Working with Fax Imaging Results

SigmaMD offers fax-based ordering and results for diagnostic imaging when an electronic interface is not available. Use this guide for a walkthrough on creating and submitting imaging orders. Once results are received via fax, follow this guide to link them to the original order and add them to the patient chart.

Reviewing Fax Imaging Results

Step 1: Access Received Fax

  • Navigate to Inbox > Documents.
  • Locate and open the received fax.

Step 2: Set as Diagnostic Result

  • If the fax is a diagnostic result, set Type to Diagnostic result in the Details panel to the right of the PDF. When Sigma AI document processing is enabled for your practice, Sigma AI reads each fax as it arrives and may already have set the type for you. Whether the fax is also assigned to the clinician named on it, or only suggested below the Assignee field, depends on your practice's Sigma AI Auto-Assign option. See Sigma AI Auto-Assign for Documents.
  • Complete the fields below. Diagnostic Type, Order, Status and Reviewer appear once you select the patient:
    • Patient: Select the patient the result belongs to. If Sigma AI matched a patient, the name appears as a suggestion below the field; click it to add the patient.
    • Diagnostic Type: Choose Imaging result.
    • Order: Optionally select the original imaging order to link. Once linked, the order will no longer be listed in the list of orders Pending Results in the Imaging screen.
    • Status: Select the result status (e.g., Final, Corrected, Partial).
    • Reviewer: The clinician whose Imaging results to review list the result goes to. It defaults to the ordering clinician of the linked order, or to the patient's assigned clinician when no order is linked. To route the result to someone else, select another active clinician in your practice — the list covers clinical roles only: Ordering Clinician, Nurse, Medical Assistant and Allied Health Professional.

  • Once completed, click Save.
  • You can change the Reviewer while the result is pending review — you can replace it, but not clear it. A reviewer you select stays with the result when you save it again, when you link or change the Order, and when the patient's assigned clinician changes. If you move the result to another patient, it starts over from that patient's default.
  • Once the result is marked as reviewed, the Details panel shows Reviewed by with the clinician who reviewed it.
  • (Optional) Add a Note to Patient, which will appear with the result in the SigmaMD Patient App once you mark the result as reviewed. The patient will be notified at that point by email and push notification, or by text message if they have no email address on file. The text asks them to contact your practice for details.

Step 3: Add Result Details

  • Populate the result details, one test at a time:
    • Test name
    • Performed on date
    • Findings

  • Once complete, click Mark as reviewed to finalize.

Note: If you are unable to complete adding results after linking the patient and order, you can return to the Documents screen later or complete the review from the Home Screen > Imaging results to review card.

Downloading or Printing Result PDFs

When viewing the result PDF, you can easily download or print it using the buttons directly above the PDF viewer:

  • Download: Save a copy of the result PDF to your device.
  • Print: Print a physical copy of the result.

Viewing Results in the Imaging Table

Once linked to a patient, the fax imaging results will appear in the Imaging table in the patient chart. The table includes:

  • Test: Lists test names.
  • Status: Displays current status badge for the test (e.g., Final, Corrected, Partial, etc.).

Hover over any test name to access View order details (shows order metadata) or View results (opens the result PDF with option to add/update patient notes). You can also view the original requisition from this view.

All imaging result PDFs are stored in the patient's Files section under the Imaging folder for future reference.

Patient Access

The patient (or their caregiver) will automatically receive a notification and can view the result PDF in the SigmaMD Patient App. The findings and any provider notes appear once the result is marked as reviewed. You do not need to manually send results to the patient.

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