isite isite enterprise enterprise

iSiteiSite EnterpriseEnterprise

Radiology PACS Radiology PACS

ObjectivesObjectives

Login to Login to iSiteiSite Enterprise Enterprise

Search for patientsSearch for patients

Select and view examsSelect and view exams

Manipulate the imagesManipulate the images

Set up personal foldersSet up personal folders

iSiteiSite EnterpriseEnterprise

Overview: WebOverview: Web--based medical image based medical image distribution system that delivers distribution system that delivers diagnosticdiagnostic--quality images to clinicians in quality images to clinicians in the healthcare environmentthe healthcare environment

Used by: Referring Physicians, Surgeons Used by: Referring Physicians, Surgeons and members of the patient care teamand members of the patient care team

Logging in to Logging in to iSiteiSite EnterpriseEnterprise

Use your Novell login Use your Novell login to access Citrixto access Citrix


Select PACS from Select PACS from your available iconsyour available icons


Your username for PACS Your username for PACS is your Novell usernameis your Novell usernameAccess Access iSiteiSite PACS using PACS using your Novell username your Novell username and passwordand passwordSelect Active Directory Select Active Directory from the from the ““Log on toLog on to”” drop drop down list down list


After login you will After login you will see the Tip of the Daysee the Tip of the DayTo see additional To see additional information, select information, select Next Tip, or by Next Tip, or by pressing N on your pressing N on your keyboardkeyboard

Close the pop up by Close the pop up by selecting Close, or selecting Close, or pressing the letter Cpressing the letter CTo disable this popTo disable this pop--up, uncheck the box up, uncheck the box at the bottom of the at the bottom of the dialog boxdialog box


Screen OverviewScreen Overview

Shortcuts Bar Folders List User Preferences Patient Search Options Logout

iSite Manual

After closing the Tip of the Day you will see the iSite EnterpriAfter closing the Tip of the Day you will see the iSite Enterprise Startse Start--Up WindowUp Window


Shortcuts Bar

Shortcuts Bar: Customizable lists to frequently accessed folders, exams and filters


Folders List

Folders List: List of all the folders, filters and tools in iSite Enterprise


Patient Search Options

Patient Directory: Patient, exam search engine and sort function


User Preferences

Preferences: User, System and Machine Preference dialog boxes


iSite Manual

Help: iSite Enterprise's user manual


LogoutLogout Button: Exit application and return to login window

Patient Search OptionsPatient Search OptionsDefault QueryDefault Query

Patient NamePatient NameMRNMRNExam Date Exam Date (free text or drop down, date format is M/D/YYYY)(free text or drop down, date format is M/D/YYYY)

Patient LocationPatient Location

Patient Search OptionsPatient Search Options

Additional search criteria can be found with a Additional search criteria can be found with a leftleft--click on the click on the ““++”” next to the word Querynext to the word Query

Patient Search OptionsPatient Search Options

Expanded search options include;Expanded search options include;AccessionAccessionModalityModalityReferring PhysicianReferring PhysicianOrganization will always be UNM HSCOrganization will always be UNM HSC

Patient SearchPatient Search

Enter patient information and leftEnter patient information and left--click the click the Query buttonQuery button

Patient SearchPatient SearchList populates with all patients matching your List populates with all patients matching your search criteriasearch criteriaThis will show you the patient jacketThis will show you the patient jacketLeftLeft--click the (+) to open the patient jacketclick the (+) to open the patient jacket


After the leftAfter the left--click the (+) to open the patient click the (+) to open the patient jacket, the (+) becomes an arrow listing all your jacket, the (+) becomes an arrow listing all your patient studiespatient studies


Within the patient jacket, exam status Within the patient jacket, exam status symbols may be located to the left of the symbols may be located to the left of the exam detailsexam details

Marked ReadMarked Read

Report availableReport available

Locked examLocked exam

!! ExceptionException


Double leftDouble left--click on any study to view patients click on any study to view patients images and reportsimages and reportsThis will take you to the Exam Canvas PageThis will take you to the Exam Canvas Page

Exam Canvas PageExam Canvas Page

Exam Canvas OverviewExam Canvas OverviewCurrent Exams Opened

Patient Demographics

Patient Timeline(History and Navigation Menu)

Exam Notes

Shelf Bar

Close exam and return to directory

Exam Canvas OverviewExam Canvas OverviewCurrent Exams Opened

• Displays total opened

Exam Canvas OverviewExam Canvas Overview

Patient Demographics

•Name•Sex•Birth Date•MRN


Patient Timeline

• Patient history and navigation menu displays all of the patient's studies in iSite


Exam Notes

• Clip board will indicate when exam documentation is present


Shelf Bar

• Exam specific menu and information

Exam Canvas OverviewExam Canvas OverviewClose exam and return to directory

Patient ExamsPatient Exams

Hovering over a study Hovering over a study in the history timeline in the history timeline will display further will display further details on the examdetails on the exam


The exam rack or The exam rack or shelf bar shows image shelf bar shows image and series detailsand series details


First View is the First View is the thumbnail viewthumbnail view


Double leftDouble left--click click on the on the thumbnails to thumbnails to expand the expand the image viewimage view


With the curser With the curser over the image over the image you can scroll you can scroll through CT, through CT, MRI and MRI and Ultrasound Ultrasound seriesseries


To move To move between Xbetween X--Ray Ray images use the images use the F8 and F9 keysF8 and F9 keys

Patient Exams Patient Exams –– Screen OverlayScreen OverlayScreen Overlays Screen Overlays provide patient provide patient and exam and exam information information Different screen Different screen overlays are set overlays are set for each modality for each modality typetypeF6 key toggles F6 key toggles screen overlay screen overlay on/offon/off

Patient Exams Patient Exams –– Screen OverlayScreen Overlay

F6 key toggles F6 key toggles screen overlay screen overlay on/offon/offHere is an image Here is an image with the overlay with the overlay turned offturned off

Patient Exams Patient Exams –– Exam RackExam Rack

Exam Rack: The set Exam Rack: The set of images in a studyof images in a study

Navigating through Navigating through stacked seriesstacked series1.1. Mouse wheelMouse wheel2.2. Select Select ““CC”” on on

keyboard for loopkeyboard for loop3.3. Right Right –– click for click for

context menucontext menu

Patient Exams Patient Exams -- Context MenuContext Menu

Right-click on image for

context-menu

Single Image Menu

Series Image Menu

Patient Exams Patient Exams -- Window Width/ Window Width/ LevelLevel

Options for changing Options for changing Window Width and LevelsWindow Width and Levels

With the mouse, hold With the mouse, hold down left button, move down left button, move mouse horizontally and mouse horizontally and verticallyverticallyRight Right –– click to open image click to open image context menucontext menu

Patient Exams Patient Exams -- Window Width/ Window Width/ LevelLevel

WW/WL menuWW/WL menuDefault WWL:Default WWL: Applies iSite Applies iSite WWL valuesWWL valuesModality default:Modality default: Applies Applies modality WWL valuesmodality WWL valuesHistogram Calculation:Histogram Calculation:Uses histogram calculation Uses histogram calculation to set WWLto set WWL

Patient Exams Patient Exams -- MeasurementMeasurementTools to measure specific areas of an Tools to measure specific areas of an imageimageMeasurement menu:Measurement menu:

Ruler:Ruler: Linear measurements (pixel Linear measurements (pixel or mm)or mm)Angle:Angle: Degree measurement for Degree measurement for specified regionspecified regionRegion of Interest (ROI):Region of Interest (ROI): Average Average data value for a circular region of data value for a circular region of an image an image Freehand ROI:Freehand ROI: Similar to ROI but Similar to ROI but allows freeallows free--hand selection of ROIhand selection of ROIPoint Value:Point Value: The value of data The value of data points at a specific point on the points at a specific point on the image pixelimage pixelMeasurement Palette:Measurement Palette: Floating Floating measurement palettemeasurement palette

Patient Exams Patient Exams -- Annotation Annotation

Annotations are user Annotations are user specific, they will not specific, they will not effect the patient recordeffect the patient recordYou may add symbols and You may add symbols and text to an image text to an image Annotation subAnnotation sub--menu: menu:

LineLineArrowArrowTriangleTriangleCircleCircleTextTextFreehandFreehandSpine Labeling: Spine Labeling: Sagittal/Lateral ImagesSagittal/Lateral Images


LeftLeft--click additional click additional exams on patient exams on patient timeline to open more timeline to open more studiesstudies

Patient ExamsPatient ExamsNumber of Number of open exams open exams will show on will show on Control StripControl Strip

Right-click to navigate between exams


The patient history timeline shows exams in The patient history timeline shows exams in different stagesdifferent stagesSymbols and colors indicate exam statusSymbols and colors indicate exam status


All studies with an All studies with an XXhave no associated have no associated

imagesimagesA red A red XX indicates indicates missing imagesmissing imagesA green A green X X indicates a indicates a cancelled examcancelled exam


Studies with Studies with II on the time line have imagesGreen lettering indicates Green lettering indicates no reportno reportBlue lettering indicates a Blue lettering indicates a report is availablereport is available


An additional documentation indicator is located at the An additional documentation indicator is located at the upper left of the thumb nail, a clip board will upper left of the thumb nail, a clip board will

display three different waysdisplay three different ways

12 3


Blank Clip board = No DocumentationBlank Clip board = No Documentation

Patient ExamsPatient ExamsClip board with a yellow Clip board with a yellow

note = A note has note = A note has been posted with been posted with additional exam additional exam commentscomments

Open document with a Open document with a double leftdouble left--clickclick


Clip board with Clip board with Red Lines = Final Red Lines = Final or Prelim report or Prelim report from Radiologyfrom Radiology

Open the Open the document with a document with a double leftdouble left--clickclick


If documentation If documentation is present, leftis present, left--click on the clip click on the clip board to display board to display the filethe file

Patient ExamsPatient ExamsRightRight--click on the click on the shelf bar for shelf bar for additional optionsadditional options

Folders ListFolders List

In the Folders List you may create a In the Folders List you may create a personal folderpersonal folderThis folder is only seen by you This folder is only seen by you It can be used for your own needs, It can be used for your own needs, for example, for roundsfor example, for rounds

Folder ListFolder List

To create a folder, To create a folder, right right –– click on click on Personal FoldersPersonal FoldersChoose Add new Choose Add new FolderFolder

Name folder, for Name folder, for example, Port Chestexample, Port Chest


To use your folder, go back to the patient To use your folder, go back to the patient directory directory Locate patient and desired examLocate patient and desired examDrag and drop the exam into the folderDrag and drop the exam into the folder


Open to review items you put in your folderOpen to review items you put in your folderYou may also set you entire folder to You may also set you entire folder to Anonymous with a right Anonymous with a right –– click to your folderclick to your folder


The Anonymous folder turns blue and the patient data is The Anonymous folder turns blue and the patient data is replaced by iSite generated inforeplaced by iSite generated infoWarning: Ultrasound and other modalities that have Warning: Ultrasound and other modalities that have patient data embedded on the image will not change, patient data embedded on the image will not change, only the iSite patient date will be anonymizedonly the iSite patient date will be anonymized


To return your folder to itTo return your folder to it’’s original state, right s original state, right ––click and uncheck Anonymousclick and uncheck Anonymous


You can review each study you viewed You can review each study you viewed in the in the ““My HistoryMy History”” folder folder History cannot be deleted by the userHistory cannot be deleted by the user

Additional IconsAdditional Icons

In the upper right corner are three additional In the upper right corner are three additional IconsIcons

Additional IconsAdditional Icons

User Preferences Philips iSite Manual/Help Logout

(to insure a proper logout use the X)

User PreferencesUser PreferencesUsers have Users have several options several options in the in the Preferences Preferences sectionsectionDefault settings Default settings are in place, are in place, please review please review your options in your options in this sectionthis section

User PreferencesUser Preferences

Do not use the Change Do not use the Change Password option Password option –– your your password is your Novell password is your Novell password which would password which would be changed using the be changed using the standard password standard password change web sitechange web site

User PreferencesUser Preferences

Keyboard Keyboard shortcuts can be shortcuts can be reviewedreviewed

iSite HelpiSite Help

Here you can find useful Here you can find useful information on how the information on how the system functionssystem functions

*Please note, not all functions discussed in this manual are ite*Please note, not all functions discussed in this manual are items implemented ms implemented buy the University of New Mexico Hospital Radiology Departmentbuy the University of New Mexico Hospital Radiology Department

iSite Log outiSite Log out

Use the Use the ““XX”” to logout to logout from iSite will prevent from iSite will prevent locked images and or locked images and or sessionssessions

Would you like more?Would you like more?

If you would like additional information on If you would like additional information on features and settings within features and settings within iSiteiSite, please , please sign up for the PACS sign up for the PACS iSiteiSite class offered class offered through CLT through CLT

isite isite enterprise enterprise

Technology

isite enterprise

isite

folder

roi

left

image

tip

note