INTRODUCTION: In 2024, the GeMTeX project launched the largest ever de-identification campaign for German-language clinical reports, and, as a pilot study, published GraSCCoPHI, the first de-identified German-language gold standard corpus of synthetic discharge summaries.

METHODS: GeMTeX's de-identification workflow is described here - including annotation tool management and, pre-annotation experience, such as assembling and training annotation groups and the evolution of guidelines.

RESULTS: We present the project's progress in the first year with respect to de-identification efforts and the challenges we faced during the rollout at six hospital sites in four German states. The refinement of the annotation guidelines became an ongoing process, often with unforeseen hurdles to overcome as we moved from testing to production. From our current internal interim corpus (9,000 documents with about 20 million tokens), we are publishing the first quantitative insights, such as the average amount of identifiable information per document, a list of confounding factors we did not anticipate at the beginning of the project, and three key lessons learned.

CONCLUSION: We note that the unforeseen hurdles behave like the Pareto principle and fall into the set of less than 20% of the annotations.