?-/-? 2020[]; 13
(4
): 248-59
PMIDC7545155
show ga
Carried by the tide of increasing digitalization in the health care system, novel
telemedical applications are continually being developed, presented, and
hyped?before disappearing again in most cases. Many of these applications fail to
become established in the market because they cannot easily be integrated into
existing structures, neither in terms of technical aspects nor in terms of
workflows. One hurdle is represented by the lack of an established framework for
the telemedical infrastructure. Nevertheless, precisely this aspect provides good
examples of how it would be possible to build upon established standards to work
internally and externally without complex interfaces. The well-established DICOM
standard for medical imaging data represents a good basis. As imaging data are
required in many areas of medicine, discipline- and institution-wide
communication of these data rapidly attains a level sufficient to justify
implementation of systems for image exchange. With a monthly exchange of
50,000 examinations between 450 collaborators, the network of the Westdeutscher
Teleradiologieverbund (West German Teleradiology Association) demonstrates the
rationality of telemedical cooperation, which can be superior to traditional
means involving creation and sending of CDs. Examining the individual process
components, it is possible to elucidate which requirements patient electronic
health records must fulfil in order to become established. In addition to
financing, these include interoperability and an immediate improvement for the
involved parties in terms of treatment quality and resource allocation.
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