Manage Digital Imaging

Digital imaging can integrate with the EHR module. If integrated, there are three different methods for managing digital imaging in axiUm.

Note: While these integrations are used in the EHR, detailed workflow depends on your configuration. For more information, see the sections below, and if necessary, refer to the appropriate documentation.

  • Launch basic integrations via an Imaging icon
  • Access imaging integrations via the EHR > Imaging tab
  • Use advanced imaging integrations in the EHR

Basic imaging integrations allow you to launch your imaging software from an Imaging icon that is configured in axiUm.

axiUm passes the patient’s ID or chart number, so that software opens with the patient’s record selected. This saves time because users do not have to minimize axiUm, launch the imaging software, and then select the patient.

To open imaging software:

You can use one of the following methods to launch the configured imaging applications:

  • Nav Panel: From the Nav Panel, in the Clinical Treatment area, click the Imaging icon configured by your institution.
  • Menu Bar: From the Actions menu, select the appropriate imaging item.

Note: The displayed imaging name is generally X-Ray, Imaging, or the name of the software; however, your institution can change the label. If you are not sure which icon to use, contact your axiUm administrator.

Depending on your institution’s configuration, some imaging programs may integrate into the EHR and display x-ray images within the Imaging tab. This allows you to review previously taken x-rays without having to leave axiUm.

axiUm offers advanced imaging integrations with MiPacs, Xelis, and XDR.

With advanced imaging integrations, axiUm allows you to send planned/in process x-ray procedures to the imaging software. Once the x-ray procedures are completed, the axiUm procedures are automatically completed as well. This saves you time, as you do not have to manage procedures across multiple software systems.

If your institution is set up to use MiPACS software, you can use it from within axiUm to send x-ray images.

To send procedures to MiPACS:

  1. Select a patient and open the EHR module.
  2. Add a procedure to the patient’s chart that meets the following criteria:
    • Is an x-ray procedure.
    • Is approved.
    • Has the status as (P) planned or (I) in process.
    • Has no outstanding treatment consents.
  3. In the EHR module > Tx History tab, select the procedure(s) you want to send.

    4. Tip: Press Ctrl to select multiple procedures.

  4. From the upper right-hand side of the EHR, click the Patient Exposures () icon and select Send Procedures.

    5. MiPACS launches with the procedure(s) automatically created.

  5. From MiPACS, take x-rays for the procedure(s), complete them, and send them back to axiUm.

    6. After completing the procedure(s) in MiPACS, the procedure status in axiUm changes to set to C (Completed) but is unapproved.

    Notes:

    • For non-academic environments that do not use approvals, the procedure is automatically approved.
    • You must refresh the EHR module manually to see the updated procedures.
    • If configured, you may see a prompt to confirm the values are correct.

If your institution is set up to use Xelis software, you can use it from within axiUm to send x-ray images.

  1. Select a patient and open the EHR module.
  2. Add a procedure that meets the following criteria:
    • Is an x-ray procedure.
    • Is approved.
    • Has the Status as (P) planned or (I) in process.
    • Has no outstanding treatment consents.
  3. In the EHR module > Tx History tab, select the procedure(s) you want to send.

    4. Tip: Press Ctrl to select multiple procedures.

  4. From the upper right-hand side of the EHR, click the Patient Exposures () icon and select Send Procedures.

    5. Xelis launches with the procedure(s) automatically created.

  5. From Xelis, take x-rays for the procedure(s), complete them, and send them back to axiUm.

    6. After completing the procedure(s) in Xelis, the procedure status in axiUm changes to C (Completed), but is unapproved.

    Notes:

    • For non-academic environments that do not use approvals, the procedure is automatically approved.
    • You must refresh the EHR module manually to see the updated procedures.
    • If configured, you may see a prompt to confirm the values are correct.

If an x-ray retake is required, axiUm allows you to send a completed procedure to Xelis. Once the x-ray has been repeated, the exposure count is increased, but the procedure in axiUm is not changed.

Note: This is only available to users that do not require approvals.

  1. Select a patient and open the EHR module.
  2. Click the Tx History tab and select a completed x-ray procedure.
  3. Click the Patient Exposures () icon and select Send Orders.

    4. Xelis opens with the original completed procedure and displays x-ray images the user can retake.

  4. From Xelis, select Past Procedure.
  5. Retake the image in Xelis and click Send.

    6. A new Patient Exposure count is created.

    Note: The treatment in axiUm is not updated.

If your institution is set up to use XDR software, you can use it from within axiUm to send x-ray images. When the procedure is completed in XDR, the procedure is also completed automatically in axiUm, and the exposure count is updated to accurately reflect any additional exposures taken.

Additionally, you can view previous images if you request the image based on (tooth) site or treatment date.

  1. Select a patient and open the EHR module.
  2. Add a procedure to the patient’s chart that meets the following criteria:
    • Is an x-ray procedure.
    • Is approved.
    • Has the Status as (P) planned or (I) in process.
    • Has no outstanding treatment consents.
  3. From the EHR module > Tx History tab, select the procedure you want to send.

    4. Note: Only one procedure can be sent at a time.

  4. From the upper right-hand side of the EHR, click the Patient Exposures () icon and select Send Procedures.

    5. XDR launches with the procedure(s) automatically created in XDR.

  5. From XDR, take x-rays for the procedure(s), complete them, and Send them back to axiUm.

    6. After completing the procedure(s) in XDR, the status of the procedure in axiUm is set to C (Completed) and is unapproved.

    Notes:

    • For non-academic environments that do not use approvals, the procedure is automatically approved.
    • If configured, you may see a prompt to confirm the values are correct.
  1. Select a tooth on the odontogram.
  2. From the upper right-hand side of the EHR, click the Patient Exposures () icon and select XDR – Selected Teeth.

    3. XDR launches and displays images of the patient’s selected teeth.

  1. Select a treatment completed on the date in question.
  2. From the upper right-hand side of the EHR, click the Patient Exposures () icon and select XDR – Selected Treatment Date.

    3. XDR launches and displays images for the patient taken on that specific date.