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GEMnet Archive Manager DICOM Conformance

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1. 7 3 2 1 3 Asynchronous Nature 7 322 Association 522294 ER ERG 7 3 2 21 255 542 on By sadn CRENERB4 UE RS 8 3 2 2 1 1 Associated Real World Activity 8 3 2 2 1 2 Proposed Presentation Contexts 8 3 2 2 1 2 1 Specific Conformance Statement for Verification SOP Class 8 3 22 3 Association Termination 8 3 2 2 2 Image Send nos Gee A SESS 8 3 2 2 2 Associated Real World Activity 8 3 2 2 2 2 Proposed Presentation Contexts 8 3 2 2 2 2 1 Specific Conformance Statement for Storage SOP Classes 9 3 2 2 2 3 Association Termination 9 3 2 3 Association Acceptance Policy 10 3 2 3 1 Verification e x t r snui EE REN PT mie and 10 3 2 3 1 1 Associated Real World Activity 10 3 2 3 1 2 Acceptable Presentation Contexts 10 3 2 3 1 2 1 Specific Conformance Statement for Verification SOP Class 10 3 2 3 1 3 Presentation Context Acceptance Criteria 10 3 2 3 1 4 Transfer Syntax Selection Policies 10 3 2 32 Aichive Stordge bae ewe wD 11 3 2 3 2 1 Associated Real World Activity
2. AE will accept the Presentation Contexts for the SOP Classes associated with Archive Storage only if a minimum amount of storage space default 500 MB is available on the online disk If such space is not available the ARM will return a Result Reason No reason provider rejection for all Presentation Contexts proposed for Storage SOP Classes 3 2 3 2 4 Transfer Syntax Selection Policies Within each Presentation Context the first proposed Transfer Syntax which is supported by the ARM will be accepted 12 ARCHIVE MANAGER GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT REV 0 DIRECTION 2206228 100 3 2 3 3 Query Retrieve 3 2 3 3 1 Associated Real World Activity The will accept an Association from a remote Application Entity to query the ARM for information about stored images and or to retrieve images from the archival storage This Association supports the Archive Query Retrieve Real World Activity 3 2 3 3 2 Acceptable Presentation Contexts The ARM AE will accept multiple Presentation Contexts for the Archive Query Retrieve activity as shown in Table 6 A single Association may be used both for this activity and for any of the other activities for which the ARM AE is the Association Acceptor TABLE 6 ACCEPTABLE PRESENTATION CONTEXTS FOR ARM AE QUERY RETRIEVE Abstract Syntax Transfer Syntax Extended Study Root 1 2 840 10008 5 1 4 Explicit VR Big 1 2 840 10008 1 2 2 SCP
3. 11 3 2 3 2 2 Acceptable Presentation Contexts 3 2 3 2 2 1 Specific Conformance Statement for Storage SOP Classes 11 3 2 3 2 3 Presentation Context Acceptance Criteria 12 Vil ARCHIVE MANAGER GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT REV 0 DIRECTION 2206228 100 TABLE OF CONTENTS cont SECTION TITLE PAGE 3 CONT 3 2 3 2 4 Transfer Syntax Selection Policies 12 3 2 3 3 eee ee Y eR HER 13 3 2 3 3 1 Associated Real World Activity 13 3 2 3 3 2 Acceptable Presentation Contexts 13 3 2 3 3 2 1 Specific Conformance Statement for Query C FIND SOP Classes cesset xe RR 13 3 2 3 3 2 2 Specific Conformance Statement for Retrieve C MOVE SOP Classes wh eed 17 3 2 3 3 3 Presentation Context Acceptance Criteria 17 3 2 3 3 4 Transfer Syntax Selection Policies 17 3 2 34 Study Migration ise the eere pue ees 18 3 2 3 4 1 Associated Real World Activity 18 3 2 3 4 2 Acceptable Presentation Contexts 18 3 2 3 4 2 1 Specific Conformance Statement for Migration SOP Class 18 3 2 3 4 3 Presentation Context Acceptance Criteria 18 3 2 3 4 4 Transfer Syntax Selection Policies
4. The Image Routing activity also interacts with the external Image Receive activity for the automatic transfer of archived images An external Verification Initiator activity may use a DICOM Association to verify the ability of the to respond to DICOM messages A similar internal Verification Initiate activity initiated by an ARM operator causes the ARM AE to establish an Association to another Verification Responder AE and verify that it can respond to DICOM messages 2 2 Functional Definition of AEs The Archive Manager contains one Application Entity It provides a general archival storage service for medical images in particular X ray angiographic and related secondary capture images and associated services for managing and retrieving those images Standard DICOM network communications is used to send images to the ARM for storage Storage Service to query the ARM for information about stored images Query Service and to retrieve stored images Retrieve and Storage Services The ARM initiates and responds to DICOM echo requests Verification Service The ARM uses extensions to standard DICOM services in conformance with the the DICOM Standard to provide additional system functionality The ARM supports retrieval of image icons and storage related attributes as part of the query response Standard Extended Query Service It also supports remote image staging requests Private Migration Service 2 3 Sequencing of Re
5. Minimum available disk capacity to accept Association 21 ARCHIVE MANAGER GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT REV 0 DIRECTION 2206228 100 SECTION 7 SUPPORT OF EXTENDED CHARACTER SETS The ARM AE supports one Specific Character Set attribute 0008 0005 per patient It will set the attribute value based on the first instance of the attribute among images received for archive for patient and if set will return it will all query responses for that patient including subsidiary level queries The ARM AE supports local display of 8 bit characters using a single character set the default is the Latin alphabet supplementary set No 1 ISO 8859 1 Characters are displayed using this character set without regard to the selection of alternate sets in the Specific Character Set attribute 22 ARCHIVE MANAGER GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT REV 0 DIRECTION 2206228 100 ANNEX D MIGRATION SERVICE CLASS The Migration Service Class allows for the request of the migration of SOP Instances from one storage level to another The Request Migration service allows the SCU to command the SCP to move a copy of a set of SOP Instances to a specified storage level e g migrate to on line etc The scope of this service is a complete study It includes unique identification information for the study Study Instance UID plus the destination storage level A successful response to this request c
6. 0087 xx20 and Estimated Retrieve Time 0087 xx50 in accordance with the Extension to the Standard C FIND SOP Classes as described in Section 5 1 2 The supports queries at the SERIES level using the keys in Table 8 2 Attribute Tag Matching Modality 0008 0060 Series Instance UID 0020 000E 0200077 The ARM supports queries at the IMAGE level using the keys in Table 9 AW wena omes EET 008 008 CENT 097020 00990200 image comen E At the Image level the ARM recognizes and returns the Private Key Attributes Media Type 0087 xx10 and Media Location 0087 xx20 in accordance with the Extension to the Standard C FIND SOP Classes as described in Section 5 1 2 mi mimmi mi m mi m lt 15 GE MEDICAL SYSTEMS REV 0 TABLE 10 REFERENCED IMAGE SEQUENCE ITEM ATTRIBUTES Attribute 70 Referenced Image Sequence 0008 1140 TABLE 11 GEMNET ARCHIVE MANAGER DICOM CONFORMANCE STATEMENT DIRECTION 2206228 100 The ARM does not support Sequence Matching for the Referenced Image Sequence attribute If this Sequence is requested in an IMAGE level C FIND Identifier with a single zero length Item the ARM supports Universal Matching and returns zero or one Items for the Sequence in accordance with Table 10 gt SOP Class UID 0008 1150 gt SOP Instance UID 0008 1155 The ARM does not support Sequence Matching
7. 18 4 COMMUNICATION PROFILE 19 4 1 Supported Communication Stacks 19 4 2 Stack 45 59 pU A DURER 19 4 2 1 Reserved 22222922 Pode 19 422 Physical Media Support rino ERE 19 4 2 2 1 issus eek bee et oh ke et 19 5 EXTENSIONS SPECIALIZATIONS PRIVATIZATIONS 20 5 1 Standard Extended Specialized Private SOPs 20 5 1 1 Standard Extended Storage SOP Classes 20 5 1 2 Standard Extended Query SOP Class 20 5 1 2 1 Icon Key Attribute cere ERICH YE 20 5 1 22 Private Key Attributes 20 21 3 Migration SOP Class Meee eed 20 32 Private Transfer Syntaxes iiis eet 20 6 CONFIGURATION peenes Die URDU Pads doe dos Eta 21 6 1 AE Title Presentation Address Mapping 21 6 2 AUtO ROUUNG 22 Re oy EE ewe 21 6 3 Configurable Parameters RR See PER 21 7 SUPPORT EXTENDED SETS 22 ANNEX D MIGRATION SERVICE CLASS 23 D 1 DIMSE ServicesGroups RE C Reb it 23 D 2 8 23 D21 Ac
8. Table 5 In all error cases the SOP Instance is not stored and the source system must retransmit the image 1 ARCHIVE MANAGER GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT REV 0 DIRECTION 2206228 100 TABLE 5 UNSUCCESSFUL WARNING STORAGE RESPONSES Response ode 7 A710 Out of Resources disk full Force data migration to secondary storage and allow system to reclaim disk space A712 Out of Resources file system error Correct hardware or software fault in ARM A907 Data Set does not match SOP Class required Correct error in source system elements missing C001 Cannot Understand error parsing input image Correct error in source system or hardware or object software fault in ARM C002 Cannot Understand pixel data length does not Correct error in source system correspond to pixel data attributes C006 Cannot Understand SOP class not negotiated Correct error in source system C111 Cannot Understand duplicate image SOP If the image stored in the ARM is to be replaced a Instance UID service engineer can override the rejection of duplicate objects The ARM performs no automatic coercion of any Attribute values within the stored SOP Instances However the attribute values returned in the Query Service for the stored SOP Instances may differ from the values actually in the stored SOP Instances as described in Section 3 2 3 3 2 1 3 2 3 2 3 Presentation Context Acceptance Criteria
9. media is 1st tier magnetic disk LIBRARY media is in automatic disk or tape library jukebox OFFLINE media must be manually loaded into system Estimated Retrieve Time in seconds 1 indicates item is OFFLINE and time cannot be estimated 5 13 Migration SOP Class The ARM AE provides the Migration Service Class as an SCP as described in Annex D 5 2 Private Transfer Syntaxes The ARM supports no Private Transfer Syntaxes 20 ARCHIVE MANAGER GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT REV 0 DIRECTION 2206228 100 SECTION 6 CONFIGURATION 6 1 Title Presentation Address Mapping The resolves addresses of other applications and entities using Network Stations table The Network Stations table is maintained on the ARM by a system administrator using the ARM graphical user interface 6 2 Auto Routing The ARM AE routes received images to other applications based on an Auto Routing table The Auto Routing table is maintained on the by system administrator using the ARM graphical user interface 6 3 Configurable Parameters The following DICOM related parameters are configurable by field service engineer Archive Manager Application Entity Title Association Inactivity Abort Timeout Period Enable Auto Routing 5 Retry Count and Retry Interval Enable Full Message Validation e Maximum Number of Query Responses Enable Case Insensitive Query
10. EE On line Query Retrieve level 0008 0052 1 1 The level being requested for migration It shall be set to STUDY Near line Query Retrieve level 0008 0052 1 1 The level being requested for migration It shall be set to STUDY D 2 2 Service Class User Behavior The SCU shall use the N ACTION primitive to request the SCP to migrate a set of SOP Instances to a specified storage level as defined in Table 17 The SCU shall supply the Transaction UID to uniquely identify each migration request The N ACTION primitive shall contain the well known Migration SOP Instance UID in its Requested SOP Instance UID parameter Note In the usage described here there is no explicit creation of a SOP Instance upon which an N ACTION primitive may operate Instead the N ACTION primitive operates upon a constant well known SOP Instance This SOP Instance is conceptually created during startup of each Application D 2 3 Service Class Provider Behavior The SCP shall return via the N ACTION response primitive the N ACTION Response Status Code applicable to the associated request A success status conveys that the SCP has successfully received the request and assumes responsibility for the request A failure status conveys that the SCP is not processing the request No Service Class specific status values are defined for the N ACTION Service See PS 3 7 for the general response status codes Migration SOP Class UID SOP Instance UID Th
11. Migrate to Online only Other values of this ID in the NCACTION request will result in NCACTION response status 0135H No Such Action The ARM supports Migration N ACTION Query Retrieve Level attribute 0008 0052 value STUDY only Other values of this attribute in the NCACTION request will result in N ACTION response status 0115H Invalid Argument Value 3 2 3 4 3 Presentation Context Acceptance Criteria There are no special criteria for accepting Study Migration Presentation Contexts 3 2 3 4 4 Transfer Syntax Selection Policies Within each Presentation Context the first proposed Transfer Syntax which is supported by the ARM will be accepted 18 ARCHIVE MANAGER GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT REV 0 DIRECTION 2206228 100 SECTION 4 COMMUNICATION PROFILE 4 1 Supported Communication Stacks The ARM provides TCP IP Network Communication Support as defined in Part 8 of the DICOM Standard 4 2 TCP IP Stack The posts its TCP connection Open on the standard DICOM Port 104 as defined in 1700 and on port 4006 4 2 1 Reserved 4 2 2 Physical Media Support 4 2 2 1 ATM The ARM supports an Asynchronous Transfer Mode ATM network interface using OC 3c multimode fiber It supports Classical IP over AALS in accordance with 1577 and signaling in accordance with ATM Forum UNI 3 1 19 GE MEDICAL SYSTEMS REV 0 SECTION 5 GEMNET ARCHIVE MANAGER DICOM CONFORMANCE ST
12. time 3 2 3 1 Verification 3 2 3 1 1 Associated Real World Activity The ARM AE will accept an Association from a remote Application Entity to verify the ability of the ARM AE to respond to DICOM messages Verification Initiator Real World Activity 3 2 3 1 2 Acceptable Presentation Contexts The ARM AE will accept a single Presentation Context for the Verification activity as shown in Table 3 A single Association may be used both for this activity and for any of the other activities for which the ARM AE is the Association Acceptor TABLE 3 ACCEPTABLE PRESENTATION CONTEXTS FOR ARM AE VERIFICATION Abstract Syntax Transfer Syntax Extended Negotiation 1 2 840 10008 1 1 Implicit VR Little 1 2 840 10008 1 2 Endian 3 2 3 1 2 1 Specific Conformance Statement for Verification SOP Class The ARM conforms to the definition of an SCP of the Verification SOP Class in accordance with the DICOM standard 3 2 3 1 3 Presentation Context Acceptance Criteria The ARM AE will unconditionally accept a Presentation Context for the Verification association 3 2 3 1 4 Transfer Syntax Selection Policies Only a single Transfer Syntax is acceptable the DICOM Default Transfer Syntax 10 ARCHIVE MANAGER GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT REV 0 DIRECTION 2206228 100 3 2 3 2 Archive Storage 3 2 3 2 1 Associated Real World Activity The will accept an Association from a remote Application Entity to
13. ATEMENT DIRECTION 2206228 100 EXTENSIONS SPECIALIZATIONS PRIVATIZATIONS 5 1 Standard Extended Specialized Private SOPs 5 1 1 Standard Extended Storage SOP Classes The ARM AE provides Standard Extended Conformance to the supported DICOM Storage SOP Classes as an SCU and SCP The Standard SOP Classes are Extended in that the Image Information Object sources may add Type 3 data elements to the objects the ARM AE does not validate or delete these supplementary data elements within the information objects stored in and retrieved from its image storage 5 12 Standard Extended Query SOP Class 5 1 2 1 Icon Key Attribute 5 1 2 2 Private Key Attributes TABLE 15 PRIVATE QUERY KEY ATTRIBUTES The ARM AE provides Standard Extended Conformance to the supported DICOM Query SOP Classes as an SCP The extension occurs in two respects support for the Icon Key attribute and support for private attributes The ARM AE supports the Icon Key Sequence attribute 0088 0200 as defined in DICOM Supplement 1 as a Query SOP Class key attribute at the IMAGE level The ARM AE supports the private key attributes as shown in Table 15 as Query SOP Class key attributes at the IMAGE level E Private Data Element Creator 0087 00xx LO A NNNM value 1 2 840 113708 794 1 1 2 0 Media Type 0087 xx10 CS Defined terms DISK image is on magnetic disk DLT image is on DLT tape Media Location 0087 xx20 CS 1 Defined terms ONLINE
14. FT BLANK Vi GE MEDICAL SYSTEMS REV 0 SECTION GEMNET ARCHIVE MANAGER DICOM CONFORMANCE STATEMENT DIRECTION 2206228 100 TABLE OF CONTENTS TITLE PAGE REVISION HISTORY ed UE ss ney sow bee eee ix INTRODUCTION pecetes boi EE ERE sss 1 151 SCOPE csc ES He 1 1 2 Applicable Documents 222555252551 brune denied dent 1 1 21 DICOM Documents iss ereet pees eee hue eee XS 1 1 2 2 Industry Standards Documents 1 1 2 3 Internet Engineering Task Force Documents 1 1 3 Functional Overview and Use of DICOM 1 1 4 Organization of This Document 2 1 5 2 eee dade ees 2 IMPLEMENTATION MODEL 4 22 Application Data Flow Diagram 4 2 2 Functional Definition of AEs 5 2 3 Sequencing of Real World Activities 5 ARM AE SPECIFICATIONS 6 3 1 Implementation Identifying Information 6 3 2 Network Conformance 22 22e ser ce teet en EX ee yes 6 3 2 1 Association Establishment Policies 7 3 2 1 1 General M dent dde ne 7 3 2 1 2 Number of Associations
15. GE Medical Systems Technical Publications Direction 2206228 100 Revision 0 GEMnet Archive Manager DICOM Conformance Statement Copyright 1998 By General Electric Co Operating Documentation GE MEDICAL SYSTEMS REV 0 WARNING AVERTISSEMENT WARNUNG AVISO GEMNET ARCHIVE MANAGER DICOM CONFORMANCE STATEMENT DIRECTION 2206228 100 THIS SERVICE MANUAL IS AVAILABLE IN ENGLISH ONLY IF CUSTOMER S SERVICE PROVIDER REQUIRES A LANGUAGE OTHER THAN ENGLISH IT IS THE CUSTOMER S RESPONSIBILITY TO PROVIDE TRANSLATION SERVICES DO NOT ATTEMPT TO SERVICE THE EQUIPMENT UNLESS THIS SERVICE MANUAL HAS BEEN CONSULTED AND IS UNDERSTOOD FAILURE TO HEED THIS WARNING MAY RESULT IN INJURY TO THE SERVICE PROVIDER OPERATOR OR PATIENT FROM ELECTRIC SHOCK MECHANICAL OR OTHER HAZARDS CE MANUEL DE MAINTENANCE N EST DISPONIBLE QU EN ANGLAIS SI LE TECHNICIEN DU CLIENT A BESOIN DE CE MANUEL DANS UNE AUTRE LANGUE QUE L ANGLAIS C EST AU CLIENT QU IL INCOMBE DE LE FAIRE TRADUIRE NE PAS TENTER D INTERVENTION SUR LES QUIPEMENTS TANT QUE LE MANUEL SERVICE N A PAS T CONSULT ET COMPRIS LE NON RESPECT DE CET AVERTISSEMENT PEUT ENTRA NER CHEZ LE TECHNICIEN L OPERATEUR OU LE PATIENT DES BLESSURES DUES DES DANGERS LECTRIQUES M CANIQUES OU AUTRES DIESES KUNDENDIENST HANDBUCH EXISTIERT NUR IN ENGLISCHER SPRACHE FALLS EIN FREMDER KUNDENDIENST EINE ANDERE SPRACHE BEN TIGT IST ES AUFGABE DES KU
16. NDEN F R EINE ENTSPRECHENDE BERSETZUNG ZU SORGEN VERSUCHEN SIE NICHT DAS GER T ZU REPARIEREN BEVOR DIESES KUNDENDIENST HANDBUCH NICHT ZU RATE GEZOGEN UND VERSTANDEN WURDE WIRD DIESE WARNUNG NICHT BEACHTET SO KANN ES ZU VERLETZUNGEN DES KUNDENDIENSTTECHNIKERS DES BEDIENERS ODER DES PATIENTEN DURCH ELEKTRISCHE SCHLAGE MECHANISCHE ODER SONSTIGE GEFAHREN KOMMEN ESTE MANUAL DE SERVICIO S LO EXISTE EN INGL S SI ALG N PROVEEDOR DE SERVICIOS AJENO A GEMS SOLICITA UN IDIOMA QUE NO SEA EL INGLES ES RESPONSABILIDAD DEL CLIENTE OFRECER UN SERVICIO DE TRADUCCI N NO SE DEBER DAR SERVICIO T CNICO AL EQUIPO SIN HABER CONSULTADO Y COMPRENDIDO ESTE MANUAL DE SERVICIO LA NO OBSERVANCIA DEL PRESENTE AVISO PUEDE DAR LUGAR A QUE EL PROVEEDOR DE SERVICIOS EL OPERADOR O EL PACIENTE SUFRAN LESIONES PROVOCADAS POR CAUSAS EL CTRICAS MEC NICAS O DEOTRA NATURALEZA GE MEDICAL SYSTEMS REV 0 AVVERTENZA oF GEMNET ARCHIVE MANAGER DICOM CONFORMANCE STATEMENT DIRECTION 2206228 100 ESTE MANUAL DE ASSISTENCIA TECNICA SO SE ENCONTRA DISPONIVEL EMINGLES SE QUALQUER OUTRO SERVICO DE ASSISTENCIA TECNICA QUE NAO A GEMS SOLICITAR ESTES MANUAIS NOUTRO IDIOMA E DA RESPONSABILIDADE DO CLIENTE FORNECER OS SERVICOS DE TRADUCAO NAO TENTE REPARAR EQUIPAMENTO SEM TER CONSULTADO E COMPREENDIDO ESTE MANUAL DE ASSISTENCIA TECNICA O NAO CUMPRIMENTO DESTE AVISO PODE POR EM PERIGO A SEGURANCA DO TECNICO OPERADOR O
17. None FIND 1 2 2 1 Endian Implicit VR Little 1 2 840 10008 1 2 Endian Study Root 1 2 840 10008 5 1 4 Explicit VR Big 1 2 840 10008 1 2 2 SCP None MOVE 1 2 2 2 Endian Implicit VR Little 1 2 840 10008 1 2 Endian 3 2 3 3 2 1 Specific Conformance Statement for Query C FIND SOP Classes The ARM conforms to the definition of an SCP of the Query C FIND Service in accordance with the DICOM standard The ARM supports queries against the Study Root Information Model The ARM does not support Priority processing The ARM does not support Relational queries The attribute values returned by the ARM AE in the Query Service for the stored SOP Instances may differ from the values actually in the stored SOP Instances in the following Ways Attributes with Value Representation PN are truncated to a maximum total length of 64 bytes although multiple values are supported within that total length limit Modality is truncated to a maximum of four bytes Referenced Image Sequence is truncated to a maximum of one Item and All Study level Query Retrieve Attributes other than automatically generated values may be modified by a user at the ARM without changing the values in the stored SOP Instance 13 GE MEDICAL SYSTEMS REV 0 TABLE 7 GEMNET ARCHIVE MANAGER DICOM CONFORMANCE STATEMENT DIRECTION 2206228 100 In the following Tables the values in the Matching column have these meanings Matching Va
18. U PACIENTE DEVIDO A CHOQUES ELETRICOS MECANICOS OU OUTROS IL PRESENTE MANUALE DI MANUTENZIONE E DISPONIBILE SOLTANTO IN INGLESE SE UN ADDETTO ALLA MANUTENZIONE ESTERNO ALLA GEMS RICHIEDE IL MANUALE IN UNA LINGUA DIVERSA IL CLIENTE E 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 ALL UTILIZZATORE ED AL PAZIENTE FOLGORAZIONE ELETTRICA PER URTI MECCANICI OD ALTRI RISCHI 501 UCAvILaY LZ 0 EAS mih ER lt LABS BREIL LOk 670775 To IOJ ERZI R TI EEOS UA DD ROTTEN BPRS SW It GAS IL SOTO fele STATE AS 5053 XOCK cens AIRIS FIH gt A amp PEBIIAZBIT cid ITE TRAE AZ MATE BRAS FRED BORA ERE Hl BRAK hE GE MEDICAL SYSTEMS REV 0 GEMNET ARCHIVE MANAGER DICOM CONFORMANCE STATEMENT Direction 2206228 100 Revision 0 GEMmnet Archive Manager DICOM Conformance Statement DIRECTION 2206228 100 e IMPORTANT X RAY PROTECTION X ray equipment if not properly used may cause injury Accordingly the instructions herein contained should be thorough
19. ained as to what it does with it it may store it to disk display it or process the pixel data with exactly the same protocol interface with the sender The DICOM image sender has no way of explicitly specifying or determining the meaning of the image transaction or the concomitant action of the receiver which might even vary over time dependent on the state of the system Construction of a DICOM based system requires careful selection of components and their functions as claimed in their conformance statements Network Design Implementation of a high performance network infrastructure and its lower level protocols is not trivial The network requirements and design are beyond the scope of this document and of the DICOM Standard Clinical Validation A medical imaging system constructed of components supplied by multiple vendors must be validated as a whole before any clinical use diagnosis or treatment is performed Issues such as end to end image quality especially when the acquisition and display systems are from different manufacturers must be evaluated Application Interaction Although standard such as DICOM enables interoperability of equipment from diverse manufacturers it does not fully constrain the manner in which functions are implemented There may be functional interactions between applications fully conformant to the Standard which nevertheless limit the effectiveness of total system operati
20. al World Activities The only sequencing constraints are those which arise from the required existence of data prior to its access e g images must be archived prior to their access through the Query Retrieve activity GE MEDICAL SYSTEMS REV 0 SECTION 3 ARM AE SPECIFICATIONS 3 1 3 2 GEMNET ARCHIVE MANAGER DICOM CONFORMANCE STATEMENT DIRECTION 2206228 100 There is only one DICOM Application Entity in the Archive Manager the ARM Implementation Identifying Information Network Conformance The AE Title used by the ARM is set in a configuration file This permits multiple Archive Managers to coexist on the same network with distinct naming The default AE Title is arm The ARM AE uses an Implementation UID identifying the class of GEMS Archive Manager products Implementation UID 1 2 840 113708 794 1 1 2 0 The provides Standard Conformance to the following DICOM SOP Classes as an SCU Service Object Pair Class SOP Class Unique ID Storage X ray Angiography 1 2 840 10008 5 1 4 1 1 12 1 Secondary Capture 1 2 840 10008 5 1 4 1 1 7 The ARM AE provides Standard Conformance to the following DICOM SOP Classes as an SCP Service Object Pair Class SOP Class Unique ID X ray Angiography 1 2 840 10008 5 1 4 1 1 12 1 Secondary Capture 1 2 840 10008 5 1 4 1 1 7 Query Retrieve Study Root FIND 1 2 840 10008 5 1 4 1 2 2 1 Study Root MOVE 1 2 840 10008 5 1 4 1 2 2 2 The ARM AE provides St
21. andard Extended Conformance to the supported DICOM Storage SOP Classes as an SCU and SCP to the extent that the Image Information Object sources add Type 3 data elements to the objects The ARM AE does not validate or delete supplementary data elements within the information objects stored in and retrieved from its image storage The ARM AE provides Standard Extended Conformance to the DICOM Query Retrieve SOP Classes as an SCP in accordance with Section 5 1 2 ARCHIVE MANAGER GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT REV 0 DIRECTION 2206228 100 The AE provides Conformance to the following Private SOP Class as an SCP in accordance with Section 5 1 3 Service Object Pair Class SOP Class Unique ID 3 2 1 X Association Establishment Policies 3 2 1 1 General AE initiates and accepts Associations only under the standard DICOM Application Context Name ACN Application Context Name 1 2 840 10008 3 1 1 1 The AE proposes Maximum Length Protocol Data Unit PDU during Association establishment as follows Maximum Length PDU 32 768 bytes 3 2 1 2 Number of Associations The supports a varying number of simultaneous Associations depending on the product model Number of Simultaneous Number of Simultaneous Product Model Associations Accepted Associations Initiated 32 Within these limits the ARM AE does not restrict the number of simultaneous Associations from or to any
22. ctrical codes applicable The purchaser of GE equipment shall only utilize qualified personnel i e GE s field engineers personnel of third party service companies with equivalent training or licensed electricians to perform electrical servicing on the equipment DAMAGE IN TRANSPORTATION All packages should be closely examined at time of delivery If damage is apparent have notation damage in shipment written on all copies of the freight or express bill before delivery is accepted or sighed for by a General Electric representative hospital receiving agent Whether noted or concealed damage MUST be reported to the carrier immediately upon discovery or in any event within 14 days after receipt and the contents and containers held for inspection by the carrier A transportation company will not pay a claim for damage if an inspection is not requested within this 14 day period Call Traffic and Transportation Milwaukee WI 414 827 3449 8 285 3449 immediately after damage is found At this time be ready to supply name of carrier delivery date consignee name freight or express bill number item damaged and extent of damage Complete instructions regarding claim procedure are found in Section S of the Policy amp Procedure Bulletins 6 17 94 ARCHIVE MANAGER GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT REV 0 DIRECTION 2206228 100 THIS PAGE INTENTIONALLY LE
23. dard and with the terminology and concepts used in that Standard The DICOM Standard contains many optional components This document allows the reader to determine which specific parts of the DICOM Standard the ARM supports It also allows the reader to determine whether and to what extent communications might be supported between the ARM and another entity which may implement a different set of DICOM components NEMA PS3 Digital Imaging and Communications in Medicine DICOM Industry Standards Documents IEEE Std 802 Local and Metropolitan Area Networks ATMF LANE Forum Local Area Network Emulation Specification ATMF UNI ATM Forum User Network Interface Internet Engineering Task Force Documents RFC 791 Internet Protocol IP RFC 793 Transmission Control Protocol TCP RFC 1042 Transmission of IP Datagrams over IEEE 802 Networks RFC 1577 Classical IP and ARP over ATM Functional Overview and Use of DICOM The Archive Manager ARM is a combined hardware and software platform which provides high performance short term and archival storage for digital medical images It provides immediate high speed access to images in active review recently stored or retrieved and automatic long term archival mass storage for permanent image retention The ARM provides associated services for managing and retrieving the stored images including automatic retrieval from mass storage libraries The ARM is designed for the high performance requi
24. e Migration SOP Class UID shall have the value 1 2 840 113619 4 10 The well known Migration SOP Instance UID shall have the value 1 2 840 113619 7 2 24 GE Medical Systems GE Medical Systems Telex 3797371 Box 414 Milwaukee Wisconsin 53201 0 5 Asia Pacific Latin America North America GE Medical Systems Europe Telex 698626 283 rue de la Mini re B P 34 78533 Buc Cedex France
25. for the Icon Key Sequence attribute If this Sequence is requested in an IMAGE level C FIND Identifier with a single zero length Item the ARM supports Universal Matching and returns zero or one Items for the Sequence in accordance with Table 11 ICON KEY SEQUENCE ITEM ATTRIBUTES TABLE 12 7 00200002 00200710 0 The C FIND Response Identifier returned by the may include the attributes shown in Table 12 under the conditions indicated OTHER RESPONSE IDENTIFIER ATTRIBUTES Specific Character Set 0008 0005 If used in input images Retrieve Title 0008 0054 Always returned 16 ARCHIVE MANAGER GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT REV 0 DIRECTION 2206228 100 The ARM AE will return status in the C FIND response in accordance with the DICOM standard particular the ARM will return Refused or Failed status responses in accordance with Table 13 TABLE 13 C FIND REFUSED FAILED STATUS RESPONSES A700 Out of Resources maximum number of responses returned A900 Identifier does not match SOP Class improper Query level value not defined for SOP Class query level value Unable to Process error parsing identifier Hardware or software fault in ARM or invalid input C003 Unable to Process internal ARM error Hardware or software fault in ARM C004 Unable to Process ARM database error Hardware or software fault i
26. ge Send 3 2 2 2 1 Associated Real World Activity The will establish an Association in response to a Retrieve SOP Class MOVE request received from the Query Retrieve Real World Activity or in response to a directive from the Image Routing Real World Activity The target Real World Activity is an external Image Receive 3 2 2 2 2 Proposed Presentation Contexts The ARM AE will propose Presentation Contexts each with a single Transfer Syntax for all supported combinations of Abstract and Transfer Syntax as shown in Table 2 combinations will be proposed on each Association regardless of the specific Abstract Syntax of the SOP Instances which are to be transmitted ARCHIVE MANAGER GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT REV 0 DIRECTION 2206228 100 TABLE 2 PROPOSED PRESENTATION CONTEXTS FOR ARM AE IMAGE SEND Abstract Syntax Transfer Syntax Extended 1 2 840 10008 1 2 2 SCU None Angiographic 1 12 Endian Implicit VR Little 1 2 840 10008 1 2 Endian Explicit VR Big 1 2 840 10008 1 2 2 SCU None Endian Implicit VR Little 1 2 840 10008 1 2 Endian 3 22 2 2 1 Specific Conformance Statement for Storage SOP Classes The ARM as an SCU of the Storage SOP Classes records any unsuccessful C STORE operations in an error log and places the SOP Instance in a Retry List for manually initiated retry of the C STORE The ARM takes no action upon the receipt of a C STORE successful or war
27. lue U M Unique Key Key Matching supported Key Matching supported Key Existence supported no matching The ARM supports queries at the STUDY level in the Study Root FIND SOP Class using the keys in Table 7 STUDY LEVEL KEYS FOR STUDY ROOT QUERY EE M wena 00000020 00000080 00000780 00000090 008 088 00001080 00100020 01000 00000 00100080 0010000 00201208 elata 087 0 The ARM supports Range Matching for Study Date and Study Time as independent keys That is if both date range and time range are specified in the Request Identifier the matching studies dates will be strictly within the requested key date range and their times will be strictly within the requested key time range The ARM does not treat the combination of specified matching ranges in these two fields as a datetime range study datetime between dateltimel and date2time2 m z jzim mimimim zi ziz zimiz zi ziz 14 GE MEDICAL SYSTEMS REV 0 TABLE 8 SERIES LEVEL KEYS FOR QUERY TABLE 9 IMAGE LEVEL KEYS FOR QUERY GEMNET ARCHIVE MANAGER DICOM CONFORMANCE STATEMENT DIRECTION 2206228 100 The ARM supports Performing Physician s Name as a matching attribute at the Study level even though it is formally defined in the DICOM Information Model as an attribute at the Series level At the Study level the ARM recognizes and returns the Private Key Attributes Media Location
28. ly read and understood by everyone who will use the equipment before you attempt to place this equipment operation The General Electric Company Medical Systems Group will be glad to assist and cooperate placing this equipment in use Although this apparatus incorporates a high degree of protection against x radiation other than the useful beam no practical design of equipment can provide complete protection Nor can any practical design compel the operator to take adequate precautions to prevent the possibility of any persons carelessly exposing themselves or others to radiation It is important that everyone having anything to do with x radiation be properly trained and fully acquainted with the recommendations of the National Council on Radiation Protection and Measurements as published in NCRP Reports available from NCRP Publications 7910 Woodmont Avenue Room 1016 Bethesda Maryland 20814 and of the International Commission iii DIN on Radiation Protection and take adequate steps to protect against injury The equipment is sold with the understanding that the General Electric Company Medical Systems Group its agents and representatives have no responsibility for injury or damage which may result from improper use of the equipment Various protective material devices are available It is urged that such materials or devices be used CAUTION United States Federal law restricts thi
29. n ARM C006 Unable to Process SOP class not negotiated Hardware or software fault in ARM C902 Unable to Process missing required study UID or Required higher level UID missing patient ID C906 Unable to Process improper attribute in identifier Attributes for another query level present for SOP class The ARM AE limits the maximum number of Query responses returned with status of Pending response code FF00 or FF01 to the value of a parameter set in a configuration file The default Maximum Number of Query Responses value is 200 After the maximum number of Pending responses the ARM AE returns a response with status Refused Out of Resources response code A700 3 2 3 3 2 2 Specific Conformance Statement for Retrieve C MOVE SOP Classes The ARM conforms to the definition of an SCP of the Retrieve Service in accordance with the DICOM standard The ARM supports retrievals against the Study Root Information Model The ARM does not support Priority processing The ARM does not support Relational retrieves The ARM uses the Storage SOP Classes defined in Section 3 2 2 2 to support the C STORE sub operations of the Retrieve SOP Classes If the Destination AE Title in the C MOVE request is the ARM AE Title the ARM will move the requested images to its online disk staging for rapid subsequent retrieval via another C MOVE 3 2 3 3 3 Presentation Context Acceptance Criteria There are no special criteria for accepting Q
30. ning response status The ARM does not support Storage SOP Class Extended Negotiation Image objects transferred under the Storage SOP Classes may have optional Type 3 data elements as implemented by the sources of those images and included in the image objects archived in the ARM 3 2 2 2 3 Association Termination The AE will use a single Association for all storage sub operations of a CCMOVE retrieval It will terminate the association upon receipt of the C STORE RSP message for the last image requested Upon command from a local user at the ARM the ARM AE will abnormally terminate the Association and all pending storage sub operations will be canceled ARCHIVE MANAGER GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT REV 0 DIRECTION 2206228 100 3 2 3 Association Acceptance Policy The ARM AE will accept an Association at any time consistent with the maximum number of Associations described in Section 3 2 1 2 The accepts the establishment of an association in these cases of real world activity to support a remote Application Entity verifying the responsiveness of the ARM AE to receive images for archive from a remote AE to support a remote image staging migration request and to handle query retrieval requests from a remote AE against the ARM archive image storage The ARM AE may terminate an Association if there is no activity for a parameterized length of
31. on and which would not be apparent from their conformance statements Indeed one application s implementation may inhibit another from performing its functions altogether The range of possible interactions between devices should be tested before a system is declared operational Performance The DICOM Standard focuses on functionality not performance Achieving the requisite performance for a particular clinical function especially with high data rates or volumes is a system issue beyond the scope of this document and of the DICOM Standard GE MEDICAL SYSTEMS REV 0 GEMNET ARCHIVE MANAGER DICOM CONFORMANCE STATEMENT DIRECTION 2206228 100 Evolution The DICOM Standard will continue to evolve to meet the growing requirements of the medical imaging community GE Medical Systems is an active participant in the continuing development of DICOM The ARM will incorporate new features based on evolution of the DICOM Standard and other connected devices may need to be similarly updated GE Medical Systems reserves the right to discontinue or make changes to the ARM product or features thereof which may make it inconsistent with previous revisions of this document The potential user is advised to check and obtain the current version of this document ARCHIVE MANAGER GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT REV 0 DIRECTION 2206228 100 SECTION 2 IMPLEMENTATION MODEL 2 1 Application Data Flow Diagram Ill
32. onveys that the SCP has successfully received the request but does not indicate that the migration has taken place The migration levels are defined as follows 1 On Line the fastest level of accessibility for the SCP 2 Off line corresponds to data outside of the repository of the SCP but its existence is tracked by the SCP This information needs to be manually loaded for access 3 Near line corresponds to data inside the repository of the SCP and is accessed automatically and slower than the on line storage possibly a juke box D 1 DIMSE Service Groups The DIMSE N Services shown in Table 16 are applicable to the Migration SOP Class The DIMSE N Services and Protocol are specified in PS 3 7 TABLE 16 MIGRATION DIMSE SERVICE GROUPS DIMSE Service Element Usage SCU SCP N ACTION M M D 2 Operations D 2 Action Information The DICOM AEs which claim conformance to this SOP Class as an SCU and or an SCP shall support the Action Types and Action Information as specified in Table 17 The Attribute definitions shall be as specified in DICOM unless otherwise defined The Query Retrieve Level attribute conveys the information model level for which the migration is to occur 23 ARCHIVE MANAGER GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT REV 0 DIRECTION 2206228 100 TABLE 17 REQUEST MIGRATION ACTION INFORMATION Action Type Action Req Type Name Type ID Tag SCU SCP Attribute Description bids ee CIL INE
33. rements of X ray modalities specifically X ray angiography with real time data rates of 7 5 MB s and uncompressed data volumes of up to 1500 MB per study GE MEDICAL SYSTEMS REV 0 1 4 1 5 GEMNET ARCHIVE MANAGER DICOM CONFORMANCE STATEMENT DIRECTION 2206228 100 The ARM is an open system with all its interfaces defined by international and industry standards DICOM is the fundamental standard through which the ARM communicates with other devices DICOM protocols are used for sending image data to the ARM for storage and archiving for querying the image database and for retrieving images Organization of This Document Caveats This document follows the general outline of Conformance Statements specified in DICOM Part 2 However the numbering of sections may be slightly different as allowed by the standard The use of this Conformance Statement in conjunction with the DICOM Standard and the Conformance Statements of other equipment is intended to facilitate open system interoperation with the ARM However these documents by themselves are not sufficient to ensure that system operation will be successful or will meet the user s needs Among the issues which the potential user must consider are Interchange Semantics The DICOM Standard in general does not specify the higher level semantics associated with image data interchange For example an application which receives an image via the DICOM protocol is not constr
34. s device to use by or on the order of a physician ARCHIVE MANAGER GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT REV 0 DIRECTION 2206228 100 THIS PAGE INTENTIONALLY LEFT BLANK GE MEDICAL SYSTEMS REV 0 GEMNET ARCHIVE MANAGER DICOM CONFORMANCE STATEMENT DIRECTION 2206228 100 If you have any comments suggestions or corrections to the information in this document please write them down include the document title and document number and send them to GENERAL ELECTRIC COMPANY MEDICAL SYSTEMS MANAGER INFORMATION INTEGRATION AMERICAS W 622 BOX 414 MILWAUKEE WI 53201 0414 CERTIFIED ELECTRICAL CONTRACTOR STATEMENT 2 All electrical installations that preliminary to positioning of the equipment at the site prepared for the equipment shall be performed by licensed electrical contractors addition electrical feeds into the Power Distribution Unit shall be performed by licensed electrical contractors Other connections between pieces of electrical equipment calibrations and testing shall be performed by qualified GE Medical personnel The products involved and the accompanying electrical installations are highly sophisticated and special engineering competence is required In performing all electrical work on these products GE will use its own specially trained field engineers All of GE s electrical work these products will comply with the requirements of the ele
35. single other AE 3 2 1 3 Asynchronous Nature Asynchronous Operations are not supported by the ARM AE 3 2 2 Association Initiation The ARM AE initiates the establishment of an association in two cases of real world activity to verify the responsiveness of a remote Application Entity and to handle the storage sub operations in response to a retrieval request ARCHIVE MANAGER GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT REV 0 DIRECTION 2206228 100 3 2 2 1 Verification 3 2 2 1 1 Associated Real World Activity The will establish an Association upon initiation by a local operator to verify the ability of a remote Application Entity to respond to DICOM messages Verification Initiate Real World Activity 3 2 2 1 2 Proposed Presentation Contexts The AE will propose a single Presentation Context for the association as shown Table 1 TABLE 1 PROPOSED PRESENTATION CONTEXTS FOR ARM AE VERIFICATION Em Transfer Syntax Extended Negotiation List UID List n 2 840 10008 1 1 VR Little 1 2 840 10008 1 2 3 2 2 1 2 1 Specific Conformance Statement for Verification SOP Class The ARM conforms to the definition of an SCU of the Verification SOP Class in Accordance with the DICOM standard 3 2 2 1 3 Association Termination The will terminate the association upon receipt of the C ECHO RSP message 3 2 2 2 Ima
36. tion Information E RERO EP e Ip eo ee 23 D 2 2 Service Class User Behavior 354 42 556 24 0 2 3 Service Class Provider Behavior 24 D 3 Migration SOP Class UID and SOP Instance UID 24 viii ARCHIVE MANAGER GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT REV 0 DIRECTION 2206228 100 REVISION HISTORY REV DATE REASON FOR CHANGE 0 January 30 1998 Initial production release LIST OF EFFECTIVE PAGES PAGE REVISION PAGE REVISION PAGE REVISION NUMBER NUMBER NUMBER NUMBER NUMBER NUMBER Title Page 0 1 thru x 0 1 thru 24 0 Back Page ARCHIVE MANAGER GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT REV 0 DIRECTION 2206228 100 THIS PAGE INTENTIONALLY LEFT BLANK GE MEDICAL SYSTEMS REV 0 SECTION 1 INTRODUCTION 1 1 1 2 1 2 1 1 2 2 1 2 3 1 3 Scope Applicable Documents DICOM Documents GEMNET ARCHIVE MANAGER DICOM CONFORMANCE STATEMENT DIRECTION 2206228 100 This Conformance Statement specifies the manner in which the GEMnet Archive Manager ARM complies with the DICOM Standard NEMA PS3 This document is written in conformance with DICOM Part 2 PS3 2 It details the Information Objects Service Classes Transfer Syntaxes network technologies and roles and operations of the ARM for DICOM standard interactions It is assumed that readers of this document are familiar with the DICOM Stan
37. transfer images to the for archival storage This Association supports the Real World Activity Image Send 3 2 3 2 2 Acceptable Presentation Contexts The will accept multiple Presentation Contexts for the Archive Storage activity as shown in Table 4 A single Association may be used both for this activity and for any of the other activities for which the AE 15 the Association Acceptor TABLE 4 ACCEPTABLE PRESENTATION CONTEXTS FOR ARM AE STORAGE Abstract Syntax Transfer Syntax Extended 1 2 840 10008 1 2 2 SCP None Angiographic 1 12 Endian Implicit VR Little 1 2 840 10008 1 2 Endian Secondary Explicit VR Big 1 2 840 10008 1 2 2 SCP None Capture E Endian Storage Implicit VR Little 1 2 840 10008 1 2 Endian 3 2 3 2 2 1 Specific Conformance Statement for Storage SOP Classes The ARM provides Level 2 Full conformance as an SCP of the Storage SOP Classes received Attributes are stored and may be subsequently accessed including Private and other Type 3 Attributes included in Standard Extended SOP Instances Stored SOP Instances may be accessed using the DICOM standard Query Retrieve SOP Classes see Section 3 2 3 3 Stored SOP Instances may be accessed from the local user interface for transmission to another network node Stored SOP Instances are permanently accessible long term archive The ARM will return an unsuccessful or warning C STORE response in accordance with
38. uery Retrieve Presentation Contexts 3 2 3 3 4 Transfer Syntax Selection Policies Within each Presentation Context the first proposed Transfer Syntax which is supported by the ARM will be accepted 17 ARCHIVE MANAGER GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT REV 0 DIRECTION 2206228 100 3 2 3 4 Study Migration 3 2 3 4 1 Associated Real World Activity The ARM AE will accept an Association from a remote Application Entity to send the ARM requests to manage the storage of studies This Association supports the external Real World Activity Study Migration and is supported by the internal Image Management Real World Activity 3 2 3 4 2 Acceptable Presentation Contexts The ARM AE will accept one Presentation Context for the Study Migration activity as shown in Table 14 A single Association may be used both for this activity and for any of the other activities for which the ARM AE is the Association Acceptor TABLE 14 ACCEPTABLE PRESENTATION CONTEXTS FOR ARM AE STUDY MIGRATION Abstract EA Transfer Syntax Extended Migration BECAS 2 840 113619 4 10 Explicit VR Big 1 2 840 10008 1 2 2 SCP None Endian Implicit VR Little 1 2 840 10008 1 2 Endian 3 2 3 4 2 1 Specific Conformance Statement for Migration SOP Class The ARM conforms to the definition of an SCP of the Migration SOP Class in accordance with the definition in Section 5 1 3 The ARM supports Migration NCACTION Action Type ID 0000 1008 value 1
39. ustration is a graphical depiction of the relationships between the Archive Manager Application Entity ARM AE and various Real World Activities as interrelated by DICOM ILLUSTRATION 1 APPLICATION DATA FLOW DIAGRAM DICOM Standard Interface Image Storage Image Manage ment ARCHIVE gt MANAGER Image Recieve Image Routing Study Migration Verification Initiator Verification Initiate Verification Responder Image Send is an activity which sends one or more images to the ARM to be archived Image Storage Image Management and Image Routing are local automatic activities triggered by the DICOM transfer of images to the ARM for archive Study Migration is an external activity which notifies the ARM of a potential future request for image data permitting the ARM to stage that data for rapid access This activity is supported by the local Image Management activity ARCHIVE MANAGER GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT REV 0 DIRECTION 2206228 100 Archive Query Retrieve and Image Receive are activities by which an external user can identify images stored by the ARM and can retrieve specific images or sets of images The ARM initiates the return DICOM Association to the external Image Receive activity for the transfer of the retrieved images These activities are also supported by the local Image Storage and Image Management activities

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