Thorac Cardiovasc Surg 2007; 55(4): 264-267
DOI: 10.1055/s-2006-924698
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Telematics in Medicine: A Network Infrastructure to Optimize Processes in Cardiology and Heart Surgery

G. Hülsken1 , M. Rothenburger1 , C. Etz1 , A. Löher1 , C. Schmid1 , H. H. Scheld1
  • 1Department of Thoracic and Cardiocascular Surgery, University Hospital Muenster, Muenster, Germany
Further Information

Publication History

Received April 3, 2006

Publication Date:
04 June 2007 (online)

Abbreviations

ATM asynchronous transfer mode

DICOM digital imaging and communications in medicine

HIS hospital information system

HL7 health level seven

ISDN integrated services digital network

IPsec secure internet protocol

LOINC logical observation identifiers names and codes

PDF portable document format

QIMS quality and information management system

VPN virtual private network

SSL secure socket layer

References

  • 1 Engelmann U, Schwab M, Schroter A, Rusu P, Meinzer H P. Evaluation of CHILI teleradiology network 4 years after clinical implementation.  Radiologe. 2002;  42 87-93
  • 2 Mulvaney J. The case for RIS/PACS integration.  Radiol Manage. 2002;  24 24-29
  • 3 Gummert J F, Funkat A, Krian A. Cardiac surgery in Germany during 2004: a report on behalf of the German Society for Thoracic and Cardiovascular Surgery.  Thorac Cardiovasc Surg. 2005;  53 391-399
  • 4 Bidgood Jr W D, Horii S C. Introduction to the ACR-NEMA DICOM standard.  Radiographics. 1992;  12 345-355
  • 5 Simborg D W. The case for the HL7 standard.  Comput Healthc. 1988;  9 39-40 42
  • 6 Hammond W E. Health level 7: an application standard for electronic medical data exchange.  Top Health Rec Manage. 1991;  11 59-66
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  • 9 Hacklander T, Kleber K, Schneider H, Demabre N, Cramer B M. Development of a secure and cost-effective infrastructure for the access of arbitrary web-based image distribution systems.  Rofo. 2004;  176 1167-1174
  • 10 Zeevi B. Telecardiology.  Curr Probl Dermatol. 2003;  32 115-120
  • 11 Scalvini S, Giordano A, Glisenti F. Telecardiology: a new way to manage the relation between hospital and primary care.  Monaldi Arch Chest Dis. 2002;  58 132-134
  • 12 Masic I, Macic A, Banjanovic B. et al . Use of telematics in emergency medicine.  Med Arh. 2000;  54 243-246
  • 13 Crowe B, Hailey D. Cardiac picture archiving and communication systems and telecardiology - technologies awaiting adoption.  J Telemed Telecare. 2002;  8 (Suppl 3): S3 9-11
  • 14 McDonald C J, Huff S M, Suico J G. et al . LOINC, a universal standard for identifying laboratory observations: a 5-year update.  Clin Chem. 2003;  49 624-633
  • 15 Hülsken G, Raus M, Werwer F J, Herff D, Hoenen W, Kamphausen U, Scheld H H. Jäckel A Telemedizinführer 2004: Telemedizin per VPN und Ipsec. Darmstadt; Minerva 2003: 118-121
  • 16 Hülsken G, Raus M, Hoenen W, Herff D, Kamphausen U, Scheld H H. Jäckel A Telemedizinführer 2005: Ausbau der Telematik-Infrastruktur am Herzzentrum Münster. Darmstadt; Minerva 2004: 99-102

1 Digital Imaging and Communications in Medicine (DICOM) is a comprehensive set of standards for handling, storing, printing and transmitting information in medical imaging.

2 HL7 = Health Level Seven is one of several American National Standards Institute (ANSI)-accredited Standards Developing Organizations (SDOs) operating in the healthcare arena. Most SDOs produce standards for a particular healthcare domain.

3 DSL is a technology that provides digital data transmission over the wires of a local telephone network, which provides high bandwith by low costs.

4 Asynchronous Transfer Mode (ATM) is a network protocol which encodes data traffic into small fixed-sized (53 byte; 48 bytes of data and 5 bytes of header information) cells instead of variable sized frames as in packet-switched networks (such as the Internet Protocol or Ethernet). It is a connection-oriented technology in which a connection is established between the two endpoints before the actual data exchange begins.

5 VPN = A virtual private network (VPN) is a private communications network used within one or by several companies to communicate over a public network (e. g. the internet) via standard (often insecure) protocols.

6 Secure Socket Layer (SSL) is a cryptographic protocol which provides secure communications on the Internet for such things as e-mail, internet faxing, data transfer to/from online poker clients, and so forth.

MD Gregor Hülsken

Department of Thoracic and Cardiovascular Surgery
University Hospital Muenster

Albert-Schweitzer-Straße 33

48129 Muenster

Germany

Fax: +49 25 18 34 52 85

Email: gregor.huelsken@ukmuenster.de

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