Punctual Dicom Workstation

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1 DICOM Conformance Statement Punctual Dicom Workstation Company Name Product Name Product Version 2.0 Document number Date June 1, 2009 Punctual Software Inc. Punctual Dicom Workstation

2 TABLE OF CONTENTS 1 INTRODUCTION Overview Intended Audience Revision History NETWORKING Implementation Model Application Data Flow Functional Definitions of AE s AE SPECIFICATIONS ECHO-SCP ECHO-SCU STORAGE-SCP STORAGE-SCU FIND-SCU FIND-SCP MOVE-SCU MOVE-SCP NETWORK INTERFACES CONFIGURATION MEDIA INTERCHANGE IMPLEMENTATION MODEL Application Data Flow Functional Definitions of AE s Sequencing of Real-World Activities AE SPECIFICATIONS MEDIA-FSR MEDIA-FSC AUGMENTED AND PRIVATE PROFILES Augmented Profiles Private Profiles MEDIA CONFIGURATION PRINT IMPLEMENTATION MODEL Application Data Flow Functional Definitions of AE s Sequencing of Real-World Activities AE SPECIFICATIONS SUPPORT OF CHARACTER SETS SECURITY SECURITY PROFILES ASSOCIATION LEVEL SECURITY APPLICATION LEVEL SECURITY ANNEXES IOD CONTENTS Created SOP Instances Usage of attributes from received IOD s Attribute Mapping Coerced/Modified fields... 33

3 7.2 DATA DICTIONARY OF PRIVATE ATTRIBUTES STANDARD EXTENDED/SPECIALIZED/PRIVATE SOP CLASSES PRIVATE TRANSFER SYNTAXES... 33

4 1 INTRODUCTION 1.1 Overview Punctual Dicom Workstation is a medical imaging viewer that is able to store images locally in the local file system referenced in the internal database. The application provides imageprocessing tools and it is able to communicate with other machines on the network using DICOM. The purpose of this document is to describe the conformance of the application to the DICOM 3.0 Standard. 1.2 Intended Audience The document is intended for readers concerned with software design and/or system integration issues. It is assumed that the reader of this document is familiar with the DICOM Standards and with the terminology and concepts, which are used in those Standards. 1.3 Revision History Document Version Date Author Description 1.0 Apr 20, 2008 Technical Architect Initial version 1.1 Aug 15, 2008 Technical Architect DICOM Print - grayscale 2.0 June 1, 2009 Technical Architect DICOM Print - color 2 NETWORKING 2.1 Implementation Model Application Data Flow

5 Figure IMPLEMENTATION MODEL

6 The application provides a user interface, internal database and network listener. Conceptually the network services may be modeled as the following separate AEs, though in fact all the AEs share a single (configurable) AE Title: - ECHO-SCP, which responds to verification requests - ECHO-SCU, which sends verification requests to remote AEs - STORAGE-SCP, which stores incoming images in the local storage - STORAGE-SCU, which sends images to remote AEs - FIND-SCP, which responds to queries from remote AEs with matching lists of studies, series and instances - FIND-SCU, which queries remote AEs for matching lists of studies, series and instances - MOVE-SCP, which moves specified studies, series or instances to remote AEs - MOVE-SCU, which retrieves selected studies, series or instances Functional Definitions of AE s ECHO-SCP ECHO-SCP waits in the background for connections, will accept associations with Presentation Contexts for SOP Class of the Verification Service Class, and will respond successfully to echo requests ECHO-SCU ECHO-SCU is activated through the user interface when a user wants to verify if a certain remote AE accepts associations with Presentation Contexts for SOP Class of the Verification Service Class STORAGE-SCP STORAGE-SCP waits in the background for connections, will accept associations with Presentation Contexts for SOP Classes of the Storage Service Class, and will store the received instances to the local database where they may subsequently be listed and viewed through the user interface STORAGE-SCU STORAGE-SCU is activated through the user interface when a user selects instances from the local database and requests that they are sent to a remote AE (selected from a pre-configured list) FIND-SCP FIND-SCP waits in the background for connections. It will query the application s local database for matching studies, series and instances according to the level requested by the remote AE. The results will be sent back to the remote AE FIND-SCU FIND-SCU is activated through the user interface when a user selects a remote AE to query (from a pre-configured list), then initiates a query. Queries are performed recursively from the study through the series and instance levels until all matching instances have been listed MOVE-SCP MOVE-SCP waits in the background for connections. It will query the application s local database for the specified studies, series and instances according to the level requested by the remote AE. The instances will be sent to the destination AE on a separate association using the STORAGE-SCU functionality.

7 MOVE-SCU MOVE-SCU is activated through the user interface when a user selects a study, series or instance for retrieval. A connection to the remote AE is established to initiate and monitor the retrieval and the STORAGE-SCP AE receives the retrieved instances. 2.2 AE SPECIFICATIONS ECHO-SCP SOP Classes ECHO-SCP provide Standard Conformance to the following SOP Class(es): Table SOP CLASSES SUPPORTED BY ECHO-SCP SOP Class Name SOP Class UID SCU SCP Verification SOP Class No Yes Association Policies General ECHO-SCP accepts but never initiates associations MAXIMUM PDU SIZE RECEIVED AS A SCP FOR ECHO-SCP Maximum PDU size received Unlimited Number of Associations NUMBER OF ASSOCIATIONS AS A SCP FOR ECHO-SCP Maximum number of simultaneous associations Unlimited Asynchronous Nature ECHO-SCP will only allow a single outstanding operation on an Association. Therefore, ECHO-SCP will not perform asynchronous operations window negotiation Association Initiation Policy ECHO-SCP does not initiate associations Association Acceptance Policy When ECHO-SCP accepts an association, it will respond to echo requests Activity Receive Echo Request Description and Sequencing of Activities Accepted Presentation Contexts Table Presentation Context Table Abstract Syntax Transfer Syntax Role Extended

8 Negotiation Name UID Name UID Verification Implicit VR Little Endian SCP None Extended Negotiation No extended negotiation is performed SOP Specific Conformance SOP Specific Conformance to Verification SOP Class ECHO-SCP provides standard conformance to the Verification Service Class Presentation Context Acceptance Criterion ECHO-SCP will always accept any Presentation Context for the supported SOP Classes with the supported Transfer Syntaxes. More than one proposed Presentation Context will be accepted for the same Abstract Syntax if the Transfer Syntax is supported, whether or not it is the same as another Presentation Context Transfer Syntax Selection Policies ECHO-SCP supports only the default Transfer Syntax, Implicit VR Little Endian ECHO-SCU SOP Classes ECHO-SCU provide Standard Conformance to the following SOP Class(es): Table SOP CLASSES SUPPORTED BY ECHO-SCU SOP Class Name SOP Class UID SCU SCP Verification SOP Class Yes No Association Policies General ECHO-SCU initiates but never accepts associations. MAXIMUM PDU SIZE RECEIVED AS A SCU FOR ECHO-SCU Maximum PDU size received Unlimited Number of Associations NUMBER OF ASSOCIATIONS AS A SCU FOR ECHO-SCU Maximum number of simultaneous associations Asynchronous Nature ECHO-SCU will only allow a single outstanding operation on an Association. Therefore, ECHO-SCU will not perform asynchronous operations window negotiation Association Initiation Policy ECHO-SCU attempts to initiate a new association when the user performs the verification action from

9 the user interface Activity Verify Remote AE Description and Sequencing of Activities A single attempt will be made to ping the remote AE. If the query fails, for whatever reason, no retry will be performed Proposed Presentation Contexts Table Proposed Presentation Contexts for ECHO-SCU and Query Remote AE Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID Verification Implicit VR Little Endian SCU None Extended Negotiation No extended negotiation is performed. In particular, relational queries are not supported Presentation Context Acceptance Criterion ECHO-SCU does not accept associations Transfer Syntax Selection Policies ECHO-SCU supports only the default Transfer Syntax, Implicit VR Little Endian Association Acceptance Policy ECHO-SCU does not accept associations STORAGE-SCP SOP Classes STORAGE-SCP provide Standard Conformance to the following SOP Class(es): Table SOP CLASSES SUPPORTED BY STORAGE-SCP SOP Class Name SOP Class UID SCU SCP Computed Radiography Image Storage No Yes CT Image Storage No Yes Digital X-Ray Image Storage - For No Yes Presentation Digital X-Ray Image Storage - For Processing No Yes Ultrasound Multi-frame Image Storage No Yes (Retired) Ultrasound Multi-frame Image Storage No Yes Digital Mammography X-Ray Image Storage No Yes For Presentation Digital Mammography X-Ray Image Storage No Yes

10 For Processing MR Image Storage No Yes Nuclear Medicine Image Storage (Retired) No Yes Nuclear Medicine Image Storage No Yes Ultrasound Image Storage (Retired) No Yes Ultrasound Image Storage No Yes Secondary Capture Image Storage No Yes Positron Emission Tomography Image No Yes Storage RT Image Storage No Yes X-Ray Angiographic Image Storage No Yes X-Ray Radiofluoroscopic Image Storage No Yes X-Ray Angiographic Bi-Plane Image Storage (Retired) No Yes Association Policies General ECHO-SCP accepts but never initiates associations MAXIMUM PDU SIZE RECEIVED AS A SCP FOR STORAGE-SCP Maximum PDU size received Unlimited Number of Associations NUMBER OF ASSOCIATIONS AS A SCP FOR STORAGE-SCP Maximum number of simultaneous associations Unlimited Asynchronous Nature STORAGE-SCP will only allow a single outstanding operation on an Association. Therefore, STORAGE- SCP will not perform asynchronous operations window negotiation Association Initiation Policy STORAGE-SCP does not initiate associations Association Acceptance Policy When STORAGE-SCP accepts an association, it will respond to storage requests. If the Called AE Title does not match the pre-configured AE Title shared by all the SCPs of the application, the association will be rejected Activity Receive Storage Request Description and Sequencing of Activities As instances are received they are copied to the local file system and a record inserted into the local database. If the received instance is a duplicate of a previously received instance, the old file and database record will be overwritten with the new one Accepted Presentation Contexts STORAGE-SCP will accept the following presentation contexts for each of the image storage SOP Classes listed table :

11 Table Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID See table See table Implicit VR Little SCP None Endian See table See table Explicit VR SCP None Little Endian See table See table JPEG Baseline SCP None (Process 1) See table See table JPEG Extended (Process 2 & 4) SCP None See table See table See table See table See table See table JPEG Lossless, Non- Hierarchical, First-Order Prediction (Process 14) JPEG 2000 Image Compression (Lossless Only) JPEG 2000 Image Compression SCP None SCP None SCP None Extended Negotiation No extended negotiation is performed, though STORAGE-SCP: - is a Level 2 Storage SCP (Full does not discard any data elements) - does not support digital signatures - does not coerce any received data elements SOP Specific Conformance to Storage SOP Class STORAGE-SCP provides standard conformance to the Storage Service Class Presentation Context Acceptance Criterion STORAGE-SCP will always accept any Presentation Context for the supported SOP Classes with the supported Transfer Syntaxes. More than one proposed Presentation Context will be accepted for the same Abstract Syntax if the Transfer Syntax is supported, whether or not it is the same as another Presentation Context Transfer Syntax Selection Policies STORAGE-SCP prefers explicit Transfer Syntaxes. If offered a choice of Transfer Syntaxes in a Presentation Context, it will apply the following priority to the choice of Transfer Syntax: a. explicit Transfer Syntax b. default Transfer Syntax c. compressed image Transfer Syntax STORAGE-SCP will accept duplicate Presentation Contexts, that is, if it is offered multiple Presentation Contexts, each of which offers acceptable Transfer Syntaxes, it will accept all Presentation Contexts, applying the same priority for selecting a Transfer Syntax for each Response Status STORAGE-SCP will behave as described in the Table below when generating the C-STORE response command message.

12 Table RESPONSE STATUS FOR STORAGE-SCP AND RECEIVE STORAGE REQUEST Service Status Further Meaning Status Codes Reason Refused Out of Resources A7xx Never sent Error Warning Data Set does not match SOP class A9xx Never sent data set is not checked prior to storage Cannot understand Cxxx Never sent Coercion of Data B000 Never sent - no coercion Elements is ever performed Data Set does not match B0007 SOP class Never sent data set is not checked prior to storage Elements Discarded B0006 Never sent Success 0000 Sent to signal success STORAGE-SCU SOP Classes STORAGE-SCU provide Standard Conformance to the following SOP Class(es): Table SOP CLASSES SUPPORTED BY STORAGE-SCU SOP Class Name SOP Class UID SCU SCP Computed Radiography Image Storage Yes No CT Image Storage Yes No Digital X-Ray Image Storage - For Yes No Presentation Digital X-Ray Image Storage - For Processing Yes No Ultrasound Multi-frame Image Storage Yes No (Retired) Ultrasound Multi-frame Image Storage Yes No Digital Mammography X-Ray Image Storage Yes No For Processing Digital Mammography X-Ray Image Storage Yes No For Presentation MR Image Storage Yes No Nuclear Medicine Image Storage (Retired) Yes No Nuclear Medicine Image Storage Yes No Ultrasound Image Storage (Retired) Yes No Ultrasound Image Storage Yes No Secondary Capture Image Storage Yes No Positron Emission Tomography Image Yes No Storage RT Image Storage Yes No X-Ray Angiographic Image Storage Yes No X-Ray Radiofluoroscopic Image Storage Yes No X-Ray Angiographic Bi-Plane Image Storage (Retired) Yes No Association Policies General

13 STORAGE-SCU initiates but never accepts associations. MAXIMUM PDU SIZE RECEIVED AS A SCP FOR STORAGE-SCU Maximum PDU size received Unlimited Number of Associations NUMBER OF ASSOCIATIONS AS A SCU FOR STORAGE-SCU Maximum number of simultaneous associations Unlimited Asynchronous Nature STORAGE-SCU will only allow a single outstanding operation on an Association. Therefore, STORAGE- SCU will not perform asynchronous operations window negotiation Association Initiation Policy STORAGE-SCU attempts to initiate a new association for each instance it attempts to transfer Activity Send Storage Request Description and Sequencing of Activities For each instance selected from the user interface to be transferred, a single attempt will be made to transmit it to the selected remote AE. If the send fails, for whatever reason, no retry will be performed, and no attempt will be made to send the next instance Proposed Presentation Contexts Table PROPOSED PRESENTATION CONTEXTS FOR STORAGE-SCU AND RECEIVE STORAGE REQUEST Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID See table See table Implicit VR Little SCU None Endian See table See table Explicit VR SCU None Little Endian See table See table JPEG Baseline SCU None (Process 1) See table See table JPEG Extended (Process 2 & 4) SCU None See table See table See table See table See table See table JPEG Lossless, Non- Hierarchical, First-Order Prediction (Process 14) JPEG 2000 Image Compression (Lossless Only) JPEG 2000 Image Compression SCU None SCU None SCU None

14 STORAGE-SCU will propose Presentation Contexts only for the SOP Class of the instance that is to be transferred. For that SOP Class, STORAGE-SCU will propose multiple Presentation Contexts, one for each of the supported Transfer Syntaxes, in order to determine which Transfer Syntaxes the remote SCP supports Extended Negotiation No extended negotiation is performed SOP Specific Conformance to Storage SOP Class STORAGE-SCU provides standard conformance to the Storage Service Class Transfer Syntax Selection Policies STORAGE-SCU prefers explicit Transfer Syntaxes. If offered a choice of Transfer Syntaxes in the accepted Presentation Contexts, it will apply the following priority to the choice of Presentation Context to use for the C-STORE operation: a. the transfer syntax used to encode the image b. explicit uncompressed image Transfer Syntax Note: If the image to be transferred is compressed (e.g. JPEG) it will send the image to the remote AE if the remote AE supports the stored image transfer syntax. If the remote AE doesn t support that transfer syntax it will not attempt to send the image uncompressed Response Status STORAGE-SCU will behave as described in the Table below when generating the C-STORE response command message. Table RESPONSE STATUS FOR STORAGE-SCU AND RECEIVE STORAGE REQUEST Service Status Further Meaning Status Codes Behavior Refused Out of Resources A7xx Reports error, discontinues sending Error Data Set does not match SOP class A9xx Reports error, discontinues sending Cannot understand Cxxx Reports error, discontinues sending Warning Coercion of Data Elements B000 Reports error, discontinues sending Data Set does not match SOP class B0007 Reports error, discontinues sending Elements Discarded B0006 Reports error, discontinues sending Success 0000 Continues sending Association Acceptance Policy STORAGE-SCU does not accept associations FIND-SCU SOP Classes FIND-SCU provide Standard Conformance to the following SOP Class(es):

15 Table SOP CLASSES SUPPORTED BY FIND-SCU SOP Class Name SOP Class UID SCU SCP Study Root Query/Retrieve Information Model FIND Yes No Association Policies General FIND-SCU initiates but never accepts associations. MAXIMUM PDU SIZE RECEIVED AS A SCP FOR FIND-SCU Maximum PDU size received Unlimited Number of Associations NUMBER OF ASSOCIATIONS AS A SCU FOR FIND-SCU Maximum number of simultaneous associations Asynchronous Nature FIND-SCU will only allow a single outstanding operation on an Association. Therefore, FIND-SCU will not perform asynchronous operations window negotiation Association Initiation Policy FIND-SCU attempts to initiate a new association when the user performs the query action from the user interface Activity Query Remote AE Description and Sequencing of Activities A single attempt will be made to query the remote AE. If the query fails, for whatever reason, no retry will be performed Proposed Presentation Contexts Table Proposed Presentation Contexts for FIND-SCU and Query Remote AE Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID Study Root Query/Retrieve Information Model FIND Implicit VR Little Endian Extended Negotiation No extended negotiation is performed SOP Specific Conformance SCU None SOP Specific Conformance to C-FIND SOP Classes

16 FIND-SCU provides standard conformance to the supported C-FIND SOP Classes. Only a single information model, Study Root, is supported. All queries are initiated to the level of the information model (STUDY, SERIES or IMAGE level) selected by the user in the application user interface. Initially the user queries for studies (STUDY level) to list all the studies that match the filter fields (e.g. Patient Last Name, Modality, etc) selected by the user in the user interface. The lower levels (series and images) will be not retrieved automatically for all the studies for performance reasons; the series will be listed when the user selects a listed study. The images are listed when the user selects a listed series. No CANCEL requests are ever issued. Requested return attributes not returned by the SCP are ignored. Non-matching responses returned by the SCP due to unsupported (hopefully optional) matching keys are not filtered locally by the FIND-SCU and thus will still be presented in the user interface. No attempt is made to filter out duplicate responses. Table STUDY ROOT REQUEST IDENTIFIER FOR FIND-SCU STUDY Level Name Tag Type Study Date (0008,0020) R Study Time (0008,0030) R Accession Number (0008,0050) R Patient s Name (0010,0010) R Patient ID (0010,0020) O Patient s Sex (0010,0040) O Study ID (0020,0010) R Study Description (0008,1030) O Modalities In Study (0008,0061) O Study Instance UID (0020,000D) U SERIES Level Series Number (0020,0011) R Modality (0008,0060) R Series Description (0008,103E) O Series Date (0008,0021) O Series Time (0008,0031) O Series Instance UID (0020,000E) U IMAGE Level Instance Number (0020,0013) R SOP Instance UID (0008,0018) U Note: In the above tables the type field has the following meaning: R - Required U - Unique O - Optional Presentation Context Acceptance Criterion FIND-SCU does not accept associations.

17 Transfer Syntax Selection Policies FIND-SCU supports only the default Transfer Syntax, Implicit VR Little Endian Response Status FIND-SCU will behave as described in Table D in response to the status returned in the C- FIND response command message(s). Table RESPONSE STATUS FOR FIND-SCU AND QUERY REMOTE AE REQUEST Service Status Further Meaning Status Codes Behavior Refused Out of Resources A700 Current query is terminated Error Identifier does not match SOP Class A900 Current query is terminated Unable to process Cxxx Current query is terminated Cancel Matching FE00 Current query is terminated (should never occur, since cancels never issued) Success Matching is complete No final Identifier is supplied 0000 Current query is terminated Pending Matches are continuing - Current FF00 Continues Match is supplied and any Optional Keys were supported in the same manner as Required Keys Matches are continuing - Warning that one or more Optional Keys were not supported for existence and/or matching for this Identifier FF01 Continues Association Acceptance Policy FIND-SCU does not accept associations FIND-SCP SOP Classes FIND-SCP provide Standard Conformance to the following SOP Class(es): Table SOP CLASSES SUPPORTED BY FIND-SCP SOP Class Name SOP Class UID SCU SCP Study Root Query/Retrieve Information Model FIND No Yes Association Policies General FIND-SCP accepts but never initiates associations. MAXIMUM PDU SIZE RECEIVED AS A SCP FOR FIND-SCP Maximum PDU size received Unlimited

18 Number of Associations NUMBER OF ASSOCIATIONS AS A SCP FOR FIND-SCP Maximum number of simultaneous associations Unlimited Asynchronous Nature FIND-SCP will only allow a single outstanding operation on an Association. Therefore, FIND-SCP will not perform asynchronous operations window negotiation Association Initiation Policy FIND-SCP does not initiate associations Association Acceptance Policy When FIND-SCP accepts an association, it will respond to query requests. If the Called AE Title does not match the pre-configured AE Title shared by all the SCPs of the application, the association will be rejected Activity Receive Query Request Description and Sequencing of Activities The application will query the local database for the studies, series or instances that match the query level and filter received from the remote AE. It will send back the query results to the requesting AE Accepted Presentation Contexts Table Accepted Presentation Contexts for FIND-SCP and Query Remote AE Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID Study Root Query/Retrieve Information Model FIND Implicit VR Little Endian Extended Negotiation No extended negotiation is performed SOP Specific Conformance SCP None SOP Specific Conformance to C-FIND SOP Classes FIND-SCP provides standard conformance to the supported C-FIND SOP Classes. Only a single information model, Study Root, is supported. The query will be performed at the STUDY, SERIES or IMAGE level depending on what level of entity has been selected by the remote AE Presentation Context Acceptance Criterion FIND-SCP will always accept any Presentation Context for the supported SOP Classes with the supported Transfer Syntaxes. More than one proposed Presentation Context will be accepted for the

19 same Abstract Syntax if the Transfer Syntax is supported, whether or not it is the same as another Presentation Context Transfer Syntax Selection Policies FIND-SCP supports only the default Transfer Syntax, Implicit VR Little Endian Response Status FIND-SCP will behave as described in the Table below when generating the C-FIND response command message. Table RESPONSE STATUS FOR FIND-SCU AND QUERY REMOTE AE REQUEST Service Status Further Meaning Status Behavior Codes Refused Out of Resources A700 Never sent Error Identifier does not match SOP A900 Never sent Class Unable to process Cxxx Never sent Cancel Matching FE00 Never sent Success Pending Matching is complete No final Identifier is supplied Matches are continuing - Current Match is supplied and any Optional Keys were supported in the same manner as Required Keys Matches are continuing - Warning that one or more Optional Keys were not supported for existence and/or matching for this Identifier 0000 Sent to the end to indicate success FF00 Sent after each record to indicate that more records are to be sent FF01 Never sent MOVE-SCU SOP Classes MOVE-SCU provide Standard Conformance to the following SOP Class(es): Table SOP CLASSES SUPPORTED BY MOVE-SCU SOP Class Name SOP Class UID SCU SCP Study Root Query/Retrieve Information Model MOVE Yes No Association Policies General MOVE-SCU initiates but never accepts associations. MAXIMUM PDU SIZE RECEIVED AS A SCP FOR MOVE-SCU Maximum PDU size received Unlimited

20 Number of Associations NUMBER OF ASSOCIATIONS AS A SCU FOR MOVE-SCU Maximum number of simultaneous associations Unlimited Asynchronous Nature MOVE-SCU does not perform asynchronous operations window negotiation Association Initiation Policy MOVE-SCU attempts to initiate a new association when the user performs the retrieve action from the user interface Activity Retrieve from Remote AE Description and Sequencing of Activities For the entity (study, series or instance) selected from the user interface to be retrieved, a single attempt will be made to retrieve it from the selected remote AE. If the retrieve fails, for whatever reason, no retry will be performed Proposed Presentation Contexts Table Proposed Presentation Contexts for MOVE-SCU and Retrieve from Remote AE Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID Study Root Query/Retrieve Information Model MOVE Extended Negotiation Implicit VR Little Endian SCU None No extended negotiation is performed. In particular, relational queries are not supported SOP Specific Conformance SOP Specific Conformance to C-MOVE SOP Classes MOVE-SCU provides standard conformance to the supported C-MOVE SOP Classes. Only a single information model, Study Root, is supported. Retrieval will be performed at the STUDY, SERIES or IMAGE level depending on what level of entity has been selected by the user in the browser. No CANCEL requests are ever issued. The retrieval is performed from the AE that was specified in the Retrieve AE attribute returned from the query performed by FIND-SCU. The instances are retrieved to the current application s local database by specifying the destination as the AE Title of the STORE-SCP AE of the local application. STUDY ROOT REQUEST IDENTIFIER FOR MOVE-SCU Name Tag Unique, Matching or Return Key Study Instance UID (0020,000D) U Series Instance UID (0020,000E) U SOP Instance UID (0008,0018) U

21 Presentation Context Acceptance Criterion MOVE-SCU does not accept associations Transfer Syntax Selection Policies MOVE-SCU supports only the default Transfer Syntax, Implicit VR Little Endian Response Status MOVE-SCU will behave as described in the Table below in response to the status returned in the C- MOVE response command message(s). Table RESPONSE STATUS FOR MOVE-SCU AND RETRIEVE FROM REMOTE AE REQUEST Service Status Further Meaning Status Behavior Codes Refused Out of Resources - Unable to A701 Retrieval is terminated calculate number of matches Out of Resources - Unable to A702 Retrieval is terminated perform sub-operations Move Destination unknown A801 Retrieval is terminated Failed Identifier does not match A900 Retrieval is terminated SOP class Unable to process Cxxx Retrieval is terminated Cancel Sub-operations terminated due to Cancel Indication FE00 Retrieval is terminated (should never occur, since cancels never issued) Warning Sub-operations Complete - B000 Retrieval is terminated One or more Failures Success Sub-operations Complete Retrieval is terminated No Failures Pending Sub-operations are continuing FF00 Retrieval continues Sub-operation dependent behavior Since the C-MOVE operation is dependent on completion of C-STORE sub-operations that are occurring on a separate association, the question of failure of operations on the other association(s) must be considered. MOVE-SCU completely ignores whatever activities are taking place in relation to the STORAGE-SCP AE that is receiving the retrieved instances. Once the C-MOVE has been initiated it runs to completion (or failure) as described in the C-MOVE response command message(s). There is no attempt by MOVE-SCU to confirm that instances have actually been successfully received or locally stored. Whether or not completely or partially successfully retrievals are made available in the local database to the user is purely dependent on the success or failure of the C-STORE sub-operations, not on any explicit action by MOVE-SCU. Whether or not the remote AE attempts to retry any failed C-STORE sub-operations is beyond the control of MOVE-SCU. If the association on which the C-MOVE was issued is aborted for any reason, whether or not the C- STORE sub-operations continue is dependent on the remote AE; the local STORAGE-SCP will continue to accept associations and storage operations regardless Association Acceptance Policy MOVE-SCU does not accept associations.

22 2.2.8 MOVE-SCP SOP Classes MOVE-SCP provide Standard Conformance to the following SOP Class(es): Table SOP CLASSES SUPPORTED BY MOVE-SCP SOP Class Name SOP Class UID SCU SCP Study Root Query/Retrieve Information Model MOVE No Yes Association Policies General MOVE-SCP accepts associations and will initiate another association as STORAGE-SCU to move the specified images to the destination AE. MAXIMUM PDU SIZE RECEIVED AS A SCP FOR MOVE-SCP Maximum PDU size received Unlimited Number of Associations NUMBER OF ASSOCIATIONS AS A SCP FOR MOVE-SCP Maximum number of simultaneous associations Unlimited Asynchronous Nature MOVE-SCP will only allow a single outstanding operation on an Association. Therefore, MOVE-SCP will not perform asynchronous operations window negotiation Association Initiation Policy MOVE-SCP does not initiate associations Association Acceptance Policy When MOVE-SCP accepts an association, it will respond to storage requests. If the Called AE Title does not match the pre-configured AE Title shared by all the SCPs of the application, the association will be rejected Activity Receive Move Request Description and Sequencing of Activities When the remote AE requests to move selected studies, series or instances from the local AE to the target remote AE, MOVE-SCP will use the STORAGE-SCU to initiate another association and will send the specified entities to the target AE Accepted Presentation Contexts Table Proposed Presentation Contexts for MOVE-SCU and Retrieve from Remote AE Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Negotiation

23 Name UID Name UID Study Root Query/Retrieve Information Model MOVE Implicit VR Little Endian SCP None Extended Negotiation No extended negotiation is performed SOP Specific Conformance SOP Specific Conformance to C-FIND SOP Classes MOVE-SCP provides standard conformance to the supported C-MOVE SOP Classes. Only a single information model, Study Root, is supported. The move will be performed at the STUDY, SERIES or IMAGE level depending on what level of entity has been selected by the remote AE. No CANCEL requests are ever issued. Table STUDY ROOT REQUEST IDENTIFIER FOR MOVE-SCP Name Tag Unique, Matching or Return Key Study Instance UID (0020,000D) U Series Instance UID (0020,000E) U SOP Instance UID (0008,0018) U Presentation Context Acceptance Criterion MOVE-SCP will always accept any Presentation Context for the supported SOP Classes with the supported Transfer Syntaxes. More than one proposed Presentation Context will be accepted for the same Abstract Syntax if the Transfer Syntax is supported, whether or not it is the same as another Presentation Context Transfer Syntax Selection Policies MOVE-SCP supports only the default Transfer Syntax, Implicit VR Little Endian Response Status MOVE-SCP will behave as described in the Table below when generating the C-MOVE response command message. Table RESPONSE STATUS FOR MOVE-SCP AND MOVE FROM REMOTE AE REQUEST Service Status Further Meaning Status Behavior Codes Refused Out of Resources - Unable to A701 Never sent calculate number of matches Out of Resources - Unable to A702 Never sent perform sub-operations Move Destination unknown A801 Sent if unknown destination AE Failed Identifier does not match A900 Retrieval is terminated SOP class Unable to process Cxxx Never sent Cancel Sub-operations terminated FE00 Never sent due to Cancel Indication Warning Sub-operations Complete - B000 Never sent One or more Failures Success Sub-operations Complete Sent to the end

24 Pending No Failures Sub-operations are continuing FF00 Sent after each sub-operation Sub-operation dependent behavior There is no attempt by MOVE-SCU to confirm that instances have actually been successfully received or locally stored. If the association on which the C-MOVE was issued is aborted for any reason, the C-STORE suboperations will continue on the separate association 2.3 NETWORK INTERFACES - Physical Network Interface The application is indifferent to the physical medium over which TCP/IP executes; which is dependent on the underlying operating system and hardware. - Additional Protocols When host names rather than IP addresses are used in the configuration properties to specify presentation addresses for remote AEs, the application is dependent on the name resolution mechanism of the underlying operating system. 2.4 CONFIGURATION The users can configure the local and remote AEs using the DICOM configuration user interface provided by the application.

25 3 MEDIA INTERCHANGE 3.1 IMPLEMENTATION MODEL Application Data Flow Figure MEDIA-FSR IMPLEMENTATION MODEL Figure MEDIA-FSC IMPLEMENTATION MODEL The application provides media support as a File Set Reader and File Set Creator Functional Definitions of AE s MEDIA-FSR MEDIA-FSR is activated through the user interface to select directories and images for display, import into the local database or network transmission MEDIA-FSC MEDIA-FSR is activated through the user interface package images to package in a DICOMDIR package that can be copied onto a CD or DVD Sequencing of Real-World Activities All FSR activities are sequentially initiated in the user interface, and another activity may not be initiated until the prior activity has completed.

26 3.2 AE SPECIFICATIONS MEDIA-FSR MEDIA-FSR provides standard conformance to the Media Storage Service Class. Table APPLICATION PROFILES, ACTIVITIES, AND ROLES FOR MEDIA-FSR Application Profiles Supported Real World Activity Role STD-GEN-CD Load directory or file FSR STD-GEN-DVD-RAM Load directory or file FSR MEDIA-FSC MEDIA-FSC provides standard conformance to the Media Storage Service Class. Table APPLICATION PROFILES, ACTIVITIES, AND ROLES FOR MEDIA-FSC Application Profiles Supported Real World Activity Role STD-GEN-CD Export to CD FSC STD-GEN-DVD-RAM Export to DVD FSC File Meta Information for the Application Entity The Source Application Entity Title included in the File Meta Header is configurable Real World Activities Activity Load Directory or File MEDIA-FSR is activated through the user interface when a user selects the DICOMDIR tab. After the user specifies the location of the DICOMDIR file the content is listed. The user can load to display any of the images listed. The user can choose also to import the image files existing on CD or DVD into the local database. The user can import selected files or a whole directory in which case it will recursively import all files in the specified directory and its subdirectories Application Profile Specific Conformance There are no extensions or specializations Activity Create CD or DVD package MEDIA-FSC is activated through the user interface when a user selects to create a CD package. A dialogue will be presented allowing the user to specify the media label and the location of the package. The package will be containing a DICOMDIR file and the selected images. Optionally a light DICOM viewer can be included in the package so as the CD or DVD content can be viewed instantly when the disk is inserted into another computer Application Profile Specific Conformance There are no extensions or specializations. 3.3 AUGMENTED AND PRIVATE PROFILES Augmented Profiles

27 None Private Profiles None. 3.4 MEDIA CONFIGURATION None. 4 PRINT 4.1 IMPLEMENTATION MODEL Application Data Flow Figure PRINT-SCU IMPLEMENTATION MODEL The DICOM Print SCU is a DICOM provides the capability to print images to DICOM printers. It acts as an SCU of the DICOM print management SOP class Functional Definitions of AE s PRINT-SCU DICOM Print SCU establishes the Association with the requested printer to print the composed film. If the Remote AE accepts the presentation context applicable to the print job, the DICOM Print AE SCU will send the print job to the receiving Remote AE by using the N- CREATE and N-SET services Sequencing of Real-World Activities The user will select the DICOM printer from the User Interface. The images to be printed will be selected in the Viewing application. The user can print either

28 grayscale, either color images, but cannot mix grayscale and color images in a session. The Print SCU will start the Print Session which involves the following sequence of activities. The Print SCU establishes the DICOM association with the printer. The Print SCU gets the Printer status using the N-GET service. If the Printer returns FAILURE status the print session will be terminated. The Print SCU sends a request to the printer to create the film session using the N-CREATE service. In case of error the print session will be terminated. The attribute values for the Film session will be specified with the film session request. The Print SCU sends a request to the printer to create the film box using the N-CREATE service. The print session will be terminated if the printer fails to create the film box. The film box attribute values will be sent in the film box create request. The image attributes for the images to be printed in this session will be set using the N-SET service. If the printer fails to accommodate the images in the image set to be printed the print session will be terminated and the user notified. The Print SCU sends a request to the printer to print the film using the N-ACTION service. Only film box printing is supported. In case of error the print session will be terminated. The Print SCU sends a request to the printer to delete the film box instance using the N- DELETE service. The SCU does not wait for N-EVENT-REPORT from Printer. The association will be terminated. A successful print session just indicates the images to be printed have been successfully sent to the printer. 4.2 AE SPECIFICATIONS SOP Classes PRINT-SCU provide Standard Conformance to the following SOP Class(es): Table SOP CLASSES SUPPORTED BY PRINT-SCU SOP Class Name SOP Class UID SCU SCP Basic Grayscale Print Management Yes No Meta SOP Class Basic Color Print Management Yes No Meta SOP Class Printer SOP Class Yes No Association Policies General PRINT-SCU initiates but never accepts associations. MAXIMUM PDU SIZE RECEIVED AS A SCP FOR FIND-SCU Maximum PDU size received Unlimited Number of Associations NUMBER OF ASSOCIATIONS AS A SCU FOR FIND-SCU Maximum number of simultaneous associations Asynchronous Nature

29 PRINT-SCU will only allow a single outstanding operation on an Association. Therefore, PRINT-SCU will not perform asynchronous operations window negotiation Association Initiation Policy PRINT-SCU attempts to initiate a new association when the user performs the DICOM Print action from the user interface Activity Query Remote AE Description and Sequencing of Activities A single attempt will be made to query the remote AE. If the query fails, for whatever reason, no retry will be performed Proposed Presentation Contexts Table Proposed Presentation Contexts for PRINT-SCU Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID Basic Grayscale Print Management Meta SOP Class Basic Color Print Management Meta SOP Class Implicit VR Little Endian Implicit VR Little Endian Printer SOP Class Implicit VR Little Endian Extended Negotiation No extended negotiation is performed SOP Specific Conformance SCU None SCU None SCU None SOP Specific Conformance to Grayscale Print Management Meta SOP Class The PRINT-SCU supports the following mandatory SOP classes as defined by the Basic Grayscale Print Management Meta SOP Class: Table SOP CLASSES FOR BASIC GRAYSCALE PRINT MANAGEMENT META SOP CLASS SOP Class Name SOP Class UID SCU SCP Basic Film Session Yes No Basic Film Box Yes No Basic Grayscale Image Box Yes No Printer Yes No SOP Specific Conformance to Color Print Management Meta SOP Class

30 The PRINT-SCU supports the following mandatory SOP classes as defined by the Basic Color Print Management Meta SOP Class: Table SOP CLASSES FOR BASIC COLOR PRINT MANAGEMENT META SOP CLASS SOP Class Name SOP Class UID SCU SCP Basic Film Session Yes No Basic Film Box Yes No Basic Color Image Box Yes No Printer Yes No Basic Film Session SOP Class The PRINT-SCU will create a basic film session using the N-CREATE DIMSE service. The supported attributes for the Film Session creation are: Attribute Number Of Copies (2000, 0010) Print Priority (2000, 0020) Medium Type (2000, 0030) Film Destination (2000, 0040) DICOM Tag If N-CREATE fails the association will be terminated Basic Film Box SOP Class The PRINT-SCU will create a basic film box using the N-CREATE DIMSE service. The supported attributes for the Film Box creation are: Attribute Image Display Format (2010, 0010) Film Orientation (2010, 0040) Film Size ID (2010, 0050) Border Density (2010, 0100) Empty Image Density (2010,0110) Referenced Film Session Sequence (2010,0500) >Referenced SOP Class UID (0008,1150) >Referenced SOP Instance UID (0008,1155) DICOM Tag If N-CREATE fails the association will be terminated. The PRINT-SCU will print the basic film box using the N-ACTION DIMSE service. If N- ACTION fails the association will be terminated. The PRINT-SCU will delete the basic film box using the N-DELETE DIMSE service. If N- DELETE fails the association will be terminated Basic Grayscale Image SOP Class The PRINT-SCU will set the image box attributes created by the basic film box using the N- SET DIMSE service. The supported attributes are:

31 Attribute Image Position (2020,0010) Preformatted Grayscale Image Sequence (2020,0110) >Samples Per Pixel (2028,0002) >Photometric Interpretation (2028,0004) >Rows (2028,0010) >Columns (2028,0011) >Pixel Aspect Ratio (2028,0034) >Bits Allocated (2028,0028) >Bits Stored (2028,0101) >High Bit (2028,0102) >Pixel Representation (2028,0103) DICOM Tag If N-SET fails the association will be terminated. If the failure message indicates that the image(s) sent to the printer don t fit the film box, the user will be notified Basic Color Image SOP Class The PRINT-SCU will set the image box attributes created by the basic film box using the N- SET DIMSE service. The supported attributes are: Attribute Image Position (2020,0010) Preformatted Color Image Sequence (2020,0111) >Samples Per Pixel (2028,0002) >Photometric Interpretation (2028,0004) >Planar Configuration (2028,0006) >Rows (2028,0010) >Columns (2028,0011) >Pixel Aspect Ratio (2028,0034) >Bits Allocated (2028,0028) >Bits Stored (2028,0101) >High Bit (2028,0102) >Pixel Representation (2028,0103) DICOM Tag If N-SET fails the association will be terminated. If the failure message indicates that the image(s) sent to the printer don t fit the film box, the user will be notified Printer SOP Class The PRINT-SCU will get the printer status using the N-GET DIMSE service. If N-GET fails the association will be terminated. The PRINT-SCU will examine the returned printer status and will take the following actions: Printer Printer Status Action Status Information NORMAL N/A Continue printing WARNING RECEIVER FULL The association will be terminated SUPPLY EMPTY The association will be terminated

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