Vista Imaging Vista Routing manual Routing Prerequisites, What is a Routing Gateway?

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Routing Overview

Routing User Guide

 

 

What is a Routing Gateway?

A Routing Gateway locates routable images, determines where the images are to be routed to, and sends copies of those images to other locations. Routing is a function of the DICOM Gateway software. When properly configured, any DICOM Gateway can function as a Routing Gateway.

Typically, a Routing Gateway runs on a dedicated computer. At sites where only a small volume of images are produced, a Routing Gateway can coexist on the same computer as an Image Gateway or a Text Gateway.

Routing Prerequisites

For a site to be authorized to use a routing system:

ƒAn executed Site Agreement must be filed with the VistA Imaging HSD&D group.

Note: An updated site agreement must be filed if the routing system is altered (for

example: if site information changes, if a new destination is added, or if routing volume increases by 50% or more).

ƒA contingency plan must be implemented at all sites in the routing system and filed with the VistA Imaging HSD&D group. The contingency plan must contain procedures to be followed should the routing system be unavailable.

General hardware and operational requirements for routing are summarized below. For detailed information, contact your VistA Imaging Implementation Manager.

Infrastructure Requirements

Routing relies on the following infrastructure:

ƒIf remote interpretation is being performed, one or more VistARad diagnostic workstations for the display of routed exams.

ƒAn operational VistA Hospital Information System, an operational Image Gateway, and an operational Routing Gateway, configured as described in this document.

ƒAn operational Local Area Network (LAN).

ƒAn operational Wide Area Network (WAN) with sufficient bandwidth to manage the anticipated volume of routed exams.

ƒWindows-based servers to provide exam storage at each routing destination, configured as described in this document.

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VistA Imaging V. 3.0, Patch 18

April 2006

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Contents Routing User Guide-DRAFT April VistA Imaging V .0, Patch Contents Troubleshooting Routing Introduction Terms of UseConventions Using this ManualAbout this Manual AcknowledgementsRevision Table Related DocumentsDate Rev This page is intentionally blank Routing Overview Routing ExplainedRouting Prerequisites What is a Routing Gateway?Infrastructure Requirements Operational Requirements How Autorouting Works Identifying Images to be AutoroutedDeletion of Routed Images Autorouting Images from Prior ExamsSending Images to Destinations Remote Reading with VistARadRouting Overview How On-Demand Routing Works Selecting Images for On-Demand RoutingPriority and On-demand Routing How Routing Priority WorksPriority and Autorouting Other Priority FactorsRouting Rules Explained Defining Routing RulesHow Routing Rules Work Sample Routing Rules Rules using Multiple ConditionsSimple Routing Rule Rules using the does not match Operator Rules using WildcardsRules using Date/Time Conditions Balance Command Send CommandRule Destinations Resetting the Load Balancing Counter How Load Balancing WorksProperties Rule ConditionsFrequently Used Properties NOW Network storage location of the image abstract Other PropertiesPath for the network location of the stored image Unique 26-character image identifier of the Pacs image Name of the Radiology Report associated with the image Values OperatorsOperator Image property must… Send CR images to Kansas on Mon/Wed/Fri Values for Date/Time PropertiesSend CR images to Kansas on Holidays Prioritize images based on destination Routing Rule PriorityRouting Images from Prior Exams Do or Do Not include Prior StudiesRouting Rule Tips This page is intentionally blank Configuring Routing Configuration Task Performed ByNaming Conventions for Imaging Destinations Defining Imaging DestinationsField Description Network Location File Entries at Jonesville Storage Location Names for offsite MRI specialistFolder Prerequisites Storage Folders for Imaging DestinationsFolder Creation Testing folders from the sending site Explorer Folder VerificationTesting folders from the sending site Command Line Imaging Destination Definition Imaging Destination Definition using FileManEditing the Network Location File at the sending site Imaging Destination Values Physical Reference Do not use This field is not used for routing, and should be left blank Retention Period Dicom Destination Definitions in SCUList.dic Defining Dicom DestinationsNaming Conventions for Dicom Destinations Adding Dicom Destinations to SCUList.dicMagdmenu Field Definitions How Prior Exam Routing Works Verifying that Prefetch is EnabledDefining Route Priors Logic Altering Route Priors LogicTo change route priors logic Select the following fields for editingImage Gateway Configuration Dicom Gateway ConfigurationTo configure Image Gateways Routing Gateway Configuration To configure the Routing GatewayCreating and Importing a Routing Rules File Importing Routing Rules Route.dicTo create and import routing rules Verifying Imported Rules To verify imported rulesRe-Importing Routing Rules Routing Rules & Multiple Routing GatewaysVistARad Configuration-Sending Sites To set routing-related VistARad site parametersVistARad Configuration-Receiving Sites To set the CacheLocationID in MAGJ.INIMaking Multiple Destinations Accessible to VistARad Changes Affecting Routing System Configuration Routing System Change Related Configuration ChangeActivating Routing Using the Routing GatewayStarting the Evaluation Processor Starting the Transmission Processor Maintaining Routing Periodic MaintenanceUsing Routing Log Files Displaying log filesShort-Term Routing Shutdown Disabling RoutingLong-Term Routing Shutdown Start the Transmission Processor Routing Gateway Menu OptionsStop the Transmission Processor Import Routing Rules Start the Evaluation ProcessorStop the Evaluation Processor Purge all completed entries in the Transmission QueueRemove obsolete entries from Transmission Queue Re-Queue all failed entries in the Transmission QueueDisplay Current Set of Routing Rules This page is intentionally blank Using VistARad in a Routing System Displaying Routed ExamsTo display a routed exam VistARad & On-Demand Routing Using On-Demand RoutingOn-Demand Routing Requirements To use on-demand routing Routing User Guide This page is intentionally blank Getting Help Troubleshooting RoutingBasic Troubleshooting If… Then…Factors Affecting Routing Speed Additional Routing ConsiderationsTransmission Processors and Drive Mapping Routed Images vs. Routed ExamsHow the RC Column is Populated Preventing Transmission of Duplicate ExamsThis page is intentionally blank Appendix a Appendix a Imaging Destination Worksheet Specified in sending site’s Network Location fileNetwork Location File Sample For detailed information about specific fields, seeDicom Destination Worksheet Dicom Destination SampleRouting Rule Definition Worksheet Routing User Guide Example #2 Sample RulesExample #1 Example #3Example #6 Example #4Example #5 Example #7Routing Setup Checklist Installation Appendix B Using MAGDecompressorMAGDecompressor Setup LicensingCd \Program Files\VistA\Imaging\MAGDecompressor Enter MAGDecompressor Logging Sample log entrySelected log file error codes Glossary Glossary Glossary This page is intentionally blank See also routing Background Processor 32 balance command IndexSee also routing operators, routing rule 11, 20 passwords 28 Index