iSite iSite Enterprise Enterprise

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iSite iSite Enterprise Enterprise

  1. 1. iSiteiSite EnterpriseEnterprise Radiology PACSRadiology PACS
  2. 2. ObjectivesObjectives Login toLogin to iSiteiSite EnterpriseEnterprise Search for patientsSearch for patients Select and view examsSelect and view exams Manipulate the imagesManipulate the images Set up personal foldersSet up personal folders
  3. 3. iSiteiSite EnterpriseEnterprise Overview: WebOverview: Web--based medical imagebased medical image distribution system that deliversdistribution system that delivers diagnosticdiagnostic--quality images to clinicians inquality images to clinicians in the healthcare environmentthe healthcare environment Used by: Referring Physicians, SurgeonsUsed by: Referring Physicians, Surgeons and members of the patient care teamand members of the patient care team
  4. 4. Logging in toLogging in to iSiteiSite EnterpriseEnterprise Use your Novell loginUse your Novell login to access Citrixto access Citrix
  5. 5. Logging in toLogging in to iSiteiSite EnterpriseEnterprise Select PACS fromSelect PACS from your available iconsyour available icons
  6. 6. Logging in toLogging in to iSiteiSite EnterpriseEnterprise Your username for PACSYour username for PACS is your Novell usernameis your Novell username AccessAccess iSiteiSite PACS usingPACS using your Novell usernameyour Novell username and passwordand password Select Active DirectorySelect Active Directory from thefrom the ““Log on toLog on to”” dropdrop down listdown list
  7. 7. Logging in toLogging in to iSiteiSite EnterpriseEnterprise After login you willAfter login you will see the Tip of the Daysee the Tip of the Day To see additionalTo see additional information, selectinformation, select Next Tip, or byNext Tip, or by pressing N on yourpressing N on your keyboardkeyboard
  8. 8. Close the pop up byClose the pop up by selecting Close, orselecting Close, or pressing the letter Cpressing the letter C To disable this popTo disable this pop-- up, uncheck the boxup, uncheck the box at the bottom of theat the bottom of the dialog boxdialog box Logging in toLogging in to iSiteiSite EnterpriseEnterprise
  9. 9. Screen OverviewScreen Overview Shortcuts Bar Folders List User Preferences Patient Search Options Logout iSite Manual After closing the Tip of the Day you will see the iSite EnterpriAfter closing the Tip of the Day you will see the iSite Enterprise Startse Start--Up WindowUp Window
  10. 10. Screen OverviewScreen Overview Shortcuts Bar Shortcuts Bar: Customizable lists to frequently accessed folders, exams and filters
  11. 11. Screen OverviewScreen Overview Folders List Folders List: List of all the folders, filters and tools in iSite Enterprise
  12. 12. Screen OverviewScreen Overview Patient Search Options Patient Directory: Patient, exam search engine and sort function
  13. 13. Screen OverviewScreen Overview User Preferences Preferences: User, System and Machine Preference dialog boxes
  14. 14. Screen OverviewScreen Overview iSite Manual Help: iSite Enterprise's user manual
  15. 15. Screen OverviewScreen Overview Logout Logout Button: Exit application and return to login window
  16. 16. Patient Search OptionsPatient Search Options Default QueryDefault Query Patient NamePatient Name MRNMRN Exam DateExam Date (free text or drop down, date format is M/D/YYYY)(free text or drop down, date format is M/D/YYYY) Patient LocationPatient Location
  17. 17. Patient Search OptionsPatient Search Options Additional search criteria can be found with aAdditional search criteria can be found with a leftleft--click on theclick on the ““++”” next to the word Querynext to the word Query
  18. 18. Patient Search OptionsPatient Search Options Expanded search options include;Expanded search options include; AccessionAccession ModalityModality Referring PhysicianReferring Physician Organization will always be UNM HSCOrganization will always be UNM HSC
  19. 19. Patient SearchPatient Search Enter patient information and leftEnter patient information and left--click theclick the Query buttonQuery button
  20. 20. Patient SearchPatient Search List populates with all patients matching yourList populates with all patients matching your search criteriasearch criteria This will show you the patient jacketThis will show you the patient jacket LeftLeft--click the (+) to open the patient jacketclick the (+) to open the patient jacket
  21. 21. Patient SearchPatient Search After the leftAfter the left--click the (+) to open the patientclick the (+) to open the patient jacket, the (+) becomes an arrow listing all yourjacket, the (+) becomes an arrow listing all your patient studiespatient studies
  22. 22. Patient SearchPatient Search Within the patient jacket, exam statusWithin the patient jacket, exam status symbols may be located to the left of thesymbols may be located to the left of the exam detailsexam details Marked ReadMarked Read Report availableReport available Locked examLocked exam !! ExceptionException
  23. 23. Patient SearchPatient Search Double leftDouble left--click on any study to view patientsclick on any study to view patients images and reportsimages and reports This will take you to the Exam Canvas PageThis will take you to the Exam Canvas Page
  24. 24. Exam Canvas PageExam Canvas Page
  25. 25. Exam Canvas OverviewExam Canvas Overview Current Exams Opened Patient Demographics Patient Timeline (History and Navigation Menu) Exam Notes Shelf Bar Close exam and return to directory
  26. 26. Exam Canvas OverviewExam Canvas Overview Current Exams Opened • Displays total opened
  27. 27. Exam Canvas OverviewExam Canvas Overview Patient Demographics •Name •Sex •Birth Date •MRN
  28. 28. Exam Canvas OverviewExam Canvas Overview Patient Timeline • Patient history and navigation menu displays all of the patient's studies in iSite
  29. 29. Exam Canvas OverviewExam Canvas Overview Exam Notes • Clip board will indicate when exam documentation is present
  30. 30. Exam Canvas OverviewExam Canvas Overview Shelf Bar • Exam specific menu and information
  31. 31. Exam Canvas OverviewExam Canvas Overview Close exam and return to directory
  32. 32. Patient ExamsPatient Exams Hovering over a studyHovering over a study in the history timelinein the history timeline will display furtherwill display further details on the examdetails on the exam
  33. 33. Patient ExamsPatient Exams The exam rack orThe exam rack or shelf bar shows imageshelf bar shows image and series detailsand series details
  34. 34. Patient ExamsPatient Exams First View is theFirst View is the thumbnail viewthumbnail view
  35. 35. Patient ExamsPatient Exams Double leftDouble left--clickclick on theon the thumbnails tothumbnails to expand theexpand the image viewimage view
  36. 36. Patient ExamsPatient Exams With the curserWith the curser over the imageover the image you can scrollyou can scroll through CT,through CT, MRI andMRI and UltrasoundUltrasound seriesseries
  37. 37. Patient ExamsPatient Exams To moveTo move between Xbetween X--RayRay images use theimages use the F8 and F9 keysF8 and F9 keys
  38. 38. Patient ExamsPatient Exams –– Screen OverlayScreen Overlay Screen OverlaysScreen Overlays provide patientprovide patient and examand exam informationinformation Different screenDifferent screen overlays are setoverlays are set for each modalityfor each modality typetype F6 key togglesF6 key toggles screen overlayscreen overlay on/offon/off
  39. 39. Patient ExamsPatient Exams –– Screen OverlayScreen Overlay F6 key togglesF6 key toggles screen overlayscreen overlay on/offon/off Here is an imageHere is an image with the overlaywith the overlay turned offturned off
  40. 40. Patient ExamsPatient Exams –– Exam RackExam Rack Exam Rack: The setExam Rack: The set of images in a studyof images in a study Navigating throughNavigating through stacked seriesstacked series 1.1. Mouse wheelMouse wheel 2.2. SelectSelect ““CC”” onon keyboard for loopkeyboard for loop 3.3. RightRight –– click forclick for context menucontext menu
  41. 41. Patient ExamsPatient Exams -- Context MenuContext Menu Right-click on image for context-menu Single Image Menu Series Image Menu
  42. 42. Patient ExamsPatient Exams -- Window Width/Window Width/ LevelLevel Options for changingOptions for changing Window Width and LevelsWindow Width and Levels With the mouse, holdWith the mouse, hold down left button, movedown left button, move mouse horizontally andmouse horizontally and verticallyvertically RightRight –– click to open imageclick to open image context menucontext menu
  43. 43. Patient ExamsPatient Exams -- Window Width/Window Width/ LevelLevel WW/WL menuWW/WL menu Default WWL:Default WWL: Applies iSiteApplies iSite WWL valuesWWL values Modality default:Modality default: AppliesApplies modality WWL valuesmodality WWL values Histogram Calculation:Histogram Calculation: Uses histogram calculationUses histogram calculation to set WWLto set WWL
  44. 44. Patient ExamsPatient Exams -- MeasurementMeasurement Tools to measure specific areas of anTools to measure specific areas of an imageimage Measurement menu:Measurement menu: Ruler:Ruler: Linear measurements (pixelLinear measurements (pixel or mm)or mm) Angle:Angle: Degree measurement forDegree measurement for specified regionspecified region Region of Interest (ROI):Region of Interest (ROI): AverageAverage data value for a circular region ofdata value for a circular region of an imagean image Freehand ROI:Freehand ROI: Similar to ROI butSimilar to ROI but allows freeallows free--hand selection of ROIhand selection of ROI Point Value:Point Value: The value of dataThe value of data points at a specific point on thepoints at a specific point on the image pixelimage pixel Measurement Palette:Measurement Palette: FloatingFloating measurement palettemeasurement palette
  45. 45. Patient ExamsPatient Exams -- AnnotationAnnotation Annotations are userAnnotations are user specific, they will notspecific, they will not effect the patient recordeffect the patient record You may add symbols andYou may add symbols and text to an imagetext to an image Annotation subAnnotation sub--menu:menu: LineLine ArrowArrow TriangleTriangle CircleCircle TextText FreehandFreehand Spine Labeling:Spine Labeling: Sagittal/Lateral ImagesSagittal/Lateral Images
  46. 46. Patient ExamsPatient Exams LeftLeft--click additionalclick additional exams on patientexams on patient timeline to open moretimeline to open more studiesstudies
  47. 47. Patient ExamsPatient Exams Number ofNumber of open examsopen exams will show onwill show on Control StripControl Strip Right-click to navigate between exams
  48. 48. Patient ExamsPatient Exams The patient history timeline shows exams inThe patient history timeline shows exams in different stagesdifferent stages Symbols and colors indicate exam statusSymbols and colors indicate exam status
  49. 49. Patient ExamsPatient Exams All studies with anAll studies with an XX have no associatedhave no associated imagesimages A redA red XX indicatesindicates missing imagesmissing images A greenA green XX indicates aindicates a cancelled examcancelled exam
  50. 50. Patient ExamsPatient Exams Studies withStudies with II on the time line have images Green lettering indicatesGreen lettering indicates no reportno report Blue lettering indicates aBlue lettering indicates a report is availablereport is available
  51. 51. Patient ExamsPatient Exams An additional documentation indicator is located at theAn additional documentation indicator is located at the upper left of the thumb nail, a clip board willupper left of the thumb nail, a clip board will display three different waysdisplay three different ways 1 2 3
  52. 52. Patient ExamsPatient Exams Blank Clip board = No DocumentationBlank Clip board = No Documentation
  53. 53. Patient ExamsPatient Exams Clip board with a yellowClip board with a yellow note = A note hasnote = A note has been posted withbeen posted with additional examadditional exam commentscomments Open document with aOpen document with a double leftdouble left--clickclick
  54. 54. Patient ExamsPatient Exams Clip board withClip board with Red Lines = FinalRed Lines = Final or Prelim reportor Prelim report from Radiologyfrom Radiology Open theOpen the document with adocument with a double leftdouble left--clickclick
  55. 55. Patient ExamsPatient Exams If documentationIf documentation is present, leftis present, left-- click on the clipclick on the clip board to displayboard to display the filethe file
  56. 56. Patient ExamsPatient Exams RightRight--click on theclick on the shelf bar forshelf bar for additional optionsadditional options
  57. 57. Folders ListFolders List In the Folders List you may create aIn the Folders List you may create a personal folderpersonal folder This folder is only seen by youThis folder is only seen by you It can be used for your own needs,It can be used for your own needs, for example, for roundsfor example, for rounds
  58. 58. Folder ListFolder List To create a folder,To create a folder, rightright –– click onclick on Personal FoldersPersonal Folders Choose Add newChoose Add new FolderFolder Name folder, forName folder, for example, Port Chestexample, Port Chest
  59. 59. Folder ListFolder List To use your folder, go back to the patientTo use your folder, go back to the patient directorydirectory Locate patient and desired examLocate patient and desired exam Drag and drop the exam into the folderDrag and drop the exam into the folder
  60. 60. Folder ListFolder List Open to review items you put in your folderOpen to review items you put in your folder You may also set you entire folder toYou may also set you entire folder to Anonymous with a rightAnonymous with a right –– click to your folderclick to your folder
  61. 61. Folder ListFolder List The Anonymous folder turns blue and the patient data isThe Anonymous folder turns blue and the patient data is replaced by iSite generated inforeplaced by iSite generated info Warning: Ultrasound and other modalities that haveWarning: Ultrasound and other modalities that have patient data embedded on the image will not change,patient data embedded on the image will not change, only the iSite patient date will be anonymizedonly the iSite patient date will be anonymized
  62. 62. Folder ListFolder List To return your folder to itTo return your folder to it’’s original state, rights original state, right –– click and uncheck Anonymousclick and uncheck Anonymous
  63. 63. Folder ListFolder List You can review each study you viewedYou can review each study you viewed in thein the ““My HistoryMy History”” folderfolder History cannot be deleted by the userHistory cannot be deleted by the user
  64. 64. Additional IconsAdditional Icons In the upper right corner are three additionalIn the upper right corner are three additional IconsIcons
  65. 65. Additional IconsAdditional Icons User Preferences Philips iSite Manual/Help Logout (to insure a proper logout use the X)
  66. 66. User PreferencesUser Preferences Users haveUsers have several optionsseveral options in thein the PreferencesPreferences sectionsection Default settingsDefault settings are in place,are in place, please reviewplease review your options inyour options in this sectionthis section
  67. 67. User PreferencesUser Preferences Do not use the ChangeDo not use the Change Password optionPassword option –– youryour password is your Novellpassword is your Novell password which wouldpassword which would be changed using thebe changed using the standard passwordstandard password change web sitechange web site
  68. 68. User PreferencesUser Preferences KeyboardKeyboard shortcuts can beshortcuts can be reviewedreviewed
  69. 69. iSite HelpiSite Help Here you can find usefulHere you can find useful information on how theinformation on how the system functionssystem functions *Please note, not all functions discussed in this manual are ite*Please note, not all functions discussed in this manual are items implementedms implemented buy the University of New Mexico Hospital Radiology Departmentbuy the University of New Mexico Hospital Radiology Department
  70. 70. iSite Log outiSite Log out Use theUse the ““XX”” to logoutto logout from iSite will preventfrom iSite will prevent locked images and orlocked images and or sessionssessions
  71. 71. Would you like more?Would you like more? If you would like additional information onIf you would like additional information on features and settings withinfeatures and settings within iSiteiSite, please, please sign up for the PACSsign up for the PACS iSiteiSite class offeredclass offered through CLTthrough CLT

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