============================================================================= Run Date: MAR 14, 2005 Designation: OR*3*230 Package : OR - ORDER ENTRY/RESULTS REPORTING Priority: Mandatory Version : 3 SEQ #210 Status: Released Compliance Date: APR 14, 2005 ============================================================================= Subject: VistAWeb Category: - Informational Description: ============ Introduction to VistAWeb ======================== The current version of the Remote Data Views (RDV) application is accessed from within CPRS. Users are provided a display, which contains the sites where the patient has previously received care. The RDV functionality allows clinicians to view clinically relevant data contained within the patient's record, documented at other VA or DOD facilities. Remote data is accessed utilizing a visitor account with permission set within CPRS. Remote data is retrieved and the data is displayed in either a textual report format (for Health Summary) or in a table format (for Clinical Reports), that allows the data display to be sorted by columns. The RDV functionality is used by all VistA sites. Retrieval of remote data occurs through use of a Task Mananager utility with Remote Procedure Broker (RPC) calls using HL7 Messages. While the current approach for retrieving remote data provides added security and control over network utilization, response time may be slow for patients with large records and for patients with records at multiple sites. RDV's usage is discouraged by slow response times, especially for large records or retrieval of multiple records documented at multiple sites. RDV does, however, limit the number of queries at the remote sites and monitors the visitor requests for remote data ensuring sensitive patient data is protected. VistAWeb explores an alternative to RDV. VistAWeb, much like RDV, requires users to access their local VistA system utilizing a system account, which must be assigned the secondary menu option (OR CPRS GUI CHART) used to control CPRS access. Users are authenticated and initially authorized against their local VistA system. All VistAWeb connections use visitor accounts. VistAWeb requests look to a site almost exactly like local CPRS requests. The only way the site could distinguish between the two is by noting ("seeing") the data retrieval is accomplished utilizing a visitor account. There is no method in place to monitor visitor account remote access queries within VistAWeb. Nor is there an identified developed mechanism to limit the number of queries to remote systems. VistAWeb is accessible through the CPRS Tools menu and will permit VistAWeb users to retrieve data from other VistA systems utilizing a web interface. VistAWeb permits access to two classifications of users: (1) CPRS Users and (2) "Special Users", e.g., administrators, researchers and clerks. A list of individuals who are granted "Special User" status is maintained in the VistAWeb server located at the Silver Spring Office of Information in Silver Spring, MD. VistAWeb only manages the authorization of the "Special User" access. Existing VistA Fileman and Kernel conventions for data storage and job tasking is used. VistAWeb times out after 15 minutes of non-use with a 2 minute warning message before emptying the contents of the browser. Any VistAWeb page that would otherwise leave patient identifiers or patient data in the Temporary Internet Files folder, has its cache shut off to prevent leaving this sensitive data on client machines. Implementation ============== VistAWeb will be implemented as a Phased Rollout by VISN. Based on the schedule provided below, VISN CIOs will be contacted by HSITES one week prior to scheduled implementation date and provided with the VistAWeb URLs. VISN 1 3/21/2005 VISN 2 3/14/2005 VISN 3 3/28/2005 VISN 4 3/28/2005 VISN 5 3/14/2005 VISN 6 3/21/2005 VISN 7 3/14/2005 VISN 8 3/28/2005 VISN 9 3/28/2005 VISN 10 3/28/2005 VISN 11 BETA VISN 12 BETA VISN 15 3/21/2005 VISN 16 3/28/2005 VISN 17 3/28/2005 VISN 18 3/21/2005 VISN 19 3/28/2005 VISN 20 3/14/2005 VISN 21 3/28/2005 VISN 22 3/21/2005 VISN 23 3/28/2005 VACO 3/15/2005 Requests for "Special User" access are to be sent to the local Information Security Officer (ISO). The ISO will then forward the approved request to the VHA VistAWeb Support mail group. DOCUMENTATION ============= Please refer to the VistAWeb User Manual, the VistAWeb Installation Guide and the VistAWeb Technical Manual for more information. The manuals can be found in both PDF and Word formats on the web at the following address: http://www.va.gov/vdl Sites may also elect to retrieve documents directly from a specific server as follows: CIO FIELD OFFICE FTP ADDRESS DIRECTORY ---------------- ------------------------- -------------------- Albany ftp.fo-albany.med.va.gov [anonymous.software] Hines ftp.fo-hines.med.va.gov [anonymous.software] Salt Lake City ftp.fo-slc.med.va.gov [anonymous.software] Username is "anonymous" without the quotes. Just hit enter at the password prompt. You must ftp in BINARY mode. Once into the ftp server change directory into the software directory (ie: cd software) The names of the files are as shown below. User Manual: OR_30_230VISTAWEB_UM.pdf Technical Manual: OR_30_230VISTAWEB_TM.pdf Installation Guide: OR_30_230VISTAWEB_IG.pdf Reporting Problems ================== Problems associated with VistAWeb should be reported via Remedy or contact the National Help Desk (NHD) 1-888-596-4357 for assistance. Issues with launching or using the application are reported in Remedy as a Web ticket, while defects/problems associated with the software are reported as a VistAWeb ticket. VistAWeb will use the WEBV namespace. Instructions ============ This patch contains instructions on how to add VistAWeb to the CPRS Tools Menu. Further instructions are provided on how to add a link on the Windows Desktop to VistAWeb. A. Adding CPRS User Hyperlink to the CPRS Tools Menu 1. There are two paths available to add the VistAWeb hyperlink to the CPRS Tools Menu Path #1 a. At Select OPTION NAME: ORMGR b. From Select CPRS Manager Menu Option: PE (CPRS Configuration (Clin Coord) ...) c. From Select CPRS Configuration (Clin Coord) Option: GP (GUI Parameters...) d. From Select GUI Parameters Option: TM (GUI Tool Menu Items) Path #2 a. At Select OPTION NAME: XPAR MENU TOOLS b. From Select General Parameter Tools Option: EP (Edit Parameter Values) c. From Select PARAMETER DEFINITION NAME: ORWT TOOLS MENU 2. From the list of parameter entities displayed, choose 4 to set the CPRS GUI Tools Menu at the System level 3. At the "Select Sequence:" prompt enter '?' to view the current items on the CPRS GUI Tools Menu 4. Enter an appropriate sequence number. For example, in the following situation you would choose '5' for the new sequence number: ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Sequence Value -------- ----- 1 &Time=Clock.exe 2 &Calculator=Calc.exe 3 &Windows Introduction=WinHlp32 Windows.hlp 4 &Notepad=Notepad.exe Select Sequence: ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5. Enter 'YES' when asked "Are you adding ## as a new Sequence? Yes//" 6. At the "Name=Command:" prompt enter VistAWeb="Hyperlink"' where "hyperlink" is the string given to your site. 7. Now you can exit the option and verify that the Menu item shows up. B. Adding the Stand Alone Hyperlink 1. VistAWeb can be directly accessed by opening Internet Explorer and entering the URL given to you for VistAWeb in the address bar. 2. To add a link to VistAWeb onto the Windows Desktop perform the following: a. Access VistAWeb by performing the instructions given in B.1. b. On the Internet Explorer Menubar choose File...Send...Shortcut to Desktop c. Go to the Windows Desktop and look for the new Internet Explorer Icon d. Right click on the icon and select Rename from the popup menu e. Rename the icon to VistAWeb. !!IMPORTANT!! The VistAWeb application utilizes pop-ups. Field facilities who have chosen to turn off pop-ups on desktops will need to follow the steps below to allow pop-up windows in VistAWeb to open. These steps do not require the field to "turn on" all pop-ups on workstations, but pop-ups for the VistAWeb application only. Sites can allow pop-up windows to open in a Web site by adding the Web site to the Allowed sites list by following these steps. 1. Click Start, point to All Programs, and then click Internet Explorer. 2. On the Tools menu, point to Pop-up Blocker, and then click Pop-up Blocker Settings. 3. In the "Address of Web site to allow" box, type the address of the Web site, and then click Add. 4. Click Close. VistAWeb is CCOW Compliant ========================== If VistAWeb is launched on a PC without CCOW Client Components a message will be displayed that states: VistAWeb is CCOW compliant and has been unsuccessful in locating a CCOW vault. Please contact your local IRM for assistance. The application (VistAWeb) will then Exit. Documentation and associated configuration and training files necessary for the installation and implementation of the Clinical Context Management Project (CCOW) are available for distribution from the Vista FTP servers at DOWNLOAD.VISTA.MED.VA.GOV. The file names are OSLC_IG.ZIP (formerly CCOW Installation and Configuration Instructions.zip), OSLC_SP.ZIP (formerly CCOW Training Documents.zip) and OSLC_config.ldif. OSLC_P1.bin is a patch for security updates to the vault with the installation instructions contained in the Vergence Vault Installation Instructions document. The OSLC_IG.ZIP file contains Vergence Vault Installation Instructions.pdf, Vergence Desktop Components Installation Instructions.pdf and Vergence Installation Validation Instructions.pdf. The OSLC_SP.ZIP Supplemental Documentation file contains VA Vergence Implementation Training Presentation_CT.pps, VA Vergence CAC Training Presentation_CT.pps, VA Internal Support Process.pps, Cover Letter for CT Training Book.pdf, Clinical Context Management Project Frequently Asked Questions (CampCPRS).pdf, VA Sentillion Support Protocol.pdf, Configuring COTS Applications as Patient Context Item Participants.pdf and Instructions for Scheduling an Immersion Workshop and Obtaining a Vergence SDK.pdf National support for CCOW is provided by the Alpha and Avanti HSITES teams through the normal National Help Desk channels. Namespace Information ===================== This Informational Patch is being released under the OR name space as it provides instructions on how to add VistAWeb to the CPRS Tools Menu. Following national release of the web based application, future maintenance, enhancements, and documentation changes will be placed under the newly assigned name space of VistAWeb with a prefix of WEBV. Routine Information: ==================== ============================================================================= User Information: Entered By : SMITH,VAUGHN Date Entered : JAN 13, 2005 Completed By: BARLOW,KENNETH Date Completed: MAR 10, 2005 Released By : KREUZ,SHERI B Date Released : MAR 14, 2005 ============================================================================= Packman Mail Message: ===================== No routines included