syngo Dynamics - What´s New in VA40H

SIEMENS Healthineers syngo Dynamics What’s New in VA40H? Version VA40H 2022 Template Effective Date: 27 MAY 2019 | HOOD05162003010284 Job Aid Effective Date: 21 DEC 2022 | HOOD05162003322260 Unrestricted © Siemens Healthineers, 2022 syngo Dynamics: What’s New in VA40H? SIEMENS Healthineers Table of Contents VA40H Feature Enhancements: Study List 5 Image Review 11 Reporting 23 Reporting Diagrams 30 == =- Reporting OB 38 FHIRcast Interface 47 Clinical Administration 56 2 Effective Date: 21 DEC 2022 | HOOD05162003322260 Unrestricted © Siemens Healthineers, 2022 Introduction SIEMENS Healthineers These training slides will introduce you to the feature enhancements when updating your syngo Dynamics system from VA40G to VA40H. Please note: These slides are optimized for clinical and administration users and some features may not be described. Please refer to your user documentation or your Siemens Healthineers Service Representative for further information. 3 Effective Date: 21 DEC 2022 | HOOD05162003322260 Unrestricted © Siemens Healthineers, 2022 Find the Right Training for your Software Version SIEMENS Healthineers 1 To learn about the changes to your system, it is ? DN ULTRASOUND / SDXAPPS - X important to know which software version was About ... ff previously installed on your system and your current syngo Dynamics version VA40H 3 User Manual @ Siemens Healthcare GmbH. 2022. All rights reserved. This Application and its Documentation are con (new) software version. and proprietary to Siemens Healthineers and contain works by Siemens Healthineers and its suppliers, in Measurement and Calculation Manual works copyright is claimed. This Application may only be used in strict accordance with the terms of the license agreement(s) that a Release Notes The Application may contain embedded Third Party Software including Free and Open Source Softwally Stat Customer's right to use OSS delivered with the Applications is governed by the terms of the O You can check your current software version on your 2 accompanying such software, such license are included as part of the Documentation and located o About labeled media provided in the software media binder. The OSS is licensed to Customer royalty free EAD Siemens Healthineers may charge fees for reimbursement of costs in connection with complying wit syngo Dynamics Workplace directly. license terms. In the event of a conflict between the terms of an OSS license and the Agreement, th, terms of the OSS license shall govern, but solely for the OSS component to which they relate. If deliver+ FAD PEPconnect code is required by the relevant OSS license, Customer may obtain a copy of the source code for su accessing the OSS labeled media provided in the software media binder provided at time of Application Fut./idac. Siemens Healthineers may from time to time change the number of OSS components. Siemens Healthineers will in each case include the relevant license terms and conditions as part of the Documentation for Updates, Releases or Versions. Click on the Help menu (?) in the top right of the (01) 04056869287362 GTIN • (240) 11552312 MODEL (422) 840 ORIGIN US (8012) VA40H SW-VERSION user interface. (1) Manufacturer: Siemens Healthineers Headquarters: Product Identifier: • Select About. (2) Java is a trademark of Oracle. Microsoft SQL Server 2016 (c) Microsoft Corporation. All rights reserved. Microsoft SQL Server 2019 (c) Microsoft Corporation. All rights reserved. • Your current syngo Dynamics Software version is lonosoft Inc ., Visual Cath Report is covered by U.S. Patent No. 7,949,542 onosoft displayed in the About section. (3) Electronic Instructions for Use MD 0123 2022 Please check with your System Administrator or your Siemens Healthineers Service Representative which Please note: Certain features require a license Software Version was previously installed on your and may not be available on your system. system. 4 Effective Date: 21 DEC 2022 | HOOD05162003322260 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers syngo Dynamics VA40H Study List 5 Effective Date: 21 DEC 2022 | HOOD05162003322260 Unrestricted © Siemens Healthineers, 2022 Automatic Refresh of Study List SIEMENS Healthineers In previous VA40 versions, a yellow icon was displayed on the Refresh icon when new studies were added or were 1 deleted from the Study List. (1) AdultEcho / SDXAPPS You needed to manually click on the icon to refresh the Study Date Number Of Im Study Status Study List. 5/16/2022 1:22:19 PM 18 UNREAD 8/4/2020 10:09:28 AM 66 UNREAD In VA40H the Study List refreshes automatically and the yellow icon has been removed. If any filters are applied to the Study List, the filters are maintained during the automatic refresh of the Study List. Please note: Automatic refresh of the Study List applies to the Workplace, Remote Workplace and the WebViewer. 6 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Automatic Refresh of Study List Configuration SIEMENS Healthineers SD Smith, Dr By default, the Study List is set to refresh every 1 minute. AdultEcho / SDXAPPS - × 1 Log off As a user preference, you can configure the Study List to refresh every 30 seconds, 1 minute, 2 minutes, 3 minutes, Manage account settings Password: [ Change your password ] 4 minutes or 5 minutes. Image Processing: [ Change image processing settings] Playback: [ Select playback settings ] • Select the “Settings” icon in the top right corner of 2 Study List: [ Change study list settings ] the Study List. (1) Return To Study List • Select the “Study List” user setting. (2) Study List Settings • Configure the “Auto Refresh Interval”. (3) Maximum query results per page 50 3 Auto Refresh Interval 1 Minute 30 Seconds 1 Minute 2 Minutes 3 Minutes 4 Minutes 5 Minutes Save Cancel 7 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Automatic Refresh of Study List: Selected Studies & Pages SIEMENS Healthineers During the automatic refresh: SIEMENS • Selection of studies in the Study List will be Healthineers syngo Dynamics maintained. (1) Patient Study Utilities • Selection of pages within the Study List will be Today's Quick Search for Patient Name, Patient ID, Accession #, Study Type maintained. (2) Locke PDF Patient Name Study Type Patient Id Smith, Patient Adult Cardiac 111222333 Manual refresh of the Study List is still possible in VA40H Echo, Patient Adult Cardiac 555222888 and the behavior remains unchanged from previous VA40 1 Adult Echo, Patient Adult Cardiac 777444111 versions. Cardiology, Patient Adult Cardiac 999666333 During manual refresh of the Study List: • Previously selected studies are deselected. The Study List will return to the first page of the 2 • Study List if another page is selected during the K K Page 69 of 69 manual refresh. 8 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Automatic Refresh of Study List: Return to Study List SIEMENS Healthineers As with previous VA40 versions, if you select the “Study 1 Study, Cardiac | 546454654 List” icon in Image Review to return to the Study List, the 12/31/1959 (M) Study List is automatically updated. (1) Study List Adult Heart | 5/16/2022 1:22 PM In previous VA40 versions, refreshing the Study List 2 resulted in a return to the first page of the Study List, regardless of which page number you had selected the Page 69 of 69 study from in the Study List. In VA40H, if you select a study from a page other than the first page to open the study, and then select the “Study List” icon, the previously selected page number is maintained. 9 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Refresh of Study List: Create & Delete Studies SIEMENS Healthineers 1 When you create a new study or delete a study from the AdultEcho / SDXAPPS Study List: The yellow icon will no longer appear on the Study Utilities Study Utilities • “Refresh” icon. Mark Study As Read Mark Study As Read Mark Study As Unread Mark Study As Unread • The newly created or deleted study will be updated on the Study List at the configured time interval. Create Study ... Create Study ... Compare Compare • You can also manually refresh the Study List by Save Study List To File ... Save Study List To File ... clicking on the “Refresh” icon. (1) Assign Study to Dept Assign Study to Dept Import Studies To SDXAPPS Import Studies To SDXAPPS Export Studies To .... Export Studies To ... Delete Study Delete Study Orders Orders Send Studies to DICOM Nodes Send Studies to DICOM Nodes 10 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers syngo Dynamics VA40H Image Review 11 Effective Date: 21 DEC 2022 | HOOD05162003322260 Unrestricted © Siemens Healthineers, 2022 Jump from SR Measurement to Image SIEMENS Healthineers : ? In syngo Dynamics you can jump to an image where a Adult Echo TIS0.7 MI 1.4 RV d. 2D S5-1 RVd, 20 1.13 1.93 0.06 0.65 2.00 51Hz measurement was taken, from the Calc Palette and the 15cm 97% Cels Pactage & Measum sent Sets AE 2D and Mmode Dimensions FLOW Search X worksheet. In previous VA40 versions, this was only possible for AE 2D and Mmode Dimensions RVAW d, 20 V.d. 20 1.13 cm IVS d. 20 1.11 cm measurements taken within syngo Dynamics. IV d, 20 2.14 cm tvPWd, 20 2.35 cm LV1, 20 1.20 cm ha floot d. 20 0.00 cm LA NPS. 20 1.10 cm LA AP. 3. 20 i bsa 0.52 cmine LVOT diam's 0.70 cm RV d. Mmode 0.130 cm In VA40H, you can now also jump to the image where a 24 TV/S d. Mmode 0.76 cm RVIDd 1.03 cm M: LV/d, Mmode RVIDd/LVIDd 0.369 Me tvPwd. Mmode 0.76 cm 59bpm LVs, Mmode 4.00 cm measurement was performed for DICOM SR imported IV mass (AL) Adult Echo TISO.7 MI 1.4 LV Epi area d. PSAX pap 55-1 . BVarea d. PSAX pap LV major d, A4C 5.52 cm measurements. This is only possible for a measurement if it LV major d, A2C 6,11 cm LV mean wall thickness d C 50 LV Muss 2D 138.8 g was sent to syngo Dynamics with the spatial coordinates as a DICOM SR attribute. (1) RVIDd 1.03 cm RVOT Diam 1.4 cm MV Area 7.53 cm2 RVIDd/LVIDd 0.369 RVOT Area 1.54 cm2 MV Area 7.53 cm2 59bpm Please note: Not all systems support the sending of spatial 1 Inferred from: Spatial Coordinates [annex 7] coordinates as a DICOM SR attribute. Please check with Inferred from: Spatial Coordinates [Annex 8] Properties: Selection Status = Most recent value chosen (121411, DCM) Concept Modifier: Measurement Method = Single Plane Ellipse (125226, DCM) your ultrasound vendor. The sending of spatial coordinates Concept Modidier: Image Mode = 2D mode (G-03.A2, SRT) Concept Modifier: Image View . Apical four chamber (G-A19C, SRT) must be enabled on the modality itself. xs/99PMSBLUS, C12205-01)[NUM] - 26,3 mm(UCUM,mm, 1.4) (1.2.2.3.1)INFERRED FROM:(ISCOORD] - (1.2.2.3.1.1)5ELECTED FROM:(,)[IMAGE] = (1.2.2.3.2)INFERRED FROM:(,)[SCOORD] - (1.2.2.3.2.1) SELECTED FROM:(.)[IMAGE] 12 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Jump from SR Measurement to Image: Calc Palette SIEMENS Healthineers × Measurements with an associated image are displayed in the RV d, 2D 1 Calc Palette with a white border. (1) This is true for RV d, 2D 1.86 1.03 2.06 2.50 cm measurements taken on syngo Dynamics (green) and imported measurements (white). KD Komuves, Desiree Desire / USAAEMAUTO103 V Cakcs Thumbnails Report Worksheet Adult Echo TISO.7 MI 1.4 S5-1 KV 0, 20 RV d. 20 1.13 1.03 0.06 0.65 2.00 Jump to the image from the measurement in the Calc Palette: 51Hz 15cm Calc Package & Measurement Sets AE 2D and Mmode Dimensions 50 Search ... X AE 2D and Mmode Dimensions RVAW d, 2D RVd, 20 1.13 cm Click on the measurement in the Calc Palette. IVS d, 2D 1.11 cm • LV d, 20 2.14 cm LVPW d, 20 2:35 cm LVs. 20 1.20 cm No Root d, 20 0.80 cm LA AP 5, 20 1.10 cm LA A/P 5, 20 i bsa 0.52 cm/m2 LVOT diams 0.70 cm • If the associated image is already displayed on the screen: RV d, Mmode 0.80 cm IVS d, Mmode 0.76 cm + RVIDd 1.03 cm LV d. Mmode The position of the image is unchanged. A white border is RVIDd/LVIDd 0.369 LVPWd, Mmode 0.76 cm 59bpm LVs, Mmode 4.80 cm LV mass (AL) Adult Echo TISO.7 MI 1.4 LV Epi area d, PSAX pap displayed around the image. S5-1 . LVarea d. PSAX pap 51Hz LV major d, A4C 5.52 cm 15cm LV major d, A2C 6.11 cm LV mean wall thickness d LV Mass 2D 138.8g • If the image is not currently displayed on the screen: The image is moved to the first image view port. A white border is displayed around the image. RVIDd 1.03 cm RVOT Diam 1.4 cm & MV Area 7.53 cm2 RVIDd/LVIDd 0.369 RVOT Area 1.54 cm2 MV Area 7.53 cm2 59bpm 13 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Jump from SR Measurement to Image: Worksheet SIEMENS Healthineers If you move your cursor over a measurement in the worksheet, 32.9 cm2 1 LV area d, A4C (Mean) LV area d, A4C: 32.9 cm2 (Mean) x a label indicates if there is an associated image. LV area d, A4C 32.9 32.8 33.0 cm2 LV major d, A4C cm LV vol d, MOD A4C ml If there is no associated image, there is no additional HR bpm • Close label. (1) 2 LV area d, A4C (Mean) LV semi-maj d: 5.97 cm (Mean) LV area d, A4C 33.00 From Image cm2 LV major d, A4C 7.96 7.90 If there is an associated image from a measurement LV semi-maj d cm • 5.97 5.81 6.13 cm LV tr semi-maj d 1.99 2.20 1.78 cm performed in syngo Dynamics, the label “From Image” LV vol d, MOD A4C 111.52 113.72 109.33 ml HR bpm is displayed. (2) Close • If there is an associated image from an imported 3 LV area d, A2C (Mean) LV vol d, MOD A2C: 46.20 ml (Mean) LV area d, A2C 18.30 From Image (Imported) cm2 measurement, the label “From Image (Imported)” is LV major d, A2C 6.11 cm LV vol d, MOD A2C 46.20 46.20 ml displayed. (3) HR bpm Close Right click on the measurement in the worksheet to jump to the associated image. 14 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Saving Video Clips in .MP4 Format SIEMENS Healthineers syngo Dynamics supports saving images to different file formats Save Selected Images. As Bitruap for use for example, in presentations. Print Selected Images As JPG Delete Selected Images As DICOM In previous VA40 versions, the options to save clips were: Show Date/Time Information 1 As AVI Always Show Clip Player ToolBar (F6) 2 Select CODEC And Save As AVI Show Blackout Regions Copy to Clipboard • Save clips as a .AVI file. (1) .AVI files provides excellent image quality, but may result in a large file size. Send Selected Images To Report • Save clips as a .AVI file using a CODEC, to compress the Save Selected Images ... As Bitmap file size. (2) Print Selected Images As JPG Delete Selected Images 3 As DICOM In VA40H you now have the option to save clips as a .MP4 file, Show Date/Time Information As MP4 in addition to the previous options of saving clips. (3) Always Show Clip Player ToolBar (F6) As AVI Show Blackout Regions Select CODEC And Save As AVI Show Overlays Copy to Clipboard Saving clips as a .MP4 file, ensures that file sizes are reduced significantly in comparison to .AVI files, while maintaining a good level of image quality. 15 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Saving Video Clips in .MP4 Format Workflow SIEMENS Healthineers Select the clip or clips that you want to save: Ctrl + left 1 • mouse click on the clip/s. Selected clips are displayed Start/Stop Clip Playback (Click/Space bar) with a yellow border. Start/Stop All Clip Playback Select All Images (Ctrl+A) Deselect All Images (Ctrl+D) • Right mouse click on an image to display the “Context Deselect Image (Ctrl+Click) Menu”. (1) Save To Key Images ... Remove From Key Images ... • Click on “Save Selected Images…”. (2) Send Selected Images To Report 2 Save Selected Images ... As Bitmap • Click on “As MP4”. (3) Print Selected Images As JPG Delete Selected Images As DICOM Please note: In previous VA40 versions, the selected layout Show Date/Time Information 3 As MP4 would impact the file size of saved clips. In VA40G and Always Show Clip Player ToolBar (F6) As AVI higher the selected layout does not impact the file size. Show Blackout Regions Select CODEC And Save As AVI Show Overlays Copy to Clipboard Measurements on All Frames Smooth Playback 16 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Utilization of Monitor Space With Worksheet & Report Open SIEMENS Healthineers Background During image review it is possible to open multiple windows at the same time, for example, the worksheet 1 and report templates, the Calc Palette and Thumbnails. Images cannot fit within the available space. Use the options available under Display Configuration to display the image in a reduced size for this image layout. Having multiple windows open can result in a reduced amount of space available for the display of images on Healthineers syngo Dynamics the primary monitor. Study List 1 15 6 of 19 Worksheet Verily tient LV RV LA/RA ADV/PY MV/TV AO/PA Peri Veins Comment 2D/MM Dop Wall S Cait Package Meanarent Seti Echo Medical Center atient Demographics Information AE Systolic Function 123 Easy Template Way. Yourtoy Study Date 5/1/2018 Study Time 5:23:25 PM 4if format Message Center (these comments are not shown on report) Search AE Systolic Function TRANSTHORACIC ECHOCARDIOGRAM REPORT 0 LV vold, MOD A4C Patient Name: ACUSON Sequela - Cardiac Date of Exam: 5/1/2018 PATIENT NAME ACUSON Sequoia - Cardac O. IV vols, MOD A4C In previous VA40 versions, in cases of reduced space, Medical Rec#: Sequoia Cardiac Custom1 Account ® Prelim Custom? Medical Itec a Sequoia Cardiac Accession Number O. LY/ vold, MOD AZC Date of Birth 11/18/1858 Height Account » Patient Age: LY vol 1, MOD A2C Patient Getder M 159 years BSA Custom 1 LY vol d, MOO BP Custom 2 Ches Sonographer Mae West Study Type Cardiac Carry Forward LY vol s, MOD BIP syngo Dynamics would adjust images on the primary Rafering Phys Brad Sione Procedure LY Vol index, d, bpmod SPECTRAL DOPPLER ANALYSIS (where applicable): Height 29 in 74 cm Incuspid Valce and PA/RV Systolic Presauce: LY Vol Index, 1, bpmnod TR Max Velocity: RA Pressure:: 10 mmilg RVSPIPASP. Date of Birth 11/18/1 ... . Weight 379 b 172.0 kg LV EF, MOO A4C Patient Age 1997 1.45 m2 PHYSICIAN INTERPRETATION: BSA LY EF, MOO AZC Left Ventricle: Normal left vertricular size and wal thicknesses, with normal systolic and diastolic Gender M monitor up to a maximum of 10% variation of the size LV EF, MOO BP tarction Right Ventricle: Normal right ventricular size, wall thickness, and systolic function Left Atrium: The left attium in nonnal in size and stucture sonographer Ma + Ne Right Atrium: The night atrium is normal in size and structure + RVA Pericardium: There is no evidence of pericardial effusion Mitral Valve: Structuraly normal mitral value, with normal leaflet excursion; without any evidence of mitral Requesting Physician stanosis or significant reguagitation Brad Stone + RVS Vmax of the images on the secondary monitor. Tricuspid Valve: Structurally normal bicuspid salve, with normal leadet excursion. The tricuspid value is cc: report normal in structure CC report RV EW Aortic Valve: The aortic valve is trileaflet and structuraly normal, with pormal leaflet excursion, without any evidence of aortic stenosi or insuficiency cc: report TV E Vmax .... Pulmonic Valve: Structuraly normal pulmonic value, with normal leaflet excursion Aorta: The aortic root and ascending aorta are structurally normal, with no evidence of ditation. Diagnosing Physician Rhett Butler IV area d. A4C Pulmonary Artery: The main pulmonary anery is noonal in size, origin and position, with nominal Images cannot fit within the available space. Use the options available 5. RV area s. A4C belacation leto the left and right pulmonary artenes. Shunts There is no evidence of a patent ductas artenosus. There is no evidence of a patent foramen Indications Chest Pain unser Display Configuration to display the image in a reduced size for this RV Area d, A&C index ovale No venscular saptal defect is seen or detected. There is no evidence of an atrial septal defect. *Diagnosis RV Area 1, A4C intex RV WFAC 1. Normal Echocardiogram. 2. There is no evidence of ischemic, primary valvulas, hypertrophie, or pulmonary heart "Diagnosis field does not appear on report (but can be added as an option) TAPSE disease. sonographer Comenents (comenerts below, weil be seun on report] RVOT ET If the limit of 10% variation in size was reached, a Rhett Butler Electronically signed by TDS/Windows Study Type Limitations RV CTETRY Sigruture Date/Time RV Tei Index RVET, Doppler (1DI) RV CTETRY (IDO message was displayed and no images were displayed RV Tei Index TOI 10 Adck ichs Send to 10 Adult toto Cals.A. Inporn Wew Des on the Primary monitor. (1) 17 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Utilization of Monitor Space With Worksheet & Report Open SIEMENS Healthineers New Configuration Option In VA40H, there is a new display configuration option: Image Display Size Variation “Image Display Size Variation”. Use this setting to reduce the size Image Display Size Variation - Max Layout (%) 25 of images displayed on the primary monitor relative to images displayed in another window or As a user preference, you can set how much variation monitor. Size reduction is based on Image Display Size Variation - All Other Layouts (%) 25 percent. Values between 0% and there can be between the image on the primary monitor 75% may be specified. The default value is 25%. Change the image display layout or close and reopen Default relative to the image displayed on the secondary monitor. the study to apply the new setting. This maximizes the use of the available screen real estate. If the available space for image display on the primary Save Cancel monitor is reduced, the size of the images on the primary monitor are reduced by the configured percentage. 18 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Utilization of Monitor Space With Worksheet & Report Open SIEMENS Healthineers Display Configuration From the menu in the top right of the user interface (1), 1 ? select “Display Configuration” (2). Single Monitor There are two new settings: 2 Display Configuration Conference Mode • Image Display Size Variation - Max layout (%) Image Display Size Variation • Image Display Size Variation - All Other Layouts (%) Use this setting to reduce the size Image Display Size Variation - Max Layout (%) of images displayed on the primary 25 monitor relative to images 3 The new default value of size variation for all layouts is set displayed in another window or monitor. Size reduction is based on Image Display Size Variation - All Other Layouts (%) 25 percent. Values between 0% and to 25%, however this can be changed as a user preference. 75% may be specified. The default value is 25%. Change the image display layout or close and reopen Default the study to apply the new setting. • Enter a value in one of the fields. (3) • Select “Save”. (4) 4 • To apply the changes, you must change the current Save Cancel layout and select the layout again. 19 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Utilization of Monitor Space With Worksheet & Report Open SIEMENS Healthineers Display Configuration This setting is saved as a Windows user preference on the ? client machine. Single Monitor This allows a user with a unique Windows name and Display Configuration password to automatically display studies in a specific Conference Mode display configuration based on the client machine that the Image Display Size Variation user has logged in to. Use this setting to reduce the size Image Display Size Variation - Max Layout (%) of images displayed on the primary 25 monitor relative to images displayed in another window or monitor. Size reduction is based on Image Display Size Variation - All Other Layouts (%) 25 percent. Values between 0% and 75% may be specified. The default value is 25%. Change the image display layout or close and reopen Default the study to apply the new setting. Save Cancel 20 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Utilization of Monitor Space With Worksheet & Report Open SIEMENS Healthineers Example 10% Image Display Size Variation The example below demonstrates a dual monitor set-up with an image variation of 10% configured. In the 6:1 layout, the primary monitor (left) does not display images. Echo Medical Center Way, To Image Display Size Variation TRANSTHORACIC ECHOCARDIOGRAM REPORT ACUSON Sequele ; Caiche Prelim Use this setting to reduce the size Image Display Size Variation - Max Layout (%) HP ynes 25 of images displayed on the primary WECTRAL DOPPLER ANALYSIS fahre applica monitor relative to images displayed in another window or Let Vw monitor, Size reduction is based on Image Display Size Variation - All Other Layouts (%) 10 percent. Values between 0% and 75% may be specified. The default -------------- value is 25%. Change the image display layout or close and reopen Default ----- ---- the study to apply the new setting. -- - - Save Cancel 21 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Utilization of Monitor Space With Worksheet & Report Open SIEMENS Healthineers Example 25% Image Display Size Variation The example below demonstrates a dual monitor set-up with an image variation of 25% configured. In the 6:1 layout, the primary monitor (left) displays images. Echo Medical Center Image Display Size Variation TRANSTHORACIC ECHOCARDIOGRAM REPORT Prelim Use this setting to reduce the size Image Display Size Variation - Max Layout (%) 25 Culture 1 of images displayed on the primary monitor relative to images Study Tros Casa displayed in another window or monitor. Size reduction is based on Image Display Size Variation - All Other Layouts (%) 25 APRETADON ----------- Center - - ------- percent. Values between 0% and ------ W --------- 75% may be specified. The default WY WME wnr value is 25%. Change the image ------ display layout or close and reopen Default -- -------- the study to apply the new setting. 1. Howsal Echocardiogram. -- Save Cancel Please note: For the changes to be applied, you must first select “Save” and change the layout. When you change the layout again to the previous layout, the changes are applied. 22 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers syngo Dynamics VA40H Reporting 23 Effective Date: 21 DEC 2022 | HOOD05162003322260 Unrestricted © Siemens Healthineers, 2022 Link an Observation to a Single Image SIEMENS Healthineers In VA40H you can now link an image to an observation that shows best the pathology the observation describes. LV Size and Systolic Function Size: 4.44 cm Normal Jump to Linked Image You can link one image per observation. However, it is LVPW: 1.72 cm Normal Create Image Link possible to link the same image to multiple observations. Septal Motion: Remove Link LV EF M Observations that are not supported for linking images, LV Size and Systolic Function include: Size: 4.44 cm Normal Gustolic E) LVPW: Jump to Linked Image • Indirect definitions created from observations 1.72 cm Normal Septal Motion: Link Selected Image Remove Link • Free text observations • Single value observations 24 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Link an Observation to a Single Image SIEMENS Healthineers There are two workflows for linking an image to an observation. LV Size and Systolic Function Size: 4.44 cm Normal Jump to Linked Image (1) Worksheet workflow: Select the observation, and LVPW: 1.72 cm Norm 1 Create Image Link then select the image to link. (1) Septal Motion: Remove Link LV EF M (2) Image review workflow: Select the image, and then select the observation to link. (2) LV Size and Systolic Function Size: 4.44 cm Normal Gustolic E) LVPW: 1.72 cm Normal Jump to Linked Image Septal Motion: 2 Link Selected Image Remove Link 25 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Link an Observation to a Single Image: Worksheet Workflow SIEMENS Healthineers This workflow can be used when no images have been LV Size and Systolic Function previously selected in image review (no images with yellow borders). Size: 4.44 cm Normal Jump to Linked Image LVPW: 1.72 cm Norm 1 Create Image Link Septal Motion: Remove Link • Right click on the observation to display the menu. LV EF M • Select “Create Image Link”. (1) • Scroll to the desired image and press Ctrl + left SIEMENS Healthineers syngo Dynamics mouse click to select the image. A white border is ACUSON Sequoia - Cardiac | Sequoia Car ... LV Size and Systolic Function 3 11/18/1858 (M) 2 Cardiac | 5/1/2018 5:33 PM displayed around the linked image to indicate that it Size: 4.44 cm Normal 5V Cardiac- TIB:0.72 TIC:3.52 has been linked. (2) LVPW: 1.72 cm Normal MO TIS:0.72 MI:0.85 65fps Septal Motion: 95% 2D • An orange border is displayed around the H High -4dB/DR61 UA 3 observation to indicate that an image has been linked. (3) Please note: The frame around the image is temporary and 14cm 14cm is not maintained with image scrolling. The frame around the 65bpm Acquisition Date: nono19 APECOMING 3-24:10 PM observation is maintained when there is an image linked to the observation. 26 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Link an Observation to a Single Image: Image Review SIEMENS Healthineers Workflow This workflow can be used during image review. LV Size and Systolic Function SIEMENS Healthineers syngo Dynamics Size: 4.44 cm Normal Systolic Fxn: ACUSON Sequoia - Cardiac | Sequoia Car ... 11/18/1858 (M) Cardiac | 5/1/2018 5:33 PM LVPW: 1.72 cm Normal • Scroll to the desired image and press Ctrl + left 1 Septal Motion: Jump to Linked Image 2 Link Selected Image mouse click to select the image. A yellow border is Remove Link 2D displayed around the image. (1) H High /DR61 UA 3 • Navigate to the observation that you would like to link to the image to in the worksheet. 14cm 14cr • Right click on the observation to display the menu. 65bpm quisition Time: 3.24:10 PM 5V1: • Select “Link Selected Image”. (2) Please note: If you have multiple images selected (images with yellow borders), the last selected image - is linked to the observation. If this image is not currently displayed, it is moved to the first position in the image display and is displayed with a white frame. 27 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Link an Observation to a Single Image: Image Review SIEMENS Healthineers Workflow V After you select “Link Selected Image” a white border is Mark Stu ... Thumbnails Report & 27 to 30 of 66 Calcs Worksheet Verified Calcs TEE LV RV LA IAS RA AOV MV TV PV Ao/PA Pericrd Other Summary 1 displayed on the image, so that you can confirm that the VENTRICLE set normal LV Measurements trast used: NORMAL LV: LV NWV: correct image was linked. ze and Systolic Function GRAPHS Size: 4.44 cm Normal Systolic Fxn: IVPW: 1.72 cm Normal LV EF BP: % Image Date: 4/22/2020 Ital Motion: LV EF (manual): % (More EF) Image Time: 12:05:58 PM 28 A JPEG Lossy 11:1 LV EF Method: 11 < > [ 30fps (100%)] | • If you have scrolled away from the selected image gmental Wall Motion (LV Wall Scoring Diagrams se Hypokinesis: + in the review pane: the image is displayed with a Segments + Motion Summary white border and is displayed in the first position in image review. (1) Ventricular Hypertrophy Decision Support for LVH • If the selected image is still visible in image review: the white border is displayed on the image and the position of the image is not changed. (2) Image Date: 4/22/2020 Image Time: 12:05:58 PM JPEG Lossy 10:1 2 11 < > [ 30fps (100%) ] | Please note: The white border is not maintained with image scrolling or with layout changes. Image Date: 4/22/2020 Image Time: 12:05:58 PM A JPEG Lossy 13:1 II < > 30fps (100%) 28 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Link an Observation to a Single Image: Linked Menu SIEMENS Healthineers Observations with linked images are displayed with an LV Size and Systolic Function 1 orange border in the worksheet. (1) Size: 4.44 cm Normal When you right click on the observation, you have the LVPW: 1.72 ch Normal option to: Septal Motion: • “Jump to Linked Image”: To view the linked image. LV Size and Systolic Function • “Create image Link”: If an image was previously linked, Size: 4.44 cm Normal selecting this option replaces the previous image link. It is LVPW: 1.72 cm Normal Jump to Linked Image not possible to link multiple images to a single Septal Motion: Create Image Link Remove Link observation. • “Remove the Link”: For example, if an incorrect image was linked. 29 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers syngo Dynamics VA40H Feature Enhancements: Reporting Diagrams 30 Effective Date: 21 DEC 2022 | HOOD05162003322260 Unrestricted © Siemens Healthineers, 2022 Congenital Heart Diagram & Vascular Diagram Enhancements SIEMENS Healthineers 1 If your system is licensed, syngo Dynamics supports Completely normal (all septa intact) × Congenital Heart Diagrams (CHD) and Vascular Diagrams for Arial BIU 20 20 Measurements use in worksheet and report templates. Embed 2 Lines VA40H contains enhancements which may improve Editing Tools 3 TX useability of the diagrams. Shape IC Devices AAA The following enhancements are available in VA40H: 000 Additional Shapes S V The default font size is changed from 12 to 20. (1) V • • Improvements to the curved line tool. (2) ed by the 'Congenital Heart Disease: A Degrenoustic Atlas, Charles E.Mulins/ D.Mayer feds). @ 199 Unrodried Images are provided by the Congenital Heart Disease: A Used under Benze of John ivey & Sons Limited, a company of John YWay & Sons, Inc. WWWey is not lable nor responsible for any • A new selection tool. (3) Completely normal (all septa intact) Save and Close Save Send to Report Cancel Please note: The Congenital Heart and Vascular Diagrams are licensed features and may not be available on your system. 31 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 CHD & Vascular Diagram: “Selection Tool” SIEMENS Healthineers In prior VA40 versions, tools were automatically deselected Completely normal (all septa intact) X after each use. Arial B I U 20 20 Measurements Embed In VA40H, a new “Selection” tool is available. (1) The 1 “Selection” tool is automatically activated when you open - 11 22 Basic diting Tools the diagram. TX Shapes When you select any other tool from the Tool Palette, the IC Devices AAA 000 “Selection” Tool is automatically deactivated, and the tool selected from the Tool Palette remains active until it is Additional Shapes deselected by one of the following actions: • Press Esc key on your keyboard. • Select another tool. Unmodified langes are provided by the 'Congenital Heart Disease: A Diegrevestic Atlas, Charles EMlins/ DVayer (eds.), @ 1991. Used under acense of John Wivey & Sons Limited, a company of John Way & Sons, Inc. Wey Is not dable nor responsible for any • Select the same tool again. Completely normal (all septa intact) • Select the “Selection” tool. Save and Close Save Send to Report Cancel • Select a drawing on the diagram. 32 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 CHD & Vascular Diagram: Curved Line Tool SIEMENS Healthineers Prior to VA40H you were able to change the width of Completely normal (all septa intact) X straight lines using the line tool (1), however it was not Arial BI U 20 Measurements possible to change the width of curved lines using the 3 Embed curved line tool (2). 1 2 Lines Basic Editing Tools In VA40H the curved line tool has been enhanced and it is TX Shapes now possible to change the width of curved lines. IC Devices 900 • Draw a curved line on the diagram. Additional Shapes S • New points are available at the ends of each curved line. (3) Partes E Mulms/ D.Mayer feds ). @ 1991. Used under deense of John WWvey & Sons Limited, a company of John Iley & Sons, Inc. Wiley Is not dable nor responsible for any modifications modo for use in patent records. • Click on the points to adjust the width of the Completely normal (all septa intact) curved lines. Save and Close Save Send to Report Cancel Please note: This feature is a licensed feature and may not be available on your system. 33 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 CHD: Embed Manually Entered Hemodynamic Pressures SIEMENS Healthineers Measurements If you have the license for the Congenital Heart Diagram 1 Embed (CHD), you can use the “Embed” function (1) to embed Completely normal (all septa intact) X hemodynamic pressures from your integrated hemodynamic Arial B I U 20 - 20 G! Measu Ments system to the diagram. (2) 1: Rest Clear Condition/Phase 2 1: Rest Lines In syngo Dynamics, hemodynamic data received from an 119/13/44 Basic Editing Tools integrated hemodynamic system is read only. There is T X Shapes however, the option to manually enter hemodynamic data in MPA 23/10/15 IC Devices the syngo Dynamics worksheet. 990 Additional Shapes RV In previous VA40 software versions, manually entered 25/1/5 NV V hemodynamic data was not added to the CHD diagram when using the “Embed” function. Only the imported values were Und ander sense of John Whey & Sons United, a company of John way & Sons, inc. WWWey is not able nor responsible for any embedded. Completely normal (all septa intact) Save and Close Save Send to Report Cancel In VA40H, manually entered hemodynamic data is now Please note: The Congenital Heart Diagram is a embedded in the CHD. licensed feature and may not be available on -- your system. 34 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 CHD: Embed Manually Entered Hemodynamic Pressures SIEMENS Healthineers Workflow 1 Manual Sensis Hemo Data SENSIS | SENSIS SENSIS MANUAL MANUAL S/A DV ED/M S/A DAL • To add manual values to the hemodynamic table, select S/A D/V ED/M 15 11 12 2 the “Manual Hemo Data” button (1). 45 11 12 25 5 Measurements Add a value to the “Manual” column (2). The report is 3 Embed • updated automatically with the manually added value. Completely normal (all septa intact) X Arial B 1 U 20 20 Measurements 1 : Rest Clear • Open the Congenital Heart Diagram. Condition/Phase 1 : Rest Lines 119 19744 • Select the “Embed” button (3) on the diagram. Basic Editing Tools T X 4 Shapes C Devices Any values entered manually in the “Manual Hemo Data” RA • 7/11/12 T 000 table take precedence over the imported data and are Additional Shapes embedded in the diagram (4). • If desired, send the diagram to the report. (5) 5 Completely normal (all septa intact) Save and Close Save Send to Report Cancel 35 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 CHD: Embed Manually Entered Hemodynamic Pressures SIEMENS Healthineers Updating the Diagram If you have embedded the hemodynamic values and you Completely normal (all septa intact) X later modify the hemodynamic values, you will need to Arial B I U 20 20 Measurements refresh the CHD diagram. : Rest Clear 1 Condition/Pha 1: Rest Modify the manual values as desired. To refresh the CHD Lines AO 119/13/44. diagram, either: Basic Editing Tools T X MPA Shapes • Close and reopen the CHD. 25/10/15 IC Devices- -OR- 3/11/12 Additional Shapes V V • Select the “Refresh” icon to refresh the embedded values. (1) Unroiried hanges are provided by the Corgents Heart Disease: A Degrevestic Atlas, Cheries E Mules/ D.Mayer feds), @ 159) Used under acense of John ivey & Sons Limited, a company of John Way & Sons, Inc. Wiley is not dable nor responsive for any modifications made for use to patient records Please note: If you have previously sent the diagram to 2 Completely normal (all septa intact) the report, you will need to delete the diagram from the Save and Close Save Send to Report Cancel report and select “Send to Report” (2) again. 36 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Coronary Tree Diagram Update: Version 2.1.3 SIEMENS Healthineers Without Interventions R Aorta Right Dominant In VA40H there is a new version of the Coronary Tree Ulcerated SA Plaque Diagram (CTD), 2.1.3. LM Calcification This version fixes some issues found with the previous version, providing enhanced stability. Spasm CX RCA LAD SP Bridging SCAD RPLA Graft RPDA Stent XX G POSTERIOR Add To Study Close Please note: The Coronary Tree Diagram is a -- licensed feature and may not be available on your system. 37 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers syngo Dynamics VA40H OB Reporting 38 Effective Date: 21 DEC 2022 | HOOD05162003322260 Unrestricted © Siemens Healthineers, 2022 OB Fetal Hadlock Growth Percentile Updates SIEMENS Healthineers syngo Dynamics supports the SR mapping of Hadlock Growth Patient |Calcs Observations Phrases |Layout Percentiles (HGP) in worksheet and report templates for a- Fetal Info AC MA (Hadlock, 1984) obstetric ultrasound studies. BPD MA (Hadlock, 1984) CRL MA (Hadlock, 1992) EFW (Hadlock, 1984) In order to correctly map the calculations from the modality to EFW 10% (Hadlock 1991) EFW 90% (Hadlock 1991) the correct calculation in syngo Dynamics, the reference year of EFW by AC,BPD (Hadlock, 1984) EFW by AC,BPD, FL (Hadlock, 1985) the associated Hadlock Growth Percentiles (HGP) is required. EFW by AC,BPD, FL, HC (Hadlock 1985) EFW by AC,FL (Hadlock 1984) EFW by AC,FL (Hadlock 1985) EFW by AC,FL, HC (Hadlock 1985) Some modalities do not provide the reference year of the EFW by AC,HC (Hadlock 1984) FL MA (Hadlock, 1984) Hadlock equation when sending the calculation to syngo HC MA (Hadlock, 1984) SDx AC Percentile (Hadlock, 1984) Dynamics. sDx BPD Percentile (Hadlock, 1984) sDx EFW Growth Percentile (Hadlock, 1991) sDx FL Percentile (Hadlock, 1984) In prior VA40 versions Hadlock Growth Percentiles (HGP) sDx HC Percentile (Hadlock) sDx HC Percentile (Hadlock, 1984) received in syngo Dynamics without the reference year could not be mapped, and the worksheet and report template could not be updated. 39 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 OB Fetal Hadlock Growth Percentile Updates SIEMENS Healthineers Worksheet Data Palette Patient |Calcs Observations Phrases |Layout In VA40H, a new generic Hadlock calculation has been CRL MA (Hadlock, 1992) EFW (Hadlock, 1984) added: “sDx HC Percentile (Hadlock)” to the Measurements EFW 10% (Hadlock 1991) EFW 90% (Hadlock 1991) and Calculations Library (1) in Report Designer version EFW by AC,BPD (Hadlock, 1984) EFW by AC,BPD, FL (Hadlock, 1985) ..... EFW by AC,BPD, FL, HC (Hadlock 1985) 18.01. EFW by AC, FL (Hadlock 1984) EFW by AC,FL (Hadlock 1985) ..... EFW by AC,FL, HC (Hadlock 1985) EFW by AC,HC (Hadlock 1984) .... This calculation is available in the OB Calc type. (2) FL MA (Hadlock, 1984) HC MA (Hadlock, 1984) sDx AC Percentile (Hadlock, 1984) ..... sDx BPD Percentile (Hadlock. 1984) 3 sDx EFW Growth Percentile (Hadlock, 1991) If Hadlock calculations are received in syngo Dynamics SDX FL Percentile (Hadlock, 1984) ..... 1 sDx HC Percentile (Hadlock) SDx HC Percentile (Hadlock, 1984) without an associated year, the calculation will be B- Retired Growth %-tile (Hadlock 1991) automatically mapped to this calculation. 2 Find: hadlock Calc Type OB v Additionally, in Report Designer version 18.01, the Hadlock Please note: You will need to update your worksheet Growth Percentile calculation: “sDx EFW Growth Percentile and report templates with the newly added Hadlock (Hadlock, 1991)” was added to the OB Calc library. (3) Growth Percentile calculations. 40 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Context Diagnosis SIEMENS Healthineers Worksheet Data Palette × Patient Calcs Observations Phrases |Layout In general, diagnosis text for a study is applied at the study Current Time Data Export Date level. For some studies, it is necessary to add different Data Export Time Diagnosis Fellow 1 diagnosis text based on context. Fellow 2 Fellow 3 Fellow 4 Fellow 5 For example, for obstetric ultrasounds involving more than Filler Order Number First Study in Pregnancy one fetus, it may be necessary to apply a different History Impressions diagnosis per fetus. Indications Login Modality Non-Study Diagnosis In VA40H, diagnosis text can now be displayed for study Orchestration Execution DateTime Orchestration Execution Result Ordering Provider Assigning Authority level data and non-study level data (context), if configured. Ordering Provider Code Ordering Provider Name Find: Calc Type OB A new diagnosis definition has been added to the VA40H Item: Non-Study Diagnosis [Study Info) Report Designer (version 18.01): “Non-Study Diagnosis”. Context: Fetus If you place this definition within a context section, a Please note:The “Non-Study definition” is available different diagnosis can be applied per context. for all Calc Types in the “Worksheet data Palette”: “Patient tab”, “Study Info” category. 41 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Context Diagnosis: Definition Library Editor SIEMENS Healthineers The “Non-Study Diagnosis” definition was added to the Definition Library Editor - VA40H\ OB_GYN\OB Bundle X “Definition Library Editor” in the category “Study Info” (1). File Edit Definitions Text Box Definition - Factory Defined - Calc Type OB Item Name Non-Study Diagnosis Calc Type OB, Cardiac, General, Vascular, By default, the data context is set to “Fetus”. If another Language English (United States Display Name Non-Study Diagnosis Data Palette Patient • 1 Study Info Admission ID Usage Optional Category Study Info context is required, this can be updated. (2) Carry Fwd Study DateTime Name Stored in NonStudyInterpretationDiagnosisDe" 2 Comments Data Context Fetus Database Congenital Diagram Selection 3 O Carry Forward M Include in Upload Current Date Current Time Attributes • You can include the “Non-Study Diagnosis” definition in Data Export Date Data Export Time Maximum String Length 4000 Diagnosis “Carry Forward” as well as “Include in Upload” if Fellow 1 Fellow 2 Fellow 3 desired. (3) Fellow 4 Fellow 5 Filler Order Number First Study in Pregnancy History Impressions Indications Login Modality Non-Study Diagnosis Orchestration Execution Dat Ordering Provider Assigning Ordering Provider Code Ordering Provider Name Patient Class Performed Location Reference Placer Order Number Create ... Find: New Category New Checkbox New Context New Date/Time New Person Name New Text Box New Indirect Changes to a definition can affect all templates that use that definition. On the current template, the definition will have to be re-inserted. Hide 42 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Context Diagnosis: Indications, Diagnosis & Procedures Library SIEMENS Healthineers " Manage Indications, Diagnosis and Procedures Phrases - C:\UserData\z002v5hz\Documents\My Templates\ VA40H\OB_GYN\ OB Bundle - 0 X The “Diagnosis” definition (study level) and the “Non- Indications Diagnosis Procedures Language English (United Search Next Previous study Diagnosis” definition (context level), both use the Abdomen Diagnosis 1 Adult Cardiac Diagnosis 2 Adult Heart Diagnosis 3 diagnoses defined for the study type in the “Indications, Biopsy Diagnosis 4 Breast AUNH Cardiac Diagnosis and Procedures Library”. Cardiac Difficult Carotid Cath CT EPS Exercise Stress HD Intracardiac Lower arterial Lower venous Misc MR Neonatal Head NM OB Ped Cardiac Ped Echo Ped TEE Pelvis Pharm Stress Pharm Stress 4 Pharm Stress 7 Prostate PT RAD Renal SC Stress Echo TCI TEE Testicular Thyroid Upper arterial Upper venous Copy Paste Sort Save Library Close 43 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Context Diagnosis: Update Report & Worksheet Templates SIEMENS Healthineers To utilize this new definition, you will need to update your Worksheet Data Palette Patient Calcs Observations Phrases Layout worksheet and report template. Current Time Data Export Date Data Export Time Diagnosis Fellow 1 Fellow 2 Check out your templates from SysAdmin. Fellow 3 • Fellow 4 Fellow 5 Patient Fetal Veins Atria Inlets Conotruncus Ventricles Outlets Arteries |Other Filler Order Number First Study in Pregnancy Maternal History History Fetal performed for Open the templates in Report Designer 18.01. Impressions • Indications family history of CHD Login maternal diseases with increased incidence of CHD Para: Follow the prompts to upgrade your templates. Modality maternal exposure to teratogen Non-Study Diagnosis identified fetal abnormality Gravida: M Orchestration Execution Date fetal arrhythmia Orchestration Execution Result Ordering Provider Assigning Authority conception via IVF Aborta: Ordering Provider Code suspected twin-twin transfusion syndrome Add the “Non-Study Diagnosis” definition to your Ordering Provider Name D • Find: Calc Type OB Study confirms ( tation type): worksheet template within a context section, for Item: Non-Study Diagnosis (Study Info) Flow and Morphologic Findings Fetus A 1 Context: Fetus example, fetus. (1) Fetal hydrops: M Non-Study Diagnosis Umbilical artery flow: M Umbilical vein flow: Ductus venosus flow: 3 3 AoV flow pattern: M • Add the “Non-Study Diagnosis” definition to your PV flow pattern: M Interatrial flow direction: M report template. Interatrial flow restriction: M The following structures appear morphologically normal in size and function: LV AOV 3 RV O PV 3 Ventricular septum appears intact: O 44 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Context Diagnosis: Workflow SIEMENS Healthineers 1 To select a context specific diagnosis: Assessment Fetus A Fetus A Non-Study Diagnosis 2 Fet Fetus B For Create: Fetus C • Select the context for the section, for example, Delete: Fetus A “Fetus A”. (1) Select a phrase from the list X Find code or phrase that contains: Show All Select the “Non-Study Diagnosis” field. (2) 3 Diagnosis 1 Diagnosis 2 • Diagnosis 3 Diagnosis 4 • The “Diagnosis” window is displayed with the diagnoses configured for the study type in the “Indications, Diagnosis and Procedures” library. (3) • Repeat the process as required for the additional contexts, for example, “Fetus B”, “Fetus C”. Non-Study Diagnosis Select All Deselect All Close 45 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Context Diagnosis: Workflow Study Diagnosis SIEMENS Healthineers 2 Select a phrase from the list X Find code or phrase that contains: It is still possible to add a diagnosis at the study level if Patient Pregnancy Fetus Fetal Anatomy |Additional Anatomy |Echo Fetal I Show All Patient Demographic Information Diagnosis 1 Diagnosis 2 required. Pt. Name 2nd 3rd Tri single Diagnosis 3 Pt. ID 772006945 Accession Number Diagnosis 4 Date of Birth 5/5/1978 Age 36 years Study Date/Time 1/1/2015 8:37:37 ... • Navigate to the tab where the “Diagnosis” Study Type OB definition is located, for example, the “Patient” Type of Report Carry Forwa Procedures Performed tab. Referring Physician Referred by: Dr. Frank Stein Phone Click on the “Diagnosis” definition. (1) cc: report • cc: report Diagnosis Select All Deselect All cc: report The “Diagnosis” window is displayed with the Diagnosing Physician Dr. George Jeckel • Sonographer MDB diagnoses configured for the study type in the Indications Close “Indications, Diagnosis and Procedures” library. (2) Diagnosis 1 Technical Quality OB Imaging Problems Sonographer Notes to Diagnosing MD (do not appear in Report) 46 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers syngo Dynamics VA40H FHIRcast Interface syngo.via 47 Effective Date: 21 DEC 2022 | HOOD05162003322260 Unrestricted © Siemens Healthineers, 2022 FHIRcast Interface: syngo.via Data Import SIEMENS Healthineers In VA40H, syngo Dynamics supports FHIRcast interface to Siemens Healthineers Siemens Healthineers support syngo.via data import to syngo Dynamics. Application Associated Application FHIRcast allows different healthcare applications to 1 FHIRcast Adapter 1 FHIRcast Adapter synchronize in real time to display the same clinical data. • FHIRcast is a standard that allows two clinical applications to communicate using a common context. • Each application contains a FHIRcast Adapter (1) which translates the data from the application to FHIRcast standard. FHIRcast Hub • The FHIRcast Adapter for the applications 2 communicate via a commonly configured FHIRcast Hub (2). 48 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 FHIRcast Interface: Supported Workflows SIEMENS Healthineers 1 In VA40H the syngo Dynamics FHIRcast interface can be CT Cardiac Q + used to synchronize data between syngo Dynamics and CT CaScoring syngo.via for the syngo.via CT Cardiac Workflows. (1) CT Coronary CT Cardiac Function Standard Values Indexed Values Standard Mode LV Normal Values The following syngo.via CT Workflows are supported: Ejection Fraction % 60 56 - 78 Myocardial Mass ED g 112.3 118 - 238 Stroke Volume ml 100.39 51 - 133 ED Volume ml 167.91 77 - 195 ES Volume ml 67.51 19 - 72 CT Cardiac Cursor Volume ml 129.22 • Cardiac Output (1/'min) 6.12 2.82 - 8.82 Findings details Height: 167 cm ft 6 in Sex Male • CT Calcium Scores Weight: 64 kg 141 Ibs BSA/ m2 1.72 RCA LM + LAD CX • CT Coronary When configured, the quantification results from a aScore Results Percentiles Markers (0) Others (0) Artery Lesions Volume/mm Equiv. Massimg Score Comment configured syngo.via are mapped in real time to the UM is] LAD 2.17 Cx RCA syngo Dynamics worksheet and report. Ca 13802.0 o o 10592- 2329.60 Total 10237.4 2331.86 WHOONO UT o o Please note: The FHIRcast interface requires syngo Dynamics with the syngo.via Integration license and with syngo.via configured to launch from syngo Dynamics. 49 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 FHIRcast Interface: Requirements SIEMENS Healthineers Requirements: H ✓ syngo Dynamics with syngo.via: • syngo.via Integration license • syngo.via configured to launch from the syngo Dynamics Study List. ✓ Study Modality: CT Co 2.5 ✓ Study launched from the syngo Dynamics Study List. RHP CO ✓ Matching Study UID: syngo Dynamics and syngo.via. ARF If the syngo.via Integration license is configured, no additional license is required for the FHIRcast interface. Please note: FHIRcast interface must be configured on syngo Dynamics and syngo.via by your Siemens Healthineers Service Representative. Please contact Siemens Healthineers Customer Care. 50 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 FHIRcast Interface: Workflow SIEMENS Healthineers 1. Select a study with the modality CT from the syngo 1 Dynamics Study List. Standard Values Indexed Values Standard Mode LV RV Normal Values Ejection Fraction 64 100 47 - 80 2. syngo.via is launched automatically. Myocardial Mass ED 20.57 - 55 Stroke Volurne 39 00.70 33 - ED Volume 61 89.70 59 - 154 ES Volume ml 71.96 23 - 103 3. Select the required syngo.via workflow: Cursor Volume mil 61 642 Cardiac Output 3.55 8.08 2.82 - 8.62 • CT Cardiac • CT Calcium Scores 2 Cardiac Function • CT Coronary Unit LV RV Std. Range Ejection Fraction % 64.00 100.00 47-80 4. Perform analysis as required. (1) Myocardial Mass ED 20.57 24-55 Stroke Volume ml 39.04 88.78 33-98 ED Volume ml 61.00 88.78 58-154 5. The data is transferred in real time to the syngo ES Volume ml 21.96 23-103 Dynamics worksheet and report. (2) Cardiac Output (l/min) 3.55 8.08 2.82-8.82 6. Close syngo.via. When you close syngo.via, a dialog is Please note: The syngo Dynamics worksheet and report displayed. To store the data select “Save and Send” templates must be configured with the desired attributes. or “Save and Pause”. 51 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 FHIRcast Interface: Modify Data SIEMENS Healthineers If you have previously saved and closed a syngo.via study Close Patient and you would like update the data in syngo.via. How would you like to close the patient Williams, Maria? 1. Re-open the study via the syngo Dynamics Study List. 1 V Save and Send (Results are stored on the system and sent to your archive [CTRL+ALT+AI) 2. The study launches in syngo.via. 2 Save and Pause (Results are stored on the system [CTRL+ALT+S]) 3. Make changes on syngo.via as required. × Discard Changes (Unsaved results will be lost) • As the study has been previously closed, the data will not update in syngo Dynamics automatically in real-time. 4. In order for the data to be updated in syngo Dynamics, you will need to select “Save and Send” (1) or “Save and Pause” (2). 52 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 FHIRcast Interface: Non-Supported Attributes SIEMENS Healthineers Some attributes in the tables in syngo.via are not supported Findings details ? for mapping to the syngo Dynamics worksheet and report RCA LM + LAD CX templates. In the “CaScoring” workflow the comments entered in CaScore Results Percentiles Markers (0) Others (0) 1 syngo.via are not persisted within syngo.via. It is therefore Artery Lesions Volume/mm3 Equiv. Mass/mg Score Comment LM O O O recommended to enter comments in syngo Dynamics LAD 2 7.4 2.17 9.6 CX 0 O O O O O directly. (1) RCA O O Ca 1 10592.1 2329.68 13802.8 Total 10599.4 2331.86 13812.3 UT o ‘o In the “CT Coronary” workflow, the attributes “Grade” (2), Score Type: Agatston equivalent, Threshold: 130 HU (103.2 mg/cm2 CaHA), Mass calibration factor: 0.794 “Length” (3) and “Comments” (4) are not supported for mapping in syngo Dynamics. Findings details ? X RCA LM + LAD CX 2 3 Stenoses (1) 4 Markers (0) Vessel ers (0) Lengths (0) Oth R Name Location Grade[%] Min. Diam. Grade Type Length Shape Comment [1] Stenosis unspecified A86% D61% 0.6 mm V 53 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 FHIRcast Interface: Supported Attributes SIEMENS Healthineers The syngo Dynamics FHIRcast interface with syngo.via 26 FHIR and FHIRCast Data Support supports more than 70 syngo.via attributes from the This topic contains details about the FHIR supported fields. This topic also contains information on the data mapping for supported syngo.via CT Cardiac workflows. support of real time CT data import data import into syngo Dynamics from syngo.via using FHIRCast interface. 26.2 FHIRCast Data Mapping You can see which attributes are supported in the syngo Dynamics syngo syngo.via Display syngo.via syngo Dynamics syngo Dynamics Item Definition Database Dynamics appendix of the “Measurements and Calculations” Code System Name Units Display Name Name Name Units F-32110 RV SRT Cardiac Index RV l/min/m2 SDX CT sDx CT CardiacFunctional sDx CT CardiacFunction |ml/m2 CardiacFunctional ParameterArea RV Cardiac |al ParameterArea RV C operator manual. ParameterArea RV Index ardiac_Index_calc Cardiac Index 8822-3_BSA LN Right Ventricular ED ml/m CT CardiacFunctional CT CardiacFunctional CT CardiacFunctional P |ml/m2 Volume ParameterArea RV BSA ParameterArea RV BSA ED arameterArea RV BSA E ED Volume Volume D_Volume_calc 8817-9_BSA LN Right ventricular CT CardiacFunctional CT CardiacFunctional CT_CardiacFunctional_P % You configure your worksheet and report templates in the ejection fraction by CT ParameterArea RV BSA ParameterArea RV BSA arameterArea RV_BSA E Ejection Fraction Ejection Fraction jection_Fraction calc 8824-5_BSA LN Right Ventricular ES ml/m2 CT CardiacFunctional CT CardiacFunctional CT CardiacFunctional P ml/m2 “Report Designer” application. Volume ParameterArea RV BSA ParameterArea RV BSA ES arameterArea RV BSA E ES Volume Volume S Volume calc F-00078_RV SRT Stroke Index RV ml/m2 SDX CT sDx CT CardiacFunctional |sDx CT_CardiacFunction |ml/m2 CardiacFunctional ParameterArea RV Stroke |al ParameterArea RV St ParameterArea RV Stroke |Index orke_Index calc Index F-32100_RV SRT Cardiac Output RV I/min CT CardiacFunctional CT CardiacFunctional CT CardiacFunctional P I/min ParameterArea RV ParameterArea RV Cardiac arameterArea_RV_Cardia Cardiac Output Output c_Output_calc 8822-9 LN Right Ventricular ED ml CT CardiacFunctional CT CardiacFunctional CT_CardiacFunctional_P ml Volume ParameterArea RV ED ParameterArea RV ED arameterArea RV ED V Volume Volume olume calc 8817-9 LN Right ventricular % CT CardiacFunctional CT CardiacFunctional CT_CardiacFunctional_P % ejection fraction by CT ParameterArea RV ParameterArea RV arameterArea RV_Ejecti Ejection Fraction Ejection Fraction on Fraction calc 54 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 FHIRcast Interface: Report & Worksheet Template SIEMENS Healthineers Worksheet Data Palette All supported attributes are included in Report Designer Patient Calcs Observations Phrases Layout 2 ACC v5 version 18.01. CT Cardiac CT CardiacFunctional CT CaScore CT ChestCare CT Colon • Check out your templates from SysAdmin. CT Common CT Dsa CT DynAngio CT Vascular #IKM PlainViewing @ MI bata Contexts • Open the templates in Report Designer 18.01. O MI Lesion Misc Info Follow the prompts to upgrade your templates. MR Reading a Wall Scoring - Motion Wall Scoring - Perfusion Wall Scoring - Thickening 0 Wall Scoring - Viability You can find the supported attributes in the calc type “CT” (1) in the categories (2): 1 Find: Calc Type CT Item: CT CardiacFunctional ParameterArea LV ED Volume(CT CardiacFunctional) CT Cardiac Context: CT_CardiacFunctional_ParameterArea_LV_Context_ctx • Properties Alignment Right • CT CardiacFunctional Derivation Mean • CT CaScore Display Name CT CardiacFunctional ParameterArea LV Number of Values 1 Precision 2 Read Only No Show Doppler Angle Yes Show Expanded Form No Alignment Change the alignment of Measurement's value 55 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers syngo Dynamics VA40H Clinical Administration 56 Effective Date: 21 DEC 2022 | HOOD05162003322260 Unrestricted © Siemens Healthineers, 2022 SSO Support for WebViewer & Web API SIEMENS Healthineers Since VA40D Single Sign-on (SSO) is supported for syngo Dynamics for authentication for the Workplace and the Remote Workplace. syngo Dynamics" Login with your enterprise account: SINGLE SIGN-ON (SSD) In VA40H, SSO is also supported for syngo Dynamics for authentication for the WebViewer and Web API. Login Password VA40H syngo Dynamics SSO supported Applications: Department A Dops/ CLASS Logas English • Workplace • Remote Workplace • WebViewer Please note: SSO is supported for any Security • Web API Assertion Markup Language (SAML) 2.0 compliant ID providers. 57 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 SSO Support for WebViewer & Web API SIEMENS Healthineers You configure SSO for the WebViewer and Web API in the syngo Dynamics 0 × “Server Configuration tool”, in the “SSO” tab. Configuration Tool: This application configures syngo Dynamics and the computer it runs on to execute properly • A new checkbox is available: “Activate SSO for Department Mapping | Cache Settings | Philips Listener | SR/PR Creation | Critical Results | EMR Integration Description: syngo.via | HL7 Interface | FHIR Interface | Rules Engine | Database Server WebViewer login”. (1) Network Settings | Site License | Computer Name | Thumbnails | Stress Review | Third Party Data | Web Services Enabling SSO (Single Sign-On) Enterprise | Status Update | Active Directory SSO System Users |Server Notifications |Study List Query |EHS integration with a third-party Identity Provider (IDP) that supports SAML 2.0 allows users that are authenticated via SSO to • This checkmark is deselected per default. SSO ID Provider access syngo Dynamics workplace without additional login Import SSO metadata file • To activate SSO for the WebViewer and Web API, To configure the SSO IDP [http://TCDC5.syndyn.local/adfs/services/trust connection details. either import . Identity Provider Issuer Clear the SSO metadata file provided by select the check mark. the IDP or manually enter the * SSO target service URL https://tcdc5.syndyn.local/adfs/s/ connection parameters Test Select “Apply” and close the application. connection When 'Activate SSO for • . ID Provider certificate CN-ADFS Signing - TCDC5.syndyn local Workplace login' is enabled. all Workplace users connected to this server are authenticated via SSO • The changes are saved automatically. Activate SSO for Workplace login Note: Fields marked with an 1 Activate SSO for Web viewer login asterix (*) are mandatory If SSO was previously configured, this is the only Siemens Healthcare GmbH. 2022. All rights reserved OK Cancel Apply configuration step required. If SSO was not previously configured, you will first need to configure SSO before activating SSO for WebViewer. Please contact your Siemens Healthineers Customer Care Representative for more information. 58 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 SSO Support for WebViewer Workflow SIEMENS Healthineers Www. syngo Dynamics x • If SSO is configured, when you select the WebViewer : + v x - C A Not secure | sdxapps/sdportal/StudyList/StudyListe HealthinENS Not For Diagnostic Use ? Smith, Dr Log off Application icon syngo Dynamics you are directed to Advanced Search Quick Search for Patient Name, Patient ID, Accession #, Study Type, Modality, Site ID, a Q = ) AdultEcho / SDXAPPS Locke PDF Patient Name Study Type Patient Id Date Of Birth Prior Studies Study Date Number Of Im Study Status Referri Report Status Diagnosing Physician the SSO ID provider in your facility. DI Study, Cardiac Adult Heart 546454654 12/31/1959 5/16/2022 1:22:19 PM 18 UNREAD Physician, D-D Smith, Dr \ Jones, Dr O Adult Echo, Patient Adult Cardiac 326598 5/1/1949 O 8/4/2020 10:09:28 AM 66 UNREAD D-D Doc, New • Depending on the configuration at your facility, you are then either required to log in to SSO, or the system tries to automatically authenticate your SSO credentials. • Once your credentials are authenticated, the syngo Dynamics WebViewer Study List is displayed. 0 Studies Selected < | Page 1 of 1 4 M View 1 - 2 of 2 Please note: SSO is supported for any Security Assertion Markup Language (SAML) 2.0 compliant ID providers. 59 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 SSO Support for Web API Workflow SIEMENS Healthineers syngo Dynamics Web API allows you to have “read only” access to the data in the syngo Dynamics database. Report Verification Alert 1 Web Account Id : {c70116a8-e2f9-0400-aa4e-7fa7ca0d091e} For example, this can allow you to view images in syngo Dynamics for a specific patient or study by selecting a link for the study integrated in your EMR. syngo Dynamics O × Configuration Tool: This application configures syngo Dynamics and the computer it runs on to execute properly In previous VA40 versions, the authentication of the user credentials was by verification of the Web Account ID Department Mapping | Cache Settings | Philips Listener | SR/PR Creation | Critical Results | EMR Integration Description: syngo.via HL7 Interface | FHIR Interface| Rules Engine | Database Server Network Settings | Site License | Computer Name | Thumbnails |Stress Review |Third Party Data |Web Services Enabling SSO (Single Sign-On) configured for the user in the User configuration in Enterprise | Status Update | Active Directory SSO System Users |Server Notifications |Study List Query |EHS integration with a third-party Identity Provider (IDP) that supports SAML 2.0 allows users that are authenticated via SSO to SysAdmin. (1) SSO ID Provider access syngo Dynamics workplace without additional login Import SSO metadata file To configure the SSO IDP connection details. either import * Identity Provider Issuer [http:/TCDC5.syndyn.local/adfs/services/trust Clear the SSO metadata file provided by the IDP or manually enter the connection parameters In VA40H the credentials can be authenticated using SSO, * SSO target service URL https:/tcdc5.syndyn.local/adfs/ls/ Test . ID Provider certificate CN-ADFS Signing - TCDC5.syndyn local connection When 'Activate SSO for Workplace login' is enabled. all Workplace users connected to this if the setting “Activate SSO for Web viewer login” is server are authenticated via SSO. Activate SSO for Workplace login Note: Fields marked with an selected. 2 Activate SSO for Web viewer login asterix (*) are mandatory Siemens Healthcare GmbH. 2022. All rights reserved OK Cancel Apply 60 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 SSO Support for Web API Workflow SIEMENS Healthineers • If SSO is configured, when a Web API call is invoked, the server checks for the flag “SSO” in the Web API URL. (1) This flag is how the system knows if Web API is using SSO. • You are directed to the SSO ID provider in your facility. Web API: 1 Depending on the configuration at your facility, you are then https://glass/sdportal/api/SSOPoperation=get_images&patientid=123&enterprise=true • either required to log in to SSO, or the system tries to automatically authenticate your SSO credentials. • Once your credentials are authenticated, syngo Dynamics is displayed. Please note: SSO is supported for any Security Depending on the filters configured and the available studies Assertion Markup Language (SAML) 2.0 either the syngo Dynamics Study List is displayed or the images compliant ID providers. from the study are displayed directly. With SSO there is no need to whitelist the IP addresses of the clients. 61 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 SSO Support for Web API Workflow Examples SIEMENS Healthineers Web API configured to filter studies based on Patient ID: • If one study is available for the Patient ID, the study is Web API: displayed in Image Review. https://glass/sdportal/api/SSOPoperation=get_images&patientid=123&enterprise=true • If multiple studies are available for the patient, the syngo Dynamics Study List is displayed. Web API configured to filter studies based on Accession Number: Web API: https://glass/sdportal/api/SSO?operation-get_images&patientid=123&enterprise=true • The study associated with the accession number is displayed in Image Review. 62 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Web API Language Settings SIEMENS Healthineers In previous VA40 versions, the default language for syngo SIEMENS ... Healthineers Nicht für Diagnosezwecke Dynamics using Web API was English. Erweiterte Suche Direktsuche nach Patientenname, Patienten-ID, Aufnahmenummer, Untersuchungstyp Q Gesperrt PDF Patientenname Anzahl von Bil Geburtsdatum Untersuchungstyp Patienten-ID In VA40H, the syngo Dynamics Web API language is now Adult Echo, Patient 1 Adult Cardiac 777444111 Adult Echo, Patient 66 2.5.1949 Adult Cardiac 326598 based on the language settings for the configured Cardiology, Patient 1 Adult Cardiac 999666333 browser. Echo, Patient Adult Cardiac 555222888 Smith, Patient 1 Adult Cardiac 111222333 Study New test, Cardiac 19 31.12.1959 Adult Heart 546454654 This configuration is based on the language settings for the configured browser on each client. 63 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Web API Language Settings SIEMENS Healthineers If your browser language settings are set to one language but you would like the syngo Dynamics user interface to be in another language: syngo Dynamics • Log out of syngo Dynamics Web API. Login • Change the language in the syngo Dynamics WebViewer Password login page (1). Department AdultEcho / SDXAPPS • Log in to syngo Dynamics. The selected language is Login displayed. 1 English English Deutsch syngo Dynamics will continue to use the selected language This application Español wing/reading. Svenska for subsequent log in instances. Dansk Please note: if the cache for your browser is cleared, the language preference will be removed, and you will need to repeat the above steps. 64 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Server-Side Log Capture for Serviceability SIEMENS Healthineers Ww Server Log Capture Tool × Server Log Capture Tool This tool captures syngo Dynamics application log files and machine In VA40 syngo Dynamics supports the capture of log files information to support investigation of Service incidents. Initiating a capture will create a Zip file on the current machine that can be supplied to Service from the client, via the “Service Log Capture Utility”. Include screen capture of the desktop Comments Please supply any additional details that may aid in investigation In VA40H you can now also capture logs from the server using the “Server Service Log Capture Utility”. Output file Location: C:\ProgramData\Siemens\syngoDynamics\Logs\ServiceLog File name: SDXAPPS_20221221_0834_Server Reset The Server Service Log Capture utility is used to capture application log files, configuration files, and other Ready Capture Exit predefined files from the syngo Dynamics server to support the investigation of server-side service incidents. Compressed Folder Tools SDXAPPS_20221221_0834_Server.zip The tool is available on the syngo Dynamics application File Home Share View Extract server as well as on the offloaded portal and encoder « syngoDynamics > Logs > Servicelog > SDXAPPS_20221221_0834_Server.zip > Name Type servers. Quick access Config File folder This PC EventLogs File folder Desktop OtherLogs File folder Documents ProberLogs File folder Downloads sDxlogs File folder Music LogCapture.log Text Document Pictures 65 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Server-Side Log Capture for Serviceability SIEMENS Healthineers You access the “Server Service Log Capture Utility” on syngo Dynamics W Server Log Capture Tool × the server, in the Windows “Start” menu. (1) New Enterprise User Management Tool Server Log Capture Tool Prober This tool captures syngo Dynamics application log files and machine New information to support investigation of Service incidents. Initiating a capture will As this tool is accessed on the Server, no additional 1 create a Zip file on the current machine that can be supplied to Service Server Service Log Capture 2 ]Include screen capture of the desktop authentication is required. Service Log Capture New Comments syngo Dynamics Configuration T ... 3 Please supply any additional details that may aid in investigation A • There is a check box to include a screen capture syngo Dynamics Remote Workpl ... of the desktop. (2) syngo Dynamics Workplace SysAdmin • You can add any additional information that could syngo Dynamics OEM Data Im ... Output file aid the investigation in the comment field. (3) 4 Location: C:\ProgramData\Siemens\syngoDynamics\Logs\ServiceLog cunna Flight Recordar The location of the saved logs is listed within the e 5 File name: SDXAPPS_20221221_0834_Server Reset • tool. (4) Ready A default file name is defined. You can update the Capture Exit • file name as desired. (5) 6 • Select “Capture” to start saving the log files. (6) • A progress window is displayed. 66 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Server-Side Log Capture for Serviceability SIEMENS Healthineers The data from the log capture will be saved as a Compressed Folder Tools ServiceLog File Home Share View Extract compressed folder (1). << ProgramData > Siemens > syngoDynamics > Logs > Servicelog > Name Date modified Ty Quick access The following files are included in the Server Service Log LogCapture.log 12/21/2022 8:37 AM Te This PC 1 SDXAPPS_20221221_0834_Server.zip 12/21/2022 8:37 AM CC Capture: (2) Desktop Documents Downloads J Music • Config files: system configuration • EventLogs: Windows event logs OtherLogs: additional information, for example 2 Compressed Folder Tools SDXAPPS_20221221_0834_Server.zip • File Home Share View Extract from the operating system. « syngoDynamics > Logs > Servicelog > SDXAPPS_20221221_0834_Server.zip > vo • ProberLogs: for previous week. Name Quick access Type • sDxlogs Config File folder This PC EventLogs File folder Comments.txt Desktop OtherLogs File folder • Documents ProberLogs File folder LogCapture.log Downloads sDxlogs File folder • • ScreenCapture (if checked). J Music LogCapture.log Text Document [] Pictures 67 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 File Export Enhancements SIEMENS Healthineers Split Study DICOM syngo Dynamics supports “Enhanced Discrete Data Export” Images(2 ... (EDDE) for use in third-party applications, and the export of Data Export study data. Mark Study As Read DO Merge Study 00 Split Study In VA40H there are enhancements to the configuration of WW SysAdmin Department Settings (INBLRSHCPR13224) 0 x File Edit Help the file name used for the export of both EDDE export and Department: ULTRASOUND New Dept Delete Dept Reload Save License | Site Ids | Other Servers | Users |Privileges |Study s Study Types |Templates | Reports | Fax Measurements Export |Custom Export | Int report data export. Study Data Export File Configuration Discrete Study Data Export Billing Data Export Schedule Departments F Sunday 2:00:00 AM ULTRASOUND The configuration of the file names apply to both automatic v EUM01 Monday 2:00:00 AM D Deptc file export configured in SysAdmin and manual file export Tuesday 3:21:00 PM Wednesday 2:00:00 AM from the syngo Dynamics Workplace. [ Thursday 2:00:00 AM Friday | 2:00:00 AM Saturday | 2:00:00 AM Export Configuration Max # of studies per run per Dept. |100 E Select All Departments Export Study acquired On/After | 7/ 1/2015 Deselect All Departments Note: 1. Must 1st configure "Export Location" on the study types tab. 2. Only "Read" studies will be exported. 68 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 EDDE Export File Name Configuration SIEMENS Healthineers In VA40H SysAdmin has a new sub-tab in the “Export” SysAdmin Department Settings (INBLRSHCPR13224) X 0 File Edit Help tab: “Study Data Export File Configuration”. Department: ULTRASOUND New Dept Delete Dept Reload Save License Site Ids |Other Servers |Users Privileges Study Types Templates Reports |Fax Measurements Export Custom Export | Int_< Study Data Export File Configuration Discrete Study Data Export |Billing Data Export 1 Study Export File Name 2 Available Fields Selected Fields This tab allows you to configure the fields to be used in Accession Number : Component Name Patient First Name Patient ID the file name of the export. Patient Middle Name Patient Last Name Patient Name Prefix Patient Name Suffix Study Date Study Time LE • Select the fields in the “Available Fields” column. (1) -Date -Time MMDDYYYY C YYYYMMDD C DDMMYYYY C 24 hr @ 12 hr -Field Separator C Underscore @ Comma Space C Hyphen-minus • Use the arrow to move the field to the “Selected File Name Preview : StudyInstanceUID Fields” column. (2) Study Export File Name • The file uses the fields in the “Selected Fields” Available Fields Selected Fields 3 column. (3) Patient First Name A Component Name Patient ID Accession Number Patient Middle Name Patient Last Name Patient Name Prefix Patient Name Suffix Study Date Study Time Patient Date of Birth 69 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 EDDE Export File Name Configuration: Multiple Fields SIEMENS Healthineers • If you have selected multiple fields for the file name, SysAdmin Department Settings (INBLRSHCPR13224) O X you can arrange the order of the fields within the File Edit Help Department: ULTRASOUND New Dept Delete Dept Reload Save name using the arrows. License | Site Ids | Other Servers | Users | Privileges | Study Types | Templates | Reports | Fax | Measurements Export | Custom Export | Int Study Data Export File Configuration Discrete Study Data Export | Billing Data Export | Study Export File Name Available Fields Selected Fields • If a field contains a date or time, you can select the i Component Name Accession Number date and time format. (1) Study Date Patient First Name Patient ID Patient Middle Name Patient Last Name • You can also select the field separator to align with 1 Date @ MMDDYYYY C YYYYMMDD C DDMMYYYY Time the format required by the third-party application. (2) C 24 hr @ 12 hr 2 Field Separator @ Underscore C Comma ( Space C Hyphen-minus File Name Preview : EV13579_10152009_Mary_PatID1234_M_Smith_Mr_Jr_114 • A preview of the file name is displayed at the bottom. 3 050PM_12121995_Site1234_StudyInstanceUID_Abdomen_ MPI1234 (3) Please note: • The file name is limited to 255 characters. If the name of the file exceeds this limit, syngo Dynamics will trim the file name. • If no field is configured, or if the configured fields yield to an empty value, the Study UID is used. 70 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 EDDE File Export: Multiple Fields SIEMENS Healthineers SysAdmin Department Settings (INBLRSHCPR13224) O X The file name configured for EDDE export in the “Study File Edit Help Department: ULTRASOUND 1 New Dept Delete Dept Reload Save Data Export File Configuration” tab applies to files License | Site Ids | Other Ser Privileges| Study Types| Templates | Reports | Fax | Measurements Export | Custom Export | Int 4 | Study Data Export File Configuration Discrete Study Data Export Billing Data Export | configured to export: Schedule Departments r Sunday | 2:00:00 AM ULTRASOUND EUM01 Monday 2:00:00 AM ] Deptc • In the “Discrete Study Export Data” tab. (1) Tuesday 3:21:00 PM [ Wednesday WW SysAdmin Department Settings (INBLRSHCPR13224) X Thursday [File Edit Help Friday Save • In the “Custom Export” tab. (2) Department: ULTRASOUND New Dept Delete Dept 2 License | Site Ids | Other Servers | Users | Privileges | Study Types | Templates | Reports | Fax | Measurements Custom Export Int_< > [ Saturday Export New_Export_1 Enable Export Configuration New_Export_2 Export Filters Manually exported of EDDE data from the Max # of studies per run p Export Name |New_Export_1 • Export Study acquired Departments Study Types Study States Workplace. (3) ULTRASOUND Abdomen v READ v EUM01 D Adult Cardiac V NOT READ Note: Deptc Adult Heart 1. Must 1st configure "Export Lod 2. Only "Read" studies will be exp New Delete Breast Cardiac Export Frequency [] Cardiac Difficult Carotid Scheduled -Periodic Select All Deselect All Select All Deselect All Select All Deselect All Every o Select mins/hrs -Export Path Schedule Export Path C:\Export\CustomDataExport Split Study DICOM Images(2 ... Sunday 2:00:00 AM : [ Monday 2:00:00 AM: Export Configuration 3 Tuesday 2:00:00 AM Max # of studies per run per Dept Wednesday W 2:00:00 AM Data Export Thursday 8:07:00 PM Export Study acquired On/After 7/ 8/2022 Friday 2:00:00 AM Mark Study As Read Saturday 2:00:00 AM Note: "NOT READ" selection in Study States filter would consider exporting ARRIVED, STARTED, IN_PROGRESS, COMPLETED / UNREAD DO Merge Study DO Split Study 71 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Report Data Export SIEMENS Healthineers SysAdmin Department Settings (INBLRSHCPR13224) X As in previous VA40 versions, the file name for report File Edit Help data export can be configured in the “Report Export File Department: ULTRA New Dept Delete Dept Reload Save 1 License |Site Ids ervers |Users | Privileges | Study Types | Templates Reports | Fax | Measurements | Export | Custom Export | Int_<> Configuration” (1) in the “Reports” sub tab. Reports Report Export File Configuration HL7 -Report Export File Name Available Fields Selected Fields In VA40H, there are additional fields that can be Report Type Component Name Separator Study Time Accession Number 2 Admission ID included in the file name (2): Patient ID Prim. Diag Phy First Name [ K] Prim. Diag Phy Middle Name Prim. Diag Phy Last Name Prim. Diag Phy Name Prefix Prim. Diag Phy Name Suffix • "Primary diagnosing Physician" name: first Patient Date Of Birth Site ID Master Patient Index name, middle name, last name, prefix and suffix. Date Time C MMDDYYYY C YYYYMMDD CDDMMYYYY C 24 hr @ 12 hr • Patient Date Of Birth -Field Separator C Underscore C Comma ( Space Hyphen-minus File Name Preview : EV13579-PatID1234 • Site ID • Master Patient Index 72 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 Report Data Export SIEMENS Healthineers / SysAdmin Department Settings (SDXAPPS) X File Edit Help 1 partment: ULTRASOUND New Dept Delete Dept Reload Save The file name configured for the report data export in ense |Site Ids | Other Servers | Users | Privileges | Study Types | Templates Reports |Fax | Measurements | Export | Custom Export | Int_1 Reports Export File Configuration | HL7 the “Report Export File Configuration” tab applies to Report Actions Require Export As Export As Export As Export As files configured to export: Report Type Password Run Rules Lock Physician 2 [Completed] Fax Upload PDF RTF Text OXML Physician 2 [Verified] Physician [Completed] Physician [Verified] 0000 W SysAdmin Department Settings (SDXAPPS) - X O In the “Report” tab based on the "Marked as File Edit Help • Department: ULTRAS 2 New Dept Delete Dept Reload Save completed" or "Marked as verified“ actions. (1) License |Site Ids |Oth S Users Privileges |Study Types Templates |Reports |Fax Measurements Export |Custom Export |Int Discrete Study Data Export Billing Data Export Upload Report to HIS/RIS OPENLINK Append Reports on Upload Automatically mark study as read if: -Billing Data Export Schedule Departments • When “Billing Data Export” is configured in the Report "Physician 2" is ............ ULTRASOUND Enable Export Cath and Report "Physician" is ............... AdultEcho “Export” tab. (2) Scheduled Time | 2:00:00 AM daily NuclearMedicine EchoUltrasound Test OB Billing Data Export Configuration Mark As Read Settings Manually exported files via the “Send To” menu in Display a warning if manually marking a Export Location \ \sdxapps\nas\reports ... • Require Password when study is manuall Lock the study when it is marked as real Look back for unexported studies |0 days the Workplace. (3) Report Verification Settings Automatically return to study list after re Information System I verifv onlv assinned renorts Report Manager Select All [ Deselect All Fax to ... File Printer Printer ... 3 Send to 73 Effective Date: 21 DEC 2022 | HOOD05162003322260 Feature Available: VA40H and Higher Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers Please note this learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. © Siemens Healthcare GmbH 2022 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens-healthineers.com 74 Effective Date: 21 DEC 2022 | HOOD05162003322260 Unrestricted © Siemens Healthineers, 2022