Within the EBUS project FORWISS Passau de­vel­ops in co­op­er­a­tion with the Pas­sau Gen­er­al Hos­pi­tal an elec­tro­nic di­ag­no­sis sys­tem. Orig­i­nal­ly con­cep­tu­ated for the gas­tro­en­ter­ol­o­gy it is mean­while in field op­er­a­tion in oth­er clin­i­cal de­part­ments such as the or­tho­pe­dics and the neu­rol­o­gy.

EBUS—a follow up project to EPAK—is a soft­ware system to au­to­mat­i­cal­ly gen­er­ate di­ag­nos­tic find­ings. It is by far more flex­i­ble than the older EPAK system, because it comes along with an ap­pli­ca­tion for di­ag­no­sis catalog design by the end user.

The di­ag­no­sis cat­a­log as a core concept of EBUS re­sem­bles a certain ex­am­i­na­tion: gas­tro­scopy, co­lo­scopy etc. It has a tree struc­ture with ex­am­i­na­tion com­plexes on its branches and di­ag­nos­tic de­tails on its leafes. The cat­a­log de­fines a large ques­tion­naire that can be filled in us­ing the com­pu­ter. When de­sign­ing a cat­a­log med­i­cal and le­gal stan­dards should be re­al­ized lead­ing to qual­i­ty as­sur­ance in the field of med­i­cal ex­am­i­na­tions.

While ex­am­i­ning a pa­tient, the di­ag­nos­tic in­for­ma­tion ge­ne­rat­ed ac­cord­ing to the ca­ta­log spec­i­fi­ca­tion is dis­played in a text win­dow and shot photos are shown in an image gal­lery. Ar­bi­trary free text can be added to the fin­dings. The dy­nam­ic lay­out of the user in­ter­face guar­an­tees that the win­dows keep clear­ly ar­ranged. Fast ac­cess to for­mer fin­dings is im­ple­men­ted as well as data ex­change from EBUS with the clin­i­cal in­for­ma­tion sys­tem in use by the hos­pi­tal man­age­ment.

EBUS of­fers the med­ic by its de­ter­mined sep­a­ra­tion of the tasks of doc­tor and nurse the pos­si­bil­i­ty to con­cen­trate on the med­i­cal as­pects of a cer­tain ex­am­i­na­tion. Due to the fast cre­a­tion of the fin­dings they can leave the ex­am­i­na­tion room at the same time the pa­tient does.

Be­cause of the al­most un­lim­it­ed op­tions for draw­ing sta­tis­tics from the data the doc­tor can an­a­lyse them to cre­ate any­thing from dai­ly pro­to­cols to med­i­cal long term stud­ies.

EBUS has been in field op­er­a­tion since no­vem­ber 1999 at Pas­sau Gen­er­al Hos­pi­tal with­in the en­do­scopy. Due to the good ex­pe­ri­ences there, EBUS has been ex­pand­ed to be­come tailored for mul­ti­ple cli­ents. Since 2002 it is in use in oth­er de­part­ments for dai­ly work, too.

• Markus Donaubauer
• Elisabeth Grieger
• Georg Pisinger
• Max Seifert

• Klinikum Passau