IHE 2 IHE-J

IHE : Andrei Leontiev IDX Systems Corporation Co-Chair,IHE Chair,IHE Technical Committee

IHE 2 IHE-J

IHE 3 IHE-J

: IHE HL7 DICOM 4 IHE-J

IHE Year 33 HL7 ADT : 1 : 12 2: 3: 4: 12: 13: 1: 12: 1: 12: HL7 : <MPI> ADT/ DSS / 5 IHE-J

ADT : 1 : 12 ADT 2: 3: 1: 12: 1: 12: 4: 12: 13: 6 IHE-J

ADT 4.1 Send Admit: A01 (In Patient), A04 (Out Patient), A05 (Pre- Admission) Cancel: A11 (Cancel Admit), A38 (Cancel Preadmit) 7 IHE-J

ADT ( ) 4.12 - ADT Send Transfer: A02 (Patient Transfer) Update Patient Class: A03 (Discharge), A06(Outpatient becomes Inpatient), A07 (Inpatient becomes Outpatient) Update Patient Information: A08 (Update) Merge Patients: A40 (Merge) Cancel: A12 (Cancel Transfer), A13 (Cancel Discharge) 8 IHE-J

: 1 : 12 ADT 2: 3: 1: 12: 1: 12: 4: 12: 13: 9 IHE-J

4.2 Send New Order: ORM/NW (New Order) Cancel: ORM/CA (Cancel Order), ORM/DC (Discontinue) 10 IHE-J

( ) 4.1 Receive A01 (In Patient), A04 (Out Patient), A05 (Pre-Admission), A11 (Cancel Admit), A38 (Cancel Preadmit) 4.12 Receive A02 (Patient Transfer), A03 (Discharge), A06(Outpatient becomes Inpatient), A07 (Inpatient becomes Outpatient), A08 (Update), A12 (Cancel Transfer), A13 (Cancel Discharge), A40 (Merge) 4.3 Receive ORM/SN (New Order), ORM/SC (Status Update), ORM/OC (Cancel Order) 11 IHE-J

DSS / : 1 : 12 ADT 2: 3: 1: 12: 1: 12: 4: 12: 13: 12 IHE-J

/ 4.3 Send New Order: ORM/SN (New Order) Order Status: ORM/SC (Status Change) Cancel: ORM/OC (Cancel Order) 4.4 Send ORM (procedure scheduled) 4.13 Send ORM (procedure updated) 13 IHE-J

DSS/ ( ) 4.1 Receive A01 (In Patient), A04 (Out Patient), A05 (Pre-Admission), A11 (Cancel Admit), A38 (Cancel Preadmit) 4.12 Receive A02 (Patient Transfer), A03 (Discharge), A06(Outpatient becomes Inpatient), A07 (Inpatient becomes Outpatient), A08 (Update), A12 (Cancel Transfer), A13 (Cancel Discharge), A40 (Merge) 4.2 Receive ORM/NW (New Order), ORM/CA (Cancel Order), ORM/DC (Discontinue) 14 IHE-J

ADT / [1] [2] / [4] [5] 15 IHE-J

/ / [6] [6] [7] [7] [8] [9] [23] [10] [11] 16 IHE-J

ADT / / [1] [12] [12] [2] 17 IHE-J

ADT / [1] / [2] [12] [12] 18 IHE-J

ADT / [1] / [2] / [4] [5] [12] [12] 19 IHE-J

ADT / - [2] [13] [5] [2] [4] [5] 20 IHE-J

DSS/ ADT / [3] [13] [5] [3] [4] [5] 21 IHE-J

PACS DICOM (MWM) (MPPS) / 22 IHE-J

IHE IHE HL7/DICOM : : : : : : IHE-J

IHE-J IHE IHE : : (Accession (Accession Number Number) : ( ID ID) : ( ) : : ( )

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DICOM 1 A P1 B P1 DICOM IHE-J

IHE-J 27 / 11 5 10 10 8 18 / 6 7 / 20 21 /. / 6 20 7 21 /. /. 6 20 7 21 Retrieve Images 16 s 14

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MWM / 5 29 IHE-J

IHE-J 30 MWM MWM RIS) RIS) ID ID ID ID MWM MWM ( IS IS ) DICOM HIS/RIS DICOM DICOM HIS/RIS HIS/RIS

C-FIND-RQ (with matching and return keys) C-FIND-RSP (one per match plus final response) DSS/ MWM 31 IHE-J

MPPS) 32 IHE-J

IHE-J 33 PPS PPS / / 6 7 20 21 /. /. 6 20 7 21 /.. 6 20 7 21

MWM ID UID 34 IHE-J

N-CREATE (scheduled info, status of in progress ) N-SET (performed info, status of completed ) DSS (1 SPS 1 PPS ) (0 SPS 1 PPS ) Volume II, (1 Appendix SPS n n PPS A ) (n SPS 1 1 PPS ) (1 SPS 1 PPS ) (n SPS 1+n PPS ) 35 IHE-J

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Modality or Image Creator C-STORE (Images Stored) Image Archive 38 IHE-J

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10 / 10 40 IHE-J

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C-STORE operations. N-ACTION - (list of referenced image UIDs) N-EVENT-REPORT - (success or failure) N-ACTION UID N-EVENT-REPORT When N-EVENTN EVENT-REPORT N-ACTION 42 IHE-J

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/ 11 44 IHE-J

MPPS DICOM C-FIND) FIND) 45 IHE-J

DSS/ C-FIND-RQ (with matching keys) C-FIND-RSP (matches with return keys) UIDInstance UID AE (OFFLINE,NEARLINE, ONLINE 46 IHE-J

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14 16 / 48 IHE-J

C-FIND-RQ (with matching and return keys) C-FIND-RSP (matches with return keys) 49 IHE-J

Attributes Name Tag Query Keys Matching Query Keys Return SCU SCP SCU SCP Study Level Study Date (0008,0020) R+ R R+ R Study Time (0008,0030) R+ R R+ R Accession Number (0008,0050) R+ R R+ R Patient Name (0010,0010) R+ R R+ R Patient ID (0010,0020) R+ R R+ R Study ID (0020,0010) R+ R R+ R Study Instance UID (0020,000D) R+ R O R Modalities in Study (0008,0061) R+ R+ R+ R+ Referring Physician s Name (0008,0090) R+ R+ R+ R+ Patient s Birth Date (0010,0030) O O R+ R+ Patient s Sex (0010,0040) O O R+ R+ Number of Study Related Series (0020,1206) N/A N/A O R+ Number of Study Related Instances (0020,1208) N/A N/A O R+ Series Level Modality (0008,0060) R+ R R+ R Series Number (0020,0011) R+ R R+ R Series Instance UID (0020,000E) R+ R O R Number of Series Related Instances (0020,1209) N/A N/A O R Request Attribute Sequence (0040,0275) R+ R+ R+ R+ >Requested Procedure ID (0040,1001) R+ R+ R+ R+ >Scheduled Procedure Step ID (0040,0009) R+ R+ R+ R+ Performed Procedure Step Start Date (0040,0244) R + R+ R+ R+ Performed Procedure Step Start Time (0040,0245) R + R+ R+ R+ Composite Object Instance Level Instance Number (0020,0013) R R O R SOP Instance UID (0008,0018) R+ R O R SOP Class UID (0008,0016) O R O R+ IHE Generic Keys for Query Retrieve of: - Images - GSPS - SR R = Required by DICOM R+ = IHE-2 Requirement to be displayed or entered (SCU), to be returned(scp) 50 IHE-J

Attribute Name Tag Query Keys Matching Query Keys Return SCU SCP SCU SCP Image Specific Level Rows (0028,0010) O O O R+ Columns (0028,0011) O O O R+ Bits Allocated (0028,0100) O O O R+ Number of Frames (0028,0008) O O O R+ 51 IHE-J

Patient Information Reconciliation

ID : 53 IHE-J

ID ID DSS/Order Filler 54 IHE-J

ID MPPS DSS/Order Filler Order Placer ADT ID 55 IHE-J

ADT ADT 56 IHE-J

ADT 57 IHE-J

ADT ADT 58 IHE-J

ADT ( John Doe, Jane Doe ): 1: ADT 2: ADT DSS/Order Filler 3: ADT 59 IHE-J

ID : 4: ID DSS/Order Filler 5: ID ID 60 IHE-J

1 ADT Order Placer Department System Database/Scheduler/ Order Filler Image Manager Modality Register J.Doe Patient Registration [1] Placer Order Mgmt NewOrder [2] Schedule Procedure Procedure Scheduled [4] MWL Provided [5] Images Acquired Patient Reconciliation J.Doe -> J.Smith Patient Update [12] Modality Procedure Step Completed [7] Patient Update [12] Modality Procedure Step Completed [7] 61 IHE-J

ID 1 Transaction Patient ID Protocol & Field Prior Patient ID (HL7) Register J.Doe (Temp_123) A01 (ADT -> OP) Temp_123^^^ADT_Issuer HL7 (PID-3) N/A A01 (ADT -> OF) Temp_123^^^ADT_Issuer HL7 (PID-3) N/A ORM (OP->OF) Temp_123^^^ADT_Issuer HL7 (PID-3) N/A ORM (OF->IM) Temp_123^^^ADT_Issuer HL7 (PID-3) N/A DICOM MWL (OF -> Modality) PPS (Modality -> PPSM) Temp_123 DICOM (0010,0020) N/A Temp_123 DICOM (0010,0020) N/A PPS (PPSM -> IM) Temp_123 DICOM (0010,0020) N/A PPS (PPSM -> OF) Temp_123 DICOM (0010,0020) N/A ADT reconciles J.Doe(Temp_123) - >J.Smith(456) A40 (ADT -> OF) 456^^^ADT_Issuer HL7 (PID-3) 123^^^ADT_Issuer A40 (OF->IM) 456^^^ADT_Issuer HL7 (PID-3) 123^^^ADT_Issuer A40 (ADT -> OP) 456^^^ADT_Issuer HL7 (PID-3) 123^^^ADT_Issuer 62 IHE-J

2 ADT Order Placer Department System Database/Scheduler/ Order Filler Image Manager Modality Register J.Doe Patient Registration [1] Filler Order Mgmt New Order[3] Schedule Procedure Procedure Scheduled [4] MWL Provided [5] Images Acquired Patient Reconciliation J.Doe -> J.Smith Patient Update [12] Modality Procedure Step Completed [7] Patient Update [12] Modality Procedure Step Completed [7] 63 IHE-J

ID 2 Transaction Patient ID Protocol & Field Prior Patient ID (HL7) Register J.Doe (Temp_123) A01 (ADT -> OP) Temp_123^^^ADT_Issuer HL7 (PID-3) N/A A01 (ADT -> OF) Temp_123^^^ADT_Issuer HL7 (PID-3) N/A ORM (OF->OP) Temp_123^^^ADT_Issuer HL7 (PID-3) N/A ORR (OP->OF) Temp_123^^^ADT_Issuer HL7 (PID-3) N/A ORM (OF->IM) Temp_123^^^ADT_Issuer HL7 (PID-3) N/A DICOM MWL (OF -> Modality) PPS (Modality -> PPSM) Temp_123 DICOM (0010,0020) N/A Temp_123 DICOM (0010,0020) N/A PPS (PPSM -> IM) Temp_123 DICOM (0010,0020) N/A PPS (PPSM -> OF) Temp_123 DICOM (0010,0020) N/A ADT reconcilse J.Doe(Temp_123) - >J.Smith(456) A40 (ADT -> OF) 456^^^ADT_Issuer HL7 (PID-3) 123^^^ADT_Issuer A40 (OF->IM) 456^^^ADT_Issuer HL7 (PID-3) 123^^^ADT_Issuer A40 (ADT -> OP) 456^^^ADT_Issuer HL7 (PID-3) 123^^^ADT_Issuer 64 IHE-J

3 ADT Order Placer Department System Database/Scheduler/ Order Filler Image Manager Modality Register J.Doe Patient Registration [1] Images Acquired Modality Procedure Step Completed [7] Modality Procedure Step Completed [7] Filler Order Mgmt New Order [3] Schedule Procedure Procedure Scheduled [4] Patient Reconciliation J.Doe -> J.Smith Patient Update [12] Patient Update [12] 65 IHE-J

3 Transaction Patient ID Protocol & Field Prior Patient ID (HL7) Register J.Doe (Temp_123) A01 (ADT -> OP) Temp_123^^^ADT_Issuer HL7 (PID-3) N/A A01 (ADT -> OF) Temp_123^^^ADT_Issuer HL7 (PID-3) N/A Temp_123 manually entered at the Modality PPS (Modality -> PPSM) Temp_123 DICOM (0010,0020) N/A PPS (PPSM -> IM) Temp_123 DICOM (0010,0020) N/A IM recognizes unscheduled MPPS and assumes assigning authority ADT_Issuer PPS (PPSM -> OF) Temp_123 DICOM (0010,0020) N/A OF recognizes unscheduled MPPS with valid Patient ID and assumes assigning authority ADT_Issuer ORM (OF->OP) Temp_123^^^ADT_Issuer HL7 (PID-3) N/A ORR (OP->OF) Temp_123^^^ADT_Issuer HL7 (PID-3) N/A ORM (OF->IM) Temp_123^^^ADT_Issuer HL7 (PID-3) N/A ADT reconciles J.Doe(Temp_123) - >J.Smith(456) A40 (ADT -> OF) 456^^^ADT_Issuer HL7 (PID-3) 123^^^ADT_Issuer A40 (OF->IM) 456^^^ADT_Issuer HL7 (PID-3) 123^^^ADT_Issuer A40 (ADT -> OP) 456^^^ADT_Issuer HL7 (PID-3) 123^^^ADT_Issuer 66 IHE-J

4 ADT Order Placer Department System Database/Scheduler/ Order Filler Image Manager Modality Schedule Procedure for J.Doe Procedure Scheduled [4] MWL Provided [5] Images Acquired Modality Procedure Step Completed [7] Modality Procedure Step Completed [7] Register J.Smith Patient Registration [1] Patient Reconciliation J.Doe -> J.Smith Patient Update [12] Filler Order Mgmt New Order [3] 67 IHE-J

ID 4 Transaction Patient ID Protocol & Field Prior Patient ID (HL7) OF creates J.Doe (Dept_123) ORM (OF->IM) Dept_123^^^ADT_Issuer HL7 (PID-3) N/A DICOM MWL (OF->Modality) PPS (Modality -> PPSM) Dept_123 DICOM (0010,0020) Dept_123 DICOM (0010,0020) N/A PPS (PPSM -> IM) Dept_123 DICOM (0010,0020) N/A IM recognizes unscheduled MPPS and assumes assigning authority OF_Issuer PPS (PPSM -> OF) Dept_123 DICOM (0010,0020) N/A OF recognizes unscheduled MPPS with valid Patient ID and assumes assigning authority OF_Issuer ADT registers J.Smith (456) A01 (ADT -> OP) Dept_123^^^ADT_Issuer HL7 (PID-3) N/A A01 (ADT -> OF) Dept_123^^^ADT_Issuer HL7 (PID-3) N/A OF reconciles J.Doe(Dept_123) ->J.Smith(456) A40 (OF->IM) 456^^^ADT_Issuer HL7 (PID-3) Dept_123^^^OF_Issuer ORM (OF->OP) 456^^^ADT_Issuer HL7 (PID-3) N/A ORR (OP->OF) 456^^^ADT_Issuer HL7 (PID-3) N/A ORM (OF->IM) 456^^^ADT_Issuer HL7 (PID-3) N/A 68 IHE-J

5 ADT Order Placer Department System Database/Scheduler/ Order Filler Image Manager Modality Images Acquired for J.Doe Modality Procedure Step Completed [7] Modality Procedure Step Completed [7] Register J.Smith Patient Registration [1] Patient Reconciliation J.Doe -> J.Smith Patient Update [12] Filler Order Mgmt New Order [3] Schedule Procedure Procedure Scheduled [4] 69 IHE-J

ID 5 Transaction Patient ID Protocol & Field Prior Patient ID (HL7) Modality performs procedure J.Doe (Dept_123) PPS (Modality -> PPSM) Dept_123 DICOM (0010,0020) N/A PPS (PPSM -> IM) Dept_123 DICOM (0010,0020) N/A IM recognizes unscheduled MPPS and assumes configured assigning authority [ OF_Issuer ] PPS (PPSM -> OF) Dept_123 DICOM (0010,0020) N/A OF recognizes unscheduled MPPS with invalid Patient ID and assumes assigning authority [ OF_Issuer ] ADT registers J.Smith (456) A01 (ADT -> OP) Dept_123^^^ADT_Issuer HL7 (PID-3) N/A A01 (ADT -> OF) Dept_123^^^ADT_Issuer HL7 (PID-3) N/A OF reconciles J.Doe(Dept_123) ->J.Smith(456) A40 (OF->IM) 456^^^ADT_Issuer HL7 (PID-3) Dept_123^^^OF_Issuer ORM (OF->OP) 456^^^ADT_Issuer HL7 (PID-3) N/A ORR (OP->OF) 456^^^ADT_Issuer HL7 (PID-3) N/A ORM (OF->IM) 456^^^ADT_Issuer HL7 (PID-3) N/A 70 IHE-J

- ADT, Order Placer, Order Filler, Image Manager HL7 HL7 ADT A40 : ID PID- ID MRG-1 ID CX ID 71 IHE-J

Order Filler DICOM MPPS ID ID Order Filler ID (configurable, but the same) Order Filler ID 72 IHE-J

ADT Order Filler ID Order Filler ID 4 5 Order Filler 73 IHE-J

Questions? Documents Available On the Web at: www.rsna.org/ihe or www.himss.org 74 IHE-J