syngo Dynamics-Create or Edit an Observation

syngo Dynamics Report Designer Step-by-step Step 1: Create/Edit an Observation To review all Observation Editor Configurations, see Report Designer User Manual. Before beginning to create report content and display it on the report, first you will have to check out the templates (See Quick Tip for checking templates in and out). Then the worksheet and report you would like to edit need to be opened in report designer. To open report designer go to Start> All Programs> syngo Dynamics> Report Designer. In Report Designer select File>Open, browse to folder where the templates were checked out, and select the report AND worksheet to be edited. See Images Below [No Report] File Edit View Libraries Tools Help Aria - 10 . BIU Browse Browse to folder where templates File>Open were checked out kwt cwt A.kwt t.kwt Open an Existing Template Working Directory : fessional_Services_Cath\Professional Services Cath Browse Reports Worksheets 3rd Party CVIS.krt Adult sDIS Worksheet.kwt 3rd Party Procedure Logs.krt Cath Manual Hemo Entry.kwt ACC-NCDR ICD registry.krt Cath Sensis Integration.kwt Billing (3rd Party).krt Cath Sensis Integration_A.kwt Cath Manual Hemo Entry.krt CHOP Ped Echo.kwt Cath Progress Note_sDIS.krt Combined sDIS Worksheet.kwt Cath Sensis Integration.krt Device study.kwt CHOP Ped Echo.krt EP Manual.kwt Device study.krt EP Prucka.kwt Discharge Instructions.krt EP Study.kwt EP Manual.krt MacLab.kwt EP Prucka.krt NCDR CathPCI Registry v4.3.kwt EP Study.krt Peds sDIS Worksheet.kwt Equipment (3rd Party).krt Peds Sensis Integration.kwt MacLab.krt Patient Management (3rd Party).krt Philips.kwt Pie Med CAAS.kwt Peds Sensis Integration.krt Pre Documentation.kwt Philips.krt SD Cath Cardiac-PV MacLab.kwt SD Cath Cardiac-PV MacLab.krt SD Cath Cardiac-PV Philips.kwt SD Cath Cardiac-PV Philins krt sD Cath Cardiac-PV sDIS.kwt SD Cath Cardiac-PV Sensis.krt SD Cath Cardiac-PV Sensis.kwt SD Cath Nurse Sensis.krt SD Cath NCDR CathPCI Choices.kwt TAVR-MacLab.krt sDIS_info.kwt OK Cancel SIEMENS www.usa.siemens.com/healthcare 744 Effective date 9/8/2016 Page 1 of 6 1. The Observation is the choice that the reader makes from multiple choices. For example, in the Phrase “The car is red”, red is the observation that would be selected from the worksheet. Below is more detail on creating and editing observations. Car Color O red O blue O green O white O black 2. To create/edit an observation, open the Observation Library by going to Libraries>Observation Library File Edit View Libraries Tools Help Aria Measurement and Calculation Library Physician [ Observation Library Graphic Phrase Library Indications and Diagnosis Library not Definition Editor Found Wall Scoring Scores Library Wall Scoring Report Generation Library SIEMENS www.usa.siemens.com/healthcare Page 2 of 6 3. On the far left of the Observation Editor Window there are choices for Calc Type and Language. Below that is the comprehensive list of ALL observations that have been placed in categories (Observations can be moved between categories). The “Find” field allows for searching key words to narrow search results. At the bottom, new categories and new observations can be created. Hint: new observations are created in the category that is highlighted or open in the tree. Observation Library Editor - C:\Users\Z003C9HE\Desktop\sD Desktop\Professional_Services_Cath\Professional Services Cath File Edit Observations Observation Definition Calc Type Cath Item Name Bleeding event type Category TVR Language English (Unite Display Name Bleeding event type Name Stored in Database Bleeding_event_type_ob SD Pacemaker Data Context |Study SDIS mapping Usage [Optional Study Reference |STS/ACC TVT registry/section F Observation Severity 1 B TVR Access method Access related event - Carry Forward[] Comment [] Hierarchical Selectable Levels [ Access related event -v AO root angio Observation Values AO root angio repeated O Pick values using numeric data Browse Values are inclusive Balloon max inflation Balloon max size Add New Value Add Text Value Remove Value [] Hide Retired Values Bleeding event Bleeding event type Sev Ret. Worksheet Text DB Value Name Nml | NWV | Abnl | Other Device related events 1 1 bleeding bleeding Heparin given 1 1 hematoma hematoma Location of AI 1 1 retroperitoneal ... retroperitoneal_ble ... LV-LA pressures 1 1 GI bleed GI_bleed mmHg 1 1 GU bleed GU_bleed pacing during valve depl 1 1 UserDefined Perivalvular AI severity Post TEE Pre TEE Separator Last separator |and - Stored in Database - Macro Diagnosis pressures equal Repeat hemo measures Report Body Text RHC / Temp PM at access site See pressure table sheath access site Cheath siza Report Summary Text for bleeding Find : New Observation New Category Hide 4. After selecting New Observation, it should be named. Changing the Item Name will update the display name. Observation Definition Item Name NewObservation2 Category TVR Display Name NewObservation2 Name Stored in Database new_observation_2_obs Usage No values defined Data Context Study Reference Observation Severity 1 100=high 1=low Carry Forward Comment Hierarchical Selectable Levels Observation Values- 5. Item Name has been titled “number of staff members”. (A.) Usage can be set to optional (the default) OR can be adjusted to make this Observation mandatory to either complete or verify the report. (B.) The Category where the Observation resides can also be changed. (C.) (For more Observation settings, See Report Designer User Manual.) Observation Definition Item Name| number of staff members C Category Pre Cath Data Display Name number of staff members Name Stored in Database number_of_staff_member Usage Optional B Data Context Study Reference Observation Severity 1 100=high Carry Forward Comment Hierarchical Selectable Levels SIEMENS www.usa.siemens.com/healthcare Page 3 of 6 6. To add individual values, select Add New Value. Below the values added were 1, 2, 3 and 4. Values default as exclusive (Only one choice can be selected by the user). This can be changed to inclusive allowing multiple selections. Hint: When adding values, press the tab button after the value is added. This causes the last value to persist. Observation Library Editor - C:\Users\Z003C9HE\Desktop\sD Desktop\Professional_Services_Cath\Professional Services Cath File Edit Observations Observation Definition - Calc Type Cath Item Name number of staff members Category Pre Cath Data Language English (Unitel v Display Name number of staff members Name Stored in Database number_of_staff_member number of staff member Usage Optional Data Context Study PCI Status(APTVER) Periph. Artery Disease(H Reference Observation Severity 1 100=high 1=low Prior CABG(HSTR2) Prior Heart Failure(HSTR Prior MI(HSTR2) Carry Forward Comment Hierarchical O Selectable Levels Prior PCI(HSTR2) Prior Valve Surgery/Proc Observation Values Pt. ID Verbally Verified(4 [ Pick values using numeric data Race(AADM1) Browse Values are exclusive Reason for Delay(CT) Add New Value Add Text Value Remove Value ] Hide Retired Values Rhythm(VSIGN) Site Status(IVSTATU) Sev Ret .. Worksheet Text DB Value Name Nml| NWV Abnl Other Site(PULSE) 1 1 Smoker <= 1year(HSTR2 1 2 Status of procedure(PAI 1 3 Status of procedure(PUL E 1 4 Strength(PULSE) + Pre Procedure SD Cath .... SD Cath Aorta Q SD Cath Conclusions SD Cath Coronaries Macro Diagnosis SD Cath FFR Report Body Text for 1 SD Cath Grafts SD Cath IVUS SD Cath LV ch Cath DCT Report Summary Text for 1 Find /1 New Observation New Category Hide 7. New Observations default to the Other category (below). Choices represent Normal (Nml), Not Well Visualized (NWV), Abnormal (Abnl) and Other. These choices work in Conjunction with the Phrase Library to determine their place on the report (See Report Designer User Manual for more details). Observation Values [] Pick values using numeric data Browse Values are inclusive Add New Value Add Text Value Remove Value [] Hide Retired Values Sev| Ret. |Worksheet Text DB Value Name Nm NWV Abnl Other bleeding bleeding 1 hematoma hematoma retroperitoneal ... retroperitoneal_ble ... 1 GI bleed GI_bleed 1 GU bleed GU_bleed 1 UserDefined KK KK KK SIEMENS www.usa.siemens.com/healthcare Page 4 of 6 8. In this example, the box “Pick values using numeric data” has been selected. By then selecting Browse, the user is able to browse the Measurements to find the desired measurement. Min and Max fields allow numeric values to be added. This allows for the observation to be automatically populated on the report based on the values that are entered OR transferred from the modality. Observation Values Pick values using numeric data LV_d_PLAX_chord_ Browse Values are |exclusive Add New Value Add Text Value Remove Value Hide Retired Values Sev| Ret. |Worksheet Text Min Max DB Value Name Nml NWV Abnl Ot + 1 normal >=3.7 <=5.4 normal 1 mildly dilated >5.4 <=5.9 mildly_increased 1 mild to mod ... >5.9 <=6.4 mild_to_mod 1 moderately dilated >6.4 <=6.9 moderately_increas ... 1 mod to sev dilated >6.9 <=7.4 mod_to_sev_increa ... 1 severely dilated >7.4 <=20 severely_increased 1 decreased >0 <3.7 decreased KK KK K KI 9. Below are the fields to determine the text that goes into the body and summary of the report. (Explained in more detail in Step by Step: Create/Edit a Phrase.) Macro Diagnosis Report Body Text for normal the left ventricle is normal in size Report Summary Text for normal normal 10. At the end it is important to save your work. It is recommended to be in the habit of the following save options below after ALL work. Work can never be over-saved!! File Edit View Libraries Tools Help Times New Roman - 24 Physician Save All Save All Libraries syngo® Heart Health Medical Conton  Save All Libraries saves work in ALL Libraries File Edit View Libraries Tools New  Can also Save all work at the end of this step by selecting File>Save All. Open Ctrl+ O Note: This option does NOT save Libraries. Close Save Worksheet Ctrl+S Save Worksheet As ...  Save All and Save all Libraries BOTH should be checked. Save Report "sD Adult Echo.krt" Save Report "sD Adult Echo.krt" As ... 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