Roche Virtuoso User manual

Category
Software
Type
User manual
Ventana Medical Systems, Inc.
www.ventana.com
Part No.: 101465700UK Rev. B
May 2015
Virtuoso Reference Guide, Version 5.6
ii Virtuoso Reference Guide
Virtuoso Reference Guide
Copyright
Copyright © 2011-2015. Ventana Medical Systems, Inc.
Trademarks
VIRTUOSO, ISCAN, VENTANA, COMPANION ALGORITHM, the VENTANA logo, and VANTAGE are trademarks of Roche. All
other trademarks are the property of their respective owners.
Open Source And Commercial Software
Virtuoso software might contain components or modules that are Open Source or Commercial Software programs. For copyright and
other notices and licensing information regarding such Software programs included with the Virtuoso software please see Appendix A
of the reference guide and the product on-line help pages included with the product.
The product and Virtuoso software as a whole may form a regulated device in accordance with the applicable laws – please refer to the
reference guide and the labeling for details. Please note that the respective authorization in accordance with the applicable laws lapse in
case of any unauthorized changes to the Virtuoso software.
Contact Information
Ventana Medical Systems, Inc.
1910 E. Innovation Park Drive
Tucson, AZ 85755
USA
+1 520 887 2155
+1 800 227 2155 (USA)
www.ventana.com
Ventana Medical Systems, Inc.
203 Ravendale Drive
Mountain View, CA 94043
USA
Roche Diagnostics GmbH
Sandhofer Strasse 116
D-68305 Mannheim
Germany
+49 621 7590
Part No.: 101465700UK Rev. B iii
Table of Contents
About the Virtuoso Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Topics Covered in this Chapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
Who Should Read this Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
Intended Use for the Virtuoso Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Technical Support. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
Connection Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
User Roles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
Terminology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
Cyber Security . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
1: SLIS Software Basic Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Topics Covered in this Chapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Opening the SLIS Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Logging into SLIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Home Page Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
SLIS Software Operating Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Manage Cases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Manage Patients. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
Manage Clients. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
Manage Physicians . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Manage Users . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Manage Sites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47
Admin Rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Virtuoso Software and LIS Integration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
2: Virtuoso Operating Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Topics Covered in this Chapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Opening the Virtuoso Software. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Logging into the Virtuoso Software. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63
Home Page Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64
3: Virtuoso Software for Administrators. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Topics Covered in this Chapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Role Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
General Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83
Report Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86
Report Text. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88
DNA Ploidy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Report Template. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91
Reference Ranges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96
Input Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99
Output Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Case Sharing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .103
Stain Set-Up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
VANTAGE Integration Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Tracking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107
4: Virtuoso Software for Histotechnicians . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117
Topics Covered in this Chapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Case List. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .120
View Slides. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129
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Specimen List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .154
5: Virtuoso Software for Pathologists. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .163
Topics Covered in this Chapter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .165
Case List. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .166
View Slides . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .175
Specimen List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .216
Report and Sign-Out. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .228
Post Sign-Out . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .237
6: Virtuoso Software for Coordinators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .245
Topics Covered in this Chapter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .246
All Cases. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .246
Find Cases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .247
Filter Case List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .248
Rearrange Case List. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .249
Reassign Cases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .250
A: Virtuoso Open Source and Commercial Software Information . . . . . . . . . . . . . . . . . . . . .253
Virtuoso Open Source and Commercial Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .253
B: Virtuoso Client Workstation Requirements and Monitor Specifications . . . . . . . . . . . . .285
Client Workstation Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .285
Monitor Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .285
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .287
Part No.: 101465700UK Rev. B 1
About the Virtuoso Software
Welcome to the VENTANA Virtuoso software, a comprehensive web-based pathology solution for viewing, managing, and
sharing digitized glass slides.
Topics Covered in this Chapter
Who Should Read this Guide (page 1)
Intended Use (page 1)
Related Software (page 1)
Technical Support (page 2)
Connection Requirements (page 2)
User Roles (page 2)
• Terminology (page 3)
Cyber Security (page 5)
Who Should Read this Guide
Histotechnicians, Pathologists, Coordinators, and Administrators should read this reference guide and use it for reference while
using the VENTANA Virtuoso software.
Intended Use for the Virtuoso Software
The VENTANA Virtuoso software is a web based pathology solution for viewing, managing and sharing digital glass slides. Virtuoso
software is an accessory to iScan systems and allows interfacing with stain scoring and interpretation software algorithms.
NOTE: Images in the Virtuoso Reference Guide are illustrative only and are shown for general training purposes. Please see the
individual user guides for performance characteristics for staining systems that are available for clinical use.
Related Software
When operating the Virtuoso software without an interface to a laboratory information system, there is an optional module to
manage cases, patients, clients, physicians, and users that appear and are used within the Virtuoso software. This module is the
Virtuoso Simple Laboratory Information System, or SLIS. If using the Virtuoso SLIS module, see “1: SLIS Software Basic
Procedures” on page 7 for more information.
Virtuoso Software with VANTAGE Integration Software
The VENTANA VANTAGE Integration software and Digital Pathology Integration provides a set of functionality within
VANTAGE and Virtuoso software. Event information about a slide, specimen, or case generated from the Virtuoso software is
captured, tracked, and consolidated with the rest of the information generated by the VANTAGE Integration software and the other
VENTANA stainers and instruments. Whenever a user needs this information, the Virtuoso software can request this information
from the VANTAGE software and display this data directly in the Virtuoso software. Another user can also request and view the
same set of data from within the VANTAGE software. This level of interoperability gives labs consistent information across these
two platforms.
If VANTAGE Integration software is installed with the Virtuoso software, the following features are implemented:
View the current status of a pending slide: In the Virtuoso software, check the status of a case or slide order to view where it is in
the histology or scanning process.
2 Ventana Medical Systems, Inc.
About the Virtuoso Software Virtuoso Reference Guide
Tracking history in the Virtuoso software: View a comprehensive history of cases and slides in the Virtuoso software – includes
all histology and DP events, from microtomy to slide scanning to case signout.
Quality analysis with DP events: When slide images are rejected in the Virtuoso software, the image quality issue and
subsequent action taken to resolve the issue are reported to the VANTAGE software, allowing the VANTAGE software to
include DP when reporting quality issues encountered in the lab.
For additional information on the VANTAGE product, see the VENTANA VANTAGE User Guide 2.0 or later.
Technical Support
For Technical Support, contact Ventana Medical Systems, Inc.
Connection Requirements
In order to connect to the Virtuoso software, your web browser and workstation must meet the minimum requirements listed in the
following table:
Refer to “B: Virtuoso Client Workstation Requirements and Monitor Specifications” on page 285 for additional requirement
information.
User Roles
The Virtuoso software is a role-based system that mirrors the typical anatomical pathology workflow with roles for pathologists,
histotechnicians, coordinators, and lab administrators. A user can be assigned a single role or multiple roles depending on the needs
of the lab. For convenience, tasks in this user guide are documented by role. As some tasks are applicable to multiple roles, those
common instructions are repeated.
Administrator
Administrators in the Virtuoso software can set reference ranges, input and output parameters, and general configuration.
Administrators manage user roles and configure case and specimen reports. Administrators also configure audit reports to track
usage. Refer to “3: Virtuoso Software for Administrators” on page 75 for more information. To create and manage users within the
Virtuoso software, Administrators can use the Virtuoso Simple Laboratory Information System. See “1: SLIS Software Basic
Procedures” on page 7 for additional information.
Histotechnician
Histotechnicians in the Virtuoso software can examine slides, annotate images, evaluate the quality of images (QC), accept or
reject slides, release cases, and many other tasks that support the pathology workflow. Refer to “4: Virtuoso Software for
Ventana Medical Systems, Inc.
1910 E. Innovation Park Drive
Tucson, AZ 85755
USA
Tel (USA): +1 800 227 2155; for Technical Support, press 1
Tel: +1 520 887 2155; for Technical Support, press 1
Recommended Minimum
Operating System Windows 7 Professional Windows 7 Enterprise
Supported Browsers
Mozilla Firefox 31 ESR and Internet
Explorer 10.0, 9.0
Internet Explorer 8.0
Workstation RAM 4 GB 4 GB
Network Connectivity 1 Gbps Ethernet Network Card 10/100 Mbps Ethernet Network Card
PDF Reader (for generating
reports)
Adobe Acrobat Reader 11.0.06
Virtuoso Reference Guide About the Virtuoso Software
Part No.: 101465700UK Rev. B 3
Histotechnicians” on page 117 for more information. To input and manage cases, patients, clients, and physicians that appear and
are used within the Virtuoso software, Histotechnicians can use the Virtuoso Simple Laboratory Information System when an
interface to an independent laboratory information system is not available. See “1: SLIS Software Basic Procedures” on page 7 for
additional information.
Pathologist
Pathologists in the Virtuoso software can manage case lists, view slides, annotate and analyze images, reassign cases from the
specimen view or case list, generate specimen reports, sign-out cases, make an addendum and amendment on a case, and many
other tasks. Refer to “5: Virtuoso Software for Pathologists” on page 163 for more information.
Coordinator
VENTANA Virtuoso software enables a Coordinator to reassign a specimen from one pathologist to another pathologist.
Reassignment is sometimes necessary when a pathologist is unavailable to work on a specimen. Refer to “6: Virtuoso Software for
Coordinators” on page 245 for more information.
Terminology
Term Definition
Admin View The Administrator Home page.
Analysis View Whole slide image view of a slide for analysis.
AOI Area of Interest.
Biopsy History History of tissue samples that have been taken from the patient.
Case Folder in which a group of slides scanned by iScan scanners is located.
Case List The list of cases appearing within the Virtuoso software that includes the
current case status.
Case Status
One of six status types that describe the current status of the case:
Pending - A case has been created but some case information is still
pending upload into the Virtuoso software.
Unreleased - All case information has been uploaded to the Virtuoso
software but is pending a quality review by the histotechnician.
Released - The histotechnician has performed a quality review of the
case information and has released the case to the assigned pathologist
for review.
In Progress - The case is under review by the pathologist.
Signed-Out - The pathologist has completed their review of the case.
Canceled - The case has been canceled by the histotechnician or the
pathologist.
Case View Thumbnail view of each slide in a case.
Clinical Indication Something that points to or suggests the proper treatment of a disease,
as that demanded by its cause or symptoms.
Control Slide Contains known control tissue that is run with a patient slide to compare
results.
Coordinator View Coordinator Home Page, Case List View, Search Case, Reassign Cases.
4 Ventana Medical Systems, Inc.
About the Virtuoso Software Virtuoso Reference Guide
DNA Deoxyribonucleic Acid.
FOV Field of view.
Gross Description Macroscopic description of tissue samples.
Histotech View Histotechnician Home page, Case List View, Case View, Analysis View.
Home Page Web site or page personalized for a user.
Image Server
Web server that delivers images; dynamically adjusts size of images
according to user browser settings; allows users to share large number of
high-resolution images directly from their own computers.
LIS Laboratory Information System.
Pathologist View
Pathologist Home page, Case List View, Specimen View, Analysis View,
Collaboration (Collab) View.
Patient History Collection of vital patient data including gender, age, biopsy history, etc.
Procedure Code
One of four workflow procedure types indicated for slide preparation and
diagnosis:
Integrated View (Treating MD) - Indicates that the lab performs both
slide preparation and diagnosis of the specimen submitted by the treating
physician.
Integrated View (Client) - Indicates that the lab performs both slide
preparation and diagnosis of the specimen submitted by the pathologist
from an external lab.
TechView361 - Indicates that the lab performs the slide preparation only
of the specimen submitted by a pathologist from an external lab. The
pathologist performs the diagnosis with the aid of computer-assisted
quantitative image analysis.
TechView342 - Indicates that the lab performs the slide preparation only
of the specimen submitted by a pathologist from an external lab. The
pathologist performs the diagnosis and gives a manual score of the slide.
Progress Bar
A component in a graphical user interface used to convey the progress of
a task.
QC Quality Control.
QC Progress Bar Shows percentage of slides evaluated against set QC (quality control)
threshold. The bar is located in the Case View screen.
QC View Whole slide image view of a slide for evaluation.
Slide Thumbnail Image of entire glass slide, including label.
SLIS Simple Laboratory Information System.
SLIS View SLIS User Home page.
Specimen Tissue sample that has been taken from the patient and then processed
and placed onto slides.
Specimen View Thumbnail view of each slide in a specimen.
Time Stamp
A sequence of characters denoting the date and/or time at which a
certain event occurred. This data is usually presented in a consistent
format, allowing for easy comparison of two different records and tracking
progress over time.
Term Definition
Virtuoso Reference Guide About the Virtuoso Software
Part No.: 101465700UK Rev. B 5
Cyber Security
Any device that is connected to a network (internally or externally) has the potential to be compromised by unauthorized access or
viruses. As with most devices, the Virtuoso software is designed to run on a computer utilizing Microsoft Windows and virus
protection software which requires the validation and implementation of the appropriate patches.
Some of the potential cyber security hazards are:
Malicious software that alters the device software (such as viruses)
Unauthorized access to the system that could compromise data safety
Security of data transmitted over the Internet
Cyber security involves protecting data by preventing, detecting, and responding to malicious cyber attacks. Cyber attacks could
involve computer viruses which can completely erase data or hackers who alter files or even use the device as a host to attack other
devices. As serious as these hazards are, steps can be taken to maximize cyber security.
User Authorization
All Virtuoso users must login with a valid username and password. The username and password are securely transmitted in
encrypted form over the Internet or Intranet. Once a user has logged in, the user remains active in the application until the user
explicitly logs out, closes the browser, or because the application closes after a period of inactivity.
Securing Networks and Servers
Network security consists of the provisions made in the computer network infrastructure, policies adopted by the network
administrator to protect the network, and the network resources that prevent unauthorized access.
The following are critical steps for securing a network server:
Physical security (servers and network infrastructure behind locked doors)
Use of robust passwords
System and data backups (at regular intervals)
• Data protection
Terminating unused services
Restricting access to used services
The following are critical steps and methodologies used to secure network and servers:
• Data protection
Data backups (at regular intervals)
Refusal of automatic updates from off-the-shelf software
Antivirus software for computers and servers
URL
Uniform Resource Locator. Protocol for specifying an address (file) on
the Internet. Usually consists of an access protocol (http), a domain
name (www.ventana.com), and the path to a file or resource on the
domain (Virtuoso). Example: http://www.ventana.com/virtuoso.html.
Web Portal
Web interface presenting information from diverse sources in a unified
way. Allows Virtuoso software users to view patient and case data, along
with reports.
Term Definition
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Protecting Data
Establishment of a network firewall and protection of the network against viruses using anti-virus software are effective methods to
protect data. Virus definitions should be kept up to date and regular scans of computers for spyware should be performed using a
legitimate anti-spyware application. If viruses or spyware are found, remove them immediately.
Evaluate Your Software Settings
The default settings of most software enable all available functionality. However, hackers may be able to take advantage of this
functionality to access devices. It is especially important to check the settings for software that connects to the Internet (browsers,
email clients, etc.). Apply the highest level of security available that still provides needed functionality.
Backup and Recovery
In order to develop a successful backup and recovery plan, comprehension of data accessibility needs and the potential impact of
data loss is essential. Automatic backup procedures need to be adopted using a data backup utility.
Part No.: 101465700UK Rev. B 7
1: SLIS Software Basic Procedures
The Simple Laboratory Information System, or SLIS, is a functional module to manage cases, patients, clients, physicians, and
users that appear and are used within the Virtuoso software. The SLIS software is used to manage the VENTANA Virtuoso
software when there is no interface with a laboratory information system.
Topics Covered in this Chapter
Opening the SLIS Software (page 7)
Logging into the SLIS Software (page 7)
Home Page Features (page 8)
Reset Password Button (page 9)
Logout Button (page 9)
The About SLIS Button (page 9)
Manage Cases (page 10)
Manage Patients (page 24)
Manage Clients (page 30)
Manage Physicians (page 35)
Manage Users (page 41)
Admin Rules (page 51)
Virtuoso and LIS Integration (page 59)
Opening the SLIS Software
1. Open a supported Internet browser.
2. Type your SLIS URL (uniform resource locator, or web address) in the Address Bar.
For example: https://<host name>/:8080/slis. Where <host name> is the name of the machine on which the SLIS application
server is installed.
3. Press Enter.
The SLIS software is opened in your browser.
Logging into SLIS
1. In the SLIS Login Screen (Figure 1-1): Enter your User ID and Password.
Figure 1-1. The SLIS Login Screen
2. Click the Login button. The SLIS home page is opened (Figure 1-2).
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Home Page Features
The following buttons are available on the SLIS home page
Figure 1-2. The SLIS Home Page)
NOTE: By default, the SLIS Home Page opens on the Cases tab.
After logging into the SLIS software, do not use the browser Back button or the
Backspace key to navigate between windows or views.
Reset Password, Logout, Help, and About Buttons
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Part No.: 101465700UK Rev. B 9
Reset Password Button
The Reset Password button allows you to change your SLIS password at any time.
1. Click the Reset Password button. The Reset Password window appears (Figure 1-3).
Figure 1-3. Reset Password Window
2. Enter in your old password and new password and then confirm your new password.
3. Select the Save button to activate the new password. You are required to use the new password at your next login.
Logout Button
Select this button to terminate your SLIS session.
Help
Click the Help button to display the online help for VENTANA Virtuoso software.
About the SLIS Software
Select this button to view the SLIS version number and legal and copyright notifications.
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SLIS Software Operating Procedures
The SLIS workflow includes creating, updating, and deleting of these same Virtuoso software items and users (Figure 1-4).
Figure 1-4. The SLIS Workflow
SLIS users are presented with the home page upon login (Figure 1-2). By default, the Cases tab is displayed on the home page.
Manage Cases
Adding new cases, updating case information, and deleting cases from VENTANA Virtuoso software are performed using the
SLIS Cases tab.
Figure 1-5. Cases Tab
1. Click the Cases tab (Figure 1-5). The Cases window appears (Figure 1-6).
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Part No.: 101465700UK Rev. B 11
Figure 1-6. Cases Window
SLIS Hot Keys
You can use the following hot key combinations in addition to using other defined procedures while creating or editing a case.
Ctrl-S
Press the Ctrl and S keys at the same time to save the currently opened
case. You can also click on the Save button.
Ctrl-N
Press the Ctrl and N keys at the same time, and a new case is opened. You
can also click on the New button.
Alt-P
Press the Alt and P keys at the same time to add a new specimen. You can
also click on the + tab.
Alt-L
Press the Alt and L keys at the same time to add another slide to the
specimen. You can also click the Add button.
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Adding a New Case
1. From within the Cases window, select the New button from the SLIS tool bar (Figure 1-7). The case Information pane appears
(Figure 1-8).
NOTE: The following procedure assumes the use of a computer mouse when selecting items on drop-down menus but
the tab button and the up and down arrows on the keyboard can be used to perform the same actions.
Figure 1-7. The SLIS Tool Bar
Figure 1-8. Case Information Pane
Add New Case Button
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Part No.: 101465700UK Rev. B 13
2. Begin by entering the Accession number in the Case Information section (Figure 1-9). Field names ending with a red asterisk
(*) are required fields.
Figure 1-9. Case Information
3. Type information about the patient in the Patient Information section, (Figure 1-11).
IMPORTANT: You can create new patient information by clicking on the Create Patient button. The
Create Client Screen (Figure 1-10) is displayed where you can defined a new patient for
the case. See “Adding a New Patient” on page 25. for information on how to add a
patient.
Figure 1-10. Create Patient Screen
Accession #
Required field. Enter the accession number associated with the case.
Maximum 30 characters.
Lab Site
Required field. Type in the first letter of the lab. Select the lab site from the list
that appears.
Date Specimen
Collected
Enter a date in the MM/DD/YYYY format. For example, April 11, 1952 is
entered as 04/11/1952. Or, click on the Calendar button to the right of the field
to select a date from a calendar. Default is the current date or can be blank.
Time Specimen
Collected
Enter a time in the HH:MM AM/PM format. For example, 11:00 AM. Default is
the current date or can be blank.
Primary Tissue Type Required field. Select the tissue type from the drop-down menu.
Tissue Type
Description
This field becomes active based on the tissue type selected. If active, select a
tissue description from the drop-down menu.
External Case ID A unique case identifier.
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Figure 1-11. Patient Information
4. Enter the workflow for the case on the Workflow section (Figure 1-13). Field names ending with a red asterisk (*) are required
fields.
IMPORTANT: You can create a new client, referring and treating physician, and assigned pathologist by clicking on the
appropriate buttons. See the sections in this chapter referring to adding clients, physician, and users for
additional information.
Figure 1-12. Create buttons
Name
Required field. Type in the patient name. As you type, the system displays a likely match from the list of
existing patients in the system. If the correct patient name is displayed, select the name from the list with a
single mouse click.
To create a new patient, click the Create Patient button and refer to “Adding a New Patient” on page 25.
Patient ID Enter the Patient ID associated with the patient.
Patient Sex This field will be auto populated from the patient record.
Patient DOB This field will be auto populated from the patient record.
Patient Age This field will be auto populated from the patient record.
Clinical
Indications
Enter the clinical indication(s) for the patient. Maximum 450 characters.
Create New
Patient Button
New
Patient
Button
Create Client
Create Referring Physician,
Physician, and User Buttons
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Part No.: 101465700UK Rev. B 15
Figure 1-13. Case Workflow Information
Case Workflow
Required field. Select a workflow type from the drop-down menu.
Integrated View (Treating MD) - Indicates that the lab performs both slide
preparation and diagnosis of the specimen submitted by the treating physician.
Integrated View (Client) - Indicates that the lab performs both slide
preparation and diagnosis of the specimen submitted by the pathologist from an
external lab.
TechView361 - Indicates that the lab performs the slide preparation only of the
specimen submitted by a pathologist from an external lab. The pathologist
performs the diagnosis with the aid of computer-assisted quantitative image
analysis.
TechView342 - Indicates that the lab performs the slide preparation only of the
specimen submitted by a pathologist from an external lab. The pathologist
performs the diagnosis and gives a manual score of the slide.
NOTE: Some fields displayed in this section depend on the chosen workflow
type. In addition, some fields are pre-populated based on existing
information.
Client Name
If the case workflow type is either Integrated View (Client), TechView361, or
TechView342, the client is the external pathology lab associated with the
pathologist submitting the specimen.
Type in the client name. As you type, the system displays a likely match from
the existing list of existing clients. If the correct client name is displayed, select
the name from the list with a single mouse click.
NOTE: To create a new client, click the Create Client button or refer to “Adding
a New Client” on page 31.
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5. Enter the specimen information for the case on the Specimen Information section (Figure 1-14). Field names ending with a red
asterisk (*) are required fields.
Referring Physician
If the case workflow type is Integrated View (Treating MD), then the referring
physician is the physician who is treating the patient and submitted the
specimen. If the case workflow type is either Integrated View (Client),
TechView361, or TechView342,the referring physician is the pathologist who
submitted the specimen and works for the external pathology lab (the client).
Type in the physician name. As you type, the system displays a likely match
from the existing list of existing physicians. If the correct physician name is
displayed, select the name from the list with a single mouse click.
NOTE: To create a new referring physician, click the Create Physician button or
refer to “Adding a New Physician” on page 36.
Treating Physician
If the case workflow type is Integrated View (Treating MD), then the Treating
Physician field auto populates in this field with the name chosen as the referring
physician.
For the other case workflow types, type in the physician name. As with the
other physician fields, the system displays a likely match from the list of existing
physicians as you type. If the correct physician name is displayed, select the
name from the list with a single mouse click.
NOTE: To create a new physician, click the Create Physician button or refer to
“Adding a New Physician” on page 36.
Assigned Pathologist
If the case workflow type is Integrated View (Treating MD) or Integrated View
(Client), then the assigned pathologist is selected from a list of pathologists that
belong to the lab. If the case workflow type is TechView361 or TechView342,
then the assigned pathologist is selected from a list of pathologists that belong
to the external pathology lab (the client)
Select a pathologist from the list.
NOTE: To create a new assigned pathologist, click the Create Physician button
or refer to “Adding a New User” on page 42.
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Roche Virtuoso User manual

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