Vista Imaging Vista Routing manual VistARad & On-Demand Routing, On-Demand Routing Requirements

Page 69

Routing User Guide

Using VistARad in a Routing System

 

 

VistARad & On-Demand Routing

This section describes on-demand routing prerequisites and explains how to use VistARad’s on-demand routing capability.

!US Federal regulations and VA internal policy prohibit unencrypted transmission of patient information outside the VA's intranet.

!Like autorouting, on-demand routing can have a significant impact on network traffic. It is the responsibility of sites using routing to properly manage network demands related to routing.

On-Demand Routing Requirements

For on-demand routing to function:

ƒA VistARad user must be logged into an Imaging system that includes a Routing Gateway.

ƒAt the site being logged into, the VistA Imaging host, the Routing Gateway, and storage folders must be set up as described in this manual. The Routing Gateway’s transmission processor must be running.

ƒTo route images to other non-DICOM destinations within the VistA system (such as VistARad at a remote site) a VistARad user must have the MAGJ DEMAND ROUTE security key assigned to their account. To route images to a DICOM Storage SCP destination, the MAGJ DEMAND ROUTE DICOM key must be assigned to their account.

Using On-Demand Routing

On-demand routing lets you use VistARad to manually select exams and transmit them to existing routing destinations. On-demand routing is intended for situations where you need to route exams that do not satisfy existing routing rules, or where autorouting is not used.

ÂIf you are frequently using on-demand routing for the same sorts of exams, contact your Imaging Coordinator and request that a change or addition be made to the rules used for autorouting.

Any exam that appears in a VistARad exam list can be routed on-demand. Newly acquired exams should not be routed until they have been case edited by a technologist using the Radiology package. Such exams have a status of “examined” in VistARad’s exam lists.

April 2006

VistA Imaging V. 3.0, Patch 18

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Image 69 Contents
Routing User Guide-DRAFT April VistA Imaging V .0, Patch Contents Troubleshooting Routing Terms of Use IntroductionAbout this Manual Using this ManualConventions AcknowledgementsRelated Documents Revision TableDate Rev This page is intentionally blank Routing Explained Routing OverviewWhat is a Routing Gateway? Routing PrerequisitesInfrastructure Requirements Operational Requirements Identifying Images to be Autorouted How Autorouting WorksSending Images to Destinations Autorouting Images from Prior ExamsDeletion of Routed Images Remote Reading with VistARadRouting Overview Selecting Images for On-Demand Routing How On-Demand Routing WorksPriority and Autorouting How Routing Priority WorksPriority and On-demand Routing Other Priority FactorsDefining Routing Rules Routing Rules ExplainedHow Routing Rules Work Rules using Multiple Conditions Sample Routing RulesSimple Routing Rule Rules using Wildcards Rules using the does not match OperatorRules using Date/Time Conditions Send Command Balance CommandRule Destinations How Load Balancing Works Resetting the Load Balancing CounterRule Conditions PropertiesFrequently Used Properties 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 Operators ValuesOperator Image property must… Values for Date/Time Properties Send CR images to Kansas on Mon/Wed/FriSend CR images to Kansas on Holidays Routing Images from Prior Exams Routing Rule PriorityPrioritize images based on destination Do or Do Not include Prior StudiesRouting Rule Tips This page is intentionally blank Configuration Task Performed By Configuring RoutingDefining Imaging Destinations Naming Conventions for Imaging DestinationsField Description Storage Location Names for offsite MRI specialist Network Location File Entries at JonesvilleStorage Folders for Imaging Destinations Folder PrerequisitesFolder Creation Folder Verification Testing folders from the sending site ExplorerTesting folders from the sending site Command Line Imaging Destination Definition using FileMan Imaging Destination DefinitionEditing 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 Naming Conventions for Dicom Destinations Defining Dicom DestinationsDicom Destination Definitions in SCUList.dic Adding Dicom Destinations to SCUList.dicMagdmenu Field Definitions Defining Route Priors Logic Verifying that Prefetch is EnabledHow Prior Exam Routing Works Altering Route Priors LogicSelect the following fields for editing To change route priors logicDicom Gateway Configuration Image Gateway ConfigurationTo configure Image Gateways To configure the Routing Gateway Routing Gateway ConfigurationImporting Routing Rules Route.dic Creating and Importing a Routing Rules FileTo create and import routing rules 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 ConfigurationUsing the Routing Gateway Activating RoutingStarting the Evaluation Processor Starting the Transmission Processor Using Routing Log Files Periodic MaintenanceMaintaining Routing Displaying log filesDisabling Routing Short-Term Routing ShutdownLong-Term Routing Shutdown Routing Gateway Menu Options Start the Transmission ProcessorStop the Transmission Processor Stop the Evaluation Processor Start the Evaluation ProcessorImport Routing Rules Purge all completed entries in the Transmission QueueRe-Queue all failed entries in the Transmission Queue Remove obsolete entries from Transmission QueueDisplay Current Set of Routing Rules This page is intentionally blank Displaying Routed Exams Using VistARad in a Routing SystemTo display a routed exam Using On-Demand Routing VistARad & On-Demand RoutingOn-Demand Routing Requirements To use on-demand routing Routing User Guide This page is intentionally blank Basic Troubleshooting Troubleshooting RoutingGetting Help If… Then…Transmission Processors and Drive Mapping Additional Routing ConsiderationsFactors Affecting Routing Speed Routed Images vs. Routed ExamsPreventing 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 #1 Sample RulesExample #2 Example #3Example #5 Example #4Example #6 Example #7Routing Setup Checklist MAGDecompressor Setup Appendix B Using MAGDecompressorInstallation LicensingCd \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