The study id and accession number are information system generated numbers. While some systems may accept more values, you risk running into issues downstream by exceeding the standard. The Accession Number links the scheduled procedure, images, and their resulting diagnostic imaging report, created by the radiologist, back to the original order, supporting both clinical workflow and billing. Thus, the retrieval count represents the total number of imaging examinations one can retrieve, not the absolute number of images. x,y,z,.,. Several extensions to ACR/NEMA 2.0 were created, like Papyrus (developed by the University Hospital of Geneva, Switzerland) and SPI (Standard Product Interconnect), driven by Siemens Medical Systems and Philips Medical Systems. Also, this process works today for the radiologist who knows how to access the radiology procedure in PACS, but how does the referring physician access this data? ImagingStudy Both organizations extend an irrevocable, worldwide, perpetual, royalty-free, nontransferable, nonexclusive, non-sublicensable license for the use of their respective standards and associated publications. Accession Numbers My first blog addressed the challenges this new data phenomena presents; the second discussed how one organization, the IHE (Integrating the Healthcare Enterprise), is working to resolve these issues. 2. Prior to the radiology procedure, a document will be filled out to capture the patient history. [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. ImagingStudy WebAccession Number Attribute DICOM Standard Browser An identifier of the Imaging Service Request for this Requested Procedure. Each sample shall have the same number of bits stored. Health Level 7 is a non-profit organization involved in the development of international healthcare informatics interoperability standards. X. DICOMStandardBrowser byInnolitics 2016 2023Innolitics, LLC. Each sample shall have the same number of bits allocated. * , DICOM Placer Number, Filler Number, Accession Number (Unlimited Text, UT) and Patient ID (Long String, LO) are usually non-globally unique identifiers. There are also applications in Oncology that do not support DICOM images. Please note that the most recent PDF version of the standard is the official reference, and should checked when making technical decisions. WebThis Accession number, although required by the DICOM standard to be provided with the images, is not always available. AccessionNumber. Content DateThe date the image pixel data creation started. The accession number is usually assigned by the HIS/RIS system and can be repeating or unique depending on the system. fo-dicom; Share. We are sometimes asked how to retrieve as study based on the accession number. ReferringPhysicianIDSequence. Slice Thickness:Nominal slice thickness, in mm. AccessionNumber. The DICOM standard (From what I could understand) doesn't specify there to be a limit. DICOM (Digital Imaging and Communications in Medicine) is theinternational standardto transmit, store, retrieve, print, process, and displaymedical imaginginformation (source: https://www.dicomstandard.org/). The National Electrical Manufacturers Association (NEMA) holds the copyright to the published standard[2] which was developed by the DICOM Standards Committee, whose members[3] are also partly members of NEMA. 0x0008. HL7 FHIR is licensed under Creative Commons "No Rights Reserved". We find the accession number veryimportant because it is a key number during the dictationprocess. They all support DICOM, but they often have different methods of archiving data, making it difficult to have a central archive. A mobile workflow and data management solution to digitalize your manual processes to better support care pathways and clinical testing. A departmental IS generated number which identifies the order for the Study. 2. DICOM It is not a framework or architecture for achieving a useful clinical workflow. 0x0008. Rescale Slope:m in the equation specified by Rescale Intercept (0028,1052).Required if Rescale Intercept is present. Modality Worklist) by accession number This is 1 for most DICOM tags, but can be multiple, e.g. DICOM Name. Seminars in Roentgenology 38, 270281. logically, the main object has no "header" as such, being merely a list of attributes, including the pixel data). VNA Does Not Equal Image Availability: What You Need to Know, Mount Graham Regional Medical Center selects HealthStore to retire legacy systems & access historical patient data Press Coverage Copy, Mount Graham Regional Medical Center selects HealthStore to retire legacy systems & access historical patient data. The Veterans Administration and the Navy also purchased systems from this contract. Built with by Innolitics, a team of medical imaging software developers. 2022 The Regents of the University of California | Accessibility | Terms of Use | Privacy Policy, (T32) Biomedical Imaging for Clinician Scientists, Biomedical Imaging Research Support Services, ZSFG: Research Imaging Application / Requests. USCDI V2 USCDI V3 Level 2 Comment Log in A RIS generated number that identifies the order for the Study. Each sample shall have the same high bit. Radiologists and medical physicists wanted to use the images for dose-planning for radiation therapy. 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. The standard also provides services related to imaging such as managing imaging procedure worklists, printing images on film or digital media like DVDs, reporting procedure status like completion of an imaging acquisition, confirming successful archiving of images, encrypting datasets, removing patient identifying information from datasets, organizing layouts of images for review, saving image manipulations and annotations, calibrating image displays, encoding ECGs, encoding CAD results, encoding structured measurement data, and storing acquisition protocols. DICOM DICOMLookup AIR users are allowed to retrieve a set number of imaging examinations. How does PACS get a copy of the report? WebDICOM Troubleshooting & Related Issues V1.00 LAUREL BRIDGE SOFTWARE, INC. one study contains series with different accession numbers, Patient IDs, Patient Names, etc. AccessionNumber. This is similar to the way that image formats such as JPEG can also have embedded tags to identify and otherwise describe the image. PACS has to figure out how to correlate the header information in the image with what it finds in the original electronic order. These are scanned to digital images and are stored in the Hospital Information System (HIS). USCDI V2 USCDI V3 Level 2 Comment Log in The accession number is communicated using an HL7 order message (ORM) to all systems that need it, including PACS. 2. The schedule shall be retrieved using as a minimum the following Keys: Accession number, Patient Name and Patient ID. Accession Number Press J to jump to the feed. X. The problem occurs when you want to view both the report and the images together. 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. If you wish to retrieve a study based on accession number (or anything else except those 4 identifiers). https://www.bilibili.com/video/av66144772, Meta InformationData set, VR != OB,OW,OF,SQ,UT,UNVR2Value Length2, groupgroup(gggg,0000), Each imaging examination is assigned a unique accession number on PACS. Caristix HL7-Definition V2 This document is the combined conformance statement for the various DICOM components in VistA Imaging. An imaging series can contain from a few images to hundreds of images. Loral Aerospace and Siemens Medical Systems led a consortium of companies in deploying the first US military PACS (Picture Archiving and Communications System) at all major Army and Air Force medical treatment facilities and teleradiology nodes at a large number of US military clinics. What treatment plans have been created for a patient? What is DICOM anonymization DICOM consists of services, most of which involve transmission of data over a network. If you wish to retrieve a study based on accession number (or anything else except those 4 identifiers). DICOM 2DICOM, 2.,FFFFFFFF(FFFE,E0DD)0. What happens when a new or replacement application is introduced that does not support the chosen solution? Having an IS interface allows this number to be retrieved and to be sent with the images. Caristix HL7-Definition V2 This document lists DICOM Modalities, Tags, Transfer Syntaxes and SOP classes. [5], The DICOM standard is divided into related but independent parts.[6]. WebSee DICOM Standard Part 3 for further details on DICOM Attribute (0008,0050) that conveys information identical to the component one of this field. 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. VistA Imaging System DICOM Conformance Statement (Rev 6, October 2011) Approved DICOM Modality Interfaces. with Study-ID, Accession number and Study WebEach imaging examination is assigned a unique accession number on PACS. Accession Number A central repository that breaks down departmental silos and integrates access to all the data living outside of your Electronic Health Record (EHR). Data is available in the DICOM format as produced by the imaging device. number-of-study-related-instances. FFFFFF:YYYY MM DDHH MM SSFFFFFF20050812183000.00 2005 8 12 18 30 00, :nnnDnnnW nnnM nnnYnnn D WM Y 018M 18 , DICOMDigital Imaging and Communications in MedicineISO 12052, 12800H4DICMDICOM, Tag(0x0002, 0x0003GroupElement, VM(Value Multiplicity), Group0x0000"""""Get", (0x0000,0100)command type(0x0000,0110)command message id, DICOM,FFFFFFFF(FFFE,E0DD)0. Also known as MPPS, this service allows a modality to better coordinate with image storage servers by giving the server a list of objects to send before or while actually sending such objects. 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. As weve mentioned, much of the work flow surrounding the radiology procedure is defined by IHE and works well. While retrieving the schedule information from the Radiology Information System, the Modality Worklist allows the images to be uniquely identified with keys matching the images with the radiology order and diagnostic reports. The DICOM information object definitions[16] encode the data produced by a wide variety of imaging device types,[17] including, CT (computed tomography), MRI (magnetic resonance imaging), ultrasound, X-ray, fluoroscopy, angiography, mammography, breast tomosynthesis, PET (positron emission tomography), SPECT (single-photon emission computed tomography), Endoscopy, microscopy, nd whole slide imaging, OCT (optical coherence tomography). The physicians click on these links to view both the images and the report. DICOM is incorporated in a variety of imaging related IHE profiles.[21][22]. WebA 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 patient data is not stored as part of the JPEG image, as it is in DICOM. Follow asked Jun 9, 2021 at 20:28. I have opinions as to where to get this from the electronic order, but I don't believe this is standardized.2. The photo ID could help to ensure that the correct patient is selected from the work list. How can your healthcare organization retire inherited or legacy clinical and administrative systems while leveraging the data across the care continuum? The order is typically identified with an order placer number and order filler number, however, these numbers do not have a meaning in the context of a radiology exam. WebRetrieving by Accession Number The explanation is that the DICOM rules allow only the Instance UID, Series UID, Study UID and Patient ID to be used in C-MOVE and C-GET requests. "[19], Another disadvantage is that the file format admits executable code and may contain malware.[20]. DICOM You can lookup by a fragment of group, element (also a combination of group and element), VR or name. XnView supports .dic / .dicom for MIME type application/dicom[23], The best known standards and protocols used by DICOM are: [24]. Security is addressed within the DICOM Standard Parts 15 and 18. Digital Imaging and Communications in Medicine (DICOM) is the standard for the communication and management of medical imaging information and related data. WebThe table below contains the Data Dictionary from DICOM PS3.6 version 2013c. A RIS generated number that identifies the order for the Study. VistA Imaging DICOM Modality Interfaces(January 2023) DICOM Modality Validation Test Procedure (November 2015) There are some problem areas, however, specifically related to the radiology report. Their first standard, ACR/NEMA 300, entitled "Digital Imaging and Communications", was released in 1985. You do not have to specify this, the DataElement class keeps track of it based on value. 0x0050. Most institutions require the Accession Number at a radiology workstation, so that the diagnostic report can be related to the performed examination. For the other explicit data elements or implicit data elements, see section 7.1 of Part 5 of the DICOM Standard. They may reset to0 after a particular count or maybe at midnight. DICOM If, for example, you wanted to compare the different histories from multiple radiology procedures, how would you do that? This retrieval limit is dictated by the AIR Access Plan for a given IRB. DICOM data makes use of SNOMED to encode relevant concepts. Though always Internet compatible and based on transport over TCP, over time there has been an increasing need to support port 80 HTTP transport to make use easier within the web browser. DICOMDigital Imaging and Communications in MedicineISO 12052 https://www.dicomstandard.org/ .Dicom Meta Information DICOMDigital Imaging and Communications in MedicineISO 12052 https://www.dicomstandard.org/ .Dicom Meta Information DICOM GENERAL STUDY MODULE ATTRIBUTES. In the less than perfect world:1. 2761 registered port for DICOM using Integrated Secure Communication Layer (ISCL) over TCP or UDP; 0x0008. Starting in 2009, under a contract funded by the National Institute of Biomedical Imaging and Bioengineering, RSNA oversaw the creation of the Image Share Network, which enabled participating radiology sites to share imaging records with patients via secure online accounts. Anonymization. Please note that the most recent PDF version of the standard is the official reference, and should checked when making technical decisions. (0008,0050) This process is known as DICOM-wrapping and is widely used to make data available to the radiologist as part of the radiology study in PACS. 2. The study id is sort of catch-all for anynumber generated by the IS (other than the accession number) associatedwith the study. 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. Its name was then changed to "Digital Imaging and Communications in Medicine", abbreviated DICOM. Thus, the retrieval count represents the total number of imaging examinations one can retrieve, not the absolute number of images. WebDICOM Standard defines components used during medical data transfers. How Radiology and Oncology Deal with Multiple Forms of Patient Image Orientation (Patient):The direction cosines of the first row and the first column with respect to the patient. This is 1 for most DICOM tags, but can be multiple, e.g. DICOM Often these JPEG images are contained within a folder that has the patient ID as the folder name. Accession Number * (gggg,0000)group(gggg,0000)DICOM, 1object Manual entry is slower and introduces the risk of misspelled patient names, and other data entry errors. VistA Imaging System DICOM Conformance Statement (Rev 6, October 2011) Approved DICOM Modality Interfaces. DICOMLookup Systematized Nomenclature of Medicine (SNOMED) is a systematic, computer-processable collection of medical terms, in human and veterinary medicine, to provide codes, terms, synonyms and definitions which cover anatomy, diseases, findings, procedures, microorganisms, substances, etc. The problem occurs when you want to view both the report and the images together. In the context of AIR, this relationship helps explain why some imaging exams take longer to queue and retrieve than others. Accession Number But what about all the legacy patient history data stored as images in PACS? For example, a file of a chest x-ray image may contain the patient ID within the file, so that the image can never be separated from this information by mistake. The DICOM print service is used to send images to a DICOM printer, normally to print an "X-Ray" film. WebA 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. Other solutions have included the use of desktop integration, where two applications are coordinated to display data for the same patient. Pixel Spacing:Physical distance in the patient between the center of each pixel. I see the character length usually at 16, have anyone ever seen more or less than that? LEARN MORE, Learn about BridgeHeads end-to-end solution to digitalise your point of care testing workflows and data management How can I query the MWL using FO-DICOM by accession number? Pixel Representation:Data representation of the pixel samples. 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"). DVTk is an Open Source project for testing, validating and diagnosing communication protocols and scenarios in medical environments. How does the treatment team obtain a complete view of the patients plan and history. 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]. In these cases, three- or four-dimensional data can be encapsulated in a single DICOM object. Having an IS interface allows this number to be retrieved and to be sent with the images. When I call the CreateWorklistQuery method accession number is not one of the parameters i can use. LEARN MORE, Discover how BridgeHead can offer healthcare care providers a secure mobile image capture solution that links directly to the patient record No information must be extracted from these names (PS3.10 Section 6.2.3.2). (0008,0050) Technologist may or may not enter something at the console for the accession number. Many radiology departments are successfully using the transactions defined by SWF to exchange data for radiology procedures. The Service Class User (SCU: similar to a client), a modality or workstation, etc., uses the confirmation from the Service Class Provider (SCP: similar to a server), an archive station for instance, to make sure that it is safe to delete the images locally. The core application of the DICOM standard is to capture, store and distribute medical images. 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. Mike Murphy Mike Murphy. The application that generates this data often does not support DICOM, resulting in another application being added to the environment to perform DICOM wrapping and to store and retrieve the data in DICOM. AIR users are allowed to retrieve a set number of imaging examinations. DICOM Makes use of the OSI network model. What happens when a treatment station is retired? Many soon realized that the second version also needed improvement. radiological imaging: DICOM incorporates standards for imaging modalities such as radiography, ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI), and radiation therapy. The PACS system does not synchronize changes to e.g. In this blog, I will examine additional problems with unstructured data that exist where integration is relatively well defined in clinical environments such as radiology and oncology. Accession Number These include but are not limited to computed tomography (CT) and magnetic resonance imaging (MRI). This retrieval limit is dictated by the AIR Access Plan for a given IRB. This document is the combined conformance statement for the various DICOM components in VistA Imaging. 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? 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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