RAD Test Cases

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Introduction

The MESA tests include a number of cases each of which rely on a sequence of messages between actors. These tests range across different integration profiles:

  • Scheduled Patient Workflow
  • Patient Information Reconciliation
  • Presentation of Grouped Procedures
  • Charge Posting
  • Postprocessing Workflow
  • Reporting Workflow

This document lists the transactions and messages for a number of cases. It may not describe the clinical scenario behind each case, but listing the transactions should clearly define what is expected of each actor. These are all of the transactions involving all of the actors. When you test with your particular actor, you may see only a subset of these messages.

Some of the messages need to appear in the order listed in this document. For example, patient registration must precede order messages. In other instances, some messages may appear in a slightly different sequence. Our document typically lists MPPS N-Create, MPPS N-Set and Image C-Store as a sequence of messages. Some equipment may begin the storage process before the final MPPS N-Set message.

You can see an HTML version of the messages by opening the file: $MESA_TARGET/mesa_tests/rad/msgs/index.html with a web browser.

This document lists test sequences but does not define required sequences for your actor or actors. Those requirements are listed in separate documents (a spreadsheet that lists test requirements in table form and separate test documents that provide test instructions for each actor).

Patient Identification

The tests involve a small set of patients. In some of the tests, we update patient names. The table below is a list of patients and patient IDs used in the tests.

Patient ID (ADT) Temp Patient ID (Order Filler) Last Name First Name Test Number
583020 WHITE CHARLES 101
583030 BROWN JAMES 102
583040 BLUE ERICA 104
583050 GREEN CATHY 106
583060 ROSE WILLIAM 107
583070 BLACK CHARLES 131
583080 GREY FRANK 109
583090 GOLD LISA 110
583095 PEACH SARAH 111
583295 SILVERHEELS JAY 103
583085 MUSTARD STEPHEN 105
583110 WISTERIA MATTHEW 132
583120 INDIGO 133
583130 PERIWINKLE JOE 151
583152 MAGENTA ROB 152
VIOLET
ROYAL PLUM
LIME
TEAL
SCARLET
LEMON
583295 T9020 DOE J1
583045 DOE J3
585125 DOE J133 133
M4000 KING MARTIN
M4010 QUEEN MARY
C1301 ALABAMA MONTGOMERY
C1302 ALASKA JUNEAU
C1303 ARIZONA PHOENIX
C3104 ARKANSAS LITTLEROCK
C1305 CALIFORNIA SACRAMENTO
C1306 COLORADO DENVER
901411 CONNECTICUT HARTFORD
901412 DELAWARE DOVER
901413 FLORIDA TALLAHASSEE
901414 GEORGIA ATLANTA
901415 HAWAII HONOLULU
IDAHO BOISE
401601 WASHINGTON GEORGE 1601
401602
401603 LINCOLN ABRAHAM 1603
S1240 BOSTON BOB 1240

Test Cases

This section describes the test cases that constitute the Transaction Sequences. Each test case involves a series of transactions involving one test patient. Some patients may require that a single actor participate in multiple transactions. The tables in this section give the order of messages for an integrated system with all actors. This is provided as a centralized reference. To test an individual IHE actor, refer to the appropriate test document.

Test Case 100: MWL Tests for Order Filler

This test is designed specifically for an Order Filler to exercise Modality Worklist functions. Order Fillers will need to have proper responses to MWL queries to complete the remaining tests. The steps are documented here for consistency with other tests.

Identifier Description Source Destination
100.102.a04.adt A04: Register KING as outpatient ADT Ord Plc, Ord Fil
100.104.a04.adt A04: Register QUEEN as outpatient ADT Ord Plc, Ord Fil
100.106.o01.orm ORM: Order P1 for KING Ord Plc OF
100.108.o01.orm ORM: Order P22 for KING Ord Plc OF
100.110.o01.orm ORM: Order P4 for QUEEN Ord Plc OF
100.112.o01orm ORM: Order P8 for QUEEN Ord Plc OF
100.114.dcm MWL query for KING (2 results) Modality OF
100.116.dcm MWL query for all MR exams (5 results, two exams have 2 SPS) Modality OF
100.118.dcm MWL query for all RT exams (one result) Modality OF
100.120.dcm MWL query for all CT exams (zero results) Modality OF
100.122.dcm MWL query for all exams scheduled for MODALITY1 (the MR system) Modality OF
100.124.dcm MWL query for all exams scheduled for MODALITY2 (the RT system) Modality OF

Test Case 101: Scheduled / Unidentified #5

Test Case 101 involves transactions for the patient Charles White. This patient will have work as both an identified and an unidentified patient. The table below gives the overview of the test case.

Identifier Description Source Destination
101.102.a04.adt A04: Register WHITE as outpatient (Patient Class = ‘E’) ADT Ord Plc, Ord Fil
101.104.o01.orm ORM: Order P1 for White Ord Plc OF
101.106.o01.orm ORM: Schedule X1 Ord Fil Im Mgr
101.108.dcm MWL C-Find Modality OF
101.110.dcm PPS: Begin procedure(X1) Modality PPS Mgr
101.112.dcm PPS: Begin procedure (X1) PPS Mgr Img Mgr or Ord Fil
101.114.dcm PPS: End procedure (X1) Modality PPS Mgr
101.116.dcm PPS: End procedure (X1) PPS Mgr Img Mgr or Ord Fil
C-Find: Images available query Modality Img Mgr
101.118.dcm C-Store (Images) Modality Img Mgr
101.120.dcm C-Find: Images available query Ord Fil Img Mgr
101.122.dcm Storage Commitment (N-Action) Modality Img Mgr
101.124.dcm Storage Commitment (N-Event Report) Img Mgr Modality
101.126.a06.adt A06: Change WHITE outpatient : inpatient ADT Ord Plc, Ord Fil
101.128.a06.adt A06: Change WHITE outpatient : inpatient Ord Fil Img Mgr
101.130.a03.adt A03: Discharge WHITE ADT Ord Plc, Ord Fil
101.132.a03.adt A03: Discharge WHITE Ord Fil Img Mgr
Unidentified Case #5
Predefined list has name = SUNDAY^J1 ID from Ord Filler: T9020
101.142.dcm PPS: Begin procedure (X2) Modality PPS Mgr
101.144.dcm PPS: Begin procedure (X2) PPS Mgr Img Mgr or Ord Fil
101.146.dcm PPS: End procedure (X2) Modality PPS Mgr
101.148.dcm PPS: End procedure (X2) PPS Mgr Img Mgr or Ord Fil
101.150.dcm C-Store (Images) Modality Img Mgr
101.152.dcm C-Find: Images available query Ord Fil Img Mgr
101.154.dcm Storage Commitment (N-Action) Modality Img Mgr
101.156.dcm Storage Commitment (N-Event Report) Img Mgr Modality
101.158.dcm C-Find to Image Manager (query SUNDAY) Im Disp Img Mgr
101.160.a04.adt A04: Register DOE^J2 as outpatient (Patient Class = ‘E’) ADT Ord Plc, Ord Fil
101.161.a40.adt A40: Update Merge DOE^J2 with temp patient Ord Fil Img Mgr
After the fact scheduling at Order Filler
101.162.o01.orm ORM: Request procedure P2 Ord Fil Ord Plc
101.164.o02.orr ORR: Return Placer Order Number Ord Plc Ord Fil
101.165.o01.orm ORM: After the fact scheduling Ord Fil Img Mgr
101.166.a40.adt A40: Merge WHITE with DOE^J2 ADT Ord Plc, Ord Fil
101.168.a40.adt A40: Merge WHITE with DOE^J2 Ord Fil Img Mgr
101.170.dcm C-Find: Query Img Mgr for updated patient Img Disp Img Mgr
A new round of orders for WHITE
101.182.o01.orm ORM: Order P21 Ord Plc Ord Fil
101.184.o01.orm ORM: Schedule X21 Ord Fil Img Mgr
101.186.dcm MWL C-Find (test Order Filler MWL) Modality Ord Fil
101.188.o01.orm ORM: Cancel P21 Ord Plc Ord Fil
101.190.o01.orm ORM: Cancel X21 Ord Fil Img Mgr
101.192.o01.orm ORM: Order P22 Ord Plc Ord Fil
101.194.o01.orm ORM: Schedule X22 Ord Fil Img Mgr
101.196.dcm MWL C-Find (test Order Filler MWL) Modality Ord Fil
Don’t bother to run the procedures

Test Case 102: Pre-reg/Order Cancel/Reorder

Case 102 involves the patient Brown. This case will test pre-registration and order cancellation and re-ordering at the Order Filler.

Identifier Description Source Destination
102.102.a05.adt A05: Pre-register BROWN ADT Ord Plc, Ord Fil
102.104.o01.orm ORM: Order P1 Ord Plc Ord Fil
102.106.o01.orm ORM: Schedule X1 Ord Fil Img Mgr
102.108.a01.adt A01: Admit BROWN (inpatient) ADT Ord Plc, Ord Fil
102.110.dcm MWL C-Find Modality Ord Fil
Modality will perform X11 rather than X1
102.112.dcm PPS: Begin procedure (X11) Modality PPS Mgr
102.114.dcm PPS: End procedure (X11) Modality PPS Mgr
102.116.dcm C-Store (Images) Modality Img Mgr
102.118.dcm Storage Commitment N-Action Modality Img Mgr
102.120.dcm Storage Commitment N-Event Img Mgr Modality
102.121.dcm Image Display C-Find Img Disp Img Mgr
New sequence at Ord Fil/Ord Plc
102.122.o01.orm ORM: Order P21 Ord Plc Ord Fil
102.124.o01.orm ORM: Schedule X21 Ord Fil Img Mgr
102.125.dcm MWL C-Find Modality Ord Fil
102.126.o01.orm ORM: Cancel X21 Ord Fil Ord Plc
102.128.o01.orm ORM: Status Update (Cancel X21) Ord Fil Img Mgr
102.129.dcm MWL C-Find Modality Ord Fil
102.130.o01.orm ORM: Order P22 Ord Fil Ord Plc
102.132.o02.orm ORR: Placer Order Number Ord Plc Ord Fil
102.134.o01.orm ORM: Schedule X22 Ord Fil Img Mgr
102.135.dcm MWL C-Find Modality Ord Fil
Skip the imaging part
102.136.a03.adt A03: Discharge BROWN ADT Ord Plc, Ord Fil
102.138.a03.adt A03: Discharge BROWN Ord Fil Img Mgr

Test Case 103: PIR Case 1: Unidentified Patient Registered at ADT and Ordered at the Order Placer

Test Case 103 involves transactions for the patient Jay Silverheels and tests the Unidentified Case 1: Unidentified Patient Registered at ADT and Ordered at the Order Placer (see IHE TF Vol I, section 4.4.1). The table below gives the overview of the test case.

Identifier Description Source Destination
Unidentified case 1
103.102.a04.adt A04: Register DOE^J1 (Patient Class = ‘E’) ADT Ord Plc, Ord Fil
103.104.o01.orm ORM: Order P1 (one procedure) Ord Plc Ord Fil
103.106.o01.orm ORM: Schedule X1 (one SPS, one AI) Ord Fil Img Mgr
103.108.dcm MWL C-Find Mod Ord Fil
103.110.dcm PPS: Begin procedure Mod PPS Mgr
103.112.dcm PPS: End procedure Mod PPS Mgr
103.114.dcm C-Store (images) Mod Img Mgr
103.116.dcm Storage Commitment (N-Action) Mod Img Mgr
103.118.dcm Storage Commitment (N-Event) Img Mgr Mod
103.120.dcm C-Find Img Disp Img Mgr
Patient is now recognized as Silverheels
103.130.a08.adt A08: Update name to SILVERHEELS ADT Ord Plc, Ord Fil
103.132.a08.adt A08: Update name to SILVERHEELS Ord Fil Img Mgr
103.134.dcm C-Find Img Disp Img Mgr

Test Case 104: Unidentified #2 / Multiple SPS

Case 104 has a requested procedure with 2 scheduled procedure steps and 3 action items and includes Unidentified Patient Case #2 (with a patient merge rather than update).

In the first part of the test, the Order Placer sends a request for Procedure P4. The filler expands this request into two Scheduled Procedure Steps. The first SPS has one action item/protocol item; the second SPS has two action items/protocol items.

Identifier Description Source Destination
104.102.a04.adt ADT A04: Register BLUE as outpatient (Patient Class = ‘E’) ADT Ord Pl, Ord Fil
104.104.o01.orm ORM: Order P4 (one procedure) Ord Pl Ord Fil
104.106.o01.orm ORM: Schedule X4 (two SPS, three AI) Ord Fil Img Mgr
104.108.dcm MWL C-Find Modality Ord Fil
104.110.dcm PPS: Begin procedure Modality PPS Mgr
104.112.dcm PPS: End procedure Modality PPS Mgr
104.114.dcm C-Store (Images) Modality Img Mgr
104.116.dcm Storage Commitment (N-Action) Modality Img Mgr
104.118.dcm Storage Commitment (N-Event) Img Mgr Modality
Unidentified case #2
104.142.a04.adt ADT: A04 Register DOE^J3 ADT Ord Plc, Ord Fil
104.144.o01.orm ORM: Order P1 (one procedure) Ord Fil Ord Plc
104.146.o02.orr ORR: Placer Order Number Ord Plc Ord Fil
104.148.o01.orm ORM: Schedule X1 (one SPS, one AI) Ord Fil Img Mgr
Perform X1 at Modality
104.150.dcm MWL C-Find Modality Ord Fil
104.152.dcm PPS: Begin procedure Modality PPS Mgr
104.154.dcm PPS: End procedure Modality PPS Mgr
104.156.dcm C-Store (Images) Modality Img Mgr
104.158.dcm Storage Commitment (N-Action) Modality Img Mgr
104.160.dcm Storage Commitment (N-Event) Img Mgr Modality
104.162.dcm C-Find on Patient BLUE Workstation Img Mgr
104.164.dcm C-Find on Patient DOE Workstation Img Mgr
Patient is recognized as BLUE
104.182.a40.adt A40: Merge BLUE with DOE^J3 ADT Ord Plc, Ord Fil
104.184.a40.adt A40: Merge BLUE with DOE^J3 Ord Fil Img Mgr
104.190.dcm C-Find on Patient BLUE Workstation Image Manager

Test Case 105: PIR Case #3: Unidentified Patient Registered at ADT but Completed at Modality Prior to Order

Test Case 105 involves transactions for the patient Stephen Mustard and tests the Unidentified Case 3: Unidentified Patient Registered at ADT but Completed at Modality Prior to Order (see IHE TF Vol I, section 4.4.3). The table below gives the overview of the test case.

Note that the Study Instance UID is generated by the Modality.

Identifier Description Source Destination
105.102.a04.adt A04: Register DOE^J105 as outpatient (Patient Class = ‘E’) ADT Ord Plc
105.103.a04.adt A04: Register DOE^J105 as outpatient ADT Ord Fil
Perform X2 at modality, no MWL
105.104.dcm PPS: Begin procedure Modality PPS Mgr
105.106.dcm PPS: End procedure Modality PPS Mgr
105.108.dcm C-Store (Images) Modality Img Mgr
105.108.dcm Storage Commitment (N-Action) Modality Img Mgr
105.110.dcm Storage Commitment (N-Event) Img Mgr Modality
105.112.dcm C-Find Img Disp Img Mgr
105.114.o01.orm ORM: Order P2 (one procedure) Ord Fil Ord Plc
105.116.o02.orr ORR: Placer Order Number Ord Plc Ord Fil
105.118.o01.orm ORM: Schedule X2 (one SPS, one AI) Ord Fil Img Mgr
Patient is now identified as MUSTARD
105.120.a08.adt A08: Rename DOE^J105 to MUSTARD ADT Ord Plc
105.121.a08.adt A08: Rename DOE^J105 to MUSTARD ADT Ord Fil
105.122.a08.adt A08: Rename DOE^J105 to MUSTARD Ord Fil Img Mgr
105.124.dcm C-Find Img Disp Img Mgr

Test Case 106: Presentation of Grouped Proc

Presentation of Grouped Procedures. Two separate procedures are ordered and scheduled. Modality performs a single procedure and sends GSPS objects to distinguish the procedures.

Identifier Description Source Destination
106.102.a04.adt ADT A06: Register GREEN as outpatient (Patient Class = ‘E’) ADT Ord Pl, Ord Fil
106.104.o01.orm ORM: Order P6 (one procedure) Ord Pl Ord Fil
106.106.o01.orm ORM: Order P7 (one procedure) Ord Pl Ord Fil
106.108.o01.orm ORM: Schedule X6 Ord Fil Img Mgr
106.110.o01.orm ORM: Schedule X7 Ord Fil Img Mgr
106.112.dcm MWL C-Find Modality Ord Fil
106.114.dcm PPS: Begin procedure (X6, X7 combined) Modality PPS Mgr
106.116.dcm PPS: End procedure (X6, X7 combined) Modality PPS Mgr
106.118.dcm C-Store (Images) Modality Img Mgr
106.120.dcm Storage Commitment (N-Action) Modality Img Mgr
106.122.dcm Storage Commitment (N-Event) Img Mgr Modality
106.126.dcm PPS: Begin procedure (GSPS X6) Modality PPS Mgr
106.128.dcm PPS: End procedure (GSPS X6) Modality PPS Mgr
106.130.dcm C-Store (GSPS X6) Modality Img Mgr
106.132.dcm Storage Commitment (N-Action) Modality Img Mgr
106.134.dcm Storage Commitment (N-Event) Img Mgr Modality
106.136.dcm PPS: Begin procedure (GSPS X7) Modality PPS Mgr
106.138.dcm PPS: End procedure (GSPS X7) Modality PPS Mgr
106.140.dcm C-Store (GSPS X7) Modality Img Mgr
106.142.dcm Storage Commitment (N-Action) Modality Img Mgr
106.144.dcm Storage Commitment (N-Event) Img Mgr Modality

Test Case 107: Status Update

This test is for the Status Update from the Order Filler to the Order Placer.

Identifier Description Source Destination
107.102.a04.adt ADT A04: Register ROSE as outpatient (Patient Class = ‘E’) ADT Ord Pl, Ord Fil
107.104.o01.orm ORM: Order P6 (one procedure) Ord Pl Ord Fil
107.106.o01.orm ORM: Schedule X6 Ord Fil Img Mgr
107.108.dcm MWL C-Find Modality Ord Fil
107.110.dcm PPS: Begin procedure (X6) Modality PPS Mgr
107.112.o01.orm ORM: Status Update Ord Fil Ord Plc
Order Filler decides that procedure is completed
107.116.o01.orm ORM: Status Update Ord Fil Ord Plc

Test Case 108: Black

Test Case 109: Exception Management

This is the text for Exception Management for Order Filler and Image Manager systems.

Reference: Rad TF 1: 3.3.4.

Identifier Description Source Destination
109.102.a04.adt ADT A04: Register GREY as outpatient (Patient Class = ‘O’) ADT Ord Pl, Ord Fil
109.104.o01.orm ORM: Order P1 (one procedure) Ord Pl Ord Fil
109.106.o01.orm ORM: Schedule X1 Ord Fil Img Mgr
109.108.dcm MWL C-Find Modality Ord Fil
109.110.dcm PPS: Begin procedure (X1) Modality PPS Mgr
109.112.dcm PPS: End procedure (X1) Modality PPS Mgr

Test Case 110: Billing and Material Management Option

This is the text for Billing and Material Management option for Order Filler systems.

Identifier Description Source Destination
110.102.a04.adt ADT A04: Register GREY as outpatient (Patient Class = ‘O’) ADT Ord Pl
110.104.a04.adt ADT A04: Register GOLD as outpatient (Patient Class = ‘O’) ADT Ord Fil
110.106.o01.orm ORM: Order P1 (one procedure) Ord Pl Ord Fil
110.108.o01.orm ORM: Schedule X1 Ord Fil Img Mgr
110.110.dcm MWL C-Find Modality Ord Fil
110.112.dcm PPS: Begin procedure (X1) Modality PPS Mgr
110.114.dcm PPS: End procedure (X1) Modality PPS Mgr

Test Case 111: Performed Work Status Update

Identifier Description Source Destination
111.102.a04.adt A04: Register PEACH as outpatient (patient class = ‘O’) ADT Ord Plc
111.104.a04.adt A04: Register PEACH as outpatient (patient class = ‘O’) ADT Ord Fil
111.106.o01.orm ORM: Order P101 for PEACJ Ord Plc Ord Fil
111.108.o01.orm ORM: Schedule X101 Ord Fil Im Mgr
111.110.dcm MWL C-Find Modality OF
111.112.dcm PPS: Begin procedure (X101) Modality PPS Mgr
111.114.dcm PPS: Begin procedure (X101) PPS Mgr Img Mgr or Ord Fil
111.116.dcm C-Store (images) Mod Img Mgr
111.118.dcm Storage Commitment (N-Action) Mod Img Mgr
111.120.dcm Storage Commitment (N-Event) Img Mgr Mod
Schedule Mammography CAD PPM
111.122.dcm GPWL C-Find Img Crt PPM
111.124.dcm N-Action: Claim Workitem Img Crt PPM
111.126.dcm PPS: Performed Work Status Update PPM Order Filler / Img Mgr
111.128.dcm PPS: Workitem PPS in progress Img Crt PPM
111.130.dcm PPS: Workitem PPS complete Img Crt PPM
111.132.dcm N-Action: Workitem Completed Img Crt PPM
111.134.dcm PPS: Performed Work Status Update PPM Order Filler / Img Mgr
111.136.dcm C-Store (Evidence documents) Img Crt Img Mgr
111.138.dcm Storage Commitment (N-Action) Img Crt Img Mgr
111.140.dcm Storage Commitment (N-Event) Img Mgr Img Crt

Test Case 131: Administrative and Procedure Performance Process Flow

Test Case 131 involves transactions for the patient Charles Black and tests the Administrative Procedure Performance Process Flow (see IHE TF Vol I, section 3.3.1). The table below gives the overview of the test case.

Identifier Description Source Destination
131.102.a04.adt A04: Register BLACK as outpatient (Patient Class = ‘E’) ADT Ord Plc, Ord Fil
131.104.o01.orm ORM: Order P1 for BLACK Ord Plc OF
131.106.o01.orm ORM: Schedule X1 Ord Fil Im Mgr
131.108.dcm MWL C-Find Modality OF
131.110.dcm PPS: Begin procedure(X1) Modality PPS Mgr
131.112.dcm PPS: Begin procedure (X1) PPS Mgr Img Mgr or Ord Fil
131.114.dcm PPS: End procedure (X1) Modality PPS Mgr
131.116.dcm PPS: End procedure (X1) PPS Mgr Img Mgr or Ord Fil
C-Find: Images available query Order Filler Img Mgr
131.118.dcm C-Store (Images) Modality Img Mgr
131.120.dcm C-Find: Images available query Ord Fil Img Mgr
131.122.dcm Storage Commitment (N-Action) Modality Img Mgr
131.124.dcm Storage Commitment (N-Event Report) Img Mgr Modality

Test Case 132: Order Change Flow Initiated by Order Filler

Case 132 involves the patient WISTERIA. This case will test order cancellation and re-ordering at the Order Filler (see IHE TF Vol I, section 3.3.3. The table below gives the overview of the test case.

Identifier Description Source Destination
132.102.a01.adt A01: Admit WISTERIA ADT Ord Plc
132.103.a01.adt A01: Admit WISTERIA ADT Ord Fil
132.104.o01.orm ORM: Order P22 Ord Plc Ord Fil
132.106.o01.orm ORM: Schedule X22 Ord Fil Img Mgr
132.108.dcm MWL C-Find Modality Ord Fil
132.110.o01.orm ORM: Cancel X22 Ord Fil Ord Plc
132.112.o01.orm ORM: Status Update (Cancel X22) Ord Fil Img Mgr
132.114.dcm MWL C-Find Modality Ord Fil
132.116.o01.orm ORM: Order P1 Ord Fil Ord Plc
132.118.o02.orm ORR: Placer Order Number Ord Plc Ord Fil
132.119.o01.orm Extra order required for MESA tools
132.120.o01.orm ORM: Schedule X1 Ord Fil Img Mgr
132.122.dcm MWL C-Find Modality Ord Fil
132.124.dcm PPS: Begin procedure(X1) Modality PPS Mgr
132.126.dcm PPS: Begin procedure (X1) PPS Mgr Img Mgr or Ord Fil
132.128.dcm PPS: End procedure (X1) Modality PPS Mgr
132.130.dcm PPS: End procedure (X1) PPS Mgr Img Mgr or Ord Fil
132.132.dcm C-Find: Images available query Modality Img Mgr
132.134.dcm C-Store (Images) Modality Img Mgr
132.136.dcm C-Find: Images available query Ord Fil Img Mgr
132.138.dcm Storage Commitment (N-Action) Modality Img Mgr
132.140.dcm Storage Commitment (N-Event Report) Img Mgr Modality
132.142.a03.adt A03: Discharge WISTERIA ADT Ord Plc
132.143.a03.adt A03: Discharge WISTERIA ADT Ord Fil

Test Case 133: PIR Case 2: Unidentified Patient Registered at ADT and Ordered at Department System Scheduler/Order Filler

Test Case 133 involves transactions for the patient Ivan Indigo and tests the Unidentified Case 2: Unidentified Patient Registered at ADT and Ordered at the DSS/Order Filler (see IHE TF Vol I, section 4.4.2). The table below gives the overview of the test case.

Identifier Description Source Destination
133.102.a04.adt ADT A04: Register INDIGO as outpatient (Patient Class = ‘E’) ADT Ord Pl
133.103.a04.adt ADT A04: Register INDIGO as outpatient ADT Ord Fil
Indigo leaves, to return later as unidentified patient
Unidentified case #2
133.142.a04.adt ADT: A04 Register DOE^J133 ADT Ord Plc
133.143.a04.adt ADT: A04: Register DOE^J133 ADT Ord Fil
133.144.o01.orm ORM: Order P1 (one procedure) Ord Fil Ord Plc
133.146.o02.orr ORR: Placer Order Number Ord Plc Ord Fil
133.148.o01.orm ORM: Schedule X1 (one SPS, one Protocol Code Item) Ord Fil Img Mgr
133.150.dcm MWL C-Find Modality Ord Fil
Perform X1 at Modality
133.152.dcm PPS: Begin procedure Modality PPS Mgr
133.154.dcm PPS: End procedure Modality PPS Mgr
133.156.dcm C-Store (Images) Modality Img Mgr
133.158.dcm Storage Commitment (N-Action) Modality Img Mgr
133.160.dcm Storage Commitment (N-Event) Img Mgr Modality
133.162.dcm C-Find on Patient INDIGO Workstation Img Mgr
133.164.dcm C-Find on Patient DOE^J133 Workstation Img Mgr
Patient is recognized as BLUE
133.182.a40.adt A40: Merge INDIGO with DOE^J133 ADT Ord Plc
133.183.140.adt A40: Merge INDIGO with DOE^J133 ADT Ord Fil
133.184.a40.adt A40: Merge INDIGO with DOE^J133 Ord Fil Img Mgr
133.190.dcm C-Find on Patient INDIGO Workstation Img Mgr

Test Case 141: Administrative and Procedure Performance Process Flow

Test Case 141 involves transactions for the patient Charles Black and tests the Administrative Procedure Performance Process Flow (see IHE TF Vol I, section 3.3.1). The table below gives the overview of the test case. The steps in this case are the same as in case 131. The difference is that this test case uses a patient with Japanese characters.

Identifier Description Source Destination
141.102.a04.adt A04: Register patient as outpatient (Patient Class = ‘E’) ADT Ord Plc, Ord Fil
141.104.o01.orm ORM: Order P1 for patient Ord Plc OF
141.106.o01.orm ORM: Schedule X1 Ord Fil Img Mgr
141.108.dcm MWL C-Find Modality OF
141.110.dcm PPS: Begin procedure(X1) Modality PPS Mgr
141.112.dcm PPS: Begin procedure (X1) PPS Mgr Img Mgr or Ord Fil
141.114.dcm PPS: End procedure (X1) Modality PPS Mgr
141.116.dcm PPS: End procedure (X1) PPS Mgr Img Mgr or Ord Fil
C-Find: Images available query Modality Img Mgr
141.118.dcm C-Store (Images) Modality Img Mgr
141.120.dcm C-Find: Images available query Ord Fil Img Mgr
141.122.dcm Storage Commitment (N-Action) Modality Img Mgr
141.124.dcm Storage Commitment (N-Event Report) Img Mgr Modality

Test Case 142: Order Change Flow Initiated by Order Filler

This case will test order cancellation and re-ordering at the Order Filler (see IHE TF Vol I, section 3.3.3. The table below gives the overview of the test case.

Test 142 uses the same transactions as test 132. Test 142 differs in the usage of a patient with Japanese characters in the patient name.

Identifier Description Source Destination
142.102.a01.adt A01: Admit PATIENT ADT Ord Plc
142.103.a01.adt A01: Admit PATIENT ADT Ord Fil
142.104.o01.orm ORM: Order P22 Ord Plc Ord Fil
142.106.o01.orm ORM: Schedule X22 Ord Fil Img Mgr
142.108.dcm MWL C-Find Modality Ord Fil
142.110.o01.orm ORM: Cancel X22 Ord Fil Ord Plc
142.112.o01.orm ORM: Status Update (Cancel X22) Ord Fil Img Mgr
142.114.dcm MWL C-Find Modality Ord Fil
142.116.o01.orm ORM: Order P1 Ord Fil Ord Plc
142.118.o02.orm ORR: Placer Order Number Ord Plc Ord Fil
142.119.o01.orm Extra order required for MESA tools
142.120.o01.orm ORM: Schedule X1 Ord Fil Img Mgr
142.122.dcm MWL C-Find Modality Ord Fil
142.124.dcm PPS: Begin procedure(X1) Modality PPS Mgr
142.126.dcm PPS: Begin procedure (X1) PPS Mgr Img Mgr or Ord Fil
142.128.dcm PPS: End procedure (X1) Modality PPS Mgr
142.130.dcm PPS: End procedure (X1) PPS Mgr Img Mgr or Ord Fil
142.132.dcm C-Find: Images available query Modality Img Mgr
142.134.dcm C-Store (Images) Modality Img Mgr
142.136.dcm C-Find: Images available query Ord Fil Img Mgr
142.138.dcm Storage Commitment (N-Action) Modality Img Mgr
142.140.dcm Storage Commitment (N-Event Report) Img Mgr Modality
142.142.a03.adt A03: Discharge PATIENT ADT Ord Plc
142.143.a03.adt A03: Discharge PATIENT ADT Ord Fil

Test Case 151: Appointment Notification – New Bookings

This case will appointment notifications generated by the Order Filler and sent to the Order Placer (see IHE TF Vol I, section 3.3.6). The table below gives the overview of the test case. Test 151 is for the case of a new booking.

Identifier Description Source Destination
151.102.a04.adt A04: Register PATIENT ADT Ord Plc
151.103.a04.adt A04: Register Patient ADT Ord Fil
151.104.o01.orm ORM: Order P1 Ord Plc Ord Fil
151.106.s12 SIU: Appointment notification Order Filler Ord Plc

Test Case 152: Appointment Notification – Reschedule Bookings

This case will appointment notifications generated by the Order Filler and sent to the Order Placer (see IHE TF Vol I, section 3.3.6. The table below gives the overview of the test case). Test 152 is for the case of a rescheduled booking.

The nominal patient name is MAGENTA^ROB.

Identifier Description Source Destination
151.102.a04.adt A04: Register MAGENTA ADT Ord Plc
151.103.a04.adt A04: Register Patient ADT Ord Fil
151.104.o01.orm ORM: Order P1 Ord Plc Ord Fil
151.106.s12 SIU: Appointment notification Order Filler Order Placer
151.108.orm ORM: Scheduling message to Image Mgr Order Filler Img Mgr
151.110.s13 SIU: Rescheduling booking Order Filler Order Placer

Test Case 153: Appointment Notification – Cancel Bookings

This case will appointment notifications generated by the Order Filler and sent to the Order Placer (see IHE TF Vol I, section 3.3.6. The table below gives the overview of the test case). Test 152 is for the case of a cancelled booking.

Test Case 283: DICOM Composite Object Evaluation – DVT

The purpose of test 283 is to evaluate DICOM Composite Objects produced by Acquisition Modalities, Evidence Creators, Report Creators or other actors that create DICOM Composite Objects. These objects are evaluated for conformance to the DICOM standard and not necessarily in the context of other IHE requirements. Creators of Composite Objects will use a documented script to run the evaluation and generate results. The underlying evaluation tool is the Agfa/Philips DVT.

Test Case 284: DICOM Composite Object Evaluation – DICOM3TOOLS

This is the same test as 283 with the exception that we use the Dave Clunie DICOM3TOOLS for evaluation. Users are asked to evaluate with both tools as they may uncover different problems.

Test Case 1301: Account Management: New Account

Test Case 1301 involves transactions for the patient Montgomery Alabama. A new account is created for this patient. See IHE TF, Vol 3. Section 4.36.4.1.

Identifier Description Source Destination
1301.102.p01.bar P01: Account Management: New Account ADT Charge Processor
1301.104.p01.bar P01: Account Management: New Account ADT Ord Fil

Test Case 1302: Account Managerment: Update Account

Test Case 1302 covers account management and the P05 message used to update a patient account. See IHE TF Vol 3, section 4.36.4.2.

The nominal patient name is ALASKA^JUNEAU.

Identifier Description Source Destination
1302.102.p01.bar P01: Account Management: New Account ADT Charge Processor
1302.104.p01.bar P01: Account Management: New Account ADT Ord Fil
1302.106.a01.adt Admit ALASKA ADT Order Placer
1302.108.a01.adt Admit ALASKA ADT Order Filler
1302.110.p05.bar P05: Account Management: Update Account ADT Charge Processor
1302.112.p05.bar P05: Account Management: Update Account ADT Order Filler

Test Case 1303: Account Management: End Account

Test Case 1302 covers account management and the P06 message used to end a patient account. See IHE TF Vol 3, section 4.36.4.3.

The nominal patient name is ARIZONA^PHOENIX.

Identifier Description Source Destination
1303.102.p01.bar P01: Account Management: New Account ADT Charge Processor
1303.104.p01.bar P01: Account Management: New Account ADT Ord Fil
1303.106.a01.adt Admit ALASKA ADT Order Placer
1303.108.a01.adt Admit ALASKA ADT Order Filler
1303.110.p06.bar P06: Account Management: End Account ADT Charge Processor
1303.112.p06.bar P06: Account Management: End Account ADT Order Filler

Test Case 1305: Charge Posting Process Flow #1

Test Case 1305 involves all of the actors and transactions for a fully integrated Charge Processing Process Flow. See IHE TF Vol I, section 11.3.

The nominal patient name is CALIFORNIA^SACRAMENTO.

Identifier Description Source Destination
1305.102.p01.bar P01: Account Management: New Account ADT Charge Processor
1305.104.p01.bar P01: Account Management: New Account ADT Ord Fil
1305.106.a01.adt A01: Admit CALIFORNIA (inpatient) ADT Ord Plc
1305.108.a01.adt A01: Admit CALIFORNIA (inpatient) ADT Ord Fil
1305.110.o01.orm ORM: Order P1 for CALIFORNIA Ord Plc Ord Fil
1305.112.o01.orm ORM: Schedule X1 Ord Fil Im Mgr
1305.114.dcm MWL C-Find Modality OF
1305.116.dcm PPS: Begin procedure(X1) Modality PPS Mgr
1305.118.dcm PPS: Begin procedure (X1) PPS Mgr Img Mgr or Ord Fil
1305.120.dcm C-Store (images) Mod Img Mgr
1305.122.dcm Storage Commitment (N-Action) Mod Img Mgr
1305.124.dcm Storage Commitment (N-Event) Img Mgr Mod
1305.126.p03.dft P03: Technical Charges Ord Fil Charge P
1305.128.p03.dft P03: Professional Charges Ord Fil Charge P

Test Case 1306: Charge Posting Process Flow #2

Test Case 1302 involves transactions for the patient Juneau Alaska. One procedure (P1) is ordered, scheduled and executed. A second performed procedure step (X2) is added at the modality and should be billed (for both technical and professional charges).

Identifier Description Source Destination
1302.102. Account Management ADT Charge P
1302.104 Account Management ADT Ord Fil
1302.106.a01.adt A01: Admit ALASKA (inpatient) ADT Ord Plc
1302.108.o01.orm ORM: Order P1 for ALASKA Ord Plc Ord Fil
1302.110.o01.orm ORM: Schedule X1 Ord Fil Im Mgr
1302.112.dcm MWL C-Find Modality OF
1302.114.dcm PPS: Begin procedure(X1) Modality PPS Mgr
1302.116.dcm PPS: Begin procedure (X1) PPS Mgr Img Mgr or Ord Fil
1302.118.dcm C-Store (images) Mod Img Mgr
1302.120.dcm Storage Commitment (N-Action) Mod Img Mgr
1302.122.dcm Storage Commitment (N-Event) Img Mgr Mod
1302.126.dcm PPS: Begin procedure (X2) Modality PPS Mgr
1302.128.dcm PPS: Begin procedure (X2) PPS Mgr Img Mgr or Ord Fil
1302.130.dcm C-Store (images) Mod Img Mgr
1302.132.dcm Storage Commitment (N-Action) Mod Img Mgr
1302.134.dcm Storage Commitment (N-Event) Img Mgr Mod
1302.136. XXX: Technical Charges Ord Fil Charge P
1302.138. XXX: Technical Charges Ord Fil Charge P
1302.140 XXX: Professional Charges Ord Fil Charge P
1302.142. XXX: Professional Charges Ord Fil Charge P

Test Case 1307: Charge Posting Process Flow #3

Test Case 1303 involves transactions for the patient Phoenix Arizona. One procedure (P1) is ordered and scheduled. A different performed procedure step (X2) is performed at the modality.

Identifier Description Source Destination
1303.102. Account Management ADT Charge P
1303.104 Account Management ADT Ord Fil
1303.106.a04.adt A04: Register ARIZONA (outpatient, class = ‘O’) ADT Ord Plc
1303.108.o01.orm ORM: Order P1 for ARIZONA Ord Plc Ord Fil
1303.110.o01.orm ORM: Schedule X1 Ord Fil Im Mgr
1303.112.dcm MWL C-Find Modality OF
1303.114.dcm PPS: Begin procedure (X2) Modality PPS Mgr
1303.116.dcm PPS: Begin procedure (X2) PPS Mgr Img Mgr or Ord Fil
1303.118.dcm C-Store (images) Mod Img Mgr
1303.120.dcm Storage Commitment (N-Action) Mod Img Mgr
1303.122.dcm Storage Commitment (N-Event) Img Mgr Mod
1303.124. XXX: Technical Charges Ord Fil Charge P
1303.126 XXX: Professional Charges Ord Fil Charge P

Test Case 1308: Charge Posting #4

Test Case 1304 involves transactions for the patient Littlerock Arkansas. The patient has one account that is opened and then closed. A second account is then opened and used for the current charges.

Identifier Description Source Destination
1304.102. Account Management ADT Charge P
1304.104 Account Management ADT Ord Fil
1304.106 Account Management ADT Charge P
1304.108 Account Management ADT Ord Fil
1304.110 Account Management ADT Charge P
1304.112 Account Management ADT Ord Fil
1304.114.a01.adt A01: Admit ARKANSAS ADT Ord Plc
1304.116.o01.orm ORM: Order P1 for ARKANSAS Ord Plc Ord Fil
1304.118.o01.orm ORM: Schedule X1 Ord Fil Im Mgr
1304.120.dcm MWL C-Find Modality OF
1304.122.dcm PPS: Begin procedure (X1) Modality PPS Mgr
1304.124.dcm PPS: Begin procedure (X1) PPS Mgr Img Mgr or Ord Fil
1304.126.dcm C-Store (images) Mod Img Mgr
1304.128.dcm Storage Commitment (N-Action) Mod Img Mgr
1304.130.dcm Storage Commitment (N-Event) Img Mgr Mod
1304.132 XXX: Technical Charges Ord Fil Charge P
1304.134 XXX: Professional Charges Ord Fil Charge P

Test Case 1411: PWF Mammography

Test Case 1411 involves transactions for the patient Hartford Connecticut. The patient has one requested procedure for a Mammography Screening. This procedure is ordered, scheduled and executed. A separate worklist entry for Computer Aided Detection is generated. The Post Processing system produces a DICOM SR object to fulfill this request.

Identifier Description Source Destination
1411.102.a04.adt A04: Register CONNECTICUT as outpatient (patient class = ‘O’) ADT Ord Plc
1411.104.a04.adt A04: Register CONNECTICUT as outpatient (patient class = ‘O’) ADT Ord Fil
1411.106.o01.orm ORM: Order P101 for CONNECTICUT Ord Plc Ord Fil
1411.108.o01.orm ORM: Schedule X101 Ord Fil Im Mgr
1411.110.dcm MWL C-Find Modality OF
1411.112.dcm PPS: Begin procedure (X101) Modality PPS Mgr
1411.114.dcm PPS: Begin procedure (X101) PPS Mgr Img Mgr or Ord Fil
1411.116.dcm C-Store (images) Mod Img Mgr
1411.118.dcm Storage Commitment (N-Action) Mod Img Mgr
1411.120.dcm Storage Commitment (N-Event) Img Mgr Mod
Schedule Mammography CAD PPM
1411.122.dcm GPWL C-Find Img Crt PPM
1411.124.dcm N-Action: Claim Workitem Img Crt PPM
1411.126.dcm PPS: Performed Work Status Update PPM PPM (observing)
1411.128.dcm PPS: Workitem PPS in progress Img Crt PPM
1411.130.dcm PPS: Workitem PPS complete Img Crt PPM
1411.132..dcm N-Action: Workitem Completed Img Crt PPM
1411.134.dcm PPS: Performed Work Status Update PPM PPM (observing)
1411.136.dcm C-Store (Evidence documents) Img Crt Img Mgr
1411.138.dcm Storage Commitment (N-Action) Img Crt Img Mgr
1411.140.dcm Storage Commitment (N-Event) Img Mgr Img Crt

Test Case 1412: PWF CT

Test Case 1412 involves transactions for the patient Dover Delaware. The patient has one requested procedure for a Generic CT exam (P102). This procedure is ordered, scheduled and executed. A separate worklist entry for 3D reconstruction is generated. The Post Processing system produces a 3D volume image to fulfill this request.

Identifier Description Source Destination
1412.102.a04.adt A04: Register DELAWARE as outpatient (patient class = ‘O’) ADT Ord Plc
1412.104.a04.adt A04: Register DELAWARE as outpatient (patient class = ‘O’) ADT Ord Fil
1412.106.o01.orm ORM: Order P102 for DELAWARE Ord Plc Ord Fil
1412.108.o01.orm ORM: Schedule X102 Ord Fil Im Mgr
1412.110.dcm MWL C-Find Modality OF
1412.112.dcm PPS: Begin procedure (X102) Modality PPS Mgr
1412.114.dcm PPS: Begin procedure (X102) PPS Mgr Img Mgr or Ord Fil
1412.116.dcm C-Store (images) Mod Img Mgr
1412.118.dcm Storage Commitment (N-Action) Mod Img Mgr
1412.120.dcm Storage Commitment (N-Event) Img Mgr Mod
Schedule Mammography CAD PPM
1412.122.dcm GPWL C-Find Img Crt PPM
1412.124.dcm N-Action: Claim Workitem Img Crt PPM
1412.126.dcm PPS: Performed Work Status Update PPM PPM
1412.128.dcm PPS: Workitem PPS in progress Img Crt PPM
1412.130.dcm PPS: Workitem PPS complete Img Crt PPM
1412.132..dcm N-Action: Workitem Completed Img Crt PPM
1412.134.dcm PPS: Performed Work Status Update PPM PPM
1412.136.dcm C-Store (Evidence documents) Img Crt Img Mgr
1412.138.dcm Storage Commitment (N-Action) Img Crt Img Mgr
1412.140.dcm Storage Commitment (N-Event) Img Mgr Img Crt

Test Case 1413: PWF MR

Test Case 1413 involves transactions for the patient Tallahassee Florida. The patient has one requested procedure for a Generic MR exam (P103). This procedure is ordered, scheduled and executed. A separate worklist entry for 3D reconstruction is generated. The Post Processing system produces a 3D volume image to fulfill this request.

Identifier Description Source Destination
1413.102.a04.adt A04: Register FLORIDA as outpatient (patient class = ‘O’) ADT Ord Plc
1413.104.a04.adt A04: Register FLORIDA as outpatient (patient class = ‘O’) ADT Ord Fil
1413.106.o01.orm ORM: Order P103 for FLORIDA Ord Plc Ord Fil
1413.108.o01.orm ORM: Schedule X103 Ord Fil Im Mgr
1413.110.dcm MWL C-Find Modality OF
1413.112.dcm PPS: Begin procedure (X103) Modality PPS Mgr
1413.114.dcm PPS: Begin procedure (X103) PPS Mgr Img Mgr or Ord Fil
1413.116.dcm C-Store (images) Mod Img Mgr
1413.118.dcm Storage Commitment (N-Action) Mod Img Mgr
1413.120.dcm Storage Commitment (N-Event) Img Mgr Mod
Schedule Mammography CAD PPM
1413.122.dcm GPWL C-Find Img Crt PPM
1413.124.dcm N-Action: Claim Workitem Img Crt PPM
1413.126.dcm PPS: Performed Work Status Update PPM PPM
1413.128.dcm PPS: Workitem PPS in progress Img Crt PPM
1413.130.dcm PPS: Workitem PPS complete Img Crt PPM
1413.132..dcm N-Action: Workitem Completed Img Crt PPM
1413.134.dcm PPS: Performed Work Status Update PPM PPM
1413.136.dcm C-Store (Evidence documents) Img Crt Img Mgr
1413.138.dcm Storage Commitment (N-Action) Img Crt Img Mgr
1413.140.dcm Storage Commitment (N-Event) Img Mgr Img Crt

Test Case 1601: Interpretation Worklist

Test 1601 covers the Interpretation task in the Reporting Workflow integration profile (see IHE TF, Vol I: section 13.3). This test only covers the interpretation step and does not include creation of any other items (such as transcriptions or reports).

Identifier Description Source Destination
1601.102.a04.adt A04: Register WASHINGTON as outpatient (patient class = ‘E’) ADT Ord Plc
1601.103.a04.adt A04: Register WASHINGTON as outpatient (patient class = ‘E’) ADT Ord Fil
1601.104.a04.adt A04: Register WASHINGTON as outpatient (patient class = ‘E’) ADT Rpt Mgr
1601.106.o01.orm ORM: Order P1 for WASHINGTON Ord Plc Ord Fil
1601.108.o01.orm ORM: Schedule X1 Ord Fil Im Mgr
1601.109.o01.orm ORM: Schedule X1 Ord Fil Rpt Mgr
1601.110.dcm MWL C-Find Modality OF
1601.112.dcm PPS: Begin procedure (X1) Modality PPS Mgr
1601.113.dcm PPS: Begin procedure (X1) PPS Mgr Rpt Mgr
1601.114.dcm PPS: Complete procedure (X1) Modality PPS Mgr
1601.115.dcm PPS: Complete procedure (X1) PPS Mgr Rpt Mgr
1601.116.dcm C-Store (images) Mod Img Mgr
1601.118.dcm Storage Commitment (N-Action) Mod Img Mgr
1601.120.dcm Storage Commitment (N-Event) Img Mgr Mod
1601.124.dcm Images Available Rpt Mgr Img Mgr
Create Interpretation Worklist Task Rpt Mgr
1601.126.dcm Reporting Worklist Provided (Interp) Rpt Crt Rpt Mgr
1601.128.dcm N-Action: Claim Workitem Rpt Crt Rpt Mgr
1601.130.dcm GPPS: Workitem PPS in progress (Interp) Rpt Crt Rpt Mgr
1601.132.dcm GPPS: Performed Work Status Update Rpt Mgr IM and/or OF
1601.134.dcm Query/Retrieve Images Rpt Crt Img Mgr
1601.136.dcm GPPS: Workitem PPS complete (Interp) Rpt Crt Rpt Mgr
1601.138.dcm GPPS: Performed Work Status Update Rpt Mgr IM and/or OF

Test Case 1602: RWF Predefined Report

Test Case 1602 corresponds to Reporting Workflow use case 1: Predefined Report, as defined in the Technical Framework. It involves transactions for the patient George Washington. The patient has one requested procedure for a Generic MR exam (P103). This procedure is ordered, scheduled and executed. An interpretation workitem is created. A report will be generated and verified. At the end of this case, the workitem is set to completed, the workitem is removed from the worklist, a report is generated, the output results reference the generated report, the generated report is verified, and the performed workitem code sequence includes interpretation, transcription and verification.

Identifier Description Source Destination
1601.102.a04.adt A04: Register WASHINGTON as outpatient (patient class = ‘E’) ADT Ord Plc
1601.103.a04.adt A04: Register WASHINGTON as outpatient (patient class = ‘E’) ADT Ord Fil
1601.104.a04.adt A04: Register WASHINGTON as outpatient (patient class = ‘E’) ADT Rpt Mgr
1601.106.o01.orm ORM: Order P1 for WASHINGTON Ord Plc Ord Fil
1601.108.o01.orm ORM: Schedule X1 Ord Fil Im Mgr
1601.109.o01.orm ORM: Schedule X1 Ord Fil Rpt Mgr
1601.110.dcm MWL C-Find Modality OF
1601.112.dcm PPS: Begin procedure (X1) Modality PPS Mgr
1601.113.dcm PPS: Begin procedure (X1) PPS Mgr Rpt Mgr
1601.114.dcm PPS: Complete procedure (X1) Modality PPS Mgr
1601.115.dcm PPS: Complete procedure (X1) PPS Mgr Rpt Mgr
1601.116.dcm C-Store (images) Mod Img Mgr
1601.118.dcm Storage Commitment (N-Action) Mod Img Mgr
1601.120.dcm Storage Commitment (N-Event) Img Mgr Mod
1601.122.dcm MPPS Completed (?) PPS Mgr Rpt Mgr
1601.124.dcm Images Available (optional?) Rpt Mgr Img Mgr
Create Interpretation Worklist Task Rpt Mgr
1601.126.dcm Reporting Worklist Provided (Interp) Rpt Crt Rpt Mgr
1601.128.dcm N-Action: Claim Workitem Rpt Crt Rpt Mgr
1601.130.dcm PPS: Workitem PPS in progress (Interp) Rpt Crt Rpt Mgr
1601.132.dcm PPS: Performed Work Status Update (?) Rpt Mgr IM and/or OF
1601.134.dcm Query/Retrieve Images Rpt Crt Img Mgr
1601.136.dcm PPS: Workitem PPS complete (Interp) Rpt Crt Rpt Mgr
1601.138.dcm PPS: Performed Work Status Update (?) Rpt Mgr IM and/or OF
1601.140.dcm PPS: Workitem PPS in progress (Trans) Rpt Crt Rpt Mgr
1601.142.dcm PPS: Performed Work Status Update (?) Rpt Mgr IM and/or OF
1601.144.dcm PPS: Workitem PPS complete (Trans) Rpt Crt Rpt Mgr
1601.146.dcm PPS: Performed Work Status Update (?) Rpt Mgr IM and/or OF
1601.148.dcm PPS: Workitem PPS in progress (Verify) Rpt Crt Rpt Mgr
1601.150.dcm PPS: Performed Work Status Update (?) Rpt Mgr IM and/or OF
1601.152.dcm Report Submisssion Rpt Crt Rpt Mgr
1601.154.dcm PPS: Workitem PPS complete (Verify) Rpt Crt Rpt Mgr
1601.156.dcm PPS: Performed Work Status Update (?) Rpt Mgr IM and/or OF
1601.158.dcm Report Issuing Rpt Mgr Rpt Rep
1601.160.dcm N-Action: Release Workitem Rpt Crt Rpt Mgr
1601.162.dcm Reporting Worklist Provided (Interp) Rpt Crt Rpt Mgr

Test Case 1603: RWF Use Case 2: Workitem Deferred

Test 1603 covers the Interpretation task in the Reporting Workflow integration profile (see IHE TF, Vol I: section 13.4.2). In this test, the Report Creator claims a workitem and then defers it by setting the status back to “SCHEDULED”.

Identifier Description Source Destination
1603.102.a04.adt A04: Register LINCOLN as outpatient (patient class = ‘E’) ADT Ord Plc
1603.104.a04.adt A04: Register LINCOLN as outpatient (patient class = ‘E’) ADT Ord Fil
1603.108.o01.orm ORM: Order P1 for LINCOLN Ord Plc Ord Fil
1603.110.o01.orm ORM: Schedule X1 Ord Fil Im Mgr
1603.112.o01.orm ORM: Schedule X1 Ord Fil Rpt Mgr
1603.110.dcm MWL C-Find Modality OF
1603.112.dcm PPS: Begin procedure (X1) Modality PPS Mgr
1603.114.dcm PPS: Begin procedure (X1) PPS Mgr Rpt Mgr
1603.116.dcm PPS: Complete procedure (X1) Modality PPS Mgr
1603.118.dcm PPS: Complete procedure (X1) PPS Mgr Rpt Mgr
1603.120.dcm C-Store (images) Mod Img Mgr
1603.122.dcm Storage Commitment (N-Action) Mod Img Mgr
1603.124.dcm Storage Commitment (N-Event) Img Mgr Mod
1603.126.dcm Images Available Rpt Mgr Img Mgr
Create Interpretation Worklist Task Rpt Mgr
1603.128.dcm Reporting Worklist Provided (Interp) Rpt Crt Rpt Mgr
1603.130.dcm N-Action: Claim Workitem Rpt Crt Rpt Mgr
1603.132.dcm Reporting Worklist Provided (Interp) Rpt Crt Rpt Mgr
1603.134.dcm N-Action: Defer Workitem (set status to SCHEDULED) Rpt Crt Rpt Mgr
1603.136.dcm Reporting Worklist Provided (Interp) Rpt Crt Rpt Mgr

Test Case 2001: NM Time Separated Acquisition

Test Case 2001 simulates time separated acquisition (Rad TF-1: E.2.2). A study has two separate scheduled (and performed) procedure steps. These steps are separated by some amount of time. In this test, the separation is accomplished by having tbe modality perform an acquisition for a different patient after the first step is performed for the first patient.

All acquisitions are scheduled for and performed by the same modality. The Storage Commitment transactions are omitted from the test for brevity. Systems may still perform these transactions; they are not evaluated.

Identifier Description Source Destination
2001.102.a04.adt A04: Register XX as outpatient (Patient Class = ‘O’) ADT Ord Plc
2001.104.a04.adt A04: Register XX as outpatient (Patient Class = ‘O’) ADT Ord Plc
2001.106.o01.orm ORM: Order PNM1 for XX Ord Plc OF
2001.108.o01.orm ORM: Schedule XNM1 (two SPS, XNM1A and XNM1B) Ord Fil Im Mgr
2001.112.a04.adt A04: Register YY as outpatient (Patient Class = ‘O’) ADT Ord Plc
2001.114.a04.adt A04: Register YY as outpatient (Patient Class = ‘O’) ADT Ord Plc
2001.116.o01.orm ORM: Order PNM2 for YY Ord Plc OF
2001.118.o01.orm ORM: Schedule XNM2 (one SPS, XNM2) Ord Fil Im Mgr
2001.120.dcm MWL C-Find Modality OF
2001.122.dcm PPS: Begin procedure (XNM1A) Modality PPS Mgr
2001.124.dcm PPS: Begin procedure (XNM1A) PPS Mgr Img Mgr or Ord Fil
2001.126.dcm PPS: End procedure (XNM1A) Modality PPS Mgr
2001.128.dcm PPS: End procedure (XNM1A) PPS Mgr Img Mgr or Ord Fil
2001.130.dcm C-Store (Images) Modality Img Mgr
Switch modality for patient YY
2001.132.dcm PPS: Begin procedure (XNM2) Modality PPS Mgr
2001.134.dcm PPS: Begin procedure (XNM2) PPS Mgr Img Mgr or Ord Fil
2001.136.dcm PPS: End procedure (XNM2) Modality PPS Mgr
2001.138.dcm PPS: End procedure (XNM2) PPS Mgr Img Mgr or Ord Fil
2001.140.dcm C-Store (Images) Modality Img Mgr
Return to patient XX
2001.150.dcm MWL C-Find Modality OF
2001.152.dcm PPS: Begin procedure (XNM1B) Modality PPS Mgr
2001.154.dcm PPS: Begin procedure (XNM1B) PPS Mgr Img Mgr or Ord Fil
2001.156.dcm PPS: End procedure (XNM1B) Modality PPS Mgr
2001.158.dcm PPS: End procedure (XNM1B) PPS Mgr Img Mgr or Ord Fil
2001.160.dcm C-Store (Images) Modality Img Mgr

Test Case 2002: NM Separate Reconstruction Step

Test Case 2002 simulates reconstruction as a separate step performed by the modality (Rad TF-1: E.2.3). A study has one scheduled procedure step. The modality performs data acquisition and produces raw projection data. This will result in an MPPS message for that data. The modality performs reconstruction as a separate step, produces the reconstructed images and a separate MPPS message. This MPPS message is the MPPS Append Case.

The Storage Commitment transactions are omitted from the test for brevity. Systems may still perform these transactions; they are not evaluated.

Identifier Description Source Destination
2002.102.a04.adt A04: Register XX as outpatient (Patient Class = ‘O’) ADT Ord Plc
2002.104.a04.adt A04: Register XX as outpatient (Patient Class = ‘O’) ADT Ord Plc
2002.106.o01.orm ORM: Order PNM2 for XX Ord Plc OF
2002.108.o01.orm ORM: Schedule XNM2 (SPS, XNM2) Ord Fil Im Mgr
2002.110.dcm MWL C-Find Modality OF
2002.112.dcm PPS: Begin procedure (XNM2) Modality PPS Mgr
2002.114.dcm PPS: Begin procedure (XNM2) PPS Mgr Img Mgr or Ord Fil
2002.116.dcm PPS: End procedure (XNM2) Modality PPS Mgr
2002.118.dcm PPS: End procedure (XNM2) PPS Mgr Img Mgr or Ord Fil
2002.120.dcm C-Store (Images) Modality Img Mgr
Now, perform the reconstruction as the append case
2002.122.dcm PPS: Begin procedure (XNM2) Modality PPS Mgr
2002.124.dcm PPS: Begin procedure (XNM2) PPS Mgr Img Mgr or Ord Fil
2002.126.dcm PPS: End procedure (XNM2) Modality PPS Mgr
2002.128.dcm PPS: End procedure (XNM2) PPS Mgr Img Mgr or Ord Fil
2002.130.dcm C-Store (Images) Modality Img Mgr

Test Case 2003: NM Clinical Post Processing

Test Case 2003 simulates clinical post processing as a separate step performed through the post processing workflow (Rad TF-1: E.2.5). A study has one scheduled procedure step. The modality performs data acquisition and produces image data. This will result in an MPPS message for that data. A separate post processing worklist is generated to control the clinical post processing step

The Storage Commitment transactions are omitted from the test for brevity. Systems may still perform these transactions; they are not evaluated.

Identifier Description Source Destination
2003.102.a04.adt A04: Register XX as outpatient (Patient Class = ‘O’) ADT Ord Plc
2003.104.a04.adt A04: Register XX as outpatient (Patient Class = ‘O’) ADT Ord Plc

Test Case 2004: NM Scheduled Injection

In test 2004, injection of a radiopharmeceutical appears as one SPS in the Modality Worklist (Rad TF-1: E.3.1). A separate SPS is included for the imaging step. The injection step is performed at the modality and the modality sends an MPPS message indicating the injection is complete (but with no images). The second SPS is claimed and performed by the modality (producing images).

The Storage Commitment transactions are omitted from the test for brevity. Systems may still perform these transactions; they are not evaluated.

Identifier Description Source Destination
2004.102.a04.adt A04: Register XX as outpatient (Patient Class = ‘O’) ADT Ord Plc
2004.104.a04.adt A04: Register XX as outpatient (Patient Class = ‘O’) ADT Ord Plc
2004.106.o01.orm ORM: Order PNM3 for XX Ord Plc OF
2004.108.o01.orm ORM: Schedule XNM3 (two SPS, XNM3A, XNM3B) Ord Fil Im Mgr
2004.110.dcm MWL C-Find Modality OF
First PPS is to indicate the injection is complete, but no images are produced.
2004.112.dcm PPS: Begin procedure (XNM3A) Modality PPS Mgr
2004.114.dcm PPS: Begin procedure (XNM3A) PPS Mgr Img Mgr or Ord Fil
2004.116.dcm PPS: End procedure (XNM3A) Modality PPS Mgr
2004.118.dcm PPS: End procedure (XNM3A) PPS Mgr Img Mgr or Ord Fil
Second PPS is to indicate images produced
2004.120.dcm PPS: Begin procedure (XNM3B) Modality PPS Mgr
2004.122.dcm PPS: Begin procedure (XNM3B) PPS Mgr Img Mgr or Ord Fil
2004.124.dcm PPS: End procedure (XNM3B) Modality PPS Mgr
2004.126.dcm PPS: End procedure (XNM3B) PPS Mgr Img Mgr or Ord Fil
2004.128.dcm C-Store (Images) Modality Img Mgr

Test Case 2005: NM Scheduled Injection/Imaging in One SPS

In test 2005, injection of a radiopharmeceutical and an imaging procedure appear as separate code items (Protocol Code Sequence) in one SPS in the Modality Worklist (Rad TF-1: E.3.1). The injection is performed at the modality, a single PPS occurs and two protocol code items (injection, imaging) are included in the performed protocol code sequence.

The Storage Commitment transactions are omitted from the test for brevity. Systems may still perform these transactions; they are not evaluated.

Identifier Description Source Destination
2005.102.a04.adt A04: Register XX as outpatient (Patient Class = ‘O’) ADT Ord Plc
2005.104.a04.adt A04: Register XX as outpatient (Patient Class = ‘O’) ADT Ord Plc
2005.106.o01.orm ORM: Order PNM4 for XX Ord Plc OF
2005.108.o01.orm ORM: Schedule XNM4 (oneSPS, two protocol code items) Ord Fil Img Mgr
2005.110.dcm MWL C-Find Modality OF
One PPS is generated that includes two protocol code items
2005.112.dcm PPS: Begin procedure (XNM4) Modality PPS Mgr
2005.114.dcm PPS: Begin procedure (XNM4) PPS Mgr Img Mgr or Ord Fil
2005.116.dcm PPS: End procedure (XNM4) Modality PPS Mgr
2005.118.dcm PPS: End procedure (XNM4) PPS Mgr Img Mgr or Ord Fil
2005.120.dcm C-Store (Images) Modality Img Mgr

Test Case 2006: NM Injection Performed/Imaging Cancelled

In test 2006, injection of a radiopharmeceutical appears as one SPS in the Modality Worklist (Rad TF-1: E.3.1). A separate SPS is included for the imaging step. The injection step is performed at the modality and the modality sends an MPPS message indicating the injection is complete (but with no images). The second SPS is cancelled by the modality with no images produced.

The Storage Commitment transactions are omitted from the test for brevity. Systems may still perform these transactions; they are not evaluated.

Identifier Description Source Destination
2006.102.a04.adt A04: Register XX as outpatient (Patient Class = ‘O’) ADT Ord Plc
2006.104.a04.adt A04: Register XX as outpatient (Patient Class = ‘O’) ADT Ord Plc
2006.106.o01.orm ORM: Order PNM3 for XX Ord Plc OF
2006.108.o01.orm ORM: Schedule XNM3 (two SPS, XNM3A, XNM3B) Ord Fil Img Mgr
2006.110.dcm MWL C-Find Modality OF
First PPS is to indicate the injection is complete, but no images are produced.
2006.112.dcm PPS: Begin procedure (XNM3A) Modality PPS Mgr
2006.114.dcm PPS: Begin procedure (XNM3A) PPS Mgr Img Mgr or Ord Fil
2006.116.dcm PPS: End procedure (XNM3A) Modality PPS Mgr
2006.118.dcm PPS: End procedure (XNM3A) PPS Mgr Img Mgr or Ord Fil
Second PPS is to indicate step is cancelled
2006.120.dcm PPS: Begin procedure (XNM3B) Modality PPS Mgr
2006.122.dcm PPS: Begin procedure (XNM3B) PPS Mgr Img Mgr or Ord Fil
2006.124.dcm PPS: End procedure (XNM3B) –Cancelled Modality PPS Mgr
2006.126.dcm PPS: End procedure (XNM3B) - Cancelled PPS Mgr Img Mgr or Ord Fil

Test Case 2007: NM Injection Performed/Imaging Cancelled in one SPS

In test 2007, injection of a radiopharmeceutical and an imaging procedure appear as separate code items (Protocol Code Sequence) in one SPS in the Modality Worklist (Rad TF-1: E.3.1). The injection is performed at the modality, but the imaging step is cancelled.

Test Case 2008: NM Injection Performed/Imaging Cancelled

In test 2008, one requested procedure is mapped to two separate SPS, each step scheduled for a different modality (Rad TF-1: E.3.1.2).

The Storage Commitment transactions are omitted from the test for brevity. Systems may still perform these transactions; they are not evaluated.

Identifier Description Source Destination
2008.102.a04.adt A04: Register XX as outpatient (Patient Class = ‘O’) ADT Ord Plc
2008.104.a04.adt A04: Register XX as outpatient (Patient Class = ‘O’) ADT Ord Plc
2008.106.o01.orm ORM: Order PNM5 for XX Ord Plc OF
2008.108.o01.orm ORM: Schedule XNM5 (two SPS, XNM5A, XNM5B) Ord Fil Img Mgr
2008.110.dcm MWL C-Find Modality OF

Test Case 2009: NM Injection with Immediate and Delayed Imaging

Test 2009 corresponds to the example given in Rad TF-1: E.3.2.3. Two SPS are placed on the worklist. The first SPS contains two protocol code items, one for the injection and one for initial dynamic and static imaging. The second SPS is for the second static acquisition. It is expected that the modality will create a separate series for the second SPS.

The Storage Commitment transactions are omitted from the test for brevity. Systems may still perform these transactions; they are not evaluated.

Identifier Description Source Destination
2009.102.a04.adt A04: Register XX as outpatient (Patient Class = ‘O’) ADT Ord Plc
2009.104.a04.adt A04: Register XX as outpatient (Patient Class = ‘O’) ADT Ord Plc
2009.106.o01.orm ORM: Order PNM6 for XX Ord Plc OF
2009.108.o01.orm ORM: Schedule XNM6 (two SPS, XNM6A, XNM6B) Ord Fil Img Mgr
2009.110.dcm MWL C-Find Modality OF
One PPS is generated that includes two protocol code items (injection and images)
2009.112.dcm PPS: Begin procedure (XNM6A) Modality PPS Mgr
2009.114.dcm PPS: Begin procedure (XNM6A) PPS Mgr Img Mgr or Ord Fil
2009.116.dcm PPS: End procedure (XNM6A) Modality PPS Mgr
2009.118.dcm PPS: End procedure (XNM6A) PPS Mgr Img Mgr or Ord Fil
2009.120.dcm C-Store (Images) Modality Img Mgr
Send MPPS will for images in a different series
2009.122.dcm PPS: Begin procedure (XNM6B) Modality PPS Mgr
2009.124.dcm PPS: Begin procedure (XNM6B) PPS Mgr Img Mgr or Ord Fil
2009.126.dcm PPS: End procedure (XNM6B) Modality PPS Mgr
2009.128.dcm PPS: End procedure (XNM6B) PPS Mgr Img Mgr or Ord Fil
2009.130.dcm C-Store (Images) Modality Img Mgr

Test Case 2010: NM Two Isotope Examination

Test 2010 corresponds to the example given in Rad TF-1: E.3.2.7 (myocardial perfusion study). Two SPS are scheduled, each with two protocol code items. Each SPS has a protocol code item for an injection one one protocol code item for imaging.

The Storage Commitment transactions are omitted from the test for brevity. Systems may still perform these transactions; they are not evaluated.

Identifier Description Source Destination
2010.102.a04.adt A04: Register XX as outpatient (Patient Class = ‘O’) ADT Ord Plc
2010.104.a04.adt A04: Register XX as outpatient (Patient Class = ‘O’) ADT Ord Plc
2010.106.o01.orm ORM: Order PNM7 for XX Ord Plc OF
2010.108.o01.orm ORM: Schedule XNM7 (two SPS, XNM7A, XNM7B) Ord Fil Img Mgr
2010.110.dcm MWL C-Find Modality OF
One PPS is generated that includes two protocol code items (injection and images)
2010.112.dcm PPS: Begin procedure (XNM7A) Modality PPS Mgr
2010.114.dcm PPS: Begin procedure (XNM7A) PPS Mgr Img Mgr or Ord Fil
2010.116.dcm PPS: End procedure (XNM7A) Modality PPS Mgr
2010.118.dcm PPS: End procedure (XNM7A) PPS Mgr Img Mgr or Ord Fil
2010.120.dcm C-Store (Images) Modality Img Mgr
Send MPPS will for images in a different series
2010.122.dcm PPS: Begin procedure (XNM7B) Modality PPS Mgr
2010.124.dcm PPS: Begin procedure (XNM7B) PPS Mgr Img Mgr or Ord Fil
2010.126.dcm PPS: End procedure (XNM7B) Modality PPS Mgr
2010.128.dcm PPS: End procedure (XNM7B) PPS Mgr Img Mgr or Ord Fil
2010.130.dcm C-Store (Images) Modality Img Mgr

Test Case 2011: NM Re-orientation on Evidence Creator with Implicit Workflow

Test 2011 corresponds to the example given in Rad TF-1: E.3.2.10.

Test Case 2012: NM Re-orientation on Evidence Creator with Explicit Workflow

Test 2012 corresponds to the example given in Rad TF-1: E.3.2.11.

Secure Node Sequences

The sequences in this section for are secure nodes. These nodes use TLS to negotiate secure connections and audit records to track activity. Some of these sequences are repeated from prior tests. We repeat those sequences and add the audit messages. We do not show the TLS negotiation as separate transactions; they are inherent in the messaging.

Test Case 1240: Basic Security, Registration

Test case 1240 exercises ADT registration messages (ADT^A04) in the context of Basic Security. No audit messages are included in this test.

Identifier Description Source Destination
1240.102.a04.adt A04: Register BROWN as outpatient ADT Ord Plc
1240.104.a04.adt A04: Register BROWN as outpatient ADT Ord Fil

Test Case 1502: Pre-reg/Order Cancel/Reorder

Test case 1502 repeats the transactions defined for case 102. We add the audit record messages that would normally occur as a result of the operations in this case. We omit “startup” messages such as system startup and user authentication. In some instances, commercial products may send more or fewer audit messages than those listed in the table below. For example, the Patient-Record message can be for records that are Created, Modified or Accessed. The ADT system will probably send messages for both Accessed and Modified when a patient is registered, but it is possible they will also send a message for Created. That depends on the implementation of the ADT system.

Identifier Description Source Destination
102.102.a05.adt A05: Pre-register BROWN ADT Ord Plc, Ord Fil
1502.002 Patient-Record: Created ADT Audit Record Rep
1502.004 Patient-Record: Accessed ADT Audit Record Rep
1502.006 Patient-Record: Modified ADT Audit Record Rep
102.104.o01.orm ORM: Order P1 Ord Plc Ord Fil
1502.008 Patient-Record: Accessed Ord Plc Audit Record Rep
1502.010 Patient-Record: Modified Ord Plc Audit Record Rep
102.106.o01.orm ORM: Schedule X1 Ord Fil Img Mgr
1502.012 Patient-Record: Accessed Ord Fil Audit Record Rep
1502.014 Procedure-Record: Created Ord Fil Audit Record Rep
102.108.a01.adt A01: Admit BROWN (inpatient) ADT Ord Plc, Ord Fil
1502.016 Patient-Record: Accessed ADT Audit Record Rep
1502.018 Patient-Record: Modified ADT Audit Record Rep
102.110.dcm MWL C-Find Modality Ord Fil
1502.020 Modality Worklist Provided Ord Fil Audit Record Rep
x Modality will perform X11 rather than X1
102.112.dcm PPS: Begin procedure (X11) Modality PPS Mgr
102.114.dcm PPS: End procedure (X11) Modality PPS Mgr
1502.022 Begin-storing-instances Modality Audit Record Rep
102.116.dcm C-Store (Images) Modality Img Mgr
102.118.dcm Storage Commitment N-Action Modality Img Mgr
102.120.dcm Storage Commitment N-Event Img Mgr Modality
102.121.dcm Image Display C-Find Img Disp Img Mgr
x New sequence at Ord Fil/Ord Plc
102.122.o01.orm ORM: Order P21 Ord Plc Ord Fil
1502.026 Patient-Record: Accessed Ord Plc Audit Record Rep
1502.028 Patient-Record: Modified Ord Plc Audit Record Rep
102.124.o01.orm ORM: Schedule X21 Ord Fil Img Mgr
1502.030 Patient-Record: Accessed Ord Fil Audit Record Rep
1502.032 Procedure-Record: Created Ord Fil Audit Record Rep
102.125.dcm MWL C-Find Modality Ord Fil
1502.034 Modality Worklist Provided Ord Fil Audit Record Rep
102.126.o01.orm ORM: Cancel X21 Ord Fil Ord Plc
102.128.o01.orm ORM: Status Update (Cancel X21) Ord Fil Img Mgr
1502.036 Procedure-Record: Modified Ord Fil Audit Record Rep
102.129.dcm MWL C-Find Modality Ord Fil
1502.038 Modality Worklist Provided Ord Fil Audit Record Rep
102.130.o01.orm ORM: Order P22 Ord Fil Ord Plc
1502.040 Patient-Record: Accessed Ord Fil Audit Record Rep
1502.042 Patient-Record: Modified Ord Fil Audit Record Rep
102.132.o02.orm ORR: Placer Order Number Ord Plc Ord Fil
102.134.o01.orm ORM: Schedule X22 Ord Fil Img Mgr
1502.044 Patient-Record: Accessed Ord Fil Audit Record Rep
1502.046 Procedure-Record: Created Ord Fil Audit Record Rep
102.135.dcm MWL C-Find Modality Ord Fil
1502.048 Modality Worklist Provided Ord Fil Audit Record Rep
x Skip the imaging part
102.136.a03.adt A03: Discharge BROWN ADT Ord Plc, Ord Fil
102.138.a03.adt A03: Discharge BROWN Ord Fil Img Mgr
1502.050 Patient-Record: Accessed ADT Audit Record Rep
1502.052 Patient-Record: Modified ADT Audit Record Rep

Test Case 1503: Unidentified #1

Test case 1503 repeats the transactions defined for case 103. We add the audit record messages that would normally occur as a result of the operations in this case. We omit “startup” messages such as system startup and user authentication. In some instances, commercial products may send more or fewer audit messages than those listed in the table below. For example, the Patient-Record message can be for records that are Created, Modified or Accessed. The ADT system will probably send messages for both Accessed and Modified when a patient is registered, but it is possible they will also send a message for Created. That depends on the implementation of the ADT system.

Identifier Description Source Destination
Unidentified case 1
103.102.a04.adt A04: Register DOE^J1 (Patient Class = ‘E’) ADT Ord Plc, Ord Fil
1503.002 Patient-Record: Created ADT Audit Record Rep
1503.004 Patient-Record: Accessed ADT Audit Record Rep
1503.006 Patient-Record: Modified ADT Audit Record Rep
103.104.o01.orm ORM: Order P1 (one procedure) Ord Plc Ord Fil
1503.008 Patient-Record: Accessed Ord Plc Audit Record Rep
1503.010 Patient-Record: Modified Ord Plc Audit Record Rep
103.106.o01.orm ORM: Schedule X1 (one SPS, one AI) Ord Fil Img Mgr
1503.012 Patient-Record: Accessed Ord Fil Audit Record Rep
1503.014 Procedure-Record: Created Ord Fil Audit Record Rep
103.108.dcm MWL C-Find Mod Ord Fil
1503.016 DicomQuery Ord Fil Audit Record Rep
103.110.dcm PPS: Begin procedure Mod PPS Mgr
103.112.dcm PPS: End procedure Mod PPS Mgr
1503.018 Begin-storing-instances Mod Audit Rec Rep
103.114.dcm C-Store (images) Mod Img Mgr
103.116.dcm Storage Commitment (N-Action) Mod Img Mgr
103.118.dcm Storage Commitment (N-Event) Img Mgr Mod
1503.020 InstancesStored Img Mgr Audit Rec Rep
103.120.dcm C-Find Img Disp Img Mgr
Patient is now recognized as Silverheels
103.130.a08.adt A08: Update name to SILVERHEELS ADT Ord Plc, Ord Fil
1503.022 Patient-Record: Accessed ADT Audit Record Rep
103.132.a08.adt A08: Update name to SILVERHEELS Ord Fil Img Mgr
1503.026 Patient-Record: Accessed Ord Fil Audit Record Rep
1503.028 Patient-Record: Modified Ord Fil Audit Record Rep
103.134.dcm C-Find Img Disp Img Mgr
1503.030 DicomQuery Img Mgr Audit Record Rep

Test Case 1505: Unidentied #3

Test case 1505 repeats the transactions defined for case 105. We add the audit record messages that would normally occur as a result of the operations in this case. We omit “startup” messages such as system startup and user authentication. In some instances, commercial products may send more or fewer audit messages than those listed in the table below. For example, the Patient-Record message can be for records that are Created, Modified or Accessed. The ADT system will probably send messages for both Accessed and Modified when a patient is registered, but it is possible they will also send a message for Created. That depends on the implementation of the ADT system.

Test Cast 1511: Simple Imaging Report

Test case 1511 combines the structure of separate tests for report creators, managers, repositories and readers. A simple workflow of report created, verified, stored and retrieved is used. As the report is processed, systems will/should generate audit records as the report is reviewed and/or exported.

Identifier Description Source Destination
C-Store (Report) Report Creator Report Manager
1511.010 BeginStoringInstances Report Creator Audit Record Repos
1511.012 DICOM-instances-used Report Manager Audit Record Repos
C-Store (final report) Report Manager Report Repository
1511.014 BeginStoringInstances Report Manager Audit Record Repos
C-Find Report Reader Report Repository
1511.016 DICOMQuery Report Repository Audit Record Repos
C-Move Report Reader Report Repository
1511.018 BeginStoringInstances Report Repository Audit Record Repos
1511.020 InstancesSent Report Repository Audit Record Repos
1511.022 DICOM-instances-used Report Reader Audit Record Repos

Test Case 1591: Modality Simple Case, One SPS

Test case 1591 repeats the test sequences used for Modality Test 211. Test 1591 is only intended for modalities, so messages that might be sent by other systems in a fully integrated environment are omitted. This test also omits startup and other user authentication messages.

Identifier Description Source Destination
x MWL Entry for patient MODALITY^211 appears MESA tools
x MWL query for worklist Modality MESA Order Filler
x PPS: Begin procedure (X1) Modality MESA PPS Manager
x PPS: End procedure (X1) Modality MESA PPS Manager
1591.010 Begin-storing-instances Modality MESA Audit Record Rep
x C-Store (Images) Modality MESA Img Mgr
x Storage Commitment N-Action Modality MESA Img Mgr
x Storage Commitment N-Event MESA Img Mgr Modality

Teaching File/Clinical Trial Tests

This section contains tests that are normally associated with the Teaching File/Clinical Trial profile. Because of profile overlap, this section may contain tests associated with other profiles and other sections may contain tests for the Teaching File/Clinical Trial profile.

Test Cast 3001: Simple Single Study Teaching File Export

Profiles Covered

Teaching File/Clinical Trial

Actors Involved

Export Selector

Export Manager

Receiver

Technical Framework References

References to Other Standards/Documents

Prerequisite Tests

None

Test Description

Test case 3001 exercises the basic set of transactions needed to support the teaching file export workflow. The images sent by the Export Selection actor are deidentified by the Export Manager, who then transmits them to the Receiver. The SOP Instances utilized for this test do not have the Attribute Patient Identity Removed (0012,0062) present. As the report is processed, systems will/should generate audit records as the report is reviewed and/or exported.

Test Steps

Identifier Description Transaction Source Destination
3001.010.dcm C-Store of the DICOM objects to be exported to the teaching file, all of which are from the same study. RAD-50 Store Instances Export Selector Export Manager
3001.020.dcm C-Store of the KOS document that holds the manifest of objects being exported for the teaching file. The Document Title shall be EV (TCE001, IHERADTF, “For Teaching File Export”) with no Document Title Modifier. RAD-51 Store Export Selection Export Selector Export Manager
3001.030.dcm C-Store of the de-identified KOS document that holds the manifest, along with the de-identified DICOM objects. If the Attribute Patient Identity Removed (0012,0062) is not present, or is present with its value set to NO, the Export Manager shall de-identify the data in the SOP instances in accordance with the configuration information. The Export Manager shall insure that the de-identified objects have the Attribute Patient Identity Removed (0012,0062) present with its value set to YES. If the Export Manager performed the de-identification, it shall also add a value for De-identification Method (0012,0063) or De-identification Method Code Sequence (0012,0064) to each SOP Instance describing how the object was de-identified. Any UIDs replaced (e.g. Study Instance UID) shall be internally consistent within all of the de-identified SOP Instances. RAD-53 Export Instances Export Manager Receiver

Test Cast 3002: Single Study Teaching File Export with Added Information

Profiles Covered

Teaching File/Clinical Trial

Actors Involved

Export Selector

Export Manager

Receiver

Technical Framework References

References to Other Standards/Documents

Prerequisite Tests

None

Test Description

Test case 3002 exercises the option of sending additional teaching file information. As the report is processed, systems will/should generate audit records as the report is reviewed and/or exported.

Test Steps

Identifier Description Transaction Source Destination
3002.010.dcm C-Store of the DICOM objects to be exported to the teaching file. The Document Title shall be EV (TCE001, IHERADTF, “For Teaching File Export”) with no Document Title Modifier. RAD-50 Store Instances Export Selector Export Manager
3002.020.dcm C-Store of the SR with the Document Title (TCE006, IHERADTF, “Additional Teaching File Information”) containing the additional teaching file information. RAD-52 Store Additional Teaching File Information Export Selector Export Manager
3002.030.dcm C-Store of the KOS document that holds the manifest of objects being exported for the teaching file. RAD-51 Store Export Selection Export Selector Export Manager
3002.040.dcm C-Store of the de-identified KOS document that holds the manifest, along with the de-identified DICOM objects and the de-identified SR holding the additional teaching file information RAD-53 Export Instances Export Manager Receiver

Test Cast 3003: Teaching File Export with Wait for More Data Sent via DICOM

Profiles Covered

Teaching File/Clinical Trial

Actors Involved

Export Selector

Export Manager

Receiver

Technical Framework References

References to Other Standards/Documents

Prerequisite Tests

None

Test Description

Test case 3003 exercises the option of waiting for additional data. In this use case the data being waited for is transferred via DICOM, followed by a final manifest that includes the additional data. As the report is processed, systems will/should generate audit records as the report is reviewed and/or exported.

Test Steps

Identifier Description Transaction Source Destination
3003.010.dcm C-Store of the DICOM objects to be exported to the teaching file RAD-50 Store Instances Export Selector Export Manager
3003.020.dcm C-Store of the KOS document that holds the manifest of objects exported thus far for the teaching file. The Document Title shall be EV (TCE001, IHERADTF, “For Teaching File Export”), and the Document Title Modifier shall have a Wait value. RAD-51 Store Export Selection Export Selector Export Manager
3003.030.dcm C-Store of additional DICOM objects to be exported to the teaching file RAD-50 Store Instances Export Selector Export Manager
3003.040.dcm C-Store of the KOS document that holds the manifest of complete set of DICOM objects being exported to the teaching file. The Document Title shall be EV (TCE001, IHERADTF, “For Teaching File Export”), and the Document Title Modifier shall not have a Wait value. RAD-51 Store Export Selection Export Selector Export Manager
3003.050.dcm C-Store of the de-identified KOS document that holds the complete manifest, along with the de-identified DICOM objects. RAD-53 Export Instances Export Manager Receiver

Test Case 3004: Teaching File Export with Wait for More Data Sent via Alternate Path

Test case 3004 exercises the option of waiting for additional data. In this use case the data being waited for is transferred via some alternate means, and then transformed into a DICOM SR, followed by a final manifest that includes a reference to the additional data. As the report is processed, systems will/should generate audit records as the report is reviewed and/or exported.

Identifier Description Transaction Source Destination
3004.010.dcm C-Store of the DICOM objects to be exported to the teaching file RAD-50 Store Instances Export Selector Export Manager
3004.020.dcm C-Store of the KOS document that holds the manifest of objects exported thus far for the teaching file. The Document Title shall be EV (TCE001, IHERADTF, “For Teaching File Export”), and the Document Title Modifier shall have a Wait value. RAD-51 Store Export Selection Export Selector Export Manager
3004.030.dcm The additional information, in the form of a text document, arrives at the export manager via alternate means. Internally, the export manager transforms the text document into an SR. Export Manager
3004.050.dcm C-Store of the de-identified KOS document that holds the complete manifest, along with the de-identified DICOM objects, including the SR that holds the additional information. The Export Manager shall remove the Document Title Modifier that held the Delay for Reason prior to transmitting the manifest. RAD-53 Export Instances Export Manager Receiver

Test Case 3005: Teaching File Export with the De-Identify Pixel Data Option Triggered by the Burned In Annotation Attribute

Test case 3005 exercises the option of blanking out any patient identifying information burned into the pixel data. In this use case the data being transferred via DICOM is Ultrasound data that has patient identifying information (e.g. patient name) burned into the pixel data. The DICOM SOP Instances transferred have the DICOM Attribute Burned In Annotation Burned In Annotation (0028,0301) set to Yes. After completing the pixel data de-identification, the Export Manager shall set this attribute to NO. As the report is processed, systems will/should generate audit records as the report is reviewed and/or exported.

Identifier Description Transaction Source Destination
3005.010.dcm C-Store of the DICOM objects to be exported to the teaching file that include patient identifying information burned into the pixel data. RAD-50 Store Instances Export Selector Export Manager
3005.020.dcm C-Store of the KOS document that holds the manifest of objects exported thus far for the teaching file. The Document Title shall be EV (TCE001, IHERADTF, “For Teaching File Export”). RAD-51 Store Export Selection Export Selector Export Manager
3005.030 The Export Manager de-identifies the burned-in annotation, typically by triggering an image editing program where the operator blanks out sensitive information burned into the pixel data.
3005.050.dcm C-Store of the de-identified KOS document that holds the complete manifest, along with the de-identified DICOM objects. The de-identified objects shall have the DICOM Attribute Burned In Annotation set to NO. The Export Manager shall insure that the de-identified objects have the Attribute Patient Identity Removed (0012,0062) present with its value set to YES. If the Export Manager performed the de-identificaion, it shall also add a value for De-identification Method (0012,0063) or De-identification Method Code Sequence (0012,0064) to each SOP Instance describing. RAD-53 Export Instances Export Manager Receiver

Test Case 3006: Teaching File Export with the De-Identify Pixel Data Option Triggered by the SOP Class UID

Test case 3006 exercises the option of blanking out any patient identifying information burned into the pixel data. In this use case the data being transferred via DICOM is Secondary Capture data that has patient identifying information (e.g. patient name) burned into the pixel data. The DICOM SOP Instances transferred shall not have the DICOM Attribute Burned In Annotation Burned In Annotation (0028,0301) present. Instead, the Export Manager shall be configured to trigger the de-identification of pixel data based on the SOP Class UID for Secondary Capture. After completing the pixel data de-identification, the Export Manager shall set this attribute to NO. As the report is processed, systems will/should generate audit records as the report is reviewed and/or exported.

Identifier Description Transaction Source Destination
3006.010.dcm C-Store of the DICOM objects to be exported to the teaching file that include patient identifying information burned into the pixel data. RAD-50 Store Instances Export Selector Export Manager
3006.020.dcm C-Store of the KOS document that holds the manifest of objects exported thus far for the teaching file. The Document Title shall be EV (TCE001, IHERADTF, “For Teaching File Export”). RAD-51 Store Export Selection Export Selector Export Manager
3006.030 The Export Manager de-identifies the burned-in annotation, typically by triggering an image editing program where the operator blanks out sensitive information burned into the pixel data.
3006.050.dcm C-Store of the de-identified KOS document that holds the complete manifest, along with the de-identified DICOM objects. The de-identified objects shall have the DICOM Attribute Burned In Annotation (0028,0301) set to NO. The Export Manager shall insure that the de-identified objects have the Attribute Patient Identity Removed (0012,0062) present with its value set to YES. If the Export Manager performed the de-identificaion, it shall also add a value for De-identification Method (0012,0063) or De-identification Method Code Sequence (0012,0064) to each SOP Instance describing. RAD-53 Export Instances Export Manager Receiver

Test Case 3007: Clinical Trial Export with Remapped Identifiers

Test case 3007 exercises the option of remapping identifiers, if available. As the report is processed, systems will/should generate audit records as the report is reviewed and/or exported.

Identifier Description Transaction Source Destination
3007.010.dcm C-Store of the first set of DICOM objects to be exported to the teaching file from a particular patient. RAD-50 Store Instances Export Selector Export Manager
3007.020.dcm C-Store of the KOS document that holds the manifest of objects exported for the clinical trial. The Document Title shall be EV (TCE002, IHERADTF, “For Clinical Trial Export”). RAD-51 Store Export Selection Export Selector Export Manager
3007.030 The Export Manager replaces the Patient ID with one specified for the clinical trial, and performs de-identification of the remainder of the data. The Export Manager shall insure that the de-identified objects have the Attribute Patient Identity Removed (0012,0062) present with its value set to YES. If the Export Manager performed the de-identificaion, it shall also add a value for De-identification Method (0012,0063) or De-identification Method Code Sequence (0012,0064) to each SOP Instance describing.
3007.040.dcm C-Store of the de-identified KOS document that holds the complete manifest, along with the de-identified DICOM objects. RAD-53 Export Instances Export Manager Receiver
3007.050.dcm C-Store of the second set of DICOM objects to be exported for the clinical trial from the same patient. RAD-50 Store Instances Export Selector Export Manager
3007.060.dcm C-Store of the KOS document that holds the manifest of objects exported thus far for the teaching file. The Document Title shall be EV (TCE002, IHERADTF, “For Clinical Trial Export”). RAD-51 Store Export Selection Export Selector Export Manager
3007.070 The Export Manager replaces the Patient ID with one specified for the clinical trial, and performs de-identification of the remainder of the data. This Patient ID shall be the same one used in the export of the first set of DICOM objects. The Export Manager shall insure that the de-identified objects have the Attribute Patient Identity Removed (0012,0062) present with its value set to YES. If the Export Manager performed the de-identificaion, it shall also add a value for De-identification Method (0012,0063) or De-identification Method Code Sequence (0012,0064) to each SOP Instance describing.
3007.080.dcm C-Store of the de-identified KOS document that holds the complete manifest, along with the de-identified DICOM objects. RAD-53 Export Instances Export Manager Receiver

Test Case 3008: Teaching File Export with the Attribute Patient Identity Removed Set to NO

Test case 3008 is similar to test case 3001 except that the SOP Instances utilized for this test shall have the Attribute Patient Identity Removed (0012,0062) present with a value of NO. As the report is processed, systems will/should generate audit records as the report is reviewed and/or exported.

Identifier Description Transaction Source Destination
3008.010.dcm C-Store of the DICOM objects to be exported to the teaching file, all of which are from the same study. RAD-50 Store Instances Export Selector Export Manager
3008.020.dcm C-Store of the KOS document that holds the manifest of objects being exported for the teaching file. The Document Title shall be EV (TCE001, IHERADTF, “For Teaching File Export”) with no Document Title Modifier. RAD-51 Store Export Selection Export Selector Export Manager
3008.030.dcm C-Store of the de-identified KOS document that holds the manifest, along with the de-identified DICOM objects. Since the Attribute Patient Identity Removed (0012,0062) present with its value set to NO, the Export Manager shall de-identify the data in the SOP instances in accordance with the configuration information. The Export Manager shall insure that the de-identified objects have the Attribute Patient Identity Removed (0012,0062) present with its value set to YES. If the Export Manager performed the de-identification, it shall also add a value for De-identification Method (0012,0063) or De-identification Method Code Sequence (0012,0064) to each SOP Instance describing how the object was de-identified. Any UIDs replaced (e.g. Study Instance UID) shall be internally consistent within all of the de-identified SOP Instances. RAD-53 Export Instances Export Manager Receiver

Test Case 3009: Teaching File Export with the Attribute Patient Identity Removed Set to YES

Test case 3009 is similar to test case 3001 except that the SOP Instances utilized for this test shall have the Attribute Patient Identity Removed (0012,0062) present with a value of YES. In this case, the Export Manager shall not perform any de-identification, since it has already been done. As the report is processed, systems will/should generate audit records as the report is reviewed and/or exported.

Identifier Description Transaction Source Destination
3009.010.dcm C-Store of the DICOM objects to be exported to the teaching file, all of which are from the same study. RAD-50 Store Instances Export Selector Export Manager
3009.020.dcm C-Store of the KOS document that holds the manifest of objects being exported for the teaching file. The Document Title shall be EV (TCE001, IHERADTF, “For Teaching File Export”) with no Document Title Modifier. RAD-51 Store Export Selection Export Selector Export Manager
3009.030.dcm C-Store of the de-identified KOS document that holds the manifest, along with the de-identified DICOM objects. Since the Attribute Patient Identity Removed (0012,0062) is present with its value set to YES, the Export Manager shall not alter the exported SOP Instances in any way. RAD-53 Export Instances Export Manager Receiver

Test Case 3010: Teaching File Export Configured for No De-identification

Test case 3010 is similar to test case 3001, except that the Export Manager shall be configured to not perform any de-identification. As the report is processed, systems will/should generate audit records as the report is reviewed and/or exported.

Identifier Description Transaction Source Destination
3010.010.dcm C-Store of the DICOM objects to be exported to the teaching file, all of which are from the same study. RAD-50 Store Instances Export Selector Export Manager
3010.020.dcm C-Store of the KOS document that holds the manifest of objects being exported for the teaching file. The Document Title shall be EV (TCE001, IHERADTF, “For Teaching File Export”) with no Document Title Modifier. RAD-51 Store Export Selection Export Selector Export Manager
3010.030.dcm C-Store of the unaltered KOS document that holds the manifest, along with the unaltered DICOM objects. RAD-53 Export Instances Export Manager Receiver

Test Case 3003: Teaching File Export with Data from Multiple Studies

Test Case 3003: Teaching File Export with Multiple Manifests for Multiple Export Destinations

Test Case 300x: SOP Instances Already at Export Manager

Test Case 300x: Missing SOP Instance Timeout

Test Case 300x: Unsupported SOP Class UID

Test Case 30xx: Title

Profiles Covered

Teaching File/Clinical Trial

Actors Involved

Export Selector

Export Manager

Receiver

Technical Framework References

References to Other Standards/Documents

Prerequisite Tests

None

Test Description

Describe test purpose and test itself

Test Steps

Table of steps.