VistA Imaging System Clinical Capture User Manual

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VistA Imaging SystemClinical Capture User ManualNovember 2017 – Revision 9MAG*3.0*189Department of Veterans AffairsProduct DevelopmentHealth Provider Systems

Clinical Capture User ManualVistA Imaging MAG*3.0*189November 2017Property of the US GovernmentThis is a controlled document. No changes to this document may be made without the express written consent of theVistA Imaging development group.While every effort has been made to assure the accuracy of the information provided, this document may includetechnical inaccuracies and/or typographical errors. Changes are periodically made to the information herein andincorporated into new editions of this document.Product names mentioned in this document may be trademarks or registered trademarks of their respective companies,and are hereby acknowledged.VistA Imaging Office of Enterprise DevelopmentDepartment of Veterans AffairsInternet: REDACTEDSharePoint: REDACTEDRevision HistoryDateRevNotesApril 2010.9Initial draft, REDACTEDJuly 20101.0Final REDACTEDMay 20111.1- P106 updates (rev 2). REDACTED- Globally updated screen shot of the Select Image Association dialogbox, Format dialog box- Updated sections Batch Capture Transfer Buttons, Batch CaptureOptions window, Imaging Workstation Configuration Window, ImageFormat, Association, Security Keys.- Added new sections TeleReader Consult and Selecting a TeleReaderConsultMay 20112.0- P117 updates.REDACTED- Globally updated screen shots of the main Capture window to showthe new DICOM data field.- Globally updated screens shots of Input source window- Deleted QA Review sectionNovember20123.0P122 updates. REDACTED- Revised sections: Acronyms, Document/Image Capture Summary Steps,Document/Image Capture with Clinical Capture, Logging In & Starting ClinicalCapture, Attaching a Scanned Document to a Different Author’s Progress Note,Selecting a TeleReader Consult, Display Area, Image Manipulation Buttons,Scanning Documents as a Single Image, Scanning Documents as a Group (Study),Options menu, Appendix A: Supplemental Logon Screens.- Added new sections: Image Annotation, Annotation Permissions, AnnotatingImages, Annotation Tools, Drawing Lines, Making Freehand Drawings, DrawingRectangles, Adding Text to Images, Drawing Ellipses, Drawing Arrows,Highlighting Areas, Using the Ruler, Calibrating Rulers, Measuring Angles inImages, Selecting Annotations, Moving Selected Annotations, ResizingiiVistA Imaging MAG*3.0*189Clinical Capture User Manual – Rev. 9November 2017

DateRevNotesAnnotations, Deleting Annotations, Exiting Annotation Mode and SavingAnnotations with the Image, Using the Annotation Property Editor, SettingLine/Arrow Properties, Setting Line/Arrow Shape Properties, Setting Line/ArrowColor Properties, Setting Freehand Properties, Setting Freehand Line Properties,Setting Freehand Color Properties, Setting Rectangle/Highlighter Properties,Setting Rectangle/Highlighter Shape Properties, Setting Rectangle/HighlighterColor Properties, Setting Text Properties, Setting Text Font Styles and Sizes,Editing Text, Setting Text Color Properties, Setting Ellipse Properties, SettingEllipse Shape Properties, Setting Ellipse Color Properties, Setting RulerProperties, Setting Ruler Font Styles and Sizes, Setting the Ruler ShapeProperties, Setting Ruler Color Properties, Modifying Start Line Length and EndLine Length, Setting Protractor Properties, Setting Protractor Font Styles andSizes, Setting the Protractor Shape Properties, Setting Protractor ColorProperties, Setting Global Annotation Attributes, Default Values for Annotations,Setting Global Annotation Attributes from the Options Menu, Setting GlobalAnnotation Font Attributes, Setting Global Annotation Line Width Attributes,Setting Global Annotation Color Attributes, Setting Global Annotation OpacityAttributes, Setting Global Annotation Arrow Attributes.May 20134.0Updated for Patch 129. REDACTED- Revised sections: Conventions, Acronyms, Logging In and Starting ClinicalCapture, Selecting a Patient, Configuration Settings Bar, Progress Note,Discharge Summaries, Clinical Procedures List, Creating an Addendum forProgress Notes, Create New Progress Notes, Progress Notes Window Options,Show Related Notes / Addendums, Using Keyboard Shortcuts, Alternate ViewerOptions, Help Menu, Appendix A: Supplemental Logon Screens.- Added new sections: Creating an Addendum for Progress Notes, StartingClinical Capture When Using CCOW, Starting Clinical Capture from CPRS,Starting Clinical Capture as a Standalone Application, Context Menu, andAppendix B: Clinical Context Object Workgroup.August20135.0July 20166.0Updated for Patch 140. REDACTEDRevised sections: Input Source, Format, Menu Options and Functions, AllSettings, and others. Added sections Combine TIF Scans, Combine PDF Scans,Scanning to PDF.Updated for Patch 151 REDACTEDRevised sections: Progress Notes Windows Options, Note Listing Status Bar,and Display AreaAdded details from the What’s New document.April 20177.0Updated the Starting Clinical Capture as a Standalone Application section andAppendix A with 2FA PIV/PIN directions that replace the access/verify loginprocess.June 20178.0Updated for Patch 178 REDACTEDRevised section: Starting Clinical Capture as a Standalone Application wordingin step 4, page 17.November20179.0Updates for MAG*3.0*189, adding directions to save configuration default andoptions for single image or study group settings in the Savings section underDocument/ Image Capture with Clinical Capture. Removed the What’s Newsection. REDACTEDUpdated Table of Content Table and removed extra spacing. REDACTEDOctober 2017VistA Imaging MAG*3.0*189Clinical Capture User Manual – Rev. 9iii

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Table of ContentsIntroduction . 11Terms of Use . 11About This Manual . 11Related Manuals . 12MAG*3.0*Conventions . 12Acronyms . 12Getting Help . 13Document Scanning Overview . 14Document/Image Capture with Clinical Capture. 15Logging In and Starting Clinical Capture . 15Starting Clinical Capture When Using CCOW . 15Starting Clinical Capture from CPRS . 15Starting Clinical Capture as a Standalone Application . 16Selecting a Patient . 18Configuration Settings Bar . 20Input Source \ Image Format . 21Saving . 24Mode . 27Other . 27Association Choices . 27Patient Only . 34Why Scan Documents? . 35Document/ Image Capture Summary Steps . 35Selecting a Capture Configuration . 37Configurations . 37Selecting Capture Settings. 37Configuration Settings Bar . 40Configuration Buttons . 40Creating Configuration Buttons . 40Entering Data . 43Required Input Fields . 43Image Dates . 43Entering Data for the Image . 44Hold Value Option . 47Patient Only Images . 49Administrative Documents . 50Attaching Documents to Notes or Reports. 52Selecting a Progress Note (TIU) . 52Progress Note, Discharge Summaries, Clinical Procedures List . 53Creating an Addendum for Progress Notes . 5657November 2017Create New Progress Notes.VistA Imaging MAG*3.0*189Clinical Capture User Manual – Rev. 9v

Sign or Electronically File Progress Notes . 58Attaching a Scanned Document to Different Author’s Progress Note. 59Progress Notes Window Options . 61Note Listing Status Bar. 62Selecting a Surgical Case . 65Select Directory of Images to Import . 67Selecting a Radiology Exam . 69Selecting a Laboratory Specimen . 70Selecting a Medicine Procedure . 71Selecting an Existing Medicine Procedure . 72Creating a New Medicine Procedure . 73Create New Procedure for Selected Subspecialty . 74Selecting a Clinical Procedure . 75Selecting a TeleReader Consult . 77Image Index Guidelines. 81Indexing Documents . 81Entering Date and Origin. 81Entering ‘Type,’ ‘Specialty,’ and ‘Proc/Event’ Values . 81Entering Image Descriptions . 82Image Capture Options . 83Scanning Documents as a Single Image . 83Scanning Multiple-Page TIFFs . 84Scanning to PDF . 85Image Quality . 86Image Annotation . 87Completing Capture . 88Scan Document or Color Picture . 88Meteor/Orion Imaging Boards . 89Digital and Still Video Camera Input . 90Using the TWAIN Interface . 91Validate Image Data . 91Display Area . 92Image Manipulation Buttons . 94Warning Panel for Patient Change . 95Approving the Image . 96Image Function Buttons . 97Batch Capture Transfer Buttons . 97Batch Capture Options window . 97Long Image Description . 99Confirmation Window . 100Indicating Completion of a Study . 100Save Image Data to VistA . 100Fails . 100Importing Documents/Images .101Import File from Workstation . 101Import Directory List . 101Timesavers .104Using Keyboard Shortcuts . 104November2017“Auto-Settings” to Save KeystrokesVistA ImagingMAG*3.0*189Using.105Clinical Capture User Manual – Rev. 9v

Defining Display Area Defaults . 105Settings . 105Miscellaneous .107Menu Options and Functions .108File Menu . 108Select Patient . 108Latest Patient Images . 108Open Image for Annotation after Image OK. 109Login, Logout, Remote Login, 1 Patient Name . 109Exit. 109Patient's Latest Window Overview . 109Context Menu . 112Options Menu . 113Import Options . 114Batch Capture Options . 114Alternate Viewer Options . 115Auto Settings . 116Scroll Bar/Zoom Settings . 117Visit Location . 118Show Hints . 119Show Confirmation Messages . 119Toolbars. 120User Preferences .

Clinical Capture User Manual – Rev. 9 11 Introduction This manual explains how to configure and use the Clinical Capture software for Image Capture. Clinical Capture is a part of the VistA Imaging System. This manual is intended for use by clinical and administrative staff responsible for incorporating captured images

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