/depts/,/depts/uwhealth/,/depts/uwhealth/enterprise-imaging-pacs/,

/depts/uwhealth/enterprise-imaging-pacs/

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UWHC,UWMF,

Patient Care,Technology,

Departments & Programs,UW Health

Enterprise Imaging (PACS)

Enterprise Imaging (PACS) - Departments & Programs, UW Health

UW Health Enterprise Imaging (also known as PACS, for Picture Archive Communication Systems) is responsible for the equipment and infrastructure that stores, shares and routes medical images.


Focus

UW Health Enterprise Imaging is responsible for supporting the users, equipment and infrastructure for the following Radiology applications and services: 

PACS – PACS stands for Picture Archive Communication Systems. The UWHC McKesson PACS is responsible for storing, sharing and routing medical images, the majority of which are Radiology images. Other UW departments, however, also store images in the UWHC PACS including ENT, Surgery, Pathology and Dermatology.

Powerscribe – Powerscribe (Nuance Communications, Inc.) is the dictation tool that UW Radiologists use for reading images. Reports read in Powerscribe upload to PACS and Healthlink (UW studies) for review by clinical providers. 

Vitrea – Vitrea (Vital Images, Inc.) is a 2D and 3D advanced viewing application for reading CT and MR images in PACS. 

Radiology Image Management - Radiology Image Management (aka Radiology file room)  archives, tracks and releases hard copy and digitally based medical images for internal requestors (including faculty, fellows and residents) and external requestors (other health care facilities, attorneys and insurance companies). This medical information is released primarily for the purposes of continuing medical care, teaching, research, hospital operations, payment requirements and legal review. 

Outreach - UW Health Enterprise Imaging supports Radiology/PACS Outreach services for the following regional medical facilities:

FAQ

Can I get PACS over Citrix?

PACS will display over Citrix but will not allow mouse movements to do window-level manipulation. While you may be able to access images, the rendered images may not be accurate and should not be used clinically. In summary, it is not an option.

How can physicians arrange an image transfer link for outside hospitals?

We would be happy to look into setting up an ImageShare VPN partnership with any outside medical facility that you recommend. Contact the PACS Help Desk at (608) 261-1808 or EnterpriseImagingPACS@uwhealth.org and let us know your needs.

For more information about the ImageShare service and current partner organizations, go to UW Health ImageShare.

How do I export an image for use in a presentation or conference?

You will need to use the MiView image viewing application, as currently images are not able to be exported from HRS11d.

Viewing and Exporting PACS Images With MIView11

How do I get clinical support and training for the PACS image viewing software?

For clinical support and training call the UWHC HelpDesk at (608) 265-7777 (toll-free: 1-888-443-5511) or the UWMF Help Desk at (608) 829-5474. They will be able to assist you with questions and be able to get you in touch with application training staff, who can address more complex questions or problems.

How do I get home and office support for the PACS image viewing software?

Use the process outlined in our remote access topic.

How do I get immediate support in the UWHC OR or the ED area regarding viewing images?

 All cases should be called into the UWHC helpdesk at 265-7777. If there are urgent issues the radiology technologist can help identify the issue and or page the PACS group.

How do I obtain a username to log on and use the PACS image viewing software? 

Most clinical staff with the need to view image via PACS already have an active ID. The PACS logon ID is the same account (username and password) needed to access Citrix and many other clinical systems. 

If your account is not activated to allow PACS access, go to the computer system authorization request section.

If I am having trouble with my clinical workstation which runs the PACS viewing software, who should I call?

You can contact the UWHC HelpDesk at (608) 265-7777 (toll-free: 1-888-443-5511) or the UWMF Help Desk at (608) 829-5474. They will be able to assist you with problems related to the workstations directly.

If I am having trouble with my username or password for the PACS image viewing software, who should I call?

You can contact the HelpDesk at (608) 265-7777 (toll-free: 1-888-443-5511). They will be able to assist you with password and login questions and be able help you reset your existing password (not recover).

Password changes should be done via Password Change Assistant. Please note that passwords may change for other applications because many clinical systems are now updated automatically when a password is changed.

In HRS11d how do I find patients who have had their exams electronically sent to UW Health from other institutions?

After you're logged in, and the Study List is presented, click on the file drawer icon (Folder Finder tool, shown below) located on the right hand side.

Folder Icon

After activating the Folder Finder tool, the search options will update (on the left hand side, shown below).

Folder Finder Tool Icon

Select the option With Patient Name Matching you will now get the option to put in a patient first and last name. Enter the desired name and select the Find button. A list of matching patients will be returned to you.

Patient Name Matching Screenshot

Notice import location information in parentheses next to the Patient IDs in the sample output above. (UWHC), (UWMF) and (Meriter) are standard import locations. (OverRead) is the import location that appears for most images that are transferred for continuity of care over ImageShare VPNs.

In HRS11d how do I look up patients by last name in order to find exams completed at other clinics within the UW Health system? 

After you're logged in, and the studylist is presented, click on the file drawer icon (Folder Finder tool, shown below) located on the right hand side.

Folder Icon

After activating the Folder Finder tool, the search options will update (on the left hand side, shown below).

Folder Finder Tool Icon

Select the option With Patient Name Matching you will now get the option to put in a patients first and last name. Enter the desired name and select the Find button. A list of matching patients will be returned to you.

Patient Name Matching Icon

In HRS11d how do I zoom in/out on an image?

Move the cursor over the region that you would like to enlarge. Hold down the Control key and scroll the mouse wheel away from you to zoom in and toward you to zoom out.

In HRS11d, can I customize the tool bar options?

Individual user login options for the tool bar, right-click menu and other options such as shortcut keys and image compression can be configured from the preferences menu. These changes will follow the user, they are not computer specific.

In HRS11d, how do I minimize the application?

Use the Windows minimize icon in the top right of the screen.

In HRS11d, how do I see prior studies for a patient that I already have open in the viewer?

Click anywhere on the study date line for a list of all prior exams select the All Studies option, as shown.

All Studies Icon

In HRS11d, How do I turn off the display of annotations?

Click on the down arrow next to the Overlays button on the main tool bar, then deselect Show Annotation, as shown.

Show Annotation Screenshot

In HRS11d, how do I turn off the radiologists measurements so I can make my own?

There is a quick process to temporarily remove all prior annotations (for the current exam). Right-click on the image and select presentation option, as shown.

Remove All Prior Annotations Screenshot

Within the next window, you will be presented with a list of saved states. There may be numerous saved states depending on who has annotated on the exam. Please select initial, as shown below. It will be the last item on the list and will return the exam to the way it was originally stored in PACS.

Select Initial Screenshot

After the initial presentation state is loaded, you may close the presentation state window and use the annotation tool set to add your markings to the images. These markings will not be saved after you close the exam.

In HRS11d. How do I add or remove a filter on the studylist?

There is an easy way to filter results on the studylist, With the studylist open, you will find a series of dropdown boxes (see below). Selecting one of them, you may choose to filter the list based upon Patient Location, Body region, Modality or Workgroup. To remove a filter, select the appropriate "all" option and the list will no longer be filtered by those parameters. For best performance, remove any location filters you may have set.

Studylist Screenshot

What other institutions currently send electronic exams?

To see a list of all ImageShare partners (Radiology electronic image exchange), as well as instruction on how to request images from an ImageShare partner facility or initiate a transfer of UWHC images to an ImageShare partner facility, visit UW Health ImageShare.

Resources

Related

ImageShare

Radiology

Radiology Image Management