syngo Dynamics - What's New in VA41B

SIEMENS Healthineers syngo Dynamics What’s New in VA41B Version VA41B 2023 Template Effective Date: 27 MAY 2019 | HOOD05162003010284 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 syngo Dynamics: What’s New in VA41B? SIEMENS Healthineers Table of Contents VA41B Feature Enhancements: Linking Multiple Images to an Observation 5 Phrase and Observation Link Dialog 19 Import and Display Report Data from Circle cvi42 23 Offloaded Data Base: Remove sysadmin Role Requirement 33 == =- 2 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Introduction SIEMENS Healthineers These training slides will introduce you to the feature enhancements when updating your syngo Dynamics system to VA41B. Please note: These slides are optimized for clinical and administration users and some features may not be described. Please refer to your user documentation or your Siemens Healthineers Service Representative for further information. 3 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Find the Right Training for your Software Version SIEMENS Healthineers 1 To learn about the changes to your system, it is ? DN About ULTRASOUND / SDXAPPS - × ... important to know which software version was 3 syngo Dynamics version VA41B User Manual ff Siemens Healthcare GmbH. 2023. All rights reserved. This Application and its Documentation are confi previously installed on your system and your current and proprietary to Siemens Healthineers and contain works by Siemens Healthineers and its suppliers, in Measurement and Calculation Manual works copyright is claimed. This Application may only be used in strict accordance with the terms of the license agreement(s) that ap Ra (new) software version. Release Notes The Application may contain embedded Third Party Software including Free and Open Source Softwarey Status Customer's right to use OSS delivered with the Applications is governed by the terms of the OS 2 2 About accompanying such software, such license are included as part of the Documentation and located on labeled media provided in the software media binder. The OSS is licensed to Customer royalty free; EAD You can check your current software version on your Siemens Healthineers may charge fees for reimbursement of costs in connection with complying with license terms. In the event of a conflict between the terms of an OSS license and the Agreement, theFA PEPconnect terms of the OSS license shall govern, but solely for the OSS component to which they relate. If delivery code is required by the relevant OSS license, Customer may obtain a copy of the source code for suc syngo Dynamics Workplace directly. accessing the OSS labeled media provided in the software media binder provided at time of Application purchase. Siemens Healthineers may from time to time change the number of OSS components. Siemens Healthineers will in each case include the relevant license terms and conditions as part of the Documentation for Updates, Releases or Versions. (01) 04056869984735 GTIN (240) 11707704 MODEL Click on the Help menu (?) in the top right of the (422) 840 ORIGIN US • (8012) VA41B SW-VERSION user interface. (1) Manufacturer: Siemens Healthineers Headquarters: Product Identifier: Java is a trademark of Oracle. Microsoft SQL Server 2016 (c) Microsoft Corporation. All rights reserved. • Select About. (2) Microsoft SQL Server 2019 (c) Microsoft Corporation. All rights reserved. lonosoft Inc ., Visual Cath Report is covered by U.S. Patent No. 7,949,542 ionosoft • Your current syngo Dynamics Software version is Electronic Instructions for Use lava 1 doclib.siemens-healthineers.com MD displayed in the About section. (3) E0123 2023 Please check with your System Administrator or your Siemens Healthineers Service Representative which Please note: Certain features require a license Software Version was previously installed on your and may not be available on your system. system. 4 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 SIEMENS Healthineers syngo Dynamics VA41B Link Multiple Images to an Observation 5 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Link Multiple Images to an Observation SIEMENS Healthineers Since VA40H, you can link an image to an observation that shows best the pathology that the observation describes. • In VA40H you could link one image to an observation. =_ • In VA41B this feature has been enhanced and you no A 3 now can link up to eight images to a single observation. • You can now also link images to a single value Check Box observation when it is selected. 6 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Linked Images Dialog SIEMENS Healthineers • To link images to an observation, you must first select a LV Size and Systolic Function value in the observation. (1) Size: cm 1 Normal mildly increased mild to mod increased • After you have selected an observation value, right moderately increased mouse click on the observation. The Linked Images mod to sev increased dialog is displayed. (2) severely increased decreased LV Size and Systolic Function 000000 Size: cm Systolic Fxn: 2 • When the dialog is open the observation is highlighted 3 Normal in yellow. (3) mildly increased Linked Images X mild to mod increased moderately increased mod to sev increased severely increased • You can move the Linked Images dialog to any position decreased on the screen. LV Segmental Wall Motion Diffuse Hypokinesis: O + Segments Link All Selected Images Left Ventricular Hypertrophy Link Last Selected Image Presence/Severity: 7 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Link All Selected Images SIEMENS Healthineers 1 You can select images prior to opening the Linked Cardiac 110 0.77 Bt 3.07 7150.77 Images dialog, or after you have opened the Linked Linked Images x MI 1.00 2D HMid OR 65 Images dialog. UA3 • Select images to link to the observation by pressing Ctrl on your keyboard and left mouse click on the JPEG Lossy 29:1 JPEG LOSy 30:1 Cardiac FIC 3.06 images. TIS 0.93 MI 1.20 22 1 ps 90% 2D HMid ILQ 3 JU 2 DK 65 DdB PRI 2704 Selected images are highlighted with a yellow border. Gerar M Link All Selected Images • (1) Re Windows Link Last Selected Image Settings to activate Windows. V 436pm Load E 40bpm Loud il PEG LOSEY 28:1 JPEG Lotsy 30:1 • You can link up to a maximum of eight images to an observation. Please note: If you select more than eight images, Once you have selected the desired images, click on the last eight images that you selected will be • the Link All Selected Images button in the Linked linked to the observation. Images dialog. (2) 8 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Linking Multiple Images to an Observation SIEMENS Healthineers • The image numbers linked to the observation are Linked Images × Linked Images × displayed in the Linked Images dialog. (1) 1 1 X 4 2 3 x 4 The image numbers correspond to the image number in x x • syngo Dynamics Image Review. • You can remove the link to the image by clicking on the “X” to the right of the image number. (2) • You can rearrange the order of the images in the dialog Link All Selected Images Link All Selected Images using drag and drop. (3) Link Last Selected Image Link Last Selected Image Please note: If an image is deleted after a link was created the dialog shows No Image Found, and you must remove the link manually. 9 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Link Last Selected Image SIEMENS Healthineers Linked Images X Linked Images X X • To link a single image to the observation, select an 4 X 4 image using Ctrl and left mouse click. 7 x X 2 9 x • Click on Link Last Selected Image. (1) • The newly linked single image is added to the end of the list in the dialog. (2) Link All Selected Images Link All Selected Images 1 Link Last Selected Image Link Last Selected Image • The newly added linked image is highlighted with a white border. (3) 3 Cardiac TIB 0.90 IIC 3.11 TIS 0.90 MI 1.03 40 fos H Mid ILQ 6 JU cris DR 65 LD 2 UA 3 C Mid 6 dB PRI 576 General 18cm . 40bpm Lead II 9 ! ! A JPEG Lossy 28:1 10 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Link Additional Images SIEMENS Healthineers When creating additional image links: Linked Images X Linked Images × • The previously selected images are retained and 4 X 4 x 1 1 displayed in the dialog. (1) 9 × x x x 6 x 10 x 2 • Newly added image links are added to the end of the list. (2) 11 x • This is true regardless of the method used to link images: Linked Last Selected Image or Link All Selected Link All Selected Images Link All Selected Images Images. Link Last Selected Image Link Last Selected Image Please note: You can use either method (Link All Select Images or Link Last Selected Image) or a combination of both methods to link up to eight images. 11 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Deselecting the Observation Value SIEMENS Healthineers • If you deselect the observation value, the links to the LV Size and Systolic Function images are removed. The dialog closes and the yellow 1 Size: cm outline is no longer displayed on the observation. (1) O Normal mildly increased mild to mod increased When you select a value again and right mouse click on moderately increased • the observation, the Linked Images dialog is empty. (2) mod to sev increased severely increased LV Size and Systolic Function decreased Size: cm Systolic Fxn: Normal 2 0000000 • You could use this workflow to deselect all linked mildly increased Linked Images X images and start the process to link images again. mild to mod increased moderately increased mod to sev increased severely increased decreased 0000000 LV Segmental Wall Motion Diffuse Hypokinesis: O + Segments Link All Selected Images Left Ventricular Hypertrophy Link Last Selected Image Presence/Severity: 12 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Linking Multiple Images to an Observation SIEMENS Healthineers The Linked Images dialog remains open until you Pt Calcs TEE LV RV LA IAS RA AOV Calcs TEE LV RV LA IAS RA AOV MV TV PV Ao/PA Pericrd Other Summary • LEFT VENTRICLE nmary set normal close it or clear the observation value. Contrast used: NORMAL ECHOCARDIOGRAM Fi Findings consistent with: Hypertrophic HD LV Size and Systolic Function No heart disease Ischemic HD No Valvular Vegetations It will also remain open when you navigate to other Pulmonary HD • Size: M cm O Normal [Suggest clinical correlation Valvular HD tabs. (1) O mildly increased HTN Heart Dx-need correlation Cardiomyopathy 1 O mild to mod increased O moder [Marfan's syndrome Linked Images X O mod to Linked Images X O severe 2 9 • If another tab contains the same observation, the 9 O decrea X 12 X Cavity Size-ASE cm 12 LV Segment 19 X Normal 19 yellow border is also displayed on the observation 18 x O mildly increased 18 Diffuse Hyp X X X X O mild to mod increased in that tab, when the dialog is open. (2) moderately increased Omod to sev increased O severely increased decreased Left Ventric Link All Selected Images Link All Selected Images Presenc Link Last Selected Image Link Last Selected Image Hypertr 13 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Linked Images: Orange Border SIEMENS Healthineers When you close the Linked Images dialog, the observation ! Pt | Calcs TEE LV RV LA TIAS RA |AO is displayed with an orange border, indicating that there LEFT VENTRICLE are one or more images linked. (1) Contrast used: LV Size and Systolic Function 1 Size: M cm O Normal O mildly increased O mild to mod increased O moderately increased O mod to sev increased O severely increased O decreased 14 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Navigate to the Linked Image SIEMENS Healthineers 2 Cardiac 5/1 Cardiac MIC 3,11 • You can navigate to the linked images by clicking on the TIB 0.90 TIS 0.90 MI 1.03 40 fps 49 (ps image number in the Linked Images dialog. (1) 2D H Mid H Mid ILQ 6 JU LO 6 JU DR 65 DR 65 LD 2 LD 2 UA 3 UA 3 DTI Mid DR 43 JB PRF 2175 F 22 GS 3.0 mm • The linked image is displayed in the first image viewport emis in the layout and highlighted with a white border. (2) -15 50.0 mm/s 40bpm Lead li 42bpm Lead II 9 A JPEG Lossy 28:1 10 Cardiac Cardiac TIB 0.78 TIB 0.90 HIC 2.98 HIC 3,06 TIS 0.78 TIS Q.90 Linked Images × MI 1.14 MI 1.13 37 1ps 18 fps 2D 2D H Mid H Mid ILQ / JB ILQ 6 JB DR 65 DR 65 1 LD 2 ID 2 X UA 3 UA 3 Mid X O dB RF 3541 General PRF 2784 General 19 X 18cmn 18 x Activate Windows Go to Settings to activate Windows. 44bpm Lead li 39bpm Lead A JPEG Lossy 27:1 12 A JPEG Lossy 27:1 Link All Selected Images Link Last Selected Image 15 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Navigate to Linked Image in Max Layout SIEMENS Healthineers 1 TIC 3.06 TIS 0.90 MI 1.13 18 fps 98% • You can double click on the image in image review to 2D H Mid TEQ -6 dB 42.9 cm/s DR 65 LD 2 view the linked image in Max layout. (1) UA 3 C Mid Linked Images × 0 dB PRF 2784 General 18cm . • You can then click on the image numbers in the Linked 9 X Images dialog to toggle through the linked images in 12 x 19 x Max layout. 18 x 39bRetivale @diMidows Go to Settings to activate Windows. A JPEG LONEY 27:1 5V1 Cardiac TIB 0.91 TIC 3.30 TIS 0.91 MI 1.08 Link All Selected Images 61 fps 98% 2D Link Last Selected Image H High 15 dB DR 65 LD 2 UA 2 14 cm . 51bpetivate@diHdows Go to Settings to activate Windows A JPEG LOBBY 27:1 16 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Linking Images to a Single Value Checkbox Observation SIEMENS Healthineers 2 In VA40H, it was not possible to link images to a single 1 NORMAL RV: Linked Images X value check box. RV NWV: In VA41B, the feature has been enhanced. You can now link selected images to a single value checkbox when selected. • Select the checkbox. (1) Link All Selected Images • Right mouse click on the observation to display the Linked Images dialog and to link images. (2) Link Last Selected Image Device Com Please note: If you right mouse click on a check box that is not selected, the Linked Images dialog will not open. The dialog will only open after the check box is selected. 17 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 SIEMENS Healthineers syngo Dynamics VA41B Phrase and Observation Link Dialog 18 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Phrase and Observation Link Dialog: Background SIEMENS Healthineers In syngo Dynamics reporting, there is a link between the Ao/PA |Pericrd Other Summary Report observation on the worksheet and the phrase on the Check spelling set normal LV Measurements Insert image report. Normal LV Adult NORMAL LV: Section Left Ventricle Phrases Delete section If you update a phrase on the report directly, the link LV NWV: Section sD Physician Interpretation Sections Combined Delete section between the observation on the worksheet and the phrase on the report is broken. Left Ventricle: Normal left ventricular size and wall thicknesses, with normal systolic and diastolic function. Once the link between the observation on the worksheet LV Wall Scoring: The mid anteroseptal segment and mid anterior and the phrase on the report is broken: segment are dyskinetic. The basal anteroseptal 4 segment, basal inferolateral segment, and apex are akinetic. The basal inferoseptal segment is 1 • Any additional updates to the observation on the hypokinetic. All remaining scored segments are normal. worksheet will not update the phrase on the report automatically. • You can no longer jump from the phrase in the report to the observation in the worksheet. 19 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Phrase and Observation Link Dialog VA41B SIEMENS Healthineers • In previous VA40 versions, when you updated the 1 phrase directly on the report, a confirmation dialog box was displayed. (1) Breaking a phrase/observation link × • In VA41B the dialog box is no longer displayed. Editing a phrase/observation will prevent it from automatically updating when data changes. Do you want to proceed with editing? Yes No 20 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Phrase and Observation Link Dialog VA41B SIEMENS Healthineers As in previous versions: Left Ventricle: Normal left ventricular size and wall thicknesses, with normal systolic and diastolic function. 1 • If the phrase on the report is linked to the observation LV Wall Scoring: on the worksheet, the report text is highlighted in The mid anteroseptal segment and mid anterior segment are dyskinetic. The basal anteroseptal purple. (1) segment, basal inferolateral segment, and apex 3 are akinetic. The basal inferoseptal segment is hypokinetic. All remaining scored segments are normal. • If the link between the phrase on the report and the observation on the worksheet is broken, the report text is not highlighted in purple. (2) Left Ventricle: Normal left ventricular size and wall thicknesses. 2 LV Wall Scoring: To re-establish the link, you must replace the report. (3) The mid anteroseptal segment and mid anterior • segment are dyskinetic. The basal anteroseptal 4 segment, basal inferolateral segment, and apex are akinetic. The basal inferoseptal segment is 1 Please note: This behavior already existed for hypokinetic. All remaining scored segments are normal. O measurements and definitions in previous versions. The behavior is now consistent for all updates on the report. Delete Report Clone Report in size and stru Add Report 3 Replace Report Adult Echo Adult Echo 21 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 SIEMENS Healthineers syngo Dynamics VA41B Import and Display Report Data from Circle cvi42 22 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Import and Display Report Data from Circle cvi42 SIEMENS Healthineers Circle cvi42 is a third-party application for image review and post-processing of MRI images. In VA41B Circle cvi42 can be configured to launch MRI studies from syngo Dynamics using the third-party application launcher (3PAL). Measurements taken within Circle cvi42 can also be imported into the syngo Dynamics worksheet and report. 23 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Pre-Requisites: Import & Display Report Data from Circle cvi42 SIEMENS Healthineers Prerequisites: A SpAdmin Department Settingo (iriaabend45v20) X ile Edit Help Department: LRVH New Dept Delete Dept Reload Save ✓ Circle cvi42 must be configured in SysAdmin as a third- Isers |Privileges | Study Types | Templates | Reports | Fax Measurements | Export | Custom Export Integration | Diagram Import | Sensis | Sequoia Mapping Generic Launcher Rules Engine | party application. Launcher Menu Items Command MR Circle SUID ✓ The study in syngo Dynamics must have the same Study Instance UID as the study in Circle cvi42 for the import of data to syngo Dynamics. Menu Item Label X Insert Menu Item Label MR Circle ✓ The Send XML Report button should be configured in App Cancel OK ----... 5 PCR FDX Circle cvi42. Configuring this button will allow the " use as the toolbar launch button command export of report data using one click. Enable Enhanced Capabilities "Enhanced Launcher Capabilities 3rd Party Input Directory Browse 3rd Party Output Directory Browse Close application when study is closed in syngo Dynamics Add Delete 24 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Configuration: Import & Display Report Data from Circle cvi42 SIEMENS Healthineers Circle cvi42 Configuration: Admin Department Settings (unaaben0-45v20) Edit Help nt: LRVH New Dept Delete Dept Reload Save Privileges | Study Types | Templates | Reports | Fax Measurements Export Custom Export Integration |Diagram Import | The Send XML Report button is recommended to import the Sequoia Mapping Generic Launcher Rules Engine uncher Menu Items -Command MIR Circle SUID report data from Circle cvi42 to syngo Dynamics using one click. If this button is not available, you must configure the following on Menu Item Label Insert Menu Item Label Circle cvi42: MR Circle APP Cancel OK -S CR F DX [ Use as the toolbar launch button command Enable Enhanced Capabilities Enhanced Launcher Capabilities • Go to: Preferences -> Config -> Reporting -> Configure -> 3rd Party Input Directory Browse 3rd Party Output Directory Browse Report Server Close application when study is closed in syrigo Dynamics Add Delete • Server type: Select ‘generic’ Server URL/Path: Define the directory to where the report Please note: The same directory must also be • data file should be saved. configured in the third-party application configuration in syngo Dynamics SysAdmin. 25 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Workflow: Import & Display Report Data from Circle cvi42 SIEMENS Healthineers • Click on the MRI study in the syngo Dynamics Study List. Study will not be displayed because this system does not support viewing this study type. • Please note: syngo Dynamics VA40 does not support the display of MRI images. hysician Patient Technique and Findings Recommendation Final Impression |Cardiac Assessment |Wa Patient Demographic Information Contact Information air format Insert Facility Information Here Pt. Name CardiacMR CVi42 • When you open the MRI study in image review, the 20 10 size Pt. ID cvi421234567 Accession Number Carry Forward General MR REPORT Date of Birth 1/1/1961 report and the worksheet open automatically, and a Age 057Y NAME: CardiacMR cvi42 elin Date of Service: 2/24/2018 Study Type MR Study Date/Time 2/24/2018 11:59:00 AM MRN NO.: cvi421234567 Review Date: Patient's DOB: 1/1/1961 Technologist Referring Physician splash screen is displayed stating the image type is not Patient's Age: 57 years Accession #: Refered by: Referring Phone Physician: cc: report supported. dications: tudy Type: MR cc: report Diagnosing Physician Study will not be displayed because this system does not support viewing this study type. Diagnosing Physician Technologist Sonographer Electronically Signed on at Dept. Name MRI Custom 1 demo MR Custom 2 Indications Comments (not in report) General Cardiac MR A Print Preview Send to A General Cardiac MR & Import A View Data Set All Normal 26 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Workflow: Import & Display Report Data from Circle cvi42 SIEMENS Healthineers • Click on the third-party application launcher button and select the Circle cvi42 application. • Circle cvi42 checks the Study Instance UID from syngo Dynamics. • If the provided Study Instance UID is available in Circle cvi42, Circle cvi42 launches the images. • If the provided Study Instance UID is not present, a message is displayed in Circle cvi42, that the images are not found. • Review, post-process images and perform measurements on images in Circle cvi42. Please note: Circle cvi42 accesses its own database to Source: https://marketplace.teamplay.siemens-healthineers.com/app/detail/OpenApps- Circle-CVI42?country=de&language=de launch and display MRI images. 27 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Export Report Data from Circle cvi42 SIEMENS Healthineers • While you are completing your post-processing and measurements in Circle cvi42, add the data to the report in Circle cvi42 as per your normal workflow. This is required in order to populate the worksheet and report in syngo Dynamics. • To export the report data to syngo Dynamics, click on the Send XML Report button on Circle cvi42. If you open a study directly in Circle cvi42 that is different than the study open in syngo Dynamics, • If the Study Instance UID displayed in syngo Dynamics syngo Dynamics blocks attempts to import the matches the Study Instance UID of the study displayed report data into the current study. in Circle cvi42, the report data is imported to syngo Please note: In this case, no additional message is Dynamics. displayed, the only indication is that the data is • If your worksheet and report are configured to display not imported. the Circle cvi42 data, the data is imported directly to your worksheet and report. 28 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Import & Display Report Data from Circle cvi42 SIEMENS Healthineers If you want to perform more measurements or redo a measurement: • Open the study again in Circle cvi42 and perform the measurements. • Add the data to the report as per your normal workflow in Circle cvi42. • Click on Send XML Report. • Only the newly added or updated measurement data is imported to syngo Dynamics. Source: https://marketplace.teamplay.siemens-healthineers.com/app/detail/OpenApps- Circle-CVI42?country=de&language=de 29 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Deletion of measurements in Circle cvi42 SIEMENS Healthineers • If you have previously exported the report data and later delete a measurement in Circle cvi42, the deleted measurement will not be automatically removed in syngo Dynamics. • You must manually remove the measurement data in the worksheet in syngo Dynamics. • If the link for the measurement on the worksheet and report is not broken, the report updates automatically. 30 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Configuring the Templates to Display Circle cvi42 Data SIEMENS Healthineers 1 The supported Circle cvi42 measurements are included in 18 Circle cui42 Complete Data Mappings the MRI templates in the VA41B MR factory template bundle. 18.1 Circle cvi42 The following table contains the supported Circle cvi42 5.17 data mappings and is inclusive of the mappings available in the prior versions. syngo Dynamics Variable Name |syngo Dynamics Display Name |Unit Circle cvi42 Variable SAX Function - LV If your templates are already installed, you must check out SDx LV_EDV_SAX_MRI_calc sDx LV EDV, SAX MRI ml EDVILV sDx LV_ESV_SAX MRI_calc sDx LV ESV, SAX MRI ml ESVILV your templates from SysAdmin and manually configure the sDx LV_SV_SAX MRI calc sDx LV SV, SAX MRI ml SVILV sDx LV EF SAX MRI calc sDx LV EF, SAX MRI % EF/LV Circle cvi42 data on your worksheet and report templates in sDx LV CO SAX MRI calc sDx LV CO, SAX MRI Imin OILV sDx LV CI SAX MRI calc sDx LV CI, SAX MRI l/min/m2 CI/LV Report Designer. sDx LV HR SAX MRI calc sDx LV HR, SAX MRI bpm HR/LV sDx LV Mass_d SAX MRI calc sDx LV Mass d, SAX MRI MyoMass_diast/LV sDx LV Mass s SAX MRI calc sDx LV Mass s, SAX MRI MyoMass_syst/LV sDx LAXCorrection_MRI_txt sDx LaxCorrection MRI check box LaxCorrection selected or A list of the supported data mappings from Circle cvi42 is check box not selected available in the Measurements and Calculations operator sDx ExcludePapillary_MRI_txt sDx ExcludePap MRI check box ExcludePap selected or check box manual. (1) not selected SAX Function -RV sDx RV EDV SAX MRI calc sDx RV EDV, SAX MRI ml EDV/RV sDx RV ESV SAX MRI calc sDx RV ESV, SAX MRI ml ESV/RV sDx RV EF SAX MRI calc sDx RV EF, SAX MRI EF/RV sDx RV SV SAX MRI calc sDx RV SV, SAX MRI ml SVIRV sDx RV HR SAX MRI calc sDx RV HR, SAX MRI bpm HR/RV sDx RV_CO_SAX_MRI_calc sDx RV CO, SAX MRI /min COIRV sDx RV_CI_SAX_MRI calc SDx RV CI, SAX MRI l/min/m2 CI/RV 31 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 SIEMENS Healthineers syngo Dynamics VA41B Offloaded Data Base: Remove sysadmin Role Requirement 32 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Offloaded Data Base: Remove sysadmin Role Requirement SIEMENS Healthineers The sysadmin server role is no longer required for SQL For systems already installed to an offloaded DB prior to users in an offloaded database (DB) for installation, VA41B: update and functioning of syngo Dynamics VA41B. • No changes are automatically made to any DB users • This only affects offloaded DB installations, local DB during the VA41B update. installations remain unchanged. • You will need to manually remove the sysadmin role if • The removal of this requirement removes unnecessary required. privileges from syngo Dynamics DB users. • You need to add new roles and permissions. 33 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Offloaded Data Base: Remove sysadmin Role Requirement SIEMENS Healthineers Prior to VA41B Update Post VA41B Update Select a page CT Script - ? Help Select a page General { Script ~ ? Help General Server Roles Server Roles User Mapping Server role is used to User Mapping Server role is used to g Securables Securables Status Server roles: Status Server roles: bulkadmin bulkadmin dbcreator dbcreator diskadmin diskadmin processadmin processadmin public public securityadmin securityadmin serveradmin serveradmin setupadmin setupadmin sysadmin sysadmin 34 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Offloaded Data Base: Remove sysadmin Role Requirement SIEMENS Healthineers The Installation user account is used for installing updates syngo Dynamics administrative users can be used by and for general service tasks. service with the below permissions. Privileges Required: Privileges Required: • CREATE ANY DATABASE • ALTER ANY LOGIN • CONNECT SQL • VIEW SERVER STATE • ALTER ANY LOGIN • VIEW ANY DEFINITION • ALTER TRACE Master and MSDB database specific role: Master and MSDB database specific roles: • db_datareader • db_datareader • db_datawriter AcusonDB and mvf database specific role: AcusonDB and mvf database specific role: • db_owner • ‘sd_datareadwrite’ • New role in VA41B • Grants Read, Write, and Execute permissions 35 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 Offloaded Data Base: Remove sysadmin Role Requirement SIEMENS Healthineers The Server Verifier Tool validates if the The Update Installer will prompt the user if The Check Connection tool in the Server current user has sufficient privileges in the insufficient DB permissions are detected. Configuration Tool can be used to check the offloaded SQL instance to proceed with the current user privileges. (1) installation. VA41 syngo Dynamics Hardware and Software Verifier x Required SQL Privileges and Roles Check × syngo Dynamics Healthineers Configuration Tool: Fail This machine fails to meet the minimum requirements to run syngo Dynamics server. Some syngo This application configures syngo Dynamics and the computer it runs on to execute properly Dynamics functions will not be available or will run sub-optimally. The following SQL permissions and/or roles are missing at the V Memory Current SQL Server Configuration Info: SQL database server: Permission: ALTER ANY LOGIN. Enterprise |Status Update |Active Directory |System Users |Server Notifications |Study List Query |EHS -Description: XP_CmdShell: false, Requirement: false Named Pipes Connectiable: true, Requirement: true Permission: ALTER TRACE. Role: db_datareader on master. Department Mapping |Cache Settings |SR/PR Creation |Critical Results |EMR Integration|FHIR Interface X Hard Disk Network Settings | Site License |Computer Name |Thumbnails |Stress Review|Third Party Data |Web Services Displays offloaded database server details. Consistent @@SERVERNAME Check: Role: db_datareader on msdb. Installation stopped. Database Server Operating System Expected Value: INBLRSHCPR16321 The 'Check Connection' checks Returned Value: INBLRSHCPR16321 Database Server necessary users and privileges in Powershell ExecutionPolicy @@SERVERNAME Matches: true, Requirement: true Server Name: Instance Name: MSSQLSERVER Port: 1433 the offloaded database server. Also check and display the latency between app server and database ¥ .Net Framework 4.8 Required SQL permissions at SQL database server: CONNECT SQL: true, Requirement: true OK Check Connection 1 Clear Log server. ALTER ANY LOGIN: true, Requirement: true OS Configuration ALTER TRACE: true, Requirement: true 'mvf user has below DB permissi CREATE ANY DATABASE: false, Requirement: true ¥ SQL Server AcusonDB Required SQL roles at SQL database server: msdb Msdb Datareader: true, Requirement: true mvf X SQL Server Configuration Master Datareader: true, Requirement: true 'DBAC' user has below DB permission V Data Execution Prevention Existing syngo Dynamics DB Check: sD Database Exists: false, Requirement: false AcusonDB UAC Supporting Services: MSDTC Enabled: true, Requirement: true Siemens Healthcare GmbH. 2023. All rights reserved. OK Cancel Apply Generate Report Cancel OK 36 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023 SIEMENS Healthineers 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. 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. Copyright © Siemens Healthcare GmbH 2023 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers 37 Effective Date: 14 JUL 2023 | HOOD05162003363814 Unrestricted © Siemens Healthineers, 2023