TY - CHAP U1 - Konferenzveröffentlichung A1 - Bertram, Oliver A1 - Dörflinger, Sven A1 - Clin, Lucien A1 - Polanc, Andreas A1 - Koch, Roland A1 - Joos, Stefanie A1 - Thies, Christian ED - Hollmén, Jaakko T1 - Current state of interoperability in German practice management systems: insights from the TeleDerm Project T2 - 31st IEEE International Symposium on Computer-Based Medical Systems CBMS 2018, 18-21 June 2018, Karlstad, Sweden, proceedings N2 - This work is a report on practical experiences with the issue of interoperability in German practice management systems (PMSs) from an ongoing clinical trial on teledermatology, the TeleDerm project. A proprietary and established web-platform for store-and-forward telemedicine is integrated with the IT in the GPs’ offices for automatic exchange of basic patient data. Most of the 19 different PMSs included in the study sample lack support of modern health data exchange standards, therefore the relatively old but widely available German health data exchange interface “Gerätedatentransfer” (GDT) is used. Due to the lack of enforcement and regulation of the GDT standard, several obstacles to interoperability are encountered. As a partial, but reusable working solution to cope with these issues, we present a custom middleware which is used in conjunction with GDT. We describe the design, technical implementation and observed hindrances with the existing infrastructure. A discussion on health care interfacing standards and the current state of interoperability in German PMS software is given. KW - telemedicine KW - teledermatology KW - tele-consult system KW - store-and-forward KW - integration KW - middleware KW - interoperability KW - FHIR KW - GDT Y1 - 2018 U6 - https://doi.org/10.1109/CBMS.2018.00045 DO - https://doi.org/10.1109/CBMS.2018.00045 SP - 217 EP - 222 S1 - 6 PB - IEEE CY - Piscataway, NJ ER -