GE ML_CL TO GE X-RAY INTERFACE CONFIGURATION_SM_2047900-114_A Long Term Care Overbed Table From Hill-Rom
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Mac-Lab/CardioLab to GE X-Ray
GE Healthcare
Interface Overview and System
Configuration
Mac-Lab/CardioLab Version 6.9
Introduction
Document Use
This document provides an overview of the Mac-Lab/CardioLab to GE X-Ray interface and
explains how to configure the interface.
Revision History
Revision Date Comments
A 15 August 2011 Initial release of document.
Overview of Modality Worklist and Exam Data Export Interface
The bi-directional interface between the Mac-Lab/CardioLab Acquisition system and the Innova/
Advantx X-Ray system uses the Modality Worklist (MWL) and Exam Data Export interface
functions. Demographic information is queried from the Mac-Lab/CardioLab system to the X-Ray
system prior to the examination using Modality Worklist, while X-Ray information is sent to the
Mac-Lab/CardioLab system once the examination is completed using Exam Data Export.
Benefits
The customer benefits of a bi-directional interface are:
Eliminate duplicate entry of patient demographics to reduce the likelihood of manual data
entry errors and increase staff efficiency.
Allows the Mac-Lab/CardioLab and X-Ray system to share a unique patient identifier to avoid
patient mismatches.
Provides comprehensive X-Ray documentation within the Mac-Lab/CardioLab system
automatically. X-Ray information is saved as part of the patient record and can be printed as
part of the case report on the Mac-Lab/CardioLab system.
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Configurations
Network Configuration
The X-Ray system must be connected to the Mac-Lab/CardioLab system through the network via
100BaseT Ethernet (TCP/IP).
Product Configurations
The X-Ray system must have the MWL and Exam Data Export options to communicate bidirectionally with the Mac-Lab/CardioLab system.
Innova
Innova System Required Components
4100 Modality Worklist: All new systems ship with Modality Worklist
3100 Modality Worklist: All new systems ship with Modality Worklist
Exam Data Export: Innova 4100 M4 release (for installed base and new systems)
Exam Data Export: Innova 3100 M3 release (for installed base and new systems)
Advantx
Advantx System Required Components
Mac-Lab/CardioLab
The GE X-Ray Interface Software Option is standard on all Mac-Lab/CardioLab v6.9 Acquisition
systems.
2000 Modality Worklist:
Heroic2 M3 FMI 11491 (for installed base up to Q1 2003)
Modality Worklist Option part number S18721AW (for new systems)
Exam Data Export:
Heroic Service Pack FMI 11495 release (for installed base through 2003)
Heroic VCP M3 release (for new systems)
2000 Advantx DLX Software version C21 or greater
Modality Worklist: Advantx DLX HIS/RIS Option PN S18411HS
Exam Data Export: Advantx DLX MPPS Option PN S18411PP
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Interface Operation
The following block diagram shows the flow of information between the Mac-Lab/CardioLab and
X-Ray systems.
ADT
Interface
(Optional)
Manual
Entry
Patient demographic information is entered directly into the Mac-Lab/CardioLab system either
manually or imported via an optional ADT interface (1 on block diagram). On the Mac-Lab/
CardioLab system, patient information is entered on the screen below.
Patient
Information
1
Mac-Lab/
CardioLab
System
Exam Data
Export
(X-Ray Info)
Worklist
(Patient
Information)
2
3
X-Ray
System
The Mac-Lab/CardioLab operator enters patient data in the Case, Contact and Worklist tabs of
the Patient Information window. Procedure information that is to be provided to the X-Ray
system is entered on the Worklist tab. When this data entry is complete, the operator clicks OK
to close the Patient Information window. Be sure to make all required changes to the Patient
Information data before clicking OK to ensure that those changes are sent to the x-ray system.
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The procedure information on the Worklist tab includes the Requested Procedure, Scheduled
Procedure, Scheduled Performing Physician and Referring Physician. When a study is
started using data from a Modality Worklist provider, these fields are pre-populated with the data
from the provider. All of the Requested Procedure and Scheduled Procedure fields must be
populated, and so each of these fields is given a default value as needed. All of these fields may
be modified, except that if the study was started from a Modality Worklist provider, the two
Identifier fields are fixed and cannot be changed.
The Mac-Lab/CardioLab exam is now ready to begin. At this moment, the Mac-Lab/CardioLab
system becomes a “Modality Worklist provider” and is ready to send the information of the active
patient upon a Worklist Query from the X-Ray system.
On the X-Ray system, a “Worklist Query” to Mac-Lab/CardioLab system is performed to obtain
the information of the active patient. The demographic information is automatically exported to
the X-Ray system via the network connection.
The patient information from the Mac-Lab/CardioLab system is automatically populated in a new
patient and exam on the X-Ray system (2 on block diagram).
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The following patient and exam information is transferred from Mac-Lab/CardioLab system to the
X-Ray system:
Innova Field Advantx Field Mac-Lab/CardioLab Field Mac-Lab/CardioLab 6.9
Patient ID# Patient ID# MRN (Medical Record Number) X
Patient First Name Patient First Name First Name X
Patient Last Name Patient Last Name Last Name X
Patient Birthdate Patient Birthdate Date of Birth X
Patient Gender Patient Gender Gender X
Patient Height* Height X
Patient Weight* Weight X
Accession Number* Accession Number** Accession Number X
Physician Name* Admitting Physician** Admitting Physician
Exam Type* Procedure Type
Study ID Number* Study Number
Phone Number Home Phone X
Requested Procedure
Description
Requested Procedure Identifier X
Scheduled Performing
Physician
Referring Physician X
Scheduled Procedure
Description
Scheduled Procedure Identifier X
* Fields manually editable at the Innova system.
** Fields sent from the Orders window on the Mac-Lab/CardioLab system
The exam on the X-Ray system is started manually by selecting the exam previously retrieved
from the Mac-Lab/CardioLab system and pressing the Start Exam button. The exam started on
the X-Ray system must always be the same exam that is active on the Mac-Lab/CardioLab
system. If a different exam is started, the exam data export will fail.
The patient remains active on Mac-Lab/CardioLab throughout the examination. Any changes
made to the Mac-Lab/CardioLab patient demographics during the examination will not update the
X-Ray patient information.
X
X
X
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The fluoro time and the dose information of the X-Ray acquisitions performed on the X-Ray
system are stored in the X-Ray database along with the exam information. The dose information
is characterized by the Total Dose and the Total/Fluoro/Record Dose Area Product (DAP).
This information is displayed on the Exam Browser at the end of the exam. After each record
acquisition (Cine run) performed on the X-Ray system, the run information is stored in the X-Ray
database along with the exam information, and displayed on the X-Ray Sequence Browser.
After closing the X-Ray exam by pressing End Exam, the information of the exam is sent
automatically to the Mac-Lab/CardioLab system (3 on block diagram). It is displayed on the
Radiology window, in the Study menu.
The X-Ray information passed from the X-Ray system to Mac-Lab/CardioLab includes the
following fields. Abbreviations used in the Radiology dialog window are shown in brackets.
X-Ray Parameter Mac-Lab/CardioLab 6.9
Exam Fluoro DAP* (cGycm
Exam Total DAP* (cGycm
Exam Cine DAP* (cGycm
Total Runs X
Total Fluoro Time (minutes) X
Run time [TIME] X
Run number [RUN] X
Plane [PL] or [Plane] X
Angulation [ANG] or [RAO/LAO] X
Rotation [ROT] or [CRA/CAU] X
Number of frames [FRAMES] X
Frames per second [FPS] X
Kilo-volts [KV] X
Milliamps [MA] X
Milliseconds [MS] X
Focal Distance [SID (cm)] X
2
)
2
)
2
)
X
X
X
Image Intensifier mode [FOV (cm)] X
*DAP = Dose Area Product
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Worklist Limitations
The Admitting Physician, Reading Physician, Referring Physician and Operator Name
fields are not filled by the Mac-Lab/CardioLab system.
The Mac-Lab/CardioLab system uses default values for the Requested Procedure
Description, Requested Procedure Identifier, Scheduled Procedure Description and
Scheduled Procedure Identifier. To send different values for these fields to the X-Ray system,
enter those values into the Worklist tab of the Patient Information window before retrieving
the worklist on the X-Ray system.
Exam Data Export Limitations
The Cine Frames field in the Radiology Window of Mac-Lab/CardioLab system does not get
auto-populated from the Innova. It displays as a blank but is editable.
The Milliamps (MA) field may not be populated by Innova in some of the Innova2000
versions, and shows up as “0” on the Mac-Lab/CardioLab system Radiology Window.
The dose information sent from Innova is estimated from the X-Ray acquisition parameters.
The estimation model is accurate at ±30%.
The angles are displayed as signed in the Mac-Lab/CardioLab system, while in Innova they
are always positive and followed by the indication of LAO, RAO or CRA, CAU. In the MacLab/CardioLab system, LAO and CRA angles are displayed as positive values, while RAO
and CAU angles are displayed as negative values. For example, if the primary angle is
displayed in Innova as 30 RAO, it is displayed in Mac-Lab/CardioLab as -30.
If there is a Dose Measurement Device connected to Innova, the display and storage of the
estimated dose may be disabled and the dose data will not be sent to the Mac-Lab/
CardioLab system.
If some sequences are deleted on the Innova system before the end of the examination (that
is, before pressing the End Exam button), the information related to the deleted sequences
will not be transferred to the Mac-Lab/CardioLab system. However:
The number of Total Runs will contain all the runs acquired during the examination,
including the deleted runs.
The Cine Dose and Total Dose information will contain the dose delivered during the
examination, including the dose of the deleted sequences.
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Procedures
Configure Mac-Lab/CardioLab System
1. Log on to the Acquisition system as an Administrator.
a. Press Ctrl + Action + Del and click Log Off.
b. Click OK at the log off message and immediately hold down the Shift key to stop the
auto-logon sequence.
c. Log on to the Windows XP operating system locally as mlcltechuser.
To log on locally, select the computer name in the Domain field.
d. Log on to the Mac-Lab/CardioLab Custom shell locally as mlcltechuser.
2. Put the Mac-Lab/CardioLab system into either Overwrite mode or Append mode. This
setting controls whether the Mac-Lab/CardioLab system will discard and replace previously
received dosage and run information when new dosage and run information is received
(Overwrite mode), or the Mac-Lab/CardioLab system will add to any previously received
dosage and run information when new dosage and run information is received (Append
mode). The default is Overwrite mode. If the Mac-Lab/CardioLab system will connect to an
Innova system with the “MPPS” feature, the Mac-Lab/CardioLab system should be put into
Append mode. For any other X-ray system, including an Innova with the “Exam Data Export”
feature, the system should be put into Overwrite mode.
To set the mode to Overwrite or Append, do the following:
a. Click Start and select Run. Type regedit, then press Enter.
b. Browse to the path HKEY_LOCAL_MACHINE\
SOFTWARE\GEMS\DICOM\MWL_MPPS.
c. Double-click MPPS SCP Append Mode.
d. To put the system into Overwrite mode, enter a Value of 0 (which is the default value). To
put the system into Append mode, enter a Value of 1.
e. Click OK to accept the new Value.
f. Close the Registry Editor window.
3. Double-click Mac-Lab CardioLab on the desktop to launch the Mac-Lab/CardioLab
application.
4. Select System Settings
5. Click Connectivity in the System Settings window. The following window is displayed:
from the Administration menu.
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6. On the Local System tab, enter the following settings:
DICOM settings: These settings are for this Mac-Lab/CardioLab system.
AE Title: The DICOM name for the Mac-Lab/CardioLab system. An AE Title may only
contain letters, numbers and the underscore character, and must be 16 characters or
less.
NOTE: AE Titles are case sensitive.
Listen Port: This is the port number that the Mac-Lab/CardioLab system listens for
connections from the X-Ray system. The default is 1225, and should not be changed.
7. Select the Remote Hosts tab.
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8. On the Remote Hosts tab, enter the following settings:
X-Ray System Settings: These settings apply to the GE X-Ray system.
Automatic Exam Start: Check this option only if the x-ray system supports the
Automatic Exam Start feature and you want Mac-Lab/CardioLab to trigger the automatic
start of the x-ray exam when starting a new Mac-Lab/CardioLab study.
AE Title: The DICOM name for the X-Ray system. This is found in the X-Ray system's
configuration settings (the default is “dlx_root” for DLX systems and “TERRA” for the
Innova systems).
Host Name or IP Address: This is the network name or IP address of the X-Ray system.
Port Number: This is the port number on which the X-Ray system listens for connections
from the Mac-Lab/CardioLab system.
Modality: This is the imaging system's modality. The default is XA, and should not be
changed.
Text Encoding: This is how text sent to the X-Ray system is coded. The default is Latin-
1, and should not be changed.
NOTE: Ultrasound System Settings, Modality Worklist Host and MPPS Host settings refer
to other systems and do not need to be modified for the GE X-Ray interface
configuration.
9. Click Close to save the new settings.
10. Restart the Mac-Lab/CardioLab system to initialize the system with the new configuration.
11. Allow the system to auto log on to the Windows XP operating system. At the Mac-Lab/
CardioLab custom shell, log on as the local mlcluser.
12. Proceed to either Configure the Innova X-Ray System on page 11 or to Configure the
AdvantxE DLX X-Ray System on page 16.
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Configure the Innova X-Ray System
This setup procedure applies to the Innova 2000/3100/4100 DL.
1. Log on to the DL box using Dlservice account. If necessary:
a. Select Start > Shutdown.
b. Select Close all programs and log on as a different user and click Yes.
c. Hold down the Shift key to stop the auto logon process.
d. Log on as Dlservice (password HEROIC), at the windows logon screen.
2. Rick-click Network Neighborhood and select Properties.
3. Record the computer name at the Identification tab.
4. Highlight TCP/IP and select Properties from the Protocols tab.
5. Select adapter #2 in the adapter drop-down box.
6. Record the X-Ray system IP information.
7. Click OK to the Microsoft TCP/IP Properties window.
8. Click OK to the Network Properties window.
9. Log off and log on to Windows as DL (password innova).
Wait until the application has fully loaded.
10. Click Service and select Service from the list in the main application screen.
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11. Click Configuration in the Service User Interface (SUIF)
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12. If the system is an Innova 2000, click System > Options from the left pane and check the
Worklist Option check box from the list.
13. Select DICOM Configuration from the list on the left.
NOTE: If the system is an Innova 2000 Pre SVC Pack, the following screen will be displayed:
Exam Data Export not enabled (below).
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NOTE: All other systems will display a screen similar to the Exam Data Export enabled screen
(below).
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14. Record the system's AE title and port number as listed under Local DL Identification.
15. Record the following under the Worklist server:
Select TRUE from the list in the Enable worklist field.
Enter the Mac-Lab/CardioLab system IP address in the Worklist SCP IP address field.
Enter the Mac-Lab/CardioLab system AE Title in the Worklist SCP AE Title field.
Enter the Mac-Lab/CardioLab listening port (1225) in the Worklist SCP port number
field.
Select YES from the list in the Automatic retrieve of Worklist at boot.
16. Enter the following in the Exam Data Export section:
Select TRUE from the list in the Enable Exam Data Export field.
Enter the Mac-Lab/CardioLab system IP address in the Exam Data Export SCP IP
address field.
Enter the Mac-Lab/CardioLab system AE Title in the Exam Data Export SCP AE Title
field.
Enter the Mac-Lab/CardioLab listening port (1225) in the Exam Data Export SCP port
number field.
17. Click Set Configuration when complete.
18. Click Exit.
19. Restart the Innova system.
The system will reboot, auto-logon, and begin loading the application. Wait until the
application is fully loaded.
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Configure the AdvantxE DLX X-Ray System
1. If the application is not started at the DLX console:
If a dlx login: prompt is displayed, type dlx and press Return.
If an ok: prompt is displayed, type boot and press Return. This will bring the system to
the dlx login: prompt. At this prompt, type dlx and press Return.
Wait for the DLX application to fully load.
2. Check the software version and IP configuration:
a. Move the mouse into the black area at the bottom of the screen (see diagram below) and
press Control + Shift + + ~ to open an xterm console.
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b. At the prompt, type tail -100 errlog and press Return.
The DLX Application Version is displayed (for example, C25.60).
c. At the prompt, type ifconfig -a and press Return.
The information after hme1: are the details for the gateway NIC: flags=863 <UP,
BROADCAST, NOTRAILERS, RUNNING, MULTICAST> mtu inet 3.231.48.171 netmask
ff000000 broadcast 3.255.255.255).
d. Type exit and press Return to close the console.
3. Verify that the MWL and MPPS options are enabled:
a. Move the mouse into the black area at the bottom of the screen. Left-click (and hold) and
select DLX Others > DLX INSTAL.
Wait until the DLX INSTAL application finishes loading.
b. At the Enter Command Number: prompt, type 5 (for Other Options) and press Return.
c. At the Enter Command: prompt, type 5 (for Network Configuration Menu) and press
Return.
If 4: Patient Worklist Management Option = YES, the MWL option is installed.
If 5: Modality Performed Procedure Step Option = YES, the MPPS option is
installed.
d. Type 99 (to go back to the upper menu) at the Enter Command: prompt, and press
Return.
e. Type 99 at the Enter Command: prompt, and press Return.
f. Left-click on the black screen and select DLX Application.
Wait for the Application to finish loading.
4. Configure the MWL and MPPS options:
NOTE: The application must be running in Service mode (rather than application mode).
a. Click the Door icon in the lower right corner of the screen and click Exit.
b. Type service at the dlx login: prompt and press Return.
c. Type proprietary at the password prompt and press Return.
d. Left-click on the black area at the bottom of the screen, and select DLX Application.
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e. Configure the MPPS service:
i. Left-click into the black area on the bottom of the screen and select DLX Others >
Settings > MPPS.
ii. When prompted for Remote IP Address, type the IP address of the Mac-Lab/
CardioLab system and press Return.
iii. When prompted for Application Title, type the AE Title of the Mac-Lab/CardioLab
system and press Return.
iv. When prompted for Application Port, type 1225 and press Return.
v. Typ e Y to confirm the values entered.
f. Configure the Worklist service:
i. Left-click on the black area on the bottom of the screen and select DLX Others >
Settings > Worklist.
ii. When prompted for Remote IP Address, type the IP address of the Mac-Lab/
CardioLab system and press Return.
iii. When prompted for Application Title, type the AE Title of the Mac-Lab/CardioLab
system and press Return.
iv. When prompted for Application Port, type 1225 and press Return.
v. Typ e Y to confirm the values entered.
g. To find and set the AE title for the DLX, click in the black space at the bottom of the
screen and select DLX Others > Settings > DLX AE-Title.
The DLX AE Title is displayed. If it needs to be changed, enter a new AE Title and click
Apply.
5. Restart the DLX application to reflect any changes to the configuration.
a. Click the Door icon in the lower right corner of the screen and select Exit.
b. At the dlx login: prompt, type restart and press Return.
c. At the dlx login: prompt, type dlx and press Return.
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Interface Testing
Enter Patient Information on the Mac-Lab/CardioLab system
1. At the Mac-Lab/CardioLab system, double-click Mac-Lab CardioLab to launch the
application.
2. Click New Study to open a Mac-Lab or CardioLab study (either may be selected).
3. Enter the appropriate patient demographic information, then click OK to close the Patient
Information window
To also transfer the Accession Number data, enter this data into the Orders dialog (under the
Study menu).
Test with the Appropriate X-Ray System
Innova DL
1. The main window displays a Patient Browser window and a Worklist browser window.
2. Click Settings/Search.
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3. In the Modality Worklist section, verify both the This room and This modality checkboxes
are checked.
4. Verify that Today is selected in the Date field.
5. Click Refresh Now. The patient will be listed in the Worklist Browser.
6. With the patient selected, click Add to Database.
7. Click Start Exam at the Patient Information window.
8. Acquire X-Ray images (create a fluoro sequence).
9. Click End Exam.
NOTE: Always close the study on the X-Ray system before closing the study on the Mac-Lab/
CardioLab system so the run information can be transferred.
MPPS information should now be populated into the Mac-Lab/CardioLab study. At the MacLab/CardioLab system, verify that the data from the X-Ray system is transferred by opening
the Radiology dialog under the Study menu and clicking Refresh.
This information can also be included in the Mac-Lab/CardioLab report by adding the “X-Ray
Run Information” section to the report format. Refer to the Mac-Lab/SpecialsLab Operator’s
Manual (PN 2047900-101) or the CardioLab Operator's Manual (PN 2047900-102) for
additional information on Report Formats.
10. Close the study on the Mac-Lab/CardioLab system.
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DLX system
1. From the DLX Application, click Worklist on the right side of the screen.
2. Click Query at the Patient Worklist Browser window.
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3. Verify that Today is selected and click Start.
4. Highlight the patient and click Import.
5. Click Close at the Worklist Import Request Status message box.
6. Click Exit.
7. Find the patient in the Patient Browser window and click Exam.
8. Click New Exam.
9. Click Start Exam.
10. Acquire X-Ray images (create a fluoro sequence).
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11. Click End Exam.
NOTE: It is important to close the study on the X-Ray system prior to closing the study on the
Mac-Lab/CardioLab system in order for the run information to be transferred.
MPPS information should be now populated into the Mac-Lab/CardioLab study. At the MacLab/CardioLab system, verify that the data from the X-Ray system is transferred by opening
the Radiology dialog under the Study menu and clicking Refresh.
This information can also be included in the Mac-Lab/CardioLab report by adding the “X-Ray
Run Information” section to the report format. Refer to the Mac-Lab/SpecialsLab Operator’s
Manual (PN 2047900-101) or the CardioLab Operator's Manual (PN 2047900-102) for
additional information on Report Formats.
12. Close the study on the Mac-Lab/CardioLab system.
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