ALI UltraPACS 4.5 Users Guide

Copyrights and Trademarks Copyright © 1999-2001 A.L.I. Technologies Incorporated. All Rights Reserved. ALI UltraPACS is a registered trademark and the ALI logo and ImageViewer are trademarks of A.L.I. Technologies Inc. All other brands and product names are registered trademarks or trademarks of their respective holders and are used only for reference where specifically needed without any intent to infringe. All patient information used in this manual is fictitious. The information does not refer to any persons either living or deceased. A.L.I. Technologies Inc. (ALI) assumes no responsibility for the use or suitability of software or other equipment not provided by ALI or its affiliated companies. Although ALI strives to ensure the accuracy of the provided instructions, neither ALI nor its affiliated companies accepts any liability or damages for omissions contained in this manual. This document does not imply a legal contract. Readers assume responsibility for the use and interpretation of the information contained herein.

ALI Corporate Address A.L.I. Technologies Inc. 130 - 10711 Cambie Road, Richmond, BC V6X 3G5 Telephone: (604) 279-5422, Toll-Free: 1-800-661-5885, Fax:1-800-261-5432, http://www.alitech.com A.L.I. Imaging Systems Corp. 105-1325 Pico Street, Corona, CA USA 92881-6474 Telephone: 1-800-661-5885, Fax: 800-261-5432 E-mail: [email protected]

ALI Customer Service For customer service or technical support for any ALI product, please call toll-free 1-800-663-2533 between the hours of 6:00 am and 6:00 pm (0600 - 1800 hrs) Pacific Time. For emergency service outside of these hours, voice mail with automatic paging is provided.

Released July, 2001

Part Number 0270-0309

Revision Number 1 Printed in Canada.

ALI UltraPACS 4.5

TABLE OF CONTENTS Preface Who Should Use This Guide... 11 What is ALI UltraPACS... 11 System Requirements... 12 Core Applications of ALI UltraPACS... 12 Additional Applications and/or Options Available for Purchase... 13 New Features of ALI UltraPACS 4.5... 14 Multi-drive Support... 14 Support for Auto-Logoff Security... 14 More information Available from the In-Box... 14 Ad Hoc Diagnosis Entry... 15 Disk Import/Export Tool Enhancements... 15 Bar Code Reading (Quick Find)... 15 Batch Sending... 15 Media Manager Improvements... 16 Support for Study Indications... 16 Support for Patient Location Information... 16 Support for Body Part Study Information... 17 Support for Study Priority... 17 Temporary Diagrams Available in ALI Jot Tool... 17 Video Streaming Option... 17 ALI Quality Assurance Manager Improvements... 18 Improved Integration with ALI SDXS... 18 Increased Compatibility with ALI UltraPACS AnyWARE... 18 Organization of This Guide... 19 Other Important Information... 21 Intended Use... 21 Indications for Use... 21 Prescription Device Statement... 21 Related Documentation... 22 Service Information... 22 Your Comments... 22 Chapter 1

Getting Started... 23 Using ALI UltraPACS... 23 User roles... 23 Overview of a Typical Workflow... 25 Explanation of the Workflow... 25 Schedule a Study... 25 Study is Performed... 25 Optional Routing or QA... 26

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ALI UltraPACS 4.5 Review Images... 26 Use Other Optional Tools... 26 Close Study... 27 Other Maintenance Work... 27 Launching ALI UltraPACS Software Applications... 27 Start a Core ALI UltraPACS Application... 27 Other Applications Launched from ALI ImageViewer... 28 Additional Applications and Options... 29 Using the ALI UltraPACS 4.5 User’s Guide... 29 Chapter 2

Using ALI ImageViewer... 31 Who Should Use this Chapter... 31 What is ALI ImageViewer... 31 Image Retrieval... 31 Image Viewing and Processing... 32 Image Transfer and Archiving... 32 Online Report Writing and Manipulation... 32 Introduction to Some Key Concepts... 32 What Is a Patient Record and What Is a Study... 32 Study Status: Scheduled, In-Progress, Unreported, or Reported... 34 Overview of a Typical Workflow... 35 Instructions for a Typical Workflow... 35 Start ALI ImageViewer... 35 Find and Open Studies... 35 Work with Images... 37 Use Additional Tools... 38 Print, Send, or Export Images... 39 Close a Study... 39 Quit ALI ImageViewer... 39 Basic Navigation in ALI ImageViewer... 40 Use the Menu Bar... 40 Use the Status Bar... 41 Use the Feature Bar... 42 Move and Reshape the Feature Bar... 42 Add the Buttons of Your Choice to the Feature Bar... 43 Add Labels to the Feature Bar Buttons... 44 Hide the Feature Bar... 45 Feature Bar Buttons Explained... 46 Finding and Opening Studies... 50 Display and Use the Folder Finder... 51 Folder Finder Searches... 51 Folder Finder Searches for Studies Stored On a Remote PACS Server . 54 Quick Guide to the In-Box... 56 Special Buttons Displayed in the In-Box... 57 Display and Use the In-Box... 57

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ALI UltraPACS 4.5 Unreported Studies Mode of the In-Box... 58 In-Progress Studies Mode of the In-Box... 59 Scheduled Studies Mode of the In-Box... 61 Quick Find (Bar Code Scanning)... 62 Filtering Study Lists... 63 Available Filters... 64 Filter the List of Studies In the Folder Finder... 65 Filter the List of Studies in the In-Box... 67 Delete a Filter... 72 Viewing Studies... 73 View Multiple Studies... 73 List All the Patient’s Studies Using the Study Toolbar... 74 List All the Opened Studies... 75 Using the Mouse Wheel to View Studies Quickly... 76 Selecting, Flagging, and Deleting Images... 76 Select One or More Images... 76 Flag One or More Images... 77 Delete One or More Images... 77 Zooming, Changing Window/Level and Lo-Up and Applying Color... 78 Zoom In On Images... 78 Use the Window/Level and the Lo-Up Tool... 81 Apply Color to a Nuclear Medicine Image... 86 Image Display Options... 87 The Small and Large Layout Options... 87 Position the Compression Ratio Label on the Images... 90 Display Images With Text Overlay... 91 Reveal the DICOM Header... 92 Marking and Measuring Images... 92 What is Mark and Measure... 93 How to display Mark and Measure Toolbar... 93 Two Ways to Add Text to an Image... 95 Write Text on the Image using Custom Text... 95 Add Stamp Text to an Image... 96 Set the Scale... 97 Draw and Measure a Line... 98 Draw and Measure an Ellipse... 98 Draw a freehand shape and measure its Perimeter... 98 Using Select to Change or Delete an Annotation... 99 Show or Hide Annotations... 100 Exit the Mark and Measure Mode... 101 Using the Cine Player... 101 Play Cine Clips... 101 Trim Cine Clips... 104 Printing, Sending, and Exporting... 106 Print Images... 106 Print From All the Opened Studies... 107

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ALI UltraPACS 4.5 Cancel a Print Job... 108 Send Images to a Remote Server... 108 Cancel Sending... 110 Send Images to Video... 110 Export Images... 111 Import Images... 113 Closing Studies and Marking Studies as Reported... 118 Close a Study... 120 Close All Opened Studies At Once... 121 Closing ALI ImageViewer... 121 Setting Auto Open Next Study Preferences... 121 Use Open Next... 121 Launching Other Applications from ALI ImageViewer... 122 Customizing Your Settings... 123 Customizing the ALI ImageViewer Preferences... 123 Set Image Layout Preferences... 124 Set Color Preferences... 125 Set Display Preferences... 126 Text Layout Preferences... 128 Set Cine Preferences... 129 Column Display Preferences Pertaining to Patient Information... 130 Preferences for Studies Found by Patient Name or ID... 131 Preferences for Studies Found by Study Date or Date Range... 132 Font and Layout Preferences for the Folder Finder... 133 Startup and Study Details Preferences for the Folder Finder... 134 The In-Box Preferences... 135 Removing Column Display Preferences... 138 Chapter 3

Using ALI Patient Manager...

139

Who Should Use this Chapter... 139 Workflow... 139 ALI Patient Manager’s Role in the Overall Workflow... 139 Understanding the Workflow Using ALI Patient Manager Software... 140 Instructions for a Typical Workflow... 140 Starting ALI Patient Manager... 140 Add a Patient to the Scheduled Studies List... 141 Modify Patient Information... 144 Modify Study Information... 144 Exit ALI Patient Manager... 145 Modifying Patient Information... 145 Add a Patient to the Database... 145 Find a Patient... 146 Modify Patient Information... 147 Merge Patient Records... 148 Set Column Display Preferences Regarding Patient Information... 149

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ALI UltraPACS 4.5 Modifying Information About Studies... 150 Find a Study... 150 Modify Study Details... 151 Prefetch a Study... 153 Move a Study to Another Patient’s Folder... 153 Add or View a Scanned Document for the Study... 153 Set Column Display Preferences for Modify Studies Panel... 154 Modifying Scheduled Studies... 154 Remove a Study from the Schedule... 154 Modify a Scheduled Study... 155 Add or View a Scanned Document for the Study... 155 Set Column Display Preferences for Scheduled Studies List... 156 Chapter 4

Using ALI PACS Administrator...

157

Who Should Use this Chapter... 157 Workflow... 158 ALI PACS Administrator’s Role in the Overall Workflow... 158 Starting ALI PACS Administrator... 158 Using the Main Panel... 159 Creating, Modifying, and Deleting User Accounts... 159 Create a User Accounts... 159 Modify a User Account and Change the Password... 160 Modifying Web User Access... 161 Add a web user... 162 Change the Modalities and Facilities Available for a Web User... 162 Modifying the List of Referring Physicians... 162 Add a Referring Physician... 163 Modify Information for a Referring Physician... 163 Delete a Referring Physician... 163 Modifying the List of Body Parts... 164 Add a Body Part Entry... 164 Modify a Body Part Entry... 164 Delete a Body Part Entry... 164 Modifying the List of Procedure Types... 165 Add a Procedure Type... 165 Modify a Procedure Type... 166 Delete a Procedure Type... 166 Modifying the List of Diagnoses... 167 Adding a Diagnosis to the List... 167 Add A Diagnostic Tree... 167 Show or Hide Diagnoses in a Tree... 169 Modify a Diagnosis... 170 Delete a Diagnosis... 170 Modifying the List of Study Priorities... 171 Modifying the List of Study Patient Locations... 172

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ALI UltraPACS 4.5 Add a Study Patient Location... 172 Modify a Study Patient Location... 173 Delete a Study Patient Location... 173 Modifying the List of Work Groups... 173 Add a Work Group... 174 Modify a Work Group... 174 Delete a Work Group... 174 Modifying the List of Device Locations... 174 Add a Device Location... 174 Modify a Device Location... 175 Delete a Device Location... 175 Closing ALI PACS Administrator... 175 Chapter 5

Using ALI Media Manager...

177

About the Archiving Media... 178 Four Types of Archiving Media... 178 Single Drive or Jukebox... 179 ALI Installation Team Prepares Your Site For Archiving... 179 Starting ALI Media Manager... 181 Selecting the Archive Device... 181 Understanding the Status of the Archive Device... 182 Viewing the Capacity Display... 183 Using the View Selection Control... 183 View the Pending Retrievals List... 184 View the Loaded Volumes List... 185 Using the Single Disk Drive... 186 Using the Optical Disk Jukebox or the Tape Jukebox... 187 Eject Disks From Jukebox... 187 Inserting a Disk or Tape... 188 Viewing the List of Off-Line Requests... 189 Viewing the Off-Line Requests Volumes View... 189 Filtering the Requested Volumes List... 189 Viewing the Requested Off-Line Studies View... 191 Filtering the Requested Studies List... 191 Viewing the List of Unarchived Studies... 192 Filtering the Unarchived Studies List... 192 Find Unarchived Studies... 193 Searching... 193 Searching for a particular volume... 193 Inserting a Volume... 194 Ejecting a Volume... 194 Finding Off-Line Archiving Devices... 195 Changing Tapes... 195 Tape Change Procedure... 196 Frequently Asked Questions About the Tape Change Procedure... 197

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ALI UltraPACS 4.5 Chapter 6

Using ALI Jot Tool...

199

Who Should Use this Chapter... 199 What is ALI Jot Tool... 199 Using ALI Jot Tool... 200 Open the Jot Pad... 200 Select a Diagram Template... 200 Use the Jot Pad Toolbar... 201 Adding a Diagram... 201 Save a diagram... 203 View a Diagram for a Study... 204 Chapter 7

Using ALI Document Scanning...

205

About ALI Document Scanning... 205 Scan documents from ALI Patient Manager... 206 Scan documents from ALI ImageViewer... 207 Re-orient or resize scanned documents... 209 Save a scanned document... 209 View scanned documents from ALI Patient Manager... 210 View scanned documents from ALI ImageViewer... 211 Setting Your Preferences for Viewing Scanned Documents... 214 Switching Between Studies... 215 Using Automatic Document Scanning... 215 Chapter 8

Using ALI Teaching Folders...

217

What is ALI Teaching Folders... 217 Using the Teaching Folders Tool in ALI ImageViewer:... 218 Add a Top Category... 218 Add a Category to an Existing Top Category... 218 Add a Teaching Folder... 219 Add Patient Studies... 220 Insert Images to a Folder... 220 View Folders Into Which You Inserted Images... 221 Delete Categories and/or Studies... 222 Chapter 9

Using ALI Video Streaming...

223

Who Should Use this Chapter... 223 What is ALI Video Streaming... 223 Workflow... 224 Instructions for a Typical Workflow... 224 Start ALI ImageViewer... 224 Start ALI Video Streaming... 224 Select a Video Source... 225 Other Options... 226

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ALI UltraPACS 4.5 Exit ALI Video Streaming... 228 Chapter 10

Using ALI Reporting...

229

What is ALI Reporting... 229 Using ALI Reporting... 229 Write and Save a Report... 230 Find and Open an Existing Report... 233 Edit a Report... 234 Print a Report... 234 Fax a Report... 236 Switch to Your User Account While Writing a Report... 238 Chapter 11

Using ALI Route Manager...

241

Scheduling with ALI Route Manager... 241 Some Useful Terms... 242 Start ALI Route Manager... 242 Use the Main Toolbar... 243 Using the Route Manager Toolbar... 244 Create a Schedule Item... 244 Modify, Remove, or Suspend/Activate a Schedule Item... 245 Customize the Schedule View... 248 Suggestions for Customizing the Schedule View... 249 Chapter 12

Using ALI Quality Assurance Manager...

251

What is ALI Quality Assurance Manager... 251 Features of ALI Quality Assurance Manager... 252 Validation of Received Data... 252 Manual or Automatic Resolution of Identified Issues... 252 Image Processing Capabilities... 252 Using ALI Quality Assurance Manager... 252 Starting ALI Quality Assurance Manager... 253 Log In from ALI ImageViewer... 254 Discarding Quality Assurance Issues... 255 Resolving a Patient Information Issue... 255 Suspicious Character in Patient Name... 256 Unrecognizable Date of Birth... 257 Collision of Patient IDs... 258 Search for Patient or Study Information... 259 Resolving a Study Information Issue... 260 Acceptable date formats... 261 Resolving a Multiple Studies Scheduled Issue... 262 Modifying Existing Image Settings to Resolve an Image Issue... 263 Use the Image Manipulation Toolbar... 263 Use the Right-Click Menu for Image Manipulation... 265

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ALI UltraPACS 4.5 Select a New Image Layout... 266 Select a Predefined Layout... 267 Apply Changes to All the Images or Selected Images Only... 268 Modifying the Window/Level Settings... 269 Use the Window/Level Icon on the Toolbar... 269 Modify the Window/Level Settings from the Right-Click Menu... 272 Right-Click then Hold the Mouse Button to Adjust W/L... 273 Create a Preset... 273 Delete a Preset... 274 Rotating and Flipping Images... 275 Rotate an Image Using the Rotate Icon from the Toolbar... 276 Use the Rotate Menu... 277 Inverting Brightness of Images... 278 Reverting Images... 279 Deleting Images from the Image Folder... 280 Delete Selected Images Using the Toolbar... 280 Delete Selected Images Using the Right-Click Menu... 281 Delete All the Images from the Image Folder... 282 Closing the Image Folder, With or Without Changes... 282 Click Done... 282 Click Cancel and Save the Changes... 283 Click Cancel and Discard All the Changes... 283 Return to the Image Folder Without Saving Changes... 283 Configuring ALI Quality Assurance Manager... 284 Three Modes of Resolution Exist... 284 Using the Options Button... 284 Configuring Patient Information Issues... 285 Characters Used to Set Medical ID and Accession Number Formats . . 289 List of Patient Information Issues... 290 Configuring Study Information Issues... 292 Specify the Accession Number Format... 293 List of Study Information Issues... 295 Configuring Image Issues... 296 List of Image Issues... 299 Configuring Worklist Issue... 299 Appendix: L&H PowerScribe Integration... 301 What is PowerScribe... 301 Using Integrated L&H PowerScribe... 301 Create a New Report... 301 View a Report... 302 Find a Report... 302 Edit a Report... 302 Create an Addendum Report... 303 Cancel Report... 303

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ALI UltraPACS 4.5 Other Information about L&H PowerScribe... 303 Self Correction Option... 303 Transcription Service Option... 304 ALI Real Time Versus Batch Mode... 304 Index

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Preface

Preface Who Should Use This Guide...

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What is ALI UltraPACS...

11

Core Applications of ALI UltraPACS...

12

New Features of ALI UltraPACS 4.5...

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Additional Applications and/or Options Available for Purchase

13

Organization of This Guide...

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Other Important Information...

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W

elcome to A.L.I. Technologies Inc. (ALI) diagnostic imaging and computer-based management systems. ALI develops proprietary software and integrates standard computer hardware to replace film-based systems in diagnostic medical imaging.

Who Should Use This Guide This guide is written for theALI UltraPACS users who will capture, view and analyze diagnostic medical images and, in addition, perform routine system administration. Typically, the users are: • • • • • •

physicians technologists clerical staff or receptionists librarians system administrators web users who review images from a remote location

The guide does not provide any instructions for using the medical equipment or performing medical diagnostic examinations. Refer to the manufacturer’s manual and your own procedures for this information.

What is ALI UltraPACS ALI UltraPACS is a software program used to view, to electronically transfer, and to archive medical diagnostic images. ALI UltraPACS is compliant with Digital Imaging and Communications in Medicine

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ALI UltraPACS 4.5

Standard 3.0. (DICOM 3.0.). It can operate as a stand-alone ultrasound solution or be integrated with a hospital information system (HIS) or radiology information system (RIS) via DICOM-HL7 Gateway. Its Windows NT architecture is scalable to any size of medical facility, from a single ultrasound department to a multi-site hospital. The patient database supports either centralized or distributed storage of DICOM 3.0 images and electronic reports. These features allow multi-facility worksharing and offer a powerful platform on which to create an enterprise-wide data repository for all imaging modalities. ALI UltraPACS supports web based image retrieval and viewing, through integration with ALI UltraWEB. ALI UltraPACS 4.5 offers a robust teleradiology solution when used in conjunction with remote ALI UltraPACS AnyWARE workstations. In addition, ALI UltraPACS 4.5 is integrated with ALI NewPORT, an image capture station. Images captured on an ALI NewPORT workstation and then live-sent to ALI UltraPACS 4.5 can be immediately displayed and processed.

System Requirements ALI UltraPACS 4.5 runs on the Windows NT™ operating system, and uses an Oracle 8.x database. The minimum screen resolution is 1280x1024x24 bit. ALI UltraPACS workstations have some similarities. Each workstation has a monitor, keyboard, a mouse pointer (mouse), and the computer itself. Some diagnostic workstations feature dual monitors.

Core Applications of ALI UltraPACS ALI UltraPACS is comprised of the following four applications:

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•

ALI PACS Administrator

•

ALI Patient Manager

•

ALI ImageViewer

•

ALI Media Manager

for creating a database of users and performing routine system administration for adding patients and scheduling studies for viewing patient studies and attaching diagnoses for routine disk administration

Preface

You may use one, some or all of them. Which software application you will use depends on your user role. For details see “User roles” on page 23.

Additional Applications and/or Options Available for Purchase The following additional options can be purchased to compliment and extend the functionality of the core ALI UltraPACS applications. Many of these options have their own chapter in this manual. Please consult ALI Service or your Area Manager for additional information about purchasing these options. Additional features and applications available for purchase: • • • • • • • • • •

ALI Jot Tool in ALI ImageViewer ALI Teaching Folders in ALI ImageViewer ALI Document Scanning in ALI ImageViewer and ALI Patient Manager ALI Video Streaming ALI Reporting Integrated with ALI ImageViewer ALI Quality Assurance (QA) Manager ALI Route Manager ALI Disk Import/Export Tool ALI SDXS ALI DiscVIEW (Expansion Pack)

Some of these options are launched separately and others are fully integrated within core ALI UltraPACS applications.

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ALI UltraPACS 4.5

New Features of ALI UltraPACS 4.5 The section briefly explains the following new features: • • • • • • • • • • • • • • • • •

tape jukebox multi-drive support support for auto-logoff security more information available from the In-Box ad hoc diagnosis entry disk import/export tool enhancements bar code reading (Quick Find) batch sending Media Manager improvements support for study indications support for patient location information support for body part study information support for study priority temporary diagrams available in ALI Jot Tool ALI Video Streaming option ALI Quality Assurance Manager improvements improved integration with ALI SDXS increased compatibility with ALI UltraPACS AnyWARE

Multi-drive Support Multi-drive support is now available for tape jukeboxes. Multi-drive support includes: • •

All or selective drives for any supported AIT, and DLT jukeboxes. All or selective mail slots for supported multi-mail slot jukeboxes.

With media segregation enabled, multiple storage classes are supported within one jukebox. The controller will associate each volume exclusively to a single storage class. All archive jobs will be submitted to the particular volume for the same storage class.

Support for Auto-Logoff Security Auto-logoff security is available that will enable workstations to perform auto-logoff after a configurable period of time.

More information Available from the In-Box You can now access study details. By clicking the study details icon, you can see the information for the study.

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Preface

Icons are displayed to indicate the two highest study priorities. You can quickly find and display studies with the two highest study priorities assigned to them.

Ad Hoc Diagnosis Entry The user can type in and assign a diagnosis that does not exist in the database when marking a study as reported. The Diagnosis panel also enables the user to search for similar existing entries when adding a new diagnosis.

Disk Import/Export Tool Enhancements The separately purchased Disk Import/Export option has been improved. When exporting the following features are now available: •

You can export images in DICOM format as “As Is” or “Uncompressed.”

•

The space requirement is calculated and there is a warning if there is not enough space on the media.

•

If purchased, there is an option to create CDs that contain ALI DiscVIEW (a standalone viewer) as well as the images that you have copied.

When importing, you can now select the patients or studies that you want to import from the disk.

Bar Code Reading (Quick Find) Quick Find is a feature that is designed to streamline quick searches from the In-Box based on input from a bar code scanner or text that you type. You can select whether you want Quick Find to: •

open the studies that exactly match your criteria in ALI ImageViewer

•

highlight studies that match your criteria in the In-Box

Batch Sending If you have DSI-100 DICOM PACS Gateway, you can now send studies to the DICOM compliant remote server without opening the studies in ALI ImageViewer.

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ALI UltraPACS 4.5 To Send one study or multiple studies from the In-Box or Folder Finder:

1. In the In-Box or Folder Finder, right-click the study that you want to send. (If you want to send more than one study, press and hold Ctrl and while clicking the studies that you want to select, and then rightclick.) 2. From the menu that is displayed, select Send Study.

Media Manager Improvements The new ALI Media Manager maintains its previous functionality and has been redesigned and enhanced to include: •

•

Support for various archive queue management functions such as viewing current archive job queue, deleting queued jobs, reprioritizing queued jobs, and filtering views based on various criteria. Ability to display off-line media requests for a specified period of days.

Support for Study Indications A study indication can be included when a study is scheduled using ALI Patient Manager. The study indication contains text that the user types which can be displayed in the In-Box or Folder Finder.

Support for Patient Location Information ALI UltraPACS 4.5 supports a new study-level attribute, patient location. The patient location is the location from which the patient was brought in order to perform the study (not where the patient was when the study was performed or the current location of the patient). Therefore the patient's location can vary for successive studies for the same patient as the patient is admitted and/or moved to different areas of the institution for monitoring and recovery. The patient location for a study is tracked primarily for billing and transportation purposes. ALI Patient Manager provides the ability to set the patient location attribute for a study. This is available when scheduling studies as well as when modifying an existing study record. By default there are two patient locations: • •

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Out-Patient In-Patient

Preface

ALI PACS Administrator has the ability to add, remove and update the list of patient locations for those institutions where a finer degree of patient locality is required (for example ICU or ER).

Support for Body Part Study Information This release of UltraPACS supports associating one or more body part names with a procedure type. You can also associate one or more body parts with a particular procedure type. Studies can be prefetched based on the body parts associated with its procedure types. A standard set of body part names are determined and included as the default shipped with any system. ALI PACS Administrator can be used to add, remove or update body parts entities stored in the database.

Support for Study Priority Study priority is now available. Studies can have one of five study priorities assigned (STAT, HIGH, ROUTINE, MEDIUM, OR LOW). You can change the names assigned to the various studies and the default study priority assigned using ALI PACS Administrator. A new user preference in ALI ImageViewer to allow physicians to specify whether they want to be interrupted when a new STAT priority unreported study is detected in the In-Box

Temporary Diagrams Available in ALI Jot Tool The option to create temporary diagrams that are deleted when the study is marked reported has been added to the ALI Jot Tool. This enables technologists to add information for the reviewing physician that will not become a permanent part of the study.

Video Streaming Option With the release of ALI UltraPACS 4.5, users can review a live ultrasound video feed (or any video feed the site wishes to transmit) from ALI ImageViewer. Video streaming is a separately purchased option.

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ALI UltraPACS 4.5

ALI Quality Assurance Manager Improvements You can now associate a single performed study with multiple scheduled studies.When the patient has more than one scheduled study for the same modality, the new issue category of “Multiple Studies Scheduled” is available to point the multiple scheduled studies to the same data.

Improved Integration with ALI SDXS ALI SDXS has been fully integrated with the installation of ALI UltraPACS 4.5. The External Notifier Server has been integrated with SDXS to send out event notifications (for events such as when the study is marked as reported) to external systems via HL7 messages.

Increased Compatibility with ALI UltraPACS AnyWARE ALI UltraPACS is now able to receive notification from ALI PACS AnyWARE (and other external DICOM systems) when a study is marked as reported.

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