8.1. Inbound

8.1.1. Inbound Messages

8.1.1.1. ORM - General Order Message (Event O01)

Supported HL7 version: 2.3.1 both for RAD-4 and RAD-13

8.1.1.1.1. Trigger Event

The Department System Scheduler/Order Filler determines procedures which need to be performed to fill the order, what Procedure Steps need to be performed for each Procedure, and timing and necessary resources. Note: This transaction shall be used the first time a particular Study Instance UID is sent from the Department System Scheduler/Order Filler to the Image Manager or Report Manager. If the Study Instance UID has been sent previously, then Procedure Updated (Transaction RAD-13) shall be used.

8.1.1.1.2. Supported Segments

The following segments are processed from an incoming ORM^O01^ORM_O01 message:

Table 8.1 Supported segments of ORM^O01^ORM_O01 (HL7 v2.3.1)

Segment	Meaning	Usage	Card.	HL7 chapter
MSH - MSH - Message Header segment (HL7 v2.3.1)	Message Header	R	[1..1]	2
PID - PID - Patient Identification segment (HL7 v2.3.1)	Patient Identification	R	[1..1]	3
NTE - NTE - Notes and Comments segment (for PID) (HL7 v2.3.1)	Notes and Comments (for PID)	O	[0..1]	2
PV1 - Patient Visit segment (HL7 v2.3.1)	Patient Visit	R	[1..1]	3
ORC - Order Control segment - (HL7 v2.3.1)	Common Order	R	[1..*]	4
OBR - Observation Request segment - (HL7 v2.3.1)	Order Detail	R	[1..*]	4
NTE - Notes and Comments (for Detail) segment	Notes and Comments (for Detail)	O	[0..*]	4
ZDS - Z segment (HL7 v2.3.1 & Eyecare)	Additional identification information	C	[0..1]
OBX - Observation / Results segment	Observation / Result	O	[0..*]	7

8.1.1.1.3. Performed Actions

Patient Demographic Information are extracted from the PID and PV1 segments of the received message and mapped into corresponding DICOM attributes as defined in HL7 ADT mapping of PID segment to DICOM Patient Attributes. Optionally, if the received message also contains OBX segments, then patient demographic attributes are checked in these segments as well [17]. If a Patient record with the extracted primary Patient ID already exists in the database, that Patient record will get updated. If there is no such Patient record a new Patient record will be inserted into the database [1]. Based on the information received in the ORC and OBR segments, Modality Worklist Item is created/updated in the archive for the created/updated patient. If the message contains ZDS segment, the specified Study Instance UID will be used else system will generate a Study Instance UID for the Modality Worklist Item attributes.

[1]

The creation of new Patient records will be suppressed for message types which are listed by configuration parameter HL7 No Patient Create Message Type(s) of dcm4che DICOM Archive 5.

8.1.1.2. OMG - General Clinical Order Message (Event O19)

Supported HL7 version: 2.5.1 (EYECARE-21 and EYECARE-22)

8.1.1.2.1. Trigger Event

Same as specified in Section 8.1.1.1.1. This message is sent for eyecare profile.

8.1.1.2.2. Supported Segments

Table 8.2 Supported segments of OMG^O19^OMG_O19 (HL7 v2.5.1)

Segment	Meaning	Usage	Card.	HL7 chapter
MSH - MSH - Message Header segment (HL7 v2.5.1)	Message Header	R	[1..1]	2
PID - PID - Patient Identification segment (HL7 v2.5.1)	Patient Identification	R	[1..1]	3
NTE - NTE - Notes and Comments segment (for PID) (HL7 v2.5.1)	Notes and Comments (for PID)	O	[0..1]	2
PV1 - Patient Visit segment (HL7 v2.5.1)	Patient Visit	R	[1..1]	3
ORC - Order Control segment - (HL7 v2.5.1)	Common Order	R	[1..*]	4
TQ1 - Timing/Quantity segment - (HL7 v2.5.1 & Eyecare)	Timing/Quantity	R	[1..*]	4
OBR - Observation Request segment - (HL7 v2.5.1)	Order Detail	R	[1..*]	4
NTE - Notes and Comments (for Detail) segment	Notes and Comments (for Detail)	O	[0..*]	4
ZDS - Z segment (HL7 v2.3.1 & Eyecare)	Additional identification information	C*	[0..*]
OBX - Observation / Results segment	Observation / Result	O	[0..*]	7

8.1.1.2.3. Performed Actions

Same as specified in Section 8.1.1.1.3.

8.1.1.3. OMI - Imaging Order Message (Event O23)

Supported HL7 version: 2.5.1 (RAD-4 and RAD-13)

8.1.1.3.1. Trigger Event

Same as specified in Section 8.1.1.1.1.

8.1.1.3.2. Supported Segments

Table 8.3 Supported segments of OMI^O23^OMI_O23 (HL7 v2.5.1)

Segment	Meaning	Usage	Card.	HL7 chapter
MSH - MSH - Message Header segment (HL7 v2.5.1)	Message Header	R	[1..1]	2
PID - PID - Patient Identification segment (HL7 v2.5.1)	Patient Identification	R	[1..1]	3
NTE - NTE - Notes and Comments segment (for PID) (HL7 v2.5.1)	Notes and Comments (for PID)	O	[0..1]	2
PV1 - Patient Visit segment (HL7 v2.5.1)	Patient Visit	R	[1..1]	3
ORC - Order Control segment - (HL7 v2.5.1)	Common Order	R	[1..*]	4
TQ1 - Timing/Quantity segment - (HL7 v2.5.1 & Eyecare)	Timing/Quantity	R	[1..1]	4
OBR - Observation Request segment - (HL7 v2.5.1)	Order Detail	R	[1..*]	4
NTE - Notes and Comments (for Detail) segment	Notes and Comments (for Detail)	O	[0..*]	4
IPC - Imaging Procedure Control segment (HL7 v2.5.1)	Imaging Procedure Control	R	[1..*]	4
OBX - Observation / Results segment	Observation / Result	O	[0..*]	7

8.1.1.3.3. Performed Actions

Same as specified in Section 8.1.1.1.3, with the exception that Study Instance UID will be taken from IPC segment.

8.1.2. Inbound Message Segments

8.1.2.1. MSH - Message Header segment

Same as specified in MSH - Message Header segment (HL7 v2.3.1) or MSH - Message Header segment (HL7 v2.5.1)

8.1.2.2. PID - Patient Identification segment

Same as specified in PID - Patient Identification segment (HL7 v2.3.1) or PID - Patient Identification segment (HL7 v2.5.1)

8.1.2.3. NTE - Notes and Comments segment (for PID)

Same as specified in NTE - Notes and Comments segment (for PID) (HL7 v2.3.1) or NTE - Notes and Comments segment (for PID) (HL7 v2.5.1)

8.1.2.4. PV1 - Patient Visit segment

Table 8.4 Patient Visit segment (HL7 v2.3.1)

SEQ	LEN	DT	OPT	TBL#	ITEM #	Element Name
1	4	SI	O		00131	Set ID - PV1
2	1	IS	R	0004	00132	Patient Class
3	80	PL	C		00133	Assigned Patient Location
4	2	IS	O	0007	00134	Admission Type
5	20	CX	O		00135	Preadmit Number
6	80	PL	O		00136	Prior Patient Location
7	60	XCN	C	0010	00137	Attending Doctor
8	60	XCN	C	0010	00138	Referring Doctor
9	60	XCN	R2	0010	00139	Consulting Doctor
10	3	IS	C	0069	00140	Hospital Service
11	80	PL	O		00141	Temporary Location
12	2	IS	O	0087	00142	Preadmit Test Indicator
13	2	IS	O	0092	00143	Readmission Indicator
14	3	IS	O	0023	00144	Admit Source
15	2	IS	C	0009	00145	Ambulatory Status
16	2	IS	O	0099	00146	VIP Indicator
17	60	XCN	C	0010	00147	Admitting Doctor
18	2	IS	O	0018	00148	Patient Type
19	20	CX	C		00149	Visit Number
20	50	FC	O	0064	00150	Financial Class
21	2	IS	O	0032	00151	Charge Price Indicator
22	2	IS	O	0045	00152	Courtesy Code
23	2	IS	O	0046	00153	Credit Rating
24	2	IS	O	0044	00154	Contract Code
25	8	DT	O		00155	Contract Effective Date
26	12	NM	O		00156	Contract Amount
27	3	NM	O		00157	Contract Period
28	2	IS	O	0073	00158	Interest Code
29	1	IS	O	0110	00159	Transfer to Bad Debt Code
30	8	DT	O		00160	Transfer to Bad Debt Date
31	10	IS	O	0021	00161	Bad Debt Agency Code
32	12	NM	O		00162	Bad Debt Transfer Amount
33	12	NM	O		00163	Bad Debt Recovery Amount
34	1	IS	O	0111	00164	Delete Account Indicator
35	8	DT	O		00165	Delete Account Date
36	3	IS	O	0112	00166	Discharge Disposition
37	25	CM	O	0113	00167	Discharge to Location
38	80	CE	O	0114	00168	Diet Type
39	2	IS	O	0115	00169	Servicing Facility
40	1	IS	O	0116	00170	Bed Status
41	2	IS	O	0117	00171	Account Status
42	80	PL	O		00172	Pending Location
43	80	PL	O		00173	Prior Temporary Location
44	26	TS	O		00174	Admit Date/Time
45	26	TS	O		00175	Discharge Date/Time
46	12	NM	O		00176	Current Patient Balance
47	12	NM	O		00177	Total Charges
48	12	NM	O		00178	Total Adjustments
49	12	NM	O		00179	Total Payments
50	20	CX	O	0203	00180	Alternate Visit ID
51	1	IS	C	0326	01226	Visit Indicator
52	60	XCN	O	0010	01224	Other Healthcare Provider

Table 8.5 Patient Visit segment (HL7 v2.5.1)

SEQ	LEN	DT	OPT	TBL#	ITEM #	Element Name
1	4	SI	O		00131	Set ID - PV1
2	1	IS	R	0004	00132	Patient Class
3	80	PL	C		00133	Assigned Patient Location
4	2	IS	O	0007	00134	Admission Type
5	250	CX	O		00135	Preadmit Number
6	80	PL	C		00136	Prior Patient Location
7	250	XCN	O	0010	00137	Attending Doctor
8	250	XCN	O	0010	00138	Referring Doctor
9	250	XCN	X	0010	00139	Consulting Doctor
10	3	IS	O	0069	00140	Hospital Service
11	80	PL	C		00141	Temporary Location
12	2	IS	O	0087	00142	Preadmit Test Indicator
13	2	IS	O	0092	00143	Readmission Indicator
14	6	IS	O	0023	00144	Admit Supplier
15	2	IS	C	0009	00145	Ambulatory Status
16	2	IS	O	0099	00146	VIP Indicator
17	250	XCN	O	0010	00147	Admitting Doctor
18	2	IS	O	0018	00148	Patient Type
19	250	CX	C		00149	Visit Number
20	50	FC	O	0064	00150	Financial Class
21	2	IS	O	0032	00151	Charge Price Indicator
22	2	IS	O	0045	00152	Courtesy Code
23	2	IS	O	0046	00153	Credit Rating
24	2	IS	O	0044	00154	Contract Code
25	8	DT	O		00155	Contract Effective Date
26	12	NM	O		00156	Contract Amount
27	3	NM	O		00157	Contract Period
28	2	IS	O	0073	00158	Interest Code
29	4	IS	O	0110	00159	Transfer to Bad Debt Code
30	8	DT	O		00160	Transfer to Bad Debt Date
31	10	IS	O	0021	00161	Bad Debt Agency Code
32	12	NM	O		00162	Bad Debt Transfer Amount
33	12	NM	O		00163	Bad Debt Recovery Amount
34	1	IS	O	0111	00164	Delete Account Indicator
35	8	DT	O		00165	Delete Account Date
36	3	IS	O	0112	00166	Discharge Disposition
37	47	DLD	O	0113	00167	Discharge to Location
38	250	CE	O	0114	00168	Diet Type
39	2	IS	O	0115	00169	Servicing Facility
40	1	IS	X	0116	00170	Bed Status
41	2	IS	O	0117	00171	Account Status
42	80	PL	C		00172	Pending Location
43	80	PL	O		00173	Prior Temporary Location
44	26	TS	RE		00174	Admit Date/Time
45	26	TS	RE		00175	Discharge Date/Time
46	12	NM	O		00176	Current Patient Balance
47	12	NM	O		00177	Total Charges
48	12	NM	O		00178	Total Adjustments
49	12	NM	O		00179	Total Payments
50	250	CX	O	0203	00180	Alternate Visit ID
51	1	IS	C	0326	01226	Visit Indicator
52	250	XCN	X	0010	01274	Other Healthcare Provider

8.1.2.5. ORC - Order Control segment

Table 8.6 Order Control segment - (HL7 v2.3.1)

SEQ	LEN	DT	OPT	TBL#	ITEM #	Element Name	Note
1	2	ID	R	0119	00215	Order Control
2	22	EI	R		00216	Placer Order Number
3	22	EI	O		00217	Filler Order Number
4	22	EI	C		00218	Placer Group Number
5	2	ID	O	0038	00219	Order Status
6	1	ID	O	0121	00220	Response Flag
7	200	TQ	R		00221	Quantity/Timing
8	200	CM	C		00222	Parent
9	26	TS	R		00223	Date/Time of Transaction
10	120	XCN	R2		00224	Entered By
11	120	XCN	O		00225	Verified By
12	120	XCN	R		00226	Ordering Provider
13	80	PL	O		00227	Enterer’s Location
14	40	XTN	R2		00228	Callback Phone Number
15	26	TS	O		00229	Order Effective Date/Time
16	200	CE	O		00230	Order Control Code Reason
17	60	CE	R		00231	Entering Organization
18		CE	O		00232	Entering Device	[15]
19	120	XCN	O		00233	Action By

8.1.2.6. ORC - Order Control segment

Table 8.7 Order Control segment - (HL7 v2.5.1)

SEQ	LEN	DT	OPT	TBL#	ITEM #	Element Name
1	2	ID	R	0119	00215	Order Control
2	22	EI	R		00216	Placer Order Number
3	22	EI	X		00217	Filler Order Number
4	22	EI	C		00218	Placer Group Number
5	2	ID	O	0038	00219	Order Status
6	1	ID	O	0121	00220	Response Flag
7	200	TQ	X		00221	Quantity/Timing
8	200	EIP	C		00222	Parent
9	26	TS	R		00223	Date/Time of Transaction
10	250	XCN	R2		00224	Entered By
11	250	XCN	O		00225	Verified By
12	250	XCN	R		00226	Ordering Provider
13	80	PL	O		00227	Enterer’s Location
14	250	XTN	R2		00228	Callback Phone Number
15	26	TS	O		00229	Order Effective Date/Time
16	250	CE	O		00230	Order Control Code Reason
17	250	CE	R		00231	Entering Organization
18	250	CE	O		00232	Entering Device
19	250	XCN	O		00233	Action By
20	250	CE	O	0339	01310	Advanced Beneficiary Notice Code
21	250	XON	O		01311	Ordering Facility Name
22	250	XAD	O		01312	Ordering Facility Address
23	250	XTN	O		01313	Ordering Facility Phone Number
24	250	XAD	O		01314	Ordering Provider Address
25	250	CWE	O		01473	Order Status Modifier
26	60	CWE	C	0552	01641	Advanced Beneficiary Notice Override Reason
27	26	TS	O		01642	Filler’s Expected Availability Date/Time
28	250	CWE	O	0177	00615	Confidentiality Code
29	250	CWE	O	0482	01643	Order Type
30	250	CNE	O	0483	01644	Enterer Authorization Mode
31	250	CWE	O		02286	Parent Universal Service Identifier

8.1.2.7. TQ1 - Timing/Quantity segment

Table 8.8 Timing/Quantity segment - (HL7 v2.5.1 & Eyecare)

SEQ	LEN	DT	OPT	TBL#	ITEM #	Element Name
1	4	SI	O		01627	Set ID - TQ1
2	20	CQ	O		01628	Quantity
3	540	RPT	O	0335	01629	Repeat Pattern
4	20	TM	O		01630	Explicit Time
5	20	CQ	O		01631	Relative Time and Units
6	20	CQ	O		01632	Service Duration
7	26	TS	R		01633	Start Date/Time
8	26	TS	O		01634	End Date/Time
9	250	CWE	O	0485	01635	Priority
10	250	TX	O		01636	Condition Text
11	250	TX	O	0065	01637	Text Instruction
12	10	ID	C	0472	01638	Conjunction
13	20	CQ	O		01639	Occurrence Duration
14	10	NM	O		01640	Total Occurrences

8.1.2.8. OBR - Observation Request segment

Table 8.9 Observation Request segment - (HL7 v2.3.1)

SEQ	LEN	DT	OPT	TBL#	ITEM #	Element Name
1	4	SI	O		00237	SetID - OBR
2	75	EI	R		00216	Placer Order Number
3	75	EI	O		00217	Filler Order Number
4	200	CE	R		00238	Universal Service ID
5	2	ID	O		00239	Priority
6	26	TS	O		00240	Requested Date/Time
7	26	TS	O		00241	Observation Date/Time
8	26	TS	O		00242	Observation End Date/Time
9	20	CQ	O		00243	Collection Volume
10	60	XCN	O		00244	Collection Identifier
11	1	ID	O	0065	00245	Specimen Action Code
12	60	CE	R2		00246	Danger Code
13	300	ST	C		00247	Relevant Clinical Info
14	26	TS	O		00248	Specimen Received Date/Time
15	300	CM	C	0070	00249	Specimen Source
16	80	XCN	R		00226	Ordering Provider
17	40	XTN	O		00250	Order Callback Phone Number
18	60	ST	O		00251	Placer Field 1
19	60	ST	O		00252	Placer Field 2
20	60	ST	O		00253	Filler Field 1
21	60	ST	O		00254	Filler Field 2
22	26	TS	O		00255	Results Rpt/Status Chng - Date/Time
23	40	CM	O		00256	Charge to Practice
24	10	ID	O	0074	00257	Diagnostic Service Sect ID
25	1	ID	O	0123	00258	Result Status
26	400	CM	O		00259	Parent Result
27	200	TQ	R		00221	Quantity/Timing
28	150	XCN	O		00260	Result Copies To
29	150	CM	C		00261	Parent
30	20	ID	R2	0124	00262	Transportation Mode
31	300	CE	R2		00263	Reason For Study
32	200	CM	O		00264	Principal Result Interpreter
33	200	CM	O		00265	Assistant Result Interpreter
34	200	CM	O		00266	Technician
35	200	CM	O		00267	Transcriptionist
36	26	TS	O		00268	Scheduled Date/Time
37	4	NM	O		01028	Number of Sample Containers
38	60	CE	O		01029	Transport Logistics of Collected Sample
39	200	CE	O		01030	Collector’s Comment
40	60	CE	O		01031	Transport Arrangement Responsibility
41	30	ID	R2	0224	01032	Transport Arranged
42	1	ID	O	0225	01033	Escort Required
43	200	CE	O		01034	Planned Patient Transport Comment
44	80	CE	O	0088	00393	Procedure Code
45	80	CE	O	0340	01036	Procedure Code Modifier

8.1.2.9. OBR - Observation Request segment

Table 8.10 Observation Request segment - (HL7 v2.5.1)

SEQ	LEN	DT	OPT	TBL#	ITEM #	Element Name
1	4	SI	O		00237	SetID - OBR
2	22	EI	R		00216	Placer Order Number
3	22	EI	O		00217	Filler Order Number
4	250	CE	R		00238	Universal Service ID
5	2	ID	O		00239	Priority
6	26	TS	O		00240	Requested Date/Time
7	26	TS	O		00241	Observation Date/Time
8	26	TS	O		00242	Observation End Date/Time
9	20	CQ	O		00243	Collection Volume
10	250	XCN	O		00244	Collection Identifier
11	1	ID	O	0065	00245	Specimen Action Code
12	250	CE	R2		00246	Danger Code
13	300	ST	C		00247	Relevant Clinical Info
14	26	TS	X		00248	Specimen Received Date/Time
15	300	SPS	X	0070	00249	Specimen Source
16	250	XCN	R		00226	Ordering Provider
17	250	XTN	O		00250	Order Callback Phone Number
18	60	ST	O		00251	Placer Field 1
19	60	ST	O		00252	Placer Field 2
20	60	ST	O		00253	Filler Field 1
21	60	ST	O		00254	Filler Field 2
22	26	TS	O		00255	Results Rpt/Status Chng - Date/Time
23	40	MOC	O		00256	Charge to Practice
24	10	ID	O	0074	00257	Diagnostic Service Sect ID
25	1	ID	O	0123	00258	Result Status
26	400	PRL	O		00259	Parent Result
27	200	TQ	X		00221	Quantity/Timing
28	250	XCN	O		00260	Result Copies To
29	200	EIP	C		00261	Parent
30	20	ID	R2	0124	00262	Transportation Mode
31	250	CE	R2		00263	Reason For Study
32	200	NDL	O		00264	Principal Result Interpreter
33	200	NDL	O		00265	Assistant Result Interpreter
34	200	NDL	O		00266	Technician
35	200	NDL	O		00267	Transcriptionist
36	26	TS	O		00268	Scheduled Date/Time
37	4	NM	O		01028	Number of Sample Containers
38	250	CE	O		01029	Transport Logistics of Collected Sample
39	250	CE	O		01030	Collector’s Comment
40	250	CE	O		01031	Transport Arrangement Responsibility
41	30	ID	R2	0224	01032	Transport Arranged
42	1	ID	O	0225	01033	Escort Required
43	250	CE	O		01034	Planned Patient Transport Comment
44	250	CE	O	0088	00393	Procedure Code
45	250	CE	O	0340	01036	Procedure Code Modifier
46	250	CE	R2	0411	01474	Placer Supplemental Service Information
47	250	CE	R2	0411	01475	Filler Supplemental Service Information
48	250	CWE	R2	0476	01646	Medically Necessary Duplicate Procedure Reason
49	2	IS	O	0507	01647	Result Handling
50	250	CWE	O		02286	Parent Universal Service Identifier

8.1.2.10. NTE - Notes and Comments (for Detail) segment

Table 8.11 Notes and Comments (for Detail) segment

SEQ	LEN	DT	OPT	TBL#	ITEM #	Element Name
1	4	SI	O		00096	Set ID - NTE
2	8	ID	R2	0105	00097	Source of Comment
3	10240	FT	R		00098	Comment
4	60	CE	0		01318	Comment Type

8.1.2.11. ZDS - Z segment

Table 8.12 Z segment (HL7 v2.3.1 & Eyecare)

SEQ	LEN	DT	OPT	TBL#	ITEM #	Element Name
1	200	RP	R		Z0001	Study Instance UID

8.1.2.12. IPC - Imaging Procedure Control segment

Table 8.13 Imaging Procedure Control segment (HL7 v2.5.1)

SEQ	LEN	DT	OPT	TBL#	ITEM #	Element Name	Note
1	80	EI	R		00237	Accession Identifier
2	22	EI	R		00216	Requested Procedure ID
3	70	EI	R		00217	Study Instance UID
4	22	EI	R		00238	Scheduled Procedure Step ID
5	16	CE	R+		00239	Modality
6	250	CE	R2		00246	Protocol Code
7		EI	O		01663	Scheduled Station Name	[15]
8	250	CE	O		01664	Scheduled Procedure Step Location
9		ST	O		01665	Scheduled Station AE Title	[15]

8.1.2.13. OBX - Observation / Results segment

Table 8.14 Observation / Results segment

SEQ	LEN	DT	OPT	TBL#	ITEM #	Element Name
1	4	SI	O		00569	Set ID - OBX
2	2	ID	C	0125	00570	Value Type
3	250	CE	R		00571	Observation Identifier
4	20	ST	C		00572	Observation Sub-ID
5	99999¹	varies	C		00573	Observation Value

Element names in bold indicates that the field is used by dcm4che DICOM Archive 5.

8.1.3. HL7 Order to DICOM MWL Mapping

Mappings between HL7 and DICOM are illustrated in the following manner:

• Element Name (HL7 item_number.component.sub-component #/ DICOM (group, element))

• The component / sub-component value is not listed if the HL7 element does not contain multiple components / sub-components.

8.1.3.1. ORM - HL7 order mapping to DICOM Modality Worklist Attributes

Table 8.15 HL7 order mapping to DICOM Modality Worklist Attributes for (HL7 v2.3.1 and v2.5.1)

DICOM Attribute	DICOM Tag	HL7 Field	HL7 Item #	HL7 Segment	Note
SOP Common
Specific Character Set	(0008, 0005)	Character Set	00692	MSH:18	[16]
Patient Identification
Same as Patient Identification in HL7 ADT mapping of PID segment to DICOM Patient Attributes
Patient Demographic
Same as Patient Demographic in HL7 ADT mapping of PID segment to DICOM Patient Attributes
Patient’s Weight	(0010, 1030)	Observation Value	00573	OBX:5	[17]
Patient’s Size	(0010, 1020)	Observation Value	00573	OBX:5	[17]
Patient Medical
Patient State	(0038, 0500)	Danger Code	00246	OBR:12
Pregnancy Status	(0010, 21C0)	Ambulatory Status	00145	PV1:15	[9]
Medical Alerts	(0010, 2000)	Relevant Clinical Info	00247	OBR:13
Patient’s Sex Neutered	(0010, 2203)	Administrative Sex	00111.2	PID:8.2	‘Y’=’ALTERED’, ‘N’=’UNALTERED’
Scheduled Procedure Step
Scheduled Procedure Step Sequence	(0040, 0100)
>Scheduled Station AE Title	(0040, 0001)				[14]
>Scheduled Procedure Step Start Date	(0040, 0002)	Quantity/Timing	00221.4	ORC:7.4
>Scheduled Procedure Step Start Time	(0040, 0003)	Quantity/Timing	00221.4	ORC:7.4
>Modality	(0008, 0060)	Diagnostic Serv Sect ID	00257	OBR:24
>Scheduled Performing Physician’s Name	(0040, 0006)	Technician	00266	OBR:34.1	[5]
>Scheduled Procedure Step Description	(0040, 0007)	Universal Service ID	00238.4.5	OBR:4.5	[11]
>Scheduled Station Name	(0040, 0010)				[6]
>Scheduled Protocol Code Sequence	(0040, 0008)				[11]
>>Code Value	(0008, 0100)	Universal Service ID	00238.4.4	OBR:4.4
>>Code Scheme Designator	(0008, 0102)	Universal Service ID	00238.4.6	OBR:4.6
>>Code Meaning	(0008, 0104)	Universal Service ID	00238.4.5	OBR:4.5
>Scheduled Procedure Step ID	(0040, 0009)	Filler Field 1	00253	OBR:20
>Scheduled Procedure Step Status	(0040, 0020)	Order Control, Order Status	00215, 00219	ORC:1, ORC:5	[10]
Requested Procedure
Requested Procedure ID	(0040, 1001)	Placer field 2	00252	OBR:19
Reason for Requested Procedure	(0040, 1002)	Reason for Study	00263.2	OBR:31.2	[7]
Reason for Requested Procedure Code Sequence	(0040, 100A)				[8]
>Code Value	(0008, 0100)	Reason for Study	00263.1	OBR:31.1
>Code Scheme Designator	(0008, 0102)	Reason for Study	00263.3	OBR:31.3
>Code Meaning	(0008, 0104)	Reason for Study	00263.2	OBR:31.2
Requested Procedure Description	(0032, 1060)	Procedure Code	00393.2	OBR:44.2	[12]
Requested Procedure Code Sequence	(0032, 1064)				[12]
>Code Value	(0008, 0100)	Procedure Code	00393.1	OBR:44.1
>Code Scheme Designator	(0008, 0102)	Procedure Code	00393.3	OBR:44.3
>Code Meaning	(0008, 0104)	Procedure Code	00393.2	OBR:44.2
Study Instance UID	(0020, 000D)	Study Instance UID	Z0001.1	ZDS:1.1
Requested Procedure Priority	(0040, 1003)	Quantity/Timing	00221.6	ORC:7.6	[2]
Patient Transport Arrangements	(0040, 1004)	Transportation Mode	00262	OBR:30
Confidentiality Code	(0040, 1008)	Confidentiality Code	00615	ORC:28.2
Imaging Request
Accession Number	(0008, 0050)	Placer Field 1	00251	OBR:18
Requesting Physician	(0032, 1032)	Ordering Provider	00226	OBR:16
Referring Physician’s Name	(0008, 0090)	Referring Doctor	00138	PV1:8
Placer Issuer and Number	(0040, 2016)	Placer Order	00216.1	ORC:2.1	[3]
Order Placer Identifier Sequence	(0040, 0026)
>Item	(FFFE, E000)
>Local Namespace Entity ID	(0040, 0031)	Placer Order	00216.2	ORC:2.2	[3]
>Universal Entity ID	(0040, 0032)	Placer Order	00216.3	ORC:2.3	[3]
>Universal Entity ID Type	(0040, 0033)	Placer Order	00216.4	ORC:2.4	[3]
Filler Issuer and Number	(0040, 2017)	Filler Order	00217.1	ORC:3.1	[3]
Order Filler Identifier Sequence	(0040, 0027)
>Item	(FFFE, E000)
>Local Namespace Entity ID	(0040, 0031)	Filler Order	00217.2	ORC:3.2	[3]
>Universal Entity ID	(0040, 0032)	Filler Order	00217.3	ORC:3.3	[3]
>Universal Entity ID Type	(0040, 0033)	Filler Order	00217.4	ORC:3.4	[3]
Visit Identification
Route of Admissions	(0038, 0016)	Patient Class	00132	PV1:2	[18]
Admission ID	(0038, 0010)	Visit Number	00149.1 or 00121.1	PV1:19.1 or PID:18.1	[4]
Issuer of Admission ID Sequence	(0038, 0014)
>Item	(FFFE, E000)
>Local Namespace Entity ID	(0040, 0031)	Visit Number	00149.4.1 or 00121.4.1	PV1:19.4.1 or PID:18.4.1	[4]
>Universal Entity ID	(0040, 0032)	Visit Number	00149.4.2 or 00121.4.2	PV1:19.4.2 or PID:18.4.2	[4]
>Universal Entity ID Type	(0040, 0033)	Visit Number	00149.4.3 or 00121.4.3	PV1:19.4.3 or PID:18.4.3	[4]
Institution Name	(0008, 0080)	Entering Organization	00231.2	ORC:17.2
Institution Code Sequence	(0008, 0082)
>Item	(FFFE, E000)
>Code Value	(0008, 0100)	Institution Code	00231.1	ORC:17.1
>Code Scheme Designator	(0008, 0102)	Institution Code	00231.3	ORC:17.3
>Code Meaning	(0008, 0104)	Institution Code	00231.2	ORC:17.2
Institution Address	(0008, 0081)	Ordering Facility Address	01312	ORC:22

8.1.3.2. OMI - HL7 order mapping to DICOM Modality Worklist Attributes

Table 8.16 HL7 order mapping to DICOM Modality Worklist Attributes for (HL7 v2.5.1)

DICOM Attribute	DICOM Tag	HL7 Field	HL7 Item #	HL7 Segment	Note
SOP Common
Specific Character Set	(0008, 0005)	Character Set	00692	MSH:18	[16]
Patient Identification
Same as Patient Identification in HL7 ADT mapping of PID segment to DICOM Patient Attributes
Patient Demographic
Same as Patient Demographic in HL7 ADT mapping of PID segment to DICOM Patient Attributes
Patient Medical
Patient State	(0038, 0500)	Danger Code	00246	OBR:12
Pregnancy Status	(0010, 21C0)	Ambulatory Status	00145	PV1:15	[9]
Medical Alerts	(0010, 2000)	Relevant Clinical Info	00247	OBR:13
Patient’s Sex Neutered	(0010, 2203)	Administrative Sex	00111.2	PID:8.2	‘Y’=’ALTERED’, ‘N’=’UNALTERED’
Scheduled Procedure Step
Scheduled Procedure Step Sequence	(0040, 0100)
>Scheduled Station AE Title	(0040, 0001)	Scheduled Station AE Title	01665	IPC:9	[13]
>Scheduled Procedure Step Start Date	(0040, 0002)	Start Date/Time	01633	TQ1:7
>Scheduled Procedure Step Start Time	(0040, 0003)	Start Date/Time	01633	TQ1:7
>Modality	(0008, 0060)	Modality	00239	IPC:5
>Scheduled Performing Physician’s Name	(0040, 0006)	Technician	00266	OBR:34.1	[5]
>Scheduled Procedure Step Description	(0040, 0007)	Protocol Code	00246.2	IPC:6.2
>Scheduled Station Name	(0040, 0010)	Scheduled Station Name	01663	IPC:7
>Scheduled Procedure Step Location	(0040, 0011)	Scheduled Procedure Step Location	01664	IPC:8
>Scheduled Protocol Code Sequence	(0040, 0008)
>>Code Value	(0008, 0100)	Protocol Code	00246.1	IPC:6.1
>>Code Scheme Designator	(0008, 0102)	Protocol Code	00246.3	IPC:6.3
>>Code Meaning	(0008, 0104)	Protocol Code	00246.2	IPC:6.2
>Scheduled Procedure Step ID	(0040, 0009)	Scheduled Procedure Step ID	00238	IPC:4
>Scheduled Procedure Step Status	(0040, 0020)	Order Control, Order Status	00215, 00219	ORC:1, ORC:5	[10]
Requested Procedure
Requested Procedure ID	(0040, 1001)	Requested Procedure ID	00216	IPC:2
Reason for Requested Procedure	(0040, 1002)	Reason for Study	00263.2	OBR:31.2	[7]
Reason for Requested Procedure Code Sequence	(0040, 100A)				[8]
>Code Value	(0008, 0100)	Reason for Study	00263.1	OBR:31.1
>Code Scheme Designator	(0008, 0102)	Reason for Study	00263.3	OBR:31.3
>Code Meaning	(0008, 0104)	Reason for Study	00263.2	OBR:31.2
Requested Procedure Description	(0032, 1060)	Procedure Code	00393.2	OBR:44.2	[12]
Requested Procedure Code Sequence	(0032, 1064)				[12]
>Code Value	(0008, 0100)	Procedure Code	00393.1	OBR:44.1
>Code Scheme Designator	(0008, 0102)	Procedure Code	00393.3	OBR:44.3
>Code Meaning	(0008, 0104)	Procedure Code	00393.2	OBR:44.2
Study Instance UID	(0020, 000D)	Study Instance UID	00217	IPC:3
Requested Procedure Priority	(0040, 1003)	Start Date/Time	01633	TQ1:9	[2]
Patient Transport Arrangements	(0040, 1004)	Transportation Mode	00262	OBR:30
Confidentiality Code	(0040, 1008)	Confidentiality Code	00615	ORC:28.2
Imaging Request
Accession Number	(0008, 0050)	Accession Identifier	01330	IPC:1
Issuer Of Accession Number Sequence	(0008, 0051)
>Local Namespace Entity ID	(0040, 0031)	Accession Identifier	01330.2	IPC:1.2
>Universal Entity ID	(0040, 0032)	Accession Identifier	01330.2	IPC:1.3
>Universal Entity ID Type	(0040, 0033)	Filler Order #	01330.2	IPC:1.4
Requesting Physician	(0032, 1032)	Ordering Provider	00226	OBR:16
Referring Physician’s Name	(0008, 0090)	Referring Doctor	00138	PV1:8
Placer Issuer and Number	(0040, 2016)	Placer Order #	00216.1	ORC:2.1	[3]
Order Placer Identifier Sequence	(0040, 0026)
>Local Namespace Entity ID	(0040, 0031)	Placer Order #	00216.2	ORC:2.2	[3]
>Universal Entity ID	(0040, 0032)	Placer Order #	00216.3	ORC:2.3	[3]
>Universal Entity ID Type	(0040, 0033)	Placer Order #	00216.4	ORC:2.4	[3]
Filler Issuer and Number	(0040, 2017)	Filler Order #	00217.1	ORC:3.1	[3]
Order Filler Identifier Sequence	(0040, 0027)
>Local Namespace Entity ID	(0040, 0031)	Filler Order #	00217.2	ORC:3.2	[3]
>Universal Entity ID	(0040, 0032)	Filler Order #	00217.3	ORC:3.3	[3]
>Universal Entity ID Type	(0040, 0033)	Filler Order #	00217.4	ORC:3.4	[3]
Visit Identification
Route of Admissions	(0038, 0016)	Patient Class	00132	PV1:2	[18]
Admission ID	(0038, 0010)	Visit Number	00149.1 or 00121.1	PV1:19.1 or PID:18.1	[4]
Issuer of Admission ID Sequence	(0038, 0014)
>Item	(FFFE, E000)
>Local Namespace Entity ID	(0040, 0031)	Visit Number	00149.4.1 or 00121.4.1	PV1:19.4.1 or PID:18.4.1	[4]
>Universal Entity ID	(0040, 0032)	Visit Number	00149.4.2 or 00121.4.2	PV1:19.4.2 or PID:18.4.2	[4]
>Universal Entity ID Type	(0040, 0033)	Visit Number	00149.4.3 or 00121.4.3	PV1:19.4.3 or PID:18.4.3	[4]
Institution Name	(0008, 0080)	Entering Organization	00231.2	ORC:17.2
Institution Code Sequence	(0008, 0082)
>Item	(FFFE, E000)
>Code Value	(0008, 0100)	Institution Code	00231.1	ORC:17.1
>Code Scheme Designator	(0008, 0102)	Institution Code	00231.3	ORC:17.3
>Code Meaning	(0008, 0104)	Institution Code	00231.2	ORC:17.2
Institution Address	(0008, 0081)	Ordering Facility Address	01312	ORC:22

8.1.3.3. OMG - HL7 order mapping to DICOM Modality Worklist Attributes

Table 8.17 HL7 order mapping to DICOM Modality Worklist Attributes for Eyecare

DICOM Attribute	DICOM Tag	HL7 Field	HL7 Item #	HL7 Segment	Note
SOP Common
Specific Character Set	(0008, 0005)	Character Set	00692	MSH:18	[16]
Patient Identification
Same as Patient Identification in HL7 ADT mapping of PID segment to DICOM Patient Attributes
Patient Demographic
Same as Patient Demographic in HL7 ADT mapping of PID segment to DICOM Patient Attributes
Patient Medical
Patient State	(0038, 0500)	Danger Code	00246	OBR:12
Pregnancy Status	(0010, 21C0)	Ambulatory Status	00145	PV1:15	[9]
Medical Alerts	(0010, 2000)	Relevant Clinical Info	00247	OBR:13
Patient’s Sex Neutered	(0010, 2203)	Administrative Sex	00111.2	PID:8.2	‘Y’=’ALTERED’, ‘N’=’UNALTERED’
Scheduled Procedure Step
Scheduled Procedure Step Sequence	(0040, 0100)
>Scheduled Station AE Title	(0040, 0001)				[14]
>Scheduled Procedure Step Start Date	(0040, 0002)	Start Date/Time	01633	TQ1:7
>Scheduled Procedure Step Start Time	(0040, 0003)	Start Date/Time	01633	TQ1:7
>Modality	(0008, 0060)	Diagnostic Serv Sect ID	00257	OBR:24
>Scheduled Performing Physician’s Name	(0040, 0006)	Technician	00266	OBR:34.1	[5]
>Scheduled Procedure Step Description	(0040, 0007)	Universal Service ID	00238.4.5	OBR:4.5	[11]
>Scheduled Station Name	(0040, 0010)				[6]
>Scheduled Protocol Code Sequence	(0040, 0008)				[11]
>>Code Value	(0008, 0100)	Universal Service ID	00238.4.4	OBR:4.4
>>Code Scheme Designator	(0008, 0102)	Universal Service ID	00238.4.6	OBR:4.6
>>Code Meaning	(0008, 0104)	Universal Service ID	00238.4.5	OBR:4.5
>Scheduled Procedure Step ID	(0040, 0009)	Filler Field 1	00253	OBR:20
>Scheduled Procedure Step Status	(0040, 0020)	Order Control, Order Status	00215, 00219	ORC:1, ORC:5	[10]
Requested Procedure
Requested Procedure ID	(0040, 1001)	Placer field 2	00252	OBR:19
Reason for Requested Procedure	(0040, 1002)	Reason for Study	00263.2	OBR:31.2	[7]
Reason for Requested Procedure Code Sequence	(0040, 100A)				[8]
>Code Value	(0008, 0100)	Reason for Study	00263.1	OBR:31.1
>Code Scheme Designator	(0008, 0102)	Reason for Study	00263.3	OBR:31.3
>Code Meaning	(0008, 0104)	Reason for Study	00263.2	OBR:31.2
Requested Procedure Description	(0032, 1060)	Procedure Code	00393.2	OBR:44.2	[12]
Requested Procedure Code Sequence	(0032, 1064)				[12]
>Code Value	(0008, 0100)	Procedure Code	00393.1	OBR:44.1
>Code Scheme Designator	(0008, 0102)	Procedure Code	00393.3	OBR:44.3
>Code Meaning	(0008, 0104)	Procedure Code	00393.2	OBR:44.2
Study Instance UID	(0020, 000D)	Study Instance UID	Z0001.1	ZDS:1.1
Requested Procedure Priority	(0040, 1003)	Start Date/Time	01633	TQ1:9	[2]
Requested Procedure Comments	(0040, 1400)	Comment	00098	NTE:3
Patient Transport Arrangements	(0040, 1004)	Transportation Mode	00262	OBR:30
Confidentiality Code	(0040, 1008)	Confidentiality Code	00615	ORC:28.2
Imaging Request
Accession Number	(0008, 0050)	Placer Field 1	00251	OBR:18
Requesting Physician	(0032, 1032)	Ordering Provider	00226	OBR:16
Referring Physician’s Name	(0008, 0090)	Referring Doctor	00138	PV1:8
Placer Issuer and Number	(0040, 2016)	Placer Order #	00216.1	ORC:2.1	[3]
Order Placer Identifier Sequence	(0040, 0026)
>Local Namespace Entity ID	(0040, 0031)	Placer Order #	00216.2	ORC:2.2	[3]
>Universal Entity ID	(0040, 0032)	Placer Order #	00216.3	ORC:2.3	[3]
>Universal Entity ID Type	(0040, 0033)	Placer Order #	00216.4	ORC:2.4	[3]
Filler Issuer and Number	(0040, 2017)	Filler Order #	00217.1	ORC:3.1	[3]
Order Filler Identifier Sequence	(0040, 0027)
>Local Namespace Entity ID	(0040, 0031)	Filler Order #	00217.2	ORC:3.2	[3]
>Universal Entity ID	(0040, 0032)	Filler Order #	00217.3	ORC:3.3	[3]
>Universal Entity ID Type	(0040, 0033)	Filler Order #	00217.4	ORC:3.4	[3]
Visit Identification
Route of Admissions	(0038, 0016)	Patient Class	00132	PV1:2	[18]
Admission ID	(0038, 0010)	Visit Number	00149.1 or 00121.1	PV1:19.1 or PID:18.1	[4]
Issuer of Admission ID Sequence	(0038, 0014)
>Item	(FFFE, E000)
>Local Namespace Entity ID	(0040, 0031)	Visit Number	00149.4.1 or 00121.4.1	PV1:19.4.1 or PID:18.4.1	[4]
>Universal Entity ID	(0040, 0032)	Visit Number	00149.4.2 or 00121.4.2	PV1:19.4.2 or PID:18.4.2	[4]
>Universal Entity ID Type	(0040, 0033)	Visit Number	00149.4.3 or 00121.4.3	PV1:19.4.3 or PID:18.4.3	[4]
Institution Name	(0008, 0080)	Entering Organization	00231.2	ORC:17.2
Institution Code Sequence	(0008, 0082)
>Item	(FFFE, E000)
>Code Value	(0008, 0100)	Institution Code	00231.1	ORC:17.1
>Code Scheme Designator	(0008, 0102)	Institution Code	00231.3	ORC:17.3
>Code Meaning	(0008, 0104)	Institution Code	00231.2	ORC:17.2
Institution Address	(0008, 0081)	Ordering Facility Address	01312	ORC:22

Table 8.18 HL7 status mapping to DICOM status

HL7 Status	DICOM Status
S - STAT	STAT
A - ASAP	HIGH
R - Routine	ROUTINE
P - Pre-op	HIGH
C - Callback	HIGH
T - Timing	MEDIUM

8.1.4. HL7 ORM - Error Mapping

Following table gives an overview of error codes and messages sent by dcm4che DICOM Archive 5 for incoming HL7 ADT messages triggering error conditions.

Table 8.19 Error Codes Mapping and Usage

Error Code	Error Code Meaning	Error Location	User Message	Notes
Error Common
Same as Error Codes Mapping and Usage in Error Codes Mapping and Usage
Patient Management specific
Same as Error Codes Mapping and Usage in Error Codes Mapping and Usage specific to PID segment.
Procedure Management specific
101	Required Field Missing	ORC^1^1^1^1	Invalid order control in field 1 and/or invalid order status in field 5
		ZDS^1^1^1^1	Missing study instance uid	[19]
		IPC^1^3^1^1	Missing study instance uid	[20]
		OBR^1^18^1^1	Missing accession number	[19]
		IPC^1^1^1^1	Missing accession number	[20]
		PV1^1^19^1^1	Missing admission ID
102	Data Type Error	ORC^1^7^1^4	Invalid scheduled procedure step start date and/or time	[19]
		TQ1^1^7^1^1	Invalid scheduled procedure step start date and/or time	[20]

[2] (1,2,3)

Only the suggested values of the HL7 Priority component of Quantity/Timing. These values shall be mapped to the DICOM enumerated fields for Priority. See HL7 status mapping to DICOM status

[3] (1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24)

Attributes (0040,2016) and (0040, 2017) are designed to incorporate the HL7 components of Placer Issuer and Number, and Filler Issuer and Number. In a healthcare enterprise with multiple issuers of patient identifiers, both the issuer name and number are required to guarantee uniqueness.

[4] (1,2,3,4,5,6,7,8,9,10,11,12)

either field PID-18 Patient Account Number or field PV1-19 Visit Number or both may be valued depending on the specific national requirements. Whenever field PV1-19 Visit Number in an order message is valued, its components shall be used to populate Admission ID (0038,0010) and Issuer of Admission ID (0038,0011) attributes in the MWL responses. In the case where field PV1-19 Visit Number is not valued, these attributes shall be valued from components of field PID-18 Patient Account Number. This requires that Visit Numbers be unique across all account numbers.

[5] (1,2,3)

For : HL7 v2.3.1 and v2.5.1 : Field OBR-34 Technician in ORM or OMG message is repeatable. Its data type is CM, with the following components: <name (CN)> ^ <start date/time (TS)> ^ <end date/time (TS)> ^ <point of care (IS)> ^ <room(IS)> ^ <bed (IS)> ^ <facility (HD)> ^ <location status (IS)> ^ <patient location type (IS)> ^ <building (IS)> ^ <floor (IS)>. - Thus, in mapping value to the DICOM attribute Scheduled Performing Physician (0040,0006), only sub-components of the first component of the first repetition of that field shall be used.

[6] (1,2)

Populated only if matching hl7OrderScheduledStation found in configured hl7OrderScheduledStation in archive device.

[7] (1,2,3)

Maybe either a code or text value; if a code, then the code meaning (display name) should be used; see also (0040,100A)

[8] (1,2,3)

OBR:31 may be either a code or text value; if a text value, then the DSS may map it to a code to use in the DICOM attribute; see also (0040,1002).

[9] (1,2,3)

“B6” must be mapped to DICOM. Enumerated value “3” (definitely pregnant)

[10] (1,2,3)

The values present in ORC fields 1 and 5 decide the Scheduled Procedure Step Status that is applied to the MWL. The enumerated combinations of values in fields 1 and 5 of ORC segment currently supported by the archive are NW_SC, NW_IP, CA_CA, DC_CA, XO_SC, XO_CM where the first two letters eg. “NW” represent value in field 1 and the next letter(s) after the “_” eg. “SC” represent value in field 5. These combinations can be mapped to different Scheduled Procedure Step Status supported by archive : SCHEDULED, ARRIVED, READY, STARTED, DEPARTED, CANCELLED, DISCONTINUED, COMPLETED. One can map multiple combinations of ORC:1_ORC:5 to a scheduled procedure step status.

[11] (1,2,3,4)

Alternatively, it may be read from OBR:4 Components 1 to 3 by configuring it as hl7scheduledprotocolcodeinorder on Archive device level or as hl7scheduledprotocolcodeinorder on Archive HL7 Application Extension level. Then it implies that Scheduled Procedure Step Description & Code Meaning in Scheduled Protocol Code Sequence will be read from component 2, Code Value and Code Scheme Designator in Scheduled Protocol Code Sequence will be read from components 1 and 3 respectively.

[12] (1,2,3,4,5,6)

Although OBR:44 field is optional in HL7 order message, it is required to be supported by the archive which acts as a SCP when queried for Modality Worklist entries. Refer Attributes for the Modality Worklist Information Model. Currently archive does not set any default value to these attributes when this field is missing in HL7 order message.

[13]

Although IPC:9 field is optional in HL7 order message, it is required to be supported by the archive which acts as a SCP when queried for Modality Worklist entries. Refer Attributes for the Modality Worklist Information Model. Currently if this field is missing in HL7 order message, the Scheduled Station AE Title is selected according configured rule Default Scheduled Station configured on archive device level. One must note that, if this configuration is deleted as well by the user then no value will be set for Scheduled Station AE Title by the archive.

[14] (1,2)

This attribute may be configured to be read from field 18 of ORC segment for HL7 v3 and eyecare messages. The configuration can be done as hl7ScheduledStationAETInOrder on Archive device level or as hl7ScheduledStationAETInOrder on Archive HL7 Application Extension level. Currently if not configured as explained above or if this field is missing in HL7 order message, then the Scheduled Station AE Title is selected according configured rule Default Scheduled Station configured on archive device level. One must note that, if this default configuration is deleted as well by the user then no value will be set for Scheduled Station AE Title by the archive.

[15] (1,2,3)

This field may contain multiple values encoded as HL7 repeating field despite current HL7v2 not allowing multiple values for this field.

[16] (1,2,3)

HL7 DICOM Character Set if configured, is selected to specify Specific Character Set. Else, MSH-18 if present in the incoming HL7 message, Mapping of MSH-18-Character Set to (0008,0005) Specific Character Set is selected to specify Specific Character Set. If MSH-18 is absent, then HL7 Default Character Set is selected to specify Specific Character Set.

[17] (1,2,3)

If OBX:6 = “kg” and OBX:3.2 = “Body Weight”, then OBX:5 is mapped to DICOM attribute Patient’s Weight. If OBX:6 = “m” and OBX:3.2 = “Body Height”, then OBX:5 is mapped to DICOM attribute Patient’s Size.

[18] (1,2,3)

Route of Admissions (0038, 0016) DICOM attribute shall be mapped to value present in PV1:2. If this field is absent, default “U” (denoting Patient Class as Unknown) shall be used.

[19] (1,2,3)

Applicable only for HL7 v2.3 ORM^O01 or OMG^O19 messages

[20] (1,2,3)

Applicable only for HL7 v2.5 OMI^O23 messages