Home Forums Discussions Problems Pictures disappear

I take various photos in my office for documentation purposes. I can import these photos without much problem. But if I select the "pictures" tab next to physical exam, browse, select the photo, then sign off the chart, the photo disappears if I try to come back and look at the note later. I can forward the not to myself and the pics are there but disappear when I sign it. What am I doing wrong?

Got an answer for you!

Okay so if you know that that on visit for 3/14/10 you have pics in the chart, you need to go to the most recent encounters tab and on the pull down menu go to the 3/14/10 visit and then click on the pictures tab. then you will see them.

Here is the problem with that, it doesn't auto put in the note that hey picture attached and the pic doesn't get imported automatically into the imported files tab.

Here is two work arounds for now:

1. when you upload a picture into that part of the chart, at the top there is a black and white flag to set flags. Set a flag so that every time you open the chart you will get a flag saying whatever you wnat it to "picture in chart from 3/14/10".
PROBLME WITH THIS for each date you have to haev a new kind of flag..if you just put flag picture in objective section, there is flag to read on the chart but you still wouldn't know what date it was from

2. probably the better way to go would be import the pics into the imported items section. but the PROBLEM with this is when you click on it, the pic is HUGE it doesn't auto condense to fit in there.

Thanks Ketan. That works. I agree with the imported items folder. What is the point of the 100%, 50%, whatever at the bottom when you can't adjust the pic and it won't auto condense.

I rarely, actually never, use the pull down menu for previous visits. I've always gone to past encounters tab and the pics aren't there.

Flags are a good idea. But if I see the patient 20 times in a year, how do I know which chart date has the pic? I have to type in a new date on every patient like you said I guess.

So that picture by the physical exam is pretty much worthless for me. I'll just import the pics and deal with them being 500x the size of the window I guess.

Travis:

I agree, i am looking at buying Ultrasound and I was excited about the pictures tab. I think you should hit the help button and report it as a problem . It would be an easy fix. I will do the same and everytime i see somone post about the pics, i will suggest the same.

Again this is something they could easily fix. But for me with ultrasound, i have to prove that the needle was where i wanted it to be and i need that documented. What I may do is save the images under the patient name and date and id number for now and leave it on my server. If i have to reference it when I am audited or if i am relooking at the ultrasound for a knee or shoulder for a ligatment or tendon i will just go and find it. Let me know if when you do import it into the imported items, it reduces i only tested it with my logo which is like 100K so can't miagine a 1 MB picture or something!

For now it will work, but if i do a ton of US injections and diagnostics, I will have to think about EMR which will allow me to store everyting in the chart right there if AC doesn't fix the issue. But Lets hope with more nad more people using the picture thing, they will fix it.

Later

Ketan

p.s. are you just talking about in op pics that u want to load for follow up visits?

hey i just had an idea, in your actual note, at the beginning of the history or even in the chief complaint, you can write in caps, SURGICAL PICS that way as you look at past encounters you can see which visit has pics!
again just a work around for now

I think the idea of adding "PICTURES" to the CC for the encounter is an excellent idea. That way it would be very easy to tell from the visit history list which visit the picture is located. I did spend some time showing this problem ( can't see the photo if you open the visit from the visit history list) to Jody a while back but it did not get figured out.

The chief complaint is an excellent work around... that's what I will do for some of them. I will likely just keep importing them under "other". need a folder just for pictures. And it REALLY needs to autosize those pics or let you resize them in the window.

I take pics of several things. I'm starting a bariatrics program and will take pre-op and interval post-op pics. I also like to take pictures of odd wounds, or progression of wounds. Endoscopy photos. I also have ultrasound pics of breast lesions and needle biopsies, thyroid lesions/fna's... So lots of stuff.


I think this aspect of an EMR could be invaluable but AC's isn't very smooth.