Discharge Letter Automation
Automated creation of discharge letters with HIS integration, AI text generation, and legally compliant KIM dispatch. From 45 to 5 minutes per letter.
Automation Workflow
From discharge to signed letter at the GP – fully automated
Before vs. After
| Aspekt | Before | After |
|---|---|---|
| Time per Letter | 30-45 minutes | 5 minutes |
| Data Sources | Manual copy-paste from 5-7 systems | Automatic aggregation via FHIR/HL7 |
| 24h Deadline Compliance | 60% (40% miss deadline) | 100% Compliance |
| Signature | Handwritten or insecure | QES (legally valid under eIDAS) |
| Dispatch to GP | Fax, mail, or unencrypted email | KIM (E2E encrypted, verifiable) |
The Challenge
Discharge letters are critical for continuity of care, but the manual process is extremely time-consuming: 30-45 minutes per letter, copy-paste between 5-7 systems (HIS, LIS, RIS, pharmacy, OR documentation). With 100+ discharges daily, that's 50-75 physician hours per day. 40% of letters miss the 24-hour deadline for dispatch to the general practitioner. Quality issues from missing information and inconsistent wording endanger patient safety.
Our Solution
Fully automated data aggregation from all relevant systems via FHIR R4 and HL7 v2 (SAP IS-H, Orbis, iMedOne, Medico). AI-powered structuring according to department-specific templates using Claude/GPT-4. The physician reviews and supplements in 2-3 minutes instead of writing for 45 minutes. Legally valid QES signature via D-Trust (eIDAS-compliant) and automatic KIM dispatch to the general practitioner with E2E encryption and delivery confirmation.
Key Features
Deep HIS Integration
FHIR R4/HL7 v2 connection to all common German HIS: SAP IS-H, Orbis, iMedOne, Medico. Automatic aggregation of ICD-10-GM, OPS, medication, and lab data.
Structured AI Text Generation
Claude/GPT-4 with department-specific templates. Medically accurate wording, consistent structure, automatic adaptation to specialty.
QES-Compliant Signature
D-Trust integration for qualified electronic signatures. Legally valid under eIDAS, fully integrated into the workflow.
Automatic KIM Dispatch
Direct dispatch via gematik KIM to the general practitioner. E2E encrypted, with delivery confirmation, fully automatic address resolution.
Results
89% time savings per letter, 100% deadline compliance, 150+ letters per day fully automated
Integrations
Seamless connection to your existing infrastructure
SAP IS-H
HISComplete integration via SAP interfaces for patient data, diagnoses, and medication
Orbis (Dedalus)
HISNative FHIR R4 connection for real-time data retrieval
D-Trust
SignatureQualified electronic signature for legally valid documents
KIM (gematik)
CommunicationSecure dispatch via telematics infrastructure to general practitioners
Security & Compliance
Enterprise-ready with highest security standards
GDPR Compliant
Full compliance with EU General Data Protection Regulation. Data processing in Germany.
ISO 27001
Certified information security management system according to international standards.
KIM Encryption
End-to-end encryption via gematik's telematics infrastructure.
On-Premise Option
Optional operation in your own infrastructure without external data transfer.