Clinical Assistant for Remote Engagement Link (CARE-link): A Web-Based Electronic Health Records Software for Managing Diabetes

📅 2026-06-03
📈 Citations: 0
Influential: 0
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🤖 AI Summary
This work proposes an open-source, web-based clinical decision support platform to address fragmented outpatient data, inefficient clinician–patient communication, and high follow-up burdens in gestational diabetes management. The platform introduces a novel dual-endpoint architecture that leverages large language models (LLMs) to intelligently aggregate and summarize patients’ extramural health data, providing clinicians with context-aware decision support. Personalized lifestyle guidance and treatment explanations are delivered directly to patients via WhatsApp. Designed with a modular architecture, the system integrates electronic health records and messaging interfaces to significantly enhance clinical oversight and patient adherence, strengthen continuity of care, and reduce the need for in-person follow-ups. Its adaptable framework also holds promise for extension to other chronic disease management contexts.
📝 Abstract
CARE-link is an open-source, web-based clinical support platform designed to improve the management of gestational diabetes by linking clinicians and patients through an LLM-mediated workflow. The system aggregates patient-generated data outside the hospital, summarizes relevant clinical information, and delivers context-aware decision support to clinicians. For patients, CARE-link provides clear explanations of management plans and delivers timely lifestyle guidance through a WhatsApp interface. The integrated dual-facing design aims to promote continuous monitoring, support individualized care, and reduce the burden of in-clinic follow-ups. Built with a modular architecture, the platform can be adapted to other chronic conditions requiring longitudinal tracking and behavioral support. CARE-link has the potential to enhance clinical oversight, promote patient compliance, and strengthen continuity of care particularly in resource-constrained settings.
Problem

Research questions and friction points this paper is trying to address.

gestational diabetes
remote patient monitoring
chronic disease management
continuity of care
resource-constrained settings
Innovation

Methods, ideas, or system contributions that make the work stand out.

LLM-mediated workflow
dual-facing design
modular architecture
context-aware decision support
patient-generated data
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Prince Ebenezer Adjei
Global One Health Research Group, Bernhard Nocht Institute of Tropical Medicine, Bernhard-Nocht-Str. 74, 20359 Hamburg, Germany; Department of Computer Engineering, Kwame Nkrumah University of Science and Technology, PMB, Kumasi, Ghana
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Joshua Teye Tettey
Global One Health Research Group, Bernhard Nocht Institute of Tropical Medicine, Bernhard-Nocht-Str. 74, 20359 Hamburg, Germany; Global Health and Infectious Diseases Research Group, Kumasi Centre for Collaborative Research in Tropical Medicine, P.O. Box 1936, Kumasi, Ghana
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Toufiq Musah
Global Health and Infectious Diseases Research Group, Kumasi Centre for Collaborative Research in Tropical Medicine, P.O. Box 1936, Kumasi, Ghana
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Audrey Agbeve
Global One Health Research Group, Bernhard Nocht Institute of Tropical Medicine, Bernhard-Nocht-Str. 74, 20359 Hamburg, Germany; Global Health and Infectious Diseases Research Group, Kumasi Centre for Collaborative Research in Tropical Medicine, P.O. Box 1936, Kumasi, Ghana
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John Amuasi
Global One Health Research Group, Bernhard Nocht Institute of Tropical Medicine, Bernhard-Nocht-Str. 74, 20359 Hamburg, Germany; Department of Global Health, School of Public Health, Kwame Nkrumah University of Science and Technology, PMB, Kumasi, Ghana