Radiology/healthcare systems are connected through HL7 (or FHIR), which allows for transfer of data between applications. This can be used in scenarios like these where the tech can type in a few words summarizing the patient history (including chronicity of injury, chief complaint, past medical/surgical hx and more) and send that to PACS/EMR. This information is visible to the radiologist and can help during imaging review.
I worked with the techs for MSK MRs to implement this at different hospitals so I know it can be done. I would also be at the CT scanner changing variables during my cardiac rotations and I would send this info to PACS so I could remember patient hx when I dictated the case later in the day. Most importantly, this should be less cumbersome than adding markers that distort MR images, searching through EMRs/deciphering ortho notes, or scanning forms.
If you can let me know what PACS you use I’m happy to find a solution specific for you.
Warmly,
Ajay
Ajay Kohli, MD<www.ajaykohlimd.com>
________________________________
From: ocad-msk@googlegroups.com <ocad-msk@googlegroups.com> on behalf of Graeme Thompson <graemevthompson@gmail.com>
Sent: Thursday, May 6, 2021 9:03 AM
To: Avneesh Chhabra
Cc: andrei.dumitrescu@fu-berlin.de; OCAD-MSK
Subject: Re: [OCAD] Symptoms & hx form for patients / techs
I find markers a mixed blessing. If placed over a superficial lesion they can distort it and affect fat sat. Also obliterates muscle hernias.
I made a form for my techs to fill in with each patient as the orthos often write their diagnosis and not the symptoms on the referral. Challenge was to get the techs to use the form! Also there are other forms and things get a bit much.
Graeme
Sent from my iPhone
On 6 May 2021, at 12:20, Avneesh Chhabra <Avneesh.Chhabra@utsouthwestern.edu> wrote:
Best to place a marker by techs on the painful or palpable swelling site.
Here is an article we had published
www.ncbi.nlm.nih.gov/pmc/articles/PMC5732387/
I find marker incredibly useful.
We also have the luxury of electronic health records and our hip and knee guys have functional scores along with a diagram with patient pointing to the pain area on the cartoon
Best!
AC
Avneesh Chhabra, M.D.
Associate Professor, Radiology & Orthopedic Surgery
Chief, Musculoskeletal Radiology
Department of Radiology
5323 Harry Hines Blvd., Dallas, Texas 75390-9316
Office: 214-648-2122
www.utsouthwestern.edu/radiology<www.utsouthwestern.edu/education/medical-school/departments/radiology/>
On May 6, 2021, at 3:43 AM, Andrei Dumitrescu <andrei.dumitrescu@fu-berlin.de> wrote:
EXTERNAL MAIL
Hi everyone,
I’m looking for a way to have the techs write down some meaningful patient information without adding to their workload too much. Specifically, I’m thinking of a form where the tech (or maybe the patient) can mark the localization of pain on an anatomic drawing (either a drawing of a body, or – depending on the study – a drawing of a specific region, e.g. knee, hand etc.). Also things like how long already, prior surgery etc. The more basic the better. Could anyone please share such a form, if you use one in your institution? Or point me to some such templates on the internet, if you know any?
Thanks a lot, and have a great day!
Andrei
