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ImageGrid PACS™ - Candelis, Inc.

1. PATIENT 0010 2000 Medical Alerts PATIENT 0010 2110 Allergies PATIENT 0010 2154 Patient Telephone Numbers PATIENT 0010 2160 Ethnic Group STUDY 0010 1010 Patient s Age STUDY 0010 1020 Patient s Size STUDY 0010 1030 Patient s Weight STUDY 0010 2180 Patient s Occupation STUDY 0008 0020 Study Date STUDY 0008 0030 Study Time STUDY 0008 0050 Accession Number STUDY 0008 0080 Institution Name STUDY 0008 0090 Referring Physician s Name STUDY 0008 1030 Study Description STUDY 0008 1060 Name of Physicians Reading Study STUDY 0008 1080 Admitting Diagnoses Description STUDY 0020 0010 Study ID STUDY 0032 1060 Requested Procedure Description SERIES 0008 0021 Series Date SERIES 0008 0031 Series Time SERIES 0008 0060 Modality SERIES 0008 103E Series Description SERIES 0008 1050 Performing Physician s Name SERIES 0008 1070 Operator s Name SERIES 0018 0015 Body Part Examined SERIES 0018 1030 Protocol Name SERIES 0020 0011 Series Number SERIES 0040 0253 Performed Procedure Step ID SERIES 0040 0254 Performed Procedure Step Description IMAGE 0008 0023 Content Date IMAGE 0008 0033 Content Time IMAGE 0020 0013 Instance Number IMAGE 0020 4000 Image Comments IMAGE 0070 0080 Content Label IMAGE 0070 0081 Content Description IMAGE 0
2. Enhanced SR Storage 1 2 840 10008 5 1 4 1 1 88 22 Yes Yes Comprehensive SR Storage 1 2 840 10008 5 1 4 1 1 88 33 Yes Yes Procedure Log Storage 1 2 840 10008 5 1 4 1 1 88 40 Yes Yes Mammography CAD SR 1 2 840 10008 5 1 4 1 1 88 50 Yes Yes Storage Key Object Selection 1 2 840 10008 5 1 4 1 1 88 59 Yes Yes Document Storage Chest CAD SR Storage 1 2 840 10008 5 1 4 1 1 88 65 Yes Yes XRay Radiation Dose SR 1 2 840 10008 5 1 4 1 1 88 67 Yes Yes Storage Colon CAD SR Storage 1 2 840 10008 5 1 4 1 1 88 69 Yes Yes Implantation Plan SR 1 2 840 10008 5 1 4 1 1 88 70 Yes Yes Document Storage Encapsulated PDF Storage 1 2 840 10008 5 1 4 1 1 104 1 Yes Yes Encapsulated CDA Storage 1 2 840 10008 5 1 4 1 1 104 2 Yes Yes Positron Emission Tomography 1 2 840 10008 5 1 4 1 1 128 Yes Yes Image Storage Standalone PET Curve Storage 1 2 840 10008 5 1 4 1 1 129 Yes Yes Retired Enhanced PET Image Storage 1 2 840 10008 5 1 4 1 1 130 Yes Yes Basic Structured Display 1 2 840 10008 5 1 4 1 1 131 Yes Yes Storage RT Image Storage 1 2 840 10008 5 1 4 1 1 481 1 Yes Yes RT Dose Storage 1 2 840 10008 5 1 4 1 1 481 2 Yes Yes RT Structure Set Storage 1 2 840 10008 5 1 4 1 1 481 3 Yes Yes RT Beams Treatment Record 1 2 840 10008 5 1 4 1 1 481 4 Yes Yes Storage RT Plan Storage 1 2 840 10008 5 1 4 1 1 481 5 Yes Yes RT Brachy Treatment Record 1 2 840 10008 5 1 4 1 1 481 6 Yes Yes Storage RT Treatment Summar
3. largest existing series number Series Description 0008 103E LO Attachment ALWAYS AUTO Request Attributes 0040 0275 SQ Copied from an ANAP EXISTING Sequence existing instance of the study Table 8 8 GENERAL EQUIPMENT MODULE OF CREATED ENCAPSULATED PDF SOP INSTANCES Attribute Name Tag VR Value Presence of Source Value Institution Name _ 0008 0080 LO Copied from an VNAP EXISTING existing instance of the study Manufacturer 0008 0070 LO Empty EMPTY AUTO Table 8 9 SC EQUIPMENT MODULE OF CREATED ENCAPSULATED PDF SOP INSTANCES Attribute Name Tag VR Value Presence of Source Value Conversion Type 0008 0064 CS WSD ALWAYS AUTO Table 8 10 ENCAPSULATED DOCUMENT MODULE OF CREATED ENCAPSULATED PDF SOP INSTANCES Attribute Name Tag VR Value Presence of Source Value Instance Number 0020 0013 IS sie ALWAYS AUTO Content Date 0008 0023 DA Date when the ALWAYS AUTO instance is created Content Time 0008 0033 iTM Time when the ALWAYS AUTO instance is created Acquisition Date 0008 002A DT Date and time ALWAYS AUTO Time when the instance is created Burned In 0028 0301 CS YES ALWAYS AUTO Annotation Document Title 0042 0010 IST User input when ALWAYS USER adding an attachment Concept Name
4. Attribute Name Tag VR Value Presence of Source Value Request Attributes 0040 0275 SQ Copied from an ANAP EXISTING Sequence existing instance of the study Table 8 15 SR DOCUMENT SERIES MODULE OF CREATED SR SOP INSTANCES Attribute Name Tag VR Value Presence of Source Value Modality 0008 0060 CS SR ALWAYS AUTO Series Instance 0020 000E UI Auto generated ALWAYS AUTO UID UID Series Number 0020 0011 IS Empty EMPTY AUTO Table 8 16 GENERAL EQUIPMENT MODULE OF CREATED SR SOP INSTANCES Attribute Name Tag VR Value Presence of Source Value Institution Name _ 0008 0080 LO Copied from an ANAP EXISTING existing instance of the study Table 8 17 SR DOCUMENT GENERAL MODULE OF CREATED SR SOP INSTANCES Attribute Name Tag VR Value Presence of Source Value Instance Number 0020 0013 IS Empty EMPTY AUTO Completion Flag 0040 A491 CS COMPLETE or ALWAYS AUTO PARTIAL Verification Flag 0040 A493 CS VERIFIED or ALWAYS AUTO UNVERIFIED Content Date 0008 0023 DA Copied from the VNAP EXISTING triggering HL7 message Content Time 0008 0033 TM Copied from the VNAP EXISTING triggering HL7 message Verifying Observer 0040 A073 SQ ALWAYS AUTO Sequence gt Verifying 0040 A075 IPN Copied from the VNAP EXISTING Observer Name triggering HL7 message Table 8 18 SR DOCUMENT CONTENT M
5. Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID See Table 4 11 See Table 4 11 Implicit VR 1 2 840 10008 1 2 SCP None Little Endian Explicit VR 1 2 840 10008 1 2 1 SCP None Little Endian Explicit VR 1 2 840 10008 1 2 2 SCP None Big Endian RLE Lossless 1 2 840 10008 1 2 5 SCP None Deflated 1 2 840 10008 1 2 1 SCP None Explicit VR 99 Little Endian JPEG 1 2 840 10008 1 2 4 SCP None Baseline 50 Process 1 JPEG 1 2 840 10008 1 2 4 SCP None Extended 51 Process 2 amp 4 JPEG 1 2 840 10008 1 2 4 SCP None Extended 52 Process 3 amp 5 JPEG 1 2 840 10008 1 2 4 SCP None Spectral 53 Selection Non Hierarchical Process 6 amp 8 JPEG 1 2 840 10008 1 2 4 SCP None Spectral 54 Selection Non Hierarchical Process 7 amp 9 JPEG Full 1 2 840 10008 1 2 4 SCP None Progression 55 Non Hierarchical Process 10 amp 12 JPEG Full 1 2 840 10008 1 2 4 SCP None Progression 56 Non Hierarchical Process 11 amp 13 JPEG Lossless Non Hierarchical Process 14 1 2 840 10008 1 2 4 57 SCP None JPEG Lossless Non Hierarchical Process 15 1 2 840 10008 1 2 4 58 SCP None JPEG Extended Hierarchical Process 16 amp 18 1 2 840 10008 1 2 4 59 SCP None JPEG Extended Hierarchical Process 17 amp 19 1 2 840 10008 1
6. Local User equests Verificatio Local User Requests MWL STORAGE SCU Application Entity Requested Images FIND SCU Application Entity Received by Remote Application Entity Remote Application MOVE SCU Application Entity Entity Receives Query Command Remote Application ECHO SCU Application Entity Entity Receives Retrieve Command Remote Application MWL FIND SCU Application Entity Entity Receives Verification Command Remote Application Entity Receives MWL Query Command DICOM Standard Interface Figure 1 SCU IMPLEMENTATION MODEL STORAGE SCP Unsolicited or Requested Application Entity Instances Sent by Remote Application Entity FIND SCP Query Command ee oe Sent by Remote ADP AON pay Application Entity Local Application MOVE SCP Retrieve Command Entity R Send Abolisation Enti Sent by Remote PE ARNEE P ae Application Entity Verification Requested PEHO by by Remote Application Entity Application Entity MWL FIND SCP Application Entity Sent by Remote Application Entity MPPS Command MEESE Sent by Remote application Enny Application Entity STORAGE COMMIT SCP Application Entity MWL Query Command torage Commit Co
7. Patient Patient ID 0010 0020 M Verification on incoming Patient ID is performed If the Patient ID Attribute is missing or has an empty value then the Patient s Name will be copied and used as the Patient ID as well If both the Patient ID and Patient s Name are not available then a default value __MISSING_PATIENT_ID__ will be assigned Patients with the same Patient ID but different name birth date or sex will be stored as different patients in the database Patient s Name 0010 0010 O Incoming instances without Patient s Name will be accepted But this is a key Attribute for identifying a patient Patient s Birth Date 0010 0030 O Incoming instances without Patient s Birth Date will be accepted But this is a key Attribute for identifying a patient Patient s Sex 0010 0040 Incoming instances without Patient s Sex will be accepted But this is a key Attribute for identifying a patient General Study Instance UID 0020 000D Must be provided Study Study Date 0008 0020 This is a key Attribute for performing workflow and data management functions Accession Number 0008 0050 This is a key Attribute for matching SOP Instance with workflow information provided by HIS RIS General Series Instance UID 0020 000E lt x Must be provided Series Modality 0008 0060 This is a
8. The types of matching supported by the FIND SCU An S indicates the identifier Attribute uses Single Value Matching an R indicates Range Matching a W indicates Wildcard Matching a U indicates Universal Matching NONE indicates that no matching is supported but that values for this element are requested to be returned i e Universal Matching and UNIQUE indicates that this is the Unique Key for that query level in which case Universal Matching or Single Value Matching is used depending on the query level The identifiers listed for each level are not necessarily all included for all the Study Root Query Retrieve Information Model C FIND requests Different applications may use different subsets to issue the C FIND requests depending on what Attributes that they are interested in 4 2 3 3 1 3 2 Presentation Context Acceptance Criterion FIND SCU does not accept Association 4 2 3 3 1 3 3 Transfer Syntax Selection Policies As FIND SCU only proposes one Presentation Context for a supported SOP Class it will use any of the Transfer Syntaxes accepted by the remote FIND SCP 4 2 3 4 Association Acceptance Policy 4 2 3 4 1 Activity Receive FIND Request 4 2 3 4 1 1 Description and Sequencing of Activities When FIND SCP is dispatched upon FIND requests it responds to the FIND SCU If the Called AE Title does not match any of the configured local AE Title the Association will be rejected If the Called
9. Explicit VR Big Endian Implicit VR Little Endian STORAGE COMMITMENT SCP will accept duplicate Presentation Contexts that is if it is offered multiple Presentation Contexts each of which offers acceptable Transfer Syntaxes it will accept all Presentation Contexts applying the same priority for selecting a Transfer Syntax for each 4 2 7 3 1 3 4 Response Status STORAGE COMMITMENT SCP will behave as described in the table below when generating the Storage Commitment response command message Table 4 86 RESPONSE STATUS FOR STORAGE COMMITMENT SCP AND RECEIVE STORAGE COMMITMENT REQUEST Service Status Further Meaning Status Codes Reason Failure Processing Failure 0110H Error message is output to the log file Success 0000 4 2 8 Candelis Study Status Change 4 2 8 1 SOP Classes CANDELIS STUDY STATUS CHANGE SCU and CANDELIS STUDY STATUS CHANGE SCP provides standard conformance to the following SOP Class Table 4 87 SOP CLASS SUPPORTED BY CANDELIS STUDY STATUS CHANGE SOP Class Name SOP Class UID SCU SCP Candelis Study Status Change SOP Class 1 3 6 1 4 1 2820 228466 1 Yes Yes 4 2 8 2 Association Policies 4 2 8 2 1 General Table 4 88 DICOM APPLICATION CONTEXT Application Context Name 1 2 840 10008 3 1 1 1 Table 4 89 MAXIMUM PDU SIZE RECEIVED FOR CANDELIS STUDY STATUS CHANGE Maximum PDU size received 1638
10. MPEG2 Main 1 2 840 10008 1 2 4 SCP None Profile 101 High Level MPEG 4 1 2 840 10008 1 2 4 SCP None AVC H 264 102 High Profile Level 4 1 MPEG 4 1 2 840 10008 1 2 4 SCP None AVC H 264 103 BD compatible High Profile Level 4 1 Transfer syntax will be accepted if the unprocessable Transfer Syntaxes are enabled for DICOM Service However no compression decompression or Transfer Syntax conversion is supported 4 2 2 4 1 2 1 Extended Negotiation No extended Negotiation is performed STORAGE SCP is a Level 2 Storage SCP Full does not discard any data elements STORAGE SCP does not support digital signatures STORAGE SCP does not coerce any received data elements 4 2 2 4 1 3 SOP Specific Conformance 4 2 2 4 1 3 1 SOP Specific Conformance to Storage SOP Class STORAGE SCP provides standard conformance to the Storage Service Class The following DICOM Attributes can be manually modified from the Administration Web Interface Table 4 20 MODIFIABLE DICOM ATTRIBUTES FOR STORAGE SOP CLASSES Level Attributes Description PATIENT 0010 0020 Patient ID PATIENT 0010 0010 Patient s Name PATIENT 0010 0021 Issuer of Patient ID PATIENT 0010 0030 Patient s Birth Date PATIENT 0010 0032 Patient s Birth Time PATIENT 0010 0040 Patient s Sex PATIENT 0010 1000 Other Patient IDs PATIENT 0010 1001 Other Patient Names
11. 0040 A043 SQ Empty ALWAYS AUTO Code Sequence MIME Type of 0042 0012 ILO Automatically ALWAYS AUTO Encapsulated detected from Document the attachment file Encapsulated 0042 0011 OB User uploaded ALWAYS USER Document attachment file Table 8 11 SOP COMMON MODULE OF CREATED ENCAPSULATED PDF SOP INSTANCES Attribute Name Tag VR Value Presence of Source Value SOP Class UID 0008 0016 UI 1 2 840 10008 ALWAYS AUTO 5 1 4 1 1 104 1 SOP Instance UID 0008 0018 UI Auto generated ALWAYS AUTO UID Specific Character 0008 0005 CS Copied from an ALWAYS EXISTING Set existing instance of the study Instance Creation 0008 0012 DA Date when the ALWAYS AUTO Date instance is created Instance Creation 0008 0013 TM Time when the ALWAYS AUTO Time instance is created Table 8 12 PRIVATE APPLICATION MODULE OF CREATED ENCAPSULATED PDF SOP INSTANCES Attribute Name Tag VR Value Presence of Source Value Original File Name 0009 0005 LO The original file ALWAYS USER name of user uploaded attachment 8 1 1 5 Basic Text SR Modules Table 8 13 VISIT STATUS MODULE OF CREATED SR SOP INSTANCES Attribute Name Tag VR Value Presence of Source Value Current Patient 0038 0300 LO Copied from the VNAP EXISTING Location triggering HL7 message Table 8 14 GENERAL SERIES MODULE OF CREATED SR SOP INSTANCES
12. 8 1 1 3 Common Modules Table 8 3 PATIENT MODULE OF CREATED SOP INSTANCES Attribute Name Tag VR Value Presence of Source Value Patient s Name 0010 0010 PN Copied from an ALWAYS EXISTING existing instance of the study Patient ID 0010 0020 LO Copied from an ALWAYS EXISTING existing instance of the study Issuer of Patient 0010 0021 LO Copied from an ANAP EXISTING ID existing instance of the study Other Patient IDs 0010 1000 LO Copied from an ANAP EXISTING existing instance of the study Other Patient 0010 1001 PN Copied from an ANAP EXISTING Names existing instance of the study Patient s Birth 0010 0030 DA Copied from an VNAP EXISTING Date existing instance of the study Patient s Birth 0010 0032 TM Copied from an ANAP EXISTING Time existing instance of the study Patient s Sex 0010 0040 CS Copied from an VNAP EXISTING existing instance of the study Patient s 0010 2154 SH Copied from an ANAP EXISTING Telephone existing instance Numbers of the study Ethnic Group 0010 2160 SH Copied from an ANAP EXISTING existing instance of the study Medical Alerts 0010 2000 LO Copied from an ANAP EXISTING existing instance of the study Allergies 0010 2110 LO Copied from an ANAP EXISTING existing instance of the study Patient Species 0010 2201 LO Copied from an ANAP EXISTING Description existing inst
13. Series Description 0008 103E S W Protocol Name 0018 1030 S W Body Part Examined 0018 0015 S W Operator s Name 0008 1070 S W Performing Physician s Name 0008 1050 S W Performed Procedure Step 0040 0254 S W Description Performed Procedure Step ID 0040 0253 S Performed Procedure Step Start 0040 0244 S R Date Performed Procedure Step Start 0040 0245 S R Time Number of Series Related 0020 1209 NONE Instances Request Attributes Sequence 0040 0275 Q gt All Image Level SOP Instance UID 0008 0018 S L SOP Class UID 0008 0016 S L Image Type 0008 0008 S W Acquisition Date Time 0008 002A S R Instance Number 0020 0013 S Image Comments 0020 4000 S W Rows 0028 0010 S Columns 0028 0011 S Bits Allocated 0028 0100 S Number of Frames 0028 0008 S Content Date 0008 0023 S R Content Time 0008 0033 S R Content Label 0070 0080 S W Content Description 0070 0081 S W Content Creator s Name 0070 0084 S W Presentation Creation Date 0070 0082 S R Presentation Creation Time 0070 0083 S R Observation Date Time 0040 A032 S R Completion Flag 0040 A491 S Verification Flag 0040 A493 S Referenced Series Sequence 0008 1115 Q gt All Referenced Image Sequence 0008 1140 Q gt All Concept Name Code Sequence 0040 A043 Q gt All Verifying Observer Sequence 0040 A073 Q gt All Refere
14. healthcare facility ImageGrid PACS has participated in an industry wide testing program sponsored by Integrating the Healthcare Enterprise IHE The IHE Integration Statement for ImageGrid PACS together with the IHE Technical Framework may facilitate the process of validation testing 3 4 TERMS AND DEFINITIONS Informal definitions are provided for the following terms used in this Conformance Statement The DICOM Standard is the authoritative source for formal definitions of these terms Abstract Syntax the information agreed to be exchanged between applications generally equivalent to a Service Object Pair SOP Class Examples Verification SOP Class Modality Worklist Information Model Find SOP Class Computed Radiography Image Storage SOP Class Application Entity AE an end point of a DICOM information exchange including the DICOM network or media interface software i e the software that sends or receives DICOM information objects or messages A single device may have multiple Application Entities Application Entity Title the externally known name of an Application Entity used to identify a DICOM application to other DICOM applications on the network Application Context the specification of the type of communication used between Application Entities Example DICOM network protocol Association a network communication channel set up between Application Entities Attribute a unit of information in an objec
15. 2 4 60 SCP None JPEG Spectral Selection Hierarchical Process 20 amp 22 1 2 840 10008 1 2 4 61 SCP None JPEG Spectral Selection Hierarchical Process 21 amp 23 1 2 840 10008 1 2 4 62 SCP None JPEG Full Progression Hierarchical Process 24 amp 26 1 2 840 10008 1 2 4 63 SCP None JPEG Full Progression Hierarchical Process 25 amp 27 1 2 840 10008 1 2 4 64 SCP None JPEG 1 2 840 10008 1 2 4 SCP None Lossless 65 Hierarchical Process 28 JPEG 1 2 840 10008 1 2 4 SCP None Lossless 66 Hierarchical Process 29 JPEG 1 2 840 10008 1 2 4 SCP None Lossless 70 Non Hierarchical Process 14 Selection Value 1 JPEG LS 1 2 840 10008 1 2 4 SCP None Lossless 80 JPEG LS 1 2 840 10008 1 2 4 SCP None Lossy Near 81 Lossless JPEG 2000 1 2 840 10008 1 2 4 SCP None Lossless 90 Only JPEG 2000 1 2 840 10008 1 2 4 SCP None Lossless or 91 Lossy JPEG 2000 1 2 840 10008 1 2 4 SCP None Part 2 Multi 92 component Lossless Only JPEG 2000 1 2 840 10008 1 2 4 SCP None Part 2 Multi 93 component Lossless or Lossy JPIP 1 2 840 10008 1 2 4 SCP None Referenced 94 JPIP 1 2 840 10008 1 2 4 SCP None Referenced 195 Deflate MPEG2 Main 1 2 840 10008 1 2 4 SCP None Profile 100 Main Level
16. 3 2 Presentation Context Acceptance Criterion ECHO SCU does not accept Association 4 2 1 3 1 3 3 Transfer Syntax Selection Policies As ECHO SCU only proposes one Presentation Context for the Verification SOP Class it will use any of the Transfer Syntaxes accepted by the remote ECHO SCP 4 2 1 4 Association Acceptance Policy 4 2 1 4 1 Activity Receive Echo Request 4 2 1 4 1 1 Description and Sequencing of Activities When ECHO SCP is dispatched upon Echo requests it responds to the ECHO SCU If the Called AE Title does not match any of the configured local AE Title the Association will be rejected If the Called AE Title is configured but not in promiscuous mode or the Calling AE Title is not granted permission to access the Called AE Title the Association will be rejected too 4 2 1 4 1 2 Accepted Presentation Contexts Table 4 9 ACCEPTABLE PRESENTATION CONTEXTS FOR ECHO SCP Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Name UID Name UID Negotiation Verification 1 2 840 10008 1 1 Implicit VR 1 2 840 10008 1 2 SCP None Little Endian Explicit VR 1 2 840 10008 1 2 1 SCP None Little Endian Explicit VR 1 2 840 10008 1 2 2 SCP None Big Endian 4 2 1 4 1 2 1 Extended Negotiation No extended Negotiation is performed 4 2 1 4 1 3 SOP Specific Conformance 4 2 1 4 1 3 1 SOP Specific Conformance to Verification SOP Class ECHO SCP provides standard conformance
17. 5 1 4 1 1 9 6 1 Yes Yes Standalone Modality LUT 1 2 840 10008 5 1 4 1 1 10 Yes Yes Storage Retired Standalone VOI LUT Storage 1 2 840 10008 5 1 4 1 1 11 Yes Yes Retired Grayscale Softcopy 1 2 840 10008 5 1 4 1 1 11 1 Yes Yes Presentation State Storage Color Softcopy Presentation 1 2 840 10008 5 1 4 1 1 11 2 Yes Yes State Storage Pseudo Color Softcopy 1 2 840 10008 5 1 4 1 1 11 3 Yes Yes Presentation State Storage Blending Softcopy 1 2 840 10008 5 1 4 1 1 11 4 Yes Yes Presentation State Storage XAX RF Grayscale Softcopy 1 2 840 10008 5 1 4 1 1 11 5 Yes Yes Presentation State Storage XRay Angiographic Image 1 2 840 10008 5 1 4 1 1 12 1 Yes Yes Storage Enhanced XA Image Storage 1 2 840 10008 5 1 4 1 1 12 1 1 Yes Yes XRay Radiofluoroscopic Image 1 2 840 10008 5 1 4 1 1 12 2 Yes Yes Storage Enhanced XRF Image Storage 1 2 840 10008 5 1 4 1 1 12 2 1 Yes Yes XRay Angiographic Bi Plane 1 2 840 10008 5 1 4 1 1 12 3 Yes Yes Image Storage Retired XRay 3D Angiographic Image 1 2 840 10008 5 1 4 1 1 13 1 1 Yes Yes Storage XRay 3D Craniofacial Image 1 2 840 10008 5 1 4 1 1 13 1 2 Yes Yes Storage Breast Tomosynthesis Image 1 2 840 10008 5 1 4 1 1 13 1 3 Yes Yes Storage Intravascular Optical 1 2 840 10008 5 1 4 1 1 14 1 Yes Yes Coherence Tomography Image Storage For Presentation Intravascular Optical 1 2 840 10008 5 1 4 1 1 14 2 Yes Yes Cohere
18. AE Title is configured but not in promiscuous mode or the Calling AE Title is not granted read permission to access the Called AE Title the Association will be rejected too 4 2 3 4 1 2 Accepted Presentation Contexts Table 4 33 ACCEPTABLE PRESENTATION CONTEXTS FOR FIND SCP Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Name UID Name UID Negotiation See Table 4 23 See Table 4 23 Implicit VR 1 2 840 10008 1 2 SCP None Little Endian Explicit VR 1 2 840 10008 1 2 1 SCP None Little Endian Explicit VR 1 2 840 10008 1 2 2 SCP None Big Endian 4 2 3 4 1 2 1 Extended Negotiation No extended Negotiation is performed 4 2 3 4 1 3 SOP Specific Conformance 4 2 3 4 1 3 1 SOP Specific Conformance to FIND SOP Class FIND SCP provides standard conformance to the supported FIND Service Class Unsupported matching keys are ignored by FIND SCP and a warning status will be returned in the response Unsupported return keys are returned as empty by FIND SCP Character set conversion may be performed by FIND SCP to provide responses as specified by the Specific Character Set in the C FIND request If the character set conversion is not possible on certain results these results will be filtered from the C FIND responses while other results will still be returned normally in the requested character set If the results returned by FIND SCP is inco
19. AN ACCEPTOR FOR STORAGE COMMITMENT Maximum number of simultaneous associations Default 16 Configurable 4 2 7 2 3 Asynchronous Nature Storage Commitment will only allow a single outstanding operation on an Association Therefore Storage Commitment will not perform asynchronous operations window Negotiation Table 4 80 ASYNCHRONOUS NATURE FOR STORAGE COMMITMENT Maximum number of outstanding asynchronous 1 transactions 4 2 7 2 4 Implementation Identifying Information Table 4 81 DICOM IMPLEMENTATION CLASS AND VERSION FOR STORAGE COMMITMENT Implementation Class UID 1 3 6 1 4 1 2820 0 3 0 0 Implementation Version Name IGPACS_v2 0 4 2 7 3 Association Acceptance Policy 4 2 7 3 1 Activity Receive Storage Commitment Request 4 2 7 3 1 1 Description and Sequencing of Activities When STORAGE COMMITMENT SCP is dispatched upon Storage Commitment requests it responds to the STORAGE COMMITMENT SCU If the Called AE Title does not match any of the configured local AE Title the Association will be rejected If the Called AE Title is configured but not in promiscuous mode or the Calling AE Title is not granted permission to access the Called AE Title the Association will be rejected too 4 2 7 3 1 2 Accepted Presentation Contexts Table 4 82 ACCEPTABLE PRESENTATION CONTEXTS FOR STORAGE COMMITMENT Presentation Context Table Abstract Syntax Trans
20. Sequence 0008 1032 SQ Copied from an existing instance of the study ANAP EXISTING Table 8 5 PATIENT STUDY MODULE OF CREATED SOP INSTANCES Attribute Name Tag VR Value Presence of Source Value Patient s Age 0010 1010 AS Copied from an ANAP EXISTING existing instance of the study Patient s Size 0010 1020 DS Copied from an ANAP EXISTING existing instance of the study Patient s Weight 0010 1030 DS Copied from an ANAP EXISTING existing instance of the study Occupation 0010 2180 SH Copied from an ANAP EXISTING existing instance of the study Admitting 0008 1080 ILO Copied from an ANAP EXISTING Diagnoses existing Description instance of the study Table 8 6 REQUESTED PROCEDURE MODULE OF CREATED SOP INSTANCES Attribute Name Tag VR Value Presence of Source Value Requested 0032 1060 LO Copied from an ANAP EXISTING Procedure existing Description instance of the study 8 1 1 4 Encapsulated PDF Modules Table 8 7 ENCAPSULATED DOCUMENT SERIES MODULE OF CREATED ENCAPSULATED PDF SOP INSTANCES Attribute Name Tag VR Value Presence of Source Value Modality 0008 0060 ICS OT ALWAYS AUTO Series Instance 0020 000E UI Auto generated ALWAYS AUTO UID UID Series Number 0020 0011 IS Increment the ALWAYS AUTO
21. Storage Application Profile The MEDIA FSC Application Entity supports the SOP Classes and Transfer Syntaxes listed in the tables below Table 5 6 SOP CLASSES FOR MEDIA FSC SOP Class Name SOP Class UID See Table 4 11 See Table 4 11 Media Storage Directory Storage 1 2 840 10008 1 3 10 Table 5 7 TRANSFER SYNTAXES FOR MEDIA FSC Transfer Syntax Transfer Syntax UID See Table 4 19 See Table 4 19 5 3 AUGMENTED AND PRIVATE PROFILES 5 3 1 Augmented Application Profiles None 5 3 2 Private Application Profiles None 5 4 MEDIA CONFIGURATION None 6 SUPPORT OF CHARACTER SETS 6 1 OVERVIEW The application supports all extended character sets defined in the DICOM 2011 standard including single byte and multi byte character sets as well as code extension techniques using ISO 2022 escapes Support extends to correctly decoding and displaying the correct symbol for all names and strings found in the DICOMDIR in storage instances from media and received over the network and in the local database No specific support for sorting of strings other than in the default character set is provided 6 2 CHARACTER SETS Table 6 1 SUPPORTED SPECIFIC CHARACTER SET DEFINED TERMS Character Set Description Defined Term ASCII Graphic ISO_IR 6 Latin Alphabet No 1 ISO_IR 100 Latin Alphabet No 2 ISO_IR 101 Latin Alphabet No 3 ISO_IR 109
22. system s media reader if the media contains a valid DICOMDIR the content of the media will be displayed in the Import Worklist from where studies can be selected to be imported into the system 5 2 1 2 1 1 Media Storage Application Profile The MEDIA FSR Application Entity supports the SOP Classes and Transfer Syntaxes listed in the tables below Table 5 3 SOP CLASSES FOR MEDIA FSR SOP Class Name SOP Class UID See Table 4 11 See Table 4 11 Media Storage Directory Storage 1 2 840 10008 1 3 10 Table 5 4 TRANSFER SYNTAXES FOR MEDIA FSR Transfer Syntax Transfer Syntax UID See Table 4 19 See Table 4 19 5 2 2 MEDIA FSC MEDIA FSC provides standard conformance to the Media Storage Service Class The Application Profiles and roles are listed below Table 5 5 APPLICATION PROFILES ACTIVITIES AND ROLES FOR MEDIA FSC Application Profiles Supported Real World Activity Role STD GEN CD Export to CD media FSC STD GEN DVD RAM Export to DVD media FSC 5 2 2 1 File Meta Information for the Application Entity The Source Application Entity Title is included in the File Meta Header 5 2 2 2 Real World Activities 5 2 2 2 1 Activity Export to CD DVD media MEDIA FSC is activated through the Administration Web Interface The user can select studies from local AE Titles and add them to the Export Worklist from where the export to media operation can be started 5 2 2 2 1 1 Media
23. that matches OBR 24 on Station Name gt Scheduled 0040 0006 Technician Performing Physician s Name gt Scheduled 0040 0007 Generated from Procedure Step Procedure Description configuration that matches OBR 4 1 on Procedure Code gt Scheduled 0040 0010 OBR 24 Station Name gt Scheduled 0040 0009 Auto generated Procedure Step ID gt Scheduled 0040 0011 Procedure Step Location gt Scheduled 0040 0008 Protocol Code Sequence gt gt Code Value 0008 0100 Generated from Procedure configuration that matches OBR 4 1 on Procedure Code gt gt Coding 0008 0102 Generated from Scheme Procedure Designator configuration that matches OBR 4 1 on Procedure Code gt gt Coding 0008 0103 Generated from Scheme Version Procedure configuration that matches OBR 4 1 on Procedure Code gt gt Code 0008 0104 Generated from Meaning Procedure configuration that matches OBR 4 1 on Procedure Code Requested Procedure Requested 0040 1001 OBR 4 Procedure ID Requested 0032 1060 OBR 4 2 Procedure Description Requested 0032 1064 Procedure Code Sequence gt Code Value 0008 0100 Universal Service OBR 4 1 ID gt Coding 0008 0102 Generated from Scheme Procedure Designator configuration that matches OBR 4 1 on Procedure Code gt Coding 0008 0103 Generated from Scheme Version Procedure configur
24. to the Verification Service Class 4 2 1 4 1 3 2 Presentation Context Acceptance Criterion ECHO SCP will always accept any Presentation Context for the Verification SOP Class with the supported Transfer Syntax More than one proposed Presentation Context will be accepted for the same Abstract Syntax if the Transfer Syntax is supported whether or not it is the same as another Presentation Context 4 2 1 4 1 3 3 Transfer Syntax Selection Policies ECHO SCP prefers explicit Transfer Syntax If offered a choice of Transfer Syntaxes in a Presentation Context it will apply the following priority to the choice of Transfer Syntax Table 4 10 DEFAULT PRIORITY OF TRANSFER SYNTAX SELECTION FOR ECHO SCP Priority Transfer Syntax Name 1 Explicit VR Little Endian 2 Explicit VR Big Endian 3 Implicit VR Little Endian ECHO SCP will accept duplicate Presentation Contexts that is if it is offered multiple Presentation Contexts each of which offers acceptable Transfer Syntax it will accept all Presentation Contexts applying the same priority for selecting a Transfer Syntax for each 4 2 2 Storage 4 2 2 1 SOP Classes STORAGE SCU and STORAGE SCP provides standard conformance to the following SOP Class es Table 4 11 SOP CLASS ES SUPPORTED BY STORAGE SOP Class Name SOP Class UID SCU SCP Stored Print Storage Retired 1 2 840 10008 5 1 1 27 Yes Yes Hardcopy Grayscale Image 1 2 840 10008 5 1 1 29 Ye
25. 030 NONE Patient s Sex 0010 0040 S U Specific Character Set 0008 0005 S U Table 4 32 STUDY ROOT REQUEST IDENTIFIER FOR FIND SCU Name Tag Types of Matching Study Level Patient ID 0010 0020 S W U Patient s Name 0010 0010 S W U Patient s Birth Date 0010 0030 NONE Patient s Sex 0010 0040 NONE Study Instance UID 0020 000D UNIQUE Accession Number 0008 0050 S W U Study Date 0008 0020 S R U Study Time 0008 0030 NONE Modalities In Study 0008 0061 S U Institution Name 0008 0080 S W U Study ID 0020 0010 NONE Study Description 0008 1030 S W U Requested Procedure Description 0032 1060 NONE Admitting Diagnoses Description 0008 1080 NONE Referring Physician s Name 0008 0090 S W U Name of Physicians Reading 0008 1060 S W U Study Number of Study Related Series 0020 1206 NONE Name of Study Related Instances 0020 1208 NONE Retrieve AE Title 0008 0054 NONE Instance Availability 0008 0056 NONE Series Level Patient ID 0010 0020 S W U Patient s Name 0010 0010 S W U Study Description 0008 1030 S W U Study Date 0008 0020 S R U Accession Number 0008 0050 S W U Referring Physician s Name 0008 0090 S W U Name of Physicians Reading 0008 1060 S W U Study Institution Name 0008 0080 S W U Study Instance UID 0020 000D S U Series Instance UID 0020 000E UNIQUE Series D
26. 070 0082 Presentation Creation Date IMAGE 0070 0083 Presentation Creation Time IMAGE 0070 0084 Content Creator s Name 4 2 2 4 1 3 2 Presentation Context Acceptance Criterion STORAGE SCP will always accept any Presentation Context for the supported SOP Classes with the supported Transfer Syntax More than one proposed Presentation Context will be accepted for the same Abstract Syntax if the Transfer Syntax is supported whether or not it is the same as another Presentation Context 4 2 2 4 1 3 3 Transfer Syntax Selection Policies If offered a choice of Transfer Syntaxes in a Presentation Context STORAGE SCP will apply the following priority to the choice of Transfer Syntax Table 4 21 DEFAULT PRIORITY OF TRANSFER SYNTAX SELECTION FOR STORAGE SCP Priority Transfer Syntax Name 1 JPEG 2000 Lossless Only 2 JPEG LS Lossless 3 JPEG Lossless Non Hierarchical Process 14 Selection Value 1 4 JPEG Lossless Non Hierarchical Process 14 5 RLE Lossless 6 Deflated Explicit VR Little Endian 7 Explicit VR Little Endian 8 Explicit VR Big Endian 9 Implicit VR Little Endian 10 JPEG 2000 Lossless or Lossy 11 JPEG LS Lossy Near Lossless 12 JPEG Lossless Hierarchical Process 29 13 JPEG Lossless Hierarchical Process 28 14 JPEG Full Progression Hierarchical Process 25 amp 27 15 JPEG Full Progression Hierarchical Process 24 amp 26 16 JPEG Spectral Selection Hie
27. 1 No Yes Query Retrieve Information Model FIND Retired 4 2 3 2 Association Policies 4 2 3 2 1 General Table 4 24 DICOM APPLICATION CONTEXT Application Context Name 1 2 840 10008 3 1 1 1 Table 4 25 MAXIMUM PDU SIZE RECEIVED FOR FIND Maximum PDU size received 16384 Bytes Configurable 4 2 3 2 2 Number of Associations The number of Associations are shared among all AE s equally on a first come first serve basis There is a limitation on the overall number of Associations across all the AE s But there is no constrain on any particular AE Table 4 26 NUMBER OF ASSOCIATIONS AS AN INITIATOR FOR FIND Maximum number of simultaneous associations Unlimited Table 4 27 NUMBER OF ASSOCIATIONS AS AN ACCEPTOR FOR FIND Maximum number of simultaneous associations Default 16 Configurable 4 2 3 2 3 Asynchronous Nature FIND will only allow a single outstanding operation on an Association Therefore FIND will not perform asynchronous operations window Negotiation Table 4 28 ASYNCHRONOUS NATURE FOR FIND Maximum number of outstanding asynchronous 1 transactions 4 2 3 2 4 Implementation Identifying Information Table 4 29 DICOM IMPLEMENTATION CLASS AND VERSION FOR FIND Implementation Class UID 1 3 6 1 4 1 2820 0 3 0 0 Implementation Version Name IGPACS_v2 0 4 2 3 3 Association Initiation Policy FIND SCU attemp
28. 2 8 ECHO SCU ECHO SCU is activated through the remote AE configuration from the Administration Web Interface The connectivity of the remote AE s can be verified by issuing echo requests 4 1 2 9 STORAGE SCU STORAGE SCU is activated through routing either automatically triggered by routing and pre post fetching policies or manually triggered by the user selecting study series or instance and requesting transfer to other local or remote AE s 4 1 2 10 FIND SCU FIND SCU can be activated through pre post fetching service when searching for prior studies in a remote AE It also can be activated through the Administration Web Interface when the user selects a remote AE to query Series and instance level query can be initiated if a remote study or series object is expanded 4 1 2 11 MOVE SCU MOVE SCU can be activated through pre post fetching service when pulling prior studies from a remote AE It also can be activated when the user selects remote study series or instance from the Administration Web Interface and requests for transfer to other local or remote AE s A connection to the remote AE is established to initiate and monitor the retrieval and the STORAGE SCP AE on the move destination receives the retrieved instances 4 1 2 12 MWL FIND SCU MWL FIND SCU is activated through pre fetching service when searching for scheduled exams in a pre configured modality worklist The find request is constructed based on the pre fetching s
29. 2 840 10008 1 2 2 SCU None Big Endian FIND SCU proposes only one Presentation Context in each Association with one supported SOP Class and the Transfer Syntaxes listed above 4 2 3 3 1 2 1 Extended Negotiation No extended Negotiation is performed Relational queries are supported 4 2 3 3 1 3 SOP Specific Conformance 4 2 3 3 1 3 1 SOP Specific Conformance to FIND SOP Class FIND SCU provides standard conformance to the supported FIND Service Class No CANCEL requests are ever issued A query can be initiated from any level given the appropriate criteria Requested return Attributes not returned by the FIND SCP are ignored Non matching responses returned by the FIND SCP due to unsupported matching keys are not filtered locally by the FIND SCU and thus will still be presented in the query results No attempt is made to filter out duplicate responses Specific Character Set will always be included in each query request If present in the response Specific Character Set will be used to identify character sets other than the default character set for application processing and display purpose The character set to be used by FIND SCU can be configured from the Administration Web Interface Table 4 31 PATIENT ROOT REQUEST IDENTIFIER FOR FIND SCU Name Tag Types of Matching Patient Level Patient ID 0010 0020 S W U Patient s Name 0010 0010 S W U Patient s Birth Date 0010 0
30. 4 Bytes Configurable 4 2 8 2 2 Number of Associations The number of Associations are shared among all AE s equally on a first come first serve basis There is a limitation on the overall number of Associations across all the AE s But there is no constrain on any particular AE Table 4 90 NUMBER OF ASSOCIATIONS AS AN INITIATOR FOR CANDELIS STUDY STATUS CHANGE Maximum number of simultaneous associations Unlimited Table 4 91 NUMBER OF ASSOCIATIONS AS AN ACCEPTOR FOR CANDELIS STUDY STATUS CHANGE Maximum number of simultaneous associations Default 16 Configurable 4 2 8 2 3 Asynchronous Nature Candelis Study Status Change will only allow a single outstanding operation on an Association Therefore Candelis Study Status Change will not perform asynchronous operations window Negotiation Table 4 92 ASYNCHRONOUS NATURE FOR CANDELIS STUDY STATUS CHANGE Maximum number of outstanding asynchronous 1 transactions 4 2 8 2 4 Implementation Identifying Information Table 4 93 DICOM IMPLEMENTATION CLASS AND VERSION FOR CANDELIS STUDY STATUS CHANGE Implementation Class UID 1 3 6 1 4 1 2820 0 3 0 0 Implementation Version Name IGPACS_v2 0 4 2 8 3 Association Initiation Policy CANDELIS STUDY STATUS CHANGE SCU attempts to initiate a new Association for each change update 4 2 8 3 1 Activity Send Candelis Study Status Change Request 4 2 8 3 1 1 Description a
31. 78 5 MEDIA INTERCHANGE cinar einni bine taawniae A E E EE AE EN K 80 5 1 IMPLEMENTATION MODEL isisiescasiscasiaete nna a a an 80 Sell Application Data FIOWirusiisioru ccnn esse daduasneneiuadanaa raed 80 5 1 2 Functional Definitions of AE S s sssssssssssssssrsrnenuennerenesnerosenrnresenna 80 5 1 3 Sequencing of Real World ActivitieS cccccccssseeeesseseneesereneeseenenenes 81 5 1 4 File Meta Information for Implementation Class and Version 0 5 81 5 2 AE SPECIFICATIONS crirerisins resin tonaren iin ana DE R TEA REER Ah E ENE ia 81 5 2 1 MEDIASFSR tanteiehivacindwrdieridveantpiniiensadas iced PE AEA rE ETA EETA 81 5 2 2 MEDIA FS Cirer a E E E E EE NE 82 5 3 AUGMENTED AND PRIVATE PROFILES wuisiicsccesseresi sass ensde kansas sivaresiecaaresvens 83 5 3 1 Augmented Application Prone sicaiscscscsansnasdaascseriiarssersrdavsveaweiacedvess 83 5 3 2 Private Application ProfileS ssssssssssssssssesssessasnansnnnnrnnnnrennnrnrrrssera 83 5 4 MEDIA CONFIGURATION isinru serki p aa a AE a 83 6 SUPPORT OF CHARACTER SEI Swiidccsisacevedaawivsretiemnerseraneweantesrtveatess a a 84 6 1 OVERVIEW siainen aaen i a a a e a a E E aA 84 6 2 CHARACTER SET Shinran R AEE a N a AEE DA 84 6 3 CHARACTER SET CONFIGURATION cccccceesee eee e esses eeee ease eset eens teaeeenaneees 85 Fog SECURITY osd ranae e E deat scereeusnt ee E 86 7 2 ASSOCIATION LEVEL SECURITY asninn np tiie ia bale a 86 713 APPLICATION LEV EL SECURITY iia vewsc
32. A900 SOP Class and match SOP Class Query Retrieve level do not match Unable to Process Cxxx Unable to process request Coo1 Unable to read request data set C002 Database error C003 Failure before executing the query C004 Failure after executing the query Coo5 Missing required field in the request C006 Unable to send one or more responses Warning Unsupported FFO1 Unsupported optional Optional Keys keys in the request data set Pending Matches are FFOO Any Optional Keys continuing Current were supported in Match is supplied the same manner as Required Keys Cancel Cancel FEOO Matching terminated due to cancel request Success Matching is complete 0000 Current query is No final identifier is terminated supplied remaining queries continue 4 2 6 Modality Performed Procedure Step 4 2 6 1 SOP Classes MPPS SCP provides standard conformance to the following SOP Class Table 4 65 SOP CLASS SUPPORTED BY MPPS SOP Class Name SOP Class UID SCU SCP Modality Performed 1 2 840 10008 3 1 2 3 3 No Yes Procedure Step SOP Class 4 2 6 2 Association Policies 4 2 6 2 1 General Table 4 66 DICOM APPLICATION CONTEXT Application Context Name 1 2 840 10008 3 1 1 1 Table 4 67 MAXIMUM PDU SIZE RECEIVED FOR MPPS Maximum PDU size received 16384 Bytes Configurable 4 2 6 2 2 Number of Associations The number of Associations are shared a
33. ATURE FOR STORAGE Maximum number of outstanding asynchronous 1 transactions 4 2 2 2 4 Implementation Identifying Information Table 4 17 DICOM IMPLEMENTATION CLASS AND VERSION FOR STORAGE Implementation Class UID 1 3 6 1 4 1 2820 0 3 0 0 Implementation Version Name IGPACS_v2 0 4 2 2 3 Association Initiation Policy STORAGE SCU attempts to initiate a new Association for each study it attempts to transfer If only a series or an instance is to be transferred STORAGE SCU will initiate a new Association for each series or instance 4 2 2 3 1 Activity Send Storage Request 4 2 2 3 1 1 Description and Sequencing of Activities DICOM send of study series and instance can be initiated from the Administration Web Interface It also can be initiated from the routing and pre post fetching services If the first attempt of the send fails multiple retries will be performed The maximum number of retries is configurable 4 2 2 3 1 2 Proposed Presentation Contexts Table 4 18 PROPOSED PRESENTATION CONTEXTS FOR STORAGE SCU Presentation Context Table Abstract Syntax Transfer Syntax Name UID Name UID Role Extended Negotiation See Table 4 11 See Table 4 11 Implicit VR Little Endian 1 2 840 10008 1 2 SCU None Explicit VR Little Endian 1 2 840 10008 1 2 1 SCU None Explicit VR Big Endian 1 2 840 10008 1 2 2 SCU None Transfe
34. CANDELS ImageGrid PACS Conformance Statement Version 2 0 Copyright 2013 Candelis Inc All Rights Reserved Issued in U S A Rev 1 1 04 13 http www candelis com 1 CONFORMANCE STATEMENT OVERVIEW ImageGrid PACS provides transfer and storage service of DICOM objects It also supports query and retrieval of DICOM objects across the network with other DICOM 3 0 compliant systems All storage SOP Classes defined as of DICOM 2011 can be received stored and transmitted by the ImageGrid PACS Table 1 1 NETWORK SERVICES SOP Classes User of Service SCU Provider of Service SCP Transfer All services of the Transfer Service Class Yes Yes Query Retrieve Patient Root Query Retrieve Information Model FIND Yes Yes Patient Root Query Retrieve Information Model MOVE No Yes Patient Root Query Retrieve Information Model GET No Yes Study Root Query Retrieve Information Model FIND Yes Relational by Default Yes Study Root Query Retrieve Information Model MOVE Yes Relational by Default Yes Study Root Query Retrieve Information Model GET No Yes Patient Study Only Query Retrieve Information Model FIND Retired No Yes Patient Study Only Query Retrieve Information Model MOVE Retired No Yes Patient Study Only Query Retrieve Information Model GET Retired No Yes Worklis
35. DED SPECILIZED PRIVATE SOP CLASSES ImageGrid PACS does not claim conformance to any Extended Specialized or Private SOP Classes 8 6 PRIVATE TRANSFER SYNTAXES ImageGrid PACS does not employ any Private Transfer Syntaxes
36. E request the MOVE SCP will play the role of STORAGE SCU to send the storage request based on the standard conformance to the supported STORAGE Service Class After receiving each C STORE response from the STORAGE SCP a C MOVE response is sent the MOVE SCP to the MOVE SCU to update the status of the move as well as the sub operations including the Number of Remaining Sub Operations Completed Sub Operations and Failed Sub Operations These numbers represent the real time progress of C STORE and can be trusted by the MOVE SCU 4 2 4 4 1 3 5 Response Status MOVE SCP will behave as described in the table below when generating the MOVE response command message Table 4 51 RESPONSE STATUS FOR MOVE SCP AND RECEIVE MOVE REQUEST Service Status Further Meaning Status Codes Reason Error Out of Resources A701 Unable to locate requested entity Out of Resources A702 Failure in C STORE Sub Operations sub association SOP Class is not A800 SOP Class is not Supported supported Move Destination A801 Destination AE is not Unknown configured Identifier does not A900 SOP Class and match SOP Class Query Retrieve level do not match Unable to Process CXXX Unable to process request Coo1 Unable to read request data set C002 Failure before the retrieval C003 Failure after the retrieval C004 Missing required field in the request Warning Sub Operations B000 On
37. ID 0008 1195 Referenced SOP Sequence 0008 1199 gt Referenced SOP Class UID 0008 1150 gt Referenced SOP Instance UID 0008 1155 Table 4 84 IDENTIFIER FOR STORAGE COMMITMENT N EVENT REPORT Name Tag Referenced SOP Sequence 0008 1199 gt Referenced SOP Class UID 0008 1150 gt Referenced SOP Instance UID 0008 1155 Failed SOP Sequence 0008 1198 gt Referenced SOP Class UID 0008 1150 gt Referenced SOP Instance UID 0008 1155 gt Failure Reason 0008 1197 Retrieve AE Title 0008 0054 Transaction UID 0008 1195 The Transaction ID in N EVENT REPORT must match the one in N ACTION for the same Storage Commitment transaction 4 2 7 3 1 3 2 Presentation Context Acceptance Criterion STORAGE COMMITMENT SCP will always accept any Presentation Context for the Storage Commitment SOP Class with the supported Transfer Syntax More than one proposed Presentation Context will be accepted for the same Abstract Syntax if the Transfer Syntax is supported whether or not it is the same as another Presentation Context 4 2 7 3 1 3 3 Transfer Syntax Selection Policies STORAGE COMMITMENT SCP prefers explicit Transfer Syntax If offered a choice of Transfer Syntaxes in a Presentation Context it will apply the following priority to the choice of Transfer Syntax Table 4 85 DEFAULT PRIORITY OF TRANSFER SYNTAX SELECTION FOR STORAGE COMMITMENT SCP Priority Transfer Syntax Name Explicit VR Little Endian
38. Latin Alphabet No 4 ISO_IR 110 Cyrillic ISO_IR_144 Arabic ISO_IR 127 Greek ISO_IR 126 Hebrew ISO_IR 138 Latin Alphabet No 5 ISO_IR 148 Japanese ISO_IR 13 Thai ISO_IR 166 Unicode Default Repertoire ISO_IR 192 Chinese GB18030 GB18030 ASCII Graphic with Code Extension ISO 2022 IR 6 Latin Alphabet No 1 with Code Extensions ISO 2022 IR 100 Latin Alphabet No 2 with Code Extensions ISO 2022 IR 101 Latin Alphabet No 3 with Code Extensions ISO 2022 IR 109 Latin Alphabet No 4 with Code Extensions ISO 2022 IR 110 Cyrillic with Code Extensions ISO 2022 IR 144 Arabic with Code Extension ISO 2022 IR 127 Greek with Code Extension ISO 2022 IR 126 Hebrew with Code Extension ISO 2022 IR 138 Latin Alphabet No 5 with Code Extension ISO 2022 IR 148 Japanese with Code Extension ISO 2022 IR 13 Thai with Code Extension ISO 2022 IR 166 Japanese KANJI with Code Extension ISO 2022 IR 87 Japanese SUPP KANJI with Code Extension ISO 2022 IR 159 Korean with Code Extension ISO 2022 IR 149 6 3 CHARACTER SET CONFIGURATION The default character set to be used for DICOM Service can be configured from the Administration Web Interface 7 SECURITY 7 1 SECURITY PROFILES None supported 7 2 ASSOCIATION LEVEL SECURITY The DICOM Service on ImageGrid PACS can be configured to check the following DICOM values when determining whether to accept Association Open Requests Calling AE Title C
39. Modality 0008 0060 S U gt Scheduled Station AE Title 0040 0001 S U gt Scheduled Procedure Step 0040 0002 R U Start Date gt Scheduled Procedure Step 0040 0003 R U Start Time gt Scheduled Procedure Step 0040 0007 NONE Description Requested Procedure ID 0040 1001 NONE Reason For The Requested 0040 1002 NONE Procedure Requested Procedure Priority 0040 1003 NONE Specific Character Set 0008 0005 S U The types of matching supported by the MWL FIND SCU An S indicates the identifier Attribute uses Single Value Matching an R indicates Range Matching a U indicates Universal Matching a Q indicates Sequence Matching NONE indicates that no matching is supported but that values for this element are requested to be returned i e Universal Matching 4 2 5 3 1 3 2 Presentation Context Acceptance Criterion MWL FIND SCU does not accept Association 4 2 5 3 1 3 3 Transfer Syntax Selection Policies As MWL FIND SCU only proposes one Presentation Context for the supported SOP Class it will use any of the Transfer Syntaxes accepted by the remote MWL FIND SCP 4 2 5 4 Association Acceptance Policy 4 2 5 4 1 Activity Receive MWL FIND Request 4 2 5 4 1 1 Description and Sequencing of Activities When MWL FIND SCP is dispatched upon MWL FIND requests it responds to the MWL FIND SCU If the Called AE Title does not match any of the configured local AE Title the Association wi
40. NSE IDENTIFIER FOR MOVE SCP Name Tag Unique Matching or Return Key Study Level Study Instance UID 0020 000D U Series Level Series Instance UID 0020 000E U Image Level SOP Instance UID 0008 0018 U 4 2 4 4 1 3 2 Presentation Context Acceptance Criterion MOVE SCP will always accept any Presentation Context for the MOVE SOP Class with the supported Transfer Syntax More than one proposed Presentation Context will be accepted for the same Abstract Syntax if the Transfer Syntax is supported whether or not it is the same as another Presentation Context 4 2 4 4 1 3 3 Transfer Syntax Selection Policies MOVE SCP prefers explicit Transfer Syntax If offered a choice of Transfer Syntaxes in a Presentation Context it will apply the following priority to the choice of Transfer Syntax Table 4 50 DEFAULT PRIORITY OF TRANSFER SYNTAX SELECTION FOR MOVE SCP Priority Transfer Syntax Name 1 Explicit VR Little Endian 2 Explicit VR Big Endian 3 Implicit VR Little Endian MOVE SCP will accept duplicate Presentation Contexts that is if it is offered multiple Presentation Contexts each of which offers acceptable Transfer Syntaxes it will accept all Presentation Contexts applying the same priority for selecting a Transfer Syntax for each 4 2 4 4 1 3 4 Sub operation dependent behavior Once the sub association is successfully established from the MOVE SCP to the STORAGE SCP AE as specified by the move destination in C MOV
41. ODULE OF CREATED SR SOP INSTANCES Attribute Name Tag VR Value Presence of Source Value Value Type 0040 A040 ICS CONTAINER ALWAYS AUTO Concept Name 0040 A043 SQ ALWAYS AUTO Code Sequence gt Code Value 0008 0100 SH 11528 7 ALWAYS AUTO gt Coding Scheme 0008 0102 ISH LN ALWAYS AUTO Designator gt Code Meaning 0008 0104 LO Description ALWAYS AUTO status date and time of the report Content Sequence 0040 A730 SQ ALWAYS AUTO gt Relationship 0040 A010 ICS CONTAINS ALWAYS AUTO Type gt Value Type 0040 A040 CS TEXT ALWAYS AUTO gt Text Value 0040 A160 UT Copied from the VNAP EXISTING triggering HL7 message gt Concept Name _ 0040 A043 SQ ALWAYS AUTO Code Sequence gt gt Code Value 0008 0100 SH 121111 ALWAYS AUTO gt gt Coding 0008 0102 SH DCM ALWAYS AUTO Scheme Designator gt gt Code Meaning 0008 0104 LO Summary ALWAYS AUTO Continuity of 0040 A050 ICS SEPARATE ALWAYS AUTO Content Table 8 19 SOP COMMON MODULE OF CREATED SR SOP INSTANCES Attribute Name Tag VR Value Presence of Source Value SOP Class UID 0008 0016 UI 1 2 840 10008 ALWAYS AUTO 5 1 4 1 1 88 1 1 SOP Instance UID 0008 0018 UI Auto generated ALWAYS AUTO UID Specific Character 0008 0005 CS Copied from an ALWAYS EXISTING Set existing instance of the study Table 8 20 PRI
42. Performed Station AE Title 0040 0241 Modality 0008 0060 Performed Procedure Step Description 0040 0254 Performed Procedure Type Description 0040 0255 Procedure Code Sequence 0008 1032 gt Code Value 0008 0100 gt Coding Scheme Designator 0008 0102 CICICICI CICICICICICICI CIC zZz 3 8 gt Coding Scheme Version 0008 0103 U gt Code Meaning 0008 0104 U Scheduled Step Attributes Sequence 0040 0270 U gt Study Instance UID 0020 000D U gt Accession Number 0008 0050 U gt Requested Procedure ID 0040 1001 U gt Scheduled Procedure Step ID 0040 0009 U gt Requested Procedure Description 0032 1060 U gt Scheduled Procedure Step Description 0040 0007 U gt Scheduled Protocol Code Sequence 0040 0008 U gt gt Code Value 0008 0100 U gt gt Coding Scheme Designator 0008 0102 U gt gt Coding Scheme Version 0008 0103 U gt gt Code Meaning 0008 0104 U Table 4 73 IDENTIFIER FOR MPPS N SET Name Tag Usage SOP Instance UID 0008 0018 M Performed Procedure Step Status 0040 0252 M Performed Procedure Step ID 0040 0253 U Performed Procedure Step End Date 0040 0250 U Performed Procedure Step End Time 0040 0251 U Performed Procedure Step Description 0040 0254 U Performed Procedure Type Description 0040 0255 U Scheduled Step Attributes Sequen
43. TORAGE SCU will attempt to use the encapsulated Transfer Syntax over the native Transfer Syntax Among the encapsulated Transfer Syntaxes that are accepted STORAGE SCU will attempt to use the most preferred Transfer Syntax configured The preferred Transfer Syntaxes can be configured from the routing service settings routing policies and pre post fetching policies The preferred Transfer Syntaxes in the policies have higher priority than the one from the routing service settings 4 2 2 4 Association Acceptance Policy 4 2 2 4 1 Activity Receive Storage Request 4 2 2 4 1 1 Description and Sequencing of Activities When the STORAGE SCP is dispatched upon store requests it processes and stores the DICOM instances and responds to the STORAGE SCU If the Called AE Title does not match any of the configured local AE Title the Association will be rejected If the Called AE Title is configured but not in promiscuous mode or the Calling AE Title is not granted write permission to access the Called AE Title the Association will be rejected too As instances are received they are copied to the local file system and corresponding records are inserted into the local database If the received instance is a duplicate of a previously received instance the duplicate policy for DICOM Service will apply 4 2 2 4 1 2 Accepted Presentation Contexts Table 4 19 ACCEPTABLE PRESENTATION CONTEXTS FOR STORAGE SCP Presentation Context Table
44. VATE APPLICATION MODULE OF CREATED SR SOP INSTANCES Attribute Name Tag VR Value Presence of Source Value Account Number 0009 0025 LO Copied from the VNAP EXISTING triggering HL7 message Transcriptionist 0009 0026 PN Copied from the VNAP EXISTING triggering HL7 message Transcribed Date 0009 0027 DA Copied from the VNAP EXISTING triggering HL7 message Transcribed Time 0009 0028 TM Copied from the VNAP EXISTING triggering HL7 message Printed Date 0009 0029 DA Copied from the VNAP EXISTING triggering HL7 message Printed Time 0009 0030 TM Copied from the VNAP EXISTING triggering HL7 message Registration Status 0009 0031 LO Copied from the VNAP EXISTING triggering HL7 message Technologist 0009 0032 PN Copied from the triggering HL7 message VNAP EXISTING Result Copied To 0009 0033 PN Copied from the triggering HL7 message VNAP EXISTING Report Header 0009 0034 Copied from the triggering HL7 message VNAP EXISTING 8 1 2 Usage of Attributes from Received IOD s ImageGrid PACS makes use of the conventional identification Attributes to distinguish patients studies series and instances No SOP Class specific fields for images are required Table 8 21 SIGNIFICANT ELEMENTS IN RECEIVED COMPOSITE SOP INSTANCES Module Attribute Name Tag Type Significance
45. Yes Yes Storage Ophthalmic Tomography 1 2 840 10008 5 1 4 1 1 77 1 5 4 Yes Yes Image Storage VL Whole Slide Microscopy 1 2 840 10008 5 1 4 1 1 77 1 6 Yes Yes Image Storage VL Multi Frame Image Storage 1 2 840 10008 5 1 4 1 1 77 2 Yes Yes Retired Lensometry Measurements 1 2 840 10008 5 1 4 1 1 78 1 Yes Yes Storage Autorefraction Measurements 1 2 840 10008 5 1 4 1 1 78 2 Yes Yes Storage Keratometry Measurements 1 2 840 10008 5 1 4 1 1 78 3 Yes Yes Storage Subjective Refraction 1 2 840 10008 5 1 4 1 1 78 4 Yes Yes Measurements Storage Visual Acuity Measurements 1 2 840 10008 5 1 4 1 1 78 5 Yes Yes Storage Spectacle Prescription Report 1 2 840 10008 5 1 4 1 1 78 6 Yes Yes Storage Ophthalmic Axial 1 2 840 10008 5 1 4 1 1 78 7 Yes Yes Measurements Storage Intraocular Lens Calculations 1 2 840 10008 5 1 4 1 1 78 8 Yes Yes Storage Macular Grid Thickness And 1 2 840 10008 5 1 4 1 1 79 1 Yes Yes Volume Report Storage Ophthalmic Visual Field Static 1 2 840 10008 5 1 4 1 1 80 1 Yes Yes Perimetry Measurements Storage Ophthalmic Thickness Map 1 2 840 10008 5 1 4 1 1 81 1 Yes Yes Storage SR Text Storage Draft 1 2 840 10008 5 1 4 1 1 88 1 Yes Yes SR Audio Storage Draft 1 2 840 10008 5 1 4 1 1 88 2 Yes Yes SR Detail Storage Draft 1 2 840 10008 5 1 4 1 1 88 3 Yes Yes SR Comprehensive Storage 1 2 840 10008 5 1 4 1 1 88 4 Yes Yes Draft Basic Text SR Storage 1 2 840 10008 5 1 4 1 1 88 11 Yes Yes
46. alled AE Title Each local AE Title Called AE Title can be configured to accept Association Requests from only a limited list of Calling AE Titles The AE Title and Presentation Address mapping of the requestor is not validated The system can be configured to block certain IP Addresses or Ranges This blacklist is global and it applies to all the DICOM Services and AEs Association requests coming from the blacklist are not able to reach the DICOM Service 7 3 APPLICATION LEVEL SECURITY None supported 8 ANNEXES 8 1 IOD CONTENTS 8 1 1 Created SOP Instance s ImageGrid PACS system is capable of creating instances of Encapsulated PDF Storage and Basic Text SR Storage Table 8 1 specifies the Attributes of an Encapsulated PDF instance created and transmitted by the storage application of ImageGrid PACS Table 8 2 specifies the Attributes of a Basic Text SR instance created and transmitted by the storage application of ImageGrid PACS The following tables use a number of abbreviations The abbreviations used in the Presence of Value column are VNAP Value not always present Attribute sent zero length if no value is present ANAP Attribute not always presentation ALWAYS Always present EMPTY Attribute is created without a value The abbreviations used in the Source column USER the Attribute value source is from user input AUTO the Attribute value is generated automatically EIXSTING the Attribute value source
47. ance of the study Patient Breed 0010 2292 LO Copied from an ANAP EXISTING Description existing instance of the study Responsible 0010 2297 PN Copied from an ANAP EXISTING Person existing instance of the study Table 8 4 GENERAL STUDY MODULE OF CREATED SOP INSTANCES Attribute Name Tag VR Value Presence of Value Source Study Instance UID 0020 000D UI Copied from an existing instance of the study ALWAYS EXISTING Study Date 0008 0020 DA Copied from an existing instance of the study VNAP EXISTING Study Time 0008 0030 TM Copied from an existing instance of the study VNAP EXISTING Referring Physician s Name 0008 0090 PN Copied from an existing instance of the study VNAP EXISTING Referring Physician Identification Sequence 0008 0096 SQ Copied from an existing instance of the study ANAP EXISTING Study ID 0020 0010 SH Copied from an existing instance of the study VNAP EXISTING Accession Number 0008 0050 SH Copied from an existing instance of the study VNAP EXISTING Study Description 0008 1030 LO Copied from an existing instance of the study ANAP EXISTING Name of Physician s Reading Study 0008 1060 PN Copied from an existing instance of the study ANAP EXISTING Procedure Code
48. ate 0008 0021 NONE Series Time 0008 0031 NONE Modality 0008 0060 S U Series Number 0020 0011 NONE Series Description 0008 103E S W U Protocol Name 0018 1030 NONE Body Part Examined 0018 0015 S W U Operator s Name 0008 1070 NONE Performing Physician s Name 0008 1050 NONE Performed Procedure Step 0040 0254 NONE Description Performed Procedure Step ID 0040 0253 NONE Performed Procedure Step Start 0040 0244 NONE Date Performed Procedure Step Start 0040 0245 NONE Time Number of Series Related 0020 1209 NONE Instances Image Level Series Instance UID 0020 000E S U SOP Instance UID 0008 0018 UNIQUE SOP Class UID 0008 0016 NONE Acquisition Date Time 0008 002A NONE Instance Number 0020 0013 NONE Image Comments 0020 4000 NONE Rows 0028 0010 NONE Columns 0028 0011 NONE Bits Allocated 0028 0100 NONE Number of Frames 0028 0008 NONE Content Date 0008 0023 NONE Content Time 0008 0033 NONE Content Label 0070 0080 NONE Content Description 0070 0081 NONE Content Creator s Name 0070 0084 NONE Presentation Creation Date 0070 0082 NONE Presentation Creation Time 0070 0083 NONE Observation Date Time 0040 A032 NONE Completion Flag 0040 A491 NONE Verification Flag 0040 A493 NONE Common to all query levels Specific Character Set 0008 0005 S U
49. ation that matches OBR 4 1 on Procedure Code gt Code Meaning 0008 0104 Generated from Procedure configuration that matches OBR 4 1 on Procedure Code Study Instance 0020 000D Auto generated UID Requested 0040 1003 ORC 7 6 Procedure Priority Reason for the 0040 1002 Requested Procedure Imaging Service Request Accession 0008 0050 ORC 3 Number Requesting 0032 1032 ORC 12 Physician Referring 0008 0090 PV1 8 Physician s Name Visit Identification Admission ID 0038 0010 Institution Name 0008 0080 Visit Status Current Patient 0038 0300 Location Patient Identification Patient s Name 0010 0010 PID 5 Patient ID 0010 0020 PID 3 Other Patient 0010 1000 PID 4 IDs Patient Demographics Patient s Birth 0010 0030 PID 7 Date Patient s Sex 0010 0040 PID 8 Patient s Weight 0010 1030 Confidentiality 0040 3001 Constraint on Patient Data Description Patient Medical Patient State 0038 0500 Danger Code Pregnancy 0010 21C0 Filler Field 1 Status Medical Alerts 0010 2000 Relevant Clinical Information Allergies 0010 2110 Special Needs 0038 0050 8 1 4 Coerced Modified Fields When the Patient ID Attribute is missing from the incoming instances STORAGE SCP will automatically assign the Patient s Name Attribute value to the Patient ID Attribut
50. ations with Presentation Contexts for supported SOP Classes of the Query Service Class and will dispatch a FIND SCP to perform patient study series instance query to the database based on the request and return matching results 4 1 2 4 MOVE SCP DICOM Service waits in the background for connections will accept Associations with Presentation Contexts for supported SOP Classes of the Retrieve Service Class and will dispatch a MOVE SCP to locate the requested objects and further trigger the SEND SCU to send the objects to the requested destination 4 1 2 5 MWL FIND SCP DICOM Service waits in the background for connections will accept Associations with Presentation Contexts for the Modality Worklist Information Model FIND and will dispatch a MWL FIND SCP to perform MWL query to the database based on the request and return matching results 4 1 2 6 MPPS SCP DICOM Service waits in the background for connections will accept Associations with Presentation Contexts for the Modality Performed Procedure Step SOP Class and will dispatch a MPPS SCP to update the matching MPPS status in the database 4 1 2 7 STORAGE COMMITMENT SCP DICOM Service waits in the background for connections will accept Associations with Presentation Contexts for the Storage Commitment Push Model SOP Class and will dispatch a STORAGE COMMITMENT SCP to verify the storage status on the requested instances and further sends the N EVENT REPORT response 4 1
51. awtes eaves wangsacarveycun dg cues ana E REENEN DE 86 ANNEXE S oree tar cease waar act vate nn aoaaccatacnale A EENAA TE EROAA Ca EATA mule abled aha IAE SANYA 87 8 1 TOD CONTENT Sex risit cer a0 oeoo en a E E E sta AEE EEES EEDE NANE A 87 8 1 1 Created SOP Instance S s ssssrsrersrsrererrrnronenesesssnanureseserrssarnrese 87 8 1 2 Usage of Attributes from Received IOD S ccccceee cece ee eeeeeeeeeeeeeees 97 8 1 3 Attribute Mapping s ssssesssrssrsrrrsrersnrerrrrenorosssrsersnsesessnsnanannuennene 98 8 1 4 Coerced Modified FieldS cccccceccceceeeeveeuseeeeeeeeeucgeeeeeeeeseugggggggaaas 101 8 2 DATA DICTIONARY OF PRIVATE ATTRIBUTES cccceeeceeeeeeeeeeeeeeeeeeeeenees 102 8 3 CODED TERMINOLOGY AND TEMPLATES cccceeeeee eee teens eeeeeeeeeeneeeenaees 102 8 4 GRAYSCALE IMAGE CONSISTENGY iicteacivdincnasvacnriteredeeSeuleenedetaieedeieimunts 102 8 5 STANDARD EXTENDED SPECILIZED PRIVATE SOP CLASSES c seeeeeee es 102 8 0 PRIVATE TRANSFER SYNIAXES cas ids ooa aE anaa Eaa ANa a VE aa 102 3 INTRODUCTION 3 1 REVISION HISTORY Document Version Date of Issue Author Description 1 1 April 3 2013 Jamie Ma Version of Final Text 3 2 AUDIENCE This document is written for the people that need to understand how ImageGrid PACS will integrate into their healthcare facility This includes both those responsible for overall imaging network policy and architecture as well as integrators who ne
52. ce 0040 0270 U gt Scheduled Procedure Step ID 0040 0009 U gt Accession Number 0008 0050 U An M indicates the identifier Attribute is mandatory for the MPPS data set A U indicates the identifier Attribute is optional for the MPPS data set The allowed values for Performed Procedure Step Status are IN PROGRESS for N CREATE request DISCONTINUED and COMPLETED for N SET request If any mandatory identifier is missing or the Performed Procedure Step Status Attribute contains invalid value the MPPS SCP will reject the request 4 2 6 3 1 3 2 Presentation Context Acceptance Criterion MPPS SCP will always accept any Presentation Context for the MPPS SOP Class with the supported Transfer Syntax More than one proposed Presentation Context will be accepted for the same Abstract Syntax if the Transfer Syntax is supported whether or not it is the same as another Presentation Context 4 2 6 3 1 3 3 Transfer Syntax Selection Policies MPPS SCP prefers explicit Transfer Syntax If offered a choice of Transfer Syntaxes in a Presentation Context it will apply the following priority to the choice of Transfer Syntax Table 4 74 DEFAULT PRIORITY OF TRANSFER SYNTAX SELECTION FOR MPPS SCP Priority Transfer Syntax Name 1 Explicit VR Little Endian 2 Explicit VR Big Endian 3 Implicit VR Little Endian MPPS SCP will accept duplicate Presentation Contexts that is if it is offe
53. chronous operations window Negotiation Table 4 6 ASYNCHRONOUS NATURE FOR ECHO Maximum number of outstanding asynchronous 1 transactions 4 2 1 2 4 Implementation Identifying Information Table 4 7 DICOM IMPLEMENTATION CLASS AND VERSION FOR ECHO Implementation Class UID 1 3 6 1 4 1 2820 0 3 0 0 Implementation Version Name IGPACS_v2 0 4 2 1 3 Association Initiation Policy 4 2 1 3 1 Activity Send Echo Request 4 2 1 3 1 1 Description and Sequencing of Activities Echo request can be initiated by the user performing a remote AE verification from the Administration Web Interface 4 2 1 3 1 2 Proposed Presentation Contexts Table 4 8 PROPOSED PRESENTATION CONTEXTS FOR ECHO SCU Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Name UID Name UID Negotiation Verification 1 2 840 10008 1 1 Implicit VR 1 2 840 10008 1 2 SCU None Little Endian Explicit VR 1 2 840 10008 1 2 1 SCU None Little Endian Explicit VR 1 2 840 10008 1 2 2 SCU None Big Endian ECHO SCU proposes only one Presentation Context for the Verification SOP Class with the above three native Transfer Syntaxes 4 2 1 3 1 2 1 Extended Negotiation No extended Negotiation is performed 4 2 1 3 1 3 SOP Specific Conformance 4 2 1 3 1 3 1 SOP Specific Conformance to Verification SOP Class ECHO SCU provides standard conformance to the Verification Service Class 4 2 1 3 1
54. curity information and network service options called Extended Negotiation information The Application Entities having negotiated the Association parameters may now commence exchanging data Common data exchanges include queries for worklists and lists of stored images transfer of image objects and analyses structured reports and sending images to film printers Each exchangeable unit of data is formatted by the sender in accordance with the appropriate Information Object Definition and sent using the negotiated Transfer Syntax There is a Default Transfer Syntax that all systems must accept but it may not be the most efficient for some use cases Each transfer is explicitly acknowledged by the receiver with a Response Status indicating success failure or that query or retrieve operations are still in progress Two Application Entities may also communicate with each other by exchanging media such as a CD R Since there is no Association Negotiation possible they both use a Media Application Profile that specifies pre negotiated exchange media format Abstract Syntax and Transfer Syntax 3 6 ABBREVIATIONS AE Application Entity AET Application Entity Title CD R Compact Disk Recordable DICOM Digital Imaging and Communications in Medicine FSC File Set Creator FSU File Set Updater FSR File Set Reader HL7 Health Level 7 Standard IHE Integrating the Healthcare Enterprise IOD Information Object Definition ISO Internati
55. e MOVE will only allow a single outstanding operation on an Association Therefore MOVE will not perform asynchronous operations window Negotiation Table 4 43 ASYNCHRONOUS NATURE FOR MOVE Maximum number of outstanding asynchronous 1 transactions 4 2 4 2 4 Implementation Identifying Information Table 4 44 DICOM IMPLEMENTATION CLASS AND VERSION FOR MOVE Implementation Class UID 1 3 6 1 4 1 2820 0 3 0 0 Implementation Version Name IGPACS_v2 0 4 2 4 3 Association Initiation Policy MOVE SCU attempts to initiate a new Association for each retrieve request 4 2 4 3 1 Activity Send Move Request 4 2 4 3 1 1 Description and Sequencing of Activities MOVE SCU can be initiated by the user performing a retrieve from the Administration Web Interface The retrieval can be executed on different levels in the hierarchy depending on what object the user chooses to retrieve MOVE SCU also can be automatically initiated by the pre post fetching service in order to forward prior studies or series for particular patients 4 2 4 3 1 2 Proposed Presentation Contexts Table 4 45 PROPOSED PRESENTATION CONTEXTS FOR MOVE SCU Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Name UID Name UID Negotiation Study Root 1 2 840 10008 5 Implicit VR 1 2 840 10008 1 2 SCU None Query Retrieve 1 4 1 2 2 2 Little Information Endian Model MOVE Exp
56. e Association will be rejected If the Called AE Title is configured but not in promiscuous mode or the Calling AE Title is not granted read permission to access the Called AE Title the Association will be rejected too 4 2 4 4 1 2 Accepted Presentation Contexts Table 4 47 ACCEPTABLE PRESENTATION CONTEXTS FOR MOVE SCP Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Name UID Name UID Negotiation See Table 4 38 See Table 4 38 Implicit VR 1 2 840 10008 1 2 SCP None Little Endian Explicit VR 1 2 840 10008 1 2 1 SCP None Little Endian Explicit VR 1 2 840 10008 1 2 2 SCP None Big Endian 4 2 4 4 1 2 1 Extended Negotiation No extended Negotiation is performed 4 2 4 4 1 3 SOP Specific Conformance 4 2 4 4 1 3 1 SOP Specific Conformance to MOVE SOP Class MOVE SCP provides standard conformance to the supported MOVE Service Class A find will be performed to locate the requested entity on the MOVE SCP AE If such entity cannot be found the move operation will fail The move destination must be pre configured as a local or remote AE so that its presentation address can be determined by the MOVE SCP to issue the C STORE requests Table 4 48 PATIETN ROOT RESPONSE IDENTIFIER FOR MOVE SCP Name Tag Unique Matching or Return Key Patient Level Patient ID 0010 0020 U Table 4 49 STUDY PATIENT STUDY ROOT RESPO
57. e and store it in the database In case that the Patient s Name Attribute is missing as well a default value __ MISSING_PATIENT_ID__ will be assigned to the Patient ID Attribute while the Patient s Name Attribute is left empty When these instances with the coerced Patient ID are transferred by STORAGE SCU the original incoming data set without the coerced value will be used unless a modification of the Patient ID has been performed by the user No other coercion by the SCP or SCU is performed 8 2 DATA DICTIONARY OF PRIVATE ATTRIBUTES The private Attributes added to created SOP Instances are listed in the table below ImageGrid PACS reserves blocks of private Attributes in group 0009 Further details on usage of these private Attributes are contained in Section 8 1 Table 8 23 DATA DICTIONARY OF PRIVATE ATTRIBUTES Tag Attribute Name VR VM 0009 0005 Original File Name LO 1 0009 0025 Account Number LO 1 0009 0026 Transcriptionist PN 1 0009 0027 Transcribed Date DA 1 0009 0028 Transcribed Time TM 1 0009 0029 Printed Date DA 1 0009 0030 Printed Time TM 1 0009 0031 Registration Status LO 1 0009 0032 Technologist PN 1 0009 0033 Result Copied To PN 1 0009 0034 Report Header LO 1 8 3 CODED TERMINOLOGY AND TEMPLATES Not applicable 8 4 GRAYSCALE IMAGE CONSISTENCY ImageGrid PACS does not support the Greyscale Standard Display Function 8 5 STANDARD EXTEN
58. e or more failures Complete One or in C STORE sub More Failures operations Pending Pending FFOO Results to be continued Cancel Cancel FEOO Sub Operations Terminated Due to Cancel Indication Success 0000 4 2 5 Modality Worklist Find 4 2 5 1 SOP Classes MWL FIND SCU and MWL FIND SCP provides standard conformance to the following SOP Class Table 4 52 SOP CLASS SUPPORTED BY MWL FIND SOP Class Name SOP Class UID SCU SCP Modality Worklist 1 2 840 10008 5 1 4 31 Yes Yes Information Model FIND 4 2 5 2 Association Policies 4 2 5 2 1 General Table 4 53 DICOM APPLICATION CONTEXT Application Context Name 1 2 840 10008 3 1 1 1 Table 4 54 MAXIMUM PDU SIZE RECEIVED FOR MWL FIND Maximum PDU size received 16384 Bytes Configurable 4 2 5 2 2 Number of Associations The number of Associations are shared among all AE s equally on a first come first serve basis There is a limitation on the overall number of Associations across all the AE s But there is no constrain on any particular AE Table 4 55 NUMBER OF ASSOCIATIONS AS AN INITIATOR FOR MWL FIND Maximum number of simultaneous associations 1 Table 4 56 NUMBER OF ASSOCIATIONS AS AN ACCEPTOR FOR MWL FIND Maximum number of simultaneous associations Default 16 Configurable 4 2 5 2 3 Asynchronous Nature MWL FIND will only allow a single outstanding operation on an Ass
59. ed to have a detailed understanding of the DICOM features of the product This document contains some basic DICOM definitions so that any reader may understand how this product implements DICOM features However integrators are expected to fully understand all the DICOM terminology how the tables in this document relate to the product s functionality and how the functionality integrates with other devices that support compatible DICOM features 3 3 REMARKS The scope of this DICOM Conformance Statement is to facilitate integration between ImageGrid PACS and other DICOM products The Conformance Statement should be read and understood in conjunction with DICOM Standard DICOM by itself does not guarantee interoperability The Conformance Statement does however facilitate a first level comparison for interoperability between different applications supporting compatible DICOM functionality The Conformance Statement is not supposed to replace validation with other DICOM equipment to ensure proper exchange of intended information In fact the user should be aware of the following important issues The comparison of different Conformance Statement is just the first step towards assessing interconnectivity and interoperability between the product and other DICOM conformant equipment Test procedures should be defined and executed to validate the required level of interoperability with specific compatible DICOM equipment as established by the
60. eferenced Patient Sequence 0008 1120 NONE gt Referenced SOP Class UID 0008 1150 NONE gt Referenced SOP Instance UID 0008 1155 NONE Scheduled Procedure Step 0040 0100 Q Sequence gt Scheduled Station AE Title 0040 0001 S gt Scheduled Station Name 0040 0010 NONE gt Modality 0008 0060 S gt Scheduled Performing 0040 0006 NONE Physician s Name gt Scheduled Procedure Step 0040 0002 S R Start Date gt Scheduled Procedure Step 0040 0003 S R Start Time gt Scheduled Procedure Step ID 0040 0009 NONE gt Scheduled Procedure Step 0040 0007 NONE Description gt Scheduled Procedure Step 0040 0011 NONE Location gt Scheduled Protocol Code 0040 0008 NONE Sequence gt gt Code Value 0008 0100 NONE gt gt Coding Scheme Designator 0008 0102 NONE gt gt Coding Scheme Version 0008 0103 NONE gt gt Code Meaning 0008 0104 NONE Specific Character Set 0008 0005 S The types of matching supported by the MWL FIND SCP An S indicates the identifier Attribute uses Single Value Matching an R indicates Range Matching a W indicates Wildcard Matching a Q indicates Sequence Matching NONE indicates that no matching is supported but that values for this element are to be returned i e Universal Matching 4 2 5 4 1 3 2 Presentation Context Acceptance Criterion MWL FIND SCP will always accept a
61. ent query is terminated remaining queries continue 4 2 4 Move 4 2 4 1 SOP Classes MOVE SCU and MOVE SCP provides standard conformance to the following SOP Class es Table 4 38 SOP CLASS ES SUPPORTED BY MOVE SOP Class Name SOP Class UID SCU SCP Patient Root Query Retrieve Information Model 1 2 840 10008 5 1 4 1 2 1 2 No Yes MOVE Study Root 1 2 840 10008 5 1 4 1 2 2 2 Yes Yes Query Retrieve Information Model MOVE Patient Study Only 1 2 840 10008 5 1 4 1 2 3 2 No Yes Query Retrieve Information Model MOVE Retired 4 2 4 2 Association Policies 4 2 4 2 1 General Table 4 39 DICOM APPLICATION CONTEXT Application Context Name 1 2 840 10008 3 1 1 1 Table 4 40 MAXIMUM PDU SIZE RECEIVED FOR MOVE Maximum PDU size received 16384 Bytes Configurable 4 2 4 2 2 Number of Associations The number of Associations are shared among all AE s equally on a first come first serve basis There is a limitation on the overall number of Associations across all the AE s But there is no constrain on any particular AE Table 4 41 NUMBER OF ASSOCIATIONS AS AN INITIATOR FOR M OVE Maximum number of simultaneous associations Default 16 Configurable Table 4 42 NUMBER OF ASSOCIATIONS AS AN ACCEPTOR FOR MOVE Maximum number of simultaneous associations Default 16 Configurable 4 2 4 2 3 Asynchronous Natur
62. entation Context Table Abstract Syntax Transfer Syntax Role Extended Name UID Name UID Negotiation Modality 1 2 840 10008 Implicit VR 1 2 840 10008 1 2 SCP None Performed 3 1 2 3 3 Little Procedure Step Endian SOP Class Explicit VR 1 2 840 10008 1 2 1 SCP None Little Endian Explicit VR 1 2 840 10008 1 2 2 SCP None Big Endian 4 2 6 3 1 2 1 Extended Negotiation No extended Negotiation is performed 4 2 6 3 1 3 SOP Specific Conformance 4 2 6 3 1 3 1 SOP Specific Conformance to MPPS SOP Class MPPS SCP provides standard conformance to the supported MPPS Service Class MPPS SCP uses N CREATE and N SET to get the Performed Procedure Step notifications The Performed Procedure Step contains information about its state MPPS SCP uses this state to update the corresponding procedure status for the workflow management application The following tables contain the identifiers processed by the MPPS SCP for N CREATE and N SET Services Table 4 72 IDENTIFIER FOR MPPS N CREATE Name Tag Usage SOP Instance UID 0008 0018 Performed Procedure Step Status 0040 0252 Patient ID 0010 0020 Patient s Name 0010 0010 Patient s Birth Date 0010 0030 Patient s Sex 0010 0040 Performed Procedure Step ID 0040 0253 Performed Procedure Step Start Date 0040 0244 Performed Procedure Step Start Time 0040 0245
63. er Patient Names 0010 1001 S W Medical Alerts 0010 2000 S W Allergies 0010 2110 S W Patient Telephone Numbers 0010 2154 S W Ethnic Group 0010 2160 S W Patient Species Description 0010 2201 S W Patient Breed Description 0010 2292 S W Responsible Person 0010 2297 S W Number of Patient Related 0020 1200 NONE Studies Number of Patient Related Series 0020 1202 NONE Number of Patient Related 0020 1204 NONE Instances Study Level Study Instance UID 0020 000D S L Accession Number 0008 0050 S W Study Date 0008 0020 S R Study Time 0008 0030 S R Modalities In Study 0008 0061 NONE Institution Name 0008 0080 S W Study ID 0020 0010 S Study Description 0008 1030 S W Requested Procedure Description 0032 1060 S W Admitting Diagnoses Description 0008 1080 S W Referring Physician s Name 0008 0090 S W Name of Physicians Reading 0008 1060 S W Study Number of Study Related Series 0020 1206 NONE Name of Study Related Instances 0020 1208 NONE Procedure Code Sequence 0008 1032 Q gt All Patient Age 0010 1010 S Patient Size 0010 1020 S Patient Weight 0010 1030 S Occupation 0010 2180 S W Instance Availability 0008 0056 NONE Series Level Series Instance UID 0020 000E S L Series Date 0008 0021 S R Series Time 0008 0031 S R Modality 0008 0060 S Series Number 0020 0011 S
64. esentation Contexts each of which offers acceptable Transfer Syntaxes it will accept all Presentation Contexts applying the same priority for selecting a Transfer Syntax for each 4 2 3 4 1 3 4 Response Status FIND SCP will behave as described in the table below when generating the FIND response command message Table 4 37 RESPONSE STATUS FOR FIND SCP AND RECEIVE FIND REQUEST Service Status Further Meaning Status Codes Reason Failure Out of Resources A700 Error message is output to the log file SOP Class is not A800 SOP Class is not Supported supported Identifier does not A900 SOP Class and match SOP Class Query Retrieve level do not match Unable to Process Cxxx Unable to process request C001 Unable to read request data set C002 Database error C003 Failure before executing the query C004 Failure after executing the query C005 Missing required field in the request C006 Unable to send one or more responses Warning Unsupported Optional Keys FFOL Unsupported optional keys in the request data set Pending Matches are continuing Current Match is supplied FFOO Any Optional Keys were supported in the same manner as Required Keys Cancel Cancel FEOO Matching terminated due to cancel request Success Matching is complete No final identifier is supplied 0000 Curr
65. ettings and pre fetching policies 4 1 3 Sequencing of Real World Activities Real world activities as depicted in figure 1 and 2 may take place independent of each other and there are no sequencing constraints 4 2 AE SPECIFICATIONS 4 2 1 Echo 4 2 1 1 SOP Classes ECHO SCU and ECHO SCP provides standard conformance to the following SOP Class Table 4 1 SOP CLASS SUPPORTED BY ECHO SOP Class Name SOP Class UID SCU SCP Verification SOP Class 1 2 840 10008 1 1 Yes Yes 4 2 1 2 Association Policies 4 2 1 2 1 General Table 4 2 DICOM APPLICATION CONTEXT Application Context Name 1 2 840 10008 3 1 1 1 Table 4 3 MAXIMUM PDU SIZE RECEIVED FOR ECHO Maximum PDU size received 16384 Bytes Configurable 4 2 1 2 2 Number of Associations The number of Associations are shared among all AE s equally on a first come first serve basis There is a limitation on the overall number of Associations across all the AE s But there is no constrain on any particular AE Table 4 4 NUMBER OF ASSOCIATIONS AS AN INITIATOR FOR ECHO Maximum number of simultaneous associations Default 16 Configurable Table 4 5 NUMBER OF ASSOCIATIONS AS AN ACCEPTOR FOR ECHO Maximum number of simultaneous associations Default 16 Configurable 4 2 1 2 3 Asynchronous Nature Echo will only allow a single outstanding operation on an Association Therefore Echo will not perform asyn
66. fer Syntax Role Extended Name UID Name UID Negotiation Storage 1 2 840 10008 Implicit VR 1 2 840 10008 1 2 SCP None Commitment 1 20 1 Little Push Model SOP Endian Class Explicit VR 1 2 840 10008 1 2 1 SCP None Little Endian Explicit VR 1 2 840 10008 1 2 2 SCP None Big Endian 4 2 7 3 1 2 1 Extended Negotiation No extended Negotiation is performed 4 2 7 3 1 3 SOP Specific Conformance 4 2 7 3 1 3 1 SOP Specific Conformance to Storage Commitment SOP Class STORAGE COMMITMENT SCP provides standard conformance to the supported Storage Commitment Service Class STORAGE COMMITMENT SCP accepts N ACTION from STORAGE COMMITMENT SCU to get the list of instances to be verified It initiates N EVENT REPORT SCU and creates a separate Association to send commitment notifications of the requested instances to the corresponding N EVENT REPORT SCP The N EVENT REPORT SCP AE is determined from the Responding AE Title in the N ACTION Association or from the Calling AE Title if the Responding AE Title is not available This N EVENT REPORT SCP AE must be pre configured as a remote AE so that its presentation address can be determined by the N EVENT REPORT SCU to issue the N EVENT REPORT requests The following tables contain the identifiers processed by the Storage Commitment for N ACTION and N EVENT REPORT Table 4 83 IDENTIFIER FOR STORAGE COMMITMENT N ACTION Name Tag Transaction U
67. fer Syntax Selection Policies As MOVE SCU only proposes one Presentation Context for the supported SOP Class it will use any of the Transfer Syntaxes accepted by the remote MOVE SCP 4 2 4 3 1 3 4 Sub operation dependent behavior Since the C MOVE operation is dependent on completion of C STORE sub operations that are occurring on a separate Association the question of failure of operations on the other Association must be considered MOVE SCU is completely independent of whatever activities are taking place in relation to the STORAGE SCP AE that is receiving the retrieved instances The only status update of the move operation is from the response status returned by MOVE SCP There is no attempt by MOVE SCU to confirm that instances have actually been successfully received or stored Whether or not the remote AE attempts to retry any failed C STORE sub operations is beyond the control of MOVE SCU If the Association on which the C MOVE was issued is aborted for any reason whether or not the C STORE sub operations continue is dependent on the remote AE the local STORAGE SCP will continue to accept Associations and storage operations regardless 4 2 4 4 Association Acceptance Policy 4 2 4 4 1 Activity Receive MOVE Request 4 2 4 4 1 1 Description and Sequencing of Activities When MOVE SCP is dispatched upon MOVE requests it responds to the MOVE SCU If the Called AE Title does not match any of the configured local AE Title th
68. formed 4 2 5 3 1 3 SOP Specific Conformance 4 2 5 3 1 3 1 SOP Specific Conformance to MWL FIND SOP Class MWL FIND SCU provides standard conformance to the supported MWL FIND Service Class No CANCEL requests are ever issued Requested Attributes not returned by the MWL FIND SCP are ignored Non matching responses returned by the MWL FIND SCP due to unsupported matching keys are filtered locally by the MWL FIND SCU No attempt is made to filter out duplicate responses Specific Character Set will always be included in each query request If present in the response Specific Character Set will be used to identify character sets other than the default character set for application processing The character set to be used by MWL FIND SCU can be configured from the Administration Web Interface Table 4 60 REQUEST IDENTIFIER FOR MWL FIND SCU Name Tag Types of Matching Patient ID 0010 0020 NONE Patient s Name 0010 0010 NONE Accession Number 0008 0050 NONE Institution Name 0008 0080 NONE Referring Physician s Name 0008 0090 NONE Referenced Study Sequence 0008 1110 NONE Referenced Patient 0008 1120 NONE Sequence Study Instance UID 0020 000D NONE Requested Procedure 0032 1060 NONE Description Requested Procedure Code 0032 1064 NONE Sequence Admission ID 0038 0010 NONE Scheduled Procedure Step 0040 0100 Q Sequence gt
69. ge Storage 1 2 840 10008 5 1 4 1 1 6 1 Yes Yes Enhanced US Volume Storage 1 2 840 10008 5 1 4 1 1 6 2 Yes Yes Secondary Capture Image 1 2 840 10008 5 1 4 1 1 7 Yes Yes Storage Multiframe Single Bit 1 2 840 10008 5 1 4 1 1 7 1 Yes Yes Secondary Capture Image Storage Multiframe Grayscale Byte 1 2 840 10008 5 1 4 1 1 7 2 Yes Yes Secondary Capture Image Storage Multiframe Grayscale Word 1 2 840 10008 5 1 4 1 1 7 3 Yes Yes Secondary Capture Image Storage Multiframe True Color 1 2 840 10008 5 1 4 1 1 7 4 Yes Yes Secondary Capture Image Storage Standalone Overlay Storage 1 2 840 10008 5 1 4 1 1 8 Yes Yes Retired Standalone Curve Storage 1 2 840 10008 5 1 4 1 1 9 Yes Yes Retired Waveform Storage Draft 1 2 840 10008 5 1 4 1 1 9 1 Yes Yes Twelve Lead ECG Waveform 1 2 840 10008 5 1 4 1 1 9 1 1 Yes Yes Storage General ECG Waveform 1 2 840 10008 5 1 4 1 1 9 1 2 Yes Yes Storage Ambulatory ECG Waveform 1 2 840 10008 5 1 4 1 1 9 1 3 Yes Yes Storage Hemodynamic Waveform 1 2 840 10008 5 1 4 1 1 9 2 1 Yes Yes Storage Cardiac Electrophysiology 1 2 840 10008 5 1 4 1 1 9 3 1 Yes Yes Waveform Storage Basic Voice Audio Waveform 1 2 840 10008 5 1 4 1 1 9 4 1 Yes Yes Storage General Audio Waveform 1 2 840 10008 5 1 4 1 1 9 4 2 Yes Yes Storage Arterial Pulse Waveform 1 2 840 10008 5 1 4 1 1 9 5 1 Yes Yes Storage Respiratory Waveform Storage 1 2 840 10008
70. ghted in italics below This section is not a substitute for training about DICOM and it makes many simplifications about the meanings of DICOM terms Two Application Entities devices that want to communicate with each other over a network using DICOM protocol must first agree on several things during an initial network handshake One of the two devices must initiate an Association a connection to the other device and ask if specific services information and encoding can be supported by the other device Negotiation DICOM specifies a number of network services and types of information objects each of which is called an Abstract Syntax for the Negotiation DICOM also specifies a variety of methods for encoding data denoted Transfer Syntaxes The Negotiation allows the initiating Application Entity to propose combinations of Abstract Syntax and Transfer Syntax to be used on the Association these combinations are called Presentation Contexts The receiving Application Entity accepts the Presentation Contexts it supports For each Presentation Context the Association Negotiation also allows the devices to agree on Roles which one is the Service Class User SCU client and which is the Service Class Provider SCP server Normally the device initiating the connection is the SCU i e the client system calls the server but not always The Association Negotiation finally enables exchange of maximum network packet PDU size se
71. is from existing information NOTE All dates and times are encoded in the local configured calendar and time Date Time and Time zone are configured using the Administration Web Interface 8 1 1 1 Encapsulated PDF Information Object Definition Table 8 1 IOD OF CREATED ENCAPSULATED PDF INSTANCES IE Module Reference Presence of Module Patient Patient Table 8 3 ALWAYS Study General Study Table 8 4 ALWAYS Patient Study Table 8 5 ALWAYS Requested Procedure Table 8 6 ALWAYS Series Encapsulated Table 8 7 ALWAYS Document Series Equipment General Equipment Table 8 8 ALWAYS SC Equipment Table 8 9 ALWAYS Encapsulated Encapsulated Table 8 10 ALWAYS Document Document SOP Common Table 8 11 ALWAYS Private Application Table 8 12 ALWAYS 8 1 1 2 Basic Text SR Information Object Definition Table 8 2 IOD OF CREATED BASIC TEXT SR INSTANCES IE Module Reference Presence of Module Patient Patient Table 8 3 ALWAYS Study General Study Table 8 4 ALWAYS Patient Study Table 8 5 ALWAYS Requested Procedure Table 8 6 ALWAYS Visit Visit Status Table 8 13 ALWAYS Series General Series Table 8 14 ALWAYS SR Document Series Table 8 15 ALWAYS Equipment General Equipment Table 8 16 ALWAYS Document SR Document Table 8 17 ALWAYS General SR Document Table 8 18 ALWAYS Content SOP Common Table 8 19 ALWAYS Private Application Table 8 20 ALWAYS
72. key Attribute for identifying the type of series and it is utilized by viewing workflow and data management applications SOP SOP Class UID 0008 0016 O Must be provided Common SOP Instance UID 0008 0018 Must be provided If a duplicate SOP Instance UID is received the duplicate handling policy in DICOM Service settings will apply M indicates the Attribute is mandatory O indicates the Attribute is optional See Table 4 72 and Table 4 73 for Attributes in MPPS IOD used by MPPS SCP 8 1 3 Attribute Mapping The mapping between Attributes received via HL7 from the RIS or HIS and those supplied in the Modality Worklist is configurable The default mapping is contained in the table below Empty cells indicate that there is no mapping for the specific Attribute Table 8 22 HL7 MODALITY WORKLIST ATTRIBUTE MAPPING DICOM DICOM Tag HL7 Attribute HL7 Segment Notes Attribute Name Scheduled Procedure Step Scheduled 0040 0100 Procedure Step Sequence gt Scheduled 0040 0002 Generated from Station AET HL7 Station configuration that matches OBR 24 on Station Name gt Scheduled 0040 0003 Quantity Timing ORC 7 4 Procedure Step Start Date gt Scheduled 0040 0006 Quantity Timing ORC 7 4 Procedure Step Start Time gt Modality 0008 0060 Generated from HL7 Station configuration
73. l Protocols ImageGrid PACS conforms to the System Management Profiles listed in the table below All requested transactions for the listed profiles and actors are supported Support for optional transactions are listed Table 4 100 SUPPORTED SYSTEM MANAGEMENT PROFILES Profile Name Actor Protocol Used Optional Security Transactions Support Network Address DHCP Client DHCP N A Management DNS Client DNS N A Time NTP Client NTP N A Synchronization 4 3 2 1 DHCP DHCP can be used to obtain TCP IP network configuration information The network parameters obtainable via DHCP are shown in the table below The Default Value column of the table shows the default used if the DHCP server does not provide a value If DHCP is not in use TCP IP network configuration information can be manually configured via the Administration Console or Web Interface Table 4 101 SUPPORTED DHCP PARAMETERS DHCP Parameter Default Value IP Address None Hostname Requested machine name List of NTP servers Empty list List of DNS servers Empty list Routers Empty list Static routes None Domain name None Subnet mask Derived from IP Address Broadcast address Derived from IP Address Default router None Time offset Timezone configuration MTU Network Hardware Dependent Auto IP permission No permission 4 3 2 2 DNS DNS can be used for address resoluti
74. licit VR 1 2 840 10008 1 2 1 SCU None Little Endian 4 2 4 3 1 2 1 Extended Negotiation No extended Negotiation is performed Relational retrievals are supported 4 2 4 3 1 3 SOP Specific Conformance 4 2 4 3 1 3 1 SOP Specific Conformance to MOVE SOP Class MOVE SCU provides standard conformance to the supported MOVE Service Class Only Study Root Query Retrieve Information Model is supported by MOVE SCU A retrieval will be performed at the STUDY SERIES or IMAGE level depending on what level of entity has been selected if the retrieval is initiated by the user or what pre post fetching policies has been configured if the retrieval is initiated by these policies No CANCEL requests are ever issued The instances are retrieved to a local or remote move destination by specifying the destination as the AE Title of the STORAGE SCP AE This implies that the remote MOVE SCP must be pre configured to determine the presentation address corresponding to the STORAGE SCP AE and the STORAGE SCP AE must accept storage requests addressed to it from the MOVE SCP Table 4 46 STUDY ROOT REQUEST IDENTIFIER FOR MOVE SCU Name Tag Unique Matching or Return Key Study Level Study Instance UID 0020 000D U Series Level Series Instance UID 0020 000E U Image Level SOP Instance UID 0008 0018 U 4 2 4 3 1 3 2 Presentation Context Acceptance Criterion MOVE SCU does not accept Association 4 2 4 3 1 3 3 Trans
75. ll be rejected If the Called AE Title is configured but not in promiscuous mode or the Calling AE Title is not granted read permission to access the Called AE Title the Association will be rejected too 4 2 5 4 1 2 Accepted Presentation Contexts Table 4 61 ACCEPTABLE PRESENTATION CONTEXTS FOR MWL FIND SCP Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Name UID Name UID Negotiation Modality 1 2 840 10008 Implicit VR 1 2 840 10008 1 2 SCP None Worklist 5 1 4 31 Little Information Endian Model FIND Explicit VR 1 2 840 10008 1 2 1 SCP None Little Endian Explicit VR 1 2 840 10008 1 2 2 SCP None Big Endian 4 2 5 4 1 2 1 Extended Negotiation No extended Negotiation is performed 4 2 5 4 1 3 SOP Specific Conformance 4 2 5 4 1 3 1 SOP Specific Conformance to MWL FIND SOP Class MWL FIND SCP provides standard conformance to the supported MWL FIND Service Class Unsupported matching keys are ignored by MWL FIND SCP Unsupported return keys are not returned by MWL FIND SCP Character set conversion may be performed by MWL FIND SCP to provide responses as specified by the Specific Character Set in the MWL FIND request If the character set conversion is not possible on certain results these results will be filtered from the MWL FIND responses while other results will still be returned normally in the requested character set There is no limitation on the number of res
76. mdacedieaviaudnnrasessaudien Muadniienna sede 11 4 1 2 Functional Definitions of AE S ssssssssssssssrrnrnensenarenesreresenrnresene 13 4 1 3 Sequencing of Real World Activities cccccceesseeseeeseeeeeseeesenseeneanens 14 4 2 AE SPECIFICA IONS sssssssranrnnrorensssrsnsnnssesnanaaanunossanrnonennunonannunsrannren 15 Bie P ECHO eea aE EE E eE EE A E 15 he Stra GE renei r E a a a a e a e i a eNe 18 ra RPE PANG E E E E E E A E E A T A 35 42A MOVE arae E E E ARE EEEE T ENE AET OEE 47 4 2 5 Modality Worklist Find sssssssssssssssssrsrnrnrnrrnrnrrrrrrrrrrrrresrrrrerarnrreenn 54 4 2 6 Modality Performed Procedure Step cccccceseceeeeseeeeeseeeeseeaeeetesansens 62 4 2 7 Storage COMM ILM ees irec tush na ENEE EEEE EEEE INNERES 66 4 2 8 Candelis Study Status Change ssssssessessresssrsressnrenesennrrenernnresene 70 4 3 NETWORK INTERFACES ironii earen a a a EA E EA 76 4 3 1 Physician Network Interface s sssssssssesessssrennrrnrnrnrnnsnrnnrurrreresessnno 76 4 3 2 Additional PROLOCONS cio ccseciners sete ssosissyemiesonamenens diausedewednastananeeeiadex 76 4 3 3 IPv4 and IPv6 SUDO Miers ciandeeobivecneneredanmetecs Wiitesbevderial ier ecruveawiatenes 77 44 CONFIGURATION siveceiniwiscvaaiataats rai snentinesgennderin EERE ERN Eaa 78 4 4 1 AE Title Presentation Address Mapping cccccscessecsssescceeeseesansetsuanes 78 2 Parameter Sie rantanninshindssawhrsascarnsniedismmntesanetiadnatesamaudnieneetannaaayelees
77. mmand Sent by Remote Application Entity DICOM Standard Interface Figure 2 SCP IMPLEMENTATION MODEL 4 1 2 Functional Definitions of AE s The DICOM Service that listens on the network spawns an additional process to handle each incoming connections Conceptually the DICOM Service may be modeled to provide functionality on separate AE s each dedicated for a specific Service Class though in fact all AE s can share one or multiple common AE Titles If multiple AE s with different AE Titles are configured each of them functions independently to provide all the supported Service Classes There is a limit on the number of connections DICOM Service can handle concurrently The maximum number of concurrent connections can be configured from the Administration Web Interface 4 1 2 1 ECHO SCP DICOM Service waits in the background for connections will accept Associations with Presentation Contexts for SOP Class of the Verification Service Class and will dispatch an ECHO SCP to respond successfully to echo requests 4 1 2 2 STORAGE SCP DICOM Service waits in the background for connections will accept Associations with Presentation Contexts for SOP Classes of the Storage Service Class and will dispatch a STORAGE SCP to store the received instances to the local AE where they may subsequently be listed and viewed through various user interfaces 4 1 2 3 FIND SCP DICOM Service waits in the background for connections will accept Associ
78. mong all AE s equally on a first come first serve basis There is a limitation on the overall number of Associations across all the AE s But there is no constrain on any particular AE Table 4 68 NUMBER OF ASSOCIATIONS AS AN ACCEPTOR FOR MPPS Maximum number of simultaneous associations Default 16 Configurable 4 2 6 2 3 Asynchronous Nature MPPS will only allow a single outstanding operation on an Association Therefore MPPS will not perform asynchronous operations window Negotiation Table 4 69 ASYNCHRONOUS NATURE FOR MPPS Maximum number of outstanding asynchronous 1 transactions 4 2 6 2 4 Implementation Identifying Information Table 4 70 DICOM IMPLEMENTATION CLASS AND VERSION FOR MPPS Implementation Class UID 1 3 6 1 4 1 2820 0 3 0 0 Implementation Version Name IGPACS_v2 0 4 2 6 3 Association Acceptance Policy 4 2 6 3 1 Activity Receive MPPS Request 4 2 6 3 1 1 Description and Sequencing of Activities When MPPS SCP is dispatched upon MPPS requests it responds to the MPPS SCU If the Called AE Title does not match any of the configured local AE Title the Association will be rejected If the Called AE Title is configured but not in promiscuous mode or the Calling AE Title is not granted permission to access the Called AE Title the Association will be rejected too 4 2 6 3 1 2 Accepted Presentation Contexts Table 4 71 ACCEPTABLE PRESENTATION CONTEXTS FOR MPPS Pres
79. mplete a failure status will be returned in the response at the end There is no limitation on the number of FIND responses that the FIND SCP can return Table 4 34 PATIENT ROOT RESPONSE IDENTIFIER FOR FIND SCP Name Tag Types of Matching Patient ID 0010 0020 S W Issuer of Patient ID 0010 0021 S W Patient s Name 0010 0010 S W Patient s Birth Date 0010 0030 S R Patient s Birth Time 0010 0032 S R Patient s Sex 0010 0040 S W Other Patient IDs 0010 1000 S W Other Patient Names 0010 1001 S W Medical Alerts 0010 2000 S W Allergies 0010 2110 S W Patient Telephone Numbers 0010 2154 S W Ethnic Group 0010 2160 S W Patient Species Description 0010 2201 S W Patient Breed Description 0010 2292 S W Responsible Person 0010 2297 S W Number of Patient Related 0020 1200 NONE Studies Number of Patient Related Series 0020 1202 NONE Number of Patient Related 0020 1204 NONE Instances Specific Character Set 0008 0005 S Table 4 35 STUDY ROOT RESPONSE IDENTIFIER FOR FIND SCP Name Tag Types of Matching Patient Level Patient ID 0010 0020 S W Issuer of Patient ID 0010 0021 S W Patient s Name 0010 0010 S W Patient s Birth Date 0010 0030 S R Patient s Birth Time 0010 0032 S R Patient s Sex 0010 0040 S W Other Patient IDs 0010 1000 S W Oth
80. nce Criterion CANDELIS STUDY STATUS CHANGE SCP will always accept any Presentation Context for the Candelis Study Status Change SOP Class with the supported Transfer Syntax More than one proposed Presentation Context will be accepted for the same Abstract Syntax if the Transfer Syntax is supported whether or not it is the same as another Presentation Context 4 2 8 4 1 3 3 Transfer Syntax Selection Policies CANDELIS STUDY STATUS CHANGE SCP prefers explicit Transfer Syntax If offered a choice of Transfer Syntaxes in a Presentation Context it will apply the following priority to the choice of Transfer Syntax Table 4 98 DEFAULT PRIORITY OF TRANSFER SYNTAX SELECTION FOR CANDELIS STUDY STATUS CHANGE SCP Priority Transfer Syntax Name 1 Explicit VR Little Endian 2 Explicit VR Big Endian 3 Implicit VR Little Endian 4 2 8 4 1 3 4 Response Status CANDELIS STUDY STATUS CHANGE SCP will behave as described in the table below when generating the Candelis Study Status Change response command message Table 4 99 RESPONSE STATUS FOR CANDELIS STUDY STATUS CHANGE SCP AND RECEIVE CANDELIS STUDY STATUS CHANGE REQUEST Service Status Further Meaning Status Codes Reason Processing Failure 0110H Error message is output to the log file Failure 0000 Success 4 3 NETWORK INTERFACES 4 3 1 Physician Network Interface ImageGrid PACS supports 10 100 1000 Mbit Ethernet 4 3 2 Additiona
81. nce Tomography Image Storage For Processing Nuclear Medicine Image 1 2 840 10008 5 1 4 1 1 20 Yes Yes Storage Raw Data Storage 1 2 840 10008 5 1 4 1 1 66 Yes Yes Spatial Registration Storage 1 2 840 10008 5 1 4 1 1 66 1 Yes Yes Spatial Fiducials Storage 1 2 840 10008 5 1 4 1 1 66 2 Yes Yes Deformable Spatial 1 2 840 10008 5 1 4 1 1 66 3 Yes Yes Registration Storage Segmentation Storage 1 2 840 10008 5 1 4 1 1 66 4 Yes Yes Surface Segmentation Storage 1 2 840 10008 5 1 4 1 1 66 5 Yes Yes Real World Value Mapping 1 2 840 10008 5 1 4 1 1 67 Yes Yes Storage VL Image Storage Retired 1 2 840 10008 5 1 4 1 1 77 1 Yes Yes VL Endoscopic Image Storage 1 2 840 10008 5 1 4 1 1 77 1 1 Yes Yes Video Endoscopic Image 1 2 840 10008 5 1 4 1 1 77 1 1 1 Yes Yes Storage VL Microscopic Image Storage 1 2 840 10008 5 1 4 1 1 77 1 2 Yes Yes Video Microscopic Image 1 2 840 10008 5 1 4 1 1 77 1 2 1 Yes Yes Storage VL Slide Coordinates 1 2 840 10008 5 1 4 1 1 77 1 3 Yes Yes Microscopic Image Storage VL Photographic Image 1 2 840 10008 5 1 4 1 1 77 1 4 Yes Yes Storage Video Photographic Image 1 2 840 10008 5 1 4 1 1 77 1 4 1 Yes Yes Storage Ophthalmic Photography 8Bit 1 2 840 10008 5 1 4 1 1 77 1 5 1 Yes Yes Image Storage Ophthalmic Photography 16Bit 1 2 840 10008 5 1 4 1 1 77 1 5 2 Yes Yes Image Storage Stereometric Relationship 1 2 840 10008 5 1 4 1 1 77 1 5 3
82. nced Request Sequence 0040 A370 Q gt All Content Template Sequence 0040 A504 Q gt All Common to all query levels Specific Character Set 0008 0005 S The types of matching supported by the FIND SCP An S indicates the identifier Attribute uses Single Value Matching an R indicates Range Matching a W indicates Wildcard Matching an L indicates List of UID Matching NONE indicates that no matching is supported but that values for this element are to be returned i e Universal Matching 4 2 3 4 1 3 2 Presentation Context Acceptance Criterion FIND SCP will always accept any Presentation Context for the FIND SOP Class with the supported Transfer Syntax More than one proposed Presentation Context will be accepted for the same Abstract Syntax if the Transfer Syntax is supported whether or not it is the same as another Presentation Context 4 2 3 4 1 3 3 Transfer Syntax Selection Policies FIND SCP prefers explicit Transfer Syntax If offered a choice of Transfer Syntaxes in a Presentation Context it will apply the following priority to the choice of Transfer Syntax Table 4 36 DEFAULT PRIORITY OF TRANSFER SYNTAX SELECTION FOR FIND SCP Priority Transfer Syntax Name 1 Explicit VR Little Endian 2 Explicit VR Big Endian 3 Implicit VR Little Endian FIND SCP will accept duplicate Presentation Contexts that is if it is offered multiple Pr
83. nd Sequencing of Activities The study status is not a standard DICOM Attribute It is maintained internally by the ImageGrid PACS for workflow management purpose Between ImageGrid PACS systems this state information can be exchanged with each other using the private Candelis Study Status Change SOP Class through the N ACTION DIMSE transaction When a study is transferred by the routing service this private SOP Class is always proposed along with other Storage SOP Classes in the Presentation Context Negotiation If accepted the study status data set will be sent on the same Association after all the C STORE requests are finished If a replication routing policy is configured the study status change transaction can also be initiated from any user triggered study status change event Such study status change transaction does not involve any C STORE operations of the study 4 2 8 3 1 2 Proposed Presentation Contexts Table 4 94 PROPOSED PRESENTATION CONTEXTS FOR CANDELIS STUDY STATUS CHANGE SCU Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Name UID Name UID Negotiation Candelis Study 1 3 6 1 4 1 2820 Implicit VR 1 2 840 10008 1 2 SCU None Status Change 228466 1 Little SOP Class Endian Explicit VR 1 2 840 10008 1 2 1 SCU None Little Endian Explicit VR 1 2 840 10008 1 2 2 SCU None Big Endian CANDELS STUDY STATUS CHANGE SCU proposes only one Presentati
84. ny Presentation Context for the MWL FIND SOP Class with the supported Transfer Syntax More than one proposed Presentation Context will be accepted for the same Abstract Syntax if the Transfer Syntax is supported whether or not it is the same as another Presentation Context 4 2 5 4 1 3 3 Transfer Syntax Selection Policies MWL FIND SCP prefers explicit Transfer Syntax If offered a choice of Transfer Syntaxes in a Presentation Context it will apply the following priority to the choice of Transfer Syntax Table 4 63 DEFAULT PRIORITY OF TRANSFER SYNTAX SELECTION FOR MWL FIND SCP Priority Transfer Syntax Name Explicit VR Little Endian Explicit VR Big Endian Implicit VR Little Endian MWL FIND SCP will accept duplicate Presentation Contexts that is if it is offered multiple Presentation Contexts each of which offers acceptable Transfer Syntaxes it will accept all Presentation Contexts applying the same priority for selecting a Transfer Syntax for each 4 2 5 4 1 3 4 Response Status MWL FIND SCP will behave as described in the table below when generating the MWL FIND response command message Table 4 64 RESPONSE STATUS FOR MWL FIND SCP AND RECEIVE MWL FIND REQUEST Service Status Further Meaning Status Codes Reason Failure Out of Resources A700 Error message is output to the log file SOP Class is not A800 SOP Class is not Supported supported Identifier does not
85. o be placed in the system s media writer to further initiate the export action The SOP instances associated with the export jobs will be written to the media 5 1 3 Sequencing of Real World Activities All FSR and FSC activities are sequentially initiated by the user loading media into the system and operating from the Administration Web Interface One activity may not be initiated until the prior activity as completed 5 1 4 File Meta Information for Implementation Class and Version The implementation information written to the File Meta Header in each file is as follows Table 5 1 DICOM IMPLEMENTATION CLASS AND VERSION FOR MEDIA STORAGE Implementation Class UID 1 3 6 1 4 1 2820 0 3 0 0 Implementation Version Name IGPACS_v2 0 5 2 AE SPECIFICATIONS 5 2 1 MEDIA FSR MEDIA FSR provides standard conformance to the Media Storage Service Class The Application Profiles and roles are listed below Table 5 2 APPLICATION PROFILES ACTIVITIES AND ROLES FOR MEDIA FSR Application Profiles Supported Real World Activity Role STD GEN CD Import from CD media FSR STD GEN DVD RAM Import from DVD media FSR 5 2 1 1 File Meta Information for the Application Entity Not applicable since MEDIA FSR is not an FSC or FSU 5 2 1 2 Real World Activities 5 2 1 2 1 Activity Import from CD DVD media MEDIA FSR is activated through the Administration Web Interface After the user loads a supported media into the
86. ociation Therefore MWL FIND will not perform asynchronous operations window Negotiation Table 4 57 ASYNCHRONOUS NATURE FOR MWL FIND Maximum number of outstanding asynchronous 1 transactions 4 2 5 2 4 Implementation Identifying Information Table 4 58 DICOM IMPLEMENTATION CLASS AND VERSION FOR MWL FIND Implementation Class UID 1 3 6 1 4 1 2820 0 3 0 0 Implementation Version Name IGPACS_v2 0 4 2 5 3 Association Initiation Policy MWL FIND SCU attempts to initiate a new Association for each query 4 2 5 3 1 Activity Send MWL Find Request 4 2 5 3 1 1 Description and Sequencing of Activities MWL FIND SCU is initiated by the pre post fetching service to track scheduled exams in a certain time frame using criteria specified by the pre post fetching policies 4 2 5 3 1 2 Proposed Presentation Contexts Table 4 59 PROPOSED PRESENTATION CONTEXTS FOR MWL FIND SCU Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Name UID Name UID Negotiation Modality 1 2 840 10008 5 Implicit VR 1 2 840 10008 1 2 SCU None Worklist 1 4 31 Little Information Endian Model FIND Explicit VR 1 2 840 10008 1 2 1 SCU None Little Endian MWL FIND SCU proposes only one Presentation Context in each Association with one supported SOP Class and two native Transfer Syntaxes 4 2 5 3 1 2 1 Extended Negotiation No extended Negotiation is per
87. odes Reason Failure Out of Resources A7xx Error message is output to the log file A701 Unable to store the DICOM file as it is A702 Database error A703 Failure before the importing the DICOM file A704 Failure after importing the DICOM file A705 Reject duplicate image A706 Failure to acquire study lock SOP Class is not A8xx SOP Class is not Supported supported Data Set does not A900 Request and data set match SOP Class do not match on SOP Class Data Set does not A901 Request and data set match SOP Instance do not match on SOP UID Instance UID Cannot understand C0Oxx Cannot understand data set Coo1 File cannot be read in DICOM format c002 DICOM file is missing required field Warning Coercion of Data B000 Duplicate image is Elements overwritten with warning Elements Discarded B006 Duplicate image is ignored with warning Success Store is complete 0000 Current store is terminated remaining stores continue 4 2 3 Find 4 2 3 1 SOP Classes FIND SCU and FIND SCP provides standard conformance to the following SOP Class es Table 4 23 SOP CLASS ES SUPPORTED BY FIND SOP Class Name SOP Class UID SCU SCP Patient Root 1 2 840 10008 5 1 4 1 2 1 1 Yes Yes Query Retrieve Information Model FIND Study Root 1 2 840 10008 5 1 4 1 2 2 1 Yes Yes Query Retrieve Information Model FIND Patient Study Only 1 2 840 10008 5 1 4 1 2 3
88. on If DHCP is not in use or the DHCP server does not return any DNS server addresses the identity of a DNS server can be configured via the Administration Console or Web Interface If a DNS server is not in use mapping between hostname and IP address cannot be resolved 4 3 2 3 NTP The NTP client is used for time synchronization The NTP server can be configured via the Administration Web Interface One or more NTP Servers can be configured as time references 4 3 3 IPv4 and IPv6 Support This product only supports IPv4 connections 4 4 CONFIGURATION 4 4 1 AE Title Presentation Address Mapping 4 4 1 1 Local AE Titles Local AE Titles and its corresponding TCP IP Ports can be configured via the Administration Web Interface No Default AE Titles are provided At least one local AE Title must be configured before the DICOM Application can fully function One AE Title is capable of serving all the local AE applications Table 4 102 AE TITLE CONFIGURATION TABLE Default AE Title No Default No Default Application Entity Default TCP IP Port 104 Non Secure 2762 Secure 104 Non Secure 2762 Secure Storage Workflow 4 4 1 2 Remote AE Titles The AE Title host name and port number of remote applications can be configured using the Administration Web Interface A default Calling AE Title should be identified for each remote AE Title during the configuration This Calling AE Title might be used by the
89. on Context in each Association with one supported SOP Class and the listed Transfer Syntaxes 4 2 8 3 1 2 1 Extended Negotiation No extended Negotiation is performed 4 2 8 3 1 3 SOP Specific Conformance 4 2 8 3 1 3 1 SOP Specific Conformance to Candelis Study Status Change SOP Class CANDELIS STUDY STATUS CHANGE SCU provides conformance to the Candelis Study Status Change Service Class Table 4 95 REQUEST IDENTIFIER FOR CANDELIS STUDY STATUS CHANGE SCU Name Tag Study Instance UID 0020 000D Study Status ID Retired 0032 000A The following table contains the allowed coded values in the Study Status ID Attribute and its meaning Table 4 96 CODED STUDY STATUS ID VALUES Study Status ID Value Meaning 0x00 Pending 0x01 Read 0x02 Dictated 0x04 Transcribed 0x08 Signed 0x10 Reported 4 2 8 3 1 3 2 Presentation Context Acceptance Criterion CANDELIS STUDY STATUS CHANGE SCU does not accept Association 4 2 8 3 1 3 3 Transfer Syntax Selection Policies As CANDELIS STUDY STATUS CHANGE SCU only proposes one Presentation Context for the supported SOP Class it will use any of the Transfer Syntaxes accepted by the remote CANDELIS STUDY STATUS CHANGE SCP 4 2 8 4 Association Acceptance Policy 4 2 8 4 1 Activity Receive Candelis Study Status Change Request 4 2 8 4 1 1 Description and Sequencing of Activities When CANDELIS STUDY STATUS CHANGE SCP is dispatched upon Candelis St
90. onal Organization for Standards JPEG Joint Photographic Experts Group MPPS Modality Performed Procedure Step MTU Maximum Transmission Unit IP MWL Modality Worklist O Optional Key Attribute PACS Picture Archiving and Communication System PDU Protocol Data Unit R Required Key Attribute SCP Service Class Provider SCU Service Class User SOP Service Object Pair TCP IP Transmission Control Protocol Internet Protocol U Unique Key Attribute VR Value Representation 3 7 REFERENCES NEMA PS3 Digital Imaging and Communications in Medicine DICOM Standard available free at http medical nema org 4 NETWORKING 4 1 IMPLEMENTATION MODEL The DICOM Service on ImageGrid PACS acts as multiple Application Entities that support DICOM Service Class Provider SCP for Storage Query Retrieve MWL MPPS Verification and Storage Commitment operations The service waits for external requests for Association from peer DICOM compliant Application Entity and establishes the connection for storing querying and retrieving images and other workflow management after the peer s access privilege is successfully verified Using ImageGrid PACS s Administration Web Interface Application Entity Titles of its peer Application Entities and other DICOM network parameters can be configured 4 1 1 Application Data Flow Local User Requests Send Local User Requests Query Local User Requests Retrieval
91. ponses that the MWL FIND SCP can return Table 4 62 RESPONSE IDENTIFIER FOR MWL FIND SCP Name Tag Types of Matching Patient ID 0010 0020 S Patient s Name 0010 0010 S W Patient s Birth Date 0010 0030 NONE Patient s Sex 0010 0040 NONE Other Patient IDs 0010 1000 NONE Confidentiality Constraint On 0040 3001 NONE Patient Data Description Patient State 0038 0500 NONE Pregnancy Status 0010 21C0 NONE Medical Alerts 0010 2000 NONE Allergies 0010 2110 NONE Patient s Weight 0010 1030 NONE Special Needs 0038 0050 NONE Accession Number 0008 0050 S Admission ID 0038 0010 NONE Referring Physician s Name 0008 0090 S W Requesting Physician 0032 1032 NONE Current Patient Location 0038 0300 NONE Institution Name 0008 0080 NONE Requested Procedure ID 0040 1001 S Reason For The Requested 0040 1002 NONE Procedure Requested Procedure Description 0032 1060 NONE Requested Procedure Priority 0040 1003 NONE Requested Procedure Code 0032 1064 NONE Sequence gt Code Value 0008 0100 NONE gt Coding Scheme Designator 0008 0102 NONE gt Coding Scheme Version 0008 0103 NONE gt Code Meaning 0008 0104 NONE Study Instance UID 0020 000D NONE Referenced Study Sequence 0008 1110 NONE gt Referenced SOP Class UID 0008 1150 NONE gt Referenced SOP Instance UID 0008 1155 NONE R
92. r Syntax of the SOP Received SCU None Preferred Transfer Syntax of the Transfer SCU None STORAGE SCU proposes Presentation Contexts only for the SOP Classes of the instances that are to be transferred For each SOP Class STORAGE SCU proposes multiple Presentation Contexts in order to determine which Transfer Syntaxes the remote STORAGE SCP supports one Presentation Context for the three native Transfer Syntaxes one Presentation Context for the Transfer Syntax in which the SOP is received and one separate Presentation Context for each encapsulated Transfer Syntax from the preferred Transfer Syntaxes STORAGE SCU will not propose the three native Transfer Syntaxes if decompression of the Transfer Syntax in which the SOP is received is not supported STORAGE SCU will not propose any encapsulated Transfer Syntax if the AE of the remote STORAGE SCP is configured to disable encapsulated Transfer Syntax 4 2 2 3 1 2 1 Extended Negotiation No extended Negotiation is performed 4 2 2 3 1 3 SOP Specific Conformance 4 2 2 3 1 3 1 SOP Specific Conformance to Storage SOP Class STORAGE SCU provides standard conformance to the Storage Service Class 4 2 2 3 1 3 2 Presentation Context Acceptance Criterion STORAGE SCU does not accept Association 4 2 2 3 1 3 3 Transfer Syntax Selection Policies If both native Transfer Syntax and encapsulated Transfer Syntax are accepted by the remote STORAGE SCP S
93. rarchical Process 21 amp 23 17 JPEG Spectral Selection Hierarchical Process 20 amp 22 18 JPEG Extended Hierarchical Process 17 amp 19 19 JPEG Extended Hierarchical Process 16 amp 18 20 JPEG Lossless Non Hierarchical Process 15 21 JPEG Lossless Non Hierarchical Process 14 22 JPEG Full Progression Non Hierarchical Process 11 amp 13 23 JPEG Full Progression Non Hierarchical Process 10 amp 12 24 JPEG Spectral Selection Non Hierarchical Process 7 amp 9 25 JPEG Spectral Selection Non Hierarchical Process 6 amp 8 26 JPEG Extended Process 3 amp 5 27 JPEG Extended Process 2 amp 4 28 JPEG Baseline Process 1 29 MPEG 4 AVC H 264 High Profile Level 4 1 30 MPEG 4 AVC H 264 BD compatible High Profile Level 4 1 31 MPEG2 Main Profile Main Level 32 MPEG2 Main Profile High Level 33 JPEG 2000 Part 2 Multi component Lossless Only 34 JPEG 2000 Part 2 Multi component Lossless or Lossy 35 JPIP Referenced 36 JPIP Referenced Deflate Transfer Syntax will be accepted if the unprocessable Transfer Syntaxes are enabled for DICOM Service 4 2 2 4 1 3 4 Response Status STORAGE SCP will behave as described in the table below when generating the STORE response command message Table 4 22 RESPONSE STATUS FOR STORAGE SCP AND RECEIVE STORAGE REQUEST Service Status Further Meaning Status C
94. red multiple Presentation Contexts each of which offers acceptable Transfer Syntaxes it will accept all Presentation Contexts applying the same priority for selecting a Transfer Syntax for each 4 2 6 3 1 3 4 Response Status MPPS SCP will behave as described in the table below when generating the MPPS response command message Table 4 75 RESPONSE STATUS FOR MPPS SCP AND RECEIVE MPPS REQUEST Service Status Further Meaning Status Codes Reason Failure Processing Failure 0110H Error message is output to the log file Success 0000 4 2 7 Storage Commitment 4 2 7 1 SOP Classes STORAGE COMMITMENT SCP provides standard conformance to the following SOP Class Table 4 76 SOP CLASS SUPPORTED BY STORAGE COMMITMENT SOP Class Name SOP Class UID SCU SCP Storage Commitment 1 2 840 10008 1 20 1 No Yes Push Model SOP Class 4 2 7 2 Association Policies 4 2 7 2 1 General Table 4 77 DICOM APPLICATION CONTEXT Application Context Name 1 2 840 10008 3 1 1 1 Table 4 78 MAXIMUM PDU SIZE RECEIVED FOR STORAGE COMMITMENT Maximum PDU size received 16384 Bytes Configurable 4 2 7 2 2 Number of Associations The number of Associations are shared among all AE s equally on a first come first serve basis There is a limitation on the overall number of Associations across all the AE s But there is no constrain on any particular AE Table 4 79 NUMBER OF ASSOCIATIONS AS
95. remote application for permission checking Whether or not the remote AE Title supports encapsulated Transfer Syntax can be configured If not supported no encapsulated Transfer Syntax will be proposed or accepted during the Presentation Context Negotiation between any Local AE Title and this remote AE Title The remote AE Titles to be used for different DICOM Applications can be specified at each application s configuration or can be determined at run time There is no limitation on what applications the remote AE Titles have to server 4 4 2 Parameters A number of parameters related to DICOM communication can be configured using the Administration Web Interface See ImageGrid PACS User Manual for details on general configuration capabilities Table 4 103 CONFIGURATION PARAMETERS TABLE Parameter Configurable Yes No Default Value General Parameters Listening Port Yes 104 Secure Listening Port Yes 2762 Maximum PDU Size Yes 16384 Bytes Maximum Inbound Yes 16 Associations Idle Association Timeout Yes 600 s Default Character Encoding Yes ISO_IR 100 LATIN1 Accept Unprocessable Yes No Transfer Storage Parameters Duplicate Image Handling Yes Overwrite Success Policy Send study status Yes Yes Number of times retrying Yes 8 failed send jobs Minimal delay between Yes 60s retrying failed send jobs Default Transfer Syntax Yes Original Transfer S
96. rivate Storage 1 2 840 113619 4 25 1 Yes Yes GE Private Storage DICOM 1 2 840 113619 4 26 Yes Yes 3D Object GE Private Storage NM Genie 1 2 840 113619 4 27 Yes Yes GE Private Storage PET 1 2 840 113619 4 30 Yes Yes Advance Siemens Private Storage 1 3 12 2 1107 5 9 1 Yes Yes Philips Private Storage 1 3 46 670589 11 0 0 12 1 Yes Yes Philips Private Storage 1 3 46 670589 11 0 0 12 2 Yes Yes 4 2 2 2 Association Policies 4 2 2 2 1 General Table 4 12 DICOM APPLICATION CONTEXT Application Context Name 1 2 840 10008 3 1 1 1 Table 4 13 MAXIMUM PDU SIZE RECEIVED FOR STORAGE Maximum PDU size received 16384 Bytes Configurable 4 2 2 2 2 Number of Associations The number of Associations are shared among all AE s equally on a first come first serve basis There is a limitation on the overall number of Associations across all the AE s But there is no constrain on any particular AE Table 4 14 NUMBER OF ASSOCIATIONS AS AN INITIATOR FOR STORAGE Maximum number of simultaneous associations Default 16 Configurable Table 4 15 NUMBER OF ASSOCIATIONS AS AN ACCEPTOR FOR STORAGE Maximum number of simultaneous associations Default 16 Configurable 4 2 2 2 3 Asynchronous Nature Storage will only allow a single outstanding operation on an Association Therefore Storage will not perform asynchronous operations window Negotiation Table 4 16 ASYNCHRONOUS N
97. s Yes Storage Retired Harcopy Color Image Storage 1 2 840 10008 5 1 1 30 Yes Yes Retired Computed Radiography Image 1 2 840 10008 5 1 4 1 1 1 Yes Yes Storage Digital XRay Image Storage 1 2 840 10008 5 1 4 1 1 1 1 Yes Yes For Presentation Digital XRay Image Storage 1 2 840 10008 5 1 4 1 1 1 1 1 Yes Yes For Processing Digital Mammography XRay 1 2 840 10008 5 1 4 1 1 1 2 1 Yes Yes Image Storage For Presentation Digital Mammography XRay 1 2 840 10008 5 1 4 1 1 1 2 1 Yes Yes Image Storage For Processing Digital Intra Oral XRay Image 1 2 840 10008 5 1 4 1 1 1 3 Yes Yes Storage For Presentation Digital Intra Oral XRay Image 1 2 840 10008 5 1 4 1 1 1 3 1 Yes Yes Storage For Processing CT Image Storage 1 2 840 10008 5 1 4 1 1 2 Yes Yes Enhanced CT Image Storage 1 2 840 10008 5 1 4 1 1 2 1 Yes Yes Ultrasound Multiframe Image 1 2 840 10008 5 1 4 1 1 3 Yes Yes Storage Retired Ultrasound Multiframe Image 1 2 840 10008 5 1 4 1 1 3 1 Yes Yes Storage MR Image Storage 1 2 840 10008 5 1 4 1 1 4 Yes Yes Enhanced MR Image Storage 1 2 840 10008 5 1 4 1 1 4 1 Yes Yes MR Spectroscopy Storage 1 2 840 10008 5 1 4 1 1 4 2 Yes Yes Enhanced MR Color Image 1 2 840 10008 5 1 4 1 1 4 3 Yes Yes Storage Nuclear Medicine Image 1 2 840 10008 5 1 4 1 1 5 Yes Yes Storage Retired Ultrasound Image Storage 1 2 840 10008 5 1 4 1 1 6 Yes Yes Retired Ultrasound Ima
98. t Management Modality Worklist Information Model FIND Yes Yes Modality Performed Procedure Step SOP Class No Yes Storage Commitment Push No Yes Model SOP Class Candelis Study Status Yes Yes Change SOP Class Table 1 2 MEIDA SERVICES Media Storage Application Profile Write Files FSC Read Files FSR Compact Disk Recordable General Purpose CD R Yes Yes DVD General Purpose DVD RAM Yes Yes 2 TABLE OF CONTENTS 1 CONFORMANCE STATEMENT OVERVIEW sissisiicersacstsacdsnsdnenenaueswess dan tavnaaewenedeas 2 3 INTRODUCTION cotuinascusaciuniardantaaiadidasuey dota ouddenisnesdeenaadedaeddiuaawiuuneiaerdaidaeenaune 6 3 1 REVISION RIS TORY catanpanvewcattuindeonncaaidaiinesdueaanduedsmnlsavalindud ED AEREN 6 3 2 AUDIENCE asina a aa EA a E A a E ENA 6 Soo REMARK S a E EA EEA A A A E RA EE E EEE 6 3 4 TERMS AND DEFINITION Svicisisescieavenvesa teensex deiasessiaveveeteesctaesseraetesausanmenss 7 3 5 BASICS OF DICOM COMMUNICATION iss cancticucsencanseasonsstuuaneiadaaiaaainnidetiansa 9 S26 ABBREVIATION Sitserciidanstnadenietsantesaanciswsnmwstintiisannarareriesamasaaastaaiaseowoniass 9 a7 REFERENCES macesduuicadcrsawacais E EE EA E E EE E A 10 4 NETWORKIN G iria riris masrier aae a A EEEE AAEE EE E aN 11 4 1 IMPLEMENTATION MODE biswsadsitadsdeiav invent deenadedoneacibadeeeinuagiaenensadenaaeubes 11 4 1 1 Application Data FIOWirissiisi tions oicci
99. t definition a data element identified by a Tag The information may be a complex data structure Sequence itself composed of lower level data elements Examples Patient ID 0010 0020 Accession Number 0008 0050 Photometric Interpretation 0028 0004 Procedure Code Sequence 0008 1032 Information Object Definition IOD the specified set of Attributes that comprise a type of data object does not represent a specific instance of the data object but rather a class of similar data objects that have the same properties The Attributes may be specified as Mandatory Type 1 Required but possibly unknown Type 2 or Optional Type 3 and there may be conditions associated with the use of an Attribute Types 1C and 2C Examples MR Image JOD CT Image JOD Print Job IOD Joint Photographic Experts Group JPEG a set of standardized image compression techniques available for use by DICOM applications Media Application Profile the specification of DICOM information objects and encoding exchanged on removable media e g CDs Module a set of Attributes within an Information Object Definition that are logically related to each other Example Patient Module includes Patient s Name Patient ID Patient s Birth Date and Patient s Sex Negotiation first phase of Association establishment that allows Application Entities to agree on the types of data to be exchanged and how that data will be encoded Presentation Context
100. the set of DICOM network services used over an Association as negotiated between Application Entities includes Abstract Syntaxes and Transfer Syntaxes Protocol Data Unit PDU a packet piece of a DICOM message sent across the network Devices must specify the maximum size packet they can receive for DICOM messages Security Profile a set of mechanisms such as encryption user authentication or digital signatures used by an Application Entity to ensure confidentiality integrity and or availability of exchanged DICOM data Service Class Provider SCP role of an Application Entity that provides a DICOM network service typically a server that performs operations requested by another Application Entity Service Class User Examples Picture Archiving and Communication System image storage SCP and image query retrieve SCP Radiology Information System modality worklist SCP Service Class User SCU role of an Application Entity that uses a DICOM network service typically a client Examples imaging modality image storage SCU and modality worklist SCU imaging workstation image query retrieve SCU Service Object Pair SOP Class the specification of the network or media transfer service of a particular type of data object the fundamental unit of DICOM interoperability specification Examples Ultrasound Image Storage Service Basic Grayscale Print Management Service Object Pair SOP Instance an informa
101. tion object a specific occurrence of information exchanged in a SOP Class Examples a specific x ray image Tag a 32 bit identifier for a data element represented as a pair of four digit hexadecimal numbers the group and the element If the group number is odd the Tag is for a private manufacturer specific data element Examples 0010 0020 Patient ID O7FE 0010 Pixel Data 0019 0210 private data element Transfer Syntax the encoding used for exchange of DICOM information objects and messages Examples JPEG compressed images little endian explicit value representation Unique Identifier UID a globally unique dotted decimal string that identifies a specific object or a class of objects an ISO 8824 Object Identifier Examples Study Instance UID SOP Class UID SOP Instance UID Value Representation VR the format type of an individual DICOM data element such as text an integer a person s name or a code DICOM information objects can be transmitted with either explicit identification of the type of each data element Explicit VR or without explicit identification Implicit VR with Implicit VR the receiving application must use a DICOM data dictionary to look up the format of each data element 3 5 BASICS OF DICOM COMMUNICATION This section describes terminology used in this Conformance Statement for the non specialist The key terms used in the Conformance Statement are highli
102. ts to initiate a new Association for each query If the query fails no retry will be performed 4 2 3 3 1 Activity Send Find Request 4 2 3 3 1 1 Description and Sequencing of Activities FIND SCU can be initiated by the user performing a remote query from the Administration Web Interface The query can be performed on different levels in the hierarchy depending on what object the user chooses to query FIND SCU also can be automatically initiated by the pre post fetching service in order to find prior studies or series for particular patients Patient Root Query Retrieve Information Model is used by DICOM Import Reconciliation to get a list of patients from a remote AE Study Root Query Retrieve Information Model is used by all other general queries on study series and image level 4 2 3 3 1 2 Proposed Presentation Contexts Table 4 30 PROPOSED PRESENTATION CONTEXTS FOR FIND SCU Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Name UID Name UID Negotiation Patient Root 1 2 840 10008 5 Implicit VR 1 2 840 10008 1 2 SCU None Query Retrieve 1 4 1 2 1 1 Little Information Endian Model FIND Explicit VR 1 2 840 10008 1 2 1 SCU None Little Endian Study Root 1 2 840 10008 5 Implicit VR 1 2 840 10008 1 2 SCU None Query Retrieve 1 4 1 2 2 1 Little Information Endian Model FIND Explicit VR 1 2 840 10008 1 2 1 SCU None Little Endian Explicit VR 1
103. udy Status Change requests it updates the status of the requested study and responds to the CANDELIS STUDY STATUS CHANGE SCU If the Called AE Title does not match any of the configured local AE Title the Association will be rejected If the Called AE Title is configured but not in promiscuous mode or the Calling AE Title is not granted write permission to access the Called AE Title the Association will be rejected too 4 2 8 4 1 2 Accepted Presentation Contexts Table 4 97 ACCEPTABLE PRESENTATION CONTEXTS FOR CANDELIS STUDY STATUS CHANGE Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Name UID Name UID Negotiation Candelis Study 1 3 6 1 4 1 282 Implicit VR 1 2 840 10008 1 2 SCP None Status Change 0 228466 1 Little SOP Class Endian Explicit VR 1 2 840 10008 1 2 1 SCP None Little Endian Explicit VR 1 2 840 10008 1 2 2 SCP None Big Endian 4 2 8 4 1 2 1 Extended Negotiation No extended Negotiation is performed 4 2 8 4 1 3 SOP Specific Conformance 4 2 8 4 1 3 1 SOP Specific Conformance to Candelis Study Status Change SOP Class CANDELIS STUDY STATUS CHANGE SCP provides conformance to the Candelis Study Status Change Service Class CANDELIS STUDY STATUS CHANGE SCP uses N ACTION to get the status of the study from CANDELIS STUDY STATUS CHANGE SCU See Table 4 96 for allowed values of the study status and its meaning 4 2 8 4 1 3 2 Presentation Context Accepta
104. y 1 2 840 10008 5 1 4 1 1 481 7 Yes Yes Record Storage RT Ion Plan Storage 1 2 840 10008 5 1 4 1 1 481 8 Yes Yes RT Ion Beams Treatment 1 2 840 10008 5 1 4 1 1 481 9 Yes Yes Record Storage DICOS CT Image Storage 1 2 840 10008 5 1 4 1 1 501 1 Yes Yes DICOS Digital XRay Image 1 2 840 10008 5 1 4 1 1 501 2 1 Yes Yes Storage For Presentation DICOS Digital XRay Image 1 2 840 10008 5 1 4 1 1 501 2 2 Yes Yes Storage For Processing DICOS Threat Detection 1 2 840 10008 5 1 4 1 1 501 3 Yes Yes Report Storage DICONDE Eddy Current Image 1 2 840 10008 5 1 4 1 1 601 1 Yes Yes Storage DICONDE Eddy Current 1 2 840 10008 5 1 4 1 1 601 2 Yes Yes Multiframe Image Storage Stored Print Storage Retired 1 2 840 10008 5 1 1 27 Yes Yes Hardcopy Grayscale Image 1 2 840 10008 5 1 1 29 Yes Yes Storage Retired Hardcopy Color Image Storage 1 2 840 10008 5 1 1 30 Yes Yes Retired RT Beams Delivery Instruction 1 2 840 10008 5 1 4 34 1 Yes Yes Storage Draft RT Beams Delivery Instruction 1 2 840 10008 5 1 4 34 7 Yes Yes Storage Generic Implant Template 1 2 840 10008 5 1 4 43 1 Yes Yes Storage Implant Assembly Template 1 2 840 10008 5 1 4 44 1 Yes Yes Storage Implant Template Group 1 2 840 10008 5 1 4 45 1 Yes Yes Storage Varian Private Storage LT 1 2 246 352 70 1 10 Yes Yes Archive RT Treatment Re cord GE Private Storage RT Plan 1 2 840 113619 4 5 249 Yes Yes GE P
105. yntax Global for all the AEs 5 MEDIA INTERCHANGE 5 1 IMPLEMENTATION MODEL 5 1 1 Application Data Flow Local User MEDIA FSR Storage Requests File f Application Entity Medium Import a ae MEDIA FSC Storage equests File Application Entity Medium Export Figure 3 IMPLEMENTATION MODEL ImageGrid PACS provides media support as a File Set Reader and File Set Creator Conceptually it may be modeled as the following single AE MEDIA FSR which loads a PS 3 10 compliant DICOMDIR file from PS 3 12 compliant media according to one of the General Purpose Media Application Profiles of PS 3 11 CD R or DVD RAM MEDIA FSC which creates a PS 3 10 compliant DICOMDIR file from PS 3 12 compliant media according to one of the General Purpose Media Application Profiles of PS 3 11 CD R or DVD RAM 5 1 2 Functional Definitions of AE s 5 1 2 1 MEDIA FSR MEDIA FSR is activated through the user action of loading a supported media into the system s media reader The studies on the media are listed in the Import Worklist The user may select one or multiple studies to import 5 1 2 2 MEDIA FSC MEDIA FSC is activated through the user action of adding local studies to the Export Worklist Only studies that belong to one single patient can be exported at a time Each study is listed as one separate export job in the Export Worklist A supported blank or rewritable media has t

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