These examples illustrate the problems accessing patient data in only two departments, radiology and oncology. The method needed is DicomQuery.DoRawQuery, You can generate a default query dataset as a starting point, using the QueryDataSet method, and then add more query parameters to it: Providing software toolkits and consultancy for healthcare integration with primary focus on DICOM & XDS, Support: support@medicalconnections.co.uk, // with Study UID obtained, you can either do further C-FIND queries to get Series/Instance UIDs, // or you can go ahead and retrieve the entire Study via C-GET or C-MOVE. You can lookup by a fragment of group, element (also a combination of group and element), VR or name. WebDICOM Value Representations Note For attributes that were present in ACR-NEMA 1.0 and 2.0 and that have been retired, the specifications of Value Representation and Value Multiplicity provided are recommendations for the purpose of interpreting their values in objects created in accordance with earlier versions of this standard. X. This means it is probably generated at the modality or typed in by the technologist.Accession Number is generated by the HIS/RIS and identifies the order for the imaging service. 0x0050. Series Number:A number that identifies this Series. In the perfect world, these steps happen:1. 0x0008. WebAccession Number | Interoperability Standards Advisory (ISA) Home USCDI Diagnostic Imaging Accession Number Diagnostic Imaging Tests that result in visual images requiring interpretation by a credentialed professional. In the beginning of the 1980s, it was very difficult for anyone other than manufacturers of computed tomography or magnetic resonance imaging devices to decode the images that the machines generated. Frontline Digitisation: what is going to happen to your legacy EPR data? MONOCHROME1/2 RGB. An imaging modality describes the imaging equipment and/or method used to acquire certain structural or functional information about the body. DICOM includes protocols for image exchange (e.g., via portable media such as DVDs), image compression, 3-D visualization, image presentation, and results reporting. HIS/RIS generates order for imaging service.2. VistA Imaging DICOM Modality Interfaces(January 2023) DICOM Modality Validation Test Procedure (November 2015) In this environment, how do you answer the following questions? Hex Code. What happens when a treatment station is retired? WebDICOM Value Representations Note For attributes that were present in ACR-NEMA 1.0 and 2.0 and that have been retired, the specifications of Value Representation and Value Multiplicity provided are recommendations for the purpose of interpreting their values in objects created in accordance with earlier versions of this standard. There can be from one to hundreds of images in a given imaging series. I would say the minimum would be 1, as it should never be NULL, nor should it be duplicated in the RIS (obviously) but most PACS systems will accept duplicate accession numbers (but not duplicate StudyInstanceUIDs). To promote identical grayscale image display on different monitors and consistent hard-copy images from various printers, the DICOM committee developed a lookup table to display digitally assigned pixel values. for coordinates. The key that identifies the order is the Accession Number, which is copied from the worklist to the image header and is used by a radiologist to identify the diagnostic report. Health information technology (Health IT) makes it possible for health care providers to better manage patient care through secure use and sharing of health information. As long as all of the applications support the chosen solution, everything works fine. I have a quick question regarding accession numbers in RIS/PACS systems that you work with. Flanders, A.E., Carrino, J.A., 2003. The PACS system does not synchronize changes to e.g. They all support DICOM, but they often have different methods of archiving data, making it difficult to have a central archive. I like to believe that there is a one-one correspondence between the order for service and the study, but that is not necessarily true. AccessionNumber. A study was directly copied from a PACS and contains stale header data. ReferringPhysicianIDSequence. This document lists DICOM Modalities, Tags, Transfer Syntaxes and SOP classes. In 1988 the second version was released. Open standard from the medical computer science, Alternative formats as well as the DocBook source of the standard text, and additions to the standard (Supplements and Change Proposals), are available throughout the. I thinknewer implementations will generate a number that is unique. WebTag. Integrating the Healthcare Enterprise (IHE) is an industry sponsored non-profit organization that profiles the use of standards to address specific healthcare use cases. This retrieval limit is dictated by the AIR Access Plan for a given IRB. SR DOCUMENT GENERAL MODULE ATTRIBUTES. There are some problem areas, however, specifically related to the radiology report. The physicians click on these links to view both the images and the report. Some vendors dont even allow for this number to be entered at the modality. For example, a skin cancer treatment planning station may use photographs stored in JPEG. [citation needed], In 1993 the third version of the standard was released. X. Exploiting DICOM Flaw to Embed Malware in CT/MRI Imagery", American Association for Medical Systems and Informatics, List of medical and health informatics journals, https://en.wikipedia.org/w/index.php?title=DICOM&oldid=1140926046, Articles with incomplete citations from August 2020, All articles with bare URLs for citations, Articles with bare URLs for citations from May 2022, Articles with unsourced statements from December 2018, Wikipedia articles needing clarification from May 2020, Creative Commons Attribution-ShareAlike License 3.0. These include DICONDE (Digital Imaging and Communication in Nondestructive Evaluation) that was established in 2004 as a way for nondestructive testing manufacturers and users to share image data,[11] and DICOS (Digital Imaging and Communication in Security) that was established in 2009 to be used for image sharing in airport security.[12]. The text was vague and had internal contradictions. 0x0008. For instance, a patient that in the same day did a knee X-ray and a knee MRN. HIS/RIS generates order for imaging service. WebThe DICOM standard is 16 characters. For each of the Filler Order numbers, it will assign a unique Accession Number. 0000H = 0001H = 2. Slice Thickness:Nominal slice thickness, in mm. Hex Code. Their first standard, ACR/NEMA 300, entitled "Digital Imaging and Communications", was released in 1985. An identifier of the Imaging Service Request for this Requested Procedure. Samples Per Pixel:Number of samples (planes) in this image. DICOMStandardBrowser byInnolitics 2016 2023Innolitics, LLC. The Accession Number may group one or more Requested Procedures. [8] DICOM has been constantly updated and extended since 1993, with the intent that changes are backward compatible, except in rare cases where the earlier specification was incorrect or ambiguous. Hello to all the RAD people in this group! Having an IS interface allows this number to be retrieved and to be sent with the images. DICOM has been central to the development of modern WebThis Accession number, although required by the DICOM standard to be provided with the images, is not always available. The core application of the DICOM standard is to capture, store and distribute medical images. Health IT includes the use of electronic health records (EHRs) instead of paper medical records to maintain people's health information. While some systems may accept more values, you risk running into issues downstream by exceeding the standard. While this process works for its intended purpose, some questions arise with regard to the access of this patient data. 11112 registered port for DICOM using standard, open communication over TCP or UDP. How does the treatment team obtain a complete view of the patients plan and history. Lets start with one of the more successful IHE integration profiles, the radiology scheduled work flow (SWF). Anonymization. Radiologists and medical physicists wanted to use the images for dose-planning for radiation therapy. An imaging examination, more commonly abbreviated imaging exam or imaging study, contains all the images acquired in a given imaging protocol. 0x0096. WebThe DICOM standard is 16 characters. Seminars in Roentgenology 38, 270281. AccessionNumber. UIDs shall be mapped to the root portion of HL7 V3 Instance Identifiers (II). Some vendors dont even allow for this number to be entered at the modality. WebAccession Number | Interoperability Standards Advisory (ISA) Home USCDI Diagnostic Imaging Accession Number Diagnostic Imaging Tests that result in visual images requiring interpretation by a credentialed professional. The Uniform Type Identifier type for DICOM files is org.nema.dicom. They may reset to0 after a particular count or maybe at midnight. The PACS system does not synchronize changes to e.g. If you wish to retrieve a study based on accession number (or anything else except those 4 identifiers). Web2. * GroupDICOMGroupGroup For each of the Filler Order numbers, it will assign a unique Accession Number. The DICOM Standard is under continuous maintenance, and the current official version is available at http://www.dicomstandard.org/current/. 0x0080. * (gggg,0000)group(gggg,0000)DICOM, 1object WebDICOM UI (data type: Unique Identifier, UID) is limited to 64 bytes. Introduction to DICOM, UID 1.2.840.10008.1.1, YYYYMMDD YYYY MM DD 200508222005 8 22 , HHMMSS FRAC HH (00-23) MM (00-59) FRAC 183200.00 6:32 , YYYYMMDDHHMMSS. The DICOM print service is used to send images to a DICOM printer, normally to print an "X-Ray" film. It helps give the radiology department a more precise handle on resource (acquisition station) use. The patients tags remain the same for all study of the patient, for every access the patient did, do and will do in our facility. 1216. A departmental IS generated number which identifies the order for the Study. WebThe table below contains the Data Dictionary from DICOM PS3.6 version 2013c. The problem occurs when you want to view both the report and the images together. How could you search the history for individual values? A DICOM data object consists of a number of attributes, including items such as name, ID, etc., and also one special attribute containing the image pixel data (i.e. The problem occurs when you want to view both the report and the images together. Instrument generates its own Study Instance UID. [5], The DICOM standard is divided into related but independent parts.[6]. The DICOM standard is 16 characters. Another example environment is Oncology where there are many different applications, some that support DICOM for images and some that dont support DICOM. Pixel Spacing:Physical distance in the patient between the center of each pixel. With explicit value representation (VR) data elements, for VRs that are not OB, OW, OF, SQ, UT, or UN[clarification needed], the format for each data element is: GROUP (2 bytes) ELEMENT (2 bytes) VR (2 bytes) LengthInByte (2 bytes) Data (variable length). I think i'm posting in the right sub, so I'll give it a shot here. I am more than happy to check how long our accession numbers are when I next go in, Im a programmer wondering if I got the right requirements..lol, Fourteen at my site. Digital Imaging and Communications in Medicine (DICOM) is the standard for the communication and management of medical imaging information and related data. As difficult as all these problems are, so far we have assumed that we have correctly identified the patient. An imaging series can contain from a few images to hundreds of images. The accession number is communicated using an HL7 order message (ORM) to all systems that need it, including PACS. DICOM Parts 3, 4, and 6, NEMA. For example, the patient for a radiology procedure is usually selected from a work list, but what if there are two patients with a common name? WebAccession Number | Interoperability Standards Advisory (ISA) Home USCDI Diagnostic Imaging Accession Number Diagnostic Imaging Tests that result in visual images requiring interpretation by a credentialed professional. I cannot understand the difference of meannig with Study-ID,Accession number and Study instance UID. DICOM Modality Worklist makes patient demographic information, order details and scheduling informationfrom a RIS available at a modality, eliminating dual data entry and guaranteeing data integrity. But what about all the legacy patient history data stored as images in PACS? USCDI V2 USCDI V3 Level 2 Comment Log in The study uidis usually generated by the modality on which the exam is done. This may also include the accession number. Or another department? WebThe table below contains the Data Dictionary from DICOM PS3.6 version 2013c. This information is loaded on a scanner prior to scanning and can be modified under special circumstances. Image Position (Patient)The x, y and z coordinates of the upper left hand corner of the image, in mm. Pixel Representation:Data representation of the pixel samples. Basic Structures and Concepts in DICOM Image Orientation (Patient):The direction cosines of the first row and the first column with respect to the patient. How does PACS get a copy of the report? 0x0080. ORA-00001: (.) Because there is no standard way to integrate the viewing of the radiology report along with the images, different applications provide different methods to solve the problem. 2. If the PACS does not support the HL7 ORU message, how can it display the report to the radiologist? The SWF integration profile defines how information is exchanged between different systems in the process of ordering, acquiring, reading and reporting on a radiology imaging procedure. WebAccession Number Attribute DICOM Standard Browser An identifier of the Imaging Service Request for this Requested Procedure. 5 or more. (0008,0050) >Accession Number. A complementary service to modality worklist, this enables the modality to send a report about a performed examination including data about the images acquired, beginning time, end time, and duration of a study, dose delivered, etc. Data synced with official DICOM standard on 12 May 2020. Built with by Innolitics, a team of medical imaging software developers. LEARN MORE. In my next blog I will examine problems related to patient identification. InstitutionName. Anonymization. Webtag a DICOM tag (as a Tag object) VR DICOM value representation various number and string formats, etc; VM value multiplicity. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. number-of-study-related-instances. The photo ID could help to ensure that the correct patient is selected from the work list. How does PACS get a copy of the report? Protected health information (PHI) is any information in the medical record or designated record set that can be used to identify an individual and that was created, used or disclosed in the course of providing a health care service such as diagnosis or treatment (source: UCSF IRB). The method needed is DicomQuery.Find. Since 104 is in the reserved subset, many operating systems require special privileges to use it; Photometric Interpretation:Specifies the intended interpretation of the pixel data. This document lists DICOM Modalities, Tags, Transfer Syntaxes and SOP classes. Press J to jump to the feed. It is important to know details such as whether the patient is pregnant before performing a radiology procedure. DeJarnette Research Systems and Merge Technologies provided the modality gateway interfaces from third party imaging modalities to the Siemens SPI network. UIDs shall be mapped to the root portion of HL7 V3 Instance Identifiers (II). Instrument probably generates its own Study ID.3. This version gained more acceptance among vendors. The typical case involves a radiology procedure being ordered, scheduled and performed for a registered patient. This enables a workstation to find lists of images or other such objects and then retrieve them from a picture archiving and communication system. High Bit:Most significant bit for pixel sample data. Having an IS interface allows this number to be retrieved and to be sent with the images. X. AIR users are allowed to retrieve a set number of imaging examinations. LOINC/RSNA Radiology Playbook includes Diagnostic Imaging Procedure Codes and Descriptions. VistA Imaging System DICOM Conformance Statement (Rev 6, October 2011) Approved DICOM Modality Interfaces. WebTag. Is there a limit on the length of the accession number? [4] It is also known as NEMA standard PS3, and as ISO standard 12052:2017 "Health informatics Digital imaging and communication in medicine (DICOM) including workflow and data management". Some vendors dont even allow for this number to be entered at the modality. DICOMDigital Imaging and Communications in MedicineISO 12052 https://www.dicomstandard.org/ .Dicom Meta Information For each of the Filler Order numbers, it will assign a unique Accession Number. A departmental IS generated number which identifies the order for the Study. The DICOM standard is used in a wide variety of resources (IHE, HL7 a) that are related to images. To use the DICOM grayscale standard display function (GSDF),[13] images must be viewed (or printed) on devices that have this lookup curve or on devices that have been calibrated to the GSDF curve. I see the character length usually at 16, have anyone ever seen more or less than that? .. An imaging examination can contain from hundreds of images to thousands depending on the imaging protocol. How does PACS get a copy of the report? Other solutions have included the use of desktop integration, where two applications are coordinated to display data for the same patient. 0x0008. DICOM is incorporated in a variety of imaging related IHE profiles.[21][22]. Thus, the retrieval count represents the total number of imaging examinations one can retrieve, not the absolute number of images. InstitutionName. The accession number is supposed to uniquely identify the study on the information system. In the context of AIR, this relationship helps explain why some imaging exams take longer to queue and retrieve than others. IHE profiles also include security considerations. HIS/RIS or PACS sees order and generates Modality Worklist entry for the study. Thus, the retrieval count represents the total number of imaging examinations one can retrieve, not the absolute number of images. This includes something that can be thought of as an accession number. Mike Murphy Mike Murphy. 2. 2762 registered port for DICOM using Transport Layer Security (TLS) over TCP or UDP; However, it is a current requirement of the USCDI. Some vendors dont even allow for this number to be entered at the modality. WebEach imaging examination is assigned a unique accession number on PACS. Prior to the use of the DICOM modality worklist service, the scanner operator was required to manually enter all the relevant details. Content DateThe date the image pixel data creation started. These are scanned to digital images and are stored in the Hospital Information System (HIS). X. for coordinates. How would that be imported into the EMR? A departmental IS generated number which identifies the order for the Study. If, for example, you wanted to compare the different histories from multiple radiology procedures, how would you do that? Take, The study id and accession number are information system generatednumbers. (0008,0050) DICOM Parts 3, 4, and 6, NEMA. WebThis Accession number, although required by the DICOM standard to be provided with the images, is not always available. The DICOMDIR information provides substantially greater information about each file than any filename could, so there is less need for meaningful file names. Modality queries for Modality Worklist to obtain the Study Instance UID as well as patient demographics and other information needed for the study. WebTag. A new solution to viewing reports and images must be implemented, often resulting in the disruption of the clinical work flow. This is a common source of problems with media created by developers who did not read the specifications carefully. This document is the combined conformance statement for the various DICOM components in VistA Imaging. InstitutionName. For more information, please see this page. There are no "minor" versions to the standard (e.g., no such thing as "DICOM 3.1") and there are no current plans to develop a new, incompatible, version of the standard (i.e., no "DICOM 4.0"). radiological imaging: DICOM incorporates standards for imaging modalities such as radiography, ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI), and radiation therapy. This information can be used to identify areas that require additional work to raise the overall classification level and consideration for inclusion in future versions of USCDI, - Must be represented by a vocabulary standard or an element of a published technical specification, - Used at scale in more than 2 different production environments, - Demonstrates exchange between 4 or more organizations with different EHR/HIT systems, - Used by a majority of patients, providers or events requiring its use, Interoperability Standards Advisory (ISA), Sources of Security Standards and Security Patterns, State and Local Public Health Readiness for Interoperability, Unique Device Identifier(s) for a Patients Implantable Device(s), Administrative Transaction Acknowledgements, Enrollment and Disenrollment in a Health Plan, Health Care Eligibility Benefit Inquiry and Response, Health Care Eligibility Benefit Inquiry and Response for Retail Pharmacy Coverage, Administrative Transactions to Financial Exchanges, Electronic Funds Transfer for Payments to Health Care Providers, Health Care Payment and Remittance Advice, Health Plan Premium Payments for Covered Members, Administrative Transactions to Support Clinical Care, Health Care Attachments to Support Claims, Referrals and Authorizations, Referral Certification and Authorization for Pharmacy Transactions, Referral Certification and Authorization Request and Response for Dental, Professional and Institutional Services, Health Care Claims and Coordination of Benefits, Health Care Claim Status Request and Response, Health Care Claims or Equivalent Encounter Information for Dental Claims, Health Care Claims or Equivalent Encounter Information for Institutional Claims, Health Care Claims or Equivalent Encounter Information for Professional Claims, Health Care Claims or Equivalent Encounter Information for Retail Pharmacy Claims, Health Care Claims or Equivalent Encounter Information for Retail Pharmacy Supplies and Professional Services, Operating Rules to Support Administrative Transactions, Operating Rules for Enrollment and Disenrollment, Operating Rules for Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA), Operating Rules for Prior Authorization and Referrals, Operating Rules to Support Claim Status Transactions, Operating Rules to Support Electronic Prescribing Transactions, Operating Rules to Support Eligibility Transactions, Appendix I Sources of Security Standards and Security Patterns, Appendix III - Educational and Informational Resources, Understanding Emerging API-Based Standards, Understanding Observations and Observation Values, Appendix IV - State and Local Public Health Readiness for Interoperability, Sending a Notification of a Long-Term Care Patients Admission, Discharge and/or Transfer Status to the Servicing Pharmacy, Sending a Notification of a Patients Admission, Discharge and/or Transfer Status to Other Providers, Sending a Notification of a Patients Encounter to a Record Locator Service, Referral from Acute Care to a Skilled Nursing Facility, Referral to a Specialist - Request, Status Updates, Outcome, Referral to Extra-Clinical Services - Request, Updates, Outcome, Documenting and Sharing Care Plans for a Single Clinical Context, Documenting and Sharing Medication-Related Care Plans by Pharmacists, Documenting Care Plans for Person Centered Services, Domain or Disease-Specific Care Plan Standards, Sharing Patient Care Plans for Multiple Clinical Contexts, Communicate Appropriate Use Criteria with the Order and Charge to the Filling Provider and Billing System for Inclusion on Claims, Provide Access to Appropriate Use Criteria, Clinical Quality Measurement and Reporting, Reporting Aggregate Quality Data for Quality Reporting Initiatives, Reporting Patient-level Quality Data for Quality Reporting Initiatives, Sharing Quality Measure Artifacts for Quality Reporting Initiatives, Establishing the Authenticity, Reliability, and Trustworthiness of Content Between Trading Partners, Exchanging Diet and Nutrition Orders Across the Continuum of Care, Family Health History (Clinical Genomics), Representing Family Health History for Clinical Genomics, Format for Sharing Social Care Services Information, Format for Structuring and Sharing Social Care Directory Information, Format of Medical Imaging Reports for Exchange and Distribution, Format of Radiation Exposure Dose Reports for Exchange and Distribution, Format of Radiology Reports for Exchange and Distribution, Medical Image Formats for Data Exchange and Distribution, Exchange InVitro Diagnostics (IVD) Orders and Results, Transmit Laboratory Directory of Services to Provider System, Medical Device Communication to Other Information Systems/Technologies, Transmitting Patient Vital Signs from Medical Devices to Other Information Systems/Technologies, Clinical Information Systems to Request Context-Specific Clinical Knowledge From Online Resources, Patient Identity/Identification Management, Recording Patient Preferences for Electronic Consent to Access and/or Share their Health Information with Other Care Providers, Allows Pharmacy Benefit Payers to Communicate Formulary and Benefit Information to Prescriber Systems, Allows a Long Term or Post-Acute Care to Request to Send an Additional Supply of Medication, Allows a Pharmacy to Notify a Prescriber of Prescription Fill Status, Allows a Pharmacy to Request Additional Refills, Allows a Pharmacy to Request a Change to a Prescription, Allows a Pharmacy to Request a New Prescription For a New Course of Therapy or to Continue Therapy, Allows a Pharmacy to Request, Respond to or Confirm a Prescription Transfer, Allows a Prescriber or a Pharmacy to Request a Patients Medication History, Allows a Prescriber to Cancel a Prescription, Allows a Prescriber to Communicate Drug Administration Events, Allows a Prescriber to Communicate with a REMS Administrator, Allows a Prescriber to Prescribe Medication Using Weight-Based Dosing, Allows a Prescriber to Recertify the Continued Administration of a Medication Order, Allows a Prescriber to Request a Patients Medication History from a State Prescription Drug Monitoring Program (PDMP), Allows a Prescriber to Request, Cancel or Appeal Prior Authorization for Medications, Allows a Prescriber to Send a New Prescription to a Pharmacy, Allows a Prescriber to Send a Prescription to a Pharmacy for a Controlled Substance, Allows for Communication of Prescription Information Between Prescribers and Dispensers, Allows for the Exchange of State Prescription Drug Monitoring Program (PDMP) Data, Data Submission for Title X Family Planning Annual Reporting, Electronic Transmission of Reportable Laboratory Results to Public Health Agencies, Exchanging Immunization Data with Immunization Registries, Newborn Screening Results and Birth Defect Reporting to Public Health Agencies, Reporting Antimicrobial Use and Resistance Information to Public Health Agencies, Reporting Birth and Fetal Death to Public Health Agencies, Reporting Cancer Cases to Public Health Agencies, Reporting Death Records to Public Health Agencies, Reporting Syndromic Surveillance to Public Health (Emergency Department, Inpatient, and Urgent Care Settings), Sending Health Care Survey Information to Public Health Agencies, Data Collection for Submission to Registries and Reporting Authorities, Prepopulation of Research Forms from Electronic Health Records, Submission of Clinical Research Data Contained in EHRs and Other Health IT Systems for General Purpose or Preserving Specific FDA Requirements, Submission of Clinical Research Data to FDA to Support Product Marketing Applications, Submit Adverse Event Report from an Electronic Health Record to Drug Safety Regulators, Support a Transition of Care or Referral to Another Health Care Provider, Defining a Globally Unique Device Identifier, Representing Unique Implantable Device Identifiers, An Unsolicited "Push" of Clinical Health Information to a Known Destination and Information System User, An Unsolicited Push of Clinical Health Information to a Known Destination Between Systems, Push Communication of Vital Signs from Medical Devices, Remote Patient Monitoring to Support Chronic Condition Management, Patient Education and Patient Engagement, Providing Patient-Specific Assessments and Recommendations Based on Patient Data for Clinical Decision Support, Retrieval of Contextually Relevant, Patient-Specific Knowledge Resources from Within Clinical Information Systems to Answer Clinical Questions Raised by Patients in the Course of Care, Consumer Access/Exchange of Health Information, Collection and Exchange of Patient-Reported Outcomes, Patient Exchanging Secure Messages with Care Providers, Push Patient-Generated Health Data into Integrated EHR, Remote Patient Authorization and Submission of EHR Data for Research, View, Download and Transmit Data from EHR, Listing of Providers for Access by Potential Exchange Partners, Exchanging Images Outside a Specific Health Information Exchange Domain, Exchanging Images Within a Specific Health Information Exchange Domain, Exchanging Patient Identification Within and Between Communities, Transport for Immunization Submission and Query/Response, Data Element Based Query for Clinical Health Information, Query for Documents Outside a Specific Health Information Exchange Domain, Query for Documents Within a Specific Health Information Exchange Domain, Finding and Retrieving Human Services Information, Representing Patient Allergies and Intolerances; Environmental Substances, Representing Patient Allergies and Intolerances; Food Substances, Representing Patient Allergies and Intolerances; Medications, Representing Non-Imaging and Non-Laboratory Clinical Tests, Representing Patient Contact Information for Telecommunications, Representing Nutrition Assessment, Diagnosis, Interventions and Monitoring/Evaluation, Representing Health Care Data for Emergency Medical Services, Representing Assessment and Plan of Treatment, Representing Patient Dental Encounter Diagnosis, Representing Patient Medical Encounter Diagnosis, Representing Patient Family Health History, Representing Patient Functional Status and/or Disability, Health Care Providers, Family Members and Other Caregivers, Representing Provider Role in Team Care Settings, Representing Relationship Between Patient and Another Person, Imaging (Diagnostics, Interventions and Procedures), Representing Imaging Diagnostics, Interventions and Procedures, Representing Clinical/Nursing Assessments, Representing Patient Problems for Nursing, Patient Clinical Problem List (i.e., "Conditions"), Representing Patient Clinical Problems (i.e., Conditions), Representing Patient Preferred Language (Presently), Representing Medical Procedures Performed, Public Health Emergency Preparedness and Response, Representing Hospital/Facility Beds Utilization, Representing Laboratory Operations (Population Laboratory Surveillance), Representing Population-Level Morbidity and Mortality, Representing Data for Biomedical and Health Services Research Purposes, Sex at Birth, Sexual Orientation and Gender Identity, Representing Patient-Identified Sexual Orientation, Social, Psychological and Behavioral Data, Representing Exposure to Violence (Intimate Partner Violence), Representing Social Connection and Isolation, Representing Patient Electronic Cigarette Use (Vaping), Representing Patient Secondhand Tobacco Smoke Exposure, Representing Patient Tobacco Use (Smoking Status), Representing Units of Measure (For Use with Numerical References and Values), Representing Job, Usual Work, and Other Work Information, https://www.healthit.gov/isa/taxonomy/term/3716/level-1, https://www.ihe.net/uploadedFiles/Documents/Radiology/IHE_RAD_TF_Vol1x.pdf, https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html#table_C.7-3, https://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_C.6.2.html, https://www.ihe.net/uploadedFiles/Documents/Radiology/IHE_RAD_TF_Vol1.pdf, http://www.hl7.org/implement/standards/product_brief.cfm?product_id=13, https://www.hl7.org/fhir/imagingstudy.html, https://www.healthit.gov/hitac/events/us-core-data-interoperability-task-force-2021-27, https://loinc.org/oids/1.3.6.1.4.1.12009.10.2.5.1/, https://profiles.ihe.net/RAD/IMR/index.html, https://www.nuance.com/healthcare/diagnostics-solutions/radiology-network/powershare-medical-image-sharing.html, https://www.rsna.org/practice-tools/data-tools-and-standards/image-share-validation-program.
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