[Scientific role of German ophthalmology in the European telecommunication project OPHTEL].
BACKGROUND
In Denmark, France, Germany, Great Britain and Italy, the OPHTEL project combines clinical centers of ophthalmology and internal medicine, an institute for medical informatics and health services research, a publishing company and different industrial partners in the EDP market.


OBJECTIVE
With the aid of visual telecommunication and rapid data transfer, methods and conditions will be developed and proved so that any physician can very easily obtain sufficient information for treating his patient. Thus, the regional differences in the quality of structured health service (e.g., urban/ rural) will be overcome throughout Europe. SCIENTIFIC TASKS: A multilingual diagnostic and therapeutic thesaurus has to be worked out in order to create standards for communication and quality control. Based on literature, images and image analysis in a knowledge-based data bank, a monitoring system (containing watch-dog functions) and the basic aspects of an ophthalmological patient/disease register will be investigated. (In parallel, a technical development of synchronous and asynchronous telecommunication between eye physicians is taking place in close cooperation with the regional Bavarian project Teleopathalmology in Bavaria on-line).


RESULTS
State of the art 6 months after starting the project:the knowledge-based image data bank has been founded and also an ophthalmological 8 language thesaurus and definition standard. All data transfer lines are installed.


CONCLUSIONS
The project is taking place amid diverging sections of medicine: ophthalmology and internal medicine, health politics and data protection, individual treatment and common interest (health care), product management and office organization. Thus, the scientific quality of the transferred ophthalmological content must undergo sophisticated controls. FUTURE STEPS: Intense cooperation with the big German associations for ophthalmology (DOG, BVA) and the European ophthalmological societies concerning EDP, classification and quality control.
Mertz
M
M
Augenklinik rechts der Isar, Technische Universität München.
Mann
G
G
Zahlmann
G
G
Obermaier
M
M
D003195:Computer Communication Networks / Q000295:instrumentation*; D005060:Europe; D005858:Germany; D006801:Humans; D016347:Medical Records Systems, Computerized / Q000295:instrumentation; D009885:Ophthalmology / Q000295:instrumentation*; D010348:Patient Care Team; D011786:Quality Control; D019114:Remote Consultation / Q000295:instrumentation*