Overview
Sign Delay gives radiologists and reading physicians a brief, configurable window to undo a signed report before it is permanently finalized. Once a report is signed, it enters a Pending Signature state and a countdown begins. When the timer reaches zero, the signature is locked in.
Sign Delay is enabled by default for all organizations — existing and new.
Sign Delay is now also coming to MD.ai reports, using the same enablement process as Native DV.
To configure: Organization Settings → Details → Workflow Steps (left panel) → Settings (top right toolbar) → Sign Delay → toggle on (to enable) / off (to disable).
Delay range: 0.5 – 15 minutes in 0.5-minute increments. Default: 2 minutes.
What's New
1. Pending Signature State After Signing
What changed:
Every report now enters a Pending Signature state immediately after signing— this now includes MD.ai reports, not just Native DV. A countdown timer begins using the organization's configured delay duration (default: 2 minutes), and the report remains editable by the signing user until the timer ends. The signature is not finalized until the countdown reaches zero or the user selects Sign Now.
Benefit:
Provides a brief review window before the signature is permanently applied, allowing users to address last-minute changes without disrupting the signing workflow.
2. Pending Signatures Panel
What changed:
A new Pending Signatures panel is accessible via the bell (notification) icon. After signing, the report is pinned at the top of this panel with a live countdown timer and available actions for any report awaiting finalization — including MD.ai reports. Undo cancels the signature on both MD.ai and OmegaAI simultaneously. The panel is accessible from both the Worklist and the Document Viewer.
Benefit:
Allows users to monitor and manage pending signatures from a central location across both systems, without reopening individual reports, while providing full visibility into either side.
3. Undo and Sign Now Actions
What changed:
Users can Undo during the sign delay period to return the report to an editable (unsigned) state. Alternatively, selecting Sign Now bypasses the
remaining delay and immediately finalizes the signature. For MD.ai reports, finalization happens on MD.ai first, then OmegaAI; if the report is edited in MD.ai during the delay window, it is not signed, so the two systems never end up holding different signed content. Once Sign Now is used, Undo is no longer available. When a report is unsigned and then signed again, the countdown restarts from the full 2-minute
delay period. Sign Now is also available on failed reports and immediately finalizes without queue rejoin or additional delay.
Benefit:
Provides flexibility to make corrections before finalization, complete signing immediately when no additional review is needed, or recover quickly
from signing failures.
4. Handling Signing Failures
What changed:
If a report fails to sign, users are immediately notified with a failure toast ("Diagnostic report sign failed. Retry signing.") and can access
the failed report from the Pending Signatures panel. The failed report displays an error message: "Report could not be signed. Sign now to try
again, or cancel signing." Users can select Sign Now to immediately retry the signature or Cancel Sign to revert the report to an editable state.
Benefit:
Ensures users are always aware of signing failures and can quickly recover
by retrying the signature or making corrections before signing again.
5. Amendment Handling
What changed:
Amendments follow the same Sign Delay flow and finalize as Amended on both MD.ai and OmegaAI.
Benefit:
Keeps the amendment workflow consistent with standard signing, with the same review window protection.
6. Administrator Configuration
What changed:
Sign Delay is on by default for all organizations — existing and new. Administrators can configure the delay duration or disable the feature via Organization Settings. MD.ai reports use this same setting, so no separate configuration is needed. The valid range is 0.5 to 15 minutes in 0.5-minute increments.
Benefit:
Gives organizations full control over the delay duration or the ability to opt out of the feature entirely.
To configure Sign Delay:
- From the OmegaAI home screen, select your organization.
- Go to Details — a panel opens on the left.
- Scroll down to Workflow Steps and click to open it.
- On the toolbar at the top right corner, click the Settings button.
- Locate Sign Delay and toggle it on or off to enable or disable the feature.
- Adjust the delay duration as needed. Valid range: 0.5 – 15 minutes in 0.5-minute increments.
- Save your changes before navigating away.
Important Notes
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Sign Delay is enabled by default for all organizations, including existing and new users. No opt-in or configuration required. Every report enters the sign delay queue when signed — there are no exceptions.
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Only the user who signed the report can undo or edit it while in a Pending Signature state.Other users cannot modify the report during the delay period.
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Once the countdown reaches zero, the signature is permanently finalized.
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The default sign delay duration is 2 minutes. Delay values can be configured between 0.5 and 15 minutes in 0.5-minute increments.
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A value of 0 is not permitted as a delay duration. To disable Sign Delay, administrators must turn the feature off via the toggle.
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Re-signing after an Undo restarts the full 2-minute countdown from scratch. Selecting Sign Now permanently finalizes the report and removes the Undo option.
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If a report fails to sign, users are notified immediately and can retry
with Sign Now or revert with Cancel Sign from the Pending Signatures panel.
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Administrators control feature enablement and duration through Organization Settings.
MD.ai Compatibility:
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Existing Users: Sign Delay will be active immediately — no action required. After signing any report, users will see the Pending Signatures panel via the bell (notification) icon along with a live countdown banner at the top of the report viewport.
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New Users: Sign Delay will be active as part of the default organization setup.
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No new admin setting required for MD.ai — uses existing Organization Settings → Sign Delay duration.
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Radpair reports still skip Sign Delay entirely.
Where to Find It
Administrators: OmegaAI Home → Select Organization → Details → Workflow Steps → Settings → Sign Delay toggle
End users: Bell (notification) icon → Pending Signatures panel