isite isite enterprise enterprise
DESCRIPTION
TRANSCRIPT
iSiteiSite EnterpriseEnterprise
Radiology PACS Radiology PACS
ObjectivesObjectives
Login to Login to iSiteiSite Enterprise Enterprise
Search for patientsSearch for patients
Select and view examsSelect and view exams
Manipulate the imagesManipulate the images
Set up personal foldersSet up personal folders
iSiteiSite EnterpriseEnterprise
Overview: WebOverview: Web--based medical image based medical image distribution system that delivers distribution system that delivers diagnosticdiagnostic--quality images to clinicians in quality images to clinicians in the healthcare environmentthe healthcare environment
Used by: Referring Physicians, Surgeons Used by: Referring Physicians, Surgeons and members of the patient care teamand members of the patient care team
Logging in to Logging in to iSiteiSite EnterpriseEnterprise
Use your Novell login Use your Novell login to access Citrixto access Citrix
Logging in to Logging in to iSiteiSite EnterpriseEnterprise
Select PACS from Select PACS from your available iconsyour available icons
Logging in to Logging in to iSiteiSite EnterpriseEnterprise
Your username for PACS Your username for PACS is your Novell usernameis your Novell usernameAccess Access iSiteiSite PACS using PACS using your Novell username your Novell username and passwordand passwordSelect Active Directory Select Active Directory from the from the ““Log on toLog on to”” drop drop down list down list
Logging in to Logging in to iSiteiSite EnterpriseEnterprise
After login you will After login you will see the Tip of the Daysee the Tip of the DayTo see additional To see additional information, select information, select Next Tip, or by Next Tip, or by pressing N on your pressing N on your keyboardkeyboard
Close the pop up by Close the pop up by selecting Close, or selecting Close, or pressing the letter Cpressing the letter CTo disable this popTo disable this pop--up, uncheck the box up, uncheck the box at the bottom of the at the bottom of the dialog boxdialog box
Logging in to Logging in to iSiteiSite EnterpriseEnterprise
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
Screen OverviewScreen Overview
Shortcuts Bar
Shortcuts Bar: Customizable lists to frequently accessed folders, exams and filters
Screen OverviewScreen Overview
Folders List
Folders List: List of all the folders, filters and tools in iSite Enterprise
Screen OverviewScreen Overview
Patient Search Options
Patient Directory: Patient, exam search engine and sort function
Screen OverviewScreen Overview
User Preferences
Preferences: User, System and Machine Preference dialog boxes
Screen OverviewScreen Overview
iSite Manual
Help: iSite Enterprise's user manual
Screen OverviewScreen Overview
LogoutLogout Button: Exit application and return to login window
Patient Search OptionsPatient Search OptionsDefault QueryDefault Query
Patient NamePatient NameMRNMRNExam Date Exam 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
Patient Search OptionsPatient Search Options
Additional search criteria can be found with a Additional search criteria can be found with a leftleft--click on the click on the ““++”” next to the word Querynext to the word Query
Patient Search OptionsPatient Search Options
Expanded search options include;Expanded search options include;AccessionAccessionModalityModalityReferring PhysicianReferring PhysicianOrganization will always be UNM HSCOrganization will always be UNM HSC
Patient SearchPatient Search
Enter patient information and leftEnter patient information and left--click the click the Query buttonQuery button
Patient SearchPatient SearchList populates with all patients matching your List populates with all patients matching your search criteriasearch criteriaThis will show you the patient jacketThis will show you the patient jacketLeftLeft--click the (+) to open the patient jacketclick the (+) to open the patient jacket
Patient SearchPatient Search
After the leftAfter the left--click the (+) to open the patient click the (+) to open the patient jacket, the (+) becomes an arrow listing all your jacket, the (+) becomes an arrow listing all your patient studiespatient studies
Patient SearchPatient Search
Within the patient jacket, exam status Within the patient jacket, exam status symbols may be located to the left of the symbols may be located to the left of the exam detailsexam details
Marked ReadMarked Read
Report availableReport available
Locked examLocked exam
!! ExceptionException
Patient SearchPatient Search
Double leftDouble left--click on any study to view patients click on any study to view patients images and reportsimages and reportsThis will take you to the Exam Canvas PageThis will take you to the Exam Canvas Page
Exam Canvas PageExam Canvas Page
Exam Canvas OverviewExam Canvas OverviewCurrent Exams Opened
Patient Demographics
Patient Timeline(History and Navigation Menu)
Exam Notes
Shelf Bar
Close exam and return to directory
Exam Canvas OverviewExam Canvas OverviewCurrent Exams Opened
• Displays total opened
Exam Canvas OverviewExam Canvas Overview
Patient Demographics
•Name•Sex•Birth Date•MRN
Exam Canvas OverviewExam Canvas Overview
Patient Timeline
• Patient history and navigation menu displays all of the patient's studies in iSite
Exam Canvas OverviewExam Canvas Overview
Exam Notes
• Clip board will indicate when exam documentation is present
Exam Canvas OverviewExam Canvas Overview
Shelf Bar
• Exam specific menu and information
Exam Canvas OverviewExam Canvas OverviewClose exam and return to directory
Patient ExamsPatient Exams
Hovering over a study Hovering over a study in the history timeline in the history timeline will display further will display further details on the examdetails on the exam
Patient ExamsPatient Exams
The exam rack or The exam rack or shelf bar shows image shelf bar shows image and series detailsand series details
Patient ExamsPatient Exams
First View is the First View is the thumbnail viewthumbnail view
Patient ExamsPatient Exams
Double leftDouble left--click click on the on the thumbnails to thumbnails to expand the expand the image viewimage view
Patient ExamsPatient Exams
With the curser With the curser over the image over the image you can scroll you can scroll through CT, through CT, MRI and MRI and Ultrasound Ultrasound seriesseries
Patient ExamsPatient Exams
To move To move between Xbetween X--Ray Ray images use the images use the F8 and F9 keysF8 and F9 keys
Patient Exams Patient Exams –– Screen OverlayScreen OverlayScreen Overlays Screen Overlays provide patient provide patient and exam and exam information information Different screen Different screen overlays are set overlays are set for each modality for each modality typetypeF6 key toggles F6 key toggles screen overlay screen overlay on/offon/off
Patient Exams Patient Exams –– Screen OverlayScreen Overlay
F6 key toggles F6 key toggles screen overlay screen overlay on/offon/offHere is an image Here is an image with the overlay with the overlay turned offturned off
Patient Exams Patient Exams –– Exam RackExam Rack
Exam Rack: The set Exam Rack: The set of images in a studyof images in a study
Navigating through Navigating through stacked seriesstacked series1.1. Mouse wheelMouse wheel2.2. Select Select ““CC”” on on
keyboard for loopkeyboard for loop3.3. Right Right –– click for click for
context menucontext menu
Patient Exams Patient Exams -- Context MenuContext Menu
Right-click on image for
context-menu
Single Image Menu
Series Image Menu
Patient Exams Patient Exams -- Window Width/ Window Width/ LevelLevel
Options for changing Options for changing Window Width and LevelsWindow Width and Levels
With the mouse, hold With the mouse, hold down left button, move down left button, move mouse horizontally and mouse horizontally and verticallyverticallyRight Right –– click to open image click to open image context menucontext menu
Patient Exams Patient Exams -- Window Width/ Window Width/ LevelLevel
WW/WL menuWW/WL menuDefault WWL:Default WWL: Applies iSite Applies iSite WWL valuesWWL valuesModality default:Modality default: Applies Applies modality WWL valuesmodality WWL valuesHistogram Calculation:Histogram Calculation:Uses histogram calculation Uses histogram calculation to set WWLto set WWL
Patient Exams Patient Exams -- MeasurementMeasurementTools to measure specific areas of an Tools to measure specific areas of an imageimageMeasurement menu:Measurement menu:
Ruler:Ruler: Linear measurements (pixel Linear measurements (pixel or mm)or mm)Angle:Angle: Degree measurement for Degree measurement for specified regionspecified regionRegion of Interest (ROI):Region of Interest (ROI): Average Average data value for a circular region of data value for a circular region of an image an image Freehand ROI:Freehand ROI: Similar to ROI but Similar to ROI but allows freeallows free--hand selection of ROIhand selection of ROIPoint Value:Point Value: The value of data The value of data points at a specific point on the points at a specific point on the image pixelimage pixelMeasurement Palette:Measurement Palette: Floating Floating measurement palettemeasurement palette
Patient Exams Patient Exams -- Annotation Annotation
Annotations are user Annotations are user specific, they will not specific, they will not effect the patient recordeffect the patient recordYou may add symbols and You may add symbols and text to an image text to an image Annotation subAnnotation sub--menu: menu:
LineLineArrowArrowTriangleTriangleCircleCircleTextTextFreehandFreehandSpine Labeling: Spine Labeling: Sagittal/Lateral ImagesSagittal/Lateral Images
Patient ExamsPatient Exams
LeftLeft--click additional click additional exams on patient exams on patient timeline to open more timeline to open more studiesstudies
Patient ExamsPatient ExamsNumber of Number of open exams open exams will show on will show on Control StripControl Strip
Right-click to navigate between exams
Patient ExamsPatient Exams
The patient history timeline shows exams in The patient history timeline shows exams in different stagesdifferent stagesSymbols and colors indicate exam statusSymbols and colors indicate exam status
Patient ExamsPatient Exams
All studies with an All studies with an XXhave no associated have no associated
imagesimagesA red A red XX indicates indicates missing imagesmissing imagesA green A green X X indicates a indicates a cancelled examcancelled exam
Patient ExamsPatient Exams
Studies with Studies with II on the time line have imagesGreen lettering indicates Green lettering indicates no reportno reportBlue lettering indicates a Blue lettering indicates a report is availablereport is available
Patient ExamsPatient Exams
An additional documentation indicator is located at the An additional documentation indicator is located at the upper left of the thumb nail, a clip board will upper left of the thumb nail, a clip board will
display three different waysdisplay three different ways
12 3
Patient ExamsPatient Exams
Blank Clip board = No DocumentationBlank Clip board = No Documentation
Patient ExamsPatient ExamsClip board with a yellow Clip board with a yellow
note = A note has note = A note has been posted with been posted with additional exam additional exam commentscomments
Open document with a Open document with a double leftdouble left--clickclick
Patient ExamsPatient Exams
Clip board with Clip board with Red Lines = Final Red Lines = Final or Prelim report or Prelim report from Radiologyfrom Radiology
Open the Open the document with a document with a double leftdouble left--clickclick
Patient ExamsPatient Exams
If documentation If documentation is present, leftis present, left--click on the clip click on the clip board to display board to display the filethe file
Patient ExamsPatient ExamsRightRight--click on the click on the shelf bar for shelf bar for additional optionsadditional options
Folders ListFolders List
In the Folders List you may create a In the Folders List you may create a personal folderpersonal folderThis folder is only seen by you This 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
Folder ListFolder List
To create a folder, To create a folder, right right –– click on click on Personal FoldersPersonal FoldersChoose Add new Choose Add new FolderFolder
Name folder, for Name folder, for example, Port Chestexample, Port Chest
Folder ListFolder List
To use your folder, go back to the patient To use your folder, go back to the patient directory directory Locate patient and desired examLocate patient and desired examDrag and drop the exam into the folderDrag and drop the exam into the folder
Folder ListFolder List
Open to review items you put in your folderOpen to review items you put in your folderYou may also set you entire folder to You may also set you entire folder to Anonymous with a right Anonymous with a right –– click to your folderclick to your folder
Folder ListFolder List
The Anonymous folder turns blue and the patient data is The Anonymous folder turns blue and the patient data is replaced by iSite generated inforeplaced by iSite generated infoWarning: Ultrasound and other modalities that have Warning: 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
Folder ListFolder List
To return your folder to itTo return your folder to it’’s original state, right s original state, right ––click and uncheck Anonymousclick and uncheck Anonymous
Folder ListFolder List
You can review each study you viewed You can review each study you viewed in the in the ““My HistoryMy History”” folder folder History cannot be deleted by the userHistory cannot be deleted by the user
Additional IconsAdditional Icons
In the upper right corner are three additional In the upper right corner are three additional IconsIcons
Additional IconsAdditional Icons
User Preferences Philips iSite Manual/Help Logout
(to insure a proper logout use the X)
User PreferencesUser PreferencesUsers have Users have several options several options in the in the Preferences Preferences sectionsectionDefault settings Default settings are in place, are in place, please review please review your options in your options in this sectionthis section
User PreferencesUser Preferences
Do not use the Change Do not use the Change Password option Password option –– your your password is your Novell password is your Novell password which would password which would be changed using the be changed using the standard password standard password change web sitechange web site
User PreferencesUser Preferences
Keyboard Keyboard shortcuts can be shortcuts can be reviewedreviewed
iSite HelpiSite Help
Here you can find useful Here you can find useful information on how the information 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 implemented ms implemented buy the University of New Mexico Hospital Radiology Departmentbuy the University of New Mexico Hospital Radiology Department
iSite Log outiSite Log out
Use the Use the ““XX”” to logout to logout from iSite will prevent from iSite will prevent locked images and or locked images and or sessionssessions
Would you like more?Would you like more?
If you would like additional information on If you would like additional information on features and settings within features and settings within iSiteiSite, please , please sign up for the PACS sign up for the PACS iSiteiSite class offered class offered through CLT through CLT