Telemedicine: real-time capable and verifiable

Telemedicine is medical care provided across physical distance using digital communication. Common forms are the video consultation between practitioners and patients, the teleconsultation as a specialist second opinion between practitioners, and remote monitoring, where readings from devices at the patient’s side are transmitted continuously.

Three building blocks interlock: an application through which participants sign in and arrange appointments, a transmission path for video, readings or files – secured via Virtual Private Cloud and Managed Firewall – and data storage for documentation and history. For video consultations the effort lies in real-time transmission, for remote monitoring in long-term storage and analysis.

For use in statutory outpatient care, yes. Annex 31b to the federal framework agreement for physicians (BMV-Ä) sets the requirements for video service providers, and compliance must be demonstrated. The evidence concerns your service, not the infrastructure beneath it; which requirements apply in detail is a matter for the National Association of Statutory Health Insurance Physicians.

No. centron provides the infrastructure and the corresponding evidence – certificates with scope, TOM documentation and the data processing agreement in the Trust Center. Certifying your service and meeting the requirements of § 393 SGB V towards your customers remain with you; you can evidence the infrastructure side with our documents.

§ 393 SGB V requires processing in permissible regions, a domestic establishment, appropriate technical and organisational measures and a current C5 attestation; since 1 July 2025 a C5 Type 2 attestation has been envisaged for this. centron meets the location and establishment requirements and holds a BSI C5:2020 Type 1 attestation for the ccloud³ as well as ISO 27001 certification based on IT-Grundschutz issued by the BSI. Its scope covers the operation of ccloud³ and Managed Cloud at the Hallstadt, Nuremberg and Frankfurt am Main sites; it does not cover your operating systems, your application or your content. You can obtain the current status and the documents from the sales team.

That depends on the sizing, not the platform. Video consultations create predictable load peaks – in the morning and early evening. Because ccloud³ is billed by the hour, capacity can be scaled up for these windows and reduced afterwards, instead of paying permanently for the peak.

That depends on the resolution, codec and architecture of your application, not on the infrastructure alone. The sensible approach is to name the expected maximum of concurrent sessions and size the environment for it, with reserve for peak times. We work through that calculation with you in advance.

Yes. Block storage attached to the database suits the live values; S3 Object Storage suits the history. Bear in mind the retention periods for treatment records and the duty to delete the data after expiry, in the backup copies too – see backup for patient data for how this works.

centron is responsible for the data centre, platform, network, storage, monitoring and platform backup. Your application, your operating systems, your business processes and your content remain your responsibility. This boundary is expressly recorded in the scope of our ISO 27001 certification and can therefore be evidenced in an audit.

Anyone supporting professional secrecy holders with data processing is an “other participating person” under § 203(3) StGB; the personnel involved must be bound to confidentiality – implemented at centron through corresponding staff obligations.

The data processing agreement under Art. 28 GDPR, the documentation of technical and organisational measures under Art. 32 GDPR, and the certificates and the C5 attestation with their stated scope. Everything is available in the Trust Center.

Yes. The usual start is a development and a test environment; the production environment follows at market readiness or after certification. You can estimate the costs in advance with the price calculator.

Exclusively in German data centres, with no transfer to third countries. The deployment location for cloud workloads is our own data centre in Hallstadt near Bamberg. centron is a German company with no foreign parent company – a point your customers check regularly.