The Bavarian State Ministry of the Interior, Sport and Integration (StMi) is planning to introduce an Emergency Register (NFR) with the aim of obtaining reliable, statistically sound statements for scientific investigations in emergency medicine and emergency medical care. The legal mandate of the project is created by appropriate additions to the Bavarian Emergency Services Act (BayRDG).

To this end, comprehensive data sets for each emergency will be recorded in a largely automated procedure along the entire rescue chain, from emergency response in the Integrated Control Centres (ILS) to the use of the emergency service and the hospitals for each emergency. will be provided. Knowledge of these variables and their interrelationships is necessary in order to ensure adequate, timely and economically viable care for the solidarity community.

The assessment scale for these variables shall be their impact on the emergency patient. Its professional care starts with the ILS and goes through the alarm to the arrival of the emergency service and the emergency doctor. However, it does not end with admission to the emergency room, as diagnosis and follow-up usually take place in the hospital. To assess the effectiveness, efficiency and safety of different measures and decisions along the rescue chain, as well as the impact of emergency medical care planning on the patient, this requires consideration of medical data beyond the preclinical phase.

The merging of data from the preclinical phase with data from hospitals in an NFR should allow the necessary scientific investigations in emergency medicine and emergency medical care.

For the implementation of this project, the STMi plans to set up an IT system to which the data of ILS, rescue equipment and hospitals will be supplied via uniform interfaces and direct network connections. The task of the IT system is the acceptance and anonymisation of the data, the storage of data in the NFR and the provision of methods and tools for their evaluation.

The STMi is entitled to use the NFR in its capacity as the highest emergency service authority, the Medical Officer Ambulance Service (AELRD), as well as the Medical District Representative for the Ambulance Service (AEBRD) and the State Ambulance Service (AELBRD), the reportable hospitals and the State Statistical Office. On request and for scientific purposes, public and non-public third parties may also use evaluations of the NFR database.

For the operational operation and continuous use of the NFR, the STMi plans to establish a scientific service.

The subject of this procurement is the scientific support of the AG in setting up the NFR database and using the data. The Scientific Service is also responsible for the technical operation of the NFR application and the data collection point. The professional organisation includes, in particular, first-level and second-level support for the users authorised to evaluate the results of the NFR and the support of the data providers.

The object of procurement “scientific service” thus includes the scientific evaluation of the collected data and the professional operation with the parts of the professional application operation and technical-organizational operation. In order to ensure a smooth transition from the implementation phase of the NFR to the use phase, the services of the scientific service are already beginning to support the implementation of the NFR IT system.

See II.1.4) Short description.