The Carl-Thiem-Klinikum Cottbus gGmbH intends to commission the implementation of an interoperability platform and services.
For further information, see Appendix 1.
As the largest hospital in Brandenburg, the Carl-Thiem-Klinikum (CTK) makes a significant contribution to medical care and, in the future, to medical research. With over 1,200 beds and around 3,000 employees, the CTK is one of the most efficient and largest hospitals in Germany, where more than 100,000 patients are treated annually both on an outpatient and inpatient basis.
The state government of Brandenburg has recently decided to strengthen medical research and teaching in the state and, with the transformation of the CTK into a university college, to provide better framework conditions for medical care, research and translation in Brandenburg and beyond. In this context, the CTK is also to be expanded as a digital lead hospital and will be the motor for the model region Health Lusatia in the future. The aim is to digitally network all health facilities - from doctors' surgeries to clinics to pharmacies - in the region.
The first step for CTK towards becoming the leading digital hospital is to build a modern digital foundation for tomorrow's IT and healthcare applications. In the future, an open data platform is to be created that will enable innovative and digital patient care for the CTK and the region in the future. The availability of health and process data from the CTK opens up completely new possibilities for better medicine, higher patient and data security as well as effective resource management. At the same time, this creates the basis for promoting the development of Lusatia into a scientific, technological and research-oriented health region.
An interoperability platform (CTK-IOP) for internal and external networking and data integration is to be established. This is done with the primary goal of providing a unified patient record (EHR, Electronic Health Record) as redundancy to the existing primary systems.
The CTK-IOP is intended to create the prerequisites for merging the necessary patient data across systems in one place (single point of truth). Thus, the CTK-IOP forms the basis for the holistic patient care required by the KHZG and for HIS-independent storage and evaluation of medical data for health services research and quality management. The IOP is intended to implement recognized semantic and syntactic standards (e.g. HL7v2/v3, HL7 FHIR, DICOM, XDT, IHE, CDA) and thus enable the basis for the semantic interoperability of the central EPA. This includes the transfer of data from the various data-supplying systems into the CTK, the consolidation and processing of this data as well as ensuring data quality. The data is stored in a structured, interoperable form (CDR = Clinical Data Repository), semantically standardized and annotated using terminologies such as SNOMED CT and LOINC. All this is always done in consideration and compliance with data protection.
The project is intended to address the needs of the clinic, research and intersectoral data exchange. This is intended to enable CTK employees to view relevant data and documents created as part of the care documentation digitally and seamlessly in the institution-internal EHEA. All documents and data created are integrated into the EHE, which can thus be viewed and forensically used by all persons involved in the treatment process at any time. These include: patient master data, nursing history, biography sheet, nursing planning, nursing report, therapy and medication plan, proof of implementation, wound documentation, fever curves, pain recording, drinking protocols, fall protocols, recording of the Barthel index, pressure ulcer assessment, performance documentation of complex care services, emergency report.
In addition, the CTK-IOP is intended to contribute to increasing the degree of digitization in CTK in the future by forming the basis for mapping clinical workflows, data analysis & reporting (analytics) and other use cases independently of the current primary systems.
By integrating the system into the electronic patient record (ePa) and the hospital information system (HIS), interoperable data transfer to, for example, downstream care units is ensured according to accepted standards. The complete exchange of data with the telematics infrastructure is ensured, since all services and applications described in the fifth book of the Social Code are used directly via the HIS or if the corresponding connectors are available by IOP.
For further information, see Appendix 1.