Abstract. XrayVision DICOM Conformance Statement. Abstract Abstract

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1 Apteryx Inc. 313 S. High St. Suite 200 Akron, OH voice fax XrayVision DICOM Conformance Statement Abstract Abstract Abstract This document describes the DICOM implementation and conformance of Apteryx s XrayVision Dental and Medical imaging product lines. This product line includes XrayVision and the DICOM Extension for XrayVision. Copyright Apteryx, Inc. Apteryx is a registered trademark of Apteryx, Inc. All rights reserved. All other trademarks and tradenames are the property of their respective owners. Controlled Document: Printed or downloaded copies are considered uncontrolled and are for reference only. QMS_TFD_XV_DICOM_Conformance_Apteryx Apteryx, Inc. Page 1 of 18

2 REVISION HISTORY Revision Level Revision Date Description of Revision /06/2011 Reformatted doc and changed title to adhere to QMS document control/formatting requirements. Effective Date Revision Author (Initials) Approver(s) (Initials) 12/07/2011 SN KC 113 Doc Change Task# Apteryx, Inc. Page 2 of 18

3 TABLE OF CONTENTS REVISION HISTORY... 2 TABLE OF CONTENTS INDEX OF FIGURES & TABLES LIST OF TABLES LIST OF FIGURES INTRODUCTION OVERVIEW IMPORTANT CONSIDERATIONS FOR THE READER ACRONYMS, ABBREVIATIONS, AND DEFINITIONS HOW TO USE THIS DOCUMENT IMPLEMENTATION MODEL AE SPECIFICATIONS VALUE REPRESENTATION (VR) REFERENCES APPLICATION DATA FLOW DIAGRAM FUNCTIONAL DEFINITIONS QUERY SEND IMAGE STORE IMAGE VERIFY STORAGE COMMITMENT SEQUENCING OF REAL WORLD EVENTS XRAYVISION AE SPECIFICATIONS ASSOCIATION ESTABLISHMENT POLICIES GENERAL NUMBER OF ASSOCIATIONS ASYNCHRONOUS NATURE IMPLEMENTATION IDENTIFYING INFORMATION ASSOCIATION INITIATION BY REAL-WORLD ACTIVITIES REAL-WORLD ACTIVITY: REQUEST MODALITY WORKLIST REAL-WORLD ACTIVITY: REQUEST QUERY / RETRIEVE REAL-WORLD ACTIVITY: REQUEST FOR STORING IMAGES REAL-WORLD ACTIVITY: REQUEST FOR VERIFICATION REAL-WORLD ACTIVITY: REQUEST TO PRINT IMAGES REAL-WORLD ACTIVITY: REQUEST FOR STORAGE COMMITMENT Apteryx, Inc. Page 3 of 18

4 4.3 ASSOCIATION ACCEPTANCE POLICY BY REAL-WORLD ACTIVITIES REAL-WORLD ACTIVITY: RESPOND TO STORE IMAGES REQUEST COMMUNICATION PROFILES SUPPORTED COMMUNICATION STACKS OSI / POINT-TO-POINT STACK TCP/IP STACK PHYSICAL MEDIA SUPPORT EXTENSIONS / SPECIALIZATIONS / PRIVITIZATIONS CONFIGURABLE PARAMETERS SUPPORT OF EXTENDED CHARACTER SETS Apteryx, Inc. Page 4 of 18

5 1 INDEX OF FIGURES & TABLES 1.1 List of Tables Table 1 - SOP Classes supported by the XrayVision product line... 6 Table 2 - SOP Classes Supported as SCU Table 3 - SOP Classes Supported as SCP Table 4 - Presentation Contexts to Worklist Table 5 - Presentation Contexts to Query/Retrieve Table 6 - Presentation Contexts to Store Images Table 7 - Presentation Contexts to Verify DICOM Association Table 8 - Presentation Contexts to Print Images Table 9 - Presentation Contexts for Commitment Table 10 - Presentation Contexts to Receive Images List of Figures Figure 1 - Implementation Model for XrayVision AE... 9 Figure 2 - Query Database Model Figure 3 - Transfer Image Model Figure 4 - Store Image Model Figure 5 - Verification Model Figure 6 - Commitment Model Apteryx, Inc. Page 5 of 18

6 2 INTRODUCTION 2.1 Overview This document describes the DICOM implementation and conformance of Apteryx s XrayVision Dental and Medical imaging product lines which supports DICOM support as a Service Class User (SCU). The applications making up the XrayVision product line consist of applications that are capable of acquiring images from a wide range of imaging devices including, but not limited to: digital x-ray systems; digital imaging systems; scanners; and visible light cameras. While the DICOM implementation is designed to support a wide range of DICOM SOP Classes, the primary focus of these applications is in supporting the following DICOM SOP Classes. SOP Class Name SOP Class UID Role Verification SCU, SCP Commitment Push Model SCU Presentation LUT SOP Class SCU Basic Grayscale Print Management Meta SOP Class SCU Basic Color Print Management Meta SOP Class SCU Computed Radiography Image SCU Digital X-ray Image For Presentation SCU Digital X-ray Image For Processing SCU Digital Mammography X-ray Image For Presentation SCU Digital Mammography X-ray Image For Processing SCU Digital Intra Oral X-ray Image For Presentation SCU Digital Intra Oral X-ray Image For Processing SCU Computed Tomography Image SCU Magnetic Resonance Image SCU Ultrasound Image SCU Secondary Capture SCU X-ray Angiographic Image SCU X-Ray Radio Fluoroscopic Image SCU Nuclear Medicine Image SCU Visible Light Endoscopic Image SCU Visible Light Microscopic Image SCU Visible Light Photographic Image SCU Positron Emission Tomography Image SCU Radiotherapy Image SCU Modality Worklist Information Model FIND SCU Patient Root Query/Retrieve FIND SCU Patient Root Query/Retrieve GET SCU Patient Root Query/Retrieve MOVE SCU Study Root Query/Retrieve FIND SCU Study Root Query/Retrieve GET SCU Study Root Query/Retrieve MOVE SCU Patient Study Only Root Query/Retrieve FIND SCU Patient Study Only Root Query/Retrieve GET SCU Patient Study Only Root Query/Retrieve MOVE SCU Table 1 - SOP Classes supported by the XrayVision product line 2.2 Important Considerations for the Reader The DICOM 3.0 standard is intended to facilitate communication between other applications. This DICOM Conformance Statement in itself is not sufficient to guarantee successful interoperability between the XrayVision product line and any given Service Class Provider SCP. Any conflicts or inconstancies in interoperability with a SCP should be reported to Apteryx, Inc. 354 S Main St Suite 300, Akron, OH 44311, , support@apteryx.com. Apteryx, Inc. Page 6 of 18

7 The reader should recognize that all complex software systems and its documentation may contain errors and/or omissions. Information in the documentation is subject to change without notice. Improvements and/or changes to the documentation and/or software may occur at any time. Apteryx assumes no liability resulting from any inaccuracy or omissions contained herein or from the use of the information or programs. Apteryx makes no express or implied warranty of any kind with regard to these programs or to the supplemental documentation. In no event shall Apteryx be liable for incidental or consequential damages in connection with or arising out of the furnishing, performance or use of this documentation. Apteryx reserves the rights to revise this publication and make changes to its content at any time without obligation to notify any person or entity of such revisions and/or changes. 2.3 Acronyms, Abbreviations, and Definitions The following acronyms and abbreviations may be used throughout this documentation: ASCII AE ANSI DICOM DIMSE DMI HIS IE IOD ISO LUT PDU PLUT RIS SCU SCP SOP TCP/IP UID VM VR American Standard Code for Information Interchange Application Entity American National Standards Institute Digital Imaging and Communications in Medicine DICOM Message Service Element Distributed Medical Imaging Hospital Information System Information Entity Information Object Definition International Standards Organization Look-up Table Protocol Data Unit Presentation Look-up Table Radiology Information System Service Class User Service Class Provider Service-Object Pair Transmission Control Protocol/Internet Protocol Unique Identifier Value Multiplicity Value Representation 2.4 How to Use This Document This document contains important information that the reader should compare with other SCPs in order to determine connectivity IMPLEMENTATION MODEL The implementation model describes the relationships between a device, real-world activities (which initiate certain DICOM functionality), and the DICOM services. A DICOM service is implemented on a device by a software process, which is referred to as an Application Entity (AE). Each AE is given a unique name referred to as the AE Title which is used to uniquely identify between other AE s. Apteryx, Inc. Page 7 of 18

8 2.4.2 AE SPECIFICATIONS Each AE supports one or more SOP classes which define the functionality of the AE. A SOP Class consists of a combination of an Object or Information model with specific DICOM services. An example of a SOP Class is the Digital X-ray Image For Presentation Class ( ) which combines the DICOM C_STORE command with the Digital X-ray Image object. Each SOP Class is uniquely identified by a UID (Unique Identification Number). An example of a SOP Class UID is the Digital X-ray Image For Presentation Class which has been assigned a UID of The role of an AE is further broken down into role the AE is taking such as a User (conceptually as a Client) or a Provider (conceptually as a Server). These roles are defined as Service Class User (SCU) or Service Class Provider (SCP) VALUE REPRESENTATION (VR) The Value Representation of the elements supported by each SOP Class defines the encoding of the information contained in each element. Conceptually, each element in a SOP Class can be thought of as consisting of data, an attribute tag and a VR (which is optional). Whether or not the VR encoding is included in the data elements is referred to as Explicit VR syntax or Implicit VR syntax. The Explicit VR syntax indicates that the data elements include the VR information along with the data and attribute tag. Implicit VR syntax indicates that the VR information will not be included and that the receiving application must determine the VR type from the attribute tag associated with each data element. For example, when receiving a SOP Class that contains the Patient Name and Patient s Birth Date elements in Explicit VR syntax, there are additional type code fields containing the type PN and DA to identify the VR of the data element. When using Implicit VR syntax, the VR of each of these fields is assumed to be known by the receiver and thus not specified. Apteryx, Inc. Page 8 of 18

9 3 REFERENCES 3.1 Application Data Flow Diagram The XrayVision Application Entity (AE) is an application that initiates requests for the storage and retrieval of images and access to patient information. The AE supports the services of the following DICOM Service Classes as a SCU: Service Class; Print Management Service Class; Basic Worklist Management Service; Commitment PUSH. The implementation model of the XrayVision AE is illustrated in the following figure. Query / Retrieve Query / Retrieve Send Image Transfer Image Store Image XrayVision Application Entity Store Image Verify Verify Print Print Commit Local DICOM Interface Remote 3.2 Functional Definitions Figure 1 - Implementation Model for XrayVision AE The XrayVision AE acts as a SCP in the following role(s): SCP for DICOM C-STORE operations to Service Class users (during MOVE operations only). The XrayVision AE acts as a SCU in the following role(s): SCU of DICOM C-STORE operations from Service Class providers. SCU of DICOM C-ECHO operations from Verification Service Class providers. SCU of DICOM C-FIND operations from Worklist Management Service Class providers. SCU of DICOM C-FIND operations from Query / Retrieve Service Class providers. SCU of DICOM C-MOVE operations from Query / Retrieve Service Class providers. SCU of DICOM C-GET operations from Query / Retrieve Service Class providers. SCU of DICOM N-ACTION operations from Commitment PUSH Class providers. Apteryx, Inc. Page 9 of 18

10 3.2.1 QUERY The XrayVision AE can initiate a patient or study query (C-FIND-RQ) based on a set of attributes the user wishes to match. The AE displays the status of the C-FIND-RSP messages received by the server as it continues searching. When all matches have been identified by the server, the XrayVision AE displays the resulting list along with any errors that may have been encountered during the search. Query / Retrieve Query / Retrieve SOP SCU C-FIND-RQ C-FIND-RSP Server SCP Query / Retrieve Basic Worklist SOP SCU C-FIND-RQ C-FIND-RSP Server SCP Local DICOM Interface Remote SEND IMAGE Figure 2 - Query Database Model The XrayVision AE can initiate an image move or image get query (C-GET-RQ or C- MOVE-RQ) and supplies unique values that identify the move destination to the SCP. The status and result of the get or move operation are displayed by the XrayVision AE to the user. Send Image Query / Retrieve SOP SCU C-GET-RQ C-GET-RSP Server SCP Send Image Query / Retrieve SOP SCU C-MOVE-RQ C-MOVE-RSP Server SCP Local DICOM Interface Remote STORE IMAGE Figure 3 - Transfer Image Model The XrayVision AE can initiate an image store request (C-STORE-RQ) to request that an image maintained by the XrayVision AE be stored on a SCP. The status and result of the get or move operation are displayed by the XrayVision AE to the user. Apteryx, Inc. Page 10 of 18

11 Store Image SOP SCU C-STORE-RQ C-STORE-RSP Server SCP Local DICOM Interface Remote VERIFY Figure 4 - Store Image Model The XrayVision AE can initiate an echo request (C-ECHO-RQ). The echo request is used to verify a connection with a SCP as well as the DICOM association. Verify Verification SOP SCU C-ECHO-RQ C-ECHO-RSP Server SCP Local DICOM Interface Remote STORAGE COMMITMENT Figure 5 - Verification Model The XrayVision AE can initiate a storage commitment request (N-ACTION-RQ). This request is used to verify that an image that has been stored to the SCP has been successfully stored by the SCP. Store Image Commitment PUSH SOP SCU N-ACTION-RQ N-ACTION-RSP Server SCP Local DICOM Interface Remote 3.3 Sequencing of Real World Events Not applicable. Figure 6 - Commitment Model Apteryx, Inc. Page 11 of 18

12 4 XRAYVISION AE SPECIFICATIONS The XrayVision AE provides standard conformance to the following DICOM 3.0 Standard SOP classes as an SCU. SOP Class Name SOP Class UID Verification Commitment Push Model Presentation LUT SOP Class Basic Grayscale Print Management Meta SOP Class Basic Color Print Management Meta SOP Class Computed Radiography Image Digital X-ray Image For Presentation Digital X-ray Image For Processing Digital Mammography X-ray Image For Presentation Digital Mammography X-ray Image For Processing Digital Intra Oral X-ray Image For Presentation Digital Intra Oral X-ray Image For Processing Computed Tomography Image Magnetic Resonance Image Ultrasound Image Secondary Capture X-ray Angiographic Image X-Ray Radio Fluoroscopic Image Nuclear Medicine Image Visible Light Endoscopic Image Visible Light Microscopic Image Visible Light Photographic Image Positron Emission Tomography Image Radiotherapy Image Modality Worklist Information Model FIND Patient Root Query/Retrieve FIND Patient Root Query/Retrieve GET Patient Root Query/Retrieve MOVE Study Root Query/Retrieve FIND Study Root Query/Retrieve GET Study Root Query/Retrieve MOVE Patient Study Only Root Query/Retrieve FIND Patient Study Only Root Query/Retrieve GET Patient Study Only Root Query/Retrieve MOVE Table 2 - SOP Classes Supported as SCU The XrayVision AE provides standard conformance to the following DICOM 3.0 Standard SOP classes as an SCP. SOP Class Name SOP Class UID Verification Table 3 - SOP Classes Supported as SCP 4.1 Association Establishment Policies GENERAL The XrayVision AE establishes associations using the DICOM 3.0 standard application context. The maximum PDU size the XrayVision AE will negotiate is 65,536 bytes NUMBER OF ASSOCIATIONS The XrayVision AE will open one association at a time. Multiple simultaneous associations are not supported. If more destinations are requested, the requests are queued. Apteryx, Inc. Page 12 of 18

13 4.1.3 ASYNCHRONOUS NATURE Asynchronous mode of operation is not supported IMPLEMENTATION IDENTIFYING INFORMATION The Implementation Class Unique Identifier (UID) for the XrayVision AE is: Association Initiation by Real-World Activities REAL-WORLD ACTIVITY: REQUEST MODALITY WORKLIST ASSOCIATED REAL-WORLD ACTIVITY The XrayVision AE initiates an association with the SCP to get the modality worklist PROPOSED PRESENTATION CONTEXTS Abstract Syntax Transfer Syntax Name UID Name UID Basic Worklist Implicit VR SOP SPECIFIC CONFORMANCE Table 4 - Presentation Contexts to Worklist Role The XrayVision AE provides standard conformance to the DICOM 3.0 Modality Worklist Service Classes. All DICOM 3.0 required and unique keys are supported. Any attribute cataloged in the database may be used as a matching or retrieval key. All range, wildcard, UID list, sequence and multiple value matching is implemented per the DICOM 3.0 standard REAL-WORLD ACTIVITY: REQUEST QUERY / RETRIEVE ASSOCIATED REAL-WORLD ACTIVITY The XrayVision AE initiates an association with the SCP to send and receive query requests PROPOSED PRESENTATION CONTEXTS Abstract Syntax Transfer Syntax Name UID Name UID Patient Root Query / Retrieve FIND Study Root Query / Retrieve FIND Patient Study Only Query / Retrieve FIND Implicit VR Implicit VR Implicit VR Table 5 - Presentation Contexts to Query/Retrieve SOP SPECIFIC CONFORMANCE Role The XrayVision AE provides standard conformance to the DICOM 3.0 Query/Retrieve Service Classes. All DICOM 3.0 required and unique keys are supported. Any attribute cataloged in the database may be used as a matching or retrieval key. All range, wildcard, UID list, sequence and multiple value matching is implemented per the DICOM 3.0 standard REAL-WORLD ACTIVITY: REQUEST FOR STORING IMAGES ASSOCIATED REAL-WORLD ACTIVITY The XrayVision AE initiates an association with the SCP to receive and store images. Apteryx, Inc. Page 13 of 18

14 PROPOSED PRESENTATION CONTEXTS While the DICOM implementation is designed to support a wide range of DICOM SOP Classes, the primary focus of these applications is in supporting the following DICOM SOP Classes. Other presentation contexts are supported than those in the following table. Abstract Syntax Transfer Syntax Name UID Name UID Computed Radiography Image Digital X-ray Image For Presentation Digital X-ray Image For Processing Digital Mammography X- ray Image For Presentation Digital Mammography X- ray Image For Processing Digital Intra Oral X- ray Image For Presentation Digital Intra Oral X- ray Image For Processing Computed Tomography Image Magnetic Resonance Image Ultrasound Image Secondary Capture X-ray Angiographic Image X-Ray Radio Fluoroscopic Image Nuclear Medicine Image Visible Light Endoscopic Image Visible Light Microscopic Image Visible Light Photographic Image Positron Emission Tomography Image Radiotherapy Image Implicit VR Implicit VR Implicit VR Implicit VR Implicit VR Implicit VR Implicit VR Implicit VR Implicit VR Implicit VR Implicit VR Implicit VR Implicit VR Implicit VR Implicit VR Implicit VR Implicit VR Implicit VR Implicit VR Table 1 - Presentation Contexts to Store Images SOP SPECIFIC CONFORMANCE Role The XrayVision AE provides standard conformance to the DICOM 3.0 Service Classes. Apteryx, Inc. Page 14 of 18

15 4.2.4 REAL-WORLD ACTIVITY: REQUEST FOR VERIFICATION ASSOCIATED REAL-WORLD ACTIVITY The XrayVision AE initiates an association with the SCP to verify the current DICOM association PROPOSED PRESENTATION CONTEXTS Abstract Syntax Transfer Syntax Name UID Name UID Verification Implicit VR Table 7 - Presentation Contexts to Verify DICOM Association SOP SPECIFIC CONFORMANCE Role The XrayVision AE provides standard conformance to the DICOM 3.0 Verification Service Classes REAL-WORLD ACTIVITY: REQUEST TO PRINT IMAGES ASSOCIATED REAL-WORLD ACTIVITY The XrayVision AE initiates an association with the SCP to print images PROPOSED PRESENTATION CONTEXTS Abstract Syntax Transfer Syntax Name UID Name UID Basic Grayscale Print Management Meta SOP Class Basic Color Print Management Meta SOP Class Implicit VR Implicit VR Table 8 - Presentation Contexts to Print Images SOP SPECIFIC CONFORMANCE Role The XrayVision AE provides standard conformance to the DICOM 3.0 Print Service Classes REAL-WORLD ACTIVITY: REQUEST FOR STORAGE COMMITMENT ASSOCIATED REAL-WORLD ACTIVITY The XrayVision AE initiates an association with the SCP to query the status of an image s storage commitment PROPOSED PRESENTATION CONTEXTS Abstract Syntax Transfer Syntax Name UID Name UID Commitment Push Model Class Implicit VR Table 9 - Presentation Contexts for Commitment SOP SPECIFIC CONFORMANCE Role The XrayVision AE provides standard conformance to the DICOM 3.0 Print Service Classes. 4.3 Association Acceptance Policy By Real-World Activities REAL-WORLD ACTIVITY: RESPOND TO STORE IMAGES REQUEST ASSOCIATED REAL-WORLD ACTIVITY The XrayVision AE accepts an SCP association to store images. Apteryx, Inc. Page 15 of 18

16 PROPOSED PRESENTATION CONTEXTS Abstract Syntax Transfer Syntax Name UID Name UID Patient Root Query / Retrieve MOVE Study Root Query / Retrieve MOVE Patient Study Only Query / Retrieve MOVE Patient Root Query / Retrieve GET Study Root Query / Retrieve GET Patient Study Only Query / Retrieve GET Implicit VR Implicit VR Implicit VR Implicit VR Implicit VR Implicit VR Table 10 - Presentation Contexts to Receive Images SOP SPECIFIC CONFORMANCE Role SCP SCP SCP SCP SCP SCP The XrayVision AE provides standard conformance to the DICOM 3.0 Image Service Classes. 4.4 Communication Profiles SUPPORTED COMMUNICATION STACKS The XrayVision AE provides TCP/IP Network Communication Support in accordance with the DICOM 3.0 standard OSI / POINT-TO-POINT STACK Not supported TCP/IP STACK The TCP/IP stack is inherited from the underlying operating system on which the software runs PHYSICAL MEDIA SUPPORT XrayVision AE is indifferent to the physical medium over which TCP/IP executes. 4.5 Extensions / Specializations / Privitizations Not applicable. 4.6 Configurable Parameters Any number of server definitions may be defined (AE title, IP address, and port). Local Application Entity title and port may be specified per server definition. Encryption requirements may be specified per server definition. Modality mapping may be specified per server definition. For example if a server supports " Digital X-ray Image For Presentation ( ) but not Digital X-ray Image For Processing ( ) the application can be set to automatically convert to when submitting them to that particular server. Apteryx, Inc. Page 16 of 18

17 Tag blocking may be specified per server definition. In other words, if a server cannot support a certain tag, the application can be set to automatically remove the tag before the image is submitted to that particular server. Custom name formats may be specified per server definition. In other words, if a server saves a name in the format Lastname, Firstname, the application will automatically convert between that format and the standard format of Lastname^Firstname when storing and retrieving information to and from that particular server. Automatic storage commitment may be enabled or disabled. 4.7 Support of Extended Character Sets The XrayVision AE supports the ISO-IR 100 Latin 1 character set as well as the default ISO-IR 6 character set. Apteryx, Inc. Page 17 of 18

18 *** END OF DOCUMENT *** Apteryx, Inc. Page 18 of 18

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