SitaWare Battlefield Health at Medic Quadriga 2026

Systematic and the German Armed Forces Medical Command (Kommando Gesundheitsversorgung der Bundeswehr) jointly presented the future digital medical command and control system SitaWare Battlefield Health at Medic Quadriga 2026, the largest medical exercise conducted by the German Armed Forces since the start of Russia's full-scale invasion of Ukraine.

During Medic Quadriga 2026, the Bundeswehr Medical Service tested casualty care and patient transport from NATO's eastern flank back to Germany. The exercise simulated a NATO Article 5 scenario with more than 1,400 participants, including approximately 1,000 military personnel and 250 civilians from federal and state authorities as well as non-governmental organisations. The exercise area spanned roughly 1,600 kilometres from Koblenz, across the Baltic Sea to Lithuania, and back to the Berlin-Brandenburg region.

Systematic and the Bundeswehr Medical Command showcased SitaWare Battlefield Health as future Medical C2 solution at a shared information stand. The PV SAFES programme is set to deliver the Bundeswehr's future digital chain of evacuation.

Medic Quadriga 2026: The requirement made visible

The exercise demonstrated the demands that medical command and control must meet in a collective defence scenario. For the first time, the complete chain of evacuation was exercised end-to-end: from forward casualty care, through strategic medical evacuation, to patient distribution at civilian hospitals in Germany. Near Berlin Airport, a civil-military hub was established to coordinate the distribution of patients to civilian hospitals.

It is precisely this complexity, coordination across organisational boundaries, echelons of care and civil-military interfaces, that requires a continuous digital command and control system. SitaWare Battlefield Health is designed to meet this requirement.

The digital chain of evacuation with SitaWare Battlefield Health

SitaWare Battlefield Health provides four core functions directly aligned with the requirements of the chain of evacuation.

Casualty flow management enables the targeted routing of individual patients and patient groups across all echelons of care. From initial registration at the casualty collection point to assignment to a definitive care facility, every routing decision is made and documented within the system.

Continuous patient tracking captures the path of every patient along the chain of evacuation. Medical commanders see at any point where a patient is located, what their care status is and where they are being routed. This creates transparency across all echelons and provides the foundation for a reliable medical situation assessment.

Emergency patient documentation ensures that medical data is captured digitally from the first point of contact with the patient and passed along the entire care pathway. This reduces information loss at every transition between echelons of care.

The medical situation picture consolidates patient data, capacity information and routing decisions into a common operating picture. Medical commanders receive a Recognised Medical Picture (RMP) that enables coordination across organisational boundaries.

Embedded in the Bundeswehr's digital architecture

The effectiveness of a medical command and control system depends decisively on how well it is integrated into the existing digital infrastructure. As a plug-in to the SitaWare Suite, SitaWare Battlefield Health connects directly into the digital architecture within the Mission Enabling Service Bundeswehr (MESBw), where SitaWare is already established as the command-and-control solution. For personnel on the ground, this eliminates additional manual data transfer points. For commanders, it creates a continuous picture that connects the medical and operational situation.

This integration capability is not a technical detail but an operational requirement. Medic Quadriga 2026 demonstrated that the chain of evacuation in a collective defence scenario can only be sustained if it is managed digitally and embedded seamlessly in the overall architecture of the armed forces.

Against this background, the German Armed Forces acquired an enterprise licence for elements of SitaWare Battlefield Health in 2025. The joint presentation with the Bundeswehr Medical Command at Medic Quadriga 2026 underscores the programme's progress on the path to operational readiness.

For more information please contact Sascha Mueller, Communications Manager Defence at sascha.mueller@systematic.com