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SALUS-A Study on Self-Tonometry for Glaucoma Patients: Design and Implementation of the Electronic Case File
Sandra Geisler1,2, Kristina Oldiges3, Florim Hamiti1
1Digital Health, Fraunhofer Institute for Applied Information Technology FIT, Sankt Augustin, Germany.
Applied Clinical Informatics
|June 19, 2024
Summary
Electronic case files (ECFs) streamline glaucoma patient care by improving data accessibility and monitoring. This digital approach enhances data connectivity and patient autonomy, benefiting all stakeholders in ophthalmologic care.
Area of Science:
- Ophthalmology
- Health Informatics
- Digital Health
Background:
- Telemedicine and electronic case files (ECFs) are increasingly vital for healthcare networking in the digital age.
- The SALUS study utilizes electronic platforms for managing glaucoma patient data.
Purpose of the Study:
- To design and implement an electronic case file (ECF) system for glaucoma patient data acquisition, presentation, monitoring, and outcome control.
- To facilitate seamless information exchange between outpatients, inpatients, and stakeholders in ophthalmologic care via an intuitive interface.
- To ensure accessibility of instrument data, anamnestic data, and diagnostic assessments, with historical data storage for patient monitoring and quality control by a reading center.
Main Methods:
- Developed a web-based electronic case file (ECF) application using React with a Datomic back-end, featuring REST and GraphQL APIs.
- Implemented flexible role management for diverse study stakeholders and a comprehensive encryption concept for data security.
- Evaluated usability and efficiency by measuring the time medical doctors spent entering and interacting with patient data.
Main Results:
- The ECF system proved time-saving compared to paper-based methods, offering effective monitoring for numerical and imaging data.
- Enhanced data connectivity and patient autonomy were achieved by enabling both patients and physicians to access the digital ECF.
- The system supports efficient management and role-specific data viewing for glaucoma patient care.
Conclusions:
- Electronic case files (ECFs) demonstrate significant potential for efficiently supporting glaucoma patient care.
- The SALUS ECF system enhances data management and accessibility, improving outcomes and stakeholder collaboration.
- Digital ECFs empower patients and healthcare providers, fostering greater autonomy and connectivity in ophthalmologic care.
