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Related Experiment Videos

Standardizing Germany's Electronic Disease Management Program for Bronchial Asthma.

Julian Sass1, Andrea Essenwanger1, Sandra Luijten2

  • 1Berlin Institute of Health (BIH), Germany.

Studies in Health Technology and Informatics
|September 5, 2019
PubMed
Summary
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Standardizing electronic disease management programs for asthma improves data integration. This enhances care quality and cost-effectiveness by enabling seamless data exchange between healthcare systems.

Area of Science:

  • Health Informatics
  • Clinical Informatics
  • Healthcare Management

Background:

  • Disease management programs (DMPs) aim to improve care quality and cost-effectiveness by coordinating treatments and reducing care deficits.
  • Effective management of chronic diseases like asthma requires continuous patient medical history documentation.
  • Interoperability between diverse information systems is crucial for seamless data exchange in healthcare.

Purpose of the Study:

  • To propose the standardization of the German National Association of Statutory Health Insurance Physicians' (KBV) electronic DMP (eDMP) specification for bronchial asthma.
  • To ensure interoperability across electronic documentation systems for asthma patient data.
  • To evaluate the suitability of international standards for encoding clinical information within the eDMP framework.
Keywords:
AsthmaLOINCSNOMED CTinteroperabilitystandardization

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Main Methods:

  • Selected international standards: SNOMED CT, LOINC, and UCUM for clinical information encoding.
  • Utilized the scoring system ISO/PRF TR 21564 to evaluate the suitability of chosen terminology systems.
  • Analyzed the equivalence of terms within the selected international standards for bronchial asthma eDMP.

Main Results:

  • Most clinical terms required for the eDMP for bronchial asthma had complete or partial equivalents in SNOMED CT, LOINC, or UCUM.
  • The chosen international standards demonstrated suitability for encoding clinical information in the eDMP.
  • Standardization facilitates data integration and reduces data redundancy.

Conclusions:

  • Standardizing the eDMP for bronchial asthma using international terminologies enhances data interoperability.
  • Future eDMP implementations can leverage standard terminologies for improved data integration from sources like electronic health records.
  • This approach promises to reduce data capture and storage redundancies, optimizing healthcare delivery for asthma patients.