Telemedicine Services | Telemedicine Cart

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TiaTele Workflow
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TeleMedicine Model 1 Doctor to Patient.
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TiaCare - Patient Registration.
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• If the Patient is a new patient, then he have to
  register in the app for signing in.

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TiaCare - Tele Appointment
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• Patient logs into the app and make a tele
  appointment request.
• This Appointment is seen as appointment request
  in Outstanding Tasks of Doctor / MA.

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Tele Call.
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• A cart is being assigned to the appointment.
• Doctor initiates tele call.
• Call against the patient is received to cart.

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TiaCare - Emergency.
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• Patient clicks on emergency button.
• Emergency call is received in hospitals phone.
• An emergency row is being created in that
  organizations emergency list.
• Doctor clicks on connect button against the
  patient.

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TeleMedicine Model 2 Doctor to Facility.
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New Patients Appointment Booking from TiaMD Web.
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• A cart user or ED (Emergency Doctor) requests an
  appointment for a patient. Consultation Mode of
  the Appointment will be Tele. Appointment can
  taken using 3 ways - Quick Appointment, Full
  Appointment or from Calendar View.
• The appointment request that is being made by ED
  is displayed in the Outstanding Tasks section in
  the Doctors Dashboard of the concerned doctor to
  whom the appointment is requested and the MA
  (Medical Assistant) of that Doctor. The same will
  be displayed in the Outstanding Tasks of the ED
  who made the request also.
• ED can change the doctor to whom the appointment
  was requested, or can change the time slot for
  which the appointment is requested using the
  appointment reschedule option. They can cancel
  the appointment request using the cancel button.
• The concerned Doctor or MA approves the
  appointment request by changing the status from
  the dropdown list.

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Quick Appointment from ED
Appointment Request in ED
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Appointment Reschedule from ED
Appointment Cancellation from ED
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• Once the Doctor or MA approves the Appointment
  Request, the confirmed appointment is moved to
  Appointments section of the Doctors Dashboard.
  The same will be displayed as confirmed
  appointment in concerned ED users Dashboard
  also, since the consultation mode is tele.
• To Edit the Appointment details, user can click
  on the appointment, which opens up the edit
  booking screen.
• Doctor or MA can directly book Tele Appointments
  for the patients. These appointments directly
  goes to the Appointments section of Doctors
  Dashboard, with status booked.

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Edit Appointment from Doctors Dashboard
Confirming Appointment from Doc / MA
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• Once the booking is being requested or booked, an
  email is sent to Patients email id, along with
  the patient intake link.
• Also during the appointment booking, a random
  username is being generated for the patient with
  a default password. These credentials can be used
  by the Patient for logging in to the TiaMD
  Patient Portal or Tia Care Mobile App. Username
  for patient login can either be this randomly
  generated username or the patients email id.
• The credentials for patient login that are
  created during the appointment booking can later
  be changed by the patient from the patient
  account.

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Email Intake Link received in Patients Email
Patient Account Edit from Email Intake
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Established Patients Appointment Booking from
TiaMD Web.
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• For taking appointment for already registered
  patient, there are two ways.
• Method 1 Either go to patient list and search
  for the patient. Then search for the patient, and
  click on Book Appointment button under Actions or
  simply click on patient record for booking the
  appointment.
• Method 2 Or select any way of appointment
  booking (quick, full, or calendar view), select
  the patient type as Established. Then either type
  in the patient name and select the patient from
  the drop down list or click on search button
  against patient name, which opens up patient
  search for searching and selecting the patient
  for appointment booking.
• Once the patient is being selected save the
  appointment.
• Appointment can be either viewed as request or
  confirmed booking depending on the user who
  booked it.

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Method 2 (a)
Method 1
Method 2 (b)
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Insurance Eligibility Check and Co-Pay
Collection.
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• Once the appointment is being confirmed, the MA
  checks the Insurance Eligibility, which is
  interfaced with Navicure, and collects the Co-Pay.

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Vitals Entry of the Patient.
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• Since the consultation mode is Tele, the patient
  visits the clinic where cart is located. ED user
  or Cart Doctor records vitals using wireless
  medical devices. These vitals will be logged into
  the TiaPeripherals app. ED can upload these
  vitals against the patient to TiaMD Web Portal or
  Mobile App.

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Tele Call
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• Doctor clicks on the Connect button that appears
  against the appointment in Dashboard.
• Call is directly connected to the concerned ED,
  if Auto Connect option is being enabled for ED.
  Otherwise ED receives a call request which they
  have to accept.

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Tele Consultation.
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• The Doctor evaluates the patient and documents
  the information on TiaMD Web portal.

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TiaMD Visits
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• TiaMD Visits tab gives the patient visit history
  in different forms like Visit Dashboard, Visit
  Summary and Visit History.
• Encounter wise or Visit wise printout can be
  taken from Visit Summary tab.

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Clinical Assessment
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• Clinical Assessment templates are being set based
  on doctor requirement.
• We can select or favorite templates from Select /
  Manage templates.
• Favorited templates will be displayed inside New
  Assessment drop down.
• Nuance Dragon feature is integrated with Clinical
  Assessment so as to record voice.
• Auto Population being enabled for fields like
  Patient Details, Problem, Procedure, Medical
  History.
• Saved Clinical Assessment will be displayed in
  Clinical Assessment History. User can View, Edit,
  Copy, Delete, or Take a Print of the template.
  Only View, Copy and Print options are available
  if the Template is signed.
• Adding Addendum to the signed template is also
  possible.

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Vitals
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• Vitals that are uploaded from TiaPeripherals App
  will be displayed here.
• User can add vitals from TiaMD Web portal also.
• History of each vital can be viewed by clicking
  on the vital value.
• Vital Trends can be viewed as a graph. This graph
  can also be downloaded in the required format for
  future reference.

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CQMs Screening.
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• Clinical Quality measures of the Patient is
  taken.
• Also different screenings like transition of
  care, annual wellness etc are being done.

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Problem and Procedure
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• Doctor records problems of the patient and
  procedures to resolve the problems. It is
  interfaced with IMO for ICD 10 / CPT search.
• Option to favorite frequently used problem and
  procedures, print the added problem and
  procedures.

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Lab and Radiology Orders. (Investigations)
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• Lab and Radiology orders are done.
• Send Lab/Radiology orders to external centers.
• Auto Population from Clinical Assessment.
• Print out option.

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Prescriptions.
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• Doctor creates prescriptions and sends to
  pharmacy electronically.
• It is interfaced with Dr. First.
• Fetches Active Medications added in Patient
  Intake to Dr. First.
• Signed medications are displayed in prescriptions
  section itself.

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Referrals
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• For cross referring the patient to a speciality
  doctor.
• Auto Population to and from Clinical Assessment
  and Problems.

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Document Management.
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• Here we can upload different documents like
  already prescribed prescriptions, lab / radiology
  orders etc.
• There is an option to select the encounter. This
  is for purpose of identifying in which encounter
  these prescriptions, order entry etc was made.

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Images.
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• Doctors can add radiology images. (Dicom files)
• Doctors can also view already added Dicom files.
• Dicom files are different images of MRI, CT etc.
• This is integrated with PACS / TiaImage.

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Notes.
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• Option to doctor notes, save and print the notes,
  view the history etc.

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Vaccinations and Treatments.
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• Ability to add vaccinations given and treatments
  given.
• Option to view the history.

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Patient Visit Actions.
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• User can view do tele session from patient visit
  actions by clicking on connect button.
• Reload option to reload the current page, ie.,
  patient visit.
• Option to create a new encounter.
• Option to create new visit.
• Option to view the complete call history against
  that patient.
• Option to view outstanding encounters against
  that patient.
• Option to share the screen.
• Quality Metrics Alert.

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TeleMedicine Model 3 Facility to Doctor.
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Appointments for New and Established Patients.
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• The appointments are taken in the same way
  mentioned in Telemedicine Model 2.

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Tele Call
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• In Tele Medicine Model 3, the tele call is
  initiated by the Cart User.
• Cart user clicks the connect button against an
  Appointment.
• The Doctor to whom the appointment is taken
  receives the call request.
• Once the Doctor accepts the call, the
  consultation is similar to Tele Medicine Model 2
  flow.

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On Call Coverage
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On Call Coverage.
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• On Call Schedule can be created from Quick
  Appointment Window.
• On Call Schedule is being created for doctor
  groups.
• Scheduled On Call List will be displayed in the
  Dashboard under On Call Coverage Section.
• On Call Coverage is being used for second
  opinion.
• User can make a broadcast call to the available
  On Call doctors in the group, or they can
  directly make a call to the available physician
  in the group.
• On Call Coverage is mainly available for Tele.
• It can be used for calling the on call doctors
  during the emergency also.

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Emergency
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Emergency Patient Creation
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• Emergency Patient Creation and Calls are always
  initiated by the Cart User or ED.
• From the Landing Page of the Cart User Login,
  click on the bell icon.
• In the patient creation screen, user can enter
  the patient name and details if they know it.
  Entering Patient details during the emergency
  creation is optional. Since emergency have more
  priority, normally Save Call button in the
  screen is clicked.
• When Save Call is clicked without entering
  patient details, the MRN number generated is
  considered as Patient Name for time being.
• The emergency call is being broadcasted to all
  Level 1 doctors for whom emergency schedule is
  available.
• The Patient Visit will be opened up for the ED,
  soon after the save call button is clicked.

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Emergency Patient Consultation
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• The Patient Visit will be opened up for the ED,
  soon after the save call button is clicked.
• ED can do the consultation in the similar way
  that is mentioned in Tele Medicine Model 2.
• All the doctor findings are documented inside
  Patient Visit.
• ED can share screen, so that the connect

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Share Screen
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• ED can share screen, so that the Doctor who is
  connected to emergency call can view the initial
  findings done by the ED.
• Also the Doctor can document the consultation
  details.

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Emergency List - Patient Update View Patient
Visit
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• All the Emergency Calls are being listed in
  Emergency List.
• Since the patient details are not entered when a
  patient arrives as emergency, user can update
  patient details from Emergency List.
• When clicked on a row, the patient visit of that
  patient will be opened.

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Emergency List - Emergency Call against a Patient
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• When clicked on the bell icon against the
  emergency patient, an emergency call is
  broadcasted to all Level 1 Doctors with emergency
  Schedule.
• The call is broadcasted with that patient details
  against whom the emergency call icon is clicked.

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Emergency List - Connect to Consulting Doctor
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• Click on Connect button against an emergency
  patient.
• This will initiate a tele call to the consulting
  doctor.

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Emergency List - Doctors Side
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• Click on Connect button against an emergency
  patient.
• This will initiate a tele call to the attending
  doctor (ED).

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TiaMD WEB - Chat List
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Doctors Side - Chat List
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• Doctor can connect to other doctors in the
  organisation.
• Doctor can connect to cart users in the
  organisation.
• Doctor can view missed calls.

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Cart Side - Chat List
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• Cart User can connect to other cart users in the
  organisation.
• Cart User can connect to doctors in the
  organisation.
• Cart User can view missed calls.

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Rapid Responz - Doctors Mobile App
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Rapid Responz - Appointments
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• Doctors mobile app.
• All confirmed tele appointments for the current
  day is listed under Appointments Section.

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Rapid Responz - Tele Session.
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• When ED initiates Tele Call against an
  Appointment, Doctor receives the call in both
  TiaMD web and Rapid Responz app.

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Rapid Responz - Tele Session.
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• Doctor can initiate call against an Appointment
  from Rapid Responz, by clicking on Connect to ED
  button.

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Rapid Responz - Emergency List.
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• Complete Emergency List is displayed.
• ED initiated Emergency Calls is received
• Doctor can call against emergency patient.

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Rapid Responz - Cart List.
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• Doctor can connect to the cart from cart list.

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Rapid Responz - Call Log.
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• Doctor can view the complete call log.

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Rapid Responz - Directory.
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• Local Phone directory of all physicians.
• All physicians can be listed or groupwise
  physicians can be listed.

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Rapid Call - Cart Users Mobile App
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Rapid Call - New Emergency Patient Call.
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• Cart Users mobile app.
• Click on the emergency icon in the landing page.
• Skip from patient search.
• Click on Submit button.
• Emergency Call for a new emergency patient will
  be broadcasted to all Level 1
• doctors with emergency schedule.

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Rapid Call - Existing Emergency Patient Call.
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• Click on the emergency icon in the landing page.
• Search the needed patient from patient search.
• Click on Submit button.
• Emergency Call for existing patient will be
  broadcasted to all Level 1 doctors with emergency
  schedule.

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Rapid Call - Directory.
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• Local Phone directory of all physicians.
• All physicians can be listed or groupwise
  physicians can be listed.

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Scheduling an Office Visit and their Consultation.
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Scheduling Office Visit from Patient Side.
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• Patient sends an appointment request for an
  Office Appointment from Patient Portal or TiaCare
  App.

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Scheduling Office Visit from ED Side.
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• ED sends an appointment request for an Office
  Appointment from TiaMD Web.
• Appointment can be taken from Quick Appointment,
  Full Appointment or from Calendar View.

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Confirmation of Office Appointment.
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• Doctor / MA confirms the Appointment by changing
  the status of the appointment to booked from
  Outstanding Tasks.
• Or Doctor / MA can directly book the office
  appointment for the patient.

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Insurance Eligibility Check and Co-Pay
Collection.
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• Once the appointment is being confirmed, the MA
  checks the Insurance Eligibility, which is
  interfaced with Navicure, and collects the Co-Pay.

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Vitals Entry of the Patient.
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• Patient visits the hospital / clinic of the
  doctor.
• MA records vitals using wireless medical devices.
  These vitals will be logged into the
  TiaPeripherals app. MA can upload these vitals
  against the patient to TiaMD Web Portal or Mobile
  App.
• Uploaded Vitals can be viewed in TiaCare App and
  Patient Portal also.

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Consultation.
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• Doctor evaluates the patient and documents the
  information on TiaMD Web portal.