Working with Electronic Lab and Imaging Results

SigmaMD simplifies managing lab and imaging results received from electronic lab and imaging integrations. For a walk through on creating and submitting orders, see How to Create and Submit a Lab Order or How to Create and Submit an Imaging Order. Once results are available, the ordering provider on the order automatically receives an email and push notification.

Who Reviews a Result

Each result goes to one clinician's Lab results to review or Imaging results to review list, and that clinician receives the notification:

  • A result linked to an order goes to its Ordering provider
  • A result with no ordering provider goes to the patient's assigned clinician
  • Linking a result to another order or patient updates who reviews it
  • Changing the assigned clinician moves only results with no ordering provider

The Assigned clinicians filter in the review list follows the same rule, so each clinician sees the results they ordered. See How to Change a Patient's Assigned Clinician for how reassignment affects pending results.

Reviewing Lab and Imaging Results

You can review lab and imaging results from either the Home Screen or directly from the Patient Chart.

1. Access Pending Results

  • From the Home Screen:
    • Navigate to the Home Screen in SigmaMD.
    • Locate the Lab results to review or Imaging results to review card.
    • Click Review to open the list of pending results.
    • A side panel will open displaying the result PDF.
    • Hover over the result to reveal and click View result.

  • From the Patient Chart:
    • Open the patient's chart.
    • Click on the Labs or Imaging tab.
    • Look for the Pending Review card and click Review order.

2. Open and Review the Diagnostic Result

  • Review the result PDF as well as the parsed data displayed to the right of the PDF.
    • Prior to marking as reviewed, it is important to review the parsed data, as this data is shown in the Labs or Imaging results table.
    • In addition, make sure to click on any hyperlinks for the tests (and, for labs, test components) to review additional notes if present.
  • (Optional) Add a Note to patient, which will be visible in the SigmaMD Patient App. The patient will be notified.
  • If the result is unmatched and shows “Unknown Patient”, please follow the steps outlined in Managing Unmatched Lab and Imaging Results to assign the result before completing the review.
  • Click Mark as reviewed to complete the review.

Multiple Result Files per Order

A single lab or imaging order may contain multiple tests that result back at different times. Pay attention to the navigation arrows (< >) above the result PDF. These indicate that multiple result PDFs have been received for the same order. Review all available result files before marking the order as reviewed.

Downloading or Printing Result PDFs

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

  • Download: Click to save a copy of the result PDF to your device.
  • Print: Click to print a physical copy of the result.

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

Viewing Results in the Labs and Imaging Tables

In addition to the review workflows above, results can also be viewed in the Labs and Imaging tables in the patient chart.

  • The Labs table includes:
    • Test: Lists test names (expandable to view test components).
    • Status: Displays current status badge for the test and components.
    • Result: Displays values for each component.
    • Prior Results: Shows up to 3 previous results for comparison for each component.
    • Reference Range: Displays normal reference range for each component.
  • The Imaging table includes:
    • Test: Lists test names.
    • Status: Displays current status badge for the test.

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 (and, for labs, the labels).

Understanding Result Status

  • Each lab and imaging result includes a status (e.g., Final, Corrected, Partial, etc.) indicating its current processing stage.
  • Individual lab test components may also include abnormal flags to highlight results outside normal ranges (e.g., Normal, Abnormal, Critical, or microbiology susceptibility markers).

Patient Access

The patient (or their caregiver) will automatically receive a notification and can view the results in the SigmaMD Patient App, including any provider notes added. You do not need to manually send results to the patient.

For further assistance, please contact our support team.

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