Project description

The aim of the BMBF-funded project « National Emergency Department Register: Improvement of Health Services Research in Acute Medicine in Germany » is to optimize the healthcare research in the field of in-hospital emergency medicine by creating a standardized documentation for all emergencies in the clinics. Univ.-Prof. Dr. med. Rainer Röhrig (Primary applicant of the Carl von Ossietzky University Oldenburg) provides the information about the project methods and goals in the interview with TMF.

Why is the National Emergency Department Register necessary?

The data collected in the clinical emergency departments are of great interest for various registries and also for the research in the emergency medicine field. There is a great variety of documentation procedures in the emergency department that makes it difficult to transmit and evaluate the data. By establishing the national emergency department register, we want to make all the data available for scientific research.

How are you going to achieve this goal?

The section «Emergency Department Record of the German Interdisciplinary Association for Intensive Care and Emergency Medicine» (DIVI) has developed a medical record for standardized, structured documentation in the emergency department. Each project-involved emergency department provides each patient with a digital document in the HL7 CDA standard. All participating clinics must also apply the same parameters and terminologies for the records in the record. These should be based on the internationally accepted standards, such as LOINC and SNOMED.

What is the purpose of going internationally?

We want to make international research possible. There have already been contacts made with Poland and other European countries that are interested in using ED record. For this reason, the ED record must fit international standards so that the researchers are able to evaluate and compare the data from the different countries.

How are the data supposed to get into a register?

Each project-participating clinic has to establish a local data-warehouse for the emergency department. After the emergency treatment of the patient is finished, the local data-warehouse imports the ED record in HL7 V2.x or HL7 CDA Standards for the local storage. Also, various details can be added afterwards to ED record for a certain patient, for example, medical test results.

How can these Data-Warehouses be queried for information?

Despite the decentralized data storage, the query must be performed centrally. There is already an IT architecture for the development of the decentralized IT infrastructure, which was developed by the section Medical Informatics in Anesthesiology and Intensive Care Medicine of the Justus Liebig University Giessen and is implemented as part of the project. According to the concept, the data remain in the individual clinics. In cases, when the request is made for a scientific purpose, only necessary data must be collected and provided in compliance with data protection. A controlling committee, set up by participating clinics, has to decide when to support such a query and when not. The clinics determine the decision criteria for this. In addition, an ethics vote has to be conducted. Only if both panels agree, the query may be performed. Consequently, a central office formulates the query before sending it to the hospitals. Also, the data transfer is done indirectly. It goes through the information broker, where the data can first be collected and pooled to disguise their origins.

(c) Ahlbrandt et al. Stud Health Technol Inform, 2014
Univ.-Prof. Dr. med. Felix Walcher
Univ.-Prof. Dr. med. Felix WalcherPrimary applicant
Otto-von-Guericke-University Magdeburg
University Department of Traumatology
Univ.-Prof. Dr. med. Rainer Röhrig
Univ.-Prof. Dr. med. Rainer RöhrigPrimary applicant
Carl-von-Ossietzky-University Oldenburg
Department of Medical Informatics
Dr. med. Dominik Brammen
Dr. med. Dominik BrammenProject supervisor
Otto-von-Guericke-Universität Magdeburg
University Department of Traumatology
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