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Digital Health at Mega Scale: HIS, EMR & EHR Architecture Powering Ankara City Hospital - Primary image

Digital Health at Mega Scale: HIS, EMR & EHR Architecture Powering Ankara City Hospital

January 6, 2026EMR & HIS Case Study
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Ankara City Hospital is one of the world’s largest PPP-based digital healthcare campuses, operating a fully integrated HIS–EMR–EHR ecosystem at unprecedented scale. With more than 4,000 beds, nearly 1,000 ICU units, 18 fully integrated hospital services, and tens of thousands of daily clinical and diagnostic transactions, the campus functions as a unified digital health city. Within this environment, 60+ digital systems operate concurrently, while 40+ Sarus-related solutions form the core clinical, operational, and administrative backbone. In addition, 20+ external and third-party systems—including national platforms such as e-Nabız, payment infrastructures, and institutional systems—are seamlessly integrated. Together with CCN Sağlık and Infera AŞ, Teknoritma sustains this mission-critical IT ecosystem, while Sarus reflects the architectural vision behind scalable, integrated hospital information platforms.

Digital Health at Mega Scale

Ankara City Hospital stands at the intersection of digital health transformation and extreme operational scale. Designed and operated as a Public–Private Partnership (PPP) project, the campus brings together public healthcare governance and private-sector operational excellence—resulting in one of the most complex digital hospital environments globally.

With 4,000+ inpatient beds, including nearly 1,000 intensive care beds, the hospital manages approximately 35,000 outpatient visits per day. More than 10,000 healthcare professionals and staff operate across the campus, supported by around 150 operating theaters and a diagnostic infrastructure processing 225,000 laboratory tests and nearly 10,000 radiological imaging procedures daily.

HIS, EMR & EHR: A Unified Digital Care Architecture

At this magnitude, digital health cannot rely on isolated systems. Ankara City Hospital operates on a converged Hospital Information System (HIS), Electronic Medical Record (EMR), and Electronic Health Record (EHR) architecture.

This unified model enables:

  • End-to-end digital clinical workflows

  • Longitudinal, patient-centric health records

  • Real-time clinical data access across departments

  • Continuity of care across inpatient, outpatient, and diagnostic services

Rather than fragmented applications, the hospital functions on a single digital care continuum.

Digital Core with Broad System Integration

The digital backbone of Ankara City Hospital is built around a Sarus-centered architecture.

40+ Sarus-related solutions support core domains such as:

  • Clinical workflows

  • Financial and billing processes

  • Resource and capacity management

  • Laboratory operations (LIS)

  • Imaging and diagnostics (PACS)

Beyond this core, 20+ additional external and institutional systems are fully integrated into the ecosystem, including:

  • National health platforms

  • Payment and reimbursement infrastructures

  • Insurance and external payer systems

  • Regulatory and reporting systems

  • Specialized third-party clinical and operational applications

In total, 60+ systems operate in concert, orchestrated through a unified digital architecture rather than isolated silos.

Deep Clinical Integration: 18 Fully Integrated Hospital Services

A defining characteristic of Ankara City Hospital is its exceptional level of clinical integration.

Within the same campus, 18 different hospital services operate in a fully coordinated and digitally unified structure—a level of integration rarely achieved worldwide.

This enables:

  • Seamless patient journeys across multiple specialties

  • Shared diagnostic and treatment resources

  • Real-time operational visibility at campus scale

  • Highly efficient utilization of clinical infrastructure

Such integration is particularly critical in PPP mega hospitals, where operational efficiency and service continuity are contractual as well as clinical imperatives.

National Connectivity and PPP Governance

The hospital’s digital ecosystem extends far beyond its physical boundaries. Through real-time integration with e-Nabız, as well as payment, reimbursement, and governmental systems, Ankara City Hospital operates as an integral component of the national digital health infrastructure.

Within a PPP framework, this connectivity ensures transparency, compliance, and seamless alignment between public healthcare objectives and private operational responsibilities.

Sarus & Teknoritma: Enabling Mega-Scale Digital Hospitals

Operating digital health ecosystems of this scale requires both architectural foresight and operational discipline.

  • Sarus provides the scalable, integration-centric HIS–EMR–EHR platform architecture designed for mega hospitals.

  • Together with CCN Sağlık and Infera AŞ, Teknoritma sustains and operates this mission-critical environment—ensuring continuous availability, performance under extreme load, and seamless interoperability across dozens of systems.

In a hospital where downtime is simply not an option, digital reliability becomes a foundational element of healthcare delivery.

A Global Reference for Digital Health & Mega Hospitals

Very few healthcare campuses worldwide combine PPP governance, 18 fully integrated services, a Sarus-centered digital core, and 20+ external system integrations at this scale. Ankara City Hospital stands as a global reference point for how digital health, HIS, EMR, and EHR platforms must operate in the era of mega hospitals.

At mega scale, digital health is not an enabler—it is the foundation.

#Ankara City Hospital#Mega Hospital#Sarus HIS#Sarus EMR#Sarus EHR
Digital Health at Mega Scale: HIS, EMR & EHR Architecture Powering Ankara City Hospital | Teknoritma