{
  "abstract": "IntroductionDiabetic macular edema (DME) management requires integration of ophthalmic and systemic data, yet clinical decision-making remains limited by fragmented information systems and insufficient interoperability. This study aims to design a user-centered, interoperable dashboard prototype to support integrated clinical decision-making in DME care.\n\nMethodsThe prototype was developed using an agile, user-centered approach and implemented within a SMART-on-FHIR-compatible layered architecture. FHIR-based data standardization, including ophthalmology-specific profiling, enabled interoperable integration and visualization of structured clinical and imaging data within a modular web-based dashboard prototype.\n\nResultsThe resulting prototype provides a patient-centered dashboard integrating ophthalmic imaging findings and systemic risk factors, such as long-term glycemic markers, inflammatory markers, and blood pressure, within a unified interface. Built on standardized FHIR resources and SMART-on-FHIR authorization, the system demonstrates how user-centered dashboards can be implemented within interoperable, vendor-neutral healthcare IT infrastructures.\n\nConclusionThe presented design case illustrates how user-centered interface design and standards-based interoperability can jointly support the translation of clinical decision support tools into routine care environments. Establishing such interoperable infrastructures represents a key prerequisite for the sustainable deployment of future model-based clinical decision support systems.",
  "abstract_shown": true,
  "affiliations": [
    "Institute for Medical Informatics and Biometry, Faculty of Medicine Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany"
  ],
  "article_type": "PUBLISHAHEADOFPRINT",
  "arxiv": null,
  "author_total": 8,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "K. Hoffmann"
    },
    {
      "name": "S. Grummt"
    },
    {
      "name": "H. Mishian"
    },
    {
      "name": "M. Nussbaumer"
    },
    {
      "name": "M. Wolfien"
    },
    {
      "name": "G. Stolze"
    },
    {
      "name": "K. Engelmann"
    },
    {
      "name": "M. Sedlmayr"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/fpz8ngcnq0119.bib",
  "cited_by": 0,
  "doi": "10.64898/2026.09.15.26362892",
  "fulltext_url": "https://www.medrxiv.org/content/10.64898/2026.09.15.26362892v1.full",
  "id": "fpz8ngcnq0119",
  "issns": [],
  "landing_url": "https://www.medrxiv.org/content/10.64898/2026.09.15.26362892v1",
  "language": null,
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "medrxiv",
      "ophthalmology"
    ],
    [
      "openalex",
      "3605|Electronic Health Records Systems"
    ]
  ],
  "openalex": "W7213931256",
  "pdf_url": "https://www.medrxiv.org/content/10.64898/2026.09.15.26362892v1.full.pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-09-15",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/fpz8ngcnq0119.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:04Z",
      "native_id": "10.64898/2026.09.15.26362892",
      "source": "medrxiv",
      "url": "https://www.medrxiv.org/content/10.64898/2026.09.15.26362892v1"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "medrxiv:ophthalmology",
      "subfield": "general"
    }
  ],
  "title": "A User-Centered, SMART-on-FHIR-Based Dashboard Prototype for Diabetic Macular Edema",
  "title_text": "A User-Centered, SMART-on-FHIR-Based Dashboard Prototype for Diabetic Macular Edema",
  "type": "preprint",
  "updated_at": "2026-10-30T12:19:04Z",
  "url": "https://research.draconitic.com/paper/fpz8ngcnq0119",
  "venue": "medRxiv",
  "versions": []
}