| Selecting Patients and Exams |
Once your system administrator has established your iSite Enterprise username and password, you will be able to access iSite Enterprise by pointing your Internet Explorer to the iSite Enterprise Server’s address. This address will be provided to you by your system administrator.
Enter your user name and password as provided to you by your System Administrator and then select the appropriate authentication scheme in the "Logon To" field.
As seen below, select the Workstation Location that is most appropriate for the location you are at. If you are working from inside your institution, leave the default setting "Main Location".
For more information on connecting to iSite Enterprise remotely, please see the Remote Access to iSite Enterprise section of this manual.
When you log in using your iSite Enterprise username and password, iSite Enterprise will load your specific controls and preferences. Please be aware that because iSite Enterprise is customized on a user by user basis, your interaction with the program (the patients you have access to, the tools available to you etc.) may be different from that of other users.
iSite Enterprise Control Strip
The Control Strip is the fixed point of your iSite
Enterprise session. It will launch automatically after you have logged in to the iSite
Enterprise Server.
The Control Strip contains the Help and Preferences Buttons(10), the Logout Button(9) and Patients Query Page Tab(2), as seen in the image below. This area of the iSite Enterprise Window will remain constant throughout your work with iSite Enterprise. After selecting patient exams, you will see Patient-Name Tabs (discussed below) in the lower-right corner of the iSite Enterprise Control Strip. These tabs will be your gateway to viewing patient exams.
The initial window you will see after logging into iSite Enterprise will be the Patient Directory. The Patient Directory consists of the Patient List, which shows the patients and exams that are available for viewing, and the Sort and Search Fields for organizing the Patient List. The Sort and Search features are particularly useful when there are numerous patients in your Patient List .
Please click on any of the numbers below to learn more about the feature.
The initial window in iSite Enterprise contains the following functional areas:
iSite Shortcut Bar: This area contains shortcut icons chosen from the iSite
Folder List ( 6 ) or even individual exams. Shortcuts for the Patient
Directory, Teaching Exams (a personal folder) and the "CT ALL"
filter are shown above. Clicking a shortcut will take you to the desired
folder, exam, filter or worklist. Shortcuts can be created in several ways.
For more information, please view the chapter on the iSite
Shortcut Bar.
Folder List
Tab: This tab displays the name of the most recently accessed tool,
folder or filter in the iSite Folder List ( 6 ). Click the tab to return to
that area of iSite Enterprise. For example, if you select an exam from the
"CT ALL" filter, iSite will immediately display that exam in the
canvas page. The Folder List Tab will display "CT ALL". Click the
tab to return to the "CT ALL" filter list.
iSite
Information Button: This button will display a pop-up window with
current product information such as build and version numbers.
Web Address:
The web address of your institution's iSite Server. In most cases, this will
be "http://localhost". Ask you iSite System Administrator for more
information.
Username:
The name of the user who is currently logged in. If this is not your name,
please exit iSite Enterprise and log in again. Remember, iSite Enterprise is
personalized based on individual users' preferences. If you are not logged
in, iSite Enterprise will not be able to apply your personal preferences.
iSite
Folder List: The iSite Folder list contains all the various folders,
filters and tools in iSite Enterprise. Click on a item in the folder tree to
use that part of the program. For detailed information and instructions,
please view the chapter on the iSite Folder List.
View Exams Tab:
This tab is your gateway to viewing patient exams and information. The tab
will display the number of patients that you have open for review. If you
have selected more than one patient you can select a specific patient by
right-clicking this tab and choosing the patient from the resulting list.
You can also close all open patients from this menu.
Product Name:
This portion of the screen displays the name of the iSite product currently
in use.
Logout Button: Clicking the Logout Button will return you to the
iSite Enterprise Login Screen.
Help Button
and Preferences Button: Clicking the Help Button activates the iSite Enterprise
User Manual.
Clicking the Preferences Button provides access to your personal preferences.
Patient Directory Sort and Search Fields allow you to sort the order of the Patient List by clicking on a column heading and to search the patient database using one or a combination of five criteria: Patient Name, Patient ID, Exam Date, Patient Location, Accession Number and Referring Physician. Please note that the Patient Location drop-down menu content is determined by your System Administrator. See the sections Sorting the Patient List, Searching the Patient List and Expanded Search for more information on sorting and searching the Patient Directory. All expanded patient listings can be closed by clicking the Close All button
Please note that callouts have been provided and will indicate the function of principal buttons if you let your mouse hovers over them momentarily.
The Patient Directory is the first screen to be displayed when you log in to iSite. The Directory allows you to quickly locate specific patients and their exams by searching for specific criteria such as patient name, patient ID, exam date, patient location etc. The resulting list can be sorted by the various column headers.
The Patient List can be searched using by entering information into the search fields and clicking the "Query" button, as seen below. iSite Enterprise will return up to 200 names that match your criteria, sorted in chronological order. If more than 200 names match your criteria, iSite Enterprise will return the first 200 listings and will display a message indicating that additional patients which match your criteria are present. To access these additional patients, you should narrow your search criteria as much as possible.
The Patient List can be searched using one or more of the following criteria:
· By Patient Name: Enter part or all of a patient's last name, then click the “Query” button. Patients whose names match your criteria will be displayed in the Patient List.
· By Patient ID: Enter all or part of a patient ID number, then click the “Query” button. Patients whose Patient ID match your criteria will be displayed in the Patient List.
· By Exam Date: Enter the date you wish to search for, then click the “Query” button. Patients whose exam dates match your criteria will be displayed in the Patient List. The Patient List can also be searched using one of the four preset dates shown below. The default setting for this field is "All."
EXAMPLE:
You wish to find a patient who was examined on November 1st, 2000, but you don't remember the patient’s entire name. Simply type “11/01/2000” in the Exam Date field, then click the “Query” button. iSite Enterprise will display all the patients who were examined on November 1st, 2000. If you remember part of a patient’s name, you may type that in as well. For example, running a search with the date "11/01/2000" and the name “Mora” in the Patient Name field will produce a list of patients whose last name begins with "Mora" and who were examined on November 1st, 2000.
The Patient List can also be searched using specific information such as Accession Number, Modality and Referring Physician and Organization. To access the expanded search features, click the plus symbols on the "Query" button. The expanded search fields function in the same manner as the default search options. Enter your search criteria in the appropriate field and then click the "Query" button.
The Patient List is automatically sorted by Patient Name in alphabetical order. You can also sort the Patient List by Patient ID or Exam Date.
To sort, click the gray column headings above the search fields. Clicking the column headings will alternately sort the Patient List in ascending order (A-Z or 1-9) or descending order (Z-A or 9-1).
Please note that the 
symbol
indicates which column the list is being sorted by. When the arrow is in the
position, the list is being sorted in ascending order, from 1-9 or from A-Z.
When the arrow is in the 
position, the list
is being sorted in descending order, from 9-1 or from Z-A.
To restore the default Patient List after having narrowed the List through a search, select the "All" option from the Exam Date pull-down menu and click the "Query" button.
Select a patient by clicking
the patient's name. This opens a list of the patient’s
exams that are available for
viewing.
Exams that have reports associated
with them display the 
symbol
next to their listing. This icon indicates that a radiologist's diagnostic
report is present and can be viewed. To view the report without opening the exam
itself, right-click on the 
symbol
and select "show report" from the pop-up menu. This option will be
displayed if no report is present.
If you wish to open all the exams for a certain patient simply double-click the patient listing.
More than one patient can be opened at once. Having selected one or more patients, you can then select any number of exams for viewing in that patient’s canvas page.
Deselect patients in the same way you selected them, by clicking on the arrow to the left of their name.
The patient's exam-list will subsequently collapse.
Once you have selected a patient and revealed their list of available exams, select the exams you wish to view by clicking that exam once. The listing will be highlighted. To open that exam immediately, double-click the exam listing. If you wish to select multiple exams, either from a single patient or from multiple patients, click each listing while holding down the Control Key. Double-click the last exam listing to open all of the exams simultaneously.
Deselect exams in the same way that you selected them, by holding down the Control Key and clicking the listing.
Once you have located the desired patient and exams, double-clicking will automatically take you to the iSite Enterprise Canvas Page, where you will view the diagnostic images.
If you had selected more than one patient, you can choose which patient to view by right-clicking the View Exams Tab and selecting the desired patient from the drop-down menu, as seen below.
The drop-down menu displays that patients' name, sex, date of birth and Patient ID. The last patient to be displayed is indicated with a check-mark. Choose any patient from the list and that patient's exams will be displayed. You can also close all open patients from this menu by selecting the "Close All Patient(s)" option.
If you wish to close all of the exams that have been opened in the Patient List, click the Close All button located in the upper left-hand corner of the Sort and Search fields.
Two additional functions, "Show Report" and "Export via DICOM" are available in the Patient List by right-clicking a patient exam listing. To access these functions, click the plus symbol next to a patient listing to reveal his or her exams. Right-click the exam that you would like to export or whose report you would like to view. A menu will be displayed, as seen below.
Show Report: If the report symbol (
Export Via DICOM: To export this exam to a DICOM device, such as a 3D-modeller, a teaching archive or a CD-ROM burner, select the "Export via DICOM" option. (Please note, this feature performs the same function as selecting the "Send Via DICOM" selection from the iSite Enterprise Patient History Timeline Pop-up menu.) The following window will be displayed.
The exam that you have selected is automatically selected and is displayed alongside other related exams. (Please note that the definition of "related exam" is set on a site-by-site basis. For more information, please ask your iSite System Administrator.) Check any other exams that you wish to export and then click the "Next>" button. The following window will appear.
This window contains all the available DICOM destinations at your institution. Check the destinations to which you wish to export your exam or exams. When you have made your selection, click the "Next >" button. The following window will be displayed.
This window provides a confirmation of the exam or exams that you intend to export and their destination or destinations. In this window, you may also notify yourself or others via email by entering email addresses separated by commas in the "Email" field. If your email is high priority, click the "High Priority" checkbox. If you would like your email to include a description of the exam you are exporting, fill in the "Description" field as desired.
You can exit the export via DICOM process at any time by clicking the "Cancel" button.
Add Exam to Folder: This feature allows you to add a patient exam to a folder from the Patient History Timeline. When you select the option, the following dialog will appear.
Navigate to the desired folder where you wish to place the new exam, as seen below.
Highlight the desired folder and click the "OK" button. Add the exam to the CD Manager folder if you wish to add it to a Direct Media project. The exam will be visible in the folder you have selected the next time you open it.
