dicom accession number dicom accession number

DICOM has been central to the development of modern ReferringPhysicianIDSequence. WebThis Accession number, although required by the DICOM standard to be provided with the images, is not always available. What happens when a treatment station is retired? 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? X. An imaging modality describes the imaging equipment and/or method used to acquire certain structural or functional information about the body. 0x0050. PACS has to figure out how to correlate the header information in the image with what it finds in the original electronic order. Seminars in Roentgenology 38, 270281. This enables a workstation to find lists of images or other such objects and then retrieve them from a picture archiving and communication system. WebSee DICOM Standard Part 3 for further details on DICOM Attribute (0008,0050) that conveys information identical to the component one of this field. Is there a limit on the length of the accession number? VistA Imaging System DICOM Conformance Statement (Rev 6, October 2011) Approved DICOM Modality Interfaces. 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]. How would that be imported into the EMR? Basic Structures and Concepts in DICOM 0x0008. The file format for offline media is a later addition to the standard. WebThe DICOM standard is 16 characters. 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. (0008,0050) >Accession Number. Health IT includes the use of electronic health records (EHRs) instead of paper medical records to maintain people's health information. Some image objects are often incomplete because some fields are left blank and some are filled with incorrect data. There are typically a dozen imaging series in a whole imaging protocol. XA/XRF Grayscale Softcopy Presentation State, Performed Imaging Agent Administration SR, Ophthalmic Visual Field Static Perimetry Measurements, Intravascular Optical Coherence Tomography Image, Wide Field Ophthalmic Photography Stereographic Projection Image, Wide Field Ophthalmic Photography 3D Coordinates Image, RT Brachy Application Setup Delivery Instruction, Volume Rendering Volumetric Presentation State, Ophthalmic Optical Coherence Tomography En Face Image, Ophthalmic Optical Coherence Tomography B-scan Volume Analysis. As difficult as all these problems are, so far we have assumed that we have correctly identified the patient. For instance, a patient that in the same day did a knee X-ray and a knee MRN. The accession number is communicated using an HL7 order message (ORM) to all systems that need it, including PACS. The accession number is communicated using an HL7 order message (ORM) to all systems that need it, including PACS. Steve Moores@wuerl.wustl.eduMallinckrodt Institute of Radiology, Either email addresses are anonymous for this group or you need the view member email addresses permission to view the original message. You can generate a query dataset using the QueryDataSet method and add more query parameters to it. The DICOM modality worklist service provides a list of imaging procedures that have been scheduled for performance by an image acquisition device (sometimes referred to as a modality system). Health Level 7 is a non-profit organization involved in the development of international healthcare informatics interoperability standards. Then you must first do a C-FIND query to identify the study or studies with that accession number then use the Study UID returned to you by the query to pass on to the subsequent retrieve request. Hex Code. As weve mentioned, much of the work flow surrounding the radiology procedure is defined by IHE and works well. This means it is probably generated at the modality or typed in by the technologist.Accession Number is generated by the HIS/RIS and identifies the order for the imaging service. What treatment plans have been created for a patient? Each imaging examination is assigned a unique accession number on PACS. 0x0096. Thus the studies are alway assigned at the same patient, but now I would want to identify the studies that a patient did in only one access. This document lists DICOM Modalities, Tags, Transfer Syntaxes and SOP classes. This version gained more acceptance among vendors. 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. Some vendors dont even allow for this number to be entered at the modality. There are also applications in Oncology that do not support DICOM images. I have opinions as to where to get this from the electronic order, but I don't believe this is standardized.2. 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. But what about all the legacy patient history data stored as images in PACS? While some systems may accept more values, you risk running into issues downstream by exceeding the standard. (0008,0050) The text was vague and had internal contradictions. DICOM Placer Number, Filler Number, Accession Number (Unlimited Text, UT) and Patient ID (Long String, LO) are usually non-globally unique identifiers. Rescale Slope:m in the equation specified by Rescale Intercept (0028,1052).Required if Rescale Intercept is present. Three examples that Ive encountered at hospitals are: When a patient presents at the hospital for a radiology procedure, they go through the admitting process. 2. number-of-study-related-instances. While some systems may accept more values, you risk running into issues downstream by exceeding the standard. For the other explicit data elements or implicit data elements, see section 7.1 of Part 5 of the DICOM Standard. The Uniform Type Identifier type for DICOM files is org.nema.dicom. SR DOCUMENT GENERAL MODULE ATTRIBUTES. Content DateThe date the image pixel data creation started. To use the DICOM grayscale standard display function (GSDF),[13] images must be viewed (or printed) on devices that have this lookup curve or on devices that have been calibrated to the GSDF curve. The study id and accession number are information system generated numbers. The administrative steps involve a patient being registered, a Diagnostic Imaging Order being placed for the registered patient, a unique Accession Number assigned, and the order being scheduled as a Requested Procedure. DICOM uses three different data element encoding schemes. WebAccession Number Attribute DICOM Standard Browser An identifier of the Imaging Service Request for this Requested Procedure. 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. Some vendors dont even allow for this number to be entered at the modality. The accession number is usually assigned by the HIS/RIS system and can be repeating or unique depending on the system. Managing the modality worklist is a process used to reduce manual data entry errors and increase fidelity of patient information into the PACS/RIS imaging console. The DICOM Store service is used to send images or other persistent objects (structured reports, etc.) WebDICOM Value Representations Note For attributes that were present in ACR-NEMA 1.0 and 2.0 and that have been retired, the specifications of Value Representation and Value Multiplicity provided are recommendations for the purpose of interpreting their values in objects created in accordance with earlier versions of this standard. Another example is NM data, where an NM image, by definition, is a multi-dimensional multi-frame image. A departmental IS generated number which identifies the order for the Study. There are some problem areas, however, specifically related to the radiology report. AIR users are allowed to retrieve a set number of imaging examinations. The patient data is not stored as part of the JPEG image, as it is in DICOM. The SWF integration profile defines how information is exchanged between different systems in the process of ordering, acquiring, reading and reporting on a radiology imaging procedure. fo-dicom; Share. Follow asked Jun 9, 2021 at 20:28. WebEach imaging examination is assigned a unique accession number on PACS. This retrieval limit is dictated by the AIR Access Plan for a given IRB. How does PACS get a copy of the report? WebDICOM UI (data type: Unique Identifier, UID) is limited to 64 bytes. DICOM is a standard directed at addressing technical interoperability issues in medical imaging. 1,267 1 1 gold badge 12 12 silver badges 23 23 bronze badges. This is the third blog in a series focusing on how healthcare organizations are dealing with unprecedented volumes of unstructured data and how this impacts the holistic view of the patients data. 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. 0x0080. Accession Number : SH : 1 (0008,0051) Issuer of Accession Number Sequence : SQ : 1 (0008,0052) Query/Retrieve Level : CS : 1 (0008,0053) Query/Retrieve View : CS : 1 (0008,0054) 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. Z. 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. Improving patient experience of care (quality and/or satisfaction). LZW (zip) compression can be used for the whole data set (not just the pixel data), but this has rarely been implemented. USCDI V2 USCDI V3 Level 2 Comment Log in UIDs shall be mapped to the root portion of HL7 V3 Instance Identifiers (II). logically, the main object has no "header" as such, being merely a list of attributes, including the pixel data). WebDICOM Value Representations Note For attributes that were present in ACR-NEMA 1.0 and 2.0 and that have been retired, the specifications of Value Representation and Value Multiplicity provided are recommendations for the purpose of interpreting their values in objects created in accordance with earlier versions of this standard. These are scanned to digital images and are stored in the Hospital Information System (HIS). * , DICOMStandardBrowser byInnolitics 2016 2023Innolitics, LLC. The physicians click on these links to view both the images and the report. How can I query the MWL using FO-DICOM by accession number? X. 0x0050. Pixel data can be compressed using a variety of standards, including JPEG, lossless JPEG, JPEG 2000, and run-length encoding (RLE). The different devices come with DICOM Conformance Statements which state which DICOM classes they support. Understanding DICOM and IHE. However, the attribute may contain multiple "frames", allowing storage of cine loops or other multi-frame data. We find the accession number veryimportant because it is a key number during the dictationprocess. WebSee DICOM Standard Part 3 for further details on DICOM Attribute (0008,0050) that conveys information identical to the component one of this field. The key that identifies the order is the Accession Number, which is copied from the worklist to the image header and is used by a radiologist to identify the diagnostic report. WebAccession Number | Interoperability Standards Advisory (ISA) Home USCDI Diagnostic Imaging Accession Number Diagnostic Imaging Tests that result in visual images requiring interpretation by a credentialed professional. Diagnostic Imaging scheduled workflow is universal and well-adopted. We are sometimes asked how to retrieve as study based on the accession number. This Accession number, although required by the DICOM standard to be provided with the images, is not always available. AIR users are allowed to retrieve a set number of imaging examinations. Pixel Representation:Data representation of the pixel samples. The overall Level classification is a composite of the maturity based on these individual criteria. The header portion of a DICOM file almost always contains PHI; pixel data may also contain PHI. value the actual value. 2762 registered port for DICOM using Transport Layer Security (TLS) over TCP or UDP; A unique identifier created by a departmental information system which identifies the Imaging Service Request. to a picture archiving and communication system (PACS) or workstation. 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. More opinion is that handling of these numbers that are relatedto things from the HIS/RIS may require knowledge of how the localsite uses the information. How does PACS get a copy of the report? Health information technology (Health IT) makes it possible for health care providers to better manage patient care through secure use and sharing of health information. 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"). For more information, please see this page. VistA Imaging System DICOM Conformance Statement (Rev 6, October 2011) Approved DICOM Modality Interfaces. This document lists DICOM Modalities, Tags, Transfer Syntaxes and SOP classes. 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. Webtag a DICOM tag (as a Tag object) VR DICOM value representation various number and string formats, etc; VM value multiplicity. Some vendors dont even allow for this number to be entered at the modality. This document lists DICOM Modalities, Tags, Transfer Syntaxes and SOP classes. Please note that the most recent PDF version of the standard is the official reference, and should checked when making technical decisions. 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. Many soon realized that the second version also needed improvement. Bits Allocated:Number of bits allocated for each pixel sample. As a general rule, the amount of data each imaging exam requires for storage increases as the number of images in that imaging exam increases. Anonymization. This entry will include the Study Instance UID to identify the study.3. If, for example, you wanted to compare the different histories from multiple radiology procedures, how would you do that? Often these JPEG images are contained within a folder that has the patient ID as the folder name. Almost all Radiology Information Systems distribute the report using an HL7 ORU message. On this Wikipedia the language links are at the top of the page across from the article title. Thus, the retrieval count represents the total number of imaging examinations one can retrieve, not the absolute number of images. Each DICOM file contains extensive metadata in a header as well as pixel data for the image itself. This is only possible by doing an initial query to find the StudyUID then using those in a retrieval. DICOM Parts 3, 4, and 6, NEMA. 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. Mike Murphy Mike Murphy. When the radiologist brings up the study for the patient in PACS, the accession number is used to display the report in the RIS. for coordinates. The study id and accession number are information system generated numbers. Web2. Many radiology departments are successfully using the transactions defined by SWF to exchange data for radiology procedures. It has been widely adopted by hospitals and is making inroads into smaller applications such as dentists' and doctors' offices. DICOM includes protocols for image exchange (e.g., via portable media such as DVDs), image compression, 3-D visualization, image presentation, and results reporting. Data is available in the DICOM format as produced by the imaging device. An identifier of the Imaging Service Request for this Requested Procedure. Webtag a DICOM tag (as a Tag object) VR DICOM value representation various number and string formats, etc; VM value multiplicity. WebThe DICOM standard is 16 characters. A complementary service to modality worklist, this enables the modality to send a report about a performed examination including data about the images acquired, beginning time, end time, and duration of a study, dose delivered, etc. This may also include the accession number. GENERAL STUDY MODULE ATTRIBUTES. WebDICOM Troubleshooting & Related Issues V1.00 LAUREL BRIDGE SOFTWARE, INC. one study contains series with different accession numbers, Patient IDs, Patient Names, etc. 0000H = 0001H = 2. logically, the main object has no "header" as such, being merely a list of attributes, including the pixel data). (0008,0050) >Accession Number. Thus, the retrieval count represents the total number of imaging examinations one can retrieve, not the absolute number of images. UIDs shall be mapped to the root portion of HL7 V3 Instance Identifiers (II). InstitutionName. New service classes were defined, network support added and the Conformance Statement was introduced. WebRepresentation of the content produced in a DICOM imaging study. WebRepresentation of the content produced in a DICOM imaging study. In the perfect world, these steps happen:1. This document is the combined conformance statement for the various DICOM components in VistA Imaging. ;0). WebDICOM Troubleshooting & Related Issues V1.00 LAUREL BRIDGE SOFTWARE, INC. one study contains series with different accession numbers, Patient IDs, Patient Names, etc. Open standard from the medical computer science, Alternative formats as well as the DocBook source of the standard text, and additions to the standard (Supplements and Change Proposals), are available throughout the. With explicit value representation (VR) data elements, for VRs that are not OB, OW, OF, SQ, UT, or UN[clarification needed], the format for each data element is: GROUP (2 bytes) ELEMENT (2 bytes) VR (2 bytes) LengthInByte (2 bytes) Data (variable length). 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. SR DOCUMENT GENERAL MODULE ATTRIBUTES. DICOM have reserved the following TCP and UDP port numbers by the Internet Assigned Numbers Authority (IANA): 104 well-known port for DICOM over Transmission Control Protocol (TCP) or User Datagram Protocol (UDP). How does PACS get a copy of the report? For each of the Filler Order numbers, it will assign a unique Accession Number. This process often involves the patient providing a photo ID to ensure proper patient identification, and/or an insurance card for proper billing. The image transmission was specified as over a dedicated 2 pair cable (EIA-485). 0x0008. 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.