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VistA Imaging Clinical Display User Manual January 2012

1. 113 Images with Incorrect Index Values rrrrrrrrnnnnnrrvrnnnnnvrrrenrnnnererenn 113 Running the QA Review Report rrrnnnrnnnrrnnnnnnnrvnnnvrnnnnnnnnvrnnnnnnnnnn 113 Menu Bar in the Status Verification Report Window 116 DISDIAVING Reports vade e 118 Repor NI ud 118 Menu Bar in the Report WindOwW cccccccsseeeeeeeeeeeesseeeeeseees 118 MAGE REP varetatt R 119 Patent Poll avse 120 Mean Summa y save een 120 Discharge SIN R 121 Appendix A Shortcut Key Legend r nanuvennnnnnnnnnnnuvnnnnnnnevnnnnnennnnnuner 124 Full Resolution Viewer and Radiology Viewer rrrrnrrnnnnnnrnvrnnnnnvnnnnnnn 124 MAJE VENER ene 124 Image EIST WINGOW sense a aa 124 Radiology VISWeET scienee iren reaa Rn T EEEa 125 CE MEN osie aa a cbt eenclnecetiouenes 125 ADstract WINdOVS Lunnan aE 125 Page FUNCIONS ae a nel onthanadldnctnuan dere easendeents 125 Activate WINGOWS saadan ean deei 126 FOCUS ANN WINGOWasn unae a a kai 126 HEO OIG ee 126 Ment ODUOM ACCESS av 126 Gloso Dialogg BOXES er 126 Popup Menu SHOMCUIS ee 126 Appendix B Clinical Display Security Keys rrnnnnnnnnnvvnnnnnnnnnnnnnnnnnnr 128 Appendix C Deleting Images nnnnnnnnnnnnnennnnnnnnnennnnnnnnnennnnnnnnnnnnnnnnnnnenn 131 When an Image Is Deleted rrrrnnnrnnnnnnrvnrnnnnvnnnnnnrnnrnnnnvnnnnnnennnnnnsnnnnnnee 131 Image Delete NINA Seed 132 Menu Bar in the Image Delete WINdOW ccccsseseeeeseeeeeeaeeeees 132 Tool Bar in the Image D
2. Display the Report Displays the Image Report in the text area of the Image Delete associated with the window image in the text area BI Display the Image Text Displays the Image Text File in the text area of the Image Delete file in the text area Tek window TA Display the Image Displays the Image Information in the text area of the Image Delete Information in the text window area 1 i Deleting Single Images The image abstract is displayed in the upper left corner when a single image is selected Image information is displayed in the text pane positioned in the upper right corner The associated report can be displayed in the text pane 1 Right click the image in the Abstracts window or the Image List window from the Image List or Tree View 2 Select Image Delete in the popup menu The Image Delete window opens as shown You can look at the image report TXT information or image Information 3 To view the Image Report in the text pane choose Options Image Report or click the Display the Report associated with the image in the text area button Bl 4 To view the associated Image Text File in the text pane choose Options Image Text File or click the Display the Image Text file in the text area button te 5 To view information about the image in the text pane choose Options Image Information or click the Display the Image Information in the text area button i January 2012 Clinical Display Wor
3. is selected then all images will change to the same window level value Disk Sets the currently selected window level values such that they can view disk If Apply All is selected then all images will change to the same window level value Head Sets the currently selected window level values such that they can view the head If Apply All is selected then all images will change to the same window level value Lung Sets the currently selected window level values such that they can view the lungs If Apply All is selected then all images will change to the same window level value Mediastinum Sets the currently selected window level values such that they can view the mediastinum If Apply All is selected then all images will change to the same window level value January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 View Info Menu Image Info Displays information about the image including the patient name ID number of pages in the image the page dimensions bit depth and file format information DICOM Header Displays the DICOM Header associated with the image if it is available Radiology Image Info Displays information from the header of the image including the modality series and image numbers Image Information Displays the Image Information properties window Advanced FullRes Menu View If the original full quality image is available for the down
4. Clinical Display is a part of the Veterans Health Information System and Technology Architecture Vist A Imaging System Clinical and administrative staff responsible for providing patient care and maintaining patient s electronic medical records should use this manual This manual assumes that you are familiar with the Windows environment This manual introduces you to the Clinical Display application and explains how to navigate and complete the following tasks Signing in to Clinical Display Selecting a Patient Working with the Image List Working with Abstracts Viewing Patient Images at Remote Sites Printing and Copying Images Configuring User Preferences for the Image List and Abstracts Displaying Reports Supporting information is provided in the following appendixes Appendix A Shortcut Key Legend to navigate in the interface Appendix B Clinical Display Security Keys list for restricted tasks Appendix C Deleting Images to delete single images and group images Appendix D Clinical Context Object Workgroup on CCOW compliance Appendix E For System Managers for access to all functionality in Clinical Display January 2012 Clinical Display Workstation User Manual Rev 3 1 VistA Imaging MAG 3 0 121 Terms of Use In compliance with Food and Drug Administration FDA and VA policies authorization to use this software is contingent on the execution of a Site Agreement between the VistA Imaging Office of Enterprise Devel
5. Note The commands in first group of the menu are a subset of the tools in the tool bar Zoom d b Mouse k Rotate H Invert Image Reset Image Shift Ctrl 5 Close Selected Image Image Report Image Delete Image Information Image Information Advanced Font Size k w Toolbar Ctrl T w Show Hints Go to Main Window Ctrl M Help Image Report Opens the Image Report for the selected image 58 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Image Delete Deletes an image only if you hold the proper security keys See Appendix C Deleting Images Image Information Opens the mage Information Window Image Information Advanced Opens the Image Information Properties Window Radiology Viewer Clicking a DICOM or TGA image from the Abstracts window Image List window or the Group Abstracts window opens the image in the Radiology Viewer The Radiology Viewer opens the images in a single view or group view Single View Radiology Viewer PATIENT SEVENONEONE l EX HOO IN MEAS Ve eRe kh EG Win 212 r te 103 af f gt l Zoom gt SLC X RAY CHEST SINGLE VIEW 7 28 97 GEN MED 07 28 1997 1 Images If you select a single radiology image the viewer will open the image as a single view January 2012 Clinical Display Workstation User Manual Rev 3 59 VistA Imaging MAG 3 0 121 Group View wi Radiology Viewer IMAGPATIENT 711 711 Fil
6. When you start the application from CPRS you are automatically signed in The patient that 1s selected in CPRS is the same patient selected in Clinical Display when the application is opened This method of matching the same patient between two applications is performed by Clinical Context Object Workgroup CCOW a standard for synchronizing common data See Appendix D Clinical Context Object Workgroup for information on CCOW and patient context in Clinical Display For more information on using Clinical Display in the context of CPRS see the CPRS User Guide at http www va gov vdl documents Clinical Comp Patient Recrd Sys CPRS cprsguium pdf 1 Double click the Display Shortcut on the Windows desktop or click Start All Programs VistA Imaging Programs VistA Imaging Clinical Display 32 bit Ji AG vist Imaging Display 32bit 2 The VistA Sign on dialog box is displayed Note If the Connect To dialog box is displayed instead of the Sign on dialog box continue to Step 3 January 2012 Clinical Display Workstation User Manual Rev 3 5 VistA Imaging MAG 3 0 121 oF 4 5 6 VISTA Sign on WARNING WARNING WARNING This U S Government computer system is for official use only The files on this system include Federal records that contain sensitive information All activities on this system may be monitored to measure network performance and resource utilization to detect unauthorized access to or m
7. in the same window Font Opens the Font window Enables you to strikeout or underline text and change the font font style size script and color Opens the Print window 118 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Print Setup Opens the Print Setup window Exit Closes the report window Help Menu Image Reports Displays the online help for viewing associated image reports Image Report 1 From the Image List Tree View or Abstracts window right click an image row or abstract to display the popup menu 2 Select the Image Report from the menu The Image report contains the long description for the image followed by the clinical report If a report is not available a No Report Available dialog is shown Image Report IMAGPATIENT 11 711 CARD Dec 13 2007 File Help CARD Dec 13 2007 Image IDF 19392 LOCAL TITLE CARDIOLOGY NOTE JAN 26 2009 14 25 47 ENTRY DATE JAH 26 2009 14 25 4 7 IMAGPROVIDERONETWOS EXP COSIGHER URGENCY STATUS COMPLETED Vist Imaging Scanned Document es ONETWOSIZ IMAGPROVIDERONETWOSIX Signed 01 26 2009 14 25 ax END REPORT Mar 31 2010 7 36 37 am Ss 3 On the File menu select any option to change the font set printer options and to print January 2012 Clinical Display Workstation User Manual Rev 3 119 VistA Imaging MAG 3 0 121 Patient Profile 1 From the VistA Imaging Display main window or the Image
8. ke PM Refreshes the images PE Refresh Images MD Removes only the selected images from the Full Resolution 188 Remove Selected Viewer pane Image s Not a Delete FiFi Removes all of the images from Full Resolution Viewer pane M Remove All Images Not a Delete E In the drop down menu there are three options to Copy Image Image Report Print Image and Image Report Print Copy Menu Go to the first page of a multi page image Goto First Page Go to the previous page of a multi page image Goto Previous Page Go to the next page of a multi page image Goto Next Page Go to the last page of a multi page image GoTo Last Page January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 57 Flips the image vertical L Flip Vertical Flips the image horizontal Flip Horizontal 4 Reverses the colors of the image Invert Image zl Resets the currently selected image to its original display Reset Image settings including zoom contrast window brightness and orientation i Osa T ar 100 Ff con 100 Tf O 35 mn Magnification Use the scroll bar to increase or decrease magnification Ari 100 i Brightness Use the scroll bar to increase or decrease brightness fon 100 T Contrast Use the scroll bar to increase or decrease contrast Popup Menu in the Full Resolution Viewer Right click an image in the Full Resolution Viewer displays the following popup menu
9. rrrrrrrrrrrrnnnnrrnrrvrrrrnnnnnnnnrrennnn 89 Configuring the Layout Style of the Image List rrrranrnrrrnnnnrnnnnnnnennnnnre 90 Viewing Patient Images at Remote Sites rrrrrrnnnnnnnnvnnnnnnnnrnnnnnnnnneennnn 92 Using Remote Image Views RIVS ccccccecssseeeeeeeeeeeseeeseseeeeeeseaaeees 92 Pamma RESUS aisn aaa a E AR 93 Configuring User Preferences for RIVS rrrrrrnnnnnnnnnrnnnnnnrnnrnnnnnnrnnnnnnnnee 94 Configuring Your Connection to Remote Sites rrrrrrnnrrrrrnnnrerrnnnnrennnnnre 95 Editing the Image Index Entries rnrrrnnnnvnvnnnnnvnnnnnnnennnnnvennnnnnennnnnnvennnnnr 98 Image Index Edit Window rrrnnnnrnnnnnnrnnrnnnnvvnnnnnrnvnnnnvnnnnnnrnnnnnnnvnnnnssennnnn 98 Menu Bar in the Image Index Edit Window rrrrnnrnnnrrvvnrrnnvrrvrnnnnnn 98 Editing Index Fields sarte eee 99 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 January 2012 Checking Quality Assurance on Images nnnxennnnnnnnnnnnnnnnnnnennnnnnnnnnn 102 OA Review WINDOW sorai eie a a i 102 Menu Bar in the QA Review Window rrrnnnnrnnnnrovnvrnnnnnnvnvrnnnnnnennn 103 Applying Advanced Filters to the QA Review rrrnnnnnnnnnnnnnnnnnrrrrrnnnnnnnnn 106 Selecting an Existing Filter for the QA Review QuEIIeS c6e 107 Specifying the QA Review Parametelrs sssssseeeeeeeeeeeeeeeeeeeaaaees 109 PETomna Ne QA Re VIC rene 112 Performing QA Review on a Single Image within a Group
10. 2 vr 5 All mth 6 All 7 Clin 2 yr 8 Clin All 9 Rad All When you select a patient the total image count for the patient will be displayed with the number of images that match the filter in use In the following example there are 6 images for this patient and all 6 match the Clinical All filter GJERE EET R IMMAGPATIENTIOS5 1055 Gofblmages match Filter Clinical All Editing or Deleting a Private Filter or Filter Details Note You can edit a Private Filter by selecting the filter name from the Private tab You can create a new filter by the same name as an old filter and then save and overwrite the old filter 1 Open the Image Filter Add Edit window Your newly created filters are listed in the Private filtes pane as shown in the example 34 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 7 Image Filter Add Edit Custom File Edit Options Help Private Public Filter Details Custom XXXXXXXXXXXXXXX ss KRKKKKKKKKKKKKKKKRKRKKRK y Dates All Dates Packages Ary Specialty SubSpecialty Procedure E vent Status Any Saved By Any Search on Capture Date False Short Description has Any 2 Toclear the fields but keep the filter select the filter in the Private pane and choose Options Clear All from the menu bar 3 Re enter the filter values and save 4 To delete a filter right click it in the Private filters pan
11. 48 HTM 48 HTML 48 JPG 48 MHT 48 MHTML 48 PAC 48 PDF 48 TGA 48 TIF 49 TXT 49 viewable in an alternate viewer 49 viewable in Clinical Display 48 Filters advanced in a quality review 106 as buttons in the Image List Window 26 29 Clinical Properties 32 creating 31 deleting 34 General Properties 32 Multi line tabs 29 on the Filters menu 34 private 29 31 public 29 142 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 working with 29 Fit Columns in Window button 25 Fit Columns to Text button 25 Full Resolution Viewer 51 G GE Marquette See MUSE EKG General properties 106 Group Abstracts window 41 Group Window 10 H Health Summary report 12 121 122 Health Summary Report button 13 HTM file type 48 HTML file type 48 Icons in the item column 26 ID mismatch 46 Image Delete window 132 Image Filter Add Edit window 106 Image Filter List button 13 Image Filters Add Edit window 30 Image group 41 102 Image Index Edit Utility editing index fields 99 purpose 98 window 98 Image information advanced 140 viewing 45 window 42 Image Information Properties window 140 Image List 17 button 13 filters menu option 9 menu option 10 window 17 Image report 119 Logout 9 M MAG DELETE security key 47 128 131 MAG EDIT security key 47 48 98 102 106 128 MAG PAT PHOTO
12. CARDIOLOGY NO DEN Ma NOTE CLIN IMAGE Connect All DOD 4 WASHINGTON DC 12 EL PASO TX 12 PHOENIX_AZfx 72 TUJ l l i i i i d Menu Bar in the Image List File Menu Displays a welcome to the VA VistA Imaging Help System Opens the Patient Lookup window January 2012 Clinical Display Workstation User Manual Rev 3 17 VistA Imaging MAG 3 0 121 Open Image in 2 Enables the user to view two radiology images side by side Radiology Window if Radiology image is selected Image Copy See Printing and Copying Images See Printing and Copying Images Image Report Opens the Image Report for the selected image Image Delete shown ifa Opens the Image Delete window single image is selected Image Group Delete Opens the Image Delete window shown if an image group is selected Image Index Edit Opens the Image Index Edit window for the selected image Image Information Opens the Image Information window Image Information Opens the Image Information properties window Advanced Cache images Caches the currently selected image in the background to the workstation enabling you to continue working while the images are brought to the workstation Closes the Image List window Closes the imaging session Context Menu Menu Option Description Pertains to CCOW compliance See Appendix D Clinical Context Object Workgroup Options Menu Refresh Patient Images Refreshes the l
13. Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Menu Option Active Forms Stay on Top Help Menu Menu Option Image Reports January 2012 Opens a window that lists all the active forms in the application You can easily switch to a form by selecting if from the list Keeps the QA Review report open on top of the active windows Opens the help topic on Image reports Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 117 Displaying Reports You can display reports in two ways e By using the Reports menu on the menu bar in the Image List window The reports that are available are the o Patient Profile o Health Summary select one from the Health Summary window o Discharge Summary select one from the Discharge Summaries window e By right clicking in any VistA Imaging window that displays images abstracts lists of images or list of reports and selecting Image Report When an Image Report is viewed it is added to the Reports menu The list of Image Reports shown in the Reports menu is cleared after a patient change Report Window The report window dynamically displays all image reports and patient reports G report name IMAGPATIENT 11 711 CARD Dec 13 2007 Menu Bar in the Report Window File Menu New Report Window Open a new report window to view multiple reports at the same time Reports will overwrite each other if more than one is opened
14. Enabled Patient Lookup and Login functions are disabled in the VistA Imaging application This option enables you to enable disable the functions intended for debugging purposes Set Workstation s Alternate Opens the Windows Open File dialog box to select a video file Video Viewer viewer to use for all video files VistA Imaging displays video files AVI files are the only video files supported in V 3 0 in the VistA Imaging Video Display window by default For an alternate video viewer to be used for video files the Use Alternate Video Player radio button must be selected in the Video File Options window If Use Alternate Video Player is selected all video files will be opened in the video file viewer that is associated with files of type AVT defined through the operation system You can change the alternate video file viewer for the workstation to a video file viewer selected in the Open File dialog box Message History Window The Message History window is used to view system messages for debugging purposes Imaging Session Message History File Options Refresh Help 12 08 25 92 Clear History Called Prior messages from this session have been erased In PatientSelect input ma Searching for ma calling dMod MagPat SelectPatient input ma Ku TMagdPatMotfy Start subjectstate ett TMagdPat Notify Obseryer O0 state frmhdamn UPDATE SubjectState 12 10 09 515 fmb am UPDATE sender NOT dmod COOH anag
15. January 2012 Clinical Display Workstation User Manual Rev 3 131 VistA Imaging MAG 3 0 121 Image Delete Window Image Delete 19997 STILL IMAGE JPG IMAGPATIENT711 711 DRM Mar 27 2007 CARDIOLOGY NOTE MAR 27 2007 CLIN NOTE TUJ DRM Mar 27 2007 IMAGE CARDIOLOGY NOTE 03 27 2007 proc Event Spec SubSpec Origin JAN 27 2009 14 42 IMAGPROVIDERONETWOSIX ONETWOSIX Image was attached After the Note was Signed Delete this Image from Patient Record Reason for Deletion v Vo Menu Bar in the Image Delete Window File Menu Delete Deletes the image if a Reason for Deletion has been entered If no Reason for Deletion has been entered a Confirm panel is displayed stating that a reason is needed for deleting the image Exit Cancels and closes the Image Delete window and displays a Cancellation confirmation Options Menu Image Report Displays the Image Report in the text area of the Image Delete window Image Text File Displays the Image Text File in the text area of the Image Delete window Image Information Displays the Image Information in the text area of the Image Delete window Clears the text area in the text area of the Image Delete window 132 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Help Menu Image Delete Window Displays the VistA Imaging Image Delete help file Tool Bar in the Image Delete Window Button Description o
16. January 2012 Clinical Display Workstation User Manual Rev 3 43 VistA Imaging MAG 3 0 121 Resize the Abstracts When selected an abstract displays a green border that you can drag to the size that you want When you select Finish in the Resize Abstracts window all the abstracts are resized to the same dimensions as the selected abstract Options Displays the following options which are the same as the buttons on the tool bar Prev Viewer Page Ctrl Alt P Next Viewer Page Ctrl Alt N Smaller Abstracts Ctrl 0 Larger Abstracts Ctrl I Previous Abstract Ctrl F Next Abstract Cirl y Note The Previous Abstract and Next Abstract buttons are not on the tool bar Displays or hides the tool bar in the Abstracts window Activates or deactivates the Hints Go to Main Window Displays the VistA Imaging Display Main Window Active Windows Displays a list of active windows Select one of the windows from the list to bring the window to the front Selectable font sizes from 6pt to 12pt Viewing Abstracts 1 From the VistA Imaging Display main window select a patient 2 Click the Open the Abstracts Window button tool on the tool bar The Abstracts window opens with the abstracts displayed 3 Click on a single abstract to open the image in full view The appropriate viewer is selected For details on the various viewers see Description of the Viewers 4 To view an image group select the image group that you want to view The grou
17. Multi Line Tabs Turns on or off multi line tabs Include Deleted Image Displays or hides deleted image placeholders Placeholders Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Layouts Menu Abstracts has the following options Abstracts Tree view For details see Configure Tree View Window January 2012 Show Abstracts This item works when abstracts are shown in the Image List window or the Abstracts window itself Selecting or clearing this item will show or hide the Abstracts Component on the Image List window or the Abstracts window if Abstracts Viewer in Separate Window is selected Abstracts Bottom Position the Abstracts at the bottom of the window Abstracts Left Positions the Abstracts to the left side of the window Abstracts Bottom Tree Positions the Abstracts to the bottom of the Tree View The Tree View will become visible when this option is selected Abstract Viewer in Separate Window View the abstracts in a separate window Refresh Reloads all abstract images Tree view has the following options Show Tree View Show or Hide the Tree View Sort Buttons Show or Hide the Tree Sort buttons Auto Expand Collapse If selected then the Tree Level will collapse when an item from a different branch is selected Specialty Event Configure Tree View with Specialty Index value as the first branch and Event as the
18. NON VETERAN OTHER MAGPATIENT 1055 1055 3017 1923 000001055 YES SC VETERAN MAGPATIENT1202 1202 6 22 1934 000001202 YES SC VETERAN aA MAGPATENT1193 1193 2 2 1953 000001193 YES MILITARY RETI LMAGPATIENT 1196 1196 7 7 1956 000001195 YES SC VETERAN Y IMAGPATENT 11 711 0 0 1924 090000711 NON VETERAN OTHER 2 Choose the patient by selecting the appropriate row and then clicking OK or Cancel if the patient you are searching for is not listed If no match is found the status message displays NO MATCH for lookup on the patient identifier provided as shown The Patient list and patient photo are blank Patient Lookup Patient sam N X Cancel 3 Click Cancel or enter a new patient name to search Note To work with the patient data see the next chapter Working with the Image List Using the Image List Tool Bar The Image List window is explained in detail in the next chapter 1 Click the Open the Image List window button H on the tool bar 2 In the Image List window click the Select a Patient button 8 on the tool bar Note To work with the patient data see the next chapter Working with the Image List window 16 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Working with the Image List Window The Image List Window is used to perform the following tasks e Enables you to select an image or image group and opens the selection in the appropriate view
19. PAC de EEE 3 Related Informations ecoin a a a 3 111116 GID erresen N 4 Getting Started asa i a Ea 5 Siig GIN DSP ynan a a a 5 SANING NTT CIAA DISDA V oia iad ead 5 VistA Imaging Display Main Window rrrrnnrrennnnnrrvrnnnnrvnnnnnnvnvnnenennnnnnennnn 7 Menu Bar in the VistA Imaging Display Main Window 008 8 Tool Bar in the VistA Imaging Display Main Window 0 13 PIC EA EE eae eee 13 Show Message History Window Button ccccceeesseeeeeeeeeeeeeees 13 SEISECIING a PAUSE s1auasar eee 14 Using the Patient Lookup BOX rrrrrrrnrrnnnnnrrvrrnnnrrevnrnnnnrrennrnnnensennnnnn 14 Using the Menu Bar or Tool Bal cccccccsseeeeceecaeeeeeeeseeeeeeeeseaaeees 15 Using the Image List Tool Bar rrrrrnnnnnnnnrnnrrnnnnnvvnrnnnnnrennrnnnnnsrnnnnnn 16 Working with the Image List Window sssnsunrennnnnnnnnvnnnnnnnnnennnnnnnneeennn 17 MAJE VEL INTON ua a nimeadyeumeebenieeass 17 Menu Bar in the Image LiSt rrrnnnnnnnnnnnnonnnnnnennnnnnrenrnnenennnnnnennnnnsnen 17 Configure Tree View Window rrrnnnrrrvrrnnnnnvvnvrnnnnnernrnnnnnnvennnnnn 24 Tool Bar in the Image List Window rrannnnnnnnnnonnnnnnrnvnnnnrennnnnrrennnnnne 25 Fiter BINONS cuss ate crsntecdutines easiest 26 ICONS in the Item Column rrrnrrnnnnnnvnnrnnnnnrvnnnnnnnnsrnnnnnnnnsnnnnnnnsnssnn 26 Display of the Column Listings rrrrnrrnnnnrrrnrrnnnnrrrnrnnnnrrrnnrnnnnnnennnnnn 27 Popup Menu in the Im
20. Packages Radiology Medicine Surgery Lab Note ie p M Un ssociated 5 Select the Advanced properties tab General properties Clinical properties Advanced properties Custom Date Range Description contains Image Statue Select Any gany Image Saved by Select Any anp gt 6 Set any of the following options e Use Capture Date for Date Range If the Use Capture Date for Data Range check box is selected then the filter will search the Date Range selected on the General Properties tab by using the Date Time the Image was saved to the database If cleared the date used for the date range is the Procedure Exam Date Time The procedure exam data time is the default date used e Description contains If the Description Contains field has any text in it then only images that have that text anywhere in the short description will be returned e Image Status The Image Status Field in the Image File has the following values Viewable Verified In Progress and Needs Review e Image Saved by You can select the person who captured the images and only images captured by that person and satisfying all other properties will be returned 7 Click the Save button el save at the bottom of the window to save the filter or click the Save As button i 22 4 to save the filter to another name Selecting an Existing Filter for the QA Review Queries When
21. QASTATS Completed 04 05 2011 05 19 2011 05 19 2011 15 12 47 0519 2011 15 12 47 To 05 19 2011 v Range 2 mths 13 days Include Deleted images Include Existing images Return Image Counts by selected Report parameters C Grouped by Status lt no selection gt Refresh List Grouped by Users and Status 2 report requests in list Last Refresh 15 11 18 January 2012 Clinical Display Workstation User Manual Rev 3 115 VistA Imaging MAG 3 0 121 4 To open the desired report e Double click the report column or e Select the report and click the View Report button under the list of reports wei OA Review Image Status Report File Options Help This Report Was Started At 05 19 2011 15 12 57 For Date Range 03 07 2011 thru 05 19 2011 Range 2 mths 13 days Report Flags Include deleted images Include existing images Return image counts grouped by users and status User Status Entries Pages DA Imagprovideronethreefive Onethreefive Viewable Imagprovideronethreefive Onethreefive Rodriguez Cesar Viewable Rodriguez Cesar Deleted Rodriquez Cesar Totals Menu Bar in the Status Verification Report Window File Menu Options Menu Return image counts Groups the image counts by status grouped by status Return Image counts Groups the image counts by status separated by user grouped by users and status Select Date Range Enables you to select a different data range 116 Clinical
22. Summary 1 From the VistA Imaging Display main window or the Image List window choose Reports Health Summary from the menu bar ll Vista Health Summary PATIENT SEVE E BK PATIENT SEVENONEONE 00 00 24 000 00 0711 NON VETERAN OTHER DRS NOTE Open I EMTS HS ADHOC OPTION HEMOGLOBIN A1C LIPID PANEL LIPID PROFILE MEDICINE MENTAL HEALTH OB AUDC REMOTE CLINICAL DATA 1Y REMOTE CLINICAL DATA 3M REMOTE CLINICAL DATA 4Y 120 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 January 2012 2 Select a Health Summary report from the list and click the Open button 3 On the File menu select any option to change the font set printer options and print The report is displayed amp Health Summary MEDICINE PATIENT SEVENONEONE Fie Help 00 00 24 000 00 0711 NON VETERAN OTHER PATIENT SEVENONEONE 000 00 0711 SCLU Lab Cum Selected max 10 occurrences or 1 vear No selection items chosen for this component BHIC Brief Microbiology BLO Brief Lab Orders Collection Test Name Specimen Urgency 0772672006 CBC AUTO DIFF BLOOD ROUTINE LDL SERUM ROUTINE LIPO SERUM ROUTINE CHEM 7 SERUM ROUTINE BLOOD ROUTINE BLOOD ROUTINE BLOOD ROUTINE BLOOD ROUTINE BLOOD ROUTINE BLOOD ROUTINE BLOOD ROUTINE BLOOD ROUTINE BLOOD ROUTINE ROUTINE ROUTINE ROUTINE 10 31 2000 ROUTINE 09 02 2000 ROUTINE Discharge Summary l January 2012 037017201
23. Width Makes the studies as wide as the window Moves all studies to the top left corner if they have been scrolled away from that position hu Reset to the Top Left Corner lf First Page Takes you to the top of the first page in the study Some studies contain multiple pages There are several controls to go to certain pages and they are enabled only if only one study is visible and that study has multiple pages si l Takes you to the page before the one that is currently visible Previous Page Takes you to the next page after the one that is currently Next Page visible Takes you to the last page of the study pi Last Page i p e 2 Current Page As you use the paging controls or the vertical scroll bar the indicator Current page text box updates to show you where you are within the study Changing that text box to another number moves the page to the page specified Ei o Prints all pages of all studies displayed If the grid is on it Print also prints the grid ee EKG Display Options to print grid with solid or dotted I First Study Takes you to the top of the first study in the list Using the study controls you can move through the list of studies without opening the studies drop down list si Takes you to the study before the one you are currently Previous Study viewing b Takes you to the study after the one you are currently Next Study button viewing Takes you to the last study in the list Hr If the st
24. click the Configure User Preferences button on the tool bar in the Image List window The Patient Selected tab of the User Preferences dialog box is displayed User Preferences Remote Image View Alternate Viewer Options Layout Style Patient Selected Abstract amp Image Viewers Check each window that you want to open when a new patient is selected Show Abstract window Show Image Listing window Clinical Data Show Radiology Exams window Show MUSE EKG s Show Progress Notes 2 Select the check box for each window that you want displayed when you select a patient e Abstract window e Image List window e Radiology Exams window 86 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 e MUSE EKG s viewer window e Progress Notes window Note Click the Save button only when you are finished with all the tabs 3 Keep the dialog box open and continue Configuring the Abstract and Image Viewers Shown below is an example of the image abstracts and the non Radiology Document Image viewer in the same window as the image list The Image List can be displayed in the same window as the Abstracts viewer tree view list view Image Reports and full resolution images inside the Image List window If you want this display you can set it on the Abstract amp Image Viewers tab wei Image List PATIENT SIXSEVENEIGHT File Context Options View Reports Filters Layouts Utilit
25. description of the types of controlled images see Controlled Images in the Abstracts Window Important To mark an image as a controlled image in the Image List you must have a patient selected and the Image List open 1 Select an entry in the Image List that does not have the Controlled Image A icon 2 From the menu bar choose Utilities Controlled Image and change the value for a controlled image to True Note The Utilities Menu option is available only to holders of the MAG EDIT or MAG SYSTEM security keys 3 Click the Refresh Patient Images button The image entry is now marked as controlled AN in the Image List and tree view January 2012 Clinical Display Workstation User Manual Rev 3 39 VistA Imaging MAG 3 0 121 Working with Abstracts In Clinical Display all images are displayed as abstracts in the Abstracts window An abstract 18 a reduced quality representation or thumbnail of the actual image Abstracts Window The title bar of the Abstracts window displays the patient name If multiple images fill the window a scroll bar is automatically displayed to move through the images v Are PATENT 1599 12 09 el DE gere Set Fiber ire Gal fks sri a bJAR Re ud ET GE VE rep Ehi pop 13 DDD vr lad Pa DD sl ARE 9 L OOD mn RE Ft Di ee Wi MELEE ME Cire A F Note Only abstracts that match the selected filter are displayed in the Abstracts window Image Group Abstracts Window
26. e If one DoD source responds within 30 seconds but another does not Clinical Display returns the available data with the Partial results indicator e Ifa specific DoD source has so much data it will take a long time to send all of it Clinical Display may return available information as a Partial result rather than make the January 2012 Clinical Display Workstation User Manual Rev 3 93 VistA Imaging MAG 3 0 121 user wait for all the information to become available for example if a patient has multiple radiology images available If Partial appears in the DoD remote site button you can refresh the patient by clicking the Refresh Patient Images button on the toolbar to retry requesting data from the DoD which might return a full result Configuring User Preferences for RIVs You can set user preferences for RIVs that determine the behavior of remote image viewing 1 To access the remote image views user preferences choose Options User Preferences from the menu bar in the VistA Imaging Display main window and select the Remote Image View tab shown m User Preferences Patient Selected Abstract amp Image Viewers Remote Image View Alternate Viewer Options Layout Style Choose Remote Image View Options Auto Connect to the VA m M Auto Connect to the DoD Hide Patient Active Sites With 0 Images on Toolbar Hide Disconnected Sites For Selected Patient on Toolbar Display Remote Abstracts He
27. move upwards and downwards Using this technique you will be able to view all portions of the document image Close the Document Image Window by selecting the X in the top right hand corner Mouse pointer magnifier Mouse Magnifier Zoom button Zoom in on Selected Area Ruler utility Ruler Protractor button Use Protractor Pointer to move ruler protractor marks Use Ruler Protractor Pointer Opens a Pan Window Open a Pan Window Copies the image to a clipboard Copy to clipboard Prints the image Print Image Opens the Image Report for the selected image Image Report January 2012 Clinical Display Workstation User Manual Rev 3 69 VistA Imaging MAG 3 0 121 Win 235 4 e teia 4 o Zoomla Win Change Window Adjusts the brightness and contrast at the window level Value Lev Change Level Value Adjusts the brightness and contrast at the image level Increases or decreases the zoom DICOM Multi frame Cine Viewer The DICOM Multi frame Cine Viewer is a type of Radiology Viewer and is used to display multi frame images that are DICOM and TGA images only When they are selected in the Radiology Viewer the DICOM Multiframe Cine View window automatically opens Note You can also open this dialog box by choosing Tools Cine Tool from the Radiology Viewer menu DICOM Multiframe Cine View Play Mode peler Cine Speed 35 EJ E sg PrevPg me NextPg Faster Slower f Play
28. mutually aware of common elements Clinical Display workstation is CCOW compliant and uses this standard to interface with CPRS VistA Imaging TeleReader and other CCOW compliant applications When a clinician uses a CCOW compliant application such as CPRS and starts another CCOW compliant application such as Clinical Display the second application will automatically sign on with the same user credentials When the clinician selects a patient in CPRS it is also selected in Clinical Display When the QA Review window is open in Clinical Display patient context is suspended Patient context can also be suspended manually in both the Clinical Display and CPRS applications To learn more about the Clinical Context Object Workgroup follow this link http vista med va gov bcma software gui help general topics ccow about htm Patient Context in Clinical Display Clinical Display enables you to show context suspend context resume context or resume setting the context for the patient If patient context 1s suspended it must be resumed before changing patients if you want to synchronize patients In the Image List Context menu you can select Show Context Shows the Context Suspend Breaks the CCOW connection with CPRS which you can do manually through Context the menu option or is done by the application while using certain utilities which displays images for multiple patients such as the QA Review Utility Resume Get Gets the curren
29. second Type Specialty Configure the Tree View with the Type Index value as the first branch and the Specialty as the second Package Type Configure the Tree View with Package Index value as the first branch and Type as the second Custom Opens the Configure Tree View window Expand All All levels of the tree are expanded Expand 1 level All Tree nodes are expanded so that the first level is visible This is useful when multiple tree levels are used Collapse All All levels are collapsed so that only the first level of the image properties is visible Refresh Refreshes the Tree View listing Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 21 Menu Option List view Explorer Style Explorer with List Explorer with Abstracts List view has the following options Show Image List Show or Hide the List View Select Columns Opens the Column Selector window Fit to Text Select to resize the columns so that they will display the longest entry Fit to Window Adjusts the columns to fit in the Image List window Show Grid Display or hide the grid The grid provides an easy way to measure and compare portions of the study Studies can be displayed both with the grid on and off To toggle the grid select the Display Hide Study Preview Abstract Previews the abstract of the selected image Preview Report Previews th
30. the image was added to the patient record and user who captured the image e Status and reason for the status Tool Bar in the Abstracts Window Button Description Displays the next page of images Next Page Displays the previous page of images Previous Page Decreases the size of all the displayed abstracts Decrease Abstract Size 42 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Button Deseriptlon Increases the size of all the displayed abstracts Increase Abstract Size Ee Refreshes the Abstracts window Refresh Popup Menu in the Abstracts Window By right clicking on any image abstract you will open a popup menu This popup menu gives you shortcuts to options and actions you may perform Certain options are unavailable depending on the security keys that you hold Open Image Image Report Image Delete Image Information Image Information Advanced Cache Images Image List Filters Ctrl L Refresh Ctrl R Resize the Abstracts Options H Font Size k w Toolbar Cirl T w Show Hints Go to Main Window Cirl M Active windows Ctrl wW Help Open Image Opens the selected image in the appropriate viewer such as Full Resolution Radiology or Group Abstracts Image Report Opens the Image Report for the selected image Image Delete Deletes an image only if you hold the proper security keys See Appendix C Deleting Images Image Information Advanced
31. the play button Stop Stop the looping same as clicking the stop button This label shows the current image in the study on the left the description of the image and bit depth width and height of the image Tool Bar in the Radiology Viewer The Radiology Viewer has two tool bars used to manipulate the images to study them Applies selected actions to all visible images Apply Actions to All Images Resets the currently selected image to its original display settings including Reset Image to zoom window level and orientation original setting Resizes image to fit to the window size Fit Image in Window Resizes image to fit to the height of the window size Fit the Image Height Z ul El Resizes image to fit to the width of the window size Fit the Image Width Resets the image to the actual size Actual Size Flips the image vertically Flip Vertical Flips the image horizontally Flip Horizontal Rotates the image counter clockwise ENE EI Rotate Left counter clockwise 68 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Rotates the image clockwise Rotate right clockwise al Inverts the image Invert Image Positions the cursor in the middle of this window Pan Image with Select and hold down the left mouse button The cursor will appear as a MOUSE hand When the cursor hand is moved up and down the middle of the window the document will
32. this manual Message Log Opens Message History Window View Menu MUSE EKG Window Opens the MUSE EKG window Group Window Brings the Group Abstracts window to the forefront if it is open Radiology Exams Opens the Radiology Exams window Opens the Progress Notes window January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 19 Toolbars Toolbars has the following options e Main Toolbar The top toolbar of the window e Main Toolbar in tree If the Tree View is visible the user can insert the Main Toolbar at the top of the Tree View This option gives the maximum area to the Image Panel when viewing images in the Image List window Image Toolbar Is the toolbar for the Image Viewer Tree Sort Buttons This will show hide the Tree Sort button toolbar Filter Buttons This will show hide the Filter Button bar Remote Connections This will show hide the remote image connection toolbar at the bottom of the Image List window Active windows Displays the active windows Go to Main Window Go to Main Window Sets focus on the Main Window Reports Menu Patient Profile Displays the Patient Profile report for a selected patient Health Summary Displays the VistA Health Summary report window for a selected patient Discharge Summary Displays the Discharge Summaries window for a selected patient Filters Menu 20 Filters as Buttons Turns on or off filters as buttons
33. users indicated by pound sign before the name An example of a public filter is Clin All images Note Only users holding the MAG SYSTEM security key can create public filters e Private user specified and available only for users who create them Applying the Filters in the Image List Available filters are usually shown as buttons at the top of the Image List To filter information in the lists click a filter button for that filter If the filter buttons are not visible they can be displayed as follows 1 To display all the filters as buttons above the list pane in the Image List window select Filters Filters as Buttons 2 To display the filters in stackable rows of buttons choose Filters Multiline Tabs January 2012 Clinical Display Workstation User Manual Rev 3 29 VistA Imaging MAG 3 0 121 Image Filters Add Edit Window Image Filter Add Edit Clinical All File Edit Options Help Private Public Filter Details Clinical All CLIN CLINZADMIN ADMINZCLIN ny All Dates Any Types Specialty SubSpecialty Procedure E vent Search on Capture Date Short Description has General properties Clinical properties Clinical All Class of Images Clinical Clinical Date Range sr All Dates Origin of the Image Select lt any gt lt S OK m Save Save As fil Close File Menu Save as Public Saves the filter as a public filter For MAG SYSTEM key holders only E
34. 0 14 30 BE HEHE HHH HEHEHE HEHEHE HEHEHE HHR CONFIDENTIAL SUMMARY pg 1 HH HEHEHE TE HEHEHE HEHEHE HHH HH HHH 00 00 1924 Status COMPLETED COMPLETED COMPLETED COMPLETED COMPLETED COMPLETED COMPLETED COMPLETED COMPLETED COMPLETED COMPLETED COMPLETED COMPLETED COMPLETED COMPLETED COMPLETED COMPLETED COMPLETED From the VistA Imaging Display main window or the Image List window choose Reports Discharge Summary from the menu bar The Discharge Summary report is displayed Discharge Summaries PATIENT SEVENONEONE File Options View Help 2 Diecharge Summaries MEDICAL 08 29 2000 compl O MEDICAL 08 18 1997 compl 0 1 Click the Reset Column Width button el to reset the column widths Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 121 3 Select the Health Summary report from the available list and click the View Report button Bl The report is displayed If images accompany the report you can view them by clicking the camera button in the Discharge Summaries window E MEDICAL 08 29 2000 PATIENT SEVENONEONE P071 1 Auth ONETWOSEVEN MEOE OET SENEN MEDI SE File Help MEDICAL 08 29 2000 PATIENT SEYENONEONE POT Auth ONETWOSEVEN IMAGPAROYIDERONETWOSEVEN LOCAL TITLE MEDICAL DICT DATE SEP 02 2000 17 06 ENTRY DATE FEB 21 2003 17 09 32 DICTATED BY IMAGPROVIDEROHETWOS ATTENDING IHAGPROVIDERONETWOSEVEN ONETW URGENCY routine STATUS COMPLETED PRIMARY DIAGNOSI
35. 121 Tool Bar in the Image List Window orda sur FG IMMAGRPATIENTIO55 1055 bofb Images match Filter Clinical All Note When no patient is selected a silhouette is displayed in place of the patient s photo ewon osm oo g Opens the Patient Lookup window Select a Patient Refreshes the list of images for the selected patient Note If both the Tree View and List View and optionally the Abstracts are visible all data is updated when the patient images are refreshed Refresh Patient Images EJ Opens the Image Filter Add Edit window Select Create an Image Filter Opens the User Preferences window Configure User Preferences E Displays or hides image abstracts in the Image List window Show Hide Abstracts Opens the selected image Opens the report associated with the selected image El Previews the abstract of the selected image Preview Abstract of selected list item Bl Previews the report of the selected image Preview Report of selected list item Select to resize the columns so that they will display the longest entry Fit Columns to Adjusts the columns to fit in the Image List window Fit Columns in Window January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 EE O Selects a column in the Image List window 1 Select Columns Filter Buttons The Filters menu enables you to set user preferences to add remove and display filters as buttons B
36. 2012 Clinical Display Workstation User Manual Rev 3 109 VistA Imaging MAG 3 0 121 3 Click the Captured by button Captured by to refresh the drop down list to display the users who captured images within the specified date range and then select a user from the list lt filter description rin Search for Documents lrages that were Scanned or Imported Not Radiology Studies In the Date Range Last 3 days Jul 25 2010 thru Today Captured by selectauser gt v lt select 4 user has Statusfs Imagprovideronethreefive Onethreefive 2 to return Or masimum number 1000 ia 4 Click the Status s button _ Statusfs fo further limit images that are returned 5 Select the status s that you want returned by moving the statuses to the Selected Values list in the Status Selection window displayed Click OK to continue or Cancel to close the Status Selection window Status Selection Select from Selected values Meeds Review G Reviewed Viewable x Cancel 110 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 6 For the specified date range and user selected select either e The percentage to return by selecting a number from the drop down list or by typing a numerical value in the field or e The maximum number of images to return by selecting a number from the drop down list or by typing a numerical value in the field lt filter des
37. 7 30 1997 09 01 00 5 Resting 07 28 1997 OF 0300 6 Pestng 07 28 1997 09 03 00 7 RPestng 07 27 1997 00 58 00 JG Bestng Dr 2rNagr OG 5900 9 Pestng 11 22 1995 11 27 00 10 Aestng 11 22 1995 11 27 00 Idd TATT or aaaea aane SEES Anni ra tes tt ed tvasenacute ATD 1r d 0 mil kampe ts Ps m pr lj A TITTTTTTTTTTTTTTT RESP HLR mel el AN IAN DAN IRE UNN Ue CUE EOS GBE PEL BEE PAT 97 09 45 00 ep i 1 1 i I i l il i E I i zl Menu Bar in the MUSE EKG Viewer File Menu Refresh The EKG Display client remembers if a MUSE server is unreachable and does not attempt to connect to it again during this session This prevents a 30 second timeout wait Select a setting to print with solid or dotted lines Prints the selected study Closes the application Tools Menu The grid provides an easy way to measure and compare portions of the study Studies can be displayed both with the grid on and off To toggle the grid select the Display Hide Study Text Overlay Off Prevents the overlay of text to eliminate confusion over which study is which when viewing multiple studies concurrently Studies can have an overlay of text that contains differentiating data that is always in the window Lock Scrolling Locks multiple tests together Scrolling one of the studies will also to scroll the others by the same amount January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging
38. AUTHOR IMAGPROVIDERONETHRE EsP COSIGNER lt ii gt Image Information ri A Image IDH 21824 is In Group 21823 1 images Format DOCUMENT Extension TIF Patient IMAGPATIENT 206 206 Desc ADVANCE DIRECTIVE Procedure MOTE Date APR 19 201110 49 Class CLIN ADMIN 14 Package MOTE Type ADVANCE DIRECTIVE Proc Event Spec Sub5 Origin VA hul 3 Continue to the procedure Performing the QA Review Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 January 2012 Specifying the QA Review Parameters 1 From the VistA Imaging Display main window or the Image List window choose Utilities QA Review from the menu bar to open the QA Review window TT OA Rerdew Thi irene des a0 Gere Pai Coder ler jeg liner Smash bor Baunen ger Hud rene Seed ca paled Plot Fedo 5 huder brun Catan Fang EE Me iiid Captusd b tia upers bor Cara Fange tambacied mega har H DE Chet e rebar Z Hui Frue 2 Select the date range by clicking the drop down list If you select lt select date range gt select a From and To date from the date window displayed Select the desired date range lt filter description FAN Search for Documente Images that were Scanned or Imported Not Radiology Studies In the Date Range Today kai Map 14 2010 Captured by has Statusfzl to return Current week lt select date range gt January
39. CATIONS PROVIDER PHYSICIAN Image Information Image ID MED Group Patient IMAGPATIENT714 714 Desc CATH 4 13 93 Procedure CARD Date APR 13 1993 Class CLIN MED IMAGE Proc Event CARDIAC CATHETERIZATION Spec Subs CARDIOLOGY January 2012 Clinical Display Workstation User Manual Rev 3 111 VistA Imaging MAG 3 0 121 Performing the QA Review Within your search results review the data based on the following QA requirements 112 Images captured in VistA Imaging are assigned to the correct patient Indexes of the images were set correctly when the images were captured Images meet locally or nationally defined quality standards Select an image from the list shown in the example Item 1 IMAGPATIENT1014 1014 1 798 1 IMAGPATIENT714 714 1 55 E 1 IMAGPATIENT1023 1023 1 50 1 IMAGPATIENT714 714 1 56 ape IMAGPATIENT I4714 11 58 mE 1 IMAGPATIENT711 711 3 34 1 IMAGPATIENT711 711 1 620 FE 1 IMAGPATIENT714 714 3 70 FE 1 IMAGPATIENT714 714 2 78 FE 1 IMAGPATIENT714 714 3 74 Examine the image in the right pane using the buttons in the tool bar above the image to manipulate the image if necessary Review the Image Information and Image Report in the panes on the lett If the image meets the QA review requirements click the QA Reviewed button In the same manner review each item in the list Click the Next button or the Previous button to mo
40. D Clinical Context Object Workgroup for the details of CCOW and these menu options Suspend Context Resume Get Context Resume Set Context Options Menu Image List Filters Displays the Image Filter Add Edit window User Preferences Displays the User Preferences window January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 Remote Image Views Opens the Remote Image Views Configuration window Configuration Refresh Patient Images Refreshes the Image List and all Abstracts windows that are open when the refresh was initiated Pre Fetch Patient Images All images for the patient are queued to be copied from the Jukebox to the Magnetic Image server for faster loading of images User must have a Security Key save Settings Now Equivalent to the Windows Save button to explicitly save settings as you go along Save Settings On Exit On or off option e When selected the settings are saved on exiting Clinical Display When not selected all changes to settings are lost on exiting if you do not manually save the changes Show Hints Show Hints has the following options Main Imaging Display Window When selected a check mark appears and hints are displayed Turn Hints OFF for all windows When selected a check mark appears and hints are not shown Turn Hints ON for all windows When selected a check mark appears and hints are displayed CPRS Link Options Allows user to break the Link
41. Filters Deleted Image Placeholder Selecting this option enables the display of deleted image placeholders for a deleted image in the Image List window and the Abstracts window This option is saved as a user preference x The following icons are used for deleted image placeholders Thae Delete Group Viewing Patient Clinical Records in VistA Patient clinical records consist of e Radiology Exams e Progress Notes e Clinical Procedures e Consults You can view them using the View menu in the Main Display window You can choose to display the radiology exams and progress notes when you select a patient by setting user preferences on the Image List window or the main Clinical Display window See Configuring the Display of Windows for Patient Selection 36 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Viewing Radiology Exams The Radiology Exam Listing window displays the radiology studies for the selected patient You can view images associated with the exam report or view the exam report itself 1 From the VistA Imaging Display main window or the Image List window choose View Radiology Exams from the menu bar Radiology Exam listing PATIENT SEVENONEONE SEE UNLISTED RADIOLOGIC PROCEDURE INTERPRETED Verified 1 GASTROINTESTINAL 99 WAITING FOR EXAM Verified 1 TD MAINRAD CHEST SINGLE VIEW 998 0 WAITING FOR EXAM Ho Report TD RAD ABDOMEN 1 VIEW OG 0 WAITING FO
42. JS LA VistA Imaging Clinical Display User Manual January 2012 Revision 3 MAG 3 0 121 Department of Veterans Affairs Office of Enterprise Development Health Provider Systems Clinical Display Workstation User Manual VA Imaging MAG 3 0 121 January 2012 Property of the US Government This is a controlled document No changes to this document may be made without the express written consent of the VistA Imaging development office While every effort has been made to assure the accuracy of the information provided this document may include technical inaccuracies and or typographical errors Changes are periodically made to the information herein and incorporated into new editions of this document Product names mentioned in this document may be trademarks or registered trademarks of their respective companies and are hereby acknowledged VistA Imaging Office of Enterprise Development Department of Veterans Affairs Internet http www va gov imaging VA intranet http vaww va gov imaging Revision History Date Rev Notes August 2010 1 Initial draft Eddie Null Dot White July 2011 2 Revision for Patch 117 Hima Suri January 2012 3 Updated for Patch 121 Added section Watermarked Images for Rescinded Advance Directives C Gilbert Hima Suri Lina Scorza ii Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Contents IAUoduelONnus er 1 MSS USE 4 2 CONVENON S avse 2
43. List window choose Reports Patient Profile from the menu bar to display the report Patient Profile IMAGPATIENT711 711 00 00 24 000 00 0711 NON VETERAN OTHER File Help 00 00 24 000 00 0711 NON VETERAN OTHER IMAGPATIENT 11 711 000 00 0711 COORDINATING MASTER OF RECORD SALT LAKE CITY Address 105 MARIGOLD AVENUE Temporary NO TEMPORARY ADDRESS SALT LAKE CITY UT 32570 County UNSPECIFIED Fron To NOT APPLICABLE Phone UNSPECIFIED Phone NOT APPLICABLE Office UNSPECIFIED Cell UNSPECIFIED E mail UNSPECIFIED Bad Addr Confidential Address Confidential Address Categories NO CONFIDENTIAL ADDRESS From To NOT APPLICABLE POS VIET NAM Claim UNSPECIFIED Relig UNSPECIFIED Sex MALE Race WHITE Ethnicity NOT HISPANIC OR LATINO Combat Vet Status NOT ELIGIBLE Primary Eligibility UNSPECIFIED Other Eligibilities Unenployable NO Status INACTIVE INPATIENT Discharge Type REGULAR Admitted AUG 20 2000 07 30 Discharged AUG 29 2000 17 00 Ward 1A Roon Bed 1503 24 Provider IMAGPROVIDERONETHREEFIVE OSpecialty MEDICINE Attending IMAGPROVIDERONETWOSEVEN ON Admission LOS 9 Absence days 0 Pass Days 0 ASIH days 0 Currently enrolled in SOCIAL WORK CLINIC Future Appointments NONE Remarks Date of Death Information Date of Death Source of Notification Updated Date Time Last Edited By 2 On the File menu select any option to change the font set printer options and print Health
44. MAG 3 0 121 Menu Option Fit Height Fit Width Reset To Top Left First Page Previous Page Next Page Last Page First Study Previous Study Next Study Last Study Go to Main Form Active Forms Help Menu 76 Tool Bar in the MUSE EKG Viewer Ete oot Help Makes the first page of the studies as tall as the window area of the study display The image will not become smaller than half the width of the window Zoom of 50 Makes the studies as wide as the window The image will not become smaller than half the width of the window Zoom of 50 Moves all studies to the top left corner if they have been scrolled away from that position Takes you to the top of the first page in the study Displays a list of active windows Select one of the windows from the list to bring the window to the front EKG Display Displays the online help Displays the About window which specifies the software name current Patch number current version and build past versions installed etc De momo 07 X HH Y 14 4 rage gt mil 5 2 Display Hide Study Text Overlay Display Hide Grid Displays or Hides the grid Displays or Hides study text overlay Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Zoom 100 E Zooi Zooms in or out using the track bar p Fit the Image Height Makes the first page of the studies as tall as the window area of the study display k J Fit Image
45. Manager menu 8 T TGA file type 48 TGA image 59 TIF file type 49 TIU business rules 47 TIU Note Consults 36 Tool bar Abstracts window 42 Full Resolution Viewer 56 Image Information Properties window 141 Image List window 25 MUSE EKG Viewer 76 Radiology Viewer 68 Stack View Slide 67 Video Player 73 VistA Imaging Display main window 13 TXT file type 49 144 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 U User Preferences button 13 menu option 9 User Preferences configuring alternate viewer options 89 dialog box 86 image abstracts with image list 87 layout style of the image list 90 patient selection window 86 Utilities menu 8 V Viewers description of 51 DICOM Multi frame Cine 70 Full Resolution 51 MUSE EKG 74 Radiology 59 Video Player 71 VistA Imaging Display main window 7 W WAV file type 49 Windows Abstracts 41 Column Selector 27 Configure Tree View 24 DICOM Multiframe Cine View 70 EKG Display 74 Full Resolution Viewer 51 Group Abstracts 41 Image Delete 132 Image Filter Add Edit window 106 Image Filters Add Edit 30 Image Index Edit 98 Image Information 42 Image Information Properties 140 Image List 17 Progress Notes 38 QA Review 102 Radiology Exam Listing 37 Radiology Viewer 59 Status Verification Report 114 Video Player 71 VistA Imaging Di
46. NST SEVENONEOHE File Options View 12 Progress Notes Signed Date Status Author Count POST ANESTHETIC 01 04 2010 completed POST ANESTHETIC 01 04 2010 completed POST ANESTHETIC 01 04 2010 completed AMBULATORY OUTPATIENT CARE NOTE 02 20 2003 completed CARDIOLOGY NOTE 05 02 2002 completed PCC ESTABLISHED COMP 11 06 2001 completed PCC ESTABLISHED COMP 11 06 2001 completed NURSING NOTE 09 28 2001 completed OPHTHALMOLOGY 08 20 2001 completed PCC ESTABLISHED COMP 08 06 1999 completed ADVANCE DIRECTIVE 07 28 1997 completed Oo 440000 4 To view the associated image click the View Image button l 5 To view the associated report click the View Report button El Note For details on displaying reports see Displaying Reports 6 To change the column width drag the left or right border and to return to the original el width click the Reset Column Width button Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Viewing Controlled Images in the Image List Window To protect the privacy of the patient images of a sensitive nature can be marked as controlled You can mark an individual image or an image in a group as a controlled image The Controlled Image icon A is displayed for an item in the tree view and Image List if the controlled image 18 a e Standalone single image e Image Group e Image Group where the first image in the group 1s controlled Note For a
47. ONLY security key 14 128 MAG PREFETCH security key 128 MAG RAD SETTINGS security key 128 MAG ROI security key 81 84 129 MAG SYSTEM security key 12 33 47 98 106 129 138 MAGDISP ADMIN security key 129 MAGDISP CLIN security key 129 Menu bar Full Resolution Viewer 53 Image Index Edit window 98 99 MUSE EKG Viewer 75 QA Review window 103 Radiology Viewer 60 Video Player 72 VistA Imaging Display main window 8 116 117 119 132 Message History message Log 10 viewing 139 MHT file type 48 MHTML file type 48 Motion video bitmap 46 clip 71 MP3 file type 49 MP4 file type 49 MPEG file type 49 MPG file type 49 Multi line tabs 29 MUSE EKG viewer 74 N Needs Review 47 NO MATCH 15 16 O Open the Image button 25 J Open the Report button 25 JPG file type 48 Juke Box 46 P PAC file type 48 L PACS device 46 Patient Login 8 lookup box 14 January 2012 Clinical Display Workstation User Manual Rev 3 143 VistA Imaging MAG 3 0 121 Lookup button 13 profile on the Reports menu 12 selecting 14 PDF file type 48 Popup menu Abstracts window 43 Full Resolution Viewer 58 Group Abstracts window 67 Image List window 28 Video Player 74 Pre Fetch Patient Images 10 Preview Abstract button 25 Preview Report button 25 Printing an Image 80 Procedure Event 32 Progress Notes 11 36 38 Q QA See Quality Assurance QA Review 11 p
48. OVIDE 21764 01 04 2010 01 04 20101 IMAGPROVIDE 21763 01 04 2010 NURSING NOTE 09 2 4 Rad All CONSULT NURS NOTE CLIN CONSULT 09 28 2001 0 IMAGPROVIDE 1752 OPHTHALMOLOGY 08 2oreverevurserr 0 Ophthalmology NOTE CLIN IMAGE 08 20 2001 2 IMAGPROVIDE 1783 11201 1999 14 18 XRAY 110199 38 UNLIS RAD CLIN MISCELLA 11701 1999 1 IMAGPROVIDE 592 a ES NT G SK 0171 Multi Line Tabs POST ANESTHE 01 0 POST ANESTHE 01 0 1 Clinical All POST ANESTHE 01 0 2 Clin 2 yr POST ANESTHE 01 0 3 Clin All group desc NONE CLIN CONSENT group desc NONE CLIN CONSENT z00000nP 1 1 1 1 1 POST ANESTHE 01 0 1 Adv Directives 1 group desc NONE CLIN CONSENT 1 1 2 l a ua SLC SLC Compiling PATIENT SEVENONEONE Radiology Exams The Image Filters Add Edit window opens 2 Choose File New from the menu bar e The filter information in the Filter Details pane is cleared so that you can specify a new filter e The title bar changes from the current filter to Image Filter Add Edit Custom to indicate that you are working in custom mode when you create a filter Once the filter is saved and you select it in the Private or Public pane the filter name is displayed in the title bar in place of Custom January 2012 Clinical Display Workstation User Manual Rev 3 31 VistA Imaging MAG 3 0 121 3 Select the General Properties tab in the lower pane 4 Atthe Class of Images field select a cla
49. R EXAM No Report TD RAD CHEST SINGLE VIEW oF WAITING FOR EXAM Draft 1 TD RAD ANGIO VISCERAL SELECT CP WAITING FOR EXAM Draft 1 TD RAD GASTROINTESTINAL 97 07 WAITING FOR EXAM Verified 1 TD RAD 122492 31 ANGIO VISCERAL SELECT ADDTL VESSEL S amp 1 1992 4 COMPLETE Verified I TD RAD 2 Select a study and click on any of the following buttons to view the results or change the layout of the window View the images of a selected study in the Group Abstracts window Note Double clicking the row works the same way Set the exam window to the maximum height Stretch Height to Maximum Set the exam window to the starting height Starting Height Display user help for the exam window Help Viewing Progress Notes Clinical Procedures and Consults 1 To view the information from the main display window choose View Progress Notes Clinical Procedures or Consults 2 To sort the list in a column select the column header and to reverse the order re select the column header January 2012 Clinical Display Workstation User Manual Rev 3 37 VistA Imaging MAG 3 0 121 3 Double click any Progress Note title to open the TIU Document Images window and the abstracts behave in the same way as they do in the Abstracts window and Group Abstracts window An example of a Progress Notes list is shown below The Clinical Procedures and Consults lists are built and shown in the same window style i Progress Notes peQUIE
50. S 1 LGI BLEED heo diverticulosis s p hemicolectomy 76 year old male with heo diverticulosis with left and transverse colectomy in 1997 for diverticular bleed presented with day ho passing blood clots per rectum No nelans No nausea no hematemesis no abd pain Negative NG lavage in ED Ho dizzinness or 50B or C P but had drop in HOT from 30 baseline to 25 from morning till the afternoon No further blood clots per rectum since thi am F 106 FR 18 WT 340 T 100 3 HT 68 Chest heart clear regular Abdomen soft obese non tender nl BS Rectal nl tone fresh clots on exam Extrem no edema 4 On the File menu select any option to change the font set printer options and print 122 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 January 2012 Clinical Display Workstation User Manual Rev 3 123 VistA Imaging MAG 3 0 121 Appendix A Shortcut Key Legend Full Resolution Viewer and Radiology Viewer Shift Ctrl S Shift Ctrl 1I Shift Ctrl O Shift Ctrl W Shift Ctrl A Shift Ctrl Left arrow Shift Ctrl Right arrow Shift Ctrl Up arrow Shift Ctrl Down arrow Shift Ctrl HOME Shift Ctrl PgUp Shift Ctrl PgDown Shift Ctrl End Shift Ctrl J Shift Ctrl K Shift Ctrl N Shift Ctrl M Shift Ctrl R Image Viewer Ctrl Alt P Ctrl Alt N Ctrl P Ctrl N Image List Window 124 Ctrl F5 Ctrl F6 Ctrl F7 Clinical Display Workstation User Manual Rev 3 Active Control Abst
51. Selecting an image group abstract opens the Group Abstracts window and an abstract of each image of the group is displayed Selecting any image in this group displays it in the appropriate viewer The Group Abstracts window has the same properties as the Abstracts window Note An Image Group is represented by showing the first image abstract in the group as the preview and text above the preview stating the number of images in the group January 2012 Clinical Display Workstation User Manual Rev 3 41 VistA Imaging MAG 3 0 121 Image Information Window Image Information is displayed in the Image Information window when you right click an abstract and select Image Information from the popup menu in the Abstracts window or right click a row in the Image List window Image Information E EX Image IDf 38 al Format STILL IMAGE Xtension TEA Patient PATIENT SEVENONEONE esc COLON 7 23 57 Procedure COL Date JUL 28 19970 09 00 lass CLIN Package HED Type IMAGE Proc Event COLONOSCOPY Spec SubSpec GASTROENTEROLOGY Taptured on MHAR 24 1958 18 44 by CLERK PHARM SLC COLON 7 28 97 ee COL 07 88 1907 09 00 Status This window provides the following information for verification purposes e Details about the image and the associated procedure e Image ID and if applicable the image group e Patient name e Description of the image followed by the procedure and date e Image indexes e Capture date date
52. US DOCUMENT M MTF REFERRAL FORM OUTSIDE MEDICAL RECORD DOD OUTSIDE MEDICAL RECORD FEE PATIENT RIGHTS AND RESPONSIE PHOTO ID v 9 To save your new private filters click the Save button at the bottom of the Image Filter Add Edit window 10 In the Save As Private Filter window displayed enter the name of the new filter in the Private Filter Name field Note The filter name must be at least three characters in length with no special characters like punctuation marks or slashes The name can be all numeric all alphas or mixed 11 Click Save and then OK or Close Note The Save As button operates the same way The OK button does not save the filter information but simply closes the window like the Close button Important If you have the MAG SYSTEM security key you can choose the Filel Save as Public option to save the filter as a public filter January 2012 Clinical Display Workstation User Manual Rev 3 33 VistA Imaging MAG 3 0 121 The filters are listed at the bottom of the Filters menu The first group 1s private filters shown as numbers 6 in the example The second group is public filters shown as numbers 1 9 in the example V Image List Filters CtrlHL Filter Details Refresh Filter list w Filters as Buttons Multi Line Tabs w Include Deleted Image Placeholder 1 Artifact 2 Clinical All 3 DOD 4 Jerry 5 Jerry 6 Jerryd 1 Admin 10 1062 All 2 Admin All 3 Adv Directives 4 All
53. accurate measurements Enable Angle Tool Turns on the angle measurement tool Ruler Protractor Pointer Changes the current tool to the pointer for measurements This allows the user to move and modify a measurement mark Delete Selected Measurements Deletes any measurements that the user has selected Clear All Measurements Clears all measurements from the image Measurement Options Opens a dialog to set the user preferences for measurements including line width line color and measurement units Measurement Properties Displays properties for the currently selected annotation When selected if you select on an image the hint will change to the value of the pixel at the location clicked If not selected then the hint will contain series and study description information VistA Imaging MAG 3 0 121 January 2012 Help Menu Displays help contents for the Radiology Viewer Popup Menu in the Group Abstracts Window You can right click a DICOM image and open it in a second Radiology window to compare it with a study image that is already open Open Image in 2 Radiology Window The image is opened in a side by side view next to the first DICOM image Tool Bar in the Stack View Slide The Stack View Slide tool bar is enabled when a study of more than one image is selected and shown in the stack view This tool enables you to scroll through the stack and adjust the playing speed To the left o
54. age List WINdOW cccccseeceeeeeeeeeeeeeeeees 28 Image Information Window rrnnnnnnnvnnnnnnennnnnnnvnnnnnnennnnnnrnnnnnnnennnnnne 29 Working with Filters in the Image List rrnnnnnnnnnnnnnnnnnnrennnnnnennnnnnrnnnnnnnen 29 Applying the Filters in the Image List rrrnnnnnnrnnnnnnrnrnnnnrnnnnnnnennnnnnr 29 Image Filters Add Edit Window rrrnrnnrnnnnnnvrnrnnnnrnvnnrnnnnnrennrnnnnneenn 30 Creating Private Filters ccccccccsssseeceeceesseeeeeeeeeeeeeeseeeeeeeeseseaeeeess 31 Editing or Deleting a Private Filter or Filter Details c00 34 Viewing Deleted Image Placeholders ccsececeeeeseeeeeeeeeaeeeeeees 36 Viewing Patient Clinical Records in ViStA rrrrrnrnnnnrnrnnrnnnrrnrnnrnnnnnnrnn 36 Viewing Radiology Exams cccccsssscceeesseseeeeeeeeeseeeeesaeeeeeeeeeaaaeeeees 37 Viewing Progress Notes Clinical Procedures and Consults 37 Viewing Controlled Images in the Image List Window anrrnrnnnnnnnnnnnn 39 Working With ADSUWACUS siatececosetessnctesesscctenctiee feces iecnauaeeecsesseusenesxetenseieext 41 PES NI Dee een ee 41 Image Group Abstracts Window rrrrnnrnnnnnnvnnrnnnnnornnrnnnnnrennrnnnnnnenn 41 Image Information Window rrnnnnnnnonnnnnnvnnnnnnrvnnnnnrennnnnnrnnnnnnnennnnen 42 Tool Bar in the Abstracts Window rrrnnrnnnnnronrrnnnnnvrnnrnnnnnrnnrnnnnnnnn 42 Popup Menu in the Abstracts Window rrrrrrnnnrnvvnrnnnnnvevrr
55. age status and allows the user to change the image status from the current status to Viewable QA Reviewed or Needs Review block from view Changes the value for a controlled image to True When you select Refresh the image entry is marked as controlled in the Image List tree view and Abstract viewers Clinical Display Workstation User Manual Rev 3 23 VistA Imaging MAG 3 0 121 Manager Menu Menu Option Description The menu option requires the MAG SYSTEM security key See Appendix E For System Managers for the menu options Configure Tree View Window The Configure Tree View window is opened from the Layouts Tree view menu by selecting the Custom menu option Configure Tree View cick on a Property Tile in the Est to add as next Tree level Tree level 3i Cap by i Shot Desc J S Creation Date to remove levet drag i away OK X Cancel 1 Select an item in the Property Name list and it will be added as the next tree level 2 To remove a Level drag it away with the mouse and drop it anywhere 3 Click the OK button and the tree view will be reconfigured with the selected image properties as the new levels Clicking Cancel will close the window without applying the changes Note In the graphic the user selects Captured By Cap By and then the Short Description Short Desc 24 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0
56. al features if you have the appropriate security keys Note The Utilities and System Manager menus on the menu bar may not be available to you if your site coordinator has not assigned you access to these tools Image List Filters Ctrl L I User Preferences ad Remote Image Views Configuration wu nf Refresh Patient Images afl MUSE EKG Window Group Window Save Settings Now Radiology Exams F Select Patient Save Settings On Exit Procress Notes Login Show Context Show Hints Clinical Procedures Logout Consults Suspend Context Remote Login ShortCut Key Legend w Toolbar Main Exit Message Log Active windows Ctrl W Vista Imaging Dispiay LOCALHOST in use by iMAGPROVIDERONETHREEFIVE ONETHREEFIVE E 3 k File Conte Options View Utilities Reports System Manager Help Fl EF A ER 2 E AJEN 124 As Patient SLC gt Clin All Current Image er Clin All Workstation Configuration window Contents Clear Current Patient Whats New in Patch 93 vw Image File NetSecurity ON Imaging Display Window Show Messages from last OpenSecureFile Call Image Delete Help screen Change Timeout value System Manager help v Patient Lookup Login Enabled Error Code lookup Set Workstation s Alternate Video Viewer Legal Notices ScreenSettings v About Note The Clinical Display software is user configurable Its appearance may not match
57. all image Zoom Zoom has the following options e Zooms In to zoom in to an image Zoom Out to zoom out of an image Fit to Width to fit the image to the window width horizontal Fit to Height to fit the image to the height of the window vertical Fit to Window to fit the image to the entire window vertical and horizontal Actual Size to show image in its original size Mouse Mouse has the following options Pan to pan image by dragging mouse Magnify to magnify an image where the mouse is clicked Zoom to zoom into an area of the image selected with the mouse Ruler Ruler Measurement Angle Tool Angle measurement tool Ruler Angle Pointer Measurement pointer Auto Window Level Window Level tool Window Level Window Level has the following options Window Increases the contrast of an image Window Descreases the contrast of an image Level Increases the brightness of an image Level Descreases the brightness of an image Invert Reverse Inverts the colors of the image Reset Image Resets the currently selected image to its original display settings including zoom window level and orientation Reset All Resets all of the images to their original display settings including zoom window level and orientation Scroll scroll has the following options Top Left scroll to the top left corner of the image Top Right scroll to the top right corner of th
58. ation User Manual Rev 3 81 VistA Imaging MAG 3 0 121 VistA Imaging Physcian Agreement for Downloaded Images File Help Images are made available only for the following purposes Clinical care for other VA patients Clinical care for the patient whose Images are being downloaded For approved teaching purposes by V4 staff For use in approved Y publications For use in approved research by VA staff XX Cancel 6 To continue and print the image click OK 7 Verify the printer selection and click OK Printer Name eres Properties Status Toner low 0 documents waiting Type HP LaserJet P4010_P4510 Series PCL 6 Where IP_10 238 38 8 Comment Print range Copies f All Number of copies i ee Cancel Printing Multiple Images Users who have MAG ROI key assigned to them can print multiple images at a time You can print a selected few images or all available images for a patient Selecting Images to Print l 2 82 Select a patient Click Utilities ROI Print Options Choose Images to Print All images in the study are selected by default and the image count is displayed as shown below The following section will appear above the image list in the Image List window ROI Multi Image Print 57 temfz selected to print Continue Cancel Check None Al Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 3 Select images to print us
59. bant Medical Recond VA published in tha Federal Register in accordance with the Privacy Act of 1874 This is also available in ihe Commlaben of Privacy Act Mauances via orina GPO access ai hiip aww gpoacoess gow itivecyactindex hbnl Completion of this form 13 volunlsry braever vilfhout this information VA health care providers may h re less misrmaten about your references Faire 16 fnigh Aa information wil have no adversa affect on any other benefits which yau may be enlibed Io receive The Faparwor Reduction Act of 1995 requires us to nobly you thet ihis evormation collegian ia in accordance with the clagrance requirements of section 3507 of this Act The public repocting burden for this collection of information is estimated 10 average 30 minutes including the tre for cavtewing insbuciions searching existing data sources gathering and maintaining th data needed and compsating and reviewing the collection of information No person wil be penalized for f ling to furnish this informaben fit does not display a currenily valid OMB contre number ia at 10 0137 Page i off 50 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Description of the Viewers Note The Clinical Display application automatically selects the appropriate viewer any time an image is opened from an abstract the Image List Tree View menu options etc You can view the image in full view in various ways e When you double click an e
60. cal taoin I Item Patient Img Image ID 4 Caceptions to surgery Or AOUINGDA H IY VG aoee gpp A 1 IMAGPATIENT206 206 1 S I request the cnaet by authors of the bin aome medics tacirty of aay tatuat or parts whch it may be necessary to remove E 2 IMAGPATIENT206 206 Ly pe e cab oe Sata Se enn Ty 3 IMAGPATIENT60 60 FE 4 IMAGPATIENT60 50 Eero FE 5 IMAGPATIENT60 60 1 SOUNSELING mycin DENTIST 1 heve eepetiod result ta a8 desen abose fare OF Esene tng Pono Parian 2 PATIENT understand the nature of the proposed procedure s attendant noas nvohed ard expected senuttt av described above Image Report ard merstry regses Len precerurels be performed Image Information 102 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Menu Bar in the QA Review Window File Menu Image Delete Users with the correct security Keys can delete an image Image Index Edit The Image Index Edit window opens The Image Index values can be edited there If edits are made the status Button will change to show an edit has been made Image Information Advanced Users with the correct security key have access to this menu option Close the GA Review uly window Options Menu Refresh List Refreshes the filtered image list Clear all Clears the form select Columns Opens the columns select form User can select which columns to view Fit to Text Fit the width of the columns to the l
61. cription FAN Search for Documentz Images that were Scanned or Imported Mot Radiology Studies In the Date Range Last 3 days Jul 25 2010 thru Today Captured by Imagprovideranethreefive Onethreefive has Statusfsl Viewable amp to return 50 i Or masimum number Quick Search 7 Click the Quick Search button Buck Search to begin the search The search results are displayed in the QA Review window as shown QA Review File Options Filter Image Action Help 4 This window does not maintain Patient Context i gt t Ny X 2A 140 Imagefs Filter in use Artifact i D bil gt DP lz Patient IMAGPATIENT714 714 Bi 100 I f Con1o Tf Specialty CARDIOLOGY IMAGPATIENT714 714 IMAGE CARDIOLOGY CARDIAC CATHETERIZATION 58 Proc Event CARDIAC CATHETERIZATION Status Next 1 Image Reason SLC CATH 4 13 93 CARD 04 13 1993 I Item Patient flmg Image ID El 1 IMAGPATIENT1014 1014 1 798 IMAGPATIENT714 714 1 55 IMAGPATIENT1023 1023 1 50 IMAGPATIENT714 714 1 56 Malai IMAGPATIENT714 714 1 IMAGPATIENT711 711 3 IMAGPATIENT711 711 1 3 2 3 IMAGPATIENT714 714 IMAGPATIENT714 714 IMAGPATIENT 714 714 Image Report Group ID 58 Pg 1 05 19 10 10 16 CONFIDENTIAL CARDIOLOGY REPORT IMAGPATIENT 14 714 000 00 0714 NOT INPATIENT DOB 1922 PROCEDURE DATE TIME 04 13 93 PROCEDURE GENERIC PROCEDURE INDICATION MEDI
62. d Abstract amp Image Viewers Remote Image View Alternate Viewer Options Layout Style Choose Image List and Tree View options J Show Image List When Image List is shown Preview Abstracts Preview Report Show Tree View Click items as follows fe Single click to open an item point to select Pointer Speed Slow Med Fast Double click to open an item single click to select Leave the default setting to show the Image List and select to show the tree view or clear the Show Image List check box and select only Show Tree View The Image List and Tree View can be shown together in the Image List window If you choose to not show the Image List or the Tree View in the Image List window then clear both check boxes If the Image List and Tree View are not selected the Image List window will be displayed showing the menu bar tool bar and can be configured through the preferences to be display the panes and information that are configurable through the preferences If you chose to show the Image List then select if you also want to show a preview of the abstracts and reports Select an item to change the pointer speed to slow medium or fast Click the Save button to save all the settings and close the dialog box Important Clicking Close cancels all settings you may have added and closes the dialog box Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 January 2012 Cl
63. d and are positioned in the viewer as tiles Restores the default layout Next Viewer Page Displays the next page of images This menu option is enabled only when there is more than one page of images Prev Viewer Page Displays the previous page of images This menu option is enabled only when there is more than one page of images Enable the user to customize the number and position of images in the window Page Menu This Page Menu is only enabled when a multiple page image 1s selected First Go to the first page of the image Previous Go to the previous page of the image Next Go to the Next page of the image Last Go to the last page of the image January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 Help Menu Displays online help Tool Bars in the Full Resolution Viewer The Full Resolution Viewer has three tool bars shown in the following example The tool bars can be dragged and dropped in the viewer to place them side by side two across and one down or stacked three high Using the buttons on the three tool bars you can manipulate the image and navigate around the Full Resolution Viewer Full Resolution View HANEN ONE DONE GL File Image View Layout Page Help am Er HAr ASAOE JJ mio f con 100 TJ N SLC PHOTO ID Apr 06 2000 PHO EG Post Anesthesia Flowsheet Fpg of 2 x Each tool bar is shown below with a description of each b
64. dit Menu Delete Filter Deletes the selected filter Options Menu Clear All Clears all filter selections 30 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Displays the Image Filters help file Creating Private Filters 1 To create a private filter perform one of the following steps e Inthe VistA Imaging Display main window either click the Select Create an Image Filter button menu bar on the tool bar or choose Options Image List Filters from the e Inthe Image List window either click the Select Create an Image Filter on the tool bar or choose Filters Image List Filters from the menu bar T Image List PATIENT SEVENONEONE File Context Options View Reports Fibers Layouts Utilities Manager Help H dv Directives Clin 2 yr Clin All pw Image List Filters Ctrl L Filter Details Item Site Note Title weno lame Short Desc Sm ig Cap Dt Cap by Creation Date at Refresh Filter list o2 NONE CLIN ADMIN COMMITM 01 25 2010 0 IMAGPROVIDE 21794 01 25 2010 m Miters as Buttons er NONE CLIN CONSULT s NONE CLIN CONSULT group desc NONE CLIN CONSENT group desc NONE CLIN CONSENT 01719 2010 1 IMAGPROVIDE 21778 0119 2010 01719 2010 1 IMAGPROVIDE 21774 0119 2010 01 04 20101 IMAGPROVIDE 21767 01 04 2010 01 04 20101 IMAGPROVIDE 21766 01 04 2010 01 04 20101 IMAGPROVIDE 21765 01 04 2010 01704 2010 1 IMAGPR
65. dow Exits the Full Resolution Viewer Image Menu Apply to All When selected all of the images opened in the Full Resolution Viewer will have all actions applied to them from the Image Menu options Zoom has the following options Zooms In to zoom in to an image Zoom Out to zoom out of an image Fit to Width to fit the image to the window width horizontal Fit to Height to fit the image to the height of the window vertical Fit to Window to fit the image to the entire window vertical and horizontal Actual Size to show image in its original size January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 53 Mouse Mouse has the following options Pan to pan image by dragging mouse Magnify to magnify an image where the mouse is clicked Zoom to zoom into an area of the image selected with the mouse Pointer to go back to mouse pointer Rotate Rotate has the following options Right Rotates the image 90 degrees clockwise Left Rotates the image 90 degrees counterclockwise 180 Rotates the image 180 degrees Flip Horozontal Flips the image horozontally Flip Verticle Flips the image vertically Contrast Brightness Contrast Brightness has the following options Contrast Increases the contrast of an image Contrast Descreases the contrast of an image Brightness Increases the brightness of an image Brightness Descreases the bright
66. e Date Saved by T j l IMAGPROVIDERONETHREEFIVE ONETHREEFIVE A B K lt Ww gt bl AIX DB Search for Documents Images that were Scanned or Imported Not Radiology Studies i z 56 E Bi 100 Con 100 f In the Date Range lt select date range gt v Aug 02 2010 thru May 19 2011 l l IMAGPATIENT206 206 000000206 IMAGE IMAGE 21822 Captured by Imagprovideronethreefive Onethreefive vi has Status s lt any status gt 1 Image to return x Or maximum number 1000 l Quick Search REQUEST FOR ADMINISTRATION OF ANESTHESIA MEDICAL RECORD AND FOR PERFORMANCE OF OPERATIONS AND OTHER PROCEDURES SDONTIFICATION Patient IMAGPATIENT206 206 aL SSN 000000206 QA Reviewed Es Trent OF etQUEST 1 The neture eed puiposs of Me Opersbor or pOKedure parle a Miry of comple ations hova bees haren sires ome achnemedgee na guarana the operetan or procedure I unterslard ure of tne O operaen Of presedere tee Short Desc IMAGE Type IMAGE Proc E vent whch 18 00 be performed br or wader Ihe drecton ot Dr Status Viewable mnd deler mante of the sboer named open OF e posen ahd Of such add by wep agro procedures 0 po hound to tery OF Gepwedie in te jooma of De p the belg eames MEG loray Guntg the cours eof Opereten of procedure Reason I request the somnatra uo of oued anesthesia a may be COMLGErEE ReCeSBary OF desaba im Ihe Judgment of the professional stan Thy eden named medi
67. e Image View Rotate ViewInfo View Settings Options Tools Help wom DT hla Te fe a Ife L A EU B Win 255 4 Jr tev 128 4 gt Zoomla gt TUJ PROVISION OF DIAGNOSTIC RADIONUCL NM Detailed XRAY 1170171999 01 54 2 Images Selecting a group of DICOM images from the Group Abstracts window or from the Image List window opens the DICOM images in the Radiology Viewer but only one image at a time is displayed Using the tools on the viewer the user is able to scroll through the images of the study You can view radiology studies using several views One view is the Layout View which you can specify a 1x1 2x1 or a 3x2 or a 4x3 view Using the scroll wheel of your mouse you can move quickly between images in the stack or layout views If you double click an image in the layout view the image will appear in the stack view at full size Additionally if you double click the stack view will switch the study back to the layout view Menu Bar in Radiology Viewer File Menu Copy Copies the image to the Clipboard You must provide your electronic signature and the reason for copying the image Report Displays the report associated with the image Exit Closes the Radiology Viewer Print Prints the image You must provide your electronic signature and the reason for printing the image 60 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Image Menu Apply to All Applies actions to
68. e abstract at the bottom right in the QA Review window 2 Click QA Reviewed on the left or in the main menu 3 Select Image Statusl QA Reviewed 4 To mark an image as Needs Review select Image Statusl Needs Review from the main menu Images with Incorrect Index Values If an image does not meet the QA Review requirements due to incorrect index values you can edit the image index values using the Image Index Edit utility explained in the chapter Editing the Image Index Entries After correcting the index values for the image so that it meets the QA review requirements you can mark the image as QA Reviewed Running the QA Review Report Note you must have MAG SYSTEM MAG EDIT or MAG QA REVIEW security keys to run the QA Review Report January 2012 Clinical Display Workstation User Manual Rev 3 113 VistA Imaging MAG 3 0 121 The QA Review Report returns reports based on the search criteria entered in the QA Statistics Report window and contains the following information e Image counts by users and image status It also returns the QA Review Status of images an dQA Review percentages for the selected date range e Images captured by each user in the selected date range e Number of image entries per each image status e Number of multi page images in the pages column e Percentage of captured images that have been marked as QA Reviewed for the selected date range To run the QA Review Report 1 Do either of the fol
69. e and click Delete or select the filter and choose Edit I Delete Filter 7 Image Filter Add Edit Artifact File Edit Options Help Private Public Filter Details Artifact XXXXXXXXXXXXXXX 2 i KRAKKKKKKKKRKRKKRKRKKRKK CLIN CLIN 4DMIN_ADMIN CLIN cats Origin Any Clinical l Dates All Dates DoD Packages MED SUR LAB NOTE CP NONE Types l Specialty SubS pecialty Procedure E vent Status Any Saved By Any Search on Capture Date False Short Description has Any 5 Click OK in the delete confirmation message 6 To refresh your filters choose any of the following options from the menu bar e Options Refresh Drop Down Lists e Options Refresh Filter Lists e Options Refresh Details January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 7 After you are finished choose Filters IFilter Details to view your filters in detail as shown in this example Information Y Active Filter Adv Directives RK ROOK EOE GE OE ROR OK OE OK OE OK OE OK EOE FE KE OE OE OE OE OK OK OK OK OK OE OK oR Class CLIN CLIN ADMIN ADMIN CLIN Origin Any Dates All Dates Packages Any Types p ADVANCE DIRECTIVE Specialty SubSpecialty Procedure Event Status Any Saved By Any Search on Capture Date False Short Description has Any Viewing Deleted Image Placeholders To show or hide deleted image placeholders select
70. e image Bottom Left scroll to the bottom left corner of the image Bottom Right scroll to the bottom right corner of the image Left scroll to the left Right scroll to the right Up scroll up Down scroll down January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 Maximize Image Maximizes the current image or if the current view is stack view this changes the view to layout view This option is not available if the current image is in the second stack Stack Cine Contains options for using the stack cine This option is available only if the current view is a stack view Stack Cine has the following options Start Start the stack cine loop Stop Stop the stack cine loop Speed Up Speed up the stack cine loop Slow Down Slow down the stack cine loop Range Start Set the start position for the stack cine loop Range End Set the end position for the stack cine loop Range Clear Clear the image for the stack cine loop Cache Selected Study Caches the currently selected study in the background to the workstation enabling you to continue working while the images are brought to the workstation View Menu Pan Window A pane will open in the upper left corner of the display This is the Pan Window box and it displays a full sized version of the image with the zoomed portion highlighted The scroll bar at the bottom of the box can be used to adjust the amount of magnif
71. e order of images by selecting a column heading e Change the column width by selecting the column dividers and dragging them to the left or right e Display a popup menu of options by right clicking in the Image List Image List IMAGPATIENT711 711 File Context Options View Reports Filters Layouts Utilities Manager Help 82S BR 22a ar se IMAGPATIENT 11 711 72 of 72 Images match Filter Clinical All H dv Directives Clin 2 yr Clin All Clinical All HRad All item Site Note Tite Pr Procedure Img Short Desc Pkg Class Type 15 1 CARDIOLOGYNO 1 CARDIOLOGYNO 1 CARDIOLOGY NO 1 CARDIOLOGY NO 1 CARDIOLOGY NO 1 CARDIOLOGYNO 1 CARDIOLOGYNO 1 CARDIOLOGY NO 1 MOTE 1 MOTE 1 CARDIOLOGYNO 1 CARDIOLOGY NO 1 CARDIOLOGY NO 1 e Display or hide columns by right clicking in the Image List and clicking the Select Columns option to open the Column Selector window shown You can select each column name or click All to select all column names to display When you are finished you can click OK to save and close or Apply and Close January 2012 Clinical Display Workstation User Manual Rev 3 27 VistA Imaging MAG 3 0 121 v Column Selector w Procedure w H Img vw Short Desc Creation Date x Close 4u Popup Menu in the Image List Window Open Image Image Report Image Delete Image Index Edit Image Information Image Inf
72. e report of the selected image Refresh Refreshes the list of images for the selected patient Note If both the Tree View and List View and optionally the Abstracts are visible all data is updated when the patient images are refreshed Tree View to the left and the image on the right Same as the Explorer style plus the list view on top of the image Same as the Explorer style plus the abstracts displayed at the bottom of the Tree View Abstract strip Abstracts at the bottom of the window and the Full Resolution image displayed at the top Abstract strip left Abstracts to the left of the window and the Full Resolution image displayed on the right Abstract strip with List Same as Abstracts strip left plus the list view to the top of the Full Resolution image List with Previews List view is on the top with Abstracts Image Information and Image Report panes visible as preview panes The panes are updated when a new entry is selected in the list Document Viewer ina If selected this will display the Full Resolution Image in the Full separate window Resolution window Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Menu Option Set Active Control Utilities Menu The menu item makes navigation easier for the Image List An indicator can be used to visually determine the active control and Short Cut keys are available to navigate to the main controls on the Image L
73. e selected that were imported using the VistA Imaging Import API Image Menu Zoom Zoom has the following options Zooms In to zoom in to an image Zoom Out to zoom out of an image Fit to Width to fit the image to the window width horizontal Fit to Height to fit the image to the height of the window vertical Fit to Window to fit the image to the entire window vertical and horizontal Actual Size to show image in its original size Mouse Mouse has the following options Pan to pan image by dragging mouse Magnify to magnify an image where the mouse is clicked Zoom to zoom into an area of the image selected with the mouse Pointer to go back to mouse pointer Rotate Rotate has the following options Right Rotates the image 90 degrees clockwise Left Rotates the image 90 degrees counterclockwise 180 Rotates the image 180 degrees Flip Horozontal Flips the image horozontally Flip Verticle Flips the image vertically Contrast Brightness Contrast Brightness has the following options Contrast Increases the contrast of an image Contrast Descreases the contrast of an image Brightness Increases the brightness of an image Brightness Descreases the brightness of an image 104 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Reverses the colors of the image Reset Resets the currently selected image to its original display settin
74. elete WINdOW ssscceeseeeeeeeeeeeeeeeees 133 Deleting Single Images ccccccssesececseeeeeeeeeeeeeeeeeeeseeeeeeeeaeeeeenseneeeeas 133 Deleting Image Groups rannrennnnnnvnvnnnnrvnnnnnrennnnnnennnnnnsennnnerennnnnnsnnnnnnnen 134 Deleting Images with Questionable Integrity QI ISSues 1rrnnn 135 Appendix D Clinical Context Object Workgroup 00008 136 CCOW OV CIV EN dead 136 Patient Context in Clinical Display rrrrrrrnnrrrorrrnnnnnrorrrnnnnnrrnnrnnnnnnenn 136 January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 Vi Appendix E For System Managers e rnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnennnnnn 138 System Manager Menu Options rrrrrnrnnnnnnennrnnnnnvrnvrnnnnnennnnnnsnnrennnnnsnee 138 Message History Window rrrnnnnnnnnnrnvennnnnnrvnnnnnnnnrevennnnnnsnnennnnnusnne 139 VIGWING MESSAGES sanere A 139 Image Information Advanced rrrvnennnnnnvvvennnnnnvnnennnnnnsvnennnnnssenennnnnusene 140 Image Information Properties Window aannnnnrnnnnnnnnnnnnnrrnnnnnrnnnnnnnnnnnnnn 140 Tool Bar in the Image Information Properties Window rrnrrrnnnnrnnnnre 141 NAC EENE Geeta eevee ec E A A E A S 142 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 January 2012 Introduction This manual explains how to use the Clinical Display software as of the Patch 94 release for viewing patient images
75. er 12 10 09 609 Clearing patient Images lt UH Loa Cnt 124 Viewing Messages 1 Open the Message History window by performing any of the following steps e Inthe VistA Imaging Display main window or Image List window choose System Manager I Show Messages from last Open Secure File Call from the menu bar e Inthe VistA Imaging Display main window click the message window button in the lower left corner of the window e In the Image List window choose Options Message Log from the menu bar 2 To display user messages in the Message History window choose Options System Messages from the menu If System Messages is not selected user messages are displayed in the window January 2012 Clinical Display Workstation User Manual Rev 3 139 VistA Imaging MAG 3 0 121 3 To display system messages select System Messages again to select it 4 To refresh the information layout choose Refresh Refresh Display 5 To automatically update the message in real time choose Refresh AutoUpdate Reselecting Auto Update clears the option and stops the automatic update 6 To format the display of the messages choose Options and Word Wrap Font Background Color 7 To keep the window open on top of all open Clinical Display windows select Stay on Top 8 To find text choose Options Find Text enter the words in the Find window and select the Find Text button 9 To remove all entries in the Message History log c
76. er or the Group Abstracts window for image groups e Enables you to filter the patients images e Shows the remote sites that are connected or disconnected where the patient has images if the ability to view remote images is enabled e Enables you to navigate to other windows and tools within the application through the button tool bar and file menu options Image List Window Image List IMAGPATIENT711 711 File Context Options View Reports Filters Layouts Utilities Manager Help ee eee 12 Sh lay AF AP SYE IMAGPATIENT711 711 72 of 72 Images match Filter Clinical All H dv Directives Clin 2 yr Clin All Clinical All Rad All Hem Ste NE HE le eee TG DE 1 EE NE S AN Tu CARDIO CARDIOLOGY NO CARD D NOTE CLIN IMAGE TUJ CARDIO CARDIOLOGY NO AUD De NOTE CLIN IMAGE TUJ CARDIO CARDIOLOGY NO CARD D NOTE CLIN IMAGE TUJ CARDIO CARDIOLOGY NO AUD De NOTE CLIN IMAGE TUJ CARDIO CARDIOLOGY NO AUD Oct NOTE CLIN MISCELLA TUJ CARDIO CARDIOLOGY NO AUD Oct NOTE CLIN MISCELLA TUJ CARDIO CARDIOLOGY NO AUD Oct NOTE CLIN IMAGE TUJ CARDIO CARDIOLOGY NO AUD Oct NOTE CLIN IMAGE TUJ GENERI NOTE BRON NOTE CLIN IMAGE TUJ GENERI NOTE BRON NOTE CLIN IMAGE TUJ CARDIO CARDIOLOGY NO DEN Ma NOTE CLIN IMAGE TUJ CARDIO CARDIOLOGY NO CARD M NOTE CLIN IMAGE TUJ CARDIO
77. erforming 112 report 11 QA Review Report See Status Verification Report QA Review Window 102 Quality Assurance 102 Questionable Integrity 47 R Radiology Exam Listing window 37 exams menu option 10 exams viewing 37 studies 60 viewer 59 Refresh Patient Images 10 Refresh Patient Images button 25 Remote image view configuration button 13 configuration menu option 10 Configuration window 95 viewing patient data at remote sites 92 Remote image views using 92 Remote Login 9 Reports Discharge Summary 12 122 Health Summary 12 121 Image report 119 Patient Profile 12 QA Review report 11 Request of Information See ROI RIVs 94 ROI 81 84 129 RTF file type 49 S Save Settings now 10 on Exit 10 Security keys for deleting images 131 MAG DELETE 47 128 131 MAG EDIT 47 48 98 102 106 128 MAG PAT PHOTO ONLY 128 MAG PREFETCH 128 MAG RAD SETTINGS 128 MAG ROI 81 84 129 MAG SYSTEM 33 47 98 106 129 MAGDISP ADMIN 129 MAGDISP CLIN 129 PAT PHOTO ONLY 14 Select Columns button 26 Select Patient button 25 133 Select Create Image Filter button 25 Sensitive images 48 Shortcut Keys 10 124 Show Hints 10 44 Show or Hide Abstracts button 25 Show Hide Message Window button 13 Signing in 5 Single image 102 Site Code 95 Site Name 95 Specialty SubSpec 32 Stack View Slide 67 Status Verification Report window 114 System
78. es for RIVs 88 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 January 2012 Configuring Alternate Viewer Options 1 In the User Preferences dialog box select the Alternate Viewer Options tab User Preferences Patient Selected Abstract amp Image Viewers Remote Image View Alternate Viewer Options Layout Style Choose what Viewer to user for the following Image file formats Video Files Use Alternate Video player Use Imaging Video Player Play Video when selected Adobe PDF Files C Use Alternate PDF Viewer Use Imaging Viewer 2 To play video files leave the default setting to use the Imaging video player or select an alternate video player 3 If you chose to use the default video player select the check box if you want to explicitly select to play the video 4 For Adobe PDF files leave the default setting to use the Imaging Viewer or select an Alternate PDF viewer The Imaging Viewer will not display bookmarks for PDF files To use bookmark functionality in PDF files you will need to use an Alternate PDF Viewer Note Click the Save button only when you are finished with all the tabs 5 Keep the dialog box open and continue January 2012 Clinical Display Workstation User Manual Rev 3 89 VistA Imaging MAG 3 0 121 Configuring the Layout Style of the Image List In the User Preferences dialog box select the Layout Style tab User Preferences Patient Selecte
79. f the study are buttons that allow navigating through the images in the study irst Image in Study Previous Study Next Study Image Click the First Image in Study button button to go to the first image in the study Last Image in Click the List Images In button button to go to the last image in the study Click Previous Study button the amp button to go to the previous image in the study Click the Next Study Image button Y button to go to the next image in the study Below the buttons is a study slider that shows the position of the image in the current study The user can move the slider in order to view another image Start Stop Image The button below the slider allows the user to play the images in the study ina loop When the user clicks the play button it will change to a stop button to image Scroll Speed allow the user to stop the scrolling of images Below the button is another slider that controls the speed of the loop January 2012 Clinical Display Workstation User Manual Rev 3 67 VistA Imaging MAG 3 0 121 Range Start If you right mouse select the study slider a menu opens which allows you to Range End adjust the range parameters Range Clear Range Start Set the range of the loop to start at the currently selected image Start Range End Set the range of the loop to end at the currently selected image Range Clear Clear the range of images to scroll Start Start the looping same as clicking
80. fields for the IEN je Displays any flags that have been set for the IEN January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 141 Index A Abstracts 10 button 13 corrupt 46 not found 46 viewing 44 window 41 working with 41 Access and Verify codes 6 Add Server window 6 Advanced filters for QA Review 106 Advanced properties 107 Alternate viewers 49 ASC file type 48 AVI file type 48 B BIG file type 48 Bitmaps non viewable images 46 Blocked images 46 BMP file type 48 BW file type 48 C Cache images 43 CCOW 5 9 136 Cine Radiology 70 Clinical Context Object Workgroup 5 136 Clinical Procedures 11 38 Clinical properties 106 Clinical Types 32 Column listings displaying 27 Column Selector window 27 Configure Tree View window 24 Configure User Preferences button 25 Connect To dialog box 5 Consults 11 36 38 Controlled images description 48 icon 39 on the Utilities menu 23 viewing 39 Copying an Image 84 CPRS link options 10 patient selection 5 D DCM file type 48 Deleting images with questionable integrity 135 single images 133 DICOM Gateway 64 DICOM images 59 60 DICOM Multi frame Cine Viewer 70 Discharge Summary report 12 121 Down sampled image 64 E EKG Display window 74 F File types 756 48 ASC 48 AVI 48 BIG 48 BMP 48 BW 48 DCM
81. ging Patient Photo Viewer Efe Help PATIENT NINEEIGHTEIGHT Patient Photo Viewer For details on how to perform a patient lookup see Selecting a Patient MAG PREFETCH Enables the holder to prefetch or queue all images for a patient This means that all images for a patient that are on the jukebox will be copied from the jukebox to the magnetic server cache MAG QA REVIEW User can access QA Review and QA Review Report from Clinical Display Utilities Menu MAG RAD Enables the holder to edit the CT Presets in the Clinical Imaging SETTINGS Display Radiology Viewer window MAG REVIEW NCAT User can view NCAT Report 128 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 MAG ROI User can print single or multiple images or copy images without having to enter an electronic signature This key should only be assigned to the HIMS Release of Information Officer MAG SYSTEM Enables the holder to modify site parameters via the Background Processor or to modify workstation parameters via the MAGSYS application Also enables the display of DICOM header data for radiology images on Clinical Display workstations Note This is for personnel managing VistA Imaging Systems MAG VIEW DOD In Patch 72 and 93 versions of Clinical Display users must have this IMAGES key to display DoD images In newer versions of Clinical Display this key is not checked MAGDISP ADMIN Enables the holder to display admin
82. gs including zoom contrast window brightness and orientation Scroll Scroll has the following options Top Left scroll to the top left corner of the image Top Right scroll to the top right corner of the image Bottom Left scroll to the bottom left corner of the image Bottom Right scroll to the bottom right corner of the image Left scroll to the left Right scroll to the right Up scroll up e Down scroll down Resize image to fill the entire window Next Image Displays the next image Action Menu Image Status QA Reviewed Changes the status of the image to QA Reviewed When the status of an image is changed the list button will change to a Refresh needed button This indicates that a change has been made to the listed image Image Status Needs Review Changes the status of the image to Needs Review When the status of an image is changed the list button will change to a Refresh needed button This indicates that a change has been made to the listed image Next Selects the Next image in the list When Next is selected the status of the current image is not changed The next image in the list will be displayed in the Image Viewer Previous Selects the Previous image in the list When Previous is selected the status of the current image is not changed The previous image in the list will be displayed in the Image Viewer Help Menu QA Review Help Opens the What s New in Patch 93 document Januar
83. hoose Options Clear history 10 To close the window choose File Exit Image Information Advanced Image Information Advanced displays more detail than standard information displayed in the Image Information Window which is available to all users Image Information Properties Window In the sample window the Image Information properties window shows detailed data about an image or image groups Image Information properties a 140 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Tool Bar in the Image Information Properties Window Shows the internal information stored in the IMAGE file 42005 for the Internal Entry Number IEN displayed in the edit box When the window is opened the selected Image s IEN is displayed The IEN can be changed which gives you the option of viewing information for any Image If the edit box is empty then clicking the MAG 2005 button will display the information for the last Image entry in the IMAGE file 42005 ro The IEN of the currently selected image 1783 Hest Next Loads the Next Image IEN in to the edit field and displays its Global List Previous Loads the previous IEN values p Loads the Group IEN for the current IEN being displayed ETTE Displays internal information used by the application Displays the associated TXT file in the memo area inno Displays the Image Information in the memo area Displays all of the
84. ication Move the scroll bar e to the right will increase magnification e to the left will decrease magnification The mouse can be dragged around the image to move the highlighted area Go To Main Window Changes the focus to the VistA Imaging Display main window Displays the active windows currently open in VistA Imaging Display 62 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Rotate Menu Rotate Clockwise 90 Rotates the currently selected image clockwise to the right 90 degrees If Apply All is selected then all images will rotate Rotate Minus 90 Rotates the currently selected image counter clockwise to the left 90 degrees If Apply All is selected then all images will rotate Rotate 180 Rotates the currently selected image 180 degrees If Apply All is selected then all images will rotate Flip Horizontal Flips the currently selected image horizontally If Apply All is selected then all images will flip horizontally Flip Vertical Flips the currently selected image vertically If Apply All is selected then all images will flip vertically CT Presets Menu Abdomen sets the currently selected window level values such that they can view the abdomen If Apply All is selected then all images will change to the same window level value Bone sets the currently selected window level values such that they can view bone If Apply All
85. ies Manager Help g 8S eG 5ER BE B eae FS PATIENT SIXSEVENEIGHT 2 of 2 Images match Filter Clinical All H dv Directives Clin 2 yr Clin All Clinical All Rad All 2 Abstracts 04 30 2000 15 50 PULM 04 30 2000 00 01 LAR 1 SLC PULM 4 PULM 04 30 2 lt L EAR DR O a 2 SLC LAR Aj LAR 04 30 20 D 100 Br 100 M Con 100 M 0 Images SLC Class Clin Clin admin Admin clin Existing images January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 1 In the User Preferences dialog box select the Abstract amp Image Viewers tab User Preferences Remote Image View Alternate Viewer Options Layout Style Patient Selected Abstract amp Image Viewers Choose where to display Abstracts and Document Images V Show Abstract Viewer Abstract Viewer amp in Image List Window in Separate Window Document Image Viewer Non Radiology Open Viewer in Separate Window fiom _ ie 2 If you select the check box to display abstracts in the Abstract Viewer then select to display the abstract in the Image List or a separate window 3 Select to display a non radiology document or image in the Image List or a separate window Note Click the Save button only when you are finished with all the tabs 4 Keep the dialog box open and continue Configuring Remote Image Views For information about these options see Configuring User Preferenc
86. ill need to refresh the images by clicking the Refresh Patient Images button 2 on the tool bar January 2012 Clinical Display Workstation User Manual Rev 3 101 VistA Imaging MAG 3 0 121 Checking Quality Assurance on Images Note You must hold the MAG EDIT MAG QA REVIEW or MAG SYSTEM security keys The Quality Assurance QA Utility enables authorized users to review a sampling of images acquired into VistA Imaging through the Capture Client or the Import API or both This utility verifies that e Images captured in VistA Imaging are assigned to the correct patient e Indexes of the images were set correctly when the images were captured e Images meet locally or nationally defined quality standards During the review process you can change image index values using the Index Edit Utility see chapter Editing the Image Index Entries for image groups and single images captured by the Capture Workstation and Import API As previously mentioned an image group 1s a collection of related single images of the same or mixed formats Single images are not part of an image group Note Images captured by the DICOM Gateway and images within a group are not listed for QA Review QA Review Window QA Review window can be accessed through Utilities QA Review OA Review File Options Filter Image Action Help 4 This window does not maintain Patient Context HE T 2 O DP D 5 N AX A 5 Image s Aug 02 2010 gt May 19 2011 Captur
87. ing one of these options o If you intend to print most of the images on the list unselect the images that you wish to exclude from the print queue by clicking each image in the Image List o If you only intend to print a few images click None in the ROI Multi Image Print section in the image list window screen shot shown above then check the images you wish to print 4 Once the images you wish to print are selected click Continue The Print Images for window opens as shown below Print Images for IMAGPATIENT711 711 Patient IMAGPATIENT 11 711 Selle Tiere DOB 00 00 24 SSN 000 00 0711 Service Connected Type NON VETERAN OTHER 5 Image s selected to print Supress printing of Print Summary io Image Print Summary 5 Select or clear the Suppress printing of Print Summary box as desired A print summary page is printed by default when multiple images are printed If you do not want to print the summary page check the checkbox labeled suppress printing of Print Summary in the Print Images for window The print summary page contains a summary of the print job 6 Verify that the number of images selected matches the number selected to print as displayed in the Print Images for window 7 Click Print and Accept the patient privacy agreement by clicking OK If you click cancel on the agreement the print will be cancelled Printing all images for a patient 1 Select Utili
88. inical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 91 Viewing Patient Images at Remote Sites A patient can have images at a local VA site remote VA sites and the Department of Defense DoD Images from remote sites are not stored locally but are retrieved on demand and cached temporarily You can access a patient s images stored at any remote sites only if the patient has been seen at the local site Depending on your configuration settings your workstation may automatically show images from remote sites or you may need to connect to a remote site manually before remote images 1s displayed The next section explains how to connect manually The Configuring User Preferences for RIVs section explains the configuration options related to remote image views Using Remote Image Views RIVs 92 To view an image at a remote site select a patient If Remote Image Views are configured the Image List displays all the remote sites that the patient visited at the bottom of the window as shown in the example e The sites in green are the active connected sites for the selected patient and include the number of studies or image groups displayed in parentheses that the patient has at that site Note Only the sites that have implemented a VIX will be able to click the DoD tab to connect to the DoD e Any site in red with a line through it is not connected pi Image List IMAGPATIENT 711 711 File Context Option
89. inistrator should have the server information In the VistA Sign on dialog box displayed enter your Access and Verify codes and click OK Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 VISTA Sign on WARNING WARNING WARNING This U S Government computer system is for official use only The files on this system include Federal records that contain sensitive information including personal use and to protect the operational integrity of the system Further use of this system constitutes your consent to such monitoring Misuse of or unauthorized access to this system may result in criminal prosecution and disciplinary adverse or other appropriate action WARNING WARNING WARNING MISUSE OF THIS SYSTEM AND INFORMATION IN THIS SYSTEM IS A FEDERAL CRIME ISW IMGDEMO1 Welcome to the VistA Imaging Demo System Access Code Verify Code X Cancel Change Verify Code Volume ROU UCI Port Hi Must Select Division To Continue Signon 678 TUCSON AZ Current Image Filter Clinical All VistA Imaging Display Main Window From this window you can perform the following tasks e Select a patient e Set user preferences e Show or suspend patient context e Create and use image filters e Configure remote image view configuration if available e View reports January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 e Use addition
90. ion User Manual Rev 3 VistA Imaging MAG 3 0 121 97 Editing the Image Index Entries Note You can access this utility only if you hold the MAG EDIT or MAG SYSTEM security key When images are captured they are indexed as shown in the example If they are indexed incorrectly for example a teledermatology image is indexed as a cardiology image you can use the Image Index Edit Utility to edit or add values to correctly index the image The Index Edit Utility edits the index fields of an image group or single image The Image Index Edit utility can be used from the Image List window or the QA Review window Image Index Edit Window Image Index Edit File Options Help SLC T CLIN Procedure Date 0172572010 Capture Date 01725 2010 09 21 19 Image Creation Date 0125 2010 Origin With Type COMMITMENT Spec SubSpec AUDIOLOGY Procedure E vent ELECTROPHYSIOLOGY STUDY Short Desc T Controlled Image Status Status Reason a a z E m a z z Image Creation Date JAN 25 2010 Patient PATIENT SEYENONEONE Image ID 21794 SLC T CLIN 0142542010 Menu Bar in the Image Index Edit Window File Menu Save Save is the same as the OK button All Exit Exit will close the window without saving changes Options Menu 98 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Initial Values Initial Values will populate all enabled fields with the initial value
91. ist of images and image status Prefetch Patient Images All images for the patient are queued to be copied from the Jukebox to the Magnetic Image server for faster loading of images User must have a Security Key 18 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 User Preferences Shows Hints Browse Image List User Preferences has the following options Configure User Preferences Displays the User Preferences window Save Settings Now Equivalent to the Windows Save button to explicitly save settings as you go along Save Settings on Exit When selected the settings are saved on exiting Clinical Display When not selected all changes to settings are lost on exiting if you do not manually save the changes Shows Hints has the following options Show Hints on This Window When selected a check mark appears Hints OFF for all windows When selected a check mark appears and hints are not shown Hints ON for all windows When selected a check mark appears and hints are displayed Normally focus will shift to the image when an image is opened To enable browsing a patient s images with the arrow keys the user would select Browse Image List CPRS Sync Options Allows user to break the link to CPRS Enabled only if VistA Imaging was started from the CPRS Tool menu Shortcut Key legend Opens the Short Cut Key Legend which is shown in the System References section of
92. ist window Set Active Control has the following options e Abstract This will set the Abstract Viewer as the active control If the Abstract window is where the abstracts are being shown then this function will Open the abstract window and set focus to it Tree View Tree View control in the Image List window will be made the active control It will be made visible List View The List View control in the Image List window will be made the active control It will be made visible Full Resolution Viewer This will set the Full Resolution Viewer as the active control If the Full Resolution window is where Images are being shown then this function will Open the Full Resolution window and set focus to it Active Control Indicator If selected a yellow bar will be displayed to the left of the control that currently has focus QA Review Opens the QA Review Window QA Review Report Edit Index fields ROI Print Options Image Status Controlled Image January 2012 Opens the Select a Date Range window with the QA Review Image Status Report window in the background Note The QA Review Image Status Report window is a blank report template When you specify the date range and click OK the results are displayed in the QA Statistics Report window Opens the Edit Index Edit window ROI Print Options has the following options e Print all listed images e Chose Images to Print Displays the current im
93. istrative images documents MAGDISP CLIN Enables the holder to display clinical images documents January 2012 Clinical Display Workstation User Manual Rev 3 129 VistA Imaging MAG 3 0 121 Appendix C Deleting Images Note You must hold the MAG DELETE security key If you do not hold the security key and you attempt to select the Image Delete menu option the following message will be displayed instead of the Image Delete window Confirm Deetion Canceled 2 You dont have the correct Security Keys to delete Image Groups Image IDF 9953 Note Image deletion can occur on a single image or a group of images When an Image Is Deleted The system performs the following tasks when you delete an image e The name of the user reason for deletion and the date time are saved to the IMAGE file 42005 e The entry in the IMAGE file 2005 is copied to IMAGE AUDIT file 2005 1 The entry in IMAGE file 42005 is then deleted e If the image was associated with a clinical report 1 e Lab or Radiology then the Image Pointer is deleted from the associated file e When an image is deleted the Image List is updated with the x icon in the item column Refreshing the Image List removes the deleted images from the list Deletion of the image from the Image Share is performed by the Background Processor not by each individual workstation so that the actual deletion of the image from the Image Share might be delayed
94. isuse of the system or individual files and utilities on the system including personal use and to protect the operational integrity of the system Further use of this system constitutes your consent to such monitoring Misuse of or unauthorizedfaccess to this system may result in criminal prosecution and disciplinary adverse or other appropriate action WARNING WARNING WARNING MISUSE OF THIS SYSTEM AND INFORMATION IN THIS SYSTEM IS A FEDERAL CRIME I SW IMGDEMO1 Welcome to the VistA Imaging Demo System Access Code Verify Code X Cancel Change Verify Code Volume ROU UCI Port Hi Enter your Access and Verify codes in the VistA Sign on dialog box click OK The VistA Imaging Display main window opens Continue to the next section VistA Imaging Display LOCALHOST in use by IMAGPROVIDERONETHREEFIVE ONETHREEFIVE f X File Context Options View Utilities Reports System Manager Help E 3 la SLC Current Image Filter Clinical All If the Connect To dialog box is displayed select the server that you have been instructed to log in to and click OK Connect To IBROKERSERVER 9200 X Cancel Help New Address Unknown Port 9200 If the server is not listed in the drop down list click the New button enter the Address and Port Number in the Add Server window and click OK Add Server Address Port Number x cons Your site adm
95. kstation User Manual Rev 3 133 VistA Imaging MAG 3 0 121 6 To view the group abstracts for the image click the Open the Abstracts window button button 7 To remove all information from the text pane choose Options Clear 8 Select a Reason for Deletion from the drop down list on the window and click OK to delete the image or click Cancel to cancel the deletion 9 Confirm your choice to either delete or cancel 10 When you are finished choose File Exit from the menu bar Deleting Image Groups The abstracts for the images in the group are displayed under the group abstract to the left of the window The number of images contained in the group is displayed in the delete prompt 1 Right click the image group in the Abstracts window or the from the Image List window 2 Select Image Group Delete from the popup menu The Image Delete window opens as shown below Image Delete IMAGPATIENT711 711 072797 22 ANGIO VISCERAL SELECT CP XRAY JUL 27 1997 15 32 CLIN RAD IMAGE TUJ 072797 22 ANGIO VISCERA XRAY XRAY 07 27 1997 15 32 RADIOLOGY JUL 27 1997 16 03 IMAGPROVIDERONESEVEN ONESEVEN Delete this Study Group all 6 Images from Patient Record Reason for Deletion va 3 Follow the steps in the Deleting Single Images section 134 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Deleting Images with Questionable Integrity QI Issues Abs
96. l Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 View Settings Menu 1x1 Stack Puts the viewer into a single image stack mode 2x1 Stack Puts the viewer into a dual stack mode where two images from different or the same studies can be viewed and compared 3x2 Layout Puts the viewer into a layout mode where 6 images are displayed at once 4x3 Layout Puts the viewer into a layout mode where 12 images are displayed at once Options Menu Stack View stack View has the following options e Page Together When selected two stack views will page together This does not guarantee they will always be on the same image number but as one stack changes images the other stack will follow Page With Different Settings When selected each stack will page with the settings held from the previous image in that stack Page With Same Settings When selected each stack will page with the settings from the stack that changed images If the left stack changes images both stacks will change images and then set their view settings window level zoom etc to the same as the left stack Page With Image Settings When selected each image will automatically set itself based on the contents of the image It does not matter what the previous image had set Layout View Layout View has the following options e Use Selected Window Settings When selected and the user changes images the next image loaded
97. lowing e Inthe VistA Imaging Display main window click Utilities QA Review Report e In the Image list window click Utilities QA Review Report TT OA Statistics Reports File Action Options Help Report Requests for User IMAGPROVIDERONETWOSIX ONETWOSIX New Report parameters Date Range ae Ended At rom 05 18 2011 To 05 18 2011 bd Range Today Include Deleted images W Include Existing images Return Image Counts by selected Report parameters C Grouped by Status lt no selection gt Refresh List Grouped by Users and Status Run Report 0 report requests in list Last Refresh 10 51 13 114 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 2 In the QA Statistics Report window select the items you want included in the report You can choose e Date range e Deleted images e Existing images e Run reports by status e Run reports by users and status Include Deleted images W Include Existing images Return Image Counts by C Grouped by Status Grouped by Users and Status 3 Click Run Report The new reports will be listed in the QA Statistics Report window i OA Statistics Reports File Action Options Help Report Requests for User IMAGPROVIDERONETWOSIX ONETWOSIX New Report parameters Date Range iad Ended At rom 03 07 2011 DA STATS Completed 03 07 2011 05 19 2011 05 19 2011 15 12 57 05 19 2011 15 12 58
98. lp 2 Select or clear any of the following options Option Description Remote Image Views If this option is selected Clinical Display automatically Auto Connect Enabled connects to all remote sites where the patient has been seen Note This option might slow down viewing patient data Only Auto Connect to When selected the auto connect option applies only to sites Sites in Local VISN in your local VISN Auto Connect to the When selected Clinical Display automatically connects to DoD the DoD when a patient who has been seen at the DoD is selected Note This option might slow down viewing patient data Hide Patient Active When selected the Remote Image Views tool bar in the Sites with 0 Images on Image List window will not show sites that the patient visited Tool bar if the patient has 0 studies at that site This could be useful if a patient has been seen at many sites 94 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Option Deseription Hide Disconnected Sites When selected the Remote Image Views tool bar displays For Selected Patient on only connected sites for the selected patient Disconnected Tool bar sites are not displayed on the tool bar Display Remote When selected the Clinical Display client displays abstract Abstracts images from remote sites Note This option might slow down viewing patient data 3 Click Save and Close Configuring You
99. mage opens in the Full Resolution Viewer The image is selected in the Abstracts window and the row is selected on the Image List If there are multiple images open in the Full Resolution Viewer you can bring an image to its full size in the viewer by moving the mouse over the image and double clicking The example shown below is an image from the Full Resolution Viewer at full size Full Resolution View PATIENT ONEZEROONEEIGHT E BIK 52 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 12 1 Menu Bar in the Full Resolution Viewer File Menu Duplicate Selected Image Creates a copy of the selected image inside the Full Resolution Viewer The duplicate image is treated as a unique and separate image Copy Image to Clipboard Copies the selected image to the Clipboard See Printing and Copying Images for details Prints the selected image See Printing and Copying Images for details Image Report Opens the Image Report for the selected image Image Delete Delete the selected image See Appendix C for deleting images Close Selected Image Closes the selected image If a duplicate was made of the image the duplicate will remain open Close All Images Closes all of the images in the Full Resolution Viewer Image Information If an image is selected the option opens the Image Information window Image Information If an image is selected the option opens the Image Information Advanced Advanced win
100. mation Exception If you hold the MAG DELETE security key you can view the Image from the Image Delete window to make an informed decision before deleting it e Questionable Integrity When an image entry is accessed for viewing the Questionable Integrity QI check is run before the image data is returned to the Client If the image data does not pass the QI check then the image is marked as QI e Images That Need Review If you select an image with a status of Needs Review and are assigned the MAG EDIT or MAG SYSTEM security key the system displays a warning message explaining that the image is a blocked non viewable image with a status of Needs Review Clicking OK closes the message but clicking Ignore enables you to view the image Warning Image is blocked Non Viewable Image Status is Weeds Review iclick Ignore to override the block and open the Image Ignore January 2012 Clinical Display Workstation User Manual Rev 3 47 VistA Imaging MAG 3 0 121 If you select an image with a status of Needs Review and are not assigned the MAG EDIT or MAG SYSTEM security key the system displays a warning message that the image is not viewable with the status of Needs Review Clicking OK closes the message Information Controlled Images in the Abstracts Window To protect the privacy of the patient images of a sensitive nature can be marked as controlled The abstracts of controlled images are not di
101. mple SLC Salt Lake City Show Message History Window Button Button Description Displayed in the lower left corner of the VistA Imaging main Show Hide Message window this button opens the Message History Window where window you can view messages January 2012 Clinical Display Workstation User Manual Rev 3 13 VistA Imaging MAG 3 0 121 Selecting a Patient Clinical Display provides three ways to select patients e Patient lookup box e Menu bar or tool bar e Image List tool bar Using the Patient Lookup Box The Patient lookup box enables you to quickly perform a patient lookup by not having to navigate a system menu or another popup window Typing one of the following patient identifiers in the Patient lookup box displays one patient or a list of patients with similar names or other similar identifiers e Patient Name or partial name e Full SSN e Last four digits of the SSN Note If you hold the MAG PAT PHOTO ONLY security key you are only able to look up patients to verify their identities through a photo ID You cannot view their medical records Refer to Appendix B Clinical Display Security Keys 1 Type the patient identifier in the Patient lookup box VistA Imaging Display isw imgqadb4 in use by IMAGPROVIDERONETHREEFIV E File Context Options View Utilities Reports System Manager Help Current Image Filter Clinical All e If an exact match is found then the patient is selected i
102. n abstract this Error opening abstract bitmap is displayed Call the IRM Service to report this problem If the Abstract file is corrupt or cannot be opened by VISTA Imaging this Format Error bitmap is displayed Call the IRM Service to report this problem If the Image file is a motion video file this Motion Video bitmap is displayed Selecting this graphic causes the motion video to be displayed in the Video window If the abstract does not exist on the Image Server this Abstract Not Found bitmap is displayed Selecting the graphic may display the full resolution image in the appropriate window If there is a possible database integrity problem with the Image File entry this ID mismatch bitmap is displayed This image may require corrections Contact the site s Imaging ADPAC and or Coordinator Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Blocked Images in the Abstracts Window Some images are blocked from view for some users Such images are labeled as blocked and the abstract is displayed as the bitmap shown Blocked ae Users who do not hold the MAG EDIT or MAG SYSTEM security keys are blocked from viewing images marked as Needs Review The three types of blocked images are e TIU business rules set in VistA and enforced in Clinical Display If you select an image that is blocked due to a TIU Authorization failure the system displays the following message Infor
103. n the VistA Imaging Display main window User Preferences can be set to open the Image List and or the Abstracts window when a patient is selected Continue to the next section Working with the Image List e If multiple patients match the patient identifier you entered then the Patient Lookup window displays the matching patients and their demographics as shown 14 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 AAGPATENTI211 1211 1017917 000001211 MO NOM VETERA BAGPFATNENTIOTTL 4011 BIWTMS 0000001011 YES SC VETERAN MASGFATENTT20 720 1932 000000720 MON METERAM OTHE MAGPATIENTIS 35 OWAH 00000035 MON VETERAN OTHER MAGRPATIENTIOSS 1055 31714923 000001055 YES SC VETERAN MAGRATIENTIZ02 1202 672193 90001202 YES SC VETERAN MAGFATENT1193 1193 221953 MOOT VES MILITARY RETI MAGPFATENT 196 1135 NTS MONIT YES SG VETERAN w A Cancel H c e I MAGPATIENTT1 711 OOSA O90000T11 MON VETERAN OTHER 2 Choose the patient by selecting the appropriate row and then click OK or Cancel if the patient you are searching for is not listed If no match is found the status message displays NO MATCH for lookup on the patient identifier provided as shown VistA Imaging Display LOCALHOST in use by IMAGPROVIDERONETHREEFIVE ONETHREEFIVE E Fie Context Options View Utilities Reports System Manager Help NO MATCH for lookup on STILLWATER 3 Enter a
104. ness of an image Reverses the colors of the image Reset Resets the currently selected image to its original display settings including zoom contrast window brightness and orientation Scroll scroll has the following options Top Left scroll to the top left corner of the image Top Right scroll to the top right corner of the image Bottom Left scroll to the bottom left corner of the image Bottom Right scroll to the bottom right corner of the image Left scroll to the left Right scroll to the right Up scroll up Down scroll down Enable image to fill the entire window Displays the previous image Next Image Displays the next image View Menu Viewer Seitings Enables you to set default values for the number of rows and columns and the maximum number of images to display in the viewer 54 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Refresh Refreshed the current view in the Full Resolution Viewer Realign Images Realigns the images that are in the Full Resolution Viewer Lock Image Size Locks the image size while it is being viewed Toolbar Displays the tool bar Show Hints Displays Hints when the cursor is over a control in Vista Imaging Pan Window Opens a Pan Window GoTo Main Menu Displays the VistA Imaging Display main window Active windows Displays the active windows currently open in VistA Imaging Display Layout Menu Images are resize
105. new patient name in the Patient lookup box Note To work with the patient data see the next chapter Working with the Image List Using the Menu Bar or Tool Bar 1 Inthe VistA Imaging Display main window perform either step e Choose File Select Patient from the menu bar T Vista Imagine Display isv imegadb in use by MAGSROVIDERONETHREGFIVE OMETHALEF IVE fE 1 Fi pbons Mew WenFy Reports Srsien Manager Heg 4 belest Pavers EI a logn Logeut 3 Current Imaga Filter Clinical AN Berri he Logan Est e Click the Select a Patient button on the tool bar If an exact match is found the Patient Lookup window opens displaying the patient s data and the silhouette is replaced with the patient s photo January 2012 Clinical Display Workstation User Manual Rev 3 15 VistA Imaging MAG 3 0 121 X Cancel Type patient name partial is OK or full SSN or last initial or last 4 of SSN Then press lt Enter gt If multiple patients match the patient identifier you entered then the Patient Lookup window displays the matching patients and their demographics as shown Fie Help MAGPATIENT 11 711 z VO 1924 000000711 JON VETERAN OTH MAGPATIENT1023 4023 2 4 1944 000001023 YES SC VETERAN MAGPATIENT1211 1211 10 17 1917 000001211 NO NON VETERA MAGPATIENT 1011 41011 6 10 1945 000001011 YES SC VETERAN on MAGPATIENT 20 720 1 1 1932 000000720 NON VETERAN OTHE MAAGPATIENT35 35 0 0 1934 000000035
106. ng Images Users who view patient images can also print and copy the images Guidelines e The print and copy functions can be accessed from the Image List window or from any of the viewers in the application Note The MUSE EKG viewer does not have image copy functionality e Usually a Reason code and an electronic signature are needed to print or copy an image Users who have been assigned the MAG ROI key will need to enter a Reason code but do not need to enter an electronic signature e An electronic signature is required only once for each imaging session An imaging session starts at sign in and ends when you sign off including when the application shuts down e Accepting the Physician Agreement for downloading images is required only once for each imaging session Printing a Single Image 1 Select a patient s image The appropriate viewer may open depending on User Preference setting 2 If the viewer that opens is the e Full Resolution Viewer click the Image Report Print Copy Menu button and Print Image from the drop down menu or select Print Image from the File menu Radiology Viewer click the Print Image button from the tool bar or select Print from the File menu e MUSE EGK viewer click the Print button e Image viewer in the Image List window select File Image Print from the menu bar 80 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 3 If this i
107. nnnnnrrnnnnnn 43 VIENNG ADS TET Spare 44 Viewing Image Information rrrnnnnrnnnnnnnvnvnnnnvnnnnnnrnnnnnnsvnnnnnnrnnnnnnrnnnnnnsene 45 synchronizing Image Data in Related Windows rerrnnnrrnvvnnnnnvrvrnnnnnnenn 45 Viewable and Non Viewable Images rrrnrrnrnnnnnnnnnrnnnnnnrnnvnnnnnrennrnnnnnnnn 46 January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 Images That Are Not Viewable Due to an Error cccceeeeeeeeees 46 Blocked Images in the Abstracts Window ccceeeeseeeeeeeeeeeees 47 Controlled Images in the Abstracts Window wrrrnnrrnvvnrnnnrrrvennnnnenr 48 File Types Viewable in Clinical Display rrrrnrrrrrrrnnnrrrrrrrnnnnnvvnnnnnn 48 File Types Viewable Using an Alternate Viewer rrrnnnnnnnnnnnnnnnnne 49 Watermarked Images for Rescinded Advance Directives 50 DESCNPUON of NE VIEW EIS sisecrtarcosiaiwa tance Wh cone 51 FUILACSOIULION VEN He 51 Menu Bar in the Full Resolution Viewet cccccccccccseeeeeeeeeeees 53 Tool Bars in the Full Resolution Viewer ccccssseeeeseeeeeens 56 Popup Menu in the Full Resolution Viewer c ccccccseeeees 58 Radiology VEN NAS 59 NE VENN 59 OUI VIEW ease Gestation EE EE Seen carnal e ee 60 Menu Bar in Radiology VieWE ccccccseeeeeeeeseeeeeeeeesaeeeeeeeeeas 60 Popup Menu in the Group Abstracts WiIndOW 0ccccseeeee 67 Tool Bar in the S
108. ntry in the image list the image or image group is opened in the Full Resolution Viewer Radiology Viewer or for image groups the Group Abstracts window 18 opened with the selected images e user preference can be set to automatically select the row by just placing the mouse over the row Double clicking a row opens the viewer for a single image or the Group Abstracts window for image groups A user preference can be set to automatically open the image in the appropriate viewer by just placing the mouse over the row Full Resolution Viewer Clicking a single image abstract opens the image in the appropriate viewers Non DICOM images are automatically opened in the Full Resolution Viewer as shown in this example Full Resolution View PATIENT SEVENONEONE File Image View Layout Help EAR PAO Bae ee ao A A S NOR i x Brii00 I J con i00 Tf SLC COLON 7 28 97 COL 07 28 1997 09 00 COLON MISHRA 1 Image The viewer provides tools to assist you while working with images The configurable tool bar menus are explained in detail in this section You can select one or more Non DICOM images from the Abstracts window to load in to the viewer January 2012 Clinical Display Workstation User Manual Rev 3 S VistA Imaging MAG 3 0 121 Full Resolution View PATIENT ONEZEROONEFIGHT N When you click on a single non DICOM image that is not part of an Image Group from the Abstracts Window or the Image List the i
109. of the field Clear Fields Will clear all enabled fields Include All Fields Include All Fields Will enabled all fields Exclude All Fields Exclude All Fields will disable all fields and discard any changes Help Menu Index Edit Help Index Edit Help will bring up the On Line help topic for this window Editing Index Fields Note When you edit an index on a group of images the images within the edited group are not automatically updated or changed You will have to edit each image if changes need to be made in the way that the images were indexed 1 To use the Image Edit Index Utility from the QA Review Utility select File Image Index Edit The utility is also available from the Image List Window T QA Review sim Options Filter Image Action Help Image Delete Image Index Edit Ctrl Alt E Image Information Advanced t maintain Patient Context 2010 Capture Date Saved By EFE ONETHREEFIVE Exit panned ar Imported Not Radiology Studies In the Date Range lt select date range Jan 25 2010 thru Jan 20 2010 Captured by Imagprovideronethreefive Onethreetive r has Statuslsl any status to retur z Or masimum number 1000 Quick Search January 2012 Clinical Display Workstation User Manual Rev 3 99 VistA Imaging MAG 3 0 121 100 The Image Edit Index window opens Image Index Edit File Options Help SLC T CLIN Procedure Date 01 25 2010 Captu
110. oint Sets the start point at a location to begin the video clip When you set the start point the video begins at that point when you click Play Set End Point Sets the end point at a location to stop the video clip When you set the end point the video runs and then stops at that point when you click Play Clear Start End Clears the selected region Video Loop Sets the continuous play of the whole video clip or the selected portion Goto Main Menu Changes the application focus to the Main Imaging Display window MUSE EKG The VistA Imaging System can interface with the GE Marquette MUSE EKG Management system When an Imaging MUSE interface is active EKGs are viewable from any VistA Imaging workstation using the EKG Display window The VistA Imaging Display application can also be configured to show the EKGs for a patient automatically whenever a patient 1s selected This is done through the Options User Preferences menu 1 From the Image List window choose View MUSE EKG Window from the menu bar or from the VistA Imaging Display main window click the Open the MUSE EKG viewing window button LE to open the MUSE EKG window 74 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 T vistA Imaging EKG Display File Toots Help Be Zecmioo 0 I HA 14 4 Page gt ei Bd Study EE TestTy Date Time 1 Fesjng DE AASE OS SU 2 Restng 08 13 1997 09 45 00 3 Pesng OF PSS 090100 4 P estng 0
111. once i Repeat Play Mode Play once Plays the study once Play Mode Repeat Repeats the playing of the study as if in a play loop Page slider Moving the slider left to right and back will move through the pages of the study Cine Speed slider Controls the playing speed the slider is moved to left to right to adjust the speed Previous Page Selecting this button moved the slider and displays the previous page of the study Next Page Selecting this button moved the slider and displays the next page of the study 70 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Video Player Motion video files can be saved as part of the patient record using VistA Imaging When a selected patient image is a motion video clip the Video Player window is opened User preferences can also be set to view video using an alternate viewer Video Player Demo Patient File Options Viem Actions pie e e Use the tool bar buttons to play pause stop and rewind e Use the slider bar to browse the video clip frame by frame e Start and end points can be set e Select video loop mode to continuously play all or part of the file The Video Play can be displayed in two ways depending on the user preferences that you have selected e Without the progress bar and sliders as shown D em o Patie nt HE Video Player File Options View Actions CAN 2 1 00 e With the progres
112. ongest text in each Fit to Window Space the columns so that all are visible in the image list Preview Report If selected the report pane will be visible and will display the associated report of the image if one exists Preview Image Info If selected the information pane will be visible and information on the selected image will be displayed QA Review Report Opens the QA report utility window see QA Report section Shortcut Key legend Opens the Shortcut Key Legend window which describes all shortcut keys that are in effect for VistA Imaging Display Message Window Opens the Imaging Session Message History window Filter Menu Image List Filters Opens the Image Filter Add Edit window User can Create Edit or Select an image filter If a filter is selected its name will be displayed Filter Details Opens an Information window that shows details of the current filter January 2012 Clinical Display Workstation User Manual Rev 3 103 VistA Imaging MAG 3 0 121 Quich Search Panel Opens the quick search pane The Quick search pane has the new search properties that will be available to verifying personnel Search Images captured by VI When selected the quick search will include all of the images Capture Client for the date range selected that were captured using the VistA Imaging Capture client Search Images captured by VI When selected the quick search will include all of the images Import API for the date rang
113. opment OED group and the site where this software is installed In addition to any restrictions noted in the Site Agreement the following restrictions apply D 9 9 Caution Federal law restricts this device to use by or on the order of either a licensed practitioner or persons lawfully engaged in the manufacture or distribution of the product The FDA classifies VistA Imaging as a medical device Unauthorized Modifications to VistA Imaging including the Clinical Display software will adulterate the medical device The use of an adulterated medical device violates US federal law 21CFR820 Clinical Display is not intended for the primary interpretation of radiology exams or EKG waveforms When Clinical Display is installed on approved and properly maintained hardware primary interpretation of other image types is permissible by licensed practitioners at their discretion Conventions This manual uses the following conventions Controls options and button names are shown in Bold A vertical bar is used to separate menu choices For example Select File Open means Click the File menu and then select the Open option Keyboard key names are shown in bold and in brackets When this document is used online hyperlinks are indicated by blue text Useful or supplementary information is shown in a Tip Important or required information is shown in a Note Critical information is indicated by D Clinical Di
114. ormation Advanced Cache Images Select Columns Fit Columns to Text Fit Columns to Window Resolution Radiology or Group Abstracts security key required See Appendix B Clinical Display Security Keys Displays the image information for the image security key required Displays more detailed image information exclusively for system managers See mage Information Caches images and marks the row in the image list with a EJE Displays the Column Selector window Resize the column so that all text is visible Resizes the columns so that they fit to the window size 28 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Image Information Window Note See Image Information Window and Viewing Image Information in the chapter Working with Abstracts Working with Filters in the Image List The Image List and Abstract window are populated based on the filters that are set Only the images that fit the criteria of the selected filter are displayed You can use filters to limit the number of images displayed such as Clinical Type Specialty or Sub Specialty or Procedure and Event Filters are used in two modes in the interface e Normal used in the Image List window e Advanced used in the QA Review utility Note Security keys are required See Applying Advanced Filters to the QA Review The two types of filters used in the Image List are e Public filters available to all
115. ow Displays the online Video Player help Tool Bar in the Video Player Note The user preference for showing the progress bar is selected and shown in this view of the tool bar MA gt gt Play Starts the video in motion from the current position of the slider bar Wase Stops the video Stop Rewinds the video clip to the beginning Shows the video length and current position 16 When the Progress Bar is active the video might seem a little choppy o Progress Bar hesitant this is because extra processing is needed to synchronize he control with the current frame of the video clip Use the Progress Bar to browse the video clip frame by frame Fast Forward Move forward in the video This is only available if the progress bas and sliders are not selected i gt E E d Move one frame forward This is only available if the progress bas and E ee sliders are not selected Move one frame back This is only available if the progress bas and sliders Filone Frame Backward arenor selected y PG January 2012 Clinical Display Workstation User Manual Rev 3 73 VistA Imaging MAG 3 0 121 Popup Menu in the Video Player Right clicking in the Video Player opens a popup menu providing shortcuts to options and actions you can perform Image report Set Start Pori Set End Fort Clear Start Erd Video Loop Goto Mam Window Cilet Image Report Opens the Image Report for the selected image Set Start P
116. p opens in the Group Abstracts window 5 Click an image The image is displayed in full view in the appropriate viewer 44 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Note If the Deleted Image placeholder is checked the abstracts window will display the deleted image placeholder icon Viewing Image Information 1 To view the image information either e In the Image List window right clicking a row and select Image Information e Inthe Abstracts window right click an abstract and select Image Information 2 View the information as shown in this example and then click Close Synchronizing Image Data in Related Windows Clinical Display synchronizes the selected images in the related windows for a selected patient For example if you select an image in the Image List window the abstract of that image will be selected in the Abstracts window it will be displayed in the appropriate viewer as shown in the example below If the Image List window is configured to show the image lists tree view abstracts and report previews the same image will be selected in each of the panes of that window kej ne ew Ir oea xi Mme Lemie PE Eme ip Ft h g h FOF a PE mi PET Secs Wes Tr Note Even if you do not have the Abstracts and Image List displayed in the same window they will be synchronized along with all of the other windows such as the Preview Report and Info
117. pying The MAG ROI key is assigned to HIMS ROI Officers You can continue to step 4 7 Electronic Signature Dialog Electronic Signature Is required to enable Print and Copy functions Enter Electronic Signature ox XM Cancel 4 Read and accept the Physician Agreement for Downloading Images by clicking OK Clicking Cancel stops the copy request 5 Select a purpose for copying the image from the list provided After a purpose is selected the OK button is enabled 6 Click OK and then paste the image into your document or graphics editor Note The Clipboard is not a part of Clinical Display 84 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 85 Configuring User Preferences for the Image List and Abstracts The Clinical Display interface can be configured to match the ways you prefer to work You can e Display certain windows when you select a patient e Display certain viewers when you work with an abstract or document image e Choose remote image views and connections to remote sites e Choose viewers for video files and PDFs e Choose options for displaying the Image List tree view layout pointer movement and mouse selects to open an item Configuring the Display of Windows for Patient Selection 1 From the VistA Imaging Display main window choose Options User Preferences or
118. r Connection to Remote Sites If you want to disconnect from one or more of the remote sites follow these steps 1 Choose Options Remote Image Views Configuration from the menu bar in the VistA Imaging Display main window or in the Image List window or click the Remote Image Views Configuration button ad on the tool bar The Remote Image Views Configuration window opens T Remote Image Views Configuration Remote Site Status EL PASO TA Patient Active WASHINGTON DC Disconnected TUCSON Af Disconnected FHOEHIA AZ Disconnected DOD Disconnected Disconnect All A Close Location of the VA site or DoD site Site Code Code representing the site Status can be one of the following Active Site is connected and the patient has images at the site Inactive Site is disconnected and the patient does not have images at the site Disconnected Connection not established to the site Image Count Total number of image and image groups at the site for the patient January 2012 Clinical Display Workstation User Manual Rev 3 95 VistA Imaging MAG 3 0 121 96 2 Select one or more sites and choose one of the following options e Click Disconnect to disconnect from the selected site s e Click Disconnect All to disconnect from all connected sites 3 Click Close when you are finished Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 January 2012 January 2012 Clinical Display Workstat
119. racts Active Control Tree View Active Control List View VistA Imaging MAG 3 0 121 January 2012 Ctrl F8 Radiology Viewer Ctrl P Ctrl N Ctrl F Ctrl L Ctrl C Shft Ctrl D Shft Ctrl F Shft Ctrl C Shft Ctrl V Shft Ctrl Y Shft Ctrl T Shft Ctrl G Shft Ctrl H Cine Viewer Abstract Windows Ctrl O Ctrl I Ctrl Alt P Ctrl Alt N Ctrl P Ctrl N Page Functions Ctrl Alt Left Arrow Ctrl Alt Down Arrow Ctrl Alt Up Arrow Active Control Full Resolution Previous Image Next Image First Image Last Image Cine Tool Focus More Window Value Less Window Value More Level Value Less Level Value Start Stack Cine Stop Stack Cine Slow Down Stack Cine Speed Up Stack Cine Switch to Radiology Viewer Smaller Abstracts Larger Abstracts Previous Page Abstracts Next Page Abstracts Previous Abstract Next Abstract Go to First Page Go to Previous Page Go to Next Page Ctrl Alt Right Arrow Go To Last Page January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 125 Activate Windows Ctrl L Image List Filters Ctrl M Go to VistA Imaging Display main window Ctrl W Switch to an active window Alt F6 Switch to the last active window Focus in Any Window Refresh Abstracts Images Ctrl Alt M Open Popup Menu Help Topics Menu Option Access Alt SPACE System menu for the window Closing Dialog Boxes Popup Menu Shortcuts Mouse Right Click Ab
120. re Date 01 25 2010 09 21 18 Image Creation Date 0125 2010 Origin vid Type COMMITMENT Spec SubSpec AUDIOLOGY Procedure E vent ELECTROPHYSIOLOGY STUDY Short Desc T Controlled Image Status Status Reason z z z z z z z z Image Creation Date JAN 25 2010 Patient PATIENT SEYENONEONE Image 104 21794 SLC T CUN 01725 2010 Select the check box next to the Index field that you need to change The drop down list for the selected Index term is activated To select all the indexes select Options Include All Fields or exclude all indexes select Exclude All Fields Select the drop down list for the index term and click the correct term from the list You can update as many Indexes as you need to Click OK or select File I Save to update the Image Index The Image Index Edit window closes and a Confirm window is displayed as shown in this example confirming that the Origin is changed to VA Confirm op The following changes will be made wt to the Selected Image Origin VA i Cancel Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 6 Click OK to make the changes or Cancel Clicking OK makes the selected changes to the image index If you click Cancel the Confirm window closes and no changes are made to the image index Note If you change and accept the change for any of the index fields a Refresh icon m is displayed in the Image List window You w
121. rmation panes January 2012 Clinical Display Workstation User Manual Rev 3 45 VistA Imaging MAG 3 0 121 Viewable and Non Viewable Images The following sections explain which images are viewable and non viewable for various reasons Images That Are Not Viewable Due to an Error If any of the following bitmaps are displayed in the Abstracts window instead of the actual image the following table explains how to resolve this problem Error opening abstract FORMAT ERROR loading 2 Image File Motion sa Video Abstract Not Found 46 Reason and Solution for Inability to View an Abstract If one of the abstracts is located on the Juke Box Display Juke Box Images must be selected in the View Preferences window to have the abstract displayed Otherwise this generic bitmap is displayed Clicking this button causes the full resolution image to be displayed in the appropriate window If the VISTA Imaging application cannot connect to the VISTA Imaging Network server to retrieve images this Error bitmap is displayed Call the IRM Service to report this problem If an image from a PACS device has not been copied to the VISTA Imaging server this PACS bitmap is displayed Contact the Help Desk or your system manager If an image group from a PACS device has not been copied to the VISTA Imaging server this PACS Group bitmap is displayed Contact the Help Desk or your system manager If an Error occurs in displaying a
122. s View Reports Filters Layouts Utilities Manager Help S 2R BR FRAT FG cH IMAGPATIENT 11 711 72 of 72 Images match Filter Clinical All H dv Directives Clin 2 yr HEIN All Clinical All Rad All Item Site Note Title Pr Procedure Img Short Dese Pkg Class Type 5 1 ANE tu CARDIO 12 CARDIOLOGY NO CARD D IMAGE CARDIO 12 CARDIOLOGY NO AUD De IMAGE CARDIO 12 CARDIOLOGY NO CARD D IMAGE CARDIO 12 CARDIOLOGY NO AUD De IMAGE CARDIO 10 CARDIOLOGY NO AUD Oct MISCELLA CARDIO 10 CARDIOLOGY NO AUD Oct MISCELLA CARDIO 10 CARDIOLOGY NO AUD Oct IMAGE CARDIO 10 CARDIOLOGY NO AUD Oct IMAGE GENERI 08 NOTE BRON A IMAGE GENERI 08 NOTE BRON A IMAGE CARDIO 05 CARDIOLOGY NO DEN Ma IMAGE CARDIO 05 CARDIOLOGY NO CARD M IMAGE CARDIO 05 CARDIOLOGY NO DEN Ma IMAGE Connect All DOD 4 WASHINGTON DC 12 EL PASO TX 12 PHOENIX AZEX 1 1 1 1 1 1 1 1 1 1 1 1 1 2 To connect to the site in red click the site name Once connected the site name will be shown in green The Image List window and the Abstracts window shown below display the studies from the remote site The studies are integrated with the local studies and sorted by Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 procedure date so that the most recen
123. s bar and sliders as shown Video Player Demo Patient File Options View Actions Hi Ts eee eee eee eee eee eee eee eee eee eee ere Frames 0 15 40 January 2012 Clinical Display Workstation User Manual Rev 3 71 VistA Imaging MAG 3 0 121 Menu Bar in the Video Player File Menu Image Report Opens the Image Report for the selected image Exit Will close the Video Player window Options Menu Speed Option is enabled if the progress bar is shown e Slow e Medium and e Fast View Menu Decreases the size of the window Increases the size of the window Default Resets the size of the display to the default original Note the default size is the best size for picture quality Start Set Point Sets the Start Point at different places in the video will select a region of the video clip When a region is selected only that part of the video clip will be shown when you play the video Set End Point Sets the End Point at different places in the video will select a region of the video clip When a region is selected only that part of the video clip will be shown when you play the video Clear Start End Clears the selected region is played 72 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Actions Menu Play Will start the video in motion from the current position of the slider bar Rewind the video clip to the beginning Help Menu Video Player wind
124. s the first time printing an image in this session you will be prompted for an Electronic Signature Enter your code and click OK Note If you hold the MAG ROI security key you will not be prompted for an electronic signature for printing or copying The MAG ROI key is assigned to HIMS ROI Officers You can continue to step 4 7 Electronic Signature Dialog Electronic Signature Is required to enable Print and Copy functions Enter Electronic Signature ox XM Cancel 4 Read and accept the Physician Agreement for Downloading Images by clicking OK Clicking Cancel stops the print request VistA Imaging Physcian Agreement for Downloaded Images File Help Agreement All uses pose potential violations of patient privacy It is absolutely required that all users with download capablility personally inspect each downloaded image For technical reasons related to the image capture process some of the images contain patient identification data which must be manually removed Each image downloaded is tracked and audited by the Imaging System The images are not to be distributed outside the VA or used for any other purposes than listed on the next page The downloading user is specifically responsible for protection of these images XX Cancel 5 Select a purpose for printing the image from the list provided After a purpose is selected the OK button is enabled January 2012 Clinical Display Workst
125. sampled image being displayed the FullRes menu option is available When you click View from the menu option the original image in full quality is requested cached on the workstation and then displayed Note VistA Imaging stores images from the DICOM Gateway In many cases a down sampled version of the image is stored to make it load faster and the original image is saved in full quality This down sampled image is lower in quality than the original and is used by Clinical Display not VistARad Most radiology images have a down sampled image CT images usually do NOT have a down sampled and the full quality image is stored The decision to create a down sampled image 18 configurable on the DICOM Gateway and is based on the modality When the Radiology Viewer loads an image it determines if it has loaded the full quality image or a down sampled compressed image If the image is down sampled compressed a message below the image and in the title bar indicates the image is not full quality and the menu option is available If the image displayed is full quality the warnings are hidden and the menu option is disabled When a user selects to view the full resolution image the client requests the image This might take a few minutes depending on where it 1s coming from Once the image is retrieved it is displayed in the viewer and cached on the workstation If there is an error retrieving the image the error is displayed 64 Clinica
126. splay Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Acronyms Acronym Department of Defense DoD HIMS FOI Health Information Management Services Release of Information department Visa Veteran Heth inornata Sytem and Technology Riese Related Information Additional information about VistA Imaging Clinical Display can be found in the following documents e Imaging System User Manual e Imaging System Technical Manual e Imaging System Installation Guide e The Document Imaging web page e HIMS FAQ Page January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 Getting Help If you encounter any problems with Clinical Display contact your Imaging Coordinator for assistance If the problem cannot be resolved locally Imaging Coordinators can log a Remedy ticket or call the National Help Desk at 1 888 596 4357 4 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Getting Started This chapter provides how to instructions for the following operations e Using Clinical Display e Signing in to Clinical Display e Navigating the VistA Imaging Display Main Window e Selecting a Patient Using Clinical Display At most sites Clinical Display is started from the CPRS tools menu The functionality of Clinical Display behaves the same way whether the application is started from CPRS or from the desktop Signing in to Clinical Display
127. splay main 7 January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 145
128. splayed You can mark an image controlled through the Index Edit Utility if you are assigned the MAG EDIT or MAG SYSTEM security key The default bitmap of a window shade with the text Controlled Image is shown in place of the abstract Controlled A controlled image can be opened by clicking the tmz default bitmap File Types Viewable in Clinical Display The following file types when selected in the Abstracts window are automatically displayed in full view in the following viewers in Clinical Display 48 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 File Extension PAC PDF TGA TIF TXT Adobe Acrobat Full Resolution Viewer Targa Image Radiology Viewer Scanned Document Full Resolution Viewer Text file import Full Resolution Viewer File Types Viewable Using an Alternate Viewer When you select any of the following file types in the Abstracts window you can choose to display the full view in Clinical Display or in an alternate viewer outside Clinical Display such as the Windows Media Player File Extension Image Type DOC DOCX MP3 MP4 Motion Video MPEG 3 Motion Video 4 meea wonne MPEG MPG RTF WAV January 2012 Rich Text Format Audio file Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 49 Watermarked Images for Rescinded Advance Directives When an Advance Directive Note is rescinded through the TIU menu option
129. ss e Clinical for diagrams and images e Administrative for Means Test Forms Advanced Directives Note For some users only the Clinical setting is available as shown Filters can be either Clinical or Administrative System Administrators assign users access to Clinical Administrative or both types of filters 5 Select the data range from the drop down list 6 Atthe Origin of the Image field click the Select button specify the origins for the filter in the Origin Selection window and click OK 7 Select the Clinical Properties tab and on the Packages window displayed select the VistA packages that you want lv All Clinical Images Packages Clinical Types Specialty SubSpec Procedure Event Vist Packages Radiology Medicine Surgery Lab Note EP g 8 For the Clinical Types Specialty SubSpec and Procedure Event windows select the filter criteria that you want 32 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Note If you do not make a selection the system includes all of the entries in the list All three windows work the same way General properties Clinical properties Custom v All Clinical Images Packages I Clinical he Specially SubSpec Procedure Event Clinical Types ADVANCE DIRECTIVE OMMITMENT DESIGNATION OF HEALTHCARE SI DIAGRAM DISCHARGE AGAINST MEDICAL AL CTIONS MEDICAL CERTIFICATE MEDICAL RECORD MEDICATION RECORD ISCELLANEQ
130. stracts Window Ctrl Shift M Group Abstract Window Full Resolution Window Image List Window Radiology List Window Image Filter Window 126 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 January 2012 January 2012 Clinical Display Workstation User Manual Rev 3 127 VistA Imaging MAG 3 0 121 Appendix B Clinical Display Security Keys Note Functionality is restricted to protect VistA from unauthorized access and to comply with HIPAA Regulations All users of Clinical Display hold one or more security keys that correspond to their access level and the work they will perform Each security key unlocks application functionality MAG DELETE Enables the holder to delete images from the IMAGE file 42005 Pointers in parent packages such as Medicine Surgery Lab Radiology and TIU are also deleted Note See also Appendix C Deleting Images MAG EDIT Enables the holder to edit an image Used to correct an image field when an index field is selected that is incorrect or incomplete such as correcting a wrong specialty Enables the holder to access the QA Review Utility when performing quality assurance reviews of the captured images Note Only the Chief of HIMS or authorized designated personnel i e VistA Imaging Coordinator or Scanning Supervisor should be assigned this key MAG PAT PHOTO Enables a user to view the patient photo only and gives the user no ONLY other functionality T VistA Ima
131. system makes a connection to the Imaging Network Server as a user who is defined in the Imaging Site Parameters file and breaks the connection when the Image is opened or fails to open When Imaging Network Security is off Imaging makes no attempt to connect to a network directory The workstation must have a drive mapped to the Network directory to be able to capture images or the user who is logged in to the workstation must have access to the Imaging Network server intended for debugging purposes Show Messages from last Each time an Image is opened Imaging Network Security is used to OpenSecureFile Call connect and disconnect from the Image Network Server If you select this option all messages generated from the last call to open image s are added to the Imaging Session Message History window See Message History Window below Change Timeout Value Each workstation times out after a specific time of inaction The timeout value is set in the IMAGE SITE PARAMETERS File This setting can be changed for individual workstations to override the IMAGE SITE PARAMETERS value The changed setting will remain in effect until it is changed again If the setting is changed to 0 zero then the entry from the IMAGE SITE PARAMETERS file will be used as the timeout 138 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Patient Lookup Login When VistA Imaging is opened from the CPRS Tools menu the
132. t Context Context Resume Set Resumes setting the Context Context Clinical Display uses the following icons throughout the application Application is in Context Application is not in Context Context is changing 136 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 January 2012 Clinical Display Workstation User Manual Rev 3 137 VistA Imaging MAG 3 0 121 Appendix E For System Managers Note System Managers in Clinical Display must hold the MAG SYSTEM security key and have access to all of the Clinical Display functionality in addition to system manager functions System Manager Menu Options In the VistA Imaging Display main window and the Image List window the System Manager menu on the menu bar is enabled if you hold the MAG SYSTEM security key system Manager Workstation Configuration window Clear Current Patient v Image File NetSecurity ON Show Messages from last OpenSecureFile Call Change Timeout value w Patient Lookup Login Enabled Set Workstation s Alternate Video Viewer Workstation Configuration Enables the system manager to set the workstation configuration in Window the MAG308 INI file Clear Current Patient If a patient is selected this option clears the patient s data from display and readies the application for a new patient Image File Net Security ON Turns ON OFF Imaging Network security When Imaging Network security is ON the Imaging
133. t studies regardless of the location are displayed at the top Abstracts IMAGPATIENT 1211 1211 66 of 66 Images match Filter Clinical All 66 Abstracts Group of 41 2 WAS CHEST SINGLE VIEW 3 DOD William Beaumont AMC 3 2 C RAD CR 07 25 2008 22 41 CT 06 29 2007 19 27 Group of 2 Group of 33 Group of 2 i 4 DOD walter Reed AMC 10011001 T 45 DOD walter Reed AMC 1 1 US REF 6 DOD yilliam Beaumont AMC 1 1 H CR 04 23 2007 14 16 US 04 02 2007 14 00 CR 03 30 2007 14 27 Note If patient has a DoD NCAT report there will be an entry for the report in the image list and an abstract for the report in the Abstracts window However to actually view the report you will need to have the MAG REVIEW NCAT security key Partial Results When retrieving information for a patient who has been seen at a DoD medical facility Clinical Display presents information from multiple DoD sources In some situations Clinical Display will display a message indicating that the results are partial shown below This behavior only applies to DoD data url 45 SLC NURSI 09 28 2001 01 30 NURSING NOTE frie 46 SLC OPHTH 08 20 2001 22 30 OPHTHALMOLOGIS 47 KAN 11 01 1999 14 18 XRAY 48 KAN 07 28 1997 10 44 XRAY 49 SLC 07 28 1997 00 01 PHOTO ID 50 SLC ADVAN 07 28 1997 00 01 ADVANCE DIRECT 51 KAN 12 24 1992 11 05 XRAY Partial results can be returned due to many possible reasons For example
134. tack View Slide errrrrrnnnrrnnvvvnrrrnnnnrnnvvnnnnnnnnnn 67 Tool Bar in the Radiology VieWe cccccsssseeeeeeeeeeeeeeaeeeeeees 68 DICOM Multi frame Cine Viewer rrrrrrvenrnnnrrrvvnrrnnrrrvrnrnnnereennn 70 WIGCO FAV el ES EE NE 71 Menu Bar in the Video Player rrrrnnnnrnnnnnnnvnnnnnnrnnnnnnrnnvnnnnvnnnnnre 72 Tool Bar in the Video Player rrrrnnnrnnnnnnnvnnnnnnrvnnnnnrennnnnnennnnnnnen 73 Popup Menu in the Video Player ccccccccseseeeeseeeeeeeeeeeeeeeees 74 MUSE ER 74 Menu Bar in the MUSE EKG Viewer rrnnrnnnnnnvnrrnnnnnrrnnrnnnnnnenn 75 Tool Bar in the MUSE EKG Viewer rrnrrrvvnnnnnvrrvvnnnnnrrrernnnnnvnn 76 Printing and Copying Images anannnvvnnnnnnnnnvnnnnnnnnnnnnnnnnnnnennnnnnnnnvennnnnnnr 80 SUdemM S aar rv 80 Printinda Singe Mago sJaasnssralsvaska naira enti edridg 80 Printing Multiple Mage Sienna a a a 82 Selecting Images to PLINA ccccccsesseeeeceeeseeeeecseeeseeeesseeeceseesaaeeeess 82 Printing all images for a patient rrrrrnnnrerrnnnnrrnnnnrrrvnnnnrennnnnrennnnsnennnnn 83 Copa an Mala 84 Configuring User Preferences for the Image List and Abstracts 86 Configuring the Display of Windows for Patient Selection 0 86 Configuring the Abstract and Image Viewers rrrrrrnnnnnrrrvnnnnnnerrrnnnnnnene 87 Configuring Remote Image Views rrrrnrnnnnnnvnnnnnnnnnennrnnnnnnrnnrnnnsnsennnnnnsnee 88 Configuring Alternate Viewer Options
135. the examples shown in this manual Details on how to configure your system by setting user preferences are explained later in this manual Menu Bar in the VistA Imaging Display Main Window File Menu Select Patient Opens the Patient Lookup window Login When selecting Login you will be prompted for your Access and Verify codes Follow the Signing into Clinical Display procedures in this manual If you are already logged into VistA you will receive a Confirm message for logging out See Logout below Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Logout Confirms your logout from the VistA database 9 You are connected to LOCALHOST Do you want to Logout Note If you are not logged in the following message confirms this Confirmation 2 Connection to VistA is not Active REC Remote Login If you are not already logged into VistA the Connect To dialog box is displayed Follow the Signing into Clinical Display procedures in this manual starting at Step 3 If you are already logged into VistA you will receive a Confirm message for logging out See Logout below You are connected to LOCALHOST 7 Do you want to Logout After confirming that you want to log out the dialog box closes and the Connect To box opens Continue the Signing into Clinical Display procedures in this manual starting at Step 3 Ends your session in Clinical Display Context Menu Show Context See Appendix
136. the default browser to Internet Explorer This is selected help by default and it is not configurable About Displays the About window which specifies the software name current Patch number current version and build past versions installed etc 12 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Tool Bar in the VistA Imaging Display Main Window Button Description E Opens the Image List Window Open the Image List window Opens the Image Filter List Add Edit window Select Create an Image Filter Opens the Abstracts Window Open the Abstracts window Open the VistA Opens the Health Summary Report window When the window Health Summary opens there may be many Health Summary Reports for the Reports window selected patient You select the Health Summary Report from the list of reports that are available and the report is displayed A Opens the MUSE EKG viewer Open the MUSE EGK viewing window ail Opens the User Preferences window 0 Open the User Preferences window 4 Opens the Patient Lookup window Select a Patient Remote Image Opens the Remote Image View Configuration window Views Configuration Fields Field BDescription gt Patient Displays the patient name and identifier if a patient is selected If no patient is selected the field is blank Institution Identifier Institution identifier that the client is currently logged in to For exa
137. the images that are attached to that note are watermarked with the text Rescinded You can view the watermarked images when you select them The following figure shows a watermarked image 7 Full Resolution View PATIENT ONEZERDTHREETHREE E 5 x File Image View Layout Page Help ERA BAR PASO Bae 2H 1 Image SLC RESCINDED ADVANCE DIRECTIVE NOTE 01 03 2012 11 00 40 pg 1 of Of Apunte Veeder 1005 58 Eniared Burden Avg Ji meme V ADVANGE DIRECTIVE DURABLE POWER OF ATTORNEY FOR HEALTH GARE AND LIVING WILL medical care If some day you become unable to make health care det directive can help guide the people who will make decisions for you people to make health care decisions for you and or to describe y treated When you complete this form itis important that you also who may be involved in decisions about your care to make sys NAME Last First Middle D OE JON 000 DE C006 STREET ADDRESS MOBILE PHONE WITH AREA CODE OM ESS IAIA Pr acy Act Information and Paperwork Reduction Act Notice The information requested on this form is salicitad under the auihonty of 38 0 F R 917 32 i is being collected to document your Preferences about your Medical care in the event you are na longer able to express these preferences The informaban you provide may be disdosed outside the VA as permitted by law possible disdosures indude those described in ihe routing uses identified in tha VA system of recorda 24VA19 Pa
138. ties ROI Print Options Print all listed images Print Images for window opens 2 A print summary page is printed by default when multiple images are printed If you do not want to print the summary page check the checkbox labeled suppress printing of Print Summary in the Print Images for window The print summary page contains a summary of the print job January 2012 Clinical Display Workstation User Manual Rev 3 83 VistA Imaging MAG 3 0 121 3 Verify that the image count matches the number of selected images and click Print 4 Enter electronic signature if prompted and click OK 5 Accept Physician Agreement for downloaded Images when prompted and click OK Copying an Image 1 Select a patient s image and it opens in the appropriate viewer 2 If the viewer that opens is the e Full Resolution Viewer click the Image Report Print Copy Menu button E and Copy Image from the drop down menu or select Copy Image to Clipboard from the File menu e Radiology Viewer click the Copy to Clipboard button from the tool bar or select Copy from the File menu 3 Ifthe image viewer in displayed in the Image List window you can select Image Copy from the File menu If this is the first time copying an image in this session you will be prompted for an Electronic Signature Enter your code and click OK Note If you hold the MAG ROI security key you will not be prompted for an electronic signature for printing or co
139. to CPRS It is only enabled if VistA Imaging was started from the CPRS Tools menu ShortCut Key Legend Opens the Short Cut Key Legend which is shown in the System References section of this manual Message Log Opens the Imaging Session Message History window available as a button on the Tool Bar View Menu Opens the Image List window Abstracts Opens the Abstracts window available as a button on the Tool Bar MUSE EKG Window Opens the MUSE EKG viewer Group Window Enabled if a Group Abstracts window is open It is used to bring the window to the forefront Radiology Exams Opens the Radiology Exam listing window 10 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Progress Notes Opens the Progress Notes window Clinical Procedures Opens the Clinical Procedures window Consults Opens the Consults window The link to Consults is not available Tool bar Main Toggles between displaying the Main Tool bar or not Active Windows Switch to Imaging window Image List PATIENT SEVENONEONE Radiology Exam listing PATIENT SEVENONEONE Selecting an entry in the list enables transfer of focus to that window Utilities Menu The menu options are displayed only if you have certain security keys See Appendix B Clinical Display Security Keys QA Review Opens the QA Review utility See Checking Quality Assurance on Images QA Review Report Opens the QA Review Report utility See R
140. tracts of images with QI issues are not displayed An ID mismatch icon is displayed instead as shown in the example When you select this icon the image and associated report are not displayed Instead an error message describing the QI issue is shown An Error message describing the QI issue is displayed instead QUESTIONABLE INTEGRITY Image and associated report have different patient pointers Report this problem bo Imaging Support In the Image Delete window the QI image abstract and the associated report are displayed The description of the issue is displayed in the delete prompt and you can view the image abstract image information and image report before deleting the image T Image Delete Image IDF 9756 Format STILL IMAGE Extension JEG Patient IMAGPATIENTTEST OE Desc CARDIOLOGY HOTE i Frocedure TARLAC OGY NOTE Pate NOTE cue So Class Package Type Froc Event Spec Subipec Origin Captured on SEF 29 2004005 14 by TESTER IMAGING i Questionable Integrity Image and associated report have different patient pointers Delete this Image from Patient Record Le ns if Resson for Delete vaj ee January 2012 Clinical Display Workstation User Manual Rev 3 135 VistA Imaging MAG 3 0 121 Appendix D Clinical Context Object Workgroup CCOW Overview Clinical Context Object Workgroup CCOW is an HL7 standard for clinical context management which synchronizes applications so that they are
141. udy drop down is not open click the Select Studies to Selecting Studies to Display button Click the study you would like to view If you Display would like to view more than one study simultaneously hold CTRL and select additional studies To view multiple studies that are in sequential order select the first one hold SHIFT and select the bottom one To close the study drop down list click the Select Studies to Display button January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 11 Prints all pages of all studies displayed If the grid is on it Printing also prints the grid Locks multiple tests together Lock Scrolling do Display Options to print the grid with solid or dotted Note Studies may be sorted by selecting the head of the column in the study dropdown Selecting the column again will resort that column in reverse order Note EKGs that have been automatically interpreted by the MUSE server but have not been confirmed by a cardiologist have an UNCONFIRMED overlay at the top of the EKG report The study list also contains a column indicating whether an EKG has been confirmed or not In addition the overlay text indicates when an EKG 1s unconfirmed 78 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 79 Printing and Copyi
142. unning the QA Review Report January 2012 Clinical Display Workstation User Manual Rev 3 1 VistA Imaging MAG 3 0 121 Reports Menu Patient Profile Displays the Patient Profile report window Health Summary Displays the Health Summary Reports window Discharge Summary Displays the Discharge Summary List window When you select a summary the report is displayed System Manager Menu Note This menu is enabled only if you hold the MAG SYSTEM security key See Appendix E For System Managers for the menu options Help Menu Displays a welcome to the VA VistA Imaging Help System Whats New in Patch 93 Displays a document which explains the Patch 93 changes to Clinical Display Imaging Display Window Displays windows in the application beginning with the main window and describes the use Imaging Delete Help Displays the Image Delete confirmation window whenever you screen select the Image Delete menu option You can delete images only if you have the proper security keys See Appendix B Clinical Display Security Keys system Manager help Displays the System Manager On Line help file Error Code Lookup Displays the Error Lookup window so you can find out the meaning by entering the error code in the error message Legal Notices Lists the medical and vendor regulations pertaining to this software Screen Settings Provides settings to adjust the screen resolution to view medical images Use Internet Explorer for Sets
143. utton in the tool bar Applies the actions to all images 11 Apply Actions to all Images EN Resizes the image to fit in the viewing window Fit Image in Window gay Fits the image to the width of the viewing window TT Fit to Width When selected the image will magnify each time the button is clicked When selected the image magnification will reduce each time Zoon Out the button is selected 56 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 D When button is clicked you use your mouse and scroll on the L Mouse Magnifier image and the area on the image is magnified D You select this option and set a point on the image The image 12 Zoom in on Selected point selected zooms in or out with the movement of the Area mouse 5 With the mouse a user clicks on the image and the image Pan Image with scrolls with the mouse movement Mouse gt Changes the mouse back to a pointing device Mouse Pointer F 3 Button enables you to specify the image size and layout A Maximize Image drop down list appears when selected with options for you to select Images are resized and are positioned in the viewer as tiles Li Tile all Images Rotates the Image 90 degrees counterclockwise each time the da Rotate Counter button is clicked Clockwise 90 FAN Rotates the Image 90 degrees clockwise each time the button AiRotate Clockwise 90 is clicked si Al KX
144. uttons on the Filters menu provide quick access to filters The following buttons are displayed above the list pane to sort the images Note The pound sign indicates public filters filters available to all users Filters are explained in detail later in this chapter Icons in the Item Column In the Item column the following icons indicate in the Image List and Tree View 2 Indicates a single image 7 Single images are not part of an image group Indicates an image group An image group is a collection of related single images of the same or mixed formats Indicates an image that has been cached Indicates a Needs Review status Indicates a TIU Authorization Failed status Indicates that the image has been updated in the database and needs to be refreshed in the Image List Indicates that the image is a Controlled Image Deleted Image Deleted image placeholders are displayed when the user selects Filters Include Deleted Image Placeholders option from the Image list window This setting is saved as a user preference 26 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 icon Description Deleted Image group Indicates that the group of images has been deleted This icon is displayed when Include Deleted Image Placeholders is selected Display of the Column Listings You can vary the display of the data in the following ways e Sort th
145. ve forward or backward in the list Note If an image does not meet the QA review requirements then the image must be marked as Needs Review To mark an image with a status of Needs Review follow steps 1 through 3 above and then either e Select Action from the menu bar and select Image Status gt Needs Review e Use the shortcut by pressing CRTL ALT R Select the Reason for Status Change The Image List is updated with the md icons When a refresh of the Image List occurs ll the image will have the i icon next to it Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 Performing QA Review on a Single Image within a Group When a group of images is selected in the QA Review window e the number of images in that group are indicated by the number in the Img column and e all the images in that group are shown in the bottom right portion of the window I IGGSUT I ltem Patient Img Image ID AJ1 IMAGPATIENT206 206 1 21824 RE 2 IMAGPATIENT 206 206 1 21822 3 IMAGPATIENT6O 60 1 21820 gt Viewable Viewable Viewable Viewable maed IMAGPATIENTSO 60 21284 Video fil MS Word E5 IMAGPATIENT60 50 4 21279 T H H 7 L document EA TEENE 2 SLC ADVANCEL 3 SLC ADVANCEL 4 SLC ADVANCED Image Information gt Image selected from Group 21285 To change the status of an image within the group 1 Select an image by clicking th
146. will use the same settings as the previous image Use Individual Settings When selected each image will automatically set itself based on the contents of the image lt does not matter what the previous image had Image Settings Image Settings has the following options e Use Device Window Level if Available When selected the image will be automatically window leveled using values specified in the DICOM header if available Use Histogram for Window Level When selected the image will be window leveled using the contents of the image January 2012 Clinical Display Workstation User Manual Rev 3 VistA Imaging MAG 3 0 121 Menu Option Mouse Magnify Shape Labels On Tools Menu Cine Tool Displays the cine tool dialog to allow moving between frames in a single image Cine Tool Focus Sets the focus to the cine tool dialog Ruler Angle Tool has the following options 66 Ruler Angle Tool Pixel Values Clinical Display Workstation User Manual Rev 3 You have the option to use a Magnifying glass which will magnify the selected portion directly on the image where the cursor Is placed as in the picture below Mouse Magnify Shape has the following options e Circle e Rectangle If selected then the orientation labels are displayed on the image always on the middle left side of the image Enable Ruler Turns on the ruler tool only enabled if the image contains the necessary information to make
147. y 2012 Clinical Display Workstation User Manual Rev 3 105 VistA Imaging MAG 3 0 121 Applying Advanced Filters to the QA Review Note You must hold the MAG EDIT or MAG SYSTEM security key 1 In the QA Review window choose Filter Image List Filters and after the Image Filter Add Edit window opens select a filter from the list The Image Filter Add Edit window opens Image Filter Add Edit serier Bd EITSET PS LIS PLATE CUIKLCUIN ADN ADMHEH CLI Al Daa Ary Ang Shat Descipbon hat Any Gerecal properties Advanced properties Date Range Ute Captus Date for Date Range Danena TT limage Status i linage Sarad by RR 22222022 x bd save BA Saveda Ti coe 2 Select the General properties tab in the lower part of the window General properties Advanced properties Class of Images Clinical Administrative Any Any Class Date Range hl All Dates Origin of the Image Select cere 3 Click the Clinical button for the class of image and specify the date range and origin of the image Note Specifying the Clinical class adds the Clinical properties tab to the lower part of the window 106 Clinical Display Workstation User Manual Rev 3 January 2012 VistA Imaging MAG 3 0 121 4 Select the Clinical Properties tab and configure the properties that will be included in the filter General properties Clinical properties Advanced properties Custom Vist
148. you select a filter a list of all images and image groups that match the filter are displayed in the QA Review window The list of images returned when a filter is used will limited by the January 2012 Clinical Display Workstation User Manual Rev 3 107 VistA Imaging MAG 3 0 121 dates specified in the filter parameters If no dates are specified then the filter will return all of the images for the QA Review that match the filter Note The Quick search button will be enabled only after all values are selected 108 1 From the QA Review window choose Filterl Image List Filters from the menu bar 2 Select a Private or Public filter from the list of filters and click OK OA Review File Options Filter Image Action Help E This window does not maintain Patent Context 5 Image s Feb 01 2011 gt May 232011 Capture Date Saved by IMAGPROVIDEROMNETHREEFIVE ONETHREEFIYE 7 QA Reviewed Patient IMAGPATIENT 206 206 SSH 00000206 Short Desc ADVANCE DIRECTIVE Type ADVANCE DIRECTIVE Specialty Proc E vent Status Viewable Reason Patient Hlmg Image ID EA IMAGPATIENT 206 206 2 IMAGPATIENT206 206 1 3 IMAGPATIENTBO 60 1 21820 FE 4 MAGPATIENTEO E60 B 21284 FE S IMAGPATIENTEO 60 4 21279 21922 Image Report Fa Group IDF 21823 rs Group ADVANCE DIRECTIVE E Group Long Description done Image ID 21924 LOCAL TITLE ADVANCE DIRECTIVE DATE OF NOTE APR 13 20110210 49 ENTRY DATE APR 19 2011810 43 18

VistA Imaging Clinical Display User Manual January 2012

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