Community Paramedicine · Remote patient monitoring

Home readings, from the kitchen table to the chart.

Between visits, a client's blood pressure, heart rate, oxygen level and blood sugar come to their Community Paramedicine chart from a simple tablet at home. The community paramedic sets the tablet up with a 6-digit code; a Bluetooth blood-pressure cuff and a fingertip oximeter send their readings by themselves; the chart shows the week at a glance, and HQ sees the whole program on a laptop. Plain numbers, encrypted, every look logged — and not watched in real time.

Set up with a 6-digit code Cuff & oximeter send by themselves English & French Works without signal Encrypted, every look logged

Every screen below is the product on demonstration data — no real client information.

How it flows

From the client's home to the chart, in four steps

Enable

On the client's profile, right above Encounters & Notes. It needs the client's signed, locked consent, and nothing is turned on until a tablet takes a code.

A 6-digit code

Shown large on the paramedic's iPad. It works once and lasts 10 minutes, and the medic types it on the client's tablet.

Readings come in

The cuff and the oximeter send by themselves, and any reading can also be typed on the tablet. A reading waits 5 minutes for the rest of the set, then sends, with Cancel there the whole time.

On the chart

The last 7 days on the profile, trends when you want them, and the whole program at HQ. Not watched in real time: a home reading alerts nobody.

On the paramedic's iPad

Set up from the client's profile — confirmed on the chart by name RPM

Remote patient monitoring sits on the client's profile, directly above Encounters & Notes. Until it's needed it is one line and an Enable button. Enable walks the medic through setting up the client's tablet, and Make a code shows a 6-digit code, large, for that client by name. The medic types it on the tablet's own number keys, and the chart confirms which client the tablet now sends to, because the tablet itself never shows a name.

The paramedic's iPad on a CP client's Patient Record: the Remote patient monitoring card, with only a refresh button and an Enable button, and Encounters & Notes directly below it with two progress notes and a signed first visit, then Documents

Before it's needed, remote patient monitoring is one line on the client's profile: an Enable button, directly above Encounters & Notes.

Enable — the set-up steps

Enable shows the four steps. Nothing is turned on until the client's tablet takes a code.

A set-up code shown for one client by name and CP code: six large digits, the line Works once and the time it runs out, and Check and Cancel code buttons

The code is shown large, for this client by name, with the minute it runs out. It works once, lasts 10 minutes, and is never saved on the iPad or put in a web address.

The client's tablet on its set-up screen: Set up this tablet, six digit boxes, the tablet's own number keys and the Set up this tablet button

On the client's tablet, the medic types the 6-digit code on the tablet's own number keys.

A green bar reading Tablet set up for the client by name and CP code, the line saying a tablet took the set-up code and now sends home readings to this chart, and a Done button

Once the tablet takes the code, the chart says so by name. The tablet never shows a name, so this is where the medic confirms it was set up for the right client.

Consent firstEnable needs the client's signed and locked consent, and says why when it can't be used.

Turn it off in one stepNo longer needed, or lost or stolen: Turn off asks why and needs no PIN, so a lost tablet can be stopped from the chart.

One tablet per clientSetting up a new tablet for a client switches off that client's previous one.

At home

A tablet that does one thing

On a locked-down tablet provided to the client, one app opens on one simple page: heart rate, oxygen level, blood pressure and blood sugar, in English or French. A Bluetooth blood-pressure cuff and a fingertip oximeter send their readings to it by themselves, and any reading can also be typed in. Readings wait five minutes for the rest of the set, then send on their own — with a Cancel button the whole time. With no signal, the tablet keeps them and sends them when the connection is back.

The readings page on the client's tablet: Blood pressure monitor connected, with the note that readings already stored in it will not be used, above the heart rate, oxygen level, blood pressure and blood sugar boxes, and the footer line This page is not watched in real time. In an emergency, call 911.

The cuff connects. The page says readings already stored in it will not be used — and, at the foot of the page: this page is not watched in real time; in an emergency, call 911.

The readings page with readings filled in and a bar reading 2 readings are ready to send, Sending on its own in 5 minutes, with a Cancel button

A reading waits five minutes for the rest of the set, then sends by itself. Cancel is there the whole time.

The readings page in French on a phone-sized screen, with the heart rate, oxygen level, blood pressure and blood sugar boxes

English or French, in one tap

One tap switches the whole page between English and French. The page also fits a phone screen — here in French.

A fresh start at set-upThe first readings a cuff sends after a tablet is set up for a client — anything it was holding from before — are thrown away, not filed; after that every reading counts, whatever the cuff's clock says.

Works without signalReadings are kept on the tablet and sent when the connection is back.

The screen stays onOn a provided tablet, the app keeps the screen on while the readings page is open.

Moving a tablet is deliberateA 2-second hold on the logo, then three screens, each with a big "Keep this patient" way out. Unsent readings are deleted, after a warning.

No name on the screenThe page shows the service's name — never the client's name, never their history.

Sent, with the timeOnce a set goes, the page says "Sent ✓" with the time and offers Enter new readings.

The readings, on the chart

The week at a glance — the trend when you want it

Once a tablet is set up, the section lists the last 7 days of readings, newest first and grouped by day, in 24-hour time with units — and how each one got in: from the BP monitor, from the oximeter, or typed on the tablet. Show trends opens plain charts for blood pressure, heart rate, oxygen level and blood sugar over 4 weeks or 3 months, with a by-week table of the lowest to highest value each week. On the iPad, a gap of more than two days shows as a gap, not a line nobody measured. Plain values with no ranges, flags or colours: the numbers are the numbers, for the clinician to interpret.

The Remote patient monitoring section once a tablet is set up: the tablet line with Turn off and Set up a new tablet, Last 7 days with Show trends, readings grouped by day in 24-hour time with units, each marked from the BP monitor, from the oximeter or typed on the tablet, and the closing line No home reading is checked by a paramedic

The week at a glance: every reading with its time, units and source, and one line that stays under the list — no home reading is checked by a paramedic.

Show trends at 4 weeks: plain single-colour charts for blood pressure, heart rate, oxygen level and blood sugar, and a By week table of the lowest to highest value each week

Plain trend lines per measure and a by-week table, lowest to highest. Every reading keeps its own dot.

Online onlyHome readings are never kept on the iPad. With no connection the section says so; it never shows an empty list.

Says only what the record knowsEach reading says how it got in and that no paramedic has checked it; it never claims who took it.

Fix a wrong readingA reading typed wrong, put on the wrong client or entered twice is deleted with a reason and the medic's PIN, and every deletion is logged.

At HQ, on a laptop

The whole program on one screen — and not one reading value on it

In the admin portal, Community Paramedicine gains a Home monitoring tab: seven counts — tablets on, sent in the last 24 hours, nothing for 24 hours or more, set up but nothing yet, codes waiting, turned off in the last 30 days, and needs a look — over a list of every client with a home tablet, showing its state, when the last reading arrived and how many came in over 7 days. Times and counts only: no reading values on the list. Click a client for their read-only readings and trends. The caseload gains a Home readings column and filter, and every look is written to the access log.

The admin portal's Community Paramedicine tabs with Home monitoring selected, and the Home monitoring card: seven count tiles — tablets on, sent in the last 24 h, nothing for 24 h+, set up nothing yet, codes waiting, turned off, needs a look — over a list of clients showing each one's tablet state, who set it up, the last reading received and the 7-day count, with no reading values

Home monitoring sits beside Schedule, Caseload and the other Community Paramedicine tabs. It lists every client with a home tablet, a code waiting, or a tablet turned off in the last 30 days: its state, who set it up, when the last reading arrived and the 7-day count. Click a tile and the list shows exactly those clients.

A client's record in the admin portal at Remote patient monitoring: the tablet line, the note Read-only here, a CP medic sets the home tablet up, turns it off and deletes a wrong reading on the CP iPad, the line Not watched in real time, Last 7 days with Hide trends, the 4 weeks and 3 months buttons, and the blood pressure trend chart

Click a client and their record opens at Remote patient monitoring, marked read-only: the last 7 days, and plain trend charts over 4 weeks or 3 months. Each look is its own entry in the client's access log.

Needs a lookA tablet still on for a client who has been discharged, has died, or whose consent isn't in place is counted and named — a check on the set-up, never on the readings.

Read-only by designTablets are set up and turned off on the paramedic's iPad; HQ reads.

Refresh when you chooseThe tab loads when it's opened and on Refresh, and says when its counts are out of date.

Security & privacy

Private by design, like the rest of the client file

Home readings sit on the client's Community Paramedicine file, under the same safeguards as everything else in it.

Encrypted at restevery reading is encrypted before it is stored — hosted and encrypted in Canada, like the rest of the platform.

Only a fingerprint is keptthe server keeps a one-way fingerprint of each tablet link and each set-up code, never the link or the code itself.

Codes that can't be reuseda set-up code works once, lasts 10 minutes, and locks after repeated wrong guesses.

Consent-awareif consent is withdrawn, or a client is discharged or dies, the server stops accepting that client's readings.

No name on the client's tabletthe tablet shows the service's name, never the client's; the chart confirms who it was set up for.

Every look is loggedeach view of a client's home readings is its own entry in the access log, never merged — and so are set-ups, turn-offs and deletions.

What it deliberately doesn't do

Plain readings, on purpose

These are design choices, stated up front.

Not watched in real timeA home reading alerts nobody. The client's tablet tells them to call 911 in an emergency.

No alarms, thresholds or coloursPlain values, for the clinician to interpret.

No readings on the HQ listThe program view is times and counts; values open only inside a client's record, and that look is logged.

No guessing who took itThe record says how a reading got in, never who was holding the cuff.

No account for the clientNo password and no sign-up: the paramedic sets the tablet up with a one-time code.

Nothing kept on the iPadHome readings are read from the server each time and never stored on the paramedic's iPad.