@article{dc382e77978742dbaa1e68570429cfa4,
title = "Telemedical information systems",
abstract = "Telemedical information systems (TIS's) form the basis for telemedicine services as well as for health information services. This paper gives an introduction to the wide scope of TIS's and discusses examples for the different types of TIS's: patient-related TIS's, knowledge-related TIS's, and meta-TIS's. It concludes that for patient-related TIS's there is the need for a better integration of TIS's with other patient-centered information systems. For the other types of TIS's, more sophisticated retrieval techniques and better user interfaces for ordinary users are required. Furthermore, short descriptions of our own projects are given: the patient-related TIS of the project TECSAC (distributed electronic patient record for cardiology) and the domain-specific knowledge-related TIS's ODITEB (radiological Internet textbook) and ENDOTEL-EIS (endoscopy information system).",
author = "Alexander Horsch and Thomas Balbach",
note = "Funding Information: A distributed cardiological EPR has been developed in the project Tele-Collaboration for Signal Analysis in Cardiology (TECSAC) at the Technical University of Munich 1995–1996 (sponsored by the German Ministry of Research, [9]).4 It supports archiving of Holter-ECG{\textquoteright}s, supplies access to the cardiological EPR at the university hospital and at the Heart Center Munich, supports collaborative development of new analysis methods in cardiology, and supports clinical studies. The EPR is an important tool for the collaborative treatment of cardiac disease patients at both locations. The EPR data is stored in an ORACLE database. The front-end is a Windows-Application implemented with Visual It uses ODBC for database access. For security reasons, the two locations are connected via ISDN. Since January 1995, 7000 Holter-ECG{\textquoteright}s have been recorded and stored in the system. Funding Information: • The service ENDOTEL24 (Department of Internal Medicine II, Department of Medical Statistics, Technical University of Munich, Germany, sponsored by the Bavarian Government and the European Commission) offers telediagnostics and teleconsultation in endoscopy of the digestive tract with a synchronous and an asynchronous communication mode. Furthermore, it provides a domain-specific TIS for endoscopy, the Endoscopy Information System (EIS). The objectives of this TIS are to serve as a reference case base for education and the establishment of standards for diagnostics and therapy. The videos are captured real-time in MPEG2 format by hardware encoding. Partners in the project are three hospitals and seven general practitioners in rural areas in southern Germany.",
year = "1999",
doi = "10.1109/4233.788578",
language = "English",
volume = "3",
pages = "166--175",
journal = "IEEE Transactions on Information Technology in Biomedicine",
issn = "1089-7771",
publisher = "Institute of Electrical and Electronics Engineers Inc.",
number = "3",
}