<H3>Special Instructions</H3>  This test also covers functionality in the Cardiology ECHO E5 use case. If you are an actor in the PIR and ECHO profiles, you should try to execute this test at least once with peers in the ECHO profile. <p> Use the RIS MALL as an ADT and OP simulator to register and provide an order number during this test.  </p> <p>This test does not work well using RIS Mall, since RIS Mall does not receive MPPS messages, and the manual reconciliation at step 220 is not possible. </p> <p> In this test, the Image Manager receives MPPS messages from the modality.  The IM is the PPS Manager and forwards MPPS messages to the OF. </p> <H3>Description</H3> <p> This test verifies the ability of the DSS/Order Filler to reconcile identifiers in the Unscheduled case.   Specifically, this is PIR Case 5 (RAD-TF-1: 4.4.5, also ECHO Case E5 CARD-TF-1: 4.3.5) - the images are acquired at the Modality but the Patient has not been registered, the Order was not created, and the Procedure was not scheduled. </p> <p> <strong>NOTE:</strong>  The following transactions are tested in other test cases and are not verified in detail here, but you could check for the proper exchange of these messages. </p> <ul> <li>[RAD-3] Filler Order Management - New & Update <li>[RAD-10] Storage Commitment <li>[RAD-7]  The ability of the PPS Manager to forward MPPS messages received. </ul> <H3>Evaluation</H3> View the captured PPS messages from the Modality.  Ensure that there is no Requested or Scheduled procedure information. <p> On the <strong>Image Manager</strong>, verify that the image objects stored for this test contain: </p> <ul> <li>The Patient ID and Patient Name (SYS_NAME^ACTUAL_UNSCHED_PAT) generated at the ADT (Received in RAD-12). <li>The Study Instance UID that was originally generated by the Modality (not a new one generated by the DSS/OF). </ul>