English. Tutor 6.1. Instructions for Use. Not for diagnostic, monitoring or therapeutic purposes or in any other manner for regular medical practice.

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1 English Tutor 6.1 Instructions for Use Not for diagnostic, monitoring or therapeutic purposes or in any other manner for regular medical practice.

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3 Table of Contents Table of Contents 1 Instructions for Use... 7 About these Instructions for Use Introduction... 9 About Tutor... 9 Product Description... 9 Compatibility... 9 Client Software... 9 Compliance About Box Training Area Help Information Starting and Stopping Logging In Logging Out Tutor User Roles Page Navigation Top Menu Bar Edit Content Page 'Smartbrowser' Page Creating an Online Course Adding a Module Adding Cases Editing Content Copying Content Deleting Content Managing Multimedia Viewing Content Publishing/Unpublishing Content Creating an Online Test Adding a Test Adding Questions Exam Mode Checking your Online Test Taking a Test Managing Tests Viewer Viewer Toolbar Viewing a Slide Viewing Label and Slide Information Slide Navigation Tutor 6.1 3

4 Table of Contents Viewing Slides Side by Side Adjusting Images Adjusting Image Settings Rotating Images Saving a View Annotating Images Creating an Annotation Editing an Annotation Viewing Annotations Using Measurement Tools Creating Measurements Editing Measurements Viewing Saved Measurements Working with Screenshots Closing the Viewer Manager Permissions User Management Adding User Accounts Editing User Accounts Disabling User Accounts Deleting User Accounts Exporting User Data Group Management Creating a Group Editing Group Permissions and Settings Exporting Group Data Deleting a Group Create your Homepage Data Management Restoring Content from the Recycling Bin Deleting Content from the Recycle Bin Servers Manager Settings Date and Time Format Password Requirement Settings Tablet Device Display Getting Started Simple Gestures Description of Viewer Icons Support Information Reporting a Problem Service hours Maintenance Agreement Tutor 6.1

5 Table of Contents 8 Security Security Requirements My Account Customer s Role in the Product Security Partnership Technical Data Requirements Client Computer Supported File Formats Glossary Index Tutor 6.1 5

6 Table of Contents 6 Tutor 6.1

7 About these Instructions for Use Instructions for Use 1 Instructions for Use About these Instructions for Use These Instructions for Use are intended as a user guide to the Tutor software product. Throughout the document the 'product' will refer to the Tutor. Before using the product, you must read these Instructions for Use. The most extensive configuration with maximum number of plug-ins is described. Not every function described may be available on your Tutor software product. All human names used in this Instructions for Use are fictitious and do not relate to real people. Tutor 6.1 7

8 Instructions for Use About these Instructions for Use 8 Tutor 6.1

9 About Tutor Introduction 2 Introduction About Tutor Tutor is a software product that allows you to generate online virtual microscopy courses, training material, and CPD resources in minutes. You can use virtual slides from all major scanning manufacturers and incorporate various multimedia files including streaming videos, presentations, sound files, PDFs and Office documents. The courses can be shared and accessed from anywhere in the world. You can combine Tutor with OLT, an application allowing you to generate online tests and examinations. With the optional Tablet Device Display module, slides and courses can be viewed with gesture control on tablet devices. This module does not allow you to edit content or to view or take tests. See chapter Tablet Device Display on page 65 for more information. Throughout the document the 'product' will refer to Tutor. Product Description Philips Pathology Education Tutor (Tutor) is a web based digital pathology software platform for education and training that allows users to create and publish online virtual microscopy courses, incorporating digital slides and other content. Tutor s OLT module allows users to generate online tests and examinations. Tutor is not intended for diagnostic, monitoring or therapeutic purposes or in any other manner for regular medical practice. Compatibility The product described in this manual should not be used in combination with other equipment or components unless such other equipment or components are expressly recognized as compatible by Philips Digital Pathology Solutions. A list of such equipment and components is available upon request. Changes and/or additions to the product should only be carried out by Philips Digital Pathology Solutions or by third parties expressly authorized by Philips Digital Pathology Solutions to do so. Such changes and/or additions must comply with all applicable laws and regulations that have the force of law within the jurisdiction(s) concerned, and with best engineering practice. Client Software Tutor is entirely available online. Tutor has been validated with: Internet Explorer 10, Internet Explorer 11 Other supported web browsers are: Chrome Firefox Tutor 6.1 9

10 Introduction Compliance Safari on Windows and Mac No browser plugins are required. The only requirements are that the web browser must have: JavaScript enabled, Popup Blockers disabled and Cookies enabled. NOTICE All the brand and product names are trademarks of their respective companies. Compliance The product complies with relevant international and national standards and laws. Information on compliance is supplied on request by your local representative or by the manufacturer. About Box Scroll down to the bottom of the page and click About to view the About Box Fig. 1: The 'About Box' Item Description Item Description 1 Product name 6 The re-engineering statement 2 Product name (abbreviated) and product version 7 The software licensing statement 3 REF: The manufacturer's catalog number 8 The manufacturer's address 10 Tutor 6.1

11 Training Area Introduction Item Description Item Description 4 The product label 9 The country of origin and product release date 5 The copyright clause 10 The 'Consult instructions for use' symbol Tab. 1: Information in the About Box Training Area Access the product videos and Tutor User manuals online at: Account: pathxltraining Your welcome pack will include your login details for the training area. Help Information Help information for Tutor: Click the dropdown from right corner of the top menu and select My Account. Click Help to launch the Tutor Instructions for Use. Help information for Tutor EQA: Click to launch the Instructions for Use for Tutor EQA. Tutor

12 Introduction Starting and Stopping Starting and Stopping Logging In To log in to Tutor: Go to Enter your account name, username and password. Click Login. For first time users: In the 'Privacy Notice' pop up', tick the check mark to confirm that you agree to the collection, processing and use of your personal data in accordance with the Philips privacy notice. Click Submit. NOTICE In case you want to revoke your consent for storage and processing of your personal data, click the dropdown from right corner of the top menu and select My Account and Data Privacy. (See 'chapter My Account on page 71' for more information.) Logging Out To log out from the Tutor application: From the top menu bar click on the dropdown arrow and select Logout. Your work is saved and you are logged out from the Tutor application. Closing the internet browser does not log you out. To prevent unwanted access to the Tutor application, follow the log out procedure described in this section. Automatic Logout To help you prevent uncontrolled access to data, the automatic logout procedure will start 20 minutes after the last user interaction. 12 Tutor 6.1

13 User Roles Tutor 3 Tutor User Roles Tutor is designed as a flexible platform, adjustable to your organization preferred way of working. Three user roles are distinguished: Student Instructor Manager Students are users that access Tutor to learn, e.g. a student participates in an online virtual microscopy course. Students cannot create courses themselves. They only can view study material for which they have been granted access to by a user with instructor or manager role. Instructors are users that access Tutor to create online study material for students. Access rights and permissions for instructors are set by a manager. E.g. a manager can allow instructors to add new groups. By default users with manager role have full access to the system. In addition to creating online study material, they have permissions to: adjust the home page add users and groups set permissions for other users delete files from the media archive add servers and adjust system settings. For a detailed description of these administrator tasks, see chapter Manager Permissions on page 51. Tutor

14 Tutor Page Navigation Page Navigation Top Menu Bar The top menu bar allows you to quickly navigate within Tutor. The items shown on your screens depend on the permissions for your user account Fig. 2: The top menu bar (example for a user with full access to Tutor) Item Description 1 Click the Home button to return to the homepage. 2 Click the Manage Content to access and manage the online learning content. Items within Manage Content are: My Content Recycling Bin 3 Click the Manage Tests button to access and manage the online tests. (This item is only available when the OLT module is installed.) 4 Click the Manage Users to create, edit and delete user accounts and manage groups. 5 Click the Manage Servers to access and manage servers. 6 Your username is displayed here. 7 Click the triangle to open the dropdown menu to access: My Account Manager Settings Logout Tab. 2: Items from the top menu bar 14 Tutor 6.1

15 Page Navigation Tutor Edit Content Page Fig. 3: The Edit content page Item Description 1 Click the Save and Publish button to save your changes and set the content in published state. Other users can view the content. 2 Click the Cancel button to discard your changes. 3 Selecting Allow page to be linked externally to view the content without login into the application 4 Click inside the title field to add a title for your page. 5 Click inside the text field to create your text and add links, images or movies. 6 Text formatting options: bold, italic, underline, color, highlight, font size and font type. 7 Text layout options: numbered list, bullet list, align text and add or remove indents. 8 Insert options: Insert link Insert table Insert image from the media archive Insert movie Insert YouTube video Tab. 3: Items on the Edit content page Tutor

16 Tutor Page Navigation 'Smartbrowser' Page The 'Smartbrowser' is a tool that enables you to select slides you want to include in your case or folder. You can access the 'Smartbrowser' by clicking the Add New icon at the top of the 'My Content' page Fig. 4: 'Smartbrowser' In the 'Smartbrowser' you can see image information or click the slide icon to view the slide in the Viewer. This enables you to quickly retrieve the correct slide. Item Description 1 Information about the storage location of the WSI. 2 Use the checkbox to include the slide in the case. 3 Click the slide icon to open the slide in the Viewer. 4 Filename of the slide. 5 Information about the scanner that was used to create the WSI. 6 Preview of the image, the magnification of the WSI, the width and height. 7 Click to see the label image. Tab. 4: Options in the 'Smartbrowser' 16 Tutor 6.1

17 Creating an Online Course Tutor Creating an Online Course Adding a Module Click Manage Content in the top menu bar. Ensure that the folder where you wish to add a module is visible in the content page. Fig. 5: Content overview (example) Select the module you wish to add a new module into. If you desire to create a module which is not within any module then do not select any module. Right-click the Add New button and select Module. Add a title and click Create. Your new module will be added to the folder. NOTICE You can create modules within a module. Adding Slides to a Module Ensure that the module where you wish to add a slides is visible in the content page. Select the module you wish to add the slide into. Right-click the Add New button and select Slide. The 'Smartbrowser' opens. Browse to the slide(s) you want to include in your new module. Select the slide(s). Drag the slide(s) to the module. Release the mouse. Tutor

18 Tutor Creating an Online Course Fig. 6: Options for adding slides Select the applicable option. - Select Slide if you want to add the slide as slide to the module. - Select Case if you want to create a new case with the selected slide(s) to the module. - Select Multiple Cases if you want to create a new multiple cases, each with one slide in it, to the module. Your slide(s) will be added to the module. Adding Cases Click Manage Content from the Dashboard. Ensure that the folder where you wish to add one or more cases is visible in the content page. Select the module you wish to add the case into. Right-click the Add New button and select Slide. The 'Smartbrowser' opens. Browse to the slide(s) you want to include in your new case. Select the slide(s). Drag the slide(s) to the folder where you wish to add a case. Release the mouse. Fig. 7: Options for adding slides Select the applicable option. - Select Case if you want to create a new case with the selected slide(s) to the folder. - Select Multiple Cases if you want to create a new multiple cases, each with one slide in it, to the folder. Your new case(s) will be added to the folder. 18 Tutor 6.1

19 Creating an Online Course Tutor Editing Content To edit a module or a case: Ensure that the module or case you wish to edit is visible in the 'My Content' page. Fig. 8: Content overview (example) Select the corresponding row and click on Edit from the top pane. Fig. 9: Editing a case (example) Edit the content, e.g rename the module or case or enter a description. Click Save and Publish to save your changes and close the 'Edit Content' page. Copying Content Ensure that the content (e.g. module, case or slide) you wish to copy is visible in the content page. Tutor

20 Tutor Creating an Online Course Fig. 10: Content overview (example) Select the content that you want to copy and click the Copy button on the top pane. Select the location(s) you wish to copy to, then click Copy. The selected content will be copied. Deleting Content Ensure that the content (e.g. module, case or slide) you wish to delete is visible in the content page. Fig. 11: Content overview (example) Select the content that needs to be deleted. Click the Delete button from the top pane. A confirmation message pops up. Click Delete to confirm that you want to the delete the content. The selected content will be deleted. NOTICE Only modules, cases, tests, studies, slides and notes will be send to the recycling bin when deleted. Users with permission to access the recycling bin can restore the items from the recycling bin, see chapter Restoring Content from the Recycling Bin on page Tutor 6.1

21 Creating an Online Course Tutor Managing Multimedia By default Tutor includes a 5GB dedicated media archive for media other than virtual slides. Tutor supports the following media file types: *.avi, *.mpg, *.mpeg, *.mp3, *.wav, *.swf, *.jpg, *.jpeg, *.gif, *.png, *.rtf, *.wmv, *.flv, *.avi, *.mp4, *.mov, *PDF Workflow for adding multimedia to a module or case 1. Use the media uploader tool to upload media files to the media archive. 2. Open the module or case in the edit mode. 3. Select the applicable icon and navigate to the uploaded media file. Icon Item Description Insert link Use this option to link content. Insert image Insert video Click to insert an image at the selected position in the editor and set the image properties. Click to insert a video at the selected position in the editor and set the properties of the video. Tab. 5: Media options Insert YouTube video Click to embed a YouTube video at the selected position in the editor and set the properties of the video. Uploading Media to the Media Archive Click Manage Content from the top menu bar. Click Manage Media from the top pane of Manage Content. The media archive opens. Optionally, click Create Folder from the icons at the top to create a new folder inside the media archive. Click Upload from the icons at the top and click Please select files to upload. Navigate to the media file(s) you want to upload. Click Open to start the file upload. Close the window when the file upload is complete. Adding Links to Documents Ensure that the document you want to create a link to, is present in the media archive. Ensure that the module or case you wish to edit is visible in the content page. Select the module or case. Click the Edit button from the top pane. On the 'Edit Content' page, select the Insert Link icon. Click the Browse and navigate to the document and select the document. Tutor

22 Tutor Creating an Online Course A URL link will automatically be populated. Enter the link text in the Link text field. Optionally, set the attributes e.g. color, position or tooltip for the link. Click OK. Click Save and Publish to save and close the module or case. Adding Images Ensure that the image you want to add, is present in the media archive. Ensure that the module or case you wish to edit is visible in the content page. NOTICE In the online course the web-page for a case is restricted in size to 160px height and 450px width. For modules the maximum width of a web-page is 750px. Use a module if you want to create a detailed media page. Select the module or case. Click the Edit button from the top pane. On the 'Edit Content' page, select the 'Insert Image' icon. In the media archive, navigate to the image and select the image. Fig. 12: Adding an image to a module (example) Set the Alternative Text field. This ensures if an image does not load (e.g. if connection is slow) the end user can see the image tag (good web practise). 22 Tutor 6.1

23 Creating an Online Course Tutor Set the width and height of the image. The maximum width is 450px for cases and 750px in modules. Optionally, set the properties for the image e.g. position, alignment or border. Click Insert. Click Save and Publish to save and close the module or case. The image will now be embedded into your module or case web-page. Adding Videos Ensure that the video you want to embed, is present in the media archive. Ensure that the module or case you wish to edit is visible in the content page. NOTICE In the online course the web-page for a case is restricted in size to 160px height and 450px width. For modules the maximum width of a web-page is 750px. Use a module if you want to create a detailed media page. Select the module or case. Click the Edit button from the top pane. On the 'Edit Content' page, select the 'Insert Video' icon. In the media archive, navigate to the video and select the video. Fig. 13: Adding a video to a module (example) Set the width and height of the video. The maximum width is 450px for cases and 750px in modules. Tutor

24 Tutor Creating an Online Course Select how you want the video to play e.g. Auto play, auto loop etc. Optionally, set the properties for the video e.g. position, tooltip or border. Click Insert. Click Save and Publish to save and close the module or case. The video will now be embedded into your module or case web-page. Adding YouTube Video Ensure that the module or case you wish to edit is visible in the content page. Click the corresponding Edit button. On the 'Edit Content' page, select the 'Embed a YouTube video' icon. Fig. 14: Embedding a YouTube video (example) Copy and paste your YouTube URL into the address bar. Click Preview to view the video in the preview pane. Select how you want the video to play e.g. Auto play, loop etc. Optionally, adjust the dimensions: width and height. Click OK. Click Apply to save and close the module or case. The YouTube video will now be embedded into your module or case web-page. 24 Tutor 6.1

25 Creating an Online Course Tutor Removing Multimedia Removing multimedia from a module or case Ensure that the module or case you wish to edit is visible in the content page. Select the module or case. Click the Edit button from the top pane. Remove the multimedia file e.g. image or video from the 'Edit Content' page. Click Save and Publish to save and close the module or case. The multimedia file will now be removed from your module or case web-page. The multimedia file will still be in the media archive and can be used for other modules or cases. Deleting multimedia from the media archive Users with sufficient access rights (e.g. users with manager role) are allowed to delete multimedia files from the media archive, e.g. for data clean up. Important Prevent errors in modules or cases. Always ensure that the multimedia file that you want to delete is not used in current modules or cases. Click Manage Content in the top menu bar. Click Manage Media in My Content. Select the media file(s) you want to delete. Click Delete files or media. Select the checkbox on the popup message and click OK to confirm that you want to delete the selected item(s). Close the window when ready. The multimedia file(s) will now be removed from the media archive. Viewing Content Click Home in the top menu bar. In the left navigation panel, select the new module or case. Tutor displays the new content in the main panel. Tutor

26 Tutor Publishing/Unpublishing Content NOTICE It can be useful to have 2 internet browser windows open when creating a module. You can view your changes to the new content by refreshing the page (F5) after each time you click apply to save the changes. Publishing/Unpublishing Content Ensure that the content (e.g. module, case or slide) you wish to publish or unpublish is visible in the content page. Fig. 15: Content overview (example) Select the content that you need to publish or unpublish. To publish click on the Publish icon on the top pane or to unpublish click on the Unpublish An opened eye icon indicates that the content is published online and visible for other users. A closed eye icon indicates that the content is unpublished and not visible for other users. NOTICE Unpublishing content will disable content across the site for all users and will override all content permissions set via groups. 26 Tutor 6.1

27 Creating an Online Test Tutor Creating an Online Test The OLT module allows you to create online assessments or formal examinations. OLT is only available for users with the OLT module installed. For more information, contact your representative. Adding a Test Click Manage Content from the Dashboard. Ensure that the folder where you wish to add a test is visible in the content page. Select the module or case Add button and select Add Test. Your new test is created and the Settings page opens. Fig. 16: Settings for the test Adjust the title and optionally, add a description for your test. Select the appropriate settings for your test, see table 'Settings for an Online test' for more information. When ready, click Save and Close Tutor

28 Tutor Creating an Online Test Item Test Period Only Proceed if Correct Make all Questions Mandatory Disable Previous Button Redirect URL Open Study Exam Mode Authenticate Anonymous ID Results Type Description Define the start date/time and end date/time for which test is available. Select this option to ensure that students can not move forward to the next question until they answer correctly. Select this option to ensure that students will answer all questions. Select this option to ensure that students will answer all questions unidirectional. Select this option if you want to redirect students to a specific website after submitting the test. Select this option to allow students to retake the test (no limitation on the number of tries). Select this option to disable access to all other content in PathXL Tutor e.g. modules, cases, slides, tests, annotations. Select this option to prompts the student to double enter an anonymous ID At test start-up. This option allows you to define what you want the students to see in the results page. Results Name Format Show annotations Show toolbar Feedback During Test Tab. 6: Settings for an Online Test Adding Questions This option allows you to define whether you want the scorer to see the username or the anonymous ID of the student. Select this option if you want to include a question on an annotation in a test. (Default setting is enabled). Select this option if you want the student to see the viewer toolbar when viewing slides in a test. Select this option if you want to show feedback on both questions and answers for self-learning purposes. Tutor supports different question types to be included in online tests. See below for an overview. Question type Explanation Multiple choice Default Allowing the student to select one correct answer. With contingent question(s) Allow 'is other' answer Allow multiple correct answers The student must answer an additional question after an incorrect answer. Allowing the student to an 'is other' answer. Allowing the student to select more than one correct answer. Free text Alphanumeric input Allowing the student to give a free text answer. 28 Tutor 6.1

29 Creating an Online Test Tutor Question type Explanation Numeric input only The student must give an numeric value to answer the question. The answer is correct if the number is equal to or if the number is within a predefined range. Mark an area Default The student must mark an area on a slide. Tab. 7: Supported question types Adding a Multiple Choice Question Ensure that the online test to which you want to add a question is visible in the Manage Tests page. Click the corresponding Edit button. Click Add Question. Type your Question Text. Choose your Question Type from the dropdown: multiple choice. Select the Answer Display Mode: Dropdown list or Radio Buttons/CheckBoxes. Optionally, tick the Allow multiple answers checkbox. Confirm that you want to select the multi answer question type and that it is OK that all associated contingent questions, answers and resources will be removed from this question. NOTICE You cannot add contingent questions to multiple choice questions allowing multiple answers. Optionally, tick the Include 'Is Other' answer checkbox. Select if the question is mandatory. Apply question points to weight the question. Click Add Answer to add possible answers and if desired feedback on the question or on individual answers. Ensure that you mark at least one of the answers as correct. Your answer text and optionally added feedback are visible in the list. Optionally, tick the Contingent Question checkbox to add a contingent question for an incorrect answer. The Contingent Question dialogue box opens. Fill in the question details. When your contingent question is ready, click Save and Close to return to the 'Question Details' page. Click Add Resources to add a slide (or slides) to accompany the question. Optionally, click Annotations to add an annotation to a slide. The 'Viewer' page opens. Navigate to the region of the slide you wish to annotate and at the desired magnification. Select an annotation tool and create an annotation. Tutor

30 Tutor Creating an Online Test Add a name and description for the annotated area. NOTICE The annotation created will only be visible in the question, it will not be affect the slide. Click Close to return to the test questions. Add the Case History. When ready, click Add Question to create more questions for your test. When ready, click Preview to preview your questions. NOTICE In the preview mode it is not possible to submit answers to a test. If necessary, make adjustments to your questions. When ready, click Save and Close to return to the 'Manage Tests' page. Adding a Free-text Question Ensure that the online test to which you want to add a question is visible in the 'Manage Tests' page. Click the corresponding Edit button. Click Add Question. Type your Question Text. Click Add Resources to add a slide (or slides) to accompany the question. Optionally, click Annotations to add an annotation to a slide. The 'Viewer' page opens. Navigate to the region of the slide you wish to annotate and at the desired magnification. Select an annotation tool and create an annotation. Add a name and description for the annotated area. NOTICE The annotation created will only be visible in the question, it will not be affect the slide. Click Close to return to the test questions. Add the Case History. Apply question points to weight the question. 30 Tutor 6.1

31 Creating an Online Test Tutor Choose your Question Type from the dropdown: Free Text. Select the applicable answer input field settings: Alphanumeric input or Numeric input only. For numeric input only, fill in the correct answer or range. Type your Question Feedback. When ready, click Add Question to create more questions for your test. When ready, click Preview to preview your questions. NOTICE In the preview mode it is not possible to submit answers to a test. If necessary, make adjustments to your questions. When ready, click Save and Close to return to the 'Manage Tests' page. Adding a Mark an Area Question Ensure that the online test to which you want to add a question is visible in the 'Manage Tests' page. Click the corresponding Edit button. Click Add Question. Type your Question Text. Choose your Question Type from the dropdown: Mark an Area. Select if the question is mandatory. Apply question points to weight the question. Type your Question Feedback. Click Add Resources to add a slide (or slides) to accompany the question. Optionally, click Annotations to add an annotation to a slide. The 'Viewer' page opens. Navigate to the region of the slide you wish to annotate and at the desired magnification. Select an annotation tool and create an annotation. Add a name and description for the annotated area. NOTICE The annotation created will only be visible in the question, it will not be affect the slide. Click Close to return to the test questions. Add the Case History. When ready, click Add Question to create more questions for your test. Tutor

32 Tutor Creating an Online Test When ready, click Preview to preview your questions. NOTICE In the preview mode it is not possible to submit answers to a test. If necessary, make adjustments to your questions. When ready, click Save and Close to return to the 'Manage Tests' page. Exam Mode As a test creator you can enable the Exam Mode for an online test, see chapter Adding a Test on page 27. This will ensure that students who take this exam do not have access to other content within Tutor, except for the online test. Checking your Online Test The checklist below is an aid to ensure that students will be able to take the online test. Item Is the test complete? (See chapter Adding Questions on page 28.) Is the test period OK? (See chapter Adding a Test on page 27.) Are the test settings OK? (e.g. exam mode, anonymous ID) (See chapter Adding a Test on page 27.) Do the students have access rights to the test content? Do the students have the login credentials to access Tutor? Do the IP settings match with the target student group? (See.) Is the test content published? (See chapter Publishing/Unpublishing Content on page 26.) Tab. 8: OLT Checklist Taking a Test Checked Within the time-frame specified in the test settings, students can login to Tutor and take the online test. 32 Tutor 6.1

33 Creating an Online Test Tutor Managing Tests Viewing Test Progress Click Manage Tests from the top menu. Navigate to the test for which you want to view the progress. Fig. 17: Overview of online tests (example) Right-click the corresponding View Progress button. For each user that has started the test, the user name or Anonymous ID, the date and time started, the last question answered and the test completion date and time is shown. Fig. 18: Progress view (example) You can use the filter to customize your view. E.g. only show rows with a certain last question answered. Viewing Test Results Click Manage Tests from the Dashboard. Navigate to the test for which you want to view the progress. Tutor

34 Tutor Creating an Online Test Fig. 19: Overview of online tests (example) Right-click the corresponding View Results button. For each user that has started the test, the user name or Anonymous ID, the date and time started and the test completion date and time are shown. Fig. 20: View test results (example) You can click the corresponding Preview button to view the results for each question. Exporting Test Results Important Downloading the test results in CSV or PDF format will finalize the test. Users will not be able to answer questions of this test anymore. Do not download the CSV or PDF files before the examination date has passed, as this will force a user to submit the final test. The OLT module enables you to download the test results in a customized way: Export All to Single CSV will save a single excel spreadsheet with all the user names and questions/answers in one single spreadsheet. Export All to multiple CSVs will save a zip file containing individual CSV files per-user. The user spreadsheets will be named with the anonymous ID the user entered at the start of the test e.g. 391.csv. Export All to multiple PDFs will save a zip file containing individual PDF files per-user. The user PDFs will be named with the anonymous ID the user entered at the start of the test e.g. 391.PDF. Navigate to the 'View Results' page of the test. 34 Tutor 6.1

35 Creating an Online Test Tutor Fig. 21: View test results (example) Click the applicable export button to finalize the test and download the results. Moving a Test Ensure that the test you wish to move is visible in the content page. Fig. 22: Content overview Click the test and drag and drop it into the chosen folder. The selected test will be moved to the new location. Copying a Test When repeating a test for different year groups, copying a test is recommended. By copying the test for each sitting, you ensure that the test results are associated with the correct test dates. Ensure that the test you wish to copy is visible in the My Content page. Fig. 23: Content overview Select the test that you want to copy and click the Copy button on the top pane. Tutor

36 Tutor Creating an Online Test Select the location(s) you wish to copy to, then click Copy. The selected test will be copied. 36 Tutor 6.1

37 Viewer Toolbar Viewer 4 Viewer Viewer Toolbar The toolbar on the left hand side of the viewer allows you to toggle on/off all the key functions. Use the mouse wheel to scroll up and down the menu. Fig. 24: Viewer toolbar (left: upper part, right: lower part) Viewing a Slide Viewing Label and Slide Information Buttons in the Viewer toolbar allow you to quickly view label and slide information. Viewing the slide label Click the Label button to view the slide label. If the slide scanner has not scanned the slide label, this button will not appear in the viewer. The label will show in the right hand side under the thumbnail. Click again to close the label. Viewing slide information Click the button to open the 'Information' panel. This will show the following slide information: Slide name, Tutor

38 Viewer Viewing a Slide File type, Magnification, Z-stacks, MPP, Width, Height. Viewing the slide name If enabled in the permissions the slide name will appear above the thumbnail image. Click the Thumbnail button to display the thumbnail image in the top right corner if it is not visible. Slide Navigation Panning and Zooming To pan: Hold the left mouse key and drag the mouse in the direction. OR Use the arrow keys on the keyboard: up, down, left, right and also by pressing up/right, up/ left, down/right, down/left simultaneously. OR Use the thumbnail image in the top right corner either by a single click on a specific region or also by holding the left mouse key and dragging the mouse in the desired direction. To zoom: Double click with the mouse to zoom through the default magnification levels. OR Use the mouse scroll wheel to zoom incrementally. OR Fig. 25: Magnification options Click the Magnifier button from the toolbar to open the magnification drawer and select the magnification required. The maximum magnification (e.g. the magnification the slide was scanned at) will automatically be listed in the drawer. 38 Tutor 6.1

39 Viewing a Slide Viewer Scalebar By default the scalebar is enabled when you open a slide. The scalebar is located in the bottom right of the viewer and will adjust in size as you zoom in and out. The scalebar will display sizes greater that or equal to 1mm in mm and less than 1mm in microns. For standard JPEG images the scalebar will not be displayed. Click the Scalebar button to disable the scalebar. Layer Navigation If a slide has been scanned with z-stacks (Layers) the Zstacks button will appear and switched on by default. You will see a slider bar in the top left of the viewer. Click the arrows to focus up and down through the layers incrementally. Use the slider to drag through the focus layers. Viewing Slides Side by Side For studies with multiple stains, the viewer enables side by side viewing of slides. Click the Slides button to view multiple slides in a case. The 'Slides' panel opens. Tutor

40 Viewer Viewing a Slide Fig. 26: 'Slides' panel Click the Split Screen button in the bottom right of the thumbnail to select slides you wish to view side by side. The active window will be outlined in green. Click the Sync Views button in the viewer to activate the synchronizing of both magnification and panning of the images side by side. The selected images are synchronized and you can view them side by side. 40 Tutor 6.1

41 Adjusting Images Viewer Fig. 27: Side by side view / * 2018 MAY 17 Adjusting Images Adjusting Image Settings Philips Digital Pathology Solutions Click the Adjustments button to adjust the image settings. The 'Image Adjustments' panel opens. Tutor

42 Viewer Adjusting Images Fig. 28: 'Image Adjustments' panel Drag the slider to adjust the gamma. Hamamatsu slides will be automatically set with a gamma offset of 1.8. Drag the slider or type a value directly into the text box to adjust the brightness and contrast. Single click the Eye button to toggle on/off the channels on a fluorescent image. These channels will automatically display the channels from which the fluorescent image was scanned with. Up to 10 channels can be displayed. Drag the slider or type a value to incrementally adjust the channels. Toggle the button on/off to sharpen the image. Click Apply to save your changes. 42 Tutor 6.1

43 Annotating Images Viewer Restoring the default settings Click Reset all to return to the default image settings. Rotating Images Click the Rotate button to launch the rotation wheel. This will open in the bottom right-hand corner above the scalebar. Click on the wheel to drag the ball around and adjust the rotation. The degree of rotation will be displayed in the centre of the wheel. Click the centre to return the position to 0 degrees. Saving a View Click the Save View button to to save the rotation and/or image adjustments made on a slide. Fig. 29: Save view options Check the boxes in the popup window to select which option you wish to save. Click Save to save the view and close the window. When you close and reopen the viewer it will now recall the rotation and image adjustments made and saved. Annotating Images Creating an Annotation Navigate to the region of the slide you wish to annotate and at the desired magnification. Tutor

44 Viewer Annotating Images Fig. 30: Annotation shapes Choose your shape square, circle, freehand pen, arrow, curly bracket or fixed size circle (3.40 mm 2 ). Click on the region. The 'Annotations' panel opens. Fig. 31: 'Annotations' panel (example) You can add your name, description and change the color of the annotation. Toggle the Sharing button on if you wish to share the annotation with other users. Fig. 32: New annotation (example) The Viewer shows the newly created annotation. In the 'Annotation' panel the newly created annotation is listed. Editing an Annotation From the list of annotations, select the annotation you wish to edit. 44 Tutor 6.1

45 Annotating Images Viewer Click the Edit button to adjust the name, description or color. Click on the shape to adjust the dimensions, position or rotate the annotation. Toggle the Sharing button on if you wish to share the annotation with other users. Toggle the Sharing button off if you want do not want others to view your annotation. Click Save to save the changes to your annotation. Viewing Annotations The Annotations button shows a number icon on the top right corner to indicate the number of annotations on the current slide. Click the Annotations button to open the 'Annotations' panel. The Annotations button turns red. Fig. 33: 'Annotations' panel (example) The current annotations will be listed down the left hand panel in annotation boxes. Click the Eye to view all annotations on the slide. Click the Info button to see who created the annotation and when. Click anywhere on the annotation box to expand the text and navigate to the region of interest and at the drawn magnification. Tutor

46 Viewer Using Measurement Tools Using Measurement Tools The Measure button shows a number on the top right corner to indicate the number of measurements saved for the current slide. When the measure button is clicked, the Measure button turns red and the 'Measurements' panel opens. In this panel you can: start an linear measurement (ruler tool), start an area measurement (freeform polygon), edit saved measurements and view saved measurements. Creating Measurements Navigate to the region of the slide you wish to measure and at the desired magnification. Click the Measure button. The 'Measurements' panel opens. Fig. 34: 'Measurements' panel (example) Select the applicable type of measurement: linear or area measurement. Click on the slide and drag the mouse to draw the measurement. 46 Tutor 6.1

47 Using Measurement Tools Viewer Fig. 35: Linear measurement (example) The linear measurement shows the length in mm or microns of the line. Fig. 36: Area measurement (example) The area measurement shows the area of the region drawn. If you wish to redraw the measurement at any time, release the mouse and click on a new region to redraw. Click the Save button to save the measurement to the slide or click Cancel to remove the measurement. The newly created measurement is listed down the left hand panel. Tutor

48 Viewer Working with Screenshots Editing Measurements Click the Measure button. The 'Measurements' panel opens. Select the measurement you want to edit. Click Edit to adjust the name, description or dimensions of the measurement. When OK, click Save button to save the changes to your measurement. Viewing Saved Measurements Click the Measure button. The 'Measurements' panel opens. Click anywhere on the measurement box to expand the text and navigate to the region of interest and view the saved measurement. Click Info to see what user created the measurement. Working with Screenshots Click the Screenshot button to open the screenshot drawer. Select the applicable type of screenshot: - Click Whole to captures the whole area visible on screen. - Click Draw to open the pen tool and draw around the area of interest. Fig. 37: Screenshot options Select the resolution (Original, medium or high) and output type (JPEG or PNG) for the screenshot. Click the applicable button to proceed: - Click Save to export the screenshot as a JPEG/PNG to your desktop. - Click Share to copy and paste the link to the screenshot via /chat. - Click Print to send the screenshot directly to a printer. - Click Cancel to close the window. 48 Tutor 6.1

49 Closing the Viewer Viewer Closing the Viewer Click the Close button to exit the viewer from the browser tab and return to the main application. Tutor

50 Viewer Closing the Viewer 50 Tutor 6.1

51 User Management Manager Permissions 5 Manager Permissions User Management Users with sufficient rights can add, edit, disable and delete user accounts. Tutor enables an export of the user account data. Click Manage Users from the top menu. Click Users. For each user the username, address, user type, date created and last logged in date are shown. You can use the last known login date to verify that no unwanted access has occurred to the account since the last login of the user. Fig. 38: 'Users' page Adding User Accounts To add a new user: Click Add New User. Enter the user name for the new user. Select the applicable user type from the dropdown menu. - User will have read/write access to personal folders. - Manager will have read/write access to all folders. Optionally, select the security question and enter security answer. Enter the address. Optionally, enter the account start date and account expiry date. Enter the first name, last name of the new user. Click Apply. Tutor creates a new user account. Tutor

52 Manager Permissions User Management The user will be added to the list of users. Editing User Accounts To edit a user account: Display the user account that you want to edit. Click the user name or the corresponding Edit button. Edit the user account, e.g. adjust the user name, user address or expiry date. Click Apply. The user account will be adjusted. Disabling User Accounts Display the user account that you want to disable. Click the user name or the corresponding Edit button. Check the Disable User tick box. The user account will be disabled. The user will not be able to log in. You can select the disabled user account and enable it again. No associated data will be deleted. Deleting User Accounts Display the user account that you want to delete. Click the corresponding Delete button. A confirmation message This will delete this user and everything associated with this user. Are you sure you wish to continue? is shown. Important After clicking the Delete button you can not undo this action. NOTICE If a user has left the organization and you want to deny access to Tutor for this user, consider disabling the user account instead of deleting. Click Delete to remove the user account and associated data. The user account and associated data will be deleted. The user will not be able to log in. The user account is removed from the list. Exporting User Data Click Manage Users from the top menu bar. 52 Tutor 6.1

53 User Management Manager Permissions Click Users. Click Export. Enter the file name. Select the applicable file format. - Comma Separated Values (CSV) - Tab Separated Values (TSV) Click Export to save the file to your local workstation. Important The export file may contain sensitive information. Make sure this information is properly protected to prevent unwanted access to sensitive or personal data. Tutor

54 Manager Permissions Group Management Group Management Users with sufficient rights can add, edit and delete groups. Tutor enables an export of the group data. Click Manage Users from the top menu. Click Groups. For each group the group name, start and expiry date are shown. Dates are shown in green font when the group is still active. Dates for groups that have not started or for which the expiry date has passed are shown in red. Fig. 39: 'Groups' page Creating a Group Withing Tutor you can create different groups for different users. E.g. groups for students within a certain class and groups of instructors. The table below shows some example settings for student and instructor groups. Item Explanation Example setting for Override group IP restriction Manage Servers If enabled group s permissions/access override any other permissions/access for the users within the group. E.g. in case users have permissions to view/ edit content, you can enable this feature to deny access to content during an examination period. Access to Tutor is limited to users that work on workstations within a certain IP range. Allows users to configure and edit Image Servers. student group Disable Disable Disable Example setting for instructor group Disable Disable Disable 54 Tutor 6.1

55 Group Management Manager Permissions Item Explanation Example setting for student group Example setting for instructor group Manage Content Allows users to create and manage Disable Enable content. Manage Tests Allows users to create tests and man- Disable Enable age. Allow users to add new Allows instructors to create groups for Disable Enable groups classes Add images Allows users to add images to a mod- Disable Enable ule/case. Edit/delete all content Gives users read/write access to all Disable Disable content within Tutor. Tab. 9: Group Settings and Permissions To create a new group: On the 'Group' page click the New button to add a new group. Enter the group settings. Applying an IP restriction for a group is a configurable option available for users with Manager rights. Please contact Customer Support if you want this option enabled for you. Fig. 40: Group Settings (example) Enter the Access Permissions for the group. Enter the User Permissions for the group. Enter the Viewer Settings for the group. Click Apply. Tutor creates a new group. The group will be added to the list of users. Adding Users to Group Display the group that you want to add users to. Click the corresponding User button. Tutor

56 Manager Permissions Group Management Fig. 41: Adding users to a group The 'Users' page of the group is shown. Select users from the list of available users and click Add to add them to the group. OR Choose a CSV file which lists the user names in the first column and click Upload to import the users automatically into the group so they are added to the Users in Group list Click Apply to add the users to the group. Adding an Admin User Display the group that you want to add admin user(s) to. Click the corresponding Admin button. The 'Admin Users' page of the group is shown. Select user(s) from the list of available users and click Add to give the user(s) group admin rights. Click Apply to add the admin user(s) to the group. When the admin user now has access to the Groups tab within Tutor. - The admin user can adjust group settings. - The admin user can add/remove other users to or from the group. NOTICE If you have given the group read/write access to content within Tutor, this applies for all users in that group. If you want the admin users to have read/write access to content and read access only for other users in that group, you must create different groups, see chapter Creating a Group on page Tutor 6.1

57 Group Management Manager Permissions Assign Content to a Group Display the group that you want to assign content to. Click the corresponding Content button. Fig. 42: Assigning content to a group The 'Content' page of the group is shown. Choose the module(s) or case(s) you wish to give read/no read/write access to for the group by toggling the icon under Permissions. Click Groups to save your changes and return to the Groups management page. Editing Group Permissions and Settings To edit group permissions or settings: Display the group that you want to edit. Click the group name or the corresponding Edit button. Edit the group permissions or settings Click Apply. The group will be adjusted. Exporting Group Data Click Groups from the top level menu. Click Export. Enter the file name. Select the applicable file format. - Comma Separated Values (CSV) - Tab Separated Values (TSV) Click Export to save the file to your local workstation. Important The export file may contain sensitive information. Make sure this information is properly protected to prevent unwanted access to sensitive or personal data. Tutor

58 Manager Permissions Group Management Deleting a Group To delete a group Display the group that you want to delete. Click the corresponding Delete button. A confirmation message is shown. Click Delete. The group will be deleted and removed from the list. Important After clicking the Delete button you can not undo this action. 58 Tutor 6.1

59 Create your Homepage Manager Permissions Create your Homepage Click Manage Content in the top menu bar. Click Edit Home Page. The 'Editor' window shows the homepage. Fig. 43: Creating a homepage Click Insert Image from the icons at the top. The media archive opens. Click Upload from the icons at the top. Browse to your company logo image file. Click Open to start the file upload to the media archive. Select the image. Optionally, set the height and the width. Click Insert. Your company logo will now appear on the homepage. Create the text for your homepage: - Type text directly into the Editor Window. - Use the tools to format the text and layout. Optionallly, insert tables or add additional images or videos to your homepage. Click Save and Close. Tutor

60 Manager Permissions Data Management Data Management Users with sufficient rights can access the recycling bin and restore and permanently delete items from the recycling bin. Accessing the Recycling Bin Click Manage Content. Click Recycling Bin. Fig. 44: Recycling Bin Restoring Content from the Recycling Bin Navigate to the recycling bin. Select the content that needs to be restored and click Restore. A window will appear with the restoration options. Select the applicable option. - Select Restore to parent if you want to restore the content to the original location. - Select Restore if you want to select a specific location for the restored content. The content, (if applicable with any child contents) will be restored to the My Content page. Deleting Content from the Recycle Bin NOTICE Items in the recycling bin will be automatically deleted after 60 days. Manually Delete Items from the Recycle Bin 60 Tutor 6.1

61 Data Management Manager Permissions Navigate to the recycling bin. Select the content(s) that needs to be permanently deleted. Click on Permanently Delete. A confirmation window will appear. Important After clicking the Delete button you can not undo this action. Confirm to delete the content from the recycling bin. The content, (if applicable with any child contents) will be permanently deleted. Tutor

62 Manager Permissions Servers Servers Users with Manager rights can add, edit and delete connections to servers. Click Manage Servers from the top level menu. The 'Servers' page opens. Fig. 45: 'Servers' page To add a new server: Click the New button to add a new server connection. Fig. 46: Server details Fill the fields and click Apply. To edit an existing server connection: Click the Edit icon of the server connection you want to edit. Make the required changes and click Apply. To delete a server connection: 62 Tutor 6.1

63 Servers Manager Permissions Click the Delete icon of the server connection you want to delete. A warning pop up will show. Confirm the action. Important After clicking the Delete button you can not undo this action. All data that is used directly from the server is no longer available and deleted from the online course or test. Tutor

64 Manager Permissions Manager Settings Manager Settings Date and Time Format Users with Manager rights can set the date and time format. Click the dropdown from right corner of the top menu and select Manager Settings. The 'Manager Settings' page opens. Select the desired date and time format from the list. Click Apply. Password Requirement Settings Users with Manager rights can customize password requirements. Click the dropdown from right corner of the top menu and select Manager Settings. The 'Manager Settings' page opens. Customize the password requirements to your organization's need. By default all password requirements are disabled. Requirement Minimum Password Length Previous Passwords Remembered Require Special Characters Explanation Minimum number of characters for the password. The number of previous passwords that the system remembers and cannot be reused for new passwords. When this tickbox is checked, the password must contain at least one special character. For #, $, %, ^, &, *, (, ), _ and +. Enforce Password Strength When this tickbox is checked, the password must contain at least 3 Maximum Login Attempts Password Expiration Time (in days) Tab. 10: Password requirements Click Apply to save the settings. of the following 4 character types: Lower case alphanumeric [a-z] Upper case alphanumeric [A-Z] Number [0-9] Special Characters The maximum number of login attempts before the account is automatically disabled. Enter a numerical field between 0 (no checking) and 10. The number of the days after which the password expires. The password requirements are customized. The new requirements will be applicable for all users. 64 Tutor 6.1

65 Getting Started Tablet Device Display 6 Tablet Device Display Tablet Device Display is only available for users with the Tablet Device Display module installed. For more information, contact your representative. Getting Started To log in to Tutor: Go to Enter your account name, username and password. Click Login. Scroll down to the bottom of the page and click Tablet View. Select the toggle bar to view options. Navigate through modules and select a course or a slide that you want to view. The selected course or slide is opened in the Viewer. NOTICE Only a selected set of features and screens are tablet mode compatible. Tutor

66 Tablet Device Display Getting Started Fig. 47: Tablet View (Example) 66 Tutor 6.1

67 Simple Gestures Tablet Device Display Simple Gestures Within the Tablet Device Display the following simple gestures can be used to zoom in, zoom out and rotate. Zoom in Zoom out Rotate Tab. 11: Touch screen gestures Description of Viewer Icons Icon Description Full screen Full screen can be activated by touching this icon. Magnification Allows you to select the desired magnification. This icon changes colour to let you know what level of magnification you are currently on. Annotation Allows you to highlight areas of interest with a selection of shapes. Measure Measure the annotation you have created. Label Enables you to view the label of a slide for identification. Slides This will show all slides in this case. Information Show all information on this slide. Scalebar Press this icon to show or hide the scalebar which can be seen in the bottom right corner. Thumbnail Show or hide the thumbnail image on the top right of the screen. This shows the area of the slide you are currently viewing. Close This will close the viewer. Closing the internet browser does not log you out. To prevent unwanted access to the Tutor application, use this button to log out. Tab. 12: Icons available in the tablet viewer Tutor

68 Tablet Device Display Description of Viewer Icons 68 Tutor 6.1

69 Reporting a Problem Support Information 7 Support Information Reporting a Problem To access the Tutor support: Send an to support@pathxl.com. or When logged in: Scroll to the bottom of the screen and click Report a Problem. Click on Submit a ticket. You will be assigned a ticket ID and receive an auto response to acknowledge your ticket has been received. A support engineer will respond to your query within 4 hours. All tickets tracked and you are notified automatically of any status change in the ticket. Service hours Service core business hours are Monday through Friday between hours 9.00 am and 5.30 pm (GMT/ BST). Priority Description 1 Service non-functional with high impact on Customer operations. 2 Service functional but with impact on Customer operations. System possibly unavailable to large number of users or is experiencing performance issues. 3 Minor problems with very low impact on Customer operations. 4 Cosmetic and documentation errors. 5 Change request. Tab. 13: Priority codes Maintenance Agreement Subject to agreement on the priority code of the fault, Philips Digital Pathology Solutions will use all reasonable endeavours to respond to and fix (including by means of a workaround, temporary fix or emergency bypass procedures) faults within the target time scales listed in the table. Priority Response Times Target Resolution Times 1 Within 1 normal working hour Next working day 2 Within 2 normal working hours 3 working days Tutor

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