Clinical

1
Clinical Document
Clinical Document
Patient Medical History / Relevant Prior Documents
Clinical Summary Report
HL7 Message
Inclusion into


Order
Specialized Dignostics/ Interventions
Image Data Post-Processing
Summary/ Extract
Image Data
Derived Image Data
Obser- vations
SR -gt CDA Rel.2 Transformation
Evidence Document
Summary/ Extract
Evidence Doc Export
Interpretation
Imaging Report Export
CCOW Access
Convey relevant information of clinical
document
Observations Conclusions Diagnoses
HL7 CDA
Imaging Report
Evidence Doc Import
DICOM SR
On one or more Imaging procedures
2
Patient Medical History / Relevant Prior Documents
Clinical Document

• HL7 Order Message containing
• Reference pointer to CDA document
• or
• MIME encoded CDA document

Departmental Information System e.g. Radiology
Information System
Order
DIS

• Discussion of different options
• MWL/GPWL Reference Pointers to CDA Documents
  (Suppl.101)
• Transformation of meaningful parts of the
  clinical document CDA -gt DICOM SR
• DICOM Encapsulation of CDA and CDR (Supl.114)
• DICOM Encapsulation of PDF Documents (Supl.104)

Modality/ Workstation