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Standardizing Germany’s Electronic Disease Management Program for Bronchial Asthma

机译:标准化德国的支气管哮喘的电子疾病管理计划

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Disease management programs coordinate and manage treatment between physicians and across sectors of the healthcare system. The aim is to reduce existing care deficits (overuse, underuse and misuse) and thus improve the quality and cost-effectiveness of care. To facilitate the treatment of chronic diseases such as asthma, it is important to continuously document a patient’s medical history. For this purpose, it is necessary to be able to integrate and exchange data from and between multiple different information systems. Aiming to ensure interoperability across electronic documentation systems, this paper proposes the standardization of the KBV’s (National Association of Statutory Health Insurance in Germany) specification for the electronic Disease Management Program (eDMP) for bronchia] asthma. Therefore, international standards like SNOMED CT, LOINC and UCUM were chosen to encode clinical information, while evaluating their suitability with the scoring system ISO/PRF TR 21564. The resulting analysis showed that most of the terms had either a complete or partial equivalent term in one of the terminology systems. Therefore, future implementations of the eDMP for bronchial asthma that utilize standard terminologies could benefit from data integration from different sources like electronic health records and reduce redundancies in data capture and storage.
机译:疾病管理计划协调和管理医生与医疗保健系统的部门之间的治疗。目的是减少现有护理赤字(过度使用,欠用和滥用),从而提高护理的质量和成本效益。为了促进哮喘等慢性疾病的治疗,重要的是不断记录患者的病史。为此目的,有必要能够从多个不同信息系统之间和之间的数据集成和交换数据。旨在确保电子文档系统互操作性,本文提出了KBV(德国国家法定健康保险协会)的标准化,用于支气管的电子疾病管理计划(EDMP)。因此,选择了作为SNOMED CT,LOINC和UCUM等国际标准编码临床信息,同时评估其与评分系统ISO / PRF TR 21564的适用性。结果分析表明,大多数术语都有完整或部分等同的术语其中一个术语系统。因此,利用标准术语的支气管哮喘的EDMP的未来实现可以从电子健康记录等不同来源的数据集成中受益,并减少数据捕获和存储中的冗余。

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