Medora Vision · Live — In Daily Clinical Use at Allergy Affiliates

Skin Testing Software for Allergy Clinics

Skin prick (SPT), intradermal (IDT), and patch testing in one structured workflow. Provider orders. Nurse tests with photo capture and AI detection assist. Provider reviews. Documentation writes itself.

Used for real patient care at Allergy Affiliates. Every AI reading is reviewed by a nurse — nothing is finalized without a human.

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Medora Vision — from $299/month for a solo allergist · free 30-day beta, no credit card · all tiers

Medora Vision — controls validation, wheal/flare detection, result classification

The Problem with Paper-Based Skin Testing

Most allergy clinics still run skin testing on paper. It works — until it doesn't.

Inconsistent Capture

Handwritten wheal sizes vary by nurse. No enforced format. Abbreviations differ between staff. Results are hard to compare across visits.

Paper has no guardrails — consistency depends entirely on individual practice.

Handoff Gaps

Provider orders verbally. Nurse performs the test. Results communicated on paper or verbally. Provider may not see the raw data before documenting.

Every handoff is a failure point — context gets lost between nurse and provider.

Manual Transcription

Test results get transcribed into the visit note by hand. Double-entry. Transcription errors. No structured audit trail.

Documentation shouldn't require re-typing — results should flow directly into the note.

A Structured Digital Skin Testing Workflow

Four steps. Two roles. One structured record — for SPT and IDT.

01 Provider Orders
→
02 Nurse Tests + Photographs
→
03 Provider Reviews
→
04 Structured Documentation
Medora skin testing workflow — provider orders, nurse tests with AI photo analysis, provider reviews and signs off, documentation auto-generated

How It Works

Role-based workflow with clinical guardrails, photo-assisted reading, and automatic documentation

Photo Capture with AI-Assisted Sizing

The nurse photographs the test panel. Medora flags reactions per site as a second pair of eyes while the nurse measures and records each wheal and flare — the nurse's reading is always the system of record, and the AI never enters a measurement.

  • Per-site wheal and flare suggestions, in millimeters
  • Every panel photo-documented in the record
  • Nurse review and correction on every reading
  • Clear per-site flag when a photo can't be read

SPT and Intradermal in One Workflow

Skin prick panels organized by section — controls, trees, grasses, weeds, molds, foods. When SPT results come back, Medora suggests AAAAI-eligible intradermal candidates for the provider to consider. The provider decides.

  • Section-by-section panel reading
  • IDT candidate suggestions follow AAAAI criteria
  • SPT and IDT results kept cleanly separated
  • Multi-section panels preserved on save

Clinical Guardrails Built In

Structured data entry that enforces consistency across nurses and visits. Histamine and saline control validation, required fields, and readings recorded following AAAAI conventions.

  • Histamine and saline control validation
  • Structured wheal-size entry (mm), AAAAI-aligned
  • Required fields prevent incomplete data
  • Full audit trail — who ordered, tested, corrected, signed off

Documentation That Writes Itself

Test results flow directly into structured visit documentation. Per-allergen summary. Objective section populated. No manual transcription or double-entry — and the Scribe knows what the skin test measured, because they share the same patient context.

  • Per-allergen results summary
  • Objective section and SOAP-ready output
  • No manual transcription needed
  • One patient, one visit, one record

Patch Testing, Same Discipline

Contact dermatitis workups run on a multi-day clock — apply, then read on day 2, day 3–4, sometimes day 7. Medora keeps the whole series in one place, so no reading day gets lost between visits.

Ordered like a panel

The provider orders the series; the nurse marks patches applied with an overview photo. Every step lands in the same patient record as SPT and IDT.

Read on the right days

Day 2, day 3–4, and late day-7 readings each get their own photos and ICDRG grading (− to +++, IR). Structured capture — the nurse's reading is the record.

Reviewed before it counts

All reading days side by side, scores adjustable, then the provider signs and finalizes — the same review-first rule as every Medora workflow.

Built Inside a Real Allergy Practice

Developed, tested, and used daily at Allergy Affiliates — not a lab prototype

100%

Nurse-Reviewed

Every AI-flagged reaction is reviewed by the testing nurse, and the nurse's own reading is what counts. The human always decides.

AAAAI

Reading Conventions

Wheal and flare in millimeters, control validation, and IDT eligibility criteria aligned with AAAAI practice parameters.

Daily

Production Use

Live for real patient care at Allergy Affiliates — not a pilot.

HIPAA

Compliant

HIPAA-compliant infrastructure with BAA. Encrypted at rest and in transit.

Common Questions

Straight answers about how Medora skin testing works

Does it support intradermal testing?

Yes. SPT and IDT run in the same structured workflow. After SPT review, Medora suggests AAAAI-eligible intradermal candidates — the provider always decides what to order.

Does the AI replace the nurse?

No. Photo analysis flags reactions so nothing on the panel gets missed, but the nurse measures and records every value. Nothing is entered or finalized without a human.

What about photos the AI can't read?

Each site gets an explicit per-site reason when a measurement isn't available, and the nurse measures manually — the workflow never blocks on the AI.

Is this actually in clinical use?

Yes — daily, at Allergy Affiliates in Florida, by the nurses and providers who helped design it. Ask us for a live walkthrough of a real workflow.

See Skin Testing in Your Workflow

Watch a real SPT and IDT session end-to-end, then ask us anything. Still on paper? Ask about our free skin-test documentation audit — send us your last 50 paper SPT records and we'll show you what structured capture would have caught.

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Purpose-built for allergy clinics HIPAA-compliant · BAA signed Live at Allergy Affiliates