Hospital procurement at group scale — from the central purchasing engine to the ward, audit-grade across the full chain.
P2P cycle for pharmaceuticals, medical supplies, prosthetics and capital equipment. Consignment management for high-value devices: supplier retains ownership until the device is implanted. FEFO lot, batch and expiry traceability from supplier receipt to patient charge. Multi-entity framework agreements with entity-level draw-downs.
Central purchasing for hospital groups — proven at scale
The CECO model consolidates demand across the group, negotiates centrally and draws down by entity. Operational reference: 12,135 purchase orders managed in the first month of operation across 78 connected centres, €10.35M in volume, 99.72% of supplier invoices reconciled automatically. The accounts-payable team at the CECO manages exceptions; the engine reconciles the volume.
Consignment management — availability without capital immobilisation
High-value devices — stents, pacemakers, orthopaedic prosthetics, cardiac valves, electrophysiology catheters — held physically in the hospital, billed only on consumption. At implant, a barcode or RFID scan in the operating theatre links the device to the patient episode. Stock exits automatically. The supplier is notified for replenishment. The capital remains with the supplier until the device is used.
Four-date lot control, not one
Expiration date, use-by date, removal-from-shelf date, alert trigger date — four dates per lot, each with its own operational rule. FEFO extraction applied automatically. Near-expiry re-allocation managed before waste occurs. When the regulator issues a recall notification, every affected dispensing location and every patient who received the lot are returned as a query.
Supplier to patient: one unbroken chain
Lot and serial number tracked from supplier receipt through storage location to the specific dispensing event and patient charge. The regulator's reconstruction question — which patient received this device, on which date, from which lot — answered in one query against a single record, not across four systems.
Procurement and supply chain, at the depth hospital operations require.
Six surfaces of the procurement and logistics engine — catalogue, P2P cycle, consignment, multi-warehouse, multi-entity contracting, regulatory compliance.
Product catalogue with regulatory identifiers
Single catalogue for the whole organisation. Multiple identifiers per product: internal code, EAN barcode, pharmaceutical vademécum code, national regulatory codes (CIM / CN for Spain), GTIN / GS1 for medical devices, UDI for implantable devices. Supplier-specific references stored against the master product without duplicating it — lot traceability stays continuous from supplier lot to patient charge regardless of how many suppliers carry the same article.
P2P cycle with three-way match
Purchase requisition → approval workflow → tender / RFQ → purchase order → goods receipt → three-way match (purchase order / delivery note / supplier invoice). Automated reconciliation: the engine compares all three documents and flags only the exceptions that require intervention. Full tender management for regulated procurement: multi-supplier, multi-lot, adjudication by article and centre. Every step in the cycle recorded with user identity, timestamp and document reference.
Consignment management for high-value devices
Stents, pacemakers, orthopaedic prosthetics, cardiac valves, electrophysiology catheters, special sutures, biological meshes — physically present in the hospital, property of the supplier until consumed. Consumption recorded at barcode or RFID scan in the operating theatre; the device is linked to the patient episode (patient ID, implant date, responsible physician), stock exits automatically and the supplier is notified for replenishment. Monthly billing: consumption consolidation → supplier invoice → automatic ERP cross-reference → cost-centre allocation.
Multi-warehouse with FEFO and RF terminals
Central pharmacy, clinical floors, surgical theatre intermediate stores, cold chain, maintenance materials, catering — each with its own location map, extraction rules and product category permissions. FEFO extraction applied automatically. Four-date lot management reduces pharmaceutical waste and regulatory exposure. RF terminals and carousel integration (MEGALIF type) for high-throughput environments. Location-guided picking with automatic put-away and replenishment proposals.
Multi-entity framework agreements
Group-level framework contracts; entity-specific draw-downs by each member hospital, at potentially different terms per entity; volume rebates accrued across the group and reconciled into intercompany flows. Supplier-portal visibility scoped to the supplier's contract perimeter. Unlimited tariff configurations: per supplier, per contract period, with automatic selection of best price or best delivery — and full tariff history preserved.
Regulatory compliance posture
ENS High level for the public-sector hospital variant: access control, audit trail, incident response, vulnerability disclosure with SLA. GDPR / LOPDGDD at the data tier: personal-data classification, retention rules per category (clinical · administrative · financial · employment), right-to-erasure with audit-grade evidence, cross-border data controls per the EU adequacy framework. Pharmacovigilance reporting against the EMA / national-agency calendar. Supply-chain transparency against the OECD framework. Public-sector procurement disclosure against Spanish autonomous-community calendars — each emitted in the format and cadence the relevant regulator requires.
The CECO model: central purchasing at 78 hospitals.
The CECO model concentrates buying power: demand from 78 hospitals consolidated into one negotiation, adjudicated by article and centre, drawn down by each entity under the group framework agreement. The operational claim is specific. In the first month of operation, 12,135 purchase orders managed across 78 connected centres. €10.35M in volume. 99.72% of supplier invoices reconciled automatically. The 0.28% that required intervention was five invoices out of the total volume for the month. Top suppliers in that first month: Medtronic Iberica, Stryker Iberica, Becton Dickinson, Smith & Nephew, Alcon Healthcare.
The accounts-payable team at the CECO does not reconcile invoices by hand. They manage exceptions in a workflow that the engine has already pre-classified. The throughput is not possible without a procurement architecture that runs the P2P cycle — from purchase order through goods receipt through three-way match — as a single automated sequence. This is not a procurement technology claim. It is an operational design claim. Axional SCM is the engine that runs it.