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Frequently asked questions

This is a collection of frequently asked questions about Dermicus and how it is used.

About Dermicus

What is Dermicus?

Dermicus is a CE-certified teledermatology platform that consist of a Web- and Mobile application designated for healthcare professionals. Dermicus platform enables a secure, fast, and effective process for handling of patients with variant skin conditions including skin lesions, wounds and other skin issues. It is completely designed to cater to the needs and requirements of healthcare professionals to  facilitates diagnosing patients remotely. The functionalities and modern process are completely build to encourage multidisciplinary collaboration between health care professionals and bringing the patient at the center.  

Who has developed Dermicus?

Gnosco AB in close collaboration with Key Opinion Leaders in Dermatology and General Practitioners. In addition, the Swedish National Registry for Wounds, RiksSår, is a close partner and contributing with a lot of knowledge and expertise. 

How to use Dermicus mobile application

How do I recover my username and/or password?

Go to Dermicus Web application login page or start Dermicus mobile application and press on “Forgot Password?” and enter the e-mail address for your Dermicus account. You will receive an email with a password reset link. 

The new password is applicable for both Dermicus Mobile application and Dermicus Web application. 

If you don’t see this email in your inbox within 15 minutes you’re probably not having account here.

 If you still have a problem, please contact your local support organisation or Gnosco’s support: 

support@gnosco.se

+46 (0)31-711 80 00

What should I do if I cannot log in to Dermicus Mobile application?

Please verify the following:

  • That you have the correct username and password. If you are unsure please reset your password. 
  • The keyboard is not on capo lock.
  • That you have an internet connection. Check internet in your web browser.  
  • Recall if have changed your password in at Dermicus Web application. Please note that the username and password are always the same for both Dermicus Mobile application and Dermicus Web application. 

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

support@gnosco.se

+46 (0)31-711 80 00

Where do I find my patient cases?

If you are a user of Dermicus platform, you will find your patient cases at Dermicus Web application on a web browser. Go to your specific Dermicus Web application login page and log in using either SMS-code or your E-Service card (only Sweden).

Please note that patient cases cannot be viewed at Dermicus Mobile application due to patient security measures.

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

Dermicus mobile application suddenly shuts down, what is wrong?

  1. Clear the application history in your phone by double-clicking on the the home- bottom and swiping away the the open sites/ applications. 
  2. Check that your iPhone is updated according to the requirements of Dermicus application. 
  3. Re-instal Dermicus mobile application
    1. Follow the installation guide that you can find under the Support section in Dermicus Web application. 

 

If the problem persists, please contact your local administrator or Gnosco’s support. support@gnosco.se, +46 (0)31-711 80 00

The Mobile application is not responding, what should I do?

Please try the following options:

  1. Press on Home bottom and try to login again. 
  2. Clear the application history in your phone by double clicking on the the home- bottom and swipe away the the open sites/ applications. 
  3. Make sure that you have an internet connection. Check if your connection is working properly by opening a website in your browser.
  4. Check whether your iPhone  operating system is updated and is compatible to the version that is supported by Dermicus mobile application. 
  5. Delete Dermicus application. Re-instal the mobile application. Re-attempt to log in. 
    • follow the installation guide that you can find under the Support section in Dermicus Web application. 

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

support@gnosco.se

+46 (0)31-711 80 00

How to use Dermicus Web Application

How to access Dermicus Web application login address?

Dermicus Web application is accessed via a web browser, using one of the following links: 
 
Main login adress:
https://app.dermicus.com  or via  https://dermicus.com/en/ and click on “Sign in” bottom at the upper right corner. 
 
Login adress for UK users: app.dermicus.co.uk
 
Login adress for Skåne County (Sweden): https://rs.dermicus.com
 

How to log in to Dermicus Web application with an SMS-code?

Go to Dermicus Web application login webpage–  Save Dermicus webpage as a bookmark.

  1. Select the Login method  = SMS
  2. Enter your E-mail/ 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
 
 
 

Which web browser can we use for Dermicus Web application?

Web browsers that can be used to access Dermicus Web application: 

Internet Explorer 11

 Safari

Google Chrome

Mozilla Firefox 

Do I have to download a program to my computer?

No, Dermicus Web application functions completely online on a web browser with highly secure storage of images and data.

If I forgot to log out from Dermicus Web application on the web browser, are my patient records safe?

Dermicus Web application will log the user out if it was left inactive after a specific period of time. 

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

Dermicus is integrated with some existing image archiving systems and patient journals. 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.

Can we get a teledermatology consultation from Gnosco?

Gnosco have collaborations with skin clinics and can offer diagnostic services in some cases depending on the regulations in your country / region. We can help you in connecting with dermatologists or other specialists. Please contact us for further details and possible solutions. 

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 mobile application. If any problem occurs, please contact your system administrator or Gnosco’s administrator. support@gnosco.se, +46 (0)31-711 80 00

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 3 and 4 be used for Dermicus application?

We do not perform regular tests of Dermicus Mobile application on older versions of iPhone and therefore we would not recommend using Dermicus application on iPhone versions that are older than iPhone 6s.

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

In order to run Dermicus mobile applications, you need to have an iPhone 6 or later.

For Dermicus Mole, you will also need a suitable dermatoscope that fits to the iPhone, either Heine iC1, Handyscope or Dermlite.

We at Gnosco AB can provide dermatoscopes 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 issues and problems.
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 already integrated to some EMR or image storing systems. 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)31-711 80 00

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 and these are held several times per year. Gnosco also provide the same course totally online. For more information and resservation go to Education.

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?

Yes, Dermicus has been developed from the very first day based on studies and best practice. There are several studies on teledermatology and teledermatoscopy in general.

Also, some of the users of Dermicus have done studies:

One on the comparison between different method of capturing images and data. Mobile digital dermatoscopy in vivo for the diagnosis of melanoma. Read more

Another study was done in order to see the effect at a primary care center using Dermicus. This was done by Frida Björno (In Swedish)

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.

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 Gnosco and refer to www.dermicus.com. 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.

How can I test Dermicus?

If you are interested in starting to use Dermicus mobile application and platform, please contact support@gnosco.se, +46 (0)31-711 80 00

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)31-711 80 00