Effortless Workflow HIS/RIS Link
- The HIS/RIS Link feature provides a Windows® environment via a virtual machine on the AMX Navigate operating system. Hospitals can install software in the Windows environment or open an internet browser to enable user access to HIS/RIS, EMR, and/or PACS directly from the X-ray system.
- Sites are free to configure the Windows environment within the virtual machine, as long as the validated major Windows version, Windows 10, supports the configuration.
Feature Overview
The HIS/RIS Link feature provides access to a facility’s HIS/RIS, EMR, and/or PACS software directly from the AMX Navigate user interface. This feature enables a technologist to complete actions in those hospital applications, such as remotely start, close, and complete HIS/RIS exams from the portable.
System Architecture: Linux-based OS provides added security
- Select the HIS/RIS Link button from the Worklist screen. The Windows Virtual Machine application will open, followed by the Windows desktop which will have a link to the HIS/RIS server (depending on site configuration).
- While in the VM, if right click function is needed select the right click button as shown below.
- To Close the HIS/RIS Windows desktop application and return to the mobile X-ray system application, select the “X” in the upper right corner.
Software Installation
After the service engineer has completed installation of the HIS/RIS Link feature, Site IT may configure the Windows environment and install site-specific HIS/RIS and/or PACS software. Software can be installed from a USB media or a network location such as a shared network drive or file sharing service
System and VM Configuration
| System Components | Details |
| Touch Screen | |
| Aspect Ratio | 16.9 |
| Resolution | 1920 x 1080 |
| Size | 21.5 inch |
| Function | Capacitive touch |
| System Storage | Solid State Drive (SSD) |
| Memory | 32 GB |
| Linux Host | 30 GB |
| VM | 2 GB |
| Virtual Machine (VM) Load Time | |
| First time load after start-up | 25 sec. |
| Subsequent Re-open | 1 sec. |
| Windows 10 Operating system License | Windows 10 loT LTSC enterprise 2019 |
| Windows 10 Operating System Build | 1809 |
| Network Configuration | NAT |
| MAC Address | Virtual. Different from Physical Interface |
| AV Security | Windows Defender – Enabled, Automatic Updates – Enabled |
| Required AV Exceptions | None |
| ActiveDirectory Support | Allowed |
| Remote Management | Allowed but not tested by GE |
Product Network Filter (PNF) Configuration
The PNF configuration can be accessed through the X-ray system service user interface. After modifying any PNF options, select Restart Firewall to apply the changes. The following PNF information is an excerpt from the PNF user interface control area.
The PNF user interface control area, near the top of the screen, contains these options:
| Option | Action |
| Filter Settings | Configure filter settings that allow access through the firewall by adding allowed services and IP addresses, and removing filters. |
| Backup/Restore |
|
| Network Tools | Show the firewall rules that are currently in effect on this system. Select Refresh to refresh the list of rules. |
| Configure PNF | Select which red interfaces the filter settings should be applied to. Select Update Red Interfaces to apply the changes. |
The following parameters are available in tabs of the PNF user interface:
| Option | Action |
Named Services Tab | |
| Services/Allowed IPs | Lists current filters by name and IP. |
| Remove Existing Filters | Select the Delete box checkbox next to the filter to delete, then select Delete Existing Filters. |
| Add New Filter | From the Service Name drop-down list, select the service to be allowed (such as telnet, ssh, ftp). In the Allowed IPs field, specify a particular IP address, a range of IP addresses, or a masked subnet. Select Add Filter to apply your changes. |
Allowed Nodes Tab | |
| Allowed IPs | Lists current filters by IP. |
| Remove Existing Filters | Select the Delete box checkbox next to the filter to delete, then select Delete Existing Filters. |
| Add New Filter | In the Allowed IPs field, specify a particular IP address, a range of IP addresses, or a masked subnet. Select Add Filter to apply your changes. |
| Option | Action |
DICOM® tab | |
| Allowed DICOM Ports | Lists current DICOM ports by number. |
| Remove Existing Filters | Select the Delete box checkbox next to the port to delete, then select Delete Existing Filters. |
| Add New Filter | In the Allowed Port field, specify a particular DICOM port. Select Add Filter to apply your changes. |
Expert Tab | |
| Name/Port/Protocol | Lists current filters by name, port number, protocol, and IP. |
| Remove Existing Filters | Select the Delete box checkbox next to the filter to delete, then select Delete Existing Filters. |
| Add New Filter |
|
| NAT Tab Used to define NAT (Network Address Translation) rules. | |
| Name/Source IP/Dest. IP | Lists current filters by name, source IP, destination IP, destination port, and protocol. |
| Remove Existing Filters | Select the Delete box checkbox next to the filter to delete, then select Delete Existing Filters. |
| Add New Filter |
|
Enable outgoing communication for a port through the Windows Firewall
Complete the following steps using the siteadmin account inside the Windows environment.
- Open Search box, type Firewall.
- Select Open to launch Windows Defender Firewall Popup.
- Select Advanced Settings > Outboard Rules in the left hand pane
- Select New Rule in the right-hand pane
- Select Port, then click Next
- At Specific remote ports, type the port number to be opened in the text box. Click Next
- Select Allow the Connection, then click Next.
- Make no changes to the When does this rule apply screen. Click Next.
- Add a descriptive name to the Name: text box. Click Finish
- Verify the Port name created appears in the Outboard Rules list.
- Close all popups and return to the desktop.
- Select the Windows Start icon, select shutdown.
- Windows will automatically close and return to worklist.
Troubleshooting Guide
Documents / Resources
 | GE Healtcare HIS-RIS Link Field Guide for AMX Navigate X-Ray Machine [pdf] User Guide HIS-RIS Link Field Guide for AMX Navigate X-Ray Machine, HIS-RIS Link Field Guide, Link Field Guide, AMX Navigate X-Ray Machine, X-Ray Machine, AMX Navigate |
