Vista Imaging Vista Routing - Manual (Page 69)

Routing User Guide Using VistARad in a Routing System
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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:
ƒ A VistARad user must be logged into an Imaging system that includes a Routing
Gateway.
ƒ At 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.
ƒ To 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.
 If 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 61