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Current state of interoperability in German practice management systems: insights from the TeleDerm Project

  • 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.

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Author of HS ReutlingenBertram, Oliver; Dörflinger, Sven; Clin, Lucien; Thies, Christian
Place of publication:Piscataway, NJ
Editor:Jaakko Hollmén
Document Type:Conference Proceeding
Year of Publication:2018
Tag:FHIR; GDT; integration; interoperability; middleware; store-and-forward; tele-consult system; teledermatology; telemedicine
Page Number:6
First Page:217
Last Page:222
DDC classes:004 Informatik
Open Access?:Nein
Licence (German):License Logo  Lizenzbedingungen IEEE