Germany - Do we have it right?

[markkramerus]

From: Reed, Jennifer L. R.
Sent: Wednesday, July 20, 2016 11:18 AM
To: Kramer, Mark A. [email protected]
Subject: SHR slides

Hi Mark,

I was looking at the Overall Health System Ranking slide (4) in the SHR CONOPS briefing draft.

Germany is listed as having a national identifier but no SHR. When I looked at the country profile on the web site, it reads as follows:

Germany
About 90 percent of physicians in private practice use electronic health records (EHRs) to help with billing, documentation, tracking of laboratory data, and quality assurance. The use of online services to transmit billing information and documentation from disease management programs is obligatory. Hospitals have implemented EHRs to varying degrees. Unique patient identifiers do not exist and interoperability is limited, as data safety concerns represent a significant obstacle.

Is this what was being thought of as a National identifier?