How routing priority works, Priority and autorouting, Priority and on demand routing – Vista Imaging Vista Routing User Manual

Page 16: Other priority factors

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Routing Overview

Routing User Guide

How Routing Priority Works

The following factors are used to determine the priority of a routed exam:

ƒ Assigned priority
ƒ Clinical urgency (autorouting only)
ƒ Time in transmission queue

Priority and Autorouting

For automatically routed exams, the routing software uses the priority assigned in a
routing rule and the clinical urgency of the exam to calculate a numeric value. Images
with the highest priority value are transmitted first.

Factor Values

Notes

Assigned priority

Low:

Medium:

High:

+250

+500

+750

Priority is set in routing rules as described
on page

9

.

If not explicitly set, a default value of
Medium is used.

Clinical urgency

Routine:

Urgent:

STAT:

+0

+10

+20

Values are based on the clinical urgency
defined for the exam in the VistA system.

Priority and On-demand Routing

When an exam is routed on-demand, VistARad’s Route Request dialog can be used to
assign a priority of Low, Medium or High. (The clinical urgency of the exam is not
used). The Route Request dialog is described on page

61

.

If a user selects an exam to be routed on-demand that is already in the transmission
queue, the higher priority of the two instances will be used.

Other Priority Factors

If two or more entries in the transmission queue have the same priority value, entries are
processed on a First In, First Out (FIFO) basis.

Because the transmission processor works on an image-by-image basis, it is possible for
the images in a lower-priority exam to be interrupted ‘mid-stream’ by the images in a
higher-priority exam. If this happens, transmission of all lower priority images will
resume after transmission of all higher-priority images is complete.

VistA Imaging V. 3.0, Patch 18

April 2006

8

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