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DOI: 10.1055/s-0044-1787008
SALUS—A Study on Self-Tonometry for Glaucoma Patients: Design and Implementation of the Electronic Case File
Funding This research is funded by the German Federal Joint Committee (G-BA) as the highest decision-making body of the joint self-government of physicians, dentists, hospitals, and health insurance funds with the project number 01NVF18002. The project is funded according to § 92 a SGB V. The funding body did not play any role in the design of the study, nor will it play any role in data collection, analysis and interpretation of data, or the writing of manuscript.
Abstract
Background In times of omnipresent digitization and big data, telemedicine and electronic case files (ECFs) are gaining ground for networking between players in the health care sector. In the context of the SALUS study, this approach is applied in practice in the form of electronic platforms to display and process disease-relevant data of glaucoma patients.
Objectives The SALUS ECF is designed and implemented to support data acquisition and presentation, monitoring, and outcome control for patients suffering from glaucoma in a clinical setting. Its main aim is to provide a means for out- and inpatient exchange of information between various stakeholders with an intuitive user interface in ophthalmologic care. Instrument data, anamnestic data, and diagnostic assessments need to be accessible and historic data stored for patient monitoring. Quality control of the data is ensured by a reading center.
Methods Based on an intensive requirement analysis, we implemented the ECF as a web-based application in React with a Datomic back-end exposing REST and GraphQL APIs for data access and import. A flexible role management was developed, which addresses the various tasks of multiple stakeholders in the SALUS study. Data security is ensured by a comprehensive encryption concept. We evaluated the usability and efficiency of the ECF by measuring the durations medical doctors need to enter and work with the data.
Results The evaluation showed that the ECF is time-saving in comparison to paper-based assessments and offers supportive monitoring and outcome control for numerical and imaging-related data. By allowing patients and physicians to access the digital ECF, data connectivity as well as patient autonomy were enhanced.
Conclusion ECFs have a great potential to efficiently support all patients and stakeholders involved in the care of glaucoma patients. They benefit from the efficient management and view of the data tailored to their specific role.
Protection of Human and Animal Subjects
The SALUS study has been approved by the Ethics Committees of the University of Muenster, Germany, and follows the guidelines of the Declaration of Helsinki and current German and European Union legislation on data protection.
Publication History
Received: 24 October 2023
Accepted: 22 April 2024
Article published online:
19 June 2024
© 2024. Thieme. All rights reserved.
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