Reviewing Imaging Results

Overview

Imaging results in SehaFile include both the radiologist's textual report (report_text) and a link to the actual images (result_url). When results are uploaded, the ordering doctor receives a notification and the order enters the pending review queue. Reviewing imaging results follows the same pattern as lab results, ensuring clinical accountability and documentation.

Steps to Review Imaging Results

1. Access pending imaging reviews — From your dashboard Pending Reviews card, imaging orders with results are listed alongside lab orders. They are distinguished by an imaging icon badge.
2. Open the imaging result — Click the imaging order entry to expand the review panel.
3. Read the radiologist report — The report_text field displays the radiologist's written findings and interpretation.
4. View the images — Click the View Images link (result_url) to open the imaging files in a new tab. Common formats include DICOM viewers or PDF reports with embedded images.
5. Add your clinical comments — In the doctor_comments field, note your clinical interpretation and any planned actions (e.g., “Confirmed L4-L5 disc herniation, refer to neurosurgery”).
6. Set the review status — Mark as Reviewed-Normal, Reviewed-Abnormal, or Reviewed-Critical based on findings.
7. Submit — Click Submit Review to finalize. The system calls POST /imaging-orders/:orderId/review with your status and comments.

FAQ

Can I view DICOM images directly in SehaFile?

SehaFile links to the result_url which may be a DICOM viewer, PDF, or image file depending on how the imaging center uploaded results. The system supports any URL format.

What if results were uploaded to the wrong order?

Contact your clinic admin to reassign the result to the correct imaging order. Do not review mismatched results as they will appear in the wrong patient's record.

Are imaging results visible to the patient?

Once reviewed and the visit is synced to the citizen profile, imaging results (report text only, not raw images) become visible in the patient's health record.