DICOM 3.0 Conformance Statement DICOMlink for DELTAmanager Send

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DICOM 3.0 Conformance Statement DICOMlink for DELTAmanager Send Mac OS Part number: 500-505 Windows Part number: 500-514 Document #: Copyright 1996-2008 MedImage, Inc. All Rights Reserved. MedImage, Inc. 6276 Jackson Road Ann Arbor, Michigan 48103-9579 tel: 734-665-5400 fax: 734-665-4115 web: www.medimage.com Printed: Filename: Last Modified: 4/3/08 1:30 PM DELTAmgr-Send Conf. v1.3.doc 4/3/08 12:11 PM

Table of Contents 0.0 Introduction 3 0.1 Purpose of this Document 3 0.2 Definitions 3 1.0 Implementation model 5 1.1 Application Data Flow Diagram 5 1.1.1 DICOMlink as storage SCU - Sending DELTAmanager data to a remote node 5 1.1.2 DICOMlink as Query/Retrieve SCP - Servicing remote Q/R request 5 1.1.3 DICOMlink as Verification SCP - Servicing remote C_ECHO request 6 1.2 Functional Definitions of AE's 6 1.2.1 DICOMlink as storage SCU - Sending DELTAmanager data to a remote node 6 1.2.2 DICOMlink as Query/Retrieve SCP - Servicing remote Q/R request 6 1.2.3 DICOMlink as Verification SCP - Servicing remote C_ECHO request 6 1.3 Sequencing of Real-World Activities 7 2.0 AE Specifications 7 2.1 DICOMlink Specification 7 2.1.1 Association Establishment Policies 8 2.1.1.1 General 8 2.1.1.2 Number of Associations 8 2.1.1.3 Asynchronous Nature 8 2.1.1.4 Implementation Identifying Information 8 2.1.2 Association Initiation Policy 8 2.1.2.1 Real World Activity 1. Sending a DELTAmanager Dataset 8 2.1.3 Association Acceptance Policy 11 2.1.3.1 Real World Activity 1. Remote Query 11 2.1.3.2 Real World Activity 2. Remote Fetch 12 2.1.3.3 Real World Activity 3. Remote Verification 13 3.0 Communication Profiles 15 3.1 Supported Communications Stacks (Parts 8, 9) 15 3.2 TCP/IP Stack 15 3.2.1 Physical media supported 15 4.0 Extensions/Specializations/Privatizations 15 5.0 Configuration 16 5.1 AE Title/Presentation Address Mapping - Remote Node definition 16 5.2 Configurable Parameters 16 5.2.1 DICOM Parameters 16 5.2.2 Transmit and Receive Parameters 16 6.0 Support of Extended Character Sets 16 DICOMlink for DELTAmanager-Send Conformance v1.3 Page 2

Revision History 1.0 11/25/96 R. Helton Original 1.1 12/31/96 R. Helton UID information added 1.2 11/7/98 R. Helton Q/R features added 1.2 r2 11/25/98 R. Helton Note Remote Queries are not case sensitive. 1.3 04/02/08 R. Helton Added Secondary Capture Multi-Frame SOP Support. 0.0 Introduction 0.1 Purpose of this Document This document states the conformance of the DICOMlink for DELTAmanager - Send to the DICOM 3.0 standard. DICOMlink for DELTAmanager - Send is one of the two DICOM products offered for the DELTAmanager. The other product is DICOMlink for DELTAmanager Receive. Any combination of these products may be purchased. DELTAmanager is a nuclear medicine review system. DICOMlink for DELTAmanager - Send is a software option to the DELTAmanager family of products that provides DICOM 3.0 services. DICOMlink for DELTAmanager - Send provides for export of DELTAmanager data to a remote DICOM enabled node. DICOMlink for DELTAmanager - Send C_STORE as SCU C_FIND and C_MOVE as SCP C_ECHO as SCP -- MAC OS only Other DICOMlink for DELTAmanager options: DICOMlink for DELTAmanager - Receive (Mac OS Part number: 500-510) DICOMlink for DELTAmanager - Receive (Windows Part number: 500-512) 0.2 Definitions The following are symbols and abbreviations used within this document. AE Application Entity ACR American College of Radiology DICOM Digital Imaging and Communications in Medicine DICOMlink DICOM software application name DIMSE DICOM Message Service Element DIMSE-C DICOM Message Service Element-Composite DICOMlink for DELTAmanager-Send Conformance v1.3 Page 3

DIMSE-N IOD Media Format NEMA OSI PDU SCP SCU SOP Tag TCP/IP UID VR VM DICOM Message Service Element-Normative Information Object Definition DICOM media format, see part 10 of DICOM standard National Electrical Manufacturers Association Open Systems Interconnection Protocol Data Unit Service Class Provider Service Class User Service-Object Pair A 32 bit integer consisting of a group/element pair Transmission Control Protocol/Internet Protocol Unique Identifier Value Representation refers to a Tag, see part 5 of NEMA standard Value Multiplicity of tag, see part 5 of NEMA standard DICOMlink for DELTAmanager-Send Conformance v1.3 Page 4

1.0 Implementation model This implementation provides for simple transfer of datasets using the DICOM Storage Service Class as an SCU, and simple management of images using the DICOM Query/Retrieve Service Class as a SCP. Verification service class is implemented as SCP only. The operator initiates data transfers from the DELTAmanager to a remote AE by selecting datasets from the DELTAmanager Patient list. Alternatively a remote node can query and retrieve datasets from the DELTAmanager. 1.1 Application Data Flow Diagram 1.1.1 DICOMlink as storage SCU - Sending DELTAmanager data to a remote node Dataset transfers from the DELTAmanager to a remote AE are started when the operator selects a set of patients or datasets to transfer with the DELTAmanager database function, and then selects the DICOM transfer function. Operator Initiates Send DICOMlink Dataset Stored Remotely Send To Remote (SCU) 1.1.2 DICOMlink as Query/Retrieve SCP - Servicing remote Q/R request -- Mac OS only As remote C_FIND and C_MOVE requests are received they are processed. Remote node issues a query Remote receives list of matching entries DICOMlink C-FIND - SCP role Database is checked for matching entries DICOMlink for DELTAmanager-Send Conformance v1.3 Page 5

Remote issues a Move Entry data is received by remote C-MOVE - SCP role DICOMlink C-STORE - SCU role Database is checked for matching entries 1.1.3 DICOMlink as Verification SCP - Servicing remote C_ECHO request DICOMlink Remote Node invokes C_ECHO C-ECHO - SCP role 1.2 Functional Definitions of AE's 1.2.1 DICOMlink as storage SCU - Sending DELTAmanager data to a remote node When a send is initiated, the operator is presented with the DELTAmanager patient list from the DICOMlink launch volume. The operator may select whole patient visits or individual data sets. Also a pop-up menu allows the operator to pick the remote AE or node to transfer the data sets to. Once the data sets are selected and the destination node is selected, the operator pushes the send button to initiate the transfer. For each data set selected the DICOMlink software: 1) translates the native DELTAmanager dataset into a DICOM message; 2) makes an association with the remote AE; 3) negotiates the Presentation Context; 4) initiates a C-STORE request and 5) closes the association. 1.2.2 DICOMlink as Query/Retrieve SCP - Servicing remote Q/R request Supports the remote query and retrieval requests, C_MOVE and C_FIND. The scope of query may be restricted to the volume the application was launched from, all local volumes or all mounted volumes. 1.2.3 DICOMlink as Verification SCP - Servicing remote C_ECHO request Response to all C_ECHO requests. DICOMlink for DELTAmanager-Send Conformance v1.3 Page 6

1.3 Sequencing of Real-World Activities Not applicable. 2.0 AE Specifications DICOMlink acts as a single AE. The operational parameters (including AE title and port number) of DICOMlink are derived from the DICOM Configuration Dialog that is accessible within the DICOMlink Application. 2.1 DICOMlink Specification DICOMlink provides Standard Conformance to the following DICOM V3.0 SOP Storage Classes. Table 1: Storage SOP Class SOP Class Name SOP Class UID Role CT Storage 1.2.840.10008.5.1.4.1.1.2 SCU MR Storage 1.2.840.10008.5.1.4.1.1.4 SCU Secondary Capture Storage 1.2.840.10008.5.1.4.1.1.7 SCU Secondary Capture Storage 1.2.840.10008.5.1.4.1.1.7.2 SCU Secondary Capture Storage 1.2.840.10008.5.1.4.1.1.7.3 SCU Secondary Capture Storage 1.2.840.10008.5.1.4.1.1.7.4 SCU Nuclear Medicine Storage 1.2.840.10008.5.1.4.1.1.20 SCU Table 2: Query/Retrieve Information Model (Patient Root) SOP CLASS NAME SOP CLASS UID ROLE C_FIND 1.2.840.10008.5.1.4.1.2.2.1 SCP C_MOVE 1.2.840.10008.5.1.4.1.2.2.2 SCP Table 3: Query/Retrieve Information Model (Study Root) SOP Class Name SOP Class UID Role C_FIND 1.2.840.10008.5.1.4.1.2.2.1 SCP C_MOVE 1.2.840.10008.5.1.4.1.2.2.2 SCP Table 4: Query/Retrieve Information Model (Patient/Study Only) DICOMlink for DELTAmanager-Send Conformance v1.3 Page 7

SOP Class Name SOP Class UID Role C_FIND 1.2.840.10008.5.1.4.1.2.2.1 SCP C_MOVE 1.2.840.10008.5.1.4.1.2.2.2 SCP Table 5: Verification SOP Class SOP Class Name SOP Class UID Role Verification - C_ECHO 1.2.840.10008.1.1 SCP 2.1.1 Association Establishment Policies 2.1.1.1 General This implementation will generally establish one association per SOP interaction. The operator initiates a transfer by selecting DELTAmanager image data (including most manufacturer save screens) and a destination AE. An association is made for each dataset selected for transfer. The default maximum PDU size is 16384 bytes. This can be adjusted by the operator. 2.1.1.2 Number of Associations The DICOMlink software will attempt or accept only one association at a time. An exception to this is during a C_MOVE operation of a query/retrieve; the subordinate C_STORE operation is processed while the C_MOVE is active. 2.1.1.3 Asynchronous Nature DICOMlink will only send a single dataset during an association. There is no asynchronous activity in this implementation. 2.1.1.4 Implementation Identifying Information DICOMlink will provide a single Implementation Class UID (tag [0002,0012]) which is "1.2.124.285.1." DICOMlink will provide an implementation version name of "DICOMlink <current SW version number>." 2.1.2 Association Initiation Policy DICOMlink attempts to initiate a new association for each of the following. Sending a DELTAmanager Dataset to a remote node. 2.1.2.1 Real World Activity 1. Sending a DELTAmanager Dataset 2.1.2.1.1 Associated Real World Activity DICOMlink for DELTAmanager-Send Conformance v1.3 Page 8

The Associated Real World Activity is the operator selection of datasets to transfer. The DICOMlink software sends the image dataset (C-STORE request). 2.1.2.1.2 Proposed Presentation Contexts Proposed Presentation contexts for DICOMlink Presentation Context Table Abstract Syntax Transfer Syntax Role Ext. Neg. Name UID Name List UID List CT Image 1.2.840.10008.5.1.4.1.1.2 SCU MR Image 1.2.840.10008.5.1.4.1.1.4 SCU US Image 1.2.840.10008.5.1.4.1.1.6.1 SCU SC Image 1.2.840.10008.5.1.4.1.1.7 1.2.840.10008.5.1.4.1.1.7.2 1.2.840.10008.5.1.4.1.1.7.3 SCU 1.2.840.10008.5.1.4.1.1.7.4 NM Image 1.2.840.10008.5.1.4.1.1.20 SCU PET Image 1.2.840.10008.5.1.4.1.1.128 SCU 2.1.2.1.3 SOP Specific Conformance DICOMlink for DELTAmanager-Send Conformance v1.3 Page 9

If DICOMlink is unable to open an association for a particular file, two lines of the following form are written to the status window. <time> Sending to <hostname> (NM): <studyname> -- Error: <err #> And then it continues with the next file. in - <error text> When a successful response to a C-STORE operation is received, a single line of the following form is written to the status window. <time> Sending to <hostname> (NM): <studyname>, OK When a failed or refused response to a C-STORE operation is received, two lines of the following form are written to the status window. <time> Sending to <hostname> (NM): <studyname> -- Error: <err #> DICOMlink will continue with the next file. DICOMlink will not attempt any extended negotiation. in - <error text> DELTAmanager generated image files are either Nuclear Medicine Image Objects using the NM Image IOD or Secondary Capture Image Objects. The following optional elements (Type 3) may be included: Optional Elements Tag Name Notes [0008,0080] Institution Name UID If available [0008,1010] Station Name If available [0008,1030] Study Description If available [0008,103E] Series Description If available [0008,1040] Institutional Department Name If available [0008,1060] Name of Physician Reading Study If available [0008,1070] Operator's Name If available [0010,1010] Patient's Age If available [0010,1020] Patient's Size If available [0010,1030] Patient's Weight If available [0018,1030] Protocol Name If available [0028,0106] Smallest Image Pixel Value Always [0028,0107] Largest Image Pixel Value Always [0028,0108] Smallest Pixel Value in Series Always DICOMlink for DELTAmanager-Send Conformance v1.3 Page 10

[0028,0109] Largest Pixel Value in Series Always [0028,1050] Window Center Always [0028,1051] Window Width Always 2.1.3 Association Acceptance Policy DICOMlink accepts association for each of the following real-world activities. Remote application entity queries for matching datasets. (C_FIND) Remote application entity requests a dataset. (C_MOVE) -- MAC OS only -- MAC OS only Remote application entity requests an echo. (C_ECHO) 2.1.3.1 Real World Activity 1. Remote Query 2.1.3.1.1 Associated Real-World Activity - C_FIND 2.1.3.1.2 Presentation Context Table Query SCP Presentation Contexts for DICOMlink Presentation Context Table Abstract Syntax Transfer Syntax Role Ext. Neg. Name UID DICOM UID List Patient/Study Root Find 1.2.840.10008.5.1.4.1.2.3.1 SCP Patient Root Find 1.2.840.10008.5.1.4.1.2.1.1 SCP Study Root Find 1.2.840.10008.5.1.4.1.2.2.1 SCP DICOMlink for DELTAmanager-Send Conformance v1.3 Page 11

2.1.3.1.3 SOP Specific Conformance This implementation does not make use of any optional keys. Relational queries are not supported. Required and unique fields and matching criteria are supported at the patient and study level. The accession number is not supported by DICOMlink for query. If an accession number is specified it is ignored. On the DELTAmanager, the folder name for a patient visit consists of a possibly shortened version of the patient name, patient ID, protocol (study ID) and visit date. These concatenated entries are used for the remote queries. Using wildcards on the remote end is recommended. String comparisons are not case sensitive. At the series and study search level, no matching is performed. That is at these levels all entries are returned. As part of configuration of the DICOMlink software, the scope of the search can be limited to 1) the volume the application was launched from, 2) all local volumes or 3) all mounted volumes (includes networked volumes). 2.1.3.1.4 Presentation Context Acceptance Criterion Remote Application Entity may not mix Storage and Query presentation syntaxes. If a mixture of C_STORE and C_FIND syntaxes is presented, the program assumes a C_STORE operation will follow. In this case if a C_FIND operation is attempted, the message is rejected. 2.1.3.1.5 Transfer Syntax Selection Policies DICOMlink accepts all the possible transfer syntaxes. If offered a choice of Transfer Syntaxes in a Presentation Context, it will accept the first matching context. 2.1.3.2 Real World Activity 2. Remote Fetch 2.1.3.2.1 Associated Real-World Activity - C_MOVE 2.1.3.2.2 Presentation Context Table Retrieve SCP Presentation Contexts for DICOMlink Presentation Context Table Abstract Syntax Transfer Syntax Role Ext. Neg. Name UID DICOM UID List Patient/Study Root Move 1.2.840.10008.5.1.4.1.2.3.3 SCP Patient Root Move 1.2.840.10008.5.1.4.1.2.1.2 SCP DICOMlink for DELTAmanager-Send Conformance v1.3 Page 12

Study Root Move 1.2.840.10008.5.1.4.1.2.2.2 SCP 2.1.3.2.3 SOP Specific Conformance DICOMlink will accept any number of the SOP classes listed above. 2.1.3.2.4 Presentation Context Acceptance Criterion Remote Application Entity may not mix Storage and Query presentation syntaxes. If a mixture of C_STORE and C_MOVE syntaxes is presented, the program assumes a C_STORE operation will follow. In this case if a C_MOVE operation is attempted, the message is rejected. 2.1.3.2.5 Transfer Syntax Selection Policies DICOMlink accepts all the possible transfer syntaxes. If offered a choice of Transfer Syntaxes in a Presentation Context, it will accept the first matching context. 2.1.3.3 Real World Activity 3. Remote Verification 2.1.3.3.1 Associated Real-World Activity - C_ECHO Remote node requests an ECHO from the DICOMlink node. 2.1.3.3.2 Presentation Context Table Verification SCP Presentation Contexts for DICOMlink Presentation Context Table Abstract Syntax Transfer Syntax Role Ext. Neg. Name UID DICOM UID List Verification 1.2.840.10008.1.1 SCP 2.1.3.3.3 SOP Specific Conformance DICOMlink provides standard conformance to the DICOM Verification Service Class. 2.1.3.3.4 Presentation Context Acceptance Criterion DICOMlink for DELTAmanager-Send Conformance v1.3 Page 13

DICOMlink provides standard 2.1.3.3.5 Transfer Syntax Selection Policies DICOMlink accepts all the possible transfer syntaxes. If offered a choice of Transfer Syntaxes in a Presentation Context, it will accept the first matching context. DICOMlink for DELTAmanager-Send Conformance v1.3 Page 14

3.0 Communication Profiles 3.1 Supported Communications Stacks (Parts 8, 9) The DICOMlink software provides DICOM V3.0 TCP/IP Network Communications Support as defined in PS 3.8 of the DICOM standard. 3.2 TCP/IP Stack DICOMlink inherits the TCP/IP stack from the host operating system upon which it runs. 3.2.1 Physical media supported DICOMlink is indifferent to the physical medium over which TCP/IP executes. 4.0 Extensions/Specializations/Privatizations There are no Extensions or Specializations in this release. Images created in DICOM Media format on DELTAmanager systems will have a private group 0x0011 added. The private creator identification is MEDIMAGE_DM (0011,0010). The defined elements are below. Attribute Name for Private Group 0x0011 Tag Type VR VM Study name (0011,10b1) 3 LO 1 Filename used (0011,10b2) 3 LO 1 Protocol matching fields from original dataset, part 1 (0011,10b3) 3 LO 1 Protocol matching fields from original dataset, part 2 (0011,10b4) 3 LO 1 SUV body weight slope (0011,10b4) 3 LO 1 SUV lean body mass slope (0011,10ba) 3 LO 1 SUV body surface area slope (0011,10bb) 3 LO 1 Private Storage Type (0011,10bc) 3 IS 1 Private Storage (0011,10bd) 3 UN 1 DELTAmanager utilizes DICOM data from many different sources. When forwarding received DICOM data to another DICOM station we retain any Private Groups that were contained in the original DICOM data. DICOMlink for DELTAmanager-Send Conformance v1.3 Page 15

5.0 Configuration 5.1 AE Title/Presentation Address Mapping - Remote Node definition DICOMlink provides for definition and editing of the remote Application Entities or nodes. For each remote node the operator specifies the host name, service, the application entity title, and the port number. The host name must be assigned a TCP/IP address either by the Host file contained within the System Folder or by a name server. 5.2 Configurable Parameters 5.2.1 DICOM Parameters DICOMlink provides for configuration of the DICOM node within the DICOM application. The following parameters are configurable. Application Entity Title Port Number Maximum Connections Maximum PDU size DICOM Timeouts for: Connection, Reply, Release and Write Low level logging file name and size of logged info Selection of logging information 5.2.2 Transmit and Receive Parameters DICOMlink provides for configuration of the DICOM node within the DICOM application. The following parameters are configurable. Format to Store Received Data: DELTAmanager, DICOM Stream or DICOM Media format Destination folder to store the received data file Selection of optional listing file, a file is generated for each dataset received. Message validation checking. One of three levels of validation can be preformed: Errors, Errors and warnings, and Errors warning and info. 6.0 Support of Extended Character Sets Extended character sets are not supported by this release. DICOMlink for DELTAmanager-Send Conformance v1.3 Page 16