MULTIX Impact: Routine Workflows Online Training

Welcome to the MULTIX Impact Routine Workflows Online Training. This course will cover routine tasks that are often performed during an examination on the MULTIX Impact system. Examples of these routine tasks include system operation checks, patient registration on the image station software, patient positioning, and acquisition.   Upon successful completion of this course, you will be able to: Recognize how to complete patient registration and selecting an exam Perform standard system operational checks Demonstrate proper patient positioning techniques Perform image acquisition on the MULTIX Impact system Congratulations. You have completed the MULTIX Impact Routine Workflows Online Training course. Listed below are the key points that have been presented. Take time to review the material before you proceed to the final quiz. Perform standard system operation procedures and functional safety checks System Operation System On – press the ON button on the console if no indicators are lit System Off – press the OFF button on the console and switch off the main switch of the x-ray/room if necessary Emergency Shutdown – should only be used if patients, third parties, or the unit are in danger Rebooting the System – the system should be rebooted daily or at least once a week Charging the Battery – the battery takes ~60 minutes to charge and the detector needs a warm-up time between 60 and 120 minutes to achieve good image quality Functional & Safety Checks Daily Checks After System Switch-on – perform a visual inspection of displays and signaling lamps, ensure no errors are indicated, all radiation ON indicators light up if radiation is being released Damage Check – check the system and accessories for damage or loose parts and ensure any problems are repaired before resuming patient examinations Prior to Examination – remove unnecessary objects, equipment, and accessories from the examination area, attach any required devices for patient positioning and immobilization, attach safety related accessories, and clean any contrast agent residues from the patient table and protective plate Check System Movements – check system movements of the stand column with tube unit, patient table, wall stand, and the light localizer and collimator Checks During Examinations Check the radiation ON indicator Check the patient positioning devices, for example the grip protection and hand grips Ensure there is no danger of injury to the patient or third parties Ensure there are no objects blocking the path of system movements Monthly Checks SID – check that the SID display agrees with the tape measure in the multileaf collimator Constancy Test – perform according to national statutory provisions Functional Checks of Automatic Systems Automatic Exposure Control Radiology Checks – IQAP check at delivery, maintenance every 24 months, daily image check for artifacts DAP Display Test Detector Calibration Performed to adjust the X-ray sensitivity of the flat detector The detector should be recalibrated at least every 24 months to maintain the image quality Calibration must also be performed whenever one of the following conditions are met: When the system is started for the first time After the detector has been changed If exposure conditions, such as the distance between the detector unit and the X-ray tube have been changed significantly If a calibration warning appears Recognize how to complete patient registration and selecting an exam Emergency Patient Registration – use in case of an emergency to perform a fast registration and enter the personal data later Manual Patient Registration – use for patients who need to be registered manually instead of being imported through HIS/RIS Selecting an Exam – one or more procedures must be selected before starting the examination Demonstrate proper patient positioning techniques Preparations Attach all necessary safety accessories Only use positioning aids that have been approved by Siemens Healthineers Ensure that these devices and positioning aids are correctly secured and functioning properly Apply the necessary radiation protection to the patient Positioning the Patient on the Table Insert the wireless detector in the detector tray Check the unit for cleanliness and cover the table with fresh paper Adjust the patient table to the required working height Position the tube unit accordingly Guide the patient to the patient table Positioning at the Wall Stand Position the tube unit Adjust the detector unit on the wall stand to the approximate operating height Swing the overhead patient hand grip to the required position or to the side if it is not needed Remove or insert the grid if necessary Insert the wireless detector into the detector tray Guide the patient to the wall stand Perform image acquisition on the MULTIX Impact system Prior to releasing an exposure, confirm the following: The correct flat detector is connected and selected Image Station is in Examination Mode Patient is positioned correctly The correct organ program has been selected The correct acquisition system and parameters are set The imaging station is ready for acquisition Releasing an Exposure Press the Acquisition button Review the image If the acquired image is ok, click Accept - or - If the acquired image is not okay, click Reject Select the link to view/print the downloadable course review material before proceeding to the final quiz. Please note that the learning material is for training purposes only! For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training.   The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions.   Note:  Some functions shown in this material are optional and might not be part of your system.   Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country.  Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information.   The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages.   All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved.   Copyright © Siemens Healthcare GmbH 2019 Please proceed to the assessment. The MULTIX Impact system can be in either one of the following operating statuses: System Off: all the components of the system and the imaging station are turned off System On: all the components of the system are turned on and may be supplied from the power line. When the start-up phase is completed, examinations and image postprocessing may be performed Emergency Shutdown: all the units and the display station are disconnected from the mains using the main breaker ​For emergency operation (i.e. the detector is not working), the cassette can be used for free exposures. Detector Warm-Up Time Learn about the detector warm-up time. If the battery of the detector is completely empty: Charge it and wait at least 60 minutes The detector needs a warm-up time between 60 and 120 minutes to achieve good image quality, depending on environmental temperature and switch-off time During warm-up time, acquisitions are possible but reduced image quality may occur.  This is the case if the system has been turned off completely via the mains switch and has not been in standby mode If it has been turned off at the ON/OFF control console, no warm-up time is necessary System Operation Learn about different system operation workflows. Tab TitleTextSwitch System On Standard System Switch-on Perform a visual inspection on the system Make sure that there is nothing to hinder stand movements ​Switching on a switched-off system If no indicators on the generator ON/OFF console are lit Press the ON button The ON indicator switches on All the components are supplied with power The start process begins The system performs a self-test The imaging system starts when the whole system is switched on  Switching on after power failure or after an emergency SHUTDOWN After a power failure or an emergency SHUTDOWN is activated, check the images of the last examined patient After removing the reason for activating the emergency SHUTDOWN switch, deactivate the emergency SHUTDOWN switch and then switch on the system  If the imaging system does not start any more or if a serious error is indicated, call Siemens Healthineers Customer Service    Switch System Off If no more acquisitions are required, you can switch the system off completely Press the OFF button on the console The MULTIX Impact system and the imaging system automatically shut down If the ON button is pressed again within 10 seconds, only the MULTIX Impact system shuts down, not the imaging system Switch off the main switch of the x-ray (or room), if necessary WARNING! Do NOT press the keys Ctrl + Alt + Del to switch the system off. Do NOT switch off the main switch while using MAX Wi-D because MAX Wi-D is charged in the tray. If the main switch is off, no charging will occur in the tray and battery will be empty.    Login and Logoff Logging In Enter your login name - or - Select a user account from the list Enter your password Click Log On The task cards appear and the Pre-registered list is displayed Performing an Emergency Login If you forgot your password or you do not have an account for this system and must perform an emergency examination, you can perform an emergency login Click Emergency on the login screen A new study for the emergency patient is registered The name of the emergency patient is set to ER_Current date and time Logging Off If another user takes over or when you want to leave the room, you should log off for safety reasons  Click the key icon in the Patient mode The login window is displayed   Emergency Shutdown Activation ONLY use the Emergency Shutdown if patients, third parties, or the unit are in danger Activate the on-site Emergency Shutdown switch  WARNING! Unstored images of the patient currently being examined may be lost. Images and data of terminated examinations of previous patients are stored to the hard disk of the image processor ​   Rebooting the System It is recommended to reboot the system daily or at least once per week Press the OFF button on the console When the Image Station has shut down with a dark monitor, press the ON button again Before starting the acquisition, make sure the name of the patient on the monitor agrees with the name of the patient to be examined. Prior to releasing an exposure, confirm the following: Correct flat detector is connected and selected Image station is in Examination Mode Patient is positioned correctly Correct organ program has been selected Correct acquisition system and parameters are selected Imaging station is ready for acquisition Releasing an Exposure Press the Acquisition button Review the image If the acquired image is ok, click Accept or If the acquired image is not okay, click Reject Examination Workflow for Centered Beam Exposure Learn about the centered beam examination workflow.   Acquisition Parameters Learn about acquisition parameters. Tab TitleTextAcquisition Parameters          Exposure Technique     Icon Acquisition System Acquisition Mode 1-point 1-point with reduced mA 2-point 3-point Tube with wireless FD in tray (table) DR RAD x* x* x x   Tube with wireless FD in tray (wall stand) DR RAD x* x* x x   Tube with wireless FD (free positioned) DR RAD     x x   Tube with cassette (free positioned) Cassette (free exposure)     x x x*: with automatic exposure control (AEC)Modifying Default Exposure Parameters   Patient registration is required prior to beginning examination.  Emergency Registration - use in case of an emergency to perform a fast registration and enter the personal data later Manual Registration - use for patients who need to be registered manually instead of being imported through HIS/RIS Before starting the examination, one or more organ programs must be selected.   Emergency Registration Learn about emergency patient registration. Emergency Patient Registration If you do not have a user account for this system: Click Emergency on the login screen. - or - If you are already logged in: Click this icon. A new study for the emergency patient is registered. The name of the emergency patient is set to: ER_current date and time. The new study is passed to the Examination mode. Select the organ program(s) to be performed. Click OK. Later on you can enter the missing personal data of the patient.   Manual Registration Learn about manual patient registration. Manual Patient Registration To create a new study/patient entry: Click this icon.  - or -  To add a study for a patient already registered: Select an entry in the patient list and click this icon. Enter all the relevant data. Mandatory entry fields are indicated by asterisks (*). Select the procedures/organ programs to be performed. To register the patient and examine them later: Click Pre-register. To clear the existing patient data: Click Clear. To examine the patient immediately: Click Examination. To return to Patient mode: Click the Patient tab.    Selecting an Exam Video Learn about selecting an exam. Selecting an Exam Select the category (Adult, Pediatric, or Often Used) Select the body region by clicking in the figure Enter a search criteria for a procedure (if necessary) Change the sort order for the procedures by clicking an icon (if necessary) Double-click a procedure - or -  Click the down arrow Repeat the steps for further organ programs To delete an organ program from the procedure, select the organ program and click this trashcan icon. To delete all the organ programs from the procedure, click the double trashcan icon.     Functional and safety checks on the MULTIX Impact system must be performed at different time intervals and circumstances. These routine checks include: Daily Checks During Examinations Monthly Checks Functional Checks of Automatic Systems   Daily Checks Learn about daily checks. Checklist TitleChecklist TypeChecklist ContentAfter System Switch-onHTML After System Switch-on: Perform a visual inspection of all displays and signal lamps on the operating units No errors must be indicated If radiation is released, all radiation ON indicators which may be present must light up   Damage CheckHTML Damage Check: Check system and accessories daily for damaged or loose parts If problems are found, have the parts repaired before resuming patient examinations   Prior to ExaminationHTMLPrior to Examination: Remove unnecessary objects and equipment from the area of action of the system Remove unnecessary accessories from the accessory rails of the table and the primary collimator Attach the devices required for patient positioning and immobilization securely to the system Attach all safety-related accessory parts correctly and make sure that they are properly secured (i.e. footboard, grip protection strip, hand grip, hand grip strip)  Clean any contrast agent residues from the patient table, protective plate Check System MovementsHTML Checking System Movements: Stand Column with Tube Unit Check manual longitudinal and vertical movements of the tube unit Check floating tube unit movement Check tube unit rotation Check motor driven tube unit height adjustment Observe the indications in the display.   Patient Table (optional) Check manual longitudinal and transverse movement of the tabletop Check motor driven table height adjustment (only an option for the elevating patient table)   Wall Stand Verify up and down movement of the detector unit at the wall stand by pressing the detector unit’s up and down buttons   Checking the Light Localizer & Collimation Check the center position of radiation unit and wall stand with the light localizer and check the collimation Light On: Press the multileaf collimator’s button. The light beam for collimation should appear for a limited time Centering: Check the alignment of the tube unit to the detector with the light localizer Collimation:  To protect the patient from unnecessary radiation, always check the collimator position with the light localizer Open and close diaphragm The light beam changes its height or width   Checking the Automatic Collimation (ACSS) When the ACSS lights up at the display of the TUI, the automatic collimation is active To turn the light off, press the button again and the light beam will be turned off    Additional RecommendationsHTML Additional Recommendations: As a test, take a full-format exposure using the largest possible format Run a functional test of the STOP buttons by performing an arbitrary system movement and pressing the STOP button during the movement. The movement concerned must stop immediately Then unlock the button turning it clockwise. All system movements are possible again   Monthly Checks Learn about monthly checks. Checklist TitleChecklist TypeChecklist ContentSIDHTMLThe three-digit digital SID display should be checked for agreement with the tape measure in the multileaf collimator. It is recommended to check this at regular, monthly intervals.  WARNING: Incorrect SID values can cause over framing!Constancy TestHTMLThe constancy test should be performed according to the applicable (country-specific) national statutory provisions.  Functional Checks of Automatic Systems Learn about functional checks of automatic systems. Checklist TitleChecklist TypeChecklist ContentAutomatic Exposure ControlHTML Automatic Exposure Control Select the an organ program Close the collimator on the tube assembly to a format of 10 cm x 10 cm Place a lead rubber apron, folded four times, in the beam path as a cover Release an exposure and keep the exposure switch pressed down The automatic exposure control automatically switches off when the limit is reached A message appears: “Acquisition abort on limit excess" Release the exposure switch Open the collimator on the tube assembly and remove the lead rubber apron Press the exposure switch The automatic exposure control switches off automatically at < 1 mAs WARNING: If the values obtained in the tests deviate from those specified, switch the system off and contact Siemens Healthineers Service immediately.   Radiology ChecksHTML Checks concerning radiology include: IQAP check at delivery Maintenance every 24 months Daily image check (i.e. for artifacts)   DAP Display TestHTML DAP Display Test Measure the air kerma at a distance of 60 cm from the focal spot (approx. 55 cm above the tabletop for an SID of 115 cm) Multiply this dose value by the cross-sectional area of the useful beam in this plan Convert the result into units of [μGy x m2] and compare it with the value displayed * In the case of inconsistent DAP values, call Service The phantom for the test of the dose area product display consists of a 20 cm thick rectangular block of polymethylmethacrylate (PMMA) with side lengths greater than or equal to 25 cm.   Checks during Examination Learn about checks during examination. Check the radiation ON indicator It should light up or sound only if one of the radiation release switches has been pressed or for the duration of an X-ray exposure Check the patient positioning devices, for example the grip protection strip and hand grips Initiate system movements only under the following conditions: There is no danger of injury to the patient or third parties There are no objects blocking the path of system movements   Detector calibration is used for adjusting the X-ray sensitivity of the flat detector. If the flat detector needs calibration, a message is displayed and a calibration symbol is displayed in the status area. The calibration could be performed by the user. The detector should be recalibrated at least every 24 months to maintain the image quality. A detector calibration must also be performed whenever one of the following conditions is met: When the system is started for the first time by a service technician After the detector has been changed If exposure conditions, such as the distance between the detector unit and X-ray tube have been changed significantly If a calibration warning appears   Calibration Requirements Learn about calibration requirements. To obtain optimal image quality, the detector temperature must be maintained within a certain range.  If the temperature of the flat detector is out of range, a thermometer symbol is displayed in the status area.  Calibration must be done by exposing the whole detector area.  During calibration, do not put any lead mark on the detector unit or place any object between the detector unit and the X-ray tube. Otherwise, the object will appear on all the pictures.    Performing FD Calibration Learn about performing FD calibration. Tab TitleTextSteps for Performing FD Calibration Move the tube stand out of the tabletop and turn it to the floor Put the detector on the floor and turn it to landscape position Set the tube to maximum SID At least 150 cm BUT 180 cm is recommended Measure the SID Center the detector in the beam field and collimate the beam field to fully cover the active detector area Insert the 0.6 mm Cu filter Click FD Calibration Enter the measured SID in the Current value box. Please wait while the system verifies detector parameters. Warm up time may be needed Click OK A confirmation dialog appears. Ensure that the 0.6 mm Cu filter has been inserted and click OK  A confirmation dialog appears Turn the calibration switch and click OK to continue Ensure that nobody is in the examination room and click Begin to start automatic X-ray release The calibration is started Wait until the calibration has finished  A confirmation dialog appears Click OK to save the calibration results Wait until the calibration results have been saved successfully  A confirmation dialog appears Click OK Turn off the calibration switch and reboot the system Remember to turn off the calibration switch prior to resuming normal operation or else no radiation is possible! FD Calibration Video   The following preparations should be made when preparing to position the patient on the table or at the wall stand for an examination.  Attach all necessary safety accessories Be sure to only use positioning aids that have been approved by Siemens Healthineers Ensure that these devices and positioning aids are secured correctly and are functioning properly Apply the necessary radiation protection to the patient Patient positioning guidance information can be displayed at the image station by selecting the drop-down arrow.    Positioning the Patient on the Table Learn about positioning the patient on the table. Slide NumberText BlocksCalloutsAudio ScriptImage File1Preparations Workplace Patient Table Insert the wireless detector in the detector tray ​Hygiene Check the unit for cleanliness When necessary, cover the tabletop with fresh paper Prepare the workplace patient table by inserting the wireless detector in the detector tray. It is important to maintain hygiene by checking the unit for cleanliness and covering the tabletop with fresh paper when necessary. 2Preparations Table Position Check the longitudinal and transverse position of the tabletop Adjust the table height* (*only applicable for the elevating patient table) Tube Unit Position Check the correct workplace is selected Position the tube unit and if necessary set it vertically Observe messages on the display and possibly on the patient display ​To position the table, check the longitudinal and transverse position of the tabletop. Adjust the height of the table if you are using an elevating patient table. To adjust the tube unit position, check that the correct workplace is selected. Then, position the tube unit and set it vertically if necessary. Observe any relevant messages on the display and possibly on the patient display. 3Positioning the Patient Guide the patient to the patient table Make sure that the body parts of the patient, especially arms and legs, do not extend over the edge of the tabletop. Make sure the patient uses the provided grip locations. Instruct the patient to get on and off the table in the central area only. Lastly, guide the patient to the patient table. Make sure that the body parts of the patient, especially arms and legs, do not extend over the edge of the tabletop. Make sure the patient uses the provided grip locations. And instruct the patient to get on and off the table in the central area only. Positioning the Patient at the Wall Stand Learn about positioning the patient at the wall stand. Preparations Positioning Insert the Wireless detector in the detector tray Guide the patient to the wall stand Tube Unit Position Check that the correct workplace selected Position the tube unit  Observe messages on the display and if necessary on the patient display Operating Height Adjust the detector unit on the wall stand approximately to the required operating height Overhead Patient Hand Grip Swing the overhead patient hand grip to the required position or to the side if it is not needed Grid Remove or insert the grid if necessary Positioning the tube unit Use the handles to bring the X-ray tube unit into position and into the pull-in range of the tracking control if necessary Positioning the Light Localizer Learn about positioning the light localizer. Light Localizer Switch on the light localizer or line light localizer on the multileaf collimator if necessary Press the button Collimation Collimate the desired acquisition field: ​ACSS: Automatic Collimation Size Sensing controls the collimation by the multileaf collimator for constant collimation onto the format determined in the organ program with variable SID within the SID range Manual​: Able to collimate additionally further close to the object if required with the control knobs for format collimation on the multileaf collimator Rotate the diaphragm knob to adjust the format height and width when collimating manually Pay attention to the positioning with respect to the Iontomat measuring chambers Patient data is accessed via the following study lists in Patient Mode: Pre-registered Patients List Enter Personal Data of the patient Create a New Study Examined Patients List Storage of all completed or aborted studies under the selected study entry Archiving Information List Storage for studies retrieved from a DICOM node Recycle Bin List ​If activated, contains deleted studies that can be restored at any time   Modifying Studies Learn about modifying studies. Slide NumberText BlocksCalloutsAudio ScriptImage File1Correcting Study Data Click the corresponding entry in the study list Click the Edit Study icon Select the study in the dropdown list (if necessary) to correct Correct or complete the personal data of the patient Click Accept Patients provided by HIS/RIS can only be modified once their status has been switched to a local patient. Once a HIS/RIS patient is switched to the Examination mode, they become a local patient. That means, the patient will further on not be regarded by HIS/RIS updates anymore.There may be a need for the study data to be corrected. The personal data can be corrected or additional data can be entered for a patient already registered in the study list using the following steps: - Click the corresponding entry in the study list - Click the highlighted icon - If necessary, select the study to correct - Correct or complete the personal data of the patient - Then, Click Accept2Deleting Studies Click the required entry in a study list. - OR - To select multiple studies, press the Shift key plus click the first and last entries or click the check box if necessary.  The selected entries will appear inverted. Select the Delete Study icon To delete unarchived studies as well, click Yes Select the study in the dropdown list (if necessary) to delete When the Recycle Bin has been enabled, the deleted studies are moved to the Recycle Bin When the Recycle Bin is disabled, the studies are permanently deleted To delete studies that are not needed anymore: Click the required entry in a study list or To select multiple studies, press the Shift key plus click the first and last entries or click the check boxes if necessary. The selected entries will appear inverted. Select the highlighted icon. If there are studies with unarchived images among those selected, a further confirmation dialog appears If you want to delete the unarchived studies as well, click Yes When the Recycle Bin has been enabled, the deleted studies are moved to the Recycle Bin When the Recycle Bin is disabled, the studies are deleted permanently 3Protecting and Unprotecting Studies Click the correct entry in a study list - or -  Press the Shift key plus clicking first and last entries or click the check box of each entry to select multiple entries To protect studies, select the lock icon Protected studies are marked by a closed lock symbol To unprotect studies, select the unlock icon Unprotected studies are marked by an open lock symbol To protect or unprotect studies, select the correct entry in a study list or press the Shift key while clicking the first and last entries. You can also click the check box of each entry to select multiple entries. To protect studies, select the lock icon. Protected studies are marked by a closed lock symbol. To unprotect studies, select the unlock icon. Unprotected studies are marked by an open lock symbol. Accessing Study Lists Learn about accessing study lists. Checklist TitleChecklist TypeChecklist ContentSelecting a Study ListHTMLSelecting a Study List Click the Patient tab (if necessary) Click the tab of the required study list Click the correct entry in a study list (the entry appears inverted) Click the Examination, Postprocessing, View or Print tab The system switches into the respective mode - or -  To switch to the default mode, double-click the correct line in the study list  Navigating a Study ListHTML Scrolling a study list Scroll using the scroll bar or the mouse wheel Changing the sorting sequence of study entries Click in the header of a column you require The study list is then sorted alphanumerically by this column  Changing the sorting sequence of columns Click in the column header, drag and drop it at the required position The columns are shifted according to the new position Changing the column width Move the mouse pointer onto the line in the header separating the columns Click and drag the column to the width you want To adjust to optimal width, double-click the column line in the title bar Updating the Pre-registered Patients listHTML Updating the Pre-registered Patients List If the system is connected to an HIS/RIS, patients are displayed in the Pre-registered Patient List The Pre-registered Patients list can be updated manually by selecting this icon Searching for a study or patient in a study listHTML Searching for a Study or Patient  in a Study List Click the tab of the required study list Select the time period from the filter Enter any known information of the required patient (i.e. ID, Name, or AccNo) Click Search To clear the search criteria: Click Clear and then Search   Single vs. Multi Study Mode Learn about study modes. For each patient, one or more study entries may exist.   Single Study Mode Multi Study Mode Treats each study individually Treats studies of a patient together By clicking on a study in Single study mode, just one study is selected By clicking on Multi study mode, all studies of the patient with the same date are selected In the OGP Editor, the following tasks can be performed: Define OGPs Define procedures that consist of one or more organ programs Select parameters for filming/printing Additional administrative tasks can be performed in the OGP Editor. The OGP Editor can be accessed in Service Mode. Different controls are given based on the mode that the OGP Editor is accessed in. ​Customer mode Manager mode Siemens mode   OGP Editor Procedures Tasks Learn about tasks in the OGP editor window. Slide NumberText BlocksCalloutsAudio ScriptImage File1Opening the OGP Editor Enter Service Mode Click OGP Editor The password dialog is displayed. Enter or select an OGP Editor account from the list. Enter the correct password. Click Login or press the Enter key To open the OGP editor window, begin by entering Service Mode. Then, click OGP editor. The password dialog will be displayed. Enter or select an account from the list. Enter the corresponding correct password. Click Login or press the Enter key. 2Procedures Creating a new procedure Click New Enter/select the required data fields Select at least one related organ program Click Save Deleting a procedure Select the procedure to delete.  Click Delete. A confirmation dialog appears Click Yes Adopting changed settings Click Save Rejecting changed settings Click Cancel The Procedure card is used to define and edit these procedures. The procedure tab displays all available procedures and organ programs. In the Procedure list, all procedures are listed. The specific order of procedures for a body part is based on the settings in the Examination Properties of the user settings. The Procedure OGP list shows the organ programs which are assigned to the selected procedure. To create a new procedure, click New and enter or select the required data fields. Then select at least one related organ program and click Save. To delete a procedure, select the procedure you wish to delete then click delete. A confirmation dialog will appear and you should click OK to confirm the procedure should be deleted. To adopt any changed settings, always remember to click save. If you wish to reject setting changes, click Cancel. 3Editing Procedures Editing an Organ Program in the Procedure Double click it in the OGP list Adding an Organ Program to a Procedure Select an organ program in the OGP list Click < Click Save Removing an Organ Program from a Procedure Select an organ program in the Procedure OGP list Click > Click Save In the OGP list, all organ programs are listed. To edit an organ program, double click that OGP in the OGP list. To add an organ program to a procedure, select an organ program in the OGP list and then click the back () arrow and then click Save. 4Editing Organ Programs Creating a new organ program Click New Enter/select the required data in the fields Enter/select the required parameters Link one to four X-ray parameter templates and one image processing template to the organ program Select an Acq type as a default workplace Click Save To create a new organ program, begin by clicking New. Then, enter or select the required data in the fields followed by the required parameters. Link 1 to 4 X-ray parameter templates and one image processing template to the organ program. Select an Acquisition type as a default workplace and click Save.5Editing Organ Programs (Continued) Deleting an organ program Select the organ program to delete Make sure the organ program is not assigned to any procedures Click Delete Click Yes Adopting changed parameters Click Save Rejecting changed parameters Click Cancel Printing the organ program parameters Ensure a paper printer has been configured Click Print To delete an organ program, select the organ program to delete and make sure the organ program is not assigned to any procedures. Then click delete and confirm the deletion by clicking Yes. To adopt changed OGP parameters, click Save. To reject changed parameters, click Cancel. If you wish to print the organ program parameters, ensure the paper printer has been configured and click Print. 6Configuration Procedures  Changing the OGP Editor password Click Change Password Enter your old password Enter your new password Re-enter your new password Click Save Backing up the OGP database Click Backup A confirmation dialog is displayed Click OK Exporting the OGP database Click Export Select the destination drive and folder Click Save A confirmation dialog is displayed Click OK To change the OGP Editor password, select Change Password. Enter your old password and then enter the new password twice. Click Save to record the changes. If you want to backup the OGP database, click backup. A confirmation dialog will be displayed then click OK. To export the OGP database, begin by clicking Export. Then select the destination drive and folder. Click Save and a confirmation dialog will be displayed. Click OK. 7Configuration Procedures (Continued) Importing an OGP database Plug-in the USB memory (if necessary) and wait a moment. To open the file folder, click Import to replace the current database Select the source drive and folder A list of all restorable databases is shown Click Open  Click Yes to preserve your local RIS mapping result - or - Click No to replace your local RIS mapping result by the imported database. A confirmation dialog is displayed Click OK To import an OGP database, plug-in the USB memory if necessary and wait a moment. Open the file folder by clicking Import to replace the current database. Select the source drive and folder. A list of all restorable databases will be shown. Then, click Open. Click Yes to preserve your local RIS mapping result or click No to replace your local RIS mapping result by the imported database. A confirmation dialog is displayed so you will need to click OK.8Configuration Procedures (Continued) Merging an OGP database Plug-in the USB memory (if necessary) and wait a moment To open the file folder, click Merge to merge the stored database with the current database Select the source drive and folder. A list of all restorable databases is shown Click Open A confirmation dialog is displayed Click OK Note: Only organ programs that do not exist in the current database can be merged.To merge an OGP database, plug-in the USB memory if necessary and wait a moment. Click Merge to merge the stored database with the current database. Select the source drive and folder. A list of all restorable databases is shown. Click Open and a confirmation dialog will be displayed. Click OK. Note only organ programs that do not exist in the current database can be merged. Creating a New OGP Video Learn about creating a new OGP. Open Service Mode Select Organ Program Editor Login as the Manager Select the body part of interest Click New Enter/Select the required data Link 1-4 x-ray parameter templates based on the system configuration and 1 image processing template Select an Acq type as a default workplace Select Save Select OK     Editing a Procedure Video Learn about editing a procedure. Editing a Procedure Open Service Mode Select Organ Program Editor Login in as Manager Select the Procedure Select the Group Select the body part that is associated with that group Insert and remove organ programs using the arrows Save the changes Deleting a Procedure Select the procedure to be deleted Click Delete Click Yes   Editing Parameters Videos Learn about editing parameters. Tab TitleTextX-ray Parameters Open Service Mode Open the Organ Program Editor Click the Organ Tab Select the desired body part Highlight the program on the previous page Select Edit to open it up Make the necessary changes ​Ensure that all parameter adjustments are made to each condition size Select Apply Select Back to return to the main page Verify that the changes have been correctly implemented   Assigning a Template Assigning a New X-ray Parameter Template to an Organ Program Click Edit to open the X-ray Parameter template tab Select the required Acq type (workplace template) from the template list Click Apply The OGP Editor dialog is displayed A confirmation dialog appears. Click OK Enter/select the required data in the fields Click Save. A confirmation dialog appears Click OK Image Processing Parameters Editing Image Processing Parameters Click Edit to enter the template subtab and change settings Able to create a new image processing template, modify, or delete existing templates To remove or add a flavor to the template, click the corresponding arrows Click Save to adopt the change To select a different image processing template for the organ program, click Apply to link the new template   Multiple RIS names can be mapped to one local procedure name. One RIS name can also be mapped to multiple local procedure names.  The system requires one of three DICOM tags from RIS to perform RIS mapping. These include: Requested procedure step description Scheduled procedure step description Protocol code value After mapping is successfully completed and the system receives a worklist with the matched RIS procedure name. The organ programs linked to the matched local procedures directly display on Examination mode for acquisition.      Auto RIS Mapping Video Learn about auto RIS mapping. Auto RIS Mapping Select the received worklist Click the Examination Tab The RIS mapping dialog appears Select the adult or pediatric Click the desired body region Double-click the desired procedure(s) Check the organ programs in the list Click Match to map the local procedure to the RIS procedure Click Yes to confirm the match accuracy Click Yes again to enter Examination mode to continue the acquisition - or -  Click No to go back to Patient mode to perform other operations The system will establish the mapping between the procedure name from RIS and the local procedure name permanently.     RIS Batch Mapping Video Learn about RIS batch mapping. RIS Batch Mapping Prepare the .csv file Store the .csv file on a memory stick Insert the USB into the USB port Click Batch Mapping Click Open and select the .csv file The RIS procedure list will populate the batch mapping dialogue box Select the first procedure to be matched by clicking the list Select Adult or Pediatric Select the body region by clicking the figure Double-click the desired procedures Check the organ programs in the list  Click Match to map the local procedure to the RIS procedure Click Yes to Confirm the match accuracy Repeat these steps for all RIS procedures until the Batch Mapping dialogue box is empty   Managing RIS mappings Learn about managing RIS mappings. Managing RIS mappings Click RIS Mapping in Service Mode Select Auto RIS mapping to activate the function Select the required RIS mapping DICOM tag Click Apply The following message appears: Click Yes to save the change or click No to cancel the change   Deleting RIS mappings Select Adult or Pediatric Select the body region by clicking in the figure Select the procedure  Click Delete If necessary, the order of the procedures can be changed for searching purposes by clicking on of the following icons: Sort alphabetically Ascending sort order Descending sort order