What Gematik does

Gematik (legal entity: gematik GmbH, operating as Nationale Agentur für Digitale Medizin) is Germany's federally mandated national agency for digital medicine, headquartered in Berlin and operating under the oversight of the Federal Ministry of Health. Founded in 2005, the organization designs, governs, and operates the Telematikinfrastruktur (TI) — the secure, standardized digital backbone connecting every participant in the German healthcare system. The TI links approximately 73 million statutory insured persons, more than 150,000 physicians, 19,000 pharmacies, and 1,700 hospitals through certified infrastructure components and standardized interfaces.

The product portfolio centers on the TI platform itself, supplemented by a suite of national applications: the Elektronische Patientenakte (ePA) for centralized electronic patient records; the E-Rezept for digital prescriptions; GesundheitsID for digital authentication; KIM (Kommunikation im Medizinwesen) for secure document exchange between providers; TI-Messenger for real-time encrypted healthcare messaging; the Elektronische Gesundheitskarte (eGK) as the physical smartcard identity token; Notfalldaten for emergency medical data; DiGA for prescribed digital health apps; DEMIS for infectious disease reporting; and VSDM for real-time insurance data verification. Underlying components include proprietary smartcard infrastructure (HBA for professionals, SMC-B for institutions), TI-Gateway/Connector hardware and software, and FHIR-based specification repositories. Forward product launches include VSDM 2.0 with Zero Trust architecture (pilot September 2026), RSA-to-ECC cryptographic migration (June 2026), PoPP for PIN-less authentication, and EUDI Wallet integration by December 2028.

The business model is non-commercial and government-funded: Gematik is funded through statutory health insurance contributions and federal government appropriations, with pricing for TI infrastructure services not publicly disclosed. The agency does not sell to traditional customers; instead, it serves the entire German healthcare ecosystem under legal mandate, distributing services through statutory health insurance funds (GKV), certified TI service providers and IT vendors (T-Systems, CompuGroup Medical, IBM Deutschland), and national professional associations (KBV, DKG, ABDA, GKV-Spitzenverband). Participation in the TI is mandatory for healthcare institutions, creating a unique revenue model where adoption is statutory rather than market-driven. The agency is led by Markus Leyck Dieken as CEO.

Name

Gematik

Legal name

gematik GmbH

Website

https://gematik.de

Company type

Private

Founded year

2005

Operating status

Operating

Headcount range

101–250 employees

Short description

Gematik is Germany's federally mandated national digital health agency, operating the Telematikinfrastruktur — the nationwide infrastructure connecting 73+ million insured persons, physicians, hospitals, and pharmacies through electronic patient records, e-prescriptions, secure messaging, and digital identity.

Ownership category

akta.pro rank

Product category

Digital Health Infrastructure

akta.pro primary industry

Controlled-Substance & High-Risk Medication Teleprescribing Platforms (compliance-focused) (HLALAIAM)

akta.pro secondary industries

Tele-Urgent Care for Health Systems & Clinics (White-Label) (HLALAJAF), Home Patient Monitoring & Telehealth Devices (Vitals, Fall Detection, PERS) (HSABAKAE)

Keywords

• Digital health infrastructure
• Electronic patient records
• Electronic prescriptions
• Healthcare interoperability
• Secure health messaging

Headquarters

HQ city

Berlin

HQ country

Germany

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Infrastructure, Operations, Marketing or Sales

Distribution channels4 records

Marketing channels5 records

Core offering

Gematik operates Germany's national Telematikinfrastruktur (TI), the secure digital infrastructure connecting all healthcare participants nationwide. Its core products include the Elektronische Patientenakte (ePA) for centralized electronic patient records, E-Rezept for digital prescriptions, KIM for secure provider-to-provider communication, TI-Messenger for real-time messaging, the GesundheitsID digital identity, and the Elektronische Gesundheitskarte (eGK) physical health card.

Product overview

Gematik (Nationale Agentur für Digitale Medizin) operates as Germany's national healthcare digitization agency, managing the Telematikinfrastruktur (TI) - a comprehensive digital health infrastructure connecting all healthcare participants. The product portfolio centers on the TI platform enabling secure data exchange, supplemented by core applications including the Elektronische Patientenakte (ePA) for centralized patient records, E-Rezept for digital prescriptions, GesundheitsID for authentication, KIM for secure document exchange, TI-Messenger for real-time messaging, and the Elektronische Gesundheitskarte (eGK) as the physical identity card. Supporting applications include Notfalldaten (emergency data), DiGA (digital health apps), DEMIS (infectious disease reporting), and various backend services like VSDM for insurance verification and the Elektronischer Medikationsplan for medication management. The architecture uses certified components including TI-Gateway, Konnektor/Highspeed-Konnektor, and smartcards (HBA, SMC-B) with new modules like PoPP enabling PIN-less authentication.

Differentiator

Problem solved

Functional benefit

Products and services

• Telematikinfrastruktur (TI) The core digital infrastructure of the German healthcare system, providing secure network connectivity and identity management for all healthcare participants including hospitals, practices, pharmacies, and insurance providers.
• Elektronische Patientenakte (ePA) The electronic patient record system allowing insured persons to store and manage medical documents, diagnoses, and treatment information centrally with controlled access by healthcare providers.
• E-Rezept (Electronic Prescription) The electronic prescription system enabling doctors to issue prescriptions digitally that can be redeemed at pharmacies via smartphone apps or insurance cards.
• GesundheitsID (Health ID) Digital identity authentication system for healthcare access, enabling secure login without physical insurance cards and supporting mobile healthcare scenarios.
• KIM (Kommunikation im Medizinwesen) Secure email and document exchange service for healthcare professionals, enabling transmission of medical letters, findings, and billing data between authenticated TI users.
• TI-Messenger Real-time encrypted messaging platform for healthcare professionals enabling quick, secure communication replacing traditional fax and phone communications.
• Elektronische Gesundheitskarte (eGK) The electronic health insurance card serving as the physical identifier for insured persons, featuring NFC technology for contactless data exchange and access to digital health applications.
• Notfalldaten (Emergency Data) Emergency data management system storing critical medical information such as medications, allergies, diagnoses, and emergency contacts on the insurance card for access in emergency situations.
• DiGA (Digitale Gesundheitsanwendungen) Directory and framework for approved digital health applications (apps on prescription) that can be prescribed by doctors and reimbursed by health insurance.
• DEMIS (Deutsches Elektronisches Melde- und Informationssystem für den Infektionsschutz) Electronic reporting and information system for infectious disease control, enabling automated reporting of infectious disease cases by healthcare facilities.
• Versichertenstammdaten-Management (VSDM) Insured persons' master data management system enabling online verification and update of insurance card data, ensuring valid insurance coverage for healthcare billing.

Segments9 records

Ideal customer profiles5 records

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration7 records

AI capability2 records

Feature10 records

Partnerships

Eleven partnerships are on record, tiered core and supporting.

• AOK BundesverbandcoreOthersAOK, Germany's largest statutory health insurance fund with over 27 million insured members, is a key partner in distributing electronic health cards (eGK) and GesundheitsID to beneficiaries and supporting TI adoption among policyholders.
• BARMERcoreOthersBARMER, one of Germany's largest health insurance providers with over 9 million insured members, collaborates on TI infrastructure deployment and digital health service distribution to their beneficiary base.
• DAK-GesundheitcoreOthersDAK-Gesundheit, covering approximately 5.7 million insured persons, partners with Gematik to distribute digital health services and support adoption of e-prescription and electronic patient record systems.
• Techniker Krankenkasse (TK)coreOthersTK, Germany's largest statutory health insurance company with over 11 million members, is a key partner in distributing TI services and supporting digital health adoption among their insured population.
• T-SystemscoreTechnology or IntegrationT-Systems, a Deutsche Telekom subsidiary, serves as a major TI service provider deploying and maintaining Telematikinfrastruktur components including connectors and gateway services for healthcare institutions.
• CompuGroup Medical (CGM)coreTechnology or IntegrationCompuGroup Medical, a leading healthcare IT company, provides practice management systems and TI integration solutions enabling physicians, pharmacies, and hospitals to connect to the Telematikinfrastruktur.
• IBM DeutschlandsupportingTechnology or IntegrationIBM provides technology infrastructure and services supporting the TI platform, contributing to the secure data exchange architecture and cloud computing capabilities for Germany's healthcare digitalization.
• Kassenärztliche Bundesvereinigung (KBV)coreStrategic or Co-development PartnerKBV represents over 180,000 physicians and psychotherapists in Germany, serving as a key strategic partner for TI adoption, implementation support, and training for member practices.
• Deutsche Krankenhausgesellschaft (DKG)coreStrategic or Co-development PartnerDKG represents over 1,700 hospitals in Germany, collaborating with Gematik on TI integration standards, hospital-specific requirements, and implementation guidance for inpatient facilities.
• ABDA - Bundesvereinigung Deutscher ApothekerverbändecoreStrategic or Co-development PartnerABDA represents approximately 19,000 pharmacies in Germany, working closely with Gematik on e-prescription fulfillment processes, pharmacy TI integration, and medication safety systems.
• GKV-SpitzenverbandcoreStrategic or Co-development PartnerThe National Association of Statutory Health Insurance Funds represents all 103 statutory health insurance providers in Germany, serving as the central coordination body for TI financing and coverage decisions.

Scale indicators2 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• Oracle Health (formerly Cerner): Global healthcare IT incumbent providing electronic health records and health information exchange platforms. Comparable as a competing health IT architecture in adjacent international markets, though not directly competing in Germany.
• IBM Deutschland: Operates the E-Rezept-Fachdienst and ePA-Aktensystem backends for Gematik. Functions as both a partner and an incumbent systems integrator with deep involvement in the German TI platform's core components.

Emerging players

• Verimi: Sectoral identity provider for the German telematics infrastructure, covering ~50% of statutory insured. Functions as an EUDI Wallet pilot platform and complementary authentication layer adjacent to Gematik's GesundheitsID.
• Doctolib: European digital health platform for appointment booking, telehealth, and patient management operating across Germany, France, and Italy. Overlaps with Gematik in digital physician-patient workflows and e-prescription flows but operates as a private commercial platform.
• DocMorris / Shop-Apotheke (CardLink providers): Online pharmacies and eHealth-CardLink solution providers certified by Gematik to enable PIN-less e-prescription redemption via the TI. Adjacent ecosystem participants that depend on Gematik's infrastructure for digital prescription processing.

Direct peers

• ANS - Agence du Numérique en Santé (France): France's national digital health agency responsible for Mon Espace Santé (electronic health record), e-prescription, and health data exchange infrastructure. Directly comparable in mandate, scope, and operating model to Gematik.
• NHS Digital (NHS England): UK's national agency operating digital infrastructure for the National Health Service, including the NHS App, electronic patient records, and the NHS Spine. Closest international analog to Gematik as a government-mandated national health IT authority.
• T-Systems International: Deutsche Telekom subsidiary and core Gematik infrastructure partner operating TI-Gateway, Konnektor, and TI-Messenger Pro services. Functions as both peer and primary delivery partner within the German TI ecosystem.
• CompuGroup Medical (CGM): Leading European healthcare IT vendor and core Gematik integration partner, providing practice management systems and TI connectors that enable physicians and pharmacies to access the Telematikinfrastruktur. Operates the same digital health stack on the provider side.
• Inera AB (Sweden): Swedish public-sector organization operating national digital health infrastructure including the Journalen patient record portal and e-prescription services. Comparable as a national digital health agency in a European single-payer context.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/channel/UCkKjrzwhrb8JcZxm8LPc_pg
• LinkedInlinkedin.com/company/125822
• Instagraminstagram.com/gematikgmbh/?hl=de
• Xx.com/gematik1

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Gematik