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Use of an Electronic Patient Record System at the Department of Ophthalmology, Otto-von-Guericke-University Magdeburg

Kuchenbecker J., Behrens-Baumann W.
Department of Ophthalmology, Otto-von-Guericke University Magdeburg

Purpose: The electronic or paper based patient record is the most important documentation file. The electronic patient record possesses many advantages compared to a paper based record.
Method: An example of an electronic patient record (EPR) system between several departments of the Faculthy of Medicine Magdeburg will be presented.
Results: To guarantee a faculty wide communication with sharing of clinical pictures and findings, e.g. with the Departments of Radiology and Pathology, the system of MEDOS Inc. is used in our department. Several examination devices, as for example fundus camera, slit lamp, ultrasound and other devices were equipped with an electronic recording and storage system and picture communication via a DICOM-interface to the MEDOS system. The software of the AnalySIS Inc. is used as gateway for picture communication. The MEDOS system also supports the clinic workflow. Interfaces exist for electronic quality assurance, the transmission of lab data and the transmission of payment and billing data. Furthermore, surgical and medical reports can already be partly created by means of digital dictation and be stored in the EPR together with corresponding patient-based pictures.
Conclusions: The use of an electronic patient record system in ophthalmology is already possible, but still needs further tuning and improvement.

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