Constellation

De novo. Not present at the prior visit. No depth ruler on this photo. Size not measured.

78 spots matched by hand

Every visit aligned. Every spot remembered.

The reference layer beside your EMR. Every visit aligned, every spot linked, change measured in millimeters. The doctor stays the clinician.

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Photographs: ISIC Archive, University of Pittsburgh Medical Center and Hillman Cancer Center, CC BY 4.0. Registered offline by Constellation.

29
poses in a visit
78
spots matched in the pair above
1
spot that was not there before

The record

Photographs in folders are not a record. This is.

A second pair, published and de identified. The same lower leg at two visits, registered by Constellation. Drag the divider.

The same lower leg at two visits, registered. A lesion is present at the second visit where the first was unremarkable.
June 201844 monthsFebruary 2022
Pizzichetta et al., Cancers 2023, CC BY 4.0

The dial

It defaults to zero.

Constellation surfaces change only as far as you turn the dial. Off is the default. Press and hold a level to see what it would show you. Let go and it returns to Off.

The registered back from the top of the page, used here to show what each level of the dial would surface.

The dial

Fainter than the prior visit, lower confidence

0

Nothing flagged

The room

Captured at rooming, on the iPad already on the cart.

Twenty nine poses in a fixed walk order. The prior visit ghosts under the viewfinder so the same pose lands the same way. The exam itself is never interrupted.

Walk order

0 of 29 poses captured

  1. Head, front
  2. Head, right
  3. Head, left
  4. Head, back
  5. Scalp, vertex
  6. Right arm, posterior lateral
  7. Right arm, anterior lateral
  8. Right arm, medial
  9. Right forearm, dorsomedial
  10. Right forearm, dorsolateral
  11. Right forearm, ventral
  12. Left arm, posterior lateral
  13. Left arm, anterior lateral
  14. Left arm, medial
  15. Left forearm, dorsomedial
  16. Left forearm, dorsolateral
  17. Left forearm, ventral
  18. Right leg, anteromedial
  19. Right leg, anterolateral
  20. Left leg, anteromedial
  21. Left leg, anterolateral
  22. Both legs, posterior
  23. Feet, plantar
  24. Back
  25. Full body, back
  26. Full body, front
  27. Chest and abdomen
  28. Flank, left
  29. Flank, right

Head, front

  • Head, front
  • Head, right
  • Head, left
  • Head, back
  • Scalp, vertex
  • Right arm, posterior lateral
  • Right arm, anterior lateral
  • Right arm, medial
  • Right forearm, dorsomedial
  • Right forearm, dorsolateral
  • Right forearm, ventral
  • Left arm, posterior lateral
  • Left arm, anterior lateral
  • Left arm, medial
  • Left forearm, dorsomedial
  • Left forearm, dorsolateral
  • Left forearm, ventral
  • Right leg, anteromedial
  • Right leg, anterolateral
  • Left leg, anteromedial
  • Left leg, anterolateral
  • Both legs, posterior
  • Feet, plantar
  • Back
  • Full body, back
  • Full body, front
  • Chest and abdomen
  • Flank, left
  • Flank, right

The boundary

Constellation stops at the end of the exam.

The note, the orders and the biopsies stay in your EMR. Constellation is not an EMR. It is the reference layer beside one.

Constellation

  • The photographs
  • The alignment
  • The spot record
  • The measurement
  • Per photo consent
End of exam

Your EMR

  • The note
  • Orders
  • Biopsies
  • Coding
  • Scheduling

EMA by ModMed, EZDerm, and others

Millimeters

A number that says how sure it is.

With a LiDAR iPhone or iPad in the room, every spot is measured in millimeters with an error bar. Without one, Constellation says so in plain words instead of guessing.

The de novo spot at ten times, from the second visit.
The de novo spot at ten times, from the second visit.

Size

Not measured

No depth ruler on this photo. Size not measured.

No new hardware. The iPad on your rooming cart. One LiDAR iPhone in the building turns on millimeter mode.

Per provider, per month. No capital, no per photo fees. Total body photography has its own CPT code, 96904.

Who built it

A practicing dermatologist and a software engineer.

Built in a working dermatology clinic, on the visit the practice already runs. One founding clinic today.

A practicing dermatologist

Runs the clinic the product was built inside, and rules on every clinical decision in it.

A software engineer

Builds the alignment, the record and the surfaces it runs on.

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