Telemedicine value proposition in undeniable. We wanted to take advantage of this technology to help everyone involved in the cancer care. Our Piiker cancer platform supports telemedicine from ground up. While making appointments, there is an option to specify whether you want a face-to-face or telemedicine session.

There are many reasons why sometimes cancer patients cannot make it to physician’s office. Even if they do, there is lot of pain, inconvenience and cost involved. I thought, telemedicine in this scenario is very useful for everyone involved. In this blog I will briefly describe how our platform supports telemedicine from ground up.

Patient has to communicate with various treatment team members.


In our oncology specific EMR, we have option to start the telemedicine session (if that appointment was setup to be a remote session). The following screen shot shows how that interface looks in our EMR. Appropriate resource from the provider’s office will start the telemedicine session.

start teleconference

Patient can login into our oncology specific patient portal from their location and join this telemedicine session. The following screen shot shows how it is done in our patient portal. In this particular scenario, patient ‘Jane Doe’ is signed into her patient portal. She can look at list of her appointments and has an option to join the telemedicine session.

Join teleconference

As I mentioned in my earlier blogs, we have the concept of creating virtual office for counselors and nutritionists in our platform. Even counselors and nutritionists can interact with patients remotely using our telemedicine support in our platform.

The following screen shot shows scheduling feature with in counselor’s virtual office. You can see that, there is an option to setup either a face-to-face or telemedicine sessions.

counselling appt 01


Piiker platform offers everything you need in the cancer treatment process in one place. Every piece of the puzzle is nicely integrated to provide best experience and value. We want to make a very positive impact in the world of cancer treatment.




:  a wise or learned man

Pandith is our decision support tool which will be used by the providers at the point of care. In a matter of seconds, you can search for a regimen based on various clinical criteria. If needed, you can compare two regimens side-by-side.

pandith - 1

We put the providers in the drivers seat by providing all the information required to make a sound clinical decision. We are able to do all of this because, our regimen designer allowed to create this digital content.

When it comes to presenting oncology specific information at the point of care – we are one of the best

When we were designing our product, we just focused on WHAT we wanted and HOW we want to present this to the end user. We had utter disregard for how we are going to implement. This attitude allowed us to come up with one of the best designs. As you can see from the following screen shot, in matter of seconds, providers can short list the regimens. Once they narrow down their options, they look at the regimen details by click of a button.

pandith - 2

Just by expanding a row (by clicking the gray arrow), provider will have access to very useful clinical information which will aid in the decision making process. In this screen shot, you can see that all the side effects caused by this regimen are easily available to the provider. Beauty of the solution is how information is made available in a most user friendly manner.


You can search for regimens based on various clinical aspects. The following screen shot shows a scenario where you can drill down to ICD codes of a given cancer type (in this case, user has selected breast cancer)


Comparing regimens side by side. The following screen shot will demonstrate the kind of user experience we are providing while working with such a complex set of information. In this screen shot you can see that, provider has selected two regimens and wants to compare various details of the regimen.


pandith-checkbox selection

pandith - compare


Document generation – we are one of the best

We generate various documents required in the cancer treatment process. The following screen shot shows one such document. Here, provider looked up a regimen to treat brain cancer, clicked a button next to selected regimen.




Having the cancer data in digital format, lets us provide useful analytics. Our platform provides rich financial and clinical analytics. Whether you want to look at your remittances and claims to get answers or look at regimens based on agents etc, we have it all.

Our platform provides insight into both clinical and financial aspects. All within a nicely integrated solution. User stays in one application. However, you can control what modules are available to given user through our user management module.


You can look at your denial trend and click on the graph to see the actual records

Denial Trend

The following screen shot shows the checks from your remittance files.

era checks

billing delay


This software is cloud based and securely hosted in cloud. It can scale to any number of practices and patients. You don’t have to install anything in your practice. You can tap into the power of Piiker from any browser. It is secure and HIPAA compliant.

It’s ready for business


Our solution is hosted in Azure, which offers enterprise grade SLA’s on   services and round the clock health monitoring.

It’s built to protect your data


Microsoft has made an industry-leading commitment to the protection and privacy of your data. They were the first cloud provider recognized by the European Union’s data protection authorities for our commitment to rigorous EU privacy laws. Microsoft was also the first major cloud provider to adopt the new international cloud privacy standard, ISO 27018.


Integrated and oncology specific EMR will enhance the effectiveness and provides a better user experience to providers.

We have one of the best regimen designer tool in the industry. We have made the power of this regimen designer and decision support available in our EMR which is integrated in this Piiker platform.

EMR - Dx screen

We have paid attention to every small detail. Oncology specific information through out the application with excellent UX (user experience).

Regimen Visualization

Most friendly regimen visualization. You can easily what regimen is this? What is being treated using this regimen (Bladder cancer in this case)?

EMR - Regimen visualization

Family History

User friendly and highly configurable family history capturing.

EMR - Family History


Show dense information in a compact manner. This shows the values as well as the trend in most compact format.

EMR - Vitals

Letter management

Manage all kinds of letters in your practice with ease. Produce rich content which is easy to read. The following screen shot shows a sample progress note created through our EMR.

Progress -Notes

Review of systems

It is important to have a highly configurable way of capturing review of systems. In our EMR , you can configure what sections you want to see and in what order as well. All the information is presented in a single page. All the configuration is performed in our administration module. These changes are stored at the practice level.


Quick patient summary

If all the relevant information is made available in a friendly manner, chances of making better clinical decisions will increase. Imagine a scenario, when provider is about to see a patient, but does remember everything about the patient’s history. Having an ability to quickly look at patient information in one glance is very valuable. Here is how we have accomplished this in our EMR.



This platform has critical clinical & financial information. It needs a very sophisticated user management system. We have designed and built a powerful permission management system. You can control access to every tiny bit of information.

When you put a patient on a given regimen, we implicitly assume that all the information in this regimen is accurate. While building the regimens in your organization, we want to make sure that only authorized people are allowed to add/change information. Even when authorized people are making changes, we keep track of all the changes for auditing purposes.

Recent changes in the healthcare and payment models are forcing health delivery team to be more productive and efficient. This is putting lot of pressure on the main physicians as they will be held responsible for the overall quality and outcome. They are going to reply more on technology, tools and digital information. We want to make sure that this digital content is created and maintained in a very secure manner.


Design a regimen (protocol) like a pro. Create a rich library of regimens. Implement a process for quality control and standardization. For a given regimen, you can control anything and everything related to cancer.

Back in the early 1980’s, if you did any “design” or “drafting” work, you were most likely working on a physical drawing board and tracing your ideas out on Vellum, Paper, or Mylar sheets using various kinds of mechanical pencil materials or maybe a Rapidograph ink applicator.  Maybe you used templates and lettering guides, or shape tracers or flexible curves.In the mid-1980’s came the first real significant influx of computerized design technologies.They were collectively termed “CAD” for Computer Aided Design.  If they were connected to manufacturing machinery, they were called “CAD/CAM” for CAD + “Computer Aided Manufacturing”. They were magical for their time. These technologies changed the landscape of designing and manufacturing.

Cancer is one of the major diseases of our times. Regimen used to treat this disease are very complex in nature. For some unknown reasons, there is no easy way to “design” a chemotherapy regimen (protocol). We created our regimen designer to fill this void.

Using our regimen designer, you can digitally capture every detail (clinical and financial) of a given regimen (protocol). You can do so in a very controlled manner. Every change is tracked to implement accountability aspects. You can build your regimen library with confidence and have a piece of mind that there won’t be any uncontrolled changes.


“Patient engagement is very critical in the cancer world. A good patient portal will help in engaging patients to provide an effective treatment and contain costs.”

The following screen shot taken from our oncology specific patient portal shows list of regimens assigned to a patient. Just by a click of button, patient can see many useful aspects about his/her regimen. Providing ultimate UX (user experience) is a very deliberate design in every part of our application.

patient portal blog

Here when patient expands the regimen to see more details, there is an option to see list of agents. Next to the names of these agents, there is a document icon. When use clicks on this icon, they will be presented with the patient centric information about that regimen. You may be wondering how this agent information gets into the platform. That is where our regimen designer comes into picture.

In our platform, we are digitizing all the content related to cancer. It lets us deliver this content in many scenarios, including this particular scenario in patient portal. Regimen designer is the tool which will let you manage this digital content.

If we are able to provide such a rich experience in patient portal, you can imagine how much more information is made available in our provider facing solutions. At the point of care, we cannot have enough information to make a good judgment call. We present all the information you need without compromising the UX (user experience).

In order for the treatment to be effective, patient adherence is critical. In our patient portal, we have provide rich calendaring options. We can deliver reminders (optional) through email and/or text.

patient portal - calendar

This screen shot taken from our oncology specific patient portal, shows scheduled events for this patient.

It is important to deliver clinical information in a patient friendly manner. The following screen shot shows how we deliver lab information to patients through our oncology specific patient portal.

patient portal - lab information


October 1st 2015 is the deadline to switch over to ICD 10. We have lot more codes in this version. Your software should make this transition breeze for the end users. Our software does an excellent job at it.

When you have such a large set of data, presenting this information to clinicians in a friendly manner becomes a challenge. Every second you help save while working with such large set of ICD codes, helps providers to spend that time in giving better care to patients. Going one step further, at the point of care, software dealing with ICD codes should provide all the additional information such as what are the mutually exclusive codes? Should I use any additional codes? etc.

Our platform goes beyond just supporting ICD 10. In our content management system, we let users associate other important metadata which becomes extremely useful at the point of care.

female breast cancer

As you can you see, in ICD 10 providers should identify. It seems complex and time consuming. In our software, it is just a matter of picking an item from a list.

Gender: Male/Female


  • Nipple/areola
  • Central portion
  • Upper-inner quadrant
  • Lower-inner quadrant
  • Upper-outer quadrant
  • Lower-outer quadrant
  • Axillary tail
  • Other site, including:
      • Contiguous/overlapping sites
      • Ectopic sites
      • Inner breast
      • Outer breast
      • Upper breast
      • Lower breast
      • Midline
      • Unspecified

Laterality : Right/Left


Imagine a scenario of patient walking into a provider’s office to know if he/she has cancer. Providers have to diagnose the problem. If it is determined to be cancer, a proper regimen has to be used to treat the cancer. Patient has to go through the treatment plan for a certain period of time. Even after the treatment, patient has to visit the provider to make sure that everything is in order.

Lot of actors in involved in the process of cancer treatment. It is a very collaborative effort. Piiker is a software platform which helps providers, patients and other auxiliary personnel in every step of the process. Piiker helps all the way from designing a regimen to delivering the treatment using this regimen to patient. It provides a good platform to manage your evidence based regimens.

Piiker has several components which work together to provide a very comprehensive solution to everyone involved in the cancer treatment world, including patient. The following are the major components which make up the complete solution.

  • Regimen Designer
  • Pandith
  • Agent Manager
  • Disease/ICD Manager
  • User Management
  • EMR
  • Patient Portal
  • Analytics
  • Pathways


This software is cloud based and securely hosted in cloud. It can scale to any number of practices and patients. You don’t have to install anything in your practice. You can tap into the power of Piiker from any browser. It is secure and HIPAA compliant.


piiker platform