DICOM Conformance Statement Merge RadSuite v. 8.30.1 Merge Healthcare 900 Walnut Ridge Drive Hartland, WI 53029 877.44.MERGE
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Table of Contents Introduction...................................................................... 2 Purpose..................................................................... 2 Related Documents............................................................ 2 Implementation Model.............................................................. 3 Advanced Visualization......................................................... 3 Application Data Flow Diagram................................................ 3 Functional Definitions of AEs.................................................. 5 Sequencing of Real World Activities............................................ 5 AE Specifications................................................................. 6 Advanced Visualization DICOM SCU Specification.................................... 6 Association Establishment Policies............................................. 7 Association Initiation by Real-World Activity...................................... 8 Association Acceptance Policy............................................... 25 Communication Profiles........................................................... 26 Supported Communication Stacks (Parts 8,9)....................................... 26 TCP/IP Stack................................................................ 26 API..................................................................... 26 Physical Media Support..................................................... 26 Extensions/Specializations/Privatizations.............................................. 27 Standard Extended/Specialized/Private SOPs....................................... 27 Private Transfer Syntaxes...................................................... 27 Configuration.................................................................... 28 AE Title/Presentation Address Mapping............................................ 28 Configurable Parameters....................................................... 28 Support of Extended Character Sets................................................. 29 1 of 29
Introduction Purpose This document specifies the conformance of AMICAS' RadSuite Release 8.30.1 to the DICOM 3.0 standard. This document covers conformance for the following: Advanced Visualization - a high-performance, scalable, and standards-based viewing technology providing diagnostic, clinical, and web based reading capabilities. NOTE: All of the features specified within this document may not be included in the customer's purchased product. Determine which features are installed prior to reading this document. Related Documents NEMA 1999, 2000, 2003, 2004, 2005, 2005 The DICOM Standard: Parts 1-14 Merge Enterprise Content Management DICOM Conformance Statement 2 of 29
Implementation Model Advanced Visualization Advanced Visualization is a high-performance, scalable, and standards-based solution providing image access through unified worklists spanning multiple servers. The Advanced Visualization image display software is vended via a web site hosted on the server, and updates to the software are automatically deployed. Advanced Visualization is a thin-client software application that runs on industry standard platforms and scales from stand-alone teleradiology to enterprise-wide image management solutions. It supports multiprocessor architectures, RAID on-line storage, and component and system level fault tolerant design. Advanced Visualization is integrated with the RadSuite Archive for receipt of images, waveforms, key objects, presentation states, and structured reports. The Advanced Visualization DICOM SCU Server makes requests to store images, presentation states, key objects, and structured reports, and performs query and retrieve from remote archives, and print. The DICOM Services run as daemon processes under Linux. Application Data Flow Diagram Verification DICOM Service Verification DICOM SCU Services C-ECHO DICOM Interface Advanced Visualization DICOM SCU AE Implementation Model 3 of 29
DICOM SCU Services Request to Export DICOM Objects DICOM SCU Services C-STORE MPPS STORAGE Creation of New DICOM Objects DICOM Interface DICOM Query/Retrieve Advanced Visualization DICOM SCU AE Implementation Model Automatic Retrieval of Prior Studies DICOM SCU Services C-FIND C-MOVE C-CANCEL Query/Retrieve Request DICOM Interface Advanced Visualization DICOM SCU AE Implementation Model 4 of 29
DICOM Print Basic Grayscale Print Management SCP Request to Print DICOM Objects DICOM SCU Services DICOM Interface Basic Color Print Management SCP Advanced Visualization DICOM SCU AE Implementation Model Functional Definitions of AEs The Advanced Visualization SCU spawns as a new process, and queues incoming requests from its clients. An association is initiated with a remote AE, and closed when all results have been received or an error condition occurs. The Advanced Visualization SCU implements the Verification Service (C-ECHO), Storage Service (C- STORE), DICOM Query/Retrieve Service (C-FIND, C-MOVE), Study Management Service class (MPPS), and the Print Management Service Class (N-CREATE, N-SET, N-ACTION, N-EVENT-RSP). Sequencing of Real World Activities Not applicable. 5 of 29
AE Specifications Advanced Visualization DICOM SCU Specification This Application Entity provides Standard Conformance to the following DICOM V3.0 SOP Classes as an SCP: NOTE: New SOP classes may be supported through simple configuration changes of the product. SOP Class Name SOP Class UID Verification Verification 1.2.840.10008.1.1 Storage Basic Text SR Storage 1.2.840.10008.5.1.4.1.1.88.11 Basic Voice Audio Waveform Storage 1.2.840.10008.5.1.4.1.1.9.4.1 Comprehensive SR Storage 1.2.840.10008.5.1.4.1.1.88.33 Computed Radiography Image Storage 1.2.840.10008.5.1.4.1.1.1 CT Image Storage 1.2.840.10008.5.1.4.1.1.2 Enhanced CT Image Storage 1.2.840.10008.5.1.4.1.1.2.1 Digital X-Ray Image Storage (Presentation) 1.2.840.10008.5.1.4.1.1.1.1 Digital IntraOral X-Ray Image Storage (Presentation) 1.2.840.10008.5.1.4.1.1.1.3 Digital Mammography X-Ray Image Storage - For Presentation 1.2.840.10008.5.1.4.1.1.1.2 Enhanced SR Storage 1.2.840.10008.5.1.4.1.1.88.22 Grayscale Softcopy Presentation State Storage 1.2.840.10008.5.1.4.1.1.11.1 Key Object Selection Document 1.2.840.10008.5.1.4.1.1.88.59 MR Image Storage 1.2.840.10008.5.1.4.1.1.4 Enhanced MR Image Storage 1.2.840.10008.5.1.4.1.1.4.1 Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.20 Nuclear Medicine Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.5 Positron Emission Tomography Image Storage 1.2.840.10008.5.1.4.1.1.128 Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 6 of 29
SOP Class Name SOP Class UID Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1 Ultrasound Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.6 Ultrasound Multi-frame Image Storage 1.2.840.10008.5.1.4.1.1.3.1 Ultrasound Multi-frame Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.3 VL Endoscopic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.1 X-Ray Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.12.1 X-Ray Radiofluoroscopic Image Storage 1.2.840.10008.5.1.4.1.1.12.2 X-Ray Digital Mammography Image Storage - For Presentation 1.2.840.10008.5.1.4.1.1.1.2 Query/Retrieve Study Root Query/Retrieve Information Model - FIND 1.2.840.10008.5.1.4.1.2.2.1 Study Root Query/Retrieve Information Model - MOVE 1.2.840.10008.5.1.4.1.2.2.2 Study Management Modality Performed Procedure Step SOP Class 1.2.840.10008.3.1.2.3.3 Print Management Basic Grayscale Print Management Meta SOP Class 1.2.840.10008.5.1.1.9 Basic Color Print Management Meta SOP Class 1.2.840.10008.5.1.1.18 Presentation LUT SOP Class 1.2.840.10008.5.1.1.23 Basic Annotation Box SOP Class 1.2.840.10008.5.1.1.15 Association Establishment Policies General The DICOM SCU will make associations for Query/Retrieve, Storage, MPPS, and Print requests. SOP Class extended negotiation is not supported. The default maximum PDU length is 100 kilobytes. Number of Associations The default number of maximum simultaneous associations is eight (8). However, this is configurable to be able to increase if needed. Asynchronous Nature Asynchronous mode of operation is not supported. 7 of 29
Implementation Identifying Information The DICOM SCU will provide a single Implementation Class UID and Implementation Version Name as follows: DICOM SCU Implementation Class UID 2.16.840.1.114255.8.30.1 Implementation Version Name UV_8_30_1 Association Initiation by Real-World Activity An association is initiated for all DICOM Requests made by the Client. Perform a Verification Request to a Remote System Associated Real-World Activity A user tests a new remote AE by performing a C-ECHO. Proposed Presentation Contexts The DICOM SCU will propose a verification presentation context as indicated in the following Presentation Context Table: Table 1: Presentation Context Table Abstract Syntax Transfer Syntax Name UID Name UID Role Extended Negotiation Verification 1.2.840.10008.1.1 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None Storage Association Sending DICOM Objects to a Remote System Associated Real-World Activity A user selects a study from the Image Display worklist to be exported to a remote AE. Proposed Presentation Contexts The DICOM SCU will propose a storage presentation context as indicated in the following Presentation Context Table: Table 2: Presentation Context Table Abstract Syntax Transfer Syntax Name UID Name UID Role Extended Negotiation Basic Text SR 1.2.840.10008.5.1.4.1.1.88.11 See Table 3 See Table 3 SCU None Basic Voice Audio Waveform Storage 1.2.840.10008.5.1.4.1.1.9.4.1 See Table 3 See Table 3 SCU None 8 of 29
Table 2: Presentation Context Table (Continued) Abstract Syntax Transfer Syntax Name UID Name UID Role Extended Negotiation Comprehensive SR Computed Radiography Image Storage CT Image Storage Enhanced CT Image Storage Digital IntraOral X-Ray Image Storage - For Presentation Digital Mammography X-Ray - For Presentation Digital X-Ray Image Storage - For Presentation 1.2.840.10008.5.1.4.1.1.88.33 See Table 3 See Table 3 SCU None 1.2.840.10008.5.1.4.1.1.1 See Table 3 See Table 3 SCU None 1.2.840.10008.5.1.4.1.1.2 See Table 3 See Table 3 SCU None 1.2.840.10008.5.1.4.1.1.2.1 See Table 3 See Table 3 SCU None 1.2.840.10008.5.1.4.1.1.1.3 See Table 3 See Table 3 SCU None 1.2.840.10008.5.1.4.1.1.1.2 See Table 3 See Table 3 SCU None 1.2.840.10008.5.1.4.1.1.1.1.1 See Table 3 See Table 3 SCU None Enhanced SR 1.2.840.10008.5.1.4.1.1.88.22 See Table 3 See Table 3 SCU None Grayscale Softcopy Presentation State Storage SOP Class Key Object Selection Document MR Image Storage Enhanced MR Image Storage Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.11.1 See Table 3 See Table 3 SCU None 1.2.840.10008.5.1.4.1.1.88.59 See Table 3 See Table 3 SCU None 1.2.840.10008.5.1.4.1.1.4 See Table 3 See Table 3 SCU None 1.2.840.10008.5.1.4.1.1.4.1 See Table 3 See Table 3 SCU None 1.2.840.10008.5.1.4.1.1.20 See Table 3 See Table 3 SCU None 9 of 29
Table 2: Presentation Context Table (Continued) Abstract Syntax Transfer Syntax Name UID Name UID Role Extended Negotiation Nuclear Medicine Image Storage Retired Positron Emission Tomography Image Storage Secondary Capture Image Storage Ultrasound Image Storage Ultrasound Image Storage Retired Ultrasound Multiframe Image Storage Ultrasound Multiframe Image Storage Retired VL Endoscopic Image Storage X-ray Angiographic Image Storage X-ray Radiofluoroscopic Image Storage 1.2.840.10008.5.1.4.1.1.5 See Table 3 See Table 3 SCU None 1.2.840.10008.5.1.4.1.1.128 See Table 3 See Table 3 SCU None 1.2.840.10008.5.1.4.1.1.7 See Table 3 See Table 3 SCU None 1.2.840.10008.5.1.4.1.1.6.1 See Table 3 See Table 3 SCU None 1.2.840.10008.5.1.4.1.1.6 See Table 3 See Table 3 SCU None 1.2.840.10008.5.1.4.1.1.3.1 See Table 3 See Table 3 SCU None 1.2.840.10008.5.1.4.1.1.3 See Table 3 See Table 3 SCU None 1.2.840.10008.5.1.4.1.1.77.1.1 See Table 3 See Table 3 SCP None 1.2.840.10008.5.1.4.1.1.12.1 See Table 3 See Table 3 SCU None 1.2.840.10008.5.1.4.1.1.12.2 See Table 3 See Table 3 SCU None Table 3: Transfer Syntax for Storage from a Remote System Name UID Little Endian Explicit VR 1.2.840.10008.1.2.1 Little Endian Implicit VR 1.2.840.10008.1.2 Big Endian Explicit VR 1.2.840.10008.1.2.2 10 of 29
SOP Specific Conformance Statement for SOP Class Extended Negotiation is not supported. If the SCP returns a Success status or Warning status C-STORE Response, the SCU will send the next queued DICOM Object. If the SCP returns an Error status, the Association is aborted (No Reason Specified). Creating and Storing New DICOM Objects to a Remote System Associated Real-World Activity A user creates new DICOM Objects in the Image Display (such as a Grayscale Softcopy Presentation State). Secondary captures are created to save color ramps on a PR or KO. These objects are first stored on the local server. A user then has the option to store them permanently on an Archive. A Modality Performed Procedure Step "In Progress" and "Complete" messages, a C-STORE request are issued to the image manager. Proposed Presentation Contexts The DICOM SCU will propose a storage presentation context as indicated in the following Presentation Context Table: Table 4: Presentation Context Table Abstract Syntax Transfer Syntax Name UID Name UID Role Extended Negotiation Grayscale Softcopy Presentation State Storage SOP Class Key Object Selection Document Secondary Capture Image Storage Basic Voice Audio Waveform Storage Basic Text SR SOP Class 1.2.840.10008.5.1.4.1.1.11.1 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None 1.2.840.10008.5.1.4.1.1.88.59 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None 1.2.840.10008.5.1.4.1.1.7 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None 1.2.840.10008.5.1.4.1.1.9.4.1 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None 1.2.840.10008.5.1.4.1.1.88.11 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None 11 of 29
SOP Specific Conformance Statement for Storage SOP Classes Extended Negotiation is not supported. If the SCP returns a Success status or Warning status C-STORE Response, the SCU will send the next queued DICOM Object. If the SCP returns an Error status, the Association is aborted (No Reason Specified). Send a MPPS Message to a Remote System Associated Real-World Activity A user creates new DICOM Objects in the Advanced Visualization Image Display (such as a Grayscale Softcopy Presentation State). These objects are first stored on the local server. A user then has the option to store them permanently on an Archive. During this activity, a Modality Performed Procedure Step "In Progress" and "Complete" message are issued to the image manager. Proposed Presentation Contexts The DICOM SCU will propose a MPPS presentation context as indicated in the following Presentation Context Table: Table 5: Presentation Context Table Abstract Syntax Transfer Syntax Name UID Name UID Role Extended Negotiation Modality Performed Procedure Step SOP Class 1.2.840.10008.3.1.2.3.3 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None SOP Specific Conformance Statement for Modality Performed Procedure Step SOP Class Operations Enumerated N-CREATE and N-Set Attributes: Table 6: Attribute Name Tag Req. Type N-CREATE (SCU/SCP) Req. Type N-SET (SCU/SCP) Requirement Type Final State Performed Procedure Step Relationship Scheduled Step Attribute Sequence 0040, 0270 1/1 -NA- 1/1 >Study Instance UID 0020, 000D 1/1 -NA- 1/1 >Referenced Study Sequence 0008, 1110 2/2 (Null Sequence) -NA- 2/2 (Null Sequence) >Accession Number 0008, 0050 2/2 -NA- 2/2 >Requested Procedure ID 0040, 1001 2/2 -NA- 2/2 12 of 29
Table 6: Attribute Name Tag Req. Type N-CREATE (SCU/SCP) Req. Type N-SET (SCU/SCP) Requirement Type Final State >Requested Procedure Description 0032, 1060 2/2 -NA- 2/2 >Scheduled Procedure Step ID 0040, 0009 2/2 -NA- 2/2 >Scheduled Procedure Step Description 0040, 0007 2/2 -NA- 2/2 >Scheduled Action Item Code Sequence 0040, 0008 2/2 (Null Sequence) -NA- 2/2 (Null Sequence) Patient's Name 0010, 0010 2/2 -NA- 2/2 Patient ID 0010, 0020 2/2 -NA- 2/2 Patient's Birth Date 0010, 0030 2/2 -NA- 2/2 Patient's Sex 0010, 0040 2/2 -NA- 2/2 Referenced Patient Sequence 0008, 1120 2/2 (Null Sequence) -NA- 2/2 (Null Sequence) Performed Procedure Step Information Performed Procedure Step ID 0040, 0253 1/1 (16-digit Random Number) -NA- 1/1 (16-digit Random Number) Performed Station AE Title 0040, 0241 1/1 -NA- 1/1 Performed Station Name 0040, 0242 2/2 -NA- 2/2 Performed Location 0040, 0243 2/2 -NA- 2/2 Performed Procedure Step Start Date 0040, 0244 1/1 -NA- 1/1 Performed Procedure Step Start Time 0040, 0245 1/1 -NA- 1/1 Performed Procedure Step Status 0040, 0252 1/1 (Always starts with IN- PROGRESS) 3/1 1/1 (Ends with either COMPLETED or DISCONTINUED) Performed Procedure Step Description 0040, 0254 2/2 3/2 2/2 Performed Procedure Type Description 0040, 0255 2/2 3/2 2/2 Procedure Code Sequence 0008, 1032 2/2 3/2 2/2 Performed Procedure Step End Date 0040, 0250 2/2 3/1 2/2 Performed Procedure Step End Time 0040, 0251 2/2 3/1 2/2 Image Acquisition/Creator Results Modality 0008, 0060 1/1 -NA- 1/1 13 of 29
Table 6: Attribute Name Tag Req. Type N-CREATE (SCU/SCP) Req. Type N-SET (SCU/SCP) Requirement Type Final State Study ID 0020, 0010 2/2 -NA- 2/2 Performed Action Item Code Sequence 0040, 0260 2/2 3/2 2/2 Performed Series Sequence 0040, 0340 2/2 (Null Sequence) 3/2 (Null Sequence) 2/2 (Null Sequence) >Performing Physician's Name 0008, 1050 -NA- -NA- -NA- >Protocol Name 0018, 1030 -NA- -NA- -NA- >Operator's Name 0008, 1070 -NA- -NA- -NA- >Series Instance UID 0020, 000E -NA- -NA- -NA- >Series Description 0008, 103E -NA- -NA- -NA- >Retrieve AE Title 0008, 0054 -NA- -NA- -NA- >Referenced Image Sequence 0008, 1140 -NA- -NA- -NA- >>Referenced SOP Class UID 0008, 1150 -NA- -NA- -NA- >>Referenced SOP Instance UID 0008, 1155 -NA- -NA- -NA- >Referenced Standalone SOP Instance Sequence 0040, 0220 -NA- -NA- -NA- The user request to export the new DICOM Objects will send a COMPLETED message, immediately after the IN-PROGRESS message. There is no use case that will lead to a DISCONTINUED status. Query / Retrieve Request: End User specific request Associated Real-World Activity A user queries a remote AE. The user then has the choice of issuing a retrieve request from the remote AE. Move requests are directed to send objects to the RadSuite Archive. 14 of 29
Proposed Presentation Contexts The DICOM SCU will propose a C-Find and/or C-Move presentation context as indicated in the following Presentation Context Table: Table 7: Presentation Context Table Abstract Syntax Transfer Syntax Name UID Name UID Role Extended Negotiation Study Root Query/Retrieve Information Model - FIND Study Root Query/Retrieve Information Model - MOVE 1.2.840.10008.5.1.4.1.2.2.1 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None 1.2.840.10008..5.1.4.1.2.2.2 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None SOP Specific Conformance Statement for Query / Retrieve SOP Class Query Return and Matching keys are set using a dynamic query from the Worklist screen of the Advanced Visualization Image Display based on attributes available to the Worklist as listed below. Query Return and Matching Keys are limited only by their support from the C-FIND SCP on the DICOM Image Archive. The system uses preconfigured search criteria to obtain the list of matching entries from an Archive. Query Return and Matching Keys are limited only by their support from the C-FIND SCP on the Image Archive. The SCU does not support relational queries or extended negotiation. Advanced Visualization Worklist Attributes The following table shows the mapping of DICOM attributes to Worklist attributes in the application. These are tags that can be added at the patient, study, and series level for display in a Worklist style. In the table below, a tag may appear more than once indicating this it is available at multiple levels (e.g., "Modality" is available at both the study and series level). DICOM Attribute Name DICOM Tag AV Alias Patient Level Patient Name (0010,0010) PatientName Other Patient ID (0010,1000) OtherPatientID Other Patient Names (0010,1001) OtherPatientNames Patient's Birth Date (0010,0030) PatientBirthDate Patient ID (0010,0020) PatientID Patient's Name (0010,0010) PatientName Patient's Sex (0010,0040) PatientSex Study Level 15 of 29
DICOM Attribute Name DICOM Tag AV Alias Accession Number (0008,0050) AccessionNumber Institution Name (0008,0080) InstitutionName Manufacturer (0008,0070) Manufacturer Manufacturer Model's Name (0008,1090) ManufacturerModelName Number of Series Related Instances (0020,1209) #Images Number of Study Related Series (0020,1206) #Series Name of Physician(s) Reading Study (0008,1060) ReadingPhysician Referring Physician's Name (0008,0090) ReferringPhysician Station Name (0008,1010) StationName Study Date (0008,0020) StudyDate Study Description (0008,1030) StudyDescription Study ID (0020,0010) StudyID Study Instance UID (0020,000d) StudyInstanceUID Study Status StudyStatus Study Time (0008,0030) StudyTime Series Level Body Part Examined (0018,0015) BodyPartExamined Department Name DepartmentName Institution Name (0008,0080) InstitutionName Laterality Laterality Modality (0008,0060) Modality Number of Series Related Instances (0020,1209) #Images Patient Position PatientPosition Protocol Name (0018,1030) ProtocolName Series Number (0020,0011) Series# Series Date (0008,0021) SeriesDate Series Description (0008,103e) SeriesDescription Series Instance UID (0020,000e) SeriesInstanceUID Series Time (0008,0031) SeriesTime 16 of 29
Quality Control (QC) Mutable Attributes The table below displays the list of "mutable" attributes at the patient, study, series, and instance level. Within the context of this document, a "mutable" attribute refers to one that can be edited by QC related functionality within Advanced Visualization. Currently, Advanced Visualization restricts mutable attributes to ones that are parsed into its database upon storage and ones that pose no patient safety implications by allowing a user to edit them. An example of tags that are associated with patient safety are DICOM tags that define patient orientation and position information for cross sectional modalities like CT, MR, PT, and NM. Advanced Visualization does not allow such tags to be edited. Another QC classification are tags that can be changed in a controlled manner only. An example is that UIDs can typically be regenerated by certain QC functions but cannot be manually changed by the user. Table 8: Tag Group, Element QC Status Notes Patient Level Patient ID (0010,0020) Mutable Patient Name (0010,0010) Mutable Other Patient IDs (0010,1000) Mutable Other Patient Names (0010,1001) Mutable Occupation (0010,2180) Mutable Patient Age (0010,10100 Mutable Patient Birth Date (0010,0030) Mutable Patient Birth Time (0010,0032) Mutable Ethnic Group (0010,2160) Mutable Additional Patient History (0010,21B0) Mutable Patient Sex (0010,0040) Mutable Patient Size (0010,1020) Mutable Patient Weight (0010,1030) Mutable Patient Comments (0010, 4000) Mutable Study Level Accession Number (0008,0050) Mutable Referring Physician's Name (0008,0090) Mutable Study Date (0008,0020) Mutable Study ID (0020,0010) Mutable 17 of 29
Table 8: Tag Group, Element QC Status Notes Study Instance UID (0020,000D) Controlled change Programmatic change when a new study UID is issued by the software. No manual change allowed. Study Time (0032,000C) Mutable Institutional Department Name (0008,1040) Mutable Physicians of Record (0008,1048) Mutable Series Level Body Part Examined (0018,0015) Mutable Frame of Reference UID (0020,0052) Immutable Modality (0008,0060) Mutable Series Date (0008,0021) Mutable Series Description (0008,103E) Mutable Series Instance UID (0020,000E) Controlled change Programmatic change when a new series UID is issued by the software. No manual change allowed. Series Number (0020,0011) Mutable Series Time (0008,0031) Mutable Institution Name (0008,0080) Mutable Manufacturer (0008,0070) Mutable Manufacturer's Model Name (0008,1090) Mutable Protocol Name (0018,1030) Mutable Station Name (0008,1010) Mutable Receiving Coil (0018, 1250) Mutable Instance Level Bits Allocated (0028,0100) Immutable Bits Stored (0028,0101) Immutable Columns (0028,0011) Immutable High Bit (0028,0102) Immutable 18 of 29
Table 8: Tag Group, Element QC Status Notes Image Orientation Patient Image Position Patient (0020,0037) Mutable (0020,0032) Mutable Image Type (0008,0008) Mutable Imager Pixel Spacing (0018,1164) Immutable Instance Number (0020,0013) Controlled change Value is changed only when images are reordered. No manual change allowed. Lossy Image Compression (0028,2110) Immutable Number of Frames (0028,0008) Immutable Number of Slices (0054,0081) Immutable Photometric Interpretation (0028,0004) Immutable Pixel Aspect Ratio (0028,0034) Immutable Pixel Representation (0028,0103) Immutable Pixel Spacing (0028,0030) Immutable Planar Configuration (0028,0006) Mutable Referenced Frame Number (0008,1160) Immutable Instance Level Referenced Series Sequence Referenced Study Sequence Referenced SOP Class UID Referenced SOP Instance UID Referenced SOP Sequence (0008,1115) Immutable (0008,1110) Immutable (0008,1150) Immutable (0008,1155) Immutable (0008,1199) Immutable Rescale Intercept (0028,1052) Mutable Rescale Slope (0028,1053) Mutable 19 of 29
Table 8: Tag Group, Element QC Status Notes Rescale Type (0028,1054) Mutable Rows (0028,0010) Immutable Samples Per Pixel (0028,0002) Immutable Slice Location (0028,1041) Immutable SOP Class UID (0008,0016) Immutable SOP Instance UID (0008,0018) Immutable Spacing Between Slices (0018,0088) Immutable Transfer Syntax UID (0002,0010) Immutable Acquisition Date (0008,0022) Mutable Acquisition Number (0020,0012) Mutable Acquisition Time (0008,0032) Mutable Completion Flag (0040,A491) Immutable Content Date (0008,0023) Mutable Content Time (0008,0033) Mutable Creation Date (2100,0040) Mutable Creation Time (2100,0050) Mutable Derivation Description (0008,2111) Mutable Echo Time (0018,0081) Immutable Image Comments (0020,4000) Mutable Images in Acquisition (0020,1002) Immutable Largest Image Pixel Value (0028,0107) Mutable Laterality (0020,0060) Controlled change Patient Orientation (0020,0020) Controlled change Defined through controlled orientation changes using UI (plain film only). No manual change allowed. Defined through controlled orientation changes using UI (plain film only). No manual change allowed. 20 of 29
Table 8: Tag Group, Element QC Status Notes Instance Level Patient Position (0018,5100) Controlled change Defined through controlled position changes using UI (plain film only). No manual change allowed. Position Reference Indicator (0020,1040) Immutable Slice Thickness (0018,0050) Immutable Smallest Image Pixel Value (0028,0106) Immutable Window Center (0028,1050) Mutable Window Width (0028,1051) Mutable Verification Flag (0040,A493) Immutable View Position (0018,5101) Controlled change Defined through controlled orientation changes using UI (plain film only). No manual change allowed. Proprietary Structures Study Notes This release includes a proprietary object called a "study note" which can be added at the study, series, or instance level. Although these are proprietary objects, they are converted to Structured Report (SR) and Basic Voice Audio Waveform (AU) objects and will be sent to any external archive if the entire contents of the relevant study are exported. DICOM Print Request Associated Real World Activity A user selects an image or series of images to be printed from the Advanced Visualization Viewer. Proposed Presentation Context Table 9: Presentation Context Table Abstract Syntax Transfer Syntax Name UID Name UID Role Extended Negotiation Basic Grayscale Print Management Meta SOP Class 1.2.840.10008.5.1.1.9 Implicit VR Little Endian 1.2.840.10008.1.2 SCU See Table 10 21 of 29
Table 9: Presentation Context Table Abstract Syntax Transfer Syntax Name UID Name UID Role Extended Negotiation Basic Color Print Management Meta SOP Class Presentation LUT SOP Class Basic Annotation Box SOP Class 1.2.840.10008.5.1.1.18 Implicit VR Little Endian 1.2.840.10008.1.2 SCU See Table 11 1.2.840.10008.5.1.1.23 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None 1.2.840.10008.5.1.1.15 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None Table 10: Basic Grayscale Print Management Meta SOP Class SOP Class Name SOP Class UID Extended Negotiation Basic Film Session SOP Class 1.2.840.10008.5.1.1.1 None Basic Film Box SOP Class 1.2.840.10008.5.1.1.2 None Basic Grayscale Image Box SOP Class 1.2.840.10008.5.1.1.4 None Printer SOP Class 1.2.840.10008.5.1.1.16 None Table 11: Basic Color Print Management Meta SOP Class SOP Class Name SOP Class UID Extended Negotiation Basic Film Session SOP Class 1.2.840.10008.5.1.1.1 None Basic Film Box SOP Class 1.2.840.10008.5.1.1.2 None Basic Color Image Box SOP Class 1.2.840.10008.5.1.1.4.1 None Printer SOP Class 1.2.840.10008.5.1.1.16 None SOP Specific Conformance N-CREATE Warning and Error messages currently result in an aborted session. Table 12: SOP Specific Conformance for Basic Film Session SOP Class Attribute Tag When Sent Range of Values Number of Copies (2000,0010) Always 1 to Maximum value specified by User Print Priority (2000,0020) Always LOW, MEDIUM, HIGH Medium Type (2000,0030) Always BLUE FILM, CLEAR FILM, PAPER 22 of 29
Table 12: SOP Specific Conformance for Basic Film Session SOP Class Attribute Tag When Sent Range of Values Film Destination (2000,0040) Always MAGAZINE, PROCESSOR, BIN_1, BIN_2 Film Session Label (2000,0050) Always SOP Instance UID Owner ID (2000,0160) Always Advanced Visualization User login name Table 13: SOP Specific Conformance for Basic Film Box SOP Class Attribute Tag When Sent Range of Values Image Display Format (2010,0010) Always STANDARD\\C,R Film Orientation (2010,0040) Always PORTRAIT, LANDSCAPE Film Size ID (2010,0050) Always 4INX6IN, 8INX10IN, 10INX12IN, 10INX14IN, 11INX14IN, 14INX14IN, 14INX17IN, NONE Magnification Type (2010,0060) Always REPLICATE, BILINEAR, CUBIC, NONE Annotation Display Format ID (2010,0030) If requested by User Printer dependent values derived from Conformance statement Border Density (2010,0100) Always BLACK, WHITE Max Density (2010,0130) Always empty Trim (2010,0140) Always YES, NO (Printer dependent setting) Configuration Information (2010,0150) Always empty Table 14: SOP Specific Conformance for Basic Grayscale Image Box SOP Class Attribute Tag When Sent Range of Values Image Position (2020,0010) Always 1 to last image position based on Image Display Format rows and columns Polarity (2020,0020) Always NORMAL Magnification Type (2010,0060) Always REPLICATE, BILINEAR, CUBIC, NONE Same as what is sent in Basic Film Box PreformattedGraysca leimagesequence (2010,0110) Always Sequence of pre-formatted gray scale image boxes >Samples Per Pixel (0028,0002) Always 1 >Photometric Interpretation (0028,0004) Always MONOCHROME2 23 of 29
Table 14: SOP Specific Conformance for Basic Grayscale Image Box SOP Class Attribute Tag When Sent Range of Values >Bits Allocated (0028,0100) Always 16 (8-bit not supported) >Bits Stored (0028,0101) Always 12 (8-bit not supported) >High Bit (0028,0102) Always 11 (8-bit not supported) >Pixel Representation (0028,0103) Always 0000H >Rows (0028,0010) Always Variable >Columns (0028,0011) Always Variable >PixelAspectRatio (0028,0034) Always Xsize:YSize mostly 1:1 >Pixel Data (7fe0,0010) Always Pixel data of the Image Table 15: SOP Specific Conformance for Basic Color Image Box SOP Class Attribute Tag When Sent Range of Values Image Position (2020,0010) Always 1 to last image position based on Image Display Format rows and columns Polarity (2020,0020) Always NORMAL Magnification Type (2010,0060) Always REPLICATE, BILINEAR, CUBIC, NONE Same as what is sent in Basic Film Box PreformattedColorI magesequence (2010,0111) Always Sequence of pre-formatted color image boxes >Samples Per Pixel (0028,0002) Always 3 >Photometric Interpretation (0028,0004) Always RGB >Bits Allocated (0028,0100) Always 8 >Bits Stored (0028,0101) Always 8 >High Bit (0028,0102) Always 7 >Pixel Representation (0028,0103) Always 0000H >Rows (0028,0010) Always Variable >Columns (0028,0011) Always Variable >PixelAspectRatio (0028,0034) Always Xsize:YSize mostly 1:1 24 of 29
Table 15: SOP Specific Conformance for Basic Color Image Box SOP Class Attribute Tag When Sent Range of Values >Pixel Data (7fe0,0010) Always Pixel data of the Image SOP Specific Conformance for Printer SOP Class N-EVENT-REPORT messages are received but not acted upon. Table 16: SOP Specific Conformance for Presentation LUT SOP Class Attribute Tag When Sent Range of Values Presentation LUT Shape (2050,0020) When supported IDENTITY Table 17: SOP Specific Conformance for Basic Annotation Box SOP Class Attribute Tag When Sent Range of Values Annotation Position (2030,0010) User requested 1 Text String (2030,0020) User requested Task ID, and Product Version Association Acceptance Policy The Advanced Visualization DICOM SCU Server never accepts an association. 25 of 29
Communication Profiles Supported Communication Stacks (Parts 8,9) RadSuite provides DICOM V3.0 TCP/IP Network Support as defined in PS3.8. TCP/IP Stack RadSuite inherits its TCP/IP stack from the Java virtual machine, and, by default, the underlying platform on which the virtual machine is executing. API The API used to enable the TCP/IP stack for RadSuite is the Java Socket API found in the java.net package of the Java Development Kit. Physical Media Support RadSuite is indifferent to the physical medium over which TCP/IP executes. This is inherited from the particular platform that the Java virtual machine is executing on. 26 of 29
Extensions/Specializations/Privatizations Standard Extended/Specialized/Private SOPs Advanced Visualization does not support sending or receiving Standard Extended, Specialized, or Private SOPs. Advanced Visualization does create some Private SOPs, but if these objects are needed on another DICOM device, they will be converted and exported via Standard SOPs. Private Transfer Syntaxes Advanced Visualization does not support Private Transfer Syntaxes. 27 of 29
Configuration The SCUConfiguration.xml file contains all the configuration of Advanced Visualization DICOM SCU Services. Only a RadSuite PACS Administrator or support staff can make configuration changes. AE Title/Presentation Address Mapping All AE Title/Presentation Address mapping can be seen in the configuration files noted above. Configurable Parameters The amount of configuration the system allows is extensive. In general, the following parameters are configurable for each component: Listening IP port number Application entity title Number of simultaneous associations Minimum and Maximum PDU DICOM Part 10 file storage location Accepted SOP Classes Remote AE list (AE Title, Hostname, Port) Network Timeout A member of Merge Healthcare's support staff must perform configuration. 28 of 29
Support of Extended Character Sets Advanced Visualization supports only ISO_IR 100 (ISO 8859-1 Latin 1) as an extended character set. 29 of 29