[Development of telemedical solutions based on the electronic case record (EFA)].

Efficient communication among doctors who cooperatively support their patients is a prerequisite for implementing effective intersectoral treatment processes. In order to achieve this, IT is becoming increasingly important. With IT systems doctors want to exchange information concerning a patient's case (e.g. doctors' letters, medication prescriptions, etc.). Furthermore, more and more IT-based applications that support the treatment process between patient and doctor (e.g. telemedicine solutions) are being developed. The development of the electronic case record (elektronische FallAkte) has yielded concepts and solutions for a structured case-based information exchange. Furthermore, it has led to infrastructure solutions that support service-based applications for telemedical applications. The "elektronische FallAkte" is an initiative of health institutions that have been organized into the association "Verein elektronische FallAkte". In this paper, concepts and realizations of the "elektronische FallAkte", as well as service-based applications on that infrastructure are described.