Report and sign a scan

Write the radiology report for a performed exam, save it as a draft, flag a critical finding and sign it as the radiologist so it becomes final and printable.

A performed exam needs a report. Anyone with the report right writes and saves a draft; a radiologist then signs it, and only a signed report prints as final.

Before you begin

• The exam is performed. See Perform an exam.
• To write, your role needs Write Imaging Reports. To sign, it needs Verify / Sign Imaging Reports (Radiologist). See Users & Roles.
• Link the radiologist's user to their doctor record, so their name prints on the report. Otherwise pick it each time you sign.

Where to find it

Open Imaging → Work → Imaging Orders, click To Report and open the order. Radiologists with assigned exams can start from My Reporting.

Write the report

1. On the exam card, read the Report sections. When the exam has a template, they say pre-filled from template, not saved yet.
2. Edit Clinical information, Technique, Findings, Impression and Recommendation.
3. Click Save draft.

The exam moves to To Verify. You can come back and change the draft as often as you need.

Flag a critical finding

When the scan shows something the referring doctor must know about now, such as a bleed or a pneumothorax:

1. Tick ⚠ Critical finding above the report.
2. Call the referring doctor or the ward.
3. Save the draft, or go straight to signing.

Sign the report

1. Click Verify & Sign. It appears once a draft is saved.
2. For a critical report, type who was told, how and when under Critical finding, for example Dr. Ayesha Malik (referring), by phone 14:20. The report cannot be signed without it.
3. Choose the Signing radiologist, or leave my linked doctor record.
4. Click Sign report.

Any unsaved changes are saved first. The exam shows Verified with the radiologist's name and time, and the report becomes read-only.

What happens next

• A referring doctor on staff gets the result in their inbox, marked critical when it is.
• Print Report appears on the order once an exam is signed. When every exam is signed, the order turns Verified. See Print or correct an imaging report.
• A critical report is listed on the Critical Findings Log with who was told and when.

Common questions

I see Save draft but no Verify & Sign. Either the draft is not saved yet, or your role cannot sign. Save the draft and ask a radiologist to sign it.

It says the exam is assigned to someone else. The exam is assigned for tele-reporting. Only that radiologist or a radiology manager can write or sign it.

The report prints "Radiologist" instead of a name. No doctor was linked when it was signed. Amend the report and sign it again with the Signing radiologist chosen.

Can I report one exam and leave the other? Yes. Each exam on an order is reported and signed on its own card.