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[德国眼科学在欧洲电信项目OPHTEL中的科学作用]

[Scientific role of German ophthalmology in the European telecommunication project OPHTEL].

作者信息

Mertz M, Mann G, Zahlmann G, Obermaier M

机构信息

Augenklinik rechts der Isar, Technische Universität München.

出版信息

Ophthalmologe. 1997 Jul;94(7):523-8. doi: 10.1007/s003470050152.

DOI:10.1007/s003470050152
PMID:9333401
Abstract

BACKGROUND

In Denmark, France, Germany, Great Britain and Italy, the OPHTEL project combines clinical centers of ophthalmology and internal medicine, an institute for medical informatics and health services research, a publishing company and different industrial partners in the EDP market.

AIMS

With the aid of visual telecommunication and rapid data transfer, methods and conditions will be developed and proved so that any physician can very easily obtain sufficient information for treating his patient. Thus, the regional differences in the quality of structured health service (e.g., urban/ rural) will be overcome throughout Europe. SCIENTIFIC TASKS: A multilingual diagnostic and therapeutic thesaurus has to be worked out in order to create standards for communication and quality control. Based on literature, images and image analysis in a knowledge-based data bank, a monitoring system (containing watch-dog functions) and the basic aspects of an ophthalmological patient/disease register will be investigated. (In parallel, a technical development of synchronous and asynchronous telecommunication between eye physicians is taking place in close cooperation with the regional Bavarian project Teleopathalmology in Bavaria on-line).

RESULTS

State of the art 6 months after starting the project:the knowledge-based image data bank has been founded and also an ophthalmological 8 language thesaurus and definition standard. All data transfer lines are installed.

DISCUSSION

The project is taking place amid diverging sections of medicine: ophthalmology and internal medicine, health politics and data protection, individual treatment and common interest (health care), product management and office organization. Thus, the scientific quality of the transferred ophthalmological content must undergo sophisticated controls. FUTURE STEPS: Intense cooperation with the big German associations for ophthalmology (DOG, BVA) and the European ophthalmological societies concerning EDP, classification and quality control.

摘要

背景

在丹麦、法国、德国、英国和意大利,OPHTEL项目将眼科和内科临床中心、医学信息学与卫生服务研究机构、一家出版公司以及电子数据处理(EDP)市场中的不同行业合作伙伴联合在一起。

目标

借助视觉电信和快速数据传输,将开发并验证各种方法和条件,以便任何医生都能非常轻松地获取足够的信息来治疗其患者。从而在整个欧洲克服结构化卫生服务质量方面的地区差异(例如城市/农村差异)。

科学任务

必须制定一个多语言诊断和治疗词库,以创建通信和质量控制标准。基于知识库中的文献、图像和图像分析,将研究一个监测系统(包含监督功能)以及眼科患者/疾病登记的基本方面。(与此同时,正在与巴伐利亚州的地区项目“巴伐利亚在线远程眼科”密切合作,对眼科医生之间的同步和异步电信进行技术开发)。

结果

项目启动6个月后的技术现状:已建立基于知识的图像数据库以及一个眼科8语言词库和定义标准。所有数据传输线路均已安装。

讨论

该项目是在医学的不同领域中开展的:眼科和内科、卫生政策和数据保护、个体治疗和共同利益(医疗保健)、产品管理和办公室组织。因此,所传输的眼科内容的科学质量必须经过精细的控制。

未来步骤

与德国大型眼科协会(德国眼科协会、德国巴伐利亚州眼科协会)以及欧洲眼科协会就电子数据处理、分类和质量控制展开密切合作。

相似文献

1
[Scientific role of German ophthalmology in the European telecommunication project OPHTEL].[德国眼科学在欧洲电信项目OPHTEL中的科学作用]
Ophthalmologe. 1997 Jul;94(7):523-8. doi: 10.1007/s003470050152.
2
ByOPHTEL: a Bavarian project for rapid telemedical exchange of knowledge, files and skills between practitioners and hospitals in eye care.ByOPHTEL:一项巴伐利亚项目,旨在实现眼科护理领域从业者与医院之间知识、文件和技能的快速远程医疗交流。
Stud Health Technol Inform. 1999;64:164-72.
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[Teleconsultation network for ophthalmology--experiences and results].[眼科远程会诊网络——经验与成果]
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Int Clin Psychopharmacol. 2001 Apr;16 Suppl 3:S5-13. doi: 10.1097/00004850-200104003-00002.
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[Telecommunication in trauma surgery. Communication networks of hospitals in East Bavaria].
Chirurg. 1998 Nov;69(11):1123-8. doi: 10.1007/s001040050548.
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引用本文的文献

1
[Electronic patient records and teleophthalmology. Part 2: concrete projects in ophthalmology].
Ophthalmologe. 2011 Jul;108(7):687-95; quiz 696. doi: 10.1007/s00347-011-2353-6.
2
[Electronic patient records and teleophthalmology : part 1: introduction to the various systems and standards].[电子病历与远程眼科:第1部分:各种系统与标准介绍]
Ophthalmologe. 2011 May;108(5):473-84. doi: 10.1007/s00347-010-2314-5.
3
The European Glaucoma Society Glaucocard project: improved digital documentation of medical data for glaucoma patients based on standardized structured international datasets.欧洲青光眼协会青光眼心脏项目:基于标准化结构化国际数据集,改善青光眼患者医疗数据的数字记录。
Graefes Arch Clin Exp Ophthalmol. 2008 Dec;246(12):1757-68. doi: 10.1007/s00417-008-0929-x. Epub 2008 Sep 3.