XDS Metadata Submission Set

XDS Metadata Submission Set for Enterprise VNA

Revision: 17/09/14

Revision by: Neelam Dugar

Metadata / Radiology Report
(by RIS) / Radiology Request
(By Ordercomms or Pdf of scanned request card) / Radiology Image
(by PACS) / Cancellation Reason
(by RIS)
Source Patient Info-Name / Patient Name (HL7 PID—field 5) / Patient Name (Hl7 PID—field 5) / Patient Name (DICOM tags MUST be identical to Hl7 PID—field 5 in HL7 ORM) / Patient Name (HL7 PID—field 5)
Source Patient Info-DOB / DOB (Hl7 PID—field 7) / DOB (HL7 PID—field 7) / DOB (DICOM tags MUST be identical to HL7 PID—field 7 in HL7 ORM) / DOB (Hl7 PID—field 7)
Source Patient Info-Sex / Sex (HL7 PID—field 8) / Sex (HL7 PID—field 8) / Sex (DICOM tags MUST be identical to HL7 PID—field 8 in HL7 ORM) / Sex (HL7 PID—field 8)
SourcePatientInfo-Address / Address (HL7 PID—field 11) / Address (HL7 PID—field 11) / Address (DICOM tags MUST be identical to HL7 PID—field 11 in HL7 ORM) / Address (HL7 PID—field 11)
SourcePatientID
SourcePatientInfo-ID / PAS No. (HL7 PID—field 3—Internal ID) / PAS No. (HL7 PID—field 3—Internal ID) / PAS No. (DICOM tags MUST be identical to HL7 PID—field 3—Internal ID in HL7 ORM) / PAS No. (HL7 PID—field 3—Internal ID)
Patient ID
(note: NHS No. will be stored as a secondary ID in the VNA) / PAS No. (Internal ID--HL7 PID—field 3) / PAS No. (Internal ID--HL7 PID—field 3) / PAS No. (DICOM tags MUST be identical to Internal ID--HL7 PID—field 3 in HL7 ORM) / PAS No. (Internal ID--HL7 PID—field 3)
HealthcareFacilityTypeCode 1)
(Mandatory field in XDS) / Fixed Value –“NHS Trust”- for radiology reports created in Enterprise Zillion RIS / NHS Trust
GP Practice
Dental Practice / Fixed value “NHS Trust”
If DICOM images originate from a Enterprise Radiology PACS—Synpase-- / Fixed Value –“NHS Trust”- for radiology cancellation created in Zillion RIS
For ICE Cancellations call “NHS Trust” if ORC 17 (Enterers Institution is DBH (RP500))
Else use the values used for Radiology Request.
Author-Name 10) / a.  Primary Reporter Name with ID
- (HL7 OBR field 32--Principle result interpreter) / For paper requests: blank.
For electronic requests: name of author and ID passed from Ordercomms to RIS
Requester –Junior doctor, nurse specialist etc may be the referrers must include name and job-role as per NHS data dictionary (HL7 ORC Field 10-Entered by)
If this information is not passed by ICE Ordercomms in HL7 ORC10 for electronic requests, it will be left blank. / (leave blank for go-live)
NB: Normally this should be populated with DICOM tag: 0008,1070 : OperatorsName. However, currently Synpase cannot correct the DICOM tag with HL7 ORU OBR 34 (technician) before forwarding ot VNA—hence we will leave blank / Name of Person with ID
who Cancels the Request/Order
ORC 19—Actioned by ***
Legal Authenticator 10) / Primary Reporter name with ID (HL7 OBR field 32--Principle result interpreter) / Responsible Consultant/GP name with ID-GMC No.
(HL7 ORC Field 11—Verified by) / (leave blank for go-live)
NB: Normally this should be populated with DICOM tag: 0008,1070 : OperatorsName. However, currently Synpase cannot correct the DICOM tag with HL7 ORU OBR 34 (technician) before forwarding ot VNA—hence we will leave blank for go-live / Name of Person with ID who Cancels the Request/Order
ORC 19—Actioned by ***
Author-Role 2) 10) / Job Role Title (Position)
1.  Consultant
2.  Specialty Registrar
3.  Radiographer – Diagnostic, Specialist Practitioner
4.  Radiographer - Diagnostic
(HL7 OBR-field 32--Principle result interpreter / For paper requests: blank.
For electronic requests:
Job Role Title (Position). (HL7 ORC Field 10-Entered by)
If this information is not passed by ICE Ordercomms in HL7 ORC10 for electronic requests, it will be left blank. / (leave blank as no DICOM tag is available for this) / Job Role Title (Position)
1.  Consultant
2.  Specialty Registrar
3.  Radiographer - Diagnostic, Specialist Practitioner
4.  Radiographer - Diagnostic
Job title of Person who Cancels the Request/Order
ORC 19—Actioned by***
If this information is not passed by ICE Ordercomms in HL7 ORC19 for Cancellations in ICE, it will be left blank.
Author—Speciality 3) 10) / Specialty of person who issues the report
(HL7 OBR field 32--Principle result interpreter)
e.g
Radiology
Gynaecology
Cardiology etc / Paper requests:Use Specialty of Referring Consultant ORC11 e.g
General Medicine
General Surgery
General Medical Practice
Etc
(HL7 ORC Field 10—Entered by)
If this information is not passed by ICE Ordercomms in HL7 ORC10 for electronic ICE requests, use ORC11 linked specialty from RIS Reference files / Leave blank-there is no DICOM tag for this / Specialty of Person who Cancels the Request/Order
ORC 19—Actioned by***
If this information is not passed by ICE Ordercomms in HL7 ORC19 for ICE cancellations, use ORC11 linked specialty from RIS Reference files
Author—Institution 10) 11)
NHS Trust Name (NACS/ODS Code Description) / Fixed value, “RP5” from NACS/ODS Code description: “DONCASTER AND BASSETLAW HOSPITALS NHS FOUNDATION TRUST”
When radiology report originates from a Enterprise RIS--Zillion / Trust Name/GP Practice Name
Referring Consultants/GP Institution-Use NACS/ODS Codes for GP practice or Hospital name (Hl7 ORC Field 17—Enterers institution) / Fixed value, “RP5” from NACS/ODS Code description: “DONCASTER AND BASSETLAW HOSPITALS NHS FOUNDATION TRUST”
If DICOM images originate from a Enterprise Radiology PACS--Synpase / NHS Trust Name (NACS/ODS Code Description)
Fixed value, “RP5” from NACS/ODS Code description: “DONCASTER AND BASSETLAW HOSPITALS NHS FOUNDATION TRUST”
When radiology cancellation originates from a Enterprise RIS--Zillion
PracticeSettingCode 3)
Specifying the clinical specialty where the act that resulted in the document was performed
Specialty which will do the investigation/report--NHS data dictionary for Main specialty codes—e.g Radiology / Fixed Value : Radiology
When radiology report originates from a Enterprise RIS--Zillion / Referring Specialty: General Medicine, General Surgery , General Medical Practice, etc
(ORC segment Field 12 –Ordering Provider) / Fixed value “Radiology”
If DICOM images originate from a Enterprise Radiology PACS--Synapse / Value : Radiology
When radiology cancellation originates from a Enterprise RIS--Zillion
For ICE cancellations, use Referring Consultant’s linked specialty -ORC11
Class Code 3)
Specifying the main speciality which is associated with the document / Fixed Value : Radiology
When radiology report originates from a Enterprise RIS--Zillion / Fixed Value : Radiology
When radiology request is sent from a Enterprise RIS--Zillion / Fixed value “Radiology”
Sent by VNA (XDS Source)—If DICOM images originate from a Enterprise Radiology PACS--Synapse / Fixed Value : Radiology
When radiology cancellation originates from a Enterprise RIS—Zillion or ICE
Type Code 4)
Specifying the type of clinical activitity that resulted in placing in XDS. SNOMED CT coding / Radiology Report
Code—371527006
Fixed value: When radiology report originates from a Enterprise RIS--Zillion / Radiology Request
Code—24601000000109
Fixed value: When radiology report originates from a Enterprise RIS--Zillion / Imaging (procedure)
code—363679005
Fixed value—If DICOM images originate from a Enterprise Radiology PACS--Synapse / Reason for procedure cancellation
Code: 419617009
Fixed value: When radiology report originates from a Enterprise RIS--Zillion
Title of Document
(Use human readable descriptions of National Exam Codes—e.g CT Head) / National Exam Code descriptions
(HL7 OBR Field 4—Universal Service ID) / National Exam Code descriptions
(HL7 OBR Field 4—Universal Service ID) / National Exam Code descriptions
DICOM tag: 0008,1030: Study Description
This tag is updated and synchronised with HL7 OBR4 by Synapse before forwarding to VNA / National Exam Code descriptions
(HL7 OBR Field 4—Universal Service ID)
Reference ID (to link documents—not validated by IHE as yet. Documents can be linked by XDS folder structure as well) / Accession no. (HL7 OBR and ORC field 3-Filler Order No) / Accession no. (HL7 OBR and ORC field 3-Filler Order No) / Accession no. . (HL7 OBR and ORC field 3-Filler Order No)
DICOM tag: 0008,0050 :AccessionNumber / Accession no. (HL7 OBR and ORC field 3-Filler Order No)
Creation Time / Date & Time of Report Authorised
Results Date/Time (HL7 OBR Field 22) / Date & Time when Request Completed
Date and time of Request (ORC Field 9—Date/Time of transaction) / Date & Time of KOS publication
Take the value of Study Date (0008,0020) and Study Time (0008,0030) from the associated DICOM study / Date & Time of Cancellation
ORC -9 (See notes below)
Service Start Time / Date & Time of Report start/dictation / Date & Time of Request
Date and time of Request (ORC Field 9—Date/Time of transaction) / Date & Time of procedure
Take the value of Study Date (0008,0020) and Study Time (0008,0030) from the associated DICOM study / Date & Time of Cancellation
ORC 9 (See note below)
Service Stop Time / Date & Time of Report Authorised
Results Date/Time (HL7 OBR Field 22) / Date & Time of Request
Date and time of Request (ORC Field 9—Date/Time of transaction) / Date & Time of procedure
Take the value of Study Date (0008,0020) and Study Time (0008,0030) from the associated DICOM study / Date & Time of Cancellation
ORC 9 (See notes below)
Event Code
Represents the main clinical acts
a.  Modality 5)
b.  Body parts
c.  NICIP Codes
d. Associated Specialties 4)—Clinical specialties which have an association with this document. With Radiologu documents these will be the referrer specialty and provider specialty / a.  DICOM Modality Modality (OBR Field 24-Diagnostic serv set ID)
b.  NICIP Codes(HL7 OBR Field 4—Universal Service ID)
c.  Associated Specialties—Radiology plus Referring Specialty (ORC Field 12 –Ordering Provider) / a.  DICOM Modality Modality (OBR Field 24-Diagnostic serv set ID)
b.  NICIP Codes(HL7 OBR Field 4—Universal Service ID)
c.  Associated Specialties—Radiology plus Referring Specialty (ORC Field 12 –Ordering Provider) / a.  DICOM Modality
DICOM tag: 0008,0060 : Modality
Please see notes for event codes / a.  DICOM Modality Modality (OBR Field 24-Diagnostic serv set ID)
b.  NICIP Codes(HL7 OBR Field 4—Universal Service ID)
c.  Associated Specialties—Radiology plus Referring Specialty (ORC Field 12 –Ordering Provider)
LanguageCode / en-GB / en-GB / en-GB / en-GB
MimeType 7) / application/pdf / application/pdf / application/dicom
/ application/pdf
ConfidentialityCode 8) / Normal (usually) / Normal (usually)
/ Normal (usually)
/ Normal (usually)
FormatCode 9) / PDF/a / PDF/a / DICOM Manifest
/ PDF/a
EntryUUID / Assigned internally by VNA - never seen by users / Assigned internally by VNA - never seen by users / Assigned internally by VNA - never seen by users / Assigned internally by VNA - never seen by users
Source ID / From Rogan RIS-OID / From Rogan RIS-OID / From Perceptive-OID / From Rogan RIS-OID
Unique ID (document) / From Rogan RIS-OID / From Rogan RIS-OID / From Perceptive-OID / From Rogan RIS-OID
ContentTypeCode-(describes the types of content in the submission set from sources) / Radiology / Radiology / Radiology / Radiology
FolderCode (describes the types of documents within the XDS folder) / Radiology / Radiology / Radiology / Radiology

1)  NHS Data Dictionary – Organisation Type for HealthCare Facility Type Code

Values from: / http://www.datadictionary.nhs.uk/data_dictionary/attributes/o/org/organisation_type_de.asp?shownav=0
Coding scheme from: / http://www.hl7.org.uk/version3group/downloads/OidRootHl7UkOnly.html

2)  NHS Data Dictionary – Job Role

Values from: / http://www.datadictionary.nhs.uk/data_dictionary/attributes/j/job_role_code_de.asp

3)  NHS Data Dictionary – Main Specialty code

Description and value from: / http://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1
Coding scheme from: / http://www.hl7.org.uk/version3group/downloads/OidRootHl7UkOnly.html

4)  SNOMED-CT Coding Scheme 2.16.840.1.113883.6.96

5)  DICOM Part 3 Modality Codes (C 7.3.1.1.1)

6)  NICIP (National Interim Clinical Imaging Procedures) codeset

7) 

application/dicom
text/xml
image/jpeg
application/pdf
application/text

8)

Normal
Restricted
very restricted

9)

DICOM Manifest
PDF report
CDA Wrapped TEXT
CDA Imaging report with structured headings
Basic Patient Privacy Consent (no scanned part)
Basic Patient Privacy Consent (scanned part)
XDS-I PDF Report
XDS-I TEXT Report
PDF/a

10) Composite Data Type fields on Hl7 below:

ORC 10—Entered by

ORC 11—Verified by

OBR 32—Principle Result Interpreter

OBR 33—Assistant Result Interpreter

OBR 34—Technician

ORC 19—Actioned by

These are composite HL7 fields and should have the following data items within it

a.  Name

b.  ID (for example GMC number)

c.  Job-role—as per NHS data dictionary

d.  Main specialty—as per NHS data dictionary

e.  Institution—NACS code and description for NHS

11) NACS /ODSCode and description of NHS hospitals and GP/Dental Practices

http://www.datadictionary.nhs.uk/data_dictionary/attributes/o/org/organisation_code_de.asp?shownav=1

http://www.nhs.uk/NHSEngland/Hospitalmortalityrates/Documents/HSMR%20trusts%20tableApr09.pdf

The data is called “Organisation Data Service” and the various organisation types each have downloadable files of metadata.

The latest data is always available at

http://systems.hscic.gov.uk/data/ods/datadownloads

The link above takes you to the various pages for each organisation type. This can then be downloaded as various zipped CSV files.

The data for GP sites is in ‘GPs, GP Practices, Nurses and Pharmacies’ > ‘General Medical Practices’

Individual GPs are in another file called ‘General Medical Practitioners’

Other NHS organisations (such as other Acute Hospital Trusts) will be in ‘Other NHS organisations’ > NHS Trusts.

NHS NUMBER

NHS no is the External ID on HL7 fields—in the newer systems that have the later version of HL7 will use PID 3 for External ID—NHS no. However, in systems using older version of Hl7, may use PID 2 for NHS number—External ID.

NHS number will not be part of XDS metadata but will he held in the VNA database and updated via the PAS ADT feeds

This will become important for communicating with other NHS organisations using XCA gateway and via PIX manager

**Event Code for Doncaster Implementation

a.  Radiology Images—NICIP Codes(HL7 OBR Field 4—Universal Service ID) and Associated Specialties—Radiology plus Referring Specialty will NOT part of the Event codes in the XDS-I metadata set for radiology IMAGES for Doncaster Go-live. But should be considered in the roadmap

b.  Radiology Images will ONLY contain Modality only in event code metadata

c.  Report, Request and Cancellation Reason Event Code metadata will contain Modalities, NICIP codes and also Associated Specialties.

LINKING OF DOCUMENTS:

1.  XDS Folder Structure will be used for linking documents—Request, report and images. A folder is defined as a logical collection (or category) of documents. To “group” these documents together the “XDS Folder” can be used. A document can be a member of multiple folders.

2.  Reference IDs can also be used to link documents by the XDS consumer.

CLINICAL WORKFLOW –