In Instinct EMR, you can schedule, complete, and view IDEXX Web PACS imaging studies directly from the patient record. Once an order is placed (via completion on the Tx sheet, Ax sheet, or One-off), orders are sent to the IDEXX Web PACS worklist, and results appear in Instinct once images are ready.
Before you begin
The IDEXX Web PACS integration must be active for your practice.
The imaging product must be mapped to IDEXX Web PACS in Admin before it can generate a diagnostic request.
Please visit Setting Up the IDEXX Web PACS Integration in Instinct for more details on setting up the integration and how to map products.
How to order an IDEXX Web PACS product
‘Complete’ a mapped treatment via the Tx sheet, Ax sheet, or One-off
Instinct automatically creates a corresponding chart document with a Pending status. The order’s Accession # and Study ID can be found within this chart document.
The pending document created upon ordering is named to match the product exactly
Patient information is sent to the IDEXX Web PACS worklist.
The images are completed via Web PACS.
Instinct updates the chart document status to To Review once images are returned from IDEXX.
Result statuses are changed automatically throughout the process
You can monitor all pending orders and received images for patients at your practice from the Diagnostics Dashboard.
How to capture images in IDEXX Web PACS
After the order has been sent to the worklist:
In IDEXX Web PACS, click the Capture button to view Pending worklist items.
Click the ☢️ button next to the patient name to begin image capture.
Take all required images.
Click Done to return to the main window.
Note: A cloud ☁️ icon displays on the image once the upload is complete.
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How to view IDEXX Web PACS results in a patient chart
How to view results from a patient’s Chart via the Order History on a Tx sheet:
Navigate to the order via the Tx sheet → select the three-dots to open the options menu → Order History
Click View Results next to the completed treatment.
The side pane will open with the results attached. Click the blue icon to the right of Imaging under Attachments
Select the blue icon to the right of Imaging to open the images in a new window
There are two ways to view results from the Chart screen:
Click directly on the document’s name to be led to IDEXX’s portal, where images can be viewed in a new window.
OR
Select the Side Pane icon to open the Diagnostic side panel
The Diagnostic side pane can be opened by clicking the side pane icon
Click the blue icon to the right of Imaging under Attachments
Select the blue icon to the right of Imaging to open the images in a new window
Tip: If imaging results are not updating, in the Diagnostic side pane, click the Refresh icon (↻) to the right of the Attachments header to pull the latest results in real time.
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How to view IDEXX Web PACS results from the Diagnostics dashboard
The Diagnostics dashboard gives you a consolidated view of all diagnostic requests across your practice, making it easy to find and review imaging results without navigating to individual patient charts.
Click Diagnostics in the left navigation bar.
The Diagnostic Requests list displays all orders across your practice. Use the search bar and Filter By options to narrow results. For example: filter by Status: To Review and Source: IDEXX Web PACS to find Web PACS orders that are ready to review.
Click any row to open the patient’s images or select the side pane button to open the Diagnostic in the side panel on the right.
In the side pane, under Attachments, click the blue icon to open the images in a new window.
How to void a chart document
To correct an error or remove an incorrect imaging record:
Locate the document in the patient chart.
Click the 3-dot menu (adjacent to the chart document or in the bottom right corner within the document).
Select Void.
Warning: Once an IDEXX Web PACS treatment is marked Complete, any changes made in Instinct will not be reflected in IDEXX Web PACS. To cancel a study or report after completion, you must access the IDEXX Web PACS portal directly. |
How to share results
All diagnostic images are automatically shared in Shareville by default.
To control sharing:
Select the three-dot menu to the right of the chart document associated with the images.
Select Turn off rVet Sharing to prevent immediate sharing.
The Shareville setting can also be toggled off/on within the Diagnostic side pane:
When ready, enable the rVet sharing via the same three-dot menu (or the toggle in the side pane) to share the images.
Frequently asked questions
How do I know if a product is mapped?
Once a product is mapped, a diagnostics icon will appear next to it on the Treatment Order form and Treatment Sheet, confirming the mapping is active.
Mapping can also be confirmed via Admin → Practice → Integrations → IDEXX Web PACS → Manage Services.
What do I do if an order does not go through?
If all of the following are true but the order still isn't reaching the IDEXX Web PACS worklist, an outage is a possibility, check their status page before contacting IDEXX directly. Contact IDEXX Web PACS support to troubleshoot further.:
The integration is set up. Web PACS credentials have been entered in Admin → Practice → Integrations.
The product is mapped in Instinct.
For more details on setup and mapping, see Setting Up the IDEXX Web PACS Integration in Instinct.
Still need help?
Contact support via live chat or email [email protected]