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Discovery* Dicom Conformance Statement

1. Attribute Name Tag Usage in MPPS Instance Acquisition Acquisition Post Processing with MWL data without MWL data PPS ID lt exam number number Performed Station AE Title 0040 0241 Local system Local system host Local system host host name name name Performed Station Name 0040 0242 Local system Local system suite id Local system host suite id name Performed Location 0040 0243 Local system Local system suite id Not used suite id Performed Procedure Step 0040 0244 Same as exam Same as exam date Same as exam date Start Date start date Performed Procedure Step 0040 0245 Same as exam Same as exam time Same as exam time Start Time start time Performed Procedure Step 0040 0254 Copied from Not sent as part of Not sent as part of Description SPS if selected image header image header Performed Procedure Step 0040 0252 See Note 1 See Note 1 See Note 1 status Performed Procedure Type Description Procedure Code Sequence 0040 0255 0008 1032 Not sent as part of image header Not sent as part of image header Not sent in MPPS Not sent as part of image header Not sent as part of image header Not sent in MPPS N Not sent as part of image header Not sent as part of image header Not sent in MPPS N N Create Create Create Performed Procedure Step 0040 0250 Date when all Date when all images The date Complete End Date images got go
2. 7 2 3 Sequencing of Real World Activities 7 2 3 1 PPS from Acquisition System with MWL data The system has a Modality Work list Server AE installed Work List information is obtained from HIS RIS system through the use of Basic Work list Management Service Use of the information retrieved in the creation of Image SOP instance is described in the Modality Work list Conformance statement Use of the information retrieved in MPPS SOP instances is described later in this document The system initiates a Start PPS before starting a scan i e when the image acquisition is started The system retrieves necessary information related to the Scheduled Procedure Step from Modality Work list Server PPS Server AE initiates a MPPS Modality Performed Procedure Step N CREATE request to the remote AE MPPS SCP in order to create a MPPS SOP instance at the remote AE The MPPS SCP returns response indicating the success failure of the request execution The PPS state information is updated in the system based on the response data and is presented to the user The DICOM association is closed System includes the necessary information related to Scheduled Procedure Steps and the Performed procedure Step in the image instances created At the end of image acquisition system initiates a Complete PPS or Discontinue PPS based on the choice selected by the user using the user interface provided The user is also given a choice Defer
3. Attribute Name Tag Type VR VM Notes Series Date 0008 0021 1 DA 1 Extract date from Scan scan_datetime Series Time 0008 0031 1 TM 1 Extract time from Scan scan_datetime Counts Source 0054 1002 CS Units 0054 1001 CS Series Type CS Reprojection Method 0054 1004 2C CS Number of R R Intervals Number of Time Slots Number of Time Slices Number of Slices Corrected Image Randoms Correction Method Attenuation Correction Method Scatter Correction Method 0054 1000 0054 0061 0054 0071 0054 0101 0054 0081 0028 0051 0054 1100 0054 1101 0054 1105 1C 1C 1C 1 3 3 US US US US CS LO r 2 r 1 IF Scan scan mode gated THEN Count the unique image image_bin_time for images with Image image_set_id thisSOPInstance ImageS ell ELSE NULL IF Scan scan_mode gated THEN Sr ELSE NULL Count the unique image image_time for images with Image image_set_id thisSOPInstance ImageS etID Count the unique image image_location for images with Image image_set_id thisSOPInstance ImageS el IF Scan scan_type emission THEN TR 14 emiss_randoms trans_randoms NULL ELSE TR 14 trans _randoms emiss_randoms NULL attenuation atten_coefficient atten_smooth Decay Correction 0054 1102 Reconstruction Diameter 0018 110
4. 7 2 2 Functional Definition of AEs The PPS Server AE is implemented as an application process on the scanner host computer It runs as a daemon serving requests from other applications to send the PPS information to the remote AE and return the results to the requesting application The PPS Server AE initiates the following functions Start PPS Initiates a DICOM association in order to create a DICOM Modality Performed Procedure Step SOP instance in the remote AE If the remote AE accepts a presentation context applicable to Modality performed Procedure Step the PPS Server AE will issue a request to create the SOP instance in the remote AE via the N CREATE service Complete PPS Initiates a DICOM association in order to update a DICOM Modality Performed Step instance that is already created with the remote AE If the remote AE accepts a presentation context applicable to Modality performed Procedure Step the PPS Server AE will issue a request to update the SOP instance in the remote AE via the N SET service The PPS Status is set to COMPLETED Discontinue PPS Initiates a DICOM association in order to update a DICOM Modality Performed Step instance that is already created with the remote AE If the remote AE accepts a presentation context applicable to Modality performed Procedure Step the PPS Server AE will issue a request to update the SOP instance in the remote AE via the N SET service The PPS Status is set to DISCONTINUED
5. Jan Ju Seres Genera Series Juan Ju Frame of Reference Frame of Reference AS12 Iu General Image Image Pixel Only the type 1 M elements are sent SES Tue EE A 2 2 MR Image Module Attribute Name Type Notes Scan Options 0018 0021 Always sent i E gt type and Sequence Variant is not SK 2 2C 2 2C l 0018 0025 0018 0085 maging Frequency 0018 0084 Imaged Nucleus 0018 0083 0018 0086 Zero length element is sent Image strength if 0 NOT sent If 0 NOT sent If 0 NOT sent If 0 NOT sent Spacing Between Slices 0018 0088 Percent Sampling 0018 0093 Percent Phase Field of 0018 0094 View Pixel Bandwidth 0018 0095 Nominal Interval 0018 1062 Heart Rate 0018 1088 Cardiac Number of 0018 1090 Images 0018 1250 0018 1251 Direction Flip Ange 00181314 3 Variable Flip Angle Flag 00181315 za TI 0018 1316 3 Temporal Resolution 0020 0110 3 0018 1100 Magnetic Field Strength 0018 0087 Coe eee eon tu A 3 SC Specific IOD Definition A 3 1 SC Image IOD Modules Image Pixel Only the type 1 elements are sent SC Image Not sent consists entirely of type 3 Es FAS Modality LUT Only the type 1C elements are sent Po VOLLUT A 5 11 Po SOP Common A 5 9 AA Standalone Overlay Specific IOD Definition A 4 1 Standalone Overlay Image IOD Modules Entity Name Module N
6. PET uncompressed_size 0009 1077 PET accum_bin_dur PET frame_number PET list_file_exists PET where is list frame L 1 PET unlisted scan 0009 10E1 3 S x JH r es B 2 6 Discovery PET ImageSet Module Private Creator Identification GEMS PETD_01 Attribute Name Tag Type VR VM PET compatible_version 0009 1079 3 ISH 1 PET software_version SH 1 PET is datetime PET is source 0009 107C PET is contents 0009 107D PET is type 0009 107E PET is reference PET multi patient PET number of normals 0009 1081 PET color map id 0009 1082 PET window level type PET zoom 0009 1086 PET pan x 0009 1087 PET window level min PET window level max 0009 108A PET recon method 0009 108B PET attenuation 0009 108C PET atten coefficient PET bp filter cutoff 0009 108F PET bp filter order 0009 1090 PET bp center I PET atten smooth PET atten smooth param PET angle smooth param 0009 1095 PET wellcountercal id PET trans scan id PET norm cal id 0009 1098 PET bink cal id 0009 1099 PET cac edge threshold 0009 109A PET cac_skull_ offset PET emiss_sub_id _ h h wech _ wech _ h h h wech wech h wech h h wech O wech _ h PET radial_filter_3d PET radial_cutoff_3d PET axial_filter_3d 0009 109F PET axial_cutoff_3d 0009 10A0 PET axial_start 0009 10A1 PET axial_spacing
7. into the R R Matching is supported as follows either no AE title is supplied universal matching or the scanner s Worklist Server AE title is supplied for matching this is user selectable R Matching is supported as one of the following this is user selectable all days e today only e today and a number of days before today today and a number of days after today today and a number of days before today and a number of days after today Number of days before after is specified by the user Returned values must be exactly 8 numeric characters in YYYYMMDD format R This attribute is sent with zero length Returned values must be exactly 6 numeric characters in HHMMSS format R Matching is supported as follows either no Modality is supplied universal matching or the scanner s Modality is supplied for matching this is user selectable R This attribute is sent with zero length S 2 O Displayed on More Info screen 6 8 10 Requested Procedure Entity 6 8 10 1 Requested Procedure Module Table 6 8 10 1 1 Requested Procedure Module Attributes Attribute Name Tag Expected Expected Mapped Matching Returned into the Key Type Key Type Requested Procedure ID 0040 1001 User can enter the value for Requested Procedure Id prior to query If user has entered the value then that value will be sent as part of the query The value returned in the response shall be mapped to Request
8. 0032 1070 LO no value available 0 O RequestedContrastAgent 0040 0001 AE no value available 0 0 ScheduledStationAETitle 0040 0002 DA no value available 0 0 ScheduledProcedureStepStartDate 0040 0003 TM no value available 0 0 ScheduledProcedureStepStartTime 0040 0006 PN no value available 0 0 ScheduledPerformingPhysiciansName 0040 0007 LO no value available 0 0 ScheduledProcedureStepDescription 0040 0008 SQ ne with explicit Length 1 32 1 ScheduledActionItemCodeSequence fffe e000 na Item with explicit Length 3 24 1 Item 0008 0100 SH no value available 0 O CodeValue 0008 0102 SH no value available 0 0 CodingSchemeDesignator 0008 0104 LO no value available 0 0 CodeMeaning fffe e00d na ItemDelimitationltem for re encoding 0 1 ItemDelimitationltem fffe e0dd na SequenceDelimitationItem for re enc 0 1 SequenceDelimitationItem 0040 0009 SH no value available 0 0 ScheduledProcedureStepID 0040 0010 SH no value available 0 0 ScheduledStationName 0040 0011 SH no value available 0 0 ScheduledProcedureStepLocation 0040 0012 LO no value available 0 0 PreMedication fffe e00d na ItemDelimitationltem for re encoding 0 1 ItemDelimitationltem fffe e0dd na a dad for re enc 0 1 SequenceDelimitationItem 0040 1001 SH no value available 0 0 RequestedProcedureID 0040 1003 SH no value available 0 0 RequestedProcedurePriority 0040 10
9. 6 8 Modality Worklist Information Model Definition 6 8 1 6 8 2 6 8 3 Introduction This section specifies the use of the DICOM Modality Worklist Information Model used to organize data and against which a Modality Worklist Query will be performed The contents of this section are 6 8 2 Information Model Description 6 8 3 Information Model Entity Relationship Model 6 8 4 Information Model Module Table 6 8 5 Information Model Keys Modality Worklist Information Model Description In order to serve as a Service Class Provider SCP of the Modality Worklist Service Class a DICOM Application Entity AE possesses information about the attributes of a number of managed worklist items These items are organized into Modality Worklist Information Modules In this Service Class the Information Model plays a role similar to an Information Object Definition of most other DICOM Service Classes Modality Worklist Information Model Entity Relationship Model The Entity Relationship diagram for the Modality Worklist Information Model schema is shown in Illustration 3 3 1 It represents the information that composes a Worklist Item In this figure the following diagrammatic convention is established to represent the information organization e Each entity is represented by a rectangular box e Each relationship is represented by a diamond shaped box e The fact that a relationship exists between two entities is depicted by lines conn
10. Coding Scheme Designator 0008 0102 1C SH 1 gt Code Meaning 0008 0104 3 LO 1 A 6 2 3 6 Discovery PET ImageSet Module Refer to Section B 2 6 for details A 6 2 3 7 Discovery PET Scan Module Refer to Section B 2 4 for details A 6 2 4 Common Frame Of Reference Entity Modules The following Frame of Reference IE Module is common to all Composite Image IODs which reference the Frame of Reference IE A 6 2 4 1 Frame Of Reference Module This section specifies the Attributes necessary to uniquely identify a frame of reference which insures the spatial relationship of Images within a Series It also allows Images across multiple Series to share the same Frame Of Reference This Frame Of Reference or coordinate system shall be constant for all Images related to a specific Frame Of Reference Attribute Name Tag Type VR VM Notes Frame of Reference UID 0020 0052 1 UI 1 IF ImageSet for identifier l NULL THEN ImageSet for_identifier ELSE idbMakeld 0020 1040 Scan landmark_name Position Reference Indicator A 6 2 5 Common Equipment Entity Modules The following Equipment IE Module is common to all Composite Image IODs which reference the Equipment IE A 6 2 5 1 General Equipment Module This section specifies the Attributes which identify and describe the piece of equipment which produced a Series of Images Attribute Name Manufacturer Institution Name Institution Address Stat
11. File Set Creator shall be able to generate the Basic Directory SOP Class in the DICOMDIR File with all types of Directory Records related to the SOP Classes stored in the File set FSC for the media profile has no concept of finalizing the disc at the completion of most recent write session This is a requirement of CD R and does not apply to the media profiles 3 4 2 1 2 File Set Reader The role of File Set Reader is used by the Application Entities that receive a transferred File Set Typical entities using this role would include display workstations and archive systems that receive a patient record transferred from another institution File Set Readers shall be able to read all the SOP Classes defined for the specific Application Profile for which a Conformance Statement is made using all the defined Transfer Syntax 3 4 2 1 3 File Set Updater 3 4 3 The role of File Set Updater is used by Application Entities that receive a transferred File Set and update it by the addition of information Typical entities using this role would include analytic workstations that for instance may add to the File set an information object containing a processed e g edge enhanced image Stations that update patient information objects would also use this role File set Updaters do not have to read the images File set Updaters shall be able to generate one or more of the SOP Instances defined for the specific Application Profile for which a conformance s
12. PET Image Samples Per Pixel 0x0028 0x0002 Photometric Interpretation 0028 0004 Superceded by PET Image Photometric Interpretation 0x0028 0x0004 Rows 0028 0010 OR E E Columns 0028 0011 E image_array_width Bits Allocated 0028 0100 US superceded by PET Image Bits Allocated 0x0028 0x0100 Bits Stored 0028 0101 1 US 1 Superceded by Stored 0x0028 0x0101 C nm High Bit 0028 0102 1 Superceded by PET Image High Bit 0x0028 0x0102 Pixel Representation 0028 0103 1 US 1 0001H Gs complement Pixel Data 7FE0 0010 1 OB OW 1 pixel data sent as OW Planar Configuration 0028 0006 Not Used Pixel Aspect Ratio 0028 0034 Not Used Smallest Image Pixel Value 0028 0106 US SS Not Used Largest Image Pixel Value 0028 0107 US SS Not Used Red Palette Color Lookup Table 0028 1101 1C US US 3 Not Used Descriptor or SS US Green Palette Color Lookup 0028 1102 1C US US 3 Not Used Table Descriptor or SS US Blue Palette Color Lookup Table 0028 1103 1C JUS US 3 Not Used Descriptor or SS US Red Palette Color Lookup Table 0028 1201 1C USor 1 n Not Used Data SS Green Palette Color Lookup 0028 1202 1C USor 1 n Not Used Table Data SS Blue Palette Color Lookup Table 0028 1203 1C USor 1 n Not Used Data SS A 6 2 6 4 PET Image Module This section specifies the Attributes that describe the image within a particular PET Series Attribute Nam
13. PET ovlp tpulse frm id 0009 10CA 3 UI m sch sech l a a M i Ma i Maa i IMa I Iaa i di sch sch sch ee B 2 8 Discovery PET Count Rate Module Private Creator Identification GEMS_PETD_01 Attribute Name Tag Type VR VM PET countrate_id 0015 1001 PET raes data Image a OB 1 B 2 9 Discovery PET Correction Cal Module Private Creator Identification GEMS_PETD_01 Attribute Name Tag Type VR VM PET scan_type 0009 1018 3 SL 1 PET correction_cal_id 0017 1001 PET compatible_version 0017 1002 wm B 2 10Discovery PET Well Counter Module Private Creator Identification GEMS PETD_ 01 PET oosticienis 00194008 3 oB PET activity_factor_hr 0019 1009 PET activity_factor_hs 0019 100A PET activity_factor_3d 0019 100B PET axial_cutoff_3d 0019 1012 PET default_flag 0019 1013 PET archived 0019 1014 PET wc cal rec method 0019 1015 PET activity factor 2d 0019 1016 PET isotope 0019 1017 B 2 11Discovery PET Raw Data Module Private Creator Identification GEMS PETD 01 Attribute Name Tag Type VR VM PET raw data type 0021 1001 3 US 1 PET raw data size 0021 1002 3 UL 1 PET raw data blob 0023 1002 3 OB 1 APPENDIX C DICOMDIR DIRECTORY INFORMATION Enclosed here is a listing of only the optional conditional modules and optional attributes used by this implementation
14. Returned Echo time SE GEES 0018 0081 Returned Inversion time O 0018 0082 Returned Repetition time oO 0018 0080 Returned Trigger time O 0018 1060 Returned Dfov Rect P 0019 001E Returned Midscan Time P 0019 0024 Returned Azimuth P 0019 0026 Returned Number of Echo P 0019 007E Returned Scout Anref P 0021 004A Returned Location RAS P 0027 0040 Returned Location CG E 0027 0041 Returned Center R Coordinate P 0027 0042 Returned Center A Coordinate P 0027 0043 Returned Table Start Location P 0027 0050 Returned Table End Location P_ 0027 0051 Returned RAS Letter for Side of Image P 0027 0052 Returned RAS Letter for Anterior Posterior P 0027 0053 Returned RAS Letter for Scout Start Location P 0027 0054 Returned RAS Letter for Scout End Location P 0027 0055 Returned Image Dimension X P 0027 0060 Returned Image Dimension Y P 0027 0061 Returned Note In the above tables the type field has the following meaning R Required U Unique O Optional P Private Only keys with Usage type Matched will be matched against values in the database Values in keys of type Returned will be ignored and will be filled in with data from the database If an optional key is requested that does not appear in any of the tables above that key will be ignored and no corresponding element will be returned If the database does not have a value corresponding to any
15. is Maximum Length PDU 16 Kbytes 4 3 1 1 2 Number of Associations The Print SCU will initiate only one association with printer Multiple associations are not supported 4 3 1 1 3 Asynchronous Nature The print SCU does not support asynchronous operations All operations will be performed synchronously 4 3 1 1 4 Implementation identifying information The Implementation UID allows unique identification of a set of products that share the same implementation The Implementation UID for this ID Net v3 0 Implementation is Discovery CT Implementation UID 1 2 840 113619 6 55 Discovery PET Implementation UID 1 2 840 113619 6 131 Note CT AE and PET AE are the two different entities generating images 4 3 1 2 Association Establishment Policy Print SCU initiates the association with the Printer 4 3 1 2 1 Real World Activity 4 3 1 2 1 1 Associated Real World Activity Print The Film Composer allows the user to select printers and it also allows the user to drag and drop the images from the viewer application into the film It also allows the user to manipulate some print parameters like film format and number of copies to print When the user presses the Print Button the Film composer communicates this request to Print SCU which then tries to establish the association with the requested printer and transmits the images for printing 4 3 1 2 1 2 Proposed Presentation Contexts The Proposed Presentation Context Tabl
16. 0 Conformance Statements is included in the Introduction to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statements Direction 2118780 1 7 Definitions A set of definitions applicable to all ID Net v3 0 Conformance Statements is included in the Introduction to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statements Direction 2118780 1 8 Symbols and Abbreviations A list of symbols and abbreviations that are applicable to all ID Net v3 0 Conformance Statements is included in the ntroduction to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statements Direction 2118780 2 SECTION 2 NETWORK CONFORMANCE STATEMENT 2 1 Introduction This Conformance Statement CS specifies the Discovery compliance to DICOM v3 0 It details the DICOM Service Classes and roles that are supported by this product in its version 1 0 The Discovery product uses DICOM services to import images for possible further analysis and or processing It also uses DICOM services to export images to other DICOM compliant machines User has the capability to create and display Secondary Capture images and transfer Secondary Capture images via DICOM The Secondary Capture option allows the user to capture and store in DICOM format the presentation state of images as they are displayed on the Image Display viewer This provides the user with a digital alternative to hardcopy filming important portions of the study can be captur
17. 0032 1060 gt Requested Procedure Code Sequence 0032 1064 gt Scheduled Procedure gt Scheduled Protocol Code Sequence 0040 0007 0040 0008 Step Description gt Scheduled Procedure ID gt Requested Procedure ID 0040 0009 0040 1001 Performed Station AE Title 0040 0241 Exam Application will set as Host name Performed Station Name Performed Location Performed Procedure Step Start Date 0040 0242 0040 0243 0040 0244 Exam Application will set as Host name Exam Application will set as Host name Exam Split Application will calculate and same time will use in GSPS Performed Procedure Step Start Time 0040 0245 Exam Split Application will calculate and same time will use in GSPS Performed Procedure Step End Date 0040 0250 Exam Split Application will calculate Performed Procedure Step End Time 0040 0251 Exam Split Application will calculate Performed Procedure Step Status 0040 0252 Set as In Progress Performed Procedure Step ID 0040 0253 Will be set as Requested Procedure ID 0040 1001 from 0040 0275 Performed Procedure Step Description 0040 0254 This will be set as Requested Procedure Code Meaning If Code Meaning absent it will be Requested Procedure Description Performed Procedure Type 0040 0255 Set as empt
18. 1 5 3 1 1 Association establishment policies 5 3 1 1 1 General The DICOM Application Context Name ACN which is always proposed is Application Context Name 1 2 840 10008 3 1 1 1 The Maximum Length PDU negotiation is included in all association establishment requests The maximum length PDU for association initiated by the DICOM Storage Commitment SCU AE is Maximum Length PDU 1OKbytes 5 3 1 1 2 Number of associations A single association is used to send the commitment request This waits for the response from commitment provider on the same association for a configurable amount of time It will also accept an association for receiving the response from commitment provider at any time 5 3 1 1 3 Asynchronous nature Asynchronous window negotiation is not supported 5 3 1 1 4 Implementation identifying information The Implementation UID for this GEMS Implementation is Discovery CT Implementation UID 1 2 840 113619 6 55 Discovery PET Implementation UID 1 2 840 113619 6 131 Note CT AE and PET AE are the two different entities generating images 5 3 1 2 Association initiation policy An association is initiated by the Storage SCU to the provider to send the images to be committed A separate association is established to send the commitment request 5 3 1 3 Real World Activity 5 3 1 3 1 Associated Real World Activity Save exam series The user selects the exam series to be committed All the images c
19. 2 3 1 2 3 1 Associated Real World Activity The operator must first select a destination by choosing Select Remote Host from Network pull down menu on the local database manager and then choose a hostname The operator then has to perform the Real World activity Query to get a list of Study Series Image Once the list of Study Series Image is retrieved the operator can invoke the Get operation by choosing Get Exam or Get Series or Get Image from the Network pull down menu 2 3 1 2 3 2 Proposed Presentation Contexts When the Real World activity Get is initiated all presentation contexts shown in table 2 2 1 2 1 2 1 are proposed during association establishment but only the Query Retrieve MOVE related contexts are applicable to this activity 2 3 1 2 3 2 1 SOP Specific Conformance Statement for C MOVE SCU When the operator starts a Get operation at any level Study Series Image the DICOM Server AE will initiate a C MOVE RQ request to the Remote AE with the DICOM Server AE as the Destination AE The Storage SCP will handle the incoming images as described in section 2 2 1 3 1 Each C MOVE SCU operation supports an Association Timer Operation Inactivity Timer and Session Timer with time out values of 900 seconds 300 seconds and 60 minutes respectively The DICOM Server AE will send a C CANCEL MOVE RQ to the Remote AE if the operator Pauses or Clears the
20. 2 3 Discovery PET Exam Module Private Creator Identification GEMS PETD_ 01 Attribute Name Tag Type VR VM PET exam_id 0009 1007 3 UI 1 PET compatible_version 0009 1008 PET software_version 0009 1009 B 2 4 Discovery PET Scan Module Private Creator Identification GEMS PETD 01 Attribute Name Tag Type VR VM PET scan_id 0009 100A 3 Ul 1 PET compatible_version 0009 100B SH 1 PET software_version 0009 100C 3 SH h PET scan_datetime 0009 100D 1 PET scan_ready PET scan_description PET hospital_name PET scanner_desc PET manufacturer PET for_identifier PET landmark_name PET landmark_abbrev PET patient_position PET scan_perspective PET scan_type PET scan_mode PET start_condition PET start cond data PET sel stop cond PET sel stop cond data PET collect deadtime PET collect singles PET collect countrate PET countrate period PET delayed events PET delayed bias PET word size PET axial acceptance PET axial angle 3d PET theta compression PET axial compression PET gantry tilt angle PET collimation PET scan fov PET axial fov PET event separation PET mask width PET binning mode PET trig rej method 0009 1020 0009 1023 0009 1024 0009 1029 0009 102C 0009 102D 0009 102E 1 m sesch sch sch ee sch 1 ee sch 1 sch 1 sch sch f sech f sech JI sech JI sch PET number_for_reject PET lower_reject_limit PET upper
21. 3 1 2 1 SOP Specific Conformance to C STORE SCP The DICOM Server AE conforms to the SOP s of the Storage Service Class at level 1 base Private elements will be discarded from the image when receiving images containing non GE private data elements All of the standard type elements 1 1c 2 2c 3 will be retained tt Each C STORE SCP operation supports an Association Timer Operation Inactivity Timer and Session Timer with time out values of 900 seconds 900 seconds and 60 minutes respectively Image Reception If the DICOM Server AE returns one of the following status codes then the C STORE operation was unsuccessful and no image will be installed e 0110 Processing Failure Indicates that an internal system call has failed while processing an image e A711 Out of Resources Indicates that probably there was not enough disk space to store the image The user should attempt recovery by removing some images from the Discovery system e A712 Out of Resources Indicates that there was not enough resource such as memory to store the image e A800 SOP Class not supported In the event of a successful C STORE operation the image has successfully been written to disk The image will then be accessed in the same manner as any other image by the applications on the Discovery system Images may be deleted when instructed to do so by the user Thus the duration of the storage of the image is determined by the
22. 8 12 Visit Entity 6 8 12 1 Visit Identification Table 6 8 12 1 1 Visit Identification Module Attributes Attribute Name Tag Expected Expected Mapped Matching Returned into the Key Type Key Type 6 8 12 2 Visit Status Table 6 8 1 12 2 1 Visit Status Module Attributes Attribute Name Tag Expected Expected Mapped Matching Returned into the Key Type Key Type Image 0038 Current Patient Location 0038 0300 MEA EN Displayed on More Info screen 6 8 12 3 Visit Relationship Table 6 8 12 3 1 Relationship Module Attributes Attribute Name Tag Expected Expected Mapped Matching Returned into the Key Type Key Type ESCH Referenced Patient Sequence 0008 1120 ee ae a ae a ee 6 8 12 4 Visit Admission No data elements are requested from the Visit Admission Module 6 8 13 Patient Entity 6 8 13 1 Patient Relationship No data elements are requested from the Patient Relationship Module 6 8 13 2 Patient Identification Table 6 8 13 2 1 Patient Identification Module Attributes Expected Expected Mapped Attribute Name Tag Matching Returned into the Key Type Key Type Image Patient s 0010 0010 1 Yes This attribute is sent with zero length Name Supports up to 32 characters See also Note1 Patient ID 0010 0020 1 Yes This attribute is sent with zero length Supports up to 16 characters e Modality Worklist server supports 32 characters for patient Name e Supports DICOM fo
23. Code Value 0008 0100 1 SH Not Used gt Coding Scheme Designator AAA CEES Not Used gt Code Meaning 0008 0104 3 LO 1 Not Used gt Primary Anatomic Structure 0008 2230 SQ Not Used Modifier Sequence Ze gt gt Code Value 0008 0100 1 SH 1 Not Used gt gt Coding Scheme Designator A Not Used gt gt Code Meaning A SC 3 Not Used A 6 2 6 5 Overlay Plane Module This section contains Attributes that describe characteristics of an Overlay Plane Overlay Planes are not currently used in GE Discovery ST PET AE Attribute Name Tag Type VR VM Notes None A 6 2 6 6 VOI LUT Module This section specifies the Attributes that describe the VOI LUT Attribute Name Tag Type VR VM Notes VOI Lut Sequence 0028 3010 Not Used 3 gt LUT Descriptor 0028 3002 1C USUS 3 Not Used or SS US gt LUT Explanation 0028 3003 3 LO 1 NotUsed gt LUT Data 0028 3006 Not Used SS Window Center 0028 1050 3 DS in window center Window Width 0028 1051 ECAA A window width 3 Window Center amp Width 0028 1055 1 n Not Used Explanation A 6 2 6 7 Discovery PET Image Refer to Section B 2 7 for details A 6 2 6 8 Discovery PET Frame Refer to Section B 2 5 for details A 6 2 7 General Modules The SOP Common Module is mandatory for all DICOM IODs A 6 2 7 1 SOP Common Module This section defines the Attributes which are required for proper functioni
24. DICOM Server AE to initiate an association to the selected Remote AE when the Query Remote Host entry is selected from the Network pull down menu Once a list of Study Series Image is retrieved the operator can invoke the Get operation by choosing Get Exam or Get Series or Get Image from the Network pull down menu 2 3 1 2 2 2 Proposed Presentation Contexts When the Real World activity Query or Get is initiated all presentation contexts shown in table 2 2 1 2 1 2 1 are proposed during association establishment but only the Query Retrieve FIND related contexts are applicable to this activity 2 3 1 2 2 2 1 SOP Specific Conformance Statement for C FIND SCU After the Query operation is initiated the DICOM Server AE will perform a study root C FIND RQ request at each of the three levels Study Series and Image in succession The Initial Study Level request will ask for all studies in the Remote database The C FIND SCU will not perform any extended negotiation and so will only perform hierarchical query Relational Queries are not supported 66 Each C FIND SCU operation supports an Association Timer Operation Inactivity Timer and Session Timer with time out values of 900 seconds 900 seconds and 60 minutes respectively If a Cancel or Refused status is returned from the Remote AE the association is closed and the operation terminated The DICOM S
25. Directory Information Object Definition are not listed in the appendix but are supported by the implementation Note The modality attribute 0008 0060 in the DICOMDIR Series records should be CT MR PET for Secondary Capture and Standalone Overlay SOP Class Images Otherwise the Discovery DICOM media display browser will not list up the series for contents rendering the retrieval to local storage impossible 3 4 3 1 41 Additional Keys None 3 4 3 1 5 Other Parameters This section defines other parameters common to all specific Application Profiles in the PRI CTMR MOD12 class that need to be specified in order to ensure interoperable information interchange 3 4 3 1 6 Image Attribute Values The attributes listed in Table 3 3 3 1 5 1 1 used within the CT MR PET SC Standalone Overlay Image files shall take the values specified Table 3 3 3 1 5 1 1 CTMR MOD Profiles Required Image Attribute Values for CT and MR SC and OV Images Modality CT MR PT Photometric Interpretation MONOCHROME2 Bits Allocated Overlay data if present shall be encoded in Overlay Data 60XX 3000 3 4 3 1 6 1 Attribute Value Precedence None 3 4 3 2 STD CTMR MOD23 Class Profile 3 4 3 2 1 SOP Classes and Transfer Syntax s This class of Application Profiles is based on the Media Storage Service Class with the Interchange Option See PS3 4 SOP Classes and corresponding Transfer Syntax s supported by the STD CTMR MOD23 Application Profiles is
26. FL gt CO PET vqc_y_axis_ swivel m x Ke KH a PET vqc_z_axis_trans 3 PET vgc_z_axis_roll 3 FL PET ctac_conv_scale 3 PET image_set_id 0009 10D2 PET constrast_route 0009 10D3 PET image_one_loc 0009 10D6 PET image_index_loc 009 10D o ole SJ PET num of rr interval 009 00DD PET num of time slots 0009 00DE PET num of slices 0009 01DF PET num of time slices 0009 00E0 PET rest stress 0009 00E2 B 2 5 Discovery PET Frame Module Private Creator Identification GEMS PETD 01 Attribute Name Tag Type VR VM PET frame_id 0009 105C 3 Ul 1 PET exam id PET compatible version h sch d 1 sch sch sch sch sch sch sech sech 1 sesch b sch _ sch 1 sesch 1 PET software_version 0009 1061 PET where_is frame 0009 1062 gt PET frame_size 0009 1063 PET file_exists 0009 1064 PET patient_entry 0009 1065 PET table_height 0009 1066 PET table_z_ position 0009 1067 wm PET landmark_datetime 0009 1068 PET slice_count 0009 1069 PET start_location PET acq_duration 0009 106D PET acq bin dur 0009 106E PET acq bin start 0009 106F PET actual stop cond 0009 1070 PET total prompts 0009 1071 PET total delays 0009 1072 PET frame valid 0009 1073 PET validity_info PET compression 0009 1076
27. Local IP gateway The following parameters are configurable but need change only in case of a system software upgrade e Implementation UID e PDU size e Association time out period e Session time out period 7 7 SUPPORT OF EXTENDED CHARACTER SETS PPS feature for Discovery does not support any extended character set 7 8 N CREATE NSET REQUEST MESSAGE PPS Feature for Discovery supports all named attributes listed in Table F 7 2 1 in PS3 4 of DICOM standard That is attributes that are not explicitly referenced by name in the table are not supported Example is last row in the table reads All other attributes from Radiation Dose Module and Billing and Material Code Module The attributes referenced here are not supported For the MPPS associated with an acquisition the following attributes are copied from the Modality Work list SCU into the MPPS request Message if procedure performed corresponds to the SPS information retrieved through the Modality Work list Discovery supports the selection of single or multiple SPS for a scan The following are applicable Single SPS selection results in single PPS message Multiple SPS selection results in single PPS message Multiple SPS selection is allowed only if they all correspond to same patient id A maximum of 15 SPS s can be selected Referenced Study Sequence a maximum of ten ltem s is supported This attribute will be present only if SPS information is available from
28. Name Tag Type Notes S O Manufacturers Model 0008 1090 Name Device Serial 0018 1000 Sent if present in image Number Software Versions 0018 1020 not distinguish individual software releases Sent only for MR images Spatial Resolution 0018 1050 Pixel Padding Value 0028 0120 A 5 6 General Image Module Attribute Name Tag Type Notes Patient Orientation 0020 0020 Image Date 0008 0023 C Always sent as 05 for this version does Image Time 0008 0033 Generated for each image always sent Image Type 0008 0008 Always sent Acquisition Number 0020 0012 3 Generated for each acquisition always sent Acquisition Date 0008 0022 3 Generated for each acquisition always sent Acquisition Time 0008 0032 Generated for each acquisition always sent A 5 7 Image Plane Module Attribute Name Tag Type Notes Slice Thickness 0018 0050 Value always sent Image Slice Location 0020 1041 Value always sent A 5 8 Contrast Bolus Module Contrast Bolus Agent 0018 0010 2 Sent if contrast exam as entered in user interface 1040 Contrast Bolus Route 0018 1040 3 Sent if contrast exam as entered in user interface A 5 9 SOP Common Module Attribute Name Tag Type Notes Specific Character Set 0008 0005 ISO_IR 100 A 5 10 Overlay Plane Module Attribute Name Type Overlay Data 60xx 3000 1C Only for SC amp Standalone Overlay I
29. PET axial_angles_ used PET ir_num_iterations 0009 10B2 PET ir_num_subsets 0009 10B3 PET ir_recon_fov PET ir_corr_model PET ir_loop_filter PET ir_pre_filt_parm 0009 10B7 PET ir_loop_filt_parm 0009 10B8 PET response filt parm PET post filter PET post filt parm 0009 10BB PET ir regularize 0009 10BC PET regularize parm 0009 10BD PET ac bp filter PET ac bp filt cut off PET ac bp filt order 0009 10C0 PET ac img smooth 0009 10C1 PET ac img smooth parm PET scatter method PET scatter num iter PET scatter parm PET ctac conv scale 0009 10D4 FL PET loop filter parm 0009 10D5 3 sesch sesch sech sesch sech sech sech 1 sech sch sch sch sch sch sch sch sch sch sch sch sch A ia sch sech sech sch B 2 7 Discovery PET Image Module Private Creator Identification GEMS PETD 01 Attribute Name Tag Type VR VM PET compatible_version 0009 10A4 3 SH 1 PET software_version 0009 10A5 PET slice_number 0009 10A6 PET total_counts 0009 10A7 PET other_atts 0009 10A8 3 OB PET other_atts_size 0009 10A9 PET archived 0009 10AA PET bp_center_x 0009 10AB PET bp center y 0009 10AC PET trans frame id 0009 10AD PET tpluse frame id 0009 10AE PET profile spacing 0009 10B1 PET seg oC parm 0009 10C6 x fr PET overlap 0009 10C7 PET ovip_frm_id 0009 10C8 PET ovlp trans frm id
30. PPS which is described below PPS Server AE initiates a MPPS N SET request to the remote AE in order to update the MPPS SOP instance that is already created The N SET is sent over a new DICOM association The remote AE returns response indicating the success failure of the request execution The PPS state information is updated in the system based on the response data and is presented to the user At the end of image acquisition if the user has chosen Defer PPS the user is provided with an interface to Complete PPS or Discontinue PPS at any later time The user might wish to alter the image set generated through acquisition before invoking these operations Note that the user explicitly uses the user interface provided to invoke this operation as in the case of PPS generated for post processing which is described in the following section PPS messages N CREATE if applicable and N SET will be sent over the same DICOM association The remote AE returns response indicating the success failure of the request execution The PPS state information is updated in the system based on the response data and is presented to the user 7 2 3 2 PPS from acquisition system without MWL data The system either does not have a Modality Work list Server AE installed or a Modality Work list Server AE installed but no Work List information is obtained from HIS RIS system for the current procedure that is being performed The information r
31. YYYYMMDD YYYYMMDD where this date range represents the specified number of days before today and or after today Note that number of days both before and after can be specified in the same query and that each always includes today All Days Scheduled Procedure Step Start Date 0040 0002 zero length universal matching 6 3 1 2 1 2 Proposed Presentation Context Table The following table shows the proposed presentation contexts for the Worklist Server AE after real world activity Worklist Query has been initiated Presentation Context Table Proposed Extended Abstract Syntax Transfer Syntax name up JL Nametist VID ee Modality Worklist 1 2 840 10008 5 1 4 31 Implicit VR Little Endian 1 2 840 10008 1 2 SCU None Information Model FIND 6 3 1 2 1 2 1 SOP Specific DICOM Conformance Statement for the Worklist SOP Class If the remote AE does not support the proposed Presentation Context an appropriate error is logged and the operator is notified This implementation can receive multiple C FIND results over a single association Only one association is opened at a time Each C FIND response received from the remote AE is parsed to verify the length type of the items in the response see section 2 3 1 2 1 2 2 for more information Upon detecting any error in the response data the Worklist Server AE will issue a C FIND CANCEL and upon receipt of a C FIND RSP or if an applicable timer expires will ab
32. also specified in the Table 3 3 3 1 1 1 3 4 3 2 2 Physical Media and Media Formats The CT MR Application Profiles in the STD CTMR MOD23 require the 130mm 2 3GB 512 Byte per Sector Magneto Optical Rewriteable physical media with the PC File System as defined in PS3 12 3 4 3 2 3 Logical Format The STD CTMR MOD23 Application profile media format conforms to the Logical Format specification in PS3 12 The following table 3 3 3 2 3 1 defines the specific values used for this profile Table 3 3 3 2 3 1 Boot Sector for STD CTMR MOD23 conformant media Bytes s Big Endian As Stored 00 02 A OxEB3C90 Jump instruction to loader NOPs 03 10 0x4d53444F53342E30 MSDOS4 0 The formatting DOS vendor specific 2 File Allocation Tables FAT 19 20 0x0000 0x0000 Flag for more than 65536 sector disk Use offset 32 value OxF8 OxF8 Flag for disk type FOH if not otherwise specified 26 27 1 side head per disk 32 35 2244896 0x20412200 2244896 Total sector disk Varies from disk to disk 36 37 0x0080 0x8000 Physical Drive number 80 8 Extended boot record signature 41 39 42 Date Stamp Volume serial number 43 53 0x47454D535F4449434F4 GEMS DICOM D20 54 61 The file system label 62 509 ES enn Don t care Any contents acceptable 510 511 OxAA55 Ox55AA Signature flag 3 4 3 2 4 Directory Information in DICOMDIR Conformant Application Entities shall include in the DICOMDIR File a Basic D
33. as determined through the local database manager list sort criterion and request the list of series for that study After receiving the list of series the DICOM Server AE will ask for the list of images for the first series in the list The operator can then select any study in the study list to retrieve the list of series and images 2 2 2 3 Real World Activity Choose Get Option will be available once the Query Remote activity is performed The operator can now select one or more study series or image and ask the DICOM Server AE to retrieve the selected image s from the Remote DICOM AE by choosing Get Examination Get Series or Get Images 4 Real World Activity Choose Ping DICOM host Option consists of an operator selecting Ping DICOM host from the Network pull down menu This will cause the DICOM Server AE to initiate a DICOM Verification Request to the remote AE to verify the remote system activeness 5 The Choose storage commitment Option Real World activity consists of an operator configuring the remote node as an archive node Select choose media option under Archive pull down menu Select Remote Node in that menu Select one or more study series or image in the local database manager and choose either Save Exam or Save Series from the Archive pull down menu This will cause the DICOM server AE to send the image s to the selected
34. at the user interface Reading Study A 5 3 Patient Study Module Attribute Name Tag Type Notes O Patient s Age 0010 1010 3 Calculated from Date of Birth entered at user interface Patient s Weight 0010 1030 Value from user interface Additional Patient s 0010 21b0 3 Value from user interface History A 5 4 General Series Module Attribute Name Tag Type Notes 0020 0011 Generated sequentially always sent Laterality 0020 0060 Always sent zero length Series Date 0008 0021 3 Generated for each series and always sent Series Time 0008 0031 3 Generated for each series and always sent Performing 0008 1050 3 Physician s Name Protocol Name 0008 1030 Sent if entered at user interface Series Description 0008 103E Value from user interface is sent Operators Name 0008 1070 Value from user interface is sent Patient Position 0018 5100 2C Sent As selected by operator when patient is positioned Defined terms are HFP Head Fest Prone HFS Head Fret Supine HFDR Head First Decubitus Right HFDL Head First Decubitus Left FFDR Feet First Decubitus Right FFDL Feet First Decubitus Left FFP Feet First Prone FFS Feet First Supine A 5 5 General Equipment Module Attribute Name Tag Type Notes 0008 0070 Always sent as GE MEDICAL SYSTEMS Institution Name 0008 0080 Sent Value is configurable Station Name 0008 1010 Sent Value is configurable Attribute
35. below are configurable or re configurable by a Field Service Engineer and are not accessible by users through the Discovery user interface AE Title Presentation Address Mapping ModalityWorklist allows for the configuration of the following parameters that pertain to the remote AE e Remote AE HIS RIS IP address IP address used to contact the remote AE e Remote AE HIS RIS IP port IP port used to contact the remote AE These parameters define where worklist queries will be directed Configuration of these parameters is performed by GEMS Field Service engineers using the ModalityWorklist installation facilities Configurable Parameters The following parameters are configurable for the DICOM Worklist Server AE Local Worklist Server AE Title automatically set to host name of scanner Local IP address Local IP netmask Local IP gateway The following parameters are configurable by changing their values in the configuration file usr g config WLdcm cfg Note that these parameters typically need not be changed Furthermore no support is provided for retaining changed settings the values will require changing again after a system software upgrade Implementation UID PDU size Association time out period Session time out period C FIND time out period 6 7 Support of Extended Character Sets ModalityWorklist will support only the ISO_IR 100 ISO 8859 1 1987 Latin alphabet N 1 supplementary set as extended character sets
36. iiei i diii iia 120 A 1 2 CT len e EE 120 A 1 2 1 Implementation Specific details oooonoocccnnnocicinnncccnncoconononcnnnononcnnnnnnnnnnnnn conan nnnnnnnnnnnnnnnnno 122 Act MR SPECIFIC IOD DEFINITIONS siesta eae ieee ib iii 123 A 2 1 MR Image OD Modules eeh cies ege do EE EEA E ENAA cae 123 A 2 2 ere e EE 124 AS a SG SPECIFIC IOD DEFINITION EE 125 A 3 1 SC Image OD MOGUICS due dead edu EN 125 AA STANDALONE OVERLAY SPECIFIC OD DEFINITION c cccceeeeeeeeeeeeeeeeeeecaaeeeeaeeseeeeeesaaeeesaaeeeenees 126 A 4 1 Standalone Overlay Image IOD Modules 2222222 cease eu ennen renerne ennen erne 126 Ab CT MR SC STANDALONE OVERLAY IOD COMMON MODULE DEFINITIONS oomocccoccccnonccnncncnanncoos 126 A 5 1 Patient MOQUIG ita ai A aaa VE Daae iaai 126 A 5 2 General Study Module A 126 A 5 3 Patient Stch Module ida rice 127 A 5 4 General Series Module cocida iii dida a iii 127 A 5 5 General Equipment Module 2222 ccee eee ree renerne reen renerne reen reen reen renere n rene 127 A 5 6 General Image Module ooooccooccconocicinicanocacononcnonacccna nono eein anesini re i aan aA 128 A 5 7 Image Plane Modulos 0 Eege aaa reaa cee 128 A 5 8 Contrast BOlUS MOU srir oa NR ENNEN oes dead ate vee peta add 128 A 5 9 SOP COMMON Mod le civic ii A Ad 128 A 5 10 Overlay Plane Moduler eet A as Ae a tee oa 129 A 5 11 e ERR EEN 129 A 5 12 Frame of Reference Module oooooooccconocinocicicncccocccoconononncnanaccno nono nc nnna nan cana ener e
37. pixels The Generation 2 and industry compliant predictor for the first line element of each line should be the first element of the line above the current line For the first line first element predictor should be the unsigned value that is half the full scale range for the sample precision GEMS uses 1 lt lt 15 32768 The GEMS Generation 1 JPEG computation of the difference to be Huffman encoded was computed as Predictor value when it should have been calculated as value Predictor The result is that the decompression via industry standard packages results in a negative of the original image and a breakdown of the pixel basis when the last pixel on a line is different from the first pixel on the next line It was recently Jul 98 learned that the JPEG software distributed by the Independent JPEG Group does not include an important feature found in the GEMS the Stanford and the Cornell JPEG packages with respect to handling 16 bit deep images In the case where the huffDECODE would return a category 16 value indicating that 16 bits should 3 No specific direct confirmation of the value Predictor policy was found but the graphic on page 185 of the book JPEG still image data compression standard by Pennebaker shows the predictor entering the adder as a negative element and the value entering as positive element Like wise both Cornell and Stanford packages perform the computation as value Predictor be acquir
38. query for images on the remote host A Study Root Study Level C FIND RQ request will be sent to the Remote AE once an association has been established After all responses are received DICOM Server AE will issue a Series Level C FIND RQ request to get the series for a study in the list An Image Level C FIND RQ will be issued for the first series in the series list e Get Send a C MOVE RQ request to a Remote AE after successful association establishment The DICOM Server AE s Storage SCP will receive the images over a separate association The DICOM Server AE waits for association requests from Remote AEs that wish to perform the following operations e Verification If a C ECHO RQ message is received the DICOM Server AE will send back a C ECHO RSP message with a status of success e Image Storage If a C STORE RQ message is received the DICOM Server AE will receive the image and try to update the local database If the image is stored successfully on storage media and the database updated a status of success will be returned in a C STORE RSP message e Query If a C FIND RQ message is received the DICOM Server AE will search the database for the requested attributes and send back a C FIND RSP message containing a match and a status of pending After all matching records have been sent a status of success will be returned in a C FIND RSP message The Remote AE can terminate the query by sending a C CANCEL FIND RQ mes
39. remote Storage Commitment SCP to commit to storing the image instances N EVENT REPORT The response sent by the remote Storage Commitment SCP The following attributes are sent as part of the DATA Set for the N Action request Attribute Tag Transaction UID 0008 1195 Transaction UID Referenced SOP Sequence 0008 1199 o SOP Class UID 0008 1150 SOP Instance UID 0008 1155 Referenced Study Component sequence attribute is not sent Storage Media File Set ID and Storage Media File Set UID attributes are not supported 5 3 1 6 Response Processing Once the N EVENT REPORT response is received the following actions will be taken depending on the status of response 5 3 1 6 1 Commit response with SUCCESS status The Archive flag information in the browser for all the successful instances will be updated The status will be changed to Y The job queue entry will be removed Note The following attributes are expected as part of DATA Set for N Event Request from SCP Attribute LI Tag Value Transaction UID 0008 1195 Value received from SCP Value received from SCP Referenced SOP Sequence 0008 1199 SOP Class UID 0008 1150 Value received from SCP SOP Instance UID 0008 1155 Value received from SCP N Event Response will be sent on the same association itself No DATA Set will be sent along with the response 5 3 1 6 2 Commit response with FAILURE status The following att
40. successful transmission of Gray Scale Presentation State and Performed Procedure Step objects to remote host user will be notified with success 8 2 4 GSPS Server AE Specification This Application Entity provides Standard Conformance to the following DICOM v3 0 SOP Classes as an SCU SOP Class Name SOP Class UID Grayscale Softcopy Presentation State 1 2 840 10008 5 1 4 1 1 11 1 8 2 4 1 Association Establishment Policies 8 2 4 1 1 General The DICOM Application Context Name ACN which is always proposed is Application Context Name 1 2 840 10008 3 1 1 1 The Maximum Length PDU negotiation is included in all association establishment requests The maximum length PDU from an association initiated by the PPS Server AE is Maximum Length PDU 128 Kbytes The SOP Class Extended negotiation is not supported The maximum number of presentation negotiation items that will be proposed is 1 The user information items sent by this AE are e Maximum PDU Length e Implementation UID 8 2 4 1 2 Number of Associations The GSPS application will initiate only one DICOM association at any time to perform a GSPS operation to the remote AE 8 2 4 1 3 Asynchronous Nature Asynchronous mode is not supported All operations are performed synchronously 8 2 4 1 4 Implementation Identifying information The implementation UID for this DICOMv3 0 Implementation is PPS Feature for Discovery Implementation UI
41. the DICOM Verification Service Class Each ECHO operation supports an Association Timer Operation Inactivity Timer and Session Timer with time out values of 900 seconds 30 seconds and 60 minutes respectively 2 3 1 3 3 Query Request from Remote AE This AE is indefinitely listening for associations No operator action is required to respond to a query request 2 3 1 3 3 1 Associated Real World Activity The Real World Activity associated with the query request is to search the local database for entries that match the request and send a C FIND response message with a status of pending for each matching entry 2 3 1 3 3 2 Presentation Context Table Table 2 3 1 3 3 2 1 Acceptable Presentation Contexts for DICOM Server AE and Real World Activity Query Request Presentation Context Table Abstract Syntax Transfer Syntax Extended Negotiation None UID Lit S Study Root 1 2 840 10008 5 1 4 1 2 2 1 Implicit VR 1 2 840 10008 1 2 Query Retrieve Little Endian FIND 2 3 1 3 3 2 1 SOP Specific Conformance to C FIND SCP Each C FIND SCP operation supports an Association Timer kk Operation Inactivity Timer and Session Timer with time out values of 900 seconds 900 seconds and 60 minutes respectively All Required R and Unique U study series and image level keys for the Study Root Query Retrieve information model are supported Some optional O keys are also support
42. 0 Convolution Kernel 0018 1210 Reconstruction Method 0054 1103 3 LO 1 bp_dfov 10 0 cm to mm Detector Lines of Response 0054 1104 3 LO 1 Used Acquisition Start Condition 0018 0073 Acquisition Start Condition Data 0018 0074 Acquisition Termination 0018 0071 3 CS 1 Condition Acquisition Termination 0018 0075 3 IS 1 Condition Data Field of View Shape 0018 1147 CS IF is_type native PET images THEN CYLINDRICAL RING Field of View Dimensions Ee 8 1149 Ke 10 0 Scan scan_fov Scan axial_fov Gantry Detector Tilt 0018 1120 ee a bs Gantry Detector Slew 0018 1121 ENS Ee Type of Detector Motion 0054 0202 CS IF is_type native PET images THEN NONE Collimator Type 0018 1181 BREST ER Collimator Grid Name 0018 1180 Axial Acceptance 0054 1200 Scan axial acceptance acceptance flag axial angle 3d str Scan axial acceptance Axial Mash KA 1201 acceptance_flag Transverse Mash nase 1202 Detector Element Size 0054 1203 Coincidence Window Width 0054 1210 1 Scan upper_coinc_limit Scan lower_coinc_limit Not used Energy Window Range 0054 0013 3 SQ 1 Sequence gt Energy Window Lower Limit 0054 0014 3 DS 1 gt Energy Window Upper Limit 0054 0015 3 DS 1 Secondary Counts Type 0054 1220 3 CS 1 n IF Scan delayed_events separate THEN DLYD A 6 2 3 3 PET Isotope Module Attribute Name Tag Type VR N
43. 0000 10 SS gaang 1 t C 3 3 Series Keys Tag Type Notes image Type mee al ppp wo o Manuf Mode Name 0008 1090 3 Series Instance UID 0020 000E i se ys Wm o Series Description 0008 103E BEER EEN Series Number 0020 0011 A C 3 4 Image Keys Attribute Name Tag Type Notes Sequence Variant L 3 Slice Thickness L 3 Repeition Time 001810080 3 O O oS Enorme L lz Inversion Time Lime 3 Number ofAverages 00180083 3 o oOo Spacing Between Sies 00180083 3 SCS Data Collection Diameter 0018 0090 3 S Geste Route m ng 3 S Trigger Time L lz Reconstruction Diameter m ng 8 FGantryiDetector ooe 3 O ooo SyS Convolution Kemel onea 8 Image Orientation Patient 00200037 1c Frame of Reference UID 0020 0052 1C Absent from PRI CTMR MOD12 SiceLocaion NAT zl Samples Perr Lem zl rer Ierpetaion 0026 0008 R Absent rom allprofles Roas og 1 APPENDIX D GE DISCOVERY PRIVATE PET RAW DATA D 1 GE Private PET Raw Data Information Object Implementation This section specifies the implementation of GE private defined Information Object namely GE Private PET Raw Data IOD The implementation is detailed to the extent that vendor applications can recognize an instance of the object Storage devices that supports full fidelity storage of this IOD can use the data d
44. 04 LO no value available 0 0 PatientTransportArrangements 0040 1005 LO no value available 0 O RequestedProcedureLocation 0040 1008 LO no value available 0 0 ConfidentialityCode 0040 1010 PN no value available 0 O Names of Intended Recipients 0040 1400 LT no value available 0 O Requested Procedure Comments 0040 2400 LT no value available 0 O Imaging Service Request Comm 0040 3001 LO no value available 0 0 ConfidentialityConstraintOnPatientData If the query is for a particular date range the ScheduledProcedureStepStartDate will be filled with a valid date range If either the start or end date are left blank by the user they will simply be blank in the query Below is an example of a date range for August 30 1997 through October 12 1997 0040 0002 DA 19970830 19971012 18 1 ScheduledProcedureStepStartDate Below is an example of a date range for August 30 1997 through the end of time 0040 0002 DA 19970830 18 1 ScheduledProcedureStepStartDate Below is an example of a date range from the beginning of time through August 30 1997 0040 0002 DA 19970830 18 1 ScheduledProcedureStepStartDate If the query is for records for this modality the Modality will be filled in as follows 0008 0060 CS CT 2 1 Modality If the query is for records for this Scanner the Modality will be filled in with CT as above and the Scheduled Station AE Title will be filled in with the value
45. 0500 Patient State 0040 0006 Performing Physician 0040 0010 Scheduled Station Name 0040 0011 Scheduled Procedure Step Location 0040 0012 Pre order Medication 0040 1003 Requested Procedure Priority 0040 1004 Patient Transport Arrangements 0040 3001 Confidentiality Constraint 6 3 1 3 Association Acceptance Policy The Worklist Server AE does not respond to attempts by a remote AE to open an association 6 4 Communication Profiles 6 4 1 Supported Communication Stacks PS 3 8 PS 3 9 DICOM Upper Layer PS 3 8 is supported using TCP IP 6 4 2 OSI Stack The OSI Communication Stack is not supported by this implementation 6 4 3 TCP IP Stack The TCP IP Communication Stack is inherited from the operating system 6 4 3 1 API Not applicable to this product 6 4 3 2 Physical Media Support Ethernet 802 3 provides the physical network layer for this product 6 4 4 Point to Point Stack The Point to Point Communication Stack is not supported by this implementation 6 5 Extensions Specializations Privatizations 6 5 1 6 5 2 Standard Extended Specialized Private SOPs ModalityWorklist for Discovery does not implement any private transfer SOP classes Private Transfer Syntaxes ModalityWorklist for Discovery does not implement any private transfer syntaxes 6 6 CONFIGURATION 6 6 1 6 6 2 The ModalityWorklist feature is configured by GEMS Field Service engineers The DICOM configuration items
46. 1001 SS Detector Macro width at ISO Center DAS type DAS gain DAS Temprature Table Direction Z smoothing Factor View Weighting Mode Sigma Row number 0045 1002 FL 0045 1003 SS 0045 1004 SS 0045 1005 SS 0045 1006 CS 0045 1007 FL 0045 1008 SS 0045 1009 SS Minimum DAS value 0045 100A FL Maximum Offset Value 0045 100B FL Number of Views shifted 0045 100C SS Z tracking Flag 0045 100D SS Mean Z error 0045 100E FL Z tracking Error 0045 100F FL Start View 2A 0045 1010 SS Number of Views 2A 0045 1011 SS Start View 1A 0045 1012 SS Sigma Mode 0045 1013 SS Number of Views 1A 0045 1014 SS Start View 2B 0045 1015 SS Number Views 2B 0045 1016 SS B 1 8 Private Creator Identification GEMS CT CARDIAC 001 Note Private Group 49 is present only if the appropriate cardiac option is installed on the scanner B 2 PET Image IOD Private Data Elements Definition B 2 1 Private Creator Identification Information Private Creator Identification GEMS PETD 01 Attribute Name Tag Type VR VM Private Creator Data Element 0009 0010 1 SH 1 GE Discovery PET Implementation 0009 1001 3 LO 2 Version Name B 2 2 Discovery PET Patient Module Private Creator Identification GEMS PETD 01 Attribute Name Tag Type VR VM PET compatible version 00091009 3 SH 1 PETpatient datetime mmm 3 DT 1 PeT Lmmelz ali B
47. 20 Zero length Convolution kem Jo 00183210 Zero length Reconstruction diameter Jo 0018 1100 Zerolength Data collection diameter Jo 00180080 Zerolengh Fipage log Zero length Echo number Jo o018 0086 Zerotengin rEchotime Jo ger Zero length inversion me TO 70018 0082 Zerolengh Repetition ime o o018 0080 Zero length Private Creator Identification P 0019 00xx GEMS_ACQU 0T Dovre A 10019 001E Zero Length DiovRect Jr 0019 E Zero Length Midscan Time Jr 00197024 Zero Length aimn Jr ooo Zero Length Number of Echo Jr 70019767 E Zero Length Private Creator Identification P 002 00xx GEMS_RELA OT EECH Private Creator Identification P 0027 00xx GEMS MAG OT Location BAS Jr 002740 Zero Length Location Jr g s Zero Length Center R Coordinate P oo27xx42 Zero Length Center A Coordinate Jr o027xx43 Zero Length Table Start Location Jr 0027xx50 Zero Length Table End Location P o027xx51 Zero Length TRAS Letter tor Side of mage P 0027xx52 Zero Length TRAS Letter for Anterior Posterior P 0027xx58 Zero Length RAS Letter for Scout Start Location P 0027xx54 Zero Length RAS Letter for Scout End Location P 0027xx55 Zero Length image Dimensionx P 0027xx60 Zero Length image Dimension P o027xx6t Zero Length Note Refer to section 2 3 1 2 2 1 for Custom Search Query option 2 3 1 2 3 Get Image s from Remote AE
48. 3 0 implementations This specification called a Conformance Statement includes a DICOM v3 0 Conformance Statement and is necessary to insure proper processing and interpretation of GE medical image data exchanged using DICOM v3 0 The GE ID Net v3 0 Conformance Statements are available to the public The reader of this conformance statement should be aware that different GE devices are capable of using different Information Object Definitions For example a GE CT scanner may send images using the CT Information Object MR Information Object Secondary Capture Object etc Included in this Conformance Statement are Module Definitions that define all data elements used by the GE ID Net v3 0 implementation If the user encounters unspecified private data elements while parsing a GE Data Set the user is well advised to ignore those data elements per the DICOM v3 0 standard Unspecified private data element information is subject to change without notice If however the device is acting as a full fidelity storage device it should retain and retransmit all of the private data elements that are sent by GE devices 1 5 Important Remarks The use of these Conformance Statements in conjunction with the DICOM v3 0 Standards is intended to facilitate communication with GE imaging equipment However by itself it is not sufficient to insure that inter operation will be successful The user or user s agent needs to proceed with caution and
49. 7 23 AE SPECIEICATION WEE 97 7 3 1 PPS Server AE Specification EEN 97 7 3 1 1 Association Establishment Policies AAA 97 7 3 1 1 1 Generales er ati td tt oo 97 7 3 1 1 2 Number of ASSOCIAtIONS EE 98 7 3 1 1 3 Asynchronous Et 98 7 3 1 1 4 Implementation Identifying information ooonnoncccnnnnccnononcccnnnoncnonanon cnn nnro nono nor o nn nano r narran 98 7 3 1 2 Association Initiation Policy oooonnncccnnnncccnnnonccnnnoncnnnnnrannnnnrn cnn nan n cnn nan nn naar seeren 98 7 3 1 2 1 Real World Activity Performed Procedure Step creation and update 98 7 3 1 3 Association Acceptance Policy si aar i na rn nes Ar rare Cr rn rd ha rt tere msn eg 99 7 4 COMMUNICATION PROFILE S eniten a AE En EA a E E 99 7 4 1 Supported Communication Stacks PS 39 99 7 4 2 OST Sage A E A ES Eed e eege deg ed Eege dee 99 7 4 3 TP OPAP SOCR EE 99 PASSA AP id 99 7 4 3 2 Physical Media Support prseterea ineen sea aoa a a aa aO a aade aoa aa 99 7 4 4 eelere Be 100 7 5 EXTENSIONS SPECIALIZATION PRIVATIZATION ssseeeeeerr nerne eee kreere 100 7 5 1 Standard Extended Specialized Private SOPS 22 saas eee enunn rene nen nn reen nn rene 100 7 5 2 Private Transfer Syntaxes sssssenevenevensrennreenreenn rene nor 100 767 CONFIGURATION LE EDER EE eege 100 7 6 1 AE Title Presentation address Mapping 222222 ue ene renerne renerne reen rene renerne 101 7 6 2 Configurable Parameters 2 ENEE caia EG HED Nee Ee 101 7 7 SUPPORT OF EXTENDED CHA
50. B 2 2 Discovery PET Patient Module 222 ensure rn ren renerne rene nc 152 B 2 3 Discovery PET Exam Module ccoo aa EES 152 B 2 4 Discovery PET Scan Module oococoocococcccocccconccconccononononncnanan renere ennen nn nerne nn nerne renerne 152 B 2 5 Discovery PET Frame Module 155 B 2 6 Discovery PET ImageSet Module 156 B 2 7 Discovery PET Image Module c cccccccessseceenceceeececeseeseneecedeneeceaneteneeeseneecsnnetsaees 158 B 2 8 Discovery PET Count Rate Module 1 ccccsccccsceceenceseeeeseneeceeeeecenesetenaeeseneecsnneesaees 159 B 2 9 Discovery PET Correction Cal Module oooonooccincccinnccicoccconcccconcccnonancnancnnarcncnnrnnnnnnn 159 B 2 10 Discovery PET Well Counter Module 2222ccc seen eee enrerenrnen reen renerne renerne 160 B 2 11 Discovery PET Raw Data Module 222222 essere ener ren renerne renerne rn terne nnnee 161 GI BASIC DIRECTORY IOD DEFINITION c ooocccccccccnoncnononanoncnnnnnc nono cnn cnn rra rana 162 C 2 DIRECTORY INFORMATION MODUL 162 C 3 DIRECTORY RECORD SELECTION KEYS GGdG amp cnn n cn naar rana nr rr rana rra 163 C 3 1 Palon RO Sii comia 163 C 3 2 St dy y EE 163 C 3 3 SOMOS O Sion ie ld ti ai 163 C 3 4 Image EE 164 D 1 GE PRIVATE PET RAW DATA INFORMATION OBJECT IMPLEMENTATION Museerne teen erer ker nener 165 D 1 1 Discovery PET RAW Data Patient Entity Module 165 D 1 2 Discovery PET RAW Data Exam Module 222222 cecsen eee reen renerne nere nerne 165 D 1 3 Discovery PET RAW Data Scan Entity Mod
51. CE ooooiooccccccoccconnnnnnnonnnnn cnn rara 56 4 1 INTRODUCTION a a ei eae 56 4 2 IMPLEMENTATION MODEL PRINT SCHU 56 4 2 1 Application Data Flow Diagram oooconccccinccononicinocccconocononnncnnannn nn renen ennen renerne renere n rr ne 56 4 2 2 Functional Definition O AE Sa rod rer rank iaa an ra aN anaa aa vibes 56 4 2 3 Sequencing of Real World Activities 222cccs cen veere ennen e renerne renerne renee 56 4 32 AE SPECIFICATIONS ees EE EE eras 58 4 3 1 DICOM Print SCU AE Specification saas venner ener enn ennen een ennen renee 58 4 3 1 1 Association Establishment Policy AAA 58 4 3 1 1 1 General aes es hs Sta e Soc a Oe Sea Me 58 4 3 1 1 2 Number Of ASSOCIATIONS AA 58 4 3 1 1 3 Asynchronous Nature coi e NE 58 4 3 1 1 4 Implementation identifying information cooonncccnnnnccconanononononcnonnnon cnn raro nono non ono nnnrrrnnnnnno 58 4 3 1 2 Association Establishment Policy AAA 59 4 3 1 2 1 Real ele Re EE 59 4 3 1 2 2 SOP Specific Conformance Statement cccecceceeeeseeeeseeeeseneeeeneeeeeesseeseaeeseeeseneeenaes 60 4 3 1 3 Association Acceptance Policy ooooccccnnnnniconocccncononnncnnnannnnnor cnn nnnon o rr naar nn nena r rra 64 4 45 GOMMUNIGATION PROFILES ticos ratita 64 4 4 1 Supported Communication Stacks parts g ennen ener ennen erne 64 E ES Bn er EE EE 64 4 4 1 1 1 PPV EE 64 4 4 1 1 2 Physical Media Support circle 64 4 5 STANDARD EXTENDED SPECIALIZED PRIVATE SOPS GWG senere treere
52. D 1 2 840 113619 6 55 8 2 4 2 Association Initiation Policy The GSPS AE initiates a new association for every GSPS operation initiated 8 2 4 2 1 Real World Activity GSPS 8 2 4 2 1 1 Associated Real World Activity The real world activities are mentioned in section 8 2 3 Sequencing of Real World Activities Each of the real world activity results in either creating a new GSPS SOP instance at the remote SCP 8 2 4 2 1 2 Proposed Presentation Context Table The following table shows the proposed presentation contexts for the GSPS AE after any of the real world activity listed in section 7 2 3 Sequencing of Real World Activities is initiated Presentation Context Table Proposed Abstract Syntax Transfer Syntax Role Extended Name UID Name List UID List Negotiation Grayscale 1 2 840 10008 5 1 4 1 1 Explicit VR 1 2 840 10008 1 2 SCU None Presentation 11 1 Little Endian State 8 2 4 2 1 2 1 SOP Specific DICOM Conformance Statement for GSPS SOP class If the remote AE does not support the proposed Presentation context an appropriate error message logged Only one association is opened at a time All the operations used by this SOP class support an association timer which is configurable The timer is started when a request association request N CREATE request or N SET request is send and stopped when the respective response is received The default time out value is 300 seconds All the o
53. Discovery ll JR Product Conformance Conformance 8 Statement Statement Implementation Direction Direction 5161694 100 Sete eye al DICOM STANDARD DICOM V 3 0 Standard Specification Part 1 DICOM V 3 0 Part 13 The Documentation structure given in Illustration 1 1 shows the overall documentation structure for all of the GE ID Net v3 0 Conformance Statements This document specifies the DICOM v3 0 implementation supported by the Discovery It is entitled Discovery Conformance Statement for DICOM v3 0 ID Net v3 0 Direction 5161694 100 This Conformance Statement documents the DICOM v3 0 Conformance Statement and Technical Specification required to interoperate with the GE ID Net v3 0 network interface Introductory information which is applicable to all GE ID Net v3 0 Conformance Statements is described in the document Introduction to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statements Direction 2118780 This introduction familiarizes the reader with DICOM terminology and general concepts It should be read prior to reading individual products ID Net v3 0 Conformance Statements The ID Net v3 0 Conformance Statement contained in this document also specifies the Lower Layer communications that it supports e g TCP IP However the Technical Specifications are defined in the DICOM v3 0 Part 8 standard For more information
54. GE Healthcare Discovery Dicom Conformance Statement for DICOM v3 0 ID Net v3 0 Refer to section 1 for a list of products in the Discovery family to which this Conformance Statement applies 5161694 100 Rev 1 2005 General Electric Company All Rights Reserved GE HEALTHCARE DIRECTION 5161694 100 Rev 1 Discovery DICOM CONFORMANCE STATEMENT Page Left Intentionally Blank 2 of 169 GE HEALTHCARE DIRECTION 5161694 100 Rev 1 Discovery DICOM CONFORMANCE STATEMENT LEGAL NOTES TRADEMARKS All products and their name brands are trademarks of their respective holders OMISSIONS amp ERRORS Customers please contact your GE Sales or Service representatives GE personnel please use the GE Healthcare PQR Process to report all omissions errors and defects in this publication Copyrights All Material Copyright c 2005 by the General Electric Company All rights reserved 3 of 169 GE HEALTHCARE DIRECTION 5161694 100 Rev 1 Discovery DICOM CONFORMANCE STATEMENT Important Precautions WARNING This Service Manual is available in English only f acustomer s service provider requires a language other than English it is the customer s responsibility to provide translation services Do not attempt to service the equipment unless this service manual has been consulted and is understood Failure to heed this Warning may result in injury to the service provider operator or patient from elect
55. I no value available 0 0 ReferencedSOPInstanceUID fffe e00d na ItemDelimitationltem for re encoding D 1 ItemDelimitationItem fffe e0dd na SequenceDelimitationItem for re enc 0 1 SequenceDelimitationItem 0008 1120 SQ Sequence with explicit Length t 1 24 1 ReferencedPatientSequence fffe e000 na Item with explicit Length 2 16 1 Item 0008 1150 UI no value available 0 0 ReferencedSOPClassUID 0008 1155 UI no value available 0 0 ReferencedSOPInstanceUID fffe e00d na ItemDelimitationltem for re encoding 0 1 ItemDelimitationItem fffe e0dd na SequenceDelimitationItem for re enc 0 1 SequenceDelimitationItem 0010 0000 UL 96 4 1 PatientGroupLength 0010 0010 PN no value available 0 0 PatientName 0010 0020 LO no value available 0 0 PatientID 0010 0030 DA no value available 0 0 PatientBirthDate 0010 0040 CS no value available 0 0 PatientSex 0010 1000 LO no value available 0 O Other Patient IDs 0010 1020 DS no value available 0 0 PatientSize 0010 1030 DS no value available 0 0 PatientWeight 0010 1040 LO no value available 0 0 PatientAddress 0010 2000 LO no value available 0 0 MedicalAlerts 0010 2110 LO no value available 0 0 ContrastAllergies 0010 2154 SH no value available 0 0 PatientTelephoneNumber 0010 2160 SH no value available 0 0 Ethinc Group 0010 21b0 LT no value available 0 1 AdditionalPatientHistory 0010 21c0 US
56. Isotope A 6 2 3 3 PET Multi gated Acquisition A 6 2 3 4 NM PET Patient Orientation 0 Discovery PET Imageset A 6 2 3 6 Discovery PET Scan A 6 2 3 7 Frame of Reference Frame of Reference A 6 2 4 1 Equipment General Equipment A 6 2 5 1 Image General Image A 6 2 6 1 Image Plane A 6 2 6 2 Image Pixel A 6 2 6 3 PET Image A 6 2 6 4 Overlay Plane A 6 2 6 5 VOI LUT A 6 2 6 6 Discovery PET Image A 6 2 6 6 Discovery PET Frame A 6 2 6 8 General Modules SOP Common A 6 2 7 1 A 6 2 PET Image Module A 6 2 1 Common Patient Entity Modules A 6 2 1 1 Patient Module This section specifies the Attributes of the Patient that describe and identify the Patient who is the subject of a diagnostic Study This Module contains Attributes of the patient that are needed for diagnostic interpretation of the Image and are common for all studies performed on the patient Attribute Name Tag Type VR VM Notes Patient s Name 0010 0010 2 PN 64 1 Patient ID 0010 0020 2 LO 64 1 Patient s Birth Date 0010 0030 2 DA 26 1 Patient s Sex 0010 0040 2 CS 16 1 Referenced Patient Sequence 0008 1120 3 SQ 1 Not used gt Referenced SOP Class UID 0008 1150 1C UI 1 Not used gt Referenced SOP Instance UID 0008 1155 1C UI 1 Not used Patient s Birth Time 0010 0032 3 TM 1 Not used Other Patient IDs 0010 1000 3 LO 1 n Not used Other Patient Names 0010 1001 3 PN 1 n Not used Ethnic Group 0010 2160 3 SH 1 Not used Patien
57. M Notes Radiopharmaceutical 0054 0016 2 SQ 1 Single item Information Sequence sequence gt Radionuclide Code Sequence 0054 0300 2 SQ 1 Single item sequence gt gt Code Value 0008 0100 1C SH 1 Code value is based on radionuclide name gt gt Coding Scheme Designator 0008 0102 99SDM gt gt Code Meaning 0008 0104 3 LO fai radionuclide name gt Radiopharmaceutical Route 0018 1070 Ea TEN Not Used gt Administration Route Code 0054 0302 Not Used Sequence gt gt Code Value 0008 0100 1C SH 1 Not Used gt gt Coding Scheme Designator 0008 0102 1C SH 1 Not Used gt gt Code Meaning a ear SPR Not Used gt Radiopharmaceutical Volume 0018 1071 3 DS 1 gt Radiopharmaceutical Start Seu 3 TM 1 Time gt Radiopharmaceutical Stop 0018 1073 Not Used Time gt Radionuclide Total Dose 0018 1074 3 DS 1 tracer_activity post_inj_activity half_life meas_datetime admin_datetime post_inj_datetime gt Radionuclide Half Life 0018 1075 3 ps 1 gt Radionuclide Positron Fraction 0018 1076 Sey gt Radiopharmaceutical Specific 0018 1077 1 Not Used Activity gt Radiopharmaceutical 0018 0031 tracer_name gt Radiopharmaceutical Code 0054 0304 Single item Sequence gt gt Code Value sequence Value is based on tracer_name gt gt Coding Scheme Designator 0008 0102 99SDM gt gt Code Meaning 0008 0104 t
58. Modality Work list SCU At the end of acquisition the user might choose to Defer PPS and later choose to Complete PPS or Discontinue PPS from the user interface provided in the system In this case the date and time when user chooses to Complete PPS or Discontinue PPS is taken as the Performed Procedure Step End Date and Performed Procedure Step End Time respectively Not the actual end date and end time of acquisition Mapping of SPS data to MPPS SOP instance is explained in section 7 10 Mapping of specific SPS data to CT DICOM IMAGE HEADER for PPS is explained in section 7 11 For the MPPS associated with a post processing the following restrictions apply on the attributes listed below Referenced Study Sequence The sequence is not sent in the MPPS message Scheduled Step Attribute Sequence a maximum of ONE item is supported The attribute will be send only if SPS information is available in the image instance Referenced Patient Sequence This sequence is not added Scheduled action Item Code Sequence The sequence is not send in the MPPS message Performed Procedure Step Start date amp Performed Procedure Step start time The exam date and exam time that is the Start date and Start Time of the associated Study Component Exam is used not the actual time when post processing started Performed Procedure Step end date amp Performed Procedure Step end time The date and time when us
59. NTATION MODEL secs cee 2 it enee eege Ee eet 19 2 2 1 Application Data Flow Diagram oooooccococicinocccccononanncnononnncnnnannncnnnrrn cc cnn nn 20 2 2 2 Functional Definition Of Ae 21 2 2 3 Sequencing of Real World Acitivities casa an ueu ennen reen renen renen rnnnee 22 E elle age EE 22 2 3 1 DICOM Server AE Specification 22 cccccccccsccceseeceenececeneeeensececneeceneeeseseseeeeceeneessansees 22 2 3 1 1 Association Establishment Policy AAA 23 2 3 1 1 1 CG QMO MA aert eege edd eu 23 2 3 1 1 2 Number of A EE 23 2 3 1 1 3 Asynchronous Nature c 0 0cchicecees eevee esetid a a edad sheets 24 2 3 1 1 4 Implementation Identifying Information A 24 2 3 1 2 Association Initiation by Real World Activity AA 24 2 3 1 2 1 Push Image s to Remote AB 2c reien dee deed EEN kee 24 2 3 1 2 2 Query Remote AE ses psec ok ected E A E E AT 26 2 3 1 2 3 Get Image s from Remote AE AAA 28 2 3 1 2 4 Real World Activity Verify DICOM Ping coooconocccnocinnncnnancnnnnnanancnnnnnanancn nan cnnan cc nan cnnnncanas 29 2 3 1 2 5 Real World Activity Storage Commtment eecceceeeeeeeeeeeeeeeeeteeeeeeeeeeeeeeeeeeeneeenneeess 30 2 3 1 3 Association Acceptance Policy 30 2 3 1 3 1 Receive Image S EE 31 2 3 1 3 2 Verification Request from Remote AE 33 2 3 1 3 3 Query Request from Remote AE coocccococcccccccooccnoncncnnnnnancnnnnnnnan cn ran nn ran cn ran rn nc nana 33 2 3 1 3 4 Retrieve Request From Remote AE oooooocccccccccccccoccccccccnnnnnonccnnnncnnnnnnn
60. OD Definitions A 5 11 VOI LUT Module Attribute Name Tag Type Notes Window Center 0028 1050 3 Window Center for display Always sent Window Width 0028 1051 1C Window Width for display Always sent A 5 12 Frame of Reference Module Attibute Name 1 pe Type Nes 5050 0085 Ed Frame of Reference UID 0020 0052 Position Reference Indicator 0020 1040 2 Value as entered at the user interface It is possible for the operator of CT LightSpeed QX i system to change the table height while scanning a series of images Therefore implementations must use the Frame of Reference UID 0020 0052 in conjunction with the Table Height 0018 1130 to determine if two images are spatially related A 5 13 SC Equipment Module Attribute Name Type 0008 0060 Modality 0008 0060 Modality of original image MR or CT A 5 14 Overlay Identification Module Overlay Number 0020 0022 The image number of the image this overlay is for Overlay Date 0008 0024 Date of overlay 2 3 3 Overlay Time 0008 0034 3 Time of overlay Ap PET Specific IOD Definition A 6 1 PET Image IOD Modules Entity Name Module Name R f rence Patient Patient A 6 2 1 1 Discovery PET Patient A 6 2 1 2 Study General Study A 6 2 2 1 Patient Study A 6 2 2 2 Discovery PET Exam A 6 2 2 3 Series General Series A 6 2 3 1 PET Series A 6 2 3 2 PET
61. OP Class The Print SCU supports the following DIMSE Service Elements for the Basic Film Box SOP Class e N CREATE Requests the Print SCP to create an instance of Film Box e N ACTION Requests the Print SCP to print the Film Box onto Printer e N DELETE Requests the Print SCP to delete the Film Box Instance The Following Attribute values are supported Attribute DICOM Tag Valid Range Default Value Image Display Format 2010 0010 STANDARD C R Set in User Interface Printer Dependent Reference Film 2010 0500 Session Sequence 2010 0040 PORTRAIT Set in Configuration File Film Size ID 2010 0050 Sent zero length Sent zero length Magnification type 2010 0060 BILINEAR Set in Configuration File CUBIC REPLICATE NONE Max Density 2010 0130 0 4095 Set in Configuration File Smoothing type 2010 0080 Printer Dependent Set in Configuration File Border density 2010 0100 BLACK Set in Configuration File WHITE Empty image density 2010 0110 BLACK Set in Configuration File WHITE 2010 0120 0 4094 Set in Configuration File 2010 0140 Note Attributes sent zero length use the camera default values Configuration 2010 0150 Printer Dependent Set in Configuration File Information Note denotes that the attribute is optional for the SCU However we do provide values for all of these optional attributes and if the SCP does not support the requested value it may ch
62. Private Attributes within the Modality Worklist Information Model 6 10 C FIND Request Message This section provides a detailed description of the C FIND request message data that is provided to the remote AE during a worklist query operation The dump in Table 6 10 1 below lists in exact message order the fields transferred as part of the C FIND request message for a typical query In this particular dump no values are specified for the Scheduled Procedure Step Start and End Dates the attributes are sent with zero length In DICOM this is interpreted as meaning all dates i e universal matching The Modality is also not specified in this particular dump meaning all modalities Note that the user through the use of the Discovery user interface can submit sent for these attributes a worklist query that will cause non zero values to be Table 6 10 1 C FIND Request Message Dump 0008 0000 UL 108 4 1 IdentifyingGroupLength 0008 0005 CS ISO IR 100 Tay 1 SpecificCharacterSet 0008 0050 SH no value available 0 O AccessionNumber 0008 0080 LO no value available 0 0 InstitutionName 0008 0090 PN no value available 0 0 ReferringPhysicianName 0008 1110 SQ Sequence with explicit Length 1 24 1 ReferencedStudySequence fffe e000 na Item with explicit Length 2 4 16 1 Item 0008 1150 UI no value available 0 0 ReferencedSOPClassUID 0008 1155 U
63. RACTER GET 101 7 8 N CREATE amp NSET REQUEST MESSAGE seeren eee 101 7 9 ERROR HANDLING AND RECOVER V inoccccncoccccccocononcconononccnnonnnccannnnnnccnnnnnnncnnnnnrcnnnrnncnnnnss 103 TAO UWSE OF SPECIFIC DICOM DATA aora rito et Geisen 104 7 11 USE OF SPECIFIC DICOM DATA 106 7 11 1 EI r iaie eege Eege 106 7 11 2 SS A aeaaaioii aaoi iaaa a AEA a Eiane AE ae A AERA 106 7 11 3 SOMOS EE 107 8 GRAYSCALE PRESENTATION STATE cc ccccceseeeeesesceeeesesceeeeseseeeseeseeceesnseseeeseseeeeeenseeeeees 107 Sal e ere ee VE 107 8 2 IMPLEMENTATION MODEL cocococcoccncnnccononononnnnnnnnnononononnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnrnenennnnnnnns 108 8 2 1 Application Data Flow Diagram ooooocccinccononoconncccconccononnnonncnnnnncc corn nc renen renerne reen renerne 108 8 2 2 Functional Definition of AES cnc cccc nera 109 8 2 3 Sequencing of Real World Aciivities scanneren ennen renen en reen renerne 109 8 2 3 1 GSPS Acquisition System with MWL data 109 8 2 4 GSPS Server AE Specification cccscccccesccseseeceencecsneeesnaeeseneeecenesssaseseneessenneseanseas 109 8 2 4 1 Association Establishment Policies AAA 109 8 2 4 1 1 ET 109 8 2 4 1 2 Number of Associations EE 110 8 2 4 1 3 Asynchronous Nature Aichi ae ea ee en ea 110 8 2 4 1 4 Implementation Identifying information oooncccnnnniccnnnonccnnonccnnnnarnnonanrn cnn raro nnnnnrr cnn nro 110 8 2 4 2 Association Initiation Polen AA 110 8 2 4 2 1 Real World Activity GSPS cu
64. ROME2 0028 0010 Image Dependent Image Dependent 0028 0034 CCS CCS 2020 0020 Note denotes that the attribute is optional for the SCU However we do provide values for all of these optional attributes and if the SCP does not support the requested value it may choose to either return a failure status or ignore the value provided and use its default value If Failure status is returned during N SET operation of Image Box following action will be taken by Print SCU 0xC605 Resources temporarily not available message will be sent All other status Failure message will be sent In all the cases the print session will be terminated 4 3 1 2 2 4 Printer SOP Class N GET DIMSE service is supported for the Printer SOP Class If an N EVENT REPORT DIMSE service is received when the association is active Print SCU handles the relevant states but the data received is ignored Print SCU issues the request to retrieve the following attributes Optional Attribute Manufacturer Model Name The Print SCU issues the N GET service to retrieve the printer status The status is processed as follows e f Printer status 2110 0010 is NORMAL the film is printed e f Printer status 2110 0010 is FAILURE the print job is terminated The Printer Status Info 2110 0020 attribute is not processed e If Printer status 2110 0010 is WARNING one of three things will happen a If the Printer Status In
65. Study Date 0008 0020 X Copied from acquired image s Study Time 0008 0030 X Copied from acquired image s Accession Number 0008 0050 X Copied from acquired image s Referring Physician s Name 0008 0090 X Copied from acquired image s Study ID 0020 0010 x lt Copied from acquired image s Study Description 0008 1030 x lt Referenced Results 0008 1110 X Copied from Sequence acquired image s Modality 0008 0060 X X Copied from acquired image s This will be set as Requested Procedure Code Meaning If Code Meaning absent it will be Requested Procedure Description Procedure Code Sequence 0008 1032 Copied from acquired image s Protocol Name 0018 1030 Set as Virtual Exam Split Series Description 0008 103E This will be set as Requested Procedure Code Meaning If Code Meaning absent it will be Requested Procedure Description Series Instance UID 0020 000E Exam Split Application will calculate Series Number 0020 0011 Copied from acquired image s Laterality 0020 0060 Set as 0 zero Requested Attribute Sequence 0040 0275 Copied from source image Originally from Request Attributes Sequence gt Accession Number 0008 0050 gt Referenced Study Sequence 0008 1110 gt Study Instance UID 0020 000D gt Requested Procedure Description
66. T ARTE I ER LOV EAV IAT VER BRT IC REO CAR TA ZOTEEV COB tb evga FEA BAENA REFERS AVIR BE SAD MRD RRA MILT OO EBRIO V ABT AIEE DEA AE AMEE EWA BEA JE GEMS ARMEE ERIE A YEE gt EP EAA ATEO TRA ZB gt ANAT E e 72 We AE TS AS HEE A gt FA A ve fie gt UR GERE EOS REVISON HISTORY REV DATE REASON FOR CHANGE 1 1 14 2005 Added section 8 describing the Grayscale Presentation State implementation Removed section B 1 9 GEMS CT VES 01 Updated section 7 PPS Removed section B 2 MR Private Data Elements 5 of 169 GE HEALTHCARE DIRECTION 5161694 100 Rev 1 Discovery DICOM CONFORMANCE STATEMENT Page Left Intentionally Blank 6 of 169 TABLE OF CONTENTS 1 SECTION 1 INTRODUCTION deed ee in ida added 14 SN E e SE 14 1 2 OVERALL CONFORMANCE STATEMENT DOCUMENTATION STRUCTURE nerne ren reen retn rnene 15 L INTENDED AUDIENCE See En AEN Ae Asad ae ead Ale 16 L SCOPEANDiFIELD OF APPLICATION Suaren eiid icai et dE eege a 17 1 5 IMPORTANT REMARKS occitano afin again aed alia nea ales 17 1 6 REFERENCES norietu eainiie te quae a EA td ia eaii Dd hi dat 18 K7 DERIO Sii econ erence sete eebe ee eeh 18 1 8 SYMBOLS AND ABBREVIATIONS ccoooooccnnononccnnononccnnnnonccnnnnnnncnnnnnn E EAEE EANNA nr PEENE K RETEA ES EENE KELLER ER 18 2 SECTION 2 NETWORK CONFORMANCE STATEMENT cccsssseeeeesssceneesseeeeensseeeees 19 2 1 INTRODUCTION e Ee et i ee Ne te DE CN A do e e EA 19 2 2 gt IMPLEME
67. Tag Type VR VM Notes Modality 0008 0060 Series Instance UID Series Number Operators Name 0008 1070 1 n Patient Position 0018 5100 D 1 4 Discovery PET RAW Data Equipment Entity Modules This section specifies the attributes which identify and describe the piece of equipment which produced the instance of the Private SOP class Attribute Name Tag Type VR VM Notes Manufacturer Institution Name Manufacturer s Model Name Software Versions 0018 1020 D 1 5 Discovery PET RAW Data Frame Entity Modules Attribute Name Tag Type VR VM PET frame_id 0009 105C 3 Ul 1 PET table height 0009 1066 PET landmark_datetime 0009 1068 3 DT PET slice count 0009 1069 3 SL 0009 106A 3 FL PET acq delay 0009 106B 3 SL 0009 106C 3 DT PET acq duration 0009 106D 3 SL PET acq bin dur 0009 106E eg U 7 0 m PET start_location 1 PET acq_start o U G R 3 5r O 0 a HA PET acq_bin_start 0009 106F 3 SL 1 D 1 6 General Modules This section defines the attributes which are required for proper functioning and identification of the associated SOP Instances They do not specify any semantics about the Real World Object represented by the IOD D 1 6 1 SOP Common Module Attributes Attribute Name Tag Type VR VM Notes SOP Class UID 0008 0016 1 UI 1 a SOP Instance UID Specific Chara
68. Visit Status a diia 87 6 8 12 3 Visit Relationship assanir aaa Shave gate EE E deres 88 6 81 24 WISI AGMISSION EE E 88 6 8 13 adresse A id ege SEENEN 88 6 8 13 1 Patient Relationship sass ss cess disen tiara bre EA 88 6 8 13 2 Patient Identifications miene cit 88 6 8 13 3 Patient DeMographiC coacciones 89 6 9 134 Patient Medical iiiar ro io ENER EE 89 6 9 PRIVATE DATA DICTIONARY ccoooononcccccccnnnnnnnncnconnnnnnnnnnnnnnnnnncnnnnnn nene nn narran re re renee 89 6 10 C FIND REQUEST MESSAGE occonccincconncnncnnncnonononn nn rre rr 90 6 11 USE OF SPECIFIC DICOM Daa 92 6 12 SETTING USER PREFERENCES dci dede aa ee ies 93 6 12 1 Setting Use MWL Study UID Option oocococcconccccnonccononcnonacnnnncnononnnonannnncn co nornncnn nn 93 6 12 2 Setting Custom Query Op ion renerne rene renerne renerne rn erne nens 93 7 PERFORMED PROCEDURE STEP CONFORMANCE STATEMENT cccsssseereessseeees 94 7 1 INTRODUCTION siii AA A AA 94 7 2 IMPLEMENTATION MODEL E 94 7 2 1 Application Data Flow Diagram ooooonccccinccononicononcccocccononnncnnancn acc cnnrnnc narran cnn near 94 7 2 2 Functional Definition Of AEs ca eeuenen rener rnensn renen reen ennen nn reen nnnrnen nn renee 95 7 2 3 Sequencing of Real World Activities 2cca ca ueen eee ennen ere erne renerne ener renee 95 7 2 3 1 PPS from Acquisition System with MWL data 95 7 2 3 2 PPS from acquisition system without MWL data 96 7 2 3 3 PPS from post processing system 9
69. Worklist Server AE Specification 2ccccccscccssecesseceneeesnseeeeseeceneeesseestsnsseseneeessnnensnaees 74 6 3 1 1 Association Establishment Policies AAA 74 6 3 1 1 1 E EE 74 6 3 1 1 2 Number Of ASSOCIA ONS E 75 6 3 1 1 3 Asynchronous EE 75 6 3 1 1 4 Implementation Identifying Information A 75 6 3 1 2 Association Initiation Giele orion at dd dad ahi ee dirt 75 6 3 1 2 1 Real World Activity Worklist Query oooooooconnccnnocccncccnoocnnoncnnonnncanccnancnnancn ran nn nan ncrnn cn nnncinns 75 6 3 1 3 Association Acceptance Policy 78 6 4 COMMUNICATION PROFILES cssccccsesseceeessneeececsaeeecsesaeeecesesaeeeeessaeeeeeesaeeeeesaeeeesenaeeseesseeeeseeaaes 78 6 4 1 Supported Communication Stacks PS 3 8 Do 78 6 4 2 OSI Seelen eebe kee bas Dado cab et age tds Latidos 78 6 4 3 LGPAP Stack EE 78 GAS i Ee 78 GAS Physical Media Support ENE EN nineties deed e 78 6 4 4 POINEtO POMPSTACK aiii ii E 78 6 5 EXTENSIONS SPECIALIZATIONS PRIVATIZATIONS sccccseseeeeeeesneeeceeneeeeecaeeeeeecaeeeeessateeeeeaaes 79 6 5 1 Standard Extended Specialized Private SOPS 2222 sssss ene ennn erne nn renen reen nerne 79 6 5 2 Private Transfer ZGkvnigxves rc 79 8 6 CONFIGURATION iraa a A A A AA E 79 6 6 1 AE Title Presentation Address Mapping occoiccccinccononcconocncnncccconcnononnncnancnnarnnc narcos 79 6 6 2 Configurable Parameters A 79 6 7 SUPPORT OF EXTENDED CHARACTER SETS coconocononcnonccccnncnnnonnnnnn cnn n cn nar nnnnn cn
70. _reject_limit PET triggers_acquired PET triggers_rejected PET tracer_name PET batch_description PET tracer_activity PET meas_ datetime PET pre_inj_volume PET admin_datetime PET post_inj_activity PET post_inj_datetime PET radionuclide_name PET half_life PET positron_fraction PET source1 holder PET source activity PET source1_meas_at PET source1 radnuclide PET source1 half life PET source2 holder PET source2 activity PET source2 meas dt PET source2 radnuclide PET source2 half life PET source speed PET source location PET emission present PET lower axial acc PET upper axial acc PET lower coinc limit PET upper coinc limit PET coinc delay offset PET coinc output mode 0009 1033 0009 1034 0009 1035 0009 1038 0009 1039 0009 103D 0009 103E 0009 1041 0009 1042 0009 1043 0009 1046 0009 1047 0009 104C 0009 104F 0009 1050 0009 1051 m sesch sech sch sch sch sch sch sch sch sch sch sch JI sch JI sch JI ech JI sch 1 sch 1 sch 1 sch sch 1 sch sch sch 1 sch 1 sch sch 1 sch f sch f sch JI JI sech JI sech JI sech PET upper_energy_limit 0009 1054 PET lower_energy_limit 0009 1055 a PET normal_cal_id 0009 1056 PET normal_2d_cal_id 0009 1057 PET blank cal id 0009 1058 PET wc cal id PET derived PET contrast agent PET vac x axis trans PET vac x axis tilt 0009 10CC PET vqc_y_axis_trans 009 10C 009 10C 0009 10CF
71. address at least four issues e Integration The integration of any device into an overall system of interconnected devices goes beyond the scope of standards DICOM v3 0 and of this introduction and associated Conformance Statements when interoperability with non GE equipment is desired The responsibility to analyze the applications requirements and to design a solution that integrates GE imaging equipment with non GE systems is the user s responsibility and should not be underestimated The user is strongly advised to ensure that such integration analysis is correctly performed e Validation Testing the complete range of possible interactions between any GE device and non GE devices before the connection is declared operational should not be overlooked Therefore the user should ensure that any non GE provider accepts full responsibility for all validation required for their connection with GE devices This includes the accuracy of the image data once it has crossed the interface between the GE imaging equipment and the non GE device and the stability of the image data for the intended applications Such a validation is required before any clinical use diagnosis and or treatment is performed It applies when images acquired on GE imaging equipment are processed displayed on a non GE device as well as when images acquired on non GE equipment is processed displayed on a GE console or workstation e Future Evolution GE understand
72. alphabet No 1 supplementary set and DICOM default character sets as defined in PS3 5 4 PRINT SCU CONFORMANCE 4 1 Introduction This conformance statement specifies the Discovery conformance to the DICOM Print SCU Application Profile The Discovery product uses DICOM Print SCU to print images on DICOM Compliant Printers 4 2 Implementation Model PRINT SCU The DICOM Print SCU is a DICOM print filter that provides the capability to print images to DICOM printers The DICOM Print filter acts as an SCU of the DICOM print management SOP class 4 2 1 Application Data Flow Diagram DICOM print SCU Implementation model DICOM INTERFACE gt A ee DICOM SCU Printer The Film Composer is the User interface and this is used to initiate the local real world activity The user issues the print request using Film Composer Film composer allows printer selection and it composes the pre formatted film file This film file is interpreted by Print SCU and it sends the appropriate messages to DICOM print SCP running on a DICOM printer Film Composer Ki 4 2 2 Functional Definition of AE e DICOM Print SCU Establishes the Association to the requested printer for printing the composed film 4 2 3 Sequencing of Real World Activities e The DICOM printer is installed through a camera installation process The DICOM printer is selected from the Film Composer Interface for Manual Filming Autofilming is enabled using the camera s
73. ame Reference Usage Paien Paten Jan Ju ei General Suey Jase m o Pansy Ja 4 Sores GeneralSeries Jasa m SYXICISI S Equipment General Equipment ASS Tu Overlay Overlay dentition Ja m 2 Overiay Plane Jaso m LT SO common Juan Lu A 5 CT MR SC Standalone Overlay IOD Common Module Definitions SIS lt A 5 1 Patient Module Attribute Name Tag Type Notes Patient s Name 0010 0010 2 As entered at user interface or from worklist Supports 5 different components delimited by Supports a maximum length of 32 characters including the delimiter Patient ID 0010 0020 2 As entered at user interface or from worklist Patient s Birth Date 0010 0030 Always sent zero length Patient s Sex 0010 0040 Always sent A 5 2 General Study Module Attribute Name Tag Type Notes Study Instance UID 0020 000D 1 Generated uniquely for each exam Value from worklist if present is not filled in here Study Date 0008 0020 Generated for each exam and always sent Study Time 0008 0030 Generated for each exam and always sent 0008 0050 Value from user interface or worklist sent Referring Physician s 0008 0090 Value from user interface sent Name Study ID 0020 0010 Value from user interface or worklist sent Attribute Name Tag Type Notes Study Description 0008 1030 Value from user interface sent Name of Physician s 0008 1060 3 Sent if entered
74. an 1 2 840 10008 1 2 1 SCU None Explicit VR Big Endian 1 2 840 10008 1 2 2 Implicit VR Little Endian 1 2 840 10008 1 2 Implicit VR Big Endian GE 1 2 840 113619 5 2 Private PET Image 1 2 840 10008 5 1 4 1 1 12 Explicit VR Little Endian 1 2 840 10008 1 2 1 SCU None Storage 8 Explicit VR Big Endian 1 2 840 10008 1 2 2 Implicit VR Little Endian 1 2 840 10008 1 2 GE Private PET 1 2 840 113619 4 30 Explicit VR Little Endian 1 2 840 10008 1 2 1 SCU None Raw ne SOP Explicit VR Big Endian 1 2 840 10008 1 2 2 See Implicit VR Little Endian 1 2 840 10008 1 2 MR Image Storage 1 2 840 10008 5 1 4 1 1 4 Explicit VR Little Endian 1 2 840 10008 1 2 1 SCU None Explicit VR Big Endian 1 2 840 10008 1 2 2 Implicit VR Little Endian 1 2 840 10008 1 2 Implicit VR Big Endian GE 1 2 840 113619 5 2 Private 1 2 840 10008 5 1 4 1 1 7 Explicit VR Little Endian 1 2 840 10008 1 2 1 None Secondary Capture Explicit VR Big Endian 1 2 840 10008 1 2 2 Image Storage Implicit VR Little Endian 1 2 840 10008 1 2 Implicit VR Big Endian GE 1 2 840 113619 5 2 Private Study Root 2 840 10008 5 1 4 1 2 2 Implicit VR Little Endian 1 2 840 10008 1 2 None Query Retrieve FIND Query Retrieve 2 MOVE Class Note The SCP acceptance policy is the order of the transfer syntaxes specified in the above table if more than one acceptable transfer syntax is proposed by the SCU and the first match with the acceptable transfer syntax proposed by the SCU will be accepted 2 3 1
75. andalone Overlay SOP Class Images Otherwise the Discovery DICOM media display browser will not list up the series for contents rendering the retrieval to local storage impossible 3 4 4 1 41 Additional Keys None 3 4 4 1 5 Other Parameters This section defines other parameters common to all specific Application Profiles in the PRI CTMR MOD12 class that need to be specified in order to ensure interoperable information interchange See 3 4 2 for JPEG encoding problem in the PRI CTMR MOD12 profile 3 4 4 1 5 1 Image Attribute Values The attributes listed in Table 3 3 3 1 5 1 1 used within the CT MR PET SC Standalone Overlay Image files shall take the values specified Overlay data if present shall be encoded in Overlay Data 60XX 3000 3 4 4 1 5 2 Attribute Value Precedence None 3 5 Extensions Specializations and Privatization of SOP Classes and Transfer Syntax 3 5 1 Extensions Specialization s and Privatization s of SOP Classes The CT MR PET SOP Class Images have definitions extended for Defined Terms and include GE specific Private Data elements The following sections describe the details for these SOP classes 3 5 1 1 SOP Specific Conformance Statement for CT SOP Class Refer to section 2 4 for standard extensions and Appendix B for private data elements 3 5 1 2 SOP Specific Conformance Statement for MR SOP Class Refer to section 2 4 for standard extensions and Appendix B for private data elements 3 5 2 Private T
76. ard PS 3 3 Information Object Definitions and PS 3 4 Service Class Specifications for a description of each of the Entities contained within the Modality Worklist Information Model The following Module descriptions contain the attributes that are present in a C FIND request message sent by the Worklist Server AE to a remote AE It should be noted that they are the same as those defined in the DICOM v3 0 Standard PS 3 4 Service Class Specifications and include e Name e Tag group and element numbers e Expected Matching Key Type R required O optional e Expected Return Key Type 1 non zero value required 1C conditionally of type 1 2 required to be present possibly with zero length value 3 optional e Mapped into The Image whether this data is mapped into subsequently acquired images e Notes clarification of this implementation s use treatment of this attribute All data elements in the following Module descriptions are requested by the Worklist Server AE Values of data elements that are not mapped into images and are not otherwise dealt with displayed on the user interface etc are not used and are thus discarded upon receipt See Table B 1 for further information Data elements for which values can be sent for matching purposes are described as such Data elements for which values are not sent are sent with zero length and universal matching will apply This is the default case if no other descrip
77. at the beginning of each line uses the last value of the previous line in the image The JPEG standard says the predictor for the first line element of each line should be the first element of the line immediately above the current line The first line first element predictor should be the unsigned value that is half the full scale range for the sample precision The first line first element predictor is correctly determined in the BAD_ENCODER Explanation This section is provided to explain what was done during Image encoding so that people who wish and need to decode the images can modify the available JPEG codec software These packages are available from the WEB and were originally developed at Stanford and Cornell as well as others in the industry What was done in Generation 1 DICOM MOD encoding by GEMS In the JPEG codec output the JPEG SOS header defines the Huffman table selector codes to find the appropriate Huffman table FF DA 00 08 01 00 11 01 00 00 The GEMS DICOM Access Kit coded these as 0x11 They should have been 0x00 Zero was the number assigned in the DHT header This error is a primary key that is used in the GEMS Generation 2 system to determine that the JPEG data was encoded using the GEMS Generation 1 coding technique In Generation 1 images the predictor value used at the beginning of each line is the last pixel value from the previous line in the image Assumes Left to Right Top to Bottom scanning of the
78. atement for MPPS SOP class If the remote AE does not support the proposed Presentation context an appropriate error message logged Only one association is opened at a time All the operations used by this SOP class support an association timer which is configurable The timer is started when a request association request N CREATE request or N SET request is send and stopped when the respective response is received The default time out value is 300 seconds All the operations used by this SOP class support a Session Timer This timer is started when the association is established and stopped when association is ended The default time out value is 3000 seconds If any of the above timers expires the association is aborted and the operation in progress is considered FAILED In any case an operation N CREATE or N SET fails system updates the state to enable operator to manually invoke the operation at any later time 7 3 1 3 Association Acceptance Policy The PPS Server AE does not respond to attempts by remote AE to open an association 7 4 COMMUNICATION PROFILES 7 4 1 Supported Communication Stacks PS 3 8 DICOM Upper Layer PS 3 8 is supported using TCP IP 7 4 2 OSI Stack The OSI Communication stack is not supported by this implementation 7 4 3 TCP IP Stack The TCP IP stack is inherited from the operating system 7 4 3 1 API Not Applicable to this product 7 4 3 2 Physical Media Support Ethernet 802 3 provi
79. bute Values essensen ELERS 49 3 4 3 2 STD CTMR MOD23 Class Profile 1 ssssseee eee 49 3 4 3 2 1 SOP Classes and Transfer Syntax s 1 W W W u u u sssssneeeeeeeeeere renerne nn ener nen renerne ere nes 49 3 4 3 2 2 Physical Media and Media Formats AAA 49 3 4 3 2 3 Be ee 50 3 4 3 2 4 Directory Information in DICOMDIR A 50 3 4 3 2 5 Other Parameters ovina REESEN EENS neue VASA ELERS RENEE 51 3 4 4 Private Application Profiles ironak rda Sev dA Enak 51 3 4 4 1 PRI CTMR MOD12 Class Profil8 ooooonnonnnnininnnnnnncnnnnninncccnoncnnonccnnrnnnnrncnnrn rnereer 51 3 4 4 1 1 SOP Classes and Transfer Gwmtan cc nn nano nia in Tei 51 3 4 4 1 2 Physical Media and Media Formats AAA 52 3 4 4 1 3 Logical Format 45 2 hee ae EE 52 3 4 4 1 4 Directory Information in DICOMDIR A 52 3 4 4 1 5 Other Parameters sondes Bites ara cheng fee whee eee ries 52 3 5 EXTENSIONS SPECIALIZATIONS AND PRIVATIZATION OF SOP CLASSES AND TRANSFER SYNTAX 53 3 5 1 Extensions Specialization s and Privatization s Of SOP Classes 53 3 5 1 1 SOP Specific Conformance Statement for CT SOP Class ccccssceceeeeeeeeeeseeeeeeeteeeessneeeess 53 3 5 1 2 SOP Specific Conformance Statement for MR SOP Class 53 3 5 2 Private Transfer Syntax Specification 22222 scenen veere renen ener ennen rn ener nn renee 53 3 6 CONFIGURATION EEN 55 3 7 SUPPORT OF EXTENDED CHARACTER SETS cooconoccconoccconcccnonnnnnonnnannccnnnnnnnn nn nan nn cnn nan nn rn nnnn nana ncccns 55 4 PRINT SCU CONFORMAN
80. cnnnnncnnnnnnnnccnnncnnnnnnns 36 2 4 COMMUNICATION PROFILES aka serekh ske Renee ERE ERE ERE KREA nn ran rr RE ERRARE EE 37 2 4 1 Supported Communication Stacks parts gg 37 2 4 2 TG EE 37 2 4 2 1 Physical Media Supports irrita Eet 37 2 4 3 POint 10 POINT SIAGK EE 37 2 5 EXTENSIONS SPECIALIZATIONS PRIVATIZATIONS occconococccononnncconononccnnononcconnnnnccnnnnnnnrnnnnnnncnnnnss 37 2 5 1 Specialized Information Object Definition enes eneeeereeerreerreerrnerrenrree 37 2 5 2 Private Data Elements icon a id a oda dia 38 2 6 CONFIGURATION coin A a as iv cca td e 38 2 6 1 AE Title Presentation Address Mapping ocooococincccnociconocncnccccconcnononnnnnanccnarnnc nro 38 2 6 2 Configurable Parameierg AA 38 2 7 SUPPORT OF EXTENDED CHARACTER SETS MGM u seere renere reen rer kr cnn nn kreere kreere 39 3 MEDIA STORAGE CONFORMANCE STATEMENT cccssecccesssceeeeseeceeeesssceeeessseeeeeessseeees 40 3 1 INTRODUCTION EE 40 3 2 IMPLEMENTATION MODEL MOD ARCHIVE SERVER ccccoccccconcnnnnnccancccnnnnnnnnnnnnnn cana nc cnn rra cnn mcr 40 3 2 1 Application Data Flow Diagram 22c2ccc eee eee ennen ennen rene nerne nc cnn cnn 40 3 2 2 Functional Definitions Of Ate 41 3 2 3 Sequencing of Real World Activities ccsasseaaseneeenuenerenenenene ennen ennen reen ener 41 3 2 4 File Meta Information for Implementation Class and Version 41 3 AE SPEGIEICATIONS EE 42 3 3 1 Media Archive ZSpechttcaton resnie enata berede
81. cnnnnnnnn corno nannc crac nn cnn nan erne 139 A 6 2 6 1 General Image Module AAA 139 A 6 2 6 2 Image Plane Module viciosa aa 141 A 6 2 6 3 Image Pixel Module cicoisaionnia ii iaa 141 A 6 2 6 4 PET Image Module cvcocions circa ida iia 142 A 6 2 6 5 Overlay Plane Module cccocomio nda toba peda 146 A 6 2 6 6 VOILUT Module ze ergeet diese ire hora bateo sale ies ca a 146 A 6 2 6 7 Discovery PED IMAGE ER 146 A 6 2 6 8 Discovery PET Frame EEN 146 A 6 2 7 General Modules ccccccessecccceecssssseeeecececesseeaeeeeececseessaeeeeeeecessesaeeeeeceesceesaeeeeeceesessesaaeeees 146 A 6 2 7 1 SOP Common Module ci cool rta dae 146 B 1 CT IMAGE IOD PRIVATE DATA ELEMENTS DEEINDTION een een ere rener en nr ten nn nr cnn nc 148 B 1 1 Private Creator Identification GEM DEN Oli 148 B 1 2 Private Creator Identification GEMS ACQU Oo1l renere nerne rene rene reen 148 B 1 3 Private Creator Identification GEMS RELA OI 149 B 1 4 Private Creator Identification GEMS STDY OI 149 B 1 5 Private Creator Identification GEMS IMAG OTI 149 B 1 6 Private Creator Identification GEMS PARM Oil 149 B 1 7 Private Creator Identification GEMS_HELIOS O1l 150 B 1 8 Private Creator Identification GEMS CT CARDIAC 0071 151 B 2 PET IMAGE IOD PRIVATE DATA ELEMENTS DEFINITION cececeeeeeeeeeeeeeeaeeceeeeeseaeeesaaeeeeneeeaas 152 B 2 1 Private Creator Identification Information ooooonniccinninnnccnnnccccccnerccnccncccererccnnnnn 152
82. configured for this system For example this station was configured as CTRoom1 0040 0001 AE CTRoom1 8 1 ScheduledStationAETitle User will be able to enter the values for Accession Number prior to the query If value is entered then that value will be sent as part of the query For example if 1234 is entered then 0008 0050 SH 1234 4 1 AccessionNumber User will be able to enter the values for Requested Procedure Id prior to the query If value is entered then that value will be sent as part of the query For example if 3456 is entered then 0040 1001 SH 3456 4 1 RequestedProcedureID 6 11 Use of Specific DICOM Data This section details the use of the DICOM data returned by remote AEs during worklist queries The Discovery user interface fields that display the data along with the data s mapping into resulting acquired and transferred DICOM images are presented in following table 6 11 1 Table 6 11 1 Specific Data Usage DICOM Worklist Data Element Patient Schedule Screen Field Discovery DICOM Image Data Element Supports maximum of 16 characters Supports maximum of 16 characters Patient Name 0010 0010 Patient Name Patient Name E E Stoeemaimmotae enacts Patient s Birth Date 0010 0030 Patient Age Patient Birth Date user to calculate age Patient s Sex 0010 0040 Patient s Sex Patient s Weight 0010 1030 Weight in Kg Patient s Weight Referring Physician s Name Referri
83. copy the from acquired Image s Image Horizontal flip 0070 0041 Exam Split Application will calculate from Image Orientation Image Rotation 0070 0042 X Exam Split Application will calculate from Image Orientation Presentation LUT Shape 2050 0020 X Exam Split Application will set as IDENTITY SOP Class UID 0008 0016 A Exam Application will set as 1 2 840 10008 5 1 4 1 1 11 1 SOP Instance UID 0008 0018 X Copied from acquired study x lt Specific Character Set 0008 0005 X X Copied from acquired study Referenced Patient 0008 1120 X Sequence Scheduled Step Attribute 0040 0270 X Copied from Sequence source image Originally from SPS sequence gt Accession Number 0008 0050 gt Referenced Study 0008 1110 Sequence gt Study Instance UID 0020 000D gt Requested Procedure 0032 1060 Description gt Scheduled Procedure 0040 0007 Step Description gt Scheduled Action Item 0040 0008 Code Sequence gt Scheduled Procedure 0040 0009 ID gt Requested Procedure 0040 1001 ID 8 9 Image Header Changes Supporting GSPS 8 9 1 Request Attributes Sequence The 0040 0275 Request Attributes Sequence has been expanded to include dicom tags that the VES application requires to complete the VES GSPS and PPS This sequences now contains the following elements 0040 0275 Request Attribut
84. couts Defined terms It is possible for the operator of CT LightSpeed QX i system to change the table height while scanning a series of images Therefore implementations must use the Frame of Reference UID 0020 0052 in conjunction with the Table Height 0018 1130 to determine if two images are spatially related A 1 2 1 Implementation Specific details e Forall CT Images created by Discovery patient birth date element 0010 0030 is sent if the operator has entered the details If the operator has not entered the details it will be sent as a Zero length element e The length of Accession number element 0008 0050 is a maximum of 16 characters e Window Center 0028 1050 and Window Width 0028 1051 are sent for all CT Images created by Discovery e Based on whether contrast was used or not the following applies for CT Images created by Discovery Mode 0018 0010 0018 1040 Oral Contrast Agent name The string Oral IV Contrast IV Contrast agent name The String IV Oral and IV Oral contrast agent The string Oral amp IV contrast IV Contrast agent e Supported field length for DICOM fields DICOM Tag Field Name Field Length 0008 0050 0010 0010 Patient Name 32 characters 0010 0020 Patient Id 16 characters A 2 MR Specific IOD Definition A 2 1 MR Image IOD Modules Entity Name Module Name Reference Usage Paien Paem Ja Ju study J seni g Jas uv page
85. cter Set Instance Creation Date Instance Creation Time Instance Creator UID 1 x J mH Re End of Document GE Healthcare 3000 N Grandview Blvd Waukesha WI 53188 U S A www gehealthcare com Imagination at work
86. ction 6 HIS RIS Modality Worklist The ModalityWorklist option for Discovery allows a user to query for and display DICOM modality worklist information ModalityWorklist is providing the DICOM C FIND service as a service class user SCU Section 7 Performed Procedure Step The PPS option for Discovery allows a Modality Performed Procedure Step to be communicated to the Hospital Radiology information system The PPS feature is providing the DICOM Modality Performed Procedure Step service as a service class user SCU Section 8 Gray Scale Presentation State The Virtual Exam Split Option for Discovery provides the DICOM Modality GSPS service as a service class user SCU Appendix A specifies the CT MR IOD information object Appendix B specifies the private data element definition for CT PET MR IOD Appendix C specifies the DICOMDIR directory information Appendix D specifies IOD Definitions for GE Private PET RAW Data IOD 1 2 Overall Conformance Statement Documentation Structure The documentation structure of the ID Net v3 0 Conformance Statements and their relationship with the DICOM v3 0 Conformance Statements is shown in Illustration 1 1 Illustration 1 1 ID Net v3 0 Introduction to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statement Direction 5116427100 APPLICATION ENTITY SPECIFICATION SERVICE CLASSES INFORMATION OBJECTS MESSAGE EXCHANGES ETC MR
87. ctivity Auto Archive exam series AA 68 5 3 1 4 Proposed Presentation Contexts eccceeeceeeeeeeeeeeeeneeeeeeeseaeeeeaeeeeeeseaeeseaeeseaeeseaeeseaeeteneeseeetias 68 CR Request Processing EE 69 S36 Response Processing DE 70 5 3 1 6 1 Commit response with SUCCESS status 70 5 3 1 6 2 Commit response with FAILURE status 70 5 3 1 7 Association Acceptance Polly as arr ane ne asi 71 5 4 COMMUNICATION PROFILES ccccoconococncnncnononononnnnnnncnnnonononnnnnnnnnnnnnnnnnnonnnnnnnnnnnnnnnonnnnnnnnnnnnnenonononens 71 5 4 1 Supported Communication Stacks parts gg 71 5 4 2 UG EE 71 5 4 2 1 Physical Media Suppl ini ED hi a e a aaa aaan Eet 71 5 4 3 eelere Del 71 5 5 EXTENSIONS SPECIALIZATIONS PRIVATIZATIONS c cccceecsseceessseeeesesseeeeesstaeeeeeeaas 72 bp CONFIGURATION erene a cta daca ceca eege dE dig lee 72 5 6 1 AE Title Presentation Address Mapping 22220 eese en eeenueenerenen ennen renen ener een ener ener 72 5 6 2 Configurable Parameierg reen ener ener ener ener ennen ener ener ener ner nn en nn er 72 5 7 SUPPORT OF EXTENDED CHARACTER DEI 72 6 MODALITY WORK LIST INFORMATION MODEL DEFINITION secure renerne 73 6 1 INTRODUCTION EE 73 6 2 IMPLEMENTATION Mopp 73 6 2 1 Application Data Flow Diagram ooconcocincccnonicicnnccnoncconononcnnannn nn cc corn cnn crac 73 6 2 2 FUNCTION Ee EE 74 6 2 3 Sequencing of Real World Activities 74 6 3 AE SPECIFICATIONS a Goa ee atone Gite ee ed Aes 74 6 3 1
88. cuta ee Steeg alas 110 8 2 4 3 Association Acceptance Policy ccescsececeseseeeeeseseeeeseeeesesenseseneeneneseeneeseneeeesesseaeneeseneeseseees 111 8 3 COMMUNICATION PROFILES cooooocccconocnnonononcncconononcconononccnnnnnoncnonnnnncnnnnnn cnn n reen 111 8 3 1 Supported Communication Stacks PS 39 111 8 3 2 TEE 111 8 3 3 Ae E 111 BH AR leede Eed e Eege Eege Eege 111 8 3 3 2 gt Physical Media Supportin ciiin ierant dd airada idad cidad 111 8 3 4 eege Be 111 8 4 EXTENSIONS SPECIALIZATION PRIVATIZATION ooooccccccnnooncnccononnnccnnnnnnccnnnnnnncnnnnnncnnnnss 111 8 4 1 Standard Extended Specialized Private SOPS u uds scenen eee nerne renerne renen reen reen rene nene 111 8 4 2 Private Transfer Syntaxes ccccccsscccssceceeneesnsecseacecseneecesesseneecseeeecsnnetssaseseneeceeenessaaees 111 85 CONFIGURATION ivi Eee deen eege eege di cdi 112 8 5 1 AE Title Presentation address Mapping 222222 eee eee ere e renerne renerne nn renere ee renerne 113 8 5 2 Configurable EE 113 8 6 SUPPORT OF EXTENDED CHARACTER GEI 113 8 7 ERROR HANDLING AND RECOVERY seerne eee eee re Ene 113 8 8 USE OF SPECIFIC DICOM Daa 114 8 9 IMAGE HEADER CHANGES SUPPORTING DP 118 8 9 1 Request Attributes Sequence ooooncccconcconococanocincanocononnncnn na nan ennen nn en nn ennen ener renerne enes 118 8 9 2 ACCESSION Number ccceisseteetse A A A A A A 119 AT GT SPECIFIC OD DEFINITION cit dd 120 A 1 1 CT Image OD Mod le S rsisi tc ioiii
89. d in PS3 12 3 4 4 1 3 Logical Format The PRI CTMR MOD12 Application profile media format conforms to the Logical Format specification in PS3 12 The table 3 3 3 1 3 1 defines the specific values used for this profile 3 4 4 1 4 Directory Information in DICOMDIR Conformant Application Entities shall include in the DICOMDIR File a Basic Directory IOD containing Directory Records at the Patient and subsidiary levels appropriate to the SOP Classes in the File set All DICOM files in the File set incorporating SOP Instances defined for the specific Application Profile shall be referenced by the Directory Records All DICOM SOP Instance files in the File set are stored in the MSDOS filesystem subdirectory GEMS and are referenced from the DICOMDIR directory records Refer to Appendix C for a complete listing of all the optional modules and optional attributes used in the DICOMDIR definition Please note that the mandatory attributes in each of the directory records as mentioned in Part 3 Addendum Basic Directory Information Object Definition are not listed in the appendix but are supported by the implementation Directory records found in the PRI CTMR MOD12 profile do not contain the Attribute Frame of Reference 0020 0052 This Attribute was specified as Required after the first release of this Application Profile Note The modality attribute 0008 0060 in the DICOMDIR Series records should be CT MR PET for Secondary Capture and St
90. dard PS 3 2 Conformance Please refer to that part of the standard while reading this section The PPS option for Discovery allows a Modality Performed Procedure Step to be communicated to the Hospital Radiology information system The PPS feature is providing the DICOM Modality Performed Procedure Step service as a service class user SCU This feature works in conjunction with DICOM Modality Work list feature if installed However the conformance of this feature is independent of Modality work list feature For information on conformance of Modality Work List feature to DICOM standard please refer to the appropriate section or document Note PPS is mainly intended for CT only studies at this time PPS for PET CT studies will only reflect the CT series collected PET images will not contain references to the Accession Numbers or be included in the complete PPS statistics Implementation Model The DICOM Performed Procedure Step service is provided by the PPS Server DICOM AE The PPS Server DICOM AE is commanded to perform Performed Procedure Step services either automatically or through the user interface Application Data Flow Diagram The basic Application models for the feature are shown in the following illustration Patient Scan with MWL data automatic Patient Scan without MWL data automatic PPS Server MPPS SCU de Post processing thr user interface Remote MPPS SCP DICOM Standard Interface
91. des the physical network layer for this product 7 4 4 Point to Point Stack The Point to Point Stack is not supported by this implementation 7 5 EXTENSIONS SPECIALIZATION PRIVATIZATION 7 5 1 Standard Extended Specialized Private SOPs PPS for Discovery does not implement any private SOP classes 7 5 2 Private Transfer Syntaxes PPS for Discovery does not implement any private Transfer Syntaxes 7 6 CONFIGURATION The PPS feature is configured by GEMS Field Service Engineers The DICOM configuration items below are configurable or re configurable by the Field Service Engineer and are not accessible by users through the Discovery s user interface 7 6 1 7 6 2 AE Title Presentation address Mapping PPS allows for the configuration of the following parameters that pertain to the remote AE e Remote MPPS AE IP Address IP Address used to contact the remote MPPS AE e Remote AE HIS RIS IP Port IP Port used to contact the remote MPPS AE e Remote MPPS AE Title Application Entity Title used to contact the remote MPPS AE These parameters define where the MPPS requests will be directed Configuration of these parameters is performed by GEMS Field Service engineers using the installation facilities Configurable Parameters The following are configurable for the PPS Server AE e Local PPS Server AE AE Title The default is host name of the scanner appended with string _PPS e Local IP Address e Local IP net mask e
92. destination and wait for the storage commitment from the remote node The remote node should be a storage commitment provider There is no Real World activity required for the DICOM Server AE to respond to an incoming DICOM store query or retrieve The DICOM Server AE is always prepared to respond to a DICOM Store Query or Retrieve by any remote DICOM AE The DICOM Server AE will perform the Real World activity Image Installation after the remote AE sends an image to the Discovery product Once a Query request is received the DICOM Server AE will search the local database for all entries that match the keys requested by the Remote DICOM AE and send back the list of matches The DICOM Server AE will also respond to an incoming retrieval request from a Remote AE by sending the image s to the Destination AE Functional Definition of AE s DICOM Server Application Entity initiates the following operations e Ping DICOM Host Verification The DICOM Server initiates an association and sends a C ECHO RQ message to the remote DICOM AE the remote DICOM Server will send back a C ECHO RSP message with a status of success e Push Initiate an association to a Remote AE to send image s If the Remote AE accepts the presentation context applicable to the image s being sent the DICOM Server AE will send the image s by invoking C STORE RQ operation for each image on the same association e Query Initiate an association with a Remote AE to
93. dor de servicios el operador o el paciente sufran lesiones provocadas por causas el ctricas mec nicas o de otra naturaleza ATEN O Este Manual de Assist ncia T cnica s se encontra dispon vel em Ingl s Se qualquer outro servi o de assist ncia t cnica quE n o a GEMS solicitar estes manuais noutro idioma da responsabilidade do cliente fornecer os servi os de tradu o Nao tente reparar o equipamento sem ter consultado e compreendido este Manual de Assist ncia T cnica O n o cumprimento deste aviso pode por em perigo a seguran a do t cnico operador ou paciente devido a choques el tricos mec nicos ou outros 4 of 169 GE HEALTHCARE DIRECTION 5161694 100 Rev 1 Discovery DICOM CONFORMANCE STATEMENT AVVERTENZA presente manuale di manutenzione disponibile soltanto in inglese Se un addetto alla manutenzione esterno alla GEMS richiede il manuale in una lingua diversa il cliente tenuto a provvedere direttamente alla traduzione Si proceda alla manutenzione dell apparecchiatura solo dopo aver consultato il presente manuale ed averne compreso il contenuto Non tenere conto della presente avvertenza potrebbe far compiere operazioni da cui derivino lesioni all addetto alla manutenzione al utilizzatore ed al paziente per folgorazione elettrica per urti meccanici od altri rischi a EDF PAV AAT VERL DSO EA GEMS AIEI ER ma NIE BOARD Bike BK S HABA MEE CORA OBE CITI IDE S
94. e Image Type Samples per Pixel Photometric Interpretation Bits Allocated Tag 1 US 1 0028 0100 T Notes Use ImageSet is_source MONOCHROME2 image_depth always 16 Bits Stored 0028 0101 1 US 1 image_depth always 16 High Bit Rescale Intercept Rescale Slope Frame Reference Time Trigger Time Frame Time 0028 0102 0028 1052 0028 1053 0054 1300 0018 1060 0018 1063 15 0 Use scale_factor ImageSet units r IF frame_ref_time NULL THEN frame_ref_time ELSE image_time IF Scan scan_mode gated THEN image bin time ELSE NULL IF Scan scan mode gated THEN image bin dur ELSE NULL Low R R Value Scan lower reject limit High R R Value Lossy Image Compression Image Index 0028 2110 0054 1330 1 DS 1 0018 1081 IS 1 0018 1082 IS 1 Scan upper reject limit 1 IF compression none THEN 00H ELSE IF compression f Pa THEN 01H Scan scan_mode image_location image_time image_bin_time Acquisition Date 0008 0022 DA 1 extract date from Scan scan_datetime Image image_time Acquisition Time 0008 0032 2 TM 1 extract time from Scan scan_datetime Image image_time Actual Frame Duration 0018 1242 1C IS 1 image_duration Converted from seconds in DB to milliseconds Nominal Interval 0018 1062 3 IS 1 N
95. e authorized imaging service requester to one authorized imaging service provider in the context of one Service Episode 6 8 4 4 Visit Entity Description A Visit is the context in which the treatment or management of an arbitrary subset of a Patient s medical conditions occurs A Visit is limited to the description of a Patient s activities at a single facility 6 8 4 5 Patient Entity Description A Patient is a person receiving or registered to receive healthcare services 6 8 5 ModalityWorklist Mapping of DICOM Entities Table 6 8 5 1 Mapping of DICOM Entities to ModalityWorklist Entities DICOM ModalityWorklist Entity Scheduled Procedure Step 6 8 6 Information Model Module Table Within an entity of the DICOM v3 0 Modality Worklist Information Model attributes are grouped together into related set of attributes called modules A module facilitates the understanding of the semantics concerning the attributes and how the attributes relate to one another A module grouping does not infer any encoding of information into datasets Table 6 8 6 1 identifies the defined modules within the entities that comprise the DICOM v3 0 Modality Worklist Information Model Modules are identified by Module Name See DICOM v3 0 PS 3 3 and PS 3 4 for a complete definition of the entities modules and attributes Table 6 8 6 1 Modality Worklist Information Model Modules 6 8 7 Information Model Keys Please refer to DICOM Stand
96. e for the DICOM Server AE Local AE Title the machine hostname Local IP Address Local IP Netmask Max PDU length Time outs which are set for all hosts are configurable in dcs cfg Association time out bi_assoc_tio Session timeout bi_session_tio Create timeout bi_ncreate_tio Note All configurations should be performed by a GE Field Service Engineer Note The local port on which the Discovery system receives DICOM incoming TCP connections is port 4006 2 7 Support of Extended Character Sets In addition to the DICOM default character set Discovery supports the ISO_IR 100 Latin alphabet 1 supplementary set for the purpose of interchange 3 MEDIA STORAGE CONFORMANCE STATEMENT 3 1 3 2 3 2 1 Introduction This conformance statement specifies the Discovery conformance to the DICOM V3 0 Media Interchange It details the DICOM Media Storage Application Profiles and roles that are supported by this product in its version 1 0 Discovery has a Media Archive Server which supports both MOD and DVD RAM Note e The format of this section follows the format of the DICOM Standard Part 2 conformance Annex A hence the paragraph numbering scheme Please refer to that part of the standard while reading this section e Media would refer to both MOD and DVD RAM unless specified explicitly with the actual media name viz MOD or DVD RAM Implementation Model MOD Archive Server All DICOM functionality on the Discove
97. e for the Print SCU is as shown in following Table Presentation Context Table Proposed Abstract Syntax Transfer Syntax Extended Negotiation Basic Grayscale 1 2 840 10008 5 1 1 9 DICOM Implict 1 2 840 10008 1 2 SCU None Print Management VR Little Endian Meta SOP Class Transfer Syntax Verification SOP 1 2 840 10008 1 1 DICOM Implict 1 2 840 10008 1 2 SCU None Class VR Little Endian Transfer Syntax Printer SOP Class 1 2 840 10008 5 1 1 16 DICOM Implict 1 2 840 10008 1 2 SCU None VR Little Endian Transfer Syntax Print Job SOP 1 2 840 10008 5 1 1 14 DICOM Implicit 1 2 840 10008 1 2 SCU None Class VR Little Endian Transfer Syntax Note Certain Presentation Contexts may be negotiated that are not used during the association See the following sections for the DICOM Print services performed by the Discovery 4 3 1 2 2 SOP Specific Conformance Statement The Print SCU supports the following mandatory SOP classes which are defined under the Basic Grayscale Print Management Meta SOP Class The Print SOP Classes supported by Print SCU NAME Basic Film Session SOP Class 1 2 840 10008 5 1 1 1 Basic Film Box SOP Class 1 2 840 10008 5 1 1 2 Basic Grayscale Image Box SOP Class 1 2 840 10008 5 1 1 4 Printer SOP Class 1 2 840 10008 5 11 16 The Print SCU does not support any optional SOP Classes Note The asterisk preceding some of the SOP attributes in the following sections indicates optional SCP attributes The SCU
98. e option when requested to provide a directory listing When an Media update Application is requested to provide a directory listing it will read the File set and display the DICOMDIR directory entries for those SOP instances in the File set that correspond to the user selected Application Profile 3 3 1 2 2 1 Application Profiles for the RWA MOD Directory Listing For the list of Application Profiles that invoke this AE for the Media directory listing RWA see Table 3 1 1 There are no extensions or specializations 3 3 1 2 2 2 Options None applicable 3 3 1 2 3 Real World Activity Copy to Local Storage The Media Archive Application acts as an FSR when copying from the Media to local storage The Media Archive Application will copy any SOP Instance selected from an Media Directory list from the Media to the local storage upon request The Media Directory listing Real World Application will filter out the SOP Instances that do not match the Application Profile 3 3 1 2 3 1 Application Profiles for the RWA Copy to Local Storage For the list of Application Profiles that invoke this AE for the Media Copy to Local Storage RWA see Table 3 1 1 For extensions and specialization s see section 3 4 3 3 1 2 3 2 Options None applicable 3 3 1 2 4 Real World Activity Update Media The Media Archive Application acts as an FSU using the Interchange option when requested to update an Media The Media Archive Application will take the
99. ected 7 11 2 Study Level Attribute Name 0010 0040 0008 1155 Study Instance UID 0020 000D Copied Study ID Referring Physicians name 0020 0010 0008 0090 Copied Usage in CT DICOM Image Header Scanner generated study ID If multiple SPS s are selected then accession When PPS start N CREATE message is sent this element will have the Usage in CT DICOM Image Header Copied from SPS if selected Copied from SPS if selected from SPS if selected from SPS if selected Attribute Name Usage in CT DICOM Image Header lr number from the first selection determined by the user is used Copied from SPS if selected 7 11 3 Series Level Attribute Name Usage in CT DICOM Image Header Modality 0008 1060 Value CT is copied Protocol Name 0018 1030 Name of the selected protocol is copied Operator Name 0008 1070 Copied from SPS if selected and present otherwise generated from user input on scanner Referenced Study 0008 1111 Will be present only if SPS obtained form Component Sequence HIS RIS is selected for scanning Ref SOP class uid 0008 1150 Value of MPPS SOP class UID Ref SOP Instance uid 0008 1155 Scanner generated unique UID Requested Attribute 0040 0275 Will be present only if SPS obtained form Sequence HIS RIS is selected for scanning If multiple SPS s are selected then this will contain multiple items one for each SPS For all other cases this element
100. ecting the corresponding entity boxes to the relationship boxes Illustration 6 8 3 1 Modality Worklist Information Model E R DIAGRAM Scheduled W orklist Procedure Step Item contained in Requested Procedure requested for 1 Imaging Service Request done for v 0 1 y 6 8 4 Entity Descriptions Please refer to DICOM Standard PS 3 3 Information Object Definitions and PS 3 4 Service Class Specifications for a description of each of the Entities contained within the Modality Worklist Information Model 6 8 4 1 Scheduled Procedure Step A Scheduled Procedure Step is an arbitrarily defined scheduled unit of service that is specified by the Procedure Plan for a Requested Procedure It specifies one or more Action Items events involving equipment i e imaging modality equipment human resources location and time i e start time stop time duration 6 8 4 2 Requested Procedure Entity Description A Requested Procedure is an instance of a Procedure of a given Procedure Type An instance of a Requested Procedure includes all of the items of information that are specified by an instance of a Procedure Plan that is selected for the Requested Procedure by the imaging service provider 6 8 4 3 Imaging Service Request Entity Description An Imaging Service Request is a set of one or more Requested Procedures selected from a list of Procedure Types An Imaging Service Request is submitted by on
101. ection or document Note GSPS is used by CT as part of study split and is applicable only to CT data Please refer to IHE Presentation of Grouped Procedure profile which is the basis for virtual study split Implementation Model Exam Split option have the two options i e Virtual Exam Split and Hard Exam Split e Virtual Exam Split will create Gray Scale Presentation State and Performed Presentation State e In Hard Exam Split application will send the user selected images from grouped Images that acquired during acquisition PPS will not sent along with these images The DICOM Modality Gray Scale Presentation State service is provided by the Exam Split The Remote Host DICOM AE is commanded to perform transmission of Gray Scale Presentation State object through the user interface The Remote Host DICOM AE is commanded to perform transmission of Hard Split Images through the user interface 8 2 1 Application Data Flow Diagram The basic Application models for the feature are shown in the following illustration Operator associates images display settings Window Level Window Width Pan Zoom and Image Orientation with a d requested procedure Scanner receives MWL Requested Procedures from HIS RIS Operator selects multiple requested procedures and scans images as a single exam GSPS PPS y object object After post processing Exam Split application presents user selected images and Requested p
102. ed Procedure 0032 1060 1C Yes Truncated to 22 characters Description Requested Procedure Code 0032 1064 1C No Sequence E Coding Scheme Designator 0008 0102 Code Meaning 0008 0104 Study Instance UID 0020 000D User Modality will be able to configure the following If the user has set the option to Use MWL Study UID then study Instance UID will be copied into the final DICOM image header If this option is not set then a new Study instance UID is generated locally on the 0008 1110 Referenced Study Sequence Referenced SOP Class 0008 1150 UID ID 0008 1155 Referenced SOP Instance U Requested Procedure Priority 0040 1003 i Patient Transport 0040 1004 Arrangements Requested Procedure Location 0040 1005 Confidentiality Code 0040 1008 6 8 11 Imaging Service Request Entity 6 8 11 1 Imaging Service Request Module Table 6 8 11 1 1 Imaging Service Request Module Attributes Attribute Name Tag Expected Expected Mapped Matching Returned into the Key Type Key Type Image Referring Physician s Name 0008 0090 Yes Truncated to 32 characters Requesting Service 0032 1033 Accession Number 0008 0050 2 Y User will be able to enter value for Accession Number prior to query to be sent as part of C FIND request Supports maximum of 16 characters o 2 om o 2 ves Ez AFI es Requesting Physician 0032 1032 N No 6
103. ed and stored on a PACS or analysis workstation rather than captured on film The ability to Receive DICOM CT MR images onto the Discovery scanner allows users to co register and fuse the anatomical detail of the CT MR images with the Functional PET images through offline registration The PET CT images produced by Discovery are perfectly aligned and fusion registration will be seamless The Discovery DICOM implementation allows the user to send CT MR PET Images Secondary Capture image data through the acquisition system or received from any other DICOM Compliant system to another DICOM station Discovery also allows query and retrieve of data stored in its local database from a remote station and can query and retrieve images stored in a remote DICOM station In this situation Discovery is providing the DICOM C FIND and C MOVE services as a service class provider SCP and that of a DICOM C FIND and C MOVE service class user SCU Connect Pro option provides additional capabilities Modality Worklist MWL and Performed Procedure Step MPPS which provide integration of this GEMS imaging equipment with Hospital Information System Note the format of this section follows the format of the DICOM Standard Part 2 conformance Annex A hence the paragraph numbering scheme Please refer to that part of the standard while reading this section 2 2 Implementation Model All DICOM functionality on the Discovery product is handled by the DICOM Serv
104. ed as described in the following tables Table 2 3 1 3 3 2 1 1 Supported study level keys Study date Study time Accession number Patient s name Patient id Study id Table 2 3 1 3 3 2 1 2 Supported series level keys P 0008 0020 Matched P 0008 0030 Vache R 0008 0050 Vache R 0010 0010 Matched R 0010 0020 Matched P 0020 0010 Matched Study description Lo 0008 1030 Retumed Suited P 00080002 Returned Description Type Tag Usage Modality R 0008 0060 Matched Series number LB 0020 0011 Matched Series Instance UID 0020 000E Matched Series description O 0008 103E Manufacturer JH 0008 0070 Images in series Table 2 3 1 3 3 2 1 3 Supported image level keys Oo 0020 1002 Description Image number Image type Rows Columns Image position Image orientation Slice thickness Slice spacing Gantry tilt Image Instance UID Type R 0020 0013 0008 0018 O 0008 0008 O 0028 0010 Oo 0028 0011 O 0020 0032 O 0020 0037 O 0018 0050 O 0018 0088 O 0018 1120 Convolution kernel O Usage Matched Matched Returned Returned Returned Returned Returned Returned Returned Returned Returned Description Type Tag Usage Reconstruction diameter oO 0018 1100 Returned Data collection diameter oO 0018 0090 Returned Flip angle O 0018 1314 Returned Echo number re o 0018 0086
105. ed from the bit stream the correct action is to add 32768 to the current value and to NOT get the number from the bit stream Without this test if s 16 dx 32768 else the image will exhibit a spatial offset resulting from the incorrect synchronization of the input bit stream This version and all future GEMS Discovery software will read but not write the Installed Base Generation 1 media In addition the creation of Generation 2 media as has been initiated and the new format media will be Industry compatible JPEG and will NOT use the Multi Fragment segmentation The ability to handle Multi Segment data sets is also being deployed to handle the small number of Multi Fragment images that have reached media 3 6 Configuration The Media Archive Application for MOD may have either a 1 2GB or a 2 3GB drive installed The Media Archive Application for DVD RAM may have either a 4 7GB Single Side or 5 2GB Double Side or 9 4 Double Side drive installed Table 3 6 1 Supported Profiles for various Drive Configurations o STCTMR MODI2 o STCTMR MOD12 ooo ST CTMR MOD23 E AA STD CTMRMODI2 oo STCTMR MOD23 ooo ST CTMR MODA7 O o STCTMR MOD12 oo ST CTMR MODS2 o STCTMR MOD12 oo STCTMR MOD23 ooo STCTMR MODA7 oo STCTMR MODS2 Po ST CTMR MODO4 SE STD CTMR MOD23 A i 3 7 Support of Extended Character Sets The Media Archive Application will support copy of SOP instances containing the ISO IR 100 Latin
106. edia Archive Specification The Media Archive provides standard conformance to DICOM Interchange Option of the Media Storage Service Class The Application Profiles and roles are listed in Table 3 1 1 Table 3 1 1 Application Profile Activities and Roles for Media Update Application Profiles Se 3 GE E Pp Update Media FSU Interchange Display Directory FSR Interchange pC Copy To Local Storage FSR Interchange Display Directory FSR Interchange OOOO Copy To Local Storage FSR Interchange The Media Archive Application will query the user before initializing media when a File set is found on the media and an initialize operation has been requested Depending on the physical MOD media type being 2 3GB or 1 2GB media the system will apply the correct characteristics as an FSC to meet the appropriate Application Profile As an FSU role the system will produce directory sequences for each SOP instance that is added to the File set consistent with the STD CTMR MOD 12 23 profile and it will make the File set directory so that an early installed base system that only understands the PRI CTMR MOD12 profile will not be able to use the media An upgrade to the installed base system will be required to learn how to be a FSU or FSR of the STD CTMR MOD 12 23 profile directory sequences 3 3 1 1 File Meta Information for the Application Entity Following are the values set in the File Meta Informat
107. ent s Age 0010 1010 3 AS 1 Truncate years from Exam exam_datetime Patient patient_birthdate Patient s Size 0010 1020 3 DS 1 Patient_Height 100 0 Convert cm to m Patient s Weight 0010 1030 3 DS 1 Occupation 0010 2180 3 SH 1 Not used Additional Patient s History 0010 21B0 3 LT 1 A 6 2 2 3 Discovery PET Exam Module Refer to Section B 2 3 for details A 6 2 3 Common Series Entity Modules The following Series IE Modules are common to all Composite Image IODs which reference the Series IE A 6 2 3 1 General Series Module This section specifies the Attributes which identify and describe general information about the Series within a Study Attribute Name Tag Type VR VM Notes Modality 0008 0060 1 e 1 S Series Instance UID 0020 000E Series Number 0020 001 1 Laterality 0020 0060 Not used Series Date 0008 0021 3 DA 1 Superceded by PET Series Series Date 0008 0021 Series Time 0008 0031 3 TM 1 Superceded by PET Series Series Time 0008 0031 Performing Physician s Name Not used Protocol Name Not used Series Description Referenced Study Component 0008 1111 3 SQ 1 Not used Sequence gt Referenced SOP Class UID Not used gt Referenced SOP Instance UID Not used Body Part Examined Not used Patient Position Smallest Pixel Value in Series Not used Largest Pixel Value in Series 0028 0109 3 US SS 1 Not used ala a A 6 2 3 2 PET Series Module
108. equired for performing the procedure is supplied through the user interface of the system The use of this information in MPPS SOP instances is described later in this document The system initiates a Start PPS before starting a scan i e when the image acquisition is started PPS Server AE initiates a MPPS Modality Performed Procedure Step N CREATE request to the remote AE MPPS SCP in order to create a MPPS SOP instance at the remote AE The MPPS SCP returns response indicating the success failure of the request execution The PPS state information is updated in the system based on the response data and is presented to the user System includes the necessary information related to Scheduled Procedure Steps and the Performed procedure Step in the image instances created At the end of image acquisition system initiates a Complete PPS or Discontinue PPS based on the choice selected by the user using the user interface provided The user is also given a choice Defer PPS which is described below PPS Server AE initiates a MPPS N SET request to the remote AE in order to update the MPPS SOP instance that is already created The remote AE returns response indicating the success failure of the request execution The PPS state information is updated in the system based on the response data and is presented to the user At the end of image acquisition if the user has chosen Defer PPS the user is provided with a
109. er Application Entity AE The DICOM Server AE is commanded to perform DICOM services through the buttons and menu selections on the main user interface panel The DICOM Server AE is also listening to a pre defined port for incoming connections 2 2 1 Application Data Flow Diagram DICOM ILLUSTRATION 2 0 IMPLEMENTATION MODEL DATA FLOW DIAGRAM Standard Choose Push Option emote system requests image storage Image Stored locally Retrieve from remote Q R SCP DICOM SERVER AE Query Get Request Retrieve SCP Verify Request Choose ping DICOM host 2 Se N EE Choose Image Remote archive stored and oe committed There are five Real World Activities that will cause the DICOM Server Application Entity DICOM Server AE to initiate a DICOM association to a remote DICOM Application Entity 1 The Choose Push Option Real World activity consists of an operator selecting one or more study series or image in the local database manager and choosing either Push Examination Push Series or Push Image from the Network pull down menu on the local database manager to send the image s to a selected destination 2 Real World Activity Query Remote causes the DICOM Server AE to initiate an association to the Remote DICOM AE and request the list of all studies Once the DICOM Server AE receives the list of studies it will select the first study
110. er chooses to Complete PPS or Discontinue PPS is taken as the Performed Procedure Step End Date and Performed Procedure Step End Time respectively Not the actual end date and end time of post processing Procedure Code Sequence This sequence is sent with ZERO items in the MPPS message Performed Action Item Code Sequence This sequence is sent with ZERO items in the MPPS message Referenced Standalone SOP Instance Sequence The sequence is sent with ZERO items in the MPPS message 7 9 ERROR HANDLING AND RECOVERY PPS Server AE does not define any extended error codes The standard error codes are handled On a response with status success for the N CREATE or N SET request the system updates the state and indicates the same on the user interface On a response with status other than success the operation is deemed Failed and the system updates the state and indicates the same on the user interface If the request has failed or response is not received before the association timeout the operation is deemed Failed and the system updates the state and indicates the same on the user interface If the operation is Failed detailed message is logged into system log file and system provides an alternative mechanism to retry the failed operation through the user interface to ensure that transient failures do not affect the feature performance 7 10 Use of Specific DICOM Data The following table
111. eration through the user interface to ensure that transient failures do not affect the feature performance 8 8 Use of Specific DICOM Data The following table gives specific usage of some of attributes in the GSPS and splitting PPS SOP instance created with reference to each of the real world scenarios mentioned in 8 2 3 of this document Attribute Name Tag GSPS Splitting PPS Comment Group Length 0002 0000 X Exam Split Application will calculate File Meta Information 0002 0001 X Exam Split Version Application will calculate Media Storage SOP Class 0002 0002 X Exam Split UID Application will calculate Media Storage SOP 0002 0003 X Exam Split Instance UID Application will calculate Transfer Syntax UID 0002 0010 X X Exam Split Application will calculate Implementation Class UID 0002 0012 A Exam Split Application will calculate Implementation Version 0002 0013 Xx Exam Split Name Application will calculate Patient s Name 0010 0010 A A Copied from acquired image s Patient ID 0010 0020 X X Copied from acquired image s Patient s Birth Date 0010 0030 X X Copied from acquired image s Patient s Sex 0010 0040 A A Copied from acquired image s Instance Creation Date 0008 0012 X Copied from acquired image s Instance Creation Time 0008 0013 X Copied from acquired image s Study Instance UID 0020 000D X Copied from acquired image s
112. eration to the remote AE 7 3 1 1 3 Asynchronous Nature Asynchronous mode is not supported All operations are performed synchronously 7 3 1 1 4 Implementation Identifying information The implementation UID for this DICOMv3 0 Implementation is PPS Feature for Discovery Implementation UID 1 2 840 113619 6 55 7 3 1 2 Association Initiation Policy The PPS Server AE initiates a new association for every PPS operation initiated 7 3 1 2 1 Real World Activity Performed Procedure Step creation and update 7 3 1 2 1 1 Associated Real World Activity The real world activities are mentioned in section 7 2 3 Sequencing of Real World Activities Each of the real world activity results in either creating a new Performed procedure Step SOP instance at the remote SCP or updating an already created Performed Procedure Step SOP instance as per the DICOM v3 0 standard 7 3 1 2 1 2 Proposed Presentation Context Table The following table shows the proposed presentation contexts for the PPS Server AE after any of the real world activity listed in section 7 2 3 Sequencing of Real World Activities is initiated Presentation Context Table Proposed Abstract Syntax Transfer Syntax Role Extended Name UID Name List UID List Negotiation Modality 1 2 840 10008 3 1 2 3 3 Implicit VR 1 2 840 10008 1 2 SCU None Performed Little Endian Procedure Step 7 3 1 2 1 2 1 SOP Specific DICOM Conformance St
113. erformed by a GE Field Service Engineer 5 7 Support of Extended Character Sets This does not support any Extended Character set 6 Modality Work List Information Model Definition 6 1 Introduction This section of the DICOM Conformance Statement specifies the compliance to DICOM conformance requirements for the relevant Networking features on this GEMS product Note that the format of this section strictly follows the format defined in DICOM Standard PS 3 2 Conformance Please refer to that part of the standard while reading this section The ModalityWorklist option for Discovery allows a user to query for and display DICOM modality worklist information from a remote hospital or radiology department information system computer For example a user may wish to query for all procedures scheduled to be performed on the scanner In this situation ModalityWorklist is providing the DICOM C FIND service as a service class user SCU 6 2 Implementation Model All DICOM functionality provided by the ModalityWorklist feature is logically provided by the Worklist Server DICOM AE The Worklist Server DICOM AE is commanded to perform DICOM modality worklist query services through the use of the Discovery user interface 6 2 1 Application Data Flow Diagram The Basic and Specific Application models for this device are shown in the following illustration Association Initiation ConnectPro Worklist Modality Worklist SCU Rem
114. erlay Image files shall take the values specified Overlay data if present shall be encoded in Overlay Data 60XX 3000 3 4 3 2 5 2 Attribute Value Precedence None 3 4 4 Private Application Profiles The Media Archive Server supports a private Application Profile PRI CTMR MOD12 as an FSR or FSU 3 4 4 1 PRI CTMR MOD12 Class Profile 3 4 4 1 1 SOP Classes and Transfer Syntax This class of Application Profiles is based on the Media Storage Service Class with the Interchange Option See PS3 4 SOP Classes and corresponding Transfer Syntax supported by the PRI CTMR MOD12 Application Profiles is specified in the Table 3 3 3 1 1 1 Note The MOD Archive Application chooses the JPEG Lossless compression selection value 1 as the default transfer syntax for storing images on the media But the transfer syntax is selectable on a per media basis at install time using a method defined by the Application The SOP instance files in the Media File set in the PRI CTMR MOD12 profile uses a non standard JPEG compression process resulting in interoperability problems when decoded using readily available industry decompression routines See section 3 4 2 for details of the encoding problem unique to the PRI CTMR MOD12 profile 3 4 4 1 2 Physical Media and Media Formats The CT MR PET Application Profiles in the PRI CTMR MOD12 require the 130mm 1 2GB 512 Byte per Sector Magneto Optical Rewriteable physical media with the PC File System as define
115. erver AE will parse each matching C FIND RSP reply and ignore the entries it fails to parse Tables 2 2 1 2 2 2 1 1 2 2 1 2 2 2 1 3 shows the various fields that are requested at the Study Series and Image levels of the C FIND request Query results are filtered based on the Modality field Only CT MR PET Screen Save images are supported Table 2 2 1 2 2 2 1 1 Requested Study Level Keys Study date Ip 0008 0020 Zero length Study time Ros 0008 0030 Zero length Patient s name R 0010 0010 Zero length Study id R 0020 0010 Zero length Study description O 0008 1080__ Zero length Table 2 2 1 2 2 2 1 2 Requested Series Level Keys Description iype Tag Value Modality fR oooso0 0 zerolengh Series number 8 0020 0011 Zerolengtn Series description Manufacturer Series description lO 0008 103E Zero length Manufacturer Os 0008 0070 Zero length Images in series JO 0020 1002 Zero length Table 2 2 1 2 2 2 1 3 Requested Image Level Keys Description ss ss Type _ Tag Value Imagenumber Ip 0020 0013 Zero length Image Instance UID 0008 0018 Image UID Image type O 0008 0008 Zero length 1 Private data element Roas O oe 0010 Zerotengin Columns o Jg Zero length image postion o 00200032 Zerolengh image orientation O 70020 0037 Zerolengh Slice thickness o Jet Zero lengh Slice spacing Jo ges Zero length Ganyi lo 70018 11
116. es Sequence gt 0008 0050 Accession Number gt 0008 1110 Reference Study Sequence gt gt 0008 1150 Referenced SOP Class UID gt gt 0008 1155 Referenced SOP Instance UID gt 0020 000D Study Instance UID gt 0032 1060 Requested Procedure Description gt 0032 1064 Requested Procedure Code Sequence gt gt 0008 0100 Code Value gt gt 0008 0102 Coding Scheme Designator gt gt 0008 0104 Code Meaning gt 0040 0007 Scheduled Procedure Description gt 0040 0008 Scheduled Action Item Code Sequence gt gt 0008 0100 Code Value gt gt 0008 0102 Coding Scheme Designator gt gt 0008 0104 Code Meaning gt 0040 0009 Scheduled Procedure Step ID gt 0040 1001 Requested Procedure ID The Requested Attributes Sequence may contain a maximum of 15 sequence items This sequence will only appear in the image header if the VES HES option is installed or PPS is enabled 8 9 2 Accession Number If scheduled procedures are grouped the accession number for each procedure is stored in the Request Attributes Sequence 0040 0275 in the image header If two or more of the accession numbers in the grouped case are different the top level Accession Number 0008 0050 shall be present but empty APPENDIX A OPTIONAL CONDITIONAL MODULES ATTRIBUTES IOD DEFINITIONS Enclosed is a listing of only the Optional Conditional modules attributes used by this implementation for CT PET MR SC and Standalone O
117. etailed here to optimize the storage and retrieval of the data or display useful information to the user to distinguish among the IOD instances The IOD contains data that are not published in this document No implementation shall assume any meaning to such data and its meaning and definition is subject to change without notice D 1 1 Discovery PET RAW Data Patient Entity Module This section specifies the attributes of the Patient that describe and identify the Patient who is the subject of a diagnostic Study This Module contains Attributes of the patient that are needed for diagnostic interpretation of the Image and are common for all studies performed on the patient Attribute Name Tag Type VR VM Notes Patient s Name 0010 0010 2 PN 64 1 Patient ID LO 64 Patient s Birth Date DA 26 Patient s Sex 0010 0040 2 CS 16 1 D 1 2 Discovery PET RAW Data Exam Module This section specifies the attributes which describe and identify the Study performed upon the Patient Attribute Name Tag Type VR VM Notes Study Instance UID 0020 000D 1 UI 1 Study Date 0008 0020 2 DA 1 Study Time 0008 0030 2 TM 1 Referring Physician s Name 0008 0090 2 1 Accession Number 10008 0050 2 D 1 3 Discovery PET RAW Data Scan Entity Modules This section specifies the attributes which identify and describe general information about the Scan within a Study Attribute Name
118. etup via the camera installation process Images may be acquired for printing in the following manner Images to be printed may be manually dropped from Viewing applications into the manual film composer slots Images to be printed may be automatically dropped from Viewing applications into the manual film composer slots Images to be printed may be manually dropped from Viewing applications into the auto film composer slots Image series to be printed may be automatically dropped from the PrintSeries application into the manual film composer slots Images to be printed may be automatically dropped from the Scanning Application into the auto film composer slots Based upon the filming mode and the attributes used to acquire images into the film composer films will be automatically printed when the film session is full or the user must press the Print Button to print the images The Print SCU retrieves the Print SCP status by using the N GET service of Printer SOP Class If the printer returns a FAILURE status the print session will be terminated The printer status is not read The film session is created using the N CREATE service The print session will be terminated if the printer fails to create the film session The film box is created using the N CREATE service The print session will be terminated if the printer fails to create the film box The images are placed on the film box by using the N SET If the pr
119. fo 2110 0020 is SUPPLY LOW the status is displayed to the user and the print job continues b Ifthe Printer Status Info 2110 0020 is RECEIVER FULL or SUPPLY EMPTY or FILM JAM the status is displayed to the user and the print job is aborted For all other Printer Status Info 2110 0020 values the status is ignored and the print job continues 4 3 1 2 2 5 Print Job SOP Class Print SCU looks for following attributes in N EVENT REPORT data received from Print SCP If Print SCU does not receive N EVENT REPORT it requests the Print SCP to retrieve the following set of attributes using N GET DICOM Tag Default Value 2100 0050 Value returned by Print SCP Printer Name 2110 0030 Value returned by Print SCP Originator 2100 0070 Value returned by Print SCP 4 3 1 3 Association Acceptance Policy The Print SCU does not accept associations 4 4 Communication Profiles 4 4 1 Supported Communication Stacks parts 8 9 DICOM Upper Layer Part 8 is supported using TCP IP 4 4 1 1 TCP IP Stack The TCP IP stack is inherited from the UNIX Operating System 4 4 1 1 1 API Not Applicable 4 4 1 1 2 Physical Media Support Ethernet v2 0 IEEE 802 3 4 5 Standard Extended Specialized Private SOPs None 4 6 Configuration 4 6 1 AE Title Presentation Address Mapping The Local AE title is hostname_DCP where hostname is the unique hostname within the network The Discovery system all
120. ge Sequence 0008 1 140 3 SQ 1 Not Used gt Referenced SOP Class UID 0008 1150 Not Used gt Referenced SOP Instance UID 0008 1155 Not Used Derivation Description 0008 2111 3 ST 1 Truncate ImageSet derivation to 1024A Source Image Sequence 0008 2112 Not Used gt Referenced SOP Class UID 0008 1150 Not Used gt Referenced SOP Instance UID 0008 1155 Not Used _ Images in Acquisition 0020 1002 Not Used Image Comments 0020 4000 Not Used Lossy Image Compression 0028 2110 3 CS 1 Superceded by PETImage Lossy Image Compression 0x0028 0x2110 A 6 2 6 2 Image Plane Module This section specifies the Attributes which define the transmitted pixel array of a two dimensional image plane Attribute Name Tag Type VR VM Notes Pixel Spacing 0028 0030 1 DS 2 Value 1 pixel_width Value 2 pixel_height Image Orientation Patient 0020 0037 DS ImageSet patient_row_cos_ ImageSet patient_row_cos_p ImageSet patient_row_cos_s ImageSet patient_col_cos_ ImageSet patient_col_cos_p ImageSet patient_col_cos_s Image Position Patient 0020 0032 DS 3 patient_ patient_p patient_s Slice Thickness 0018 0050 aa image_thickness Slice Location 0020 1041 3 image_location A 6 2 6 3 Image Pixel Module This section specifies the Attributes that describe the pixel data of the image Attribute Name Tag Type VR VM Notes Samples per Pixel 0028 0002 1 US 1 Superceded by
121. gives specific usage of some of attributes in the MPPS SOP instance created with reference to each of the real world scenarios mentioned in 7 2 3 of this document Attribute Name Tag Usage in MPPS Instance Acquisition with MWL data Acquisition without MWL data Post Processing Specific Character Set 0008 0005 Not used but copied into image header Not used Not used but copied into image header Scheduled Step Attribute Sequence 0040 0270 Only one item Only one item gt Study Instance UID 0020 000D Copied from SPS if option to copy is selected or else created at the scanner Created at the scanner Copied from source image gt Referenced Study Sequence gt Accession Number 0008 1110 0008 0050 Copied from SPS if selected Copied from SPS if selected Not sent as part of image header User input on the scanner Not sent as part of image header Copied from source image gt Placer Order 0040 2016 Not sent as part Not sent as part of Not sent as part of Number Imaging Service of image header image header image header Request gt Filler Order 0040 2017 Not sent as part Not sent as part of Not sent as part of Number Imaging Service Request of image header image header image header gt Requested Procedure ID 0040 1001 Copied from User input on the Copied from source SPS if selected scan
122. h respect to the categories described above are considered errors Upon detecting any such errors in the response data the Worklist Server AE will issue a C FIND CANCEL and upon receipt of a C FIND RSP or if an applicable timer expires will abort the association All previously received worklist items are retained Note that the absence of requested Type 3 attributes is not considered an error Fields considered Type 1 by the Worklist Server include 0010 0010 Patient Name 0010 0020 Patient ID 0020 000D Study Instance UID 0040 0001 Scheduled Station AE Title 0040 0002 Scheduled Procedure Step Start Date 0040 0003 Scheduled Procedure Step Start Time 0040 0009 Scheduled Procedure Step ID 0040 1001 Requested Procedure ID e e 0 0 e 0 e ee A Age He Ss Start Date must be of the form YYYYMMDD exactly eight numeric characters and Start Time must be of the form HHMMSS exactly six numeric characters Fields considered Type 2 by Worklist Server include 0008 0050 Accession Number 0008 0060 Modality 0008 0090 Referring Physician Name 0010 0030 Patient Date of Birth 0010 0040 Patient Sex 0010 1030 Patient Weight in kg 0010 2000 Medical Alerts 0010 2110 Contrast Allergies 0010 21C0 Pregnancy Status 0032 1032 Requesting Physician 0032 1070 Requested Contrast Agent 0038 0010 Admission ID 0038 0050 Special Needs 0038 0300 Current Patient Location 0038
123. herited from a UNIX Operating System 5 4 2 1 Physical Media Support Ethernet v2 0 IEEE 802 3 5 4 3 Point to Point Stack A 50 pin ACR NEMA connection is not applicable to this product 5 5 EXTENSIONS SPECIALIZATIONS PRIVATIZATIONS None 5 6 CONFIGURATION Ethernet v2 0 IEEE 802 3 5 6 1 AE Title Presentation Address Mapping The system allows the user to ada Remove or Update the mapping of remote AE Titles to IP Addresses and Ports These options can be selected from the Remote Host Selection menu displayed by choosing Select Remote Host from the Network pull down menu from the local database manager A remote DICOM host can be designated as a remote archive device by setting the Remote archive node radio button on the remote host configuration panel Once a DICOM host is designated as a remote archive device the host will be available in the Archive device selection menu and can be chosen for any subsequent archive operation 5 6 2 Configurable Parameters The following fields are configurable for the DICOM Server AE Local AE Title the machine hostname Local IP Address Local IP Netmask Max PDU length Time outs which are set for all hosts are configurable in dcs cfg Note denotes any SOP class time in sec Association time out bi_assoc_tio Inactivity time out bi_store_tio Session time out bi_session_tio Note All configurations should be p
124. iation due to a Ping DICOM Host or Push operation initiated by the user A new association is also initiated when the user performs a Query Remote operation or issues a retrieve operation by performing a Get operation at Study Series Image level 2 3 1 2 1 Push Image s to Remote AE 2 3 1 2 1 1 Associated Real World Activity The operator must first select a destination by choosing Select Remote Host from the Network pull down menu on the local database manager and then choose a hostname The Push operation will cause the DICOM server AE to initiate an Association when the operator selects one or more study series or images in the local database manager and then chooses either Push Examination Push Series or Push Image from the Network pull down menu on the local database manager Note If multiple study series or images are chosen to be pushed one association will be established for each of the studies series or images 2 3 1 2 1 2 Proposed Presentation Contexts The following table shows the proposed presentation contexts for the DICOM Server AE after Real World Activity Push Operation has been performed Table 2 2 1 2 1 2 1 Proposed Presentation Contexts for DICOM Server AE and Real World activities Push Query Pull Get Images and Verification Dicom Ping SCUs Presentation Context Table Proposal Abstract Syntax Transfer Syntax Extended Negotiat
125. in the DICOMDIR definition All standard attributes as defined in Part 3 Addendum Basic Directory Information Object are supported by this implementation but not listed here C 1 Basic Directory IOD Definition Reference Usage Directory Information B X 3 2 1 DICOM PS3 10 C 2 Directory Information Module Attribute Name 0004 Offset of the Next Directory Record 0004 1400 Record In use Flag 0004 1410 Offset of Referenced Lower Level Directory 0004 1420 Entity Directory Record Type 0004 1430 Referenced File ID 0004 1500 Present only in IMAGE Directory Record Referenced SOP Class UID in file 0004 1510 Present only in IMAGE Directory Record Referenced SOP Instance UID in File 0004 1511 Present only in IMAGE Directory Record Referenced Transfer Syntax UID in File 0004 1512 1 Present only in IMAGE Directory Record PATIENT STUDY SERIES and IMAGE 1C 1C 1C 1C 1C 1C 1C C C 3 Directory Record Selection Keys As indicated in table C 1 2 the PRI CTMR MOD12 application profile will have only the Patient Study Series and Image directory record types Given below are the list of attributes supported under each of these directories C 3 1 Patient Keys Attribute Name Tag Type Notes Specific Character Set 0008 0005 ISO_IR 100 C 3 2 Study Keys Attribute Name Tag Type Notes Specific Character Sa Study Description maen 2 Study Instance UID 0020
126. including Network Architecture and basic DICOM concepts please refer to the Introduction For the convenience of developers there is a collector Direction available By ordering the collector the Introduction described above and all of the currently published ID Net v3 0 Product Conformance Statements will be received The collector Direction is ID Net v3 0 Conformance Statements Direction 2117016 For more information regarding DICOM v3 0 copies of the Standard may be obtained by written request by contacting ACR NEMA Representative NEMA 1300 N 17th Street Suite 1847 Rosslyn VA 22209 USA 1 3 Intended Audience The reader of this document is concerned with software design and or system integration issues It is assumed that the reader of this document is familiar with the DICOM v3 0 standards and with the terminology and concepts that are used in those standards If readers are unfamiliar with DICOM v3 0 terminology they should first refer to the document listed below then read the DICOM v3 0 Standard itself prior to reading this Conformance Statement document Introduction to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statements Direction 2118780 1 4 Scope and Field of Application It is the intent of this document in conjunction with the Introduction to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statements Direction 2118780 to provide an unambiguous specification for GE ID Net v
127. inter fails to place the image on the film box the print session will be terminated The film will be printed using the N ACTION Only film box printing is supported If the printer fails to print the film the print session will be terminated After the successful N ACTION the film box will be deleted using the N DELETE Any N EVENT REPORTS given to the PRINT SCU will be received but the data is ignored After the film box is deleted the association will be closed Upon the successful completion of the above sequencing and the association is closed the user will be notified of the successful print session 4 3 AE Specifications 4 3 1 DICOM Print SCU AE Specification Print SCU provides Standard Conformance to the following DICOM 3 0 SOP classes as an SCU SOP CLASS Name SOP CLASS UID Basic grayscale print management meta SOP class 1 2 840 10008 5 1 1 9 Print Job SOP class 1 2 840 10008 5 1 1 14 4 3 1 1 Association Establishment Policy 4 3 1 1 1 General The Film Composer provides options to indicate the printer AE title and Printer host name These parameters are used by the Print SCU to establish the association with the desired printer The DICOM Application Context Name ACN which is always proposed is Application Context Name 1 2 840 10008 3 1 1 1 The Maximum Length PDU negotiation is included in all association establishment requests The maximum length PDU for association initiated by the DICOM Print SCU AE
128. ion UID Lit CT Image Storage 1 2 840 10008 5 1 4 1 1 2 Explicit VR Little Endian 1 2 840 10008 1 2 1 SCU None Explicit VR Big Endian 1 2 840 10008 1 2 2 Implicit VR Little Endian 1 2 840 10008 1 2 Presentation Context Table Proposal Abstract Syntax Transfer Syntax Extended Negotiation UID Lit Ee Private PET Image 1 2 840 10008 5 1 4 1 1 12 Explicit VR Little Endian 1 2 840 10008 1 2 1 SCU None Storage 8 Explicit VR Big Endian 1 2 840 10008 1 2 2 Implicit VR Little Endian 1 2 840 10008 1 2 GE Private PET 1 2 840 113619 4 30 Explicit VR Little Endian 1 2 840 10008 1 2 1 SCU None Raw can SOP Explicit VR Big Endian 1 2 840 10008 1 2 2 cass Implicit VR Little Endian 1 2 840 10008 1 2 MR Image Storage 1 2 840 10008 5 1 4 1 1 4 Explicit VR Little Endian 1 2 840 10008 1 2 1 SCU None Explicit VR Big Endian 1 2 840 10008 1 2 2 Implicit VR Little Endian 1 2 840 10008 1 2 aii Implicit VR Big Endian GE 1 2 840 113619 5 2 Private 1 2 840 10008 5 1 4 1 1 7 Explicit VR Little Endian 1 2 840 10008 1 2 1 None Secondary Capture Explicit VR Big Endian 1 2 840 10008 1 2 2 Image Storage Implicit VR Little Endian 1 2 840 10008 1 2 Implicit VR Big Endian GE 1 2 840 113619 5 2 Private Study Root 2 840 10008 5 1 4 1 2 2 Implicit VR Little Endian 1 2 840 10008 1 2 None Query Retrieve FIND Study Root 3 2 840 10008 5 1 4 1 2 2 Implicit VR Little Endian 1 2 840 10008 1 2 None Query Retrieve MOVE Class Note Othe
129. ion Name Institutional Department Name 0008 1040 Manufacturer s Model Name Tag Type VR VM Notes 0008 0070 2 LO 1 Not Used scanner_desc Device Serial Number 0018 1000 3 LO 1 Software Versions 0018 1020 3 LO 1 Image software_ve rsion Frame software_v ersion Spatial Resolution 0018 1050 3 DS 1 Not Used Date of Last Calibration 0018 1200 3 DA 1 n Not Used Time of Last Calibration 0018 1201 3 TM in Not Used Pixel Padding Value 0028 0120 3 US or 1 Not Used SS A 6 2 6 Common Image Entity Modules The following Image IE Modules are common to all Composite Image IODs which reference the Image IE A 6 2 6 1 General Image Module This section specifies the Attributes which identify and describe an image within a particular series Image Date Image Time Image Type Attribute Name Tag Type VR VM Notes Image Number 0020 0013 2 IS 1 Scan scan mode image location image time image bin time Patient Orientation 0020 0020 Not Used Extract date from image datetime 0008 0033 2C TM 1 Extract time from image datetime 0008 0008 3 CS 1 n Superceded by PET Image Image Type 0x0008 0x0008 eee ed Acquisition Number Not Used Acquisition Date 0008 0022 3 DA 1 Superceded by PET Image Acquisition Date 0x0008 0x0022 Acquisition Time 0008 0032 3 TM 1 Superceded by PET Image Acquisition Time 0x0008 0x0032 Referenced Ima
130. ion for this AE e Source Application Entity Title Not used by the Media Archive Application e Private Information Creator UID Not used by the Media Archive Application e Private Information 1 1 1 1 Not used by the Media Archive Application 3 3 1 2 Real World Activities 3 3 1 2 1 Real World Activity Create Media Request The Media Archive Application acts as an FSC using the Interchange option when requested to initialize LABEL the media The AE will use the appropriate Application Profile depending on the physical media type that is in the optical disk drive be it 2 3GB or 1 2GB media The Media Archive Application will label the media and take the user provided list of SOP instances eliminating any SOP instances on that list that does not correspond to one of the Application Profiles in Table 3 1 1 These SOP instances are written to the media and a corresponding DICOMDIR sequence record is created The determination of the potentially applicable Application Profile is dependent on the type of media and the associated software on which the AE has been invoked 3 3 1 2 1 1 Application Profiles for the RWA Create Media For the list of Application Profiles that invoke this AE for the Create Media RWA see Table 3 1 1 For extensions and specialization s see section 3 4 3 3 1 2 2 Real World Activity Display Directory The Media Archive Application acts as an FSR using the Interchang
131. ions of AE s This Server has only one Application Entity the Media Archive Application The Media Archive Application can perform these functions e lt can initialize create DOS filesystem a piece of media writing a new label and DICOM File set onto the media LABEL e t can update a piece of media by adding new SOP instances to an already existing DICOM File set from local storage SAVE e ltcan display a directory listing of the File set on a piece of media QUERY e t can copy SOP instance from the Media onto local storage RESTORE Sequencing of Real World Activities The updating function can only be performed on a piece of media that has already had a DICOM File set created The display function can only be performed on a piece of media that has already has a DICOM File set created With no SOP instances having been added the directory will be displayed empty The copy function can only be performed with a piece of media that has been updated and has DICOM SOP instances in the File set There are no other sequencing requirements File Meta Information for Implementation Class and Version The File Meta Information for this implementation is e File Meta Information Version 1 e Discovery CT Implementation UID 1 2 840 113619 6 55 e Discovery PET Implementation UID 1 2 840 113619 6 131 e Implementation Version Name 1 0 3 3 AE Specifications 3 3 1 M
132. irectory IOD containing Directory Records at the Patient and subsidiary levels appropriate to the SOP Classes in the File set All DICOM files in the File set incorporating SOP Instances defined for the specific Application Profile shall be referenced by the Directory Records All DICOM SOP Instance files in the File set are stored in the MSDOS filesystem subdirectory GEMS and are referenced from the DICOMDIR directory records Refer to Appendix C for a complete listing of all the optional modules and optional attributes used in the DICOMDIR definition Please note that the mandatory attributes in each of the directory records as mentioned in Part 3 Addendum Basic Directory Information Object Definition are not listed in the appendix but are supported by the implementation Note The modality attribute 0008 0060 in the DICOMDIR Series records should be CT MR for Secondary Capture and Standalone Overlay SOP Class Images Otherwise the Discovery DICOM media display browser will not list up the series for contents rendering the retrieval to local storage impossible 3 4 3 2 4 1 Additional Keys None 3 4 3 2 5 Other Parameters This section defines other parameters common to all specific Application Profiles in the PRI CTMR MOD12 class that need to be specified in order to ensure interoperable information interchange 3 4 3 2 5 1 Image Attribute Values The attributes listed in Table 3 3 3 1 5 1 1 used within the CT MR PET SC Standalone Ov
133. is already present Set the Archive Node option to Yes If the remote host is not present add the remote host in the local database with Archive Node option set to Yes Note The remote node should be a Storage Commitment SCP The operator must then select Archive pull down menu on the local database manager Select Select Media option menu Select Remote Node in the menu Note Only if you configure the remote node as a archive node will you see the remote node option in the archive menu The operator then selects one or more study series or images in the local database manager and then chooses Save Examination Save Series or Save Image from the Archive pull down menu on the local database manager Note Also refer to section 5 3 1 3 2 3 1 2 5 2 Proposed Presentation Context Table Refer to section 5 3 1 4 2 3 1 2 5 3 SOP Specific Conformance Statement Storage Commitment SCU Refer to section 5 3 1 4 2 3 1 3 Association Acceptance Policy The DICOM Server AE places limitations on who may connect to it If the Remote AE needs to Push Images or Query Retrieve Images to the local system then it has to be configured in the Local system to do the same To configure a remote AE choose Select Remote Host in the network pull down menu Select the Remote Host and choose Update option if the Remote AE is already present If the Remote AE is not pre
134. is aware of these optional attributes and will not fail on the receipt of a response without the optional attributes the limitation being that this information is not available for the User Some SCP s will terminate the association with a failure upon the receipt of an optional attribute it does not support 4 3 1 2 2 1 Basic Film Session SOP Class The Print SCU supports the following DIMSE Service Elements for the Basic Film Session SOP Class N CREATE Requests the Print SCP to create an instance of Basic Film Session The following Attribute values are supported by the N CREATE Attribute DICOM Tag Valid Range Default Value Number of Copies 2000 0010 Print Priority 2000 0020 HIGH MED LOW Set in Configuration file Default value is HIGH Medium Type 2000 0030 CLEAR FILM Set in Configuration File PAPER PROCESSOR Note denotes that the attribute is optional for the SCU However we do provide values for all of these optional attributes and if the SCP does not support the requested value it may choose to either return a failure status or ignore the value provided and use its default value If Failure status is returned during N CREATE operation of Film session the following action will be taken by Print SCU 0x213 Resource Limitation message will be sent All other status Failure message will be sent In all the cases the print session will be terminated 4 3 1 2 2 2 Basic Film box S
135. job from the local database manager Network queue 2 3 1 2 4 Real World Activity Verify DICOM Ping 2 3 1 2 4 1 Associated Real World Activity The operator must first select a destination by choosing Select Remote Host from Network pull down menu on the local database manager and then choose a hostname The operator must then select the Ping DICOM host form Network pull down menu The DICOM server will initiate an association with the remote DICOM AE in order to verify communication at the application level The success or failure of the verification process is displayed to the user 2 3 1 2 4 2 Proposed Presentation Context Table Refer to the Table 2 2 1 2 1 2 1 for the Proposed Presentation Contexts for DICOM Server AE and Real World activity Verification 2 3 1 2 4 2 1 SOP Specific DICOM Conformance C ECHO SCU The Discovery DICOM Server AE provides standard conformance to the DICOM Verification Service Class Each ECHO operation supports an Association Timer Operation Inactivity Timer and Session Timer with time out values of 900 seconds 30 seconds and 60 minutes respectively 2 3 1 2 5 Real World Activity Storage Commitment 2 3 1 2 5 1 Associated Real World Activity The operator must first select a destination by choosing Select Remote Host from Network pull down menu on the local database manager and then choose a hostname Select the Update option if the hostname
136. l be sent over a single association A C MOVE RSP with a pending status will be returned to the requester every five images The C MOVE SCP will invoke C STORE requests for the following SOP classes SOP Class Name SOP Class UID CT Image Information Storage 1 2 840 10008 5 1 4 1 1 2 MR Image Information Storage 1 2 840 10008 5 1 4 1 1 4 PET Image Storage 1 2 840 10008 5 1 4 1 1 128 GE Private PET Raw data storage 1 2 840 113619 4 30 Secondary Capture image storage 1 2 840 10008 5 1 4 1 1 7 Standalone Overlay storage 1 2 840 10008 5 1 4 1 1 8 In addition to the C MOVE response status values defined in DICOM V3 0 part 4 the following status values will be returned e C000 Indicates that an error occurred while retrieving records from the local database e C001 Indicates all other processing error e C011 Ifthe Destination AE returns a Storage Full condition this status will be returned This status will only be sent if the Destination AE returns a status of A711 and is only applicable if the Destination AE is another GE Medical Systems product 2 3 1 3 4 3 Presentation Context Acceptance Criteria No criterion 2 3 1 3 4 4 Transfer Syntax Selection Policy All protocols detailed above in the tables are supported no priority selection is given 2 4 Communication Profiles 2 4 1 Supported Communication Stacks parts 8 9 DICOM Upper Layer Part 8 is supported using TCP IP 2 4 2 TCP IP Stack The TCP IP stack i
137. llustration 5 2 1 Application Data Flow Diagram DICOM Standard Interface Choose Archive Storage ommitmen Provider Archive State DICOM Standard Interface 5 2 2 Functional definitions DICOM Server AE initiates the following operations Negotiates and establishes association with remote Storage Commitment Provider Sends the selected images to the remote DICOM AE Closes the association If all the images are transferred without failures the following steps will be executed If there are any failures the job will be marked as failed and the Storage Commitment request will not be sent Establishes a new association for sending the commitment request Here note that a storage Commitment request does not imply that the acquisition of images is complete Receives the response on same association or on a different association Updates the archive flag information for successful instances The archive flag is shared with the local archive and the two cannot be distinguished 5 2 3 Sequencing of real world activities The user has to select the remote commitment provider and the exams series to be pushed before clicking Save Exam Series button on the Archive menu 5 3 AE Specifications 5 3 1 DICOM Storage Commitment SCU specifications Provides Standard Conformance to the following DICOM 3 0 SOP class as an SCU SOP class name SOP class UID Storage Commitment Push model SOP class 1 2 840 10008 1 20
138. ment Policies 6 3 1 1 1 General The DICOM Application Context Name ACN which is always proposed is Application Context Name 1 2 840 10008 3 1 1 1 The Maximum Length PDU negotiation is included in all association establishment requests The maximum length PDU for an association initiated by the DICOM Worklist Server is Maximum Length PDU 50 Kbytes The SOP Class Extended Negotiation is not supported The maximum number of Presentation Context Items that will be proposed is 1 The user information Items sent by this product are e Maximum PDU Length e Implementation UID 6 3 1 1 2 Number of Associations The Worklist Server AE SCU will initiate only one DICOM association at a time to perform a modality worklist query of a single remote AE 6 3 1 1 3 Asynchronous Nature Asynchronous mode is not supported All operations are performed synchronously 6 3 1 1 4 Implementation Identifying Information The Implementation UID for this DICOM v3 0 Implementation is ModalityWorklist for Discovery implementation UID 1 2 840 113619 6 50 6 3 1 2 Association Initiation Policy The Worklist Server AE initiates a new association due to an update operation being initiated from the Discovery user interface 6 3 1 2 1 Real World Activity Worklist Query 6 3 1 2 1 1 Associated Real World Activity The operator of the system initiates a query for a modality worklist by either opening the Schedule screen or by opening the Schedule screen a
139. n interface to Complete PPS or Discontinue PPS at any later time The user might wish to alter the image set generated through acquisition before invoking these operations Note that the user explicitly uses the user interface provided to invoke this operation as in the case of PPS generated for post processing which is described in the following section The remote AE returns response indicating the success failure of the request execution The PPS state information is updated in the system based on the response data and is presented to the user 7 2 3 3 PPS from post processing system The user initiates post processing on the images generated through acquisition The system creates a Modality performed Procedure Step instance locally in the system H the source image instance has the Scheduled Procedure Step information it is copied into the image instances created Also the system includes the necessary information related to the Modality Performed Procedure Step into the image instance At the end of one or more post processing the user initiates Complete PPS or Discontinue PPS through the user interface provided PPS Server AE initiates a MPPS Modality Performed Procedure Step N CREATE request to the remote AE MPPS SCP in order to create a MPPS SOP instance at the remote AE which is actually a replica of the locally created MPPS SOP instance The remote AE returns response indicating the success failu
140. n is established and stops when the association is ended This time out is 60 minutes If any of the three timers mentioned above expires the connection is closed and the operation in progress is considered failed Note The time outs are configurable When DICOM Server AE initiates an association to issue a C STORE the following will occur 1 If the image is stored locally on the Discovery in DICOM format Dicm appears in the Fmt column at the exam level of the local database manager the image will be transmitted by the DICOM Server AE with the same elements as was originally received or created locally for the standard elements only 2 3 1 2 2 Query Remote AE 2 3 1 2 2 1 Associated Real World Activity The operator must first select a destination by choosing Select Remote Host from Network pull down menu on the local database manager and then choose a hostname To do custom queries select Yes for Custom search option Note Custom queries can be done on the following fields Last Name contains Exam Number Patient Id Accession Number To initiate a Query select Receive from Network pull down menu Note If Custom Search option is set then a small GUI will show up Operator will be able to enter custom query fields Entering values in Last Name contains field will initiate wild card query for patient name The Query operation will cause the
141. n nr 80 6 8 MODALITY WORKLIST INFORMATION MODEL DEFINITION seeren erne renerne 80 6 8 1 INTOQUCUON NET 80 6 8 2 Modality Worklist Information Model Description 80 6 8 3 Modality Worklist Information Model Entity Relationship Model 80 6 8 4 ADT AAA O deseo sesvscestsi rusts da AADO 81 6 8 4 1 Scheduled Procedure Gren 81 6 8 4 2 Requested Procedure Entity Description 2 0 2 cece eeeneeeeeeneeeeeeneeeeteneeeeeseaeeeeseaeeeseeaeeetenaeeees 81 6 8 4 3 Imaging Service Request Entity Description 81 6 8 4 4 Visit Entity Description coincida ion 82 6 84 50 Patient Entity DeSCription conocido dE Eeer vie ein ates eer asd 82 6 8 5 ModalityWorklist Mapping of DICOM Entities ooooooocnnccnnnnnnnnncccnccconencnnnccncnnccncnnnnon 82 6 8 6 Information Model Module Table 22222cc seen eee uee eee ee renee renen ennen renerne ener ennen 82 6 8 7 Information Model Keys cccccccccssccesceceneeeceneetseneeceeeeeceaestsnaesseneecseneeseaassseneesenstessness 83 6 8 8 Stupported Mat hf ic ii ita AAA int 84 6 8 9 Scheduled Procedure Step Ett 84 6 8 9 1 SOP Common Module 84 6 8 9 2 Scheduled Procedure Step Module 85 6 8 10 Requested Procedure Ent 86 6 8 10 1 Requested Procedure Module AAA 86 6 8 11 Imaging Service Request Ett 86 6 8 11 1 Imaging Service Request Module ooooinoccinnccnnncccocccnooccnonccnoncnnnnccnan cn non cn nac n nan cn ran nn ran ca ran nn naco 86 6 8 12 VISTEN aaa 87 A AE e Le IN DEE 87 6 8 12 2
142. nd pressing the Update button The choice of which of these two behaviors occurs is user configurable The Worklist Server will then initiate an association with the remote AE in order to query for the worklist A user can configure a number of parameters that directly control the worklist query request The user can request worklist items that are intended for the scanner the user is working at all items that apply to the modality of the scanner the user is working at or all worklist items available These selections and their affects on worklist query parameters are given below This Scanner Modality 0008 0060 set to CT Scheduled Station AE Title 0040 0001 set to local AE title This Modality Modality 0008 0060 set to CT Scheduled Station AE Title 0040 0001 zero length universal matching All Scanners Modality 0008 0060 zero length universal matching Scheduled Station AE Title 0040 0001 zero length universal matching The scheduled dates of procedures of interest can be specified for query by selecting a specific date range The date ranges available are Today Days Before Today Days After Today and All Days These selections and their affects on worklist query parameters are given below Today Scheduled Procedure Step Start Date 0040 0002 set to YYYYMMDD where this date is the current date Days Before Today Scheduled Procedure Step Start Date 0040 0002 set to and Days After Today
143. ner image gt Requested Procedure 0032 1060 Copied from Not used Not sent as part of Description SPS if selected image header gt Placer Order 0040 1006 Not sent as part Not used Not sent as part of Number Procedure of image header image header gt Filler Order 0040 1007 Not sent as part Not used Not sent as part of Number Procedure of image header image header gt Scheduled Procedure ID 0040 0009 Copied from Not used Copied from source SPS if selected image gt Scheduled Procedure 0040 0007 Copied from Not used Copied from source Step Description SPS if selected image gt Scheduled Action Item 0040 0008 Copied from Not used Not sent as part of Code Sequence SPS if selected image header Patient s Name 0010 0010 Copied from User input on the Copied from source SPS if selected scanner image Patient ID 0010 0020 Copied from User input on the Copied from source SPS if selected scanner image Patient s Birth Date 0010 0030 Copied from User input on the Copied from source SPS if selected scanner image Patient s Sex 0010 0040 Copied from User input on the Copied from source SPS if selected scanner image Referenced Patient 0008 1 120 Copied from Not used No item Sequence SPS if selected Performed Procedure Step ID 0040 0253 Created at the scanner Will have the following Created at the scanner Will have the following PPS_ID_ lt exam New generated may not be unique
144. ner nerne 129 A 5 13 SC Eq ipment Mod le E 129 A 5 14 Overlay Identification Module 129 A6 PET SREGIFIG IOD DEFINITION toa aa a aea ar aae e aaaea eain 130 A 6 1 PET Image lOD MOQUle S 0 aaa adaa Dele aa ani eaaa 130 A 6 2 PET IMage MoQuUlE 00 A Aires A aain Aer 131 A 6 2 1 Common Patient Entity Modules AA 131 A 6 2 1 1 Patient Module tesi He ireren s sst den a ege ha Gier eh at dees Een DCH 131 A 6 2 1 2 Discovery PEL Patton iones 131 A 6 2 2 Common Study Entity Module 131 A 6 2 2 1 General St dy Module e e Siet tata 131 A 6 2 2 2 Patient Study Melle oct ct ai iuir REE ascent iniediene 132 A 6 2 2 3 Discovery PET Exam Module usa rr ganen ae sales 132 A 6 2 3 Common Series Entity Modules AA 133 A 6 2 3 1 General Series Module ci nieri eee i ep es ee cigs Su ccbva ENNEN aendret 133 A 6 2 3 2 PEM Series Module sc scared 133 A 6 2 3 3 PET Isotope Module tic reinen erene A yee seen deed Eeer egene EEN 136 A 6 2 3 4 PET Multi gated Acquisition Module 137 A 6 2 3 5 NM PET Patient Orientation Module 137 A 6 2 3 6 Discovery PET ImageSet Module 138 A 6 2 3 7 Discovery PET Scan Module bk 138 A 6 2 4 Common Frame Of Reference Entity Modules ooooocccinnccnnnccnncconocccnonncnanccnoncnnnrccrarca narco 138 A 6 2 4 1 Frame Of Reference Module 138 A 6 2 5 Common Equipment Entity Modules ronca nan cnr orcas 138 A 6 2 5 1 General Equipment Module 138 A 6 2 6 Common Image Entity Modules oooonocconncccnncccnncccnonncnncn
145. ng Physician Referring Physician s Name 0008 0090 Requested Procedure Description Exam Description Study Description 0032 1060 Scheduled Procedure Step Start Date Not available Date 0040 0002 Scheduled Procedure Step Start Time Not available Time 0040 0003 Study Instance UID 0020 000d Study instance UID only displayed Study Instance UID if User has set the on the More Info screen preference to Use MWL Study UID Requested Procedure Id Requested Proc ID Requested Procedure ld 0040 1001 Pregnancy Status 0010 21C0 Pregnancy Status only displayed on Not available the More Info screen Medical Alerts 0010 2000 Medical Alerts only displayed on Not available the More Info screen Contrast Allergies 0010 2110 Contrast Allergies only displayed on Not available the More Info screen Special Needs 0038 0050 Special Needs only displayed on Not available the More Info screen Requested Contrast Agent Requested Contrast Agent only Not available 0032 1070 displayed on the More Info screen Current Patient Location Current Patient Location only Not available 0038 0300 displayed on the More Info screen Additional Patient History Additional Patient History only Patient History 0010 21B0 displayed on the More Info screen Note that the display of a specific data item on the More Info screen is contingent
146. ng and identification of the associated SOP Instances They do not specify any semantics about the Real World Object represented by the IOD Attribute Name Notes SOP Class UID cocoa ot SOP Instance UID 0008 001 gt Specific Character Set 0008 0005 1C CS 1 NULL Instance Creation Date 0008 0012 3 DA 1 current_date Instance Creation Time 0008 0013 3 TM 1 current_time Instance Creator UID 0008 0014 3 Ul 1 APPENDIX B PRIVATE DATA ELEMENTS Enclosed is a listing of private data elements used in this implementation for CT MR Image IOD definition B 1 CT Image IOD Private Data Elements Definition B 1 1 Private Creator Identification GEMS IDEN 01 Attribute Name Full fidelity 0009 1001 0008 1002 Proa Jee Image actual date 0009 1027 Equipment UID 0009 10E3 Note For all CT images created by Discovery system 0009 xx01 element will have the value CT_LIGHTSPEED B 1 2 Private Creator Identification GEMS_ACQU_01 VM E os fi os fi os ss fi o o os os fi ss a fi os Number of riggers mae SL Angle offrst view mag DS Trigger frequency mauer DS Sean FOV ns Jona ss Segment number 0019 1042 TSS Total segments requested 0019 1043 SS b sch sesch Attribute Name View compression factor 0019 1047 Recon post proc Flag 0019 1052 Dependent on views processed 0019 106A B 1 3 Private Crea
147. ngth PDU 5iKbytes SOP class Extended Negotiation is not supported Maximum PDU Length of Zero 0 is not supported The association request will be rejected when a request with Maximum PDU length of zero is received The maximum number of Presentation Context Items that is supported is 60 Note that the same Abstract Syntax may be offered multiple times with different Transfer Syntax The user information items sent by this product are e Maximum PDU Length and e Implementation UID 2 3 1 1 2 Number of Associations The DICOM Server AE SCU will initiate only one DICOM association at a time to perform an image store to a remote host or retrieve image s from a Remote AE The DICOM Server AE SCP can have a maximum of four DICOM associations open simultaneously to receive and store image store or respond to an echo 2 3 1 1 3 Asynchronous Nature Asynchronous mode is not supported All operations will be performed synchronously 2 3 1 1 4 Implementation Identifying Information The Implementation UID allows unique identification of a set of products that share the same implementation The Implementation UID for this ID Net v3 0 Implementation is Discovery CT Implementation UID 1 2 840 113619 6 55 Discovery PET Implementation UID 1 2 840 113619 6 131 Note CT AE and PET AE are the two different entities generating images 2 3 1 2 Association Initiation by Real World Activity This AE attempts to initiate a new assoc
148. no value available 0 0 PregnancyStatus 0010 4000 LT no value available 0 0 Patient Comments 0020 0000 UL 8 4 1 ImageGroupLength 0020 000d UI no value available 0 0 StudyInstanceUID 0032 0000 UL 64 4 1 StudyGroupLength 0032 1032 PN no value available 0 0 RequestingPhysician 0032 1033 LO no value available 0 0 RequestingService 0032 1060 LO no value available 0 0 RequestedProcedureDescription 0032 1064 SQ Sequence with explicit Length 1 32 1 RequestedProcedureCodeSequence fffe e000 na Item with explicit Length 3 24 1 Item 0008 0100 SH no value available 0 0 CodeValue 0008 0102 SH no value available 0 0 CodingSchemeDesignator 0008 0104 LO no value available 0 0 CodeMeaning fffe e00d na ItemDelimitationltem for re encoding OG 1 ItemDelimitationItem fffe e0dd na SequenceDelimitationltem for re enc 0 1 SequenceDelimitationItem 0038 0000 UL 32 4 1 VisitGroupLength 0038 0010 LO no value available 0 0 AdmissionID 0038 0050 LO no value available 0 0 SpecialNeeds 0038 0300 LO no value available 0 0 CurrentPatientLocation 0038 0500 LO no value available 0 0 PatientState 0040 0000 UL 192 4 1 ModalityWorklistGroupLength 0040 0100 SQ Sequence with explicit Length 1 136 1 ScheduledProcedureStepSequence fffe e000 na SET with explicit Length 12 128 1 Item 0008 0060 CS no value available 0 O Modality
149. on the item being enabled for display Depending on the preferences of each specific site data can either be displayed or not A GE field service engineer can assist in setting these site preferences 6 12 Setting User Preferences 6 12 1 Setting Use MWL Study UID Option Setting this option to Yes copies the Study Instance UID from work list into the final DICOM Image header If this option is set to No then a new study instance uid will be generated locally 1 Click on Patient Schedule 2 Click on Preferences button 3 Set the option Use Study Instance UID to either Yes or No 6 12 2 Setting Custom Query Option This option allows the user to enter values for Accession Number and or Requested Procedure Id which are used for Custom Query 1 Click on Patient Schedule 2 Click on Preferences button 3 Set the option Show Update Parameters to Yes 4 To do a query click on Update button A User Interface appears with provision to enter values for a Accession Number b Requested Procedure Id 7 PERFORMED PROCEDURE STEP CONFORMANCE STATEMENT 7 1 7 2 7 2 1 Introduction This section of the DICOM Conformance Statement specifies the compliance to DICOM conformance requirements for the Performed Procedure Step feature on this GEMS product Note that the format of this section strictly follows the format defined in DICOM Stan
150. on in PS3 12 The following table 3 3 3 1 3 1 defines the specific values used for this profile Table 3 3 3 1 3 1 Boot Sector for STD CTMR MOD12 conformant media Bytes s Big As Stored Description Endian 00 02 Saas OxEB3C90 Jump instruction to loader NOPs 03 10 0x4d53444F53342E30 MSDOS4 0 The formatting DOS vendor specific mo fe foen ECT 19 20 0x0000 0x0000 Flag for more than 65536 sector disk Use offset 32 value 21 OxF8 OxF8 Flag for disk type FOH if not otherwise specified T side head per disk 32 35 1163306 0x2AC01100 1163306 Total sector disk Varies from disk to disk 627509 __ Donttcare Any contents acceptable 3 4 3 1 4 Directory Information in DICOMDIR Conformant Application Entities shall include in the DICOMDIR File a Basic Directory IOD containing Directory Records at the Patient and subsidiary levels appropriate to the SOP Classes in the File set All DICOM files in the File set incorporating SOP Instances defined for the specific Application Profile shall be referenced by the Directory Records All DICOM SOP Instance files in the File set are stored in the MSDOS filesystem subdirectory GEMS and are referenced from the DICOMDIR directory records Refer to Appendix C for a complete listing of all the optional modules and optional attributes used in the DICOMDIR definition Please note that the mandatory attributes in each of the directory records as mentioned in Part 3 Addendum Basic
151. oose to either return a failure status or ignore the value provided and use its default value If Failure status is returned during N CREATE operation of Film box following action will be taken by Print SCU 0x213 Resource Limitation message will be sent 0x106 Unsupported Film Format message will be sent All other status Failure message will be sent In all the cases the print session will be terminated If Failure status is returned during N ACTION operation of Film box following action will be taken by Print SCU 0xC602 Unable to Create Print Job message will be sent All other status Failure message will be sent In all the cases the print session will be terminated If Failure status is returned during N DELETE operation of Film box following action will be taken by Print SCU All the return status Failure message will be sent and the print session will be terminated 4 3 1 2 2 3 Basic Grayscale Image Box SOP Class The Print SCU supports the following DIMSE Service Elements for Grayscale Image Box SOP Class N SET Requests the Printer to set the image box attributes The Following Attribute values are supported Attribute DICOM Tag Valid Range Default Value Image Position 2020 0010 Based on Image No Default Value Display Format Pre formatted Grayscale Image 2020 0110 Sequence Samples per pixel 0028 0002 1 Photometric Interpretation 0028 0004 MONOCHROME2 MONOCH
152. ort the association All previously received worklist items are retained On receipt of any error from the remote AE the Worklist Server will issue a C FIND CANCEL and upon receipt of a C FIND RSP or if an applicable timer expires will abort the association All previously received worklist items are retained Warnings received from the remote AE are ignored Each C FIND operation supports a configurable Association Timer This timer starts when the association request is sent or received and stops when the association is established The default time out value is 30 seconds Each C FIND operation supports a configurable Session Timer This timer starts when an association is established and stops when the association is ended The default time out value is 3600 seconds If any of the above timers expires the association is aborted A ABORT and the operation in progress is considered to be failed Any previously received worklist items are discarded 6 3 1 2 1 2 2 Record Acceptance Policy The Discovery implementation adheres to strict value checking of incoming query responses from the remote AE Each response received is examined to verify that all Type 1 attributes are present with non zero length that all Type 2 attributes are present possibly with zero length and that the data for all attributes is consistent with respect to the attributes value representation VR Any inconsistencies in the response data wit
153. ot Used Intervals Acquired 0018 1083 Scan triggers_acquired Intervals Rejected 0018 1084 Primary Counts Prompts 3 IS 1 Scan triggers_rejected 0054 1310 3 IS 1 total prompts Accumulated Secondary Counts 0054 1311 3 IS 1 n Value 1 total_delays Accumulated Slice Sensitivity Factor 0054 1320 3 DS 1 IF coefficient NULL THEN coefficient ELSE 1 0 Decay Factor 0054 1321 decay_factor Dose Calibration Factor 0054 1322 3 DS 1 activity factor 1 0e 06 convert MBq ml to Bq ml Scatter Fraction Factor 0054 1323 3 DS 1 scatter_subtracted total_counts Dead Time Factor 0054 1324 deadtime_factor Q 1 Referenced Overlay Sequence 0008 1130 3 Se 1 Not Used gt Referenced SOP Class UID Not Used gt Referenced SOP Instance 0008 1155 1 Ul 1 Not Used UID Referenced Curve Sequence 0008 1145 3 SQ 1 Not Used gt Referenced SOP Class UID 0008 1150 1 Ul 1 Not Used dias SOP Instance 0008 1155 Not Used UID Anatomic Region Sequence Not Used gt Code Value 0008 0100 Not Used gt Coding Scheme Designator Not Used gt Code Meaning Not Used gt Anatomic Region Modifier 0008 2220 3 SQ 1 Not Used Sequence ice gt gt Code Value 0008 0100 Not Used gt gt Coding Scheme Designator 0008 0102 Not Used 1 gt gt Code Meaning 0008 0104 3 JLO Not Used Primary Anatomic Structure 0008 2228 3 SQ 1 Not Used Sequence gt
154. ote Worklist SCP Server AE DICOM Standard Interface 6 2 2 Functional definitions The ModalityWorklist Worklist Server AE is implemented as an application process on the scanner host computer It runs as a daemon serving requests from the user interface to obtain modality worklists query remote AE s and return the results to the user interface The ModalityWorklist Worklist Server AE initiates the following functions e Query Initiates a DICOM association in order to query a remote AE If the remote AE accepts a presentation context applicable to modality worklist the Worklist Server AE will issue a modality worklist query request via the C FIND service 6 2 3 Sequencing of Real World Activities wech The user or the system initiates a modality worklist query as a modality worklist SCU to the modality worklist SCP with a given set of query parameters N The modality worklist SCP returns responses that match the query parameters SS Items from the returned worklist responses are presented to the user CH A subset of the returned worklist responses is included in acquired DICOM images related to the responses 6 3 AE Specifications 6 3 1 Worklist Server AE Specification This Application Entity provides Standard Conformance to the following DICOM v3 0 SOP Classes as an SCU SOP Class Name SOP Class UID Modality Worklist Information Model FIND 1 2 840 10008 5 1 4 31 6 3 1 1 Association Establish
155. ows the user to add Remove or Update the mapping of remote DICOM Printer AE Titles to IP Addresses and Ports These options can be selected from the Service Desktop camera installation utility 4 6 2 Configurable Parameters The following fields are configurable for the DICOM Print SCU AE Note All configurations should be performed by a GE Field Service Engineer Local IP Address Local IP Netmask Max PDU length The following DICOM print parameters are configurable The valid ranges are shown in earlier sections of this conformance statement Medium Type 2000 0030 Film Destination 2000 0040 Magnification Type 2010 0060 Min Density 2010 0120 Max Density 2010 0130 Empty Image Density 2010 0110 Border Density 2010 0100 Configuration Information 2010 0150 Smoothing Type 2010 0080 e The following network timers are supported and are configurable When these timers expire the association is terminated The default values are Association Time out 600 seconds Session Time out 3000 seconds total time for open association N SET Time out 300 seconds N ACTION Time out 300 seconds N CREATE Time out 300 seconds N DELETE Time out 300 seconds N GET Time out 100 seconds e Time outs which are set for all hosts are configurable in dprint cfg Association time out bi_assoc_tio Session timeout bi_session_tio Create timeout bi_ncreate_tio Note All configu
156. perations used by this SOP class support a Session Timer This timer is started when the association is established and stopped when association is ended The default time out value is 3000 seconds If any of the above timers expires the association is aborted and the operation in progress is considered FAILED 8 2 4 3 Association Acceptance Policy The GSPS AE does not respond to attempts by remote AE to open an association 8 3 COMMUNICATION PROFILES 8 3 1 Supported Communication Stacks PS 3 8 DICOM Upper Layer PS 3 8 is supported using TCP IP 8 3 2 OSI Stack The OSI Communication stack is not supported by this implementation 8 3 3 TCP IP Stack The TCP IP stack is inherited from the operating system 8 3 3 1 API Not Applicable to this product 8 3 3 2 Physical Media Support Ethernet 802 3 provides the physical network layer for this product 8 3 4 Point to Point Stack The Point to Point Stack is not supported by this implementation 8 4 EXTENSIONS SPECIALIZATION PRIVATIZATION 8 4 1 Standard Extended Specialized Private SOPs GSPS for Discovery does not implement any private SOP classes 8 4 2 Private Transfer Syntaxes GSPS for Discovery does not implement any private Transfer Syntaxes 8 5 CONFIGURATION The Exam Split feature is an option The DICOM configuration items below are configurable or re configurable by the Field Service Engineer and are not accessible by users through the Discovery s user in
157. r Abstract Syntax and Transfer Syntax names may be offered when establishing an association These are private syntax that may be ignored See section 2 4 2 3 1 2 1 2 1 SOP Specific Conformance Statement C STORE SCU This implementation can perform multiple C STORE operations over a single association Upon receiving a C STORE confirmation containing a successful status this implementation will perform the next C STORE operation The association will be maintained if possible Upon receiving a C STORE confirmation containing a Refused status this implementation will terminate the association Upon receiving a C STORE confirmation containing any status that is not Success or Refused this implementation will consider the current request to be a failure but will continue to attempt to send the remaining images in the request on the same association Each C STORE operation supports an Association Timer This timer starts when the association request is sent or received and stops when the association is established The time out is 900 seconds Each C STORE operation also supports an Operation Inactivity Timer This time out starts once the first C STORE request has been issued on association or received and is reset each time a C STORE response has been received or when subsequent C STORES are sent This time out is 900 seconds Each C STORE operation also supports a Session Timer This timer starts when the associatio
158. racer_name Intervention Drug Information 0018 0026 3 SQ 1 Not Used Sequence gt Intervention Drug Name 0018 0034 Not Used gt Intervention Drug Code 0018 0029 3 SQ 1 Not Used Sequence gt gt Code Value 0008 0100 Not Used gt gt Coding Scheme Designator 0008 0102 Not Used gt gt Code Meaning 0008 0104 Not Used gt Intervention Drug Start Time 0018 0035 Not Used gt Intervention Drug Stop Time 0018 0027 Not Used gt Intervention Drug Dose 0018 0028 3 DS 1 Not Used A 6 2 3 4 PET Multi gated Acquisition Module Attribute Name Tag Type VR VM Notes Beat Rejection Flag 0018 1080 2 CS 1 IF trig_rej_method none THEN N ELSE Y Trigger Source or Type 0018 1061 Not Used PVC Rejection 0018 1085 Skip Beats 0018 1086 Heart Rate 0018 1088 Not Used Framing Type 0018 1064 3 LO 1 A 6 2 3 5 NM PET Patient Orientation Module Attribute Name Tag Type VR VM Notes Patient Orientation Code 0054 0410 2 SQ 1 Zero length Sequence sequence gt Code Value gt Coding Scheme Designator 0008 0102 gt Code Meaning 0008 0104 gt Patient Orientation Modifier 0054 0412 2C SQ 1 Code Sequence gt gt Code Value 0008 0100 C gt gt Coding Scheme Designator 0008 0102 gt gt Code Meaning 0008 0104 Patient Gantry Relationship 0054 0414 2 SQ 1 Zero length Code Sequence sequence gt Code Value 0008 0100 1C SH 1 gt
159. rage 1 2 840 113619 4 30 Secondary Capture Storage SOP Class 1 2 840 10008 5 1 4 1 1 7 Standalone Overlay SOP Class 1 2 840 10008 5 1 4 1 1 8 5 3 1 5 Request Processing The images in the selected exam series are sent to the remote commitment provider entity using DICOM C STORE operations If there are any failures in the image transfers the Storage commitment request will not be sent The corresponding job will be marked as failed and user will be notified of the status of job If all the images are successfully transferred then the commitment request will be sent on a different association with the list of sop instances If the N Action request fails the job will be marked as failed otherwise following sequence of actions will take place The SCU waits for N Action Rsp from provider on the same association for a configurable amount of time If it does not receive N Action Rsp during this time it will close the association It changes the Job state to Wat indicating the job is waiting for the response from commitment provider The job will be marked as failed if the response is not received by stop job time Stop job time is the maximum duration the job can wait for responses A New transaction uid will be created for each retry by user The old transaction uid is not applicable for these requests The Following DIMSE service Elements are supported for the Storage Commitment request and response processing N ACTION Requests the
160. ransfer Syntax Specification The SOP instance files in the Media File set in the PRI CTMR MOD12 profile uses a non standard JPEG compression process resulting in interoperability problems when decoded using readily available industry standard JPEG decompression routines GEMS PRI CTMR MOD12 DICOM MOD JPEG Encoding Information Note Some earlier versions of that were intended to write JPEG Lossless Process Selection Value 14 1 2 840 10008 1 2 4 70 actually contained errors in byte ordering of encapsulation of fragment item tags selection of entropy coding tables and calculation of difference values from predictors These errors cause the compressed images to be unreadable by non GEMS software All future GEMS Discovery software will read but not write archive media written with these errors The early release product software had a JPEG encode routine that is called the BAD_ENCODER for the following explanation In the BAD_ENCODER produced SOS OxFFDA header the entropy coding table selector codes are 0x11 They should be 0x00 This mistake is the key that specifies the BAD_ENCODER processing problems The BAD_ENCODER computation of the pixel value difference to be entropy encoded is computed as Predictor value when it should be calculated as value Predictor 3 The result is that the decompression via industry standard packages result in a negative of the original image pixel value The BAD_ENCODER predictor value used
161. rations are performed by a GE Field Service Engineer 4 7 Support of Extended Character Set The Print SCU does not support any Extended Character Set 5 DICOM Storage Commitment SCU Conformance 5 1 Introduction This section of the DICOM conformance statement specifies the Storage Commitment Push Model SOP class as user the optional attributes and service elements supported 5 2 Implementation Model 5 2 1 Application data flow diagram Illustration 5 1 1 shows the data flow diagram of Storage Commitment SCU There is only one Real World activity that will cause the DICOM Server Application Entity DICOM Server AE to initiate an association to a remote DICOM entity that is a Service Class Provider SCP of the Storage Commitment SOP class The Choose Archive save Option Real World activity consists of an operator choosing a remote DICOM AE that supports Storage Commitment as provider as the archive device and selecting one or more exam or series from the local database and choosing either Save Exam or Save Series from the archive menu The images to be committed are sent to the remote provider entity first The Commitment request for the transferred image instances is sent after the complete image transfer The Commitment response can come on same association or on a different association There is no Real World activity required for the DICOM Server AE to respond to an incoming Storage Commitment response from the remote DICOM AE I
162. re of the request execution If the response indicates success PPS Server AE initiates a MPPS N SET request to the remote AE in order to update the MPPS SOP instance that is already created with the additional information The remote AE returns response indicating the success failure of the request execution The PPS state information is updated in the system based on the response data and is presented to the user 7 3 AE Specification 7 3 1 PPS Server AE Specification This Application Entity provides Standard Conformance to the following DICOM v3 0 SOP Classes as an SCU SOP Class Name SOP Class UID Modality Performed Procedure Step 1 2 840 10008 3 1 2 3 3 7 3 1 1 Association Establishment Policies 7 3 1 1 1 General The DICOM Application Context Name ACN which is always proposed is Application Context Name 1 2 840 10008 3 1 1 1 The Maximum Length PDU negotiation is included in all association establishment requests The maximum length PDU from an association initiated by the PPS Server AE is Maximum Length PDU 128 Kbytes The SOP Class Extended negotiation is not supported The maximum number of presentation negotiation items that will be proposed is 1 The user information items sent by this AE are e Maximum PDU Length e Implementation UID 7 3 1 1 2 Number of Associations The PPS Server will initiate only one DICOM association at any time to perform a PPS op
163. rekte dal eai aeiaai 42 3 3 1 1 File Meta Information for the Application Engt 42 E RTR ele Be Vu 43 3 3 1 2 1 Real World Activity Create Media Request coococcncccnnnccnnoccnocccnonncnancnnnnnn nan cn nn coran 43 3 3 1 2 2 Real World Activity Display Directory A 43 3 3 1 2 3 Real World Activity Copy to Local Storage ceecceesceeeeeeeeeeeeneeeeeeeeeeeeeeneeeeneeeeneeeneees 43 3 3 1 2 4 Real World Activity Update Media 44 3 4 STANDARD AUGMENTED AND PRIVATE APPLICATION PROFILES cooocccccononccccnnoncccnnnonccinanonacinannns 44 3 4 1 Class and Profile Identification oonoonincidinininnnnocnnconocccnrcncccnnnrcncnrrnnnnnrn naar 44 3 4 2 Clinical COMO Sida AA ab 45 3 4 2 1 Roles and Service Class Options 0 cccceeeceeeeceeeeeeeeeeeeeeeeeeeeeeaeeeeeeseaeeseaeeseaeeseeeseeeseeeeeeene 45 3 4 2 1 1 A te eet ele eege ee 45 3 4 2 1 2 File Set Header iii id ed ae hein diese 45 3 4 2 1 3 File Sef Update tic cuco ida eed Ai E ieee aia 46 3 4 3 Standard Application Profiles pisiman ia a a t a aada E rn sed 46 3 4 3 1 STD CTMR MOD12 Class Profile ccceeececsseeeeeeeeneeeeeeeeeaeeeeaeeseneeseaeeseaeeseaeeseeeseaeeseneeseaeene 46 3 4 3 1 1 SOP Classes and Transfer Syntax s ooococncccnnncconcncnnannnnnncnnnnnnnn nc nan can n cnn rca nn nn nn canaria 46 3 4 3 1 2 Physical Media and Media Formats AAA 47 3 4 3 1 3 Logical EE EE 47 3 4 3 1 4 Directory Information in DICOMDIR A 48 3 4 3 1 5 Other EE 49 3 4 3 1 6 Image Attri
164. renerne 64 4 6 CONFIGURATION I Er erea Ada lanai edhe ad 64 4 6 1 AE Title Presentation Address Mapping 11 ccssccccsceceenceseseceeeececeeeceenetseneeceneeetsnneeeaes 64 4 6 2 Configurable Parameters AA 64 4 7 SUPPORT OF EXTENDED CHARACTER BET 65 5 DICOM STORAGE COMMITMENT SCU CONFORMANCE cccssseeeessseeesessscenensseeenes 66 5 1 INTRODUCTION cein Ee ined Qo lee Reb ede Nee ie ee ai DSE 66 5 2 IMPLEMENTATION MODEL ee Ee 66 5 2 1 Application data flow diagram 222 eeeeenueenuenereneneenen ennen enn renen reen reen renere 66 5 2 2 Functional delion comic nn ED ir AEA dic dia ART RE er degen 67 5 2 3 Sequencing of real world activities css eaeeeneeeueennrenn reen ener eeen reen reen reen renee 67 eeng Le 67 5 3 1 DICOM Storage Commitment SCU specifications oooococccccinnccnonccinonnnnnncnnoracononnnnnnn 67 5 3 1 1 Association establishment Policies AA 67 5 3 1 1 1 EE EE 67 5 3 1 1 2 Number Of ASSOCIATIONS vertida a dr 68 5 3 1 1 3 e gellen CEET 68 5 3 1 1 4 Implementation identifying Information 68 Note CT AE and PET AE are the two different entities generating images W u u ssssenesenerener nen renere 68 5 3 1 2 Association initiation Polcyn iea ma graa go haler e ore 68 5 3 1 3 gt AS aa a a e aa aaa aaan eae e era Tor apie A a e SAAN Tanaina eian ina 68 5 3 1 3 1 Associated Real World Activity Save exam series eceeeceeseeeeeeeeeeeeeeeeeeeneeeeneetenes 68 5 3 1 3 2 Associated Real World A
165. requested optional key a zero length element will be returned Sequence matching is not supported Range matching is supported for attributes of type date and time Only hierarchical query is supported 2 3 1 3 4 Retrieve Request From Remote AE This AE is indefinitely listening for associations No operator action is required to respond to a retrieve request 2 3 1 3 4 1 Associated Real World Activity The Real World Activity associated with the Retrieve Request is to send all images corresponding to the C MOVE request to the destination AE through a separate association 2 3 1 3 4 2 Presentation Context Table Table 2 3 1 3 4 2 1 Acceptable Presentation Contexts for DICOM Server AE and Real World Activity Retrieve Request Presentation Context Table Abstract Syntax Transfer Syntax Extended Negotiation Name UD NameList UID List Study Root 1 2 840 10008 5 1 4 1 2 2 2 Implicit VR 1 2 840 10008 1 2 None Ge Little Endian 2 3 1 3 4 2 1 SOP Specific Conformance to C MOVE SCP The DICOM Server AE provides standard conformance to the baseline Study root C MOVE Service Class SCP Each C MOVE SCP operation supports an Association Timer Operation Inactivity Timer and Session Timer with time out values of 900 seconds 300 seconds and 60 minutes respectively These time outs are configurable in dcs cfg as bi_assoc_tio bi_store_tio and bi_session_tio respectively All images requested in a C MOVE RQ wil
166. ributes are expected as part of DATA Set for N Event Request from SCP Value Attribute Tag Value received from SCP Value received from SCP Value received from SCP Value received from SCP Value received from SCP In case of complete partial failure the user will be notified about the status and the job entry will be paused There is no attempt made to retry automatically the failed sop instances However the user can manually retry the failed jobs Such requests will be treated as new requests This will go through the whole sequence of operations once again The failure reason is ignored Failed SOP instances will have their archive flag information unaltered Note The archive status flag in the browser is a shared flag with local archive When the status is Y it means that the images are archived but doesn t specify whether on local archive device or remote archive device It is left to the user s discretion whether the local sop instances with their archive flag set to Y are to be deleted N Event Response will be sent on the same association itself No DATA Set will be sent along with the response 5 3 1 7 Association Acceptance Policy A single association will be accepted at any time to receive Storage Commitment responses 5 4 Communication Profiles 5 4 1 Supported Communication Stacks parts 8 9 DICOM Upper Layer Part 8 is supported using TCP IP 5 4 2 TCP IP Stack The TCP IP stack is in
167. ric shock mechanical or other hazards AVERTISSEMENT Ce Manuel de maintenance n est disponible qu en anglais Si le technicien du client a besoin de ce manuel dans une autre langue que l anglais c est au client qu il incombe de le faire traduire Ne pas tenter d intervention sur les quipements tant que le manuel Service n a pas t consult et compris Le non respect de cet avertissement peut entra ner chez le technicien l op rateur ou le patient des blessures dues a des dangers lectriques m caniques ou autres WADNUNG Dieses kundendienst Handbuch existiert nur in englischer Sprache Falls ein fremder Kundendienst eine andere Sprache ben tigt ist es Aufgabe des Kunden f r eine entsprechende Ubersetzung zu sorgen Versuchen Sie nicht das Ger t zu reparieren bevor dieses Kundendienst Handbuch zu Rate gezogen und verstanden wurde Wird diese Warnung nicht beachtet so kann es zu Verletzungen des Kundendiensttechnikers des Bedieners oder des Patienten durch elektrische Schlage mechanische oder sonstige Gefahren kommen NESS Este Manual de Servicio s lo existe en ingl s Si algun proveedor de servicios ajeno a GEMS solicita un idioma que no sea el ingl s es responsabilidad del cliente ofrecer un servicio de traducci n No se deber dar servicio t cnico al equipo sin haber consultado y comprendido este manual de servicio La no observancia del presente aviso puede dar lugar a que el provee
168. rmat for patient Name with as delimiters e f patient name in worklist has more than 32 characters then Worklist will be accepted by the server Worklist Browser will display only the first 32 characters More Info screen will display the full patient name Only the FIRST 32 characters is copied into the final DICOM image header 6 8 13 3 Patient Demographic Table 6 8 13 3 1 Patient Demographic Module Attributes ient s Bi Patient s Weight 0010 1030 Confidentiality constraint 0040 3001 on patient data i Patient s Size 0010 1020 Patient s Address 0010 1040 Attribute Name g Expected Expected Mapped Matching Returned into the Patient s Telephone 0010 2154 Numbers Ta Patient s Birth Date 0010 0030 6 8 13 4 Patient Medical Table 6 8 13 4 1 Patient Medical Module Attributes g 0500 Pregnancy Status 0010 21C0 No Displayed on More Info screen Medical Alerts 0010 2000 No Displayed on More Info screen Contrast Allergies 0010 2110 No Displayed on More Info screen a S i Attribute Name Ta Expected Expected Mapped Matching Returned into the Patient State 0038 0500 Special Needs 0038 0050 No Displayed on More Info screen Additional Patient History 0010 21B0 No Displayed on More Info screen 6 9 Private Data Dictionary The ModalityWorklist implementation does not define any
169. rocedures for split to create PPS and GSPS objects GSPS Remote Viewer PPS M anager 8 2 2 Functional Definition of AEs 8 2 3 Sequencing of Real World Activities 8 2 3 1 GSPS Acquisition System with MWL data The system has a Modality Work list Server AE installed Work List information is obtained from HIS RIS system through the use of Basic Work list Management Service Use of the information retrieved in the creation of Image SOP instance is described in the Modality Work list Conformance statement Use of the information retrieved in MPPS SOP instances is described later in this document e After Post processing Exam Split application presents associated requested Procedure s along with selected acquired Images e Exam Split application includes the necessary information related to Requested Procedure scheduled Procedure Steps and the Performed Procedure Step of the images acquired during acquisition e After User modifications on Image s user has to click on Send button to create Gray Scale Presentation State and Performed Procedure Step objects to transmit to remote host If there is any Image Orientation user will be notified about the orientation before sending to Remote Host e Exam Split will provide Host Selection user interface to select remote host to transmit of Gray Scale Presentation State object Performed Procedure Step object will be sent to default Performed Procedure Step host e After
170. ry product is handled by the DICOM Server Application Entity AE The DICOM Server AE is commanded to perform DICOM services through the buttons and menu selections on the main user interface panel Application Data Flow Diagram The Media Archive Server creates and or updates the media with various DICOM SOP instances It can process CT MR PET Secondary Capture and Overlay IOD s Illustration 3 1 Specific AE Application Model Display Directory Create Media DICOM Media EY Archive Server Media AE Storage g Local Storage Update Media 3 2 2 3 2 3 3 2 4 The Media Archive Server AE has a local storage that may contain various SOP instances These may have been obtained by original creation network DICOM or proprietary or by removable media using other application entities These instances are external to this conformance claim and the origin of SOP instances is outside the scope of this claim The Media Archive Server AE can initialize Media by acting as an FSC to create a new DICOM File set on a media It initializes the DICOM File set and writes the specified SOP instances onto the media The SOP instances written will be limited to instances that match the criteria of one of the Application Profiles that is supported When updating media a pre existing File set will be updated with the selected SOP instances that match one of the supported Application Profiles Functional Definit
171. s CT MR PET Studies on STD CTMR MOD94 Handles single 12 or 16 bit grayscale 9 4GB double side compressed uncompressed images DVD RAM media CT MR PET Studies on STD CTMR MOD52 Handles single 12 or 16 bit grayscale 5 2GB double side compressed uncompressed images DVD RAM media CT MR PET Studies on STD CTMR MOD47 Handles single 12 or 16 bit grayscale 4 7GB single side DVD compressed uncompressed images RAM media 3 4 2 Clinical Contexts This Application Profile facilitates the interchange of primary CT MR and PET images as well as processed CT MR and PET images as Secondary Capture and Standalone Overlay Images with certain defined attributes CT MR PET SC and OV images may coexist within the same File set Typical interchanges would be between acquisition devices archives and workstations within and between institutions 3 4 2 1 Roles and Service Class Options This Application Profile Class uses the Media Storage Service Class defined in PS3 4 with the Interchange Option The Application Entity shall support one or more roles of the File set Creator File set Reader and File set Updater defined in PS3 10 3 4 2 1 1 File Set Creator The Application Entity acting as a File set Creator generates a File Set under the PRI CTMR MOD12 Application Profile Class Typical entities using this role would include CT or MR or PET equipment and archive systems that generate a patient record to transfer to another institution
172. s inherited from a UNIX Operating System 2 4 2 1 Physical Media Support Ethernet v2 0 IEEE 802 3 Auto senses 10 100 Base T Ethernet connection 2 4 3 Point to Point Stack A 50 pin ACR NEMA connection is not applicable to this product 2 5 Extensions Specializations Privatizations 2 5 1 Specialized Information Object Definition Following is a list of additional private attributes defined for a standard CT IOD 0008 0008 Value 3 CT Image IOD specific specializations AXIAL LOCALIZER SEGMENTED REFORMATTED PROCESSED COMBINED Value 4 CT Image implementation specific MIN IP MIP AVERAGE VOLREN INTEGRAL HD MIP RAYSUM SURFACE MINMAX 0018 0022 Scan Options Defined Terms AXIAL MODE DYNAMIC MODE SCOUT MODE AXIAL MODE STATIC XRON MODE STATIC XROFF MODE TUBE HEAT MODE DAS MODE TUBE CAL MODE BIOPSY MODE CINE HELICAL ROTGENCAL MODE 2 5 2 Private Data Elements Refer to Appendix B for a complete listing of private data elements used with this implementation 2 6 Configuration 2 6 1 AE Title Presentation Address Mapping The Discovery system allows the user to add Remove or Update the mapping of remote AE Titles to IP Addresses and Ports These options can be selected from the Remote Host Selection menu displayed by choosing Select Remote Host from the Network pull down menu from the local database manager 2 6 2 Configurable Parameters The following fields are configurabl
173. s that the DICOM Standard will evolve to meet the user s growing requirements GE is actively involved in the development of the DICOM v3 0 Standard DICOM v3 0 will incorporate new features and technologies and GE may follow the evolution of the Standard ID Net v3 0 is based on DICOM v3 0 as specified in each ID Net DICOM Conformance Statement Evolution of the Standard may require changes to devices that have implemented DICOM v3 0 In addition GE reserves the right to discontinue or make changes to the support of communications features on its products reflected on by these ID Net DICOM Conformance Statements The user should ensure that any non GE provider which connects with GE devices also plans future evolution of the DICOM standard Failure to do so will likely result in the loss of function and or connectivity as the DICOM Standard changes and GE products are enhanced to support these changes To be kept informed of the evolution of the implementation described in this document the user should register on the GE Internet server accessible via anonymous ftp by entering his her e mail address GE Internet Server Address ftp med ge com 192 88 230 11 e Interaction It is the sole responsibility of the non GE provider to ensure that communications with the interfaced equipment does not cause degradation of GE imaging equipment performance and or function 1 6 References A list of references that are applicable to all ID Net v3
174. sage e Retrieve If a C MOVE RQ message is received the DICOM Server AE will lookup its list of configured Remote AEs for the Destination AE If the Destination AE is configured the DICOM Server AE will open a new association to the Destination AE and use C STORE RQ to send the image s The DICOM Server AE will send a C MOVE RSP message with a status of pending after every five images are sent When all images are sent or if DICOM Server AE receives a C CANCEL MOVE RQ a final C STORE RSP will be sent back with an appropriate status 2 2 3 Sequencing of Real World Activities Real World Activity Query Remote must be performed before Choose Get Option can be performed 2 3 AE Specifications 2 3 1 DICOM Server AE Specification This Application Entity provides Standard Conformance to the following DICOM v3 0 SOP Classes as an SCU 1 2 840 10008 5 1 4 1 1 128 1 2 840 10008 5 1 4 1 1 7 Storage Commitment Push Model 1 2 840 10008 1 20 1 This Application Entity provides Standard Conformance to the following DICOM v3 0 SOP classes as an SCP 1 2 840 10008 5 1 4 1 1 128 2 3 1 1 Association Establishment Policy 2 3 1 1 1 General The DICOM Application Context Name ACN which is always proposed is Application Context Name 1 2 840 10008 3 1 1 1 The Maximum Length PDU negotiation is included in all association establishment requests The maximum length PDU for association initiated by the DICOM Server AE is Maximum Le
175. selected list of SOP instances and eliminate any SOP instance that does not correspond to permissible SOP instances listed in the Application Profiles Table 3 1 1 The remaining SOP instances are written to the media that is found in the Media Archive Application disk drive The determination of the potentially applicable Application Profile is dependent on the type of media and associated software on which the AE has been invoked 3 3 1 2 4 1 Application Profiles for the RWA Update Media Request For the list of Application Profiles that invoke this AE for the Media Copy to Local Storage RWA see Table 3 1 1 For extensions and specialization s see section 3 4 3 3 1 2 4 2 Options None applicable 3 4 Standard Augmented and Private Application Profiles 3 4 1 Class and Profile Identification The Class of Application Profiles defined here is for Computed Tomography and Magnetic Resonance Imaging Clinical applications The identifier for this class is CTMR MOD The specific Application Profile in this class is shown in Table 3 3 1 1 Table 3 3 1 1 CTMR Media Profiles CT MR PET Studies on STD CTMR MOD23 Handles single 12 or 16 bit grayscale 2 3GB MOD media compressed uncompressed images CT MR PET Studies on STD CTMR MOD12 Handles single 12 or 16 bit grayscale 1 2GB MOD media compressed uncompressed images CT MR PET Studies on PRI CTMR MOD12 Handles single 12 or 16 bit grayscale 1 2 GB MOD media compressed uncompressed image
176. sent choose Add option to add the Remote AE Set Push Images option to Yes if the Remote AE needs to push images to the Local system Set Query Retrieve option to Yes if the Remote AE needs to Query Retrieve the local system When the DICOM Server AE accepts an association for image storage it will receive any images transmitted on that association and store the images on disk It will also respond to queries from Remote AEs by sending matching entries Any Remote AE can request and receive a list of images on the local database The Remote AE must be configured in the local database manager s list of Remote AE for it to be able to retrieve images from DICOM Server AE Any remote AE can open an association to the DICOM Server AE for the purpose of verification 2 3 1 3 1 Receive Image s This AE is indefinitely listening for associations No operator action is required to receive an image 2 3 1 3 1 1 Associated Real World Activity The Real World Activity associated with the Receive Image s operation is the storage of the image on the disk drive of the Discovery 2 3 1 3 1 2 Presentation Context Table Table 2 2 1 3 1 2 1 Accepted Presentation Contexts for DICOM Server AE and Real World Activity Receive Image s Presentation Context Table Proposal Abstract Syntax Transfer Syntax Extended Negotiation UID List A A CT Image Storage 1 2 840 10008 5 1 4 1 1 2 Explicit VR Little Endi
177. t Comments 0010 4000 3 LT 1 Not used A 6 2 1 2 Discovery PET Patient Refer to Section B 2 2 for details A 6 2 2 Common Study Entity Modules The following Study IE Modules are common to all Composite Image IODs which reference the Study IE These Modules contain Attributes of the patient and study that are needed for diagnostic interpretation of the image A 6 2 2 1 General Study Module Attribute Name Tag Type VR VM Notes Study Instance UID 0020 000D 1 UI 1 Study Date 0008 0020 2 DA 1 Extract date from exam datetime Study Time 0008 0030 2 TM 1 Extract time from exam datetime Referring Physician s Name 0008 0090 2 PN 1 Study ID 0020 0010 2 SH 1 Accession Number 0008 0050 2 SH 1 Study Description 0008 1030 3 LO 1 Physician s of Record 0008 1048 3 PN 1 n Not used Name of Physician s Reading 0008 1060 3 PN 1 n Diagnostician Study Referenced Study Sequence 0008 1110 3 SQ 1 Not used gt Referenced SOP Class UID 0008 1150 1C UI 1 Not used gt Referenced SOP Instance UID 0008 1155 1C Ul 1 Not used A 6 2 2 2 Patient Study Module This section defines Attributes that provide information about the Patient at the time the Study was performed Attribute Name Tag Type VR VM Notes Admitting Diagnosis Description 0008 1080 3 LO 1 n Not Used Pati
178. t installed PPS or installed Discontinue PPS is invoked not the actual end of post processing Performed Procedure Step 0040 0251 Time when all Time when all images The time Complete End Time images got got installed PPS or installed Discontinue PPS is invoked not the actual end of post processing Modality 0008 0060 Value CT is Value CT is stored Value CT is stored stored in image in image header in image header header Study ID 0020 0010 Same as exam Same as exam Copied from source number number image Performed Action Item 0040 0260 Not used Not used Not used Code Sequence Performed Series 0040 0340 One item for One item for each One item for each Sequence each series series created series created with created post processing gt Performing Physician s 0008 1050 Copied from User input on the Not sent as part of Name SPS if selected scanner image header gt Protocol Name 0018 1030 The name of the protocol selected on the scanner The name of the protocol selected on the scanner Copied from source image gt Operator s Name 0008 1070 Copied from SPS if selected and present otherwise from user input on the scanner User input on the scanner Not sent as part of image header gt Retrieve AE Title 0008 0054 Local system host name Local system host name host name of the sys
179. tatement is made and to read and update the DICOMDIR file FSU shall offer the ability to allow multi session writes additional information may be subsequently added to the volume Standard Application Profiles The Media Archive Server supports the standard Application Profile CTMR MOD as an FSC FSR or FSU 3 4 3 1 STD CTMR MOD12 Class Profile 3 4 3 1 1 SOP Classes and Transfer Syntax s This class of Application Profiles is based on the Media Storage Service Class with the Interchange Option See PS3 4 SOP Classes and corresponding Transfer Syntax s supported by the STD CTMR MOD12 Application Profiles is also specified in the Table 3 4 3 1 1 1 Table 3 4 3 1 1 1 IOD s and Transfer Syntax s for CTMR MOD Application Profiles Information FSC FSR FSU Definition Basic 1 2 840 10008 1 3 10 Explicit VR Little Endian M M M Directory Uncompressed 1 2 840 10008 1 2 1 CT Image 1 2 840 10008 5 1 4 Explicit VR Big Endian M O Storage 1 1 2 Uncompressed 1 2 840 10008 1 2 2 CT Image 1 2 840 10008 5 1 4 JPEG Lossless Process M O Storage 1 1 2 Selection Value 14 1 2 840 10008 1 2 4 70 MR Image 1 2 840 10008 5 1 4 Explicit VR Big Endian M O Storage 1 1 4 Uncompressed 1 2 840 10008 1 2 2 MR Image 1 2 840 10008 5 1 4 JPEG Lossless Process M O Storage 1 1 4 Selection Value 14 1 2 840 10008 1 2 4 70 Information FSC FSR FSU Object SOP Class UID Transfer Syntax and UID Req Req Req Defini
180. tem Attribute Name Tag Usage in MPPS Instance created within the series the series Acquisition Acquisition Post Processing with MWL data without MWL data gt Referenced Image 0008 1140 One item for One item for each One item for each Sequence each image image created within image generated by post processing gt Referenced Standalone SOP Instance Sequence 0040 0220 Not sent as part of image header Not sent as part of image header Not sent as part of image header gt All other attributes from Performed Series Sequence which Table F 7 2 1 of DICOM standard PS3 4 does not explicitly list Radiation Dose Module and Billing and Material Code Module which Table F 7 2 1 of DICOM standard PS3 4 does not explicitly list Not sent as part of image header Not sent as part of image header Not sent as part of image header Not sent as part of image header All other attributes from Not sent as part of image header Not sent as part of image header Note 1 e value INPROGRESS e When PPS end N SET message is sent this element will have either COMPLETE or DISCONTINUE based on user selection 7 11 USE OF SPECIFIC DICOM DATA 7 11 1 Patient Level Attribute Name Patient Name 0010 0010 Copied from SPS if selected Patient ID 0010 0020 Copied from SPS if selected Patient Birthdate 0010 0030 Copied from SPS if sel
181. terface 8 5 1 AE Title Presentation address Mapping Exam Split allows for the configuration of the following parameters that pertain to the remote AE e Remote GSPS AE IP Address IP Address used to contact the remote GSPS AE e Remote GSPS IP Port IP Port used to contact the remote GSPS AE e Remote GSPS AE Title Application Entity Title used to contact the remote GSPS AE e Remote HES AE IP Address IP Address used to contact the remote HES AE e Remote HES IP Port IP Port used to contact the remote HES AE e Remote HES AE Title oe Entity Title used to contact the remote 8 5 2 Configurable Parameters The Following are configurable for the GSPS Remote Host IP address Remote Host port Remote AE Title VES_ORIENTATION environment variable for enable disable Flip Rotate functionality in VES e Changesplit_mode lt HES VES gt 8 6 SUPPORT OF EXTENDED CHARACTER SETS GSPS feature for Discovery does not support any extended character set 8 7 ERROR HANDLING AND RECOVERY Exam Application has an extended error codes and the standard error codes are also handled If the sending GSPS PPS objects request has failed or response is not received before the association timeout the operation is deemed Failed and the system updates the state and indicates the same on the user interface If the operation is Failed detailed message is logged into system log file and system provides an alternative mechanism to retry the failed op
182. tion PET Image 1 2 840 10008 5 1 4 Explicit VR Little Endian M O Storage 1 1 128 Uncompressed 1 2 840 10008 1 2 1 PET Image 1 2 840 10008 5 1 4 JPEG Lossless Process M O Storage 1 1 128 Selection Value 14 1 2 840 10008 1 2 4 70 GE Private 1 2 840 113619 4 3 Explicit VR Little Endian M O PET Raw Data 0 Uncompressed Storage 1 2 840 10008 1 2 1 SC Image 1 2 840 10008 5 1 4 Explicit VR Big Endian M O Storage 1 1 7 Uncompressed 1 2 840 10008 1 2 2 SC Image 1 2 840 10008 5 1 4 JPEG Lossless Process M O Storage 1 1 7 Selection Value 14 1 2 840 10008 1 2 4 70 Standalone 1 2 840 10008 5 1 4 Explicit VR Big Endian O Overlay 1 1 8 Uncompressed 1 2 840 10008 1 2 2 Standalone 1 2 840 10008 5 1 4 JPEG Lossless Process O Overlay 1 1 8 Selection Value 14 1 2 840 10008 1 2 4 70 M Mandatory O Optional Note The Media Archive Application chooses the JPEG Lossless compression selection value 1 as the default transfer syntax for storing images on the media But the transfer syntax is selectable on a per media basis at install time using a method defined by the Application 3 4 3 1 2 Physical Media and Media Formats The CT MR PET Application Profiles in the STD CTMR MOD12 require the 130mm 1 2GB 512 Byte per Sector Magneto Optical Rewriteable physical media with the PC File System as defined in PS3 12 3 4 3 1 3 Logical Format The STD CTMR MOD12 Application profile media format conforms to the Logical Format specificati
183. tion to the contrary is provided 6 8 8 Supported Matching The following are the types of matching that can be request by the implementation e Single Value matching e Universal Matching e Range of date time 6 8 9 Scheduled Procedure Step Entity 6 8 9 1 SOP Common Module Table 6 8 9 1 SOP Common Module Attributes Attribute Name Tag Expected Expected Mapped Matching Returned into the Key Type Key Type Image Specific Character Set 0008 0005 O 1C No Matching for this item is supported only for the character set ISO_IR 100 This value is always sent and therefore must be returned 6 8 9 2 Scheduled Procedure Step Module Table 6 8 9 2 Scheduled Procedure Step Module Attributes Attribute Name Scheduled Procedure Step 0040 0100 Sequence Scheduled Station AE 0040 0001 Title Tag Scheduled Procedure Step Start Date 0040 0002 Scheduled Procedure Step Start Time Modality 0008 0060 Scheduled Performing 0040 0006 Physician s Name Scheduled Procedure 0040 0007 Step Description Scheduled Station Name 0040 0010 Scheduled Procedure 0040 001 1 Step Location Scheduled Action Item 0040 0008 Code Sequence Code Value 0008 0100 Coding Scheme 0008 0102 Designator Code Meaning 0008 0104 Pre Medication 0040 0012 Scheduled Procedure 0040 0009 Step ID Requested Contrast 0032 1070 Agent 0040 0003 Expected Expected Matching Returned
184. tor Identification GEMS RELA 01 B 1 4 Private Creator Identification GEMS STDY 01 Attribute Name Start time secs in first axial 0023 1070 B 1 5 Private Creator Identification GEMS IMAG 01 pe 0027 1020 SS 0027 1035 SS 0027 1042 FL 0027 1043 FL 0027 1044 FL 0027 1045 FL Normal A coord Normal S coord Table start location Table end location 0027 1047 FL 0027 1050 0027 1051 B 1 6 Private Creator Identification GEMS_PARM_01 Attribute Name Window value X ray chain Number of overranges Delta start time Max overranges in a view Tag 0043 1010 0043 1012 0043 1016 0043 101E 0043 101F Start scan to X ray on delay Duration of X ray on 0043 104D 0043 104E AttributeName Tag Corrected after glow terms 0043 1021 0043 1025 No views ref chans blocked 0043 1026 Scanpitchratio Loggt 0043 1028 Private Scan Options 0043 102B 0043 1031 Trigger on position 0043 1040 Degree of rotation 0043 1041 0043 1042 0043 1043 DAS output source 0043 1044 0043 1045 DAS cal mode 0043 1046 Start scan to X ray on delay Duration of X rayon 0 B 1 7 Private Creator Identification GEMS HELIOS 01 Note DICOM elements 0045 1030 1033 and 0045 1036 1039 are present only if the appropriate cardiac option is installed on the scanner Attribute Name Tag VR Number of Macro Rows in 0045
185. ules nennen 166 D 1 4 Discovery PET RAW Data Equipment Entity Modules ooooicicnnccnnnconnccccoccccnnnneos 166 D 1 5 Discovery PET RAW Data Frame Entity ModuleS 22c2cccee senere ener enn ener erne 166 D 1 6 General MOGUICS oia aA a E RE A EEG 167 D 1 6 1 SOP Common Module Atributes aen ne renerne renen reen renerne renerne 167 1 SECTION 1 INTRODUCTION Note Throughout this entire document the term Discovery refers to the following Discovery products Discovery ST Discovery RX Discovery STE 1 1 Overview Section 1 Introduction provides general information about the content and scope of this document Section 2 Network Conformance Statement is the DICOM v3 0 Conformance Statement related to this product Conformance Statements define the subset of options selected from those offered by the DICOM v3 0 standard Section 3 Media Storage Conformance Statement is the DICOM v3 0 Conformance Statement related to Media Storage Application Profile Section 4 Print SCU Conformance Statement is the DICOM v3 0 Conformance Statement related to DICOM Print SCU Application This product uses DICOM Print SCU to print the images to DICOM Compliant Printers Section 5 DICOM Storage Commitment SCU is the DICOM v3 0 Conformance Statement related to DICOM Storage Commitment SCU Application This product uses DICOM Storage Commitment Push Model to store the images using remote DICOM entity which is Storage Commitment SCP Se
186. urrently in the selected exam series will be sent to the selected remote archive node which is also the Storage commitment SCP using DICOM C STORE operations Once all the images are transferred the commitment request will be sent on a separate association 5 3 1 3 2 Associated Real World Activity Auto Archive exam series The Auto archive API s are used to archive the exams series onto local archive media or the remote archive node which shall be a Storage Commitment SCP without manual interface If the default device selected for Auto Archive is a remote Storage Commitment SCP then all the images currently in the specified exam series will be sent to the selected Storage commitment SCP using C STORE operations On successful transfer of all the images the Storage Commitment request will be sent 5 3 1 4 Proposed Presentation Contexts The Proposed Presentation Context table for the DICOM Storage Commitment SCU is as shown in following Table Presentation Context Table Abstract Syntax Transfer Syntax Extended Storage Commitment 1 2 840 10008 1 20 1 DICOM Implict VR Little 1 2 840 10008 1 2 None Push Mode SOP Gass __ endian mae Sid Sid CS The Storage Commitment SCU can send the commitment request for following DICOM 3 0 SOP classes CT Image Storage SOP Class 1 2 840 10008 5 1 4 1 1 2 MR Image storage SOP Class 1 2 840 10008 5 1 4 1 1 4 PET Image Storage 1 2 840 10008 5 1 4 1 1 128 GE Private PET Raw data sto
187. users of the Discovery system Image Installation If the image installation is unsuccessful a message will appear in the Message Log informing the user of the failure and the image will be removed If the image installation process finds that an element is not encoded according to the DICOM standard it will fail to install the image and the file will be removed Image Installation of non GE Created MR or CT or PET Images Images received from non GE products are installed as appropriate image object without any of their private data elements Also if some critical fields mandatory are missing then the image will not be installed 2 3 1 3 2 Verification Request from Remote AE This AE is indefinitely listening for associations No operator action is required to respond to a verification message 2 3 1 3 2 1 Associated Real World Activity The Real World Activity associated with the verification request is to send a C ECHO response message with a status of success to the requesting AE 2 3 1 3 2 2 Presentation Context Table Table 2 2 1 3 2 2 1 Acceptable Presentation Contexts for DICOM Server AE and Real World Activity Verification Request Presentation Context Table Abstract Syntax Transfer Syntax Extended Negotiation eee Name List UID List EEN 1 2 840 10008 1 1 Implicit VR Little Endian 1 2 840 10008 1 2 2 3 1 3 2 2 1 SOP Specific Conformance to C ECHO SCP The DICOM Server AE provides standard conformance to
188. verlay IOD s Note All other modules that are mandatory and attributes that are type 1 amp 2 in nature per the DICOM standard are supported by this implementation but are not explicitly listed here A 1 CT Specific IOD Definition A 1 1 CT Image IOD Modules rai tay Ian image Plane Jan image Piet Onl the ype elements are sent corales ASE Torm Jus BR oo asa sor commen Jann A 1 2 CT Image Module Attribute Name Tag Type Notes 8 KV 0018 0060 Value always sent Acquisition Number 0020 0012 Value always sent Scan Options 0018 0022 Value always sent Data Collection Diameter 0018 0090 Value always sent Reconstruction Diameter 0018 1100 3 Value sent for all images except scouts Distance Source to Detector 0018 1110 Value always sent Distance Source to Patient 0018 1111 Value always sent Gantry Detector Tilt 0018 1120 Value always sent Table Height 0018 1130 3 Value always sent a Attribute Name Rotation Direction Exposure Time X Ray Tube Current Exposure Filter Type Focal Spot Convolution Kernel Tag Notes 0018 1140 Not sent for scout or axial 0018 1150 Value always sent 0018 1152 Value always sent 0018 1160 0018 1190 0018 1210 3 3 Value always sent Sent Defined terms BODY FILTER BOWTIE FLAT FILT FLAT FILTER LARGE BOWTIE FIL Sent Fixed value of 0 7 or 1 2 Not sent for s
189. will not be present Requested Procedure Id 0040 1001 Copied from SPS if selected Scheduled Procedure 0040 0009 Copied from SPS if selected Step Id Scheduled Procedure 0040 0007 Copied from SPS if selected Step description Scheduled Action Item 0040 0008 Copied from SPS if selected MESA LIT Created at the scanner The string PPS_ID_ lt examnumber gt is used start date start time Performed Procedure Step Exam description is used description 8 Grayscale Presentation State 8 1 Introduction This section of the DICOM Conformance Statement specifies the compliance to DICOM conformance requirements for the Grayscale Presentation State GSPS referred to as the Exam Split option feature on this GEMS product Note that the format of this section 8 2 strictly follows the format defined in DICOM Standard PS 3 2 Conformance Please refer to that part of the standard while reading this section The Exam Split option for Discovery allows a GSPS object to be sent to any remote host that supports the display of images using GSPS The Exam Split feature provides the DICOM Modality GSPS service as a service class user SCU This feature works in conjunction with DICOM Modality Work list feature if installed However the conformance of this feature is dependent on Modality work list feature For information on conformance of Modality Work List feature to DICOM standard please refer to the appropriate s
190. y Description Performed Protocol Code 0040 0260 Set as Empty Sequence sequence Performed Series 0040 0340 Exam Split Sequence Application will Rescale Type 0028 1054 calculate and copy from Image s Study and set these sequence values Exam Split Application will set this value Referenced Performed Procedure Step Sequence 0008 1111 Exam Split Application will calculate and set these sequence values Manufacturer 0008 0070 Exam Split Application will set as GE MEDICAL SYSTEMS Instance Number 0020 0013 Exam Split Application will set as OFFIS_DCMTK_ 341 Presentation label 0070 0080 This will be set as Requested Procedure Code Meaning or Requested Procedure Description Presentation Description 0070 0081 Exam Split Application will set as Exam Split Presentation Create Date 0070 0082 Exam Split Application will calculate Presentation Create 0070 0083 Exam Split Time Application will calculate Presentation creators 0070 0084 Exam Split name Application will set this value as null Referenced Series 0008 1115 Copied from Sequence source image Displayed area selection 0070 005A Exam Split sequence Application will calculate values for Window Width Window Level pan and zoom Softcopy VOI LUT Sequence 0028 3110 Exam Split Application will calculate and

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