Diagnostic Testing : Evidential Monitor of the
Patient’s Treatment
Patient’s diagnosis is always supported by
appropriate diagnostic findings and thus they become an inevitable part of the medical records. Physicians would like to review the past
diagnostic findings on the patient, they do carry out different tests for
confirming diagnosis. These diagnostic
results become part of the history and also can be a part of the physical
findings and can be ordered as a part of treatment plan. Also there are
separate documents generated for different studies carried out.
Importance of Diagnostic Testing:
Diagnostic studies have immense importance in
treatment of any patient. The results or observations from the studies are the
prime source to confirm the diagnosis. They are used in
- Identifying disease, e.g. bronchovascular markings and patches seen on the x-ray can confirm the pneumonia based along with clinical symptoms.
- Identifying location of the disease, e.g. CT scans and MRI's are done on the patient to find out exact location of the tumor or injury deep inside the body.
- Classifying the diagnosis, e.g. anemia can be classified into its types based on the peripheral smear examination showing morphological differences in the blood cell structure.
- Monitoring the status of the disease, e.g. frequent lab tests like blood sugar, thyroid testing, cholesterol testing are done to evaluate the status of the disease.
- Monitoring the progress of the patient, e.g. Lab tests like electrolyte testing and BUN/Creatinine are done in dialysis patient to evaluate the kidney status.
- Finding causality of any complaint, e.g. for abdominal pain, abdominal ultrasound is carried out to find out if the gastrointestinal system, or urinary system or reproductive system or just muscular system is involved.
Types of Diagnostic Testing:
There are various types of diagnostic testing
based on the technology used:
- Laboratory Studies: This includes various tests carried out on body fluids like blood, urine, semen, CSF also faeces.
- Pathological Studies: Biopsies.
- Radiological Studies: X-rays.
- Imaging Studies: Sonography, MRI and CT Scan.
- Other Studies: Pulmonary function tests.
Diagnostic Testing and Medical Records:
Addressing findings in the medical document is
necessary. Physicians many a times scribble these findings wherever they find
place with short forms used and symbols used for their reference during patient
encounter. Mentioning this data properly in the electronic health records is a challenge. If the numbers are missed, wrong
units are applied or handwritten data is misinterpreted this can cause a big
impact on the patient’s treatment process. Interpreting the data accurately in
valid format with correct units if required is very necessary when we consider
any diagnostic study data interpretation in the medical records. Of course,
normally there are actual reports available to verify the data from medical
records and they also need a proper interpretation when the data is considered
for treatment. Whom we can trust to
interpret medical records including diagnostic data and diagnostic reports
accurately?
ITCube Is The Right Option!!
ITCube is dealing with such types of records over
a decade now. With team of medical experts on board and very large experience
in managing medical diagnostic data and records, ITCube can process and rightly
interpret 1000+ tests carried out frequently and very special tests carried out
for unique cases. Meticulously interpreted and appropriately formatted
diagnostic data helps medical professionals, lawyers and claim executives to
treat the patient in more satisfying way. Medical data summarization can prove a complete solution to this.
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