As part of the funding under the Hospital Structure Fund Regulation (KHSFV), the funding condition 6 (§ 19 Paragraph 1 Sentence 1 No. 6 KHSFV) for Klinikum Kassel GmbH and Klinikum Bad Arolsen GmbH is to select and implement a joint laboratory information system as well as a unified order-entry system in the areas of clinical chemistry and microbiology by consolidating the existing systems in a negotiation process with a competitive bidding procedure according to § 14 Abs. 3 No. 2 and 3 VgV.
LOT-0001
FTB6 Consolidation of Order-Entry and LIS.
Objective of the procurement procedure:
Currently, there exists a heterogeneous system landscape regarding laboratory information systems at the two locations Klinikum Kassel and Krankenhaus Bad Arolsen.
The following systems are in productive use:
Klinikum Kassel GmbH uses the NEXUS Swisslab LIS for clinical chemistry (48 workstations), Dorner Mibi LIS (16 workstations) in conjunction with Dorner i/med for the order-entry system for microbiological applications. Nexus Lauris serves as the order-entry system (OE) for clinical chemistry, while Dorner iMed is used for microbiology. The hospital information system (KIS) is CGM Medico. Additionally, there are existing HL7 interfaces to external laboratories and subsystems, such as a laboratory of the Limbach Group, or to contracted physicians. The result communication runs through two order-entry systems, which depend on the deployed LIS (Nexus Lauris, Dorner iMed).
Klinikum Bad Arolsen GmbH also uses SWISSLAB for clinical chemistry but does not have its own microbiology unit. Microbiological examinations are provided by the laboratory of Klinikum Kassel GmbH.
The existing interface protocols include HL7 and FHIR for the exchange of patient and laboratory data through international and interoperable standards.
Currently, a central Cloverleaf communication server acts as middleware for the integration of external systems and laboratory devices. Through Cloverleaf, for example, data is exchanged between different locations as well as with external laboratories and contracted physicians. Additionally, the Dorner mirth serves the hospital hygiene software Hybase with microbiological findings.
In the future, the newly purchased and currently in concrete planning interoperability platform of März Internetworks Services AG, in conjunction with the terminology server of the same company, will expand the system landscape. This enables the client to utilize internationally recognized terminologies like SNOMED CT and LOINC, particularly using the CDSS medicalvalues to support laboratory diagnostics for both the sender and the laboratory departments.
The goal is to reduce the number of deployed systems as part of a system consolidation while considering optimal resource conservation to lower IT costs and increase IT security. Both locations are to be merged into a unified LIS. This requires an integration of the existing systems at both locations.
The result communication should be standardized through a central order-entry system across all locations and deployed solutions. This includes requesting services, sending samples, transmitting findings, as well as the central management of all relevant data, including the AI-supported solution for optimizing the request behavior (medicalvalues GmbH) currently being implemented. The central aim in the area of order-entry is to improve the information flow and store all results in a unified system to achieve a high degree of standardization and automation.
External laboratories (foreign laboratories) and service requesters should be connected more efficiently. The focus is on harmonizing result communication through standardization and automation as well as efficient billing from a single source.