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Zed Orders For Radiology Staff v3.6.3.1502
Zed Orders For Radiology Staff v3.6.3.1502
• Studies Screen – a list of patient studies representing imaging encounters with the
patient, in chronological order. When images are acquired from PACS or the
modality, the study will be displayed on the Studies screen.
• Orders Screen – a list of imaging requests. When an order is created, it is listed on
the Orders screen. Orders must be matched with a study to allow reporting.
• Reports Screen – a list or reports, in varying statuses, at your practice. The list is
filtered to show only reports for the current user
When the images are received in Zed, they are displayed on the Studies page. On the
Studies page the RIS Actions button presents two options:
• Create Order
• Match Existing Order
The reporting workflow is started when the images are matched to an order.
By default, only 10 studies are displayed per page. You can increase the number of studies
per page by selecting a value form the Page Size drop down list. You can also browse the
pages by using the navigation buttons at the bottom of the page.
Study Actions
The studies page provides a number of functions that radiology staff will perform routinely.
Display the report for the selected study. This button will only
be enabled if a report exists.
RIS Screen
The RIS screen shows all orders registered in your system and provides users with tools to
manage those orders and their associated reports.
A number of actions are available in the RIS screen. These may be displayed in a column on
the orders list, or alternatively as a selectable option from the drop-down list on the Actions
button. The actions are described as follows:
Action Function
Update Displays the Update Order page for the selected order, allowing you to
update Referring Doctor’s details – first name, last name and ID
Change Priority By default, all studies are assigned a normal or Low priority. Urgent
cases can be flagged by setting the priority to Stat priority.
• Low – the study is considered routine. Incomplete studies with
a Low priority are displayed with a green background.
• Stat – the study is considered urgent. Incomplete studies with
Stat priority are displayed with a red background.
Change Status Status describes progress of the study or report in terms of imaging
workflow. When set, status is displayed in both the Status column and
the Report column. The following statuses are available:
• Scheduled – a patient is expected to attend the practice for
imaging
• Patient Arrived – the patient has arrived, and examination is in
progress
• Ready for Reporting – images have been acquired, and are
ready for reporting. The Report button will be displayed in the
Report column, giving the assigned radiologist access to the
reporting screen.
Report Displays the Report page for the selected study, allowing the
radiologist to commence reporting. This is covered in greater detail in
the Editing Reports section below.
Resume Displays the Update Report page for the selected study, allowing the
radiologist to resume reporting. This is covered in greater detail in the
Editing Reports section below.
Deauthorise Displays the Deauthorise Report page for the selected study, allowing
authorised users to deauthorise the report. A valid reason must be
specified when deauthorising a report.
View This button is displayed in the Report column for any study that has a
final report. Click View to view:
• The report contents
• Report status and reporting radiologist
• Patient details
• Examination details
• Request details
When viewing the report, you also have a Print button, which allows
you to preview a PDF of the report, as well as download and print the
report.
• Create the order in Zed RIS first, then enter the order details onto the modality and
scan, OR
• Scan the patient first, send the images to Zed Link, and create an order via the
Studies page, to match the images.
When the images are received in Zed, they are displayed on the Studies page. On the
Studies page the RIS Actions button presents two options:
• Create Order
• Match Existing Order
Zed RIS workflow is started when the images are matched to an order.
You create an order to register a request for imaging for the selected study.
When you create the order, the system will automatically take you to the RIS page.
In some cases, the order may have been created previously. Rather than creating a new
order, it will be necessary to match the selected study to an existing order.
Patient Arrived This status can be manually applied to indicate that the patient has
arrived and is ready for imaging, or is currently being scanned.
Ready for This status is manually applied to reflect that the study is ready to
Reporting be reported.
Note that radiologists can only report cases that have been assigned
to them. Attempting to report other cases will produce this
message:
Dictated This status is manually applied to reflect that a report has been
dictated for the study
Final Report Reports can be signed off or authorised when completed. Final
reports are displayed with status Final Report and have a View
button in the Report column.
Reporting Radiologists can access the report editor for a study once its status has reached
Ready for Reporting. At this stage the Report button will be displayed in the Report column.
• If a study has been assigned, the radiologist’s name will be displayed in the
Radiologist column. The report can only be accessed by the assigned radiologist.
• If the study has not been assigned, any radiologist can click Report, and the study
will automatically be assigned to them.
The reporting screen is accessed by clicking Report or Resume buttons in the Report
column. The screen displays information in three main panels:
• Current Order – displays patient, study and referrer details of the order being
reported
• Editor – the word processing field where the content of the report is transcribed,
including formatting options
• Templates – provides a list of templates that can be selected for the report
Action Function
Save as Draft Saves the report content as a draft, and does not release it. Report
status remains as Ready for Reporting. Note this option is not available
if the report has previously been saved as preliminary or final.
Sign and Submit Saves the report content as final, and authorises the report. This
option should only be used when the report is considered final, and no
further changes are required. A View button is shown in the Report
column, allowing authorised users to access the report. No further
changes can be made to a report once it reaches Final Report status.
Cancel Abandons all changes made to the report and closes the reporting
screen.
It may be necessary to adjust a final report – for example, if an error is detected. A final
report must be deauthorised before it can be amended. This may be done via the Orders
screen or Reports screen.
To deauthorise a report:
1. Select the report
2. Click Actions, and select Deauthorise. This will display the Deauthorise Report page.
3. Confirm the correct report has been selected and enter a reason in the Deauthorise
Confirmation field
4. Click Deauthorise. The report is saved with status Final Report Deauthorise and can
be edited as required.
Final Report It may be necessary to adjust a report that has already been
Deauthorise authorised. To do this, the report must first be deauthorised, as
and described in Deauthorising a Report below. Deauthorised reports
Ready for are listed with status Final Report Deauthorise (for cancelled order)
Reporting or Ready for Reporting Deauthorise (for report to be amended).
Deauthorise
Cancelled An order may be cancelled for any number of reasons, and will be
and displayed with status Cancelled. If the cancelled order had a report
Cancelled that was deauthorised, it would have a status Cancelled Deauthorise.
Deauthorise
Once the deauthorised report has been amended and reauthorised, it is saved as Final
Report.
Action Function
View Allows users to View the selected report in its current state. A number
of additional options are available when viewing a report, depending
on its status:
• Continue Reporting button is available when viewing any
incomplete report
• Authorise button is available when viewing a preliminary report
• Print button is available when viewing any finalised report
Report Displays the report editor, allowing users to Report the study.
Continue Allows users to Continue Reporting any case where the report that has
Reporting been saved as a draft.
Delete Draft Allows users to delete a report that was saved as a draft.
Deauthorise Allows users to Deauthorise a final report. This is required if the report
is to be amended.
Manage Radiologist
This screen allows system administrators to create and manage accounts for radiologists.
This includes assigning appropriate levels of access as well as the sites where they work.
Manage Templates
Templates can be created for commonly used reports. The Manage Report Templates
screen allows radiologists to create and manage report templates. Templates can be
private, or shared with all radiologists.
Action Function
Name The name of the template that will be displayed for selection in
the reporting editing window. This value is not unique so it is
important to be able to distinguish between templates with the
same or similar name.
Share with everyone Check this option to allow the template to be used by all
radiologists. If unchecked, the template will only be listed for the
radiologist who created the template.
Placeholders Placeholders are preconfigured fields that can be inserted into the
{placeholder} report template. Click the link to insert the placeholder.
{order_description} • {placeholder} – inserts a blank field
• {order_description} – inserts the examination description
form the order
Organisations can be created to identify the business units that make up your practice. Your
practice may consist of one or more organisations.
Manage Sites
Your organisation may have a number of separate work sites or locations where
examinations are performed. The site must be specified when an order is created.