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This project aimed at the implementation of an information model and a corresponding HL7 FHIR data model for the transmission of tumor data between cancer registries and the Institute for Quality Assurance and Transparency in Healthcare (IQTIG). The project is based on a concept study from IQTIG focusing on a future quality assurance measure of the treatment of patients with localized prostate cancer. In this study quality aspects have been developed, which means that different topics of interest have been adressed, but no specific quality indicators were developed. Based on the quality aspects possible data fields have been extracted which might be necessary for future quality indicators. Upon those information entities an information model was designed. Basn the information model a data model in HL7 FHIR has been developed and validated against a validation engine provided by the online platform Simplifier. This work shows the difference between an informaodel and a data model. The information model is crucial for establishing a common understanding between all stakeholders supporting interoperability. The data model is important for the underlying technology, but does not necessarily explain the overall process. Hence, informatnd data model complement each other. The theroretical work presented in this paper will be the basis for further projects. A following projell use the data model to transfer tumor data between the clinical cancer registry of Lower Saxony and the IQTIG.

Feeding cancer registries with data extracted from textual reports, while maintaining a high level of data quality, has always been a labour-intensive task, due to the heterogeneity of the sources. The support of this task by IT solutions is expected to accelerate and optimise this process. To this end, the commercial text mining system Averbis Health Discovery was tailored to extract information from free text at the cancer registry of the federal state of Baden-Württemberg. The following entity types were extracted from German-language pathology reports: tumour localisation and morphology, pTNM, grading, (sentinel) nodes examined and affected, laterality and R-class. According to the entity type, several machine learning approaches as well as rules were used for the tumour types breast, prostate, colorectal and skin. Whereas for the pilot site, F values ranged between 0.800 and 0.996, values dropped when applying the extraction pipeline to two new sites (cancer registries Rhineland-Palatinate and Lower Saxony), for morphology from 0.950 to 0.657 and 0.933, and for localisation (topography) from 0.902 to 0.675 and 0.768. There was much less difference with R-class and lymph node counts. A thorough error analysis revealed numerous issues that explain these differences, such as different workflows between the sites, disagreements between textual and coded content as well as different handlings of missing values.

[english] Objective: Present-day students have grown up with considerable knowledge concerning multi-media. The communication modes they use are faster, more spontaneous, and independent of place and time. These new web-based forms of information and communication are used by students, educators, and patients in various ways. Universities which have already used these tools report many positive effects on the learning behaviour of the students. In a systematic literature review, we summarized the manner in which the integration of Social Media and Web 2.0 into education has taken place. Method: A systematic literature search covering the last 5 years using MeSH terms was carried out via PubMed.Result: Among the 20 chosen publications, there was only one German publication. Most of the publications are from the US and Great Britain. The latest publications report on the concrete usage of the tools in education, including social networking, podcasts, blogs, wikis, YouTube, Twitter and Skype.Conclusion: The integration of Web 2.0 and Social Media is the modern form of self-determined learning. It stimulates reflection and actively integrates the students in the construction of their knowledge. With these new tools, the students acquire skills which they need in both their social and professional lives. [german] Zielsetzung: Die Studierenden sind mit einem hohen multimedialen Bezug aufgewachsen. Die von ihnen genutzten Kommunikationswege sind schneller, spontaner und unabhängig von Ort und Zeit geworden. Diese neuen webbasierten Informations- und Kommunikationswege werden von Studierenden, Lehrenden und Patienten in vielfältigen Weisen genutzt. Universitäten, die diese Tools in der Lehre einsetzten, berichten über viele positive Auswirkungen auf das Lernverhalten der Studierenden. In einer systematischen Literaturübersicht wird zusammengestellt, für welche Lehr- und Lernformen Social Media und Web 2.0 Tools in der derzeitigen medizinischen Ausbildung eingesetzt werden.Methode: Es wurde eine systematische Literaturrecherche über die letzten 5 Jahre mit MeSH in PubMed durchgeführt. Ergebnis: Unter den 20 identifizierten Publikationen konnte nur ein deutscher Artikel identifiziert werden. Mehrheitlich stammen die Artikel aus USA und England. Neuere Veröffentlichungen befassen sich mit dem konkreten Einsatz der Tools in der Lehre. Hierzu zählen Social Networking, Podcasts, Blogs, Wikis, YouTube, Twitter und Skype.Schlussfolgerung: Die Einbindung von Web 2.0 und Social Media stellt die heutige Form des selbstbestimmten Lernens dar. Es stimuliert die Reflektion und bindet die Lernenden aktiv, ein Wissen zu konstruieren. Mit diesen neuen Tools lernen Studierende Fertigkeiten, die sie sowohl im sozialen als auch im beruflichen Kontext benötigen.

Objective: Development of a generic model to visualize the potential for use and further development of registries to assess the suitability of the registry for a specific purpose. Methods: Multi-stage community approach. Results: The maturity model has 9 categories with 105 items. The purpose of the registry is mapped via potential usage dimensions. Conclusion: Important for acceptance is the appropriateness of the requirements in relation to the purposes. [ABSTRACT FROM AUTHOR]

In Germany, many highly specialized facilities for the diagnosis and treatment of rare diseases exist. However it is quite difficult for patients to find the required specialists because of the fact that information on the internet is scattered and of variable quality. The German Federal Ministry of Health initiated several activities to address this issue. This paper describes the project se-atlas which aims at presenting the medical care options for people with rare diseases on an interactive map and in a list format. Potential users of this resource will be patients and their relatives, doctors, non-medical personnel and the general public. Most information derived from the data sets is already listed in ORPHANET. The project's primary goals are to steadily increase the data set and to ensure its quality. This paper presents the goals and measures taken in this project. It gives an overview of the challenges implementing such a new service and the visions behind. [ABSTRACT FROM AUTHOR]

KernPaeP is a new web-based on- and offline documentation system, which has been developed for pediatric palliative care-teams supporting patient documentation and communication among health care professionals. It provides a reliable system making fast and secure home care documentation possible. KernPaeP is accessible online by registered users using any web-browser. Home care teams use an offline version of KernPaeP running on a netbook for patient documentation on site. Identifying and medical patient data are strictly separated and stored on two database servers. The system offers a stable, enhanced two-way algorithm for synchronization between the offline component and the central database servers. KernPaeP is implemented meeting highest security standards while still maintaining high usability. The web-based documentation system allows ubiquitous and immediate access to patient data. Sumptuous paper work is replaced by secure and comprehensive electronic documentation. KernPaeP helps saving time and improving the quality of documentation. Due to development in close cooperation with pediatric palliative professionals, KernPaeP fulfils the broad needs of home-care documentation. The technique of web-based online and offline documentation is in general applicable for arbitrary home care scenarios. [ABSTRACT FROM AUTHOR]

How can we improve the interoperability of medical guidelines and the implementation and measurement of outcomes in medical health care for cancer patients as well as for care providers? This is the aim of the working group "Quality and Cross-linking". The following publication gives an overview of the targets reached in the development of guidelines together with quality indicators and documentation in cancer registries., Competing Interests: Die Autorinnen/Autoren geben an, dass kein Interessenkonflikt besteht., (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).)

A technical analysis of the web-based patient documentation system, eKernPäP, was conducted. The system is used by interdisciplinary pediatric palliative care teams in Germany to document outpatient care. The data of the system and the data of an external web analytic system have been evaluated. The results gave an overview how the system is used and what information is generated. A detailed analysis of singular forms showed that not all forms were filled in completely. With the help of the external web analytic system the navigation behavior of the users could be retraced. The users followed the given navigation from top to bottom. An existing exception in this pattern turned out to be misplacement and will be corrected in the next version. The technical analysis proved to be a good tool for improving a web-based documentation system.

KernPaeP is a new web-based on- and offline documentation system, which has been developed for pediatric palliative care-teams supporting patient documentation and communication among health care professionals. It provides a reliable system making fast and secure home care documentation possible. KernPaeP is accessible online by registered users using any web-browser. Home care teams use an offline version of KernPaeP running on a netbook for patient documentation on site. Identifying and medical patient data are strictly separated and stored on two database servers. The system offers a stable, enhanced two-way algorithm for synchronization between the offline component and the central database servers. KernPaeP is implemented meeting highest security standards while still maintaining high usability. The web-based documentation system allows ubiquitous and immediate access to patient data. Sumptuous paper work is replaced by secure and comprehensive electronic documentation. KernPaeP helps saving time and improving the quality of documentation. Due to development in close cooperation with pediatric palliative professionals, KernPaeP fulfils the broad needs of home-care documentation. The technique of web-based online and offline documentation is in general applicable for arbitrary home care scenarios.