<H3>Special Instructions</H3><p> <p>The Image Manager must run test <b>MAWF_Quality_Reject_EC_IM</b> or test     <b>MAWF_Quality_Reject_Mod_IM</b>    <i>before</i> it runs this test.</p> <p>The Image Manager must remain configured for "Regular Use", ie. When the Image Manager receives a    Key Object Selection instance with the Document Title, "Rejected for Quality Reasons", for the KOS instance    and all its referenced images, the Image Manager returns SOP Instance UIDs in Query Responses,    and the instances in Patient, Study, Series, or Instance level retrievals. (Rad TF-3:    4.66.4.1.3). IE, it does not hide images rejected for quality reasons.</p> </p><H3>Description</H3><p>An Image Manager receives notification via a Key Object Selection document that some of the    images it has stored have been rejected for quality or patient safety. </p><p>The study used for this test is a 4-view screening mammogram created in test     <b>MAWF_Quality_Reject_EC_IM</b> or <b>MAWF_Quality_Reject_Mod_IM</b>. The two images for the    left breast (CC and MLO) were rejected for quality reasons.</p><p>The Image Display will demonstrate the query and retrieve real-time during evaluation.</p><p>The Image Display will also demonstrate its ability to query and retrieve a Key Image Note and respond to its contents.   </p><H3>Evaluation</H3><p>On the <strong>Image Display</strong>, the Connectathon monitor will observe the query and    retrieve real-time:</p><ul>     <li>At the beginning of the evaluation, verify that the study does not already exist on the     Image Display system. </li>     <li>Ask the Image Display to query the Image Manager for the patient's     study. If the Image Display is capable of an image-level query, verify that 4 images appear     on the list returned by the Image Manager. </li>     <li>Ask the Image Manager to retrieve the study     (patient-level or study-level retrieve). Verify that all 4 images returned by the Image Manager.</li> </ul><p>Note that the KOS indicates that the two images for the left breast were rejected for quality (not safety) reasons.</p><p>The Image Display is required  by the MAWF profile to be configurable to support the 3 following behaviors in the event it receives a KOS indicating "rejected for quality reasons". The    Image Display will demonstrate for the Connectathon Monitor how it configures its system, <b>and the affect on the different settings on how the images in this study are displayed</b>.(The    Technical Framework does not constrain how the configuration is done, eg it may be through a service user    interface, a database setting, or something else.)</p><ol>     <li>Suppress from presentation the rejected instances in a KOS</li>     <li>Present the rejected instances referenced in this KOS and the KOS</li>     <li>Ignore the KOS and present the rejected images</li> </ol> 