Doctor to Doctor
Doctor to Doctor (D2D) was a transmission standard in telemedicine that was used for secure and confidential medical data transmission between doctors and the medical associations, replaced in 2016 by the successor system "KV Connect". KV Connect offers largely identical functionality, but is based on newer standards than the 15-year-old D2D, and above all has been updated to modern security standards.
KV-Connect was and is developed and operated by KV-Telematik GmbH , a 100% subsidiary of the National Association of Statutory Health Insurance Physicians .
D2D was a D2D could be used alternatively via ISDN direct dial-in or KV-SafeNet , later only via KV-Safenet.
D2D was specially developed for the German healthcare system on behalf of the Association of Statutory Health Insurance Physicians. The standard mastered the three types of electronic dispatch required in the German health system:
- Addressed (doctor's letter, DMP report, billing ...),
- Directed (transfer, prescription ...) and
- Undirected (patient or case file).
The most important applications were electronic DMP ( disease management program ), online health insurance billing, DALE-UV (data exchange with service providers in statutory accident insurance), electronic doctor's letter and electronic documentation for early colonoscopy . In addition to a few other smaller applications, the exchange of doctor's letters between specialists, hospitals and general practitioners has increased in importance in recent years.
Since D2D was transmitting confidential patient information, security was a very important issue. During transmission and storage, all data on the transmission path and on the servers were "end-to-end" -encrypted. In addition, all data was electronically signed so that the original source of the information could be determined and verified at any time. The integrity and authenticity of the data were ensured by additional transport signatures. The D2D development took place in constant dialogue with the responsible data protection authorities of the federal states.
D2D was based on the technical system PaDok - patient-accompanying documentation - developed by the Fraunhofer-Gesellschaft .
At the end of 2015 there were around 10,000 D2D users across Germany who processed around 5 million transactions in the various applications via D2D each year. In the last 10 years of operation there were five connected D2D servers (locations: Düsseldorf, Stuttgart, Munich, Hanover and Dortmund) through which doctors and psychotherapists could dial into the D2D service.
Shutdown at the end of November 2016
At the end of November, the 5 servers that formed the backbone of D2D will be shut down for good and the service will be shut down. All users had the opportunity to migrate their systems to the new KV Connect standard without any major (for the user visible) functional changes and a large number of the previous D2D users took advantage of this option.
Other meanings
The abbreviation D2D also has other meanings, including:
- Distributor to distributor
- Developer to Developer (in software development )
- Door to Door (door-to-door sales in direct sales )
Web links
Individual evidence
- ↑ D2D :: Server access ( Memento of the original from December 9th, 2015 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice.
