1. HL7 Conformance Statement Overview

dcm4che DICOM Archive 5 is a networked computer system used for archiving DICOM objects. It allows external systems to send DICOM objects to it for permanent storage, retrieve information about such objects, and retrieve the DICOM objects themselves. It also provides services to maintain the consistency of patient and ordering information with external systems.

In order to offer these services dcm4che DICOM Archive 5 utilizes and supports different medical communication standards. Apart from DICOM services, which are described in a dedicated Conformance Statement, dcm4che DICOM Archive 5 uses HL7 V2 services to communicate with other medical systems.

Table 1.1 HL7 Network Services

HL7 message

HL7 version

Sender

Receiver

Patient Administration

ADT/ACK - Admit/Visit Notification (Event A01)

2.3.1, 2.5, 2.5.1

No

Yes

ADT/ACK - Transfer a Patient (Event A02)

2.3.1, 2.5, 2.5.1

No

Yes

ADT/ACK - Discharge/End Visit (Event A03)

2.3.1, 2.5, 2.5.1

No

Yes

ADT/ACK - Register a Patient (Event A04)

2.3.1, 2.5, 2.5.1

No

Yes

ADT/ACK - Pre-Admit a Patient (Event A05)

2.3.1, 2.5, 2.5.1

No

Yes

ADT/ACK - Change an Outpatient to an Inpatient (Event A06)

2.3.1, 2.5, 2.5.1

No

Yes

ADT/ACK - Change an Inpatient to an Outpatient (Event A07)

2.3.1, 2.5, 2.5.1

No

Yes

ADT/ACK - Update Patient Information (Event A08)

2.3.1, 2.5, 2.5.1

No

Yes

ADT/ACK - Cancel Admit/Visit Notification (Event A11)

2.3.1, 2.5, 2.5.1

No

Yes

ADT/ACK - Cancel Transfer (Event A12)

2.3.1, 2.5, 2.5.1

No

Yes

ADT/ACK - Cancel Discharge/End Visit (Event A13)

2.3.1, 2.5, 2.5.1

No

Yes

ADT/ACK - Add Person or Patient Information (Event A28)

2.5

Yes

Yes

ADT/ACK - Update Person Information (Event A31)

2.5

Yes

Yes

ADT/ACK - Cancel Pre-Admit (Event A38)

2.3.1, 2.5, 2.5.1

No

Yes

ADT/ACK - Merge Patient - Patient Identifier List (Event A40)

2.3.1, 2.5, 2.5.1

Yes

Yes

ADT/ACK - Change Patient Identifier List (Event A47)

2.5

Yes

Yes

Order Management

ORM/ACK - General Order Message (Event O01)

2.3.1

No

Yes

OMG/ACK - General Clinical Order Message (Event O19)

2.5.1

Yes

Yes

OMI/ACK - Imaging Order Message (Event O23)

2.5.1

No

Yes

Report Management

ORU/ACK - Unsolicited Observation Message (Event R01)

2.3.1

Yes

Yes

Appointment Notification

SIU/ACK - Notification of new appointment booking (Event S12)

2.5.1

Yes

No

SIU/ACK - Notification of appointment rescheduling (Event S13)

2.5.1

Yes

No

SIU/ACK - Notification of appointment cancellation (Event S15)

2.5.1

Yes

No

Patient Demographics Query

QBP/RSP - Find Candidates (Event Q22)

2.5.1

No

Yes

HL7 Forwarding

arbitrary HL7 Message

2.x

Yes

Yes