Report Recall aka "Oops Factor"

Prevent immediate report publication by adding a safety delay after signing, giving you time to catch errors and make corrections before the report reaches your RIS/PACS.

This feature must be enabled by your administrator under Integration Settings. Check if you see a countdown timer after signing reports.

What Is Report Recall?

Report Recall (also known as "Oops Factor") adds a configurable delay between when you sign a report and when it's published to external systems. During this delay:

• The report remains in a signed state

• You can still catch and correct errors

• No final report event is sent to your RIS/PACS yet

• The countdown timer shows remaining time

This gives you a safety window to recall and fix reports after you've already clicked "Sign."

How It Works

Normal Signing Flow

1

Complete and Sign

You complete your report and click Sign (or Prelim Sign, Sign Addendum, etc.).

2

Status Updates

The report status updates immediately (to Signed, Prelim Signed, etc.).

3

Countdown Appears

Instead of publishing immediately, a countdown timer appears.

4

Scheduled Publication

The timer shows how much time remains before the report publishes to your RIS/PACS.

During the Countdown

While the timer is running, you have multiple options:

1

Let It Publish Automatically

• Do nothing and the report will publish when the timer reaches zero

• You'll see a confirmation when publication completes

• The final report event is sent to your RIS/PACS at that moment

2

Cancel and Make Changes

• Click the Cancel Publish button to stop the countdown

• The report returns to Draft status

• Content is preserved exactly as it was when you signed

• Make your corrections

• Sign again when ready (starts a new countdown)

3

Publish Immediately (If Enabled)

• Click the Publish Now button to bypass the remaining delay

• The report publishes to your RIS/PACS immediately

• Useful when you're certain the report is correct and want to expedite delivery

The Publish Now button only appears if your administrator has enabled "Allow Immediate Sign" in the Report Recall configuration.

What You'll See

Countdown Timer Display

After signing, you'll see a status indicator showing:

• Current Status: "Scheduled for Publication"

• Time Remaining: Countdown in seconds (e.g., "45 seconds remaining")

• Scheduled Time: The exact timestamp when publication will occur

• Action Buttons: Cancel Publish (and optionally Publish Now)

Timer States

State	What It Means
Scheduled	Timer is counting down; report will publish automatically
Running	Publication process has started (appears briefly before completion)
Cancelled	You stopped the timer; report returned to draft
Executed	Timer expired and report was published successfully

Vidual Indicators

• Dialog display: A modal dialog appears with a countdown timer and progress bar

• Action buttons:

  • "Sign now" button (green, if immediate sign is enabled)

  • "Cancel, return to editing" button (orange/warning)

Common Scenarios

Scenario: Catching a Typo

1

Sign and Start Countdown

Countdown timer starts (e.g., 60 seconds remaining).

2

Cancel Publish

Click Cancel Publish.

3

Edit and Resign

• Report returns to draft status

• Correct "left" to "right"

• Click Sign again

4

New Countdown and Publish

New 60-second countdown begins. Review one more time and either let the timer expire to publish, or click Publish Now if urgent.

Scenario: Urgent Critical Finding

1

Sign and Start Countdown

Countdown timer starts.

2

Notify Clinician

You've already called the referring physician.

3

Expedite Publication

Click Publish Now to expedite; report publishes immediately to RIS/PACS and you proceed with the critical result notification workflow.

Scenario: Linked Reports

1

Schedule All Linked Reports

All linked reports are scheduled for publication together; one countdown applies to the entire group.

2

Cancel Affects All

If you cancel, all reports return to draft.

3

Publish Applies to All

If you publish (automatically or manually), all reports publish simultaneously.

Scenario: End of Shift

• Each report has its own independent timer

• You can leave; timers continue in the background

• Reports will publish automatically when their timers expire

• You'll see publication confirmations next time you log in

Limitations and Constraints

When Recall Is Not Available

Report Recall does not apply to:

• Reports created before the feature was enabled

• Organizations without integration enabled

• Organizations where administrators have disabled Report Recall

• Legacy approval workflows (if your org still uses the "Approved" status)

What You Cannot Do During Countdown

While a report is scheduled for publication:

• Cannot transfer ownership to another radiologist

• Cannot link or unlink related reports

• Cannot edit the report content directly

You must Cancel Publish first to make any of these changes.

Delay Boundaries

The countdown delay is configured by your administrator within these limits:

• Minimum: 20 seconds

• Maximum: 120 seconds (2 minutes)

• You cannot adjust this delay yourself

Integration with Other Features

Report Linking

When you sign a linked report group:

• One schedule applies to all reports in the group

• Cancelling affects all linked reports together

• Publishing (automatic or manual) publishes all reports simultaneously

• Individual reports cannot be published separately

See Report Linking for more details.

Addendum Workflow

When you sign an addendum to a previously signed report:

• The addendum has its own publication schedule

• The original report remains published

• Cancelling the addendum does not affect the original

• Addendum-specific actions may trigger (e.g., auto-clear final report, add header)

Sign Type Variations

Report Recall works with all sign types:

• Prelim Sign (preliminary signature)

• Sign (final signature)

• Addendum Prelim Sign (preliminary addendum)

• Addendum Sign (final addendum)

Each maintains its own independent schedule.

Checking Publication Status

Via the API Endpoint

GET /api/v1/reports/{report_id}/publish/status

Returns:

{
  "schedule": {
    "scheduled": true,
    "published": false,
    "status": "scheduled",
    "remaining_seconds": 45,
    "scheduled_at": "2025-10-14T15:30:00Z",
    "delay_seconds": 60,
    "can_cancel": true,
    "is_running": false
  },
  "can_complete_now": true
}

Via the Report Details

In the report object returned by the API:

{
  "id": 12345,
  "status": "signed",
  "schedule": {
    "scheduled": true,
    "remaining_seconds": 45,
    ...
  },
  ...
}

Troubleshooting

"Publish Now button is disabled"

Cause: Your administrator has not enabled "Allow Immediate Sign" for your organization.

Solution: Contact your administrator if you need this capability, or wait for the timer to expire naturally.

"Cannot cancel publication"

Cause: The publication process has already started (status changed from "scheduled" to "running").

Solution: This happens in the final moments before publication. The report will complete publishing momentarily.

"Timer disappeared but report not published"

Cause: You or another user cancelled the publication, or there was a system error.

Solution: Check the report status. If it's back in "draft," someone cancelled it. If it remains "signed" without a timer, check system logs or contact support.

"Linked reports have different timers"

Cause: Reports were linked after one was already signed and scheduled.

Solution: This should not happen. Linking should occur before signing. If it does happen, cancel all publications, verify linking, then re-sign.

"Report published before timer expired"

Cause: Someone clicked "Publish Now," or the schedule was cancelled and the report was re-signed.

Solution: Check the report events log to see who triggered immediate publication and when.

Tips and Best Practices

Review Before Signing

• Use the countdown as a "second look" window, not as your primary review

• Avoid relying on recall for routine corrections

• Build good review habits before clicking Sign

Plan Your Timing

• If you need to leave quickly, consider waiting to sign until you have time to review

• For urgent cases, use Prelim Sign first, then upgrade to final sign after verification

• Batch similar studies together to improve efficiency

Coordinate with Team

• Communicate when you've scheduled critical findings

• Don't transfer reports that are mid-countdown

• Establish team conventions for when to use immediate publish

During High-Volume Shifts

• Keep track of how many reports you have scheduled

• Review your pending publications before logging out

• Cancel and defer non-urgent reports if you're interrupted

Frequently Asked Questions

Q: Does the countdown pause if I close the browser?

A: No. The timer continues on the server side. The report will publish when scheduled even if you're logged out.

Q: Can I adjust the delay time?

A: No. The delay is set by your administrator and applies organization-wide.

Q: What happens if I cancel just before the timer expires?

A: The cancellation will succeed as long as the status is still "scheduled." Once it transitions to "running," cancellation is no longer possible.

Q: Does Report Recall cost extra time per report?

A: Yes, but only if you let the timer run. Using "Publish Now" bypasses the delay entirely.

Q: Can I schedule different delays for different sign types?

A: No. The configured delay applies to all sign types equally.

Q: Does this affect turnaround time metrics?

A: It depends on how your organization measures TAT. The "signed" timestamp occurs immediately, but the "published" timestamp is delayed.

Q: Can I see a history of cancelled publications?

A: Yes. Check the report events log for `report.publish_cancelled` events.

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