Interpret study
Objective
Record the medical interpretation of a study that has already been captured, leaving evidence of the analysis and conclusions so the result is deliverable.
Before starting
- The study must be in Capture or Interpretation status with complete data.
- Have
MEDICAL_CAPTURE: WRITE.
Step by step
- Enter the Study capture module.
- Open the Interpretation tab.
- Locate the study to interpret (by patient, type or date).
- Click the Interpret icon of the study.
- The interpretation dialog opens. Enter:
- Clinical findings.
- Diagnosis.
- Recommendations.
- Comments or additional observations.
- Optionally, generate a prescription linked to the study from the same dialog.
- Confirm with Save.
Expected result
- The study moves to the Interpretation status (or Results if finalized from here).
- The interpretation is recorded with the date, responsible doctor and content.
- The system shows a success message.
- The study is ready to be sent to the patient or finalized.
Pending: add screenshot of
estudios-interpretar-01-dialogo.png.
Common errors
| Situation | What to do |
|---|---|
| The Interpret icon does not appear | The study is not in Capture status or has already been finalized. |
| Data is missing in the capture | Go back to the Capture tab and complete the missing data. |
| The prescription is not generated | Verify the PRESCRIPTIONS: WRITE permission. |
Suggested permissions
MEDICAL_CAPTURE: WRITE.
Operational recommendations
- Capture the interpretation with clarity and standard terminology so it is useful for the patient and other doctors.
- If the interpretation requires additional studies, add it as an observation.
Relation with other modules
- Patients: the interpretation is associated with the patient.
- Prescriptions: a prescription linked to the study can be generated.
- Notifications: the status change can trigger notification rules.