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Roentgen Works Site Coordinator User Manual Rel 1.0

1. B URGENT URGENT 78d 20h 57m 52s ZZTESTPATIENT BATMAN PID00004338 01D0007085 FLUOROSCO URGENT 60d 23h 20m 53s GRUNTSKI GOOBER PID00006767 01D0006773 US Date of Birth Columns Faxes Site BRIT Systems BRIT Systems BRIT Systems BRIT Systems BRIT Systems BRIT Systems Reason for Study Reason for Hold Assigned Unassigned Actions Needed 7 Incomplete Orders 392 Work Queued 0 Delivered 29 Read 20 Messages 0 Modalities Users Search 0 Statistics Active Width Ji 50869000 IG Detail Dal Date 2009 03 13 09 30 2009 03 19 07 33 2009 05 04 09 18 2009 05 04 09 20 2009 03 13 09 28 2009 03 19 07 35 Description Modalities Logout Edit Profile About Users Search 0 Statistics Setup 71010 CHEST 74000 ABDO 72148 MRI SF 73590 LT TIB 70470 CT HE FLUOROSCO h J KA Internet 100 Patient List Once the Setup panel is open the CH changes to a amp Faxes Label Active Wig ACC Description Patient ID Patient Name G DDDDDl nn Date of Birth Columns Detail Assigned Unassigned Site Date BRIT Systems 2009 03 13 09 30 BRIT Systems 2009 03 19 07 33 BRIT Systems 2009 05 04 09 18 BRIT Systems 2009 05 04 09 20 BRIT
2. Roentgen Works Flow provides a variety of improvements over the current methods of working with a typical client site These improvements include Efficient support for multiple remote customers Powerful application to accommodate duplicate studies and patient ID Application that can handle multiple HL 7 links for returns of reports Reduce or even eliminate client order entry Easy access to comparisons studies Efficient load balancing and distribution based on rules Eliminate staff handing distribution of studies or order information Provide easy to find and use contact information for referring physicians Provide electronic methods of tracking for on hold and urgent findings Eliminates statf for transcription and report distribution Provides statistics for management and billing purposes System that handles security issues for multiple sites VVVVVVVVVV VV Roentgen Works Flow also provides the Radiologist with some workflow tools to efficiently take the following actions gt Easily open the study when integrated with BRIT Vision by double clicking on the study in the Delivered list Put studies on hold Mark studies as urgent Locate the contact number and use Skype or BRIT Phone to place the call Communicate with the Site Coordinator when incomplete studies are received and additional information is needed Easily customize the information they specifically need on each of the windows View the Study H
3. each time the status Was reset and what the status EN ETE Ee Ge Bn was reset to by the last user Color Coding The studies are color coded as follows gt Alerts the Radiologists that the study has come in from the Site tagged as a Critica study The Radiologist needs to select these studies for immediate read and diagnosis gt White Indicates that the study is a Routine study gt UG Indicates that this is the currently selected study If there is an interface to a Radiologist viewing workstation such as BRIT Vision double clicking on one of these selected patients automatically downloads the study to the workstation without further action by the user to view the study If there is not interface the user must take additional action on the viewer to open the study 86 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 8 Read Tab Selecting the Columns The columns in the patient list can be customized according to individual preferences but there are several that have been selected to be identified as system defaults and are selected when the system is delivered or when the 5 button is selected Any of the columns can be selected but the system default information shown for these studies in Read 27 the tab includes gt ACC Displays the Accession number assigned to the study gt Body Part Displays the specific body part or region of i
4. Chapter 8 Read Tab Chapter 8 Read Tab Read 27 The ee tab contains a list of the patient studies that have been read by the Radiologist and for which a report has been dictated and completed The studies in this tab include both the Routine and Critical patients and are color coded to highlight and help identify the Critical patient s studies This provides the Site Coordinator with a list of the studies all Radiologists have marked as Read Read 27 This section identifies the components uses and features of the Components of the Read Window Read 27 The Queue window is shown below e Roentgen Works Flow Windows Internet Explorer DER FOR Lei Ge de h http 10 255 4 150 2080 BWF Doc works htmi File Edit View Favorites Tools Help lt Links amp Customize Links Galaxy BRIT e Hotmail e RT Ticket Wiki Pages mywebsearch search smiley Central lll Screensavers P Cursor Mania m PopSwatter E myFuncards a S dh li Page 23 Toos G O 3 Se Read 22 I Messages 0 Modalities Users Search 0 Statistics dr 38 Roentgen Works Flow x MSN com i RoentgenWorks Site Coordinator 1 Actions Needed 4 Incomplete Orders 363 Work Queued 0 Delivered 29 Final Read Priority Patient Name Patient ID Date of Birth x Modality Body Part ACC i J RSNA Label Actives W JOHNSON JOHNNIE History P
5. RA B e Page v Gp Toos Fi D 3 el i RoentgenWorks Service Manager 1 Logout JL Sat pege stet _ Delivered 23 Read 23 Statistics Jobs Actions Needed 384 Unassigned Studies 10 Work Queued 0 Messages 0 Modalities Users Sites Search 0 Action Site Patient Name Patient ID ACC Description See INCOMPLETE BRIT Systems TERRY WARD M PID320590 0ID 506885 A Label Active Wid INCOMPLETE BRIT Systems CARROE EDMONDENE P1D130498 e Site S O n th I b tt n 7 t d th S t n INCOMPLETE BRIT Systems MARTIN LUCK er 01D831075 acs acc ce IS u O IS se ec e 5 e e u D pa e INCOMPLETE BRIT Sysiasg MAB amp SPOTS PID182158 01D258507 Bone Scan Description S HOM Ber systems LUMI CR CHEST PID421688 010421688 CXR Patient ID 120 O e n S to t h e ri ht of th e P at e nt L st as S h own RCOMPLETE BRIT Systems BARGADOS THERESE PID014010 01D004294 DIGITAL SCREENING MAMMOGR Patient Nag 3 150 p Q H INCOMPLETE BRIT Systems EVENE BEN P1D000082 010052931 Visible Human Female 4 120 INCOMPLETE BRIT Systems ZEBECKER NEWT PID000055 010050412 FLUOROSCOPE EXAMINATION E h e re INCOMPLETE BRIT Systems ZEBECKER NEWT P1D000055 010050408 Stomac EI INCOMPLETE BRIT Systems ZEBECKER NEWT PID000055 010050215 m amp ONHOLD H ONHOLD BRIT Systems GLAND VILLE PID757309 PD757309 ONHOLD BRIT
6. Site Coordinator UM BRW 001 0 S 73 Chapter 6 Work Queued Tab Viewing the Faxes If a fax is received from the Site Coordinator to clarify missing information the fax can be viewed from the Faxes panel in the lower right of the window Faxes i Typically the fax is assigned to a study by the Site Coordinator and is Assigned Unassigned l Assigned Site Date shown in the tab BRIT Systems 2009 03 13 09 30 BRIT Systems 2009 03 19 07 33 Order Details x Ween i BRIT Systems 2008 05 04 09 18 Name COLOR ABDUS Birth Date 01 01 2001 ID PID000250 Gender Other ERT Systems gt 0098 05 04 09 20 Order Information BRIT Systems 2009 0313 09 28 Accession Number 01D002322 Status COMPLETE BRIT Systems 2009 03 19 07 35 Study Reason 76705 US ABDOMEN LIMITED GB LIVER PANCREAS OR SPLEEN Medical Alerts z 7 Allergies Referring Phy Name Facility BRIT f Referring Phy ID BRICE Location Referring Phy Phone tg SET Pregnancy z D pami ane DEES In order to view the fax follow these steps Weight Occupation Patient History Scheduling Notes Created Time 09 25 2006 10 26 AM i i Scheduled Time 09 25 2006 10 27 AM 1 S Click on the appropriate study Completed Time Read Time Reported Time 09 25 2006 10 26 AM STREET ER YEW Procedure Information 2 Click on the button Exam US ABDOMEN Schedule Time Code 76705 Length 15 minutes p Modifier Modality Location Late 7670
7. Indicates the reason that the referring reason forstudy F physician ordered the study for the patient The Reason for Study sex MM 3 selection is available in the Action Needed Work Queued site DI 9 Delivered Read or Search tabs and is one of the default settings study Status F Tech Comment gt Sex Identifies the Gender of the patient The Gender selection Time of Study WV 86 is available in the Action Needed Incomplete Orders Work 8 A w Queued Delivered Read or Search tabs Columns Detail gt Site Identifies the facility where the patient study was captured Depending on the Licensing agreement with the Site this is helpful to allow the Radiologist to prioritize reading the studies The Site selection is available in the Action Needed Work Queued Delivered Read Modalities Users or Search tabs gt Stat Type Identifies if the statistics shown are for a Radiologist or are for the site The Stat Type is only available in the Statistics tab gt State Identifies the status of the message such as New Acknowledged or Deleted or the status of a job such as Queued Running Waiting Stopping Stopped Done Failed or Deleted This selection is found in the Messages tab 34 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S BRIT Systems Status Identifies the status of the study according to the server s status such as In Progress Delivered Dictated Repor
8. gt History Provides the brief patient history that was sent with the study gt Location Identifies the patient location where the physician contact is available such as the ER and may be used as a point of contact gt Misc Contact Displays an additional telephone or pager number for an additional contact for the referring physician gt Physician Displays the name of the patient s referring physician gt Reason for Study Indicates the reason that the referring physician ordered the study for the patient 78 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 7 Delivered Tab gt Study Status Identifies the status of the study such as On Hold Urgent Delivered Unread or Read The Study Status gt Tech Comment Provides the text from the Technologist that were entered when the study was captured This alerts the Radiologist to additional information that the Technologist contributed to the patient s exam To change the Detail selections open the Setup panel by clicking on the Sto the right and clicking on the checkbox next to the desired detail If the checkbox has av then the details display on the Patient List If the checkbox currently has av when it is removed the detail is not displayed on the Patient List For a complete list of the Detail selections available see the section Available Detail Selections Taking Actions in the Delivere
9. number of modalities listed RoentgenWorks Site Coordinator 1 in that tab Actions Needed 2 Incomplete Orders 363 Work Queued 0 Delivered 30 Read 23 Messages 0 Modalities Users Search 0 Statistics Site v User Type User Name 8 E This window allows the Ss Re p Site Coordinator to add modify delete and view the modalities that are defined and integrated on the system 3 BRIT Systems g e User ID BRIT Systems MODALITY MR Modality Dicom AE B None Dicom Host e MODALITY US Modality Dicom Port Active EOE OBESBSB This section provides information on the buttons color coding changing the columns and changing the Modalities eg details for the laa tab User Name Columns Detail min E A Detail Internet R100 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 99 Chapter 10 Modalities Tab Action Buttons There are three buttons available in the L tab that allows the user to easily add modify or remove a modality gt This Action button allows the Site Coordinator to define new modalities gt This Action button allows the Site Coordinator to modify information for an existing modality gt This Action button is allows the Site Coordinator to remove an existing modality permanently Color Coding There is no specifi
10. Edit Modality 2 The Edit Modality window opens as SE shown here User Name BRIT RSNA Server 3 Fill out each of the fields with the Dicom AE BRITSERVER SCP information to modify the existing modality The fields that can be updated include Dicom Port 3000 a User Name Click on the field and type in the updated name that the users would identify with the modality Dicom Host 10 255 3 200 b DICOM AE Click on the field and type in the updated DICOM Application Entity title for the modality c DICOM Host Click on the field and type in the updated IP Address of the modality d DICOM Port Click on the field and type in the updated DICOM port number on which the modality communicates 4 Once all of the fields to be corrected are entered click on the button If Edit Modality was selected in error or if the information entered is not to be saved click on the button to close the window BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 103 Chapter 10 Modalities Tab Deleting an Existing Modality One of the actions that can be taken is to remove an existing modality on which patient studies are currently being taken and sent to the system To delete an existing modality 1 Click on the button 2 The Modality is immediately removed from the window Be aware there is no confirmation window that opens to confirm the correct modality is selected so b
11. There are several components to this window which include gt User Logged In Identifies the current user logged into the system gt User Buttons Contains the buttons for the User to logout change their profile or to get systems information gt Tabs Identifies the various worklists available These include Action Needed Messages amp Incomplete Orders amp Modalities Work Queued z4 Users Delivered Search Read Statistics gt Patient List Displays the list of patients for each site and includes routine and critical studies The Patient List contains the information from the fields selected from the Setup Detail section gt Setup Allows the user to customize the fields in the patient list as well as the Details panel at the bottom of the window 6 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 1 Introduction gt Action Buttons Contains a selection of toolbar buttons which allow the user to perform specific additional functions on the study These are different for each individual tab gt Details Provides the details for the selected study and can be customized according to the individual user Some of the details that can be included are Reason for Hold Reason for Study amp History amp Radiologist Tech Comment gt Fax Section Allows the user to assign and view faxes that have been sent with the Order i
12. CHEST Routine 2000 10 03 M 1971 08 19 Sex Modality ACC Body Part Routine Routine R CT This window shows the studies that have been Routine 1975 12 18 J BRIT Syst Ee Description 1954 05 28 Date of Birth Radiologist 1 Routine MAMUN CALIA PID000587 010225871 Screening Bilateral Ma PR BREAST Robbie Robbie Radiologist 1 Critical Routine Routine KUTHIN KANIE KUTHIN KANIE ZAND ALLIE PID352142 PID352142 PID000013 01D000658 010005800 010007303 CT HEAD W O CT HEAD W 0 70450 CTABDC 1940 07 06 1940 07 06 1951 07 01 CT CT CT HEAD HEAD ABDOMEN Patient ID Patient Name Priority delivered to the various radiologists Radiologist 1 Robbie Robbie Routine Critical Routine GLANIE JOLIE KUTHIN KANIE KUTHIN KANIE LARGES TRUDY KUTHIN KANIE ARTHUR TIMETHY USMUL STACY KUTHIN KANIE PID007573 PID352142 PID352142 PID000008 PID352142 PID000040 PID004052 PID352142 01D005931 010000012 010000035 00000443 01D004110 010005320 010000995 01D001052 71020 CHEST 2 VIEWS 71020 CHEST 2 VIEWS 71010 CHEST SINGLE 71260 CT CHEST W C 71010 CHEST SINGLE 1932 12 17 1940 07 06 1940 07 06 2000 02 01 1940 07 06 1922 02 06 1942 03 01 1940 07 06 CR CR CR CT CR SC CHEST CHEST CHEST ABDOMEN CHEST CHEST AE IFS SSS RRR RANAR Reason for Hold History This section information e am uy buttons 5
13. INCOMPLETE BRIT Systems CARROE EDMONDENE PID130498 010071108 INCOMPLETE BRIT Systems MARTIN LUCKY PID268303 010831075 IACS INCOMPLETE BRIT Systems BONE WB amp SPOTS PID18215 Bone Scan INCOMPLETE BRIT Systems LUMI CR CHEST P1D421688 01D421688 CXR INCOMPLETE BRIT Systems BARGADOS THERESE P1D 014010 010004294 DIGITAL SCREENING MAMMOGRAM INCOMPLETE BRIT Systems EVENE BEN P1D000092 010052931 Visible Human Female INCOMPLETE BRIT Systems ZEBECKER NEWT PID000055 010050412 FLUOROSCOPE EXAMINATION INCOMPLETE BRIT Systems ZEBECKER NEWT PID000055 010050408 INCOMPLETE BRIT Systems ZEBECKER NEWT P1D000055 010050215 Once the Setup is open the 3 ONHOLD ONHOLD BRIT Systems GLAND LILLIE V ONHOLD BRIT Systems BICUSPID Al PID 00030 010600030 changes to a K which allows the user to close the Setup panel and maximize the Patient List as shown to the left B URGENT URGENT RSNA VOXARLUNGY VIVIANNE PID000122 010205252 URGENT BRIT Systems GRUNTSKI GOOBER PID000672 010676226 Cie cone atc Grn Faxes Site BRIT Systems Assigned Unassigned Site a Date Patient Name BONE WB amp SPOTS l Patient ID 01218215REG ACC sr Description Bone Scan Ji Ka Internet 100 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 19 Chapter 2 Customizing the Worklist Colu
14. Once the information is completed the study can be Completed and removed from the On Hold state by the Site Coordinator Calling the Referring Physician Once an Urgent Finding has been identified by the Radiologist the referring physician must be contacted as quickly as possible to ensure expedited care for the patient One of the optional features of this system is an automated integration with BRIT Phone or to the Skype application Skype is an optional software package that enables the user to make telephone calls anywhere in the world automatically by connecting through the computer to landline or mobile phones It allows the user to effortlessly contact the referring physician by simply clicking on the button double clicking on the desired contact s phone number and dialing through the workstation via the Skype application The contact information may be automatically entered from the HL 7 message however this is not always available Other methods for getting the contact information entered include gt Importing the file with the Referring Physician information gt Users with proper authority can manually enter the Referring Physician information gt Referring Physicians can maintain and update their own contact information The Referring Physician contact information must be entered into the Roentgen Works database in order for Skype to have a list of telephone pager or alternate number to use to contact the
15. to allow the Site Coordinator to select the referring iT Geen TE physician who needs to be contacted regarding this wes Dr Freeman Callto Mobile 972 555 1111 patient Click on the contact number to select the My Di operer tast desired contact method gt This Action button allows the Site Coordinator to view the comments and statuses of a study that has been identified as urgent Study History XRAY RICKETS N PID00000101 CR PEDIATRIC CHEST Event Type Date Description CREATED Nov 29 2008 7 31 08 PM Study received from BRIT RSNA Server gt g tudy His tory T h H COMPLETED Dec 01 2008 12 12 39 PM Study completed by Site Coordinator 1 En IS button al lows the user to See the ASSIGNED Dec 01 2008 12 12 39 PM Study assigned to Radiologist 1 by The System ec 01 2008 12 12 39 PM sent to Ra e detailed history of the study such as when it was on created completed to whom it was assigned when ser s E adio ogist eason i 8 UNURGENT Jan 08 2009 12 18 16 PM marked UNURGENT by Site Coordinator 1 It Was Se nt wh e n It Was de ive red wh e n It Was re ad URGEN NT Jan 09 2009 1 53 59 PM Study marked URGENT by Radiologist 1 Reason set to reurgent b J J Mar 06 2009 3 46 45 PM Study marked UNURGENT by Radiologist 1 UNURGENT ec 03 2008 12 25 27 PM oeeoo o 2ee222 g 555555 E E SE m o URGENT Apr 08 2009 4 28 10 PM Study marked URGENT by Radiologist 1 Reason set to that looks wicked awesome
16. window wing the Faxes If a fax is received from the Site Coordinator to clarify missing information the fax can be viewed from the Faxes panel in the lower right of the window E the fax is assigned to a study by the Site Coordinator and is shown Order Details Name COLOR ABDUS Birth Date 01 01 2001 ID PID000250 Gender Other Order Information Accession Number 01D002322 COMPLETE Study Reason Medical Alerts Special Needs Allergies Referring Phy Name Referring Phy ID Referring Phy Phone Height Weight Patient History Scheduling Notes Created Time Scheduled Time Completed Time Read Time Reported Time 76705 US ABDOMEN LIMITED GB LIVER PANCREAS OR SPLEEN Facility BRIT BRICE Location Pregnancy Status DEFINITELY PREGNANT Occupation 09 25 2006 10 26 AM 09 25 2006 10 27 AM 09 25 2006 10 26 AM Procedure Information In order to view the fax follow these steps 1 Click on the appropriate study 2 Click on the Faxes Assigned I Unassigned Sile A Date BRIT Systems 2009 0313 09 30 BRIT Systems 20098 03 19 07 33 BRIT Systems 2005 05 04 09 18 BRIT Systems 2009 05 04 09 20 BRIT Systems 2008 0313 09 28 BRIT Systems 2005 0319 07 35 YEW button 3 The Fax opens in a separate window and displays the details as shown to the left ae om oo re 4 Once the user has read the information click on Performing Phy ID Priority d St the
17. 27 AM 09 25 2006 10 26 AM Procedure Information US ABDOMEN 76705 Schedule Time Length Modality Location 76705 US ABDOMEN LIMITED GB LIVER PANCREAS OR SPLEEN Status Priority Exam Code Modifier Study Description Performing Phy Name Performing Phy ID Performing Phy Phone Performing Tech Name Performing Tech ID Performing Tech Phone Comment Transport Arrangements Confidentiality Constraint Preorder Medication 15 minutes Study Information Status Arrived Time Origin Title Modality COMPLETE 09 25 2006 10 24 AM HDI5000 US For faxes that are not assigned they appear in the 1 Click on the appropriate study 2 Click on the appropriate fax Assign 3 Click on the button Assigned 4 The fax now appears under the g BRIT Roentgen Works Flow User Manual sik Faxes Assigned Unassigned Site 4 Date BRIT Systems 2009 03 13 09 30 BRIT Systems 2008 0319 07 33 BRIT Systems 2008 05 04 09 18 BRIT Systems 2005 05 04 09 20 BRIT Systems 2009 03 13 09 28 BRIT Systems 2008 03 19 07 35 In order to view the fax follow these steps 1 Body Part ABDOMEN v Una ssigned tab Site Coordinator UM BRW 001 0 S Click on the appropriate study Click on the e button The Fax opens in a separate window and displays the details as shown to the left Once the desired information is read by the user
18. CATCHEST CHESTER PID00000102 Radiologist 1 M 1969 10 15 101 CT CHEST S RSNA 137d 15h 35m 28s 2003 04 17 11 00 Routine VOXARLUNGY VIVIAN PID00000122 Radiologist 1 F 1975 1218 408 CT CHEST F ie d SO t h at t h e RSNA 134d 20h 57m 46s 2004 12 14 16 40 Routine MAMMO MANCY PID0000010 Radiologist 1 F 1952 0225 15 MG BREAST p ati e nt i st i e RSNA 134d 20h 57m 43s 2006 01 04 12 57 Routine MAMMO MANCY PID0000010 Radiologist 1 F 1952 02 25 15 MG BREAST RSNA 137d 15h 40m 47s 2005 02 09 07 19 Routine MRLSPINE L SPINE PID00000136 Radiologist 1 M 1991 0609 78 MR LSPNE g rou pe d by th e RSNA 134d 20h 58m 44s 2005 08 19 12 53 Routine CEREBRALGE ANEIR PID000007 Radiologist 1 F 629 PR BRIT Systems 51d 22h46m3Ss 2008 04 09 13 47 Routine ARCHER JAMES CBH PPID001972 Radiologist 1 M 19220206 1 CR CHEST se ected fie Id i n BRIT Systems 51d 22h 48m28s 2006 05 19 10 12 Routine ENARD MARIE Y 06975007 Radiologist 1 F 19390317 4 CR CSPINE BRIT Systems 52d57m3s 2006 05 12 09 35 Critical CASE KENNETH CRAIG GRMC253007 Radiologist 1 M 1925 06 14 1 CR PORTABLE CHEST th IS sam D e th e Ist BRIT Systems 33d22h17m3s 2009 02 17 10 47 Routine BEYLUND STEVEN MI 502 52 5436 Radiologist 1 M 1949 0407 4 NM OTHER is fi rst SO rt e d by th e BRIT Systems 52d1h20m418 2007 11 14 09 38 Critical FULLER CHARLES H 069 24 1630 Radiologist 1 M 19320201 935 PT BRIT Systems 51d22h51m5s 2008 10 07 14 35 Critical ZZTESTPATIENT BAT 000 00 4433 Radiologist 1 M 198
19. J DELIVERED Dec 01 2008 12 12 40 PM Study arrived for Radiologist 1 Ld hl H NM READ Dec 01 2008 12 14 58 PM Study marked READ iologi when it was delivered when it was read each time the E J J zc TS FT Muren NT 09 12 14 40 Si o Bleedin d h h b h UNURGENT 1 status was reset and what the status was reset to by the S SE ee UNURGEN IT Mar 06 2 3 46 45 PM Study marked UNURGENT by jogist 1 ast u S e r URGENT Apr 08 2009 4 28 10 PM Study marked URGENT by Radiologist 1 Reason set to that looks wicked awesome wm UNURGEN NT Apr 08 2009 4 28 59 PM Study marked UNURGENT by Radiologist 1 URGENT Apr 08 2009 4 32 10 PM Study marked URGENT by Radiologist 1 Reason set to this could be worse you know lt 76 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 7 Delivered Tab Color Coding The studies are color coded as follows gt Alerts the Radiologists that the study has come in from the Site tagged as a Critical study The Radiologist needs to select these studies for immediate read and diagnosis gt White Indicates that the study is a Routine study gt UG Indicates that this is the currently selected study If there is an interface to a Radiologist viewing workstation such as BRIT Vision double clicking on one of these selected patients automatically downloads the study to the workstation without further action by the user to view the study If there
20. Mania m PopSwatter E MyFuncards to the tab indicates the fr EI me v gt Page ae Number of studies listed F Tools RoentgenWorks Site Coordinator 1 Actions Needed 3 Incomplete Orders 365 Work Queued 3 Delivered 25 Read 22 Messages 0 Modalities Users Search 0 Statistics Radiologist ETA Priority Patient Name Patient ID Date of Birth I RSNA Sex Modality Body Part in that tab Label ACC images Site v Radiologist 1 Routine RAY RICKE PID000101 2000 10 03 M CR J BRIT Systems Routine OVERNIE CAITE Routine KUTHIN KANIE PID002754 PID358214 2000 01 02 M CR Radiologist 1 1940 07 06 F CR Description Reason for Study History Tech Comment Final Read Radiologist Site PEDIATRIC CHEST 0O1D000443 2 RSNA LSPINE CHEST 010000269 1 010225005 1 Sex BRT Systeri Modality BRIT Systen ACC Body Part Description Date of Birth Patient ID Patient Name Priority Images ETA AE Reason for Hold 3 SSE Faxes Location Assigned Site Physician Contact 2 DICOM Doc Misc Contact 2 BRIT Roentgen Works Flow User Manual e Internet Site Coordinator UM BRW 001 0 S Once the logs in accepting studies patient studies in Work Queued 3 1 Radiologist and begins the the Active Width tab Sech are then delivered Once the images are
21. Message tab Date of Birth HI 8 Description F gt Code This is the subject of the message that was entered by the Elapsed Time E user This Code column is found in the Messages tab Faxes E Final Read FI gt Contact 2 Displays the second person to contact if the History P Referring Physician can not be reached The Contact 2 column Location P is available in the Action Needed Incomplete Orders Work History Queued Delivered Read or Search tabs Misc Contact P Modality ka 54 gt Date of Birth Displays the patient s birth date The Date of Birth patient in m 109 column is available in the Action Needed Incomplete Orders patient Name M 173 Work Queued Delivered Read or Search tabs Physician El Physician F gt Delivered Indicates the number of studies that were priority SS successfully delivered to the recipients and is only available in the gadioiogist F Statistics tab ep for Hold F Reason for Study F gt Description Displays the Study Description as stored in the se EE DICOM header from the Modality or the CPT code The ste D oe Description column is available in the Action Needed Incomplete study status A Orders Work Queued Delivered Read or Search tabs Tou Booed A Time of Study PA 85 gt Description Displays the name of the User logged into the e A a system for which the statistics were built This Description column TPE is only available in the Statistics tab ee ER Be
22. Read or Search tabs gt Unassigned Identifies the number of unassigned studies that are available and generally only applies to the sites rather than the users The Unassigned column is only available for the Statistics tab gt Urgent Identifies the number of studies assigned to each site and user that are tagged as Urgent by the Radiologist after their diagnosis is completed Urgent is only available in the Statistics tab gt User ID Displays the user identification information that is assigned to the modality or the user ID for the selected user This User ID is available in the Modalities or the Users tab gt User Name Identifies the user name that is assigned to the modality or the name of the selected user This User ID column is available in the Modalities or the Users tab gt User Type Identifies the type of user such as a modality or the user For the users the type could be Site Coordinator Radiologist Physician Service Manager or Location such as the Emergency Room This User ID column is available in the Modalities or the Users tab Saving the Columns Once all of the desired columns have been selected click on the button to retain the changes Click on the button to return the settings to the original settings 28 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 3 Customizing the Details Panel Chapter 3 Customizing the Details Panel
23. SY MMM MMMM MME YUM UMM MMM Eg hl KR WWW GC i NN N SS 7 N SSN UMM MMMM EM SAR MMT EE ja VID MOM MM MMMM Re EE ee V G JA WW cael Copyright 2009 Technical Publications Department BRIT Systems Inc BRIT Systems Inc Printed in U S A 1909 Hi Line Drive All rights reserved Dallas Tx 75207 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S jii Notices Copyrights and Revision Records BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S IV Table of Contents Table of Contents CHAPTER 1 INTRODUCTION ennnnernnnnnennnnnnnnnnnnnnennnnnnennnnnnnennnnnvennnnnnennnnnnnnnnnnnnennnnnnennnnnnnnnnnnnnennnnnnennnnnnennnnnnne 1 ee NN 2 ee EEE NE fancies 4 STARTING THE ROENTGEN WORKS APPLICATION euunnnnennvnnnnnnnnnnnnnnnennnnnnnnnnnnnnnnnnnernnnnnnnnnnnnnnnnnnnnenennnnnnennnnnennnnuenenne 5 EOG IN TOUT RE EE EN NE NE 5 COMPONENTS OF THE ROENTGEN WORKS WINDOW rrrerrnnrrvrrrnnnevnrnnnrenrnnnsennnnnnernnnnnsenrnnnsennnnnnennnnnnsenrnnnsennnnseennnn 6 ON 7 Ee ENEE 7 FUN NN 8 Customizing the Setup and Deia 8 Action and User BIONG EEN 9 Oo 0 COON EE 13 Ve gt 14 F 15 EDITING THE USER PRE 15 INFORMATION IN THE ABOUT WINDOW 0 cccccssecceceesececeenecseceeseeecaeseceeeenecseceuseceeeeeceeeanseeeceuseeetaeeeeeeaneeseaens 16 CHAPTER 2 CUSTOMIZING THE WORKLIST COLUMNS nwnnnnnnvnnnnnnnennnnnnennnnnnnnnnnn
24. Site Coordinator UM BRW 001 0 S 27 BRIT Chapter 2 Customizing the Worklist Columns Systems gt Status Identifies the status of the study according to the server s status such as In Progress Delivered Dictated Reported Assigned same as Delivered This is found in the Action Needed Work Queued Delivered Read Search tabs gt Study Status Identifies the status of the study for the workflow such as On Hold Incomplete Urgent Delivered Unread or Read The Study Status is available in the Action Needed Incomplete Orders Work Queued Delivered Read or Search tabs gt Tech Comment Provides the text from the Technologist that was entered when the study was captured This alerts the Radiologist to additional information that the Technologist contributed to the patients exam The Tech Comment column is available in the Action Needed Incomplete Orders Work Queued Delivered Read or Search tabs gt Time of Study Provides the date and time that the exam was captured at the imaging facility The Time of Study column is available in the Action Needed Incomplete Orders Work Queued Delivered Read or Search tabs gt To Provides the name of the recipient of the message and is only found in the Message tab gt UID Provides the Study Instance Identifier which is the unique identifier for the study The UID column is available in the Action Needed Incomplete Orders Work Queued Delivered
25. Wiki Pages VM H mywebsearch P Search v Smiley Central Screensavers fa Cursor Mania m PopSwatter 5 MyFunCards stat st CS fo r al t h e u S e rS mw d 98 gt Roentgen Works Flow x S MSN com a e E page Q Toos D 3 that are cu rre ntly logged RoentgenWorks Site Coordinator 1 into the system as th ey Actions Needed g Incomplete Orders 363 Work SES 0 Delivere dl 31 S Read 23 a e EES 0 Modalities I Search 18 e Statistics st a n d at th e t j m e th e K j 1 Stat Type Description incomplete Unassigned Queued Delivered On Hold Urgent d 7 sg Statistics Radiologist Other Radiologist 0 0 1 0 0 0 ta b was Radiologist Radiologist 1 0 0 0 28 1 0 Radiologist Radiologist 2 0 0 0 17 0 0 S e e cted Radiologist Robbie 0 0 0 8 0 0 Seim Z Z Each Site Coordinator sees RSNA 2 0 21 0 the studies that are assigned to the Radiologists authorized to read for their specific site 364 3 53 0 This section provides information on the buttons TES color coding changing the Danser columns and changing the Statistics details for the tab Internet BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 125 Chapter 13 Statistics Tab Action Buttons Statistics There are no buttons in the tab Color Coding Statistics There is no special color coding in the tab Selecting th
26. and enter the correct information So Note that a shortcut to finding the information in a drop down menu is R Var to begin typing the name in the field and as characters are matched the name appears Click on the correct name when it appears 4 Click on the button to retain the changes made The changes are saved and the window closes If the incorrect patient was selected or the changes do not need to be made click on the button to close the window without retaining the changes 79 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 6 Work Queued Tab Viewing the Study History The Study History for the selected study allows the user to see the detailed history of the study such as when it was created completed to whom it was assigned when it was sent when it was delivered when it was read each time the status was reset and each status setting Study History XRAY RICKETS N PID00000101 CR PEDIATRIC CHEST x a a To Vi ew t h e st u d y h l sto ry z Event Type Date Description CREATED Nov 29 2008 7 31 08 PM Study received from BRIT RSNA Server COMPLETED Dec 01 2008 12 12 39 PM Study completed by Site Coordinator 1 ASSIGNED Dec 01 2008 12 12 39 PM Study assigned to Radiologist 1 by The System 1 M k h 7 d 3 SENDING Dec 01 2008 12 12 39 PM Study sent to Radiologist 1 D a e S u re t e CO rre ct D at e nt st U y S DELIVERED Dec 01 2008 12 12 40 PM Study arrived f
27. appropriate queue Viewing the Study History The Study History for the selected study allows the user to see the detailed history of the study such as when it was created completed to whom it was assigned when it was sent when it was delivered when it was read each time the status was reset and each status setting Study History XRAY RICKETS N PID00000101 CR PEDIATRIC CHEST T H m Event Type Date Description O VI ew t h e st u d y h l sto ry D CREATED Nov 29 2008 7 31 08 PM Study received from BRIT RSNA Server COMPLETED Dec 01 2008 12 12 39 PM Study completed by Site Coordinator 1 01 2008 12 12 39 PM Study assigned to Radiologist 1 by The System 01 2008 12 12 39 PM Study sent to Radiologist 1 ASSIGNED SENDING Dec Dec L B 1 M ake S u re t h e CO rrect at e nt st u d S DELIVERED Dec 01 2008 12 12 40 PM Study arrived for Radiologist 1 S READ Dec 01 2008 12 14 56 PM Study marked READ by Radiologist 1 Dec Jan Jan 03 2008 12 25 27 PM Study marked UNREAD by Radiologist 1 08 2009 12 14 40 PM Study marked URGENT by Radiologist 1 Reason set to Bleeding in Brain UNREAD selected UNURGENT 08 2009 12 18 16 PM Study marked UNURGENT by Site Coordinator 1 URGENT Jan 09 2009 1 53 59 PM Study marked URGENT by Radiologist 1 Reason set to reurgent UNURGENT Mar 06 2009 3 46 45 PM Study marked UNURGENT by Radiologist 1 d D URGENT Apr 08 2009 4 28 10 PM Study marked URGENT b
28. automated integration with BRIT Phone or to the Skype application Skype is an optional software package that enables the user to make telephone calls anywhere in the world automatically by connecting through the computer to landline or mobile phones It allows the user to effortlessly contact the referring physician by simply clicking on the al ontact button double clicking on the desired contacts phone number and dialing through the workstation via the Skype application The contact information may be automatically entered from the HL 7 message however this is not always available Other methods for getting the contact information entered include BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 49 Chapter 4 Action Needed Tab gt Importing the file with the Referring Physician information gt Users with proper authority can manually enter the Referring Physician information gt Referring Physicians can maintain and update their own contact information The Referring Physician contact information must be entered into the Roentgen Works database in order for Skype to have a list of telephone pager or alternate numbers to use to contact the referring physician Generally the Site Coordinator at the facility is responsible for establishing the referring physician s contact information but the users update their own profile To call the referring physician Call Contacts XRAY RICKETS
29. contact information for the liContacts XRAY RICKETS NM PID00000101 CR PEDIATRIC CHEST referring physician identified on the study o Se Ss goen Optionally the Site Coordinator can USE rhysician1 physician 1 Call to Office Wait 214 760 6253 Skype to contact the referring physician by Physician 2 physician 2 Call to Mobile 214 555 9803 automatically dialing through the workstation MY EEN eee Skype E d software package that enables the Location EN Room One seer my user to make telephone calls anywhere in the Misc Phone 214 555 8768 world automatically by connecting through the computer to landline or mobile phones When this button is selected a pop up window opens to allow the Site Coordinator to select the referring physician who needs to be contacted regarding this patient Double click on the contact s phone number in the list and Skype automatically places the call l l Incomplete Ord 365 l l gt This button is found in the TT section and allows the Site Coordinator to mark the order as Complete to be returned to the Radiologist gt This button is found in the Setup section and allows the Site Coordinator to set the selected setting to be the default settings in all the tabs except the Incomplete Orders 365 sae tab BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 9 Chapter 1 Introduction s Action button is found in the ARMENE gt This Action button i
30. delivered the studies are removed from this window and placed in the I Date Delivered 1 SES tab HOS SBSSSESSBSBBBBBSE Detail Unassigned 67 Chapter 6 Work Queued Tab Action Buttons Work Queued 2 There are three buttons in the mm tab gt This Action button allows the Site Coordinator to place the study in the Action Needed 1 Ne tap because of additional information that is needed before the Radiologist can complete the report It can be seen by the Site Coordinator or the Service Manager gt This Action button allows the Site Coordinator to modify the patient s order because of missing information the Radiologist needs to complete the study s report Study History XRAY RICKETS N PID00000101 CR PEDIATRIC CHEST Event Type Date Description 3 CREATED Nov 29 2008 7 31 08 PM Study received from BRIT RSNA Server H d y H 5 to r Y H COMPLETED Dec 01 2008 12 12 39 PM Study completed by Site Coordinator 1 gt T h S b u tto n a OWS t h e U S e r to S e e t h e ASSIGNED Dec 01 2008 12 12 39 PM Study assigned to Radiologist 1 by The System SENDING ec 01 12 12 39 PM tudy sent to Radiologist 1 detailed history of the study such as when it was created ZZ THU le completed to whom it was assigned when it was sent ee when it was delivered when it was read each time the o Sarma status was reset and what the status was
31. edit the Order information f Edit Order Info CARROT ANGIE 16 PID166579 CT NECK 1 Select the correct patient e om Ses Ginn e Reason for Study Suspected blockage Physician Stratton Schock x 2 Select the patient with the History History of angina on beta blockers Contact 2 214 555 4278 v Order information that Tech Comment NECK Misc Contact 214 555 1362 needs to be changed oF Final Read 3 The Edit Order Info pop up window opens as shown here 4 Click on each field to be changed and enter the correct information o Note that a shortcut to finding the information in a drop down menu is ay to begin typing the name in the field and as characters are matched the EL name appears Click on the correct name when it appears 5 Click on the button to retain the changes made The changes are saved and the window closes If the incorrect patient was selected or the changes do not need to be made click on the to close the window without retaining the changes 82 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S e 1 Chapter 7 Delivered Tab Viewing the Urgent History The Urgent History for the study can be viewed by the Site Coordinator to see the comments and statuses of a study that has been identified as urgent by another user typically the Radiologist To view the urgent history 1 Make sure the correct patient study is selected Urgent Histo
32. facility which the Reading Services Group may use for contact information Typically this is the ER a Modalities gt This Action button is found in the L tab This button allows the Site Coordinator to define new modalities SE l l Incomplete Ord 365 gt This Action button is found in the EEE Ee tab and the Users tab It allows the Site Coordinator to define new referring physician at one of the imaging centers or hospital facilities Users gt This Action button is found in the tab It allows the Site Coordinator to define new Site Coordinator for a hospital or imaging facility gt GER This Action button is found in the tab and Work Queued 2 tabs It allows the Site Coordinator to place the study in the Action Needed 1 BS f f f tab because of additional information that is needed for the Radiologist to complete the report It can be seen by the Site Coordinator as well l l l l Action Needed 1 gt This Action button is found in the tab It allows the Site l Action Needed 1 l l Coordinator to remove the study from the queue and place it back in the Delivered 1 area to be read and completed BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 11 Chapter 1 Introduction gt gt gt gt is Act i met SE This Action button is found in the tab It allows the Site Coordinator to respond to the currently selecte
33. from the Technologist that were entered when the study was captured This alerts the Radiologist to additional information that the Technologist contributed to the patient s exam To change the Detail selections open the Setup panel by clicking on the Sto the right and clicking on the checkbox next to the desired detail If the checkbox has av then the detail displays on the Patient List If the checkbox currently does not have a V the detail is not displayed on the Patient List 70 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 6 Work Queued Tab For a complete list of the selections available for the Details section see the list in the Available Detail Selections section Taking Action in the Work Queued Window Work Queued 2 There are three actions that can be taken with the patients listed in the Heft which is viewing the Study History gt Putting the study On Hold gt Editing the Order information gt Viewing the history of the study Putting the Study On Hold There are times when the study requires additional information regarding the patient before a complete diagnosis can be dictated by the Radiologist Typically the Radiologist places the study On Hold however the Site Coordinator can also place a study On Hold The study remains there until it is removed from hold as the required information is delivered To plac
34. gt Viewing the Study history re This section provides the steps to perform each of these daily tasks in the FT tab BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 119 Chapter 12 Search Tab Searching for a Patient The Site Coordinator may need to search for a study for a patient that was previously saved and Search this can be done with the Search menu just beneath the tab Site Select Y Patient Name Body Part Modality Patient ID UID ACC Study Status Select hA There are several categories that can be entered to search on which include gt Site gt Body Part gt Patient ID gt Accession gt Patient Name gt Modality gt UID gt Study Status There are also several timeframes available in which to search for the patient s study These are in the form of buttons beneath the search criteria panel and include the following gt Starts the search going back to the previous day gt Starts the search going back the previous three days gt Starts the search going back one week Starts the search going back two weeks Starts the search going back 30 days Starts the search going back 90 days gt Starts the search going back 365 days On a leap year it will be off by one day v v v Starts the search going back to the time that the PACS System was implemented and studies were stored v To start the searc
35. i e nt l D Radiologist 1 Radiologist 1 D D Radiologist 1 Description Robbie Robbie Radiologist 1 Radiologist 1 Robbie Robbie Radiologist 1 VV VV WV V Radiologist 1 Radiologist 1 Radiologist 1 nts Priority Routine Routine Routine Routine Routine Acc DEE Routine Critical Routine Routine Routine Critical Routine Routine Routine Routine Routine Patient Name JOHNSON JOH RAY RICKE NNIE MAMUN MAGNOLIA JOHNSON JOH NNIE VOXALUNY VILIAN MAMUN CALIA KUTHIN KANIE KUTHIN KANIE ZAND ALLIE GLANIE JOLIE KUTHIN KANIE KUTHIN KANIE LARGES TRUD KUTHIN KANIE iY ARTHUR TIMETHY USMUL STACY Work Queued 3 Patient ID PID000130 PID000101 PID000039 PID000130 PID000122 PID000587 PID352142 PID352142 PID000013 PID007573 PID352142 PID352142 PID000008 PID352142 PID000040 PID004052 Customizing the Setup and Detail Delivered 25 ACC 01D000476 01D000445 01D000355 00000037 00002052 DD 225871 01D000658 01D005800 01D007303 01D005931 010000012 00000035 01D000443 01D004110 00005320 01D000995 Description 74000 ABDOMEN SIN PELVIS HIPS INFANT 76095 MM DIGITAL DI Chest Erect LAT CT_Lung_PE Screening Bilateral Ma CT HEAD W O CT HEAD W O 70450 CTABDC 71020 CHEST 2 VIEWS 71020 CHEST 2 VIEWS 71010 CHEST SINGLE 71260 CT CHEST W C 71010 CHEST SINGLE ct chest report adden 76604 US C
36. identified on the study Optionally the Site Coordinator can use Skype contact the referring physician by automatically dialing through the workstation Skype is a software package that enables the user to make telephone calls anywhere in the world automatically by connecting through the computer to landline or mobile phones Contacts When this button is selected a pop up window Contact Role Name Contact Method Number opens to allow the Site Coordinator to select the snysiin Text to Moble 972 555 1111 referring physician who needs to be contacted Physician Dr Freeman Call to Moble 972 555 1111 e Physician Dr refphyst Call to Moble 411 111 1111 regarding this patient Click on the contact number pjysden a ere Ee to select the desired contact method gt This Action allows the Site Coordinator to modify the patients order because of missing information the Radiologist needs to complete the study s report gt This Action button allows the Site Coordinator to view the comments and statuses of a study that has been identified as urgent gt Study history L This button allows the user to see the anaes eee peer Description detailed history of the study such as when it was created ee D D D ASSIGNED Dec 01 2008 12 12 39 PM Study assigned to Radiologist 1 by The System completed to whom It Was assIg ned when It Was sent SENDING Dec 01 2008 12 12 39 PM Study sent to Radiologist 1 H J
37. in Search the tab includes gt ACC Displays the Accession number assigned to the study gt Body Part Displays the specific body part or region of interest on which the study was performed gt Date of Birth Displays the patient s birth date gt Description Displays the Study Description as entered either from the modality or from the order gt Final Read Determines if the Radiologist is to do a final diagnosis on the study and is identified as a Yes or a No in the Final Read column next to the Study gt Modality Identifies the type of modality on which the study was performed gt Patient ID Displays the Patient s identification number from the sending site gt Patient Name Displays the Patient s name as sent from the sending site gt Priority Determines if the study is routine or critical so that the Radiologist knows the importance of the study gt Radiologist Displays the name of the Radiologist handling the study BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 117 Chapter 12 Search Tab gt Sex Identifies the Gender of the patient gt Site Identifies the facility where the patient study was captured gt Study Status Identifies the status of the study for the workflow such as On Hold Incomplete Urgent Delivered Unread or Read gt Time of Study Provides the date and time that the exam was captured
38. in the checkbox If the user needs to be removed from the site there should already be a V in the checkbox click on the checkbox to remove the v 6 Once all of the fields to be corrected are entered click on the button If Edit User was selected in error if the wrong user was selected or if the information entered is not to be saved click on the button to close the window 112 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 11 Users Tab Deleting an Existing User One of the actions that can be taken is to remove an existing user at the hospital or imaging center for which the Site Coordinator is responsible To delete an existing user 1 Click on the button 2 The user is immediately removed from the window Be aware there is no confirmation window that opens to confirm the correct user is selected so be very careful to select the correct user to delete BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 113 Chapter 11 Users Tab 114 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 12 Search Tab Chapter 12 Search Tab hoses The pen tab allows the users to search the entire Roentgen Works database for any patient for whom they have access rights The search criteria includes patient name patient ID body part modality accession number and study status ma This
39. open the Setup panel by clicking on the men 4 lao Ss Ss Delivered On Hold 7 to the right and clicking on the checkbox next to the desired detail If the checkbox has av then the detail displays on the Patient List If the checkbox currently does not have a v the detail is not displayed on the Patient List ls Urgent For a complete list of the Detail selections available see the section Available Detail Selections Columns Detail BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 127 Chapter 13 Statistics Tab Taking Actions in the Statistics Tab The only action available in the Statistics tab is to view the statistics which are shown in the various columns The statistics that can be shown since they are customizable in the Setup panel include the following gt Stat type This column displays the type of user or site gt Description This column displays the name of the User logged into the system for which the statistics were built gt Incomplete This column displays the number of studies for each user and site that have a status of incomplete gt Unassigned This column displays the number of studies for each user and site that have not yet been assigned to a specific Radiologist gt Queued This column displays the number of studies for each user and site that are still in the Work Queue waiting to be delivered to a Radiologist gt
40. or Search tabs and iS iz images F A one of the default settings ar WI 150 AE EI gt Physician Displays the primary telephone contact number for Action WO the patient s referring physician The Physician selection iS arrival Time Fs available in the Action Needed Work Queued Delivered Read or Body part pm e Search tabs ay F Contact 2 F gt Priority Determines if the study is routine or critical so that the picon pee E Radiologist knows the importance of the study The Priority Gate orsinh FO s selection is available in the Action Needed Work Queued Description F Delivered Read or Search tabs Elapsed Time E Faxes F gt Queued Provides a summary of all the studies that are awaiting Final Read delivery to the Radiologist The Queued selection is only available History in the Statistics tab A History FI gt Radiologist Displays the name of the Radiologist handling the use contact E study The Radiologist selection is available in the Action Needed modaiity D 54 Work Queued Delivered Read or Search tabs Patient ID WI 109 Fatient Name 7 173 gt Reason for Hold Identifies the explanation from the Radiologist pnysician E for the study being placed on hold The Reason for Hold selection physician E is available in the Action Needed Work Queued Delivered Read priority WO 50 or Search tabs and is one of the default settings Radiologist E Reason for Hold gt Reason for Study
41. resolve the issue regarding the patient and complete the study These buttons are shown below gt When this Action button is selected the study is removed from the Action Needed 1 Delivered 1 queue and returned to the area to be read and completed by the Radiologist gt This Action button allows the user to update the status on the Urgent study The Update Urgent pop up window opens to allow the user to enter additional information to update the patient status gt This button displays a list of contact information for the referring physician identified on the study Optionally the Site Coordinator can use Skype to contact the referring physician by automatically dialing through the workstation Skype is an optional software package that enables the user to make telephone calls anywhere in the world automatically by connecting through the computer to landline or mobile phones Call Contacts XRAY RICKETS N PID00000101 CR PEDIATRIC CHEST When this button is selected a pop up window opens contactroe Name Contact Method Number to allow the Site Coordinator to select the referring mm er nt physician who needs to be contacted regarding this mysean physician 2 Send Page 484 555 4426 patient Double click on the contact number to select 7 E SE the desired contact method and place the call Misc Phone 214 555 8584 gt This Action button allows the Site Coordinator to modify the patient s orde
42. rights reserved Printed in the United States of America BRIT Beyond Roentgen Imaging Technology BRIT Systems Inc BRIT Viewer and the Pincher Man logo icon are trademarks of BRIT Systems Inc Microsoft and MS Windows are registered trademarks of Microsoft Corporation All other product names or trademarks mentioned herein are the property of their respective owners BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S ii Notices Copyrights and Revision Records Revision Records Revision Record for User Manual for BRIT Lite X Reason for Author Release Change Revision Date Number Number 1 June 2009 All Initial T Harris 1 0 UM MMM Mo pa p 0 r 0 kj 0 0 000 00 00 00 0 0 r 0 0 8 JP SARA A AA CL Y Section Pages Affected El ANNL o e ee Y Y Z E E E og a N NN N S Ss n NN SD NN ES ES S ES Op E E E f ES Z XX QQ OK wo N X S ddd he WOM MMMM MMMM MMMM MMM MOM OM YA NG EN MMMM MOM MM MMM M0 Ka N N WK SS SN E EE GUN UMN MOM MMs Es X N MMMA N N N N NY N N N N N N N N N N UM IN XS N J WS ANEN RR kue SN AUMOA IDM DMM MND 4 ai MMU MUMU UU WUU JJ GAGA BL H MMM MMU MUM My EE Y OK Y MMM MMM MMMM MMM MMMM MMM fj litt UMMM MMMM MM hE AA AA NN NNN N Q
43. selections available see the section Available Detail Selections BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 107 Chapter 11 Users Tab Taking Actions in the Users Tab There are several actions that can be taken in the 2 tab which include gt Add a new Site Coordinator gt Add a new Physician gt Add a new Location gt Edit a new User gt Delete an existing user Users This section provides the steps to perform each of these daily tasks in the ab Adding a Site Coordinator One of the actions that can be taken is to add a new Site Coordinator on who will be responsible for the Site Coordinator duties at the hospital or imaging facility To add a new Site Coordinator 1 Click on the button New Site Coordinator 2 The New Site Coordinator window opens as shown here User ID Site Access User Name Name Active BRIT Systems Password Ss Chakra s Clinic BoB 3 Fill out each of the fields with the ee Seng information to define the new Site powwow Coordinator These fields include NER a User ID This is the identification Office that the user enters to log into the Bees system Pager Email Address b User Name This is the name of the user x c Password This is the code that the new Radiologist enters when they log into the system the first time d DICOM AE This is the DICOM Application Entity title for the user s
44. sure to note that there are two Description columns that have different meanings depending on the tab gt DICOM AE Displays the DICOM Application Entity title of the modality or the user This DICOM AE Title column is available in the Modalities and Users tab 24 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S BRIT Chapter 2 Customizing the Worklist Columns Systems gt DICOM Doc Displays the name of the referring physician as itis setup gt reported in the DICOM header of the study The DICOM Doc column is available in the Action Needed Incomplete Orders Long Active Width Work Queued Delivered Read or Search tabs Images A A ACC Fi 150 gt DICOM Host Displays the DICOM Host of the modality or to the P Al workstation associated with the user This DICOM Host column is Asten Mi 94 available in the Modalities and Users tab Arrival Time a 35 Body Fart i oF gt DICOM Port Displays the DICOM Port of the modality or the E workstation associated with the user This DICOM Port column is Loo E D available in the Modalities and Users tab DICOM Doc Date of Birth HW 84 gt ETA Displays the Estimated Time of Arrival for the study to be Vescgier E delivered The ETA is available only in the Work Queued tab Popes TE J Faxes gt Elapsed Time Displays the amount of time in days hours Read S minutes and seconds that has elapsed since the study
45. the font by selecting the drop down for Tahoma vi Bold Text change the font by selecting the Italicized Text change the font by selecting the Underlined Text change the font by selecting the Increase Font Size change the font by selecting the Decrease Font Size change the font by selecting the Text Color change the font by selecting the CN Highlighting of Text change the font by selecting the CN Left Center or Right margin justification change the font by selecting the Hyperlinked Text change the font by selecting the E Numbered List change the font by selecting the Bulleted List change the font by selecting the Source Editing change the font by selecting the Vv Vv Y VW Y Y Y Y Y Y VY V YV Replying to a Message The Site Coordinator can reply to a message thatis in their inbox EEE To reply to a message 1 Click on the message on which to reply 2 Click on the button 3 Type the message in the window BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 97 Chapter 9 Messages Tab 4 Click on the button to save the message and send it 5 The Reply Message window closes and the message is sent To close the window without sending a message click on the button Acknowledging a Message The Site Coordinator can acknowledge a message that is in their inbox To acknowledge a message 1 Cl
46. the physician contact is available such as the ER and may be used as a point of contact gt Misc Contact Displays an additional telephone or pager number for an additional contact for the referring physician gt Physician Displays the name of the patient s referring physician 118 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 12 Search Tab gt Reason for Hold Identifies the explanation from the Radiologist for the study being placed on hold gt Reason for Study Indicates the reason that the referring physician ordered the study for the patient gt Tech Comment Provides the text from the Technologist that was entered when the study was captured This alerts the Radiologist to additional information that the Technologist contributed to the patient s exam To change the Detail selections open the Setup panel by clicking on the Sto the right and clicking on the checkbox next to the desired detail If the checkbox has av then the detail displays on the Patient List If the checkbox currently does not have a V the detail is not displayed on the Patient List For a complete list of the Detail selections available see the section Available Detail Selections Taking Actions in the Search Tab oreak There are several actions that can be taken with the patients listed in the MAT list which include gt Searching for a patient gt Downloading the study
47. user has logged in and the application opens the following window opens 2 Works II Windows Internet Explorer E BIK User Logged In 228 p Links Customize Links e Galaxy BRIT e Hotmail e RT Ticket e Wi ren SC RoentgenWorks Site Coordinator 1 Orders 392 Work Queued 0 Delivered 29 Read 20 I Messages 0 Modalities Users Search 0 Statistics 27 Actions Needed 7 Incomplete Setup gt Patient Name Patient ID ACC Description Label Active Width Se Sec 7 DOE pA E EE TEE LETS SISSIES ES A JOHNSON JOHNNIE PID00000130 01D0004722 71010 cHEST ACC M 15 a JOHNSON JOHNNIE PID00000130 01D0004767 74000 ABDO Description m 20 JOHNSON JOHNNIE PID00000130 0100004730 72148 MRISp Patient H D 120 EE AUSTIN ANNIE KATHLEEN PID00035877 01D0004118 73590 LT TIB Patient Name 7 150 161d 19h 5m 30s DERRALGE ANFIDYCH PINNNNNN7 30 Q1npn02077 70470 CT HE Action iv 120 Radiologist EF J URGENT a p m L D Site URGENT 78d 20h 57m 528 at je nt l st FLUOROSCO ey I URGENT 60d 23h 20m 53s us ore Setup Detail CPT Date of Birth EI _ z m gt Columns Detail f Faxes Assigned Unassigned Reason for Hold Site a Date BRIT Systems 2009 03 13 09 30 BRIT Systems 2009 03 19 07 33 Reason for Study Study Details Done
48. was Er E delivered The Elapsed Time column is available in the Action Leien a Needed Incomplete Orders Work Queued Delivered Read or om al Search tabs Misc Contact Fl Modality PA 54 gt Email Address Displays the e mail address that is entered in sei mg 09 the profile for the selected user This e mail address is available Teen ame RK in the Users tab Physician F Physician F gt Fax Displays the fax number that is entered in the profile for vw wl 50 the selected user This fax number column is available in the fadioogist al Users tab Reason for Hold O Reason for Study E gt Faxes Identifies that a fax has been sent for the specific study ws from the Site Coordinator The Faxes column is available in the SS Action Needed Incomplete Orders Work Queued Delivered 3 Read or Search tabs Tech Comment Time of Study EA 25 gt Final Read Determines if the Radiologist is to do a final diagnosis on the study and is identified as a Yes or a No in the Columns Detail Final Read column next to the Study The Final Read column is available in the Action Needed Incomplete Orders Work Queued Delivered Read or Search tabs gt From Identifies the sender of the message and is only found in the Message tab gt History Provides the brief patient history that was sent with the study The History column is available in the Action Needed Incomplete Orders Work Qu
49. 0 0101 1 XA OTHER Site lt To g et al th e Site v Elapsed Time Time of Study Priority Patient Name Patient ID Radiologist Sex Date of Birth images Modal Body Part studies grouped sa t O g et h er j n e ach RSNA 137d 15h 39m 29s 2002 08 30 14 01 Routine BONEY BARRY PID0000089 Radiologist 1 o 1 CR CHEST i RSNA 137d 15h 39m 34s 2002 11 02 16 40 Routine BONEY BARRY PID0000089 Radiologist 1 0 2 CR FOOT S ite by Mod al Ity BRIT Systems 51d22h42m2s 2008 04 09 13 47 Routine ARCHER JAMES CBH PPID001972 Radiologist 1 M 1922 02 06 1 CR CHEST cl ick on th e BRIT Systems 51d22h43m56s 2006 05 19 10 12 Routine ENARD MARIE Y 06975007 Radiologist 1 F 419390317 4 CR CSPINE p BRIT Systems 52d 52m 30s 2006 05 12 09 35 Critical CASE KENNETH CRAIG GRMC253007 Radiologist 1 M 1925 06 14 1 CR PORTABLE CHEST Modality header cl ick on th e d rop RSNA 137d 15h 37m 488 2005 02 04 09 07 Routine CATCHEST CHESTER PID00000102 Radiologist 1 M 19691015 101 CT CHEST down arrow and RSNA 137d 15h 30m 568 2003 04 17 11 00 Routine VOXARLUNGY VIVIAN PID00000122 Radiologist 1 F 1975 12 18 408 CT CHEST t G b I MG Selec rou p y RSNA 134d 20h 53m 138 2004 12 14 16 40 Routine MAMMO MANCY PID0000010 Radiologist 1 F 1952 02 25 15 MG BREAST Th S Fie l d i Th e RSNA 134d 20h 53m 118 2006 01 04 12 57 Routine MAMMO MANCY PID0000010 Radiologist 1 F 1952 02 25 15 MG BREAST Patient list is shown S RSNA 137d 15h 36m 14s 2005 02 09 07 19 Routine MR LSPINE L SPINE
50. 0 S Chapter 4 Action Needed Tab Notifications Using BRIT Phone BRIT Phone is initiated automatically each time the Urgent Finding action is taken or if additional updates are made This application alerts the referring physician that the Radiologist has found an issue that needs immediate action for the patient The following actions are taken by BRIT Phone when Urgent Finding is used gt Calls the Referring Physician gt Makes an announcement requesting verification of name gt The user presses 1 to verify they are the intended recipient or can hang up gt If the correct recipient is identified the announcement is made regarding the patient name ID and the urgent finding indicated by the Radiologist gt The user can elect to 1 Press 1 to simply Acknowledge the call 2 Press 2 to call the Radiologist who identified the urgent finding 3 Press 3 to call the patient Location and alert them to the urgent finding gt The user can then hang up BRIT Phone only makes calls to the Referring Physician when the Urgent og status is updated it does not place calls when the Site Coordinator adds F Notes or completes the Urgent finding Calling the Referring Physician Once an Urgent Finding has been identified by the Radiologist the referring physician must be contacted as quickly as possible to ensure expedited care for the patient One of the optional features of this system is an
51. 080 6WF_Doc works html i 62 gt HD File Edit View Favorites Tools Help Links Customize Links e Galaxy BRIT Hotmail e RT Ticket Wiki Pages w amp works 1 Gr Gl me Page OG Tools v y Od Edit Profile Search 0 RoentgenWorks Site Coordinator 1 Actions Needed 7 Incomplete Orders 392 Work Queued 0 Delivered 29 Read 20 Messages 0 Modalities Users Statistics Action 3 ONHOLD ONHOLD ONHOLD ONHOLD ONHOLD ONHOLD J URGENT URGENT URGENT Elapsed Time 164d 13h 48m 24s 164d 13h 48m 17s 164d 13h 47m 58s 78d 23h 28m 31s 161d 19h Sm 30s 78d 20h 57m 52s 60d 23h 20m 53s Patient Name JOHNSON JOHNNIE JOHNSON JOHNNIE JOHNSON JOHNNIE AUSTIN ANNIE KATHLEEN CEREBRALGE ANEIRYSM ZZTESTPATIENT BATMAN GRUNTSKI GOOBER Patient ID PID00000130 PID00000130 PID00000130 PID00035877 PID00000730 PID00004338 PID00006767 Reason for Hold Reason for Study ACC 0100004722 01D0004767 01D0004730 01D0004118 01D0003077 01D0007085 01D0006773 Description 71010 CHEST 74000 ABDO 72148 MRI SF 73590 LT TIB 70470 CT HE FLUOROSCO US Setup Label ACC Description Patient ID Patient Name Action Radiologist Site Sex Modality AE Body Part Reason for Hold History Tech Comment CPT Date of Birth Columns Detail Faxes Save Defaults Assigned Unassigned Site BRIT Systems BRIT Systems BRIT Systems BRIT Syst
52. 0M S W gt Complete New Physician To mark the Order as Complete 1 Enter the missing information by typing in the information or selecting from the drop down menu Priority Routine Ge Location ER is Reason for Study PAIN IN CHEST AND SIDE Physician DR TERRY SIDEURTS History FELL OUT OF 4 TREE Contact 2 DR NADJA ESHU Tech Comment A LOT OF DIFFICULTY BREATHING Misc Contact CPT Tanan Sf Complete New Physician New Location paw 2 Once the information is entered or selected click on the button 3 The Order is then sent to the Work Queue to await delivery to a Radiologist It may quickly go to the Delivered queue if a Radiologist is logged in and accepting studies Note that a shortcut to finding the information in a drop down menu is to begin typing the name in the field and as characters are matched the name appears Click on the correct name when it appears BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 61 Chapter 5 Incomplete Orders Tab Adding a Physician One of the actions that can be taken here is the ability to add a new Physician who was not on the current list but is responsible for patient care This is helpful in that the Site Coordinator can simply click on the button without having to select the Incomplete Orders 365 then have to return to the Eins To add a new Physician follow these steps 1 Click on the button
53. 2 The Physician window opens as shown here 3 Fill out each of the fields with the information to define the new Physician These fields include a User ID This is the identification that the user enters to log into the system b User Name This is the name of the user r Physician User ID User Name Mobile Office Home Pager Fax Sr Email Address Priority Alert zi Seject Priority Alert 2 Select tab and add the user and Save Cancel c Mobile This is the cell phone number for the new user d Office This is the office telephone number for the new user e Home This is the home telephone number for the new user f Pager This is the pager number for the new user g Fax This is the fax number for the new user h E mail Address This is the e mail address for the new user i Priority Alert 1 This allows the physician to select the primary alert method to be used when they need to be contacted regarding an urgent finding or critical study for one of their patients Click on the arrow next to the field and select the desired method The choices are No Alert Call Mobile Phone Call Office Phone Call Home Phone Send Page i No Alert When this is selected the physician will not be contacted for urgent findings or critical studies 62 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 5 I
54. 23156 M CR CHEST 0ID000039 Chest Portable Radiologist 91 upi a 2005 07 02 00 52 INCOMPLETE Routine JOHNSON JOHNNIE 123156 M CR CHEST 01D000032 Chest PA Chest Site 120 fo r a S pec if C pat e nt S 2006 01 23 20 53 REPORTED Routine JOHNSON JOHNNIE PID000130 M CR CHEST 0ID000472 71010 CHEST SIN Sex 37 2005 07 02 00 52 DELIVERED Routine JOHNSON JOHNNIE PID000130 M CR CHEST 010000477 71020 CHEST 2 V Modality 48 st u d y 2005 08 01 16 26 DICTATED Routine JOHNSON JOHNNIE PID000130 M CR CHEST 01D000034 Chest Erect PA ACC 128 2006 01 03 03 19 DELIVERED Routine JOHNSON JOHNNIE PID000130 M CR ABDOMEN 00000476 74000 ABDOMEN Body Part 120 2006 01 05 15 45 DELIVERED Routine JOHNSON JOHNNIE PID000130 M CHEST 01D000037 Chest Erect LAT Description 159 T h j S S e ct j O n p r ovid e S 2006 01 24 15 02 READ Routine JOHNSON JOHNNIE PID000130 M MR OTHER 01D008418 LUM SP Date of Birth 92 2006 01 05 18 01 READ Critical JOHNSON JOHNNIE PID000130 M LSPINE 010000473 72148 MRI SPINAL Patient ID 2005 07 26 19 17 READ Routine JOHNSON JOHNNIE PID000130 M HEAD 0ID000035 HEADWOCDRUK Patient Name 120 information on the 150 vw i Pe i fania 13 23 REPORTED Routine kt JOHNNIE PID000130 M OTHER O1D000038 LEFT PSOAS e MI EE per SE b u tto n S i CO O r cod n g C si changing the columns Detail ren and changing the Reason for Study caught in fire Location E Anmane DESS details for the Site Date ISS SB S
55. 2978 bi c 01 2008 12 12 39 PM c 01 2008 12 12 39 PM c 01 2008 12 12 40 PM c 01 2008 12 14 56 PM c 03 2008 12 25 27 PM 08 2009 12 14 40 PM n 08 2009 12 18 16 PM an 09 2009 1 53 59 PM 06 2009 3 46 45 PM Study Study Study Study marked READ by Radiologist 1 Study marked UNREAD by Radiologist 1 Description v 29 2008 7 31 08 PM Study received from BRIT RSNA Server c 01 2008 12 12 39 PM Study completed by Site Coordinator 1 assigned to Radiologist 1 by The System sent to Radiologist 1 arrived for Radiologi ist 1 Study marked URGENT by Radiologist 1 Reason set to Bleeding in Brain Study marked UNURGENT by Site Coordinator 1 Study marked URGENT by Radiologist 1 Reason set to reurgent Study marked UNURGENT by Radiologist 1 Study marked URGENT by Radiologist 1 Reason Study marked UNURGENT by Radiologist 1 Study marked URGENT by Radiologist 1 Reason set to that looks wicked awesome set to this could be worse you know iv BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 91 Chapter 8 Read Tab Vie When the study was assigned When the study was sent When the study was delivered When the study was read VVVVVV v When the study was marked urgent When they study was put on hold When the study was completed by the Site Coordinator When the desired information is read click on the button to close the
56. 4 Routine SWISTI CHESTER PID004081 M 1999 01 08 CHEST BRIT Systems 2009 04 21 00 00 Routine LUMIS KENNER PID001222 M 1999 09 13 KNEE BRIT Systems 2009 04 21 09 22 Routine BABASCUTTI FYODOR PIDOOSSS2 M 1931 04 08 M ARM BRIT Systems 2009 04 21 09 22 Routine LENRY BASER P1D001562 M 1987 08 12 W HEAD lt i Tech Comment Time of Study UD RAAEN v come Depending on the site s Dismiss Study tudy Mark Comparison omparison Study History ly History save Defaults ults work flow the Sj te SS Coordinator always needs Reason for Study PAIN IN CHEST AND SIDE Physician Select mem e to complete the studies DE SS in others they will only Tech Comment A LOT OF DIFFICULTY BREATHING Misc Contact provide inform ation that IS CPT 71n2n e S j gt missing when it is requested Priority Routine Location ER Si Internet Incomplete Orders 365 This section provides information about the studies that are found in the SSS ta BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 55 Chapter 5 Incomplete Orders Tab Action Buttons l Incomplete Orders 365 There are six Action buttons in the L Ses tab gt This button allows the Site Coordinator to mark the Order as Complete The study is then sent to the Work Queued tab unless a Radiologist is accepting studies then it is sent to the Delivered t
57. 44 555 9898 Physician 2 physician 2 Send Page 434 555 4426 Location Emergency Room One Primary 214 555 5514 When this button is selected a pop up window EE opens to allow the Radiologist to click on the desired contact method for the referring physician Click on the desired contact number to select the number to call If Skype is being used double click on the number for the system to automatically dial the number and connect the call When the button is selected the Call Contacts window closes If the referring physician answers the call is connected between the two parties If the referring physician does not answer Skype can continue autodialing until the contact is reached Notifications Using BRIT Phone BRIT Phone is initiated automatically each time the Urgent Finding action is taken or if additional updates are made This application alerts the referring physician that the Radiologist has found an issue that needs immediate action for the patient The following actions are taken by BRIT Phone when Urgent Finding is used gt gt 90 Calls the Referring Physician Makes an announcement requesting verification of name The user presses 1 to verify they are the intended recipient or can hang up If the correct recipient is identified the announcement is made regarding the patient name ID and the urgent finding indicated by the Radiologist The user can elect to 1 Press 1 to simply Ack
58. 55 ABDOMEN UMTED B UVER PANCREAS OR SPLEEN 3 The Fax opens in a separate window Performing Phy N S Status ge Se Geier id and displays the details as shown to Performing Phy Phone Performing Tech Name th e eft D Performing Tech ID Performing Tech Phone Comment bitene 4 Once the user has read the Preorder Medication DH DH i information click on the at the top Study Information rig ht to close the window Status Arrived Time Origin Title Modality Body Part COMPLETE 09 25 2006 10 24 AM HDI5000 US ABDOMEN Unassigned For faxes that are not assigned they appear in the _ tab To assign the fax 1 Click on the appropriate study 2 Click on the appropriate fax 3 Click on the 45991 button Assi med sic tab 4 The fax now appears under the 74 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 7 Delivered Tab Chapter 7 Delivered Tab Delivered 1 The aa tab provides the Site Coordinator with a list of studies that have been delivered to the various Radiologists The Site Coordinator can get a list of the studies grouped by Radiologist for easier viewing These include both the Routine and Critical patient and are color coded to highlight and help identify the Critical patients Delivered 1 This section identifies the components of the taken with this tab tab and the actions t
59. 8 changing provides on the color coding the columns Gs and changing the details SES j Assigned Unossined Delivered 1 the Radiologist 1 Routine Radiologist 1 Radiologist 1 Radiologist 1 Radiologist 1 Tech Comment CPT DICOM Doc nn NENNE N Routine Routine ct chest report adden 76604 US CHEST PLE 71010 CHEST SINGLE Routine CO Reason for Study F Routine Reason for Study Location Site Date for tab History FALL RT PERIORBITAL TRAUMA Physician physician 2 Gg Tech Comment Contact 2 physician 1 Study Status DELIVERED Misc Contact Final Read Yes DICOM Doc gt m e Internet BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 75 Chapter 7 Delivered Tab Action Buttons l l l Delivered 1 n There are five buttons available in the tab that allows the user to take specific actions for the patients in this list to complete the study and dictate a report on the viewing workstation These buttons are shown below gt This button allows the Site Coordinator to place the study in the Action Needed i1 me i f f f f tab because of additional information that is needed for the Radiologist to complete the report gt his button displays a list of contact information for the referring physician
60. A MPHO03871 CT HEAD gt Reason Section This section is at the top of the window and it displays the Urgent Finding from the Radiologist Urgent Finding Internal bleeding please admit to surgery as soon as possible gt History Section This section is the central part of the window and it provides a complete list of the various steps notes calls actions and information that created a brief history of this specific study It provides the following information Event Type Identifies such actions as Event Type Date User Finding Note Marked U rg ent Viewed U pd ated Called MARK URGENT an 08 2009 12 14 40 PM Radiologist 1 Bleeding in Brain A VIEWED an 08 2009 12 15 31 PM Site Coordinator 1 ms R U d t d A t N d d A t 1 UPDATED Jan 08 2009 12 16 34 PM Site Coordinator 1 contacting physician e aSo n p a e J C IO n e e e J C l O n ACTION NOT NEEDED an 08 2009 12 18 16 PM Site Coordinator 1 found physician U S S h d d VIEWED Jan 08 2009 3 32 37 PM The Administrator n n e CE S S a ry J u rg e ry C e u e J O r a n y ACTION NEEDED Jan 09 2009 1 53 59 PM Radiologist 1 reurgent ifi t t t CALLED Jan 09 20092 17 03PM The Administrator called 111 111 1111 SPECI IC re evan even ype 7 CALLED Jan 09 2009 2 18 51 PM The Administrator called 111 111 1111 CALLED Jan 09 2009 2 19 00 PM The Administrator called 222 222 2222 E CALLED Jan 09 2009 2 55 28 PM The Administrator called 111 111 1111 EN D
61. BSSS S888 History asthma Physidan physician 1 G h Parc Tech Comment Contact 2 ta b Misc Contact DICOM Doc CTHERIOT v lt i gt http 10 255 4 150 9080 BWF Doc works htmlit Internet BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 115 Chapter 12 Search Tab Action Buttons There are ten buttons available in the tab that allows the user to easily search for a patient by a date without having to select a date by a calendar gt This button allows the Site Coordinator to download the selected study to the viewer Study History XRAY RICKETS N PID00000101 CR PEDIATRIC CHEST Event Type gt This button allows the user to see the 1 3 125 detailed history of the study such as when it was e created completed to whom it was assigned when it Ee was sent when it was delivered when it was read each time the status was reset and each status setting gt This button allows the user to search for a patient by all dates from the initial date the system was installed gt This button allows the Site Coordinator to perform the search for the patient for the past one day gt This button allows the Site Coordinator to perform the search for the patient for the past one month gt This button allows the Site Coordinator to perform the search for the patient for the past one week gt This button al
62. Body Part F CPT E Contact 2 E DICOM Doc EA is d Date of Birth fall Description al 5 i Elapsed Time FI Faxes FI Final Read bal K 4 History bal SN 4 Location EA 15 d Misc Contact PA 5 4 Modality E Patient ID EI Patient Name F Physician PA 15 d Physician F Friority E Radiologist E Reason for Hold PA i i Reason for Study al 1 GEX F Site E Study Status E Tech Comment E Time of Study E UID E K Columns Detail BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S BRIT Chapter 3 Customizing the Details Panel Systems gt Arrival Time Displays the date and time that the study arrived at Setup the Roentgen Works server for diagnosis The Arrival Time selection is available in the Action Needed Delivered and Read aS tabs Images F l ACC H 150 gt Body Part Displays the specific body part or region of interest 7 on which the study was performed The Body Part selection is gt e ME available in the Action Needed Work Queued Delivered Read or 7 5 s Search tabs CPT EI gt CPT Displays the Procedure Code for the selected study The Ee CPT selection is available in the Action Needed Work Queued EE Se Delivered Read or Search tabs e Elapsed Time A Be aware that CPT Codes are not available for Faxes worklists from the DICOM header unless Finaireaa manually entered It is available with HL 7 History F in
63. Chapter 4 Action Needed Tab Chapter 4 Actions Needed Tab There are a variety of tasks in this window that the users work with to take further action on the v various studies that appear on this L EE window This indicates that the referring physician needs to be contacted immediately regarding the patient in case of an urgent finding or that some type of action needs to be taken for the Radiologist to complete the diagnosis for the patient For example the Radiologist may have put a study on hold because the Reason for the Study was not available and this information is needed before the Radiologist could actually complete the diagnosis for the report Generally the Site Coordinator provides the information and returns It In this tab the actions needed could be due to on hold studies studies with urgent findings or discordance between the Radiologist and the ER physician The Site Coordinator or Technologist can also put studies on hold SS i Action Needed 1 This section identifies the components uses and features of the Tab Components of the Action Needed Window Action Needed 1 The following shows the L window 2 Works II Windows Internet Explorer The number in red next to the tab indicates the number of studies listed in that tab This is particularly important for this tab because it indicates the number er J v N http 10 255 4 150 9
64. Date of Bh Modality Body Part AC D 3 BRIT Systems a Label Ge complete for the studies mooairy I D BRIT Systems 2009 03 21 00 48 Routine ANDERS LAWANDE PIDO20666 E 1967 05 24 Patient D E d t g f t BRIT Systems 2009 03 21 08 09 Routine BEKOTEN RAUL PID034775 M 1933 02 16 ABDOMEN u e O m ISS l n l n O rm a IO n H Patient Name BRIT Systems 2009 03 21 11 21 Routine SIKO TOSHIKO P1D000075 M 1913 03 24 CHEST Ce gt O r th e st u dy n e ed S to be BRIT Systems 2009 03 21 16 44 Routine QUALM ERIC PID006355 M 1942 02 11 OTHER Se Physician BRIT Systems 2009 05 23 16 27 Routine EAGLE USANAI PID003566 F 1994 41 07 Priority e s5 m arked as a com D ari son BRIT Systems 2009 05 10 11 38 Routine MURRO CALVIN PIDO63590 M 1942 02 18 CHEST Radiologist BRIT Systems 2009 02 17 11 52 Routine TERSET SARDIN PID032059 M 1939 11 14 CHEST CSS st u d y t h e S e ca n a b e BRIT Systems 2009 03 21 00 48 Routine ANSTET HESTEN PID007682 M 1967 05 14 LEG Reason for Study Cl al BRIT Systems 2009 03 21 00 48 Routine CETHY IMELA PID003516 M 1998 12 05 ARM ES h an d ed In th e BRIT Systems 2009 03 21 00 48 Routine HORTLY SAMELA PID059929 E 2001 09 11 SPINE es 8 Ez St Incomplete Orders 365 P S ta b RS Site BRIT Systems 2009 03 21 00 48 Routine MIGOGH RAUL PID003843 M 1983 09 08 LEG Study Status BRIT Systems 2009 04 08 13 1
65. Delivered This column displays the number of studies for each user and site that have been delivered to a specific Radiologist and are waiting to be read gt On Hold This column displays the number of studies for each user and site that have been placed on hold by the Radiologist awaiting clarification or additional information about the patient gt Urgent This column displays the number of studies for each user and site that have been 128 tagged as Urgent by the Radiologist indicate that the referring physician needs to be contacted immediately in regards to a problem found on the patient s study and is critical for patient care BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 14 Viewing the Faxes Chapter 14 Viewing the Faxes Many times the Order information is not passed along with the Study and must be faxed from the site by the Site Coordinator or the Technologist Once the fax is sent generally it is assigned to the appropriate study by the Site Coordinator or Technologist and it appears in the lower right side of the window in the Faxes section Once the fax is available it is stored on a server and available for viewing by the user This section describes the Assigned Faxes the Unassigned Faxes and Viewing the faxes Sending Paper based Information If the Order information is not passed along and the information is unavailable a hard copy of the order
66. EEDED TAB unnnnnnennnnnnennnnnnnnnnnnnnennnnnnennnnnnnnnnnnnnennnnnnennnnnnnnnnnnnnennnnnnennnnnnnennnnnnennnnne 41 COMPONENTS OF THE ACTION NEEDED WINDOW ruuurnnrrvrrnannvrnrnnnrerrnnnrenrnnnnennvnnnsenrnnnsennnnnnernvnnnsennnnnsennnunnennnnssene 41 MP 42 Tr 43 SIG RR EE 43 BEG 0 01 000121016 08 FQ EEE EEE 44 TAKING ACTIONS IN THE ACTION NEEDED ITEMG ccssecceseecesceteeteceeeccneeteneetaeetausetaeeeeueeteneeteneetaneeseeesaeeeees 45 Releasing the Patient On Hold sesse E E OER 45 Updating th le tg LE 46 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S V Table of Contents Adding Notes or Completing the Urgent Finding ccccccccsssseeeeeeeeeeeeeseeeeeeeeeeaeeecceeeeeseeeeseeeeeeesssaeaeeeeeeeesssaaaeess 46 Sections of the Update Urgent Wmdow nnmn 47 Buttons on the Update Urgent Window cccccssseccccesseeeccaeseeeceseesseeeecaeuseeeesausacececeesausesssaaueeeessaaeeeeessaaeeeessaaanss 48 Notifications Using BRIT Phone Lusmnnsnssmnidmnmenmneinsime em jaevelecdaseeaed kv eloseceeuewndeeselineceeatens 49 Calling the Referring Physician u cccccccsseeeececccccecsssueeseeceesnsassessseceessessssessseceessssasuausseecesssssaaaeeseseeessssaansneeees 49 Editing the Order Information wu ccccsssssseeececccccenenssueeeeccceseassuueseeecessssusessseeceesssssuaeeeeeeessssssaaeeseeecessssaaeeseeseees 51 Viewing the SUV NNN 52 VENN TRE GE 53 CHAPTER 5 INCOMPLETE ORDERS TAB rrn
67. HEST PLE Read 22 Messages 0 Date of Birth 2000 10 03 1971 08 19 1975 12 18 1954 05 28 1940 07 06 1940 07 06 1951 07 01 1932 1217 1940 07 06 1940 07 06 2000 02 01 1940 07 06 1922 02 06 1942 03 01 Modalities Sex TT 0 E TN mm NE Oo For example in the Delivered tab the Users Searc Modality Body Part CR CR MG CR CT PR CT CT CT CR CR CR CT CR SC US ABDOMEN FEMUR BREAST CHEST CHEST BREAST HEAD HEAD ABDOMEN CHEST CHEST CHEST ABDOMEN CHEST CHEST CHEST The Setup panel allows the user to customize the columns that are shown in each tab s patient list and the Details below according to their own personal preferences If the Setup panel is not shown when the user logs in there is a button at the far right side of the patient study section that allows the user to open the Setup panel ZC Works II Windows Internet Explorer JS X KI http 10 255 4 150 9080 BWF_Doc works html vi 3 X V File Edit View Favorites Tools Help Links SS Customize Links e Galaxy BRIT e Hotmail e RT Ticket amp Wiki Pages Actio I ON w or works 1 KI na HOLD ONHOLD ONHOLD ONHOLD ONHOLD ONHOLD B URGENT URGENT URGENT Jet we d r works 1 MD Mies Grus 3 Elapsed Time 164d 13h 48m 248 164d 13h 48m 17s 164d 13h 47m 58s 78d 23h 28m 31s 161d 19h 5m 30s 78d 20h 57m 52
68. HILIPS STUFF Y JOHNSON JOHNNIE No Routine PID000130 f MR PID000963 PID000130 OTHER 841854 l 010000128 010000473 Tech Comment DICOM Doc No Routine 1932 02 26 CT No Critical LSPINE I BRIT Systems No Routine Routine Routine Routine Routine Routine Routine Routine Critical Routine Routine Routine ARTHER STEVEN CHRISHART HARRY BEYLUGESS MITCHEL LERGESY TUNDY BLABLOCK LICIA BLABLOCK LICIA BLABLOCK LICIA MARNE CHASINE CAKE KERN BEASTONE RAUL LUMISH RAVEN EATWEOL WILLEM PID019728 PID000843 PID052436 PID000082 PID228744 PID228744 PID228744 PID087772 PI0007530 PID073475 PID071015 PID079834 1922 02 06 1949 04 07 2000 02 01 1987 10 19 1987 10 19 1987 10 19 1945 05 15 1925 06 14 1933 02 16 1938 04 10 CHEST OTHER PELVIS NA CSPINE SE 9 go nts nm 0 LSPINE O PORTABLE CHEST CBH A0ID005271 0 568021709 132 01DC00047 RMCA20982 RMCA20811 168255 GRMC721797 618030507 498 US08 121640 Reason for Study Final Read Physician Contact 2 Location Radiologist Site Sex Modality ACC A ae Body Part Reason for Hold Description HSESSS8S8S8S88 ep u a0 lebt Lafen et Le we Eft GGo0o0o000g6 PID067995 PID352142 1976 12 16 1940 07 06 Routine MORGANSTERN MORGAN KUTHIN KANIE JPHAS61239 E CPT v WPHA0016783 n Routine p Call Contact Urgent History Study His
69. MPLETE Study Reason 76705 US ABDOMEN LIMITED GB LIVER PANCREAS OR SPLEEN Medical Alerts Special Needs Allergies Referring Phy Name Facility BRIT Referring Phy ID BRICE Location 3 Location Referring Phy Phone Prone PE Pregnanc Height ds Aen Y DEFINITELY PREGNANT Weight Occupation Patient History Scheduling Notes Created Time 09 25 2006 10 26 AM Scheduled Time 09 25 2006 10 27 AM Completed Time Read Time Reported Time 09 25 2006 10 26 AM Procedure Information Exam US ABDOMEN Schedule Time Code 76705 Length 15 minutes Modifier Modality Location Study Description 76705 US ABDOMEN LIMITED GB LIVER PANCREAS OR SPLEEN Performing Phy Name Status Performing Phy ID Priority Performing Phy Phone Performing Tech Name Performing Tech ID Performing Tech Phone Comment Transport Arrangements Confidentiality Constraint Preorder Medication Study Information Status Arrived Time Origin Title Modality Body Part COMPLETE 09 25 2006 10 24 AM HDI5000 US ABDOMEN Site a Date BRIT Systems 2009 0313 09 30 BRIT Systems 2009003 19 07 33 BRIT Systems 2009 05 04 09 18 BRIT Systems 2009 05 04 09 20 BRIT Systems 2009 03 13 09 28 BRIT Systems 2009 0319 07 35 In order to view the fax follow these steps 1 Click on the appropriate study Click on the LE 1 button The Fax opens in a separate window and displays the details as shown to the left Once the user has re
70. N PID00000101 CR PEDIATRIC CHEST x 1 Make sure the correct patient study is selected Contact Role Physician 1 2 Click on the button 3 When this button is selected a pop up window te opens to allow the Radiologist to click on the desired contact method for the referring physician Physician 2 Physician 2 Location Name physician 1 physician 2 physician 2 Emergency Room One Emergency Room One Contact Method Call to Office Call to Mobile Send Page Primary Secondary Phone Number 214 555 6253 214 555 9898 434 555 4426 214 555 5514 464 555 6463 214 555 8584 4 Click on the desired contact number to select the number to call 5 If Skype is being used the system automatically dials the number and the call is connected When the button is selected the Call Contacts window closes If the referring physician answers the call is connected between the two parties If the referring physician does not answer Skype can continue autodialing until the contact is made 50 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 4 Action Needed Tab Editing the Order Information The Order information for the Study can be edited by the Site Coordinator when changes or updates are needed Editing can be done until the study has been marked as Read og By Be aware that the Order can only be edited until the study is marked as Read T
71. N FOT saved 79 Calling the Referring Physician Are 80 Notifications Using BRIT de EE 81 CHENG the Order EE EEE ENE 82 Viewing the Urgent MSDN asciercnctssieccieiticataeepin imnitep ines bs inicio ight mid pin abbey neon 8 oad nina eat keeeiatghne nese 83 Viewing the Study HiStory EEE ENE 83 VIEWING THE EE 84 CHAPTER 8 READ AB gt geen nee eee eee ne Senne eee ere eer ene eer ee eee nnan 85 COMPONENTS OF THE READ WINDOW rnnnnnnnnnnnnrrvvvrnnnnnrrnrnnnnnnnnnnnnnrrrrrrrrnnnnnnnnnnnnnnnnnnnssssnnsssreennnnnnnnnnnnnnnnnnnnnsseee 85 AOUR ere e EE 86 TON EE 86 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S vi BRIT KS Notices Copyrights and Revision Records Systems ee mie COI EEE EE EEE ee 87 ende 88 TAKING ACTIONS IN THE RENTE Jvv4v4444v ce nasatsacat ety eceunedatucdeacriecaaumaseicepectaaeteeedatnaceneedatucne 89 Calling Ne ee PV SICA EE 89 Notifications Using BRIT Phone nnen 90 vewn Medo on AISTI ER ERE EEE 91 ver EE 91 VENNENE 92 CHAPTER 9 MESSAGES TB ete 93 COMPONENTS OF THE MESSAGES WINDOW ccccccccceeeeeeeeeeeeeeeaeeeceeeeeeeeesaeaaeeeeeeeeeeesaaseeeeeeeessaaaaseeeeesessaaaeees 93 eidele DO ON ERE ENE DEE EEE ENE SE EEE 94 FONN 94 EE 94 DOTA e ed EEE EEE NE iie 95 TAKING ACTIONS IN THE MESSAGES TAB 00 cccccececeseessecceceeeeaaeeeseceeeeeesaeeeeeeeeeeessuaeeseeceeeeessasaseeeeeeeessuaaaeeesees 96 sending a Message serii eiaei Ennon TE AE ANEETA EENE E EEEE E EE 96 Rep
72. ONHOLD BRIT Systems GLAND LILLIE V PID757309 ONHOLD BRIT Systems BICUSPID Al PID 00030 010600030 amp URGENT URGENT RSNA VOXARLUNGY VIVIANNE PID000122 010205252 BRIT Systems GRUNTSKI GOOBER PID000672 010676226 Keel Suan Once the Setup panel is open the Assigned Unassigned Site a Date Site BRIT Systems changes to a EH which allows the user to close the Setup panel section and maximize the Patient List Patient Name BONE WB amp SPOTS Patient ID 01218215REG ACC e Description Bone Scan Internet BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 29 Chapter 3 Customizing the Details Panel Setting up the Details Panel The second tab at the bottom of the Setup panel is the Detail tab which allows the user to customize the specific study information that is shown for the Details panel at the bottom Remember that each tab can have different details display at the bottom and are selected on an individual basis Available Detail Selections Not all Detail selections are available for every working tab and they can only be selected for the specific working tab when the Setup is open for that tab The desired Detail field is selected by clicking on the checkbox and the v appears next to the column when it is successfully selected A complete list of the
73. PID00000136 Radiologist 1 M 1991 06 09 78 MR LSPINE as In the sample to the right Moving the Columns for the Tabs When the columns are selected they will immediately be placed into the left most side of the window These columns can be moved by hovering the mouse over the header holding the left mouse button down moving the cursor to the desired column location and releasing the mouse button If the header is not in the correct position for placement the header is identified with a Q stop Lei Radiologist symbol to the left of the selected header as shown here g Be aware that if the header is dropped while the Q symbol appears the header is not moved When the header is in an OK or viable position for placement the header is identified with a Ok to move and release to the left of the selected header as indicated here Radiologist The header is then moved to the selected location 29 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S a gt BRIT Chapter 2 Customizing the Worklist Columns Systems Available Columns Not all columns are available for every working tab and they can only be selected when the Setup is open for that tab Select the desired column by clicking on the corresponding checkbox in the Active column and the v appears when it is successfully selected The complete list of columns that are available include ee S Label Activ
74. Patient List If the checkbox currently does not have av the column is not displayed on the Patient List The columns can then be moved or resized according to personal preference For a complete list of available columns see the section Available Columns Detail Information The Detail information at the bottom shows the detailed information about the message This Detail panel can be customized according to individual preferences but there are several that have been selected to be identified as system defaults and are selected when the system is Defaults delivered or when the button is selected The system default information shown for these messages in the See window include gt From Identifies the sender of the message gt Message Date Identifies the date the message was created gt Message Text Contains the complete text of the message created by the sender gt To Provides the name of the recipient of the message To change the Detail selections open the Setup panel by clicking on the Sto the right and clicking on the checkbox next to the desired detail If the checkbox has av then the detail displays on the Patient List If the checkbox does not have av the detail is not displayed on the Patient List For a complete list of the Detail selections available see the section Available Detail Selections BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 95 Chapter 9 Mes
75. REAS OR SPLEEN Medical Alerts Allergies Referring Phy Name Facility BRIT i Referring Phy ID BRICE Location S h Location m SEH Phone In order to view the fax follow these steps Height FregnancY DEFINITELY PREGNANT Weight Occupation Patient History 1 Click on the appropriate study Scheduling Notes Created Time 09 25 2006 10 26 AM Scheduled Time 09 25 2006 10 27 AM Completed Time il ee 09 25 2006 10 26 AM 2 C ick O n th e wew b utto n Procedure Information cote em lr emm 3 The Fax opens in a separate window Study Description 76705 US ABDOMEN LIMITED GB LIVER PANCREAS OR SPLEEN a n d d j S D ays t h e d et al S i a S S h own to Performing Phy Name Status Performing Phy ID Priority th e eft Performing Phy Phone Performing Tech Name Performing Tech ID lt i 4 Once the desired information is read Transport Arrangements Confidentiality Constant by the user click on the at the top right to close the window Study Information Status Arrived Time Origin Title Modality Body Part COMPLETE 09 25 2006 10 24 AM HDI5000 US ABDOMEN Unassigned For faxes that are not assigned they appear in the L Tab To assign the fax 1 Click on the appropriate study 2 Click on the appropriate fax 3 Click on the 45991 button eed 4 The fax now appears under the 84 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S
76. SNA RADIOLOGIST Robbie s iPhone User Type 120 Gs er e ien Go Site Coordinator to add RSNA COORDINATOR Site Coordinator 2 User D RSNA RADIOLOGIST Rad 6 7 Dicom AE Le modify delete and view RSNA COORDINATOR Site Coordinator 3 Sep th e u S er th at ar e d efi n e d Chakra s Clinic Chakra s Clinic RADIOLOGIST Doctor Three i all Ges and authorized to use the Email Address Chakra s Clinic PHYSICIAN Dr Robb Mobile syste m J BRIT Systems Office BRIT Systems RADIOLOGIST Bobbie Home F BRIT Systems ADMINISTRATOR ADMIN 2 Pager BRIT Systems PHYSICIAN Brian Hersh Fax Th IS sectio n provides BRIT a ADMINISTRATOR sar j nfo rm at j O n O n th e buttons color coding RRT Systema RANIOLOGIST Radinionist 1 Columns ES New Physician Physician New Location Location Save Defaults H changing the columns and changing the details I Site User Type SErs Sen User Name for the 2 tab internet 100 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 105 Chapter 11 Users Tab Action Buttons Users There are five buttons available in the tab that allows the Site Coordinator to easily add modify or remove users as well as add a new location gt New Site Coordinator This Action button allows the Site Coordinator to define new Site Coordinator for a hospital or imagi
77. Status and it brings up the User s Profile to allow the user to make changes to their personal information including 4 User Name 4 Office Phone Number 4 Password Z Home Phone Number DICOM AE Title Pager Number 4 DICOM Host Z Fax Number 4 DICOM Port Z E mail Address 4 Mobile Phone Number 4 Site Information Users gt This Action button is found in the tab It allows the Site Coordinator to make changes to the user s profile 10 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 1 Introduction 5 h gt This Action button is found on the er tab It allows the user to search for a patient by all dates from the initial date the system was installed gt This User button is on the first screen that opens which is the Login screen and allows the user to enter into the application based on their permissions gt This is a User button that is found at the top right area in the User Status area and is used to allow the Site Coordinator to log out of the system Janet al 365 gt This Action button is found on the ETE SE tab It allows the Site Coordinator to select a study and mark it as a comparison study to send to the Radiologist to view and evaluate against the current study l l l l Incomplete Orde 365 gt This Action button is found in the ee ase tab and the tab It allows the Site Coordinator to define a new location at the hospital
78. Systems 2009 03 13 09 28 BRIT Systems 2009 03 19 07 35 Which allows the user to close the Setup panel and maximize the g BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Internet 33 Once this button is selected the Setup panel opens to the right of the Patient List as shown above 100 e Systems Chapter 1 Introduction Action and User Buttons There are a series of Toolbar action buttons under Patient List that allow additional functions to be performed on the selected study This provides a complete list of those buttons their purpose and the tab where the buttons are found The buttons include About H S BRIT espen OG Version gt This is a User button that is found at the top right od date 02 26 2008 Copyright 2008 2009 BRIT Systems Inc area in the User Status section and displays the version number connected to Roentgen Works and release date of the Roentgen Works Flow application riders 666 1 EE Build Date 20081205 Copyright C 2008 BRIT Systems Inc gt This Action button is found in the Messages 6 BEE tab It allows the Site Coordinator to send a notification that the message has been received and read Actions Needed 71 Delivered 1 gt lca This Action button is found in the EE tap tab Read 27 and L tabs and it is used to gt O So display a list of
79. Systems BICUSPID ALAN PID600030 PID600030 Body Part a DEERE Reason for Hold EI URGENT RSNA VOXARLUNGY VIVIANNF PID000122 010205252 History a URGENT BRIT Systems GRUNTSKI GOOBER PID000672 01D767226 al Tech Comment a URGENT BRIT Systems ZETESTIE BATMAN PID004433 01D 100708 z Bi lt es i SI RW Columns Detail Release Hold Update Urgent Mark Read Mark Un Read Call Contact Study History Save Detail Faxes r PI 1 e Site BRIT Systems Assigned Unassigned EIE Site Date 2 Roentgen Works Flow Windows Internet Explorer le KO Patient Name AUSTIN ANNIE KATHLEEN Patient ID WPH142358 H Go le http 10 255 4 150 9080 BWF_Doc works html irix ask or lej ACC WPHA0022381 File Edit Viem Favorites Tools Help Links Customize Links Galaxy BRIT Hotmail e RT Ticket Wiki Pages RoentgenWorks Service Manager 1 Description 71010 CHEST SINGLE VIEW w amp 138 gt Roentgen Works Flow X N MSN com A D Are GT O HOD d Internet Actions Needed 384 Unassigned Studies 10 Work Queued 0 I Delivered 23 Read 23 Messages 0 Modalities Users Sites Search 0 Statistics Jobs 150 9080 BWF Doc works html um rv Action Site Patient Name Patient ID v ACC Description INCOMPLETE BRIT Systems TERRY WARD M PID320590 01D 506885
80. The Setup panel allows the user to customize the Details Panel at the bottom of the window under the patient list in each of the tabs according to their personal preferences Be aware each tab can have different details display at the bottom and are selected on an individual basis The individual items checked in the Setup are the only fields shown at the bottom for each tab Opening and Closing the Setup The Setup panel is not normally shown when the user logs in To open the Setup panel there is a button at the far right side of the patient section as highlighted below 2 Roentgen Works Flow Windows Internet Explorer EEK Go v e http 10 255 4 150 9080 BWF Doc works htm 9 X Ask com i 2 v File Edit View Favorites Tools Help Links amp Customize Links f Galaxy BRIT Hotmail e RTTicket Wiki Pages w s r gg Roentgen Works Flow x SE MSN com Zo HN me ke iz Page Tools Fal 3 RoentgenWorks Service Manager 1 L Logout edit Profie_ About Actions Needed 384 Unassigned Studies 10 Work Oueued 0 Delivered 23 Read 23 Messages 0 Modalities Users Sites Search 0 Statistics Jobs IL A Ah H ei E d D D Action Site Patient Name Patient ID v ACC Deeg Ge Once this button is selected the Setup panel roem rz eet eg INCOMPLETE BRI BE SC PID130498 010071108 Site Ea opens to the rig ht of the Pat
81. User Radiologist 1 The Administrator Radiologist 1 The Administrator The Administrator The Administrator The Administrator The Administrator The Administrator The Administrator Radiologist 1 posted regarding the study such as Viewed Updated or Called Click on the x at the top to close the window Viewing the Study History Finding Note Bleeding in Brain contacting physician found physician called 111 111 1111 called 111 111 1111 called 222 222 2222 called 111 111 1111 called 555 555 5555 caled 444 444 4444 called 444 444 4444 The Study History for the selected study allows the user to see the detailed history of the study such as when it was created completed to whom it was assigned when it was sent when it was delivered when it was read each time the status was reset and each status setting To view the study history 1 Make sure the correct patient study is selected 2 Click on the button 3 The Study history pop up window opens and displays all events that have been posted regarding the study This could include such events as gt When the study was created Study History XRAY RICKETS N PID00000101 CR PEDIATRIC CHEST Event Type CREATED COMPLETED ASSIGNED SENDING DELIVERED READ UNREAD URGENT UNURGENT URGENT UNURGENT URGENT UNURGENT URGENT A Mar Apr 08 2009 4 28 10 PM Apr 08 2009 4 28 59 PM Apr 08 2009 4 32 10 PM cess DO e 8 o 8 2 9 226009 d 8
82. User Manual FlexScan L885 en Works Radclorst Workflow Micrasoft Mere REE Asper HEGE Be Git dam Faner des D Center Ser et d an Ke Site egen em Zen Baren Eer Heen Spe EECH eum RoentgenWorks Radiologist 1 Not Accepting Studi KE Tara al semeedtss teie sete sem sen zm rennen mn ane ze sm rain Age Yad Sa Sep ES Ke zem sen nie MONAT IOS Chew SSES EEN je 3 xa Dm nomen mm H a Sooners EE ore Lee Ros e EM eerst domam Enn Gien EEN ee ee ron Oo om En 5 SCC E vom on ARES Fo Fame OG GOES geen Zeie M 1 fatne ae em 6 we Se Elke Se kne TER e D r enn ma R e negen ECE E eme emm i vm Lem Lome me foa BE Je JL ees JL mies 1 e JL es UN HM BRIT Roentgen Works Flow Site Coordinator June 2009 Release 1 0 UM BRW 001 0 S BRIT Notices Copyrights and Revision Records Gode Notices and Copyrights This document is subject to change without notice and does not represent a commitment by BRIT Systems Inc The information set forth in this document and all rights in and inventions disclosed herein and the patents that might be granted thereon disclosing or employing the materials methods techniques or apparatus described herein are the exclusive property of BRIT Systems Inc Copyright Copyright 2009 BRIT Systems Inc All
83. ab for the Radiologist to view gt This Action button allows the Site Coordinator to delete the order gt This Action allows the Site Coordinator to select a study and mark it as a comparison study to send to the Radiologist to view and evaluate against the current study gt This Action button allows the Site Coordinator to define a new location at the hospital facility for which the Reading Services Group will contact regarding urgent or critical Users studies Typically this is the ER Existing locations can be modified in the tab gt This Action button allows the Site Coordinator to define new referring physician at one of the imaging centers or hospital facilities Existing physicians can be Users modified in the tab gt This button allows the Site Coordinator to see the detailed history of the study such as when it was created completed to whom it was assigned when it was sent when it was delivered when it was read each time the status was reset and what the status was reset to by the last user Color Coding l l Incomplete Orders 365 The studies shown in the tab are color coded as follows gt White Indicates that the study is a Routine study and is not identified as critical gt BIU Indicates that this is the currently selected study 56 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 5 Incomplete Orders Tab Selecti
84. able in the Action Needed Incomplete Orders Work Queued Delivered Read or Search tabs Office Displays the office telephone number that was entered in the profile for the selected user This office number column is available in the Users tab On Hold Identifies the number of studies that the Radiologist has placed on hold because further information is needed to allow them to complete the diagnosis The On Hold column is only available in the Statistics tab Pager Displays the pager number that was entered in the profile for the selected user This Pager number column is available in the Users tab Patient ID Displays the Patient s identification number from the sending site The Patient ID column is available in the Action Needed Incomplete Orders Work Queued Delivered Read or Search tabs Patient Name Displays the Patient Name for the study The Patient Name column is available in the Action Needed Incomplete Orders Work Queued Delivered Read or Search tabs BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Setup Label A Active mages ACC AE Action Arrival Time Body Part CPT Contact 2 DICOM Doc Date of Birth Description Flapsed Time Faxes Final Read History Location History llic Contact Modality Patient ID Patient Name Physician Physician Priority Radiologist Reason for Hold Reason for Study SEX Site Study Status Tech C
85. acility BRIT Referring Phy ID BRICE Location e r Location Referring Phy Phone Phone S Pregnanc Height SE e y DEFINITELY PREGNANT Weight Occupation Patient History Scheduling Notes Created Time 09 25 2006 10 26 AM Scheduled Time 09 25 2006 10 27 AM Completed Time Read Time Reported Time 09 25 2006 10 26 AM Procedure Information Exam US ABDOMEN Schedule Time Code 76705 Length 15 minutes Modifier Modality Location Study Description 76705 US ABDOMEN LIMITED GB LIVER PANCREAS OR SPLEEN Performing Phy Name Status Performing Phy ID Priority Performing Phy Phone Performing Tech Name Performing Tech ID Performing Tech Phone Comment Transport Arrangements Confidentiality Constraint Preorder Medication Study Information Status Arrived Time Origin Title Modality Body Part COMPLETE 09 25 2006 10 24 AM HDI5000 US ABDOMEN This contains a list of the assigned and unassigned faxes that were sent to the server In order to look at the fax to see the information click on the appropriate wew button The window and displays the left Click on the at the top ri Faxes Assigned Unassigned Site a Date BRIT Systeme 2008 0313 09 30 BRIT Systems 2009 0319 07 33 BRIT Systems 2009 0313 09 28 BRIT Systems 2005 03 19 07 35 Leg L t study and click on the Fax opens in a separate details as shown to the ght to close the window For more information in working with
86. ad the information click on the at the top right to close the window 122 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 12 Search Tab For faxes that are not assigned they appear in the sine tab To assign the fax 1 Click on the appropriate study 2 Click on the appropriate fax 3 Click on the 459 _ button Assigned 4 The fax now appears under the ab BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 123 Chapter 12 Search Tab BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 124 Chapter 13 Statistics Tab Chapter 13 Statistics Tab The statistics tab allows the users to get a snapshot of the current workflow for the various sites Only the studies that have not yet been marked as Read are displayed on the list The Site Coordinator sees studies for all the sites they are responsible for accessing This section identifies the components uses and features of the fab Components of the Statistics Window Statistics gt The window that opens when fe tab Is selected is shown below 2 Roentgen Works Flow Windows Internet Explorer G E hp0 255 4 150 9080 8WF_Dociworks him ef asks cl This window provides the File Edit View Favorites Tools Help Links Customize Links e Galaxy BRIT e Hotmail e RT Ticket e
87. adiologist 1 m O e u O URGENT Apr 08 2009 4 28 10 PM Study marked URGENT by Radiologist 1 Reason set to that looks wicked awesome UNURGENT Apr 08 2009 4 28 59 PM Study marked UNURGENT by Radiologist 1 URGENT Apr 08 2009 4 32 10 PM Study marked URGENT by Radiologist 1 Reason set to this could be worse you know Se Se Se DD 9 co 28 5 BS oo o FS B bi iv BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 121 Chapter 12 Search Tab 3 The Study history pop up window opens and displays all events that have been posted regarding the study This could include such events as When the study was created When the study was assigned When the study was sent When the study was delivered When the study was read VW WW WW v WM When the study was marked urgent When they study was put on hold When the study was completed by the Site Coordinator 4 When the desired information is read click on the button to close the window Viewing the Faxes If a fax is received from the Site Coordinator to clarify missing information the fax can be viewed from the Faxes panel in the lower right of the window Faxes Typically the fax is assigned to a study by the Site Coordinator and is shown if Gegen Ramee si ned Order Details Name COLOR ABDUS Birth Date 01 01 2001 ID PID000250 Gender Other Order Information Accession Number 01D002322 Status CO
88. ally downloads the study to the workstation Selecting the Columns The columns in the patient list can be customized according to individual preferences There are several that have been chosen as system defaults are set when the system is delivered and are shown when the Lolumnz button is selected There are a variety of additional columns available in the Setup panel and these can be selected and added or removed at any time Action Needed 1 l The system default information shown for these studies in the tab includes gt ACC Displays the Accession number assigned to the study gt Action Displays the additional action that the Radiologist needs for the Study gt Description Displays the Study Description as stored in the DICOM header from the Modality or the CPT code gt Patient ID Displays the Patient s identification number from the sending site gt Patient Name Displays the Patient s name as sent from the sending site BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 43 Chapter 4 Action Needed Tab To change the columns selections open the Setup panel by clicking on the Sto the right and clicking on the checkbox next to the desired heading If the checkbox currently has a v then the column displays on the Patient List If the checkbox is blank the column is no longer displayed on the Patient List The columns can then be moved or resized accord
89. as the data delivered and notifies the Radiologist Don t forget that the reason the study was put On Hold can be seen in the Details section at the bottom provided Reason for Hold is selected in the Details BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 45 Chapter 4 Action Needed Tab To release the patient from hold once the issue Is resolved 1 Click on the patient with the updated information 2 Click on the button l l Action Needed 1 l This action removes the study from the L list and returns it to the list for the Radiologist to read the study and complete the report Delivered 1 Updating the Urgent Status One of the most important actions that is performed for the patient identified with an Urgent Finding is done by updating the information for the Urgent Status This allows additional information about the patient to be updated as the patient s condition changes Every activity for the patient is retained in an Update Urgent log so that accurate date and times are logged as contacts are notified and actions taken and the running update history is available for the specific study Adding Notes or Completing the Urgent Finding The Site Coordinator can add notes to the Urgent Finding or they can mark it as complete This section identifies how to update the Urgent finding To update the Urgent status 1 Click on the button and the following wi
90. at the imaging facility To change the columns selections open the Setup panel by clicking on the Sto the right and clicking on the checkbox next to the desired heading If the checkbox has a v then the column displays on the Patient List If the checkbox currently does not have a v the column is not displayed on the Patient List The columns can then be moved or resized according to personal preference For a complete list of available columns see the section Available Columns Detail Information The Detail information at the bottom provides additional specific information about the selected study This Detail panel can be customized according to individual preferences but there are several that have been selected to be identified as system defaults and are selected when the system is delivered or when the button is selected Search The system default information shown for these studies in the window include gt Contact 2 Identifies the backup contact to be used if the physician can t be reached gt DICOM Doc Displays the name of the referring physician as it is reported in the DICOM header of the study gt Final Read Determines if the Radiologist is to do a final diagnosis on the study and is identified as a Yes or a No in the Final Read column next to the Study gt History Provides the brief patient history that was sent with the study gt Location Identifies the patient location where
91. at the top right to close the window For faxes that are not assigned they appear in the Study Information Una ssign ned En Er ve tab To assign the fax 1 Click on the appropriate study 2 Click on the appropriate fax 3 Click on the 45990 button nad 4 The fax now appears under the tab 92 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 9 Messages Tab Chapter 9 Messages Tab The tab contains a list of the messages that have been sent to the Site Coordinator These could be from any of the users including the Service Manager the Radiologist any other physician and there can also be System generated messages as well This section identifies the components uses and features of the Messages 6 tab Components of the Messages Window re The tab window Is shown below 2 Roentgen Works Flow Windows Internet Explorer EEK v http 10 255 4 150 9080 BWF Doc works html x 4 X ck com P Eile Edit View Favorites Tools Help Links amp Customize Links e Galaxy BRIT Hotmail BI Ticket e Wiki Pages mywebsearch P search E Smiley central M screensavers gt Cursor Mania m PopSwatter E myFuncards w i 188 Roentgen Works Flow x Roentgen Works Flow R E me v gt page v 7 Tools rel 3 RoentgenWorks Site Coordinator 1 Edi
92. ator 2 Pepe relevant to the user Password keen gt selected to modify If a Dicom AE RSNA Physician is selected then this Dicom Host window opens as an Edit rei Physician window Mobile 4 Modify each of the fields with the SES information that need to be edited ee for the user The fields that can be ee changed include Fax Email Address a User Name This is the name of the user b Password A new password for the user can be entered here c DICOM AE This field is used to change the DICOM Application Entity title for the user s workstation d DICOM Host This field is used to change the DICOM host name to which the user s workstation is communicating e DICOM Port This field is used to change the DICOM port number on which the user s workstation communicates f Mobile This field is used to change the cell phone number for the existing user g Office This field is used to change the office telephone number for the existing user h Home This field is used to change the home telephone number for the existing user i Pager This field is used to change the pager number for the existing user j Fax This field is used to change the fax number for the existing user k E mail Address This is the e mail address for the existing user 5 If the Site Access needs to be changed click on the appropriate checkbox to allow access to the site which places a V
93. c color coding for the modalities Selecting Columns The columns in the list can be customized according to individual preferences but there are several that have been selected to be identified as system defaults and are selected when the system is delivered or when the L lumnz button is selected Any of the columns can be selected but the system default information shown for these studies in Search the tab includes gt Site Identifies the facility where the modality is located gt User Name Identifies the user name that is assigned to the modality gt User Type Identifies the type of modality To change the columns open the Setup panel by clicking on the Sto the right and clicking on the checkbox next to the desired heading If the checkbox has av then the column displays in the List If the checkbox currently does not have a v the column is not displayed in the List The columns can then be moved or resized according to personal preference For a complete list of available columns see the section Available Columns 100 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 10 Modalities Tab Detail Information The Detail information at the bottom provides additional specific information about the selected modality This Detail panel can be customized according to individual preferences but there are several that have been selected to be identified as syst
94. can be faxed to the Radiologist This can be accomplished by 1 Sending the paper via fax to the fax server 2 Viewing the list of unassigned faxes 3 Assigning the appropriate ones to the study There is a time stamp on the fax and it should help to match the fax to the appropriate study Assigned Faxes To get the list of the faxes that have been assigned click on the Assigned tension tab and the list appears in the Faxes section These are faxes that are assigned to specific studies in the list To Assign Unassigned Faxes To get the list of the faxes that have been not been assigned click on i Unassigned i the Dt tab and the list appears in the Faxes section To assign the fax the user must have permission to perform this function and the 49 button is available BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S E Faxes Assigned Unassigned Site Date BRIT Systems 2009 03 13 09 30 BRIT Systems 2005 0319 07 33 BRIT Systems 2005 03 13 09 28 BRIT Systems 2005 03 19 07 35 am Faxes Assigned Unassigned Site a Date BRIT Systems 2009 03 13 09 30 BRIT Systems 2009 0319 07 33 BRIT Systems 2009 03 13 09 28 BRIT Systems 2005 03 19 07 35 an 129 Chapter 14 Viewing the Faxes To assign the fax 1 Click on the 2 Click on the specific Order informati
95. cccceccccecccecuccecuccecuececseaeeucuetecsusecsuaecueaesseausucacseceusesesaees 125 ACHON se GREENE 126 Ree ee ee sara E E E EE E E E EE EEEE 126 TEN 126 DEGERNES 127 TAKING ACTIONS IN THE STATISTICS Ian 128 CHAPTER 14 VIEWING THE FAXES arnnnnvnvnnvnvnnvnvnnnnvnnnnvnnnnrnvnnvsvnnvsvnnnsrnnnersnnnrsvnnvsvnnnsvnnnnvannnrnvnnrsvnnnnvnnnnne 129 SENDING PAPER BASED INFORMATION 129 PS SIGNED ES EEN 129 TO ASSIGN UNASSIGNED FAXES vissscedecdccecsacccvacxencvscevcscssecvasdssncveacsuscsandexesxcaevsacvee0eveexcacssacvenseceesener acuecste acvens 129 NOTING A EE 130 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S viii Chapter 1 Introduction Chapter 1 Introduction The BRIT Roentgen Works Flow application is a service for Radiologist to provide remote reading services for multiple healthcare facilities It is designed to allow independent reading groups to compete with the largest groups for reading contracts and provides superior tools for the specific needs of the unique environment Roentgen Works Flow includes an additional layer of functionality to efficiently support report and track the preliminary and final diagnosis in the reading environment It also allows the Radiologist to quickly identify critical studies or those with urgent finding and communicate efficiently with the referring physician using the latest Web technologies and web based calling tools for communications
96. click on the at the top right to close the window tab To assign the fax 53 Chapter 4 Action Needed Tab 54 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 5 Incomplete Orders Tab Chapter 5 Incomplete Orders Tab Incomplete Orders 365 The mm tab contains the studies that have not been completed due to missing information The Site Coordinator can then complete the missing information and transmit the study dismiss the order or mark it for a comparison to another study Components of the Incomplete Orders Window Jakke dia 365 l l The tab window is shown below Le Roentgen Works Flow Windows Internet Explorer The number in red next to GO e lte Aar Decne he EES I th b indi h i File Edit View Favorites Tools Help Links Customize Links P E BRIT e Hotmail E RT Ticket e Wiki Pages t e ta l n Icates t e mywebsearch P Search Smiley Central E screensavers P Cursor Mania m PopSwatter 5 MyFunCards n u m be r of st u d j es isted n Ki e 7 roentgen Works Flow x KEE E CS Boge A Tools 3 th at tab RoentgenWorks Site Coordinator 1 Actions Needed 1 Incomplete Orders 359 Work Queued 3 Delivered 31 Read 22 Messages 0 Modalities Users Search 1 Statistics Setup When the orders are not Site Time of Study Priority Patient Name Patient ID v Sex
97. d Tab There are several actions that can be taken to resolve the issues with the patients listed in the Delivered i list which include gt Putting the Study On Hold gt Viewing the Urgent History gt Calling the referring physician contact gt Viewing the Study History gt Editing the Order information Delivered 1 This section provides the steps to perform each of these daily tasks in the tab Putting the Study On Hold There are times when the study requires additional information regarding the patient before a complete diagnosis can be dictated by the Radiologist Typically the Radiologist places the study On Hold however the Site Coordinator can also place a study On Hold The study remains there until it is removed from hold as the required information is delivered To place the study On Hold Put on Hold EATWELL WILLIE 06373845 US Ka 1 Select the correct study 2 Click on the Put on Hold Reason for Hold button and the pop up window opens 3 Fill in the Reason for Hold in the field bt J BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 79 Chapter 7 Delivered Tab 4 Click on the button Action Needed i 5 The study is moved to the L tab If the incorrect study was selected or the study does not have to be placed on hold click on the button to close the window without placing the study On Hold
98. d Time Origin Title Modality Body Part l Unassigned For faxes that are not assigned they appear in the tab To assign the fax 1 Click on the appropriate study 2 Click on the appropriate fax 3 Click on the 45991 button Assigned 4 The fax now appears under the ee tab BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 65 Chapter 5 Incomplete Orders Tab 66 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 6 Work Queued Tab Chapter 6 Work Queued Tab The i work Queued 2 Lit de pg H tab contains the studies that have been assigned to the Radiologist but are not downloaded or delivered yet these are exams that are queued to be downloaded to the Radiologists DICOM workstation that is defined in their user profile Once the Radiologist begins accepting studies they will be downloaded Components of the Work Queued Window 5 Work ge 2 2 Roentgen Works Flow Windows Internet Explorer tab window Is shown below v KI http JO 255 4 150 mer Docjworks html Geo Si The number in red next P I Eile Edit View Favorites Tools mywebsearch Help P Search w d E JE e Roentgen Works Flow x MSN com Links So Customize Links Galaxy BRIT Hotmail amp RTTicket amp Wiki Pages J s Silay Central m Screensavers F Cursor
99. d message This button is found in the Setup panel It allows the Site Coordinator to save the changes that were made to any of their contact information such as Mobile Phone number Pager number viewer type or password s Action button is found inthe ail el This Action button is found in the tab It allows the Site Coordinator to send a message regarding the currently selected message Action Needed 1 This Action button is found in the tab the Incomplete Orders 365 Work dra Delivered 1 ois tab the EE tab the tab the Read 27 Search l l Tab and the tab It allows the user to see the detailed history of the study such as when it was created completed to whom it was assigned when it was sent when it was delivered when it was read each time the status was reset and each status setting Unassign This Action button is found in the Faxes section and allows the user to remove the fax from assignment to the specific study l l l l Action Needed 1 gent This Action button is found in the tab and allows the user to update the status on the Urgent study i Delivered 1 Read 27 This Action button is found in the tab and the tab It allows the Site Coordinator to view the comments and statuses of a study that has been identified as urgent ew 1 _ This button is found in Faxes section and allows the Site Coordinator to pull up the fax that is associated with the
100. ddress that is entered in eg the profile for the selected user This e mail address selection is E available in the Users tab os j 5 yeician E Fax Displays the fax number that is entered in the profile for 7 o the selected user This fax number selection is available in the ee CR Ce Users tab Reason for Study o A Faxes Identifies that a fax has been sent for the specific study ch from the Site Coordinator The Faxes selection is available in the Mess e Action Needed Work Queued Delivered Read or Search tabs ARE Tech Comment Time of Study i Final Read Determines if the Radiologist is to do a final diagnosis on the study and is identified as a Yes or a No inthe Final Read column next to the Study The Final Read selection is cums Detail available in the Action Needed Work Queued Delivered Read or Search tabs and is one of the default settings E From Identifies the sender of the message and is only found in the Messages tab History Provides the brief patient history that was sent with the study The History selection is available in the Action Needed Work Queued Delivered Read or Search tabs and is one of the default settings BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S BRIT Systems Home Provides the home telephone number that was entered in the profile for the selected user This home number selection is a
101. dinator UM BRW 001 0 S 87 Chapter 8 Read Tab Detail Information The Detail information at the bottom provides additional specific information about the selected study This Detail panel can be customized according to individual preferences but there are several that have been selected to be identified as system defaults and are selected when the system is Defaults delivered or when the J button is selected Read 27 l l The system default information shown for these studies in the am window include gt Contact 2 Displays the backup contact in case the Referring Physician can not be reached gt DICOM Doc Displays the name of the referring physician as it is reported in the DICOM header of the study gt Final Read Determines if the Radiologist is to do a final diagnosis on the study and is identified as a Yes or a No in the Final Read column next to the Study gt History Provides the brief patient history that was sent with the study gt Location Identifies the patient location where the physician contact is available such as the ER and may be used as a point of contact gt Physician Displays the name of the patient s referring physician gt Reason for Study Indicates the reason that the referring physician ordered the study for the patient gt Tech Comment Provides the text from the Technologist that were entered when the study was captured This alerts the Rad
102. dinator to clarify missing information the fax can be viewed from the Faxes panel in the lower right of the window Assigned Unassigned Site 4 Date Typically the fax is assigned to a study by the Site Coordinator and is srmsystems 20090313 09 30 d ssigned BRIT Systems 2009 0319 07 33 shown in the tab BRIT Systems 2009 05 04 09 18 BRIT Systems 2009 05 04 09 20 ge Det a BRIT Systems 2009 03 13 09 28 Name COLOR ABDUS Birth Date 01 01 2001 ID PID000250 Gender Other BRIT Systems 2009 0319 07 35 Order Information Accession Number 01D002322 Status COMPLETE Study Reason 76705 US ABDOMEN LIMITED GB LIVER PANCREAS OR SPLEEN Medical Alerts EE Needs frig Pny Name foy Ba In order to view the fax follow these steps Referring Phy ID BRICE Location J g Referring Phy Phone gt eight Pregnancy ee ae 1 Click on the appropriate study Patient History Scheduling Notes Created Time 09 25 2006 10 26 AM TSR ss 2 Click on the PEN button care a 09 25 2006 10 26 AM PESCHE 3 The Fax opens in a separate window Code em Length wn and displays the details as shown to mo RE 76705 US ABDOMEN LIMITED GB LIVER AE A EN the left Performing Phy Name Status Performing Phy ID Priority Performing Phy Phone oe 4 Once the user has read the information Performing Tech Phone S k i eg EE click on the at the top right to close Gereteggieieer the window Study Information Status Arrive
103. diologist handling the study gt Sex Identifies the Gender of the patient gt Site Identifies the facility where the patient study was captured To change the columns selections open the Setup panel by clicking on the to the right and clicking on the checkbox next to the desired heading If the checkbox has av it displays on the Patient List If the checkbox currently does not have a v the column is not displayed on the Patient List The columns can then be moved or resized according to personal preference For a complete list of available columns see the section Available Columns Detail Information The Detail information at the bottom provides additional specific information about the selected study This Detail panel can be customized according to individual preferences but there are several that have been selected to be identified as system defaults and are selected when the system is Defaults delivered or when the J button is selected Delivered i The system default information shown for these studies in the window include gt Contact 2 Identifies the backup contact to be used if the physician can t be reached gt DICOM Doc Displays the name of the referring physician as it is reported in the DICOM header of the study gt Final Read Determines if the Radiologist is to do a final diagnosis on the study and is identified as a Yes or a No in the Final Read column next to the Study
104. e Columns The columns in the patient list can be customized according to individual preferences but there are several that have been selected to be identified as system defaults and are selected when the system is delivered or when the 5 button is selected Any of the columns can be selected but the system default information shown for these studies in Statistics the tab includes gt Delivered Indicates the number of studies that were successfully setup dek delivered to the recipients Label Active Width gt Description Displays the name of the User logged into the system e 5 SS for which the statistics were built re ae Incomplete F 120 gt Incomplete Provides the summary of incomplete studies that are assigned to the user and not finished ca ei ax e n Hold Fal 120 gt On Hold Identifies the number of studies that the Radiologist has nt F tz placed on hold because further information is needed to allow ec key F them to complete the diagnosis Key gt Queued Provides a summary of all the studies that have been delivered to the Radiologist and are waiting to be read gt Stat Type Identifies the user or site for the studies statistics Columns Detail gt Unassigned Identifies the number of unassigned studies that are available and generally only applies to the sites rather than the users gt Urgent Identifies the number of studies assigned t
105. e Patient s name Radiologist A Reason for Hold gt Priority Determines if the study is routine or critical so that the f em for Study JOG Radiologist knows the importance of the study S gt Sex Identifies the Gender of the patient ne z gt Site Identifies the facility where the patient study was captured AA S gt Time of Study Provides the date and time that the exam was EN captured at the imaging facility To change the columns open the Setup panel by clicking on the Sto the right and clicking on the checkbox next to the desired heading If the checkbox currently has a v then the column displays on the Patient List If the checkbox is blank the column is not displayed on the Patient List BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 57 Chapter 5 Incomplete Orders Tab The columns can then be moved or resized according to personal preference For a complete list of all the available columns see the section entitled Available Columns Order Information Incomplete Orders 365 l l The Order Info panel at the bottom of the tab allows the Site Coordinator to enter the information that is missing in the Order Once the missing information is entered they can complete the Order from here and the study moves on to the next step in the workflow This Order Info panel can not be customized in the Setup panel according to individual preference There d
106. e Width gt Images Displays the total number of images that are in the mages Al a selected study The number of images column is available inthe GC Hl 150 Action Needed Incomplete Orders Work Queued Delivered E Read or Search tabs Action H 94 Arrival Time EA as gt ACC Displays the Accession number assigned to the study Sey Part M o The Accession number column is available in the Action Needed EI Incomplete Orders Work Queued Delivered Read or Search Contact 2 E tabs DICOM Doc F Date of Birth 4 B gt AE Displays the Application Entity Title for the modality on Description l which the study was performed if it is available The AE Title Elapsed Time E column is available in the Action Needed Incomplete Orders Faxes Al Work Queued Delivered Read or Search tabs Final Read A History E Be aware that when connecting with some a e specific sites this could be the AE Title of the as PACS system because the PACS could not pass Ge along the AE Title information for the modality itself Gs SG Patient ID F 109 Patient Name 4 173 gt Action Displays the additional action that the Radiologist needs Frysiean a for the Study This could identify the study as On Hold or Urgent Physician E The Action column is only available in the Action Needed tab Ac n Radiologist EI gt Active Identifies if the modality is currently integrated or not or Besoine if the user is current
107. e field to the original setting click on the button Changing the Location of a Field in the Details Panel oe ee Chapter 3 Customizing the Details Panel gt Occasionally the user prefers the fields in the Details panel to be in a different location in order to have the information they are seeking to be in a more convenient place Sometimes the fields need to be moved because the width or height of another field has changed and is blocking one of the other fields in the area This section shows how to move the various fields to a more desirable location BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Q Be aware that the field can only be moved when the Setup panel is opened 37 Chapter 3 Customizing the Details Panel l l Actions Needed 7 l l For example the original Details panel in the tab looks like this Detail The user wants Final Read DICOM Doc to move the Location Physician field Description Physician gel so that it is directly under the Final Read History b field Reason for Hold Reason for Study Misc Contact lt gt To move this Physician field hold the left mouse button down on the field to be moved drag it to the desired location and release the left mouse button Be aware that the field will be placed where the point of the cursor is located on the window SH During the process of dragging the field to the de
108. e the study On Hold 1 Select the correct study 2 Click on the button and the pop up window opens Put on Hold EATWELL WILLIE 06373843 US e Reason for Hold Save Cancel 3 Fillin the Reason for Hold in the field 4 Click on the button Action Needed 1 5 The study is moved to the L tab If the incorrect study was selected or the study does not have to be placed on hold click on the to close the window without placing the study On Hold BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 71 Chapter 6 Work Queued Tab Once the information is completed the study can be Completed and removed from the On Hold state by the Site Coordinator Editing the Order Information The Order information for the Study can be edited by the Site Coordinator when changes or updates are needed of ES Be aware that the Order can only be edited until the study is marked as Read To edit the Order information follow these steps Edit Order Info CARROT ANGIE 16 PID166579 CT NECK x 1 Select the patient with the Priority Routine v Location Chakra Clinic v Order information that meme E needs to be changed History History of angina on beta blockers EE Tech Comment NECK Misc Contact 214 555 1362 2 The Edit Order Info pop or up window opens as Ales d shown here 3 Click on each field to be changed
109. e very careful to select the correct modality to delete 104 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 11 Users Tab Chapter 11 Users Tab Users The jsa tab allows the Site Coordinator to view the users that are currently defined on the system add new users add new locations edit users and remove users sers U This section identifies the components uses and features of the Tab Components of the Users Window Users The window that opens when the ts tab is selected is shown below gt Roentgen Works Flow Windows Internet Explorer Ge DENK http 10 255 4 150 9080 8WF_Doc works html F 42 2 Ask co File Edit View Favorites Tools Help Links Customize Links e Galaxy BRIT Hotmail e RT Ticket e Wiki Pages E mupareianancn X Ll Psearch Ger Central E screensavers Pa Cursor Mania m PopSwatter fe MyFunCards T h e n u m ber t red n ext vr dr 85 gt Roentgen Works Flow x Msn com Ze z me is Page i G Tools EN 3 to the tab indicates the RoentgenWorks Site Coordinator 1 number of users listed in Actions Needed 2 Incomplete Orders 363 Work Queued 0 Delivered 30 Read 23 Messages 0 Modalities Users Search 0 Statistics t h at ta b Site v User Type User Name Ge I RSNA Al Label Active a Width Thi d h RSNA RADIOLOGIST Radiologist 3 Site WM 120 IS WIN OW a OWS t e R
110. ed as Urgent by the Radiologist after their diagnosis is completed Urgent is only available in the Statistics tab Setup Label Images ACC AE Action Arrival Time Body Part CPT Contact 2 DICOM Doc Date of Birth Description Flapsed Time Faxes Final Read History Location History lise Contact Modality Patient ID Patient Name Physician Physician Priority Radiologist Reason for Hold Reason for Study DEX Site Study Status Tech Comment Time of Study UID Columns Chapter 3 Customizing the Details Panel Active Width 150 Z Go PA 92 WI 8 aga E 34 95 Ios L Detail User ID Displays the user identification information that is assigned to the modality or the user ID for the selected user This User ID selection is available in the Modalities or the Users tab User Name Identifies the user name that is assigned to the modality or the name of the selected user This User Name selection is available in the Modalities or the Users tab User Type Identifies the type of user such as a modality or the user For the users the type could be Site Coordinator Radiologist Physician Service Manager or Location such as the Emergency Room This User Type selection is available in the Modalities or the Users tab BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 35 Chapter 3 Customizing the Details Panel Changi
111. eded i There are several actions that can be taken with the studies listed in the tab which include gt Releasing the patient from the On Hold status gt Updating the Urgent Finding status of the patient gt Calling the referring physician contact gt Editing the Study s Order gt Viewing the history of the study Action Needed 1 This section provides the steps to perform each of these tasks in the L ab Releasing the Patient On Hold Generally a patient has been placed On Hold because further information is required before the Radiologist can complete the diagnosis Initially the patient was placed On Hold by the l l l l l Delivered 1 l Radiologist from the list of patients in the tab or the patient could also be placed On Hold by the Site Coordinator Action Needed 1 Peer The patient was placed in the L when the Put on Hold button was selected It remains in here to await the resolution of the issue and will not be removed until the study is released when the information is received The Site Coordinator or the Technologist submitting the study for the patient is notified that further information is required before the diagnosis can be completed Generally the Service Manager is also notified of the request for additional details regarding the patient study The Site Coordinator Technologist or Services Manager gathers the information h
112. efault fields includes gt Priority Indicates if the study is routine or critical indicating the importance of the study gt Reason for Study Indicates the reason that the referring physician ordered the study gt History Provides the brief patient history that was sent with the study gt Tech Comment Provides the text from the Technologist that was entered when the study was captured This alerts the Site Coordinator to additional information that the Technologist contributed to the patient s exam gt CPT Displays the Procedure Code for the selected study gt Location Identifies the patient location where the physician contact is available such as the ER and may be used as a point of contact gt Physician Displays the name of the patient s referring physician gt Contact 2 Identifies the backup contact to be used if the physician can t be reached gt Misc Contact Displays an additional telephone or pager number for an additional contact for the referring physician Note that even though the information on the order is incomplete the study may have already been sent to the workstation however it won t be placed in the Delivered queue until it is complete 58 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S BRIT Chapter 5 Incomplete Orders Tab Taking Action in the Incomplete Orders Window Incomplete Orders 365 There are si
113. em defaults and are selected when the system is Defaults delivered or when the button is selected Search The system default information shown for these studies in the SE window include gt Site Identifies the facility where the modality is located gt User Name Identifies the user name that is assigned to the modality gt User Type Identifies the type of user such as a modality To change the Detail selections open the Setup panel by clicking on the Sto the right and clicking on the checkbox next to the desired detail If the checkbox has av then the detail displays in the List If the checkbox does not have a v the details are not displayed in the List For a complete list of the Detail selections available see the section Available Detail Selections Taking Actions in the Modalities Tab Modalities There are several actions that can be taken in the tab which include gt Add anew modality gt Edit an existing modality gt Delete an existing modality This section provides the steps to perform each of these daily tasks in the L dee tab BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 101 Chapter 10 Modalities Tab Adding a New Modality One of the actions that can be taken is to add a new modality to send studies to the Roentgen Works server To add a new modality New Modality sc system ID 1 Click on the New Modality button SE 2 T
114. ems BRIT Systems BRIT Systems Date 2009 03 13 09 30 2009 03 19 07 33 2009 05 04 09 18 2009 05 04 09 20 2009 03 13 09 28 2009 03 19 07 35 Ka Internet 100 of studies that need to handled immediately Generally on this page similar types of actions are grouped together such as studies that are placed in an on hold state awaiting further detail from the Site Coordinator or the Technologist for completion of the report This also contains studies that are in an urgent state due to the Radiologist observations and findings The groups can be customized according to personal preference BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 41 Chapter 4 Action Needed Tab Both of these states are color coded to help alert the users to the urgent need or on hold state and these are discussed below Some of the user preferences can be customized such as the columns which can be rearranged at will Detail information Faxes for the specific study can be viewed and there are several buttons available to allow the user to easily perform specific functions This section provides information on the buttons color coding changing the columns and changing Action Needed 1 the details for the tab Action Buttons Action Needed 1 There are five Action buttons available in the tab that allow the user to take specific actions for the patients in this list to
115. entifies the explanation from the Radiologist Ge H mm for the study being placed on hold The Reason for Hold column is available in the Action Needed Incomplete Orders Work Queued se me Delivered Read or Search tabs EE Reason for Study Indicates the reason that the referring S Ss physician ordered the study for the patient The Reason for Study SC SER S column is available in the Action Needed Incomplete Orders Work ETE Queued Delivered Read or Search tabs e Tech Comment E Sex Identifies the Gender of the patient The Gender column iS Sue F g available in the Action Needed Incomplete Orders Work Queued o 3 Delivered Read or Search tabs Se Site Identifies the facility where the patient study was captured Depending on the Licensing agreement with the Site this is helpful to allow the Radiologist to prioritize reading the studies The Site column is available in the Action Needed Incomplete Orders Work Queued Delivered Read Modalities Users or Search tabs Stat Type Identifies if the statistics shown are for a Radiologist or are for the site The Stat Type is only available in the Statistics tab State Identifies the status of the message such as New Acknowledged or Deleted or the status of a job such as Queued Running Waiting Stopping Stopped Done Failed or Deleted This column is found in the Messages tab BRIT Roentgen Works Flow User Manual
116. eued Delivered Read or Search tabs gt Home Provides the home telephone number that was entered in the profile for the selected user This home number column is available in the Users tab BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 25 Chapter 2 Customizing the Worklist Columns 26 Incomplete Provides the number of incomplete studies This Incomplete column is only available in the Statistics tab Location Identifies the patient location such as the ER that may be used as a point of contact A location has a phone number associated with it This column is available in the Action Needed Incomplete Orders Work Queue Delivered Read and Search tabs Message Date Identifies the date the message was created and is only available in the Message tab Message Text Contains the complete text of the message created by the sender and is only available in the Message tab Misc Contact Displays an additional telephone or pager number for an additional contact for the referring physician The Misc Contact column is available in the Action Needed Incomplete Orders Work Queued Delivered Read or Search tabs Mobile Displays the cell phone number that was entered in the profile for the selected user This mobile number column is available in the Users tab Modality Identifies the type of modality on which the study was performed The Modality column is avail
117. g addition editing or deleting users or modalities as necessary and viewing statistics Add edit or I View Statistics for overall Send any QI ES AN messages M gt oui delete any Users MN EIRY KR or Modalities as Hills System BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 1 Introduction Starting the Roentgen Works Application This application is started from Firefox Safari or Internet Explorer 7 Roentgen Wor ee web browser by entering the URL Address of the application Each User ID user must have a log in Click on the icon and the log in window E opens Login og Lal Internet Explorer 7 is not recommended due to Lg performance issues with the browser Enter the User ID and Password and click on the button Depending on the user one of four windows opens gt Site Coordinator at the Hospital or Imaging Center site gt Services Manager at the Reading Services group site gt Radiologist gt Technologist This manual covers the user information for the Site Coordinator at the hospital or imaging center Logging Out When the user needs to log out click on the button at the top right portion of the window The system logs the user out and returns to the login window BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 5 Chapter 1 Introduction Components of the Roentgen Works Window When the
118. g on the Sto the right and clicking on the checkbox next to the desired heading If the checkbox has av then the column displays in the List If the checkbox currently does not have a v the column is not displayed in the List The columns can then be moved or resized according to personal preference For a complete list of available columns see the section Available Columns Detail Information The Detail information at the bottom provides additional specific information about the selected study This Detail panel can be customized according to individual preferences but there are several that have been selected to be identified as system defaults and are selected when the system is Defaults delivered or when the button is selected Users The system default information shown for these studies in the window include gt Site Identifies the facility where the patient study was captured gt User Name Identifies the user name that is assigned to the selected user gt User Type Identifies the type of user The type could be Site Coordinator Physician or Location such as the Emergency Room To change the Detail selections open the Setup panel by clicking on the Sto the right and clicking on the checkbox next to the desired detail If the checkbox has av then the detail displays in the List If the checkbox currently does not have a y the detail is not displayed in the List For a complete list of the Detail
119. ge the width of the columns by hovering the cursor over the right edge of the column heading until the cursor changes to appear as shown here Patient ID Radiologist le of Bir Sex Once the double line and arrow symbol appears hold the left mouse button down and drag it to the desired width and release the left mouse button The column is resized 20 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S BRIT Chapter 2 Customizing the Worklist Columns Systems Changing the Width of the Columns in the Setup panel To change the width of the column left click on the field to be resized and a blue box opens around the number to allow the user to change tel Active Width the field Delete the numbers in the box and type the desired number Sie d 10 for the size of the column Sex H 4 Modality Fl 72 Le LS 113 mz When the desired width is entered hit the enter key on the keyboard and the field turns blue with a small red triangle appearing at the upper Pray Fs Ser left corner to indicate that the field size has changed as shown here dere H 3 Patient Name D 116 e Priority W 66 Hody Ean Ed Elapsed Time E 89 Study Status Lal a3 To save the changes click on the button seal H 2 Images Lal 75 Radiologist E To return the field to the original setting click on the button Ap E Reason for Hold F History EF Tech Comment P e Columns Detail Sorting and Gro
120. h 1 Enter the Search criteria in the Search panel 2 Click on the desired time frame in which to search one day three days one week two weeks one month three months one year or forever 3 The results are displayed in the search window below the time frame buttons 4 Click on the desired study 120 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 12 Search Tab 5 To bring the study to the local workstation for viewing click on the button and the selected study is sent to the viewer Be aware that if the user selects a specific timeframe for the search such as of two weeks and the actual study was performed two weeks and one day BL previous the desired study may not be found It is always helpful if no results were found to try the next time frame such as one month The system searches the number of days specifically by the date and counts back Downloading the Selected Study Once the Site Coordinator has found the study for the patient this button allows them to copy the selected study to the viewer To download the selected study 1 Enter the Search criteria in the Search panel 2 Click on the desired time frame in which to search one day three days one week two weeks one month three months one year or forever 3 The results are displayed in the search window below the time frame buttons 4 Click on the desired study 5 To bring the study to
121. hat can be Components of the Delivered Window Delivered 1 1 The tab window Is shown below 2 Roentgen Works Flow Windows Internet Explorer DEK tel Ge de h http 10 255 4 150 9080 BWF_Doc works html i 4 X A k com File Edit View Favorites Tools Help Links amp Customize Links amp Galaxy BRIT Hotmail RT Ticket Wiki Pages Actions Needed 3 Incomplete Orders 365 Work Queued 3 I Delivered 25 Read 22 Messages 0 Modalities Users Search 0 mywebsearch v E MyFunCards Bo Siew om 0003 P Search Smiley Central m Screensavers amp Cursor Mania m PopSwatter ra we we Roentgen Works Flow The number in red next to the tab indicates the RoentgenWorks Site Coordinator 1 Statistics Setup number of studies listed in that tab Radiologist Priority Patient Name Patient ID ACC Description Date of Birth Sex Modality Body Part a 3 RSNA cs Label Radiologist Site PID000130 PID000101 PID000039 PID000130 PID000122 Radiologist 1 Routine Radiologist 1 Radiologist 1 Radiologist 1 Radiologist 1 JOHNSON JOHNNIE RAY RICKE MAMUN MAGNOLIA JOHNSON JOHNNIE VOXALUNY VILIAN 01D000476 010000445 010000355 010000037 010002052 74000 ABDOMEN SIN PELVIS HIPS INFANT 76095 MM DIGITAL DI Chest Erect LAT CT_Lung_PE CR CR ABDOMEN FEMUR BREAST CHEST
122. he New Modality window opens as Dicom AE shown here Dicom Host 3 Fill out each of the fields with the Dicom Port information to define the new modality These fields include a System ID This is the name that identifies the modality to the server b User Name This is a more common name that the users would identify with the modality c DICOM AE This is the DICOM Application Entity title for the modality d DICOM Host This is the IP Address of the modality e DICOM Port This is the DICOM port number on which the modality communicates 4 Once all of the fields are entered click on the button If New Modality was selected in error or if the information entered is not to be saved click on the button to close the window The Roentgen Works server runs in Strict mode meaning it does not accept studies from a modality unless 1 the modality is properly configured in Roentgen Works and 2 the modality has Roentgen Works properly configured To be properly configured the IP address port number and AE Title must be correct AE Titles are case sensitive 102 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 10 Modalities Tab Editing an Existing Modality One of the actions that can be taken is to modify an existing modality on which patient studies are currently being taken and sent to the system To edit an existing modality 1 Click on the button
123. he user gt Office Phone Number This field shows the office telephone number for the user gt Home Phone Number This field shows the home telephone number for the user gt Pager Number This field shows the pager telephone number for the user gt Fax Number This field shows the fax number for the user gt E mail Address This field shows the e mail address for the user gt Priority Alert 41 Identifies the preferred primary method to contact the user gt Priority Alert 42 Identifies the preferred secondary method to contact the user Note that a shortcut to finding the information in a drop down menu is to begin typing the name in the field and as characters are matched the name appears Click on the correct name when it appears gt Site Information This field identifies the sites for which the user is authorized to access studies If other sites are available that the user is not authorized the site is not displayed in the window Once the information is changed click on the button To not accept the changes and close the pop up window click on the button Information in the About Window About The About window provides the following information about the oe d ger Wane How Version 1 0 0delta3 003 Beta Version Roentgen Works Flow product synest Copyright 2008 2009 BRIT Systems Inc D Connected to gt Version Number uenige Wade Version 0 99 0 001 Demo Ver
124. hones It allows the user to effortlessly contact the referring physician by simply clicking on the L al Contact button double clicking on the desired contact s phone number and dialing through the workstation via the Skype application The contact information may be automatically entered from the HL 7 message however this is not always available Other methods for getting the contact information entered include gt Importing the file with the Referring Physician information gt Users with proper authority can manually enter the Referring Physician information gt Referring Physicians can maintain and update their own contact information The Referring Physician contact information must be entered into the Roentgen Works database in order for Skype to have a list of telephone pager or alternate number to use to contact the referring physician Generally the Site Coordinator at the facility is responsible for establishing the referring physician s contact information but the users update their own profile To call the referring physician BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 89 Chapter 8 Read Tab Make sure the correct patient study is selected Call Contacts XRAY RICKETS N P1D00000101 CR PEDIATRIC CHEST Contact Role Name Contact Method Number Physician 1 physician 1 Call to Office 214 555 6253 Click on the Call Contact button Physician 2 physician 2 Call to Mobile 2
125. ick on the message on which to acknowledge 2 Click on the button 3 The acknowledgement is sent Be aware there is no visual confirmation that the acknowledgement was successfully sent Deleting a Message The Site Coordinator can delete a message that is in their inbox To delete a message 1 Click on the message that needs to be removed 2 Click on the button 3 The selected message is immediately deleted 98 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 10 Modalities Tab Chapter 10 Modalities Tab Modalities N The tab allows the Site Coordinator to view the modalities that are sending studies to the group as well as add modify and remove modalities lodalities This section identifies the components uses and features of the tab Components of the Modalities Window Modalities The window that opens when the tab is selected is shown below e Roentgen Works Flow Windows Internet Explorer E BK Pl Gr VitninozssasososjemrDodvolshm OBEE j le Edt View Favorites Tools Help Links Customize Links Gale BRIT Hotmail e RT Ticket e Wiki Pages T h e n u m ber n red n ext to mywebsearch fo Psearch smiley Central screensavers Cursor Mania m PopSwatter E MyFunCards th e ta b n d i cate S th e p D 88 srosntsen Works Flow x N MSN com or D dh iy Page 2 Toos 3 mye H
126. ield turns blue with a small red triangle appearing at the upper Location M 15 1 left corner to indicate that the field size has changed as shown here Radiologist a Site E Reason for Study H i Se Modality E ACC E To save the changes click on the button vi To return the field to the original setting click on the button mm Detail 36 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S BRIT Changing the Height of a Field in the Details Panel setu To change the height on any of the fields left click on the field to be 2 resized and a blue box opens around the number to allow the user to a See V change the field Delete the numbers in the box and type the desired FeasenferHold Wi 15 number for the size of the field History 1 Description Be aware that changing the field height may f smfersuy 20 1 overlap a field below and one of them may need net to be moved EN H SZ Mise Contact PA 15 1 Location Fal 15 1 Radiologist E When the desired height is entered hit the enter key on the keyboard e and the field turns blue with a small red triangle appearing at the upper Seen Modality E left corner to indicate that the field size has changed as shown here SE AE E Reason for Study l an Columns Detail The height of the row is one row for each increment of 1 To save the changes click on the button To return th
127. ient List as shown BRIT Systems MARTIN LUCKY P D268303 010831075 lacs ACC 5 INCOMPLETE BRIT Systems BONE WB amp SPOTS PID182158 01D258507 Bone Scan Description D S INCOMPLETE BRIT Systems LUMI CR CHEST PID421683 01D421688 CXR Patient ID to t h e rl g ht D INCOMPLETE BRIT Systems BARGADOS THERESE PID014010 010004294 DIGITAL SCREENING MAMMOGR INCOMPLETE BRIT Systems EVENE BEN P1D000092 010052931 Visible Human Female INCOMPLETE BRIT Systems ZEBECKER NEWT PID000055 010050412 FLUOROSCOPE EXAMINATION INCOMPLETE BRIT Systems ZEBECKER NEWT P1D000055 010050408 Stomac INCOMPLETE BRIT Systems ZEBECKER NEWT PID000055 010050215 3 ONHOLD ONHOLD BRIT Systems GLAND VULLE PID757309 PID757309 ONHOLD BRIT Systems BICUSPID ALAN PID600030 PID600030 Body Part Reason for Hold amp URGENT 2 Roentgen Works Flow Windows Internet Explorer E IS x SSES ve NE Visste D20575 History E BRIT Systems GRUNTSKI GOOBER PiD000672 01D767226 E t 1 Go y E http 10 255 4 150 9080 BWF_Doc works html 49 X om ls pe v amp JB EL 20 E IS BRIT Systems ZETESTIE BATMAN PID004433 OID 100708 UI eg See Columns Detail File Edit View Favorites Tools Help Links Customize Links 5 Galaxy BRIT Hotmail RT Ticket Wiki Pages FY E Hold Update Urgent Mark Read Mark Un Read call Contact Study Histor
128. ing to personal preference For a complete list of all the available columns see the section entitled Available Columns Detail Information Panel The Detail information at the bottom provides additional specific information about the selected study This Detail panel can be customized according to individual preferences but there are several that have been selected to be identified as system defaults and are selected when the system is Defaults delivered or when the J button is selected l l ActionNeeded i gt The system default information shown for these studies in the window include gt Reason for Hold Identifies the explanation from the Radiologist for the study being placed on hold gt Reason for Study Indicates the reason that the referring physician ordered the study for the patient To change the Detail selections open the Setup panel by clicking on the Sto the right and clicking on the checkbox next to the desired detail If the checkbox has a v then the details displays on the Patient List If the checkbox currently does not have a Vv the detail is not displayed on the Patient List For a complete list of the selections available for the Details section see the list in the Available Detail Selections section AA BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 4 Action Needed Tab Taking Actions in the Action Needed Items l l l l l Action Ne
129. iologist to additional information that the Technologist contributed to the patients exam To change the Detail selections open the Setup panel by clicking on the Sto the right and clicking on the checkbox next to the desired detail If the checkbox has av it displays on the Patient List If the checkbox currently does not have a V the detail is not displayed on the Patient List For a complete list of the Detail selections available see the section Available Detail Selections 88 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 8 Read Tab Taking Actions in the Read Tab Read 27 There are several actions that can be taken with the patients listed me list which include gt Calling the referring physician contact gt Viewing the Urgent History gt Viewing the Study History l l Read 27 This section provides the steps to perform each of these daily tasks in the tab Calling the Referring Physician Once an Urgent Finding has been identified by the Radiologist the referring physician must be contacted as quickly as possible to ensure expedited care for the patient One of the optional features of this system is an automated integration with BRIT Phone or to the Skype application Skype is an optional software package that enables the user to make telephone calls anywhere in the world automatically by connecting through the computer to landline or mobile p
130. is complete click on the _ next to Complete and a v is placed in the box l l Action Needed i l l amp The patient is removed from the window and is moved back to the Delivered 1 Complete a window for the Radiologist to complete the dictation and mark the study as Read Click on the button to enter the update Buttons on the Update Urgent Window The Action buttons on the Update Urgent window are as follows gt 48 Submits the updates that have been added for the patient and adds it to the timeline If the Update Urgent is marked with a v next to Completel it transfers the study from the Action Needed window to the Delivered tab for the Radiologist to complete the dictation and mark the study as Read If the study was already marked as Read it moves the study to the Read tab Ends the update urgent action makes no changes and closes the Update Urgent window Call Contacts XRAY RICKETS N PID00000101 CR PEDIATRIC CHEST Contact Role Name Contact Method Number Cal Contact Opens the Call contacts window to Physician 1 physician 1 Call to Office 2147606253 allow the user to select a contact method for the ve geen pausene referring physician The contact information for each vesten SE 555 555 5555 Physician must be entered into the Roentgen Works cca FAI Ney EN eee Misc Phone 888 888 8888 system BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001
131. is is selected the physician will be contacted via the mobile phone number that is entered iii Call Office Phone When this is selected the physician will be contacted via the office phone number that is entered iv Call Home Phone When this is selected the physician will be contacted via the Home telephone number that is entered v Send Page When this is selected the physician will be contacted via their pager Note that a shortcut to finding the information in a drop down menu is to begin typing the name in the field and as characters are matched the name appears Click on the correct name when it appears No Alert Call Mobile Phone Call Office Phone Call Home Phone j Priority Alert 2 This allows the physician to select the secondary alert method to be used when they need to be contacted regarding an urgent finding or critical study for one of their patients Click on the arrow next to the field and select the desired method Send Page 4 Once all of the fields are entered click on the button 110 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 11 Users Tab If New Physician was selected in error or if the information entered is not to be saved click on the I button to close the window Adding a New Location One of the actions that can be taken is to add a new location in the hospital or imaging site such as an emergency room where multiple peop
132. is not interface the user must take additional action on the viewer to open the study Selecting Columns The columns in the patient list can be customized according to individual preferences but there are several that have been selected to be identified as system defaults and are selected when the system is delivered or when the 45 button is selected Any of the columns can be selected but the system default information shown for these studies in Delivered i the tab includes gt ACC Displays the Accession number assigned to the study gt Body Part Displays the specific body part or region of interest on which the study was performed gt Date of Birth Displays the patient s birth date gt Description Displays the Study Description as entered either from the modality or from the order gt ETA Displays the Estimated Time of Arrival for the study to be delivered gt Modality Identifies the type of modality on which the study was performed gt Patient ID Displays the Patient s identification number from the sending site gt Patient Name Displays the Patient s name as sent from the sending site gt Priority Determines if the study is routine or critical so that the Radiologist knows the importance of the study BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 77 Chapter 7 Delivered Tab gt Radiologist Displays the name of the Ra
133. istory provides an audit trail of details and timing of each event regarding the study VV vvvv BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 1 Chapter 1 Introduction Workflow This identifies the workflow between the Roentgen Works Flow system and the Radiologist for the Site Coordinator s information There are occasions when the Site Coordinator gets involved with the Radiologist s workflow for items such as helping resolve issues with studies placed On Hold ensuring the referring physician is contacted for studies tagged as Urgent or replying to messages from the various users This section is intended to provide the Site Coordinator with an overview of the Radiologists workflow The workflow of the Roentgen Works Flow product is as follows USTeleradiology DICOM Store Roentgen Works 1 incomplete DICOM Server Compresses and sends HL 7 httos 2 Work queued Order Dictation 3 DICOM Store DICOM GE VPN Server Pod Workstation kg Load Balance froptional Worklist Optional l Completes orders 4 Delivered Complete order means they have verified they want rads to 5 Read Mark as Read On Hold Urgent Finding RIS sends us Fl Returns read it This step may be automated for customers who will only send studies to be read no mistakes no comps API Dictation Client 6 Store re
134. l Delivered i Studies are identified in pink in the tab gt White Indicates that the study is designated as a Routine study gt Yellow indicates that the study has been placed On Hold due to insufficient or incomplete information that the Radiologist has flagged and needs to be addressed before the diagnosis can be done gt LIG Indicates that this is the currently selected study If there is an interface to a Radiologist viewing workstation such as BRIT Vision double clicking on one of these selected patients automatically downloads the study to the workstation BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 13 Chapter 1 Introduction Details The Details panel can also be customized from the selections on the Setup panel to the right of the patient list according to user preferences The information is shown in this panel when the user clicks on a specific patient s study in the Patient List above and the additional detailed information regarding the study is shown This Details panel can be customized Below is a sample of a customized Details panel which provides the following information gt Vv WV VY WV Final Read Location Final Read Yes or No Determines if this should ae ee be the final read for the sy ae study or not Tech Comment EE Reason for Study Identifies why the Referring Physician ordered the study for the patient Histo
135. le could actually be looking for the results from the Radiologist This means that any physician or nurse in that location can be notified of an urgent finding or critical study for a patient in that location To add a new Location PS Location pe 1 Click on the button Location ID 2 The New Location window opens as shown here Location Name Primary 3 Fill out each of the fields with the Secondary information to define the new Location These fields include a Location ID This is the identification that the user at the specific location enters to log into the system Fax b Location Name This is the name of the location such as Emergency Room One or ER West c Primary This is the main contact number for the location d Secondary This is the second contact number for the location e Fax This is the fax number for the new location Editing an Existing User One of the actions that can be taken is to modify an existing user to change their phone numbers or other user specific information To edit an existing user follow these steps 1 Click on the user to modify 2 Click on the button BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 111 Chapter 11 Users Tab 3 The Edit User window opens as shown here Edit Site Coordinator x Be aware that the User ID sc2 See window displayed is User Name Site Coordin
136. logist 1 Reason set to this could be worse you know D D 3 The Study history pop up window opens D and displays all events that have been D gt posted regarding the study This could include such events as mn When the study was delivered When the study was read When the study was marked urgent When they study was put on hold gt When the study was created gt When the study was completed by the Site Coordinator gt When the study was assigned gt When the study was sent 4 When the desired information is received click on the button to close the window VV v Y BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 83 Chapter 7 Delivered Tab Viewing the Faxes If a fax is received from the Site Coordinator to clarify missing information me fax can be viewed from the Faxes panel in the lower right of the window Lass Typically the fax is assigned to a study by the Site Coordinator and is shown Parnes Kier Assigned SE ee in the _ tab BRIT Systems 2009 03 13 09 30 BRIT Systems 2005 03 19 07 33 Order Details xl l BRIT Systems 2009 0504 09 18 Name COLOR ABDUS Birth Date 01 01 2001 ID PID000250 Gender Other BRIT Systems 2009 05 04 09 30 Order Information BRIT Systems 2009 0313 09 28 Accession Number OID002322 Status COMPLETE BRIT Systems 2009 0319 07 35 Study Reason 76705 US ABDOMEN LIMITED GB LIVER PANC
137. lows the Site Coordinator to perform the search for the patient for the past one year gt This button allows the Site Coordinator to perform the search for the patient for the past two weeks gt This button allows the Site Coordinator to perform the search for the patient for the past three days gt This button allows the Site Coordinator to perform the search for the patient for the past three months 116 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 12 Search Tab Systems Color Coding Once the studies are listed they are color coded as follows gt Indicates that there is an urgent or critical finding in the study in which the referring physician needs to be notified immediately gt White Indicates that the study has state of Routine gt O US Indicates that this is the currently selected study If there is an interface to a Radiologist viewing workstation such as BRIT Vision double clicking on one of these selected patients automatically downloads the study to the workstation Selecting the Columns The columns in the patient list can be customized according to individual preferences but there are several that have been selected to be identified as system defaults and are selected when the system is delivered or when the 45 button is selected Any of the columns can be selected but the system default information shown for these studies
138. ly logged into the system For example Desen forStudy Radiologist would show Yes in this column if they are logged in Sen Wo and accepting studies This Active column is found in the Sie Wo 9 Modalities and Users tab Study Status E Tech Comment E Time of Study 7 86 gt Arrival Time Displays the date and time that the study arrived z at the Roentgen Works server for diagnosis The Arrival Time column is available in the Action Needed Delivered and Read Columns Detail tabs gt Body Part Displays the specific body part or region of interest on which the study was performed The Body Part column is available in the Action Needed Incomplete Orders Work Queued Delivered Read or Search tabs Ta lt BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 23 Chapter 2 Customizing the Worklist Columns gt CPT Displays the Procedure Code for the selected study The setup CPT column is available in the Action Needed Incomplete Orders Se Pm ven Work Queued Delivered Read or Search tabs mages Fi a ACC ka 150 Be aware that CPT Codes are not available for a worklists from the DICOM header unless manually entered It is available with HL 7 interfaces aes S CPT E gt Category Identifies the message class generated from a Contact z E specific user or a system generated message The Category DICOM Doc E column is only available in the
139. lying loa IVIOS SAO SE ENE EROE tae 97 Acknowledging a MOSS e CC 98 CICA VCS SO E 98 CHAPTER 10 MODALITIES TAB E 99 COMPONENTS OF THE MODALITIES WINDOW rrrrrrnnrrrnovornrrrnnnnnnrrrrnnrrnnnnnnnnrennnrrnnnnnnnnsernnnnnnnnnnnnssnnnnnnnnnsnnserennnnnnn 99 TEN 100 COT COI REESE EEE 100 SE eege 100 BIE ege PEER EEE NE stones saumedes 101 TAKING ACTIONS IN THE MODALITIES E 101 Adding A IN CW WOO E EE 102 EEE d ZZ 000 103 Deleting an Existing Modal 104 CHAPTER 11 USERS TAB Li 105 PET OF THE EE 105 ACO 2 E 106 TN 106 Selecting the Columns eee 106 BEE GE RENEE NN 107 TAKING ACTIONS IN THE USERS TB ine 108 Adding a Site Coordinator ccccccccccsesseeeeeccesensasseusseeccesesasuesseeecessessauaesseeceessssauaesseeeesssssaaaaseeeesssssaaaensss 108 tele eier 109 Adding a NEW Ne 111 Eo OAT EN TTO EE 111 BEN 10 EVE DO 11400 ET EEE EET 113 CHAPTER 12 SEARCH TAB Liesel ede sn 115 COMPONENTS OF THE SEARCH WINDOW csssssecceeceeceeeeseeeeeeeeeeeeeeeseeeeeeseseeeseeeceeeeesseeeaeeeeeeseessaaaseeeeeeeeesaaas 115 eier 116 LG ee EE 117 EE EE 117 BEE DO RER EE EE E 118 TAKING ACTIONGIN THE SEARCH IB aspekt 119 EE EE 120 Downloading the Selected Study EE 121 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S vil Table of Contents VIGWING NE STO FSV eee dead ep 121 VIEWING THE GE 122 CHAPITER bh E STATISTICS TAB EE 125 COMPONENTS OF THE STATISTICS WINDOW ccccceccece
140. mns Setting up the Columns There are two tabs at the bottom of the Setup panel Loiummz and Detail tab The Columns tab allows the user to customize the columns that are in each of the working tabs The Detst tab allows the user to customize the Details at the bottom of the patient list and is further defined in Chapter 3 Customizing the Details Panel This section shows selecting and moving of the columns and the available columns Selecting the Columns for the Tabs There are a variety of columns available that the user can select to appear in the various tabs The majority of the fields are available for every tab but some are specific to individual tabs Clicking on the checkbox next to the specific column allows the column to be displayed in the working tab In order to get the column to display on the selected working tab the tab must be selected and the Setup panel opened Click on the checkbox under the Active column next the desired column and av appears in the checkbox As long as the v appears the column displays on the specified tab To remove the column click on the checkbox and the v disappears The Width shown displays the size of the field Resizing the Columns for the Tabs The width of the column can be changed in two manners either by manually resizing the field or by changing the value of the field in the Setup panel Manually Changing the Width of the Columns The user can manually chan
141. ncomplete Orders Tab ii Call Mobile Phone When this is selected the physician will be contacted via the mobile phone number that is entered iii Call Office Phone When this is selected the physician will be contacted via the office telephone number that is entered iv Call Home Phone When this is selected the physician will be contacted via the Home telephone number that is entered v Send Page When this is selected the physician will be contacted via their pager Note that a shortcut to finding the information in a drop down menu is to begin typing the name in the field and as characters are matched the name appears Click on the correct name when it appears No Alert Call Mobile Phone Call Office Phone Call Home Phone j Priority Alert 2 This allows the physician to select the secondary alert method to be used when they need to be contacted regarding an urgent finding or critical study for one of their patients Click on the arrow next to the field and select the desired method The choices are Send Page 4 On the right side is the Site Access panel which identifies the sites for which the new Physician has viewing authorization Click on the checkbox for the sites and av appears in the checkbox To deselect a site that was selected in error click on the checkbox again and the v is removed 5 Once all of the fields are entered click on the button If New Physician was selected in erro
142. ndow opens Notice that the latest Urgent Finding is shown in red at the top of the window Update Urgent AUSTIN ANNIE KATHLEEN WPH142358 CR CHEST Urgent Finding pleural effision noted Urgent History Event Type Date User Finding Note 2 Enter in the Notes in the Add Note an a EE sections 3 Click on the button to enter the update and save it for the patient s record Add Note Complete 46 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 4 Action Needed Tab Since every activity for the patient is retained in this Update Urgent log accurate information is logged as contacts are notified and actions taken so that the complete update history is available for the selected study A new entry is made for every event relating to the patient To complete the Urgent status 1 Click on the button and the following window opens 2 Click on the I I next to Complete in the Urgent Finding window Action Needed 1 3 The study is removed from the list To close the window without making changes click on the button If further discussion is needed the button allows the user to contact the referring physician again for additional diagnosis information Sections of the Update Urgent Window The Urgent Update window is comprised of three main sections and three action buttons The sections are as follows Update Urgent ALLEN ALICI
143. nformation On each of the tabs there are a variety of buttons and are covered in the section specific to the tab The components of each of the tabs are similar and are covered specifically for each tab User Logged In This identifies the user that is currently logged into the system and displays in the upper right side of the window as ReentgenWorks Service Manager 1 Tabs Each section for the tabs is covered in the following chapters Actions Needed 1 Incomplete Orders 360 Work Queued 3 Delivered 31 Read 22 Messages 0 Modalities Users Search 0 Statistics These tabs all have very similar screen setups but have different purposes They include gt Action Needed gt Messages gt Incomplete Orders gt Modalities gt Work Queued gt Users gt Delivered gt Search gt Read gt Statistics Each of these tabs is explained in their own individual chapter The number in red next to each tab indicates the number of studies contained in the tab BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S F Chapter 1 Introduction Patient List The Patient List section provides a list of studies with varying detail depending on which tab is selected and how the user has customized the Setup following information is provided for the patie Actions Needed 3 Incomplete Orders 365 Act i O n Radiologist Site EES 1 Patient Name ee Pat
144. ng facility This Action button allows the Site Coordinator to define a new referring physician at one of the imaging centers or hospital facilities gt This Action button allows the Site Coordinator to define a new patient location at the facility to be notified of patient findings Y This Action button allows the Site Coordinator to make changes to the user s profile This Action button allows the Site Coordinator to permanently remove a user from accessing the system V Y Color Coding There is no specific color coding for the users or the location Selecting the Columns The columns in the user list can be customized according to individual preferences but there are several that have been selected to be identified as system defaults and are selected when the system is delivered or when the ms button is selected Any of the columns can be selected but the system default information shown for these studies in Users l the tab includes gt Site Identifies the facility where the patient study was captured gt User Name Identifies the name of the selected user gt User Type Identifies the type of user such as Site Coordinator Radiologist Physician Service Manager or Location such as the Emergency Room 106 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 11 Users Tab To change the columns open the Setup panel by clickin
145. ng the Columns Incomplete Orders 365 l l l ae The columns for the L _____ tab list can be customized according to individual preferences but there are several that have been selected to be identified as system defaults and are selected when the system is delivered or when the _ 5_ button is selected There are a variety of additional columns available in the Setup panel setup P and these can be selected and added or removed at any time Lee SE EN The system default information shown for these studies in the 8 Incomplete Orders 365 l AE A tab includes FEE wm a l l l Arrival Time ail 85 gt Images Displays the total number of images in the study Body Part o e CPT E gt ACC Displays the Accession number assigned to the study Contact 2 E DICOM Doc F gt Body Part Displays the specific body part or region of interest Date of Birth H 8 on which the study was performed Description E Elapsed Time E gt Date of Birth Displays the patient s birth date fete e Final Head E gt Description Displays the Study Description as entered either _ from the modality or from the order a z gt Modality Identifies the type of modality on which the study was e performed Patient ID al 109 Patient Name E 173 gt Patient ID Displays the Patient s identification number from the physician El sending site Physician F Priority Fal 0 gt Patient Name Displays th
146. ng the Width Height or Placement Setup Label Active W H E 15 i E 15 1 Description ES 4 DICOM Doc 7 15 1 Reason for Study PA WS 7 Ei 1 E 1 Fj 1 EI 1 The width or height of each of these fields in the Details panel can be changed in the Setup Panel and the placement or location can be changed by moving the field Reason for Hold gt History To change the height or width of the fields in the Details panel click on Final Read m the Detail tab at the bottom of the Setup panel This shows the vr me 7 selected fields and notice that the width W and Height H sizes are Radiologist E shown to the right of the Active checkbox and is filled in for each of the Ste H fields that are active Sex E Modality bal ACC E AE w 3 en Detail e Changing the Width of a Field in the Details Panel To change the width on any of the fields left click on the field to be resized and a blue box opens around the number to allow the user to change the field Delete the Setup numbers in the box and type the desired number for the size of the field Label Active VW H Reason for Hold 7 d k Be aware that changing the field width m n a field to the right and one of them may need to be a moved Reason for Study Fal 20 1 Final Read E 5 d Physician E 15 1 When the desired width is entered hit the enter key on the keyboard misc contact m 114 gt and the f
147. nnennnnnnennnnnnennnnnnnennnnnr 19 OPENING AND CLOSING THE SETUP eunannenrnnnvnnnnnvnnnnrennnnernnnnennnnnennnnsennnnsnnnnnsennnnennnnnennnnsennnnsennnnsennunsennunennunsennnnene 19 SETTING UP THE COLUMNS saved keadsokdde 20 Selecting the Columns for the Tabs rrrrrrrrrrrnnnnrrnrrrrrrrrnnnnrnnrrrrnrrrnnnsrrntrrrnnnnnnnsennrrrrnnnnnnnssnsrrennnnnnnsssnnee 20 Resizing the Columns for the fabes 20 Manually Changing the Width of the Columns 20 Changing the Width of the Columns in the Setup panel nn000nnnnnnnnannnnnnnnnnnnnnnnnnnnnnrnnnnnnsennnrrnnnnnnrrrennsnnnrrreennennnne 21 Sorling and Grouping the OE 21 Moving th Columns t r the T ADS ssrimesisassasmaiinas i aa aaa a a aiaiai 22 VE 0 RO EEE 23 UME 28 CHAPTER 3 CUSTOMIZING THE DETAILS PANEL eennnernnnnnvennnnnnennnnnnnnnnnnnnennnnnnennnnnnnennnnnnennnnnnnnnnnnnnunnnne 29 OPENING AND CLOSING THE SETUP eunannunrnnnvnnnnnennnnnennnnennnnnennnnnennnnsennnnsennnnsrnnnnennnnnennnnsennnnsennnnsennansennunennunsennnnene 29 SETTING UP THE DETAILS PANEL tegt enger nora ee Ee dE ere GE 30 MENN 30 Changing the Width Height or Placement 36 Changing the Width of a Field in the Details Panel 36 Changing the Height of a Field in the Details Panel 37 Changing the Location of a Field in the Details Panel 37 Saving the Changes to the Detalls ccccccccccssseecsecccccenssseeeseecccssssssecueeeeccessssauaeeeeceesssesseeeeeeecessssssanesseesesees 39 CHAPTER 4 ACTIONS N
148. nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnevnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn 55 COMPONENTS OF THE INCOMPLETE ORDERS WINDOW sccccccccceeeceeeeeceeeesssssseeececececeeeeeeesessaaaaaasseeseseeeeeeess 55 PRC HOVE Ee e EH 56 COF C OOT eege eege 56 SSC TE OUS E E E EA EE E E EE 57 HAT TTO EE 58 TAKING ACTION IN THE INCOMPLETE ORDERS WINDOW 59 NE NG 59 Marking the Study as a Comparison Sftuchk 60 ve NN ee 60 Marking the Order as CGompieie 61 AONTA F Y ETNE ENE SE 62 lee ee a NOW LOC GU OI E 64 VIEWING THE EEE 65 CHAPTER 6 WORK QUEUED TAB nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnenevnnnnnnnnnnnnnnnnnnnnnnnnnnnnennnnnnnn 67 COMPONENTS OF THE WORK QUEUED WINDOW eege EEN 67 PICHON Tee e E 68 TEN 68 I OCH KG E 69 DICTA 41014002 110 0 EEE eEeg 70 TAKING ACTION IN THE WORK QUEUED lee 71 Pu tting the Study OF EE 71 Editing the Order Information wu cccccssssseeecccccccccessseeeeececesesssueeseeeceesssauscsuseeceesesasseesesecessessaaaasseeeeessssaaaeenseeeess 72 Viewing the Study EO SE 73 VIEWING THE E 74 CHAPTER 7 DELIVERED IB ere mee ere een ene ne eee nee ner eee eee ae 75 COMPONENTS OF THE DELIVERED WINDOW arnnnnnnnovvnnnnrvrrrrnnnnnnnnnnnnnnnnssrnnnnnnnnnrnnnnnnnnnnnnnnnanssssennnnnnnrnnnnnnnnnnnnssssee 75 ACR ee e 76 ETEN EE 77 19111910 KO 0 REE EE NE 77 BEE GE REE ER EE EE EE te Takia acoso sibances 78 TAKING ACTIONS IN THE DELIVERED TAB ENEE 79 PUTING the Study O
149. nowledge the call 2 Press 2 to call the Radiologist who identified the urgent finding 3 Press 3 to call the patient Location and alert them to the urgent finding The user can then hang up BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Viewing the Urgent History Chapter 8 Read Tab BRIT Phone only makes calls to the Referring Physician when the Urgent status is updated it does not place calls when the Site Coordinator adds Notes or completes the Urgent finding The Urgent History for the study can be viewed by the Site Coordinator to see the comments and statuses of a study that has been identified as urgent by another user typically the Radiologist To view the urgent history 1 Make sure the correct patient study is selected Click on the button The Urgent history pop up window opens and displays all events that have been Urgent History Event Type MARK URGENT VIEWED UPDATED ACTION NOT NEEDED VIEWED ACTION NEEDED CALLED CALLED CALLED CALLED CALLED CALLED CALLED REASON UPDATED Ei bi n 08 2009 12 14 40 PM n 08 2009 12 15 31 PM n 08 2009 12 16 34 PM n 08 2009 12 18 16 PM an 08 2009 3 32 37 PM n 09 2009 1 53 59 PM n 09 2009 2 17 03 PM an 09 2009 2 18 51 PM n 09 2009 2 19 00 PM an 09 2009 4 19 03 PM an 09 2009 4 19 29 PM ee Ke Sa ge Gulf ee Ss te ES w 5 op D o o opp n 23 2009 12 19 58 PM
150. nterest on which the study was performed gt Date of Birth Displays the patient s birth date gt Description Displays the Study Description as entered either from the modality or from the order gt Final Read Determines if the Radiologist is to do a final diagnosis on the study and is identified as a Yes or a No in the Final Read column next to the Study gt Modality Identifies the type of modality on which the study was performed gt Patient ID Displays the Patient s identification number from the sending site gt Patient Name Displays the Patient s name as sent from the sending site gt Priority Determines if the study is routine or critical so that the Radiologist knows the importance of the study gt Radiologist Displays the name of the Radiologist handling the study gt Sex Identifies the Gender of the patient gt Site Identifies the facility where the patient study was captured To change the columns open the Setup panel by clicking on the Sto the right and clicking on the checkbox next to the desired heading If the checkbox has a v the column displays on the Patient List If the checkbox currently does not have a Vv the column is not displayed on the Patient List The columns can then be moved or resized according to personal preference For a complete list of available columns see the section Available Columns BRIT Roentgen Works Flow User Manual Site Coor
151. o each site and user that are tagged as Urgent by the Radiologist after their diagnosis is completed 126 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 13 Statistics Tab To change the columns selections open the Setup panel by clicking on the Sto the right and clicking on the checkbox next to the desired heading If the checkbox has a v then the column displays on the Patient List If the checkbox currently does not have av the column is not displayed on the Patient List The columns can then be moved or resized according to personal preference For a complete list of available columns see the section Available Columns Detail Information The Detail information at the bottom provides additional specific information about the selected study This Detail panel can be customized according to individual preferences but there are several that have been selected to be identified as system defaults and are selected when the system is Defaults delivered or when the button is selected a Statistics The system default information shown for these studies in the window include Leet gt Stat Type Identifies the user or site for the studies statistics SS zal Label Active VW H gt Description Displays the name of the User logged into the system meee S EECrIPt0n 5 for which the statistics were built Incomplete Unassigned To change the Detail selections
152. o edit the Order information follow these steps Edit Order Info CARROT ANGIE 16 PID166579 CT NECK 1 e Select the patient with the Order Priority Routine P Location Chakra Clinic v information that needs to be e Physcen Stratton Schock x History History of angina on beta blockers Contact 2 214 555 4276 changed j Tech Comment NECK Misc Contact 214 555 1362 2 The Edit Order Info pop up window gi opens as shown here 3 Click on each field to be changed and enter the correct information Note that a shortcut to finding the information in a drop down menu is to begin typing the name in the field and as characters are matched the name appears Click on the correct name when it appears 4 Click on the button to retain the changes made The changes are saved and the window closes If the incorrect patient was selected or the changes do not need to be made click on the to close the window without retaining the changes BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 51 Chapter 4 Action Needed Tab Viewing the Study History The Study History for the selected study allows the user to see the detailed history of the study such as when it was created completed to whom it was assigned when it was sent when it was delivered when it was read each time the status was reset and each status setting To view the study history 1 Make sure the correct patient study i
153. omment Time of Study UID Columns Detail ISS 8S O84 Hee J T I j I I ba e L E Ss a j i Fa I I ER Jh as SE Width g 109 173 BRIT Chapter 2 Customizing the Worklist Columns Systems Physician Displays the name of the patient s referring physician setup The Physician is available in the Action Needed Incomplete Orders Work Queued Delivered Read or Search tabs Ges EE Images F Li Physician Displays the primary telephone contact number for VK 130 the patients referring physician The Physician column is e available in the Action Needed Incomplete Orders Work Oueued 7 Delivered Read or Search tabs ONDE SZ Body Part W 92 Priority Determines if the study is routine or critical so that the Radiologist knows the importance of the study The Priority column DT S is available in the Action Needed Incomplete Orders Work Queued Delivered Read or Search tabs n 5 E CMPTOn A Queued Provides a summary of all the studies that are awaiting SS z delivery to the Radiologist The Queued column is only available in 3 the Statistics tab History Radiologist Displays the name of the Radiologist handling the as study The Radiologist column is available in the Action Needed e Incomplete Orders Work Queued Delivered Read or Search a tabs Patient ID wi 109 Reason for Hold Id
154. on Pa geck tab 3 A list of studies is presented click on the study and click on the Assign button 4 The selected fax is assigned to the study and moved to the Mi Viewing the Faxes m JS If a fax is received from the Site Coordinator to clarify missing information the fax can be viewed from the Faxes panel in the lower right of the window p Faxes Assigned Unassigned Typically the fax is assigned to a study by the Site Coordinator and is shown Spe Date BRIT Systems 2009 03 13 09 30 Assigned 3 in the tab BRIT Systems 2009 03 19 07 33 BRIT Systems 2009 05 04 09 18 Order Details BRIT Systems 2009 05 04 09 20 Name COLOR ABDUS Birth Date 01 01 2001 ID PID000250 Gender Other BRIT Systems 2008 0311 A 08 28 Order Information BRIT Systems 2009 0319 07 35 Accession Number 01D002322 Study Reason Medical Alerts Special Needs Allergies Referring Phy Name Referring Phy ID BRICE Referring Phy Phone Height Weight Patient History Scheduling Notes Created Time Scheduled Time Completed Time Read Time Reported Time 09 25 2006 10 26 AM 09 25 2006 10 27 AM 09 25 2006 10 26 AM Procedure Information Exam US ABDOMEN Code 76705 Modifier Study Description Performing Phy Name Performing Phy ID Performing Phy Phone Performing Tech Name Performing Tech ID Performing Tech Phone Comment Transport Ar
155. on if the API integration is available between Roentgen Works and the viewing workstation If BRIT Vision is available the API is inherent in the application The Radiologist looks at the images in the study and either dictates the report puts the study on hold because additional information is required or flags the study as urgent and contacts the referring physician a Tag a study with Urgent findings in order to quickly contact the referring physician i The study is moved to the 41 tab to await completion li BRIT Phone calls the referring physician to alert them to the urgent information iii The study Update Urgent finding is acknowledged by the referring physician iv The Site Coordinator marks updates the urgent finding to complete and the study is returned to the tk tab if the Radiologist has not marked the study as Read or it can be returned to the 7 tab if study is marked as Read b Put the study On Hold due to missing information regarding the study or the patient i The study is moved to the 411 tab to await completion li The Site Coordinator fills in the required fields and completes the study iii The study is released from hold iv The study is returned to the PAN tab for the Radiologist to complete the report 10 The Study is marked as Head 11 The report is dictated by the Radiologist 12 The Radiologist signs the report and the report is stored on the se
156. one BRIT Phone is initiated automatically each time the Urgent Finding action is taken or if additional updates are made This application alerts the referring physician that the Radiologist has found an issue that needs immediate action for the patient The following actions are taken by BRIT Phone when Urgent Finding is used gt gt Calls the Referring Physician Makes an announcement requesting verification of name The user presses 1 to verify they are the intended recipient or can hang up If the correct recipient is identified the announcement is made regarding the patient name ID and the urgent finding indicated by the Radiologist The user can elect to 4 Press 1 to simply Acknowledge the call 5 Press 2 to call the Radiologist who identified the urgent finding 6 Press 3 to call the patient Location and alert them to the urgent finding The user can then hang up BRIT Phone only makes calls to the Referring Physician when the Urgent status is updated it does not place calls when the Site Coordinator adds Notes or completes the Urgent finding BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 81 Chapter 7 Delivered Tab Editing the Order Information The Order information for the Study can be edited by the Site Coordinator when changes or updates are needed Be aware that the Order can only be edited until the study is marked as RS Read SH To
157. or Radiologist 1 READ Dec 01 2008 12 14 56 PM Study marked READ by Radiologist 1 S e e ct ed a UNREAD Dec 03 2008 12 25 27 PM Study marked UNREAD by Radiologist 1 URGENT Jan 08 2009 12 14 40 PM Study marked URGENT by Radiologist 1 Reason set to Bleeding in Brain UNURGENT Jan 08 2009 12 18 16 PM Study marked UNURGENT by Site Coordinator 1 URGENT Jan 09 2009 1 53 59 PM Study marked URGENT by Radiologist 1 Reason set to reurgent D UNURGENT Mar 06 2009 3 46 45 PM Study marked UNURGENT by Radiologist 1 T G hi d y H E to r Y URGENT Apr 08 2009 4 28 10 PM Study marked URGENT by Radiologist 1 Reason set to that looks wicked awesome 2 D C C k O n t h e b u tto n D UNURGENT Apr 08 2009 4 28 59 PM Study marked UNURGENT by Radiologist 1 URGENT Apr 08 2009 4 32 10 PM Study marked URGENT by Radiologist 1 Reason set to this could be worse you know lt 2 3 The Study history pop up window opens and lt displays all events that have been posted z regarding the study This could include such events as When the study was created When the study was completed by the Site Coordinator When the study was assigned When the study was sent When the study was delivered When the study was read When the study was marked urgent When they study was put on hold 4 When the user has the information needed click on the button to close the window VVVVV VV WM BRIT Roentgen Works Flow User Manual
158. pecific information about the selected study This Detail panel can be customized according to individual preferences but there are several that have been selected to be identified as system defaults and are selected when the system is delivered or when the button is selected Work Queued 7 The system default information shown for these studies in the window include gt Contact 2 Identifies the backup contact to be used if the physician can t be reached gt Description Displays the Study Description as entered either from the modality or from the order gt DICOM Doc Displays the name of the referring physician as it is reported in the DICOM header of the study gt Final Read Determines if the Radiologist is to do a final diagnosis on the study and is identified as a Yes or a No in the Final Read column next to the Study gt History Provides the brief patient history that was sent with the study gt Location Identifies the patient location where the physician contact is available such as the ER and may be used as a point of contact gt Misc Contact Displays an additional telephone or pager number for an additional contact for the referring physician gt Physician Displays the name of the patient s referring physician gt Reason for Study Indicates the reason that the referring physician ordered the study for the patient gt Tech Comment Provides the text
159. port Report Finished Product Specific FACILITY 1 2 3 4 7 Distribute Report FAX i gt HIS RIS Distribute Report nternet PRINT A BRIT n KL 247 Monitoring SI BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 1 Introduction For the workflow zech The modality sends the images to the BRIT Server 2 The BRIT system compresses the images regenerates the Order from the DICOM Meta data and sends it via DICOM store over the Internet or VPN to the Reading Group Incomplete Orders 365 3 If the Order is incomplete the study is placed in the tab for the Site Coordinator 4 The Site Coordinator verifies that they want the Radiologists to read the study and completes the Order and it is again sent over the Internet or the VPN to the Reading Group and is placed in the Ss 71 tap 5 The Order information is sent via HL 7 to the Dictation server if the integration is done between the Roentgen Works server and the Dictation server 6 The Radiologist logs into the system and selects to begin accepting studies 7 The system automatically load balances the studies and assigns the study to the Radiologist based on rules and Radiologist licensing permissions or the Service Manager may assign the study if necessary Delivered 1 8 The study appears in the tab 9 The Radiologist can double click on the study to open the images on the workstati
160. r because of missing information the Radiologist needs to complete the study s report 42 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 4 Action Needed Tab gt Study History This Action button allows the user to smuss see the detailed history of the study such as when it sor E was created completed to whom it was assigned when it was sent when it was delivered when it was SGI Souu read each time the status was reset and what the e sesent susumusyvt status was reset to by the last user r e Ge UNURGENT Apr 08 2009 4 28 59 PM Study marked UNURGENT by Radiologist 1 URGENT Color Coding 7 The studies are color coded as follows gt Indicates that there is a critical study the Radiologist need to read immediately or an urgent finding in which the referring physician needs to be notified immediately Action Needed 1 Urgent findings are identified in pink in the tab gt Yellow indicates that the study has been placed On Hold due to insufficient or incomplete information that the Radiologist has flagged and needs to be addressed before the diagnosis can be done the study marked as Head and the Report completed gt O UG Indicates that this is the currently selected study If there is an interface to a Radiologist viewing workstation such as BRIT Vision double clicking on one of these selected patients automatic
161. r or if the information entered is not to be saved click on the I button to close the window BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 63 Chapter 5 Incomplete Orders Tab Adding a New Location One of the actions that can be taken is to add a new Location in the hospital or imaging site which was not previously entered such as an emergency room This is helpful in that the Site Coordinator can simply click on the button without Users having to select the tab and add the new location then then have to return to the Incomplete Orders 365 To add a new Location follow these steps een tab New Location Fa 1 Click on the button eple Location Name 2 The New Location window opens as shown here Sop Secondary 3 Fill out each of the fields with the S information to define the new Location bii These fields include li a Location ID This is the i identification used by the system b Location Name This is the name of the location such as Emergency Room One or ER West c Primary This is the main contact number for the location d Secondary This is the second contact number for the location e Fax This is the fax number for the new location 64 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 5 Incomplete Orders Tab Viewing the Faxes If a fax is received from the Site Coor
162. r Name 2 The Physician window opens as shown Mobile here Office 3 Fill out each of the fields with the EE information to define the new Physician Said These fields include Fax Email Address a User ID This is the identification that the user enters to log into the system Priority Alert 1 Select Ge Priority Alert 42 Select Ke BRIT Roentgen Works Flow User Manual Site Coordinator UM BRYv UUT U 5 IUJ Chapter 11 Users Tab b User Name This is the name of the user c Mobile amp This is the cell phone number for the new user d Office f This is the office telephone number for the new user e Home amp This is the home telephone number for the new user f Pager This is the pager number for the new user g Fax This is the fax number for the new user h E mail Address This is the e mail address for the new user No Alert Call Mobile Phone Call Office Phone Call Home Phone i Priority Alert 1 This allows the physician to select the primary alert method to be used when they need to be contacted regarding an urgent finding or critical study for one of their patients Click on the arrow next to the field and select the desired method The choices are Send Page i No Alert When this is selected the physician will not be contacted for urgent findings or critical studies li Call Mobile Phone When th
163. rangements Confidentiality Constraint Preorder Medication Study Information Status Arrived Time COMPLETE 09 25 2006 10 24 AM 130 u 76705 US ABDOMEN LIMITED GB LIVER PANCREAS OR SPLEEN COMPLETE Facility BRIT Location Location Phone Pregnancy Status DEFINITELY PREGNANT Occupation Schedule Time Length 15 minutes Modality Location 76705 US ABDOMEN LIMITED GB LIVER PANCREAS OR SPLEEN Status Priority Origin Title Modality Body Part HDI5000 US ABDOMEN BRIT Roentgen Works Flow User Manual In order to view the fax follow these steps 1 Click on the appropriate study Click on the Men 1 button The Fax opens in a separate window and displays the details as shown to the left Once the desired information is read click on the at the top right to close the window Site Coordinator UM BRW 001 0 S Chapter 15 Viewing the Faxes Unassigned For faxes that are not assigned they appear in the ponsa tab To assign the fax 1 Click on the appropriate study 2 Click on the appropriate fax 3 Click on the 459 button 4 The fax now appears under the isis tab BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 131 Chapter 14 Viewing the Faxes 132 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S
164. referring physician Generally the Site Coordinator at the facility is responsible for establishing the referring physician s contact information but the users update their own profile To call the referring physician Call Contacts XRAY RICKETS N PID00000101 CR PEDIATRIC CHEST D D 1 Make sure the correct patient study is selected Contact Role Name Contact Method Number Physician 1 physician 1 Call to Office 214 555 6253 Physician 2 physician 2 Call to Mobile 214 555 9898 Call Contact Physician 2 physician 2 Send Page 434 555 4426 2 e C ick O n th e Cal Contact butto n D Location Emergency Room One Primary 214 555 5514 Location Emergency Room One Secondary 464 555 6463 3 When this button is selected a pop up window Misc De SE 80 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 7 Delivered Tab opens to allow the Radiologist to click on the desired contact method for the referring physician Click on the desired contact number to select the number to call If Skype is being used double click on the number and the system automatically dials the number and the call is connected When the button is selected the Call Contacts window closes If the referring physician answers the call is connected between the two parties If the referring physician does not answer Skype can continue autodialing until the contact is made Notifications Using BRIT Ph
165. reset to by the last user Color Coding Work Queved 2 The studies shown in the J tab are color coded as follows gt Alerts the Radiologists that the study has come in from the Site tagged as a Critical study The Radiologist needs to select these studies for immediate read and diagnosis gt White Indicates that the study is a Routine study gt BIU Indicates that this is the currently selected study 68 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 6 Work Queued Tab Selecting the Columns Work Queued 2 The columns for the tab list can be customized according to individual preferences but there are several that have been selected to be identified as system defaults and are selected when the system is delivered or when the 9175 button is selected There are a variety of additional columns available in the Setup panel and these can be selected and added or removed at any time Work d 2 ork queued LA tab includes The system default information shown for these studies in the L gt Images Displays the total number of images that are in the selected study gt ACC Displays the Accession number assigned to the study gt Body Part Displays the specific body part or region of interest on which the study was performed gt Date of Birth Displays the patient s birth date gt Description Displays the Study De
166. riority e ep Needed Work Queued Delivered Read or Search tabs Aadiologst A Reason for Hold FI gt Office Displays the office telephone number that was entered Reason for study F in the profile for the selected user This office number selection IS _ s D A available in the Users tab ag D o Study Status fal gt On Hold Identifies the number of studies that the Radiologist ech comment A has placed on hold because further information is needed to time ofstuay o oe allow them to complete the diagnosis The On Hold selection is up F 7 only available in the Statistics tab E e gt Pager Displays the pager number that was entered in the profile for the selected user available in the Users tab This Pager number selection is gt Patient ID Displays the Patient s identification number from the sending site The Patient ID selection is available in the Action Needed Work Queued Delivered Read or Search tabs gt Patient Name Displays the Patient Name for the study The Patient Name selection is available in the Action Needed Work Queued Delivered Read or Search tabs BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 33 SCH BRIT Chapter 3 Customizing the Details Panel Systems gt Physician Displays the name of the patients referring gt physician The Physician selection is available in the Action iabea as ee Needed Work Queued Delivered Read
167. rver Read 77 13 The study is moved to the tab 14 The referring physicians can request an addendum from the Radiologist a The addendum is added by the radiologist and the report is updated b The report addendum is signed 15 The system adds any urgent findings to the report if applicable 16 The report is distributed via e mail fax or HL 7 services BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 3 Chapter 1 Introduction Quick Start This section provides a roadmap or quick start path for starting the application and following the different steps that the Site Coordinator would go through from logging in assigning studies that were not automatically assigned or were returned or responding to Actions Needed or Messages s that are needed handle unassigned studies and check on 1 and reply to messages handle users or modaliti These first steps allows the user login check on the Actions needed and assist in obtaining missing data for studies On Hold Select 4 the study is On Hold Select the y AGM anc eem mmm RR get the missing The next three steps determine what is needed for incomplete studies and assist in resolving the issue incomplete orders 365 If the study is Q H toeter OU Incomplete find KT is il g data n Ve sne out what Is CH AY The last three steps include replying to or sending messages handlin
168. ry Shows a brief patient history Tech comments Identifies any issues that the Tech determines the Radiologist needs to Know about the patient or the study or the condition of the patient that is pertinent to a diagnosis Location Identifies the patient location where the physician contact is available such as the ER and may be used as a point of contact A location has a phone number associated with it Physician Identifies the Referring Physician Contact 2 Identifies the backup contact to be used if the physician can t be reached Misc Contact Provides an additional contact phone number for providing results DICOM Doc Refers to the referring physician s name that is reported in the DICOM header in the study and can be different from the name in the Order For more information on customizing the Details panel see the section Seiting up the Details Panel BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Faxes Chapter 1 Introduction This section allows the user to view faxes that have been sent with the Order information and is found in the lower right side of the window Order Details Name COLOR ABDUS Birth Date 01 01 2001 ID PID000250 Gender Order Information Accession Number 01D002322 Status COMPLETE Study Reason 76705 US ABDOMEN LIMITED GB LIVER PANCREAS OR SPLEEN Medical Alerts Special Needs Allergies Referring Phy Name F
169. ry s Event Type Date User Finding Note D na d 2 ck O n t h e Urgent History b u tto n MARK URGENT Jan 08 2009 12 14 40 PM Radiologist 1 Bleeding in Brain D F D VIEWED Jan 08 2009 12 15 31 PM Site Coordinator 1 UPDATED Jan 08 2009 12 16 34 PM Site Coordinator 1 contacting physician ACTION NOT NEEDED Jan 08 2009 12 18 16 PM Site Coordinator 1 found physician H I VIEWED Jan 08 2009 3 32 37 PM The Administrator 3 z The U rg ent h Istory pop u D WI ndow opens ACTION NEEDED Jan 09 2009 1 53 59 PM Radiologist 1 reurgent CALLED Jan 09 2009 2 17 03 PM The Administrator called 111 111 1111 and displays all events that have been k EE SE SE a CALLED Jan 09 2009 2 19 00 PM The Administrator called 222 222 2222 posted reg ardi Ng the study Th IS COU Id CALLED Jan 09 2009 2 55 28 PM The Administrator called 111 111 1111 D D CALLED Jan 09 2009 2 55 42 PM The Administrator called 555 555 5555 n cl u d e S u C h eve nts as Vi ewed 5 U pd ated 7 CALLED Jan 09 2009 4 19 03 PM The Administrator called 444 444 4444 CALLED Jan 09 2009 4 19 29 PM The Administrator called 444 444 4444 fik O r al ed REASON UPDATED an23 200912 19 58PM Radiologist 1 SSSSSSSSSSSSSSSSSSSS2S 2 z DU 4 Click on the x at the top to close the window Viewing the Study History The Study History for the selected study allows the user to see the detailed history of the study such as when it was created completed to whom it was assigned when i
170. s 60d 23h 20m S3s 2 Works II Windows Internet Explorer Patient Name E Ev KI http 10 255 4 150 9080 BWF Doc works html i cl n gt lt File Edit View Favorites Tools Help Links SS Customize Links amp Galaxy DRIT e Hotmail RTTicket Wiki Pages let i A D dh Page Tools 3 Work Queued 0 JOHNSON JOHNNIE JOHNSON JOHNNIE JOHNSON JOHNNIE AUSTIN ANNIE KATHLEEN CEREBRALGE ANEIRYSM ZZTESTPATIENT BATMAN GRUNTSKI GOOBER RoentgenWorks Site Coordinator 41 Actions Needed 7 Incomplete Orders 392 Delivered 29 Read 20 Messages 0 li Patient ID ACC PID00000130 01D0004722 PID00000130 0100004767 PID00000130 01D0004730 PID00035877 01D0004118 PID00000730 01D0003077 PID00004338 01D0007085 PID00006767 01D0006773 RoentgenWorks Site Coordinator 1 Logout el Edit Profile About J Action Elapsed Time Patient Name Patient ID ACC Description S ONHOLD Label ONHOLD 164d 13h 48m 248 JOHNSON JOHNNIE PID00000130 01D0004722 71010 cHEST SEL ONHOLD 164d 13h 48m 17s JOHNSON JOHNNIE PID00000130 01D0004767 74000 ABDO Description Patient ID ONHOLD 164d 13h 47m 58s JOHNSON JOHNNIE PID00000130 01D0004730 72148 MRI SF ONHOLD 78d 23h 28m 31s AUSTIN ANNIE KATHLEEN PIDOOO3S877 01D0004118 73590 LT TIB Kle ONHOLD 161d 19h Sm 30s CEREBRALGE ANEIRYSM PID00000730 01D0003077 70470 CT HE Action
171. s selected 2 Click on the button 3 The Study history pop up window opens and displays all events that have been posted regarding the study This could include such events as When the study was created When the study was assigned When the study was sent When the study was delivered When the study was read When the study was marked urgent When they study was put on hold VVVVVV v v Event Type CREATED COMPLETED ASSIGNED SENDING DELIVERED READ UNREAD URGENT UNURGENT URGENT UNURGENT URGENT UNURGENT URGENT Ki bi v 29 2008 7 31 08 PM c 01 2008 12 12 39 PM c 01 2008 12 12 39 PM c 01 2008 12 12 39 PM c 01 2008 12 12 40 PM c 01 2008 12 14 56 PM c 03 2008 12 25 27 PM an 08 2009 12 14 40 PM n 08 2009 12 18 16 PM an 09 2009 1 53 59 PM Ss Se DD p o o EZ 2 6 FS B l Mar 06 2009 3 46 45 PM Apr 08 2009 4 28 10 PM Apr 08 2009 4 28 59 PM Apr 08 2009 4 32 10 PM Study History XRAY RICKETS N PID00000101 CR PEDIATRIC CHEST Description Study received from BRIT RSNA Server Study completed by Site Coordinator 1 Study assigned to Radiologist 1 by The System Study sent to Radiologist 1 Study arrived for Radiologist 1 Study marked READ by Radiologist 1 Study marked UNREAD by Radiologist 1 Study marked URGENT by Radiologist 1 Reason s Study marked UNURGENT by Site Coordinator 1 Study marked URGENT by Radiologist 1 Reason set to re
172. s found in the tab It allows the Site Coordinator to remove the selected message from the screen gt This Action button is button is found in the tab The Site Coordinator uses this to remove an existing modality permanently Users gt This Action button is found in the tab It allows the Service Manager or Site Coordinator to permanently remove a user from accessing the system Ki l Incomplete Ord 365 gt This Action button is found in the ENE Des tab It allows the Site Coordinator to delete the order 5 h gt This Action button is found in the SS tab Once the Site Coordinator has found the study for the patient this button allows them to download the selected study to the viewer o Lal This is not the normal way to receive studies and is typically used only By when the user has very slow download speed from their ISP gt This Action button is found in the L tab The Site Coordinator uses this to modify information for an existing modality SES l l l l Actions Needed 7 gt This Action button is found in the ec tab Work Queued 2 Delivered 1 tab and the tab It allows the Site Coordinator to modify the patient s order because of missing Information the Radiologist needs to complete the study s report The Order information can be changed until it is marked as Read gt This is a User button that is found at the top right area in the User
173. sages Tab Taking Actions in the Messages Tab messages 6 There are several actions that can be taken with the messages listed in the ist which include gt Sending a Message gt Replying to a Message gt Acknowledging a Message gt Deleting a Message This section provides the steps to perform each of these daily tasks in the Tab Sending a Message The Site Coordinator can send a message to anyone in the system by clicking on the Send button The New Message window opens as shown below New Message Sal To Select b Message Text Sr CIA sx A WV 2 nng To send a message 1 Click on the bd next to the zl el field to select the recipient of the message from the drop down menu Note that a shortcut to finding the recipient is to begin typing their name in the field and as characters are matched the name appears Click on the correct name when it appears 96 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 2 Type the message in the window 3 Click on the button to save the message and send it 4 The New Message window closes and the message is sent To close the window without sending a message click on the button Chapter 9 Messages Tab For the text in the message the following can be selected for specific text by the user by selecting the text to which it applies then selecting the desired text enhancement item Font change
174. scription as entered either from the modality or from the order gt ETA Displays the Estimated Time of Arrival for the study to be delivered The ETA is available only in the Work Queued tab gt Modality Identifies the type of modality on which the study was performed gt Patient ID Displays the Patient s identification number from the sending site gt Patient Name Displays the Patient s name as sent from the sending site gt Priority Determines if the study is routine or critical so that the Radiologist knows the importance of the study gt Radiologist Displays the name of the Radiologist assigned to receive the study gt Sex Identifies the Gender of the patient gt Site Identifies the facility where the patient study was captured To change the columns open the Setup panel by clicking on the Sto the right and clicking on the checkbox next to the desired heading If the checkbox has a v then the column displays on the Patient List If the checkbox currently does not have a Vv the column is not displayed on the Patient List The columns can then be moved or resized according to personal preference BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 69 Chapter 6 Work Queued Tab For a complete list of all the available columns see the section entitled Available Columns Detail Information The Detail information at the bottom provides additional s
175. section identifies the components uses and features of the tab Components of the Search Window hoses The window that opens when the Ps tab is selected is shown below 2 Roentgen Works Flow Windows Internet Explorer Go v e http f 10 255 4 150 9080 B8WF Doc works html Wl 44 36 ask cor The n u m ber in red ee Edit View Favorites Tools Help Links Customize Links Galaxy BRIT E Hotmail E RT Ticket e Wiki P DE i next to the t ab mywebsearch PR PP Search smiley Central M Screensavers Pa Cursor Mania m PopSwatter E MyFunCards S S E p ECHTEN Works Flow x N MSN com fn gt E e ib Page v Gos 3 indicates the number of patients listed in that tab that satisfied the search criteria RoentgenWorks Site Coordinator 1 Actions Needed 1 Incomplete Orders 363 Work Queued 0 Delivered 31 Read 23 Messages 0 I Modalities Users Search 18 Statistics Site Select i Patient Name johnson Body Part Modality Patient TD UTD ACC Studv Status Selart lt Wie S sia Fan E when e ite Time of Study Study Status Priority Patient Name Patient ID Sex Date of Birth Modality Body Part ACC Description She 2005 08 01 16 26 DELIVERED Routine JOHNSON JOHNNIE 123156 M CR CHEST 01000034 ChestErectPA A Label Active Width Coo rd n ato r S OO ki n g 2006 01 23 20 53 INCOMPLETE Routine JOHNSON JOHNNIE 1
176. selections for the Detail section that is available includes gt gt 30 El Images Displays the total number of images that are in the selected study The number of images selection is available in the Action Needed Work Queued Delivered Read or Search tabs ACC Displays the Accession number assigned to the study The Accession number selection is available in the Action Needed Work Queued Delivered Read or Search tabs AE Displays the Application Entity Title for the modality on which the study was performed if it is available T he AE Title selection is available in the Action Needed Work Queued Delivered Read or Search tabs Be aware that when connecting with some specific sites this could be the AE Title of the PACS system because the PACS could not pass along the AE Title information for the modality itself Action Displays the additional action that the Radiologist needs for the Study This could identify the study as On Hold or Urgent The Action selection is only available in the Action Needed tab Active Identifies if the modality is currently integrated or not or if the user is currently logged into the system For example Radiologist would show Yes in the Details panel if they are logged in and accepting studies This Active column is found in the Modalities and Users tabs Setup A Label Active W H Images FY A ACC E AE E Action E Arrival Time E
177. sion NOT INTENDED FOR CUSTOMER USE H Build Date 20081205 gt B ul Id Date Copyright C 2008 BRIT Systems Inc gt Copyright date 16 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 1 Introduction The About window provides the following information about the Roentgen Works server gt Version Number gt Build Date gt Copyright date Click on the button to close the window BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 17 Chapter 1 Introduction 18 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 2 Customizing the Worklist Columns Chapter 2 Customizing the Worklist Columns The Setup panel allows the user to customize the columns in the patient list in each of the tabs and according to their personal preferences Be aware each tab can have different columns details displayed and are selected on an individual basis Opening and Closing the Setup The Setup panel is not normally shown when the user logs in To open the Setup panel there is a button at the far right side of the patient section 2 Roentgen Works Flow Windows Internet Explorer GO E rmno2ss41500080emr Docjmoris em R EECH ek File Edit View Favorites Tools Help Links Customize Links Galaxy BRIT amp Hotmail SEI Ticket Wiki Pages d amp eg el Roentgen Works Flow x MSN com
178. sired location it appears as a floating field as shown below Detail Final Read DICOM Doc Location Description Physician Reason for Study Misc Contact History Reason for Hold ll At the upper left of the field being moved is a indicating that the field has been selected to move Position the pointer of the cursor at the desired location to move the field and release the left mouse button The field will be snapped to a location as shown below 38 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S BRIT Systems E Final Read Physician Description Reason for Study History Reason for Hold Chapter 3 Customizing the Details Panel DICOM Doc Location Misc Contact Be aware that moving these fields may overlap another field and several moves may be needed to reposition the fields Once the field is moved it remains at that location until it is moved elsewhere Saving the Changes to the Details Once all of the desired changes for the Detail selections width or height have been completed click on the button to retain the changes Click on the button to return the settings to the original selections BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 39 Chapter 3 Customizing the Details Panel 40 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S
179. study in order to view tt This button is found in the tab It allows the Site Coordinator to perform the search for the patient for the past one day This button is found in the tab It allows the Site Coordinator to perform the search for the patient for the past one month This button is found in the tab It allows the Site Coordinator to perform the search for the patient for the past one week BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 1 Introduction 5 bh gt This button is found in the tab It allows the Site Coordinator to perform the search for the patient for the past one year Search gt This button is found in the tab It allows the Site Coordinator to perform the search for the patient for the past two weeks Search gt This button is found in the tab It allows the Site Coordinator to perform the search for the patient for the past three days Search gt This button is found in the tab It allows the Site Coordinator to perform the search for the patient for the past three months Color Coding The studies are color coded as follows gt Indicates that there is a critical study the Radiologist need to read immediately or an urgent finding or in which the referring physician needs to be notified immediately Action Needed 1 Urgent findings are identified in pink in the tab whereas Critica
180. t Profile Actions Needed 1 Incomplete Orders 2 Work Queued 0 Delivered 33 Read 10 Messages 1 Modalities Users Search 0 Statistics Setup From To Message Date Message Text Radiologist 1 Label Active Width EE 4 en Radiologist 1 Site Coordinator 1 2009 06 08 15 49 The incorrect fax was sent for order for PID000130 need the Order for the CR for the Chest not the CT of the x y From v 120 Message Dat VI 120 Message Text E 120 State E Category E Columns Detail S Detail From To Message Date Message Text Internet 100 The number in red next to the tab indicates the number of messages listed in that tab Messages can be sent from other users of the system or from the system itself The Information that IS included for each message contains Message Date From Message Text Category Code State Link Count vvvvvvv This section provides information on the buttons color coding changing the columns and changing Messages 6 the details for the tab BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 93 Chapter 9 Messages Tab Action Buttons 8 Messages 6 There are four buttons available in the tab that allows the user to take specific actions for the patients in this list to complete the study and dictate a report on the viewing workstation These buttons are shown below gt This button allo
181. t d t J L t h if i d t d CALLED Jan 09 2009 2 55 42 PM The Administrator called 555 555 5555 a e a n I m e og S e S p e C C a e a n CALLED Jan 09 2009 4 19 03 PM The Administrator called 444 444 4444 t i t h t 1 d CALLED an 09 2009 4 19 29 PM The Administrator called 444 444 4444 l m e e eve n Was Ss u e O r reco rd ed z REASON UPDATED Jan 23 2009 12 19 58 PM Radiologist 1 SSSSSSSSSSSSSSISSISSSS User Identifies the specific user logging the event which could be the Radiologist who identified the patient event the Site Coordinator trying to contact the referring physician the Service Manager taking any required action the Technologist or any user who is in authorized contact on the patient and needs to update information for the patient BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 47 Chapter 4 Action Needed Tab Finding Provides the information alerting the staff to the problem with the patient such as pneumothorax hemorrhage myocardial infarction or other critical or life threatening event in which immediate action needs to be taken Note Provides additional notes from the various participants in the history that are relevant including contacting the physician phone numbers called and tracking and communications information that form an audit trail Add Note Type any additional notes in the Add Note field When the action for the Urgent finding
182. t was sent when it was delivered when it was read each time the status was reset and each status setting e e Study History XRAY RICKETS N PID00000101 CR PEDIATRIC CHEST x D To VI ew t h e st u d y h l sto ry 7 Event Type Date Description CREATED Nov 29 2008 7 31 08 PM Study received from BRIT RSNA Server COMPLETED Dec 01 2008 12 12 39 PM Study completed by Site Coordinator 1 kW ASSIGNED Dec 01 2008 12 12 39 PM Study assigned to Radiologist 1 by The System 1 D Make SU re the correct patient study IS SENDING Dec 01 2008 12 12 39 PM Study sent to Radiologist 1 DELIVERED Dec 01 2008 12 12 40 PM Study arrived for Radiologist 1 S e e ct ed D READ Dec 01 2008 12 14 56 PM Study marked READ by Radiologist 1 UNREAD Dec 03 2008 12 25 27 PM Study marked UNREAD by Radiologist 1 URGENT Jan 08 2009 12 14 40 PM Study marked URGENT by Radiologist 1 Reason set to Bleeding in Brain UNURGENT Jan 08 2009 12 18 16 PM Study marked UNURGENT by Site Coordinator 1 Stud Hi to URGENT Jan 09 2009 1 53 59 PM Study marked URGENT by Radiologist 1 Reason set to reurgent 2 C j ck on t h e Y ES Y b u tto n UNURGENT Mar 06 2009 3 46 45 PM Study marked UNURGENT by Radiologist 1 URGENT Apr 08 2009 4 28 10 PM Study marked URGENT by Radiologist 1 Reason set to that looks wicked awesome UNURGENT Apr 08 2009 4 28 59 PM Study marked UNURGENT by Radiologist 1 URGENT Apr 08 2009 4 32 10 PM Study marked URGENT by Radio
183. ted Assigned same as Delivered This selection is found in the Action Needed Work Queued Delivered Read Search tabs Study Status Identifies the status of the study such as On Hold Urgent Delivered Unread or Read The Study Status is available in the Action Needed Work Queued Delivered Read or Search tabs Tech Comment Provides the text from the Technologist that was entered when the study was captured This alerts the Radiologist to additional information that the Technologist contributed to the patient s exam The Tech Comment selection is available in the Action Needed Work Queued Delivered Read or Search tabs Time of Study Provides the date and time that the exam was captured at the imaging facility The Time of Study selection is available in the Action Needed Work Queued Delivered Read or Search tabs To Provides the name of the recipient of the message and is only found in the Message tab UID Provides the Study Instance Identifier for the study which is the unique identifier for the study The UID selection is available in the Action Needed Work Queued Delivered Read or Search tabs Unassigned Identifies the number of unassigned studies that are available and generally only applies to the sites rather than the users The Unassigned selection is only available for the Statistics tab Urgent Identifies the number of studies assigned to each site and user that are tagg
184. terfaces SS F History F gt Category Identifies the message class generated from a er specific user or a system generated message The Category 0 mM o selection is only available in the Message tab ge aen ame Ka H gt Code This is the subject of the message that was entered by the 7 al user This Code selection is found in the Messages tab Hosen Priority II 50 gt Contact 2 Displays the backup person to contact if the e Referring Physician can t be reached The Contact 2 selection is D 0 available in the Action Needed Work Queued Delivered Read or 9 Su e e Search tabs Sex H Site FJ gE gt Date of Birth Displays the patient s birth date The Date of Birth 4 Zei a selection is available in the Action Needed Work Queued 1 emmen Delivered Read or Search tabs Time of Study z 86 up F Fr gt Delivered Indicates the number of studies that were Columns Detal successfully delivered to the recipients and is only available in the em mm Statistics tab gt Description Displays the Study Description as stored in the DICOM header from the Modality or the CPT code The Description selection is available in the Action Needed Work Queued Delivered Read or Search tabs and is one of the default settings gt Description Displays the name of the User logged into the system for which the statistics So Be sure to note that there are two Description selections that ha
185. the faxes see the section Chapter 14 Viewing the Faxes Editing the User Profile The user can change their individual information by clicking on the button at the top right part of the window Edit Plrysidian The User s Profile window opens to allow the user to make SH changes to their personal information including User Name Mobile gt User ID Displays the User identification that they use Office when they log in Be Pager gt User Name Shows the users name this also appears on the upper left of the window to indicate the user logged in and it is also shown on the Statistics tab Fax Email Address Priority Alert 1 Priority Alert 2 gt Password This field does not show the user s Password phys2 physician 2 989 898 9898 333 333 3333 444 444 4444 767 676 7676 toogood yes com Call Mobile Phone v Send Page v Cancel gt DICOM AE Title This shows the Application Entity title DICOM name of the user s computer This allows the system to know the specific workstation on which the user is working BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 1 Introduction gt DICOM Host This field shows the IP address of the workstation receiving the study gt DICOM Port This field shows the port number for the workstation receiving the study gt Mobile Phone Number This field shows the cell phone number for t
186. the local workstation for viewing click on the button and the selected study is sent to the viewer Viewing the Study History The Study History for the selected study allows the user to see the detailed history of the study such as when it was created completed to whom it was assigned when it was sent when it was delivered when it was read each time the status was reset and each status setting Study History XRAY RICKETS N PID00000101 CR PEDIATRIC CHEST To view the study history erem CREATED COMPLETED Description v 29 2008 7 31 08 PM Study received from BRIT RSNA Server c 01 2008 12 12 39 PM Study completed by Site Coordinator 1 ASSIGNED c 01 2008 12 12 39 PM Study assigned to Radiologist 1 by The System 1 Make sure the correct patient study is DELIVERED selected READ UNREAD c 01 2008 12 12 39 PM Study sent to Radiologist 1 c 01 2008 12 12 40 PM Study arrived for Radiologist 1 ec 01 2008 12 14 56 PM Study marked READ by Radiologist 1 ec 03 2008 12 25 27 PM Study marked UNREAD by Radiologist 1 URGENT n 08 2009 12 14 40 PM Study marked URGENT by Radiologist 1 Reason set to Bleeding in Brain UNURGENT n 08 2009 12 18 16 PM Study marked UNURGENT by Site Coordinator 1 d D URGENT an 09 2009 1 53 59 PM Study marked URGENT by Radiologist 1 Reason set to reurgent 2 C j C k n t h SI tu y H 5 tor Y b tt n UNURGENT Mar 06 2009 3 46 45 PM Study marked UNURGENT by R
187. tory Detail IE apee Fr Columns Detail Faxes Location Assigned i Unassigned Site Date Physician Reason for Study Contact 2 History DICOM Doc RIZWAN SHAFEEQUR Tech Comment Final Read No h W ZS Ka Internet BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S The number in red next to the tab indicates the number of studies listed in that tab As the studies marked Read Radiologist were the they are _ Read 27 moved to this tab by This section provides information on the buttons color coding changing the l Read 27 details for the tab 85 Chapter 8 Read Tab Action Buttons Read 27 There are three Action buttons available in the tab that allows the user to take specific actions for the patients in this list to complete the study and dictate a report on the viewing workstation These buttons are shown below gt This button displays a list of contact information for the referring physician identified on the study Optionally the Site Coordinator can use Skype contact the referring physician by automatically dialing through the workstation Skype is an optional software package that enables the user to make telephone calls anywhere in the world automatically by connecting through the computer to landline or mobile phones When this button is selected a pop up window opens
188. uping the Columns Radiologist The column can be sorted in ascending or descending order Sort Ascending as well as displayed in like groups EE To sort the patient list by the specified columns in ascending order click on the drop down arrow next to the desired EG column and select Sort Ascending 7 Show in Groups Group By This Field To sort the patient list by the specified columns in descending order click on the drop down arrow next to the desired column Fa iologisi and select Sort Descending Sort Ascending T 5 The Group By This Field arranges the patient list to be enn grouped together by the field selected For example to get all Group By This Field the studies grouped together by Modality click on the Modality header click on the drop down arrow and select Group Show in Groups by This Field The Patient list is shown as in the following samples BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 21 Chapter 2 Customizing the Worklist Columns T h e S h OW l n Site v Elapsed Time Time of Study Priority Patient Name Patient ID Radiologist Sex Date of Birth Images Modal Body Part G rou p S WO rks wit h RSNA 137d 15h 44m2s 2002 08 30 14 01 Routine BONEY BARRY PID0000089 Radiologist 1 o 1 CR CHEST RSNA 137d 15h 44m6s 2002 11 02 16 40 Routine BONEY BARRY PID0000089 Radiologist 1 o 2 CR FOOT th e G rou p By Th i S RSNA 137d 15h 42m 21s 2005 02 04 09 07 Routine
189. urgen Study marked UNURGENT by Radiologist 1 Study marked URGENT by Radiologist 1 Reason Study marked UNURGENT by Radiologist 1 Study marked URGENT by Radiologist 1 Reason set to that looks wicked awesome set to this could be worse you know When the study was completed by the Site Coordinator 4 When the desired information is received click on the button to close the window 52 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Viewing the Faxes Chapter 4 Action Needed Tab If a fax is received from the Site Coordinator to clarify missing information E fax can be viewed from the Faxes panel in the lower right of the window Typically the fax is assigned to a study by the Site Coordinator and is shown d Assigned in the L tab Order Details Name COLOR ABDUS ID PID000250 Birth Date Gender 01 01 2001 Other Order Information Accession Number 01D002322 Status COMPLETE Study Reason 76705 US ABDOMEN LIMITED GB LIVER PANCREAS OR SPLEEN Medical Alerts Special Needs Allergies Referring Phy Name Referring Phy ID Facility BRIT Location Location Phone BRICE Referring Phy Phone Height Weight Patient History Scheduling Notes Created Time Scheduled Time Completed Time Read Time Reported Time Pregnancy sietus DEFINITELY PREGNANT Occupation 09 25 2006 10 26 AM 09 25 2006 10
190. vailable in the Users tab Chapter 3 Customizing the Details Panel Incomplete Provides the number of incomplete studies This Setup gt Incomplete selection is only available in the Statistics tab Label Active Width Location Identifies the patient location such as the ER that is Gees used as a point of contact A location has a phone number associated with it This selection is available in the Action oe Needed Work Queue Delivered Read and Search tabs ev S Message Date Identifies the date the message was created and oe e is only available in the Message tab ae DICOM Doc ET Message Text Contains the complete text of the message esu E a created by the sender and is only available in the Message tab I Elapsed Time E Misc Contact Displays an additional telephone or pager SE m number for an additional contact for the referring physician The rea Misc Contact selection is available in the Action Needed Work Queued Delivered Read or Search tabs and is one of the _ _ A default settings Gen Misc Contact fal gt Mobile Displays the cell phone number that was entered in SE e ag the profile for the selected user This mobile number selection IS senn wl e available in the Users tab eie ge es Physician E gt Modality Identifies the type of modality on which the study was ee performed The Modality selection is available in the Action p
191. ve different meanings depending on the tab SH BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 31 BRIT Chapter 3 Customizing the Details Panel Systems 32 DICOM AE Displays the DICOM Application Entity title of the modality or the user This DICOM AE Title selection is available in the Modalities and Users tab DICOM Doc Displays the name of the referring physician as it is Setup gt reported in the DICOM header of the study The DICOM Doc anga es A selection is available in the Action Needed Work Queued mages Fe Delivered Read or Search tabs EE ge E DICOM Host Displays the DICOM Host of the modality or to the Ze e workstation associated with this user This DICOM Host selection d is available in the Modalities and Users tab Sege FI DICOM Port Displays the DICOM Port of the modality or to the S nd workstation associated with this user This DICOM Port selection ne s SS is available in the Modalities and Users tab Se ETA Displays the Estimated Time of Arrival for the study to be sen e am delivered The ETA is available only in the Work Queued tab gt Elapsed Time Displays the amount of time in days hours 7 S minutes and seconds that has elapsed since the study was SS e delivered The Elapsed Time selection is available in the Action romer SE E Needed Work Queued Delivered Read or Search tabs SE Email Address Displays the e mail a
192. workstation 108 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S k Chapter 11 Users Tab DICOM Host This is the DICOM host name to which the user s workstation is communicating DICOM Port This is the DICOM port number on which the user s workstation communicates Mobile This is the cell phone number for the new user Office This is the office telephone number for the new user Home This is the home telephone number for the new user Pager This is the pager number for the new user Fax This is the fax number for the new user E mail Address This is the e mail address for the new user 4 On the right side is the Site Access panel which identifies the sites for which the new Site Coordinator is responsible Click on the checkbox for the sites that the Site Coordinator is responsible for and a v appears in the checkbox To deselect a site that was selected in error click on the checkbox again and the v is removed 5 Once all of the fields are entered click on the button If New Site Coordinator was selected in error or if the information entered is not to be saved click on the Cancel I button to close the window Adding a Physician One of the actions that can be taken is to add a new Physician who is responsible for patient care at the facility To add a new Physician New Physician EL Beer User ID 1 Click on the button Use
193. ws the Site Coordinator to send a message to another user in the system gt This button allows the Site Coordinator to respond to the currently selected message gt This button allows the Site Coordinator to send a notification that the message has been received and read gt This button allows the Site Coordinator to remove the selected message from the screen Color Coding There is no specific color coding for the messages Selecting the Columns The columns in the patient list can be customized according to individual preferences but there are several that have been selected to be identified as system defaults and are selected when the system is delivered or when the ms button is selected Any of the columns can be selected but the system default information shown for these messages l Messages 6 l in the tab includes gt From identifies the sender of the message gt Message Date Identifies the date the message was created gt Message Text Contains the complete text of the message created by the sender gt To Provides the name of the recipient of the message 94 BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 9 Messages Tab To change the column selections open the Setup panel by clicking on the to the right and clicking on the checkbox next to the heading column If the checkbox has a v then the column displays on the
194. x actions that can be taken with the patients listed in the list gt Dismissing the study gt Marking the Study as a Comparison Study gt Viewing the Study History gt Marking the Order as Complete gt Adding a New Location gt Adding a New Physician Dismissing the Study This Action button allows the Site Coordinator to delete the order This may need to be deleted because the site does not want the Radiologist to read the study To dismiss the study follow these steps 1 Select the patient s study 2 Click on the button 3 The study is removed from the list Be aware that the study is not actually deleted it is flagged for dismissal but is not removed from the system Also currently there is no confirmation to verify that the correct study is selected BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S 59 Chapter 5 Incomplete Orders Tab Marking the Study as a Comparison Study This Action allows the Site Coordinator to select a study and mark it as a comparison study This allows the study to be sent to the Radiologist for viewing and evaluation against the current study to see improvement or deterioration in the patient s condition To mark the study as a comparison study follow these steps 1 Select the patient s study 2 Click on the button 3 The study is flagged as a comparison study for the Radiologist 4 The study is then moved to the
195. y pp Mere Grus Oh HO 3 38 Roentgen Works Flow X V MSN com RoentgenWorks Service Manager 1 About Actions Needed 384 Unassigned Studies 10 Work Queued 0 Delivered 23 I Read 23 Messages 0 Modalities Users Sites Search 0 Statistics Jobs j L H N L l L iL i l L 1 Save Defaults Faxes Site BRIT Systems Assigned Unassigned Site Date Patient Name AUSTIN ANNIE KATHLEEN Action Site Patient Name Patient ID v ACC Description INCOMPLETE BRIT Systems TERRY WARD M PID320590 010506885 INCOMPLETE BRIT Systems CARROE EDMONDENE P1D130498 010071108 INCOMPLETE BRIT Systems MARTIN LUCKY P1D268303 01D831075 CS INCOMPLETE BRIT Systems BONE WB amp SPOTS PID18215 INCOMPLETE BRIT Systems LUMI CR CHEST P1D421688 CXR INCOMPLETE BRIT Systems BARGADOS THERESE PID014010 010004294 DIGTAL SCREENING MAMMOGRAM INCOMPLETE BRIT Systems EVENE BEN P1D000092 01D052931 Visible Human Female INCOMPLETE BRIT Systems ZEBECKER NEWT PID000055 010050412 FLUOROSCOPE EXAMINATION INCOMPLETE BRIT Systems ZEBECKER NEWT PID000055 010050408 Stomac INCOMPLETE BRIT Systems ZEBECKER NEWT PID000055 01D050215 Patient 1D WPH142358 ACC WPHA0022381 Bone Scan Description 71010 CHEST SINGLE VIEW 010421688 55 4 150 9080 BWF_Doc works html KA Internet B ONHOLD
196. y Radiologist 1 Reason set to that looks wicked awesome 2 Click th Study History butt UNURGENT au 20094289 Pl Study marke UNURGENT by Radioga 1 D C O n e u O n D URGENT Apr 08 2009 4 32 10 PM Study marked URGENT by Radiologist 1 Reason set to this could be worse you know 3 The Study history pop up window opens and displays all events that have been posted liv regarding the study This could include such events as When the study was created When the study was completed by the Site Coordinator When the study was assigned When the study was sent When the study was delivered When the study was read When the study was marked urgent When they study was put on hold 4 When the desired information is received click on the button to close the window VW WW v v v WM en BRIT Roentgen Works Flow User Manual Site Coordinator UM BRW 001 0 S Chapter 5 Incomplete Orders Tab Marking the Order as Complete Before the Site Coordinator can mark the order as Complete the missing information needs to be entered This entry is done in the Order Info panel below the study list section In this example the Physician and secondary contact information are missing Order Info Priority Routine Ge Location ER E Reason for Study PAIN IN CHEST AND SIDE Physician Select History Contact 2 Select Tech Comment A LOT OF DIFFICULT BREATHING Misc Contact E CPT 71

Roentgen Works Site Coordinator User Manual Rel 1.0

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