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DBIA1172 ICR (1172)

DBIA1172    ICR (1172)

Name Value
NUMBER 1172
IA # 1172
FILE NUMBER 70
GLOBAL ROOT RADPT
DATE CREATED 1995/05/05
CUSTODIAL PACKAGE RADIOLOGY/NUCLEAR MEDICINE
CUSTODIAL ISC Chicago
USAGE Controlled Subscription
TYPE File
DBIC APPROVAL STATUS APPROVED
NAME DBIA1172
GENERAL DESCRIPTION 
As of 12/05/2019 VistA Radiology gives Imaging
permission to read file #70 ^RADPT(DA,0) directly and with VA FileMan.

VistA Radiology grants permission to VistA Imaging (VI) to read cross-
reference ^RADPT('AO'.
GLOBAL REFERENCE
GLOBAL REFERENCE FIELD NUMBER GLOBAL DESCRIPTION
RADPT('AE',CASENUMBER,DA(2),DA(1),DA 
Cross reference set by the EXAM STATUS field (#3) of the
EXAMINATION sub-file (#70.03). Used to look-up exams that are
active/incomplete.
RADPT('ADC',CASENUMBER,DA(2),DA(1),DA) 
This is the date (MMDDYY) - CASE # cross reference set
by the CASE NUMBER field of the EXAMINATION sub-file (#70.03)
RADPT('AS',EXAM STATUS,DA(2),DA(1),DA 
Used to produce a list of active/incomplete exams.
RADPT(DA(1),'DT',DA,0
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
3 Direct Global Read & w/Fileman 
Pointer to the RAD/NUC MED DIVISION file (79).
HOSPITAL DIVISION 0;3
4 Read w/Fileman 
Pointer to 'IMAGING LOCATIONS' file (#79.1), the location
where the exam was performed.
IMAGING LOCATION 0;4
RADPT(DA(2),'DT',DA(1),'P',DA,0
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
2 Direct Global Read & w/Fileman 
This field is a pointer to file 71, RAD/NUC MED
PROCEDURES.
PROCEDURE 0;2
3 Direct Global Read & w/Fileman 
This field is a pointer to file 72, EXAMINATION STATUS.
EXAM STATUS 0;3
11 Direct Global Read & w/Fileman 
This field is a pointer to file 75.1, RAD/NUC MED ORDERS.
IMAGING ORDER 0;11
12 Direct Global Read & w/Fileman 
This field is a pointer to file 200, NEW PERSON.
PRIMARY INTERPRETING RESIDENT 0;12
15 Direct Global Read & w/Fileman 
This field is a pointer to file 200, NEW PERSON.
PRIMARY INTERPRETING STAFF 0;15
16 Direct Global Read & w/Fileman 
This field is a pointer to file 78.1, COMPLICATION TYPES.
COMPLICATION 0;16
16.5 Direct Global Read & w/Fileman 
This field is used to give a brief explanation (4-100
characters) to    describe the exam complication.
COMPLICATION TEXT COMP
17 Direct Global Read & w/Fileman 
This field is a pointer to file 74, RADIOLOGY REPORT.
REPORT TEXT 0;17
22 Direct Global Read & w/Fileman 
This field is a pointer to file 44, HOSPITAL LOCATION.
REQUESTING LOCATION 0;22
.01 Read w/Fileman 
The case number assigned to the exam study.
CASE NUMBER 0;1
21 Read w/Fileman 
The date the exam was requested.
REQUESTED DATE 0;21
31 Read w/Fileman 
This field consists of the site number, date/time and
sequential case number separated by dashes.  This field is generated by the
VistA Radiology/Nuclear Medicine application.
SITE ACCESSION NUMBER 0;31
500 Direct Global Read & w/Fileman 
If any radiopharmaceuticals were administered to the
patient during this exam, they may be recorded here. Radiopharmaceutical data
may be automatically entered, if it exists on the procedure file.  It is also
editable during case edit options and may be configured for editing during
status tracking.
NUCLEAR MED DATA 0;28
RADPT(DA(3),'DT',DA(2),'P',DA(1),'M',DA,0
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
125 Direct Global Read & w/Fileman 
Imaging modifier, pointer to file 71.2 (PROCEDURE
MODIFIERS).
PROCEDURE MODIFIERS 0;1 
Stores the imaging modifiers that are associated with
the exam.
RADPT('AO' 
Global is a cross reference on IMAGING ORDER field
(70.03,#11).  Used to link the Radiology/Nuclear Medicine Request Order file
(#75.1) to the exam.
RADPT(DA(3),'DT',DA(2),'P',DA(1),'RX'
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.01 Direct Global Read & w/Fileman 
If any medications were administered to the patient
during this exam, they may be recorded here.  If medications are associated
with a procedure during system set-up, the system will enter them
automatically when the procedure is registered.
MED ADMINISTERED 0;1 
If any medications were administered to the patient
during this exam, they may be recorded here. If medications are associated
with a procedure during system set-up, the system will enter them
automatically when the procedure is registered.
RADPT('ADC1',DA(2),DA(1),DA 
This is the cross-reference for the SITE ACCESSION
NUMBER field.  (70.03;31).
RADPT(DA,0) 
VistA Radiology grants VI permission to look at the
entire zero node ^RADPT(DA,0) directly and with FileMan read.
STATUS Active
KEYWORDS
  • MAGDRCPB
  • outside orders
  • RA-MAG meds & radiopharms
  • MAG*3.0*231
  • ISI
  • ISI*1.1*110 DFN
  • VistARad COTS
  • MEDICOM
DURATION Till Otherwise Agreed
ID RADPT
SUBSCRIBING PACKAGE
SUBSCRIBING PACKAGE ISC SUBSCRIBING DETAILS
IMAGING Washington/Silver Spring 
VistA Imaging DICOM component request reading the
Radiology patient file to meet the following requirements:

The reading of the Radiology Patient file is required to look-up an accession
number for acquiring the corresponding patient and possible Radiology report
pointer. (Imaging pointers are stored in the Radiology Report file (#74).) The
look up of the accession number is performed on either the "ADC" or "ADC1"
cross-references depending on what is sent (short or long accession number)
from the entity (commercial PACS system, commercial gateway, or modality).

After a valid entry is found, the matching process of the patient's name and
social security is performed.

If entries from the sending application match the Vista (main) hospital
database, an image will be captured, the Image file is updated and the image
pointer is stored in the corresponding Radiology report file.  If entries from
the sending application fail the matching process, then the entries are not
processed but recorded in an Imaging file and will require user interaction to
manually match the failed images with a corresponding Radiology exam order.
All of these processes require reading the Radiology Patient file.

Vista Imaging component VistARad request reading the Radiology patient file to
meet the following requirements:

VistARad software provides the Radiologist a paperless workstation
functionality including Radiology exam worklists and on-line Radiology
requisition and enables them to update the status and interpretation for the
exam all on-line.
ISI IMAGING 
Added 1/10/23, effective with ISI*1.1*110 ISI Rad
software is a direct replacement to the VistARad workstation, which provides
the Radiologist a paperless workstation functionality including Radiology exam
worklists and on-line Radiology requisition and enables them to update the
status and interpretation for the exam all on-line. The accesses to RADPT
function in the same manner as VistARad, as described in this IA.
MEDICOM TECHNOLOGIES 
Added 9/9/24 effective with Patch MECH*1.0*1 This patch
processes HL7 messages about Imaging studies. As part of this processing this
Patch needs to gather patient demographics that are Imaging related.
DATE ACTIVATED 2023/01/10