Addendum Workflow
Organization-wide settings that control how addendums appear in final reports and whether the report text clears when starting an addendum.
For radiologists: These are organization-level settings configured by your administrator. You cannot change them individually, but understanding how they work helps you use the addendum workflow efficiently.
What Is Addendum Workflow?
Addendums are supplementary reports added after the original report is signed—typically to add new information, correct errors, or address additional findings. The Addendum Workflow settings control:
How addendums are labeled in your final reports
Whether the report text clears when you start an addendum
These organization-wide settings ensure addendums follow a consistent style across your practice without manual formatting each time.
Where to Find It
Organization Settings → General
These are organization-level settings that must be configured by administrators with appropriate permissions. Once enabled, they apply to all users in your organization.
The Settings
Auto Add Addendum Section
What it does: Automatically adds an "ADDENDUM:" label to your final report after signing an addendum.
Your options:
Enabled (default)
System adds "ADDENDUM:" label before your addendum text
Most users - clear visual separation
Disabled
No automatic label added; addendum text flows directly
Users who manually format addendums
Auto-clear Final Report on Addendum
What it does: Determines whether the report editor clears when you start creating an addendum.
Your options:
Enabled (default)
Report text clears; you start with blank editor
Users who write addendums from scratch
Disabled
Previous report text remains; you edit/append
Users who reference or modify original text
Important behavior:
✅ Applies when creating your first addendum (prelim → final with addendum)
❌ Does not apply to subsequent addendums (addendum → another addendum)
❌ Does not apply when signing preliminary reports without addendum
Auto-clear only applies to the first addendum. If you create a second or third addendum, the text does not clear—this ensures you don't lose previous addendum content.
Getting Started (For Administrators)
Troubleshooting
"ADDENDUM: label isn't appearing in my reports"
Check:
Is the setting enabled?
Ask your administrator to check Organization Settings → General
Verify "Auto Add Addendum Section" is enabled
Are you signing an addendum?
Setting only applies when you sign an addendum, not preliminary or final reports
Is this a subsequent addendum?
All addendums should receive the label if enabled
If not, contact support
Still not working? Try:
Refresh the page
Sign out and sign back in
Contact support with a specific report ID
"The editor didn't clear when I expected it to"
Possible reasons:
Setting is disabled
Ask your administrator to check that "Auto-clear Final Report on Addendum" is enabled
This is a subsequent addendum
Auto-clear only applies to the first addendum
You're signing prelim, not addendum
Auto-clear only applies when creating addendums (Prelim → Final without addendum does not clear)
Clarification:
Prelim → Final (no addendum): ❌ Does not clear
Prelim → Final with Addendum: ✅ Clears (if enabled)
First Addendum → Second Addendum: ❌ Does not clear"I want the editor to clear for subsequent addendums too"
Current behavior: This is not supported. The system intentionally preserves subsequent addendum text to prevent accidental data loss.
Workaround:
Manually select all text (Ctrl+A / Cmd+A)
Delete
Start fresh
Why not supported?: Risk of losing important addendum content outweighs the benefit of clearing.
"My administrator disabled Auto Add Addendum Section - can we add labels to old reports?"
Answer: No, these settings only affect newly signed reports going forward.
For already-signed reports:
Create a new addendum if absolutely necessary
With the setting re-enabled, the new addendum will have the label
Prevention:
Test setting changes on routine reports first
Gather feedback before making permanent changes
"Will changing these settings affect reports already in progress?"
Answer: Changes apply to addendums signed after the setting is changed. Reports in progress at the time of the change will use the setting that was active when the addendum is signed.
How it works:
Settings are applied at sign time, not when the report is created
Already-signed reports are never modified
Draft addendums will use the current setting when signed
Best Practices (For Administrators)
Keep Auto-Labeling Enabled
Why: Addendum labels help:
✅ Referring providers understand report timeline
✅ Patients distinguish original from updated findings
✅ Medical-legal documentation show clear audit trail
✅ Compliance with documentation standards
Exception: Only disable if your institution has strict custom formatting that conflicts.
Match Your Organization's Workflow
If radiologists dictate addendums from memory → Enable auto-clear
Fresh workspace
No distraction from original text
Faster workflow
If radiologists reference original findings → Disable auto-clear
Original text visible
Easy to copy measurements or descriptions
Better for complex addendums
Gather Feedback from Radiologists
Before implementing:
Discuss with radiologists which behavior they prefer
Check whether your institution has formatting standards
Ask how referring providers expect addendums formatted
Organization-wide consistency helps:
Reports look uniform across all radiologists
Referring providers know what to expect
Easier onboarding for new radiologists
Test Before Rollout
Before changing settings:
Test on routine cases with volunteer radiologists
Verify behavior matches expectations
Get feedback from multiple users
Document the expected behavior
Avoid:
Changing settings during high-volume periods
Making multiple changes simultaneously without testing
Frequently Asked Questions
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