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®

syngo Dynamics HL7 Interface Specifications Manual

SOFTWARE VERSION VA10

syngo® Dynamics HL7 Interface Specifications Manual

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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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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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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.

 

 

 

 

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

Copyright

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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