Workflow Preferences

Site

Account

Preference

Definition

Default

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Diagnosis coding system

Choices are:

• ICD-10

• ICD-9

• Disabled

Disabled

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Diagnosis coding at preliminary signoff

Controls whether PowerScribe 360 | Reporting requires diagnosis (ICD-9) coding when a resident approves a report.

NOTE: This preference does not apply when an attending saves a report as preliminary.

• Do not perform: Diagnosis coding is not invoked at preliminary signoff.

• Do not require codes: Diagnosis coding is invoked, if not already set for all the accessions of the report, but the user is allowed to cancel without assigning codes.

• Require codes: The report cannot be approved unless at least one code is entered for each order in the report.

NOTE: This setting may override the behavior of the Diagnosis coding at final signoff preference as noted below.

Do not perform

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Diagnosis coding at final signoff

Controls whether PowerScribe 360 | Reporting requires diagnosis (ICD-9) coding when the Attending provider signs a final report.

NOTE: This setting is ignored if the Diagnosis coding at preliminary signoff preference is set to Require codes and at least one code is not entered for each order in the report. That is, if coding is required at preliminary signoff, but the report was not approved by a resident, coding will be required at final signoff regardless of the setting of this preference.

• Do not perform: Diagnosis coding is not invoked at final signoff.

• Do not require codes: Diagnosis coding is invoked, if not already set for all the accessions of the report, but the user is allowed to cancel without assigning codes.

• Require codes: The user cannot sign the report without entering one or more codes for each order in the report.

NOTE: If codes were entered by the Resident, this setting will cause diagnosis coding to be invoked so that the Attending can review the codes entered by the Resident.

Do not perform

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Require BI-RADS for mammography exams

Select this check box to require that a BI-RADS code is entered for mammography exams

False

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Perform spell check at signoff

Automatically spell checks a report when the provider signs or approves it. If the system finds errors, it prompts the user to correct them.

False

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Perform consistency check at signoff

Automatically runs the Assure consistency check application when the provider signs or approves a report.

NOTE: Assure is a purchasable option. Talk to your Nuance sales representative for more information.

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Invoke FAX at signoff

Automatically opens the Fax dialog box when a provider signs or approves a report. Allows user to select the person(s) to whom the report is faxed.

False

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Final electronic signature

The character string that is automatically appended to a final report when an attending physician signs it. The string might include merge fields, for example, "Finalized by <627:Signer Name> on <607:Report Sign Date>." You can make the string span multiple lines by using \n to indicate a new line.

N/A

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Preliminary electronic signature

The character string that is automatically appended to a preliminary report when a resident approves it. The string might include merge fields, for example, "Approved by  <640:Dictator Name> on <608:Report Preliminary Date>."  You can make the string span multiple lines by using \n to indicate a new line.

N/A

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Corrected electronic signature

The character string that is automatically appended to a dictated report when an editor corrects it. The string might include merge fields, for example, "Corrected by <672:Editor Name> on <609:Report Corrected Date>." You can make the string span multiple lines by using \n to indicate a new line.

N/A

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Attending attestation statement

The statement that is automatically added to a resident's report when an attending physician signs it. It is added before the final electronic signature, if one is specified. The statement can include merge fields, for example, "I, <627:Signer Name>, have reviewed the images and report and concur with these findings."

N/A

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Wet read report header

Type the header text you want to appear on wet read reports in this text box.

N/A

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Report header

Type the header text you want to appear on your reports in this field.

N/A

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Addendum header

Type the header text you want to appear on your addendums in this field.

N/A

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Critical communication sent statement

The statement that is automatically added to a report when a critical finding is communicated through PowerScribe 360 | Critical Results (formerly known as Veriphy). (This is a purchasable option. Contact your Nuance sales representative for more information.)

The recipient and date/time of the message are automatically appended to this statement.

 A <FindingType> message has been communicated to <RecipientName> via the PowerScribe 360 | Critical Results system on <102:Current Date>, Message ID <MessageID>.

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Critical communication document only statement

The statement that is automatically added to a report when a document only message is sent.

A <FindingType> message has been documented for <RecipientName> in the PowerScribe 360 | Critical Results system on <102:Current Date>, Message ID <MessageID>.

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Require audio for document only message

If selected, this check box requires the user to include an audio statement even though the PowerScribe 360 | Critical Results message is marked as document only.

False

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Site AutoText overrides user default/normal

If you select this option, the system always uses the site AutoText as the default or normal, even if the user has a matching AutoText entry, that is, one whose procedures and properties (such as age and sex) match those of the exam. Otherwise, it uses the user’s AutoText.

False

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DICOM merge multiple values

Controls the behavior of DICOM merge fields when multiple DICOM SRs are available for an order and contain the same measurement.

When set to True (check box selected), all of the values from the multiple DICOM SR are merged into a comma separated list. The values are in order based on the DICOM study/series/instance where the most recent instance is first.

When set to False (check box cleared), only the value from the most recent DICOM SR instance is merged.

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Merge field timestamp format

Choices are

• Local time

• Local time with time zone

• Server time

• Server time with time zone.

Local time

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Enable Wet Reads

Select an option:

• Allowed: Radiologist can create a report either as a wet read or a draft. The radiologist can send these reports for editing (if he or she has been assigned the Allow correctionist workflow permission).

• Always: All reports are automatically wet reads (as opposed to drafts). The radiologist cannot send these reports for editing. Typically, transcriptionist accounts are not assigned this preference.

• Disabled: Provider cannot create reports as wet reads.

Disabled

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Enable Save Draft and Send as Preliminary

Enables you to turn on/off the Send as Preliminary function.

True

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Add note on reject

When the radiologist rejects a corrected/transcribed report, the Insert Note dialog box automatically opens, allowing her to create a note for the transcriptionist. This preference also applies when an attending rejects a report approved by a resident.

True

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Automatically set rejected reports to STAT

When a user rejects a report, its priority is changed to STAT.

True

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Prompt on GUI sign

Clearing this check box allows the normally displayed prompt to be bypassed when Sign is invoked using the menu; the toolbar; a keyboard shortcut; or a voice command.

If this check box is selected, when a radiologist signs a report, he is prompted to confirm his signature. (Selecting this check box also causes a prompt to appear when residents click Approve and when transcriptionists click Finish.)

Note that this preference affects signing from both the Explorer and Report Editor screen.

True

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Prompt on approval

Text that appears when approving a report. You can change the text for each site. The text can contain “<report>” which will be expanded to “report” or “addendum” as appropriate.

N/A

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Prompt on final signoff for attending reports

Text that appears when an attending provider signs their own report. You can change the text for each site. The text can contain “<report>” which will be expanded to “report” or “addendum” as appropriate.

N/A

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Prompt on final signoff for resident reports

Text that appears when an attending provider signs a report created by a resident. You can change the text for each site. The text can contain “<report>” which will be expanded to “report” or “addendum” as appropriate.

N/A

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Warn if fields are empty when signing

The radiologist or resident is warned when signing or approving a report if the report contains empty fill-in or merge fields.

True

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Warn on sign if new notes exist

Controls whether the user is alerted during the signing or approval process if new notes have been added since the last time she opened the report.

• Never: New notes do not trigger a warning.

• From Transcription: Notes are shown only when added by the transcriptionist.

• Always: Any new notes trigger a warning, including those from other radiologists, or notes the system automatically adds on certain actions, such as when an order is assigned to a radiologist.

Never

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Require impression when signing

The system can warn radiologists if they sign or approve a report without including an Impression section. This preference works in conjunction with the Impression section indicator preference.

• Not required: No warning

• Warn if not present: Warn, but allow the report to be signed or approved anyway

• Require impression: Do not allow the report to be signed or approved without an impression.

Not required

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Require impression for addendum

Select this check box to require an impression section for report addendums.

True

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Impression section indicator

The regular expression that is to mark the impression area in the report. The system searches the report text for this expression and treats the text immediately following it as the impression.

Examples:

Impression\s*:

Conclusion\s*:

TIP: For more information about regular expressions, go to http://www.regular-expressions.info/quickstart.html

Impression\s*

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Maximum number of associated orders

The number of orders that can be associated with a report. Select Unlimited or a number between one and ten.

Unlimited

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Reporting via automation only

You can select this preference only where PowerScribe 360 | Reporting is driven by another application such as PACS. If you select this option, users cannot create new reports or perform order associations/dissociations using the user interface; these functions can only be accessed and performed by another application through automation. In this mode, users can open and addend only the reports they own.

False

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Add contributor on report assignment

When a report already containing some text is acquired by or assigned to another radiologist, the original radiologist is automatically added as a contributor to the report.

True

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Restrict attending selection by section

If you enable this preference, when a resident to whom you have not directly associated an attending physician logs in, the list from which to choose an attending physician contains only those who belong to the same section(s).

True

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Enable notes

Users are allowed to create notes for orders, reports and patients.

True

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Enable Montage

Select this preference to enable the Montage search feature.

Note that a few other items need to be configured in your system in order for Montage to provide its search functionality. Click here to see those items.

NOTE: Montage is a purchasable option. Contact your Nuance sales representative for more information.

True

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Final report transmit grace period

The number of minutes the bridge software is to wait before sending the final report to the RIS. (Preliminary reports are sent immediately.) This delay allows the attending physician time to re-open and correct the report, if necessary. Once the final report is sent to the RIS, it can no longer be edited; any changes must be made through an addendum.

Select the number of minutes (1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 15, 20, 30, 45, or 60).

The interface server must be restarted for this setting to take effect.

None

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Final report edit grace period

The number of minutes or hours after which a final report can no longer be edited; after this period, any changes to the report must be made with an addendum.

10 minutes

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Daily RVU quota

Allows you to add Relative Value Unit (or RVU) information to your procedure codes.

Zero (0)

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Use Attest workflow in mobile application

Allows the Sign button to change to Attest and Sign in the mobile application.

False