Villa Sistemi Medicali DRF 4343

Transcription

1 Digitec S.r.l. Via Caduti Lecchesi a Fossoli, LECCO Italy digitec@digiteclecco.com Villa Sistemi Medicali DRF 4343 Network and Media Interchange DICOM Conformance Statement August 13, 2009 Draft Ver. 1.1 Copyright by Digitec S.r.l., Lecco Italy. Digitec S.r.l. reserves the right to change any part of this document without prior notice. All rights on this publication are reserved. No part of this publication may be reproduced without prior explicit written permission from Digitec S.r.l.

2 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V1.1 2 Table of Contents DOCUMENT HISTORY NETWORK: INTRODUCTION IMPLEMENTATION MODEL Application data flow diagram Functional definitions of AE's Sequencing of real-world activities AE SPECIFICATION HNDI specification Association establishment policy General Number of associations Asynchronous nature Implementation identifying information Association initiation by real-world activity Communication verification Associated real-world activity Proposed presentation contexts SOP specific conformance statement for Verification SOP Class Transfer of a still image Computer Radiography Image Storage Associated real-world activity Proposed presentation contexts SOP specific conformance statement for CR Image Storage SOP Class Transfer of a still image Digital X-Ray Image Storage For Presentation Associated real-world activity Proposed presentation contexts SOP specific conformance statement for DX Image Storage SOP Class Transfer of a still image X-Ray Angiographic Image Storage Associated real-world activity Proposed presentation contexts SOP specific conformance statement for XA Image Storage SOP Class Transfer of a still image X-Ray Radiofluoroscopic Image Storage Associated real-world activity Proposed presentation contexts SOP specific conformance statement for XRF Image Storage SOP Class Printing of a still image Associated real-world activity Proposed presentation contexts SOP specific conformance statement for DICOM Print Service Classes Basic Film Session SOP Class Basic Film Box SOP Class Basic Grayscale Image SOP Class Uploading worlist Associated real-world activity Proposed presentation contexts SOP specific conformance statement for Modality Worklist SOP Class... 27

3 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V Creating and updating Modality Performed Procedure Step Associated real-world activity Proposed presentation contexts SOP specific conformance statement for Modality Performed Procedure Step SOP Class Requesting Storage Commitment Associated real-world activity Proposed presentation contexts SOP specific conformance statement for Storage Commitment SOP Class Querying and retrieving studies Associated real-world activity Finding studies Proposed presentation contexts SOP specific conformance statement for Patient Root Q/R IM - FIND SOP Class SOP specific conformance statement for Study Root Q/R IM - FIND SOP Class Retrieving studies Proposed presentation contexts SOP specific conformance statement for Patient Root Q/R IM - MOVE SOP Class SOP specific conformance statement for Study Root Q/R IM - MOVE SOP Class Association acceptance policy Remote communication verification Associated real-world activity Presentation context table SOP specific conformance statement for Verification SOP Class Presentation context acceptance criterion Transfer syntax selection policies Remote image instances receiving Associated real-world activity Presentation context table SOP specific conformance statement for CR/DX/XA/XRF Storage SOP Class Presentation context acceptance criterion Transfer syntax selection policies COMMUNICATION PROFILES Supported communication stacks TCP/IP stack API Physical media support EXTENSIONS/SPECIALIZATIONS/PRIVATIZATIONS CONFIGURATION AE title/presentation address mapping Configurable parameters SUPPORT OF EXTENDED CHARACTER SETS MEDIA INTERCHANGE: INTRODUCTION IMPLEMENTATION MODEL Application data flow diagram Functional definitions of AE's... 42

4 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V Sequencing of Real-World Activities File Meta Information options AE SPECIFICATIONS HMSI specifications File Meta Information for HMSI Real-World Activity for HMSI Real-World Activity: Create CD/DVD Application Profiles for the RWA: Create CD/DVD Options AUGMENTED AND PRIVATE PROFILES Augmented Profiles AUG-GEN-CD SOP Class Augmentation Directory Augmentations Other Augmentations Private Profiles EXTENSIONS, SPECIALIZATIONS, PRIVATIZATIONS OF SOP CLASSES AND TRANSFER SYNTAXES CONFIGURATION CHARACTER SET... 45

5 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V1.1 5 DOCUMENT HISTORY V1.0 First release of this document. It claims conformace to Verification SCP/SCU, Storage CR/DX/XA/RF SCU, Storage Commitment SCU, Basic Grayscale Print SCU, Modality Worklist SCU, MPPS SCU, Dicom Media FSC services. V1.1 Added conformace to Query/Retrieve SCU service.

6 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V1.1 6 NETWORK CONFORMANCE STATEMENT 0 NETWORK: INTRODUCTION Digitec HirisRf43 is a computed radiography modality device capable to acquire up to 2880x2880 pixels images and to manage up to 16Kx16K pixels reconstructed images. Digitec HirisRf43 is equipped with a Hiris Network Data Interface (HNDI) that allows the transfer of images according with DICOM 3.0 standard. This document describes the conformance of HNDI to DICOM 3.0 standard. 1 IMPLEMENTATION MODEL HNDI is an application capable to verify application level communication between two DICOM 3.0 peers as well as to store and print images on remote DICOM interfaced archives an printers. HNDI can manage worklist received from HIS/RIS and acts a a SCU for storage commitment and MPPS Dicom services. HNDI can find and retrieve studies stored remotely. 1.1 Application data flow diagram A dedicated menu commands starts communication DICOM services to peer selected in the remote DICOM applications list. See figure Verify, get worklist, store, request storage commitment, print, send MPPS or Query and Retrieve Studies command HNDI Remote verify, get worklist, store, executes storage commitment, print, executes MPPS, get back studies DICOM standard interface Figure HNDI Implementation Model 1.2 Functional definitions of AE's When HNDI is invoked, it starts an association to the destination AE with an opportune Presentation Context to verify the communication, to get worklist, to store/print an image, to request storage commitment, to notify an MPPS and to find and retrieve remote stored studies. It returns the command exit status to be displayed on the main monitor (depending on status return code). 1.3 Sequencing of real-world activities Not applicable.

7 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V AE SPECIFICATION HNDI is configured as a single application. HNDI provides Standard Conformance to the following DICOM V3.0 SOP Class as a SCU: SOP Class Name SOP Class UID Verification SOP Class Computed Radiography Storage SOP Class Digital X-Ray Image Storage For Presentation SOP Class X-Ray Angiographic Image Storage SOP Class X-Ray Radiofluoroscopic Image Storage SOP Class Storage Commitment Service Class Basic Grayscale Print Management Meta SOP Class Modality Worklist Information Model - FIND SOP Class Modality Performed Procedure Step SOP Class Patient Root Query/Retrieve Information Model FIND SOP Class Patient Root Query/Retrieve Information Model MOVE SOP Class Study Root Query/Retrieve Information Model FIND SOP Class Study Root Query/Retrieve Information Model MOVE SOP Class HNDI provides Standard Conformance to the following DICOM V3.0 SOP Class as a SCP: SOP Class Name SOP Class UID Verification SOP Class Computed Radiography Storage SOP Class Digital X-Ray Image Storage For Presentation SOP Class X-Ray Angiographic Image Storage SOP Class X-Ray Radiofluoroscopic Image Storage SOP Class

8 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V HNDI specification Association establishment policy General HNDI tries to establish an association whenever is invoked by with a valid "destination" field. The list of "destination" known by the system is configurable. The maximum PDU size that will be negotiated is 60KB Number of associations Only one association a time is allowed Asynchronous nature No asynchronous operations window negotiation will be performed Implementation identifying information HNDI supplies the Implementation Class UID The version name provided is "DIGITEC V4.0" Association initiation by real-world activity Communication verification Associated real-world activity The request to verify DICOM communication starts an association negotiation Proposed presentation contexts A single Presentation Context is offered for an association, with Abstract Syntax related to the "Verification SOP Class" and Transfer Syntax "Implicit VR Little Indian". No extended negotiation is performed. Default SCU role is assumed. See table Table Proposed presentation context for HNDI Verification Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID Verification SOP Class DICOM Implicit VR Little Endian Transfer Syntax SCU None SOP specific conformance statement for Verification SOP Class Standard Conformance is provided to the Verification SOP Class ( ) of the DICOM Image Storage Service Class. No attribute is associated with C-ECHO service.

9 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V1.1 9 HNDI accepts status codes from C-ECHO service and performs actions as in the following list: H Success. The writing "<Aetitle> verification OK" is displayed and the association is closed Transfer of a still image Computer Radiography Image Storage Associated real-world activity If HirisRad is configured to use the CR Storage service, the request to transfer a CR still image starts an association negotiation for the CR Storage Service Proposed presentation contexts A single Presentation Context is offered for an association, with Abstract Syntax related to the "Computed Radiography Image Storage" and Transfer Syntax "Implicit VR Little Indian". No extended negotiation is performed. Default SCU role is assumed. See table Table Proposed presentation contex for HNDI CR-Storage Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID Computed Radiography Image Storage SOP Class DICOM Implicit VR Little Endian Transfer Syntax SCU None SOP specific conformance statement for CR Image Storage SOP Class Standard Conformance is provided to the Computed Radiography Image Storage SOP Class ( ) of the DICOM Image Storage Service Class. The supported attributes of the associated CR image IOD are listed in the table All type 1 attributes will be sent with a length different from zero; all type 2 attributes listed in the table will be sent, possibly with a length of zero. All type 3 attributes may or may not be transmitted, possibly with a length of 0, depending on the parameters passed to HNDI by the application requesting the service. Table CR Image IOD Group Element Attribute Description Type Note Image Type SOP Class UID SOP Instance UID Study Date Series Date Acquisition Date Content Date 2C Study Time 2

10 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V Series Time Acquisition Time Content Time 2C Accession Number Modality 1 Fixed CR Manufacturer Institution Name Institution Address Referring Physician's Name Station Name Study Description Procedure Code Sequence 3 > Include Code Sequence Macro E Series Description Performing Physicians' Name Manufacturer s Model Name Referenced Performed Procedure Step Sequence >Referenced SOP Class UID 1C >Referenced SOP Instance UID 1C Source Image Sequence >Referenced SOP Class UID 1C >Referenced SOP Instance UID 1C Patient's Name Patient's ID Patient's Birth Date Patient's Sex Other Patient ID Patient s Size Patient s Weight Patient s Address Patient's Telephone Numbers Ethnic Group Patient s Occupation Patient Comments Body Part Examined Angio Flag KVP Device Serial Number Software Version Protocol Name 3

11 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V Distance Source to Detector Distance Source to Patient Exposure Time X-Ray Tube Current Exposure Exposure in uas E Image Area Dose Product Imager Pixel Spacing View Position Exposure Time in us X-Ray Tube Current in ua D Study Instance UID E Series Instance UID Study ID Series Number Instance Number Patient Orientation 2C Laterality 2C Samples per Pixel 1 Fixed: "1" Photometric Interpretation 1 Fixed: "MONOCHROME2" Rows Columns Pixel Spacing Pixel Aspect Ratio 1C Bits Allocated 1 8,16 (Configurable) Bits Stored 1 8,10,12,14,16 (Configurable) High Bit 1 Bits Stored Pixel Representation 1 Fixed: "0" Burned In Annotation Performed Procedure Step ID Performed Procedure Step Description Performed Protocol Code Sequence 3 > Include Code Sequence Macro Request Attribute Sequence > Requested Procedure ID 1C Calibration Image 3 7FE Pixel Data 1 HNDI accepts status codes from C-STORE service and performs actions as in the following list:

12 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V H Success. The writing "Transfer complete" is displayed and the association is closed H to 0212H. Error. The writing "Error xxx" is displayed and the association is closed H Resource limitation. The writing "Failure: resource limitation" is displayed and the association is closed. - A7xxH Out of resources. The writing "SCP out of resources" is displayed and the association is closed. - CxxxH Cannot understand. The writing "Failure: error Cxxx" is displayed and the association is closed. - BxxxH Warning. The writing "Warning: error Bxxx" is displayed and the association is closed Transfer of a still image Digital X-Ray Image Storage For Presentation Associated real-world activity If HirisRad is configured to use the DX Storage service, the request to transfer a DX still image starts an association negotiation for the DX Storage Service Proposed presentation contexts A single Presentation Context is offered for an association, with Abstract Syntax related to the "Digital X- Ray Image Storage For Presentation" and Transfer Syntax "Implicit VR Little Endian". No extended negotiation is performed. Default SCU role is assumed. See table Table Proposed presentation contex for HNDI DX-Storage Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID Digital X-Ray Image Storage For Presentation SOP Class DICOM Implicit VR Little Endian Transfer Syntax SCU None SOP specific conformance statement for DX Image Storage SOP Class Standard Conformance is provided to the Digital X-Ray Image Storage For Presentation SOP Class ( ) of the DICOM Image Storage Service Class. The supported attributes of the associated DX image IOD are listed in the table All type 1 attributes will be sent with a length different from zero; all type 2 attributes listed in the table will be sent, possibly with a length of zero. All type 3 attributes may or may not be transmitted, possibly with a length of 0, depending on the parameters passed to HNDI by the application requesting the service. Table DX Image IOD Group Element Attribute Description Type Note

13 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V Image Type SOP Class UID SOP Instance UID Study Date Series Date Acquisition Date Content Date 2C Study Time Series Time Acquisition Time Content Time 2C Accession Number Modality 1 Fixed DX Presentation Intent Type 1 Fixed: FOR PRESENTATION Manufacturer Institution Name Institution Address Referring Physician's Name Station Name Study Description Procedure Code Sequence 3 > Include Code Sequence Macro E Series Description Performing Physicians' Name Manufacturer s Model Name Referenced Performed Procedure Step Sequence >Referenced SOP Class UID 1C >Referenced SOP Instance UID 1C Source Image Sequence >Referenced SOP Class UID 1C >Referenced SOP Instance UID 1C Anatomic Region Sequence 2 Always sent empty Patient's Name Patient's ID Patient's Birth Date Patient's Sex Other Patient ID Patient s Size Patient s Weight Patient s Address 3

14 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V Patient's Telephone Numbers Ethnic Group Patient s Occupation Patient Comments Contrast/Bolus Agent Body Part Examined KVP Device Serial Number Software Version Protocol Name Exposure Time X-Ray Tube Current Exposure Exposure in uas E Image Area Dose Product Imager Pixel Spacing Tomo Layer Height 1C Tomo Angle 1C Tomo Time 1C Detector Type Detector Configuration Exposure Time in us X-Ray Tube Current in ua D Study Instance UID E Series Instance UID Study ID Series Number Instance Number Patient Orientation Image Laterality Samples per Pixel 1 Fixed: "1" Photometric Interpretation Rows Columns Pixel Spacing Pixel Aspect Ratio 1C Bits Allocated Bits Stored High Bit Pixel Representation 1 Fixed: "0"

15 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V Burned In Annotation Pixel Intensity Relationship Pixel Intensity Relationship Sign Window Center 1C Window Width 1C Rescale Intercept Rescale Slope Rescale Type Lossy Image Compression VOI LUT Sequence 1C >LUT Descriptor 1C >LUT Data 1C Performed Procedure Step ID Performed Procedure Step Description Performed Protocol Code Sequence 3 > Include Code Sequence Macro Request Attribute Sequence > Requested Procedure ID 1C Acquisition Context Sequence 2 Always sent empty Calibration Image Presentation LUT Shape 1 7FE Pixel Data 1 HNDI accepts status codes from C-STORE service and performs actions as in the following list: H Success. The writing "Transfer complete" is displayed and the association is closed H to 0212H. Error. The writing "Error xxx" is displayed and the association is closed H Resource limitation. The writing "Failure: resource limitation" is displayed and the association is closed. - A7xxH Out of resources. The writing "SCP out of resources" is displayed and the association is closed. - CxxxH Cannot understand. The writing "Failure: error Cxxx" is displayed and the association is closed. - BxxxH Warning. The writing "Warning: error Bxxx" is displayed and the association is closed.

16 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V Transfer of a still image X-Ray Angiographic Image Storage Associated real-world activity The request to transfer a XA still multiframe image starts an association negotiation for the X-Ray Angiographic Storage Service Proposed presentation contexts A single Presentation Context is offered for an association, with Abstract Syntax related to the "X-Ray Amgiographic Image Storage" and Transfer Syntax "JPEG Lossless, Non-Hierarchical, First-Order Prediction, Process 14, Selection Value 1". No extended negotiation is performed. Default SCU role is assumed. See table Table Proposed presentation contex for HNDI XA-Storage Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID X-Ray Angiographic Image Storage SOP Class Jpeg Lossless non-hirarchical,first -order Prediction P14 Transfer Syntax SCU None SOP specific conformance statement for XA Image Storage SOP Class Standard Conformance is provided to the X-Ray Angiographic Image Storage SOP Class ( ) of the DICOM Image Storage Service Class. The supported attributes of the associated XA image IOD are listed in the table All type 1 attributes will be sent with a length different from zero; all type 2 attributes listed in the table will be sent, possibly with a length of zero. All type 3 attributes may or may not be transmitted, possibly with a length of 0, depending on the parameters passed to HNDI by the application requesting the service. Table XA Image IOD Group Element Attribute Description Type Note Image Type SOP Class UID SOP Instance UID Study Date Series Date Acquisition Date Content Date A Acquisition Datetime Study Time Series Time 3

17 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V Acquisition Time Content Time Accession Number Modality 1 Fixed XA Manufacturer Institution Name Institution Address Referring Physician's Name Station Name Study Description Procedure Code Sequence 3 > Include Code Sequence Macro E Series Description Performing Physicians' Name Operator s Name Manufacturer s Model Name Referenced Performed Procedure Step Sequence >Referenced SOP Class UID 1C >Referenced SOP Instance UID 1C Source Image Sequence >Referenced SOP Class UID 1C >Referenced SOP Instance UID 1C Patient's Name Patient's ID Patient's Birth Date Patient's Sex Other Patient ID Patient s Size Patient s Weight Patient s Address Patient's Telephone Numbers Ethnic Group Patient Occupation Patient Comments Contrast/Bolus Agent Body Part Examined Cine Rate KVP Device Serial Number Software Version 3

18 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V Protocol Name Frame Time Vector Distance Source to Detector Distance Source to Patient Estimated Radiogr. Magnif. Factor Field of View Shape Field of View Dimension(s) Exposure Time X-Ray Tube Current Exposure 2C Exposure in uas Radiation Setting A Radiation Mode E Image Area Dose Product Imager Pixel Spacing Grid Positioner Motion 2C Positioner Primary Angle Positioner Secondary Angle Positioner Primary Angle Increment 2C Positioner Secondary Angle Increment 2C Sensitivity Detector Type Detector Configuration Detector Binning Detecotr Active Shape Detector Dimension(s) A Detector Manufacturer s Name B Detector Manufacturer s Model Name Exposure Time in us X-Ray Tube Current in ua D Study Instance UID E Series Instance UID Study ID Series Number Instance Number Patient Orientation Image Laterality Samples per Pixel 1 Fixed: "1" Photometric Interpretation 1 Fixed: "MONOCHROME2"

19 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V Number of Frames Frame Increment Pointer Rows Columns Pixel Spacing Pixel Aspect Ratio 1C Bits Allocated Bits Stored High Bit Pixel Representation 1 Fixed: "0" Quality Control Image Burned In Annotation Pixel Intensity Relationship Lossy Image Compression Performed Procedure Step Start Date Performed Procedure Step Start Time Performed Procedure Step ID Performed Procedure Step Description Performed Protocol Code Sequence 3 > Include Code Sequence Macro Request Attribute Sequence > Requested Procedure ID 1C Calibration Image 3 7FE Pixel Data 1 HNDI accepts status codes from C-STORE service and performs actions as in the following list: H Success. The writing "Transfer complete" is displayed and the association is closed H to 0212H. Error. The writing "Error xxx" is displayed and the association is closed H Resource limitation. The writing "Failure: resource limitation" is displayed and the association is closed. - A7xxH Out of resources. The writing "SCP out of resources" is displayed and the association is closed. - CxxxH Cannot understand. The writing "Failure: error Cxxx" is displayed and the association is closed. - BxxxH Warning. The writing "Warning: error Bxxx" is displayed and the association is closed.

20 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V Transfer of a still image X-Ray Radiofluoroscopic Image Storage Associated real-world activity The request to transfer a XRF still multiframe image starts an association negotiation for the X-Ray Radiofluoroscopic Storage Service Proposed presentation contexts A single Presentation Context is offered for an association, with Abstract Syntax related to the "X-Ray Radiofluoroscopic Image Storage" and Transfer Syntax "JPEG Lossless, Non-Hierarchical, First-Order Prediction, Process 14, Selection Value 1". No extended negotiation is performed. Default SCU role is assumed. See table Table Proposed presentation contex for HNDI XRF-Storage Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID X-Ray Radiofluoroscopic Image Storage SOP Class Jpeg Lossless non-hirarchical,first -order Prediction P14 Transfer Syntax SCU None SOP specific conformance statement for XRF Image Storage SOP Class Standard Conformance is provided to the X-Ray Radiofluoroscopic Image Storage SOP Class ( ) of the DICOM Image Storage Service Class. The supported attributes of the associated XRF image IOD are listed in the table All type 1 attributes will be sent with a length different from zero; all type 2 attributes listed in the table will be sent, possibly with a length of zero. All type 3 attributes may or may not be transmitted, possibly with a length of 0, depending on the parameters passed to HNDI by the application requesting the service. Table XRF Image IOD Group Element Attribute Description Type Note Image Type SOP Class UID SOP Instance UID Study Date Series Date Acquisition Date Content Date A Acquisition Datetime Study Time Series Time 3

21 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V Acquisition Time Content Time Accession Number Modality 1 Fixed RF Manufacturer Institution Name Institution Address Referring Physician's Name Station Name Study Description Procedure Code Sequence 3 > Include Code Sequence Macro E Series Description Performing Physicians' Name Operator s Name Manufacturer s Model Name Referenced Performed Procedure Step Sequence >Referenced SOP Class UID 1C >Referenced SOP Instance UID 1C Source Image Sequence >Referenced SOP Class UID 1C >Referenced SOP Instance UID 1C Patient's Name Patient's ID Patient's Birth Date Patient's Sex Other Patient ID Patient s Size Patient s Weight Patient s Address Patient's Telephone Numbers Ethnic Group Patient Occupation Patient Comments Contrast/Bolus Agent Body Part Examined Cine Rate KVP Device Serial Number Software Version 3

22 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V Protocol Name Frame Time Vector Distance Source to Detector Distance Source to Patient Estimated Radiogr. Magnif. Factor Field of View Shape Field of View Dimension(s) Exposure Time X-Ray Tube Current Exposure 2C Exposure in uas Radiation Setting A Radiation Mode E Image Area Dose Product Imager Pixel Spacing Grid Tomo Layer Height 1C Tomo Angle 3C Tomo Time 3C Tomo Type 3C Sensitivity Detector Type Detector Configuration Detector Binning Detecotr Active Shape Detector Dimension(s) A Detector Manufacturer s Name B Detector Manufacturer s Model Name Exposure Time in us X-Ray Tube Current in ua D Study Instance UID E Series Instance UID Study ID Series Number Instance Number Patient Orientation Image Laterality Samples per Pixel 1 Fixed: "1" Photometric Interpretation 1 Fixed: "MONOCHROME2" Number of Frames 1

23 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V Frame Increment Pointer Rows Columns Pixel Spacing Pixel Aspect Ratio 1C Bits Allocated Bits Stored High Bit Pixel Representation 1 Fixed: "0" Quality Control Image Burned In Annotation Pixel Intensity Relationship Lossy Image Compression Performed Procedure Step Start Date Performed Procedure Step Start Time Performed Procedure Step ID Performed Procedure Step Description Performed Protocol Code Sequence 3 > Include Code Sequence Macro Request Attribute Sequence > Requested Procedure ID 1C Calibration Image 3 7FE Pixel Data 1 HNDI accepts status codes from C-STORE service and performs actions as in the following list: H Success. The writing "Transfer complete" is displayed and the association is closed H to 0212H. Error. The writing "Error xxx" is displayed and the association is closed H Resource limitation. The writing "Failure: resource limitation" is displayed and the association is closed. - A7xxH Out of resources. The writing "SCP out of resources" is displayed and the association is closed. - CxxxH Cannot understand. The writing "Failure: error Cxxx" is displayed and the association is closed. - BxxxH Warning. The writing "Warning: error Bxxx" is displayed and the association is closed.

24 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V Printing of a still image Associated real-world activity The request to print a still image starts an association negotiation for the Basic Grayscale Print Management Service Proposed presentation contexts A single Presentation Context is offered for an association, with Abstract Syntax related to the "Basic Grayscale Print Management Meta SOP Class" and Transfer Syntax "Implicit VR Little Indian". No extended negotiation is performed. Default SCU role is assumed. See table Table Proposed presentation contex for HNDI Print Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID Basic Grayscale Print Management Meta SOP Class DICOM Implicit VR Little Endian Transfer Syntax SCU None SOP specific conformance statement for DICOM Print Service Classes Standard Conformance is provided to the Basic Grayscale Print Management Meta SOP Class ( ) of the DICOM Print Management Service Class. For each SOP Class belonging to the Basic Grayscale Print Management Meta SOP Class a standard conformance is provided; any specific implementation details are described in the following sections Basic Film Session SOP Class N-CREATE. This service will be used to create a Film Session instance. Table shows service attributes. Table Basic Film Session N-CREATE attributes Group Element Attribute Description Note Number of Copies Print Priority Medium Type Film Destination Film Session Label All optional attributes could not be inserted in the message, depending on SCP print features and SCU user selections. N-SET. HNDI never uses this service.

25 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V N-ACTION. This service will be used to create a Print Job Instance to print the whole printing session. No specific attribute will be included. Depending on SCP capabilities, SCU can be configured to print whole session in a single Print Job or to print each film by mean of separated N-ACTION Print Film Box services (see Basic Film Box SOP Class). N-DELETE. This service will be used to delete the whole Print Session after the Print Job instance creation. HNDI accepts status codes from N-CREATE, N-ACTION, N-DELETE services and performs actions as in the following list: H Success. N-CREATE/N-ACTION: the operations continue. N-DELETE: the association is closed and the local copy of the session is destroyed H to 0212H. Error. The writing "Error xxx" is associated to the local copy of the session and the association is closed H Resource limitation. The writing "Error 213H" is associated to the local copy of the session and the association is closed. - CxxxH Failure. The writing "Error Cxxx" is associated to the local copy of the session and the association is closed. - BxxxH Warning. The writing "Error Bxxx" is associated to the local copy of the session and the association is closed Basic Film Box SOP Class N-CREATE. This service will be used to create a Film Box instance. Table shows service attributes. Table Basic Film Box N-CREATE attributes Group Element Attribute Description Note Image Display Format Annotation Display Format ID Film orientation Film Size ID Magnification Type Smoothing Type Border Density Empty Image Density Trim Referenced Film Session Sequence >Referenced SOP Class UID >Referenced SOP Instance UID >Requested Resolution ID

26 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V All optional attributes could not be inserted in the message, depending on SCP print features and SCU user selections. N-SET. HNDI never uses this service. N-ACTION. This service will be used to create a Print Job Instance to print a single Film Box. No specific attribute will be included. Depending on SCP capabilities, SCU can be configured to print each film box separately or to print the whole print session by mean of the N-ACTION Print Film Session service (see Basic Film Session SOP Class). N-DELETE. HNDI never uses this service. HNDI accepts status codes from N-CREATE/N-ACTION services and performs actions as in the following list: H Success. The oerations continue H to 0212H. Error. The writing "Error xxx" is associated to the local copy of the session and the association is closed H Resource limitation. The writing "Error 213" is associated to the local copy of the session and the association is closed. - CxxxH Failure. The writing "Error Cxxx" is associated to the local copy of the session and the association is closed.. - BxxxH Warning. The writing "Error Bxxx" is associated to the local copy of the session and the association is closed Basic Grayscale Image SOP Class N-SET. This service will be used to update a Grayscale Image instance. Table shows service attributes. Table Basic Grayscale Image Box N-SET attributes Group Element Attribute Description Note Image Position Fixed: Preformatted Grayscale Image Sequence >Samples per Pixel Fixed: >Photometric Interpretation Fixed: MONOCHROME >Rows >Columns >Bits Allocated 8,16 (Matches printer capabilities) >Bits Stored 8-16 (Matches printer capabilities) >High Bit (BitsStored-1)-(BitsAllocated-1) (Matches printer capabilities) >Pixel Representation Fixed: 0 7FE >Pixel Data

27 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V All optional attributes could not be inserted in the message, depending on SCP print features and SCU user selections. HNDI accepts status codes from N-SET services and performs actions as in the following list: H Success. The operations continue H to 0212H. Error. The writing "Error xxx" is associated to the local copy of the session and the association is closed H Resource limitation. The writing "Error 213" is associated to the local copy of the session and the association is closed. - CxxxH Failure. The writing "Error Cxxx" is associated to the local copy of the session and the association is closed Uploading worlist Associated real-world activity The request to get the worklist starts an association negotiation for the Basic Worklist Management Service Proposed presentation contexts A single Presentation Context is offered for an association, with Abstract Syntax related to the "Modality Worklist Information Model" and Transfer Syntax "Implicit VR Little Indian". No extended negotiation is performed. Default SCU role is assumed. See table Table Proposed presentation contex for HNDI Worklist Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID Modality Worklist Information Model - FIND SOP Class DICOM Implicit VR Little Endian Transfer Syntax SCU None SOP specific conformance statement for Modality Worklist SOP Class Standard Conformance is provided to the Modality Worklist Information Model - FIND SOP Class ( ) of the DICOM Basic Worklist Management Service. All the attributes listed in the table will be requested. HNDI, according to the user selections, may request attribute matching as shown in the column Matching Type. HNDI does not consider an error any unsupported attribute matching by SCP (both on optional or on required attributes). Furthermore, it is non considered and error the absence in C-FIND-RSP of any type 1C requested attribute. Table Worklist C-FIND-REQ/RSP Data Set Group Element Attribute Description Type Matching Type

28 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V Accession Number Patient Name 1 Single value / Wildcard Patient ID 1 Single value Patient Birth Date Patient Sex D Study Instance UID Study ID Requested Procedure Description 1C Requested Procedure Code Sequence Scheduled Procedure Step Sequence > Modality 1 Single value or return key > Scheduled Station AE title 1 Single value > Scheduled Procedure Step Start Date 1 Single value / Range matching > Scheduled Procedure Step Start Time 1 Single value / Range matching > Scheduled Performing Physiscian Name > Scheduled Procedure Step Description 1C > Scheduled Protocol Code Sequence > Scheduled Procedure Step ID > Scheduled Station Name > Scheduled Procedure Step Location Requested Procedure ID 3 HNDI accepts status codes from C-FIND service and performs actions as in the following list: H Success. The working list is displayed in a dedicated dialog form. - Any other error code is managed by closing the association and displaying an explicative error writing Creating and updating Modality Performed Procedure Step Associated real-world activity The system can be configured to request the creation and/or setting of remote MPPS on typical events related to examination/images life cycle. These requests start an association negotiation for the Modality Performed Procedure Step Service Proposed presentation contexts A single Presentation Context is offered for an association, with Abstract Syntax related to the "Modality Performed Procedure Step SOP Class" and Transfer Syntax "Implicit VR Little Indian". No extended negotiation is performed. Default SCU role is assumed. See table

29 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V Table Proposed presentation contex for HNDI MPPS Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID Modality Performed Procedure Step SOP Class DICOM Implicit VR Little Endian Transfer Syntax SCU None SOP specific conformance statement for Modality Performed Procedure Step SOP Class Standard Conformance is provided to the Modality Performed Procedure Step SOP Class ( ). The supported attributes building the data set of N-CREATE and N-SET messages are listed in the tables and All type 1 attributes will be sent with a length different from zero; all type 2 attributes listed in the table will be sent, possibly with a length of zero. All type 3 attributes may or may not be transmitted, possibly with a length of 0, depending on the parameters passed to HNDI by the application requesting the service. Furthermore all attributes labeled with Final State 1 or 2 in the Dicom Standard, will be sent according with that state at least in the data set of one message; the choice of the message including these attributes (N-CREATE or N-SET) will be done according with the availability of the parameters at the moment of the request. Table MPPS N-CREATE Data Set Group Element Attribute Description Type (Final State) Note Modality Procedure Code Sequence Referenced Patient Sequence 2 Always empty Patient Name Patient ID Patient Birth Date Patient Sex E Image Area Dose Product Study ID Performed Station AE title Performed Station Name Performed Location Performed Procedure Step Start Date Performed Procedure Step Start Time Performed Procedure Step End Date 2 (1) Performed Procedure Step End Time 2 (1) Performed Procedure Step Status Performed Procedure Step ID Performed Procedure Step Description 2

30 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V Performed Procedure Type Description Performed Protocol Code Sequence 2 > Include Code Sequence Macro Scheduled Step Attribute Sequence > Accession Number > Referenced Study Sequence 2 Always empty D > Study Instance UID > Requested Procedure Description > Scheduled Procedure Step Description > Scheduled Protocol Code Sequence 2 > Include Code Sequence Macro > Scheduled Procedure Step ID > Requested Procedure ID Total Time of Fluoroscopy Total Number of Exposures E Exposure Dose Sequence > KVp > Exposure Time A > Radiation Mode > X-ray Tube Current in ua Comments on Radiation Dose Performed Series Sequence 2 (1) > Retrieve AE Title 2 (2) E > Series Description 2 (2) > Performing Physician s Name 2 (2) > Operator s Name 2 (2) > Referenced Image Sequence 2 (2) >> Referenced SOP Class UID >> Referenced SOP Instance UID > Protocol Name 1 (1) E > Series Instance UID 1 (1) > Referenced Non-Image Composite SOP Instance Sequence 2 (2) Always empty Table MPPS N-SET Data Set Group Element Attribute Description Type (Final State) Note Procedure Code Sequence E Image Area Dose Product Performed Procedure Step End Date 3 (1)

31 Digitec S.r.l. LECCO HirisRf43 DICOM Conformance Statement V Performed Procedure Step End Time 3 (1) Performed Procedure Step Status Performed Procedure Step Description Performed Procedure Type Description Performed Protocol Code Sequence 3 > Include Code Sequence Macro Total Time of Fluoroscopy Total Number of Exposures E Exposure Dose Sequence > KVp > Exposure Time A > Radiation Mode > X-ray Tube Current in ua Comments on Radiation Dose Performed Series Sequence 3 (1) > Retrieve AE Title 2 (2) E > Series Description 2 (2) > Performing Physician s Name 2 (2) > Operator s Name 2 (2) > Referenced Image Sequence 2 (2) >> Referenced SOP Class UID >> Referenced SOP Instance UID > Protocol Name 1 (1) E > Series Instance UID 1 (1) > Referenced Non-Image Composite SOP Instance Sequence 2 (2) Always empty HNDI accepts status codes from N-CREATE and N-SET service and performs actions as in the following list: H Success. The MPPS notification is internally marked as successful. - Any other error code is managed by closing the association and displaying an explicative error writing Requesting Storage Commitment Associated real-world activity The system can be configured to request the storage commitment of each image transferred to a remote SCP with any of the above descripted storage services. This request starts an association negotiation for the Storage Commitment Service. The association is always started with the remote AE receiving the image by means of the Storage Service.