Creating a Report

Creating a report means entering text or a recording to a report, attaching a key image and changing the study state. To create a report you must have report editing and possibly dictation privileges. If the report panel has fields to allow editing, you may not have the requisite permissions and would need to speak with your system administrator to change the settings on your account.

To create a report:

• Open the report panel by clicking on the Report button in the toolbox toolbar
• Press the Record button on a Philips Speechmike to open the report panel.

A report may consist of an observation, an impression, addenda, key images, and the dictated .wav data. Any one of these components makes a report, although a report can consist of all of them. Creating an observation, impression, addendum and a dictation are described in the following sections.

Text Reports

For text report in the report panel:

• Default report format

• Contains an Observation section

• Click in the window and type to enter text in either field

• Notes

• Contains radiologist notes

• Entered by and displayed for users with notes privileges

• Other users do not have access to the contents of the Notes field (physicians, techs, etc)

• Used for submitting comments to the radiologist

• If note exists and Impression and Observation fields are empty, note appears when the study is loaded into the viewer

• Clear the Show Report Note setting on the Settings page to disable

• Can be edited any time prior to signing the report

Formatted Text

The Observation and Impression text fields support rich text. The available tools include text font type and size, bold, italic, underline, strike-through, superscript, subscript, text alignment, bulleted and numbered lists, indentation, color, separator and tables. Rich text fields expand dynamically as you enter text.

Spell Checking

The viewer supports spell checking with:

• 64-bit/Microsoft Windows 10 or later - Looks for independently installed spell checkers that conform to the Microsoft Spell Checking API. If one exists, the spell checking features are enabled. This applies to both the viewer and browser-based report editors.

To use the spell checker:

1. Select the spell check button on the report toolbar in the full report panel
2. Spell checker checks all text fields in the report panel
   1. If errors are found the spell check panel is displayed
3. Click the Change button to replace the misspelled word with the highlighted suggestion
   1. Change All button changes all occurrences of the misspelled word.
4. Click on Add to add the word to your dictionary
5. When done checking the text, click Cancel to close the spell checking window

Normality Flag

The normality flag allows a user to tag a report so the study is visually highlighted on the worklist. To set the normality flag to Alert, clear the Normal flag field on the report panel. The presence and label of the normality flag on the report panel is configurable. It is a server setting, editable by the system admin. Refer to the Server Configuration section of the Operator’s Manual for more details.

BIRAD Values

BIRAD values can be assigned to a study in the report, but are only displayed for mammography images. To assign a BIRAD value to a report, open the Report panel and use the drop down box to select a value. Accepted values are n/a, 0, 1, 2, 3, 4, 4a, 4b, 4c, 5, and 6. BIRAD values are displayed on the worklist if the column is included in the layout. User can search for studies with a defined BIRAD value.

Canned Report Templates

The user is able to create a collection of predefined reports that can be applied in place of dictating a report or typing a custom report. Each report template belongs to a user’s profile and can be defined as a general template or a modality-specific template.

Fields making up a report template:

• Note
• Status
• Normality flag
• Observation
• Impression if applicable

To save a report template:

1. Open the Report panel
2. Enter text into the main report area
3. Type name in canned report section  
4. Click the Save canned report icon
5. Select modality association
6. Click apply

When a study is loaded into the viewer, canned report templates with the same modality setting are combined with the general canned report templates into a single list. If multiple studies with different modality values are loaded into a single viewer session, templates for all modalities plus the general ones are available in a single list from the toolbar.

To apply a canned report to a study:

1. Open the Report panel
2. Click in the canned report text field
3. From the list of saved report templates, select the one you want to apply
4. Click the Load canned report icon

To update a canned report:

1. Open the Report panel
2. Click in the canned report text field
3. From the list of saved report templates, select the one you want to apply
4. Click the Load canned report icon
5. Make any changed to the template
6. Click the Save canned report icon
7. Select the check mark to apply

To delete a canned report:

1. Select canned report from list
2. Click Delete canned report icon
3. Select the check mark to apply

Marked text delimiters:

• Can be used to navigate through a template and override some default text
• Are removed from a report when it is submitted to the server, leaving the embedded text in the report.

System default delimiters are defined on the server’s Settings page.

Dictation

Dictations are recorded in the viewer using any Windows compatible microphone and sound card. Dictating a report requires dictation permissions.

The recording controls are located in the Audio menu (highlighted) located in the Report Panel:

Recording controls:

• Contain a play/stop button
• Record button
• Delete button
• Progress gauge showing your current recording position
• Audio input strength indicator

To start recording a dictation:

1. Select the Record button on the Audio Tools or Audio menu to begin dictation
2. Click on the Record to stop button once recording is finished
3. Play back the dictation by rewinding it to the beginning of the recording or click Seek to start
4. Press the Play button.
5. Use the speed control gauge on the Audio Tools to adjust the speed of the playback

To remove part of a recording:

1. Position the locator at the start of the unwanted section
2. Click on the Delete button in the Audio Toolbar
3. Select Yes when prompted

Note: It is not possible to delete any part of a dictation if the report component (observation, impression or addendum) has been approved and is in the Final state.

If multiple studies are loaded in the viewer when dictating has started, the viewer will prompt the user to select the report to dictate into. By default, the system chooses the report that corresponds to the primary study, which is the first study listed in the thumbnail panel.

If dictating has started when the selected image frame is from a study other than the one previously selected, the viewer prompts the user to confirm they are dictating into the correct report.

To disable the study selection prompt:

1. Select the Select primary study as default option in the Settings panel

2. Choose the study you want to dictate

3. Click OK

Select the Enable dictated study listing option in the Settings panel for a list of studies to appear in the report panel.  

Speech Recognition and External Reporting Systems

Speech recognition (SR) converts spoken language into edit-able text without manual transcription. Instead of using a keyboard to type text into an editor package, the user talks and the words appear in the text area. The converted text has the same properties as text entered manually. Optional embedded SR support is provided, in which the SR tools are integrated into the viewer's basic reporting function. For users running an integrated reporting application on the workstation, an optional interface is included to use as an alternative to its embedded solution.

The embedded speech recognition functions are:

• Nuance Dragon Naturally Speaking
• Integrated Reporting Systems

Select a link above more information.

Addendums

Correct or modify approved final reports from the report panel by attaching an addendum to the report. If a report or an addendum is unapproved, it is able to be modified. When a report or addendum is in the Final state, the text is not edit-able and a new addendum section appears on a separate tab in the report panel (highlighted).

To add the new addendum:

1. Enter the addendum text as you would for the initial report or click on the Record button to dictate an addendum
2. Select Yes or No when addendum notification appears
   1. Notification indicates whether dictation should be inserted into addendum
   2. Setting applies to entire session

Disable this warning permanently by checking the Don’t show this warning again box. This can be enabled again in the Settings panel under Frames/Warnings. Select the Dictate to addendum option item on the menu to clear (highlighted below).

To play back an addendum’s dictation:

1. Open the full report panel
2. Scroll down to the addendum section or select the addendum’s tab
3. Click on the Listen or Play button.

Restoring a Report

To restore a report:

1. Save current report as temporary copy by selecting Save report locally from the Report Tools menu
2. Open the full report panel when ready to restore
3. Click Restore report
4. Text, dictation, key images and study state previously saved are loaded into report panel
5. Submit to the server using Upload report

Use the second method of restoring when:

• Communications problems between the workstation and server might prevent saving to the server
• Another user took the write permissions (the lock) from the edit session in which a notice is sent