Skip to main content
SpringerLink
Log in

Eine modulare gesundheitsakte als antwort auf kommunikationsprobleme im gesundheitswesen

A modular electronic health record as an answer to communication problems in health care

  • WI — Schwerpunktaufsatz
  • Published:
Wirtschaftsinformatik

Abstract

Since 2000 the University of Muenster has developed an electronic health record (EHR) called „akteonline.de“. Several clinics and departments use the EHR in routine. „akteonline.de“ in its current structure supports patients as well as health care professionals and aims at providing a collaborative health information system which perfectly supports the clinical workflow even across institutional boundaries. In order to fulfill high data security and data protection requirements strictly, complex encryption, authorization and access control components have been developed.

The IT-structure of the German health care system is very heterogeneous and peripheral. The thereby generated additional costs in the economic and social area are comprehensible and the patient is unable to claim the central position intended by politics and society. The development effort of „akteonline.de“ currently focuses on the introduction of an electronic foundation for an „integrated care“. For that communication possibilities for different clinical systems, like systems for physician or clinical information systems as well as communication possibilities between different departments in a hospital or networking between Institutions and the patient himself, have to be provided. The various needs of the institutions and people involved, have to be considered individually within one concept.

Based on gathered experiences and with regard to increasing requirements in the areas of interoperability, integration and international cooperation the system architecture and the basic data model underwent several evolutionary enhancements. The focus of this paper lies on describing the use of new technologies and open standards in order to create and enhance a loosely coupled, modular and flexible EHR, that represents a common information and communication tool for patients and health care professionals.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Abbreviations

ADT:

Abrechnungsdaten Träger

API:

Application Program Interface

AOX:

Akteonline Extendable

CDA:

Clinical Document Architecture

CSS:

Cascading Style Sheet

EGA:

Elektronische Gesundheitsakte

HL7:

Health Level Seven

IDE:

Integrated Development Environment

IT:

Informationstechnologie

KIS:

Krankenhausinformationssystem

LDT:

Labordatenträger

MVC:

Model-View-Controller

OOP:

Objektorientierte Programmierung

ORM:

Objektrelationales Mapping

OSS:

Open-Source-Software

PHR:

Personal Health Record

SCIPHOX:

Standardisation of Communication between Information Systems in Physician’s Offices and Hospitals using XML

WWW:

World Wide Web

XML:

Extensible Markup Language

Literatur

  1. akteonline.de. Projektwebseiten. http://www.akteonline.de, Abruf am 2004-05-30.

  2. Bolour, Azad: Notes on the Eclipse Plug-in Architecture. http://www.eclipse.org/articles/Article-Plug-in-architecture/ plugin_architecture.html, 2003-07-03, Abruf am 2004-11-12.

  3. Broemmer, Daren: J2EE Best Practices: Java Design Patterns, Automation, and Performance. John Wiley & Sons, New York 2004.

    Google Scholar 

  4. Cimino, J. J.; Patel, V. L.; Kushniruk, A. W.: What Do Patients Do With Access To Their Medical Records. In: Medinfo (2001) 10, S. 1440–1444.

    Google Scholar 

  5. Dolin, R. H.; Alschuler L.; Beebe, C.; Biron, P. V.; Boyer S. L.; Essin, D.; Kimber, E.; Lincoln, T.; Mattison, J. E.: The HL7 Clinical Document Architecture. In: Journal of the American Medical Association (2001) 6, S. 552–569.

    Google Scholar 

  6. Dumitru, R. C.; Richter, W.; Ganslandt, T.; Ückert, F.; Prokosch, H. U.: Web-based Personal Consumer Health Records. Erlangen 2004.

    Google Scholar 

  7. The Eclipse Foundation, Homepage. http://eclipse.org/, Abruf am 2004-11-12.

  8. Eclipse-Plugins. http://www.eclipse-plugins.info/, Abruf am 2004-11-12.

  9. Goldsmith, D. M.; Silverman, R. B.; Safran, C.: Pediatric Cancer CareLink — Supporting home management of childhood leukemia. In: Proceedings of the AMIA 2002 Annual Symposium (2002), S. 290–294.

    Google Scholar 

  10. Hibernate ORM Tool. http://www.hibernate.org/, Abruf am 2004-11-12.

  11. HL7: HL7. http://www.hl7.org, Abruf am 2004-03-05.

  12. IBM Rational, Rational Products Plug-Ins and Add-Ins. http://www-106.ibm.com/developerworks/rational/library/1376.html, 2004-10-7, Abruf am 2004-11-12.

  13. Itkonen, P.: Development Of A Regional Health Care Network And The Effect Of Knowledge Intensive Work On Personnel And Organisation. In: Methods of Information in Medicine (2002) 5, S. 387–392.

    Google Scholar 

  14. SUN: J2EE Java Server Faces Technology. http://java.sun.com/j2ee/javaserverfaces/, Abruf am 2004-11-12.

  15. Kim, M. I.; Johnson, K. B.: Personal Health Records: Evaluation of Functionality and Utility. In: Journal of the American Medical Association (2002) 9, S. 171–180.

    Google Scholar 

  16. Masys, D.; Baker, D.; Butros, A.; Cowles K. E.: Giving Patients Access To Their Medical Records Via The Internet: The PCASSO Experience. In: Journal of the American Medical Association (2002) 9, S. 181–191.

    Google Scholar 

  17. Macromedia Deutschland, Homepage. http://www.macromedia.com/de/software/flashplayer/, Abruf am 2004-11-12.

  18. Marquardt, Klaus; Völter Markus: PlugIns — applikationsspezifische Komponenten In: JavaSpektrum (2003) 2, S. 20–25.

    Google Scholar 

  19. Meric Funda; Bernstam, Elmer V.; Na-deem, Mirza Q.: Breast Cancer On The World Wide Web: Cross Sectional Survey Of Quality Of Information And Popularity Of Websites. In: British Medical Journal 324 (2002) 3, S. 577–581.

    Google Scholar 

  20. Moehr, J. R.: Guidelines, The Internet, And Personal Health: Insights From The Canadian Healnet Experience. In: Methods of Information in Medicine (2002) 3, S. 230–234.

    Google Scholar 

  21. Munir, S.; Boaden, R.: Patient Empowerment And The Electronic Health Record. In: Patel, V. (Hrsg.): Proc. Medinfo. 2001, S. 663–665.

    Google Scholar 

  22. Muller, M. L.; Butta, R.; Prokosch, H. U.: Electronic discharge letters using the Clinical Document Architecture (CDA). In: Stud. Health Technology Information 95 (2003), S. 824–8.

    Google Scholar 

  23. Schweiger, R.; Hoelzer, S.; Heitmann, K. U.; Dudeck, J.: DTDs go XML Schema: A Tools Perspective. In: Med. Inform. Internet Med. 26 (2001) 4, S. 297–308.

    Google Scholar 

  24. Sciphox. http://www.sciphox.de, Abruf am 2004-05-30.

  25. Sittig, D. F.: Personal Health Records On The Internet: A Snapshot Of The Pioneers At The End Of The 20th Century. In: International Journal of Medical Informatics 65 (2002), S. 1–6.

    Google Scholar 

  26. SUN Java Technologies. http://java.sun.com/, Abruf am 2004-11-12.

  27. The GIMP Documentation Team: GIMP User Manual — Kap. 7 Plugin. http://docs.gimp.org/en/ch02s07.html, 2004, Abruf am 2004-11-12.

    Google Scholar 

  28. Treweek, S. P.; Glenton C; Oxman A. D.; Penrose, A.: Computer-generated Patient Education Materials: Do They Affect Professional Practice? A systematic review. In: Journal of the American Medical Information Association (2002) 9, S. 346–358.

    Google Scholar 

  29. Ückert, F.; Prokosch, H. U.: Implementing Security And Access Control Mechanisms For An Electronic Healthcare Record. In: Proceedings of the AMIA 2002 Annual Symposium, S. 825–829.

  30. W3C: Cascading Style Sheets. http://www.w3.org/Style/CSS/, Abruf am 2004-11-12.

  31. W3C: Extensible Markup Language (XML). http://www.w3.org/XML, Abruf am 2004-03-05.

  32. Waegemann, C. P.: Current Status of EPR Developments in the U.S. In: Toward an Electronic Health Record 99. Medical Records Institute, Boston 1999, S. 116–118.

    Google Scholar 

  33. The Wikipedia Project: Ergebnisseite „Plugin“ http://de.wikipedia.org/wiki/Plugin, 2004-10-14, Abruf am 2004-11-12.

Download references

Author information

Authors and Affiliations

  1. Klinik und Poliklinik für Kinder- und Jugendmedizin Pädiatrische Hämatologie und Onkologie, Universitätsklinikum Münster, Deutschland

    Jan-Christoph Schwarze

  2. Institut für Medizinische Informatik und Biomathematik, Westfälische Wilhelms-Universität Münster, Domagkstr. 9, 48129, Münster, Deutschland

    Sven Tessmann, Christoph Sassenberg &  Frank Ückert

  3. Universitäts-Hautklinik, Albert-Ludwigs-Universität Freiburg, Deutschland

    Marcel Müller

  4. Institut für Medizinische Informatik, Biometrie und Epidemiologie, Friedrich-Alexander-Universität Erlangen-Nürnberg, Deutschland

    Hans-Ulrich Prokosch

Authors
  1. Jan-Christoph Schwarze
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sven Tessmann
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Christoph Sassenberg
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Marcel Müller
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Hans-Ulrich Prokosch
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Frank Ückert
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schwarze, JC., Tessmann, S., Sassenberg, C. et al. Eine modulare gesundheitsakte als antwort auf kommunikationsprobleme im gesundheitswesen. Wirtschaftsinf 47, 187–195 (2005). https://doi.org/10.1007/BF03254899

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03254899

Keywords

Search

Navigation