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CPV 48814500

Casemix system

A casemix system classifies hospital patients into groups (Diagnosis-Related Groups, DRG; called GRD in Spanish and Italian) so that an authority can measure clinical activity, fund hospitals by what they actually treat, and compare like with like across sites. Under CPV code 48814500, a contracting authority is buying the grouper software and the surrounding licences, not a patient record or a bed-management tool.

It sits inside Medical information systems (48814000), the family that splits hospital IT by function. The siblings cover the nursing information system (48814100), the patient-administration system (48814200), theatre management (48814300) and the clinical information system (48814400). This code is reserved for the activity-classification and reimbursement layer specifically: the engine that turns a coded episode of care into a DRG and a cost weight.

The code is low-volume but high-value. 40 awards carry it (TED 2010-2026), of which 22 disclose a value, and across those the mean runs to about €1.2M. Germany, Spain and Italy place the most. The pattern fits the technology: casemix and DRG funding are run by health ministries, regional health services and large hospital groups, so the contracts are few but each tends to be a multi-year licence for a grouper that the whole system depends on.

In practice the spend leans toward licensing an established grouper and its annual coding updates rather than a one-off build, since DRG logic changes every year as the national tariff and classification rules are revised.

When to use this code

For buyers contracting authority

Choose 48814500 when the deliverable is the activity-classification and reimbursement engine, not the systems that feed it. A casemix or DRG grouper takes coded episodes and assigns each a patient group and a cost weight; that is what this code is for. If the contract is really about admissions, transfers and bed management, that is the patient-administration system (48814200), and if it is about the clinical record at the bedside, that is the clinical information system (48814400).

The practical trigger is funding and analysis. Health ministries, regional health authorities and large hospital groups reach for this code when they procure the grouper that drives activity-based payment, hospital benchmarking, and the annual coding refresh. Because the classification logic is revised each year with the national tariff, the same authorities tend to return to this code on a renewal cycle rather than buying once.

One boundary to watch: a casemix grouper is usually bought to plug into a wider hospital information stack. Where a single contract bundles the grouper with the patient-administration layer or with integration work, set the primary CPV code by the dominant purpose, and use 48814500 only when the classification engine is what is actually being procured.

For suppliers bidding

Treat this as a specialist analytics market, not a general hospital-IT one. Winners are firms that own or are certified to deliver a recognised DRG grouper and can maintain it against a country's evolving coding rules; a generalist software house without a casemix product has little to bring. The disclosed mean of about €1.2M (TED 2010-2026) makes each award worth chasing, but only a handful land per year across the whole EU, so size the pipeline accordingly.

What carries a bid is a proven grouper, evidence it tracks the national classification and tariff updates, and clean integration with the patient-administration and coding systems already in place. Incumbency runs deep here: once a health system funds hospitals on a particular grouper's logic, switching means re-baselining payments, so the authority is cautious about change. These groupers are typically licensed with annual coding updates rather than built once, which rewards the supplier already embedded.

Neighbouring bidders come from the patient-administration code (48814200) and from data-analytics work, but the casemix layer is its own niche. If you do not already have a grouper in the market, this is a hard code to break into cold.

Industries and typical projects

Healthcare IT Public sector IT Data analytics System integration Public finance IT

Commonly confused with

48814000
The parent for all medical information systems; pick 48814500 only when the deliverable is specifically the casemix or DRG classification engine.
48814200
The patient-administration system handles admissions, transfers and bed management, whereas 48814500 classifies completed episodes into funding groups.
48814400
The clinical information system captures care at the bedside; the casemix system consumes that coded data to assign DRGs and cost weights.
48814100
The nursing information system supports ward-level care delivery, not the activity-classification and reimbursement role 48814500 fills.

Example award titles

  • Electronic patient journal system (EPJ) Asker and Bærum emergency doctor surgery (NO)
  • Patient signalling system (NO)
  • Digital patientidentifikation (DK)
  • Adeguamento dei sistemi applicativi di ADT; cup e pronto soccorso alla piattaforma SISS-WAY. (IT)
  • Suministro de licencias de uso del software agrupador GRD CGS-APR (ES)
  • Derechos de uso de las licencias de sistemas de agrupación de pacientes en GRD (Grupos Relacionados por el Diagnóstico) y el análisis de indicadores de calidad para los hospitales y servicios centrales de la Consejería de Sanidad (ES)

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Hierarchy

Parent
48814000
Siblings
48814100488142004881430048814400
Documented June 2026 · AI-augmented body, human-reviewed before publication. Editorial policy.