartla\u015ft\u0131r\u0131lmam\u0131\u015ft\u0131r.<\/li>\n<li><strong>Bir hasta olarak ePA kullan\u0131m\u0131 benim i\u00e7in zorunlu mu?<\/strong><br \/>\nHay\u0131r - itiraz edenlere dosya g\u00f6nderilmeyecektir. ePA'y\u0131 aktif olarak kullanmak isteyen herkes, uygulama veya sa\u011fl\u0131k sigortas\u0131 \u015firketinin \u00e7evrimi\u00e7i portal\u0131 arac\u0131l\u0131\u011f\u0131yla bunu etkinle\u015ftirmelidir. Kullan\u0131m iste\u011fe ba\u011fl\u0131d\u0131r, ancak opt-out modeli hastalar \u00fczerindeki aktif bir karar verme bask\u0131s\u0131n\u0131 art\u0131rmaktad\u0131r ve \u00e7o\u011fu ki\u015fi bunun fark\u0131nda de\u011fildir.<\/li>\n<li><strong>Teoride ePA'n\u0131n avantajlar\u0131 nelerdir?<\/strong><br \/>\nMerkezi depolama, doktorlara \u00f6nceki te\u015fhislere veya laboratuvar sonu\u00e7lar\u0131na h\u0131zl\u0131 eri\u015fim sa\u011flayarak t\u0131bbi tedaviyi iyile\u015ftirebilir. Bu da zaman kazand\u0131r\u0131r, m\u00fckerrer muayeneleri \u00f6nler ve \u00f6zellikle acil durumlarda hayat kurtar\u0131c\u0131 olabilir.<\/li>\n<li><strong>ePA hangi riskleri bar\u0131nd\u0131r\u0131yor?<\/strong><br \/>\nSon derece hassas sa\u011fl\u0131k verilerinin merkezi olarak depolanmas\u0131, hacker sald\u0131r\u0131lar\u0131, veri ihlalleri, yasalarda sonradan yap\u0131lan de\u011fi\u015fiklikler veya belirsiz \u00fc\u00e7\u00fcnc\u00fc taraf kullan\u0131m\u0131 gibi risklere yol a\u00e7maktad\u0131r. Veriler resmi olarak korunsa bile, siyasi, ekonomik veya teknik de\u011fi\u015fikliklerin bir sonucu olarak ba\u015fka ama\u00e7lar i\u00e7in kullan\u0131lma riski hala mevcuttur.<\/li>\n<li><strong>ePA'y\u0131 teknik olarak kim i\u015fletiyor?<\/strong><br \/>\nTeknik uygulama, federal h\u00fck\u00fcmet ad\u0131na \u00e7al\u0131\u015fan gematik GmbH taraf\u0131ndan y\u00fcr\u00fct\u00fclmekle birlikte, sa\u011fl\u0131k sigortas\u0131 fonlar\u0131, t\u0131p birlikleri ve BT \u015firketlerinin kat\u0131l\u0131m\u0131n\u0131 da i\u00e7ermektedir. Depolama, \u00e7o\u011funlukla gematik ile s\u00f6zle\u015fmesi olan \u00f6zel hizmet sa\u011flay\u0131c\u0131lar\u0131 olmak \u00fczere sertifikal\u0131 sa\u011flay\u0131c\u0131lar\u0131n veri merkezlerinde ger\u00e7ekle\u015ftirilmektedir.<\/li>\n<li><strong>Opt-in ve opt-out aras\u0131ndaki fark nedir?<\/strong><br \/>\nKat\u0131lmay\u0131 tercih ederseniz, kat\u0131lmay\u0131 aktif olarak kabul etmeniz gerekir. Opt-out ile, itiraz etmedi\u011finiz s\u00fcrece otomatik olarak dahil edilirsiniz. ePA ba\u015flang\u0131\u00e7ta bir opt-in modeliydi - 2024 Dijital Yasas\u0131 ile opt-out modeline ge\u00e7ildi. Bu geri d\u00f6n\u00fc\u015f temel bir sistem de\u011fi\u015fikli\u011fidir.<\/li>\n<li><strong>Vazge\u00e7mek neden sorunludur?<\/strong><br \/>\n\u00c7\u00fcnk\u00fc bir\u00e7ok insan itiraz etmesi gerekti\u011finin fark\u0131nda bile de\u011fil - ve b\u00f6ylece kendilerine sorulmadan istemeyebilecekleri bir sistemin par\u00e7as\u0131 haline geliyorlar. Sa\u011fl\u0131k sigortas\u0131 \u015firketinden gelen postalar\u0131 d\u00fczenli olarak okumayan, nadiren giri\u015f yapan veya teknik engelleri olan herkes, fark\u0131nda olmadan se\u00e7imini kaybeder.<\/li>\n<li><strong>Bug\u00fcn itiraz edersem daha sonra tekrar bir EPO olu\u015fturabilir miyim?<\/strong><br \/>\nEvet, bu her zaman m\u00fcmk\u00fcnd\u00fcr. Daha sonra fikrinizi de\u011fi\u015ftirirseniz, sa\u011fl\u0131k sigortas\u0131 \u015firketiniz arac\u0131l\u0131\u011f\u0131yla bir ePA olu\u015fturabilirsiniz. Yani kal\u0131c\u0131 bir geri \u00e7ekilme yok, ancak istenirse daha sonraki bir tarihte kat\u0131lma se\u00e7ene\u011fi var.<\/li>\n<li><strong>Verilerim sald\u0131r\u0131ya u\u011frarsa ne olur?<\/strong><br \/>\nBir veri s\u0131z\u0131nt\u0131s\u0131 durumunda, zarar olduk\u00e7a b\u00fcy\u00fckt\u00fcr: sa\u011fl\u0131k verileri \u00f6zellikle hassas kabul edilir. \u00d6rne\u011fin \u015fantaj, ayr\u0131mc\u0131l\u0131k veya hedefli reklamc\u0131l\u0131k i\u00e7in k\u00f6t\u00fcye kullan\u0131labilir. Korumadan kimin sorumlu oldu\u011fu ve zararlar\u0131n tazmin edilmesinin nas\u0131l d\u00fczenlenece\u011fi hen\u00fcz yasal a\u00e7\u0131dan netlik kazanmam\u0131\u015ft\u0131r.<\/li>\n<li><strong>Veri koruma uzmanlar\u0131 ePA hakk\u0131nda ne diyor?<\/strong><br \/>\nBir\u00e7ok veri koruma g\u00f6revlisi, vazge\u00e7me prosed\u00fcr\u00fcn\u00fc sert bir \u015fekilde ele\u015ftiriyor ve daha fazla \u015feffafl\u0131k, poli\u00e7e sahipleri i\u00e7in daha fazla bilgi ve teknik iyile\u015ftirmeler \u00e7a\u011fr\u0131s\u0131nda bulunuyor. Hatta baz\u0131lar\u0131, burada bir emsal olu\u015fturuldu\u011fu i\u00e7in \"dijital baraj ihlalinden\" s\u00f6z ediyor: Sa\u011fl\u0131k verileri merkezile\u015ftirilmi\u015f, zorunlu ve aktif r\u0131za olmadan.<\/li>\n<\/ol>\n<hr \/>\n\n\t\t\t<div class=\"display-post-types\">\n\n\t\t\t\t\t\t\t<style type=\"text\/css\">\n\t\t\t#dpt-wrapper-354 { --dpt-text-align: left;--dpt-image-crop: center;--dpt-border-radius: 5px;--dpt-h-gutter: 10px;--dpt-v-gutter: 9px; }\t\t\t<\/style>\n\t\t\t<style type=\"text\/css\">#dpt-wrapper-354 { --dpt-title-font-style:normal;--dpt-title-font-weight:600;--dpt-title-line-height:1.5;--dpt-title-text-decoration:none;--dpt-title-text-transform:none;--dpt-excerpt-font-style:normal;--dpt-excerpt-font-weight:400;--dpt-excerpt-line-height:1.5;--dpt-excerpt-text-decoration:none;--dpt-excerpt-text-transform:none;--dpt-meta1-font-style:normal;--dpt-meta1-font-weight:400;--dpt-meta1-line-height:1.9;--dpt-meta1-text-decoration:none;--dpt-meta1-text-transform:none;--dpt-meta2-font-style:normal;--dpt-meta2-font-weight:400;--dpt-meta2-line-height:1.9;--dpt-meta2-text-decoration:none;--dpt-meta2-text-transform:none; }<\/style><div class=\"dpt-main-header\">\n\t\t\t\t\t\t<div class=\"dpt-main-title\">\n\t\t\t\t\t\t\t<span class=\"dpt-main-title-text\">Sanat ve k\u00fclt\u00fcr \u00fczerine g\u00fcncel makaleler<\/span>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\t\t\t\n\t\t\t\t<div id=\"dpt-wrapper-354\" class=\"dpt-wrapper dpt-mag1 land1 dpt-cropped dpt-flex-wrap\" >\n\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"dpt-entry has-thumbnail\" data-title=\"spieltheorie erkl\u00e4rt 25 jahre geopolitik: wie europa seine strategische rolle verlor\" data-id=\"3850\"  data-category=\"allgemein gesellschaft kunst &amp; kultur\" data-post_tag=\"denkmodelle deutschland energiepolitik eu-gesetze europa geopolitik krisen sicherheitspolitik spieltheorie\">\n\t\t\t\t\t\t\t<div class=\"dpt-entry-wrapper\"><div class=\"dpt-featured-content\"><div class=\"dpt-permalink\"><a href=\"https:\/\/www.markus-schall.de\/tr\/2025\/12\/oyun-teori%cc%87si%cc%87-25-yillik-jeopoli%cc%87ti%cc%87gi%cc%87-acikliyor-avrupa-strateji%cc%87k-roluenue-nasil-kaybetti%cc%87\/\" class=\"dpt-permalink\"><span class=\"screen-reader-text\">Oyun teorisi jeopoliti\u011fin 25 y\u0131l\u0131n\u0131 a\u00e7\u0131kl\u0131yor: Avrupa stratejik rol\u00fcn\u00fc nas\u0131l kaybetti?<\/span><\/a><\/div><div class=\"dpt-thumbnail\"><div class=\"dpt-thumbnail-inner\"><img width=\"1024\" height=\"765\" class=\"attachment-full size-full\" alt=\"Oyun teorisi jeopoliti\u011fin 25 y\u0131l\u0131n\u0131 a\u00e7\u0131kl\u0131yor\" context=\"dpt\" data-dpt-src=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/europa-russland-spieltheorie.jpg\" data-dpt-sizes=\"(max-width: 1024px) 100vw, 1024px\" data-dpt-srcset=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/europa-russland-spieltheorie.jpg 1024w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/europa-russland-spieltheorie-300x224.jpg 300w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/europa-russland-spieltheorie-768x574.jpg 768w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/europa-russland-spieltheorie-16x12.jpg 16w\" \/><\/div><span class=\"dpt-thumbnail-aspect-ratio\" style=\"padding-top: 75%\"><\/span><\/div><\/div><div class=\"sub-entry\"><h3 class=\"dpt-title\"><a class=\"dpt-title-link\" href=\"https:\/\/www.markus-schall.de\/tr\/2025\/12\/oyun-teori%cc%87si%cc%87-25-yillik-jeopoli%cc%87ti%cc%87gi%cc%87-acikliyor-avrupa-strateji%cc%87k-roluenue-nasil-kaybetti%cc%87\/\" rel=\"bookmark\">Oyun teorisi jeopoliti\u011fin 25 y\u0131l\u0131n\u0131 a\u00e7\u0131kl\u0131yor: Avrupa stratejik rol\u00fcn\u00fc nas\u0131l kaybetti?<\/a><\/h3><\/div><\/div>\n\t\t\t\t\t\t<\/div><!-- .dpt-entry -->\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"dpt-entry has-thumbnail\" data-title=\"mehr als punk: nina hagen, cosma shiva und die kunst, sich nicht vereinnahmen zu lassen\" data-id=\"4521\"  data-category=\"allgemein gesellschaft kunst &amp; kultur\" data-post_tag=\"auswandern deutschland erfahrungen europa krisen meinungsfreiheit musik portrait\">\n\t\t\t\t\t\t\t<div class=\"dpt-entry-wrapper\"><div class=\"dpt-featured-content\"><div class=\"dpt-permalink\"><a href=\"https:\/\/www.markus-schall.de\/tr\/2026\/01\/punktan-daha-fazlasi-nina-hagen-cosma-shiva-ve-aldanmama-sanati\/\" class=\"dpt-permalink\"><span class=\"screen-reader-text\">Punk'tan daha fazlas\u0131: Nina Hagen, Cosma Shiva ve kendini kapt\u0131rmama sanat\u0131<\/span><\/a><\/div><div class=\"dpt-thumbnail\"><div class=\"dpt-thumbnail-inner\"><img width=\"1024\" height=\"683\" class=\"attachment-full size-full\" alt=\"Nina ve Cosma Shiva Hagen&#039;in Portresi\" context=\"dpt\" data-dpt-src=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/Nina-Cosma-Shiva-Hagen-Titel.jpg\" data-dpt-sizes=\"(max-width: 1024px) 100vw, 1024px\" data-dpt-srcset=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/Nina-Cosma-Shiva-Hagen-Titel.jpg 1024w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/Nina-Cosma-Shiva-Hagen-Titel-300x200.jpg 300w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/Nina-Cosma-Shiva-Hagen-Titel-768x512.jpg 768w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/Nina-Cosma-Shiva-Hagen-Titel-18x12.jpg 18w\" \/><\/div><span class=\"dpt-thumbnail-aspect-ratio\" style=\"padding-top: 75%\"><\/span><\/div><\/div><div class=\"sub-entry\"><h3 class=\"dpt-title\"><a class=\"dpt-title-link\" href=\"https:\/\/www.markus-schall.de\/tr\/2026\/01\/punktan-daha-fazlasi-nina-hagen-cosma-shiva-ve-aldanmama-sanati\/\" rel=\"bookmark\">Punk'tan daha fazlas\u0131: Nina Hagen, Cosma Shiva ve kendini kapt\u0131rmama sanat\u0131<\/a><\/h3><\/div><\/div>\n\t\t\t\t\t\t<\/div><!-- .dpt-entry -->\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"dpt-entry has-thumbnail\" data-title=\"wenn pflicht wieder pflicht wird. eine art essay von herrn von l&#8217;oreot.\" data-id=\"3010\"  data-category=\"allgemein gesellschaft kunst &amp; kultur stories &amp; humor\" data-post_tag=\"deutschland erfahrungen geopolitik krisen pers\u00f6nlichkeitsentwicklung sicherheitspolitik\">\n\t\t\t\t\t\t\t<div class=\"dpt-entry-wrapper\"><div class=\"dpt-featured-content\"><div class=\"dpt-permalink\"><a href=\"https:\/\/www.markus-schall.de\/tr\/2025\/10\/goerev-tekrar-goerev-oldugunda-bay-von-loreotun-bi%cc%87r-tuer-denemesi%cc%87\/\" class=\"dpt-permalink\"><span class=\"screen-reader-text\">G\u00f6rev tekrar g\u00f6reve d\u00f6n\u00fc\u015ft\u00fc\u011f\u00fcnde. Bay von L'oreot'un bir t\u00fcr denemesi.<\/span><\/a><\/div><div class=\"dpt-thumbnail\"><div class=\"dpt-thumbnail-inner\"><img width=\"1024\" height=\"683\" class=\"attachment-full size-full\" alt=\"Beklenmedik bir telefon g\u00f6r\u00fc\u015fmesi\" context=\"dpt\" data-dpt-src=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/loreot-pflicht-anruf.jpg\" data-dpt-sizes=\"(max-width: 1024px) 100vw, 1024px\" data-dpt-srcset=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/loreot-pflicht-anruf.jpg 1024w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/loreot-pflicht-anruf-300x200.jpg 300w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/loreot-pflicht-anruf-768x512.jpg 768w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/loreot-pflicht-anruf-18x12.jpg 18w\" \/><\/div><span class=\"dpt-thumbnail-aspect-ratio\" style=\"padding-top: 75%\"><\/span><\/div><\/div><div class=\"sub-entry\"><h3 class=\"dpt-title\"><a class=\"dpt-title-link\" href=\"https:\/\/www.markus-schall.de\/tr\/2025\/10\/goerev-tekrar-goerev-oldugunda-bay-von-loreotun-bi%cc%87r-tuer-denemesi%cc%87\/\" rel=\"bookmark\">G\u00f6rev tekrar g\u00f6reve d\u00f6n\u00fc\u015ft\u00fc\u011f\u00fcnde. Bay von L'oreot'un bir t\u00fcr denemesi.<\/a><\/h3><\/div><\/div>\n\t\t\t\t\t\t<\/div><!-- .dpt-entry -->\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"dpt-entry has-thumbnail\" data-title=\"wie war syrien vor dem krieg? wer regiert heute? was bedeutet das f\u00fcr gefl\u00fcchtete in deutschland?\" data-id=\"4628\"  data-category=\"allgemein gesellschaft kunst &amp; kultur\" data-post_tag=\"deutschland europa geopolitik krisen meinungsfreiheit sicherheitspolitik\">\n\t\t\t\t\t\t\t<div class=\"dpt-entry-wrapper\"><div class=\"dpt-featured-content\"><div class=\"dpt-permalink\"><a href=\"https:\/\/www.markus-schall.de\/tr\/2026\/01\/savastan-oence-suri%cc%87ye-nasildi-buguen-ki%cc%87m-yoeneti%cc%87yor-bu-almanyadaki%cc%87-muelteci%cc%87ler-i%cc%87ci%cc%87n-ne-anlama-geli%cc%87yor\/\" class=\"dpt-permalink\"><span class=\"screen-reader-text\">Sava\u015ftan \u00f6nce Suriye nas\u0131l bir yerdi? Bug\u00fcn kim y\u00f6netiyor? Bu Almanya'daki m\u00fclteciler i\u00e7in ne anlama geliyor?<\/span><\/a><\/div><div class=\"dpt-thumbnail\"><div class=\"dpt-thumbnail-inner\"><img width=\"1024\" height=\"683\" class=\"attachment-full size-full\" alt=\"Suriye ve \u015eam\" context=\"dpt\" data-dpt-src=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/Syrien-Damaskus.jpg\" data-dpt-sizes=\"(max-width: 1024px) 100vw, 1024px\" data-dpt-srcset=\"https:\/\/www.markus-schall.de\/wp-content\/uploads\/Syrien-Damaskus.jpg 1024w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/Syrien-Damaskus-300x200.jpg 300w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/Syrien-Damaskus-768x512.jpg 768w, https:\/\/www.markus-schall.de\/wp-content\/uploads\/Syrien-Damaskus-18x12.jpg 18w\" \/><\/div><span class=\"dpt-thumbnail-aspect-ratio\" style=\"padding-top: 75%\"><\/span><\/div><\/div><div class=\"sub-entry\"><h3 class=\"dpt-title\"><a class=\"dpt-title-link\" href=\"https:\/\/www.markus-schall.de\/tr\/2026\/01\/savastan-oence-suri%cc%87ye-nasildi-buguen-ki%cc%87m-yoeneti%cc%87yor-bu-almanyadaki%cc%87-muelteci%cc%87ler-i%cc%87ci%cc%87n-ne-anlama-geli%cc%87yor\/\" rel=\"bookmark\">Sava\u015ftan \u00f6nce Suriye nas\u0131l bir yerdi? Bug\u00fcn kim y\u00f6netiyor? Bu Almanya'daki m\u00fclteciler i\u00e7in ne anlama geliyor?<\/a><\/h3><\/div><\/div>\n\t\t\t\t\t\t<\/div><!-- .dpt-entry -->\n\t\t\t\t\t\t\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\n<hr \/>","protected":false},"excerpt":{"rendered":"<p>Die elektronische Patientenakte, kurz ePA, ist eines der ambitioniertsten Digitalisierungsprojekte im deutschen Gesundheitswesen. Sie soll medizinische Informationen zentral b\u00fcndeln &#8211; von Befunden und Laborwerten \u00fcber Medikationspl\u00e4ne bis hin zu Impfungen und Krankenhausberichten. \u00c4rzte, Therapeuten, Apotheken und Patienten sollen dadurch besser miteinander vernetzt, Doppeluntersuchungen vermieden und die Behandlungsqualit\u00e4t verbessert werden. Was auf dem Papier modern und &#8230; <a title=\"Sava\u015ftan \u00f6nce Suriye nas\u0131l bir yerdi? Bug\u00fcn kim y\u00f6netiyor? Bu Almanya&#039;daki m\u00fclteciler i\u00e7in ne anlama geliyor?\" class=\"read-more\" href=\"https:\/\/www.markus-schall.de\/tr\/2026\/01\/savastan-oence-suri%cc%87ye-nasildi-buguen-ki%cc%87m-yoeneti%cc%87yor-bu-almanyadaki%cc%87-muelteci%cc%87ler-i%cc%87ci%cc%87n-ne-anlama-geli%cc%87yor\/\" aria-label=\"Sava\u015ftan \u00f6nce Suriye nas\u0131ld\u0131 hakk\u0131nda devam\u0131n\u0131 oku Bug\u00fcn Suriye&#039;yi kim y\u00f6netiyor? Bu Almanya&#039;daki m\u00fclteciler i\u00e7in ne anlama geliyor?\">Devam\u0131n\u0131 oku<\/a><\/p>","protected":false},"author":1,"featured_media":3417,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"iawp_total_views":274,"footnotes":""},"categories":[466,456,4],"tags":[469,470,447,442,448],"class_list":["post-3412","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gesellschaft","category-gesundheit","category-tipps-anleitungen","tag-datenschutz","tag-eu-gesetze","tag-gesundheit","tag-prozesse","tag-ratgeber"],"_links":{"self":[{"href":"https:\/\/www.markus-schall.de\/tr\/wp-json\/wp\/v2\/posts\/3412","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.markus-schall.de\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.markus-schall.de\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.markus-schall.de\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.markus-schall.de\/tr\/wp-json\/wp\/v2\/comments?post=3412"}],"version-history":[{"count":25,"href":"https:\/\/www.markus-schall.de\/tr\/wp-json\/wp\/v2\/posts\/3412\/revisions"}],"predecessor-version":[{"id":5703,"href":"https:\/\/www.markus-schall.de\/tr\/wp-json\/wp\/v2\/posts\/3412\/revisions\/5703"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.markus-schall.de\/tr\/wp-json\/wp\/v2\/media\/3417"}],"wp:attachment":[{"href":"https:\/\/www.markus-schall.de\/tr\/wp-json\/wp\/v2\/media?parent=3412"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.markus-schall.de\/tr\/wp-json\/wp\/v2\/categories?post=3412"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.markus-schall.de\/tr\/wp-json\/wp\/v2\/tags?post=3412"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}