Changing the Study Status from the Worklist

Introduction

You can change the status of a study directly from the Worklist page. Following are some examples of when this functionality is convenient:

  • A study is inadvertently marked as Dictated, but it needs to be changed to Complete so it displays in the Unread Worklist.
  • A study needs to be removed from a Complete status and marked with another status (without a report).

Steps

  1. With the Worklist open, click to select a study or do one of the following to select multiple studies:
    • Hold the CTRL key down to select multiple, individual studies.
    • Hold the SHIFT key down to select a group of studies.
  1. Right-click the study to display the context menu.
  2. Select Change Status and select a study status option.

    3. Note:

    The study status options available to you depend on site configurations and your permissions. See your System Administrator for more information.

Status

Definition

Cancel

The study has been cancelled as reported by the RIS.

Scheduled

The study has been scheduled as reported by the RIS, but no images have been received into the system.

Arrived

The patient has arrived at the hospital as reported by the RIS.

Started

The study is in the process of being sent to Synapse.

Sent

The study has been sent to Synapse. The Sent status is an option that is set for your entire site. If your administrator configured this status for your use, the study stays in Sent status until a user either completes the study in the RIS or changes the status in Synapse. Once complete, the study displays in the Unread Studies folder.

Complete

All of the images are loaded into the system and the study is ready to be read.

Preliminary

A study that is in Preliminary status means that all of the images have been received, the study has been read initially, but is waiting for either clarification or for finalization.

The Preliminary status option is not available for:

  • MDS studies from Synapse releases prior to version 7.1
  • Studies originating from a home datasource from a Synapse release prior to version 7.1
  • Advanced Reporting studies (since the Preliminary status change must be implemented within AR)

Dictated

After the radiologist has read the study, the system assigns a status of Dictated. When the system receives the dictated reports, the study is marked as Finalized.

Finalized

Images have been read by a radiologist and report documentation is available as reported by the RIS.

A physician read the images. For AR studies a report is available.

Corrected

(AR studies only)

The finalized report was corrected.

Note:

  • Synapse restricts this status to AR studies only and excludes this study from Change Status.
  • This status is only available for Advanced Reporting (AR).

Reference

The images in this study are used as a reference for another study.

No report is associated with this study.

Non-Reportable

The images in this study cannot be interpreted or read. No report is associated with this study.

This status is typically designated to outside exams that are imported into Synapse and will not be read by a radiologist.

This status is also used for internal exams that will not be read by a radiologist.

Delete Signature(s)

(AR studies only)

Click to delete a finalized Advanced Reporting (AR) report signatures from a local datasource. You cannot delete multiple finalized reports.

Synapse changes the AR study status to the previous status.

Note: You cannot unfinalize a report instance if another user has the Clinical Reporting Application (CRA) open. Synapse displays a message with the name of the user who has the CRA open.

Delete Report

(AR studies only)

Click to delete an Advanced Reporting (AR) report for a single study. You cannot delete an AR report when the study is in Finalized or Corrected status. You cannot select multiple studies and delete the corresponding reports.

The study must be in a local database.

Synapse returns the study to Completed status, clears the Report icon, and clears the Report Impression.

Note: You cannot delete a report instance if a user has the CRA open. Synapse displays a message with the name of the user who has the CRA open.

Unlock Study

(AR studies only)

Click to unlock a study or AR report. The Unlock Study option is only available when Synapse locks the study or an AR report.

When you confirm to manually unlock a study that does not have an AR report associated with the study, Synapse removes the lock from the database.

AR Procedures

When you confirm to manually unlock an AR report, the following happens:

  • Synapse saves the CRA data through long polling based on the user's Automatic Logoff Save Changes option in User Settings.
  • The CRA closes General User Settings.
  • Synapse releases the study lock from the database.
  • Synapse displays a toast message to the user indicating that a System Administrator removed the lock.
  1. The following prompt displays: Are you sure you want to change the status of the selected items and refresh the list? Selected items might not display or might display elsewhere. Click Yes to change the study status and refresh the list or click Cancel.