Before You Begin
Call support if you need assistance with the following hardware requirements:

1. IntegradWeb PACS can only be accessed using a PC running Windows 98SE or better (i.e., 98SE, Me, XP, XP Professional, NT or 2000) and equipped with Internet Explorer Version 5.5 or better.  Netscape Navigator is not supported.
2. Macintosh is not supported, unless you are using Virtual PC Version 6.0 or better.
3. Set the screen resolution to 1024x768 or higher and to “True Color.” 
4. Use a broadband connection to the Internet.  If you are using dial-up, consider loading multiple studies at one time and then returning to the PC after they have loaded.

Accessing Studies from CD
Studies and reports saved to CDs can be read on any computer, even those without access to IntegradWeb.  All the necessary utilities to read the study are included on the CD; simply insert the CD into the CD drive of the computer.  A viewer for IntegradWeb opens automatically, and you can access images and reports using the features described in this document. 

Logging in Over the Internet

1. Go to www.olympicradiology.com and select PACS Login. TIP: Bookmark this page. Or, you may enter the following text in the URL address box of your browser: 207.14.32.181/web and press the Enter key.
2. When the login screen appears, enter your username and password in lowercase; click the Login button.  See the administrator if you need assistance with your username and password.
3. A security alert displays.  Click Yes.  A second security message may also display for first-time users; click Yes to this prompt as well.  IntegradWeb PACS quickly displays the Study List (the main screen).

Study List Basics
A Study List is a group of similar studies, such as CTs, MRs, or all studies performed today.  Each Study List is displayed under a tab for quick access, and its studies are itemized with descriptive information.  (Names are encrypted for privacy.)  Click on a tab to display a particular Study List. 

Use the paging buttons on the toolbar above the tabs to navigate forward or backward through the Study List.

Use the icons next to each study for a quick grasp of that study’s status:
  Denotes that the study is selected.
 Click here to view the study.  (Note:  That if this icon is yellow, the particular study is already open.  This feature is available to radiologists only, as recognized by their login, and is designed to help radiologists make updates to only one copy of a study. 
 Indicates the note/report status:
 The gray notepad indicates that no note or report is attached to the study.
 If the notepad icon is yellow, then a note has been attached to the study.
 If the notepad icon is green, then a full report—either preliminary ("wet read") or final—has been attached to the study.
 Indicates the read status.  A study may have a large checkmark (the study has been read and dictated by a radiologist), a small checkmark (the study has been reviewed but not dictated, or it’s been read by a resident), both or neither.

Opening and Managing a Study

1. Click the view icon  next to the study, or highlight the study to open by directing the mouse to that line.  Click anywhere on that line to open the study.  The study is launched in the Image Viewer.
2. Each series in the study is displayed in a separate window.  (Plain-film studies, however, are shown in one window.)  Increase the size of a window by clicking and dragging its corner. 
3. To page through the images in a series, point the mouse to that series and click.  Each successive click displays the next image in the “stack.” 
4. To alter the brightness or contrast of an image, click the Windowing button  in the toolbar, and then drag the mouse left/right (for contrast) or up/down (for brightness).  Hover the mouse over any toolbar button to see a tool tip, which displays the button’s function.

Searching for a Study

1. Select the Search button  on the toolbar (next to the column headings).
2. The Search dialog is displayed.  All fields are clear; click the Last Search button at the bottom of the dialog to enter criteria from the last search, or enter new search criteria.  For Patient Name, MRN, Accession Number, Referring Physician and Study Description, you can enter all or part of the information and use the option buttons to the right to denote how that information should be matched.
3. Click the Search button.  Results are displayed under the Search tab.  Click the F5 button to refresh the contents of the Search tab. 

Patient Folder
In the Image Viewer, lick the toolbar button  for the Patient’s Folder, which displays information for all the studies—current and prior—that have been performed on that patient.  The Patient Folder may be set to launch automatically when a study is opened; see the administrator. 

The top portion shows a list of the patient's studies, with the current study highlighted in blue and the other studies listed chronologically.  The middle pane shows all orders for the study, communicated to IntegradWeb PACS by the RIS.  The bottom pane allows privileged users to write a note or report to the study.