Within the framework of the funding according to the Hospital Structural Funds Ordinance (KHSFV), funding from the European Union NextGenerationEU will be used to cover funding 4 (§ 19 paragraph 1 no. 4) for Klinikum Kassel GmbH in the following subject lots:
- Lot 1: Interoperability Platform (IOP)
- Lot 2: Decision Support System (CDSS)
in a negotiated procedure with a competition in accordance with § 14 para. 3 no. 3 VgV.

LOT-0003
Decision Support System CDSS.
LOT (2) CDSS:

Specifically, an information technology solution for decision support with digitally collected monitoring, device and documentation data from care, therapy and adjacent dependent areas (pharmacy, laboratory) from intensive care and normal care is considered in a structured and ongoing manner. Based on decision paths and/or artificial intelligence, this system will provide patient-specific, personalized recommendations for action in the event of critical situations and to optimize processes in care, therapy and in closely dependent adjacent functional areas of our hospital.
- Sepsis Early Warning System
- Overall evaluation of longitudinal vital parameters, therapy and care documentation and corresponding issuance of warnings and recommendations for action
- Guideline-based recommendations for action in all relevant specialist and functional areas
- Supporting the coordination of transfer and discharge processes as well as improving the quality of care through intelligent interaction with quality management and real-time reporting

LOT-0002
Interoperability Platform IOP.
LOT (1) IOP:

The subject of the procedure is the delivery and implementation of an interoperability platform in all of the client's facilities.

- Establishing the operational readiness of the entire system at all relevant locations of the client by setting up, installing, customizing and integrating all system components The interoperability platform must support international semantic and syntactic standards/protocols, such as HL7 (Health Level Seven), DICOM (Digital Imaging and Communications in Medicine) and FHIR (Fast Healthcare Interoperability Resources). The integration follows the IHE standard. The Integrating the Healthcare Enterprise (IHE) standard defines a set of integration profiles that promote interoperable solutions for the exchange of health information. These profiles describe how different standards, such as HL7, DICOM, and FHIR, can work together to solve specific interoperability problems.
o Patient management and identity
- Patient Identifier Cross-Referencing (PIX): Allows patient identities to be linked across different systems.
- Patient Demographics Query (PDQ): Allows you to query patient master data in different systems.
o Document exchange and patient records
- Cross-Enterprise Document Sharing (XDS): Enables the secure exchange of medical documents between different healthcare facilities.
- Cross-Enterprise Document Media Interchange (XDM): Defines the exchange of medical images and related reports between different systems.
- Cross-Enterprise Clinical Documents (XCA): Specifies the connection of distributed clinical document stores across healthcare facilities.
o Imaging and image exchange
- Scheduled Workflow (SWF): Describes the secure exchange of medical images and related information.
- Imaging Object Change Management (IOCM): Allows you to track changes to medical images and related information.
o Laboratory and test results
- Laboratory Analytical Workflow (LAW): Defines the exchange of data and the coordination of laboratory tests and results between different laboratory systems and clinical applications.
o Specific medical use cases
- Patient Care Coordination (PCC): Addresses information sharing to improve patient care coordination.
- Radiation Exposure Monitoring (REM): Specifies how radiation exposure data can be exchanged between different systems.
o Management and security
- Audit Trail and Node Authentication (ATNA): Provides security features such as logging access and authenticating nodes on a network.
- Consistent Time (CT): Synchronizes the times across different systems to ensure consistent time-related data.
- Implementation of the listed project management services
- Implementation of the listed training courses
- Support of the client in the implementation within the framework of change management
- Preparation and updating of the required documentation and support of the client in the risk assessment
- Provision of system services for the entire system

For procurement, a project-specific adapted EVB IT system contract is concluded. The corresponding draft contract is attached to the tender documents for the initial tender and can be made the subject of the award negotiations by the contracting authority. Details will be set out in the terms and conditions of application for the offer phase.