PUBLIC

iQ-4VIEW
ADMINISTRATION GUIDE
Version 2.2 PUB INT EN – 002R

Copyright © 2003-2022 IMAGE Information Systems Europe GmbH

Release date: 2022-06-29

TABLE OF CONTENTS
1 Introduction ......................................................................................................... 4
1.1 Scope of the document ......................................................................................... 4
1.2 Purpose of the software ........................................................................................ 4
1.3 Warnings and precautions ..................................................................................... 5

2 System requirements ......................................................................................... 10

2.1 General hardware and software requirements ....................................................... 10
2.2 Additional system requirements ........................................................................... 11
2.2.1 Verifying hardware and software compatibility ................................................... 11
2.2.2 Ensuring system security ................................................................................ 11

3 Installing the software ....................................................................................... 13

3.1 Installation requirements .................................................................................... 13
3.2 Launching the application ................................................................................... 13
3.3 Upgrading the application ................................................................................... 13

4 Uninstalling the software ................................................................................... 15

5 Licensing ............................................................................................................ 16
5.1 Licensing system ............................................................................................... 16
5.2 Activating the software ....................................................................................... 17

6 License migration and renewal ........................................................................... 18

6.1 Changing an existing license ............................................................................... 18
6.2 Deactivating an existing license ........................................................................... 18
6.3 Migrating licenses .............................................................................................. 19

7 Maintenance ....................................................................................................... 20
7.1 Maintenance schedule ........................................................................................ 20
7.2 Regular software and system restarts .................................................................. 21
7.3 Constancy tests and (re-)calibration of diagnostic displays ...................................... 22
7.4 Protection from virus/malware infection................................................................ 22
7.5 Ensuring a proper network/internet connection ..................................................... 23
7.6 Keeping the system up-to-date ........................................................................... 23
7.7 Ensuring the system’s state of the art .................................................................. 23
7.8 Recording and reporting software malfunctions ..................................................... 24

8 Folders and paths ............................................................................................... 25

9 Software administration ..................................................................................... 26

9.1 Accessing the user documentation ....................................................................... 26
9.2 Global iQ-4VIEW settings .................................................................................... 26
9.2.1 User session timeout ...................................................................................... 26
9.2.2 Image generation ........................................................................................... 26
9.3 Granting access to user-dependent functions ........................................................ 27
9.3.1 Permission to create structured reports ............................................................. 27
9.3.2 Permission to create secondary capture images ................................................. 28
9.4 Text overlay configuration .................................................................................. 28

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 9.4.1 Creating a custom overlay ............................................................................... 28
9.4.2 Adding or deleting text overlay labels ............................................................... 29
9.4.3 Modifying individual text overlay labels ............................................................. 30
9.4.4 Highlighting individual text overlay labels .......................................................... 30
9.4.5 Saving the custom overlay .............................................................................. 31
9.4.6 Restoring the custom overlay to default ............................................................ 31
9.5 Structured report settings ................................................................................... 31
9.5.1 Character set for creation of structured reports .................................................. 31

10 Abbreviations and acronyms .............................................................................. 33

11 List of shortcuts.................................................................................................. 34

12 Annex ................................................................................................................. 35
12.1 Supported DICOM SOP classes and transfer syntaxes ............................................. 35
12.2 Acceptance tests – Checklist ............................................................................... 38

13 Index .................................................................................................................. 40

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1 Introduction

1.1 Scope of the document

This document represents the iQ-4VIEW Administration Guide for software version 2.2 provided
by IMAGE Information Systems Europe GmbH.

This Administration Guide provides all necessary information regarding the installation and
licensing of the application as well as how the software is properly maintained to fulfill its
intended use.

It contains instructions concerning the configuration and set-up of the application as well as hints
regarding trouble-shooting problems. The Administration Guide covers the following topics,
among others:

▪ Initial configuration (Opening the viewer in a new browser window)

▪ Providing and using compressed image data for iQ-4VIEW
▪ Loading of compressed and uncompressed image data into iQ-4VIEW
▪ Changing and amending overlay information of images
▪ Structured report specific settings

All patient names used in this administration guide are completely fictitious.

The contents of this administration guide are the property of IMAGE Information Systems Europe
GmbH and may not be reproduced by any method, electronic or photographic, without the
express written permission of the copyright holder.

Throughout this guide trademark names are used. Rather than putting in a trademark symbol
at every occurrence of the trademark name, we state that we are using the names only in an
editorial fashion and to the benefit of the trademark owner with no intention of infringing upon
the trademark.

We assume no responsibility for inaccurate information or descriptions of third-party products.

Disclosure level of this document is PUBLIC (PUB), which means that this document is freely
available to anyone interested, such as resellers, current end users as well as potential
customers. Primary color is orange.

1.2 Purpose of the software

iQ-4VIEW is a web application with direct access to a PACS (iQ-WEB) database, intended to be
used for digital reading, viewing and reviewing of diagnostic medical images.

It provides a number of image processing tools, but does not intent to replace a fully-equipped
diagnostic reading station. Due to its functional limitations the application does not target
radiologists whose full-time work it is to read medical imaging data. It is more common to be

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used for image visualization in therapy and operating rooms and for remote diagnostics, e.g. in
tele-radiology centers or in home environments during night-shifts and similar situations.

Due to the nature of a web application the executing devices range from a desktop computer to
mobile devices such as tablets or even smartphones. Depending on the used hardware device
the application runs on, iQ-4VIEW can be used for image viewing, reviewing and reading
purposes. Because of the small screen size of smartphones and tablet computers (<13”) and the
resulting inaccurate handling, usage with diagnostic intent is not possible. Therefore the use on
such devices is restricted to viewing purposes only. The use on other devices where the
compliance with all regulatory requirements can be ensured may be for diagnostic purposes
(reading, reviewing).

The main target user base are physicians and veterinarians with radiological knowledge that
should receive a product training via user documentation and workshops of the manufacturer or
authorized sales partners.

iQ-4VIEW is intended for both routine and emergency diagnosis procedures, although its use for
emergency cases is limited to locations where a stable and reliable network and/or internet
connection exists to ensure the availability of the relevant diagnostic data.

NOTICE:
When the iQ-4VIEW software is used not for human medicine but for veterinary medicine,
the product does not fall under the European Council Directive 93/42/EEC and, therefore, does
not qualify as a medical device in the EEA. The regulations of the 93/42/EEC do not apply.

1.3 Warnings and precautions

The purpose of this section is to define and explain the warnings and precautions used in this
document.

1. Misuse of the software

WARNING:
Danger of misdiagnosis.
Copies of this software marked as “Alpha”, “Beta” or “Preliminary” versions must – under no
circumstances – be used for diagnostic purposes.
H-No.: 1.1.1 – 1.3.3

WARNING:
The manufacturer does not assume liability for any misuse of the software or for any clinical
outcome resulting from the use of the software. The software is made available to the user
with the understanding that the software is only used as a means to aid processes or decisions
that can be made without the use of the software.
H-No.: 1.1.1 – 1.3.3

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2. Behavior in case of software errors/failures

WARNING:
Although the iQ-4VIEW software is subjected to extensive validation and verification
procedures by the manufacturer, it is nevertheless possible that unforeseen display errors,
deviations in measurements or failing processing may arise during use of the software. Users
should at all times be aware and warned of such eventualities. In case faulty software behavior
is observed that may put a patient or the user at risk, the user is asked to immediately contact
the manufacturer or local reseller. The manufacturer’s contact data is stated in the user
documentation and inside the application itself.
H-No.: 1.1.1 – 1.3.3

3. User competence and training

WARNING:
Danger of misdiagnosis.
The iQ-4VIEW software is certified as a medical device according to the European Council
Directive 93/42/EEC. Before using this application, make sure that you have thoroughly read
and fully understood the content of the Instructions for Use and Administration Guide,
including all of the warnings and notices.
H-No.: 1.1.5, 1.1.7, 1.1.8, 1.1.10, 1.2.4

NOTICE:
This iQ-4VIEW software version can be integrated into more than just one iQ-WEB version.
Therefore, names and descriptions of options and functions relating to the web interface of iQ-
WEB may differ from the information given in these instructions for use depending on the iQ-
WEB version you have installed on your system. In case of questions contact your local
reseller.

WARNING:
Danger of misdiagnosis.
This medical software does not replace the competence and judgment of qualified medical or
radiological personnel in any way. It should only be used by qualified and trained persons,
because any actions of the user may directly affect the accuracy of the functions and the
results acquired with the help of the software.
H-No.: 1.1.5, 1.1.7, 1.1.8, 1.1.10, 1.2.4

NOTICE:
A PDF reader must be installed on the system to open and view the iQ-4VIEW instructions for
use and administration guide.

4. Conditions of installation and use / software environment

WARNING:
Danger of application failures or unavailability.

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Only authorized and trained personnel shall install and configure iQ-4VIEW on the server-side,
such as trained PACS or IT administrators. On the client no installation is necessary. However,
configurations should be done by qualified personnel only.
Refer to the installation information in the Administration Guide to ensure the correct
installation. If the installation and/or configuration is performed by personnel not sufficiently
qualified, this may lead to non-functioning or limited functionality of the software.
H-No.: 1.1.1, 1.1.4, 1.2.3, 1.2.4

WARNING:
Danger of application failures or unavailability.
All modifications to the medical software have to be made by service personnel. The risk of
malfunction is relatively high when modifying software. Abnormal termination of the software
as well as temporary data losses are possible when improperly administered.
Modifying application folders and or moving files to different locations, deleting or renaming
them without considering other parts may cause problems in the functioning of iQ-4VIEW.
Keep the file and folder structure intact and only follow the user documentations’ instruction
for configuring the application.
H-No.: 1.1.1, 1.1.4, 1.2.3, 1.2.4

WARNING:
Danger of unauthorized access to application.
An unauthorized access to the system may lead to non-functioning. To minimize this risk, the
system/device should be protected by a password so that only authorized persons will have
electronic access to the system. Authorized persons access the system using a password-
protected Windows account.
H-No.: 1.1.1, 1.1.4, 1.2.3, 1.2.4

WARNING:
Danger of application failures or unavailability.
The capabilities and the performance of the software can be affected by limitations caused by
the hardware. Therefore an appropriate setup and maintenance of the hardware is necessary
(e.g. professional connection to power and network, sufficient ventilation, regular cleaning of
the fan, etc.). The computer/device should be shut down regularly for memory cleaning
purposes.
H-No.: 1.1.1, 1.1.4, 1.1.7, 1.2.1, 1.2.3

WARNING:
Danger of data loss/inconsistencies or application failures.
Computer viruses hold a considerable risk. A virus infection may potentially lead to data losses
and to the unavailability of the iQ-4VIEW viewer. To avoid the risk of a virus infection of the
computer/device, on which iQ-4VIEW is used, all systems/devices should be furnished with
anti-virus software that needs to be updated regularly.
H-No.: 1.1.1, 1.1.4, 1.1.8, 1.2.3

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5. Manipulated, incomplete, missing and/or compressed data

WARNING:
Danger of misdiagnosis due to manipulated data.
The user should make sure that the whole chain of data flow from the acquisition device via
DICOM routers to the iQ-WEB archive to the iQ-4VIEW client does not affect the diagnostic
accuracy of received data, e.g. regarding pixel aspect ratios, compression artifacts, slice
thickness, etc.
H-No.: 1.1.5, 1.1.9

WARNING:
Danger of incorrect patient demographics or study meta data.
The modality operator is responsible for the quality of the image data as well as the
correctness of the patient and study information. Insufficient quality can lead to misdiagnosis
while incorrect patient information can lead to wrong diagnosis for a respective patient (patient
mix).
H-No.: 1.1.4, 1.1.5, 1.1.6

WARNING:
Danger of misdiagnosis due to non-DICOM 3.0 compliant image data.
Use of DICOM dialects might lead to incompatibility and delay or even wrong diagnosis as the
system may not be able to read out the necessary image information to create the images and
patient/study information sent to the iQ-4VIEW clients.
System administrators should run a system integration test with each newly connected
acquisition device before clinical use.
H-No.: 1.1.4, 1.1.5, 1.2.1

WARNING:
Danger of misdiagnosis due to the use of lossy image compression.
Excessive compression levels may cause compression artifacts that might reduce the image
quality to non-diagnostic level. These images may no longer have diagnostic quality!
If the system detects the use of any lossy compressed images, the application marks these
images accordingly with a “Lossy compression” label. The user’s organization should make
sure to use lossy compression only according to local regulatory requirements.
H-No.: 1.1.5, 1.1.9

WARNING:
For users under the jurisdiction of the U.S. Food and Drug Administration (FDA)
Danger of misdiagnosis due to lossy image compression in mammography.
Currently the FDA does not permit images regenerated from lossy compressed data to be used
in the same manner as the original mammogram. As a consequence, lossy compressed
mammography images must neither be reviewed for primary diagnosis or final image
interpretation nor be stored for retention purposes.
Only use original (uncompressed) or lossless compressed images for diagnostic purposes and
activate either “Server mode (lossless)” or “Client mode” in the iQ-4VIEW configuration to
ensure that the images are displayed and processed in FDA approved diagnostic quality.
H.-No.: 1.1.9

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6. Security and protection of patient data

WARNING:
Danger of unauthorized access to patient information.
iQ-4VIEW works with image data containing information that identifies individual patients
(while displaying and processing data). It is the user’s responsibility to prevent unauthorized
access to the information to ensure the patient’s rights to data protection.
Users and log in mechanisms should be used to regulate access to the device/system on which
iQ-4VIEW is used.
H-No.: 1.1.8

Any further warnings or precautions regarding individual functions of iQ-4VIEW are documented
in the respective sections of the iQ-4VIEW Instructions for Use and this Administration Guide.

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2 System requirements

NOTICE:
The system requirements stated below are the requirements and recommendations valid at the
release of this software version and/or the release date of this document.
This information is subject to change over the course of the product’s life-cycle. The manu-
facturer will inform about updates regarding the system requirements when iQ-4VIEW
becomes available for systems other than those defined below (e.g. newer operating systems).
Contact your reseller or the manufacturer for the latest information.
Keep in mind that iQ-4VIEW as a medical device will not automatically support any new
technology that becomes available on the market. The software will have to be tested
according to legal regulations before being released for such systems.

2.1 General hardware and software requirements

For the iQ-4VIEW server the system requirements concerning both hardware and software
are:

CPU Multi-core 2.00 GHz or higher

RAM 16 GB
Data storage ▪ 1 GB free disk space for the iQ-4VIEW application files; about 40% of
the size of incoming DICOM image data is required as additional
space, needed for image data generated by the image pre-generation
64 bit
It is recommended to always use the latest patch version of the database
server.
Web server ▪ Apache 2.4
components ▪ PHP 7.2
It is recommended to always use the latest patch version of the
respective component.
Network 1 Gbit/s
Other ▪ iQ-WEB 6.7.3
▪ PDF reader (for opening the user documentation)

For the iQ-WEB server-side hardware and software requirements refer to the system
requirements of the main application iQ-WEB. For further details regarding the specifications,
refer to the iQ-WEB user documentation of the respective software version.

For the iQ-4VIEW client the system requirements concerning both hardware and software are:

CPU Multi-core 1.80 GHz or higher

RAM 2 GB or higher
Operating system Desktop PC:
▪ Any operating system supporting one of the web browsers listed
below
Mobile devices:

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 ▪ Any operating system supporting one of the web browsers listed
below
Web browser ▪ Mozilla Firefox ≥ 69,
▪ Google Chrome ≥ 77,
It is recommended to always use the latest web browser version with
regard to the used operating system. JavaScript functionality has to be
activated. Cookies have to be accepted and stored. Other well-known
browsers might work, too. An installed Flash player plugin is needed to
view DICOM videos in the web interface.
Graphics card Desktop computer (diagnostic use):
▪ Resolution of 1600x1200, 24 bit color / 8 bit gray output
Mobile (diagnostic use):
▪ Resolution of 1920x1080, 24 bit color / 8 bit gray output
Mobile (Non-diagnostic use):
▪ Resolution 960x540
Peripherals 1x display that is capable to display the output specified in graphics card
section; for diagnostic purposes 1x high-resolution display with up to 5
MP
Network 1 Gbit/s
Other ▪ PDF reader (for opening the user documentation)

2.2 Additional system requirements

2.2.1 Verifying hardware and software compatibility

If using third-party applications on the same system, higher requirements may apply.

2.2.2 Ensuring system security

It is recommended that the application is used only within a secured environment as iQ-4VIEW
does not support any specific security measures. A secured environment includes at a minimum:

▪ Firewall or router protections to ensure that only approved external hosts have network
access to the computer, on which iQ-4VIEW is used.
▪ Firewall or router protections to ensure that the computer, on which iQ-4VIEW is used, only
has network access to approved external hosts and services.
▪ Any communication with external hosts and services outside the locally secured environment
uses appropriate secure network channels (e.g. such as a Virtual Private Network (VPN)).
▪ A regularly updated anti-virus/malware software.

We recommend the use of up-to-date anti-virus software on the computer on which iQ-4VIEW
is run. The virus definitions must be updated regularly (they should not be older than 2 weeks).

Other network security procedures such as automated intrusion detection may be appropriate in
some environments. Additional security features may be established by the local security policy
and are beyond the scope of these instructions.

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 NOTICE:
Anti-virus software or firewalls may affect the iQ-4VIEW software as they may accidentally
block necessary application files or communication (e.g. ports). It is recommended to configure
such applications accordingly to ensure the faultless running of iQ-4VIEW on the system. A
system test should be performed before using it productively.

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3 Installing the software

3.1 Installation requirements

The iQ-4VIEW software component is part of the iQ-WEBX installation package. To use
iQ-4VIEW, the iQ-WEB software and all necessary third-party software (MySQL and Apache/PHP)
must first be installed on the PACS server. Refer to the iQ-WEB Administration Guide document
of the appropriate software version for all details on how to install iQ-WEB.

Only after this general installation was successful it is possible to run iQ-4VIEW. Since iQ-4VIEW
is a zero footprint web application there are no further installation processes on client devices.

3.2 Launching the application

To open iQ-4VIEW in a browser, it is necessary to get access to the studies stored in iQ-WEB.

For further instructions on how to open iQ-4VIEW and load studies into the viewer, refer to the
iQ-4VIEW Instructions for Use. These instructions is part of the installation package and can be
accessed by:

▪ Opening Windows Explorer on the server, navigating to the “doc” folder of the iQ-WEBX
installation (e.g.: C:\Program Files\iQ-WEBX\PACS\php\iQ-4VIEW\server\doc) and opening
“[Link]”.
▪ Opening the document from within the application using the “user documentation” button (
).
▪ Downloading the document from the manufacturer’s website at [Link]
[Link]/filebase/.

NOTICE:
Adobe Acrobat Reader or another PDF reader must be installed/available on the system to
open and view the iQ-4VIEW instructions for use.

3.3 Upgrading the application

From a technical point of view, an upgrade from an existing iQ-4VIEW installation to a newer
software version is very easy.

Simply run the new iQ-4VIEW installation file and install the new software version, which is
included in the iQ-WEBX installation package, on top of the existing installation. All configuration
files as well as all image data will be maintained during the upgrade. Follow the instructions
given for iQ-WEB to ensure that the new version of iQ-4VIEW is placed correctly onto the PACS
server.

Keep in mind that a license valid for one software version will not be valid for a newer software
version. That means, after the upgrade you will be able to use the new version for the default
30 day trial period. Afterwards, you will need a new full license to run the new version.

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 NOTICE
Upgrade fees may apply for the software upgrade and also specific license procedures will have
to be observed before the new license can be delivered. Therefore, contact your local reseller
for instructions BEFORE upgrading your software.

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4 Uninstalling the software

Since iQ-4VIEW does not deploy any persistent data to the client devices, there is no way and,
first of all, no need for an uninstallation procedure.

For a complete removal of the server components it is necessary to remove the iQ-WEBX
package. If you wish to uninstall iQ-WEBX completely from your system, refer to the iQ-WEBX
Administration Guide of the respective software version.

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5 Licensing

5.1 Licensing system

There exist different forms of licenses for the iQ-4VIEW software:

License type Duration Description

Concurrent licenses (several users can work with the application on different computers at
the same time, depending on the number of available licenses)
Trial license 30 days Is available as soon as iQ-WEBX is installed on a server
system. This version is limited in time. It runs 30 days with
all features included in iQ-4VIEW. Is limited to max. 5
concurrent user accesses.
Full license Unlimited Can be gained only by purchasing a full license and activating
the software. This license comprises all functions of the
iQ-4VIEW medical image processing software.
This license is a life-time license.
Mention the number of licenses you need to run concurrently.
Time-limited Can be gained only by purchasing a full license and activating
the software. This license comprises all functions of the
iQ-4VIEW medical image processing software.
This license runs for a specified time period and will expire
afterwards unless a follow-up license is purchased.
Mention the number of licenses you need to run concurrently.
DEMO license Time-limited Is not for sale and only handed out to distributors and
resellers. The functional range fully corresponds to an
iQ-4VIEW license.
This license runs for a specified time period and will expire
afterwards unless a follow-up license is entered.
Mention the number of licenses you need to run concurrently.

Also refer to the application’s End User License Agreement to learn which permissions and
restrictions come with the respective license type.

NOTICE:
All time-limited licenses are date-sensitive. Intended or involuntary modification of the
Windows system date is handled as an attempt to tamper with the license and will invalidate a
time-limited license. As a result the application can no longer be accessed. In case of date
corruption, contact your local reseller. Keep in mind that the issuing of a replacement key
might only be possible for a fee.

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5.2 Activating the software

After installing the software, the application runs by default as an evaluation version with a
license that is limited in time and maximum number of concurrent users.

After 30 days the application stops working unless a full license is obtained and the software is
activated with a specifically created activated key. The activation is done on the server on which
iQ-WEBX is installed. The individual iQ-4VIEW clients must not be licensed separately.

The following instructions only concern the activation of the iQ-4VIEW software license. The
activation is done in the web interface of iQ-WEB:

▪ Purchase a full license for iQ-4VIEW.

▪ Log into iQ-WEBX as administrator and navigate to the “Tools” page.
▪ Select the tab “Licensing”.
▪ Click the button “Download license information”

▪ Send the ZIP file to your reseller requesting an iQ-4VIEW license.

▪ In return, you will receive an email with the registration name and activation key.
▪ Enter the information in the respective fields of the “Install License” dialog.
▪ Afterwards press the “Install License” button to apply the license.

The key will be stored on the iQ-WEBX server PC and does not have to be entered each time you
start the application. Hardware modifications are still possible without invalidation of the license
(max. three components), but the hardware fingerprint will change.

NOTICE:
Do not press “Uninstall License” unless you really wish to reset your license. During this
process, the hardware fingerprint will change and your previous activation data will become
invalid. You will have to request a replacement key, which might require a fee.

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6 License migration and renewal

The purpose of this chapter is to provide the administrator with all steps necessary to do either
of the following actions:

▪ Change an existing software license on the system (e.g. renewing a time-limited license)
▪ Removing an existing software license from a system
▪ Move an existing software license from one system to another

6.1 Changing an existing license

In some cases it may become necessary to change an existing license, i.e. to enter new
activation data even though a license is currently active. This may happen if:

▪ You wish to renew a time-limited license (e.g. trial) that is about to expire
▪ You wish to upgrade from a time-limited license to a time unlimited license
▪ You wish to apply a license that allows more concurrent user accesses

After you have received the new license activation data from your local reseller (registration
name and activation key), log into the iQ-WEB interface with user “root”, go to the “Tools” and
select the “Licensing” tab. Then enter the new registration name and activation key in the “Install
License” section and click the “Install License” button to confirm the activation.

NOTICE:
Contact your local reseller for the procedures of changing an existing license.

6.2 Deactivating an existing license

When a license is removed from your current system, it will no longer be valid. The hardware
fingerprint will change and the previously used activation key becomes invalid. This procedure
might be necessary if you want to migrate an existing license to a different computer or if you
do not wish to use the software any longer. In those cases, you have to send the uninstall
information file (created while the license is removed) to your local reseller.

If you wish to remove your purchased license, you need to follow the instructions given here:

▪ Log into the server, on which iQ-WEB is installed, as Administrator.

▪ Then log in to iQ-WEB with your administrator credentials and navigate to “Tools” →
“Licensing”, where you need to click “Uninstall License” in the iQ-4VIEW license section.
▪ A security dialog will ask you to confirm your decision to uninstall the license. Click “OK” to
uninstall or “Cancel” to keep the license.
▪ During the reset a text file (.log) will be created called “deactivation_iQ-
4VIEW_2.2_{CURRENT_DATE}.log”. This file contains a deactivation key verifying the license
deactivation. Keep the file; you may need it later to prove the successful deactivation. The
file can be found in the iQ-WEBX installation directory (sub-directory
“…\[InstallDir]\PACS\php\iQ-4VIEW\licensing”).

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 NOTICE:
Do not click “OK” unless you really wish to uninstall your license. During this process, the
hardware fingerprint will change and your previous activation data will become invalid. You will
have to request a replacement key, which might require a fee.

6.3 Migrating licenses

A license migration of iQ-4VIEW is only possible in from one iQ-WEB to another, since iQ-4VIEW
will only function in combination with a licensed iQ-WEB installation.

If you want to move your purchased iQ-4VIEW license from one computer to another you need
to follow the instructions given here:

▪ Ensure you have an iQ-WEBX software installed on another computer.

▪ Deactivate the iQ-4VIEW license on the old computer. To do that log into iQ-WEB as
administrator and navigate to “Tools” → “Licensing”, where you need to click “Uninstall
License”.

NOTICE:
Do not press “Uninstall License” until you are really ready to reset your license. During this
process, the hardware fingerprint will change and your previous activation data will become
invalid. You will have to request a replacement key, which might require a fee.

▪ During the deactivation a confirmation file (.log) called “deactivation_iQ-

4VIEW_2.2_{CURRENT_DATE}.log” will be created in the iQ-WEBX installation directory
(sub-directory “…\[InstallDir]\PACS\php\iQ-4VIEW\licensing”). This file contains a
deactivation key verifying the license deactivation.
▪ Send this file together with the hardware fingerprint of the iQ-4VIEW software of the other
iQ-WEBX installation by email to your reseller. For details regarding the licensing process
and the necessary information you need to provide, see section 5.2.
▪ You will receive an email in return with the registered name and activation key.

NOTICE:
Keep in mind that for replacement keys a fee might be charged. Therefore, contact your
reseller BEFORE you transfer your iQ-4VIEW license to a new computer!

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7 Maintenance

The software itself needs no maintenance. However, the capabilities and the performance of the
software can be affected by limitations and failures caused by the hardware, the network or
other software installed on the system. Therefore, the proper operation and the maintenance of
the hardware and network are necessary (e.g. professional connection to power and network,
sufficient ventilation, regular cleaning of the fan etc.). Instructions regarding hardware and
software specifications as well as software maintenance given by the manufacturers must be
adhered to.

The user should always use the latest software version and update existing installations when
updates become available.

WARNING
Danger of application failures or unavailability.
All modifications to the medical software have to be made by IT service personnel. This
includes the installation, verification as well as changes in the software. The risk of malfunction
is relatively high when modifying software. Abnormal termination of the software as well as
temporary or permanent data losses are possible when improperly administered. Therefore all
modifications to the software are performed solely by service personnel.
Modifying application folders and or files to different locations, deleting or renaming them
without considering other parts may cause problems in the functioning of the software. Keep
the file and folder structure intact and only follow the user documentations’ instruction for
configuring the application.
H.-No.: 1.1.1, 1.1.4, 1.2.3, 1.2.4

7.1 Maintenance schedule

In order to ensure the faultless operation of iQ-4VIEW, it is necessary to properly keep up the
system by performing specific recommended maintenance tasks.

The following table provides you with an overview of all recommended maintenance activities
and states when and how often you should schedule them. You will find all details for every task
in the section stated under “Reference”.

Time interval Task Reference

Daily Restart the web browser and the client devices on which iQ- 7.2
4VIEW is used
Visual check of overall image quality on all diagnostic 7.3
displays (constancy test according DIN 6868-157)
Update anti-virus definitions 7.4
Run anti-virus/anti-malware check (after definition updates) 7.4
Check availability and performance of all network/internet 7.5
connections

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 Time interval Task Reference
Weekly Reboot iQ-4VIEW server component (when installed with iQ- 7.2
WEB on client computer)
Install security updates/patches for the operating systems 7.6
on server and clients
Install security updates/patches for the web browsers on 7.6
clients
Monthly Reboot iQ-4VIEW server component (when installed with iQ- 7.2
WEB on server system)
Quarterly Check for new system drivers (update only after verification 7.6
by local reseller!)
Check for iQ-4VIEW patches for installed software version. 7.6
Update, if available.
Check for new iQ-4VIEW software versions. Verify 7.6
possibilities for software update (together with local
reseller!).
Half-yearly Constancy tests according to DIN 6868-157 for all diagnostic 7.3
displays
Annually State-of-the-art check for system hardware 7.7
On demand Record and report software malfunctions of iQ-4VIEW (at 7.8
least severe software errors)

7.2 Regular software and system restarts

As a software application running in a web browser, iQ-4VIEW is intended for frequent, but not
for continuous use.

On the clients, on which iQ-4VIEW is used, the web browser should be restarted at least once a
day. And the client device must be shut down and restarted regularly, preferably daily, but at
least once a week.

The server component of the iQ-4VIEW software will usually be installed on a Windows server
system together with iQ-WEB. The system must be shut down and restarted at least once a
month. This automatically also restarts the software and ensures the freeing of potentially
blocked system resources.

In cases where the server component is installed on a client computer (e.g. with Windows 10
OS), the software and the system must be shut down and restarted at least once a week.

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7.3 Constancy tests and (re-)calibration of diagnostic displays

To adhere to the laws and regulations concerning image reading devices it is necessary to
calibrate and regularly recalibrate the displays and monitors of the iQ-4VIEW workstations that
are used for diagnostic purposes.

This also includes the following regular constancy tests of all diagnostic displays:

▪ On every working day, visually check the overall image quality (using test image TG18-OIQ).
▪ Half-yearly, visually check the homogeneity of luminance as well as color impression and
color constancy (using test image TG18-UN80).
▪ Half-yearly, perform a constancy test according to DIN 6868-157 with appropriate
measurement devices (luminance meter and illuminance meter).

When the constancy check fails, a recalibration of the respective diagnostic display must be
performed.

WARNING:
Danger of misdiagnosis due to use of non-calibrated displays.
If the application is installed for diagnostic purposes the displays at the workstation need to be
checked and, if necessary, (re)calibrated according to DIN 6868-157 to guarantee the
diagnostic quality of the displays. The quality checks must be performed using the appropriate
test dataset(s). The person doing these checks must make sure that the measuring device has
a valid calibration status.
H.-No.: 1.1.9

7.4 Protection from virus/malware infection

Computer viruses and malware hold a considerable risk. A virus/malware infection may
potentially lead to data losses and to data inconsistencies. To avoid the risk of a virus infection
of the computer, on which the software is running, all systems should be furnished with anti-
virus software that needs to be updated regularly. Updates should be run as soon as they become
available, but at least once a day.

Anti-virus/anti-malware checks should also be run regularly on the system where the iQ-4VIEW
server component is installed (together with iQ-WEB) and on all devices on which it is used as
client. It is recommended to run a check after virus definition updates.

WARNING:
Danger of data loss/inconsistencies or application failures.
Computer viruses hold a considerable risk. A virus infection may potentially lead to data losses
and to the unavailability of the iQ-4VIEW viewer. To avoid the risk of a virus infection of the
computer, on which iQ-4VIEW is used, all systems should be furnished with anti-virus software
that needs to be updated regularly.
H-No.: 1.1.1, 1.1.4, 1.1.8, 1.2.3

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 NOTICE:
Anti-virus software or firewalls may affect the iQ-4VIEW software as they may accidentally
block necessary application files or communication (e.g. ports). It is recommended to configure
such applications accordingly to ensure the faultless running of iQ-4VIEW on the system. A
system test should be performed before using it productively.

7.5 Ensuring a proper network/internet connection

A failure or partial loss of the network/internet connection or a low bandwidth within the medical
network can pose risks when imaging data cannot be made available at the receiving devices, is
received only incompletely or is not transmitted fast enough, especially in emergency cases.

Therefore, check daily all network/internet connections between the iQ-4VIEW clients and the
iQ-WEB server for their availability and performance, especially in teleradiology scenarios where
the client and the iQ-WEB server are not located in the same network (WAN). This check should
be done before the first procedure is scheduled at the respective receiving iQ-4VIEW client.
Example: If the night shift starts at 8 p.m. and the radiologist is supposed to load imaging data
from iQ-WEB for emergency reading, verify the connection at the beginning of the night shift.

Where emergency cases are supposed to be read at the receiving iQ-4VIEW client, the access
time to the images must be no longer than 5 minutes.

7.6 Keeping the system up-to-date

You should check regularly if your system is still up-to-date and perform necessary updates.
Check the following items:

▪ Install security updates and patches for the operating systems on the server and clients
within one week after their release.
▪ Install security updates and patches of the web browsers used on the clients within one week
after their release.
▪ Check quarterly for new system drivers but update them only after checking back with your
local reseller to ensure the compatibility with the currently installed iQ-4VIEW version.
▪ Check quarterly if software patches for the currently installed iQ-4VIEW software are
available. If yes, update the system accordingly.
▪ Check quarterly if a new software version of iQ-4VIEW is available. Verify that the software
requirements of the new version match the system. Contact your local reseller to discuss
updating your system to the new version.

7.7 Ensuring the system’s state of the art

It is recommended to check annually whether the system hardware is still state-of-the-art.

▪ Check if the used Windows operating system on the server and the operating systems on the
clients (Windows, Android, iOS) are still supported by their manufacturer. Check how long

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 support will still be granted in order to schedule a necessary OS update on time. (Keep in
mind that this may also affect the used iQ-4VIEW software.)
▪ Check the system logs on the systems for potential hardware errors that may suggest an
impending system failure.
▪ Reboot the server system and the client devices and measure the startup time. It should be
reasonable and not exceed 3 minutes.

7.8 Recording and reporting software malfunctions

Although the iQ-4VIEW software is subjected to extensive validation and verification procedures
by the manufacturer, it is nevertheless possible that unforeseen malfunctions occur during the
use of the software.

We recommend to record and count the number at least of severe software errors, such as
crashes, throughout the entire software life-cycle and to report such incidents to your local
reseller or directly to the manufacturer.

Generally, the following assumptions can be made as reference:

▪ An up-to-date server system (e.g. Windows Server 2019) with all necessary security patches
and current anti-virus/malware software should run 30 days without crashing.
▪ An up-to-date client system (e.g. Windows 10) with all necessary security patches and
current anti-virus/malware software should run 1 week without crashing.

WARNING:
In case faulty software behavior is observed that may put a patient or the user at risk, the
user is asked to immediately contact the manufacturer or local reseller. The manufacturer’s
contact data is stated in the user documentation (last page of this document) and inside the
application itself.
H.-No.: 1.1.1 – 1.3.3

NOTICE:
Also the reporting of minor errors and inconveniences in handling the application can be
helpful in order to improve the software in future versions.

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8 Folders and paths

The following table lists all folders of the iQ-4VIEW installation directory and their description.

The default installation directory of the application is: C:\Program Files\iQ-WEB

WARNING:
Danger of application failures or unavailability.
All modifications to the medical software have to be made by service personnel. The risk of
malfunction is relatively high when modifying software. Abnormal termination of the software
as well as temporary data losses are possible when improperly administered.
Modifying application folders and or moving files to different locations, deleting or renaming
them without considering other parts may cause problems in the functioning of iQ-4VIEW.
Keep the file and folder structure intact and only follow the user documentations’ instruction
for configuring the application.
H-No.: 1.1.1, 1.1.4, 1.2.3, 1.2.4

Folder Description
…\[InstallDir] iQ-WEBX application root folder
…\[InstallDir]\PACS\php\iQ-4VIEW Contains the iQ-4VIEW initiation file
…\[InstallDir]\PACS\php\iQ-4VIEW\client Contains the iQ-4VIEW client side program
files
…\[InstallDir]\PACS\php\iQ-4VIEW\server Contains the iQ-4VIEW server side
program files
…\[InstallDir]\PACS\php\iQ-4VIEW\licensing Contains iQ-4VIEW license application
…\[InstallDir]\PACS\php\iQ-4VIEW\server\doc Contains the iQ-4VIEW user documentation
…\[InstallDir]\PACS\php\iQ-4VIEW\server\prote Contains error log file
cted\runtime
…[InstallDir]\PACS\php\iQ-4VIEW\server\protec Contains cache files
ted\runtime\cache

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9 Software administration

9.1 Accessing the user documentation

The iQ-4VIEW user documentation consists of the instructions for use and this administration
guide.

The documentation can be accessed from every client device directly from the upper toolbar of
iQ-4VIEW. Open the iQ-4VIEW viewer and click the appropriate icon in the upper toolbar:

Opens either the instructions for use or the administration guide of iQ-4VIEW.
They will be opened in a new browser tab.

9.2 Global iQ-4VIEW settings

There are two options for iQ-4VIEW that are user independent. These settings can be accessed
by navigating to the SETTINGS → System page in the iQ-WEB user interface. In the middle of
the page is the section for iQ-4VIEW relevant settings.

9.2.1 User session timeout

iQ-4VIEW will terminate an active user session after a defined amount of minutes of user
inactivity to prevent unintended occupation of concurrent user slots. By default this value is set
30 minutes after the last action of the user and can be changed to any number except 0.

9.2.2 Image generation

This option enables/disables the automatic pre-generation of the iQ-4VIEW web images
whenever new DICOM data is added to the iQ-WEB archive. This option is enabled by default
and will create lossless (PNG) images of the DICOM data. Additionally, JSON files are generated
holding important information from every DICOM object.

Furthermore, a value in days can be defined to automatically purge these images after a certain
amount of time. A value of 0 will deactivate this feature.

The image generation can be additionally defined with the following options.

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 - Maximum number of parallel image generation processes: The default value is 3.
You can enter any value between 1 and 99.
- Minimum wait time per series since last instance received (in seconds): Wait
period to make sure all instances of a series have been received before the image
generation for the series is executed. By default, this value is set to 120 seconds. You
can enter any value between 0 and 3600.
- Maximum wait time per series for image generation (in seconds): Maximum time
a process will wait to be executed. If the time is expired, the image generation is canceled
for the series and set to status FAILED (3). The default value is 1800. You can enter any
value between 0 and 7200.
- Time before finished or failed series entries are removed from image generation
table (in seconds): Minimum wait time before finished (4) or failed (3) series entries
are removed from image generation table. The default value is 3600. You can enter any
value between 0 and 2592000.
- Start image generation process with low priority: By default, this option is disabled.
If enabled, the image generation process will be started with "low" thread priority. If
disabled, the process will be started with "normal" priority.

9.3 Granting access to user-dependent functions

9.3.1 Permission to create structured reports

iQ-4VIEW allows a user to create structured reports, to store draft versions in a special database,
as well as to create, delete or edit templates that help to save time when inserting often-used
phrases or report fragments. The final report will be created on the iQ-WEB server as a DICOM
Structured Report (SR) and will be added as a new series to the study for which the report was
created.

However, a user must be granted permission to access this function by the PACS administrator
who handles the iQ-WEB user management.

Log into the iQ-WEB web interface with an administrator account and access the user
management under “SETTINGS” → “Users”. Select the user you wish to grant permission and
click the “Edit” link. In section “General Privilege Settings” enable the checkbox “Structured
Reports Privilege” and then scroll to the end of the page and click “Modify User” in order to
apply the changes.

“General Privilege Settings” section on “Modify User” page

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9.3.2 Permission to create secondary capture images

iQ-4VIEW allows a user to create secondary capture images either from an original image loaded
into the viewer in order to permanently store changes such as measurements or annotations
performed in that image or by importing a JPEG file from an outside source (e.g. local directory,
removable media or camera for mobile devices).

However, a user must be granted permission to access this function by the PACS administrator
who handles the iQ-WEB user management.

Log into the iQ-WEB web interface with an administrator account and access the user
management under “SETTINGS” → “Users”. Select the user you wish to grant permission and
click the “Edit” link. In section “General Privilege Settings” enable the checkbox “Secondary
Capture Privilege” and then scroll to the end of the page and click “Modify User” in order to
apply the changes.

“General Privilege Settings” section on “Modify User” page

9.4 Text overlay configuration

It is possible to configure which information shall be displayed in the text overlay of the DICOM
images. This can be done by using the text overlay configuration, accessed by the respective
sub-menu entry from the overlay button.

9.4.1 Creating a custom overlay

Opened for the first time, the text overlay configuration dialog shows the default settings. By
clicking the “Create custom overlay” button it is possible to create a custom text overlay
template.

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 Default text overlay configuration

The custom configuration is done in dependence of the SOP class. It is either possible to bind
the custom template to a specific SOP class or to all SOP classes. The SOP class drop-down list
offers all SOP classes specified in the DICOM standard.

Custom template

9.4.2 Adding or deleting text overlay labels

As the newly created template bases on the default settings, all settings are taken over from the
default one.

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First, the screen position needs to be chosen. The position drop-down list is holding all possible
text positions.

▪ Left top
▪ Middle top
▪ Right top
▪ Left bottom
▪ Middle bottom
▪ Right bottom

After that all defined text entries are display below the template set. The template set is a
collection of all text elements defined for the current position. Each element in the template set
will be shown in the text overlay in a separate row. By selecting a specific row the content will
be shown in the bottom edit box. In conclusion, the template set shows tags of annotations that
will be shown at a specific position in the image processing area, when the user loads an instance
with the selected SOP class.

If a new text row should be added, click the “Add” button ( ). Go to the edit box below and
type in the text to be displayed in the overlay. Besides adding simple text, DICOM tags can also
be added. iQ-4VIEW parses these DICOM tags and replaces them with the respective DICOM
information. To properly parse the DICOM tags they have to follow a specific format.

Template set example: Patient name: {[0010,0010]}

▪ “Patient name:” - A normal text entry.

▪ “{[0010,0010]}” - The DICOM tag for the patient name. iQ-4VIEW will parse this tag and
replaces the Information.

If an existing row should be deleted, select the specific row and click the “Delete” button ( ).

9.4.3 Modifying individual text overlay labels

If a specific text overlay label needs to be modified, just click into the referring row and edit the
label in the bottom edit box. In addition it is possible to change the row position of a created

text by using the “Arrow up” and “Arrow down” buttons ( ).

9.4.4 Highlighting individual text overlay labels

It is also possible to highlight specific text elements by using html codes. Typical codes are found
in the table below.

Text format Html code Output

Bold <b>Text</b> Text
Italic <i>Text</i> Text

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 Text format Html code Output
Underline <u>Text</u> Text

Add one or multiple code sequences to the edit box. The sequences have to surround the text
that needs to be highlighted.

9.4.5 Saving the custom overlay

The custom overlay is saved by using the “Save” button in the upper left corner of the
text overlay configuration dialog. If the saving process is done the changes will be
applied immediately.

9.4.6 Restoring the custom overlay to default

If a custom overlay was created the text overlay configuration dialog changes and two new
buttons replace the “Create custom overlay” button.

▪ “Delete & use default”: The custom overlay will be deleted and all settings will be restored to
their default values.
▪ “Defaults for current SOP”: It is possible to reset a specific SOP class configuration to its
default values. Maybe this comes to place if a custom overlay was created for all SOP classes
and a specific SOP class needs to be configured in another way.

9.5 Structured report settings

In the viewer’s “Settings” dialog, there are two options that affect the structured
reporting.

9.5.1 Character set for creation of structured reports

This second option handles the usage of a specific character set for the creation of the structured
report DICOM object. This attribute is responsible for the interpretation of the character sets and
how the letters/characters are displayed in the application.

By default, the option “Same as original dataset” is enabled. This option uses the same character
set for the creation of a structured report as is used for the study that the report will be appended
to after complete verification. If, however, the report is written in a language that was not used
for the creation of the images, then it might be necessary to select a specific character set from
the list to ensure that the structured report can be saved properly. This may be the case when
the patient information in the images is encoded in Latin letters/characters but the report is
written in Russian, Japanese or another language not using Latin characters.

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 WARNING:
Danger of data loss.
Using an inappropriate character set option can lead to unreadable structured reports if the
language, in which the report is written, does not fit the selected character set. The selection
of the appropriate character set can depend on different things: the character set of the
original DICOM data, the language used for the report, but also the character set options that
the applications and devices in the entire medical network are able to handle.
When in doubt, contact your administrator for the right settings.
H-No.: 1.1.10

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10 Abbreviations and acronyms

Abbreviation Meaning
CE Conformité Européenne
CPU Central Processing Unit
DICOM Digital Imaging and Communication in Medicine
EEA European Economic Area
EEC European Economic Community
GB Gigabyte
Gbit Gigabit
GHz Gigahertz
HDD Hard Disk Drive
IP Internet Protocol
JPEG Joint Photographic Expert Group
JSON JavaScript Object Notation
MB Megabyte
Mbit Megabit
PACS Picture Archive and Communication System
PDF Portable Document Format
PNG Portable Network Graphics
RAM Random Access Memory
SOP Service-Object Pair
SR Structured Report
VPN Virtual Private Network

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11 List of shortcuts

The following table gives an overview of the default (pre-defined) shortcuts for the viewer. These
shortcuts cannot be changed and it is not possible to define additional shortcuts. The functioning
of the listed shortcuts is limited to Desktop PCs with an external keyboard.

Shortcut Function
[ALT] + [Arrow LEFT] Browser’s “Back” button
[P] Pin/unpin series preview bar
[T] Pin/unpin toolbar
[ESC] Reset/back to default events mode / Close report window (at SR tool)
[CTRL] Include/exclude series from synchronization (in combination with
mouse-click/tap if “Sync” is enabled)
[CTRL] + [M] Collapse/expand the report writer window
[CTRL] + [S] Save report
[Arrow DOWN] Next image/frame in active view
[Arrow UP] Previous image/frame in active view
[Arrow LEFT] Previous series
[Arrow RIGHT] Next series
[Home] Go to beginning (first image of view)
[End] Go to end (last image of view)
[CTRL] + [SHIFT] Enables the “Line extension” tool during the drawing of a line or a
ray (in combination with active “Distance” or “Angle” measurement)
[SHIFT] Enables the “Align angle/line measurement” tool during the drawing
of a line or a ray (in combination with active “Distance” or “Angle”
measurement)
[SHIFT] + [SPACE] Creates a secondary capture image and stores it in a new secondary
capture sequence
[CTRL]+[SPACE] Creates a secondary capture image and appends it to an already
existing secondary capture sequence

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12 Annex

12.1 Supported DICOM SOP classes and transfer syntaxes

SOP classes:

The product iQ-4VIEW implements no DICOM services to transfer DICOM datasets (files) via
network transmission, to query other DICOM systems for workflow and data information or to
send print requests to DICOM Print aware systems (printer).

However, the iQ-4VIEW DICOM viewer supports the display and processing of various image and
non-image SOP classes. The following list states all SOP classes that are currently supported:

SOP classes for display and processing

RETIRED_HardcopyGrayscaleImageStorage 1.2.840.10008.[Link]
RETIRED_HardcopyColorImageStorage 1.2.840.10008.[Link]
ComputedRadiographyImageStorage 1.2.840.10008.[Link].1.1
DigitalXRayImageStorageForPresentation 1.2.840.10008.[Link].1.1.1
DigitalXRayImageStorageForProcessing 1.2.840.10008.[Link].[Link]
DigitalMammographyXRayImageStorageForPresentation 1.2.840.10008.[Link].1.1.2
DigitalMammographyXRayImageStorageForProcessing 1.2.840.10008.[Link].[Link]
DigitalIntraOralXRayImageStorageForPresentation 1.2.840.10008.[Link].1.1.3
DigitalIntraOralXRayImageStorageForProcessing 1.2.840.10008.[Link].[Link]
CTImageStorage 1.2.840.10008.[Link].1.2
EnhancedCTImageStorage 1.2.840.10008.[Link].1.2.1
RETIRED_UltrasoundMultiframeImageStorage 1.2.840.10008.[Link].1.3
UltrasoundMultiframeImageStorage 1.2.840.10008.[Link].1.3.1
MRImageStorage 1.2.840.10008.[Link].1.4
EnhancedMRImageStorage 1.2.840.10008.[Link].1.4.1
EnhancedMRColorImageStorage 1.2.840.10008.[Link].1.4.3
RETIRED_NuclearMedicineImageStorage 1.2.840.10008.[Link].1.5
RETIRED_UltrasoundImageStorage 1.2.840.10008.[Link].1.6
UltrasoundImageStorage 1.2.840.10008.[Link].1.6.1
SecondaryCaptureImageStorage 1.2.840.10008.[Link].1.7
MultiframeSingleBitSecondaryCaptureImageStorage 1.2.840.10008.[Link].1.7.1
MultiframeGrayscaleByteSecondaryCaptureImage 1.2.840.10008.[Link].1.7.2
Storage
MultiframeGrayscaleWordSecondaryCaptureImage 1.2.840.10008.[Link].1.7.3
Storage
MultiframeTrueColorSecondaryCaptureImageStorage 1.2.840.10008.[Link].1.7.4

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 SOP classes for display and processing
XRayAngiographicImageStorage 1.2.840.10008.[Link].1.12.1
EnhancedXAImageStorage 1.2.840.10008.[Link].[Link]
XRayRadiofluoroscopicImageStorage 1.2.840.10008.[Link].1.12.2
EnhancedXRFImageStorage 1.2.840.10008.[Link].[Link]
RETIRED_XRayAngiographicBiPlaneImageStorage 1.2.840.10008.[Link].1.12.3
BreastTomosynthesisImageStorage 1.2.840.10008.[Link].[Link]
NuclearMedicineImageStorage 1.2.840.10008.[Link].1.20
RETIRED_VLImageStorage 1.2.840.10008.[Link].1.77.1
VLEndoscopicImageStorage 1.2.840.10008.[Link].[Link]
VideoEndoscopicImageStorage 1.2.840.10008.[Link].[Link].1
VLMicroscopicImageStorage 1.2.840.10008.[Link].[Link]
VideoMicroscopicImageStorage 1.2.840.10008.[Link].[Link].1
VLPhotographicImageStorage 1.2.840.10008.[Link].[Link]
VideoPhotographicImageStorage 1.2.840.10008.[Link].[Link].1
OphthalmicPhotography8BitImageStorage 1.2.840.10008.[Link].[Link].1
OphthalmicPhotography16BitImageStorage 1.2.840.10008.[Link].[Link].2
RETIRED_VLMultiFrameImageStorage 1.2.840.10008.[Link].1.77.2
BasicTextSRStorage 1.2.840.10008.[Link].1.88.11
EnhancedSRStorage 1.2.840.10008.[Link].1.88.22
ComprehensiveSRStorage 1.2.840.10008.[Link].1.88.33
X-Ray Radiation Dose SR 1.2.840.10008.[Link].1.88.67
EncapsulatedPDFStorage 1.2.840.10008.[Link].1.104.1
PositronEmissionTomographyImageStorage 1.2.840.10008.[Link].1.128

NOTICE:
The support of SOP classes by iQ-4VIEW may differ from the support of SOP classes in iQ-
WEB. Refer to the iQ-WEB DICOM Conformance Statement of the respective software version
for further details on what iQ-WEB supports.

iQ-4VIEW also includes structured reporting and creation of secondary capture images. Objects
of the following SOP class can be created and returned to the iQ-WEB server for storage:

SOP classes for display and processing

MultiframeSingleBitSecondaryCaptureImageStorage 1.2.840.10008.[Link].1.7.1
MultiframeGrayscaleByteSecondaryCaptureImageStorage 1.2.840.10008.[Link].1.7.2
MultiframeGrayscaleWordSecondaryCaptureImageStorage 1.2.840.10008.[Link].1.7.3
MultiframeTrueColorSecondaryCaptureImageStorage 1.2.840.10008.[Link].1.7.4

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 SOP classes for display and processing
BasicTextSRStorage 1.2.840.10008.[Link].1.88.11

Transfer syntaxes:

The iQ-4VIEW software accepts DICOM data encoded with one of the following transfer syntaxes
and is able to decompress such data for display in the image processing area:

Supported transfer syntaxes

Implicit VR Little Endian 1.2.840.10008.1.2
Explicit VR Little Endian 1.2.840.10008.1.2.1
Explicit VR Big Endian 1.2.840.10008.1.2.2
JPEG Baseline - Process 1 1.2.840.10008.[Link]
(default 8-bit lossy JPEG compression)
JPEG Extended - Process 2 & 4 1.2.840.10008.[Link]
(default 12-bit lossy JPEG compression)
JPEG Full Progression, Nonhierarchical (Processes 10 & 12) 1.2.840.10008.[Link]
JPEG Lossless, Non-Hierarchical (Process 14) 1.2.840.10008.[Link]
Default JPEG lossless compressed 1.2.840.10008.[Link]
JPEG-LS Lossless 1.2.840.10008.[Link]
JPEG-LS Lossy (Near-Lossless) 1.2.840.10008.[Link]
JPEG 2000 (Lossless Only) 1.2.840.10008.[Link]
JPEG 2000 1.2.840.10008.[Link]
RLE Compressed 1.2.840.10008.1.2.5

NOTICE:
The support of transfer syntaxes by iQ-4VIEW may differ from the support of transfer syntaxes
in iQ-WEB. Refer to the iQ-WEB DICOM Conformance Statement of the respective software
version for further details on what iQ-WEB supports.

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12.2 Acceptance tests – Checklist

In order to ensure the faultless running of iQ-4VIEW in a medical network, it is necessary to

perform system acceptance tests before using the system productively.

Such acceptance tests should be performed:

1. Before placing the system into operation for the first time, i.e. after installing and configuring
iQ-4VIEW.
2. After every substantial configuration change, e.g. hardware or software changes, when a new
reading/viewing device is added, the license is changed or renewed, iQ-WEB data storages
are extended or moved etc.

In the following you find a checklist with the recommended iQ-4VIEW acceptance tests. You may
use this checklist to document your performed acceptance tests for every client device. Print out
the checklist and fill in your results.

Checklist – server-side checks:

# Test (description) Person Test result

respon-

Skipped
Passed

Failed
sible

License checks
1. The software license has not expired. Admin ☐ ☐ ☐
The license will expire on: _________________
2. The license covers the number of devices on which iQ- Admin ☐ ☐ ☐
4VIEW shall be used.
Number of concurrent licenses allowed: _____________
SSL encryption check (for iQ-4VIEW devices outside the WAN)
3. The iQ-WEB server uses SSL protocol to connect the Admin ☐ ☐ ☐
outside clients (i.e. https URL).
User permission checks
4. All users requiring access to the reporting feature have Admin ☐ ☐ ☐
the required permission for their user account.
5. All users requiring access to the secondary capture Admin ☐ ☐ ☐
creation feature have the required permission for their
user account.

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Checklist – client-side checks:

# Test (description) Person Test result

respon-

Skipped
Passed

Failed
sible

Acceptance test for diagnostic displays

6. The displays are calibrated according to DIN 6868-157 Admin ☐ ☐ ☐
and adhere to the constancy parameters.
Performance checks
7. Time to first image (TTFI): Select a CR/CT study and load Physician ☐ ☐ ☐
it into iQ-4VIEW. The first image is visible within 3 sec.
Duration: _________________
(If TTFI is longer, the client mode may be active. We recommend using
the server mode. Repeat the test after switching the processing mode.)

8. Time to interactive review (TTIR): User interaction Physician ☐ ☐ ☐

(windowing, zoom/pan, measurements etc.) in the
loaded images is possible within 5 sec.
Duration: _________________

Remarks:

Date of acceptance test:

Reason for acceptance test:

After evaluating the results of the acceptance test, the iQ-4VIEW system is:

☐ Approved for productive use ☐ Not approved for productive use

Signed by:
Name: Name:
Physician PACS/IT Administrator

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13 Index

Maintenance schedule ............................................ 20

A
Protection from power loss .................................... 22
Acceptance tests ..................................38 Protection from virus/malware infection................ 22
Checklist ................................................................ 38 Recording software malfunctions .......................... 24
Access to user documentation ................26 Regular restarts ...................................................... 21
Access user-dependent functions ............27 Reporting software malfunctions ........................... 24
Activation of software ...........................17 Software ................................................................. 20
Antivirus software.................................11 Updating the system ............................................... 23
Application data (folders and files) ..........25 Migrating licenses) ............................... 19
D P
Deactivating a license ...........................18 Paths (application data) ....................... 25
F S
Folders Secondary capture creation (user-
Configuration directory.......................................... 25 dependent) ...................................... 28
Installation directory .............................................. 25 Software activation .............................. 17
G Software administration ....................... 26
SOP classes (support of) ...................... 35
Global configuration (global settings) ......26 Structured report settings ..................... 31
Global settings .....................................26 Character set........................................................... 31
Image generation ................................................... 26 Supported SOP classes ......................... 35
User session timeout .............................................. 26 Supported transfer syntaxes ................. 35
I System requirements ........................... 10

Image generation .................................26 T

Installing the software ..........................13 Text overlay configuration .................... 28
L Adding labels ......................................................... 29
Custom overlay ...................................................... 28
License migration .................................18
Deleting labels ....................................................... 29
License renewal
Highlighting labels ................................................. 30
(upgrade/downgrade/renewal) ............18
Modifying labels .................................................... 30
License types .......................................16
Restoring default .................................................... 31
Licenses (changing of) ..........................18
Saving custom overlays ......................................... 31
Licenses (migration of) ..........................19
Transfer syntaxes (support of) .............. 35
Licensing system ..................................16
U
M
Uninstalling the software ...................... 15
Maintenance
User documentation (access) ................ 26
Checking network/internet connections ................. 23
User session timeout ............................ 26
Constancy tests ...................................................... 22
User-dependent functions ..................... 27
Display calibration ................................................. 22
Secondary capture creation .................................... 28
Ensuring the system’s state of the art .................... 23

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 IMAGE INFORMATION SYSTEMS EUROPE GMBH
LANGE STR. 16 | 18055 ROSTOCK | GERMANY
[Link] | INFO@[Link]

Based on template: FS-423-157 Administration Guide CE Class II Products PUB INT EN - 009R

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