Diagnostic Results

Diagnostic results are laboratory and imaging reports that reach the clinic. Find them at Patients → Results (/results) and in the Results section of each patient’s chart. Front desk staff file incoming reports, and doctors sign them off.

Who can do this

Task	Clinic Admin	Receptionist	Doctor	Nurse
See results and open a result	Yes	Yes	Yes	Yes
File an incoming result	Yes	Yes	Yes	Yes
Sign off a result	No	No	Yes	No
Reassign a review to another doctor	Yes	No	Yes	No
Withdraw a misfiled result	Yes	No	Yes	No
Change the results review rota	Yes	No	No	No
See the results review rota	Yes	View only	View only	View only

Any doctor can sign off any result, whoever it was routed to. Routing only decides whose list a result appears in first.

The results inbox

The inbox opens on Needs review. Use the buttons above the table to switch views.

View	What it shows
Needs review	Every result no doctor has signed off yet, with a count
For me	Needs-review results routed to you, with a count
Ordered by me	Results for tests you ordered
Signed off	Results a doctor has signed off
All	Every result except withdrawn ones

You can narrow the list with Patient name, Any type (Laboratory or Imaging), Any facility, and Abnormal only. If more results exist, select Load more.

Unreviewed results are listed critical first, then abnormal, then the oldest first. Times are shown in Singapore time.

The Results inbox as Clinic Admin, showing two results that need review, one marked Critical and one Abnormal

The results inbox, with the critical result at the top

Select a row to open the result. The window shows the dates, who ordered the test, who it is routed to, the values, and the summary. Select Open report to view the attached report.

Filing an incoming result

Anyone who works at the front desk or the clinic floor can file a result. Filing sends it to the inbox for a doctor to review.

Select File result. On a patient’s chart, use File result in the Results section.
Under Patient, search by name and select the patient.
Choose the Receiving clinic, the Type, and enter the Name of the test, for example “Full blood count”.
Enter the Performing lab / centre, and who the test was Ordered by. Choose a doctor at this clinic, or type an Outside orderer (optional). Do not fill both.
Enter Collected / performed and Report date. Neither can be in the future.
Under Scanned report, attach the report. It must be a PDF, PNG, or JPEG file no larger than 8 MB. Medbot checks the file itself, not its name.
Optionally, key in Values (optional). Select a panel such as Full blood count, or + Row for a single value.
Optionally, set Overall interpretation and Summary / impression.
Select File result.

The File an incoming result window with a full blood count panel, five values with reference ranges, and the File result button

Values keyed in from a full blood count panel

You must attach a report, key in at least one value, or both. A single report can carry up to 60 values.

Values and interpretation

Enter each reference range and flag exactly as the lab printed them. If you leave the flag as Derive, Medbot compares a number with the lab’s own range: below the range is low, above is high. A value on the edge of the range is normal. With no range and no flag, the value stays unflagged.

The Overall interpretation starts as Derive from values. If you also choose one by hand, the more serious of the two is kept. This matters for imaging reports, which have no values.

Messages you may see

Message	What to do
Choose the patient this result belongs to.	Search for the patient and select them.
Give the result a name, e.g. “Full blood count”.	Fill in Name.
Attach the report, enter at least one value, or both.	Add a report or a value.
Upload the report as a PDF, PNG, or JPEG.	Attach a different file.
The report must be smaller than 8 MB.	Attach a smaller file.
A result cannot be collected or issued in the future.	Correct the date.
The ordering doctor is not available at this clinic location.	Choose another doctor, or use Outside orderer (optional).

Signing off a result

Only a doctor can sign off, because it is a clinical decision recorded under the doctor’s name.

Open the result and select Sign off.
Under What should happen next?, choose No action needed, Inform patient, Recall patient, Repeat / further test, or Refer.
For anything other than No action needed, choose How urgent? and, if you like, Within (days). Then describe what the patient should be told or booked for.
Optionally, write What the patient will read (optional). The patient sees it as “What this means”.
Select Sign off.

The Sign off window for an HbA1c result, with Recall patient chosen, Urgent selected, and notes for staff and for the patient

Signing off with a recall

Urgency	Default due date
Routine	Within 14 days
Urgent	Within one day
Immediate	Today

You can enter up to 365 days. Notes can be up to 2,000 characters. Your own note is for the clinic and is never shown to the patient.

Any choice except No action needed creates a follow-up, shown on the result and on the patient’s chart. A follow-up starts as Open with its due date.

If your account has no linked clinical profile, sign-off is refused. Ask a Clinic Admin to fix your account.

The Results section of a patient chart showing a yellow follow-up notice above a signed-off full blood count

A patient’s Results section with an open follow-up

Reassigning and withdrawing

A Clinic Admin or a doctor can reassign a result that still needs review. Open it and choose a doctor under Reassign review to, or choose Unassigned. The doctor must work at the result’s clinic location.

To withdraw a result filed by mistake, open it, select Withdraw, and give a reason under “Why is this result being withdrawn?”. Then select Confirm withdrawal. A withdrawn result no longer appears in the inbox. Its open review and follow-ups are cancelled. It stays on the patient’s chart with the reason, for the audit trail.

The review rota

The rota decides who is responsible for results that arrive each day at one clinic location. Only a Clinic Admin sees the Review rota button on the results page. It opens /results/roster. Others can open the page by its address but cannot change it.

A result is routed to the doctor who ordered the test. It is also routed to the doctors rostered at that location for the day it arrived.

To change a day, select Edit beside it and tick the doctors. Each tick saves at once. You can edit past days, so that late-filed results reach the right doctor.

What the patient sees

A patient sees nothing that reads like a conclusion until a doctor has signed the result off. A Critical flag is hidden from the patient after a recall, repeat test, or referral, so they hear it from a clinician first. The signed-off text appears as “What this means”. See Patient for the patient’s side.

Patient Records & Consent: the chart where results sit.
Clinic Messaging: contacting a patient about a result.
Roles & Permissions: what each role can do across the CMS.