The digital support system
for pre-anaesthesia care

Better prepared
with maximum resource efficiency

Digital medical history. Structured preparation. Efficient workflow. Secure documentation. So your patients arrive “surgery-ready”.

Developed by anaesthesiologists

Why AnDiaMed

The difference is not the information – it is the timing.

Preoperative preparation is the last major analogue process in the operating theatre. When an operation is postponed, it is almost never due to a lack of clinical expertise – but to information that reached the right place too late. AnDiaMed moves the medical review of findings from admission to days or weeks before surgery. That is exactly where the window opens in which a risk can still be reduced.

An everyday case in every acute hospital: Mrs K. takes a blood thinner and is scheduled for gallbladder surgery.

Today – analogue and fragmented

  1. History taken at a clinic visit

    Travel, waiting time, staff tied up

  2. Blanket diagnostics

    partly unnecessary, partly unsuitable, partly too late

  3. Results brought along

    often reviewed only on the day of surgery

  4. Risk noticed late

    blood thinner not paused, abnormal cardiac finding

  5. Surgery postponed

    on the morning of the procedure – theatre and team stand idle

With AnDiaMed – digital from end to end

  1. History taken from home

    in her own language – no clinic visit needed

  2. Risk profile available

    validated scores, confirmed by a doctor

  3. Targeted diagnostics

    ECG and lab tests instead of a “scattergun” approach

  4. Results reviewed in time

    medication pause and cardiology referral initiated

  5. Surgery goes ahead

    Mrs K. arrives “surgery-ready”

Proactive risk profiling with risk reduction – instead of reactive crisis management. Every recommendation is reviewed and confirmed by a doctor.

Scope

Five unique features

What sets AnDiaMed apart from a digital history form: digital history-taking and informed consent are common – AnDiaMed brings the entire preoperative pathway, from the decision to operate to surgical clearance, together in one guideline-based process.

Adaptive, context-sensitive medical history

  • Patient-centred & accessible: a digital health questionnaire completed at home in advance – in 16 languages, no app and no registration.
  • Adaptive logic: only clinically relevant topics are explored in depth – saving time and providing precise details for the assessment of fitness for surgery.
  • Functional capacity & frailty: recorded in a structured way instead of estimated – the basis for deciding on further investigations.

Easier guideline adherence

  • Systematic in every case: the guideline-relevant prerequisites are recorded for everyone, not only for conspicuous patients.
  • Guideline-based navigation: ÖGARI recommendations and the quality standard reach patients in a structured way.
  • Instead of “scattergun” diagnostics: no test without a link to an underlying condition – only what the risk profile requires.

Risk profiling

  • Validated scores, derived automatically – established, literature-based methods without additional data entry by staff:
    • ASA
    • RCRI
    • Frailty
    • DASI
    • Thrombosis
    • APFEL-PONV
    • Delirium
    • PEN-FAST
  • Structured presentation for building the individual risk profile and for the indication.
  • Reviewed and confirmed by a doctor: every assessment is presented for review – the evaluation remains entirely medical.

Preoperative medication management

  • Completely recorded: all long-term medication – guided, not a free-text field.
  • Assessed according to guidelines: intake instructions per substance based on the ÖGARI Prämed App 2025 – with a focus on substances that affect coagulation.
  • Approved by a doctor, then displayed clearly on the patient’s phone – available at any time. No questions to the anaesthesia team on the morning of surgery.

Legally sound documentation

  • Audit-proof perioperative pathway: every step with a timestamp and the person responsible – audit trails record every change.
  • Informed consent with video evidence and a digital signature – days before the procedure, not under time pressure on the day of surgery.
  • No media discontinuity: structured transfer of results into the hospital information system – no double entry, no retyping.

Legally sound. Guideline-based. Efficient. For modern pre-anaesthesia care.

All building blocks in one continuous pathway – including guideline-based ordering of diagnostics, medication management and frailty assessment.

Request a demo

How it works

How AnDiaMed works

A digital workflow that relieves and connects. Preparation begins on the day surgery is indicated – everything that does not require a medical decision is done before the patient enters the hospital.

Record

  1. 1

    Record digitally

    Enter data online – any time, anywhere.

  2. 2

    Adaptive & context-sensitive

    The questionnaire explores only clinically relevant topics in depth.

  3. 3

    Derive the risk profile

    Validated scores are derived and presented to clinical staff for assessment.

Prepare

  1. 4

    Digital referral

    Lab and specialist referrals on the smartphone – navigated according to guidelines.

  2. 5

    Upload results

    Patients upload results digitally – on time and structured, with the status visible at all times.

  3. 6

    Information & consent

    Validated videos on procedures and risks, available at any time.

Clear

  1. 7

    Book an appointment

    Choose the anaesthesia consultation online: on site, by video or by phone.

  2. 8

    Consultation, risk explanation & signature

    Consultation and individual risk explanation documented and digitally signed.

  3. 9

    Secure & continuous

    Documented in a legally sound way, transferred to the hospital information system without media discontinuity.

“Surgery-ready”The result on the day of admission

No open points left on the table: risk profile assessed, diagnostics complete, results reviewed by a doctor, medication clarified, consent documented and signed. For the ward, a traceable record up to the premedication order – for surgical planning, no surprises on the morning of surgery.

Benefits

Your benefits at a glance

One system, three winners: anaesthesia, patients and hospital operators benefit alike.

For the anaesthesia department

  • Noticeable relief for clinical staff & fewer repeat contacts
  • Complete, standardised documentation for maximum legal certainty
  • Guideline-based diagnostics, clarified in advance and therapeutically optimised
  • Individualised treatment that takes functional capacity into account

For patients

  • Maximum safety through early detection & optimisation of pre-existing conditions
  • Questionnaire and instructions on the phone: easy to understand & convenient – even with limited German
  • Noticeable time savings: less waiting, fewer journeys & coordinated pathways
  • Active involvement & decisions on equal terms (empowerment)

For hospital operators & regional hospital groups

  • Maximised net operating time & avoidance of costly idle capacity
  • Shorter waiting times & optimised length of stay
  • Avoided duplicate and repeat tests
  • Scalable & flexible – grows with patient volume
  • Quality assurance & audit security – compliance with quality standards measurable for the first time
  • Future-proof eHealth integration & data security

What users say

  • More time for what matters, and for humanity.
  • A digital workflow that lastingly eases our work and the environment.
  • Win-win-win: patient safety plus staff satisfaction plus corporate security.
  • Clear documentation runs like a common thread towards better-prepared patients.
  • Clear patient pathways and shorter routes increase compliance and prevent errors.
  • Better theatre utilisation, fewer postponed operations.

Introduction, IT & data protection

Easy to introduce. Securely operated.

What your IT department and your data protection officer want to know – AnDiaMed starts without project overhead and grows with your hospital step by step.

A start without hurdles

  • No installation, no server on site

    Multi-tenant service – no IT resources needed for operation.

  • Ready to use – even without an interface

    A structured PDF final report as a fallback from day one.

  • Connection to your hospital system

    In both directions: retrieve patient data, return the completed record – your hospital does not need to program anything.

  • Configured for each hospital

    Features, procedures, deadlines and custom texts – changeable at any time.

  • Quick training, ongoing support

    Team training in around two hours, with support from AnDiaMed.

Data protection from the start

  • Encrypted & separated per client

    Sensitive data such as the social security number are encrypted; each institution runs in a logically separated environment with a role and permission concept.

  • Every access logged

    Continuous audit trails, deletion periods configurable per hospital.

  • Secure patient access

    No account, no password: access link by text message, the session ends automatically, no access after surgery.

  • European infrastructure

    GDPR-compliant processing, servers located in the EU, daily encrypted backups.

  • Proven quality

    No hospital receives a change that has not been reviewed twice beforehand.

Foundations of the clinical logic

We do not invent our own risk logic – AnDiaMed builds on established standards.

Austria

Federal quality guideline / quality standard for preoperative diagnostics (BQLL PRÄOP) · ÖGARI recommendations on preoperative evaluation and medication management 2025

Germany

Joint recommendation of DGAI · DGIM · DGCH (2024) on the preoperative evaluation of adult patients before elective procedures

Europe

ESAIC guideline 2024 and established Patient Blood Management concepts

The founding team

From anaesthesia – for anaesthesia.

Three of the four founders are physicians: clinical relevance, technical implementation and legal and data protection expertise are anchored among the shareholders.

  • Portrait of Dr Wolfgang Klug

    Dr. med. univ. Wolfgang Klug

    Managing Director · Anaesthesiologist

    Originator of AnDiaMed. Responsible for strategy, commercial management and partnerships.

  • Portrait of Prof. Sibylle Langenecker

    Univ.-Prof. Dr. Sibylle Langenecker, MBA

    Medical Director · Anaesthesiologist

    Responsible for medical accuracy. Co-author of the quality standards on Patient Blood Management and preoperative diagnostics.

  • Portrait of Mario Zeilinger

    Mario Zeilinger

    CTO · Software Architect

    iSAQB-certified software architect. Designed and built the platform; responsible for operations and data security.

  • Portrait of Prof. Harald Andel

    Univ.-Prof. Dr. Harald Andel

    Legal & Data Protection · Anaesthesiologist

    Medical law. The company’s data protection officer; responsible for the technical and organisational measures.

Contact

Ready for the digital future of pre-anaesthesia care?

Let us optimise your processes together. We will be happy to advise you!

office@andiamed.com

Become a pilot department

A clearly defined trial area, jointly agreed goals – and evidence based on your own hospital’s key figures.

  • What we bring

    A fully developed, working system, clinical responsibility within the founding team, data protection and legal expertise, and support throughout.

  • What you need

    A department with an elective surgical programme and one clinical and one IT contact person – we take care of the rest together with you.

  • What comes out of it

    Robust evidence of time savings, process quality and guideline adherence – collected in your hospital, usable for your hospital.

For optimised processes, relieved teams and the best-prepared patients.