Case Study for Chronic Disease Management

A gastroenterology clinic serving Crohn’s and colitis patients wanted to improve continuity and data quality across routine visits. dotbase was selected to implement structured documentation and enable analytics.

Partner

Specialized CED Center

Clinical Environment

High-throughput outpatient care, complex longitudinal histories, multidisciplinary care teams managing fluctuating disease courses

Key Challenges

• Unstructured Documentation: Clinical notes were largely in free-text format, making it difficult to retrieve consistent insights across visits.
• Gaps in Care Continuity: Missed follow-ups and inconsistent scheduling undermined long-term patient monitoring.
• Variability in Treatment Records: Therapeutic decisions and disease activity scores were not consistently recorded, limiting their use in both care and research.
• Lack of Research-Ready, interoperable Data: The clinic was unable to capture larger amounts of real-world patient data for observational studies or registry contributions.

Solution: dotbase was implemented to streamline clinical workflows and enhance documentation quality.

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Key modules included:

• Standardized Disease Activity Scores (e.g. Mayo, Harvey-Bradshaw)
• Symptom & Biomarker Tracking Modules: data capture of biochemical values, patient-reported symptoms and flare indicators.
• ‍Consistent and Reliable Clinical Summaries: Longitudinal views improved handovers and facilitated informed decision-making.
• Accelerated Research Output: Standardized patient histories enabled faster cohort identification and data sharing with academic partners.
• Improved Patient Engagement: Patients benefited from clearer communication, structured progress tracking, and fewer missed follow-ups.

Results

• Streamlined handovers and standardized workflows ensured consistent documentation across clinicians
• Optimized appointment capacity 
• More Reliable Clinical Summaries
• Research-Ready Patient Histories
  

By embedding structured documentation directly into the clinical routine, dotbase empowered the gastroenterology team to deliver more consistent, data-driven care. The platform not only optimized operational workflows but also unlocked new opportunities in clinical research and quality improvement - proving that better data can drive better outcomes.

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