DIVI intensive register

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The DIVI Intensive Care Register is a real-time data collection and analysis environment for intensive care bed capacities and aggregated case numbers for Germany. In cooperation with DIVI e. V. ( D eutsche I nterdisziplinäre V ociation for I ntensiv- and emergency medicine) with the RKI ( Robert Koch Institute operated as a public welfare-oriented project).

Emergence

As part of the COVID-19 pandemic , the register was developed in two weeks from the existing reporting portal for ECMO- leading intensive care departments of the ARDS network. It started collecting data on March 17, 2020.

aims

The DIVI intensive register has two central functions:

  • The simultaneous recording of contact data and intensive care bed capacities enables a direct and targeted agreement between medical staff for a cooperative exchange on diagnosis and treatment strategies as well as for the identification of free intensive care beds for further treatment.
  • The daily recording of intensive care treatment capacities together with COVID-19 case numbers enables a regionally and temporally resolved real-time analysis of the current and expected supply situation. This enables targeted and data-based control of population-wide measures and resource decisions in order to keep the number of simultaneously treated patients below the regionally available care options.

Functions

The register differentiates between four groups of users who are offered different functions:

  1. In the public area, which can be used without registration, summarized information about the current occupancy of the intensive care beds of reporting hospital locations can be viewed.
  2. Doctors and employees of rescue coordination centers can find details on the current occupancy situation of neighboring intensive care clinics with contact details by searching for the area.
  3. Heads of intensive care bed departments report daily via a web interface the current bed occupancy, their individual prognosis for bed availability and aggregated case numbers.
  4. Actors with tasks in the public health sector (e.g. authorities , ministries , crisis teams ) can use an interactive dashboard analysis environment to access all of the registry's data, e.g. B. in the form of maps, time series and tables, visualize and analyze. The development of these functions has not yet been completed (as of June 8, 2020).

The development of an interface for direct data provision is in preparation (as of June 8, 2020). A partial data set is offered as an interim solution until completion in csv format on the website.

A technical interface for the transfer of data from external information systems used in intensive care units is in preparation (as of June 8, 2020).

Reporting requirement

In the first weeks after the start of the register, the participation of acute care clinics with intensive care beds was voluntarily high (over 1000 reporting areas).

Since April 9, 2020, all acute hospitals in Germany with intensive care beds are obliged to register in the DIVI intensive care register and to report current data by 9 a.m. daily.

From May 30th, the time of day until the mandatory notification is postponed to 12:00 noon.

Web links

System environment

Visualization of the data (current)

Press

Others

Individual evidence

  1. ↑ Ordinance on maintaining and securing intensive care hospital capacities (DIVI IntensiveRegister Ordinance)
  2. ↑ First regulation to amend the DIVI IntensiveRegister regulation