Solutions Nubiss TelMed
Nubiss TelMed — Telekonsil
Hausärzte and Fachärzte send a structured, patient-specific question, assess it konsiliarisch, and keep request and answer linked in one traceable record.
Germany only Available for the German market at this stage.
Request and response stay linked, and both are rendered into a document for the patient file.
The old way
The question gets asked — but the context scatters, and nothing links the answer back to it.
The question gets asked, but the context stays with whoever happened to be holding the notes.
Findings arrive days later, detached from the question that prompted them.
Request and response live in separate files, so neither side has the whole exchange.
With Nubiss
The same conversation between two doctors, kept as one traceable record.
A defined clinical question, suspected diagnosis, medication and the documents needed to answer it.
Question, Rückfrage and assessment stay attached to one case rather than scattering across inboxes.
Both practices receive a generated document for the patient file, with the diagnosis code confirmed.
Definition
Two workflows
Any doctor can be the einholender Arzt, and any specialist the Konsiliararzt.
Specialist assessment before deciding on management — with specialists filtered by specialty, insurance type, languages, city and distance.
A second opinion or another specialty. A case can be forwarded onward with its patient data, slip, diagnosis codes and documents intact.
Requesting doctor
Scan the slip's barcode or enter details manually — duplicates are detected.
Filter by specialty, insurance, languages, city and distance. You cannot send a consult to yourself.
Required Fragestellung, medication, suspected ICD-10 code, urgency, requested response date.
Reports and images up to 50 MB each; metadata stripped; a body map for marking a region.
Flagged cases sort to the top; your answer generates its own addendum document.
The written assessment lands on the same case, with a document for the patient file.
Consulting specialist
One incoming list, scoped to your practice, urgent cases on top.
Consent, question, body map, slip, reports, and the requesting doctor's LANR and BSNR.
Raise a Konsilrückfrage with a deadline; the requesting practice is notified.
The suspected and the confirmed ICD-10 codes are both preserved — neither overwrites the other.
Structured review answers plus your report, rendered into a Facharztbericht with attachments appended.
Confirm insurance status and a valid referral, then complete the case.
One limit worth knowing: there is no explicit decline action. A specialist who cannot assess a case can raise a Rückfrage or close it, but there is no reject-with-reason step that reassigns the consult.
Documentation and transmission
Überweisungsschein, Facharztbericht and an addendum for supplementary information — attached PDFs appended, drafts stamped as drafts.
Consent under § 367 SGB V — printable, signed on paper and uploaded, stored with a document hash, reusable for up to twelve months.
Both practices work inside the platform. Where a practice sends the document by KIM, Nubiss produces the PDF and the practice sends it. Nubiss does not operate a KIM connection itself.
Nubiss TelMed exposes a FHIR R4 interface, so a case record can be read by — and written from — the systems your practice already runs, rather than living only inside Nubiss.
The scope, plainly: the endpoints are authenticated and cover the resource types listed above. This is an integration interface, not a general-purpose FHIR server, and it does not replace KIM or the Telematikinfrastruktur. Nubiss Clinical has a FHIR interface of its own, described on its own page; StudyCore and Longevity have none.
If your KV or practice requires a specific transmission route or signature method, confirm it against this list before you commit.
Abrechnung
The general Telekonsil pathway and the radiological pathway are different things with different requirements — and only the first corresponds to a workflow Nubiss TelMed supports today.
| Role | GOP | Description |
|---|---|---|
| Einholender Arzt | 01670 | Einholung eines Telekonsils |
| Konsiliararzt | 01671 | Telekonsiliarische Beurteilung |
| Konsiliararzt | 01672 | Additional completed consultation time |
Nubiss TelMed supports the documentation for these positions: the generated documents carry the EBM reference, and the specialist's review records the two prerequisites of insurance status and a valid referral. Nubiss does not bill. There is no billing engine, no GOP field on the case and no KV data export — the claim is made in your practice management system and settled through your KV as usual.
Values, conditions and limits are not reproduced on this page because they change. Check the current EBM for the figures.
Abrechnungsmöglichkeiten und Voraussetzungen können sich ändern und regional unterschiedlich umgesetzt werden. Bitte bestätigen Sie die konkrete Abrechnungsfähigkeit vor Nutzung mit Ihrer zuständigen Kassenärztlichen Vereinigung.
Billing options and prerequisites can change and are implemented differently from region to region. Please confirm eligibility with your regional Kassenärztliche Vereinigung before use. Nubiss does not guarantee that any consultation is reimbursable.
Nubiss TelMed does not currently provide a radiological teleconsultation workflow. There is no image viewer, no PACS or DICOMweb integration, and none of the positions below are referenced anywhere in the product. They are listed so the distinction from the general pathway is explicit, and because this is a direction we are considering — not because it is available.
| Workflow | GOP |
|---|---|
| Request for radiological consultation | 34800 |
| Assessment of radiographic images | 34810 |
| Assessment of specified CT examinations | 34820 |
| Assessment of specified CT examinations | 34821 |
Abrechnungsmöglichkeiten und Voraussetzungen können sich ändern und regional unterschiedlich umgesetzt werden. Bitte bestätigen Sie die konkrete Abrechnungsfähigkeit vor Nutzung mit Ihrer zuständigen Kassenärztlichen Vereinigung.
In the practice
Encrypted in transit with strict transport security, a strict content security policy and short sessions. Files stored with server-side encryption. Every change goes to a tamper-evident, append-only log on a separate database, with no patient data in the log entries.
There is no end-to-end encryption and no field-level database encryption — the security page sets out the full position.
Questions
Every answer here is the honest one — including the things the product does not do yet.
No. Nubiss TelMed is asynchronous and written. There is no patient video consultation, and the doctor-to-doctor video feature in the codebase is switched off and not offered.
Not to use the platform — both practices work on the case inside Nubiss TelMed. If your workflow requires the document to travel by KIM, you send the generated PDF from your own KIM mailbox.
No. Nubiss supports the documentation; the claim is made in your practice management system and settled through your KV. Confirm eligibility with your KV before you rely on it.
Yes, over FHIR R4. Patients, encounters and reports can be imported from your system and are sent back as they change, using the German FHIR profiles and the BfArM code systems. It covers those resource types rather than everything in your record, and it is separate from KIM — that route is unchanged.
You can attach DICOM files, images and PDFs up to 50 MB each, or link to an external image portal. There is no viewer inside Nubiss — images are read in your own systems.
Specialty-specific question sets cover dermatology, rheumatology, cardiology and paediatric ophthalmology; the general question set applies everywhere, and new specialties are configured on request.
The application ships German translations and the clinical forms are written in German. This marketing page is in English while the German version is prepared.
See how a Telekonsil is raised, what the specialist receives, and what lands back in your patient file. Please do not include any patient information in your message.
If you take consults in your specialty and want to receive them with the information needed to answer properly, we would like to talk. Please do not include any patient information.
