C.8 Annexes
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## C.8 Annexes

### C.8.1 IOD Contents

#### C.8.1.1 Created SOP Instances

DICOMRis does not create SOP instances

#### C.8.1.2 Usage of Attributes From Received IODs

Fields from MPPS such as technique and supplies and how they are used.

Table C.8.1-1. Attributes in MPPS IOD Used By DICOMRis Applications

Attribute Name | Tag | Database Updates
--- | --- | ---
SOP Common Module
Performed Procedure Step Relationship Module
Scheduled Step Attribute Sequence | (0040,0270) |
>Accession Number | (0008,0050) | These attributes need to match values in the DICOMRis database so other data contained in MPPS messages e.g., Dose and Materials data, can update the database and be displayed by the RisView application as described below
Patient ID | (0010,0020)
Performed Procedure Step Information
Performed Station AE Title | (0040,0241) | This attribute is used by the MppsSrv application as a key into the DICOM Configuration database to determine if the procedure referenced by the MPPS message should automatically have its state changed
Performed Procedure Step Description | (0040,0254) | Values for these attributes are accessible using the RisView application if they have been stored
Procedure Code Sequence | (0008,1032)
>Code Value | (0008,0100)
>Coding Scheme Designator | (0008,0102)
>Code Meaning | (0008,0104)
Image Acquisition Results
Performed Protocol Code Sequence | (0040,0260) | Values for these attributes are required if the RisView application is to display the protocol used to perform the procedure
>Code Value | (0008,0100)
>Coding Scheme Designator | (0008,0102)
>Code Meaning | (0008,0104)
Performed Series Sequence | (0040,0340)
>Protocol Name | (0018,1030)
>Operator's Name | (0008,1070) | Can be displayed by RisView application
>Retrieve AE Title | (0008,0054) |
Radiation Dose
Total Time of Fluoroscopy | (0040,0300) | Values are needed for these attributes so that dose exposure data can be displayed by the RisView application
Total Number of Exposures | (0040,0301)
Distance Source to Detector | (0018,1110)
Distance Source to Entrance | (0040,0306)
Entrance Dose | (0040,0302)
Exposed Area | (0040,0303)
Image Area Dose Product | (0018,115E)
Billing and Material Management Code
Billing Procedure Step Sequence |  | Values are needed for these attributes so that the RisView application can display actual supplies and film used to perform a given procedure rather than default values associated with the given procedure in the DICOMRis database The values of these attributes may also be used to generate charges if the site is configured for charging based on MPPS
>Code Value | (0008,0100)
>Coding Scheme Designator | (0008,0102)
>Code Meaning | (0008,0104)
Film Consumption Sequence | (0040,0321)
> Number of Films | (2100,0170)
> Medium Type | (2000,0030)
> Film Size ID | (2010,0050)
Billing Supplies and Devices Sequence | (0040,0384)
>Billing Item Sequence | (0040,0296)
>>Code Value | (0008,0100)
>>Coding Scheme Designator | (0008,0102)
>>Code Meaning | (0008,0104)
>Quantity Sequence | (0040,0293)
>>Quantity | (0040,0294)
>>Measuring Units Sequence | (0040,0295)
>>>Code Value | (0008,0100)
>>>Coding Scheme Designator | (0008,0102)
>>>Code Meaning | (0008,0104)

#### C.8.1.3 Attribute Mapping

The mapping between attributes received via HL7 from the HIS and those supplied in Modality Worklist is configurable. The default mapping is contained in the table below. Empty cells indicate that there is no mapping for the specific attribute

Table C.8.1-2. HL7/Modality Worklist Attribute Mapping

DICOM Attribute | DICOM Tag | HL7 Attribute Name | HL7 Segment | Notes
--- | --- | --- | --- | ---
Scheduled Procedure Step
Scheduled Procedure Step Sequence | (0040,0100) |  |  |
>Scheduled Station AE Title | (0040,0001) |  |  | DICOMRis generated
>Scheduled Procedure Step Start Date | (0040,0002) | Quantity/Timing | ORM OBR:27 | DICOMRis generated
>Scheduled Procedure Step Start Time | (0040,0003) | Quantity/Timing | ORM OBR:27 | DICOMRis generated
>Modality | (0008,0060) |  |  | DICOMRis generated
>Scheduled Performing Physician's Name | (0040,0006) | Technician | ORM OBR:34 |
>Scheduled Procedure Step Description | (0040,0007) |  |  | DICOMRis generated
>Scheduled Station Name | (0040,0010) |  |  | DICOMRis generated
>Scheduled Procedure Step Location | (0040,0011) |  |  | DICOMRis generated
>Scheduled Protocol Code Sequence | (0040,0008) |  |  |
>>Code Value | (0008,0100) |  |  | DICOMRis generated
>>Coding Scheme Designator | (0008,0102) |  |  | DICOMRis generated
>>Code Meaning | (0008,0104) |  |  | DICOMRis generated
>Pre-Medication | (0040,0012) |  |  | DICOMRis generated
>Scheduled Procedure Step ID | (0040,0009) |  |  | DICOMRis generated
>Requested Contrast Agent | (0032,1070) |  |  | DICOMRis generated
>Scheduled Procedure Step Status | (0040,0020) |  |  | DICOMRis generated
>Comments on the Scheduled Procedure Step | (0040,0400) |  |  | DICOMRis generated
Requested Procedure
Requested Procedure ID | (0040,1001) |  |  | DICOMRis generated
Requested Procedure Description | (0032,1060) |  |  | DICOMRis generated
Requested Procedure Code Sequence | (0032,1064) |  |  |
>Code Value | (0008,0100) | Universal Service Id | ORM OBR:4 | The value in the HL7 attribute is mapped to one or more procedure codes in the DICOMRis database. The mapping is configurable
>Coding Scheme Designator | (0008,0102) | Universal Service Id | ORM OBR:4 | Maps to a site-defined Coding Scheme, the CPT Coding Scheme or the DICOMRis internal Coding Scheme
>Code Meaning | (0008,0008) |  |  | DICOMRis generated
Study Instance UID | (0020,000D) |  |  | DICOMRis generated
Referenced Study Sequence | (0008,1110) |  |  |
>Referenced SOP Class UID | (0008,1150) |  |  | DICOMRis generated
>Referenced SOP Instance UID | (0008,1155) |  |  | DICOMRis generated
Requested Procedure Priority | (0040,1003) |  | ORM OBR:27 |
Patient Transport Arrangements | (0040,1004) |  | ORM OBR:30 |
Reason for the Requested Procedure | (0040,0040) |  |  | DICOMRis generated
Imaging Service Request
Accession Number | (0008,0050) |  |  | DICOMRis generated
Requesting Physician | (0032,1032) |  | ORM OBR:16 |
Referring Physician's Name | (0008,0090) |  | ORM PV1:8 |
Reason for the Imaging Service Request | (0040,2001) | Reason for Study | ORM OBR:31 |
Order Entered By | (0040,2008) | Entered By | ORM ORC:10 |
Order Enterer's Location | (0040,2009) | Entering Organization | ORM ORC:17 |
Visit Identification
Admission ID | (0038,0010) |  | ADT PID:3 |
Admitting Diagnosis Description | (0008,1080) |  | ADT DG1:4 |
Admitting Diagnoses Code Sequence | (0008,1084) |  |  |
>Code Value | (0008,0008) |  | ADT DG1:3 |
>Coding Scheme Designator | (0008,0008) |  | ADT DG1:2 |
>Code Meaning | (0008,0008) |  |  |
Patient Identification
Patient's Name | (0010,0010) |  | ADT PID:5 |
Patient ID | (0010,0020) |  | ADT PID:3 |
Patient Demographics
Patients Birth Date | (0010,0030) |  | ADT PID:7 |
Patient's Sex | (0010,0040) |  | ADT PID:8 |
Patient's Weight | (0010,1030) |  | ADT OBX:5 |
Ethnic Group | (0010,2160) |  | ADT PID:10 |
Patient Comment | (0010,4000) |  | ORM NTE:3 |
Patient Medical
Patient State | (0038,0500) | Danger Code | ORM OBR:12 |
Pregnancy Status | (0010,21C0) | Filler Field 1 | ORM OBR:20 |
Medical Alerts | (0010,2000) | Relevant Clinical Information | ORM OBR:13 |
Allergies | (0010,2110) |  | ADT AL1:3 |
Last Menstrual Date | (0010,21D0) | Filler Field 1 | ORM OBR:20 |

#### C.8.1.4 Coerced/Modified Fields

Table C.8.1-3. Coerced Fields for Modality Performed Procedure Step

Attribute Name | Tag | Coercion Conditions
--- | --- | ---
Performed Procedure Step Relationship Module
Scheduled Step Attribute Sequence | (0040,0270) |
>Accession Number | (0008,0050) | Procedure Step has been placed in the Exception queue due to failure to match DICOMRis database. User enters a corrected value for Accession number through the RisView application
>Placer Order Number/Imaging Service Request | (0040,2006) | Value for this attribute is coerced when the value does not match the corresponding value in the DICOMRis database. This may occur when the step is initially processed or during exception resolution
>Filler Order Number/Imaging Service Request | (0040,2007) | As for attribute Placer Order Number/Imaging Service Request
>Requested Procedure ID | (0040,1001) | As for attribute Placer Order Number/Imaging Service Request
>Requested Procedure Description | (0032,1060) | As for attribute Placer Order Number/Imaging Service Request
>Scheduled Procedure Step ID | (0040,0009) | As for attribute Placer Order Number/Imaging Service Request
>Scheduled Procedure Step Description | (0040,0007) | As for attribute Placer Order Number/Imaging Service Request
>Scheduled Protocol Code Sequence | (0040,0008) | As for attribute Placer Order Number/Imaging Service Request
>>Code Value | (0008,0100) | As for attribute Placer Order Number/Imaging Service Request
>>Coding Scheme designator | (0008,0102) | As for attribute Placer Order Number/Imaging Service Request
>>Code Meaning | (0008,0104) | As for attribute Placer Order Number/Imaging Service Request
Patient Name | (0010,0010) | As for attribute Placer Order Number/Imaging Service Request
Patient ID | (0010,0020) | Procedure Step has been placed in the Exception queue due to failure to match DICOMRis database. User enters a corrected value for Patient ID through the RisView application
Patient's Birth Date | (0010,0030) | As for attribute Placer Order Number/Imaging Service Request
Patient's Sex | (0010,0040) | As for attribute Placer Order Number/Imaging Service Request

### C.8.2 Data Dictionary of Private Attributes

DICOMSRV does not use any private attributes.

### C.8.3 Coded Terminology and Templates

DICOMRis's usage of Coding Schemes is specified in the table below. This table lists the Coding Schemes used by DICOMRis for attributes it originates. Usage of Controlled Terminology by Applications sending IODs to DICOMRis is discussed in the relevant SOP Specific Conformance sections above. The Procedure and Protocol Codes in the DICOMRis database can be exported to files and transferred across the network using the Configuration Utility. This allows Modalities to access and incorporate these codes if so desired.

Table C.8.1-4. DICOMRis Controlled Terminology Usage

SOP Class/Service | Attribute Name | Tag | Baseline Context ID | Coding Scheme | Remarks
--- | --- | --- | --- | --- | ---
Scheduled Procedure Step Module
MWL/ C-FIND | >Scheduled Protocol Code Sequence | (0040,0008) | None | CPT-4, DICOMRis Procedure, site-supplied procedure codes or site-supplied protocol codes | At the option of the site, DICOMRis may be configured to associate CPT-4, DICOMRis Internal codes or site-supplied procedure codes with the various procedures represented in their Item master file. The configured procedure code will be passed in this attribute unless the site has supplied and configured protocol codes to be associated with the respective procedures in addition to procedure codes. In this case the configured protocol code will be passed
Requested Procedure Module
| Requested Procedure Code Sequence | (0032,1064) | None | CPT-4, DICOMRis Procedure, site-supplied procedure codes | See remarks for Scheduled Protocol Code Sequence (0040,0040). The difference is that a procedure code is always passed in this attribute rather than a protocol code

### C.8.4 Grayscale Image Consistency

DICOMSRV does not support the Grayscale Standard Display Function

### C.8.5 Standard Extended/Specialized/Private SOP Classes

DICOMSRV does not claim conformance to any Extended, Specialized or Private SOP Classes.

### C.8.6 Private Transfer Syntaxes

DICOMSRV does not employ any Private Transfer Syntaxes.

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