The ability to manually change exam status through the UI is controlled by role-based permissions. As this functionality is intended for troubleshooting rather than routine use, it is recommended that access be limited to administrators.

Navigate to the Administrative menu > Roles, and select the role for which you want to enable permissions.​ 

In the upper-right corner, use the search field to locate the “Ability to update exam status” permission and ensure the Update option is selected.​ 

This will grant all users assigned to the selected role the ability to manually change exam status through the UI.​ 

The above diagram shows the allowed status transitions:​ 
​ 

• Unmatched ↔ Pending/Inflight/Completed​ 

• Inflight ↔ Pending​ 

• Pending/Inflight ↔ Completed​ 

• Pending/Inflight ↔ Unmatched​ 

• Completed ↔ Pending/Inflight/Unmatched​ 
  (only if the completed exam is NOT “Once signed” and has NO internal or external final report).​  

Completed exams may be manually moved to the Unmatched, Pending, or Inflight status only when the following conditions are met: 

• The exam does not have a “Once signed” exam event (this event is present on all exams signed in Synthesis). 
• The exam does not have a final report signed in Synthesis. 
• The exam does not have an external report. 

From the Exam List, click the Actions button and select Exam: Status.​ The dialog box shown below is displayed. ​ 

Choose the desired status and click Save to move the exam.​ 

The exam status can also be updated from the Reporting Screen.​ 

In the Exam Information tab, click the current status in the Status section and select the new status from the dropdown menu.​ 

When an Exam is Manually Moved FROM Unmatched 

→ To Pending or Inflight 

• The exam becomes fully editable, just like regular Pending/Inflight exams: 

  • Technologist notes 

  • Operational notes 

  • Document uploads 

• Other Pending/Inflight fields 

• Missing information is allowed initially. 

• Validation is enforced later: 

• Moving Pending → Inflight via Submit requires all missing information. 

• Signing an exam already moved to Inflight requires all missing information. 

→ To Completed 

• The exam becomes non-editable, same as a normally completed exam: 

  • Forms, exam information, report editor, etc. become non-editable. 

• No Signed datetime is added. 

• No “Once signed” exam event is created. 

• No report is generated. 

• Behavior matches exams completed via OPR rules. 

When an Exam is Manually Moved FROM Pending or Inflight

→ To Completed 

• Missing information is allowed. 

• Exam becomes non-editable, same as a normally completed exam. 

• Partial reports started by the radiologist are removed (templates + manual text). 

• No Signed datetime or “Once signed” event is added. 

• No report is generated. 

• Behavior matches exams completed via OPR rules. 

→ To Unmatched 

• The exam becomes editable according to Unmatched rules, same as a standard Unmatched exam. 

When an Exam is Manually Moved FROM Completed 

→ Pending or Inflight 

• The exam becomes fully editable, same as regular Pending/Inflight exams: 

  • Forms 

  • Exam information 

  • Images 

  • Report editor 

• Default template applies if enabled at the radiologist level. 

• If the radiologist signs the exam later, the report is generated and sent normally. 

→ Unmatched 

• The exam becomes editable according to Unmatched rules, same as a standard Unmatched exam. 

When a Completed exam has a final report (either signed in Synthesis or received as an external report) and changes are required, the exam may be sent to Support Request or an Addendum may be requested.​ 

Support Requests and Addendum Requests are permitted on Completed exams, including those that:​ 
• Have a “Once signed” exam event​ 
• Have a final report signed in Synthesis​ 
• Have an external report​ 

There are two ways to send a Completed exam to Support Request:​ 

1. From the Exam List:​ 
• Click the Actions button and select Support: internal request.​ 

2. From the Reporting Screen:​ 
• Click the Actions button in the lower-right corner of the page and select Support: internal request.​ 

In both cases, the dialog box shown above is displayed.

Select the appropriate option and click Save to send the exam to the Support Request queue.​ 

There are two ways to send a Completed exam to Inflight via Addendum request:​ 

1. From the Exam List:​ 
• Click the Actions button and select Addendum: request.​ 

2. From the Reporting Screen:​ 
• Click the Actions button in the lower-right corner of the page and select Addendum: request.​ 

In both cases, the dialog box shown above is displayed.

Enter the reason for the addendum and click Request to send the exam back to the Inflight queue.​ 

When a Completed exam (with “once signed” event, a final report signed in Synthesis, or an external report) is: 

• Moved to Support Request status, or 

• Moved to Inflight via Addendum Request 

The following actions are allowed: 

• Add images 

• Delete images  

• Insert, remove, or edit forms 

• Update DICOM metafiles 

• Update exam information 

• Add technologist notes 

• Add operational notes 

• Add documents 

Addendum-Specific Behavior 

• Radiologists may add or cancel an addendum. 

• Any changes made to images or forms persist, even if the addendum is canceled.