An electronic health record to support patients and institutions of the health care system.
The department of Medical Informatics of the University Hospital Münster and the Gesakon GmbH (an university offspring) initiated the cooperative development of an electronic health record (EHR) called "akteonline.de" in 2000. From 2001 onwards several clinics of the university hospital have already offered this EHR (within pilot projects) as an additional service to selected subsets of their patients. Based on the experiences of those pilot projects the system architecture and the basic data model underwent several evolutionary enhancements, e.g. implementations of electronic interfaces to other clinical systems (considering for example data interchange methods like the Clinical Document Architecture - standardized within the HL7 group - and also interfacing architectures of German GP systems, such as VCS and D2D). "akteonline.de" in its current structure supports patients as well as health care professionals and aims at providing a collaborative health information system which perfectly supports the clinical workflow even across institutional boundaries and including the patient himself. Since such an EHR needs to strictly fulfill high data security and data protection requirements, a complex authorization and access control component has been included. Furthermore the EHR data are encrypted within the database itself and during their transfer across the internet.
Uckert
Frank
F
University Hospital of Muenster, Children's Oncology, Muenster, Germany. ueckert@uni-muenster.de
Müller
Marcel Lucas
ML
Bürkle
Thomas
T
Prokosch
Hans-Ulrich
HU
Stud Health Technol Inform. 2003;95:824-8
14664090
Stud Health Technol Inform. 2001;84(Pt 1):663-5
11604820
Med Inform Internet Med. 2001 Oct-Dec;26(4):297-308
11783713
J Am Med Inform Assoc. 2002 Mar-Apr;9(2):181-91
11861633
J Am Med Inform Assoc. 2002 Mar-Apr;9(2):171-80
11861632
Proc AMIA Symp. 2002;:290-4
12463833
J Am Med Inform Assoc. 2002 Jul-Aug;9(4):346-58
12087116
Proc AMIA Symp. 2002;:825-9
12463940
Methods Inf Med. 2002;41(3):230-4
12162149
J Am Med Inform Assoc. 2001 Nov-Dec;8(6):552-69
11687563
Stud Health Technol Inform. 2001;84(Pt 2):1440-4
11604964
Methods Inf Med. 2002;41(5):387-92
12501810
BMJ. 2002 Mar 9;324(7337):577-81
11884322