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Doc #: 971-07094, Rev 1.0 Confidential 1 Release Notes Template (#935-01008, Revision 3.0) July 20, 2016 NilRead 4.0 Release Notes (4.0.49.83795) Doc #: 971-07094

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Page 1: NilRead 4.0 Release Notes (4.0.49.83795) - … · This release is for English in all deployment regions, ... for configurations with Acuo VNA (6.0.0 - 6.0.3) Release Notes ... Guide

Doc #: 971-07094, Rev 1.0

Confidential 1 Release Notes Template (#935-01008, Revision 3.0) July 20, 2016

NilRead 4.0 Release Notes (4.0.49.83795)

Doc #: 971-07094

Page 2: NilRead 4.0 Release Notes (4.0.49.83795) - … · This release is for English in all deployment regions, ... for configurations with Acuo VNA (6.0.0 - 6.0.3) Release Notes ... Guide

Doc #: 971-07094, Rev 1.0

Confidential 2 Release Notes Template (#935-01008, Revision 3.0) July 20, 2016

Contents 1 Introduction .......................................................................................................................................... 3

1.1 Purpose ......................................................................................................................................... 3

1.2 Intended Use Statement ............................................................................................................... 3

1.3 Version Identifier .......................................................................................................................... 4

1.4 Release Content ............................................................................................................................ 4

2 Interface Requirements & Dependencies ............................................................................................. 4

2.1 Hardware ...................................................................................................................................... 4

2.2 Software ........................................................................................................................................ 4

3 Installation and Support ........................................................................................................................ 5

3.1 Installation .................................................................................................................................... 5

3.2 Support.......................................................................................................................................... 5

4 Summary of New Features and Changes .............................................................................................. 5

4.1 Workflow optimizations ................................................................................................................ 5

4.2 Closed Issues ............................................................................................................................... 12

5 Outstanding Issues & Warnings .......................................................................................................... 20

5.1 Known Issues ............................................................................................................................... 20

5.2 Warnings ..................................................................................................................................... 23

Appendix A: DICOM Mpeg4 Functionality ................................................................................................. 23

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Doc #: 971-07094, Rev 1.0

Confidential 3 Release Notes Template (#935-01008, Revision 3.0) July 20, 2016

1 Introduction

1.1 Purpose

This document provides the release notes for the release of NilRead (software version 4.0.49.83795).

Please see important note in Section 3.1 regarding feature licenses.

This release is for English in all deployment regions, and for the Europe deployment region, German,

Italian, French, Dutch, and Spanish. Simplified Chinese is also supported. For other languages, please

contact Lexmark.

1.2 Intended Use Statement In the U.S.: The NilRead software application provides desktop and portable access to multi-modality softcopy medical images, reports and other patient related information for conducting diagnostic review, planning, and reporting through the interactive display and manipulation of medical data, including mammography and breast tomosynthesis. NilRead also allows users to collaborate by sharing application sessions. Lossy compressed mammographic images are not intended for diagnostic review. Mammographic images should only be viewed with a monitor approved by FDA for viewing mammographic images. For primary diagnosis, post process DICOM “for presentation” images must be used. On mobile platforms, this device is not intended for diagnostic use. In Canada: The NilRead software application provides desktop and portable access to multi-modality softcopy medical images, reports and other patient related information for conducting diagnostic review, planning, and reporting through the interactive display and manipulation of medical data. NilRead also allows users to collaborate by sharing application sessions. NilRead is for use with MRI, CT, Ultrasound, Digital Fluoroscopy, Digital Angiography, X-ray, Mammography, DBT, and Nuclear Medicine Images. On portable (mobile) platforms, this device is not intended to replace full workstations and should be used only when there is no access to a workstation. It is the user’s responsibility to ensure the software is used on appropriate hardware and to verify display image quality is suitable for the clinical application. Mobile use is not intended for diagnostic review of Mammography and DBT. In all other regions: The NilRead software application provides desktop and portable access to multi-modality softcopy medical images, reports and other patient related information for conducting diagnostic review, planning, and reporting through the interactive display and manipulation of medical data, including mammography. NilRead also allows users to collaborate by sharing application sessions.

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Mammographic Images should only be viewed with a monitor approved by the FDA for viewing mammographic images, or monitors with similar specifications. On portable (mobile) platforms, this device is not intended to replace full workstations and should be used only when there is no access to a workstation. It is the user’s responsibility to ensure the software is used on appropriate hardware and to verify display image quality is suitable for the clinical application. Mobile use is not intended for diagnostic review of Mammography and DBT. NilRead is intended for use by physicians trained in reviewing and interpreting medical images.

1.3 Version Identifier NilRead Build ID: 4.0.49.83795

1.4 Release Content The NilRead 4.0.48.82985 release contains:

NilRead Installer (includes On-Line Help). Note that there is a separate installer for single tenant

(.msi file) and for multi-tenant (.exe file). The NilRead Installer includes version 1.5.13.1 of

NilFeed.

AcuoStore agent (v 1.2.0.82173) for configurations with Acuo VNA (6.0.0 - 6.0.3)

Release Notes (this document)

Support Documentation

Trial license (Nil_Demo.lic)

2 Interface Requirements & Dependencies

2.1 Hardware The system resources required by Nil depend on several factors including the usage scenario (e.g. 2D,

3D, etc.), resolution of monitors and expected performance (e.g interpretation vs referring physician).

For minimum hardware requirements, please contact Lexmark.

2.2 Software The server should be equipped with the following software:

Windows Server 2008 R2 or later. (64bit, US English system locale)

IIS v.7 or later.

.NET 4.5 or later.

SQL Server or Express (.NET 3.5 is required for SQL Express installation)

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3 Installation and Support

3.1 Installation Lexmark or Lexmark’s authorized distributor will install NilRead software v4.0 at the customer’s site.

Feature licenses: For NilRead versions 4.0.27.77745 and later, the following optional license features

have been added, and therefore, need to be requested when the license is generated if the

corresponding functionality is to be enabled:

Multi-tenant

Adapter feature licenses for Mach7, Teramedica. Feature license required to access non-Acuo

private data stores (TeraMedica, Mach7) using proprietary API.

Important note re upgrades:

When upgrading a site with NilRead (version earlier than 4.0.27.77745) connected to Mach7

or Teramedica, the license file will need to be updated in order for any tight integration with

Mach7 or Teramedica to continue to be supported.

When updating a multi-tenant installation, the license file will not require updating

3.2 Support To report any issues, please contact Lexmark’s authorized distributor in your area, or :

Lexmark Customer Support Authorized Representative in Europe (Regulatory affairs only)

Australian Sponsor

Customer Support Lexmark Canada Inc.

120 Carlton St, suite 217 Toronto – M5A 4K2

• U.S. (toll free): 1-877-201-0001

• Direct: 913-227-7030

Email: [email protected]

Customer Portal: https://customer.perceptivesoftware.com/

Emergo Europe Molenstraat 15

2513 BH The Hague The Netherlands

Web: www.emergogroup.com

Emergo Australia

Level 20, Tower II, Darling Park

201 Sussex Street

Sydney, NSW 2000

Australia

4 Summary of New Features and Changes

4.1 Workflow optimizations Version: 4.0.49.83795

Added support for database mirrored configuration

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o when installing NIL on a mirrored environment the NIL database should be created

before the installation and setup for mirroring

o when the Single tenant installer is used the database feature MUST be disabled

Add GTIN number

o To display the GTIN number on desktop – hover the mouse cursor over Nil logo

o To display the GTIN number on mobile – tap on the Nil logo

Partner API launch improvements (refer to ‘Nil Integration API (Partners)’; doc #941-16004)

for more details

Localizations: this version has been localized to Chinese, Dutch and Spanish. Note that the

hanging protocols editor, keyboard and mouse editor and Nil Hub pages are not localized.

Version 4.0.48.82985:

Query/Retrieve level is configurable for retrieve and cache mode (see

“ForceRetrieveLevelToStudy” configuration item in nil.config)

Support eMPI HL7v2: When setting up XDS with MPI, you must now supply both the PDQ and

PIX address in the page. (They may be the same endpoint - it depends on the MPI

configuration guidelines.)

Add support for the Secondary Capture Image Storage SOP class for DICOM video mpeg4

Option now to filter out studies with only KO series in the timeline. The relevant config is

PatientHistoryFilteredModalities in nil.config

3rd party application launch enhancements. See NilRead Third Party Launch Configuration

Guide (rev 2.0)

Version 4.0.48.82468:

Added support for default zoom for ECG datasets

AcuoAgent: added support for 64-bit Acuo 6.0.3

Added the ability to modify SeriesInstanceAndSliceNumber in image titles in the viewer

o The original image title has been replaced with a composition of two dicom converters

which support term lookup in the resource file Definitions.xml. This supports modifying

the term for a site as noted below. Note that the default term was switched from "Slice"

to "Image":

<Definition name="SeriesInstanceAndSliceNumber" family="run">

<Definition name ="SeriesNumber" family="dicom" format="{1} {0}" term="Series"/>

<Separator xml:space="preserve"> - </Separator>

<Definition name ="InstanceNumber" family="dicom" format="{1} {0}" term="Image"/>

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</Definition>

Localizations: The 4.0.48.82468 version has been localized to French, German and Italian for the

Europe deployment region. Note that the hanging protocols editor, keyboard and mouse editor and

Nil Hub pages are not localized.

Version 4.0.47.82171:

Display the number of series/images on the Patient Search page for the remote devices that

provide this information during Dicom negotiations. Note: the default query attributes for a

remote DICOM source doesn’t not include this information as older PACS do not support it. You

can now, though, extend the attributes queried from a DICOM source to include the number of

series and number of images:

The default set of attributes includes: PatientsSex? PatientId? DateRange? AccessionNumber? PatientsName? PatientsBirthDate? ModalitiesInStudy?

To extend this set for a DICOM source that is known to support other query attributes, addDataSourceModels? configuration to Nil.config, e.g.: <setting name="DataSourceModels?" serializeAs="String">

<value>

[ { "name": "<NAME OF YOUR DICOM SOURCE>", "templates": [ {id: "PatientsSex?" }, {id: "PatientId?" }, {id: "DateRange?"}, {id: "AccessionNumber?" }, {id: "PatientsName?" }, {id: "PatientsBirthDate?" }, {id: "ModalitiesInStudy?" }, {id: "NumberOfStudyRelatedInstances?" }, {id: "NumberOfStudyRelatedSeries?" } ] } ]

</value>

</setting>

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The extendibility works for both Patient Search queries and worklists.

Display blank columns for series/images on the Patient Search page for the remote devices that

do not provide this information

Patient Search page auto-restore configuration control: Include the modality attribute to the list

of preserved options

Added the items from Rotate sub-menu to the list of customizable toolbar icons

Version 4.0.47.81711:

Patient Search page improvements: prevent user session "freezing" and timeouts during

retrieving of large Reports

Added support for AcuoStore catalog name override on VNA configuration screen

Studies which contain corrupted or which have a proprietary image format will now load, and

there will be a warning on the screen if the user tries to view such an image.

Version 4.0.47.81376

Circle annotation added

Patient Search can be extended by adding the following to nil.config:

<setting name="PatientSearchExtendedInputs" serializeAs="String">

<value>

[

{"name":"OtherPatientIds", "location": "secondary"},

{"name":"DocumentUid", "location": "primary", "family": "xds"}

]

</value>

</setting>

Add support for synchronized scrolling of OCT images

NilFeed will not keep retrying to send cases which are rejected due to integrity violation

Added support for File Study submenu in patient directory to display only folders that are

currently visible in the worktree after migration from the older versions of Nil (3.X) to the

latest

Add support for sigmoid LUT with DBT images

Version 4.0.46.81120

Support for DICOM Mpeg4 video files. See Appendix A for details on the supported features.

NilFeed has been rebranded to Lexmark’s branding

Version: 4.0.45.80627

Updated Structured Report template to view reports with embedded HTML

Further improvements in data morphing to enable new attributes injection

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Version 4.0.44.80092

Entered criteria is remembered between sessions for users (e.g. if you are in Patient Search

tab and log out - when you log back in you'll be in Patient Search)

Support "per-image" presentation states. See updated presentation state information in Help

file.

Add "set as default" for new users for work items. Admin users can flag a work item (e.g.

worklist) as the default for new users when they log in the first time.

IHE ATNA support. Updates from the January 2016 connectathon testing

The time-to-first-image is significantly improved for large studies in Nil cache deployments

where :

o the cache is located on a slow/busy network device

o the studies are arriving in Nil though standard Dicom push.

Support for Edit Patient API (see Rev 6 of Nil Integration API Specification)

Launch XDS by document UUID (see Rev 7 of Nil Integration API Specification)

Version 4.0.29.79038

Preset enhancements: Ability to define “Per User” or “Per site” Windowing presets for

compatible modalities. To access this feature, go to Settings->Preferences->Modality

Preferences page then select individual modalities such as CT, PT, etc. from the drop down.

The following preferences previously stored in a browser cookie are now stored in the

database:

• DesktopTouchUi - use touch screen

• UiScalingFactor - scale UI for high resolution screens

• ScalePatientDir - scale patien directory

• UseGrayscaleRendering - render images in grayscale

• AlwaysShowViewerControls - series panel and priors always visible

This means that once a workstation is setup it will always remember the settings, even if the

cookies are lost. This also allows new users of the workstation under a different windows

account or browser to have a configured initial set of preferences.

Mechanism for specifying the login information for multi-tenant sites has been simplified. A

"Site" field has been added to the login form, with support for type-ahead (configurable -

"EnableLoginSiteDiscovery?"). Domain names are automatically populated as soon as the

correct site name is provided.

Non-Dicom data import enhancements: Nil supports automated import and Dicom CDA

encapsulation of non-Dicom data as long as a markup file is supplied providing minimal

patient/study metadata. No transcoding of the non-Dicom data is performed (e.g. AVI to MP4).

See configuration guide 941-07024.

Improved performance for Acuo-direct configuration

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Support for multiple VNA databases.

Extend the url invocation to allow passing additional parameters

Version 4.0.27.78063

Added ability to switch splitting/ordering of series from UI:

For multi-phase series, it is now possible to switch the way a series is split (position vs time). This

can be accomplished via the context menu for multi-dimension series. It is also mapped to the

"num-multiply" key on the keyboard

Add ability to load HP layouts with priors in the background.

When a hanging protocol needs to load priors, Nil will wait for 2 seconds (length of time

configurable via a WaitTimeSpanForPriorLoadMs? configuration setting). If the priors are not

loaded, the anchor study is shown and the viewports with prior studies are displayed a message

"loading priors...." until the priors are available. This applies to Acuo-direct and the adapters

such as wado and mach7 adapters.

Loading time improved for sites for direct access to Acuo VNA configuration: When "streaming" mode is configured, the load time has been significantly improved. Streaming is applicable for 'Core' and "Clinical' configurations. For non-streaming mode (e.g. for "Interpretation" configuration), loading time has been improved approximately by a factor of 2 (in our testing scenario)

Added lock status to Patient Search. For clarity, added separate column for study status (locked, reports) from study selection column.

Anonymization enhancement for zero-ing a patient name

Complete rules for local study worklists and folders Nil 4.0 brings better consistency between Patient Directory (PD) and Patient Search (PS) controls. The PD control is used to browse and perform actions on studies in the local database/cache. Most attributes in the database may be shown as a column in the grid. A common configuration offers column consistency between PS and PD - for the columns representing the same Study attribute, both grids should have the same caption and default configuration (such as size and visibility) as specified in the configuration setting AvailableStudyListColumns. Users may now display columns not specified in this setting via the customization button.

Version: 4.0.27.77745

Collaboration performance improvements in load balancer configuration

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De-identification rules extended: Retain private tag option, Extend the nominal profile with

configurable tags that don't conflict with the attributes in the existing basic profile (e.g. Clinical

Trial tags) and thus maintain compliance with the security profile

Allow toolbar configurability by "group" in Mouse/Keyboard/Toolbar templates configuration

NilFeed - logging enhancements: added additional logging capabilities to NilFeed regarding the

server IP when it loses the server connection; force updating the NilFeed application DNS cache

Added optional license features for tight integrations (Mach 7, Teramedica, Private WADO) and

multi-tenant (see Section 3.1)

Version: 4.0.27.77030

Support Anonymization for DirectLink without the requirement to use WebAPI

added details for de-identification profile: a table to show what mapping rules are applied for a

given profile in the settings page

The key features implemented in Release 4.0 (compared to 3.8) are:

Patient Directory enhancements for departmental worklists and folders:

o Worklists - Created with a query against a data source – i.e., a filtered view

o Folders -- A collection of study instances (e.g. for teaching folder, or “rounds”)

Can be created as “public” folders or worklists, or private.

Batch reading supported through departmental worklists

When launched with more than one study provided on the url, a study selector is presented,

allowing the user to select the study to view

Anonymization

o Customizable sets of confidentiality profiles can be created and saved via a dedicated

Settings page

o A study worklist or work folder can be associated with a confidentiality profile (either

basic or custom), in order to obfuscate patient information in both Patient Directory

and Image Viewer.

o Confidentiality masks can be defined to shutter regions for patient data that is burnt

in an image

o Original data not modified; confidentiality profile can be applied during data

download to create a permanent anonymized copy of the data.

Configurability of toolbar. The toolbar can be configured per user, and per site

XDS support enhancements

Additional filters: blur/sharpen, gamma correction

Mammography CAD display

Launch of third party applications supported

Ophthalmology: workflow enhancements include measurement tools (e.g. cup-disc ratio) and

views specific to EyeCare.

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Support for calibration of a mobile device in accordance with the DICOM GSDF (Grayscale

Standard Display Function) model. Additionally, the reading environment verification feature

has been simplified.

4.2 Closed Issues Claron

Defect ID Description Version

3475

Wild card search re-enabled. With the following setting in Nil.cong: When True, entering the start of a patient id should provide all patient ids that start with that value. When False, you must enter the exact patient id. <setting name="AllowSearchIdWildcards?" serializeAs="String"> <value>False</value> </setting>

4.0.27.77030

3407 Newly created Secondary Image and bookmark will not be seen on other screens in Collaboration meeting

4.0.27.77030

3456 Dicom attributes table filter periodically is getting out of sync 4.0.27.77030

3424 Multi monitors: pop-up error message on the 2d viewer when loading study from Acuo

4.0.27.77030

3447 Unable to apply new annotations if during cobb angle drawing double click in the viewport. Clicking Reset removed this behavior

4.0.27.77030

3599

Support 131525: An arrow's direction can change after zoom, pan, rotate. The point of the arrow remains fixed, however, the beginning of the arrow moves with the image as it's rotated, panned, and/or zoom which can change the direction of the arrow.

4.0.27.77745

3575

Different measurement values between original image and KO image can occur when measurements made on Ultrasound images and KO saved.

4.0.27.77745

3296 Case 01364448: NilFeed - import crashes when it tries to log to a directory that Nil does not have access permission

4.0.27.77745

3392 Dicom printer cannot be identified in printing on one of the Multi-Talent site

4.0.27.77745

3513 Support 227791: XA modality does not have correct diaphragm (display shutters enabled)

4.0.27.77745

3491 No changed info is indicated when you apply the WI on black and white OP image

4.0.27.78063

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Claron Defect ID

Description Version

3619 NilFeed: Studies in download page disappear when you try to sort by a parameter that has no value

4.0.27.78063

3702 Incorrect initial zoom on non-compliant cropped mammography images

4.0.27.78063

3712 Unable to view SR in Multi-Tenant configuration 4.0.27.78063

3726 Nil freezes and has to be reloaded when try Reconcile in Edit Patient/Study

4.0.27.78063

2585 IE11. Lost session after collaboration meeting 4.0.27.78063

3262 Part of screen bottom is not shown up after go back from full screen slab/3d view on the iPad

4.0.27.78063

3620 Enlarge UI display issues 4.0.27.78063

3646 Load as batch/priors: Report viewer for a previously selected study is not closed automatically before you switch to a different study

4.0.27.78063

3728 There is no difference when you clean or remove study description tag in Confidentiality profile

4.0.27.78063

3725 Calibrator is not working as desired for DX PR studies 4.0.27.78063

3708

Scrambled US image

4.0.29.79038

3751 images are not converted to grayscale properly 4.0.29.79038

3777 Chrome: Save option opens new tab with an error message. 4.0.29.79038

3804 Error "Unhandled problem occurred" when using ANON option in the API

4.0.29.79038

3790 Remove carets from Patient Search display 4.0.29.79038

3827 Xds 3.8 to 4.0 upgrade issue 4.0.29.79038

2838 Unable to cancel drop down menu from within the window while defining rules for worklists

4.0.29.79038

3786 Incorrect sorting of a particular US dataset 4.0.29.79038

3593 NilFeed fails to upload image to server if set Encoding to JPEG Lossy after rotate the image and add Laterality

4.0.29.79038

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Claron Defect ID

Description Version

3743 Loading studies in batch times out when deidentified folder has report-only studies

4.0.29.79038

3791 Unable to reset WL changes when color image is in the viewport 4.0.29.79038

3853 Unable to edit image orientation 4.0.29.79038

3630 Annotations disappear in 3D with MIP or Average rendering modes 4.0.29.79038

3879 Retrieve option is no longer available on PD for remote Dicom sources

4.0.29.79038

3383 MM 1+2: Patient details are missing from the patient banner in the secondary monitor for studies from remote DS

4.0.29.79038

3386 DICOM importing backlog – the importing speed cannot satisfy inbound data throughput

4.0.29.79038

3902 Thumbnails of prior studies not loaded when using prior loading 4.0.29.79038

3921 Streaming broker is not always started 4.0.29.79038

3892 NilFeed: Patient ID populated with “0” when uploading non-DICOM file

4.0.29.79038

3894 IE8: error message when adding new XDS endpoint 4.0.29.79038

3919 ECG missing from the list of modalities in worklist work item search 4.0.29.79038

3943 Incorrect XDS MT mode bootstrap in DirectLink

4.0.29.79216

3944 Implicit study URL fails at least with AcuoProvider

4.0.29.79216

3886 DICOM importing backlog, the importing speed cannot satisfy inbound data throughput

4.0.44.80092

3934 New installer does not set app pool timeout and recycling to 0 4.0.44.80092

3935 Multi-tenant DbContextManager code accepts Empty GUID in Bind set of function

4.0.44.80092

3960 Modality Preference RT does not insert new values 4.0.44.80092

3970 Modality Preference RT: unable to update existing values 4.0.44.80092

3972 Crash while applying annotation to Clipper MPR views 4.0.44.80092

3968 XDS CDA no longer presenting correctly in report viewer 4.0.44.80092

3754 iPad: You have to tap multiple times on the condition, for the pop up menu to show up to edit rules for worklists

4.0.44.80092

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Claron Defect ID

Description Version

3892 NilFeed: Patient ID is not populated properly when uploading non-DICOM files.

4.0.44.80092

3939 XDS: Add support for GIF to DicomED 4.0.44.80092

3952

XDS MPI ui issues: - selecting MPI does not stick - you need to manually select

the checkbox each time - pdq and pix endpoints don't persist to the database

4.0.44.80092

4095 Support 201006: Unable to load a specific PT/CT dataset 4.0.44.80092

4113 Unable to load remote priors of the study loaded as batch (in MT mode)

4.0.44.80092

4123 Support 979507: Uploading a non-part 10 DICOM file generated by PacsScan is now detected as DICOM instead of encapsulating it

4.0.44.80092

4133 Reset should only delete draft annotations while leaving "approved" ones

4.0.45.80627

4153 With the slower connection Nil crashes when double click fast after measurements on US data

4.0. 45.80627

4173 Users cannot login to some CHS sites when Acuo VNA is mis-configured

4.0. 45.80627

4177

When using the http connection, the images with patient information can be cached on the local disk. Note: it is recommended to clear the browser’s cache on the client side if unsecured connection (http) has been used prior this version.

4.0.45.80627

4180 changing multi-tenant site repository path is not applied to the site database

4.0. 45.80627

4167

Original study details are not preserved while loading them as batch from PD, after filing them to de-identified folder and loading as batch from there

4.0. 45.80627

4136 Zip file name should match anonymized name when de-identifying on download

4.0. 45.80627

4138 'Delete Last' is able to remove the approved PS 4.0. 45.80627

4129 Actions related to presentation state are not logged in the DB 4.0.46.81120

4246 Random sorting of a particular study when streaming from VNA

4.0.46.81120

4257

Issue with streaming ePDFs from remote Note: the following has to be added in Nil config to be able to view PDF reports in OT format

4.0.46.81120

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Confidential 16 Release Notes Template (#935-01008, Revision 3.0) July 20, 2016

Claron Defect ID

Description Version

<setting name="PatientHistoryPDFReportsModalities" serializeAs="String"> <value>DOC,PDF,OT</value> </setting> <setting name="PatientHistoryReportsPolicy" serializeAs="String"> <value>QueryThenOnDemandRetrieve</value>

</setting>

4258 IE8: Scroll bar is missing for series list, for studies with large number of series

4.0.46.81120

4261 On IE10 and older for MT logins, the “site” field may have the word “null” in it (user can replace with correct site name)

4.0.46.81120

4262 ACUO XDS: Prior studies are not listed in timeline 4.0.46.81120

4263 DICOM service crash with out of memory exceptions 4.0.46.81120

4264 ACUO XDS: Issue related to copying link for a study and opening from a different browser as anonymized

4.0.46.81120

4266 User preferences are not passed to Nil server

4.0.46.81120

4267 CLA user context is not preserved by 4.0.46.81120

4258 IE8: Scroll bar is missing for series list, for studies with large number of series

4.0.46.81120

4227 Video studies are not de-identified when opened from the de-identified folder

4.0.46.81175

4270 Unable to display PD 4.0.46.81175

4283 Patient Directory doesn’t scroll when using enlarged UI

4.0.46.81175

4254 Remove unlicensed features from Privilege list in user’s account 4.0.47.81376

4262 ACUO XDS: Prior studies are not listed in timeline 4.0.47.81376

4321 Cannot access Nil after upgrade to 4.0 due to missing 'Microsoft.ReportViewer.WebForms'

4.0.47.81376

4302 Reloading the study simultaneously will make session expire 4.0.47.81376

4326 Double click on PS study sometimes generate Browser alert error message

4.0.47.81376

4335

Patient information missing in patient banner when certain Hanging Protocol is applied (appears when Series dropped into viewport)

4.0.47.81376

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Confidential 17 Release Notes Template (#935-01008, Revision 3.0) July 20, 2016

Claron Defect ID

Description Version

4343 SeriesRouteActivity fails in MT when attempt to resolve AET against sites

4.0.47.81376

4345

File Study submenu in patient directory should display only folders that are currently visible in the worktree (and need to be able to scroll)

4.0.47.81376

4353 Cannot play videos streamed from VNA/PACS to memory 4.0.47.81376

4359 Error when trying to download documents from the IHE NIST public XDS site

4.0.47.81376

4360 Issue with 3d measurements on non-square OPT data 4.0.47.81376

4370 NIL incorrectly populates origin names in study events 4.0.47.81376

4028 Support 864901: Series panel not advancing with a studies with many series

4.0.47.81711

4318 Support 154250: Inconsistent behaviour in linked viewports 4.0.47.81711

4356 Multi Tenant: Some studies are locked when try to edit on PD 4.0.47.81711

4385

Presentation state leak: when annotating 3D/slab images or deleting the annotation via context menu and continually reload the same images and protocols, the loading gets subsequently slower

4.0.47.81711

4388 Anonymization masks not drawn on US data 4.0.47.81711

4389 Migration issue: 14K studies in a folder does not show any studies 4.0.47.81711

4391 Migration issue: folder content should not be constrained by MaxNumberOfQueryResults setting

4.0.47.81711

4392

After increasing MaxNumberOfQueryResults to 2000, the endless scrolling works to view all studies in the folder; however, there is no busy indicator showing up when you reach the end of the currently displayed pages.

4.0.47.81711

4394 Import of specific US de-identified datasets causes the images distorted

4.0.47.81711

4401 support 742367: Date format in patient banner not in line with European standard

4.0.47.81711

4403 Support 586288: some of ECG viewing not correct 4.0.47.81711

4405 Support 883116: error message when switching view on ECG 4.0.47.81711

4408 Crash when loading a specific US study with palette color attributes 4.0.47.81711

4409 Default storage transfer syntax not working in Single tenant mode 4.0.47.81711

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Confidential 18 Release Notes Template (#935-01008, Revision 3.0) July 20, 2016

Claron Defect ID

Description Version

4410 Ignore empty field when determining "match" of patient names for timeline warning regarding displaying multiple studies

4.0.47.81711

4418 Crash when loading a study with measurement patterns enabled 4.0.47.81711

4424 Multi Tenant: Changing Deployment Region on System Preferences screen does not work in multi-tenant configuration

4.0.47.81711

4425 Multi Tenant: unable to load pathology data 4.0.47.81711

4439 Create Account: Lost proper message when a field is empty or has invalid value

4.0.47.81711

4442 Epic user appears in the wrong group 4.0.47.81711

4443 Contents of Worklist/Folder are not refreshed immediately after deleting a worklist/folder

4.0.47.81711

4448 Upgrading older version does not work when database has large number of studies

4.0.47.81711

4458 NilFeed log size is silently restricted by 4Mb 4.0.47.81711

4465 Multi Monitors: unable to display timeline on the 2d monitor 4.0.47.81711

4463 Error Message during cine play when some cine controls are disabled

4.0.47.82171

4481 Retrieve SCP failed with "System.Data.EntityCommandExecutionException" error

4.0.47.82171

4528 Nil crashes when invalid DOB entry in Patient Search 4.0.47.82171

4529 Particular MRI series has blank images when creating multi-dimensional series

4.0.47.82171

4530 Infinite tabs when disconnecting the session 4.0.47.82171

4531 CLA authentication fails in Multi-tenant configuration 4.0.47.82171

4536 OPT localizers should span SLO image extents 4.0.47.82171

4367 Cannot create more than one prefetch policy 4.0.47.82171

4317 Nil will crash when reloading the study several times within a very short time

4.0.48.82468

4371 Circle does not display measurements for Optos wide field image 4.0.48.82468

4396

MaxNumberOfQueryResults setting doesn't constrain Patient Search content. Now the maximum number of query results can be configured through the Setting page (Settings->Devices->Dicom). The default is 1000. If the maximum constraint has been reached and the result was capped, both Patient Search page and worklists

4.0.48.82468

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Confidential 19 Release Notes Template (#935-01008, Revision 3.0) July 20, 2016

Claron Defect ID

Description Version

would display a warning message. If the data source does not support capping the results, no message is displayed.

4518 support 588244: MPR icons are not getting highlighted 4.0.48.82468

4541 Drop-down date range labels are static and stick to the locale of first invocation

4.0.48.82468

4548 ECR leads are not aligned in the viewports 4.0.48.82468

4575 Unable to login to Nil when one of the existing remote endpoints has an invalid settings

4.0.48.82468

4589 Patient banner trims trailing zeros in age 4.0.48.82468

4609 Unknown dates from Acuo VNA appear as Dec 30, 1899 4.0.48.82468

4616 Unable to launch any studies in batch mode when XDS endpoint is not available

4.0.48.82468

4628 Issue with plaunch on a single study: now supports both "pid="

and "patientid=" 4.0.48.82468

4635

There will be a delay in displaying the timeline for the studies with priors loaded in batch mode, when one of the configured endpoints is ‘dead’

4.0.48.82468

4618 Cannot load the Direct Link with Acuo encryption 4.0.48.82468

4683 Latest version of FireFox breaks NilRead's Multimonitor setup 4.0.48.82985

4726 support 391237: Reconciliation is skipped when using json-unc 4.0.48.82985

4619 support 818760: Navigate to next/previous hp with shortcutkeys not functioning properly

4.0.48.82985

4637 duplicate time points in timeline 4.0.48.82985

4646 MPR icon under Views->change name to 1x3 4.0.48.82985

4712 Slow loading of Siemens/GE MR study 4.0.48.82985

4713 Cannot show folder/worklist for AD group 4.0.48.82985

4323 support 733564: Extremely slow scrolling on one specific XA dataset

4.0.49.83795

4563 Sluggish scrolling of scout lines in OCT data 4.0.49.83795

4615 Support 140098: ZillionRead creates error message after loading a Cardio MR

4.0.49.83795

4822 Unable to load XA study with PR object from Novarad 4.0.49.83795

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Confidential 20 Release Notes Template (#935-01008, Revision 3.0) July 20, 2016

Claron Defect ID

Description Version

4829 Issuer of patient ID' should be enabled when 'all' studies' option is selected

4.0.49.83795

4816 Crash when trying to save PS 4.0.49.83795

4899 Siemens study multi-frame overlay crash 4.0.49.83795

4847 Firefox launch in multimonitor works every other launch only from particular RIS

4.0.49.83795

4916 XDS Context deprecated flag sticks 4.0.49.83795

4931 Slow Streaming mode 4.0.49.83795

5 Outstanding Issues & Warnings

5.1 Known Issues The following are known moderate or higher severity issues in Nil 4.0

Lexmark Defect

ID

Description

4939 Unable to display SR from Rogan RS

4930 Partially scrambled image (PET_CT_9)

4929 Cannot scroll to bottom of Details list when add or edit Confidentiality Profile

4926 Remove malformed P-DATA command from CC C-STORE request

4907 Some DBT studies link vertical pan in opposite direction

4901 Issue with display quality on Hi-Res monitors

4878 Annotation texts are displayed twice in copied bookmark link

4853 ClearCanvas MaxResults does not cap query results

4850 Blank viewport when unlink & scroll Multi-dimensional data

4839 PT-CT collage linking

4832 Note 4: UI text cut off

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Confidential 21 Release Notes Template (#935-01008, Revision 3.0) July 20, 2016

Lexmark Defect

ID

Description

4828 iPhone 6: No way to scroll to the bottom of DataLifecycles and Prefetch pages

4793 Unable to send a single image out of series to Dicom SCP

4767

Error message after Cine Sync mode

4761 Printing SRs from Nil (on IE, only first page is printed. This is due to a bug in IE. Workaround is to download report and print from PDF reader)

4729 Progress bar is always showing up on the series icon after delete an image in a multi-images series

4716 play state is not reset when switching from video to DICOM in timeline

4633 NilFeed: File up/down buttons work not properly in Upload page

4629 Session timeout while playing all videos together in multiple study layout

4624 message 'Searching for priors...' stays until force refresh if switching between studies in batch load during searching for priors through configured endpoints

4552 Cannot load from remote iSite Pacs with different Query and Retrieve AeTitle

4459 cMPR may crash when window resized

4449 Dicom Service or IIS should stop or show obvious error state if database upgrade script fails

4421 Transfer Syntax UID tag (0002,0010) is missing when you view dicom attributes from the viewer for a particular study

4310 Loading Video studies as batch: Nil Crash when you quickly navigate through videos using arrows

4303 Rogan issue #(958496): 3D presets are not always available

4280 ACUO XDS: Issue related to loading dicom + non-dicom studies from link as anonymized

4248 Chrome: issue with video display in full screen

4191 Additional draft is created under presentations when we try to apply annotation on SC

4184 ClearCanvas fails on loading large compressed multi-frame data

4140 support 768751: Pixel aspect ratio is not considered for non-square pixel Secondary Capture (measurements disabled on Secondary Capture images)

4124 Loading 100 studies as prior: 100th study is not listed properly in timeline and viewport

4107 Cannot switch back to other studies after drag and drop a prior study in Smart Zoom

4043 Cannot switch back to any other views after opening a non PT CT study in NM+Fused 3x2 view

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Confidential 22 Release Notes Template (#935-01008, Revision 3.0) July 20, 2016

Lexmark Defect

ID

Description

4003 Referring Physician name is incorrectly treated when entered from Edit Study Dialog

4000 Scroll across series: Key image series are excluded from the scrolling list

3843 &anon=Nominal doesn't work as expected for the copied link of a folder/worklist to load all studies in it

3873 FF: Report scaling does not work

3887 The 'Deleted' tab in DICOM activity page not working in MT mode.

3891 UI issue in User Preset setting when login with User role

3922 Inconsistent WL for a particular MR study in Slab view

3983 Unable to run Nil on Surface with Win 10 + Edge

3829 The existing Area Ratio will be gone in OP image when moving it after reload the study

3825 Load as batch/Prior : Other studies in the selected list are affected if one among them are corrupted

3764 support 814418: PD flashing

3656 The 3D Zoom ratio cannot be kept in link opened Bookmark

3655 SM: Oblique pan is not enabled for pathology studies even after disabling default definition for pathology

3647 Deleting all the series from the study , does not delete the study from the PD

3641 Pathology image shifts from the viewport after you do sequence of operation

3622 SM: smart zoom does not work

3618 SM: fixed rotate does not work

3543 Scrolling in progress is not updated for localizer line when HD is turned on

3524 When window closed session isn't closed, concurrent user isn’t “released” until after timeout

3466 Cine Range will not work properly when switching from all to other except 100 after changed to Yoyo mode

3423 MM: double click on the study closes all viewers

3418 Timeline shows up after started the Collaboration meeting on the Study having no priors

3401 Additional markers on the pathology study after you perfrom certain sequence of operations

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Confidential 23 Release Notes Template (#935-01008, Revision 3.0) July 20, 2016

Lexmark Defect

ID

Description

2987 Lost all image references after "Edit Patient/ Study" with the Copy to new study option

2710 Scrambled image in the full screen

2493 Freezing viewport after synchronized cine replay

5.2 Warnings The warnings and precautions below are in addition to those provided in the On-line Help file:

When in a collaboration meeting, a user can verify the reading environment only if the "verify

read environment" message is on the screen. Once it's removed or if it's not visible because the

environment has been verified recently, it's not possible for the user to verify the read environment

without stopping the collaboration session. If starting a collaboration session on a tablet, the user is

instructed to verify the read environment prior to starting the collaboration session (Settings->Reading

Environment Verification).

The system administrator shall ensure that when NilRead is used as primary data storage, that the site implements an appropriate backup and recovery procedure of the NilRead database.

Appendix A: DICOM Mpeg4 Functionality

Besides the standard Dicom-image viewing functionality Nil Viewer can also be used to review Dicom and non-Dicom media documents associated with patient study. New in 4.0.46: Nil 4.0.46 brings support for Dicom videos. Nil can handle Dicom video files with the following Transfer Syntaxes:

1.2.840.10008.1.2.4.102 MPEG-4 AVC/H.264 High Profile / Level 4.1 1.2.840.10008.1.2.4.103 MPEG-4 AVC/H.264 BD-compatible High Profile / Level 4.1

including SOP Classes: 1.2.840.10008.5.1.4.1.1.77.1.1.1 Video Endoscopic Image Storage, modality “ES” 1.2.840.10008.5.1.4.1.1.77.1.2.1 Video Microscopic Image Storage, modality

“GM” 1.2.840.10008.5.1.4.1.1.77.1.4.1 Video Photographic Image Storage, modality “XC”

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Confidential 24 Release Notes Template (#935-01008, Revision 3.0) July 20, 2016

1.2.840.10008.5.1.4.1.1.7 Secondary Capture Image Storage (version 4.0.48.xxxxx and later) Video Playback: Nil relies on the HTML5/Flash-supporting browsers for H.264 MPEG4 videos to playback video content inside Nil viewer window. For other video formats (as well as non-Dicom media documents) the original document content is delivered to the client and opened in a native application appropriate for the mime type of the document. Nil supports multi-video playback mode on desktop browsers and single-video playback on mobile browsers. Viewports playing video are decorated with video controls to play/pause/seek video content, mute/unmute/adjust volume, toggle full screen mode. Streaming videos from VNA: Studies found in the Acuo VNA can be seamlessly reviewed in Nil including video playback. Video Storage in Nil: Nil can ingest (NilFeed or zero footprint upload) and store videos as Video Photographic Image Storage (MPEG4 only) or Encapsulated CDA Storage, based the configuration setting. Default - Video Photographic Image Storage. Note: Media Foundation component has to be enabled on the server. Use the Add Roles and Features wizard from the Server Manager. Skip through to Features and select Media Foundation. Known issues:

- No XDS support for streaming videos. Video from an XDS source need to first be copied to Nil storage. Streaming from Acuo XDS to be added in future release

- On mobile devices multi-video playback mode is not supported. This is a limitation of the mobile browser technology.

- Nil installer does not contain codec for video transcoding to H.264 MPEG4 format. Customer may provide their own transcoding solution, encoder path and parameters are exposed through Nil configuration.

- Video playback performance – video streaming is performed from the Nil server, not a dedicated media streaming server.

- in case video playback is heavily used (multiple users playing video files simultaneously) it might impact overall Nil server performance and client viewing experience if infrastructure not dimensioned appropriately.