The Jigsaw Diagram

If you have read some of my previous posts or followed me on Twitter it is likely you have seen my “jigsaw” diagram in its various incarnations. I drew it, initially, to try and understand the relationships/causes between the various conditions I have ended up with. It then dawned on me that it would a good way of showing a new doctor or surgeon the complexity of my case on just a single page. This first illustration is an early version.

Early version of diagram

I attached it to a Tweet during a #patientchat to illustrate how I like to communicate. The very positive response that I received from both patients and doctors was very gratifying. There were a number of requests for the template I used. I have therefore removed the text that was specific to my case and saved the file in both the original Keynote format and a Powerpoint format.

If you click on the links below you will be able to download the appropriate file. Please feel free to use them however you wish. I hope you find it useful and would be grateful if you could credit me if you use it.

Medical Jigsaw – Keynote Template

Medical Jigsaw – PPT Template

…and then someone set me the challenge of making an interactive version. Taking the initial, simple diagram I added many more “nodes” that when clicked would open up the relevant documents or test results.

Latest edition used for interactive version

The link below will take you to an html version. It was not too difficult to set up but needed a knowledge of “mapping”. The most time consumng part was removing personal details from the documents.

http://www.wrestlingtheoctopus.com/MedRec

….and Finally

In September 2018 I had reason to visit my GP surgery. I knew it would be a new doctor I was seeing so went clutching the diagram in my hand. The GP found it useful. I was ooking at it upside down from where I sat and it dawned on me that i had crammed TMI on that one sheet. There was a lot of detail that wou;d be of interest to a colorectal surgeon or gastroenterologist but was superfluous to a GP. And so the latest version was born and colour coded to highlight – procedures, results, medications and referrals. Can’t wait to try this “new, improved” version for the first time and see what reaction I get.

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