syngo Dynamics - What´s New in VA40G

SIEMENS Healthineers syngo Dynamics What’s New in VA40G? Version VA40G 2022 Template Effective Date: 27 MAY 2019 | HOOD05162003010284 Job Aid Effective Date: 16 AUG 2022 | HOOD05162003295797 Unrestricted © Siemens Healthineers, 2022 syngo Dynamics: What’s New in VA40G? SIEMENS Healthineers Table of Contents VA40G Feature Enhancements: Feature Enhancements: Citrix Virtual Application Supported 5 Feature Enhancements Reporting 13 Feature Enhancements Clinical Administration 22 == =- 2 Effective Date: 16 AUG 2022 | HOOD05162003295797 Unrestricted © Siemens Healthineers, 2022 Introduction SIEMENS Healthineers These training slides will introduce you to the feature enhancements when updating your syngo Dynamics system from VA40E to VA40G. 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: 16 AUG 2022 | HOOD05162003295797 Unrestricted © Siemens Healthineers, 2022 Find the Right Training for your Software Version SIEMENS Healthineers 1 To learn about the changes to your system, it is ? DN ULTRASOUND / SDXAPPS - × ... important to know which software version was About User Manual ff previously installed on your system and your current syngo Dynamics version VA40G 3 C Siemens Healthcare GmbH. 2022. All rights reserved. This Application and its Documentation are confidentia Measurement and Calculation Manual and proprietary to Siemens Healthineers and contain works by Siemens Healthineers and its suppliers, in which (new) software version. works copyright is claimed. WON This Application may only be used in strict accordance with the terms of the license agreement(s) that apply to Release Notes The Application may contain embedded Third Party Software including Free and Open Source Software ("OS ly Stat Customer's right to use OSS delivered with the Applications is governed by the terms of the OSS lice 2 About You can check your current software version on your accompanying such software, such license are included as part of the Documentation and located on the labeled media provided in the software media binder. The OSS is licensed to Customer royalty free; howe EAD Siemens Healthineers may charge fees for reimbursement of costs in connection with complying with the ( license terms. In the event of a conflict between the terms of an OSS license and the Agreement, the relev A PEPconnect syngo Dynamics Workplace directly. terms of the OSS license shall govern, but solely for the OSS component to which they relate. If delivery of sou code is required by the relevant OSS license, Customer may obtain a copy of the source code for such OSS accessing the OSS labeled media provided in the software media binder provided at time of Application purchase. Siemens Healthineers may from time to time change the number of OSS components. Siemens Healthineers will in each case include the relevant license terms and conditions as part of the Documentation for Updates, Releases or Versions. (01) 04056869287362 GTIN • Click on the Help menu (?) in the top right of the (240) 11552312 MODEL (422) 840 ORIGIN US (8012) VA40G 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. • Your current syngo Dynamics Software version is lonosoft Inc ., Visual Cath Report is covered by U.S. Patent No. 7,949,542 ionosoft Java- displayed in the About section (3) Electronic Instructions for Use MD odib.siemens-healthineess.com 2022 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: 16 AUG 2022 | HOOD05162003295797 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers syngo Dynamics VA40G Feature Enhancements Citrix Virtual Application 5 Effective Date: 16 AUG 2022 | HOOD05162003295797 Unrestricted © Siemens Healthineers, 2022 Citrix Virtual Application SIEMENS Healthineers In VA40G, the syngo Dynamics Workplace can be installed on syngo Dynamics a Windows server-based Citrix Host. Workplace Citrix is a virtualization technology that allows organizations SIEMENS Hogittiveers zynga Dynamics Patient, Cantiae Echo | 9565 66/1969 to deliver centrally hosted applications. Cardiac | 3/15/2022 11:44 AM In this configuration, syngo Dynamics can be accessed through Citrix in a Virtual Machine (VM) and every user has access to a unique Virtual Machine. Supporting the Virtual App & Desktop allows the ability to run multiple instances of the syngo Dynamics client within a Citrix Virtual App which reduces the number of Citrix hosts Please note: syngo Dynamics Remote Workplace required. is not supported for Citrix Virtualization. 6 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 Citrix Virtual Application SIEMENS Healthineers The following syngo Dynamics applications are syngo Dynamics Workplace supported in the Citrix Virtual Application: SIEMENS syngo Dynamics Workplace Hoaittiveers zynga Dynamics • Patient, Cantine Echo | 9565 65/1969 Cardiac | 3/15/2022 11:44 AM • syngo Dynamics Service Log Capture Utility Please note: syngo Dynamics Remote Workplace is not supported for Citrix Virtualization. 7 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 Citrix Virtual Application SIEMENS Healthineers When configured, you can access the syngo Dynamics Workplace by using the Citrix StoreFront (web page) which is accessible on a Client Machine (Citrix Receiver). 4 syngo Dynamics Workplace This means that you can access syngo Dynamics from anywhere that you can access your Citrix Virtual Application, for example, onsite or remotely. 8 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 Citrix Virtual Application SIEMENS Healthineers To access syngo Dynamics from Citrix: Citrix Workspace X + .syngodynamics.com/Citrix/CitrixStoreFront2Web/ citrix |StoreFront 88 HOME APPS • Log in to your Citrix virtual application Apps 1 All (5) Favorites (2) • Click on the syngo Dynamics application (1) V4 Notepad++ Prober If Single Sign-on (SSO) is configured for syngo Dynamics, you Service Log Capture syngo Dynamics • Workplace will automatically be directed to your SSO ID provider for authentication, and the system tries to automatically authenticate your SSO credentials. • If SSO is not configured, you will be directed to the syngo Dynamics log in screen. You can log in using your syngo Dynamics user credentials. Please check with you IT Administrator if SSO is configured for syngo Dynamics at your facility. 9 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 Citrix Virtual Application: Image Compression SIEMENS Healthineers The quality of images displayed in syngo Dynamics running in a Citrix virtual environment may not be sufficient for diagnostic use due to additional image compression and reduced refresh rate. 1 ? P phanl1 ULTRASOUND / INBLRSHCPR ... X When using syngo Dynamics in the Citrix Virtual Application, a This client is running in a virtual caution icon (1) is displayed in the top right corner of the user workspace. Image quality may not Log off be suitable for diagnostic use due interface. CPR1 to the use of additional compression and reduced refresh rate & Worksheet Assign to dy Type Study Date + Study Status Repc diac 6/30/2022 11:11:58 A UNREAD D 10 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 Citrix Virtual Application – Third-Party Applications SIEMENS Healthineers In the Citrix Virtual Application, TomTec and Epsilon EchoInsight ZFP are supported as a third-party application for syngo Dynamics and can be launched from the third-party application 1 SIEMENS Healthineers syngo Dynamics launcher (3PAL) icon in the toolbar. (1) Patient, Siemens Healthineers | 12345 1/1/1970 (M) Study List Stress Echo | 3/5/2019 1:14 PM Priors View Scroll Lock Split Study TOMTEC 1 to 4 of 4 syngo.via and Corridor 4DM can be launched from within the SP1 Adult Echo Tx Pocer 100% MI 0.90 TIS 0.4 Citrix Virtual Application. The launching of syngo.via or Corridor DTCE Med Djr R 60 dB THI 3.7 MHZ -1 8B 65 fps 4DM behaves the same as on the stand-alone Workplace; double click on the CT/MR (syngo.via) or NM study (Corridor 4DM) in the Study List to launch the study in the respective application. Feature Available: VA40G and Higher 15 cm A JPEG Lossy 15:1 11 < > [ 30fps (100%)] YT Other supported third-party products do not support their application being run within the Citrix Virtual Application. 11 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 Citrix – Local File Access SIEMENS Healthineers In syngo Dynamics systems, it is possible to import and Export Selected Study X export images. O File System • Within the Citrix Virtual Application, you have access to 1 Local Disk (C): on INBLRSHCPR15318 the file system on the Citrix Receiver (1) and to your local Desktop file system (2) when importing or exporting images. Libraries 2 (C:\) > Database (F:\) When saving the .csv file to a local file system, the file Cache (G:I) explorer is displayed. The file explorer will display the files ThumbnailCache (T:I) > WebimageCache (W:1) from the Receiver system and your local system. V Please confirm the location when saving the Study List to the .csv file. New folder Export Cancel Please note: Export to CD/DVD is not supported from syngo Dynamics within the Citrix Virtual Application. 12 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers syngo Dynamics VA40G Feature Enhancements Reporting 13 Effective Date: 16 AUG 2022 | HOOD05162003295797 Unrestricted © Siemens Healthineers, 2022 Prior Study Conflict in OB Studies: Introduction SIEMENS Healthineers For obstetric ultrasounds, A “Prior Study Conflict” dialog Prior Study Conflict box is shown for a current OB study whenever there is Current Study Data Prior Study Data conflicting data between the current study and the most 8/23/2021 7/22/2021 12:24:06 PM 12:13:57 PM recent previous OB study. LMP 3/15/2021 5/10/2021 Date of Conception The dialog box displays the point of conflicts for the Clinical EDD 12/20/2021 2/14/2022 studies in red. Gravida Para In the example in the image, there is a conflict for the Aborta LMP date and the estimated date of delivery (EDD). In Anchor Study the current study the EDD is based on an assigned date. Assigned EDD 2/7/2022 2/14/2022 Dating Scan In the prior study the EDD is based on the LMP. Assigned date based on: Assigned EDD LMP You can choose to use the current data (1) or the data Use Current Use Prior Cancel pertaining to the prior study (2). 1 2 14 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 Prior Study Conflict in OB Studies SIEMENS Healthineers In previous VA40 versions, the “Prior Study Conflict” Prior Study Conflict dialog was only displayed for studies with EDD Current Study Data Prior Study Data (estimated date of delivery) data in the current study. 4/4/2022 9/6/2021 9:24:44 AM 9:28:01 AM LMP 31/2021 In VA40G, the display of the “Prior Study Conflict” dialog Date of Conception Clinical EDD 12/6/2021 has been enhanced. Gravida Para The “Prior Study Conflict” dialog will display, regardless Aborta of the presence of the EDD data in the current study. Anchor Study Assigned EDD 1206/2021 This means that you can use the prior study data without Dating Scan Assigned date based on: the need to enter the data in the current study. (1) Use Current Use Prior 1 15 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 Carry Forward Data in OB Studies SIEMENS Healthineers When using the “Carry Forward” option for OB studies, WW Carry Forward × Patient Name Patient ID Study Date Study Type Diagnosing Physician Report the dialog that is displayed automatically filters out OB 1 Fetch remaining priors ... studies. In order to display prior OB studies for carry forward, you must select the option “Fetch remaining Priors”. (1) In previous VA40 versions, selecting “Fetch remaining Carry Forward Cancel Undo Last Carry Forward Priors” would only deliver results if the current study Ww Carry Forward X contained an EDD. 1 Patient Name Patient ID Study Date Study Type Diagnosing Physic te por a a 4/4/2022 OB Click To View ... aa 9/6/2021 OB In VA40G, the limitation for the current study to have an EDD is removed. You can now carry forward data from previous studies independent from the presence of EDD data in the current study. Carry Forward Cancel Undo Last Carry Forward 16 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 Prior Studies in OB SIEMENS Healthineers The display of the “Prior Study Conflict” dialog and the prior ! Assessment Pregnancy studies in “Carry Forward” are based on the most recent LMP Anchor Data Clinical EDD prior studies. Anchor Study Date Clinical MA Assigned EDD No LMP Assigned dates based on: Type of Gestation Assigned MA In VA40G, syngo Dynamics also considers the fields 1 Gravida 2 1st Study in Pregnanc “Gravida” (the number of previous pregnancies) (1) and the Biometry Information for Fetus Create: Fetus Fetal Lie field “1st Study in Pregnancy” (2) in combination with the Mean (C ... US MA St. Dev Growth BPD US EDD HC EDD data. AC US MA FL CRL BPD GA (Hadlock, 1984) If the EDD data is not provided, the current study date is +2 50 Carry Forward .2 S used in combination with the fields. BPD (cm) Using these fields as filters, syngo Dynamics attempts to 10 15 20 25 30 35 40 45 Assigned MA (weekca) determine if the previous studies are relevant to the current pregnancy study. As in previous versions, if the field “1st Study in Pregnancy” (1) is selected in the current study, no study data is considered from prior studies. 17 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 Prior Studies in OB: “Gravida” SIEMENS Healthineers If the “Gravida” (1) is entered for the current study, syngo ! Assessment Pregnancy Dynamics considers the field for the prior studies. LMP Anchor Data Clinical EDD Anchor Study Date Clinical MA Assigned EDD No LMP Assigned dates based on: If the gravida of the current study matches the gravida of Type of Gestation Assigned MA • the prior study, syngo Dynamics considers the prior study 1 Gravida 1st Study in Pregnanc as part of the same pregnancy. The prior study data is Biometry Information for Fetus Create: Fetus Fetal Lie available to carry forward to the current study. Mean (C ... US MA St. Dev Growth BPD US EDD HC AC US MA FL CRL • If the gravida of the current study does not match the BPD GA (Hadlock, 1984) gravida of the prior study, syngo Dynamics considers the +2 50 Carry Forward .2 S current study as a different pregnancy. The prior study data BPD (cm) is not available to carry forward to the current study. 10 15 20 25 30 35 40 45 Assigned MA (weekca) If there is no data for gravida for either the current or the previous study, this field is not considered for the display of prior study data. 18 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 Prior Studies in OB: “Gravida” - Example SIEMENS Healthineers For example, if the current study has a “Gravida” of 2, prior ! Assessment Pregnancy studies with a “Gravida” of 2 will be displayed. LMP Anchor Data Clinical EDD Anchor Study Date Clinical MA Assigned EDD No LMP Assigned dates based on: • If EDD is provided: Studies up to a maximum of 294 Type of Gestation Assigned MA days from the EDD are displayed. Gravida 1st Study in Pregnanc Biometry Information for Fetus Create: Fetus Fetal Lie Mean (C ... US MA St. Dev • If no EDD is provided: Studies up to a maximum of Growth BPD HC US EDD 294 days from the current study date are displayed. AC US MA FL CRL BPD GA (Hadlock, 1984) +2 50 Carry Forward .2 S BPD (cm) 10 15 20 25 30 35 40 45 Assigned MA (weekca) 19 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 Success Messages in Reporting SIEMENS Healthineers In previous VA40 versions, if the study was configured to Information System automatically export the report based on the report Report Manager verification, a success message was displayed. Fax to ... File In VA40G and higher the success message is no longer 1 displayed when the automatic report export is successful. Printer Printer .. A message is only displayed in case there is an error with the Send to automatic export. 2 In the case that the report is sent to the file system manually Report Export Succeeded X (1), a success message is displayed (2). Report successfully exported to the configured folder location. -- OK 20 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 Check Spelling SIEMENS Healthineers syngo Dynamics supports checking spelling for reports. (1) Report 1 Check spelling When using the “Check spelling” feature, there is an option for the system to “Learn” previously unknown terms, so that Section Stress Summary Section Delete section the term does not appear again in subsequent spell checks. (2) In previous VA40 versions, the dictionary of the spell check Checking Spelling Word not in dictionary: was saved on the client in which the changes were made, not MAPHR per the user that identified the spelling discrepancy. Suggestions: MPHR SPAHR Change In VA40G, the dictionary of the “Check Spelling” is saved per MAPPER PHARM Ignore user. 2 Learn This means that when a user, uses the “Learn” functionality, Stop Checking this preference is saved to the user and will be reflected on other clients within the same network. 21 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers syngo Dynamics VA40G Feature Enhancements Clinical Administration 22 Effective Date: 16 AUG 2022 | HOOD05162003295797 Unrestricted © Siemens Healthineers, 2022 Installing and Publishing syngo Dynamics in Citrix SIEMENS Healthineers In VA40G, the Operator Manual – Software Installation Manual has been updated with a new chapter for installing the syngo Dynamics Workplace on a Windows server-based Citrix Host. 8 Installing syngo Dynamics Workplace - Citrix syngo Dynamics Workplace can be installed on a Windows server-based Citrix host. It will enable the syngo Dynamics users to access the syngo Dynamics It is recommended that network connectivity with high Workplace as a virtual application. Refer to "Installing syngo Dynamics Workplace - Client Installation" on page 24 for information related to Installation of syngo Dynamics Workplace. bandwidth and low latency be established between the syngo Dynamics Remote Workplace is not supported for Citrix virtualization. It is also recommended that network connectivity with high bandwidth syngo Dynamics server and the Citrix Host where the and low latency must be established between the syngo Dynamics server and the Citrix host where the syngo Dynamics Workplace is installed. syngo Dynamics Workplace is installed. 8.1 Configuring Citrix Studio for syngo Dynamics Workplace In order to view and access the syngo Dynamics Workplace using Citrix store front, you need to configure it as an application in the Citrix Studio. syngo® Dynamics Perform the following steps to configure the Citrix Studio in order to add syngo Dynamics Workplace as an application. 1 Click the Windows Start button and search for Citrix Studio in the Search Operator Manual - Software Installation Manual programs and files field. (Standalone) VA40 SIEMENS siemens-healthineers.com Healthineers 23 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 Installing and Publishing syngo Dynamics in Citrix SIEMENS Healthineers The Operator Manual – Software Installation Manual provides a comprehensive step-by-step guide for installing syngo Dynamics Workplace on Citrix. The steps include: 1. Install the syngo Dynamics Workplace on the Citrix Host. • Refer to the chapter “Installing syngo Dynamics Workplace” 2. Publish the syngo Dynamics Workplace on the Citrix Store syngo® Dynamics front. Operator Manual - Software Installation Manual • Refer to the chapter “Installing syngo Dynamics (Standalone) Workplace – Citrix” VA40 SIEMENS slemens-healthineers.com Healthineers 24 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 Citrix - Service Log Collection Utility SIEMENS Healthineers In case an issue occurs in syngo Dynamics, the Service Log Collection utility can be used to collect service logs and Service Log Capture upload the logs to your server. The Service Log Collection utility is installed automatically as Search FIT) Show all Nane Description Source part of the Workplace installation. On stand-alone syngo Marter in Enabled Mar Enabled . Lavicten fez-me Enabled Dynamics systems, the log collection utility is accessed from Application Settings the Windows “Start” menu. Studio Location Enter the location information below. Details - Service Log Capture Identification Path Ia the-cescutable-fille: In the Citrix Virtual Application, there is no access to the wynpoDyanics(Client\< 10\DeDewandServicelogCapture LagCapture Sheteve Application Delivery Location frowne the aporications an the local machine, or enhas the path manualy Windows “Start” menu, therefore the Service Log Collection Name (for intministra Service Log Capture Comenand line argument joptionalr Service Log Capture Group Folder (for administrators) Limit Visibility Working @restary: Utility must be published as an application within Citrix. Folder Por vier) Wiibility Lues inherited from Dellvery Gros File Type Amociation Grange tore No Zane Please refer to the Operator Manual – Software Installation Manual for the steps required in order to publish the Service Log Collection utility to Citrix. 25 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 Citrix Virtual Application: Third-Party Applications SIEMENS Healthineers In the Citrix Virtual Application, the following syngo Dynamics third-party applications are supported: • TomTec SIEMENS Healthineers syngo Dynamics Patient, Siemens Healthineers | 12345 • Epsilon EchoInsight ZFP 1/1/1970 (M) Study List Stress Echo | 3/5/2019 1:14 PM Priors View Scroll Lock Split Study TOMTEC 1 to 4 of 4 • syngo.via • Corridor 4DM Adult Echo Tx Pocer 100% MI 0.90 TIS 0.4 DTCE Med Dyn R 60 dB THI 3.7 MH: -1 4B 65 fps Other supported third-party products do not support their application being run within the Citrix Virtual Application. In order for the third-party application to launch, TomTec and Feature Available: VA40G and Higher 15 cm JPEG Lossy 15:1 Epsilon software must be installed on the Citrix Host system. 11 < > [ 30fps (100%) ] | T Additionally, the license must be present on the Citrix Host system. For the syngo.via or Corridor 4DM to launch, the respective software client must be installed on the Citrix Host. 26 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 Citrix Third-Party Configuration: 3PAL Launcher SIEMENS Healthineers To configure applications to launch in Citrix using the SysAdmin Department Settings (SDXAPPS) × File Edit Help 3PAL icon launcher: Department: AdultEcho New Dept Delete Dept Reload Save Users Privileges | Study Types | Tem 1 Reports | Fax Measurements | Export | Custom Export Integration | Diagram Import | Sensis | Sequoia Mapping Generic La Rules Engine Launcher Menu Items Command In SysAdmin, the launch command should specify the Com Tec T • folder structure where the 'Client' folder resides. (1) • Additionally, the third-party input (2) and output (3) Keywords SyngoUser Insert directories must be defined. Applicable Modalities M US M XA M CT M MR M PT M EP M HD MNM M EPS M CR X • The parameter must contain {WinUser} as a value [ Use as the toolbar launch button command when configured, for example: Enable Enhanced Capabilities Enhanced Launcher Capabilities 2 3rd Party Input Directory Browse • Input Directory: 3 3rd Party Output Directory Browse C:\Users\{WinUser}\AppData\Local\syngoDynami Close application when study is closed in syngo Dynamics cs\Input Add Delete • Output Directory: C:\Users\{WinUser}\AppData\Local\syngoDynami cs\Output 27 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 Citrix Report Export SIEMENS Healthineers When launching syngo Dynamics via the Citrix virtual application, saving reports to file by selecting “Send To” (1) and “File” (2) is supported. Information System Report Manager Report Export Succeeded × • If the Citrix file access is set to ‘Read and Write’, the report file Fax to ... is saved to the local drive and a success message is displayed. 2 Export Location: File IlClientIC$\SiemensisyngoDynamics User Data Printer Files\Reports Export Name: When the Citrix file access is set to ‘Read Only’, report files Printer__ • -- 1 Export Results: cannot be saved as Citrix does not have permissions to access Send to Successfully exported report as .RTF ,*. PDF, *. TXT ,*. XML the local drive. An error message is displayed. OK • When the Citrix file access is set to ‘Always Ask’, a dialog from the Citrix application is displayed and the user must confirm access to the local drive. The default file location is unchanged and remains: C:\Siemens\syngoDynamics User Data Files\Reports 28 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 Citrix Audit Logs SIEMENS Healthineers syngo Dynamics performs audit logging when using Citrix Virtual Application. When you launch the syngo Dynamics software and begin using it, many of the actions performed are written to an HDIR administra audit log. The actions are written in readable text that 1.3.12.2.1107.5.8.11.104345048644857.10666848230 describe any activity involving access to or modification of 273179685 Orange patient information. PM_Dept INBLRH14643WSCL \\INBLRSHCPR06898\E$\ExportTest The audit logs from the Container and Image Review Component will log the: Sample audit log for export workflow performed in Citrix where Citrix Receiver name StationName format will be represented as • "CitrixHostName_DOMAIN\CitrixUserName_CitrixReceiverName": • Citrix Host name • Citrix username • syngo Dynamics username 29 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 SQL AlwaysOn High Availability SIEMENS Healthineers As of VA40E syngo Dynamics supports database offloading. In an offloaded deployment, the Database Server is set up on a server different from the Application Server. In VA40G syngo Dynamics supports High Availability (HA) for offloaded databases. High availability ensures that the database is available 24/7 for either planned, or unplanned outages. 30 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 SQL AlwaysOn High Availability: Availability Group SIEMENS Healthineers Windows Failover Clustering In this set up, an availability group is available. The availability group consists of two or more (with a maximum of 8) database instances. One instance connects with the application server through the Listener, the additional instances serve as a backup to Instance 1 Instance 2 the database in case of failures. An availability group supports a failover environment for a discrete set of user databases, known as availability Primary Secondary Replica Replica databases, that fail over together. An availability group supports a set of read-write primary Listener databases and one to eight sets of corresponding secondary databases. The listener makes the connection to the Primary Replica 31 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 SQL AlwaysOn High Availability: Availability Group Listener SIEMENS Healthineers The Availability Group Listener is a virtual network name (VNN) and IP address that application server can connect to in order to access a database in a primary or secondary replica of an Always On availability group. Clients Windows Failover Clustering Instance 1 Instance 2 Primary Secondary Replica Replica Listener syngo Dynamics Application Server The listener makes the connection to the Primary Replica connects to the Listener. 32 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 SQL AlwaysOn High Availability: syngo Dynamics Setup SIEMENS Healthineers ✓ The syngo Dynamics server is installed with the Domain Controller INBLRSHCPR13917 172.24.20.37 database offloaded on a different, database- AppServer Windows Failover Cluster offloaded server. INBLRSHCPR14108 172.24.20.194 AG Listener(VNN) 172.24.20.252 172.24.20.x Subnet 172.16.92.98 Primary Replica ✓ The running offloaded SQL instance can be part of SQLNode 01 172.24.20.107 SQL ‘Always On Availability Group’. Syn Domain User ✓ The SQL nodes can be part of different subnets Domain\syngoadmin Secondary Replica SQLNode 02 under the same cluster. 172.24.20.110 Domain user Domain\SiemensService (Need not be DB SYSADMIN) Sync 172.16.92.X Subnet syngo Dynamics application software at the server will still need to be restarted after the database server Secondary Replica SQLNode 03 172.16.92.41 failover occurs. syngo Dynamics client users will therefore need to re- login after the database server failover. Client 33 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 STIGs SIEMENS Healthineers syngo Dynamics servers support Department of Defense Application Security and Development STIG - Ver 5, Rel 1 Security Technical Implementation Guides provided by the Defense Information Systems Agency (DoD/DISA • STIGs) to reduce the likelihood of possible attacks. Microsoft Dot Net Framework 4.0 STIG - Ver 1, Rel 9 • Microsoft Internet Explorer 11 STIG - Ver 1, Rel 19 In VA40G the following STIGs have been tested and • Microsoft IIS 10 Server STIG - Ver 2 Rel 3 validated in the syngo Dynamics server: • Microsoft IIS 10 Site STIG - Ver 2 Rel 3 • Oracle JRE 8 STIG for Windows - Ver 2, Rel 1 • Microsoft SQL Server 2016 Database STIG - Ver 2, Rel 4 • Microsoft SQL Server 2016 Instance STIG - Ver 2, Rel 7 • Microsoft Windows Server 2016 STIG: Ver 2, Rel 2 • Microsoft Windows Server 2019 STIG: Ver 2, Rel 2 34 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 HL7 Reconciliation Tool Clear Button SIEMENS Healthineers If you have the licensed option for enhanced HL7, you HL7 Study Reconciliation Tool O X Demographic Reconciliation Order Association Break Reconciliation Or Break Order Association can perform demographic reconciliation or associate Unreconciled Studies (5 studies) Site Id: Any Show exempt studies Show studies for all departments Study Date Last Name First Name MPI Site Id Patient Id DOB Gender Accession No Type orders in the HL7 Reconciliation tool. 6/29/2022 Test01 Test01 Test01 05 ULT 6/27/2022 Test1 Test1 ST Test1 Study5 US ULT 5/31/2017 USL USN 12345 6/20/1946 123 SRUS ULT 12/10/2014 Venuti Byron S1 981712 2/27/1923 an20141210131342 SRUS ULT 1/18/2005 BELL GIRL 2274088 1/18/2005 US In VA40G, the HL7 Reconciliation tool has been enhanced. HL7 demographic records (0 records) Last Name First Name MPI Site Id Patient Id DOB Gender Middle Name Prefix Suffix A new “Clear” button is now included in the bottom right of the HL7 Reconciliation Tool. (1) This allows you to clear all entries in the Search fields (2), if for example, a study was previously selected in the Reconciliation or Order Association List. 2 Search Last Name: BELL First Name: GIRL Birth Date: 1/18/2005 1 Site Id: Any Patient Id: 2274088 Clear Search Exempt study Force reconcile Auto reconcile Reconcile study Close 35 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G and Higher Unrestricted © Siemens Healthineers, 2022 HL7 Reconciliation Tool Clear Button SIEMENS Healthineers When a study is selected in the list, the search attributes HL7 Study Reconciliation Tool O X Demographic Reconciliation Order Association Break Reconciliation Or Break Order Association are filled automatically. Unreconciled Studies (5 studies) Site Id: Any Show exempt studies Show studies for all departments Study Date Last Name First Name MPI Site Id Patient Id DOB Gender Accession No Type 6/29/2022 Test01 Test01 Test01 05 ULT 6/27/2022 Test1 Test1 ST Test1 Study5 US ULT 5/31/2017 USL USN 12345 6/20/1946 123 SRUS ULT 12/10/2014 Venuti Byron S1 981712 2/27/1923 an20141210131342 In previous versions, it was not possible to clear all SRUS ULT 1/18/2005 BELL GIRL 2274088 1/18/2005 US attributes with one click. In VA40G, the introduction of the Clear button (1), HL7 demographic records (0 records) Last Name First Name MPI Site Id Patient Id DOB Gender Middle Name Prefix Suffix provides you with the flexibility to clear all fields and specify the necessary search attributes only. Search Last Name: BELL First Name: GIRL Birth Date: 1/18/2005 1 Site Id: Any Patient Id: 2274088 Clear Search Exempt study Force reconcile Auto reconcile Reconcile study Close 36 Effective Date: 16 AUG 2022 | HOOD05162003295797 Feature Available: VA40G 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. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH 2022 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers 37 Effective Date: 16 AUG 2022 | HOOD05162003295797 Unrestricted © Siemens Healthineers, 2022