7.1.5.1.1.10. Patient Record

7.1.5.1.1.10.1. Trigger Events

This message is emitted by the archive whenever :

  • Patient is created by UI / HL7 messages / object storage

  • Patient record is updated by UI / HL7 message / PDQ Service

  • Patient records are deleted by UI / scheduler

  • One or more patients are merged by UI / HL7 messages

  • HL7 messages (ADT/Order/ORU) accepted (= also not processed) or processed by archive

  • HL7 messages (ADT/Order/ORU) forwarded by archive to external HL7 receivers

  • Patient created / updated / merged / changePatientID on external archive

  • Patient record updated by Supplement Issuer of PatientID service.

  • Patient record created / updated by Change Patient associated to Study service.

7.1.5.1.1.10.2. Message Structure

Table 7.55 Entities in Patient Record Audit Message

Event: Patient Record

Active Participant : Initiator

Not present when patient is deleted by the scheduler

Active Participant : Archive application

Audit Source

Participant Object Identification : Patient
Table 7.56 Event: Patient Record

Field Name

Opt

Description

EventID

M
EV (110110, DCM, ‘Patient Record’)

EventActionCode

M
Create : ‘C’
Update : ‘U’
Delete : ‘D’

EventDateTime

M
The time at which the event occurred

EventOutcomeIndicator

M
Success : ‘0’
Minor failure : ‘4’

EventOutcomeDescription

M
Error/Exception message when EventOutcomeIndicator : ‘4’
Table 7.57 Active Participant : Initiator

Field Name

Opt

Description

UserID

M
HL7 messages : ‘Sending Application and Facility’
Triggered from UI : ‘Remote IP address’ or ‘User name of logged in user’
Triggered by object storage : ‘Calling AE title in association’

UserIDTypeCode

U
HL7 messages : EV (HL7APP, 99DCM4CHEE, ‘Application and Facility’)
Triggered from UI (secured archive) : EV (113871, DCM, ‘Person ID’)
Triggered from UI (unsecured archive) : EV (110182, DCM, ‘Node ID’)
Triggered by object storage : EV (110119, DCM, ‘Station AE Title’)

UserTypeCode

U
Triggered from UI : Person : ‘1’
All other cases : Application : ‘2’

UserIsRequestor

M
true

RoleIDCode

M
EV (110153, DCM, ‘Source’)

NetworkAccessPointID

U
Hostname/IP Address of calling host

NetworkAccessPointTypeCode

U
NetworkAccessPointID is host name : ‘1’
NetworkAccessPointID is an IP address : ‘2’
Table 7.58 Active Participant : Archive application

Field Name

Opt

Description

UserID

M
HL7 messages : ‘Receiving Application and Facility’
Triggered from UI : ‘Request URI’
Triggered by object storage : ‘Called AE title in association’
Triggered by scheduler : ‘Archive device name’

UserIDTypeCode

U
HL7 messages : EV (HL7APP, 99DCM4CHEE, ‘Application and Facility’)
Triggered from UI : EV (12, RFC-3881, ‘URI’)
Triggered by object storage : EV (110119, DCM, ‘Station AE Title’)
Triggered by scheduler : EV (113877, DCM, ‘Device Name’)

UserTypeCode

U
Application : ‘2’

AlternativeUserID

MC
Process ID of Audit logger

UserIsRequestor

M
Patient deletion triggered by scheduler : ‘true’
All other cases : ‘false’

RoleIDCode

M
EV (110152, DCM, ‘Destination’)

NetworkAccessPointID

U
Hostname/IP Address of the connection referenced by Audit logger

NetworkAccessPointTypeCode

U
NetworkAccessPointID is host name : ‘1’
NetworkAccessPointID is an IP address : ‘2’
Table 7.59 Participant Object Identification : Patient

Field Name

Opt

Description

Note

ParticipantObjectID

M

Patient ID or <none> if unknown

ParticipantObjectTypeCode

M

Person : ‘1’

ParticipantObjectTypeCodeRole

M

Patient : ‘1’

ParticipantObjectIDTypeCode

M

EV (2, RFC-3881, ‘Patient Number’)

ParticipantObjectName

U

Patient Name

ParticipantObjectDataLifeCycle

U

Verification ⇒ ‘4’

Present only for audits triggered by PDQ Service

ParticipantObjectDetail

U

If Patient record created/updated/deleted by HL7 messages : ‘type=HL7v2 Message value=<Base-64 encoded HL7 message>’

ParticipantObjectDetail

U

If Patient record created/updated/deleted by HL7 messages : ‘type=HL7v2 Message value=<Base-64 encoded HL7 response>’

ParticipantObjectDetail

U

‘type=MSH-9 value=<Base-64 encoded HL7 message type>’

ParticipantObjectDetail

U

‘type=MSH-10 value=<Base-64 encoded HL7 message control ID>’

ParticipantObjectDetail

U

‘type=MSH-9 value=<Base-64 encoded HL7 response message type>’

ParticipantObjectDetail

U

‘type=MSH-10 value=<Base-64 encoded HL7 response message control ID>’

7.1.5.1.1.10.3. Sample Message

Patient created by HL7 ADT message

<?xml version="1.0" encoding="UTF-8" standalone="yes"?>
<AuditMessage xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="http://www.dcm4che.org/DICOM/audit-message.rnc">
    <EventIdentification EventActionCode="C" EventDateTime="2018-09-11T11:43:05.007+02:00" EventOutcomeIndicator="0">
        <EventID csd-code="110110" codeSystemName="DCM" originalText="Patient Record"/>
    </EventIdentification>
    <ActiveParticipant UserID="DCM4CHEE|DCM4CHEE" AlternativeUserID="9132" UserIsRequestor="false" UserTypeCode="2" NetworkAccessPointID="localhost" NetworkAccessPointTypeCode="1">
        <RoleIDCode csd-code="110152" codeSystemName="DCM" originalText="Destination Role ID"/>
        <UserIDTypeCode csd-code="HL7APP" codeSystemName="99DCM4CHEE" originalText="Application and Facility"/>
    </ActiveParticipant>
    <ActiveParticipant UserID="PAMSimulator|IHE" UserIsRequestor="true" UserTypeCode="2" NetworkAccessPointID="localhost" NetworkAccessPointTypeCode="1">
        <RoleIDCode csd-code="110153" codeSystemName="DCM" originalText="Source Role ID"/>
        <UserIDTypeCode csd-code="HL7APP" codeSystemName="99DCM4CHEE" originalText="Application and Facility"/>
    </ActiveParticipant>
    <AuditSourceIdentification AuditSourceID="dcm4chee-arc">
        <AuditSourceTypeCode csd-code="4"/>
    </AuditSourceIdentification>
    <ParticipantObjectIdentification ParticipantObjectID="MM2^^^JMS~MM2^^^JMS1&1.2.3&ISO~MM2^^^JMS2~MM2^^^&1.2.3.4.5.6.7&ISO" ParticipantObjectTypeCode="1" ParticipantObjectTypeCodeRole="1">
        <ParticipantObjectIDTypeCode csd-code="2" originalText="Patient Number" codeSystemName="RFC-3881"/>
        <ParticipantObjectName>Berger^Oliver^^^^^L</ParticipantObjectName>
        <ParticipantObjectDetail type="HL7v2 Message" value="TVNIfF5+XCZ8UEFNU2ltdWxhdG9yfElIRXxEQ000Q0hFRXxEQ000Q0hFRXwyMDE2MDYwMjE0Mjg1Nnx8QURUXkEyOF5BRFRfQTA1fDIwMTYwNjAyMTQyODU2fFB8Mi41fHx8fHx8QVNDSUlbQ1JdDQpFVk58fDIwMTYwNjAyMTQyODU2DQpQSUR8fHxNRUU0LTU0Nzk4Xl5eTUVFNCYxLjMuNi4xLjQuMS4xMjU1OS4xMS4xLjQuMS4yJklTT15QSXx8QmVyZ2VyXk9saXZlcl5eXl5eTHxTY2h1c3Rlcl5eXl5eXk18MTk5NDEwMjV8TXx8fEdhc3RlaWd3ZWdeXkhhbGxlaW5eXjU0MDBeQVVUfHxeUFJOXlBIfHx8fENBVHwxMTIyOV5eXklIRVBBTSYxLjMuNi4xLjQuMS4xMjU1OS4xMS4xLjIuMi41JklTT15BTnx8fHx8fHx8fHx8fHxOW0NSXQ0KUFYxfHxO"/>
        <ParticipantObjectDetail type="HL7v2 Message" value="TVNIfF5+XCZ8RENNNENIRUV8RENNNENIRUV8UEFNU2ltdWxhdG9yfElIRXwyMDE4MDkxMTExNDMwNC4yNzR8fEFDS15BMjheQUNLfDE2OTE3ODcwNTN8UHwyLjV8fHx8fHxBU0NJSVtDUl0NTVNBfEFBfDIwMTYwNjAyMTQyODU2fA=="/>
        <ParticipantObjectDetail type="MSH-9" value="QURUXkEyOA=="/>
        <ParticipantObjectDetail type="MSH-10" value="MjAxNjA2MDIxNDI4NTY="/>
        <ParticipantObjectDetail type="MSH-9" value="QUNLXkEyOA=="/>
        <ParticipantObjectDetail type="MSH-10" value="MTY5MTc4NzA1Mw=="/>
    </ParticipantObjectIdentification>
</AuditMessage>

Patient created on study stored to archive using C-STORE

<?xml version="1.0" encoding="UTF-8"?>
<AuditMessage xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="http://www.dcm4che.org/DICOM/audit-message.rnc">
   <EventIdentification EventActionCode="C" EventDateTime="2019-02-05T18:16:46+01:00" EventOutcomeIndicator="0">
      <EventID csd-code="110110" codeSystemName="DCM" originalText="Patient Record" />
      <EventOutcomeDescription>UNVERIFIED</EventOutcomeDescription>
   </EventIdentification>
   <ActiveParticipant UserID="DCM4CHEE" AlternativeUserID="5726" UserIsRequestor="false" UserTypeCode="2" NetworkAccessPointID="localhost" NetworkAccessPointTypeCode="1">
      <RoleIDCode csd-code="110152" codeSystemName="DCM" originalText="Destination Role ID" />
      <UserIDTypeCode csd-code="110119" codeSystemName="DCM" originalText="Station AE Title" />
   </ActiveParticipant>
   <ActiveParticipant UserID="STORESCU" UserIsRequestor="true" UserTypeCode="2" NetworkAccessPointID="localhost" NetworkAccessPointTypeCode="1">
      <RoleIDCode csd-code="110153" codeSystemName="DCM" originalText="Source Role ID" />
      <UserIDTypeCode csd-code="110119" codeSystemName="DCM" originalText="Station AE Title" />
   </ActiveParticipant>
   <AuditSourceIdentification AuditSourceID="dcm4chee-arc">
      <AuditSourceTypeCode csd-code="4" />
   </AuditSourceIdentification>
   <ParticipantObjectIdentification ParticipantObjectID="CR3" ParticipantObjectTypeCode="1" ParticipantObjectTypeCodeRole="1">
      <ParticipantObjectIDTypeCode csd-code="2" originalText="Patient Number" codeSystemName="RFC-3881" />
      <ParticipantObjectName>CRTHREE^PAUL</ParticipantObjectName>
   </ParticipantObjectIdentification>
</AuditMessage>

Patient created on study stored to archive using STOW-RS

<?xml version="1.0" encoding="UTF-8"?>
<AuditMessage xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="http://www.dcm4che.org/DICOM/audit-message.rnc">
   <EventIdentification EventActionCode="C" EventDateTime="2019-02-05T18:20:00+01:00" EventOutcomeIndicator="0">
      <EventID csd-code="110110" codeSystemName="DCM" originalText="Patient Record" />
      <EventOutcomeDescription>UNVERIFIED</EventOutcomeDescription>
   </EventIdentification>
   <ActiveParticipant UserID="/dcm4chee-arc/aets/DCM4CHEE/rs/studies" AlternativeUserID="5726" UserIsRequestor="false" UserTypeCode="2" NetworkAccessPointID="localhost" NetworkAccessPointTypeCode="1">
      <RoleIDCode csd-code="110152" codeSystemName="DCM" originalText="Destination Role ID" />
      <UserIDTypeCode csd-code="12" codeSystemName="RFC-3881" originalText="URI" />
   </ActiveParticipant>
   <ActiveParticipant UserID="127.0.0.1" UserIsRequestor="true" UserTypeCode="1" NetworkAccessPointID="127.0.0.1" NetworkAccessPointTypeCode="2">
      <RoleIDCode csd-code="110153" codeSystemName="DCM" originalText="Source Role ID" />
      <UserIDTypeCode csd-code="110182" codeSystemName="DCM" originalText="Node ID" />
   </ActiveParticipant>
   <AuditSourceIdentification AuditSourceID="dcm4chee-arc">
      <AuditSourceTypeCode csd-code="4" />
   </AuditSourceIdentification>
   <ParticipantObjectIdentification ParticipantObjectID="4785133^^^UKL" ParticipantObjectTypeCode="1" ParticipantObjectTypeCodeRole="1">
      <ParticipantObjectIDTypeCode csd-code="2" originalText="Patient Number" codeSystemName="RFC-3881" />
      <ParticipantObjectName>Fengler^Klaus</ParticipantObjectName>
   </ParticipantObjectIdentification>
</AuditMessage>

Patient created using UI

<?xml version="1.0" encoding="UTF-8"?>
<AuditMessage xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="http://www.dcm4che.org/DICOM/audit-message.rnc">
   <EventIdentification EventActionCode="C" EventDateTime="2019-02-05T18:07:26+01:00" EventOutcomeIndicator="0">
      <EventID csd-code="110110" codeSystemName="DCM" originalText="Patient Record" />
      <EventOutcomeDescription>UNVERIFIED</EventOutcomeDescription>
   </EventIdentification>
   <ActiveParticipant UserID="/dcm4chee-arc/aets/DCM4CHEE/rs/patients/" AlternativeUserID="5726" UserIsRequestor="false" UserTypeCode="2" NetworkAccessPointID="localhost" NetworkAccessPointTypeCode="1">
      <RoleIDCode csd-code="110152" codeSystemName="DCM" originalText="Destination Role ID" />
      <UserIDTypeCode csd-code="12" codeSystemName="RFC-3881" originalText="URI" />
   </ActiveParticipant>
   <ActiveParticipant UserID="127.0.0.1" UserIsRequestor="true" UserTypeCode="1" NetworkAccessPointID="127.0.0.1" NetworkAccessPointTypeCode="2">
      <RoleIDCode csd-code="110153" codeSystemName="DCM" originalText="Source Role ID" />
      <UserIDTypeCode csd-code="110182" codeSystemName="DCM" originalText="Node ID" />
   </ActiveParticipant>
   <AuditSourceIdentification AuditSourceID="dcm4chee-arc">
      <AuditSourceTypeCode csd-code="4" />
   </AuditSourceIdentification>
   <ParticipantObjectIdentification ParticipantObjectID="P-00000001" ParticipantObjectTypeCode="1" ParticipantObjectTypeCodeRole="1">
      <ParticipantObjectIDTypeCode csd-code="2" originalText="Patient Number" codeSystemName="RFC-3881" />
   </ParticipantObjectIdentification>
</AuditMessage>