Vista Imaging Vista Routing manual Routing Overview, Routing Explained

Page 9

Routing Overview

This chapter explains how routing functions within the VistA Imaging system. It covers the following topics:

Routing Explained

How Autorouting Works

How On-Demand Routing Works

How Routing Priority Works

Routing Explained

In VistA Imaging, routing is the combination of methods and software used to identify and transmit exams produced at one site to a storage location at another site.

Routing takes two forms: autorouting, and on-demand routing.

In autorouting, automatically selected images are transmitted to one or more destinations. Images are selected based on a predefined set of routing rules. Autorouting functions are managed using the Routing Gateway.

In on-demand routing, manually selected exams are transmitted to one or more destinations. Exams are selected using the VistARad diagnostic workstation and are transmitted by the Routing Gateway.

Destinations of routed images fall into two broad groups. Imaging destinations are defined to support remote reading using a VistARad workstation. Images sent to these destinations are in VistA Imaging’s internal file format. DICOM destinations are defined to support transmission of DICOM images to a Storage SCP (Service Class Provider), such as a film printer or an external PACS.

A properly implemented routing system can streamline a site’s imaging workflow. Scenarios where routing can be used include:

Workload sharing between institutions or service providers

Rapid access of exams at remote clinics or other facilities

Remote specialist interpretation or consultation

Off-hours, holiday, or emergency services

Off-site contract radiology services for primary interpretation

April 2006

VistA Imaging V. 3.0, Patch 18

1

Image 9

Contents

Routing User Guide-DRAFT April VistA Imaging V .0, Patch Contents Troubleshooting Routing Terms of Use Introduction About this Manual Using this Manual Conventions 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