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Attaching Pictures of lesions, rashes, wounds to the chart

CPS, C-EMR, PM

Last Post by Anonymous 1 second ago

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rhigdon

(@rhigdon)

Posts: 25

Trusted Member

Topic starter

We are trying to find a way to take a picture of a lesion, wound, rash, etc. and attach it inside the chart. Are users using cell phones or cameras? How are the images getting imported into CPS? We are on CPS 12.2.

Thanks,

Rebecca Higdon

Posted : December 5, 2017 9:38 am

SLHV

(@slhv)

Posts: 478

Honorable Member

I don't think there's a good way to do it manually. For reference, to do it manually:

1. Open a new chart update (or an existing one if the images are associated with one).

2. In the left pane to the right of "attachments" click Add...

3. You'll have a few options for source of the image. File, camera, webcam, scanner, clipboard, and external reference.

I believe the camera, webcam, or scanner will need to be directly attached to the PC. If using external reference, make sure the file is in an appropriate location where all PCs can access the file. If an external reference points at a user's desktop, no one else will be able to open it except the original user. I believe the file option (BMP, JPG, and TIF formats only) copies the source image into the database. If that's the case, you may want to watch how image size could impact the database size. BMPs and TIFs get large really fast.

You'll have to test to see what might work into your workflow the best. Probably none of them will work very well.

If you have a document indexing application, that might work out better.

-dp

Posted : December 5, 2017 10:40 am

petemarkey

(@petemarkey)

Posts: 373

Honorable Member

we take images using a tablet.

The tablet has a little program that will move the image to a file share.

We have our document import program pointed at the files share (and our fax share, and our scanner share)

We then use our import program to import the picture using LinkLogic.

Our import program is a copy i built of the Kryptiq Document Management software.

Posted : December 6, 2017 4:55 am

mtooley

(@mtooley)

Posts: 62

Estimable Member

We use cameras for this and here is the procedure we use so that we can index the picture into kryptiq:

General INFORMATIONClinical photographs should only be taken with approved camera equipment; personal cameras and cellular phone cameras are strictly prohibited. Clinical photographs are for in-office use only; they should not be e-mailed, printed out or used in any other manner than for diagnostic/clinical purposes. Written consent for medical photography pictures should be secured before capturing the photo. See supplementary protocol for Clinical Photography of Patients.

PROCEDURE

Indexing Clinical Photographs to a Secure Device

Remove memory card from camera and place in card reader
Plug card reader into USB port on secure/approved device
Using the Indexing Client software, move images from storage device to the Electronic Medical Record. Images are automatically deleted from the card upon successful importation.

Using the Indexing Client

Log into Indexing Client (Krytiq)
Stay on the “Index” tab
Select “Path” and locate secure drive
Select picture (s) to index
Use the single arrow to select individual pictures one at a time
Use the double arrow to select all the photos at once
Fill in document information
Import photo (s)

Posted : December 7, 2017 2:56 am

virtualHITman

(@virtualhitman)

Posts: 319

Reputable Member

Hi Rebecca,

long time since we last spoke. Would love to get together sometime and discuss Centricity optimization efforts. I recently delved into this because one of our NPs was wanting to track the progression of foot wounds for our diabetic patients. There are several options, but the best one really depends on your overall process and your intentions with the images. For example, if you are wanting to track a wound (wound management), then you will likely want a way to compare the images side by side. If that's the case, and your document management solution has no way of doing that, then you will need to explore other options (I have a pretty good solution for that).

The process behind capturing these images and ensuring consistency is a large part of the battle, not to mention how the images get stored. I'm a big fan of utilizing external references or storing in a dedicated document imaging system that can be linked to the patient's chart in Centricity. Storing in CPS' native database (i.e. using the paperclip on the PM side) adds unnecessary overhead and can cause your backups to run longer than IT is going to like. As some have suggested, you might be able to use your current document imaging system, but you can also set up a shared file server and a structure to store these images logically so that they are easy to backup and access from within Centricity. I'd be happy to discuss the options we explored if it would help. Feel free to contact me via email ([email protected]) and we can arrange a time to discuss by phone or meet up.

Posted : December 8, 2017 1:58 am

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