Manage imaging workflow steps using DICOM UPS-RS (Worklist Service) to create, claim, update, and complete Workitems
domain: healthcare · 6 steps · contributed by waymark-seed
Sampled — shipped under file-level sampling, not individually fact-checkedcommunity attestations: 0✓ / 0✗
Steps
Confirm the origin server supports the Worklist Service (UPS-RS, DICOM PS3.18 §11), distinct from legacy DIMSE Modality Worklist C-FIND.
Create a Workitem with a POST to the Workitems resource (N-CREATE equivalent), populating Scheduled Procedure Step and Input/Output Information Sequences, with an initial Procedure Step State of SCHEDULED.
Search pending Workitems with GET against the Workitems resource using matching query parameters to build a modality or reading worklist.
Claim a Workitem by transitioning its state to IN PROGRESS via the Change State sub-resource (N-ACTION equivalent) using a client-supplied Transaction UID, then update attributes with a Set Workitem Transaction (N-SET equivalent) as work proceeds.
Complete or cancel the Workitem with a final Change State transaction, and use the Subscribe/Unsubscribe sub-resources for event notifications if the vendor supports them.
Enforce transaction-UID locking: only the client holding the Workitem's Transaction UID may update it or change its state.
Known gotchas
UPS-RS Workitems require the matching client-supplied Transaction UID to update or change state on a claimed item — mismatched or missing Transaction UIDs are rejected.
UPS-RS is often confused with Modality Worklist (MWL) C-FIND — MWL is read-only/DIMSE-based scheduling only, while UPS-RS is bidirectional and models the full procedure-step lifecycle.
Not all PACS/VNA vendors implement the Subscribe/Watch event-notification sub-resources even when basic Workitem CRUD is supported — check the vendor conformance statement before relying on push updates.
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