An automated system manages completion of a medical imaging study having one or more different reports associated with one or more different personnel. A user interface provides multiple display images. A configuration processor enables a user, using a display image, to assign a predetermined completion status to a report. The predetermined completion status is used to indicate a report is complete as required for an associated imaging study to be designated complete. A monitoring processor monitors stored indicators indicating current status of corresponding reports associated with the imaging study. A decision processor, in response to the monitoring of the stored indicators, automatically determines whether a current status of a report matches a corresponding predetermined completion status of a report for individual reports associated with the imaging study and in response to a match for the individual reports, initiates generation of a message indicating the imaging study is complete.