iSite Enterprise Radiology PACS Training
Contents
1. Patient Search J List populates with all patients matching your search criteria This will show you the patient jacket Left click the to open the patient jacket User Gordon Hillary TEST SERVER p L 1 pS 0000 TT 7 CD Manager DE Palet Dieta pa DHBHID a TESTING FLEURY 8620163 6 11 2009 14 50 03 gt TESTING LUCY 8620150 6 10 2009 15 29 00 D Installed Programs D iQuey E Local Exam Cache D My Filters Patient Search After the left clicic the to open the patient jacket the becomes an arrow listing all your patient studies User Gordon Hillary TEST SERVER HI LI D 5 E o Shortcuts Folder List Patient Name Date e Location B f iSite Tools Cm CD Manager J ea Dunn Aa TESTING FLEURY 8620163 14 50 03 TESTING LUCY 8620150 6 10 2009 15 29 00 W mnstanea Pro gp CT Head HEAD ROUTINE Adult Acc 000CT20099796023 Referring Ha 6 10 2009 15 29 00 Patient Directory E sad Cach CR CRLOW EXM Acc 000 R20099796086 Referring Lab Provider 6 10 2009 8 06 12 rane in Me CR CRUP EXM Acc O00XR20099796082 Referring Lab Provider 6 9 2009 16 38 51 D My Filters My History Patient Directory Statistics 2 dl 22 Patient Search Within the patient jacket exam status symbols may be located to the left of the exam details Marked Read Close All Patient Name v Query Adams Report available Accession Number Modality Locked exam2. Cr Chest Acc 4294000 Referri Exception Patient Search Double left click on any study to view patients images and reports a This will take you to the Exam Canvas Page User Gordon Hillary Patient Directory 0 gt iSite Tools H Installed Programs L iQuery TEST THOMAS 8668956 12 2 2007 19 00 37 My Filters TESTISITE JANE 8620443 12 19 2007 7 40 59 My History TEST TESSIE 8667845 1 3 2008 13 15 25 Patient Directory TEST BRAVO B 8624451 11 26 2008 11 33 27 On Perean Foljerg TEST MADISON M 8520111 12 3 2008 12 34 30 Patient Directory TEST BAILEY 66601265 1 8 2009 10 43 29 CR Hand Bone Age L Only Acc OOOXR2009007 485 1 8 2009 10 43 29 CR Chest PA LAT Acc OOOXR20080237195 Referri 12 14 2008 4 16 08 TEST ALEXANDER 8661245 1 27 2009 15 20 51 TESTER SHANNON 8630142 2 4 2009 15 15 35 TESTConnell Bradley 8623346 6 8 2009 9 48 08 Exam Canvas Page PHILIPS j RADA Patient Directory View Exams 1 Patient s selected U P 4 x TEST BAILEY Sex F BirthDate 8 19 1989 MRN 86601265 Patient History Timeline Referring Unassigned Provider Least Recent 12 14 2008 am Canvas Overview Patient Directory View Exams 1 Patient s selected TEST BAILEY Sex F BirthDate 8 19 1989 MRN 86601265 L 12 14 1001 am Canvas Overview Patient Directory View Exams 1 Patient s selected TEST BAILEY Sex F BirthDate 8 19 1989 Patient TUE Ti
3. Gur ges KaM Vals tient Locat i Y D Installed Programs Patient Directory EL iQuery My Filters D My History Patient Directory 3 Personal Folders Patient Search Options Default Query gt Patient Name a MRN a Exam Date free text or drop down date format is M D YYYY m Patient Location a iSite Too H 6 Install iQuer ls ed Programs Last 14 Davs Patient Search Options Additional search criteria can be found with a left cliekk on the next to the word Query T 006 der List AT Close A iSite Tools Quer Y E Installed Programs RE L iQuery Patient Search Options Expanded search options include s Accession a Modality Referring Physician Organization will always be UNM HSC User Gordon Hillary 906 t3 iSite Tools f MM a W E Installed Programs l RINSE Patient Directory EL iQuery ccession Number Modality Referring Physician Organization My Filters i z 3 My History Patient Directory 3 Personal Folders Patient Search 3 Enter patient information and left click the Query button User Gordon Hillary No exams found thet match your criteria 7 H LI DS L 0000 Shortcuts Folder List Close All Patient Name MRN v Exam Date Patient Location e Eme 8 t CD Manager Iu D DUPUID Cases Exception Handler YD Installed Programs amp iQuery B Local Exam Cache D My Filters D My History Patient Directory
4. rlistocjrarri Calculator Uses histogram calculation to set WWL Window Width Level Measurements Annotations Image Processing Scout Line Mode Localizer Mode Create Popup Key Image New Link Save To Paper Printer Flip Rotate Zoom Presets Delete Assign New Unique Study UID Export via DICOM Export Image via DICOM Default WW WL Modality Default Histogram Calculation 1 Bone 2 Abdominal Brain Edema Head Blood Liver Lung Lung 2 Mediastinum Subdural System WWIWL Presets Patient Exams Measurement Et Window WidthfLevel zs de d Iolo S LO measure Specinc areas OT an Measurements Ruler image Annotations Ma piz P a Sa egion of Interes Measurement menu a Freehand ROI f 2 Grp Lime Meade 2 Point Val Linear measurements pixel un t _ ocalizer Mode z Measurement Palette Or ANAD Create Popup Calibrate Image Degree measurement for Clone Window With Preset Seles Rielle a mage lay Cine Loop AW fele 7 data value for a circular region of bep a 4 IE zals an image Similar to ROI but or Printer allows free hand selection of ROI Flip RotatejSort Split The value of data MI is points at a specific point on the Delete image pixel Assign New Unique Study UID Floating Export measurement palette Patient Exams Annotation Freehand Spine Labeling Sagittal Lateral Images E Window WidthjLevel Annotations are user Measurements Lr Annotations Specific
5. they will not Image Processing TT effect the patient record vor LUT Options You may add symbols and Roue text to an image Rrip o d New Link Fracture J Annotation sub menu x H Bal To Paper Printer Flip Rotate m Arrow Zoom Presets m Triangle Zaa Circle aii Export via DICOM m Text Export Image via DICOM El El P view Exams 1 Patient s selected Sex F BirthDate 8 19 1989 MRN 8660 oft cl ick aad itional fE XalmsS oN patien p A LAS groe re In more CT tuaies VU Patient Exams A Number of S E Right click to navigate Will Show on between exams Control Strip User Gordon Hillary Patient History Timeli 202 vost Recent 12 2 2007 Dl ESE n i 1 EU ZEN Z C WN ESO 7 K L Patient Exams ihe patient history timeline Shows exams im CSLAS re SS 1 Symbols and colors indicate exam Status User Gordon Hillary Patient History Timeline n 06 03 06 09 06 08 06 08 OBS D6 08 06 08 06 09 06 08 Mast Recent 6 15 2009 Patient Exams All studies with an X have no associated IrfieicJes CR MR XA ABD ABD VAPR X X na 608 Dee A red X indicates Most Recent 6 23 2008 missi ng images A green X indicates a elpee SEAN Patient Exams Studies with I on the time line have images gt 3 B CR ME HA Green lettering indicates E ADD VAR Ale report i23 TS 06 08 J slt s Sarseiale indicates a report is available host Recent 6 23 20
6. wf contrast 12 2 2007 19 00 37 CT ABD W_ O00CT200 Patient Directory TEST THOMAS 8668956 CTAbdw CT Abd w contrast 12 2 2007 19 00 37 CT ABD W_ DDOCT200 Personal Folders TEST MADISON 8620111 Shoulder2 Shoulder 2 Views L 12 3 2008 12 34 30 SHOULDE OOOXR200 TEST TESSIE 8667845 Chest PA L Chest PA LAT 1 3 2008 13 15 25 CHEST P OOOXR200 TESTISITE JANE 8620443 Chest 1 Vi Chest 1 View 12 19 2007 7 40 59 CHEST 1 VI OOOXR200 TEST THOMAS 8668956 CT Abd wi CT Abd w contrast 12 2 2007 19 00 37 CT ABD Vv OOOCT200 TEST THOMAS X 8558955 CT Abd w CT Abd w contrast 12 2 2007 19 00 37 CT ABD W_ OO0CT200 TEST BAILEY 85501265 Hand Bone Hand Bone Age L Only 1 8 2009 10 43 29 HAND BO OOOXR200 TEST BAILEY 86601265 Hand Bone Hand Bone Age L Only 1 8 2009 10 43 29 HAND BO OOOXR200 TESTING FLEURY 8620163 CRLOW CRLOW EXM 5 11 2009 14 50 03 LOW EXM ODDOXR2OD TESTCERTFSI 8620043 Wrist 3 Vi Wrist 3 Views R 7 15 2008 22 25 35 WRIST 3 VI DOOXR2OD TESTISITE JANE 8620443 Chest 1 Vi Chest 1 View 12 19 2007 7 40 59 CHEST 1 Vl OOOXR200 Additional Icons In the upper right corner are three additional cons User Gordon Hillary Patient Directory 9 H 0 E iSite Tools Y D Installed Programs Patient Directory FE iQuery D My Filters My History Patient Directory Personal Folders Additional Icons User Preferences Philips iSite Manual Help
7. 08 Patient Exams An additional documentation indicator is located at the upper left of the thumb nail a clip board will display three dierent Ways Patient Exams S board wit a yellow note A note has been posted witia additional exam comments Open doc ment witha double left click Patient Exams Clip board with mae El als Final or Prelim report irom Radiology Opera tiae document with a double left click Patient Exams WI Clinical Information Diagnostic Report S f documentation Clinical Exam Notes TESTING FRED DOB 07 07 1967 Age at exam 41 Y 11M Sex M MRN 8620152 ACC 000MR20099796024 Exam MRI Abd wo contrast Org UNMHSC S D res e nt eft 06 23 2009 11 20 AM Ex Sts F Report Status Finalized Perf Resource MR UH Clinical Info Memos click on the clip Diagnostic report text Accession 000MR20099796024 Exam Description MRI Abd wo contrast boa ra to G i spl ay Signs and Symptoms History cirrhosis chronic liver disease F Commens the file Visit Pt Loc FPC Phone Performing Provider Comments gt Attending Sava Saverio J gt Requester Lab Provider Performing amp Responsible Providers Providers Related Exam List No related exams found View Exams 1 Patient s selected TESTDeMoss Todd Sex M BirthDate DEAS 06 08 06 3 05 28 05 21 05 21 03 26 03 26 03 15 03 04 03 04 03 04 02 23 02 23 02 23 02 22 02 22 02 Most Recen
8. B f iSite Tools Y D Installed Programs iQuery My Filters D My History Patient Directory D Personal Folders Screen Overview Folders List List of all the folders filters and tools in iSite Enterprise Folders List User Gordon Hillary 006 iSite Tools Y D Installed Programs D iQuery My Filters D My History Patient Directory D Personal Folders Screen Overview Patient Directory Patient exam search engine and sort function Patient Search Options User Gordon Hillary ps PI Do Patient Name ARN Exam Date Patient Locatior iSite Tools Y D Installed Programs iQuery My Filters D My History Patient Directory D Personal Folders Screen Overview Preferences User System and Machine Preference dialog boxes User Preferences User Gordon Hillary RH Patient Directory PX EX E iSite Tools Quer E Sa tent LOGS i Y D Installed Programs Patient Directory EL iQuery My Filters D My History Patient Directory D Personal Folders Screen Overview Help iSite Enterprise s user manual User Gordon Hillary 000 x 7 iSite Tools E g i Y D Installed Programs Patient Directory EL iQuery My Filters D My History Patient Directory D Personal Folders iSite Manual Screen Overview Logout Button Exit application and return to login window Logout User Gordon Hillary Patient Directory PX EX D iSite Tools
9. Logout to insure a proper logout use the X User Preferences Users have EE several options Options Ta the Iv Display Timeline Change Password v Show tips at start Benne Preferences section es Default settings C are in place please review your options in this section User Preferences Preferences Dialog Ed E User Preferences General Preferences Window Width Center Options Keyboard Shortcuts v Di imeli linee Pacem M Display Timeline Change Password v Show tips at start General Preferences Do not use the Change Fites 9 Password option your Display Preferences v Display Key Image Stack Network Testing password is your Novell password which would em Miss be changed AUS ple the Horizontal i standard password change web site Mouse Scheme Options Standard Enhanced Cancel User Preferences Preferences Dialog E User Preferences General Preferences General Preferences Window Width Center Keyboard Shortcuts VES E Image Processing lt Filters Vs Display Preferences IV Display Key Image Stack Network Testing Options Rack Orientation C Vertical Horizontal Mouse Scheme ptions Standard Enhanced Change Password r Initial Size C Small Normal 1 Keyboard shortcuts can be reviewed iSite Help mU c Print Contents Search KS Proper Usage Stat New Features Program Overview and Syst
10. change only the iSite patient date will be anonymized H D Site Tools 2 3 a Buis Farfan Maya L 3745218C Part Chest Part Chest 1 view PL iQuery 1 88 Mw Filters Farry Harry O 158605369 Port Chest Part Chest 1 view amp Farfan Maya L 9 45218C Por Chest Port Chest 1 view E My History E Patient Directory A Personal Folders Folder List To return your folder to it s original state right click and uncheck Anonymous a iSite Tools Farfan Maya L 9745219C Port Chest Port Chest 1 View 3 Installed Programs Farfan Maya L 9745219C Port Chest Port Chest 1 View EL iQuery m My Filters Farry Harry O 15BD53E9 Port Chest Port Chest 1 View E My History E Patient Directory Personal Folders Add new Folder Create Shortcut Delete Rename Expand All w Anonymous Folder List Yo can review each Selle yot viewed in the My History folder History cannot be deleted by the user Folder List x Patient Name MRN E xam Code Exam Description am Date Time Modali Body Part A cessior L2 gt iSite Tools TESTING FLEURY 862016 CT Abdomen CT Abdomen w o contr 2 2 2009 13 01 39 CT ABDO OOOCT200 ii A Programs TESTSeay Linda 8610224 _ NoDescrip No Descriptions 6 15 2009 7 24 28 STNDCMTK 4A364B8C 3 My TESTFred Barbara 8510223 Voiding Ur Voiding Urethrocystogr 6 16 2009 15 16 39 VOIDING UR OOORF200 emm TEST THOMAS 8658955 CTAbdw CT Abd
11. e Getting Started Accessing iSite PACS Remotel Program Layout Viewing Patients and Creatin iSite PACS Patient and Exam Using the Technologist workl Finding and Managing Except M Viewing Diagnostic Reports Using the Canvas Page Measuring and Annotating Irr Viewing and Manipulating Im Using iSite PACS with Advanc Retrieving and Exporting Stuc e Managing Studies and Image Setting User Preferences Setting System Preferences Setting Machine Preferences Setting Up Security in iSuite iSite PACS Quick Reference Tz gt Mouse and Keyboard Referer Troubleshooting iSite PACS Known Limitations Glossary Accessing PDF File of Online Ed E EE EH EH H as FE pr qx E a LN NU d EM k E i Lu 4 ES ee Options Here you can find useful information on how the system functions Please note not all functions discussed 1m this manual are items implemented buy the University of New Mexico Hospital Radiology Department iSite Log o t Use the X to logout iom iSite will prevent lockediiimages andlor SESSIONS Would you like more Si you would ike additional intonmnation on teat res ne settings mithin iSite please sign up for the PACS iSite class offered through CLT
12. en viewing CT series you can quickly cycle through your custom WW WL values by clicking the numbers 1 2 3 etc To view the list of Next Ti D Or OY available pre set Window Width and Level Values right click a CT series and select the Window pressi ng N on yor Width Level sub menu keyboard Show tips at startup f Next Tip Logging in to ISite Enterprise Close the pop up by Goro you mow selecting lossy on When viewing CT series you can quickly cycle pressing the letter C through your custom WW WL values by clicking the numbers 1 2 3 etc To view the list of available pre set VVindow Width and Level Values right click a CT series and select the Window Width Level sub menu To disable this pop up uncheck the box at the bottom of the dialog box vV Show tips at startup Screen Overview After closing the Tip of the Day you will see the iSite Enterprise Start Up Window Patient Search Options Logout Shortcuts Bar Folders List Patient Directory xx User Preferences User Gordon Nillary R 000 Shortcuts Close Al Patient Name MRN S n E iSite Tools Y D Installed Programs Patient Directory EL iQuery My Filters D My History Patient Directory D Personal Folders iSite Manual Screen Overview Shortcuts Bar Customizable lists to frequently accessed folders exams and filters Shortcuts Bar User Gordon Nillary Patient Directory PK x
13. iSite Enterprise Radiology PACS of eeu Ss Login to iSite Enterprise Se KEN for patients Select and view exams Marnipulate taemages Set up personal folders Site Enterprise TOME WS en else aasellee aeS aiStriloution System tnat delivers diagnostice quality Images toreinicians im LAerhealtincarerenviromment a Used by Referring Physicians Surgeons ce Rep RIE of the patient ES EAN Logging in to Site Enterprise a Use your Novell login to access Citrix Windows Username Novel User Name Password Domain HEALTH I Save Password Logging in to Site Enterprise Select PACS from your available icons E Citrix Program Neighborhood UH Citrix 40 Farm File View Tools Help xX g Up Refresh Delete Properties Settings Quick Launch UE E EA F3 Application Set Administration Applications Cerner Manager Applications p o PACS Pharmacy PM and Orders RadMet Applications Applications Logging in to Site Enterprise Welcome to iSite University of New Mexico User Name Password Workstation Location Main Location Log In Your username for PACS Is your Novell username Access iSite PACS using your Novell username and password Select Active Directory from the Log on to drop QOWrn list Logging in to Site Enterprise After login you will see the Tip Of the Day fm neeite To see additional QD dia you know j nformation select Wh
14. meline am Canvas Overview Patient Directory View Exams 1 Patient s selected 9 TEST BAILEY Sex F BirthDate 8 19 1989 Patient TUE Timeline am Canvas Overview Patient Directory View Exams 1 Patient s selected TEST BAILEY Sex F BirthDate 8 19 1989 MRN 86601265 Patient History Timeline ime o9 os 12 14 Most Recent 1 8 2009 am Canvas Overview Patient Directory View Exams 1 Patient s selected TEST BAILEY Sex F BirthDate 8 19 1989 Patient TUE Timeline am Canvas Overview Patient Directory View Exams 1 Patient s selected TEST BAILEY Sex F BirthDate 8 19 1989 MRN 86601265 Patient History Timeline am Canvas Overview Patient Directory View Exams 1 Patient s selected TEST BAILEY Sex F BirthDate 8 19 1989 Patient TUE Timeline Patient Exams JS Hovering over a study im ter history timeline will iSplayst rtiner details on the exam Patient Exams The exam rack or siaelf I ar ShOWSs image and series details Patient Exams First View is the tiaurmanmalliewv 12 Most Recent 1 8 2009 1001 Patient Exams User Gordon Hillary Patient History Timeline Double left click on the thumbnails to Steeple nage image view Patient Exams With the curser over te Image you can scroll through CT MRI and Ultrasound series Patient Exams To move between X Ray lanele Ss USS the ES and mS Ke
15. s Create Shortcut Choose Add new Folder List X Folder Elf iSite Tools Y E Installed Programs 0 iQuery EG My Filters Name folder for E Patient Directory example Port Chest ee Personal Folders Folder List To use your folder go back to the patient directory 3 Locate patient and desired exam Drag and drop the exam into the folder Folder List X Close All Patient Name iSite Tools Query 1 TestSeay H Installed Programs gt i fL iQuery TESTSeay Linda amp 3 My Filters CR No Descriptions Acc 44364B6C0001 Referring Ste 3 My History CR Port Chest 1 View Acc OOOXR20090151219 Referrint a sen sonal Folders Chest PA LAT Acc 000XR20090151224 Referring F SALA ha Shoulder 2 Views L Acc OOOXR20090151160 Refer Selle S Open to review items you put in your folder You may also set you entire folder to Anonymous with a right click to your folder T SR one Toos TESTSeay Linda 8610224 Port Chest Port Chest 1 View EM ELEC ene TESTSeay Linda 98610224 Port Chest Port Chest 1 View ft iQuery My Filters My History Patient Directory f Personal Folders Z2 TESTDeMoss T 8510185 Port Chest Port Chest 1 View Add new Folder Create Shortcut Delete Rename Folder List The Anonymous folder turns blue and the patient data is replaced by iSite generated info Warning Ultrasound and other modalities that have patient data embedded on the image willnot
16. t 6 15 2009 Presentation States Minimize Images Vertical Rack Add Exam To Folder Exam Information zleleljdfe grel ej ede 5j Patient Patient Name TESTDeMoss Todd Patient Location OOR 200901 54062 Modality Procedure Code CRUP_EX Procedure Description Exam Status COMPLET Organization Cony Admitting Diagnosis Referring Physician i nassigned Provider Study Exam Date 06 15 2009 03 40 53 x MAN 8610185 Birth Date 20010326 Sex M CR Body Part UP EXM CRUP_EXM Subspecialty UID 2 16 840 1 113653 6 4 0 1243873850883 2009166092524226 ID Date 20030615 Time 084053 00 Sending AE Description FLASHIIP16 Other Patient IDs Patient Comments Patient History Reason for Study Study Comments Folders List Folders List User Gordon Hillary Patient Directory PA IX pi E amp Installed Programs fi iQuery D My Filters D My History Patient Directory D Personal Folders In the Folders List you may create a EB iSite Tools 7 ao Du Programs personal folder fie IQuery fo My Filters a L a This folder is only seen by you Ed Patient Directory P H It can be used for your own needs for example for rounds Selle S Folder List iSite Tools R ouan a To create a folder B My Filters B My History plejale ele on Patient Directory gt EERE aca now Folder Personal Folder
17. ys Patient Exams Screen slc Se SINR OVENS ge e S SAn and exam information Different screen overlays are set for each modality type F6 key toggles Screem overlay on off Patient Exams Screen slc F6 key toggles screen overlay on off J Heres an image with the overay t rned Off Patient Exams Exam Rack Exam Rack The set of images in a study J Navigating thro gh Stackediseries 1 Mouse wheel 2 Select C on lt a eleye cel TOO 3 Right click for Gontext menu Patient Exams Context Menu Window Wid Right click on image for context menu Patient Exams Window Width Level Options for changing Window Width and Levels With the mouse hold down left button move mouse horizontally and vertically Window Width Level Measurements Annotations Image Processing Scout Line Mode Localizer Mode Create Popup Key Image New Link Save To Paper Printer Flip Rotate Zoom Presets Delete Default WWIWL Modality Default Histogram Calculation 1 Bone 2 Abdominal Brain Edema Head Blood Liver Lung Lung 2 Mediastinum Subdural System WWIWL Presets Assign New Unique Study UID Right click to open image context menu Export via DICOM Export Image via DICOM Patient Exams Window Width Level WW WL menu J Default WWL Applies iSite WWI values J Modality default Applies maogality VWI values J
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