Reporting Whitepaper - Section 5

Artifact	Encoding	Transaction	Transport	Input/Output
Patient Account	HL7 PV1	Patient Update	(HL7 Msg)	{D1-Push}
Order	HL7 ORM	Placer Order Management	(HL7 Msg)	{D2-Push}
Worklist	DICOM MWL IOD	Modality Worklist Provided	DICOM MWM C-Find	{W1-Pull}
	DICOM UPS IOD	(Query Worklist)	DICOM UPS C-Find	{W2-Pull}, {W4-Pull}
		(Push Workitem)	DICOM UPS N-Create	{W2-Push}
Images|	DICOM Image IODs	Images Stored	DICOM C-Store	{D3-Push}, {D7-Push}
		Retrieve Images	DICOM C-Store	{D3-Pull}
Performed Proc.|	DICOM MPPS IOD	Modality Procedure Performed	DICOM N-Set	{D6-Push}
	DICOM UPS IOD	(Procedure Performed)	DICOM UPS N-Get	{Dx-Pull}, {Dy-Pull}
Performed Proc.	DICOM MPPS IOD	Images Stored	DICOM C-Store	{D4-Push}
Radiation Dose	DICOM SR Dose IOD	(Dose Stored)	DICOM C-Store	{D5-Push}
Procedure Log	DICOM SR PLog IOD	(Procedure Log Stored)	DICOM C-Store	{D6-Push}
Dictation Audio	???	(Audio Stored)	???	{D6-Push}
Radiology Report|	HL7 CDA	(D-Report Stored)	DICOM C-Store
		(H-Report Stored)	(HL7-Msg)

Performed Proc. Details HL7 DFT

History/Allergies/Problems/Meds CDA-MS

Lab Results

Pathology Results

Patient History Sheet

Tech Interview Sheet

Proto Report CDA

Draft Report CDA

Final Report CDA

Bill X12

<Material from Section 3 to go in Section 5>

• Investigate CDA as an authoring and distribution format for diagnostic reports
• Two gaps are:
  • the lack of CDA report templates for a broad set of Radiology reports
  • the lack of deployed implementations using CDA