PENLUNG VERSION 7.0 UPGRADE

Itemized release notes below and worksheet is provided in the pdf at the bottom of this page. If you are interested in the PenLung upgrade training, contact us today!

LUNG UPGRADE
As LungRads has evolved, so have the requirements of the registry. Below is a high level view of some of the features added in PenLung Version 7. In the subsequent pages a more detailed account of the changes will be displayed.

  • Tracking points have expanded to facilitate the latest registry requirements.
  • The expanded patient history form includes the newly required responses.
  • Additional non-lung findings and the reason for LungRads 0 to match registry requirements.
  • Modality manufacture, model and reconstructed slice width hard coded into PenLung.
  • Integration with DICOM SR to extract dose values in real time.
  • Increased patient demographic requirements and Referring physician NPI number integration.
  • Redundancy checker to proof data prior to the registry upload.
  • An optional DICOM to HL7 interface for those without an HL7 feed.
  • Send captured lung history and risk items to PACS, enabling the radiologist to view the patients’ history during interpretation.

*The following include additions and requests from our users.

ADMINISTRATIVE REPORTS ADDITIONS

  • Added restricted report option allowing staff to review their own data without master or special passwords.
  • Added report grouping by “zones” for multiple locations.
  • Updated or added the following administration reports:
    • Patients with Invalid Mailing Address, for irregularities when DICOM creates patient. (RC)
    • LungRads Counts, filters by LungRads and by baseline, screening and diagnostic.
    • Count of Exams Performed by Radiologist, itemized totals by exam type.
    • Count of Exams Performed by Referring Doctor, itemized totals by exam type.
    • Count of Exams Performed by Technologist, itemized totals by exam type.
    • Lung Pathology Findings by Lesion, provides results based on benign, malignant and other.
    • Patient with Lung Pathology, filters for complete/incomplete. (RC)
    • Lung Pathology Basic Detail, with right click to view exam.
    • Lung Simple Unresolved list, offers a list of unresolved exams and the ability to resolve.
    • Lung Simple Resolved list with reasons, offers a list of resolved exams with the reason.
    • Lung Imaging Log, reflects CTDIvol and DLP and slice width by exam.
    • Patients Exams Approved, offers filters by exam type and LungRads. (RC)
    • CT Lung Exams with Detail, filters by exam tracking elements. (RC)
    • LungRads by Patient, offers filters by LungRads and by modality. (RC)
    • Patients with Lung Navigator. (RC)
    • Patients with Lung Navigator with reminder date”. (RC)
    • Lung Screening Results Forward, displays exams from initial screening study. (RC)
    • Patients on Lung AutoRead List, displays exams and if address valid. (RC)
    • Patients on Lung AutoRead List without Lung History Form, displays exams without current history form.
    • Verify Lung Export Data, verifies and provides correction method prior to export.
    • Lung Cancer Screening Registry, prepares file for registry.

*Multiple reports include a right click (RC) function to view exam or form and print patient letters.*

AUTOREADER ADDITIONS

  • Floating hover tips to expand descriptions and codes.
  • Exam filter added to lung AutoReader, for filtering amends and path, baseline, screen and diagnostic.
  • Tracking points added to confirm no findings for each nodule type;
    • NS (No Solid), NPS (No Partially Solid), NNS (No Non-Solid), NLN (No Lung Nodule).
    • If finding is specified in a nodule category, “No” is deselected.
  • Tracking point NSIG (No Significant non-lung finding) added to confirm no significant non-lung findings.
    • If non-lung finding is specified in category, “No” is automatically deselected.
  • Tracking points added as non-lung significant findings;
    • AAA (Aortic aneurysm), CAC (Coronary arterial calcification), MNK (Mass neck), MMD (Mass mediastinum),
    • MLV (Mass liver), MKD (Mass kidney), MTH (Mass other), PFB (Pulmonary fibrosis), INLD (Interstitial lung disease).
  • Expanded LungRads 0 to require the following reason;
    • Incomplete coverage, Noise, Respiratory motion, Expiration, Obscured by acute abnormality.
  • Added automatic validate for missing modality name, and imaging data (CTDIvol, DLP, slice width).
    • AutoReader does not have imaging button, if missing imaging data, image screen appears.
  • Modified AutoApprove to “skip” exams where tracking information is incomplete.
    • When completed, tap Restart button to complete remaining exams, where intervention is required.
  • Added option to disable AutoApprove function requiring user intervention to approve each exam.
  • Added one-step approve, print and commit button.
  • Patient Message button, for custom messages on patient exam letter if option enabled.
  • Added during approve a verification process for required items:
    • Patient medical and risk history,
    • Imaging data (modality name, model, CTDIvol, DLP, slice width),
    • Exam tracking components (LungRads, recall interval, patient letter, etc.)
    • Patient mailing address.
    • Specification of staff.
    • Option to resolve any unresolved exams.
  • Lung Correction form provides the ability to update at exam level to medical and risk history items, and demographic information to collect new registry required items.
  • Option to require completed patient address during exam approval.

BATCH PRINTING

  • LungRads value column added to patient letter printing screen.

COMPARISON AND PRIOR IMAGING

  • Incorporated dose accumulation calculation for reference and dose by exam.

CT IMAGING SCREEN

  • Expanded support for up to 20 separate modalities and support to default by workstation for real-time capture.
  • DICOM SR support to import by accession number CT dose values (CTDvol and DLP).
  • For each modality, the ability to store name, model number, and prepopulate reconstruction slice width.

DICOM

  • Ability added to populate the imaging record with the CTDIvol, and DLP with an optional DICOM service.
    • Can create the Patient and RIS Order with an optional DICOM to HL7 service.

GENERAL

  • Hover over patient name added on various grid lists, to project content of row in a compact window.
  • Right click on patient name on various grid lists, to access directly various patient record items or tasks.

HELP SYSTEM

  • Individualized help files for each screen, plus for all administrative reports.

HISTORY FORM

  • Updated Lung history form to facilitate latest registry yes/no responses and demographic requirements for:
    • “Physician provided smoking cessation guidance?”
    • “Is there documentation of shared decision making?”
    • “Patient presents with lung cancer symptoms?”
    • Height and weight fields, SSN, race, ethnicity added. Forms checked for data in required fields, automatically.
  • Added alternate Lung History forms, without pack year calculator. Added help screen support for forms.

NAVIGATOR

  • “Other Biopsy” and “US Guided Biopsy” added.
  • Direct access to navigator form from administrative report “Patients with Lung Navigator” with a right click.

OTHER LANGUAGES

  • Expanded terminology for patient exam and recall/reminders for variable items (recall type and interval, etc.).

PATHOLOGY ADDITIONS

  • Generic “Adenocarcinoma” added as path type.
  • Bronchoscopic, Percutaneous and Pneumonectomy added as a biopsy technique.

PATIENT MAINTENANCE

  • Projects Add New Lung History button, if no previous lung history. If prior lung history, Current Lung History button and Clone Current History button shown. Tapping clone duplicates existing for update. Current shows last form.

PATIENT MESSAGE

  • Added option to include in patient exam correspondence a custom patient message.
    • Access is offered on Preliminary exam, AutoReader and Tracking screen.
    • Patient message supports macros and soft bookmarks.

PRELIMINARY EXAM ADDITIONS

  • Comparison button to added to Preliminary exam, to preview prior exams, pathology reports and to attach comparisons.
  • Show New Lung History button only if no previous lung history. If prior lung history, then Current Lung History and Clone
  • Current History buttons shown. Tapping Clone Current History duplicates existing for update. Current shows last form.
  • Non-low dose CT added as exam choice.
  • Exam modifier “with lung cancer symptoms” added.
  • Option added to require preview of history worksheet and or confirmation of ordering and CC physicians.
  • Patient Message button added, for custom messages on patient exam letter if applicable.

REGISTRY

  • Admin Report “Verify Lung Export Data” added to verify and provides correction method prior to export.
  • Admin Report “Lung Cancer Screening Registry” added to prepare file for registry upload.

RESOLVE

  • Ability added to draw from a common list the reason for exam resolution.
    • Custom reasons can be added via the Exam Resolution Reasons button on the Administrative screen.
    • Administrative report 5H and 5I incorporates reasons for filters, along with exam type and LungRads code.
  • Added automatic administrative note for all exams when resolved, referencing exam, date resolved and by whom.
  • Expanded configuration option to allow exam resolution by other than master user and/or radiologist.

SCREEN SCALING

  • Expanded the scaling of application screen area to facilitate custom size and monitors and tablets of higher resolution.

SEND TO PACS

  • Option added when transferring exam to scheduled work list:
    • Ability to send captured lung history and risk items, enabling radiologist to use as a resource during interpretation.

SOFTCOPY SYNCHRONIZATION AND AUTOMATION

  • Various options added to format synchronization messages (pad, strip, accession and mrn) for dissimilar systems.
  • Options added to send messages to PACS, as exam is approved (PACS work list can indicate study read), and as exam is committed with screening or follow-up recall, images can be purged, leaving images for returning patients on viewer.

TEACHING REASON

  • Ability to specify custom categories for selection when flagging exam as teaching.
    • Teaching reason selector available on Tracking screen, Comparison and Priors Exams screen (by right click on exam).
    • To add or retire teaching reason, tap Teaching Purposes List button on Administrate screen.
    • Admin reports 7A and 7B offers various search capabilities by teaching reason and LungRads code.

TRACKING ADDITIONS

  • Floating hover tips to expand descriptions and codes.
  • Tracking points added to confirm no findings for each nodule type;
    • NS (No Solid), NPS (No Partially Solid), NNS (No Non-Solid), NLN (No Lung Nodule).
    • If finding is specified in a nodule category, “No” is automatically deselected.
  • Tracking point NSIG (No Significant non-lung finding) added to confirm no significant non-lung findings.
    • If non-lung finding is specified in category, “No” is automatically deselected.
  • Tracking points as non-lung significant findings added;
    • AAA (Aortic aneurysm), CAC (Coronary arterial calcification), MNK (Mass neck), (MMD) Mass mediastinum,
    • MLV (Mass liver), MKD (Mass kidney), MTH (Mass other), PFB (Pulmonary fibrosis), (INLD) Interstitial lung disease.
  • Negative button added to automate tracking (preselects NS, NPS, NNS, NLN, NSIG, and LungRads 1).
  • Added one-step approve, print and commit button.
  • Auto checking added for next exam, if patient age and elapsed non-smoking years are outside of screening program.
  • Expanded LungRads 0 to require the following reason;
    • Incomplete coverage, Noise, Respiratory motion, Expiration, Obscured by acute abnormality.
  • Comparison button added provides access to prior exam narrative, pathology and ability to reference in current exam.
  • Patient Message button added for custom messages on patient exam letter.
  • Option added to require complete patient address during exam approval, for facilities without HL7.
  • During approve, a verification process for required items:
    • Patient medical and risk history
    • Ordering physician with NPI
    • Patient eligibility (age and non-smoking years)
    • Imaging data (modality name, model, CTDIvol, DLP, slice width)
    • Exam tracking components
    • Specification of staff
    • Option to resolve any unresolved exams
    • Lung Correction form added providing update to medical and risk history items and demographic information to new
      registry required items.

WINDOWS AND LDAP LOGIN

  • LDAP authentication. When a technologist has shared locations, a pop-up is presented for location selection.

*PenLung Upgrade Worksheet included in PenTips pdf below

PenTips #181 - PenLung Detailed Upgrade with Worksheet

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