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 Registration è Department System Scheduler/Order Filler ● ADT Patient Registration è 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 Modality è Performed Procedure Step Manager ● Performed Procedure Step Manager è 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 Modality è Performed Procedure Step Manager ● Performed Procedure Step Manager è 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 Creator è 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 Registration è Department System Scheduler/Order Filler ● ADT Patient Registration è Order Placer ● ADT Patient Registration è Order Result Tracker ● Department System Scheduler/Order Filler è 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 Filler è 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/Archive è 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/Archive è 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/Archive è 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/Archive è 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 Creator è 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 Creator è 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 Creator è Performed Procedure Step Manager ● Performed Procedure Step Manager è Image Manager/Archive ● Performed Procedure Step Manager è 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 Creator è Performed Procedure Step Manager ● Performed Procedure Step Manager è Image Manager/Archive ● Performed Procedure Step Manager è 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 Creator è 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 Manager è 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 Access è Report Reader ● Report Repository è 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 Access è Report Reader ● Report Repository è 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 Manager è 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 Creator è Image Manager/Archive ● Acquisition Modality è 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/Archive è 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/Archive è 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 Node è Time Server ● Time Server è Audit Record Repository ● Time Server è Secure Node ● Audit Record Repository è Time Server Record Audit Event: 产生并传递审计验证纪录(audit record) Profiles: ● Basic Security Actors: ● ADT Patient Registration è Audit Record Repository  ● Charge Processor è Audit Record Repository  ● Enterprise Report Repository è Audit Record Repository ● Evidence Creator è Audit Record Repository  ● Image Display è Audit Record Repository ● Image Manager/Archive è Audit Record Repository  ● Acquisition Modality è Audit Record Repository  ● Department System Scheduler/Order Filler è Audit Record Repository ● Order Placer è Audit Record Repository ● Print Composer è Audit Record Repository ● Post-Processing Manager è Audit Record Repository ● Performed Procedure Step Manager è Audit Record Repository ● Print Server è Audit Record Repository  ● Report Creator è Audit Record Repository  ● Report Manager è Audit Record Repository  ● Report Reader è Audit Record Repository ● Report Repository è Audit Record Repository ● Secure Node è Audit Record Repository ● Time Server è Audit Record Repository ● External Report Repository Access è 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 Filler è 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 Registration è Charge Processor ● ADT Patient Registration è 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 Creator è 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 Creator è 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 Creator è 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 Creator è 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 Filler è Image Manager/Archive  ● Image Manager/Archive è 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 Modality è Image Manager/Archive  ● Evidence Creator è 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/Archive è 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/Archive è 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 Manager è  Report Creator