Vista Imaging Vista Routing manual Operational Requirements

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Routing User Guide	Routing Overview

Operational Requirements

The medical and IT management at a site implementing the routing system will need to develop policies establishing:

Locations to which the exams may and may not be routed

Reporting / transcription requirements for routed exams

Bandwidth utilization guidelines and priorities

Storage of routed exams at receiving sites

Management of patient confidentiality and privacy issues related to routed exams

Methods for addressing performance issues and/or misuse of the routing system

April 2006

VistA Imaging V. 3.0, Patch 18

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Contents Routing User Guide-DRAFT April VistA Imaging V .0, Patch Contents Troubleshooting Routing Terms of Use IntroductionAcknowledgements Using this ManualAbout this Manual ConventionsDate Rev Related DocumentsRevision Table This page is intentionally blank Routing Explained Routing OverviewInfrastructure Requirements What is a Routing Gateway?Routing Prerequisites Operational Requirements Identifying Images to be Autorouted How Autorouting WorksRemote Reading with VistARad Autorouting Images from Prior ExamsSending Images to Destinations Deletion of Routed ImagesRouting Overview Selecting Images for On-Demand Routing How On-Demand Routing WorksOther Priority Factors How Routing Priority WorksPriority and Autorouting Priority and On-demand RoutingHow Routing Rules Work Defining Routing RulesRouting Rules Explained Simple Routing Rule Rules using Multiple ConditionsSample Routing Rules Rules using Date/Time Conditions Rules using WildcardsRules using the does not match Operator Rule Destinations Send CommandBalance Command How Load Balancing Works Resetting the Load Balancing CounterFrequently Used Properties Rule ConditionsProperties NOW Other Properties Network storage location of the image abstractPath 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 Operator Image property must… OperatorsValues Send CR images to Kansas on Holidays Values for Date/Time PropertiesSend CR images to Kansas on Mon/Wed/Fri Do or Do Not include Prior Studies Routing Rule PriorityRouting Images from Prior Exams Prioritize images based on destinationRouting Rule Tips This page is intentionally blank Configuration Task Performed By Configuring RoutingField Description Defining Imaging DestinationsNaming Conventions for Imaging Destinations Storage Location Names for offsite MRI specialist Network Location File Entries at JonesvilleFolder Creation Storage Folders for Imaging DestinationsFolder Prerequisites Folder Verification Testing folders from the sending site ExplorerTesting folders from the sending site Command Line Editing the Network Location File at the sending site Imaging Destination Definition using FileManImaging Destination Definition Imaging Destination Values Physical Reference Do not use This field is not used for routing, and should be left blank Retention Period Adding Dicom Destinations to SCUList.dic Defining Dicom DestinationsNaming Conventions for Dicom Destinations Dicom Destination Definitions in SCUList.dicMagdmenu Field Definitions Altering Route Priors Logic Verifying that Prefetch is EnabledDefining Route Priors Logic How Prior Exam Routing WorksSelect the following fields for editing To change route priors logicTo configure Image Gateways Dicom Gateway ConfigurationImage Gateway Configuration To configure the Routing Gateway Routing Gateway ConfigurationTo create and import routing rules Importing Routing Rules Route.dicCreating and Importing a Routing Rules File To verify imported rules Verifying Imported RulesRouting Rules & Multiple Routing Gateways Re-Importing Routing RulesTo set routing-related VistARad site parameters VistARad Configuration-Sending SitesTo set the CacheLocationID in MAGJ.INI VistARad Configuration-Receiving SitesMaking Multiple Destinations Accessible to VistARad Routing System Change Related Configuration Change Changes Affecting Routing System ConfigurationStarting the Evaluation Processor Using the Routing GatewayActivating Routing Starting the Transmission Processor Displaying log files Periodic MaintenanceUsing Routing Log Files Maintaining RoutingLong-Term Routing Shutdown Disabling RoutingShort-Term Routing Shutdown Stop the Transmission Processor Routing Gateway Menu OptionsStart the Transmission Processor Purge all completed entries in the Transmission Queue Start the Evaluation ProcessorStop the Evaluation Processor Import Routing RulesDisplay Current Set of Routing Rules Re-Queue all failed entries in the Transmission QueueRemove obsolete entries from Transmission Queue This page is intentionally blank Displaying Routed Exams Using VistARad in a Routing SystemTo display a routed exam On-Demand Routing Requirements Using On-Demand RoutingVistARad & On-Demand Routing To use on-demand routing Routing User Guide This page is intentionally blank If… Then… Troubleshooting RoutingBasic Troubleshooting Getting HelpRouted Images vs. Routed Exams Additional Routing ConsiderationsTransmission Processors and Drive Mapping Factors Affecting Routing SpeedPreventing Transmission of Duplicate Exams How the RC Column is PopulatedThis page is intentionally blank Appendix a Appendix a Specified in sending site’s Network Location file Imaging Destination WorksheetFor detailed information about specific fields, see Network Location File SampleDicom Destination Sample Dicom Destination WorksheetRouting Rule Definition Worksheet Routing User Guide Example #3 Sample RulesExample #1 Example #2Example #7 Example #4Example #5 Example #6Routing Setup Checklist Licensing Appendix B Using MAGDecompressorMAGDecompressor Setup InstallationCd \Program Files\VistA\Imaging\MAGDecompressor Enter Sample log entry MAGDecompressor LoggingSelected log file error codes Glossary Glossary Glossary This page is intentionally blank Index See also routing Background Processor 32 balance commandSee also routing operators, routing rule 11, 20 passwords 28 Index