Product Release Notes

Fusion RIS Version 3.0

Merge eMed Part Number 009-82572-00

Release Date – November 1, 2005

Merge eMed
571 Boston Mills Road, Suite 500
Hudson, OH 44236
330-342-4800 (Main)
866-747-5644 (Toll Free)
330-342-4848 (Fax)
http://www.merge-emed.com/
Table of Contents
Introduction .........................................................................................................3
Fusion RIS Product Compatibility .....................................................................3
Upgrade Information/Instructions .....................................................................4
System Requirements ........................................................................................4
Hardware Notes...................................................................................................6
New Major Product Features..............................................................................8
Rebranding.................................................................................................................... 8
RIS-driven Hanging Protocols.................................................................................... 8
Relevancy Rules........................................................................................................... 9
Single Sign On for Fusion RIS and Fusion eFilm ................................................. 10
Microsoft Word Integration........................................................................................ 10
Enhancements/Fixes ........................................................................................11
Appointment Book/Scheduling ................................................................................. 11
Pre-Registration.......................................................................................................... 12
Patient Maintenance/Complete Examination Information.................................... 13
Technologist................................................................................................................ 14
RIS/PACS Integration................................................................................................ 14
Professional ................................................................................................................ 15
Digital Dictation........................................................................................................... 16
Transcription ............................................................................................................... 18
Billing............................................................................................................................ 18
Film Tracking............................................................................................................... 19
Mammography............................................................................................................ 19
Miscellaneous ............................................................................................................. 19
Document Management............................................................................................ 20
Faxing and Printing .................................................................................................... 21
Practice Analysis ........................................................................................................ 21
Installation ................................................................................................................... 21
Database ..................................................................................................................... 22
RIS Administration ..................................................................................................... 22
System ......................................................................................................................... 23
DICOM ......................................................................................................................... 23
Service & Support ...................................................................................................... 23
Report Additions & Modifications ...................................................................24
Known Issues....................................................................................................26

Page 2 of 26 Merge eMed Fusion RIS Version 3.0 Release Notes

Merge eMed Part Number 009-82572-00
Introduction
Merge eMed is pleased to announce the release of Version 3.0 of the Fusion RIS.

Version 3.0 was commonly referred to as the Quartz engineering project. It was
previously versioned at 2.60.

Version 3.0 has many new features and functions that will enhance the RIS workflow,
which continues to further our capacity & ability for accelerating our client’s productivity.
This release notes document will detail:

Upgrade Information
System Requirements
Hardware Notes
New Major Product Features
Enhancements/Fixes
Report Additions & Modifications
Known Issues

Please refer to the New Major Product Features section of the release notes to read the
details about the rebranding of the RIS. Version 3.0 has been fully rebranded from RIS
Logic CS to Fusion RIS. Fusion RIS v3.0 also introduces the features and functions of
RIS-driven hanging protocols. In addition to the new feature of hanging protocols for
accelerating the professional workflow for the radiologists, the concept of relevancy rules
for prior results has also been implemented to refine and speed the interpretation process
for the radiologists.

Fusion RIS Product Compatibility

The following bullet points list the current compatibility of Fusion and Fusion-related
products for the RIS solution. This information also resides in the documentation folder of
the RIS software.

Fusion RIS Version 3.0

Fusion PACS Version 1.4

Referring Practice Portal Version 2.0 with Service Pack 1

eFilm Workstation Version 2.10

Esker DeliveryWare Version 3.5.0 without Feature Pack 1.

Data Strategies elligence Version 3.0.0203

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Merge eMed Part Number 009-82572-00
 Dictaphone Powerscribe SDK 1.4.5

Upgrade Information/Instructions
In order to upgrade your Fusion RIS system to version 3.0, it is required that it be on
version 2.56. If your system is not on version 2.56, please contact Merge Technical
Support for the appropriate documentation and upgrade paths.

Please refer to the two technical upgrade guides for the Fusion RIS:

1. The Fusion RIS Technical Upgrade Guide – part number 009-83017-00.

2. The Fusion RIS Digital Dictation Technical Upgrade Guide – part number 009-83018-
00.

Please see the Database section of Enhancements (below) regarding an important note
for a script to be run during the upgrade process (Issue ID # 4977).

System Requirements
FUSION System Requirements (for RIS/PACS v3.0 & PACS v1.4)

Server Configuration Requirements

Component Hardware Software Requirements Considerations
Requiremen
ts
RIS Database Server • Dual Intel 2.4GHz • Windows 2003 Server (recommended) with 4GB RAM, SQL Enterprise & Windows
(1st RIS Server • 2GB RAM, Minimum SP1 or Windows 2000 Server (sp4) 2000/2003 Advanced Server upgrades
Configuration) • 36GB RAID 1 • IE 6.0 or greater are REQUIRED for facilities with any of
• 72GB RAID 5 • SQL Application license required for each the following:
• Tape Backup server > approx 40,000 proc/yr
• CD-RW Drive • SQL CAL license is required for each user > 1HL7 interface
• Norton Anti-virus, VNC, PCAnywhere, > approx 100,000 migrated
• Dual 100/1000 NIC
Microsoft Remote Desktop Services legacy or current exams
• A single Windows domain environment is
required. The SQL Server is a member of the
domain but not the primary nor backup
domain controller. Primary and/or backup
shall be on their own servers.
RIS Services Server(s) • Intel 2.4GHz • Windows 2003 Server (recommended) with • Additional FAX/Print Services
• 2GB RAM, Minimum SP1 or Windows 2000 Server (sp4) Servers can be deployed for increased
• 36GB RAID 1 • IE 6.0 or greater faxing throughput.
• CD-RW Drive • Norton Anti-virus, VNC, PCAnywhere, • Dedicated phone lines are required for
• Dual 100/1000 NIC Microsoft Remote Desktop Services faxing (Esker) and billing (elligence).
• BrookTrout Fax Board • SQL Client Utilities • System video board requires minimum
• External modem of 8MB RAM
RIS Dictation Server • Intel 2.4GHz • Windows 2003 Server (recommended) with • Dual processors are recommended for
• 2GB RAM, Minimum SP1 or Windows 2000 Server (sp4) systems with more than 75
• 36GB RAID 1 • IE 6.0 or greater workstations or 600 reports per day
• CD-RW Drive • Norton Anti-virus, VNC, PCAnywhere, • Does not include Dictaphone
• Dual 100/1000 NIC Microsoft Remote Desktop Services microphones, foot pedals or headsets
• SQL Client Utilities
RIS Document Management • Intel 2.4GHz • Windows 2003 Server (recommended) with • It is recommended that Document
Server • 2GB RAM, Minimum SP1 or Windows 2000 Server (sp4) Management reside on its own server.

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Merge eMed Part Number 009-82572-00
 • 36GB RAID 1 (please • SQL Application license required for each • If document management data volume
see consideration notes) server is not significant, this may be installed
• CD-RW Drive • SQL CAL license is required for each user or on the RIS database server. Please size
• Dual 100/1000 NIC device your hard drive needs with Technical
• SQL Client Utilities Sales or Professional Services.
• IE 6.0 or greater
• Norton Anti-virus, VNC, PCAnywhere,
Microsoft Remote Desktop Services
PACS Database Server • Dual Intel 2.4GHz • Windows 2003 Server (recommended) or
(1st PACS Server • 2GB RAM, Minimum Windows 2000 Server (sp4)
Configuration) • 36GB RAID 1 • IE 6.0 or greater
• Tape Backup • SQL Application license required for each
• CD-RW Drive server
• Dual 100/1000 NIC • SQL CAL license is required for each user or
• 3 External SCSI device
• Norton Anti-virus, VNC, PCAnywhere,
Microsoft Remote Desktop Services
PACS Database Server(s) • Dual Intel 2.4GHz • Windows 2003 Server (recommended) or SQL Application license required for
(2nd to nth Server • 2GB RAM, Minimum Windows 2000 Server (sp4) each database backup server
Configuration) • 36GB RAID 1 • IE 6.0 or greater
• CD-RW Drive • Norton Anti-virus, VNC, PCAnywhere,
• Dual 100/1000 NIC Microsoft Remote Desktop Services
Web Server • Dual Intel 2.4GHz • Windows 2003 Server (recommended) or
• 2GB RAM, Minimum Windows 2000 Server (sp4) 1 Customer is responsible for procuring
• 36GB RAID 1 • IE 6.0 or greater and maintaining the Verisign Security
• CD-RW Drive • Verisign Security Key Subsciption1 Key Subscription.
• Dual 100/1000 NIC • Norton Anti-virus, VNC, PCAnywhere,
Microsoft Remote Desktop Services
Load Balancing Module • Coyote Point e450
Equalizer
• 100/1000T
PACS Archive Library • Dual Intel 2.4GHz • Windows 2003 Server (recommended) or • Requirement for this server is
Server • 2GB RAM, Minimum Windows 2000 Server (sp4) dependent upon the Archive Library
• 36GB RAID 1 • Norton Anti-virus, VNC, PCAnywhere, being implemented.
• CD-RW Drive Microsoft Remote Desktop Services
• Dual 100/1000 NIC
Notes:
1. Merge eMed recommends that all servers be deployed with UPS power protection.
2. Multiple servers can be utilized to increase processing capabilities.
3. Each solution must have at least one tape drive for performing regular database backups.

Workstation Configuration Requirements

Component Hardware Software Considerations
Requirements Requirements
Diagnostic • Intel 2.4GHz • Windows 2000 or Windows XP • 3D Volume Rendering requires
Workstation • 1GB RAM • IE 6.0 or greater video card support for DirectX
• 40GB SCSI hard drive • Norton Anti-virus, PC Anywhere version 8 or greater
• CD-RW drive • USB ports are required when
• 100T/1000T NIC utilizing the Digital Dictation or
Transcription Functions &
TWAIN compliant scanners for
Document Management.
General Workstations • Intel 2.4GHz • Windows 2000 or Windows XP
• 512MB RAM, Minimum • IE 6.0 or greater
• 40GB IDE hard drive • Norton Anti-virus, PC Anywhere
• CD-RW drive
• 10T/100T/1000T NIC

Notes:
1. Utilization of eFilm Workstation’s embedded CD burning capability requires a supported CD-RW drive. Non-supported
CD-RW drives require use of the associated 3rd party CD burning software outside of the eFilm Workstation application.
2. Monitor configurations should be selected to meet the specific needs of each station.

Monitor Configuration Guidelines

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Merge eMed Part Number 009-82572-00
 Application Recommended Configuration Considerations
CR/DR Primary • 3MP Grayscale LCD/CRT (i.e. Dome C3, Barco
Diagnostic Reading Coronis)
CT/MR/US/NM Primary • 2MP Color LCD/CRT(i.e. Dell UltraSharp 2000FP)
Diagnostic Reading
Clinical Review • 1280x1024 Color LCD/CRT
General • 1280x1024 Color LCD/CRT

Notes:
1. Diagnostic workstations are typically configured with 2 monitors for image visualization. A 3rd General monitor is
recommended when deployed as a RIS/PACS or as a PACS solution utilizing the Radiology Desktop module for access to
key patient/workflow information.
2. Multiple monitor configurations require appropriate video card support.

Networking Infrastructure Requirements

Application Recommended Considerations
Configuration
Server Backbone • 1000T
Server to Diagnostic • 100/1000T 1000BaseT connections are recommended for high volume
Workstations Diagnostic Workstations
Server to Clinical Review • 10/100T
Station
WAN • T1/T3 minimum A dedicated line for image data transfers may be required for
suitable performance of other network activities.
Remote Image Access • 512kbs VPN required to access central server.
Web Server Deployment • Secure deployment in the greynet. • Customer is responsible for security components including
• Verisign Security Key Subscription firewalls and security key subscription.
• 1 Customer is responsible for procuring and maintaining the
Verisign Security Key Subscription.

Notes:
1. Final bandwidth requirements will be a function of the volume of data being generated and the workflow patterns of the
facility.
2. For optimal remote user experience, it is recommended that latency be 80 milliseconds or better.
3. Merge eMed recommends the use of a segregated network for all image transfers should image transfers degrade other
activities over the WAN.
4. Customer is responsible for all networking infrastructure and security unless otherwise noted within this proposal.
5. Customer is responsible for supplying a domain controller.
6. As stated in the Considerations column of the RIS Services Server(s), it is required to have dedicated phone lines for
faxing (Esker) and billing (elligence).

Hardware Notes
Label printers – Merge eMed recommends label printers that can print labels in the
following standard Fusion RIS sizes:

1. Default Label Reports = 2.25" (vertical) x 4" (horizontal)

• Exam Barcode Label

• Exam Label
• Flash Label
• Image Tracking Label
• Image Tracking Label - Reprint
• Jacket Detail Label
• MRN Barcode Label
• Patient Address Label

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Merge eMed Part Number 009-82572-00
 • Referring Physician Address Label
• SSN Barcode Label

2. Optional Custom Label Reports Available: 2.15" (vertical) x 4" (horizontal) or 1"
(vertical) x 3.5" (horizontal)

3. Bulk: 8.5” x 11” Avery Label 5160

• Referring Physician Address Labels

4. All other sizes will be considered customized.

Dictaphone® Equipment – Please contact Merge eMed for the Dictaphone equipment
needs for use with Embedded Digital Dictation. The following equipment is recommended
for use with Embedded Digital Dictation:

• Dictaphone USB Scanner Power Microphones

• Dictaphone USB Non-Scanner Power Microphones
• Dictaphone Foot Pedals (Serial port or USB port models available)
• Dictaphone Head Sets

Dictaphone® Server

A server-class machine is recommended for use with Embedded Digital Dictation. Please
see the Fusion System Requirements as outlined above. It is highly recommended that
the Dictaphone Server be placed on its own server-class machine and not the
Fusion RIS Services machine. Please see Merge eMed Fusion System Requirements
document regarding the specifications for a server-class machine. Contact your Merge
eMed Implementation Consultant for sizing your required voice file tank. Please review
the Fusion System Requirements for the appropriate Windows operating system and
Fusion RIS version. The Dictation Server does not require SSL to be installed.

Barcode Scanners for Universal Claiming

Merge eMed recommends barcode scanners that emulate keyboard strokes and can read
the barcode type C39.

Brooktrout Fax Boards & TAPI Modems

Please contact your Merge eMed Implementation Consultant or Support Representative

for the latest listing of supported Brooktrout fax boards and TAPI modems for use with
Esker’s DeliveryWare.

Document Management Scanners

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Merge eMed Part Number 009-82572-00
It is recommended that Document Management users procure and test a scanner that is
a flat-bed TWAIN-compliant (USB recommended) model. Scanning workstations should
have the latest TWAIN-compliant drivers and available ports (USB recommended).

Duplex scanners and auto-feed scanners are currently NOT supported. Additionally,
networked scanners are currently NOT supported.

Please contact your Merge eMed Implementation Consultant or Support Representative

for model information for units that have been tested by Merge eMed. Models are subject
to change and availability may vary.

Document Management Server

Please see the Fusion System Requirements as outlined above regarding the
recommendation to have Document Management reside on its own server. Contact your
Merge eMed Implementation Consultant for document management sizing and direction
for your Document Management implementation.

New Major Product Features

Rebranding

The RIS has been rebranded from RIS Logic CS to Fusion RIS. All aspects of the
application, documentation and product reference have been changed to reflect the new
name as Fusion RIS.

RIS-driven Hanging Protocols

The RIS-driven Hanging Protocols feature facilitates the selection of hanging protocols
based on RIS data such as procedures, modalities, users and specific reading
workstations. This capability augments the DICOM-based protocol selection that was
implemented in the FUSION eFilm product version 2.0.

RIS-driven Hanging Protocols is available with the Fusion RIS/PACS single-desktop

integration with version 3.0 of the Fusion RIS and version 2.0.1 or greater of the Fusion
eFilm Workstation.

The configuration for hanging protocols is mapped at the procedural, modality, radiologist
or workstation level or some combination thereof. Additionally, it includes configuration of
procedures and modalities by body part. The configurations can be overridden by
radiologist or workstation settings. This allows radiologists to choose and configure
override hanging protocols that they prefer rather than the global hanging protocol.
Further, workstation overrides can also be configured and selected by workstation for
reading preferences if in the event that a radiologist reads studies from multiple sites with
varying reading workstations.

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RIS-driven Hanging Protocols drives studies to be displayed per configuration of hanging
protocols in Fusion eFilm Workstation. All potential hanging protocol studies per
configuration are routed and available for the rad, i.e. CT brain and then CT.

Hanging Protocols are configured in Fusion eFilm workstation. The Fusion RIS accesses
them for configuration to procedure, modality, radiologist or workstation via the
Visualization Services, which is mapped in the Fusion RIS Administration application.

RIS-driven Hanging Protocols that are tied to the procedure or radiologist can be more
efficient and accurate than the typical PACS DICOM header-driven hanging protocols tied
to the scanner because you avoid the challenges with scanner upgrades or new scanners
requiring the time consuming process of reconfiguration of protocols or manual entry of
body part in scanners that are not fully DICOM enabled. Our "multiple hanging protocols
within a hanging protocol" image presentation progression feature reduces wasted time
typically associated with most hanging protocol workflow that allows the radiologist to only
select one hanging protocol at a time, and relies on the radiologist to always remember
the hanging protocols in the system that are associated with the modality and body part.

Relevancy Rules

Fusion RIS version 3.0 also features a more robust relevant exam system which will
leverage the rich exam information in the RIS to deliver the most appropriate historical
exams to where they are needed and when they are needed.

The prior results work list of the Dictation screen will continue to default to show all prior
exams if relevancy rules are not configured. This is consistent with prior versions of the
Fusion RIS. Additionally, the legacy exam record line entry (if applicable) in prior results
was enhanced so that each legacy exam record is its own line item. This allows easier
navigation for the radiologist to see all exams (legacy and current) and provides finer
control to sort as needed.

Relevancy rules are maintained and configured by procedure, body part and modality or
some combination there of. Additionally, relevancy rules have optional smart rules for
configuration such as number of exams XX days prior to the current exam, number of
exams XX days after the current exam, exams that have positive results, exams of the
same laterality or exams that are not completed.

Relevancy rules are mapped for usage at the procedural level. Like RIS-driven Hanging
Protocols, a radiologist has the opportunity to override the global relevancy rules with
user-specific relevancy rules.

Relevancy rules drives routing and actual displayed studies in Fusion eFilm Workstation.
Benefits of using relevancy rules for priors allows for increased speed during the
interpretation time by eliminating the need to sort through all priors. Further, it allows the
radiologist to view his/her own customized relevant exams, further enhancing
interpretation thoroughness.

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Merge eMed Part Number 009-82572-00
Single Sign On for Fusion RIS and Fusion eFilm

RIS/PACS users will be able to have a single log on (user name and password) for the
Fusion RIS and Fusion eFilm.

Fusion eFilm 2.0 supports user level authentication. Fusion RIS has been enhanced to
make use of this increased security by providing user credentials to Fusion eFilm and
allowing Fusion eFilm to authenticate users against the Fusion RIS user database.

The new user level authentication introduced in Fusion eFilm 2.0 supports authentication
against an external user database using an XML Web Service interface. Fusion RIS
supports a compatible web service, which allows authentication against Fusion RIS user
credentials. In this configuration, a user with appropriate privileges would be allowed to
log into Fusion eFilm using their Fusion RIS username and password, eliminating the
need to create user accounts on multiple systems.

Additionally, the Fusion RIS integrated desktop will provide the logged in user credentials
to Fusion eFilm when Fusion eFilm is being controlled by the Fusion RIS interface.
Fusion eFilm will then validate these credentials against the Fusion RIS web service,
providing an additional security check to ensure that only authorized users have access to
confidential patient data.

Microsoft Word Integration

Implemented a solution to integrate Microsoft Word as an alternative editor for

transcription.

Utilizing Microsoft Word as the transcription editor will give greater control, flexibility and
functionality to our customers for creation of transcription templates, transcription and
report editing. A new user option has been added for transcriptionists and radiologists to
utilize the Word editor.

The Microsoft Word integration will be available on the transcription form (for
transcriptionists and radiologists) and transcription templates. It will NOT initially be
available for the complete exam information, legacy exam or electronic signature forms.

If the Microsoft Word application is not installed on the local machine, the RIS will default
to using the standard RIS transcription RTF editor, even if the user is configured to use
the Microsoft Word editor. Clients will need to have Office Version 2000 or later to use
Microsoft Word integration.

The following features will be supported:

Microsoft Word Macros
Microsoft Word Spelling and Grammar
Microsoft Word Fonts (including default editor font)

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Merge eMed Part Number 009-82572-00
 Fusion RIS Transcription Templates
Fusion RIS Transcription Tags
Dragon

The following features will NOT be supported:

Image embedding
Margins
Tables
Colors
Page breaks
Section breaks

Enhancements/Fixes
Enhancements and fixed issues are listed and detailed by the Fusion RIS workflow or
system component. Within each section, items are listed by numeric identification
number.

Appointment Book/Scheduling

Added a new option for report delivery method for referring physicians and outside read
locations. The new option is “Other” which prevents any fax or print job from being
created in the Fax/Print Service. This can be used when a referring physician or outside
read location is accessing patient reports via the Referring Practice Portal, via HL7 or
report delivery is not needed. Enhancement ID # 1173.

Implemented the capability of entering an unlimited number of examinations per patient

encounter. Formerly, the scheduling process was limited to four examinations per patient
encounter. Enhancement ID # 2457.

Created room banner display messages for the appointment schedulers to understand
specific information about a room when entering appointments. The room banner
messages display on the appointment book (similar to time blocks and can be hidden via
a right-click option and re-displayed upon refresh), in the auto-scheduler (as an icon,
which can also be displayed via hovering) and the appointment scheduling form (as a
dialog upon save). It is informational based and is configured for rooms by day of week
and specific hours of operation. Enhancement ID # 4589.

Enhancement ID # 5112 as described below:

Implemented a feature to allow schedulers to see all rooms within a location that a
given procedure can be performed within. The feature will work as follows:

The room(s) that can be selected for the current procedure (i.e., the row on which
the appointment book lookup button was pressed in the exam grid) will have a
normal room header with white text on a blue background. Those that cannot be

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Merge eMed Part Number 009-82572-00
 selected will have a different room header with purple text on a blue background.
1.a. Rooms that can be selected will be grouped together and always appear left of
those that cannot be selected.
1.b. If you try to double click an ineligible room, nothing will happen.
1.c. Double clicking in the time margin works if there is only one eligible room
1.d. A message box informs if there are no rooms configured for the current
procedure, and the appointment book unloads itself

2. If no location has been selected for the appointment and one or more procedures
have been selected, rooms configured for the procedure(s) across all locations will
be displayed with the following constraints
2.a. The user must have visibility into that location
2.b. A maximum of six rooms will be displayed per the modality type(s) of the
procedure(s) selected

3. Once a location is selected for the appointment and one or more procedures have
been selected, rooms configured for the procedure(s) at the chosen location will be
displayed with the following constraints
3.a. A maximum of six rooms will be displayed per the modality type(s) of the
procedure(s) selected

4. Once a room is selected for a procedure in the exam grid, the appointment book
will simply display that room instead of displaying multiple rooms configured for that
procedure. Therefore, as rooms are selected in a multi-procedure appointment, the
appointment book lookup gradually displays fewer and fewer rooms.

Corrected the time inconsistency for the “Calls Made” date/time on the appointment
scheduling form and the Last Call Time column on the Orders to Schedule work list of the
Scheduling homepage. Issue ID # 5183.

The outside read form can now be saved without the form closing. The exam will be left in
a “checking in” status when the save is selected. Closing the form will move the Exam
into “pending dictation” status. Enhancement ID # 5322.

Implemented a fix to appropriately display in the Multiple Exams column of Today’s

Appointments on the Front Desk Homepage and Active Appointments on the Activity
Homepage if the encounter has multiple exams. Issue ID # 6196.

Added a new validation option in System Options for the “Condition Related To” section of
the Appointment Detail tab of the Appointment Scheduling form. This allows for the same
validation criteria to be established for scheduling, confirmation, check-in or not required.
Add a new “Not Applicable” checkbox to the Condition Related To section for specifying
that the exam is not accident related. Enhancement ID # 6424.

Pre-Registration

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Corrected the issue of not prompting the user to save when close is selected on items in
the pre-registration work list that do not require pre-certification (i.e. only insurance
verification). Issue ID # 5367.

Patient Maintenance/Complete Examination Information

The Legacy Exam Record dialog has been modified in the following ways:
1. The report body section is widened to show more of the report text without having to
scroll down.
2. The notes field was enlarged.
3. Some of the exam detail information was moved to a separate tab, which allowed for
items 1 and 2.
4. The RIS/PACS manual association icon was added to the legacy exam record for
associating a PACS study with a RIS legacy exam record.
5. A new tab was added for auditing, which details all user activity with a legacy exam
record.

Added an Associations tab to Patient Maintenance for RIS/PACS licensed systems. The
Associations tab displays all images that are available for the selected patient.
Furthermore, a PACS download icon was also added to Patient Maintenance to allow for
a manual download of an image as specified on the Associations tab listing.

Created the ability for patient alerts to be displayed when opening patient maintenance.
Patient alerts will behave like all other alerts in that they will either be active or passive for
display. Enhancement ID # 1151.

Added the report ID (exam transcription ID) to the Complete Exam Information screen.
Enhancement ID # 4530.

Enhancement ID # 4581 as described below:

Modified the patient search for “and” search logic. The three dialogs that were
changed are:

Patient Search Dialog

Appointment Scheduling (embedded search)
Outside Read (embedded search)

Any fields that are left empty are not considered part of the search. An attempt is
made to first match exactly the values entered. If an exact match does not exist, a
second attempt is made to find hits that are LIKE the values entered.

Implemented a change to maintain the history of the Calls Made notes from the
Appointment Scheduling form. The information will be displayed on the Appointment tab
of Complete Exam Information. Enhancement ID # 5284.

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Implemented a change to the image order process when changing referring physicians,
which are configured for automatic image orders based upon their maintenance profile. If
a referring physician is changed on the complete exam information record, the referring
physician which is added to the record will automatically add an image order if that
doctor’s profile is configured for automatic orders. If there is already an exam order for the
referring physician that it is changed to, it will pull that from the courtesy copy list and put
it as the referring physician order. Also, when there is a change of the referring physician,
the image order form is automatically opened to show the changes to the order, which
can then be edited and saved. Issue ID # 6121.

Technologist

The technologist is now allowed to change the room during the examination phase of the
workflow. The room can be changed unless the new room has a time block that cannot be
overridden. Enhancement ID # 550.

When selecting either a row in the Technologist Worklist or the Technologist QC Worklist
and click either Patient Information or the Referring Physician buttons, the Appropriate
Patient Information or Referring Physician will show (formerly, either would open a empty
dialog). If there is no Exam selected (or available) in the selected list, then a blank
Referring Physician or Patient Information form will be shown. Enhancement ID # 4602.

Implemented a red bold status entry for items in the Technologist QC Worklist that are in
a status of pending manual association while other statuses remain in the default (regular
black) font. This will clearly identify the exams which need manual association while
allowing others to remain in progress of association, i.e. pending automatic association
and Exam Association in Progress. Also, the worklist was adjusted for the default column
order for Status to the second column for the Technologist QC Worklist. Enhancement ID
# 5209.

RIS/PACS Integration

Added a “devices to query” field on the Manual Association screen in addition to the
existing enterprise, regional, location and room queries. The new query allows for the
specification of a DICOM device via the configured AE Title Description to search for
images for manual association.

Changed the wording of the RIS/PACS dialog regarding incomplete setup for use to be
more descriptive. The user will either be prompted with the dialog - "Your RIS/PACS
workstation has not been configured. Please contact your system administrator." – which
means that there are missing RIS/PACS configuration settings. Or the user will be
prompted with the dialog - "Your RIS/PACS workstation is missing configuration settings.
Please contact your system administrator." – which means that there are
missing/changed system level/PC configuration settings. Enhancement ID # 4600.

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Implemented a change to allow a radiologist to download images for a study that is
available via Image Channel with a PACS setting of either Local First or Local Only.
Enhancement ID # 5270.

When a radiologist clicks on the professional homepage download button, the camera
icon(s) will immediately change to yellow. This will allow the users to know that they have
requested the download and not click the download button again. Enhancement ID #
5370.

Added a new workflow option for Automatic Association for the RIS/PACS integration.
There is now an additional check box in the Location Maintenance configuration screen,
on the workflow tab. If the box is checked (as it is by default) the Automatic Association
workflow will occur for exams performed in that location. If the box is unchecked, then
exams will go straight from Exam In Progress to Pending Dictation. Enhancement ID #
6235.

Added a configurable time delay at the Room Maintenance level for initializing the
RIS/PACS automatic association process. This is useful for scanners which do not
automatically send data to the PACS and ensure more studies to be associated
automatically. It is configured on the PACS Association tab of Room Maintenance. The
maximum value that can be set is 360 minutes. Enhancement ID # 5079.

Professional

Radiologist user options are available for the doctor to update the configuration for Digital
Dictation, PACS, Prior Relevancy and Hanging Protocols. This menu option is granted
per group security maintenance rights. The radiologist user options are available from the
File pull-down menu. The user option tabs that are available will be Digital Dictation,
PACS, Prior Relevancy and Hanging Protocols. All other user option tabs are unavailable
for the doctor. The ones provided will allow the doctor to adjust his/her use configurations
as needed for the exam reading process.

Changed the text characteristics of signed reports when viewing them in the electronic
signature screen. When a report is signed, it is essentially "locked" and displayed as
read-only text. For consistency with the application, the text will now be displayed as red
text indicating that it is read-only. Formerly, the text would be displayed with a grayed
background. If a report is unsigned, it changes back to black, which means it is editable.

Added a function to remove an overread radiologist that has been assigned in the
electronic signature workflow. Formerly, an overread radiologist could only be changed,
but not removed. After an overread radiologist has been specified, the overread icon
changes to “remove overread radiologist”. Issue ID # 2255.

The Professional Sign All button in Electronic Signature is hidden like the Sign button
now, when transcriptionist notes exist. Once the transcriptionist notes are cleared both
the Sign and Sign All buttons are displayed. Enhancement ID # 4856.

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Implemented a change for the business notes icon to have a red slash through it when a
business note is not present for the selected exam. This was implemented in the dictation
form and electronic signature form. Issue ID # 5314.

Changed the initial screen focus from “Priority” to “Patient Information” on the Dictation
form. Having the focus formerly on the priority field contributed to the issue of the priority
inadvertently being changed by a radiologist using a mouse with a scroll wheel.
Enhancement ID # 5395.

Added column displays for body part and laterality to the History screen in the
Professional workflow. Enhancement ID # 5484.

Resized all of the task option buttons on the left-side of the Professional homepage to
allow for more room for additional future buttons and not hinder the view of the
professional scoreboard. Enhancement ID # 6379.

Digital Dictation

Implemented a volume control within the Dictation screen for radiologists using Digital
Dictation. The volume level will be consistently maintained unless changed by the
radiologist. Enhancement ID # 2234.

Enhancement ID # 4475 as described below:

Created the ability for specific users (administrators, radiologists and

transcriptionists) to listen and/or delete Digital Dictation voice files from the
Complete Exam Information screen. The following permissions are available for the
following user classes:

Administrator - Can delete voice files, but not listen to them.

Radiologist - Can listen and delete voice files.
Transcription - Can listen to voice files, but cannot delete them.

Added a radiologist user option to activate or inactivate Digital Dictation. If Digital

Dictation is licensed, the user (radiologist or transcriptionist) will need to activate Digital
Dictation by using the File->Dictation->Digital Dictation Session Enabled menu. Anytime
you click one of these menus you will get a message saying that the new settings will not
take affect until they re-start FUSION RIS. This is a one time event in order to activate
Digital Dictation. Please note after upgrading to Version 3.0, each radiologist and
transcriptionist will need to choose this user option as a one time event (unless it is
inactivated at some later point in time). Enhancement ID # 4494.

Implemented a solution for an auto-rewind parameter for transcription. There is a new

configurable field in System Options on the Digital Dictation tab for setting auto-rewind
seconds. The number of seconds available ranges from 0 to 10. This setting is system

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wide and will affect all transcriptionists, and radiologists who access the transcription
screen. Upon pressing the stop button on the microphone, or letting up on the play button
on the transcription foot pedal, the dictation will rewind the number of seconds specified
on the System Options screen. NOTE: In some circumstances, the dictation does not
rewind EXACTLY the number of seconds as specified. It may do one more or one less
second, which is due to the Powerscribe engine placing the stop point at the beginning or
end of a spoken word. It will not stop in the middle of a word. Enhancement ID # 5361.

Implemented a radiologist user option for Digital Dictation to remap the rewind and fast-
forward buttons on the Powermic dictation unit. This is a per user option and allows for
the fast-forward button, immediately below the dictate button, to be remapped to rewind
for ease of use. Enhancement ID # 6201.

Added a radiologist user option for Digital Dictation to allow for the control of the dictation
recording and playback process to be managed with a footpedal unit rather than the
Powermic. This would be utilized if a radiologist has chosen to use a hands-free headset
for dictation. This functions on the Dictation and Electronic Signature screens.
Enhancement ID # 6202 & 6577.

Enhancement ID # 6204 as described below:

Implemented a feature to allow for a .wav file to be imported and associated to a

specific examination record in the RIS. A new option for “import dictation” was added
to the Dictation form and the Complete Exam Information form. On successful
import, imported dictation is immediately available for playback. Using this command
will replace any previous dictation file on the selected exam record.

The Digital dictation .wav file import feature must utilize .wav files that are formatted
as: The .wav file has to be in a specific format: PCM 11kHz, 16 bits, Mono.

There will be a Dictation progress bar, which will be displayed to the right of the
dictation buttons. It will progress during playback and will be affected by fast-
forward, rewind, go to start, and go to end commands. The current and total time
labels will be displayed below dictation progress bar. The right label indicates total
length of dictation as "minutes: seconds". The left label indicates current position of
playback in same format.

Note: to obtain a file for import, you can either get one from user cache
(<drive>:\Documents and Settings\<user name>\Local Settings\Application
Data\Dictaphone\HSG\Cache\{<server name}\WaveFiles), or record one manually
using Microsoft Sound Recorder (available from Start->Programs->Accessories-
>Entertainment). Using Sound Recorder, you can also save wave files in different
formats, via the Save As dialog.

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Corrected the issue of Digital Dictation users (radiologists and transcriptionists) not being
able to log into the RIS due to a former error dialog which stated “User already logged in”.
Issue ID # 6369.

Transcription

Corrected the issue of keystroke lag when utilizing the backspace or enter key multiple
times during the transcription process.

Added a new column named Report to the transcription homepage. This column will
distinguish whether the report is an original or addendum. Enhancement ID # 4095.

Implemented a visual indicator on the transcription screen for the user to see the page
count and current page. This is estimated on a per line count configured on each report in
Reports Maintenance. If using the Microsoft Word integration as referenced below in this
section, the page count display will also show “total word count” and “total character count
with spaces”. Enhancement ID # 4368.

Added a print preview icon to the transcription screen which will save the report and
display the print preview with one mouse click. Enhancement ID # 4371.

Added a column for date of birth on the transcription homepage, transcription other work
lists and professional transcription worklist. Enhancement ID # 4584.

Added an automatic save when selecting the report delivery icon within the transcription
screen. The automatic save in transcription is now consistent with the behavior of the
dictation and electronic signature screens when choosing report delivery. Enhancement
ID # 4717.

Implemented a change for the business notes icon to have a red slash through it when a
business note is not present for the selected exam. Issue ID # 5314.

Implemented a solution to integrate Microsoft Word as an alternative editor for

transcription. Please see the Microsoft Word integration section (above) in the New
Major Product Features section of this document. A new user option has been added for
transcriptionists and radiologists to utilize the Word editor. Enhancement ID # 5980.

Enhanced the transcription playback of Digital Dictation voice files to continue (or begin
playback) regardless of screen location focus (transcription screen, business notes,
patient maintenance notes, et cetera). Enhancement ID # 6268.

Billing

The Accept All button will now be disabled when there are no entries in the Billing
Homepage work list. Issue ID # 3704.

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The elligence reconciliation function button was moved from the System Options Billing
tab to the Billing Homepage. It will appear on the Billing Homepage when the elligence
database is mapped to the RIS database in RIS Administration.

Film Tracking

Created the ability for adding film orders for other physicians. This is included on the
appointment scheduling form and image order screen within patient maintenance. An
order can be placed for any referring physician that is available within the system.
Enhancement ID # 4580.

Corrected the Library work list issue where the list was changing order (move to top of
work list) rather than remaining or moving to the next item on the work list. Issue ID #
4862.

Mammography

Added fields for the biopsy surgeon and biopsy location to mammography biopsy tab on
Complete Exam Information screen. Enhancement ID # 4365.

Implemented a control for a configurable number of days for mammography reminder

letters based upon ACR category. The System Options screen now has a spread control
to specify the Days, Months and Years to be used in calculating the Future Exam Date for
ACR categories 0,1,2,4,5. Category 3 remains as is. The default for these values is 1
year. The Complete Exam Info form now has a date control on the Reports tab displaying
the Future Exam Date. This field also allows for this date to be changed for the "one-off"
scenario. Enhancement ID # 6181.

Miscellaneous

Corrected the sort order for columns displaying the names of referring physicians to last
name, first name. Formerly, the sort was incorrectly being performed as first name, last
name on a number of work lists including activity, fax/print and prior results. Issue ID #
2680.

Implementation change was made to reset a form to populate with correct data when the
form has been minimized and a new patient is opened. Previously, when selecting
another patient record from a work list when the form is minimized would maximize the
form with the original patient record. Issue ID # 3909.

The first worklist on the Front Desk homepage was corrected to indicate “Today’s
Appointments”. The work list was formerly named “Today’s Appointment”. Issue ID #
4011.

Changed auditing to specify if an exam is “voided”. Formerly, when an exam was voided,
the audit record indicated “aborted”. Issue ID # 4156.

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On the patient search results, the date of birth field was moved next to the social security
number field by default. Enhancement ID # 4583.

The complete exam information record is now locked for all fields when the exam is
voided. Previously, some of the fields were still editable. Enhancement ID # 4666.

Added a group security right for complete exam information for permissions to void an
examination. The security right will be OFF by default. Please grant rights for individuals
that have the privileges for this function. (See related item below in this section for group
security rights for aborting exams - Enhancement ID # 6531). Enhancement ID # 4871.

Lookup forms now attempt to size themselves so that all columns are visible. If there are
too many columns or one is sized too large, such that the form's width is greater than the
screen, the form's width is made equal to the screen width. Enhancement ID # 5076.

Added the ability to export CPT codes and descriptions from Standard CPT Charges, Fee
Schedules and/or Local Use CPT Codes from Fusion RIS to Elligence using the Fusion
RIS Administration Tool. This new functionality will simplify the setup of new Elligence
databases. Enhancement ID # 5206.

Implemented a change to allow for radiologist routing and transcription routing rules to
choose any modality or any procedure from an outside read location. Enhancement ID #
5301.

Lookup forms are now able to be sorted, sub-sorted. Additionally, columns can be moved,
adjusted and hidden. Enhancement ID # 6039.

Added the ability to inactivate a room. Enhancement ID # 6145.

Added a group security right for technologist workspace and complete exam information
for permissions to abort an examination. The security right will be ON by default for users
that have rights to those workflow components. (See related item above in this section for
group security rights for voiding exams - Enhancement ID # 4871). Enhancement ID #
6531.

Document Management

Added a prompt to save after importing a document and close is selected. This will
ensure the imported document is properly saved and is now consistent with the same
process involved for the scanning of a document which provided a save prompt. Issue ID
# 5030.

Corrected the issue of Document Management exam-specific viewing buttons being

illuminated on forms, i.e. appointment scheduling, when a new appointment is being

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created. Document management will now more accurately determine if documents exist
for particular exams. Issue ID # 5776.

If the user hits save more than once without pressing new in the Document Management
scanner screen, they will be presented with a dialog indicating the following - “Continuing
will overwrite the previously saved document. Are you sure you wish to replace the
previous document?”. It preserves the existing functionality (which allows the change of
incorrectly saved document), but warns the user that they’re about to loose data. Issue ID
# 6353.

Faxing and Printing

Implemented a correction to have the final Deliveryware status updated in the RIS. If a fax
is unsuccessful on the first, second, et cetera attempts and does finally succeed, the RIS
will be updated to indicate the fax was successful. This will be true for all instances of
faxing failures except for an error of “busy”. If Deliveryware sends the fax on the first
attempt and the line is busy and the second or third attempt is successful, the status in
the RIS will be marked as successful. The “busy” error will now show in the RIS as a
status of “Pulse Error” with a Pulse Status of “Busy”. However, if Deliveryware errors on
busy and attempts the appropriate number of times, the RIS will still display “Pulse Error:
Busy”. Deliveryware cannot update the RIS with a final status of failure for a busy error.
All other Deliveryware errors will result in a status of “Failure” in the RIS. Issue ID # 5186.

Fax/Print Service logging can be enabled via a configuration file in the service's
executable folder. The log file path is configurable as is the level of detail to log, ranging
from debug (very detailed) to no logging. The log file name is based on the current date,
so a new log file is created each day. Log files must be manually purged. Care should be
taken not to leave detailed logging enabled for extended periods of time. Each entry in
the log file has the current time, the type of entry (debug, informational, error, etc.), and
the actual message. Please contact RIS Technical Support regarding the deployment of
this logging service. Enhancement ID # 5374.

Corrected the hover tool tips on the Fax and Print Status screen. Issue ID # 6193.

The Fax/Print Service was renamed to the Fusion Delivery Service. Enhancement ID #
6281.

Practice Analysis

Fixed the issue of the Practice Analysis EL_Responsibility Cube processing being limited
to 64,000 rows. The limitation was removed and will allow processing to continue beyond
that number of rows. Issue ID # 5093.

Installation

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Changed the default installation location for keycode.dll to Program Files\Common
Files\Crystal Decisions\2.0\bin. Enhancement ID # 4628.

The installation option for Client Network Install was removed. All client installs will be
implemented locally. Enhancement ID # 6422.

Database

The HL7 Log will now work on a search only basis. Before the entire HL7 log was being
loaded into the form, which could cause a timeout. The enhancement now requires the
user to enter a search criteria before looking at the HL7 log entries. Enhancement ID #
1196.

The 2005 American Medical Association-released CPT code set is included in this
version. Enhancement ID # 4428.

The 2005 American Medical Association-released HCPCS code set is included in this
version. Enhancement ID # 4429.

The 2006 American Medical Association-released ICD-9 code set is included in this
version. Enhancement ID # 5229.

The 2005 Washington Publishing-released Taxonomy code set is included in this version.
Enhancement ID # 5392.

Issue ID # 4977 as described below:

HL7 ORM messages were changed in Version 2.5X to be sent at the time of
scheduling followed by update ORM messages. Version 2.02 sent ORM messages
at the time of check-in followed by update ORM messages. In order to ensure that
new ORM messages will be sent in 3.0 for an exam scheduled in 2.02, the following
script must be run IMMEDIATELY after the database upgrade:

UPDATE tbExams SET Status = 'SA' WHERE Status = 'SA'

Please see the Version 3.0 Technical Upgrade Guide for additional details about this
script for upgrading to 3.0. If your system has already been upgraded to 2.52 and
this script was run during that upgrade, the script does not need to be run again.
This will only be for clients upgrading from 2.02 through 2.56 to 3.0.

RIS Administration

Add partner description along with the AE title to the partner listings in Partner
Maintenance of DICOM Administration. This will allow the correct one to be located more
easily with a fuller description. Enhancement ID # 5911.

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Added data source configuration options for Elligence. This allows clients to install
elligence databases on a separate server from Fusion RIS databases, while still
accommodating communication requirements between both servers. Enhancement ID #
5297.

System

Enhancement ID # 4770 as described below:

Added three new audit levels for auditing how an examination was associated. The
new audit actions are:

Associated by Study UID -- AS

Associated by Last Name and Accession Number -- AL
Associated by Closest Match – AM

DICOM

Added AppLog logging for MWL, MPPS and an incoming C-Echo request. It is 'X request
received' messaging and will provide information if the modality is successfully
communicating with the DICOM service. Issue # 4816.

Patient height has been added if the DICOM patient size tag is requested. The height of
the patient will be returned in meters. Enhancement ID # 5221.

Enhancement ID # 6247 as described below:

DICOM (Optional Filter) - All Room Query. Due to the configuration option of having
a maximum of two modalities/AE titles per room, a DICOM filter was created for:

Query for each machine in all rooms for the study information. For example, you
would have 5 rooms (R1, R2, R3, R4 & R5) and 5 portable Ultrasound modalities
(US1, US2, US3, US4 and US5).

The study could be performed on any of the modalities and in any of the rooms. The
query would be based from a given modality, i.e. US3 and the query would be
expanded to look in all rooms to find it.

Service & Support

A new support tool named PScribeMROID.exe exists in the Services folder of the RIS
Administration program for associating a report ID (exam transcription ID) with the
corresponding MRO ID from the PowerScribe database. The user will enter the data

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source which to query and enter the appropriate exam transcription ID, which will return
the corresponding MRO ID from the PowerScribe database. Enhancement ID # 4530.

Performance logging was implemented. In the same log file that is created for the normal
logging, which will change each day, you will begin to see Performance Logging
Messages. There are two types of messages that will be logged, beginning and ending
messages. These messages will begin with the time, followed by the word
PERFORMANCE and then followed with an appropriate message with any appropriate
key value pairs. Ending messages will also include the number of seconds elapsed
between the corresponding beginning and ending message. If Performance Logging is
set to ON, it will always log both the beginning and the end. When the Performance
Logging is OFF, it will only log end messages when the duration between beginning and
end is above the configured threshold. The performance logging is helpful in identifying
the amount of time that is occurring for the loading of certain screens and the refreshing
of homepages. Please contact RIS Technical Support regarding the deployment of this
logging service.

Added new icons to RIS error dialogs for “printing” or “copying to clipboard” the error
message text. Enhancement ID # 6373.

Report Additions & Modifications

Appointment Schedule by Room – Corrected the issue of the primary insurance
information not printing. Enhancement ID # 4620.

Appointment Schedule by Room. – Corrected the issue of entire encounter level note not
fully displaying. The field now grows to show the entire note. Issue ID # 6129

CPT Codes with Retired ICD-9 Codes – Created a new report for listing CPT codes with
retired ICD-9s, which were mapped. The new report is "CPT Codes with Retired ICD-9
Codes". Enhancement ID # 4167.

CPT Main Charges - Report now sorted by CPT code. Enhancement ID # 3465.

Exams Associations – Created a new report. This report indicates the number or
RIS/PACS exams that have been automatically or manually associated. Enhancement ID
# 4769 & 6151.

Exams by Radiologist – The count of exams has been corrected so that an exam is only
counted once per category. Modification ID # 4476.

ICD-9 Codes with Retired CPT Codes – Created a new report for listing ICD-9 codes with
retired CPT codes, which were mapped. The new report is "ICD-9 Codes with Retired
CPT Codes". Enhancement ID # 4167.

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Image Tracking Sign Out - Resized the width of the Delivery Method field to the maximum
of the right margin. Enhancement ID # 6271.

Insurance Carrier by Affiliation Report - If Procedure, Billing Center, Location or

Radiologist data is NULL, these sections are suppressed. Enhancement ID # 3989.

Mammography Lay Letter – Changed the word “woman” to “women” where appropriate.
Modification ID # 5832.

Mammography Lay Letter – For ACR category 3, the number of months for a follow up
exam is populated from the exam rather then the current hard-coded six month value.
Enhancement ID # 6470.

Mammography Reminder Letter – Corrected spelling and grammatical errors. Modification

ID # 4781 & 5832.

Patient Report - Fix Outside Read Exam Date Calculations. Enhancement ID # 4992.

Patient Report - Boxes - Fix Outside Read Exam Date Calculations. Enhancement ID #
4992.

Patient Report – Fax Only - Fix Outside Read Exam Date Calculations. Enhancement ID
# 4992.

Patient Report - Letter - Fix Outside Read Exam Date Calculations. Enhancement ID #
4992.

Patient Report – No Header - Fix Outside Read Exam Date Calculations. Enhancement
ID # 4992.

Patient Report - Plain - Fix Outside Read Exam Date Calculations. Enhancement ID #
4992.

Patient Payment Receipt – Modified the report for having only one payment shows up per
encounter. Payments are no longer duplicated by the number of exams performed.
Modification ID # 5636 & 6154.

Procedures w/Retired CPT Codes – Was updated to be sorted by active and inactive
procedures. Enhancement ID # 3495.

Referrals by Category and Sub Category – Corrected the procedure subcategory counts.
Enhancement ID 824.

Referring Physician Listing Report - "Delivery Method" changed to "Image Delivery

Method" to clarify its purpose. Enhancement ID # 3935.

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Referring Physician Listing Report – No image required suppresses delivery information.
Enhancement ID # 3936.

Referring Physician Listing Report - The primary location is now indicated in the location
list. Enhancement ID # 3937.

Referring Physician Listing Report - The location contact name has been added to the
report. Enhancement ID # 3939.

Requisition Clinical Worksheet - Changed sub-report link to show Referring Physician

Courtesy Copies. Enhancement ID # 6304.

Known Issues
These are known issues with the release of version 3.0. They will be implemented in a
forthcoming version of the Fusion RIS.

Digital Dictation – In the event, that a workstation has a Powerscribe footpedal and
Powermic connected and one of them is removed, the voice file selected may become
locked and an error message displayed to the user. It is required and recommended for
the workstation to be logged out of Fusion RIS and the machine rebooted to recognize
the removal of the equipment.

Digital Dictation – If a radiologist logs into the RIS for the first time without a calibrated
microphone, he/she will be prompted to calibrate a microphone. If the radiologist cancels
from the microphone wizard, he/she will see a message stating that Digital Dictation will
be disabled until microphone calibration is completed. On the first time the above steps
are performed, user will receive the following runtime error: “Run-time error '-
2146504144(800ef230)' You need to calibrate to Login. The user will close the log in
screen and re-open it. They will no longer encounter the calibration dialog or runtime
error. Issue ID # 6707.

Microsoft Word Integration – It is required that a user that is transcribing in the MS Word
integration format not have a separate instance of MS Word open on their workstation.
Issue ID # 6705.

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