Knee intra-articular PRP injection - ultrasound-guided

Form ID: knee_ia_prp_us   Type: Procedure   Family: PRP injection

Structured fields

SectionFieldKeyDefault layerRequired
SafetyConsent discussionconsent_phraseGlobal DefaultRequired
SafetyTime-out and safety screentimeout_phraseGlobal DefaultRequired
SafetyAllergy / infection / anticoagulant screen resultallergy_infection_anticoagulant_screenNo DefaultRequired
IndicationDiagnosis / indicationdiagnosisNo DefaultRequired
IndicationClinical indication and failed conservative therapyclinical_indicationNo DefaultRequired
IndicationLaterality / sidesideNo DefaultRequired
SetupPatient positionpatient_positionPer-Form DefaultRequired
SetupSkin preparationskin_prepGlobal DefaultRequired
SetupSterile setupsterile_setupGlobal DefaultRequired
SetupMonitoringmonitoringGlobal DefaultRequired
GuidanceGuidance modalityguidancePer-Form DefaultRequired
GuidanceGuidance documentation phraseguidance_phraseGlobal DefaultRequired
GuidanceImages saved / archive locationimage_savedNo DefaultRequired
OutcomeImmediate response / pain score changeimmediate_responseNo DefaultRequired
OutcomeComplications / adverse eventcomplicationsNo DefaultRequired
DispositionPost-procedure instructionspost_procedure_instructionsGlobal DefaultRequired
DispositionFollow-up planfollow_up_planGlobal DefaultRequired
TechniqueTransducer / probetransducerPer-Form DefaultOptional
TechniqueNeedle approachapproachPer-Form DefaultRequired
TechniqueNeedle targettargetPer-Form DefaultRequired
TechniqueNeedle type / gauge / lengthneedlePer-Form DefaultRequired
TechniqueNeedle visualization / pathneedle_visualizationNo DefaultRequired
TechniqueAspiration resultaspiration_resultNo DefaultRequired
TechniqueInjection character / resistance / spreadinjection_characterNo DefaultRequired
Injectate/ProductPRP product/preparationinjectate_productPer-Form DefaultRequired
Injectate/ProductPRP volume injecteddose_volumePer-Form DefaultRequired
Injectate/ProductLot number and expirylot_expiryNo DefaultRequired
Injectate/ProductDiluent / local anesthetic componentdiluent_anestheticPer-Form DefaultOptional
Injectate/ProductTotal injectate volumetotal_volumePer-Form DefaultRequired
PRP PreparationPRP system / kitprp_systemPer-Form DefaultRequired
PRP PreparationBlood draw volumeblood_draw_volumeNo DefaultRequired
PRP PreparationSpin protocol / processing detailsspin_protocolPer-Form DefaultRequired
PRP PreparationLeukocyte-rich / leukocyte-poor / not measuredleukocyte_statusNo DefaultOptional

Narrative template

Knee Intra-Articular PRP Injection - Ultrasound-Guided

Indication: {{side}} procedure for {{diagnosis}}. {{clinical_indication}}

Consent / safety: {{consent_phrase}} {{timeout_phrase}} Safety screen: {{allergy_infection_anticoagulant_screen}}

Setup: The patient was positioned {{patient_position}}. Skin preparation: {{skin_prep}} Sterile setup: {{sterile_setup}} Monitoring: {{monitoring}}

Guidance: {{guidance_phrase}} Images: {{image_saved}}

Technique: Autologous PRP was prepared using {{prp_system}}. Processing details: {{spin_protocol}}. Using {{guidance}}, a {{needle}} was advanced via a {{approach}} to the {{target}}. Needle visualization/path: {{needle_visualization}} Aspiration: {{aspiration_result}} Injection/spread: {{injection_character}}

Product/injectate: {{injectate_product}}; {{dose_volume}}; leukocyte status: {{leukocyte_status}}. Diluent/local anesthetic: {{diluent_anesthetic}}. Total volume: {{total_volume}}. Lot/expiry: {{lot_expiry}}.

PRP preparation: Blood draw volume: {{blood_draw_volume}}. System/kit: {{prp_system}}.

Outcome: Immediate response: {{immediate_response}} Complications: {{complications}}

Disposition: {{post_procedure_instructions}} {{follow_up_plan}}

Physician review required before signing in the EMR. Verify actual medications, doses, lot/expiry, devices, image documentation, response, complications, and follow-up.