Basic Dicom Module Options

Transcription

1 Basic Dicom Module Options Updated October 2, 2013 There are several methods for getting Dicom images into a patient s chart. The first option involves using the Image Capture Importer module which allows you to access Images on your Dicom server as well as Dicom images from a CD. While the Image Importer is open, you can adjust the contrast, annotate the image and then file it to the chart as a single image(s) or as custom multiple image document. Dicom server is required. The second option involves inserting Dicom images into text documents using the Image Capture Importer module which allows you to access Images on your Dicom server. While the Image Importer is open, you can adjust the contrast, annotate the image and then insert it into a text document as single or multiple images. Dicom server is required. The third option is to be used if you do not have a Dicom server, and only if your Dicom machine supports this process; you can save the Dicom images straight from the Dicom machine into the PCM filing inboxes or you can file from a network drive, once the images are saved into the Filing Inboxes you can view, manipulate, add annotations and then file to the patients chart. Dicom server is not required. The fourth and newest option is the ability to file epdf Dicom Images from the PCM Filing Inboxes. Important Notes: Image Edits: All Dicom image annotations, edits and changes in rotation or contrast must be done prior to filing or inserting into document, changes are not reversible after the image is filed to the patient s chart. Image Date: If the date exists in the image tag, there will be no need to choose the date unless the date does not exist in the tags or if the user wishes to change it. Study Type: If the study type exists in the image tag, the information will be stored in the document comment; therefore there is no need to type the comment. Signing Dicom Images: If you wish to sign the image after filing, choose the PDF option because images filed as TIF or using the Send to Dicom Svr option cannot be signed. Dicom Images will be filed as PDF or TIF unless the Send to Dicom Svr option is used.

2 Viewing/Manipulating Images prior to filing When you click on a Dicom image, the image opens up in the viewer pane. The Image can be manipulated using the buttons on the toolbar. To preview/manipulate Dicom images prior to filing: 1. Open the Filing Inboxes 2. Click on the Images folder (or any other folder you may have) 3. Select a Dicom image The image will preview to the right in the viewer pane

3 Image Viewer Toolbar has tool tips that show what the functions are for each button The first 5 buttons on the toolbar Contrast Pan Zoom to Fit Zoom In Zoom Out The image can be manipulated with the following buttons on the toolbar View Normal Rotate Left Flip Horizontal Flip vertical The following buttons are shown when viewing multi-frame images Previous Series Next Series Show Tags/Patient Identifier button This stores patient identifying information, referring info, date and study description, series information and image modalities

4 The Tags Toolbar menu includes the following buttons Shows All Tags View Patient Tags View Study Tags View Series Tags View Image Modality Tags View Image Dicom Image Editor To open the Image Editor, click on the Dicom Image Editor button This will open the editor, you can add annotations to the image prior to filing, any edits that are made will be files as part of the image.

5 Image Tags The Dicom image tags stores patient identifying information, referring info, date and study description, series information and image modalities, if the patient s name is not visible in the image, you can find the patient s name for the image you are filing by looking at the image tag. For Dicom Images filed as TIF Images, Click on Show Dicom Tags. For Dicom images filed as PDF, view Tags from the Attachments pane

6 For Dicom images filed using the Send to Dicom Svr option, click on the Show Tags/Pt Identifier button I. File Dicom Images Using the Image Capture Importer This option uses the Image Capture Importer module to access Images on your Dicom server. While the Image Importer is open, you can adjust the contrast, annotate the image and then file it to the chart as a single image(s) or as custom multiple image document. 1. Open Patient Chart 2. Click on the Scan to Chart button from the main toolbar 3. Select the Use Image Capture/ Image Importer Module 4. The first method involves using 5. Click OK

7 6. The Image Importer screen comes up 7. Click on the Query Dicom Server button 8. The DICOM server Image Query Wizard screen comes up 9. Choose the options; Images from Dicom Server, Choose your DICOM server, Patient Name 10.Click on Next

8 11.Double Click on the patient s name 12.Expand the study you wish to view 13.Expand the series 14.Select a specific image you wish to file, the image will be downloaded and will appear on the right side 15.Optional: use any of the available Tools to flip or rotate the image or use the Image Editor option to open the image for further editing options 16.The image will display on the right

9 17.Click on the Capture Current Image screen preview to capture what is visible on the 18.You can zoom in/out or use the to capture option to select a specific area of the image Note: You can capture as many images as you like, including images from other studies; it is most efficient to capture them all at one, so that there is no need to repeat this process again. 19.Click on Finish when done

10 20.All of the captured Images are stored in the Image Importer 21.On the Image Importer, Click on the image(s) you would like to save Note: You can select multiple images by holding the Ctrl button and clicking on other images, the selected images will have blue borders 22.Click on Export Selected Images 23.Choose a Date 24.Choose a document from the list

11 25.Enter a comment if you wish, the type of study or view may be entered here 26.The image is now filed into the chart Creating a Custom Image Using the Image Capture Importer This option uses the Image Capture Importer module to access Images on your Dicom server and allows you to create a custom image from the selected imported images; you can have multiple images in one page. 1. On the Image Importer, Click on the image(s) you would like to save Note: You can select multiple images by holding the Ctrl button and clicking on other images, or use the Select All, the selected images will have blue borders 2. Click on Make Selected Images as Custom Image 3. Under Options, choose how the images are to be placed on the document 4. Click on Export Custom Image

12 5. Choose document date 6. Choose a document name for the image 7. Click OK 8. Enter a comment if desired 9. The custom image will now be filed in the chart II. Insert Dicom Images Into text Documents This option allows inserting Dicom images into text documents using the Image Capture Importer module to access Images on your Dicom server. While the Image Importer is open, you can adjust the contrast, annotate the image and then insert it into a text document as single or multiple images. 1. Attach a text document 2. Place the cursor on the document where you want the images to be inserted 3. From the Insert Menu, choose the Image/ Video- Audo/ Voice, Insert from Image Capture

13 4. The Image Importer screen comes up 5. Click on the Query Dicom Server button 6. The DICOM server Image Query Wizard screen comes up 7. Choose the options; Images from Dicom Server, Choose your DICOM server, Patient Name 8. Click on Next

14 9. Double Click on the patient s name 10.Expand the study you wish to view 11.Expand the series 12.Select a specific image you wish to file, the image will be downloaded and will appear on the right side 13.Use any of the available tools to flip or rotate or edit the image, if necessary 14.Click on Capture Current Image 15.Click on Finish when do

15 16.Captured Images are stored in the Image Importer, when finished selecting one or more images, click on the Export Selected Images 17.The exported image is now part of the document Note: you can also create a custom image usig the Image Capture Importer and insert into a text document.

16 III. File Dicom Images from the Filing Inboxes This option is to be used if you do not have a Dicom server, and only if your Dicom machine supports this process; you can save the Dicom images straight from the Dicom machine into the PCM filing inboxes, once the images are saved into the Filing Inboxes you can view, manipulate, add annotations and then file to the patients chart. Dicom images can be copied directly into the Images folder in the filing inboxes, or a new custom folder with a name of your choice (such as Images Dicom ) can be created in the general filing inboxes directory. Dicom images can be filed by using the File From Drive:\Folder option, this option allows you to browse for a network location where the images are stored. For assistance in saving Dicom images into PCM Filing Inboxes, contact Prime Clinical Systems support. Dicom images that are copied into the filing inboxes are ready to be filed directly into the patient s charts. 1. Open Filing Inboxes 2. Click on the Images Dicom tab (or any other folder you may have) 3. Select an image to file by clicking on it 4. Select Patient by typing name in Patient look up (No need to rt. Click to select file, images will be filed one at a time and already in file mode) 5. Filing Options will come up Note: The Send to Dicom Svr option will be enabled only when a Dicom server is set up, if used will send the Dicom Image to the patient s Dicom Char Tab

17 a. Yes- After choosing a Requisition from the REQ Log, the document will be filed to the patient s chart under the chart tab for the selected REQ. Note: When filing Dicom images using the REQ Log interface, the message Delete the document from the filing inbox? will not come up because Dicom image can only be used for one patient/requisition, the document will automatically be removed from the inbox. b. No- The image will be filed to the pt. s chart under the selected Chart Tab c. Send to Dicom Svr- The image will be sent to the pt. s chart under the Dicom chart tab. 6. Click Yes to file as PDF or NO to file as TIF Note: If you wish to sign the document, choose the PDF option. 7. Date Document, document date will default to the study date if available or can be changed by clicking on the 8. Click OK to accept the date 9. Select the name of the image form the list of image names

18 These image names are set up in Doc Set Up under the B/W Image tab. If filing to an Image, a signor will have to be selected at the time of filing, a copy may be sent to the signor at that time. 10.Click OK to file the Image 11.Click Yes to the message Delete the document from the filing inbox? if you wish to save it in the filing inboxes, otherwise click on No to delete it from the filing inbox. File Dicom Images from Drive This option is to be used if you do not have a Dicom server and/or have Dicom images stored on your network. Make sure that the images are saved in a folder, this can be on the local computer or on the network, and preferably on the network for easier filing accessibility, the following path is recommended: \\servername\\sharedpcm\ BarcodeScans\Images. 1. Click on File From Drive:\Folder 2. Browse for the folder location where the Dicom images are stored, as shown below 3. Select the folder, make sure that the actual folder is selected and NOT the individual images

19 4. Click OK 5. All of the images inside the folder will be displayed and can be filed directly to the patient s chart. 6. Select an image to file by clicking on it You can find the patient s name for the image you are filing by looking at the image tags 7. Select Patient by typing name in Patient look up 8. Filing Options will come up Note: The Send to Dicom Svr option will be enabled only when a Dicom server is set up, if used will send the Dicom Image to the patient s Dicom Char Tab a. Yes- After choosing a Requisition from the REQ Log, the document will be filed to the patient s chart under the chart tab for the selected REQ. Note: When filing Dicom images using the REQ Log interface, the message Delete the document from the filing inbox? will not come up because Dicom image can only be used for one patient/requisition, the document will automatically be removed from the inbox. b. No- The image will be filed to the pt. s chart under the selected Chart Tab 9. Click Yes to file as PDF or NO to file as TIF

20 Note: If you wish to sign the document, choose the PDF option. 10.Date Document, document date will default to the study date if available or can be changed by clicking on the 11.Click OK to accept the date 12.Select the name of the image form the list of image names These image names are set up in Doc Set Up under the B/W Image tab. If filing to an Image, a signor will have to be selected at the time of filing, a copy may be sent to the signor at that time. 13.Click OK to file the Image 14.Click Yes to the message Delete the document from the filing inbox? if you wish to save it in the filing inboxes, otherwise click on No to delete it from the filing inbox. IV. File epdf Dicom Images from Filing Inboxes As of PCM Version filing epdf Dicom images from the filing inboxes has been enabled, epdf Dicom images can be filed with or without using the REQ Log Interface.

21 The Dicom tags are stored in an embedded text file; this is shown in the Attachments Pane.

22 To view the Dicom tags attachment file, click on the Dicom Tags link from the Attachments Pane A note pad showing the Dicom Tags will come up

23 The epdf Dicom images can be edited from the filing inboxes prior to filing. The annotations will be stored as part of the image. Filing epdf Dicom Images from Filing Inboxes 1. Click on the epdf document from the filing inbox 2. Choose a patient s name 3. Filing Options will come up a. Yes- After choosing a Requisition from the REQ Log, the document will be filed to the patient s chart under the chart tab for the selected REQ. Note: When filing Dicom images using the REQ Log interface, the message Delete the document from the filing inbox? will not come up because Dicom image can only be used for one patient/requisition, the document will automatically be removed from the inbox. b. No- The image will be filed to the pt. s chart under the selected Chart Tab 4. Click Yes to file as PDF 5. Date Document, document date will default to the study date if available or can be changed by clicking on the 6. Click OK to accept the date 7. Select the name of the image form the list of document names

24 These image names are set up in Doc Set Up under Fax/ Scan B/W Docs If filing to an Image, a signor will have to be selected at the time of filing, a copy may be sent to the signor at that time. 8. Click OK to file the Image 9. Click Yes to the message Delete the document from the filing inbox? if you wish to save it in the filing inboxes, otherwise click on No to delete it from the filing inbox. The epdf image will be filed to the patient s chart under the selected Chart Tab V. Filing Dicom Images from Dicom Chart Tab (Open Chart) If you choose the filing option Send to Dicom Svr., the image is sent to the Dicom Server/ Dicom Chart Tab. The images can also be filed into the chart from the Dicom Server/ Dicom Chart Tab. This will send a copy of the Dicom image as PDF or TIF to the chart. If you want the ability to sign a Dicom Image that has been sent to the Dicom Svr., you will need to first file it to the chart, using the File to Chart, PDF option. 1. Right click on the image name from the Dicom chart tab and 2. Choose the File to Chart option 3. Choose whether or not to file with Req Log Interface 4. Then choose Yes to file as PDF

25 5. Choose a document name, the click OK 6. The Image can now be signed. Other Dicom Image Options a. File to Chart (Pdf/ tif)- This will give you the option to file to the chart, with or without the REQ Log Interface Note: you cannot append to existing image unless the previous image is PDF and filing PDF for example, PDF append to JPG/TIF is not permitted. b. Print- Allows you to print the Dicom image c. (Pdf/ Jpg)- Allows you to the Dicom image d. Move Image To Another Chart - Allows you to move the Dicom image, in case it has been misfiled.

26 VI. File Dicom Images or epdf Dicom from Drive:\folder Make sure that the images are saved in a folder, this can be on the local computer or on the network, and preferably on the network for easier filing accessibility, the following path is recommended: \\servername\\sharedpcm\ BarcodeScans\Images. 1. Click on File From Drive:\Folder 2. Browse for the folder location where the Dicom images are stored, as shown below 3. Select the folder, make sure that the actual folder is selected and NOT the individual images 4. Click OK 5. All of the images inside the folder will be displayed and can be filed directly to the patient s chart.

27 6. Select an image to file by clicking on it You can find the patient s name for the image you are filing by looking at the image tags 7. Select Patient by typing name in Patient look up 8. Filing Options will come up c. Yes- After choosing a Requisition from the REQ Log, the document will be filed to the patient s chart under the chart tab for the selected REQ. Note: When filing Dicom images using the REQ Log interface, the message Delete the document from the filing inbox? will not come up because Dicom image can only be used for one patient/requisition, the document will automatically be removed from the inbox. d. No- The image will be filed to the pt. s chart under the selected Chart Tab e. Send to Dicom Svr- The image will be sent to the pt. s chart under the Dicom chart tab. 9. Click Yes to file as PDF 10.Date Document, document date will default to the study date if available or can be changed by clicking on the 11.Click OK to accept the date

28 12.Select the name of the image form the list of document names These image names are set up in Doc Set Up under Fax/ Scan B/W Docs If filing to an Image, a signor will have to be selected at the time of filing, a copy may be sent to the signor at that time. 13.Click OK to file the Image 14.Click Yes to the message Delete the document from the filing inbox? if you wish to save it in the filing inboxes, otherwise click on No to delete it from the filing inbox. VII. Filing multiple-frame Dicom Images When opening an image that has multiple frames, the frames will be displayed across a window that opens at top of the image, click on the frames you want to file. A selection red rectangle will show around the images you wish to save. 1. Open Filing Inboxes 2. Click on the Images tab (or Images Dicom) 3. Select an image to file by clicking on it 4. You may select multiple images at the same time, and will be filed as a multiple page document, by holding down the Ctrl Key while selecting the multiple images

29 5. Click on the Image Frame you wish to file Note: You can also use the controls on the toolbar to advance and go back. 6. Select the Patient by typing name in Patient look up 7. Filing Options will come up a. Yes- After choosing a Requisition from the REQ Log, the document will be filed to the patient s chart under the chart tab for the selected REQ. Note: When filing Dicom images using the REQ Log interface, the message Delete the document from the filing inbox? will not come up because Dicom image can only be used for one patient/requisition, the document will automatically be removed from the inbox. b. No- The image will be filed to the pt. s chart under the selected Chart Tab c. Send to Dicom Svr- The image will be sent to the pt. s chart under the Dicom chart tab. 8. Click Yes to file as PDF or NO to file as TIF Note: If you wish to sign the document, choose the PDF option. 9. Date Document, document date will default to the study date if available or can be changed by clicking on the

30 10.Click OK to accept the date 11.Select the name of the image form the list of image names These image names are set up in Doc Set Up under the B/W Image tab. If filing to an Image, a signor will have to be selected at the time of filing, a copy may be sent to the signor at that time. 12.Click OK to file the Image 13.Click Yes to the message Delete the document from the filing inbox? if you wish to save it in the filing inboxes, otherwise click on No to delete it from the filing inbox.