Docudo

Docudo

Docudo targets the problem of "black box interventions" or the loss of information in physiothepy practice. The tablet application is seamless documentation tool designed to adjust to each physiotherapist’s unique documenting style in intuitive and a time-saving manner. With clear structure and implementation of AR and AItechnologies, Docudo reduces the documentation time up to 55% and allows a physiotherapist to focus on the session

Year
Year

2021

2021

Project type
Project type

Service Design

Service Design

Service Design

UX I UI

UX I UI

UX I UI

User Research

User Research

User Research

Collaboration
Collaboration

ZHAW School of Health Professions

ZHAW School of Health Professions

ZHAW School of Health Professions

Swiss Institute of Physiotherapy

Swiss Institute of Physiotherapy

Swiss Institute of Physiotherapy

Association Physio Swiss

Association Physio Swiss

Association Physio Swiss

Team
Team

Johannes Reck

Johannes Reck

Johannes Reck

Dzhuliia Kolodko

Dzhuliia Kolodko

Dzhuliia Kolodko

Eleonora Bonorva

Eleonora Bonorva

Eleonora Bonorva

Réjane Schrago

Réjane Schrago

Réjane Schrago

Fabrizio Willi

Fabrizio Willi

Fabrizio Willi

Miguel Seabra

Miguel Seabra

Miguel Seabra

My Main Challenge

Creating Efficient and Familiar
Documentation Way

"How can we create an integrated application that enables physiotherapists to efficiently and structurally document assessments, interventions, and other data using ICHI classification, while seamlessly integrating with healthcare platforms for billing and enhancing communication with patients and healthcare professionals?”

My Role

I participated in all stages of the project, along with other team members.
Starting from research, to interviews, followed by wireframes and final designs, and user tests.

Design

User Flow

Design & Structure of the App

Iteration

Collaboration with Medical Professionals

On-site Research of Therapy Sessions

Research

The topic of standardization and physiotherapy is complex. As a team, we put a lot of effort into research by interviewing experts and practitioners, analyzing existing tools, and looking at existing technologies.

Laying this groundwork helped us greatly in deciding which features to implement and how to implement them. We opted for different input options (pen, keyboard, speech to text), "Smartkey" for diagnosing, exercise, and ICHI-classification suggestions, AR for a faster and more accurate way to take measurements, and blockchain-based EPD to handle sensitive data safely and swiftly. 

After the user test, we became even more confident in our features and started working on the design, where we decided to adopt a minimalistic approach.

Expert Interview Insights

  • Documentation and Guidelines
    Fabienne Büchi

    Physiotherapists are required to follow specific documentation guidelines, such as those provided by the WCPT, to ensure that their interventions are both valid (measuring the right thing) and reliable (consistent outcomes when nothing has changed).

    Documentation needs to be detailed, including codes related to treatments which are linked in a hierarchical and serial time-based manner.

  • Employments of codes and rankings
    Hans Ruckdäschel

    Codes alone are insufficient for documentation; they must be supplemented with detailed descriptions of treatment intensity and frequency.

    Standardized scores are used initially to assess patients, but diverse assessment methods can make it difficult to compare and link data for scientific purposes.

  • Digital Tools and Automation
    Pedrin Denoth

    Current digital tools like CURAMED are appreciated for their capabilities in standard and specific assessments, but there is a desire for more automation to save time and enhance accuracy.

    Suggestions include automating data entry and calculations, possibly integrating sensors for monitoring exercises both in clinical settings and at home.

  • Insurance and legal requirements
    Dr. Christoph Bauer

    Physiotherapists are often required to provide detailed documentation to justify treatments for insurance purposes, which highlights the importance of accurate and comprehensive documentation.

Observation of Therapy Session Flow

Localization problem area

Health / Medical Background

Assessment

treatment

01

Chronic pain -> Softer treatment

01

Chronic pain -> Softer treatment

01

Chronic pain -> Softer treatment

02

Acute pain -> Intense treatment

Trigger / No Trigger

02

Acute pain -> Intense treatment

Trigger / No Trigger

02

Acute pain -> Intense treatment

Trigger / No Trigger

03

Calm down the patient

03

Calm down the patient

03

Calm down the patient

04

Dry needling

04

Dry needling

04

Dry needling

Puppet-Tool Views designed for docudo

Wireframes

Docudo User Flow

Home Screen

Docudo offers a clear and open design, tailored for daily use by therapists in work environments. Its visually engaging interface combats fatigue and features an adaptable documentation area, providing an uncluttered view of essential patient data.


Similarly, the patient dossier and dashboard/home screen are structured to provide essential daily information with the option to delve into more detail. The dashboard displays upcoming appointments, necessary notifications, and a feature for taking quick notes.

Patient Dossier

In the patient dossier, key information such as contact details, healthcare number, and age are readily accessible, along with features to search documentation and summarize the patient's existing health data.

Documentation Screen

The documentation is divided into four sections: diagnosis, measurements, treatments, and exercises. Each section adjusts to the necessary size and can be collapsed when not in use, equipped with specific tools tailored for each category.

Documentation Process

Extensive research, including interviews, observation, bodystorming, and user testing, identified the dynamic nature of the documentation process as crucial. To accommodate personal preferences, multiple input methods have been integrated to meet therapists' needs.

Handwritten notes

The default keyboard input is complemented by a stylus option for handwriting notes, which are transcribed into digital text using Apple's robust API, enhancing readability and enabling the use of the smartkey feature app-wide.

Voice-Mode

Additionally, a voice-mode allows therapists to dictate notes. This mode converts speech to text in real time and lets therapists select and add the desired text directly to the documentation.

Automatic ICHI-Classification

In smartkey docudo analyses the input of the therapist and provides an automatic keyword detection. This enables docudo to automatically suggest a classification of the specific case and set the corresponding ICHI-classification. Abbreviations used by the therapist will be recognised as well and can be translated if the data gets transferred to colleagues or other health professionals.


The tool marks the corresponding body part on sketches and streamlines the documentation process, saving time and ensuring clarity with structured case classifications. Additional features include a documentation-wide text search function and the ability to recognize therapist abbreviations, automatically replacing them with the correct medical terms to facilitate clear understanding among colleagues, doctors, and researchers.

Puppet Tool

The application offers three distinct styles of human sketches, tailored to different treatment subsystems: a skeletal version, a muscular version, and a nervous system sketch.


These options are easily selectable within the patient documentation interface. To further customize the experience, the sketch automatically adjusts to match the patient's gender.

AR Measuremenets

Through AR motion tracking the app lets the therapist easily record accurate measurements of Golden Standard tests in a easy and intuitive way. Those measurements will then be automatically added to the list of the corresponding measurement. Making it convenient to do fast and accurate measurements a lot of valuable data for future scientific evaluation will be generated

Smart Exercise Suggestions