Working with Images

Images, diagrammatic or photographic, offer a great way to record important clinical observations. A picture of a pressure ulcer, for example, best communicates about the evolution of a wound and its response to treatment. 

Connect Care mobility apps support secure capture of clinical images at the bedside, with automated attachment to the "Media" section of a patient's chart. Additionally, the Media Manager can be used to import and attach external images (acquired outside of Connect Care) to the chart. Any images attached to the patient's chart can be incorporated into documentation either directly (image inserted) or indirectly (link inserted).

Direct - Embedding Images

Indirect - Linking Images

Documentation Image Norms

We recommend use of image links (as above) for progress documentation (e.g., progress notes), unless the reader would benefit from comparing a few fully embedded images. Progress documentation remains within Connect Care, embedded links are easy to use, and the resulting notes are easier to read. This practice also aligns with Connect Care Copy-Paste Norms.

Clinical image links should not be added to summative documentation (History & Physical, Consult, Discharge Summary, Transfer Note, Procedure Note), as these documents are shared with external systems that may not be able to view the links. If it is clinically important to include high-value images, then embed no more than 2 and size each to the smallest dimensions adequate to the documentation need.

Capturing Images using Connect Care Mobile Apps (Haiku, Canto, Rover)

Clinical image capture is initiated when Haiku, Rover or Canto are opened to a specific patient chart.

It is also possible to capture an image directly into a note started with Haiku by using the "Notes Entry" tool within an opened chart and then selecting the camera icon to take a photo that is immediately incorporated into the note. In this way, a draft progress note can be initiated using Haiku (with clinical image(s) included) that is later edited and finalized in Hyperspace.

A "Media" tool within a patient chart opened in Haiku allows captured images to be further managed, including the deletion of those that are no longer wanted.

Uploading Images to Media Manager

Inserting Images using Note Insert

As described above, Haiku and Canto support direct capture of images from a mobile device camera into a draft documentation note. 

Similar capabilities exist in Hyperspace when a note is being edited, except that the inserted image is pulled from either chart media or a file on the local computer.

Linking Images using Copy Link

Images can be "linked" into progress notes using the same method promoted for referencing laboratory reports, other documentation or external documents.