IHE Transactions定义及所关联Profiles/Actors

 

Patient Registration:ATD系统(登记)注册和/或接收一个患者，并进一步提交该患者的ID信息至其它使用该ID数据的信息系统。

关联的Profiles:

● Scheduled Workflow

关联的Actors:

● ADT Patient Registrationè Department System Scheduler/Order Filler

● ADT Patient Registrationè Order Placer

● ADT Patient Registration è Order Result Tracker

Placer Order Management:Order Placer通知Order Filler开始或取消一次医嘱(申请)过程。

关联的Profiles:

● Scheduled Workflow

关联的Actors:

● Order Placer è Department System Scheduler/Order Filler

Filler Order Management:Order Filler通知Order Placer开始、取消或改变一次医嘱(申请)的状态。

关联的Profiles:

● Scheduled Workflow

关联的Actors:

● Department System Scheduler/Order Filler è Order Placer

Procedure Scheduled:从Department System Scheduler/Order Filler提交检查安排信息至Image Manager和Report Manager。

关联的Profiles:

● Reporting Workflow

● Scheduled Workflow

关联的Actors:

● Department System Scheduler/Order Filler è Image Manager/Archive

Query Modality Worklist:基于在Acquisition Modality端执行的查询操作，产生设备工作列表对象，其包含了所有满足查询条件的工作表内容项目。

关联的Profiles:

● Patient Information Reconciliation

● Scheduled Workflow

关联的Actors:

● Department System Scheduler/Order Filler è Acquisition Modality

Modality Procedure Step In Progress:将新的检查执行过程(Procedure Step)启动的状态信息从Acquisition Modality通告至Performed Procedure Step (PPS) Manager，并可进一步从PPS Manager通告至Department System、Image Manager和Report Manager。

关联的Profiles:

● Charge Posting

● Presentation of Grouped Procedures

● Patient Information Reconciliation

● Scheduled Workflow

关联的Actors:

● Acquisition Modalityè Performed Procedure Step Manager

● Performed Procedure Step Managerè Image Manager/Archive

● Performed Procedure Step Manager è Department System Scheduler/Order Filler

Modality Procedure Step Completed:将检查执行过程(Procedure Step)完成状态信息从Acquisition Modality通告至Performed Procedure Step (PPS) Manager，并可进一步从PPS Manager通告至Department System、Image Manager和Report Manager。

关联的Profiles:

● Charge Posting

● Presentation of Grouped Procedures

● Patient Information Reconciliation

● Reporting Workflow

● Scheduled Workflow

关联的Actors:

● Acquisition Modalityè Performed Procedure Step Manager

● Performed Procedure Step Managerè Image Manager/Archive

● Performed Procedure Step Manager è Department System Scheduler/Order Filler

Modality Images Stored:Acquisition Modality传递采集或产生的影像至Image Archive。

关联的Profiles:

● Consistent Presentation of Images

● Scheduled Workflow

关联的Actors:

● Acquisition Modality è Image Manager/Archive

Modality Presentation State Stored:Acquisition Modality请求Image Archive存储被采集或产生影像的灰阶软拷贝显示状态(GSPS)。

关联的Profiles:

● Consistent Presentation of Images

● Presentation of Grouped Procedures

关联的Actors:

● Acquisition Modality è Image Manager/Archive

Storage Commitment:请求者(Acquisition Modality或Evidence Creator)要求Image Manager确认对请求者提交并委托Image Archive存储的特定的DICOM对象(影像、GSPS对象、关键影像注释、证据文档等)的所有权状态，以便请求者可以在本地清除已将所有权转移至Image Manager的这些对象。

关联的Profiles:

● Consistent Presentation of Images

● Evidence Documents

● Key Image Note

● Scheduled Workflow

关联的Actors:

● Evidence Creatorè Image Manager/Archive

● Acquisition Modality è Image Manager/Archive

 

 

Images Availability Query:由Department System Scheduler/Order Filler和Report Manager向Image Manager发出查询请求，要求获取特定的影像或影像序列的可用性信息。

关联的Profiles:

● Patient Information Reconciliation

● Post-Processing Workflow

● Reporting Workflow

● Scheduled Workflow

关联的Actors:

● Image Manager/Archive è Department System Scheduler/Order Filler

Patient Update:ADT Patient Registration System通知Order Placer和Department System Scheduler/Order Filler更新有关指定患者的新的信息。Department Scheduler尔后可以进一步将此信息通知Image Manager和Report Manager。

关联的Profiles:

● Patient Information Reconciliation

● Scheduled Workflow

关联的Actors:

● ADT Patient Registrationè Department System Scheduler/Order Filler

● ADT Patient Registrationè Order Placer

● ADT Patient Registrationè Order Result Tracker

● Department System Scheduler/Order Fillerè Image Manager/Archive

Procedure Update:Department System Scheduler/Order Filler传递更新的检查申请或执行过程信息至Image Manager和Report Manager。

关联的Profiles:

● Patient Information Reconciliation

● Reporting Workflow

● Scheduled Workflow

关联的Actors:

● Department System Scheduler/Order Fillerè Image Manager/Archive

Query Images:Image Display向Image Archive提出影像查询请求，查询的影像返回形式要求是基于患者(Patient)、检查(Study)、序列(Series)或影像(Instance)信息模型的列表。

关联的Profiles:

● Access to Radiology Information

● Consistent Presentation of Images

● Key Image Note

● Patient Information Reconciliation

● Post-Processing Workflow

● Reporting Workflow

● Scheduled Workflow

关联的Actors:

● Image Manager/Archiveè Image Display

Query Presentation States:Image Display向Image Archive提出影像灰阶软拷贝显示状态(GSPS)查询请求，查询返回值要求是基于患者(Patient)、检查(Study)、序列(Series)或影像(Instance)信息模型的列表。

关联的Profiles:

● Access to Radiology Information

● Consistent Presentation of Images

关联的Actors:

● Image Manager/Archiveè Image Display

Retrieve Images:Image Display向Image Archive请求并调取指定的影像或影像系列。

关联的Profiles:

● Access to Radiology Information

● Consistent Presentation of Images

● Key Image Note

● Patient Information Reconciliation

● Post-Processing Workflow

● Reporting Workflow

● Scheduled Workflow

关联的Actors:

● Image Manager/Archiveè Image Display

Retrieve Presentation States:Image Display向Image Archive请求并调取指定的影像或影像系列的灰阶软拷贝显示状态(GSPS)。

关联的Profiles:

● Access to Radiology Information

● Consistent Presentation of Images

关联的Actors:

● Image Manager/Archiveè Image Display

Creator Images Stored:Evidence Creator传递新的影像至Image Archive。

关联的Profiles:

● Consistent Presentation of Images

● Post-Processing Workflow

● Scheduled Workflow

关联的Actors:

● Evidence Creatorè Image Manager/Archive

Creator Presentation State Stored:Evidence Creator请求Image Archive存储被产生的灰阶软拷贝显示状态(GSPS)对象。

Profiles:

● Consistent Presentation of Images

Actors:

● Evidence Creatorè Image Manager/Archive

Creator Procedure Step In Progress:Evidence Creator通知PPS Manager一次新的执行过程启动的状态信息，尔后PPS Manager将该信息通知Department System和Image Manager。

Profiles:

● Charge Posting

● Scheduled Workflow

Actors:

● Evidence Creatorè Performed Procedure Step Manager

● Performed Procedure Step Managerè Image Manager/Archive

● Performed Procedure Step Managerè Department System Scheduler/Order Filler

Creator Procedure Step Completed:Evidence Creator通知PPS Manager一次执行过程完成的状态信息，尔后PPS Manager将该信息通知Department System和Image Manager。

Profiles:

● Charge Posting

● Scheduled Workflow

Actors:

● Evidence Creatorè Performed Procedure Step Manager

● Performed Procedure Step Managerè Image Manager/Archive

● Performed Procedure Step Managerè Department System Scheduler/Order Filler

 

Print Request with Presentation LUT:Print Composer传递包含特定的Presentation LUT信息的打印任务请求至打印服务器

Profiles:

● Consistent Presentation of Images

Actors:

● Print Composer è Print Server

Report Submission:Report Creator传递初始诊断报告或最终诊断报告至Report Manager。

Profiles:

● Simple Image and Numeric Report

Actors:

● Report Creatorè Report Manager

Report Issuing:Report Creator传递初始诊断报告或最终诊断报告至Report Repository。

Profiles:

● Simple Image and Numeric Report

Actors:

● Report Managerè Report Repository

Query Reports:Report Reader提供一套规则用于查询和选取提交的诊断报告列表，列表项基于患者、检查、序列或对象实例(instance)的形式返回，这些提交的诊断报告应该已在Report Repository或External Repost Repository Access注册和管理。

Profiles:

● Access to Radiology Information

● Patient Information Reconciliation

● Simple Image and Numeric Report

Actors:

● External Report Repository Accessè Report Reader

● Report Repositoryè Report Reader

Retrieve Reports:Report Reader从Report Repository或External Report Repository Access请求并调取诊断报告对象。

Profiles:

● Access to Radiology Information

● Patient Information Reconciliation

● Simple Image and Numeric Report

Actors:

● External Report Repository Accessè Report Reader

● Report Repositoryè Report Reader

Structured Report Export:Report Manager通过映射DICOM SR对象内容构建一个HL7类的输出处理结果，并将其传递到Enterprise Report Repository存储。

Profiles:

● Simple Image and Numeric Report

Actors:

● Report Managerè Enterprise Report Repository

Key Image Note Stored:Acquisition Modality或Evidence Creator传递关键影像注释至Image Archive。

Profiles:

● Key Image Note

Actors:

● Evidence Creatorè Image Manager/Archive

● Acquisition Modalityè Image Manager/Archive

Query Key Image Note:Image Display向Image Archive查询并返回基于患者、检查、序列或影像层次的关键影像注释项目的列表。

Profiles:

● Key Image Note

Actors:

● Image Manager/Archiveè Image Display

Retrieve Key Image Note:Image Display从Image Archive请求调取关键影像注释对象。

Profiles:

● Key Image Note

Actors:

● Image Manager/Archiveè Image Display

 

Authenticate Node:任意两个actors交换证书以便验证其它信息节点的身份。

Profiles:

● Basic Security

Actors:

● Secure Node è Secure Node

Maintain Time:根据Time Server维护的时间标志同步本地系统时间。

Profiles:

● Basic Security

Actors:

● Secure Nodeè Time Server

● Time Serverè Audit Record Repository

● Time Serverè Secure Node

● Audit Record Repositoryè Time Server

Record Audit Event:产生并传递审计验证纪录(audit record)

Profiles:

● Basic Security

Actors:

● ADT Patient Registrationè Audit Record Repository 

● Charge Processorè Audit Record Repository 

● Enterprise Report Repositoryè Audit Record Repository

● Evidence Creatorè Audit Record Repository 

● Image Displayè Audit Record Repository

● Image Manager/Archiveè Audit Record Repository 

● Acquisition Modalityè Audit Record Repository 

● Department System Scheduler/Order Fillerè Audit Record Repository

● Order Placerè Audit Record Repository

● Print Composerè Audit Record Repository

● Post-Processing Managerè Audit Record Repository

● Performed Procedure Step Managerè Audit Record Repository

● Print Serverè Audit Record Repository 

● Report Creatorè Audit Record Repository 

● Report Managerè Audit Record Repository 

● Report Readerè Audit Record Repository

● Report Repositoryè Audit Record Repository

● Secure Nodeè Audit Record Repository

● Time Serverè Audit Record Repository

● External Report Repository Accessè Audit Record Repository

Charge Posted:Department System Scheduler/Order Filler传递与收费处理相关的信息或其它类型收费信息。

Profiles:

● Charge Posting

Actors:

● Department System Scheduler/Order Fillerè Charge Processor

Account Management:ADT Patient Registration actor通知Charge Processor关于患者账目的产生、改变和终止的信息。

Profiles:

● Charge Posting

Actors:

● ADT Patient Registrationè Charge Processor

● ADT Patient Registrationè Department System Scheduler/Order Filler

 

Query Post-Processing Worklist：基于来自工作表客户端(Evidence Creator)的查询请求，由工作表管理器(Post-Processing Manager)产生一个满足该查询请求的工作表对象，其内容包含两者，即后处理(Post-Processing)任务操作项或计算机辅助检测(CAD)任务操作项，这些操作项以General Purpose Scheduled Procedure Steps (GP-SPS)对象列表的形式返回。

Profiles:

● Post-Processing Workflow

Actors:

● Post-Processing Manager è Evidence Creator

Workitem Claimed：工作表客户端(Evidence Creator, Report Creator)通告工作表提供端(Post-Processing Manager, Report Manager)其已经拥有对某工作表项的所有权。

Profiles:

● Post-Processing Workflow 

● Reporting Workflow

Actors:

● Evidence Creatorè Post-Processing Manager

Workitem PPS In Progress:工作表客户端(Evidence Creator, Report Creator)通告工作表提供端(Post-Processing Manager, Report Manager)其已经基于指定的工作表项开始工作(如产生General Purpose Performed Procedure Step)。

Profiles:

● Charge Posting

ü●Post-Processing Workflow

● Reporting Workflow

Actors:

● Evidence Creatorè Post-Processing Manager

Workitem PPS Completed:工作表客户端(Evidence Creator, Report Creator)通告工作表提供端(Post-Processing Manager, Report Manager)一次General Purpose Performed Procedure Step过程完成。

Profiles:

● Post-Processing Workflow

● Reporting Workflow

Actors:

● Evidence Creatorè Post-Processing Manager

Workitem Completed:工作表客户端(Evidence Creator, Report Creator)通告工作表提供端(Post-Processing Manager, Report Manager)其已完成工作表项的操作(如完成一次General Purpose Scheduled Procedure Step操作过程)。

Profiles:

● Post-Processing Workflow

● Reporting Workflow

Actors:

● Evidence Creatorè Post-Processing Manager

Performed Work Status Update:工作表提供端向其它相关的actors通告所执行的操作的进行状态和完成状态。

Profiles:

● Charge Posting

● Post-Processing Workflow

● Reporting Workflow

● Scheduled Workflow

Actors:

● Department System Scheduler/Order Fillerè Image Manager/Archive 

● Image Manager/Archiveè Department System Scheduler/Order Filler

Evidence Document Stored:数据文档的源actors (Acquisition Modality或Evidence Creator)以DICOM SR对象的形式将相关的记录、测量获得的诊断数据传递至Image Archive。

Profiles:

● Evidence Documents

● Post-Processing Workflow

Actors:

● Acquisition Modalityè Image Manager/Archive 

● Evidence Creatorè Image Manager/Archive

Query Evidence Document:数据文档的用户 (Image Display, Report Creator或Report Reader)向Image Archive查询已提交的数据文档项的列表。

Profiles:

● Evidence Documents 

● Post-Processing Workflow

Actors:

● Image Manager/Archiveè Image Display

Retrieve Evidence Document:数据文档的用户 (Image Display, Report Creator或Report Reader)向Image Archive请求并调取数据文档。

Profiles:

● Evidence Documents 

● Post-Processing Workflow

Actors:

● Image Manager/Archiveè Image Display

Query Reporting Worklist:基于来自Report Creator工作表客户端的查询请求，由Report Manager产生一个满足该查询请求，由报告任务项构成的工作表。这些工作表项以General Purpose Scheduled Procedure Steps (GP-SPS)列表的形式返回。

Profiles:

● Patient Information Reconciliation 

● Reporting Workflow

Actors:

● Report Managerè  Report Creator