C.30.4 Unified Procedure Step Relationship Module

Table C.30.4-1 specifies the Attributes that describe the relationship of a Unified Procedure Step (UPS).

Table C.30.4-1

Unified Procedure Step Relationship Module Attributes

Attribute Name Tag Attribute Description
Patient's Name (0010,0010) Patient's full legal name.
Patient ID (0010,0020) Primary hospital identification number or code for the patient. See C.30.4.1
Include Issuer of Patient ID Macro Table 10-18
Other Patient IDs Sequence (0010,1002) Identification numbers or codes used to identify the patient, which may or may not be human readable, and may or may not have been obtained from an implanted or attached device such as an RFID or barcode. Zero or more Items shall be included in this sequence.
>Patient ID (0010,0020) An identification number or code used to identify the patient.
>Include Issuer of Patient ID Macro Table 10-18
Patient’s Birth Date (0010,0030) Date of birth of the named patient.
Patient’s Sex (0010,0040) Sex of the named Patient. Enumerated Values: M = male F = female O = other
Admission ID (0038,0010) Identification number of the visit as assigned by the healthcare provider
Issuer of Admission ID Sequence (0038,0014) Identifier of the Assigning Authority that issued the Admission ID. Only a single Item shall be permitted in this sequence.
>Include HL7v2 Hierarchic Designator Macro Table 10-17
Admitting Diagnoses Description (0008,1080) Description of admitting diagnosis (diagnoses) for the patient.
Admitting Diagnoses Code Sequence (0008,1084) Coded admitting diagnosis (diagnoses) for the patient. One or more Items shall be included in this Sequence.
>Include ‘Code Sequence Macro’ Table 8.8-1 No Baseline Context ID is defined.
Referenced Request Sequence (0040,A370) Requested Procedures to which the Procedure Step contributes. Zero or more Items shall be included in the sequence.
>Study Instance UID (0020,000D) Unique identifier for the Study.
>Accession Number (0008,0050) An identifier of the order for the Study.
>Issuer of Accession Number Sequence (0008,0051) Identifier of the Assigning Authority that issued the Accession Number. Only a single Item shall be permitted in this sequence.
>>Include HL7v2 Hierarchic Designator Macro Table 10-17
>Requested Procedure Code Sequence (0032,1064) Procedure Type of the Requested Procedure. Zero or one Item shall be included in this sequence.
>>Include Code Sequence Macro Table 8.8-1 No Baseline Context ID is defined.
>Placer Order Number / Imaging Service Request (0040,2016) The order number assigned to the Service Request by the party placing the order.
>Order Placer Identifier Sequence (0040,0026) Identifier of the Assigning Authority that issued the Placer Order Number. Only a single Item shall be permitted in this sequence.
>>Include HL7v2 Hierarchic Designator Macro Table 10-17
>Filler Order Number / Imaging Service Request (0040,2017) The order number assigned to the Service Request by the party filling the order.
>Order Filler Identifier Sequence (0040,0027) Identifier of the Assigning Authority that issued the Filler Order Number. Only a single Item shall be permitted in this sequence.
>>Include HL7v2 Hierarchic Designator Macro Table 10-17
>Requested Procedure ID (0040,1001) Identifier of the related Requested Procedure.
>Requested Procedure Description (0032,1060) Institution-generated description or classification of the Requested Procedure.
>Reason for the Requested Procedure (0040,1002) Reason for requesting this procedure.
> Reason for Requested Procedure Code Sequence (0040,100A) Coded reason for requesting this procedure. Zero or more Items shall be included in the sequence.
>>Include ‘Code Sequence Macro’ Table 8.8-1 No Baseline Context ID is defined.
>Requested Procedure Comments (0040,1400) User-defined comments on the Requested Procedure.
>Confidentiality Code (0040,1008) Confidentiality Constraints on the Requested Procedure by the party filling the order.
>Names of Intended Recipients of Results (0040,1010) Names of the physicians, who are intended recipients of results.
>Imaging Service Request Comments (0040,2400) User-defined comments on the Service Request.
>Requesting Physician (0032,1032) Physician who requested the Service Request.
>Requesting Service (0032,1033) Institutional department where the request initiated.
>Issue Date of Imaging Service Request (0040,2004) Date on which the Service Request was issued by the requester.
>Issue Time of Imaging Service Request (0040,2005) Time at which the Service Request was issued by the requester.
>Referring Physician’s Name (0008,0090) The physician who referred the Patient to the physician or service issuing the Service Request. Note: This is generally the recipient of any report generated by the Service Request.
Replaced Procedure Step Sequence (0074,1224) Canceled procedure step(s) which are replaced by this procedure step. Zero or more Items shall be included in the sequence.
>Include ‘SOP Instance Reference Macro’ Table 10-11

C.30.4.1 Patient Identification

For workitems which have a patient as the subject or context, the Patient ID, Issuer of Patient ID, Patient’s Name, Patient’s Sex and Patient’s Birth Date shall have appropriate values.

For workitems which have an identifiable subject that is not a patient, for example a phantom to be scanned or a display to be calibrated, the Patient ID shall be filled with an acceptable pseudo-patient value.

Note: For an object with a hospital asset control number or a manufacturer’s serial number, that number might be used as the Patient ID. The Issuer of Patient ID would identify the hospital asset control system or the device manufacturer. Alternatively, it is conceivable that a Patient ID could be generated by the ADT or the local John Doe procedure (to avoid conflicting with an ID assigned to a real patient).

The Patient Name might be set to CT^Phantom or ReadingRoom1Display.