syngo Dynamics - What´s New in VA40E

SIEMENS Healthineers syngo Dynamics What’s New in VA40E? Version VA40E_HF01 2022 Template Effective Date: 27 MAY 2019 | HOOD05162003010284 Job Aid Effective Date: 24 MAY 2022 | HOOD05162003276988 Unrestricted © Siemens Healthineers, 2022 syngo Dynamics: What’s New in VA40E? SIEMENS Healthineers Table of Contents VA40E Feature Enhancements: Feature Enhancements User Interface 5 Feature Enhancements Workplace 8 Feature Enhancements Reporting 34 Feature Enhancements Remote Workplace 51 --- Feature Enhancements Clinical Administration 54 - Third Party Applications 78 2 Effective Date: 24 MAY 2022 | HOOD05162003276988 Unrestricted © Siemens Healthineers, 2022 Introduction SIEMENS Healthineers These training slides will introduce you to the feature enhancements when updating your syngo Dynamics system from VA40D to VA40E. The information includes VA40 enhancements up to and including VA40E. 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: 24 MAY 2022 | HOOD05162003276988 Unrestricted © Siemens Healthineers, 2022 Find the Right Training for Your Software Version SIEMENS Healthineers 1 ? DN ULTRASOUND / SDXAPPS - X To learn about the changes to your system, it is important ff About X User Manual to know which software version was previously installed 3 syngo Dynamics version VA40E Measurement and Calculation Manual @ Siemens Healthcare GmbH. 2022. All rights reserved. This Application and its Documentation are confidential on your system and your current (new) software version. and proprietary to Siemens Healthineers and contain works by Siemens Healthineers and its suppliers, in which Wo works copyright is claimed. Release Notes This Application may only be used in strict accordance with the terms of the license agreement(s) that apply to it. 2 About The Application may contain embedded Third Party Software including Free and Open Source Software ("OSS"). You can check your current software version on your Customer's right to use OSS delivered with the Applications is governed by the terms of the OSS license accompanying such software, such license are included as part of the Documentation and located on the OSS labeled media provided in the software media binder. The OSS is licensed to Customer royalty free; however, PEPconnect Siemens Healthineers may charge fees for reimbursement of costs in connection with complying with the OSS :C syngo Dynamics Workplace directly. license terms. In the event of a conflict between the terms of an OSS license and the Agreement, the relevant terms of the OSS license shall govern, but solely for the OSS component to which they relate. If delivery of source code is required by the relevant OSS license, Customer may obtain a copy of the source code for such OSS by 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. Click on the Help menu (?) in the top right of the (01) 04056869287362 GTIN • (240) 11552312 MODEL (422) 840 ORIGIN US (8012) VA40E SW-VERSION user interface (1) Manufacturer: Siemens Healthineers Headquarters: Product Identifier: Select About (2) Java is a trademark of Oracle. • Microsoft SQL Server 2016 (c) Microsoft Corporation. All rights reserved. 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 • Your current syngo Dynamics Software version is ionosoft lavar Electronic Instructions for Use MD displayed in the About section (3) dib.siemens-healthincess.com CE 0123 2022 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 system. and may not be available on your system. 4 Effective Date: 24 MAY 2022 | HOOD05162003276988 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers syngo Dynamics VA40E Feature Enhancements User Interface 5 Effective Date: 24 MAY 2022 | HOOD05162003276988 Unrestricted © Siemens Healthineers, 2022 Siemens Healthineers User Interface (Shui®) SIEMENS Healthineers In syngo Dynamics VA40E, the user interface and color SIEMENS syngo Dynamics DN ULTRASOUND / SDXAPPS Echo, Patient | 323265 1/1/1970 (M) Study List Adult Cardiac | 4/22/2020 12:05 PM Prices 4:1 Scroll Lock Report Worksheet scheme has been updated to the Siemens Healthineers 1 to 4 of 16 Acult Edrp Adu't Ecte Ti Power te's User Interface (Shui®). TID DA TO 07 OTCE Mod THIP 33 MHZ TH 17 MHE The updated user interface color scheme harmonizes with Siemens Healthineers products across the portfolio, A JPEG LOWY 15:5 2 delivering a consistent user experience. THE 0.4 TIB BA TEDA OTCE Med DTCE Mod Dyn il 67.dB THI ZT MHZ 4 dH The update of the user interface does not impact the location and functionality of previously known features, the impact is on the appearance of features. 6 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 Siemens Healthineers User Interface (Shui®) Icons SIEMENS Healthineers As part of the update of syngo Dynamics to the Siemens Healthineers User Interface (Shui®), the desktop shortcut icons are also updated. SysAdmin Report Data Mining The color change has been updated and the images on Designer VA40E the tools have been improved to help better identify the applications. syngo HL7 Dynamic ... syngo Dynamic ... Reconciliati 7 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers syngo Dynamics VA40E Feature Enhancements Workplace 8 Effective Date: 24 MAY 2022 | HOOD05162003276988 Unrestricted © Siemens Healthineers, 2022 PEPconnect Link SIEMENS Healthineers SIEMENS Healthineers PEPconnect PEPconnect is the Siemens Healthineers customer online ? DN X Home Education Catalog ULTRASOUND / SDXAPPS ... education platform. Here you can access training syngo Dynamics - CVIS User Manual Type Of: All Language: English v Filter By Title: Enter text materials for your syngo Dynamics system. Measurement and Calculation Manual Events Upgrade (Delta Training) General Functions & Features Reporting Gene Wor Release Notes Events To ensure that you can easily access the platform, in Status AD About VA40E a link to PEPconnect is incorporated directly in AD 1 PEPconnect Virtual Classroom Ask-the-Experts - virtual live sessions the syngo Dynamics user interface (1). Medical Imaging and Therapy Do you have difficulties remembering how to adapt specific workflow settings or perform particular quantificatio ... 0 0 44 Please note: A connection from your Workplace to the internet is required in order to access PEPconnect. In the case of no internet connect, a browser error is displayed. 9 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 PEPconnect Link SIEMENS Healthineers 1 • Click on the ? in the top right of your workplace user SIEMENS Healthineers PEPconnect ? DN interface (1). ULTRASOUND / SDXAPPS X Home Education Catalog v User Manual fif syngo Dynamics - CVIS Type Of: All Language: English Filter By Title: Enter text Measurement and Calculation Manual Click on PEPconnect in the Help menu (2). Wor Events Upgrade (Delta Training) General Functions & Features Reporting Gene • Release Notes Status Events About AD • You are automatically directed to the syngo Dynamics AD 2 PEPconnect Virtual Classroom training area in PEPconnect. Ask-the-Experts - virtual live sessions Medical Imaging and Therapy Do you have difficulties remembering how to adapt specific workflow settings or Click on the desired training. Login perform particular quantificatio ... • The action you are attempting to take requires you to login. Please follow the login instructions below or select the "Cancel" button. . 0 144 • Please note: You must enter your user name and E-mail password to access the training content. Password Forgot password? 3 Register Log In • If required, click on Register to register an account (3). Additional login options Healthineers ID Cance 10 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 Enhanced Reference Lines SIEMENS Healthineers In VA40E, when you select the Doppler Velocity Caliper, Velocity = 0.59 m/s the Doppler Distance and M-mode distance measurement PG = 1.4 mmHg 2 Velocity = 0.32 m/s PG = 0.4 mmHg tools, vertical & horizontal reference lines are now B Velocity - 0,30 m/s 54.5 PG = 0.4 mmHg displayed to help guide you with the placement of the MI 1.02 TIS 0.5 TIB 0.5 measurement points. 2.5 MHZ 3541 Hz Flow Med -1 dB 17 fps The vertical & horizontal reference lines align with tool 40 bpm 18 cm navigation, typically seen in ultrasound systems. 163 mm 54.5 cm/s - -80 The vertical & horizontal reference lines are supported .60 for the following tools: 40 720 cm/s • Doppler: Line and Velocity measurement tools. .20 40 • M-mode: Line measurement tool. Please note: The reference lines are not displayed when using the trace tool in Doppler images. 11 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 Heart Rate Calculation in Doppler Images SIEMENS Healthineers Velocity = 0.59 m/s PG = 1.4 mmitg Velocity = 0.32 m/s PG = 0.4 mmHg delta V = 001 me 54.5 delta T = 1522.05 mec Slope = 0.01 m/2 PVT = 16332 msec In previous software versions, the Heart Rate was only 1 5631585 HR - 39 bom Velocity = 0.25 m/s PG = 0.3 mmHg .1 dB calculated and displayed in M-mode using the Line tool: 17 fps 40 bpm 18 cm 163 mm In VA40E, the Heart Rate is also calculated and displayed for Doppler images when using the Line tool. 2 0.21 cm HR = 43 bpm The heart rate appears automatically in the Data Display delta T = 1405:29 msec Slope = 0.15 cm/s Adult Echo Tx Power 100% Box (DDB) (1), no additional configuration is required. MI 0.95 TIB 0.7 THI F 3.7 MHZ 2 dB 45 fps 43 bpm 15 cm Please note: The Heart Rate Calculation is not mapped to the Calc Palette or the Worksheet template. BYTZOO 12 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 Heart Rate Calculation in Doppler Images: Workflow SIEMENS Healthineers 1. Position the caliper at the first endpoint of the Velocity = 0.59 m/s distance you wish to measure. PG = 1.4 mmHg 12 Velocity = 0.32 m/s PG = 0.4 mmHg 3 mit Echo delta V = 0.01 m/s 54.5 Power delta T = 1522.05 msec 2. Click the mouse button once to assign the first MI 1.02 Slope = 0.01 m/s2 PV2T = 16332 msec Deceleration Time = 56315.85 msec endpoint. HR = 39 bpm Velocity = 0.28 m/s PG = 0.3 mmHg -1 dB 17 fps 40 bpm 3. Click the mouse button again to assign the location 18 cm 163 mm 54.5 cm/s of the second endpoint. 80 -60 Alternatively, you can draw the line by clicking down on 40 the first endpoint and dragging to the second. 20 cm/s 4. Reposition the line by dragging the endpoints with -20 the mouse. 40 13 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 New Measurement Tool Indicator SIEMENS Healthineers 1 In VA40, the measurement tools are located by moving your mouse cursor to the top right corner of the image segment. 54.5 To help you find the measurement tools more easily, in VA40E, a new indicator is displayed on the image segment to highlight the location of the tools (1). 54.5 cm/s The indicator is displayed for the image segment in which you currently have your cursor positioned. Move your mouse cursor to the indicator to display the 18 cm measurement tools available for the image type. 40 30/30 fps 11 < > [ 30fps (100%) A JPEG Lossy 11:1 YTTO e 14 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 Calc Palette Measurement Display Enhancement SIEMENS Healthineers In VA40, when you click on a measurement in the Calc Palette, all IVS d, 2D measurement instances are displayed at the top of the Calc palette (1). 1 IVS d, 2D 1.48 2.00 0.95 cm Calc Package & Measurement Sets Basic Dimensions When there are multiple measurement instances, and they exceed the Search ... X width of the Calc Palette, a scroll bar is displayed and you can use the RV d, Mmode scroll bar to display additional measurements. IVS d, Mmode 0.93 cm LV d, Mmode 5.20 cm In previous versions, if a measurement was deleted, a blank space was LVPW d, Mmode 1.00 cm RV s, Mmode maintained in the position of the measurement. IVS s, Mmode LV s, Mmode In VA40E, the space for unused measurements has been collapsed to a LVPW s, Mmode MV EF slope smaller segment, minimizing the space, and reducing the necessity for a MV EPSS scroll bar. AOV Cusp sep LA diam s, Mmode Ao diam d, Mmode If new measurements are taken, they replace blank spaces left by the LV ET, Mmode deleted measurements. RV d, 2D IVS d, 20 1.48 cm LV d, 2D 4.77 cm LVPW d, 2D 0.97 cm 15 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 Closing Comparison Studies SIEMENS Healthineers With the update to the Siemens Healthineers User Interface (Shui®) the patient banner is updated and is displayed in a tab title on the left of the study segment. 1 In previous versions, you click on the cross in the top right Vascular, Patient | 875421 X corner to close a comparison study. Lower arterial | 4/22/2020 1:51 PM 1 to 1 of 12 In VA40E, the cross to close the comparison study is in the patient banner (1). • Click on the cross to close the comparison study (1). • The primary study remains available for image review. 16 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 Stress Echo Workflow Enhancements SIEMENS Healthineers Since VA40C, enhancements to stress echo image display allow you to edit the labels on stress echo images in Impost syngo Dynamics. Rest Impost Non Stress In VA40E stress echo image display is further enhanced. It is now possible to label an image as Non-Stress from the stress echo icon directly, for example, if an image was incorrectly labelled as a Stress image. • Right click on the stress echo icon. • Select Non-Stress from either the Stage or View drop down menu. • Select the Refresh icon. 17 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 Stress Echo Workflow Enhancements SIEMENS Healthineers The image is moved from the previously assigned 1 stage/view to the non-stress images, based on the time Non-Stil and date stamp (acquisition order). 2 Reset to A yellow border appears around the Stress icon, indicating that the image label was manually updated (1). • Right click on the icon to display the current labels. • Both the stage and the view labels are updated to Non-Stress regardless of the label that you changed (stage/view). • To revert the changes, click on “Reset to…” in the menu (2). 18 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 Measurement Set Improvements SIEMENS Healthineers IVS d, 2D IVS d, 2D 1.76 2.00 1.52 cm Prior to VA40E, a maximum of 32 measurements could Calcs Calc Package & Measurement Sets be added to a measurement set in the Calc Palette. Adults Search ... x Y In VA40E, it is now possible to add more than 32 Adults RV d, 2D measurements to the measurement set. There is no IVS d, 2D 1.76 cm configured limit for the number of measurement sets LV d, 2D 3.82 cm that can be added, it has been tested with up to 200 LVPW d, 2D 1.79 cm IVS s, 2D measurements. LV s, 20 3.27 cm LVPW s, 2D The measurements that appear in the Calc Palette in the Ao Root d, 2D LV area d, A4C 39.26 cm2 user interface are configured in SysAdmin. O LV area s, A4C LV area d, A2C For more information regarding the configuration of the LV area s, A2C V. LA area d, A4C measurements, please refer to the Clinical 2. LA area s, A4C Administration section of this PDF job aid. RA area d, A4C CZ. RA area s, A4C AOV VTI VZ. LVOT VTI 19 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 ECG Data Import SIEMENS Healthineers In VA40E, Electrocardiogram (ECG) data can be imported Physician Patient ECG LV Scoring RV IVS AV Opt AoV MV PV LA RA IAS Ao/PA TV Peri C ECG Hill Rom & Muse SIEMENS CARDIOVASCULAR MEDICAL CENTER A from supported ECG systems, for display in Worksheet and 1234 Arbor Dr. Max Systolic BP 190 mmHg Exercise Protocol Healthineers Ann Arbor, MI 48106 1 (888) 796-4639 Max Diastolic BP 80 mmHg Exercise Duration TRANSTHORACIC ECHOCARDIOGRAM REPORT Max HR 141 bpm PVC Count Report templates. Max Predicted HR 141 bpm Treadmill Grade Name: Peak Double Product 143 Max ST elevation mm Pt. ID: DOB Age: 79 years Prelimi Gender: M Duke Treadmill Score 75 Max ST Elevation Lead Ht (cm/in): 185 cm/73 in Wt (kg/lbs): 142.30 kg/314 lb Treadmill Speed Max ST depression mm BSA: 2.60 m2 BP Custom 1: %MPHR 79 % Max ST Depression Lead Custom 2: Supported ECG Systems: Study Date/Time Interpreting Physician: ECG Muse Peak Stress METS 9 PHYSICIAN INTERPRETATION Stress peak HR 72 (%) Max Predicted HR 141 bpm Stress Peak BP systolic 256 (mmHg) Standing BP 113/79 (mmHg) Stress Peak BP diastolic 257 (mmHg) Sitting BP 114/80 (mmHg) Electronically signed on Stress Peak % HR 72 (%) at • Hillrom Xscribe Peak Stress METS 19 Stress Protocol Supine BP 115/81 (mmHg) Max ST in Recovery 98.00 mm Max Systolic BP 190 Excercise Resting BP 128/70 (mmHg) Final HR 67 bpm duration Resting HR 66 bpm Final Systolic BP 136 mmHg • GE Muse Max Diastolic BP Max HR PVC Count Peak Stress METS 9 Final Diastolic BP 70 mmHg Max Predicted HR 141 Treadmill Grade Max ST in Exercise 100.00 mm Peak Doubles Max ST elevation Product Aus Tread Duke Treadmill Score 75 Max ST Treadmill Speed depression Target HR Calc 1120 Data import is supported from one system per study. ECG %MPHR Max ST Elevation Lead Max Systolic BP 190 Treadmill data import is not supported for studies with Hemodynamic Speed Max Diastolic BP |80 Max ST Occurred in 00.00 Exercise or EP data. lax HR 14 Max ST 98.00 Occured in Max Predicted 141 Final HR 67 HR Standing BP 113/79 (mmHg) Final Systolic 136 Sitting BP 114/80 (mmHg) Final Diastolic The ECG data import is possible only if the Import Data Study is in progress Study is in progress Adult Echo Print Preview Send to Adult Echo A Import A View Data A Set All Normal license is available and Import Data is configured for the Study Type in SysAdmin. Please note: This feature requires a license For more information, please refer to the Clinical and may not be available on your system. Administrator section of this PDF job aid. 20 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 ECG Data Import: Semi-automatic Import (1/2) SIEMENS Healthineers ECG data can be imported semi-automatically, manually Physician Patient ECG LV Scoring RV IVS AV Opt AOV MV PV LA RA IAS Ao/PA TV Peri com or be re-imported. SIEMENS ECG Hill Rom & Muse CARDIOVASCULAR MEDICAL CENTER 1234 Arbor Dr. Max Systolic BP 190 mmHg Exercise Protocol Healthineers Ann Arbor, MI 48106 1 (888) 796-4639 Max Diastolic BP 80 mmHg Exercise Duration TRANSTHORACIC ECHOCARDIOGRAM REPORT Max HR 141 bpm PVC Count Max Predicted HR 141 bpm Treadmill Grade Name: Peak Double Product 143 Max ST elevation mm Pt. ID: DOB To import the ECG data semi-automatically: Age 79 years Prelimin Gender: M Duke Treadmill Score 75 Max ST Elevation Lead Ht (cm/in): 185 cm/73 in Wt (kg/lbs): 142.30 kg/314 lb Treadmill Speed Max ST depression mm BSA: 2.60 m2 BP Custom 1: %MPHR 79 % Max ST Depression Lead Custom 2 Study Date/Time: Interpreting Physician: ECG Muse If a study contains ECG data with matching patient 9 PHYSICIAN INTERPRETATION Peak Stress METS Stress peak HR 72 (%) Max Predicted HR 141 bpm Stress Peak BP systolic 256 (mmHg) demographic data (patient name, patient ID, date of Standing BP 113/79 (mmHg) Stress Peak BP diastolic 257 (mmHg) Sitting BP 114/80 (mmHg) Electronically signed on Stress Peak % HR 72 (%) at Peak Stress METS 19 Stress Protocol Supine BP 115/81 (mmHg) Max ST in Recovery 98.00 mm birth, gender and study date), the ECG data is matched Max Systolic BP 190 Excercise Resting BP 128/70 (mmHg) Final HR 67 bpm duration Max Diastolic BP 80 Resting HR 66 bpm Final Systolic BP 136 mmHg Max HR 141 PVC Count Peak Stress METS 19 Final Diastolic BP 70 mmHg to the study semi-automatically. Max Predicted HR 141 Treadmill Grade 100.00 mm Peak Doubles 143 Max ST in Exercise Max ST elevation Product Duke Treadmill Score 75 Max ST depression Treadmill Speed Target HR Calc 120 %MPHR 79 Max ST Elevation Lead Max Systolic BP 190 Treadmill Max Diastolic BP |80 Speed Max ST 100.00 Occurred in Exercise Max HR 141 Max ST 8.00 Occured in Recovery Max Predicted 141 Final HR 167 HR Standing BP 113/79 (mmHg) Final Systolic 13 Sitting BP 114/80 (mmHg) Final Diastolic 70 Study is in progress Study is in progress Adult Echo Print Preview Send to Adult Echo Import A View Data A Set All Normal 21 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 ECG Data Import: Semi-automatic Import (2/2) SIEMENS Healthineers Confirm Data Import X 2 When you open the worksheet and report, a message is Importing Data ... Data has been found for with displayed informing you that there is data available for ? Patient ID C acquired on 05/11/2020. the study. Do you want to retrieve the data and apply it to this study? • To import the ECG data for the study, select Yes (1). 1 Yes No 3 The Importing Data dialog is displayed (2). Physician Patient ECG LV Scoring RV IVS AV Opt AoV MV PV LA RA IAS Ao/PA TV Peri C • ECG Hill Rom Assessment A Max Systolic BP 190 mmHg Exercise Protocol PHYSICIAN INTERPRETATION Max Diastolic BP 80 mmHg Exercise Duration Max HR 139 bpm PVC Count Max Predicted HR 139 bpm Treadmill Grade Electronically signed on Peak Double Product 143 Max ST elevation mm a 9 Max ST Elevation Lead • If your worksheet and/or report templates are Peak Stress METS Duke Treadmill Score 75 Max Systolic BP 190 OLV NWV Contrast: Study Date/Time: LV EF BP: 74.3 % Normal Chamber Size: 5.16 cm Normal Accession # containing data, mandatory fields and out of range Diagnosis LV EF Manual: % LVPW: 1.02 cm Normal Indications measurements remain consistent with previous versions. Systolic Fxn: Sev Decreased Critical Findings Billing Account #: Procedure: Transaction Code: Billing ID: Staff Requesting Physician: cc: Report: cc: Report: Interpreting Physician Sonographer: Fellow: Fellow: 35 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 Factory Defined Values SIEMENS Healthineers Measurement Library Editor - C:\Users\student\Documents\My Templates\Siemens Healthineers Hospital - ULTRASOUND - X File Edit View Measurements and Calcs Definition - Factory Defined - In Report Designer version 16.01, any newly created Calc Type Cardiac Item Name SDx Max HR Available In Cardiac, NM, Cath Language English (United States) Display Name SDx Max HR Category Stress Echo factory defined measurements and calculations contain a Aorta Units bpm Name Stored in Database sDx_Max_HR_calc L ... sDx Ao Thoracic Pk Grad B Aortic Valve Usage Calculated prefix, sDx to the item name, display name and the data Data Context Study I .. sDx AoV Cusp sep 20 O Disable Equation [ Calculate out of range values Displayed Precision 0 @ Left Atrium base name. i ... sDx LA vol s, MOD BP B Pericardium [ Carry Forward Include in Upload sDx PE d Diam sDx PE's Diam Right Ventricle Add Input Remove Input Up Down This change impacts newly created measurements and L ... sDx RVOT Diam 1 Inputs Alias Data Name Units Data Type Min Max Stress Echo pt Pt. Age (yrs) years calc SDx Max HR calculations only. sDx Resting HR sDx Target HR Calc A period "." must be used as a decimal separator in equations, e.g. 1.5 Equation 220-pt There is no change to observation and phrase names and legacy measurements and calculations. Validate Equation OK Test Data Available equation terms: -, ! =, (, ), *, /, +, <, <= ==, >, > =, abs(), acos(), and, asin(), atan(), cos(), ctxcount(), ctxmax(), ctxmean(), ctxmin(), ctxsum(), else, elseif, exists(), heartrate(), if, is, isnot, ImsZScore, In(), log(), max(), mean(), min(), nonzerocount(), onecount(), or, pi, pow(), prior(), result, sd, sin(), sqrt(), sum(), tan(), pt Custom measurements and calculations created by users [ Allowed minimum and maximum of calculation: Create a graph for will not have the sDx prefix added. Min: bpm Max: bpm this calculation Find: sdx New Measurement Reference New Calculation < > New Category Hide 36 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 Report Verification Settings SIEMENS Healthineers The report verification behavior depends on: Page 1 of 2 SIEMENS CARDIOVASCULAR MEDICAL CENTER 1234 Arbor Drive • The settings in SysAdmin. Healthineers Ann Arbor, MI 48106 1 (888) 796-4639 TRANSESOPHAGEAL ECHOCARDIOGRAM REPORT Pt. Name: Cardiac Echo Patient Study Date: 3/15/2022 Birth Date: 6/6/1969 Patient MRN: 9865 Patient Age: 52 years Accession Number: demo9865 The Physician that is assigned as the “Diagnosing Pt. Gender: Admission ID: • Pt. Height: BSA (Dubois): Pt Weight: Blood Pressure: Physician”. Modify Study Interpretting Physician: Diagnosing Physician SUMMARY 1. Normal echocardiogram. 1 2. No evidence of ischemic, valvular, hypertrophic, or pulmonary heart Mark report "Physician as Completed Jetations. Ision. Mark report "Physician" as Verified • The Physician that is currently logged in that verifies Left Ventricle: the report. Normal left ventricular size and wall thicknesses, with normal systolic and diastolic function. ht Ventricle: Right ventricular size and systolic function are within normal limits. Left Atrium: The left atrium is normal in size and structure. Please note: In order to verify the report, the Physician Right Atrium: The right atrium is normal in size and structure. must have the required privileges assigned in Interatrial Septum: The interatrial septum appears normal and intact, with no evidence of interatrial shunting. Aortic Valve: SysAdmin. (1) The aortic valve is trileaflet and structurally normal, with normal leaflet excursion, and without any evidence of aortic stenosis or regurgitation. Mitral Valve: Structurally normal mitral valve with normal leaflet opening and closing, without any evidence of mitral Cardiac Echo Patient 9865 3/15/2022 Final 37 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E_HF01 and Higher Unrestricted © Siemens Healthineers, 2022 Report Verification Settings SIEMENS Healthineers SysAdmin Department Settings (SDXAPPS) - 0 X File Edit Help Department: AdultEcho New Dept Delete Dept Reload Save In the Reports tab in SysAdmin, there is a setting, “Verify Dept. License Site Ids | Other Servers Users Privileges |Study Types|Templates Reports Fax Measurements | Export | Custom Exp only assigned reports”. (1) Reports Export File Configuration |HL7 Report Actions Require Require Export As |Export As Export As Export As Report Type User ... Password Run Rules Lock Fax Upload PDF RTF Text OXML When selected (checked), users can only verify Physician [Completed] • Physician [Verified] 00 00 reports for which they are assigned as the “Diagnosing Physician”. • When not selected (unchecked), users can verify reports for which, they are not assigned as the Upload Report to HIS/RIS OPENLINK MILLENNIUM Append Reports on Upload “Diagnosing Physician”. Automatically mark study as read if: Report Assignment Report "Physician" is . Verified Report Types Assigned To Physician Diagnosing Physician New Type Delete Type Mark As Read Settings Display a warning if manually marking a study as read but not all of these rules have been satisfied M Require Password when study is manually marked as read M Lock the study when it is marked as read Report Verification Settings Automatically return to study list after report verified 1 Verify only assigned reports 38 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E_HF01 and Higher Unrestricted © Siemens Healthineers, 2022 Report Verification Settings SIEMENS Healthineers Additionally, there is a setting for each report type in the Reports tab, “Assign Diagnosing Physician”. (1) In previous VA40 versions, when this checkbox was selected: 3 Diagnosing Physician: Dr Smith Assign Diag. Phys. If the user was not previously assigned as the 2 Diagnosing Physician: • Dr Jones “Diagnosing Physician”: When verifying the report, the Report Verified By: Dr Jones 1 Physician would be added as a Diagnosing Physician. (2) • The originally assigned Physician would remain as the first “Diagnosing Physician”. (3) 39 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E_HF01 and Higher Unrestricted © Siemens Healthineers, 2022 Report Verification VA40E_HF01 Enhancements SIEMENS Healthineers In VA40E_HF01 and higher, if the “Assign Diagnosing Physician” checkbox is selected for the report: • The user that verifies the report is assigned as the “Diagnosing Physician”. (1) In this configuration, any diagnosing physician who is already 1 assigned but who has not verified a report in the study is Diagnosing Physician: Dr Smith Assign Diag. Diagnosing Physician: Phys. removed when the logged-in user is assigned as a diagnosing Report Verified By: Dr Smith physician. If a study contains two or more reports, the logged-in user is added as an additional diagnosing physician if a different diagnosing physician was previously set while verifying a report in the study. The following slides demonstrate the impact of these settings, based on whether a single report or multiple reports are verified. 40 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E_HF01 and Higher Unrestricted © Siemens Healthineers, 2022 Report Completion and Verification Enhancements SIEMENS Healthineers Single Report 1 Use Case 1 • One report is configured for the study type. (1) Physician • Any Physician with the required privileges Page 1 of 2 assigned, can verify a report. SIEMENS CARDIOVASCULAR MEDICAL CENTER 1234 Arbor Drive Healthineers Ann Arbor. MI 48106 • The user who verifies the report is 1 (888) 796-4639 automatically assigned as the Diagnosing NEW!!! Pt. Name: Cardiac Study Study Date: 5/16/2022 Physician in the study. If a different user was Birth Date: 12/31/1959 Patient MRN: 546454654 Patient Age: 62 years Accession Number: demo5465456 assigned as the Diagnosing Physician prior to PL Gender: M Admission ID: Pt. Height 70.9 In (180.0 cm) BSA (Dubois): 2.07 m2 report verification that user's name is replaced Pt Weight: 191.8 lb (87.0 kg) Blood Pressure: Referring Physician: Referring Physician with the logged in user's name when the report Diagnosing Physician: Dr Smith is verified. 41 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E_HF01 and Higher Unrestricted © Siemens Healthineers, 2022 Report Completion and Verification Enhancements SIEMENS Healthineers Single Report 1 SysAdmin Settings SysAdmin Department Settings (SDXAPPS) O X File Edit Help Department: AdultEcho New Dept Delete Dept Reload Save • One report type is configured. (1) Dept. | License | Site Ids | Other Servers | Users | Privileges | Study Types | Templates| Reports Fax Measurements | Export | Custom Exp Reports|Export File Configuration | HL7 | -Report Actions “Verify only assigned reports” = not checked. (2) Require Require Export As |Export As Assign Diag. • Report Type User ... Password Run Rules Lock Fax Upload PDF RTF Phys. 1 Physician [Completed] 0 Physician [Verified] 00 “Assign Diagnosing Physician” = checked. (3) 3 • Upload Report to HIS/RIS OPENLINK MILLENNIUM Append Reports on Upload Automatically mark study as read if: Report Types Report "Physician" is .......... .... Verified Physician + › New Type Delete Type Mark As Read Settings M Display a warning if manually marking a study as read but not all of these rules have been satisfied Require Password when study is manually marked as read I Lock the study when it is marked as read Report Verification Settings Automatically return to study list after report verified 2 Verify only assigned reports 42 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E_HF01 and Higher Unrestricted © Siemens Healthineers, 2022 Report Completion and Verification Enhancements SIEMENS Healthineers Single Report 1 Workflow • Dr Smith is the logged in user. (1) 1 Smith, Dr • Dr Jones is assigned as the “Diagnosing Physician”. (2) SD AdultEcho / SDXAPPS • In this set up, it is possible for the logged in user (Dr Smith) 2 Diagnosing Physician 1: Dr Jones to verify the report, even though a different diagnosing physician is assigned to the study. (3) 3 Physician Mark Current Report As Completed Mark Current Report As Verified CARDIOVASCULAR MEDICAL CENTER 1234 Arbor Drive As the setting “Assign Diagnosing Physician” is enabled in Healthineers ... Ann Arbor, MI 48106 • 1 (888) 796-4639 Verify SysAdmin, the name for the diagnosing physician is automatically updated in the report. (4) 4 Referring Physician: Referring Physician Diagnosing Physician: Dr Smith 43 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E_HF01 and Higher Unrestricted © Siemens Healthineers, 2022 Report Completion and Verification Enhancements SIEMENS Healthineers Multiple Reports 2 Use Case 1 Physician @ Physician 2 Page 1 of 2 • Two or more reports are configured for the study type. (1) SIEMENS CARDIOVASCULAR MEDICAL CENTER 1234 Arbor Drive Healthineers Ann Arbor, MI 48106 1 (888) 798-4639 • Any Physician with the required privileges NEW!!! Pt. Namo: assigned, should be able to verify any report. Cardiac Study Study Date: 5/16/2022 Birth Date: 12/31/1959 Patient MRN: 546454654 Patient Age: 62 years Accession Number: 7854798435 PL Gender: M Admission ID Pt. Height: 70.9 in (180.0 cm) BSA (Dubois): 2.07 m2 Pt: Weight: 191.8 lb (87.0 kg) Blood Pressure: - Referring Physician: Referring Physician Diagnosing Physician: Dr Smith Diagnosing Physician: Dr Jones Report Verified By: Dr Smith 44 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E_HF01 and Higher Unrestricted © Siemens Healthineers, 2022 Report Completion and Verification Enhancements SIEMENS Healthineers Multiple Reports 2 Sysadmin Settings SysAdmin Department Settings (SDXAPPS) - × File Edit Help Department: AdultEcho New Dept Delete Dept Reload Save Two or more reports are configured. (1) Users | Privileges | Study Types | Templates Reports Fax | Measurements | Export | Custom Export | Integration | Diagram Import | • Reports|Export File Configuration | HL7 Report Actions Require Require Export As |Export As Ex Assign Diag. “Verify only assigned reports” = not checked. (2) Report Type User ... Password Run Rules Lock Fax Upload PDF RTF • Physician [Completed] Phys. 1 Physician [Verified] Physician 2 [Completed] Physician 2 [Verified] 3 OOKK 0000 0000 • “Assign Diagnosing Physician” = checked. (3) Upload Report to HIS/RIS OPENLINK MILLENNIUM [Append Reports on Upload Automatically mark study as read if: Report Types Report "Physician" is Verified Report "Physician 2" is . Physician and ... Verified Physician 2 New Type Delete Type Mark As Read Settings M Display a warning if manually marking a study as read but not all of these rules have been satisfied Require Password when study is manually marked as read I Lock the study when it is marked as read Report Verification Settings Automatically return to study list after report verified 2 ............................................................... Verify only assigned reports 45 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E_HF01 and Higher Unrestricted © Siemens Healthineers, 2022 Report Completion and Verification Enhancements SIEMENS Healthineers Multiple Reports: First Report Verified 2 Workflow First Report For the first report that is verified: Smith, Dr • Dr Smith is the logged in user. (1) 1 SD AdultEcho / 5DXAPPS • Dr Jones is assigned as the Diagnosing Physician. (2) 2 Diagnosing Physician 1: Dr Jones • In this set up, it is possible for the logged in user (Dr Smith) 3 Physician to verify the report, even though a different diagnosing Mark Current Report As Completed Mark Current Report As Verified CARDIOVASCULAR MEDICAL CENTER 1234 Arbor Drive physician is assigned for the study. (3) Healthineers ... Ann Arbor, MI 48106 1 (888) 796-4639 Verify • As the setting “Assign Diagnosing Physician” is enabled in SysAdmin, the name for the Diagnosing Physician is Referring Physician: - 4 Referring Physician automatically updated as the “Diagnosing Physician” for the Diagnosing Physician: Dr Smith first report. (4) 46 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E_HF01 and Higher Unrestricted © Siemens Healthineers, 2022 Report Completion and Verification Enhancements SIEMENS Healthineers Multiple Reports: Subsequent Reports 2 Workflow subsequent reports For any subsequent reports (Report 2, 3 etc.) that are verified: 1 Diagnosing Physician 1: Dr Smith The Physician that verified the first report is maintained as 2 Diagnosing Physician 2 Dr Jones • the first “Diagnosing Physician” on the report. (1) • The Physician that verifies the subsequent report is added as an additional “Diagnosing Physician”. (2) For example, if Dr Smith verified the first report and Dr Jones is now logged in and verifies the second report, Dr Jones is added as an additional diagnosing physician. 47 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E_HF01 and Higher Unrestricted © Siemens Healthineers, 2022 Report Unlock and Relock Enhancements SIEMENS Healthineers Physician Mark Current Report As Completed Since VA40D, with the required privileges, it is possible to Mark Current Report As Verified unlock and relock the verified and locked report. (1) Unlock Current Report 1 Page 1 of 2 SIEMENS CARDIOVASCULAR MEDICAL CENTER 1234 Arbor Driva Unlocking the report, automatically marks the report as Healthineers Ann Arbor, MI 48106 1 (888) 796-4639 Unread. (2) Stress Echocardiogram Report Pt. Name: Stress Echo Study Study Date: 8/29/2018 Birth Date: 1/1/1954 Patient MRN 1234 Unlocking the report is intended for correction of minor Patient Age: 64 years Accession Number: 1234StressEcho Pt. Gender: Admission ID: changes to the report, for example, small typo corrections. PL. Height: BSA (Dubois): Pt Weight: Body Mass Index: Interpretting Physician: Diagnosing Physician For changes to the report content, you should add an Study Status addendum to the report or use the Modify Report workflow. UNREAD UNREAD UNREAD UNREAD 2 UNREAD READ UNREAD 48 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E_HF01 and Higher Unrestricted © Siemens Healthineers, 2022 Report Unlock and Relock Enhancements SIEMENS Healthineers In previous VA40 versions, when you unlocked the report, the Reverify button was active for all users with the required privileges when unlocking the report. (1) ? PC Physician, Cardiology AdultEcho / SDXAPPS - X When reverifying the report using the Reverify button, the original 1 verification time and date stamp was updated. Calcs Report & Worksheet Reverify In VA40E_HF01 and higher, the Reverify button is now only Physician enabled for the user who previously verified the report. Heal Mark Current Report As Completed Ann Arbor, MI 48106 Mark Current Report As Verified 1 (888) 796-4639 The reverify button is disabled for other users when using the Relock Current Report 2 HOCARDIOGRAM REPORT unlock report functionality. The report can only be relocked by manually selecting “Relock Report”. (2) The verification time and date stamp will remain unchanged from the original time and date stamp from the report verification. 49 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E_HF01 and Higher Unrestricted © Siemens Healthineers, 2022 Report Unlock and Relock Enhancements SIEMENS Healthineers Physician Heal Mark Current Report As Completed Ann Arbor, MI 48106 Mark Current Report As Verified 1 (888) 796-4639 To relock the report, select “Relock Current Report” in the Relock Current Report 1 report tab title. (1) HOCARDIOGRAM REPORT Cardiology Physician on 4/11/2022 at 7:53:00 AM Updating) When you relock the report, the system will also mark the Stress Echocardiogram Report study as Read based on the SysAdmin configuration. (2) Pt. Name: Stress Echo Study Study Date: 8/29/2018 Birth Date: 1/1/1954 Patient MRN: 1234 Patient Age 64 years Accession Number. 1234StressEcho After the report is relocked and the study is marked as Read, Pt. Gender: Admission ID Pt. Height: BSA (Dubois): you must manually upload the modified report. Pt: Weight: Body Mass Index: Interpretting Physician: Diagnosing Physician Study Status UNREAD UNREAD UNREAD UNREAD 2 READ READ 50 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E_HF01 and Higher Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers syngo Dynamics VA40E Remote Workplace 51 Effective Date: 24 MAY 2022 | HOOD05162003276988 Unrestricted © Siemens Healthineers, 2022 Third-Party Launcher in Remote Workplace SIEMENS Healthineers SIEMENS Healthineers .. syngo Dynamics Echo, New | 6536542564 % 12/12/1950 (F) Study List Adult Cardiac | 8/4/2020 10:09 AM Priors 4:1 Scroll Lock Mark Stu ... DICOM to 4 of 65 In VA40E it is now possible to launch configured third party applications from the Remote Workplace. 5P1 Adult Echo Tx Power 100% MI 0,00 TIS 0.4 TIB 0.4 DTCE Med Dyn R 60 GB THI 37 MHZ You launch third-party applications using the same 65 fps 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 15 CHI 1 30/30 fps A JPEG Lossy 15:1 + Additionally Compressed locally, in the same directory as on your client system. 11 < > [ 30fps (100%) ] Original SP Adult Echo Tx Power 100% MI 0.90 TIS 0.4 TI5 0.4 DICE Mod Dyn R 57 da THI 3.7 MH: 69 /ps 52 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers syngo Dynamics VA40E Feature Enhancements Clinical Administration 53 Effective Date: 24 MAY 2022 | HOOD05162003276988 Unrestricted © Siemens Healthineers, 2022 New Dedicated Manual for Client Installation SIEMENS Healthineers In VA40E, there is a new dedicated manual for software installation: Operator Manual – Software Installation Manual. You find the Software Installation Manual in the media ISO that includes the user documentation. This dedicated manual is intended to support Clinical IT Administrators when installing the following applications: • Workplace Client • ServiceTool Client • Data Mining Application • HL7 Reconciliation Tool OEM Data Import Tool syngo® Dynamics • Report Designer Operator Manual - Software Installation Manual • (Standalone) • SysAdmin VA40E • Performance Log Grabber Tool SIEMENS slemens-healthineers.com Healthineers • DICOM File Reader 54 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 syngo Dynamics XML Interface SIEMENS Healthineers An interface between syngo Dynamics and the Electronic Medical Records (EMR) system can be configured to enable One of the applications (PACS or EMR) drops an XML file in a directory that is accessible by both connectivity of the EMR and syngo Dynamics. applications. Two provided workflows: The second application continuously monitors • EMR Driven Workflow this shared directory for any new XML files. • syngo Dynamics Driven Workflow The second application reads the contents of each file, deletes the file, and takes corresponding action. 55 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 EMR Driven Workflow SIEMENS Healthineers The EMR driven XML interface enables users to log in, log EMR System syngo Dynamics out, open, and close studies in syngo Dynamics when the user performs the same events in the EMR. User Logs in Launch and Login syngo Dynamics User Opens Study syngo Dynamics opens study User Closes Study syngo Dynamics closes study User Logs Out Logout syngo Dynamics 56 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 syngo Dynamics Driven Workflow SIEMENS Healthineers The syngo Dynamics-driven XML interface enables users to syngo Dynamics EMR System log in, log out, open, and close studies in the EMR application when the user performs the same events in User Logs in Launch and Login EMR syngo Dynamics. User Opens Study EMR opens study User Closes Study EMR closes study User Logs Out Logout EMR 57 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 VA40E Enhancements EMR Driven Workflow: View Parameter SIEMENS Healthineers In VA40E there is support for View parameters for opening studies. It can be configured to automatically open the study in a particular view in syngo Dynamics, View based on the search criteria in the EMR. XML Event Study Parameter Layout Images [Default] Images only The supported study views are: • Images Report Report and • Report Images • Worksheet Study Open Worksheet Worksheet and • Report & Worksheet images For example, if you search for a patient in the EMR Report & Report and Worksheet worksheet and the view parameter Worksheet has been defined, the study opens with the Worksheet automatically opened. 58 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 VA40E Enhancements EMR Driven Workflow: Study List SIEMENS Healthineers If there is more than one potential study match for the SIEMENS Healthineers syngo Dynamics ? DN ULTRASOUND / SOXAPPS Patient Study Utilities Log off All Studies search criteria entered in the EMR, syngo Dynamics Quick Search for Patient Name, Patient ID, Accession #, Study Type, Modality, Site ID. | | | |ULTRASOUND / SDXAPPS Conflict Locked PDF Patient Name Date Of Birth Patient Id Number Of Images Accession # Study Type Diagnosing Physician Study Status Report Status Study Date Patient, Cardiac 6/17/1960 12345678 65 963963963 Adult Cardiac Doc, New UNREAD D-D 8/4/2020 10:0 Patient, Cardiac 5/23/1967 12345678 16 Adult Cardiac Physician, Cardiology UNREAD 8/4/2020 10:C displays the Study List with the list of potential matches. The Study List is limited to the search criteria entered in the EMR. Select the required study from the Study List. O Stualias Salat 59 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 VA40E Enhancements EMR Driven Workflow: Study List Button SIEMENS Healthineers In VA40E, the Return to Study List button is SIEMENS Healthineers syngo Dynamics available in image review when the study is opened R Patient, Cardiac | 12345678 6/17/1960 (M) from the Study List. Study List Adult Cardiac | 8/4/2020 10:09 AM Priors 16:1 Scroll Lock Split Study DICOM 1 to 16 of 65 When using the icon to return to the Study List, the Study List displays the previous search query results. 2 30/30 1p: A JPEG Lossy 15:1 11 < > [ 30fps (100%) 7 | 30/30 fps A JPEG Lossy 11:1 11 < > ( 30fps (100%) 60 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 VA40E Enhancements EMR Driven Workflow: Site ID SIEMENS Healthineers In VA40E, if the Site ID parameter is provided in the XML, syngo Dynamics will now use the Site ID, in addition to other search criteria, to search for the study in the EMR 1 driven workflow. No studies found with the specified search parameters or x insufficient Privileges. • If the search criteria (including the Site ID) are a direct match to a study in syngo Dynamics, the study opens automatically in syngo Dynamics. • If the search criteria (including the Site ID) are not a direct match to a study in syngo Dynamics, an error message is displayed. (1) 61 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 VA40E Enhancements EMR Driven Workflow: Verified Settings SIEMENS Healthineers 1 In previous versions, the SysAdmin configuration, Report Verification Settings “Automatically return to study list after report [Automatically return to study list after report verified verified”, was not supported for studies opened via [ Verify only assigned reports the EMR driven workflow. 2 In VA40E, this setting is now supported. When using SIEMENS Healthineers syngo Dynamics DN ULTRASOUND / SDXAPPS - X Patient Study - Utilities Log off All Studies the EMR driven workflow, if configured, the system Quick Search for Patient Name, Patient ID, Accession 8, Study Type, Modality, Site ID. | | | |ULTRASOUND / SDXAPPS Assign to Conflict Locked PDF Patient Name Date Of Birth Patient Id Number Of Images Accession # Study Type Diagnosing Physician Study Status Report Status Study Date + 7 Patient, Cardiac 6/17/1960 12345678 65 963963963 Adult Cardiac Doc, New UNREAD D-D 8/4/2020 10:0 will return to the Study List when the report is Patient, Cardiac 5/23/1967 12345678 16 Adult Cardiac Physician, Cardiology UNREAD 8/4/2020 10:C verified (2). 62 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 VA40E Enhancements: AES 256 Encryption SIEMENS Healthineers In VA40E AES 256 encryption is now supported, in addition to AES 128 encryption. The encryption type is configured in the Server Configuration Tool in the EMR Integration tab. syngo Dynamics O × Configuration Tool: This application configures syngo Dynamics and the computer it runs on to execute property Enterprise Status Update |Active Directory |Database Backup |System Users|Server Notifications Description: Study List Query DB Alerts EHS |Department Mapping Cache Settings Philips Listener SR/PR Creation Network Settings | Computer Name |Site License |Thumbnails Stress Review Thirdparty Data Web Services Read XML file from: The hospital Critical Results EMR Integration svngo.via | HL7 Interface | Rules Engine | information system (HIS) uses this location to drop the XML files used by syngo Dynamics to open and EMR Driven review studies at a workplace. Al Read XML file from: syngo Dynamics workplaces use this same path Encryption Type Encryption key: This key is used Encryption key by each syngo Dynamics workplace to decrypt the XML files generated by the HIS PACS Driven An IISreset is needed for changes Write XML file at to take effect Encryption Type NOTE: The EMR Integration tab can be edited only when Encryption key: 1. A secure connection is enabled for sDPortal 2 sDPortal as well as sDxServices are deployed on the same server Siemens Healthcare GmbH / Siemens Medical Solutions USA Incorporated. 2021. All rights reserved. OK Cancel Apply 63 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 Measurement Set Enhancements: Add Measurements SIEMENS Healthineers Ww SysAdmin Department Settings (SDXAPPS) O X File Edit Help Department: ULTRASOUND New Dept Delete Dept Reload Save Prior to VA40E, a maximum of 32 measurements could Dept. |License | Site Ids | Other Servers | Users | Privileges | Study Types | Templates | Reports | Fax Measurements |Export | Custom Exp_4 |> Measurement Set Add Instructions: be added to a measurement set in the Calc palette. Basic Dimensions Select measurement(s) from the list below and drag Valve Assessment and S Remove them onto a button on the left to make an association. Ventricular Function Dragging from a button back to the list removes the Pulmonary Veins Clone association. Dragging one button onto another causes them to swap measurement associations and coloration. AOV VTI PV VTI If there are not enough buttons to drag the In VA40E, it is now possible to add more than 32 associations over you can add more columns using the LVOT VTI RVOT VTI Add Column button. measurements to the measurement set. LVOT diam s RVOT diam s Package All Aov Area, planim RVOT PISA Radius Find LVOT PISA Radius PR PISA Radius AR DT PR VTI Abd A Abdomen There is no configured limit for the number of AR VTI PR Vmax [ ACC v5 AR PISA Radius TV VTI, annulus Anast Art Ao Aneurysm measurement sets that can be added, it has been tested MV area, planim TV VTI, Tips Aorta MV VTI, Tips TV Vmax - Aortic Valve with up to 200 measurements. ASD MV VTI, Annulus TV DT BASE Quant MV DT TR VTI HAV Opt + Bladder MV PISA Radius TV PISA Radius + Blood Pressure MR PISA Radius TR PISA Radius + Boston Z Scores CAPS Sys side VTI Pulm side VTI CHOP Sys side diam Pulm side diam Coronaries + Coronary Arteries Doppler Ductus Add Column +- ECG m-FchnVars 64 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 Measurement Set Enhancements: Add Measurements SIEMENS Healthineers Ww SysAdmin Department Settings (SDXAPPS) 0 X File Edit Help Department: ULTRASOUND New Dept Delete Dept 1 Save • You configure the measurement sets in the Dept. |License | Site Ids | Other Servers | Users | Privileges | Study Types | Templates | Reports | Fax Measurements |Export | Custom Exp_4> 2 Measurement Set Add Instructions: Measurements tab in SysAdmin (1). Basic Dimensions Select measurement(s) from the list below and drag Valve Assessment and S Remove them onto a button on the left to make an association. Ventricular Function Dragging from a button back to the list removes the Pulmonary Veins ¥ Clone association. Dragging one button onto another causes them to swap measurement associations and coloration. AOV VTI PV VTI If there are not enough buttons to drag the • Click on the measurement set in the menu (2). associations over you can add more columns using the LVOT VTI RVOT VTI Add Column button. LVOT diam s RVOT diam s Package All AoV Area, planim RVOT PISA Radius 4 Find Per default, space for 32 measurements is available. LVOT PISA Radius PR PISA Radius 2D • AR DT PR VTI Abd A Abdomen AR VTI PR Vmax ACC v5 AR PISA Radius TV VTI, annulus Anast Art #] Ao Aneurysm • To add additional measurements to the set, select MV area, planim TV VTI, Tips Aorta MV VTI, Tips TV Vmax Aortic Valve Add Column (3). O- ASD MV VTI, Annulus TV DT ASE Quant MV DT TR VTI AV Opt Bladder MV PISA Radius TV PISA Radius Blood Pressure Add the desired measurements from the menu (4). MR PISA Radius TR PISA Radius Boston Z Scores • CAPS Sys side VTI Pulm side VTI CHOP Sys side diam Pulm side diam + Coronaries Coronary Arteries Doppler +- Ductus • If you need to reposition the measurements, you 3 Add Column ECG m-FchoVars can drag and drop the measurements to the desired position. 65 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 Measurement Set Enhancements: Save Measurements SIEMENS Healthineers Ww SysAdmin Department Settings (SDXAPPS) File Edit Help 1 X Department: ULTRASOUND New Dept Delete Dept Reload Save • Select Save to save your changes (1). Dept. |License | Site Ids | Other Servers | Users | Privileges | Study Types | Templates | Reports | Fax Measurements | Export | Custom Exp_<> Measurement Set Add Instructions: Basic Dimensions Select measurement(s) from the list below and drag Valve Assessment and S Remove them onto a button on the left to make an association. Ventricular Function Dragging from a button back to the list removes the If there is an empty column at the end, this column is Pulmonary Veins Clone association. Dragging one button onto another causes • them to swap measurement associations and coloration. AOV VTI PV VTI If there are not enough buttons to drag the removed when you select Save. associations over you can add more columns using the LVOT VTI RVOT VTI Add Column button. LVOT diam s RVOT diam s Package All AoV Area, planim RVOT PISA Radius Find • If there is an empty column in between two columns, LVOT PISA Radius PR PISA Radius 2D AR DT PR VTI Abd A Abdomen this column is saved when you select Save. AR VTI PR Vmax [ ACC v5 AR PISA Radius TV VTI, annulus Anast Art Ao Aneurysm MV area, planim TV VTI, Tips Aorta MV VTI, Tips TV Vmax - Aortic Valve Please note: Empty spaces in the measurement set in O- ASD MV VTI, Annulus TV DT HASE Quant MV DT TR VTI HAV Opt SysAdmin are not reflected in the Calc Palette in the user Bladder MV PISA Radius TV PISA Radius Blood Pressure Boston Z Scores interface. MR PISA Radius TR PISA Radius CAPS Sys side VTI Pulm side VTI CHOP Sys side diam Pulm side diam Coronaries Coronary Arteries + Doppler + Ductus Add Column + ECG M-FchnVars 66 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 ECG Data Import SIEMENS Healthineers Patient ECG LV Scoring RV IVS AV Opt AoV |MV|PV LA RA IAS AO/PA TV Peri C ECG Hill Rom Assessment Max Systolic BP 190 mmHg Exercise Protocol Max Diastolic BP 80 mmHg Exercise Duration Max HR 139 bpm PVC Count In VA40E, Electrocardiogram (ECG) data can be imported Max Predicted HR 139 bpm Treadmill Grade Peak Double Product 143 Max ST elevation mm from supported ECG systems, for display in Worksheet and Duke Treadmill Score 75 Max ST Elevation Lead Treadmill Speed Max ST depression mm %MPHR 80 % Max ST Depression Lead Report templates. ECG Muse Peak Stress METS Stress peak HR 72 (%) Max Predicted HR 139 bpm Stress Peak BP systolic 256 (mmHg) Supported ECG Systems: Standing BP 123/79 (mmHg) Stress Peak BP diastolic 257 (mmHg) Sitting BP 124/80 (mmHg) Stress Peak % HR 72 (%) Supine BP 125/81 (mmHg) Max ST in Recovery 98.00 mm Resting BP 128/70 (mmHg) Final HR 67 bpm Resting HR 66 bpm Final Systolic BP 136 mmHg Hillrom Xscribe Peak Stress METS 9 Final Diastolic BP 70 mmHg • Max ST in Exercise 100.00 mm • GE Muse Please check with your Siemens Healthineers Customer Care representative for supported versions. Adult Echo Import View Data A Set All Normal Please note: This feature requires a license - and may not be available on your system. 67 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 ECG Data Import Configuration SIEMENS Healthineers Licensed Features: Coronary Artery Diagrams A CR/DX Study Review Data Mining Application Database API The ECG data import is only possible if: DICOM SR Import Enhanced Data Export Enhanced HL7 The Import Data license is available in the License tab in Import Data 1 • Maclab data import SysAdmin (1). Merge Hemo Data Import NM Study Review Dept. | License | Site Ids | Other Servers | Users | Privileges Study Types • The Study Type in the Study Types tab in SysAdmin is Templates | Reports | Fax | Measurements | Export | Custom ExF 4 |! Study Types Selected Study Type Info configured to import ECG data (2). Abdomen Adult Cardiac Adult Heart Name |Cardiac Stress Image Layout Biopsy Breast Calc Type CARDIAC Cardiac Default Meas. Set AE 2D and Mmode Dimensions Import Hemodynamic D Cardiac Difficult Carotid Import Data 2 Study Data Export Location Cath CT Transaction Code The third-party application data files can be configured to EPS Exercise Stress HD be deleted after the specified days in the syngo Dynamics Server Configuration Tool (3). Unused Hemo data files will be deleted after: 10 days Unused EP data files will be deleted after: 10 days Unused data files will be deleted after: 10 days 3 68 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 Import FHIR Server Data into syngo Dynamics SIEMENS Healthineers In VA40E, the import of data from FHIR to syngo syngo Dynamics - 0 X Dynamics is supported for the fields: Configuration Tool: This application configures syngo Dynamics and the computer it runs on to execute properly • Patient Height Enterprise Status Update |Active Directory |System Users Server Notifications Study List Query| EHS -Description: • Patient Weight Department Mapping |Cache Settings |Philips Listener |SR/PR Creation|Critical Results |EMR Integration Network Settings | Site License | Computer Name |Thumbnails |Stress Review |Third Party Data|Web Services Enable FHIR - Enables the FHIR Configuration. • Blood Pressure syngo.via |HL7 Interface FHIR Interface Rules Engine | Database Backup |DB Alerts ~Enable FHIR Server Name - Name of the FHIR server. Server Name : Cerner Resource Endpoint(URL) - URL of If the Patient ID and Assigning Authority are matching the FHIR resource endpoint Resource Endpoint (URL) : https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b711 provided by the EMR. for the study, the fields are automatically imported for Token URL : https://authorization.cerner.com/tenants/ec2458f2-1e24-41ct Token URL - URL to get the authorization token to access the FHIR server. the study when you open the study for the first time. Registered Client ID : ce10c7de-8722-422b-8386-e95b98edbadc Registered ClientID. Registered Registered Client Secret Key : ....... Secret Key - The identifiers used together to authenticate Fetch Data only for reconciled studies : communication with the FHIR Server. You can also import the data manually from the FHIR Time to fetch data before study date (hrs) : 12 Enter a number between 1 and 4320 Validate - Verifies communication with the FHIR Server using the configuration settings. server. Validate *IIS services restart required! Siemens Healthcare GmbH . 2022 . All rights reserved . OK Cancel Apply You configure the FHIR interface in the Server Configuration Tool. 69 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 Offloaded Database Server Deployment SIEMENS Healthineers In VA40E, Offloaded Database Server deployment is The supported SQL versions are: now supported. • SQL Server 2016 SP2 In an offloaded deployment, the Database Server is set up on a server different from the Application • SQL Server 2019 Server. Multiple instances of the Database Server can be created. However, each Application Server instance should point to an individual Database Server. 70 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 SQL DB files and Log files SIEMENS Healthineers You can now select the location for SQL DB files and Log The syngo Dynamics Server installer creates the files when installing SQL server. database related files at the path defined for the files in the syngo Dynamics SQL server instance. The folders to store the SQL Database files and Log files are no longer required to be only on the F: drive. This applies to both local SQL Server instance as well as at the Offloaded database server. You can specify the location to store these files at the time of installing SQL Server. 71 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 Remote ServiceTool Client SIEMENS Healthineers ServiceTools are used by service and administrative 5 Download v - O X x + personnel to set up, configure, and manage the Vault www/sdportal/download.htm ... Server products. 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. ServiceTools are also used to set up the specified o Install syngo Dynamics Client o syngo Dynamics Client User Manual server and connect it to the rest of the Enterprise. o Install syngo Dynamics Report Designer o Install syngo Dynamics Data Mining o Install syngo Dynamics DicomFileReader o Install syngo Dynamics ServiceTool Client Download and install Java Runtime 32-bit version 8, update 311 from the Oracle Java website The ServiceTool resides on the syngo Dynamics Server 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. and can optionally be installed on a client. In previous versions, the ServiceTool was accessed via a web link from the client. In VA40E, the ServiceTool comes as a standalone installer. This ServiceTool client can only be installed on the Workplace Client. 72 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 Remote ServiceTool Client Installation SIEMENS Healthineers Installation: 5 Download v - O X x + www/sdportal/download.htm ... 1. Open a browser enter the url: Download and install the syngo Dynamics http://server/sdportal/download.htm 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 2. Click Install syngo Dynamics ServiceTool Client (1). o Install syngo Dynamics Report Designer o Install syngo Dynamics Data Mining o Install syngo Dynamics DicomFileReader 1 o Install syngo Dynamics ServiceTool Client · Download and install Java Runtime 32-bit version 8, update 311 from the Oracle Java website 3. Enter the server host name in the Server Name field 2. After successful installation of syngo Dynamics Client, shortcut icons will be created on the desktop or in the Windows Start menu as 4syngo Dynamics Workplace" or "€/L) syngo Dynamics Remote Workplace". Click on the icon to launch and use the application. and continue. 4. When complete, click on the Finish button. Please note: 32-bit version of Java Runtime Environment JRE 8u311 is required to install the ServiceTool Client. If required, please download from the Oracle website. 73 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 Remote ServiceTool Client Installation SIEMENS Healthineers Installation: 5 Download v - O X x + www/sdportal/download.htm ... 5. When complete, a shortcut icon is created on the Download and install the syngo Dynamics client desktop. 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 6. After the installation, you will need to copy the o Install syngo Dynamics Report Designer o Install syngo Dynamics Data Mining o Install syngo Dynamics DicomFileReader following certificates from the server: o Install syngo Dynamics ServiceTool Client Download and install Java Runtime 32-bit version 8, update 311 from the Oracle Java website 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. • C:\mvf\java\ssl\st_clientks_.jks • C:\mvf\java\ssl\st_clienttruststore_.jks 7. Copy the certificates to the following directory on the client machine. “C:\programdata\Siemens\syngoDynamics\ServiceTool Client\ssl” 74 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 Fax Reports SIEMENS Healthineers Files Created In VA40E, there is no longer a fax system integrated in 1 syngo Dynamics. .faxjob • On the server, this file is created in the folder: F:\Accuson\FaxQueue When a user uses the syngo Dynamics Workplace to • This file contains the information about the fax including the send a fax (Send to -> Fax to in Reporting), syngo recipient information, the patient information and the sender information. Dynamics creates fax files which can be used by third- party fax applications to send faxes outside of the 2 hospital network. .PDF • On the server, this file is created in the folder: The fax files are created in the F:\Accuson\FaxQueue F:\Accuson\FaxQueue\DS3000Services folder on the Server. • This file contains the PDF of the report. Any third-party fax application at site should be 3 configured appropriately to take the information from .TXT these files and send the fax to the required recipients. • On the server, this file is created in the folder: F:\Accuson\FaxQueue\DS3000Services For each fax sent, the three different files are created. 75 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 SSRS Enhancements SIEMENS Healthineers In VA40E new Analytic Reports are available per default: • Study Count • Stent Type Count • Object Count • Contrast Usage • Study Size • Complications • Afterhour Study Count • Door to Balloon Time • Report Count • Study Search • Report Tunraround Time • Measurement Survey • Todays Studies Dashboard • Observation Survey • Todays Studies List • Study Quality • Windows Services Dashboard • Time Measure • Database Backup Dashboard • Shift Productivity • Archive Studies Dashboard • Exam Finalization 76 Effective Date: 24 MAY 2022 | HOOD05162003276988 Feature Available: VA40E and Higher Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers syngo Dynamics VA40E Third Party Applications 77 Effective Date: 24 MAY 2022 | HOOD05162003276988 Unrestricted © Siemens Healthineers, 2022 VA40E_HF01 Supported Third Party Applications SIEMENS Healthineers GE TomTec Arena Axis Clinicals EchoPAC • V2.41 • Cath PCI v5.x • V203.49 • V2.42 • IMPACT v2.0.1 • V204.x • MacLab (hemo) V2.5 Siemens Healthineers Sensis • V6.5 V6.8 Pie Medical CAAS • • VC12M • V6.9x • V8.2 (values are mapped via xml) • VIBE VD11B CardioLab (EP Prucka) • VIBE VD12A • V6.5 Packages offered: • V6.8 • V6.9 QCA (Quantitative Coronary • Analysis) Siemens Healthineers syngo.via Philips • QCA3D (3D Quantitative Coronary • VB40A HF01 QLAB Analysis) • VB50x • V13.0 • QVA (Quantitative Vascular Analysis) • V15.0 • LVA (Left Ventricular Analysis) Epsilon-EchoInsight Zero FootPrint • V15.5 • • Philips Calysto Series IV (WITT) RVA (Right Ventricular Analysis) 5.0.1.x • V7.96 • V8.1 Invia Corridor 4DM GE Muse NX XPER • V2018 HillRom Mortara Report Manager Merge Hemo • 6.2.5.59419 • 10.0.x 78 Effective Date: 24 MAY 2022 | HOOD05162003276988 VA40E_HF01 and Higher Unrestricted © Siemens Healthineers, 2022 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. 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 2022 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers 79 Effective Date: 24 MAY 2022 | HOOD05162003276988 Unrestricted © Siemens Healthineers, 2022