DICOM PS3.15 2018d - Security and System Management Profiles

A.5.3.14 Patient Record (Current)
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#### A.5.3.14 Patient Record

This message describes the event of a patient record being created, modified, accessed, or deleted.

### Note

There are several types of patient records managed by both DICOM and non-DICOM system. DICOM applications often manipulate patient records managed by a variety of systems, and thus may be obligated by site security policies to record such events in the audit logs. This audit event can be used to record the access or manipulation of patient records where specific DICOM SOP Instances are not involved.

Table A.5.3.14-1. Audit Message for Patient Record

Real World Entities | Field Name | Opt. | Value Constraints
--- | --- | --- | ---
Event | EventID | M | EV (110110, DCM, "Patient Record")
EventActionCode | M | Enumerated value: C = create R = read U = update D = delete
EventDateTime | M | not specialized
EventOutcomeIndicator | M | not specialized
EventTypeCode | U | not specialized
User (1..2) | UserID | M | The identity of the person or process manipulating the data. If both are known, then two active participants shall be included (both the person and the process).
AlternateUserID | U | not specialized
UserName | U | not specialized
UserIsRequestor | U | not specialized
RoleIDCode | U | not specialized
NetworkAccessPointTypeCode | U | not specialized
NetworkAccessPointID | U | not specialized
Patient (1) | ParticipantObjectTypeCode | M | EV 1 (person)
ParticipantObjectTypeCodeRole | M | EV 1 (patient)
ParticipantObjectDataLifeCycle | U | not specialized
ParticipantObjectIDTypeCode | M | EV 2 (patient ID)
ParticipantObjectSensitivity | U | not specialized
ParticipantObjectID | M | The patient ID
ParticipantObjectName | U | The patient name
ParticipantObjectQuery | U | not specialized
ParticipantObjectDetail | U | not specialized
ParticipantObjectDescription | U | not further specialized

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DICOM PS3.15 2018d - Security and System Management Profiles