syngo Dynamics VA40E Workplace Delta Online Training - USA

Continue Continue Continue Continue Continue syngo Dynamics VA40 Workplace Delta Online Training ? syngo Dynamics VA40 Workplace Delta Online Training This Online Training module introduces you to the new features and feature improvements available with syngo Dynamics VA40. Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 syngo Dynamics Workplace 1 syngo Dynamics WebViewer 3 syngo Dynamics Remote Workplace 2 Welcome Audio text [sd_va40e_wp_01_welcome.wav] Welcome to the syngo Dynamics VA40 Workplace Delta Online Training. This Online Training module introduces you to the new features and feature improvements available with syngo Dynamics VA40. Upon successful completion of this module, you will be familiar with the changes made in the syngo Dynamics Workplace, the new syngo Dynamics Remote Workplace as well as the syngo Dynamics WebViewer, and see which third-party applications are supported in VA40. Let’s get started. ? Navigation Hints Before you start, we would like to give you a few tips on how to navigate: Table with 2 columns and 4 rows Not all pages contain audio. Some pages invite you to read for yourself or watch a video. All pages show a ? button in the lower-right corner. Select the ? button to get a quick guide through the navigation elements. Some pages show an X button in the upper right corner. Select the X button to return to the overview page and not miss any information provided. Enjoy the course! ? This slide is mandatory for all ED1 trainings. It is displayed directly after the Welcome slide. Please delete what is not needed. Navigation Hints ? User Interface Design The syngo Dynamics user interface has been redesigned. The redesigned user interface is aligned across the syngo Dynamics Workplace, the syngo Dynamics Remote Workplace, and the syngo Dynamics WebViewer. In VA40E and later released versions, the user interface and color scheme has been updated to the Siemens Healthineers User Interface (SHUI). The same Study List is available on the Workplace, the Remote Workplace, and the WebViewer. User Interface Design Audio text [sd_va40e_wp_03_ui-design.wav] The syngo Dynamics user interface has been redesigned. The redesigned user interface is aligned across the syngo Dynamics Workplace, the syngo Dynamics Remote Workplace and the syngo Dynamics WebViewer. In VA40E and later released versions, the user interface and color scheme has been updated to the Siemens Healthineers User Interface (SHUI). The updated user interface color scheme harmonizes with Siemens Healthineers products across the portfolio, delivering a consistent user experience. The same Study List is available on the Workplace, the Remote Workplace and the Web Viewer, ensuring a consistent experience across all deployments. ? syngo Dynamics New Features and Improvements In this chapter you will be introduced to the new features and feature improvements of the syngo Dynamics Workplace and the Remote Workplace. syngo Dynamics New Features and Improvements Audio text [sd_va40e_wp_04_new-features-improvements.wav] In this chapter you will be introduced to the new features and feature improvements of the syngo Dynamics Workplace and the Remote Workplace. ? Single Sign-On (SSO) Single Sign-On (SSO) is an authentication method that enables users to securely authenticate with multiple applications using one set of credentials. When SSO is configured, you can log in to syngo Dynamics Workplace or syngo Dynamics Remote Workplace using your SSO credentials. Single Sign-On (SSO) Audio text [sd_va40e_wp_05_sso.wav] Single sign-on (SSO) is an authentication method that enables users to securely authenticate with multiple applications using one set of credentials. Single Sign-on (SSO) is supported in syngo Dynamics VA40D and higher. In VA40E, there are additional enhancements to Single Sign-on. VA40E contains bug fixes to support improved serviceability and support for additional SSO ID Providers, such as Okta. SSO supports clinical users by providing one set of credentials for log in. SSO also improves Identity protection. The IT department can mandate strong authentication including multi-factor authentication. Additionally, the use of SSO results in an optimization of the maintenance efforts by reducing, for example, password resets. When SSO is configured, you can log in to syngo Dynamics Workplace or syngo Dynamics Remote Workplace using your SSO credentials. Please check with your Clinical Administrator or Siemens Healthineers Customer care representative, if Single Sign-on is configured for your system. ? Single Sign-On (SSO) Workflow (1/2) When SSO is configured, you can log in to syngo Dynamics Workplace or syngo Dynamics Remote Workplace using your SSO credentials. Click on the syngo Dynamics Workplace icon on your desktop. You are directed to the SSO ID provider in your facility. You are then either required to log in to your SSO, or the system tries to automatically authenticate your credentials. Single Sign-On (SSO) Workflow Audio text [sd_va40e_wp_06_sso-workflow01.wav] When SSO is configured, you can log in to syngo Dynamics Workplace or syngo Dynamics Remote Workplace using your SSO credentials directly and without the need to enter syngo Dynamics login user credentials. Click on the syngo Dynamics Workplace icon on your desktop. You are directed to the SSO ID provider in your facility. Depending on the configuration at your facility, you are then either required to log in to your SSO, or the system tries to automatically authenticate your credentials. During the authentication process the Authenticating with Single Sign-On window is displayed. ? Single Sign-On (SSO) Workflow (2/2) Once your credentials are authenticated, the syngo Dynamics Study List is displayed. If you are configured to access multiple departments, you will be automatically directed to one of your configured departments on your first log in. The next time you log in, you will be automatically directed to the last department that you selected. Single Sign-On (SSO) Workflow Audio text [sd_va40e_wp_07_sso-workflow02.wav] Once your credentials are authenticated, the syngo Dynamics Study List is displayed. If you are configured to access multiple departments, you will be automatically directed to one of your configured departments on your first log in. If required, change the department. The next time you log in, you will be automatically directed to the last department that you selected. ? Single Sign-On Combined Login Screen If Single Sign-On is not configured for all users, a combined login screen can be configured to display. You can log in using your Single Sign-On credentials or your syngo Dynamics credentials. If Single Sign-On fails authentication: (1) This button will redirect you to the combined log in screen. (2) Click on the button to display the combined login screen and log in using your syngo Dynamics credentials. 1 2 Single Sign-On Combined Login Screen Audio text [sd_va40e_wp_08_sso-login-screen.wav] If Single Sign-on is not configured for all users, a ‘combined’ login screen can be configured to display. You can log in using your Single Sign-on credentials or your syngo Dynamics credentials. If Single Sign-on fails authentication, there is a button on the top right of the Toolbar to redirect you to the combined log in screen. Click on the button to display the combined login screen. Log in using your syngo Dynamics credentials. ? Common Study List Redesign Common Study List Redesign Audio text video [sd_va40e_wp_09_csl-redesign.wav] – UPDATED VIDEO The common study list has been redesigned in VA40 to be consistent between the Workplace, Remote Workplace and the WebViewer. Canned search queries have been moved to the top left of the screen. This can include your saved queries for quick reference. Field Search has been replaced and improved with Advanced Search. Quick Search has been expanded to include searching by Patient Name (separated by a comma), Patient ID, MPI, Accession Number, Study Type, Date of Birth, and Study Dates. The Department/Server dropdown list has moved to the right of the Quick Search. There is now a manual Refresh icon. The “Assign To” physician has moved to the upper right corner. A new Locked column displays a lock icon when another user has the study open. A new PDF column allows you to view a created PDF report without opening the study. The Conflict column indicates if there is a Name/ID and/or HIS verification failure between studies. If a conflict exists for the study, a question mark appears in the Conflict column. If you move your mouse over the question mark, a tool tip appears, indicating the conflict type. The new Column Chooser allows you to show/hide and rearrange columns. The number of selected studies is displayed next to the Column chooser icon. The total studies that resulted from the search query is displayed on the bottom left corner of the Study List. If more than one page of search queries is delivered, you can navigate using the buttons in the center, at the bottom of the Study List. You can configure the syngo Dynamics Workplace using the Settings icon in the top right corner. Here you have options to update your password, modify the image processing settings, configure the clip playback settings, and set your preferences for the Study List Display. A new menu is available next to the Help menu to configure monitor display options. ? Quick Search Quick Search Audio text video [sd_va40e_wp_10_quick-search.wav] – NEW VIDEO In VA40 Quick Search has been expanded to include searching by Patient Name (separated by a comma), Patient ID, MPI, Accession Number, Study Type, Date of Birth, and Study Dates. To perform a quick search, enter your search query into the Quick Search bar. Click on the search button or press enter on your keyboard. The query results are displayed in the Study List. To limit the search to last name only, you can add a caret at the end of the patient’s name. Type in the search term. The search term can be the entire last name or the first characters of the last name. Type a caret at the end of the name. The search results are limited to studies with last names that start with the entered text. You can further filter the Quick Search results by the Last 7 days or for Today. There are two new buttons next to the Quick search bar. Move your mouse over the buttons to display a tool tip with the name of the filter. Click on Today to limit the results to today only. Click on Last seven days to limit the search from within the last seven days. ? Create custom contextual search queries. Save your custom queries. Edit and delete your custom queries. Advanced Search Advanced Search Audio text video [sd_va40_workplace_advanced-search_v3.wav] In VA40, the Field Search function has been replaced and improved with Advanced Search. Advanced Search enables you to create your own contextual search query. For example, you can create a search based on a range of dates, based on an exact patient name or site ID, or based on several letters contained in a patient’s name. You can save the custom queries for future use. Enter a name for the search and select Save. Custom queries are saved and remembered per user. You access the saved queries from the drop-down list in the canned search section. If required, you can also modify or delete a saved query. Select the saved query from the list. Select Delete. The query is now deleted. ? Advanced Search Drop Down Menus In advanced search, the operators is and is not are available for the fields Referring Physician, Diagnosing Physician, Technologist, and Fellow. When is or is not is selected, the input area contains a drop-down list including the configured users. On selection of Contains, the input area is a text area and you can enter free text for the search. Advanced Search Drop Down Menus Audio text [sd_va40e_wp_12_advanced-search-dd-menus.wav] In advanced search, the operators “is” and “is not” are available for the fields Referring Physician, Diagnosing Physician, Technologist and Fellow. When “is” or “is not” is selected, the input area contains a drop-down list including the configured users. On selection of “Contains” the input area is a text area and you can enter free text for the search. When adding the field to the advanced search, the selection “is” is selected by default. ? Study List columns can be visible or hidden. Modify the order that the Study List columns are displayed. Column Chooser Column Chooser Audio text video [sd_va40_workplace_column-chooser_v2.wav] You can customize your study list using the Column Chooser functionality. The changes are applied to your user setting and will be displayed the same in the Workplace, Remote Workplace and WebViewer. Select the icon in the bottom left corner of the study list. The left side displays currently displayed columns. The right side contains columns that are not currently displayed. Click on the minus symbol to hide the column. Click on the plus symbol to make the column visible on the study list. You may also hide all columns or make all columns visible. To modify the position of a column, simply select the column name and drag it up or down to the desired position. Select OK to exit and save your preferences. The columns are now displayed with your new preferences. ? Many previous menu options have been moved, removed or are no longer available. New options added. Study List File Menus Study List File Menus Audio text video [sd_va40e_wp_14_sl-file-menus.wav] – UPDATED VIDEO The Study List File Menus have been updated in VA40. Many of the options have been moved to a different location within the application, have been removed from the menu, or are no longer available within syngo Dynamics. For example, the options in the Patient and Study menus have been simplified. In the Patient Menu, you can open the Images, Report and Worksheet for a study. If you have the licensed option for Enhanced HL7, you can access the Break Order Association and Break Reconciliation menu options. In the Study Menu, you can mark a study as read or unread, and access options to create, delete and compare studies. Additionally, you can save the current study list as a .csv file, import and export studies, and send selected studies to a DICOM network node. The third-party App launcher is still located in the Utilities Menu. If you have the licensed option for Enhanced HL7, you can access the HL7 reconciliation tool in the Utilities menu. Select the question mark icon to access the Help menu. Here you will find access to the User manual, Release notes, and your current software version. Additionally, there is a new link to PEPconnect in the Help menu. PEPconnect is the Siemens Healthineers customer online education platform. Here you can access training materials for your syngo Dynamics system. Please note that connection to PEPconnect, requires connection to the internet. Please note, you must enter your username and password to access content on PEPconnect. If required, click on Register to register an account. There are some new options, such as Settings that allows you to manage account settings. Here you have options to update your password, modify the image processing settings, configure the clip playback settings, and set your preferences for the Study List Display. A new menu is available next to the Help menu to configure Display options. ? Export Study List In VA40 it is possible to export the Study List as a .csv file. Select Save Study List To File from the Study menu (1). A message is displayed (2). Browse to the location on the computer where you would like to store the file. When complete, a success message is displayed, listing the directory (3). The .csv file can be opened in Excel. 1 2 3 Export Study List Audio text [sd_va40e_wp_15_export-sl.wav] In VA40 it is possible to export the Study List as a csv file. Select Save Study List To File from the Study menu. A message is displayed, informing you that you should save the information on encrypted media (PHI information). Browse to the location on the computer where you would like to store the file. When complete, a success message is displayed, listing the directory . The csv file can be opened in excel. The csv file contains all studies available as part of the filter criteria. ? Create Study syngo Dynamics provides you with the option to include a placeholder image when creating a new study. When you select Create Study, select the check mark: Include Placeholder Image. A study is created with a default non-medical image. Create Study Audio text [sd_va40e_wp_16_create-study.wav] syngo Dynamics provides you with the option to include a placeholder image when creating a new study. When you select Create Study, select the check mark: Include Placeholder Image. A study is created with a default non-medical image. ? Assign Diagnosing Physician You can assign studies to a Diagnosing Physician, provided that the study and/or reports are not locked. Select the study in the study list and select the Assign to button in the tool bar (1). A list of all users with the privilege “Act as a Diagnosing Physician” is displayed (2). Select the desired Physician from the list. A message is displayed confirming the success and/or any reason for a failure of the assignment jobs. 1 2 Please note: It is recommended to use a Verified by field on the report for report signatures. If the (1) Assigned to user is not the same user that verifies the report, and the Diagnosing Physician field is used, the incorrect name may appear on the report. Assign Diagnosing Physician Audio text [sd_va40e_wp_17_assign-diag-phys01.wav] You can assign studies to a Diagnosing Physician, provided that the study and/or reports are not locked. Select the study in the study list and select the Assign to button in the tool bar. A list of all users with the privilege “Act as a Diagnosing Physician” is displayed. Select the desired Physician from the list. A message is displayed confirming the success and/or any reason for a failure of the assignment jobs, for example, if a study is currently locked, it cannot be assigned to a Physician. Audio text [sd_va40e_wp_17_assign-diag-phys02.wav] Please note: It is recommended to use a ‘Verified by’ field on the report for report signatures. If the “Assigned to” user is not the same user that verifies the report, and the Diagnosing Physician field is used, the incorrect name may appear on the report. ? Thumbnails In VA40 the availability of thumbnails has changed. Thumbnails are available for all layouts except for Split layout and Stress Echo layouts In the Split layout, the Thumbnail button is not available for selection, however small clips are displayed to the side for orientation Click on the icon in the top right in Image Review to activate the thumbnails pane (1). 1 Thumbnails Audio text [sd_va40e_wp_18_thumbnails.wav] In VA40 the availability of thumbnails has changed. Thumbnails are available for all layouts except for Split layout and stress echo layouts. In the Split layout, the Thumbnail button is not available for selection, however small clips are displayed to the side for orientation. Click on the icon in the top right in Image Review to activate the thumbnails pane. When you open the thumbnails pane a white border is displayed around the thumbnails that correspond to the images displayed in the view ports. As you navigate through images, the thumbnails and white borders, remain in sync. ? Right-Click Context Menu & Study Utilities File menus have been removed from within Image Review. Image related tasks have been moved to the Right-Click Context Menu. Study related tasks (Split and Merge) have been moved to the Study Utilities Icon. Right-Click Context Menu & Study Utilities Audio text [sd_va40e_wp_19_context-menu-utilities.wav] The File menus have been removed from within Image Review. Image related tasks have been moved to the Right-Click Context Menu. Study related tasks (Split and Merge) have been moved to the Study Utilities Icon. ? Measurement Tools in upper right corner Image Tools in lower right corner Tooltips provide details about each tool Click here to see a list of the icons. Corner Menus Corner Menus Audio text video [sd_va40e_wp_20_corner-menus.wav] – UPDATED VIDEO The Tools are available in the top right and bottom right of the image. The Tools remain hidden unless you move your mouse cursor to them. Move your mouse to the top right of the image to display the Measurement Tools. When your cursor is on an image viewport, a tool icon is displayed in the top right corner of the image viewport, to guide you to the position of the measurement tools. Move your mouse cursor to the indicator to display the measurement tools available for the image type. When you hover your cursor over the icon, the tool tip appears. The Measurement Tools available depend on the image type. For example, for XA images, only the 2D Distance measurement tool is available. The Doppler line and velocity measurement tools and the M-mode line measurement tool now include horizontal and vertical reference lines, to help guide you with the placement of measurement points. The line measurement tool in Doppler and M-mode include the heart rate calculation as part of the data displayed in the Data Display Box (DDB). Please note: The Heart Rate Calculation is not mapped to the Calc Palette or the Worksheet template. At the top you will find the icon to open the Calc Palette. Image Tools are located in the bottom right of every image. Move your mouse over the lower right of the image to display the Image Tools. Here you will find tools for image display and post processing. The Image Tools available depend on the image type. For example, Edge Enhancement is only available for XA images and the Calibration Tool only appears if the image was not previously calibrated. The clip player toolbar and the image tools can be set to always appear on the bottom of the image viewport. To always display the clip player toolbar, right click on the image to open the context menu. Select Always Show Clip Player ToolBar. Alternatively, you can press the F6 key on your keyboard to toggle the clip player toolbar on or off. syngo Dynamics VA40 Tool Icons Table with 6 columns and 6 rows Calibration Tool Peak Velocity Annotations Open the Calc Palette Ellipse Tool Blackout Tool 2D Distance Show/Hide Taken Measurements Window/Level 2D Volume Measurement Edge Enhancement Zoom & Pan 2D Trace and Doppler VTI Select the Frame to Mask Display Mask Frame Angle Contrast/Brightness (Gamma) Zoom and Pan ? Zoom and Pan Audio text video [sd_va40_workplace_zoom-pan_v2.wav] To activate the Zoom and Pan tool, move the mouse to the bottom of an image to display the Image Tool and select the Zoom icon. Move the slider up or down to adjust the image zoom. To pan the zoomed image, click and hold the mouse scroll wheel and move the mouse in any direction. At any point, when you release the button wheel, the image stops panning. You can perform measurements on the zoomed image. You can also add annotations and black box regions to a zoomed image. The pan and zoom changes are not saved with the study. ? Calculations and Measurements available from Calc Palette icon. Clicking a measurement takes user to the specific image and frame containing that measurement. Calc Palette Calc Palette Audio text video [sd_va40e_wp_22_calc-palette.wav] – UPDATED VIDEO If you have the Cardiac Echo and/or Vascular Quantification Package, you can view and add Calculations and measurements using the Calc Palette. The Calc Palette displays measurements in Measurement Sets. Measurement Sets are defined on the Measurements Tab in SysAdmin. The default measurement set can be assigned to the Study Type on the Study Types tab. In previous versions, a maximum of 32 measurements and calculations could be configured to appear within a given measurement set in the Calc Palette. In VA40E and higher, it is possible to add more than 32 measurements to the measurement set. A list of all measurements configured in the Measurements and Calculation library in Report Designer is available under the All measurement set. This list is not available for edit in SysAdmin. The Calc Palette is supported for Ultrasound studies for the following calculation types: Cardiac, Vascular, and General. To open the Calc Palette click on the icon on either the Toolbar or from the Corner Menu. Alternatively, you can open the Calc Palette by pressing the Function and F4 keys on your keyboard. The Calc Palette remembers the last state (open or closed). This preference is maintained for your subsequent sessions. Navigate to the measurement you want or use the Search Field to search for the measurement. When searching, if the drop-down list is on a measurement set, only those values which were defined in SysAdmin for the measurement set will be available in the search. To display All measurement sets, click on the drop-down list. Measurement sets can be customized to view measurements and calculation results (such as ejection fractions) without having to open the worksheet. The value seen next to the label in the Calc Palette is the derived value and appears in a yellow color. The derivation method is displayed in a tool tip when hovering over this value. If multiple instances of a measurement were taken you can view those individual instances by selecting the label of a measurement in the Calc Palette to reveal the instance dialog at the top of the Calc Palette. The Calc Palette displays measurements that were performed in syngo Dynamics as well as measurements transferred from the modality to the application by DICOM SR. Values in green indicate that the measurement was performed in syngo Dynamics whereas measurements in white were imported from the modality using DICOM SR. You can draw Measurements on images in Image Review. The Measurement appears in the Calc Palette. If a measurement was created from the Calc Palette or if the Measurement was assigned from the Data Display Box (DDB), upon using a generic measurement you can modify, exclude and delete the measurement. For measurements taken in syngo Dynamics you can locate the image and frame where the measurement was performed. To do this click on the measurement label in the Calc Palette to display the instance dialog at the top of the calc palette and click on a single instance (green value). If required, you can modify the drawn measurement on the image to change the output. When you hover over a measurement label in the Calc Palette, a Tooltip is displayed that shows the Database name. You close the Calc Palette by clicking on the (X) button in the corner, or by pressing the F4 key on your keyboard.   ? Image Navigation (Mouse Functions) Image Navigation (Mouse Functions) Audio text video [sd_va40e_wp_23_image-navigation.wav] – UPDATED VIDEO In VA40 there are some modifications and enhancements to image navigation. In previous versions, you right-click to start and stop a video clip. In VA40, you right-click to open the context menu. From the context menu, you can start or stop the clip or start or stop all clips from playing. Alternatively, you can left-click on the image to start and stop clips playing. Or press the space bar on your keyboard to start and stop clip playback. A clip player toolbar is available at the bottom of the image for clip navigation. To display the clip player toolbar, move your mouse to the bottom of the image view port. To always display the clip player toolbar, right-click on the image to open the context menu. Select Always Show Clip Player ToolBar. Alternatively, you can press the F6 key on your keyboard to toggle the clip player toolbar on or off. The clip player toolbar allows you to play and pause the clip playback, set the frame rate when the clip is playing, and scroll through the clip frame by frame when the clip is paused. To scroll through the clips frame by frame using the mouse, first stop the clip playback, by either a left mouse click on the image, pressing the space bar on your keyboard, pressing pause on the clip player or selecting Start/Stop Clip Playback from the context menu. Once the clip is stopped, press on the left mouse button and move the mouse right and left to move forwards and backwards through the clip. Alternatively, you can use the middle mouse scroll wheel to navigate through the clip frame by frame. To avoid accidentally selecting images, you now must use Ctrl + Left-click to select or deselect images. Selected images appear with a yellow border. You can select all images in the context menu. The context menu is opened by right-clicking on the image. Alternatively, you can use Ctrl + A on your keyboard to select all images. To deselect all images, press Ctrl + D on your keyboard. ? Formerly known as Selected Images No Placeholders Two Methods to flag images Key Images (Method 1) Key Images (Method 1) Audio text video [sd_va40e_wp_24_key-images01.wav] – UPDATED VIDEO Formerly known as Selected Images, the Key Image feature has been enhanced in syngo Dynamics VA40. Previously, placeholders were displayed based on the selected layout. In VA40, the selected images screen is not limited to a fixed number and the placeholders are no longer necessary. If the number of Key Images exceeds the layout value, you can use the scroll bar, the Page down and Page up keys on your keyboard or scroll with the mouse wheel to display additional images. If no images are selected as Key Images, the screen is blank. Select the images that you would like to add to Key Images. There are two methods to flag images as a Key Image, depending on whether you are in Key Image mode or viewing the images in Image Review. For the standard method, when you are in Key Image mode, you single-click on the thumbnail. When in Key Images mode, the thumbnails that correspond with the images in the view ports display a bright white border. Once an image is designated as a Key Image, a Key Icon is displayed in the lower left corner of the image next to the image number. You can replace existing Key Images by drag and drop. The image being replaced has a green border. You can also use the drag and drop feature to place a new Key Image in-between two existing Key Images. A green target line separating the two existing Key Images display, indicating the location the new Key Image will be inserted. ? Select key images on-the-fly during interpretation. After clearing all key images, make sure to select All Images before leaving the Thumbnails arena. Key Images (Method 2) Key Images (Method 2) Audio text video [sd_va40e_wp_25_key-images02.wav] – UPDATED VIDEO You can also select Key Images on-the-fly during Image Review. Select the image you want from the review pane. Right-click to open the Context Menu. Here you can save the current image, or all selected images as Key Images. Alternatively, you can select a Key Image by moving your mouse cursor over the desired image, and press Ctrl+Shift on the keyboard and click the Left mouse button. This same action can be used to Remove a Key Image. To view the Key Images, select Thumbnails and Key images. To remove images from the Key Images, right-click and select Remove From Key Images. You can remove the current images, selected images or ALL images. ? Send Selected Images to Report In VA40, the option to send selected images to the report is in the Context menu. Select the required image or images. Press Ctrl on your keyboard and left mouse click, so that a yellow border appears on the selected image or images. Right click on the image and select Send Selected Images to the Report. Send Selected Images to Report Audio text [sd_va40e_wp_26_send-images-report.wav] In previous versions, the button to send an image to the report, was located on the Toolbar. In VA40, the option to send selected images to the report is in the Context menu. Select the required image or images. Press Ctrl on your keyboard and left mouse click. A yellow border appears on the selected image or images. Right click on the image and select, Send Selected Images to the Report. Please note that all currently selected images (images with a yellow border) will be sent to the report. ? Mark Study as Read/Unread from Image Review You can now mark a study as Read or Unread from Image Review. The option is available in the Utilities icon on the Toolbar. Click on the icon to display the menu. Mark the study as Read or mark the study as Unread. Mark Study as Read/Unread from Image Review Audio text [sd_va40e_wp_27_mark-study.wav] You can now mark a study as Read or Unread from Image Review. The option is available in the Utilities icon on the Toolbar. Click on the icon to display the menu. Mark the study as Read or mark the study as Unread. The option displayed depends on the current state of the study (read or Unread). ? Conference Mode For teaching or consultation purposes, you may wish to share the screen of your syngo Dynamics Workplace. In order to maintain patient confidentiality, activate Conference Mode. When Conference Mode is activated, the patient demographics are either modified or removed from display. Conference Mode Audio text [sd_va40e_wp_28_conference-mode.wav] For teaching or consultation purposes, you may wish to share the screen of your syngo Dynamics Workplace. In order to maintain patient confidentiality, activate Conference Mode. When Conference Mode is activated, the patient demographics are either modified or removed from display. The patient's name and patient ID are replaced in the display in conference mode. The date of birth and the study date are removed from display. ? Conference Mode Workflow To activate Conference Mode: Select the menu in the top right corner of the tool bar, next to your name. Select Conference Mode in the menu. A message box is displayed, select OK. Please note: Conference mode only applies to the Patient Banner within the study. You must take care when accessing the Study List, opening reporting, or selecting a prior study. Conference Mode Workflow Audio text [sd_va40e_wp_29_conference-mode-workflow.wav] To activate Conference Mode select the menu in the top right corner of the tool bar, next to your name. Select Conference Mode in the menu. A message box is displayed, select OK. Please note that conference mode only applies to the Patient Banner within the study. The Study List, Reporting and the Priors menu continue to display the Patient Information. Any information that is embedded on any image itself will still be seen. You may need to additionally black out any patient information embedded in the image using the blackout tool. You must take care when accessing the Study List, opening reporting or selecting a prior study. ? Monitor Switching In VA40 syngo Dynamics allows you to switch from a dual monitor to a single monitor display and extend the display from single monitor to dual monitor display. Monitor switching is supported in Image Review when two monitors are configured, and the resolution of both configured monitors are the same. Monitor Switching Audio text [sd_va40e_wp_30_monitor-switching.wav] In VA40 syngo Dynamics allows you to switch from a dual monitor to a single monitor display and extend the display from single monitor to dual monitor display. Monitor switching is supported in Image Review when two monitors are configured, and the resolution of both configured monitors are the same. Please note that monitor switching is not supported from the Study list, when only a single monitor set up is available on the client, or with dual monitors with two different resolutions, and when a third-party application is launched, for example, syngo.via ? Monitor Switching Workflow When the images are displayed in dual monitor: Click on the menu icon in the title bar. Select Single Monitor. When the images are displayed in single monitor: Click on the menu icon in the title bar. Select Dual Monitor. The monitor switching configuration is not retained by the application and is reset when the application is closed. Monitor Switching Workflow Audio text [sd_va40e_wp_31_monitor-switching-workflow.wav] To change the display from dual to single monitor display: Click on the menu icon in the title bar. Select Single Monitor. To change the display from single to dual monitor display: Click on the menu icon in the title bar. Select Dual Monitor. It is important to note that when working with prior studies, only one prior study can be opened in a single monitor display. This means that if two prior studies are open in a dual monitor display, the most recently opened prior study is closed when switching to a single monitor display. When you select dual monitor display again, you will need to reopen the previously closed prior study. The monitor switching configuration is not retained by the application and is reset when the application is closed. ? Stress Echo Enhancements In VA40, there are enhancements to the display of duplicate stress echo images. It can be configured so that duplicate images of the same stage and view are stacked together in the same image window. When stacking is configured, if duplicates are available for the stage and view, a stacked stress echo icon appears in the top left corner of the image window. Stress Echo Enhancements Audio text [sd_va40e_wp_32_stress-echo-enhancements.wav] In VA40, there are enhancements to the display of duplicate stress echo images. It can be configured so that duplicate images of the same stage and view are stacked together in the same image window. When stacking is configured, if duplicates are available for the stage and view, a stacked stress echo icon appears in the top left corner of the image window. Please note that it can also be configured that the images are not stacked, and the duplicates follow the Primary image for the stage and view. This can be configured in the syngo Dynamics Server Configuration Tool. ? Stacking Stress Echo Images: New Icons Stack icon with duplicates A multi-layer icon indicates that there are duplicate images. The current image number and the total number of images (Primary and duplicates) are displayed in the icon, for example 1/3, 2/3 and 3/3. Primary image in non-stack layout or when there are no duplicates. The Primary image for this particular view is by default the image with the earliest acquisition time. The Primary image is represented by a check mark. Edit icon for non-stress images or duplicates An edit icon is available for non-primary duplicate images in non-stacked mode or for non-stress images. Stacking Stress Echo Images: New Icons Audio text [sd_va40e_wp_33_stress-echo-new-icons.wav] New icons are available for stress echo images to indicate if the duplicate images are stacked, if an image is assigned as the Primary image or to indicate that an image can be edited. ? Stacking Stress Echo Images When duplicate images are configured to stack, a number is displayed on the stacked image icon. The first number represents the currently selected image number. The second number represents the total number of duplicate images available to view for the given stage and view. Stacking Stress Echo Images Audio text [sd_va40e_wp_34_stacking-stress-echo-images.wav] When duplicate images are configured to stack, a number is displayed on the stacked image icon. The first number represents the currently selected image number. The second number represents the total number of duplicate images available to view for the given stage and view. ? Stress Echo Stacked Images Navigation Stress Echo Stacked Images Navigation Audio text video [sd_va40e_wp_35_sesi-navigation.wav] – NEW VIDEO In VA40, it can be configured for stress echo duplicates of the same stage and view, to be stacked in the image view port. When the duplicate images are configured to stack in image review, the duplicates of the same stage and view are stacked together, and the stress echo icon appears as a stacked icon and can be used for editing. When the images are configured not to stack, the duplicates from the same stage and view are displayed individually. When no duplicate images exist for a stage and view, the Primary image icon is displayed. If the images are configured to stack, and duplicates do exist, an editing icon is displayed. The edit icon is also displayed for non-stress images. The layout is automatically selected in Image Review, based on the number of views or stages available, but never less than a 4 by 1 layout. The layout that best represents the correct number will be selected from the standard layouts. In Stage layout, the layout used is determined by the number of Views for the stage. In View layout, the layout used is determined by the number of stages. Alternatively, it can be configured to always have the images displayed in a four to one layout. If duplicates are available for a specific stage and view, the images appear with a stacked icon. The first number on the stacked icon represents the currently selected image number. The second number represents the total number of images available for the given view. To navigate through the stack, click on the stacked icon. Alternatively, you can use your mouse to navigate through the stack. With the clip playing, press and hold your left mouse button. Move the mouse to the right to move forward through the stack. When you release the mouse button the next image in the stack is displayed. Press and hold your left mouse button. Move the mouse to the left to move backwards through the stack. When you release the mouse button, the previous image in the stack is displayed. ? Edit Stress Echo Edit Stress Echo Audio text video [sd_va40e_wp_36_edit-stress-echo.wav] – NEW VIDEO Regardless of stacking, the image with the earliest timestamp for a given stage or view is considered as the Primary image. The Primary image is the first image displayed for the stage and view. syngo Dynamics defines the Primary image based on the acquisition time and date stamp. By default, the image with the earliest time and date stamp is defined as the Primary image. The Primary image is displayed with a checkmark in the stress echo icon. A different Primary image from the duplicate images for the stage and view can be assigned. Navigate to the desired image. Press and hold the CTRL key on your keyboard and left mouse click on the icon. A Refresh indicator appears on the Layout icon. Click on the icon to refresh. If you do not click on the Refresh icon, the Primary image is not saved. The new Primary image is displayed as the first image. This image is maintained as the Primary image each time the study is opened. If an image was sent to syngo Dynamics with an incorrect label, you can reassign the image label. Right click on the stress echo icon. Two drop down menus are displayed, one for Stage and one for View. Click on the appropriate drop-down menu to change the stage and/or view. After the image has been reassigned, the Refresh icon is displayed. Click on the Refresh icon to update the display and save your settings. If you do not press on the Refresh icon the changes are not saved. After the image has been reassigned, a yellow border is displayed around the stress echo icon to indicate the image label was manually updated. To revert the changes, right click on the icon and select “Reset to…”. Please note, when you reassign an image, the image will be moved to the correct stage and view group. Depending on the image that was reassigned, it is possible that a new Primary image will be assigned. For example, if the image being reassigned has an earlier time stamp than the existing Primary image for the stage and view, the new image will become the new Primary image. However, if the Primary image was user defined then the image will not be made the Primary image regardless of the timestamp. In a different scenario if the image being reassigned is the Primary image for the stage and view, upon reassignment the image with the earliest time stamp from the duplicate images will be assigned as the Primary image. Any primary images that have been manually assigned are retained. If a non-stress image was incorrectly labelled as a stress echo image, you can edit the label. Right click on the stress echo icon. Select non-Stress from either the Stage or View drop down menu. Select the Refresh icon. The image is moved from the previously assigned stage and view to the non-stress images and sorted based on the time and date stamp. A yellow border appears around the non-stress icon, indicating that the image label was manually updated. Right click on the icon to display the current labels. Both the stage and the view are updated to non-stress, regardless of which dropdown menu was used to do the reassignment. To revert the change, click on “Reset to…” in the menu. If required, you can revert all edits made to stress echo images so that the images are restored to the display sent from the modality. Click on the layout button in the Toolbar. Select Revert Stress Echo Edits. If required, you can add or rename stages or views using the Edit Stress Echo option. Click on the layout button in the Toolbar. Select Edit stress echo. Select the tab for editing, Stage or View. Click on Add Stage or Add View as applicable. Add the new name of the stage or the View. Select Save. The newly added stage or view is now available for selection when you right click on the stress echo icon. You can also rename a stage or view from the Edit stress echo dialog. Simply open the dialog and highlight the stage or view name from either the modality sent stage or view or from the user defined stage or view and enter a different label. You may also delete a user defined stage or view. Please note that you cannot delete a stage or view that was sent from the modality. It is also important to note that when an image is assigned to a user defined stage or view that stage or view cannot be deleted until the images assigned to it are reassigned to a different stage or view. If there is an error with a newly created stage or view name, an error message is displayed. If you move your mouse over the error, a tooltip appears indicating the error. For example, you must use a unique name for the stage or view name. In the case that you enter a name that already exists, an error message is displayed. The save button remains disabled until all errors are resolved. Edits made to the stress echo images are maintained within syngo Dynamics, after pressing the Refresh icon. When exporting images, the images are sent with the original stages and views that were sent from the modality. Please also note that the stacking of stress images is not recognized in the syngo Dynamics WebViewer. ? Stress Echo Edit Collaboration Mode When working in collaboration mode it is important to note that only the Primary user can modify the stress echo images. When the Primary user edits a stress echo and either closes the study or if a Secondary user Takes Control, a message is displayed to prompt the user to Refresh Now to accept the changes or to wait and Refresh Later. If Refresh Later is selected, edits are restricted. Edits are only possible after a refresh. The Refresh icon on the Layout Menu stays active until this is done. Stress Echo Edit Collaboration Mode Audio text [sd_va40e_wp_37_stress-echo-colla-mode.wav] When working in collaboration mode it is important to note that only the Primary user can modify the stress echo images. When the Primary user edits a stress echo and either closes the study or if a Secondary user Takes Control, a message is displayed to prompt the user to Refresh Now to accept the changes or to wait and Refresh Later. If Refresh Later is selected, edits are restricted. Edits are only possible after a refresh. The Refresh icon on the Layout Menu stays active until this is done. If Refresh Now is selected, the changes will be noted by the yellow border around the Stress Echo Icon. ? Pre-Procedure Reporting (1/2) When configured, syngo Dynamics allows for pre-procedural documentation for existing HL7 orders. You can enter pre-procedural documentation from the syngo Dynamics Study List by creating a new study. The Orders option in the Study Menu (2) and the Orders Button (1) are only visible when the option is enabled in the syngo Dynamics Server Configuration tool. The button and the menu option are only enabled when you have the Modify Study privilege. 1 2 Pre-Procedure Reporting Audio text [sd_va40e_wp_38_pre-procedure-reporting01.wav] When configured, syngo Dynamics allows for pre-procedural documentation for existing HL7 orders. You can enter pre-procedural documentation from the syngo Dynamics Study List by creating a new study. Please note: This feature requires a license and may not be available on your system. The Orders button in the tool bar or the Orders menu in the Study menu can be used for this. The ‘Orders’ option in the Study Menu and the Button are only visible when the option is enabled in the syngo Dynamics Server Configuration tool. The button and the menu option are only enabled when you have the Modify Study privilege. ? Pre-Procedure Reporting (2/2) After selection of the Orders icon or Orders in the Study menu, the Orders list opens. Enter the Search criteria. Select the required order from the Orders list. Once selected, the patient appears on the Study List. Open the Worksheet for the study and enter the pre-procedure information. Pre-Procedure Reporting Audio text [sd_va40e_wp_39_pre-procedure-reporting02.wav] After selection of the ‘Orders’ icon or ‘Orders’ in the Study menu, the Orders list opens. Enter the Search criteria. Select the required order from the ‘Orders’ list. Once selected, the patient appears on the Study List. Open the Worksheet for the study and enter the pre-procedure information. ? Congenital Heart & Vascular Diagram In VA40 there are new tool palette selections for the congenital heart and vascular diagrams. Double line Double curved line Patch Stitch There is a new Toolbar menu to allow you to change the fill color of thrombus and shapes. Select the color from the Toolbar menu. Select the thrombus or shape. Congenital Heart & Vascular Diagram Audio text [sd_va40e_wp_40_heart-vascular-diagram.wav] In VA40 there are new tool palette selections for the congenital heart and vascular diagrams. Please note that the congenital heart and vascular diagrams require a license and may not be available on your system. There is a new Toolbar menu to allow you to change the fill color of thrombus and shapes. Select the color from the Toolbar menu. Select the thrombus or shape. Please note: You must first select a fill type other than white, before selecting the color, for the color selection to be applied. ? Coronary Tree Diagram Coronary Tree Diagram Audio text video [sd_va40e_wp_41_coronary-tree-diagram.wav] – NEW VIDEO Coronary tree diagrams are schematic depictions of a patient’s coronary anatomy. The diagrams provide a graphical interface for you to indicate normalities and abnormalities in the anatomy of a patient’s heart and to report findings and interventions from cardiac catheterization. In VA40D and higher, syngo Dynamics supports version two of the Ionosoft Coronary Tree Diagram. This version of the Coronary Tree Diagram is no longer dependent on Adobe Flash and has an updated user interface. Please note that the Coronary Tree Diagram is a licensed feature and may not be available on your system. Typically, there are two types of diagrams configured on your worksheet template, Without Interventions and With Interventions. To open the diagram for editing, click on the diagram in your worksheet template. The default diagram displays the arterial dominance (right, left, or co-dominant). If required, you can change the arterial dominance. To load a previously saved diagram, right-click and select Load from Library. Select the desired diagram from the menu. The library contains the diagrams designed and saved in the Report Designer. Abbreviated labels of the coronary vessels are displayed on the diagram. Move your mouse over the label to display the full name of the vessel. Click on the vessels in the diagram and position them as required. A palette is displayed to the right of the diagram. The palette contains anatomical items and interventions to add to the diagram. If required, use the scroll bar to access additional items in the palette. You document diagnoses, abnormalities, as well as visible interventions that exist from any previous studies for the patient on the Without Interventions diagram, such as grafts or a previous stent. Changes made on the Without Interventions Diagram are saved to the With Interventions diagram. To add a branch or collateral vessel, click on the vessel in the palette and drag to the desired position on the diagram. Position as required. To add a vessel abnormality to the diagram, click on the item in the palette and position it on the vessel. Use the arrows to define the length. Click on the cross to reposition the item on the vessel. To further define the item, right click on the item to open the menu. The menu displayed depends on the item type. For example, right click on the stenosis on the diagram to open the menu. Here you can define the type of stenosis, the severity (percent stenosis), the length, the pre-TIMI flow and add a comment. If required, you can also delete the item. The arrow at the bottom of the menu opens another menu with options to print the diagram (if a printer is configured), reset the diagram, and adjust the annotation and label font size. Additionally, you will find the option to load a diagram from the library. To open the menu for the diagram, right click on the diagram. Press on the Undo button to undo actions one at a time. To redo the action, press on the Redo button. To add an annotation to the diagram, click in the diagram, where you would like the annotation to appear. Right click and select Add Annotation. Type in the annotation into the annotation box. If you would like the annotation to point to a specific location on the diagram, position the label pointer. If needed, you can reposition the annotation box. Click on the annotation box. Click on the dots in the top left of the label and position the annotation box as desired. To delete an annotation, click on the cross in the top right corner of the annotation box. Alternatively, you can drag the annotation to the trash can in the bottom right of the diagram. When you are satisfied with the changes that you have made, you can add the diagram to the study. Press the Add to Study button in the bottom left of the diagram. The diagram is saved to the worksheet and the report template. Select Close to close the diagram. After you select the Add to Study button, the button label changes to Revert. Pressing the Revert button will restore the diagram to the state from when you opened the diagram. If you close and re-open the diagram, the Revert button will not restore the diagram to the original state. To restore the diagram to the original state, right click on the diagram to open the menu and select Reset. Alternatively, you can use the Undo button or manually delete items from the diagram. The diagram in the worksheet and the report update automatically. Please note that once the button label has changed to Revert, it will remain in this state. ? Unlocking & Locking Report With the required privilege, you can unlock the report, by right clicking on the icon to the right of the Report Type. If the study is set to Read and Locked, the system will automatically mark the study as Unread when the report is manually unlocked. When you relock the report, the system will also mark the study as Read based on the SysAdmin configuration. After the report is relocked and the study is marked as Read, you must manually upload the modified report. Unlocking & Locking Report Audio text [sd_va40e_wp_42_unlocking-locking-report.wav] With the required privilege, you can unlock the report, by right clicking on the icon to the right of the Report Type. If the study is set to Read and Locked, the system will automatically mark the study as Unread when the report is manually unlocked. When you relock the report, the system will also mark the study as Read based on the SysAdmin configuration. After the report is relocked and the study is marked as Read, you must manually upload the modified report. This only applies if you use the upload reports functionality, that is HL7, Open link or MLA to your EMR. Please note: You must have the relevant privileges assigned in SysAdmin to unlock and relock the report. ? ECG Data Import Electrocardiogram (ECG) data can be imported from supported ECG systems, for display in Worksheet and Report templates. Supported ECG Systems: Hillrom XscribeTM GE MuseTM ECG data import is not supported for studies with Hemodynamic or EP data. ECG data import is only possible if the Import Data license is available in the License tab in SysAdmin and the Study Type is configured to import ECG data. ECG Data Import Audio text [sd_va40e_wp_43_ecg-data-import.wav] In VA40E and higher, Electrocardiogram (ECG) data can be imported from supported ECG systems, for display in Worksheet and Report templates. Please note, this feature requires a license and may not be available on your system. ECG data can be imported for the following supported ECG Systems: Hillrom Xscribe and GE Muse. Data import is supported from one system per study, this means that ECG data import is not supported for studies with Hemodynamic or EP data. ECG data import is only possible if the Import Data license is available in the License tab in SysAdmin and the Study Type is configured to import ECG data. ? ECG Data Import: Semi-Automatic Import ECG data can be imported semi-automatically, manually, or be re-imported. If a study contains ECG data with matching patient demographic data, the ECG data is matched to the study semi-automatically. When you open the worksheet and report a message is displayed. Select Yes. ECG data is displayed in the worksheet and/or report (2) (If your worksheet and/or report templates are configured to display the ECG data). 2 1 ECG Data Import: Semi-Automatic Import Audio text [sd_va40e_wp_44_ecg-data-automatic-import.wav] ECG data can be imported semi-automatically, manually or be re-imported. If a study contains ECG data with matching patient demographic data (patient name, patient ID, date of birth, gender and study date), the ECG data is matched to the study semi-automatically. When you open the worksheet and report a message is displayed, informing you that there is data available for the study . To import the ECG data for the study, select Yes. The Importing Data dialog is displayed . If your worksheet and/or report templates are configured to display the ECG data, the ECG data is displayed in the worksheet and/or report. ? ECG Data Import: Manual Import To import the ECG data manually: Open the study to display the worksheet and the report. Click the Import menu at the bottom of the worksheet. Select Import Data (1). The Third-Party Dialog Selection window opens. Select a study from the list (2). Select Import (3). 1 2 3 ECG Data Import: Manual Import Audio text [sd_va40e_wp_45_ecg-data-manual-import.wav] If the semi-automatic import is not possible, for example, if the patient demographics are not matching, you can manually import the ECG data. To import the ECG data manually: Open the study to display the worksheet and the report. Click the Import menu at the bottom of the worksheet. Select Import Data. The Third-Party Dialog Selection window opens. Select a study from the list. Select Import. If your worksheet and/or report templates are configured to display the ECG data, the ECG data is displayed in the worksheet and/or report. ? Import FHIR Server Data into syngo Dynamics The import of data from the FHIR server to syngo Dynamics is supported for the fields: Patient Height Patient Weight Blood Pressure If configured and the Patient ID and Assigning Authority for the study match, the fields are automatically imported for the study when you open the study for the first time. You can also manually import the data from the FHIR server. Import FHIR Server Data into syngo Dynamics Audio text [sd_va40e_wp_46_import-fhir-server-data.wav] In VA40E and higher, the import of data from the FHIR server to syngo Dynamics is supported for the fields: Patient Height Patient Weight Blood Pressure If configured and the Patient ID and Assigning Authority for the study match with the data from the FHIR server, the fields are automatically imported for the study when you open the study for the first time. You can also manually import the data from the FHIR server. ? Manual Import FHIR Server Data into syngo Dynamics To manually import the fields from the FHIR server: Open the study to display the worksheet and the report template. Click the Import drop-down menu at the bottom of the worksheet. Select Import FHIR Data. If the data has been updated on the FHIR server, you will need to manually re-import the data to syngo Dynamics. The data is imported and overwritten only if the fields are empty, or if the fields were previously imported from FHIR. Manual Import FHIR Server Data into syngo Dynamics Audio text [sd_va40e_wp_47_manual-import-fhir-server-data.wav] To manually import the fields from the FHIR server: Open the study to display the worksheet and the report template. Click the Import drop-down menu at the bottom of the worksheet. Select ‘Import FHIR’ Data. Please note: This menu item is only available if FHIR data import is configured in the syngo Dynamics Server Configuration Tool. If the data has been updated on the FHIR server, you will need to manually re-import the data to syngo Dynamics. The data is imported and overwritten only if the fields are empty, or if the fields were previously imported from FHIR. Manually added values are not overwritten with FHIR data import. ? syngo Dynamics Workplace The syngo Dynamics Workplace allows you to view images on a wide variety of display hardware. syngo Dynamics Workplace is the full-fledged application displaying full DICOM images. In this chapter, you will be introduced to the new features and feature improvements of syngo Dynamics Workplace (only). syngo Dynamics Workplace Audio text [sd_va40e_wp_48_syngo-dynamics-workplace.wav] The syngo Dynamics Workplace allows you to view images on a wide variety of display hardware. syngo Dynamics Workplace is the full-fledged application displaying full DICOM images. In this chapter you will be introduced to the new features and feature improvements of syngo Dynamics Workplace (only). ? Split Study now available in the Study Utilities menu. Copy or Remove Protected Health Information (PHI). Split Study Split Study Audio text video [sd_va40_workplace_splitting-studies_v2.wav] Splitting studies is now available in the Study Utilities menu. Select the desired images by pressing control on your keyboard and clicking on the images. You can select all images by pressing control plus A on your keyboard. Alternatively, you can select all images by right click and selecting all images from the context menu. Click on Study Utilities, and then Split Study. Select the check mark to copy the Protected Heath Information (PHI) data from the source study if required. If the COPY PHI data from source study is checked, all PHI DICOM data is copied to the newly created study containing the images. If unchecked, you must manually enter mandatory values. Some of the PHI DICOM data in the DICOM header in the images will be blank. Select Split Study. syngo Dynamics displays a progress box indicating the number of images being retrieved, split, and finally stored. A message is displayed at the end indicating whether or not the split was successful. Refresh the Study List to display the new Split study. The images in the new study are not removed from the original study. If you want to delete them from the original study, select the images and select Delete Selected Images from the context menu. Please note, you must have the Privilege to delete images. ? Merge Study now available in the Study Utilities menu. Progress Box indicates number of images being merged. Merge Study Merge Study Audio text video [sd_va40_workplace_merging-studies_v2.wav] To Merge two studies, select the studies from the study list that you would like to Merge. Select the studies in the order that you want to compare the studies. The study that you select first will appear on the left and is the Primary study. The study that you select second will appear on the right. The images from this study will be merged with the study selected first. Select Study from the Toolbar and select Compare. The two studies appear side by side. To Merge the studies, click on Study Utilities and select Merge Study. A dialog box appears, select OK to Merge. The study images on the right are merged to the left study. A progress box is displayed indicating the number of images being merged. A message box is displayed at the end indicating whether or not the merge was successful. The Study List is updated with the total number of merged images in the original study. Studies can be merged between any modalities, but each study must contain an image series. You cannot merge a study that is in collaborative mode, in progress, marked as read, or is locked. Please note that modifications made to stress echo images will not be retained when merged into another study. The merged images will revert to the original image sent from the modality. ? Importing Studies Importing Studies Audio text video [sd_va40_workplace_importing-studies.wav] You can import studies to your syngo Dynamics workplace from external sources such as external hard drives, local drives, mapped network drives, CD/DVD and USB. Click on the Department/Server list and click on Select Folder at the top of the list. The Select Folder window opens, and the Refresh icon changes to a Folder icon. Browse to the folder containing the study or studies for import and select OK. Select to either Create New or Use Existing, for the DICOM directory. The study list shows the studies available for import. Select the appropriate studies. Within the Study menu, select Import Studies To . To view the Import Study Progress Window, click on the Background job indicator icon to the left of your username. If the import is a success, the notification simply disappears. If any portion of the import fails, the progress window remains available, and a reason is provided for why the import failed. To clear the Import Study message, click on Cancel. A Confirmation request appears. Click Yes. The Import Study message disappears. ? Exporting Studies Exporting Studies Audio text video [sd_va40e_wp_52_exporting-studies.wav] – UPDATED VIDEO Exporting studies has been enhanced in VA40. To export a study, first select the desired study. Select the Study Menu and then click on Export Studies To. If your system is licensed, you can export studies from your syngo Dynamics workplace to external sources such as external hard drives, local drives, mapped network drives, CD/DVD and USB. Alternatively, you can export to a File system. Select the folder into which you would like to export the study. If required, you can create a new folder to export the study. Select ‘New Folder’. To rename a folder, right click on the folder and enter the new name. After you select Export, you will receive a new PHI information recommendation. Select Continue to proceed with the export. To view the Export Study Progress Window, click on the Background job indicator icon to the left of your username. If the export was a success, the notification simply disappears. If the export fails, the system will display a Failure message. The background job indicator will remain red and an ‘i’ symbol is available next to the failed job item. ? Send Images to DICOM Nodes If you have the privilege assigned, you can send studies to multiple configured DICOM nodes (servers). Select one or more studies in the Study List. Studies must reside on the same server. Select Study -> Send Studies To DICOM Nodes (1). Select the DICOM node/s to which you want to send the selected studies (2). Click Send (3). 1 2 3 Send Images to DICOM Nodes Audio text [sd_va40e_wp_53_send-images-dicom.wav] If you have the privilege assigned, you can send studies to multiple configured DICOM nodes (servers). DICOM Nodes are configured in the Service Tools- Network Manager. Select one or more studies in the Study List. Studies must reside on the same server. Select Study -> Send Studies To DICOM Nodes. Select the DICOM node/s to which you want to send the selected studies. You can search for the DICOM node by typing a few letters in the Search box. Click Send. syngo Dynamics Remote Workplace ? The syngo Dynamics Remote Workplace enables you to access syngo Dynamics remotely. Here, you view compressed images (MP4) with the option to view original quality full DICOM images. Remote Workplace allows you to read and report in low bandwidth environments. In this chapter you will be introduced to the new syngo Dynamics Remote Workplace. syngo Dynamics Remote Workplace Audio text [sd_va40e_wp_54_remote-workplace.wav] The syngo Dynamics Remote Workplace enables you to access syngo Dynamics remotely. Here, you view compressed images (MP4) with the option to view original quality full DICOM images. Remote Workplace allows you to read and report in low bandwidth environments. In this chapter you will be introduced to the new syngo Dynamics Remote Workplace. ? Images compressed in MP4 format. Access to Original Quality Image. Full reporting and measurement capabilities. Remote Workplace Overview Remote Workplace Overview Audio text video [sd_va40_workplace_remote-workplace-overview_v3.wav + sd_va40_workplace_remote-workplace-overview_changed_v2.wav] On the syngo Dynamics Remote Workplace, images are displayed compressed by default. The image compression is displayed at the bottom right of the image. Compressed images are in MP4 format. To view the original uncompressed DICOM image, click on the Original icon. You can adjust the layout up to a maximum of 12:1 for compressed images. The selected layout is stored and applied on subsequent sessions. The Remote Workplace has full reporting and measurement capabilities. ? Remote Workplace Limitations Although most functionalities remain the same in both the syngo Dynamics Remote Workplace and the syngo Dynamics Workplace, there are some differences that you should be aware of. Some imaging functions are not possible with compressed images, but are available with original quality images, and some functionalities are not available. Click here to learn more. Remote Workplace Limitations Audio text [sd_va40e_wp_56_remote-workplace-limitations.wav] Although most functionalities remain the same in both the syngo Dynamics Remote Workplace and the syngo Dynamics Workplace, there are some differences that you should be aware of. Some imaging functions are not possible with compressed images, but are available with original quality images, and some functionalities are not available. Table with 2 columns and 1 rows Image Tools not available for compressed images: Edge enhancement and DSA mask Selecting a frame to be used as the mask frame Digital subtraction Adjusting window/level settings Features not available on syngo Dynamics Remote Workplace: Image Import/Export Study Split/Merge VA40A - VA40D : Third-party Application launcher.* Remote Workplace Limitations Overview The third-party application launcher is supported in syngo Dynamics Remote Workplace VA40E and higher . ? Third-Party Application Launcher In VA40E and higher, it is possible to launch configured third-party applications from the syngo Dynamics Remote Workplace. You launch third-party applications using the same workflow as on your syngo Dynamics Workplace. Please note: For the third-party application to launch in the Remote Workplace, the application must be installed locally, in the same directory as on your client system. Third-Party Application Launcher Audio text [sd_va40e_wp_57_third-party-launcher.wav] In syngo Dynamics VA40E and higher, it is possible to launch configured third-party applications from the syngo Dynamics Remote Workplace. You launch third-party applications using the same workflow as on your syngo Dynamics Workplace. Please note: For the third-party application to launch in the Remote Workplace, the application must be installed locally, in the same directory as on your client system. ? syngo Dynamics WebViewer The syngo Dynamics WebViewer application provides you with read-only access to compressed images1 that can be accessed from your browser. The new WebViewer provides you with a common login screen and the same study list as the Workplace for a consistent user experience. In this chapter you will learn about the new syngo Dynamics WebViewer. Supported Browsers Supported Browsers 1 Images are additionally compressed in WebViewer. This application is not for diagnostic viewing/reading. syngo Dynamics WebViewer Audio text [sd_va40e_wp_59_webviewer.wav] The syngo Dynamics Web Viewer application provides you with read-only access to compressed images that can be accessed from your browser. Images are additionally compressed in WebViewer. This application is not for diagnostic viewing/reading. The new Web Viewer provides you with a common login screen and the same study list as the Workplace for a consistent user experience. In this chapter you will learn about the new syngo Dynamics Web Viewer. Windows TM 10 Devices: Microsoft Edge (R) (Win10, Chromium based [i.e., version 80 and above]). Google Chrome (R) . iOS Devices: Safari TM . Android TM Devices: Chrome. Limitation: Safari for iOS 13 is not supported. Supported Browsers Supported Browsers ? WebViewer Access You can access the WebViewer1 application using a standard internet browser through any desktop and mobile device, including your phone. Standard Web browser No license required Zero footprint Open/view patient studies Review images Reports can be viewed (as a PDF), but there is no reporting or worksheet functionality The content of the screen displayed depends on the available screen real estate. Supported Browsers Supported Browsers 1 Images are additionally compressed in WebViewer. This application is not for diagnostic viewing/reading. WebViewer Access Audio text [sd_va40e_wp_60_webviewer-access.wav] You can access the WebViewer application using a standard internet browser through any desktop and mobile device, including your phone. The content of the screen displayed depends on the available screen real estate. Windows 10 Devices: Microsoft Edge (Win10, Chromium based [i.e., version 80 and above]). Google Chrome. iOS Devices: Safari. Android Devices: Chrome. Limitation: Safari for iOS 13 is not supported. Supported Browsers Supported Browsers ? WebViewer Study List The Study List column size can be changed by dragging the column separator. The Study List columns can be sorted by clicking on a column header. To sort in the opposite direction, click the header again. The sort order is remembered as your preference. The Study List contains a PDF column allowing you to view the report in a PDF window. WebViewer Study List Audio text [sd_va40e_wp_61_webviewer-studylist.wav] The study list of the Webviewer can be organized in a similar manner as on the Workplace. The columns are configured per user and spans all deployments. If you change the visible columns in the Webviewer, these are displayed when you open the Workplace application. Please note: the Column Chooser is not available when accessing WebViewer on a cell phone. The Column Chooser is available on iPads in landscape orientation but is not available in portrait orientation. The Study List column size can be changed by dragging the column separator. The Study List columns can be sorted by clicking on a column header. To sort in the opposite direction, click the header again. The sort order is remembered as your preference. Sorting is not supported for the following columns: PDF, Indication, Study Location, Prior Studies, Diagnosis. As on the Workplace, the Study List contains a PDF column in the WebViewer, allowing you to view the report in a PDF window. ? WebViewer Image Review syngo Dynamics WebViewer is designed for viewing only. Images are compressed by a lossy method. You cannot perform any measurements or make any changes to images in the WebViewer. The images are displayed in a different tab in the browser. Each image is displayed in a separate image theater. WebViewer Image Review Audio text [sd_va40e_wp_62_webviewer-image-review.wav] syngo Dynamics WebViewer is designed for viewing only. Images are compressed by a lossy method. You cannot perform any measurements or make any changes to images in the WebViewer. This application is not for diagnostic viewing/reading. The images are displayed in a different tab in the browser. Each image is displayed in a separate image theater. ? WebViewer Prior Studies You can open one prior study along with the Primary study. The prior study opens in a new tab. The Image Review pertaining to the prior study does not contain the Study List icon. Close a prior study by clicking on the close [x] button in the top right corner of the window. When you click on the close [x] button, the prior study tab is closed, and you are directed to the tab of the current study. WebViewer Prior Studies Audio text [sd_va40e_wp_63_webviewer-prior-studies.wav] You can open one prior study along with the Primary study. The prior study opens in a new tab. The Image Review pertaining to the prior study does not contain the Study List icon. Close a prior study by clicking on the close button in the top right corner of the window. When you click on the close button, the prior study tab is closed, and you are directed to the tab of the current study. WebViewer Limitations ? syngo Dynamics WebViewer* is intended for viewing images and PDF reports on mobile devices. Therefore, there are some limitations in the syngo Dynamics WebViewer in comparison to the syngo Dynamics Workplace. No reporting or worksheet access (PDF of report is available) No corner menus or tools Cannot use mouse wheel to move frozen clip frame-by-frame, must use drag with frame slider 16:1, 20:1, and Split layouts are not available You cannot view original, full DICOM images, you can only view additionally compressed images *Images are additionally compressed in WebViewer. This application is not for diagnostic viewing/reading. 1 1 2 2 1 Select step 2 to continue. WebViewer Limitations Audio text [sd_va40e_wp_64_webviewer-limitations.wav] syngo Dynamics WebViewer is intended for viewing images and PDF reports on mobile devices. Therefore, there are some limitations in the syngo Dynamics WebViewer in comparison to the syngo Dynamics Workplace. No biplane playback synchronization capability Cannot: export or Import studies view stress studies with phone or tablet; you can only view on a desktop browser view key images, but cannot add or re-arrange key images assign studies to different departments Third-party Application Launcher (3PAL) is not available If a study is orphaned in Default department, it will not be seen 1 1 2 2 2 ? Third-Party Applications Table with 3 columns and 1 rows GE EchoPAC TM V203.49 V204.x MacLab (hemo) TM V6.5 V6.8 V6.9x CardioLab (EP Prucka) TM V6.5 V6.8 V6.9 Philips QLAB TM V13.0 V15.0 V15.5 Philips Calysto Series IV TM (WITT) V7.96 V8.1 XPER TM TomTec Arena TM V2.41 V2.42 V2.5 Pie Medical CAAS TM V8.2 (values are mapped via xml) Packages offered: QCA (Quantitative Coronary Analysis) QCA3D (3D Quantitative Coronary Analysis) QVA (Quantitative Vascular Analysis) LVA (Left Ventricular Analysis) RVA (Right Ventricular Analysis) Invia Corridor 4DM TM V2018 Merge Hemo TM 10.0.x Axis Clinicals TM Cath PCI v5.x IMPACT v2.0.1 Siemens Healthineers Sensis VC12M VIBE VD11B VIBE VD12A Siemens Healthineers syngo .via VB40A HF01 VB50x Epsilon-EchoInsight Zero FootPrint TM 5.0.1.x GE Muse NX TM HillRom Mortara Report Manager TM 6.2.5.59419 Third-Party Applications Audio text [sd_va40e_wp_65_webviewer-third-party-apps.wav] syngo Dynamics supports a range of third-party software. The following third-party software versions are supported in syngo Dynamics VA40E hot fix 01. ? syngo Dynamics WebViewer syngo Dynamics Remote Workplace syngo Dynamics Workplace Course Review Congratulations. You have completed the syngo Dynamics VA40 Workplace Delta Online Training course. Select the numbered buttons below to review the material before proceeding to the final assessment. 1 1 2 2 2 3 3 Course Review syngo Dynamics WebViewer syngo Dynamics WebViewer is Read-Only. Reports can be viewed (PDF), but there is no reporting or worksheet functionality. You cannot view original, full DICOM images; you can only view additionally compressed images*. 16:1, 20:1, and Split layouts are not available in the WebViewer. No corner menus or tools. You cannot Export or Import studies. You cannot assign studies to different departments. *Images are additionally compressed in WebViewer. This application is not for diagnostic viewing/reading. syngo Dynamics Remote Workplace The following functionality is not available in Remote Workplace: Image Import/Export Study Split/Merge In VA40E and higher, the third-party Application launcher is available in the Remote Workplace. For the third-party application to launch in the Remote Workplace, the application must be installed locally, in the same directory as on your client system. 1 1 2 2 2 Select the X button to return to the overview page. syngo Dynamics Remote Workplace syngo Dynamics Remote Workplace enables you to access syngo Dynamics remotely. You can view compressed images in MP4 format with the option to view original quality full DICOM images. Remote Workplace allows users to read and report in low bandwidth environments. The Remote Workplace has full reporting and measurement capabilities. 1 1 2 2 1 Select step 2 to continue. syngo Dynamics Workplace 1 1 2 2 3 3 3 The mouse wheel can be used to navigate a clip frame-by-frame. To avoid inadvertently selecting images, you must now use Ctrl + Left-Click to select or deselect images. If you have the Cardiac Echo and/or Vascular Quantification Package, you can view and add calculations and measurements using the Calc Palette. To open the Calc Palette click the icon on either the Toolbar or from the Corner Menu. Select the X button to return to the overview page. syngo Dynamics Workplace 1 1 2 2 2 Image related tasks have been moved to the Right-Click Context Menu. Split Study and Merge Study are now available within the Study Utilities menu. Moving the mouse to the right side of an image will display the Measurement Tools in the upper right corner. Moving the mouse to the bottom of an image will display the Image Tools in the lower right corner. Tooltips provide details about each tool in corner menus. Left-Click to start and stop video clips. Select step 3 to continue. 3 3 syngo Dynamics Workplace syngo Dynamics Workplace is the full-fledged application, displaying full DICOM images. Field Search has been replaced by Advanced Search. Quick Search has been expanded to include searching by Patient Name (separated by a comma), Patient ID, MPI, Accession Number, Study Type, Date of Birth, and Study Dates. You can further filter the Quick Search results by the Last 7 days or for Today. Customizing the Study List columns can be done by utilizing the new Column Chooser functionality. 1 1 2 2 1 Select step 2 to continue. 3 3 ? 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 substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. © Siemens Healthcare GmbH 2022 Siemens Healthineers Headquarters\Siemens Healthcare GmbH\Henkestr. 127\ 91052 Erlangen, Germany\Telephone: +49 9131 84-0\siemens-healthineers.com Disclaimer Assessment Welcome to the assessment. For each question, select your answer and then select Submit. You will have 3 attempts to take this assessment and to successfully pass this course. You must receive a score of 80% or higher. You will receive your score when you have completed the assessment. Start Assessment ? Which application is the full-fledged application, displaying full DICOM images and doesn’t require an Original Quality Viewer? Question 1 of 9 Select the applicable image. Workplace Remote Workplace WebViewer Question 1 Export Images Context Menu Split Studies Worksheet ? Right-Clicking an image opens which of the following? Question 2 of 9 Select the best answer. Question 2 Ctrl + Left-Click Space Bar Ctrl + Alt + Del Right-Click ? To avoid inadvertently selecting images, you must now use which keys to select or deselect images? Question 3 of 9 Select the best answer. Question 3 Opens the Context Menu Opens the Measurement Tools Start and Stop the clip Launch third-party applications ? Left-Clicking a clip will do which of the following? Question 4 of 9 Select the best answer. Question 4 Context Menu Measurement Tools Exporting and Importing studies ? Third party application launcher Which of the following functionalities is not available in the Remote Workplace application? Question 5 of 9 Select the best answer. Question 5 syngo Dynamics WebViewer syngo Dynamics Remote Workplace ? syngo Dynamics Web Portal syngo Dynamics Web Portal syngo Dynamics Web Portal syngo Dynamics Workplace syngo Dynamics Workplace syngo Dynamics Workplace syngo Dynamics Workplace syngo Dynamics Workplace The syngo Dynamics user interface aligns all but the following: Question 6 of 9 Select the best answer. Question 6 Cardiac Vascular General ? Fetal The Calc Palette is supported for all of the following Ultrasound studies except: Question 7 of 9 Select the best answer. Question 7 Blackout Tool Conference Mode Collaboration ? No functionality available to maintain patient confidentiality For teaching or consultation purposes, you may wish to share the screen of your syngo Dynamics workplace. In order to maintain patient confidentiality, activate: Question 8 of 9 Select the best answer. Question 8 Viewing and reporting Viewing only Perform measurements ? Diagnostic use syngo Dynamics WebViewer is intended for which of the following: Question 9 of 9 Select the best answer. Question 9 Retry Assessment Results %Results.ScorePercent%% %Results.PassPercent%% Continue YOUR SCORE: PASSING SCORE: Assessment Results You have exceeded your number of assessment attempts. Exit You did not pass the course. Select Retry to continue. Congratulations. You passed the course. ? Exit To access your Certificate of Completion, select the Launch button drop down on the course overview page. You can also access the certificate from your PEPconnect transcript. You have completed the syngo Dynamics VA40 Workplace Delta Online Training. Completion Navigation Help Select the icon above to open the table of contents. Click Next to continue. Next Welcome Slide The timeline displays the slide progression. Slide the orange bar backwards to rewind the timeline. Click Next to continue. Next Tmeline Select the X to close the pop-up. Click Next to continue. Next Layer Slide Some images may have a magnifier icon. Select the image to see an enlarged view. Select it again to return to the normal view. Click Next to continue. Next Zoom Slide Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. Select the image again to return to the normal view. Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide US_sD_VA40E_OLT_WORKPLACE_ 1.1 Welcome 1.2 Navigation Hints 1.3 User Interface Design 1.4 syngo Dynamics New Features and Improvements 1.5 Single Sign-On (SSO) 1.6 Single Sign-On (SSO) Workflow 1.8 Single Sign-On Combined Login Screen 1.9 Common Study List Redesign 1.10 Quick Search 1.11 Advanced Search 1.12 Advanced Search Drop Down Menus 1.13 Column Chooser 1.14 Study List File Menus 1.15 Export Study List 1.16 Create Study 1.17 Assign Diagnosing Physician 1.18 Thumbnails 1.19 Right-Click Context Menu & Study Utilities 1.20 Corner Menus 1.21 Zoom and Pan 1.22 Calc Palette 1.23 Image Navigation (Mouse Functions) 1.24 Key Images (Method 1) 1.25 Key Images (Method 2) 1.26 Send Selected Images to Report 1.27 Mark Study as Read/Unread from Image Review 1.28 Conference Mode 1.29 Conference Mode Workflow 1.30 Monitor Switching 1.31 Monitor Switching Workflow 1.32 Stress Echo Enhancements 1.33 Stacking Stress Echo Images: New Icons 1.34 Stacking Stress Echo Images 1.35 Stress Echo Stacked Images Navigation 1.36 Edit Stress Echo 1.37 Stress Echo Edit Collaboration Mode 1.38 Pre-Procedure Reporting 1.40 Congenital Heart & Vascular Diagram 1.41 Coronary Tree Diagram 1.42 Unlocking & Locking Report 1.43 ECG Data Import 1.44 ECG Data Import: Semi-Automatic Import 1.45 ECG Data Import: Manual Import 1.46 Import FHIR Server Data into syngo Dynamics 1.47 Manual Import FHIR Server Data into syngo Dynamics 1.48 syngo Dynamics Workplace 1.49 Split Study 1.50 Merge Study 1.51 Importing Studies 1.52 Exporting Studies 1.53 Send Images to DICOM Nodes 1.54 syngo Dynamics Remote Workplace 1.55 Remote Workplace Overview 1.56 Remote Workplace Limitations 1.57 Third-Party Application Launcher 1.58 syngo Dynamics WebViewer 1.59 WebViewer Access 1.60 WebViewer Study List 1.61 WebViewer Image Review 1.62 WebViewer Prior Studies 1.63 WebViewer Limitations 1.64 Third-Party Applications 1.65 Course Review 1.66 Disclaimer 1.67 Assessment 1.73 Question 6 1.74 Question 7 1.75 Question 8 1.76 Question 9