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Clinical Imaging Software Integration & Access

Faris Peerukannu Mohamed Kasim
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Let's explore how to integrate different clinical imaging software into CareStack.

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CareStack Link Setup

To fully integrate your clinical imaging software, you need the following prerequisites:

  • Updated Windows OS (7 or higher).
  • .NET Framework 4.6 +. You can find it here.
  • Updated Chrome browser.

You may need to download and install the CareStack Link, which will serve as the bridge between CareStack and your imaging software.

Perform the steps below.

  • Select the patient using the Global Search Bar.
  • Hover over Clinical > Chart.

  • Click the Imaging tab.

  • Click Download Carestack Link.

  • In the setup wizard, click Next for all the relevant pop-ups until you reach the final screen where you need to select Finish.

  • Check the "I accept the terms in the License Agreement" box.
  • Click on Next to continue.

  • Choose the Destination Folder and click Next.

  • Click Install to proceed.

  • Click Finish.

Note: 

Imaging Software Having Only One-Way Integration with CareStack

After completing the steps above, follow the procedures below to integrate with CareStack.

1. For Carestream

  • Locate where the Imaging Software is installed on the system and find the file TW.exe.
  • Right-click on the file and click Properties.
  • Copy the path under the Location field.

  • Open CareStack and select the patient using the Global Search Bar.
  • Hover over Clinical > select Chart.

  • Click the Imaging tab at the bottom.
  • Click the Configure icon.

  • Select Carestream as the Tool.
  • Paste the copied path on the Path field and enter '\TW.exe'.
  • The Storage Location Path is usually located in the server.
    • Locate the folder Softdent > PWImages > Patient.
    • Enter the storage path on the Storage Location Path field.
Tip: An example of the Storage Location Path is N:\softdent\PWImages\Patient.
  • Click Add.

2. For Carestream OMS

  • Locate where the Imaging Software is installed on the system and find the file pwimage.exe (often found in the installation directory).
  • Right-click on the file and select Properties.
  • Under the Location field, copy the full path.

  • Open CareStack and select the patient using the Global Search Bar.
  • Hover over Clinical > select Chart.

  • Click the Imaging tab at the bottom.
  • Click the Configure icon.

  • Select Carestream OMS as the Tool.
  • Paste this path into the Executable Path field in CareStack.
    •  Example: C:\WINOMSCS\pwimage.exe
  • The Storage Location Path is usually located in the server.
    •  Navigate to the Image Storage path: PMS > PWImages > Patient.ini (Note : If Patient.ini is not found you can also create an empty Patient.ini file)
    • Copy the full path to Patient.ini and paste it into the Storage Location Path field in CareStack.
    • Example: C:\WINOMSCS\Patient.ini

3. For SOTA

  • Locate where Imaging Software was installed. 
    • This could either be on the local computer you are using or on the server.
    • A possible/example link to the executable is displayed right below the Path field in CareStack to help you in your search.
  • Locate the file: ClioSoft.exe.
  • Right-click on the ClioSoft.exe file > click Properties.
  • Copy the path under the Location field.
  • Open CareStack.
  • Select the patient using the Global Search Bar.
  • Hover over Clinical > select Chart.

  • Click the Imaging tab at the bottom.
  • Click the Configure icon.

Note: Click Configure if you do not have any other clinical imaging software bridged.

In the Add Clinical Tool pop-up, enter the following details:

  • Select SOTA Imaging as the Tool.
  • Paste the copied program Path into the appropriate field.
Note: Remove any quotation symbols on the Path if there are any.
  • Click Add.

4. For all the other supported Imaging Software:

  • Locate where the Imaging Software was installed. This could either be on the local computer you are using or on the server.
    • A possible/example link to the executable is displayed right below the Path field in CareStack to help you in your search.
  • Inside the folder, locate the file.
    • Check below for the application names of different software.
Clinical Imaging Software Application Name
Apteryx XVCapture.exe
Carestream TW.exe
Patterson Imaging Imaging.exe
Dexis Dexis.exe
Sidexis Sidexis.exe
SOTA Imaging ClioSoft.exe
Ez Dent-i VTEzDent-iLoader32.exe
Romexis DxStartW.exe
  • Copy the Location path of your preferred imaging software.
    • For example: for Dexis please refer to the screenshot below.
    • The usual path: C:\Program Files (x86)\DEXIS\DEXIS.exe.

Note: Remove any quotation symbols on the Path if there are any.
  • Click Configure under Imaging tab in the Patient's Chart.

  • Select the intended Tool (Imaging Software Name).
  • Add the copied path to the Path field.
  • Click Add.

Imaging Software that Integrates Closely with CareStack

We have 3 Imaging Software that have 2-way integration with CareStack, follow the below steps for each Imaging Software for integration.

We have three Imaging Software with 2-way integration with CareStack. Follow the steps below to integrate each one.

1. Apteryx

There are two steps for Apteryx integration:

  • The first step is to integrate local XVCapture with CareStack.
  • In order to link XV Capture and start capturing patient images, you need to have it installed first, then retrieve the "target path" for the program.

Perform the steps below.

  • Locate the XV Capture program on your desktop (or search your Program Files, then right-click > select Send To > then select Desktop).

  • Once you have located your XV Capture program, right-click the program icon, then select Properties from the drop-down menu.

  • The program path in the Target field is usually automatically highlighted.
    • Right-click on it and copy the text.

  • Select the patient using the Global Search Bar.
  • Hover over Clinical > click Chart.

  • Click the Imaging tab at the bottom.
  • Click the Configure icon.

In the Add Clinical Tool pop-up, enter the following details:

  • Select Apteryx as the Tool.
  • Paste the copied program Path into the appropriate field.
Note: Remove any quotation symbols on the Path if there are any.
  • Click Add.

  • You will receive a toast notification stating 'Imaging tool configured successfully'.

Refresh the page and test the integration to make sure it works:

  • Click Launch Imaging Software and select Apteryx.
  • If a dialogue box asks about opening the program, select Always Open.
  • If XV Capture opens, then it is properly configured.
  • If XV Capture does not open, then you may need to contact support@carestack.com.

  • Now that your imaging software is fully configured from both the user interface and the back end, you need to take a sample x-ray using a tester patient profile.
  • If the thumbnail populates within the patient's chart, you are good to go.
Note: If you are experiencing any issues with your Apteryx Imaging Software, do reach out to Apteryx support at (877) 278-3799. Meanwhile, the CareStack team will help as much as they can to the extent of their knowledge. For more information on how to use your XV Capture software, check out resources from Apteryx.

Integrating Cloud component with CareStack

XV Web is Apteryx's cloud solution that enables you to store and access your clinical imaging database. Integrating it with your CareStack platform will allow us to draw your patient's images from this database and display them in the Clinical Imaging tab of the patient’s chart.

  • To proceed, collect your unique URL, Username, and Password for your admin account.

  • When you are ready, reach out to your CareStack representative and we can get this process started for you.

Note: If your XV Web credentials are changed at some point but not updated in CareStack, this will affect the integration and your patient images will no longer appear in their chart. Once this integration is complete, you can later update these credentials as needed by navigating to System Menu > Practice Settings > Services > click Configure on the Apteryx XV Web section.

2. SOTA Cloud

Practices can set their default Imaging View and configure SOTA inside CareStack by selecting an option in the Practice Settings. Let's explore how users can maximize the enhanced clinical imaging features inside CareStack.

To find this,

  • Navigate to System Menu > select Practice Settings > Services.

  • Locate SOTA Imaging on the grid and click Configure.

  • Enter the relevant login details for SOTA Imaging.
  • Click Save.

Once this is done, your integration with SOTA Cloud will be complete. You can navigate to a patient and try opening SOTA Cloud from CareStack. Please reach out to support@carestack.com if you encounter any difficulties setting this up.

3. TigerView - CareStack Imaging

Initially, let's start by bridging CareStack with TigerView. Before moving on make sure that CareStack Link is set up as a prerequisite. 

Bridging TigerView with CareStack

After installing the CareStack Link, perform the steps below.

  • Select the patient using the Global Search Bar.
  • Hover over Clinical > select Chart.

  • Click the Imaging tab at the bottom.
  • Click the Configure icon.

In the Add Clinical Tool pop-up, enter the following details:

  • Select TigerView as the Tool.
  • Paste the Path into the appropriate field.
  • Click Add.

Note: To locate the path of TigerView, right-click on the TigerView shortcut on the desktop and click on Properties. Copy the Target file location and remove '\Tiger1.exe', and paste this location as the Path in the Add Clinical Tool modal.

At this point, you should be able to open TigerView from CareStack and acquire images. The next step is to configure the Cloud account with CareStack so that the images are visible within the CareStack Clinical slide-out.

Note: Admin users may only have access to the flow outlined below.
  • Navigate to the System Menu > select Practice Settings > Services.

  • Locate the CareStack Imaging section, and click Configure.

In the Configuration modal:

  • Select Yes to Enable Service.
  • Enter the Username/Client ID for TigerView.
  • Enter Password/Client Secret.
  • Choose how to Show CareStack Imaging: whether in a New Tab or Modal.
    • Show CareStack Imaging in New Tab: This will open the image in a new browser tab, and the user may need to navigate back to the CareStack tab to access the Clinical Chart.
    • Show CareStack Imaging in Modal: This will open the image in a new window within the same tab, and the user may need to close it to access the Clinical Chart.
  • Click Save.

Once the above steps are completed, open a few patients whose images have been acquired in TigerView and check whether those images appear in the Clinical slide-out. If you face any difficulties accessing the images in CareStack, please reach out to support@carestack.com. 

Practices can use this comprehensive guide to learn how to set up Clinical Imaging Software integration in CareStack.

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