SmartSimulator Workbook - Advanced workbook for super users VA10F

SIEMENS Healthineers SmartSimulator workbook Advanced training for super users YSIO X.pree VA10F smartsimulator.siemens-healthineers.com/ -- Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Effective Date: 06 Feb 2024 | QR700004561 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 Table of contents Foreword 3 Disclaimer 4 PEPconnect training 5 Clinical Protocol Editor 7 Clinical Protocols tab card 7 Clinical Protocol Steps tab card 13 RIS Matching tab card 17 Free Positions tab card 18 Positioning Guide 21 Export 25 myExam Cockpit 27 Detector Management tab card 27 Result List Attributes tab card 30 Viewing 31 Workflow Editor 36 Local Data Configurations 42 Client Settings 43 Devices 47 Administration Portal 49 Scheduler 50 Image Rejection Statistics 51 Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 2 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 Foreword Dear participant, Welcome to the SmartSimulator workbook. This workbook will guide you through your lab sessions with YSIO X.pree VA10F in the SmartSimulator. You will have a maximum of 8 hours with your YSIO X.pree SmartSimulator. So, make the most of it! Have some fun and explore what it can do. The material in this workbook is based on the syngo XR platform’s general features. It includes workflows on the administration of your YSIO X.pree system, such as the Clinical Protocol Editor, myExam Cockpit, or the Administration Portal. This workbook is intended for clinical administrators. Good luck and we hope you enjoy your SmartSimulator time! Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 3 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 Disclaimer Please note that the 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 be regarded as a substitute for 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 these Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the latest 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 Healthineers AG 2024 Siemens Healthineers Headquarters Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 4 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 PEPconnect training Before starting this workbook, please complete the following training on PEPconnect: Outside US: syngo XR Software Overview Online Training (Part 1) syngo XR Software Overview Online Training (Part 2) syngo XR Software Overview Online Training (Part 3) syngo XR Software Overview Online Training (Part 4) US: syngo XR Software Overview Online Training (Part 1) syngo XR Software Overview Online Training (Part 2) syngo XR Software Overview Online Training (Part 3) Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 5 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 syngo XR Software Overview Online Training (Part 4) Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 6 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 Clinical Protocol Editor The Clinical Protocol Editor allows you to define and manage clinical protocols that consist of one or more clinical protocol steps. You can also create additional clinical protocols or clinical protocol steps (organ programs). Furthermore, you can define the acquisition parameters for the clinical protocol steps. Clinical Protocols tab card First, we want to start by creating a clinical protocol (CP) and assigning different clinical protocol steps to this CP. After successfully doing that, we want to change the sort order of the clinical protocols within a body region. Lastly, we want to delete a custom clinical protocol. Clinical Protocols Clinical Protocol Steps RIS Matching Translations Free Positions Positioning Guide Gallery Import Export Local Settings Search Filter by Add Protocol Duplicate Protocol elete Protocc Name ody parts Type Current Protocol steps Available Protocol Staps O Ankle 2 views Leg 20 RAD Ankle a.p. R O Q Search Peter by Leg Ankle 2 views L Leg 2D RAD X Ankle lat R o X Ankle 2 views Leg 20 RAD Ankle a.p. Ankie RAD 20 Ankle 2 views standing Leg 2D RAD Ankle a.p. L. Ankle RAD 20 O Ankle 2 views standing L Leg 20 RAD O Ankle a.p. R Ankle o Ankle 2 views standing R Leg 2D RAD Leg 20 RAD Ankie a.p. standing Ankle RAD 20 O Ankle a.p. Ankle a.p. L Leg 20 RAD Ankle a.p. standing t. Ankle AD 20 O O Ankle a.p. R Leg 2D RAD Ankle a.p. standing R Ankle O O Ankle a.p. standing Leg 2D RAD Ankle Broden I out Ankle RAD 20 o Ankle a.p. standing L Leg 2D RAD O Ankle a.p. standing R Leg 20 RAD Ankle Broden I out L Ankle KAD 20 O O Ankle Broden Leg 20 RAD Ankle Broden I out R Ankle RAD 20 O Ankle Broden in Leg 2D RAD Ankle Broden It in Ankle RAD 20 O O Ankle Broden L Lea 20 RAD Ankle Broden Il in L Ankle RAD 20 o Ankle Broden L in Lea 20 RAD 1.2.1.0 Save Discard Changes The Clinical Protocols tab card is divided into three columns. The left column displays all the available clinical Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 7 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 protocols of the database. The right column displays all the Available Protocol Steps that can be assigned to the CP. The middle column displays the Current Protocol Steps that have been assigned to the selected clinical protocol on the left. Exercise: Access the Clinical Protocol Editor Before entering the Clinical Protocol Editor, you must be logged in with a user account that includes the privilege for editing clinical protocols. Please note: The default user account meduser does not have the privilege for editing clinical protocols. Therefore, we have to log into an account that has these privileges. 1. Tap the user icon in the top right and choose Switch User. 2. As the User Name please type in the following: APPClinicalAdmin 3. As Password please use the following: AP11**inAP11**in 4. You are now logged in as a clinical administrator and have the right for editing clinical protocols. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 8 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 5. Tap the settings icon in the access bar and choose Clinical Protocol Editor. The Clinical Protocol Editor is now open and the first tab card Clinical Protocols is displayed. Exercise: Create a new clinical protocol There are two ways to create a new clinical protocol. One option is to create a new, blank clinical protocol, and assign the clinical protocol steps in a second step. The second way is to select a similar clinical protocol with the check box, and then use the Duplicate Protocol icon. For this exercise, we want to use the first option. 1. Tap the Add Protocol icon. 2. Enter Elbow Two views in the Name field. 3. Click the Save button on the lower right corner of the Clinical Protocol Editor. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 9 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 Please note: The new clinical protocol does not yet have any information on the body part. This will be defined as soon as a clinical protocol step has been assigned to the CP. V Elbow Two views 2D RAD C The type of the clinical protocol is defined by the CP steps assigned to this protocol. There are two types: • 2D RAD • Ortho+2D RAD The © symbol is displayed as soon as the clinical protocol has been customized, either by changing a factory default CP or by creating a new one. 4. Use the Search bar in the top right corner and type in Elbow Two views. 5. Now switch to the Available Protocol Steps in the right column. Use the Filter by: option and select Elbow from the dropdown list. 6. Scroll down the list. Add the Elbow a.p. and Elbow lat. by clicking on the plus icon. 7. Click on the Save button in the lower right corner. You have now created a new clinical protocol and assigned a protocol step to it. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 10 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 Exercise: Arrange the order of the clinical protocol steps The sort order of the clinical protocols can only be changed within a body region. If no body region is selected, the sort order cannot be changed. For this exercise, we want to change the sort order and have our new clinical protocol Elbow Two views first in the list of the body region Arm. 1. Open the dropdown menu of the Filter by list (left column), and select the body region Arm. Filter by: All 2. Select the previously created Elbow Two views in the Clinical Protocols list on the left. Make sure the checkmark is set. 3. Tap the Move Up button until the CP is repositioned as the first protocol in the list. T Move Up 4. Click the Save button to store your changes. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 11 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 Exercise: Delete a clinical protocol Factory defaults are provided by Siemens Healthineers. A customer account cannot delete clinical protocols that have been deployed by Siemens Healthineers as factory default. Clinical protocols that have not been deployed by Siemens Healthineers, and thus can be deleted, are marked by the © symbol. You realize that your database contains the clinical protocol Elbow 2 views, which is a factory default, and your custom clinical protocol Elbow Two views. Since you do not want to keep both, and you cannot delete factory defaults, you want to delete your recently created Elbow Two views. 1. Use the Search bar in the top left corner and type in Elbow Two views. 2. Select the clinical protocol and make sure the checkmark is set. 3. Click on the Delete Protocol icon. Delete Protocol Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 12 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 Clinical Protocol Steps tab card Clinical protocol steps manage the exposure parameters, the post- processing parameters, and the Positioning Guide. Exercise: Creating a new clinical protocol step Instead of creating a completely new clinical protocol step, you now want to use an existing protocol step as a template and duplicate it. 1. Open the Clinical Protocol Steps by clicking on the tab card in the top bar. Clinical Protocol Steps 2. Enter Hand d.v. in the Search field. 3. Select this protocol step and make sure the checkmark is set. 4. Click on the Duplicate icon. Duplicate Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 13 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 5. The new protocol step will now be displayed as Hand d.v. Copy. V Hand d.v. Copy Hand RAD 2D Free Expos ... 6. Change the name in the Name column and type in Hand d.v. NEW. 7. Click Save. Exercise: Define acquisition parameters In this exercise you want to increase the mAs by one step for the adult clinical protocol step Hand d.v. NEW, and change the default collimation size. Additionally, since your radiography colleagues always have to rotate the hand d.v. images by 90 degrees, you want to set this up permanently as well. Lastly, your radiologist has said that she wants to have a secondary flavor with higher edge enhancement for the hand d.v. images. You already know that your radiologist wants to have the flavor 1.3 as a secondary flavor. 1. Select your clinical protocol step Hand d.v. NEW from the list of the Clinical Protocol Steps. Make sure the checkmark is set. V Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 14 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 2. Click on the three dots to expand the settings for your clinical protocol step. 3. Open the Exposure Parameters card. 4. Click on the age variant Adult. 5. Change the exposure parameters for 2pt/3pt technique to 1.1 mAs. 1 pt kV V 2pt/3pt 55 1 n.a. 6. Next, change the collimation size for the age variant Adult to the following values: o Collimation Height [cm]: 20 o Collimation Width [cm]: 13 7. Now, close the Exposure Parameters with the Arrow icon. A Expand the Positioning & Processing tab card. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 15 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 8. Since your radiography colleagues always have to manually rotate all of the hand d.v. images by 90°, please select 90 in the dropdown menu of the Rotation [degrees]. Rotation [degrees] 90 0 90 180 270 9. Last, close the Positioning & Processing tab, by clicking on the arrow icon. A 10. Expand the Flavor tab. 11. We are now going to set up a secondary flavor. To do so, click the checkmark on Secondary Flavor Parameters. V Secondary Flavor Parameters 12. We keep the Label Secondary flavor and the Clinical Image Processing Task. Only change the Flavor to Flavor 1.3. Label Secondary flavor Clinical Image Processing Task Hand DV Flavor Flavor 1.3 Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 16 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 13. In order to save all the changes to the clinical protocol step Hand d.v. NEW, click on Back to list in the top left corner. 14. To finish, click on Save in the bottom right corner. RIS Matching tab card You can match the names of the clinical protocols of your system to the names used by the connected Radiology Information System (RIS). Please note: The SmartSimulator for YSIO X.pree does not provide a connection to the RIS. However, we still want to provide training on how to create RIS codes and map them to the corresponding clinical protocols. Exercise: Matching a clinical protocol to a RIS code For the clinical protocol Chest standing 2 views, we want to create a RIS code and map the code to the protocol. 1. Click on RIS Matching in the top bar. RIS Matching Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 17 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 2. To create a new RIS code, select Add RIS Matching on the top-right side of the Clinical Protocol Editor. + Add RIS Matching 3. In RIS Text, type in RTH2V . 4. Click in the dropdown menu of Clinical Protocol, and scroll until you have reached Chest standing 2 views. Select it. 5. Select Save on the bottom right side to store the RIS code. Free Positions tab card In your daily routine, you realize that you are missing a stand position for a standing examination of the foot standing d.p. on the wireless detector. Exercise: Creating a free position and assigning it to a CP step 1. Open the Free Positions tab in the top bar. Free Positions 2. Click on the Add icon on the right side. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 18 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 3. As a Position Name, type in Foot standing d.p. . 4. Click on Save. As a next step, you are now positioning your YSIO X.pree tube where you would like to perform your foot standing d.p. examinations. 5. As a last step in the Free Positions tab, click on the Store Position icon. The icon is located in the top right corner. 6. Please note: Since the SmartSimulator is a virtual environment and there is no hardware such as the YSIO X.pree tube present, free positions cannot be stored. When you click on Store Position, an error message will appear. You can click OK. Invalid position Position cannot be stored. Try again. Contact service if problem persists. OK Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 19 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 Nevertheless, for training purposes, we will continue with this exercise and imagine that we were able to store the position. We now want to assign the new free position to our clinical protocol step Foot standing d.p. . 7. Open the Clinical Protocol Steps in the top bar. Clinical Protocol Steps 8. Use the Search field to find the clinical protocol step Foot standing d.p. . 9. You can see that there are three clinical protocol steps available: o Foot standing d.p. o Foot standing d.p. L o Foot standing d.p. R 10. Since you want to assign the new free position to all three, set a checkmark on all three clinical protocol steps. Name Foot standing d.p. Foot standing d.p. L Foot standing d.p. R Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 20 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 11. Click on Edit multiple in the top- right corner. Edit multiple 12. In the dropdown menu of the Free position, select the Foot standing d.p. stand position. Free position Foot standing d.p. 13. Select Apply to selected. 14. To check if the changes have been applied, the column Free Position displays the assigned free positions. Free Position Foot standing d.p. Foot standing d.p. Foot standing d.p. 15. To finish this exercise, click on Save to store all the changes that you have made to the database. Positioning Guide The Positioning Guide provides easy access to information about correct patient positioning, including for rarely performed exams. It can be tailored to your institutional needs or your referrers’ Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 21 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 specifications. Your team can save digital formats of analog documents, such as photos. Additionally, you can add your own images and descriptive text, or use the onboard pictograms. Exercise: Assigning a pictogram to a clinical protocol step In this exercise, you want to check if a pictogram for a foot standing d.p. examination is already present in the Positioning Guide Gallery. After that, you want to assign this pictogram to your clinical protocol step. 1. Open the Positioning Guide Gallery in the top bar of the Clinical Protocol Editor. Positioning Guide Gallery 2. After the gallery has loaded all the available images, you can scroll through to find the right pictogram. The list is sorted alphabetically. 3. The pictogram with the name Foot_Foot_DP(weightbearing)_X fits your needs. 4. Next, switch to the Clinical Protocol Steps in the top bar. Clinical Protocol Steps Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 22 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 Use the Search field to find the clinical protocol step Foot standing d.p. . Make sure that this clinical protocol step is selected with a checkmark. 5. Click on the three dots to expand the settings for your clinical protocol step. 6. Open the Positioning Guide. Clinical Protocols Clinical Protocol Steps RIS Matching Translations Free Positions Positioning Guide Gallery Back to list Foot standing d.p. Exposure Parameters Flavor Positioning & Processing Laterality Label Positioning Guide Patient Size Modifiers 7. Click on the first pencil icon to assign the pictogram to the clinical protocol step. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 23 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 8. Scroll down the gallery to find the pictogram Foot_Foot_DP(weightbearing)_X and mark it with a checkmark. V Foot_Foot_DP(weightbearing)_X 9. Next, click on Assign to CP Step to assign the image to the Foot standing d.p. + Assign to CP Step Lastly, you also want to provide information to your radiography colleagues that the central beam should be angled for this examination. 10. To do so, click into the Positioning guide text and type in: Central beam is angled approximately 15-20 degrees towards the heel. Positioning Guide Foot_Foot_DP(weightbearing)_X × No image assigned X central beam is apgled approximately 15-20 degrees towards the heel. X Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 24 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 11. To finish this exercise, click on Back to list in the top left corner, and hit Save to store the changes. Export After you have applied changes to the YSIO X.pree Clinical Protocol Editor, it is recommended to create a backup of the database. Exporting the database to the Service Partition is sufficient, but you can also export it to an external USB drive. Exercise: Export the Clinical Protocols and RIS Matching to the Service Partition 1. In the Clinical Protocol Editor, select the Export tab in the top bar. Export 2. Select the Clinical Protocols entry, and make sure that the Service partition is checkmarked. 3. As a File name please type in Clinical_Protocols_[date]. 4. Hit Export in the top right corner of the Clinical Protocol Editor. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 25 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 5. Next, we want to export the RIS Matching to the Service partition as well. Select RIS Matching in the list and make sure that Service partition is still checkmarked. 6. As a File name please type in RIS_Matching_[date]. 7. To finish this exercise, click on Export again. 8. As soon as the export job is finished you can close the Clinical Protocol Editor in the top right corner of your window by clicking on the X. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 26 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 myExam Cockpit In myExam Cockpit, you can change various settings for the examination, the workflow, and the display of items. Exercise: Access myExam Cockpit 1. Tap the Settings icon in the access bar. 2. Choose myExam Cockpit. Detector Management tab card MAXswap makes it possible to use MAX wi-D, MAX mini, and X.wi-D detectors with more than one acquisition system. In the SmartSimulator, all available MAX detectors are connected by default. Connecting and disconnecting a wireless detector can be simulated. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 27 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 Exercise: Disconnecting a MAX detector You can disconnect a MAX wi-D, MAX mini, or X.wi-D detector in order to use it on a different system, for example. 1. If not already done, open the Detector Management by clicking on the tab card. Detector Management 2. Click on the X icon in the top right of the MAX wi-D detector to disconnect it. X MAX wi-D 1234AB 3. Confirm the message by selecting OK. Exercise: Connecting a MAX detector Now that you have disconnected the MAX wi-D from the Detector Management, the next exercise is to connect the detector again. 1. Click on the + icon in the Detector Management. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 28 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 2. The detector is now being connected automatically. To connect a MAX detector, hold it with the side of the LEDs to the infrared sensor 0% Cancel Please note: When connecting the MAX detector on the actual system, you have to hold the detector in front of the infrared sensor. This is not required in the SmartSimulator. 3. During connection, the Detector Management will display a message that an optional firmware update for the detector is available. Confirm this message with Yes. Wait a few seconds. 4. As soon as the detector is connected successfully you can see it in the Detector Management. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 29 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 Result List Attributes tab card With the Result List Attributes tab card, you can configure the displayed DICOM attributes for importing data. Exercise: Configure the attributes of the Result List We want to adapt the result list attributes, so that the Study ID and the Study Instance UID are displayed for imported data. Additionally, we want to remove the Modality from the displayed attributes. 1. Open the Result List Attributes tab card. Result List Attributes 2. Expand the Study-level. 3. Check the Study ID and the Study Instance UID. 4. Now expand the Series-level by clicking on it. 5. Uncheck the Modality. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 30 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 Viewing In the Viewing tab card of the myExam Cockpit, you can configure the settings for viewing and post-processing. Dual Processing menu General Settings Dual Processing O Automatic O Manual Automatic Dual Processing means that the second processing is performed automatically. A secondary flavor image will be created and stored directly after the initial postprocessing has been finished. Manual Dual Processing means that second processing is performed manually during review. You can create a secondary flavor image on demand once an image has been acquired via Add Flavor in the Static Tools area. Laterality Label menu In this tool, you can configure the texts for laterality labels, depending on regional practice. You can choose between: Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 31 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 • L/R (default) • SIN/DX (Swedish) • G/D (French) Exercise: Change the default laterality label size Your colleagues in the radiology department have complained that the laterality label is too big by default. They want a smaller size by default. 1. Open the Viewing tab card. Viewing 2. Expand the Laterality Label. 3. Change the Default Laterality Label Size to a value of 30 pt. Image Texts menu This setting configures the displayed image texts in the four corners of your image. You can set up the text depending on the Image Type selected: Rad 2D, Ortho, or Imported. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 32 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 Exercise: Configure the Image Texts for Rad 2D 1. Open the Viewing tab card. Viewing 2. Expand the Image Texts. 3. Make sure that the Image Type Rad 2D is selected. Image Type Rad 2D 4. In the upper right corner, uncheck the Referring Physician’s Name and the Manufacturer’s Model Name. 5. In the lower left corner, uncheck the Laterality. 6. In the lower right corner, uncheck the Zoom Factor, the Flavor Name and the CIPT. 7. Click on OK to close myExam Cockpit. 8. Go to Local Data. 9. Open a study to check if the image texts are now displayed correctly. Tools The Tools menu configures a set of up to six favorite tools from the available Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 33 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 tools. You can use these favorite tools after you have acquired an image in the examination mode or in the viewing mode. T Favorite Image Measurement Image < Tools Manipulation and Annotation Visualization RÍA L R T Windowing Flip L Label R Label Annotati ... Draw Manual Arrow Calibration Exercise: Configure the Favorite Tools tab Your colleagues in the radiography department like to use the favorite tools in the examination mode. Unfortunately, some of them are complaining that they are missing the 2D Rotate tool from the Image Manipulation. 1. Open the Viewing tab card. Viewing 2. Expand the Tools. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 34 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 3. Make sure that the Image Type Rad 2D is selected. Image Type Rad 2D 4. Since only a maximum number of six tools can be set up, you first have to deselect one of the less frequently used tools. Uncheck the Draw Arrow tool. 5. To finish this exercise, check the 2D Rotate tool. Annotations With this tool, you can configure the list of predefined texts depending on the image type selected. Exercise: Add a new annotation to the predefined texts Often in the hospital, you will have patients who are not able to stand up for a chest examination. This means you have the patient lying rather than standing. As a consequence, the image is not obtained in full inspiration and the view is AP rather than PA. For these scenarios, you want to add the image text suboptimal conditions to the predefined annotations. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 35 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 1. Open the Viewing tab card. Viewing 2. Expand the Tools. 3. Make sure that the Image Type Rad 2D is selected. Image Type Rad 2D 4. Scroll down and click on the + icon to add a new annotation. 5. Type suboptimal conditions in the text field. Workflow Editor The Workflow Editor lets you configure the examination and the viewing workflows, such as the shutter correction or the targets for quick export. On syngo XR, there are two types of workflows: The examination workflow and the viewing workflow. The examination workflow is active when you are performing an examination on a patient. By default, the Examination, Viewing, and Distribution tab cards are available. The viewing workflow is active when you are opening a patient from Local Data. By default, only the Viewing and the Distribution tab cards are available. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 36 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 Examination Workflows menu These settings configure the workflows for each type: Examination type 2D and examination type Ortho. There are different options for configuration. One is that the Workflow Editor allows you to uncheck Viewing and Distribution. The result is that you only have the Examination tab card available during an examination. You are not able to switch to Viewing or Distribution. Examination Workflows Examination type 2D Examination Ortho V Viewing Distribution Exercise: Select Switch to Viewing Light This is what your departments workflow looks like: Your radiographers have acquired an image. You want them to do the necessary post-processing first. Then they should switch to the next clinical protocol step. 1. Open the Workflow Editor tab card. Workflow Editor 2. Expand the Examination Workflows. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 37 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 3. Make sure that the Examination Type 2D is selected. Examination type 2D Ortho 4. Expand the Examination tab card. 5. For Switch after Acquisition, please choose Switch to Viewing Light. Please note: Switch to next Clinical Protocol Step only applies to 2D acquisitions within an examination, not to orthopedic multi-image acquisition. Orthopedic multi-image acquisitions will remain in Viewing Light for evaluation of the automatically composed image. Automatic sorting of CP steps The selected clinical protocol steps are automatically sorted. If selected, the clinical protocol steps will be sorted according to: • Acquisition Type (Wall Stand, Table, Free Exposure) • Viewing Position (AP, PA, Lat, Oblique) • Ortho Direction (Head to Feet, Feet to Head) • Name of clinical protocol step Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 38 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 Shutter correction Adjusts the automatic shutter position closer to (-) or farther from (+) the center position on the detector (adjustable by clinical administrators only). • Positive values lead to a larger cropped image. • Negative values lead to a smaller image. Exercise: Apply a shutter correction In this exercise, your head radiologist is not seeing the collimation on the images. This is a problem because displaying collimation is a requirement in your country. Until now, your radiographers had to manually crop the images in Viewing to be able to see collimation. To minimize the amount of post-processing required, you want to set up a shutter correction. 1. Open the Workflow Editor tab card. Workflow Editor 2. Expand the Examination Workflows. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 39 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 3. Make sure that the Examination type 2D is selected. Examination type 2D Ortho 4. Expand the Examination tab card. 5. In Shutter Correction, please apply +2mm for Wall, Table Exposure and also for Free Exposure. You can add the value by clicking on the + icon or by using the slider. Distribution In Distribution, you can set two different targets for quick export. You can also set up a standard printer, if configured. Exercise: Set up your PACS as a target for quick export 1. Open the Workflow Editor tab card. Workflow Editor 2. Expand the Examination Workflows. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 40 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 3. Make sure that the Examination type 2D is selected. Examination type 2D Ortho 4. Expand the Distribution tab card. 5. As Target 1 for quick export, please open the dropdown menu and select DUMMYPACS. 6. For Data, please select Processed. Viewing Workflows menu Viewing Workflows allows you to set up quick targets for export and a standard printer, similar to Examination Workflows. Exercise: Set up your PACS as a target for quick export 1. Open the Workflow Editor tab card. Workflow Editor 2. Expand the Viewing Workflows. 3. Expand the Distribution tab card. 4. As Target 1 for quick export, please open the dropdown menu and select DUMMYPACS. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 41 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 5. For Data, please select Processed. Local Data Configurations These settings allow the configuration of your Local Data list. General Settings Here you can decide what happens when you double-click on a patient or a study. Normally, you would want to open the Viewing workflow instead of resuming the Examination workflow. Local Data Study and Series List Attributes Exercise: Adapt the attributes of the Study List and the Series List We want to adapt the result list attributes, so that the Study ID and the Study Instance UID are displayed for imported data. Additionally, we want to remove the Modality from the displayed attributes. 1. Open the Local Data Configurations tab card. Local Data Configurations Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 42 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 2. Expand the Local Data Study List Attributes tab card. 3. Check the Study ID and the Study Instance UID. 4. Minimize the tab card. 5. Now expand the Local Data Series List Attributes by clicking on it. 6. To finish this exercise, uncheck the Modality. Client Settings In the Client Settings tab card, you can configure the user interface of the imaging system. This includes language settings, visual appearance, lock screen, and the patient name format. If you are logged in as a clinical user (meduser), the Access Control and the Units tab card are not displayed. Patient Data Display menu Exercise: Add the patient ID to the Patient Data Display menu Your radiographers have complained that they are unable to see the patient ID on the patient tab of the imaging system or on the tube UI. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 43 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 1. Open the Client Settings tab card. Client Settings 2. Expand the Patient Data Display. 3. Check the Patient ID for the Imaging System Patient Tab. 4. To finish this exercise, also check the Patient ID for the Tube UI Patient Tab. Language Settings The Language Settings allow you to change the user interface language, and the language for date, time, and number formats. Additionally, you can change the on-screen keyboard language. Please note: This does not apply to the SmartSimulator. Settings for Display Color Here you can adjust the color scheme of the user interface. You can choose between bright and dark color schemes for the image system or the tube user interface. Please note: These settings do not have any effect in the SmartSimulator. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 44 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 Access Control If Require authentication on startup is selected, the automatic logon is not performed after the startup. The login window is displayed, and the users must always log in. If Allow Emergency Access is selected, an emergency login is provided after the startup in the login dialog. Lock screen Only clinical administrators can change the lock screen. If logged in as a clinical user, the lock screen time is read-only. Exercise: Decrease the activation time of the lock screen 1. Open the Client Settings tab card. Client Settings 2. Expand the Lock Screen. 3. Adjust the time of activation for the Lock Screen to after 10 min. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 45 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 Name Format menu This allows you to change the patient’s name components and the sort order of the patient name display. Exercise: Change the name format You want to change the name format, because your department does not require the title and the suffix. 1. Open the Client Settings tab card. Client Settings 2. Expand the Name Format. 3. Adjust the Name Format to FirstName MiddleName LastName. syngo XR displays a message to restart the application in order to apply the changes. Please note: In the SmartSimulator, this is not possible and the changes to the patient name format will not be visible for you. Units Units are available for clinical administrators. You can change between metric and imperial units for patient Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 46 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 height/weight and configure the unit for dose display. Devices In the Devices tab card, you can configure the use of external devices, such as the barcode reader or the camera. Please note: You can enable the barcode reader and the camera in the SmartSimulator. However, the changes are not visible, since both devices are not available in this simulated environment. Barcode reader If the license is activated on your system, you can enable or disable the barcode reader. Camera You can enable the use of the camera and the virtual collimation. Depending on your system configuration, you can also enable the automatic thorax collimation and set up correction factors for the Auto Thorax Collimation. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 47 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 Exercise: Closing myExam Cockpit In order to close myExam Cockpit, just click on OK on the bottom right of the editor. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 48 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 Administration Portal The Administration Portal is used to perform administrative tasks. You can access it directly from your system. As the content is structured in workflow- oriented workspaces, some content can be accessed from more than one workspace. Exercise: Access the Administration Portal as a clinical administrator The functionality of the Administration Portal depends on the authorizations of your user account or the service key. If you are already logged in as APPClinicalAdmin, you can skip the first three steps and head straight to the fourth step. APPClinicalAdmin 1. Tap the user icon in the top right and choose Switch User. 2. Under User Name, please type in APPClinicalAdmin. 3. Under Password, please use AP11**inAP11**in . 4. Tap the Settings icon in the access bar. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 49 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 5. Choose Administration Portal. The Administration Portal is displayed. Scheduler In the Administration Portal, you can define which attributes are displayed in the Scheduler. Additionally, you can also change the default value for the gender or change whether Operator is also a mandatory field. Exercise: Change the attribute visibility of the Scheduler You want to minimize the number of fields in the Patient Registration of the Scheduler. 1. Select the Clinical Configuration workspace. 2. Choose Patient Browser and select Scheduler from the navigation tree. 3. In the column Patient Registration, uncheck the following: o Other Patient Names o Other Patient IDs o Military Rank 4. In the third column Institution, uncheck Current Patient Location. 5. Click on Save to store all the changes. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 50 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 Image Rejection Statistics Image Rejection Statistics is an instrument to create statistics about acquired and rejected images. The statistics results include an analysis of the reasons for image rejection and of the user who carried it out, if configured. The analysis helps to optimize imaging processes in terms of efficiency. Exercise: Enable Image Rejection Statistics SIEMENS Healthineers xp-vm-05 / APPClinicalAdmin Free (Restricted Remote Access) Repair Installation " Technical Configuration Clinical Configuration Patient Browser Image Rejection Statistics Prior Study Search Enable Tracking of Rejection Statistics DICOM Data Handling User Related Rejection Statistics Quality Assurance Time Frame Image Rejection Statistics Start Date End Date >Configuration Export-Import Licensing No rejected images yet available User and Role Administration Selected User Show statistics for All Users Statistics Acquired Images 0 Rejected Images 0 (0.0%) Target Device Export Clear Statistics 1. Select the Clinical Configuration workspace. 2. Choose Quality Assurance and then Image Rejection Statistics from the navigation tree. 3. To enable the statistics, select Enable Tracking of Rejection Statistics. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 51 of 52 SmartSimulator workbook | Advanced training for super users Workbook Effective Date: 06 Feb 2024 | QR700004561 4. Finish this exercise by clicking on Save. Please note: Only images rejected after enabling the statistics are listed. Exercise: Closing the Administration Portal 1. To close the Administration Portal, click on the Switch User icon in the toolbar in the top right. C 2. The login page is now displayed. 3. Click on the X icon in the top right to leave the Administration Portal. Congratulations! You have completed the SmartSimulator workbook: Advanced training for super users for the YSIO X.pree VA10F. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 52 of 52