M. Joan, a 49-year old, mother of two, is concerned about a persistent scaly red patch on her shoulder blade. Joan calls her pCp and asks for his help. Before making any diagnosis over the phone, he wants to see the lesion, and asks Joan if she can take a picture. Joan agrees.
Joan’s pCp goes into her eHr and clicks “Request Patient Photograph” and selects an appropriate dermatology procedure type, including body location. Joan receives an email with a link from her PCP’s office. She clicks the link. And an interface appears. Joan clicks “Capture Photograph” and takes the picture.
A few minutes later, her pCp refreshes Joan’s eHr record and sees Joan’s “patient Selfie” labeled as patient self photo – right shoulder blade. Joan’s pCp reviews the image and suggests Joan come into the office for a consult.
The office, her physician gets a better look. during the examination, her pCp wants a clinical quality photograph to share with a dermatologist. Joan’s pCp adds “Visit problem History” and “Visit Notes” to her EHR record.
Joan’s pCp creates the dermatology referral. before leaving, a medical assistant enters the consulting room with a high resolution digital camera. the assistant opens the eHr, and selects a standardized procedure–Vl shoulderblade_right_lesion and takes a photo with a scale in the view.
Upon uploading, she calibrates the image. the dermatologist reviews Joan’s medical selfie, the clinical photograph, and the PCP’s clinical notes. the dermatologist suspects a more serious condition and requests Joan come in for a consult as well. during the examination, the dermatologist recommends a biopsy.
The biopsy is sent to pathology. The pathology result returns what the dermatologist suspected – squamous cell carcinoma. Joan’s dermatologist reviews the pathology report as well as the pathology images and shares the result with Joan.
They discuss treatment options and opt for surgery to remove the cancer. Joan’s dermatologist creates a surgical referral. the surgeon reviews the clinical, diagnostic, and pathology images and report to prepare for Joan’s surgery.
The surgeon takes pre, peri, and post images of the lesion and Joan returns home after a successful surgery.
Joan visits her pCp for a follow-up consult. Her pCp displays the history of the images on his desktop monitor as he discusses the post-surgery report with Joan. Joan will come back periodically for a check up on the area.