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The WebChart system is designed to allow sketches to be uploaded as documents into charts, as needed. A user can sketch on a blank background or over a templated background image, and then immediately upload the image to the chart. This is particularly useful when documenting an area of an injury and a visual representation provides added context to the documentation.
To create a sketch document in a chart, first navigate to the Document Library by clicking any of the Add Document links, found throughout the chart. Once clicked, the library will load, and the Sketch filter link can be selected to reduce the available documents. Selecting the Sketch filter link will show only document types that can be drawn on and uploaded as a sketch files.
Once clicked, the Add Document Properties window will open. Fill in the available fields, as appropriate.
Authored By: Given the proper security permission, use this field to select for whom this document is being authored, or click the Me button if the logged-in user is the author. The logged-in user uploading the file document to the chart is considered the Creator and will be recorded as such in the document properties. The Authored By field is for who authored the document being uploaded.
The sketch control comes equipped with a toolbar for providing additional features designed to help with detailing sketches, as needed. The left toolbar, for instance, allows users to draw with various shapes, easily annotate, erase specific areas, as well as change the color of the pen. There are also undo and redo buttons available, a zoom feature, and an option to clear all. The toolbar across the top, on the other hand, is available for changing the pen width, as needed.
As noted, the default pen color for sketches is black, but can be changed, as needed. It is important to note that regardless of the color used, the WebChart system will upload and save sketch documents so the preferred colors are displayed when viewed. As for printing sketches, however, only if the printer and WebChart system setting is enabled to allow color printing, will the sketch actually print in color. Otherwise, with color printing disabled in the system and on the printer, the sketch will print in black/white/grayscale format, regardless of the colors used on the sketch. To change the color of the pen, simply click the stroke button on the left toolbar, and a grid of color options will display. Click the preferred color on the grid and mouse over the sketch area to allow the color grid to collapse. Sketching can be performed, as needed.
An additional feature on the left toolbar is the ability to add text annotations. This feature is often used to add a reference point (e.g., number, letter, asterisk) for detailing additional comments or notes in the textbox, above the sketch image. To add, simply click the text button (Aa) from the toolbar, and select the area of the sketch where the annotation needs to be placed. The system will create a text box that can be used to add text, as needed.
The text will display in the selected pen color.
When sketching is completed, simply click the Upload button found below the sketch area. This will automatically upload the sketch document into the specified chart as the selected document type. Once the page refreshes, the sketch document will be shown on screen, and users will be able to add another sketch (click the Add Document link, again) or continue working in the system, as needed.
The sketch control functionality can be made available in the Tests & Procedures section of an encounter, if preferred. Configuration of the necessary sketch image document type must be completed, and MIE can configure an order item sharing the same name as the document type description. When a sketch order item is configured, it utilizes a special layout to pull in the sketch image of the matching document type of the forms library.
Once the sketch is configured in the system as an order item, users can quickly select the sketch image to drop into the encounter for documenting. From the Tests & Procedures encounter section, select the appropriate sketch order item and click the Add To Exam button.
The sketch will be inserted into the encounter for drawing on as its own section.
Users cannot edit or erase sketch markings once the sketch has been uploaded to the chart. However, provided the proper user security permissions, users may edit the document properties fields, or even move or delete the sketch document, if necessary.