3. Use the "Create Report" button at the bottom of your worklist to open and submit a new request for your radiologist to read a patient imaging exam. Be careful to use a Patient ID that matches the Patient ID of the patient imaging exam to enable your radiologist to easily find the exam. 


4. In the RemedyView worklist, you can see your hospital's cases listed. Highlight any case by clicking on it and you can get an action menu by moving your mouse over the left arrow on right. From here you can view/print the current report for the case or add an addendum to a completed case. Note the "Open Image..." action will not work on cases created manually (created without eFilm).



5. You can see the status of each case by moving your mouse over the icon in the Status column:

 - Active: Request is submitted, not yet opened by radiologist.

 - Locked: Request is opened by radiologist

 - Completed: Report is completed by radiologist

Note: Icons with a tiny "A" (addendum) mean the report has one or more addenda.


 Icons in the ST (stat) column:

 - Normal priority

 - Stat Setup for hospitals using another viewer or workstation (non-eFilm)

14 efilm Workstation 3.4 User s Guide efilm 3.0 The 3.0 release includes the following improvements: Toggle through image-defined lookup tables (LUTs) using keyboard short-cuts (see Changing Window/Level Presets on page 51). Customize DICOM overlays (see Customizing DICOM Configuration on page 69). Preload DICOM images when loading a patient study for review (see Customizing System Preferences on page 56). Display mammography markers without overlapping DICOM overlay text (see Using Image Markers on page 72). Run visualization services on a standalone workstation, or on a server (see Configuring Visualization Services on page 82). Include prior studies in your hanging protocols (see Enabling Hanging Protocols on page 88). Dock the thumbnail panel to the main window (see Docking the Thumbnail on page 149). Display cardio-thoracic ratio (see Displaying the Cardiothoracic Ratio (CTR) on page 188). Store images in an SQL Express database, which offers more storage and reliability. Label a spine using predefined annotations (see Labeling a Spine on page 192). Copy and paste images from efilm to other Microsoft Windows applications (see Copying and Pasting Images on page 228). What-You-See-Is-What-You-Get (WYSIWYG) DICOM printing to print images as you see it in the viewport (see Printing Images on page 232). Burn DICOM images and non-dicom objects to DVDs and CDs (see Burning Images to Media on page 234). Preserve presentation settings during the current active session while using Hanging Protocols (see Customizing Advanced User Settings for a Modality on page 54). 2


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15 efilm The release included the following improvements: Revised setup for site licensing and clients (see Setting Up a Site License on page 24). Revised thumbnail panel (see Understanding the Thumbnail Panel on page 144). Added option to suppress Scale marker when printing images (see Customizing Modality Settings on page 50). Added documentation on using efilm Enterprise Management to automatically maintain the list of remote devices (see Using efilm Enterprise Management on page 263). Revised how the right-click context menu loads related studies (see Arranging Study Series in Panes on page 100). efilm 2.1 The 2.1 release added the following features to efilm: Hanging Protocols Builder (see Enabling Hanging Protocols on page 88). Copy Annotations and Measurements (see Copying Annotations and Measurements on page 189). Resizable thumbnails (see Resizing Thumbnails on page 149). Can now view images generated by Radiotherapy (RT) modalities. Auto-lock feature: efilm now locks itself automatically after a configurable interval of system inactivity (see Configuring the Login Timeout on page 80). efilm Advanced Visualization plugins: a number of optional modules for efilm that provide additional visualization functionality. Audit logging (see Using Auditing on page 82). 3

19 Chapter 1 Getting Started System Requirements This section describes the hardware and software required to run efilm. Required Hardware efilm must be run on a computer that meets the following minimum hardware requirements: 1 gigahertz (GHz) processor 1 GB of system memory 40 GB free hard drive space (1 GB for installing efilm Workstation and 39 GB for image storage) DirectX 9 capable (WDDM driver support recommended) Minimum display resolution 1024 x 768 with 16 bit/high color CD/DVD writer When choosing computer hardware, users should note that the most substantial performance gains result when RAM is increased. In order to prevent poor performance of the software, Merge Healthcare does not recommend that efilm be run on a less powerful system than that listed above. Hard drive space should be added as image storage requirements increase. Recommended Hardware To get the most out of efilm, Merge Healthcare recommends that your computer meet the following specifications: 1 GHz processor 2 GB RAM Required Hardware for 3D Volume Rendering A video display adapter with at least 128 MB of video RAM that fully supports DirectX 9.0 or later. 7

21 Chapter 1 Getting Started For Visualization Services (Server Mode): Windows 2000 Server In addition, the Visualization services in server mode requires the following prerequisites: SQL Server 2000/SQL 2005 for VS EFW 3.0 VS will install and use SQL Express. IIS 4 or later.net Framework 2.0 For Visualization Services (Standalone Mode): Windows Vista (with SP1) Business Edition Windows Vista (with SP1) Home Premium Edition Windows Vista (with SP1) Enterprise Edition Refer to the product Help files and the Merge Healthcare Web site at for the most up-to-date system requirements. Customer Support For support, please contact Merge Healthcare Customer Support: In North America, call toll free support@merge.com Installing efilm This section explains how to install efilm: From a CD (see Installing from the CD on page 11). From a file downloaded from the Merge Healthcare Web site (see Installing from a Download on page 17). The procedure to upgrade efilm is the same as the installation procedure. You can only upgrade to efilm version 3.4 from versions 3.3 and 3.1. For versions earlier than 3.1, you must uninstall the previous version, then install version

23 Chapter 1 Getting Started The following table lists the options available for each type of installation when installing the Platinum model. Table 1-2: Platinum Model Installation Options Option Typical Compact Custom efilm Workstation audit S S S CTR S N/A O Standalone Visualization Service S N/A O efilm Lite S S S DICOM Dump S N/A O Seamless CD Burning S S S Image Filters S S S Sample Ortho Templates S N/A O Help S S S If you have previously used the visualization services on a server, and choose to switch the standalone version, the application does not migrate the visualization service tables from the server to your client workstation. The current version of the efilm application comes with an SQL Express database to provide more storage and increased reliability. This database is automatically installed when you choose the Typical installation. If you want to keep your Access database for DICOM image information, install the application using the Custom installation. When installing the application, clear the Migrate Data to SQL Express radio button in the installation wizard to use the Access database instead of the SQL Express database. Installing from the CD Follow the installation instructions provided in the Installation Wizard. Ensure that the system requirements outlined in About this Guide on page 6 are met prior to installing efilm. 11

24 efilm Workstation 3.4 User s Guide An efilm knowledge base is available at efilmcommunity/solutions.htm. This knowledge base provides solutions to common issues encountered by the efilm community. If you encounter any problems when installing the application, you can search the knowledge base for a list of possible solutions. Make sure you turn off any fire walls. To install efilm from the CD 1. Log on to the workstation as Administrator. 2. Insert the efilm CD into the CD-ROM drive. If you do not have Autorun enabled, on the Desktop double-click My Computer, double-click the drive letter associated with the CD-ROM (e.g., D:), and double-click setup.exe. 3. Click Install. If not already installed on the workstation, the system installs Microsoft SQL Server 2005 Express. 12

26 efilm Workstation 3.4 User s Guide 6. In the Customer Information dialog box, do the following: Type your user and company names in their respective fields. Select the Anyone Who Uses This Computer radio button if you want every user that logs onto the workstation to have access to the application. If you select the Only For Me radio button, only the user currently logged on to the workstation can access the application. Click Next. 14

28 efilm Workstation 3.4 User s Guide 8. In the DICOM Values dialog box, do the following: In the AE Title field, type the AE Title for this workstation. The default port number used by the application is If the application is not using port 4006, update the Port field with the correct port number. Click Next. 9. In the Setup Type dialog box, select the desired installation type then click Next. Refer to Table 1-1 and Table 1-2 for a list of options available with each type of installation. 16

29 Chapter 1 Getting Started 10. In the Start Copying Files dialog box, click Next to install the application. 11. The installer displays a message stating you must log in to the workstation using the same Windows user account after you restart the workstation. Click OK. 12. In the InstallShield Complete dialog box, select the Yes, I Want to Restart My Computer Now radio button, then click Finish. CAUTION: When you first restart the machine after installing efilm, you must log in again as the same user who installed efilm. 13. After the workstation restarts, log in to the workstation using the same Windows user account used to install the efilm (see Step 1). 14. Once the installation is complete and you have restarted your computer, you will have to decide whether to register efilm right away, or evaluate it for a thirty-day period. Installing from a Download Before you can install efilm, you must download the necessary file from 17 be457b7860

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