XPACS DICOM 3.0 Conformance Statement Document Version October 2004

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Transcription:

XPACS DICOM 3.0 Conformance Statement Document Version 1.2.0 28 October 2004

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 1 of 25 Table of Contents 0 INTRODUCTION... 4 0.1 Purpose of this Document... 4 0.2 Intended Audience... 4 0.3 Integration... 4 0.4 Validation... 4 0.5 Sources for this Document... 4 0.7 Typographical Conventions... 4 1 IMPLEMENTATION MODEL... 5 1.1 Application Data Flow Diagram... 5 1.1.1 Verification as SCU...7 1.1.2 Verification as SCP...7 1.1.3 Image Storage as SCP...7 1.1.4 Image Storage as SCU...7 1.1.5 Query as SCP...7 1.1.6 Query as SCU...7 1.1.7 Retrieve as SCP...7 1.1.8 Retrieve as SCU...7 1.1.9 DICOM Print as SCU...7 1.2 Functional Definitions of Application Entities... 8 1.3 Sequencing of Real World Activities... 8 2. APPLICATION ENTITY SPECIFICATIONS... 9 2.1 AE Specifications for XPACS DICOM Services... 9 2.1.1 Association Establishment Policies...10 2.1.1.1 General...10 2.1.1.2 Number of Associations...10 2.1.1.3 Asynchronous Nature...10 2.1.1.4 Implementation Identifying Information...10 2.1.1.5 Called/Calling Titles...10 2.1.2 Association Initiation Policy (SCU)...11 2.1.2.1 Verify Communication with a Remove System ( Verification)...11 2.1.2.1.1 Associated Real World Activity ( Verification)...11 2.1.2.1.2 Proposed Presentation Contexts ( Verification)...11 2.1.2.1.3 SOP Specific Conformance Statement ( Verification)...11 2.1.2.2 Send Images to a Remote System ( Image Storage)...12

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 2 of 25 2.1.2.2.1 Associated Real World Activity ( Image Storage)...12 2.1.2.2.2 Proposed Presentation Contexts ( Image Storage)...12 2.1.2.2.3 SOP Specific Conformance Statement ( Image Storage)...12 2.1.2.3 Query a Remote Database ( Query)...13 2.1.2.3.1 Associated Real World Activity ( Query)...13 2.1.2.3.2 Proposed Presentation Contexts ( Query)...13 2.1.2.3.3 SOP Specific Conformance Statement ( Query)...13 2.1.2.4 Retrieve from a Remote System ( Retrieve)...13 2.1.2.4.1 Associated Real World Activity ( Retrieve)...13 2.1.2.4.2 Proposed Presentation Contexts ( Retrieve)...13 2.1.2.4.3 SOP Specific Conformance Statement ( Retrieve)...14 2.1.2.5 Print to a Remote Laser Imager ( Basic Grayscale Print Management Meta Classes)...14 2.1.2.5.1 Associated Real World Activity ( Basic Grayscale Print Management Meta Classes)...14 2.1.2.5.2 Proposed Presentation Contexts ( Basic Grayscale Print Management Meta Classes)...14 2.1.2.5.3 SOP Specific Conformance Statement ( Basic Grayscale Print Management Meta Classes)...15 2.1.2.5.3.1 Conformance for Basic Film Session...15 2.1.2.5.3.2 Conformance for Basic Film Box...15 2.1.2.5.3.3 Conformance for Basic Grayscale Image Box...16 2.1.2.5.3.4 Conformance for Printer...17 2.1.2.5.4 Optional es for Basic Grayscale Print Management Meta...17 2.1.3 Association Acceptance Policy...17 2.1.3.1 Verify Communication with a Remote System ( Verification)...17 2.1.3.1.1 Associated Real Word Activity ( Verification)...17 2.1.3.1.2 Presentation Context Table ( Verification)...17 2.1.3.1.3 SOP Specific Conformance Statement ( Verification)...17 2.1.3.1.4 Presentation Context Acceptance Criterion ( Verification)18 2.1.3.1.5 Transfer Syntax Selection Policies ( Verification)...18 2.1.3.2 Receive Images from a Remote System ( Storage)...18 2.1.3.2.1 Associated Real World Activity ( Storage)...18 2.1.3.2.2 Presentation Context Table ( Storage)...18 2.1.3.2.3 SOP Specific Conformance Statement ( Storage)...19 2.1.3.2.4 Presentation Context Acceptance Criterion (...19 Storage)...19 2.1.3.2.5 Transfer Syntax Selection Policies ( Storage)...19 2.1.3.3 Query the XPACS Database ( Query)...20 2.1.3.3.1 Associated Real World Activity ( Query)...20 2.1.3.3.2 Presentation Context Table ( Query)...20 2.1.3.3.3 SOP Specific Conformance Statement ( Query)...20 2.1.3.3.4 Presentation Context Acceptance Criterion ( Query)...21 2.1.3.3.5 Transfer Syntax Selection Policies ( Query)...21 2.1.3.4 Retrieve from XPACS ( Retrieve)...21 2.1.3.4.1 Associated Real World Activity ( Retrieve)...21 2.1.3.4.2 Presentation Context Table ( Retrieve)...22 2.1.3.4.3 SOP Specific Conformance Statement ( Retrieve)...22 2.1.3.4.4 Presentation Context Acceptance Criterion ( Retrieve)...23 2.1.3.4.5 Transfer Syntax Selection Policies ( Retrieve)...23

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 3 of 25 3 COMMUNICATION PROFILES... 24 3.1 TCP/IP STACK... 24 3.1.1 Physical Media Support...24 4 EXTENSIONS/SPECIALIZATIONS/PRIVATIZATIONS... 24 5 CONFIGURATION... 24 6 SUPPORT FOR EXTENDED CHARACTER SETS... 24 7 ACRONYMS AND ABBREVIATIONS... 25

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 4 of 25 0 INTRODUCTION 0.1 Purpose of this Document This document is the DICOM Conformance Statement for the XPACS medical imaging software application developed by icrco. XPACS is a service class provider for the DIMSE-C services for the storage, query and retrieval of images. XPACS is a service class user for DIMSE-C services for the storage, query and retrieval of images. 0.2 Intended Audience The intended user of this document is involved with software design and system integration. It is understood that this individual is familiar with the concepts and terms used in the DICOM 3.0 standard. Readers not familiar with DICOM 3.0 terminology should first read the appropriate parts of the DICOM standard prior to reading this conformance statement. 0.3 Integration The DICOM 3.0 standard should not be interpreted as a guarantee of connectivity between XPACS and any applications and/or equipment of different vendors. Integration and connectivity of XPACS to different vendors products is the user s responsibility. 0.4 Validation The user is responsible for testing the inferred connectivity between XPACS and different vendors products. 0.5 Sources for this Document American College of Radiology-National Electrical Manufacturers Association (ACR- NEMA) Digital Imaging and Communications v2.0, 1988. ACR-NEMA Digital Imaging and Communications in Medicine (DICOM) v3.0, parts 1 through 8, 10 through 12, and 14 through 16, Aug. 2003. 0.7 Typographical Conventions This section is designed to assist the reader in understanding the terms and typographical conventions used in this document. Italic type Formatting convention Application Entity Type of information

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 5 of 25 1 IMPLEMENTATION MODEL 1.1 Application Data Flow Diagram Figure 1. Association Initiation XPACS XPACS Verification (SCU) Remote Verification (SCP) XPACS Image Storage (SCU) Remote Image Storage (SCP) XPACS Query (SCU) Remote Query (SCP) XPACS Retrieve (SCU) Remote Retrieve (SCP) Print Managem ent (SCU) N-SET N-CREATE N-DELETE N-ACTION (Print SCP) DICOM Interface

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 6 of 25 Figure 2. Association Acceptance XPACS XPACS Verification (SCP) Remote Verification (SCU) XPACS Image Storage (SCP) Remote Image Storage (SCU) XPACS Query (SCP) Remote Query (SCU) XPACS Retrieve (SCP) Remote Retrieve (SCU) DICOM Interface XPACS can store images sent to it by service class users. Those images can be retrieved using DICOM. XPACS can query other DICOM SCPs based on several standard query models, and can move/retrieve requested images. XPACS can also store images to remote DICOM SCPs.

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 7 of 25 1.1.1 Verification as SCU XPACS sends C-ECHO-RQ messages to a remote DICOM SCP and receives C-EHCO-RSP messages. 1.1.2 Verification as SCP XPACS accepts incoming C-ECHO-RQ messages from a remote DICOM SCU and returns a C-ECHO-RSP message with a status of success or failed. 1.1.3 Image Storage as SCP XPACS stores a received image in its entirety, without change, in its internal data store. XPACS extracts the query information with respect to the patient, study, series and image, and stores this information within its internal database. 1.1.4 Image Storage as SCU XPACS stores an image to a remote DICOM SCP. 1.1.5 Query as SCP XPACS accepts query requests from a remote DICOM SCU, searches it s internal database, and sends back search results in query response containing matching patient, study, series, and image information. 1.1.6 Query as SCU XPACS sends query requests to retrieve patient, study, series, and image information from a remote DICOM SCP. 1.1.7 Retrieve as SCP XPACS accepts retrieve requests from a remote DICOM SCU, searches it s internal database, and moves images with matching attributes to a specified remote DICOM SCP. 1.1.8 Retrieve as SCU XPACS sends retrieve requests to move images directly from a remote DICOM SCP to a different DICOM SCP, potentially to itself. 1.1.9 DICOM Print as SCU XPACS sends print job requests to PRINT SCP.

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 8 of 25 1.2 Functional Definitions of Application Entities All communications and image transfer with the remove application is accomplished utilizing the DICOM protocol over a network using the TCP/IP protocol stack. Below is a table of the functions supported by XPACS application entities: SCU Verification Storage Query/Retrieve Basic Grayscale Print Management Verification Storage Query/Retrieve SCP 1.3 Sequencing of Real World Activities Not applicable.

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 9 of 25 2. APPLICATION ENTITY SPECIFICATIONS 2.1 AE Specifications for XPACS DICOM Services XPACS provides Standard Conformance to the following DICOM V3.0 Verification SOP Class as an SCP and as an SCU. Table 1. Verification SOP CLASS Verification 1.2.840.10008.1.1 XPACS provides Standard Conformance to the following DICOM V3.0 Storage SOP Classes as an SCP. Table 2. Storage es Computed Radiology 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 Ultrasound Multi-frame Image Storage 1.2.840.10008.5.1.4.1.1.3 MR Image Storage 1.2.840.10008.5.1.4.1.1.4 Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.5 Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6 Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 Unknown Storage stores entire DICOM object Any unknown UID without modification. XPACS provides Standard Conformance to the following DICOM V3.0 Storage SOP Classes as an SCU. Table 3. Storage es Computed Radiology 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 Ultrasound Multi-frame Image Storage 1.2.840.10008.5.1.4.1.1.3 MR Image Storage 1.2.840.10008.5.1.4.1.1.4 Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.5 Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6 Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 XPACS provides Standard Conformance to the following DICOM V3.0 Print Management Table 4. Print Management es Basic Grayscale Print Management Meta 1.2.840.10008.5.1.1.9

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 10 of 25 XPACS provides Standard Conformance to the following DICOM V3.0 Query/Retrieve es as an SCP and as an SCU: Table 5. Query/Retrieve es Patient Root Query/Retrieve IM Find 1.2.840.10008.5.1.4.1.2.1.1 Patient Root Query/Retrieve IM Move 1.2.840.10008.5.1.4.1.2.1.3 Study Root Query/Retrieve IM Find 1.2.840.10008.5.1.4.1.2.2.1 Study Root Query/Retrieve IM Move 1.2.840.10008.5.1.4.1.2.2.3 Patient/Study Only Query/Retrieve IM Find 1.2.840.10008.5.1.4.1.2.3.1 Patient/Study Only Query/Retrieve IM Move 1.2.840.10008.5.1.4.1.2.3.3 2.1.1 Association Establishment Policies 2.1.1.1 General The services of XPACS shall offer a maximum PDU size of 16Kb (16384 bytes) upon association initiation, and accept maximum PDU sizes up to 16kB (16384 bytes) on association initiated by remote applications. 2.1.1.2 Number of Associations XPACS as a default limits the number of concurrent associations as an SCP to 1. The maximum number of simultaneous associations accepted by XPACS is 10. Users may increase this value as needed; however, one should expect performance to degrade as the maximum number of simultaneous associations increases. Increasing the number of concurrent associations as an SCP means that XPACS will listen for incoming associations and spawn a new process to manage each request. This ability means it is possible for XPACS to receive both images and query/retrieve requests from multiple SCUs simultaneously. 2.1.1.3 Asynchronous Nature XPACS allows a single outstanding operation on any association. Therefore, XPACS does not support asynchronous operations window negotiation, other than the default as specified by the DICOM specification. 2.1.1.4 Implementation Identifying Information XPACS supplies value of 1.2.826.0.1.3680043.2.1074 as Implementation Class UID. Implementation version is also provided in the form of V.M.R where V is major version number, M is minor version number, and R is revision number. 2.1.1.5 Called/Calling Titles The calling title that XPACS will use is configurable. XPACS validates the Called or Calling Title of the requesting SCU during association negotiation. The internal user-configurable database of AE titles is used for validation.

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 11 of 25 2.1.2 Association Initiation Policy (SCU) XPACS initiates associations for the following activities: DICOM communication verification between XPACS and a remote system. Sending images from the local XPACS database to a remote system. Queries of remote database contents Retrieval of images from a remote database to the local XPACS database. Print images 2.1.2.1 Verify Communication with a Remove System ( Verification) 2.1.2.1.1 Associated Real World Activity ( Verification) The user selects a remote system AET from the list of targets and clicks Test. 2.1.2.1.2 Proposed Presentation Contexts ( Verification) Table 6. Transfer Syntaxes Transfer Syntax UID DICOM Implicit VR Little Endian Transfer Syntax 1.2.840.10008.1.2 Table 7. Presentation Contexts Abstract Syntax Transfer Syntax Verification 1.2.840.10008.1.1 All from Table 6 Role SCU Extended Negotiation None 2.1.2.1.3 SOP Specific Conformance Statement ( Verification) XPACS provides standard conformance to the DICOM Verification Service Class. XPACS returns one of the following status codes. Table 8. Verification status codes Service Further Protocol Related Description Status Meaning Codes Fields Error Failed C000 The operation was not successful. Success Success 0000 Operation performed properly.

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 12 of 25 2.1.2.2 Send Images to a Remote System ( Image Storage) 2.1.2.2.1 Associated Real World Activity ( Image Storage) XPACS will issue a Storage request when a user of XPACS wishes to send one or more images to a remote DICOM SCP. The user selects one or more patients, studies or images from the main application dialog and clicks the Send button. A list of targets appear, from which the user selects one. 2.1.2.2.2 Proposed Presentation Contexts ( Image Storage) XPACS supports the transfer syntaxes listed in Table 9. For a Storage request, XPACS will propose the Presentation Contexts listed in Table 10. Table 9. Transfer Syntaxes Transfer Syntax UID DICOM Implicit VR Little Endian Transfer Syntax 1.2.840.10008.1.2 DICOM Explicit VR Little Endian Transfer Syntax 1.2.840.10008.1.2.1 Baseline JPEG Huffman-encoded pixel data set 1.2.840.10008.1.2.4.50 Extended JPEG Huffman-encoded pixel data set 1.2.840.10008.1.2.4.51 Table 10. Storage es Abstract Syntax Transfer Syntax Computed 1.2.840.10008.5.1.4.1.1.1 All from Radiography Image Table 9 Storage CT Image Storage 1.2.840.10008.5.1.4.1.1.2 All from Table 9 Ultrasound Multi-frame 1.2.840.10008.5.1.4.1.1.3 All from Image Storage Table 9 MR Image Storage 1.2.840.10008.5.1.4.1.1.4 All from Table 9 Nuclear Medicine 1.2.840.10008.5.1.4.1.1.5 All from Image Storage Table 9 Ultrasound Image 1.2.840.10008.5.1.4.1.1.6 All from Storage Table 9 Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 All from Table 9 Role SCU SCU SCU SCU SCU SCU SCU Extended Negotiation None None None None None None None 2.1.2.2.3 SOP Specific Conformance Statement ( Image Storage) Images stored in the XPACS database that are to be sent to the remote systems are converted to instances of the corresponding SOP Storage class(es). Images are then sent sequentially to the remote system(s).

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 13 of 25 2.1.2.3 Query a Remote Database ( Query) 2.1.2.3.1 Associated Real World Activity ( Query) XPACS will issue a FIND request when a user of XPACS wishes to view patient and study information from a remote DICOM SCP. 2.1.2.3.2 Proposed Presentation Contexts ( Query) XPACS supports the transfer syntaxes listed in Table 11. For a QUERY request, XPACS will propose the Presentation Contexts listed in Table 12. Table 11. Transfer Syntaxes Transfer Syntax UID DICOM Implicit VR Little Endian Transfer Syntax 1.2.840.10008.1.2 DICOM Explicit VR Little Endian Transfer Syntax 1.2.840.10008.1.2.1 Patient Root Query/Retrieve IM Find Study Root Query/Retrieve IM Find Patient Study Only Query/Retrieve IM Find Table 12. Query es Abstract Syntax Transfer Syntax 1.2.840.10008.5.1.4.1.2.1.1 All from Table 11 1.2.840.10008.5.1.4.1.2.2.1 All from Table 11 1.2.840.10008.5.1.4.1.2.3.1 All from Table 11 Role Extended Negotiation SCU See Note 1 SCU See Note 1 SCU See Note 1 2.1.2.3.3 SOP Specific Conformance Statement ( Query) 2.1.2.4 Retrieve from a Remote System ( Retrieve) 2.1.2.4.1 Associated Real World Activity ( Retrieve) XPACS will issue a MOVE request when a user of XPACS wishes to move one or more studies from a remote DICOM SCP back to XPACS or another remote DICOM SCP. 2.1.2.4.2 Proposed Presentation Contexts ( Retrieve) XPACS supports the transfer syntaxes listed in Table 13. For a MOVE request, XPACS will propose the Presentation Contexts listed in Table 14.

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 14 of 25 Table 13. Transfer Syntaxes Transfer Syntax UID DICOM Implicit VR Little Endian Transfer Syntax 1.2.840.10008.1.2 DICOM Explicit VR Little Endian Transfer Syntax 1.2.840.10008.1.2.1 Table 14. Move es Abstract Syntax Transfer Syntax 1.2.840.10008.5.1.4.1.2.1.2 All from Table 13 Patient Root Query/Retrieve IM Move Study Root Query/Retrieve IM Move Patient Study Only Query/Retrieve IM Move 1.2.840.10008.5.1.4.1.2.2.2 All from Table 13 1.2.840.10008.5.1.4.1.2.3.2 All from Table 13 Role Extended Negotiation SCU See Note 2 SCU See Note 2 SCU See Note 2 2.1.2.4.3 SOP Specific Conformance Statement ( Retrieve) 2.1.2.5 Print to a Remote Laser Imager ( Basic Grayscale Print Management Meta Classes) 2.1.2.5.1 Associated Real World Activity ( Basic Grayscale Print Management Meta Classes) The user selects the desired image(s) and selects the Printer icon on the toolbar then they either select Print Page or Film Composer. The user can click on the Print icon on the toolbar and select Settings to change the default printer. 2.1.2.5.2 Proposed Presentation Contexts ( Basic Grayscale Print Management Meta Classes) XPACS supports the transfer syntaxes listed in Table 15. For a CREATE request, XPACS will propose the Presentation Contexts listed in Table 16. Table 15. Transfer Syntaxes Transfer Syntax UID DICOM Implicit VR Little Endian Transfer Syntax 1.2.840.10008.1.2

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 15 of 25 Basic Grayscale Print Management Meta Table 16. Query es Abstract Syntax Transfer Syntax 1.2.840.10008.5.1.1.9 All from Table 15 Role SCU Extended Negotiation None 2.1.2.5.3 SOP Specific Conformance Statement ( Basic Grayscale Print Management Meta Classes) Below are the mandatory print SOP classes supported by XPACS for the Basic Grayscale Management Meta class. Table 17. Basic Grayscale Print Management Meta es Basic Grayscale Print Management Meta Class: Supported es Name Basic Film Session 1.2.840.10008.5.1.1.1 Basic Film Box 1.2.840.10008.5.1.1.2 Basic Grayscale Image Box 1.2.840.10008.5.1.1.4 Printer 1.2.840.10008.5.1.1.16 2.1.2.5.3.1 Conformance for Basic Film Session XPACS includes the following N-Create attributes for the Basic Film Session SOP class: Table 18. Basic Film Session SOP class N-CREATE: Attributes Description Tag Number of Copies (2000,0010) Print Priority (2000,0020) Medium Type (2000,0030) Film Destination (2000,0040) Film Session Label (2000,0050) Memory Allocation (2000,0060) Owner ID (2000,0160) N-Set and N-Action are not used; however, N-Delete is used to delete the complete Basic Film Session SOP instance hierarchy. 2.1.2.5.3.2 Conformance for Basic Film Box The table below lists the N-Create attributes for the Basic Film Box SOP class.

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 16 of 25 Table 18. Basic Film Box SOP class N-CREATE: Attributes Description Tag Image Display Format (2010,0010) Annotation Display Format ID (2010,0030) Film Orientation (2010,0040) Film Size ID (2010,0050) Magnification Type (2010,0060) Smoothing Type (2010,0080) Border Density (2010,0100) Empty Image Density (2010,0110) Minimum Density (2010,0120) Maximum Density (2010,0130) Trim (2010,0140) Configuration Information (2010,0150) Illumination (2010,015E) Reflected Ambient Light (2010,0160) Requested Resolution ID (2020,0050) The N-Set is currently unused; however, the N-Action is used to print a complete Basic Film Box SOP instance and N-Delete is used to delete it after printing. 2.1.2.5.3.3 Conformance for Basic Grayscale Image Box The following attributes are included in XPACS N-Set for the Basic Grayscale Image SOP class. Table 18. Basic Grayscale Image SOP Box: N-Set Attributes Description Tag Image Position (2020,0010) Polarity (2020,0020) Magnification Type (2010,0060) Smoothing Type (2010,0080) Configuration Information (2010,0150) Requested Image Size (2020,0030) Requested Decimate/Crop Behavior (2020,0040) > Samples Per Pixel (0028,0002) > Photometric Interpretation (0028,0004) > Rows (0028,0010) > Columns (0028,0011) > Pixel Aspect Ratio (0028,0034) > Bits Allocated (0028,0100) > Bits Stored (0028,0101) > High Bit (0028,0102) > Pixel Representation (0028,0103) > Pixel Data (7FE0,0010) XPACS supports 8-bit and 16-bit printing.

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 17 of 25 2.1.2.5.3.4 Conformance for Printer XPACS uses N-GET for the Printer SOP class to get information from the SCP. 2.1.2.5.4 Optional es for Basic Grayscale Print Management Meta These SOP classes are not yet supported by XPACS. 2.1.3 Association Acceptance Policy XPACS accepts associations for the activities listed below: DICOM communication verification between XPACS and a remote system. Image transfer from a remote system to XPACS Processing remote system queries Initiation of image transfer to a remote system in response to a request for retrieval 2.1.3.1 Verify Communication with a Remote System ( Verification) 2.1.3.1.1 Associated Real Word Activity ( Verification) XPACS will respond to Verification requests to provide an SCU with the ability to determine if XPACS is receiving DICOM requests. 2.1.3.1.2 Presentation Context Table ( Verification) XPACS supports the transfer syntaxes listed in Table 19. XPACS will accept any of the Presentation Contexts listed in Table 20 for Verification. Table 19. Transfer Syntaxes Transfer Syntax UID DICOM Implicit VR Little Endian Transfer Syntax 1.2.840.10008.1.2 Table 20. Presentation Contexts Abstract Syntax Transfer Syntax Verification 1.2.840.10008.1.1 All from Table 19 Role SCP Extended Negotiation None 2.1.3.1.3 SOP Specific Conformance Statement ( Verification) XPACS provides standard conformance to the DICOM Verification Service Class. XPACS returns one of the following status codes.

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 18 of 25 Table 21. Verification status codes Service Further Protocol Related Description Status Meaning Codes Fields Error Failed C000 The operation was not successful. Success Success 0000 Operation performed properly. 2.1.3.1.4 Presentation Context Acceptance Criterion ( Verification) XPACS will always accept a Presentation Context for the Verification with the default DICOM transfer syntax listed in Table 20. 2.1.3.1.5 Transfer Syntax Selection Policies ( Verification) Since no DICOM data object is associated with a Verification command, only the default DICOM transfer syntax is required/supported. 2.1.3.2 Receive Images from a Remote System ( Storage) 2.1.3.2.1 Associated Real World Activity ( Storage) XPACS will archive images that are sent to it from an SCU. 2.1.3.2.2 Presentation Context Table ( Storage) XPACS supports the following transfer syntaxes listed in Table 22. XPACS will accept any of the Presentation Contexts listed in Table 23 for Storage. Table 22. Transfer Syntaxes Transfer Syntax UID DICOM Implicit VR Little Endian Transfer Syntax 1.2.840.10008.1.2 DICOM Explicit VR Little Endian Transfer Syntax 1.2.840.10008.1.2.1 Baseline JPEG Huffman-encoded pixel data set 1.2.840.10008.1.2.4.50 Extended JPEG Huffman-encoded pixel data set 1.2.840.10008.1.2.4.51

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 19 of 25 Table 28. Presentation Contexts Abstract Syntax Transfer Syntax Computed Radiography Image Storage CT Image Storage Ultrasound Multi-frame Image Storage 1.2.840.10008.5.1.4.1.1.1 1.2.840.10008.5.1.4.1.1.2 1.2.840.10008.5.1.4.1.1.3 MR Image Storage 1.2.840.10008.5.1.4.1.1.4 Nuclear Medicine Image Storage Ultrasound Image Storage Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 Unknown Storage 2.1.3.2.3 SOP Specific Conformance Statement ( Storage) XPACS conforms to the DICOM Storage Service Class at Level 2 (Full). No elements are discarded or coerced by XPACS. In the event of a successful C-STORE operation the image is written to internal storage. Note: Storage extended negotiation is not currently supported. XPACS returns one of the following status codes. Table 24. C-STORE status codes. Service Further Meaning Protocol Related Description Status Codes Fields Error Failed C000 The operation was not successful. Success Success 0000 Operation performed properly 2.1.3.2.4 Presentation Context Acceptance Criterion ( Storage) XPACS will accept any number of Storage Presentation Contexts per association request. Any one Abstract Syntax may be specified more than once in an association request, if the Transfer Syntaxes differ between the Presentation Contexts. 2.1.3.2.5 Transfer Syntax Selection Policies ( Storage) XPACS supports the Default Little Endian transfer syntax. All from Table 27 Role Extended Negotiation SCP N/A All from Table 27 SCP N/A All from Table 27 SCP N/A All from Table 27 1.2.840.10008.5.1.4.1.1.5 All from Table 27 All from 1.2.840.10008.5.1.4.1.1.6 Table 27 All from Table 27 Any unknown UID All from Table 27 SCP SCP SCP SCP SCP N/A N/A N/A N/A N/A

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 20 of 25 2.1.3.3 Query the XPACS Database ( Query) 2.1.3.3.1 Associated Real World Activity ( Query) XPACS will respond to query requests sent to it from an SCU by searching it s internal database and sending back results in a query response. 2.1.3.3.2 Presentation Context Table ( Query) XPACS supports the following transfer syntaxes listed in Table 25. XPACS will accept any of the Presentation Contexts listed in Table 26 for Query. Table 25. Transfer Syntaxes Transfer Syntax UID DICOM Implicit VR Little Endian Transfer Syntax 1.2.840.10008.1.2 DICOM Explicit VR Little Endian Transfer Syntax 1.2.840.10008.1.2.1 Table 26. Query es Abstract Syntax Transfer Syntax Patient Root 1.2.840.10008.5.1.4.1.2.1.1 All from Query/Retrieve IM Find Table 27 Study Root 1.2.840.10008.5.1.4.1.2.2.1 All from Query/Retrieve IM Find Table 27 Patient Study Only 1.2.840.10008.5.1.4.1.2.3.1 All from Query/Retrieve IM Find Table 27 Role Extended Negotiation SCP See Note 1 SCP See Note 1 SCP See Note 1 2.1.3.3.3 SOP Specific Conformance Statement ( Query) XPACS performs information retrieve in response to query made at the following levels: PATIENT STUDY SERIES IMAGE XPACS supports query for all unique, required, and some optional attributes for a particular Q/R Information Model and level. Universal, exact, wildcard, and range (for dates and times) attribute matching is supported. Summarily query for the following attributes is supported:

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 21 of 25 Table 27. Supported C-FIND attributes. Attribute name Study Instance UID Accession Number Patient ID Patient Name Patient DOB Study Date Study Time Study ID Study Description Patient Sex Series Instance UID Modality Series Number SOP Instance UID Image Number DICOM data (group,element) (0x0020,0x000D) (0x0008,0x0050) (0x0010,0x0020) (0x0010,0x0010) (0x0010,0x0030) (0x0008,0x0020) (0x0008,0x0030) (0x0020,0x0010) (0x0008,0x1030) (0x0010,0x0040) (0x0020,0x000E) (0x0008,0x0060) (0x0020,0x0011) (0x0008,0x0018) (0x0008,0x0016) (0x0020,0x0013) XPACS returns one of the following status codes. Table 28. C-FIND status codes. Service Further Meaning Protocol Related Description Status Codes Fields Error Failed C000 The operation was not successful. Success Success 0000 Operation performed properly 2.1.3.3.4 Presentation Context Acceptance Criterion ( Query) XPACS will accept any number of Query Presentation Contexts per association request. Any one Abstract Syntax may be specified more than once in an association request, if the Transfer Syntaxes differ between the Presentation Contexts. 2.1.3.3.5 Transfer Syntax Selection Policies ( Query) XPACS supports the Default Little Endian transfer syntax. 2.1.3.4 Retrieve from XPACS ( Retrieve) 2.1.3.4.1 Associated Real World Activity ( Retrieve) XPACS will response to image move requests sent to it from an SCU by searching it s internal database and storing matching images at a specified remote SCP.

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 22 of 25 2.1.3.4.2 Presentation Context Table ( Retrieve) XPACS supports the following transfer syntaxes listed in Table 29. XPACS will accept any of the Presentation Contexts listed in Table 30 for Move. Table 29. Transfer Syntaxes Transfer Syntax UID DICOM Implicit VR Little Endian Transfer Syntax 1.2.840.10008.1.2 DICOM Explicit VR Little Endian Transfer Syntax 1.2.840.10008.1.2.1 Table 30. Move es Abstract Syntax Transfer Syntax 1.2.840.10008.5.1.4.1.2.1.2 All from Table 30 Patient Root Query/Retrieve IM Move Study Root Query/Retrieve IM Move Patient Study Only Query/Retrieve IM Move 1.2.840.10008.5.1.4.1.2.2.2 All from Table 30 1.2.840.10008.5.1.4.1.2.3.2 All from Table 30 Role Extended Negotiation SCP See Note 2 SCP See Note 2 SCP See Note 2 2.1.3.4.3 SOP Specific Conformance Statement ( Retrieve) XPACS performs information retrieve in response to move requests made at the following levels: PATIENT STUDY SERIES IMAGE The image move is always performed at IMAGE level. XPACS returns one of the following status codes. Table 31. C-MOVE status codes. Service Further Meaning Protocol Related Description Status Codes Fields Error Failed C000 The operation was not successful. Success Success 0000 Operation performed properly

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 23 of 25 2.1.3.4.4 Presentation Context Acceptance Criterion ( Retrieve) XPACS will accept any number of Move Presentation Contexts per association request. Any one Abstract Syntax may be specified more than once in an association request, if the Transfer Syntaxes differ between the Presentation Contexts. 2.1.3.4.5 Transfer Syntax Selection Policies ( Retrieve) XPACS supports the Default Little Endian transfer syntax.

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 24 of 25 3 COMMUNICATION PROFILES XPACS provides DICOM V3.0 TCP/IP Network Communication Support as defined in Part 8 of the DICOM Standard. 3.1 TCP/IP STACK XPACS inherits its TCP/IP stack from the computer system upon which it executes. 3.1.1 Physical Media Support XPACS is indifferent to the physical medium over which TCP/IP executes; it inherits the medium from the computer system upon which it executes. 4 EXTENSIONS/SPECIALIZATIONS/PRIVATIZATIONS XPACS provides Conformance to the following General Electric Medical Systems ID/Net 2 ( ACR/NEMA 2 with DICOM V3.0 extensions ) Storage es as an SCP. Table 32. GE ID/Net 2 Storage es CT Image Storage 1.2.840.113619.4.3 MR Image Storage 1.2.840.113619.4.2 XPACS automatically converts the received ID/Net 2 information object to the corresponding DICOM v.3.0 information object. 5 CONFIGURATION XPACS obtains configuration information form the following sources: Mapping from Application Entity Title to Presentation Address is provided by the database. Configuration table stores Application Entity Title 6 SUPPORT FOR EXTENDED CHARACTER SETS XPACS is known to support the following character sets: ISO-IR 6 Basic GO Set (default) ISO-IR 100 Latin Alphabet No. 1

XPACS DICOM 3.0 CONFORMANCE STATEMENT Revision 1.3.0 2 8 October 2004 Page 25 of 25 7 Acronyms and Abbreviations The following acronyms and abbreviations are used in this document. AE ACR ANSI DICOM DIMSE DIMSE-C DIMSE-N NEMA PDU SCP SCU SOP TCP/IP UID Application Entity American College of Radiology American National Standards Institute Digital Imaging and Communications in Medicine DICOM Message Service Element DICOM Message Service Element-Composite DICOM Message Service Element-Normalized National Electrical Manufacturers Association Protocol Data Unit Service Class Provider Service Class User Service Object Pair Transmission Control Protocol/Internet Protocol Unique Identifier