C.7.2.1 General Study Module

Table C.7-3 specifies the Attributes that describe and identify the Study performed upon the Patient.

Table C.7-3GENERAL STUDY MODULE ATTRIBUTES

Attribute Name Tag Type Attribute Description
Study Instance UID (0020,000D) 1 Unique identifier for the Study.
Study Date (0008,0020) 2 Date the Study started.
Study Time (0008,0030) 2 Time the Study started.
Referring Physician's Name (0008,0090) 2 Name of the patient's referring physician
Referring Physician Identification Sequence (0008,0096) 3 Identification of the patient's referring physician. Only a single item is permitted in this sequence.
>Include ‘Person Identification Macro’ Table 10-1
Study ID (0020,0010) 2 User or equipment generated Study identifier.
Accession Number (0008,0050) 2 A RIS generated number that identifies the order for the Study.
Issuer of Accession Number Sequence (0008,0051) 3 Identifier of the Assigning Authority that issued the Accession Number. Only a single Item is permitted in this sequence.
>Include HL7v2 Hierarchic Designator Macro Table 10-17
Study Description (0008,1030) 3 Institution-generated description or classification of the Study (component) performed.
Physician(s) of Record (0008,1048) 3 Names of the physician(s) who are responsible for overall patient care at time of Study (see Section C.7.3.1 for Performing Physician)
Physician(s) of Record Identification Sequence (0008,1049) 3 Identification of the physician(s) who are responsible for overall patient care at time of Study. One or more items are permitted in this sequence.If more than one Item, the number and order shall correspond to the value of Physician(s) of Record (0008,1048), if present.
>Include ‘Person Identification Macro’ Table 10-1
Name of Physician(s) Reading Study (0008,1060) 3 Names of the physician(s) reading the Study.
Physician(s) Reading Study Identification Sequence (0008,1062) 3 Identification of the physician(s) reading the Study. One or more items are permitted in this sequence. If more than one Item, the number and order shall correspond to the value of Name of Physician(s) Reading Study (0008,1060), if present.
>Include ‘Person Identification Macro’ Table 10-1
Requesting Service Code Sequence (0032,1034) 3 Institutional department where the request initiated. Only a single item is permitted in this sequence.
>Include ‘Code Sequence Macro’ Table 8.8-1 Defined CID 7030.
Referenced Study Sequence (0008,1110) 3 A sequence that provides reference to a Study SOP Class/Instance pair. One or more Items are permitted in this Sequence.
>Include SOP Instance Reference Macro Table 10-11
Procedure Code Sequence (0008,1032) 3 A Sequence that conveys the type of procedure performed. One or more Items are permitted in this Sequence.
>Include ‘Code Sequence Macro’ Table 8.8-1 No Baseline Context ID is defined.
Reason For Performed Procedure Code Sequence (0040,1012) 3 Coded reason(s) for performing this procedure. Note: May differ from the values in Reason for the Requested Procedure (0040,100A) in Request Attribute Sequence (0040,0275), for example if what was performed differs from what was requested. One or more Items are permitted in this Sequence.
>Include ‘Code Sequence Macro’ Table 8.8-1 No Baseline Context ID is defined.

C.7.2.1.1 General Study Attribute Descriptions

C.7.2.1.1.1 Referring Physician, Physician of Record, Physician Reading Study

The model used for application of attributes related to different functions of Physicians involved in the care of a patient is shown in Figure C.7.2-1. The figure shows some of the relationships and information flows between physician roles that might be present in some healthcare business models.

[pic]

Figure C.7.2-1Functions of Physicians

There can be an overlap of functions provided by any given physician. In this case, the various attributes specifying the different roles would convey the same physician name.