Compendium of Health Telematics Projects 94-98 (Draft)
Home Documents Compendium HT Projects 94-98 Updated: Aug 26, 1998 

This is the most recent structured information on this project. Complementary data can be found on previous documents

DIABCARD-3

Improved Communication in Diabetes Care Based on Chip Card Technology

Project code: HC 1010
Project value: 1060.8 KECU
EC contribution: 630.0 KECU
Number of partners: 16
Number of countries: 6
Duration:24 months
Starting date: Jul 1, 96
               
Contact: Rolf Engelbrecht
GSF-Forschungszentrum
MEDIS M2
Ingolstaedter Landstr. 1
D-85764 Oberschleissheim
Germany

Tel: +49 89 31 87 41 38
Fax: +49 89 31 87 30 08
E-mail: engel@gsf.de
Web Site: www-mi.gsf.de

Overview

The DIABCARD project aims at implementing and testing a chip card based medical information system (CCMIS) for chronic diseases in ambulatory and hospital care. The smart card serves as a portable computer-based medical record. The medical record is central to the management of patients. Due to the variety of the illness a person with a chronic disease mostly has many records, held at different locations. This often poses a problem. Having a computer-based patient record on a smart card makes the patient's up-to-date record accessible when and wherever it is needed.

The project is in its third project phase now. In phase I the system was specified and technical demonstrators and evaluation tools were developed. On the basis of the commercially available systems Millenium and Diabcare® DIABCARD systems were prototyped and field tested in Athens, Barcelona and Umbria in the 2nd project phase. It could be demonstrated that for a diabetes speciality record the capacity and functionality of the chip card is sufficient. The main emphasis in DIABCARD 3 is on implementations in the project partner countries. The implementations are to be seen as a first step to a routine use of the system and to large scale implementations. Another main task of DIABCARD 3 creating the preliminaries for a smart card that is inter-operable to the Cardlink smart card.

Purpose and objectives

The long term goal of the project is to improve the quality of medical care in chronic diseases. Diabetes mellitus is being used as a paradigm including nearly all aspects of chronic health care. On top of that diabetes mellitus concerns about 5-8 % of the European population and it causes many secondary diseases as for example acidosis, nephropathy up to acute renal failure, vascular diseases or blindness.

The chip card acts as a communication tool. The communication between the different health care professionals and institutions is being improved in routine and also in emergency medical care. The patient is involved as an active partner. DIABCARD is enhancing standardisation of medical documentation thus supporting effective management of diabetes mellitus. The application of the DIABCARD system will improve the quality of diabetes care. Secondary diseases can be avoided or at least the onset delayed. This means reducing healthcare costs of insurance companies and governments.

Great care has been taken to develop a useful and usable system. Therefore users have been involved right from the start. At the same time existing and emerging standards have been integrated. It is hoped to eventually create a health smart card network all over Europe.

Results

The DIABCARD CCMIS architecture is flexible and adaptable to technological advancements of the chip card. It incorporates the interoperability specifications of the G7 Healthcard Interoperability Group [Ref. web site http://clinical-info.co.uk/euhci.htm], the PC/SC Interoperability Working Group and of the OpenCards Framework. It allows interoperability on card-reader, on chip card level and on data level. A high level application interface (API) was defined which relieves application programmers from handling smart card specific problems like communication and security protocols, card versions, local or remote access and performance optimisation.

DIABCARD can be used as a stand-alone system or it can be integrated into existing information systems and networking environments. An existing network infrastructure is not necessary. The patient's self monitoring device can easily be integrated. The smart card acts as an additional data storage and management tool (emergency data, patient's medical history data) on the one hand, and as a communication tool on the other hand. It connects, for example, the GP doctor's office system to other parts of the health care network.

DIABCARD has developed a data set. Version 2.1 is available. This data set comprises administrative and medical (emergency and diabetes speciality) data. The administrative and emergency data is inter-operable to the Cardlink and G7 Healthcard Interoperability data. The data items have been grouped logically. This supports data integrity as well as storage optimisation. The data set is represented in ASN.1 BER [ISO 8825 Specification of Basic Encoding Rules - Abstract Syntax Notation One]. For the data architecture the layered approach was chosen: a basic layer with an administrative set, a second layer of an basic emergency data set and vertical areas of tagged clinical information.

The final system will have a 'Patient Card' and a 'Professional-Card'. The main purpose of the latter is to identify the health professional to the information system, including the medical record, i.e. to the Patient Card. The access rights of the health professional are specified in an access matrix. DIABCARD data will not leave or enter the patient’s card without the verification of the health professional's access rights. Emergency data can be read without any restrictions, but it can only be entered according to the rights laid down in the access matrix. On the subject of data security (backup) or ‘Trusted Third Parties’ DIABCARD is co-operating closely with other on-going EU projects, for example TrustHealth.

The DIABCARD system is being implemented in Austria (Vienna), France (Corbeil), Germany (Munich, Kassel), Greece (Athens, Thessaloniki), Italy (Umbria) and Spain (Mataro). The chip card serves as the communication tool. Different communication models are envisaged. Communication between a Diabetes centre and GPs, between hospital (ambulatory care), GP and specialist, and between Diabetes Centre and home care will be performed. The organisational, legal and cultural differences of the various healthcare systems have been taken into account. All pilot sites have been primed and the implementations are scheduled for 1998.

We are sure that DIABCARD will have a major impact on the use of information systems and on diabetes care.

List of deliverables

Year 1

Year 2

List of participants

Name: Prof. Dr. Nicos Maglaveras
Organisation: Aristotle University Thessaloniki
Address: Lab. of Medical Informatics
GR-54006 Thessaloniki
Country: Greece
Tel: +30 31 999 281; 274 513; 211 810
Fax: +30 31 999 263
E-mail: nicmag@vergina.eng.auth.gr ; nicmag@antigoni.med.auth.gr
Name: Dr. Joachim Thiery
Organisation: Boehringer Mannheim GmbH
Address: Division Patient Care
Global Marketing Diabetes Care
Sandhofer Str. 116
D-68298 Mannheim
Country: Germany
Tel: +49 621 759 3142
Fax: +49 621 759 4607
E-mail: joachim_thiery@bmg.boehringer-mannheim.com
Name: Prof. Dr. Alberto de Leiva
Organisation: Fundació DIABEM: Diabetes, Endocrinologia i Metabolisme
Address: Hospital de Sant Pau Servei de Endocrinologia i Nutrició
Sant Antoni Maria Claret, 167
E-08025 Barcelona
Country: Spain
Tel: +34 3 291 9042
Fax: +34 3 291 9270
E-mail: hsp.endocri@bcn.servicom.es
Name: Dr. Dr. Klaus Piwernetz
Organisation: DiabCare Office
Address: Kobellstr. 3
D-80336 München
Country: Germany
Tel: +49 89 747 19 100
Fax: +49 89 747 19 180
E-mail: kpi@diabcare.de
Name: Prof. Kostas Pappas
Organisation: Aristotle University Thessaloniki
Address: Lab. of Medical Informatics
The Medical School
Box. 323
GR-54006 Thessaloniki
Country: Greece
Tel: +30 31 999 271; 857 148 (pr.)
Fax: +30 31 999 263
Name: Dr. Line Kleinebreil
Organisation: DiabCare France Association
Address: Hôpital J. Verdier
Service Pr. Attali
Av. de 14 Juillet
F-93142 Bondy
Country: France
Tel: +33 1 39 90 18 72
Fax: +33 1 39 90 18 72
Name: Mrs. Eulalia Brugués
Organisation: FundaciónDIABEM: Diabetes, Endocrinologia i Metabolisme
Address: Hospital de Sant Pau
Servei de Endocrinologia i Nutrició
Sant Antoni Maria Claret, 167
E-08025 Barcelona
Country: Spain
Tel: +34 3 291 9042
Fax: +34 3 291 9270; +34 3 456 0190
E-mail: hsp.endocri@bcn.servicom.es
Name: Mrs. Claudia Hildebrand
Organisation: GSF-Medis Neuherberg
Address: Postfach 1129
D-85758 München
Country: Germany
Tel: +49-89-3187 4182
Fax: +49-89-3187 3008
E-mail: hildebra@gsf.de
Name: Dr. Rolf Engelbrecht
Organisation: GSF-Medis Neuherberg
Address: Postfach 1129
D-85758 München
Country: Germany
Tel: +49-89-3187 4138
Fax: +49-89-3187 3008
E-mail: engel@gsf.de
Name: Dr. Horst Henn
Organisation: IBM Deutschland Informationssysteme
Address: SC Smart Card Software
Schoenaicher Str. 220
D-71032 Boeblingen
Country: Germany
Tel: +49 7031 16 4336
Fax: +49 7031 16 4888
E-mail: hhenn@boevm4.vnet.ibm.com
Name: Mr. Bengt Schulze-Wenck
Organisation: IBM Deutschland Informationssysteme
Address: SC Smart Card Software
Geb. 7103-03
Schoenaicher Str. 220
D-71032 Boeblingen
Country: Germany
Tel: +49 07031 16 3725
Fax: +49 07031 16 4888
E-mail: bswi@vnet.ibm.com
Name: Dr. Claudio Cricelli
Organisation: Millennium srl
Address: Viale G. Milton, 3
I-50129 Firenze
Country: Italy
Tel: +39 55 499 184 - 471 554
Fax: +39 55 483 254
E-mail: mille@dada.it
Name: Mr. Arno Reith
Organisation: Siemens AG
Address: Semiconductors
Chip Card and Ident System Ics
Postfach 80 17 60
81617 München
Country: Germany
Tel: +49 89 636 22058
Fax: +49 89 636 22360
E-mail: arno.reith@hl.siemens.de
Name: Dr. Reli Mechtler
Organisation: Johannes Kepler Universität
Address: Institut f. Pflege- und Gesundheitssystemforschung
Altenberger Str. 69
A-4040 Linz Auhof
Country: Austria
Tel: +43 732 2468 9389
Fax: +43 732 2468 594
E-mail: reli.mechtler@jk.uni-linz.ac.at
Name: Prof. Dr. Massimo Massi-Benedetti
Organisation: Università degli Studi Perugia
Address: Istituto di Med. Int. e Scienze Endocr. Metab.
Via Enrico dal Pozzo
I-06126 Perugia
Country: Italy
Tel: +39 75 572 7627
Fax: +39 75 573 0855
E-mail: mabe@unipg.it
Name: Dr. Gerhard Brenner
Organisation: Zentralinstitut f. d. kassenärzt. Versorgung in der Bundesrepublik Deutschland
Address: Herbert-Lewin-Str.5
D-50931 Köln
Country: Germany
Tel: +49 221 4005 124
Fax: +49 221 4080 55
E-mail: Bwebre@kbv.de
Name: Prof. Dr. Rüdiger Landgraf
Organisation: Med. Klinik
Address: Innenstadt Klinikum der Universität München
Ziemsenstr. 1
80336 München
Country: Germany
Tel: +49 89 5160 2225 / 2200
Fax: +49 89 5160 5355
Name: Dr. Costas Phenekos
Organisation: Red Cross Hospital
Address: Department of Endocrinology
GR-115 26 Athens
Country: Greece
Tel: +30 1 6911 782 ; +30 1 6910263 ; Handy:+30-93 246 944
Fax: +30 1 6911 782
E-mail: phencost@compulink.gr
Name: Prof. Dr.Dr. Klaus-Peter Adlassnig
Organisation: Universität Wien
Address: Institut für Med Computerwissenschaften
Spitalgasse 23
A-1090 Wien
Country: Austria
Tel: +43 1 40 400 6669 ; +43 1 40 400 6668
Fax: +43 1 40 400 6667
E-mail: kpa@AKH-Wien.ac.at
Name: Dr. Bernd Blobel
Organisation: Universitätsklinikum Magdeburg
Address: Institut für Biometrie und Medizinische Informatik
Leipziger Str. 44
D-39120 Magdeburg
Country: Germany
Tel: +49 391 671 3542
Fax: +49 391 671 3536
E-mail: BERND.BLOBEL@MRZ.UNI-Magdeburg.D400.DE
Name: Dr. Paolo Rota Sperti
Organisation: Università degli Studi Perugia
Address: Istituto di Med. Int. e Scienze Endocr. Metab.
Via Enrico dal Pozzo
I-06126 Perugia
Country: Italy
Tel: Mobile:+39-347 41 50 701
Fax: +39 75 573 0855
E-mail: massi@dimisem.med.unipg.it
Name: Mr. Jürgen Sembritzki
Organisation: Zentralinstitut f. d. kassenärzt. Versorgung in der Bundesrepublik Deutschland
Address: Ottostr.1
D-50859 Köln
Country: Germany
Tel: +49 221 4005 650
Fax: +49 2234 497 979
E-mail: jsembritzki@kbv.de

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