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Updated: Feb 1, 97 |
FEST | |
| Contact: Mrs Marlene Gerneth DeTeBerkom GmbH Voltastraße 5 D-13355 Berlin, Germany Tel.: +49-30-46.70.12.22 Fax: +49-30-46.70.14.44 E-mail: gerneth@deteberkom.detecon.d400.de |
Telemedicine and healthcare telematics services, i.e. the support of information exchange between medical and healthcare units, no matter where the units are located, have the potential to enable improved healthcare in an ever faster integrating European community. Conforming to the best practices of open systems may, however, not be sufficient to guarantee the success of such services, but more comprehensive guidance and support is needed.
Hence, the FEST project consortium was concerned with developing a Framework of common understanding which will assist those wishing to set up a telemedicine service within Europe by providing tools and information of such an endeavour.
The specific activities undertaken in the project to fulfil this objective are, thus, to:
FEST is the kind of work that European medical industry will not undertake by itself. This background work will help this dynamic but fragmented industry to avoid producing equipment and applications that will either not be used as it will work only in stand alone modus or will be produced but not serve the broader purpose that Telematics is starting to put into perspective.
FEST is also well a horizontal framework project with respect to various national research projects.
Due to the involvement and access of different partners of the FEST consortium to national program and project initiatives, it can be stated that the Framework can also be validated against existing services and pilots in other European countries both in Telemedicine as well as in other Telematic Systems. Considerable work for CEN TC 251 has been started.
Contributing to the establishment and validation of the Framework, a Telecardiology Demonstrator has been implemented, covering co-operative decision making in therapy and diagnostic quality assurance.
The FEST Framework consists of the following components:
The Question Set, which is a commented list of questions, acts as the direct interface for the user of the Telemedicine Framework and leads through the main topics which need consideration.
The Body of Information and the Advice Component together supply extensive information solicited by the Question Set (e.g. on technical, medical or legal factors).
The Clinical Context Model proposes a procedural way of ensuring quality of care and models the embedding of telemedicine services in medical work and practice.
The basis for these components is the Descriptive Model, which integrates the Open Distributed Processing Reference Model (ODP-RM) and which defines the concerns and terminology necessary to model a telemedicine service.
The first step in making the Framework known has been through the normal process of publication in scientific conferences and journals. We have also publicised it through contacts with a variety of interested parties, and have used it to evaluate both the Greek Telemedicine initiative and the Finnish initiative.
The next step has been to increase the availability of the Framework and to gain further experience in practice. In terms of availability, the Question Set has already been translated into two other languages (Finnish and Greek) and has been distributed to a number of organisations. Recently, the complete set of documents constituting the FEST Guide (including the Question Set as well as the Body of Information and the Advice component) has been favourably received.
The FEST Demonstrator has reached an 'implementation phase' in the sense that it is in everyday use between hospitals in Manresa and Barcelona. It has changed the way of working, leading to improved health care delivery in Manresa. Furthermore, it has had sufficient impact to act as a stimulus for replication at other sites (e.g. Madrid and Seville). Besides establishing an operational state-of-the-art telemedicine service, the FEST Demonstrator has helped to validate the Telemedicine Framework, providing feedback e.g. on design and use of the Question Set, service definitions and the concept of service boundary to the Framework development.
| Dr. Jean Luc Weber Bertin & CIE Electronic & Optical 15 rue Frederic Joliot PO Box 2200 F-13791 Aix En Provence Cedex 3, France Tel.: +33-42-60.46.94 Fax: +33-42-60.00.13 | Dr. Knut Bernstein Dansk Sygehus Institut Health Technology Nyropsgade 18 DK-1602 Copenhagen, Denmark Tel.: +45-33-11.57.77 Fax: +45-33-93.10.19 |
| Dr. Francesco Abet Database Informatica Viale dell Umanesimo 32 I-00144 Roma, Italy Tel.: +39-6-54.19.42.12 Fax: +39-6-591.19.65 | Prof. Dr. Eckart Fleck Deutsches Herzzentrum Berlin Augustenburgerplatz 130 D-1000 Berlin 65, Germany Tel.: +49-30-45.05.40.04 Fax: +49-30-454.20.03 |
| Dr. Francisco Vaz INESC Electronica e Telecomm Istit. Engenh. Sistemas Comunic Campus Universitario P-3800 Aveiro, Portugal Tel.: +351-34-201.73 Fax: +351-34-38.11.28 | Dipl. Ing. Ruettger Heu Philips Medical Systems MEDIS Röntgenstrasse 24 D-2000 Hamburg 63, Germany Tel.: +49-40-50.78.21.30 Fax: +49-40-50.78.17.27 |
| Prof. Dr. Bernd Mahr Technische Universität Berlin Research Dept. Franklinstraße 28-29 D-1000 Berlin 10, Germany Tel.: +49-30-31.47.35.41 / 0 Fax: +49-30-31.42.11.03 | Dr. Dimitris Sotiriou Univ. Athens School of Medicine Mikras Assias 75 Goudi GR-11527 Athens, Greece Tel.: +30-1-778.81.99 / 779.32.73 Fax: +30-1-653.58.19 |
| Prof. Dr. James McCormick Trinity College Community Health 199 Pearse Street IRL-Dublin 2, Ireland Tel.: +353-1-702.10.87 Fax: +353-1-71.06.97 | Dr. Ken Boddy Univ. Edinburgh Dept. Obstetrics/Gynaecology Simpson Mem. Maternity Pavil. Laviston Place Edinburgh EH3 9EF, U.K. Tel.: +44-31-229.25.19 Fax: +44-31-229.25.21 |
| Prof. Francisco Del Pozo Guerrero Univ. Politecnica Madrid - TEB Ciudad Universitaria E-28040 Madrid, Spain Tel.: +34-1-336.73.07 Fax: +34-1-336.72.16 | Prof. Niilo Saranummi VTT Technical Research Centre Finland Medical Engineering Lab. PO Box 316 Kanslerinkatu 8 D SF-33101 Tampere, Finland Tel.: +358-31-16.33.42 Fax: +358-31-17.41.02 |
| Dr. Leo Ottes Nationale Raad v.d. Volksgezondheid Dept. Informatics Meerhorst III-8th Floor Boerhaavelaan 1 NL-2713 HA Zoetermeer, The Netherlands Tel.: +31-79-71.03.76 Fax: +31-79-51.08.81 | Prof. Dr. Howard Williams Heriot-Watts University M/NS Telemedicina Grassmarket 79 Edinburgh EH1 2HJ, U.K. Tel.: +44-31-225.64.65 ext. 550 Fax: +44-31-220.42.77 |
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