{"id":15288,"date":"2020-04-09T09:39:57","date_gmt":"2020-04-09T09:39:57","guid":{"rendered":"https:\/\/quickbirdmedical.com\/?p=15288"},"modified":"2026-01-12T10:01:03","modified_gmt":"2026-01-12T10:01:03","slug":"interoperability-medicine-levels","status":"publish","type":"post","link":"https:\/\/quickbirdmedical.com\/en\/interoperability-medicine-levels\/","title":{"rendered":"Interoperability in medicine: Explained using simple examples"},"content":{"rendered":"\r\n<p>A wide range of electronic devices are used in medicine, and <a href=\"https:\/\/quickbirdmedical.com\/en\/medical-app-development-mdr\/\">medical apps<\/a> are now also becoming increasingly common. However, a major problem to this day is that many of these devices cannot \u201ctalk\u201d to each other: exchanging data is often difficult or impossible. In this area, the industry is lagging significantly behind technological progress.<\/p>\r\n\r\n\r\n\r\n<p>However, this has less to do with technology and more to do with human coordination. Manufacturers of medical devices often do not coordinate the way in which these devices exchange data during development. This happens either due to a lack of communication or to tie customers to their own brand.<\/p>\r\n\r\n\r\n\r\n<p>As a result, every device and every medical app has a different interface for data exchange and uses a different standard. It&#8217;s like the <a href=\"https:\/\/de.wikipedia.org\/wiki\/Turmbau_zu_Babel\">Tower of Babel<\/a>: If everyone speaks a different language, everyone can say clever sentences &#8211; but no one will understand anything.<\/p>\r\n<p><a href=\"https:\/\/quickbirdmedical.com\/en\/diga-interoperability\/\">Read this article<\/a> to find out how to implement the interoperability requirements for a digital health application (DiGA) in practice.<\/p>\r\n<h2>Table of contents<\/h2>\r\n<ul>\r\n<li><a href=\"#1\">1. Levels of Interoperability<\/a>\r\n<ul>\r\n<li><a href=\"#1-1\">1.1 Structural I<\/a><a href=\"#1\">nteroperability<\/a><\/li>\r\n<li><a href=\"#1-2\">1.2 Syntactic <\/a><a href=\"#1\">Interoperability<\/a><\/li>\r\n<li><a href=\"#1-3\">1.3 Semantic <\/a><a href=\"#1\">Interoperability<\/a><\/li>\r\n<li><a href=\"#1-4\">1.4 Organizational Interoperability<\/a><\/li>\r\n<\/ul>\r\n<\/li>\r\n<li><a href=\"#2\">2. Interoperability Standards in the Medical Field<\/a><\/li>\r\n<li><a href=\"#3\">3. Conclusion<\/a><\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"1\">1. Levels of Interoperability<\/h3>\r\n\r\n\r\n\r\n<p>Due to increasing digitalization and networking, interoperability plays an immensely important role in medicine. It is therefore worth understanding exactly what is meant by this term and which aspects you need to take into account. Basically, <strong>interoperability<\/strong> refers to<\/p>\r\n\r\n\r\n\r\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\r\n<p><em>the ability of different systems to work together<\/em>.<\/p>\r\n<\/blockquote>\r\n\r\n\r\n\r\n<p>A distinction is made between four levels:<\/p>\r\n\r\n\r\n\r\n<ol class=\"wp-block-list\">\r\n<li>Structural interoperability<\/li>\r\n<li>Syntactic interoperability<\/li>\r\n<li>Semantic interoperability<\/li>\r\n<li>Organizational interoperability<\/li>\r\n<\/ol>\r\n\r\n\r\n\r\n<p>The technical language makes this sound more complicated than it is. In the following, we explain clearly what is meant by these levels.<\/p>\r\n\r\n\r\n\r\n<h4 class=\"wp-block-heading\" id=\"1-1\">1.1 Structural Interoperability<\/h4>\r\n\r\n\r\n\r\n<p>The basic prerequisite for enabling data exchange between medical devices (or medical apps) is a data connection between these devices. This can be a simple cable that connects two devices with each other. Of course, each end of the cable must also fit into the socket of the respective device. If the connections are not compatible, even the best cable is useless.<\/p>\r\n\r\n\r\n\r\n<p>This technical prerequisite for being able to send data from one device to another is known as <em>structural interoperability<\/em>. This includes standardized connections such as USB, but also data protocols that define how computers exchange data with each other, e.g. the Internet protocol HTTP.<\/p>\r\n\r\n\r\n\r\n<p><strong>An illustrative example from everyday life:<\/strong><\/p>\r\n\r\n\r\n\r\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\r\n<p>If you want to communicate with a friend, you must of course first create the technical conditions for them to be able to hear you and vice versa. You can create structural interoperability, for example, by both going into the same room or by getting a smartphone and exchanging your numbers or using a chat app.<\/p>\r\n<\/blockquote>\r\n\r\n\r\n\r\n<h4 class=\"wp-block-heading\" id=\"1-2\">1.2 Syntactic Interoperability<\/h4>\r\n\r\n\r\n\r\n<p>If structural interoperability is guaranteed, this does not mean that communication can take place. It merely means that data streams, i.e. packets of zeros and ones, can be exchanged between the devices. However, these have no meaning in themselves and can be interpreted differently depending on the standard.<\/p>\r\n\r\n\r\n\r\n<p>The bit sequence <code>11110000 10011111 10010010 10001010<\/code> can, for example, stand for the number <em>504,623,697<\/em> or for the emoji . The bit sequence <code>01001000 01100101 01110010 01111010<\/code> can stand for the word <em>heart<\/em> or for a series of pulse measurement values: <em>72, 101, 114, 122<\/em>.<\/p>\r\n\r\n\r\n\r\n<p>Syntactic interoperability must therefore be used during development to ensure that individual information units are recognized correctly &#8211; or in other words: that the communicating devices speak the same language. There are general data standards for this, such as XML and CSV, as well as special medical standards such as <a href=\"https:\/\/en.wikipedia.org\/wiki\/Health_Level_7\">HL7<\/a>.<\/p>\r\n\r\n\r\n\r\n<p><strong>Example:<\/strong><\/p>\r\n\r\n\r\n\r\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\r\n<p>Suppose your friend reads you a story from a book. He speaks Korean and you speak German. (You don&#8217;t speak Korean yourself.) If you are in the same room, you can hear your friend (i.e. <em>structural<\/em> interoperability is established), but you can&#8217;t even work out which sounds together make up a word because you don&#8217;t know the language.<\/p>\r\n<p>If you were asked to simply write down the words you hear and leave a space between each word, you would most likely fail at this task. Syntactic interoperability here would mean that you are able to put the words down on paper exactly as they appear in your friend&#8217;s book and that you also recognize which type of word each of these words belongs to (e.g. noun, verb, adjective, etc.).<\/p>\r\n<\/blockquote>\r\n\r\n\r\n\r\n<h4 class=\"wp-block-heading\" id=\"1-3\">1.3 Semantic Interoperability<\/h4>\r\n\r\n\r\n\r\n<p>Once the individual information units in a data set have been correctly recognized, the next step in development is to ensure that the receiver understands the same information units as the sender.<\/p>\r\n\r\n\r\n\r\n<p><strong>Example:<\/strong><\/p>\r\n\r\n\r\n\r\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\r\n<p>The word <em>ICE<\/em> means <em>ice<\/em> in English, for example, but in German it generally means a high-speed train.<\/p>\r\n<\/blockquote>\r\n\r\n\r\n\r\n<p>In the same way, medical devices must have the same understanding of digital information. If, for example, a <a href=\"https:\/\/quickbirdmedical.com\/en\/medical-app-development-mdr\/\">medical app<\/a> receives the data <em>72, 101, 114, 122<\/em> from a measuring device, it must be clear whether it is the pulse measurement values of a day or the body weight values of a year. This is why the semantic level of interoperability is required, which ensures a common understanding of the information units of the systems involved.<\/p>\r\n\r\n\r\n\r\n<p><strong>Example:<\/strong><\/p>\r\n\r\n\r\n\r\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\r\n<p>Have you ever spoken to a digital voice assistant? Alexa, Siri or Google Home, for example? Then you&#8217;re probably familiar with the phrase, \u201cSorry, but I didn&#8217;t understand you.\u201d In these cases, the voice assistant often understood your words but was unable to make sense of them. The semantic interoperability between you and your voice assistant is therefore often not given, as the technology only understands the semantics of simple sentences so far.<\/p>\r\n<\/blockquote>\r\n\r\n\r\n\r\n<h4 class=\"wp-block-heading\" id=\"1-4\">1.4 Organizational Interoperability<\/h4>\r\n\r\n\r\n\r\n<p>The last level is organizational interoperability. This is about coordinating processes across systems. For example, it must be ensured that doctors and medical staff have the appropriate authorizations to access patient data. Essentially, this is about defined roles, data security and standardized workflows so that the collected data can be used efficiently.<\/p>\r\n\r\n\r\n\r\n<p><strong>Example:<\/strong><\/p>\r\n\r\n\r\n\r\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\r\n<p>When your doctor sends you a diagnosis or an invoice via mail, you naturally don&#8217;t want the letter carrier to be able to read it. Many other people feel the same way &#8211; and not just in the medical field. Swiss Post has therefore established a process that ensures that only authorized persons can view your mail: The sender puts the mail in an envelope and seals it. Only the recipient opens it again, which guarantees data security. The letter carrier has a different role in this process and is not authorized to view the contents of the letter.<\/p>\r\n<\/blockquote>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"2\">2. Interoperability Standards in the Medical Field<\/h3>\r\n\r\n\r\n\r\n<p>In order to achieve the greatest possible interoperability between medical devices, it is of course desirable to establish as few standards as possible. Unfortunately, this is not the case in the medical field. There are many different standards at different levels, most of which cover several levels of interoperability, but not all. These include, for example, the HL7, SNOMED CT, IEEE 11073 and DICOM standards. Due to the large number of standards, it is not easy to find the right one for your medical devices or applications. We will give you an overview of these standards in our next article.<\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"3\">3. Conclusion<\/h3>\r\n\r\n\r\n\r\n<p>Interoperability is and remains an important factor in medical devices and <a href=\"https:\/\/quickbirdmedical.com\/en\/medical-app-development-mdr\/\">medical apps<\/a>, without which no usable data can be exchanged between different devices.<\/p>\r\n\r\n\r\n\r\n<p>In Germany in particular, a lot is currently changing in the area of healthcare digitization due to new laws such as the <a href=\"https:\/\/quickbirdmedical.com\/en\/dvg-digital-supply-act\/\">DVG<\/a>, <a href=\"https:\/\/quickbirdmedical.com\/en\/digav-digital-health-applications-ordinance\/\">DiGAV<\/a> or the <a href=\"https:\/\/www.bundesgesundheitsministerium.de\/pdsg.html\">Patient Data Protection Act<\/a>.<\/p>\r\n\r\n\r\n\r\n<p>Interoperability is currently becoming increasingly important. Manufacturers should therefore consider this from the outset during development and take all four levels into account. DiGA manufacturers can find out <a href=\"https:\/\/quickbirdmedical.com\/en\/diga-interoperability\/\">here<\/a> how to meet the requirements for their app.<\/p>\r\n\r\n\r\n","protected":false},"excerpt":{"rendered":"<p>A wide range of electronic devices are used in medicine, and medical apps are now also becoming increasingly common. However, a major problem to this day is that many of these devices cannot \u201ctalk\u201d to each other: exchanging data is often difficult or impossible. In this area, the industry is lagging significantly behind technological progress. [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":23387,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"off","_et_pb_old_content":"<!-- wp:paragraph -->\r\n<p>In der Medizin kommt eine Vielzahl elektronischer Ger\u00e4te zum Einsatz, inzwischen auch vermehrt <a href=\"https:\/\/quickbirdmedical.com\/medical-app-entwicklung-mdr\/\">Medical Apps<\/a>. Ein gro\u00dfes Problem dabei ist jedoch bis heute, dass viele dieser Ger\u00e4te nicht miteinander \"reden\" k\u00f6nnen: Das Austauschen der Daten ist oft schwierig oder nicht m\u00f6glich. In diesem Bereich hinkt die Branche dem technischen Fortschritt deutlich hinterher.<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p>Das hat allerdings weniger etwas mit Technik zu tun als viel mehr mit menschlicher Koordination. Hersteller medizinischer Ger\u00e4te stimmen sich bei der Entwicklung oft nicht dar\u00fcber ab, auf welche Weise diese Ger\u00e4te Daten austauschen. Das passiert entweder aus mangelnder Kommunikation heraus oder um Kunden an die eigene Marke zu binden.<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p>In der Folge hat jedes Ger\u00e4t und jede Medical App eine andere Schnittstelle zum Datenaustausch und verwendet einen anderen Standard. Es ist wie beim <a href=\"https:\/\/de.wikipedia.org\/wiki\/Turmbau_zu_Babel\">Turmbau zu Babel<\/a>: Wenn jeder eine andere Sprache spricht, kann jeder noch so schlaue S\u00e4tze sagen \u2013 niemand wird etwas davon verstehen.<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:heading {\"level\":3} -->\r\n<h3 id=\"toc_2\">Ebenen der Interoperabilit\u00e4t<\/h3>\r\n<!-- \/wp:heading --><!-- wp:paragraph -->\r\n<p>Durch die zunehmende Digitalisierung und Vernetzung spielt Interoperabilit\u00e4t in der Medizin eine immens wichtige Rolle. Es lohnt sich daher genau zu verstehen, was mit diesem Begriff gemeint ist und welche Aspekte Sie dabei ber\u00fccksichtigen m\u00fcssen. Grunds\u00e4tzlich bezeichnet man mit <strong>Interoperabilit\u00e4t<\/strong><\/p>\r\n<!-- \/wp:paragraph --><!-- wp:quote -->\r\n<blockquote class=\"wp-block-quote\">\r\n<p><em>die F\u00e4higkeit verschiedener Systeme miteinander zusammenzuarbeiten<\/em>.<\/p>\r\n<\/blockquote>\r\n<!-- \/wp:quote --><!-- wp:paragraph -->\r\n<p>Man unterscheidet zwischen vier Ebenen:<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:list {\"ordered\":true} -->\r\n<ol>\r\n<li>Strukturelle Interoperabilit\u00e4t<\/li>\r\n<li>Syntaktische Interoperabilit\u00e4t<\/li>\r\n<li>Semantische Interoperabilit\u00e4t<\/li>\r\n<li>Organisatorische Interoperabilit\u00e4t<\/li>\r\n<\/ol>\r\n<!-- \/wp:list --><!-- wp:paragraph -->\r\n<p>Das klingt durch die Fachsprache komplizierter als es ist. Im Folgenden erkl\u00e4ren wir anschaulich, was unter diesen Ebenen zu verstehen ist.<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:heading {\"level\":4} -->\r\n<h4 id=\"toc_3\">1. Strukturelle Interoperabilit\u00e4t<\/h4>\r\n<!-- \/wp:heading --><!-- wp:paragraph -->\r\n<p>Die Grundvoraussetzung, um einen Datenaustausch zwischen medizinischen Ger\u00e4ten (bzw. Medical Apps) \u00fcberhaupt zu erm\u00f6glichen, ist eine Datenverbindung zwischen diesen Ger\u00e4ten. Das kann ein einfaches Kabel sein, welches zwei Ger\u00e4te miteinander verbindet. Nat\u00fcrlich muss jedes Kabelende auch in die Buchse des jeweiligen Ger\u00e4ts passen. Wenn die Anschl\u00fcsse nicht kompatibel sind, n\u00fctzt das beste Kabel nichts.<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p>Diese technische Voraussetzung, \u00fcberhaupt Daten von einem Ger\u00e4t zu einem anderen schicken zu k\u00f6nnen, wird als <em>strukturelle Interoperabilit\u00e4t<\/em> bezeichnet. Dazu z\u00e4hlen standardisierte Anschl\u00fcsse wie USB, aber auch Datenprotokolle, in denen festgelegt ist, wie Computer miteinander Daten austauschen, z.B. das im Internetprotokoll HTTP.<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p><strong>Ein anschauliches Beispiel aus dem Alltag:<\/strong><\/p>\r\n<!-- \/wp:paragraph --><!-- wp:quote -->\r\n<blockquote class=\"wp-block-quote\">\r\n<p>Wenn Sie mit einem Freund kommunizieren wollen, dann m\u00fcssen Sie nat\u00fcrlich zun\u00e4chst die technische Voraussetzung daf\u00fcr schaffen, dass dieser Sie h\u00f6ren kann und umgekehrt. Sie k\u00f6nnen die strukturelle Interoperabilit\u00e4t herstellen, indem Sie sich z.B. beide in denselben Raum begeben oder indem Sie sich jeweils ein Smartphone besorgen und Ihre Nummern austauschen oder auch eine Chat App verwenden.<\/p>\r\n<\/blockquote>\r\n<!-- \/wp:quote --><!-- wp:heading {\"level\":4} -->\r\n<h4 id=\"toc_4\">2. Syntaktische Interoperabilit\u00e4t<\/h4>\r\n<!-- \/wp:heading --><!-- wp:paragraph -->\r\n<p>Wenn die strukturelle Interoperabilit\u00e4t gew\u00e4hrleistet ist, hei\u00dft das noch nicht, dass auch eine Kommunikation stattfinden kann. Es bedeutet lediglich, dass Datenstr\u00f6me, also Pakete aus Nullen und Einsen, zwischen den Ger\u00e4ten ausgetauscht werden k\u00f6nnen. Diese haben aber an sich noch keine Bedeutung und k\u00f6nnen je nach Standard unterschiedlich interpretiert werden.<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p>Die Bitfolge <code>11110000 10011111 10010010 10001010<\/code> kann z.B. die f\u00fcr die Zahl <em>504.623.697<\/em> stehen oder f\u00fcr das Emoji \ud83d\udc8a. Die Bitfolge <code>01001000 01100101 01110010 01111010<\/code> kann f\u00fcr das Wort <em>Herz<\/em> stehen oder auch f\u00fcr eine Reihe von Puls-Messwerten: <em>72, 101, 114, 122<\/em>.<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p>Durch syntaktische Interoperabilit\u00e4t muss daher bei der Entwicklung sichergestellt werden, dass einzelne Informationseinheiten richtig erkannt werden \u2013\u00a0oder mit anderen Worten: dass die kommunizierenden Ger\u00e4te dieselbe Sprache sprechen. Daf\u00fcr gibt es allgemeine Datenstandards, wie etwa XML und CSV, sowie spezielle medizinische Standards wie <a href=\"https:\/\/en.wikipedia.org\/wiki\/Health_Level_7\">HL7<\/a>.<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p><strong>Beispiel:<\/strong><\/p>\r\n<!-- \/wp:paragraph --><!-- wp:quote -->\r\n<blockquote class=\"wp-block-quote\">\r\n<p>Angenommen, Ihr Freund liest Ihnen eine Geschichte vor aus einem Buch. Er spricht Koreanisch und Sie Deutsch. (Sie selbst sprechen kein Koreanisch.) Wenn Sie im selben Raum sind, h\u00f6ren Sie ihren Freund zwar (d.h. die <em>strukturelle<\/em> Interoperabilit\u00e4t ist hergestellt), Sie k\u00f6nnen aber nicht einmal heraush\u00f6ren, welche Laute zusammen ein Wort ergeben, weil Sie die Sprache nicht kennen.<\/p>\r\n<p>Wenn man Sie bitten w\u00fcrde, einfach nur die Worte aufzuschreiben, die Sie h\u00f6ren und zwischen jedem Wort ein Leerzeichen zu lassen, w\u00fcrden Sie sehr wahrscheinlich an dieser Aufgabe scheitern. Syntaktische Interoperabilit\u00e4t w\u00fcrde hier bedeuten, dass Sie in der Lage sind, die W\u00f6rter exakt so zu Papier zu bringen, wie sie in dem Buch Ihres Freundes stehen und dass Sie dar\u00fcber hinaus auch erkennen, zu welcher Worart jedes dieser Worte z\u00e4hlt (z.B. Substantiv, Verb, Adjektiv usw.).<\/p>\r\n<\/blockquote>\r\n<!-- \/wp:quote --><!-- wp:heading {\"level\":4} -->\r\n<h4 id=\"toc_5\">3. Semantische Interoperabilit\u00e4t<\/h4>\r\n<!-- \/wp:heading --><!-- wp:paragraph -->\r\n<p>Wenn nun die einzelnen Informationseinheiten in einem Datensatz richtig erkannt wurden, muss man im n\u00e4chsten Schritt der Entwicklung sicherstellen, dass der Empf\u00e4nger unter den Informationseinheiten auch dasselbe versteht wie der Sender.<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p><strong>Beispiel:<\/strong><\/p>\r\n<!-- \/wp:paragraph --><!-- wp:quote -->\r\n<blockquote class=\"wp-block-quote\">\r\n<p>Das Wort <em>ICE<\/em> bedeutet im Englischen z.B. <em>Eis<\/em>, im Deutschen dagegen versteht man darunter im Allgemeinen einen Schnellzug.<\/p>\r\n<\/blockquote>\r\n<!-- \/wp:quote --><!-- wp:paragraph -->\r\n<p>Genauso m\u00fcssen medizinische Ger\u00e4te dasselbe Verst\u00e4ndnis von digitalen Informationen haben. Wenn z.B. eine <a href=\"https:\/\/quickbirdmedical.com\/medical-app-entwicklung-mdr\/\">Medical App<\/a> die Daten <em>72, 101, 114, 122<\/em> von einem Messger\u00e4t empf\u00e4ngt, muss klar sein, ob es sich dabei um die Pulsmesswerte eines Tages oder die K\u00f6rpergewichtswerte eines Jahres handelt. Deshalb wird die semantische Ebene der Interoperabilit\u00e4t ben\u00f6tigt, die ein gemeinsames Verst\u00e4ndnis der Informationseinheiten der beteiligten Systeme sicherstellt.<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p><strong>Beispiel:<\/strong><\/p>\r\n<!-- \/wp:paragraph --><!-- wp:quote -->\r\n<blockquote class=\"wp-block-quote\">\r\n<p>Haben Sie schon einmal mit einem digitalen Sprachassistenten gesprochen? Alexa, Siri oder Google Home zum Beispiel? Dann kennen Sie bestimmt den Satz, \"Entschuldige, aber ich habe dich nicht verstanden.\" In diesen F\u00e4llen hat der Sprachassistent zwar oft Ihre Worte verstanden, konnte ihnen aber keinen Sinn zuordnen. Die semantische Interoperabilit\u00e4t zwischen Ihnen und Ihrem Sprachassistenten ist also oft nicht gegeben, da die Technik bislang nur die Semantik einfacher S\u00e4tze versteht.<\/p>\r\n<\/blockquote>\r\n<!-- \/wp:quote --><!-- wp:heading {\"level\":4} -->\r\n<h4 id=\"toc_6\">4. Organisatorische Interoperabilit\u00e4t<\/h4>\r\n<!-- \/wp:heading --><!-- wp:paragraph -->\r\n<p>Die letzte Ebene ist die organisatorische Interoperabilit\u00e4t. Hier geht es darum, Prozesse system\u00fcbergreifend aufeinander abzustimmen. So muss zum Beispiel sichergestellt werden, dass \u00c4rzte und medizinisches Personal \u00fcber die entsprechenden Berechtigungen verf\u00fcgen, um auf Patientendaten zugreifen zu k\u00f6nnen. Im Kern geht es hier also um definierte Rollen, Datensicherheit und standardisierte Arbeitsabl\u00e4ufe, damit mit den erhobenen Daten auch effizient gearbeitet werden kann.<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p><strong>Beispiel:<\/strong><\/p>\r\n<!-- \/wp:paragraph --><!-- wp:quote -->\r\n<blockquote class=\"wp-block-quote\">\r\n<p>Wenn Ihnen Ihr Arzt eine Diagnose oder eine Rechnung per Post schickt, m\u00f6chten Sie nat\u00fcrlich nicht, dass der Brieftr\u00e4ger diese lesen kann. So geht es vielen anderen Menschen auch \u2013 nicht nur im medizinischen Bereich. Die Post hat daher einen Prozess etabliert, der sicherstellt, dass nur berechtigte Personen Einsicht in Ihre Post nehmen k\u00f6nnen: Der Sender steckt die Post in einen Briefumschlag und verklebt diesen. Erst der Empf\u00e4nger \u00f6ffnet ihn wieder, wodurch die Datensicherheit gew\u00e4hrleistet wird. Der Brieftr\u00e4ger hat in diesem Prozess eine andere Rolle, welche nicht \u00fcber die Berechtigung verf\u00fcgt, den Briefinhalt einzusehen.<\/p>\r\n<\/blockquote>\r\n<!-- \/wp:quote --><!-- wp:heading {\"level\":3} -->\r\n<h3 id=\"toc_7\">Interoperabilit\u00e4tsstandards im Medizinischen Bereich<\/h3>\r\n<!-- \/wp:heading --><!-- wp:paragraph -->\r\n<p>Um die gr\u00f6\u00dftm\u00f6gliche Interoperabilit\u00e4t zwischen medizinischen Ger\u00e4ten zu erhalten, ist es nat\u00fcrlich w\u00fcnschenswert, m\u00f6glichst wenige Standards zu etablieren. Leider ist dies im medizinischen Bereich nicht der Fall. Es gibt auf den verschiedenen Ebenen viele verschiedene Standards, von denen die meisten gleich mehrere Ebenen der Interoperabilit\u00e4t abdecken, allerdings nicht alle. Dazu z\u00e4hlen zum Beispiel die Standards HL7, SNOMED CT, IEEE 11073 und DICOM. Aufgrund der gro\u00dfen Anzahl an Standards ist es nicht leicht, den richtigen f\u00fcr Ihre medizinischen Ger\u00e4te oder Anwendungen zu finden. Einen \u00dcberblick \u00fcber diese Standards werden wir Ihnen in unserem n\u00e4chsten Artikel geben.<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:heading {\"level\":3} -->\r\n<h3 id=\"toc_8\">Fazit<\/h3>\r\n<!-- \/wp:heading --><!-- wp:paragraph -->\r\n<p>Interoperabilit\u00e4t ist und bleibt ein wichtiger Faktor bei medizinischen Ger\u00e4ten und <a href=\"https:\/\/quickbirdmedical.com\/medical-app-entwicklung-mdr\/\">Medical Apps<\/a>, ohne die keine brauchbaren Daten zwischen verschiedenen Ger\u00e4ten ausgetauscht werden k\u00f6nnen.<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p>Speziell in Deutschland \u00e4ndert sich im Bereich der Gesundheitswesen-Digitalisierung gerade viel durch neue Gesetze wie das <a href=\"https:\/\/quickbirdmedical.com\/dvg-digitale-versorgung-gesetz-apps\/\">DVG<\/a>, <a href=\"https:\/\/quickbirdmedical.com\/digav-digitale-gesundheitsanwendungen-verordnung\/\">DiGAV<\/a> oder das <a href=\"https:\/\/www.bundesgesundheitsministerium.de\/pdsg.html\">Patientendaten-Schutz-Gesetz<\/a>.<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p>Die Interoperabilit\u00e4t wird aktuell immer mehr in der Vordergrund ger\u00fcckt. Hersteller sollten diese folglich bei der Entwicklung von Anfang an mitdenken und dabei alle vier Ebenen ber\u00fccksichtigen.<\/p>\r\n<!-- \/wp:paragraph -->","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-15288","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-unkategorisiert"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Interoperability in Medicine: Explained Using Simple Examples<\/title>\n<meta name=\"description\" content=\"We explain in detail what interoperability in medicine means. 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We also explain the 4 levels of interoperability using examples.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/quickbirdmedical.com\/en\/interoperability-medicine-levels\/\" \/>\n<meta property=\"og:site_name\" content=\"QuickBird Medical\" \/>\n<meta property=\"article:published_time\" content=\"2020-04-09T09:39:57+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-01-12T10:01:03+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/quickbirdmedical.com\/wp-content\/uploads\/2020\/04\/QBM-Blogartikel-Social-24.png\" \/>\n\t<meta property=\"og:image:width\" content=\"984\" \/>\n\t<meta property=\"og:image:height\" content=\"519\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Mischa Hildebrand\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:title\" content=\"Interoperability in Medicine: Explained Using Simple Examples\" \/>\n<meta name=\"twitter:description\" content=\"We explain in detail what interoperability in medicine means. 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