How it works

From assessment to the twelve month review.

A clinical assessment, and you name a doctor in Germany.

Your record is written to a common standard as you are treated.

Your Passport reaches the doctor you named.

Your check-ups are recorded in Germany, into the same record.

Built on published standards

An internationally agreed list of what to measure after bariatric surgery, so two clinics report the same things.

The standard grading of surgical complications by the treatment they required, from Grade I to Grade V.

The interchange format for health records. It is what lets a German practice read a record written in Istanbul.

Health data is a special category. It moves only on your explicit consent, and Article 20 gives you the right to take it with you.

From 2029, EU rules extend portability specifically to health records across member states.

Seventy per cent is released at treatment. The clinic is paid promptly for the work it has done, on the day it does it.

Thirty per cent is held. It is released when a verified six month check is filed by a physician at home, not by the clinic itself.

The incentive changes. A clinic that loses touch with a patient loses the remainder. Follow-up stops being goodwill and becomes part of the contract.