Reviewing Lab Results

Overview

When lab results are uploaded to SehaFile, they enter a “pending” doctor review state. The reviewing workflow ensures every result is seen and acknowledged by the ordering physician, with an option to add clinical comments. This creates an auditable trail and prevents results from being lost or overlooked, a critical patient safety feature.

Steps to Review Lab Results

1. Access pending reviews — From your dashboard, click the Pending Reviews card. Alternatively, navigate to Visits > My Pending Reviews which calls GET /visits/my/pending-reviews.
2. Select a result to review — The list shows all lab orders with uploaded results that have doctor_review status set to “pending”. Click any item to expand it.
3. View the result — The panel displays:
   • Test name and order date
   • Result value (text field with the numerical or qualitative result)
   • Attached document (link to uploaded PDF/image if available)
   • Patient context (name, visit date, ordering notes)
4. Add clinical comments (optional) — Type your interpretation or action plan in the doctor_comments field (e.g., “HbA1c elevated at 8.2%, adjust metformin dosage”).
5. Set the review status — Choose from:
   • Reviewed - Normal — Results within expected range, no action needed
   • Reviewed - Abnormal — Results outside normal range, follow-up required
   • Reviewed - Critical — Results indicate urgent clinical action
6. Submit the review — Click Submit Review. The system records reviewed_by (your ID), reviewed_at (current timestamp), and updates doctor_review status.

FAQ

Can I change my review after submitting?

Yes. Navigate to the specific lab order and update your comments or status. The system logs all changes with timestamps.

What happens after I mark a result as critical?

Critical results are flagged in the patient's record and an alert is sent to the clinic admin. You should also follow up with the patient directly.

Can other doctors review my orders?

By default, only the ordering doctor reviews results. Clinic admins can configure cross-review permissions if needed.