7. Patient Management Service

The Patient Management Service processes ADT messages received from remote HL7 Applications, updating the patient information of archived DICOM objects, and send ADT messages to remote HL7 Applications on patient information changes initiated via the Web UI or proprietary RESTful services of dcm4che DICOM Archive 5.

The functionality provided by the Patient Management Service of dcm4che DICOM Archive 5 is compliant with the requirements for following IHE Integration Profiles and Actors with Option:

Integration Profile	Actor	Option
Patient Information Reconciliation	Image Manager/Image Archive	HL7 v2.5.1
Patient Administration Management	Patient Demographics Consumer	Merge
Patient Administration Management	Patient Demographics Source	Merge

as specified in the IHE Technical Frameworks for Radiology and IT Infrastructure.

• 7.1. Inbound
  • 7.1.1. Inbound Messages
    • 7.1.1.1. ADT/ACK - Admit/Visit Notification (Event A01)
      • 7.1.1.1.1. Trigger Event
      • 7.1.1.1.2. Supported Segments
      • 7.1.1.1.3. Performed Actions
    • 7.1.1.2. ADT/ACK - Transfer a Patient (Event A02)
      • 7.1.1.2.1. Trigger Event
      • 7.1.1.2.2. Supported Segments
      • 7.1.1.2.3. Performed Actions
    • 7.1.1.3. ADT/ACK - Discharge/End Visit (Event A03)
      • 7.1.1.3.1. Trigger Event
      • 7.1.1.3.2. Supported Segments
      • 7.1.1.3.3. Performed Actions
    • 7.1.1.4. ADT/ACK - Register a Patient (Event A04)
      • 7.1.1.4.1. Trigger Event
      • 7.1.1.4.2. Supported Segments
      • 7.1.1.4.3. Performed Actions
    • 7.1.1.5. ADT/ACK - Pre-Admit a Patient (Event A05)
      • 7.1.1.5.1. Trigger Event
      • 7.1.1.5.2. Supported Segments
      • 7.1.1.5.3. Performed Actions
    • 7.1.1.6. ADT/ACK - Change an Outpatient to an Inpatient (Event A06)
      • 7.1.1.6.1. Trigger Event
      • 7.1.1.6.2. Supported Segments
      • 7.1.1.6.3. Performed Actions
    • 7.1.1.7. ADT/ACK - Change an Inpatient to an Outpatient (Event A07)
      • 7.1.1.7.1. Trigger Event
      • 7.1.1.7.2. Supported Segments
      • 7.1.1.7.3. Performed Actions
    • 7.1.1.8. ADT/ACK - Update Patient Information (Event A08)
      • 7.1.1.8.1. Trigger Event
      • 7.1.1.8.2. Supported Segments
      • 7.1.1.8.3. Performed Actions
    • 7.1.1.9. ADT/ACK - Patient Arriving - Tracking (Event A10)
      • 7.1.1.9.1. Trigger Event
      • 7.1.1.9.2. Supported Segments
      • 7.1.1.9.3. Performed Actions
    • 7.1.1.10. ADT/ACK - Cancel Admit/Visit Notification (Event A11)
      • 7.1.1.10.1. Trigger Event
      • 7.1.1.10.2. Supported Segments
      • 7.1.1.10.3. Performed Actions
    • 7.1.1.11. ADT/ACK - Cancel Transfer (Event A12)
      • 7.1.1.11.1. Trigger Event
      • 7.1.1.11.2. Supported Segments
      • 7.1.1.11.3. Performed Actions
    • 7.1.1.12. ADT/ACK - Cancel Discharge/End Visit (Event A13)
      • 7.1.1.12.1. Trigger Event
      • 7.1.1.12.2. Supported Segments
      • 7.1.1.12.3. Performed Actions
    • 7.1.1.13. ADT/ACK - Add Person or Patient Information (Event A28)
      • 7.1.1.13.1. Trigger Event
      • 7.1.1.13.2. Supported Segments
      • 7.1.1.13.3. Performed Actions
    • 7.1.1.14. ADT/ACK - Update Person Information (Event A31)
      • 7.1.1.14.1. Trigger Event
      • 7.1.1.14.2. Supported Segments
      • 7.1.1.14.3. Performed Actions
    • 7.1.1.15. ADT/ACK - Cancel Pre-Admit (Event A38)
      • 7.1.1.15.1. Trigger Event
      • 7.1.1.15.2. Supported Segments
      • 7.1.1.15.3. Performed Actions
    • 7.1.1.16. ADT/ACK - Merge Patient - Patient Identifier List (Event A40)
      • 7.1.1.16.1. Trigger Event
      • 7.1.1.16.2. Supported Segments
      • 7.1.1.16.3. Performed Actions
    • 7.1.1.17. ADT/ACK - Change Patient Identifier List (Event A47)
      • 7.1.1.17.1. Trigger Event
      • 7.1.1.17.2. Supported Segments
      • 7.1.1.17.3. Performed Actions
        • 7.1.1.17.3.1. HL7 Track Changed Patient ID enabled
        • 7.1.1.17.3.2. HL7 Track Changed Patient ID disabled
  • 7.1.2. Inbound Message Segments
    • 7.1.2.1. MSH - Message Header segment
    • 7.1.2.2. PID - Patient Identification segment
    • 7.1.2.3. NTE - Notes and Comments segment (for PID)
    • 7.1.2.4. MRG - Merge segment
  • 7.1.3. HL7 ADT to DICOM Mapping
  • 7.1.4. HL7 ADT - Error Mapping
• 7.2. Outbound
  • 7.2.1. Outbound Messages
    • 7.2.1.1. ADT/ACK - Add Person or Patient Information (Event A28)
      • 7.2.1.1.1. Trigger Event
      • 7.2.1.1.2. Supported Segments
      • 7.2.1.1.3. Expected Actions
    • 7.2.1.2. ADT/ACK - Update Person Information (Event A31)
      • 7.2.1.2.1. Trigger Event
      • 7.2.1.2.2. Supported Segments
      • 7.2.1.2.3. Expected Actions
    • 7.2.1.3. ADT/ACK - Merge Patient - Patient Identifier List (Event A40)
      • 7.2.1.3.1. Trigger Event
      • 7.2.1.3.2. Supported Segments
      • 7.2.1.3.3. Expected Actions
    • 7.2.1.4. ADT/ACK - Change Patient Identifier List (Event A47)
      • 7.2.1.4.1. Trigger Event
      • 7.2.1.4.2. Supported Segments
      • 7.2.1.4.3. Expected Actions
  • 7.2.2. Outbound Message Segments
    • 7.2.2.1. MSH - Message Header segment
    • 7.2.2.2. PID - Patient Identification Segment
    • 7.2.2.3. NTE - Notes and Comments Segment (for PID)
    • 7.2.2.4. MRG - Merge Segment
  • 7.2.3. DICOM to HL7 ADT Mapping