How to use Dermicus mobile application

How to download and install Dermicus mobile application?

Dermicus mobile application cannot be found on Appstore. It can only be downloaded from HockeyApp. In order to get access for HockeyApp, you need a login with a username and a password that you will receive from Gnosco’s administrator.

  1. Start the iPhone, make sure you have an internet connection
  2. Click on Safari application to open the browser
  3. Go to page: https://rink.hockeyapp.net/users/sign_in. (If you already have HockeyApp bookmarked on your home screen, please click on the bookmark)
  4. Log in HockeyApp with the username (email) and password that you have received from Gnosco’s system administrator. (Note: not the same as for login details as 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 the message “trusting the developer…”, then go to Settings>General>Profiles & Device Management on 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. Dermicus application is now ready for use

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

Go to: https://app.dermicus.com and choose the SMS-login method then press on “Forgot Password” and follow the instructions.

If you still have a problem, please contact the system administrator or Gnosco’s administrator.

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

How can I change my Dermicus application password?

You can log in to the web browser https://app.dermicus.com and change it in your “Settings”.

  1. Log in
  2. Go to the “Settings” by clicking on your name in the menu.
  3. Create a new password in “Change Password” field
  4. Repeat the new password
  5. Click “Save”
  6. Log out by clicking on your name and choose Logout

How can I update my profile?

You can login to the web browser https://app.dermicus.com/ and change it in “Settings”.

  1. Log in
  2. Go to the “Settings” by clicking on your name in the menu
  3. Change your profile settings
  4. Click “Save”
  5. Log out by clicking on your name and choose Logout

What should I do if an error message appears 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.

support@gnosco.se, +46(0)760405012

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

You have an unsent patient case in the “receipt” section. Press “receipt” in the tab-bar, then find the case that has not been sent. You can do one of the following:

1. Try to send the patient’s case again or

2. Delete the patient’s case by swiping to the left on the case, then press “Delete”. You have to fill in the patient case again.

Here is a short video demonstrating how to delete an unsent patient case:

 

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

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

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 that all 12-digits are inserted.

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

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

I cannot send away a patient case, what is wrong?

Double check that all mandatory information marked with a red star ( * ) are filled before you submit the diagnostic form.

Where do I find my patient cases?

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

Go to https://app.dermicus.com and log in using either SMS-code or your E-Service card (SITHS).

For more information on how to log in, see the section below “How to use Dermicus web platform”.

The application is not responding, what should I do?

Please try the following options:

  1. Press the home button to re-attemp to log in.

Alternatively, you can also try to:

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

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

support@gnosco.se, +46(0)760405012

How to use Dermicus web platform

How to log in to Dermicus Platform on a web browser with an SMS-code?

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

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

How to log in to Dermicus Platform on the browser with an E-service/SITHS card?

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

  1. Insert your e-service card
  2. Select the method for logging in = SITHS
  3. Enter the security code for your e-service card
  4. Log in

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 functions completely online with highly secure 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 Dermicus Platform on the web browser.

  1. Log in to Dermicus Platform https://app.dermicus.com
  2. Go to “Consultations”
  3. Click on a specific patient case
  4. Choose “Print”

Can you search for patient cases by diagnosis?

  1. Log in to https://app.dermicus.com
  2. Go to “Consultations”
  3. Type in the patient’s personal number or the case number in the “Search” field
  4. Click on Search

What should I do if I have submitted incorrect observations/examination of a patient and would like to edit the records?

You have to submit a new patient form again through Dermicus mobile application.

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

No, patient cases can only be sent between Dermicus users. You are welcome to invite the non-user to get access to Dermicus to review patient cases together.

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

Yes, integration with an existing EMR/EHR is possible. You can 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 a local documentation system to keep images and data of patients?

Yes, the platform works perfectly for documentation purposes.

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

Yes, Gnosco offers consulting services 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. This 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’s administrator.

support@gnosco.se, +46(0)760405012

I have no internet connection. What is wrong?

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

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

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

support@gnosco.se, +46(0)760405012

Dermicus application does not start, what is wrong?

Please try the following options:

  1. Press the home button to log in again.

Alternatively, you can also try to:

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

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

support@gnosco.se, +46(0)760405012

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.

support@gnosco.se, +46(0)760405012

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

If you have lost your SIM-card pin code, please contact your system administrator or Gnosco’s Administrator.
support@gnosco.se, +46(0)760405012

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

Please notify the system administrator immediately.

support@gnosco.se, +46(0)760405012

What should I do if I notice the taken images of a patient case were not uploaded properly?

Please contact the system administrator immediately.

support@gnosco.se, +46(0)760405012

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. If your system administrator or Gnosco’s administrator requests updating your phone’s operating system, you will get a detailed description on how to update.

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

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

support@gnosco.se, +46(0)760405012

How to update Dermicus mobile application?

If you get a notification from your system administrator or Gnosco’s administrator that you should update your Dermicus mobile application, please follow the steps below:

  1. Start with deleting the existing application by holding your finger on the icon of Dermicus mobile applicaton.
  2. When the icon starts vibrating, a cross sign appears in the upper left corner. Click on the cross sign 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 the username (email) and password that you have received from Gnosco’s system administrator. (Not the same as the login details 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 notifying you that an update is available and by accepting the notification message the new version will  be downloaded automatically.

Will updating the Dermicus mobile application affect patient records?

No, the updates will not affect storage of the patient records. Our platform secures and encrypts (SLL) the 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 of iPhone but would not recommend using Dermicus application on iPhone verions that are older than iPhone 5.

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 will also need a suitable Dermatoscope that fits to the iPhone, either Heine iC1 or Handyscope. We at Gnosco AB can provide a Dermatoscope if requested.

Will 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 the country and sometimes the medical area of use.

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

Gnosco AB provides an agreement with customers for handling patient data and can 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 the mobile application.

Secure and encrypted (SLL) transfer of images and data to the 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 platform?

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

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

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

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

How is quality follow-up handled?

There is a specific section in Dermicus platform for reporting deviations.

We store logs of usage, users, and logins for security and quality follow-up.

Is Dermicus integrated into an Electronic Medical Record (EMR) or an Image storing system?

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

Integrations into an EMR or image storing systems are provided if requested from customers, county councils, or healthcare 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:

support@gnosco.se, +46(0)760405012

If the patient at any stage would like to change their consent of sharing their clinical data, 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.

Medical Questions

What is Dermoscopy?

Dermoscopy (also known as dermatoscopy or epiluminescence microscopy) is the use of non-invasive instrument that assists in the diagnosis of skin lesions with a dermatoscope. The dermatoscope consists of a magnifier lens with x10, a non-polarised light source, a transparent plate. A liquid medium such a gel is added between the dermatoscope and the skin to reduce the skin surface reflections while inspecting the skin lesions. Polarised light is used in modern dermatoscopes 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 dermatoscope”.

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

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

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

Errichetti, E. & Stinco, G, 2016, Dermoscopy in General Dermatology: A Practical Overview’, Dermatology and Therapy (Heidelb), vol.6, no.4, pp. 471-507
The article can be accessed through: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5120630/

How can I learn more about Dermoscopy?

Gnosco arranges one day courses in Dermoscopy. 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 the use of telecommunication technologies in the medical field of dermatology. Medical conditions such as skin lesions and tumours are transferred through IT technologies such as digital transfer of video, images and data. Areas of use comprise healthcare management such as diagnosis, consultation and treatment as well as continuous education.

Teledermatology is a valuable tool in the management and diagnosis of skin conditions. Teledermatology is probably one of the most common applications of telemedicine and e-health. It is especially valuable for patients in rural areas where access to dermatologists is limited. For primary care providers, it is beneficial in triage and reduction of unnecessary referrals to dermatologists. The service demonstrates a benefit, as well, in following-up and monitoring of patient cases.

Source:
Warshaw E, Greer N, Hillman Y, et al. Teledermatology for Diagnosis and Management of Skin Conditions: A Systematic Review of the Evidence [Internet]. Washington (DC): Department of Veterans Affairs (US); 2010 Jan. Available from: https://www.ncbi.nlm.nih.gov/books/NBK49157/

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’.

 

General Questions

Is Dermicus CE-certified?

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

Does Gnosco AB offer services for diagnosing patient cases?

Yes, you can buy diagnostic services from us as well.

What are the benefits of using 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 our clinical findings, and would like to acknowledge Dermicus in the publication, how should we cite?

We highly encourage users to publish their 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 Dermicus application and platform?

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 we 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 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 in starting to use Dermicus mobile application and platform, please contact daniel.eliasson@gnosco.se, +46 (0)760 405012.

What different products do you have?

We have our current products described in the Product page and it is updated when new products are available.

What type of working processes does Dermicus support?

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

How does the work process looks like for a General Practitioner?

  1. The GP administers regular patient data recording
  2. Full body examination with a manual Dermatoscope
  3. Use of Dermicus mobile app to capture and send images of suspicious skin lesions
  4. GP receives specialist’s consultation within 3 days
  5. Review the recommendations on Dermicus web application, www.app.dermicus.com
  6. Contact the patient for further measures handling

How does the work process looks like for a Dermatology Specialist?

  1. The dermatology specialist receives a notification by e-mail when a new patient case is sent from a primary care centre. The case is accessed securely through Dermicus web platform.
  2. The dermatology specialist analyses the images and the patient record.
  3. If necessary, other dermatologists are consulted throughout the communications tools in Dermicus web platform and a diagnosis concordance is attained.
  4. A structured analysis of the patient case and recommendation is sent back to the primary care centre/ Healthcare professional

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

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

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

For Technical support questions:

support@gnosco.se, +46(0)760405012