title: [Development of an ophthalmological clinical information system for inpatient eye clinics].
abstract: BACKGROUND
  In times of increased digitalization in healthcare, departments of ophthalmology are faced with the challenge of introducing electronic clinical health records (EHR); however, specialized software for ophthalmology is not available with most major EHR sytems. The aim of this project was to create specific ophthalmological user interfaces for large inpatient eye care providers within a hospitalwide EHR. Additionally the integration of ophthalmic imaging systems, scheduling and surgical documentation should be achieved.
  
  
  METHODS
  The existing EHR i.s.h.med (Siemens, Germany) was modified using advanced business application programming (ABAP) language to create specific ophthalmological user interfaces for reproduction and moreover optimization of the clinical workflow.
  
  
  RESULTS
  A user interface for documentation of ambulatory patients with eight tabs was designed. From June 2013 to October 2014 a total of 61,551 patient contact details were documented. For surgical documentation a separate user interface was set up. Digital clinical orders for documentation of registration and scheduling of operations user interfaces were also set up. A direct integration of ophthalmic imaging modalities could be established.
  
  
  CONCLUSIONS
  An ophthalmologist-orientated EHR for outpatient and surgical documentation for inpatient clinics was created and successfully implemented. By incorporation of imaging procedures the foundation of future smart/big data analyses was created.
authors.affiliation: Augenklinik, Universität München, Mathildenstr. 8, 80336, München, Deutschland. karsten.kortuem@med.uni-muenchen.de.
authors.forename: K U
authors.initials: KU
authors.lastname: Kortüm
authors.affiliation: Augenklinik, Universität München, Mathildenstr. 8, 80336, München, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Müller
authors.affiliation: Augenklinik, Universität München, Mathildenstr. 8, 80336, München, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Babenko
authors.affiliation: Augenklinik, Universität München, Mathildenstr. 8, 80336, München, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Kampik
authors.affiliation: Augenklinik, Universität München, Mathildenstr. 8, 80336, München, Deutschland.|Augenabteilung, AKH Linz, Linz, Österreich.
authors.forename: T C
authors.initials: TC
authors.lastname: Kreutzer
mesh_terms: D001071:Appointments and Schedules; D004282:Documentation / Q000379:methods; D057286:Electronic Health Records / Q000458:organization & administration*; D005858:Germany; D063005:Health Information Systems / Q000458:organization & administration*; D017146:Models, Organizational; D009885:Ophthalmology / Q000458:organization & administration*; D010044:Outpatient Clinics, Hospital / Q000458:organization & administration*
keywords: Data evaluation; Digitalization; Documentation; Electronic health records; Hospital informtion system