Imaging Critical Read-Back
import { Steps } from ‘@astrojs/starlight/components’;
Who / when: a Radiologist reading a study who finds a result that must be communicated urgently to the ordering provider — the closed-loop “critical read-back”.
eSign PIN = the 6-digit code you re-enter to sign a record. A critical finding is a result whose urgency requires direct, audited communication back to the ordering clinician.
- Clinician — orders the imaging study (see Unified Diagnostics Requisition, step 3).
- Radiographer — acquires the study; the imaging order moves to Acquired.
- Radiologist — open Imaging → Report Authoring (
/imaging/report). Draft the structured report (findings, impression and an assessment category). - Radiologist — set Assessment = Critical. A warning appears noting the ordering provider will be notified.
- Radiologist — choose Sign & Lock and enter your eSign PIN. The report is locked, signed and dated; its PDF is generated and a Critical Finding record is auto-created in the Pending state.
- Radiologist (or a colleague holding the critical-findings permission) — open Imaging → Imaging Critical Results (
/imaging/critical). The Pending finding is listed. - Record the read-back to the ordering clinician (channel and recipient are audited; the message itself is content-free). The row moves to Notified — a closed-loop audit trail.
What happens next: the ordering clinician sees the released, signed report alongside the rest of the patient’s diagnostics on the Suite Worklist, and the critical communication is permanently auditable.