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Improved Communication in Diabetes Care with Chip Card Technology

Objective

DIABCARD will produce the concept, specification and possibly a set of demonstrators for a chip card based medical information system. This information system is designed for the care of chronic diseases using Diabetes mellitus as an example.

For communicating information about diabetes patients, the chip card technology presents an adequate instrument. By using the chip card better communication between different levels of primary, secondary and tertiary health provisions can be achieved.

The DIABCARD-project will provide a basis on which routine applications can build for broader application and also for the extension to other chronic diseases.

Technical Approach

The technical requirements of the chip card on the one hand and the information model on the other hand lead to the specifications of the DIABCARD Chip Card.

The use of a Crypto-IC-Card which is recommended at least for the professional care provider and the administration person responsible provides additional security features besides the conventional ones.

One of the crucial points is the storage capacity in view of the high amount of data to be handled. The existing tools of structuring, coding etc. have to be extensively applied. It has, however, to be pointed out, that the technology still is evolving giving rise to better performance. Therefore one of the main issues concerning technical specification is the upward compatibility and usability of different configurations of chip cards within the system and the communication process.

Key Issues

DIABCARD will provide a specification for a chip card based medical information system, with respect to its components.

DIABCARD produced a common European basic diabetes data set based on approved data sets. The DIABCARD Data Set defines all data items relevant to the management of health care outside the acute hospital environment. The data set will be validated within the project.

DIABCARD is, at the same time, developing the requirements for Europe wide collection of data about diabetes for disease and clinical administration related data as the basis for monitoring and communication. The DIABCARD project will provide a basis on which routine applications can build for broader application and also for the extension to other chronic diseases.

Expected Impact

DIABCARD will:

- produce and validate a common European basic data set on the treatment and the management of diabetes patients.
- identify the clinical picture of diabetes and lower the complication rate and therefore improve the quality of diabetes health care.
- develop the requirements for Europe-wide collection of data about diabetes for disease and clinical administration related data as the basis for monitoring and communication.
- improve the medical treatment by standardised clinical documentation on chronic diseases taking as an example diabetes mellitus.
- improve the communication between different levels of health care.
- develop a specification for software development and implementation for a patient chip card.
- provide a basis on which routine applications can build for broader application and also for the extension to other chronic diseases.
- contribute to the technical solution of a standardised documentation between all health care organisations.
- demonstrate the potential card applications and make the persons concerned familiar with the use of the card.

At the same time DIABCARD will promote standardization and will develop specifications for standardised tools for the assessment and improvement of the quality of care of chronic diseases on the example of diabetes mellitus.

DIABCARD aims to set standards

- for chronic health care in Europe
- for the treatment of diabetes patients
- for improvement of care for diabetes patients
- communication between different health care levels.

On the technical side it will set standards for

- chip card technology in health care
- security/access rights in health care.

Testbed Site and Verification

Work on the integration of the DIABCARD Information Model into the infrastructure of the insurance card in the system of the mandatory German health insurance chip card is being enhanced. The Acceptance of the DIABCARD Chip Card will be assessed via a questionnaire both for physicians and for patients. The physician's questionnaire has been developed and evaluated by an independent gremium. The particulars for the evaluation have been defined. Detailed work on all these activities will be part of this year's work.

At the same time within the project

- the effectiveness and the efficiency of the different communication channels and carriers (Questionnaire, Logbook, medical record, chip card) will be compared. The acceptability will be assessed by a questionnaire, a report will be developed.
- the possibility for an expansion to other diseases and the effort and resources that are needed will be assessed
- consensus workshops will be set up to reach a consensus on the medical contents and on the technical issues of the report.
- at least one demonstrator will be developed.

Coordinator

GSF-Forschungszentrum für Umwelt und Gesundheit GmbH
Address
Ingolstädter Landstraße 1
85764 Oberschleissheim
Germany

Participants (8)

BOEHRINGER MANNHEIM GMBH
Germany
Address
Sandhofer-straße 116
6800 Mannheim
DIABCARE
Germany
Address
Ledererstraße 10
8000 München
Hosp. de la Sta. Creu i S. Pau
Spain
Address
Av. S.antoni Ma. Claret 167
08025 Barcelona
IBM DEUTSCHLAND GmbH
Germany
Address
Godesberger Allee 115
5300 Bonn
Siemens AG
Germany
Address
Balanstraße 73
81541 München
UNIV. J. KEPLER
Austria
Address
Altenberger Strasse 69
4040 Linz
Università degli Studi di Perugia
Italy
Address
Via Enrico Dal Pozzo
06100 Perugia
Zentralinstitut für die Kassenärztliche Versorgung in der Bundesrepublik Deutschland
Germany
Address
Herbert-lewin-straße 5
50931 Köln