Images: Now Available on CD

1
Images Now Available on CD

• David W. Massey
• Product Support Specialist
• Clinical 3 Team, Imaging Support
• Greg Bosak
• Product Support Specialist
• Clinical 3 Team, Imaging Support

2
Introduction

• What is Importing, why do it, and what are the
  requirements?
• Load and configure Importing software on
  workstations
• Configure Text and Imaging gateway
• Import Images to a Radiology accession
• Validate capture with VI Display client
• References and Questions

3
Why the need to Import studies?

• Medical Information Technology capabilities
• Healthcare challenges
• Software products to improve patient care

4
Reasons for Importing Images

• Contract studies to outside
• Patients seen at other facilities
• Patient info provided on CD

5
VA DICOM Storage Import Requirements

• DICOM reader and viewer
• Modality Worklist (MWL) capabilities
• Ability to alter very specific data
• Store specific information
• Meet HIPPA requirements

6
Hospital Workflow

• VA provider orders study
• Outside exam saved to CD
• Patient returns CD to VA
• Importer software used for image capture

7
Import Study Steps

• Load CD
• Perform MWL query
• Verify exam attributes
• Send DICOM images to patient record
• Validate proper capture of study

8
DICOM CD Import Products

• RADinfo Systems PowerPACS Image Importer
• www.radinfosystems.com
• Sorna - OpenLiteBox Administrator Software
• www.sorna.com
• Visit the vendor booths!

9
PowerPACS Image Importer Install
- Start setup.exe - Click Next
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Install (continued)
- Accept agreement - Click Next
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Install (continued)
- Complete - Click Next
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Install (continued)

• Click Next

13
Install (continued)
SQL Server Config
14
Install (continued)

• Click Next

15
Install (continued)
PowerPACS Install
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Install Complete
Install Complete - Click Finish
17
PowerPACS Sign On
Sign On - Admin - Admin
18
PowerPACS Configuration
19
Configuration - Accounts
Window to use if changing or adding account
information, such as password.
20
Configuration - Host
- Click Modify
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Configuration - Host
Set - Host - AE Title - Port
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Configuration - Host

• Host configured

23
Configuration - Worklist
Modify Worklist - Host - AE Title - Port
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Configuration DICOM Storage
Modify Storage - Host - AE Title - Port
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Configuration - Query

• Set Fields for Query to Accession Number

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Configuration - Worklist

• Check box for Disable MWL Auto Query

27
Configuration Match and Update

• Configure Match and Update tab

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Configuration Data Formats

• Configure Data Formats tab

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Configuration Watch Folder

• Configure Watch Folder tab

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Configuration Completed

• Configure Housekeeping and Misc. tab

31
Gateway Configurations

• Text Gateway worklist
• Worklist.dic
• Imaging Gateway image import
• Instrument.dic
• Listener
• Modality.dic

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Worklist.dic
Station AE TitleInstitution IDImaging
ServiceImaging TypeShort or Long Accession
NumberDescription The "TEST" AE title is for
exercising the local VistA MWL provider TESTltadd
local name heregtRADRADLONGltEnter your
Descriptiongt Place your entries below
CDR_TESTxxxRADRADLONGRIMAGE CDR end of
file
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Update Worklist.dic

• Choose option Update WORKLIST.DIC

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Instrument.dic
List of Modality Instruments
MnemonicDescriptionInstitution IDImaging
ServicePortMachineID Note the Machine ID
is optional Imaging services are defined as
follows RAD --------- Radology MED-ENDO
---- Medical Endoscopy MED-FLURO --- Medical
Fluoroscopy MED-DENT ---- Medical Dental
SUR-URO ----- Surgery Urology Place your
entries below CDR_TESTRimage
CDRxxxRADxxxxxx end of data
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Update Instrument.dic

• Choose option Update INSTRUMENT.DIC

36
Create Instrument Listener
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Start Instrument Listener

• Double click Icon to start Listener

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Modality.dic
manufacturermodelmodalitydcmtotga.exe
parameterscase lookup codedata
extractioncodedata extraction file Place
your entries below CDR Importer
Modalities AgfaCR 35CRb12 r8/b12LONGCASEMAGDI
R3data_cr.dic Philips Medical
SystemsInteraMRltDICOMgtLONGCASEMAGDIR3data_m
ri.dic SIEMENSSymphonyMRltDICOMgtLONGCASEMAGDIR
3data_mri.dic SIEMENSAvantoMRltDICOMgtLONGCASE
MAGDIR3data_mri.dic end of file
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Update Modality.dic

• Choose option Update MODALITY.DIC

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Steps to Import Images

• Open Software
• Insert CD
• Modality Worklist Query
• Confirm and Import
• Validate capture

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Insert CD Refresh list
- Close and reopen Importer software - Sign in -
Insert CD - Click Refresh Button - Double click
study to Import
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Accession Number
- Enter accession number - Click Query
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Modality Worklist Query
- Confirm correct query - Hi-light case - Click
on Import
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Text Gateway Match

• Text Gateway Status window will display query

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Confirm and Import
- Confirm Worklist information - Click Import
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Importing to Gateway

• Status bar indicates import progress

47
DICOM Gateway Listener
- Gateway Listener displays incoming image data
48
Import Complete!
- Look for Import Complete - Verify import with
Import Status or Event Log tab
49
DICOM Gateway Process Images

• Gateway DICOM Processing window displays image
  information

50
Validate Study Capture

• Validate study capture with Vista Imaging Display
  software

51
On the Horizon?
Possible Import Reconciliation Workflow
VistA HIS
Importer (VistA DICOMGateway MUMPS Application)
List of Procedures RPC
Radiology
Patient Demographics Query RPC
Patient Mgmt
Radiology Order Registration RPC
Radiology
Study Instance UID Query RPC - TBD
IHE IRWF
Import Reconciliation Image List
HL7
Put reconciled images back onto input queue
HL7
VistA Images
Images - TBD
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Import Reconciliation Workflow

• All of import completed from gateway
• Build Radiology procedure file
• Import study from CD
• Verify study and image
• Select Radiology procedure
• Select patient
• Process study
• Validate study

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References

• Preliminary VA DICOM Storage Media Import
  Requirements
• HIMAC Practice Brief Handling Outside
  Electronic Health Information
• IHE Radiology Technical Framework Import
  Reconciliation Workflow (IRWF)
• PowerPACS Image Importer Installation and
  Configuration Guide

54
Other Related VeHU Classes

• 130 VistA Imaging - Coordinators Getting
  Started!
• 243VistA Imaging - Gateways Behind the Scenes
• 315HVistA Imaging - Gateway Building Blocks

55
Images Now Available on CD

• Questions?