personal health record review: my medical
TRANSCRIPT
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Personal Health Record Review:My Medical™By Eve Rizza G. Katalbas, RN, MD
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My Medical™ “My Medical is a comprehensive record-keeping
app for your personal information. It’s the perfect replacement for unreliable paper records or various electronic systems that hold bits and pieces of information of your medical history. With My Medical, any and all information that is important to you is kept together in one place.”
App description from the Apple App Store
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Availability PLATFORM: 4/5
Available on desktop and mobile
Desktop version is separate from mobile version
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Availability PRICE: 4/5
With minimal fee Perfect for iOS users since application is eligible for family sharing
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Design USER-FRIENDLINESS OF INTERFACE: 5/5
Easy to navigate even for a first-time user
TERMINOLOGIES: 5/5 Has autosuggestion and autocompletion features for a wealth of
medical jargon
See succeeding slides for examples
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Data Quality COMPLETENESS: 4/5
Asks for relatively comprehensive information from the patient
INTERPRETATION: 2/5 Patient has to enter reference ranges Does not explicitly say that a result is normal or abnormal,
although reference values are shown for comparison
VERIFICATION: 3/5 Data fields are mostly free-text entry Autosuggestion and autocompletion features somehow help
verify if medication/type of test is correct or not
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Data Quality Categories of entries:
General information Emergency contacts Medications Test and procedures Allergies Immunizations Surgical procedures Diagnoses Episodes & injuries Hospitalizations Physicians Office visits Family history Health insurance Assistive device Eyesight Advance directives Documents & photos
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Data Quality General Information
Primary contact details Employment details Vitals including – birthday, blood
type, height, weight, BMI, WHR, allergies, whether patient is an organ donor or not
Social including – exercise, alcohol use, tobacco use, recreational drug use
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Data Quality Medications
All blank fields can be entered via free text
Formulary is US-based Drug names include both
generic and trade names Frequency includes Latin
abbreviations
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Data Quality Tests and procedures – advantages
Schedule upcoming tests and sync it to calendar
Get an overview of all tests/procedures recorded
Choose from a template of tests that are already categorized under blood, imaging, pulmonary, urine, and vitals
Get a graphical representation of discrete values of laboratory results Option to choose only which kinds
of tests to Capability to send plot of results as
an image file You can add documents/photos to
test results (ex. Image of x-ray, full report of an USG or CT scan) instead of typing out all the details
Test and procedures – disadvantages You have to enter
reference ranges individually
No alert for abnormal laboratory result but reference values will be displayed for comparison
If a document/photo was attached to an imaging result, attachment will not show up on exported file
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Data Quality Diagnoses
Diagnosis and treatment part entered via free text; no autocomplete or autosuggest
No efficient way to verify if what patient is entering is accurate or not
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Data Quality Physicians
Can import all the details from contact list or data can be entered via free text
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Data Quality Office visits
More commonly considered as “clinic visits” in local setting
Can be synced to the calendar to get reminders/alerts
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Data Quality Family History
Can include up to multiple family members
Shows death of date and age at death
Medical history has several common diagnoses like cancer, hypertension, asthma, etc.
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Security ACCESS: 4/5
Mobile app can be password-protected User can choose which fields to make public or private (in case of
emergency) Multiple emergency contacts can be assigned and their details can be
imported from phone’s contact list Instructions in case of emergency can be specified Unclear how the emergency contact will be contacted, or how
another person can access the data in case of an emergency App is independent of hospitals, medical centers and the government
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Security DATA STORAGE: 4/5
Data is stored in the device, not on servers
Does not connect to the internet and does not send out any diagnostic information
Back-up Dropbox Archived sent via email
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Security DATA TRANSFER: 4/5
Input data in a secure online form for transfer to mobile app
Data on one device can be shared to other devices (ex. iPhone to iPad) as long as they share the same WiFi network
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Provider Communication PROVIDER COMMUNICATION: 3/5
Able to export files and send via text, PDF, spreadsheet or CCR formats and send to clinician for review
Able to filter type of data and time range for data to be exported Non-secure method of transfer from patient to clinician Any feedback from clinician prior to face-to-face clinic visit will
not be coursed through the app
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ReviewCategory Rating
Availability• Platform• Price
44
Design• User-friendliness• Terminologies
55
Data Quality• Completeness• Interpretation• Verification
423
Security• Access• Data Storage• Data Transfer
444
Provider Communication 3
Overall rating: 3.8 / 5
Recommend App? YES