syngo Dynamics - What's New in VA41C

SIEMENS Healthineers syngo Dynamics What’s New in VA41C Version VA41C 2024 Template Effective Date: 27 MAY 2019 | HOOD05162003010284 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 syngo Dynamics: What’s New in VA41C? SIEMENS Healthineers Table of Contents VA41C Feature Enhancements: Image Review Enhancements 5 Reporting Enhancements 13 Third-Party Applications 27 STINTi Itsal Clinical Administration 29 2 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 Introduction SIEMENS Healthineers These training slides will introduce you to the feature enhancements when updating your syngo Dynamics system to VA41C. 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: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 Find the right training for your software version SIEMENS Healthineers 1 About To learn about the changes to your system, it is ? DN ULTRASOUND / SDXAPPS - × ... syngo Dynamics version VA41C 3 User Manual ff important to know which software version was Siemens Healthcare GmbH. 2024. All rights reserved. This Application and its Documentation are c and proprietary to Siemens Healthineers and contain works by Siemens Healthineers and its supplier previously installed on your system and your current works copyright is claimed. Measurement and Calculation Manual This Application may only be used in strict accordance with the terms of the license agreement(s) tha Wo (new) software version. Release Notes accessing the OSS labeled media provided in the software media binder provided at time of Applicat Siemens Healthineers may from time to time change the number of OSS components. Siemens Hex Status in each case include the relevant license terms and conditions as part of the Documentation for Upd 2 2 or Versions. EAD About (01) 04056869984735 GTIN You can check your current software version on your (240) 11707704 MODEL (422) 840 ORIGIN US EAD PEPconnect (8012) VA41C SW-VERSION syngo Dynamics Workplace directly. Manufacturer: Siemens Healthineers Headquarters: Product Identifier: Siemens Healthcare GmbH Siemens Healthcare GmbH Product Name syngo Dynamics Henkestr. 127 Henkestr. 127 Product Version VA41C 91052 Erlangen 91052 Erlangen Germany Germany Phone: +49 9131 84-0 Build Number 40.0.0.8731 • Click on the Help menu (?) in the top right of the siemens-healthineers.com Sponsor in Australia user interface. (1) Siemens Healthcare Pty Ltd 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 Electronic Instructions for Use ionosoft • Your current syngo Dynamics Software version is doclib.siemens-healthineers.com displayed in the About section. (3) MD 2024 CE 0123 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: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 SIEMENS Healthineers syngo Dynamics VA41C Image Review Enhancements 5 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers, 2024 Flipping images (1/2) SIEMENS Healthineers 2 3 In VA41C a new tool is included in the Image Toolbar, Flip images allowing you to flip an image vertically or horizontally. (1) R Flip images horizontally vertically You can perform image flip on a single image or multiple Original images at the same time. 1 5V1 Sequoia *Cardiac- The applied image flip is maintained during the review of TIB:0.72 TIC:3.52 TIS:0.72 the current study. When you return to the Study List the MI:0.84 86fps 95% images return to their original orientation. 2D H High -6dB/DR59 UA 3 To perform image flip on a single image: • Click on the icon on the toolbar. • Select the button to flip the image horizontally (2) or vertically (3). 14cm Z 2 | | 30/30 fps 11 < > [ 30fps (100%) ] 1 Original A JPEG Lossy 35:1 T 6 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 Flipping multiple images SIEMENS Healthineers rv2 To perform image flip on multiple images: SE.0 2IT 00.F IM 2q1 28 biM H SD 86 8-03T • Select the images that you wish to flip using Ctrl + left 2à AO E AU ros mouse click. • Selected images are highlighted with a yellow border. R • Click on the icon on the toolbar on one of the selected 11 b69J MIDEA 1 30/30 fps Original A JPEG Lossy 29:1 images (an image with a yellow border). (1) 11 < > [ 30fps (100%) 1 rva SE.0 2IT EO. F IM • Select the button to flip the images horizontally or hiM H SD vertically. 8b 5- 03T DB Q2 E AU rDS • The image flip is applied to all selected images. Il b69J mqdop 4 30/30 fps A JPEG Lossy 30:1 11 < > | 30fps (100%) 7 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 Flipping images: Keyboard shortcuts SIEMENS Healthineers You can also use keyboard shortcuts to flip images. To flip the image horizontally: R R ----- Ctrl Press Ctrl + Shift on your keyboard. + Shift + < Original • • Press the Right arrow or Left arrow key on your keyboard. To flip the image vertically: R R ----- Ctrl + Shift + Press Ctrl + Shift on your keyboard. Original • • Press the Up Arrow or Down Arrow key on your keyboard. 8 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 Measurements and annotations performed in syngo Dynamics SIEMENS Healthineers All measurements and annotations applied prior to flipping the image are maintained at the correct location after the image flip. (1) 5V1 Distance - 4.41 cm Cardiac Distance - 4.41 cm TIB 0.77 TIC 3.07 TIS 0.77 MI 1.00 +3pw 699 11 65 fps 98% [VID, S] 2D H Mid TEQ -3 dB DR 65 LD 2 UA 3 Jecw 1 16cm . TDS & AU DK 22 LEÓ -3 qB SD biM H LVID, S do80 43bpm Lead II 2qt do 00. IM LIC 3 0) TT.O 2IT A JPEG Lossy 29:1 27 of 120 A JPEG Lossy 29:1 27 of 120 X T 9 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 Flipping images (2/2) SIEMENS Healthineers 2 Some images from the modality contain measurements or eepbw r699 11 annotations burned into the pixel data. . J+CW S Overlays that are burned into the pixel data are also flipped when the image is flipped. 1 This means that they may appear upside down when the & AU image is flipped vertically and read left to right when the SD 2q188 image is flipped horizontally. (1) RAO 6 CRAN 2 L12:0'15 ₱8.0:IM LIC:3'25 LIB:0'15 zednoje HTVe • Ultrasound images: The ECG is a part of the image pixel data, so the ECG is also flipped when the image is flipped. (2) • XA images: The ECG is drawn by syngo Dynamics, so the ECG is maintained in the correct orientation at the bottom of the image. (3) 3 10 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 Saving flipped images & sending to the report SIEMENS Healthineers When you save a flipped image via "Save Selected 1 Save Selected Images ... As Bitmap Images…” (1) in the Context Menu, the image flip is Print Selected Images As JPG maintained when saving images in the following formats: Delete Selected Images As DICOM Show Date/Time Information As MP4 Always Show Clip Player ToolBar (F6) As AVI • Bitmap • JPG Show Blackout Regions Select CODEC And Save As AVI • MP4 Show Overlays Copy to Clipboard • AVI Copy to Clipboard Start/Stop Clip Playback (Click/Space bar) Start/Stop Clip Playback (Click/Space bar) • Start/Stop All Clip Playback Start/Stop All Clip Playback Select All Images (Ctrl+A) Select All Images (Ctrl+A) The applied image flip is not maintained when saving Deselect All Images (Ctrl+D) Deselect All Images (Ctrl+D) images in DICOM format. When you save an image in Deselect Image (Ctrl+Click) Deselect Image (Ctrl+-Click) DICOM format, the original orientation is applied to the Save To Key Images ... Save To Key Images ... saved image. Remove From Key Images ... Remove From Key Images ... 2 Send Selected Images To Report Send Selected Images To Report Save Selected Images ... Save Selected Images ... If you send an image to the report (2) or print an image (3), Print Selected Images 3 Print Selected Images the applied image flip is maintained. Delete Selected Images Delete Selected Images 11 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 Revert to the original orientation SIEMENS Healthineers To revert your changes back to the original orientation: • Click on the icon on the toolbar. 25pbw • Click on the "Original" button. (1) • The image is displayed in the orientation sent from the modality. When you click the “Original” button on a selected image (image with a yellow border), all images that are selected are returned to the original orientation. IDS S AU To return all images to the original orientation: IFO P qR R R SD E WI J'ON • Press Ctrl + A on your keyboard to select all images. 1 Original 1120'80 5 30/30 fps JPEG Lossy 29:1 • Select the "Original" button on one of the images. IT e Alternatively, you can return to the Study List and reopen the study. 12 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 SIEMENS Healthineers syngo Dynamics VA41C Reporting Enhancements 13 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers, 2024 Worksheet context menu SIEMENS Healthineers Pt Calcs TEE LV RV LA IAS RA AOV MV TV PV | CHD Ao/PA Pericrd Other Summary PATIENT AND STUDY INFORMATION Past Medical History/Events In VA41C a new context menu is available on the worksheet Message Center (these comments are not shown on report) to navigate to other tabs in the worksheet. Patient Demographics Information Discrepancy Checker Prefix First M Last Suffix You can access the context menu from your current Pt. Name: Patient Echo Measurements MRN: demo98765432 Pt location on the worksheet, without needing to navigate Accession #: demo8787 Calcs Admission ID: TEE through the tab titles. Admission status: LV Date of Birth: 5/12/1971 Age: 048Y RV cm / in kg / lb Gender: M LA IAS Bois): m2 BP: mmHg RA Please note: This new feature does not replace the Study Information AOV NAL STUDY INFORMATION previous method of selecting tabs. You can still select tabs Study Date/Time: 12/3/2019 at 9:45:49 AM MV Carry Forward Study Type: Adult Cardiac TV PV AUC - TTE by clicking on the tab titles, if desired. Image quality: CHD Report Title: reditation Study: D Ao/PA Procedure: Pericro Indications: Other Summary Diagnosis: Comparison Teaching File Critical Results Addendum Reasons Staff/Report Recipients Additional Diagnosing Physician Requesting Physician: Send copy of report to: Send copy of report to: Interpreting Physician: Dr Cardiologist Primary Sonographer: Assisting Sonographer: 14 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 Worksheet context menu: Workflow SIEMENS Healthineers 3 Right click on a free space within the boundaries of 1 Pt Pt Calcs TEE LV RV LA IAS RA AOV MV TV PV CHD Ao/PA Pericrd Other Summary • Summary set normal the worksheet to display the context menu. Calcs Calcs NORMAL ECHOCARDIOGRAM Findings consistent with: No heart disease Hypertrophic HD TEE TEE Ischemic HD No Valvular Vegetations Pulmonary HD LV LV suggest clinical correlation Valvular HD RV HTN Heart Dx-need correlation Cardiomyopathy • The context menu displays a list of all tabs in the RV Diastolic dysfunction Marfan's syndrome 00000 worksheet. (1) LA LA SUMMARY COMMENTS ONLY (Comments below only go into the summary) IAS IAS The currently selected tab is highlighted in the RA RA • AoV NAL Aov context menu. As in previous versions, the currently MV MV selected tab is highlighted in yellow in the tab title. TV TV PV PV Comparison to Prior Study CHD Click on a tab name in the menu. (2) CHD • Ao/PA fred Ao/PA Pericrd Pericrd Recommendations Other 2 [Recommend stress or alternate evaluation Recommend LV Contrast • The selected tab displays automatically, and the Other I Recommend SBE prophylaxis Summary context menu closes. (3) Summary Recommendations: TEE yearly f/u echo preload reduction cardiology consult stress echo sleep eval antibiotic prophylaxis 15 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 Worksheet continuous scrolling (1/2) SIEMENS Healthineers In VA41C there is a new option available in the Display ? AH Administrator, Ho AdultEcho / SDXSE ... Configuration menu: “Continuous scrolling for Dual Monitor Worksheets”. Display Configuration Ao Setting unchecked (default behavior): Conference Mode Display Configuration X • The behavior of worksheet navigation remains Left click to select or deselect the monitors that will be used by the [1458 x 1003] unchanged from previous versions. You must click on syngo Dynamics application. A maximum of 2 monitors can be chosen. the tab titles to access tabs. Right click on the secondary monitor to share or unshare with the syngo.via application. Application must be restarted to reflect the saved configuration. Image Display Size Variation Setting checked: Use this setting to reduce the size of Image Display Size Variation - Max Layout (%) images displayed on the primary 25 monitor relative to images displayed in another window or monitor. Size reduction is based on percent. Values between 0% and 75% may Image Display Size Variation - All Other Layouts (%) be specified. The default value is 25 • You can scroll through the worksheet tabs using the 25%. Change the image display layout or close and reopen the study to apply the new setting. scroll bar or the middle mouse wheel on your mouse. Default Reporting Configuration Activate continuous scrolling O 1 function for Worksheets. Continuous scrolling for Worksheets Save Cancel 16 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 Worksheet continuous scrolling: Configuration Study List SIEMENS Healthineers This feature can be enabled from the Study List prior to ? AH Administrator, Ho AdultEcho / SDXSE ... opening the study or with the study open. Dual Monitor To enable the feature from the Study List: 1 Display Configuration AO Conference Mode • Open the “Display Configuration” menu. (1) Display Configuration X Left click to select or deselect the [1458 x 1003] monitors that will be used by the syngo Dynamics application. A Check mark the setting “Continuous scrolling for maximum of 2 monitors can be • chosen. Right click on the secondary Worksheets”. (2) monitor to share or unshare with the syngo.via application. Application must be restarted to reflect the saved configuration. Image Display Size Variation • Open a study and open the worksheet. Use this setting to reduce the size of Image Display Size Variation - Max Layout (%) images displayed on the primary 25 monitor relative to images displayed in another window or monitor. Size reduction is based on percent. • Continuous scrolling is enabled. Values between 0% and 75% may Image Display Size Variation - All Other Layouts (%) be specified. The default value is 25 25%. Change the image display layout or close and reopen the study to apply the new setting. Default This setting is configured per user and per client. If you Reporting Configuration would like to use this feature, you must activate this setting Activate continuous scrolling 2 Continuous scrolling for Worksheets function for Worksheets. on each client that you use. Save Cancel 17 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 Worksheet continuous scrolling: Configuration study open SIEMENS Healthineers To enable the feature with a study open: 1 2 Pt Calcs TEE LV RV LA IAS RA AOV MV TV PV CHD Ao/PA Pericrd Other Requesting Physician: Send copy of report to: • Check mark the setting “Continuous scrolling for Study List Send copy of report to: Interpreting Physician: Worksheets” in the “Display Configuration” menu. Primary Sonographer: Assisting Sonographer: Fellow 1: Fellow 2: If you enable the setting prior to opening the worksheet, Calcs Continuous Scrolling is enabled when you open the MEASUREMENTS AND CALC DATA worksheet. 2D and M-mode Doppler If you enable the setting after you have opened the worksheet, you must close and reopen the study to apply 3rd Party Applications Measurements the setting. QLab • Click on the Study List button to close the study. (1) EchoPAC • Reopen the study and the worksheet. TomTec • Continuous Scrolling is enabled. (2) Adult Echo Import View Data Set All Normal 18 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 Worksheet continuous scrolling (2/2) SIEMENS Healthineers 3 When Continuous Scrolling is enabled, a scroll bar is Pt | Calcs TEE| LV RV LA IAS RA AOV MV TV |PV |CHD |Ao/PA |Pericrd |Other Requesting Physician: displayed on the right side of the worksheet. (1) Send copy of report to: 1 Send copy of report to: Interpreting Physician: Primary Sonographer: You can navigate through the tabs with continuous Assisting Sonographer: Fellow 1: scrolling using the scroll bar or the middle mouse wheel on Fellow 2: 2 Calcs your mouse. MEASUREMENTS AND CALC DATA As you scroll through the tabs: 2D and M-mode Doppler • Tabs are divided on the worksheet with a tab heading. (2) 3rd Party Applications Measurements • The currently selected tab is highlighted yellow in the tab title. QLab • If you scroll in the middle of two tabs and content is EchoPAC visible from both tabs, both tab titles are highlighted. (3) TomTec Adult Echo Import View Data Set All Normal 19 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 Import data from GE CASE SIEMENS Healthineers Since VA40E, syngo Dynamics supports the import of ECG Licensed Features: data from Hillrom Xscribe and GE Muse. Coronary Artery Diagrams CR/DX Study Review Data Mining Application Database API In VA41C, syngo Dynamics also supports the import of ECG DICOM SR Import 1 data from GE CASE. Enhanced Data Export Enhanced HL7 1 Import Data Maclab data import As in previous versions, data import is supported from one Merge Hemo Data Import NM Study Review system per study. ECG data import is not supported for studies with Hemodynamic or EP data import. Dept.| License | Site Ids | Other Servers | Users Privileges Study Types emplates | Reports | Fax Measurements | Export | Custom ExF4|! Study Types Abdomen -Selected Study Type Info ECG data import is only possible if the Import Data license Adult Cardiac Adult Heart Name Cardiac Stress Image Layout Biopsy Broact Calc Type CARDIAC is available (1), and Import Data is configured for the Cardiac Cardiac Difficult Default Meas. Set AE 2D and Mmode Dimensions Import Hemodynamic Data Import Data Carotid study type in SysAdmin (2). Study Data Export Location 2 Cath CT Transaction Code EPS Exercise Stress HD 20 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 Import data from GE CASE: Supported measurements SIEMENS Healthineers The list of supported fields can be found in the appendix of 12.1 GE-Case the Measurements and Calculations manual. The following table lists the supported GE-Case data mappings. syngo The supported measurements are available in the Data syngo Dynamics Case Dynamics syngo Dynamics Field Case Field Unit Type Category Display Name Database Name Palette for the Cardiac Calc Type in Report Designer version Max Sys BP MaxSystolicBP mmHg Calc Stress Max Systolic BP Max_Systolic_BP_ca Ic 20.01. Max Diast BP MaxDiastolicBP mmHg Cal Stress Max Diastolic BP |Max_Diastolic_BP_c alc Max HR MaxHeartRate BPM Calc Stress sDx Max HR sDx_Max_HR_calc Echo If you would like to include the ECG data fields for GE CASE Max Predicted HR MaxPredictedHR BPM Calc Stress Max Predicted Max_Predicted_HR_ on your worksheet and report templates, you must check HR calc out your templates from SysAdmin and add the desired Standing BP Standing BP mmHg Obs Stress Standing BP Standing_BP_obs Sitting BP N/A mmHg Obs Stress Sitting BP Sitting_BP_obs fields to the worksheet and report. Supine BP Supine BP mmHg Obs Stress Supine BP Supine_BP_obs Resting BP Rest BP mmHg Obs Stress sDx Resting BP sDx_Resting_BP_ob echo S Target HR Formula TargetHRFormul unitless | Calc Stress sDx Target HR sDx_Target_HR_Cal (220-Age) *85 a Calc c calc Rest HR RestHR BPM Calc Stress sDx Resting HR sDx_Resting_HR_cal echo C Peak Ex RPP PeakExRPP unitless Calc Stress sDx Peak Double |sDx Peak_Double_ echo Product Product_obs Peak Ex METs PeakExMets MET calc Stress Peak Stress METS |Peak_Stress_METS_ calc Duke Treadmill DukeTreadmillSc |unitless |Calc Stress sDx Duke Duke_Treadmill_Sc Score ore Treadmill Score ore calc 21 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 ECG data import: Semi-automatic import SIEMENS Healthineers SIEMENS. ECG data can be imported semi-automatically, manually or Healthineers syngo Dynamics ? AH Administrator, Hospita AdultEcho / SDXSERVER Patient, ECG Data | 12345678 7/7/1980 be re-imported. Study List Stress Echo | 4/25/2023 10:36 AM Priors 4:1 Scroll Lock Split Study Calcs Thumbnails Report & Worksheet Verify 0 to 0 of 1 Physician I Pt Protocols ECG | Detailed Baseline | Echo Findings |Doppler Summary Past Medical History/Events SIEMENS CARDIOVASCULAR MEDICAL CENTER Patient Demographics Information 1234 Arbor Drive Healthineers Message Center (these comments are not shown on report) Ann Arbor, MI 48106 1 (888) 796-4639 To import the ECG data semi-automatically: Stress Echocardiogram Report Patient Information Prefix First M Last Suffix Pt. Name: ECG Data Patient Study Date: 4/25/2023 Pt. Name: ECG Data Patient Birth Date: 7/7/1980 Preli Patient MRN: 12345678 Patient Age: 42 years Accession Number: Pt. Gender: Admission ID: Confirm Data Import X Custom Field 1: If a study contains ECG data with matching patient Pt. Height: BSA (Dubois): Pt: Weight: Body Mass Index: Custom Field 2: Data has been found for ECG Data Patient with Ht: cm demographic data (patient name, patient ID, date of birth, BASELINE FINDINGS Patient ID 12345678 acquired on 04/25/2023 Age: 042Y Wt: kg / lb ? 08:23:00. BSA (DuBois): m2 ECG Data: Do you want to retrieve the data and apply it to BMI: kg/m2 gender and study date), the ECG data is matched to the this study? Max HR: 177 ADDITIONAL STUDY INFORMATION 10:36:01 AM Carry Forward study semi-automatically. Heart Rates: Max Age Predicted HR (MAPHR): 177 bpm 1 Yes No AUC - Stress Echo Target HR (85% of MAPHR): 151% Accreditation Study: Procedure: Electronically signed by on at Indications: When you open the worksheet and report, a message is Diagnosis: displayed informing you that there is data available for the Comparison Teaching File Critical Results Addendum Reasons study. Staff/Report Recipients Requesting Physician: Activate Windows Send copy of report to: Go to Settings to activate Windows. Send copy of report to: Interpretina Dhvcician. Stress Echo2 Print Preview Send to Stress Echo2 Import A View Data Set All Normal • To import the ECG data for the study, select “Yes” (1). 22 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 ECG data import workflow: Manual import SIEMENS Healthineers If the semi-automatic import is not possible, for example, if 1 Import Data the patient demographics are not matching, you can Import Electrophysiology Data manually import the ECG data. Import Hemodynamic/Sensis EP Data To import the ECG data manually: Import • Open the study to display the worksheet and the report. 2 Third Party Data File Selection * Third Party Data Import Select the data to import: • Click the Import menu at the bottom of the worksheet. ECG Data Patient, 12345678 (04/25/2023 08:23:00) • Select Import Data (1). • The “Third Party Data File Selection” dialog is displayed. Select a study from the list (2). 3 Import Cancel • Select Import (3). 23 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 ECG data import: Re-import data (1/2) SIEMENS Healthineers To re-import the ECG data: Patient ECG LV Scoring RV IVS AV Opt AOV MV PV LA RA IAS Ao/PA TV Peri Patient Demographics Information Message Center (these comments are not shown on report) You can only re-import ECG data from the same system! Patient Information Pt. Name: Pt. ID: To re-import ECG data, you must select “Import Data”, DOB: Age: 079Y Custom 1: Ht: 185 cm 73 in Gender: M Custom 2: Wt: 142.30 kg / 314 lb regardless of the previous import method (semi-automatic Carry Forward BSA (DuBois): 2 BP: or manual). Study Information Confirm Data Import X Study Type: Cardiac Study Date/Time: 5/11/2020 8:33:33 AM Accession #: • Select Import Data from the menu at the bottom of the Diagnosis: Third party data has already been imported for Indications: worksheet (1). 1 this study. Importing data again removes all Critical Findings previous data. Billing Do you want to continue? Account #: Procedure: Transaction Code: Billing ID: • A confirmation window appears, select Continue. (2) Staff Requesting Physician: 2 Continue Cancel cc: Report: cc: Report: Interpreting Physician: Michael Lloyd DO Sonographer: Fellow: Fellow: Sonographer Comments (comments below will be seen on report) TDS/Windows: Study Type Limitations: 1 Import Data Import Electrophysiology Data Import Hemodynamic/Sensis EP Data ogress Adult Echo Import & View Data A Set All Normal 24 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 ECG data import: Re-import data (2/2) SIEMENS Healthineers When re-importing data from a third-party ECG system, any Pt - Study performed on 4/25/2023 x ECG data on the syngo Dynamics worksheet or report that can be GE Case +RE imported from the third-party system is cleared before the Target HR Calc 151 bpm Max Systolic BP 192 mmHg +1 data is re-imported. Max HR 177 bpm Max Diastolic BP 88 mmHg Peak Stress HR 155 bpm Max Predicted HR 177 bpm This includes previously imported ECG data, manually Max ST in Exercise -2.65 mm Max ST in Recovery 0.30 mm entered ECG data, or any data modified on the worksheet. Close Also, data that is derived from the third-party ECG data is Nonspecific ST-T ST-T digoxin V2 refreshed automatically. V3 Prior anterior infarct III V4 Prior inferior infarct AVR V5 Prior septal infarct AVL V6 Prior lateral infarct AVF II, III and aVF DUUUUU Calculations are recalculated; data driven observations are Frequent PVCs V1 0000000 Occasional PVCs reevaluated; phrases are added, updated, and removed from Rare PVCs Ischemic change resolved in ? min A Frequent PACs 0 1 2 7 the reports. Occasional PACS Rare PACs 8 Controlled vent response 4 9 Junctional escape beats 5 O 10 O Ischemic ECG changes to summary: No arrhythmias seen during Stress OST changes persisted No corresponding WMA with ECG ECG/Stress Import Additional ECG Ischemic Changes 25 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 Coronary Tree Diagram SIEMENS Healthineers In VA41C there is a new version of the Ionosoft Coronary Stenosis Stenosis Tree Diagram, 2.3.0. Type undefined Type undefined LAD Severity 50 Severity 70 The new version includes the following enhancements: Length mm 5 Residual 10 10 V Length mm • Application-wide style enhancements on the User Pre TIMI 15 5 Pre TIMI Interface components, improving the look and Comment 20 10 Post TIMI 15 readability. Dele 25 30 Associated 20 Thrombus Enhancement of the quantitative severity and residual 35 25 Comment 30 • 40 35 picker component that allows a quick drop-down 45 Dele 40 selection of values. 50 45 Ionosoft version 2.3.0 also includes several bug fixes from previous versions. Please refer to your VA41C Release Notes for more information. 26 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 SIEMENS Healthineers syngo Dynamics VA41C Third-party Applications 27 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers, 2024 Newly supported third-party application versions SIEMENS Healthineers In VA41C, syngo Dynamics supports the following new versions for third-party integrated software: QLAB Y 1 to 4 of 79 • QLAB 15.6 QLAB QLAB :CHOPAC TOMTEC • GE CASE v6.73 DICOM HEADER READER 11.2 Corridor4DM 2024 ANALYTICS The following table contains information about the supported Corridor4DM 2024 data mappings and is inclusive of the mappings available in the prior • Corridor4DM v2024 SHARE versions. For the entire data mapping, refer to "Appendix A: Corridor4DM Complete eHEALTH Data Mappings" on page 475. The new version of Corridor4DM includes newly supported data mappings. Please refer to your syngo Dynamics syngo Dynamics Display Name syngo Dynamics Database Name Data Type Measurements and Calculations manual for the full list Stress Total Perfusion Deficit NM_Stress_Total_Perfusion_Deficit_calc measurement of supported mappings. Rest Total Perfusion Deficit NM_Rest_Total_Perfusion_Deficit_calc measurement Reversibility Total Perfusion Deficit NM_Reversibility_Total_Perfusion_Deficit_c measurement alc Ascending Aorta Calcium Score NM_Ascending_Aorta_Calcium_Score_calc measurement Please note: Corridor4DM v2018 is still supported for Descending Aorta Calcium Score NM_Descending_Aorta_Calcium_Score_calc |measurement VA41C. 28 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 SIEMENS Healthineers syngo Dynamics VA41C IT & Clinical Administration 29 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers, 2024 New modality type supported: ECG SIEMENS Healthineers Study Utilities Create New Study X In VA41C the modality type ECG is now supported. Mark Study As Read Patient Name Pref. First Middle Last Suff. Mark Study As Unread Patient ID* • syngo Dynamics can now receive orders with the Accession Number modality type of ECG. Create Study ... Compare Study Type Adult Cardiac Modality US Save Study List To File ... Study Date* US • You can now assign the modality type ECG when you XR create a new study. Assign Study to Dept Study Time MR (hh:mm:ss) * XA Import Studies To SDXSERVER NM Include Placeholder PT Export Studies To ... CR Image DX • The modality type ECG is displayed in the Study List. HD EPS |tes Required Information Delete Study ECG Create New Study Send Studies to DICOM Nodes AdultEcho / SDXSERVER Orders Report Worksheet Ass Accession # Number Of Images Study Type Modality demo343434 1 Cardiac ECG demo8787 17 Adult Cardiac US demo0234 16 Stress Echo US demo9032 20 Adult Cardiac US 30 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 New modality type supported: ECG in SysAdmin SIEMENS Healthineers In VA41C, the new modality type ECG is also available for Unspecified Study Types Assign the following study type if a study selection in SysAdmin: imports with an unspecified study type US XA • Study Types tab: You can assign a study type for CT MR imported studies with the modality ECG, when the NM study imports with an unspecified study type. (1) PT SC HD • Integration Tab: You can assign ECG as the modality EPS - X for configured third-party applications to be launched XR (CR, DX) 1 ECG Save in the Generic Launcher. (2) ew Dept Delete Dept Reload itudy Types | Templates Reports Fax Measurements |Export| Custom Export Integration Rules Engine Launcher Menu Items Command DICOM "C: \Program Files (x86)\SyngoDynamics\Utilities\DicomFileReader.exe" {ImageFileNames Text} Keywords ImageFileNamesText Insert 2 Applicable Modalities MUS MA MCT MMR MPT MEP MHD MNM EPS CR ~ DX ECG 31 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 Oracle Java replaced with open-source Java SIEMENS Healthineers In previous VA40 versions Oracle Java was required for SDXCLIENT Download + X X the Service Tools application. < G Not secure | sdxserver/sdportal/download ... Download and install the syngo Dynamics Components. 1. Click on the links below to install these components. These components must be installed only on Windows 10. o Install syngo Dynamics Client In VA41C, the Service Tools application now requires the o syngo Dynamics Client User Manual Install syngo Dynamics Report Designer o Install syngo Dynamics Data Mining Java software: Azul Zulu Java. · Install syngo Dynamics DicomFileReader 1 watall syngo Dynamics ServiceTool Client · Install Azul Zulu Java Runtime 32-bit version 8, update 392 2. After Suwenn ful installation of syngo Dynamics Client, shortcut icon wir be created on the desktop or in the Windows Start menu as syngo Dynamics Workplace" or yngo Dynamics Remote Workplace". Click on the icon to launch and use the application. Azul Zulu Java is an open-source Java software that does not require a license. This removes the license requirement for Oracle Java on the server or any clients using the Service Tools application. You can download the Azul Zulu Java software from the Software download page. (1) 32 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 Installing the Service Tools on a client SIEMENS Healthineers You must install the Azul Zulu Java software on each SDXCLIENT Download x - XE + client where the Service Tools will be installed, prior to C A Not secure | sdxserver/sdportal/download ... installing the Service Tools application. Download and install the syngo Dynamics Components. 1. Click on the links below to install these components. These components must be installed only on Windows 10. o Install syngo Dynamics Client o syngo Dynamics Client User Manual o Install syngo Dynamics Report Designer · Install syngo Dynamics Data Mining • Open the Software Download portal. o Install svnan Dynamic- Di- 1 Install syngo Dynamics ServiceTool Client · Install Azul Zulu Java Runtime 32-bit version 8, update 392 2. After successTul mpLum , enortcut icons will be created on the desktop or in the Windows Start menu as yngo Dynamics Workplace" or " syngo Dynamics Remote Workplace". Click on the icon to launch and use the application. • Download the Azul Zulu Java package. (1) • Install Azul Zulu Java. • Install the Service Tools. 2 If you try to install the Service Tools without previously syngo Dynamics Service Tools Client(VA41) X installing Azul Zulu Java, the installation fails, and an error message is displayed. (2) Java Runtime Environment (32 Bit) is not installed or outdated. Please install Azul Zulu 32bit JRE 8.0.392 OK 33 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 Installing the Service Tools on a client SIEMENS Healthineers Please note: The Service Tools will not work without SDXCLIENT Download + - X X installation of Azul Zulu Java! C A Not secure | sdxserver/sdportal/download - ... Download and install the syngo Dynamics Components. =3 1. Click on the links below to install these components. These components must be installed only on Windows 10. o Install syngo Dynamics Client If you have the Service Tools application already o syngo Dynamics Client User Manual · Install syngo Dynamics Report Designer o Install syngo Dynamics Data Mining installed on a client and you update your system to o Install svnan Dynamic Ding o Install syngo Dynamics ServiceTool Client · Install Azul Zulu Java Runtime 32-bit version 8, update 392 VA41C: 1 2. After successTurm aunas Duname Tortcut icons will be created on the desktop or in the Windows Start menu as syngo Dynamics Workplace" or " syngo Dynamics Remote Workplace". Click on the icon to launch and use the application. 1. Uninstall the Service Tools application on the client. 2. Open the Software Download portal. 3. Download the Azul Zulu Java package. (1) 4. Install Azul Zulu Java. 5. Install the Service Tools. 34 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 Azul Zulu Java: Installation steps SIEMENS Healthineers To install Azul Zulu Java: 1 16. Azul Zulu JRE 8.74.0.18 (8u392), 32-bit Setup X Welcome to the Azul Zulu JRE 8.74.0.18 (8u392), 32-bit Setup Wizard • Click on the link in the software download portal to download the software. The Setup Wizard will install Azul Zulu JRE 8.74.0.18 (Bu392), 32-bit on your computer. Click Next to continue or Cancel to exit the Setup Wizard. • Run the installation software. (1) Check that the settings Set JAVA_HOME variable and Back Next Cancel JavaSoft (Oracle) registry are enabled. If they are not enabled, the installation of the Service Tools will fail. TE Azul Zulu JRE 8.74.0.18 (8u392), 32-bit Setup 18 Azul Zulu JRE 8.74.0.18 (8u392), 32-bit Setup X X Custom Setup Custom Setup Select the way you want features to be installed. Select the way you want features to be installed. • The settings are disabled per default. (2) Click the icons in the tree below to change the way features will be installed. Click the icons in the tree below to change the way features will be installed. Azul Zulu JRE 8.74.0.18 x86 Azul Zulu JRE 8.74.0.18 x86 WW PAIN 2 x ] Set JAVA_HOME variable ......... 3 x ] JavaSoft (Oracle) registry keys Set JAVA_HOME variable • Click on the arrow in the setup window to enable the JavaSoft (Oracle) registr This feature requires 1939KB on your This feature requires OKB on your hard drive. It has 1 of 3 subfeatures hard drive. It has 0 of 3 settings. (3) selected. The subfeatures require subfeatures selected. The OKB on your hard drive. subfeatures require OKB on your hard drive. > Location: C:\Program Files (x86)\Zulu\zulu-8-jre\ Browse ... Reset Disk Usage Back Next Cancel Reset Disk Usage Back Next Cancel 35 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 Azul Zulu Java: Installation steps SIEMENS Healthineers • After Azul Zulu Java is installed, you can install the SDXCLIENT Download + - X X Service Tools from the Software download portal. (1) G A Not secure | sdxserver/sdportal/download ... Download and install the syngo Dynamics Components. 1. Click on the links below to install these components. These components must be installed only on Windows 10. When the installation is complete, a success message · Install syngo Dynamics Client • o syngo Dynamics Client User Manual · Install syngo Dynamics Report Designer is displayed. (2) · Install syngo Dynamics Data Mining o Install cunas Dunar icc Dicom CilaReader 1 o Install syngo Dynamics ServiceTool Client " Install Azul Zulu Java Runtime 32-bit version 8, update 392 2. After successful installation of syngo Dynamics Client, shortcut icons will be created on the desktop or in the Windows Start menu as syngo Dynamics Workplace" or " syngo Dynamics Remote Workplace". Click on the icon to launch and use the application. 2 16 syngo Dynamics Service Tools Client(VA41) Installation has been completed successfully. Please copy certificates "st_clientks_SERVERNAME.jks" and "st_clienttruststore_SERVERNAME.jks" from the server (before starting the application) to "C:\ProgramData\Siemens\syngoDynamics\ServiceToolClient\ssl" Finish 36 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024 SIEMENS Healthineers Please note this learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Siemens Healthineers HQ I Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com 37 Effective Date: 01 Mar 2024 | QR700005975 Unrestricted © Siemens Healthineers AG, 2024