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This bachelor thesis developed a pipeline for automatic processing of scanned hospital letters: HospLetExtractor. Hospital letters can contain valuable information about potential adverse drug reactions and useful case information relevant to pharmacovigilance. To make this data accessible, this thesis presents a pipeline consisting of image pre-processing, optical character recognition and post-processing. Pre-processing deskews the images, removes lines and rectangles, reduces noise and applies super-resolution. For the post-processing a spell checking system was set up including a newly built word frequency dictionary for german medical terms based on a created corpus of german medical texts. Furthermore, classical and deep learning models for the classification of hospital letters were compared, in which the transformer-based models performed best. In order to train and test the models, a new gold standard was created. By making these medical documents accessible for automatic analysis, hopefully a contribution can be made to expand the scope of pharmacovigilance.