ClearCanvas Workstation DICOM Conformance Statement

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1 ClearCanvas Workstation DICOM Conformance Statement Document Version: 3.7 Product Name(s): Component Name(s): Edition(s): ClearCanvas RIS/PACS ClearCanvas Workstation Personal Version: 13.1 Date: February 12, 2015 Synaptive Medical MaRS Discovery District 101 College Street, Suite 200 Toronto, ON M5G 1L7 Canada

2 1 CONFORMANCE STATEMENT OVERVIEW 1.1 OVERVIEW The application supports querying a remote system for a list of DICOM objects that may then be retrieved to the local system and displayed, in the case of images. It also supports sending locally loaded objects across the network to another system. Only hierarchical study root query and retrieval is supported for both SCP and SCU query operations. For the purposes of display, the application supports: Notes: - Most image storage SOP Classes defined as of DICOM Images of any photometric interpretation. - Images compressed with the following Transfer Syntaxes: - RLE Lossless - JPEG Baseline (Process 1) - JPEG Extended (Process 2 & 4) - JPEG Lossless, Non-Hierarchical (Process 14) - JPEG Lossless, Non-Hierarchical, First-Order Prediction (Process 14 [Selection Value 1]) - JPEG 2000 Image Compression - JPEG 2000 Image Compression (Lossless Only) - Key object selection documents containing image entries. - Grayscale softcopy presentation states and color softcopy presentation states for images in a key object selection document. - Encapsulated PDF documents when a suitable external PDF viewer application is available. - The hanging protocols support in the application is a proprietary implementation, and is not DICOM compatible. - Certain functions of the application are Premium Features and may not be available under all licenses. This document describes the conformance of these features when the application is installed with an appropriate license. All other storage SOP Classes can be retrieved and stored locally, and sent to other DICOM devices, but are otherwise completely ignored by the application. Table provides a detailed summary. SOP Classes Table NETWORK SERVICES Image Transfer User of Service (SCU) Breast Tomosynthesis Image Storage Stored and Viewed Yes Computed Radiography Image Storage Stored and Viewed Yes CT Image Storage Stored and Viewed Yes Digital Intra-oral X-Ray Image Storage For Presentation Digital Intra-oral X-Ray Image Storage For Processing Stored and Viewed Stored and Viewed Provider of Service (SCP) Yes Yes Page 2

3 Digital Mammography X-Ray Image Storage For Presentation Digital Mammography X-Ray Image Storage For Processing Stored and Viewed Stored and Viewed Digital X-Ray Image Storage For Presentation Stored and Viewed Yes Digital X-Ray Image Storage For Processing Stored and Viewed Yes Enhanced CT Image Storage Stored and Viewed Yes Enhanced MR Image Storage Stored and Viewed Yes Enhanced PET Image Storage Stored and Viewed Yes Enhanced US Image Storage Stored and Viewed Yes Enhanced XA Image Storage Stored and Viewed Yes Enhanced XRF Image Storage Stored and Viewed Yes MR Image Storage Stored and Viewed Yes Multi-frame Grayscale Byte Secondary Capture Image Storage Multi-frame Grayscale Word Secondary Capture Image Storage Multi-frame Single Bit Secondary Capture Image Storage Multi-frame True Color Secondary Capture Image Storage Stored and Viewed Stored and Viewed Stored and Viewed Stored and Viewed Nuclear Medicine Image Storage (Retired) Stored and Viewed Yes Nuclear Medicine Image Storage Stored and Viewed Yes Ophthalmic Photography 16 Bit Image Storage Stored and Viewed Yes Ophthalmic Photography 8 Bit Image Storage Stored and Viewed Yes Ophthalmic Tomography Image Storage Stored and Viewed Yes Positron Emission Tomography Image Storage Stored and Viewed Yes RT Image Storage Stored and Viewed Yes Secondary Capture Image Storage Stored and Viewed Yes Ultrasound Image Storage Stored and Viewed Yes Ultrasound Image Storage (Retired) Stored and Viewed Yes Ultrasound Multi-frame Image Storage Stored and Limited Viewing Yes Ultrasound Multi-frame Image Storage (Retired) Stored and Limited Viewing Yes Video Endoscopic Image Storage Stored and Limited Viewing Yes Video Microscopic Image Storage Stored and Limited Viewing Yes Video Photographic Image Storage Stored and Limited Viewing Yes VL Endoscopic Image Storage Stored and Viewed Yes VL Microscopic Image Storage Stored and Viewed Yes VL Photographic Image Storage Stored and Viewed Yes VL Slide-Coordinates Microscopic Image Storage Stored and Viewed Yes Yes Yes Yes Yes Yes Yes Page 3

4 X-Ray 3D Angiographic Image Storage Stored and Viewed Yes X-Ray 3D Craniofacial Image Storage Stored and Viewed Yes X-Ray Angiographic Bi-Plane Image Storage (Retired) Stored and Viewed X-Ray Angiographic Image Storage Stored and Viewed Yes X-Ray Radiofluoroscopic Image Storage Stored and Viewed Yes Waveforms, Notes, Reports, Measurements Transfer 12-lead ECG Waveform Storage Stored only Yes Ambulatory ECG Waveform Storage Stored only Yes Basic Text SR Storage Stored only Yes Basic Voice Audio Waveform Storage Stored only Yes Blending Softcopy Presentation State Storage Stored only Yes Cardiac Electrophysiology Waveform Storage Stored only Yes Chest CAD SR Storage Stored only Yes Colon CAD SR Storage Stored only Yes Color Softcopy Presentation State Storage Yes Key Object Selections only Yes Comprehensive SR Storage Stored only Yes Deformable Spatial Registration Storage Stored only Yes Encapsulated CDA Storage Stored only Yes Encapsulated PDF Storage Yes Requires external viewer Yes Enhanced SR Storage Stored only Yes General ECG Waveform Storage Stored only Yes Grayscale Softcopy Presentation State Storage Yes Key Object Selections only Yes Hemodynamic Waveform Storage Stored only Yes Key Object Selection Document Storage Yes Images only Yes Macular Grid Thickness and Volume Report Storage Stored only Yes Mammography CAD SR Storage Stored only Yes MR Spectroscopy Storage Stored only Yes Procedure Log Storage Stored only Yes Pseudo-Color Softcopy Presentation State Storage Stored only Yes Raw Data Storage Stored only Yes Real World Value Mapping Storage Stored only Yes RT Beams Treatment Record Storage Stored only Yes RT Brachy Treatment Record Storage Stored only Yes RT Dose Storage Stored only Yes RT Ion Beams Treatment Record Storage Stored only Yes RT Ion Plan Storage Stored only Yes RT Plan Storage Stored only Yes RT Structure Set Storage Stored only Yes Yes Page 4

5 RT Treatment Summary Record Storage Stored only Yes Segmentation Storage Stored only Yes Spatial Fiducials Storage Stored only Yes Spatial Registration Storage Stored only Yes Spectacle Prescription Reports Storage Stored only Yes Standalone Curve Storage (Retired) Stored only Yes Standalone Modality LUT Storage (Retired) Stored only Yes Standalone Overlay Storage (Retired) Stored only Yes Standalone PET Curve Storage (Retired) Stored only Yes Standalone VOI LUT Storage (Retired) Stored only Yes Stereometric Relationship Storage Stored only Yes Stored Print Storage (Retired) Stored only Yes X-Ray Radiation Dose SR Storage Stored only Yes Query/Retrieve Study Root Information Model FIND Yes Hierarchical only Yes Study Root Information Model MOVE Yes Hierarchical only Yes Media Storage Application Profile Compact Disk - Recordable Table MEDIA SERVICES Write Files (FSC or FSU) Read Files (FSR) General Purpose CD-R Yes Yes Not DICOMDIR DVD General Purpose DVD-RAM Yes Yes Not DICOMDIR General Purpose DVD Yes Yes Not DICOMDIR BD General Purpose BD Yes Yes Not DICOMDIR Note: Support for General Purpose BD is based on the final text of DICOM Supplement 153. Page 5

6 2 TABLE OF CONTENTS 1... CONFORMANCE STATEMENT OVERVIEW OVERVIEW TABLE OF CONTENTS INTRODUCTION REVISION HISTORY AUDIENCE REMARKS NETWORKING IMPLEMENTATION MODEL Application Data Flow Functional Definitions of AEs Sequencing of Real-World Activities AE SPECIFICATIONS ECHO-SCP ECHO-SCU STORAGE-SCP STORAGE-SCU FIND-SCP FIND-SCU MOVE-SCP MOVE-SCU PRINT-SCU NETWORK INTERFACES Physical Network Interface Additional Protocols IPv4 and IPv6 Support NETWORK CONFIGURATION AE Title/Presentation Address Mapping Parameters MEDIA INTERCHANGE IMPLEMENTATION MODEL Application Data Flow Functional Definitions of AE s Sequencing of Real-World Activities File Meta Information Options AE SPECIFICATIONS MEDIA-FSR MEDIA-FSU MEDIA-FSC AUGMENTED AND PRIVATE PROFILES Augmented Profiles Private Profiles MEDIA CONFIGURATION SUPPORT OF CHARACTER SETS OVERVIEW CHARACTER SETS CHARACTER SET CONFIGURATION Page 6

7 7... SECURITY SECURITY PROFILES Basic Application Level Confidentiality Profile Audit Trail Message Format Profile ASSOCIATION LEVEL SECURITY APPLICATION LEVEL SECURITY ANNEXES IOD CONTENTS Created SOP Instances Usage of Attributes from Received IODs 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 Page 7

8 3 INTRODUCTION 3.1 REVISION HISTORY Document Version Date of Issue Author Description 1.0 July 25, 2008 Henry Hernaez Version for Final Review 1.1 December 11, 2008 Stewart Bright Version for Final Review 1.2 July 22, 2009 Jasper Yeh, Stewart Bright Version for Final Review 1.3 September 18, 2009 Jasper Yeh Version for Final Review 1.4 December 17, 2009 Jasper Yeh, Stewart Bright Version for Final Review 1.5 February 22, 2010 Stewart Bright Version for Final Review 1.6 September 16, 2010 Jasper Yeh, Stewart Bright Version for Final Review 1.7 September 21, 2010 Jasper Yeh, Stewart Bright Version for Final Review 1.8 February 16, 2011 Jasper Yeh, Stewart Bright Version for Final Review 1.9 March 31, 2011 Jasper Yeh, Stewart Bright Version for Final Review 2.0 June 14, 2011 Jasper Yeh Version for Final Review 2.1 July 27, 2011 Jasper Yeh Version for Final Review 2.2 August 30, 2011 Jasper Yeh Version for Final Review 2.3 August 30, 2011 Jasper Yeh Version for Final Review 2.4 September 16, 2011 Jasper Yeh Version for Final Review 2.5 November 17, 2011 Jasper Yeh Version for Final Review 2.6 February 6, 2012 Jasper Yeh Version for Final Review 2.7 March, 27, 2012 Jasper Yeh Version for Final Review 2.8 May 24, 2012 Thanh Huynh, Jasper Yeh Version for Final Review 2.9 July 18, 2012 Stewart Bright Version for Final Review 3.0 September 27, 2012 Jasper Yeh Version for Final Review 3.1 January 23, 2013 Jasper Yeh Version for Final Review 3.2 January 23, 2013 Jasper Yeh Version for Final Review 3.3 February 27, 2013 Jasper Yeh Version for Final Review 3.4 July 29, 2013 Jasper Yeh Version for Final Review 3.5 December 1, 2013 Jasper Yeh Version for Final Review 3.6 August 1, 2014 Jasper Yeh Version for Final Review 3.7 February 12, 2015 Jasper Yeh Version for Final Review 3.2 AUDIENCE This document is written for the people who need to understand how ClearCanvas Workstation will integrate into their healthcare facility. This includes both those responsible for overall imaging network policy and architecture, as well as integrators and developers who need to have a detailed understanding of the DICOM features of the product. This document contains some basic DICOM definitions so that any reader may understand how this product implements DICOM features. However, integrators and Page 8

9 developers are expected to fully understand all the DICOM terminology, how the tables in this document relate to the product s functionality, and how that functionality integrates with other devices that support compatible DICOM features. 3.3 REMARKS This application has been approved for sale as a medical device in the United States. The hanging protocols support in the application is a proprietary implementation, and is not DICOM compatible. Certain functions of the application are Premium Features and may not be available under all licenses. This document describes the conformance of these features when the application is installed with an appropriate license. Page 9

10 4 NETWORKING 4.1 IMPLEMENTATION MODEL Application Data Flow Local User Creates Ancillary Content Local User Requests Send STORAGE-SCU Application Entity Requested Images Received by Remote AE Local User Requests Verification ECHO-SCU Application Entity Remote AE Receives Verify Command Local User Requests Query Local User Views Images of Patient with Prior Studies FIND-SCU Application Entity Remote AE Receives Query or Retrieve Command Local User Requests Retrieval MOVE-SCU Application Entity Remote AE Receives Query or Retrieve Command STORAGE-SCP Application Entity Unsolicited or Requested Instances Sent by Remote AE FIND-SCP Application Entity Remote AE Requests Query or Retrieval Unsolicited or Requested Instances Sent to Remote AE via STORAGE-SCU MOVE-SCP Application Entity Remote AE Requested Image Retrieval ECHO-SCP Application Entity Verification Requested by Remote AE Local User Selects Images for Printing PRINT-SCU Application Entity Remote AE Receives Print Job DICOM Standard Interface Figure IMPLEMENTATION MODEL Page 10

11 The application is a.net application that provides a user interface, internal database and network listener that spawns additional threads as necessary to handle incoming connections, as well as limited media support. 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 a verification request - STORAGE-SCP, which receives incoming composite instances - STORAGE-SCU, which sends outbound composite instances - FIND-SCP, which receives incoming queries for lists of studies - FIND-SCU, which queries remote AEs for lists of studies - MOVE-SCP, which responds to requests for studies - MOVE-SCU, which retrieves selected studies - PRINT-SCU, which sends print jobs Functional Definitions of AEs ECHO-SCP ECHO-SCP waits in the background for connections, will accept associations with Presentation Contexts for the 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 selects a remote AE to verify (from a preconfigured list), then initiates a verification 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 internal database where they may subsequently be listed and viewed through the user interface STORAGE-SCU STORAGE-SCU is typically activated through the user interface when a user selects studies from the local store and requests that they be sent to a remote AE (selected from a pre-configured list). STORAGE-SCU can also be activated internally when a user creates ancillary content such as key object selections, secondary capture images, softcopy presentation states, and encapsulated PDF documents FIND-SCP FIND-SCP waits in the background for connections, will accept associations with Presentation Contexts for the SOP Class of the Study Root Query/Retrieve Information Model FIND Service Class, and will respond successfully to query requests FIND-SCU FIND-SCU is typically activated through the user interface when a user selects a remote AE to query (from a pre-configured list), then initiates a query for studies. For a single study at a time, the user can also elect to view details of the series in it, which also utilizes FIND-SCU. FIND-SCU can also be activated internally when a user opens one or more studies for viewing and there is at least one remote AE marked as a Default Server in the configuration. A query is initiated to list prior studies related to the current patient(s) being viewed. Page 11

12 MOVE-SCP MOVE-SCP waits in the background for connections, will accept associations with Presentation Contexts for the SOP Class of the Study Root Query/Retrieve Information Model MOVE Service Class, and will respond successfully to move requests by initiating storage of instances to the remote AE MOVE-SCU MOVE-SCU is activated through the user interface when a user selects a study for retrieval. A connection to the remote AE is established to initiate the retrieval and the STORAGE-SCP AE receives the retrieved instances PRINT-SCU PRINT-SCU is activated through the user interface when a user selects one or more previously-identified images for printing. A connection to the remote AE is established to transfer the selected images for printing Sequencing of Real-World Activities All SCP activities are performed asynchronously in the background and are not dependent on any sequencing. All SCU activities are initiated through the user interface with the following exceptions: - STORAGE-SCU is also initiated internally by both MOVE-SCP and a Send Key Object Selections operation. - FIND-SCU is also initiated internally by a Query for Prior Studies operation. ECHO-SCU and FIND-SCU activities are typically synchronous and blocking except when FIND-SCU is invoked as a Query for Prior Studies operation, in which case it is asynchronous and non-blocking. STORAGE-SCU and MOVE-SCU activities are asynchronous and non-blocking. 4.2 AE SPECIFICATIONS ECHO-SCP SOP Classes ECHO-SCP provides Standard Conformance to the following SOP classes: Table SOP CLASSES SUPPORTED BY ECHO SCP SOP Class Name SOP Class UID Verification SOP Class Association Policies General ECHO-SCP accepts but never initiates associations. Table MAXIMUM PDU SIZE RECEIVED FOR ECHO-SCP Maximum PDU size received 114kB (approximate) Page 12

13 Number of Associations Table NUMBER OF ASSOCIATIONS 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 Implementation Identifying Information Table DICOM IMPLEMENTATION CLASS AND VERSION FOR ECHO SCP Implementation Class UID Implementation Version Name Dicom Association Initiation Policy ECHO-SCP does not initiate associations Association Acceptance Policy When ECHO-SCP accepts an association, it will respond to echo requests. The association will be rejected if: - The Called AE Title does not match the AE Title shared by all the SCPs of the application Activity Receive Echo Request Description and Sequencing of Activities As requests are received, they are responded to immediately Accepted Presentation Contexts Table ACCEPTABLE PRESENTATION CONTEXTS FOR ECHO-SCP AND RECEIVE ECHO REQUEST Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID Verification Extended Negotiation No extended negotiation is performed SOP Specific Conformance Implicit VR Little SOP Specific Conformance to Verification SOP Class ECHO-SCP provides standard conformance to the Verification Service Class. SCP None SCP None Page 13

14 Presentation Context Acceptance Criterion ECHO-SCP will only accept a Presentation Context compatible with the one listed in Table Transfer Syntax Selection Policies ECHO-SCP will select the first Transfer Syntax proposed by the client that is supported by the SCP, per Presentation Context. ECHO-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 method for selecting a Transfer Syntax for each ECHO-SCU SOP Classes ECHO-SCU provides Standard Conformance to the following SOP classes: Table SOP CLASSES SUPPORTED BY ECHO-SCU SOP Class Name SOP Class UID Verification SOP Class Association Policies General ECHO-SCU initiates but never accepts associations. Table MAXIMUM PDU SIZE RECEIVED FOR ECHO-SCU Maximum PDU size received 114kB (approx.) Number of Associations Table NUMBER OF ASSOCIATIONS 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 Implementation Identifying Information Table DICOM IMPLEMENTATION CLASS AND VERSION FOR ECHO-SCU Implementation Class UID Implementation Version Name Dicom Association Initiation Policy ECHO-SCU attempts to initiate a new association when the user performs the verify action from the user interface to either a single remote AE or a group of remote AEs. Page 14

15 Activity Send Echo Request Description and Sequencing of Activities A single attempt will be made to verify the remote AE. If the verification fails, for whatever reason, no retry will be performed Proposed Presentation Contexts Table PROPOSED PRESENTATION CONTEXTS FOR ECHO-SCU AND SEND ECHO REQUEST Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID Verification Extended Negotiation No extended negotiation is performed SOP Specific Conformance Implicit VR Little SOP Specific Conformance to Verification SOP Class ECHO-SCU provides standard conformance to the Verification Service Class Presentation Context Acceptance Criterion ECHO-SCU does not accept associations Transfer Syntax Selection Policies SCU None SCU None ECHO-SCU prefers Transfer Syntax, which is always first in the proposed Presentation Context Association Acceptance Policy ECHO-SCU does not accept associations STORAGE-SCP SOP Classes STORAGE-SCP provides Standard Conformance to the following SOP classes: Table SOP CLASSES SUPPORTED BY STORAGE-SCP SOP Class Name SOP Class UID 12-lead ECG Waveform Storage Ambulatory ECG Waveform Storage Basic Text SR Storage Basic Voice Audio Waveform Storage Blending Softcopy Presentation State Storage Page 15

16 Breast Tomosynthesis Image Storage Cardiac Electrophysiology Waveform Storage Chest CAD SR Storage Colon CAD SR Storage Color Softcopy Presentation State Storage Comprehensive SR Storage Computed Radiography Image Storage CT Image Storage Deformable Spatial Registration Storage Digital Intra-oral X-Ray Image Storage For Presentation Digital Intra-oral X-Ray Image Storage For Processing Digital Mammography X-Ray Image Storage For Presentation Digital Mammography X-Ray Image Storage For Processing Digital X-Ray Image Storage For Presentation Digital X-Ray Image Storage For Processing Encapsulated CDA Storage Encapsulated PDF Storage Enhanced CT Image Storage Enhanced MR Image Storage Enhanced PET Image Storage Enhanced SR Storage Enhanced US Image Storage Enhanced XA Image Storage Enhanced XRF Image Storage General ECG Waveform Storage Grayscale Softcopy Presentation State Storage Hemodynamic Waveform Storage Key Object Selection Document Storage Macular Grid Thickness and Volume Report Storage Mammography CAD SR Storage MR Image Storage MR Spectroscopy Storage Multi-frame Grayscale Byte Secondary Capture Image Storage Multi-frame Grayscale Word Secondary Capture Image Storage Multi-frame Single Bit Secondary Capture Image Storage Multi-frame True Color Secondary Capture Image Storage Nuclear Medicine Image Storage (Retired) Nuclear Medicine Image Storage Ophthalmic Photography 16 Bit Image Storage Page 16

17 Ophthalmic Photography 8 Bit Image Storage Ophthalmic Tomography Image Storage Positron Emission Tomography Image Storage Procedure Log Storage Pseudo-Color Softcopy Presentation State Storage Raw Data Storage Real World Value Mapping Storage RT Beams Treatment Record Storage RT Brachy Treatment Record Storage RT Dose Storage RT Image Storage RT Ion Beams Treatment Record Storage RT Ion Plan Storage RT Plan Storage RT Structure Set Storage RT Treatment Summary Record Storage Secondary Capture Image Storage Segmentation Storage Spatial Fiducials Storage Spatial Registration Storage Spectacle Prescription Reports Storage Standalone Curve Storage (Retired) Standalone Modality LUT Storage (Retired) Standalone Overlay Storage (Retired) Standalone PET Curve Storage (Retired) Standalone VOI LUT Storage (Retired) Stereometric Relationship Storage Stored Print Storage (Retired) Ultrasound Image Storage Ultrasound Image Storage (Retired) Ultrasound Multi-frame Image Storage Ultrasound Multi-frame Image Storage (Retired) Video Endoscopic Image Storage Video Microscopic Image Storage Video Photographic Image Storage VL Endoscopic Image Storage VL Microscopic Image Storage VL Photographic Image Storage VL Slide-Coordinates Microscopic Image Storage Page 17

18 X-Ray 3D Angiographic Image Storage X-Ray 3D Craniofacial Image Storage X-Ray Angiographic Bi-Plane Image Storage (Retired) X-Ray Angiographic Image Storage X-Ray Radiation Dose SR Storage X-Ray Radiofluoroscopic Image Storage Association Policies General STORAGE-SCP accepts but never initiates associations. Table MAXIMUM PDU SIZE RECEIVED FOR STORAGE-SCP Maximum PDU size received 114kB (approx.) Number of Associations Table NUMBER OF ASSOCIATIONS 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 Implementation Identifying Information Table DICOM IMPLEMENTATION CLASS AND VERSION FOR STORAGE-SCP Implementation Class UID Implementation Version Name Dicom Association Initiation Policy STORAGE-SCP does not initiate associations Association Acceptance Policy When STORAGE-SCP accepts an association, it will respond to storage requests. The association will be rejected if: - The Called AE Title does not match the AE Title shared by all the SCPs of the application 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 internal 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. Page 18

19 Accepted Presentation Contexts Table ACCEPTABLE PRESENTATION CONTEXTS FOR STORAGE-SCP AND RECEIVE STORAGE REQUEST Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID See Table See Table Extended Negotiation Implicit VR Little SCP None SCP None RLE Lossless SCP None JPEG Baseline (Process 1): JPEG Extended (Process 2 & 4) JPEG Lossless, Non-Hierarchical (Process 14) JPEG Lossless, Non-Hierarchical, First-Order Prediction (Process 14 [Selection Value 1]) JPEG 2000 Image Compression (Lossless Only) JPEG 2000 Image Compression 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 SOP Specific Conformance to Storage SOP Classes STORAGE-SCP provides standard conformance to the Storage Service Class Presentation Context Acceptance Criterion SCP None SCP None SCP None SCP None SCP None SCP None 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. Page 19

20 Transfer Syntax Selection Policies STORAGE-SCP will always select the first Transfer Syntax proposed by the client that is supported by the SCP, per Presentation Context. 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 method 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. Table RESPONSE STATUS FOR STORAGE-SCP AND RECEIVE STORAGE REQUEST Service Status Further Meaning Status Codes Reason Failure Processing Failure 0110 Sent when an error occurs trying to save the stored SOP instance to disk Success 0000 Sent as each SOP is stored STORAGE-SCU SOP Classes STORAGE-SCU provides Standard Conformance to the following SOP classes: Table SOP CLASSES SUPPORTED BY STORAGE-SCU SOP Class Name SOP Class UID 12-lead ECG Waveform Storage Ambulatory ECG Waveform Storage Basic Text SR Storage Basic Voice Audio Waveform Storage Blending Softcopy Presentation State Storage Breast Tomosynthesis Image Storage Cardiac Electrophysiology Waveform Storage Chest CAD SR Storage Colon CAD SR Storage Color Softcopy Presentation State Storage Comprehensive SR Storage Computed Radiography Image Storage CT Image Storage Deformable Spatial Registration Storage Digital Intra-oral X-Ray Image Storage For Presentation Digital Intra-oral X-Ray Image Storage For Processing Page 20

21 Digital Mammography X-Ray Image Storage For Presentation Digital Mammography X-Ray Image Storage For Processing Digital X-Ray Image Storage For Presentation Digital X-Ray Image Storage For Processing Encapsulated CDA Storage Encapsulated PDF Storage Enhanced CT Image Storage Enhanced MR Image Storage Enhanced PET Image Storage Enhanced SR Storage Enhanced US Image Storage Enhanced XA Image Storage Enhanced XRF Image Storage General ECG Waveform Storage Grayscale Softcopy Presentation State Storage Hemodynamic Waveform Storage Key Object Selection Document Storage Macular Grid Thickness and Volume Report Storage Mammography CAD SR Storage MR Image Storage MR Spectroscopy Storage Multi-frame Grayscale Byte Secondary Capture Image Storage Multi-frame Grayscale Word Secondary Capture Image Storage Multi-frame Single Bit Secondary Capture Image Storage Multi-frame True Color Secondary Capture Image Storage Nuclear Medicine Image Storage (Retired) Nuclear Medicine Image Storage Ophthalmic Photography 16 Bit Image Storage Ophthalmic Photography 8 Bit Image Storage Ophthalmic Tomography Image Storage Positron Emission Tomography Image Storage Procedure Log Storage Pseudo-Color Softcopy Presentation State Storage Raw Data Storage Real World Value Mapping Storage RT Beams Treatment Record Storage RT Brachy Treatment Record Storage RT Dose Storage RT Image Storage Page 21

22 RT Ion Beams Treatment Record Storage RT Ion Plan Storage RT Plan Storage RT Structure Set Storage RT Treatment Summary Record Storage Secondary Capture Image Storage Segmentation Storage Spatial Fiducials Storage Spatial Registration Storage Spectacle Prescription Reports Storage Standalone Curve Storage (Retired) Standalone Modality LUT Storage (Retired) Standalone Overlay Storage (Retired) Standalone PET Curve Storage (Retired) Standalone VOI LUT Storage (Retired) Stereometric Relationship Storage Stored Print Storage (Retired) Ultrasound Image Storage Ultrasound Image Storage (Retired) Ultrasound Multi-frame Image Storage Ultrasound Multi-frame Image Storage (Retired) Video Endoscopic Image Storage Video Microscopic Image Storage Video Photographic Image Storage VL Endoscopic Image Storage VL Microscopic Image Storage VL Photographic Image Storage VL Slide-Coordinates Microscopic Image Storage X-Ray 3D Angiographic Image Storage X-Ray 3D Craniofacial Image Storage X-Ray Angiographic Bi-Plane Image Storage (Retired) X-Ray Angiographic Image Storage X-Ray Radiation Dose SR Storage X-Ray Radiofluoroscopic Image Storage Association Policies General STORAGE-SCU initiates but never accepts associations. Page 22

23 Table MAXIMUM PDU SIZE RECEIVED FOR STORAGE-SCU Maximum PDU size received 114kB (approx.) Number of Associations Table NUMBER OF ASSOCIATIONS 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 Implementation Identifying Information Table DICOM IMPLEMENTATION CLASS AND VERSION FOR STORAGE-SCU Implementation Class UID Implementation Version Name Dicom Association Initiation Policy When initiated by the user, STORAGE-SCU attempts to initiate a new association for the study, or group of studies, selected (e.g. one association per user-initiated send operation). When initiated by MOVE- SCP, one association is initiated per move request. When initiated internally in response to the user creating ancillary content, one association is initiated for all the instances per remote AE. In the case of key object selections, the association is initiated by the act of closing the viewer window where key object selection documents and softcopy presentation states have been created 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 an attempt will be made to send the next instance Proposed Presentation Contexts Table PROPOSED PRESENTATION CONTEXTS FOR STORAGE-SCU AND SEND 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 SCU None RLE Lossless SCU None JPEG Baseline (Process 1): SCU None Page 23

24 JPEG Extended (Process 2 & 4) JPEG Lossless, Non-Hierarchical (Process 14) JPEG Lossless, Non-Hierarchical, First-Order Prediction (Process 14 [Selection Value 1]) JPEG 2000 Image Compression (Lossless Only) JPEG 2000 Image Compression SCU None SCU None SCU None SCU None SCU None STORAGE-SCU examines all the Abstract Syntax/Transfer Syntax pairs in the instances to be stored, and applies the following algorithm when determining the Presentation Contexts to propose: - For each Abstract Syntax/Transfer Syntax pair where the Transfer Syntax is uncompressed, a Presentation Context will be defined for the Abstract Syntax with both Explicit and Implicit Little Transfer Syntaxes only. - For those Abstract Syntax/Transfer Syntax pairs where the Transfer Syntax is encapsulated (e.g. compressed), a Presentation Context is defined for the Abstract Syntax with only the encapsulated Transfer Syntax. - For those Abstract Syntax/Transfer Syntax pairs where the Transfer Syntax is encapsulated and STORAGE-SCU is able to convert to an uncompressed Transfer Syntax (e.g. Explicit or Implicit Little ), an additional Presentation Context is defined for each such Abstract Syntax, with only Explicit and Implicit Little Transfer Syntaxes. The implications of this algorithm are: - STORAGE-SCU will never compress an instance in order to store it. - Compressed instances will be stored as-is whenever possible, or failing that, in either Explicit or Implicit Little format. When STORAGE-SCU is incapable of decompressing an instance, it simply will not be stored and STORAGE-SCU will continue sending the remaining instances Extended Negotiation No extended negotiation is performed SOP Specific Conformance SOP Specific Conformance to Storage SOP Classes STORAGE-SCU provides standard conformance to the Storage Service Class Presentation Context Acceptance Criterion STORAGE-SCU does not accept associations Transfer Syntax Selection Policies For encapsulated Transfer Syntaxes, STORAGE-SCU prefers to send each instance using its current Transfer Syntax, and will find the first Presentation Context where the Transfer Syntax was accepted. In the case where the Transfer Syntax was not accepted by the remote STORAGE-SCP, STORAGE-SCU Page 24

25 will check for the acceptance of and Implicit VR Little, in that order. If STORAGE-SCU cannot change the Transfer Syntax, the sub-operation will fail and it will not store the instance. In the case of uncompressed Transfer Syntaxes, STORAGE-SCU has no real preference. It will store the instances in either or Implicit VR Little, depending on what was accepted by the SCP Response Status STORAGE-SCU will behave as described in the Table below in response to the status returned in the C- STORE response command message. Table RESPONSE STATUS FOR STORAGE-SCU AND SEND STORAGE REQUEST Service Status Further Meaning Status Codes Behavior Failure N/A Any Message shown in Send Queue UI, continues storing remaining instances Warning N/A Any Message shown in Send Queue UI, continues storing remaining instances Activity Send User-Created Ancillary Content Description and Sequencing of Activities For each content creation session, a single attempt will be made to transmit the user-created ancillary content (e.g. key object selections, softcopy presentation states, and encapsulated PDF documents) to remote AE(s) according to the following rules: If configured to do so, the created instances will be sent to the user s Default Servers, if any have been defined. This will be done only when the source images exist on the respective Default Server. If configured to do so, the created instances will be sent to the AE from which the source images were received, based on the value in each source image s meta header for Source Application Entity Title (0002,0016). The AE must be in the application s pre-configured list in order for this to succeed. If the source images were loaded directly (streamed) from a ClearCanvas ImageServer, the created instances will be sent to it. This is not configurable. Additionally, if the source images were loaded from the local store, the created instances will be imported into it. This is not configurable. For each remote AE, a single association will be established to send all the created instances. If an instance cannot be sent, for whatever reason, no retry will be performed, and an attempt will be made to send the next instance. An error message will be shown in the workstation s UI Proposed Presentation Contexts Table PROPOSED PRESENTATION CONTEXTS FOR STORAGE-SCU AND SEND USER-CREATED ANCILLARY CONTENT Page 25

26 Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID See Table See Table Implicit VR Little SCU None SCU None All user-created ancillary content types are never compressed for storage. In all instances, a single Presentation Context will be defined for the Abstract Syntax with both Explicit and Implicit Little Transfer Syntaxes only Extended Negotiation No extended negotiation is performed SOP Specific Conformance SOP Specific Conformance to Storage SOP Classes STORAGE-SCU provides standard conformance to the Storage Service Class Presentation Context Acceptance Criterion STORAGE-SCU does not accept associations Transfer Syntax Selection Policies STORAGE-SCU always stores key object selection documents and softcopy presentation states in either or Implicit VR Little, depending on what was accepted by the SCP Response Status See Table Association Acceptance Policy STORAGE-SCU does not accept associations FIND-SCP SOP Classes FIND-SCP provides Standard Conformance to the following SOP classes: Table SOP CLASSES SUPPORTED BY FIND-SCP SOP Class Name SOP Class UID Study Root Query/Retrieve Information Model FIND Association Policies General FIND-SCP accepts but never initiates associations. Page 26

27 Table MAXIMUM PDU SIZE RECEIVED FOR FIND-SCP Maximum PDU size received 114kB (approx.) Number of Associations Table NUMBER OF ASSOCIATIONS 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 Implementation Identifying Information Table DICOM IMPLEMENTATION CLASS AND VERSION FOR FIND-SCP Implementation Class UID Implementation Version Name Dicom Association Initiation Policy FIND-SCP does not initiate associations Association Acceptance Policy When FIND-SCP accepts an association, it will respond to query requests. The association will be rejected if: - The Called AE Title does not match the AE Title shared by all the SCPs of the application Activity Receive Query Request Description and Sequencing of Activities When a query is received, the internal database is queried for the result set Accepted Presentation Contexts Table ACCEPTABLE PRESENTATION CONTEXTS FOR FIND-SCP AND RECEIVE QUERY REQUEST Presentation Context Table Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID See Table See Table Extended Negotiation No extended negotiation is performed. Implicit VR Little SCP None SCP None Page 27

28 In particular, relational queries are not supported SOP Specific Conformance SOP Specific Conformance to C-FIND SOP Classes FIND-SCP provides standard conformance to the supported C-FIND SOP Classes with one exception: all matching is case-insensitive, which is not in strict compliance with DICOM 2009 PS 3.4. This was a conscious decision, as case-sensitive matching is not intuitive and most users would be completely unaware of the fact that it even matters, causing many expected query matches to not be returned. Only a single information model, Study Root, is supported. Only those attributes that are requested are returned in a C-FIND response. Some optional requested attributes will be returned as per Table Table STUDY ROOT RESPONSE IDENTIFIER FOR FIND-SCP Name STUDY Level Tag Types of Matching Study Instance UID (0020,000D) UNIQUE Patient s ID (0010,0020) S,*,U Patient s Name (0010,0010) S,*,U Patient's Birth Date (0010,0030) U Patient's Sex (0010,0040) S,*,U Patient Species Description (0010,2201) S,*,U Patient Species Code Sequence (0010,2202) SQ > Code Value (0008,0100) S,*,U > Coding Scheme Designator (0008,0102) S,*,U > Code Meaning (0008,0104) S,*,U Patient Breed Description (0010,2292) S,*,U Patient Breed Code Sequence (0010,2293) SQ > Code Value (0008,0100) S,*,U > Coding Scheme Designator (0008,0102) S,*,U > Code Meaning (0008,0104) S,*,U Responsible Person (0010,2297) S,*,U Responsible Person Role (0010,2298) S,*,U Responsible Organization (0010,2299) S,*,U Study ID (0020,0010) S,*,U Study Description (0008,1030) S,*,U Modalities In Study (0008,0061) S,*,U Study Date (0008,0020) S,U,R Study Time (0008,0030) U Accession Number (0008,0050) S,*,U Page 28

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