> ## Documentation Index
> Fetch the complete documentation index at: https://help.clinikehr.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Radiology reports

> Open a study with its images and priors, write the findings and impression, and submit or download the radiology report.

export const AuditNote = ({action = 'This action'}) => <div className="ck-callout ck-callout--info" role="note">
    <p className="ck-callout__body">
      {action} is written to your workspace's audit log with your name, the
      record touched and the time — a HIPAA requirement, and one you can review
      yourself under <strong>Audit Log</strong>. See{' '}
      <a href="/platform/security/audit-log">Audit log</a>.
    </p>
  </div>;

export const StillStuck = ({topic}) => <div className="ck-callout ck-callout--note" role="note">
    <p className="ck-callout__body">
      <strong>Still stuck{topic ? ` with ${topic}` : ''}?</strong>{' '}
      Check <a href="/platform/help/troubleshooting">Troubleshooting</a> first —
      it covers the failures we see most often. If that does not resolve it,{' '}
      <a href="/platform/help/contact-support">contact support</a> and include
      your workspace name and the time the problem happened, so we can find the
      matching entry in your audit log.
    </p>
  </div>;

export const TaskHeader = ({before, time, after}) => <div className="ck-task">
    {before ? <div className="ck-task__cell">
        <div className="ck-task__title">Before you start</div>
        <p className="ck-task__body">{before}</p>
      </div> : null}

    {time ? <div className="ck-task__cell">
        <div className="ck-task__title">Takes about</div>
        <p className="ck-task__body">{time}</p>
      </div> : null}

    {after ? <div className="ck-task__cell">
        <div className="ck-task__title">When you're done</div>
        <p className="ck-task__body">{after}</p>
      </div> : null}
  </div>;

export const Path = ({steps = []}) => <span className="ck-path">
    {steps.map((s, i) => <span key={i} className="ck-path__step">
        {i > 0 ? <span className="ck-path__sep" aria-hidden="true">
            ›
          </span> : null}
        {s}
      </span>)}
  </span>;

export const Availability = ({editions = ['all'], plans, roles, note}) => {
  const list = editions.includes('all') ? ['clinic', 'pharmacy', 'lims'] : editions;
  return <div className="ck-avail" role="note" aria-label="Feature availability">
      <span className="ck-avail__label">Available in</span>

      {list.map(e => <span key={e} className={`ck-pill ck-pill--${e}`}>
          {EDITION_LABELS[e] || e}
        </span>)}

      {plans ? <span className="ck-avail__label">Plan</span> : null}
      {plans ? <span className="ck-pill ck-pill--plan">{plans}</span> : null}

      {roles ? <span className="ck-avail__label">Who</span> : null}
      {roles ? <span className="ck-pill ck-pill--role">{roles}</span> : null}

      {note ? <span className="ck-avail__note">{note}</span> : null}
    </div>;
};

<Availability editions={['clinic']} plans="Enterprise" roles="Radiologists, radiology technicians, doctors, nurses and managers" note="Needs the Diagnostics care area" />

**Radiology Reports** is the reporting surface: **Manage radiology studies, reports, and imaging analytics.** It is where a radiologist opens a study with its images beside it, writes the report, and releases it.

<Path steps={['Sidebar', 'Radiology', 'Radiology Reports']} />

<TaskHeader before="A completed study, and a two-factor-verified session to submit a report" time="As long as the read takes" after="A submitted report on the patient's record, downloadable as a PDF" />

## What you're looking at

A period select — **Today**, **This Week**, **This Month** or **All Time** — and **New Study** for raising a request. Five tiles run across the top:

**Total Studies · Pending** (Awaiting scheduling) **· In Progress** (Being performed) **· Reported** (Reports finalized) **· Critical Findings** (Require attention)

Four tabs follow: **Overview**, **Reports**, **Analytics** and **Documents**. The **Reports** tab is the working list, with **Search studies...**, a **Date filter** and a **Status filter** offering **All Statuses**, **Pending**, **Scheduled**, **In Progress**, **Completed**, **Reported** and **Cancelled**.

| Column      | Shows                                                    |
| ----------- | -------------------------------------------------------- |
| **Patient** | Who                                                      |
| **Study**   | The study, its modality, and whether images are attached |
| **Status**  | Where it has reached                                     |
| **Ordered** | When it was requested                                    |
| **Payment** | **Paid**, **Pending**, **Partial** or **Waived**         |
| **Actions** | The row menu                                             |

Badges rank by importance: **Critical**, then **STAT**, then **Urgent**, then the plain status. The imaging badge shows **\{n} imgs** where images have arrived, **Acquiring…** while the machine is still sending, and **Discontinued** where acquisition was abandoned. Nothing matching reads **No Studies Found**.

## Report a study

<Steps>
  <Step title="Open the study">
    From the row menu, **Create Report** on a completed study or **Edit Report** on one already written. The heading reads **Create Study Report**, **Edit Study Report** or **View Study Report**.
  </Step>

  <Step title="Check the study information">
    The **Study Information** card names the modality and the order date, then **Patient**, **Patient ID**, **Study Type**, **Ordered By** and **Indication**. An indication of **Not specified** is worth chasing before you read — a request with no clinical question comes back as a description rather than an answer.
  </Step>

  <Step title="Look at the images">
    Where the imaging bridge is connected, the card shows the **Accession** and **\{n} images attached**. **View images** opens the key preview images; **Open full viewer** launches the full diagnostic viewer against your own archive. **Prior studies** lists comparisons found for that patient.
  </Step>

  <Step title="Write findings and impression">
    **Findings** is what you can see — "Detailed description of what is observed in the study". **Impression** is the answer to the clinical question — "Clinical interpretation and diagnostic conclusion". Referring clinicians read the impression first and often only that. **Recommendations** carries the follow-up.
  </Step>

  <Step title="Confirm the technical details">
    Where a study came from a connected machine, ClinikEHR pre-fills some of them and says so: **Some values may be pre-filled from the modality (MPPS) — verify before saving.** Verify rather than assume; the dose on the record is the dose the patient carries.
  </Step>

  <Step title="Save or submit">
    **Save Draft** keeps it editable and confirms with **Draft saved successfully**. **Submit Report** releases it — **Report submitted successfully**. The **Report Status** panel tracks you as you go: **Findings** and **Impression** each read **Pending** until they are **Entered**.
  </Step>
</Steps>

<Warning>
  Ticking **This study contains critical findings** marks the record — it does not tell anyone. Critical findings require immediate communication to the ordering physician, and that is still a phone call you make yourself. ClinikEHR reminds you after saving; it cannot make the call.
</Warning>

## Images, the archive and the report PDF

Image pixels never leave your building. ClinikEHR stores the addresses of your own on-site archive and the viewer reads from it — as the preview dialog puts it, "Full diagnostic images stay in the clinic PACS." Where previews have not arrived, it says **Preview images haven't synced from the modality yet — they appear here once the bridge uploads them.**

**Archive to cloud** requests long-term storage — **Archive requested — the study will upload to the cloud shortly.** Once archived, **Download study** takes a copy; a failed archive offers **Retry archive**. Do this after reporting, not before.

**Download Report (PDF)** shows **Preparing…** while the file is built and confirms with **Radiology report downloaded**. An order not yet saved refuses politely: **Save the order before downloading its report.**

<AuditNote action="Opening a study, and downloading a report" />

## Working offline

Raising an imaging order keeps working. One captured offline is confirmed as **Imaging order saved offline** with a provisional reference, and syncs when the connection returns; payment stays pending until then. A connection that drops mid-save gives **Connection dropped — imaging order queued**. Reporting itself needs a connection, because it reads images from your archive. See [Working offline](/platform/apps/offline).

## Who can do this

**Role** decides whether this page opens — owners, radiologists, radiology technicians, doctors, managers and nurses pass. Anyone else is told **You don't have permission to access the Radiology Station. Please contact your clinic administrator.** An owner can also hide **Radiology** from a role under [Role navigation](/hospital/settings/role-navigation).

| Action                                          | Who by default                | How it is governed                                                                          |
| ----------------------------------------------- | ----------------------------- | ------------------------------------------------------------------------------------------- |
| Open the list and view a study                  | Imaging and clinical staff    | Role                                                                                        |
| Move a study through scheduling and performance | Technicians and radiologists  | Role                                                                                        |
| Write, save or submit a report                  | Radiologists and doctors      | Role — others get **You don't have permission to submit reports**                           |
| Submit a report at all                          | Anyone with the above         | Two-factor — an unverified session is refused with **Two-factor verification is required.** |
| See payment and revenue                         | Staff with billing visibility | Permission — a figure you may not see renders as a dash, never a zero                       |

Per-person enforcement is **opt-in**: someone never saved in the permissions sheet is unrestricted, and the sheet warns **"Saving starts enforcing"**. A **denied action is recorded** in the audit log; an allowed one is not. See [Staff permissions](/platform/team/permissions).

## Check it worked

* The row shows **Reported**, and the **Reported** tile moves.
* **Report Status** shows **Findings** and **Impression** as **Entered**.
* **Download Report (PDF)** produces the document without a draft stamp.
* The requesting clinician sees it on the [patient's record](/hospital/front-desk/patients).

## Common issues

<AccordionGroup>
  <Accordion title="Two-factor verification is required.">
    Submitting a report needs a second-factor-verified session. You are taken to the verification step automatically — complete it and submit again. See [Two-factor authentication](/platform/security/mfa).
  </Accordion>

  <Accordion title="Open full viewer does nothing">
    The viewer opens in a new tab. If nothing appears, your browser blocked the pop-up — allow pop-ups for ClinikEHR. If the button is absent altogether, no viewer address has been configured; see [Modalities](/hospital/diagnostics/modalities).
  </Accordion>

  <Accordion title="The study says no images are attached">
    The machine has not delivered them yet, or the study was performed on equipment that is not connected. Check the **Studies awaiting review** queue on [Modalities](/hospital/diagnostics/modalities) before reporting from memory.
  </Accordion>

  <Accordion title="You don't have permission to submit reports">
    Reporting is limited to radiologists and doctors. Ask an owner to correct your role under [Staff](/hospital/settings/staff).
  </Accordion>

  <Accordion title="Archiving to cloud… never finishes">
    A failed archive turns into **Retry archive**. If it fails repeatedly the study is likely still acquiring — check its badge before retrying.
  </Accordion>
</AccordionGroup>

## FAQ

<AccordionGroup>
  <Accordion title="Do the images upload to ClinikEHR?">
    No. Only preview images and the addresses of your own archive are held; full diagnostic pixels stay in your PACS and the viewer reads them from there.
  </Accordion>

  <Accordion title="What are prior studies?">
    Earlier imaging for the same patient, found on your connected archive, offered for comparison. They appear only where the imaging bridge is set up.
  </Accordion>

  <Accordion title="What is a structured report (SR)?">
    Measurements the machine itself recorded, imported alongside the images so you do not retype them. They appear under **Measurements** when the modality sent them.
  </Accordion>

  <Accordion title="Can I take payment from this screen?">
    Yes, where a balance is outstanding — **Submit Report & Pay** settles it as you release the report. Otherwise it stays **Pending** and is handled in [Billing](/hospital/revenue/billing).
  </Accordion>

  <Accordion title="Is there deeper documentation on imaging reports?">
    Yes — the Diagnostics edition issues the same reports. See [Imaging reports](/lims/imaging/reports).
  </Accordion>
</AccordionGroup>

<StillStuck topic="a radiology report" />