ITH-000109

Enrollment inputs 1, 2, 3 and 5: Demo Patient 10

The patient enters these in the enrollment portal (step 8). Tech Support can correct them, or complete them for the patient (for example over a text or phone call). Input 4 is completed by Tech Support at step 9.

Step 8: Done

Patient’s answers

Demo values only. Field names are placeholders until CMG confirms what each input holds. No health information.

Input 1

Shipping address for the device Where the device is shipped. Saved answer: 110 Demo Street, Apt 2, Demo City

Input 2

Preferred language Saved answer: English

Best time to text Saved answer: Mornings

Input 3

Home Wi-Fi available for the device Saved answer: Yes

Input 5

Emergency contact name Saved answer: Demo Contact 10

Emergency contact telephone Saved answer: 555-0210

Reason for the change (required when you change an answer)

Changes are recorded as TS Demo C with the system date and time.

Change log

Every staff change: who, when, old value, new value. Entries cannot be edited.

When	Who	Field	Old value	New value	Reason
Oct 26, 6:19 AM	TS Demo C	Home Wi-Fi available for the device	~~Not sure~~	Yes	Agency contact confirmed the home has Wi-Fi.
Oct 26, 5:49 AM	TS Demo C	Shipping address for the device	~~110 Demo Stret, Demo City~~	110 Demo Street, Apt 2, Demo City	Patient confirmed by text: street spelling and apartment number.