1. BSTD software
• Data entry based on WHO Basic Information Sheet
• Functions restricted depending on user rights
• Incorporates clinical care protocols
• Statistical and graphical output
• Provides WHO Diabetes Aggregate Data
The Black Sea Tele-Diab System:
Development - Implementation - Clinical Evaluation.
S. Pruna1
, M. Georgescu1
, E. Stanciu1
, A. Pruna1
, C. Ionescu-Tirgoviste2
, R.M. Dixon3
, and N.D.Harris4
.
1. Romanian Society for Clinical Engineering and Medical Computing, Telemedicine Centre, Bucharest, RO, 2. Institute of
Diabetes, Nutrition and Metabolic Diseases, 'I Paulescu', Bucharest, Romania, 3. Medical Informatics Group, University of Hull, UK,
4. Department of Medical Physics, University of Sheffield, UK. E-mail: simion.pruna@telemed.ro
AIMS
•To promote medical informatics in Eastern Europe
•To develop a software package to store the Diabcare
dataset using the GEHR archtecture, developed by 21
centres of EU
•To provide a framework for exchange of information and
monitoring the outcome of diabetes care in these countries
Basic components of GOMBSTD1.0
• the electronic healthcare record (EHCR)
• transactions
• the health record items (HRI)
The EHCR is the record for one patient on one system. It is
the top level containment structure and is composed of one
or more Transactions, together with data to identify the
record.
A Transaction is information recorded about a patient by a
single author in one institution at one point in time. Examples
include recording a clinical consultation, generating a report,
recording a summary of care etc. A Transaction includes one
or more Observations, optionally annotated by Headings. The
Observation, which comprises a name and content value, is
handled by the architecture construct Health Record Item.
Identification
information
HRI’s
……
…..
Transaction
s
EHCR
Clinical
Evaluation
Results
Conclusions
• A competent piece of diabetes clinic software, in step with the latest emerging standards
• The questionnaires showed that the diabetologists in centers from Black Sea Countries where the system was evaluated are in favor of
using BSTD for storing patient data on a daily routine
• The evaluation of the system showed that there is a need to act reasonably quickly to move to wider implementation, and move beyond the
scope of the research program.
BP Target Achievement
BP not testedBP > 145/85BP < 145/85
Count
800
600
400
200
0
COUNTRY
1
2
3
4
183998169158269 203898157147389 202550735963N =
Duration of Diabetes
25-29 years
20-24 years
15-19 years
10-14 years
05-9 years
0-4 years
%ofType2onInsulin
100
80
60
40
20
0
COUNTRY
1
2
3