DocuForms' POD-2040 Radiography Report.
Podiatrists are held to the same standards as radiologists for the quality of radiographs taken and the quality of the documentation describing findings.
Our radiography report, POD-2040, allows you to create quality reports that are detailed and complete in a fraction of the time and cost of doing narrative style or computer generated notes. It enables easy use of cumbersome words and biomechanical language.
It's so easy: on most sets of x-rays the majority of the form does not require your attention. You only need to use the sections that are applicable to that review.
For example, start with Section 1. Since documentation standards for laboratory testing require that you give the medical reason for the ordered test or study, section one of this form provides check-offs for your reasons for taking/reading the X-rays.
Section 2 allows you to easily state, again by check-offs, the number and type of views / projections that were taken per the proper terminology as published in recognized podiatric texts.
Section 3, the findings section, takes up the remainder of the form. If you'd like to see an enlargement of the form, click the small picture of the form at the top of this page.
In the findings section you briefly state any related history and then make a gross assessment of the quality of the bones in the x-rays, if you wish. You then quickly move on to note all of your pertinent positive and negative findings in the appropriate section(s). These sections are logically organized for your convenience and ease of use. The subsections are listed in the box below.
Front side of report:
- Bone / Tissue Assessment
- Accessory Ossicles Found
- Heel Gross Assessment
- Heel Spurs Assessment
- Tibial Sesamoid Positions
- Infection Assessment
- Structural Relationships
- Transverse Plane Meas.*
- Sagittal Plan Meas.*
*Nominal limits expressed in degrees are provided on the form for comparison, thereby saving you hours of time to research and state the nominal values each time the information is required.
Back side of report:
- Forefoot Deformities
- Pes Planus Findings
- Pes Cavus Findings
- Angle Gross Assessment
- Joint Pain
- Post-operative Impressions
The POD-2040 provides, for your reference, many normal angles, sesamoid positions, and it reminds you of all the findings you may need to consider. If it is present on All Views, you can quickly denote this just by marking .
On the marjority of X-ays, for most subsections, you will mark for Within Normal Limits. Whenever a section is Not Directly Relevant, just mark or if it's Not Applicable.
The standard of podiatric care as recognized by Medicare, private insurance companies and the legal community for podiatrists includes the documentation and measurement of angles when necessary, e.g., IM, HAV and PASA pre-operatively. Podiatrists taking x-rays to manage bio-mechanical and podopediatric problems need to record these x-ray angles. With the POD-2040 you can easily capture your x-ray findings without writing cumbersome anatomical and bio-mechanical language.
This form is especially helpful to you because the normal values for angles are present on the form to assist you in developing and reporting your findings quickly. These values were determined by researching major podiatric texts discussing the subject. At first glance this may seem a bit overwhelming, but it's not. After completing only a few reports you will understand why this report is so popular with podiatrists across the country.