Technical competence in performing a diagnostic test is not only important for laboratory staff, but also for patients who wish to use the home test. Who is administrating Flarometer? The clinicians or IBD nurses? And BÜHLMANN was willing to invest in an interface based on the HL7 FHIR standard that allows a system that safely connects various kinds of medical databases. We wanted a home test that could be used interchangeably, and IB Doc ® best suited this task. In our hospital we already used BÜHLMANN ‘ s calprotectin assays. What made you want to integrate IB Doc ® into the Flarometer? Sending automated email reminders and disease activity questionnaires through the patient portal myUMCG.Easy processing of order placement and invoicing via EPIC and the laboratory information system (GLIMS).Integration of IB Doc ® data in our electronic patient file (EPIC).For that purpose we made the following necessary adaptations: We wanted to move our telemonitoring strategy from a demonstration project to one that is sustained within our hospital. The Flarometer score is composed of two elements: the calprotectin home test and the disease activity score (Figure 1). With the Flarometer, we measure changes in disease activity and predict a flare. The word Flarometer is derived from barometer, which is a device that measures changes in air pressure and predicts the weather. With IB Doc ® showing a good comparison to the laboratory results and the lowest number of reading errors, it gave us the confidence to use this system. We chose IB Doc ® after a head-to-head comparison of the different solutions on the market 1. To overcome this problem, we wanted patients to test their fecal calprotectin level at home. This was especially t he case when the stool sample pack was dropped in a postbox in summertime, with prolonged exposure to high temperatures. That time we used sent-in stool samples, and we found that the quality of the sample deteriorates on its way to the lab. We showed that reducing the number of face-to- face health checks and building in calprotectin-based telemonitoring was equally safe for children as conventional face-to-face health checks. Part of my research focusses on home telemonitoring. How did you choose IB Doc ® for the Flarometer project? I am a clinical researcher into paediatric inflammatory bowel disease. My name is Patrick van Rheenen and work at the University Medical Centre in Groningen (the Netherlands). Can you introduce yourself and your organization?
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