Audience
School of Medicine students, faculty, and staff
Overview
Provides a comprehensive overview of the Butterfly browser application to be used with provided credentials by users of the POCUS kits.
The Homepage
Upon signing into https://cloud.butterflynetwork.com/, you will be greeted with the following home page:

You may toggle between thumbnail view and list view of your studies by clicking on the hamburger icon in the upper right corner. In this view, you can apply filters, add columns, and reorder columns to customize your viewing preferences. Additionally, you may select multiple studies to perform actions on more than one study, and star them to add them to your favorites list:

My Tasks
On the left side of the homepage, you will see a column labelled My Tasks. Here, studies that require your attention are listed. The following are what each subcategory means:
- Drafts - Lists all studies that have not yet been finalized where you are listed as an author
- Signature - Only appears if you have permissions to sign studies. Will show the list of studies where your signature is requested
- Needs QA - Only appears if you have permissions to QA studies. Will show the list of studies in the organization that require QA
- Favorites - Lists studies you have starred as a favorite on the homepage
- Unassigned - List of studies with no author attached
Searching for Exams
On the top of the homepage is a magnifying glass icon.

Here, you can search your list of exams using the following criteria:
- The MRN
- The patient's name
- Your operator ID
- The author's name
- Exam type
- Tags
You may also click into the magnifying glass, and select the sliders symbol to view additional searching options.
Once you locate the study of interest, click to open it.
Study View
Upon opening a study, you are presented with Study View. Here, you can see information regarding worksheets, managing authors, exam types, tags, patient information, and splitting the study:

Adding Authors
To add, remove, and adjust the primary author for a study:
- Open the study you want to edit
- Click the study author's name to add and edit study authors
- Add your name or relevant provider's name as a study author
- If appropriate, click the ellipses next to the provider's name to mark them as "primary" author.

Adding Worksheets
To add a worksheet to a study:
- Under the Documentation section, select Add Worksheet.
- Select a worksheet from one of the available templates, or search for a worksheet using the search bar. Note: you may either use a blank worksheet, or select an appropriate prefill.
- Complete the worksheet. It will be automatically saved to the study.

Adding an Exam Type
Exam types assist users and organizations to tag, track, and organize exams. To add an exam type:
- Open a study and access the Documentation section to access the Exam Type field
- Here, you can select an exam type from the dropdown

It is strongly recommended to only apply ONE exam type to a study for easier tracking. If you are looking to track pathology or specific findings, consider applying tags to the study instead.
Splitting Studies
If you have a study that was erroneously uploaded together, or one study needs to be split for documentation purposes, perform the following:
- Navigate to the archive screen as seen below, and select the study you wish to edit
- Select the Split Exam icon in the top right of the study

- If you want to move content from the current study to a new draft, select New Draft. If you want to move content from a current study to another existing study, select Existing Draft.
- The next screen will have you select images and worksheets you want to move. After filling the details, select confirm. The fields are:
- A - Author information to be copied, if present
- B - Patient info to be copied, if present
- C - Exam type for the new study, if needed
- D - Which archive the new study will be located in
- E - Desired tags for the new study
- F - Worksheets to move, if any
- G - Capture date
- H - Images and cines to move to the new study

Signing and Finalizing Studies
Once all appropriate documentation has been added to a study, it is ready to finalize. To do so, elect Sign to begin the finalization process. Then, you will be asked to confirm that you want to sign the study. If you do not have signing authority, it will be sent to attestation from your attending, or another credentialed user.
Attesting a Study
When a non-credentialed user requests you to attest a study, you will receive a push notification and an email. Click on the notification or use the Signature task to locate the study.

From there, you may review the study and make any necessary edits. Once the study is ready to be finalized, click Sign. You will receive a popup to validate your signature. Click Sign again to confirm.
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