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LightSpeed and BrightSpeed Dicom Conformance

1. gt Scheduled Procedure Step Description 0040 0007 gt Scheduled Action Item Code Sequence 0040 0008 gt Scheduled Procedure ID 0040 0009 gt Requested Procedure ID 0040 1001 122 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED DICOM CONFORMANCE STATEMENT 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 Attributes 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 i
2. 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 3 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 2 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 Study Description 0008 1030 Value from user interface sent Name of Physician s 0008 1060 3 Sent if entered at the user interface Reading Study A 3 3 Patient Study Module Attribute Name Tag Type Notes 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 128 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED DICOM CONFORMANCE STATEMENT A 3 4 Genera
3. Changed timeout value to 60 seconds for Association Timer and changed Operation Inactivity Timer to be defined by bi_move_tio instead of bi_store_tio in section 2 3 1 3 4 2 1 Added CTINTERVENTION and FLUORO for 0008 0008 in section 2 5 1 Change 1 0 to Helios Ver1 in section 3 2 4 Added AXIAL XRON MODE AXIAL XROFF MODE and FLUORO MODE to 0018 0022 and deleted DYNAMIC MODE to 0018 0022 in section 2 5 1 6 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT REV DATE 2 8 2007 REASON FOR CHANGE Changed Action Item to Protocol Code in section 6 8 9 2 1 continued Changed Association timeout to 120 and Session timeout to 1200 in section 4 6 2 Changed 0008 1199 to 0008 1198 in section 5 3 1 6 2 Changed Study Component to Performed Procedure Step in section 7 11 3 Changed Referenced Results Sequence to Referenced Study Sequence in section 8 8 Changed Filter Types to Body Head or Medium in section A 1 2 Added CHST and BONEPLUS for 0018 1210 in section A 1 2 Added 0045 1034 ActualPctRpeakDelay to section B 1 7 Private Creator Identification GEMS_HELIOS_01 Modified 6 8 9 2 Scheduled Procedure Step Module to indicate that up to 5 Scheduled Action Item Code Sequence items are mapped into the image Modified 6 8 10 1 Requested Procedure Module to indicate that 1 0008 1110 Reference Study Sequence is
4. DICOM Standard Interface 76 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 6 2 2 Functional definitions The ModalityWorklist Worklist Server AE is implemented as an application process on the scanner host computer lt 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 h 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 o Items from the returned worklist responses are presented to the user A 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 SOP Classes as an SCU SOP Class Name SOP Class UID Modality Worklist Information
5. gt Referenced Study 0008 1110 Copied from Not sent as part of Not sent as part of Sequence SPS if selected image header image header gt Accession Number 0008 0050 Copied from User input on the Copied from source SPS if selected scanner 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 scanner 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 Protocol Code 0040 0008 Copied from Not used Not sent as part of Sequence SPS if selected image header Patient s Na
6. 0008 1115 Copied from source image Displayed area selection sequence 0070 005A Exam Split Application will calculate values for Window Width Window Level pan and zoom 121 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT ee A __ _ _ Ac HHHAAAAAAAAAAAKAKAxK AAAK S gt _ _ A eee Softcopy VOI LUT Sequence 0028 3110 X Exam Split Application will calculate and copy the from acquired Image s Image Horizontal flip 0070 0041 Exam Split Application will calculate from Image Orientation Image Rotation 0070 0042 Exam Split Application will calculate from Image Orientation Presentation LUT Shape 2050 0020 Exam Split Application will set as IDENTITY SOP Class UID 0008 0016 Exam Application will set as 1 2 840 10008 5 1 4 1 1 11 1 SOP Instance UID 0008 0018 Copied from acquired study Specific Character Set 0008 0005 Copied from acquired study Referenced Patient Sequence 0008 1120 Scheduled Step Attribute Sequence 0040 0270 Xp Xx ei X Copied from source image Originally from SPS sequence gt Accession Number 0008 0050 gt Referenced Study Sequence 0008 1110 gt Study Instance UID 0020 000D gt Requested Procedure Description 0032 1060
7. 0032 1060 gt Requested Procedure Code Sequence 0032 1064 gt Scheduled Procedure Step Description 0040 0007 gt Scheduled Protocol Code Sequence 0040 0008 119 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT eee Eee gt Scheduled Procedure ID 0040 0009 gt Requested Procedure ID 0040 1001 Performed Station AE Title 0040 0241 Exam Application will set as Host name Performed Station Name 0040 0242 Exam Application will set as Host name Performed Location 0040 0243 Exam Application will set as Host name Performed Procedure Step 0040 0244 X Exam Split Start Date Application will calculate and same time will use in GSPS Performed Procedure Step 0040 0245 X Exam Split Start Time Application will calculate and same time will use in GSPS Performed Procedure Step 0040 0250 Exam Split End Date Application will calculate Performed Procedure Step 0040 0251 Exam Split End Time Application will calculate Performed Procedure Step 0040 0252 Set as In Status Progress Performed Procedure Step 0040 0253 X Will be set as ID Requested Procedure ID 0040 1001 from 0040 0275 Performed Procedure Step 0040 0254 X This will be set as Description Requested Procedure Code Meaning If Code Mea
8. 3 S Number ofAverages 001810083 3 SS Spacing Between Sios ooreoogs 3 SSCS Data Collection Diameter 0018 0090 3 Geste Route oosa 3 SS Trigger Time L lz Reconstruction Diameter m ng 8 FGantryiDetector Tit 0018120 3 Convolution Kemel L 8 miam L lz Image Number mann 1 Image Orientation Patient 0020 0037 18 Frame of Reference UID 0020 0052 1C Absent from PRI CTMR MOD12 CET ooon zl Samples PerPmel oosa A Photometie Interpretation 0028 0004 R Absent rom al proties Ros 0 il oe o0 a S Piel Spacing oso aS Pets located mal nl Bisso 0026010 A MAI Absent irom profes men 0028 0102 R MRI Absent rom profes 138 of 140 139 of 140 GE Healthcare 3000 N Grandview Blvd Waukesha WI 53188 U S A www gehealthcare com Imagination at work
9. 3 MEDIA STORAGE CONFORMANCE STATEMENT cccesceecesssecesesesceneesseceeseensseeeeessesenens 43 KAN INTRODUCTION cut ioe A A A E ay aie Di a eel 43 3 2 IMPLEMENTATION MODEL MOD ARCHIVE SERVER ssssssssessseeseestrestrtstnnsrnstrnstnnstnnstnnssrnnsennnnt 43 3 2 1 Application Data Flow Diagram 2c cccccccecesceeneecccececeneeeseaesseneeecenetesaseteneeeseneessnneteas 43 3 2 2 Functional Definitions Of Ae 44 3 2 3 Sequencing of Real World Activities 44 3 2 4 File Meta Information for Implementation Class and Version 44 3 3 AE SPECIFICATIONS isien iii aa i aaia E Dia 45 3 3 1 MOD Archive Specification 0 ceccceeccccsseceenceceneeesnaeessneeceneeessnaesseeeecenesssaseseaeecsennereaness 45 3 3 1 1 File Meta Information for the Application Emtmty AA 45 3 3 1 2 Real World Activities aiiin eeni lt ie a a 46 3 3 1 2 1 Real World Activity Create MOD PHeouest 46 3 3 1 2 1 1 Application Profiles for the RWA Create MOD 46 3 3 1 2 2 Real World Activity Display Directory oooooocononcccnonaccnonancnnnnonccnnnnrn no nnnnn cnn rnrn cnn nana nnnnnnns 46 3 3 1 2 2 1 Application Profiles for the RWA MOD Directory Listing ooooocnnccnnnninnncnnninnconnncos 46 a a O A A 46 3 3 1 2 3 Real World Activity Copy to Local Storage cnn 46 3 3 1 2 3 1 Application Profiles for the RWA Copy to Local Gtorage 47 O A A 47 3 3 1 2 4 Real World Activity Update MOD ceeeceeeeeeeeeeeeeeeeeneeeeeeeeaeeeeaeeeeseeeeaeeeseeeeeeese
10. 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 SOP Classes as an SCU SOP Class Name SCU SOP Class UID Verification Echo 1 2 840 10008 1 1 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 Secondary Capture Image Storage 1 2 840 10008 5 1 4 1 1 7 Study Root Query Retrieve FIND 1 2 840 10008 5 1 4 1 2 2 1 Study Root Query Retrieve MOVE 1 2 840 10008 5 1 4 1 2 2 2 25 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT Storage Commitment Push Model 1 2 840 10008 1 20 1 PET Image Information Storage 1 2 840 10008 5 1 4 1 1 128 This Application Entity provides Standard Conformance to the following DICOM SOP classes as an SCP 2 Secondary Capture Image Storage 1 2 840 10008 5 1 4 1 1 7 Study Root Query Retrieve FIND 1 2 840 10008 5 1 4 1 2 2 1 Study Root Query Retrieve MOVE 1 2 840 10008 5 1 4 1 2 2 2 PET Information Storage 1 2 840 10008 5 1 4 1
11. Mapped Matching Returned into the Patient State 0038 0500 No Pregnancy Status 0010 21C0 No Displayed on More Info screen Medical Alerts 0010 2000 2 No Displayed on More Info screen Contrast Allergies 0010 2110 2 No Displayed on More Info screen Special Needs 0038 0050 2 No Displayed on More Info screen Additional Patient History 0010 21B0 Displayed on More Info screen 6 9 Private Data Dictionary The ModalityWorklist implementation does not define any Private Attributes within the Modality Worklist Information Model 92 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED DICOM CONFORMANCE STATEMENT 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 LightSpeed user interface can submit a worklist query that will cause non zero values to
12. na SequenceDelimitationItem for re enc 0 1 SequenceDelimitationItem 0038 0000 UL 32 4 1 VisitGroupLength 0038 0010 LO no value available 0 0 AdmissionID 93 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT ee eee ee 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 SO Sequence with explicit Length 1 136 1 ScheduledProcedureStepSequence fffe e000 na Item with explicit Length 12 128 1 Item 0008 0060 CS no value available 0 O Modality 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 Seq 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
13. requests image storage Retrieve from remote Q R SCP Verify Request AR RA Image Remote stored and 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 local database manager to send the image s to a selected destination Push Series or Push Image from the Network pull down menu on the 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 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 23 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 2 2 2 3 Real World Activity Choose Get Option will be available once the Query Remote activi
14. 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 SequenceDelimitationltem 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 1004 LO no value available 0 0 PatientTransportArrangements 0040 1005 LO no value available 0 0 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
15. 000D Copied from SPS if selected Study ID 0020 0010 Scanner generated study ID Referring Physicians name 0008 0090 Copied from SPS if selected number from the first selection determined by Accession Number 0008 0050 If multiple SPS s are selected then accession the user is used Referenced Study Sequence 0008 1110 Copied from SPS if selected Ref SOP class uid 0008 1150 Ref SOP Instance uid 0008 1155 7 11 3 Series Level otherwise generated from user input on scanner Procedure Step Sequence HIS RIS is selected for scanning 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 will not be present Requested Procedure Id 0040 1001 Copied from SPS if selected l Step Id Step description Scheduled Action Item 0040 0008 Copied from SPS if selected Code Sequence E Created at the scanner The string PPS_ID_ lt examnumber gt is used start date start time Performed Procedure Step 0040 0254 description 111 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 8 Grayscale Presentation State 8 1 8 2 Introduction This section of the DICOM Conformance Statement specifies the compliance to DICOM conf
16. 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 ESO WE 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 Directory IOD containing Directory Records at the Patient and subsidiary levels appropriate to the SOP 53 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 B
17. 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 Length PDU 51 Kbytes 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 26 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 2 3 1 1 3 Asynchronous Nature Asynchronous mode is not supported All operations will be performed synchronously 2 3 1 1 4 Implementatio
18. 1001 SH 3456 4 1 RequestedProcedureID User will be able to enter the values for Patient Id prior to the query If value is entered then that value will be sent as part of the query For example if 6789 is entered then 0010 0020 LO 6789 4 1 PatientID User will be able to enter the values for Patient Name prior to the query If value is entered then that value will be sent as part of the query For example if Lastname Firstname is entered then 0010 0010 PN Lastname Firstname 18 1 PatientName 95 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 6 11 Use of Specific DICOM Data This section details the use of the DICOM data returned by remote AEs during worklist queries The LightSpeed 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 LightSpeed DICOM Image Data Element Accession Number 0008 0050 Req Number Accession Number Supports maximum of 16 characters Supports maximum of 16 characters Supports maximum of 32 characters to calculate age Patients Sex 0010 0040 Sex 0008 0090 0032 1060 Scheduled Procedure Step Start Not available Date 0040 0002 Scheduled Procedure Step Start Time Not available
19. 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 and 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 78 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 Day
20. 69 5 2 2 elo TEE 70 5 2 3 Sequencing of real world activities ooonnooconinidinicinnncnnnnnncccccccnnorccnnnrcnrnrncc rn rnnrnnnnn 70 11 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT o A A eee NET 70 5 3 1 DICOM Storage Commitment SCU specifications ooonococoniccniniciconccononnnnancccarnononnnnn 70 5 3 1 1 Association establishment policies AAA 70 5 3 1 1 1 Generali italia 70 5 3 1 1 2 Number of aSSOCIAlIONS cuota cine 71 5 3 1 1 3 Asynchronous nature ui aiii 71 5 3 1 1 4 Implementation identifying information cc eeeeseeeeeeneeeeeeneeeeeeneeeeteeaeeeeesaeeeesenneeeeeeaaes 71 5 3 1 2 ASSOCIATION INITIATION POICY vota tp darle taeda tee peda 71 531 3 Real World Activity NN 71 5 3 1 3 1 Associated Real World Activity Save examM seriesS c ooococinnicinninnncocnncncnncnconencnnncnnn cnn 71 5 3 1 3 2 Associated Real World Activity Auto Archive exvamisertes AA 71 5 3 1 4 Proposed Presentation Contexts oooooccinocccocccoooccconccnoncnnanccnancn nan conan nn nan cn ran nn ran nn nana n rana n nana ncannnins 71 5 3 1 0 Request PrO CASSO t esc pettus ceaesk begs e salaeseeneaiedensaiceseysascnsdeshac sesiantap aaetecpeviartase 72 51 6 RESPONSE Processing EE 73 5 3 1 6 1 Commit response with SUCCESS status 73 5 3 1 6 2 Commit response with FAILURE Status ooooconcccinccnnnccconcccnocnnancccnnnn nano nc nn rann crac 74 5 3 1 7 Associatio
21. 7 Implicit VR Little Endian 1 2 840 10008 1 2 Image Storage Implicit VR Big Endian 1 2 840 113619 5 2 GE Private Explicit VR Little Endian 1 2 840 10008 1 2 1 Explicit VR Big Endian 1 2 840 10008 1 2 2 PET Image Storage 1 2 840 10008 5 1 4 1 1 12 Implicit VR Little Endian 1 2 840 10008 1 2 8 Explicit VR Little Endian 1 2 840 10008 1 2 1 Explicit VR Big Endian 1 2 840 10008 1 2 2 Note The SCP does not have a default acceptance policy if more than one acceptable transfer syntax is proposed by the SCU It is the responsibility of the SCU to make a selection from more than one transfer sentences accepted 2 3 1 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 34 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 tha
22. 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 82 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 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 workl
23. Image 1 2 840 10008 5 1 4 1 1 12 Implicit VR Little Endian 1 2 840 10008 1 2 None Storage 8 Explicit VR Little Endian 1 2 840 10008 1 2 1 Explicit VR Big Endian 1 2 840 10008 1 2 2 Note Other 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 GES Study Root 1 2 840 10008 5 1 4 1 2 2 Implicit VR Little 1 2 840 10008 1 2 None Query Retrieve 1 Endian FIND 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 60 seconds Each C STORE operation also supports an Operation Inactivity Timer This time o
24. Level Keys Image number Jp 00200013 Zero length image type O 0008 0008 Zero length Columns O 0028 0011 Zero length Image position O 0020 0032 Zero length Image orientation O 0020 0037 Zero length Rows LH 0028 0010 __ Zero length 30 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT Description Type Tag Value Slice thickness 0018 0050 Zero lengh Slice spacing Jo Jg Zero ength Ganty tit o Sd 0018 1120 Zero length Convolution keme Jo 0018 1210 Zerolengh Reconstruction diameter O 0018 1100 Zerolengh Data collection diameter O 0018 0090 Zerolengh Fipage Jo Jg Zerotength Echo number Jo gg Zerolengh Echo time o 008 0081 Zero length inversion time o mmer Zero length Repetition time o oo18 0080 Zero length Private Creator Identification P 0019 00xx GEMS_ACQU 7 Dovre Jr Laang Zero Length DiovRect SSS di 0 x Zero Length Midscan Time Jr 019024 Zero Length Age Number ot Echo eps aan Zero Length Zero Length Zero Length Azimuth e L gegg Zero Lengthy Number of Echo e Logg Zero Length Private Creator Identification P 0021 00xx GEMS_RELA 01 Scout Anes Jr 024 Zero Length Private Creator Identification P 0027 00xx GEMS_IMAG_OT Location RAS P 002740 Zero Length Location e oox zero Length Center R Coordinate Jr o027xx42
25. 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 Statement 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
26. Media Storage Application Profile Section 4 Print SCU Conformance Statement is the DICOM 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 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 Section 6 HIS RIS Modality Worklist The ModalityWorklist option for LightSpeed 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 LightSpeed 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 LightSpeed 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 MR IOD Appendix C specifies the DICOMDIR directory information 17 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICO
27. Model FIND 1 2 840 10008 5 1 4 31 6 3 1 1 Association Establishment 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 77 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 Implementation is ModalityWorklist for LightSpeed 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 LightSpeed user interface 6 3 1 2 1 Real World Activity Worklist Query 6 3 1
28. Presentation Address Mapping The LightSpeed 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 configurable for the DICOM Server AE e Local AE Title the machine hostname e Local IP Address e Local IP Netmask e Max PDU length e 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 LightSpeed system receives DICOM incoming TCP connections is port 4006 41 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 2 7 Support of Extended Character Sets In addition to the DICOM default character set LightSpeed supports the ISO IR 100 Latin alphabet 1 supplementary set for the purpose of interchange 42 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 3 MEDIA STORAGE CONFORMANCE STATEMENT 3 1 Introduction This conformance statement specifies the LightSpeed conformance
29. Record Referenced SOP Instance UID in File 0004 1511 Present only in IMAGE Directory Record Referenced Transfer Syntax UID in File 0004 1512 Present only in IMAGE Directory Record 136 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED DICOM CONFORMANCE STATEMENT 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 Tag Type Notes ae men tes JL men II Accession Nameer mee 2 Study Description men 2 Study Instance D maen e 00200010 SS C 3 3 Series Keys Attribute Name Tag Type Notes Specific Character Set image Type 00080008 3 Manufacturer s Id 00080070 3 J o S Series Number 0020 0011 i Jooo Specific Character 29 Image Tye Modality Manufacturers Series Description Manuf Model Name Series Instance UID Series Number 137 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT C 3 4 Image Keys Attribute Name Tag Type Notes Sequence Variant L 3 Slice Thiokness mme 8 Repeition Time osoo
30. Referring Physician Name Patient Date of Birth Patient Sex Patient Weight in kg 0010 0030 0010 0040 0010 1030 80 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 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
31. Relationship Model 83 6 8 4 Entity D SCHIDLUONS yc ici 84 6 8 4 1 Scheduled Procedure Gren 84 6 8 4 2 Requested Procedure Entity Description cnn nnnr cnn rra ocn nnnannnnnns 84 6 8 4 3 Imaging Service Request Entity Description 84 6 8 4 4 Visit Entity Description ics att Eed AER Ee 85 6 8 4 5 Patient Entity Description ooococonnccninnncccononcccnnnncnnnnnancnnnnnnnnnn nac r cnn nn ener enero 85 6 8 5 ModalityWorklist Mapping of DICOM Entities aosaoeneeeeeennneneeeennenenenenennnenenneenreeenene 85 6 8 6 Information Model Module Table sssasssaeeeeeneeeneeeneeennnennnennnennnnennnennnernnerrneerneeenenene 85 6 8 7 Information Model K ys A pan iaaa kna dania ooann ai aaa aa iaa iana iaa 86 6 8 8 Supported Matching iia a OO ee Ses 87 6 8 9 Scheduled Procedure Step Ett 87 6 8 91 SOP Common Modules ere eetes Oe iii aid 87 6 8 9 2 Scheduled Procedure Step Module AAA 88 6 8 10 Requested Procedure Ent 89 6 8 10 1 Requested Procedure Module ececceeceseneeeeseneeeeneneeeeneecenenseneeseseneesensaaeeseseaseneeeenenensiaeenens 89 6 8 11 Imaging Service Request Ett 90 6 8 11 1 Imaging Service Request Module 90 6 8 12 USE lacada a ts 90 6 8 12 1 Visit Identification sce asin en diese a pl a 90 EE TEE 90 0 3 1 2 3 Visit Relationships cit ias 91 0 3 12 4 VISIT AQMISSION conoscan 91 6 8 13 Patient Entity it ii AAA Ai 91 6 8 13 1 Patient Relationships enia ee tk niente ieee ied dE EE dEREdNENdeec 91 6 8 1
32. SC and OV Images Attribute Ge Modality 0008 0060 CT MR Photometric Interpretation 0028 0004 MONOCHROME2 Bits Allocated 0028 0100 Bits Stored 0028 0101 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 See PS3 4 SOP Classes and corresponding Transfer Syntax s supported by the STD CTMR MOD23 Application Profiles is also specified in the Table 3 3 3 1 1 1 52 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 NA OxEB3C90 Jump instruction to loader NOPs 03 10 0x4d53444F53342E30 MSDOS4 0 The formatting DOS vendor specific 2 File Allocation Tables FAT 19 20 0x0000
33. 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 one authorized 84 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 6 8 5 6 8 6 A Patient is a person receiving or registered to r
34. Transfer SYNMAxeS csccccccecssececeeresssaecseneeceneeesaaseseneecsnaeessasssasaesseneesenensenaes 104 T6 CONFIGURATION serre a ad dai 104 7 6 1 AE Title Presentation address Mapping oocoiccccinccononcconocicnnccononcnononnnnnncncnornncnnnnnn 105 7 6 2 Configurable Parameters sssneessnneennneeennneennnneernnneerrrnneernnnerrrnnernrnneernnneeeenneeeen neee 105 7 7 SUPPORT OF EXTENDED CHARACTER SETS onnccccccononccnnnnnnnnnnnnoncnnnnnonnnnnnnonnnnnnnannncnnnnns 105 7 8 N CREATE 8 NSET REQUEST MESSAGE 105 7 9 ERROR HANDLING AND RECOVERY codocccconocccccononcccnononcnnnononcnccononnnnnnanonnnnnnnnnnnncnarnncncanos 107 7 10 USE OF SPECIFICIDICOM DATA EEN 108 7 11 USE OF SPECIFIC DICOM DATA 110 7 11 1 Patient Level coi A a A ti A a 110 7 11 2 EE 111 7 11 3 IAEA A NOS 111 8 GRAYSCALE PRESENTATION STATE ccs sccccsssseceessseeceensseeceensececesnseoeeeenseeseensseeenenssoes 112 8 1 INTRODUCTION 502 dEr A ae ia ea ea an AAA dE Ae 112 8 2 IMPLEMENTATION MODEL 00 A a cid 112 8 2 1 Application Data Flow Diagram ooooooococonccccononcccnononccccnnonnccnnnonnnc cnn nonnc cnn norn nn nr nnrnnnnnnnnns 113 8 2 2 Functional Definition Of AE raris iata n etna eE EAEE ENAT EEEE AEE EERE E 113 8 2 3 Sequencing of Real World Aciivites rra 113 8 2 3 1 GSPS Acquisition System with MWL data 113 8 2 4 GSPS Server AE Specification s ccccsccecescssesceceececeensessascseeneecenssesaseseneeseeenersanens 114 8 2 4 1 Association
35. acquired image s 118 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED DICOM CONFORMANCE STATEMENT ee _ _______Qzz _______ zz __ eee eee Referring Physician s Name 0008 0090 Copied from acquired image s Study ID 0020 0010 Copied from acquired image s Referenced Study Sequence 0008 1110 Copied from acquired image s Modality 0008 0060 Copied from acquired image s Study Description 0008 1030 Xp Xp X Xp X 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
36. 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 box following action will be taken by Print SCU 0x213 Resource Limitation message will be sent 0x106 Unsupported Film Format message will be sent 64 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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
37. be returned If the database does not have a value corresponding to any 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 38 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 MATAN E e Study Root 1 2 840 10008 5 1 4 1 2 2 2 Implicit VR 1 2 840 10008 1 2 SCP None Query Retrieve Little Endian MOVE 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 3 66 Each C MOVE SCP operation supports an Association Timer Operation Inactivity Timer and Session Timer with time out values of 60 sec
38. be sent for these attributes Table 6 10 1 C FIND Request Message Dump 0008 0000 UL 108 4 1 IdentifyingGroupLength 0008 0005 CS ISO_IR 100 12 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 16 1 Item 0008 1150 UI no value available 0 0 ReferencedSOPClassUID 0008 1155 UI no value available 0 0 ReferencedSOPInstanceUID fffe e00d na ItemDelimitationItem for re encoding 0 1 ItemDelimitationItem fffe e0dd na SequenceDelimitationItem for re enc 0 1 SequenceDelimitationItem 0008 1120 SQ Sequence with explicit Length 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 availabl
39. 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 Setthe 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 ld 97 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 7 PERFORMED PROCEDURE STEP CONFORMANCE STATEMENT 7 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 Standard PS 3 2 Conformance Please refer to that part of the standard w
40. mapped into the image Added 0010 0010 Patient Name and 0010 0020 Patient ID to the worklist query in section 6 10 Modified 8 9 2 Accession Number to indicate that 0008 0050 Accession Number outside of the 0045 0275 sequence is always filled in with 1 Accession Number even in the grouped case Removed references to MR modality in Appendix A and Appendix B Removed section A 3 A 4 10 and A 4 13 that reference Standalone Overlay IOD which is retired Corrected subsection references in A 1 1 CT Image IOD Modules Removed reference to interchange option in throughout document Changed Dicom 3 0 to Dicom and added a Note explaining Dicom means Dicom 2007 thoughout the document Changed Action Item to Protocol for 0040 0008 in section 7 10 Removed QX l and added BrightSpeed in Caution box in A 1 2 Updated product and s w release list 7 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT Page Left Intentionally Blank 8 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 1 TABLE OF CONTENTS O A TO 9 1 SECTION 1 INTRODUCTION coccconoocccccnnonccccnnnnccccnnnnc cc conan cra rre enn n rr rnnnne rr nnn nnn errar errar rene 16 dal OM EI a o o ea dee ado et de 17 1 2 OVERALL CONFORMANCE STATEMENT DOCUMENTATION STRUCTURE ccccococcconcccconcccnnnnnnancncancccnns 18 1 3 INTENDEDAUDIE
41. must be exactly 8 numeric characters in YYYYMMDD format Scheduled Procedure 0040 0003 This attribute is sent with zero length Step Start Time Returned values must be exactly 6 numeric characters in HHMMSS format Modality 0008 0060 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 Scheduled Performing 0040 0006 This attribute is sent with zero length Physician s Name Scheduled Procedure 0040 0007 Step Description Scheduled Procedure 0040 0011 Step Location Scheduled Protocol Code 0040 0008 Up to 5 Scheduled Action Item Code Sequence Sequence Items are mapped into the image if they system is configured to support Code Value 0008 0100 Coding Scheme 0008 0102 Designator Code Meaning 0008 0104 Scheduled Procedure 0040 0009 Step ID Requested Contrast 0032 1070 Agent Deg aa 88 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 Image User can enter the value for Requested Procedure ld prior to query If user has entered the value then that valu
42. 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 required for performing the procedure is supplied through the user interface of the system The use
43. 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 LightSpeed e Based on whether contrast was used or not the following applies for CT Images created by LightSpeed 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 amp The string Oral amp IV contrast IV Contrast agent e Supported field length for DICOM fields A 2 SC Specific IOD Definition A 2 1 SC Image IOD Modules Entity Name Module Name Reference Usage Paien Paien ASA OM study General Study asa OM rose Jans Lu C lt lt Series General Series AA OM Equipment General Equipment ABS PSC Equipment AE Ju image General mage ABS OM image piel On the ype elements are M lt lt lt Cc lt 126 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED DICOM CONFORMANCE STATEMENT TA EE SC Image Not sent consists entirely of M type 3 element LG Modality LUT Only the type 1C elements are sent C S0P Common 127 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT A3 CT SC IOD Common Module Definitions A 3 1 Patient Module Attribute Name Tag Type Notes
44. 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 Negotiation ae as UID List 1 2 840 10008 5 1 4 1 1 2 Implicit VR Little Endian 1 2 840 10008 1 2 SCU None CT Image Storage Implicit VR Big Endian GE 1 2 840 113619 5 2 Private Explicit VR Little Endian 1 2 840 10008 1 2 1 Explicit VR Big Endian 1 2 840 10008 1 2 2 MR Image Storage 1 2 840 10008 5 1 4 1 1 4 Implicit VR Little Endian 1 2 840 10008 1 2 27 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT Presentation Context Table Proposal Abstract Syntax Transfer Syntax Extended Negotiation UID Lit Implicit VR Big Endian GE 1 2 840 113619 5 2 Private Explicit VR Little Endian 1 2 840 10008 1 2 1 Explicit VR Big Endian 1 2 840 10008 1 2 2 1 2 840 10008 5 1 4 1 1 7 Implicit VR Little Endian 1 2 840 10008 1 2 Secondary Capture Implicit VR Big Endian GE 1 2 840 113619 5 2 Image Storage Private Explicit VR Little Endian 1 2 840 10008 1 2 1 Explicit VR Big Endian 1 2 840 10008 1 2 2 Study Root l 2 840 10008 5 1 4 1 2 2 Implicit VR Little 1 2 840 10008 1 2 Query Retrieve Endian MOVE Class Endian PET
45. 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 LightSpeed 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 60 seconds 15 seconds and 60 minutes respectively 32 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 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 t
46. 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 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 94 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED DICOM CONFORMANCE STATEMENT User will be able to enter the values for Requested Procedure ld 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
47. this implementation 7 4 3 TCP IP Stack The TCP IP stack is inherited from the operating system 103 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 7 4 3 1 API Not Applicable to this product 7 4 3 2 Physical Media Support Ethernet 802 3 provides 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 LightSpeed does not implement any private SOP classes 7 5 2 Private Transfer Syntaxes PPS for LightSpeed 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 LightSpeed s user interface 104 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED DICOM CONFORMANCE STATEMENT 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
48. 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 abort 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 79 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 LightSpeed implementation adheres to strict
49. while parsing a GE Data Set the user is well advised to ignore those data elements per the DICOM 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 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 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 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 t
50. 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 Closes the association for sending the commitment request Receives the response 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 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 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 70 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 10Kbytes 5 3 1 1 2 Number of associations A single association i
51. 0 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 User input on the scanner Not sent as part of image header 109 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT Attribute Name Tag Usage in MPPS Instance Acquisition with MWL data Acquisition without MWL data Post Processing from user input on the scanner gt Retrieve AE Title 0008 0054 Local system Local system host host name of the host name name system 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 created within the the series post processing series gt Referenced Standalone SOP Instance Sequence 0040 0220 Not sent as part of image header Not sent as part of image header No
52. 2 Number of Associations The PPS Server will initiate only one DICOM association at any time to perform a PPS operation 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 DICOM Implementation is PPS Feature for LightSpeed 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 standard 102 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED DICOM CONFORMANCE STATEMENT 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
53. 3 2 Patient IdentifiCatiOn siiiu it it ieeenani one ENEE 91 6 9 1 3 3 GEERT ue Ee UE ER 6 8 13 4 Ee e ER 6 9 PRIVATE DATA Blende EE 92 6 10 C FIND REQUEST MESSAGE ccccceeeceeeeceeeeeeeaeeeeaeeceeneecaaaeeseaaeseeeeeceaeeeeaaesseaeeseeeeessaeeeseaeeeeaes 93 6 11 USE OF SPECIFIC DICOM Dar EEN 96 6 12 SETTING USER PREFERENCES n on nnaiseoosnennnasnor1rn1nrnasnerrrnnrnnnnsnrsrrnrnnnnsnrorrnenransnrrrrnennansseornene 97 6 12 1 Setting Use MWL Study UID Option ooococcccinccococicononiconacananacononcnnnnannnnro cono nnncnnnnnnn 97 6 12 2 Setting Custom Query Op ion rene 97 7 PERFORMED PROCEDURE STEP CONFORMANCE STATEMENT cccssseeresssceeees 98 7 1 INTRODUCTION ti EEEE oe Cth colds eect es cote elas doo er dias etd on 98 7 2 IMPLEMENTATION MODEL eene Eed EEN 98 7 2 1 Application Data Flow Diagram ooooonccccicccononccnncccconccononnncnnancn nn cc cnn 98 7 2 2 Functional Definition Of Ate 99 7 2 3 Sequencing of Real World Aciivtes 99 7 2 3 1 PPS from Acquisition System with MWL data cee eecceeeeeeeeeeeeeeeeeeeeeeeaeeeeeeeseaeeseeeeseaeeseaeenias 99 7 2 3 2 PPS from acquisition system without MWL data 0 0 eeeeeceeeeeeeeeeeeeeeeeeeeeseaeeseaeeeeeeseeeeeaeene 100 7 2 3 3 PPS from post processing system 101 Al ANE SPECIFICATION soii ie Wild tii 101 7 3 1 PPS Server AE ZGpechtcation 101 7 3 1 1 Association Establishment Policies AAA 102 7 3 1 1 1 Generali cional A 102 7 3 1 1 2 Number of Assoc
54. 8 DICOM Upper Layer PS 3 8 is supported using TCP IP 115 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 LightSpeed does not implement any private SOP classes 8 4 2 Private Transfer Syntaxes GSPS for LightSpeed 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 LightSpeed s user interface 116 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED DICOM CONFORMANCE STATEMENT 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
55. 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 Local IP gateway e 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 LightSpeed does not support any extended character set 7 8 N CREATE amp NSET REQUEST MESSAGE PPS Feature for LightSpeed 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 105 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 corre
56. 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 is 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 CTINTERVENTION Value 4 CT Image implementation specific MIN IP MIP AVERAGE VOLREN INTEGRAL HD MIP RAYSUM SURFACE MINMAX FLUORO 40 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 0018 0022 Scan Options Defined Terms AXIAL MODE SCOUT MODE AXIAL XRON MODE AXIAL XROFF MODE STATIC XRON MODE STATIC XROFF MODE TUBE HEAT MODE DAS MODE TUBE CAL MODE BIOPSY MODE CINE HELICAL ROTGENCAL MODE FLUORO 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
57. Based on Image No Default Value Display Format Samples per pixel 0028 0002 1 Pre formatted Grayscale Image 2020 0110 Sequence Photometric Interpretation 0028 0004 MONOCHROME2 MONOCHROME2 Image Dependent Image Dependent 0028 0010 Bits Allocated es 0101 High Bit 0028 0102 7 0028 0100 7 Pixel Representation 0028 0103 0 unsigned integer 0 unsigned integer Polarity 2020 0020 NORMAL NORMAL 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 65 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 attr
58. DICOM CONFORMANCE STATEMENT 2 SECTION 2 NETWORK CONFORMANCE STATEMENT 2 1 Introduction This Conformance Statement CS specifies the LightSpeed and BrightSpeed compliance to DICOM It details the DICOM Service Classes and roles that are supported by this product in its version 1 0 The LightSpeed 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 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 LightSpeed 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 The DICOM Server AE is also listening to a pre defined port for incoming connections 22 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 2 2 1 Application Data Flow Diagram ILLUSTRATION 2 0 IMPLEMENTATION MODEL DATA FLOW DIAGRAM Choose Push Option Image Stored locally Retrieve SCP DICOM SERVER AE DICOM Standard Image Remotely Stored Query Get Request Remote system
59. EALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 LightSpeed 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 LightSpeed 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 Remote Worklist SCP Server AE
60. ECTION 5198351 100 Rev 1 LIGHTSPEED DICOM CONFORMANCE STATEMENT B 1 3 Private Creator Identification GEMS RELA_01 Attribute Name Series from which Prescribed 0021 1003 Series Prescribed From 0021 1035 0021 1036 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 0027 EE pe 0027 1044 0027 1045 B 1 6 Private Creator Identification GEMS_PARM_01 VR Corrected after glow terms 0043 1021 Reference channels 0043 1025 No views ref chans blocked 0043 1026 133 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT Tag 0043 1043 0043 1044 0043 1045 0043 1064 B 1 7 Private Creator Identification GEMS_HELIOS_01 Note Dicom elements 0045 1030 1034 and 0045 1036 1039 and 0045 103B are present only if the appropriate cardiac option is installed on the scanner Number of Macro Rows in Detector 0045 1001 SS 1 0045 1004 0045 1005 0045 1006 Minimum DAS value 0045 100A Maximum Offset Value 0045 100B Start View 2A 0045 1010 0045 1011 Start View 1A 0045 1012 Sigma Mode 0045 1013 SS 134 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED DICOM CONFORMANCE STATEMENT Attribute Name EkgFullMaStartPhase 0045 1036 EkgFullM
61. Establishment Police 114 8 2 4 1 1 ETETE c eee ee one eee 114 8 2 4 1 2 Number of Ee Ee 114 8 2 4 1 3 Asynchronous Nature iii eee vee aid ne eee ed 114 8 2 4 1 4 Implementation Identifying Information 114 8 2 4 2 Association Initiation Policy 114 8 2 4 2 1 Real World Activity GG 115 8 2 4 2 1 1 Associated Real World Activity AAA 115 8 2 4 2 1 2 Proposed Presentation Context Table ooooococonnncccnnnoccccnooonoconnnnnononnncnnnanonnnnnnnnnanonnnos 115 8 2 4 3 Association Acceptance Policy 115 8 3 COMMUNICATION PROFILES S airearena ea aa ieiet aaar ENEE ieia nn naar nn VAEN 115 8 3 1 Supported Communication Stacks PS 39 115 8 3 2 OST SLACK iria A A E E ATE dived E vs Shae A ETES ORE EA ATA 116 8 3 3 TC PIP AOK e ia dia atlas tada 116 8 3 3 1 PA E ETE EE O EEEE E E E NO 116 8 3 3 2 Physical Media Support ccccceeccceeesneceeseeeceseneeeeeseaeeesecaeeeeseaeeeeseneeeesseeeeseeeeessenseeeseaes 116 8 3 4 Pontio PIIN SLACK criata E Ee dd d vvenegededinestedeihedes 116 8 4 EXTENSIONS SPECIALIZATION PRIVATIZATION o oooococccccononcccnononcnncononnncnanoncncnanannncnnanos 116 8 4 1 Standard Extended Specialized Private GOPe 116 8 4 2 Private Transfer ZGkrniaxves nenret 116 H GONFIGUBATION ici tad Seek AE T eE EE A Rad 116 8 5 1 AE Title Presentation address Mapping ooccoocccconccicoccconocicnncconononononnncnncccnornncnnnnnn 117 8 5 2 Configurable Parameierg cnn 117 8 6 SUPPORT OF EXTENDED CHARACTER SETS nncccccc
62. GE Healthcare LightSpeed and BrightSpeed Dicom Conformance Statement for DICOM 2007 ID Net v3 0 Refer to section 1 for a list of products in the LightSpeed and BrightSpeed families to which this Conformance Statement applies 5198351 100 Rev 1 O 2007 General Electric Company All Rights Reserved GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT Page Left Intentionally Blank 2 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT LEGAL NOTES TRADEMARKS All products and their name brands are trademarks of their respective holders OMISSIONS 8 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 2007 by the General Electric Company All rights reserved 3 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED 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 War
63. 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 LightSpeed 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 operation through the user interface to ensure that transient failures do not affect the feature performance 117 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 8 8 Use of Specific DICOM Data The following table gives sp
64. HTSPEED DICOM CONFORMANCE STATEMENT 66 Each C FIND SCU operation supports an Association Timer Operation Inactivity Timer and Session Timer with time out values of 60 seconds 300 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 Server 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 Screen Save images are supported Table 2 2 1 2 2 2 1 1 Requested Study Level Keys Tag Study date R_ 0008 0020 Zerolength Study time R_ 0008 0030 Zerolength Patient s name R 0010 0010 Zerolength Study id R 0o2000t0 Zero length Study description Jo ooo81030 _ Zero length Private Creator Identification 1 000900xx GEMS IDEN 01 Suited Rf 0009 xx02 Zero Length Table 2 2 1 2 2 2 1 2 Requested Series Level Keys Description sss sd Type Tag Value Modality JB ooo8 060 Zero length Series number TR 0020 0011 Zerolengh_ Series description JO 0008 103E Zero length Manufacturer J9 00080070 Zerolength Images in series JO 0020 1002 Zerolength Table 2 2 1 2 2 2 1 3 Requested Image
65. ICOM CONFORMANCE STATEMENT 4 3 1 2 2 2 Basic Film box SOP 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 Configuration 2010 0150 Printer Dependent Set in Configuration File Information F 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 Note denotes that the attribute is optional for the SCU However we do provide values for all of these optional
66. Image number O R Type Tag Usage 37 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT Description Type Tag Usage 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 0021004A Retumed Location RAS P 0027 0040 Returned Location P 0027 0041 Returned Center R Coordinate P 00270042 Returned Center A Coordinate P 0027 0043 Returned Table Start Location P 0027 0050 Returned Table End Location P 00270051 Returned RAS Letter for Side of Image P 00270052 Returned RAS Letter for Anterior Posterior__ P 1 0027 0053 Returned RAS Letter for Scout Start Location P _ 00270054 Returned RAS Letter for Scout End Location P 0027 0055 Returned Image DimensionX____ P 0027 0060 Returned Image DimensionY P 00270061 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
67. M CONFORMANCE STATEMENT 1 2 Overall Conformance Statement Documentation Structure The documentation structure of the ID Net v3 0 Conformance Statements and their relationship with the DICOM 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 Lightspeed Prod uct Conformance Statement Implementation Direction 5168904 100 Conformance Statement Direction DICOM STANDARD Standard DICOM V 3 0 Specification Part1 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 18 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT This document specifies the DICOM implementation supported by the LightSpeed It is entitled LightSpeed and BrightSpeed Conformance Statement for DICOM 2007 ID Net v3 0 Direction 519835 1 100 This Conformance Statement documents the DICOM Conformance Statement and Technical Specification required to interoperate with the GE ID Net v3 0 network interface Introductory information which i
68. NCE act e ee 19 1 4 SCOPE AND FIELD OF APPLICATION cccceeseeeceseeececsesscaececeesesccesseaseceeeeececseseeaeseeeeseeesestsaeeeeess 20 1 5 IMPORTANT REMARKS condado de ds e dat oe ce dd de o ees 20 1 6 REFERENCES a e Ee o la elo a e Lo rd 21 1 7 DEFINITIONS ar a de bares a de o a AA A AE atl AE 21 1 8 SYMBOLS AND ABBREVIATIONS scccccsccccsesessceseeececseseaaesecececeseneseeaeaeseseeseneseaseaeceseeeeeeseasaeeess 21 2 SECTION 2 NETWORK CONFORMANCE STATEMENT ccccssseecesssceesesseceneeseeseeees 22 AEN keelen EE 22 2 2 SO a aaea a a aiaia i aiaia a ia eaka 22 2 2 1 Application Data Flow Diagram ooooonccccinccononiconncicocccononnnnnancn cnc cnn 23 2 2 2 Functional Definition OFAESS 0ieoiin soii ilatina iaa akaa 24 2 2 3 Sequencing of Real World Aciivtes 25 20 MAE SPECIFICATIONS dee aa a eee da ali dos 25 2 3 1 DICOM Server AE Specification 2 ccccscccssseccenceceeececeenesenseseceeeeceesssaeseeneecsenseteneees 25 2 3 1 1 Association Establishment PoliCY AA 26 2 3 1 1 1 General ie ee EEN 26 2 3 1 1 2 Number of ASSOCIations ida ed Eder 26 2 3 1 1 3 Asynchronous EE 27 2 3 1 1 4 Implementation Identifying Information A 27 2 3 1 2 Association Initiation by Real World Activity AA 27 2 3 1 2 1 Push Image s to Remote TEE 27 2 3 1 2 1 1 Associated Real World Activity AA 27 2 3 1 2 1 2 Proposed Presentation Contexts ceecceeeceeeeeeceeeeeeeeeseeeeeeeeeseaeeeeeeeseaeeeeeeeseaeeseaeersas 27 2 3 1 2 2 Que
69. OD12 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 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 defined 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 refer
70. Point to Point Communication Stack is not supported by this implementation 81 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 6 5 Extensions Specializations Privatizations 6 5 1 6 5 2 Standard Extended Specialized Private SOPs ModalityWorklist for LightSpeed does not implement any private transfer SOP classes Private Transfer Syntaxes ModalityWorklist for LightSpeed 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 below are configurable or re configurable by a Field Service Engineer and are not accessible by users through the LightSpeed 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
71. REER LDS DEA GAS GEMS LME EA AFB NAREDNE O E BRS NDA EVEN AO E RO RECI SOE SATA E Se COV PAV AAT VAL RT IC REO UA eg e BW EP EV E ES NR E NDA SE SUL BES AD ERRADA ZOO ER O AET TREED HYNES EE HUME FOE BK gt JE GEMS ARIEI ABR ARABI HE TEE ER FIAT TRAE MAA gt TERETE gt RE UE A BATE Ra AR gt HAR SORE gt 5 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT REVISON HISTORY REV J DATE 2 8 2007 REASON FOR CHANGE Added BrightSpeed to the title page and headers footers Added the website to the Advantage Workstation advanced applications DICOM Conformance Statements in Section 1 Introduction Modified section 5 Storage Commit to indicate that the storage commitment request association is closed after it is sent and the response is received on a separate association Added PET Image Storage through out section 2 Added reference to BrightSpeed in section 2 1 Added a note to table 2 2 1 2 2 2 1 1 indicating type P means private dicom element Changed timeout value to 60 seconds for Association Timer and 300 seconds for Operation Inactivity Timer in sections 2 3 1 2 1 2 1 and 2 3 1 2 2 2 1 Change timeout value to 60 seconds for Association Timer and 15 seconds for Operation Inactivity Timer in section 2 3 1 3 2 2 1 Removed reference to Fmt column in section 2 3 1 2 1 2 1 Removed typo after Patient Name in table 2 3 1 3 3 2 1 1
72. S lt lt Z lt 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 124 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED DICOM CONFORMANCE STATEMENT uge Name 1 pe pe Tue CS Filter Type 0018 1160 3 Sent Defined terms BODY FILTER MEDIUM FILTER HEAD FILTER Focal Spot 0018 1190 Sent Fixed value of 0 7 or E Convolution Kernel 0018 1210 3 Not sent for scouts Defined terms SMOOTH SOFT STANDARD DETAIL BONE BONEPLUS CHST EDGE SHARP LUNG Table Feed per Rotation 0018 9310 Sent for spiral scan only CT Pitch Factor 0018 9311 Sent for spiral scan only It is possible for the operator of CT LightSpeed and BrightSpeed systems 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 125 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT A 1 2 1 Implementation Specific details e Forall CT Images created by LightSpeed 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
73. TSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 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 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 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 message 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
74. 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 Id 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 96 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED DICOM CONFORMANCE STATEMENT Note that the display of a specific data item on the More Info screen is contingent 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
75. 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 48 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 statement 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 3 4 3 Standard Application Profiles The MOD 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 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 Object SOP Class UID Transfer Syntax and UID Req Req Req Definition Basic 1 2 840 10008 1 3 10 Explicit VR Little Endian Directory
76. Uncompressed 1 2 840 10008 1 2 1 CT Image 1 2 840 10008 5 1 4 Explicit VR Big Endian Storage 1 1 2 Uncompressed 1 2 840 10008 1 2 2 CT Image 1 2 840 10008 5 1 4 JPEG Lossless Process 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 Storage 1 1 4 Uncompressed 1 2 840 10008 1 2 2 MR Image 1 2 840 10008 5 1 4 JPEG Lossless Process bw Storage 1 1 4 Selection Value 14 1 2 840 10008 1 2 4 70 SC Image 1 2 840 10008 5 1 4 Explicit VR Big Endian Storage 1 1 7 Uncompressed 1 2 840 10008 1 2 2 SC Image 1 2 840 10008 5 1 4 JPEG Lossless Process Storage 1 1 7 Selection Value 14 1 2 840 10008 1 2 4 70 MN MN WM deel GEZ WM 49 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT Information FSC FSR FSU Definition Standalone 1 2 840 10008 5 1 4 Explicit VR Big Endian Overlay 1 1 8 Uncompressed 1 2 840 10008 1 2 2 Standalone 1 2 840 10008 5 1 4 JPEG Lossless Process Overlay 1 1 8 Selection Value 14 1 2 840 10008 1 2 4 70 M Mandatory O Optional 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 3 4 3 1 2 Physical Media and Media Formats The CT MR Applicatio
77. Zero Length Center A Coordinate P 0027xx43 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 Poste ior P 0027xx58 Zero Length RAS Letter tor Scout Start Location P 0027xx54 Zero Length RAS Letter for Scout End Location P 0027xx55 Zero Length image Dimension X P 0027xx60 Zero Length mage Dimensony P o027xx61 Zero Length Note1 Refer to section 2 3 1 2 2 1 for Custom Search Query option Note2 Type P refers to a private dicom element 2 3 1 2 3 Get Image s from Remote AE 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 31 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 a
78. a The MOD 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 MOD For the list of Application Profiles that invoke this AE for the Create MOD 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 MOD Archive Application acts as an FSR when requested to provide a directory listing When an MOD 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 MOD 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 MOD Archive Application acts as an FSR when copying from th
79. aEndPhase 0045 1037 EkgModulationMaxMa 0045 1038 EkgModulationMinMa 0045 1039 NoiseReductionImageFilterDesc 0045 103B 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 0049 1001 0049 1002 0049 1003 0049 1006 0049 1007 0049 1008 1 256 NumReconSectors 0049 100B 1 RpeakTimeStamps 0049 100C 256 135 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT APPENDIX C DICOMDIR DIRECTORY INFORMATION Enclosed here is a listing of only the optional conditional modules and optional attributes used by this implementation 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 GI Basic Directory IOD Definition Module Reference Usage Directory Information B X 3 2 1 DICOM PS3 10 C 2 Directory Information Module Attribute Name pos e pe CE Offset of the Next Directory Record 0004 1400 DEER Record In use Flag 0004 1410 Offset of Referenced Lower Level Directory 0004 1420 Entity Directory Record Type 0004 1430 PATIENT STUDY SERIES and IMAGE Referenced File ID 0004 1500 Present only in IMAGE Directory Record Referenced SOP Class UID in file 0004 1510 Present only in IMAGE Directory
80. 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 ssssssessnn 1 e LightSpeed Implementation UID 1 2 840 113619 6 55 e Implementation Version Name Helios Ver1 44 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 3 3 AE Specifications 3 3 1 MOD Archive Specification The MOD Archive provides standard conformance to DICOM 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 MOD Update nas wennen Row ne Supported STD CTMR MOD 23__ Create MOD FSC pod pdateMOD FSU TI po Display Directory FSR Copy To Local Storage FSR E STD CTMR MOD12_ CreateMOD _ FSC pod Update MOD SUT LL Display Directoy FSR Pp CCC Copy ToLocalStorage FSR PRI CTMR MOD12__ UpdateMOD__ Cen LL Display Directory FSR O Copy ToLocal Storage FSR The MOD Archive Application will query the user before initializing media when a File set is found on the media and an initialize oper
81. aeenaees 47 3 3 1 2 4 1 Application Profiles for the RWA Update MOD Heouest 47 SiS A ee 47 3 4 STANDARD AUGMENTED AND PRIVATE APPLICATION PROFILES oonocccccnnoncccnnnnncccnnnonacinano caninos 47 3 4 1 Class and Profile Identification 00aanaa0a00nnanannaeneennanannaeenennnnnnnnnnnrenrnnnnnnnnrenrnnnnnnnnne 47 3 4 2 ee ee EE 48 3 4 2 1 Roles and Service Class Options eccceeceeeeeeeeneeeeeeeeeeeseaeeseaeeseaeeseaeeseaeeseaeeseeeseaeeteeeseeete 48 3 4 2 1 1 EEIE ET EE 48 3 4 2 1 2 File Set Reader cecilia eee ESEE 48 3 4 2 1 3 File SetUpdater cedida eege de aca da eae ees da a paaa one tant 48 3 4 3 Standard Application Droe 49 3 4 3 1 STD CTMR MOD12 Class Profile AAA 49 3 4 3 1 1 SOP Classes and Transfer Syntax s ccccsesceseeeeceeeeeeeeseeeseeeeceaeeseaeeseaeeseaeesseeseneeeeaes 49 3 4 3 1 2 Physical Media and Media Format AAA 50 3 4 3 1 3 Be ee NEE 50 3 4 3 1 4 Directory Information in DICOMDIR A 51 SALINAN Additional Keys coi e paa E 52 3 4 3 1 5 Other Parameters en EE ansia enna Wi eerste oes 52 3 4 3 1 6 Image Attribute Valys Sissa ieaanc cd di odiada 52 3 4 3 1 6 1 Attribute Value Precedence eesescecesseceeeseeceeeeseneeseseceneaeeeeseseneesenssaeeeesensenensoees 52 3 4 3 2 STD CTMR MOD23 Class Profile cceecceeeeeeceseeseeeeeeeeseeeeseaeeseaeeseeeeseaeeseaeeseaeeseaeeseeeseaeete 52 3 4 3 2 1 SOP Classes and Transfer Gvntax e 52 3 4 3 2 2 Physical Media and Media Format AAA 53 3 4 3 2 3 LOG iCal F
82. ailure 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 SOP Classes as an SCU SOP Class Name SOP Class UID Modality Performed Procedure Step 1 2 840 10008 3 1 2 3 3 101 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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
83. an 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 107 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 7 10 Use of Specific DICOM Data The following table 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 Acquisition Post Processing with MWL data without MWL data Specific Character Set 0008 0005 Not used but Not used Not used but copied copied into image header 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
84. asic 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 LightSpeed 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 SC Standalone Overlay 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 MOD 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 See PS3 4 54 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT SOP Classes and corresponding Transfer Syntax supported by the PRI CTMR M
85. ass defined in PS3 4 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 equipment and archive systems that generate a patient record to transfer to another institution 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 MOD 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 MOD 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 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
86. atically 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 printer 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 Afte
87. ation after the remote AE sends an image to the LightSpeed 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 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 24 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGH
88. ation has been requested Depending on the physical 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 Information for this AE e Source Application Entity Title Not used by the MOD Archive Application e Private Information Creator UID Not used by the MOD Archive Application e Private Intormaton Not used by the MOD Archive Application 45 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 3 3 1 2 Real World Activities 3 3 1 2 1 Real World Activity Create MOD Request The MOD Archive Application acts as an FSC 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 medi
89. baker 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 57 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 be acquired 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 synchron
90. byte ordering of encapsulation of fragment item tags selection of entropy coding 56 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT tables and calculation of difference values from predictors These errors cause the compressed images to be unreadable by non GEMS software All future GEMS LightSpeed 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 1 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 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
91. commanded to perform transmission of Hard Split Images through the user interface 112 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED DICOM CONFORMANCE STATEMENT 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 requested procedure PPS object PPS M anager Scanner receives MWL Requested Procedures from HIS RIS Operator selects multiple requested procedures and scans images as a single exam y After post processing Exam Split application presents user selected images and Requested procedures for split to create PPS and GSPS objects GSPS Viewer Remote 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 acq
92. 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 0 Conformance Statements is included in the Introduction to the Integrated DICOM Network 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 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 ID Net v3 0 Conformance Statements Direction 2118780 21 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED
93. 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 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 29 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIG
94. e 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 W I 1 AdditionalPatientHistory 0010 21c0 US 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 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 W I 1 ItemDelimitationItem fffe e0dd
95. e 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 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 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 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 LightSpeed 62 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 is aware of these optional attributes and will not fail on th
96. e MOD to local storage The MOD Archive Application will copy any SOP Instance selected from an MOD Directory list from the MOD to the local storage upon request The MOD Directory listing 46 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 MOD 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 MOD The MOD Archive Application acts as an FSU when requested to update an MOD The MOD Archive Application will take the 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 MOD 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 MOD Request For the list of Application Profiles that invoke this AE for the MOD Copy to Local Storage RWA see Table 3 1 1 For extensio
97. e Statement ccccecceeseeceeeeeeeeeeeeeeseneeseeeeeaeeseeeseeeseneeesaees 63 4 3 1 2 2 1 Basic Film Session SOP Class 63 4 3 1 2 2 2 Basic Film box SOP Class errer araara eea e apa e ae EE EE E EARE ES 64 4 3 1 2 2 3 Basic Grayscale Image Box SOP ClaSS ocooococccconcconoccnonnconnccnancconnncnnncnnnncnnnncnnnncnnnncnnns 65 43 12 24 Printer SOP ClaSS a ea ae e e a a a aea a e raaa ae a a e eA ieaie Saaai ni 66 4 3 1 2 2 5 Print Job SOP Glas erennere anataet ai ae e oia eaa eiiean 67 4 3 1 3 Association Acceptance Policy 67 4 4 GOMMUNIGATION PROFILES cdicseaisgasatasccaueaend ecevantedadussvacdelvasaiadehavaccdiverbiaiebasaraievdebagdetavecadbvedtaeds 67 4 4 1 Supported Communication Stacks parts gg 67 Adital GPP Stack tex nasties rie dee tae a 67 4 4 1 1 1 a 67 4 4 1 1 2 Physical Media Support ccoo dead A 67 4 5 STANDARD EXTENDED SPECIALIZED PRIVATE SOPS oooomcinncccnncccconncononcnanncncanc cnn narran cnc nc 67 4 6 CONFIGURATION ici ie dai ai a dae gl We anda iv vi ta bd Ade 67 4 6 1 AE Title Presentation Address Mapping nn 67 4 6 2 Configurable Parameierg A 68 4 7 SUPPORT OF EXTENDED CHARACTER BET 68 5 DICOM STORAGE COMMITMENT SCU CONFORMANCE ccccssseceeeseseeeeesseceeeeseeseeees 69 5 1 INTRODUCTION a a ad 69 5 2 IMPLEMENTATION MODEL sssisssessieisstsittuetstttttttatt ttnt utkuka EANA AEANEAANEAEENEAAEAEA ENEA NEAE EEan nente nne na a 69 5 2 1 Application data flow dagram nn rnco nera
98. e 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 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 86 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 description to the contrary is provided 6 8 8 Supported Matching The following are the types of matchi
99. e 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 63 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED D
100. e user interface Position Reference Indicator 0020 1040 It is possible for the operator of CT LightSpeed QX i system to change the table height while scanning a series of images CAUTION 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 3 12 SC Equipment Module Attribute Name Tag Type Notes Modality 0008 0060 Modality of original image CT 131 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT APPENDIX B PRIVATE DATA ELEMENTS Enclosed is a listing of private data elements used in this implementation for CT Image IOD definition B 1 CT Image IOD Private Data Elements Definition B 1 1 Private Creator Identification GEMS_IDEN_01 Attribute Name Tag Product id 0009 1004 SH 1 Image actual date 0009 1027 META Equipment UID 0009 10E3 Note For all images created by LightSpeed system 0009 xx01 element will have the value CT_LIGHTSPEED B 1 2 Private Creator Identification GEMS_ACQU_01 0019 1002 0019 1003 Cell spacing 0019 1004 1 1 1 1 1 1 1 1 Degrees of azimuth 0019 1026 1 D L Gantry period 0019 1027 1 Number of triggers 0019 102C 1 DS Angle of first view 0019 102E DS 1 0019 102F 1 1 1 1 1 1 0019 106A 1 132 of 140 GE HEALTHCARE DIR
101. e will be sent as part of the query The value returned in the response shall be mapped to Yes Truncated to 22 characters No Requested Procedure ID 0040 1001 O Requested Procedure 0032 1060 Description Requested Procedure Code 0032 1064 Sequence Code Value 0008 0100 Coding Scheme Designator 0008 0102 Code Meaning 0008 0104 Study Instance UID 0020 000D O Pp User Modality will be able to configure the following If the on User user has set the option to Use option 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 scanner Only 1 Referenced Study Sequence is mapped into the Referenced Study Sequence 0008 1110 Referenced SOP Class UID Referenced SOP Instance UID Arrangements 0040 1008 O 0008 1150 O 0008 1155 0040 1004 0040 1003 89 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 Accession Number 0008 0050 User will be able to enter value for Accession Number prior to query to be sent a
102. each product LightSpeed VCT 07MW18 x LightSpeed VCT XT 07MW18 x LightSpeed Pro 07MW18 x LightSpeed VCT Select 07MW18 x BrightSpeed Excel 07MW11 x BrightSpeed Edge 07MW11 x BrightSpeed Elite 07MW11 x BrightSpeed Excel Select 07BW08 x BightSpeed Edge Select 07BW08 x BrightSpeed Elite Select 07BWOS x LightSpeed Xtra 07BWOS x LightSpeed RT 16 07BWOS8 x LightSpeed RT 07MW11 x LightSpeed QX I 07MW11 x LightSpeed Plus 07MW11 x LightSpeed Ultra 07MW11 x LightSpeed 16 07MW11 x HiSpeed QX I 07MW11 x LightSpeed Pro 16 07MW11 x 16 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT Note The LightSpeed BrightSpeed product lines present an Image Works desktop which contains advanced applications offered on the Advantage Workstation The DICOM Conformance Statements related to these applications can be found at the following website http www gehealthcare com usen interoperability dicom products workstation_dicom html Note All references to DICOM refer to year 2007 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 Conformance Statement related to this product Conformance Statements define the subset of options selected from those offered by the DICOM standard Section 3 Media Storage Conformance Statement is the DICOM Conformance Statement related to
103. eator Identification GEM DEN 01 132 B 1 2 Private Creator Identification GEM ACOU Oo1l 132 B 1 3 Private Creator Identification GEMS DEL A OI 133 B 1 4 Private Creator Identification GEM GTDN OI 133 B 1 5 Private Creator Identification GEM MAC OI 133 B 1 6 Private Creator Identification GEMG DADM Oil 133 B 1 7 Private Creator Identification GEMS_HELIOS Oo 134 B 1 8 Private Creator Identification GEMS_CT_CARDIAC_001 cssssccccsssssceeeesteeeeeees 135 C 1 BASIC DIRECTORY IOD DEENITON 136 C 2 DIRECTORY INFORMATION MODULE snssesnnnnnenssesirennnsnnseiriinnsnnsensirnnnnnnssnsirernnnnssrsrrnnnnnnnsnne 136 C 3 DIRECTORY RECORD GELECTONk s 137 C 3 1 Lee LEE 137 C 3 2 St dy KOS aa 137 C 3 3 Series Keys NO 137 C 3 4 IE hee geed edd Eege EE 138 15 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 1 SECTION 1 INTRODUCTION Note Throughout this entire document the term LightSpeed refers to the following LightSpeed products LightSpeed VCT LightSpeed VCT XT LightSpeed Pro LightSpeed VCT Select BrightSpeed Excel BrightSpeed Edge BrightSpeed Elite BrightSpeed Excel Select BrightSpeed Edge Select BrightSpeed Elite Select LightSpeed Xtra LightSpeed RT 16 LightSpeed RT LightSpeed QX I LightSpeed Plus LightSpeed Ultra LightSpeed 16 HiSpeed QX I LightSpeed Pro 16 This document applies to the following software releases for
104. eceive healthcare services ModalityWorklist Mapping of DICOM Entities Table 6 8 5 1 Mapping of DICOM Entities to ModalityWorklist Entities DICOM ModalityWorklist Entity Scheduled Procedure Step Information Model Module Table Within an entity of the DICOM 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 Modality Worklist Information Model Modules are identified by Module Name See DICOM PS 3 3 and PS 3 4 for a complete definition of the entities modules and attributes 85 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT Table 6 8 6 1 Modality Worklist Information Model Modules seee Proceaure Step 6892 ist Status eee A WistRetatonship ees Visi n 1 aaen PT Paneme eene Patient Demographic 68 183 oo ooi aenea 08104 6 8 7 Information Model Keys 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 The following Modul
105. ecific 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 X Exam Split Name Application will calculate Patient s Name 0010 0010 A A Copied from acquired image s Patient ID 0010 0020 A A 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 A Copied from acquired image s 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
106. ection 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 performed by a GE Field Service Engineer 5 7 Support of Extended Character Sets This does not support any Extended Character set 75 of 140 GE H
107. emote AE coooccccicccccoccnonccconcnnoncnnoncnnon canon conan cnn cn ran ncrn nn narran nin 36 2 3 1 3 3 1 Associated Real World Activity AA 36 2 3 1 3 3 2 Presentation Context Table 36 2 3 1 3 4 Retrieve Request From Remote AE 38 2 3 1 3 4 1 Associated Real World Activity AA 38 2 3 1 3 4 2 Presentation Context Table 39 2 3 1 3 4 3 Presentation Context Acceptance Criterta eee eeeeeseeeeeeeeeseeeeeeeeessaeeeeeeessaeeseeeenaas 39 9 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 2 3 1 3 4 4 Transfer Syntax Selection Policy ooooocinnccnnnicinnicnccnnncccnocnnonancnnrnnnnacc nan nann cnn rar nc 40 2 4 COMMUNICATION PROFILES ssssssssssririririririnininrn1n 1n 1n 1n 111111111111111 11E 1E 1E EEEEEEEEEEEEEEEEEEEEEEEEEEEEEE EEEn 40 2 4 1 Supported Communication Stacks parts g 40 2 4 2 TC EE 40 2 4 2 1 Physical Media Support cccsesccceceeeeeeeeeeeeeseeececeeneeeeceaeeeeeeueeeeecaaeeesenaeeesseaeeesssseeeeseeeees 40 2 4 3 POINELO POIMESTACK caia A ae 40 2 5 EXTENSIONS SPECIALIZATIONS DRIVATIGSATIONS 40 2 5 1 Specialized Information Object Defimiton 40 2 5 2 Private Data EE 41 2 6 CONFIGURATION caca a dt rape eech 41 2 6 1 AE Title Presentation Address Mappimg corn ncnannnnn 41 2 6 2 Configurable Parameters iris cit ii ti ee 41 2 7 SUPPORT OF EXTENDED CHARACTER SETS cooconoccconcccconccnnnncnonnnnnancccnnnnnn nn nn aran nc carr n anar rn anar nana 42
108. enced 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 for Secondary Capture and Standalone Overlay SOP Class Images Otherwise the Lightspeed DICOM media display browser will not list up the series for contents rendering the retrieval to local storage impossible 55 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 3 4 4 1 4 1 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
109. ep 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 0040 0255 Not sent as part of image header Not sent as part of image header Not sent as part of image header Procedure Code Sequence 0008 1032 Not sent as part of image header Not sent in MPPS Not sent as part of image header Not sent in MPPS N 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 got 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 ltem 004
110. fied 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 71 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT Abstract Dn ee Transfer E Role Extended Name Name up Negotiation Storage Commitment a 2 840 10008 1 20 1 DICOM Implict VR Little 1 2 840 10008 1 2 SCU None Push Model SOP Class Endian Transfer Syntax The Storage Commitment SCU can send the commitment request for following DICOM 3 0 SOP classes NAME CT Imaae Storage SOP Class 1 2 840 10008 5 1 4 1 1 2 Secondary Capture Storage SOP Class 1 2 840 10008 5 1 4 1 1 7 Grayscale Softcopy Presentation State Storage SOP Class 1 2 840 10008 5 1 4 1 1 11 1 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 associat
111. 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 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 1 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 Penne
112. g Type Notes S O 129 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT Image Number 0020 0013 Patient Orientation 0020 0020 Image Date 0008 0023 C i 3 Image Type 0008 0008 Al 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 3 7 Image Plane Module Attribute Name Tag Type Notes Slice Thickness 0018 0050 Value always sent Image Time 0008 0033 Generated for each image always sent 0050 Image Slice Location 0020 1041 Value always sent A 3 8 Contrast Bolus Module Contrast Bolus Agent 0018 0010 2 Sent if contrast exam as entered in user interface Contrast Bolus Route 0018 1040 3 Sent if contrast exam as entered in user interface A 3 9 SOP Common Module Attribute Name Type Neie o Specific Character Set 0008 0005 ISO_IR 100 A 3 10 VOI LUT Module Attribute Name Tag Type Notes Window Center 0028 1050 Window Center for display Always sent 3 Window Width 0028 1051 1C Window Width for display Always sent A 3 11 Frame of Reference Module arribute Name ta Type Notes 130 of 140 GE HEALTHCARE LIGHTSPEED DICOM CONFORMANCE STATEMENT DIRECTION 5198351 100 Rev 1 2 Value as entered at th
113. h 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 PEA SEENEN UID List Study Root 1 2 840 10008 5 1 4 1 2 2 1 Implicit VR 1 2 840 10008 1 2 SCP None Query Retrieve Little Endian FIND 2 3 1 3 3 2 1 SOP Specific Conformance to C FIND SCP 33 tt Each C FIND SCP operation supports an Association Timer Operation Inactivity Timer and Session Timer with time out values of 60 seconds 300 seconds and 60 minutes respectively All Required 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 supported as described in the following tables 36 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 Table 2 3 1 3 3 2 1 1 Description Study date Study time Accession number Patient s name Patient id Study id Study Instance UID Study description Suite Id LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT Supported study level keys Type Usage OR OR OR OR OR P Table 2 3 1 3 3 2 1 2 Supported series level keys Tag Usage Images in series E ES al ESO tors m 0020 1002 Table 2 3 1 3 3 2 1 3 Supported image level keys
114. he 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 20 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 understands that the DICOM Standard will evolve to meet the user s growing requirements GE is actively involved in the development of the DICOM Standard DICOM will incorporate new features and technologies and GE may follow the evolution of the Standard ID Net v3 0 is based on DICOM as specified in each ID Net DICOM Conformance Statement Evolution of the Standard may require changes to devices that have implemented DICOM 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
115. hen 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 present 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 33 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT It will also resp
116. hile reading this section The PPS option for LightSpeed 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 7 2 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 7 2 1 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 Remote MPPS SCP Post processing thr user interface DICOM Standard Interface 98 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED DICOM CONFORMANCE STATEMENT 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 infor
117. iations ooooocccnoccccnnoncccnononcnonanoncnononono nan nn nn nano nnn nar rre ran nrn rre ner nnnnnnnnnes 102 7 3 1 1 3 ae teuer 102 7 3 1 1 4 Implementation Identifying information ooooocccnnnncccnnnnnccnnonccnnnnoncnonanan cnn nono nn rnnrr cnn nro 102 7 3 1 2 Association Initiation Policy A 102 7 3 1 2 1 Real World Activity Performed Procedure Step creation and update 102 7 3 1 2 1 1 Associated Real World Activity A 102 7 3 1 2 1 2 Proposed Presentation Context Table ooooonnccinnnninnncincccnccnconncnnnnconcncnnnnnnnnnconannnnnncns 103 7 3 1 3 Association Acceptance PoliCY ooooocccnnnnnccononccccnnoncncnnnancnnnonncnnnnon cnn nano nc nn nro nn ran nr rnnr rca nnnrnnns 103 13 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 7 4 COMMUNICATION PROFILES ccoococcccnononcncnononcnnnonononcnononcnncnnnonnononannnnnnnnn nn nnnnan nn nnnanrnncnnnnns 103 7 4 1 Supported Communication Stacks PS 39 103 7 4 2 EISE ee ugeet Esseg Eed t ted sivcatebbessigieniale eed deve 103 7 4 3 LGPAP StaGk ET 103 7 4 3 1 lee aire eg gege cents saad Sa pie eee rl s E ess 104 743 2 Physical Media Suppolt succionar dile decada TERES Ee 104 7 4 4 Pointto Point Stak saioren sani iea n decana dni ainda indiana 104 Zb EXTENSIONS SPECIALIZATION PRIVATIZATION o cooonocccccononccccononccncnnnnccnanoncnnnannnncnnnnos 104 7 5 1 Standard Extended Specialized Private SGObPe 104 7 5 2 Private
118. ibutes The Print SCU issues the N GET service to retrieve the printer status The status is processed as follows e If 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 f Printer status 2110 0010 is WARNING one of three things will happen a If the Printer Status Info 2110 0020 is SUPPLY LOW the status is displayed to the user and the print job continues b If the Printer Status Info 2110 0020 is RECEIVER FULL or SUPPLY EMPTY or FILM JAN 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 66 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 Atributo Name Creation Time 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 Com
119. 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 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 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 Transfer 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
120. ion 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 72 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT The Following DIMSE service Elements are supported for the Storage Commitment request and response processing N ACTION Requests the 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 1 Tag Transaction UID 0008 1195 Transaction UID Referenced SOP Sequence 0008 1199 tl SOP Class UID 0008 1150 SOP Instance UID 0008 1155 Referenced Study Component sequence attribute is not sent Storage Media Fi
121. ist 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 connecting the corresponding entity boxes to the relationship boxes 83 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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
122. ization of the input bit stream This version and all future GEMS LightSpeed 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 MOD Archive Application may have either a 1 2GB or a 2 3GB drive installed Table 3 6 1 Supported Profiles for various Drive Configurations Disk Drive Installed Profiles Supported 1 2GB Optical Disk Drive PRI CTMR MOD12 STD CTMR MOD12 pees A ae ee 2 3GB Optical Disk Drive PRI CTMR MOD12 pe ee O STD CTMR MOD12 e STD CTMR MOD23 3 7 Support of Extended Character Sets The MOD Archive Application will support copy of SOP instances containing the ISO IR 100 Latin alphabet No 1 supplementary set and DICOM default character sets as defined in PS3 5 58 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 4 PRINT SCU CONFORMANCE 4 1 4 2 4 2 1 4 2 2 4 2 3 Introduction This conformance statement specifies the LightSpeed conformance to the DICOM Print SCU Application Profile The LightSpeed product uses DICOM Print SCU to print images on DICOM Compliant Printe
123. l 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 Series Description 0008 103E Value from user interface is sent Operators Name 0008 1070 Value from user interface is sent Patient Position 0018 5100 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 3 5 General Equipment Module pen tog me ms ee Manufacturer 0008 0070 3 _ Always sent as GE MEDICAL SYSTEMS egener 0008 0080 2 Semt Value is configurable Siatonname mum a Sem Val eoniguabe Manufacturers Model 0008 1000 Name Device Serial 0018 1000 Sent if present in image Number Software Versions 0018 1020 3 Always sent as 05 for this version does not distinguish individual software releases Spatial Resolution 0018 1050 Sent only for MR images A 3 6 General Image Module Attribute Name Ta
124. l de servicio La no observancia del presente aviso puede dar lugar a que el proveedor de servicios el operador o el paciente sufran lesiones provocadas por causas el ctricas mec nicas o de otra naturaleza Este Manual de Assist ncia T cnica s se encontra dispon vel em Ingl s Se qualquer outro servico de assist ncia t cnica quE nao a GEMS solicitar estes manuais noutro idioma da responsabilidade do cliente fornecer os servicos de traduc 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 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED 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 alPutilizzatore ed al paziente per folgorazione elettrica per urti meccanici od altri rischi A COV KPAV AST VICIL
125. le 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 1 Ta Transaction UID 0008 1195 Value received from SCP Referenced SOP Sequence 0008 1199 Value received from SCP 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 73 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 5 3 1 6 2 Commit response with FAILURE status The following attributes are expected as part of DATA Set for N Event Request from SCP Attribute Tag Cate Transaction UID 0008 1195 Value received from SCP Failed SOP Sequence 0008 1198 Value received from SCP SOP Class UID 0008 1150 Value received from SCP SOP Instance UID 0008 1155 Value received from SCP 0008 1197 Value received from SCP In case of complete partial failure the
126. m 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 99 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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
127. mage Patient s 0010 0010 1 Yes This attribute is sent with zero length Name Supports up to 32 characters See also Note 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 format for patient Name with as delimiters e If 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 91 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 6 8 13 3 Patient Demographic Table 6 8 13 3 1 Patient Demographic Module Attributes Patient s Birth Date 0010 0030 Yes This value is also used to calculate the Patient s Age Patient s Sex 0010 0040 Yes Patient s Weight 0010 1030 Limited to maximum value of 999 kg Confidentiality constraint 0040 3001 2 No on patient data Patient s Size 0010 1020 Patient s Address 0010 1040 Attribute Name Tag Expected Expected Mapped Matching Returned into the Image Patient s Telephone 0010 2154 Numbers 6 8 13 4 Patient Medical Table 6 8 13 4 1 Patient Medical Module Attributes Attribute Name Tag Expected Expected
128. mance Statement for CT SOP Class ooococconocccconocccocononcnonnnonononannnoninancnnns 56 3 5 1 2 SOP Specific Conformance Statement for MR SOP Class sssnseeeneeeenneeenneerrnnererneernnnerennne 56 3 5 2 Private Transfer Syntax ZG echcaion 56 Zb lt GONFIGURATION cto fats eee Giclee cand EEN 58 3 7 SUPPORT OF EXTENDED CHARACTER SETS sssessseese esee tetr tett rsttnsttnsttnsttnnstrnsttnnrnsrnnsrnnsrnsnns 58 4 PPRINTSSCU CONFORMANCE icoiioioiiici ii A id 59 4 1 INTRODUCTION AAA A AAA EE 59 4 2 IMPLEMENTATION MODEL PRINT GC 59 4 2 1 Application Data Flow Diagram ooooococicocccococoncconanonnnonanonnncnnnorncc cnn arrancan 59 4 2 2 Functional Definition Of Ae 59 4 2 3 Sequencing of Real World Aciivtes 59 4 3 SAE SPECIFICATIONS genee eege eee ie ee ated a n 61 4 3 1 DICOM Print SCU AE Spe lifiCation cccccccsccccscececceeceneeeensecseneecennsteeeeseneecsnneessanenes 61 4 3 1 1 Association Establishment Policy AAA 61 4 3 1 1 1 General EE 61 4 3 1 1 2 Number o Association Sirise tired da tia eee 61 4 3 1 1 3 Asynehronous EE 61 4 3 1 1 4 Implementation identifying Wmtormation nan n corran cnn nar nnn cnn 61 4 3 1 2 Association Establishment Policy AAA 62 4 3 1 2 1 Real World ActiVity ooo iaa 62 4 3 1 2 1 1 Associated Real World Activity Pint 62 4 3 1 2 1 2 Proposed Presentation Contexts oooociocccinncciocccnonncononcnnnncnnnconnnconnncnnnc cnn cnn rca rnnnnrannnnns 62 4 3 1 2 2 SOP Specific Conformanc
129. mation 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 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 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 106 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED DICOM CONFORMANCE STATEMENT e 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 th
130. mation 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 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 syste
131. me 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 1120 Copied from Not used No item Sequence SPS if selected Performed Procedure Step ID 0040 0253 Created at the scanner Will Created at the scanner Will have New generated may not be unique 108 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED DICOM CONFORMANCE STATEMENT Attribute Name Tag Usage in MPPS Instance Acquisition Acquisition Post Processing with MWL data without MWL data have the the following following PPS ID_ lt exam 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 St
132. munication 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 67 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT The LightSpeed system allows the user to ada 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 e 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 Inf
133. n Acceptance PoliCY coooocccnnoncccnnnncnccnnonnncnnonnnonnnon nn nnnnr cnn rnnrn nn rra r rre ran rr rra n rn nnnr nn 74 5 4 COMMUNICATION PROFILES sessseennnnasessenennienseerirernnenssririrnrnnssesirernnnnssrirernnnassrinnnnnnassrrnere nn 74 5 4 1 Supported Communication Stacks parts g 74 5 4 2 Re EE 74 5 4 2 1 Physical Media Upper ars 74 5 4 3 Point to Point Sakai A Ri 75 5 5 EXTENSIONS SPECIALIZATIONS PRIVATIZATIONS oooooocccococoncconononcconononccnnnnnoccnnnnnonccnnnnos 75 bz CONFIGURATION arrio ena AAA ia Ll 75 5 6 1 AE Title Presentation Address Mapping conan 75 5 6 2 Configurable Parameierg 75 5 7 SUPPORT OF EXTENDED CHARACTER SETS 0 ccceseeseceeeeeeeeeeeeeeeeecaeesaeesaeeseaeesaeesaaesaesnaeeeaeeeaeee 75 6 MODALITY WORK LIST INFORMATION MODEL DEFINITION cccssseereesssceeesssceees 76 6 1 INTRODUCTION EA TEE E O E EE E te esedetes 76 6 2 MPLEMENTATION MODEL el leete dede ies 76 6 2 1 Application Data Flow DIagraM sereset keii r cnn anna 76 6 2 2 Leeder Oe 77 6 2 3 Sequencing of Real World Aciivtes 77 Ae sAE SPECIFICATIONS EE 77 6 3 1 Worklist Server AE Specification c scccsccccseccestsecsenceceneeesssesssnenecenesessassseneecsennessnens 77 6 3 1 1 Association Establishment Polcles AAA 77 6 3 1 1 1 General weve ute tien eared annette elaine kon wlan 77 6 3 1 1 2 Number of Associations tata ee se naa eaa ae a eaa ara Aeaaeai 78 6 3 1 1 3 Asynchronous Nature coacciones ia 78 6 3 1 1 4 Implemen
134. n 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 LightSpeed Implementation UID 1 2 840 113619 6 55 2 3 1 2 Association Initiation by Real World Activity This AE attempts to initiate a new association 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
135. n 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 specification in PS3 12 The following table 3 3 3 1 3 1 defines the specific values used for this profile 50 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT Table 3 3 3 1 3 1 Boot Sector for STD CTMR MOD12 conformant media Bytes s Big As Stored Description Endian 00 02 FAA OxEB3C90 Jump instruction to loader NOPs 03 10 MSDOS4 0 The formatting DOS vendor specific ma fe foa seoser O 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 1163306 0x2AC01100 1163306 Total sector disk Varies from disk to disk e es IL Dontoare 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
136. nce claim and the origin of SOP instances is outside the scope of this claim The MOD Archive Server AE can initialize Media by acting as an FSC to create a new DICOM File set on a 2 3GB MOD media or a 1 2GB MOD media It initializes the DICOM File set and writes the specified SOP instances onto the MOD 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 Definitions of AE s This Server has only one Application Entity the MOD Archive Application The MOD 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 ltcan 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 MOD 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
137. ng 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 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 87 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 6 8 9 2 Scheduled Procedure Step Module Table 6 8 9 2 Scheduled Procedure Step Module Attributes Attribute Name Tag Expected Expected Matching Returned into the Scheduled Procedure Step 0040 0100 Sequence f Scheduled Station AE 0040 0001 1 Matching is supported as follows either no Title AE title is supplied universal matching or the scanner s Worklist Server AE title is supplied for matching this is user selectable Scheduled Procedure 0040 0002 1 Matching is supported as one of the Step Start Date 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
138. ning absent it will be Requested Procedure Description Performed Procedure Type Description 0040 0255 Set as empty Performed Protocol Code Sequence 0040 0260 Set as Empty sequence 120 of 140 GE HEALTHCARE LIGHTSPEED DICOM CONFORMANCE STATEMENT DIRECTION 5198351 100 Rev 1 Performed Series Sequence 0040 0340 X Exam Split Application will calculate and copy from Image s Study and set these sequence values Rescale Type 0028 1054 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 Time 0070 0083 Exam Split Application will calculate Presentation creators name 0070 0084 Exam Split Application will set this value as null Referenced Series Sequence
139. ning may result in injury to the service provider operator or patient from electric shock mechanical or other hazards AVERTISSEMENT Ce Manuel de maintenance n est disponible qu en anglais i 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 des dangers lectriques m caniques ou autres WARNUNGI 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 Schl ge mechanische oder sonstige Gefahren kommen AVISO 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 manua
140. ns 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 MOD Profiles CT MR Studies on STD CTMR MOD23 Handles single 12 or 16 bit grayscale 2 3GB MOD media compressed uncompressed images CT MR Studies on STD CTMR MOD12 Handles single 12 or 16 bit grayscale 1 2GB MOD media compressed uncompressed images 47 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT CT MR Studies on 1 2 PRI CTMR MOD12 Handles single 12 or 16 bit grayscale GB MOD media compressed uncompressed images 3 4 2 Clinical Contexts This Application Profile facilitates the interchange of primary CT and MR images as well as processed CT and MR images as Secondary Capture and Standalone Overlay Images with certain defined attributes CT MR 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 Cl
141. 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 100 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED DICOM CONFORMANCE STATEMENT 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 wi
142. oncepts that are used in those standards If readers are unfamiliar with DICOM terminology they should first refer to the document listed below then read the DICOM Standard itself prior to reading this Conformance Statement document Introduction to the Integrated DICOM Network ID Net v3 0 Conformance Statements Direction 2118780 19 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 1 4 Scope and Field of Application It is the intent of this document in conjunction with the Introduction to the Integrated DICOM Network ID Net v3 0 Conformance Statements Direction 2118780 to provide an unambiguous specification for GE ID Net v3 0 implementations This specification called a Conformance Statement includes a DICOM Conformance Statement and is necessary to insure proper processing and interpretation of GE medical image data exchanged using DICOM 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
143. ond 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 LightSpeed 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 Accepted Abstract Syntax Transfer Syntax Extended Negotiation UID Lit CT Image Storage 1 2 840 10008 5 1 4 1 1 2 Implicit VR Little Endian 1 2 840 10008 1 2 Implicit VR Big Endian 1 2 840 113619 5 2 GE Private Explicit VR Little Endian 1 2 840 10008 1 2 1 Explicit VR Big Endian 1 2 840 10008 1 2 2 MR Image Storage 1 2 840 10008 5 1 4 1 1 4 Implicit VR Little Endian 1 2 840 10008 1 2 Implicit VR Big Endian 1 2 840 113619 5 2 GE Private Explicit VR Little Endian 1 2 840 10008 1 2 1 Explicit VR Big Endian 1 2 840 10008 1 2 2 Secondary Capture 1 2 840 10008 5 1 4 1 1
144. onds 300 seconds and 60 minutes respectively These time outs are configurable in dcs cfg as bi_assoc_tio bi_move_tio and bi_session_tio respectively All images requested in a C MOVE RQ will 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 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 PET Image Information Storage 1 2 840 10008 5 1 4 1 1 128 In addition to the C MOVE response status values defined in DICOM 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 If the 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 39 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 2 3 1 3 4 4 Transfer Syntax Selection Policy
145. ononccnononnnccnononcnnnnnnnncnnnnonnnnnnnarnnnnnnnns 117 8 7 ERROR HANDLING AND RECOVERY codoocccconocccccononcccnononcnnonannnnncononnnnnnanonnnnnnannnnnnnnrnnnnnanns 117 8 8 USE OF SPECIFIC DICOM Daa 118 8 9 IMAGE HEADER CHANGES SUPPORTING OG 123 14 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 8 9 1 Request Attributes Sequence ooooiccoconocononcconcconicononnncnnanan nn cnn rn 123 8 9 2 lee HN DEE ster ias 123 AM CT SPECIFIC OD DEFINITION a A A adas 124 A 1 1 CF Image JO MOQuleS cocoa ii 124 A 1 2 CT Image Modulo rd eescht 124 A 1 2 1 Implementation Specific details 126 A 2 SC SPECIFIC IOD DEEINImTON 126 A 2 1 SC Image OD MOQUIES coincide 126 A2 CT SC IOD COMMON MODULE DEFINITIONS ccccncconcnocnnnconcnnnnnononnnnnnnnnonononnnnnnnnnncnnnnannnnnnnnnnnos 128 A 3 1 Patient e e EE 128 A 3 2 General Study Mod le vivimos ele 128 A 3 3 Patient Study e EE 128 A 3 4 General Series Module EE 129 A 3 5 General Equipment Module oooocoocococicinoccononccnacccnanccononcnnana nono rn conocia ran cnna nn nc nora nn 129 A 3 6 General Image MOQU IE sssrini A eee 129 A 3 7 Image Plane Modul coimas pais 130 A 3 8 Contrast Bolus MOU EE 130 A 3 9 SOP Common M d l EE 130 A 3 10 VOPLUT Mod Socio dd ai 130 A 3 11 Frame of Relerence MOQUlE ici e 130 A 3 12 SC Equioment Mod le ocio A tetonas 131 B 1 CT IMAGE IOD PRIVATE DATA ELEMENTS DEEINTTION 132 B 1 1 Private Cr
146. ormance 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 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 LightSpeed 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 section or document 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
147. ormatare ieren tdt eel ette 53 3 4 3 2 4 Directory Information in DICOMDIR ococinccccccccnocccnonccononononncnnnncnoncnrnn cnn nc nan carr carr cnn 53 KE NEE eut 54 3 4 3 2 5 Other Parameters wii eee ee ee ee ee le ees 54 3 4 3 2 5 1 Image Attribute Values AAA 54 10 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 3 4 3 2 5 2 Attribute Value Precedence A 54 3 4 4 Private Application Profila S vicio raoba 54 3 4 4 1 PRI CTMR MOD12 Class Profile oooonnccinnnnnnnnninncninncccoccnnonncnonncnnncnnnrncnnrnn nan n rana nrnncnrann nc ncnns 54 3 4 4 1 1 SOP Classes and Transfer Syntax cccccccceesceeeseeseneeeeneeeeeeseaeeeeaeeseaeeseaeeseaeeeeaeeeeneeeeaees 54 3 4 4 1 2 Physical Media and Media Formats AAA 55 3 4 4 1 3 Ree HE 55 3 4 4 1 4 Directory Information in DICOMDIR AA 55 34 44 44 Additional EE 56 3 4 4 1 5 Other Parameters 29 2 csesesecsesescecvedtacvcseueves Sve deg areta Deea Sea aaea Eege dE ceiba 56 3 4 4 1 5 1 Image Attribute Values eet 5 deebengedactaddeccceans cosets ch ceseteesecausedieddesseadsassuaedieestedas 56 3 4 4 1 5 2 Attribute Value Precedence n eeeonssnneeeseeeennnnnseeerttnnntteoerenntrssrrrttnnnnreeerennnn ensenen en 56 3 5 EXTENSIONS SPECIALIZATIONS AND PRIVATIZATION OF SOP CLASSES AND TRANSFER SYNTAX 56 3 5 1 Extensions Specialization s and Privatization s Of SOP Classes oooooccccinoccccnononnos 56 3 5 1 1 SOP Specific Confor
148. ormation 2010 0150 e 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 e Association Time out 120 seconds Session Time out 1200 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 e 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 configurations 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 68 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 i
149. r 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 60 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 is Maximum Length PDU 4 3 1 1 2 Number of Associations The Print SCU will initiate only one association with printer Multiple a
150. re 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 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
151. rs 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 Application Data Flow Diagram DICOM print SCU Implementation model DICOM INTERFACE gt PRINT 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 DICOM Printer Functional Definition of AE s DICOM Print SCU Establishes the Association to the requested printer for printing the composed film 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 setup via the camera installation process 59 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 autom
152. ry Remote AE teres evsstecteceedcnees A ted ae apaan tai 29 2 3 1 2 2 1 Associated Real World Activity AA 29 2 3 1 2 2 2 Proposed Presentation Contexts ceeccececeeeeeeeceeeeeeeeeseeeeeeeeeseaeeseeeessaeeeeeeeseeeeeaeerias 29 2 3 1 2 3 Get Image s from Remote AE 31 2 3 1 2 3 1 Associated Real World Activity AA 31 2 3 1 2 3 2 Proposed Presentation Contexts ceecceceeeeeeeeeceeeeeeeeeseeeeeeeeesaeeseeeessaeeeeeeeteeeeeateneas 32 2 3 1 2 4 Real World Activity Verify DICOM Ping 32 2 3 1 2 4 1 Associated Real World Activity AA 32 2 3 1 2 4 2 Proposed Presentation Context Table oo ecceecceceseeeeeeeseeeeeeeeeeeaeeeeeeeseaeeseeeesnaeeeeeeenias 32 2 3 1 2 5 Real World Activity Storage Commftment eeeceeeeeeeeeeceeeeeeeeeeeeeeeeeeteeeeeeeeseeeenneeee 33 2 3 1 2 5 1 Associated Real World Activity AA 33 2 3 1 2 5 2 Proposed Presentation Context Table oooooonccnnccnnnccnccccooccnonccnnnnnnancnnnnnnrancnrancncnncnnino 33 2 3 1 2 5 3 SOP Specific Conformance Statement Storage Commitment GC 33 2 3 1 3 Association Acceptance Policy ccsscecceseeeeeesenceeeseeeeeseseneeeenenseseseeeeeeseeeaeeeseaaeeeeseeeeeeseeaers 33 2 3 1 3 1 Receive Mage Sl EE 34 2 3 1 3 1 1 Associated Real World Activity AA 34 2 3 1 3 1 2 Presentation Context Table 34 2 3 1 3 2 Verification Request from Remote AE 35 2 3 1 3 2 1 Associated Real World Activity AA 35 2 3 1 3 2 2 Presentation Context Table 36 2 3 1 3 3 Query Request from R
153. s 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 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 Abstract Syntax Transfer Syntax Extended WD _ Menen Ls 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
154. s 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 must come 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 Illustration 5 2 1 Application Data Flow Diagram DICOM Standard Interface Choose Archive Provider Archive State DICOM Standard Interface 69 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 5 2 2 Functional definitions 5 2 3 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
155. s applicable to all GE ID Net v3 0 Conformance Statements is described in the document Introduction to the Integrated DICOM Network 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 Part 8 standard For more information including Network Architecture and basic DICOM concepts please refer to the ntroduction 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 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 standards and with the terminology and c
156. s part of C FIND request Supports maximum of 16 characters Requesting Physician 0032 1032 Referring Physician s Name 0008 0090 Requesting Service 0032 1033 6 8 12 Visit Entity 6 8 12 1 Visit Identification Table 6 8 12 1 1 Visit Identification Module Attributes Attribute Name Ta Expected Matching Returned Key Type Key Type g Admission ID 0038 0010 0008 0080 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 AA Displayed on More Info screen 90 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 6 8 12 3 Visit Relationship Table 6 8 12 3 1 Relationship Module Attributes Attribute Name Expected Expected Mapped Matching Returned into the Par Type Key ee ES Referenced Patient Sequence 0008 1120 Referenced SOP Instance UID 08 15 ea la 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 I
157. s used to send the commitment request This commitment request association is closed after the request is successfully acknowledged It accepts 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 LightSpeed Implementation UID 1 2 840 113619 6 55 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 currently 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 speci
158. sponds to the SPS information retrieved through the Modality Work list LightSpeed 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 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 infor
159. ssociations 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 35 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 PE AA Name Name List UID List Verification 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 the DICOM Verification Service Class Dm 66 Each ECHO operation supports an Association Timer Operation Inactivity Timer and Session Timer with time out values of 900 seconds 15 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 wit
160. ssociations 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 Implementation is LightSpeed Implementation UID 1 2 840 113619 6 55 61 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 lt 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 Table for the Print SCU is as shown in following Table Presentation Context Table Proposed Abstract Syntax Transfer Syntax Extended Negotiation Basic Grayscal
161. t 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 LightSpeed 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 LightSpeed 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 users of the LightSpeed 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 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 a
162. t 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 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 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 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 Patient ID Patient Birthdate Patient Sex Tag When PPS start N CREATE message is sent this element will have the Usage in CT DICOM Image Header 0010 0010 Copied from SPS if selected 0010 0020 Copied from SPS if selected 0010 0040 Copied from SPS if selected Referenced Patient Sequence 0008 1120 Copied from SPS if selected Ref SOP class uid 0008 1150 Ref SOP Instance uid 0008 1155 TI O 110 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED DICOM CONFORMANCE STATEMENT 7 11 2 Study Level Attribute Name Usage in CT DICOM Image Header Study Instance UID 0020
163. tation Identifying Intormatton A 78 6 3 1 2 Association Initiation Polen 78 6 3 1 2 1 Real World Activity Worklist Ouenm ran cn non cc narrar nccrnn cnn 78 6 3 1 2 1 1 Associated Real World Activity AA 78 6 3 1 2 1 2 Proposed Presentation Context Table A 79 6 3 1 3 Association Acceptance PoliCY 00 eseceeeeneeeeeenneeeeeneeeeeeeneeeeeeaeeeseaeeeeesaeeeeseneeeseenaeeenenaeeees 81 6 4 COMMUNICATION DROEILES E E A A A 81 6 4 1 Supported Communication Stacks PS 3 8 PS 3O 81 6 4 2 OST HAOR EEN 81 6 4 3 PO PIP Stak eaae ae eaa EOIN add AAI ORENA till N a ak 81 CAS o A HE 81 643 2 Physical Media Suppl raid ia SaR PSA 81 6 4 4 Point to Point Stack iii tii ii dis 81 6 5 EXTENSIONS SPECIALIZATIONS DRIVATIGSATIONS 82 6 5 1 Standard Extended Specialized Private SOPe 82 6 5 2 Private Transfer Zkrniaxvesg AE 82 6 6 CONFIGURATION nana ai A A a LAA id en 82 6 6 1 AE Title Presentation Address Mapping sssesssessseeeeeneeeneeeneeennnennnnennnennnennneeenenee 82 6 6 2 Configurable Parameierg rn nora 82 12 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 6 7 SUPPORT OF EXTENDED CHARACTER DEI 83 6 8 MODALITY WORKLIST INFORMATION MODEL DEFINITION nssssssnnnnnnssesinnnnnenssrsrnnnnnennseninrnnnnnnssne 83 6 8 1 IMroQUCUON ecitar riaient AE ea ad led ei 83 6 8 2 Modality Worklist Information Model Description 83 6 8 3 Modality Worklist Information Model Entity
164. tation 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 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 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
165. tems 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 contain 1 of the accession numbers 123 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 SC 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 Entity Name Module Name R f rence iess Paen Iran Jan In ae General Suey aas Lu ram tay Juan lu ei General Seres Add Lu Frame of Reference Frame of Reference Juan Lu Equipment General Equipment Jus Lu lt E lt c lt Z image Generalimage Jas Lu image Plane Jar image Pixel Only me type Y elements are sent M ss Jas or image Jae IE ow an EAN E Juan lu A 1 2 CT Image Module uge Name pe pe Tue lt C S O
166. th 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 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 f
167. 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 51 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 LightSpeed DICOM media display browser will not list up the series for contents rendering the retrieval to local storage impossible 3 4 3 1 4 1 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 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
168. tiation 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 DICOM Implementation is PPS Feature for LightSpeed Implementation UID 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 114 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED DICOM CONFORMANCE STATEMENT 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 presen
169. to the DICOM Media Interchange lt details the DICOM Media Storage Application Profiles and roles that are supported by this product in its version 1 0 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 3 2 Implementation Model MOD Archive Server All DICOM functionality on the LightSpeed 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 3 2 1 Application Data Flow Diagram The MOD Archive Server creates and or updates the 5 25 inch 130mm MOD media with various DICOM SOP instances It can process CT MR Secondary Capture and Overlay lOD s Illustration 3 1 Specific AE Application Model Display Directory Create MOD DICOM MOD Archive Server AE Media Storage Local Storage Update MOD The MOD 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 43 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 3 2 2 3 2 3 3 2 4 removable media using other application entities These instances are external to this conforma
170. ty 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 tt 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 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 Install
171. uired 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 successful transmission of Gray Scale Presentation State and Performed Procedure Step objects to remote host user will be notified with success 113 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 8 2 4 GSPS Server AE Specification This Application Entity provides Standard Conformance to the following DICOM 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 nego
172. 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 inherited from a UNIX Operating System 5 4 2 1 Physical Media Support Ethernet v2 0 IEEE 802 3 74 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 5 4 3 Point to Point Stack A 50 pin ACR NEMA conn
173. ut 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 300 seconds Each C STORE operation also supports a Session Timer This timer starts when the association is established and stops when the association is ended This time out is 60 minutes 28 of 140 GE HEALTHCARE DIRECTION 5198351 100 Rev 1 LIGHTSPEED AND BRIGHTSPEED DICOM CONFORMANCE STATEMENT 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 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
174. 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 with 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 SS 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 0008 0060 Accession Number 0008 0090 Modality

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