Online-only outside photo storage slideshow

The start page for the tkDerm app upon launch. All patient names and data are fictitious. Images are used with permission.

1.       When the user taps on the bottom tab, the data page appears.

When the camera icon at the upper left of the screen is tapped, the camera interface will appear. The user can take photos from within the app.

After shooting photos, the New Data page icon in the upper right corner allows the dermatologist to insert metadata.

Tapping on the figures to the right of the Distribution field will bring up the Distribution page.

After shooting photos and inserting metadata, the dermatologist can register the photos through the data page. The app automatically maps photos to their metadata based upon the time stamps on the photos. The progress bar tracks the process.

The result is shown on the Register page.

Users can find registered photos by patient name, photography date, or diagnosis.

Users can find registered photos by patient name, photography date, or diagnosis.

Tapping a patient’s name shows the Session page, which shows all photo session data belonging to the patient.

This Session page shows a series of patient photos taken over the course of three years to record changes in the lesion.

Tapping the session data on the Session page will take the user to the Thumbnail page, which shows all thumbnail photos belonging to the patient.

Thumbnails can be expanded with a tap into a full-sized photo.

By searching diagnoses on the Search page, all registered diagnoses will appear in alphabetical order.

Tapping on a diagnosis will show all patients with that condition.

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The iPhone-based dermatologic database application tkDerm is one of many independent image management solutions that allow dermatologists to take, tag, and manage photographs while syncing them across multiple devices and a backup server. Clinical photos are then searchable through a number of fields, and new patient photographs are tagged with existing metadata from previous visits. The software is demonstrated in the slideshow above. To read more about integrating add-ons into an EHR system, read the feature "Charting the course." For more on the integration of smartphones, mobile computing, and dermatology, read this month’s feature, “Smart medicine.”