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--- decimal3d:instructions_for_use:instructions_for_use [2019/11/29 13:12] – [Known Limitations] kerhart
+++ decimal3d:instructions_for_use:instructions_for_use [2023/04/17 16:34] (current) – [Known Limitations] kerhart
@@ Line 33: / Line 33: @@
 ===== Product Features =====
-decimal3D is a medical software accessed on an iPad and managed through the Apple App Store®. decimal3D allows users to enter standard patient information, capture a three dimensional scan of the physician drawn treatment area, digitize the exact shape of the treatment field, and place a beam to complete the design of a patient-specific electron aperture. The decimal3D App also allows the user to order the aperture for fabrication and delivery by .decimal.
+decimal3D is a medical software accessed on an iPad and managed through the Apple App Store® (users must create an account with Apple to manage their iPad software installations). decimal3D allows users to enter standard patient information, capture a three dimensional scan of the physician drawn treatment area, digitize the exact shape of the treatment field, and place a beam to complete the design of a patient-specific electron aperture. The decimal3D App also allows the user to order the aperture for fabrication and delivery by .decimal. Ordered Treatment Devices can also be exported to R&V and other software systems via the built in DICOM file sender. Additional patient data, such as Patient Setup photos, can be exported via the patient's profile screen.
+{{page>decimal3d:userguide:userguide#application_features}}
 ==== System Availability and Data Integrity ====
 The decimal3D App is installed on a standard Apple iPad and uses the Structure Sensor Mark II by Occipital. These off-the-shelf hardware components are covered by manufacture warranties, which can be extended to ensure continuous support and service for all components of the decimal3D system. All system data is stored locally on the iPad using secure encryption technology. As this application stores patient protected health information (PHI), clinics should secure the iPad following their internal Mobile Device protection policies to ensure protection of patient data and maintain HIPAA compliance. Remote tracking and lockout software is highly recommended to ensure the iPad data can be locked, deleted, and recovered in the event an iPad is lost or stolen.
-It should be noted however, that decimal3D nor its host iPad should be used as the sole location to store critical patient treatment record information. As a mobile device, iPads can be prone to potential loss or damage. Once an order has been placed however, .decimal securely stores the treatment device information on its servers for the time period required by the US FDA and users may request this information, if necessary, in the event of local data loss. AS such, users should take care to digitize and place orders in a timely fashion and transfer any critical patient notes recorded in decimal3D to the appropriate patient record database on a regular basis.
+It should be noted however, that decimal3D nor its host iPad should be used as the sole location to store critical patient treatment record information. As a mobile device, iPads can be prone to potential loss or damage. Once an order has been placed however, .decimal securely stores the treatment device information on its servers for the time period required by the US FDA and users may request this information, if necessary, in the event of local data loss. As such, users should take care to digitize and place orders in a timely fashion and transfer ordered treatment device data from decimal3D to the appropriate patient record database via our DICOM export feature on a regular basis.
 ==== Coordinates and Units of Measure ====
@@ Line 62: / Line 63: @@
 The decimal3D application relies on both the Structure Sensor Mark II and built-in iPad color camera. Proper operation of the decimal3D App requires that these two components be properly calibrated to ensure accurate alignment of scanned image colorization. A calibrator app has been provided with your iPad and the system is shipped pre-calibrated. However, part of the regular maintenance of the decimal3D application is for users to verify and adjust the calibration every 6 months OR anytime the Mark II Sensor is removed from the iPad OR anytime the system is subjected to an impact (e.g. fall or drop) that may have jarred or shifted the Sensor. The calibration procedure is simple and the provided calibrator app walks users through adjusting and testing the system's calibration.
+==== Patient Data Export ====
+The decimal3D application provides multiple ways to export patient data for other systems. Ordered treatment devices may be exported to R&V as well as other external software using the DICOM share functionality on a selected scan. This functionality requires a hostname and port to be provided in the Advanced Settings screen of the application.
+Additionally, Patient Setup photos may be taken, managed and exported via any patient detail screen. The gallery of images can be saved to external devices (ex: SD cards) using the Files application available on all iPads and a Lightning to SD Card or USB-C to SD Card adapter (for iPad pro devices).
+In both cases, caution should be taken that proper destinations are selected to protect patient data.
 ===== Known Limitations =====
 Below are listed the known application limitations, defects, or inconsistencies.
-  - Treatment position information (e.g. isocenter, gantry angle, couch angle, collimator angle) is not available at this time as there is no sufficient link between the scanner coordinate and treatment machine coordinate systems
   - Site information including Machine and Address Settings cannot be edited from decimal3D (these can be edited using .decimal's p.d software available on Windows computers)
   - User passwords cannot be changed within the decimal3D App (please log in to direct.dotdecimal.com to change your password or contact .decimal customer service to request a password reset)
   - Patient Databases are stored locally on each iPad, so facilities with more than one iPad will not be able to access all patient records from each iPad (note: once an Order is place however, the order information is available via direct.dotdecimal.com, which can be accessed from any device or computer)
-  - Once a scan has been created its name cannot be edited (scan names are for convenience only and are used only for convenience in the application)
+  - Scans are able to be deleted even if they contain contours and beams, so care should be exercised whenever deleting scans as all data associated with that scan will also be deleted
-  - Once a beam has been created its name cannot be edited (beam names are used as part of the cutout engraving text, therefore if an appropriate name was used, we recommend that you create a new beam with the desired name, using the same parameters, and then delete the wrongly named beam)
+  - Very bright indoor lighting can interfere with scanning, especially on dark or shiny surfaces; if you experience difficulty with the scanner recognizing a surface, try scanning in a lower light condition
-===== Release Notes =====
+  - Long term application use without an application restart can produce errors where scans fail to render in the display; the app should be closed fully and restarted to correct the issue
+  - Any unsaved changes will be lost if the application logs out the user due to 10 minutes of inactivity (however, changes may appear saved if the application is not fully restarted).
+  - Existing patients created in older versions of the application may not show patient name in all UI fields (data is not lost, but is not visible on all screens).
+  - Scanners may lose connectivity to the iPad, giving a message stating "please connect structure sensor", even though the sensor is plugged in. Following the scanner manufacturers troubleshooting guide can help to resolve the issue: [[https://support.structure.io/article/409-why-does-my-new-mark-ii-or-structure-sensor-pro-say-please-connect-structure-sensor-it-is-connected|Structure Mark II Connectivity Help]]
-For the release notes for each version of the Planning Application, please refer to [[decimal3d:app_versions|decimal3D Version History]].
+For the release notes for each version of the decimal3D Application, please refer to [[decimal3d:app_versions|decimal3D Version History]].
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-<WRAP center 60%>.decimal LLC, 121 Central Park Place Sanford, FL. 32771 1-800-255-1613</WRAP>
+<WRAP center 60%>.decimal LLC, 121 Central Park Place, Sanford, FL 32771. 1-800-255-1613</WRAP>