Telemedical management system of structured clinical documentation--application for quality assurance and multicenter...

The paper presents telematic system designed for providing secure medical data communication through the Internet. Security is achieved by strong enctription. The data transmission between remote hospitals and center can be done in both directions. Transmitted data may be of different type especially HTML forms. The HTML forms filled in hospitals are automatically loaded to tables of relational database in the center. Generated in the system HTML forms meet structured clinical documentation needs. The telematic system was applied in project financed by government based on WHO standards for quality assurance system in obstetrics and neonatology. The system covers 40 hospitals and 13 regional health authorities for mother and child. 40 000 records concerning maternal, fetal and infant health status during pregnancy, delivery and pospartum period were stored. Collected data are used for developing indications for monitoring and evaluating perinatal health in Poland.