English

Clinical Configuration Manual

Xcelera Release 3.3
 Xcelera
Clinical Configuration Manual

Release 3.3

English
Philips Healthcare
 © Koninklijke Philips Electronics N.V. 2012
4522 170 18581

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ii Xcelera Release 3.3

 Table of Contents

1 Configuration Overview ................................................................... 1-1

1.1 Clinical Configuration Tools ........................................................1-1
1.1.1 Xcelera Clinical Application Configuration Tool ................1-2
1.1.2 Xcelera Profile Manager Tool ............................................1-2
1.1.3 Xcelera Profile Transport Tool ...........................................1-2
1.1.4 Xcelera Measurement Configuration Tool...........................1-3

2 Clinical Application Configuration Tool ....................................... 2-1

2.1 Configurable Options in Xcelera ..................................................2-2
2.2 Clinical Application Configuration Tool Basics ............................2-4
2.2.1 Before Using the Clinical Application Configuration Tool ...2-4
2.2.2 Starting and Exiting.........................................................2-4
2.2.3 Applying Changes.............................................................2-5
2.2.4 Changing Editors .............................................................2-5
2.3 Finding Codes Editor ...................................................................2-6
2.3.1 About Finding Codes........................................................2-6
2.3.2 About Study Types and Default Test Profiles.....................2-10
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2.3.3 Loading and Clearing Finding Groups and Finding Codes ......
2-12
2.3.4 Loading Finding Groups and Findings ............................2-12
2.3.5 Clearing Finding Codes and Finding Groups ...................2-12
2.3.6 Creating Finding Codes and Finding Groups ...................2-14
2.3.7 Adding a Finding Code to a Finding Group ....................2-17
2.3.8 Deleting Finding Codes and Finding Groups ...................2-18
2.3.9 Editing Finding Codes and Finding Group Descriptions...2-21
2.3.10 Reordering Finding Codes Within a Finding Group .........2-23
2.3.11 Importing and Exporting Finding Groups and Finding Codes..
2-23
2.3.12 Locating Finding Codes ..................................................2-26

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 2.4 Reporting Profiles Editor ............................................................2-26
2.4.1 Reporting Profiles Editor Window...................................2-28
2.4.2 About Study Types..........................................................2-30
2.4.3 Loading a Reporting Profile ............................................2-31
2.4.4 Modifying an Existing Reporting Profile ..........................2-32
2.4.5 Creating a Reporting Profile ...........................................2-34
2.4.6 Deleting a Reporting Profile............................................2-37
2.4.7 Creating and Modifying Sections and Adding Finding Groups .
2-38
2.4.8 Deleting Macros.............................................................2-40
2.5 Attributes Editor ........................................................................2-41
2.5.1 Creating Patient Attributes .............................................2-42
2.5.2 Creating Study Attributes ...............................................2-43
2.6 Other Settings Editor .................................................................2-44
2.6.1 Reason for Study List Editor............................................2-44
2.6.2 Image Flag List Editor....................................................2-47
2.6.3 Wall Scoring Method......................................................2-48
2.6.4 Selecting Password Settings for Finalizing Studies.............2-52
2.6.5 Launching AutoQUANT ...............................................2-53
2.7 Smart Chart Editor ....................................................................2-53
2.7.1 About Finding Groups and Codes ...................................2-54
2.7.2 Smart Chart Editor Window ..........................................2-54

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2.7.3 Configuring the Carotid Chart .......................................2-56

3 Profile Manager Tool ........................................................................ 3-1

3.1 Running Profile Manager .............................................................3-1
3.2 Configurable Options ..................................................................3-2
3.3 Making Selections ........................................................................3-3
3.3.1 Reason for Study ..............................................................3-3
3.3.2 Report Templates..............................................................3-4
3.3.3 Preferences .......................................................................3-6
3.3.4 Test Profiles......................................................................3-8

iv Xcelera Release 3.3

 4 Profile Transport Tool ..................................................................... 4-1
4.1 Running Profile Transport ...........................................................4-2
4.2 Exporting Reporting Profiles ........................................................4-3

5 Measurement Configuration Tool .................................................. 5-1

5.1 Overview ......................................................................................5-1
5.2 Default vs. Custom ......................................................................5-2
5.3 Using the Measurement Configuration Tool ................................5-3
5.4 Measurement Configuration Tool Window .................................5-3
5.5 Starting and Exiting the Measurement Configuration Tool ..........5-9
5.6 Viewing Measurements and Calculations .....................................5-9
5.7 Configure Measurements and Calculations Window Components ....
5-10
5.8 Creating New Measurements and Calculations ..........................5-15
5.8.1 Creating a New Cardiac Measurement ............................5-15
5.8.2 Creating a New Vascular Measurement ...........................5-17
5.8.3 Creating a New Calculation ...........................................5-18
5.8.4 Creating a New Measurement or Calculation Based on an Ex-
isting One5-20
5.9 Selecting Multiple Items .............................................................5-21
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5.10 Editing a Measurement or Calculation .......................................5-22

5.11 Deleting a Measurement or Calculation .....................................5-23
5.11.1 Constraints ....................................................................5-23
5.11.2 Showing and Hiding Deleted Measurements and Calculations .
5-25
5.11.3 Restoring Deleted Measurements and Calculations............5-25
5.12 Setting the Display Order of Vascular Measurements .................5-26
5.13 Importing and Exporting Measurements and Calculations .........5-27
5.13.1 Importing Measurements and Calculations from a File .....5-27
5.13.2 Exporting Measurements and Calculations to a File .........5-28
5.14 Updating the Templates .............................................................5-29
5.15 Saving Changes ..........................................................................5-29

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 5.16 Mapping DICOM Measurements ..............................................5-30
5.16.1 Map DICOM Measurements Window ............................5-33
5.16.2 Specifying the Measurement Source .................................5-36
5.16.3 Mapping DICOM SR Measurements to Xcelera Measurements
5-38
5.16.4 Working with Units and Conversion Factors ....................5-39
5.16.5 Exporting DICOM Mapping Data .................................5-41

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vi Xcelera Release 3.3

 1 Configuration Overview
The Xcelera system provides integrated image and patient management and
reporting for users in cardiovascular health care.

This manual provides details on using the clinical configuration tools

applications to configure the Xcelera Ultrasound Viewer application
application.

1.1 Clinical Configuration Tools

The Xcelera software comes with many features that you can configure to
meet your lab’s needs. Customizing Xcelera preserves your lab’s individual
identity and ensures that lab personnel work with familiar concepts and
protocols. Using Xcelera options, you can determine what users see when
they view and diagnose images or when they prepare or read a report.

Xcelera includes system tools, described in the following sections, that let you
configure Xcelera to meet your needs:
• "Xcelera Clinical Application Configuration Tool" on page 1-2
• "Xcelera Profile Manager Tool" on page 1-2
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• "Xcelera Profile Transport Tool" on page 1-2

• "Xcelera Measurement Configuration Tool" on page 1-3

NOTE You cannot run the Clinical Application Configuration Tool and the Measurement
Configuration Tool concurrently. The license structure only allows one tool to be run
at any given time. If you attempt to launch either of these tools while the other is
open, a message is displayed to inform you that the license to make configuration
changes is already in use. To open the second tool, you must first close the open tool.

Xcelera Release 3.3 Configuration Overview 1-1

1.1 Clinical Configuration Tools

1.1.1 Xcelera Clinical Application Configuration Tool

The Xcelera Clinical Application Configuration Tool consists of a series of
editors that you use to configure Xcelera. The settings you specify in the
Clinical Application Configuration Tool affect the fields and settings that the
user sees in the Xcelera Ultrasound Viewer application.
For more information, see "Clinical Application Configuration Tool"
on page 2-1.

1.1.2 Xcelera Profile Manager Tool

The Xcelera Ultrasound Viewer application comes with many features that
can be configured to meet a lab’s particular needs. The Xcelera Profile
Manager Tool lets you select some of these features as part of the Xcelera
installation.
NOTE The Profile Manager Tool can only be run on the server.

You must use the Profile Manager Tool on a new installation to replace the
factory-installed Test Profiles.

CAUTION Do NOT run the Profile Transport Tool as part of the upgrade process! This tool is
designed to be run on either existing Xcelera systems with the same versions (for

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example, 3.1 to 3.1), or after an upgrade has been completed. Do not run this tool on
a test server, or while upgrading an Xcelera system from one version to the next.

For information on using the Profile Manager Tool, see "Profile Manager
Tool" on page 3-1.

1.1.3 Xcelera Profile Transport Tool

Use the Profile Transport Tool to export reporting profiles and the associated
finding codes from an Xcelera system to a set of XML files. Once exported,
you can share your site’s reporting profiles with other Xcelera sites or Xcelera
databases. For information on using the Profile Transport Tool, see "Profile
Transport Tool" on page 4-1.

1- 2 Configuration Overview Xcelera Release 3.3

 Clinical Configuration Tools 1.1

NOTE The Profile Transport Tool can only be run on the server.

1.1.4 Xcelera Measurement Configuration Tool

NOTE You are responsible for any changes made using the Measurement Configuration Tool.
These changes may include adding, deleting, or updating existing manufacturer-
provided measurements and calculations that are stored in the Xcelera database.
The Xcelera Measurement Configuration Tool lets you create and select
measurements and calculations for use in the Xcelera Ultrasound Viewer
application.
Use the Measurement Configuration Tool to customize the set of
measurements and calculations available for each study type based on your
lab’s preferences. This tool also allows you to map and remap DICOM
measurements from ultrasound carts. Measurements must adhere to the
specifications required by the DICOM Structured Reporting Standard. For
more information, see "Measurement Configuration Tool" on page 5-1.
NOTE The Measurement Configuration Tool cannot be run concurrently with the Clinical
Application Configuration Tool.
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Xcelera Release 3.3 Configuration Overview 1-3

1.1 Clinical Configuration Tools

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1- 4 Configuration Overview Xcelera Release 3.3

 2 Clinical Application Configuration
Tool
This chapter provides information and step-by-step instructions for using the
Clinical Application Configuration Tool.

Use the Xcelera Clinical Application Configuration Tool to specify the

information that appears in the Xcelera Ultrasound Viewer application. The
settings you specify in the Clinical Application Configuration Tool affect the
fields and settings that the user sees in the Xcelera Ultrasound Viewer
application.

The Clinical Application Configuration Tool consists of a collection of the

following editors, which appear as tabbed pages.
• Finding Codes editor
• Reporting Profiles editor
• Attributes editor
• Other Settings editor
• Smart Chart editor
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NOTES Administrators can use all of the Clinical Application Configuration Tool editors.
However, other users must have the appropriate permissions to access and use the
Clinical Application Configuration Tool editors. For more information on permissions,
see the Xcelera Platform Administration Manual, the Xcelera Main Window Help or
contact your system administrator.

The Measurement Configuration Tool cannot be run concurrently with the Clinical
Application Configuration Tool.

Xcelera Release 3.3 Clinical Application Configuration Tool 2-1

2.1 Configurable Options in Xcelera

2.1 Configurable Options in Xcelera

Table 2-1 lists and describes the options that you can configure using the
Clinical Application Configuration Tool.
Table 2-1: Configurable Options in Xcelera
Configurable Effect on Xcelera Ultrasound Viewer For More Information:
Option application

AutoQuant If AutoQuant is installed, you can launch it "Other Settings Editor" on page 2-
from the Other Settings editor to view 44
nuclear medicine reports in the Xcelera
Nuclear Medicine Viewer.

Carotid Chart (Smart If configured, users can view the Carotid "Smart Chart Editor" on page 2-53
Chart) items Chart and associate findings carotid segments.

Finding codes and Users can edit and select the finding groups "Finding Codes Editor" on page 2-6
groups and finding codes.

Finding groups and The reporting profiles and sections that you "Reporting Profiles Editor"
sections edit and create and the finding groups you on page 2-26
assign appear in the Work Area Interpret
sheet.

Image flags The image flags that you specify are displayed "Other Settings Editor" on page 2-
as selections in the Image Captioning and 44
Flagging window.

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Reporting macros Reporting macros are created in the Xcelera "Reporting Profiles Editor"
Ultrasound Viewer application and can only be on page 2-26
deleted using the Clinical Application
Configuration Tool. The reporting macros
that you delete are no longer listed when the
user selects Run Macro from the Report
menu.

Reporting profiles The reporting profiles and sections that you "Reporting Profiles Editor"
edit and create and the finding groups you on page 2-26
assign appear in the Work Area Interpret
sheet. A Reporting Profile is associated with a
Study Type.

Password for finalizing The option you select specifies whether a user "Other Settings Editor" on page 2-
reports needs to enter a password to finalize a study. 44

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 Configurable Options in Xcelera 2.1

Table 2-1: Configurable Options in Xcelera (Continued)

Configurable Effect on Xcelera Ultrasound Viewer For More Information:
Option application

Reason for study The reasons you specify for why a study might "Other Settings Editor" on page 2-
be ordered are displayed as selections in the 44
Study Order window and in the Work Area
Comments sheet. Reasons for Study are
system-wide; they are not specific to a
Reporting Profile or Study Type.

Study types Study Types control which measurement lists "Reporting Profiles Editor"
are available. Each default ultrasound Study on page 2-26
Type that ships with Xcelera and each custom
Study Type created in the Xcelera Clinical
Application Configuration Tool is associated
with at least one Reporting Profile.

Summary statements The summary statements that you specify are "Reporting Profiles Editor"
displayed in the Summary section of the Work on page 2-26
Area Comments sheet.

Wall motion scoring The option you select specifies the method to "Other Settings Editor" on page 2-
method use for wall motion scoring. The method you 44
select is displayed in the Work Area Score
sheet. You can configure the percent normal
scores and the wall motion score index to
appear in a report.
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Xcelera Release 3.3 Clinical Application Configuration Tool 2-3

2.2 Clinical Application Configuration Tool Basics

2.2 Clinical Application Configuration Tool

Basics
This section lists information you should know before using the Clinical
Application Configuration Tool and explains how to start and exit the
application, how to apply changes, and how to switch between editors.

2.2.1 Before Using the Clinical Application

Configuration Tool
Any changes made in the Clinical Application Configuration Tool may affect
all of the Xcelera systems at your site. Therefore, you need to inform all users
to log off any Xcelera applications while you are making the changes.
NOTE If another user or users have the Xcelera Ultrasound Viewer application open at the
same time changes are made using the Clinical Application Configuration Tool, those
changes do not take effect until the Xcelera Ultrasound Viewer application is closed
and restarted.

2.2.2 Starting and Exiting

NOTE Make sure the Measurement Configuration Tool is not open when you try to start the
Clinical Application Configuration Tool; the two tools cannot run concurrently. If you

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try to open another instance of the Clinical Application Configuration Tool, a message
is displayed informing you that the tool is already in use. The second instance of the
tool closes.

To start the Clinical Application Configuration Tool:

1 Click Start and select Programs.
2 Navigate to the Philips Xcelera programs and select the Clinical Application
Configuration Tool.

To exit the Clinical Application Configuration Tool:

1 Click OK, Cancel, or in the upper right corner of the window.

2- 4 Clinical Application Configuration Tool Xcelera Release 3.3

 Clinical Application Configuration Tool Basics 2.2

A confirmation message is displayed. If you made changes without

applying them, the confirmation message also warns that you will lose any
unsaved changes.
2 Click Yes to exit.

2.2.3 Applying Changes

The lower right corner of each editor window includes three buttons:
• To store changes to the database and exit the Clinical Application
Configuration Tool, click OK.
• To discard changes and exit the tool, click Cancel.
• To discard changes, but keep the tool open, click Apply and then click No
when prompted to save the changes.
• To apply changes and continue using the editor, click Apply.

2.2.4 Changing Editors

After you make changes in an editor, you must click Apply to apply the
changes before you can switch to a different editor. If you try to change
editors without applying the changes, the system prompts you to click Apply.
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To switch to another editor after making changes:

1 Click Apply.
A message prompts you to save or discard the changes.
2 Click Yes to save the changes, or click No to discard the changes. If you click
Cancel, you will not be able to switch editors; you must click Yes or No.
3 Click an editor’s tab to open another editor.
NOTE In most editors, you must click Apply to save the changes to the database, and a
message prompts you to confirm the changes. However, changes you make in the
Other Settings editor are immediate and you are not prompted to save changes.

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2.3 Finding Codes Editor

2.3 Finding Codes Editor

This section describes how to use the Finding Codes editor to
• Add, delete, and modify finding codes and finding groups.
• Import and export finding codes.

2.3.1 About Finding Codes

Philips default Finding codes are alpha-numeric identifiers—each associated
with a clinical descriptive statement—that describe clinical conditions you
might find when performing an ultrasound exam. The Xcelera Ultrasound
Viewer uses these codes to build a report when interpreting studies.
Customizing finding groups and finding codes lets Xcelera Ultrasound
Viewer users mark and report their findings in the Work Area Interpret sheet
in the way that is most useful to them.

Xcelera supports viewing finding groups and codes in multiple languages in

addition to your system’s primary language. The primary language is
determined during the Xcelera installation and, in most cases, is based on the
same language as the operating system.

Finding Codes Editor Window

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When you first open the Finding Codes editor, both the Finding Groups and
Findings panes are empty. Use the Load button to load the window with the
finding groups and finding codes that are currently in the Xcelera database.
NOTE When you first click the Load button on a newly installed system, the system displays
“XX:00 Run Profile Manager.” In this case, you must first run the Profile Manager Tool
to load custom and Philips default finding codes and reporting profiles. The Philips
default profiles, while clinically usable, are intended primarily for demo and testing
purposes. For information on using the Profile Manager tool, see the "Profile Manager
Tool" on page 3-1. After running the tool, return to the Finding Codes Editor to work
with finding groups and codes.

The Finding Codes editor window is divided into two panes, as described in
the following sections.

2- 6 Clinical Application Configuration Tool Xcelera Release 3.3

 Finding Codes Editor 2.3

Finding Groups Pane

The Finding Groups pane currently lists all of the finding groups included in
Xcelera.

To display the finding codes that are included in a group, double-click the
group name.

Findings Pane
The Findings pane has four columns: Scheme, Code, Menu Text, and
Report Text. When finding codes are either imported or loaded into the
editor, this pane is filled with all of the finding codes for the selected
language. The list is sorted by scheme and then by code in alphanumeric
sequence.
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2.3 Finding Codes Editor

Table 2-2 lists and describes the columns in the Findings pane.
Table 2-2: Columns in the Findings Pane
Column Description
Title

Scheme A code scheme lets you group together sets of findings by attaching
a scheme name to a set of finding codes. When you use Clinical
Application Configuration Tool to create new finding codes, the
coding scheme is automatically labeled as CUSTOM. Finding codes
must belong to at least one scheme, but the same finding code may
belong to multiple schemes.
A code scheme can be up to 15 characters long.

Code Each finding code is a unique alphanumeric identifier that can be up

to 16 characters long. Duplicate codes are not allowed in the same
scheme.

Menu Text This column shows a brief description (up to 50 characters) of the
finding that is displayed when the user selects a finding code in the
menu in the Work Area Interpret sheet.

Note: The Menu Text can be customized to display in the report.

Contact your Xcelera representative for details on purchasing this
option.

Report This column shows the full description (up to 255 characters) of the
Text finding that by default, is displayed in the report.

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 Finding Codes Editor 2.3

Finding Code Properties

When you select a finding code, the Finding Code Properties window is
displayed. Table 2-3 lists and describes the components in the Finding Code
Properties window.
Table 2-3: Finding Code Properties Window Components
Component Description Examples

Finding Code A unique 16-character code that represents the LA-0013

finding statement. Rt CSC S.05

Menu Text A text-entry field that lets you enter a brief LA normal size
description (up to 50 characters) of the text that Antegrade both Vert A
appears when the user selects a finding code on the
menu in the Work Area Interpret sheet. You can
edit any existing finding code Menu Text. Your
changes appear in the Work Area only; they are not
displayed on the report or searchable in the database.
LA dilated: _
If you select the Extended Formatting check box, ‘stenosis’ Rt. ECA _.
you must include an underscore (_) in the menu text
to prompt the user to select or enter specific
information.

Report Text A text-entry field that lets you enter the full text (up The left atrial size is
to 255 characters) of the findings that appear in the normal.
report. You cannot edit the report text for findings Antegrade flow noted in
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that are stored in the database. both vertebral arteries.

If you select the Extended Formatting check box, The left atrium is _
you must add an underscore (_) to the Report Text dilated.
field as a qualifier to prompt the Xcelera Ultrasound The right external carotid
Viewer user to select or enter specific information. artery is _.

Interpretation Select this check box if you want to include the finding
Summary check code in the summary section of a report. If you select
box Extended Formatting and select the
Measurement option, you cannot select
Interpretation Summary.

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2.3 Finding Codes Editor

Table 2-3: Finding Code Properties Window Components (Continued)

Component Description Examples

Extended Select this check box to specify format options. If

Formatting check selected, you must include an underscore (_) in the
box Menu and Report Text fields as a qualifier to
prompt the user to select or enter specific
information. Note: Extended Formatting codes that
involve measurements must be created on the system
that is connected to the database on which they will
be used.

Format options Select from the following: In the Xcelera Ultrasound

–Fill In the Blank—This option lets you create report Viewer, the Blank Field
text that includes a fixed text portion and a blank field Finding Text Entry
that is filled in by the Xcelera Ultrasound Viewer user. window is displayed for
the user to enter a value.

–Multiple Choice—Additional fields are displayed for borderline, patent,

you to add the qualifiers that are displayed when the occluded, mildly
finding code is selected. moderately, not visualized

–Measurement—A list box is displayed for you to LA dimension

select a labeled measurement to associate with the CCA ratio vel
new finding code. CFA diam

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Measurement Specify the measurement category (Cardiac or
Category Vascular) with which the finding code is associated.

Measurement For vascular-related finding codes, specify the

Laterality measurement laterality (Right, No Laterality, or Left).

2.3.2 About Study Types and Default Test Profiles

Use the Profile Manager tool to view, select, and import complete reporting
profiles for clinical use for some of the Cardiac and Vascular profiles. For
information on using the Profile Manager tool, see "Profile Manager Tool"
on page 3-1.

2- 1 0 Clinical Application Configuration Tool Xcelera Release 3.3

 Finding Codes Editor 2.3

NOTES • If you have upgraded from a previous version of Xcelera, your reporting profiles are
retained from the previous version. The reporting profile, which includes all finding
codes and groups, retains the same Study Type associations as well. If you need to
modify the report template, contact your Philips representative for Report
Customization Services.
• The Vascular Study Type that was supported in previous releases of Xcelera is no
longer supported in Release 3.2 new installations.

Nuclear Medicine Study Types and Test Profiles

Keep in mind the following when working with Nuclear Medicine Study
types and test profiles:
• The Nuclear Medicine template is called NMTemplate.htm
• There are no Nuclear Medicine clinical profiles associated with the Profile
Manager Tool and there are no Nuclear Medicine measurements
associated with the Nuclear Medicine study types.
• There are no factory-supplied Reporting Profiles to replace the “Test”
profiles.
• Use the 3.1 version of the Profile Manager Tool to import custom profiles
created on R3.1 systems. use the Profile Transport Tool to export custom
profiles. Profiles created on the release 2.x platform will not be imported
into R3.1 system.
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• There are no Nuclear Medicine measurements assigned to the Nuclear

Medicine Study Types and Nuclear Medicine cannot be created or
performed in the NM Reporting application. However, measurement data
can be entered using customer-created finding codes.
• There is no Measure tab in the Work Area of the NM Reporting
application.
• Opening a Nuclear Medicine study from Main Window opens the NM
Reporting application.

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2.3 Finding Codes Editor

2.3.3 Loading and Clearing Finding Groups and Finding

Codes
This section provides instructions for loading and clearing finding groups
and finding codes.
NOTE The Xcelera installation comes with a number of test profiles. To load the default
Philips profiles into a newly installed R3.2 system, you must use the Profile Manager
tool. The reporting profiles you can import include associated finding groups, codes,
and templates. For information, see "Profile Manager Tool" on page 3-1.

2.3.4 Loading Finding Groups and Findings

When you first open the Finding Codes editor window, both the Finding
Groups and Findings panes are empty.
NOTE Before you run the Profile Manager Tool on a newly installed Xcelera system, two
placeholder finding codes and two placeholder finding groups informing you to run the
Profile Manager Tool. These placeholders are included in every “Test” profile. The
“Test” profiles associated with each Study Type are replaced when you import a
clinical profile for that Study Type.

To load finding groups and findings into the Finding Codes editor:
1 In the Finding Codes editor, click the Language list and select the language
you want to use if it is different from the one selected by default.

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2 Click Load to populate the Finding Codes editor with finding groups and
findings.

2.3.5 Clearing Finding Codes and Finding Groups

After you load finding groups and finding codes into the Finding Codes
editor, you can clear them without having to store the changes you made.

To clear the fields in the Finding Codes editor:

1 Do one of the following:

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 Finding Codes Editor 2.3

• If you did not make changes to the finding groups or finding codes, click
Clear.
• If you did make changes, click Apply.
A message prompts you to save the changes to the database.
2 Do one of the following:
• To save your changes, click Yes.
• To discard your changes, click No.
• To continue editing, click Cancel.
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2.3 Finding Codes Editor

2.3.6 Creating Finding Codes and Finding Groups

This section provides instructions for creating finding codes and finding
groups.

Creating Finding Codes

You can create either a completely new finding code or a new one that is
based on an existing finding code.
NOTE Duplicate finding codes are not allowed. Each finding code must have a unique name
and can include spaces. For example, “LV123” and “LV 123” are two separate finding
codes and are not considered duplicates.

Creating a New Finding Code

1 In the Finding Codes editor, click the Language list and select the language
you want to use if it is different from the one selected by default.
NOTE The primary language is determined during the Xcelera installation. In most cases, the
language is the same as the operating system on which the Xcelera application is
installed.
2 Click Load to populate the Finding Codes editor with finding groups and
findings.
TIP It is useful to take advantage of the alphanumeric sorting of finding codes so that you

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can keep related codes together once you add them to a finding group or groups. To
create a related finding, right-click an existing finding that is related to the finding you
want to create. For example, if you want to create a new finding code for left ventricle
interpretations, click an existing code that begins with LV.
3 Right-click the Findings pane in the section of the existing codes and select
New Finding Code.
The Specify New Finding Code Properties window is displayed with the
next finding code that is available in the sequence. Property values for the
new code are blank. See Table 2-3, “Finding Code Properties Window
Components,” on page 2-9 for more information about each field.
4 Specify the properties for the new finding code.
5 Do one of the following:

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 Finding Codes Editor 2.3

• To add the new finding code, click OK.

• The new finding code is displayed in the Findings pane with CUSTOM in
the Scheme column.
NOTE The Findings pane is sorted alphabetically by Scheme. Each new code that you create
appears in the Scheme column as CUSTOM. For information on exporting the
CUSTOM Scheme and changing the Scheme name, see "Exporting Finding Codes"
on page 2-25.
• To return to the Finding Codes editor without adding the finding code,
click Cancel.

Creating a New Finding Code Based on an Existing Finding Code

1 In the Finding Codes editor, select the language from the list and click Load.
2 Right-click the finding code on which you want to base the new finding code
and select New Finding Code Based On.
The Specify New Finding Code Properties window is displayed with the
next finding code that is available in the sequence. See Table 2-3, “Finding
Code Properties Window Components,” on page 2-9 for more information
about each field. Property values for the new code match the property values
of the code it is based on.
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3 (Optional) Enter the properties of the new finding code.

4 Do one of the following:
• To add the new finding code, click OK.
The new finding code is displayed in the Findings pane with CUSTOM in
the Scheme column.
NOTE The Findings pane is sorted alphabetically by Scheme. Each new code that you create
appears in the Scheme column as CUSTOM. For information on exporting the
CUSTOM Scheme and changing the Scheme name, see "Exporting Finding Codes"
on page 2-25.
• To return to the Finding Codes editor without adding the finding code,
click Cancel.

Creating a Finding Group

To create a new finding group:
1 In the Finding Codes editor, select a language from the list and click Load.
2 Right-click an existing group in the Finding Groups pane and select New
Group from the menu.
3 The Group Description window is displayed with the name of the currently
selected group.
Enter the name of the new group and click OK.

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4

The new group is listed in the Finding Groups pane in alphabetical order.
NOTES • This tool sorts the Finding Groups alphabetically. When assigning the group name,
use a meaningful prefix to sort and easily identify the group.
• Group names do not have to be unique. However, use caution when naming or
importing new groups. It is possible to have multiple finding groups with the same
name and different content. For example, the default Philips Finding Groups have
“ac:00” and “pc:00” for Adult Cardiac and Pediatric Cardiac.

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5 Click Apply.
A message prompts you to save the changes to the database.
6 Do one of the following:
- To save your changes, click Yes.
- To discard your changes, click No.
- To continue editing, click Cancel.

2.3.7 Adding a Finding Code to a Finding Group

A finding code can belong to more than one group.

To add a finding code to an existing finding group:

1 In the Finding Codes editor, select a language from the list and click Load.
2 In the Findings pane, select the finding code or codes that you want to add to
a finding group.
TIP You can select multiple finding codes at one time.
• To select noncontiguous finding codes, press and hold the Ctrl key while clicking
each finding code.
• To select all of the finding codes that are listed together, click the first finding code
and then press and hold the Shift key while clicking the last finding code. All of the
finding codes between the first and last are included in the selection.
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3 Drag the selected finding code or codes to the appropriate group in the
Finding Groups pane.
If you selected multiple finding codes, a confirmation message appears.
4 Do one of the following:
• To add the finding codes to the group, click OK.
• To return to the Finding Codes editor without adding the finding codes to
the group, click Cancel.
NOTE If you select finding codes that already exist in the finding group, they are not added to
the group. A message lists the findings that were not added.

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2.3.8 Deleting Finding Codes and Finding Groups

This section provides instructions and information for deleting finding codes
and finding groups.

Deleting a Finding Code

When you delete a finding code, it is removed from the Findings pane in the
Finding Codes editor and also from any finding groups to which it belongs.

If you delete a finding code that was used in an Xcelera Ultrasound Viewer
report, the finding is retained in the Xcelera database for reporting purposes
but is no longer available as a selection in the Xcelera Ultrasound Viewer for
future reports. Also, once deleted, the finding code is no longer visible in the
Clinical Application Configuration Tool.

To delete one or more finding codes:

1 In the Finding Codes editor, select a language from the list and click Load.
2 In the Findings pane, right-click the finding code or codes that you want to
delete and select Delete Finding Code(s), or press the Delete key.
TIP You can select multiple codes at one time:

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• To select contiguous finding codes, press and hold the Ctrl key while clicking each
finding code.
• To select all of the finding codes that are listed together, click the first finding code
and then press and hold the Shift key while clicking the last finding code. All of the
finding codes between the first and last are included in the selection.
A message prompts you to confirm the deletion of the code or codes you
selected. If you selected fewer than 15 codes for deletion, the codes are listed
in the message. If you selected 15 or more codes, the message does not
include a list of the codes but informs you that the deletion may take a long
time.

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3 Do one of the following:

• To delete the finding codes, click Yes.
• To cancel the deletion, click No.
4 Click Apply.
A message prompts you to save the changes to the database.
5 Do one of the following:
• To save your changes, click Yes.
• To discard your changes, click No.
• To continue editing, click Cancel.

Deleting a Finding Code from a Finding Group

To delete a finding code from a finding group:

1 In the Finding Codes editor, select a language from the list and click Load.
2 In the Finding Groups pane, double-click a finding group to list the finding
codes it contains.
NOTE A finding code can belong to more than one finding group.
3 Right-click the finding code you want to delete and select Delete Finding
Code from the menu.
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A message prompts you to confirm the deletion.

4 Do one of the following:
• To delete the finding from the group, click Yes.
• To cancel the deletion, click No.
5 Click Apply.
A message prompts you to save the changes to the database.

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6 Do one of the following:

• To save your changes, click Yes.
• To discard your changes, click No.
• To continue editing, click Cancel.
To delete a finding code from all groups to which it may belong, see
"Deleting a Finding Code" on page 2-18.

Constraints on Deleting a Finding Group

Although Xcelera lets you delete finding groups, you are limited by the
following:
• You cannot delete finding groups that contain hidden finding codes. A
hidden finding code is one that was used in an Xcelera Ultrasound Viewer
report but has since been deleted. The finding code is retained in the
Xcelera database and is listed in the Findings pane for reporting purposes,
but is no longer available as a selection in the Xcelera Ultrasound Viewer
for future reports.
• If a finding group was not used but is included in a reporting profile, the
finding group is not deleted from the reporting profile in the following
situations:
- The group is the reporting profile’s summary group.

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- The group is the last remaining group in the reporting profile, not
including the summary group.
NOTE See section 2.4 ‘Reporting Profiles Editor’ for more information about reporting
profiles.

Deleting a Finding Group

To delete a finding group:
1 In the Finding Codes editor, select a language from the list and click Load.
2 In the Finding Groups pane, right-click the group you want to delete and
select Delete Group.

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A warning message prompts you to confirm the deletion.

3 Do one of the following:
• To delete the group, click Yes.
• To cancel the deletion, click No.
4 Click Apply.
A message prompts you to save the changes to the database.
NOTE If you try to delete a finding group that cannot be deleted and you click Apply, a
warning message is displayed stating why the group could not be deleted.
5 Do one of the following:
• To save your changes, click Yes.
• To discard your changes, click No.
• To continue editing, click Cancel.

2.3.9 Editing Finding Codes and Finding Group

Descriptions
This section provides instructions and information for editing existing
finding codes and for editing the descriptions of finding groups.
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Editing a Finding Code

To edit a finding code:

1 In the Finding Codes editor, select a language from the list and click Load.
2 In the Findings pane, double-click the finding code. You can only select one
finding code at a time for editing.
The Specify Finding Code Properties window is displayed. You can only
modify the Interpretation Summary field and the Menu Text.

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NOTE Selecting the Interpretation Summary check box enables Xcelera Ultrasound Viewer
users to include the finding code in the Summary section of a report. If you select the
Extended Formatting check box and then select the Measurement format option, you
cannot select the Interpretation Summary check box.
3 Select or clear the Interpretation Summary check box, or edit the Menu Text
as necessary, and click OK.
4 Click Apply.
A message prompts you to save the changes to the database.
5 Do one of the following:
• To save your changes, click Yes.
• To discard your changes, click No.
• To continue editing, click Cancel.

Editing a Finding Group Description

To edit the name of the finding group:
1 In the Finding Codes editor, select a language from the list and click Load.
2 In the Finding Groups pane, right-click the group you want to edit and select
Edit Group Description.
The Group Description window is displayed.

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3 Edit the name of the group and click OK.
Click Apply. A message prompts you to save the changes to the database.
4 Do one of the following:
• To save your changes, click Yes.
• To discard your changes, click No.
• To continue editing, click Cancel.

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2.3.10 Reordering Finding Codes Within a Finding Group

To change the order of finding codes within a finding group:
1 In the Finding Codes editor, select a language from the list and click Load.
2 In the Finding Groups pane, double-click the group to display its finding
codes.
3 Drag a finding code to a new location within the finding group. To move the
finding code to the top of the list, drop it on the finding group label.
4 Click Apply.
A message prompts you to save the changes to the database.
5 Do one of the following:
• To save your changes, click Yes.
• To discard your changes, click No.
• To continue editing, click Cancel.

2.3.11 Importing and Exporting Finding Groups and

Finding Codes
This section provides information and instructions for importing and
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exporting finding codes and finding groups.

Importing finding codes and finding groups adds them to the database.
Exporting saves a copy of the selected finding codes or groups to a file.
NOTE You can only import or export findings if they are included in a group.

Importing Finding Codes and Finding Groups

After you load the finding codes and finding groups into the Finding Codes
editor, you can import additional finding codes.

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Restriction
Xcelera prevents you from importing schemes that are already in the
database.
NOTE You can use Notepad to change the scheme name, which appears on the second line
of the file, under “B.0.” Since you cannot import duplicate Scheme names, it is
important to keep the Scheme names unique.

Before You Begin

Philips recommends that you save any changes to the database before starting
the import function. If an error occurs, the Finding Codes editor is cleared
and all changes you made are lost.
NOTE The import operation always creates new finding groups. If you want to add newly
imported findings to an existing finding group, see "Adding a Finding Code to a Finding
Group" on page 2-17 for instructions.

To import finding codes:

1 In the Finding Codes editor, click Load.
2 Click Import.
The Open window is displayed.
3 Navigate to the directory and folder where the text file you want to import is

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located, select the file, and click Open.
The imported finding codes appear in the Findings pane. The groups in
which the code are contained are added to the Finding Groups pane.
NOTE If an error occurs while importing, a warning message appears listing the line number
in the file where the error occurred, as well as a description of the error. You can open
the file in Notepad or Excel to find and correct the error.
4 Click Apply. A message prompts you to save the changes to the database.
5 Do one of the following:
• To save your changes, click Yes.
• To discard your changes, click No.

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 Finding Codes Editor 2.3

• To continue editing, click Cancel.

Exporting Finding Codes

Once you load finding codes and groups into the Finding Codes editor, you
can export the findings of the associated finding group or groups. You cannot
export findings that are not included in a finding group.

You can export all of the findings or only those that are associated with a
specific coding scheme.

The findings are exported as a text file that lists the finding codes with their
respective finding groups. Once exported, you can import the file into a
spreadsheet or database application and modify, format, or print it.

To export findings:
1 In the Finding Codes editor, click Load.
2 Click Export. The Select a Coding Scheme window is displayed.
3 Click the Specify list and select the coding scheme of the finding codes you
want to export, or select All to export all the finding codes in all the coding
schemes in the database.
4 Click OK. If you selected All, enter the name of the coding scheme when
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prompted and click OK again. The Save As window is displayed.

5 Navigate to the directory and folder where you want to save the exported file
and, if necessary, specify the name of the text file in the File Name field.
6 Click Save to export the finding codes and groups.
NOTE After exporting the finding codes and groups, you can edit the file using Notepad or
Excel and change the Scheme name from CUSTOM to a name that better suits your
needs. Since you cannot import duplicate Scheme names, it is important to keep the
Scheme names unique.

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2.3.12 Locating Finding Codes

Finding codes may belong to one or more finding groups, or to no finding
group. You can search for finding codes that are within a single finding group
and for finding codes that do not belong to a group.

To locate a finding code:

1 In the Finding Codes editor, click Load.
2 Do one of the following:
• If you know which group the finding code is in, double-click the finding
group to which the finding code belongs to reveal all of the codes
associated with the selected group. Scroll up or down to locate the finding
code. Double-click the finding code in the Finding Groups pane to
highlight the same finding code in the Findings pane.
• If you do not know the finding group to which a finding code belongs, or
if the finding code does not belong to any finding group, you must scroll
through the list of finding codes to locate the finding code. Finding codes
are listed in alphanumeric order in the Code column of the Findings pane.

2.4 Reporting Profiles Editor

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This section provides information and instructions for using the Reporting
Profiles editor. The reporting profile determines the format content of a
report and the selections available to Xcelera Ultrasound Viewer application
users in the Work Area Interpret sheet.
Table 2-4 shows the default Study Types and associated Test Reporting
Profiles that are included with the Xcelera application.

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Table 2-4: Default Study Types and Associated Test Reporting Profiles
Modality Study Type Reporting Profile

US Adult Adult:Test

Pediatric Pediatric:Test

TEE TEE:Test

Stress Stress:Test

V Carotid Carotid:Test

V Groin Groin:Test

V LEA LEA:Test

V LEV LEV:Test

V Visceral Visceral:Test

NM Blood Pool Blood Pool SPECT:Test

SPECT

Perfusion SPECT Perfusion SPECT:Test

• Cardiac study types: Adult, Pediatric, Stress, and TEE

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• Vascular study types: V Carotid, V Groin, V LEA, V LEV, V Visceral

• Nuclear Medicine study types: BloodPool SPECT (Blood Pool SPECT:
Test) and Perfusion SPECT (Perfusion SPECT:Test)
NOTES The Xcelera installation loads test profiles. After Xcelera is installed, you must use the
Profile Manager tool to view, select, and import clinical reporting profiles. For
information on using the Profile Manager tool, see "Profile Manager Tool" on
page 3-1.

After you import reporting profiles for clinical use, you can use this editor to:
• Add, delete, and edit reporting profiles.
• Add and delete study types.
• Specify which HTML template to use.

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2.4 Reporting Profiles Editor

• Specify the sections and the finding groups that are available for selection
in the Work Area Interpret sheet and which summary statements are
available for selection in the Summary Statement section of the Work Area
Comments sheet.
• Delete reporting macros.
• Specify the default reporting profile for each study type.

2.4.1 Reporting Profiles Editor Window

Table 2-5 lists and describes the components in the Reporting Profiles editor.
With the exception of the New, Clear, OK, and Cancel buttons, the controls
in the Reporting Profiles editor are disabled until you create a new profile or
select an existing profile.

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Table 2-5: Reporting Profiles Editor Window

Component Description

Study Type Lists the Xcelera study type associated with the reporting profile. See
"About Study Types" on page 2-30 for more information.

Languages When creating a new profile the Language button is active and allows you
to select a different language. If finding codes/groups have been loaded in
that language (using Finding Codes editor) a profile can be created. When
editing an exiting profile, or when you base the new profile on an existing
profile, the Language button is not available.

Clear Resets the Reporting Profiles editor and discards changes to the current
Selections profile.
button

Reporting Lists all of the reporting profiles defined on the system and lets you select
Profile from a list of existing reporting profiles.

New button Does one of the following:

-- If you have already selected a profile, clicking this button creates a new
profile based on the selected profile which you can edit.
-- If you have not already selected a profile, clicking this button creates a
new empty reporting profile.

Delete button Deletes the selected user-defined study type and all of the associated
profiles. You cannot delete predefined Xcelera study types, and you cannot
delete the default reporting profile for a study type.
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Rename button Lets you rename the selected user-defined study type. You cannot rename
predefined Xcelera study types.

Study Type Specifies that the current reporting profile is the default for the selected
Default check study type.
box

HTML Lets you select the report template.

Template

Description Lets you enter a description of the reporting profile. This description only
appears in this editor; you will not see it elsewhere.

Macros Lists all macros assigned to the active reporting profile. Macros are created
in the Ultrasound Viewer application, and are deleted in the Clinical
Application Configuration Tool.

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Table 2-5: Reporting Profiles Editor Window (Continued)

Component Description (Continued)

Finding Groups Lists all finding groups that are associated with the selected language.

Section buttons Selects a section of the report for configuration. You can define up to 20
sections; each can have five finding Group Box fields assigned to it. Double-
clicking on a Finding Group displays the Finding Codes within that group.

Label button Opens the S e c t io n window for the selected Section button. In the
window, you can name the section and specify a heading to appear in a
report.

Group Box field For each section in the profile, there are five Group Box fields where you
can place finding groups to associate with the reporting profile. There is
one Group Box field for the Summary section. Each profile must include a
Summary. Each group can only be in one section of any profile.

2.4.2 About Study Types

When you create a new reporting profile, one of the study type selections is
New Study Type. Selecting this option automatically makes this reporting
profile the study type default for this study type. You can also select an
existing study type when you create a new reporting profile.
The system prompts you to enter the name of the new study type and its type (cardiac

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NOTE
or vascular) after you click Apply. You also assign the appropriate modality: NM or US

If you create a reporting profile with a new study type, no measurements or

calculations are associated with that study type. You must use the
Measurement Configuration Tool to assign the measurements and
calculations to each new study type that you create.
NOTES • If you create a Nuclear Medicine (NM) Study Type, it will not appear in the
Measurement Configuration Tool because there are no measurements that apply.
• Cardiac and Vascular Study Types are listed and configured separately in the
Measurement Configuration Tool, based on which Measurement Category you
select.
For more information, see Chapter 5 Measurement Configuration Tool.

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NOTES • You can rename or delete any study types that you create. See "Renaming a Study
Type" on page 2-33 and "Deleting a Study Type" on page 2-34 for more
information and instructions.
• You cannot create a new Stress study type. Only the default stress study type is
associated with the stress reporting attributes that are used in the Study
Information and the Stage Information sections in the Xcelera Ultrasound Viewer.

2.4.3 Loading a Reporting Profile

NOTES • The Xcelera Ultrasound Viewer application comes with example test profiles. After
Xcelera is installed, you must use the Profile Manager tool to view, select, and
import complete reporting profiles for clinical use. For information on using the
Profile Manager tool, see "Profile Manager Tool" on page 3-1.
• The test profiles are automatically deleted when a clinical profile of the same study
type is imported.
• The following Vascular test profiles do not have a clinical replacement profile in the
Profile Manager Tool: Groin, Lower Ext. Arterial, Lower Ext. Venous & Visceral.
These remain in the list and you cannot delete them until you create another profile
to assign as the default to the accompanying Study Types. To hide these Study
Types and Profiles, contact your Philips representative.

To load a reporting profile, in the Reporting Profile editor, click the

Reporting Profile list and select a reporting profile.

The following components display the existing values for the reporting
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profile you selected: Study Type, HTML Template, Study Type Default
check box, Description, and Macros.

You can update the information in the HTML Template field and in the
Description field. If the Study Type Default check box is not selected, this
field is also available.
NOTE The Study Type Default check box is disabled when the default reporting profile for a
study type is loaded. You cannot delete the default reporting profile. Instead, you must
create another reporting profile to take its place.

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2.4.4 Modifying an Existing Reporting Profile

After a reporting profile is stored in the Xcelera database, many aspects
cannot be changed. This ensures that the integrity of a report using a
particular reporting profile is maintained whenever it is necessary to load the
report into the Xcelera Ultrasound Viewer.

CAUTION Any changes you make to an existing reporting profile may impact the interface
connection with the HIS.

Options You Can Modify

You can make the following changes to an existing reporting profile:
• Change the HTML template file.
• Select the Study Type Default check box if it is available, and is not
already selected.
• Modify the reporting profile description.
• Delete reporting profile macros.
• Delete or rename user-defined study types.
• Add or edit Section button labels and reporting headings.
• Add finding groups to a new or existing section with empty Group Box

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fields.

Options You Cannot Modify

You cannot make the following changes to an existing reporting profile:
• Rename a reporting profile.
• Change the study type.
• Delete or move finding groups within the reporting profile.
• Delete Sections from the reporting profile.

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Modifying an Existing Reporting Profile

To modify a reporting profile:
1 In the Reporting Profile editor, click the Reporting Profile list and select the
reporting profile you want to modify.
A message warns you that any unsaved changes will be lost.
2 Click Yes to continue.
3 Modify the reporting profile as needed. See "Options You Can Modify"
on page 2-32.
4 Click Apply. A message prompts you to save the changes to the database.
5 Do one of the following:
• To save your changes, click Yes.
• To discard your changes, click No.
• To continue editing, click Cancel.

Renaming a Study Type

You can only rename a study type that you created and defined as a new study
type. You cannot rename Xcelera predefined study types.
NOTE Each study type must have a unique name. If the study type is renamed, then the
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corresponding change must be made in the broker mappings for the study type.

To rename a study type:

1 In the Reporting Profile editor, click the Reporting Profile list and select the
reporting profile that uses the study type you want to rename.
2 Click Rename.
A message warns you that changes cannot be undone and prompts you to
continue or cancel renaming the study type.
3 Click OK.
A window is displayed prompting you to specify the new name for the study
type.

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2.4 Reporting Profiles Editor

4 Enter the new name of the study type and click OK.
A confirmation message is displayed.
5 Click OK.

Deleting a Study Type

You can only delete a study type that you created and defined as a new study
type. You cannot delete Xcelera predefined study types.

To delete a study type:

1 In the Reporting Profile editor, click the Reporting Profile list and select the
reporting profile that uses the study type you want to delete.
2 Click Delete.
A message warns you that deleting the study type deletes all reporting profiles
that are associated with that study type and that changes cannot be undone.
The message prompts you to continue or cancel deleting the study type.
3 Click OK.
A confirmation message is displayed.
4 Click OK.

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2.4.5 Creating a Reporting Profile
Sometimes you will want to create a unique reporting profile. For example, a
lab may have their own set of criteria against which they interpret exams and
require the associated findings in a reporting profile.

There can be more than one reporting profile for each study type. However,
there can only be one study type associated with each reporting profile.
NOTE Each reporting profile must have a unique name which can include spaces. Duplicates
are not allowed. For example, “Adult01” and “Adult 01” are two separate reporting
profiles.

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You can create a new reporting profile based on an existing reporting profile,
or you can create a completely new reporting profile.

Creating a New Reporting Profile Based On an Existing One

To create a new reporting profile based on an existing reporting profile:
1 In the Reporting Profile editor, click the Reporting Profile list and select the
reporting profile on which you want to base the new reporting profile.
2 Click New.
All fields show the values for the original reporting profile, but the Study
Type Default check box is not selected.
A message warns you that any unsaved changes will be lost.
3 Click Yes to continue.
The Report Profile Name window is displayed.
4 Enter a unique name for the new reporting profile and click OK.
5 (Optional) Change the field values wherever the new reporting profile is
different from the existing one:
• Click the Study Type list and select a study type.

NOTE If you select New Study Type, a message prompts you to enter the name of the study
type and its type (cardiac or vascular) and its modality (NM or US) after you click
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Apply. Duplicates are not allowed. Each study type must have a unique name and can
include spaces. For example, “Adult1” and “Adult 01” are two separate study types.
• Select the HTML template from the HTML Template list.
• (Optional) Enter the reporting profile description in the Description field.

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• (Optional if the reporting profile uses an existing study type) Select the
Study Type Default check box to specify the reporting profile as the
default for the study type.
• Place finding groups into Group Box fields for each section by dragging a
finding group from the list and dropping it into one of the five Group Box
fields. To remove a finding group from a Group Box field, select the
finding group in the Group Box field and press Delete.
6 Click Apply.
A message prompts you to save the changes to the database.
7 Do one of the following:
• To save your changes, click Yes.
• To discard your changes, click No.
• To continue editing, click Cancel.

Creating a New Reporting Profile

To create a new reporting profile:
1 In the Reporting Profile editor, make sure there is no reporting profile
currently selected.
2 Click New.

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The Report Profile Name window is displayed.
3 Enter a unique name for the new reporting profile in the Reporting Profile
field and click OK.
4 Do the following:
• Click the Study Type list and select a study type.
• Select the HTML template from the HTML Template list.
• (Optional) Enter the reporting profile description in the Description field.

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• (Optional if the new reporting profile uses an existing study type) Select
the Study Type Default check box to specify the reporting profile as the
default for the study type.
• Place finding groups into Group Box fields for each section by dragging a
finding group from the list and dropping it into one of the five Group Box
fields.
5 Click Apply.
NOTE If you selected New Study Type in step 4, a message prompts you to enter the name of
the study type. Duplicates are not allowed. You must also choose a type for the new
study type (cardiac or vascular) and its modality (NM or US).
A message prompts you to save the changes to the database.
6 Do one of the following:
• To save your changes, click Yes.
• To discard your changes, click No.
• To continue editing, click Cancel.

2.4.6 Deleting a Reporting Profile

You can delete a reporting profile only if it is not the default for a study type.
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If you delete a reporting profile and an Xcelera Ultrasound Viewer user opens
a study that previously used the reporting profile, the user can still view the
report with the original reporting profile because Xcelera maintains the
profile in the database.
To delete a reporting profile:
1 In the Reporting Profile editor, click the Reporting Profile list and select a
reporting profile.
2 Click Delete.
A message is displayed stating that the profile will be permanently deleted for
use with new reports in the Xcelera Ultrasound Viewer.

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2.4 Reporting Profiles Editor

3 Do one of the following:

• To delete the reporting profile, click Yes.
• To cancel the deletion, click No.

2.4.7 Creating and Modifying Sections and Adding

Finding Groups
Existing reporting profiles display section buttons that are already labeled
and defined. The label Not in Use indicates that the section has nothing
assigned to it.

Summary Statements are assigned to the Summary button which are

included in all reporting profiles.

Creating a New Section

To create new sections and assign finding groups to Group Box fields:
1 Load the reporting profile to which you want to add a new section.
2 Click one of the section buttons labeled Not In Use, and then click Label.
The Section window is displayed.
3 Enter the name of the new section in the Specify field. The text you enter

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automatically appears in the Report Heading field. You can edit the text if
necessary.
NOTE The text displayed on the section button can differ from the text that is displayed in a
report. Optionally, to have no section text display in a report, leave the Reporting
Heading field blank.
4 Click OK.
5 With the new section box selected, associate a finding group with a Group
Box field by dragging the finding group from the list and dropping it into
one of the five Group Box fields. You can only associate one finding group
with each Group Box field.

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 Reporting Profiles Editor 2.4

NOTE If you specify a section without adding any finding groups, a message prompts you to
add finding groups to the section or to rename the section to its original label, Not in
Use.
6 Click Apply.
A message prompts you to save the changes to the database.
7 Do one of the following:
• To save your changes, click Yes.
• To discard your changes, click No.
• To continue editing, click Cancel.

Modifying a Section
To change a section:
1 Load the reporting profile whose section headings you want to modify.
2 Click the section button that you want to modify, and then click Label.
The Section window is displayed.
3 Enter the name of the section in the Specify field. The text you enter
automatically appears in the Report Heading field. You can edit the text if
necessary.
TIP You may want to use an abbreviated button label (for example, LV) but a full report
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heading (for example, Left Ventricle).

4 Click OK.
5 (Optional) With the section button selected, associate a finding group with a
Group Box field by dragging a finding group from the list and dropping it
into one of the five Group Box fields. You can only associate one finding
group with each Group Box field.
NOTE If you specify a section without adding any finding groups, a message is displayed
prompting you to add finding groups to the section or rename the section to its
original label, Not in Use.

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2.4 Reporting Profiles Editor

6 (Optional) To delete a finding group from an existing section and its

associated Group Box field, select the finding group in the Group Box field
and press Delete.
NOTE If the reporting profile is the default for a study type, you cannot delete the group.
7 Click Apply.
A message prompts you to save the changes to the database.
8 Do one of the following:
• To save your changes, click Yes.
• To discard your changes, click No.
• To continue editing, click Cancel.

2.4.8 Deleting Macros

Creating and deleting macros require certain permissions. Xcelera users with
the appropriate permissions can create macros in the Ultrasound Viewer, but
they cannot delete them. Macros can only be deleted using the Reporting
Profiles editor. For more information about permissions, see the Xcelera
Platform Administration Manual or contact your system administrator.

To delete a macro:

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1 In the Reporting Profiles editor, load the reporting profile for which you
want to delete a macro.
2 In the Macros field, right-click the macro you want to delete and select
Delete.
A message prompts you to confirm the deletion.
3 Click Yes to delete the macro.
A confirmation message is displayed.
4 Click Apply.
A message prompts you to save the changes to the database.

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 Attributes Editor 2.5

5 Do one of the following:

• To save your changes, click Yes.
• To discard your changes, click No.
• To continue editing, click Cancel.

2.5 Attributes Editor

The Attributes editor lets you enter up to five patient attributes and up to
five study attributes for use in the Xcelera Ultrasound Viewer application.

Use this editor to expand on the attributes that already exist within the
system to further customize the report area.
The patient and study attributes are displayed in the Work Area Information
sheet in the Xcelera Ultrasound Viewer application. Patient attributes are
displayed in the Patient Information section, and study attributes are
displayed in the Study Information section.
NOTES • Once created, the patient attributes and study attributes cannot be changed or
deleted.
• The patient and study attributes that you create are displayed in the Work Area in
ALL reporting profiles.
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2.5 Attributes Editor

2.5.1 Creating Patient Attributes

To create new patient attributes:
1 In the Attributes editor, click the Patient Attribute 1 field and enter the
name of the attribute. You can enter up to 64 characters including numbers
and spaces.
NOTE Existing attributes appear dimmed. You cannot edit or delete existing attributes.
2 (Optional) Enter additional patient attributes in the remaining Patient
Attribute fields (2 through 5).
NOTE Once you enter a patient attribute and click Apply, you cannot delete it or edit it.
3 Click Apply.
A message prompts you to save your changes.
4 Do one of the following:
• To save your changes, click Yes.
• To discard your changes, click No.
• To continue editing, click Cancel.

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 Attributes Editor 2.5

2.5.2 Creating Study Attributes

To create new study attributes:
1 In the Attributes editor, click the Study Attribute 1 field and enter the name
of the attribute. You can enter up to 64 characters including numbers and
spaces.
NOTE Existing attributes appear dimmed. You cannot edit or delete existing attributes.
2 (Optional) Enter additional study attributes in the remaining Study
Attribute fields (2 through 5).
NOTE Once you enter a study attribute and click Apply, you cannot delete it or edit it.
3 Click Apply.
A message prompts you to save your changes.
4 Do one of the following:
• To save your changes, click Yes.
• To discard your changes, click No.
• To continue editing, click Cancel.
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2.6 Other Settings Editor

2.6 Other Settings Editor

The Other Settings editor is a collection of the editors that you can use to
• Add, delete, and rearrange the list of reasons for a study that appear in the
Ultrasound Viewer.
• Add, delete, and rearrange the list of image flags that appear in the Image
Captioning and Flagging window.
• Specify the method used to perform wall motion scoring method (ASE or
Xcelera) and reporting content.
• Specify whether to display the wall score percent normal and wall motion
score index in the report.
• Specify whether it is necessary for a user to enter a password when
finalizing a study.
• Specify whether to launch the AutoQUANT tool, if it is installed.

2.6.1 Reason for Study List Editor

The Reason for Study List editor lets you add, sequence, and delete entries in
the lists of reasons for a study. This list of reasons appears in the Xcelera
Ultrasound Viewer application when users are ordering studies or entering

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comments in a report.
NOTE Reasons for Study are system-wide; they are not specific to a Reporting Profile or
Study Type. Reasons that you enter appear for every Study Type and Reporting Profile
in your system.
If you used the Profile Manager tool to select the reasons for studies, you can
use the Reason for Study List editor to edit the list.

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 Other Settings Editor 2.6

Adding a New Reason for a Study

To add a new reason for a study to the list:
1 In the Other Settings editor, click Reason for Study.
The Reason for Study List editor is displayed.
NOTE To add a new reason so that it appears below one that already exists, select the
existing reason before you enter the new reason.
2 Enter the new reason for a study in the blank field on the left side of the
window.
3 Click Add, or press Enter.
The new reason is added to the list.
4 (Optional) Repeat steps 2 and 3 to add additional reasons to the list.
5 Click OK to update the database with the current list of reasons.
A message is displayed confirming the update. Changes to the database are
immediate.
6 Click OK.
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2.6 Other Settings Editor

Changing the Order of the Reason for Study List

To change the order of the entries in the list:
1 In the Other Settings editor, click Reason for Study.
The Reason for Study List editor is displayed.
2 Click the reason in the list and drag it to a new location within the list.
Repeat this step as needed to reorder the entries in the list of reasons. The
entries will appear in the final order in the Reason for Study list on the Work
Area Comments sheet of the Xcelera Ultrasound Viewer application.
3 Click OK to update the database with the rearranged list of reasons for a
study.
A message is displayed confirming the update. Changes to the database are
immediate.
4 Click OK.

Deleting Reasons for a Study

To delete a reason from the list:
1 In the Other Settings editor, click Reason for Study.
The Reason for Study List editor is displayed.
Click the reason you want to delete from the list of reasons.

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2

3 Press Delete.
4 (Optional) Repeat steps 2 and 3 to delete reasons from the list.
5 Click OK to update the database.
A message is displayed confirming the update. Changes to the database are
immediate.
6 Click OK.

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 Other Settings Editor 2.6

2.6.2 Image Flag List Editor

The Image Flag List editor lets you add, sequence, and delete entries in the
image flag list. This list of flags is displayed in the Xcelera Ultrasound Viewer
application when users are adding or editing image captions or flags.
NOTE The image flag list is preloaded with a list that is based on the DICOM standard.

Adding an Image Flag

To add a new image flag to the list:
1 In the Other Settings editor, click Image Flags.
The Image Flag List editor is displayed.
NOTE To add a new flag so that it appears below one that already exists, select the existing
flag before you enter the new flag.
2 Enter the flag text you want to add in the blank field on the left side of the
window.
3 Click Add. The new flag is added to the list.
4 (Optional) Repeat steps 2 and 3 to add additional flags to the list.
5 Click OK to update the database with the current list of available flags.
A message is displayed confirming the update. Changes to the database are
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immediate.
6 Click OK.

Changing the Order of the Image Flag List

To rearrange the order in which available flags are displayed:
1 In the Other Settings editor, click Image Flags.
The Image Flag List editor is displayed.
2 Click the flag in the list and drag it to a new location within the list. Repeat
this step as needed to reorder the entries in the list of flags.
3 Click OK to update the database with the resorted list of flags.

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2.6 Other Settings Editor

A message is displayed confirming the update. Changes to the database are

immediate.
4 Click OK.

Deleting a Flag from the List

To delete a flag from the list:
1 In the Other Settings editor, click Image Flags.
The Image Flag List editor is displayed.
2 Click the flag you want to delete from the list of flags.
3 Press Delete.
4 (Optional) Repeat steps 2 and 3 to delete additional flags from the list.
5 Click OK to update the database.
A message is displayed confirming the update. Changes to the database are
immediate.
6 Click OK.

2.6.3 Wall Scoring Method

The wall scoring method setting lets you specify one of two wall scoring

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methods:
• Xcelera
• ASE
The wall scoring method you specify is used for all Xcelera systems. ASE is
the default wall scoring method.
If you used the Profile Manager tool to select the wall scoring method, you
can use the Other Settings editor to change the method.

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 Other Settings Editor 2.6

Xcelera and ASE Wall Scoring Methods

Table 2-6 shows the score definitions for the Xcelera and ASE wall scoring
methods.
Table 2-6: Wall Scoring Definitions
Score Value Xcelera Score ASE Score
Definition Definition

X Cannot Interpret Cannot Interpret

0 Hyperkinetic --

1 Normal Normal

2 Hypokinetic Hypokinetic

[2] Mildly Hypokinetic Hypokinetic

3 Akinetic Akinetic

4 Dyskinetic Dyskinetic

5 Aneurysmal Aneurysmal

6 Akinetic with Scar --

7 Dyskinetic with Scar --

Table 2-7 shows how Xcelera remaps values if you change the scoring
method. In the Xcelera Ultrasound Viewer, the bull’s-eye diagram and in
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anatomic views diagram display the 16-segment Mildly Hypokinetic score as

“[2]” to distinguish it from the Hypokinetic “2” score.

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2.6 Other Settings Editor

Table 2-7: Remapped Score Definitions

Score Definition Xcelera to ASE ASE to Xcelera
Score Value Score Value

Cannot Interpret X to X X to X

Hyperkinetic 0 to 1 --

Normal 1 to 1 1 to 1

Hypokinetic (Xcelera 2 to 2 2 to 2
and ASE)

Mildly Hypokinetic [2] to [2] --

(Xcelera only)

Akinetic 3 to 3 3 to 3

Dyskinetic 4 to 4 4 to 4

Aneurysmal 5 to 5 5 to 5

Akinetic with Scar 6 to 3 --

Dyskinetic with Scar 7 to 4 --

When an institution switches from one wall scoring method to another,

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Xcelera handles studies with wall scoring as follows:
All studies use the scoring method for the site, except final studies. Final
studies use the method in which the scores were originally generated to
preserve the report values. A final study can be amended using the method in
which the scores were first finalized for consistency between report versions.

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 Other Settings Editor 2.6

Selecting a Wall Scoring Method

To select a wall scoring method:
1 Click the Other Settings tab to open the Other Settings editor.
2 In the Wall Scoring Method section, select one of the following to specify
the wall scoring method:
• Xcelera
• ASE
3 Click Apply.
A message prompts you to save the changes to the database.
4 Do one of the following:
• To save your changes, click Yes.
• To discard your changes, click No.
• To continue editing, click Cancel.

Specifying Wall Scoring Reporting Options

The wall scoring reporting setting lets you specify whether or not the
following wall motion scoring items are displayed on the report:
• Display Percent Normal in Report
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• Display Wall Motion Score Index in Report

By default, both items are selected to display in the report.
To specify whether a wall scoring reporting option appears on the report:
1 Click the Other Settings tab to open the Other Settings editor.
2 In the Wall Scoring Reporting section, select a check box to include the item
in the report or clear the check box to exclude the item from the report:
- Display Percent Normal in Report
- Display Wall Motion Score Index in Report

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2.6 Other Settings Editor

3 Click Apply. A message prompts you to save the changes to the database.
4 Do one of the following:
• To save your changes, click Yes.
• To discard your changes, click No.
• To continue editing, click Cancel.

2.6.4 Selecting Password Settings for Finalizing Studies

Use the password setting to specify whether a user needs to enter a password
when finalizing a study.
If you used the Profile Manager tool to specify this information, you can use
the Other Settings editor to select a different option.
To specify a finalize study option:
1 In the Other Settings editor, select one of the following:
• Never ask for password. The user is not prompted to enter a password
when finalizing a study.
• Always ask for password. The user is always prompted to enter a password
when finalizing a study.
• Ask for a password only if finalizing for a different user. The user is only

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prompted to enter a password if he or she is using the electronic signature
of a different user to finalize the study.
2 Click Apply.
A message prompts you to save the changes to the database.
3 Do one of the following:
• To save your changes, click Yes.
• To discard your changes, click No.
• To continue editing, click Cancel.

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 Smart Chart Editor 2.7

2.6.5 Launching AutoQUANT

If the AutoQUANT tool is installed on the Xcelera system, the Launch
button is available in the AutoQuant section of the Other Settings editor.
Click Launch to start the AutoQUANT ARG database administration tool
which is used to configure ARG reports and manage their database.

For more information on AutoQUANT, refer to the Xcelera NM (Nuclear

Medicine) Reporting Help.

2.7 Smart Chart Editor

This section describes how to use the Smart Chart editor to configure the
findings and data that display in the Carotid Chart dialog box in the Xcelera
Ultrasound Viewer application.

Use the Smart Chart editor to assign finding codes to Smart Chart
description columns and to label the blood pressure method fields.
NOTES • You must configure the settings in the Smart Chart editor if you want the Carotid
Chart button to display in the Work Area Measure sheet.
• In this version of Xcelera (R3.2), Smart Chart functionality is limited to the V
Carotid study type only. The Smart Chart feature is not available for other study
types at this time.
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2.7 Smart Chart Editor

2.7.1 About Finding Groups and Codes

The default sets of finding groups and their associated codes are organized in
alphabetical order. For the Vascular Carotid reporting profile, the default
finding codes include the laterality and segment number in the name to help
you easily locate and identify the code. For example, “Lt CSC S1.01”
indicates the following:

Lt=Left

CSC=Carotid Smart Chart

S1=Stenosis classification, group 1
.01=position associated with the segments

2.7.2 Smart Chart Editor Window

Table 2-8 lists and describes the components in the Smart Chart editor.

Table 2-8: Smart Chart Editor

Component Description

Reporting profile The reporting profile associated with finding groups and codes you
want to configure.
Note: In this version of the Xcelera Clinical Application

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Configuration Tool, Smart Chart functionality is limited to
the V Carotid study type only.

Finding groups Lists finding groups and their associated finding codes in alphabetical
order. Finding codes are labeled to help you easily identify the
laterality, column description, and segment number. For more
information on the finding code label format, see "About Finding
Groups and Codes" on page 2-54.

Chart column Columns that you configure appear as columns in the Carotid
Chart window. Chart columns include Stenosis, Plaque, and
Other. You cannot change the column names.
You do not need to configure each column. If a column is not
configured, it does not display in the Carotid Chart window.

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 Smart Chart Editor 2.7

Table 2-8: Smart Chart Editor (Continued)

Component Description

RIGHT and LEFT There are nine vessel segments for each RIGHT and LEFT laterality
and for each Chart column you select.

Reset buttons Clear all selections for the associated laterality (RIGHT or LEFT).

Segment fields The field associated with each of the nine vessel segments in the
carotid artery. Drag and drop finding codes into the associated fields
to configure the Carotid Chart window. A finding code may not
be used more than once for each Smart Chart configuration

Blood pressure text Use the Blood pressure text 1 and Blood pressure text 2 text
1 and 2 boxes to label the blood pressure methods with systolic only or
systolic and diastolic entry options.
Note: There is no relationship between the blood pressure
methods in this editor and the blood pressure values in the
Patient Information section of the Work Area Information
sheet.

Diastolic and Indicates the blood pressure entry options associated with the
Systolic check boxes Blood pressure text 1 and Blood pressure text 2 fields.
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2.7 Smart Chart Editor

2.7.3 Configuring the Carotid Chart

1 In the Smart Chart editor, select a reporting profile from the list of available
V Carotid profiles. The complete set of finding groups in the Xcelera
database is displayed.
2 Select the column from the Chart column list.
NOTE You cannot change the column labels. You do not have to configure all columns.
3 Drag and drop a finding code from the list of Finding groups for each
segment that you want to appear in the Carotid Chart window in the Xcelera
Ultrasound Viewer application. Finding codes in the Finding groups list
appear in alphabetical order.
NOTES • Only select finding codes that provide a multiple-choice option (an underscore (_)
appears in the description).
• For each reporting profile, you can only use a finding once. Once a finding code are
used, it is no longer available for selection with other segments, lateralities, or chart
columns.
• Check that the laterality, column description, and segment number for each code is
in the correct column as you drag and drop the finding code into the segment field.
4 To clear all selections for the currently selected laterality, click Reset.
5 To delete a finding code from a segment, click the finding code in the
segment and press the Delete key. The finding code is returned to the
Finding groups list.

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6 (Optional) Do the following:
• Type the labels that you want to appear in the Blood pressure text 1 and
Blood pressure text 2 text boxes. The labels you enter appear in the
Carotid Chart window.
• Select the Diastolic or Systolic check boxes to indicate the association with
the Blood pressure text 1 and Blood pressure text 2 fields.
• Repeat steps 3 through 4 for each laterality and its associated segments.

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 Smart Chart Editor 2.7

7 To configure the settings for another column, repeat steps 2 through 4.

8 Click Apply. A message prompts you to save your changes.
9 Do one of the following:
• To save your changes, click Yes. A message prompts you that the database
is updated. Click OK.
• To discard your changes, click No.
• To continue editing, click Cancel.
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2.7 Smart Chart Editor

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 3 Profile Manager Tool
The Xcelera Ultrasound Viewer application includes many features that can
be configured to meet a lab's particular needs. Use the Profile Manager tool
to specify some of these features during installation, as described in
"Configurable Options" on page 3-2.

CAUTION Do not run the Profile Manager Tool as part of the upgrade process. This
tool is designed to be run on either existing Xcelera systems with the same
versions (for example, 3.1 to 3.1), or after an upgrade is complete. Do not
run this tool on a test server, or while upgrading an Xcelera system from one
version to the next.
NOTE On a new installation, you must use the Profile Manager tool to select and import the
Philips default reporting profiles which include associated finding codes and templates
for use on the Xcelera system. Optionally, you can run the Profile Manager Tool to
enhance the list of existing profiles.

3.1 Running Profile Manager

To use Profile Manager, you must have system administrator privileges and
the Configure Reporting permission.
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NOTE You can only run the Profile Manager Tool on the server.
To run Profile Manager:
1 Click the Start button and then click All Programs.
2 Navigate to the Xcelera programs and select Profile Manager.

Xcelera Release 3.3 Profile Manager Tool 3-1

3.2 Configurable Options

3.2 Configurable Options

Table 3-1 lists the options that you can select using the Profile Manager. The
options you specify determine how the Xcelera database is populated.

Table 3-1: Profile Manager Configurable Options

Option Description Details

Reason for Study Provides a list of typical reasons a See "Reason for Study" on
study is performed. page 3-3

Report Templates Provides a list of reporting templates See "Report Templates" on

from which to view and select. page 3-4

Preferences Lets you specify the wall scoring See "Preferences" on page 3-6
method to use for all studies, and the
level of security needed to finalize
studies in the Xcelera Ultrasound
Viewer application.

Report Profile Lets you view and import report See "Test Profiles" on page 3-8
profiles, and their associated finding
groups and codes.

NOTE On a new installation, you must use the Profile Manager tool to select and import the

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Philips default reporting profiles which include associated finding codes and templates
for use on the Xcelera system. When you upgrade, the system maintains all of the
existing profiles. Optionally, you can run the Profile Manager Tool to enhance the list
of existing profiles.

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 Making Selections 3.3

3.3 Making Selections

The Profile Manager includes tabs across the top of the main window. Each
tabbed page provides one or more choices.
• To open another page, click the associated tab at the top of the page.
• To exit the application without saving any selections, click Cancel. A
confirmation message is displayed. Click Yes to exit the application, or
click No to continue using the Profile Manager application.
• To exit the application and save the selections, click OK. A confirmation
message is displayed. Click Yes to exit the application and to save the
selections, or click No to continue using the Profile Manager application.

3.3.1 Reason for Study

Use the Reason for Study page to select from a list of typical reasons a study
is performed. The reasons you select appear as choices in the Xcelera
Ultrasound Viewer application in the Study Order window and in the Work
Area Comments sheet.

To select reasons:
1 Click the Reason For Study tab.
2 Select the reasons you want to include as possible choices. A check mark
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indicates that the reason is selected. To exclude a reason, click the check box
again to clear it.
• To select all of the reasons, click Select All.
• To clear all of the reasons, click Clear All.
3 Click another tab to continue making selections, or do one of the following:
• Click OK to exit the application and save the changes. A confirmation
message is displayed. Click Yes.
• Click Cancel to exit the application without saving the changes. A
confirmation message is displayed. Click Yes.

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3.3 Making Selections

After you use the Profile Manager to initially select the reasons for studies,
you can use the Xcelera Clinical Application Configuration Tool to add,
delete, and edit the reasons for studies.
NOTE If you do not use Profile Manager to select the reasons for studies, the default list for a
new installation is empty.

For more information on specifying the reasons for a study, see "Other
Settings Editor" on page 2-44.

3.3.2 Report Templates

Use the Report Templates page to select the default HTML template to
associate with each study type. You can view a sample of each template before
making a final decision.

To select a report template to associate with each study type:

1 Click the Report Templates tab.
2 Click a study type, and then click the report template you want to associate
with it.
NOTE There are rules for which templates can be associated with which study types. If you
select a study type and then select a report template to view or save that does not
match the rule, the system displays a message to let you know which templates are
associated with the study type you select. For more information, view the

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TemplateRules.txt rule file which is located in the Program
Files\Philips\Xcelera\ProfileTool\Input directory.

3 Click View Selection.

• If you select a report template that does not match the selected study type,
the system displays a message to let you know which report templates are
valid. Click OK to close the dialog box and to select the specific report
template.
• If you select a valid report template, the Report View window opens with
a sample of the selected report template.
4 Close the Report View window.
5 To save the selection, click Save Selections. Do either of the following:

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 Making Selections 3.3

• If you select a report template that does not match the selected study type,
the system displays a message to let you know which report templates are
valid. Click OK to close the dialog box and to select the specific report
template.
• If you select a valid report template, the saved selections are displayed in
the Selections section.
6 (Optional) To clear all previous selections, click Clear All Selections.
7 Repeat steps 2 through 5 to select each study type and report template.
8 Click another tab to continue making selections, or do one of the following:
• Click OK to exit the application and save the changes. A confirmation
message is displayed. Click Yes.
• Click Cancel to exit the application without saving the changes. A
confirmation message is displayed. Click Yes.
NOTE For new installations, if you do not use Profile Manager to select a report template, a
predefined default template is assigned.

For more information on specifying reporting profiles, see "Reporting

Profiles Editor" on page 2-26.
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3.3 Making Selections

3.3.3 Preferences
Use the Preferences page to indicate which wall scoring method to use as the
default for interpreting studies. The choices are Xcelera or ASE (American
Society of Echocardiography).

Xcelera and ASE Wall Scoring Methods

Table 3-2 shows the score definitions for the Xcelera and ASE wall scoring
methods:
Table 3-2: Wall Scoring Definitions
Score Value Xcelera Score ASE Score
Definition Definition

X Cannot Interpret Cannot Interpret

0 Hyperkinetic --

1 Normal Normal

2 Hypokinetic Hypokinetic

[2] Mildly Hypokinetic Hypokinetic

3 Akinetic Akinetic

4 Dyskinetic Dyskinetic

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5 Aneurysmal Aneurysmal

6 Akinetic with Scar --

Use the Preferences page to also specify the level of security that is necessary
when finalizing studies in the Xcelera Ultrasound Viewer application. In the
Password on Finalizing Study section, select from the following:
• Never—The user is not prompted to enter a password when finalizing a
study.
• Always—The user is always prompted to enter his or her password when
finalizing a study.

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 Making Selections 3.3

• Only for Different User—The user is only prompted to enter his or her
password if that user is not the same one that started the application
during the same session.

To specify preferences:
1 Click the Preferences tab.
2 Select one wall scoring method to make it the default.
3 Select a Password on Finalizing Study option.
4 Click another tab to continue making selections, or do one of the following:
• Click OK to exit the application and save the changes. A confirmation
message is displayed. Click Yes.
• Click Cancel to exit the application without saving the changes. A
confirmation message is displayed. Click Yes.
After you use the Profile Manager to specify the scoring method, you can use
the Xcelera Clinical Application Configuration Tool to change the default
scoring method. For details on how Xcelera handles switching from one
scoring method to another, see the "Selecting a Wall Scoring Method" on
page 2-51.
NOTE For new installations, if you do not use Profile Manager to specify preferences,
predefined default settings will be assigned.
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3.3 Making Selections

3.3.4 Test Profiles

The Xcelera installation includes test profiles for some of the default study
types in the database. Some of the test profiles are used as placeholders for
complete report profiles. Use the Report Profile page to view and select
complete report profiles for use in Xcelera Ultrasound Viewer. Test profiles
are automatically replaced with the complete profiles that are selected.

The Xcelera installation includes the following test profiles for Cardiac and
Vascular Study Types in English, French, German, and Spanish:
• Adult
• Pediatric
• Stress
• TEE
• Carotid

About Replacing Test Profiles with Complete Profiles

As you complete and save your selections for each report profile, the test
profiles are replaced in the Xcelera database with the default clinical report
profiles that you selected for import.
You can use the Report Profile page to import Philips-default profiles for

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languages other than the primary language. For example, a hospital in
Quebec may choose to import profiles in both English and French.
NOTES • The Philips-default cardiac report profiles, which are loaded from the Profile
Manager Tool, are available in English, French, German, and Spanish.
• The Philips-default vascular report profiles, which are loaded from the Profile
Manager Tool, are available in multiple languages to include Chinese, Danish,
Dutch, English, French, German, Italian, Japanese, Spanish, and Swedish. Defaults
include replacement profiles for the VCarotid Study Type.
• There are no Philips default NM Reporting Profiles to replace the “Test” profiles.
The R3.2 Profile Manager Tool can be used to import custom NM profiles created
on R3.2 systems, exported using the Profile Transport Tool. NM Profiles created on
the R2 platform are not imported into R3.1 system.

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 Making Selections 3.3

Xcelera 3.2 includes two default Carotid reporting profiles:

• Carotid 1, which uses the University of Washington Internal Carotid
Artery stenosis range reference:
Zwiebel, William J., and John S. Pellerito. Introduction to Vascular
Ultrasonography. Philadelphia, Pennsylvania, Elsevier Saunders, 2005,
p176.
• Carotid 2, which uses the SRU Consensus Internal Carotid Artery stenosis
range reference:
Edward G. Grant, et al. “Carotid Artery Stenosis: Gray-Scale and
Doppler US Diagnosis-Society of Radiologists in Ultrasound Consensus
Conference.” Radiology, Vol. 229, November (2003): 340-346.

About the XML Files

The report profiles are in XML format and each report profile consists of a
set of four XML files. The four XML files contain multiple report profiles in
multiple languages.

The default set of four XML files for the Philips-supplied report profiles are:
• FindingsCode.xml
• FindingsGroup.xml
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• FindingsGroupCode.xml
• Profile.xml

If the report profiles were exported using Profile Transport, the set of XML
files also includes its origin in the prefix. For example,
Prefix_FindingsCode.xml, where Prefix is the hospital name. For more
information, see "Profile Transport Tool" on page 4-1.
Selecting a Report Profile

To select a report profile:

1 Click the Report Profile tab.
2 Click Load from Media. The Open dialog box appears.

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3.3 Making Selections

3 Navigate to the Input directory that includes the XML files and select
FindingsCode.xml from the XML file set you want to load.
NOTES • If you are installing Xcelera and initially selecting the report profiles, the
FindingsCode.XML file is the default selection.
• If you are using Profile Manager to import report profiles that were saved using
Profile Transport, you only need to select one of the files in the file set. All of the
files with the same prefix are automatically associated with your selection and do
not need to be selected individually.
• The Philips default vascular report profiles are located in the Input\Vascular
directory.

4 Click Open.
5 (Optional) Select the language for the profiles you want to view.
NOTE Only the languages that are represented in the XML file set you selected are available
as a language selection. The Philips-default set contains English, French, German, and
Spanish.

6 Select the report profile you want to view. Profile Manager populates the
Finding Groups list and the rest of the window based on the report profile
and the language you select.
7 Do the following:
• To view the finding codes that are included in a finding group, double-

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click the finding group name.
• To view which finding groups are associated with each section, click the
section button in the upper right part of the window.
8 Do either of the following:
• To save the currently viewed profile, click Save. The selections you save are
displayed in the Selections list.
• To clear all report profile selections, click Clear.
9 Repeat steps 6 through 8 to view and save additional report profiles.

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 Making Selections 3.3

10 To import the selected profiles, click Import. If the study type exists, a
confirmation message is displayed. Go to Step 13. If the study type for the
new profile does not exist in the target database (the database into which you
want to import the profile), the Study Type Selection dialog box is displayed.
11 In the Study Type Selection dialog box, do either of the following:
• To select an existing study type, select the study type from the list and click
Use Selected Study Type.
• To create a new study type, select the name of the new study type and click
Use New Study Type. If the study type is vascular, you must also select the
Vascular Study Type check box.
12 Click OK.
NOTE • Each time you import report profiles, the set of XML files is created and saved in
the ProfileTool/Output directory. Each file includes the Output<letter>_ prefix,
where <letter> increments by one for each set that you import. For example, the
first is named OutputA_, and the following sets are named OutputB_, OutputC, and
so on.
• Finding Groups are duplicated each time you import a reporting profile. The XML
files generated by the tool to populate the database purposely force the Finding
Groups to have a unique FindingGroupIdk each time the tool is run. This means that
the group codes exported from the original system that had the reporting profile
are NOT used. You will get different group codes on different systems when you
import the same profile.
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• If the same finding group is used in more than one reporting profile it will be
created once for each reporting profile.

13 To import another set of report profiles, go to step 2.

14 Click OK to exit the application and to import the XML files into the
ProfileTool\Output directory.
NOTE • A message is displayed indicating the success or failure of the import. If there is a
bad profile, the entire import fails. Clicking OK displays log files to view additional
information. The log files will indicate only the first bad profile encountered, which
caused the tool to end the import process. There may be multiple bad profiles, but
the log files only indicate the first profile that caused the failure.

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3.3 Making Selections

• When the import fails, NONE of the reporting profiles are added to the database.
To ensure success, you must run the tool again, and import the good profiles,
preferably one at a time.
• To exit the application without importing the XML files, click Cancel. A
confirmation message is displayed. Click Yes.

After you use the Profile Manager to select the report profiles, you can use
the Clinical Application Configuration Tool to further specify the
information in the report profiles. For instructions, see "Reporting Profiles
Editor" on page 2-26.

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 4 Profile Transport Tool
Use Profile Transport to export reporting profiles from an Xcelera system as a
set of XML files. Once exported, you can share your site’s reporting profiles
with other Xcelera sites or Xcelera databases. Another site can then use
Profile Manager to import your reporting profiles into their Xcelera system.
NOTE You must have the Configure Reporting role to use Profile Transport.

The set of four XML files generated from the export operation includes the
name of your clinic, as you have entered it in the Setup Transport page. For
example, if your clinic name is City Hospital, then the prefix of the file
names for each XML file in the file set is CityHospital.
• CityHospital_Profile.xml
• CityHospital_FindingsGroup.xml
• CityHospital_FindingsGroupCode.xml
• CityHospital_FindingsCode.xml

NOTE The Hospital name you use must be 16 characters or less, and cannot contain spaces
or underscores. In the examples above, the system applies the underscore.
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Xcelera Release 3.3 Profile Transport Tool 4-1

4.1 Running Profile Transport

4.1 Running Profile Transport

To start Profile Transport:
1 Click the Start button and then click All Programs.
2 Navigate to the Philips Xcelera programs and select Profile Transport.

To exit Profile Transport:

1 Click OK, Cancel, or the click the close window button.
A confirmation message is displayed. If you did not commit the selections
to XML files by selecting Export to Media, the confirmation message
warns that you will lose any unsaved changes.
2 To exit, click Yes.

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 Exporting Reporting Profiles 4.2

4.2 Exporting Reporting Profiles

To export reporting profiles:
1 In the Setup Transport page, enter the name of your hospital or clinic. You
can enter up to 16 characters as the hospital or clinic name is used as a file
name elsewhere in the database.
NOTE Do not use underscores (_) in the hospital or clinic name.
2 Click the Report Profile tab.
3 In the Report Profile page, click the Load from Database button. All profiles
are loaded into the window.
4 Click the Reporting Profile list to select the reporting profile you want to
view.
The finding groups and group box data associated with the selected reporting
profile are displayed. Click an individual finding group to show the
associated finding codes and group box data.
5 To save the current reporting profile for export, click Save. The saved
selections are displayed in the Selections section.
6 Repeat steps 3 and 4 for each reporting profile you want to export, and then
click Export to Media to export the reporting profiles as a set of XML files.
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7 To exit Profile Transport and export the profiles, click OK. The files are saved
to the following location:
ProgramFiles\Philips\Xcelera\ProfileTool\Output
NOTE The XML files that have the computer name as the prefix represent all of the profiles
from the Xcelera database. The XML files that have hospital name as the prefix
represent only the files that you selected for export.
For instructions on how to import report profiles by using the Profile
Manager, see “Test Profiles” on page 3-8.

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4.2 Exporting Reporting Profiles

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4- 4 Profile Transport Tool Xcelera Release 3.3

 5 Measurement Configuration Tool

5.1 Overview
Use the Xcelera Measurement Configuration Tool to:
• Create new measurements and calculations
• Edit existing measurements and calculations
• Delete (hide) and restore measurements and calculations
• Specify the order in which Vascular measurements and calculations are
listed in the Xcelera Ultrasound Viewer application
• Import and export measurements and calculations (Make sure you are
trained by a Philips representative before using this functionality)
• Update cardiac-specific report templates (Note, the Update feature does
not update your customized templates. Contact your Philips representative
for Report Customization Services).
During the Xcelera installation, all measurement definitions are loaded into
the database. All default study types include a subset of measurements and
calculations that are available to users in the Xcelera Ultrasound Viewer.
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NOTES • The configurations you specify using the Measurement Configuration Tool affect all
users and the entire Xcelera database.
• You cannot run the Clinical Application Configuration Tool and the Measurement
Configuration Tool concurrently. The license structure only allows one tool to be
run at any given time. If you attempt to launch either of these tools while the other
is open, a message is displayed to inform you that the license to make configuration
changes is already in use. To open the second tool, you must first close the open
tool.

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5.2 Default vs. Custom

Where measurements and calculations appear in a report is determined by

the HTML template that you specify in the Clinical Application
Configuration Tool Reporting Profiles editor.
NOTE If you are proficient in using HTML, you can modify the templates as needed. You can
also use Notepad or a text editor to modify the templates. See your Philips
representative for more information.

5.2 Default vs. Custom

WARNING It is the responsibility of the user to ensure that DICOM SR measurements are mapped
to the correct Xcelera measurements.

Xcelera R3.2 contains a finite number of factory-supplied and tested Cardiac

and Vascular measurements and calculations that comprise the "Default" list
available in the database when the product is installed. Philips is responsible
for rigorous Quality Assurance testing for these default Cardiac and Vascular
measurements and calculations.

Using the Philips-supplied Measurement Configuration Tool, you are able to

create an infinite number of user-defined (Custom) measurements and

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calculations to add to the Xcelera database. Philips is not responsible for the
creation of any custom measurements or calculations.

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 Using the Measurement Configuration Tool 5.3

5.3 Using the Measurement Configuration Tool

NOTE You are responsible for any changes made using the Measurement Configuration Tool.
These changes may include adding, deleting, or updating the existing manufacture
provided measurements and calculations stored in the Xcelera database.
The following lists important details about accessing the Measurement
Configuration Tool and the Xcelera database.
• You must have certain permissions to access the tool and to modify any
settings. For more information about permissions, see the Xcelera System
Administration Manager and the Xcelera Platform Administration Manual.
• The Measurement Configuration Tool is a separate executable program
that must have full access to the Xcelera Ultrasound Viewer database. It is
available on Xcelera client systems, but it does not appear as an icon on the
desktop.

CAUTION Do not run the Xcelera Ultrasound Viewer application anywhere on the Xcelera
network when you are running the Measurement Configuration Tool.

5.4 Measurement Configuration Tool Window

Table 5-1 lists and describes the components in the main window of the
Measurement Configuration Tool.
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Table 5-1: Measurement Configuration Tool Components

Component Description

Measurement Lets you select the category of measurements and calculations displayed
Category in the Main Window and also sets the measurement list displayed in the
Xcelera Measurements section of the Map DICOM
Measurements window. The choices are Cardiac or Vascular.

Study Type list Lets you select the study type for which you want to view and edit the
measurements and calculations.

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5.4 Measurement Configuration Tool Window

Table 5-1: Measurement Configuration Tool Components (Continued)

Component Description (Continued)

Show Basic check box When selected, lists the measurements that are associated with the
selected Measurement Category (Cardiac or Vascular). Measurements
are shown with the following icon:

Show Calculations When selected, lists the calculations that are associated with the selected
check box Measurement Category (Cardiac or Vascular). Calculations are shown
with the following icon:

Show Macros check When selected, lists the measurement macroTools and macro results.
box (only available when Measurement macros are a defined set of measurements that are
the Cardiac associated with one measurement. Macros are shown with the following
measurement category is
icon:
selected)
When selected in the US Viewer, the Macro tool lets you perform a single
measurement which generates multiple measurement results:
- A single point Doppler measurement generates:
- Max Vel
- Max PG
- A trace Doppler measurement generates:
- Max PG
- Mean PG
- Max Vel
- Mean Vel
- VTI
- A trace 2D measurement generates:

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- volume
- area
Note:
You cannot create a "New" user-defined macroTool or a "New Based on"
using a macroTool.

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 Measurement Configuration Tool Window 5.4

Table 5-1: Measurement Configuration Tool Components (Continued)

Component Description (Continued)

Show Collections When selected, lists the vascular collections. Collections are shown with
check box (only available
the following icon:
when the Vascular
Collections are a group of up to 13 measurements to use when
measurement category is
performing a Collection Measurement. You can choose from three
selected)
different tools to perform a collection measurement: A single point
Doppler tool, a 2 caliper Doppler tool, and a Doppler trace tool.

The single point tool can produce PSV or EDV or MDV.

The 2 caliper tool can produce PSV and EDV.
The trace tool can produce all 13 components of the collection.

You can configure a collection measurement to indicate which of the 13

components should be produced when you perform the collection
measurement, and which components should display on the report.

Check boxes: Lets you filter the list of measurements and calculations that display in the
Show 2D main window (if the option is installed. For example, Show QLAB is only
Show MMode available if you have QLAB installed). A selected check box indicates to
Show Doppler show the details.
Show Physio
Show QLAB
Show TomTec
Show Value
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Show Default check Lets you filter the list to display only the default measurements and
box calculations that are included with the application.

Show Custom check Lets you filter the list to display only the measurements and calculations
box created by your clinic.

Language Lets you specify which language to use when displaying measurements and
calculations.

Display Label The label of the measurement or calculation that appears in the Work
Area Measure sheet, and if applicable, in the Report. You can change the
display label if necessary. The Display Label column can icons to indicate
the type (for example, measurement, calculation, macro tool, collection,
QLAB, value, TomTec.)

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5.4 Measurement Configuration Tool Window

Table 5-1: Measurement Configuration Tool Components (Continued)

Component Description (Continued)

Database Name The name of the measurement or calculation as it appears in the database
and in the reporting template. You cannot change this name once it is
stored in the database. The Database Name is used for default alphabetic
sorting and display on the Trends page and in the Z-Score tables.

On Report? column A Yes in this column indicates that the measurement or calculation is
copied to a report if it is performed. This column is blank if the
measurement or calculation should not be copied to the report.

Trend? column The Trend? column is only visible when viewing the Cardiac
measurement category. A Yes in this column indicates that the
measurement or calculation value should be included in the trending data
when the user selects Show Trend in the Work Area Measure sheet.

Explanation/Formula This column provides a description of the measurement or the formula

column used in the calculation.

Type column Describes a measurement as one of the following:

Area
Circumference
Length
Maximum Pressure Gradient
Maximum Velocity
Mean Pressure Gradient
Mean Velocity
MM Height

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MM Slope
MM Time
QLAB
Time (sec)
TomTec
Value
Velocity Slope
Velocity-time integral
Volume (AL)
Volume (MOD)
Volume (SPE)

Describes a calculation as (calculation).

Describes a Macro as (macro).

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 Measurement Configuration Tool Window 5.4

Table 5-1: Measurement Configuration Tool Components (Continued)

Component Description (Continued)

Macro column When the Show Macros check box and the Cardiac measurement
category check box, macros display in this column.

Units column The unit of measurement.

Modes/Report column The mode or modes in which the measurement can be performed. This
column is blank if the component is a calculation.

Study Type columns Depending on which measurement category is selected, the study types
appear as columns in the main window. A Yes in the column indicates
that the measurement or calculation is available in the study type.

Modify button Lets you edit the selected measurement or calculation.

Delete button Hides the selected measurement or calculation. If the measurement or

calculation is dependant on other measurements or calculations, a
message is displayed listing other measurements and calculations that will
also be deleted. The system prompts you to confirm the deletion. For
more information, see "Deleting a Measurement or Calculation" on
page 5-23.

New Based On button Lets you create a new measurement or calculation that is based on an
existing measurement or calculation.

New Calculation Lets you create a new calculation. The system prompts you to validate
button the name of the new calculation to ensure the calculation does not
already exist in the database.
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New Measurement Lets you create a new measurement. The system prompts you to validate
button the name of the new measurement to ensure the measurement does not
already exist in the database.

Show Deleted/Hide Lets you show or hide deleted measurements and calculations.
Deleted buttons

Set Display Order Opens the Set Measurement/Calculation Viewer Display Order
button window where you can specify the order in which measurements and
calculations are displayed in the Xcelera Ultrasound Viewer application.
This button is only available when the Vascular measurement category is
selected.

Export To File button Lets you export the selected measurements and calculations to a file to
share with other Xcelera databases.

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5.4 Measurement Configuration Tool Window

Table 5-1: Measurement Configuration Tool Components (Continued)

Component Description (Continued)

Import From File Lets you import measurements and calculations from a file.
button

Update Templates Updates the default Philips reporting templates with the latest changes.
button This button is only available when the Cardiac measurement is selected.
Note: Contact your Philips representative to update your customized
report templates with the latest changes.

Map DICOM Opens the Map DICOM Measurements window where you can map
Measurements button DICOM SR measurements to existing Xcelera measurements.

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 Starting and Exiting the Measurement Configuration Tool 5.5

5.5 Starting and Exiting the Measurement

Configuration Tool
To start the Measurement Configuration Tool:
1 Click Start and select Programs.
2 Navigate to the Philips Xcelera programs and select the Measurement
Configuration Tool.
To exit the Measurement Configuration Tool:

1 On the File menu, click Exit, or click in the upper right corner of the
window.
A message is displayed prompting you to confirm the exit.
2 Do one of the following:
• To exit, click OK.
• To continue using the Measurement Configuration Tool, click Cancel.

NOTE Any changes only affect the local list of measurements and calculations while the
Measurement Configuration Tool is running. You must save the changes to update the
database. See "Saving Changes" on page 5-29. However, when you set the display
order, as described on page 5-26, the order is immediately applied to the database.
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5.6 Viewing Measurements and Calculations

Use the Measurement Configuration Tool to view either Cardiac or Vascular
measurements and calculations. You can only view one measurement
category at a time.

Xcelera supports viewing and creating measurements and calculations in your

system’s primary language. The primary language is determined during the
Xcelera installation, and, in most cases, is based on the same language as the
operating system.

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5.7 Configure Measurements and Calculations Window Components

NOTE The Measurement Category that is selected determines what is displayed when you
click the Map DICOM Measurements button.
To view measurements and calculations:
1 In the Measurement Category section, select either Cardiac or Vascular.
2 To filter the list of measurements and calculations for the selected
measurement category, select the category or multiple categories.
NOTE You can select any combination of items to filter the list of measurements or
calculations. When an item is selected, a check mark is displayed in the check box.

5.7 Configure Measurements and Calculations

Window Components
The following tables list and describe the fields that appear in the Configure
windows when you create or edit new or existing measurements and
calculations, depending on the measurement category that is selected:
• Table 5-2 lists and describes the fields in the Configure a Measurement
window for cardiac measurements.
• Table 5-3 lists and describes the fields in the Configure a Measurement
window for vascular measurements.
• Table 5-4 lists and describes the fields in the Configure a Calculation

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window for both cardiac and vascular calculations.

Table 5-2: Configure a Measurement Window Components (Cardiac)

Component Description

Display Label The label of the measurement or calculation that appears in the Work
Area Measure sheet and if applicable, in the report. You can change the
display label if necessary.

Database Name The name of the measurement or calculation as it appears in the database
and in the reporting template. You cannot change this name once it is
stored in the database.

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 Configure Measurements and Calculations Window Components 5.7

Table 5-2: Configure a Measurement Window Components (Cardiac) (Continued)

Component Description (Continued)

Validate Names button When clicked, verifies that a measurement by the same display label or
database name does not already exist in the Xcelera Ultrasound Viewer
database.

On Report? When selected, indicates that the measurement should appear on the
report.

Trend? When selected, indicates that the measurement value should be included
in the trending data when the user selects Show Trend in the Work
Area Measure sheet.

Explanation A brief description of the measurement. The explanation appears in the

Xcelera Ultrasound Viewer when the measurement is selected to
perform from the Perform Measurements list. The text in this field is
included in the search when you use the Search feature in the Map
DICOM Measurements window.

Type (units) The measurement’s type that is used to perform the measurement, for
example, length, volume, trace, point, slope, velocity, and so on. The
system provides the units based on the selected type. The Type and Units
columns for cardiac macros are blank because macros represent a
collection of derived measurements. As such, they can generate
measurements that have different units (Types).

Tool Units Displays a drop-down list to select the units for the QLAB, TomTec. and
Value measurements. This is a dynamic list which contains units that are
known to the Xcelera database.
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Modes The mode in which the measurement should be performed. The available
modes are based on your selection in the Type (units) list.

Study Types The study type in which the measurement is available. To select all study
types, click Add All.

Add All button Makes the new measurement available in all study types.

Reference Source The reference from which the measurement was taken, for example, a
book, journal article, Web site, and so on.

Show Measurement When selected, displays the Template, Measurement Concept,

Mapping Definitions Anatomy, Mode, Method, and Modifiers for the measurement
check box mapping definitions. The mapping definition is how a DICOM
measurement is mapped to an Xcelera measurement.

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5.7 Configure Measurements and Calculations Window Components

Table 5-3: Configure a Measurement Window Components (Vascular)

Component Description

Display Label The label of the measurement or calculation that appears in the Work
Area Measure sheet and if applicable, in the report. You can change the
display label if necessary.

Database Name The name of the measurement or calculation as it appears in the database
and in the reporting template. You cannot change this name once it is
stored in the database.

Validate Names button When clicked, verifies that a measurement by the same name or display
label does not already exist in the Xcelera database.

Type (units) The measurement’s primitive type that is used to perform the
measurement, for example, length, volume, trace, point, slope, velocity,
and so on. The system provides the units based on the selected type.

Tool Units Displays a drop-down list to select the units for the Value measurements.
This is a dynamic list which contains units that are known to the Xcelera
database.

Measurements If you select Doppler Collection as the Type (units), the

Measurements check boxes are enabled and list the derived
measurements which may be displayed when a Doppler measurement is
performed.

Calculations If you select Doppler Collection as the Type (units), the

Calculations check boxes are enabled and list the derived results which

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may be displayed when a Doppler measurement is performed.

On Report? A check box to determine if the measurement should appear on the

report.

Laterality Indicates where in the Work Area Measure sheet the measurement will
appear.

Modes The mode in which the measurement should be performed. The available
modes are based on your selection in the Type (units) list.

Study Types The study type in which the measurement is available.

Add All button Makes the new measurement available in all study types.

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 Configure Measurements and Calculations Window Components 5.7

Table 5-3: Configure a Measurement Window Components (Vascular) (Continued)

Component Description (Continued)

Explanation A brief description of the measurement. The text is shown in the

ultrasound viewer when the user select the measurement to be
performed.

Reference Source The reference from which the measurement was taken, for example, a
book, journal article, Web site, and so on.

Show Measurement When selected, displays the Template, Measurement Concept,

Mapping Definitions Anatomy, Mode, Method, and Modifiers for the measurement
check box mapping definitions.

Table 5-4: Configure a Calculation Window Components

Component Description

Display Label The label of the measurement or calculation that appears in the Work
Area Measure sheet and if applicable, in the report. You can change the
display label if necessary.

Database Name The name of the measurement or calculation as it appears in the database
and in the reporting template. You cannot change this name once it is
stored in the database.

Validate Names button When clicked, verifies that a calculation by the same name or display label
does not already exist in the Xcelera database.
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On Report When selected, indicates that the item should appear on the report.

Trend When selected (cardiac only), indicates that the calculation result should
be included in the trending data when the user selects Show Trend in
the Work Area Measure sheet.

Report Section When On Report is selected, you must select a section in which the
calculation will appear.

Study Types The study type in which the calculation is available.

Add All button Makes the new calculation available in all study types.

Laterality For vascular calculations, check boxes to indicate Right, Left, or No

Laterality.

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5.7 Configure Measurements and Calculations Window Components

Table 5-4: Configure a Calculation Window Components (Continued)

Component Description (Continued)

Reference Source The reference from which the measurement was taken, for example, a
book, journal article, Web site, and so on. Note: References for each
Philips-defined default calculation are listed in Xcelera Ultrasound Viewer
Help.

Formula The calculation’s formula.

Validate Formula When clicked, validates the formula to ensure that it is correct and
provides a list of units that you can select for the formula.

Formula symbols Click the buttons to insert formula symbols and numbers.

Measurement To A list of available measurements in the Xcelera database that you can
Insert insert directly into the formula.

Insert Measurement Inserts the selected measurement.

Calculation To Insert A list of calculations in the Xcelera database that you can insert directly
into the formula.

Insert Calculation Inserts the selected calculation.

Units The mathematical result of the formula you enter displays in the unit you
select from the list.

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 Creating New Measurements and Calculations 5.8

5.8 Creating New Measurements and

Calculations
NOTE Philips is not responsible for the creation of any user-defined (Custom) measurements
or calculations.
When you create a new measurement or calculation, the system prompts you
to validate the name to make sure that duplicate names are not entered into
the system. This section provides step-by-step instructions for creating new
cardiac and vascular measurements and calculations.

For details about the window components when creating a new cardiac or
vascular measurement, see Table 5-2 and Table 5-3.

5.8.1 Creating a New Cardiac Measurement

NOTES • You can create QLAB and TomTec measurements in Xcelera so that they are
available for mapping.
• You must have QLAB installed on your Xcelera system to create custom QLAB
measurements.
Perform the following steps to create a new cardiac measurement:
1 In the Measurement Category section, make sure Cardiac is selected.
Click New Measurement, or click the Edit menu and select New
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2
Measurement.
3 In the Configure a Measurement dialog box, if necessary, type the
measurement name in the Display Label field and type the name of the
measurement you want to create in the Database Name field.
4 Click Validate Names to make sure that the new measurement does not
already exist in the Xcelera database. The system prompts you to enter a
different name if a measurement definition with the same name or display
label already exists.

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5.8 Creating New Measurements and Calculations

5 Do the following, as applicable:

• (Optional) To include the new measurement in a report, select the On
Report? check box. If On Report? is selected, you must select one of the
Report Sections where you want the measurement to display.
NOTE Value measurements can be listed in any of the default Mode/Report sections.
However, QLAB and TomTec measurements are automatically placed in predefined
sections on the default report template.
• (Optional) To include the new measurement in the trending data, select
the Trend? check box.
• (Optional) Enter a brief description in the Explanation field. The text you
enter in the Explanation field is displayed in the Ultrasound Viewer when
the users selects a measurement in the Perform Measurements window,
and is also included in the search when you use the Search feature in the
Map DICOM Measurements window.
• Select the primitive Type and units for the measurement. The Modes
section is automatically selected based on the Type you selected.
• If the Type is QLAB, TomTec, or Value, select the Tool Units.
• If necessary, deselect any modes for which you do not want the
measurement to be available.
• In the Study Types section, select specific study types or click Add All to

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make the new measurement available in all study types.
• (Optional) Enter the Reference Source.
6 Click OK. The system prompts you to apply the changes to the
Measurement list.
7 Click Yes.

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 Creating New Measurements and Calculations 5.8

5.8.2 Creating a New Vascular Measurement

Perform the following steps to create a new vascular measurement:
1 In the Measurement Category section, make sure Vascular is selected.
2 Click New Measurement, or click the Edit menu and select New
Measurement.
3 In the Configure a Measurement dialog box, type the measurement name in
the Display Label field and type the name of the measurement you want to
create in the Database Name field.
4 Click Validate Names to make sure that the new measurement does not
already exist in the Xcelera database. The system prompts you to enter a
different name if a measurement definition with the same name or display
label already exists.
5 Do the following, as applicable:
• Enter a brief description in the Explanation field.
• Select the primitive Type. The Modes section is automatically selected
based on the Type you selected.
• Select the Laterality, if applicable.
• If necessary, deselect any Modes for which you do not want the
measurement to be available.
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• If the type selected is Doppler Collection, select the measurement and

calculations to generate and select whether they should appear on the
report.
• Select specific Study Types, or click Add All to make the new
measurement available in all study types.
• (Optional) Enter the Reference Source
6 Click OK. The system prompts you to apply the changes to the
measurement list. The measurement is added to the end of the list.
7 Click Apply to save your changes to the database. The measurement
reappears in the list in alphabetical order.

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5.8 Creating New Measurements and Calculations

8 Click OK to exit the Measurement Configuration Tool.

5.8.3 Creating a New Calculation

You can create calculations that are completely user-defined, or specify
factory default measurements and calculations in the formula. The system
prompts you to assign sample values to test the formula and then validates
the formula by checking for generic formula errors, syntax errors and divide-
by-zero errors.The steps for creating a new cardiac or vascular calculation are
similar. The difference is when creating a new vascular calculation, you must
specify the laterality (or no laterality) for the calculation, and when creating a
new cardiac calculation, you must optionally select for it to be including in
the trending data.
NOTE When creating calculations you must first create any new measurement values that
you plan to use in the calculation, and then save them to the database.

Perform the following steps to create a new calculation:

1 In the Measurement Category section, select either Cardiac or Vascular
depending on the type of calculation you want to create.
2 Click New Calculation, or click the Edit menu and select New Calculation.
3 In the Configure a Calculation dialog box, type the calculation name in the
Display Label field and type the name of the calculation you want to create

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in the Database Name field.
4 Click Validate Names to make sure that the new calculation does not already
exist in the Xcelera database. The system prompts you to enter a different
name if a calculation with the same name or display label already exists.
5 To include the new calculation in a report, select the On Report? check box.
If you select On Report?, you must also select the Report Section in which it
should appear (Mmode/2D, Doppler, or Time).
6 To include the new calculation in the trending data (Cardiac calculations
only), select the Trend? check box.

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 Creating New Measurements and Calculations 5.8

7 In the Study Types section, select specific study types or click Add All to
make the new calculation available in all study types.
8 If you are creating a new vascular calculation, select the Laterality.
9 (Optional) Enter the Reference Source.
10 The cursor is automatically placed between the parentheses in the Formula
section and ready for you to do any of the following:
• Enter the Formula. You can type the formula directly into the Formula
field, or use the keypad graphic to select numbers, characters, and formula
operators.
• To include a measurement in the formula, select a Measurement To Insert
and click Insert Measurement.
NOTE If you have created a user-defined measurement and stored it in the database, it
appears as an item in the drop-down list.
• To include a calculation in the formula, select a Calculation to Insert and
click Insert Calculation. New measurements and calculations are available
once they are added to the database.
11 Click Validate Formula. The Assign Sample Values for Validation dialog
box is displayed.
12 Enter a representative value for each measurement in the formula and click
Assign Value.
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13 Click OK. The formula is validated based on the sample values you enter.
14 If the formula fails the validation, a descriptive message is displayed. Click
OK and then click Validate Formula again to assign new sample values.
Once you enter a valid formula, the system enables the Units field.
15 Select the appropriate unit from the Units list.

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5.8 Creating New Measurements and Calculations

16 Click OK. The system prompts you to apply the changes to the calculations
list. The calculation is added to the end of the list.
17 Click Apply to save your changes to the database. The calculation reappears
in the list in alphabetical order.
18 Click OK to exit the Measurement Configuration Tool.

5.8.4 Creating a New Measurement or Calculation

Based on an Existing One
You can create a new measurement or calculation that is similar to an existing
measurement or calculation. Use the existing measurement or calculation on
which to base the new one. When you create a new measurement or
calculation based on an existing one, the system prompts you to validate the
name to make sure that duplicate names are not entered into the system.

Perform the following steps to create a new cardiac or vascular measurement

or a new calculation that is based on an existing one:
1 In the Measurement Category section, select either Cardiac or Vascular,
depending on the type of measurement or calculation you want to create.
2 Do either of the following:
• To create a new calculation based on an existing one, select the calculation.

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• To create a new measurement based on an existing one, select the
measurement.
3 Click New Based On, or select New Based On Selected from the Edit menu.

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 Selecting Multiple Items 5.9

4 Do one of the following, depending on whether you are creating a new

measurement or calculation. Follow the steps in the referenced procedure and
change the information as needed for the new measurement or calculation.
• If you are creating a new cardiac measurement based on an existing one,
see "Creating a New Cardiac Measurement" on page 5-15.
• If you are creating a new vascular measurement based on an existing one,
see "Creating a New Vascular Measurement" on page 5-17.
• If you are creating a new calculation based on an existing one, see
"Creating a New Calculation" on page 5-18.

5.9 Selecting Multiple Items

The Measurement Configuration Tool lets you select multiple measurements
or calculations at one time to quickly apply the same edit or to export the
items to a file.
You can use the right-click menu to quickly apply the same edit to one or
more selected measurements or calculations. Use the right-click menu to
quickly configure whether or not the selected items should be:
• Included in the report
• Included in the Trend data (cardiac measurements and calculations only)
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• Included in the Work Area for specific study types

NOTE The changes you make are immediately applied to the measurement list, but you must
click Apply to permanently store the changes in the database.

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5.10 Editing a Measurement or Calculation

Perform the following steps to select multiple measurements and

calculations:
• To select noncontiguous measurements and calculations, press and hold
the Ctrl key while clicking each item.
• To select all of the measurements or calculations that are listed together,
click the first item and then press and hold the Shift key while clicking the
last item. All of the items between the first and last will be included in the
selection.
• To select all measurements and calculations, click the Edit menu and select
Select All.

5.10 Editing a Measurement or Calculation

You can edit an existing measurement or calculation. You cannot change the
Database Name of the measurement or calculation, but you can change the
Display Label. The Display Label is displayed in the report and in the Work
Area Measure sheet. If you change the Display Label, the new label is used
when performing measurements or completing calculations on new studies.
Finalized studies retain the original Display Label. However, if you amend a
finalized study, the system prompts you to use the new label.
TIP Check the Show Measurement Mapping Definitions check box to see the DICOM

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attribute information for all measurements currently mapped to this Xcelera
measurement. If no measurements are mapped, the section will be blank. If you want
to map a measurement to this Xcelera measurement click the Map DICOM
Measurements button. For details on mapping DICOM measurements, see "Mapping
DICOM Measurements" on page 5-30.

Perform the following steps to edit an existing measurement or calculation:

1 In the Measurement Category section, select either Cardiac or Vascular,

depending on the type of measurement or calculation you want to edit.
2 Do either of the following:
• Select the measurement or calculation you want to edit and click Modify.

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 Deleting a Measurement or Calculation 5.11

• Click the Edit menu and select Modify Selected.

3 Do one of the following, depending on whether you are editing a
measurement or calculation. Follow the steps in the referenced procedure and
change the information in the dialog box as needed.

5.11 Deleting a Measurement or Calculation

You can delete an existing measurement or calculation. The system does not
actually delete the measurement or calculation; it hides it from view and
makes it unavailable as a selection in future studies. However, if the
measurement or calculation has already been used in a report, it still appears
in that report.
NOTE You cannot create a new measurement or calculation that has the same name as a
deleted component.

5.11.1 Constraints
There are several constraints on deleting a measurement or calculation
definition:
• Xcelera groups some measurements together into measurement macros
(cardiac) and collections (vascular). If one member of the group is deleted,
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the Measurement Configuration Tool deletes all members of that group,

including the top-level group member. For example, if you delete a
vascular Doppler measurement, all of its derived measurements are deleted
as well.
• If a deleted measurement is used in a calculation formula, the
Measurement Configuration Tool deletes that calculation as well.

CAUTION If you select a measurement that includes measurements or measurements and

calculations, those measurements and calculations are deleted as well.

Once deleted, you can show or hide deleted measurements and calculations.
Deleting a measurement or calculation removes it from all study types.

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5.11 Deleting a Measurement or Calculation

Perform the following steps to delete an existing measurement or calculation:

1 In the Measurement Category section, select either Cardiac or Vascular,
depending on the type of measurement or calculation you want to delete.
2 Select the measurement or calculation you want to edit and click Delete, or
click the Edit menu and select Delete/Restore Selected.
The system prompts you to confirm the deletion. If you are deleting a
measurement that includes other measurements or other measurements and
calculations, or if you are deleting a calculation, the system displays a
warning and lists any associated measurements or calculations that will also
be deleted.
3 Do one of the following:
• To delete the selected items, click Yes.
• To cancel the deletion, click No.
4 Click Apply to apply the changes. If you deleted items, the system prompts
you to confirm the change to the measurement definitions in the database.
5 Do one of the following:
• To continue and delete the selected items, click Yes.
• To cancel the deletion, click No. The items are not deleted.

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 Deleting a Measurement or Calculation 5.11

5.11.2 Showing and Hiding Deleted Measurements and

Calculations
To hide or show deleted measurements and calculations:
1 In the Measurement Category section, select either Cardiac or Vascular,
depending on the types of measurements or calculations you want to hide or
show.
2 Deleted measurement and calculation definitions are hidden by default. To
show the deleted definitions, click Show Deleted, or click the Edit menu and
select Show Deleted. Deleted measurements or calculations appear in the list
with the following icon:

3 To hide deleted measurements and calculations, click Hide Deleted, or click

the Edit menu and select Hide Deleted.

5.11.3 Restoring Deleted Measurements and Calculations

Measurements and calculations are not actually deleted from the database;
they are hidden. Perform the following steps to restore a deleted
measurement or calculation:
1 In the Measurement Category section, select either Cardiac or Vascular,
depending on the types of measurements or calculations you want to hide or
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show.
2 Deleted measurement and calculation definitions are hidden by default. To
show the deleted definitions, click Show Deleted. Deleted measurements or
calculations appear in the list with the following icon:

3 Select the measurement or calculation you want to restore and click Restore,
or click the Edit menu and select Delete/Restore Selected.
The system prompts you to confirm the restoration. If you are restoring a
calculation or part of a measurement macro, the system displays a warning
and lists any associated measurements or calculations that will also be
restored.

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5.12 Setting the Display Order of Vascular Measurements

4 Do one of the following:

• To restore the measurement or calculation, click Yes.
• To cancel the restoration, click No.
5 Click Apply to save the changes. A message is displayed prompting you to
confirm the database change.
6 Do one of the following:
• To update the database, click Yes.
• To cancel the changes, click No.

5.12 Setting the Display Order of Vascular

Measurements
You can specify the order in which Vascular measurements and calculations
are presented to Ultrasound Viewer users.

To specify the order:

1 In the Measurement Category section, select Vascular.
2 Click Set Display Order. The Set Measurement/Calculation Viewer
Display Order window is displayed.

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3 Select the study type from the Study Type To Reorder menu and click Select
Study Type. The measurements and calculations are listed in the order in
which they will appear in the Ultrasound Viewer application.
4 Do any of the following to change the order:
• Drag and drop items to move them up or down.
• Select the items and click Move Up or Move Down.

NOTE You can select multiple measurements or calculations at one time. For more
information, see "Selecting Multiple Items" on page 5-21.
5 To save the changes to the database, click Save.

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 Importing and Exporting Measurements and Calculations 5.13

5.13 Importing and Exporting Measurements and

Calculations
Use the Measurement Configuration Tool to import and export
measurements and calculations to and from a file. This lets you share data
between Xcelera databases. Measurements and calculations are imported and
exported as text (.txt) files. You can import and export individual
measurements and calculations or multiple measurements and calculations.
TIP Export measurements and calculations separately. Import the measurements first,
before importing calculations.
Keep in mind the following when importing measurements: If a file you are
importing includes any duplicate measurements (even 1 measurement out of
100), none of the measurements are imported. If all of the measurements are
new, they all are imported.
NOTE DICOM map measurement definitions cannot be imported or exported.

5.13.1 Importing Measurements and Calculations from a

File
All measurements and calculations have a unique internal identifier. If a file is
imported which contains a measurement with the same database name or
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display label as a measurement that already exists in the database, but its
internal identifier is different from the one already in the database, the
import will leave out the offending measurement and inform you which
measurement was rejected.
NOTE Not all attributes are editable. The data for the attributes that cannot be modified are
ignored.

To import measurements or calculations:

1 In the Measurement Category section, select either Cardiac or Vascular,
depending on the types of measurements or calculations you want to import.
2 Click Import from File.

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5.13 Importing and Exporting Measurements and Calculations

3 In the Open dialog box, navigate to the folder that contains the text file you
want to import and click Open.
4 Click Apply to save the changes. A message is displayed prompting you to
confirm the database change.
5 Do one of the following:
• To update the database, click Yes.
• To cancel the changes, click No.

5.13.2 Exporting Measurements and Calculations to a File

Xcelera saves a copy of items to a text file when exporting measurements and
calculations. The selected items remain in the database; they are not
removed.

To export measurements or calculations:

1 In the Measurement Category section, select either Cardiac or Vascular,
depending on the types of measurements or calculations you want to export.
2 Select the item or items you want to export. You can select multiple items for
export. For more information, see "Selecting Multiple Items" on page 5-21.
3 Click Export To File, or click the File menu and select Export to File.

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4 In the Save As dialog box, do the following:
a Navigate to the folder where you want to save the text file.
b Type the name of the text file in the File name field.
c Click Save.
5 Click Apply to save the changes. A message is displayed prompting you to
confirm the database change.
6 Do one of the following:
• To update the database, click Yes.
• To cancel the changes, click No.

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 Updating the Templates 5.14

5.14 Updating the Templates

The Update Templates button places user-defined measurements and
calculations in factory defined default locations on the reporting template.
NOTE If you have customized the template to place the user-defined measurements and
calculations in a custom location in the template, the measurement is displayed in two
places on the template, the user-selected customized location and the factory-defined
default location.
To add new non-customized components to the report templates, click
Update Templates. To add new customized, user-defined components to the
reports, contact your Philips representative.

5.15 Saving Changes

Changes made with the Measurement Configuration Tool are not stored
permanently until the changes are written to the database or to a file.
NOTES • Any changes applied to the database affect the Xcelera applications and must be
undertaken with great caution.
• If you had not saved your changes, when you click Map DICOM Measurement, the
system prompts you to save or discard the changes.
• Saving the changes to a separate file is a convenient way to keep backup copies of
the measurement definitions during testing or while making changes.
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To immediately write changes to the database:

1 On the File menu, select Store to Database, or click Apply.
A window prompts you to confirm the changes.
2 Click Yes.
To export the changes:
1 On the File menu, select Export to File. The Save As window is displayed.
2 Select the file to which you want o save the changes or create a new file, and
then click Save.

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5.16 Mapping DICOM Measurements

5.16 Mapping DICOM Measurements

WARNING It is the responsibility of the user to ensure that DICOM SR measurements are mapped
to the correct Xcelera measurements.

NOTES You are responsible for any mapping alterations made using the DICOM Mapping
feature. Mapping alterations include adding, deleting, or updating the existing
manufacture provided mappings stored in the Xcelera database.

Each Xcelera measurement is minimally associated to the following

attributes: Database Name, Display Name, Primitive Type and Unit.
However, to map DICOM SR measurements to Xcelera measurements, each
Xcelera measurement needs to be associated with a set of DICOM SR
attributes, described below. This is true regardless if it is an Xcelera
manufacturer-provided measurement or an Xcelera user-defined
measurement.

When a modality exports its measurements through either the DICOM SR

network protocol or a DICOM SR file, each DICOM SR measurement is
composed of a set of DICOM SR attributes (such as Measurement Concept,
Anatomy, Imaging Mode, Method, and so on). Each DICOM SR attribute is
codified with the following parts:

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• Code Scheme Designator (CSD) which indicates the issuer of the
attribute. The typical coding schemes used in DICOM include DCM for
DICOM, SNM3 for SNOMED version 3, SRT for SNOMED-RT and
LN for LOINC. A coding scheme designator that begins with 99 is a
private coding scheme. For example, 99PMSUS is Philips Ultrasound’s
private coding scheme.
• Code Value (CV) is an identifier that is an unambiguous string within the
Code Scheme Designator.

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 Mapping DICOM Measurements 5.16

• Code Meaning (CM) conveys the meaning of the term defined by the
combination of Code Scheme Designer and Code Meaning. However,
note that for a particular Code Scheme Designer and Code Value, several
alternative values for Code Meaning may be defined. For this reason, Code
Meaning is not part of the Xcelera mapping mechanism.
In order for the Xcelera system to recognize and map a particular DICOM
SR measurement, composed of a certain set of DICOM attributes, to an
existing Xcelera measurement, it must be associated to the same set of
DICOM SR attributes of which the corresponding DICOM SR
measurement is composed.
Once this mapping is established, whenever a DICOM SR measurement
with the same set of DICOM SR attributes arrives to an Xcelera system, the
system can automatically map it to the correct Xcelera measurement. Because
of this, the mapping mechanism from DICOM SR measurement to Xcelera
measurement is not vendor specific. If a DICOM SR measurement is
composed of (defined by) the same set of DICOM SR attributes from
different modality vendors, it is mapped to the same Xcelera measurement,
regardless of the vendor.
Xcelera ships with a set of default DICOM SR mappings from a limited set
of ultrasound modality systems manufactured by Philips, GE and Siemens.
As users import DICOM SR measurements to the Xcelera system, Xcelera
uses the default mappings to map the DICOM SR measurements to Xcelera
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measurements automatically.
For the DICOM SR measurements which are not mapped through the
manufacture-provided default mappings, the DICOM Measurement
Mapping Tool provides mapping functionality to Xcelera you so that you can
can customize your own mappings.

Use the Map DICOM Measurements button in the Measurement

Configuration Tool to do the following:

• Provide a system-wide mapping summary from DICOM SR

measurements to Xcelera measurements.

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5.16 Mapping DICOM Measurements

• Provide an SR file-based mapping summary from DICOM SR

measurements to Xcelera measurements.
• Map a set of DICOM SR attributes, (which define a DICOM SR
measurement) to either an existing Xcelera measurement or to a new user-
defined Xcelera measurement.
• Ignore unmapped DICOM SR measurements to prevent them from
displaying in the Work Area Measure Sheet.
• Map previously ignored DICOM SR measurements.
• Re-map previously mapped DICOM SR measurements to a different
Xcelera measurement.
• Add more mappings to currently mapped measurements. You can map
more than one DICOM SR measurements to the same Xcelera
measurement (n: 1) But each DICOM SR measurement can only be
mapped to one specific Xcelera measurement (1:1).
NOTE Xcelera R3.2 contains all of the default DICOM SR mappings found in prior releases,
as listed below:
• Philips iE33, iU22, HD11, HD15, CX50: subset of Adult Cardiac Echo and/or
Pediatric Cardiac Echo and/or Vascular measurements (mappings vary by release)
• GE Vivid 7, Vivid i: subset of Adult Cardiac Echo measurements
• Sequoia R12.1: subset of Adult Cardiac Echo measurements

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When importing a DICOM study, Xcelera uses DICOM measurement
mapping definitions to create equivalent Xcelera measurements. Use the Map
DICOM Measurements window to define the mappings.

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 Mapping DICOM Measurements 5.16

5.16.1 Map DICOM Measurements Window

Table 5-5 lists and describes the components in the Map DICOM
Measurements window. You can resize the panes in the window, and also
click the column headings to sort the data by ascending or descending
criteria.
Table 5-5: Map DICOM Measurements
Component Description

Measurement Source Specifies the source of the measurement. Selections include:

list - Browse DICOM files
- Browse DICOM folder
- Database-System
- Database-Study
See "Specifying the Measurement Source" on page 5-36 for more
information.

Load button Loads the selected Measurement Source.

DICOM Measurement Mapping Definitions section

Show Unmapped When selected, includes the Unmapped measurements in the list of DICOM
check box Measurement Mapping Definitions.

Show Mapped check When selected, includes the currently mapped measurements in the list of
box DICOM Measurement Mapping Definitions.

Show Ignored check When selected, includes the currently ignored measurements in the list of
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box DICOM Measurement Mapping Definitions.

Group check box When selected, groups the mapped measurements by the mapped Xcelera
measurement labels or by the study ID in the list of DICOM Measurement
Mapping Definitions.

Modified A check mark indicates a change was performed during the current session.

Study ID Lists the study identification number (if the selected DICOM source is
Database-Study).

Modified A check mark indicates a change was performed during the current session.

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5.16 Mapping DICOM Measurements

Table 5-5: Map DICOM Measurements (Continued)

Component Description (Continued)

Mapped to Displays one of the following status icons and/or the Xcelera Display name (if
mapped):
Mapped
Unmapped
Ignored
QLAB
Value
TomTec

Value Lists the measurement value.

Unit Lists the unit of measurement. When mapping measurements, use the Units
tab to indicate the unit conversion factor for mapping from DICOM SR to
Xcelera.

DICOM Structured Properties assigned to each measurement within the SR file created by the
Reporting Attributes: modality. The set of properties associated with each measurement represent
the modality definition of the measurement. The SR file is then read by the
Philips DICOM measurement mapping functionality (Patent-pending).

By using the DICOM SR Attributes, you can determine the appropriate

Xcelera measurement for mapping.
Note: Double-click on any DICOM Structured Reporting Attribute to
display a full list of DICOM attributes.

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Concept Lists the measurement concept. For example, Cardiac Output, Heart rate,
Left Ventricle Mass, and so on.

Anatomy Lists the anatomy and target tags.

Mode Lists the mode for the measurement within the SR file created by the
modality and read by the Philips DICOM Measurement Mapping tool.

Method Lists the method used to perform the measurement.

Modifiers Lists one or more DICOM attributes that further explain how the
measurement was performed (for example, Imaging View, Cardiac Phase,
Respiration State, Flow Direction, and so on).

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 Mapping DICOM Measurements 5.16

Table 5-5: Map DICOM Measurements (Continued)

Component Description (Continued)

Xcelera Measurements section

Measurement Category Displays either Cardiac or Vascular to indicate which Xcelera measurements
display. The Measurement Category is selected on the main page of the
Measurement Configuration Tool.

Map button Lets you map the selected DICOM SR to the selected Xcelera measurement.

Display Label The label of the measurement that appears in the Work Area Measure sheet
and if applicable, in the report.

Show Basic check box When selected, includes the Basic measurements in the list of DICOM
Measurement Mapping Definitions dependant on the selected
Measurement Category (Cardiac or Vascular). Basic measurements are
measurements that you can perform in Xcelera.

Show QLAB check box When selected, includes the QLAB measurements in the list of DICOM
Measurement Mapping Definitions dependant on the selected
Measurement Category (Cardiac or Vascular).

Show TomTec check When selected, includes the TomTec measurements in the list of DICOM
box Measurement Mapping Definitions dependant on the selected
Measurement Category (Cardiac or Vascular).

Show Value check box When selected, includes the Value measurements in the list of DICOM
Measurement Mapping Definitions dependant on the selected
Measurement Category (Cardiac or Vascular). Value measurements are
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measurements that can be keyboard entered on Xcelera or they can be

mapped to receive a value from the modality. The purpose of the Value
measurement is to store values that are defined, entered, or transferred from
the modality but cannot be performed in Xcelera.

Unit Unit of measurement.

Primitive The measurement’s primitive type that is used to perform the measurement,
for example, length, volume, trace, point, slope, velocity, and so on. The
system provides the units based on the selected type.

Save Saves the mapping definitions.

Export button Lets you export the measurement map data to an xml file.

Xcelera Release 3.3 Measurement Configuration Tool 5-35

5.16 Mapping DICOM Measurements

Table 5-5: Map DICOM Measurements (Continued)

Component Description (Continued)

New button Opens the Configure a Measurement window where you can create a new
measurement if there are no existing Xcelera measurements available to map
to. For more information, see “Creating New Measurements and
Calculations” on page 5-15.

Search button Use this button to enter free text to refine the displayed list of Xcelera
measurements.

Filtered by The displayed Xcelera Measurement list is filtered using the DICOM
attributes of the selected (highlighted) DICOM measurement.
When this field lists Category; Primitive; Unit, it indicates that the
Xcelera measurement list is showing only Xcelera measurements that have
the same category, the same primitive, and the same unit type.

5.16.2 Specifying the Measurement Source

When specifying the DICOM Measurements Source in the Map DICOM
Measurements window, the selections include the following:
• Browse DICOM Folder
When you select this option, the Browse for Folder window prompts you
to select one folder for the system to search. The system searches through
the folder you specify, and its subfolders for files that contain DICOM SR

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measurements. The system displays a progress indicator in the lower left
corner of the window as the measurements are loaded. To cancel the
operation, click Cancel. When the progress is complete, the Load Results
window is displayed. Click OK. Each measurement loaded includes its
value and unit.
• Browse DICOM Files
When you select this option, the Select one or more DICOM file(s)
window prompts you to select one or more SR files from within a folder.
The system displays a progress indicator in the lower left corner of the
window as the measurements are loaded. To cancel the operation, click

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 Mapping DICOM Measurements 5.16

Cancel. When the progress is complete, the Load Results window is

displayed. Click OK. Each measurement loaded includes its value and
unit.
• Database-System
When you select this option, the DICOM Measurement list is populated
with all of the DICOM measurements from the Xcelera database. These
DICOM measurements are system-wide mapping definitions that do not
contain any study information or values.
• Database-Study
When you select this option, and only Show Unmapped is selected, the
DICOM Measurements list is populated with all of the unmapped
measurements that are found in all studies in the Xcelera database. Each of
the unmapped DICOM measurements contains the study information
along with the value and unit. The unmapped DICOM measurements
come from the database and each measurement is associated with a the
study where it was performed, indicated by the Study ID. You can use this
list to resolve the unmapped measurements in your Xcelera system. Once
mapped, measurements are recognized the next time they are imported to
Xcelera.
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Xcelera Release 3.3 Measurement Configuration Tool 5-37

5.16 Mapping DICOM Measurements

5.16.3 Mapping DICOM SR Measurements to Xcelera

Measurements
Use the Map DICOM Measurements window to map DICOM
measurement definitions to existing and new Xcelera measurements, unmap
existing measurements, and ignore measurement definitions that you do not
want to map.
NOTES • To select noncontiguous items, press and hold the Ctrl key while clicking each item.
• To select all of the items that are listed together, click the first item and then press
and hold the Shift key while clicking the last item. All of the items between the first
and last are included in the selection.
Perform the following steps to map DICOM SR measurement definitions to
Xcelera measurements:
1 In the Xcelera Measurement Configuration Tool window, select the
appropriate Measurement Category (Cardiac or Vascular).
2 Click Map DICOM Measurements. The Map DICOM Measurements
window opens.
3 Select the DICOM Measurements Source. For details about the different
DICOM Measurements Source options, see "Specifying the Measurement
Source" on page 5-36.
Select the Show Unmapped, Show Mapped, Show Ignored, and Group

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4
check boxes as needed to filter the display of DICOM measurement
definitions.
TIPS • Double-click on a row in the left pane to show and hide details about the selected
measurement.
• Use the Search feature (in the lower right section of the window) to search for
possible mapping matches. The “Filtered by” line shows the current filter.
5 Select the DICOM measurement definitions to map from the left pane.
Based on the DICOM attributes of the selected measurement definition, a
list of Xcelera measurements is displayed. Adjust the display by selecting and
deselected the “Show” check boxes as needed.

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 Mapping DICOM Measurements 5.16

6 Select the Xcelera measurement in the right pane to which you want to map
the DICOM measurement definition.
TIPS • The right pane displays a list of possible mapping matches from the Xcelera
database. Read the DICOM attribute information to determine the appropriate
mapping match.
• If available matches are not displayed, make sure the “Show Value” check box is
selected.
7 Click Map. The Display Label of the selected Xcelera Measurement displays
in the Mapped to column, the Unmapped icon changes to Mapped and a
check mark is displayed in the Modified column to indicate the change.
8 To ignore measurements, right-click on the DICOM measurement
definition in the left pane and select Ignore.
9 To change a current mapping, highlight the row in the left side and select
another measurement from the Xcelera measurement list on the right side.
10 For DICOM measurement definitions that do not have a a satisfactory
match in the Xcelera Measurements list, you can create a new Xcelera
measurement. To create a new Xcelera measurement, click New. For details
on creating a new Xcelera measurement, see “Creating New Measurements
and Calculations” on page 5-15. When you click New, some of the
measurement information (such as the Display Label and Database Name)
is retained from the Map DICOM Measurements window.
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11 To save the changes, click Save.

12 To close the Map DICOM Measurements window, click Close.

5.16.4 Working with Units and Conversion Factors

Each DICOM measurement must have a DICOM value and unit and each
Xcelera measurement must have an Xcelera value and a unit. When a
DICOM measurement is mapped to an Xcelera measurement, the DICOM
measurement is displayed with the converted Xcelera value and unit.

Xcelera Release 3.3 Measurement Configuration Tool 5-39

5.16 Mapping DICOM Measurements

For example, a DICOM measurement’s value is 13 and the unit is mm. If the
DICOM measurement is not mapped, it is displayed as: Mapped to:
<Blank>, Value 13, Unit “mm.” After it is mapped to the Xcelera
measurement, “XC Meas1” with a unit of “cm,” the DICOM measurement
is displayed as: Mapped to: “XC Meas”, value 1.3, unit “cm”.
Use the Units tab in the Map DICOM Measurements window to fill in the
conversion value and unit type, and to delete existing units.

Table 5-6: Units and Unit Conversion Fields

Component Description

Editable If selected, indicates that you can edit and delete the unit. If not selected,
indicates that the unit is a predefined Xcelera unit and cannot be edited or
deleted.

Unit The Xcelera unit.

DICOM Unit The DICOM definition of the unit (CSD, CV, and CM values)

Factor The multiplication factor for any conversions.

Base Unit The starting unit for any conversions.

Details section The Details section includes information about the Unit Label,
Conversion Factor, Base Unit, Unit CSD, Unit CV, and Unit CM.

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Completing Unit Information
When importing a DICOM SR study, or when loading a DICOM SR file, if
the Unit information is unknown, the details are partially filled in and you
must complete the missing information (the unit conversion value and the
unit type).
Perform the following steps to enter the unit conversion value and the unit
type:
1 Do one of the following, depending on how the unknown unit is displayed:
• After importing a DICOM SR study, click the Unit tab in the Map
DICOM Measurements window. Enter the unit conversion value and
unit type.

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 Mapping DICOM Measurements 5.16

• After loading a DICOM SR file that includes missing unit information,

click the button Unit column in the DICOM Measurement Mapping
Definitions section (left pane). Enter the unit conversion value and unit
type.
2 Click Save in the Mapping Definitions tab.

Deleting a Unit
You can only delete units that include a check mark in the Editable column.
1 To delete a unit, select the unit, and click Delete. A message is displayed,
prompting you to confirm the deletion.
2 Click OK.

5.16.5 Exporting DICOM Mapping Data

Perform the following steps to export DICOM mapping data to file in .xml
format:
1 In the Xcelera Measurement Configuration Tool window, click Map
DICOM Measurements. The Map DICOM Measurements window opens.
2 Select the DICOM Measurements Source.
3 Select the Show Unmapped, Show Mapped, Show Ignored, Group check
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boxes as needed to filter the display of DICOM measurements.

4 Click Export.
5 In the Save As window, navigate to the folder in which you want to save the
.xml file.
6 Specify the file name and click Save.
7 To close the Map DICOM Measurements window, click Close.

Xcelera Release 3.3 Measurement Configuration Tool 5-41

5.16 Mapping DICOM Measurements

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5- 4 2 Measurement Configuration Tool Xcelera Release 3.3

 Index - Clinical Application Configuration Tool 1-2,
2-1
- System Administration Manager 1-3
Creating
A - finding groups 2-16
- patient attributes 2-42
Adding
- reasons for studies 2-45
- finding codes to groups 2-17
- reporting profile section labels 2-38
- image flags 2-47
- reporting profiles 2-35, 2-36
Applying changes 2-5, 5-29
- study attributes 2-43
Attributes editor 2-41

C D
Deleting
Calculations
- finding codes 2-18
- creating new 5-15, 5-18
- finding codes from groups 2-19
- creating new based on existing 5-20
- finding groups 2-20
- deleting 5-23
- image flags from list 2-48
- editing 5-22
- macros 2-40
- exporting 5-28
- measurements and calculations 5-23
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- icon 5-4
- reasons from Reason for Study list 2-46
- importing 5-27
- reporting profiles 2-37
- restoring deleted 5-25
DICOM measurements
- setting display order 5-26
- description of fields 5-33
- showing and hiding deleted 5-25
- DICOM Measurements Source 5-38
- specifying display order 5-26
- exporting 5-41
Carotid Chart, configuring 2-53, 2-56
- icons 5-34
Changing editors 2-5
- mapping tips 5-38, 5-39
Clear Selections button 2-29
- mapping to Xcelera measurements 5-38
Clearing finding groups and codes 2-12
Display order, specifying 5-26
Clinical Application Configuration Tool 1-2,
Duplicate measurements, issues importing 5-27
2-1
- applying changes 2-5
- changing editors 2-5 E
- starting and exiting 2-4
Editing
Code column 2-8
- finding group descriptions 2-22
Collections icon 5-5
- image flag list order 2-47
Configuration tools

X c e l e r a Release 3.3 Index-1

- measurements and calculations 5-22 - exporting 2-25
- reason for study list order 2-46 - importing 2-23, 2-24
- reporting profiles 2-33 - loading 2-6, 2-12
- section labels 2-39 - locating 2-26
Editors - properties 2-9
- changing 2-5 Finding Codes editor 2-6
- Finding Codes 2-6 Finding Groups
- Image Flag List 2-47 - adding finding codes 2-17
- Other Settings 2-44 - changing the finding code order within 2-23
- Reason for Study List 2-44 - clearing 2-12
- Smart Chart 2-53 - creating 2-16
- Wall Scoring Method 2-51 - deleting 2-20
Exiting - deleting finding codes from 2-19
- Configuration Manager Application 2-4 - editing 2-22
- Measurement Configuration Tool 5-9 - exporting 2-25
- Profile Transporter 4-2 - importing 2-23
Explanation/Formula column 5-6 - loading 2-6, 2-12
Exporting Finding Groups pane 2-7
- DICOM measurements 5-41 Finding Site 5-5
- finding codes and groups 2-25 Findings pane 2-7

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- measurements and calculations 5-28 Format options 2-10
- reporting profiles 4-3
Extended Formatting check box 2-10
G
Group Box field 2-30
F
Fill In the Blank option 2-10
Finalize Study 2-52 H
Finding Code field 2-9 HTML Template field 2-29
Finding Codes
- about 2-6
- adding to a finding group 2-17 I
- adding to Smart Chart 2-54 Icons, measurement mapping status 5-34
- changing the order within groups 2-23 Image Flag List editor 2-47
- clearing 2-12 Image flags
- deleting 2-18 - adding new 2-47
- deleting from groups 2-19 - changing list order 2-47

I n d e x -2 Xcelera Release 3.3

 - deleting from list 2-48 - icon 5-4
Importing - importing 5-27
- finding codes and groups 2-23 - issues importing duplicates 5-27
- measurements and calculations 5-27 - macros icon 5-4
Interpretation Summary check box 2-9 - restoring deleted 5-25
- setting display order 5-26
- showing and hiding deleted 5-25
L - specifying display order 5-26
Label button 2-30 Menu Text column 2-8
Loading Menu Text field 2-9
- finding groups and codes 2-6, 2-12 Modes column 5-7
- reporting profiles 2-31 Multiple Choice option 2-10

M N
Macros New button 2-29
- deleting 2-40 Nuclear Medicine 2-11
- icon 5-4
- list 2-29
Measurement Category O
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- finding codes 2-10 On Report? 5-6, 5-16

Measurement Configuration Tool 5-1 Other Settings editor 2-44
- saving changes 5-29
- selecting multiple items 5-21
- starting and exiting 5-9 P
- window components 5-3, 5-33 Passwords, configuring for finalizing
Measurement Laterality 2-10 studies 2-52
Measurement option 2-10 Patient attributes, creating 2-42
Measurements Profile Transporter, starting and exiting 4-2
- creating new 5-15
- creating new based on existing 5-20
- creating new cardiac 5-15, 5-38 R
- creating new vascular 5-17 Reason for Study
- deleting 5-23 - adding new 2-45
- editing 5-22 - changing the list order 2-46
- exporting 5-28 - deleting reasons 2-46
- exporting DICOM mapping data 5-41 - List editor 2-44

X c e l e r a Release 3.3 Index-3

Report templates, updating 5-29 - Default check box 2-29
Report Text column 2-8 - field 2-29
Report Text field 2-9 - sorting measurements and calculations 5-3
Reporting Profiles - stress 2-31
- creating new 2-36 System Administration Manager 1-3
- creating new profiles based on existing
profiles 2-35
- creating new section labels 2-38 T
- deleting reporting profiles 2-37 Templates, updating report 5-29
- editing 2-33 Type column 5-6
- field 2-29
- loading 2-31
- modifiable options 2-32 U
- modifying section labels 2-39 Units column 5-7
- nonmodifiable options 2-32
Restoring deleted items 5-25
W
Wall scoring method
S - definitions 2-49, 3-6
Saving changes 5-29 - remapped score definitions 2-50

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Scheme column 2-8 - selecting 2-51
Searching for finding codes 2-26
Sections
- button 2-30
- creating new 2-38
Selecting multiple items 5-21
Showing and Hiding deleted items 5-25
Smart Chart
- editor 2-53
- window components 2-54
Starting
- Clinical Application Configuration Tool 2-4
- Measurement Configuration Tool 5-9
- Profile Transporter 4-2
Stress study type 2-31
Study attributes, creating 2-43
Study Type

I n d e x -4 Xcelera Release 3.3

Philips Healthcare is part of
Royal Philips Electronics

www.philips.com/healthcare
[email protected]

Manufacturing address
Philips Medical Systems Nederland B.V.
Veenpluis 4-6
5684 PC Best
The Netherlands

This Medical Device meets the provisions of the transposition of

the Medical Device Directive 93/42/EEC within the country of
origin of the Notified Body concerned with the device.

4522 170 18581 * 2012

© Koninklijke Philips Electronics N.V. 2012

All rights are reserved. Reproduction or transmission in whole or in part, in any form or by any means, electronic,
mechanical or otherwise, is prohibited without the prior written consent of the copyright owner.