1. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt PACS System Admin In-depth

2. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Class instructor Scott Questad PACS/RIS Specialist scott.questad@sectra.com

3. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Class instructor Leif Wallin PACS Support Specialist leif.wallin@sectra.com

4. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Please introduce yourself… Who are you Role/background Size of hospital/clinic

5. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Introduction Take notes in workbook We give you the tools but you are responsible for using the tools Take advantage of us – ask questions

6. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Logging into workstation Each user will have a sheet next to workstation with ip address We will show you how to use Remote Desktop to access your personal environment

7. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Course objectives We will identify best practices for uncovering root causes as well as creating future-proof solutions. –File system management in Sectra PACS –Create and manage DICOM SCPs –Identify and fix some common archive issues –Setup and troubleshoot teleradiology

8. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Course segments 1 Where are the disks for which I am responsible? 3 System/applica tion/User files 4 Managing DICOM Servers 5 How to handle failed archive jobs 6 Teleradiology How to set it up and troubleshoot Hands-on 2 Management of log files

9. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Objectives Course Segment 1 Awareness of architectures of different servers Interrelation of server components How I can be proactive in administering disk space 1 Where are the disks for which I am responsible?

10. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Disk Management Different server, different disks WISE SHS Imageserver Different purpose for different disks Operating System (C:) Application (C:,D:) Image store (I:, J:, K:, …) Database (F:,G:,H) Use your SectraGuard Monitoring login to monitor disk space.

11. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Learned from Segment 1 Server differences and impact on administration Introduction to issues that affect disk space Proactive administration of disks 1 Where are the disks for which I am responsible?

12. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Objectives Course Segment 2 Understand where log files are located Understand administration of PACS logging Differentiate between PACS core logging and SHS logging 2 Management of log files

13. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Management of logging levels WISE server logging and MWL logging – command line: w_ping –L # w_config_mwlscp DICOM SCPs – DICOM Server Toolbox SHS – Enterprise Manager

14. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Log File Management Log folders – sized initially for PACS operation. Specific Logging locations: PACS Core logging: C:\Program Files\Sectra\{service}\log SHS logging Standard logs: C:\Program Files\Sectra\log Additional Logging administered in Enterprise Manager

15. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt When logging via Enterprise Manager create log destinations on your local workstation Turn down DICOM Server log levels unless trouble- shooting On core servers logs are stored in C:\program files\sectra\ \logs\saved Use your Sectra Guard Monitoring account to respond to warnings before issues become critical Log File Management

16. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Learned from Segment 2 Location of various log files How to create SHS destinations and interests How to clean up log files to gain disk space 2 Management of log files

17. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Objectives Course Segment 3 Understand how administrative activity impacts disk use Understand need to handle third- party applications Understand how to avoid introducing problems through administrative actions 3 System/applica tion/User files

18. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt System/Application/User Files PACS is sized for PACS SectraGuard Monitoring User files should either be stored on a user workstation, or on a share If installing several 3 rd -party applications, an extra local drive should be added

19. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt System/Application/User Files When deciding on 3 rd party apps, be aware of the data they generate, not just install size A word about anti-virus software and updates How do I know what is using my disk space? Manual Effort More 3 rd party apps (e.g. windirstat)

20. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt System/Application/User Files

21. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Learned from Segment 3 Awareness of how administrative activity impacts disk use How to proactively manage disk space How to use tools to manage disk space 3 System/applica tion/User files

22. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Objectives Course Segment 4 Learn to better manage short-term storage Understanding stages of image import and how they affect disk space Understand how to manage DICOM SCPs and base folders to best use disk space 4 Managing DICOM Servers

23. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Logging and applications remain fairly static Growth in a facility usually implies growth in modalities and, therefore, number of images Exams keep getting bigger Its important that the PACS administrator understand how to manage DICOM servers DICOM Server Management

24. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Image storage SCP/SCU in_dcm Autofiler All DICOM communication requires: Host Port AE Title Sectra PACS establishes storage location using the concept of base folders DICOM Server Management

25. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt DICOM Server Management Prerequisite – Base Folder A base folder is required before a DICOM SCP can function. A base folder is a friendly name for a shared disk location. Base folders are created from the Windows command line with the command: w_basefolder

26. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt DICOM Server Management EXAMPLE: To create a base folder called R3_MR on a server calledpacs2 in a folder with a share name of folders$ you would use the command: C:\> w_basefolder NAME=R3_MR LOCATION=file:\\pacs2\folders$\R3_mr ID_STRING=R3_MR NOTE: the file: preceding the location is required!

27. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt DICOM Server Management A base folder can have a friendly name, for example Room3_MRI – although, the shorter, the better Each base folder requires NAME LOCATION ID_STRING (usually the same as NAME)

28. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt DICOM Server Management Configuration: PACS Infrastructure DICOM Server Toolbox Licenses

29. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt DICOM Server Management

30. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt DICOM Server Management – Autofiler Autofiler must be administered effectively Autofiler must be updated with each new DICOM SCP Autofiler has two halves: Auto archive diskcheck

31. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Learned from Segment 4 Understanding of image import process Expertise in configuring DICOM servers Understanding of how stages of image import affect disk space Understanding need to keep autofiler in step with DICOM server management 4 Managing DICOM Servers

32. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Objectives Course Segment 5 What does archiving mean and how is it used within Sectra PACS What are common reasons for archive job failure. How do we troubleshoot and solve archive job failure. 5 How to handle failed archive jobs

33. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt What does archiving mean Archiving saves space Slower storage media is cheaper Exams get locked from editing To access an archived exam it has to first be retrieved from archive media

34. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Archive Jobs alert from Sectra Monitoring

35. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Archive Jobs alert in Sectra Monitoring

36. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Common reasons for failed archive jobs Network outage Exam administration needed Unsupported DICOM format Troubleshooting –Look at the exam in IDS7 –Logfile C:\Program Files (x86)\sectra\ImageServer\log\ImageServer7831..txt –For XD archive there is also DICOM SCP log on archive host.

37. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Learned from Segment 5 What archiving means and how it is used within Sectra PACS Common reasons that can cause archive jobs to fail How to troubleshoot and clear failed archive jobs 5 How to handle failed archive jobs

38. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Objectives Course Segment 6 What is teleradiology? How do we configure teleradiology destinations How can we troubleshoot teleradiology 6 Teleradiology How to set it up and troubleshoot

39. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Teleradiology Send exams to DICOM receiver Configured using command line tool w_config_telerad IP, port and AET (Application Entity Title)

40. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Troubleshooting Teleradiology dicom_echo –Tests the DICOM connectivity to a destination. –Requires IP, AET and port for the destination. –dicom_echo –v –c AET Log files –Receiving Telerad C:\Program Files (x86)\sectra\ImageServerS\log\ctnstore.xxx..txt –Sending Telerad C:\Program Files (x86)\sectra\WISE\log\ImageServer7832..txt

41. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Learned from Segment 6 What teleradiology is. How to configure teleradiology destinations How to troubleshoot teleradiology 6 Teleradiology How to set it up and troubleshoot

42. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Sectra Userweb www.userweb.sectra.com Sectra User Web provides personalized content including online helpdesk and support, documentation on Sectra products including the Sectra e-learning, project updates, discussion forums and more.

43. Heading 1 Arial, 32 pt Heading 2 Arial, 20 pt Subheading Arial, 18 pt Text Arial, 24-16 pt Join us for our Quick Tip Webinar Our free 30 minute Quick Tip Webinar is a follow up to the Quick Tip section found in our Sectra Insider Monthly. The Sectra Insider Monthly is a 2-page newsletter sent out to all Sectra NA customers once a month.