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The aim of TEAM-X is to create a protected and trustworthy digital data ecosystem based on the Gaia-X infrastructure for the development of data-driven business models, products and services. It is the basis for forward-looking health and care provision that is preventive, personalized and participatory. Health data that is currently inaccessible will be made available and usable within this framework. Data sovereignty is transferred to the patients. They decide who has access to their data and how it is used. Seamless documentation and security play a major role here. Access and approval will be possible from any end device.
The solutions developed by TEAM-X to date are currently being implemented in two practical use cases. They are: CURE - women's health and CARE - the digital platform, for inpatient and outpatient care for the elderly. The Digital Responsibility Goals developed at European level form the basis for creating the digital trust space for TEAM-X's work.
TEAM-X is working on making health data that is difficult to access more readily available to patients and service providers such as doctors and nursing staff. On the basis of Gaia-X - in accordance with ethical, legal and social aspects - systems are being developed to improve prevention, predication and personalization for all parties involved. The data, under the sovereignty of the patients, is stored securely and its use is fully documented. Access is possible from any end device and data can be released for research purposes.
The TEAM-X network is pursuing the following goals, for the implementation of which it is developing strategies in close cooperation with its eleven consortium partners and three cooperation partners.
TEAM-X has set itself the goal of strengthening the digital competence and innovative strength of the health and care sector. Access to relevant healthcare data provides a fact-based decision-making foundation that enables players in the healthcare and nursing care sector to strengthen their digital expertise and innovative strength. However, in times of digital transformation, it is a challenge for small and medium-sized companies in particular to remain competitive and develop new business models. There is often a lack of financial means, time and resources.
The trustworthy digital data ecosystem based on the Gaia-X infrastructure, which is being developed by TEAM-X, enables the creation of innovative data-driven business models, products and services. These form the basis for forward-looking cross-border healthcare.
Within TEAM-X, two use cases are initially being tested for this purpose:
The "Women's Health" use case is a communication tool which, taking into account the Gaia-X philosophy as well as the Digital Responsibility Goals, accompanies patients and medical professionals across disciplines at every step of breast cancer care. To this end, the GaiaONE solution is being further developed so that individualized access to patient data is possible from all end devices. This includes all medically relevant documents. The ultimate goal of the "women's health" use case is to establish a direct, low-threshold communication platform for patients and medical teams on which data from the clinical context can be exchanged. It also offers space for patients to record their own health-related data.
In the "digital care platform" use case, inpatient and outpatient care for the elderly is to be optimized through a digital patient image and the use of sensors. To this end, TEAM-X is developing a sensor system that collects patient data in an inpatient setting to prevent risks and improve nursing care. In an outpatient setting, a healthy client independently collects data on their health, activities and preferences, with the client having sovereignty over the forwarding of the collected material within the TEAM-X data ecosystem. The technological and structural components of this digital care platform can be aligned with the corresponding use case stories. One example of this is the digital care platform - household health location. The resulting data-related and care interfaces allow new innovative digital technologies to be integrated into the care processes.
"Your health, your data" - with this guiding principle, TEAM-X empowers citizens to handle their own health data in a sovereign, self-determined and barrier-free manner. The TEAM-X data ecosystem enables data sovereignty and guarantees personal control. At the heart of TEAM-X's activities is direct and easy access to personal health data in electronic form. This is what makes self-determined action and decision-making possible in the first place.
Transparency and control are basic prerequisites for data sovereignty in the collection, storage, use and processing of one's own data. TEAM-X has therefore set itself the goal of establishing a value framework that serves as the ideological superstructure of Gaia-X as a link to the global and European sustainability goals. To this end, the "Digital Responsibility Goals" developed by Identity Valley are established within TEAM-X and practiced in the ecosystem. The Digital Responsibility Goals can be found at www.identityvalley.org.
The trustworthy digital data ecosystem to be developed by TEAM-X should not only enable the efficient exchange of health data for healthcare itself (primary use), but also for health research (secondary data use). The aim is to enable better use of health data in research, innovation and health policy. To this end, TEAM-X creates a solid legal framework for the use of health data for secondary data use.
TEAM-X thus promotes the provision of representative data for research and implements applications that - supported by AI - provide early detection of diseases in the sense of personalized treatment and care. TEAM-X thus aims to strengthen Germany's role as a leading science and business location.
The topic of "breast cancer" was chosen for the "women's health" use case. TEAM-X is intended to achieve the goal of supporting the care of women with breast cancer across disciplines with a communication tool covering various steps in the process chain of breast cancer care. It can be made available to the treating physicians in terms of Gaia-X-compliant data collection, storage and data transfer. Data processing in terms of anonymization or pseudonymization must be guaranteed for data collection, storage and release. Data sovereignty should remain with the patient at all times. Technically, this goal is achieved by TEAM-X further developing the GaiaONE solution specifically to enable individualized accessibility. This is to be ensured by means of adaptive user interfaces for recording clinical documents - in pdf format as well as with photos of the patients. It should also be possible to record questionnaires on quality of life, side effects and vital parameters. In the "Women's Health" use case, GaiaONE is used to store and synchronize all patient devices.
The "Care" use case deals with outpatient and inpatient care for the elderly as well as outpatient and inpatient palliative care. As part of the care provided to clients in an inpatient context, sensor systems (e.g. bedin, bedout, activity trackers) are used to collect a wide range of data, the current purpose of which is primarily to prevent hazards (e.g. falls). At the same time, data is generated that can be used to provide good nursing care, but as a consequence, it encroaches extensively on the privacy of the individual client. In the outpatient care setting, a healthy client collects data about their health, activity and preferences so that they can make this available to the doctor, care service or support system if required. This data is recorded both manually and automatically on an individual basis. The client decides which data they want to collect, which data they want to release for which target group (doctor, counselor, relatives, therapist, research project) and for which reason.
Within the TEAM-X project, an incubator program is to be established as a platform for health-related value-added service concepts with connectivity to the Gaia-X ecosystem. To this end, a two-phase incubation is to be carried out with a maximum of 20 selected digital value-added concepts from the healthcare sector. The aim of the incubator program is to develop viable concepts and minimum viable prototypes (MVPs) with connection potential to the Gaia-X ecosystem. The supported, incubated teams thus complement the use cases within TEAM-X in a targeted manner and sustainably increase the relevance of TEAM-X for healthcare.
It is clear that numerous business opportunities exist within the Gaia-X ecosystem. The development of new business models within the trustworthy digital data ecosystem of TEAM-X is therefore an objective. In addition to the technological issues, sustainable value creation networks are designed as part of business model development.
Two use cases were selected as prototypes for the practical application of the TEAM-X data ecosystem. Firstly, the "medicine/women's health" use case, in which women with breast cancer receive cross-disciplinary and improved care. Secondly, the "digital care platform" use case for the provision of inpatient and outpatient care for the elderly and palliative care.
The "Women's Health" use case deals with the transparent handling of data between patients, doctors and other healthcare stakeholders during the course of the disease.
TEAM-X is developing a communication tool that - taking into account the Gaia-X philosophy and the Digital Responsibility Goals - is intended to accompany patients and doctors across disciplines at every step of breast cancer care. This goal will be achieved by further developing the GaiaONE solution to enable individualized access to patient data on all end devices. This applies to all documents, from doctor's letters and findings to medical history forms. Relevant data such as questionnaires on quality of life and vital parameters are also included in this process.
The use case medicine/women's health chosen for TEAM-X is breast cancer. For breast cancer care, TEAM-X is intended to achieve the goal of supporting the care of women with breast cancer in the medical use case across disciplines with a communication tool across various steps of the breast cancer care process chain. The communication tool can be viewed in terms of Gaia-X-compliant data collection and storage as well as data transfer to the treating physicians. This enables direct, low-threshold communication between patients and the medical team within TEAM-X. By using the TEAM-X end applications, it should be possible as an application-related goal for documents from the hospital context to be recorded by the attending physicians, but also for documents or data on the state of health to be recorded by the patients themselves and, after approval by the patients, to ensure the possibility of data exchange.
In the "Digital care platform" use case, inpatient and outpatient care for the elderly is to be optimized through a digital patient image and the use of sensors.
TEAM-X is developing a sensor system that collects patient data in the inpatient setting, currently primarily to avoid risks and optimize nursing care. In the outpatient setting, a healthy client independently (personally or automatically) collects data about their health, activities and preferences. The client has sovereignty over the further use of the data material within the TEAM-X data ecosystem.
A "digital platform for inpatient and outpatient care for the elderly" was selected as the second use case. The care use case deals with outpatient and inpatient care for the elderly as well as outpatient and inpatient palliative care. The care use case is defined on the basis of various use case stories so that the technological and structural components can subsequently be aligned with the corresponding use case stories. An example of such a use case story is the "household health location", in which relatives or care providers provide the necessary outpatient care support. The aim of TEAM-X is to integrate new innovative digital technologies into the care processes through the data-related and care interfaces.
The seven Digital Responsibility Goals (DRGs), developed by the non-profit organization Identity Valley in collaboration with a panel of experts from various sectors, are guiding principles for better digital responsibility. The DRGs are based on guiding criteria that are based on European values and serve as an orientation framework for entrepreneurial action as well as for regional and supra-regional legislation. The DRGs include values such as digital competence, cyber security, privacy, data fairness, trustworthy algorithms, transparency, human responsibility and identity. The aim is to treat each other and our data in virtual space in an appreciative, fair and human-centered manner. Economical - fair - humanistic.
1. digital competence
Digital literacy and free and competent access to digital services and infrastructure are prerequisites for the confident and self-determined use of digital technologies. They are the basis for all other objectives of the Digital Responsibility Goals.
2. cyber security
Cybersecurity protects systems against compromise and manipulation by unauthorized persons and ensures the protection of users and their data: the basis for trust and security in digital interaction.
3. privacy
Privacy is an important part of protecting human dignity. Protecting privacy - with consistent purpose limitation and data minimization - allows users to act confidently in the digital world.
4. data fairness
Data fairness means that non-personal data must also be protected and treated carefully and transparently according to its value in order to ensure balanced and fair cooperation between all players in the data ecosystem: a new understanding of data.
5. trustworthy algorithms
Trustworthy algorithms ensure that the data is processed on the basis of basic principles such as traceability, verifiability and fairness even after it has been collected: the prerequisite for trustworthy artificial intelligence.
6. transparency
Transparency is an important building block for building trust. In the digital world, it is important to proactively create transparency about the underlying principles for all users and all other stakeholders on the one hand, and to create transparency with regard to the digital solution and its components on the other.
7 Human responsibility and identity
Human responsibility and identity are decisive signposts and prerequisites for the development of digital products, services and processes. These must be developed and implemented in a human-centered, sustainable, integrative manner and under human supervision: It's about our future. Now.
TEAM-X is a network consisting of consortium and cooperation partners from various specialist areas. It develops technical solutions such as the cloud edge approach of the TEAM-X data ecosystem and examines their ethical, legal and social implications. Since January 1, 2022, TEAM-X has been working for a period of three years on strengthening the ability and self-determination of the population in dealing with their health and care data as well as on the digital competence and innovative strength of the health and care sector.
Bayern Innovativ is the consortium leader in the TEAM-X project and is responsible for project coordination.
In this context, the company is responsible for the development and establishment of the governance structure and, together with the project partners, is developing possible business models for the exploitation of the project results. Sebastian Hilke, head of the ZD.B thematic platform Digital Health/Medicine, is responsible for the consortium partner Bayern Innovativ.
Bayern Innovativ GmbH is the company for innovation, technology and knowledge transfer in Bavaria. Bayern Innovativ supports players from industry and science at all stages of the value chain with customized services to increase their innovation momentum. Bayern Innovativ operates specifically at the interfaces between a wide range of industries and technologies. In addition to its own clusters Energy Technology, Automotive, New Materials and Mechatronics & Automation, the focus of activities is on health/medical technology, textiles, cultural and creative industries and digitalization. Cross-clustering with other Bavarian clusters and networking with other key players in Bavaria's innovation landscape is also very important. The "ThinkNet Bayern" operated by Bayern Innovativ links experts and their knowledge with modern innovation management methods. The aim is to create an ecosystem with dynamic networks for an accelerated innovation process. The company, which is funded by the Bavarian Ministry of Economic Affairs, Regional Development and Energy, sees itself as a knowledge manager, initiator and accelerator for innovations.
At TEAM-X, C&S Computer und Software GmbH is primarily responsible for the care sector and the Gaia-X-compliant implementation of the digital platform.
In the DACH region, C&S Computer und Software GmbH is active in the areas of care for the elderly, care for the disabled, youth welfare and open social work. Since 1983, C&S has carried out more than 6,000 installations in Germany, Austria and Switzerland. This makes the company one of the most market-relevant companies in the German-speaking world. As a research-based SME, C&S is primarily concerned with social innovations. Current projects include issues relating to blogchain technology, connection to the telematics infrastructure and the Internet of Things in the field of social science and its improved and more efficient use for client care.
Bruno Ristok, Managing Director of C&S Computer und Software GmbH, is Project Manager for C&S at TEAM-X.
As a consortium partner of TEAM-X, ecsec GmbH is working on the security-related enhancements of Gaia-X with regard to identity management and electronic signatures.
ecsec GmbH, based in Michelau, Germany, is a specialized provider of solutions in the areas of information and communication technology security, security management, smart card technology, identity management, Internet security and electronic signatures. With many years of international experience, ecsec supports renowned customers. The company has already received several awards for its work.
The two contact persons of the TEAM-X consortium partner are the ecsec managing directors Tina Hühnlein and Dr. Detlef Hühnlein. Tina Hühnlein is also the contact person for the press.
Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU) is involved in TEAM-X with three chairs.
The Chair of Factory Automation (FAPS, Prof. Dr. Jörg Franke) is coordinating the project across FAU and is particularly involved in the technical work packages with a focus on the Internet of Things (IoT) and the Gaia-X ecosystem.
The Chair of Machine Learning and Data Analytics (MAD, Prof. Dr. Björn Eskofier) works in the fields of artificial intelligence (AI) and user acceptance. The Chair of Criminal Law, Criminal Procedure Law, Commercial and Medical Criminal Law (STR3, Prof. Dr. Christian Jäger) paves the way so that the results produced in the project take all relevant legal issues into account appropriately.
Prof. Dr. Björn Eskofier represents the consortium as spokesperson. Eskofier has relevant publications in the fields of medical technology, digital health and AI-based assistance systems. He is also head of the Central Institute for Medical Technology in Erlangen and spokesperson for the Department of Artificial Intelligence in Biomedical Engineering at Friedrich-Alexander University. Since March 2017, his Heisenberg Professorship has been funded by the DFG (German Research Foundation). Friedrich-Alexander-Universität Erlangen-Nürnberg is the third largest university in Bavaria with around 40,000 students.
The Mobile Health Lab (MHL) at the Fraunhofer Institute for Integrated Circuits IIS in Erlangen, Germany, is supporting TEAM-X in identifying and defining the necessary components for the software architecture and in specifying and implementing a harmonized data model and standardized interfaces.
It also contributes its expertise in the design and implementation of technical quality management analyses.
Contact Christian Weigand, Head of MHL at the Fraunhofer Institute IIS, coordinates the work of the consortium partner and is a member of the TEAM-X steering committee.
The Fraunhofer Institute for Integrated Circuits IIS conducts cutting-edge international research in the field of microelectronic and information technology system solutions and services. As part of Fraunhofer IIS, the Mobile Health Lab focuses on the development of telemedical solutions for digital health applications and standardized communication of medical data within federated data ecosystems. Data protection, patient empowerment and interoperability with various digital health services are the focus here.
Under the credo "Identity Valley. It's all about trust.", the organization is working to create a value-based, dignified and responsible cooperation between humans and machines. The Digital Responsibility Goals are an aid to responsibly shaping the digital future. Jutta Juliane Meier is the founder and managing director of the organization and contact person for the consortium partner.
The non-profit organization Identity Valley was founded in Munich in 2020. It brings together entrepreneurs, politicians, scientists and citizens in Europe. The aim of Identity Valley is to promote value-based, dignified and responsible cooperation between all stakeholders in the age of digitalization. The focus is on the protection of identity. The initiative has been based in Unkel am Rhein since January 2022.
As a consortium partner of TEAM-X, NeuroSys GmbH, based in Ulm, is implementing two use cases - Digital Care Platform and Women's Health - as prototypes in two Gaia-X-compliant environments.
NeuroSys is paying particular attention to the interfaces to digital care models. These will be implemented for the GaiaOne area at the end of the project. Neurosys will subsequently be involved in the integration of GaiaOne and GaiaCloud. This will enable all processes on the patient's end device, including the storage and synchronization of all end devices with each other. Martin Mayr, Managing Director of NeuroSys, and employees Stefan Ringbauer, Lukas Poustka, both computer scientists, and project manager Benjamin Hock are involved.
NeuroSys GmbH has been developing innovative doctor-patient systems since 2015 and a digital health application (DiGA) since 2020. With its applications, the company has realized numerous successful research studies with large pharmaceutical companies as well as government-funded studies and projects.
Consortium partner until the end of 2023
ProCarement GmbH, based in Forchheim, Germany, was involved in the development of the use cases, validation studies, acceptance and business model development for TEAM-X.
Stella Carolina Müller and Jule Haske were the main contact persons and responsible for coordination and project management. Dr. Sebastian Eckl was involved in the implementation from the perspective of a doctor and managing director of a DiGA manufacturer (digital health application). Andreas Humer-Hager was responsible for press relations.
Founded in October 2019, the start-up ProCarement GmbH established an integrated, digitally supported care system based on digital technologies. The focus was on integrating the individual needs of patients into care - in order to improve the quality of care while optimizing costs in the healthcare system.
Founded in Nuremberg in 2017, the owner-managed Refinio GmbH produces software that enables citizens to process their data independently and securely locally.
Algorithms can be checked internally or externally before they are used. Data is only shared if there is explicit authorization to do so. Otherwise, it remains on the user's own devices. The software allows users to use any number of their own devices in parallel. This makes users independent of operating system and hardware manufacturers. Multiple copies can be operated simultaneously and the degree of fail-safety can be freely defined.
Contact persons are Milena Limpert, Program Office, who is responsible for the content-related work of Refinio for TEAM-X, and Armin Bleise, CFO Refinio, who takes care of the formal aspects.
At the University Hospital Erlangen, the use cases in the areas of nursing and medicine are defined clinically, technically and application-related and validated - implemented as part of test studies.
The TEAM-X incubator program will establish a new type of platform for health-related value-added service concepts integrated into the University Hospital Erlangen. This will bridge the translation gap from innovative, digital value-added service concepts arising from healthcare to a minimal viable prototype that can be evaluated in application.
An interdisciplinary project team is involved in the collaboration with TEAM-X. The experts come from the Women's Clinic, Palliative Medicine, the Medical Center for Information and Communication Technology and the Institute of Radiology. PD Dr. med. Sebastian Bickelhaupt, Senior Physician and Clinician Scientist in Radiology, is the coordinator of the TEAM-X consortium partner.
The University Hospital Erlangen comprises 50 clinics, independent departments and institutes in all areas of modern medicine. Patient care, research and teaching are interlinked at the most modern level, and the latest treatment methods are available to patients.
9,438 employees in interdisciplinary teams and comprehensive quality assurance systems ensure optimal patient care.
Siemens Healthineers is researching central components of the TEAM-X project in close coordination with clinical partners and the entire consortium.
The focus is on suitable processes and software modules for the creation of secure infrastructures that comply with data protection legislation when handling highly sensitive health data. In addition to technical components, legal, ethical and other relevant sub-areas will also be included. The processes and concepts should fit seamlessly into existing concepts, e.g. the medical informatics initiative, and ensure Gaia-X conformity. The contact person is Dr. Daniel Stromer, collaboration manager at Siemens Healthineers responsible for digital and interdisciplinary topics.
Siemens Healthineers enables healthcare providers to optimize their service to patients. This is achieved by expanding precision medicine, transforming service delivery, improving patient satisfaction and digitizing the healthcare system. The solutions deployed aim to improve clinical, operational and financial outcomes. More than 600,000 globally distributed systems form the basis on which Siemens Healthineers develops new solutions. Data points, combined with other available sources, are processed into valuable information to support and optimize diagnostics or therapy procedures.
The Digital Health Hub brings together expertise from science and industry to ensure the best possible collaborations. Technologies and networks with leading international research institutions and medical technology companies are thus raised to the next level and supported locally. The sponsors of the Digital Health Hub - the ZOLLHOF in Nuremberg, the medical technology cluster Medical Valley and the Health Hackers Erlangen - provide a wide range of services: In addition to organizing various digitalization measures, the ecosystem is primarily dedicated to promoting young talent. By stimulating the healthcare growth market, the hub aims to improve the quality of healthcare with the expertise of its network.
Increasing digitalization in medicine is changing the requirements for modern healthcare, but at the same time offers many opportunities for a more efficient healthcare system.
In particular, the regional proximity of the highest level of clinical care at Erlangen University Hospital, recognized research and science at Friedrich-Alexander University Erlangen-Nuremberg and Medical Valley EMN and Siemens Healthineers as a leading company in the medical technology industry in the Nuremberg/Erlangen area offer us unique conditions for cooperation in order to help shape the digital transformation.
With the founding of the Digital Health Innovation Platform (d.hip) as a cooperation network of industry, university medicine and research, the above-mentioned institutions have therefore jointly set themselves the goal of actively advancing the digitalization of medicine and healthcare. d.hip is intended to serve as a platform for the transdisciplinary development of new products and solutions. At the same time, it is intended to provide the participants with suitable framework conditions for practical research and development and more speed in the innovation cycle.
As a cooperation partner of TEAM-X, Kommunikationshaus Bad Aussee, or Kommhaus for short, is responsible for the initiative's integrated communications work.
Planned and continuous implementation on all relevant communication channels creates a sustainable relationship for the dialog groups - and a basis for a healthy ecosystem for people and data in the care and health sector. The contact person is Managing Director Dr. Maria Schoiswohl. She has been running the company in the second generation since 2020.
Kommhaus is a consulting agency for organizational development, communication and value science. Based in Bad Aussee, the company's portfolio includes identifying and brand management, strategy consulting, employer branding, brand and corporate communication, corporate publishing, content management and social media. In its communications work, particular attention is paid to the combination of legislative and executive competence in brands and organizations.
Medical Valley EMN e. V. supports TEAM-X with project coordination and is responsible for national and international networking.
In addition, Medical Valley provides its expertise in the development of the business model. Anna Werner, member of the management board of Medical Valley EMN e. V., is responsible for the project.
Medical Valley EMN e. V. is a leading international cluster in the healthcare industry. Highly specialized research institutions, internationally leading and growing companies are active here. They cooperate closely with world-renowned healthcare research institutions to find solutions for the challenges of healthcare today and tomorrow. Medical Valley was named a national cluster of excellence by the Federal Ministry of Education and Research (BMBF) in 2010. This was followed in 2017 by the Federal Ministry of Economics as one of twelve national "Digital Hubs". Medical Valley EMN e. V. has acted as a cluster management organization since 2007. It currently connects around 240 members from business, science, healthcare, networks and politics.
Parmenides Foundation
The Parmenides Foundation is a non-profit research and teaching institution based in Pöcking on Lake Starnberg, which was founded 20 years ago by Albrecht von Müller in close cooperation with the LMU Munich.
The purpose of the foundation is interdisciplinary basic research into human thought. Of particular interest is the question of how the human brain deals with the rapidly growing complexity of our age and how it can be supported by the development of innovative methods and tools. In order to promote cognitive excellence, the foundation has developed the Magister Cogitationis Artium (MCA), among other things. The application of the results of the Parmenides Foundation's basic research is implemented in the four areas of medicine and healthcare, education and science, strategy and finance, and democracy and governance, which are linked by a high demand for innovation and the potential for great humanitarian returns.
For the TEAM-X project, the Parmenides Foundation will conduct a comprehensive study to analyze the philosophical and ethical aspects of the project and validate the implementation of normative criteria in its implementation. The use of digital tools in medical practice is intended to strengthen authorship in the sense of controlling one's own actions and ensuring individual and cooperative coherence. This applies to both medical staff and patients.
The scientific director of the TEAM-X project is Prof. Dr. Dr. h.c. Julian Nida-Rümelin, former Minister of State, Chairman of the Parmenides Foundation. Carsten Freitäger is responsible for finance and administration for TEAM-X.
TEAM-X has won the Innovation Award Reallabore 2022 of the Federal Ministry of Economics and Climate Protection!
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