AGFA HEALTHCARE DICOM Conformance Statement

Transcription

1 HE/ Page 1 of 79 AGFA HEALTHCARE DICOM Conformance Statement Document No Revision: 1.0 When printed, this is NOT a controlled copy.

2 HE/ Page 2 of 79 Document Information Service-related contact information worldwide All service-related contact information is available on this URL jsp Issued by: Agfa HealthCare SIV Connectivity Septestraat 27 B-2640 Mortsel Belgium tel: connectivity@agfa.com Agfa shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance or use of this publication. Agfa reserves the right to revise this publication and to make changes to its content at any time, without obligation to notify any person or entity of such revisions and changes. This publication may only be used in connection with the promotion, sales, installation and use of Agfa equipment. Copyright 2014 Agfa HealthCare All rights reserved

3 HE/ Page 3 of 79 Conformance Statement Overview This document is a DICOM Conformance Statement for the DICOM Services of the Solution. The Solution is comprised of several components that each provides certain DICOM capabilities. The Solution conforms to the DICOM standard. The following are the core application entities that implement DICOM services in the Solution: o Data Center AE o Agility AE o Transfer AE o Capture AE o View AE The Solution acts as a service class provider (SCP) for Verification,, Commitment, Query/Retrieve Service Classes, Modality Performed Procedure Step SOP Class and Modality Worklist. The Solution acts as a service class user (SCU) for Verification,, Commitment, Query/Retrieve Service Classes, Modality Performed Procedure Step SOP Class, Modality Worklist. The Solution provides Standard Conformance to the SOP Classes listed in Table This table lists the Network Services Supported as they appear in DICOM Part 2, Table A.1-2. The shaded items in each represent SOP classes that have been retired (so no longer appear in Supplement 64) but are still supported by Solution. Table 1.1-1: Network Services Supported SOP Class Name SOP Class UID Store ( Agility & Data Center) Transfer Transfer Capture View View & Agility SCU SCP SCU SCP SCU SCU Display Verification Verification Yes Yes Yes Yes Yes Yes N/A 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 Transfer Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes

4 HE/ Page 4 of 79 SOP Class Name SOP Class UID Store Digital Intra-oral X- Ray Image For Presentation Digital Intra-oral X- Ray Image For Processing ( Agility & Data Center) Transfer Transfer Capture View View & Agility SCU SCP SCU SCP SCU SCU Display Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes CT Image Yes Yes Yes Yes No No Yes Enhanced CT Yes Yes Yes Yes No No Yes Image Ultrasound Multiframe Yes Yes Yes Yes Yes No Yes Image MR Image Yes Yes Yes Yes No No Yes Enhanced MR Yes Yes Yes Yes No No Yes Image MR Spectroscopy Yes Yes Yes Yes No No Yes Enhanced MR Color Optional Optional No No No No Yes Image Ultrasound Image Yes Yes Yes Yes Yes No Yes Enhanced US Optional Optional No No No No No Volume Secondary Capture Yes Yes Yes Yes Yes No Yes Image Multi-frame Single Yes Yes Yes Yes No No Yes Bit Secondary Capture Image Multi-frame Yes Yes Yes Yes Yes No Yes Grayscale Byte Secondary Capture Image Multi-frame Yes Yes Yes Yes Yes No Yes Grayscale Word Secondary Capture Image Multi-frame True Yes Yes Yes Yes Yes No Yes Color Secondary Capture Image 12-lead ECG Yes Yes Yes Yes No No No Waveform General ECG Yes Yes Yes Yes No No No Waveform Ambulatory ECG Yes Yes Yes Yes No No No Waveform Hemodynamic Yes Yes Yes Yes No No No Waveform Cardiac Electrophysiology Waveform Yes Yes Yes Yes No No No

5 HE/ Page 5 of 79 SOP Class Name SOP Class UID Store Basic Voice Audio Waveform General Audio Waveform Arterial Pulse Waveform Respiratory Waveform Grayscale Softcopy Presentation State Color Softcopy Presentation State Pseudo-Color Softcopy Presentation State Blending Softcopy Presentation State XA / XRF Grayscale Softcopy Presentation State X-Ray Angiographic Image Enhanced XA Image X-Ray Radiofluoroscopic Image ( Agility & Data Center) Transfer Transfer Capture View View & Agility SCU SCP SCU SCP SCU SCU Display Yes Yes Yes Yes Yes No Yes Optional Optional No No No No No Optional Optional No No No No No Optional Optional No No No No No Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Optional Optional No No No No No Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes Yes No Yes Enhanced XRF Yes Yes Yes Yes No No Yes Image X-Ray 3D Optional Optional Yes Yes No No No Angiographic Image X-Ray 3D Yes Yes Yes Yes No No No Craniofacial Image Breast Yes Yes Yes Yes No No Yes Tomosynthesis Image Intravascular Optional Optional No No No No Yes Optical Coherence Tomography Image - For Presentation Nuclear Medicine Yes Yes Yes Yes No No Yes Image Raw Data Yes Yes Yes Yes No No No Spatial Registration Yes Yes Yes Yes No No No

6 HE/ Page 6 of 79 SOP Class Name SOP Class UID Store ( Agility & Data Center) Transfer Transfer Capture View View & Agility SCU SCP SCU SCP SCU SCU Display Spatial Fiducials Deformable Spatial Registration Segmentation Real World Value Mapping VL Endoscopic Image Video Endoscopic Image VL Microscopic Image Video Microscopic Image VL Slide- Coordinates Microscopic Image VL Photographic Image Video Photographic Image Ophthalmic Photography 8 Bit Image Ophthalmic Photography 16 Bit Image Stereometric Relationship VL Whole Slide Microscopy Image Basic Text SR Enhanced SR Comprehensive SR Procedure Log Mammography CAD SR Key Object Selection Document Chest CAD SR Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No No Optional Optional No No No No No Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No No

7 HE/ Page 7 of 79 SOP Class Name SOP Class UID Store X-Ray Radiation Dose SR Colon CAD SR Encapsulated PDF Encapsulated CDA Positron Emission Tomography Image ( Agility & Data Center) Transfer Transfer Capture View View & Agility SCU SCP SCU SCP SCU SCU Display Yes Yes Yes Yes No No Yes Optional Optional No No No No No Yes Yes Yes Yes No No Yes Optional Optional No No No No No Yes Yes Yes Yes No No Yes Enhanced PET Optional Optional No No No No No Image RT Image Yes Yes Yes Yes No No Yes 1 RT Dose Yes Yes Yes Yes No No No RT Structure Set Yes Yes Yes Yes No No No RT Beams Yes Yes Yes Yes No No No Treatment Record RT Plan Yes Yes Yes Yes No No No RT Brachy Treatment RT Treatment Summary Record Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No RT Ion Plan Yes Yes Yes Yes No No No RT Ion Beams Plan Yes Yes Yes Yes No No No Hardcopy Grayscale Yes Yes Yes Yes No No No Image (Retired) Hardcopy Color Yes Yes Yes Yes No No No Image (Retired) Nuclear Medicine Yes Yes Yes Yes No No Yes Image (Retired) Ultrasound Image Yes Yes Yes Yes No No Yes (Retired) Ultrasound Multiframe Yes Yes Yes Yes No No Yes Image (Retired) X-Ray Angiographic Yes Yes Yes Yes No No Yes Bi-plane Image (Retired) Standalone Overlay Yes Yes Yes Yes No No No (Retired) Standalone Curve (Retired) Yes Yes Yes Yes No No No 1 View will display if the bit depth is <=16, but not for 32 bit grayscale pixels

8 HE/ Page 8 of 79 SOP Class Name SOP Class UID Store Standalone Modality LUT (Retired) Standalone VOI LUT (Retired) Standalone PET Curve (Retired) VL Image (Retired) VL Multi-frame Image (Retired) Agfa Attribute Presentation State Siemens CSA Non- Image Patient Root Query/Retrieve Information Model FIND Patient Root Query/Retrieve Information Model MOVE Study Root Query/Retrieve Information Model FIND Study Root Query/Retrieve Information Model MOVE Patient/Study Only Query/Retrieve Information Model FIND Patient/Study Only Query/Retrieve Information Model MOVE Commitment Push Model Modality Worklist Information Model Find Modality Performed Procedure Step SOP Class ( Agility & Data Center) Transfer Transfer Capture View View & Agility SCU SCP SCU SCP SCU SCU Display Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes No No No No No Yes Yes No No No No No Query/Retrieve Yes Yes No No No Yes N/A Yes Yes No No No Yes N/A Yes Yes No No No Yes N/A Yes Yes No No No Yes N/A Yes Yes No No No Yes N/A Yes Yes No No No Yes N/A Workflow Management Yes Yes Yes No No No N/A No No-IDC Yes-Ag No No Yes Yes N/A Yes Yes No No Yes No N/A

9 HE/ Page 9 of 79 Table of Contents 1 Introduction Revision Record Purpose and Intended Audience of this Document General Remarks Integration and Validation Activities Future Evolution Acronyms and Abbreviations Related Documents Networking Implementation Model Application Data Flow Diagram Functional Definitions of AE s Verification-SCU SCU Commitment-SCU Query/Retrieve-SCU Verification-SCP Commitment-SCP SCP Modality Performed Procedure Step-SCP Modality Worklist-SCP Query/Retrieve-SCP and -SCU AE Specifications AE Specification: -SCP, Commitment (SCP and SCU), Query/Retrieve-SCP and -SCU, Retrieve-SCU Default Transfer Syntaxes Supported Extended Transfer Syntaxes Supported SOP Classes Supported Association Establishment Policies General Number of Associations Asynchronous Nature Implementation Identifying Information Called/Calling Titles Association Initiation Policies Real World Activity Verification Communication-SCU Description and Sequencing of Activity Proposed Presentation Contexts SOP Specific Conformance Verification Communication Real World Activity Commitment Request-SCU Description and Sequencing of Activity Proposed Presentation Contexts SOP Specific Conformance Request Commitment Real World Activity -SCU Description and Sequencing of Activity Proposed Presentation Contexts SOP Specific Conformance Store Objects Real World Activity Query/Retrieve-SCU Real World Activity View Query/Retrieve-SCU Description and Sequencing of Activity...31

10 HE/ Page 10 of Proposed Presentation Contexts SOP Specific Conformance Association Acceptance Policies Real World Activity Verification Communication-SCP Description and Sequencing of Activity Accepted Presentation Contexts SOP Specific Conformance - Verification Communication Presentation Context Acceptance Criterion Verification Communication Transfer Syntax Selection Policies - Verification Communication Real World Activity Commitment-SCP Description and Sequencing of Activity Accepted Presentation Contexts SOP Specific Conformance Commitment Result Operations Commitment Presentation Context Acceptance Criterion Transfer Syntax Selection Policies Real World Activity -SCP Description and Sequencing of Activity Accepted Presentation Contexts SOP Specific Conformance Image or other Composite DICOM Object Sent by Remote AE (SCP) Presentation Context Acceptance Criterion Transfer Syntax Selection Policies Real World Activity Modality Performed Procedure Step-SCP Description and Sequencing of Activity Accepted Presentation Contexts SOP Specific Conformance Real World Activity Modality Worklist-SCP Description and Sequencing of Activity Accepted Presentation Contexts SOP Specific Conformance Presentation Context Acceptance Criterion Modality Worklist (SCP) Transfer Syntax Selection Policies Modality Worklist (SCP) Real World Activity Query/Retrieve-SCP Description and Sequencing of Activity Find Object (SCP) Accepted Presentation Contexts Find Object (SCP) SOP Specific Conformance Find Object (SCP) Presentation Context Acceptance Criterion Find Object (SCP) Transfer Syntax Selection Policies Find Object (SCP) Real World Activity Move-SCP Description and Sequencing of Activity Accepted Presentation Contexts Move Object (SCP) SOP Specific Conformance Move Object (SCP) Presentation Context Acceptance Criterion Move Object (SCP) Transfer Syntax Selection Policies Move Object (SCP) Network Interfaces Physical Medium Support Configuration Agility Configuration Agility AE Title/Presentation Address Mapping Agility Local AE Titles Agility Remote AE Title Agility Parameters Data Center Configuration...58

11 HE/ Page 11 of Data Center AE Title/Presentation Address Mapping Data Center Local AE Titles Data Center Remote AE Title Data Center Parameters Capture AE Configuration Capture AE Title/ Presentation Mapping Capture Configuration Parameters Media Interchange Implementation Model Application Data Flow Diagram Functional Definition of AEs Sequencing of Real World Activities File Meta Information for Implementation Class and Version AE Specifications Augmented and Private Application Profiles Media Configuration Support for Extended Character Sets Agility Support for Extended Character Sets Data Center Support for Extended Character Sets Security Security Profiles Association Level Security Application Level Security Support of Web Access to DICOM Persistent Objects (WADO) Annexes IOD Contents Created SOP Instance GSPS IOD Key Image Note IOD Encapsulated Portable Document Format Objects Basic Text Structured Report Common Modules GSPS Modules Flags and Sessions Modules Usage of Attributes from Received IOD s Attribute Mapping Coerced/Modified fields Data Dictionary of Private Attributes Coded Terminology and Templates Grayscale Image Consistency Standard Extended/Specialized/Private SOP Classes Private Transfer Syntaxes...79

12 HE/ Page 12 of 79 1 INTRODUCTION 1.1 Revision Record DICOM Conformance Statement Revision Number Date Reason for Change 1.0 Aug 8,2014 Initial version based on document version Purpose and Intended Audience of this Document This document is a DICOM Conformance Statement for the DICOM Services of the Solution. The user of this document is involved with system integration and/or software design. We assume that the reader is familiar with the terminology and concepts that are used in the DICOM 3.0 standard and the IHE Technical Framework. Readers not familiar with DICOM 3.0 terminology should first read the appropriate parts of the DICOM standard itself, prior to reading this conformance statement. Although the use of this conformance statement, in conjunction with the DICOM 3.0 standard, is intended to facilitate communication between the Solution and other DICOM devices, it is not sufficient to guarantee the interoperation of the connection. Section 1.3 outlines issues that need to be considered to ensure interoperability. 1.3 General Remarks Integration and Validation Activities The integration of any device into a system of interconnected devices goes beyond the scope of the DICOM 3.0 standard and this conformance statement when interoperability is desired. The responsibility for analyzing the applications requirements and developing a solution that integrates the Agfa equipment with other vendors systems is the user s responsibility and should not be underestimated. In some circumstances it might be necessary to perform a validation to make sure that functional interoperability between the Agfa equipment and non-agfa devices works as expected. The user should ensure that any non-agfa provider accepts responsibility for any validation required for their connection with the Agfa equipment Future Evolution As the DICOM 3.0 standard evolves to meet the user s growing requirements and to incorporate new features and technologies, Agfa will follow the evolution of the standard. This evolution of the standard may require changes to devices that have implemented DICOM 3.0. The user should ensure that any non-agfa provider, who connects with Agfa devices, also plans for future evolution of the DICOM standard. A refusal to do so may result in the loss of functionality and/or connectivity between the different products.

13 HE/ Page 13 of Acronyms and Abbreviations Definitions, terms and abbreviations used in this document are defined within the different parts of the DICOM standard. Abbreviations and terms are as follows: ADT HL7 Admission, Discharge, and Transfer message AE DICOM Application Entity AET Application Entity Title ACSE Association Control Service Element CAD Computer Aided Detection CD-R Compact Disk Recordable CSPS Color Softcopy Presentation State DICOM Digital Imaging and Communications in Medicine DM Detached Management FSC File-Set Creator FSU File-Set Updater FSR File-Set Reader GSDF Grayscale Standard Display Function GSPS Grayscale Softcopy Presentation State GUI Graphical User Interface HL7 Health Level 7 IE Information Entity IHE Integrating the Healthcare Enterprise IOD (DICOM) Information Object Definition ISO International Organization of Standardization KIN Key Image Notes MF Multi-frame MPPS Modality Performed Procedure Step MSPS Modality Scheduled Procedure Step MWL Modality Worklist NEMA National Electrical Manufacturers Association ORM HL7 Order Request message ORU HL7 Observation Results - Unsolicited message PACS Picture Archive and Communications System PDU DICOM Protocol Data Unit RIS Radiology Information System SC Secondary Capture SCU DICOM Service Class User (DICOM client) SCP DICOM Service Class Provider (DICOM server) SOP DICOM Service-Object Pair SR Structured Report TCP/IP Transmission Control Protocol / Internet Protocol UID Unique Identifier UTF-8 Unicode Transformation Format - 8 VR Value Representation 1.5 Related Documents ACR-NEMA Digital Imaging and Communications in Medicine (DICOM) V3.0 IHE Radiology Technical Framework Revision 12.0, September, 2013.

14 HE/ Page 14 of 79 2 NETWORKING 2.1 Implementation Model Application Data Flow Diagram The Application Data Flow Diagram in Figure depicts the DICOM data flow to and from the individual application entities that are included in the Solution. The tail of the arrow between a local AE and the remote real world activity indicates the party (AE or remote real world activity) that initiates the association negotiation. Figure 2.1-1: Functional Overview Application Data Flow

15 HE/ Page 15 of Solution provides several different DICOM Application Entities: Agility AE can use different AE aliases per major DICOM feature, by default it is configured as a single AE. It provides the following service classes: Verification-SCU and SCP -SCP Commitment (SCU and SCP) Query/Retrieve-SCP and -SCU Retrieve-SCU Modality Performed Procedure Step (SCU and SCP) Modality Worklist SCP Data Center AE can use different AE aliases per major DICOM feature, by default it is configured as a single AE. It provides the following service classes: Verification (SCU and SCP) (SCU and SCP) Commitment (SCU and SCP) Query/Retrieve-SCP and -SCU View AE provides the following service classes: Verification-SCU Query/Retrieve-SCU Modality Worklist-SCU -SCU and SCP Transfer AE provides the following service classes: Verification-SCP -SCP Verification-SCU -SCU Commitment-SCU Capture AE provides the following service classes: Verification-SCU Modality Performed Procedure Steps-SCU Modality Worklist-SCU -SCU

16 HE/ Page 16 of Functional Definitions of AE s The following sections contain a functional definition for each Application Entity that is part of the Solution. These definitions describe the functions to be performed by the AE, and the DICOM services used to accomplish these functions (both DICOM service classes and lower level DICOM services such as Association Services) Verification-SCU The following AE's implement the DICOM Verification Service Class as an SCU: Data Center AE SCU The following AE's implement the DICOM Service Class as an SCU. Data Center AE will send images to a remote -SCP during a Query/Retrieve request or the forwarding rules that are configured Commitment-SCU The following AE's implement the DICOM Commitment Service Class as an SCU: Data Center AE acts as a Service Class User of Commitment to request explicit responsibility for storing DICOM objects sent to a Remote -SCP Query/Retrieve-SCU The following AE's implement the DICOM Query/Retrieve Service Class as an SCU: View Query/Retrieve-SCU acts as a Service Class User of C-FIND to query for DICOM objects and C-MOVE to retrieve DICOM objects from a remote Query/Retrieve SCP Verification-SCP The following AE's implement the DICOM Verification Service Class as an SCP: Data Center AE and Agility AE Commitment-SCP The following AE's implement the DICOM Commitment Class as an SCP: Agility AE acts as Service Class Provider of Commitment to take explicit responsibility for storing DICOM objects received until it archives to the Data Center and receives confirmation that Data Center has taken over this explicit responsibility. Data Center AE acts as Service Class Provider of Commitment from Agility AE or other DICOM AE's to take explicit responsibility for storing DICOM objects received.

17 HE/ Page 17 of SCP The following AE's implement the DICOM Class as an SCP: Data Center AE and Agility AE store a received image in its entirety in its internal data store. stores each image with the File Meta Information attached to it. extracts information about the images and stores this information within its internal database. View SCP is only active when View initiates a C-MOVE to a remote retrieve SCP. is temporary for the purpose of display, and is not queryable or retrievable after the fact through any DICOM SCP services. Transfer AE stores a received image in its entirety in its internal data store Modality Performed Procedure Step-SCP The following AE's implement the DICOM Modality Performance Procedure Step Class as an SCP: Agility AE acts as a Service Class Provider of MPPS to receive MPPS. The MPPS SCP Application Entity waits for another application to connect at the presentation address configured for its Application Entity Title. When another application connects, the MPPS SCP AE expects it to be a DICOM application. The MPPS SCP AE will accept Associations with Presentation Contexts for SOP Class of Modality Performed Procedure Step SOP Class. Once it receives a Create (N-Create) or an Update (N-Set) request, the MPPS SCP AE will store the MPPS or update an existing MPPS locally Modality Worklist-SCP The following AE's implement the DICOM Modality Worklist Class as an SCP: Agility AE acts as a Service Class Provider of MWL to receive MWL Query. Details: The MWL SCP Application Entity waits for another application to connect at the presentation address configured for its Application Entity Title. When another application connects, the MWL SCP AE expects it to be a DICOM application. The MWL SCP AE will accept Associations with Presentation Contexts for SOP Class of Modality Worklist Query SOP Class. Once it receives a Query (C-Find) request, the MWL SCP AE will search the local database with worklist items that match the query constraints and return the items in the response Query/Retrieve-SCP and -SCU The following AE's implement the DICOM Query/Retrieve Class as an SCP and a DICOM Class as an SCU: Data Center and Agility respond to queries and retrieves based on the records stored in its database. The Query/Retrieve-SCP Application Entity waits for another application to connect at the presentation address configured for its Application Entity Title. When another application connects, the Query/Retrieve-SCP AE expects it to be a DICOM application.

18 HE/ Page 18 of 79 The Query/Retrieve-SCP AE will accept Associations with Presentation Contexts for SOP Classes of the Verification and Query/Retrieve Service Classes. Once it receives a Retrieve (Move) request, the Query/Retrieve-SCP AE will initiate a new association and send the requested instances to the Move Destination AE. The new association is handled by the -SCU. When a remote AE initiates an association with and sends a query (Find) request, will search the database for possible matches with composite SOP instances. The results of the query are returned to the remote AE using the same association.

19 HE/ Page 19 of AE Specifications This section outlines the specifications for each of the Application Entities that are part of the Solution AE Specification: -SCP, Commitment (SCP and SCU), Query/Retrieve-SCP and -SCU, Retrieve-SCU Default Transfer Syntaxes Supported The -SCP provides Standard Conformance to the default transfer syntaxes listed in the following table: Table 2.2-1: Default Transfer Syntaxes Transfer Syntax UID SOP Class Implicit VR Little Endian not Video Extended Transfer Syntaxes Supported The -SCP provides Standard Conformance to the extended transfer syntaxes listed in Table for the purposes of storage and retrieval. Table 2.2-2: Extended Transfer Syntaxes Transfer Syntax UID SOP Class Explicit VR Little Endian not Video JPEG Process 1, baseline, lossy (8 bit) only Image JPEG Process 2,4, extended lossy (12 bit) only Image JPEG Process 14, lossless, Non-Hierarchical only Image JPEG Process 14, selection value 1, lossless, Non- Hierarchical, First-Order Prediction only Image RLE Lossless only Image MPEG2 Main Main Level only Video MPEG-4 AVC/H.264 High Profile / Level only Video* MPEG-4 AVC/H.264 BD compatible High Profile / Level only Video* * Data Center only for SOP Classes Supported The AE's provides Standard Conformance to the SOP Classes listed in Table The shaded items represent SOP classes that have been retired (so no longer appear in Supplement 64) but are still supported by the AE's. If the User of Service (SCU) or the Provider of Service (SCP) column has the value Option, then the functionality is either configurable or can be purchased as an option. The Display column indicates whether or not the Agility AE Client or View Client will display the DICOM objects. 2 LEE (Explicit Little Endian) is used for all group 2 elements including File Meta Information.

20 HE/ Page 20 of 79 Table 2.2-3: SOP Classes for Solution AE's SOP Class Name SOP Class UID Store ( Agility & Data Center) Transfer Transfer Capture View View & Agility SCU SCP SCU SCP SCU SCU Display Verification Verification Yes Yes Yes Yes Yes Yes N/A 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 Transfer Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes CT Image Yes Yes Yes Yes No No Yes Enhanced CT Yes Yes Yes Yes No No Yes Image Ultrasound Multiframe Image Yes Yes Yes Yes Yes No Yes MR Image Yes Yes Yes Yes No No Yes Enhanced MR Yes Yes Yes Yes No No Yes Image MR Spectroscopy Yes Yes Yes Yes No No Yes Enhanced MR Color Optional Optional No No No No Yes Image Ultrasound Image Yes Yes Yes Yes Yes No Yes Enhanced US Optional Optional No No No No No Volume Secondary Capture Yes Yes Yes Yes Yes No Yes Image Multi-frame Single Yes Yes Yes Yes No No Yes Bit Secondary Capture Image Multi-frame Yes Yes Yes Yes Yes No Yes

21 HE/ Page 21 of 79 SOP Class Name SOP Class UID Store ( Agility & Data Center) Transfer Transfer Capture View View & Agility Grayscale Byte Secondary Capture Image Multi-frame Grayscale Word Secondary Capture Image Multi-frame True Color Secondary Capture Image 12-lead ECG Waveform General ECG Waveform Ambulatory ECG Waveform Hemodynamic Waveform Cardiac Electrophysiology Waveform Basic Voice Audio Waveform General Audio Waveform Arterial Pulse Waveform Respiratory Waveform Grayscale Softcopy Presentation State Color Softcopy Presentation State Pseudo-Color Softcopy Presentation State Blending Softcopy Presentation State XA / XRF Grayscale Softcopy Presentation State X-Ray Angiographic Image Enhanced XA Image X-Ray Radiofluoroscopic Image SCU SCP SCU SCP SCU SCU Display Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes Yes No Yes Optional Optional No No No No No Optional Optional No No No No No Optional Optional No No No No No Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Optional Optional No No No No No Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes Yes No Yes

22 HE/ Page 22 of 79 SOP Class Name SOP Class UID Store Enhanced XRF Image ( Agility & Data Center) Transfer Transfer Capture View View & Agility SCU SCP SCU SCP SCU SCU Display Yes Yes Yes Yes No No Yes X-Ray 3D Optional Optional Yes Yes No No No Angiographic Image X-Ray 3D Yes Yes Yes Yes No No No Craniofacial Image Breast Yes Yes Yes Yes No No Yes Tomosynthesis Image Intravascular Optional Optional No No No No Yes Optical Coherence Tomography Image - For Presentation Nuclear Medicine Yes Yes Yes Yes No No Yes Image Raw Data Yes Yes Yes Yes No No No Spatial Registration Spatial Fiducials Deformable Spatial Registration Segmentation Real World Value Mapping VL Endoscopic Image Video Endoscopic Image VL Microscopic Image Video Microscopic Image VL Slide- Coordinates Microscopic Image VL Photographic Image Video Photographic Image Ophthalmic Photography 8 Bit Image Ophthalmic Photography 16 Bit Image Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes

23 HE/ Page 23 of 79 SOP Class Name SOP Class UID Store Stereometric Relationship VL Whole Slide Microscopy Image Basic Text SR Enhanced SR Comprehensive SR Procedure Log Mammography CAD SR Key Object Selection Document Chest CAD SR X-Ray Radiation Dose SR Colon CAD SR Encapsulated PDF Encapsulated CDA Positron Emission Tomography Image ( Agility & Data Center) Transfer Transfer Capture View View & Agility SCU SCP SCU SCP SCU SCU Display Yes Yes Yes Yes No No No Optional Optional No No No No No Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No No Yes Yes Yes Yes No No Yes Optional Optional No No No No No Yes Yes Yes Yes No No Yes Optional Optional No No No No No Yes Yes Yes Yes No No Yes Enhanced PET Image Optional Optional No No No No No RT Image Yes Yes Yes Yes No No Yes 3 RT Dose Yes Yes Yes Yes No No No RT Structure Set Yes Yes Yes Yes No No No RT Beams Yes Yes Yes Yes No No No Treatment Record RT Plan Yes Yes Yes Yes No No No RT Brachy Treatment RT Treatment Summary Record Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No RT Ion Plan Yes Yes Yes Yes No No No 3 View will display if the bit depth is <=16, but not for 32 bit grayscale pixels

24 HE/ Page 24 of 79 SOP Class Name SOP Class UID Store RT Ion Beams Plan Hardcopy Grayscale Image (Retired) Hardcopy Color Image (Retired) Nuclear Medicine Image (Retired) Ultrasound Image (Retired) Ultrasound Multiframe Image (Retired) X-Ray Angiographic Bi-plane Image (Retired) Standalone Overlay (Retired) Standalone Curve (Retired) Standalone Modality LUT (Retired) Standalone VOI LUT (Retired) Standalone PET Curve (Retired) VL Image (Retired) VL Multi-frame Image (Retired) Agfa Attribute Presentation State Siemens CSA Non- Image ( Agility & Data Center) Transfer Transfer Capture View View & Agility SCU SCP SCU SCP SCU SCU Display Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes No No No No No Yes Yes No No No No No

25 HE/ Page 25 of Association Establishment Policies General The -SCP AE can both accept and propose Association Requests. The -SCP AE will accept Association Requests for the Verification and Services. The DICOM standard application context name for DICOM 3.0 is always accepted. Table 2.2-4: DICOM Application Context Application Context Name The following are the limitations on PDU size for the AE's: Table 2.2-5: DICOM Application Context Agility AE Maximum PDU size No Limits Data Center AE Maximum PDU size No Limits Capture AE Minimum PDU size 16,384 bytes Transfer AE Maximum PDU size 131,072 bytes View AE Maximum PDU size No Limits Number of Associations The maximum number of simultaneous associations accepted by the AE's is provided in the table below. Table 2.2-6: Number of Associations as an Association Acceptor for -SCP Agility AE Maximum number of simultaneous associations 10 (Configurable) Data Center AE Maximum number of simultaneous associations 512 (Configurable) Capture AE Maximum number of simultaneous associations 3 Transfer AE Maximum number of simultaneous associations 3 (Configurable) View AE Maximum number of simultaneous associations Asynchronous Nature The Agility AE, Capture AE and Transfer AE allow a single outstanding operation on any association. Therefore, they do not support asynchronous operations window negotiation, other than the default as specified by the DICOM specification. The Data Center AE and View AE support asynchronous communication. Multiple outstanding transactions are supported. It allows more than one invoked and more than one performed operation on an Association. Asynchronous mode of operation is supported.

26 HE/ Page 26 of 79 Table 2.2-7: Asynchronous Nature as an Association Initiator for the AE's Agility AE Maximum number of outstanding asynchronous transactions 1 (No Async) Data Center AE Maximum number of outstanding asynchronous transactions 1 (Configurable) Capture AE Maximum number of outstanding asynchronous transactions 1 (No Async) Transfer AE Maximum number of outstanding asynchronous transactions 1 (No Async) View AE Maximum number of outstanding asynchronous transactions 1 (Configurable) Implementation Identifying Information The AEs will respond with the implementation identifying parameters listed in the following table. Table 2.2-8: DICOM implementation Class and Version for the AE's Agility AE Implementation Class UID Agility AE Implementation Version Name dcm4che-1.1 Data Center AE Implementation Class UID Data Center AE Implementation Version Name dcm4che-1.1 Capture AE Implementation Class UID Capture AE Implementation Version Name ETIAM_DCMBP_353 Transfer AE Implementation Class UID Transfer AE Implementation Version Name dcm4che-1.1 View AE Implementation Class UID View AE Implementation Version Name dcm4che Called/Calling Titles Agility AE Data Center AE Configured at installation or initial configuration time. Multiple hosts within a single Agility installation can use the same AE Title. Agility validates the Called AE Title specified by the requesting SCU during association negotiation. By default, Agility will only accept associations destined for it. Validation of the Calling AE Title is configurable and disabled by default. Configured at installation or initial configuration time. Multiple hosts within a single Data Center installation can use the same AE Title. Data Center validates the Called AE Title of the requesting SCU during association negotiation. Validation of the Calling AE Title is configurable. It is enabled by default. View AE Configured at installation or initial configuration time. Multiple hosts within a single View installation can use the same or different AE Titles. View validates the Called AE Title of the requesting SCU during association negotiation. Validation of the Calling AE Title is not performed.

27 HE/ Page 27 of 79 Transfer AE Capture AE Transfer SCP supports for two called AE titles co-existing on one instance: one for normal workflow and the other for urgent. There is no difference between these two, regarding the support for DICOM SOP class and transfer syntax. Capture AE initiates an association for implementing the following services as SCUs: Verification, Basic Worklist Management, MPPS and Association Initiation Policies Real World Activity Verification Communication-SCU Description and Sequencing of Activity The Verification-SCU will issue Verification requests in response to UI mediated requests from the user to test the validity of a DICOM connection. Figure 2.2-1: C-Echo Sequencing of Activity Proposed Presentation Contexts Abstract Syntax For the real world activity of Verification, the Verification-SCU requests the Presentation Contexts listed in Table Table 2.2-9: Presentation Contexts Proposed by the Verify PACS AE Presentation Context Table Transfer Syntax Name UID Name List UID List Verification Implicit VR Little Endian SCU None Role Extended Negotiation

28 HE/ Page 28 of SOP Specific Conformance Verification Communication The Verification-SCU provides standard conformance to the DICOM Verification Service Class as an SCU Real World Activity Commitment Request-SCU Data Center has the ability to store studies to and external Store-SCP device and as such, it can request a storage commit to the external store-scp Description and Sequencing of Activity Commitment Request-SCU stores images that are sent to it from an SCU. In some configurations, may send images to another SCP, such as a PACS, for permanent storage. The request for storage commitment may then be transmitted from together with a list of references to one or more SOP instances. This action is invoked through the DIMSE N-ACTION primitive. The following message is supported: Request Commitment - to request the safekeeping of a set of SOP instances Each Commitment Request that sends is uniquely identified by the Transaction UID Attribute (0008,1195) value that is generated by. After sending a Commitment Request, expects an N-EVENT-REPORT from the SCP. will then respond with an N-EVENT-REPORT response primitive with a status code. Figure 2.2-2: Send Commitment Sequencing of Activity Proposed Presentation Contexts may request any of the Presentation Contexts listed in Table for Commitment.

29 HE/ Page 29 of 79 Table : Presentation Contexts Proposed by the Commitment Request-SCU Abstract Syntax Presentation Context Table Transfer Syntax Name UID Name List UID List Commitment Push Model Role Implicit VR Little Endian SCU None Extended Negotiation SOP Specific Conformance Request Commitment The Commitment Request-SCU provides conformance to the DICOM Commitment Service Class as an SCU. The Action Type and Action Information specified in Table are supported. Table : Commitment Request Action Information Action Type Name Request Commitment Action Type ID Attribute Name 1 Transaction UID (0008,1195) Referenced SOP Sequence (0008,1199) >Referenced SOP Class UID (0008,1150) >Referenced SOP Instance UID (0008,1155) Referenced Study Component Sequence (0008,1111) >Referenced SOP Class UID (0008,1150) >Referenced SOP Instance UID (0008,1155) Tag Service Status Commitment Request-SCU will generate an N-ACTION primitive if the local configuration setting for the remote AE is enabled for storage commitment. Commitment Request-SCU may request storage commitment for all the SOP Class UIDs listed in Table Commitment Request-SCU supports the Referenced Study Component Sequence Attribute. Commitment Request-SCU will keep the Transaction ID applicable indefinitely. Commitment Request-SCU will respond to an N-EVENT-REPORT with an N- EVENT-REPORT response primitive using one of the status codes listed in Table Commitment Request-SCU can configure the destination AE Title for the Commit. By default, this is the AE Title where the storage request is sent. Table : Commitment Status Codes Further Meaning Protocol Codes Related Fields Description Success Success 0000 Successful notification

30 HE/ Page 30 of Real World Activity -SCU Description and Sequencing of Activity The -SCU will transmit images to a remote -SCP. An association is established when the -SCU initiates a transmit request. -SCU will establish an association automatically in response to a C-MOVE request, archive to PACS notification, or configured forwarding rules. Figure 2.2-3: C-Store Sequencing of Activity Proposed Presentation Contexts -SCU may request any of the Presentation Contexts listed in Table for. -SCU will propose the transfer syntax used when the object was initially accepted by the server and Implicit VR Little Endian. -SCU uses the first transfer syntax in accepted presentation contexts to transfer the object. Table : Presentation Contexts Proposed by the -SCU Abstract Syntax Presentation Context Table Transfer Syntax Name UID Name List UID List Role Little Endian Implicit VR SCU None Little Endian Explicit VR SCU None RLE Lossless, PackBits SCU None JPEG Process 1, baseline, lossy (8 bit) SCU None JPEG Process 2,4, extended lossy (12 bit) SCU None JPEG Process 14, lossless SCU None JPEG Process 14, selection value 1, lossless JPEG 2000 Part 1 lossless (reversible) mode JPEG 2000 Part 1 lossy (irreversible) mode SCU None SCU None SCU None Extended Negotiation