Open MWL orders for multiple modalities

diegog · Post by **diegog** » Wed Jun 11, 2014 6:25 pm

I need to open MWL orders from the Modality Worklist page for multiple Scheduled AE Station but with same accession number.

We have a paper scanner connected to GinkgoCAD Pro Dicomizer that can get MWL from Pacsone.

When we enter 1 order for one AET in pacsone it appear on the GinkgoCAD but we need the same order number be in the CT order so both CT scan and the paper scan image match on the pacsone database and display inside same study on Meddream viewer.

I appreciate someone give me the syntaxis to add 2 AET in the Modality Worklist>Enter Worklist>Scheduled AE Station.

Thanks

Post by **pacsone** » Thu Jun 12, 2014 4:38 pm

You can enter only 1 Scheduled AE Station from the Modality Worklist>Enter Worklist page, so did you try entering another order from that page but specify a different Scheduled AE Station?

diegog · Post by **diegog** » Fri Jun 13, 2014 11:40 am

Most of the brokers applications allow you to split or multiply orders to different modalities.

What I need to avoid is to "enter 2 times each order" : one for the CT study and the other for the DICOM paper scanner.

If I create a new order for the scanner, then the new order will have a different order number (autogenerated by Pacsone) so will not be merged in the Pacsone once received both the DICOM file of the paper scan and the CT.

Do you have any workaround or any way to do it?

Thanks,

Diego

diegog · Post by **diegog** » Fri Jun 13, 2014 12:30 pm

It is possible the pacsone not filter MWL by AET?
It is possible to change this function in the MWL server?

If so we can send all the orders to the DICOM scanner once requested instead of scanner only orders.

Let me know.

Diego

Post by **pacsone** » Fri Jun 13, 2014 4:03 pm

Maybe we can add a <Clone> button to duplicate an existing worklist order where you can change only the Scheduled AE Station field and enter it as a new order?

Post by **pacsone** » Fri Jun 13, 2014 4:07 pm

diegog wrote:It is possible the pacsone not filter MWL by AET?

Yes, if you change the Dicom Modality Worklist (DMWL) query key attributtes sent from your DMWL client, e.g., instead of limiting the Scheduled AE Station to a specific AE Title, you can use wildcard characters such as '*' or '?' in the AE Title key attribute, so that PacsOne Server will use Wildcard Pattern Matching on the Scheduled AE Station key when running the DMWL queries.

diegog · Post by **diegog** » Fri Jun 20, 2014 10:45 am

Does Pacsone includes in each MWL item Study instance UID?

What is the real function of Enable Patient Reconciliation Feature and
Enable Study Reconciliation Feature?

It will merge 2 studies with same patient ID, same patient name, sex, age and accession number?

Thanks,

Diego

Post by **pacsone** » Fri Jun 20, 2014 12:39 pm

Yes, PacsOne Server assigns a GUID (Globally Unique UID) for each DMWL record it creates.

If the Patient/Study Reconciliation features are enabled, PacsOne will use the patient demographics information, e.g., Patient Name, DOB, sex, etc. from the Dicom Modality Worklist (DMWL) record or the HL7 ORM message received for the same Patient ID, and overwrite any existing patient demographics information from the Dicom studies with those from the DMWL/HL7 ORM message.

diegog · Post by **diegog** » Sat Jun 21, 2014 7:31 pm

Thanks,
In our installation Pacsone does NOT conciliate (does not put together) two studies that have "same" accession number (0008,0050) ID, Name, etc.
We are using Pacsone MWL orders to dicomize scanned medical orders using Ginkgo CAD Pro software.
CT is receiving same orders so both must shown together as different series into same study.

1-Globally Unique UID means Study Instance UID (0020,000D)?
2-Does Pacsone MWL fill up tag (0020,000D)?
3-Were can I see the tag tag (0020,000D) of the MWL, page http:\\server\worklist.php?uid= only show a UID for example 1.2.826.0.1.3680043.2.737.13946.2014.6.21.8.19.7. Is this a Study Instance UID?

Thanks,

Post by **pacsone** » Sun Jun 22, 2014 1:49 pm

1. Accession Numbers are not globally unique so they can NOT be used as keys to the Dicom Modality Worklist (DMWL) table.

2. Yes, PacsOne Server assigns the Study Instance UID (0020,000D) for the DMWL records, and they are used as keys for the DMWL table because they are GUIDs (Globally Uniqeue ID).

3. Yes, the UID string you see is the Study Instance UID and it's used as the key to the DMWL table.

diegog · Post by **diegog** » Mon Jun 23, 2014 3:51 pm

Sorry but I don't understand.
How we can force Pacsone database to "show" 1 study and the dicomized paper scan or the 3D reconstruction of this exam as a new series "into the same exam"?

Can you please give me a solution?

This is very common PACS issue that I saw implementations like this in several systems

Thanks

Diego

Post by **pacsone** » Tue Jun 24, 2014 1:34 pm

diegog wrote: How we can force Pacsone database to "show" 1 study and the dicomized paper scan or the 3D reconstruction of this exam as a new series "into the same exam"?

All you need to do is to encode the same Study Instance UID (0020,000d) of the existing study in the new 3D reconstruction series, and PacsOne will list both the existing series and the new 3D reconstructions series under the same existing Dicom study.