1. A computer implemented system for tracking medical image viewing by a user, comprising: at least one repository storing data representing a plurality of medical images of a particular patient available for use in preparing medical documentation; a viewing processor, coupled to said at least one repository, conditioned for automatically, tracking whether an individual image of said plurality of medical images has been presented on a display device by using predetermined rules in determining whether data representing said individual image has been communicated to said display device for display to a particular user associated with received user identification information, said predetermined rules determine data representing said individual image has been communicated to said display device for display to a particular user in response to the proportion of data, representing a portion and less than all of said individual image that has been communicated to said display device for display, exceeds a predetermined proportion and a predetermined portion less than a full size image is substantially displayed and generating a viewed indicator associated with said individual image and said particular user in response to a determination data representing said individual image has been communicated to said display device for display to said particular user; and a documentation processor, coupled to said viewing processor, conditioned for associating data representing the generated viewed indicator with data representing said individual image and storing data, representing said generated viewed indicator and associating said generated viewed indicator with said individual image and said particular user, in a record.