Imaging & PACS

import { Steps } from ‘@astrojs/starlight/components’;

The Imaging & PACS module runs the radiology workflow end to end. A radiographer acquires the images; a radiologist reads them, authors a structured report, and signs it. Imaging orders arrive from prescribers via the chart or the Diagnostics Suite. DICOM (Digital Imaging and Communications in Medicine) is the image and study standard; PACS is the picture archive the viewer reads from.

Who uses it

• Clinicians and nurses order studies and read released reports. They reach the worklist, viewer, and released reports on imaging.read.
• Radiographers acquire and store the DICOM study (imaging.study.store).
• Radiologists author and sign reports (imaging.report.write, imaging.report.sign) and manage critical findings (imaging.critical.manage).

Caution

This is an order-versus-fulfil split. Prescribers order imaging and read the released report; radiographers acquire and radiologists report. A prescriber’s permissions never include report authoring, so the authoring screens do not appear in their navigation.

Editions

Available in Hospital and Network editions.

Screens

Screen	Role	What it is for
Imaging Worklist	Order / review	The list of ordered and in-progress studies.
Imaging Scheduling	Order / review	Schedule imaging appointments.
PACS Viewer	Order / review	View the DICOM images.
Report Authoring	Radiologist	Author the structured radiology report.
Report Templates	Radiologist	Reusable report templates.
Studies	Radiographer	Acquired DICOM studies.
Imaging Critical Results	Radiologist	Notify and read back critical findings.
Imaging Catalogue	Order / review	The tenant imaging procedure catalogue.
Teleradiology	Order / review	Remote reading workflow.
Imaging Reports	Order / review	Imaging reporting.

Radiographer: acquire the DICOM study

1. The ordered study appears on the Imaging Worklist.

2. Acquire the images on the modality. The modality pushes the study to Veona via DICOM C-STORE; the Studies screen lists acquired studies, and the order advances to an acquired state ready for reporting.

The modality receives the order itself through MWL (the DICOM Modality Worklist that pushes the order down to the equipment), routed by Veona Connect.

Radiologist: author the report

1. Open Report Authoring. The page is titled Radiology Report and shows the structured report for the study’s accession and patient.

2. Use Open Images to view the DICOM images in the viewer without leaving the report. Apply a template from Report Templates if you wish.

3. Fill the Assessment Category (Normal, Benign, Probably Benign, Suspicious, Highly Suspicious, or Critical), then the Findings and Impression (both are required to sign).

4. Press Sign & Finalise. The confirm dialog appears; enter your 6-digit eSign PIN (your electronic signature, separate from your password) and press Sign Report.

Caution

If you set the assessment to Critical (or Highly Suspicious), the confirm dialog warns that signing will raise a critical-result notification to the ordering clinician. Signing locks the report, releases it to the ordering clinician and the patient record, and creates a pending critical finding.

Critical-findings read-back (closed loop)

1. Open Imaging Critical Results. Pending findings are listed.

2. Open a pending finding (or use the notify action). Choose the Method (Phone Call, In Person, or Secure Message) and record the read-back — what the ordering clinician repeated back to you.

3. Submit. The row moves Pending → Notified → Acknowledged, and the channel, recipient, and read-back are audited. No clinical content leaves in the notification itself.

Released reports for the ordering clinician

Once signed, the report is released to the ordering clinician and added to the patient record. The ordering clinician reads it from Imaging Reports and the patient’s chart, and the study images remain viewable in the PACS Viewer.