Updated: Sep 17, 97
ANNEX IV: Shortlist of Case Studies

1. UK, France, Scandinavia

This list provides a short list of 'preferred' case studies identified in the UK, France and Scandinavia. The cases represent indicative typologies of scenarios, settings and partnerships. The following spread of scenarios and settings are represented:

	Single site	Inter-site	Local	Regional	National
EPR					XX
Community health				X
Tele- diagnosis	X	XX	XX	X
Image transfer		X	X	X	X
Training		X	X
HIS					X
Decision support	X	X	X
EDI					X

A. Large Scale EPR/HIS and EDI-Based Networks

Ref. No:	B17
Title:	Hospital Information and Support Systems
Description:	Implementation of Hospital Information Systems in acute hospitals
Location:	National, UK, National Health Service
Status:	Ongoing since 1989
Scenario:	HIS

Ref. No:	Tel5
Title:	SPRI
Description:	National Programme to develop static image transfer for telepathology
Location:	Gallivare, Sweden
Status:	Ongoing development since 1988
Scenario:	Image transfer, ISDN

Ref. No:	D1
Title:	MEDCOM
Description:	National programme (in partnership with commercial companies) to create nationwide electronic healthcare environment, involving pharmacies, hospitals, GPs
Location:	Nationwide, DK
Status:	Ongoing, 1995
Scenario:	EDI

Ref. No:	F4
Title:	VITALE
Description:	Government programme to develop electronic smart card
Location:	Pilot sites in Boulogne, Rennes, Chartres, Fr
Status:	Ongoing since 1995
Scenario:	EPR, community health; PSTN, Minitel, DB2

B. Integrated Regional and Community Healthcare

Ref. No:	WC7
Title:	Midi-Pyrenees Regional Health Care network
Description:	Integrated care services involving networks of GPs and hospitals
Location:	Midi-Pyrenees, Fr
Status:	Pilot project
Scenario:	Community healthcare

Ref. No:	WC23
Title:	Oulu regional healthcare
Description:	X-ray diagnosis to support inter-hospital networking in a remote region
Location:	Oulu, Finland
Status:	Service since 1991
Scenario:	Image transfer, using ISDN and internet

C. Inter-site Networks

Ref. No:	B3
Title:	A&E assist
Description:	Provision of expert advice from large city teaching hospitals to nurses at Minor Injuries Unit to enable referral strategies to be implemented
Location:	London, UK
Status:	Pilot, 1993
Scenario:	Telediagnosis using multimedia workstation

Ref. No:	B23
Title:	Remote foetal scanning
Description:	Remote diagnosis of foetal ultra-sound, using real time transfer involving local networks connected to specialist hospital
Location:	London, Isle of Wight, UK
Status:	Pilot (April 1994)
Scenario:	Telediagnosis, videoconferencing, multimedia work station

Ref. No:	WC33
Title:	North Sea telemedicine
Description:	Neurological image transfer and telediagnosis for oil rigs
Location:	Aberdeen, Scotland, UK
Status:	Private company service, 1994
Scenario:	Image transfer, telediagnosis, videoconferencing

Ref. No:	Tel16
Title:	INSURRECT
Description:	Interactive medical training for major UK teaching hospitals
Location:	London, Bristol, Edinburgh, Newcastle, Manchester, UK
Status:	Pilot, 1994
Scenario:	Teleteaching, ISDN, superjanet

D. Single site applications

Ref. No:	B34
Title:	PRESCENCE
Description:	Telemedicine and telediagnosis using 'visiophone' (realtime portable videoconferencing system developed by BT)
Location:	London, UK
Status:	Pilot, 1995
Scenario:	Telemedicine, telediagnosis

2. Applications in Belgium, Netherlands, Germany, Austria

Ref. No:	1030
Title:	COPA project
Description:	Regional network of GPs and pharmacists
Location:	Rotterdam, NL
Status:	Ongoing since 1988 (AIM)
Scenario:	EDI, local networks

Ref. No:	1017
Title:	TRANSPARENT: Regional electronic health record
Description:	Standardisation and automation of patient records in psychiatric care
Location:	Willibrord, NL
Status:	Government Programme
Scenario:	EPR

Ref. No:	1045
Title:	Healthcare credit card
Description:	DSW (Insurance) chip card for healthcare billing
Location:	NL
Status:	2nd AIM pilot
Scenario:	EPR

Ref. No:	2004
Title:	Euclides
Description:	European standards for exchange of electronic data
Location:	International
Status:	AIM project, continuing
Scenario:	EPR; HIS; ISDN; PSDN

Ref. No:	2005
Title:	Synapsis
Description:	Local network for secondary care health applications, supporting telediagnosis
Location:	BE
Status:	Government Programme, 1995
Scenario:	EDI, telediagnosis

Ref. No:	2010
Title:	Medibridge
Description:	Commercial generic healthcare system linking 2 national and 3 regional networks of hospitals and GPs, primarily for exchange of lab results
Location:	National, BE
Status:	Commercial service
Scenario:	Image transfer, EDI

Ref. No:	4003
Title:	Austriapro
Description:	Austrian Ministry of Health programme to develop EDIFACT infrastructure
Location:	National, AU
Status:	R&D
Scenario:	EDI, EPR

Ref. No:	5008
Title:	HIS-Chl
Description:	Development of single-site Hospital Information System
Location:	Luxembourg
Status:	Ongoing, 1994
Scenario:	HIS

Ref. No:	3001
Title:	Diabcard, Diabcard II
Description:	Patient-provider communications systems for management of diabetes
Location:	International
Status:	AIM project
Scenario:	EPR

3. Short list of indicative case studies: Italy, Iberia and Greece

• MILORD - Multimedia Interaction with Large Object-oriented Radiological and clinical Databases (AIM Programme)
• Electronic Medical Record in ChildrenÕs Cancer Treatment (Ospedale Bambino Ges )
• Paperless Hospitals Project
• Remote Monitoring of cardiac patients Project
• System for Management and Transfer of Diagnostic Images: the Experience of the University of Pisa
• TELEMISM, island teleconsultation systems, Palermo

• MEDISAT - high-end and low-end teleradiology station to handle remote data bases
• Madrid diab - community-based telesurveillance for diabetics, Madrid

• SONHO - Hospital Integrated Information System
• SINUS - Information System for Health Units
• MACNET - marine telediagnosis, Lisbon, Coimbra

• VSAT Network for Telematics and Healthcare Project
• TALOS Project: A Telecardiology Network in the Aegean
• CARDIO Express Services
• Telemedicine at the Athens Medical Centre

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