Video Plus Series DICOM Conformance Statement

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1 Video Plus Series DICO Conformance Statement Covering the following products: Video Plus Cardiac Video Plus Cardiac/A Video Plus Angio Video Plus RF Video Plus RF/A Camtronics, Ltd. Version 1.1 Revision C Document. No Copyright Camtronics, Ltd. 1997, 1998

2 Table of Contents 0 Introduction Implementation odel Application Data Flow Diagram Functional Definition of Application Entities Sequencing of Real-World Activities Application Entity Specifications VP-DICO Application Entity Specification Association Establishment Policies General Number of Associations Asynchronous Nature Implementation Identifying Information Time-outs Association Initiation Policy Real-World Activity User selects DICO Send option Associated Real-World Activity Proposed Presentation Contexts X-Ray Angiographic Image Storage SOP Class Conformance X-Ray Radiofluoroscopic Image Storage SOP Class Conformance Secondary Capture Image Storage SOP Class Conformance Real-World Activity User selects Archive Patient option Associated Real-World Activity Proposed Presentation Contexts Storage Commitment Push odel SOP Class Conformance Real-World Activity User selects DICO Echo option Associated Real-World Activity Proposed Presentation Contexts Verification SOP Class Conformance Association Acceptance Policy Real-world Activity Associated Real-world Activity Accepted Presentation Contexts Verification SOP Class Conformance Presentation Context Acceptance Criterion Transfer Syntax Selection Policies Communication Profiles TCP/IP Stack API...19 Camtronics, Ltd. Video Plus Series DICO Conformance Statement Revision C Version 1.1 Document. No Page i Copyright Camtronics, Ltd. 1997, 1998

3 3.1.2 Physical edia Support Extensions/Specializations/Privatizations Standard Extended/Specialized/Private SOP s Private Transfer Syntaxes Configuration AE Title/Presentation Address apping Configurable Parameters Support of Extended Character Sets...20 Camtronics, Ltd. Video Plus Series DICO Conformance Statement Revision C Version 1.1 Document. No Page ii Copyright Camtronics, Ltd. 1997, 1998

4 Preface The intent of any DICO conformance statement is to provide a knowledgeable user with the information required to determine whether and to what extent independent DICO implementations may be able to inter-operate. However, the information contained in a DICO conformance statement is not sufficient to ensure independent implementations will, in fact, be able to inter-operate. The user or system integrator must be aware of the following potential issues related to interoperation: Using only the information provided by this Conformance Statement does not guarantee interoperability of Camtronics equipment with non-camtronics equipment. It is the user s (or system integrator s) responsibility to analyze thoroughly the application requirements and objectives to determine if they can be met by the connection of Camtronics equipment to non-camtronics equipment. Camtronics equipment has been tested to assure that the actual implementation of the DICO interface corresponds with this Conformance statement. It is the responsibility of the user (or system integrator) to specify and carry out additional validation testing, which covers a broad spectrum of potential interactions between the independent implementations. Camtronics reserves the right to make changes to its products or to discontinue their delivery. Therefore, the user (or system integrator) should ensure that any future versions of Camtronics or non-camtronics equipment are regression tested to verify that new software releases have not adversely impacted the ability to inter-operate. Camtronics provides this documentation as is without warranty of any kind, either expressed or implied, including, but not limited to, the implied warranties or merchantability and fitness for a particular purpose. Some states or countries do not allow disclaimers of express or implied warranties in certain transactions; therefore, this statement may not apply to you. No part of this publication may be reproduced, transmitted, transcribed, recorded, or translated into any language in any form or by any means, electronic, magnetic, optical, chemical, physical or otherwise. Camtronics reserve the right to correct this publication and to make changes to its contents without the obligation of informing anyone of these revisions or changes. Camtronics, Ltd. Video Plus Series DICO Conformance Statement Revision C Version 1.1 Document. No Page iii Copyright Camtronics, Ltd. 1997, 1998

5 0 Introduction This document provides the conformance statement for the Camtronics edical Systems Video Plus Series. Details on the supported DICO service classes and roles are contained within. All of the DICO features mentioned in this document are optional and may not be available on certain products within the Video Plus Series. 1 Implementation odel 1.1 Application Data Flow Diagram The Application Data Flow Diagram for the Video Plus is shown in Figure 1. Local Real-World Activity Local Application Entity Remote Real-World Activity User selects DICO Send option User selects Archive Patient option VP-DICO AE Image stored remotely Remote takes ownership of images Remote responds to verification User selects DICO Echo option Figure 1 Implementation odel DICO Standard Interface Remote requests verification The Video Plus implementation consists of a single Application Entity called VP-DICO. The VP-DICO AE provides all the DICO services for the Video Plus. Document. No Page 1 of 20 Copyright Camtronics, Ltd. 1997, 1998

6 When the user selects the DICO Send option, the VP-DICO AE will initiate an association for the purpose of having an image or study stored remotely. When the user selects the Archive Patient option, the VP-DICO AE will initiate an association for the purpose of requesting that the remote accept responsibility for safekeeping of images. The VP-DICO AE will then expect to receive an association when the remote system returns the result of the storage commitment operation. When the user selects the DICO Echo option, the VP-DICO AE will initiate an association for the purpose of verifying that a remote DICO application is responding to requests. The VP-DICO AE will expect to receive an association when a remote system requests verification but will cause no local real world activity. 1.2 Functional Definition of Application Entities The VP-DICO AE provides all of the necessary functionality to implement the network sending and ownership transfer of the DICO images. This includes, but is not limited to, association management, image and demographics encoding, and response interpretation. The images in the Video Plus are acquired by digitizing a video input signal. Demographic information is provided by the user via the keyboard. 1.3 Sequencing of Real-World Activities Not applicable. 2 Application Entity Specifications 2.1 VP-DICO Application Entity Specification The VP-DICO AE provides Standard Conformance to the following DICO V3.0 SOP Classes as a Service Class User (SCU): SOP Class Name SOP Class UID X-Ray Angiographic Image Storage X-Ray Radiofluoroscopic Image Storage Secondary Capture Image Storage Storage Commitment Push odel Verification The VP-DICO AE also provides Standard Conformance to the following DICO V3.0 SOP Classes as a Service Class Provider (SCP): Document. No Page 2 of 20 Copyright Camtronics, Ltd. 1997, 1998

7 SOP Class Name SOP Class UID Verification Association Establishment Policies General The VP-DICO AE will always propose the DICO Application Context Name (ACN), which is: Application Context Name The maximum length PDU for an association initiated by the VP-DICO AE is: aximum Length PDU 120 Kbytes Number of Associations The VP-DICO AE will initiate only one DICO association at a time to perform an image storage or storage commitment operation as an SCU. If the user requests an echo (verification service class) during an image storage or storage commitment operation, the VP-DICO AE can initiate a second association. A maximum of two DICO associations will be initiated by the VP-DICO AE at any time Asynchronous Nature ultiple outstanding transactions are not supported by the VP-DICO AE Implementation Identifying Information The VP-DICO AE will provide the following Implementation Identifying Information in the User Information Field of the A-ASSOCIATE request primitive during association establishment: Implementation Class UID The VP-DICO AE will have an Implementation Version Name which is formed by appending the software version to the end of the letter V. For example, the Implementation Version Name for software version 4.0 will be V Time-outs The time-outs for the VP-DICO AE apply for all operations and functions are configurable by service personnel. These time-outs limit the amount of time spent waiting for DISE operations to complete. There are specific time-outs for establishing a connection, writing a command request, writing a command response, reading a command request, reading a command response, writing data, reading data, and closing a connection. Document. No Page 3 of 20 Copyright Camtronics, Ltd. 1997, 1998

8 2.1.2 Association Initiation Policy The VP-DICO AE will attempt to establish an association whenever the user selects the DICO Send option, the Archive Patient option, or the DICO Echo option. All three operations will cause the initiation of an association with the same proposed presentation contexts Real-World Activity User selects DICO Send option Associated Real-World Activity When the user is viewing some part of a multi-framed image and selects the DICO Send option, that image will be queued for transfer. When the user has a patient high-lighted on the patient directory screen and selects the DICO Send option, all the images associated with that patient will be queued for transfer. In both the above scenarios, after the user selects the OK button confirming the requested operation, the VP-DICO AE will initiate a connection to the remote node. The images will be sent to the Send Destination configured at the time the operation was queued. If the Auto-archive option is enabled, all acquired images (not reference or photofile images) will be queued for transfer immediately after they are acquired. In this scenario, the user will not be prompted for confirmation of the operation and the images will be sent to the Archive Destination configured at the time the operation was queued. This option does not cause a Storage Commitment operation to occur. The Video Plus has the ability to modify the pixel matrix, bit depth and to some extent SOP class of the object for image transfer. Proper configuration of these options will allow interoperability with destinations with limitations in these areas Proposed Presentation Contexts Abstract Syntax Transfer Syntax Role Extended Name UID Name UID Negotiation X-Ray Angiographic Image Storage X-Ray Radiofluorosco pic Image Storage JPEG Lossless Process 14 (Selection Value 1) Explicit VR Little Endian Implicit VR Little Endian JPEG Lossless Process 14 (Selection Value 1) SCU None SCU None SCU None SCU None Document. No Page 4 of 20 Copyright Camtronics, Ltd. 1997, 1998

9 Abstract Syntax Transfer Syntax Role Extended Name UID Name UID Negotiation Storage Commitment Push odel Explicit VR Little Endian Implicit VR Little Endian Explicit VR Little Endian Implicit VR Little Endian SCU None SCU None SCU None SCU None Verification Implicit VR Little Endian SCU None Note: SCU/SCP role negotiation is performed during association establishment for all of the above listed presentation contexts classes X-Ray Angiographic Image Storage SOP Class Conformance When a Success or Warning (Bxxx) status is received by the VP-DICO AE, the transmission is assumed to be successful. In the case of a warning status, the exact status returned by the remote system is logged in the service log. When a Refused or Error status is received by the VP-DICO AE, the connection is closed and the transmission is retried. In this case, the exact status returned by the remote system is also logged in the service log. Extended negotiation is not supported by the VP-DICO AE for this SOP class. The following tables show the optional elements that may be included for the XA IOD. IE odule Usage Patient Patient Study General Study Series General Series Equipment General Equipment Image General Image Image Pixel Contrast/Bolus Cine ulti-frame ask C - Required if contrast media was used in this image C - Required if pixel data is multi-frame cine data C - Required if pixel data is multi-frame cine data C - Required if the image may be subtracted Document. No Page 5 of 20 Copyright Camtronics, Ltd. 1997, 1998

10 IE odule Usage Display Shutter X-Ray Image X-Ray Acquisition X-Ray Table XA Positioner SOP Common U C - Required if the image is created with table motion Patient odule Patient's Name 0010, Patient ID 0010, Patient's Birth Date 0010, Patient's Sex 0010, General Study Study Instance UID 0020, 000D 1 Study Date 0008, Study Time 0008, Referring Physician s Name 0008, Study ID 0020, Accession Number 0008, Study Description 0008, General Series odality 0008, XA Series Instance UID 0020, 000E 1 Series Number 0020, Laterality 0020, C Performing Physicians(s) Name 0008, Document. No Page 6 of 20 Copyright Camtronics, Ltd. 1997, 1998

11 Physicians(s) Name General Equipment anufacturer 0008, CATRONICS, LTD. Institution Name 0008, General Image Image Number 0020, Patient Orientation 0020, C Sent 0 length Image Date 0008, C Image Time 0008, C Image Comments 0020, Reference Image Sequence >Reference SOP Class UID >Referenced SOP Instance UID 0008, ,1150 1C , C Image Pixel Rows 0028, Columns 0028, Pixel Data 7FE0, Pixel Aspect Ratio 0028, C 1\1, 2\1 Contrast/Bolus odule Contrast/Bolus Agent 0018, Document. No Page 7 of 20 Copyright Camtronics, Ltd. 1997, 1998

12 Cine Frame Time 0018, C ulti-frame Number of Frames 0028, ask ask Subtraction Sequence 28, >ask Operation 28, AVG_SUB >ask Frame Numbers 28, C >Recommended Viewing ode 28, SUB Display Shutter Shutter Shape 0018, CIRCULAR, RECTANGULAR, RECTANGULAR\CIRCULAR Shutter Left Vertical Edge Shutter Right Vertical Edge Shutter Upper Horizontal Edge Shutter Lower Horizontal Edge Center of Circular Shutter Radius of Circular Shutter 0018, C 0018, C 0018, C 0018, C 0018, C 0018, C Document. No Page 8 of 20 Copyright Camtronics, Ltd. 1997, 1998

13 X-Ray Image Frame Increment Pointer 0028,0009 1C (0018, 1063) Image Type 0008, ORIGINAL\PRIARY\SINGLE PLANE, ORIGINAL\PRIARY\BIPLANE A, ORIGINAL\PRIARY\BIPLANE B, DERIVED\SECONDARY\SINGLE PLANE Pixel Intensity Relationship 0028, DISP Samples per Pixel 0028, Photometric Interpretation 0028, ONOCHROE2 Bits Allocated 0028, , 16 Bits Stored 0028, , 10 High Bit 0028, , 9 Pixel Representation 0028, X-Ray Acquisition KVP 0018, Radiation Setting 0018, GR Exposure 0018,1152 2C Sent 0 length X-Ray Table Table otion 0018, Sent 0 length X-Ray Positioner Positioner otion 0018,1500 2C Sent 0 length Positioner Primary Angle Positioner Secondary Angle 0018, Sent 0 length 0018, Sent 0 length Document. No Page 9 of 20 Copyright Camtronics, Ltd. 1997, 1998

14 SOP Common SOP Class UID 0008, SOP Instance UID 0008, X-Ray Radiofluoroscopic Image Storage SOP Class Conformance When a Success or Warning (Bxxx) status is received by the VP-DICO AE, the transmission is assumed to be successful. In the case of a warning status, the exact status returned by the remote system is logged in the service log. When a Refused or Error status is received by the VP-DICO AE, the connection is closed and the transmission is retried. In this case, the exact status returned by the remote system is also logged in the service log. Extended negotiation is not supported by the VP-DICO AE for this SOP class. The following tables show the optional elements that may be included for the XRF IOD. IE odule Usage Patient Patient Study General Study Series General Series Equipment General Equipment Image General Image Image Pixel Contrast/Bolus Cine ulti-frame ask Display Shutter X-Ray Image X-Ray Acquisition SOP Common C - Required if contrast media was used in this image C - Required if pixel data is multi-frame cine data C - Required if pixel data is multi-frame cine data C - Required if the image may be subtracted U Patient odule Patient's Name 0010, Patient ID 0010, Document. No Page 10 of 20 Copyright Camtronics, Ltd. 1997, 1998

15 Patient's Birth Date 0010, Patient's Sex 0010, General Study Study Instance UID 0020, 000D 1 Study Date 0008, Study Time 0008, Referring Physician s Name 0008, Study ID 0020, Accession Number 0008, Study Description 0008, General Series odality 0008, RF Series Instance UID 0020, 000E 1 Series Number 0020, Laterality 0020, C Performing Physicians(s) Name 0008, General Equipment anufacturer 0008, CATRONICS, LTD. Institution Name 0008, General Image Image Number 0020, Patient Orientation 0020, C Sent 0 length Image Date 0008, C Document. No Page 11 of 20 Copyright Camtronics, Ltd. 1997, 1998

16 Image Time 0008, C Image Comments 0020, Reference Image Sequence >Reference SOP Class UID >Referenced SOP Instance UID 0008, ,1150 1C , C Image Pixel Rows 0028, Columns 0028, Pixel Data 7FE0, Pixel Aspect Ratio 0028, C 1\1, 2\1 Contrast/Bolus odule Contrast/Bolus Agent 0018, Cine Frame Time 0018, C ulti-frame Number of Frames 0028, ask ask Subtraction Sequence 28, Document. No Page 12 of 20 Copyright Camtronics, Ltd. 1997, 1998

17 >ask Operation 28, AVG_SUB >ask Frame Numbers 28, C >Recommended Viewing ode 28, SUB Display Shutter Shutter Shape 0018, CIRCULAR, RECTANGULAR, RECTANGULAR\CIRCULAR Shutter Left Vertical Edge Shutter Right Vertical Edge Shutter Upper Horizontal Edge Shutter Lower Horizontal Edge Center of Circular Shutter Radius of Circular Shutter 0018, C 0018, C 0018, C 0018, C 0018, C 0018, C X-Ray Image Frame Increment Pointer 0028,0009 1C (0018, 1063) Image Type 0008, ORIGINAL\PRIARY\SINGLE PLANE, ORIGINAL\PRIARY\BIPLANE A, ORIGINAL\PRIARY\BIPLANE B Pixel Intensity Relationship 0028, DISP Samples per Pixel 0028, Photometric Interpretation 0028, ONOCHROE2 Bits Allocated 0028, , 16 Bits Stored 0028, , 10 High Bit 0028, , 9 Document. No Page 13 of 20 Copyright Camtronics, Ltd. 1997, 1998

18 Pixel Representation 0028, X-Ray Acquisition KVP 0018, Radiation Setting 0018, GR Exposure 0018,1152 2C Sent 0 length SOP Common SOP Class UID 0008, SOP Instance UID 0008, Secondary Capture Image Storage SOP Class Conformance The following tables show the optional elements that may be included for the SC IOD. IE odule Usage Patient Patient Study General Study Series General Series Equipment General Equipment U SC Equipment Image General Image Image Pixel SC Image SOP Common Patient odule Patient's Name 0010, Patient ID 0010, Patient's Birth Date 0010, Document. No Page 14 of 20 Copyright Camtronics, Ltd. 1997, 1998

19 Patient's Sex 0010, General Study Study Instance UID 0020, 000D 1 Study Date 0008, Study Time 0008, Referring Physician s Name 0008, Study ID 0020, Accession Number 0008, Study Description 0008, General Series odality 0008, OT Series Instance UID 0020, 000E 1 Series Number 0020, Laterality 0020, C Performing Physicians(s) Name 0008, General Equipment anufacturer 0008, CATRONICS, LTD. Institution Name 0008, SC Equipment Conversion Type 0008, DV General Image Document. No Page 15 of 20 Copyright Camtronics, Ltd. 1997, 1998

20 Image Number 0020, Image Date 0008, C Image Time 0008, C Image Comments 0020, Image Pixel Samples per Pixel 0028, Photometric Interpretation 0028, ONOCHROE2 Rows 0028, Columns 0028, Bits Allocated 0028, Bits Stored 0028, High Bit 0028, Pixel Representation 0028, Pixel Data 7FE0, SOP Common SOP Class UID 0008, SOP Instance UID 0008, Real-World Activity User selects Archive Patient option Associated Real-World Activity When the user has a patient high-lighted on the patient directory screen and selects the Archive Patient option, a Storage Commitment operation is queued. After the user selects the OK button confirming the requested operation, the VP-DICO AE will initiate a connection to the remote node. The request will be sent to the Archive Destination configured at the time the operation was queued Proposed Presentation Contexts The presentation contexts proposed are the same as the ones specified in section Document. No Page 16 of 20 Copyright Camtronics, Ltd. 1997, 1998

21 Storage Commitment Push odel SOP Class Conformance The VP-DICO AE may request the storage commitment of the following objects. SOP Class Name SOP Class UID X-Ray Angiographic Image Storage X-Ray Radiofluoroscopic Image Storage Secondary Capture Image Storage The Referenced Study Component Sequence Attribute is not supported. The storage commitment transaction will remain valid until the user chooses to cancel the job or the Video Plus is turned off or otherwise loses power or the transaction completes successfully. The optional Storage edia File-set ID and UID Attributes are not supported. When an N-ACTION response is received with anything other than a Success status, the connection is closed and the transmission is retried. When an N-EVENT-REPORT is received indicating no failures (the event type indicates that the operation was successful), the patient study is marked as archived, and is more easily deletable by the user. When an N-EVENT-REPORT is received indicating failures exist (the event type indicates some failures exist), the failed images are automatically requeued along with another storage commit operation Real-World Activity User selects DICO Echo option Associated Real-World Activity When the user is viewing the I/O Status screen, selects the DICO enu option and then selects the DICO Echo option, a screen appears listing all the configured DICO destinations. After a destination is selected and the operation initiated, the VP-DICO AE will initiate a connection to the selected remote node Proposed Presentation Contexts The presentation contexts proposed are the same as the ones specified in section Verification SOP Class Conformance The VP-DICO AE provides standard conformance to the Verification SOP class Association Acceptance Policy The VP-DICO AE is always ready to accept associations for the purpose of receiving a verification request or a storage commitment response. Document. No Page 17 of 20 Copyright Camtronics, Ltd. 1997, 1998

22 Real-world Activity Associated Real-world Activity No real-world activity occurs when a verification request is received from a remote node. The real-world activity that occurs when a storage commitment response is received from a remote system is discussed is section Accepted Presentation Contexts Abstract Syntax Transfer Syntax Role Extended Name UID Name UID Negotiation Verification Implicit VR Little Endian SCP None Storage Commitment Push odel Explicit VR Little Endian Implicit VR Little Endian SCU None SCU None Note: SCU/SCP role negotiation is performed during association establishment for all of the above listed presentation contexts classes Verification SOP Class Conformance The VP-DICO AE provides standard conformance to the Verification SOP class Presentation Context Acceptance Criterion Not applicable Transfer Syntax Selection Policies The Explicit VR Little Endian transfer syntax will be chosen over the Implicit VR Little Endian transfer syntax if the remote system proposes both. 3 Communication Profiles The only communication stack supported by the Video Plus Series is the TCP/IP stack as specified in PS3.8 (DICO Part 8). Neither the OSI nor point-to-point stacks are supported with this product. Document. No Page 18 of 20 Copyright Camtronics, Ltd. 1997, 1998

23 3.1 TCP/IP Stack The TCP/IP stack is Fusion version 3.6 by Pacific Softworks which has been ported to the Video Plus environment API Not applicable Physical edia Support The supported physical medium for the Video Plus Series are: IEEE BASE-FX via II IEEE BASE-TX via II IEEE BASE-T via II 4 Extensions/Specializations/Privatizations 4.1 Standard Extended/Specialized/Private SOP s None. 4.2 Private Transfer Syntaxes None. 5 Configuration The Video Plus maintains several configurable parameters which may be modified by a service person. 5.1 AE Title/Presentation Address apping The AE Title, IP address and TCP port for each destination is configurable on the Video Plus by Camtronics authorized service personnel. For each destination, the following information can be entered: Description AE Title IP address Port Transfer type Document. No Page 19 of 20 Copyright Camtronics, Ltd. 1997, 1998

24 512 x 512, XA and SC images, 8 bit depth 512 x 512, XA images only, 8 bit depth (Basic Cardiac Application Profile) Up to 1024 x 1024, XA images only, 8 bit depth Up to 1024 x 1024, XA and SC images, 8 bit depth Up to 1024 x 1024, XA and SC images, acquired bit depth Up to 1024 x 1024, XRF and SC images, 8 bit depth Up to 1024 x 1024, XRF and SC images, acquired bit depth 5.2 Configurable Parameters The following parameters are configurable by Camtronics authorized service personnel: Local AE title Local IP address TCP listen port Institution Name (Hospital Name) Time-outs Connection establishment (this is the ARTI timer) Command request write Command response write Command request read Command response read Data write Data read Connection close 6 Support of Extended Character Sets The Video Plus Series does not support the use of extended character sets. Document. No Page 20 of 20 Copyright Camtronics, Ltd. 1997, 1998

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