HEALTHCARE DICOM Conformance Statement · HEALTHCARE DICOM Conformance Statement . Page 2 of 24...

MED/PL/000686 of 24 Document No. 000686, Revision 1.1

HealthCare 25 March, 2003

IMPAX CS5000 Status: Released

Document No. 000686, Revision 1.1

HEALTHCARE DICOM Conformance Statement

of 24 MED/PL/000686 Document No. 000686, Revision 1.1

25 March, 2003 HealthCare

Document Information

Author Patricia Lang tel: 1 (800) 581-2432 x3598 email: [email protected]

With the assistance of Lauren Wasserman email: [email protected] For questions regarding the technical content of this document, please contact:

Patricia Lang tel: 1 (800) 581-2432 x3598 email: [email protected]

Issued by: HealthCare Glasgow Business Community P.O. Box 6020 640 Technology Drive Newark, DE 19714-6020 USA

Agfa shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance or use of this publication. Agfa reserves the right to revise this publication and to make changes to its content at any time, without obligation to notify any person or entity of such revisions and changes. This publication may only be used in connection with the promotion, sales, installation and use of Agfa equipment by Agfa personnel. The information presented herein is sensitive and is classified Company Confidential. Without written authority from the proprietor, further distribution outside the company is not allowed.

tel: 1 (302) 631-3494 fax: 1 (302) 631-3145 email: [email protected]

Copyright March, 03 HealthCare

All rights reserved

mailto:[email protected]



Table of Contents

1 Introduction .......................................................................................... 7 1.1 Intended Audience ................................................................................. 7 1.1.1 Integration .................................................................................................... 7 1.1.2 Validation...................................................................................................... 7 1.1.3 Future Evolution ........................................................................................... 7

1.2 Purpose of this Document ...................................................................... 7 1.3 Sources for this Document ..................................................................... 7

2 Implementation Model ......................................................................... 8 2.1 Application Data Flow Diagram.............................................................. 8 2.1.1 Image Storage as SCP................................................................................. 8 2.1.2 Image Storage as SCU................................................................................. 8 2.1.3 Query/Retrieve as SCU ................................................................................ 8 2.1.4 Study Management Services as an SCU ..................................................... 8 2.1.5 Print Management as an SCU...................................................................... 8 2.1.6 Services Not Provided .................................................................................. 8

2.2 Functional Definitions of AE ................................................................... 9 2.3 Sequencing of Real World Activities ...................................................... 9

3 AE Specifications ................................................................................. 9 3.1 CS5000 Specifications ........................................................................... 9 3.1.1 Services Used by CS5000 as an SCU ......................................................... 9 3.1.2 Services Provided by CS5000 as an SCP.................................................. 10

3.2 Association Establishment Policies ...................................................... 11 3.2.1 General....................................................................................................... 11 3.2.2 Number of Associations.............................................................................. 11 3.2.3 Asynchronous Nature ................................................................................. 11 3.2.4 Implementation Identifying Information....................................................... 11 3.2.5 Called / Calling Titles.................................................................................. 11

3.3 Association Initiation by Real World Activity ........................................ 11 3.3.1 Real World Activity - Verification................................................................. 11 3.3.1.1 Associated Real World Activity - Verification ....................................................... 11



3.3.1.2 Proposed Presentation Contexts - Verification .................................................... 11 3.3.1.3 SOP Specific Conformance - Verification ............................................................ 12 3.3.2 Real World Activity - Storage...................................................................... 12 3.3.2.1 Associated Real World Activity - Storage ............................................................ 12 3.3.2.2 Proposed Presentation Contexts - Storage ......................................................... 12 3.3.2.3 SOP Specific Conformance - Storage ................................................................. 13 3.3.3 Real World Activity - Find ........................................................................... 13 3.3.3.1 Associated Real World Activity - Find.................................................................. 13 3.3.3.2 Proposed Presentation Contexts - Find............................................................... 13 3.3.3.3 SOP Specific Conformance - Find....................................................................... 13 3.3.4 Real World Activity - Move ......................................................................... 13 3.3.4.1 Associated Real World Activity - Move ................................................................ 13 3.3.4.2 Proposed Presentation Contexts - Move ............................................................. 13 3.3.4.3 SOP Specific Conformance - Move ..................................................................... 14 3.3.5 Real World Activity - Detached Management ............................................. 14 3.3.5.1 Associated Real World Activity - Detached Management ................................... 14 3.3.5.2 Presentation Context Table - Detached Management......................................... 14 3.3.5.3 SOP Specific Conformance - Detached Management ........................................ 15 3.3.6 Real World Activity - Print Management ..................................................... 15 3.3.6.1 Associated Real World Activity - Print Management ........................................... 15 3.3.6.2 Presentation Context Table - Print Management................................................. 16 3.3.6.3 SOP Specific Conformance - Print Management ................................................ 16 3.3.6.3.1 Basic Film Session SOP Class...................................................................................... 16 3.3.6.3.2 Basic Film Box SOP Class ............................................................................................ 16 3.3.6.3.3 Basic Image Box SOP Classes ..................................................................................... 17 3.3.6.3.3.1 SOP Specific Conformance to Basic Grayscale Image Box SOP Class 17 3.3.6.3.3.2 SOP Specific Conformance to Basic Color Image Box SOP Class 17 3.3.6.3.3.3 SOP Specific Conformance to Basic Annotation Box SOP Class 18 3.3.6.3.3.4 SOP Specific Conformance to Printer SOP Class 18 3.3.6.3.3.4.1 Printer Options......................................................................................................................18

3.4 Association Acceptance Policy............................................................. 20 3.4.1 Real World Activity - Verification................................................................. 20 3.4.1.1 Associated Real World Activity - Verification ....................................................... 20 3.4.1.2 Presentation Context Table - Verification ............................................................ 20 3.4.1.3 SOP Specific Conformance - Verification ............................................................ 21 3.4.1.4 Presentation Context Acceptance Criterion - Verification.................................... 21 3.4.1.5 Transfer Syntax Selection Policies - Verification ................................................. 21 3.4.2 Presentation Context Table - Storage ........................................................ 21 3.4.2.1 SOP Specific Conformance - Storage ................................................................. 22 3.4.2.2 Presentation Context Acceptance Criterion - Storage ......................................... 23 3.4.2.3 Transfer Syntax Selection Policies - Storage ...................................................... 23

4 Communications Profiles .................................................................. 23 4.1 TCP/IP Stack........................................................................................ 23



4.1.1 Physical Media Support.............................................................................. 23

5 Configuration...................................................................................... 23

6 Support for Extended Character Sets .............................................. 23

7 Acronyms and Abbreviations ........................................................... 24



Revision Record

Revision No. Date Author Reason for Change 1.0 26 November 2001 Patricia Lang Initial version 1.1 05 December 2001 Patricia Lang Released



1 INTRODUCTION

1.1 Intended Audience The user of this document is involved with system integration and/or software design. We assume that the reader is familiar with the terminology and concepts that are used in the DICOM 3.0 standard.

Readers not familiar with DICOM 3.0 terminology should first read the appropriate parts of the DICOM standard itself, prior to reading this conformance statement.

Although the use of this conformance statement in conjunction with the DICOM 3.0 standard is intended to facilitate communication with other imaging equipment, it is not sufficient to guarantee, by itself, the inter-operation of the connection. The following issues need to be considered:

1.1.1 Integration The integration of any device into a system of interconnected devices goes beyond the scope of the DICOM 3.0 standard and this conformance statement when interoperability is desired. The responsibility for analyzing the applications requirements and developing a solution that integrates the Agfa equipment with other vendors’ systems is the user’s responsibility and should not be underestimated.

1.1.2 Validation Testing the complete range of possibilities between the Agfa equipment and non-Agfa devices, before the connection is declared operational, is deemed to be a necessity. The user should ensure that any non-Agfa provider accepts full responsibility for all validation required for their connection with the Agfa equipment. The accuracy of image data once it has crossed the interface between the Agfa equipment and the non-Agfa device as well as the stability of the image data for the intended applications is the responsibility of the non-Agfa provider.

1.1.3 Future Evolution As the DICOM 3.0 standard evolves to meet the user’s growing requirements and to incorporate new features and technologies, Agfa will follow the evolution of the standard. This evolution of the standard may require changes to devices that have implemented DICOM 3.0. The user should ensure that any non-Agfa provider who connects with Agfa devices also plans future evolution of the DICOM standard. A refusal to do so may reflect in the loss of functionality and/or connectivity between the different products.

1.2 Purpose of this Document This document is a DICOM Conformance Statement for the software product CS5000. CS5000 is a member of Agfa’s family of medical imaging products, collectively called IMPAX. > CS5000 is a service class provider for the DIMSE-C services of image storage.

> CS5000 is a service class user for the DIMSE-C services of image storage, query and retrieve.

> CS5000 is a service class user for the DIMSE-N services of printing images.

> CS5000 is a service class user for the retrieval of patient demographic information from a HIS/RIS.

1.3 Sources for this Document > ACR-NEMA Digital Imaging and Communications in Medicine (DICOM) V3.0. 1993 -1997.



2 IMPLEMENTATION MODEL CS5000 is a general purpose DICOM 3.0 imaging workstation, designed for non-diagnostic use, mainly by clinicians and referring physicians.

2.1 Application Data Flow Diagram

Key: Application Entity Association Negotiation

DICOM Standard Interface

CS5000

SCP

SCU

Figure 2.1 Implementation Model.

2.1.1 Image Storage as SCP CS5000 is an SCP for the Storage Service Class. It stores a received image in its entirety, without change, in its internal data store.

2.1.2 Image Storage as SCU CS5000 is an SCU for the Storage Service Class.

2.1.3 Query/Retrieve as SCU CS5000 is an SCU for the Query/Retrieve Service Class.

2.1.4 Study Management Services as an SCU CS5000 is an SCU for the Study Management Service Class.

2.1.5 Print Management as an SCU CS5000 is an SCU for the Print Management Service Class.

2.1.6 Services Not Provided CS5000 is not an SCP for the Query/Retrieve Service Class.



2.2 Functional Definitions of AE CS5000 is implemented as a single application entity.

2.3 Sequencing of Real World Activities No special requirements.

3 AE SPECIFICATIONS

3.1 CS5000 Specifications

3.1.1 Services Used by CS5000 as an SCU CS5000 provides Standard Conformance to the following DICOM 3.0 SOP Classes as an SCU.

SOP Class SOP Class UID Verification 1.2.840.10008.1.1

Table 3.1 Verification SOP Class.

SOP Class SOP Class UID Computed Radiography Image Storage 1.2.840.10008.5.1.4.1.1.1 CT Image Storage 1.2.840.10008.5.1.4.1.1.2 Ultrasound Multi-frame Image Storage (retired) 1.2.840.10008.5.1.4.1.1.3 Ultrasound Multi-frame Image Storage 1.2.840.10008.5.1.4.1.1.3.1 MR Image Storage 1.2.840.10008.5.1.4.1.1.4 Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.5 Ultrasound Image Storage (retired) 1.2.840.10008.5.1.4.1.1.6 Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1 Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 X-ray Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.12.1 X-ray RadioFluoroscopic Image Storage 1.2.840.10008.5.1.4.1.1.12.2 X-ray Angiographic Bi-plane Image Storage 1.2.840.10008.5.1.4.1.1.12.3 Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.20 Digital X-ray Image Storage - For Presentation 1.2.840.10008.5.1.4.1.1.1.1 Digital X-ray Image Storage - For Processing 1.2.840.10008.5.1.4.1.1.1.1.1 Digital Mammography X-ray Image Storage - For Presentation 1.2.840.10008.5.1.4.1.1.1.2 Digital Mammography X-ray Image Storage - For Processing 1.2.840.10008.5.1.4.1.1.1.2.1

Table 3.2 Storage SOP Classes.

SOP Class SOP Class UID Patient Root Query/Retrieve IM Find 1.2.840.10008.5.1.4.1.2.1.1 Patient Root Query/Retrieve IM Move 1.2.840.10008.5.1.4.1.2.1.3 Study Root Query/Retrieve IM Find 1.2.840.10008.5.1.4.1.2.2.1 Study Root Query/Retrieve IM Move 1.2.840.10008.5.1.4.1.2.2.3 Patient/Study Only Query/Retrieve IM Find 1.2.840.10008.5.1.4.1.2.3.1 Patient/Study Only Query/Retrieve IM Move 1.2.840.10008.5.1.4.1.2.3.3

Table 3.3 Query/Retrieve SOP Classes.



SOP Class SOP Class UID Detached Patient Management 1.2.840.10008.3.1.2.1.1 Detached Study Management 1.2.840.10008.3.1.2.3.1 Detached Results Management 1.2.840.10008.3.1.2.5.1 Detached Interpretation Management 1.2.840.10008.3.1.2.6.1

Table 3.4 Detached Study Management SOP Classes.

SOP Class SOP Class UID Basic Film Session 1.2.840.10008.5.1.1.1 Basic Film Box 1.2.840.10008.5.1.1.2 Basic Grayscale Image Box 1.2.840.10008.5.1.1.4 Basic Color Image Box 1.2.840.10008.5.1.1.4.1 Basic Annotation Box 1.2.840.10008.5.1.1.15 Basic Grayscale Print Management Meta 1.2.840.10008.5.1.1.9 Basic Color Print Management Meta 1.2.840.10008.5.1.1.16

Table 3.5 Print SOP Classes.

3.1.2 Services Provided by CS5000 as an SCP CS5000 provides Standard Conformance to the following DICOM 3.0 SOP Classes as an SCP:

SOP Class SOP Class UID Verification 1.2.840.10008.1.1

Table 3.6 Verification SOP Class.

SOP Class SOP Class UID Computed Radiography Image Storage 1.2.840.10008.5.1.4.1.1.1 CT Image Storage 1.2.840.10008.5.1.4.1.1.2 Ultrasound Multi-frame Image Storage (retired) 1.2.840.10008.5.1.4.1.1.3 Ultrasound Multi-frame Image Storage 1.2.840.10008.5.1.4.1.1.3.1 MR Image Storage 1.2.840.10008.5.1.4.1.1.4 Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.5 Ultrasound Image Storage (retired) 1.2.840.10008.5.1.4.1.1.6 Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1 Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 X-ray Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.12.1 X-ray RadioFluoroscopic Image Storage 1.2.840.10008.5.1.4.1.1.12.2 X-ray Angiographic Bi-plane Image Storage 1.2.840.10008.5.1.4.1.1.12.3 Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.20 Digital X-ray Image Storage - For Presentation 1.2.840.10008.5.1.4.1.1.1.1 Digital X-ray Image Storage - For Processing 1.2.840.10008.5.1.4.1.1.1.1.1 Digital Mammography X-ray Image Storage - For Presentation 1.2.840.10008.5.1.4.1.1.1.2 Digital Mammography X-ray Image Storage - For Processing 1.2.840.10008.5.1.4.1.1.1.2.1

Table 3.7 Storage SOP Classes.



3.2 Association Establishment Policies

3.2.1 General CS5000 has a maximum PDU size of 100000 bytes.

3.2.2 Number of Associations As an SCP, CS5000 accepts only one association at a time. As an SCU, the CS5000 requests only one association at a time.

3.2.3 Asynchronous Nature CS5000 allows a single outstanding operation on any association. Therefore, CS5000 does not support asynchronous operations window negotiation, other than the default as specified by the DICOM specification.

3.2.4 Implementation Identifying Information CS5000 will respond with the following implementation identifying parameters: > Implementation Class UID: 1.2.124.113532.3510

> Implementation Version Name: MITRAJUNE1997

The implementation version name identifies the DICOM software library on which the CS5000 product was built.

3.2.5 Called / Calling Titles The default calling title that CS5000 will use is “CS5000”. This calling title can be configured on site.

3.3 Association Initiation by Real World Activity

3.3.1 Real World Activity - Verification

3.3.1.1 Associated Real World Activity - Verification CS5000 will issue a Verification request when a user of CS5000 wishes to send a study of images to a remote DICOM SCP.

3.3.1.2 Proposed Presentation Contexts - Verification CS5000 supports the transfer syntaxes listed in Table 3.8. For a Verification request, CS5000 will propose the Presentation Contexts listed in Table 3.9.

Transfer Syntax UID DICOM Implicit VR Little Endian 1.2.840.10008.1.2

Table 3.8 Transfer Syntax.

Abstract Syntax SOP Class SOP Class UID

Transfer Syntax Role Extended Negotiation

Verification 1.2.840.10008.1.1 All from Table 3.8 SCU None

Table 3.9 Presentation Contexts.



3.3.1.3 SOP Specific Conformance - Verification CS5000 provides standard conformance to the DICOM Verification Service Class.

3.3.2 Real World Activity - Storage

3.3.2.1 Associated Real World Activity - Storage CS5000 will issue a Storage request when a user of CS5000 wishes to send a study of images to a remote DICOM SCP.

3.3.2.2 Proposed Presentation Contexts - Storage CS5000 supports the transfer syntaxes listed in Table 3.10. For a Storage request, CS5000 will propose the Presentation Contexts listed in Table 3.11.

Transfer Syntax UID Implicit VR Little Endian 1.2.840.10008.1.2 Explicit VR Little Endian 1.2.840.10008.1.2.1 JPEG Baseline 1.2.840.10008.1.2.4.50 JPEG Extended 1.2.840.10008.1.2.4.51 JPEG Lossless, Non-Hierarchical 1.2.840.10008.1.2.4.57 JPEG Lossless, Non-Hierarchical, First-Order Prediction 1.2.840.10008.1.2.4.70

Table 3.10 Transfer Syntaxes.



Computed Radiography Image Storage 1.2.840.10008.5.1.4.1.1.1 all from Table 3.10 SCU None CT Image Storage 1.2.840.10008.5.1.4.1.1.2 all from Table 3.10 SCU None Ultrasound Multi-frame Image Storage (retired) 1.2.840.10008.5.1.4.1.1.3 all from Table 3.10 SCU None Ultrasound Multi-frame Image Storage 1.2.840.10008.5.1.4.1.1.3.1 all from Table 3.10 SCU None MR Image Storage 1.2.840.10008.5.1.4.1.1.4 all from Table 3.10 SCU None Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.5 all from Table 3.10 SCU None Ultrasound Image Storage (retired) 1.2.840.10008.5.1.4.1.1.6 all from Table 3.10 SCU None Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1 all from Table 3.10 SCU None Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 all from Table 3.10 SCU None X-ray Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.12.1 all from Table 3.10 SCU None X-ray RadioFluoroscopic Image Storage 1.2.840.10008.5.1.4.1.1.12.2 all from Table 3.10 SCU None X-ray Angiographic Bi-plane Image Storage 1.2.840.10008.5.1.4.1.1.12.3 all from Table 3.10 SCU None Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.20 all from Table 3.10 SCU None Digital X-ray Image Storage - For Presentation

1.2.840.10008.5.1.4.1.1.1.1 all from Table 3.10 SCU None

Digital X-ray Image Storage - For Processing

1.2.840.10008.5.1.4.1.1.1.1.1 all from Table 3.10 SCU None

Digital Mammography X-ray Image Storage - For Presentation

1.2.840.10008.5.1.4.1.1.1.2 all from Table 3.10 SCU None

Digital Mammography X-ray Image Storage - For Processing

1.2.840.10008.5.1.4.1.1.1.2.1 all from Table 3.10 SCU None




3.3.2.3 SOP Specific Conformance - Storage CS5000 provides standard conformance to the DICOM Storage Service Class.

3.3.3 Real World Activity - Find

3.3.3.1 Associated Real World Activity - Find CS5000 will issue a FIND request when a user of CS5000 wishes to view patient and study information from a remote DICOM SCP.

3.3.3.2 Proposed Presentation Contexts - Find CS5000 supports the transfer syntaxes listed in Table 3.12. For a FIND request, CS5000 will propose the Presentation Contexts listed in Table 3.13.

Transfer Syntax UID Implicit VR Little Endian 1.2.840.10008.1.2




Patient Root Query/Retrieve IM Find 1.2.840.10008.5.1.4.1.2.1.1 all from Table 3.12 SCU See Note belowStudy Root Query/Retrieve IM Find 1.2.840.10008.5.1.4.1.2.2.1 all from Table 3.12 SCU See Note belowPatient Study Only Query/Retrieve IM Find 1.2.840.10008.5.1.4.1.2.3.1 all from Table 3.12 SCU See Note below


Note: Find Extended Negotiation will be supported. CS5000 will negotiate with the information in Table 3.14.

Field Name Value Description of Field

Relational queries 1 Relational queries supported Table 3.14 Find Extended Negotiation.

3.3.3.3 SOP Specific Conformance - Find CS5000 provides standard conformance to the DICOM Query/Retrieve Service Class.

3.3.4 Real World Activity - Move

3.3.4.1 Associated Real World Activity - Move CS5000 will issue a MOVE request when a user of CS5000 wishes to move one or more studies from a remote DICOM SCP back to CS5000 (retrieve).

3.3.4.2 Proposed Presentation Contexts - Move CS5000 supports the transfer syntaxes listed in Table 3.15. For a MOVE request, CS5000 will propose the Presentation Contexts listed in Table 3.16.







Patient Root Query/Retrieve IM Move 1.2.840.10008.5.1.4.1.2.1.2 all from Table 3.15 SCU See Note below Study Root Query/Retrieve IM Move 1.2.840.10008.5.1.4.1.2.2.2 all from Table 3.15 SCU See Note below Patient/Study Only Query/Retrieve IM Move 1.2.840.10008.5.1.4.1.2.3.2 all from Table 3.15 SCU See Note below


Note: Move Extended Negotiation will be supported. CS5000 will negotiate with the information in Table 3.17.


Relational retrieval 1 Relational retrieval supported Table 3.17 Move Extended Negotiation.

3.3.4.3 SOP Specific Conformance - Move CS5000 provides standard conformance to the DICOM C-Move Service Class.

3.3.5 Real World Activity - Detached Management

3.3.5.1 Associated Real World Activity - Detached Management CS5000 will issue an N-Get request to retrieve information from a remote DICOM SCP.

3.3.5.2 Presentation Context Table - Detached Management CS5000 supports the transfer syntaxes listed in Table 3.18. For an N-Get request, CS5000 will propose the Presentation Contexts listed in Table 3.19.





Detached Patient Management 1.2.840.10008.3.1.2.1.1 all from Table 3.18 SCU None Detached Study Management 1.2.840.10008.3.1.2.3.1 all from Table 3.18 SCU None Detached Results Management 1.2.840.10008.3.1.2.5.1 all from Table 3.18 SCU None Detached Interpretation Management 1.2.840.10008.3.1.2.6.1 all from Table 3.18 SCU None




3.3.5.3 SOP Specific Conformance - Detached Management These DICOM attributes that CS5000 expects to get from the N-Get Detached Patient result are identified in Table 3.20.

DICOM Tag Element Name (0008,1110) Referenced study sequence (0010,0010) Patient name (0010,0020) Patient id

Table 3.20 Detached Patient Attributes.

These DICOM attributes that CS5000 expects to get from the N-Get Detached Study result are identified in Table 3.21.

DICOM Tag Element Name (0008,1100) Referenced results sequence (0008,1120) Referenced patient sequence (0008,0050) Accession number (0020,000D) Study instance UID (0032,1030) Reason for study (0032,1032) Requesting physician (0032,1060) Requested procedure description

Table 3.21 Detached Study Attributes.

These DICOM attributes that CS5000 expects to get from the N-Get Detached Results result are identified in Table 3.22.

DICOM Tag Element Name (0008,1110) Referenced study sequence (4008,0050) Referenced interpretation sequence (4008,0300) Impressions

Table 3.22 Detached Results Attributes.

These DICOM attributes that CS5000 expects to get from the N-Get Detached Interpretation result are identified in Table 3.23.

DICOM Tag Element Name (0008,1100) Referenced results sequence (4008,010B) Interpretation text (4008,010C) Interpretation author (4008,0212) Interpretation status id

Table 3.23 Detached Interpretation Attributes.

3.3.6 Real World Activity - Print Management

3.3.6.1 Associated Real World Activity - Print Management CS5000 will issue a Print request when a user of the CS5000 wishes to print a study of images to a DICOM SCP.



3.3.6.2 Presentation Context Table - Print Management CS5000 will propose the transfer syntax listed in Table 3.24. CS5000 will propose the Presentation Contexts listed in Table 3.25.



Abstract Syntax SOP Class SOP Class UID Transfer Syntax Role Extended

NegotiationBasic Film Session 1.2.840.10008.5.1.1.1 all from Table 3.24 SCU None Basic Film Box 1.2.840.10008.5.1.1.2 all from Table 3.24 SCU None Basic Grayscale Image Box 1.2.840.10008.5.1.1.4 all from Table 3.24 SCU None Basic Color Image Box 1.2.840.10008.5.1.1.4.1 all from Table 3.24 SCU None Basic Annotation Box 1.2.840.10008.5.1.1.15 all from Table 3.24 SCU None Basic Grayscale Print Management Meta 1.2.840.10008.5.1.1.9 all from Table 3.24 SCU None Basic Color Print Management Meta 1.2.840.10008.5.1.1.16 all from Table 3.24 SCU None


3.3.6.3 SOP Specific Conformance - Print Management These are the SOP-specific values sent by the CS5000 to a DICOM SCP supporting Print Management Services.

3.3.6.3.1 Basic Film Session SOP Class

SOP Class Transfer Syntax Role Extended Negotiation Table 3.5 Table 3.2 SCU None


3.3.6.3.2 Basic Film Box SOP Class

Attribute Name Tag Possible Values Number of copies (2000,0010) 1 – 99 Print Priority (2000,0020) MED Medium Type (2000,0030) BLUE FILM, CLEAR FILM, PAPER Film Destination (2000,0040) MAGAZINE, PROCESSOR, BIN_i1 Film Session Label (2000,0050) Always blank

Table 3.27 Attributes for a Basic Film Session.

1 i represents the bin number. It may have values 1 – 30.



3.3.6.3.3 Basic Image Box SOP Classes

3.3.6.3.3.1 SOP Specific Conformance to Basic Grayscale Image Box SOP Class The following attributes are requested. Values and ranges depend on the characteristics of the images stored in IMPAX.

Attribute Name Tag Possible Values Image Position (2020,0010) Preformatted Grayscale Image Sequence (2020,0110) >Samples Per Pixel (0028,0002) 1 >Photometric Interpretation (0028,0004) MONOCHROME1, MONOCHROME2 >Rows (0028,0010) >Columns (0028,0011) >Pixel Aspect Ratio (0028,0034) >Bits Allocated (0028,0100) 8, 16 >Bits Stored (0028,0101) 8, 12 >High Bit (0028,0102) 7, 11 >Pixel Representation (0028,0103) 0 >Pixel Data (7FE0,0010) Polarity (2020,0020) REVERSE, NORMAL Requested Image Size (2020,0030) Magnification Type (2010,0060) Smoothing Type (2010,0080)

Table 3.28 Attributes for a Basic Grayscale Image Box.

3.3.6.3.3.2 SOP Specific Conformance to Basic Color Image Box SOP Class The following attributes are requested. Values and ranges depend on the characteristics of the images stored in IMPAX.

Attribute Name Tag Possible Values Image Position (2020,0010) Preformatted Color Image Sequence (2020,0111) >Samples Per Pixel (0028,0002) >Photometric Interpretation (0028,0004) PALETTE COLOR, RGB, YBR_FULL, YBR_FULL_422 >Rows (0028,0010) >Columns (0028,0011) >Pixel Aspect Ratio (0028,0034) >Bits Allocated (0028,0100) >Bits Stored (0028,0101) >High Bit (0028,0102) >Pixel Representation (0028,0103) >Pixel Data (7FE0,0010) Polarity (2020,0020) REVERSE, NORMAL Requested Image Size (2020,0030) Magnification Type (2010,0060) Smoothing Type (2010,0080)

Table 3.29 Attributes for a Basic Color Image Box.



3.3.6.3.3.3 SOP Specific Conformance to Basic Annotation Box SOP Class The following attributes are requested.

Attribute Name Tag Possible Values Annotation Position (2030,0010) Text String (2030,0020)

Table 3.30 Attributes for an Annotation Box.

3.3.6.3.3.4 SOP Specific Conformance to Printer SOP Class The following attributes are requested.

Attribute Name Tag Possible Values Printer Status (2010,0010) Printer Status Info (2110,0020) Printer Name (2110,0030) Manufacturer (0008,0070) Manufacturer Model Name (0008,1090)

Table 3.31 Attributes for a Printer.

3.3.6.3.3.4.1 Printer Options Agfa Printer

Type LR3300 LR5200 DRYSTAR 2000 DRYSTAR 3000 DRYSTAR 4500 SI 100 SI 400

Media Any 8x10’ Any 11x14’ Any 14x14’ Any 14x17” Blue Film 8x10” Blue Film 11x14” Blue Film 14x14” Blue Film 14x17” Clear Film 8x10” Clear Film 11x14” Clear Film 14x14” Clear Film 14x17”

Any 8x10” Blue Film 8x10” Clear Film 8x10” Paper 8x10”

Any 11x14” Any 14x14” Any 14x17” Blue Film 11x14” Blue Film 14x14” Blue Film 14x17” Clear Film 11x14”Clear Film 14x14”Clear Film 14x17”

Any 8x10” Any 10x12” Blue Film 8x10” Blue Film 10x12” Clear Film 8x10” Clear Film 10x12”Paper 8x10” Paper 10x12”

Paper A Paper A4

Blue Film 8x10” Blue Film 10x12” Blue Film 11x14” Blue Film 14x17” Clear Film 8x10” Clear Film 10x12” Clear Film 11x14” Clear Film 14x17” Paper A Paper A4 Paper B

Bilinear/None/0/0/0 Cubic/None/0/0/0 Replicate/None/0/0/0 Cubic/Smooth/143/199/170

Magnification/ Smoothing / Min value / Max value / Default value

Bilinear/None/0/0/0 Cubic/None/0/0/0 Cubic/Smooth/0/0/0 Replicate/None/0/0/0 Cubic/Sharp/100/299/140 Cubic/Sharp/

100/137/118 Cubic/Sharp/100/299/137

Destination Magazine Processor

Magazine Processor



Kanamori Linear

Taste LUT

GDSF

CS101

Format STANDARD\1,1; STANDARD\1,2; STANDARD\2,1; STANDARD\2,2; STANDARD\2,3; STANDARD\3,2; STANDARD\3,3; STANDARD\3,4; STANDARD\3,5; STANDARD\4,3; STANDARD\4,4; STANDARD\4,5; STANDARD\4,6; STANDARD\5,3; STANDARD\5,4; STANDARD\5,5; STANDARD\5,6; STANDARD\6,4; STANDARD\6,5

Printable area Landscape Portrait

Density Range

10 - 350 0 - 320

Table 3.32 Agfa Printer Options Other Printer

Types FN-PS551 IMATION KODAKCP LaserShare SONY 8800

Media Blue Film 8x10” Blue Film 11x14” Blue Film 14x14” Blue Film 14x17” Clear Film 8x10” Clear Film 11x14” Clear Film 14x14” Clear Film 14x17”

Blue Film 8x10” Blue Film 11x14” Blue Film 14x17” Clear Film 8x10” Clear Film 11x14” Clear Film 14x17”

Blue Film 8x10” Blue Film 11x14” Blue Film 14x14” Blue Film 14x17” Clear Film 8x10” Clear Film 11x14” Clear Film 14x14” Clear Film 14x17”

Blue Film 8x10” Blue Film 11x14” Blue Film 14x14” Blue Film 14x17” Clear Film 8x10” Clear Film 11x14” Clear Film 14x14” Clear Film 14x17” Paper Film 8x10” Paper Film 11x14” Paper Film 14x14” Paper Film 14x17

Clear Film Letter Clear Film A4 Paper Letter Paper A4

Magnification/ Smoothing / Min / Max / Default

Cubic/Sharp/0/300/140 Cubic/Smooth/0/300/140 Cubic/Medium/0/300/140 None/Sharp/0/300/140 None/Smooth/0/300/140 None/Medium/0/300/140

Bilinear/None/0/0/0 Cubic/Sharp/1/15/1 Replicate/None/0/0/0

Bilinear/None/0/0/0 Cubic/None/0/0/0 Replicate/None/0/0/0



Destination BIN_1 - BIN_30 Processor

Magazine Processor

Processor Magazine Processor

Processor

Taste LUT 1 - 8 Kanamori Linear

0,0; 0,1; 0,2; 0,3; 0,4; 0,5; 0,6; 0,7; 0,8; 0,9; 0,10; 0,11; 0,12; 0,13; 0,14; 0,15

0,1,2,3,4,5,6 0 Linear

Kanamori Linear OEM001 OEM002 OEM003 OEM004 OEM101-OEM102



Format STANDARD\1,1; STANDARD\1,2; STANDARD\1,3; STANDARD\2,1; STANDARD\2,2; STANDARD\2,3; STANDARD\2,4; STANDARD\3,2; STANDARD\3,3; STANDARD\3,4; STANDARD\3,5; STANDARD\4,2; STANDARD\4,3; STANDARD\4,4; STANDARD\4,5; STANDARD\4,6; STANDARD\5,3; STANDARD\5,4; STANDARD\6,4

STANDARD\1,1; STANDARD\1,2; STANDARD\2,1; STANDARD\2,2; STANDARD\2,3; STANDARD\3,2; STANDARD\3,3; STANDARD\3,4; STANDARD\3,5; STANDARD\4,3; STANDARD\4,4; STANDARD\4,5; STANDARD\4,6; STANDARD\5,3; STANDARD\5,4

STANDARD\1,1; STANDARD\1,2; STANDARD\2,1; STANDARD\2,2; STANDARD\2,3; STANDARD\2,4; STANDARD\3,2; STANDARD\3,3; STANDARD\3,4; STANDARD\3,5; STANDARD\4,2; STANDARD\4,3; STANDARD\4,4; STANDARD\4,5; STANDARD\4,6; STANDARD\5,3; STANDARD\5,4; STANDARD\5,6; STANDARD\5,7; STANDARD\6,4; STANDARD\6,5; STANDARD\7,5

STANDARD\1,1; STANDARD\1,2; STANDARD\2,1; STANDARD\2,2; STANDARD\2,3; STANDARD\3,2; STANDARD\3,3; STANDARD\3,4; STANDARD\3,5; STANDARD\4,3; STANDARD\4,4; STANDARD\4,5; STANDARD\4,6; STANDARD\5,4; STANDARD\5,5; STANDARD\5,6; STANDARD\6,4; STANDARD\6,5

STANDARD\1,1; STANDARD\1,2; STANDARD\2,1; STANDARD\2,2; STANDARD\2,3; STANDARD\3,2; STANDARD\3,3; STANDARD\3,4; STANDARD\3,5; STANDARD\4,3; STANDARD\4,4; STANDARD\4,5; STANDARD\4,6; STANDARD\5,3; STANDARD\5,4; STANDARD\5,5; STANDARD\5,6; STANDARD\6,4; STANDARD\6,5; STANDARD\6,6

Printable area Landscape, Portrait Density Range 0 - 300 0 - 320 0 - 399 10 - 350 0 - 400

Table 3.33 Other OEM Printer Options.

3.4 Association Acceptance Policy

3.4.1 Real World Activity - Verification

3.4.1.1 Associated Real World Activity - Verification CS5000 will respond to Verification requests to provide a DICOM entity with the ability to determine if CS5000 is receiving DICOM requests.

3.4.1.2 Presentation Context Table - Verification CS5000 supports the transfer syntaxes listed in Table 3.34. CS5000 will accept any of the Presentation Contexts listed in Table 3.35 for Verification.





Verification 1.2.840.10008.1.1 all from Table 3.34 SCP None




3.4.1.3 SOP Specific Conformance - Verification CS5000 provides standard conformance to the DICOM Verification Service Class. CS5000 returns one of the following status codes.

Service Status Further Meaning Protocol Codes Related Fields Description Success Success 0000 - Operation performed properly

Table 3.36 Verification Status Codes.

3.4.1.4 Presentation Context Acceptance Criterion - Verification CS5000 will always accept a Presentation Context for the Verification SOP Class with the default DICOM transfer syntax listed in Table 3.34.

3.4.1.5 Transfer Syntax Selection Policies - Verification Since no DICOM data object is associated with a Verification command, only the default DICOM transfer syntax is required/supported.

3.4.2 Presentation Context Table - Storage CS5000 supports the transfer syntaxes listed in Table 3.37. For a Storage request, CS5000 will propose the Presentation Contexts listed in Table 3.38.

Transfer Syntax UID Implicit VR Little Endian 1.2.840.10008.1.2 Explicit VR Little Endian 1.2.840.10008.1.2.1 JPEG Baseline 1.2.840.10008.1.2.4.50 JPEG Extended 1.2.840.10008.1.2.4.51 JPEG Lossless, Non-Hierarchical 1.2.840.10008.1.2.4.57 JPEG Lossless, Non-Hierarchical, First-Order Prediction 1.2.840.10008.1.2.4.70

Table 3.37 Transfer Syntaxes.



Computed Radiography Image Storage 1.2.840.10008.5.1.4.1.1.1 all from Table 3.37 SCP See Note below CT Image Storage 1.2.840.10008.5.1.4.1.1.2 all from Table 3.37 SCP See Note below Ultrasound Multi-frame Image Storage (retired) 1.2.840.10008.5.1.4.1.1.3 all from Table 3.37 SCP See Note below Ultrasound Multi-frame Image Storage 1.2.840.10008.5.1.4.1.1.3.1 all from Table 3.37 SCP See Note below MR Image Storage 1.2.840.10008.5.1.4.1.1.4 all from Table 3.37 SCP See Note below Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.5 all from Table 3.37 SCP See Note below Ultrasound Image Storage (retired) 1.2.840.10008.5.1.4.1.1.6 all from Table 3.37 SCP See Note below Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1 all from Table 3.37 SCP See Note below Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 all from Table 3.37 SCP See Note below X-ray Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.12.1 all from Table 3.37 SCP See Note below X-ray RadioFluoroscopic Image Storage 1.2.840.10008.5.1.4.1.1.12.2 all from Table 3.37 SCP See Note below X-ray Angiographic Bi-plane Image Storage 1.2.840.10008.5.1.4.1.1.12.3 all from Table 3.37 SCP See Note below Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.20 all from Table 3.37 SCP See Note below





Digital X-ray Image Storage - For Presentation

1.2.840.10008.5.1.4.1.1.1.1 all from Table 3.37 SCP See Note below

Digital X-ray Image Storage - For Processing

1.2.840.10008.5.1.4.1.1.1.1.1 all from Table 3.37 SCP See Note below

Digital Mammography X-ray Image Storage - For Presentation

1.2.840.10008.5.1.4.1.1.1.2 all from Table 3.37 SCP See Note below

Digital Mammography X-ray Image Storage - For Processing

1.2.840.10008.5.1.4.1.1.1.2.1 all from Table 3.37 SCP See Note below


Note: Storage Extended Negotiation will be supported. CS5000 will respond with the following information:


Level of Support 2 Level 2 (FULL) SCPElement Coercion 0 Does not coerce any element

Table 3.39 Storage Extended Negotiation.

3.4.2.1 SOP Specific Conformance - Storage CS5000 conforms to the DICOM Storage Service Class as an SCP at level 2 (Full). No elements are discarded or coerced by CS5000. In the event of a successful C-STORE operation, the image has been written to internal storage.

DICOM Tag Element Name (0010,0020) Patient ID (0020,000d) Study instance UID (0020,000e) Series instance UID (0008,0018) SOP instance UID (0008,0016) SOP class UID

Table 3.40 Required DICOM Elements.

CS5000 returns one of the following status codes:

Service Status Further Meaning Protocol

Codes Related Fields Description

Out of resources A700 - Indicates that there was not enough storage space to store the image. Recovery from this condition is left to the administrative functions available in CS5000.

Refused

SOP Class not supported A800 - Indicates that the SOP Class of the Image in the C-STORE operation did not match the Abstract Syntax negotiated for the Presentation Context.

Data set does not match SOP Class

A900 - Indicates that the Data Set does not encode an instance of the SOP Class specified.

Failed C000 - The operation was not successful.

Error

Cannot understand C005 - Indicates that the Data Set cannot be parsed into elements by CS5000.



Service Status Further Meaning Protocol

Codes Related Fields Description

Coercion of data elements B000 - Data elements were modified before being stored. Data set does not match SOP Class

B007 - Indicates that the Data Set does not match the SOP Class, but that the image was stored anyway.

Elements Discarded B006 - Indicates that some of the elements of the Data Set were discarded.

Warning

Duplicate SOP Instance UID D000 - Indicates that the SOP Instance UID of the specified image is already stored in the database.

Success Success 0000 - Operation performed properly.

Table 3.41 C-STORE Status Codes.

3.4.2.2 Presentation Context Acceptance Criterion - Storage CS5000 will accept any number of Storage Presentation Contexts per association request.

3.4.2.3 Transfer Syntax Selection Policies - Storage CS5000 supports the transfer syntaxes listed in Table 3.37.

4 COMMUNICATIONS PROFILES CS5000 provides DICOM 3.0 TCP/IP Network Communication Support as defined in Part 8 of the DICOM Standard.

4.1 TCP/IP Stack CS5000 inherits its TCP/IP stack from the computer system upon which it executes.

4.1.1 Physical Media Support CS5000 is indifferent to the physical medium over which TCP/IP executes; it inherits the medium from the computer system upon which it executes.

5 CONFIGURATION CS5000 obtains configuration information from the following sources: > Mapping from Application Entity Title to Presentation Address is provided by the database.

6 SUPPORT FOR EXTENDED CHARACTER SETS CS5000 supports the following character sets: > ISO-IR 6 (default): Basic G0 Set

> ISO-IR 100: Latin Alphabet No. 1



7 ACRONYMS AND ABBREVIATIONS The following acronyms and abbreviations are used in this document: ACR American College of Radiology AE Application Entity ANSI American National Standards Institute DICOM Digital Imaging and Communications in Medicine DIMSE DICOM Message Service Element DIMSE-C DICOM Message Service Element – Composite DIMSE-N DICOM Message Service Element – Normalized NEMA National Electrical Manufacturers Association PDU Protocol Data Unit SCP Service Class Provider SCU Service Class User SCP Service Class Provider SOP Service-Object Pair TCP/IP Transmission Control Protocol/Internet Protocol UID Unique Identifier

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