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Updated: Jun 3, 97 |
ET-ASSIST | |
| European Telemedicine for Assistance medicine |
| Project Nr: | HC 1016 | Group: V | Project Duration: 36 months |
| Key words: | |||
| Category: | Medical Care for Remote or Mobile Social Groups | ||
| Summary: | EDI and X400 in telemedicine. | ||
| Mission: | ET-ASSIST is planning telematics support for the health care sector serving remote rural populations in Europe, or migrant or mobile groups such as expatriates and seamen. The key concern is maintaining a quality service when emergency patients are moved out of isolated regions or across national borders, sometimes into an unfamiliar linguistic or medical environment. The project will examine computerised and multimedia patient managment and health data systems as a means of accurately briefing all professionals involved in such cases, including local doctors, transport organisers and hospital staff. | ||
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| Name of Institution | City+Postal Code | Country | Region |
|---|---|---|---|
| Foundation for Research and Technology - Hellas (FORTH) | Vassilika Vouton, Heraklion GR 711 10 | Greece | KritiGR43 |
| Observatoire Régional de la Santé de Guyane (ORSG) | Cayenne FR 97300 | France | Guyane FR93 |
| Servicio de Sanidad Maritima (SSM) | Madrid ES 28004 | Spain | Comm. Madrid ES3 |
| Fogg Travel Insurance Ltd (FOGG) | Mansfield NG-197 AE | GB | No/shire UK312 |
| Inter Mutuelles Assistance (IMA) | Niort FR-79033 | France | Poitou Charentes FR53 |
| Syndicat Interhospitalier Régional d'Ile de France (SIRIF) | Paris FR-75010 | France | Ile de France FR101 |
| IndustrieAnlagen BetriebeGeselischaft mbH (IABG) | Ottobrunn D-85521 | Germany | Ober Bayern D21 |
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The main objective of ET-ASSIST is to provide professionals involved in medical care to remote rural populations, travelers or expatriates, and crewmen onboard ships, with a set of information processing tools to improve the continuity of care at regional, national and international levels. For instance, when an assistance company is requested to organize a sanitary transportation from one Country to another, a critical step is to reliably evaluate what risks and benefits may be expected for the person seeking assistance, as a patient first, but also as a customer of commercially available services. This evaluation requires an efficient cooperative work between regional healthcare structures acting on the spot, and assistance companies. In the case of sanitary transportations, the challenge of ET-ASSIST is to ensure the availability, from each transit location and to all actors dealing with the (remote) patient, of a set of objective medical data constituting an accurate and reliable image of its medical status and history, and to facilitate related administrative and financial operations. Handling emergencies in this way, demands that systematic procedures be defined and/or improved, taking into account, among others, differencies of languages and interpretation practices.
The developments to be validated in the ET-ASSIST project bear on patient file management systems and on systems for the acquisition of physiological data and/or symptoms, accessible to computers. The main integration tool will be an X400 E-mail system allowing communication with other non standard systems. The integration methodology is based on the definition of a specific EDI (EDI-ASSIST), taking into account the work undertaken for EDIFACT. Assistance structures already make an extensive use of conventional communication technologies (about 12,8 millions of telephone communications in 1994, in France) evidencing the market potential for adapted telematics applications. The general promotion of standards (GEHR, SCP-ECG, EDI-ASSIST) is expected to contribute to the emergence of this market.
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Users involved Healthcare providers such as Regional Healthcare structures, Assistance companies, Maritime Medical Advice Centers and experts in cardiology. End users are respectively populations in remote rural areas, travelers and expatriate professionals, crewmen onboard ships. Technologies and/or approach used Technologies used, include a general medical record management system supporting GEHR structure, ECG devices supporting SCP-ECG standard, OEDIPE cardiology workstations and servers, a tool for symptoms collection and translation services for EDI messages. These technologies are integrated using a X400 E-mail system. Integration method bears on the definition of a specific EDI (EDIASSIST) taking into account EDIFACT (ISO 7372 & ISO 9735). Expected benefits for the citizen The expected increased confidence in healthcare system throughout Europe, resulting in higher mobility of persons (specially elderly people) are factors improving the quality of life. A significant impact can be foreseen in the domain of tourism and expatriate professional activity. Expected benefits for the users of the application For the patients, improvement of the quality of medical care (wider access to medical expertise, better cooperation between medical structures). For healthcare providers, increased availability of informations supporting medical, administrative and financial processes and procedures. Expected benefits for the European Industries The development of the interoperability of medical information systems, combined to the demonstration of multimedia, multilingual application services in the domain of medical assistance are expected to reinforce industry competitiveness and provide new market opportunities. Contribution to EU-policies Dissemination of standards (SCP-ECG, GEHR) and products developed in previous programmes, contribution to the harmonization of medical care provision and corresponding cost containment, dissemination of the electronic medical record, development of services and employment. |
| ICS-FORTH | Heraklion | Kriti | GR |
| ORSG | Cayenne | Guyane | FR |
| I.M.A. | Niort | Poitou-Charentes | FR |
| S.S.M. | Madrid | Comm. de Madrid | ES |
| Centre Med. Avoriaz | Avoriaz | Haute Savoie | FR |
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