Clinical Data Platform | x-tention

The next generation of clinical data platforms for the DACH region. Open, modular, and patient-centric – built on international standards such as openEHR and FHIR.

Empowered Use of Health Data

The Clinical Data Platform enables healthcare organizations to exercise true freedom of choice within an open ecosystem designed for flexibility, collaboration, and long-term sustainability. By avoiding vendor lock-in, reducing interoperability barriers, and ensuring high-quality open data and interfaces, healthcare providers can achieve a unified, patient-centered view of care, quickly and securely integrate new applications, lower operating costs, and simplify complex IT environments.

What we see in hospitals across the DACH region

Data trapped in silos

Every system stores patient data in its own proprietary format. The laboratory does not communicate with the ward, the ward does not communicate with the outpatient clinic. To obtain a complete patient record, clinicians often have to open five different applications.

Vendor lock-in

Replacing a Hospital Information System (HIS) means years of data migration and retraining staff. As a result, hospitals remain tied to systems that no longer meet their needs – because replacing them requires more effort than keeping them.

Clinical teams are waiting for IT

Department leaders know exactly which digital tools they need. Their requests enter the IT department’s queue. Months later, IT is still working through the backlog. The workaround? Paper and spreadsheets.

AI without a data foundation

Everyone wants clinical AI. But algorithms trained on fragmented, unstructured data produce unreliable results. Safe and trustworthy AI requires structured, high-quality data – which most hospitals still do not have.

A paradigm shift: fixing the problem at its source

We unlock the full potential of clinical data and transform it into the foundation for medical innovation and evidence-based decision-making. This creates the basis for a data-driven healthcare ecosystem that sustainably strengthens both patient care and research. The true value does not lie in the visible layer of applications, but in the underlying data layer.

Modern Modular Platform Architecture

Architecture-driven development creates a robust data foundation. Architecture Building Blocks (ABBs) provide governance, while Solution Building Blocks (SBBs) serve as deployable modules – inspired by the TOGAF architecture framework. Applications become interchangeable, vendor lock-in becomes a thing of the past.

Data Building Blocks

Vitals, laboratory data, diagnoses, procedures – clean, modeled clinical data

Functional Building Blocks

Business capabilities organized into modular components, reducing redundancy

Central Repository

All data stored centrally, structured according to FAIR principles, vendor-neutral, and available in real time

Interchangeable Applications

Applications are interchangeable – best-of-breed by design. Open application marketplaces using SMART on FHIR and SMART on openEHR

Data Layer & AI

The Lifecare Open Health Suite separates data from applications. This is exactly what openEHR was designed for. Better’s Clinical Data Repository already runs in production in 28 countries.

Stored in a vendor-neutral format. Change your applications while keeping your data. No migration, no ransom negotiations.

Every data element is computable and queryable – no PDFs, no unstructured free text. Data that analytics, AI, and regulatory frameworks can actually use.

Low-code and no-code tools enable clinical informaticians to create forms, dashboards, and applications using pre-validated components – in days instead of months. IT provides governance, while clinical departments set the pace.

The same data supports bedside care, research, quality registries, and secondary use under the European Health Data Space (EHDS). No duplication needed.

AI models are only as good as the data they learn from. Fragmented, unstructured data leads to unreliable results. The clinical data platform provides AI with a reliable foundation.

openEHR data is structured, coded, and semantically consistent. Clinical AI models learn from clean training datasets and operate on reliable live data, reducing the risk of hallucinations and inaccurate outputs.

The platform supports AI directly at the point of care: natural language to clinical forms, speech-to-text for documentation, and intelligent agents that query patient data via the Model Context Protocol (MCP).

AI runs on your structured data layer within your own infrastructure. No data leaves the hospital for model training. You decide what is used, by whom, and for what purpose.

Lifecare Open Health Suite

An Open Clinical Data Platform

A modular architecture – from the integration engine and structured data repository to the clinical workplace. Moving away from monolithic hospital information systems toward a data-driven, functional application architecture.

Solution Overview & Deployment Options

Step-by-step implementation – from the foundation of integration to cross-sector health records. Each deployment option builds on the previous one and is fully integrated into the Lifecare Open Health Suite.

The Integration Engine connects source systems and transfers data into the Clinical Data Repository (CDR) in accordance with industry standards. Vendor-neutral foundation for all subsequent deployment stages.

A longitudinal patient record across all source systems. The CDR serves as the single source of truth. Read-only access with advanced search and AQL filtering.

Includes all Clinical Viewer capabilities plus structured data collection using openEHR forms and templates. Supports initial clinical documentation workflows.

A comprehensive clinical workplace supporting the gradual replacement of the HIS. openEHR ecosystem with Low-Code Studio and Archetype Designer.

A regional, cross-sector health record supporting preventive care and coordinated healthcare delivery with cross-institutional care planning.

Each deployment stage increases both functional scope and organizational maturity.

Delivering value for every stakeholder

Maintain complete control throughout your digital transformation – across technology, patient care, and financial performance.

Strategic and financial control
(CFO / CEO)

Phased investments with measurable value at every stage
Protected cash flow and revenue streams
No vendor lock-in and complete data ownership

Operational control
(Medical Director / Nursing Leadership)

A complete patient view at the point of care
Structured, reusable clinical documentation
Critical workflows continue uninterrupted through dual-run operation

Technical control
(CIO / IT Operations)

Open interfaces (API / FHIR)
Auditable data models compliant with NIS2 and BSI requirements
Hospitals define their own migration pace

New Way of Working

Intelligent, automated digital core processes replace duplicate documentation, copy-and-paste workflows, and fragmented systems. Patient-centric, context-sensitive user guidance – clinical teams design the process, IT establishes the governance framework, and departments iterate at their own pace.

Document once, use everywhere

Structured content replaces free text and can be reused across organizations.

Smart UX & context-sensitive guidance

The right information at the right time – directly at the point of care.

Clinical teams design, IT provides governance

Low-code tools empower clinical informatics – days instead of months.

Customer Testimonials

Three leading innovators. One open ecosystem.

Tieto Caretech, x-tention, and Better combine complementary strengths – united by a shared commitment to openness, interoperability, and data freedom. At the heart of the partnership is openEHR as the open standard.

Tieto Caretech

Clinical Applications

Leading provider of clinical information systems in Scandinavia. Tieto Caretech’s openEHR-based HIS is in daily use in more than 100 hospitals. Part of Tieto, a global technology company with an annual revenue of approx. €2 billion.

Contributes: Lifecare Clinical Workplace, Journal View, Data Entry, Observations

x-tention

Integration · Consulting · Managed Services

Leading healthcare IT service provider and integration solutions specialist. Supporting more than 1,000 healthcare organizations across four countries, with a strong focus on the DACH region. Single point of contact for the complete solution.

Contributes: MACH | Orchestra, System Integration, Managed Services, Healthcare Consulting

Better

Open Data Platform · Low-Code

Leading provider of healthcare data platforms. 200 employees operating in more than 25 countries, supporting more than 1,000 healthcare providers worldwide. Powerful low-code platform for building user interface components.

Contributes: openEHR CDR, Better Studio (Low-Code), Better Meds (ePMA)

Let’s discuss your data strategy.

Whether you are planning your EHDS strategy, modernizing your clinical data infrastructure, or taking your first steps toward integration, we’re your trusted partner – delivering IT with care.

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