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Germany has one of the densest healthcare providing structure of the world, consist of general practitioners, medical service centers, hospitals, rehabs and so on. Moreover, the utilization rate is the highest in the world. At a population of 81 million, there are more than 17 million hospital cases per year and about 1.3 billion outpatient physician contacts per year. Another specific characteristic is, that medical specialists are presented in both, inpatient and outpatient settings, working independently without an overlap between the inpatient and outpatient specialists.