Healthcare's AI Fortress: SAP & Fresenius Build Sovereign AI Backbone

SAP and Fresenius have entered a strategic partnership to develop a sovereign artificial intelligence platform tailored specifically for healthcare, addressing the sector’s growing need for secure data processing and compliant AI deployment. The initiative responds to strict medical governance and data protection requirements that often exceed what public cloud solutions can provide, placing data sovereignty at the center of clinical AI adoption.
The collaboration aims to go beyond pilot projects by building an open, integrated ecosystem that allows hospitals to safely embed AI into everyday clinical workflows. Fresenius CEO Michael Sen described the effort as a catalyst for accelerating healthcare digitization in Germany and across Europe, emphasizing that secure, scalable, and easy-to-use AI tools can significantly reduce administrative burdens and allow medical staff to focus more on patient care.
Technically, the platform is built on SAP Business AI and the SAP Business Data Cloud, providing a compliant foundation for managing sensitive health data. A key component is SAP’s “AnyEMR” strategy, which tackles data fragmentation by enabling interoperability across hospital information systems and electronic medical records using open standards such as HL7 FHIR. This connectivity is essential for developing AI-driven solutions that improve efficiency across the entire care chain.
Both companies plan to invest a mid three-digit million euro amount in the medium term to support this transformation, including joint investments in startups and internal innovation. SAP CEO Christian Klein said the goal is to establish a globally interoperable healthcare platform that sets new benchmarks for data sovereignty, security, and innovation, positioning the partnership as a defining step in Europe’s move toward sovereign, AI-enabled healthcare infrastructure.
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