Danny Ammon

Universitätsklinikum Jena · Information Technology

Ensuring medical support of patients of advanced age in rural areas is a major challenge. Moreover, the number of registered doctors-medical specialists in particular-will decrease in such areas over the next years. These unmet medical needs in combination with communication deficiencies among different types of healthcare professionals pose threat...

German best practice standards for secondary use of patient data require pseudonymization and informational separation of powers assuring that identifying data (IDAT), pseudonyms (PSN), and medical data (MDAT) are never simultaneously knowable by any party involved in data provisioning and use. We describe a solution meeting these requirements base...

Background As the number of concomitantly used drugs increases, the prevalence of medication risks increases. These include, for example, drug interactions which may reduce or increase the desired and undesired effects of individual drugs.Objectives The POLypharmacy, drug interActions and Risks (POLAR) project aims to contribute to the detection of...

Provision and usage of distributed secondary-use data for medical research requires the implementation of a distributed data use & access process and several sub-processes. The SMITH Service Platform (SSP) manages process-based interactions with several Data Integration Centers (DIC), each being responsible for the management and provision of suita...

Introduction The acute respiratory distress syndrome (ARDS) is a highly relevant entity in critical care with mortality rates of 40%. Despite extensive scientific efforts, outcome-relevant therapeutic measures are still insufficiently practised at the bedside. Thus, there is a clear need to adhere to early diagnosis and sufficient therapy in ARDS,...

Automated identification of advanced chronic kidney disease (CKD ≥ III) and of no known kidney disease (NKD) can support both clinicians and researchers. We hypothesized that identification of CKD and NKD can be improved, by combining information from different electronic health record (EHR) resources, comprising laboratory values, discharge summar...

Introduction Staphylococci are the most commonly identified pathogens in bloodstream infections. Identification of Staphylococcus aureus in blood culture (SAB) requires a prompt and adequate clinical management. The detection of coagulase-negative staphylococci (CoNS), however, corresponds to contamination in about 75% of the cases. Nevertheless, a...

The digitization of health records and cross-institutional data sharing is a necessary precondition to improve clinical research and patient care. The SMITH project unites several university hospitals and medical faculties in order to provide medical informatics solutions for health data integration and cross-institutional communication. In this pa...

Secondary use of electronic health record (EHR) data requires a detailed description of metadata, especially when data collection and data re-use are organizationally and technically far apart. This paper describes the concept of the SMITH consortium that includes conventions, processes, and tools for describing and managing metadata using common s...

Many healthcare IT systems in Germany are unable to interoperate with other systems through standardised data formats. Therefore it is difficult to store and retrieve data and to establish a systematic collection of data with provenance across systems and even healthcare institutions. We outline the concept for a Transformation Pipeline that can ac...

We present the outcome of an annotation effort targeting the content-sensitive segmentation of German clinical reports into sections. We recruited an annotation team of up to eight medical students to annotate a clinical text corpus on a sentence-by-sentence basis in four pre-annotation iterations and one final main annotation step. The annotation...

We present the outcome of an annotation effort targeting the content-sensitive segmentation of German clinical reports into sections. We recruited an annotation team of up to eight medical students to annotate a clinical text corpus on a sentence-by-sentence basis in four pre-annotation iterations and one final main annotation step. The annotation...

Weder für die Telematikinfrastruktur noch für aktuelle elektronische Patientenakten wurden bislang semantische Standards als zwingender Bestandteil umgesetzt. Erst medizinische Terminologien sortieren im Gesundheitswesen die Informationsflut und eröffnen Potenziale der Digitalisierung.

Introduction: This article is part of the Focus Theme of Methods of Information in Medicine on the German Medical Informatics Initiative. "Smart Medical Information Technology for Healthcare (SMITH)" is one of four consortia funded by the German Medical Informatics Initiative (MI-I) to create an alliance of universities, university hospitals, rese...

With the growing strain of medical staff and complexity of patient care, the risk of medical errors increases. In this work we present the use of Fast Healthcare Interoperability Resources (FHIR) as communication standard for the integration of an ontology- and agent-based system to identify risks across medical processes in a clinical environment.

With the growing strain of medical staff and complexity of patient care, the risk of medical errors increases. In this work we present the use of Fast Healthcare Interoperability Resources (FHIR) as communication standard for the integration of an ontology- and agent-based system to identify risks across medical processes in a clinical environment.

Healthcare Processes are characterized by knowledge-intensive tasks. In contrast to this, most of the efforts for business process management in healthcare do not refer to this quality, and software engineering in healthcare relies on an unspecific process-oriented approach. In this contribution, we present a method of capturing and analysis of a k...

Einleitung und Fragestellung Kostentransparenz und Qualitätssicherung stellen auch und gerade für Unternehmen im Gesundheitswesen eine maßgebliche Zielvorgabe dar. Dafür werden zurzeit klinische Behandlungspfade genutzt, um den Konsens eines Klinikteams über die bestmögliche Behandlung eines speziellen Patiententyps während seines Krankenhausaufent...

Medicine as knowledge-intensive domain has been the subject of various approaches of computer-based knowledge management. Most of them concentrated on the design and implementation of expert systems for clinical decision support. Today, medical knowledge bases are implemented for various purposes, including encyclopedic sources of information for c...