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Procedure

Reading a study

Walks through opening an imaging study in the viewer, moving through its images and reading them alongside the record.

You read a scan in the image study viewer, opened from the patient's record. This page walks you through opening an imaging study, moving through its images, and reading them alongside the record.

Reachable from anywhere

The viewer opens from any tool. You reach a study from the patient's record, from the imaging order, or from your due work. Read how the dock presents your actions.

How a study arrives

An imaging study is the set of images captured for one patient against one imaging order. A clinician places the imaging order in Forge. The study is performed, and the imaging source sends it to the Pensieve imaging store, where it is tied to its order in the patient's record in Atlas. The viewer reads it there, and the images are held for as long as the record they belong to.

The viewer reads studies in the DICOM standard, the common format for medical imaging.

Figure 1.Diagram showing how an imaging study reaches the viewer, from the order through the imaging store to reading it against the record.

Before you begin

Confirm these three things hold before you open a study.

Done.You are signed in as yourself.
Done.You hold a current care relationship with the patient.
Done.The imaging order is placed and its study has arrived.

Open a study

Work through the study from the patient outward. Each step lands you closer to the image, and the viewer stays tied to the patient and the order the whole way.

  1. 1

    Find the patient

    Open the patient in the record. Search by name or hospital number. If two patients share a name, check the date of birth before you open one.

  2. 2

    Open the imaging order

    Find the imaging order in the patient's active orders. The study sits against that order. Once the study has arrived, the order carries it.

  3. 3

    Open the study

    Select the study to open it in the viewer. It opens tied to this patient and this order, so the images you read match the record in front of you.

  4. 4

    Move through the images

    A study holds one or more series. Step through the images in a series one at a time. Switch series from the series list when a study carries more than one.

  5. 5

    Adjust what you see

    Use Zoom and Pan to reach detail. Adjust brightness and contrast so the tissue you are reading stands out.

  6. 6

    Measure

    Use Measure to mark a distance or an angle on the image. The measurement stays with the image for the next reader.

  7. 7

    Read against the record

    Keep the record open beside the study. Read the images against the diagnoses, the clinical notes, and any prior study.

The reading controls

The viewer gives you a small set of reading controls, reached from the toolbar above the image.

ControlWhat it does
ZoomDraws the image larger or smaller so fine detail reads clearly.
PanSlides the image within the frame to reach an edge.
Move through imagesSteps through the images in a series, one at a time.
Brightness and contrastAdjusts the greyscale so bone or soft tissue reads clearly.
MeasureMarks a distance or an angle, and keeps it with the image.
The image study viewer
Patient and study
Series list
Current image
Zoom
Pan
Measure
A sketch of the viewer, with the patient banner across the top, the series list down the side, the current image in the centre, and the reading controls.

Reading with the record

The study reads best beside the rest of the record. Open the diagnoses and clinical notes in one pane and the images in the other, so each supports the other as you read.

Each read is attributed

Every time you open a study, the platform records that you read it, against your own sign-in. On a shared workstation, sign in as yourself, so each read stays attributed to the person who made it.

The images are part of the durable record. Read what else the record holds alongside a study.

Common questions

Where does an imaging study come from?

A clinician places an imaging order in Forge. The study is performed, and the imaging source sends it to the Pensieve imaging store, where it is tied to its order in the patient's record. The viewer reads it there.

Can I open the viewer from another tool?

Yes. The viewer is reachable from any tool, so you open a study from the record, from the order, or from your due work.

Is a study tied to one patient?

Yes. Each study opens tied to the patient and the order it belongs to, so the images match the record in front of you.

Read how a laboratory or imaging order is raised and matched with its result.