iRehab Doctor Onboarding — From Registration to Your First Patient

What is iRehab

iRehab is a free post-surgical rehabilitation tracking system. Doctors prescribe exercises, patients execute and report from home, and PTs adjust protocols based on real data.

The system has three components:

Doctor PWA — For doctors and PTs. Patient list, prescriptions, trend tracking, PROM collection.
Patient PWA — For patients. Exercise check-in, pain reporting, wound photos, questionnaires.
MVC Dashboard — Patient account creation and advanced management.

Your data belongs to you. Export anytime, no questions asked, in standard JSON format.

Step 1: Get an Invite Code

iRehab is currently invite-only. Apply for your personal invite code on the application page: the code appears on screen as soon as you submit the form, and a copy is emailed to you.

The code is bound to your email, valid for 7 days, and single-use.

Step 2: Register Your Doctor Account

Tap the registration link in your invite email (it fills in the code for you), or open the registration page yourself: doctor.denovortho.com/#/register
Fill in your details:

Field	Description
Name	Your full name
ID Number	Used as your login credential
Password	Choose a secure password
Phone	Contact number
Email	Must match the email linked to your invite code
Department	e.g., "Orthopedics," "Rehabilitation Medicine"
Invite Code	The code you received in Step 1

Tap "Create Account." You'll see a confirmation message on success.

Account Review (Before Your First Login)

To protect patient data, every newly registered doctor goes through a manual identity review before any patient data becomes visible.

Right after you register, you'll receive an email with the subject "[iRehab] 已收到您的註冊資料" ("[iRehab] Registration received").
If you log in during this period, the app shows "Account under review." This is a normal step, not an error.
We review accounts as quickly as we can. Once yours is approved, you'll get a second email, subject "[iRehab] 帳號已完成核准" ("[iRehab] Account approved").
After you get the approval email, open doctor.denovortho.com. If the screen still shows "Account under review," tap "Check status again" or refresh the page. If your session has expired, just log in again.

If the app says your account can't be used, or the review seems to be taking a long time, email service@denovortho.com.

Step 3: Log In to Doctor PWA

Once your account is approved, log in to the doctor interface:

doctor.denovortho.com

Enter your ID number and password. You'll see an empty patient list — that's expected.

After your first login, we recommend visiting the "Profile" tab to fill in your Institution Name and avatar.

Add to Home Screen (Use It Like a Native App)

iRehab is a PWA (Progressive Web App) — no App Store download needed. Once it's on your home screen, it opens as fast as a native app and also works offline.

iPhone / iPad (Safari):

Open doctor.denovortho.com in Safari (it must be Safari — Chrome isn't supported)
Tap the Share button (square with an upward arrow) in the bottom toolbar
Scroll down and tap Add to Home Screen
Tap Add

Android (Chrome):

Open doctor.denovortho.com in Chrome
Tap the three-dot menu in the top right
Tap Add to Home Screen or Install App
Tap Add

Once added, the iRehab icon appears on your home screen. Tap it to open the app directly — no browser needed.

Step 4: Share Your Patient Registration Link

Every doctor has a unique patient registration link. Send it to your patients and let them fill in their own details.

Your patient registration link:

patient.denovortho.com/?doctor=YOUR_DOCTOR_ID

You can find your Doctor ID on the "Profile" tab of the Doctor PWA once you're logged in.

Recommended setups:

Clinic front desk: On the Doctor PWA "Profile" tab, tap the "QR" button to download a QR code image. Print and laminate it for your front desk — patients scan it and fill in their own details.
LINE Official Account: If you have a LINE Official Account, add this link to your rich menu. First-time visitors land on the registration page; returning visitors land on the login page.
A note on the LINE in-app browser: LINE's built-in browser automatically redirects to Safari (iPhone) or Chrome (Android). That's expected. After the redirect, walk patients through "Share → Add to Home Screen" so they can open the app straight from their home screen afterward instead of going back into LINE each time.

Patients fill in:

Field	Description
Name	Patient's full name
ID Number	Becomes their login credential
Phone	Becomes their default password
Email (optional)	Patients who provide one receive weekly rehab reports
Date of Birth	Basic demographics
Surgery Date	Once entered, the system auto-creates the rehab plan
Diagnosis	e.g., "Left knee osteoarthritis"
Procedure	e.g., "Total knee arthroplasty"

Once registration is complete, the system automatically:

Creates the patient account (password = phone number)
Creates a CareEpisode (their rehab journey)
Generates the first exercise prescription (auto-matched to a protocol based on the procedure)
Creates a Google Drive folder for the patient's photos
Adds the patient to your Doctor PWA patient list right away

Step 5: Patient Logs In to Patient PWA

Tell your patient:

Open patient.denovortho.com on their phone
Username: their ID number
Password: their phone number (recommend changing it after the first login)

After logging in, patients see their daily tasks:

Exercise — Follow the prescription and check off each exercise as they go
Report — Daily pain level (VAS 0–10) and a wound photo
Questionnaire — PROM surveys the system sends automatically at set points (19 instruments in total, auto-matched to the procedure)

Help Patients Add to Home Screen

We recommend doing this for the patient yourself, during the clinic visit or at discharge — most patients (especially older adults) don't know what a PWA is.

You can say something like:

"Let me add the rehab app to your phone's home screen. After this, just tap this icon every day and follow the exercises."

iPhone: Safari → Share button → Add to Home Screen → Add

Android: Chrome → three-dot menu → Add to Home Screen → Add

Once added, the app is cached on the phone and keeps working even on a spotty connection. Exercise logs sync automatically once the connection is back.

Step 6: Track and Adjust

Back in the Doctor PWA, you'll see:

Patient List — sorted by triage (alerts first, most recent surgeries first)
Patient Detail — tap into a patient to see five tabs:
- Overview — VAS trend and adherence charts
- Prescription — the current exercise prescription, editable inline
- Assessment — the PT assessment form (ROM, SOAP notes, phase advancement)
- Progress — wound photos, PROM scores, milestones
- Surgical Record — post-op fields for surgery details (implant model, intraoperative findings, and more), for later tracking and outcome analysis

PROM Questionnaires

The system has 19 built-in PROM instruments and automatically matches the right set to each patient's procedure. A total knee arthroplasty, for example, pairs with KOOS JR, PROMIS Global-10, and the Oxford Knee Score; a total hip arthroplasty pairs with HOOS JR, the Oxford Hip Score, and others.

You don't need to pick questionnaires by hand — the system schedules them automatically from the CareEpisode's procedure code, sending them at the pre-op baseline and again at 6 weeks, 3 months, 6 months, and 1 year. If your hospital is applying for the Joint Commission of Taiwan's Disease-Specific Care Certification (DSCC) or takes part in an NHI bundled-payment program, the bundle governance module keeps collection frequency aligned with reporting requirements.

Modifying Prescriptions

When you need to adjust a patient's exercise prescription:

Open the "Prescription" tab → tap "Edit"
Update the exercises (add or remove movements, adjust sets/reps)
Select a reason for the change (the system logs this to improve future AI suggestions):
- Pain too high, ROM insufficient, patient request, wound issue, swelling, ready to progress, other
Tap "Save Prescription"

Co-Managed Care (Sharing an Episode)

If a patient is co-managed by, say, an orthopaedic surgeon and a rehab physician at the same time, you can share the episode with another doctor:

Open the patient's detail page → tap the share icon in the top-right corner
Search for the other doctor by name → tap "Share"
They'll then see this patient's data in their own Doctor PWA

Sharing is read-only — the other doctor can view the record but can't edit your prescriptions or assessments. You can revoke access at any time.

Wish Pool

Open the Wish Pool from the Profile tab in the Doctor PWA to see feedback from your patients (feature requests, problem reports, questions, AI suggestions), sort it by newest or by votes, and reply directly.

Exporting Your Data

On the "Profile" tab, tap "Export My Data" to download a complete JSON file of all your patient data. Your data belongs to you.

Step 7: Analyze Patient Data with AI Tools (Optional)

iRehab supports BYO-LLM (Bring Your Own LLM) — connect your own AI tool of choice (Claude Code, Gemini CLI, Codex CLI, and others) directly to your patient data for trend analysis and weekly report summaries.

Update, 2026-04-18: The Doctor PWA's bottom navigation was reorganized into 5 tabs (Home / Brief / Patients / ✨ AI / Profile). All AI-related settings — including the API Token covered below, and the BYOK Gemini translation key used in-clinic — now live under the new ✨ AI tab. The BYOK translation key lets you translate a foreign-language patient's chief complaint with one tap during the visit. Full setup and usage instructions are in Brief — Doctor's Operations Manual §6.

Why We Built It This Way

We don't embed a specific AI chat box in the app. Instead, we expose a secure data-access layer and let you pick your own AI tool. Why:

AI models turn over roughly every six months — we don't want to lock you into one vendor
Use Claude, Gemini, or a local model — whatever you're comfortable with
Your data isn't stored on the AI vendor's servers (this depends on the plan you choose — we recommend an Enterprise tier)

3-Minute Setup

Generate an API Token: Doctor PWA → Profile → API Token → enter a Label → tap Generate
Copy the install command: once the token is created, the app shows a one-line Claude Code command — tap "Copy Install Command" and paste it straight into your terminal
Start using it: in Claude Code, ask things like "List my patients" or "Which patients have low adherence?"

Full setup guide: denovortho.com/irehab/ai-setup

Security Boundaries

By default, the AI Token is read-only and scoped to your own patients. Once Phase 2 is enabled, the AI can draft assessment notes, but only as drafts (draft-only enforcement) — nothing takes effect until you confirm it
National ID, phone number, and email are stripped automatically before anything is sent to the AI
Tokens can be revoked at any time
Capped at 60 queries per minute (abuse prevention)
AI output is assistive analysis only — it doesn't diagnose independently or write prescriptions

No CLI Needed — Path A

Most doctors don't need to set up an API Token at all. In Step 3 of the assessment form, tap "AI Assist SOAP" — the system generates a prompt and copies it to your clipboard automatically. Open ChatGPT or Gemini on your phone, dictate the patient's condition, and paste the reply back in. iRehab itself never transmits any patient personal data.

Privacy & Data Sovereignty

iRehab's design principle is: your data, your call. We believe that if leaving is easy, people won't leave.

Where Your Data Lives

Data Type	Storage Location	Notes
Exercise logs, VAS, PROM	Google Cloud Firestore	ISO 27001-certified cloud database
Wound photos	Google Drive	Company-managed cloud storage
Photos on progress-share cards	Not uploaded	Processed locally on your phone only, discarded after use
Offline cache	Your phone	Syncs to the cloud once your connection is back

Who Can See Your Data

Your attending physician and any physical therapist (PT) they've authorized can view your rehab records
No other doctor can see your data — each doctor only sees their own patients
The De Novo team accesses data only for technical support and system maintenance, never for clinical purposes

AI Tool Access

Your attending physician may use AI tools (such as Claude Code or Gemini CLI) to analyze your rehab data and provide more precise clinical recommendations.

AI tools can only access data your attending physician is already authorized to view
iRehab doesn't store the doctor's AI conversation content
AI analysis tools run on the doctor's own device — they aren't hosted by De Novo
Personal identifiers — National ID, phone number, email — are automatically stripped before anything is sent to the AI
AI output is assistive analysis only; it doesn't diagnose independently or auto-generate prescriptions
You can ask your doctor not to use AI tools on your data

Push Notifications

iRehab sends rehab reminders using the Web Push API (a W3C standard) — no third-party push service (such as Firebase) is involved.

Push notifications are only sent once you've opted in
You can turn them off in your phone settings at any time
Push content is limited to rehab reminders (exercises, check-ins, questionnaires) — never ads

Five Things We Don't Do

We don't sell data — your rehab records are never sold to any third party
We don't run ads — there's no advertising anywhere in the system
We don't lock you in — no contracts, no minimum commitment period
We don't lock up your data — export everything, anytime, in JSON format
We don't leave a back door — once you stop using iRehab, you can request permanent deletion of all your data

The Walkaway Test

We stress-test our own product design with what we call the Walkaway Test:

If a doctor decided today to stop using iRehab, could they walk away with all their data in 5 minutes and switch to another system?

The answer has to be yes. That's not just a feature — it's a commitment.

Your rights:

Export — on the Doctor PWA "Profile" tab, tap "Export My Data"
Delete — contact service@denovortho.com to request deletion
Access — review everything the system holds on you
Portability — exports use open, standard JSON/CSV formats, importable into other systems

Full privacy policy: denovortho.com/privacy

Step 8: Patients Can Use AI Too (Ask My AI)

The Patient PWA home screen now has an "Ask My AI" feature. With one tap, patients can copy their own rehab summary — days post-op, pain trend, completion rate, and how far they are from the next phase — and paste it into ChatGPT, Claude, Gemini, or another AI tool for self-directed Q&A.

Design principles:

BYoAI (Bring Your Own AI) — same as on the doctor side: patients use their own AI tool, and iRehab doesn't host an LLM
The AI doesn't give medical advice — the four preset prompts all use verbs like "summarize," "flag," and "list" — never "recommend" or "diagnose"
Every export carries a disclaimer — "This summary is only meant to help organize questions for your next visit and should not be used on its own to change your treatment plan"
PHI is filtered out — exports never include the patient's name, National ID, phone number, or the doctor's name — only clinical data

What this means for you:

Patients may show up to their visit with questions an AI has already organized for them. That's a good thing — their questions tend to be more structured ("My ROM is improving slower than expected — is that because I'm not doing enough squats?"), which makes visits more efficient.

Step 9: Handoff Reports (Referral / Discharge)

When a patient needs to transfer to another doctor's care, you can put together a structured handoff report right in the Doctor PWA.

How to Create One

Open the patient's detail page → find the handoff report section
Tap "Handoff" — the system auto-fills the patient's episode data
Fill in the handoff content (surgery summary, current status, rehab progress, things to watch for)
Tap "Confirm & Publish" — the report is then locked

How Outside Doctors Receive It

If the receiving doctor isn't on iRehab, you can generate a Magic Link (a no-login read-only link) and send it via LINE or email. The link expires after a set time.

On the Patient Side

Once the handoff is complete, the patient's episode status updates automatically. If the receiving doctor also uses iRehab, the patient's data connects automatically — no need to re-enter anything.

FAQ

What if a patient forgets their password?

The default password is their phone number. If they've forgotten it, contact the De Novo team for a reset for now.

Can my PT use the system?

Yes. Contact the De Novo team and we'll create a PT account (SubRole: PT) for you. PTs can view your patients and edit prescriptions (saved as drafts until you approve them).

Where is data stored?

In Google Cloud Firestore (ISO 27001-certified cloud database). Wound photos are stored on Google Drive. All data is exportable.

Is it free?

Yes. The core features of the Patient PWA and the Doctor Panel are permanently free.

Can I stop using it anytime?

Yes. Export your data, then stop using it. No contracts, no lock-in, no cancellation fees.

Need Help?

Contact the De Novo Orthopedics team for:

Invite codes
PT account setup
Technical troubleshooting
Clinical workflow consulting