Making Symptom Reporting Less Overwhelming
for Oncology Patients at UPMC
Making Symptom Reporting Less Overwhelming for Oncology Patients at UPMC

OVERVIEW

An eco-system of disconnected symptom forms

An eco-system of disconnected forms

Like any medical healthcare center, the UPMC Oncology Center presents multiple, lengthy forms to patients.

Tools used: UX Audits, Expert Interviews + Workshop

Tools used: UX Audits, Expert Interviews + Workshop

Tools used: UX Audits, Expert Interviews + Workshop

Symptoms are data points that shape care

Symptoms are data points that shape care

Symptom data can flag issues early, guide dose adjustments, and help oncologists stay ahead of side effects. Currently, 1 in 3 new patients complete symptom screening forms.

What if symptom screening was simple enough that patients actually did it?

What if symptom screening was simple enough that patients actually did it?

What if symptom screening was simple enough that patients
actually did it?

A personalized, unified form on the My UPMC app that asks only what's relevant to where they are in treatment.

KEY IMPACT

50 → 18 Qs

on average through conditional logic and prepopulation

~35% lift

in form completion rates from pilot testing

8/10 users

Found the post screening resources helpful and personalized

SOLUTION HIGHLIGHTS

“There’s an overwhelming number of questions”

Follow-up questions, only when relevant

“Some of these questions are not even relevant to me”

“Some of these questions are not even
relevant to me”

Questions tailored to patient's treatment phase

“My doctor says call if the pain is >8. 


I don’t know what that means”

“My doctor says call if the pain is >8. 

I don’t know what that means”

Visual indicators to help understand pain better

“I fill these out and never hear
anything back”

“I fill these out and never hear anything back”

Closing the loop so patients know their input matters

APPROACH

What are we solving for?

To identify the core issue, I led research across these fronts:

APPROACH

What are we solving for?

To identify the core issue, I led research across these fronts:

  1. What do Patients, Clinicians & UPMC need?

Patients: Want a simple, personalized form and want feedback that these forms are informing their care

  • Clinicians: Needed the data to actually be readable and actionable

  • UPMC: Need adoption on the MyUPMC app as they migrate off Epic


This informed the form of the solution: a mobile app with a single personalizable form that feeds into the EHR.

  1. What is even in these forms?

Across 10+ forms, I deduplicated questions and categorized them.

Deduplicating and categorizing questions
Deduplicating and categorizing questions
  1. How do we cut the noise?

Using LATCH principles, we grouped symptoms by organ system, journey phase, and
patient needs - surfacing only the most relevant questions in a way that made sense to them.

  1. How can we personalize them?

Symptoms vary by phase, person, and medication. To identify which questions belonged and in what order. I led workshops with patients, clinicians, and staff to build logic diagrams that informed the form's conditional logic and personalization model.

Ask SOS questions upfront, irrespective of phase

Customize form order based on phase of cancer journey

Define a frequency to ask each category of Qs

UI DETAILS

The UI was built to UPMC's existing design system. Components, color, typography, etc were pulled from their component library

Icons for every symptom

Abstract symptoms are hard to parse quickly. Line icons ground each option in something recognizable and reduce cognitive load for patients who may be fatigued or anxious.

Clear affordance of "tap to select"

Clear affordance of "tap to select"

Rewritten symptom definitions

The original language was written for clinicians. I rewrote symptom labels and descriptions in plain language so patients could self-report accurately without guessing what a term meant.

Axillary pain

Underarm pain

Xerostomia

Dry mouth

SLIDERS TO CAPTURE PAIN

SLIDERS TO CAPTURE PAIN

SPATIAL MAPPING TO HELP VISUALIZE PAIN AREA

SPATIAL MAPPING TO HELP VISUALIZE PAIN AREA

OUTRO

Workshops are about trust, not agendas

Clinicians and patients needed to feel safe enough to be honest before any of the research could actually go anywhere.

Learning to lead

I learnt how to guide team efforts across research planning, synthesis, and stakeholder alignment.

Three Girls
Amrita Sher-Gil · 1935 · Oil on canvas

Sher-Gil portrays three young women through their quiet expressions and restrained body language, capturing the unspoken weight of their experiences. I chose this painting as an ode to all the silent and inexpressible struggles of women dealing with cancer







Three Girls
Amrita Sher-Gil · 1935 · Oil on canvas

Sher-Gil portrays three young women through their quiet expressions and restrained body language, capturing the unspoken weight of their experiences. I chose this painting as an ode to all the silent and inexpressible struggles of women dealing with cancer

Three Girls
Amrita Sher-Gil · 1935 · Oil on canvas

Sher-Gil portrays three young women through their quiet expressions and restrained body language, capturing the unspoken weight of their experiences. I chose this painting as an ode to all the silent and inexpressible struggles of women dealing with cancer

Malavika Doshi © 2026

Malavika Doshi © 2026

Malavika Doshi © 2026