Syngo Carbon - What's New in VA38A

SIEMENS Healthineers Syngo Carbon What’s New in Select additional title motifs VA38A from the separate PPT “Title variations”. The animation of the dot pulse can be optionally switched off on the master layout. Template Effective Date: 26 Mar 2025 | QR700020784 1 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Go to View > Slide Master Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 After that go to Animations > Animations Pane. Disclaimer SIEMENS Healthineers syngo.via Q Scanner AI-Rad Companion V syngo.via Syngo Carbon View&GO Space Please keep in mind that the user interface may differ slightly from what is shown in this Job Aid. The actual usage of the tool may differ slightly on the different host systems, for example on syngo.via, Syngo Carbon Space, syngo.via View&GO, AI-Rad Companion or on the scanner. However, the intended purpose of the tool is the same. The tool functionality defined in this Job Aid is applicable to any of the Siemens Healthineers products in which you find this tool. Template Effective Date: 26 Mar 2025 | QR700020784 2 2 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 What’s New in VA38A SIEMENS Healthineers Table of contents Doe, Conrad Series 03-01-2023 Reading Flow 4 latest CD 03-01-2023 MR, MR Craniell nativ und n. KM (Injekt .. Layout Configuration 8 localizer [1] t1_mprage_sag_0.9 mm [2] Mammography Layouts 9 TC 85 60 F/s fps Movie Snapshot 11 mprage_sag 0.9 11_mprage_sag_0.9 mm_MPR_cor [3] mm_MPR_tra [4] Tools 14 Doe, Conrad 03-01-2023 latest Smart Reporting 24 Syngo Carbon – Enterprise Access 47 Template Effective Date: 26 Mar 2025 | QR700020784 3 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Reading Flow Overview SIEMENS Healthineers • Background: Reading Flows are structured collections of clinical Settings X workflow specific layouts. When you select a Reading flow, the layouts are displayed as individual reading steps to easily navigate > Workplace Settings Reading Flow 1 between the different views within the Syngo Carbon Diagnostic Enable General Viewer. • In version VA38A, you must enable this feature in the user settings Patient Jacket menu. Patient Tabs • Go to User Profile > Settings > Client > General > Reading Flow to Reading Flow enable the option (1). Save your changes. > Mammography Reading > Tools Please note: Hanging Protocols will be discontinued. 1 The system will automatically transfer existing Hanging Protocols to Reading Flow layouts. i Please restart the workplace to apply the changes. Cancel Save Template Effective Date: 26 Mar 2025 | QR700020784 4 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Reading Flow Configuration SIEMENS Healthineers Background: • To create a reading flow, click the menu in the top right corner of the + Layout + Create New Flow ... viewer (1). Then select Create New Flow. Flows • In the Create New Flow window, the system guides you through each Name & Location V Name & Location + Create New Flow Give your Flow a descriptive name and choose the access location where other users can find the Flows. Choose Layouts* step to create the flow. Flow Name " Edit selected Flow Matching Rules" Flow Location" • Define the reading flow name and choose the location (Public or Duplicate Selected Flow Private). Assigne appropriate layouts. Manage Flows + Create New Flow O x • Set rules for selecting the reading flow when loading a study in the Layouts viewer. For example, use study descriptions like skull, head, and + Create New Layout Name & Location Choose Layouts You can add any number of Layouts to your Flow. Just drag any Layout you'd like to add into the Flow area above. modality CT. Choose Layouts To streamline your process, use the filter to narrow down Layouts that fit to your clinical case. Edit Selected Layout In this version: Matching Rules" Flow Container Manage Layouts • You can create reading flows for other users. The system ensures layouts MPR_1TP Drag Layouts Here are accessible to the intended user. Layout Gallery • For example: Q Search Layouts • While creating the reading flow, if user 1 adds a private layout, and Public 46 Layouts user 2 is not in that group, the system creates a copy so user 2 can MM 1TP MM ZTP MM_Prior_ ... MM Prior_ MPR 1TP MPR_ZTP CR 1TP CR ZTP CR_3TP MG 1TP access it. Save Flow • Use keyboard shortcuts: CT_PET_1TP CR_MM_2TP MM_CR_2TP MM 3TP MM 6TP 2D 3D_1TP 20_30_2TP MG 2TP MPR_VRT_ MPR_VRT_ • Ctrl + N switches to the next reading flow step. • Ctrl + B switches to the previous reading flow step. • You cannot reassign these shortcuts. • Segment focus is required for the shortcuts to work. Template Effective Date: 26 Mar 2025 | QR700020784 5 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Reading Flow Library SIEMENS Healthineers Background: Go to Manage Flows. The users + Layout ... (typically clinical admins) can view and manage reading flows. Flows + Create New Flow Search (1): Search reading flows by name. For Edit selected Flow example, enter CR to find flows with CR in the Duplicate Selected Flow name. Manage Flows Filter (2): Filter reading flows by active status and modality. Combine filters with search entries for Manage Flows 0 x precise results. Flow List Settings 2 Flow List Q Search Flows Filter clear Public Manage Reading Flows (3): Edit, duplicate, 7 FLOWS 1 1 Flow Selected X III Active Status Active rename, or move reading flows. Rank Flow Name Score Match Modality Study Description Body Part Station Name 3 Inactive Active Please note: These tasks are accessible based on Modalities V O CR/DR/DX General 0% CR / DR / DX / RTIMAGE CR ::: : your user permission and location of the reading O MM General 8.33% ANY Edit DR O DX flow (public or private). You cannot edit factory O MG Basic 2D 0% MG Duplicate RTIMAGE O reading flows. Alternatively, create a duplicate to O MG Tomo 0% MG To Rename ANY edit the reading flow. The system notifies you O 4 O O MG Diagnostic 2D/Tomo/MS 0% MG Non Editable Reading Flow(s) Show More You cannot perform this operation. This is either a factory Reading Flow, or you don't have the required permissions, or this is currently in use. about restrictions (4). Template Effective Date: 26 Mar 2025 | QR700020784 6 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Reading Flow Configuration SIEMENS Healthineers Matching Rules and Wildcard Character for Scores: Manage Flows O X Background: Flow List Settings • Define conditions or rules when loading a study in the Viewer. Each rule low Us Q Search Flows Public gives a score for the reading flow, based on how closely the study matches 10 Flows 1 Flow Selected X the conditions. For example, set rules for Modality: CT and Study O Active Rank Flow Name Score Match Modality Study Description Body Part Station Name description: Thorax. o CT Head 25% V CT. PT O ... A CT study with Thorax matches this rule best. The reading flow with the O ... highest score is selected for the loaded study. O o PETICT Thorax 25% V CT / PT ... This version improves the scoring logic. O CR/DR/DX General 0% CR / DR / DX / RTIM ... • ... O MM General 8.33% V ANY • The system checks the rule defined for the Modality against DICOM O ... o MG Basic 20 0% MG ... information: If a match is found or if the value assigned to the Modality is ANY, the Reset Rank Save Rank • rule receives a score. If no match is found, the rule gets a score of zero. Edit Selected Flow O X • If the rule uses AND, the average score of all the rules is taken. • If the rule uses OR, the highest score among the rules is used. Name & Location Matching Rules Adding Matching Rules to a Flow allows Carbon to correctly identify and automatically open Flows that fit a patient's clinical case. Choose Layouts Rules Matching Rules Modality CT AND Attribute Study Description Contains *Th * Please note: Use the * symbol as a wildcard entry in the add additional condition + attribute entry for matching rules. + Add New Attribute For example, enter *Th* to match Body description Thorax. H. Template Effective Date: 26 Mar 2025 | QR700020784 7 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Layout Configuration SIEMENS Healthineers • Background: Go to the menu in the top right corner of the Viewer. Select Manage layouts. • Manage layouts (1): You can delete, duplicate, rename, or move a layout. Please note: These tasks are accessible based on your user permission and location of the layout (public or private). Clinical administrators can edit factory layouts. Otherwise, create a duplicate to edit a reading flow. • The system notifies you if restrictions apply (2). 1 Layout Library X + Layout ... Flows 15 Layouts 1 Layout Selected X + Create New Flow Layout Name Modality Timepoint Location CT Liver 3 Phase CT Private Edit selected Flow ... MM_1TP ANY Public To Rename Duplicate Selected Flow O MM_2TP ANY 2 Public Duplicate Manage Flows O MM_Prior_1TP ANY 2 Public Move MM_Prior_2TP ANY 2 Non Editable Layout(s) You cannot perform this operation on this Layout. This is either a factory Layouts Layout, or you do not have required permissions, or this Layout is MPR_1TP currently in use. Create New Layout O CR_1TP ANY Public ... CR_2TP ANY Public Edit Selected Layout ... MG_1TP Public Manage Layouts ... Template Effective Date: 26 Mar 2025 | QR700020784 8 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Mammography Layouts SIEMENS Healthineers Public 26 Layouts MG > Show more Tomo C ... Tomo ... 2D CC I ... 2D ML .. Overvie ... Current ... Current ... Timepoint The next slides cover Mammography reading flow topics. 0 1 Prior To ... Current ... Prior To .... Current ... Prior To .... Current ... Prior To ... 0 2 • Mammography (MG) layouts work only with a dual monitor setup. O Current ... Tomo C ... 2D Curr ... 2D Prior ... 2D Prior ... 2D Prior ... 2D Prior ... 4 O You can use a total of 26 MG layouts in dual monitor mode. O • 5+ 2D CC C .... 20 ML .. 2D Curr ... 2D Curr ... Overvie ... • These layouts do not include mammography-specific tools yet. Geometry Data Assignment Visualization • Customization: You can edit MG layouts. There are specific data assignment rules for MG. This includes: Image type, Laterality, View and the View code Definition 1 X modifier. Base Series Timepoint Current Modality MG Series Description contains Please note: Future versions will include further + enhancements. Add Series name Remove Series name H. Image Type Any image type Important note: Laterality Any Laterality Syngo Carbon Space is not intended for diagnostic reading View View of mammography images. View Modifier View Modifier Diagnosis may be wrong. Use a device that is intended for Visual Expert diagnostic reading of mammography images. Template Effective Date: 26 Mar 2025 | QR700020784 9 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Mammography Reading Workflow SIEMENS Healthineers Select a Flow MG Basic 2D Overview 2D Prior ... 2D MLO current 2D CC current 2D Prior RMLO | ... 2D Prior LMLO | ... 2D Prior RCC| ... 2D Prior LCC] ... 2D Current MLO| CC Overview 2 > + Layout Tools O ... + Q * Four reading flows are currently available for Mammography (MG): • MG Basic 2D • MG Tomo • MG Diagnostic 2D/Tomo • MG Implant 2D/Tomo You can customize the MG reading flow and layouts. Manage Flows O X 12 Definition 1 X + B Í Series Flow List Settings Base Series Flow List Public Q Search Flows Filter clear Timep ... Current 1/31/2024 Active Status MG, Bir_2, De 6 Flows Modality MG Active 1/31/2023 O Series ... CO ... Active Rank Flow Name Score Match Modality Study Description Body Part Station Name Inactive MG, Bir_2, Del Modalities + O O 1 MM General 8.33% V ANY Add Series name Remove Series name ... O O MG Tomo 25% MG 0 PT Image ... 2D/Synthetic Mammogram ... O MG Basic 20 0 CR 25% V MG Lateral ... L ... O o MG Diagnostic 2D/Tomo/Ms O DX SYNTHETIC_2D_RCC 25% V MG View View [22] ... CC O MG Implant 2D/Tomo O RTIMAGE O S 25% MG C ANY View ... View Modifier ... O O o 6 Prior General 0% ANY MG Visual Expert < Show Less Template Effective Date: 26 Mar 2025 | QR700020784 10 Important Note: Syngo Carbon Space is not intended for diagnostic reading of mammography images. Job Aid Effective Date: 15 Dec 2025 | QR700032834 Diagnosis may be wrong. Use a device that is intended for diagnostic reading of mammography images. Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Mammography Layout Configuration SIEMENS Healthineers Data Assignment rules for Mammography: There are mammography specific data Image Type Any image type assignment rules available when you create/edit a Mammography layout in the Layout Editor. Laterality Any image type • Image type options include: 2D, Synthetic Mammogram, 2D/Synthetic View 1 2D Mammogram, and Tomosynthesis. View Modifier 2 Synthetic Mammogram Image Type Radiation Dose Visual Exp 3 2D/Synthetic Mammogram 2D Mammography (1) Standard dose Synthetic Mammography (2) No extra dose (from tomosynthesis) 4 Tomosynthesis Overlay Series 2D/Synthetic + Tomosynthesis (3) Depends on 2D or synthetic used Tomosynthesis (3D) (4) Slightly higher than 2D Image Type Any image type Laterality shows if imaging or pathology involves L (Left breast), R (Right Laterality Any Laterality • breast), or B (Both breasts). This helps to ensure accurate localization, diagnosis, and treatment planning. View Any Laterality View Modifier L Visual Expert R B Template Effective Date: 26 Mar 2025 | QR700020784 11 Important Note: Syngo Carbon Space is not intended for diagnostic reading of mammography images. Job Aid Effective Date: 15 Dec 2025 | QR700032834 Diagnosis may be wrong. Use a device that is intended for diagnostic reading of mammography images. Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Mammography Reading Workflow SIEMENS Healthineers Data Assignment rules for Mammography (I) • View: Refers to the specific angle or projection used to image the breast View Abbreviation Full Name during mammography. CC Craniocaudal Image Type Ally Image type Laterality Any Laterallty MLO Mediolateral Oblique Laterality Any Laterality View View ML Mediolateral View View 0 LM View Modifier LM Lateromedial View Modifier O CC Visual Expert FB LMO Lateromedial Oblique Visual Expert MLO O ISO FB False Profile O ML Overlay Series Overlay Series ISO Isometric SIO O LMO SIO Superoinferior Oblique O LM O XCCL Segments Grouping Segments Grouping XCCL Exaggerated Craniocaudal O FB XCCM Lateral XCCM Exaggerated Craniocaudal Medial Template Effective Date: 26 Mar 2025 | QR700020784 12 Important Note: Syngo Carbon Space is not intended for diagnostic reading of mammography images. Job Aid Effective Date: 15 Dec 2025 | QR700032834 Diagnosis may be wrong. Use a device that is intended for diagnostic reading of mammography images. Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Mammography Reading Workflow SIEMENS Healthineers Data Assignment rules for Mammography (II) • View Modifier: Shows special techniques or focus areas used during imaging. Modifier Meaning Add modifiers to standard views (like CC or MLO) to explain why or how the image was taken (such as magnification, focusing on a specific part, or MAG / SPOT Magnification / Spot adjusting the angle). Compression ID Implant Displaced AC Anterior Compression View Modifier View Modifier View Modifier View Modifier AT Axillary Tail Visual Expert MAG/SPOT Visual Expert O IMF AX Axillary NP ID CV Cleavage View Overlay Series Overlay Series O RI IMF Inframammary Fold AC RL NP Nipple in Profile Segments Grouping AT Segments Grouping O RM Repeat RI/RL/RM/RS Inferior/Lateral/Medial/ AX RS Superior TAN CV TAN Tangential View Template Effective Date: 26 Mar 2025 | QR700020784 13 Important Note: Syngo Carbon Space is not intended for diagnostic reading of mammography images. Job Aid Effective Date: 15 Dec 2025 | QR700032834 Diagnosis may be wrong. Use a device that is intended for diagnostic reading of mammography images. Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Tools SIEMENS Healthineers Demonstration Worklist - Overview You can prepare a collection of cases for team meetings or recurring demonstrations. • Go to Worklist at the top-left corner of the screen. • Click Demonstration Worklist. • Select Add New to create a worklist. Click Recurring worklist. • In the Edit worklist window, define the duration and frequency of the demonstration worklist. • Configure the worklist to auto-fill with cases based on certain conditions. For example, use Study date (last 24 hours) or Referring physician (all cases from Dr. Doe). Template Effective Date: 26 Mar 2025 | QR700020784 14 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Tools SIEMENS Healthineers Demonstration Worklist – Keyword Support Add keywords × 1 Keyword Scanners Catalogue Scanner CT002 X You can define the type of case to auto-fill using Keywords in this version. For example, auto- Keyword fill all studies from scanner CT001. Cancel Save (1) Add a keyword to a study by right-clicking on the study and selecting Add keywords. For Edit Series - Daily Surgery example, add a keyword based on the scanner used for the examination. Name" Daily Surgery (2) Configure auto-fill rules using keywords. When creating or editing a Demonstration This is a recurring demonstration worklist, add the Keyword catalogue (e.g., Scanners) as one of conditions/rules for the 2 Every 1 Week(s) demonstration worklist. For example: All examinations generated by CT Scanners 1 and 2 need Start 23-06-2025 End DD-MM-YYYY No End Date to be auto-filled into the worklist. On Mon Tue Wed Thu Fri Sat Sun From 09:00 (3) You can also add the Keyword catalogue as a column in the Demo worklist. To 10:00 Automatically fill demonstration Daily Surgery(6) { 25-06-2025) G Automatically fill before demonstration (in mins) 60 Patient Status Study Date Order Referring Doctor Procedure Description Scanner Study Date Study Date" Anger, Frakes Mario Becken^Rektum Since Last Occurrence New 10-06-2025 05:40 bpop, Buckthal Pope 17-12-2016 M 62474188506255 Scanner Scanner 10-06-2025 10:34 bpop, Buckthal Pope Becken^Rektum Search by typing CT002 X CT001 X 27-11-2012 11:31 rste, Rothbard Steinolfson Becken^Rektum CT002 Anger, Tompkins A New 10-06-2025 07:25 afig, Altham Figarelle Becken^Rektum Add to Favorites 28-06-2004 M 66629761376936 Share With 10-06-2025 15:37 afig, Altham Figarelle Becken^Rektum Cance Save Please note: Pre-configure Keywords in the share.configuration > Keywords tab. Set up the keywords 1 catalogue (e.g., Scanner), with associated keywords like CT001, CT002, MR001. Please contact your administrator to set up preferred keywords for your department or organization. Template Effective Date: 26 Mar 2025 | QR700020784 15 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Tools SIEMENS Healthineers Demonstration Worklist Background: 1 Parked View X • In the Diagnostic Viewer, you can create real-time key images of layouts with MM_Prior_1TP MM_Prior_2TP measurements and annotations using Parked View. Right kidney Assign these key images to a Demonstration Worklist. +- * Kidney stones • • When you open a case from a Demonstration Worklist, the corresponding Parked View (key image) displays automatically. • This version supports Parked View navigation. Parked View Navigation: 2 Parked View × • Quickly navigate between the available Parked Views without opening the Parked View dialogue. • (1) Hover over the Parked View step to display the name of the applied Parked View. • (2) Click the left or right arrow button to navigate to the previous or next Parked Right kidney View. Kidney stones • Keyboard Shortcuts: • Ctrl + Shift + P: Apply the current Parked View. • Shift + PageUp: Navigates to the next Parked View. • Shift + PageDown: Go to the previous Parked View. • Ctrl + P: Open the Parked View dialogue. Template Effective Date: 26 Mar 2025 | QR700020784 16 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Tools SIEMENS Healthineers Infinite Loop scrolling through the Series Navigator • Loop scroll lets you scroll through an image series and return to Settings × the first slice after the last image. > Workplace Settings Scroll • This feature is deactivated by default. To activate it, go to User Profile > Settings > Client > Tools > Scroll. Select the checkbox > General Enable loop scrolling Enable loop scrolling. > Mammography Reading V Tools Advanced Visualization Scroll External Applications Application Links Keyboard Shortcuts Cancel Save Template Effective Date: 26 Mar 2025 | QR700020784 17 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Tools SIEMENS Healthineers CR and DX studies prior handling • Background: Previously, the system only Technical Configuration Clinical Configuration loaded CR studies and priors when the same modality rule was set in the Administrator > Data Preprocessing Prior Rules Portal. Some 2D X-Ray images had DX as the > Reading modality, causing relevant images to be Maximum number of priors to be loaded 15 skipped. Configuration Close Behavior Priors not older than (days from selected study) 1000 • Now, CR and DX are considered the same modality type. Prior Rules Limit prior loading based on same modality • When you load a CR study with priors, DX > Case Preparation Limit prior loading based on same Organizational Unit prior studies are also loaded. Similarly, O Limit prior loading based on same body part loading a DX study with priors also loads CR O prior studies. Limit prior loading based on same body site Template Effective Date: 26 Mar 2025 | QR700020784 18 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Tools SIEMENS Healthineers Data • You can load patient data with supported and unsupported modalities into the viewer. Data not opened AF X • Background: Previously, opening patient data with studies from supported and unsupported modalities, did not load all studies into the viewer. Users used the X You cannot load multiple studies from X-ology viewer to view data individually. unsupported modalities. Please load the required study one at a time from the Now, you can open patient data with both supported and unsupported Patient Browser or Patient Jacket. • modalities. Only the supported modalities are loaded into the viewer. The system notifies the user with a pop-up dialogue. OK Template Effective Date: 26 Mar 2025 | QR700020784 19 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Tools SIEMENS Healthineers MR Automatic Windowing Tool • This tool improves MR image visualization by automatically adjusting windowing parameters. • The MR Automatic tool is available in the Tools Gallery and in the Windowing menu, at the bottom left corner of the image segment. • This feature works the same as in syngo.via MM Reading. Tool Gallery H Q Search 03-01-2023 13:17:05 3 IMAn.a. FRM .n.a. Automatic Windowing auto Auto Views Windowing R Correction Tools MPR SL ImageFilter Smooth 0.5 auto SPC 0. Automatic Reset Windowi .... Analysis Tools Windowi Windowi. MR Presets BD Apply MR Automatic Windowing on the TR 1900.0 TE 3.3 MR Color LUT focused segment MPR THICK : .. UND/RESAMP ................................................................... Reset Windowing D LLLLLLLL Template Effective Date: 26 Mar 2025 | QR700020784 20 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Tools SIEMENS Healthineers Movie Movie mode keeps playing after you drag and drop a 2D, 3D, or 4D series: Series latest • This feature continues the movie function after drag and drop of a series from the Series Navigator: 1 03-01-2023 MR, MR Craniell nativ und n. KM (Injekt .. • Activate the Movie tool for an image using the Space bar or the Movie tool in the Tools Gallery. • Drag and drop another image series from the Series Navigator (1). localizer [1] mprage sag 0.9 mm [2] • The movie continues playing for the dropped series. • The tool keeps settings like Loop mode and frame rate (2). 2 FC 85 8 fps cp 60 FI Movie Snapshot Movie Snapshot (3): 11 mprage_sag 0.9 mm_MPR_cor [3] 11 mprage_sag_0.9 mm_MPR_tra [4] • The Movie Snapshot tool lets you create a snapshot while the movie plays. latest • This feature supports review and data preparation. 3 8 1 60 F/s Movie Snapshot Template Effective Date: 26 Mar 2025 | QR700020784 21 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Tools SIEMENS Healthineers Series from the Patient Jacket • Background: Click the Patient Jacket tool in the Tools Gallery. Previously, users loaded a study by double-clicking at the study level or clicking the Open in viewer icon. • Now, you can drag and drop (1) specific series from the Patient Jacket (2) directly into the image segment (3). This way the user does not need to load an entire study. This feature supports various modalities, for example Ultrasound series. TOOIS ? DX PHILIPS Waters, Frederick 10/22/2007 03:33:00PM TIS0.2 MI 1.2 Series Philips Medical C5-2/Bauch nical Casex32_5106 1131135 S2 Super Hospital Current Request AIG Ref.: Referring, Dr. Series 2 iU22 Thorax^L_Thorax_& Sonographie, Abdomen, gesamt 1 17-07-2007 22-10-2007 M Nie CT . CHEST . RADIOLOGY 10:28 HAUT US, Sonographi ... Series (1) RIS-Report Others (0) 3 Other Procedures TH 19-02-2008 RF - - . RADIOLOGY 15:35 Printing 15-11-2007 1 . Sonographie, TH 1 . Sonographi CR . THORAX . RADIOLOGY 08:32 1 . Sonographi Abdomen, gesamt ... 1 . Sonographi 1 . Sonographi e, Abdomen, ... e, Abdomen, ... e, Abdomen. ... e, Abdomen, ... BTH 29-10-2007 CR - BETT THORAX . RADIOLOGY 06:59 Zoom 0.57 W 254 BTH 27-10-2007 127 Sonographie, CR . BETT THORAX . RADIOLOGY 07:31 Abdomen, gesamt 1 . Sonographi 1 . Sonographi 1 . Sonographi 1 . Sonographi 26-10-2007 e, Abdomen, ... e, Abdomen, ... e, Abdomen, ... e, Abdomen, .. Abstand 0.484 cm BTH CR - BETT THORAX - RADIOLOGY 07:29 nical_Case_32_5106 Super Hospital BTH 24-10-2007 Ref.: Referring, Dr. BETT THODAY . RADIOLOGY 07:55 Sensation 10 syngo CT 2006G Sonographie, Sonographie, Abdomen ... 22-10-2007 HFS Abdomen, gesamt ... 1 . Sonographi 1 . Sonographi 1 . Sonographi 1 . Sonographi US - -- - RADIOLOGY e, Abdomen, e, Abdomen, ... B41f 15:30 e, Abdomen, ... e, Abdomen, - CR - BETT THORAX . RADIOLOGY 07:24 Sonographie, SL 8.0 SL 2.0 Abdomen, gesamt .. Template Effective Date: 26 Mar 2025 | QR700020784 22 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Tools SIEMENS Healthineers Findings Overview Series Findings 1 Findings Show Al : X This version introduces several improvements to findings creation and AI findings integration in Smart Reporting. 2 L4 O Long Axis : 9.10 mm 3 Manual findings: Hover over the evaluation textbox for a measurement. The icon menu (4) appears with the O L5 Long Axis : 7.90 mm following options: L6 • Send to report: This tool adds the measurement as a finding in the Findings overview tab. The finding also Long Axis : 5.70 mm transfers to the report. Selecting the finding in the Findings overview navigates to the slice position of the O L7 finding. Long Axis : 4.90 mm • If you enable the Automatically create findings option in the Findings overview, the Send to report button O L1 disappears. The system adds findings automatically to the Findings overview and transfers them to the report. Long Axis : 20.40 mm Delete: This option removes the finding. L2 • O Long Axis : 11.20 mm AI Findings Integration: The Findings assistant adds AI-generated results to the Findings tab using a toggle button L3 Long Axis : 10.60 mm labeled Show AI (1). When enabled: O Long Axis : 11.20 mm • Petrol green dot indicators (2) mark AI-generated findings not yet confirmed by the user. L3 • When you confirm a finding by clicking Send to report (3), the petrol green dot disappears. The finding is now O am treated as a manual finding. • If you edit an AI finding, the system treats this as confirmation and automatically sends it to the report. 4 Please note: This process is part of the structured report generated by AI- L1 Diameter: 21 94 mm Rad Companion. Currently, it supports only the current study. Future Max. Cith. Diam: 18.23 mm nativ Volume: 2 81 ml / 2809.6 mm3 releases will include trending and follow-up comparisons. H. Template Effective Date: 26 Mar 2025 | QR700020784 23 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 SIEMENS Healthineers What’s new in V4.4 Smart Reporting V4.4 Template Effective Date: 26 Mar 2025 | QR700020784 24 Author | Department Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers Overview Feature Description Basic metrics/analytics for administrator Admins can see how many reports a department finalized within a selected time frame. Language Setting Options Users can change the reporting language through the UI. Admins can set default templates for each language. Admins can disable languages for specific departments. Users can save a default language. Manually adding an ontology code If the admin enables it, users can manually add ontology codes to individual elements. New admin settings: A4 vs. US letter Admins can choose between A4 or US letterhead for the organization. New admin setting: Map preset to HL7 parameter Admins can assign a defined preset to a procedure. New user settings Users can use short voice commands. New user settings Users can preload reports with normal findings by selecting Yes or No. General usability The report editor now has fewer dropdowns for easier navigation. General usability The system now offers global search for some functions, with ongoing improvements. Multi procedure reporting Users can report on multiple procedures simultaneously. Insert measurement at cursor position Users can insert a measurement at the cursor position during dictation. Automatic Summary generation Users can trigger automatic summary generation using a toolbar button, keyboard shortcut, or voice command. Structure elements handling Selecting entire structure elements improves deletion with a two-step process. Visual icons clarify structure and free-text areas. Report take over User can take over another user's report without a request notification in emergency scenarios. Report layout configuration Admins can now configure sections of the report. Organization Unit mapping Admins can configure automatic mapping of orgunit information. This loads user permissions associated with the OU and maps the report to the department. Assistant workflow User can prepare a report and send it to a reviewer for final signing and review. HL7 support of critical result communication Users can automatically include the overall criticality of diagnostic findings in the HL7 message sent to receiving systems. HL7 ORU/Addendum configuration Admins can enable or disable the distribution of addendum only. Template Effective Date: 26 Mar 2025 | QR700020784 25 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers Basic Metric/Analytics for administrator • The basic metrics feature lets administrators check the ? 0 x number of finalized Smart Reports. Current Report • You can find this feature in Administrator settings under the Metrics section. Administrator settings X Metrics • To check the number of reports: SELECTED DEPARTMENT Layout Integration Reports by department and period (1) Select the relevant department from the drop-down Content Departments All departments 1 menu. (2) Define the period for finalized reports.. Report editor settings Start date nd date 12/08/2025 2 (3) The system displays the total number of finalized ALL DEPARTMENTS 12/07/2025 reports. Departments 3 Number of reports created: 2 Metrics Template Effective Date: 26 Mar 2025 | QR700020784 26 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers Language support options (I) B U EE0 Q ... 1 Change layout Configure microphone settings • Users can change the reporting language directly from the report UI. German (de-DE) Change report language • An Administrator can change the default user setting, overriding the system settings. Spanish (es-ES) Preview report Use the three dots menu to switch languages on the fly (1). French (fr-FR) Forward report • Changing the language switches to free text. For other templates, template mapping is Portuguese (pt-BR) Delete required (2). Italian (it-I) User settings British English (en-GB) Administrator settings Dutch (nl-NL) Swedish (SV-SE) Current Report Slovak (sk-SK) Not for clinical use Czech (cs-CZ) X-Ray Chest B U ..... Finnish (fi-FI) Overwrite all questions with 1. Normal findings locale.no-NO (no-NO) sig Dose: Exar locale.pt-PT (pt-PT) Change language X 2 Current Report Clinical il If you change the language, a new template will be used. Everything in the report will be lost. Compari: Free-Text Report Dose: Exam dose summary for this exam on 202507110701. Cancel Change Findings Klinische Angaben Foreign material: No foreign material. Lung parenchyma: No pulmonary opacities. No suspicious pulmonary nodules. No signs of emphysema. No signs of fibrosis. Patient allergy/risk/alert: BS (MO). Pleura: No pneumothorax. No pleural effusion. ? Heart and mediastinum: Cardiac silhouette normal. No pulmonary venous congestion. Mediastinum unremarkable. Pulmonary hili unremarkable. Voruntersuchung Soft tissue: No soft tissue emphysema. No soft tissue mass. PENDING Draft Prelim Publish prelim Sign and forward Finalize Template Effective Date: 26 Mar 2025 | QR700020784 27 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers Language support options (II) Administrator settings • Go to the Administrator settings, then select Content and the SELECTED DEPARTMENT Template settings Cancel Save Template settings (1). Layout Admins can define which languages appear in the language selection Integration Language and template selection • options for users, creating a tailored list (2). Template settings 1 LANGUAGE DEFAULT TEMPLATE ACTIVATE For example, if the admin deactivates Italian, this language will not Template import German (de-DE) Free-Text Report (de-DE) - IH9YER - v6 • Report editor settings appear in the change report language (3) options or in the Default English (en-US) Free-Text Report (en-US) - 7EWNYA - v10 ALL DEPARTMENTS report Language (4) drop-down in User settings. Departments Spanish (es-ES) Free-Text Report (es-ES) - QQ7W3W - v7 Metrics French (fr-FR) Free-Text Report (fr-FR) - 9007KF - v6 Portuguese (pt-BR) Free-Text Report (pt-BR) - MTNIZ1 - v9 3 Add co-author User settings Change report language Italian (it-IT) Free-Text Report (it-IT) - CUXMJ5 - v8 German (de-DE) Settings Settings Spanish (es-ES) Preview report Text French (fr-FR) Discard changes Template settings 4 Default report language Template settings Cancel Save Portuguese (pt-BR) Forward report Template import System language System language British English (en-GB) Display keyboard shortcuts German (de-DE) French (fr-FR) Free-Text Report (fr-FR) - 9UO7KF - v6 Dutch (nl-NL) Delete English (en-US) Swedish (SV-SE) Spanish (es-ES) I findings User settings French (fr-FR) Portuguese (pt-BR) Free-Text Report (pt-BR) - MTNIZ1 - v9 Slovak (sk-SK) Administrator settings Portuguese (pt-BR) Czech (cs-CZ) British English (en-GB) Dutch (nl-NL) talian (it-IT) Free-Text Report (it-IT) - CUXMJ5 - v8 2 mmands Finnish (fi-FI) Swedish (Sv-SE) Slovak (sk-SK) User Manual Czech (cs-CZ) British English (en-GB) Free-Text Report (en-GB) - PHVRK7 - v5 1 Please note: The system supports multiple languages at no additional costs, with a free text template. Advanced library options are specific to few languages. Template Effective Date: 26 Mar 2025 | QR700020784 28 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers Language support options (III) User settings X • Users can set their default reporting language, overriding the Settings 1 Settings Cancel Save system setting. Text General • Go to User settings and select Settings. Template settings • In the Default report Language drop-down, select the preferred Template import Default report language language (for example: German). System language • Click Save and restart Smart Reports for the changes to apply. Use spell checker Prefill report with normal findings Template settings Default report language Display unanswered fields Template import 2 System language System language Activate short speech commands German (de-DE) English (en-US) User Manual Spanish (es-ES) I findings Theme French (fr-FR) About Dark Portuguese (pt-BR) Is British English (en-GB) Dutch (nl-NL) mmands Settings Settings Cancel Swedish (sv-SE) Save Slovak (sk-SK) Text User Manual [ General 3 Czech (cs-CZ) Finnish (fi-FI) Template settings About Template import Default report language German (de-DE) Please note: All interface elements are now available in two new languages: Slovak and Czech. Template Effective Date: 26 Mar 2025 | QR700020784 29 H. Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers Ontology codes Administrator settings • This feature allows users to manually add ontology codes to reports. Report editor settings Cancel • Right-click twice on the field entry and select Ontology codes (1). SELECTED DEPARTMENT • In the Ontology Codes window, add the ontology codes to the report Layout editor. For example, add Radlex (2) and click Save. Integration Display ontology codes 3 The administrator must enable ontology codes in the system for this Template settings • Ontology systems feature to be available (3). Template import RADLEX X LOINC X ICD-10 X Enter system codes Go to Adminstrator settings > Report editor settings > Ontology Report editor settings • systems. ALL DEPARTMENTS Default signature • The system currently supports manual addition of ontology codes like Departments Name Radlex, LOINC, and ICD-10 (4). Metrics Ontology codes 4 X CT Chronic Coronary Syndrome | CAD-RADS 2.0 - B Q ... Edit ontology codes for No evidence for relevant coronary stenosis section Overwrite all questions with SYSTEM CODE 1. Default report RADLEX Enter codes Calcium screening and CAC-DRS score: No coronary calcifications *. Risk category (by Agatston score): CAC-DRS 0. Coronary stenosis: No evidence for relevant coronary stenosis *. 2 LOINC Ontology codes Enter codes Coronary occlusion: No coronary occlusion. X Cardiac function and myocardium: Myocardium unremarkable. Edit ontology codes for No suspicious pulmonary nodules section ICD-10 Enter codes SYSTEM CODE Other cardiac findings: Heart chambers unremarkable. Pericardium unremarkab RADLEX RAD3875 X Enter Pulmonary valve unremarkable. Tricuspid valve unremarkable. No cardiac tumor. LOINC Extra-cardiac findings: Lung pa 1 Enter codes TRICUSPID VALVE UNREMARKABLE pulmonary nodule* No mediastinal lymphadenopath Ontology codes Cancel Save Cancel Save Template Effective Date: 26 Mar 2025 | QR700020784 30 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers New PDF format: US letter • Smart Report now supports the US letter Administrator settings x format for report export. SELECTED DEPARTMENT Integration Cancel Save • You can change this setting in Layout Administrator settings. Signatures in basic export Select Integration (1) and, under the Integration 1 EXPORT FORMAT OF REPORT • PRINT FORMAT FOR PDF section, Template settings Html Basic O Extended check the US letter (2) checkbox. Template import Text Basic O Extended Click Save to apply the change. Report editor settings Rtf Basic O Extended Pdf O Basic O Extended ALL DEPARTMENTS PRINT FORMAT FOR PDF Departments A4 O US letter 2 Metrics HL7 ORU MESSAGE CONFIGURATION Report status changes Template Effective Date: 26 Mar 2025 | QR700020784 31 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers Map preset to HL7 parameter • Administrators can configure which preset loads automatically based on certain parameters. 1 MR Knee . A ... • Presets are mapped to key parameters such as modality (for example, MRI), gender, and Overwrite all questions with requested procedure code (for example, MR001). 1. Espree left 2. Verlo left 3. Espree righ 4. Verlo right • These parameters are usually come from HL7 messages and sometimes from the DICOM History: []. header. • For example: Comparison study: [None]. • The system automatically selects a template for a 3T MRI of the right knee when it receives the corresponding procedure code (1). Technique: Multiplanar T1, T2, and STIR SE, TSE, and GRE imaging sequences were • If the study repeats or the template is deleted and reloaded, the same preset reappears. performed of the right knee utilizing a 3T Siemens Verio open bore MRI without IV contrast. This confirms the mapping works correctly. VIDA_KNEE You can configure this in Administrator settings > Content > Template settings. 3 . 1988 • Administrator settings X • Go to the Template and procedure settings section. For the preferred template (for Add tags to presets Cancel Save example, MR Knee), click the Add tags icon (2) to add tags to the presets based on the FALOLI VALUL parameter (for example, Verio right - Parameter: Procedure code, Value: MR-0001) (3). Espree left Select parameter Value • Other customization options include templates assigned by referring physician preferences Add parameter or gender-specific templates. For example, in urology, male and female patients need Verio left Select parameter Value different templates. Administrator settings X Add parameter Espree right Value Template settings Select parameter Cancel Save Add parameter Verio right MR Knee (en-US) - Department of Procedure code MR-0001 X MR.0001 X OR SVC3 X PRSNS2 - V5 Radiology 2 Template Effective Date: 26 Mar 2025 | QR700020784 32 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers User settings: Short speech command • This setting allows users to dictate using concise voice User settings X commands. Settings Settings Cancel Save Text General • To enable this setting, go to User settings, select Settings, and Template settings enable the checkbox Activate short speech commands (1). Template import Default report language System language • For example, use speech commands like Lung Parenchyma Use spell checker instead of Go to Lung Parenchyma. The system interprets this Prefill report with normal findings as a navigation cue based on proximity. Display unanswered fields Activate short speech commands 1 User Manual [ Theme About Dark Please note: • If a section is active in the editor, the system navigates the user to the correct section using partial matching after a brief pause. 1 • If multiple sections match, the system takes the user to the closest relevant one. • If the user is already in the correct section, the system does not redirect elsewhere. • Users can manually call sections not present in the report by dictating the full section name, without saying Go to. Template Effective Date: 26 Mar 2025 | QR700020784 33 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers User settings: Prefill report with normal findings • To enable this setting, go to User settings, User settings X select Settings, and enable the checkbox Prefill report with normal findings (1). Settings Settings Cancel Save Text When enabled, the report starts with General • Template settings preloaded normal findings from the Default report language selected template. Template import System language • This supports a top-down dictation workflow, allowing users to edit or Use spell checker confirm prefilled content. Prefill report with normal findings 1 • If disabled, the report opens empty and Display unanswered fields requires manual input in each field. Activate short speech commands User Manual [ Theme About Dark Template Effective Date: 26 Mar 2025 | QR700020784 34 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers Optimized drop-down (German language only) Current Report STEINOLFSON, Flatebo Angel DOB Mar 10, 1972 Not for clinical use An enhancement has been introduced specifically for German-language templates, X-Ray Chest • B U ... that removes dropdown menus from the report text. Overwrite all questions with 1. Normal findings • Previously, users selected values from dropdowns within the report text (1). • Now, you can simply dictate the value directly (2), making the process faster and 1 Findings T more natural. Foreign material: No foreign material. SOFT TISSUE MASS Lung parenchyma: No pulmonary opac No selection This change is visible in the report text, but dropdowns may still appear in other is of emphysema. No signs of fibrosis. • Pleura: No pneumothorax. No pleural e No soft tissue mass Heart and mediastinum: Cardiac silhou 2. Soft tissue mass areas like the decision tree (3). Mediastinum unremarkable. Pulmonary hili unremarkable. Soft tissue: No soft tissue emphysema. No soft tissue mass. • If multiple options exist for a dropdown, the system displays them only where it Skeletal system: No degenerative changes. No fractures. No bone lesions. makes sense. Impression • In other cases, dropdowns are suppressed as a technical workaround to simplify Current Report the interface. STEINOLFSON, Flatebo Angel DOB Mar 10, 1972 Not for clinical use Röntgenthorax - ... NITISCHE Angaben. BEFUND Voruntersuchung: ? 2 Befund Fremdmaterial Befund Fremdmaterial: Keine Fremdkörper. Fremdmaterial Keine Fremdkörper Befund Fremdmaterial: Keine Fremdkörper. 3 Lungenparenchym O. Keine Auswahl ndkörper. Beurteilung: Pleura 1. Keine Fremdkörper Ontologiecodes Herz und Mediastinum loinc: - Beurteilung: radlex: - Weichteilmantel PENDING Draft Prelim Publish prelim Sign and forward Finalize Template Effective Date: 26 Mar 2025 | QR700020784 35 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers Global search • The global search feature lets users Current Report access multiple functionalities within STEINOLFSON, Flatebo Angel DOB Mar 10, 1972 Not for clinical use the same window. X-Ray Chest - B I U Q Overwrite all questions with • You can enable this feature using voice 1. Normal findings 1 commands. Clinical Information • For example, if you want to search for the lung-related information box: ? Comparison 2 • Click the search icon (1) and enter the lung value (for example, lung (2)) in the Fi search field. SUGGESTED MODULES 88 Fo No results Lu ET TEXT BLOCKS 4 uspicious pulmonary nodules. No signs of emphysema. No signs of fibrosis. • This displays the relevant Infobox (for Ple Lung nodule description example, Lung- RADS 1.1) (3)), and INFOBOXES al No pulmonary venous congestion. Mediastinum unremarkable. Pulmonary hili unremarkable. I other useful lung-related information, S Lung-RADS 1.1 3 such as TEXT BLOCKS (4). Skticar systcm. No ucyenciauve changes. No nactures. No bone lesions. ENDING Draft Prelim Publish prelim Sign and forward Finalize Template Effective Date: 26 Mar 2025 | QR700020784 36 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers Multi-procedure reporting • Users can select different studies from the Procedure List. When selected, the Current Report To (reviewer): + Add reviewer system automatically loads the corresponding study. Procedures (1 selected) Becken^Rektum 01/08/2025, 11:30 • The selected procedure information also appears in the reporting template. For Becken^Rektum 01/08/2025, 23:42 example, if two procedures are selected, both entries will appear. ROBERTS, Beckerich Babara- DOR DAL 20 1961 1 A new template is available for the selected body region and • Users receive a notification whenever the Free-Text Report modality. template is updated due to changes in the selected procedure (1). > Procedure Please note: This feature is currently available only for selected customers. Template Effective Date: 26 Mar 2025 | QR700020784 37 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers Findings added at cursor position • Use case: The user is dictating into the report and now there are some findings available, some created in the viewer and some coming from AI-Rad companion. • You can now add findings at the cursor position. To add a finding, right-click on the finding and select Send to report (1). Alternatively, click the Send to report button in the Findings Navigator. • This allows the user to dictate and add the finding at the cursor position, providing a more seamless workflow. bols O. 1 A Send to report Current Report To (reviewer): + Add reviewer CT 3D_RunOff ABDOMEN 1933 Super Hospital 2009.2.12.14.39.45 Ref.: Referring, Dr. +11/09/1921, M, 84Y nsation 64 Procedures (0 selected) 05/04/2005 syngo CT 2005A 05/04/2005 FFS CT_3D_RUNOFF_ABDOMEN_1933 DOB Sep 11, 1921 AngioRunOff 1.0 B25f #AC2640293 13:11:33.83 Free-Text Report .... 7 IMA 24 SP F 22.6 R Findings 2D SL 1.0/0.6/p0.9 There is a lesion measun. and the second lesion measuring < 3.85cm nd the third lesion measurin @2.49 cm F +C KV 120 MAS 134 600 ref. mAs 250 80 no image comments Template Effective Date: 26 Mar 2025 | QR700020784 38 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers Automatic Summary Generation Users can trigger automatic summary generation using a toolbar CI Lung Cancer Staging • B DC button, keyboard shortcut, or voice command. Overwrite all questions with 1. Standard Heport • The impression section created by the automated summary tool appears in a read-only box until you accept or cancel it (1). Comparison • Sections of your findings used to generate the impression are Findings Suspicious lund lasi 2 highlighted in purple (2), making connections clear and ensuring ph nodes: solitary suspicious lymph node, total number 1. Localization of suspicious regional thoracic nodes: paratracheal left (lower group; region 4L). Metastases: right adrenal gland and right kidney. transparency. Lung parenchyma: no evidence of consolidations. Heart: heart size normal. Coronary artery calcifications. No pericardial effusion and pericardial calcifications. Thoracic vessels: no evidence of pulmonary embolism. • Hovering over a generated impression displays a tooltip showing the Pulmonary vascular congestion: no pulmonary vascular condestion 2 source, providing immediate context. Pleura: no pleural effusion Tension pneumothorax with medlastinal shift towards the left. Bones: no suspicious bone icsiuno, You can insert a new summary easier when you change your 1 • Impression findings. The read-only box shows a gray overlay, and the accept 1. Tension pneumothorax with leftward mediastinal shift. button becomes an update button. The new summary appears with 2. Metastases in right adrenal gland and right kidney. Cancel and Accept buttons for your review. 3. Solitary suspicious left paratracheal (lower group; region 4L) lymph node. Check the summary and click on xbold> Accept. If you close the report without accepting the summary or click on cbold Lancel bolda, the summary is not added to the report. Cancel Accept Please note: This feature is currently available only in the U.S. market and not in the EU or rest of the world. Template Effective Date: 26 Mar 2025 | QR700020784 39 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers Structure elements handling • Partial selection of structure elements now selects the entire element. This prevents breaking the layout. • Deletion is more intuitive. The element is first selected and then deleted with a second keystroke. • Visual indicators are updated: • A hand icon shows it's a structure element. • A cursor icon indicates areas where you can enter free text. • Editing behavior is improved: • Writing between structure elements no longer breaks the layout. • Removing new lines is now safe and does not disrupt the structure. Template Effective Date: 26 Mar 2025 | QR700020784 40 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers Report take over Comments X • The Report Take Over functionality allows a user to take control of a report Maria in a pending or draft state. Jan 22, 2025, 5:29 PM PENDING DRAFT • This feature is useful in emergencies when the original author is unavailable or has not yet finished the report. Maria How it Works: Jan 22, 2025, 5:31 PM 2 Taken over from Maria • The report must be in PENDING or DRAFT state (1). Bethany SHIELDS, Mozelle DOB Feb 19, 2024 Department: Department of Radiology :SMARTREPORTING • Another user can take over the report without the original author’s Blank Test 2 permission. PROCEDURE TESTING CLINICAL INFORMATION • The system does not notify the original author who loses access to the COMPARISON report. FINDINGS IMPRESSION • The comments bar (2) tracks the takeover action for transparency and traceability. 1 DRAFT 6 Report temporarily locked by Maria Gaytan Take over report Ontology codes LOINC: - DRAFT @ Report temporarily locked by Maria Gaytan Take over report Template Effective Date: 26 Mar 2025 | QR700020784 41 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers Report Layout Configuration • You can configure the report header, address, patient and clinical data, side panel, Administrator settings x content format, and footer individually in the Administrator settings. SELECTED DEPARTMENT 1 Layout Cancel Save Layout • Go to Layout (1). In the Available layouts section, select the Create layout (2) button. Integration Default layout Administrators can define different content for the first page and later pages for the Template settings • Default layout Template import No layout available header, patient or clinical data, side panel, and footer. Report editor settings Clinical admins can hide sections if not needed. ALL DEPARTMENTS Available layouts • Departments 2 Create layout • Text boxes now support formatting options: Font size, bold, italic, and underline. Metrics NAME • For the Address and Patient/Clinical Data sections, Smart Reports uses placeholders for HL7 data in the Administrator settings X final PDF. This ensures consistent formatting and SELECTED DEPARTMENT < Create Layout Cancel Preview plain text Preview PDF Save accurate data placement without manual entry. Layout O Image and text Image only Integration Image (PDF only) Template settings Template import Drag file here or browse SVG (preferred) or PNG file formats Report editor settings . Maximum image size: width 1200 x height 1200 pixels . Maximum file size: 16 MB ALL DEPARTMENTS Departments IUT Metrics E.g. address, phone and e-mail The space available for this text in the PDF may vary depending on the font used and the width of the image Activate Windows Go to Settings to activate Windows. Template Effective Date: 26 Mar 2025 | QR700020784 42 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers Organization Unit mapping • Smart Reports integrates organization unit (Org units) to Administrator settings improve report association and user permission management. Departments Cancel Save SELECTED DEPARTMENT • Smart Reporting receives the Org unit through postMessage Layout Departments from the Syngo Carbon Space frontend. Integration ID Name Org unit Template settings ID Name Org unit Add • If the Org unit is not configured, the Department field remains Template import mandatory and acts as a fallback. NAME ORG UNET Report editor settings 2 String for ID Department name Org unit x Org unit X Org unit X • Clinical administrators configure this in the Departments (1) ALL DEPARTMENTS 1 String for ID Department name Org unit X section of Administrator settings. Departments Metrics String for ID Department name Org unit X • One department can map to multiple Org units (2). String for ID Department name Org unit X • Each Org unit can only be mapped once in the system. String for ID Department name Org unit X • Once mapping is in place: Deleted departments can be recreated with the same ID. Please consult the Installation Manual. • Smart Reports checks for the Org unit when received. • If a match exists, it loads user permissions from the mapped department and links the report to that department automatically. Template Effective Date: 26 Mar 2025 | QR700020784 43 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers Assistant Workflow • When a user opens a report in Smart Reports, the system supports a structured Q ... workflow for assistants to contribute without being listed as signers. • Assistants, such as transcribers or junior staff, can create and open reports but cannot Authors X finalize them. After preparing the report, the assistant forwards it to a designated doctor for review and signature. This process ensures the first signer is always the author. No author yet • For example, if a language review is needed, a reporting doctor may send the report to an assistant for spelling and grammar review. The assistant corrects the text and returns the report to the doctor’s worklist. Current Report STEINOLFSON, Flatebo Angel DOB Mar 10, 1972 Not for clinical use X-Ray Chest in B Q Overwrite all questions with 1. Normal findings Clinical Information ? Comparison I Template Effective Date: 26 Mar 2025 | QR700020784 44 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers HL7 support of critical result communication • Radiologists can indicate the overall criticality of diagnostic findings. The system automatically Administrator settings includes this criticality information in the HL7 SELECTED DEPARTMENT Integration message sent to receiving systems. This allows immediate identification and highlighting of Layout critical results. Integration 1 WORKFLOW • Clinical admins can configure this in O Addendum Revision Administrator settings. Template settings CRITICALITY Template import 2 • Go to Integration (1). Under the Workflow Define criticality in report section, enable Define criticality in report (2). Report editor settings ALL DEPARTMENTS Data import Departments MAPPING OF EXTERNAL INFORMATION Metrics Selection of main sections for mapping Clinical information, Clinical Information, Procedure v LINE TITLE Template Effective Date: 26 Mar 2025 | QR700020784 45 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Smart Reporting SIEMENS Healthineers HL7 ORU/Addendum configuration • Some HIS systems display the original report and each Administrator settings addendum separately. This can show duplicate content to users. Smart Reports introduced a setting SELECTED DEPARTMENT Integration to send only the latest addendum text in outbound Layout Data export HL7 messages. Integration 1 PRINT FORMAT FOR PDF To configure this, go to Administration settings, select Template settings O A4 • US letter Integration, and scroll to the Data export section. Enable Send addendum together with the report. Template import HL7 ORU MESSAGE CONFIGURATION • When enabled, the system sends only the last Report editor settings Report status changes addendum text in outbound HL7 messages . O Send HL7 ORU message for report status changes to Published and Finalized ALL DEPARTMENTS O Send HL7 ORU message for all report status changes Departments Addendum Metrics O Send addendum together with the report O Send addendum only Template Effective Date: 26 Mar 2025 | QR700020784 46 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 SIEMENS Healthineers VA45A Syngo Carbon – V4.4 Enterprise Access Template Effective Date: 26 Mar 2025 | QR700020784 47 Author | Department Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Enterprise Access SIEMENS Healthineers Access & Security • Break-the-glass access: In emergencies, users can now grant themselves additional access rights to documents through the Patient Jacket. The system logs this access in ATNA (Audit Trail and Node Authentication) reports for traceability and compliance. • Authentication via external Identity Provider: Syngo Carbon Enterprise Access now supports OAuth 2.0 for secure integration with external identity providers (IdPs). This allows: • Single Sign-On (SSO): Users log in once and access multiple systems. • Security: This reduces password fatigue and improves protection against unauthorized access. • Scalability: It makes managing user identities easier across large organizations. Template Effective Date: 26 Mar 2025 | QR700020784 48 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Enterprise Access SIEMENS Healthineers Document & Patient Jacket • Timeline view: Patient Jacket now displays patient documents in CT_3D_OncoFollowUp_3TP_ABDOMEN_2608 12.08.1937 M 2009.3.30.23.12.51 1 X timeline view (1). Timeline view offers an alternative to the traditional list view in Filter Series (4) • Patient Jacket. It shows all patient documents, such as studies, DICOM studies Other documents reports, and images, along a chronological axis. Clinicians can quickly understand the progression of a patient’s medical history. Topogram 0.6 T2 Th/Abd 5.0 B30f Os . 24.10.200 ... . 24.10.2007 0 ... • To access timeline view, open the Patient Jacket and select the Timeline view tab on the left. CT CT CT RADIOLOGY Onco_Reading 5, ThoraxAbdomen MP MT1 • Each document appears as a visual marker on the timeline. Click a Th/Abd 5.0 SPO - CT 24.10.2007 09 ... atient Protocol " 24.10.2007 09 ... 24.10.2007 09:26 marker to open or preview the document. 4 | 186 • Modeless Patient Jacket with drag and drop: Open Patient Jacket in a separate window for parallel access. Drag and drop documents into the viewer. 06.10.2007 01.01.2008 01.03.2008 01.05.2008 01.07.2008 01.09.2008 09.11.2008 06.10.2007 09.11.2008 Quick access to referenced documents in webviewmobile: Linked i Only documents from the local archive are listed. • study-report data is now easily accessible on mobile devices. • Progressive display of in-progress studies: View studies still being imported progressively, with updates shown in the Document Navigator. Template Effective Date: 26 Mar 2025 | QR700020784 49 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Enterprise Access SIEMENS Healthineers Search and filter 1 Search Tx Save as Last name First name Patient ID Study description Modality Study date Producer Document type Institution name RADIOLOGY X Search Save as • Filtering XDS search results by institution name: Users can filter Cross- E Configure search fields Enterprise Document Sharing (XDS) search results by institution name. Last name Search mode This helps in multi-site or regional healthcare networks with shared Configure search fields 2 archives. X • In Enterprise browser,specify the institution name in the search Available search fields inst Displayed search fields field (1). Study Instance UID Study Last name Patient If the search field is not available, configure it in the Configure Institution name Series First name Patient • Institutional department name Series Patient ID search field window (2). Patient Series Instance UID Series Study description Document Modality Study • Document search with webviewmobile: Users can search local Study date Document archives by patient name, ID, accession number, modality, and study Producer Document date. Predefined desktop searches are also supported. Document type Document Reset Restore default Preview Cancel Ok Template Effective Date: 26 Mar 2025 | QR700020784 50 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Enterprise Access SIEMENS Healthineers Documents Management • Collections (1) let users customize documents. Users can add (2), edit, remove, preview, and filter documents. Access collections from the Enterprise browser by selecting the Collections icon. • Use case: Group all documents related to a specific patient case or clinical scenario for case review, training, or audit processes. 2 SIEMENS. Healthineers M 1 aa admin admin Add collection 1 Collections C < New review Name* Description: Oncology Q new x Schedule date: Description Scheduled Te Y X 01.01.1976 M Lung_nodules1 V Filter: tomorrow Tx CT-Thorax mit KM,CT-Abdomen mit KM Schedule date No collections found 13.06.2024 08:58 8 |1.981 18.09.2025 235 User Not scheduled Add collection rad1 rad1 New Name* Created: 02.09.2025 08:12 Oncology User group Radiologist Description Schedule date 18.09.2025 User Cancel Ok rad1 rad1 User group Radiologist Cancel Ok Series (8) Topogramm 1.0 Monitoring 10.0 WF 1mm pv - 1 NF 1mm art . 1 LF 1mm art LCAD Dosisbericht . 1 Patientenprotoko Presentation Sti Tr20 . 13.06.2 ... Br38 - 13.06.2 ... 3.06.2024 09 .... 3.06.2024 09 .... . 13 . 06 . 2024 0 ... 3.06,2994 Afte Withda-06-2024 ... e . 02.09.2025 2 Add Go to Settings to activate Windows. Template Effective Date: 26 Mar 2025 | QR700020784 51 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Enterprise Access SIEMENS Healthineers Configuration & Algorithm Updates • Transfer of user-specific config keys(1): Previously, the system stored certain configuration keys that could vary by user, in the static server-side configuration of the web applications. This made it difficult to personalize the experience for individual users. Now, the system stores these keys in client-side configuration. Users can customize settings without affecting global settings. For example, users can edit layouts directly in the viewer interface. • Improved algorithm for random date values: De-identification now selects dates within ±6 months of the original. This ensures consistency across products. Previously, random dates varied too much, making timelines hard to interprete. The new approach balances privacy with clinical utility. 1 Manage Layouts X i MM_1TP 1 General Settings Exclude from display Geometry Name* Series type En 0 Edit current layout Data assignment Description Thin-slice series Visualization NO Manage layouts Modality 1 Manage Layouts Matching rules Delete Copy Add Private layouts Name No layouts configured Public layouts Name CR_1TP MM_1TP S_R_1TP Cancel Add Reset Cancel OK Template Effective Date: 26 Mar 2025 | QR700020784 52 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Enterprise Access SIEMENS Healthineers Viewer & Visualization Enhancements • Display of the orientation cube (1): The orientation cube helps users maintain spatial MM_1 TP awareness when images are rotated. 2 lesets ASC Off CT • Improved viewing of synchronized series: If series do not align perfectly, the system Referring^ ^ ^Dr.^ shows the nearest image slice. 100 mm • Visualization of interpolation algorithm (2): When zooming images, the system displays an interpolation indicator. JPEG and lossy compression indicators have also TIT R been updated. • Additional predefined geometry value (3): A 2x3 layout option is now available for manual selection. F MM_1TP JPEG 80 100 mm Presets ASC Off AK H Super Hospital 12.08.1937 ReferringMAN Dr." Th/Abd 5.0 B30f 22.10.2008, 09:26:23 1 comm JPEG 80 4.1 MM 1TP 3 Presets 1x1 100 mm 1x2 JPEG 807 100 mm Referring^ ^ ^Dr.^ 2x1 1x3 2x2 200 mm 100 mm 2x3 A 3x3 TTTT AA ST: 5,00 ge comments JPEG 80 2100 mm JPEG 80] ] LI LLLLLLLL 100 mm 45,00 W. 348.09 Template Effective Date: 26 Mar 2025 | QR700020784 53 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Enterprise Access SIEMENS Healthineers User Interface & Terminology Refinements • Separation of translatable strings: Previously, the system used one label for both study- specific and general document descriptions. This caused confusion and inconsistent translations across languages. Now, the labels StudyDescription and Description are distinct and separately translatable. • Renaming of viewport to segment: The term viewport, previously used for segments in the image area of the viewer, is now officially replaced with segment. This change applies throughout the user interface and documentation. Template Effective Date: 26 Mar 2025 | QR700020784 54 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 SIEMENS Healthineers The products/features and/or service offerings (here mentioned) are not commercially available in all countries and/or for all modalities. If the services are not marketed in countries due to regulatory or other reasons, the service offering cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details. Not for clinical use. For training purposes only. 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 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's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. 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. Copyright © Siemens Healthineers AG 2025 Siemens Healthineers Headquarters Siemens Healthineers AG Siemensstr. 3 91301 Forchheim, Germany Phone: +49 9191 180 siemens-healthineers.com Template Effective Date: 26 Mar 2025 | QR700020784 55 Job Aid Effective Date: 15 Dec 2025 | QR700032834 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025