FAQ

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How to use Dermicus mobile application

How to download and install the Dermicus application?

Dermicus mobile applications cannot be found on the Appstore. They can only be downloaded from HockeyApp. For that you need a login and password that you get from Gnosco administrator.

  1. Start the iPhone, make sure you have internet connection
  2. Click on the Safari application to open up the browser
  3. Go to page: https://rink.hockeyapp.net/users/sign_in. (If you already have HockeyApp bookmarked on your homescreen, please click in the bookmark)
  4. Log in with user name (email) and password that you get from Gnosco system administrator. (Not the same as for login in to Dermicus platform/application)
  5. Click on “Dermicus”
  6. Click on “Install” and then click “Install” again on the pop-up.
  7. Go back to your phone’s home screen
  8. Wait for the new application to be downloaded and installed.
  9. Click on Dermicus, the application
  10. If you get a pop-up screen with information about “trusting the developer…” go to Settings>General>Profiles & Device Management in your phone.
  11. Click on “Gnosco AB”
  12. Click on “Trust Gnosco AB
  13. Verify by clicking once again on the pop-up
  14. Go back to home screen
  15. Now Dermicus application is ready for use

What to do if I forgot my username and/or password?

You can get a new username and password by contacting the system administrator or Gnosco’s administrator.

johan.heilborn@gnosco.se, +46 (0)709 667898

How to change my Dermicus application password?

You can login to the web browser https://dermicus.se and change it accordingly on “My Profile”.

  1. Login
  2. Go to the “My Details”
  3. Click the “Change”
  4. Choose a new password
  5. Click “Save”
  6. Logout

How can I update my profile?

You can login to the web browser https://dermicus.se and change it accordingly on “My Profile”.

  1. Login
  2. Go to the “My Details”
  3. Click the “Change”
  4. Click “Save”
  5. Logout

What to do when an error message pop up after entering my username and password?

Please verify that you have the correct username and password. If the problem persists please contact the system administrator or Gnosco’s administrator.

johan.heilborn@gnosco.se, +46 (0)709 667898

What should I do when this message appears “Unsent diagnostic form”?

You have an unsent patient case in the “receipt” section. Press “reciept” in the tab-bar, then find the case that has not been sent. 1. Try to send patient case again or 2. delete the patientcase by swipe to the left on the case, then press “Delete”.

Here is a short video how to delete a patient case:

 

 

If the message persists, please contact the system administrator or Gnosco’s administrator.

johan.heilborn@gnosco.se, +46 (0)709 667898

What should I do when this message appears “The personal number is incorrect”?

Double check that the social security number is correct. Make sure it starts with 19XXXXXX-XXXX, and all 12-digits are inserted.

If the message persists, please contact the system administrator or Gnosco’s administrator.

johan.heilborn@gnosco.se, +46 (0)709 667898

I cannot send away patient cases, what is wrong?

Double check that all mandatory information marked with * is filled to submit the diagnostic form.

Where do I find my patient cases?

If you are a user of the Dermicus platform and application you will find your patient cases at the Dermicus platform on browser.

Go to https://dermicus.se and login using either SMS-code or your E-Service card (SITHS).

For more information how to login, see below on Web Application.

The system stops responding, what should I do?

Please try the following options: –

  1. Press the home button to re-login.

Alternatively, you can also try to

  1. Delete the Dermicus application, go to HockeyApp to download and install the application. Re-attempt to login.

If the problem persists, please contact the system administrator or Gnosco’s administrator.

johan.heilborn@gnosco.se, +46 (0)709 667898

How to use Dermicus web application

How to login to Dermicus Platform on browser with SMS-code?

Go to https://dermicus.se/ – then save the webpage as a bookmark.

  1. Select the method for Login = sms
  2. Enter Username and Password
  3. Click Login
  4. Wait for your SMS code – it may take a few minutes for first time users
  5. Enter the 4 digit code received by SMS in the web browser
  6. Login

How to login to Dermicus Platform in browser with E-service/SITHS card?

Go to https://dermicus.se/ – then save the webpage as a bookmark.

  1. Insert your e-service card
  2. Select the method for Login = SITHS
  3. Enter the security code for your e-service card
  4. Login
  5. The first time you Login with your e-service card your eligibility will be verified by an SMS code – it may take a few minutes.
  6. Enter the 4 digit code
  7. Login

The next time you Login with your e-service card it is enough to enter the security code of the e-service card.

Which web browser can we use for Dermicus Platform?

Internet Explorer, Safari, Google Chrome and Mozilla Firefox web browsers can be used to access Dermicus Platform.

Do I have to download a program to my computer?

No, Dermicus platform is completely online with high security and storage of images and data.

If I forgot to log off on the Dermicus Platform on the web browser, are my patient records safe?

The server will log the user off when the browser is left idle for too long.

Can I preview and print the patient cases?

Yes only on the browser.

  1. Login to https://dermicus.se/
  2. Go to the “Examination Tab”
  3. Click on Case number
  4. Print
  5. Investigation to print

Can you search for patient cases by diagnosis?

  1. Login to https://dermicus.se/
  2. Go to the “Examination Tab”
  3. Click on “Search Tab”
  4. Use the dropdown box to find the Diagnosis code
  5. Click on search
  6. The relevant patient cases will be listed
  7. Click on “X” on top left to exit search

What should I do if I submitted the incorrect observations/examination for the patient and would like to re-do?

You will need to make the submission again from the Dermicus application.

Can I send my observations of patient cases on Dermicus application to a Dermicus non-user for consultation?

No, it can only be sent between Dermicus users. But please invite the user you want to send to so he/she can get access.

Can we get the patient information including images to our EMR/HER?

Yes, integration with existing EMR/EHR is possible. Use Dermicus powerful application and features without replacing your entire system.

I don’t want to send patient cases to others, can Dermicus be used as local documentation system to keep images and data on patients?

Yes, the platform works perfectly.

We don’t have a local consultant for diagnosing, can we still use the application and send to a Gnosco consultant.

Yes, Gnosco also offers the consulting service for diagnosing patient cases. Pease contact Gnosco AB for further details.

Troubleshooting

The phone does not start or it is out of power, what should I do?

Put the charger in the phone and wait to see that a battery indicator is showing that the phone is charging. Might take a couple of minutes.

You can always hold the start button on the side for some time and the phone will restart.

If nothing happens, please contact your system administrator or Gnosco Administrator. johan.heilborn@gnosco.se, +46 (0) 709 667898

I have no connection to Internet, what is wrong?

Make sure you have WIFI connection or have a 3G/4G SIM-card inserted in the phone.

Also make sure you are located in an area where there are Mobile network or wireless network available.

If you still haven’t internet connection, please contact your system administrator or Gnosco Administrator.

johan.heilborn@gnosco.se, +46 (0) 709 667898

Dermicus application does not start, what is wrong?

Please try the following options: –

  1. Press the home button to re-login.

Alternatively, you can also try to

  1. Delete the Dermicus application, go to HockeyApp to download and install the application. Re-attempt to login.

If the problem persists, please contact the system administrator or Gnosco’s administrator. johan.heilborn@gnosco.se, +46 (0) 709 667898

Dermicus application suddenly shuts down, what is wrong?

Try to restart the application by logging in again.

If the problem persists, please contact the system administrator or Gnosco’s administrator.

johan.heilborn@gnosco.se, +46 (0) 709 667898

I do not know or remember my SIM-card phone pin code?

If you have lost your SIM-card pincode, please contact your system administrator or Gnosco Administrator.
johan.heilborn@gnosco.se, +46 (0)709 667898

What should I do if I notice a patient case is missing on my user account?

Please notify the system administrator immediately.

johan.heilborn@gnosco.se, +46 (0)709 667898

What should I do if I notice the taken images are not properly uploaded?

Please contact the system administrator immediately.

johan.heilborn@gnosco.se, +46 (0)709 667898

System Requirements and Updates

How do I update the phone's operating system?

Normally it is NOT needed to update your phone’s operating system. But if notified by your system administrator or Gnosco administrator that this is needed, you will also get a detailed description how to do the update.

Will updating the phone's operating system affect the Dermicus application?

No the updates of the iPhone’s operating system will not affect the running of the Dermicus application. If problem occur, please contact your system administrator or Gnosco administrator.

johan.heilborn@gnosco.se, +46 (0) 709 667898

How to update Dermicus mobile application?

If you get a notification from your system administrator or Gnosco administrator that you need to update your Dermicus mobile application, please follow the steps below.

  1. Start with deleting the existing application by holding your finger on the icon.
  2. When the icon starts vibrating, a cross sign appears in the upper left corner. Click on the cross and delete the Dermicus icon.
  3. Click on the home button on the phone to revert to normal mode.
  4. Click on the icon for HockeyApp. (if you don’t have HockeyApp bookmarked on your phone, go to https://rink.hockeyapp.net/users/sign_in.
  5. Log in with user name (email) and password that you get from Gnosco system administrator. (Not the same as for login in to Dermicus platform/application)
  6. Click on “Dermicus”.
  7. Click on “Install” and then click “install” on the pop-up.
  8. Go back to your phone’s home screen.
  9. Wait for the new application to be downloaded and installed.
  10. Now you can start to use the latest updated version of Dermicus.

How often do I need to update Dermicus mobile application?

When there is an update, you will get a pop-up saying that an update is available and by accepting the new version will automatically be downloaded.

Will updating the Dermicus mobile application affect the patient records?

No the updates will not affect storage of the patient records. Our platform secures and encrypt (SLL) transfer of images and data to the server.

Can older versions of iPhone e.g. iPhone 1,2, 3 and 4 be used for Dermicus application?

We have not tested our application on older versions but would not recommend to do so.

What are the requirements for hardware (Phone and Dermatoscope)?

In order to run Dermicus mobile applications you need to have an iPhone 5 or later. You also need a suitable Dermatoscope that fits to the iPhone, either Heine iC1 or Handyscope. We at Gnosco AB can provide Dermatoscope if needed.

Will the Dermicus application be available for other phone’s operating systems e.g. android?

Yes, it is coming!

Security & Patient integrity

How is patient data handled?

Rules and regulation for handling of patient data differs depending on country and sometimes also area of use.

Gnosco AB fulfills all the high requirements made by The Swedish Data Protection Authority.

Gnosco AB provides an agreement to customers for handling patient data and also provide additional information if needed.

For information regarding Sweden, please contact:

info@gnosco.se, +46 (0)760 405012

What kind of security is used for the Dermicus mobile applications?

All data is encrypted in mobile application.

Secure and encrypted (SLL) transfer of images and data to server platform.

Specific and secure hardware managed by EMM/MDM.

API-keys generated and role-based access and authentication.

What kind of security is used for the Dermicus backend platform?

Login using 2-factor authentication (Username/password and SMS/smartcard).

Hosting of the platform on a secure location meets all security standards for health care and patient data.

Storage of data and images on a secure location meets all security standards for health care and patient data.

It is also possible to locally store the patient data at your own servers.

How is quality follow-up handled?

Specific section in Dermicus platform for reporting deviations.

Logs of usage, users and logins for security and quality follow up.

Is Dermicus integrated to any Electronic Medical Record (EMR) or Image storing system?

Dermicus is not by default integrated to EMR or image storing systems. However, single-sign-on is possible and there is no need for double documentation.

Integrations to EMR or image storing systems are done by request from customers, county councils, or health care providers.

I have more questions about security and patient data?

For general questions and feedback:

info@gnosco.se, +46 (0)760 405012

For Technical support questions:

johan.heilborn@gnosco.se, +46 (0)709 667898

How long are the patient data stored on the server for?

To be updated

If the patient at any stage would like to change their consent of sharing their clinical case, can this be done?

Patients can at any time change their consent status and we will be able to update this immediately on our Dermicus Platform.

Is data recovery of the patient records available?

To be updated

Medical Questions

What is Dermatoscopy?

Dermatoscopy (also known as dermoscopy or epiluminescence microscopy) is the examination of skin lesions with a dermatoscope. This traditionally consists of a magnifier (typically x10), a non-polarised light source, a transparent plate and a liquid medium between the instrument and the skin, and allows inspection of skin lesions unobstructed by skin surface reflections. Modern dermatoscopes dispense with the use of liquid medium and instead use polarised light to cancel out skin surface reflections. When the images or video clips are digitally captured or processed, the instrument can be referred to as a “digital epiluminescence dermatoscope”.

This instrument is useful to dermatologists in distinguishing benign from malignant (cancerous) lesions, especially in the diagnosis of melanoma.

Source: https://en.wikipedia.org/wiki/Dermatoscopy

How can I learn more about Dermatoscopy?

Gnosco arrange 1-day courses in Dermatoscopy. These are held four times per year. For more information and reservation go to our Education web page.

What is mobile teledermatology

Teledermatology

Teledermatology is a subspecialty in the medical field of dermatology and probably one of the most common applications of telemedicine and e-health. In teledermatology, telecommunication technologies are used to exchange medical information (concerning skin conditions and tumours of the skin) over a distance using audio, visual and data communication. Applications comprise health care management such as diagnoses, consultation and treatment as well as (continuous) education.

Source: https://en.wikipedia.org/wiki/Teledermatology
Mobile teledermatology

Mobile telemedicine is a system in which at least one participant (the person seeking advice or the doctor, for instance) uses wireless or mobile equipment (i.e. mobile phones, handheld devices), in contrast to conventional stationary telemedicine platforms. Travellers who develop skin lesions as well as doctors who are on the move in hospital/non-hospital area can benefit from this new development in teledermatology. In order to facilitate access to medical advice and enable individuals to play a more active role in managing their own health status, mobile teledermatology seems to be especially suited for patient filtering or triage. (i.e. referral based on the severity and character of their skin condition). Another possible practical application is for follow-up of individuals with chronic skin conditions.

Source: https://en.wikipedia.org/wiki/Teledermatology

Is Dermicus based on academic studies or other research?

To be updated

What studies have been done where Dermicus has been used?

Mobile Teledermatology is a Valid Method to Estimate Prevalence of Melanocytic Naevi in Children

Maria A. KARLSSON, Bernt LINDELÖF, Carl-Fredrik WAHLGREN, Kerstin WIKLUND and Ylva RODVALL

 

Teledermatologi vid handläggning av hudtumörer i primärvården (Swedish)

Septimiu Enache, ST Läkare i allmänmedicin, Jakobsbergs Akademiska Vårdcentral

Are there any Medical articles relevant for this area?

Below are open access articles that are relevant for the field. You can click on the articles to download.

Kassianos, a. P, Emery, JD, Murchie, P & Walter, FM 2015, ‘Smartphone applications for melanoma detection by community, patient and generalist clinician users: A review’, British Journal of Dermatology, vol. 172, no. 6, pp. 1507–1518.

Abuzaghleh, O, Member, S & Barkana, BD 2015, ‘Noninvasive Real-Time Automated Skin Lesion Analysis System for Melanoma Early Detection and Prevention’, vol. 3, no. October 2014.

Marghoob, A a., Usatine, RP & Jaimes, N 2013, ‘Dermoscopy for the family physician’, American Family Physician, vol. 88, no. 7, pp. 441–450.

Ball, SN, Mishra, a, Dutta, a K & Sen, P 2012, ‘International Conference on Recent Trends in Physics (ICRTP 2012)’, Journal of Physics: Conference Series, vol. 365, p. 011001.

Rosendahl, C 2012, ‘Dermatoscopy in routine practice’, Australian family physician, vol. 41, no. 7, pp. 482–487.

Alendar, F, Helpigankas, H, Soskic, S, Drljevic, I & Selmanagic, A 2011, ‘Dermatoscopy – an Investigative Method and Valuable Tool’, , vol. 19, no. 2, pp. 85–87.

Kittler, H, Pehamberger, H, Wolff, K & Binder, M 2000, ‘Diagnostic accuracy of dermoscopy’,

Who has developed Dermicus?

Gnosco AB in close collaboration with Karolinska University Hospital and a number of Primary Care centers.

How can I test Dermicus?

If you are interested in start using Dermicus mobile applications and platform, please contact Gnosco AB here.

I have ideas for new functionality or usage areas, who do I contact?

If you have ideas for new functionality or new usage areas, please contact us here.

What different products do you have?

At the moment we have the products described in the Product page.

General Questions

Is Dermicus CE-certified?

Yes, Dermicus is CE-certified according to standards for medical devices.

Do Gnosco AB offer the service of diagnosing patient cases?

For second opinion or lack of regional resources, there are possibilities to send to Gnosco AB Dermatology Specialists as well.

What are the benefits of using the Dermicus application?

  • Faster treatment process with high quality
  • Equal care regardless of where you live
  • Reduction of unnecessary surgeries

How is Dermicus application better than other applications on the market?

Please contact Gnosco AB for a demonstration of the application.

Why would a hospital, county councils, municipalities and private healthcare providers need a mobile application like Dermicus?

80% of healthcare professionals own a mobile device hence the integration of smartphones into the practice of medicine will effectively improve the workflow processes in the healthcare system.

If we would like to publish the clinical findings, and would like to acknowledge in the publication, how should we cite?

We highly encourage users to publish the clinical finding. Please acknowledge us as www.dermicus.com – Redefining health & medical industry through digital services – since 2010. We would appreciate that you could also send us a copy of the publication upon acceptance.

Can we include your company logo when presenting the clinical findings in national and international meetings?

Yes we highly encourage users to present their work at meetings. We would appreciate that you could also send us a copy of the abstract/presentation.

Do you have a 30-day trial period of the dermicus application?

Yes we can provide a no obligation 30-day trial period to consider if the workflow processes synchronize well with your in-house system.

If you have lost the mobile phone containing the application, do we need to notify you?

Yes, contact us and we will provide you with a new username and password to the Dermicus application and platform.

Who has developed Dermicus?

Gnosco AB in close collaboration with Karolinska University Hospital and a number of Primary Care centers.

How can I test Dermicus?

If you are interested to start using Dermicus mobile applications and platform, please contact Gnosco AB here.

What different products do you have?

We have current products described in the Product page and update it when new products are created.

What type of working processes does Dermicus support?

Dermicus platform is very flexible and can be used for several different work processes. It is easily adjustable depending on how you want to work the platform.

How does the workprocess look like for a General Practioner?

To be updated.

How does the workprocess look like for a Dermatology Specialist?

To be updated.

Contact Us

I have ideas for new functionality or usage areas, who do I contact?

If you have ideas for new functionality or new usage areas, please contact us here.

info@gnosco.se, +46 (0) 760 405012.

Is there someone I can contact to help me solve my question?

For Technical support questions:

johan.heilborn@gnosco.se, +46 (0) 709 667898