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[CleftData. Program for minimal documentation of lip-jaw-palate clefts]
P Th Nolting1, J Koch, R Werkmeister
1Abteilung für Mund-, Kiefer-, Gesichtschirurgie, Justus-Liebig-Universität, Klinikstrasse, 35385 Giessen. peer_nolting@hotmail.com
Mund-, Kiefer- Und Gesichtschirurgie : MKG
|July 30, 2002
Summary
A new documentation system and CleftData software were developed for precise cleft lip and palate patient records. This system aids interdisciplinary collaboration and data management in craniofacial deformity care.
Area of Science:
- Craniofacial Deformities
- Medical Documentation Systems
Context:
- The German Study Group on Cleft Lip and Palate-Craniofacial Deformities addresses the need for standardized patient data.
- Interdisciplinary collaboration among otolaryngology, oral and maxillofacial surgery, orthodontics, and speech therapy is crucial for cleft care.
Purpose:
- To establish a precise, PC-database-compatible documentation system for cleft lip and palate patients.
- To integrate international classifications (ICD, OPS) and the LAHS coding system for malformations.
Summary:
- A comprehensive documentation system was developed, incorporating minimal data, standardized photographic images, and procedure coding.
- The CleftData software, based on a relational Access database with SQL connectivity, supports this documentation system.
- Operative procedures are logged by date and anatomical region, facilitating consistent data collection.
Impact:
- Enhances data accuracy and consistency in cleft lip and palate patient management.
- Facilitates research and clinical analysis through standardized, accessible patient data.
- Improves interdisciplinary communication and care coordination for craniofacial deformities.