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syngo Dynamics HL7 Interface Specifications Manual

SOFTWARE VERSION VA10

syngo® Dynamics HL7 Interface Specifications Manual

Page 2 of 56	Effective Date: May 2013
	Rev: 01

syngo® Dynamics HL7 Interface Specifications Manual

0123

Global Siemens Headquarters

Siemens AG

Wittelsbacherplatz 2

80333 Muenchen

Germany

Global Siemens Healthcare Headquarters

Siemens AG Healthcare Sector Henkestrasse 127 91052 Erlangen Germany Phone:+49 9131 84-0 www.siemens.com/healthcare

Legal Manufacturer

Siemens AG

Wittelsbacherplatz 2

DE-80333 Muenchen

Germany

Global Business Unit

Siemens AG Medical Solutions

SYNGO

Henkestrasse 127

DE-91052 Erlangen Germany

Telephone:+49 9131 84-0

www.siemens.com/syngo-suite

Language: English

PV10-539.816.03.01.02

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	Rev: 01

Intended Use Statement

Responsibility Statement

syngo® Dynamics HL7 Interface Specifications Manual

Whenever the hardware is necessary to start the supplied software, the CE mark is provided in accordance with, if applicable, Electro Magnetic Compatibility Directive 2004/108/EC and / or Low Voltage Directive 2006/95/EC.

The software described herein is provided with a CE mark in accordance with the regulations stated in Council Directive 93/42/EEC of June 14th, 1993, concerning medical devices.

The CE marking applies only to Medical Devices which have been put on the market according to the above mentioned EC Directive.

Unauthorized changes to this product are not covered by the CE mark and the related Declaration of Conformity.

Siemens reserves the right to modify the design and specifications contained herein without prior notice. Some of the specifications described herein may not be currently available in all countries. Some of the features described herein may not be currently available in all countries. Please contact your local Siemens Sales representative for the most current information.

US Patent 7,636,899

syngo® Dynamics is an image and information system intended for acceptance, transfer, display, storage, archive and manipulation of digital medical images, including review, analysis, qualification and reporting.

As a Cardiology PACS and information system, syngo® Dynamics supports the physician in interpretation and evaluation of examinations within healthcare institutions, in particular, in Cardiology, Obstetrics and Gynecology or other departments.

syngo® Dynamics is not intended to be used for displaying of digital mammography images for diagnosis in the U.S.

The evidence-based reporting in syngo® Dynamics is intended to be a supporting tool for the diagnosing physician. While Siemens may provide sample templates for user customization, the accuracy and appropriateness of clinical phrases, clinical observations, and user-defined measurements and calculations in syngo® Dynamics worksheets and reports are the responsibility of the diagnosing physician and/or facility.

All quantitative data ranges are derived from the clinical experience of echocardiology laboratories and are included in observation libraries for syngo® Dynamics

users. Siemens strongly recommends that users review these ranges with their individual diagnostic needs in mind prior to using syngo® Dynamics for clinical reporting.

Caution

If images are not archived on a regular basis, there may be data loss. syngo® Dynamics software archives images automatically, if there is an archiving device and it is properly configured and functioning.

To prevent data loss, Siemens requests that all customers have an archiving device connected and check that it is functioning properly.

United States Federal Law restricts this device to sale by or on the order of a physician.

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syngo® Dynamics HL7 Interface Specifications Manual

				Improper server hardware or software configuration settings or improper server
				operating system (Server software defect)
				Data loss: undetected failure to store image or patient data sent from
				acquisition device requires patient to repeat exam
				Data loss: loss of image data due to failure to back up
				Loss of database backup data due to failure to back up database (either
				tape or disk backup)


	CAUTION			♦ If images are not archived on a regular basis, there may be data loss.
	CAUTION			SYNGO®Dynamics software archives images automatically, if there is an



				archiving device and it is properly configured and functioning. To prevent
				data loss, Siemens requests that all customers have an archiving device
				connected and check that it is functioning properly. United States Federal
				law restricts this device to sale by or on the order of a physician.

	User Profiles	The following profiles may vary depending on the site, qualifications, and personal
		responsibilities. They should be considered general guides.
		Technologist
		The technologist is responsible for quality assurance of images, including the
		preparation of images for reading. This preparation includes manipulation of image size,
		position, or windowing values; creation of preliminary markers or measurements;
		generation of additional result series, for example, parallel ranges; and sending data for
		archiving.
		Technologist must have the proper training, work experience, product training
		certification or comparable product experience.
		Physician
		The physician performs the imaging examination, reporting of patient images,
		completing and / or verifying reports, interventions, and justifying indications. The
		physician is responsible for the safety of patients.
		The physician must be a doctor of medicine and have the proper training, work
		experience, and product training certification or comparable product experience.
		Clinical Administrator
		The clinical administrator configures application settings, DICOM nodes, archiving, and
		manages short term storage and licenses, performs patient data administration, and is
		the first support contact for reading physicians.
		The clinical administrator is an application specialist who has work experience, product
		experience, and knowledge of the clinical workflow.
		IT Administrator
		The IT administrator is responsible for data security, data protection, user management,
		configuration of DICOM nodes, as well as backup and archiving. The IT administrator
		manages the IT infrastructure of the clinical network, and is responsible for the

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Trademarks

License Agreement

Warranty Information

Service Information

syngo® Dynamics HL7 Interface Specifications Manual

administration and configuration of IT components.

The IT administrator must have expert knowledge of networks, operating systems, user administration, and knowledge of the workflow.

Windows 7, XP, and SQL Server are registered trademarks of Microsoft Corporation. Internet Explorer is a trademark of Microsoft Corporation. Netscape and Netscape Navigator are registered trademarks of Netscape Communications Corp. Java and the JavaScript are registered trademarks of Sun Microsystems, Inc. Adobe Acrobat and Flash Player are registered trademarks of Adobe Systems, Inc.

All product designations and company names are trademarks or registered trademarks of the corresponding companies.

syngo® Dynamics VA10 software copyright is 2013 Siemens Medical Solutions USA, Inc.All rights reserved. This software is confidential and proprietary to Siemens, and its use is governed by the terms and conditions of your Siemens license agreement.

Copyright © 1999 - 2013 by Siemens Medical Solutions USA, Inc., and its suppliers. All rights reserved. No part of this publication may be reproduced, transmitted, transcribed, stored in retrieval systems, or translated into any language or computer language, in any form or by any means, electronic, mechanical, magnetic, optical, chemical, manual, or otherwise, without the prior written permission of Siemens Medical Solutions USA.

The following are copyrights of their respective companies or organizations: XpdfViewer, ActiveX Control, XpdfPrint, XpdfRasterizer, XpdfText, FreeType Engine, The FreeType Project (Glyph & Cog), FaxMan (Data Techniques), PIC Tools Medical (Pegasus), easyConverter SDK (BCL Technologies), INDIGOPERL (Indigo Star), NFS Maestro Solo (Open Text), Command Line Utilities, PowerArchiver (Conexware), RapidSpell DeskTop (Keyoti Inc.), Compression Grid, UI, Zip (Xceed Software, Inc.), Java2 Runtime Environment (Sun Microsystems, Inc.), Integrated Performance Primitives (Intel®), Visual Cath Report (Ionosoft Inc.), MergeCOM-3 (Merge Technologies Inc.), Zlib Compression Library (Jean-loup Gailly and Mark Adler), Point Software (Point GmbH), and ABCpdf.NET (WebSupergoo), ShowCase CD Viewer, ShowCase DicomImage Control (Trillium Technology, Inc.), MS Expression Encoder 4, Windows Server 2008, XP, Vista, SQL Server 2008, Silverlight 4, Microsoft reactive extensions for Javascript and Net libraries (Microsoft Corp.), Detagger API (JafSoft Limited), WRTF2PDF (wpCubed GmbH), XtraBars Suite (Developer Express Inc.), ShellMegaPack.Net (Logic NP Software), PrintForm.Net (TMG Development Ltd.). International Paediatric and Congenital Cardiac Code is provided by the International Society for Nomenclature of Paediatric and Congenital Heart Disease.

For product warranty information, please contact your syngo Dynamics Sales Representative.

For service information, please see the terms and conditions of your Service Contract.

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syngo® Dynamics HL7 Interface Specifications Manual

Contents
1.	Introduction	8
1.1.	Purpose	8
1.2.	Scope	8
1.3.	Abbreviations	8
2.	Report Upload to OPENLink Option	11
2.1.	HL7 Message Details Message Specifications	11
2.2.	syngo® Dynamics Report Format	11
2.3.	Default Segment Listing	11
3.	Report Upload Message Examples	14
3.1.	syngo® Dynamics Report with standard linefeed substitution	14
4.	IHE DRPT REPORT CREATOR	15
5.	IHE DRPT Message Examples	16
6.	ADT Interface	17
6.1.	Message Overview	17
6.2.	Segment Structure	21
7.	Order Interface	24
8.	sDIS	26
9.	Connectivity:	26
10.	HL7 MESSAGES FOR VA10 sDIS INBOUND	27
11.	HL7 MESSAGES FOR VA10 sDIS OUTBOUND	28
12.	MESSAGE SEGMENTS	28
13.	Appendix A -Sample sDIS HL7 Messages	38
13.2. NACK Scenarios currently handled by sDIS		39
Appendix B – sDIS validations		41
Appendix B – Configuration files for ADT/ORM option		50

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syngo® Dynamics HL7 Interface Specifications Manual

1. Introduction

1.1.Purpose

This specification provides the syngo® Dynamics baseline requirements for a Hospital Information System (HIS) to effectively send ADT/Order messages and to receive unsolicited observation reporting messages produced on the syngo® Dynamics system via the Health Level 7 (HL7) standard. This document describes the syngo® Dynamics system’s use of the HL7 standard for communicating with various HIS applications. It explains the syngo® Dynamics system’s use of the Siemens OPENLink component to communicate via the HL7 Standard.

The syngo® Dynamics system components communicate observation reporting information to the Siemens OPENLink Engine via a proprietary communications protocol. The Siemens OPENLink Engine constructs the HL7 message from information supplied by the syngo® Dynamics workstation.

The document specifies the details of HL7 interface messages supported for sDIS features in vVA10. The user is advised to refer other HL7 related documents available in www.hl7.org for further HL7 explanation and knowledge on HL7 Standards. VVA10 sDIS features require a standard HL7 INTERFACE ENGINE which is capable of converting HL7 messages from one version to another, and has functionality which can add, delete, append , Ignore and convert message segments. The Siemens implementation team and the customer should review this document and interface messages during the early implementation phase to assure all workflows and messages are addressed and/or rerouted via the interface engine.

syngo® Dynamics vVA10 sDIS feature supports HL7 VERSION 2.3.1 and all references made are applicable to HL7 2.3.1 standard.

1.2.Scope

This document specifically refers to syngo® Dynamics VA10 server and workstations and the

Siemens OPENLink component version 23.7-4.

1.3. Abbreviations

		(DR)	Short for Demographic Reconciliation in this document.

		(OA)	Short for Order Association in this document.

		ACK	Acknowledgment

		ADT	Patient administration messages within the HL7 standard. Typically initiated
			by the HIS to inform ancillary systems that a patient has been admitted,
			discharged, transferred, merged, that other demographic data about the
			patient has changed (name, insurance, next of kin, etc.) or that some visit
			information has changed (patient location, attending physician, etc.).

		ADT^A01	An HL7 Admit/Discharge/Transfer message for Patient Admit. This occurs
			when the patient is admitted to the hospital.

		ADT^A04	An HL7 Admit/Discharge/Transfer message for Patient Registered. This
			occurs when the patient is registered at the hospital.

		ADT^A08	An HL7 Admit/Discharge/Transfer message for Patient Update. This occurs
			when the patient’s demographic information has been updated from what was
			previously sent when the patient was admitted.

		ADT^A18, A34, A40	An HL7 Admit/Discharge/Transfer message for Patient Merge. These are


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			syngo® Dynamics HL7 Interface Specifications Manual

			used when two different identifications for the same patient are found and
			need to be merged into one identification.

		AL1	Allergy Information

		All servers	For the purposes of this document, the term “all servers” refers to all syngo
			Dynamics servers that are included in the multi-server login configuration of
			the current server.

		CA	The order control code for the order that is canceled. It is used in ORC
			segment of HL7 ORM Message

		DDI	Data Dictionary Item

		DG1	Diagnosis

		DOB	Patient date of birth

		Enterprise	For the purposes of this document, the term “enterprise” refers to the
			collection of all departments on all servers that are included in the multi-server
			login configuration of the current server.
			The scope of “enterprise” is not defined as all departments of all syngo
			Dynamics servers that are physically located in an institution.
			Each syngo Dynamics server within an institution server pool has its own
			enterprise scope, as the scope is defined by the multi-server login
			configuration of that individual server.

		FON	Short for Filler Order Number in this document - The order number assigned
			to the Service Request by the party filling the order.

		HIS	Health Information System

		HIS Verification	A method used by the syngo Dynamics Server’s Vault services to reconcile
			patient/study information by using a DICOM Modality Worklist Server to
			confirm scheduled study data. Both automatic and manual reconciliation
			methods are supported.

		HL7	Specific message standards created by the Health Level Seven organization
			for the exchange, management and integration of electronic healthcare
			information.

		IE	Interface Engine

		IP	Internet Protocol

		M	Mandatory for sDIS

		Master Patient Index	Master Patient Index (MPI) is an index which references all existing patients
			registered at a health care organization in such manner that each patient is
			logically represented only once and can be uniquely identified. Use of MPI
			allows clinical and demographic information to be cross-referenced between
			different facilities within the enterprise of a health care organization.
			MPI can be a specific SID/PID pair among all SID/PID pairs that are assigned
			to a patient. For example, for a health care organization that defines “EPI” as
			the MPI SID, the value “123456789^^^EPI” indicates it is a MPI and
			“123456789” is the MPI PID.

		MPI	Master Patient Index (MPI) is an index which references all existing patients
			registered at a health care organization in such manner that each patient is
			logically represented only once and can be uniquely identified. Use of MPI

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syngo® Dynamics HL7 Interface Specifications Manual

	allows clinical and demographic information to be cross-referenced between
	different facilities within the enterprise of a health care organization.
	MPI can be a specific SID/PID pair among all SID/PID pairs that are assigned
	to a patient. For example, for a health care organization that defines “EPI” as
	the MPI SID, the value “123456789^^^EPI” indicates it is a MPI and
	“123456789” is the MPI PID.

MRG	Merge

MRN	Medical Record Number in HL7 (Same as Patient ID in DICOM)

MSH	Message Header

NACK	Negative Acknowledgement

NK1	Next of Kin

NW	The order control code for new order that is used in ORC segment of HL7
	ORM Message

O	Optional for sDIS

OBR	The Observation Request segment that HL7 ORM message uses to transmit
	information specific to an order for a diagnostic study or observation, physical
	exam, or assessment.

ORC	The Common Order segment that HL7 ORM message uses to transmit fields
	that are common to all orders

ORM^O01	An HL7 General Order Message. Also referred to as an “Order” or “HL7
	Order” in this document.

PID	Patient ID or refers to the patient identification segment in a HL7 message.

PON	Short for Placer Order Number in this document - the order number assigned
	to the Service Request by the party placing the order.

PV1	Patient visit segment in a HL7 message which includes the patient class.

RP-RO	The order control code used for the order that is replacing the previous one. It
	is used in ORC segment of HL7 ORM Message. For each replacement order,
	ORC segment use ORC-1-order control value of RP, followed by another
	ORC segment with ORC-1-order control value of RO.

sDIS	syngo Dynamics Information System Features

SID	Site ID. Another name for an Assigning Authority (e.g. an Information System)
	from the HL7 Standard.

SID/PID	A Site ID and Patient ID combination.

SIU	Scheduling Information Unsolicited

UI	User Interface

WB	sDIS Whiteboard

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