Worklist Item with same accession number

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dcm learner

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Nov 1, 2023, 12:40:49 PM11/1/23
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Dears 
Currently whenever we have HL7 ORM for same accession number and different SPS ID, worklist item updates with last message parameters.

Is it possible to create a new MWL Item for every new message with different SPS ID and different body part?

Thanks,

fleetwoodfc

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Nov 1, 2023, 4:13:56 PM11/1/23
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Try using Requested Procedure ID (OBR-19) with SPS ID

Vrinda Nayak

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Nov 2, 2023, 1:20:13 AM11/2/23
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MWL record creation in archive is identified by unique Study Instance UID + Scheduled Procedure Step ID pair.
How does your HL7 Order message look like? What is the configuration of HL7 Order Missing Study Instance UID Policy?

dcm learner

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Nov 5, 2023, 2:50:53 AM11/5/23
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Hi Vrinda,

Please find below the orders:

HL7 Order 1 : Pelvis Xray - Left - A.P : ACC_NO-234100 : SPS_ID:353254

MSH|^~\&|Test-RIS|Test Site|TESTPACS|TESTPACS -TEST SITE|20230926134433||ORM^O01^ORM_O01|353254-39408|P|2.4||||||||
EVN|O01|20230926133745|20230926133801|02||
PID|||SRS11096^^^TEST SITE||AL MAHROOQI^KHALIL^SAIF MOHD||19780101000000|M
PV1||I||R||||-1001^*^DOC^ADMIN USER *|||||||||||1587818||||||||||||||||||||||||||||||||V
ORC|NW|353254^Test-RIS|234100|234100^TEST-RIS|SC|F|1^^^20230926133801^^R||20230926133745|-1001^*^DOC^ADMIN USER *||-1001^*^DOC^ADMIN USER *|||20230926133801||530^GENERAL MEDICINE
OBR||353254^TEST-RIS|353254|280^Pelvis X-Ray :: Left :: A.P.|||20230926133801||||||TEST||^^^A.P.^Left|-1001^*^DOC^ADMIN USER *||234100|XRAY1|353254|1.2.826.0.1.3680043.2.1048.4030022234100|||DX|||1^^^20230926133801^^R||||TEST|||0^^^||||||||||280^Pelvis X-Ray
ZDS|1.2.826.0.1.3680043.2.1048.4030022234100^TEST-RIS^Application^DICOM




HL7 Order 2 : Pelvis Xray - Left - Other Views : ACC_NO-234100 : SPS_ID:353255

MSH|^~\&|TEST-RIS|Test Site|TESTPACS|TESTPACS - Test Site|20230926134433||ORM^O01^ORM_O01|353255-39409|P|2.4||||||||
EVN|O01|20230926133745|20230926133801|02||
PID|||SRS11096^^^DTest Site||AL MAHROOQI^KHALIL^SAIF MOHD||19780101000000|M
PV1||I||R||||-1001^*^DOC^ADMIN USER *|||||||||||1587818||||||||||||||||||||||||||||||||V
ORC|NW|353255^TEST-RIS|234100|234100^TEST-RIS|SC|F|1^^^20230926133801^^R||20230926133745|-1001^*^DOC^ADMIN USER *||-1001^*^DOC^ADMIN USER *|||20230926133801||530^GENERAL MEDICINE
OBR||353255^TEST-RIS|353255|280^Pelvis X-Ray :: Left :: Other Views|||20230926133801||||||TEST||^^^Other Views^Left|-1001^*^DOC^ADMIN USER *||234100|XRAY1|353255|1.2.826.0.1.3680043.2.1048.4030022234100|||DX|||1^^^20230926133801^^R||||TEST|||0^^^||||||||||280^Pelvis X-Ray
ZDS|1.2.826.0.1.3680043.2.1048.4030022234100^TEST-RIS^Application^DICOM




HL7 Order 3 : Pelvis Xray - Left - Lateral : ACC_NO-234100 : SPS_ID-353256

MSH|^~\&|TEST-RIS|Test Site|TESTPACS|TESTPACS - Test Site|20230926134434||ORM^O01^ORM_O01|353256-39410|P|2.4||||||||
EVN|O01|20230926133745|20230926133801|02||
PID|||SRS11096^^^DTest Site||AL MAHROOQI^KHALIL^SAIF MOHD||19780101000000|M
PV1||I||R||||-1001^*^DOC^ADMIN USER *|||||||||||1587818||||||||||||||||||||||||||||||||V
ORC|NW|353256^TEST-RIS|234100|234100^TEST-RIS|SC|F|1^^^20230926133801^^R||20230926133745|-1001^*^DOC^ADMIN USER *||-1001^*^DOC^ADMIN USER *|||20230926133801||530^GENERAL MEDICINE
OBR||353256^TEST-RIS|353256|280^Pelvis X-Ray :: Left :: Lateral|||20230926133801||||||TEST||^^^Lateral^Left|-1001^*^DOC^ADMIN USER *||234100|XRAY1|353256|1.2.826.0.1.3680043.2.1048.4030022234100|||DX|||1^^^20230926133801^^R||||TEST|||0^^^||||||||||280^Pelvis X-Ray
ZDS|1.2.826.0.1.3680043.2.1048.4030022234100^TEST-RIS^Application^DICOM

Ideally we want to create 3 worklist items for each of the order.
Also please find below:

image.png

Please check and let me know what I need to change in configuration.

Thanks,


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fleetwoodfc

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Nov 5, 2023, 9:00:08 PM11/5/23
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Multiple ORC/OBR segments seems to work e.g.

MSH|^~\&|Test-RIS|Test Site|TESTPACS|TESTPACS -TEST SITE|20230926134433||ORM^O01^ORM_O01|353254-39408|P|2.4||||||||
EVN|O01|20230926133745|20230926133801|02||
PID|||SRS11096^^^TEST SITE||AL MAHROOQI^KHALIL^SAIF MOHD||19780101000000|M
PV1||I||R||||-1001^*^DOC^ADMIN USER *|||||||||||1587818||||||||||||||||||||||||||||||||V
ORC|NW|353254^Test-RIS|234100|234100^TEST-RIS|SC|F|1^^^20230926133801^^R||20230926133745|-1001^*^DOC^ADMIN USER *||-1001^*^DOC^ADMIN USER *|||20230926133801||530^GENERAL MEDICINE
OBR|1|353254^TEST-RIS|353254|Pelvis X-Ray :: Left :: A.P.|||20230926133801||||||TEST||^^^A.P.^Left|-1001^*^DOC^ADMIN USER *||234100|XRAY1|353254|1.2.826.0.1.3680043.2.1048.4030022234100|||DX|||1^^^20230926133801^^R||||TEST|||0^^^||||||||||280^Pelvis X-Ray

ORC|NW|353255^TEST-RIS|234100|234100^TEST-RIS|SC|F|1^^^20230926133801^^R||20230926133745|-1001^*^DOC^ADMIN USER *||-1001^*^DOC^ADMIN USER *|||20230926133801||530^GENERAL MEDICINE
OBR|2|353255^TEST-RIS|353255|Pelvis X-Ray :: Left :: Other Views|||20230926133801||||||TEST||^^^Other Views^Left|-1001^*^DOC^ADMIN USER *||234100|XRAY1|353255|1.2.826.0.1.3680043.2.1048.4030022234100|||DX|||1^^^20230926133801^^R||||TEST|||0^^^||||||||||280^Pelvis X-Ray

ORC|NW|353256^TEST-RIS|234100|234100^TEST-RIS|SC|F|1^^^20230926133801^^R||20230926133745|-1001^*^DOC^ADMIN USER *||-1001^*^DOC^ADMIN USER *|||20230926133801||530^GENERAL MEDICINE
OBR|3|353256^TEST-RIS|353256|Pelvis X-Ray :: Left :: Lateral|||20230926133801||||||TEST||^^^Lateral^Left|-1001^*^DOC^ADMIN USER *||234100|XRAY1|353256|1.2.826.0.1.3680043.2.1048.4030022234100|||DX|||1^^^20230926133801^^R||||TEST|||0^^^||||||||||280^Pelvis X-Ray
ZDS|1.2.826.0.1.3680043.2.1048.4030022234100^TEST-RIS^Application^DICOM

Vrinda Nayak

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Nov 6, 2023, 6:21:28 AM11/6/23
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As for supporting multiple Scheduled Procedure Steps for a single Requested Procedure, these should be sent in its own ORC-OBR pair. See
> Each ORM message shall contain as many ORC/OBR pairs as there are Protocol Codes in all Scheduled Procedure Steps for that Requested Procedure

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