A review of the mobile application My Medical in determining its overall effectiveness as a personal health record. Accompanying blog with more detailed explanation can be found here: https://evekatalbas.wordpress.com.
2. 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
4. Availability
PRICE: 4/5
With minimal fee
Perfect for iOS users since application is eligible for family sharing
5. 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
6. 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
7. 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
8. 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
9. 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
10.
11. 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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17. 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
18. Data Quality
Physicians
Can import all the details from
contact list or data can be entered
via free text
19. Data Quality
Office visits
More commonly considered as
“clinic visits” in local setting
Can be synced to the calendar to get
reminders/alerts
20. 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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23. 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
24.
25. 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
26. 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
27. 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