Information for patients/clients

„Only if the right patient receives the right treatment,

medical care can be successful.

This requires that every patient can be reliably identified at any point in time during their treatment.“ [1]

In the treatment of addictive disorders the testing of body fluids for the consume of abuse substances is an accepted tool for the evaluation of therapeutic process. Here, the therapeutic aim, the achievement and preservation of abstinence[2], is a central point. It is accepted that the relaps is part of the chronic disease incidence of addicted persons. The conflict between the claim for abstinence and the assumption of relapses causes the necessity to examine samples regarding origin and quality to identify manipulation and replacement of samples. This can be applied especially to the matrix urine which is, despite the high analytical value, vulnerable to manipulation and needs special accuracy regarding assignment of test persons and samples.

Besides the supervised sample collection the method of urine labeling with inert polyethylene glycoles for the certain identification of the test person could be established [3]. The reliability of this method is confirmed by scientific studies [4]. However, the method of urine labeling also requires the presence of the test person in the respective practice or institution, since the labeling substance needs to be taken under supervison.

The requirements for Patients defined in the agreements governing the field of addiction treatment[5] regarding insight into their illness, willingness to undergo therapy, motivation, and reliable adherence to the agreed therapy plan are collectively referred to as adherence.

RUMA Digital-System (Pro) is a verified digital security system that ensures that Patients’ independent participation in defined therapeutic processes is carried out securely, traceably, and in a manner that can be retrospectively verified. Adherence is therefore not merely assumed or documented, but can be objectively demonstrated through a verifiable process.

For this purpose, the system combines unambiguous assignment, digital identity verification, secure process execution, and independent verification within an integrated security architecture. Each verification process is individually assigned, unique, and protected against reuse or unauthorized multiple use.

Security-relevant information is stored securely and used within RUMA Digital-System (Pro) to verify the respective assignment and the integrity of the process. Unauthorized verification processes, processes not registered in the system, or verification processes that have already been completed cannot be reused to provide valid evidence.

In this way, RUMA creates a digital layer of trust and verification between Patients, healthcare providers, and other authorized parties. The result is traceable, verifiable, and documented evidence of adherence within a verified security system.

[1] Handlungsempfehlung - Sichere Patientenidentifikation in der ambulanten ärztlichen Versorgung, Aktionsbündnis Patientensicherheit (APS), Stand 18.07.2013

[2] Vereinbarungen im Suchtbereich, Gemeinsames Rahmenkonzept der deutschen Rentenversicherung und der Gesetzlichen Krankenversicherung, 2. Auflage 8/2013

[3] Leitfaden für Ärzte zur substitutionsgestützen Behandlung Opiatabhängiger, Bayerische Akademie für Sucht- und Gesundheitsfragen (BAS), 4. vollständig überarbeitete Auflage, 19.12.2018

[4] Baum K, Schüler-Springorum M, Huppertz B; Process Reliability and Psychological Stress in Urine Sample Collection for Drug Testing: A Pilot Study; J Appl Life Sci Int. 2018; 19(1): 1-12

[5] Vereinbarungen im Suchtbereich, Kriterien der Spitzenverbände der Krankenkassen und Rentenversicherungsträger für die Entscheidung zwischen ambulanter und stationärer Rehabilitation (Entwöhnung) bei Abhängigkeitserkrankungen, 2. Auflage 8/2013