CheckBRW vs OKAKI PIP Mobile

CheckBRW is a mobile application designed to compute target parameters of the Brown-Roberts-Wells stereotactic apparatus. It is intended to be a second-check tool. CheckBRW uses two CT or MR images corresponding to the target point, which will be reached by the probe, and the trepanation point where the probe will enter the skull. The user can get the images taking a photo of the stereo-CT or stereo-MR or entering the image into the camera roll using any available way. Considering that most modern CT equipments are able to export a JPEG version of each slide, a simple way to get the desired images into the user device is to send that JPEG images attached to an email. CheckBRW work with axial (transverse) slices only, there is no support for coronal or sagittal views. CheckBRW main axis are: latero-lateral (X), dorso-ventral (Y) and caudal-rostral (Z). The mathematical algorithm used by CheckBRW includes corrections for tilted images (rotation around X and/or Y axis) as long as nine fiducials are present in the image. There is correction for rotation around Z up to 5 degrees. Linear image distortions are also corrected. WARNING: - Do not use CheckBRW for surgical decision making. Do not use CheckBRW as the primary planning or computation system, it is intended to be a verification system. - Do not use CheckBRW with data from any stereotactic apparatus different from Brown-Roberts-Wells. If you have a stereotactic apparatus of other type, such as Leksell, CRW, ZD, please consider using StereoCheck app instead. Step-By-Step: 1. Take a photo of your stereo-CT or stereo-MR or enter the images into the camera roll using any available way. 2. Tap the + button of the Target Image to select the image from the camera roll. 3. Tap the + button of Entry Point Image to select the image from the camera roll. 4. Tap Done. The target images will be presented. 5. Set the point-of-view of the image if necessary. Tap Done button. 6. Mark each fiducial on the image. CheckBRW uses nine (9) fiducials. Tap the Done button. 7. Mark the target point you want to reach and tap the Done button. 8. The entry point image will be shown. Tap the Done button. Mark each fiducial on the image and tap the Done button. Mark the entry point and tap the Done button. 9. At this point the stereotactic parameters Depth, Alpha, Beta, Gamma and Delta will be computed and displayed. If you want to keep a copy of results for your records, use the Compose button on top of the screen to send them by e-mail.

OKAKI’s PIP Mobile application is an add-on to the full version of OKAKI’s Pharmacy Immunization Program (PIP) suite of products. PIP is a secure SaaS based system and is available to authorized users who have a current subscription to PIP. It was designed with a simple layout to allow quick, easy, and secure immunization record entry in the pharmacy or for offsite immunization clinics in the community. The application requests permission to use the camera so the application can scan barcodes for patient searches as well as vaccine vials for GTIN codes, lot numbers and expiry dates. The application also requests permission to use the microphone to enable the user to use voice to text when entering notes. Use of the camera and microphone is optional as the application is fully functional except for barcode scanning and voice to text. This application does not access any user data on the phone (contacts, photos, mail etc.) and only requires a connection to the internet (Wi-Fi or cellular data). What personal information does the app require? The application does not require any personal information from the user. All users have an existing account with us and must log in to use the application. Beyond the permissions already described, what other disclosures and user consent steps does the app contain? The application does not prompt for any consents as this application is an add-on to an existing subscription based electronic health record system where the user has already agreed to the terms and conditions of use. Why do users access confidential patients’ medical records? The Healthcare professionals using this app require patient information from PIP to view the patient’s past immunizations, allergies, and any history of past adverse reactions to immunizations to ensure the patient’s well being. The patient information displayed on the mobile device is retrieved securely by authorized users of PIP and is governed by health information privacy laws and regulations across Canada. Founded in 2008 OKAKI is a public health informatics social enterprise which provides immunization services and information systems. Based out of Calgary Alberta Canada we have developed the immunization information system used by all First Nations, post-secondary, occupational, pharmacy, and mass-clinic settings in Alberta, Canada. OKAKI support’s government funded immunization programs with in-house medical, public health, immunization, and epidemiologic expertise.