DICOM PS3.20 2025a - Imaging Reports using HL7 Clinical Document Architecture

8.2.3 inFulfillmentOf/Order and @ID

An inFulfillmentOf element represents the Placer Order. There may be more than one inFulfillmentOf element in the case where a single report is fulfilling multiple orders. There SHALL be one inFulfillmentOf/order for each distinct Order associated with the report.

In each inFulfillmentOf/order there SHALL be one order/id for the Placer Order Number (0040,2016). There SHALL be one order/ps3-20:accessionNumber for the DICOM Accession Number (0008,0050) associated with the order. The ps3-20:accessionNumber SHALL be Data Type II; it SHALL have a UID root attribute identifying its assigning authority, and the DICOM Accession Number SHALL be in the extension attribute.

Example 8.2.3-1. inFulfillmentOf example

<xs:schema ...
    xmlns:ps3-20="urn:dicom-org:ps3-20"
    ...
</xs:schema>
<inFulfillmentOf>
    <order>
        <id extension="089-927851" root="2.16.840.1.113883.19.4.33"/>
        <!-- {extension} =
          Placer Order Number/Imaging Service Request (0040,2016) {root} =
          Order Placer Identifier Sequence (0040,0026) > Universal Entity ID (0040,0032) -->
        <ps3-20:accessionNumber extension="10523475" root="2.16.840.1.113883.19.4.27" />
        <!-- {extension}=
          Accession Number (0008,0050) {root} =
          Issuer of Accession Number Sequence (0008,0051) > Universal Entity ID (0040,0032) -->
        <code code="RPID24"
            displayName="CT HEAD WITH IV CONTRAST"
            codeSystem="2.16.840.1.113883.6.256"
            codeSystemName="RadLex Playbook">
        <!-- Ordered Procedure Code is
          Requested Procedure Code Sequence (0032,1064) -->
    </order>
</inFulfillmentOf>

DICOM PS3.20 2025a - Imaging Reports using HL7 Clinical Document Architecture