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Updated: Aug 26, 1998 |
This is the most recent structured information on this project. Complementary data can be found on previous documents | |
DIABCARE Q-NET
Diabcare quality network in Europe | |
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DIABCARE Q-Net is linked to the St. Vincent Declaration (WHO-EURO and IDF-EURO). This system of applied telematics will be further improved technically using the upcoming com-munication means such as Internet, transnational network providers and on-line services. DIABCARE Q-Net will cooperate with other projects on health care telematics applications facilitating input and controlling access to the net (DIABCARD), on quality improvement through local decision support using al-ready existing guidelines (Prestige), on the inclusion of quality of metabolic control and on the standardised link to specialists starting from selected topics like diabetic retinopathy (OPHTEL).
The result of this project will consist of a network of service centres evaluating and improving their outcome through the routine use of a telematic framework. The care providers will have access to the latest guidelines and will be able to link them to their own data. The best performers can be identified for consultation, referral, or training of the other partners.
Others are planned. The methods and tools, described in the report, are now in use by the project partners. Depending on the specific situation in each country, different solutions are preferred: Windows software (DIABCARE Data), DOS software (EPI INFO), software solution for data export (EDIFACT/ EMEDI or export functions), fax solutions or others. The latest DIABCARE Data for Windows software, version 1.4i is part of the deliverable D11.1. The DIABCARE Fax system is implemented successfully in Italy and Bavaria, Germany. In this tool the data from the Basic Information Sheet are detected by a OCR software developed by DIABCARE Italy. The service works automatically.
The objective of the network part of the project is basically reached with the deliverable D11.1 which was developed during the last year. This deliverable is a software package for a Network Demonstrator incl. Specifications. It includes a Windows program (client software), which facilitates the input of data into the Basic Information Sheet (BIS), a basis for registering people with diabetes. This computer program is included as a version for the routine use for data entry from the participating centres.
The second part of the software package is the server software for a central computer for benchmarking of data. Furthermore communication between servers are supported in order to enable aggregation of data from regional and national level to European level.
Complete specifications as technical requirements and software specifications are also part of this deliverable. Additionally a complete manual for the client software, a detailed explanation of the used data set and technical guidelines for the implementation of a regional node for the server software is included.
The objective of the telemedicine part of the project is basically reached with the deliverable D16.1 which was developed during the last year. This deliverable represents a full demonstrator consisting of two systems: (1) one system demonstrating remote examination by medical specialists of retina images for the purpose of retinopathy screening of diabetes patients (OCULab system) (2) another system for remote examination of foot and leg ulcers through still images and video clips (DORIS). Both systems are linked to BOS, a request and report messages system for diagnostic service departments.
The main goal of BOS is to aid third-party medial applications to support message-based telemedicine, in particular the exchange of Diagnostic Service Order (DSO) and Diagnostic Service Request (DSR) messages.
BOS 2.0 is based on CEN TC251 draft standard. The integration of BOS with different applications and the electronic patient record system is described in this report. Both systems are specified on a conceptual as well as on a detail level in the deliverable of the functional demonstrator (D15.1). All the modules of the systems have been integrated, tested and demonstrated in the laboratory.
Further versions are going to be produced on individual request from the partner countries. By addition of TCP/IP protocol layers, DIABCARE Q-Net partner countries are prepared for new network services being part of one of the most boosting markets in western economies.
Furthermore the workpackages involved in production of the software applications for the quality network have agreed on creation of the BIS in an EDIFACT message. After approval of this EDIFACT standard, the Diabetes Data Set will be interoperable with many software applications for patient data management and electronic patient records. By developing telemedicine tools for retina and foot ulcer asynchronous, DIABCARE Q-Net is heading for the integration of multimedia tools into quality development.
The products derived from the DIABCARE Q- Net methodology are currently expanded to the chronic diseases hypertension, asthma, thyroid diseases, migraine. In Germany the approach is being taken up the federal association of statutory doctors. In the Netherlands the professional and commercialised version is installed in a national Quality Management Institution (CBO) for broad application.
The Italian approach towards documentation (fax solution) is commercialised by the developing software company world-wide. The same solution is implemented in Bavaria with support from industry and the health care system.
Final Report (12/98/P)
Quality Management
Reports on Quality Management (of Project Management, Implementation, Network, and Telemedicine Work Areas) will be included in
Annual Review Report 1997 and Final Report (09/97/R)
Co-operations
(Reports will be part of Annual Review Report 1998)
Report on co-operation with Prestige (09/98/R)
Report on co-operation with Diabcard (09/98/R)
Report on co-operation with Ophtel (09/98/R)
Report on co-operation in concertation meetings (09/98/R)
Quality Development
Demonstrator of Quality Development Module incl. Specifications;(Local Q-Net Software and Network Software based on Network structure as developed) (12/96/R)
Implementation Report (1st year of Implementation of Quality Development); will be part of Annual Review Report 1997 (09/97/R)
Implementation Report (2nd year of Implementation of Quality Development); will be part of Annual Review Report 1998 (09/98/R)
Network
Network Demonstrator incl. Specifications (07/97/R)
Network: Maintenance Report (12/97/R)
Network: Service Report (05/98/R)
Telemedicine
Telemedicine Functional Demonstrator incl. Specifications (12/96/R)
Telemedicine Full Demonstrator (09/97/R)
Report on Implementation, Usage, Maintenance and Service of Telemedicine Implementation (09/98/R)
| Name: | Dr. Klaus Piwernetz |
| Organisation: | DIABCARE Office |
| Address: | Kobellstr. 3 D-80336 Munich |
| Country: | Germany |
| Tel: | +49 89 747 19100 |
| Fax: | +49 89 747 19180 |
| E-mail: | kpi@diabcare.de |
| Website: | www.diabcare.de |
| Name: | Dr. Line Kleinebreil |
| Organisation: | DIABCARE France |
| Address: | Association Hôpital J. Verdier Service Pr. Attali Av. de 14 Juillet F-93142 Bondy |
| Country: | France |
| Tel: | +33 1 4501 5092 |
| Name: | Dr. Maria Rosa Gallego |
| Organisation: | DIABCARE Portugal |
| Address: | Avenida Estados Unidos da America, 77, 8° P-1700 Lisboa |
| Country: | Portugal |
| Tel: | 00351 1 849 9515 |
| Fax: | 00351 1 8499723 |
| E-mail: | mga@diabcare.de |
| Name: | Mrs. Cheryl Cowley |
| Organisation: | DIABCAREU.K. |
| Address: | Grafton House 67 Loughborough Road GB-NG2 7LA Nottingham |
| Country: | U.K. |
| Tel: | +44 115 981 4461 |
| E-mail: | cco@diabcare.de |
| Name: | Dr. Fred Storms, Dr. D. Vermeij |
| Organisation: | DIABCARE Netherlands (CBO) |
| Address: | CBO - Central Begeleidings Orgaan National Organization for Quality Assurance in Hospitals Churchillaan 11 NL-LB 3502 Utrecht |
| Country: | The Netherlands |
| Tel: | +31 30 296 06 47 |
| Fax: | +31 30 296 06 47 |
| E-mail: | fst@diabcare.de |
| Website: | www.cbo.nl |
| Name: | Prof. Massimo Massi Benedetti |
| Organisation: | DIABCARE Italy |
| Address: | Università di Perugia Dipartimento di Medicina Interna e Scienze Endocrine e Metaboliche Via Enrico dal Pozzo I-06126 Perugia |
| Country: | Italy |
| Tel: | +39 75 572 7627 |
| Fax: | +39 75 573 0855 |
| E-mail: | mbe@diabcare.de |
| Website: | euliste.krenet.it/A/sidwww/sidinden.html |
| Name: | Prof. R. Landgraf |
| Organisation: | DIABCARE Bavaria |
| Address: | University of Munich Med. Klinik Innenstadt Ziemssenstr. 1 D-80336 Munich |
| Country: | Germany |
| Tel: | +49 89 5160 2225 |
| Fax: | +49 89 5160 5355 |
| E-mail: | rla@diabcare.de |
| Website: | www.med.uni-muenchen.de/mki/endokrin/diabetes/intro.htm |
| Name: | Dr. Svein Skeie |
| Organisation: | DIABCARE Norway |
| Address: | Sentralsjukehuset Med. avd, A. Hansensvej 20 N-4011 Stavanger |
| Country: | Norway |
| Tel: | +47 5151 8000 |
| Fax: | +47 5151 9906 |
| E-mail: | svskeie@sn.no |
| Name: | Dr. Rolf Engelbrecht |
| Organisation: | GSF Research centre for health and environment |
| Address: | Ingolstädter Landstr.1 D-85764 Oberschleißheim |
| Country: | Germany |
| Tel: | +49 89 3187 4182 |
| Fax: | +49 89 3187 3008 |
| E-mail: | ren@diabcare.de |
| Website: | www-mi.gsf.de |
| Name: | Prof. Dr. Rudolf Haggenmüller, Dr. R. Hettler |
| Organisation: | FAST Forschungsinstitut für angewandte Software- Technologie e.V. |
| Address: | Arabellastraße 17 D-81925 Munich |
| Country: | Germany |
| Tel: | +49 89 9200 4724 |
| Fax: | +49 89 9200 4718 |
| E-mail: | rhe@fast.de |
| Website: | www.fast.de/ |
| Name: | Mrs. Monika Johansen |
| Organisation: | UHT |
| Address: | Department of Telemedicine University Hospital of Tromsø P.O. Box 35 N-9038 Tromsø |
| Country: | Norway |
| Tel: | +47 7762 8151 |
| Fax: | +47 77 62 81 57 |
| E-mail: | maj@diabcare.de |
| Website: | www.telemed.rito.no/ |
| Name: | Prof. John Hakon Husoy |
| Organisation: | Stavanger College |
| Address: | Dept. of Electronics and Computer Engineering Ullandhaug P.O. Box 2557 N-4004 Stavanger |
| Country: | Norway |
| Tel: | +47 51 832046 |
| Fax: | +47 51 831750 |
| E-mail: | jhu@diabcare.de |
| Website: | www.his.no/foreign/english |
| Name: | Prof. G. Henning |
| Organisation: | Technical University of Ilmenau |
| Address: | Institute for Biomedical Engineering and Informatics P.O. Box 10 05 65 D98684 Ilmenau |
| Country: | Germany |
| Tel: | +49 3677 691308 |
| Fax: | +49 3677 691 311 |
| E-mail: | ghe@diabcare.de |
| Website: | www-bmti.tu-ilmenau.de |
| Name: | Dr. Kirsten Staehr Johansen |
| Organisation: | World Health Organisation |
| Address: | Reg. Office for Europe Quality of Care and Technologies 8 Scherfigsvej DK-2100 Copenhagen |
| Country: | Denmark |
| Tel: | +45 39 17 15 66 |
| Fax: | +45 39 17 18 64 |
| E-mail: | ksj@who.dk |
| Website: | www.who.dk |
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