Personal Health Record Review:My Medical™By Eve Rizza G. Katalbas, RN, MD

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

Availability PLATFORM: 4/5

Available on desktop and mobile

Desktop version is separate from mobile version

Availability PRICE: 4/5

With minimal fee Perfect for iOS users since application is eligible for family sharing

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

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

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

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

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

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

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

Data Quality Physicians

Can import all the details from contact list or data can be entered via free text

Data Quality Office visits

More commonly considered as “clinic visits” in local setting

Can be synced to the calendar to get reminders/alerts

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.

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

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

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

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

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