Attachments and Photos
Notes support photo and document attachments for before/after comparisons, clinical documentation, and treatment records.Attachments Tab
The Attachments tab on a note displays all attached photos and images in a grid. From this tab you can:- Upload new attachments — Click the upload button to add images directly to the note. Select several files at once to upload them together.
- View attachments — Click any thumbnail to open the full-size image.
- Annotate images — Click an image to open the annotation editor, where you can draw, mark, and add notes directly on the photo.
- Open in full screen — In the annotation editor, click Open in full screen to use the same tools on a larger page. Click Return when you are done. If you have unsaved marks, Decoda asks before leaving the page.
- Template placeholders — If the note template includes placeholder images, they are automatically converted to real attachments when the template is selected. No manual conversion step is needed.
- Bulk rename — Select multiple attachments and rename them all at once. You can set individual names or apply the same name to all selected photos.
- Bulk tag — Assign labels to multiple photos at once for better organization (e.g., tagging multiple “Before” photos in one step). In the tag assignment window, tags already present on every selected photo are marked “already on all.” Tags must be created in Settings before they can be assigned.
- Change patient — Move an attachment from one patient to another using the change patient option. This is useful when a photo was accidentally uploaded to the wrong patient’s record.
Attachment Dates
When you upload photos or documents from a note, they follow the note’s visit date in the note and the Gallery page. If the note is not linked to an appointment, Decoda uses the date the note was first created. This keeps older visit photos with the correct day, even if you add them later.Annotation Editor
The image annotator provides tools for marking up clinical photos:- Drawing tools — Freehand drawing, lines, shapes, and arrows.
- Text annotations — Add text labels to specific areas.
- Eraser — Drag the eraser tool over any mark to remove it.
- Edit, move, and delete individual marks — Click any mark to select it. While selected you can drag it to a new spot, edit its color or comment from the toolbar, or press Delete/Backspace to remove just that one. Click empty space to deselect.
- Undo — Reverse your last action, whether it was a stroke, a placed mark, an edit, a delete, or an eraser sweep. Press the undo button in the toolbar or use Cmd+Z (Ctrl+Z on Windows).
- Restore — Revert annotations to a previous state.
- Download — Use the more menu to download the marked-up image.
- Save — Click Save Annotations to keep your marks. Annotations are saved to the attachment and visible to all providers viewing the note.
Full-screen annotation drafts
Use Open in full screen when you need more room to mark a photo. If you leave the page with unsaved marks, Decoda asks you to confirm before you leave. Decoda keeps your unsaved marks on that attachment while you keep editing. Click Save Annotations to keep them, or choose Leave without saving when prompted to discard them.Image Comparison
The image comparison feature lets you compare two images side by side or using a slider overlay. This is useful for before-and-after documentation across patients and dates. To compare images:- Open an attachment and select a second image to compare against.
- Choose a comparison mode:
- Side-by-side — Shows both images next to each other.
- Slider — Overlays the images with a draggable slider to reveal one over the other.
- Adjust zoom, pan, and rotation on each image independently.
- Save the comparison as a new image in the gallery if needed.
Documents Section
The Documents section (within the Attachments tab) manages linked documents:- Upload Document — Click Upload Document to attach PDFs, Word files, or images.
- View Document — Click any document card to open it in a viewer.
- Remove Document — Hover over a document and click the remove icon to unlink it from the note.
Attachments Gallery
The Gallery page (accessible from the Notes sidebar) provides a global view of all medical attachments across patients. Use it to:- Browse all attachments in a grid layout.
- Filter by patient — Search for a specific patient to see only their attachments.
- Filter by date range — Narrow results to a specific time period using preset ranges or custom dates.
- Upload attachments — Add new images directly from the gallery.
- Bulk actions — Select multiple attachments from the gallery to rename, delete, or tag them in bulk.