Mobile diagnostics · telemedicine · occupational health

The examination takes place where the person is.

MEDORIS brings the diagnostics to the patient and the doctor over the line. A mobile case with the necessary measuring devices, an encrypted connection to a general practitioner or specialist — wherever they may be — and a process that carries occupational health surveillance along with it. The medical service is provided by licensed physicians; the system makes them reachable.

The problem

Two gaps, one cause

The first gap lies in remote regions: at installations, settlements and workplaces where the nearest medical facility is hours away or does not exist at all. Those who work there have no choice if they fall ill — and those who wish to invest there struggle to find staff.

The second gap lies in the middle of industrialised countries: occupational health surveillance lacks medical capacity. According to the relevant medical association, the number of practising occupational physicians is set against a calculated requirement roughly three times as high. The gap is structural and cannot be closed quickly through training capacity.

Both gaps have the same cause: not a lack of knowledge, but a lack of presence. Diagnostic devices exist and are affordable, and the legal conditions for remote treatment are in place. What is missing is the connection between the place of measurement and the place of medical assessment.

The approach. The devices go to the person; the medical assessment comes over the line. Both are conducted in one process, from which a finding and, where required, a certificate emerge.

Modules

Four modules

The following description sets out the task each module performs. The technical design — in particular the manner in which the devices are connected and their readings are unified — is not the subject of this description.

Module 1
Mobile diagnostic case
A wheeled transport case holding the measuring devices required for a full initial examination and for occupational health surveillance. Operable by trained personnel — no physician need be present on site.
Devices as medical devices · operator regulations
Module 2
Telemedicine platform
Encrypted video connection between the place of measurement and the consulting physician. The readings from the case are available in the physician’s workspace during the consultation.
HL7 FHIR R4 · Article 9 GDPR · medical confidentiality
Module 3
Occupational health administration
Derivation of the applicable surveillance triggers from the risk assessment, calculation of intervals, invitation management, surveillance records and the certificate to employer and employee.
German occupational health regulation · statutory accident insurance principles
Module 4
Provision at sites without medical infrastructure
Stationing a case at sites where no reachable medical provision exists. The connection is made through the data link available at the site — including by satellite where no terrestrial network exists.
Integration into ARENOVA and CIRCULIS
Diagnostic case

What is in the case

A wheeled transport case with the devices for a full initial examination and for occupational health surveillance. The equipment is modular and can be extended according to the field of use.

Operation without a physician present. The measurements are taken by trained personnel. Assessment of the readings, diagnosis and every decision on further steps remain reserved to the physician.

Process

How a consultation proceeds

Step 1

Measurement on site

Trained personnel take the measurements using the devices in the case. The readings are transmitted to the platform in structured form.

Step 2

Medical consultation

The physician opens the case file, sees the readings and conducts the consultation over an encrypted video connection.

Step 3

Finding and documentation

The finding is recorded directly in the file. The medical documentation remains in the physician’s hands; the employer receives the certificate only.

Separation of the medical and the operational level

In occupational health use the employer receives the certificate that surveillance has been carried out — not the finding. This separation follows from medical confidentiality and is not a setting but built into the process.

Fields of use

Where MEDORIS is used

Field 1

Businesses with a dispersed workforce

Field service, construction sites, branches, locations without occupational health cover. The case goes to where the employees are — the journey to the doctor is eliminated, and with it the most common reason why surveillance appointments lapse.

Field 2

Sites without medical provision

Installations and settlements in remote regions where the nearest medical facility is hours away or does not exist. One thing is generally present: a data connection. Through it the link is made to a general practitioner or a specialist — regardless of where they are based.

Field 3

Integrated sites

Where a site is being built as an integrated whole in any case, provision for the people belongs to it. A place at which people are expected to work must offer more than work; medical reachability is a component, not an addition.

Connection to the other systems. At sites built according to ARENOVA or CIRCULIS the data connection is part of the site concept. MEDORIS uses it and thereby becomes possible where a medical facility would never be established. To the platform overview

Legal framework

What the system is aligned to

Which rules apply in an individual case depends on the country of use, the activity and the hazard. The particulars below relate to German law.

Occupational safety

Surveillance and appointment

The regulation on occupational health surveillance with mandatory, offered and requested examinations; the Occupational Safety Act for the appointment of company physicians; the Occupational Health and Safety Act for risk assessment and instruction.

Professional law

Remote treatment and confidentiality

Advice or treatment exclusively through communication media is permissible where this is medically justifiable and the required medical diligence is maintained; the professional code of the competent medical association governs. Confidentiality is subject to criminal sanction and extends to assisting personnel.

Data and devices

Health data and medical devices

Health data are subject to the heightened requirements of Article 9 of the General Data Protection Regulation; in the occupational health context paragraph 2(h) may apply. The Medical Devices Regulation and the operator regulations apply to the devices, and a ten-year retention period to the documentation.

Roles. The medical service is provided by cooperating licensed physicians on their own professional responsibility and free from instruction; the medical documentation remains with them. IMS New Technologies AG is the proprietor of the brand and the system and grants licences; it provides no medical service. Initiating and offering surveillance, the risk assessment, release from work and the bearing of costs remain employer obligations.

Contact

Enquiry

Write to us stating the field of use, the location and the occasion of your enquiry. We work without a contact form and without a telephone hotline. Please do not send us health data by e-mail.

Notice on current status

This description sets out MEDORIS at a functional level. The system architecture — in particular the manner of device connection, the unification of measurement data and the conformity concept for the case as a whole — is not the subject of this description. It constitutes protected know-how and the subject matter of intended applications for industrial property rights; disclosure takes place only upon conclusion of a confidentiality agreement and after the priority date has been secured.

The system software is to be classified as software with a medical purpose. A conformity assessment procedure under Regulation (EU) 2017/745 on medical devices involving a notified body has not been completed. The provider currently places no medical device on the market; commencement of operations presupposes the completion of that procedure.

MEDORIS™ is a brand of IMS New Technologies AG. Its development goes back to an initial concept from 2009.