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.

