1221
|
TBR_SCHEDULER
|
TBR Scheduler
|
Participant responsible for the scheduling of the Tumor Board Review, by providing one of the timeslots for the requested TBR
|
|
6
|
PS
|
Print Server
|
A system that accepts and processes DICOM print requests as a DICOM Print SCP and performs image rendering on hardcopy media. The system must support pixel rendering according to the DICOM Grayscale Standard Display Function.
|
|
62
|
IMG_DOC_SOURCE
|
Imaging Document Source
|
Publishes imaging data and makes it available for retrieval.
|
|
28
|
TIME_CLIENT
|
Time Client
|
Establishes time synchronization with one or more Time Servers using the NTP protocol and either the NTP or SNTP algorithms. Maintains the local computer system clock synchronization with UTC based on synchronization with the Time Servers.
|
|
1261
|
STEROTACTIC_ARC_BEAM_PRODUCER
|
Stereotactic Arc Beam Producer
|
A Treatment Planning System (TPS) capable of producing a radiation therapy treatment plan with stereotactic arc treatment beams.
|
|
57
|
X_ID_PROVIDER
|
X-Identity Provider
|
This actor has authoritative identity information on the human user that is operating the X-Service User actor.
|
|
169
|
HITSP_Med_Ord_Flr
|
HITSP Medication Order Filler
|
The Medication Order Filler responds to the requests for medication orders/prescriptions. This includes the ability to respond to: new orders, refill orders, change orders and cancel orders. These responses are sent to the Medication Order Prescriber.
|
|
1320
|
PROTOCOL_ARCHIVE
|
Protocol Archive
|
Stores protocols and supports query and retrieval.
|
|
1252
|
STATIC_ELECTRON_BEAM_CONSUMER
|
Static Electron Beam Consumer
|
A Treatment Planning System (TPS) capable of consuming a radiation therapy treatment plan with static electron treatment beams.
|
|
1217
|
WORKFLOW_MONITOR
|
Workflow Monitor
|
|
|
106
|
DOSE_REGISTER
|
Dose Register
|
Collates information about irradiation events from a number of facilities, generally to perform analysis.
|
|
1222
|
TBR_PREPARATOR
|
TBR Preparator
|
Any Participant that is part of the Tumor Board, and involved in the review process
|
|
32
|
ID
|
Image Display
|
A part of a system that can access imaging evidence objects (images, Presentation States, Key Image Notes, Evidence Documents) through network query/retrieve or reading interchange media and allow the user to view these objects.
|
|
55
|
NOTIFICATION_SENDER
|
Notification Sender
|
This actor sends notifications of availability for documents in an XDS registry, and receives acknowledgements of these notifications.
|
|
1316
|
EVENT_REPORTER
|
Event Reporter
|
Composes and sends event reports to other actors.
|
|
42
|
DOC_CONSUMER
|
Document Consumer
|
The Document Consumer Actor queries a Document Registry Actor for documents meeting certain criteria, and retrieves selected documents from one or more Document Repository actors.
|
|
1287
|
PAT_LOC_TRACKING_MGR
|
Patient Location Tracking Manager
|
Manages patient locations within an enterprise.
|
|
1264
|
BASIC_STATIC_MLC_BEAM_PRODUCER
|
Basic Static MLC Beam Producer
|
|
|
138
|
DECISION_SUPPORT
|
Decision Support Service
|
Decision Support Service
|
|
21
|
DISPLAY
|
Display
|
A system that offers requesting of specific information or documents for display the healthcare information returned
|
|
78
|
DEV_OBS_FILTER
|
Device Observation Filter
|
The Device Observation Filter (DOF) actor is responsible for providing PCD data filtering services based on publish/subscribe predicates negotiated with client applications implementing the Device Observation Consumer.
|
|
1274
|
RESEARCH_INFO_SOURCE
|
Research Information Source
|
TBD
|
|
159
|
HITSP_Pseudoymisation_SVC
|
HITSP Pseudonymization Services
|
Module or service that can be invoked by Patient Identifier Cross-Reference (PIX) Manager (see next section) to return pseudo-identifier upon request
|
|
1331
|
POLICY_SRC
|
Policy Source
|
|
|
1297
|
ALERT_RPT
|
Alert Reporter
|
The Alert Reporter originates the alert (an alarm, either physiological or technical, or an advisory).
|
|
1280
|
INFO_SRC_HL7
|
Information Source (HL7)
|
The Information Source Actor is responsible for creating and transmitting an HL7 V2.5.1 message to an Information Recipient.
|
|
1203
|
WORKITEM_PERFORMER
|
Workitem Performer
|
provides management, query access and notifications for workitems in a worklist.
|
|
45
|
PAT_ID_SRC
|
Patient Identity Source
|
Each Patient Identification Domain requires this Actor to assign patient identities and to notify a Patient Identity Cross-reference Manager Actor of all events related to patient identification (creation, update, merge, etc.). For example, the Registration (ADT) Actor defined by the radiology Scheduled Workflow Profile would likely be a Patient Identity Source.
|
|
48
|
SNS
|
Secure Node Server
|
|
|
1245
|
HARD_WEDGE_BEAM_CONSUMER
|
Hard Wedge Beam Consumer
|
A Treatment Planning System (TPS) capable of consuming a radiation therapy treatment plan with static treatment beams using physical wedges.
|
|
1271
|
METADATA_CONSUMER
|
Metadata Consumer
|
The Metadata Consumer is responsible for the importation of metadata created by the Metadata Source. The Metadata Consumer can optionally query the Metadata Source for a list of Data Elements matching a selection criteria.
|
|
160
|
HITSP_Eligibility_info_receiver
|
Eligibility Information Receiver
|
The system that initiates an inquiry to the Eligibility Information Source about an individual’s insurance eligibility, coverage and benefits
|
|
16
|
MOD
|
Acquisition Modality
|
- acquires and creates medical images, e.g. a Computed Tomography scanner or Nuclear Medicine camera. A modality may also create Grayscale Softcopy Presentation States for the consistent viewing of images and create Key Image Notes.
|
|
166
|
HITSP_Admin_Transport_Client
|
HITSP Administrative Transport Client
|
A provider sending a request to a health plan has a client role
|
|
120
|
PMS
|
Portable Media Sender
|
The Portable Media Sender actor will never appear in an Integration Statement, since it only exists in the context of the Sending Software Option of the Portable Media Creator
|
|
1317
|
EVENT_REPOSITORY
|
Event Repository
|
Receives and manages event reports.
|
|
180
|
APPT_SCHEDULER
|
Appointment Scheduler
|
A system that handles requests for appointments and requests for appointment information. The system is responsible for providing schedule information including both appointments requested by the Appointment Requester Actor and those that were not.
|
|
1212
|
CLIN_KNOWLEDGE_RESOURCE_REPOS
|
Clinical Knowledge Resource Repository
|
A Clinical Knowledge Resource Repository stores documents providing clinical knowledge and returns them to Requesters on demand.
|
|
104
|
DOSE_INFO_CONSUMER
|
Dose Information Consumer
|
Responsible for supplemental handling of irradiation events, generally on an individual basis, e.g. display, analysis, or further processing.
|
|
198
|
DIST_MSG_RECEIVER
|
Distribution Message Receiver
|
The Distribution Message Receiver is responsible for receiving and processing the communications from the Distribution Message Transmitter.
|
|
1319
|
PROTOCOL_MGR
|
Protocol Manager
|
Manages protocols used by Acquisition Modalities.
|
|
1259
|
STEROTACTIC_BEAM_PRODUCER
|
Stereotactic Beam Producer
|
A Treatment Planning System (TPS) capable of producing a radiation therapy treatment plan with static, stereotactic treatment beams.
|
|
86
|
SA
|
Secure Application
|
The difference between the Secure Node and the Secure Application is the extent to which the underlying operating system and other environment are secured. A Secure Node includes all aspects of user authentication, file system protections, and operating environment security. The Secure Application is a product that does not include the operating environment. The Secure Application provides security features only for the application features. See section 9.7 for the relationships among a Secure Node, Secure Application, and other actors.
|
|
1223
|
TBR_REPORT_WRITER
|
TBR Report Writer
|
A Participant (usually a Healthcare Professional) who writes down the conclusions of the Tumor Board Review
|
|
1276
|
FORM_RCVR_MSG_EXPORTER
|
Form Receiver Message Exporter
|
This Form Receiver Message Exporter receives data submitted through the Submit Form Transaction (ITI-35), transforms that data to an HL7 message and sends that message to an Information Recipient.
|
|
1224
|
TBR_FINALIZER
|
TBR Finalizer
|
A Participant who validates the preliminary Tumor Board Review report
|
|
1183
|
PRES_PLACER
|
Prescription Placer
|
The main role of this actor consists in placing the prescription (initial or modified in case of a substitution of invalidation, for example). It sends the cancellation of the prescription or its discontinuation, as well. In order to fulfill this task, the prescription placer retrieves the current treatment of the patient and medication already dispensed recently.
The prescription placer receives the pharmaceutical validation and status tracking information such as substitution, availability, administration plan and reports and cancellation. The corresponding human actor is a prescriber.
|
|
41
|
DOC_SOURCE
|
Document Source
|
The Document Source is the producer and publisher of documents and metadata.
|
|
156
|
HITSP_Lab_result_msg_sender
|
HITSP Laboratory Result Message Sender
|
The holder of a laboratory result who is communicating a laboratory result message to another actor
|
|
1311
|
IdP
|
User Authentication Provider
|
|
|
1329
|
CPI_Consumer
|
Community Portal Index Consumer
|
|
|
1334
|
UPDATE_RESP
|
Update Responder
|
The Update Responders accepts a Restricted Update Document Set [ITI-X1] transaction from an Update Initiator. If the Update Responder services the target community for the request, the Update Responder will persist the request. Otherwise, the Update Responder may optionally forward the request to destination community for processing.
|
|
1199
|
IMG_DOC_RECIPIENT
|
Imaging Document Recipient
|
receives DICOM SOP Instances and image reports.
|
|
145
|
SUBCONTRACTOR
|
Subcontractor
|
Subcontractor
|
|
1182
|
NCP-B
|
National Contact Point Country B
|
This is the country of care
|
|
89
|
INIT_GATEWAY
|
Initiating Gateway
|
|
|
132
|
REG_DISPLAY
|
Registered Display
|
A system that consumes multi-modality images, RT Structure Set objects, and Spatial Registration objects and allows the user to display the registered information
|
|
56
|
NOTIFICATION_RECEIVER
|
Notification Receiver
|
This actor receives notifications of availability for documents in an XDS registry, and may optionally send acknowledgments of them.
|
|
1296
|
LOC
|
Location Observation Consumer
|
The LOC may also be an actor in a different profile (DEC DOC, ACM AM, IPEC DOC). It is highly likely that the Location Observation Consumer (LOC) may also be an observation transaction receiving actor in other IHE PCD profiles. If the observation is simply to be recorded it is likely to be a DEC DOC or IPEC DOC actor. If the observation is to be acted upon it is likely to be an ACM AM actor. If the location observation is to be used for equipment management the LOC actor is likely to be a MEMDMC DMIC actor (a CMMS).
|
|
67
|
PAT_ID_X_REF_CONS
|
Patient Identifier Cross-reference Consumer
|
This actor allows a system in a Patient Identification Domain to find out the identification of a patient in a different Patient Identification Domain by using the services of a Patient Identity Cross-Reference Manager Actor.
|
|
1300
|
AUTH_DECI_CONS
|
Authorization Decision Consumer
|
This actor queries for authorization decisions
|
|
118
|
IOC
|
Infusion Order Consumer
|
The Infusion Order Consumer (IOC) actor receives the order information from the IOP actor and in turn programs the pump. The mechanism by which the IOC programs the pump with the received information is outside the scope of this profile.
|
|
7
|
RC
|
Report Creator
|
A system that generates and transmits draft (and optionally, final) diagnostic reports. It may also retrieve work list entries for reporting steps from the Report Manager and provide notification of completion of the step, allowing the enterprise to track the status of an awaited report
|
|
1227
|
IMG_DISPLAY_INVOKER
|
Image Display Invoker
|
This profile specifies only the interoperability requirements of the Image Display Invoker immediately associated with requesting the display of images.
|
|
186
|
EXTR_SPEC_MGR
|
Extraction Specification Manager
|
The Extraction Specification Manager manages a set of extraction specifications. An extraction specification explicitly indicates which information to extract from a source document. Extraction Specification Managers are queried using an identifier for a particular Extraction Specification and they return the associated specification file.
|
|
13
|
OF
|
Department System Scheduler/Order Filler
|
A department-based information system (for instance, Radiology or Laboratory) that provides functions related to the management of orders received from external systems or through the department system s user interface. Upon a defined workflow action, makes procedures available for charge posting. The action/event that actually causes charges to post is defined by the actor.
|
|
1202
|
WORKITEM_MANAGER
|
Workitem Manager
|
provides management, query access and notifications for workitems in a worklist.
|
|
1216
|
REFERRAL_PERFORMER
|
Referral Performer
|
|
|
1368
|
Laboratory
|
Laboratory
|
Laboratory send its observations of notifiable communicable infectious diseases to the FOPH electronically. A report is created as a specialized Clinical Document based on the HL7® FHIR® standard. This FHIR document is sent to the FOPH by a FHIR RESTful web API endpoint.
|
|
126
|
CONTOURER
|
Contourer
|
A system that consumes CT and creates RT Structure Set. If the Contourer consumes multiple series CT or has an internal requirement for resampling, it also will generate a single series CT to which the RT Structure Set maps.
|
|
199
|
DIST_MSG_TRANSMITTER
|
Distribution Message Transmitter
|
The Distribution Message Transmitter is responsible for transmitting the source data that is communicated to the Distribution Message Receiver.
|
|
1197
|
ANALYZER_MGR
|
Analyzer Manager
|
An Automation Manager that manage the analytical part of the laboratory. This actor is involved in the LAW profiles.
|
|
148
|
KNOWLEDGE_RESOURCE
|
Knowledge Resource
|
The system that holds the information requested and responds to the request from the Knowledge Requestor
|
|
1210
|
CLIN_KNOWLEDGE_DIRECTORY
|
Clinical Knowledge Directory
|
A Clinical Knowledge Directory receives requests for clinical knowledge and returns a list of relevant clinical knowledge resources based on the content of the knowledge request.
|
|
99
|
|
|
|
|
170
|
HITSP_Med_Form_Bene_Rcvr
|
HITSP Medication Formulary and Benefits Retriever
|
The entity that is asking about an individual’s formulary and benefits information. It initiates queries to the Medication Formulary and Benefits Source
|
|
1207
|
ADMISSION_INFO_SRC
|
Admission Information Source
|
a system or a module in a NANI framework, the purpose of which is to publish information to the Newborn Admission Notification Manager.
|
|
1267
|
CARE_SERV_INFOMGR
|
Care Services InfoManager
|
The InfoManager actor has two roles. The InfoManager maintains a local content cache that represents cross-referenced data from one or more Care Services Directory actors. The InfoManager periodically refreshes this cache by querying Directory actors for updated content. The InfoManager’s other role is to process inbound queries from Service Finder actors. These queries are executed against the cached content. Results from an inbound query are returned to the Service Finder actor in a response document.
|
|
98
|
HITSP-ACTOR
|
Generic HITSP Actor
|
|
|
177
|
SMD_SI
|
SMD Sender Intermediary
|
Secure Message Delivery Sender Intermediary
|
|
3
|
ERR
|
Enterprise Report Repository
|
A system that receives Structured Report Export Transactions from the Report Manager and stores them.
|
|
191
|
INTEG_ECG_MGR
|
Integrated ECG Manager
|
A system that manages the acquisition workflow of resting ECGs.
|
|
134
|
REG_CONTOURER
|
Registered Contourer
|
A system that consumes multi-modality images, RT Structure Set objects, and Spatial Registration objects and allows the user to contour images in a registered display.
|
|
1323
|
AC
|
Audit Consumer
|
Search for syslog and ATNA audit messages based upon queries using Syslog metadata and ATNA audit message content. Subsequent processing is not defined.
|
|
1301
|
AUTH_DECI_PROV
|
Authorization Decision Provider
|
This actor accesses and interprets rules/policies and permits or denies access to resources
|
|
27
|
PAT_ID_X_REF_MGR
|
Patient Identity Cross-reference Manager
|
Serves a well-defined set of Patient Identification Domains. Based on information provided by in each Patient Identification Domain by a Patient Identification Source Actor, it manages the cross-referencing of patient identifiers across Patient Identification Domains.
|
|
1195
|
RECON_AGENT
|
Reconciliation Agent
|
The Reconciliation Agent actor accesses clinical information in structured form. It automatically identifies potentially duplicated, overlapping, conflicting, or superseded information based upon application knowledge and provides that information for presentation to a clinician to complete the reconciliation process. It presents the demographics used identify the patient provided by each separate source of clinical information to the end user.
It highlights inconsistencies found during the automated reconciliation process and provides the clinician with mechanisms to adjust or correct the input.
It provides a mechanism for a clinician to add new information to the reconciled results. It authenticates the clinician prior to storage of the reconciled data (this step may be combined with other authentication steps used to finalize the record). It stores the data for future use by other actors.
|
|
1343
|
MAG
|
Mobile Access Gateway
|
This EPR Meta-actor is the interface between the mobile infrastructure and the basic EPR infrastructure
|
|
1270
|
CARE_SUMMARY_GENTR
|
Care Summary Generator
|
TBD
|
|
1249
|
MOTORIZED_WEDGE_BEAM_PRODUCER
|
Motorized Wedge Beam Producer
|
A Treatment Planning System (TPS) capable of producing a radiation therapy treatment plan with static treatment beams using motorized wedges.
|
|
140
|
RPT_RECEIVER
|
Report Receiver
|
Report Receiver
|
|
1266
|
SERVICE_FINDER
|
Service Finder
|
The Service Finder actor submits queries to the Care Services InfoManager, who returns the result(s) in a response document. Queries may be expressed by invoking “stored” queries or (optionally) by submitting well-formed ad hoc XQuery queries. Service Finder actors who support the FreeBusy option may submit a FreeBusy query to a Service Availability actor who will reply with a vFREEBUSY response.
|
|
1328
|
CPI_Provider
|
Community Portal Index Provider
|
|
|
1278
|
CARE_SERVICES_DIR
|
Care Services Directory
|
The Directory actor is responsible for returning an XML document in response to a refresh request from a Care Services InfoManager. The response document contains content which has been inserted or updated in the Directory since the last refresh and is expressed in the XML format defined by the CSD profile’s XML schema.
|
|
91
|
CLIN_DATA_CONSUMER
|
Clinical Data Consumer
|
A clinical data consumer makes use of clinical patient data.
|
|
1184
|
PHA_ADV
|
Pharmaceutical Adviser
|
This actor is responsible for the validation of prescriptions from a pharmacist’s perspective. Therefore, it receives the initial prescription, validates it and sends it back (accepted, cancelled, modified, substitution of pharmaceutical product); therefore it provides the pharmaceutical advice. To perform this task it checks the current treatment.
The pharmaceutical advice can be due to clinical, legal, or supply aspects.
This actor may be implemented in the hospital pharmacy module of a hospital information system or the point of sale software of the pharmacy. The corresponding human actor is typically a pharmacist (or pharmacist assistant).
|
|
70
|
PRE_POST_PROCESSOR
|
Pre/Post-processor
|
An actor which provides some pre- and post- processes to the specimen. This actor is categorized to two sub categories, one is pre-processor and the other one is post-processor. A Pre/Post-processor processes a specimen according to SWOS, and return the result to the AM.
|
|
1206
|
HOSTED_APPLICATION
|
Hosted Application
|
an application (program) runs in an environment provided by a host.
|
|
151
|
ACS
|
Access Control Service
|
Access Control Service
|
|
20
|
CONTXT_MGR
|
Context Manager
|
This actor serves as a broker for the communication between two or more context participant actors (either Patient Context Participant or User Context Participant). It supports the passing of the user and patient subjects
|
|
1285
|
PAT_LOC_TRACKING_CONS
|
Patient Location Tracking Consumer
|
Searches for current patient locations.
|
|
40
|
PWPD
|
Personnel White Pages Directory
|
This actor has authoritative Personnel White Pages information on the human workforce members of the enterprise.
|
|
1201
|
WORKITEM_CREATOR
|
Workitem Creator
|
requests that new workitems be created by systems that will either manage or perform the workitems.
|
|
100
|
LIP
|
Label Information Provider
|
An actor that provides the actor Label broker with label information
|
|
1305
|
HPP
|
Health Professional Portal
|
|
|
1275
|
FORM_RCVR_CDA_EXPORTER
|
Form Receiver CDA Exporter
|
This Form Receiver CDA Exporter receives data submitted through the Submit Form Transaction (ITI-35), transforms that data to create a CDA document, and shares that newly created CDA document with a Content Consumer.
|
|
1219
|
CONSULT_MGR
|
Consult Manager
|
|
|
133
|
REG_DOSE_DISPLAY
|
Registered Dose Display
|
A system that consumes multi-modality images, RT Structure Set objects, RT Dose objects and Spatial Registration objects and allows the user to display the registered information.
|
|
1273
|
RESEARCH_INFO_CONS
|
Research Information Consumer
|
The Research Information Consumer is responsible for the retrieval of a list of potential research studies or of eligibility criteria.
|
|
1215
|
REFERRAL_SCHEDULER
|
Referral Scheduler
|
|
|
143
|
PROT_STATE_MGR
|
Protocol State Manager
|
Protocol State Manager
|
|
1225
|
RPT_TEMPLATE_MGR
|
Report Template Manager
|
A system that provides storage and management of report templates.
|
|
179
|
APPT_REQUESTER
|
Appointment Requester
|
A system that sends requests for appointments and/or schedules and displays the results of those requests.
|
|
1272
|
METADATA_SOURCE
|
Metadata Source
|
The Metadata Source is responsible for creation of the Data Element list matching a selection criteria and the creation of metadata for a selected Data Element per request from the Metadata Consumer. The Metadata Source is associated with a metadata registry.
|
|
136
|
TDD
|
Treatment Delivery Device
|
A system that delivers therapeutic radiation to a correctly positioned patient.
|
|
66
|
RECEIVER
|
Receiver
|
A system that can receive exported instances over the network, whose behavior is otherwise unspecified, unless grouped with other actors.
|
|
1335
|
PAT_AUDIT_CONS
|
Patient Audit Consumer
|
The Patient Audit Consumer queries a Patient Audit Record Repository for Audit Events formated according to CH:ATNA.
|
|
1260
|
STEROTACTIC_BEAM_CONSUMER
|
Stereotactic Beam Consumer
|
A Treatment Planning System (TPS) capable of consuming a radiation therapy treatment plan with static, stereotactic treatment beams.
|
|
12
|
ADT
|
ADT Patient Registration
|
is responsible for adding and/or updating patient demographic and encounter information. In particular, it registers a new patient with the Order Placer and Department System.
|
|
1220
|
TBR_REQUESTOR
|
TBR Requestor
|
Participant (Healthcare Professional, e.g., gastroenterologist) who initiates the XTB-WD workflow. Produces the Request and the related supporting documents
|
|
109
|
REFERRAL_REQUESTER
|
Referral Requester
|
|
|
1200
|
DOC_RESPONDER
|
Document Responder
|
The receiver of and responder to requests for document entries and documents.
|
|
1295
|
LOR
|
Location Observation Reporter
|
The LOR is likely to be a Location Services system (LS) also recognized by the underlying technology used for equipment and people tracking, such as Radio Frequency Identification (RFID) or Real Time Location Services (RTLS), but may also be an actor in a different profile (DEC DOR, ACM AR, IPEC DOR), assuming the location tracking and reporting capability is embedded into the medical device or the location observation is merged with the medical device data in a gateway system prior to it being sent to the observation consumer
|
|
1307
|
CCC
|
Core Community Component
|
|
|
139
|
RPT_SENDER
|
Report Sender
|
Report Sender
|
|
54
|
EMBED_REPOS
|
Integrated Document Source/Repository
|
The Integrated Document Source/Repository is an XDS combination of Document Source and Document Repository that does not expose the interface between the Source and Repository. That is, this Source only publishes documents to its own Repository. It does register documents with a Document Registry
|
|
63
|
IMG_DOC_CONSUMER
|
Imaging Document Consumer
|
Retrieves imaging data based on references in a retrieved imaging manifest.
|
|
130
|
ARCHIVE
|
Archive (including RT)
|
A system that stores the RT SOP Classes in addition to the CT images and is capable of transmitting them.
|
|
1325
|
FILE_MANAGER
|
File Manager
|
This actor stores files provided by the File Source and maintains related metadata. The File Manager responds to search and retrieve requests initiated by the File Consumer. The File Manager responds to metadata update requests initiated by the File Source.
|
|
1304
|
PP
|
Patient Portal
|
|
|
1327
|
ORDER_EVAL_REQUESTER
|
Order Evaluation Requester
|
An actor that requests evaluation of a proposed action to determine whether it may or should be initiated.
First defined: PCC Guideline Appropriate Ordering (GAO) Supplement, May 2015
|
|
9
|
RRP
|
Report Repository
|
A system that provides long-term storage of reports and their retrieval as DICOM Structured Reporting Objects.
|
|
87
|
X-SERV-USR
|
X-Service User
|
X-Service User
|
|
82
|
FORM_FILLER
|
Form Filler
|
The actor responsible for retrieving a form from a Form Manager, and for submitting form instance data to a Form Receiver.
|
|
117
|
IOP
|
Infusion Order Programmer
|
The Infusion Order Programmer (IOP) actor sends the information comprising an order to the Infusion Order Consumer (IOC). The mechanism by which the IOP obtains the order information is outside the scope of this profile.
|
|
10
|
SN
|
Secure Node
|
A system unit that validates the identity of any user and of any other node, and determines whether or not access to the system for this user and information exchange with the other node is allowed. Maintains the correct time.
|
|
1333
|
UPDATE_INIT
|
Update Initiator
|
The Update Initiator creates requests for updating metadata previously stored either within or outside the Document Sharing community.
|
|
1268
|
PLAN_OF_CARE_MGR
|
Plan of Care Manager
|
TBD
|
|
2
|
CHARGE_PRO
|
Charge Processor
|
Receives the posted charges and serves component of the financial system. Further definition of this actor is beyond current IHE scope.
|
|
165
|
HITSP_Info_Src_Health_Plan_Auth
|
HITSP Information Source for Health Plan Authorization
|
The system which holds and maintains the information regarding the individual’s health insurance requirements related to an authorization for benefit coverage
|
|
50
|
CSM
|
Code Set Master
|
A system which owns (is responsible for the maintenance of) one or several code sets. This system may also be an Order Filler or an Enterprise Common Repository. Code sets can be sent on a routine basis (e.g. every week) or every time the code set changes. A code set may contain battery, test and observation codes.
|
|
1315
|
AUDIT_RECORD_FORWARDER
|
Audit Record Forwarder
|
This actor filters audit records that have been received and forwards selected audit records to an Audit Record Repository.
Added to the ATNA profile in Sept 2015 in CP-ITI-872
|
|
187
|
ON_DEMAND_DOC_SOURCE
|
On-Demand Document Source
|
The On-Demand Document Source is the producer and publisher of On-Demand Documents. This actor registers On-Demand Document Entries with the Document Registry and responds to Retrieve Document Set transactions with a document reflecting current information for the entry requested.
|
|
162
|
HITSP_Med_Status_Receiver
|
HITSP Medication Status Receiver
|
The Medication Status Receiver receives a dispensing status (RXFILL message) from a Medication Status Dispenser about a previously performed medication order / prescription
|
|
1191
|
INIT_IMG_GATEWAY
|
Initiating Imaging Gateway
|
The Initiating Imaging Gateway Actor proxies Imaging Document Set Retrieve requests from an Image Document Consumer to a Responding Imaging Gateway with a Cross Gateway Retrieve Imaging Document Set transaction.
|
|
1253
|
STEP_SHOOT_BEAM_PRODUCER
|
Step & Shoot Beam Producer
|
A Treatment Planning System (TPS) capable of producing a radiation therapy treatment plan with step & shoot IMRT treatment beams.
|
|
1187
|
PRES_REPO
|
Prescription Repository
|
This repository contains the medication prescribed to the patient from the prescription placer and may receive updates to the current treatment (cancellations, changes, etc.). It also provides the current treatment to other actors such as the prescription consumer.
|
|
1290
|
IMG_STORAGE-DISPLAY
|
Image Storage/Display
|
A system responsible for receiving DICOM SOP Instances, storing those SOP Instances, and the ability to present them for viewing to the user.
|
|
1309
|
SS
|
Secondary System
|
|
|
185
|
REDACTOR
|
Redactor
|
The Redactor applies an extraction specification to select only specific information from an input document. The Redactor creates a new document containing only the information included in the extraction specification. The Redactor's output, called a redacted document, is returned to the sender of the original document.
|
|
119
|
ACQ_MOD_IMPORTER
|
Acquisition Modality Importer
|
A system that interfaces to a non-DICOM ready modality in order to integrate that modality into the Eye Care workflow.
|
|
1339
|
PAT_IDENTITY_MGR
|
Patient Identity Manager
|
A Patient Identity Manager receives patient identity updates, manages patient master identities, patient identities, sends patient identity updates for Patient identity changes, and provides a searchable repository of patient identity information.
|
|
1233
|
AUTH_CLIENT
|
Authorization Client
|
A client that retrieves access tokens and presents them as part of transactions.
|
|
1284
|
AUTH_DECISIONS_VERIF
|
Authorization Decisions Verifier
|
This actor queries for Authorizations Decision related to the Requester Entity before disclosing specific documents. An Authorization Decision is stored and managed by the Authorization Decisions Manager actor and certifies that a decision was made by a trustable actor.
|
|
1299
|
ALRT_COMMUNICATOR
|
Alert Communicator
|
The Alert Communicator (AC) actor receives the alert from the Alert Manager (AM) and sends the alert to the client application in the endpoint device and reports the dissemination status back to the Alert Manager (AM).
|
|
1251
|
STATIC_ELECTRON_BEAM_PRODUCER
|
Static Electron Beam Producer
|
A Treatment Planning System (TPS) capable of producing a radiation therapy treatment plan with static electron treatment beams.
|
|
1208
|
NEWBORN_ADMIT_NOTIF_MGR
|
Newborn Admission Notification Manager
|
a system or a module in a NANI framework, the purpose of which is to process subscription/un-subscription requests, to keep track of existing subscriptions, to receive information, and based on the set of filters for each subscription to send a notification about the received information to the appropriate Newborn Admission Notification Recipients.
|
|
1279
|
SERVICE_AVAIL
|
Service Availability
|
the Service Availability actor responds to vFREEBUSY requests for busy time for a provider or service at a specified facility. The format of the request and response is defined by the IETF CalDAV specification (RFC 4791).
|
|
188
|
INTEG_EHRS
|
Integrated Electronic Health Record System
|
The Integrated Electronic Health Record System combines the functionality of the EHR-S, DSS/OS, and PPS Manager actors in an integrated implementation. In such an integrated implementation, the transactions between the EHR-S and the DSS/OF are not externalized; i.e., patient and order management are solely the internal responsibility of the Integrated EHR-S implementation.
|
|
29
|
USER_CONTXT_PARTICIPANT
|
User Context Participant
|
Receives notification of user context changes and follows them for the application that contains it.
|
|
1250
|
MOTORIZED_WEDGE_BEAM_CONSUMER
|
Motorized Wedge Beam Consumer
|
A Treatment Planning System (TPS) capable of consuming a radiation therapy treatment plan with static treatment beams using motorized wedges.
|
|
1239
|
ARC_BEAM_CONSUMER
|
Arc Beam Consumer
|
A Treatment Planning System (TPS) capable of consuming a radiation therapy treatment plan with non-MLC arc treatment beams.
|
|
1288
|
PAT_REGISTRATION_SRC
|
Patient Registration Source
|
A system responsible for the generation of patient demographic and visit information. It registers new patients and provides updates.
|
|
1231
|
NOTIFICATION_PULLER
|
Notification Puller
|
The Notification Puller is the actor that can create a pull point resource for the storing of notifications. It pulls notifications stored in a Notification Pull point actor when requested.
|
|
141
|
PROT_EXECUTOR
|
Protocol Executor
|
Protocol Executor
|
|
8
|
RM
|
Report Manager
|
A system that provides functions related to report management. This involves the ability to handle content and state changes to reports and to create new DICOM Structured Reporting Objects based on these changes. In addition, the Report Manager generates and transmits verified, unsolicited text results to the Enterprise Report Repository.
|
|
1265
|
BASIC_STATIC_MLC_BEAM_CONSUMER
|
Basic Static MLC Beam Consumer
|
|
|
144
|
REQUESTER
|
Requester
|
Requester
|
|
90
|
RESP_GATEWAY
|
Responding Gateway
|
|
|
1254
|
STEP_SHOOT_BEAM_CONSUMER
|
Step & Shoot Beam Consumer
|
A Treatment Planning System (TPS) capable of consuming a radiation therapy treatment plan with step & shoot IMRT treatment beams.
|
|
1258
|
IMAT_VMAT_BEAM_CONSUMER
|
IMAT/VMAT Beam Consumer
|
A Treatment Planning System (TPS) capable of consuming a radiation therapy treatment plan with VMAT/IMAT IMRT treatment beams.
|
|
1256
|
SLIDING_WINDOW_BEAM_CONSUMER
|
Sliding Window Beam Consumer
|
A Treatment Planning System (TPS) capable of consuming a radiation therapy treatment plan with sliding window IMRT treatment beams.
|
|
195
|
Personal_Health_Record
|
Personal Health Record
|
The Personal Health Record actor represents the information system storing a s personal health data. This actor is responsible for supplying personal health data to the Care Manager actors through the PCC-0 Exchange Content transaction using the PHR Extract content specified in the Exchange of Personal Health Record Content profile.
|
|
61
|
SMTP_AETHER
|
SMTP Aether
|
This actor is shown for completeness, but is really part of the SMTP Infrastructure of the Internet.
|
|
31
|
ORT
|
Order Result Tracker
|
A hospital or enterprise-wide system that stores observations of various types (test results, images, clinical examinations reports, radiology reports, surgical act reports) obtained for the patients, registers all state changes in the results notified by Order Fillers. This actor doesnt store standalone observations, but ordered observations. The observations are always stored within the context of the order that generated them, with all the information related to that order.
|
|
15
|
OP
|
Order Placer
|
A hospital or enterprise-wide system that generates orders for various departments and distributes those orders to the correct department.
|
|
1189
|
DISP_MED_REPO
|
Dispensed Medication Repository
|
This repository contains the medication actually dispensed to the patient; this information is received from the medication dispenser. The dispensed medication repository provides the medication record of the patient to other actors such as the dispensed medication consumer.
|
|
114
|
ALRM_MGR
|
Alarm Manager
|
The Alarm Manager (AM) actor receives the alarm from the Alarm Reporter (AR), potentially analyzes the alarm, and dispatches the alarm to the Alarm Communicator (AC), and optionally, provides the alarm to the Alarm Archiver (AA) upon subscription.
|
|
1237
|
BASIC_STATIC_BEAM_CONSUMER
|
Basic Static Beam Consumer
|
A Treatment Planning System (TPS) capable of consuming a radiation therapy treatment plan with static, non-MLC, treatment beams.
|
|
111
|
GUIDELINE_MGR
|
Guideline Manager
|
The guideline manager actor is responsible for managing the guidelines used to create care plans, and for communicating those guidelines to other systems.
|
|
34
|
PMC
|
Portable Media Creator
|
This actor assembles the content of the media and writes it to the physical medium.
|
|
1228
|
DENTAL_DOC_SOURCE
|
Dental Document Source
|
sends DICOM SOP Instances and image reports and associated documents.
|
|
163
|
HITSP_Med_Status_Dispenser
|
HITSP Medication Status Dispenser
|
The Medication Status Dispenser provides a dispensing status (RXFILL message) to a Medication Status Receiver about a preciously performed medication order / prescription
|
|
128
|
DOSIMETRIC_PLANNER
|
Dosimetric Planner
|
A system that consumes (single series) CT, an RT Structure Set, a Geometric Plan, and creates a Dosimetric Plan and an RT Dose.
|
|
1185
|
MED_DIS
|
Medication Dispenser
|
This actor is responsible for the process of dispensing medication to the patient, fulfilling the prescription. Therefore it produces the information on the medication dispensed to the patient. In order to achieve this, it receives prescriptions already validated. It also confirms drug availability for administration and it receives the administration plan and administration reports.
This actor may be implemented as the point of sale software of a community pharmacy or the hospital pharmacy module of a hospital information system. The human actor behind this system actor is usually a pharmacist or a pharmacist assistant.
In addition to the dispense, in this version this actor is considered to take care of all the dependencies to ensure a proper dispensing.
|
|
1326
|
ALERT_AGGREGATOR
|
Alert Aggregator
|
This actor receives alerts from the Alert Reporter and collects status events related to the dissemination of the alert.
|
|
1318
|
EVENT_CONSUMER
|
Event Consumer
|
Processes event reports.
|
|
71
|
IMPORTER
|
Importer
|
A system that imports evidence documents such as images, presentation states, Key Image Notes or Evidence Documents from hardcopy or digital media.
|
|
1213
|
RDC
|
Retrospective Data Consumer
|
The Retrospective Data Consumer (RDC) initiates the query for retrospective data, initiating such query with the PCD-12 transaction.
|
|
147
|
ALERT_MSG_RECEIVER
|
Alert Message Receiver
|
Alert Message Receiver
|
|
1
|
ARR
|
Audit Record Repository
|
A system unit that receives and collects audit records from multiple systems.
|
|
64
|
EXPORT_SELECTOR
|
Export Selector
|
A system that allows a user to select one or more instances, series or studies for export, for a specific purpose, with a specific disposition, optionally with the inclusion of additional information.
|
|
115
|
ALRM_COMMUNICATOR
|
Alarm Communicator
|
The Alarm Communicator (AC) actor receives the alarm from the Alarm Manager (AM) and sends the alarm to the client application in the endpoint device and reports the dissemination status back to the Alarm Manager (AM).
|
|
80
|
CONTENT_CREATOR
|
Content Creator
|
The Content Creator Actor creates content and transmits to a Content Consumer.
|
|
127
|
GEOMETRIC_PLANNER
|
Geometric Planner
|
A system that consumes (single series) CT and RT Structure Set and creates a Geometric Plan
|
|
1255
|
SLIDING_WINDOW_BEAM_PRODUCER
|
Sliding Window Beam Producer
|
A Treatment Planning System (TPS) capable of producing a radiation therapy treatment plan with sliding window IMRT treatment beams.
|
|
1235
|
RESOURCE_SERVER
|
Resource Server
|
A server that provides services that need authorization.
|
|
1193
|
CHANGE_REQUESTER
|
Change Requester
|
A system that communicates changes to an Image Manager / Archive, indicating that certain imaging instances should be deleted. In addition, it may also send new versions of these imaging instances containing corrected information
|
|
190
|
INTEG_RM_RRP
|
Integrated Report Manager/Repository
|
A system that manages the status of reporting, and additionally maintains an internal report repository.
|
|
174
|
IDCC
|
Implantable Device - Cardiac - Consumer
|
Receiving actor in IDCO profile.
|
|
108
|
VALUE_SET_CONSUMER
|
Value Set Consumer
|
Retrieves Expanded Value Sets based on its OID and possibly its version if the latter is available.
|
|
1242
|
CONFORMAL_ARC_BEAM_PRODUCER
|
Conformal Arc Beam Producer
|
A Treatment Planning System (TPS) capable of producing a radiation therapy treatment plan with conformal arc treatment beams.
|
|
75
|
HL7_MSG_ROUTER
|
HL7 Message Router
|
A system that receives HL7 messages, routes them to one or more configured actors, and handles transport level acknowledgements. The HL7 Message Router may also provide modification of the messages in accordance with specific profiles.
|
|
101
|
LB
|
Label Broker
|
The Label Broker receives label information, and delivers these labels in appropriate operations, and may notify the status of this process.
|
|
1246
|
VIRTUAL_WEDGE_BEAM_PRODUCER
|
Virtual Wedge Beam Producer
|
A Treatment Planning System (TPS) capable of producing a radiation therapy treatment plan with static treatment beams using virtual wedges.
|
|
1292
|
ACON
|
Alert Consumer
|
The Alert Consumer (ACON) actor receives the alert from the Alert Reporter (AR) and uses the alert information strictly as a consumer of the alert being raised. There is no implementation requirement for how the ACON ultimately uses the alert information.
|
|
33
|
PC
|
Print Composer
|
A system that generates DICOM print requests to the Print Server. Print requests include presentation state information in the form of Presentation Look-Up Tables (Presentation LUTs). It may also read the DICOM information contained on interchange media.
|
|
1214
|
RDR
|
Retrospective Data Responder
|
The Retrospective Data Responder (RDR) responds to the Retrospective Data Query for retrospective data with an Retrospective Data Query Response containing (at most) the requested data or (at minimum) a NULL indicating no such data exist.
|
|
203
|
DEV_GATEWAY
|
Device Gateway
|
The Device Gateway Actor coordinates communication between the recording/viewing equipment and specialized monitoring (e.g., electronic fetal monitoring) or treatment (e.g., Infusion Pump) devices.
|
|
1366
|
CARE_SERVICES_SELECTIVE_CONS
|
Care Services Selective Consumer
|
Consumes information about care services resources.
|
|
26
|
RRD
|
Report Reader
|
A part of a system that can access reports through network query/retrieve or reading interchange media and allow the user to view reports presented as DICOM Structured Report Objects.
|
|
22
|
INFO_SRC
|
Information Source
|
A system that responds to requests for specific information or documents and returns ready for presentation information to be displays on the requesting actor.
|
|
1241
|
MLC_ARC_BEAM_CONSUMER
|
MLC Arc Beam Consumer
|
A Treatment Planning System (TPS) capable of consuming a radiation therapy treatment plan with MLC arc treatment beams.
|
|
192
|
PROC_ACT_EXECUTOR
|
Process Activity Executor
|
The ProcessActivityExecutor performs activities as prescribed by a running process being managed by a ProcessStateManager. The ProcessActivityExecutor retrieves current activity or task lists, works its list, updating the ProcessStateManager on activity state until completion. This cycle is repeated until all process activities have been worked and the process itself completes.
|
|
194
|
PROC_DEF_MGR
|
Process Definition Manager
|
The ProcessDefinitionManager manages access to a repository of process definitions allowing for search and retrieval.
|
|
1332
|
POLICY_CONS
|
Policy Consumer
|
|
|
189
|
EHRS
|
Electronic Health Record System
|
Electronic Health Record System (EHR-S) is an actor supporting the functions of patient administration, scheduling, clinical records management, decision support, and external orders and referrals.
|
|
53
|
POCDM
|
Point Of Care Data Manager
|
This actor used in LPOCT profile is an application managing a set of POCRG and centralizing their results. The POCDM is ready to react to any conversation from a POCRG. The POCDM receives point of care observations from POCRG actors. It controls these observations within their context, stores them and forwards them to the Order Filler.
|
|
122
|
DM_PUBLISHER
|
Document Metadata Publisher
|
The Document Metadata Publisher actor sends a Document Metadata Publish transaction to the Document Metadata Notification Broker for any event for which a subscription exists.
|
|
1269
|
SCREENING_RQSTR
|
Screening Requester
|
TBD
|
|
113
|
ALRM_RPT
|
Alarm Reporter
|
The Alarm Reporter (AR) actor sources the alarm to Alarm Manager (AM).
|
|
1289
|
PAT_REGISTRATION_CONS
|
Patient Registration Consumer
|
An information system responsible for consuming patient appointment information. It updates its system with the appointment information and statuses.
|
|
37
|
PDS
|
Patient Demographics Supplier
|
A repository of patient information that can be searched on demographic or visit-related fields.
|
|
1336
|
PAT_ARR
|
Patient Audit Record Repository
|
The Patient Audit Record Repository is an extended ATNA Audit Record Repository having the Retrieve Audit Message Option (ITI TF-1: 9.2.3) with the search capabilities as defined in ITI TF- 2c: 3.81 and the EPR Audit Message Formats.
|
|
158
|
HITSP_Web_Application
|
Web Application
|
The Web Application the healthcare professional uses to view a laboratory report Web
|
|
14
|
PPSM
|
Performed Procedure Step Manager
|
A system that re-distributes the Modality Performed Procedure Step information from the Acquisition Modality or Image Creator to the Department System Scheduler/Order Filler and Image Manager.
|
|
1232
|
NOTIFICATION_PULL_POINT
|
Notification Pull Point
|
The Notification Pull Point is the actor that stores notifications targeted to a specific Document Metadata Notification Recipient that cannot be directly notified. This actor delivers notifications to the Notification Puller when requested.
|
|
149
|
ALERT_MSG_TRANSMITTER
|
Alert Message Transmitter
|
Alert Message Transmitter
|
|
79
|
DEV_OBS_CONSUMER
|
Device Observation Consumer
|
The actor responsible for receiving PCD data from the Device Observation Reporter, the Device Observation Filter, or both.
|
|
1283
|
AUTH_DECISIONS_MGR
|
Authorization Decisions Manager
|
Actor that can perform Access Control decision, evaluating requests for authorization. The result of this evaluation is the creation of an Authorization Decision that certifies the decision made.
|
|
181
|
PROV_INFO_SRC
|
Provider Information Source
|
|
|
76
|
DOC_RECIPIENT
|
Document Recipient
|
The Document Recipient receives documents and metadata sent by another actor.
|
|
172
|
HITSP_Service_User
|
HITSP Service User
|
The entity represents any individual entity (such as an EHR/PHR system) that needs to make a service request of a Service Provider. The Entity may also be known as a principal and/or entity, which represents an application, a machine, or any other type of entity that may act as a requester in a transaction. A principal is typically represented in a transaction with a digital identity and the principal may have multiple valid digital identities to use with different transactions. Any Service User may also be a Service Provider
|
|
1367
|
CARE_SERVICES_SELECTIVE_SUPP
|
Care Services Selective Supplier
|
Supplies information about care services resources.
|
|
112
|
CARE_MGR
|
Care Manager
|
The care manager actor is responsible for supporting the management of the care of patients with respect to a specific health condition. It gathers information about the care provided and current health status of the patient. A Care Manager actor may be designed for management of a single condition, such as management of Diabetes, or may be a general purpose system supporting management of multiple conditions.
|
|
123
|
DM_SUBSCRIBER
|
Document Metadata Subscriber
|
The Document Metadata Subscriber actor initiates and terminates subscriptions on behalf of a Document Metadata Notification Recipient.
|
|
202
|
DEV_OBS_CONSUMER_ALRM_MGR
|
Device Observation Consumer / Alarm Manager
|
The Device Observation Consumer / Alarm Manager Actor accepts monitoring and alarm data from the Device Gateway and makes it available to healthcare providers.
|
|
146
|
KNOWLEDGE_REQUESTOR
|
Knowledge Requestor
|
The system that formulates and sends a contextual request for ancillary information about a medical concept. Takes the parameters and sends to the resource available
|
|
131
|
REGISTRATOR
|
Registrator
|
A system that consumes multi-modality images and generates 1 or more Spatial Registration objects.
|
|
1330
|
GS
|
Government service
|
This is a meta actor to be used by the systems which are made available by Federal services
|
|
1190
|
CPM
|
Community Pharmacy Manager
|
The main role of this actor consists in providing the business logic for status management and other purposes. As a second role it acts as a “relaying role” where certain standard XDS communication is routed through for providing the possibility of applying project-specific business logic on it.
It provides special query-transactions which consuming actors (prescription placer, pharmaceutical adviser or medication dispenser) used for reducing the amount of data flowing to them. They return just “relevant” information for specific purposes (e.g., returning just all “active” prescriptions ready for being validated or dispensed together with all related documents). This actor is usually a system actor without human participation.
|
|
1211
|
CLIN_KNOWLEDGE_REQUESTER
|
Clinical Knowledge Requester
|
A Clinical Knowledge Requester collects appropriate clinical context and uses it to request clinical knowledge, and presents the resulting knowledge to the user.
|
|
1188
|
PHA_ADV_REPO
|
Pharmaceutical Advice Repository
|
This repository contains the pharmaceutical advice issued by the pharmaceutical adviser (typically a pharmacist). It provides this information to the prescription & pharmaceutical advice consumer.
|
|
1234
|
AUTH_SERVER
|
Authorization Server
|
A server that issues access tokens to requesting clients.
|
|
24
|
KER_SVR
|
Kerberized Server
|
Receives user authentication information for further use by the service that contains this actor
|
|
35
|
PMI
|
Portable Media Importer
|
This actor reads the DICOM information (DICOM FSR) contained on the media. This system provides the user the ability to select a set of DICOM instances and reconcile key patient and study attributes (when necessary) to facilitate inclusion of the imported data in the local information system(s).
|
|
1218
|
GENL_CLINICIAN_MGR
|
General Clinician Manager
|
|
|
1321
|
DOC_AUDIT_CONSUMER
|
Document Audit Consumer
|
|
|
1192
|
RESP_IMG_GATEWAY
|
Responding Imaging Gateway
|
The responding Imaging Gateway proxies Cross Gateway Retrieve Imaging Document Set requests from an Initiating Imaging Gateway to an Imaging Document Source with an Image Document Set Retrieve request.
|
|
1186
|
MED_ADM_INFO
|
Medication Administration Informer
|
The medication administration informer’s main responsibility consists in creating and placing the medication administration plan and the corresponding administration reports. In order to achieve this, it receives the initial prescription, the pharmaceutical validation or a “simple” substitution. It also receives the confirmation of drug availability for administration.
Through administration reports, the Medication Administration Manager actor reports, among others:
The replacements (e.g., the 1g tablet by two 500 mg single dose packets)
The follow-up (e.g., injectable follow-up)
|
|
1345
|
MED_TREAT_PLANNER
|
Medication Treatment Planner
|
The main role of this actor consists in adding a new Medication Treatment Plan Item. It sends the cancelation of the planned item or its discontinuation, as well. In order to fulfill this task, the Medication Treatment Planner retrieves the current set of planned medications of the patient.
|
|
4
|
XRA
|
External Report Repository Access
|
A system that performs retrieval of clinical reports containing information generated outside the Radiology department and presented as DICOM Structured Reporting Objects.
|
|
1257
|
IMAT_VMAT_BEAM_PRODUCER
|
IMAT/VMAT Beam Producer
|
A Treatment Planning System (TPS) capable of producing a radiation therapy treatment plan with VMAT/IMAT IMRT treatment beams.
|
|
157
|
HITSP_Lab_result_msg_receiver
|
Laboratory Result Message Receiver
|
An authorized entity that is receiving a laboratory result message
|
|
1344
|
MAP
|
Mobile Application
|
A Meta-actor supporting the mHealth profiles.
|
|
69
|
ANALYZER
|
Analyzer
|
An actor which is an automated device which fulfills clinical tests on biologic specimen. An Analyzer performs analyzing for a specimen according to AWOS, and return the result to the AM.
|
|
1294
|
DMIC
|
Device Management Information Consumer
|
The DMIC is a new and distinct destination actor and is likely to be a Computerized Maintenance Management System (CMMS), or more specifically a Clinical Equipment Management System (CEMS), but may also be an actor in a different profile (DEC DOC, ACM AM, IPEC DOC).
|
|
1263
|
TREATMENT_MANAGEMENT_SYSTEM
|
Treatment Management System (TMS)
|
An application providing radiation oncology management services and capable of consuming treatment plans with any of the above treatment techniques.
|
|
17
|
IM
|
Image Manager/Archive
|
A system that provides functions related to safe data storage and image data handling. It supplies image availability information to the Department System Scheduler. It is always grouped with an Image Archive to provide long term storage of images, presentation states, Key Image Notes, and Evidence Documents.
|
|
88
|
X-SERV-PROV
|
X-Service Provider
|
X-Service Provider
|
|
1205
|
HOSTING_SYSTEM
|
Hosting System
|
a system that hosts applications, including providing an execution environment and mediating interactions with resources.
|
|
121
|
DM_NOTIF_BROKER
|
Document Metadata Notification Broker
|
The Document Metadata Notification Broker is the receiver of the Document Metadata Subscribe transaction containing a subscription request, or a subscription cancellation. It keeps track of all subscriptions in the Metadata Notification domain, including the time limits of subscriptions. Based on the metadata associated with document registrations, this actor sends notifications to interested subscribers.
|
|
152
|
SERVICE_PROVIDER
|
Service Provider
|
Service Provider
|
|
1306
|
MPI
|
Master Patient Index
|
|
|
1196
|
CONTENT_AGENT
|
Content Agent
|
|
|
193
|
PROC_STATE_MGR
|
Process State Manager
|
The ProcessStateManager manages the initiation and state of runtime process instances. The ProcessStateManager typically also supports the initiation and lifecycle management of task activities associated with a process while providing the abilty for task performers to retrieve and update activities.
|
|
116
|
ALRM_ARCHIVER
|
Alarm Archiver
|
The Alarm Archiver (AA) actor sends alarm subscription requests to the AM actor and receives report alarm responses from the AM actor.
|
|
1244
|
HARD_WEDGE_BEAM_PRODUCER
|
Hard Wedge Beam Producer
|
A Treatment Planning System (TPS) capable of producing a radiation therapy treatment plan with static treatment beams using physical wedges.
|
|
77
|
DEV_OBS_REPORTER
|
Device Observation Reporter
|
The Device Observation Reporter (DOR) actor receives data from PCDs, including those based on proprietary formats, and maps the received data to transactions providing consistent syntax and semantics.
|
|
1236
|
BASIC_STATIC_BEAM_PRODUCER
|
Basic Static Beam Producer
|
A Treatment Planning System (TPS) capable of producing a radiation therapy treatment plan with static, non-MLC, treatment beams.
|
|
178
|
SMD_RI
|
SMD Receiver Intermediary
|
Secure Message Delivery Receiver Intermediary
|
|
85
|
FORM_RECEIVER
|
Form Receiver
|
The actor that receives form instance data.
|
|
1303
|
POLICY_REPO
|
Policy Repository
|
|
|
161
|
HITSP_Eligibility_info_Source
|
Eligibility Information Source
|
The system which holds and maintains the information regarding the individual’s insurance eligibility, coverage and benefits, and responds to the queries initiated by the Eligibility Information Receiver
|
|
47
|
SNC
|
Secure Node Client
|
|
|
18
|
EC
|
Evidence Creator
|
A system that creates additional evidence objects such as images, presentation states, Key Image Notes, and/or Evidence Documents and transmits them to an Image Archive. It also makes requests for storage commitment to the Image Manager for the data previously transmitted. It may also retrieve worklist entries for post-processing steps from the Post-Processing Manager and provide notification of completion of the step, allowing the enterprise to track the status of post-processing work.
|
|
1226
|
RPT_TEMPLATE_CREATOR
|
Report Template Creator
|
A system that enables a user to create and edit report templates.
|
|
1229
|
DENTAL_DOC_RECIPIENT
|
Dental Document Recipient
|
receives DICOM SOP Instances and image reports and associated documents.
|
|
1313
|
UPI_CLIENT
|
Unique Person Identification Client
|
|
|
1240
|
MLC_ARC_BEAM_PRODUCER
|
MLC Arc Beam Producer
|
A Treatment Planning System (TPS) capable of producing a radiation therapy treatment plan with MLC arc treatment beams.
|
|
1204
|
WATCHER
|
Watcher
|
subscribes and receives notifications of events associated with a workitem (such as modification, cancelation or completion).
|
|
1209
|
NEWBORN_ADMIT_NOTIF_SUBSCRIBER
|
Newborn Admission Notification Subscriber
|
a system or a module in a NANI framework, the purpose of which is to receive and process notifications from the Newborn Admission Notification Manager.
|
|
1291
|
APPT_CONSUMER
|
Appointment Consumer
|
An information system responsible for consuming patient appointment information. It updates its system with the appointment information and statuses.
|
|
1342
|
CPARTNER
|
Connectivity Partner
|
Partners of connectivity tests
|
|
1310
|
COM
|
EPR Community
|
|
|
164
|
HITSP_Info_Rcvr_Health_Plan_Auth
|
HITSP Information Receiver for Health Plan Authorization
|
The system that initiates a request to the Information Source for Health Plan Authorization about an individuals health insurance requirements to obtain an authorization approval for purposes of benefit coverage determination in order to refer a patient for healthcare services
|
|
103
|
CLIN_DATA_SOURCE
|
Clinical Data Source
|
A Clinical Data Sources maintains patient information about vital signs, problem and allergies, results from diagnostic tests (e.g., Lab, Imaging, or other test results), medications, immunizations or historical or planned visits and procedures.
|
|
1324
|
FILE_CONSUMER
|
File Consumer
|
The File Consumer queries a File Manager for file metadata meeting certain criteria, and may retrieve selected files.
|
|
1293
|
DMIR
|
Device Management Information Reporter
|
The Device Management Information Reporter (DMIR) produces observations. The Device Management Information Reporter (DMIR) may also be an observation transaction sending actor in other IHE PCD profiles, such as a DEC DOR, an ACM AR, or an IPEC DOR. If that is the case then the observations defined in this document may be included in existing observation content for those profiles without adoption of this profile, unless the destination to which the observations are being sent is a CMMS and not an EMR/EHR system. If that the case then this profile should be implemented.
|
|
19
|
CAA
|
Client Authentication Agent
|
Provide local management of user authentication.
|
|
1369
|
FOPH
|
FOPH
|
Swiss Federal Office of Public Health (FOPH) receives observations of notifiable communicable infectious diseases from laboratory (FHIR document).
|
|
1248
|
VIRTUAL_WEDGE_BEAM_CONSUMER
|
Virtual Wedge Beam Consumer
|
A Treatment Planning System (TPS) capable of consuming a radiation therapy treatment plan with static treatment beams using virtual wedges.
|
|
200
|
PAT_REGISTRATION
|
Patient Registration
|
The Patient Registration Actor is responsible for communicating patient demographics and administrative data (e.g., insurance) to other actors in this profile. These other actors may choose to accept this information from the Patient Registration Actor, or may provide another mechanism to support registration. The actors that support the Patient Registration Option will accept this communication from the Patient Registration Actor
|
|
60
|
PEC
|
Patient Encounter Consumer
|
A system that uses patient encounter information provided by the Patient Encounter Source about a patient. It must be grouped with the Patient Demographics Consumer.
|
|
1238
|
ARC BEAM PRODUCER
|
Arc Beam Producer
|
A Treatment Planning System (TPS) capable of producing a radiation therapy treatment plan with non-MLC arc treatment beams.
|
|
51
|
CSC
|
Code Set Consumer
|
A system which receives code sets from Code Set Master(s) and updates its internal tables to reflect the code set as maintained by the Code Set Master. This system may also be an Order Placer, an Order Result Tracker, an Automation Manager, or an Order Filler.
|
|
135
|
TMS
|
Treatment Management System
|
Treatment Management System accepts RT Plan instances (one of 14 beam types).
|
|
44
|
DOC_REPOSITORY
|
Document Repository
|
The Document Repository is responsible for both the persistent storage of these documents as well as for their registration with the appropriate Document Registry. It assigns a URI to documents for subsequent retrieval by a Document Consumer.
|
|
1302
|
POLICY_MGR
|
Policy Manager
|
|
|
25
|
PAT_CONTXT_PARTICIPANT
|
Patient Context Participant
|
This actor participates in a shared context environment by both setting the patient context and responding to context changes as communicated by the Context Manager Actor. This actor shall respond to all patient context changes. This actor shall set the patient context, if the application containing this actor has patient selection capability.
|
|
65
|
EXPORT_MANAGER
|
Export Manager
|
A system that can de-identify and pseudonymize the attributes, and optionally the pixel data, of a selected list of instances, before exporting them.
|
|
167
|
HITSP_Admin_Transport_Svr
|
HITSP Administrative Transport Server
|
A health plan responding to a request from a provider has a server role
|
|
81
|
CONTENT_CONSUMER
|
Content Consumer
|
The Content Consumer Actor views, imports, or performs other processing of content created by a Content Creator Actor.
|
|
68
|
AM
|
Automation Manager
|
A system or component that manages the automation in the laboratory or a part of it. Automation involves the integration or interfacing of automated or robotic transport systems, analytical instruments, and pre- or post-analytical process equipment such as automated centrifuges and aliquoters, decappers, recappers, sorters, and specimen storage and retrieval systems. This actor receives work orders from the Order Filler. It manages the processing of the ordered tests on the appropriate devices, and sends technically validated results back to the Order Filler. This actor must be considered even if it manages a small part of the analytical process; e.g. if it manages one single analytical instrument. Multiple Automation Managers can be related to one Order Filler. The Automation Manager can match unexpected results produced by an analyzer with the appropriate incoming Work Order, or create a new Work Order to fit the unsolicited observations and send them to the OF.
|
|
184
|
DOC_ADMINISTRATOR
|
Document Administrator
|
The Document Administrator actor supports metadata update by issuing the Update Document Set transaction [ITI-57] and Delete Document Set [ITI-61 ] transaction to the Document Registry actor.
|
|
36
|
PDC
|
Patient Demographics Consumer
|
This actor allows a user to associate information with a patient at the point of care.
|
|
171
|
HITSP_Med_Form_Bene_Src
|
HITSP Medication Formulary and Benefits Source
|
The entity that maintains individual’s formulary and benefits information. It responds to queries from the Medication Formulary and Benefits Retriever
|
|
110
|
REFERRAL_DISPATCHER
|
Referral Dispatcher
|
|
|
107
|
VALUE_SET_REPOSITORY
|
Value Set Repository
|
Provides Expanded Value Sets
|
|
1341
|
PAT_IDENTITY_SUBSCRIBER
|
Patient Identity Subscriber
|
A Patient Identity Subscriber sends subscription requests for Patient identity updates to be sent to a Patient Identity Consumer.
|
|
1181
|
NCP-A
|
National Contact Point Country A
|
This is the country of affiliation of the patient
|
|
52
|
POCRG
|
Point Of Care Result Generator
|
A system which receives code sets from Code Set Master(s) and updates its internal tables to reflect the code set as maintained by the Code Set Master. This system may 130 also be an Order Placer, an Order Result Tracker, an Automation Manager, or an Order Filler.
|
|
1243
|
CONFORMAL_ARC_BEAM_CONSUMER
|
Conformal Arc Beam Consumer
|
A Treatment Planning System (TPS) capable of consuming a radiation therapy treatment plan with conformal arc treatment beams.
|
|
196
|
LAB_ORDER_FILLER
|
Laboratory Order Filler
|
The Laboratory Order Filler actor represents the information system that receives and processes orders for laboratory testing. The Laboratory Order Filler actor is a simplification of the Order Filler in the Laboratory Testing Workflow (LTW) profile of the IHE Laboratory Technical Framework. It supports the same ordering transactions as found in the LTW profile, but has one optional transaction. The Laboratory Order Filler implementing the Content Exchange option also supports the direct exchange of laboratory reports via the PCC-0 Exchange Content transaction using the content specified in XD-LAB profile.
|
|
1281
|
INFO_RECIPIENT_HL7
|
Information Recipient (HL7)
|
The Information Recipient Actor is responsible for receiving the HL7 V2.5.1 message from an Information Source or from a Form Receiver Message Exporter.
|
|
183
|
PROV_INFO_DIR
|
Provider Information Directory
|
|
|
38
|
PWPC
|
Personnel White Pages Consumer
|
This actor has a use for information that can be found in the Personnel White Pages Directory.
|
|
1312
|
X-ASSERT-PROV
|
X-Assertion Provider
|
|
|
83
|
FORM_ARCHIVER
|
Form Archiver
|
The actor responsible for receiving form instance data for archival purposes.
|
|
39
|
DNS
|
DNS Server
|
This actor has authoritative location information.
|
|
201
|
IMG_ORD_FILLER
|
Imaging Order Filler
|
The Imaging Order Filler Actor represents the information system that receives and processes orders for imaging services. The Imaging Order Filler is a minor variation of Order Filler in the Structured Workflow (SWF) profile of the IHE Radiology Technical Framework. It supports the same ordering transactions as found in the SWF profile, but has one required and two optional transactions. From the perspective of the care providers in this profile, an Imaging Order Filler is a single information system that manages orders and results for a given type of study.
|
|
1286
|
PAT_LOC_TRACKING_SUPP
|
Patient Location Tracking Supplier
|
Provides updated patient locations.
|
|
105
|
DOSE_INFO_REPORTER
|
Dose Information Reporter
|
Responsible for the aggregation, analysis, reporting and business logic related to irradiation events, which may include meeting facility obligations to de-identify and submit data to various dose registers.
|
|
11
|
TS
|
Time Server
|
A system unit that knows, maintains and distributes the correct time in the enterprise.
|
|
175
|
SMD_S
|
SMD Sender
|
Secure Message Delivery Sender
|
|
1308
|
GW
|
Gateway
|
|
|
176
|
SMD_R
|
SMD Receiver
|
Secure Message Delivery Receiver
|
|
1198
|
CONTENT_UPDATER
|
Content Updater
|
|
|
1194
|
METADATA_LTD_DOC_SOURCE
|
Metadata-Limited Document Source
|
The Metadata-Limited Document Source sends documents and metadata similar to a Document Source but is limited in the quantity of metadata it is able to provide.
|
|
1262
|
STEREOTACTIC_ARC_BEAM_CONSUMER
|
Stereotactic Arc Beam Consumer
|
A Treatment Planning System (TPS) capable of consuming a radiation therapy treatment plan with stereotactic arc treatment beams.
|
|
137
|
PD_SYSTEM
|
Positioning and Delivery System
|
A system that determines and corrects patient position then delivers therapeutic radiation.
|
|
1346
|
MED_ADMIN_PERFORMER
|
Medication Administration Performer
|
Receives instructions for administration of medications to patients, to perform the necessary checks and display it to the user (patient or healthcare professional)
|
|
102
|
PES
|
Patient Encounter Supplier
|
A system responsible for adding, updating and maintaining encounter information about a patient. It supplies new and updated information to the Patient Encounter Consumer. It must be grouped with either the Patient Demographics Source or the Patient Demographics Consumer.
|
|
1298
|
ALRT_MGR
|
Alert Manager
|
The Alert Manager (AM) actor receives the alerts from the Alert Reporter (AR), potentially analyzes the alert, and dispatches the alert to the Alert Communicator (AC), and optionally, provides the alert to the Alert Archiver (AA) or Alert Consumer (ACON) upon subscription.
|
|
5
|
PPM
|
Post-Processing Manager
|
A system that provides functions related to post-processing worklist management. This involves the ability to schedule post-processing worklist items (scheduled procedure steps), provide worklist items to post-processing worklist clients, and update the status of scheduled and performed procedure steps as received from post-processing worklist clients.
|
|
1230
|
FORM_PROCESSOR
|
Form Processor
|
The Form Processor is an integrated Form Manager and From Receiver, supporting all of the transactions and options of those actors.
The Form Processor constructs form such that form data is submitted back to itself.
|
|
1314
|
UPI_SERVICE
|
Unique Person Identification Service
|
|
|
1340
|
PAT_IDENTITY_CONSUMER
|
Patient Identity Consumer
|
A Patient Identity Consumer receives patient identity updates.
|
|
182
|
PROV_INFO_CONS
|
Provider Information Consumer
|
|
|
43
|
DOC_REGISTRY
|
Document Registry
|
The Document Registry Actor maintains metadata about each registered document in a document entry. This includes a link to the Document in the Repository where it is stored. The Document Registry responds to queries from Document Consumer actors about documents meeting specific criteria. It also enforces some healthcare specific technical policies at the time of document registration.
|
|
142
|
PROT_DEF_MGR
|
Protocol Definition Manager
|
Protocol Definition Manager
|
|
168
|
HITSP_Med_Order_Pscr
|
HITSP Medication Order Prescriber
|
The Medication Order Prescriber initiates requests for medication orders/prescriptions. This includes the ability to: create new orders, refill orders, change orders and cancel orders. These requests are sent to the Medication Order Filler.
|
|
23
|
KER_AUTH_SVR
|
Kerberos Authentication Server
|
Provides central authentication of enterprise users.
|
|
129
|
DOSE_DISPLAYER
|
Dose Displayer
|
A system that consumes a Dosimetric Plan, CT, Structure Set and an RT Dose and displays the dose
|
|
84
|
FORM_MANAGER
|
Form Manager
|
The actor that supplies a form based upon a request that supplies a unique form identification.
|
|
124
|
DM_NOTIF_RECIPIENT
|
Document Metadata Notification Recipient
|
The Document Metadata Notification Recipient actor receives the notification about an event, when the subscription filters specified for this Document Metadata Notification Recipient are satisfied.
|
|
173
|
IDCR
|
Implantable Device - Cardiac - Reporter
|
Sending actor in IDCO profile.
|
|