Department of Veterans Affairs, VistA Imaging Display User Guide

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(No Transcript)
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VISTA IMAGING DISPLAY
There are minor changes in this document from
previous versions of the documentation. The
documentation reflects changes to the software
with version 3_0P59. This document is intended
to be utilized as a user guide. See the next
slide for the Table of Contents and associated
hyperlinks. The last slide has a list of
Resources for your information and convenience.
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TABLE OF CONTENTS
To select a specific topic, click the
corresponding link

• MAIN DISPLAY WINDOW
• USER PREFERENCE BUTTON
• ABSTRACT/GROUP ABSTRACT WINDOW
• IMAGE LIST WINDOW
• FULL RESOLUTION VIEW

To view all information, press ENTER to continue.
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LOGON
VistA Imaging Display is used in conjunction with
CPRS to provide an integrated electronic medical
record. To open VistA Imaging Display Logon to
CPRS, select the patient, click on the Tools Menu
and select the menu option for VistA Imaging
Display, (sites use different terminology such
VI, Display, Imaging).
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VISTA IMAGING DISPLAY
After selecting Imaging Display from the Tools
menu in CPRS, the Main Imaging Display window,
the Abstract window and the Image List window
generally open by default.
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MAIN DISPLAY WINDOW
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MAIN DISPLAY WINDOW
The Main VistA Imaging Display window has menus
with file drop down selections. For 508
compliance which is Federal law, the Imaging
software has shortcut key combinations. The
window displays the active filter. All sites that
the patient was seen at are displayed on the
screen. The local site 3 letter code is at the
bottom left of the screen. The notebook in the
far bottom left corner is for troubleshooting.
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MENU SELECTIONS
Under the options menu you can open the Image
List Filter, View Preference and Remote Image
Views Configuration window. By default, hints
are active for the Main Display window. The
Shortcut Key Legend menu is available under the
Options menu.
Because you logon to VistA Imaging Display thru
CPRS, Select Patient, Login, Logout, and Remote
Login are grayed out.
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MENU SELECTIONS
Under the View menu the Active windows selection
has been added. This allows you to select the
Main Display, Abstract, or Image List window by
selecting from a list of choices. The Reports
window has not changed. The Help for Imaging
Display interfaces to an Imaging Web Help portal.
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MAIN DISPLAY WINDOW BUTTONS
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Main Display Window Buttons
Clicking the Image List button opens the Image
List window. The features of the Image List
window are discussed on later slides.
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Main Display Window Buttons
When selected, the Abstract window button
activates the Abstract window. The window
displays thumbnail representations of the full
size image view. Details on the Abstract window
are discussed on later slides.
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Main Display Window Buttons
The Image Filter Add Edit button activates the
Image Filter Add/Edit window. Creating Filters is
discussed on later slides.
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Main Display Window Buttons
The Health Summary Reports Window opens the
Health Summary selection window and the EKG
button activates the cardiology viewing window.
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Main Display Window Buttons
The Patient selection button is grayed out
because the patient was selected thru CPRS. The
Remote Image View Configuration button opens the
Remote Image View Configuration window and
provides the ability to disconnect or connect to
other sites.
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Main Display Window Buttons
The User Preference button activates the View
Preference window. The Patient Selected tab, the
Abstract Group windows tab, and the Remote
Image View tab are discussed in later slides.
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USER PREFERENCE BUTTON
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User Preference-Patient Selected Tab
The User Preference button activates the View
Preference window. The Patient Selected tab
determines what windows open by default when
VistA Imaging Display is launched.
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User Preference-Abstract Group Windows Tab
The Abstract Group windows tab controls whether
or not remote abstracts are viewable in the
abstract and group abstract window. (See next
slide.)
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User Preference-Abstract Group Windows Tab
When the Display Remote Abstracts box is checked,
the Remote Abstracts are viewable. When the
Display Remote Abstracts box is not checked,
Abstract is on Remote Server is displayed.
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User Preference- Remote Image View Tab
The View Preference window opens when the User
Preference button is selected. The tab Remote
Image View controls what remote images are
displayed and controls whether or not you see
other patient site locations on the Imaging
Display window.
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ABSTRACT/GROUP ABSTRACT WINDOW
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ABSTRACT TOOL BAR
To activate the Toolbar in the event it is not in
view, right click on an abstract and select
Toolbar. When the window doesnt display all
abstracts, click the next page or previous page
button to move thru the abstracts in the abstract
window. The magnify button or de-magnify button
enlarges or decreases the size of the abstracts,
(remember it is not the full size image so
enlarging the abstract will begin to display
pixels with the enlarged size). The double arrow
button is a refresh button and will refresh the
Abstract window. Right click on the Toolbar to
de-select the tool bar view, or move the Toolbar
to the left of the window or the top of the
window.
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ABSTRACT WINDOW-RIGHT CLICK
Right Click on an Abstract to open the selection
window. Click on Image Information. An
Information window opens with information about
the image.
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ABSTRACT WINDOW-RESIZING
Abstracts can be resized. To resize the
abstracts, right click on any abstract. Click on
Resize the Abstracts, on the green rectangle put
the mouse cursor on the lower corner and drag.
Click the Finished button. Note the same
procedure is followed for the Group Abstract
window. The resizing will be saved if you click
on the Options menu in the Main Display window
and select to Save Settings Now or on Exit.
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SINGLE CAPTURE GROUP CAPTURE
A single capture has either one image capture or
a multiple page black and white capture. When
the abstract is clicked the capture will open in
the full resolution viewer. A Group capture
generally has more than one image and when the
abstract is clicked a group window opens. (Notice
the difference in title bar colors.)
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IMAGE LIST WINDOW
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IMAGE LIST WINDOW
If the Image List window doesnt open by default,
the Image List window can be opened by clicking
the Image List window button located on the Main
Display window. The Image List window has
various functions that are discussed on the next
slides.
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IMAGE LIST WINDOW
The Image List window menus are discussed on the
next slide. The view on this slide displays the
Image List window with image preview and report
preview activated.
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IMAGE LIST WINDOW
This slide displays the selections for each menu
item on the Image List Window. The Help menu
will open an online help program for VistA
Imaging.
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IMAGE LIST TOOL BAR
The next slides will discuss the toolbar buttons
on the Image List window. Note on this slide the
toolbar is in view. If you are a first time user
of the Imaging software the toolbar will be
displayed. For the toolbar to remain in view,
click on the Options menu on the Main Display
window and click on either Save Settings Now, or
click on Save Settings on Exit.
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IMAGE LIST TOOL BAR
When the toolbar is missing from view, click on
the Options menu on the Image List window and
click on Toolbar. If you do not save the
setting, the toolbar will not be active the next
time you view the Image List window.
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IMAGE LIST TOOL BUTTONS
The camera button opens the image, or opens the
group abstract window. The camera preview opens
a pre-view of the image as seen on this slide.
The report button opens the report in a separate
window and the report pre-view opens a pre-view
of the report as seen on this slide.
The camera and report icon with the blue square
in the corner are preview buttons.
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IMAGE LIST TOOL BUTTONS
The arrow buttons adjust the column headings to
the window or to the text. The column selector
allows the user to select what columns are
displayed. The abstract button opens the
abstract window.
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IMAGE LIST TOOL BUTTONS
The patient selection button is grayed out, (gray
face) as seen on this slide because the patient
was selected in CPRS. The red arrow circle
refreshes the information on the screen and the
question mark opens an online user help feature.
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IMAGE LIST- FILTERS
Filters allow you to select the images you would
like to view rather than every image/document
captured. Filters are created as private or
public and you can create your own private
filters. This slide demonstrates clicking the
Image Filter button from the Image List window
which opens the Image Filter Add/Edit window.
Public filters have a pound () sign and private
filters do not. Creating private filters is
discussed on the next slides.
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IMAGE LIST- PRIVATE FILTERS
The easiest way to create a private filter is by
accepting the defaults for Date Range, Image
Origin, and Clinical. Then select a choice from
the drop down menus for Specialty, and/or
Procedure/Event, and/or Type. (See next slide.)
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IMAGE LIST- PRIVATE FILTERS
Determine how the image or document was captured.
Click on the Clinical All filter tab to view
all data on the Image List View window. Look at
the Image List window and view the column
headings for Procedure, Type, and Specialty.
Decide if you want to select from one or more of
those fields. It is easier to select fewer
choices as it limits what will display when the
filter is created. (See next slide.)
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IMAGE LIST PRIVATE FILTERS
In this example, IMAGE is selected from the
Type field. Notice that various images are
represented because the type Image is broad and
can include multiple Specialties. In this case
it would be better to create the filter based on
Specialty.
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IMAGE LIST- PRIVATE FILTERS
In this example the filter was created based on
the Specialty Dermatology so only the Dermatology
images appear. The filtering is specific to the
particular specialty so only what is captured to
the specialty appears in the Abstract and Image
List window.
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PRIVATE FILTER CREATION
Creation of the a Private Filter starts with Date
Range selection. The default is All Dates. To
select a different Date Range or create a Date
Range, click on the drop down arrow on the Date
Range window, select a choice or click on Select
Range and create your own Date Range.
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PRIVATE FILTER CREATION
Accept the default for Image Origin, click the
appropriate box for the Origin. Select the
Specialty. Click on Save As and type in a name
for the filter. Click Save. Click OK on the
Add/Edit window.
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PRIVATE FILTER CREATION
The Main Display window displays the current
filter, the Abstract window displays the abstract
or abstracts associated with the filter, and
there is a tab for the filter on the Image List
window. To make the filter the default filter
when VI opens, click on the Options menu in the
Main Display window and either click on Save
Settings Now, or check to Save Settings on Exit.
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FULL RESOLUTION VIEW
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FULL RESOLUTION VIEW
This slide demonstrates opening a capture that
was saved as a single capture rather than a
study. Note the clear title bar in the Abstract
window. Opening a capture that was saved as
single opens directly into the full resolution
viewer and does not open in a group window.
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FULL RESOLUTION VIEW
This screen demonstrates opening a group capture.
Note the black title bar. Click on the Abstract
or the Image List information and the Group
abstract opens. Click on an abstract and it
opens in the Full Resolution viewer window.
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FULL RESOLUTION VIEW
This slide displays the menu selections for Full
Resolution View. Tool bar buttons can also be
used to manipulate the image as well as the menu
choices. To determine what a button does, hover
the mouse over the associated button.
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FULL RESOLUTION VIEW
When the Full Resolution View opens the default
layout is 1x1. The next slide demonstrates how
to change the layout. Multiple images or
documents can be viewed in the window at the same
time. To place multiple images or documents on
the window click on the abstract or group
abstract until the desired number is noted on the
window.
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FULL RESOLUTION VIEW
The Layout Menu has various configurations to
arrange documents and images in the Full
Resolution View window. When you select a
layout that you want to be the default layout for
future viewing, select the Layout and then in the
Main Display window click on the Options menu and
click on Save Settings now, or check Save
Settings on Exit.
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FULL RESOLUTION VIEW
Tool button titles left to right
Apply to All Refresh Fit to Window Fit to
Height Fit to Width Actual Size Flip
Vertically Flip Horizontally Rotate Left
Tile Images Close Selected Image Close All Images
Rotate Right Invert Pan Mouse Magnify Selected
Area Zoom Open Pan Window Maximize
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FULL RESOLUTION VIEW
When you have selected the number of images that
you want to view, click on the Layout menu to
select a different layout view if so desired.
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FULL RESOLUTION VIEW
After you make a Layout selection, click on a
tool bar button to adjust the image in the
window. In this view there are 3 images and the
adjustment can be made to all 3 at the same time.
(See next slide)
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FULL RESOLUTION VIEW
On this screen, the Layout was changed to 1x3.
The Apply to All button was selected to make
changes to all images, and the images were
adjusted to Fit to Image Height.
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FULL RESOLUTION VIEW
To remove an image from view click on the image
that you want to remove from view and then click
on the Close Selected Images button.
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FULL RESOLUTION VIEW
After the image is removed from view, you can
change the Layout. If you want to remove all
images from view, it is best to just exit the
window by clicking on the X in the upper right
corner.
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Additional Information Resources Related to VistA
Imaging
VistA Imaging Training Home Page
http//vaww.VistAU.Med.VA.Gov/VI
Health Systems Design Development Imaging
System Home Page http//vaww.va.gov/imaging
E-mail inquires can be made thru MS Outlook to
the VI training team at VHAOIHSITESNTEOVistAImag
ing_at_med.va.gov