General Electric ML_CL TO GE X-RAY INTERFACE CONFIGURATION 696 R2_SM_2088535-018_B Integris Patient Light From Hill-Rom

Mac-Lab/CardioLab to GE X-Ray Interface Overview and System Configuration

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 24 July 2015 Internal release.
B
27 January 2016 Initial public release.

Overview of Modality Worklist and Exam Data Export Interface

The bi-directional interface between the Mac-Lab/CardioLab Acquisition system and the Innova system uses the Modality Worklist (MWL) and the Modality Performed Procedure Step (MPPS) or 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 X­Ray information is sent to the Mac-Lab/CardioLab system once the examination is completed using MPPS or 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.
2088535-018B EN
27 January 2016
Mac-Lab/CardioLab to GE X-Ray Interface Overview and System Configuration
© 2016 General Electric Company
1

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 either the MPPS or Exam Data Export option to communicate bi-directionally 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)
2000 Modality Worklist:
Mac-Lab/CardioLab
The GE X-Ray Interface Software Option is standard on all Mac-Lab/CardioLab v6.9.6 Acquisition systems.

Interface Operation

The following block diagram shows the flow of information between the Mac-Lab/CardioLab and X-Ray systems.
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)
2 Mac-Lab/CardioLab to GE X-Ray Interface Overview and System Configuration 2088535-018B EN
ADT
Interface
(Optional)
Exam Data
Export
(X-Ray Info)
Manual
Entry
Patient
Information
Mac-Lab/
CardioLab
3
X-Ray
System
System
1
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.
Worklist (Patient
Information)
2
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.
2088535-018B EN Mac-Lab/CardioLab to GE X-Ray Interface Overview and System Configuration 3
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 for the active patient upon receipt of a Worklist Query.
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).
4 Mac-Lab/CardioLab to GE X-Ray Interface Overview and System Configuration 2088535-018B EN
The following patient and exam information is transferred from Mac-Lab/CardioLab system to the X-Ray system:
Innova Field Mac-Lab/CardioLab Field Mac-Lab/CardioLab 6.9.6
Patient ID# MRN (Medical Record Number) X
Patient First Name First Name X
Patient Last Name Last Name X
Patient Birthdate Date of Birth X
Patient Gender Gender X
Patient Height* Height X
Patient Weight* Weight X
Accession Number* Accession Number** X
Physician Name* Admitting Physician
Exam Type* Procedure Type
Study ID Number* Study Number
Home Phone X
Requested Procedure Description X
Requested Procedure Identifier X
Scheduled Performing Physician X
Referring Physician X
Scheduled Procedure Description X
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.
2088535-018B EN Mac-Lab/CardioLab to GE X-Ray Interface Overview and System Configuration 5
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 6.9.6
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
6 Mac-Lab/CardioLab to GE X-Ray Interface Overview and System Configuration 2088535-018B EN

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.
2088535-018B EN Mac-Lab/CardioLab to GE X-Ray Interface Overview and System Configuration 7

Procedures

Configure Mac-Lab/CardioLab System

1. Double-click Mac-Lab CardioLab on the desktop to launch the Mac-Lab/CardioLab application.
2. Select System Settings from the Administration menu.
3. Log on as mlcladmuser (password: mlcl!admuser), if prompted for an administrator account.
4. Click Connectivity in the System Settings window. The following window is displayed:
5. 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.
6. Select the Remote Hosts tab.
8 Mac-Lab/CardioLab to GE X-Ray Interface Overview and System Configuration 2088535-018B EN
7. On the Remote Hosts tab, enter the following settings:
X-Ray System Settings: These settings apply to the GE X-Ray system.
AE Title: The DICOM name for the X-Ray system. This is found in the X-Ray system's
configuration settings (the default is “TERRA” for the Innova system).
Hostname 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.
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.
Append Mode: When this option is unchecked, the Mac-Lab/CardioLab system will
discard and replace previously received dosage and run information when new dosage and run information is received. When this option is checked, the Mac-Lab/CardioLab system will add to any previously received dosage and run information when new dosage and run information is received. If the Mac-Lab/CardioLab system will connect to an Innova system with the “MPPS” feature, this option should be checked. For any other X­ray system, including an Innova with the “Exam Data Export” feature, the option should not be checked.
2088535-018B EN Mac-Lab/CardioLab to GE X-Ray Interface Overview and System Configuration 9
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.
8. Click Close to save the new settings.
9. Restart the Mac-Lab/CardioLab system to initialize the system with the new configuration.
10. Allow the system to auto log on to the operating system. At the Mac-Lab/CardioLab custom shell, log on as mlcluser.

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.
10 Mac-Lab/CardioLab to GE X-Ray Interface Overview and System Configuration 2088535-018B EN
11. Click Configuration in the Service User Interface (SUIF)
2088535-018B EN Mac-Lab/CardioLab to GE X-Ray Interface Overview and System Configuration 11
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).
12 Mac-Lab/CardioLab to GE X-Ray Interface Overview and System Configuration 2088535-018B EN
NOTE: All other systems will display a screen similar to the Exam Data Export enabled screen
(below).
2088535-018B EN Mac-Lab/CardioLab to GE X-Ray Interface Overview and System Configuration 13
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.
14 Mac-Lab/CardioLab to GE X-Ray Interface Overview and System Configuration 2088535-018B EN

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 X-Ray System

Innova DL
1. The main window displays a Patient Browser window and a Worklist browser window.
2. Click Settings/Search.
2088535-018B EN Mac-Lab/CardioLab to GE X-Ray Interface Overview and System Configuration 15
GE Medical Systems Information Technologies. • 8200 W. Tower Ave.
Milwaukee, WI 53223 U.S.A.
© 2015 GE Medical Systems Information Technologies. All rights reserved.
GE Medical Systems Information Technologies, a General Electric Company, going to market as GE Healthcare.
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 2088535-001) or the CardioLab Operator's Manual (PN 2088535-002) for additional information on Report Formats.
10. Close the study on the Mac-Lab/CardioLab system.
16 Mac-Lab/CardioLab to GE X-Ray Interface Overview and System Configuration 2088535-018B EN
Loading...