VISTA IMAGING: SO THATS HOW IT WORKS

1
VISTA IMAGING SO THATS HOW IT WORKS

i.
2
1.
3

VistA Imaging
RAID
Jukebox
VISTA
IMAGING SERVERS
VistARad or PACS
IMAGE GATEWAY
TEXT GATEWAY
BP

MODALITIES
RADIOLOGY
Image Capture Station
Clinical Workstations
2.
4

FILE NAME"MYFILE(," IENINTERNAL ENTRY NUMBER
OF THE RECORD PIECESDATA STORED BETWEEN UP ARROW
CHARACTERS CALLED THE DELIMITERS DATA FIELDSDATA
STORED IN NODE STRING POINTERDATA FIELD 'POINTS'
TO ANOTHER FILE AND HAS THE IEN OF THAT ENTRY IN
THAT FILE STORED IN THE PIECE MYFILE(IEN,0)"FIR
ST PIECE SECOND PIECE 3RD PIECE 4TH
PIECE 5TH PIECE 6TH PIECE 7th PIECE
....... LAST PIECE" EXAMPLE FILEPATIENT
FILE GLOBAL NAMEDPT(, NODE0 1ST PIECENAME
FREE TEXT 2ND PIECESSN NUMERIC 3RD
PIECESTREET ADDRESS FREE TEXT 4TH PIECECITY
FREE TEXT 5TH PIECESTATE POINTER TO STATE
FILE 6TH PIECEZIP CODE NUMERIC node
st piece 2nd
piece 3rd piece 4th piece 5th
6th DPT(27,0)IMAGPATIENT,ONE000009999ANY
STREETANY CITY3303743


STATE FILE


DIC(5,1,0)ALABAMAAL01

DIC(5,2,0)ALASKAAK02

.


DIC(5,9,0)CONNECTICUTCT09HARTFORD
.


DIC(5,23,0)MAINEME23

.


DIC(5,25,0)MASSACHUSETTSMA25
.


DIC(5,33,0)NEW
HAMPSHIRENH33 . DIC(5,36,0)NEW YORKNY36
. DIC(5,44,0)RHODE ISLANDRI44
. DIC(5,50,0)VERMONTVT50 . DIC(5,56,0)WYOMI
NGWY56

IN MY DISCUSSION I WILL BE USING THIS FORMAT TO
SHOW FILES SOMETIMES. DONT GET TOO CONCERNED.
IT WONT BE ON THE TEST. IF YOU ARE INTERESTED
IN LOOKING AT THE DATA DICTIONARIES OF OTHER
FILES USE FILEMANAGERS DATA DICTIONARY OPTIONS.
3.
5

PATIENT 2
IMAGE 2005
Key Vista Files
.001 NUMBER (NJ9,0), .01 OBJECT
NAME (RF), 01 1 FILEREF (F), 02 2
DISK VOLUME, MAGNETIC (P2005.2'),
03 2.1 DISK VOLUME, ABSTRACT
(P2005.2'), 04 2.2 DISK VOLUME, WORM
(P2005.2'), 05 . 102 BIG MAGNETIC PATH
(P2005.2'), FBIG1 103 BIG JUKEBOX PATH
(P2005.2'), FBIG2
DICOM FAILED IMAGES 2006.575
.01 FILEPATH (RF), 01 1 FAILED
REASON (S), 02
NETWORK LOCATION 2005.2
VISTA
.01 NETWORK LOCATION (RF), 01 1
PHYSICAL REFERENCE (RFX), 02
IMAGING SITE PARAMETERS 2006.1
.01 NAME (RFX), 01
IMAGE BACKGROUND QUEUE FILE 2006.03
.001 NUMBER (NJ8,0), .01 QUEUE
NAME (F), 01
PACS MESSAGE FILE (2006.5)
.01 DATE (RD), 01 .02 MESSAGE TYPE
(F), 02
RAD/NUC MED PATIENT 70
.01 NAME (RP2'X), 01 2
REGISTERED EXAMS (Multiple-70.02), DT0
.01 EXAM DATE (DX), 01 .
50 EXAMINATIONS (Multiple-70.03), P0
.01 CASE NUMBER (NJ5,0X), 01
2 PROCEDURE (P71'X), 02
RAD/NUC MED REPORTS 74
.01 DAY-CASE (RF), 01 2 PATIENT NAME
(RP2'I), 02 . 2005 IMAGE
(Multiple-74.02005), 20050 .01
IMAGE (MP2005'), 01
4.
6

Imaging Gateways
IMAGE GATEWAY
TEXT GATEWAY

M DATABASE
M DATABASE
Windows
1. MODALITY WORKLIST (via DICOM)2.
Worklist.dic
Windows
Windows
1. IMAGE_IN2. Instrument.dic3. Modality.dic
1. IMAGE_IN2. Instrument.dic3. Modality.dic
1. MAGDINPT 2. MAGDICOM 3. MAGDMLOG 4. TMP 5.
UTILITY
1. MAGDWLST 2. MAGDICOM 3. MAGDMLOG 4. TMP 5.
UTILITY
PATIENT
MAGDWLST(2006.56,405,1,0)2006.562STUDY967999
MAGDWLST(2006.56,405,1,1,0)RAD939399E9E9E74
74747
STUDY
MAGDMLOG ACTIVITY LOG TEXT GATEWAY
MAGDMLOG(712,1,7,0)"
" MAGDMLOG(71
2,1,8,0)" Network error 1b (Job 21) on NOV
30, 2005 at 113041 " MAGDMLOG(712,1,9,0)"

" MAGDMLOG(712,2,1,0)"60234,41437S
TEP116MAGDCST1" MAGDMLOG(712,2,5,0)"60234,41
437RECV4MAGDCST2" MAGDMLOG(712,2,6,0)"60234
,41441ERRORMSG5MAGDCST1" MAGDMLOG(713,0)"22
60234,41441Storage through port 60000 with
10.14.12.47,MXL5250NF5
MAGDMLOG ACTIVITY LOG IMAGE GATEWAY
5.
7

CONNECTIVITY
VISTA
IMAGE GATEWAY
CLIENT SERVER RELATIONSHIP
(USING RPC CALLS)
M-TO-M BROKER
PORT 4800
TEXT GATEWAY
(RDPC PORT 14804)
RPC BROKER
PORT 9200
(RDPC PORT 19204)
IMAGE 2005
BP
Clinical Workstation
Jukebox
Image Capture Station
TCP/IP
6.
8

Image Acquisition
Jukebox
RAID
IMAGE GATEWAY
IMAGING SERVERS
Step 1. Radiology Service queries the modality
worklist to get a list of patients that have
appointments for images today.
BP
(1-a) Any time a Radiology case is registered, an
exam is completed or cancelled, or a report is
released or verified it generates a MAGDHL7
message which is transmitted to the Text gateway
to build the Modality Worklist.
VISTA
MSH\RA-SERVER-IMG405MAGD
PIDssn108871M11patient193 ORCNWIP
20051215102603- OBR121505-4906948784.8984-
OBXCEPPROCEDUREL498ULTROBXTXMMODIFIERS
LNone OBXTXHHISTORYLf/u exam
OBXTXAALLERGIESLACETAMINO

MAGDHL7
RADIOLOGY
(1-b) Modalities query the worklist to get
updates.
TEXT GATEWAY
MODALITY WORKLIST
Image Capture Station
7.
9

PATIENT 2
IMAGE 2005
.001 NUMBER (NJ9,0), .01 OBJECT
NAME (RF), 01 1 FILEREF (F), 02 2
DISK VOLUME, MAGNETIC (P2005.2'),
03 2.1 DISK VOLUME, ABSTRACT
(P2005.2'), 04 2.2 DISK VOLUME, WORM
(P2005.2'), 05 . 102 BIG MAGNETIC PATH
(P2005.2'), FBIG1 103 BIG JUKEBOX PATH
(P2005.2'), FBIG2
AFFECTED FILES
DICOM FAILED IMAGES 2006.575
.01 FILEPATH (RF), 01 1 FAILED
REASON (S), 02
NETWORK LOCATION 2005.2
VISTA
.01 NETWORK LOCATION (RF), 01 1
PHYSICAL REFERENCE (RFX), 02
IMAGING SITE PARAMETERS 2006.1
.01 NAME (RFX), 01
IMAGE BACKGROUND QUEUE FILE 2006.03
.001 NUMBER (NJ8,0), .01 QUEUE
NAME (F), 01
PACS MESSAGE FILE (2006.5)
.01 DATE (RD), 01 .02 MESSAGE TYPE
(F), 02 (MAGDHL7)
RAD/NUC MED PATIENT 70
.01 NAME (RP2'X), 01 2
REGISTERED EXAMS (Multiple-70.02), DT0
.01 EXAM DATE (DX), 01 .
50 EXAMINATIONS (Multiple-70.03), P0
.01 CASE NUMBER (NJ5,0X), 01
2 PROCEDURE (P71'X), 02
RAD/NUC MED REPORTS 74
.01 DAY-CASE (RF), 01 2 PATIENT NAME
(RP2'I), 02 . 2005 IMAGE
(Multiple-74.02005), 20050 .01
IMAGE (MP2005'), 01
8.
10


WORKLIST.DIC Last
edited 23 June 2003 246 PM List of Modality
Worklist service users Station AE
TitleInstitution IDImaging ServiceImaging
TypeShort or Long Accession NumberDescription
Instituion ID can be the number (688), name
(Washington, DC), or null. Leave Institution ID
to null to default to the local site Note
Imaging Types are abbreviations of IMAGE INDEX
FOR SPECIALTY/SUBSPECIALTY - MAG(2005.84)
Imaging services are defined as follows RAD
--------- Radology CON ---------
Consult/Procedure Request Tracking (CPRS)
Examples Radiology PCU_QWL_SCUltYour
Institution goes heregtRADRADLONGBuilding E,
Rm 225 CT_SCAN_1688RADCTLONGPhilips CT,
Radiology East, Rm B-129 Healthcre
Providers IRIS-1CONOPHTHLONGCanon Retinal
Camera, Eye Clinic, Rm, E-170
DENIX-2CONDENTALLONGIntra-Oral Xray Unit,
Rm, D-153 GI_LAB_SCUltYour Institution goes
heregtCONGILONGNorth Clinic The "TEST" AE
title is for exercising the local VistA MWL
provider The Institution ID is omitted,
selecting the default local system TESTRADRADL
ONGLocal Vista Modality Worklist provider
Place your entries below DIRECT_DIGXRAY405RADRA
DLONGDR Console in 39 adwangio405RADANILONG
Angio Workstation in B1R123 VACTGATE405RADCTLO
NGCT IN BLDG 1 OEC_9800405RADRADLONGC-ARM
in OR GEN RAD CANON405CONEYELONGCANON SLIT
LAMP OPTOMETRY ltcalling AE Titlegt ltlocation
namegt ltimaging servicegt ltimaging typegt
ltaccession number/SSN formatgt ltdescriptiongt
end of file

Each modality that wishes to use Modality
worklist must provide information to Vista
Imaging to be placed in the Worklist.dic file so
that Vista Imaging can provide that feature for
their use. The AE_Title and other information is
placed in this file for each Modality.
9.
11

Imaging Gateways
Affected files. Text gateway is affected.
IMAGE GATEWAY
TEXT GATEWAY

M DATABASE
M DATABASE
Windows
Windows
1. MODALITY WORKLIST (via DICOM)2.
Worklist.dic
1. MAGDWLST 2. MAGDICOM 3. MAGDMLOG 4. TMP 5.
UTILITY
1. MAGDINPT 2. MAGDICOM 3. MAGDMLOG 4. TMP 5.
UTILITY
1. IMAGE_IN2. Instrument.dic3. Modality.dic
"
10.
12

IMAGE GATEWAY
Image Acquisition
Jukebox
IMAGE_IN
MAG(2005,
BP
VISTA

Step 2. The image is taken. After Radiology
approves of the image it is routed to image_in
folder on Image gateway.
RADIOLOGY
TEXT GATEWAY
MODALITY WORKLIST
Image Capture Station
11.
13

Vista
The image gateway sets up listeners according to
data in instrument.dic. The modalities send
images to the Image Gateways IP and to the ports
set in their parameters that match the listener
ports. The listeners then deposit the
images in the Image_In folder. INSTRUMENT.DIC
Computed Radiography CR1Fuji AC3 CR, Cubby,
2145Hallway688RAD60102C Computed
Tomography CT1GE High Speed Advantage, Room
2142688RAD60120
Image GatewayIP 10.10.10.10
Image_in
60102
60120
CR
CT
Modality ParametersIP of Gateway
10.10.10.10Port 60102
Modality ParametersIP of Gateway
10.10.10.10Port 60120
12.
Modalities
14

Imaging Gateways
Affected files. The Image Gateway is affected
IMAGE GATEWAY
TEXT GATEWAY

M DATABASE
M DATABASE
Windows
Windows
1. MODALITY WORKLIST (via DICOM)2.
Worklist.dic
1. MAGDWLST 2. MAGDICOM 3. MAGDMLOG 4. TMP 5.
UTILITY
1. MAGDINPT 2. MAGDICOM 3. MAGDMLOG 4. TMP 5.
UTILITY
1. IMAGE_IN2. Instrument.dic3. Modality.dic
"
13.
15

IMAGE GATEWAY
Image Acquisition
Jukebox
IMAGE_IN
MAG(2005,
BP
VISTA

Step 3. The Image Gateway processes the image.
RADIOLOGY
TEXT GATEWAY
MODALITY WORKLIST
Image Capture Station
14.
16

The process job tries to match data found in
fields in the Dicom header with entries in
Modality.dic. If this is not accomplished the
image is entered as an image from an undefined
modality. If so the Imagine coordinator would
need to determine the problem and correct it or
add a new entry into the Modality.dic file.
In this case they match up.
Vista
Image Gateway
DICOM HEADER ON IMAGE ltmodalitygt element
(0008,0060).CT ----------------------------------
- ltmodelgt element (0008,1090).BETA------------
------------ ltmfgrgt element
(0008,0070).ACME CT Company


mfgrgt ltmodelgt ltmodalitygt proc
rulesacc code txt data codetxt dta
fileimaging svc Modality.dic entry
ACME CT CompanyBETA CT b12 f0
GECTHISAMAGDIR3GECTMAGDIR4Adatagect.dicRAD
Image_in
15.
Modalities
17

IMAGE_IN
1.

• The Image gateway pulls the information from the
  Image_In folder and places it in MAGDINPT
• If the process job is able to match the Patient
  name, SSN and Accession number to a patient and
  study on Vista it continues with processing. It
  then converts the images if needed.
  Conversion is controlled by the 4th piece of the
  Modality.dic entry. If a .BIG file is desired a
  designation can be made there. If so an FBIG
  node is added to file 2005 in Vista.

MAGDINPT(2006.571,123,0)"C\DICOM\IMAGE_IN\A0714
219.DCMCT31"
.

2.
mfgrgt ltmodelgt
ltmodalitygt proc rules acc code txt
data codetxt dta fileimaging svc
Modality.dic entry ACME CT CompanyBETA
CT b12 f0
GECTHISAMAGDIR3GECTMAGDIR4Adatagect.dicRAD
16.
18

3.
File 2006.1, Imaging Site Parameters MAG(2006.1,
1,0)SITESRT34SRT

• Using its M-to-M connection it looks to file
  2006.1 for the current write location which
  indicates the logical drive to place the data on
  and sends the data to the proper RAID drive
• Again, using its M-to-M connection, it then puts
  the data in file 2005 on Vista placing the entry
  location from the RAID in pieces 3 and 4 and
  takes care of multiple images and sibling images
• Vista then adds an entry in the BP Jukebox queue
  to get the data moved to the Jukebox
• Once processed the entry comes out of MAGDINPT

RAID 1

RAID 2
RAID 3
RAID 4
5.
4.
MAG(2005,3702,0)Imagpatient,one
0000099991135XRAY MAG(2005,3702,1,0)200
5.04P99 MAG(2005,3702,1,1,0)3703 MAG(2005,370
2,1,2,0)3704 MAG(2005,3702,1,3,0)3705 MAG(2005
,3702,1,4,0)3706 MAG(2005,3702,1,5,0)3707 MAG(
2005,3702,1,6,0)3708 MAG(2005,3702,1,7,0)3709
MAG(2005,3702,1,8,0)3710 MAG(2005,3702,1,9,0)37
11 MAG(2005,3702,2)3030507.1337126BARIUM
SWALLOW3030507.133174971
40)RAD17515229
MAG(2005,3703,0) Imagpatient,one 000009999
DM003703.TGA33135XRAY3702
2)3030507.1337126Aspiration us3030507.1331
40)RAD17515229
6.
K MAGDINPT(2006.571,123,0)
17.
19

PATIENT 2
IMAGE 2005
AFFECTED FILES
.001 NUMBER (NJ9,0), .01 OBJECT
NAME (RF), 01 1 FILEREF (F), 02 2
DISK VOLUME, MAGNETIC (P2005.2'),
03 2.1 DISK VOLUME, ABSTRACT
(P2005.2'), 04 2.2 DISK VOLUME, WORM
(P2005.2'), 05 . 102 BIG MAGNETIC PATH
(P2005.2'), FBIG1 103 BIG JUKEBOX PATH
(P2005.2'), FBIG2
DICOM FAILED IMAGES 2006.575
.01 FILEPATH (RF), 01 1 FAILED
REASON (S), 02
NETWORK LOCATION 2005.2
VISTA

• .01 NETWORK LOCATION (RF), 01
• PHYSICAL REFERENCE (RFX), 02

IMAGING SITE PARAMETERS 2006.1
.01 NAME (RFX), 01 .03 IMAGE
NETWORK WRITE LOCATION (P2005.2), 03
IMAGE BACKGROUND QUEUE FILE 2006.03
.001 NUMBER (NJ8,0), .01 QUEUE
NAME (F), 01
PACS MESSAGE FILE (2006.5)
.01 DATE (RD), 01 .02 MESSAGE TYPE
(F), 02
RAD/NUC MED PATIENT 70
.01 NAME (RP2'X), 01 2
REGISTERED EXAMS (Multiple-70.02), DT0
.01 EXAM DATE (DX), 01 .
50 EXAMINATIONS (Multiple-70.03), P0
.01 CASE NUMBER (NJ5,0X), 01
2 PROCEDURE (P71'X), 02
RAD/NUC MED REPORTS 74
.01 DAY-CASE (RF), 01 2 PATIENT NAME
(RP2'I), 02 . 2005 IMAGE
(Multiple-74.02005), 20050 .01
IMAGE (MP2005'), 01
18.
20

Imaging Gateways
TEXT GATEWAY
IMAGE GATEWAY
When I talk about the Image_in folder I am
talking about the Image Gateway Image_in folder
and the MAGDINPT global

M DATABASE
M DATABASE
Windows
Windows
1. MODALITY WORKLIST (via DICOM)2.
Worklist.dic
1. MAGDWLST 2. MAGDICOM 3. MAGDMLOG 4. TMP 5.
UTILITY
1. MAGDINPT 2. MAGDICOM 3. MAGDMLOG 4. TMP 5.
UTILITY
1. IMAGE_IN2. Instrument.dic3. Modality.dic
MAGDINPT(2006.571,0)"DICOM RAW
IMAGE2006.5717393231" MAGDINPT(2006.571,714219
,0)"C\DICOM\IMAGE_IN\A0714219.DCMCT31"
MAGDINPT RAW DATA FROM IMAGE IN
MAGDICOM(2006.51,0)"DICOM DATA ELEMENT
DICTIONARY2006.5143264326"
MAGDICOM DICOM DATA ELEMENT DICTIONARY
MAGDWLST(2006.55,405,1,1,0)"405IMAGPATIENTONE
000009999000-00-9999 MAGDWLST(2006.55,405,1,1,1
,0)"2006.5522MEDICAL ALERT55" MAGDWLST(2006.5
5,405,1,1,1,1,0)"ALLERGIES"
MAGDWLST MODALITY WORKLIST
MAGDMLOG(121214,1,167,0)"Wed 1120 Update
Modality Worklist -- EXAM CHANGE
--HL7(484729)" MAGDMLOG(121214,1,168,0)"Wed
1120 Update Modality Worklist -- ORDER ENTRY --
HL7(484730)" MAGDMLOG(121214,1,169,0)"Wed 1121
Update Modality Worklist -- EXAM VERIFICATION --
HL7(484731)"
MAGDMLOG ACTIVITY LOG TEXT GATEWAY
MAGDMLOG(712,1,7,0)"
" MAGDMLOG(71
2,1,8,0)" Network error 1b (Job 21) on NOV
30, 2005 at 113041 " MAGDMLOG(712,1,9,0)"

" MAGDMLOG(712,2,1,0)"60234,41437S
TEP116MAGDCST1" MAGDMLOG(712,2,5,0)"60234,41
437RECV4MAGDCST2" MAGDMLOG(712,2,6,0)"60234
,41441ERRORMSG5MAGDCST1" MAGDMLOG(713,0)"22
60234,41441Storage through port 60000 with
10.14.12.47,MXL5250NF5
MAGDMLOG ACTIVITY LOG IMAGE GATEWAY
19.
21

• If the system is unable to convert the image,
  that is if it cannot match the image to a
  patient, or a study on Vista via the M-to-M
  connection,
• An entry gets made in the Dicom Failed Images
  file 2006.575 via the M-to-M connection.
• At that point Radiology needs to fix the problem.
  
• Once fixed the Process job will check for fixed
  images and finish processing the image once found
  in the same manner as before...

PATIENT 2
IMAGE_IN
1.
.

PATIENTS


HECpatient,One
JPEGpatient,One

Patient IMAGpatient,One SSN000-00-6666
Accession
3.
2.
DICOM FAILED IMAGES 2006.575
MAGD DICOM MENU Dicom Menu Options
Correct Clinical Specialties DICOM File Entries
MAGD FIX CLINSPEC DICOM FILE Correct
RAD-DICOM File Entries MAGD FIX DICOM FILE
List Unread Studies MAGD LIST UNREAD
STUDIES Print Dicom Failed Image File
Entries. MAGD PRINT DICOM FILE Select Dicom
Menu Options Option
.01 FILEPATH (RF), 01 1 FAILED
REASON (S), 02
4.
20.
Goes back to original process in slide(s)16-17
22

IMAGE_IN
1. At this point the image is processed as before
1.
MAGDINPT(2006.571,123,0)"C\DICOM\IMAGE_IN\A0714
219.DCMCT31"
4.

MAG(2005,3702,0)Imagpatient,one
0000099991135XRAY MAG(2005,3702,1,0)200
5.04P99 MAG(2005,3702,1,1,0)3703 MAG(2005,370
2,1,2,0)3704 MAG(2005,3702,1,3,0)3705 MAG(2005
,3702,1,4,0)3706 MAG(2005,3702,1,5,0)3707 MAG(
2005,3702,1,6,0)3708 MAG(2005,3702,1,7,0)3709
MAG(2005,3702,1,8,0)3710 MAG(2005,3702,1,9,0)37
11 MAG(2005,3702,2)3030507.1337126BARIUM
SWALLOW3030507.133174971
40)RAD17515229
2.
MAG(2005,3703,0)Imagpatient,one
000009999DM003703.TGA33135XRAY3702
2)3030507.1337126Aspiration
us3030507.1331 40)RAD17515229
RAID 1
3.
RAID 2
MAG(2006.1,1,0)SITESRT 34SRT
5.
RAID 3
6.
RAID 4
K MAGDINPT(2006.571,123,0
21.
23

PATIENT 2
IMAGE 2005
VISTA FILES AFFECTED
.001 NUMBER (NJ9,0), .01 OBJECT
NAME (RF), 01 1 FILEREF (F), 02 2
DISK VOLUME, MAGNETIC (P2005.2'),
03 2.1 DISK VOLUME, ABSTRACT
(P2005.2'), 04 2.2 DISK VOLUME, WORM
(P2005.2'), 05 . 102 BIG MAGNETIC PATH
(P2005.2'), FBIG1 103 BIG JUKEBOX PATH
(P2005.2'), FBIG2
DICOM FAILED IMAGES 2006.575
.01 FILEPATH (RF), 01 1 FAILED
REASON (S), 02
NETWORK LOCATION 2005.2
VISTA

• .01 NETWORK LOCATION (RF), 01
• PHYSICAL REFERENCE (RFX), 02

IMAGING SITE PARAMETERS 2006.1
.01 NAME (RFX), 01 .03 IMAGE
NETWORK WRITE LOCATION (P2005.2), 03
IMAGE BACKGROUND QUEUE FILE 2006.03
.001 NUMBER (NJ8,0), .01 QUEUE
NAME (F), 01
PACS MESSAGE FILE (2006.5)
.01 DATE (RD), 01 .02 MESSAGE TYPE
(F), 02
RAD/NUC MED PATIENT 70
.01 NAME (RP2'X), 01 2
REGISTERED EXAMS (Multiple-70.02), DT0
.01 EXAM DATE (DX), 01 .
50 EXAMINATIONS (Multiple-70.03), P0
.01 CASE NUMBER (NJ5,0X), 01
2 PROCEDURE (P71'X), 02
RAD/NUC MED REPORTS 74
.01 DAY-CASE (RF), 01 2 PATIENT NAME
(RP2'I), 02 . 2005 IMAGE
(Multiple-74.02005), 20050 .01
IMAGE (MP2005'), 01
22.
24

IMAGE GATEWAY
IMAGING SERVERS
Jukebox
RAID
Image Acquisition
IMAGE_IN
MAG(2006.03,
BP
VISTA

Step 4. Vista queues up an entry in the BP for
Jukebox transfer.
RADIOLOGY
TEXT GATEWAY
MODALITY WORKLIST
Image Capture Station
23.
25

IMAGE GATEWAY
IMAGING SERVERS
Jukebox
RAID
Image Acquisition
IMAGE_IN
MAG(2005,
MAG(2005,3703,0)Imagpatient,one 000009999
DM003703.TGA335135XRAY3702
2)3030507.1337126Aspiration
us3030507.1331 40)RAD17515229
BP

VISTA
Step 5. The BP copies images from RAID and
moves them to the jukebox and then updates the
reference in piece 5 of the zero node in file
2005.
RADIOLOGY
TEXT GATEWAY
MODALITY WORKLIST
Image Capture Station
24.
26

PATIENT 2
IMAGE 2005
.001 NUMBER (NJ9,0), .01 OBJECT
NAME (RF), 01 1 FILEREF (F), 02 2
DISK VOLUME, MAGNETIC (P2005.2'),
03 2.1 DISK VOLUME, ABSTRACT
(P2005.2'), 04 2.2 DISK VOLUME, WORM
(P2005.2'), 05 . 102 BIG MAGNETIC PATH
(P2005.2'), FBIG1 103 BIG JUKEBOX PATH
(P2005.2'), FBIG2
Affected files
DICOM FAILED IMAGES 2006.575
NETWORK LOCATION 2005.2
.01 FILEPATH (RF), 01 1 FAILED
REASON (S), 02
VISTA
.01 NETWORK LOCATION (RF), 01 1
PHYSICAL REFERENCE (RFX), 02
IMAGING SITE PARAMETERS 2006.1
.01 NAME (RFX), 01
IMAGE BACKGROUND QUEUE FILE 2006.03
.001 NUMBER (NJ8,0), .01 QUEUE
NAME (F), 01
PACS MESSAGE FILE (2006.5)
.01 DATE (RD), 01 .02 MESSAGE TYPE
(F), 02
RAD/NUC MED PATIENT 70
.01 NAME (RP2'X), 01 2
REGISTERED EXAMS (Multiple-70.02), DT0
.01 EXAM DATE (DX), 01 .
50 EXAMINATIONS (Multiple-70.03), P0
.01 CASE NUMBER (NJ5,0X), 01
2 PROCEDURE (P71'X), 02
RAD/NUC MED REPORTS 74
.01 DAY-CASE (RF), 01 2 PATIENT NAME
(RP2'I), 02 . 2005 IMAGE
(Multiple-74.02005), 20050 .01
IMAGE (MP2005'), 01
25.
27

IMAGE GATEWAY
Image Acquisition
An alternate method of image acquisition is
Image workstation capture. In this case the
Image Capture software handles all operations
itself.
MAG(2005,
VISTA

RADIOLOGY
TEXT GATEWAY
Image Capture Station
26.
28

PATIENT 2
IMAGE 2005
SAME FILES AFFECTED
.001 NUMBER (NJ9,0), .01 OBJECT
NAME (RF), 01 1 FILEREF (F), 02 2
DISK VOLUME, MAGNETIC (P2005.2'),
03 2.1 DISK VOLUME, ABSTRACT
(P2005.2'), 04 2.2 DISK VOLUME, WORM
(P2005.2'), 05 . 102 BIG MAGNETIC PATH
(P2005.2'), FBIG1 103 BIG JUKEBOX PATH
(P2005.2'), FBIG2
DICOM FAILED IMAGES 2006.575
.01 FILEPATH (RF), 01 1 FAILED
REASON (S), 02
NETWORK LOCATION 2005.2
VISTA

• .01 NETWORK LOCATION (RF), 01
• PHYSICAL REFERENCE (RFX), 02

IMAGING SITE PARAMETERS 2006.1
.01 NAME (RFX), 01 .03 IMAGE
NETWORK WRITE LOCATION (P2005.2), 03
IMAGE BACKGROUND QUEUE FILE 2006.03
.001 NUMBER (NJ8,0), .01 QUEUE
NAME (F), 01
PACS MESSAGE FILE (2006.5)
.01 DATE (RD), 01 .02 MESSAGE TYPE
(F), 02
RAD/NUC MED PATIENT 70
.01 NAME (RP2'X), 01 2
REGISTERED EXAMS (Multiple-70.02), DT0
.01 EXAM DATE (DX), 01 .
50 EXAMINATIONS (Multiple-70.03), P0
.01 CASE NUMBER (NJ5,0X), 01
2 PROCEDURE (P71'X), 02
RAD/NUC MED REPORTS 74
.01 DAY-CASE (RF), 01 2 PATIENT NAME
(RP2'I), 02 . 2005 IMAGE
(Multiple-74.02005), 20050 .01
IMAGE (MP2005'), 01
27.
29

Image Gateways
IMAGE GATEWAY
TEXT GATEWAY
In this case the Imaging gateways are bypassed.
The Capture Client Software handles the
transactions directly.

M DATABASE
M DATABASE
Windows
Windows
1. MODALITY WORKLIST (via DICOM)2.
Worklist.dic

1. MAGDWLST 2. MAGDICOM 3. MAGDMLOG 4. TMP 5.
UTILITY
1. MAGDINPT 2. MAGDICOM 3. MAGDMLOG 4. TMP 5.
UTILITY
1. IMAGE_IN2. Instrument.dic3. Modality.dic
MAGDINPT(2006.571,0)"DICOM RAW
IMAGE2006.5717393231" MAGDINPT(2006.571,714219
,0)"C\DICOM\IMAGE_IN\A0714219.DCMCT31"
MAGDINPT RAW DATA FROM IMAGE IN
MAGDICOM(2006.51,0)"DICOM DATA ELEMENT
DICTIONARY2006.5143264326"
MAGDICOM DICOM DATA ELEMENT DICTIONARY
MAGDWLST(2006.55,405,1,1,0)"405IMAGPATIENTONE
000009999000-00-9999 MAGDWLST(2006.55,405,1,1,1
,0)"2006.5522MEDICAL ALERT55" MAGDWLST(2006.5
5,405,1,1,1,1,0)"ALLERGIES"
MAGDWLST MODALITY WORKLIST
MAGDMLOG(121214,1,167,0)"Wed 1120 Update
Modality Worklist -- EXAM CHANGE
--HL7(484729)" MAGDMLOG(121214,1,168,0)"Wed
1120 Update Modality Worklist -- ORDER ENTRY --
HL7(484730)" MAGDMLOG(121214,1,169,0)"Wed 1121
Update Modality Worklist -- EXAM VERIFICATION --
HL7(484731)"
MAGDMLOG ACTIVITY LOG TEXT GATEWAY
MAGDMLOG(712,1,7,0)"
" MAGDMLOG(71
2,1,8,0)" Network error 1b (Job 21) on NOV
30, 2005 at 113041 " MAGDMLOG(712,1,9,0)"

" MAGDMLOG(712,2,1,0)"60234,41437S
TEP116MAGDCST1" MAGDMLOG(712,2,5,0)"60234,41
437RECV4MAGDCST2" MAGDMLOG(712,2,6,0)"60234
,41441ERRORMSG5MAGDCST1" MAGDMLOG(713,0)"22
60234,41441Storage through port 60000 with
10.14.12.47,MXL5250NF5
MAGDMLOG ACTIVITY LOG IMAGE GATEWAY
28.
30

IMAGE GATEWAY
Image Acquisition
Vista again places an entry in the Jukebox queue.
BP
MAG(2005,
VISTA

RADIOLOGY
TEXT GATEWAY
Image Capture Station
29.
31

IMAGE GATEWAY
Image Acquisition
The BP copies images from RAID and moves them to
the jukebox and then updates the reference in
piece 5 of the zero node in file 2005.
MAG(2005,
BP
MAG(2005,3703,0)Imagpatient,one 000009999
DM003703.TGA335135XRAY3702
2)3030507.1337126Aspiration
us3030507.1331 40)RAD17515229

VISTA
RADIOLOGY
TEXT GATEWAY
Image Capture Station
30.
32

• The Capture Client takes care of importing
  images.
• It looks to file 2006.1 for the current write
  location and sends the data to the proper RAID
  drive
• It then puts the data in file 2005 on Vista
  placing the entry location from the RAID in
  pieces 3 and 4 and takes care of multiple images
  and sibling images
• Vista then adds an entry in the BP Jukebox queue
  to get the data moved to the Jukebox. All work
  on Vista is done Using the BPs RPC connection.

BGP
1.
.

RAID 1
2.
4.
RAID 2
MAG(2006.1,1,0)SITESRT 34SRT
3.
MAG(2005,3702,0)Imagpatient,one
0000099991135XRAY MAG(2005,3702,1,0)200
5.04P99 MAG(2005,3702,1,1,0)3703 MAG(2005,370
2,1,2,0)3704 MAG(2005,3702,1,3,0)3705 MAG(2005
,3702,1,4,0)3706 MAG(2005,3702,1,5,0)3707 MAG(
2005,3702,1,6,0)3708 MAG(2005,3702,1,7,0)3709
MAG(2005,3702,1,8,0)3710 MAG(2005,3702,1,9,0)37
11 MAG(2005,3702,2)3030507.1337126BAR...303
0507.133174971
40)RAD17515229
RAID 3
MAG(2005,3703,0) Imagpatient,one 000009999
DM003703.TGA33135XRAY3702
2)3030507.1337126Aspiration us3030507.1331
40)RAD17515229
RAID 4
31.
33

PATIENT 2
IMAGE 2005
SAME FILES AFFECTED
.001 NUMBER (NJ9,0), .01 OBJECT
NAME (RF), 01 1 FILEREF (F), 02 2
DISK VOLUME, MAGNETIC (P2005.2'),
03 2.1 DISK VOLUME, ABSTRACT
(P2005.2'), 04 2.2 DISK VOLUME, WORM
(P2005.2'), 05 . 102 BIG MAGNETIC PATH
(P2005.2'), FBIG1 103 BIG JUKEBOX PATH
(P2005.2'), FBIG2
DICOM FAILED IMAGES 2006.575
.01 FILEPATH (RF), 01 1 FAILED
REASON (S), 02
NETWORK LOCATION 2005.2
VISTA

• .01 NETWORK LOCATION (RF), 01
• PHYSICAL REFERENCE (RFX), 02

IMAGING SITE PARAMETERS 2006.1
.01 NAME (RFX), 01 .03 IMAGE
NETWORK WRITE LOCATION (P2005.2), 03
IMAGE BACKGROUND QUEUE FILE 2006.03
.001 NUMBER (NJ8,0), .01 QUEUE
NAME (F), 01
PACS MESSAGE FILE (2006.5)
.01 DATE (RD), 01 .02 MESSAGE TYPE
(F), 02
.01 NAME (RP2'X), 01 2
REGISTERED EXAMS (Multiple-70.02), DT0
.01 EXAM DATE (DX), 01 .
50 EXAMINATIONS (Multiple-70.03), P0
.01 CASE NUMBER (NJ5,0X), 01
2 PROCEDURE (P71'X), 02
32.
34
OTHER APPLICATIONS
API
CLINICAL PROCEDURES
VISTA IMAGING
IMED CONSENT
GCC/HEC
VIC
32(a).
35

IMAGE GATEWAY
IMAGING SERVERS
Jukebox
RAID
Image Acquisition
IMAGE_IN
This process goes on simultaneously throughout
the work day.
BP
API
VISTA

MAGDHL7
RADIOLOGY
TEXT GATEWAY
MODALITY WORKLIST
Image Capture Station
33.
36

Jukebox
IMAGING SERVERS
RAID
Viewing Images
FILE 2005(IMAGE File)
VISTA
MAG(2005,X,0)object_namexxx000010101.jpg123
. MAG(200..5,X,FBIG)23

• When a Clinical Workstation or VistaRad needs to
  look up an image it uses its RPC connection to
  look at the 0 node of the entry in file 2005 on
  VistA, piece 3 for the RAID, piece 4 for the ABS
  Location of the image. If a .BIG file
  is available the Full Res option turns on.

BP
Clinical Workstations
34.
37

PATIENT 2
IMAGE 2005
.001 NUMBER (NJ9,0), .01 OBJECT
NAME (RF), 01 1 FILEREF (F), 02 2
DISK VOLUME, MAGNETIC (P2005.2'),
03 2.1 DISK VOLUME, ABSTRACT
(P2005.2'), 04 2.2 DISK VOLUME, WORM
(P2005.2'), 05 . 102 BIG MAGNETIC PATH
(P2005.2'), FBIG1 103 BIG JUKEBOX PATH
(P2005.2'), FBIG2
File 2005 entries for image locations are
pointers to the Network Location file 2005.2
NETWORK LOCATION 2005.2
VISTA
.01 NETWORK LOCATION (RF), 01 1
PHYSICAL REFERENCE (RFX), 02
RAD/NUC MED REPORTS 74
35.
38

Viewing Images
FILE 2005
VISTA
MAG(2005,X,0)object_namexxx000010101.jpg123
. MAG(200..5,X,FBIG)23
2. With the information from Vista the work
station pulls the image from the RAID array and
gets the Image and Patient information from Vista.
BP
Clinical Workstations
36.
39

Viewing Images
FILE 2005
VISTA
MAG(2005,X,0)object_namexxx000010101.jpg23
. MAG(200..5,X,FBIG)23
3. If the image does not exist on RAID Image
Display looks to the 5th piece of node 0, finds
the Network Location of the Jukebox image and
retrieves the image for the user. Image Display
then calls up a JBTOHD queue to get piece 3
populated
BP
Clinical Workstations
37.
40

Viewing Images
FILE 2005
VISTA
MAG(2005,X,0)object_namexxx000010101.jpg123
. MAG(200..5,X,FBIG)23
4. After the fact the JBTOHD queue moves a copy
of the image to the RAID and updates the 3 piece
of the images zero node as to the new magnetic
location.
BP
VistARad
Clinical Workstations
38.
41

PATIENT 2
IMAGE 2005
FILES AFFECTED
.001 NUMBER (NJ9,0), .01 OBJECT
NAME (RF), 01 1 FILEREF (F), 02 2
DISK VOLUME, MAGNETIC (P2005.2'),
03 2.1 DISK VOLUME, ABSTRACT
(P2005.2'), 04 2.2 DISK VOLUME, WORM
(P2005.2'), 05 . 102 BIG MAGNETIC PATH
(P2005.2'), FBIG1 103 BIG JUKEBOX PATH
(P2005.2'), FBIG2
DICOM FAILED IMAGES 2006.575
.01 FILEPATH (RF), 01 1 FAILED
REASON (S), 02
NETWORK LOCATION 2005.2
VISTA

• .01 NETWORK LOCATION (RF), 01
• PHYSICAL REFERENCE (RFX), 02

IMAGING SITE PARAMETERS 2006.1
.01 NAME (RFX), 01 .03 IMAGE
NETWORK WRITE LOCATION (P2005.2), 03
IMAGE BACKGROUND QUEUE FILE 2006.03
.001 NUMBER (NJ8,0), .01 QUEUE
NAME (F), 01
PACS MESSAGE FILE (2006.5)
.01 DATE (RD), 01 .02 MESSAGE TYPE
(F), 02
RAD/NUC MED PATIENT 70
.01 NAME (RP2'X), 01 2
REGISTERED EXAMS (Multiple-70.02), DT0
.01 EXAM DATE (DX), 01 .
50 EXAMINATIONS (Multiple-70.03), P0
.01 CASE NUMBER (NJ5,0X), 01
2 PROCEDURE (P71'X), 02
RAD/NUC MED REPORTS 74
.01 DAY-CASE (RF), 01 2 PATIENT NAME
(RP2'I), 02 . 2005 IMAGE
(Multiple-74.02005), 20050 .01
IMAGE (MP2005'), 01
39.
42

Viewing Images
FILE 2005
VISTA
MAG(2005,X,0)object_namexxx000010101.jpg123
. MAG(200..5,X,FBIG)23
5. When VistARad needs a CR (or a DX) image it
looks to Vista to find the .BIG image in node
FBIG piece 1.
BP
Clinical Workstations
40.
43

Viewing Images
FILE 2005
VISTA
MAG(2005,X,0)object_namexxx000010101.jpg123
. MAG(200..5,X,FBIG)23
6. If the .BIG CR image is found on RAID it is
moved to the VistARad workstation.
BP
VistARad
Clinical Workstations
41.
44

Viewing Images
FILE 2005
VISTA
MAG(2005,X,0)object_namexxx000010101.jpg123
. MAG(200..5,X,FBIG)3
7. If the .BIG CR file is not stored on RAID, and
therefore the 1st piece is blank then the 2nd
piece is checked and Vista looks to the Jukebox
for the CR Image and queues up an entry in the
JBTOHD BP queue.
BP
Clinical Workstations
42.
45

Viewing Images
FILE 2005
VISTA
MAG(2005,X,0)object_namexxx000010101.jpg123
. MAG(200..5,X,FBIG)23
8. The JBTOHD queue moves the CR .BIG image back
to RAID and places an entry in the 1st piece
again.
BP
Clinical Workstations
43.
46

Viewing Images
FILE 2005
VISTA
MAG(2005,X,0)object_namexxx000010101.jpg123
. MAG(200..5,X,FBIG)23
9. At this point the CR .BIG image is retrieved
as in the first example of finding the image in
the 1st piece.
BP
Clinical Workstations
44.
47

VISTA IMAGING FILES
PATIENT IMAGES AND REPORTS (WARNING GEEKY
CONTENT)
45.
48

FILES AFFECTED
PATIENT 2
NUMBER .01 NAME (RFXa), 01 . .
VISTA
IMAGE 2005
001 NUMBER (NJ9,0), .01 OBJECT
NAME (RF), 01 5 PATIENT (P2),
07 16 PARENT DATA FILE (P2005.03),
26 17 PARENT GLOBAL ROOT D0 (NJ10,0),
27 61 RADIOLOGY REPORT (P74'), PACS2
.
RAD/NUC MED PATIENT 70
.01 NAME (RP2'X), 01 2
REGISTERED EXAMS (Multiple-70.02), DT0
.01 EXAM DATE (DX), 01 .
50 EXAMINATIONS (Multiple-70.03), P0
.01 CASE NUMBER (NJ5,0X), 01
2 PROCEDURE (P71'X), 02
17 REPORT TEXT (P74'I), 017
RAD/NUC MED REPORTS 74
.01 DAY-CASE (RF), 01 2 PATIENT
NAME (RP2'I), 02 3 EXAM DATE/TIME
(RDI), 03 4 CASE NUMBER (RNJ4,0I),
04 2005 IMAGE (Multiple-74.02005),
20050 .01 IMAGE (MP2005'), 01
46.
49

47.
39.
50

48.
40.
51

• PATIENT FILE
• Select PATIENT NAME 12 IMAGpatient, One
  2-19-49 000006666 NO
• NSC VETERAN
• ANOTHER ONE
• STANDARD CAPTIONED OUTPUT? Yes// (Yes)
• Include COMPUTED fields (N/Y/R/B) NO//
• NAME IMAGpatient, One SEX FEMALE
• DATE OF BIRTH 02/19/1949
  EMPLOYMENT STATUS UNEMPLOYED
• MARITAL STATUS MARRIED RACE
  WHITE, NOT OF HISPANIC

49.
52

• RAD/NUC MED PATIENT FILE
• NAME IMAGpatient, One USER WHO ENTERED PATIENT
  IMAGEPROVIDER,ONE
• EXAM DATE FEB 21, 2002_at_1709 TYPE OF
  IMAGING GENERAL RADIOLOGY
• HOSPITAL DIVISION SALT LAKE CITY IMAGING
  LOCATION TD-RAD
• CASE NUMBER 108
  PROCEDURE HAND 1 OR 2 VIEWS
• EXAM STATUS EXAMINED CATEGORY
  OF EXAM RESEARCH
• WARD 4 WEST SERVICE
  MEDICINE
• PRINCIPAL CLINIC RADIOLOGY CONTRAST
  MEDIA USED NO
• IMAGING ORDER IMAGpatient, One REQUESTING
  PHYSICIAN IMAGEPROVIDER,ONE
• COMPLICATION NO COMPLICATION REPORT
  TEXT 022102-108
• BEDSECTION MEDICAL ICU/CCU REQUESTED
  DATE FEB 21, 2002
• REQUESTING LOCATION 4 WEST CREDIT
  METHOD Regular Credit
• FILM SIZE 8 1/2 x 11
• CLINICAL HISTORY FOR EXAM VISTARAD TEST
• LOG DATE FEB 21, 2002_at_1711 TYPE OF
  ACTION EXAM ENTRY

50.
53

• RAD/NUC MED REPORTS FILE
• DAY-CASE 022102-108 PATIENT
  NAME IMAGpatient, One
• EXAM DATE/TIME FEB 21, 2002_at_1709 CASE
  NUMBER 108
• REPORT STATUS VERIFIED
• DATE REPORT ENTERED JUN 07, 2002_at_134123
• VERIFIED DATE JUN 07, 2002_at_1346 REPORTED
  DATE JUN 07, 2002
• VERIFYING PHYSICIAN IMAGEPROVIDER,ONE
• ELECTRONIC SIGNATURE CODE ltHiddengt
• STATUS CHANGED TO VERIFIED BY IMAGEUSER,ONE
• IMAGE IMAGpatient, One 000-00-6666 HAND 1 OR 2
  VIEWS (1549)
• IMPRESSION TEXT See report.
• LOG DATE MAR 01, 2002_at_1015 TYPE OF
  ACTION IMAGES COLLECTED
• COMPUTER USER POSTMASTER
• LOG DATE JUN 07, 2002_at_1341
• TYPE OF ACTION INITIAL REPORT TRANSCRIPTION
• COMPUTER USER IMAGEUSER,ONE

51.
54

• IMAGE FILE
• NUMBER 1549
• OBJECT NAME IMAGpatient, One 000-00-6666 HAND 1
  OR 2 VIEWS
• OBJECT TYPE XRAY GROUP PATIENT
  IMAGpatient, One
• PROCEDURE RAD CR
• OBJECT GROUP IMAGpatient, One 000-00-6666 HAND
  1 OR 2 VIEWS
• DICOM SERIES NUM 0 DICOM
  IMAGE NUM 30711000
• DATE/TIME IMAGE SAVED MAR 01, 2002_at_101536
• SHORT DESCRIPTION HAND 1 OR 2 VIEWS
• PROCEDURE/EXAM DATE/TIME FEB 21, 2002_at_1709
• PARENT DATA FILE RADIOLOGY PARENT
  GLOBAL ROOT D0 78
• PACKAGE INDEX RAD CLASS
  INDEX CLIN
• TYPE INDEX IMAGE
  PROC/EVENT INDEX COMPUTED RADIOGRAPHY
• SPEC/SUBSPEC INDEX RADIOLOGY
• PACS UID 1.3.46.670589.8.9521400214013.15005
• RADIOLOGY REPORT 022102-108 PACS
  PROCEDURE HAND 1 OR 2 VIEWS

52.
55

53.
39.
56
54.
57
54(A).
58

VISTA IMAGING FILES
NETWORK LOCATIONS
55.
59

FILES AFFECTED
IMAGING SITE PARAMETERS FILE (2006.1)
.01 NAME (RFX), 01 .02 CURRENT
NAMESPACE (RFX), 02 .03 IMAGE NETWORK
WRITE LOCATION (P2005.2), 03 11
PERCENT SERVER RESERVE (NJ2,0), 18 20
NO AUTOWRITE UPDATE (S), 110 21
PURGE-RETEN DAYS PACS BIG FILE (NJ5,0), 31 22
PURGE-RETENTION DAYS BIG FILE (NJ5,0),
32 23 PURGE-RETENTION DAYS ABS FILE
(NJ4,0), 33 24 PURGE-RETENTION DAYS
PACS ABS (NJ4,0), 34 50 NET USERNAME
(F), NET1 51 NET PASSWORD (FXO),
NET2 54 JUKEBOX DEFAULT (P2006.032'),
16 60 NEW AUTOPURGE (S), 51

VISTA
IMAGE 2005
.001 NUMBER (NJ9,0), .01 OBJECT
NAME (RF), 01 1 FILEREF (F), 02 2
DISK VOLUME, MAGNETIC (P2005.2'),
03 2.1 DISK VOLUME, ABSTRACT
(P2005.2'), 04 2.2 DISK VOLUME, WORM
(P2005.2'), 05 5 PATIENT (P2),
07 . 102 BIG MAGNETIC PATH (P2005.2'),
FBIG1 103 BIG JUKEBOX PATH (P2005.2'),
FBIG2
.
NETWORK LOCATION FILE(2005.2)
.01 NETWORK LOCATION (RF), 01 1
PHYSICAL REFERENCE (RFX), 02 5
OPERATIONAL STATUS (RSX), 06 6 STORAGE
TYPE (RS), 07 7 HASH SUBDIRECTORY
(SX), 08 28 MUSE SITE (NJ2,0),
61 29 MUSE VERSION (P2006.17'), 62
56.
60

57.
61

58.
62

59.
63

OUTPUT FROM WHAT FILE INSTALL// NETWORK LOCATION
(12 entries) Select NETWORK LOCATION ?
DIAGRAMS \\VHAWRJFPC5\DIAGRAMS\ GCC1
\\VHAHECFTP1\405\ MAG1H
\\VHAWRJCLU4A\IMAGE1\ MAG2H
\\VHAWRJCLU4A\IMAGE4\ MAG3H
\\VHAWRJCLU4A\IMAGE3\ MAG4H
\\VHAWRJCLU4A\IMAGE2\ MAG5H
\\VHAWRJCLU4A\IMAGE5\ VHAWRJMUS1
\\VHAPROMUSE1\VOL000\ WORMOTG
\\VHAWRJIMMJB1\IMAGEJB1\ WORMOTG2
\\VHAWRJIMMJB1\IMAGEJB2\

60.
64

NETWORK LOCATION MAG1H PHYSICAL REFERENCE
\\VHAWRJCLU4A\IMAGE1\ TOTAL SPACE
1614959665152 FREE SPACE
1204494073856 OPERATIONAL STATUS On-Line
STORAGE TYPE MAGNETIC HASH SUBDIRECTORY
YES ROUTER 0 NETWORK LOCATION
WORMOTG2 PHYSICAL REFERENCE \\VHAWRJIMMJB1\IMAG
EJB2\ OPERATIONAL STATUS On-Line
STORAGE TYPE WORM-OTG HASH SUBDIRECTORY YES
ROUTER 0
61.
65

VISTA IMAGING FILES
IMAGING SITE PARAMETERS
62.
66

FILES AFFECTED

VISTA
IMAGING SITE PARAMETERS FILE (2006.1)

• .01 NAME (RFX), 01
• .02 CURRENT NAMESPACE (RFX), 02
• .03 IMAGE NETWORK WRITE LOCATION (P2005.2),
  03
• 8 PURGE-RETENTION DAYS FULL FILE (NJ6,0),
  12
• PURGE-RETENTION DAYS PACS FILE (NJ6,0), 15
• 11 PERCENT SERVER RESERVE (NJ2,0), 18
• 20 NO AUTOWRITE UPDATE (S), 110
• 21 PURGE-RETEN DAYS PACS BIG FILE (NJ5,0),
  31
• 22 PURGE-RETENTION DAYS BIG FILE (NJ5,0),
  32
• 23 PURGE-RETENTION DAYS ABS FILE (NJ4,0),
  33
• 24 PURGE-RETENTION DAYS PACS ABS (NJ4,0),
  34
• 50 NET USERNAME (F), NET1
• 51 NET PASSWORD (FXO), NET2
• 54 JUKEBOX DEFAULT (P2006.032'), 16

.
63.
67

64.
68

68.
65.
69

NAME WHITE RIVER JCT VAMROC CURRENT
NAMESPACE WRJ IMAGE NETWORK WRITE LOCATION
MAG5H GCC EXPORT LOC GCC1 SITE CODE WRJ
PURGE-RETENTION DAYS FULL
FILE 600 PURGE-RETENTION DAYS PACS FILE 600
JUKEBOX DEFAULT WORMOTG2 SERVER TASK 813682
PERCENT SERVER RESERVE 10
RADIOLOGY HOLDS NO RADIOLOGY HOLDS NO
AUTOWRITE UPDATE AUTOWRITE UPDATE OK FILE TYPES
TXT PURGE-RETEN DAYS PACS BIG FILE 600
PURGE-RETENTION DAYS BIG FILE 600
PURGE-RETENTION DAYS ABS FILE 600
PURGE-RETENTION DAYS PACS ABS 270 PCT FREE
SPACE DICOM MSGS 10 RETENTION DAYS DICOM
MSGS 15 CRITICAL LOW MESSAGE INTERVAL 6
DATE OF LAST CRITICAL MESSAGE MAY 15,
2006_at_060131 MULTI NAMESPACE WR CT PRESETS
Abdomen3501040Bone5001274Disk9501240Head
801040Lung100 0300Mediastinum5001040
DICOM GATEWAY ACCESS CODE lthiddengt
DICOM GATEWAY VERIFY CODE lthiddengt USE CAPTURE
KEYS TRUE TIMEOUT WINDOWS DISPLAY 120
TIMEOUT WINDOWS CAPTURE 300 VERSION CHECKING
YES TELEREADER TIMEOUT (MINUTES)
180 NET USERNAME VHA01\VHAWRJIU NET
PASSWORD ltHiddengt NET SITE SERVICE
VISTASITESERVICE PACS INTERFACE SWITCH ON
PACS INTERFACE PACS IMAGE WRITE LOCATION
MAG5H DEFAULT USER PREFERENCE IMAGEUSER,ONE
(SETTING 1) DEFAULT MUSE SITE 1

66.
70
67.
71

VISTA IMAGING FILES
PRACTICAL APPLICATIONS (Whew, we got through
the geeky part. Now lets get back to easier to
understand slides)
68.
72

BP Verifier
RAID
Jukebox
VISTA
IMAGING SERVERS
MAG(2005,
Knowing what we do now, how do you think the BP
Verifier works?

BP
69.
73

BP VERIFIER
VISTA
Jukebox
MAG(2005,
MAG(2005,"E","DM000000003279.TGA",3279) MAG(200
5,"E","DM000000003280.TGA",3280) MAG(2005,"E","D
M000000003281.TGA",3281) MAG(2005,"E","DM0000000
03282.TGA",3282) MAG(2005,"E","DM000000003283.TG
A",3283) MAG(2005,"E","DM000000003284.TGA",3284)
MAG(2005,"E","DM000000003285.TGA",3285) MAG(2
005,"E","DM000000003286.TGA",3286)
The Verifier is started on the BP. It runs
through an IEN range of images that you provide.
It has access to the Image file, 2005, on Vista
so it can use the cross references there to do a
quick lookup of the Image in question in the
Image database.

BP
70.
74

BP VERIFIER
VISTA
Jukebox
MAG(2005,
MAG(2005,3282,0)IMAGpatient,One 000-00-6666
MAGNETIC IMAGE,BRAINDM000000003282. TGA22631
011MR32780 2)3021127.104051
MAGNETIC IMAGE,BRAIN
40)RAD17510629 "PACS")1.3.46.67058
9.11.98.4.199704080708000469541
With the image IEN number it can then pull up the
image data and look to pieces 3, 4 and 5 to see
where file 2005 says the image is stored.
Remember these are pointers to the Network
Location file. It also gets the file reference
number of the image.

BP
71.
75

BP VERIFIER
VISTA
Jukebox
MAG(2005,2
MAG(2005.2,0)NETWORK LOCATION2005.2I4338 MAG
(2005.2,2,0)MAG1H\\ISA-B1R331W5\IMAGE\20563165
18462634188801MAGY0 MAG(2005.2,6,0)WORMOTG
\\ISA-B1R331W4\IMAGEJB1\
The BP takes the numbers given to it from file
2005 and goes to Network Location to get the
physical reference.

BP
72.
76

BP VERIFIER
VISTA
Jukebox
From there the BP can go to the Cluster and check
the RAID to see if the file reference name that
it found in the Image file is actually located on
the RAID and Jukebox shares that were referenced.

1. DM000000003282.TGA 2. WORMOTG\\ISA-B1R331W4\IM
AGEJB1 3. MAG1H\\ISA-B1R331W5\IMAGE\
BP
73.
77

BP VERIFIER
VISTA
Jukebox
FILE 2 AND FILE 2005
DM000000003282.TXT BEGIN DATA1 PATIENTS_NAMEIMA
Gpatient,One PATIENTS_ID000-00-6666 PATIENTS_BIRT
H_DATEJUN 10,1945 . .
MAG(2005,3282,0)IMAGpatient,One 000-00-6666
MAGNETIC IMAGE,BRAINDM000000003282. TGA22631
011MR32780 DPT(1011,0)IMAGpatient,OneNMI2
450610299000006666
At this point the BP can also use the pointers to
determine who the patient is and get the
patients SSN and compare that to the SSN in the
.TXT file on the RAID and Jukebox.

BP
74.
78

BP VERIFIER
VISTA
Jukebox
MAG(2005,3702,0)INTERESTING,CASES
865827312331135XRAY MAG(2005,3702,1,0)20
05.04P99 MAG(2005,3702,1,1,0)3703 MAG(2005,37
02,1,2,0)3704 MAG(2005,3702,1,3,0)3705 MAG(200
5,3702,1,4,0)3706 MAG(2005,3702,1,5,0)3707 MAG
(2005,3702,1,6,0)3708 MAG(2005,3702,1,7,0)3709
MAG(2005,3702,1,8,0)3710 MAG(2005,3702,1,9,0)3
711 MAG(2005,3702,2)3030507.1337126BARIUM
SWALLOW3030507.133174971
40)RAD17515229
Global MAG(2005,3703 -- NOTE translation in
effect MAG(2005,3703,0)INTERESTING,CASES
865827312DM003703.TGA226135XRAY3702
2)3030507.1337126Aspiration during
sw unusual contour of
bolus3030507.1331
40)RAD17515229 MAG(2005,3704,0)INTERESTING
,CASES 865827312DM003704.TGA226135XRAY3
702 2)3030507.1338126Residue
from sw and coughing in
trachea and pyriform sinuses3030507.1331
40)RAD17515229
The BP also has the information it needs to check
up on Imaging entries in 2005 to make sure that
siblings and parents match up. The above
illustrations are not ALL of what the BP Verifier
does, but it shows you how the BP can use its
knowledge of the files to find the information
that it needs to check the structural integrity
of the database and make sure it is in tact when
you run the Verifier.

BP
75.
79

BP PURGE
VISTA
Jukebox
So can we do a real quick illustration of how the
purge works?

BP
76.
80

BP PURGE
VISTA
Jukebox
MAG(2005.2,0)NETWORK LOCATION2005.2I4338 MAG
(2005.2,1,0)MAG1\\ISA-B1R331W5\IMAGE\205631651
8462616166401MAG0 MAG(2005.2,2,0)MAG1H\\I
SA-B1R331W5\IMAGE\2056316518462616166401MAG
Y0 . MAG(2005.2,16,0)RAID1\\ISW-IMGQADB2\RAID1
\0MAG MAG(2005.2,17,0)RAID2\\ISW-IMGQADB2
\RAID2\0MAG
The first step is to see which Network Locations
are RAID shares and which of those are online.

BP
77.
81

BP PURGE
VISTA
Jukebox
MAG(2005.2,0)NETWORK LOCATION2005.2I4338 MAG
(2005.2,1,0)MAG1\\ISA-B1R331W5\IMAGE\205631651
8462616166401MAG0 MAG(2005.2,2,0)MAG1H\\I
SA-B1R331W5\IMAGE\2056316518462616166401MAG
Y0 . MAG(2005.2,16,0)RAID1\\ISW-IMGQADB2\RAID1
\0MAG MAG(2005.2,17,0)RAID2\\ISW-IMGQADB2
\RAID2\0MAG
The next step is to get the name and the network
location and enter those into the GUI screen.
Then start working through them.

BP
78.
82

BP PURGE
VISTA
Jukebox
MAG(2006.1,0)IMAGING SITE PARAMETERS2006.1I11
MAG(2006.1,1,0)SALT LAKE CITYZZT5SLC
1)900090011173501 MAG(2006.
1,1,2,0)2006.11211 MAG(2006.1,1,2,1,0)TXT M
AG(2006.1,1,2,"B","TXT",1) MAG(2006.1,1,3)9009
001200120025156O43000202.1056553051128.09
4111
The next step is for the BP to check the purge
parameters for each type of file. This is the way
that most people see the parameters, from the BP,
purge parameter window. The system looks at this
from the Fileman file. Armed with this data the
BP can decide which images were last accessed
outside of these parameters.

BP
79.
83

BP PURGE
VISTA
Jukebox
Using the parameters it found and the information
about the shares it found the purge runs through
each image it finds in the shares

BP
80.
9.
84

BP PURGE
VISTA
Jukebox
Each type of image gets checked against the
parameters to see if the last time it was
accessed was outside the dates provided.

BP
81.
9.
85

BP PURGE
VISTA
Jukebox
It then decides if it should be purged.

BP
82.
9.
86

BP PURGE
VISTA
Jukebox
MAG(2005.2,2,0)MAG1H\\ISA-B1R331W5\IMAGE\2056
316518462616166401MAGY0
If an image is determined to be purgeable it is
deleted from RAID

BP
83.
87

BP PURGE
VISTA
Jukebox
MAG(2005,3282,0)IMAGpatient,One 000-00-6666
MAGNETIC IMAGE,BRAINDM000000003282.TGA631011
MR32780
In file 2005 pieces 3 and/or 4 get removed if the
image is purged from RAID. If the image was NOT
on the Jukebox, that is there was nothing in
piece 5 the image is moved to the jukebox, piece
5 is filled in but the image is NOT purged from
RAID this time around.

BP
84.
88
QUESTIONS?(Please use 3X5 cards.)

85.