User Guide

Radiology

Imaging-studies queue with patient-context for contrast safety — the second non-bedside kiosk.

A.1 What a Radiology doctor / nurse owns

Responsibility	Detail
Imaging studies queue	The single screen they sign in to: a table of imaging studies (study UID, patient, modality, body part, status, started date, performer).
Order intake	Imaging orders coming in from the wards (ICU / ER / Maternity / Operations / Ward) appear in the queue the moment a doctor places one.
Study creation	+ New Imaging Order opens a form to create a study against a patient and (optionally) an encounter — used when imaging happens without an explicit `service_request`.
Image acquisition	Editing a study captures modality, body part, body site, started/ended dates, performer, and a DICOM path.
Reading & reporting	Edit findings + conclusion on the study. The final report is published as a `DiagnosticReport` and shows up under the ordering doctor’s Results.
Patient context	Click any patient name on the queue → chart popup with the imaging study itself plus vitals, allergies, conditions, current medications, prior reports, care plans, consents. The chart highlights contrast-relevant allergies (iodine / contrast / gadolinium / latex / shellfish) and flags peri-procedure medications (metformin, anticoagulants).
Recording observations	The chart’s editable categories (Vitals, Allergies, Conditions, Nursing Assess.) are mostly for context — adding a contrast allergy you discovered during screening, or a pre-procedure pain score.

A.2 What they cannot do

The Radiology shell is intentionally narrow — kiosk-style, like the six other kiosks:

No sidebar, no global navigation, no dashboard.
No access to ward boards (ICU / ER / Maternity / Operations / Ward), no access to lab, pharmacy, billing, HR, or admissions.
No access to a patient unless that patient has at least one imaging study or radiology service request.

Forbidden URLs land on the standard Forbidden page.

A.3 What the screen looks like

When a radiology doctor or nurse logs in:

┌──────────────────────────────────────────────────────────────────────────────┐
│ M  Mando · Radiology       [ Radiology ]            🔔   Dr. Nora Aoun ┄      │
├──────────────────────────────────────────────────────────────────────────────┤
│                                                                              │
│   Radiology & Imaging                                  + New Imaging Order  │
│                                                                              │
│   Search by study UID, modality, body part, or patient…                      │
│                                                                              │
│   Study UID    Patient        Modality   Body Part    Status      Started   │
│   IMG-2026-…   John Smith     CT         Chest         in-progress 09:14    │
│   IMG-2026-…   Maria Garcia   MRI        Brain         scheduled   —        │
│   IMG-2026-…   Anna Taylor    XR         Pelvis        completed   08:02    │
│   …                                                                          │
└──────────────────────────────────────────────────────────────────────────────┘

Top bar: brand → single static tab “Radiology” → notification bell → user pill → Sign out.

A.4 The day, end to end

Sign in. The system bounces them straight to /radiology. No dashboard.
Watch the queue. The table shows every imaging study, sorted by id desc (newest first).
Click a patient name on any row → the chart popup opens with 11 cards: Imaging Study, Vitals, Allergies, Conditions, Nursing Assess., Medications, Lab Orders, Imaging Orders, Results, Care Plans, Consents.
Click “Imaging Study” → snapshot of this study: modality, body part, body site, study UID, status, started/ended, performer, DICOM path, findings, conclusion.
- Banner appears when the modality is contrast-capable (CT / MRI / angiography / fluoroscopy) and the patient has any recorded allergies. Read the Allergies card before scanning.
- A milder banner appears for any contrast-capable modality even with no allergies — a reminder to confirm renal function and allergy history.
Click “Allergies” → list of every allergy. Contrast-relevant entries (iodine, contrast, gadolinium, latex, shellfish) get a red border and a “contrast-relevant” badge so they stand out.
Click “Medications” → active prescriptions. Metformin and oral / parenteral anticoagulants (warfarin, heparin, apixaban, rivaroxaban, dabigatran, edoxaban, enoxaparin) get an orange border and a “peri-procedure” badge so the radiologist knows to coordinate with the ordering doctor before contrast / interventional procedures.
Click “Conditions” to inform interpretation — e.g. CKD changes contrast strategy; pregnancy contraindicates fluoroscopy.
Add a vital / allergy / condition / nursing note if pre-procedure screening turned up something. The Allergies add form’s Substance defaults to “Iodine contrast” and the criticality defaults to “High” so the common case is one click + Save.
Move the study through the workflow. Close the chart, click Edit on the row to update status (scheduled → in-progress → completed), record findings, conclusion, performer, DICOM path. Save → ordering doctor sees it under Results.

A.5 Notifications

Inbound (the bell flashes):

New imaging order placed by a doctor (the wards) — fires imaging_order_new on the Radiology department feed. STAT priority orders fire at high priority.

Outbound (the radiology team fires automatically):

Final report published → ordering doctor’s notification feed (planned — see follow-ups below).
Critical-finding flagged → ward + ordering doctor (planned).

A.6 Common pitfalls

“I want to enter findings but the chart popup is open.” The chart is for context, not result entry. Close it and click Edit on the study row.
“I tried to open the lab page and got Forbidden.” Correct — radiology staff can’t browse lab. Use the Lab Orders card on the chart to see a patient’s pre-procedure labs (e.g. creatinine before a contrast CT).
“The patient I’m expecting isn’t on the queue.” Either (a) the doctor hasn’t placed an imaging order yet, (b) no imaging study record was created. The queue is imaging_studies, not service_requests — if an order was placed but no study created, click + New Imaging Order to create one.
“My patient has 30 prior reports.” That’s expected on a long admission. Use the search box to filter by study UID, modality, body part, or patient name.
“The chart says contrast-relevant but I see no allergy.” The badge fires when the modality is contrast-capable AND any allergy exists, not just contrast allergies — it’s a prompt to read the list, not a hard alert. Open the Allergies card to confirm.