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Digital photos - Letter to the Editor

I am seeking suggestions for programs that will enable easy filing/retrieval of digital clinical photos.

Neil Scheffler, DPM

Baltimore, MD

The FreeMED Software Foundation has a product (we are a non-profit open source group so the software is free). The system is PhotoSEEK. The new version of Photoseek can catalog medical images (whether digital camera images or DICOM images) both on archive media and in centralized repositories. This means that if you receive x-rays (as I do) on CD, you can catalog the CD with an available central database for retrieval. It also now has an XML-RPC interface, allowing it to be embedded in webpages and applications. It is freely downloadable and runs under the GPL license. It will work under WINE on windows platforms and can also be used on a server to serve groups (the program is completely scalable and has been used for groups > 100).

For those who are unfamiliar with Open Source (such products as Linux, RedHat, SUSE, Debian, Mozilla and many more) look at http://www.opensource.org/docs/definition plain.php

Irving J. Buchbinder, DPM

CEO, FreeMED Software Foundation

I have been photographing patients for almost 30 years, first with standard 35 mm film and later with digital cameras. What I do is create a file called 717 (that stands for my Sony DSC-F717). You can call your file Casio or Medical or whatever you want to call it. All photos for a day or several days are downloaded into a sub-directory in file or directory 717. The name of the sub-directory is the date of the first photo in that set of photos; for example, if the new file starts on 05-01-03, I call the sub-directory 05-01-03 and so on. There may be anywhere from 30 to 100 images in the file and the dates may range from 05-01-03 through 05-12-03.

I then download all photos to sub-directory 05-01-03. The progress note has the patient name (or medical record number) and the date of service. I shoot the image I want with the name and DOS showing in the photo. I then record the number of the image on the progress note. If a record review is requested, I pull the chart, see what the number of the photo was, check that against the DOS and go directly to that sub-directory in the file 717. It's a very simple system and fool proof. I'm sure someone out there will find plenty of flaws, but I have never had a problem.

David Kaplan, DPM

Half Moon Bay, CA