Vitrea Install Guide for

Workstation Deployment

VPMC-16207C
Copyright © 1997 -2021 Vital Images, Inc. All rights reserved. Date of Publication: 2-2021

VPMC-16207C Vitrea Install Guide for Workstation Deployment

This publication is valid for 7.14.2 and later software versions.

No part of this work may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic or
mechanical, including photocopying and recording, or by any information storage or retrieval system without permission in
writing from Vital Images.
Trademarks
Vital Images, Vitrea, ViTAL, and ViTAL U are registered trademarks of Vital Images, Inc. in the U.S. and may have protection in
other countries.
All other marks are property of their respective owners.
Restricted Rights Legend
If this software or documentation is delivered to the Department of Defense (DOD) of the U.S. Government, it is delivered with
Restricted Rights as follows:
Use, duplication or disclosure of the software by the U.S. Government is subject to restrictions as set forth in subparagraph (c)(l)
(ii) of the Rights in Technical Data and Computer Software clause at DFARS 252.227-7013.
If this software or documentation is delivered to any unit or agency of the U.S. Government other than DOD, it is delivered with
Restricted Rights and use, duplication or disclosure by the U.S. Government is subject to the restrictions as set forth in FAR
52.227-19 (b)(3). If the software or documentation is delivered to NASA, it is delivered with Restricted Rights subject to the
restrictions set forth in 18-52.227-86(d) of the NASA FAR Supplement.
Limits of Liability and Disclaimer of Warranty
VITAL IMAGES SHALL HAVE NO LIABILITY OF ANY KIND FOR ANY DIRECT, INDIRECT, SPECIAL, INCIDENTAL OR
CONSEQUENTIAL DAMAGES BASED ON ANY DEFECT, FAILURE OR MALFUNCTION OF THE SOFTWARE, OR USE
OF ANY VITAL IMAGES DOCUMENTATION, WHETHER THE CLAIM IS BASED UPON WARRANTY, CONTRACT, TORT
OR OTHERWISE. VITAL IMAGES MAKES NO WARRANTY, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO,
ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE WHETHER ARISING FROM
STATUTE, COMMON LAW, CUSTOM OR OTHERWISE.
Notice of Confidentiality
This software and the information in this software including, but not limited to, the ideas, concepts and know-how are
proprietary, confidential and trade secret to Vital Images, and the information contained therein shall be maintained as
proprietary, confidential and trade secret to Vital Images and shall not be copied or reproduced in any form whatsoever. This
software and any information contained therein shall not be disclosed to anyone other than authorized representatives of the
user's employer, who is contractually obligated not to disclose same without the express written consent of Vital Images. The
user of this software and any information contained therein shall not attempt to discern Vital Images' confidential and trade
secret information and shall not reverse compile, disassemble, or otherwise reverse engineer this software or any information
contained therein.
Software License Notice
This software is a licensed product of and is distributed by Vital Images, and may only be used according to the terms of that
license on the system identified in the License Agreement. In the event of any conflict between these terms and the terms of any
written agreement or agreement assented to through electronic means with Vital Images, the terms of such written or assented
agreement shall control.

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 Australian Sponsor: Brazil Importer and Distributor:
Canon Medical Systems ANZ Pty Limited Canon Medical System do Brasil
Level 2, Building C Avenida Ceci, 328, Tamboré,
12-24 Talavera Road Barueri/SP
North Ryde NSW 2113 Brasil
Vitrea: ARTG 241833 ANVISA registration number:
MDSS GmbH
Vitrea View: ARTG 262479 10295030090
Schiffgraben 41
30175 Hannover, Germany

Canon Medical Systems ANZ Pty Limited is the authorized sponsor in Australia and acts on behalf of Vital Images, Inc. in the
communication of safety-related incidents and regulatory matters with Therapeutic Goods Administration in Australia.
Distributors are still the first line of communication with their customers regarding service and complaints.

Manufactured by: Vital Images, Inc.; 5850 Opus Parkway, Suite 300; Minnetonka, MN, US; 55343; Phone
866.433.4624

Safety and Regulatory Considerations

PLEASE REFER TO THE ABOUT VITREA MEDICAL IMAGING SOFTWARE DOCUMENT BEFORE USING
THIS PRODUCT. This document includes important information regarding general Vitrea Safety and
Regulatory considerations.

C A U TION
Federal law restricts this device to sale by or on the order of a physician, as directed by
21 CFR 801.109(b)(1).

N OTE
While every effort has been made to ensure the accuracy of the content in this document,
you may notice slight differences between screen captures and the actual software
interface.

Contact Us
l For general, non-technical support questions, contact us through our website: www.vitalimages.com.
l For customer technical support, contact us:
In the U.S., call the Customer Support line at 1.800.208.3005.

Outside the U.S., contact your Vital distributor.

Send an email to [email protected].

l For a printed version of the Release Notes, Education and Reference Guide, or Installation Guides,
contact Customer Support at 1.800.208.3005.

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UDI
Locate the Vitrea unique device identifier (UDI) on the Help Central page. This identifier contains the
software version information and manufacture date.

1. Click at the top of the window to display the Global Options menu.

2. Select Help (Central).

The UDI is displayed under the Version Info section.

Release Notes
Vitrea Release Notes contain late-breaking information not available at the time the Education and
Reference Guide was released. This document is available from your system administrator or from Vital
Images.

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Contents

Safety and Regulatory Considerations 3

Contact Us 3
UDI 4
Release Notes 4
Contents 5
Overview 8
Purpose 8
Scope 8
Intended Audience 8
Required Background 8
Upgrade Vitrea software from a previous version to 7.14.2 9
Third Party Software Limitations 9
Updates from the previous release 9
Install the Vitrea software 10
In This Topic 10
Prepare the Workstation 11
Install the BitLocker software 22
Install Video Drivers - all video cards except the NVIDIA Quadro 2000 29
Install Video Drivers - NVIDIA Quadro 2000 video cards only 37
Install the software 42
Configure the software 46
Configure TCP Port 3003 52
Configure the Workstation for TomTec software (Optional Procedure) 56
Set up the CSMC Floating License Server (Optional Procedure) 57
Configure DICOM 57
Next Installation Steps 74
Appendix A: Database Backup Procedures 75
Perform a Database Backup 75
Appendix B: Hardware and Software Requirements 82
Hard Disk Storage 85
Networking 85
Graphics and Video Requirements 85
Monitor Resolution 86
Recommended Operating Systems 87
Software Requirements 87
Vital Antivirus Policy 87
NTP Configuration for IHE CT Profile 89
Virtual Machine Recommendations 89
Appendix C: Vitrea Install Options 90
Install Options 90
Change the location where data is stored (OPTIONAL) 96

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Appendix D: Windows 7 Setup 97
Install the Graphics Driver 97
Set Microsoft Windows Basic 97
Disable Microsoft User Account Control (UAC) 97
Enable Microsoft Internet Information Services (IIS) and Microsoft Message Queue (MSMQ)
Server 100
Set Up Best Performance and Page File 103
Install Microsoft Windows Updates 107
Set Power Options 107
Appendix E: Windows 10 Setup 108
Before You Start 108
Install the Graphics Driver 108
Disable Microsoft User Account Control (UAC) 108
Enable Microsoft Internet Information Services (IIS) and Microsoft Message Queue (MSMQ)
Server 109
Set Up Best Performance and Page File 113
Install Microsoft Windows Updates 117
Set Power Options 117
Install Language Packs for Chinese, Japanese, and Korean Workstation Installations 118
Appendix F: Configure Vitrea Local Database Users 119
Add Users 119
Disable BUILTIN Users Group in Vitrea application 124
Configure Local Database Groups 126
Modify Local Users 130
Appendix G: Vitrea Installer Command Line Options 132
Command Line Options 132
Appendix H: PowerScribe Configuration 133
Set Up SSL on the PowerScribe Server 133
Verify Name Resolution 137
Configure PowerScribe Server Integration 138
Configure PowerScribe Nodule Export Custom Fields 139
Appendix I: Set up Snapshot Converter, Angio Viewer, CT Dental, and Filming
applications 141
Set up the Snapshot Converter application 141
Set up the Angio Viewer application 142
Set up the CT Dental application 145
Set up the Filming application 147
Appendix J: Supported Monitor Resolutions for VSTP Applications 150
Appendix K: Configure the CSMC Floating License Server 152
Verify the license server is installed 152
Upload the license file 153
Activate the Floating License Server 154
Verify the license is active 155
Configure the TCP port 155

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Direct Workstations to the Floating License Server 158
Floating License Server Post Setup 159
Troubleshooting the Floating License Server 160

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Overview
C A U TION
l Federal law restricts this device to sale by or on the order of a physician, as directed
by 21 CFR 801.109(b)(1).
l Vitrea can be configured to lock out users after multiple incorrect passwords are
entered. If this is enabled, it is possible for all administrative users to be locked out.
l A malicious administrator could configure Vitrea software to use a custom log-in
script that compromises user or system security.

l When configuring storage locations during installation, overly long path names may
prevent some applications from saving files correctly.
l All users with permission to log into Vitrea software are able to access data for all
patients stored on the system.
l Application failure may cause temporary files containing patient information to be
stored on disk. Vitrea software temporary files should be manually deleted after an
application failure.

N OTE
It is the customer’s responsibility to ensure the system configuration and logging
capabilities are set up in such a manner to facilitate compliance with any applicable data
privacy laws.

Purpose
This document comprises the installation for the Vitrea workstation deployment, the current release of the
Vitrea® medical diagnostic tool that allows physicians to access 2D and 3D advanced visualization. The
goal of the software is to enable users to measure, rotate, analyze and segment images.

Scope
The scope of the document is to provide a detailed description of the Vitrea software installation and
configuration processes.

Intended Audience
This document is intended for people who wish to install the Vitrea software. Vital assumes you know how to
complete a standard installation process, have a basic understanding of the Windows Operating Systems,
and know how to navigate in the administrative tools of the Operating System.

Required Background
Vital has made every attempt to make this a step-by-step guide. However, some familiarity with a Windows
operating system is assumed. Vital assumes that you have a basic familiarity with using the Vitrea software.
Also, Vital assumes that you are familiar with hardware and software that will be used to complete the

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installation and/or configuration of the Vitrea software.

Upgrade Vitrea software from a previous version to 7.14.2

To upgrade the Vitrea software from 7.10/7.11/7.12.x to 7.14.2, refer to the Vitrea Upgrade Guide.

Third Party Software Limitations

l Vital Images is not responsible for third-party software running on the Vitrea
workstation deployment. Any performance impact on the Vitrea workstation
deployment due to the third-party software may lead to an inconsistent or
undesirable user experience. In addition, Vital Images may not be able to resolve
defects that are determined to be caused by the operation of third-party software
installed on the Vitrea workstation deployment.
l For specific antivirus software exclusions, refer to the "Vital Antivirus Policy" section
in Appendix B: Hardware and Software Requirements in this guide.

Updates from the previous release

Listed below are the guide changes that occurred since the prior software release.
• In the Install and License Vitrea software topic, removed the “When you create an account, do not use
an “&” in the password.” Caution statement removed the "Install the Foxit software" procedure.
• In Appendix B: Hardware and Software Requirements, removed Fox It Reader as a software
requirement.

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Install the Vitrea software
C A U TION
Vital recommends you do not disable the Windows Firewall while you install the Vitrea
software.

In This Topic
N OTE
l Unless otherwise noted, the procedures listed below are mandatory and must be
completed to install a fully functional Vitrea system.
l Refer to the Administration Guide for Extend and Workstation Deployments for
optional administrative and troubleshooting procedures.

You will learn to perform the following procedures:

• Prepare the Workstation
• Determine method of user configuration
• Set the system Host Name
• Create a DNS Entry and set a static IP address
• Create accounts and groups in a workgroup
• Create accounts and groups in a domain
• Create a Vital_Resources Folder
• Run the System Setup Script
• Install the BitLocker software
• Configure Group Policy setting for Workgroup deployment
• Install Video Drivers - all Quadro video cards except the NVIDIA Quadro 2000
• Install Video Drivers - NVIDIA Quadro 2000 video cards only
• Install Microsoft Windows Updates
• Install the software
• Configure the Workstation for Ultrasound applications (Optional Procedure)
• Install the Vitrea software
• Ultrasound Applications Post Install Configuration
• Configure the software
• Create a License
• Add a License
• Configure Global Illumination Batch/Movie quality settings
• Attach an Archive
• Configure TCP Port 3003
• Configure the Workstation for TomTec software (Optional Procedure)
• Configure the CSMC Floating License Server (Optional Procedure)
• Configure DICOM
• Configure Vitrea Administration Tool settings
• Send DICOM using VIDropbox
• Import Data using Media Manager

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 Prepare the Workstation

Determine method of user configuration

You may install the Vitrea workstation deployment to authenticate with Integrated Windows Authentication
(IWA), or via a Vitrea local user database. Use of IWA is strongly recommended, as it provides single sign-
on (SSO) support, and uses the standard Windows operating credential management for both workgroup
and domain (Active Directory) deployments.

N OTE
SSO is enabled by default, but may be disabled (refer to the “To Disable the
singleSignOnEnabled setting” section in the Administration Guide for Extend and
Workstation Deployments).

The following procedures assume you are using IWA on either a workgroup or domain setting. Usage of the
Vitrea database users should be reserved for cases in which IWA is not possible. Refer to Appendix D:
Configure Vitrea Local Database Users in this guide for details on configuring Vitrea local database users.

Set the system Host Name

N OTE
Do not use an underscore (_) when using Host Names. Host Names with underscores
are invalid.

1. Select the Start button and select Settings | System and Security | System.

2. Select the Change settings option.

3. Click the Change button.

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4. In the Computer name field, enter the desired Host Name. Do not include an underscore "_". Click OK.

5. Click OK.

6. On the System Properties screen, click the Close button.

The following screen displays.

7. On the Microsoft Windows screen, click the Restart Now button.

8. Add any site-specific administrative accounts.

Create a DNS Entry and set a static IP address

1. Contact the customer’s IT department to acquire a reserved static IP address.

2. Access Network and Sharing Center

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 • For Windows 7, select the Start button and select Settings | Control Panel | Network and
Sharing Center.
• For Windows 10, right-click the Start button and select Network Connections.

3. For Windows 7, select Change adapter settings in the left pane.

For Windows 10, select Change adapter options.

4. On the Network Connections screen, right-click the desired connection and select Properties.

5. Select Internet Protocol Version 4 (TCP/IPv4) from the list of connections.

6. Click the Properties button.

7. Select the Use the following IP address radio button.

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8. In the IP address field, enter the static IP address.

9. Enter the desired values in the Subnet mask field and in the Default gateway field.

10. Select the Use the following DNS server addresses radio button.

11. Enter the desired values in the Preferred DNS server field and in the Alternate DNS server field.

12. Click the OK button.

Create accounts and assign groups in a workgroup

This section explains how to set up accounts and assign groups in a workgroup environment.

Accounts to create
N OTE
Create an account type of each account (shown below) on each machine.

Account Name Group Membership

Vitrea-Admin Administrators

Vitrea-User Users, Remote Desktop Users

N OTE
For all user accounts, set the password to not be changed on login and to never expire.

Create the accounts

1. Access Administrative Tools.

• For Windows 7, select the Start button and select Settings | Control Panel | Administrative
Tools.
• For Windows 10, right-click the Start button and select Control Panel | System and Security |
Administrative Tools.

2. Double-click Computer Management.

3. In the left pane, expand Local Users and Groups.

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4. Right-click Users and select New User.

5. Enter the user name for the Vitrea-Admin account.

6. Enter a detailed description for the user’s role.

7. Enter the password twice.

8. Clear the User must change password at next logon check box.

9. Check the User cannot change password and the Password never expires check boxes.

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10. Click Create.

11. Right-click Users and select New User.

12. Enter the user name for the Vitrea-User account.

13. Enter a detailed description for the user’s role.

14. Enter the password twice.

15. Clear the User must change password at next logon check box.

16. Check the User cannot change password and the Password never expires check boxes.

17. Click Create and click Close.

Add the Vitrea-Admin user to the local Administrators Group

Complete the steps below to add the Vitrea-Admin account to the group on the Local System.

1. Select Groups.

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2. Double-click the Administrators group.

3. Click the Add button.

4. In the Enter the object names to select field, add the Vitrea-Admin user account.

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5. Click Apply.

6. Click OK.

Add the Vitrea-User account to the Remote Desktop Users Group

Complete the steps below to add the Vitrea-Useraccount to the Remote Desktop Users Group on the Local
System.

1. Select Groups.

2. Right-click the Remote Desktop Users group and select Add to Group.

3. Click the Add button.

4. In the Enter the object names to select field, add the Vitrea-User user account.

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5. Click Apply.

6. Click OK.

Create system accounts and groups in a domain

This section explains how to set up system accounts and groups in a domain environment.

Accounts to create
The domain administrator creates these accounts in Active Directory.

Account Name Group Membership

Vitrea-Admin Local Administrators (Vitrea Workstation)

Vitrea-User Users

Groups to create
The following groups must be created in Active Directory by an Active Directory administrator. You will use
these groups later to configure corresponding VSP user roles.

N OTE
The domain administrator should add any IT Administration Security Groups that would
be required at the customer site to the Administrators Group on the Workstation.

Group Name Users to include as Group members

Vitrea Administrators Vitrea-Admin, domain administrators, and PACS administrators

Vitrea Users Vitrea-User and all other application users (Radiologists, Cardiologist)

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 Add the Vitrea-Admin user to the local Administrators group and to the
Vitrea Administrators group
N OTE
Add any relevant domain administrator users to the security group as needed.

1. From the Start menu, select Control Panel.

2. Double-click Administrative Tools.

3. Double-click Computer Management.

4. In the left pane, expand Local Users and Groups.

5. Select Groups.

6. Double-click the Administrators group.

7. Click the Add button.

8. In the Enter the object names to select field, add the Vitrea-Admin user account.

9. Click OK.

10. Double-click the Vitrea Administrators group.

11. Click the Add button.

12. In the Enter the object names to select field, add the Vitrea-Admin user account.

13. Click OK.

14. Double-click the Vitrea Services group.

15. Click the Add button.

16. In the Enter the object names to select field, add the Vitrea-Admin user account.

17. Click OK.

Add the Vitrea-User account to the Vitrea Users group

N OTE
Add any relevant domain users who need access to Vitrea, to the security group as
needed.

1. From the Start menu, select Control Panel.

2. Double-click Administrative Tools.

3. Double-click Computer Management.

4. In the left pane, expand Local Users and Groups.

5. Select Groups.

6. Double-click the Vitrea Users group.

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7. Click the Add button.

8. In the Enter the object names to select field, add the Vitrea-User account.

9. Click OK.

Create a Vital_Resources Folder

Complete this procedure to standardize the location of the installation media, licenses, and other installation
documents globally for quicker support and access.

1. Create a Vital_Resources folder on the data drive.

2. Copy the contents of the product download into the Vital_Resources folder.

Run the System Setup Script

In this section, you will use a system preparation setup script to automatically configure the system.

For Windows 7
1. Navigate to Vital_Resources\Utilities\OS Configuration Scripts\Windows 7.

2. Right-click the Vitrea_Win7_Script.bat file and choose to run as Administrator.

The script will execute and configure the operating system, and then reboot the Vitrea software.

For Windows 10
To run the System Setup Script using a command line on Windows 10 only
The OS Setup Script has the following command line options:
• -rebootOption
• Possible Values are "prompt", "autoreboot", "noreboot"

EXAMPLE #.\Vitrea_Win10_Script.ps1 -rebootOption autoreboot

To run the System Setup Script with user interaction on /Windows 10

1. Navigate to the Vital_Resources\<Version Release>\Utilities\OS Configuration Scripts\Windows 10

location and copy the folder location from the Address bar.

2. Select the Start button and select Windows PowerShell.

3. Right-click on Powershell and select the Run as Administrator menu item.

4. Type “Set-ExecutionPolicy UnRestricted” and press Enter.

5. On the Powershell screen, type A to select Yes to All and press Enter.

6. From the command prompt, type "E".

7. Type cd "

8. In the PowerShell window, right-click after the " symbol and select Paste.

9. Enter a closed " symbol after the pasted text and press Enter.

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10. Enter the Powershell command, type “.\Vitrea_Win10_Script.ps1”

The script executes and prepares the system for software installation. It reboots the computer when the
script is finished.

11. Open a command line.

12. Type “Powershell” and press Enter.

13. At the command prompt, type “Set-ExecutionPolicy Restricted” and press Enter.

14. When you are prompted to reboot. Click Yes.

Install the BitLocker software

Verify the Trusted Platform Modules (TPMs) are installed
N OTE
If you do not have a TPM in your server and you wish to add one, you can purchase a
TPM directly from the hardware vendor.

1. Sign in to the machine on which you will install BitLocker.

2. From the Start menu, select Device Manager.

3. Expand Security devices and ensure Trusted Platform Module 2.0 is installed and listed.

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 Install BitLocker
1. From the Start menu, select Control Panel.

2. Select System and Security and select BitLocker Drive Encryption.

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3. Encrypt both the operating system drive and the fixed data drive.

4. For both the operating system drive and the fixed data drive, select the Use a password to unlock the drive
check box and define your password. Re-type the password to confirm and then click Next.

5. Select the Automatically unlock this drive on this computer check box.

6. Select the Save to a recovery key to a file option. Save the file to a safe network location (such as a
Shared Folder) to ensure you can retrieve the key.

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 C A U TION
If you do not save the key somewhere remote and your system goes down, the system
will be unrecoverable.

7. Click the Next button.

8. You can choose to either encrypt used space or whole drive contents.

9. Select New encryption mode.

10. Click the Start encrypting button and wait for encryption to finish. This may take several minutes depending
on the size of the drive.

The Task menu shows Bitlocker loading and running encryption.

11. If you did not select the Automatically unlock this drive on this computer check box (in step 5 above) or if
you did not get this option, right-click on the drive that was encrypted and select Manage Bitlocker. Then
select the Turn on autounlock option.

N OTE
If you do not perform step 11, the SQL Server Instance is unable to access the ViDicom
database and the Vitrea application will not function after a reboot.

To Uninstall BitLocker
1. Verify BitLocker encryption was successful.

a. Right-click the Start button and select File Explorer.

b. Select the This PC icon.
c. Right-click the drive that was encrypted and select Manage BitLocker.

2. If the encryption was successful, BitLocker on displays next to the drive letter.

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 N OTE
Make sure you decrypt before you reimage the workstation.

3. Select the Turn off BitLocker option.

4. On the prompt that displays, select Turn off BitLocker.

5. Once the decryption completes, you are ready to reimage the workstation.

Configure Group Policy setting for Workgroup deployment

N OTE
Complete this procedure for Workstations that use Windows 7 and are set up in a
Workgroup deployment.

1. Right-click the Start button and enter Edit group policy in the Search programs and files field.

The Local Group Policy Editor screen displays.

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2. Expand Computer Configuration | Administrative Templates | Windows Components | Internet Explorer
| Internet Control Panel | Security Page.

3. Double-click Site to Zone Assignment List.

4. Select the Enabled radio button.

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5. In the Options area, click the Show button.

6. In the Value Name field, enter http://<hostname> and enter 1 in the Value column to add
http://<hostname> to the local intranet zone.

7. Click OK.

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8. Click Apply.

9. Click OK to close all open screens.

Install Video Drivers - all video cards except the NVIDIA

Quadro 2000

C A U TION
Before you complete the steps below, first uninstall any existing NVIDIA graphics driver
(s). Then restart the machine.

N OTE
l Complete this procedure only on machines that use hardware-based visualization.
l Complete this procedure on machines that use any video card except the NVIDIA
Quadro 2000.

Determine the NVIDIA Driver Type installed on the system (Windows 10 Dell Powerstations and
Workstations only)

N OTE
You only need to complete this procedure if you are using a Dell Powerstation or a Dell
Workstation with Windows 10 installed upon it.

To determine which NVIDIA driver is installed on the system, complete the steps below:
a. Right-click the Desktop and select NVIDIA Control Panel.
b. Select the System Information link in the lower left corner of the screen.

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 c. The Driver Type value lists whether you have a DCH or a Standard driver type installed.

1. For Powerstations or Dell Workstation systems that use Windows 10, complete the "Determine the
NVIDIA Driver Type installed on the system" procedure listed above. For Powerstations or Workstation
systems with Windows 7 installed or for a non-Dell Powerstation or non-Dell Workstation with Window 10
installed, skip to step 2.

2. Navigate to the drivers location:

• For Windows 7, navigate to Vital_Resources\Utilities\Video Card Drivers\431.98.

• For Windows 10, navigate to Vital_Resources\Utilities\Video Card Drivers\452.39.

3. Double-click the DCH folder or the Standard folder.

4. Double-click the desired driver file.

For Windows 7, the following screen displays.

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 For Windows 10, the following screen displays.

5. Click OK.

Windows 7 install path

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6. Click AGREE AND CONTINUE.

7. Select the Custom (Advanced) radio button and click Next.

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8. In the Select driver components section, do not change the selected check boxes.

9. Select the Perform a clean installation check box and click the Next button.

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10. When the installation completes, click Restart Now to restart the machine.

Windows 10 install path

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11. Click Agree And Continue.

12. Select the Custom (Advanced) radio button and click Next.

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13. In the Select driver components section, do not change the selected check boxes.

14. Select the Perform a clean installation check box and click the Next button.

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15. When the installation completes, click Restart Now to restart the machine.

Install Video Drivers - NVIDIA Quadro 2000 video cards only

C A U TION
Before you complete the steps below, first uninstall any existing NVIDIA graphics driver
(s). Then restart the machine.

N OTE
Complete this procedure only on machines that use hardware-based visualization.

N OTE
Complete this procedure on machines that use the NVIDIA Quadro 2000 video card.

1. Navigate to Vital_Resources\Utilities\Video Card Drivers\377.83.

2. Double-click the desired driver file.

For Windows 7, the following screen displays.

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 For Windows 10, the following screen displays.

3. Click OK.

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4. Click Agree And Continue.

5. Select the Custom (Advanced)radio button and click Next.

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6. Select the Perform a clean installation check box and click the Next button.

7. When the installation completes, click Restart Now to restart the machine.

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 Install Microsoft Windows Updates
N OTE
• Vital recommends you install Microsoft Windows monthly updates. Follow your site’s
policy regarding software updates.
• Vital recommends you run the .NET Framework patches when you install Microsoft
Windows monthly updates. If you do not have Internet access, complete the
following steps to access the patches:
a. Access the Vitrea product media.
b. Navigate to the Bundle\Prerequisites\NET480 subfolder.
c. Double-click the ndp48.exe to install the updates.

1. Click the Start button, select the Settings option, and select the Update & security option.

2. Click the Check for updates button.

A screen similar to the one shown below displays.

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 All important updates and any optional updates will be installed.

3. Click the Restart now button if necessary.

4. Check/Apply updates until no monthly or important updates are available.

Install the software

Configure the Workstation for Ultrasound applications (Optional

Procedure)
If you plan to install Ultrasound applications on the Workstation, you must complete this section before you
install the Vitrea software.

Install AccessDatabaseEngine.exe file

The AccessDatabaseEngine.exe file is required for the US 2D Ultrasound Clinical Package.

1. Navigate to the Vital_Resources\Utilities\Specialized Deployments\AccessDatabaseEngine\ directory.

2. Double-click the AccessDatabaseEngine.exe file.

For more information, refer to the “Installing the Access database engine” procedure in the CMSC
documents.

Configure an E:\ drive

• To ensure Ultrasound applications function correctly, you must configure an E:\ drive partition on the
Workstation and allocate at least 10GB of space.

Configure Monitor Resolution

• To ensure Ultrasound applications function correctly, configure the monitor to 1920x1200 resolution.
For more information, refer to Appendix K: Supported Monitor Resolutions for VSTP Applications.

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 Configure the firewall to provide access for Ultrasound applications
1. Click the Start button. Type Firewall and select the Windows Defender Firewall with Advanced Security
option.

2. In the left pane, select Inbound Rules.

3. Right-click Inbound Rules and select New Rule.

4. Verify the Program radio button is selected and click the Next button.

5. Select the This Program path: radio button, type C: \CMSC US\CMSC\CMSCWSClinicalApp_
US\bin\Mecha4D.exe in the field and click the Next button.

6. Verify the Allow the connection radio button is selected and click the Next button.

7. Accept the default values and click the Next button.

8. In the Name field, enter a descriptive name such as "Ultrasound Software". Click the Finish button.

Install the Vitrea software

N OTE
l If Command prompt screens displays during the installation process, do not close
them. They will close automatically when the required processing is complete.
l Make sure you sign in as an Administrator before you install the Vitrea software.

1. Right-click the InstallVitrea.exe file from the product media or from the Vital_Resources folder and select
Run as Administrator.

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 N OTE
l The default Vital data install location is the drive with the most free space. To change
this location, refer to the “Change the location where data is stored” procedure in
Appendix C: Vitrea Install Options.
l To review the install locations of the Vital applications and products, click the
Advanced button and select Install Options. For a detailed explanation of the
Advanced menu options, refer to Appendix C: Vitrea Install Options.

To install Ultrasound applications, complete the following sub-steps.

a. Click the Advanced button and select Install Options.

b. Scroll down to Clinical US and select the button.

c. Scroll down to Clinical US Lib and select the button.

To install the CSMC Floating License Server, complete the following sub-steps.

N OTE
The CSMC Cardiac Suite Floating License Server is not installed automatically. To set
up a Floating License Server to share a license between one or more systems, complete
the steps below.

a. Click the Advanced button and select Install Options.

b. Scroll down to Cedars Concurrent License Server and select the button.
c. After you install the Vitrea software, you will configure the CSMC Floating License Server.

2. Click the Profile dropdown menu and select Vitrea Workstation.

3. Click the INSTALL button to begin the installation.

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 This screen lists installation progress. No action is required.

N OTE
It takes about 15-20 minutes to install the prerequisites and components.

When the installation is complete, the following screen displays.

4. Click the REBOOT REQUIRED button.

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5. Click OK. The system restarts.

6. If you installed Ultrasound applications, ensure that you have disabled the Windows Firewall.

Ultrasound Applications Post Install Configuration

1. If you installed the Ultrasound Clinical Package application, navigate to the following directory: C:\CMSC
US\CMSC\CMSCWSClinicalApp_US\bin and execute the SetupBuildStartWS.js file.

2. If the system restarts without executing the SetupBuildStartWS.js file, complete the steps below to manually
execute the SetupBuildStartWS.js file.

a. Log into the system as an administrator.

b. Run C:\CMSC US\CMSC\CMSCWSClinicalApp_US\bin\killzWS.js.
c. Run C:\CMSC US\CMSC\CMSCWSClinicalApp_US\bin\SetupBuildStartWS.js.
d. Restart the system.
e. Click the REBOOT REQUIRED button.
The following screen displays.

f. Click OK. The system restarts.

Configure the software

Create a License

Use the Host Information Tool

In this section, you will use the Host Information Tool, an executable file to collect identifying information
from the system.

1. To run the Host Information Tool, select the Start button and select All Programs | Vital Images | Vitrea
Generate License HostInfo.

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2. The license file (using a .lic file format) is automatically saved to the Desktop.

Acquire a license file

N OTE
Before you can upload a software license (as explained below), you must first contact
Vital Customer Support to acquire the license file. Note that it takes Vital Customer
Support 24-48 hours to send you the license file. Therefore, you should plan your license
configuration process accordingly.

To acquire a license file, you must contact Vital Customer Support. Send an email to
[email protected] and include the following information: 
• The System ID that is listed in the screen that displays on your system
• Site Name
• Vital ID
• The host name of the system that houses the license server
• The version of Vitrea software installed

Add a License
N OTE
Prior to installing a license, a “Your system is not licensed; Please contact your
administrator.” message displays on the Applications Home screen.

1. From the Applications Home screen, select Licensing.

The Licensing tab screen displays.

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2. Click the Make Changes button.

The Reason screen displays.

3. Type “Add License” in the field and click OK.

4. Click the Add license button.

The Add License screen displays.

5. Click the Browse button and navigate to the location where the license has been saved to your system.

6. Click the Apply button. The license file provided by Vital is uploaded.

7. Click the Activate Changes button.

8. Close the Licensing tab.

9. Close the Applications Home tab.

10. Restart the Vitrea workstation.

11. Log into the Vitrea software.

Now that the Vitrea software is licensed, the Applications Home screen displays with new options available.

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12. Restart the Vitrea software after the license has been applied.

Configure Global Illumination Batch/Movie quality settings

N OTE
For Global Illumination Rendering images, the rendering quality level for playback of
batches and/or movies is set to Medium by default. Complete the steps below to
configure the setting. The lower the rendering value, the faster the playback speed; the
higher the rendering value, the slower the playback speed.

1. Login as an administrator in Windows.

2. Right-click the Start Vitrea desktop shortcut icon and select Run as Administrator.

3. Enter the admin credentials.

4. Select System Configuration on the Applications Home screen.

5. Select System Settings in the Subsystem menu.

6. From the Component dropdown menu, select VitreaClassicSuite.

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7. Click the Make Changes button in the left pane. Enter a reason and click OK.

8. Double-click the Value column in the GI Batch Quality row.

9. Enter either “Low”, “Medium”, or “High”.

10. Double-click the Value column in the GI Play Quality row.

11. Enter either “Low”, “Medium”, or “High”.

12. Click the Activate Changes button.

13. Restart the Vitrea software.

Attach an Archive
This section explains how to add an archive using the System Configuration tab.

N OTE
Complete this procedure to create a DICOM Export/Archive destination.

1. Right-click the Start Vitrea desktop shortcut and select Run as administrator.

2. Login as Vitrea Administrator.

3. On the Applications Home screen, select System Configuration.

4. In the Subsystem menu, select Archive.

The Archive screen displays.

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5. Click the Add button.

6. In the Name field, enter a name for the DICOM device from which the Vitrea software will query/retrieve.

7. In the Key field, enter the name of the Query Node you want to create.

8. In the Host field, enter the Host or IP Address of the DICOM device.

9. In the Port field, enter the value of the DICOM device.

10. In the AE Title field, enter the AE Title of the DICOM device.

N OTE
Use a unique AE Title value.

11. In the Services area, select the desired check boxes:

• If you select the Storage check box and the Query / Receive check box, the system will
automatically create the appropriate DICOM interfaces.
• If you want to set up an export destination for an XA device (DSA), complete the “Configure
Vitrea software for 3D Angio XA volumes” procedure in the Administration Guide for Extend
and Workstation Deployments.

12. Click the Test button to perform a C-ECHO to the archive location.

13. Click Apply.

14. Click the Activate Changes button.

15. Restart the Vitrea software.

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16. Select the Applications Home tab and select Study List.

17. Verify the archive you created displays in the Search section in the upper left corner of the screen.

Configure TCP Port 3003

In this procedure, you will change the firewall to block Port 3003 to all traffic if there are no entities expected
to be querying or you will add those entities that you expect to query so that they can pass through the
firewall.

1. From the Start menu, select Control Panel | Windows Firewall | Advanced Settings.

2. In the left pane, select Inbound Rules.

3. Locate “Open Port 3003” in the Inbound Rules list and double-click the entry.

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4. Select the Scope tab.

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5. In the Remote IP Address section, click the Add button.

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6. Complete this screen based on the IP address location of the querying device.

• If the IP address of the querying device is inside the local subnet of the Vitrea system, select the
Predefined set of computers radio button, click the dropdown menu, and select Local subnet.

• If the IP address of the querying device is outside the local subnet, complete one of the methods below:
• For a single querying device, select the This IP address or subnet radio button and enter the IP

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 address of the device from which to query.
• For multiple querying devices, select the This IP address range radio button and enter the
VLAN range from the query devices.

• If you will not have any devices querying the Vitrea system you can choose to block the port. Complete
one of the two methods below.
Method One
a. Launch the “Open Port 3003” rule from the Inbound Rules list.
b. On the General tab, select the Block the connection radio button.
c. Click the OK button.
Method Two
a. Access the Inbound Rules list.
b. Right-click the “Open Port 3003” rule and select Disable rule.

7. Click the OK button on the IP address screen.

8. Click the OK button on the prompt that displays.

9. Click the Apply button and click the OK button.

Configure the Workstation for TomTec software (Optional

Procedure)
In this procedure, you will configure the Workstation to ensure the TomTec software executes correctly.

Verify the FileCache setting

1. Navigate to the C:\Program Files (x86)\TOMTEC\ImageCom\ImageCom-config.xml file directory.

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2. Scroll to the <FileCache enabled="true" MininumRequestSizeInBytes="262144" /> line.

3. Verify the FileCache enabled value is set to "true".

Change the TempStorageFolder setting

Complete the steps below tochange the TempStorageFolder setting to Dir='$(TEMP)' to point to the user’s
%TEMP% folder, where the user is expected to have full read and write access.

1. Within the C:\Program Files (x86)\TOMTEC\ImageCom\ImageCom-config.xml file, scroll to the

TempStorageFolder value.

2. Change the default setting of <TempStorageFolder Dir='../Runtime/Temp' DeleteOnShutdown='true'/> to

<TempStorageFolder Dir='$(TEMP)' DeleteOnShutdown='true'/>.

3. Save the ImageCom-config.xml file.

Change the LogFile setting

Complete the steps below to change the LogFile setting to Directory='$(TEMP)' to point to the user’s
%TEMP% folder.

1. Within the C:\Program Files (x86)\TOMTEC\ImageCom\ImageCom-config.xml file, scroll to the

LogFile Directory value.

2. Change the default setting of <LogFile Directory='../Runtime/Log' NumberOfMaxEntries='100000'

NumberOfHistoryFile='10' AddPid='true' /> to <LogFile Directory='$(TEMP)' NumberOfMaxEntries='100000'
NumberOfHistoryFile='10' AddPid='true' />.

3. Save the ImageCom-config.xml file.

Set up the CSMC Floating License Server (Optional

Procedure)
To set up the Cedars-Sinai Medical Center (CSMC) Cardiac Suite Floating License Server, refer to
Appendix L.

Configure DICOM

Configure Vitrea Administration Tool settings

Access the Vitrea Administration Tool

N OTE
The Vitrea Administration Tool is only accessible by Administrators.

• Select the Start button and select All Programs | Vital Images | Vitrea Administration Tool.

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 Configure DICOM Receive Storage settings
1. From within the Vitrea Administration Tool, click the Configuration Manager navigation button.

2. In the Navigation Pane, expand Profiles and select the machine profile.

3. In the main pane, select the Inherit from Enterprise link. This ensures all settings are configured in one
profile.

4. On the Action Request prompt that displays, click the Skip button.

5. In the Navigation Pane, select EnterpriseProfile.

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6. Select the DICOM Receive tab.

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7. Expand the Connection and Implementation section and complete the following steps:

a. Verify the value entered in the AE Title field matches the AE Title value that you wish to use
for the AETitle. If it does not, change the value and then click Save. Vital suggests that you
enter an AE Title using all capital letters.

N OTE
Use a unique AE Title value.

b. Verify the value entered in the Port field is 3002. If it is some other value, change it to 3002
and then click Save.

8. Expand the Storage area (if necessary).

9. In the Root Directory field, verify the Root Directory for Temporary Storage is E:\DICOMReceive.

10. Select the Low Watermark spin box and change the value to 15GB.

11. Select the High Watermark spin box and change the value to 20GB.

12. Click Save.

Configure DICOM Query/Retrieve

The Query/Retrieve service within the Vitrea Administration Tool provides a method to request a list of
patients from the Vitrea system and potentially export the DICOM data to the requesting entity.

1. Select the DICOM Query/Retrieve tab.

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 Configure Query Entity settings
1. Expand the Query Entity section.

2. The default AE Title field value is QRSCP. You can modify this value as you desire.

3. Modify the Alias field as desired.

4. Click the Port spinbox as desired. The default value is 3003.

Configure Valid Host List settings

The Valid Host List setting allows you to specify the IP address of the sending PACS DICOM Archive. By
default, the Allow Unknown Hosts to Query check box is selected which means the Vitrea workstation is set
to be DICOM promiscous.

To add an IP address to the Valid Host List table

N OTE
To allow someone to query retrieve from the Vitrea system, you must add the host into
the Valid Host List.

1. Clear the Allow Unknown Hosts to Query check box.

2. In the field to the right of the New button, enter the desired IP address of the sending PACS DICOM Archive.

3. Click the New button. The IP address displays in the table.

4. Click Save.

To remove an IP address from the Valid Host List table

1. Clear the Allow Unknown Hosts to Query check box.

2. Select the IP address to remove.

3. Click the Delete button. The IP address is removed from the table.

4. Click Save.

N OTE
If you modify any fields and then select another tab or Navigation Button, a Save
Configuration Changes screen displays.

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5. In the Message field, enter a reason for the change(s) you completed.

6. Click OK.

Configure AutoDelete
The AutoDelete service allows you to set up the rules by which studies from the Vitrea workstation
deployment are automatically deleted. In addition, use this service to define the autodelete behavior when
the disk is full and no studies are expired.

N OTE
The AutoDelete service deletes the oldest patients in the system first.

• For SQL Server Express Edition - there are two states in which the AutoDelete service will execute.
• When the database exceeds 80% of the 10GB database size in SQL Server 2014 SP3 Express
Edition.
• When the configured disk-based mark is reached.

N OTE
Disabling the AutoDelete rules puts the Vitrea workstation deployment in manual delete
mode.

To Configure AutoDelete
You must update the configuration setting for one of the following sections:
• Configure Rule-Based Marking Options
• Configure Disk-Based Marking Options
• Select the AutoDelete tab.

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 Configure AutoDelete Markers
1. Expand the Markers section.

2. Accept all default values in the AutoDelete Markers section.

Configure Rule-Based Marking Options

This section enables you to define different retention periods and priorities based on the study type.

N OTE
For each study in the Vitrea workstation deployment cache, the expiration date is set

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 based as follows:

• The expiration date is set when a study is received by the Vitrea workstation deployment.
• The expiration date is updated when a study is accessed by a user.
• The expiration date is set and updated in accordance with the rules for the modality of the study.
• If a study contains multiple modalities, it changes to the expiration date will always follow the
modality with the longest retention period.

1. Expand the Markers section.

2. Select the Enable rule-based marking check box to allow AutoDelete to mark studies for deletion based on
modality and/or time. The default value is cleared.

• The Modality table field lists the available modalities that were defined with Accepted Service
Object Pair Classes value on the DICOM Receive tab.
• The Retention Days After Receipt of Study table field lists the number of days a study should
be retained after receipt.
• The Retention Days After Last Access table field lists the number of days a study should be
retained after the last study access.

3. In the Disk Full Actions section, select the desired radio button.

4. To create a new rule or update an existing rule, complete the following steps:

a. Specify the Modality or Modalities.

b. Specify the Retention Days After Receipt of Study value.
c. Specify the Retention Days After Last Access value.

5. Click Save and enter comments for revision history.

Configure Disk-Based Marking Options

1. Complete the Disk-Based Marking section using the following guidelines.

Field Action

Enable disk-based marking check

The default value is clear.
box

The default value is 20000. Enter the value to 10-15% of the

Minimum Disk Limit (MB) spinbox
total disk capacity (in MB).

Maximum Disk Limit (MB) The default value is 20000. Enter the identical value as the
spinbox value entered in the Minimum Disk Limit field.

2. Click Save and enter comments for revision history.

Configure Dicom Modify

Use the DICOM Modify page to configure the DICOM modify profiles.

1. Select the DICOM Modify tab.

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2. The Profiles Name dropdown menu shows three DICOM Modify profiles:

• FULL_ANONYMIZATION - edit existing DICOM Tags defined in the profile only - used during
export.
• EVIDENCE_EDIT - edit existing DICOM Tags defined in the profile only - used during export
• IMPORT_EDIT - edit existing DICOM Tags defined in the profile only - used during import.

To edit a DICOM Tag for a Profile

1. From the DICOM Modify Profiles table, click the Profiles Name dropdown menu and select the desired
option.

2. In the table, select the DICOM Tag to edit and click the Edit button.

3. In the Default Value field, enter the desired value.

4. Select the desired check boxes.

5. Click OK.

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6. Click Save to save your changes.

To add a DICOM Tag to a Profile

N OTE
You can only add DICOM Tags to the PATIENT_EDIT profile.

1. From the DICOM Modify Profiles table, click the Profiles Name dropdown menu and select PATIENT_EDIT.

2. Click the Add button.

3. Click the DICOM Tag dropdown menu and select the desired option.

4. In the Default Value field, enter the desired value.

5. Select the desired check boxes.

6. Click OK.

The new DICOM Tag displays in the table on the DICOM Modify screen.

7. Click Save to save your changes.

To remove a DICOM Tag from a Profile

N OTE
You can only remove DICOM Tags from the PATIENT_EDIT profile.

1. From the DICOM Modify Profiles table, click the Profiles Name dropdown menu and select PATIENT_EDIT.

2. Select the DICOM Tag to remove and click the Remove button.

The removed DICOM Tag no longer displays in the table on the DICOM Modify screen.

3. Click Save to save your changes.

Configure Post Processing

N OTE
Before you modify the Post Processing tab, ensure you have no active users on the

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 system. When you save your changes on the Post Processing tab, the Vitrea
Administration Tool restarts the VIMS Post Processing Service and IIS which can cause a
user to lose an active session.

1. From within the Vitrea Administration Tool, click the Configuration Manager navigation button.

2. In the Navigation Pane, expand Profiles and select EnterpriseProfile.

3. Select the Post Processing tab.

PowerScribe is a comprehensive radiology reporting solution that supports a robust integration platform
which not only allows third party integrators to push discrete data such as measurements directly into the
PowerScribe database, but also supports direct intake and parsing of DICOM SR documents.
Complete the steps below to configure PowerScribe integration.

1. If necessary, expand the PowerScribe Credentials section.

2. In the Server BaseUrl field, enter the base URL to the PowerScribe AP.

EXAMPLE http://<PowerScribeServerName>/iRADPortal/Services.

3. In the Username field, enter the username used to call the PowerScribe API.

4. In the Password field, enter the password used to call the PowerScribe API.

5. Click the Save button in the upper left corner of the screen.

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 Create a DICOM Printer
1. Select the Configuration Manager button.

2. In the left pane, right-click Remote DICOM Entries and select Create a DICOM Printer.

3. Select the Use the default printer settings check box (if desired) and click Next.

4. Enter the following information:

a. In the AE Title field, enter an AE Title (DICOMPRINTER as an example).

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 N OTE
Use a unique AE Title value.

b. In the Alias field, enter an alias (DICOM Printer as an example).

c. In the Host Name field, enter the machine name of the printer.

N OTE
Do not use an underscore (_) when using Host Names.

d. In the Port field, enter the port (104 as an example).

5. Vital recommends you click the Test DICOM C-ECHO button to determine if the device is available.

N OTE
If the DICOM Test fails, the following message displays.

6. Click Next.

7. Click Finish.

The Configuration Manager screen displays with the new entity included in the Remote DICOM Entities
section of the Navigation Pane.
Listed below is an example of a DICOM Printer once it has been added.

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 Listed below is an example of the default DICOM Printer options. Edit the fields as desired.

Configure Windows Firewall: Allow ICMP exceptions

If you are unable to perform a C-Echo when you configure the Storage Archive, you may need to complete
this procedure.
Some DICOM devices require DICOM Echo be able to add a DICOM Endpoint to their modality. You may
need to enable ICMP for port 3002 and 3003 to allow these devices to complete the setup.

1. Right-click the Start button and enter gpedit.msc in the Search programs and files field.

2. Expand Computer Configuration | Administrative Templates | Network | Network Connections |

Windows Firewall | Standard Profile.

The Windows Firewall: Allow ICMP exceptions Properties screen displays.

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3. Select the Enabled radio button and click the OK button to save the change.

4. Click Windows Firewall: Define inbound port exceptions.

The Windows Firewall: Define inbound port exceptions Properties screen displays.

5. Select the Enabled radio button.

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6. Click the Show button.

7. In the Value field, enter 3002:TCP:*:enabled:VitreaReceive and 3003:TCP:*:enabled:VitreaQR.

8. Click the OK button to save the changes.

9. Close all windows and reboot the system.

Send DICOM using VIDropBox

At this point, you can send data to the Vitrea workstation to determine if it is receiving DICOM.
The VIDropBox tool has been provided to allow a user to send DICOM to the Vitrea workstation when a
DICOM modality is not available.

N OTE
There is a 256 character limit to the path when selecting data. When you access data
from a remote source via a UNC path, you should map a drive.

1. To run the VIDropBox, select Start | Programs | Vital Images | VIDropBox.

2. Run the application.

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3. In the left pane, browse to the directory where the patient data is located.

4. Click and drag the data into the right window.

5. If necessary, update the VIMS Host field to the IP Address of the Vitrea workstation.

6. Modify the AE Title field value to match the AE Title of where the data is being pushed. This value is case
sensitive.

7. Update the Port field value.

8. Click Push.

9. When the data for the specific patient is successfully pushed, it will be removed from the right window.

10. Close the VIDropBox.

Import Data using Media Manager

N OTE
Vitrea Media Manager cannot import DICOM files that are 2GB or larger on a per file
basis..

1. Launch the Media Manager. Select the Start button and select All Programs | Vital Images | Media
Manager.

2. Click the Browse button and browse to the source location where the data is present.

3. Click the Import button.

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Next Installation Steps
N OTE
l You have completed the setup and implementation of the Vitrea workstation
deployment.
l Refer to the Administration Guide for Extend and Workstation Deployments for
optional administrative and troubleshooting procedures.

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Appendix A: Database Backup
Procedures
Perform a Database Backup

Scheduled Database Backup

During the initial installation, a scheduled database backup job is created for the VIMS Monitor Agent
service. This job runs daily at 1:00 a.m. (local time). The backup file is sent to the configured VitreaData
folder location, in the DBBackup folder.
This scheduled database backup job keeps five copies of database backup files. Any excess backup files
are automatically removed. The default location for these backup files is E:\VitreaData\DBBackup.

VIMS Monitor Agent Service Configuration

Example:
Location: %allusersprofile%\Vital Images\Logs\{MachineName}.VI.VIMS.Services.Agent.
MonitorAgentManager.log config

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 N OTE
The Vitrea installer will populate the variable %INSTALLER_PUT% automatically. If you
want the Database Backup to point to a different location, update the Parameters path
using the format listed above.

Job Configuration
When the VIMS Monitor Agent service starts, it reads job information from an XML section of a local
configuration file. On startup, the service calculates an offset value for each job defined in the file. This offset
represents the difference between the current time and the next scheduled execution of the job (time until
the next job execution).
The combination of ScheduleTime, ScheduleIteration and ScheduleAmount determines the job schedule.
Jobs are executed in intervals equal to ScheduleIteration X ScheduleAmount (ex:
ScheduleIteration=“HOUR” and ScheduleAmount =“4” executes the job every 4 hours).
The Enabled=“” attribute must be present for a job to execute. A job that includes the Immediate=“” attribute
is executed upon startup of the VIMS Monitor Agent service, as well as on its schedule.
Each scheduled job calls a stored procedure in the VIDICOM database, providing parameters as required.
Jobs that do not include Extended=“” attribute are executed using the VIDICOM SQL Server login, with
minimal database permissions. Jobs requiring elevated permissions for actions such as file system cleanup
include the Extended=“” attribute and are executed using the credentials of the VIMS Monitor Agent service.
A VIMS Monitor Agent service configuration file is present on the Vitrea software. Any change to the file
requires a restart of the VIMS Monitor Agent service. On the Vitrea installation, this file will be overwritten.
The value for the VIMSDatabaseBackup job parameter will be set to the VitreaData folder location
provided during a Vitrea installation.
The VIMS Monitor Agent service log file is located in the C:\ProgramData\Vitrea\logs\VIMS directory and is
named <hostname>.VI.VIMS.Services.Agent.MonitorAgentManager.

Test Scheduled Database Backup

Complete the following procedure to test that the VIMS Database Backup will occur daily at 1:00 a.m. (local
time).

1. From the Start menu, select All Programs | Microsoft SQL Server (version) | SQL Server Management
Studio.

2. Connect to the vimsSQLstd instance.

3. In the left pane, expand Databases.

4. Expand VIDICOM.

5. Expand Programmability.

6. Expand Stored Procedures.

7. Scroll down to dbo.agt_VIMS_DB_Backup.

8. Right-click and select Execute Stored Procedure...

9. In the @BackupPath row, click the Value field and enter the path to which the database will reside
(E:\VitreaData\DBBackup).

10. In the @DaystoRetain row, click the Value field and enter the number of days you wish to retain the backup.

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 Enter 5.

N OTE
If you use a value less than 5, you will lose your pre-existing backup files.

11. Click OK.

The backup will then occur.

Manual Database Backup and Restore Processes

This process is used for performing a manual backup before an upgrade to the system or restoring the
system to resolve an issue.

N OTE
l Login to the Vitrea software using the domain account under which the SQL Server
service resides. This account will be a member of the local Administrators security
group on the Vitrea software.
l The database schema is coupled to the build version. When attempting to restore a
database, you must be running the same version of the Vitrea software as was
installed when the database backup was created. There is currently no restriction in
place to prevent restoration of a database backup that does not match the installed
build version.

Connect to the Database Server

1. From the Start menu, select All Programs | Microsoft SQL Server (version) | SQL Server Management
Studio.

The following screen displays.

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2. In the Server name field, select the hostname\SQL Server instance from the dropdown menu. If the local
server is not present in the server name dropdown menu, click Browse for more from the list.

3. In the Authentication field, select Windows Authentication from the dropdown menu.

4. Click Connect.

5. If you do not see the Object Explorer pane, press F8.

6. In the Object Explorer pane, expand the server node and then expand the Databases node.

Database Backup
1. Right-click on the VIDicom database and select Tasks | Back Up.

The following screen displays.

2. Set the fields as shown in the screen above. Make sure the Backup type field is set to Full.

3. In the Destination section, remove any existing entries, then use Add to specify the location and filename of
the database backup destination. This may be a local drive or a UNC path. Include the .bak extension in the
backup filename.

4. Click OK.

The backup progress displays in the Progress dialog in the lower-right corner.

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 Restore the Database (OPTIONAL)
N OTE
If the database upgrade fails, complete the following procedure to revert to the previous
version of the installation for the Database. The corresponding Vitrea software
installation should also be reverted.

1. Right-click the VIDicom database and select Properties.

2. In the left pane, select Options.

The following screen displays.

3. In the Other options area, set the Restrict Access state to RESTRICTED_USER.

4. Click OK.

5. Answer Yes to the Open Connections prompt that displays.

6. Right-click the VIDicom database and choose Tasks | Restore | Database.

The following screen displays.

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7. In the Restore Database dialog, a list of recent backups displays in the Select the backup sets to restore
area. If your backup is in the list, select the Restore check box next to the backup. If your backup is not
listed, select the From device radio button and click the ellipsis button to use the Specify Backup dialog to
add the backup file to the list. This may be a local disk or UNC path and must include the backup filename
and extension. Once the backup is added to the list, select the Restore check box next to the backup.

8. In the left pane, click Options.

The following screen displays.

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9. Select the Overwrite the existing database (WITH REPLACE) check box.

10. Select the Restrict access to the restored database (WITH RESTRICTED_USER) check box.

11. Verify the Restore As path of the database and log files in the Restore the database files as area. These
reflect the state of the database when the backup was created. If these are incorrect, modify the destinations
of the files in this list.

12. Click OK.

The restore progress displays in the Progress dialog in the lower-right corner.

13. Navigate to the Database Properties - VIDicom screen.

14. In the Other options area, set the Restrict Access state to MULTI_USER.

15. Click OK.

16. Close SQL Server Management Studio.

17. Restart Vitrea.

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Appendix B: Hardware and Software
Requirements
N OTE
• If you are interested in purchasing hardware through Vital, please contact your Vital
Sales Representative.
• For the recommended hardware requirements, refer to the information below.

HP Z420 Workstation (SKU #C3R23UC)

N OTE
Modern CPU’s are required to run several of the applications included as part of Vitrea
Advanced Visualization. Certain applications may depend on Advanced Vector
Extensions 2 (AVX2) which were first introduced with Intel Haswell processors in 2013
and AMD Excavator processors in 2015.

• 1x Intel Xeon E5-1620v2 3.7 10M 1866 4C CPU

• 2x 500 GB drives
• NVIDIA Quadro K2000 2GB 1st GFX
• 16GB DDR3-1866 ECC (4x4GB) RAM
• Windows 7 Operating System installed by default

HP Z4 G4 Workstation (SKU #4XQ30UC)

N OTE
Modern CPU’s are required to run several of the applications included as part of Vitrea
Advanced Visualization. Certain applications may depend on Advanced Vector
Extensions 2 (AVX2) which were first introduced with Intel Haswell processors in 2013
and AMD Excavator processors in 2015.

• 1x Intel Xeon XeonW-2133 3.6 6C

• Four (4) x 1 TB 7200 RPM SATA hard drives in RAID 10
• RAM 32GB (4x8GB) DDR4 2666 ECC
• 1x Nvidia Quadro P2000 or 1x Nvidia Quadro P2200
• Windows 10 Operating System installed by default

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HP Z620 Workstation (SKU #C3R24UC)
N OTE
Modern CPU’s are required to run several of the applications included as part of Vitrea
Advanced Visualization. Certain applications may depend on Advanced Vector
Extensions 2 (AVX2) which were first introduced with Intel Haswell processors in 2013
and AMD Excavator processors in 2015.

• Intel Xeon E5-2640V2 @ 2.0GHZ, 8 Cores, 16 Logical Processors

• 32GB (4 x 8GB) DDR3-1866 ECC memory
• (4x) HP 1TB SATA 7200 RAID1 Mirrored Array Configuration
• Windows 7 Operating System installed by default

HP z440 workstation (SKU #W6D25UC)

N OTE
Modern CPU’s are required to run several of the applications included as part of Vitrea
Advanced Visualization. Certain applications may depend on Advanced Vector
Extensions 2 (AVX2) which were first introduced with Intel Haswell processors in 2013
and AMD Excavator processors in 2015.

• INTEL XEON E5-1650V3 3.50GHZ 15MB 2133 6

• 32GB DDR4-2133 (4X8GB) REGISTERED RAM
• NVIDIA QUADRO K2200 4GB DL-DVI(I)+2XDP 1
• Four (4) x 1 TB 7200 RPM SATA hard drives in RAID 10
• Windows 7 Operating System installed by default

HP z440 workstation (SKU #M1J17UC)

N OTE
Modern CPU’s are required to run several of the applications included as part of Vitrea
Advanced Visualization. Certain applications may depend on Advanced Vector
Extensions 2 (AVX2) which were first introduced with Intel Haswell processors in 2013
and AMD Excavator processors in 2015.

• INTEL XEON E5-1650V3 3.50GHZ 15MB 2133 6

• 32GB DDR4-2133 (4X8GB) REGISTERED RAM
• NVIDIA QUADRO K2200 4GB DL-DVI(I)+2XDP 1
• Four (4) x 1 TB 7200 RPM SATA hard drives in RAID 10
• Windows 7 Operating System installed by default

HP z440 workstation (SKU #X8X66UC)

N OTE
Modern CPU’s are required to run several of the applications included as part of Vitrea
Advanced Visualization. Certain applications may depend on Advanced Vector

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 Extensions 2 (AVX2) which were first introduced with Intel Haswell processors in 2013
and AMD Excavator processors in 2015.

• INTEL XEON E5-1650V4 3.50GHZ 15MB 2400 6

• 32GB DDR4-2133 (4X8GB) REGISTERED RAM
• NVIDIA QUADRO K2200 4GB DL-DVI(I)+2XDP 1
• Four (4) x 1 TB 7200 RPM SATA hard drives in RAID 10
• Windows 7 Operating System installed by default

HP z620 workstation (SKU #C3R24UC)

N OTE
Modern CPU’s are required to run several of the applications included as part of Vitrea
Advanced Visualization. Certain applications may depend on Advanced Vector
Extensions 2 (AVX2) which were first introduced with Intel Haswell processors in 2013
and AMD Excavator processors in 2015.

• 2x Intel Xeon E5-2640 v2 2.0 1600 8C 1stCPU

• Four (4) x 1 TB 7200 RPM SATA hard drives in RAID 10
• NVIDIA Quadro K2000 2GB 1st GFX
• 32GB DDR3-1866 (8x4GB) 2CPU RAM
• Windows 7 Operating System installed by default

HP z620 workstation (SKU #C3R22UC)

N OTE
Modern CPU’s are required to run several of the applications included as part of Vitrea
Advanced Visualization. Certain applications may depend on Advanced Vector
Extensions 2 (AVX2) which were first introduced with Intel Haswell processors in 2013
and AMD Excavator processors in 2015.

• 2x Intel Xeon E5-2650 2 20M 1600 8C 1 CPU

• 2x 500 GB 7200 RPM drives ina RAID 10
• NVIDIA Quadro K2000 2GB 1st GFX
• 24GB DDR3-1600 (12x2GB) 2CPU RAM
• Windows 7 Operating System installed by default

HP z620 workstation (SKU #C3R21UC)

N OTE
Modern CPU’s are required to run several of the applications included as part of Vitrea
Advanced Visualization. Certain applications may depend on Advanced Vector
Extensions 2 (AVX2) which were first introduced with Intel Haswell processors in 2013
and AMD Excavator processors in 2015..

• 2x Intel Xeon E5-2620 2.0 15M 1333 6C 1 CPU

• 2x 500 GB 7200 RPM drives ina RAID 10

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• NVIDIA Quadro K2000 2GB 1st GFX
• Windows 7 Operating System installed by default

Hard Disk Storage

Faster hard drives such as 10000 rpm or 15000 rpm can be used if desired. Vital recommends allocating
150GB for the C:\ partition where the operating system is installed to accommodate for prerequisite
applications included with Vitrea.

Networking
Vital Images supports the use of a single network connection per device, except in the use case of multiple
network connections for redundancy so that only a Single IP address and MAC is used. If a network fails, the
system will still be available on the same IP address.
Recommended network connection speed is a 1 Gbps network connection.

C A U TION
Vitrea utilizes a network connection in order to process studies. As such, any Vitrea
system must have a network connection available. In the case of a system without a
network connection, you must install the Microsoft Loopback Adapter. For more
information, refer to Microsoft knowledge base article https://technet.microsoft.com/en-
us/library/cc708322(v=ws.10).aspx.

Graphics and Video Requirements

A high-performance Microsoft Windows® compatible graphics card is required to take advantage of the
visual capabilities of Vitrea software. The video card should have advanced hardware accelerated support
of the latest OpenGL specification, a fast video bus interface, high fill-rate and large video memory. The
video card's driver is also required to be stable, reliable and be in good standing.
Listed below are the currently supported professional graphics cards (unless otherwise noted, all of the
cards are PCIe):
• NVIDIA Quadro® K2000/K2200/M2000/P2000/P2200/P4000/P5000/RTX 4000

N OTE
l The recommended graphics card is the NVIDIA Quadro K2200/P2000/P2200/P5000.
l For the Global Illumination Rendering application, the minimum recommended
graphics card is the NVIDIA Quadro K2200.

NVIDIA Drivers
The Vital Rendering Team has evaluated and recommends the following drivers on all workstations:
All video cards except the NVIDIA Quadro 2000
• For Windows 7 using any video card except the NVIDIA Quadro 2000 - use 431.98
• For Windows 10 using any video card except the NVIDIA Quadro 2000 - use 452.39

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 N OTE
• Supported Windows 7 drivers can be found on
Vital_Resources\Utilities\Video Card Drivers\431.98.
• Supported Windows 10 drivers can be found on
Vital_Resources\Utilities\Video Card Drivers\452.39.

NVIDIA Quadro 2000 video card only

• For Windows 7 or Windows 10 using the NVIDIA Quadro 2000 video card - use 377.83

N OTE
l The Quadro 2000 is an older card and may not be available in newer models of
hardware. Before installing the specified version of the driver, be sure to verify the
system has the Quadro 2000 rather than the P2000.
l Supported Windows 7 or Windows 10 drivers can be found on
Vital_Resources\Utilities\Video Card Drivers\377.83.

For a Single User Remote Access Deployment

N OTE
For successful remote use of Vitrea, you must install the correct NVIDIA driver listed
above. Complete the steps listed in the “Configure Vitrea for a Single User Remote
Access Deployment” in the Post Installation Procedures topic. Failure to complete
these steps will result in lower performance and/or workflow anomalies.

Monitor Resolution
Vitrea software supports the following monitor setups (32 bit color and 60 hertz):
• a single 20” standard format monitor with a minimum resolution of 1280x1024 with Windows desktop
scaling set to 100% and the recommended resolution of 1600x1200 with Windows desktop scaling set
to 100%.
• a single 24” monitor with a recommended resolution of 1920x1200 with Windows desktop scaling set to
100%.
• a single 30” monitor with a minimum resolution of 1600x1200 with Windows desktop scaling set to
100% and the recommended resolution of 2560x1600 with Windows desktop scaling set to 100%.
• a single 4k monitor with a resolution of 3840x2160 and Windows desktop scaling set to 100%.

N OTE
CMSC Ultrasound applications cannot run on 4k monitors.

• For the Global Illumination Rendering application, a single 24” monitor with a recommended
resolution of 1024x1024 or 2048x2048 with Windows desktop scaling set to 100%.
Supported Monitor Resolutions for VSTP applications
• Refer to Appendix K for a complete list of the supported monitor resolutions for VSTP applications.

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Recommended Operating Systems
C A U TION
Only English Operating Systems are supported. You can change the Language Pack to
support other languages.

N OTE
The Vitrea 7.14.2 software release is the last version that will support Windows 7
operating systems.

Vitrea software supports the following operating systems:

• Microsoft Windows® 7 Professional 64-bit Edition with Service Pack 1
• Microsoft Windows® 10 Professional or Enterprise 64-bit Edition

Software Requirements
DNS Entry
Create a DNS entry for the Vitrea software.

Microsoft Internet Information Services

• For Windows 7 - IIS 7.5
• For Windows 10 - IIS 10

Other software
• Microsoft .NET Framework 4.8
• Microsoft Word 2003-2010 (optional component for generating Word reports)

Vital Antivirus Policy

Vital Images recommends that the customer deploy an antivirus/anti-malware solution to their system. It is
the customer's responsibility to provide that antivirus/anti-malware solution. Vital Images does not provide
antivirus/anti-malware software.
Shown below are the anti-virus exclusions/anti-malware exceptions and configurations for Vital products
and the specific processes, files/locations, and files extensions to exclude from real time scans. It is the
customer's responsibility to verify their configuration does not interfere with how the Vitrea software is
functioning. If you think your anti-virus/anti-malware solution is affecting the Vitrea software, contact Vital
Support.

Process Paths
• C:\Program Files (x86)\Vital Images\Vitrea Remote Kiosk\VitreaKioskShell_Release_Win32.exe
• C:\Program Files\Vital Images\Application\bin\VspAppTomcat.exe
• C:\Program Files\Vital Images\Application\jre\bin\java.exe
• C:\Program Files\Vital Images\AppShell\AppShell_Release_x64.exe
• C:\Program Files\Vital Images\DatabaseDeploymentTool\jre\bin\java.exe

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• C:\Program Files\Vital Images\DicomExportService\VI.ServiceExtension.DicomExport.Service.exe
• C:\Program Files\Vital Images\DicomPrintService\VI.ServiceExtension.DicomPrint.Service.exe
• C:\Program Files\Vital Images\Help\Node.exe
• C:\Program Files\Vital Images\Home\Node.exe
• C:\Program Files\Vital Images\Management\bin\VspMgmtTomcat.exe
• C:\Program Files\Vital Images\Management\jre\bin\java.exe
• C:\Program Files\Vital Images\MigrationService\VI.VIMS.Migration.Service.exe
• C:\Program Files\Vital Images\Part19ToPart10Converter\jre\bin\java.exe
• C:\Program Files\Vital Images\SessionHelper\Node.exe
• C:\Program Files\Vital Images\StackDefinitionBuilder\StackDefinitionBuilderTMDICOM_Release_
x64.exe
• C:\Program Files\Vital Images\StudyList\Bonsai_Shell_Release.exe
• C:\Program Files\Vital Images\VIMS\ArchiveIntegrationAPI\VI.VIMS.ArchiveIntegration.App.exe
• C:\Program Files\Vital Images\VIMS\ArchiveIntegrationAPI\VI.VIMS.ArchiveIntegration.Service.exe
• C:\Program Files\Vital Images\VIMS\Vims\bin\VI.DicomReceive.CdarIntegration_Release_x64.exe
• C:\Program Files\Vital Images\VIMS\Vims\bin\VI.Enterprise.Servers.Acceptor_Release_x64.exe
• C:\Program Files\Vital Images\VIMS\Vims\bin\VI.Enterprise.Servers.AssocServant_Release_x64.exe
• C:\Program Files\Vital Images\VIMS\Vims\bin\VI.Enterprise.Servers.DICOMFileCopier_Release_
x64.exe
• C:\Program Files\Vital Images\VIMS\Vims\bin\VI.Enterprise.Servers.FileCleanup_Release_x64.exe
• C:\Program Files\Vital Images\VIMS\Vims\bin\VI.Enterprise.Servers.Rcv3DProcessor_Release_
x64.exe
• C:\Program Files\Vital Images\VIMS\Vims\bin\VI.Enterprise.Servers.VolumeBuilder_Release_x64.exe
• C:\Program Files\Vital Images\VIMS\Vims\bin\VI.VIMS.ArchiveIntegration.DarProcessor_Release_
x64.exe
• C:\Program Files\Vital Images\VIMS\Vims\bin\VI.VIMS.Services.Agent.MonitorAgentManager.exe
• C:\Program Files\Vital Images\VIMS\Vims\bin\VI.VIMS.Services.AutoDelete.exe
• C:\Program Files\Vital Images\VIMS\Vims\bin\VI.VIMS.Services.DicomPrintSCU.ServiceManager.exe
• C:\Program Files\Vital Images\VIMS\Vims\bin\VI.VIMS.Services.QRSCP.Service.exe
• C:\Program Files\Vital Images\VIMS\Vims\bin\VI.VIMS.Services.StoreSCU.ServiceManager.exe
• C:\Program Files\Vital Images\VIMS\Vims\bin\VI.VIMS.Services.StoreSCU.Worker.exe
• C:\Program Files\Vital Images\VIMS\Vims\bin\VI.VIMS.Services.VitalSigns.Console.exe
• C:\Program Files\Vital Images\VIMS\Vims\bin\VI.VIMS.Services.VSPNotifications.exe
• C:\Program Files\Vital Images\VitreaCourierService\Vitrea.Courier.Service.exe
• C:\Program Files\Vital Images\VitreaLicenseStewardService\Vitrea.LicenseSteward_Release_x64.exe
• C:\Program Files\Vital Images\VitreaRemoteDesktopServices\RemoteDesktopInfo.Service.exe
• C:\Program Files\Vital Images\VitreaSharedImagePoolService\bin\Vitrea.SharedImagePool_Release_
x64.exe
• C:\Program Files\Vital Images\VitreaSharedImagePoolService\bin\Vitrea.SharedImagePoolWorker_
Release_x64.exe
• C:\Program Files\Vital Images\VitreaSPAInfoServices\Vitrea.SPA\SPATool_Release_x64.exe
• C:\Program Files\Vital Images\VitreaSPAInfoServices\Vitrea.SPA\Vitrea.SystemProvisionAllocator_
Release_x64.exe
• C:\Program Files\Vital Images\VitreaSPAInfoServices\Vitrea.SystemInfo\SystemInfo.Service.exe
• C:\Program Files\Vital Images\VitreaSystemHealthService\SystemHealth.Service.exe
• C:\Windows\System32\inetsrv\inetinfo.exe
• C:\Windows\System32\inetsrv\w3wp.exe
• C:\Windows\SysWOW64\inetsrv\w3wp.exe

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Files/Locations
• C:\pagefile.sys
• C:\ProgramData\Vitrea\temp\SIP\SIPCache
• C:\ProgramData\Vitrea\temp\SPA
• D:\DICOMReceive\DICOMInstanceData
• E:\VitreaData\Temp\SIPCache
• %allusersprofile%\Vital Images\

Storage File Extension Exclusions

N OTE
To exclude a longer file name extension, such as **\*.[FileExtension], McAfee treatment
requires that you use a wild card path. Your Antivirus vendor may have similar
requirements.

• **\*.AVOL (path)
• **\*.GPB.GZ (path)
• *.bak
• *.bin
• *.cdar
• *.dar
• *.dcm
• *.gpb
• *.gz
• *.json
• *.ldf
• *.mdf
• *.ndf
• *.png
• *.processed
• *.rxmsg
• *.series
• *.tmp
• *.tn1
• *.tn2
• *.xml

NTP Configuration for IHE CT Profile

Vital recommends that you configure NTP across all clients and servers of a Vitrea deployment. This
enables compliance to the IHE Consistent Time Integration Profile as the Time Client actor.

Virtual Machine Recommendations

For the current release, there are no Virtual Machine recommendations for the Vitrea software.

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Appendix C: Vitrea Install Options
Install Options
This topic describes the options available to you from the Advanced button on the Vitrea software install
screen.

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Option Description

Select the logo to access the Vital Images website.

Click the dropdown menu to select a different display language. When

you change the display language, all options on the install screen change
accordingly.
For installs in America and Europe, English is the default display
language. For installs in Japan, Japanese is the default display language.

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Option Description

Select this option to access the following drop down menu:

Install Options

Select Install Options to open a list of the individual installable products.

All available products are auto selected.
For each product in the Install Options list, you have the following
options:

• install the product with defaults

• install the product with user definitions

• do not install the product

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Option Description

Install Options, continued

To change the install path for a specific product, click the drop down menu

next to the component name and select . After you click INSTALL, a
screen will display when the product you wish to modify is about to be
installed. Enter the desired install path for that specific product.

N OTE
Vitrea detects the largest partition on which to install.

Version Information

,
cont.

Select Version Information to view a list of installable products. The list

shows the Installed and Available versions for each product. Once you
install Vitrea, the Installed column populates with the corresponding
version number.
Click the Save Xml button to save the Version Information content into
an XML file. The Save As screen displays. Rename the file. Navigate to
the desired location and click Save.

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Option Description

Installation Information

Select Installation Information to learn the default Vital installation paths.

Command Line Options

,
cont.

Select Command Line Options to open a list of available command lines.

UDI
Select UDI to view the Unique Device Identification for the Vitrea software.

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Option Description

Click this button to access a drop down menu that lists the available
deployment options:

Select Vitrea Workstation from the menu.

This option displays if you have not run the script file to configure the
Windows Operating System. Refer to the Install the Vitrea software topic.

This option displays if the pre-configuration process is complete. Select

this option to install the Vitrea software.

Select this option to close the install screen.

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 Change the location where data is stored (OPTIONAL)
If you need to change the location where data is stored to another location other than what is selected by
default, complete the steps below.

1. Double-click the InstallVitrea.exe file from the product media or from the Vital_Resources folder.

2. Click the Advanced button and select Install Options from the drop down menu.

3. Scroll down the list to VIMS.

4. Click the drop down menu next to VIMS and select .

5. Scroll down the list to VSP.

6. Click the drop down menu next to VSP and select .

7. Click the INSTALL button.

A screen displays when the products you wish to modify are about to be installed.

8. Enter the desired install path for the specific products.

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 Appendix D: Windows 7 Setup
This topic describes the procedures that are completed by the System Setup Script to configure Windows 7
on the Vitrea software. To use a system setup script to automatically configure the majority of these
procedures, refer to the Install the Vitrea software topic in this guide.

Install the Graphics Driver

• Complete either the “Install Video Drivers - all Quadro video cards except the NVIDIA Quadro 2000”
procedure or the "Install Video Drivers - NVIDIA Quadro 2000 video cards only " procedure in the
Install the Vitrea software topic.

Set Microsoft Windows Basic

1. Right-click the Start button and select Control Panel.

2. In the Appearance and Personalization section, select Change the theme.

3. In the Basic and High Contrast Themes section, select Windows 7 Basic.

Disable Microsoft User Account Control (UAC)

N OTE
Vital Products and Installers require that UAC be disabled in order to function correctly.

1. From the Start menu, select Control Panel.

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2. On the Control Panel screen, select User Accounts.

3. On the User Account screen, select User Accounts.

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4. Select Change User Account Control Settings.

N OTE
You can also access the User Account Control Settings screen by entering “uac” in the
Search Programs and Files field on the desktop.

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5. To turn off User Account Control, move the slider to Never notify position and click OK.

6. If prompted, type the administration password or confirmation.

7. Restart the computer.

Enable Microsoft Internet Information Services (IIS) and

Microsoft Message Queue (MSMQ) Server
1. From the Start menu, select Control Panel.

2. Select Programs.

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3. Under the Programs and Features heading, select Turn Windows features on or off.

N OTE
You can also access the Windows Features screen by entering “windows features” in the
Search Programs and Files field on the desktop.

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4. On the Windows Features screen, select the following features listed under the Internet Information
Services heading:

• Select the Web Management Tools feature check box and all its subcomponents.
• Select the World Wide Web Services feature check box.
• Select the .NET Extensibility, ASP, and ASP.NET check boxes.
• Select the Microsoft .NET Framework 3.5.1 feature check box and all its components.
• Expand the Microsoft Message Queue (MSMQ) Server feature list and select the MSMQ
DCOM Proxy subcomponent.

N OTE
Only select the features and components listed above.

5. Click OK.

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 Set Up Best Performance and Page File
1. From the Start menu, select Control Panel.

2. Select System and Security.

3. Select System.

The following screen displays.

4. Select Advanced system settings.

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5. Select the Advanced tab.

6. Click Settings.

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7. Select Adjust for best performance radio button.

8. Click Apply.

9. Select the Advanced tab.

10. Click Change.

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 N OTE
Microsoft Page Files are 1.5 times the total amount of RAM on the system. Therefore, if
your system has a lot of RAM and a small OS partition, you may see performance issues.
For systems with a C and E drive, the Page File should be disabled for the C drive and
enabled for the E drive.

11. The Automatically manage paging file size for all drives check box is selected by default. To change this
setting, you must clear that check box, choose your drive partition, and then select the Custom size radio
button, and enter the values in the Initial size and Maximum size fields based on the value listed in the
Recommended entry in the Total paging file size for all drives section.

N OTE
Only one page file should be used for the entire system no matter how many partitions
exist on Vitrea.

12. Select the correct drive and select System managed size radio button.

13. Click Set. Click OK.

The following screen displays.

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14. Click OK. Then click OK twice.

15. Restart Vitrea.

Install Microsoft Windows Updates

N OTE
• Vital recommends you install Microsoft Windows monthly updates. Follow your site’s
policy regarding software updates.
• Vital recommends you run the .NET Framework patches when you install Microsoft
Windows monthly updates. If you do not have Internet access, complete the
following steps to access the patches:
a. Access the Vitrea product media.
b. Navigate to the Bundle\Prerequisites\NET480 subfolder.
c. Double-click the ndp48.exe to install the updates.

• Complete the “Install Microsoft Windows Updates for Windows 7” procedure in the Install the Vitrea
software topic.

Set Power Options

1. From the Start menu, select Control Panel | Power Options.

2. Select the High performance radio button.

3. Select the Change plan settings link.

4. For the Turn off the display field, select 15 minutes from the dropdown menu.

5. For the Put the computer to sleep field, select Never from the dropdown menu.

6. Restart Vitrea.

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 Appendix E: Windows 10 Setup
This topic describes the procedures that are completed by the System Setup Script to configure Windows 10
on the Vitrea software. To use a system setup script to automatically configure the majority of these
procedures, refer to the Install the Vitrea software topic in this guide.

Before You Start

N OTE
Ensure you have the Windows 10 Operating System media available for deployment. If
you do not have the Windows 10 Operating System media available, copy the
Sources/XSS directory from that media to C: on the Workstation.

Install the Graphics Driver

• Complete either the “Install Video Drivers - all Quadro video cards except the NVIDIA Quadro 2000”
procedure or the "Install Video Drivers - NVIDIA Quadro 2000 video cards only " procedure in the
Install the Vitrea software topic.

Disable Microsoft User Account Control (UAC)

N OTE
Vital Products and Installers require that UAC be disabled in order to function correctly.

1. Right-click the Start button and select Control Panel.

2. Select System and Security and select Security and Maintenance.

3. In the left pane, select Change User Account Control settings.

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4. To turn off User Account Control, move the slider to Never notify position and click OK.

5. If prompted, type the administration password or confirmation.

6. Restart Vitrea.

Enable Microsoft Internet Information Services (IIS) and

Microsoft Message Queue (MSMQ) Server
1. Right-click the Start button and select Search.

2. In the Search field, enter Windows Features.

3. Select the Turn Windows Features On or Off option.

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4. Select the .NET Framework 3.5 (includes .NET 2.0 and 3.0) feature check box and all its subcomponents.

5. Expand the .NET Framework 4.7 Advanced Services heading.

• Select the ASP.NET 4.7 feature check box.

• Expand the WCF Services feature subheading.
• Select the HTTP Activation and the TCP Port Sharing feature check boxes.

6. Select the Hyper-V feature check box.

7. Select the Internet Explorer 11 feature check box.

8. Expand the Internet Information Services feature heading.

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9. Expand the Web Management Tools feature heading.

• Select the IIS Management Console, IIS Management Scripts and Tools, and the IIS
Management Service check boxes.

10. Expand the World Wide Web Services feature heading.

• Expand the Application Development Features subheading.

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 • Select the .NET Extensibility 3.5, .NET Extensibility 4.7, ASP, ASP.NET 4.7, ISAPI
Extensions, and ISAPI Filters check boxes.
• Expand the Common HTTP Features subheading.
• Select all subcomponents except WebDAV Publishing.
• Expand the Health and Diagnostics subheading.
• Select the HTTP Logging, Logging Tools, Request Monitor, and the Tracing check
boxes.
• Expand the Performance Features subheading.
• Select the Static Content Compression check box.
• Expand the Security subheading.
• Select the Request Filtering check box.

11. Select the Media Features feature check box.

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12. Expand the Microsoft Message Queue (MSMQ) Server heading.

13. Expand the Microsoft Message Queue (MSMQ) Server Core subheading.

• Select the MSMQ DCOM Proxy subcomponent.

14. Select the Microsoft Print to PDF feature check box.

15. Expand the Print and Document Services heading.

• Select the Internet Printing Client and the Windows Fax and Scan check boxes.

16. Select the Remote Differential Compression API Support check box.

17. Select the SMB 1.0/CIFS File Sharing Support check box.

18. Select the Windows PowerShell 2.0 check box.

19. Select the Windows Process Activation Service check box.

20. Select the Work Folders Client check box.

21. Select the XPS Services check box.

22. Select the XPS Viewer check box.

N OTE
Only select the features and components listed above.

23. Click OK.

Set Up Best Performance and Page File

1. Right-click the Start button and select Control Panel.

2. Select System and Security.

3. Select System.

The following screen displays.

4. Select Advanced system settings.

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5. Select the Advanced tab.

6. In the Performance section, click the Settings button.

7. Select the Advanced tab.

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8. Select Adjust for best performance of Programs radio button.

9. Click Apply.

10. Select the Advanced tab.

11. Click Change.

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 N OTE
Microsoft Page Files are 1.5 times the total amount of RAM on the system. Therefore, if
your system has a lot of RAM and a small OS partition, you may see performance issues.
For systems with a C and E drive, the Page File should be disabled for the C drive and
enabled for the E drive.

12. The Automatically manage paging file size for all drives check box is selected by default. To change this
setting, you must clear that check box, choose your drive partition, and then select the Custom size radio
button, and enter the values in the Initial size and Maximum size fields based on the value listed in the
Recommended entry in the Total paging file size for all drives section.

N OTE
Only one page file should be used for the entire system no matter how many partitions
exist on Vitrea.

13. Select the correct drive and select System managed size radio button.

14. Click Set. Click OK.

The following screen displays.

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15. Click OK. Then click OK twice.

16. Restart Vitrea.

Install Microsoft Windows Updates

N OTE
• Vital recommends you install Microsoft Windows monthly updates. Follow your site’s
policy regarding software updates.
• Vital recommends you run the .NET Framework patches when you install Microsoft
Windows monthly updates. If you do not have Internet access, complete the
following steps to access the patches:
a. Access the Vitrea product media.
b. Navigate to the Bundle\Prerequisites\NET480 subfolder.
c. Double-click the ndp48.exe to install the updates.

• Complete the “Install Microsoft Windows Updates for Windows 7” procedure in the Install the Vitrea
software topic.

Set Power Options

1. From the Start menu, select Control Panel | Power Options.

2. Select the High performance radio button.

3. Select the Change plan settings link.

4. For the Turn off the display field, select 15 minutes from the dropdown menu.

5. For the Put the computer to sleep field, select Never from the dropdown menu.

6. Restart Vitrea.

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 Install Language Packs for Chinese, Japanese, and Korean
Workstation Installations
If you are pushing datasets to the Vitrea workstation deployment that will contain Chinese, Japanese, or
Korean characters in patient names, you must complete the following steps to install language packs on the
Vitrea workstation deployment to ensure the patient names display correctly in the Study Directory.

N OTE
This configuration will also impact the machine’s user interface to items such as Date
and Time. Refer to your Microsoft Windows documentation for more information.

1. Click the Start button and select Settings.

2. Select the Time & language option.

3. In the left pane, select the Region & language option.

4. Click the Add a language option.

5. Select the language you want to add from the list of input languages.

6. On the Time and Language screen, the newly-added language displays under the Languages heading.

7. Repeat steps 4 and 5 for each language you want to add.

8. Close the screen.

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 Appendix F: Configure Vitrea Local
Database Users
You may install the Vitrea workstation deployment to authenticate with Integrated Windows Authentication
(IWA), or via a Vitrea local user database. Use of IWA is strongly recommended, as it provides single sign-
on (SSO) support, and uses the standard Windows operating credential management for both workgroup
and domain (Active Directory) deployments.

N OTE
SSO is enabled by default, but may be disabled (refer to the “To Disable the
singleSignOnEnabled setting” section in the Administrative Procedures topic).

This appendix explains how to configure Vitrea local database users which would be performed for an
installation in which IWA is not possible.

Add Users
N OTE
Vitrea user configuration is only necessary if Integrated Windows Authentication is not
being used.

Users can either be a Windows user (local to the machine and part of the domain) or a local database user.
A local database user is a member of a local database group.
In this section, you will use the Local Database User Management subsystem within the System
Configuration tab to create users on the system.

N OTE
For more details, refer to the “Groups, Users, Roles, and Permissions Overview “section
in this topic.

To add Users in the Vitrea software locally

1. From the Applications Home screen, select System Configuration.

The System Configuration screen displays.

2. Select Local Database User Management in the Subsystem menu.

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3. Click the Add button.

4. On the User Properties screen, complete the fields as listed below:

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 Field Action

Display name field Enter the user's name, e.g., John Smith or Jane Smith.

Username field Enter the name used to sign into the application.

Enter the user's password. If the password does not meet the
Password field
requirements, the Password box outlines in red (shown below).

Confirm password
Re-enter the user's password.
field

Groups check boxes Select the group(s) to which the user belongs.

Select this box to enable the user account. Clear this box to disable
Enabled check box
the user account.

By default, you will not use check box.

Locked out check
N OTE
box
You would only select this box if a user is locked out.

Password expires Select this box to force the password to expire after a given time
check box period.

Force user to
Select this box to force the user to change the password at the next
change password
sign in.
next login check box

Email field Enter the user's email address.

5. Click Apply.

Disable Password for Guest User and Change Password Admin User
N OTE
Vital recommends you complete this procedure.

1. On the System Configuration screen, select Local Database User Management in the Subsystem menu.

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2. Double-click the guest Username.

3. Clear the Enabled check box.

4. Select the Locked out check box.

5. Click the Save button.

6. Double-click the admin Username.

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7. Select the Advanced dropdown button.

8. Enter the desired new password in the New Password and Confirm password fields.

9. If desired, enter the user's email address in the Email field.

10. Click the Save button.

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 Disable BUILTIN Users Group in Vitrea application
N OTE
If you want to limit the access that specific users have to the Vitrea software, complete
this procedure to Disable the BUILTIN User group and ensure access is locked down.

1. From the Applications Home screen, select System Configuration.

2. In the Subsystem menu, select Group / Role Mapping.

The Group / Role Mapping screen displays.

3. Click the Select External Groups button.

The External Group Properties screen displays.

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4. In the Domain field, click the dropdown menu and select the desired domain.

5. In the Search Terms field, enter Vitrea Administrators and select Search.

The External Group Search screen displays the results of the search.

6. For the Vitrea Administrators group, select the check box in the Admin column.

7. Click Add.

A revised version of the Group /Role Mapping screen displays with the newly add External Group name(s).

8. Clear the User check box for the BUILTIN Users group.

Shown below is a revised screen.

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 Configure Local Database Groups
This section explains how to add or remove local database groups.

Add a Local Database Group

Complete this procedure to map to a local database group.

1. From the Applications Home tab, select System Configuration.

2. In the Subsystem menu, select Group / Role Mapping.

The Group / Role Mapping screen displays.

By default, the following groups exist:

• Services - this group will start with a mapping to the “service” role.
• Administrators - this group will start with a mapping to the “Admin” role. Microsoft describes this built-
in group as “After the initial installation of the operating system, the only member of the group is the

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 Administrator account. When a computer joins a domain, the Domain Admins group is added to the
Administrators group. When a server becomes a domain controller, the Enterprise Admins group also is
added to the Administrators group.”
• Users - this group will start with a mapping to the “User” role. Microsoft describes this built-in group as
“After the initial installation of the operating system, the only member is the Authenticated Users group.
When a computer joins a domain, the Domain Users group is added to the Users group on the
computer.”

N OTE
Both the Administrators and the Users groups can be edited by a system administrator.

3. Click the Add Local Database Group button.

The Local Database Group Properties screen displays.

4. In the Group Name field, enter the desired fully qualified group name.

5. In the Group Description field, enter the desired group description.

6. Click Add.

A revised version of the Group /Role Mapping screen displays with the newly created External Group name.

7. Select the Service, User, and/or Admin check box(es) to assign the desired permission(s).

Remove a Local Database Group

1. From the Applications Home tab, select System Configuration.

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2. In the Subsystem menu, select Group / Role Mapping.

The Group / Role Mapping screen displays.

3. Right-click the group to remove and select Delete Group.

4. Click Yes to confirm the deletion.

Add roles to a group

1. From the Applications Home tab, select System Configuration.

2. In the Subsystem menu, select Group / Role Mapping.

The Group / Role Mapping screen displays.

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3. Select the check box that corresponds to the role you want to add.

Remove roles from a group

1. From the Applications Home tab, select System Configuration.

2. In the Subsystem menu, select Group / Role Mapping.

The Group / Role Mapping screen displays.

3. Clear the role check box for an existing group.

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 Modify Local Users
The System Configuration tab is used to perform several tasks. In this section, you will use it to edit or
delete an existing user.

1. On the System Configuration screen, select Local Database User Management in the Subsystem menu.

2. Either double-click the desired user or right-click the desired user and select Edit User.

3. Modify the desired field and check box values and click the Save button.

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 To delete a local user
1. On the System Configuration screen, select Local Database User Management in the Subsystem menu.

2. Right-click the desired user and select Delete User.

3. Click Yes to delete the user.

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 Appendix G: Vitrea Installer Command
Line Options
Command Line Options
To access all available command line options, complete the following steps:

1. Select the Advanced option on the Vitrea Install screen.

2. Select Command Line Options from the drop down menu.

The following screen displays.

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 Appendix H: PowerScribe Configuration
C A U TION
Only the customer administrator or the PowerScribe administrator should be configuring
SSL on the PowerScribe Server.

This appendix explains how to configure data export to PowerScribe via HTTPS.

Set Up SSL on the PowerScribe Server

Create an SSL certificate request or create a self-signed certificate
1. Select the Server Manager icon on the Windows Taskbar.

2. In the left pane, expand Roles and Web Server.

3. Select Internet Information Services (IIS) Manager.

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4. In the main workspace, in the IIS area, double-click the Server Certificates icon.

5. From the Actions menu, select Create Certificate Request.

6. Complete the fields as desired.

7. Click Next.

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8. Accept the default value for the Cryptographic service provider dropdown menu.

9. Click the Bit length dropdown menu and select 2048.

10. Click Next.

11. In the Specify a file name for the certificate request field, enter c:\certreq.txt.

12. Click Finish.

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 Enable HTTPS Binding
1. On the IIS Manager screen, select the server name in the left pane.

2. Expand the Sites folder and select the Default Web Site option.

3. In the Actions pane, select Bindings.

4. Click the Add button.

5. Click the Type dropdown menu and select https.

6. Click the IP address dropdown menu and select All Unassigned.

By selecting All Unassigned, the site will respond to requests for all IP addresses on the port and optional
host name that you specify for this site, unless another site on the server has a binding on the same port but
with a specific IP address.

7. In the Port field, enter 443 as the outbound https port for PowerScribe integration.

8. Click the SSL certificate dropdown menu and select the certificate you want the site to use for SSL.

9. Click OK.

C A U TION
This should only be performed during planned downtime since this will disrupt
application usage.

10. Restart IIS on the PowerScribe server.

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 Verify Name Resolution
Complete this procedure to confirm the DNS entry for PowerScribe.

1. Ask the site IT for the hostname to the PowerScribe system.

2. On the system you are integrating with PowerScribe, open a Command prompt.

3. On the command line, enter ping - a [hostname].

4. Close the command prompt.

5. On the machine, navigate to the C:\Windows\System32\drivers\etc\ folder location.

6. Open the hosts file in Notepad.

Shown below is an example of the hosts field.

7. Add the PowerScribe Server hostname to the hosts file.

8. Save the hosts file and close Notepad.

9. Import the SSL certificate you created in the previous procedure.

10. Navigate to the

C:\Program Files\Vital Images\IntegrationService\VI.ServiceExtension.Integration.Service.exe.config
location.

11. Update the web.config file with the appropriate certificate issuer.

Shown below is an example of the web.config field.

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12. Save the web.config field.

Configure PowerScribe Server Integration

1. From within the Vitrea Administration Tool, click the Configuration Manager navigation button.

2. In the Navigation Pane, expand Profiles and select EnterpriseProfile.

3. Select the Post Processing tab.

4. If necessary, expand the PowerScribe Credentials section.

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5. In the Server BaseUrl field, enter the hostname to the PowerScribe API.

https://<PowerScribeServerName>/iRADPortal/Services.

6. In the Username field, enter the username used to call the PowerScribe API.

7. In the Password field, enter the password used to call the PowerScribe API.

Configure PowerScribe Nodule Export Custom Fields

The site needs to determine the maximum number of nodules that can be exported to PowerScribe and for
each nodule the following custom fields should be added to PowerScribe database.

Field Name PowerScribe Custom Field Name Example Name

Nodule Name Vital_Nodule_Name_[n] N1

Scan Date/Time Vital_Nodule_ScanDate_[n] 25 May 2005

Volume Vital_Nodule_Volume_[n] 2.5

Mean Diameter Vital_Nodule_MeanDiam_[n] 1.7

Max Diameter Vital_Nodule_MaxDiam_[n] 1.3

Short Axis Vital_Nodule_ShortAxis_[n] 1.3

Location Vital_Nodule_Location_[n] unspecified

Shape Vital_Nodule_Shape_[n] unspecified

Border Vital_Nodule_Border_[n] unspecified

% Growth Vital_Nodule_GrowthPct_[n] ---

Doubling Time
Vital_Nodule_DblTime_[n] ---
(days)

Comments Vital_Nodule_Comments_[n]

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where [ n ] = { 1 , 2 , 3 , .......... n } is the number of nodules.
If the site is doing comparison workflows then the following custom fields must also be added for however
many simultaneous comparisons the site envisions.

Field Name PowerScribe Custom Field Name Example Name

Scan Date/Time Vital_Nodule_ScanDate_[n] 25 May 2005

Left Lung Vital_Nodule_LeftLung_[v] 0 (0.0 mm3)

Right Lung Vital_Nodule_RightLung_[v] 0 (0.0 mm3)

Unspecified Vital_Nodule_Unspecified_[v] 3 (1399.3 mm3)

Total Vital_Nodule_Total_[v] 3 (1399.3 mm3)

where [ v ] = { 1 , 2 , .......... v } is the number of volumes loaded into Lung Analysis Protocol.

N OTE
Custom fields should be added to the PowerScribe database prior to exporting nodules
from the Vitrea application.

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 Appendix I: Set up Snapshot Converter,
Angio Viewer, CT Dental, and Filming
applications
Set up the Snapshot Converter application
To use the following applications, you must complete this procedure.
• US Cardiac Fusion
• NM Cardiac Fusion
• SUREVolume Synthesis

1. Double-click the Start Vitrea icon on the desktop.

2. Login as “admin”.

3. Enter the admin credentials.

4. Select System Configuration on the Applications Home screen.

5. In the Subsystem menu, select Scripts.

6. Click the Make Changes button.

The Reason screen displays.

7. Type “Add script” in the field and click OK.

8. On the Scripts screen, click the Add button in the upper left corner.

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 The Add Script screen displays.

9. In the File field, click the Browse button and select

C:\Program Files\TMSC\TMSCWSClinicalApp\VSP\SnapshotConverterLauncher.groovy.

10. In the Name field, enter SnapshotConverterLauncher.

11. In the Language field, click the dropdown menu and select groovy.

12. Click the Apply button.

13. Click the Activate Changes button.

14. On the Scripts screen, verify SnapshotConverterLauncher is added and is listed as Active.

Set up the Angio Viewer application

This setting is for pixel calibration ARP and PID mode and data transfer. If ARP or PID mode is used, first
complete the “ARP and PID mode procedure” listed below. If the following setting is not performed correctly,
ARP and PID calculation results may be incorrect.
If data transfer is used in this application, complete the “Data transfer procedure” listed below.

ARP and PID mode procedure

1. Confirm the setting of the INFX-8000 system set up with this Vitrea machine.

To confirm the C-arm type setting and the height of iso-center, complete the steps below.
a. Click the Utility tab of system console of the INFX-8000 system.
b. Click Service Tools-Service.
c. On the Service screen input the password. You need to confirm the password before this
operation.
d. Open config-system in the Service screen then confirm the information.

2. Double-click the Start Vitrea icon on the desktop.

3. Login as “admin”.

4. Enter the admin credentials.

5. Select System Configuration on the Applications Home screen.

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6. Select System Settings in the Subsystem menu.

7. From the Component dropdown menu, select XAAngioViewer.

8. Click the Make Changes button in the left pane. Enter a reason and click OK.

9. Double-click the Value column in the distancePlaneToOutsideOfDetectorForSPorBF row.

10. Enter one of the following values for single plane system or FPD of frontal arm in biplane system.

• “FPD8x8inch”
• “FPD12x12inch”
• “FPD16x12inch”

11. Double-click the Value column in the distancePlaneToOutsideOfDetectorForBL row.

12. Enter one of the following values for FPD of lateral arm in biplane system. If the system is single plane, you
do not need to complete this step.

• “FPD8x8inch”
• “FPD12x12inch”

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 • “FPD16x12inch”

13. Double-click the Value column in the PixelCalibrationHeightOfIsocenter row.

If the correspondence relation between C-arm and height of iso-center corresponds to the table values
shown below, enter “default”.

Type of C-arm Height of iso-center

CAS-810A 1050 mm

CAS-820B 1110 mm

CAS-830A, 830B 1050 mm

CAS-880A 1110 mm

If the C-arm type is CAS-810A but the height of iso-center is NOT 1050 mm, enter the height of the iso-center
of the INFX-8000 system.
If there is another case, contact Vital Customer Support

14. Click the Activate Changes button.

Data transfer procedure

1. On the System Configuration screen, in the Subsystem menu, select Archive.

The Archive screen displays.

2. Click the Add button.

The Archive Properties screen displays.

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3. Select the DICOM radio button.

4. In the Name field, enter the desired name for the DICOM device.

5. In the Key field, enter the desired name.

6. In the Host field, enter the IP Address of the DICOM device.

7. In the Port field, enter the Port number of the DICOM device.

8. In the AE Title field, enter the AE Title of the DICOM device.

9. In the Services area, select the Storage check box.

10. Click the Test button to perform a C-ECHO to the archive location.

11. Click Apply.

12. Click the Activate Changes button.

Set up the CT Dental application

This setting is for printing a CT Dental batch image from the Reporting application. You can change the
matrix size of panorama images and crosscut images created by the batch save operation. You can also
change the pixel size of the images. Use this setting to adjust printed image sizes and zoom ratio on
paper/film. When the connected printing device is changed, you need to adjust this setting for the new
device.

1. Double-click the Start Vitrea icon on the desktop.

2. Login as “admin”.

3. Enter the admin credentials.

4. Select System Configuration on the Applications Home screen.

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5. Select System Settings in the Subsystem menu.

6. From the Component dropdown menu, select CT Dental Analysis.

7. Click the Make Changes button in the left pane. Enter a reason and click OK.

8. Double-click the Value column in the following parameters and then enter the new value.

• "crosscutFrameHeightForLifeSize (default value is -1)

When the value of this parameter is set to 1, the height of generated crosscut batch is derived from this value
like below Sample1 shown below.
• "panoramaFrameHeightForLifeSize (default value is -1)
When the value of this parameter is set to 1, the height of generated panorama image is derived from this
value like below Sample1 shown below.
• "crosscutViewCx (default value is 120)
When the value of crosscutFrameHeightForLifeSize is -1, the height of generated crosscut batch is
calculated from this value like Sample2 shown below.
• "panoramaViewCx (default value is 800)
When the value of panoramaFrameHeightForLifeSize is -1, the height of generated panorama image is
calculated from this value like Sample2 shown below.
• "crosscutViewCy (default value is 320)
• "panoramaViewCy (default value is 320)
• "pixelSizeOfBatch (default value is 0.21875)
Sample 1

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 Sample 2

• "frameLayoutForFilming (default value is 4 x 6)

Derived from the value of this parameter, demographics are shown in head batch which is shown as a blue
rectangle in the image below.

frameLayoutForFilming: 6 x 3

9. Double-click the value of ToolProfile.

10. Input value:

• VG2 - mouse mode is Vitrea mode

• toshiba - mouse mode is Toshiba mode (same as Toshiba CT console)

11. Click the Activate Changes button.

Set up the Filming application

This section explains the Filming application setup procedures.

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 Vitrea Administration Tool procedures
Refer to the “Create a DICOM Printer” procedure within this guide.
The following table lists the notes on the print options supported by the Filming application.

Filming application print options

Setting
Description
contents

The supported Print Size settings are shown below.

8INX10IN
8_5INX11IN
10INX12IN
10INX14IN
11INX14IN
Print Size
11INX17IN
14INX14IN
14INX17IN
24CMX24CM
24CMX30CM
A4
A3

Border Density Not supported

Empty Density Not supported

System Configuration procedures

Complete the following steps for the DPI of the DICOM Printer. The standard value is set as default.

1. Double-click the Start Vitrea icon on the desktop.

2. Login as “admin”.

3. Enter the admin credentials.

4. Select System Configuration on the Applications Home screen.

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5. Select System Settings in the Subsystem menu.

6. From the Component dropdown menu, select Filming.

7. Click the Make Changes button in the left pane. Enter a reason and click OK.

8. Double-click the Value column in the DicomPrinterDPI row.

9. Enter the desired value.

10. Click the Activate Changes button.

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Appendix J: Supported Monitor
Resolutions for VSTP Applications
Listed below are the supported monitor resolutions for all VSTP software applications.

VSTP 1280x1024 3840x2160

1920x1200 1600x1200
Application (*L) (*O)

3D Viewer O O X X

Angio Viewer O O X X

Cerebral
Aneurysm O O X X
Analysis

Coronary CTA
O O O O
Analysis

CT-FFR O O O O

CT Dental O O O O

CT Protocol
O O X O
Management

DE Composition
O O X X
Analysis

DE Stone
O O X X
Analysis

DTS Data
O O X X
Management

Dynamic
Myocardial O O X O
Perfusion

Embolization
O O X X
Plan

Filming O O O O

MR Coronary
O O X X
Tracking

MR Wall Motion
O O X X
Tracking

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VSTP 1280x1024 3840x2160
1920x1200 1600x1200
Application (*L) (*O)

Patient Dose
O O X O
Management

Respiratory
O O X O
Analysis

SUREVolume
O O X O
Synthesis

Utilization
O O X O
Analysis Tool

Ultrasound
Clinical
O X X X
Application
Package

US Cardiac
O O X X
Fusion

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Appendix K: Configure the
CSMC Floating License Server
This section explains how to configure the Cedars-Sinai Medical Center (CSMC) Cardiac Suite Floating
License Server. The CSMC Cardiac Suite applications are installed automatically on the Workstation.
For a Vitrea Workstation deployment, you can configure Cedars licensing using one of two scenarios:
Local Node-Locked - this option limits license usage to a single machine. If you choose Local Node-
Locked, you will install the license file on each Vitrea Workstation in your deployment. You will also need to
run the Host Information Tool on each Vitrea Workstation in your deployment.
To set up a local node-locked license on a Vitrea Workstation, complete the procedures listed below on
each Vitrea Workstation in your deployment.
Install Cedars Floating License Server on a Workstation - the necessary license server software is not
automatically installed with the Vitrea Workstation installation. You only need to complete the procedures
listed below on the system acting as the license server and not on each workstation in your deployment.
You should not set up a floating license server on a Vitrea Workstation.

N OTE
Be aware that the floating and node-locked license types are not interchangeable. Once
you receive the License File from Customer Support, you cannot change it.

C A U TION
l The CSMC Cardiac Suite Floating License Server requires a Call Home (i.e.,
constant internet access) to http://vm.csaim.com/. You may need to set up rules in
your proxy server to reach the Call Home destination. If the software cannot reach its
Call Home destination with 14 days, your floating license will shut down.
l If you use a proxy server, you may need to add a rule to the proxy server to allow
connections to http://vm.csaim.com/ or white list a connection to that Internet site.
l If you are using the CSMC applications, a new version of the CSMC Cardiac Suite
Floating License Server 2017 software and a new license is required.

N OTE
• The QGS/QPS and the QBS applications require both a Vital license and a Cedars
license. To configure the CSMC Floating License server and enable use of the
CSMC applications, you must perform this procedure on the Workstation and then
point any additional Workstations to the CSMC Floating License Server.
• To use the QGS/QPS and the QBS applications on the Workstation, you must first
configure the floating license server.

Verify the license server is installed

N OTE
Before the CSMC Cardiac Suite Floating License Server can be licensed, you must

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 complete the following procedure. Be aware that you must contact Vital Customer
Support to obtain a valid license file during this procedure. Plan your time accordingly
because Vital Customer Support typically requires 24-48 hours after being contacted to
send you the license file.

1. Complete the "Acquire the License File" section in the Prepare for Licensing topic.

2. Open an Internet browser.

3. In the URL field, type http://<servername>:6433 and press Enter.

A screen similar to the one shown below displays.

4. To obtain a valid license file, you need to contact Vital Customer Support. Send an email to
[email protected] and include the following information: 

• The System ID that is listed in the screen that displays on your system
• Site Name
• Vital ID
• The host name of the system that houses the license server (typically the Management Server)
• The version of Vitrea software installed

Upload the license file

Once you receive a license file from Vital Customer Support, complete the steps below.

1. Save the .ini or .lic file to your Workstation.

2. Open an Internet browser.

3. In the URL field, type http://<servername>:6433 and press Enter.

A screen similar to the one shown below displays.

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4. Click the Choose File button and navigate to the location of the license file.

5. Click the Upload button.

Activate the Floating License Server

After you upload the license file, complete the steps below.

1. Open an Internet browser.

2. In the URL field, type http://<servername>:6433 and press Enter.

A screen similar to the one shown below displays.

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3. Complete the Registered To, Company, and Email #1 fields.

4. Click the Submit button.

Verify the license is active

1. Open an Internet browser.

2. In the URL field, type http://<servername>:6433 and press Enter.

3. Select the various tabs to ensure the license file is active. Or, navigate to C:\Program Files\CSMC Cardiac
Suite\bin\csconfig.exe and view the license status tab.

Configure the TCP port

1. From the Start menu, select Control Panel | Windows Firewall | Advanced Settings.

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2. In the left pane, select Inbound Rules.

3. Right-click Inbound Rules and select New Rule.

4. Select the Port radio button and click Next.

5. Select the TCP radio button and add 6433 into the Specific local ports field.

6. Click Next.

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7. Select the Allow the connection radio button and click Next.

8. Accept the default values and click Next.

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9. In the Name field, enter Cedars Floating License Server and click Finish.

10. On the Windows Firewall with Advanced Security screen, double-click the new inbound rule you just
created.

11. Select the Scope tab.

12. In the Remote IP Address section, select the These IP Addresses radio button and add all other
Workstations that need to access the floating license server.

Direct Workstations to the Floating License Server

N OTE
Perform this procedure on each Workstation in your deployment.

1. On each Workstation, navigate to C:\Program Files\CSMC Cardiac Suite\bin\csconfig.exe.

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2. In the Host field, enter the hostname or IP address of the Floating License Server.

3. Click the Port field and enter 6433.

4. Click OK.

Floating License Server Post Setup

The Floating License Server will perform a Call Home function every day for two weeks and then shut down
the server unless you reset the server. If you do not provide constant Internet access for the Floating License
Server, this failure will occur.
To reset the Floating License Server, complete the steps below.

1. Open an Internet browser.

2. In the URL field, type http://<servername>:6433 and press Enter.

A screen similar to the one shown below displays.

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3. Click the Get Reset Code button. A code will be emailed to you.

4. Once you receive the reset code, complete steps 1 and 2 to access the screen shown above.

5. In the Reset Code field, enter the code you received in the email and click the Reset Server button.

Troubleshooting the Floating License Server

Ensure Workstations can access the floating license server
To check for attempts at unauthorized access or to check if the Workstations have issues accessing the
floating license server, complete the steps below.

1. Enable Firewall logging for dropped packets by using of the following methods.

a. Complete the procedure described in the following document: https://docs.microsoft.com/en-

us/previous-versions/windows/it-pro/windows-server-2008-R2-and-2008/cc947815
(v=ws.10), OR.
b. Open a command window and type netsh firewall set logging droppedpackets = ENABLE

2. The Firewall log for dropped packets is generated in the following

file: %windir%\system32\logfiles\firewall\pfirewall.log.

A sample log file is shown below.

The log file shows that a machine with IP address 172.30.17.50 tried to access 172.29.11.76:6433 (the
host:port of the Cedars Floating License Server) and the firewall dropped the packets.
Error displays when you activate the Floating License Server
If the error shown below displays when you activate the floating license server, you do not have the
necessary Internet access.

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