Revolution ACTs Dicom Conformance Statement

Revolution ACTs Dicom Conformance Statement
GE Healthcare
Direction DOC1906666 Rev 1
REVOLUTION ACTs DICOM CONFORMANCE STATEMENT
Technical
Publications
Direction DOC1906666
Revision 1
Revolution ACTs
Dicom Conformance Statement
DOC1906666Rev 1
© 2016, General Electric Company, All Rights Reserved
GE Healthcare
Direction DOC1906666 Rev 1
REVOLUTION ACTs DICOM CONFORMANCE STATEMENT
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DOC1906666Rev 1
© 2016, General Electric Company, All Rights Reserved
GE HEALTHCARE
DIRECTION DOC1906666, REV 1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
LEGAL NOTES
TRADEMARKS
All products and their name brands are trademarks of their respective holders.
OMISSIONS & ERRORS
Customers, please contact your GE Sales or Service representatives.
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this publication.
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REVISON HISTORY
REV/V
ER
DATE
REASON FOR CHANGE
1/1
18-October2016
Initial Revision
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CONFORMANCE STATEMENT OVERVIEW
This DICOM Conformance Statement captures the DICOM capabilities of the GEHC CT scanners
identified below. This document applies to the following software releases for each product:
Revolution ACTs
16IW40.7 (ayush.7) or later
Table 0.1 provides an overview of the network services supported by GEHC CT products identified
above
.
Table 0.1 – NETWORK SERVICES
SOP Classes
User of Service
(SCU)
Provider of
Service (SCP)
CT Image Storage
Yes
Yes
MR Image Storage
Yes
Yes
Secondary Capture Image Storage
Yes
Yes
Grayscale Softcopy Presentation State Storage
Yes
No
Enhanced SR
Yes
Yes
X-Ray Radiation Dose SR
Yes
No
RT Structure Set Storage
Yes
Yes
Positron Emission Tomography Image Storage
Yes
Yes
Study Root Query/Retrieve Information Model – FIND
Yes
Yes
Study Root Query/Retrieve Information Model – MOVE
Yes
Yes
Basic Grayscale Print Management Meta SOP Class
Yes
No
Basic Color Print Management Meta SOP Class
Yes
No
Print Job SOP Class
Yes
No
Printer SOP Class
Yes
No
Storage Commitment Push Model SOP Class
Yes
No
Modality Performed Procedure Step SOP Class
Yes
No
Basic Modality Worklist Information Model – FIND SOP
Class
Yes
No
Transfer
Query/Retrieve
Print Management
Workflow Management
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Table 0.2 provides an overview of the Media Storage Application Profiles supported by the CT
products identified above.
Table 0.2 - MEDIA SERVICES
Media Storage Application Profile
Write Files
(FSC or FSU)
Read Files
(FSR)
Compact Disk - Recordable
General Purpose CD-R
Yes (FSC)
Yes
Yes (FSC)
No
Yes (FSC)
Yes
DVD
General Purpose JPEG DVD
USB
General Purpose JPEG USB
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TABLE OF CONTENTS
1
INTRODUCTION ..............................................................................................................................15
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
2
OVERVIEW...................................................................................................................................15
OVERALL CONFORMANCE STATEMENT DOCUMENTATION STRUCTURE ..........................................................17
INTENDED AUDIENCE......................................................................................................................18
SCOPE AND FIELD OF APPLICATION ....................................................................................................18
IMPORTANT REMARKS .....................................................................................................................19
REFERENCES ................................................................................................................................20
DEFINITIONS ................................................................................................................................20
SYMBOLS AND ABBREVIATIONS .........................................................................................................21
NETWORK CONFORMANCE STATEMENT .........................................................................................23
2.1
INTRODUCTION .............................................................................................................................23
2.2
IMPLEMENTATION MODEL ................................................................................................................23
2.2.1
Application Data Flow Diagram .....................................................................................24
2.2.2
Functional Definition of AE’s ...........................................................................................26
2.2.3
Sequencing of Real-World Activities ...............................................................................28
2.3
AE SPECIFICATIONS .......................................................................................................................28
2.3.1
DICOM Server AE Specification .......................................................................................28
2.3.1.1
Association Establishment Policy ................................................................................................ 29
2.3.1.1.1
General ........................................................................................................................... 29
2.3.1.1.2
Number of Associations ................................................................................................... 29
2.3.1.1.3
Asynchronous Nature ...................................................................................................... 29
2.3.1.1.4
Implementation Identifying Information ............................................................................ 30
2.3.1.2
Association Initiation by Real-World Activity ................................................................................ 30
2.3.1.2.1
Real World Activity: Push Images ...................................................................................... 30
2.3.1.2.1.1
Associated Real-World Activity ...................................................................................... 30
2.3.1.2.1.2
Proposed Presentation Contexts.................................................................................... 30
Application Data Flow Diagram ........................................................................................................33
2.3.1.2.1.2.2.1.1 GSPS Acquisition System with MWL data ............................................................................. 33
2.3.1.2.1.2.2.2.3 GSPS Acquisition System with MWL data ............................................................................. 34
2.3.1.2.2
Real World Activity: Manual Query .................................................................................... 34
2.3.1.2.2.1
Associated Real-World Activity ...................................................................................... 34
2.3.1.2.2.2
Proposed Presentation Contexts.................................................................................... 35
2.3.1.2.3
Real World Activity: Manual Retrieve ................................................................................. 39
2.3.1.2.3.1
Associated Real-World Activity ...................................................................................... 39
2.3.1.2.3.2
Proposed Presentation Contexts.................................................................................... 39
2.3.1.2.4
Real-World Activity: Verify (DICOM Ping)............................................................................. 41
2.3.1.2.4.1
Associated Real-World Activity ...................................................................................... 41
2.3.1.2.4.2
Proposed Presentation Context Table ............................................................................ 41
2.3.1.2.5
Real-World Activity: Remote Archive ................................................................................. 42
2.3.1.2.5.1 Associated Real World Activity: “Choose Archive Save Option” ................................. 42
2.3.1.2.5.2 Associated Real World Activity: “Auto Archive Exam/Series” ..................................... 42
2.3.1.2.5.3.2 Storage Commitment Push Model SOP Class Request Processing ........................................... 44
2.3.1.2.5.3.3 Storage Commitment Push Model SOP Class Response Processing ........................................ 45
2.3.1.2.5.3.3.1 Commit response with SUCCESS status .......................................................................... 45
2.3.1.2.5.3.3.2 Commit response with FAILURE status ........................................................................... 45
2.3.1.2.6
Real-World Activity: Modality Worklist Query ..................................................................... 46
2.3.1.2.6.1 Associated Real-World Activity ............................................................................................ 46
2.3.1.2.6.2
Proposed Presentation Context Table ............................................................................ 47
2.3.1.2.7
Real-World Activity: Modality Performed Procedure Step Notification ................................. 50
2.3.1.2.7.1 Sequencing of Real-World Activities ........................................................................... 50
2.3.1.2.7.2 Proposed Presentation Context Table .................................................................................. 52
2.3.1.2.8
Real-World Activity: Print .................................................................................................. 54
2.3.1.2.8.1
Associated Real-World Activity ...................................................................................... 54
2.3.1.2.8.2
Proposed Presentation Context ..................................................................................... 56
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2.3.1.3
Association Acceptance Policy ................................................................................................... 67
2.3.1.3.1
Real-World Activity: Receive Images.................................................................................. 68
2.3.1.3.1.1
Associated Real-World Activity ...................................................................................... 68
2.3.1.3.1.2
Presentation Context Table ........................................................................................... 68
2.3.1.3.2
Real-World Activity: Verification Request from Remote AE .................................................. 70
2.3.1.3.2.1
Associated Real-World Activity This AE is indefinitely listening for associations. No operator action is required to respond
to a verification message. The Real-World Activity associated with the verification request is to send a C-ECHO response message with
a status of “success” to the requesting AE............................................................................................ 70
2.3.1.3.2.2
Presentation Context Table ........................................................................................... 70
2.3.1.3.3
Real-World Activity: Search Local Database (Query Request from Remote AE) ..................... 71
2.3.1.3.3.1
Associated Real-World Activity ...................................................................................... 71
2.3.1.3.3.2
Presentation Context Table ........................................................................................... 71
2.3.1.3.4
Real-World Activity: Move Images (Retrieve Request from Remote AE) ................................ 74
2.3.1.3.4.1
Associated Real-World Activity ...................................................................................... 74
2.3.1.3.4.2
Presentation Context Table ........................................................................................... 75
2.3.1.3.4.3
Presentation Context Acceptance Criteria ...................................................................... 76
2.3.1.3.4.4
Transfer Syntax Selection Policy .................................................................................... 77
2.3.1.3.5
Real-World Activity: Listen to remote Storage Commitment SCP ......................................... 77
2.3.1.3.5.1
Associated Real-World Activity ...................................................................................... 77
2.3.1.3.5.2 Presentation Context Table ........................................................................................ 77
2.3.1.3.5.3
Presentation Context Acceptance Criterion .................................................................... 78
2.3.1.3.5.4 Transfer Syntax Selection Policies.............................................................................. 79
2.4
COMMUNICATION PROFILES .............................................................................................................79
2.4.1
Supported Communication Stacks (parts 8) .....................................................................79
2.4.2
TCP/IP Stack..................................................................................................................79
2.4.2.1
Physical Media Support .............................................................................................................. 79
2.4.3
Others ..........................................................................................................................79
2.5
EXTENSIONS / SPECIALIZATIONS / PRIVATIZATIONS .................................................................................79
2.5.1
Standard Extended Elements .........................................................................................79
2.5.2
Private Data Elements ...................................................................................................79
2.6
CONFIGURATION ...........................................................................................................................79
2.6.1
AE Title/Presentation Address Mapping ..........................................................................79
2.6.2
Configurable Parameters ...............................................................................................80
2.6.2.1
2.6.2.2
2.6.2.3
2.6.2.4
Print Configuration .................................................................................................................... 80
PPS Configuration ...................................................................................................................... 81
Modality Worklist Query Configuration........................................................................................ 81
GSPS Configuration ................................................................................................................... 82
2.7
SUPPORT OF EXTENDED CHARACTER SETS ............................................................................................82
2.8
CODES AND CONTROLLED TERMINOLOGY .............................................................................................83
2.8.1
Mapped Coded Terminology ..........................................................................................83
2.9
SECURITY PROFILES .......................................................................................................................83
3
MEDIA STORAGE CONFORMANCE STATEMENT ...............................................................................84
3.1
INTRODUCTION .............................................................................................................................84
3.2
IMPLEMENTATION MODEL ................................................................................................................84
3.2.1
Application Data Flow Diagram .....................................................................................84
3.2.2
Functional Definitions of AE's .........................................................................................85
3.2.3
Sequencing of Real World Activities ................................................................................85
3.2.4
File Meta Information for Implementation Class and Version............................................86
3.3
AE SPECIFICATIONS .......................................................................................................................86
3.3.1
DICOM CD-R/CD-RW/DVD-R/DVD-RW/USB Media Interchange AE Specification ...............86
3.3.1.1
File Meta Information for the CD-R/CD-RW/DVD-R/DVD-RW/USB DICOM Media Interchange Application Entity
3.3.1.2
Real World Activities for the CD-R/CD-RW/DVD-R/DVD-RW/USB DICOM Media Interchange Application Entity
3.3.1.2.1
Real World Activity: Record Media - CREATE (CD/DVD/USB) .............................................. 87
3.3.1.2.1.1
Application Profiles for the RWA: Record Media - CREATE (CD/DVD/USB) .......................... 88
3.3.1.2.2
Real World Activity: Display Directory – QUERY (CD/USB) .................................................... 89
3.3.1.2.2.1
Application Profiles for the RWA: Display Directory ......................................................... 89
3.3.1.2.2.2
Media Storage Application Profile for the RWA: Display Directory:.................................... 89
3.3.1.2.3
Real World Activity (RWA): Local Storage – RESTORE (CD/USB) .......................................... 89
3.3.1.2.3.1
Application Profiles for the RWA: Local Storage – RESTORE (CD/USB) ............................... 90
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3.4
AUGMENTED AND PRIVATE APPLICATION PROFILES .................................................................................90
3.4.1
Augmented Application Profiles .....................................................................................90
3.4.2
Private Application Profiles ............................................................................................90
3.5
EXTENSIONS, SPECIALIZATIONS AND PRIVATIZATIONS OF SOP CLASSES AND TRANSFER SYNTAX ..........................91
3.5.1
Extensions, Specialization’s and Privatizations of SOP Classes .........................................91
3.5.1.1
SOP Specific Conformance Statement for Basic Directory SOP Class ............................................ 91
3.5.2
Private Transfer Syntax Specification ..............................................................................91
3.6
CONFIGURATION ...........................................................................................................................91
3.7
SUPPORT OF EXTENDED CHARACTER SETS ............................................................................................91
4
PRINT MANAGEMENT IMPLEMENTATION ........................................................................................93
4.1
INTRODUCTION .............................................................................................................................93
THIS SECTION OF CONFORMANCE STATEMENT SPECIFIES THE IMPLEMENTATION FOR THE SPECIFIC SOP CLASSES SUPPORTED IN THE BASIC GRAYSCALE AND
COLOR PRINT MANAGEMENT META SOP CLASSES, THE ATTRIBUTES SUPPORTED FOR BOTH IODS AND SERVICES, AND THE VALID RANGE OF VALUES FOR
MANDATORY AND OPTIONAL ATTRIBUTES. ........................................................................................................93
4.2
BASIC FILM SESSION SOP CLASS .......................................................................................................93
4.2.1
Basic Film Session N-Create Attributes ...........................................................................93
4.3
BASIC FILM BOX SOP CLASS ............................................................................................................94
4.3.1
Basic Film Box N-Create Attributes .................................................................................94
4.3.2
Basic Film Box N-Action Attributes .................................................................................95
4.3.3
Basic Film Box N-Delete .................................................................................................96
4.4
BASIC GRAYSCALE IMAGE BOX SOP CLASS...........................................................................................96
4.5
BASIC COLOR IMAGE BOX SOP CLASS ................................................................................................97
4.6
PRINTER SOP CLASS ......................................................................................................................98
5
STORAGE COMMITMENT PUSH MODEL IMPLEMENTATION ............................................................100
5.1
STORAGE COMMITMENT PUSH MODEL INFORMATION OBJECT DEFINITION ..................................................100
5.1.1
Storage Commitment Module for N-ACTION .................................................................100
5.1.2
Storage Commitment Module for N-EVENT-REPORT ......................................................100
5.1.2.1
6
Processing of Failure Reason when received in a N-Event-Report .............................................. 101
MODALITY WORKLIST INFORMATION MODEL DEFINITION ............................................................102
6.1
MODALITY WORKLIST INFORMATION MODEL DEFINITION........................................................................102
6.1.1
Introduction ................................................................................................................102
6.1.2
Modality Worklist Information Model Description ..........................................................102
6.1.3
Modality Worklist Information Model Entity-Relationship Model .....................................102
6.1.3.1
Entity Descriptions ................................................................................................................... 103
6.1.3.1.1
Scheduled Procedure Step.............................................................................................. 103
6.1.3.1.2
Requested Procedure Entity Description .......................................................................... 104
6.1.3.1.3
Imaging Service Request Entity Description ..................................................................... 104
6.1.3.1.4
Visit Entity Description .................................................................................................... 104
6.1.3.1.5
Patient Entity Description ............................................................................................... 104
6.1.4
6.1.5
6.1.6
ModalityWorklist Mapping of DICOM Entities .................................................................104
Modality Worklist Information Model Module ................................................................104
Information Model Keys ...............................................................................................105
6.1.6.1
Supported Matching ................................................................................................................ 106
6.1.6.2
Scheduled Procedure Step Entity .............................................................................................. 106
6.1.6.2.1
SOP Common Module .................................................................................................... 106
6.1.6.2.2
Scheduled Procedure Step Module .............................................................................. 106
6.1.6.3
Requested Procedure Entity ..................................................................................................... 108
6.1.6.3.1
Requested Procedure Module ......................................................................................... 108
6.1.6.4
Imaging Service Request Entity ................................................................................................ 109
6.1.6.4.1
Imaging Service Request Module .................................................................................... 109
6.1.6.5
Visit Entity ............................................................................................................................... 110
6.1.6.5.1
Visit Identification .......................................................................................................... 110
6.1.6.5.2
Visit Status..................................................................................................................... 110
6.1.6.5.3
Visit Relationship ............................................................................................................ 111
6.1.6.5.4
Visit Admission ............................................................................................................... 111
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6.1.6.6
Patient Entity ........................................................................................................................... 111
6.1.6.6.1
Patient Relationship ....................................................................................................... 111
6.1.6.6.2
Patient Identification ...................................................................................................... 111
6.1.6.6.3
Patient Demographic .................................................................................................... 112
6.1.6.6.4
Patient Medical ............................................................................................................. 112
6.2
PRIVATE DATA DICTIONARY ............................................................................................................112
6.3
C-FIND REQUEST MESSAGE ..........................................................................................................113
6.4
USE OF SPECIFIC DICOM DATA ......................................................................................................115
6.5
SETTING USER PREFERENCES ..........................................................................................................117
6.5.1
Setting “Use MWL Study UID “ Option ...........................................................................117
6.5.2
Setting Custom Query Option .......................................................................................117
7
PERFORMED PROCEDURE STEP CONFORMANCE STATEMENT .......................................................118
7.1
INTRODUCTION ...........................................................................................................................118
7.2
N-CREATE & N-SET REQUEST MESSAGE .........................................................................................118
7.3
MODALITY PERFORMED PROCEDURE STEP MODULE DEFINITIONS .............................................120
7.4
USE OF SPECIFIC DICOM DATA ......................................................................................................123
7.4.1
Patient Level .............................................................................................................123
7.4.2
Study Level ...............................................................................................................123
7.4.3
Series Level ..............................................................................................................123
8
GRAYSCALE SOFTCOPY PRESENTATION STATE ..............................................................................125
8.1
INTRODUCTION ...........................................................................................................................125
8.2
CT MAPPING OF DICOM ENTITIES ...................................................................................................125
8.3
IOD MODULE TABLE ....................................................................................................................125
8.4
INFORMATION MODULE DEFINITIONS ................................................................................................126
8.4.1
Patient Entity Module ...................................................................................................126
8.4.1.1
8.4.2
8.4.2.1
8.4.2.2
8.4.3
8.4.3.1
8.4.3.2
8.4.4
8.4.4.1
8.4.5
8.4.5.1
8.4.5.2
8.4.5.3
8.4.5.4
8.4.5.5
8.4.5.6
8.4.5.7
8.4.5.8
Patient Module ........................................................................................................................ 126
Study Entity Module .....................................................................................................126
General Study Module.............................................................................................................. 126
Patient Study Module ............................................................................................................... 127
Series Entity Module ....................................................................................................127
General Series Module ............................................................................................................. 127
Presentation Series Module ...................................................................................................... 129
Equipment Module ......................................................................................................129
General Equipment .................................................................................................................. 129
Presentation State Entity Module ..................................................................................129
Presentation State Identification Module .................................................................................. 129
Presentation State Relationship ................................................................................................ 130
Presentation State Shutter ....................................................................................................... 130
Displayed Area ........................................................................................................................ 130
Modality LUT Module ............................................................................................................... 131
Softcopy VOI LUT Module ......................................................................................................... 131
Softcopy Presentation LUT Module ........................................................................................... 131
SOP Common Module .............................................................................................................. 131
8.5
IMAGE HEADER CHANGES SUPPORTING GSPS ....................................................................................131
8.5.1
Request Attributes Sequence .......................................................................................131
9
STRUCTURED REPORT OBJECT IMPLEMENTATION ........................................................................133
9.1
IOD MODULE TABLE ....................................................................................................................133
9.2
SR DOCUMENT SERIES MODULE......................................................................................................133
9.3
SR DOCUMENT GENERAL MODULE ..................................................................................................133
9.4
SR DOCUMENT CONTENT MODULE ..................................................................................................135
9.4.1
TID 10011 – CT Radiation Dose ....................................................................................135
9.4.2
TID 10012 – CT Accumulated Dose Data .......................................................................136
9.4.3
TID 10013 – CT Irradiation Event Data ..........................................................................137
9.4.4
TID 10014 - Scanning Length .......................................................................................140
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9.4.5
TID 10015 – CT Dose Check Details...............................................................................140
9.4.6
TID 1002 – Observer Context ........................................................................................142
9.4.7
TID 1004 – Device Observer Identifying Attributes .........................................................142
9.4.8
TID 1020 – Person Participant ......................................................................................142
9.5
CONFIGURATION .........................................................................................................................143
10 SECURITY CONFORMANCE STATEMENT ........................................................................................145
10.1
DE-IDENTIFICATION .....................................................................................................................145
APPENDIX A:
CT IMAGE AND SECONDARY CAPTURE MODULES/ATTRIBUTES ..................................148
A.1
CT IMAGE IOD ...........................................................................................................................148
A.1.1
CT Image IOD Modules ................................................................................................148
A.1.1.1
Implementation Specific details................................................................................................ 149
A.2
SC IMAGE IOD ...........................................................................................................................149
A.2.1
SC Image IOD Modules ................................................................................................149
A.2.2
CT Dose Report SC Image Details .................................................................................150
A.2.2.1
Implementation Specific details................................................................................................ 151
A.3
COMMON MODULES ....................................................................................................................152
A.3.1
Patient Module ............................................................................................................152
A.3.2
General Study Module .................................................................................................152
A.3.3
Patient Study Module ...................................................................................................153
A.3.4
General Series Module .................................................................................................153
A.3.5
General Equipment Module ..........................................................................................155
A.3.6
General Image Module ................................................................................................155
A.3.7
VOI LUT Module ...........................................................................................................156
A.3.8
SOP Common Module ..................................................................................................156
A.4
CT IMAGE MODULES ....................................................................................................................157
A.4.1
Image Plane Module ....................................................................................................157
A.4.2
Image Pixel Module .....................................................................................................157
A.4.3
Contrast Bolus Module.................................................................................................158
A.4.4
CT Image Module ........................................................................................................158
A.4.5
Frame of Reference Module .........................................................................................161
A.4.6
Other Attributes...........................................................................................................161
A.5
SC IMAGE MODULES ....................................................................................................................162
A.5.1
SC Equipment Module..................................................................................................162
A.5.2
Image Pixel Module .....................................................................................................162
A.5.3
Modality LUT Module ...................................................................................................162
APPENDIX B:
PRIVATE DATA ELEMENTS ..........................................................................................163
B.1
CT IMAGE IOD PRIVATE DATA ELEMENTS DEFINITION............................................................................163
B.1.1
Private Creator Identification (GEMS_IDEN_01)..............................................................163
B.1.2
Private Creator Identification (GEMS_ACQU_01) ............................................................163
B.1.3
Private Creator Identification (GEMS_RELA_01) .............................................................164
B.1.4
Private Creator Identification (GEMS_STDY_01) .............................................................164
B.1.5
Private Creator Identification (GEMS_IMAG_01) .............................................................164
B.1.6
Private Creator Identification (GEMS_0039) ...................................................................164
B.1.7
Private Creator Identification (GEMS_CT_FLRO_1) .........................................................164
B.1.8
Private Creator Identification (GEMS_PARM_01) ............................................................165
B.1.9
Private Creator Identification (GEMS_HELIOS_01) ..........................................................165
B.1.10
Private Creator Identification (GEMS_CT_CARDIAC_001) ................................................166
B.1.11
Private Creator Identification (GEHC_CT_ADVAPP_001) .................................................167
APPENDIX C:
C.1
C.2
C.3
PRIVATE DATA ELEMENTS DICOMDIR DIRECTORY INFORMATION ..............................169
BASIC DIRECTORY IOD DEFINITION ..................................................................................................169
FILE SET IDENTIFICATION MODULE ...................................................................................................169
DIRECTORY INFORMATION MODULE ..................................................................................................169
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C.4
DIRECTORY RECORD SELECTION KEYS ...............................................................................................171
C.4.1
PATIENT KEYS .............................................................................................................171
C.4.1.1
Methods to set Patient ID .............................................................................................171
C.4.2
STUDY KEYS ................................................................................................................172
C.4.2.1
Method to set Study Date and Time ..............................................................................173
C.4.2.2
Method to set Study ID.................................................................................................173
C.4.3
SERIES KEYS ................................................................................................................174
C.4.3.1
Method to set Series Number .......................................................................................175
C.4.4
IMAGE KEYS ................................................................................................................175
C.4.4.1
Method to set Image Number.......................................................................................177
C.4.5
PRESENTATION KEYS ...................................................................................................177
C.4.6
SR DOCUMENT KEYS ....................................................................................................178
APPENDIX D:
IMPLEMENTATION UID FOR PRODUCT VERSIONS ......................................................180
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1 INTRODUCTION
Note: Throughout this entire document the term “GEHC CT” refers to the following products:
Revolution ACTs
This document applies to the following software releases for each product:
Revolution ACTs
16IW40.7 (ayush.7) or later
Note: The GEHC CT product lines present an Image Works desktop, which contains advanced applications
offered on the Advantage Workstation. The DICOM Conformance Statements related to these applications
can be found at the following website:
http://www3.gehealthcare.com/en/Products/Interoperability/DICOM/Workstations_DICOM_Conformance_Statements
Advanced Application
CardIQ Xpress 2.0 Reveal
CT Perfusion 4D Multi-organ / Neuro
Reformat
Volume Viewer
Advantage CTC Pro3D EC
AVA Xpress
1.1
DICOM Conformance Statement Reference on website
Volume Viewer and its Applications (Release 10.x) 5404107100 Rev. 2
Volume Viewer and its Applications (Release 10.x) 5404107100 Rev. 2
Volume Viewer and its Applications (Release 10.x) 5404107100 Rev. 2
Volume Viewer and its Applications (Release 10.x) 5404107100 Rev. 2
Volume Viewer and its Applications (Release 10.x) 5404107100 Rev. 2
Volume Viewer and its Applications (Release 10.x) 5404107100 Rev. 2
Overview
Section 1, Introduction, which describes the overall structure, intent, and references for this
Conformance Statement.
Section 2, Network Conformance Statement, which specifies GEHC CT compliance to the DICOM
requirements for the implementation of networking features.
Section 3, Media Storage Conformance Statement, which specifies GEHC CT compliance to the
DICOM requirements for the implementation of Media Storage features.
Section 4, Print Management Implementation, which specifies GEHC CT compliance to DICOM
requirements for the implementation of the Print management service.
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Section 5, Storage Commitment Push Model Implementation, which specifies the GEHC CT
compliance to DICOM requirements for the implementation of the Storage Commitment service, to
store the images using remote DICOM entity, which is Storage Commitment SCP
Section 6, Modality Worklist Query Implementation - which specifies GEHC CT compliance to DICOM
requirements for the implementation of the Modality Worklist service. ModalityWorklist is providing
the DICOM C-FIND service as a service class user (SCU).
Section 7, Modality Performed Procedure Step Implementation - which specifies GEHC CT compliance
to DICOM requirements for the implementation of the Modality Performed Procedure Step service.
The PPS option allows a Modality Performed Procedure Step to be communicated to the
Hospital/Radiology information system. The PPS feature is providing the DICOM Modality Performed
Procedure Step service as a service class user (SCU).
Section 8, Gray Scale Softcopy Presentation State Implementation - which specifies GEHC CT
compliance to DICOM requirements for the implementation of the Grayscale Softcopy Presentation
State IOD.
Section 9, Structured Report Information Object Implementation - CT X-ray Radiation Dose / Enhanced
Structured Report Object Implementation.
Section 10 specifies the de-identification for CT images provided by GEHC CT system.
Appendix A specifies the CT IOD information object.
Appendix B specifies the private data element definition for CT IOD.
Appendix C specifies the DICOMDIR directory information.
Appendix D specifies Implementation UIDs for different product versions.
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Overall Conformance Statement Documentation Structure
The Documentation Structure of the GEHC DICOM Conformance Statements is shown in the Illustration below.
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This document specifies the DICOM implementation. It is entitled:
Revolution ACTs DICOM Conformance Statement
Conformance Statements
Direction DOC1906666
This DICOM Conformance Statement documents the DICOM Conformance Statement and Technical
Specification required interoperating with the GEHC network interface.
The GEHC Conformance Statement, contained in this document, also specifies the Lower Layer
communications, which it supports (e.g., TCP/IP). However, the Technical Specifications are defined
in the DICOM Part 8 standard.
For more information regarding DICOM, copies of the Standard may be obtained on the Internet at
http://medical.nema.org. Comments on the Standard may be addressed to:
DICOM Secretariat
NEMA
1300 N. 17th Street, Suite 1752
Rosslyn, VA 22209
USA
Phone : +1.703.841.3200
1.3
Intended Audience
The reader of this document is concerned with software design and/or system integration
issues. It is assumed that the reader of this document is familiar with the DICOM Standard
and with the terminology and concepts, which are used in that Standard.
1.4
Scope and Field of Application
It is the intent of this document to provide an unambiguous specification for GEHC implementations.
This specification, called a Conformance Statement, includes a DICOM Conformance Statement and
is necessary to ensure proper processing and interpretation of GEHC medical data exchanged using
DICOM. The GEHC Conformance Statements are available to the public.
The reader of this DICOM Conformance Statement should be aware that different GEHC devices are
capable of using different Information Object Definitions. For example, a GEHC CT Scanner may
send images using the CT Information Object, MR Information Object, Secondary Capture Object, etc.
Included in this DICOM Conformance Statement are the Module Definitions, which define all data
elements, used by this GEHC implementation. If the user encounters unspecified private data
elements while parsing a GEHC Data Set, the user is well advised to ignore those data elements (per
the DICOM standard). Unspecified private data element information is subject to change without
notice. If, however, the device is acting as a "full fidelity storage device", it should retain and retransmit all of the private data elements which are sent by GEHC devices.
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Important Remarks
The use of these Conformance Statements, in conjunction with the DICOM Standards, is intended to
facilitate communication with GE imaging equipment. However, by itself, it is not sufficient to
insure that inter-operation will be successful. The user (or user’s agent) needs to proceed with
caution and address at least four issues:
Integration
The integration of any device into an overall system of interconnected devices goes beyond
the scope of standards (DICOM), and of this introduction and associated Conformance
Statements when interoperability with non-GE equipment is desired. The responsibility to
analyze the applications requirements and to design a solution that integrates GE imaging
equipment with non-GE systems is the user’s responsibility and should not be
underestimated. The user is strongly advised to ensure that such integration analysis is
correctly performed.
Validation
Testing the complete range of possible interactions between any GE device and non-GE
devices, before the connection is declared operational, should not be overlooked. Therefore,
the user should ensure that any non-GE provider accepts full responsibility for all validation
required for their connection with GE devices. This includes the accuracy of the image data
once it has crossed the interface between the GE imaging equipment and the non-GE device
and the stability of the image data for the intended applications.
Such a validation is required before any clinical use (diagnosis and/or treatment) is
performed. It applies when images acquired on GE imaging equipment are
processed/displayed on a non-GE device, as well as when images acquired on non-GE
equipment is processed/displayed on a GE console or workstation.
Future Evolution
GE understands that the DICOM Standard will evolve to meet the user’s growing
requirements. GE is actively involved in the development of the DICOM Standard. DICOM will
incorporate new features and technologies and GE may follow the evolution of the Standard.
Evolution of the Standard may require changes to devices that have implemented DICOM. In
addition, GE reserves the right to discontinue or make changes to the support of
communications features (on its products) reflected on by these DICOM Conformance
Statements. The user should ensure that any non-GE provider, which connects with GE
devices, also plans future evolution of the DICOM standard. Failures to do so will likely result in
the loss of function and/or connectivity as the DICOM Standard changes and GE products are
enhanced to support these changes.
Interaction
It is the sole responsibility of the non-GE provider to ensure that communications with the
interfaced equipment does not cause degradation of GE imaging equipment performance
and/or function.
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References
NEMA PS3 Digital Imaging and Communications in Medicine (DICOM) Standard, available free at
http://medical.nema.org/
1.7
Definitions
Informal definitions are provided for the following terms used in this Conformance Statement. The
DICOM Standard is the authoritative source for formal definitions of these terms.
Abstract Syntax – the information agreed to be exchanged between applications, generally
equivalent to a Service/Object Pair (SOP) Class. Examples: Verification SOP Class, Modality Worklist
Information Model Find SOP Class, Computed Radiography Image Storage SOP Class.
Application Entity (AE) – an end point of a DICOM information exchange, including the DICOM
network or media interface software; i.e., the software that sends or receives DICOM information
objects or messages. A single device may have multiple Application Entities.
Application Entity Title – the externally known name of an Application Entity, used to identify a
DICOM application to other DICOM applications on the network.
Application Context – the specification of the type of communication used between Application
Entities. Example: DICOM network protocol.
Association – a network communication channel set up between Application Entities.
Attribute – – a unit of information in an object definition; a data element identified by a tag. The
information may be a complex data structure (Sequence), itself composed of lower level data
elements. Examples: Patient ID (0010,0020), Accession Number (0008,0050), Photometric
Interpretation (0028,0004), Procedure Code Sequence (0008,1032).
Information Object Definition (IOD) – the specified set of Attributes that comprise a type of data
object; does not represent a specific instance of the data object, but rather a class of similar data
objects that have the same properties. The Attributes may be specified as Mandatory (Type 1),
Required but possibly unknown (Type 2), or Optional (Type 3), and there may be conditions associated
with the use of an Attribute (Types 1C and 2C). Examples: MR Image IOD, CT Image IOD, Print Job IOD.
Joint Photographic Experts Group (JPEG) – a set of standardized image compression techniques,
available for use by DICOM applications.
Media Application Profile – the specification of DICOM information objects and encoding exchanged
on removable media (e.g., CDs)
Module – a set of Attributes within an Information Object Definition that are logically related to each
other. Example: Patient Module includes Patient Name, Patient ID, Patient Birth Date, and Patient Sex.
Negotiation – first phase of Association establishment that allows Application Entities to agree on
the types of data to be exchanged and how that data will be encoded.
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Presentation Context – the set of DICOM network services used over an Association, as negotiated
between Application Entities; includes Abstract Syntaxes and Transfer Syntaxes.
Protocol Data Unit (PDU) – a packet (piece) of a DICOM message sent across the network. Devices
must specify the maximum size packet they can receive for DICOM messages.
Security Profile – a set of mechanisms, such as encryption, user authentication, or digital signatures,
used by an Application Entity to ensure confidentiality, integrity, and/or availability of exchanged
DICOM data
Service Class Provider (SCP) – role of an Application Entity that provides a DICOM network service;
typically, a server that performs operations requested by another Application Entity (Service Class
User). Examples: Picture Archiving and Communication System (image storage SCP, and image
query/retrieve SCP), Radiology Information System (modality worklist SCP).
Service Class User (SCU) – role of an Application Entity that uses a DICOM network service; typically,
a client. Examples: imaging modality (image storage SCU, and modality worklist SCU), imaging
workstation (image query/retrieve SCU)
Service/Object Pair (SOP) Class – the specification of the network or media transfer (service) of a
particular type of data (object); the fundamental unit of DICOM interoperability specification.
Examples: Ultrasound Image Storage Service, Basic Grayscale Print Management.
Service/Object Pair (SOP) Instance – information object; a specific occurrence of information
exchanged in a SOP Class. Examples: a specific x-ray image.
Tag – a 32-bit identifier for a data element, represented as a pair of four digit hexadecimal numbers,
the “group” and the “element”. If the “group” number is odd, the tag is for a private (manufacturerspecific) data element. Examples: (0010,0020) [Patient ID], (07FE,0010) [Pixel Data], (0019,0210)
[private data element]
Transfer Syntax – the encoding used for exchange of DICOM information objects and messages.
Examples: JPEG compressed (images), little endian explicit value representation.
Unique Identifier (UID) – a globally unique “dotted decimal” string that identifies a specific object or
a class of objects; an ISO-8824 Object Identifier. Examples: Study Instance UID, SOP Class UID, SOP
Instance UID.
Value Representation (VR) – the format type of an individual DICOM data element, such as text, an
integer, a person’s name, or a code. DICOM information objects can be transmitted with either
explicit identification of the type of each data element (Explicit VR), or without explicit identification
(Implicit VR); with Implicit VR, the receiving application must use a DICOM data dictionary to look up
the format of each data
1.8
Symbols and Abbreviations
AE
CD-R
Application Entity
Compact Disk Recordable
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CT
DICOM
FSC
FSU
FSR
GSPS
HIS
IHE
IOD
JPEG
MPPS
MSPS
MTU
MWL
NTP
O
PACS
PET
R
RIS
SC
SCP
SCU
SOP
SR
TCP/IP
U
VR
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Computed Tomography
Digital Imaging and Communications in Medicine
File-Set Creator
File-Set Updater
File-Set Reader
Grayscale Softcopy Presentation State
Hospital Information System
Integrating the Healthcare Enterprise
Information Object Definition
Joint Photographic Experts Group
Modality Performed Procedure Step
Modality Scheduled Procedure Step
Maximum Transmission Unit (IP)
Modality Worklist
Network Time Protocol
Optional (Key Attribute)
Picture Archiving and Communication System
Positron Emission Tomography
Required (Key Attribute)
Radiology Information System
Secondary Capture
Service Class Provider
Service Class User
Service-Object Pair
Structured Reporting
Transmission Control Protocol/Internet Protocol
Unique (Key Attribute)
Value Representation
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2
2.1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
NETWORK CONFORMANCE STATEMENT
Introduction
This Conformance Statement(CS) specifies the GEHC CT compliance to DICOM. It details the DICOM
Service Classes and roles that are supported by this product.
The GEHC CT product uses DICOM services to support the following functionalities:
• Import images for possible further analysis and/or processing
• Export images to other DICOM-compliant machines
• Confirm that a DICOM image has been permanently stored (archived) by a device
• Query for and display DICOM modality worklist information from a remote hospital or radiology
department information systems
• Communicate Modality Performed Procedure Step to the Hospital/Radiology information systems
• Print images on DICOM Compliant Printers
2.2
Implementation Model
All DICOM functionality on the GEHC CT product is handled by the DICOM Server Application Entity
(AE). The DICOM Server AE is commanded to perform DICOM services through the buttons and menu
selections on the main user interface panel. The DICOM Server AE is also listening to a pre-defined
port for incoming connections.
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2.2.1 Application Data Flow Diagram
ILLUSTRATION 2-0
IMPLEMENTATION MODEL DATA FLOW DIAGRAM
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There are several Real-World Activities that will cause the DICOM Server Application Entity (DICOM
Server AE) to initiate a DICOM association to a remote DICOM Application Entity. Illustration 2.0 above
shows basic Real-World Activities. In addition, Sections 3, 4, 5, 6, and 7 cover Media Storage, Print,
Modality Worklist, Performed Procedure Step, and Storage Commit in more detail.
The following paragraphs describe the Real-World Activities of Illustration 2.0:
1. Push Images
This Real-World Activity consists of an operator selecting one or more studies, series, or images
in the local database browser. The operator then clicks on the destination button in the
network panel at the bottom of the local database browser.
2. Manual Query
The operator queries one or a set of remote DICOM databases to obtain a list of data at
Study/Series/Image level by clicking on the icon that represents the wanted remote DICOM AE.
3. Manual Retrieve
This Real-World activity will be available once the Manual Query activity is performed. The
operator can now select one or more studies (series or images) and ask the DICOM Server AE to
retrieve the selected image(s) from the Remote DICOM AE by clicking on the “Local DB” button
at the bottom of the local database browser.
4. Verify Connectivity (DICOM Ping)
This Real-World activity consists of an operator selecting a Remote DICOM AE from the
“Network Configuration” window and clicking on “Ping” on the right side-bar. This is to check
the status of the selected remote DICOM AE.
5. Remote Archive
This Real-World activity consists of an operator choosing a remote DICOM AE that supports
Storage Commitment as provider from the archive panel at the bottom of the local database
browser. The operator chooses the exam or series in the local database browser and clicks on
the archival destination from the archive list at the bottom of the local database browser.
The Commitment request for the transferred image instances is sent after the complete image
transfer. The Commitment response can come on same association or on a different
association. Refer to Section 5 for details on the Storage Commitment implementation.
6. Modality Worklist Query
The operator or the system initiates a modality worklist query to the modality worklist SCP with
a given set of query parameters. The modality worklist SCP returns responses matching the
query parameters. Worklist items from the returned worklist query responses are presented to
the user. The user then chooses the desired worklist item and begins the image acquisition
process.
7. Modality Performed Procedure Step Notification
When the user begins the image acquisition process and generates the first image, the DICOM
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SERVER AE sends N-CREATE message to the configured MPPS SCP to indicate that the image
acquisition process has been started for the requested procedure.
The operator can close the acquisition session either by completing the acquisition process or
discontinuing the ongoing scan. On closing the acquisition session, the DICOM SERVER AE
sends N-SET message to the configured MPPS SCP to indicate the acquisition state of the
requested procedure, with appropriate MPPS status (COMPLETED/DISCONTINUED).
8. Print
The Film Composer allows the operator to select printers and it also allows the user to drag and
drop the images (from viewer application) into the film. When user presses the "Print" Button,
the DICOM SERVER AE tries to establish the association with requested printer and sends the
images for printing.
9. Receive Images
When remote DICOM hosts send DICOM images to DICOM SERVER AE, images are installed in
the local database. The browser displays the content of the local database.
10. Image Installation
The DICOM Server AE will perform this Real-World activity after the remote AE sends an image
to the GEHC CT product.
11. Receive Verification request
No operator action is required to respond to a verification message. The Real-World Activity
associated with the verification request is to send a C-ECHO response message with a status of
“success” to the requesting AE.
12. Search Local Database
For this operation, a remote DICOM AE asks to obtain the list of data at Study/Series/Image
level. Once a Query request is received, the DICOM Server AE will search the local database for
all entries that match the keys requested by the Remote DICOM AE and send back the list of
matches.
13. Move Images
For this operation, a remote DICOM AE asks to send data at Study/Series/Image level from the
local AE to another DICOM Remote AE. The Remote DICOM AE shall be declared locally on the
system. The declaration of remote DICOM AE is done through a configuration tool.
14. Listen to remote Storage Commitment SCP
The DICOM SERVER AE is indefinitely listening for association requests. No operator action is
required to receive a Storage Commitment notofication (N-EVENT-REPORT)
2.2.2 Functional Definition of AE’s
DICOM Server Application Entity initiates the following operations:

Initiate an association to a Remote AE for the purpose of sending images to the Remote AE.
Remote AE accepts the presentation context applicable to the image(s) being sent, the DICOM
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Server AE will send the image(s) to the receiving Remote AE by invoking the C-STORE-RQ
operation for each image on the same association.

Initiate an association to a Remote AE for the purpose of committing images previously sent
successfully to the Remote AE for the purpose of the remote AE to commit to the storage of
those images. If the Remote AE accepts the presentation context, a storage commitment will be
established with the Remote AE with the DICOM Server AE sending the N-ACTION Request. The
Remote AE completes the commitment by sending the N-EVENT REPORT. The DICOM Server AE
updates the archive flag in the image browser for successful instances.

Initiate an association with a Remote AE to query for images on the remote host. A Study-Root
Study-Level C-FIND-RQ request will be sent to the Remote AE once an association has been
established. Once all the responses have been received, the operator needs to select an exam in
the local database browser, on selection of the exam the DICOM Server AE will issue a SeriesLevel C-FIND-RQ request to get the series for a study in the list. Similarly the Image-Level C-FINDRQ will be issued for the series selected from the series list.

Send a C-MOVE-RQ request to a Remote AE for retrieve of images after successful establishment.
The DICOM Server AE’s Storage SCP will receive the images over a separate association.

Initiate an association with a Remote AE to verify its status with a C-ECHO-RQ. The Remote AE
will report its status in a C-ECHO-RSP

Initiate an association with a Remote AE to query for and display DICOM modality worklist
information. Once the remote AE accepts the presentation context, CT system will issue a
modality worklist query request using the C-FIND service

Initiate an association with a Remote AE to create and update DICOM Modality Performed
Procedure Step SOP instance in the remote AE. Once the remote AE accepts the presentation
context, SOP instance is created using N-CREATE service and updated using N-SET service.

Initiates as association with a remote printer for printing the images. If the Remote AE accepts
the presentation context applicable to the print job, CT system will send the print job to the
receiving remote AE.
The DICOM Server AE waits for association requests from Remote AEs that wish to perform the
following operations:

Verification: If a C-ECHO-RQ message is received, the DICOM Server AE will send back a C-ECHORSP message with a status of “success”.

Image Storage: If a C-STORE-RQ message is received, the DICOM Server AE will receive the
image and try to update the local database. If the image is stored successfully on storage media
and the database updated a status of “success” will be returned in a C-STORE-RSP message.

Query: If a C-FIND-RQ message is received the DICOM Server AE will search the database for the
requested attributes and send back a C-FIND-RSP message containing a match and a status of
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“pending”. After all matching records have been sent, a status of “success” will be returned in a
C-FIND-RSP message. The Remote AE can terminate the query by sending a C-CANCEL-FIND-RQ
message.

Retrieve: If a C-MOVE-RQ message is received the DICOM Server AE will look up its list of
configured Remote AEs for the Destination AE. If the Destination AE is configured, the DICOM
Server AE will open a new association to the Destination AE and use C-STORE-RQ to send the
image(s). The DICOM Server AE will send a C-MOVE-RSP message with a status of “pending” after
every five images are sent. When all images are sent or if DICOM Server AE receives a C-CANCELMOVE-RQ a final C-STORE-RSP will be sent back with an appropriate status.
Storage Commitment Response: If a N-EVENT-REPORT request is received from the Remote
Storage Commitment SCP the DICOM Server AE will update the Archive flag information for
successful instances.

2.2.3 Sequencing of Real-World Activities
Real-World Activity Manual Query must be performed before Manual Retrieve can be performed.
2.3
AE Specifications
2.3.1 DICOM Server AE Specification
This Application Entity provides Standard Conformance to the following DICOM SOP Classes as an
SCU:
SOP Class Name (SCU)
SOP Class UID
Verification (Echo)
CT Image Information Storage
MR Image Information Storage
PET Image Information Storage
RT Structure Set Storage
Secondary Capture Image Storage
Grayscale Softcopy Presentation State Storage
X-Ray Radiation Dose SR Image Storage
Enhanced SR Image Storage
Study Root Query/Retrieve – FIND
Study Root Query/Retrieve – MOVE
Storage Commitment Push Model
Note:
1.2.840.10008.1.1
1.2.840.10008.5.1.4.1.1.2
1.2.840.10008.5.1.4.1.1.4
1.2.840.10008.5.1.4.1.1.128
1.2.840.10008.5.1.4.1.1.481.3
1.2.840.10008.5.1.4.1.1.7
1.2.840.10008.5.1.4.1.1.11.1
1.2.840.10008.5.1.4.1.1.88.67
1.2.840.10008.5.1.4.1.1.88.22
1.2.840.10008.5.1.4.1.2.2.1
1.2.840.10008.5.1.4.1.2.2.2
1.2.840.10008.1.20.1
As to GSPS as an SCU, refer to section 8 for further details.
This Application Entity provides Standard Conformance to the following DICOM SOP classes as an
SCP:
SOP Class Name (SCP)
SOP Class UID
Verification (Echo)
CT Image Information Storage
MR Image Information Storage
1.2.840.10008.1.1
1.2.840.10008.5.1.4.1.1.2
1.2.840.10008.5.1.4.1.1.4
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PET Image Information Storage
RT Structure Set Storage
Secondary Capture Image Storage
Enhanced SR
Study Root Query/Retrieve – FIND
Study Root Query/Retrieve – MOVE
1.2.840.10008.5.1.4.1.1.128
1.2.840.10008.5.1.4.1.1.481.3
1.2.840.10008.5.1.4.1.1.7
1.2.840.10008.5.1.4.1.1.88.22
1.2.840.10008.5.1.4.1.2.2.1
1.2.840.10008.5.1.4.1.2.2.2
2.3.1.1 Association Establishment Policy
2.3.1.1.1 General
The DICOM Application Context Name (ACN), which is always proposed, is:
Application Context Name
1.2.840.10008.3.1.1.1
The Maximum Length PDU negotiation is included in all association establishment requests. The
maximum length PDU for association initiated by the DICOM Server AE is:
Maximum Length PDU
64 Kbytes
SOP class Extended Negotiation is not supported.
The maximum number of Presentation Context Items that is supported is 60. Note that the same
Abstract Syntax may be offered multiple times with different Transfer Syntax.
The user information items sent by this product are:

Maximum PDU Length

Implementation UID
The table in Appendix D identifies the Implementation UID for this product version.
2.3.1.1.2 Number of Associations
The DICOM Server AE (SCU) will initiate only one DICOM association at a time for each of the following
services:
-Push image to a remote host
- Query/Retrieve
- Storage Commitment
- Modality Worklist
- PPS
- Print service
The DICOM Server AE (SCP) can have a maximum of four DICOM associations open simultaneously to
Receive and Store image store, N-EVENT-REPORT of Storage Commitment or Respond to an Echo or
Resond to a Query/Retrieve.
2.3.1.1.3 Asynchronous Nature
Asynchronous mode is not supported. All operations will be performed synchronously.
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2.3.1.1.4 Implementation Identifying Information
The Implementation UID allows unique identification of a set of products that share the same
implementation.
The table in Appendix D identifies the Implementation UID for this product version.
2.3.1.2 Association Initiation by Real-World Activity
2.3.1.2.1 Real World Activity: Push Images
2.3.1.2.1.1 Associated Real-World Activity
The operator must first select the exam/series/image on the local database browser and click on the
Remote DICOM AE in the network panel at the bottom of the local database browser to which the
operator desires to send the exam/series/image to.
Note: If multiple study, series, or images are chosen to be pushed, one association will be
established for each of the studies, series, or images.
2.3.1.2.1.2 Proposed Presentation Contexts
The following table shows the proposed presentation contexts for the DICOM Server AE after RealWorld Activity “Push Images” Operation has been performed.
Abstract Syntax
Presentation Context Table – Proposal
Transfer Syntax
Name
CT Image
Storage
UID
1.2.840.10008.5.1.4.1.1.
2
MR Image
Storage
1.2.840.10008.5.1.4.1.1.
4
PET Image
Storage
1.2.840.10008.5.1.4.1.1
.128
RT Structure Set
Storage
1.2.840.10008.5.1.4.1.1.
48
1.3
Name List
Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big Endian
Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big Endian
Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big Endian
Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big Endian
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UID List
1.2.840.10008.1.2
1.2.840.10008.1.2.
1
1.2.840.10008.1.2.
2
1.2.840.10008.1.2
1.2.840.10008.1.2.
1
1.2.840.10008.1.2.
2
1.2.840.10008.1.2
1.2.840.10008.1.2.
1
1.2.840.10008.1.2.
2
1.2.840.10008.1.2
1.2.840.10008.1.2.
1
1.2.840.10008.1.2.
2
Role
Extended
Negotiation
SCU
None
SCU
None
SCU
None
SCU
None
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Abstract Syntax
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Presentation Context Table – Proposal
Transfer Syntax
Name
Secondary
Capture Image
Storage
UID
1.2.840.10008.5.1.4.1.1.
7
Grayscale
Softcopy
Presentation
State Storage
1.2.840.10008.5.1.4.1.1.
11
.1
Enhanced SR
1.2.840.10008.5.1.4.1.1.
88.22
X-Ray Radiation
Dose SR
1.2.840.10008.5.1.4.1.1.
88.67
2.3.1.2.1.2.1
Name List
Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big Endian
Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big Endian
Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big Endian
Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big Endian
UID List
1.2.840.10008.1.2
1.2.840.10008.1.2.
1
1.2.840.10008.1.2.
2
1.2.840.10008.1.2
1.2.840.10008.1.2.
1
1.2.840.10008.1.2.
2
1.2.840.10008.1.2
1.2.840.10008.1.2.
1
1.2.840.10008.1.2.
2
1.2.840.10008.1.2
1.2.840.10008.1.2.
1
1.2.840.10008.1.2.
2
Role
Extended
Negotiation
SCU
None
SCU
None
SCU
None
SCU
None
SOP Specific Conformance Statement for all storage SOP Classes
This implementation can perform multiple C-STORE operations over a single association.
Upon receiving a C-STORE confirmation containing a successful status, this implementation will
perform the next C-STORE operation. The association will be maintained if possible.
Upon receiving a C-STORE confirmation containing a Refused status, this implementation will
terminate the association.
Upon receiving a C-STORE confirmation containing any status that is not Success or Warning, this
implementation will consider the current request to be a failure and will terminate the association
except if the C-STORE is invoked from a C-MOVE SCP. In this case it will continue to attempt to send
the remaining images in the request on the same association.
Following are the status codes that are more specifically processed when receiving messages from
Storage SCP equipment:
Service
Status
Failure
Status Code
Further Meaning
Application Behavior When Receiving Status
Code
A700-A7FF
Refused: Out of resources
Error displayed in the Network status and
browser job manager queue.
A900-A9FF
Error: Data Set does not match
SOP Class
Error displayed in the Network status and
browser job manager queue.
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Success
*
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C000-CFFF
Error: Cannot Understand
Error displayed in the Network status and
browser job manager queue.
0122
SOP Class Not Supported
Error displayed in the Network status and
browser job manager queue.
B000
Coercion of Data Elements
Log-files updated
B006
Elements Discarded
Log-files updated
B007
Data Set does not match SOP
Class
Log-files updated
0000
Success status displayed in the Network status
and browser job manager queue.
*
Any other status code
Treated as Failure
Each C-STORE operation supports an “Association Timer”. This timer starts when the association
request is sent or received and stops when the association is established. The time-out is
configurable in network-cfg.xml file as StoreAssociationTimeout. Default is 60 seconds.
Each C-STORE operation also supports an “Operation Inactivity Timer”. This time-out starts once the
first C-STORE request has been issued (on association) or received and is reset each time a C-STORE
response has been received or when subsequent C-STORES are sent. This time-out is configurable
in networkcfg.xml file as StoreResponseTimeout. Default is 5 minutes.
If any of the two timers mentioned above expires, the connection is closed and the operation in
progress is considered failed.
Note: The time-outs are configurable.
When DICOM Server AE initiates an association to issue a C-STORE, the image will be transmitted by
the DICOM Server AE with the same elements as was originally received or created locally.
2.3.1.2.1.2.2 SOP Specific Conformance Statement for Grayscale Softcopy Presentation State Storage SOP Class
To create Grayscale Softcopy Presentation State, there are 2 sequences - Exam Split and Save State
2.3.1.2.1.2.2.1 Exam Split
Exam Split option have the two options i.e. Virtual Exam Split and Hard Exam Split.


Virtual Exam Split will create Gray Scale Presentation State and Performed Presentation State.
In Hard Exam Split, application will send the user selected images from grouped Images that
acquired during acquisition. PPS will not be sent along with these images.
The DICOM Modality ‘Gray Scale Presentation State’ service is provided by the Exam Split. The DICOM
AE is commanded to perform transmission of Gray Scale Presentation State object through the user
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interface. The DICOM AE is commanded to perform transmission of Hard Split Images through the user
interface.
Application Data Flow Diagram
The basic Application models for the feature are shown in the following illustration:
Scanner receives MWL
Procedures from HIS/RIS.
Requested
Operator selects multiple requested
procedures and scans images as a
single exam
After post processing Exam Split
application presents user selected
images and Requested procedures for
split to create PPS and GSPS objects
Operator
associates
images,
display settings (Window Level,
Window Width, Pan, Zoom and
Image
Orientation)
with
a
requested procedure
GSPS
object
GSPS Remote
Viewer
PPS
object
PPS
Manager
2.3.1.2.1.2.2.1.1 GSPS Acquisition System with MWL data
The system has a Modality Work-list Server AE installed. Work-List information is obtained from HIS/RIS
system through the use of Basic Work-list Management Service. Use of the information retrieved in
the creation of Image SOP instance is described in the Modality Work-list Conformance statement. Use
of the information retrieved in MPPS SOP instances is described later in this document.





After Post processing Exam Split application presents associated requested Procedure(s) along
with selected acquired Images.
Exam Split application includes the necessary information related to Requested Procedure,
scheduled Procedure Steps and the Performed Procedure Step of the images acquired during
acquisition.
After User modifications on Image(s), user has to click on Send button to create Gray Scale
Presentation State and Performed Procedure Step objects to transmit to remote host. If there
is any Image Orientation, user will be notified about the orientation before sending to Remote
Host.
Exam Split will provide Host Selection user interface to select remote host to transmit of Gray
Scale Presentation State object. Performed Procedure Step object will be sent to default
Performed Procedure Step host.
After successful transmission of Gray Scale Presentation State and Performed Procedure Step
objects to remote host, user will be notified with success.
2.3.1.2.1.2.2.2 Save State
2.3.1.2.1.2.2.2.1 Implementation Model
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Save State will create Grayscale Presentation State (GSPS) including user annotation.
2.3.1.2.1.2.2.2.2 Application Data Flow Diagram
The basic Application models for the feature are shown in the following illustration:
Scan a series.
Select the scanned series from
image browser.
Associates images, display settings
(Window Level, Window Width,
Pan, Zoom and Image Orientation)
with a requested.
Press Save State.
GSPS series is created with new
series
2.3.1.2.1.2.2.2.3 GSPS Acquisition System with MWL data



Operator takes some scans. After the scan finished, images shall be selected from image browser
and select Viewer.
Operator adds annotation or ROI on images, change WW or WL, zoom or roam images.
After changing settings, operator shall select “Save State” on Viewer menu. Then, GSPS object shall
be created with a new series number.
2.3.1.2.2 Real World Activity: Manual Query
2.3.1.2.2.1 Associated Real-World Activity
The operator must select the Remote DICOM AE from the “Source” pull-down on the local database
browser and select the hostname of the source from where the images are to be retrieved.
Provided that the operator had set "Custom search" to "Off" when setting the Remote host
parameters, the “Query” operation will cause the DICOM Server AE to initiate an association (with
zero length Patient name, Patient id, Study date, Accession number, and Study id) to the selected
Remote AE when the “Hostname” entry is selected from the “Source” pull-down menu.
Otherwise, if the operator had set "Custom search" to "On" when setting the Remote host parameters,
the “Query” operation will cause a Customize search parameters menu to appear. The operator can
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enter values for Patient name, Patient id, Study date, Accession number, and Study id. Not entering a
value means match on any value for that field. Patient name will match on any patient name that
contains what the operator entered. Patient id, Study id, and Accession number will match on what
the operator enters.
For Study date, the operator selects a range type from the "Exam Date" pull down menu, where the
choices are “Equals“, “Before“, “Between“, or “After“. Once a range type is selected, the correct
number of fields appears and the operator enters dates into those fields. Once the desired
parameters are entered the operator chooses "OK" and that will cause the DICOM Server AE to
initiate an association to the selected Remote AE.
Once a list of Study/Series/Image is retrieved, the operator can invoke the “Pull” operation by clicking
on the “Local DB” button at the bottom of the local database browser.
2.3.1.2.2.2 Proposed Presentation Contexts
When the Real-World activity “Manual Query” is initiated all presentation contexts shown in the
following table are proposed during association establishment, but only the Query/Retrieve-FIND
related contexts are applicable to this activity.
Presentation Context Table – Proposal
Abstract Syntax
Name
Study Root
Query/Retrieve
FIND
Study Root
Query/Retrieve
MOVE
UID
Transfer Syntax
Name List
Role
Extended
Negotiation
UID List
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
2.3.1.2.2.2.1 SOP Specific Conformance Statement for C-FIND SCU
After the Query operation is initiated, the DICOM Server AE will perform a study-root C-FIND-RQ
request at each of the three levels (Study, Series, and Image) in succession.
The Initial Study-Level request will ask for all studies in the Remote database that match the user
specified Patient name, Patient Id, Study ID, Accession number, and Study Date. Zero length data in
any of those fields means match on any value. Zero length data is the default value if the user does
not specify a value.
The user specified Patient name will come surrounded by single asterisks (asterisk is a wild card that
matches any number of characters).
Caret (“^”) character cannot be used as a separator of Last name and First name.
The Study date is a range of dates where a date is exactly 8 characters long and the format of the
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range is:
"" is any date,
"yyyymmdd-" is any date on or after that year/month/day,
"-yyyymmdd" is any date on or before that year/month/day,
"yyyymmdd-yyyymmdd" is any date on or between those dates,
"yyyymmdd" is only on that date.
The C-FIND SCU will not perform any extended negotiation and so will only perform hierarchical
query. Relational Queries are not supported.
Each C-FIND SCU operation supports an “Association Timer” and “Operation Inactivity Timer” using
QueryAssociationTimeout and QueryResponseTimeout, in network-cfg.xml configuration file.
Default values are 30 seconds, 5 minutes respectively.
The user can cancel the current C-FIND request by changing the source listing to Local DB or any
other remote host. If a query operation is in progress, the DICOM SERVER AE will issue a C-FINDCANCEL message to the remote AE to discontinue the ongoing C-FIND operation.
If a “Cancel” or “Refused” status is returned from the Remote AE the association is closed and the
operation terminated.
The user can cancel the C-FIND request by moving to another network node or clicking on the local
database.
The DICOM Server AE will parse each matching C-FIND-RSP reply and ignore the entries that do not
contain a valid DICOM data stream. No VR validation is performed which means that syntax errors
will be ignored. Tables 2.3.1.2.2.2.1-1 - 2.3.1.2.2.2.1-3 shows the various fields that are requested at
the Study, Series, and Image levels of the C-FIND request.
Query results are filtered based on the Modality field. Only CT/MR Screen Save images are supported.
Table 2.3.1.2.2.2.1-1: Requested Study Level Keys
Description
Type
Tag
Value
Study date
R
0008,0020
Study time
Accession number
R
R
0008,0030
0008,0050
Zero length for any Study
date, or "yyyymmddyyyymmdd" matches
inclusive range of 'from-to'
Study dates. 'From' or 'To'
date can be zero length
meaning that side
of the range is any date.
Zero length
Zero length for any
Accession number, or
Accession number matches
this value
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Description
Type
Tag
Value
Patient’s name
R
0010,0010
Patient ID
R
0010,0020
Study id
R
0020,0010
Study Instance UID
U
0020,000D
Study description
Private Creator Identification
Suite Id
O
P
P
0008,1030
0009,00xx
0009,xx02
Zero length for any Patient
name, or Patient's name
matches this value
Zero length for any Patient id,
or Patient id matches this
value
Zero length for any Study id,
or Study id matches this
value
Zero length for Study level
query. Study Instance UID of
study for which matches are
requested at a lower level
Zero length
GEMS_IDEN_01
Zero Length
Table 2.3.1.2.2.2.1-2: Requested Series Level Keys
Description
Type
Tag
Value
Modality
Series number
Series Instance UID
R
R
U
0008,0060
0020,0011
0020,000E
Series description
Manufacturer
Images in series
O
O
O
0008,103E
0008,0070
0020,1002
Zero length
Zero length
Zero length for Series level
query. Series instance UID of
series for which matches are
requested at a lower level
Zero length
Zero length
Zero length
Table 2.3.1.2.2.2.1-3: Requested Image Level Keys
Description
Type
Tag
Value
Image number
Image Instance UID
Image type
Rows
Columns
Image position
Image orientation
Slice thickness
Slice spacing
Gantry tilt
Convolution kernel
Reconstruction diameter
R
U
O
O
O
O
O
O
O
O
O
O
0020,0013
0008,0018
0008,0008
0028,0010
0028,0011
0020,0032
0020,0037
0018,0050
0018,0088
0018,1120
0018,1210
0018,1100
Zero length
Zero length
Zero length
Zero length
Zero length
Zero length
Zero length
Zero length
Zero length
Zero length
Zero length
Zero length
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Description
Type
Tag
Value
Data collection diameter
Flip angle
Echo number
Echo time
Inversion time
Repetition time
Private Creator Identification
Dfov Rect
Midscan Time
Azimuth
Number of Echo
Private Creator Identification
Scout Anref
Private Creator Identification
Location RAS
Location
Center R Coordinate
Center A Coordinate
Table Start Location
Table End Location
RAS Letter for Side of Image
RAS Letter for Anterior/Posterior
RAS Letter for Scout Start Location
RAS Letter for Scout End Location
Image Dimension X
Image Dimension Y
O
O
O
O
O
O
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
0018,0090
0018,1314
0018,0086
0018,0081
0018,0082
0018,0080
0019,00xx
0019,xx1E
0019,xx24
0019,xx26
0019,xx7E
0021,00xx
0021,xx4A
0027,00xx
0027,xx40
0027,xx41
0027,xx42
0027,xx43
0027,xx50
0027,xx51
0027,xx52
0027,xx53
0027,xx54
0027,xx55
0027,xx60
0027,xx61
Zero length
Zero length
Zero length
Zero length
Zero length
Zero length
GEMS_ACQU_01
Zero Length
Zero Length
Zero Length
Zero Length
GEMS_RELA_01
Zero Length
GEMS_IMAG_01
Zero Length
Zero Length
Zero Length
Zero Length
Zero Length
Zero Length
Zero Length
Zero Length
Zero Length
Zero Length
Zero Length
Zero Length
Note1: Refer to section 2.3.1.2.2.1 for Custom Search/Query option.
Note2: Type P refers to a private DICOM element.
During the C-FIND, the following status values are supported:

0xFF00: Study/Series/Image items contained in identifier is collected for later display or further
processing and wait for the next response from the remote host.

0xFF01: Study/Series/Image items contained in identifier is collected for later display or further
processing and wait for the next response from the remote host.
Following are the status codes that are more specifically processed when receiving messages from
Query SCP equipment:
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Status
Failure
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Status Code
Further Meaning
Application Behavior When Receiving Status
Code
A700
Refused: Out of resources
Browser displays appropriate error to user
A900
Error: Identifier does not
match SOP Class
Browser displays appropriate error to user
C000-CFFF
Error: Unable to process
Browser displays appropriate error to user
Cancel
FE00
Matching terminated due to
cancel
Processed and gracefully exits C-FIND request
processing
Success
0000
Matching is complete - No
final identifier is supplied
Processed and gracefully exits C-FIND request
processing
Pending
FF00
Matches are continuing Current Match is supplied and
any Optional Keys were
supported in the same manner
as Required Keys.
Processed and the data is displayed in the
Browser
FF01
Matches are continuing Warning that one or more
Optional Keys were not
supported for existence for
this Identifier
Processed and the data is displayed in the
Browser
Any other status code.
Treated as Failure
*
*
2.3.1.2.3 Real World Activity: Manual Retrieve
2.3.1.2.3.1 Associated Real-World Activity
The operator must select the Remote DICOM AE from the “Source” pull-down on the local database
browser and select the hostname of the source from where the images are to be retrieved. Once a
list of Study/Series/Image is retrieved, the operator can invoke the “Retrieve” operation by clicking on
the “Local DB” button at the bottom of the local database browser.
2.3.1.2.3.2 Proposed Presentation Contexts
When the Real-World activity “Manual Retrieve” is initiated all presentation contexts shown in the
following table are proposed during association establishment, but only the Query/Retrieve-MOVE
related contexts are applicable to this activity.
Presentation Context Table – Proposal
Abstract Syntax
Name
Study Root
Query/Retrieve
MOVE
UID
1.2.840.10008.5.1.4.1.2.2.2
Transfer Syntax
Name List
Implicit VR Little Endian
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Role
Extended
Negotiation
SCU
None
UID List
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Presentation Context Table – Proposal
Abstract Syntax
Name
Transfer Syntax
UID
Study Root
Query/Retrieve
FIND
Name List
1.2.840.10008.5.1.4.1.2.2.1
Role
Extended
Negotiation
SCU
None
UID List
Implicit VR Little Endian
1.2.840.10008.1.2
2.3.1.2.3.2.1 SOP Specific Conformance Statement for C-MOVE SCU
When the operator starts a Move operation at any level (Study, Series, Image) the DICOM Server AE
will initiate a C-MOVE-RQ request with UIDs at the appropriate level (Study, Series, Image) to the
Remote AE with the DICOM Server AE as the Destination AE. The Storage SCP (“Receive Images”) will
handle the incoming images as described in section 2.3.1.3.1.
C-MOVE supports list of Studies (through list of Study UIDs), list of Series (through list of Series UIDs)
and list of Images (through list of Instances UIDs).
Each C-MOVE SCU operation supports an “Association Timer” and “Operation Inactivity Timer” with
time out values of 30 seconds and 15 seconds respectively.
If the C-MOVE SCU receives a status different from success (0x0000) or pending (0xFF00) during the
association, the DICOM SERVER AE will release the association. This information will be logged in the
system log files and the network queue will be updated accordingly.
During Manual Retrieve, the DICOM SERVER AE is able to generate a C-MOVE-CANCEL if the operator
Pauses or Deletes the retrieve job.
When receiving a Cancel request response (0xFE00), the DICOM SERVER AE will release the
association. This information will be logged in the system log files and the network queue will be
updated accordingly.
Following are the status codes that are more specifically processed when receiving messages from
Retrieve SCP equipment:
Service
Status
Failure
Status Code
Further Meaning
Application Behavior When Receiving Status
Code
A701
Refused: Out of resources Unable to calculate number of
matches
System will display the message in job manager
user interface and retry the operation after
configured time is elapsed.
A702
Refused: Out of resources Unable to perform suboperations
System will log the message and retry the
operation after configured time is elapsed.
A801
Refused: Move Destination
Unknown
System will display the message in job manager
user interface.
A900
Error: Identifier does not
match SOP Class
System will display the message in job manager
user interface.
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C000-CFFF
Error: Unable to process
System will display the message in job manager
user interface.
Cancel
FE00
Sub-operations terminated
due to a Cancel indication
Operation will be terminated and the system will
display the message in job manager user
interface.
Warning
B000
Sub-operations Complete One or more Failures.
System will log the information.
Success
0000
Sub-operations Complete - No
Failure.
Processed and gracefully exits C-MOVE request
processing
Pending
FF00
Sub-operations are continuing
-
System processes the information and displays
the progress in the job manager UI
Any other status code.
Treated as Failure
*
*
The DICOM Server AE will send a C-CANCEL-MOVE-RQ to the Remote AE if the operator “Pauses” or
“Clears” the job from the local database manager Network queue.
2.3.1.2.4 Real-World Activity: Verify (DICOM Ping)
2.3.1.2.4.1 Associated Real-World Activity
The operator shall select a Remote DICOM AE from the “Network Configuration” window and click on
“Ping” on the right side-bar. The DICOM server will initiate an association with the remote DICOM AE
in order to verify communication at the application level. The success or failure of the verification
process is displayed to the user.
If the C-ECHO response is received with a success, the DICOM Server will post a pop-up to the
operator indicating that the remote device is alive.
2.3.1.2.4.2 Proposed Presentation Context Table
Refer to the following table for the Proposed Presentation Contexts for DICOM Server AE and RealWorld activity Verification
Presentation Context Table – Proposal
Abstract Syntax
Name
Verification
UID
1.2.840.10008.1.1
Transfer Syntax
Name List
Implicit VR Little
Endian
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Role
Extended
Negotiation
SCU
None
UID List
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2.3.1.2.4.2.1 SOP Specific DICOM Conformance C_ECHO SCU
The GEHC CT DICOM Server AE provides standard conformance to the DICOM Verification Service
Class.
Each ECHO operation supports “Association Timer” with EchoAssociationTimeout, in networkcfg.xml configuration file. Default values are 20 seconds.
Upon receiving a C-ECHO-RSP, containing a successful status, a message will be posted to the
operator indicating success.
2.3.1.2.5 Real-World Activity: Remote Archive
2.3.1.2.5.1
Associated Real World Activity: “Choose Archive Save Option”
The operator must first set remote hosts from Network Configuration from “Tools“ pull-down menu. If
the remote node is already present, select one remote host, click “Edit“ on the right side-bar and
make a check on “Archive Node” check box. If the remote host is not present, add the remote host
with check on “Archive Node” check box.
Note: The remote node should be a Storage Commitment SCP. STC AE Title can be different from
STORE AE title. The user selects the exam/series to be committed and click on the archival
destination from the archive list at the bottom of the local database browser.
All the images currently in the selected exam/series will be sent to the selected remote archive node
(which is also the Storage commitment SCP) using DICOM C-STORE operations. Once all the images
are transferred the commitment request will be sent on a separate association.
2.3.1.2.5.2
Associated Real World Activity: “Auto Archive Exam/Series”
The Auto archive API’s are used to archive the exams/series onto local archive media or the remote
archive node (which shall be a Storage Commitment SCP) without manual interface. If the default
device selected for Auto Archive is a remote Storage Commitment SCP then all the images currently in
the specified exam/series will be sent to the selected Storage commitment SCP using C-STORE
operations. On successful transfer of all the images the Storage Commitment request will be sent.
2.3.1.2.5.3 Proposed Presentation Context
The Proposed Presentation Context table for the DICOM Storage Commitment SCU is as shown in
following Table.
Presentation Context Table
Abstract Syntax
Transfer Syntax
Role
Name
UID
Name
Storage
Commitment
Push Model
Class
1.2.840.10008.1.
20.1
DICOM Implicit VR Little 1.2.840.10008.1.
Endian Transfer Syntax 2
SOP
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2.3.1.2.5.3.1 SOP Specific DICOM Conformance Statement for the Storage Commitment Push Model SOP Class SCU (NACTION)
The Storage Commitment SCU can send the commitment request for following
DICOM SOP classes.
NAME
UID
CT Image Storage SOP Class
1.2.840.10008.5.1.4.1.1.2
PET Image Storage SOP Class
MR Image storage SOP Class
Secondary Capture Storage SOP Class
X-Ray Radiation Dose SR
Enhanced SR
RT Structure Set Storage
Grayscale Softcopy Presentation State Storage SOP Class
1.2.840.10008.5.1.4.1.1.128
1.2.840.10008.5.1.4.1.1.4
1.2.840.10008.5.1.4.1.1.7
1.2.840.10008.5.1.4.1.1.88.67
1.2.840.10008.5.1.4.1.1.88.22
1.2.840.10008.5.1.4.1.1.481.3
1.2.840.10008.5.1.4.1.1.11.1
The images in the selected exam/series are sent to the remote commitment provider entity using
DICOM C-STORE operations. If there are any failures in the image transfers the Storage
Commitment request will not be sent. The corresponding job will be marked as failed and user will
be notified of the status of job.
If all the images are successfully transferred then the commitment request will be sent on a
different association with the list of SOP instances.
If the N-Action request fails, the job will be marked as failed otherwise following sequence of
actions will take place.
The SCU waits for N_ACTION response from the provider on the same association for a configurable
amount of time. Default time-out is 600 seconds. If it does not receive N_ACTION response during
this time it closes the association and marks the job as failed.
If the received N-ACTION Response from the Storage Commitment Provider has a success status,
the DICOM SERVER AE waits 10 seconds for an N-EVENT-REPORT on the same association. This
time-out is not configurable. If the N-EVENT-REPORT request is not received in this time, it closes the
association and changes the Job state to ”Waiting” indicating the job is waiting for the response
from commitment provider.
The DICOM SERVER AE can receive N-EVENT-REPORT from the Storage Commitment Provider at any
time (See section 2.3.1.3.5 - Real-World Activity: Listen to remote Storage Commitment SCP”).
A New transaction UID will be created for each retry by user. The old transaction uid is not
applicable for these requests.
Following are the status codes that are more specifically processed when receiving N-Action
responses from Storage Commitment SCP equipment:
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Status Codes Received by DICOM SERVER AE for Activity Remote Archive
Service
Status
Further Meaning
Application Behavior When Receiving
Status
Code
Status Code
Failure
0119
Class-instance conflict
System displays the appropriate error
message in job manager user interface
0115
Invalid argument value
System displays the appropriate error
message in job manager user interface
0117
Invalid SOP Instance
System displays the appropriate error
message in job manager user interface
0212
Mistyped argument
System displays the appropriate error
message in job manager user interface
0114
No such argument
System displays the appropriate error
message in job manager user interface
0118
No such SOP Class
System displays the appropriate error
message in job manager user interface
0110
Processing failure
System displays the appropriate error
message in job manager user interface
0213
Resource limitation
System logs the appropriate error message
and retries the operation after the
configured time is elapsed.
0211
Unrecognized operation
System displays the appropriate error
message in job manager user interface
Success
0000
The request for storage comment is
considered successfully sent. System
displays “waiting” message in job manager
user interface.
*
*
Any other status code.
System displays the appropriate error
message in job manager user interface.
2.3.1.2.5.3.2 Storage Commitment Push Model SOP Class Request Processing
The Following DIMSE service Elements are supported for the Storage Commitment request and
processing.
N-ACTION – Requests the remote Storage Commitment SCP to commit to storing the image instances.
The following attributes are sent as part of the DATA Set for the N-ACTION request.
Attribute
Tag
Transaction UID
(0008,1195)
Referenced SOP Sequence
(0008,1199)
SOP Class UID
(0008,1150)
SOP Instance UID
(0008,1155)
Value
Transaction UID

Referenced Study Component sequence attribute is not sent.

Storage Media File-Set ID and Storage Media File-Set UID attributes are not supported.
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2.3.1.2.5.3.3 Storage Commitment Push Model SOP Class Response Processing
The following DIMSE Service Elements are supported for the Storage Commitment response
processing
N-EVENT-REPORT – The Response sent by the remote Storage Commitment SCP.
Once the N-EVENT REPORT is received, the following actions will be taken depending on the
status of the response.
2.3.1.2.5.3.3.1 Commit response with SUCCESS status
The Archive flag information in the browser for all the successful instances will be updated. The status
will be changed to “Y”.
The job queue entry will be removed
The following attributes are expected as part of DATA Set for N-Event-REPORT from SCP
Attribute
Tag
Value
Transaction UID
(0008,1195)
Value received from SCP
Referenced SOP Sequence
(0008,1199)
Value received from SCP
SOP Class UID
(0008,1150)
Value received from SCP
SOP Instance UID
(0008,1155)
Value received from SCP
N-EVENT-REPORT-RSP will be sent on the same association itself. No DATA Set will be sent along
with the response.
2.3.1.2.5.3.3.2 Commit response with FAILURE status
The following attributes are expected as part of DATA Set for N-EVENT-REPORT from SCP:
Attribute
Transaction UID
Failed SOP Sequence
> SOP Class UID
> SOP Instance UID
>Failure Reason
Tag
(0008,1195)
(0008,1198)
(0008,1150)
(0008,1155)
(0008,1197)
Value
Value received from SCP
Value received from SCP
Value received from SCP
Value received from SCP
Value received from SCP
In case of complete/partial failure the user will be notified about the status and the job entry will be
paused. There is no attempt made to retry automatically the failed sop instances. However the user
can manually retry the failed jobs. Such requests will be treated as new requests. This will go through
the whole sequence of operations once again.
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The failure reason is ignored.
Failed SOP instances will have their archive flag information unaltered.
Note: The archive status flag in the browser is a shared flag with local archive. When the status is
“Y”, it means that the images are archived but doesn’t specify whether on local archive device
or remote archive device. It is left to the user’s discretion whether the local sop instances (with
their archive flag set to “Y”) are to be deleted.
N-EVENT-REPORT-RSP will be sent on the same association itself. No DATA Set will be sent along
with the response.
Note:
(0008, 1199) Reference SOP Sequence is not handled.
Refer Section - 5 Storage Commitment Push Model Implementation.
2.3.1.2.6 Real-World Activity: Modality Worklist Query
2.3.1.2.6.1 Associated Real-World Activity
The operator of the system initiates a query for a modality worklist by either opening the Schedule
screen or by opening the Schedule screen and pressing the Update button. The choice of which of
these two behaviors occurs is user configurable. The Worklist Server will then initiate an association
with the remote AE in order to query for the worklist
A user can configure a number of parameters that directly control the worklist query request. The user
can request worklist items that are intended for the scanner the user is working at, all items that apply
to the modality of the scanner the user is working at or all worklist items available. These selections
and their effects on worklist query parameters are given below:
This Scanner:
(CT)
All CT Systems




All Systems


Modality, (0008,0060) – set to CT
Scheduled Station AE Title, (0040,0001) – set to local AE title
Modality, (0008,0060) - set to CT
Scheduled Station AE Title, (0040,0001) - zero-length
(universal
matching)
Modality, (0008,0060) - zero-length (universal matching)
Scheduled Station AE Title, (0040,0001) - zero-length (universal
matching)
The scheduled dates of procedures of interest can be specified for query by selecting a specific date
range. The date ranges available are Today, Days Before Today, Days After Today and All Days. These
selections and their effects on worklist query parameters are given below:
Today:
Scheduled Procedure Step Start Date (0040,0002) - set to
YYYYMMDD, where this date is the current date.
Days Before Today and Scheduled Procedure Step Start Date (0040,0002) - set to
Days After Today:
YYYYMMDD-YYYYMMDD, where this date range represents the
specified number of days before today and/or after today. Note
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that number of days both before and after can be specified in the
same query and that each always includes today.
All Days:
Scheduled Procedure Step Start Date (0040,0002) - zero-length
(universal matching)
The system also supports a Custom Query option where the user can filter based on Patient Name,
Patient ID, Accession Number or Requested Procedure Step ID using a User Interface. Refer sec
6.5.2 Setting Custom Query Option
2.3.1.2.6.2 Proposed Presentation Context Table
The following table shows the proposed presentation contexts for the Worklist Server AE after realworld activity “Worklist Query” has been initiated:
Presentation Context Table – Proposed by DICOM SERVER AE for Activity
Modality Worklist Query
Abstract Syntax
Name
Transfer Syntax
UID
Modality Worklist 1.2.840.10008.5.1.4.
Information
31
Model – FIND
2.3.1.2.6.2.1
Name List
UID List
Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big Endian
1.2.840.10008.1.
2
Role
Extended
Negotiatio
n
SCU
None
1.2.840.10008.1.2.
1
1.2.840.10008.1.2.
2
SOP Specific DICOM Conformance Statement for the Modality Worklist Information Model FIND SOP Class
If the remote AE does not support the proposed Presentation Context, an appropriate error is logged
and the operator is notified.
This implementation can receive multiple C-FIND results over a single association. Only one
association is opened at a time.
Each C-FIND response received from the remote AE is parsed to verify the length/type of the items in
the response. Upon detecting any error in the response data, the response is discarded and the next
response (if any) is considered.
Each C-FIND SCU operation supports an “Association Timer” and “Operation Inactivity Timer” using
QueryAssociationTimeout and QueryResponseTimeout configuration parameters. Default values are
30 seconds, 5 minutes respectively.
All errors and failures detected by the DICOM SERVER AE are logged to the service log files.
In case of ERROR, persisted worklist item(s) got from previous request to the configured SCP would be
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shown.
User can cancel the ongoing worklist query by clicking on the Cancel button in the UI. Upon cancel,
the DICOM SERVER AE will send C-FIND-CANCEL request to the Modality Worklist SCP.
Following are the status codes that are more specifically processed when receiving messages from a
Modality Worklist SCP equipment :
Service Status
Failure
Status Code
Further Meaning
A700
Refused: Out of resources
A900
Error: Identifier does not
match SOP Class
C001
Error: Unable to process
Cancel
FE00
Success
0000
Pending
FF00
*
FF01
Matching terminated due
to cancel
Matching is complete No final identifier is
supplied
Matches are continuing Current Match is supplied
and any Optional Keys
were supported in the
same manner as
Required Keys.
Matches are continuing Warning that one or
more Optional Keys were
not supported for
existence for this
Identifier
Any other status code.
*
Application Behavior
When Receiving
Status Code
Logs the error and displays
all the
persisted worklists
Logs the error and displays
all the
persisted worklists
Logs the error and displays
all the
persisted worklists
Closes the association
Displays all the worklists
items obtained
from the SCP
Continue to wait for
worklists items from
SCP
Continue to wait for
worklists items from
SCP
Worklist query operation is
considered as
failure and the error
message is displayed
to the user. Persisted
worklist item(s) got
from previous request to
the SCP will be
shown
2.3.1.2.6.2.2 Record Acceptance Policy
The GEHC CT implementation adheres to strict value checking of incoming query responses from
the remote AE. Each response received is examined to verify that all Type 1 attributes are present
with non-zero length, that all Type 2 attributes are present (possibly with zero length) and that the
data for all attributes is consistent with respect to the attributes’ value representation (VR).
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Any inconsistencies in the response data, with respect to the categories described above, are
considered errors. Upon detecting any such errors in the response data, the Worklist Server AE will
issue a C-FIND-CANCEL and, upon receipt of a C-FIND-RSP (or if an applicable timer expires), will
abort the association. All previously received worklist items are retained. Note that the absence of
requested Type 3 attributes is not considered an error.
Fields considered Type 1 by the Worklist Server include:








(0010,0010), Patient Name
(0010,0020), Patient ID
(0020,000D), Study Instance UID
(0040,0001), Scheduled Station AE Title
(0040,0002), Scheduled Procedure Step Start Date 1
(0040,0003), Scheduled Procedure Step Start Time 1
(0040,0009), Scheduled Procedure Step ID
(0040,1001), Requested Procedure ID
Start Date must be of the form YYYYMMDD, exactly eight numeric characters, and Start Time must be
of the form HHMMSS, exactly six numeric characters.
Fields considered Type 2 by Worklist Server include:






















(0008,0050), Accession Number
(0008,0060), Modality
(0008,0090), Referring Physician Name
(0010,0030), Patient Date of Birth
(0010,0040), Patient Sex
(0010,1030), Patient Weight in kg
(0010,2000), Medical Alerts
(0010,2110), Contrast Allergies
(0010,21C0), Pregnancy Status
(0032,1032), Requesting Physician
(0032,1070), Requested Contrast Agent
(0038,0010), Admission ID
(0038,0050), Special Needs
(0038,0300), Current Patient Location
(0038,0500), Patient State
(0040,0006), Performing Physician
(0040,0010), Scheduled Station Name
(0040,0011), Scheduled Procedure Step Location
(0040,0012), Pre-order Medication
(0040,1003), Requested Procedure Priority
(0040,1004), Patient Transport Arrangements
(0040,3001), Confidentiality Constraint
Refer Section.6 Modality Worklist Query Implementation
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2.3.1.2.7 Real-World Activity: Modality Performed Procedure Step Notification
The PPS Server AE is implemented as an application process on the scanner host computer. It runs as
a daemon serving requests from other applications to send the PPS information to the remote AE and
return the results to the requesting application.
The PPS Server AE initiates the following functions.

Start PPS: Initiates a DICOM association in order to create a DICOM Modality Performed Procedure
Step SOP instance in the remote AE. If the remote AE accepts a presentation context applicable to
Modality performed Procedure Step, the PPS Server AE will issue a request to create the SOP
instance in the remote AE via the N-CREATE service.

Complete PPS: Initiates a DICOM association in order to update a DICOM Modality Performed Step
instance that is already created with the remote AE. If the remote AE accepts a presentation
context applicable to Modality performed Procedure Step, the PPS Server AE will issue a request to
update the SOP instance in the remote AE via the N-SET service. The PPS Status is set to
‘COMPLETED’.

Discontinue PPS: Initiates a DICOM association in order to update a DICOM Modality Performed
Step instance that is already created with the remote AE. If the remote AE accepts a presentation
context applicable to Modality performed Procedure Step, the PPS Server AE will issue a request to
update the SOP instance in the remote AE via the N-SET service. The PPS Status is set to
‘DISCONTINUED’.
2.3.1.2.7.1
Sequencing of Real-World Activities
2.3.1.2.7.1.1 PPS from Acquisition System with MWL data
The system has a Modality Work-list Server AE installed. Work-List information is obtained from HIS/RIS
system through the use of Basic Work-list Management Service. Use of the information retrieved in
the creation of Image SOP instance is described in the Modality Work-list Conformance statement. Use
of the information retrieved in MPPS SOP instances is described later in this document.

The system initiates a ‘Start PPS’ before starting a scan, i.e. when the image acquisition is started.
The system retrieves necessary information related to the Scheduled Procedure Step from Modality
Work-list Server. PPS Server AE initiates a MPPS (Modality Performed Procedure Step) N-CREATE
request to the remote AE (MPPS SCP), in-order to create a MPPS SOP instance at the remote AE.

The MPPS SCP returns response indicating the success/failure of the request execution. The PPS
state information is updated in the system based on the response data, and is presented to the
user. The DICOM association is closed.

System includes the necessary information related to Scheduled Procedure Steps and the
Performed procedure Step in the image instances created.

At the end of image acquisition, system initiates a ‘Complete PPS’ or ‘Discontinue PPS’ based on
the choice selected by the user using the user interface provided. The user is also given a choice
‘Defer PPS’ which is described below. PPS Server AE initiates a MPPS N-SET request to the remote
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AE, in-order to update the MPPS SOP instance that is already created. The N-SET is sent over a
new DICOM association

The remote AE returns response indicating the success/failure of the request execution. The PPS
state information is updated in the system based on the response data, and is presented to the
user.

At the end of image acquisition, if the user has chosen ‘Defer PPS’, the user is provided with an
interface to ‘Complete PPS’ or ‘Discontinue PPS’ at any later time. The user might wish to alter the
image set generated through acquisition, before invoking these operations. Note that the user
explicitly uses the user interface provided to invoke this operation, as in the case of PPS generated
for post-processing, which is described in the following section. PPS messages N-CREATE ( if
applicable) and N-SET will be sent over the same DICOM association

The remote AE returns response indicating the success/failure of the request execution. The PPS
state information is updated in the system based on the response data, and is presented to the
user.
2.3.1.2.7.1.1.2 PPS from acquisition system without MWL data
The system either does not have a Modality Work-list Server AE installed or a Modality Work-list Server
AE installed but no Work-List information is obtained from HIS/RIS system for the current procedure
that is being performed. The information required for performing the procedure is supplied through
the user interface of the system. The use of this information in MPPS SOP instances is described later
in this document.

The system initiates a ‘Start PPS’ before starting a scan, i.e. when the image acquisition is started.
PPS Server AE initiates a MPPS (Modality Performed Procedure Step) N-CREATE request to the
remote AE (MPPS SCP), in-order to create a MPPS SOP instance at the remote AE.

The MPPS SCP returns response indicating the success/failure of the request execution. The PPS
state information is updated in the system based on the response data, and is presented to the
user.

System includes the necessary information related to Scheduled Procedure Steps and the
Performed procedure Step in the image instances created.

At the end of image acquisition, system initiates a ‘Complete PPS’ or ‘Discontinue PPS’ based on
the choice selected by the user using the user interface provided. The user is also given a choice
‘Defer PPS’ which is described below. PPS Server AE initiates a MPPS N-SET request to the remote
AE, in-order to update the MPPS SOP instance that is already created.

The remote AE returns response indicating the success/failure of the request execution. The PPS
state information is updated in the system based on the response data, and is presented to the
user.

At the end of image acquisition, if the user has chosen ‘Defer PPS’, the user is provided with an
interface to ‘Complete PPS’ or ‘Discontinue PPS’ at any later time. The user might wish to alter the
image set generated through acquisition, before invoking these operations. Note that the user
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explicitly uses the user interface provided to invoke this operation, as in the case of PPS generated
for post-processing, which is described in the following section.

The remote AE returns response indicating the success/failure of the request execution. The PPS
state information is updated in the system based on the response data, and is presented to the
user.
2.3.1.2.7.1.1.3 PPS from post-processing system

The user initiates post-processing on the images generated through acquisition.

The system creates a Modality performed Procedure Step instance locally in the system. If the
source image instance has the Scheduled Procedure Step information, it is copied into the image
instances created. Also the system includes the necessary information related to the Modality
Performed Procedure Step into the image instance.

At the end of (one or more) post-processing, the user initiates ‘Complete PPS’ or ‘Discontinue PPS’
through the user interface provided. PPS Server AE initiates a MPPS (Modality Performed Procedure
Step) N-CREATE request to the remote AE (MPPS SCP), in-order to create a MPPS SOP instance at
the remote AE (which is actually a replica of the locally created MPPS SOP instance).

The remote AE returns response indicating the success/failure of the request execution. If the
response indicates success, PPS Server AE initiates a MPPS N-SET request to the remote AE, inorder to update the MPPS SOP instance that is already created, with the additional information.

The remote AE returns response indicating the success/failure of the request execution. The PPS
state information is updated in the system based on the response data, and is presented to the
user.
2.3.1.2.7.2 Proposed Presentation Context Table
The following table shows the proposed presentation contexts for the PPS Server AE after any of the
real-world activity listed in section 2.3.1.6.1 Sequencing of Real-World Activities, is initiated.
Presentation Context Table – Proposed
Abstract Syntax
Transfer Syntax
Name
UID
Name List
Modality
Performed
Procedure Step
1.2.840.10008.3.1.2.3.3
Implicit VR 1.2.840.10008.1.2
Little Endian 1.2.840.10008.1.2.1
Explicit VR
1.2.840.10008.1.2.2
Little Endian
Explicit VR
Big Endian
Role
Extended
Negotiation
SCU
None
UID List
2.3.1.2.7.2.1 SOP Specific DICOM Conformance Statement for MPPS SOP class
Only one association is opened at a time. The association is open until the response message is
returned from the SCP or a network error occurs. No other configurable timers are available.
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If the remote AE does not support the proposed Presentation context, an appropriate error
message is logged.
Following are the status codes that are more specifically processed when receiving an N-CREATE
and N-SET response from an MPPS SCP equipment:
Service Status
Status Code
Further Meaning
Success
0000
Success
Failure
0105
No such attribute
0106
Invalid attribute value
0110
Processing failure
0112
No such SOP Instance
0115
Invalid argument value
0117
Invalid SOP Instance
0118
No such SOP Class
0119
Class-instance conflict
0120
Missing attribute
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Application Behavior
When Receiving
Status Code
System updates the state
and indicates the same on
the user interface
Error message is logged
into system log-file and
indicates the status on the
user interface
Error message is logged
into system log-file and
indicates the status on the
user interface
Error message is logged
into system log-file and
indicates the status on the
user interface. Retries the
operation after the
configured time is elapsed
Error message is logged
into system log-file and
indicates the status on the
user interface
Error message is logged
into system log-file and
indicates the status on the
user interface
Error message is logged
into system log-file and
indicates the status on the
user interface
Error message is logged
into system log-file and
indicates the status on the
user interface
Error message is logged
into system log-file and
indicates the status on the
user interface
Error message is logged
into system log-file and
indicates the status on the
user interface
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0144
No such argument
0210
Duplicate invocation
0211
Unrecognized operation
0212
Mistyped argument
0213
Resource limitation
C002
Operation failed
*
Any other status Code
Error message is logged
into system log-file and
indicates the status on the
user interface
Error message is logged
into system log-file and
indicates the status on the
user interface
Error message is logged
into system log-file and
indicates the status on the
user interface
Error message is logged
into system log-file and
indicates the status on the
user interface
Error message is logged
into system log-file and
indicates the status on the
user interface. Retries the
operation after the
configured time is elapsed
Error message is logged
into system log-file and
indicates the status on the
user interface. Retries the
operation after the
configured time is elapsed
The operation is deemed
‘Failed’. Detailed message
is logged into system logfile and indicates the
status on the user
interface. Retries the
operation after the
configured time is elapsed
Refer Section.7 Modality Performed Procedure Step Implementation.
2.3.1.2.8 Real-World Activity: Print
2.3.1.2.8.1 Associated Real-World Activity
The Film Composer allows the user to select printers and it also allows the user to drag and drop the
images (from the viewer application) into the film. It also allows the user to manipulate some print
parameters like film format and number of copies to print. When the user presses the "Print" Button,
the Film composer communicates this request to Print SCU, which then tries to establish the
association with the requested printer and transmits the images for printing.
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2.3.1.2.8.1.1 Sequencing of Real-World Activities

The DICOM printer is installed through a camera installation process. The DICOM printer is
selected from the Film Composer Interface for Manual Filming. Autofilming is enabled using the
camera setup via the camera installation process.

Images may be acquired for printing in the following manner:
–
Images to be printed may be manually dropped from Viewing
applications into the manual film composer slots.
–
Images to be printed may be automatically dropped from Viewing
applications into the manual film composer slots.
–
Images to be printed may be manually dropped from Viewing
applications into the auto film composer slots.
–
Image series to be printed may be automatically dropped from the
Print Series application into the manual film composer slots.
–
Images to be printed may be automatically dropped from the
Scanning Application into the auto film composer slots.

Based upon the filming mode (and the attributes) used to acquire images into the
film composer, films will be automatically printed when the film session is full, or the user must
press the Print Button to print the images.

The Print SCU will start the Print Session. The Print Session involves establishing association with
the printer followed by the next sequence of activities:
-
The Print SCU gets the Print SCP status using N-GET service. If the Printer returns FAILURE
status the print session will be terminated and the requester will be notified of the printer
status.
-
The film session is created using N-CREATE service. In case of error, the print session will be
terminated. The attribute values for the Film session will be specified with the film session
request.
-
The film box is created using N-CREATE service. The print session will be terminated if the
printer fails to create the film box. The film box attribute values will be sent in the film box
create request
-
The image attributes for the images to be printed in this session will be set using the N-SET
service. If the printer fails to accommodate the images in the image set, the print session will
be terminated. The film will be printed using the N-ACTION service. Only film box printing is
supported. In case of error, the print session will be terminated.
-
The Film Box instance will be deleted using the N-DELETE service.
-
The SCU does not wait for N-EVENT-REPORT from the Printer after deleting the film box
instance. The N-EVENT-REPORT received when the association was still active is handled,
but the data received will be ignored.
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Finally the association will be terminated and if all the above operations are successful the
requester will be notified of the successful print session. This status just indicates that the
images to be printed have been successfully sent to the printer.
Proposed Presentation Context
The Proposed Presentation Context Table for the Print SCU is as shown in following Table.
Table 2.3.1.2.8.2-1 Presentation Context– Proposed by DICOM SERVER AE for Activity Print
Presentation Context Table – Proposed
Abstract Syntax
Name
SOP CLASS UID
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
Printer SOP Class
1.2.840.10008.5.1.1.
16
Transfer Syntax
Name
Implicit VR
Little Endian
Explicit VR
Little Endian
Explicit VR Big
Endian
Implicit VR
Little Endian
Explicit VR
Little Endian
Explicit VR Big
Endian
Implicit VR
Little Endian
Explicit VR
Little Endian
Explicit VR Big
Endian
UID
1.2.840.10008.1.
2
1.2.840.10008.1.
2.1
1.2.840.10008.1.
2.2
1.2.840.10008.1.
2
1.2.840.10008.1.
2.1
1.2.840.10008.1.
2.2
1.2.840.10008.1.
2
1.2.840.10008.1.
2.1
1.2.840.10008.1.
2.2
Role
Extended
Negotiatio
n
SCU
None
SCU
None
SCU
None
Note:
Support of the Basic Grayscale Print Management Meta SOP Class as an SCU mandates support for
the Basic Film Session, Basic Film Box, Basic Grayscale Image Box, and Printer SOP Classes as an
SCU.
Support of the Basic Color Print Management Meta SOP Class as an SCU mandates support for the
Basic Film Session, Basic Film Box, Basic Color Image Box, and Printer SOP Classes as an SCU.
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REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
SOP Specific DICOM Conformance Statement for Basic Grayscale and Color Print Management
The DICOM SERVER AE uses the following DIMSE services of the supported SOP Classes for Activity
Print:
Table 2.3.1.2.8.2.1-1 DIMSE Services used by DICOM SERVER AE for Activity Print
SOP Class
Basic Film Session
Basic Film Box
Basic Grayscale
Image Box
SOP Class UID
DIMSE Service
Element
1.2.840.10008.5.1.1.1
N-CREATE
Used
(Mandatory)
N-SET
Not Used
N-DELETE
Not Used
N-ACTION
Not Used
N-CREATE
Used
(Mandatory)
N-ACTION
Used
(Mandatory)
N-DELETE
Used
1.2.840.10008.5.1.1.2
1.2.840.10008.5.1.1.4
SCU
Usage
N-SET
Not Used
N-SET
Used
(Mandatory)
Basic Color Image
Box
1.2.840.10008.5.1.1.4.1
N-SET
Used
(Mandatory)
Printer
1.2.840.10008.5.1.1.16
N-EVENTREPORT
Used
(Mandatory)
N-GET
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Basic Film Session SOP Class
The DICOM SERVER AE supports the following DIMSE Service Elements for the Basic Film Session SOP
Class.
-
N-CREATE
- Requests the Print SCP to create an instance of Basic Film Session.
Only one association is opened at a time. The association is open until the response message is
returned from the SCP or a network error occurs. No other configurable timers are available.
Following are the status codes that are more specifically processed when receiving messages from a
Print SCP equipment for the Basic Film Session SOP Class N-CREATE:
Table 2.3.1.2.8.2.1.1-1 Status Codes Received by DICOM SERVER AE for Basic Film Session SOP Class NCREATE
Service
Status
Failure
Status
Codes
0119
Further Meaning
Class-instance conflict
0210
Duplicate invocation
0111
Duplicate SOP Instance
0106
Invalid attribute value
0117
Invalid SOP instance
0120
Missing attribute
0121
Missing attribute value
0212
Mistyped argument
0105
No such attributes
0118
No such SOP Class
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Application Behavior When receiving
Status Codes
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
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0112
No such SOP Instance
0110
Processing failure
0213
Resource limitation
0211
Unrecognized operation
Warning
B600
Memory allocation not supported
Success
0000
Film session successfully created
*
*
Any other status code.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI.
Resource limitation error details is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Logs film session instance UID and
proceeds for creating film box.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
If a Failure/Warning status is returned by the Print SCP during the N-CREATE operation of the Film
Session, the association will be terminated.
2.3.1.2.8.2.1.2
Basic Film Box SOP Class
The DICOM SERVER AE supports the following DIMSE Service Elements for the Basic Film Box SOP
Class:
-
N-CREATE
- Requests the Print SCP to create an instance of Film Box.
-
N-ACTION - Requests the Print SCP to print the Film Box onto Printer.
-
N-DELETE - Requests the Print SCP to delete the Film Box Instance.
Only one association is opened at a time. The association is open until the response message is
returned from the SCP or a network error occurs. No other configurable timers are available.
Following are the status codes that are more specifically processed when receiving messages from a
Print SCP equipment for the Basic Film Box SOP Class N-CREATE:
Table 2.3.1.2.8.2.1.2-1
Service
Status
Failure
Status
Codes
C616
Status Codes Received by DICOM SERVER AE for Basic Film Box SOP Class N-CREATE
Further Meaning
There is an existing Film Box that
has not been printed and NACTION at the Film Session level is
not supported. A new Film Box will
not be created when a previous
Film Box has not been printed.
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Application Behavior When receiving
Status Codes
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
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0119
Class-instance conflict
0210
Duplicate invocation
0111
Duplicate SOP Instance
0106
Invalid attribute value
0117
Invalid SOP instance
0120
Missing attribute
0121
Missing attribute value
0212
Mistyped argument
0105
No such attributes
0118
No such SOP Class
0112
No such SOP Instance
0110
Processing failure
0213
Resource limitation
0211
Unrecognized operation
Warning
B605
Success
*
0000
*
Requested Min Density or Max
Density outside of printer’s
operating range. The printer will
use its respective minimum or
maximum density value instead.
Film box successfully created
Any other status code.
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Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI.
Resource limitation error details is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Pauses print job and displays print failure
message on film composer UI. Error details
along with the status code is logged.
Proceed for setting image box.
Pauses print job and displays print failure
message on the film composer UI. Error
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REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
details along with the status code is
logged.
If a Failure or Warning status is returned during the N-CREATE operation of the Film Box, the
association will be terminated.
Following are the status codes that are more specifically processed when receiving messages from a
Print SCP equipment for the Basic Film Box SOP Class N-ACTION:
Table 2.3.1.2.8.2.1.2-2 Status Codes Received by DICOM SERVER AE for Basic Film Box SOP Class N-ACTION
Service
Status
Further Meaning
Application Behavior When receiving
Status
Codes
Status Codes
Failure
C602 Unable to create Print Job SOP
Logs “unable to create print job” error.
Instance; print queue is full
Pauses print job and displays print failure
message on the film composer UI.
C603 Image size is larger than image box Pauses print job and displays print failure
size (by using the specified
message on the film composer UI. Error
magnification value)
details along with the status code is logged.
C604 Image position collision : multiple
Pauses print job and displays print failure
images assigned to single image
message on the film composer UI. Error
position
details along with the status code is logged.
C613 Combined Print Image size is larger Pauses print job and displays print failure
than the Image Box size
message on the film composer UI. Error
details along with the status code is logged.
0119 Class-instance conflict
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is logged.
0210 Duplicate invocation
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is logged.
0115 Invalid argument value
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is logged.
0117 Invalid SOP Instance
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is logged.
0212 Mistyped argument
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is logged.
0123 No such action
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is logged.
0114 No such argument
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is logged.
0118 No such SOP Class
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is logged.
0112 No such SOP Instance
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is logged.
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0110
0213
0211
Warning
B603
B604
B609
B60A
Success
*
0000
*
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Processing failure
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is logged.
Resource limitation
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is logged.
Unrecognized operation
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is logged.
Film Box SOP Instance hierarchy
Pauses print job and displays print failure
does not contain Image Box SOP
message on the film composer UI. Error
Instances (empty page)
details along with the status code is logged.
Image size is larger than image box Pauses print job and displays print failure
size, the image has been
message on the film composer UI. Error
demagnified.
details along with the status code is logged.
Image size is larger than the Image Pauses print job and displays print failure
Box size. The Image has been
message on the film composer UI. Error
cropped to fit.
details along with the status code is logged.
Image size or Combined Print Image Pauses print job and displays print failure
size is larger than the Image Box
message on the film composer UI. Error
size. Image or Combined Print
details along with the status code is logged.
Image has been decimated to fit.
Film accepted for printing; if
Proceed in parsing N-Action response.
supported, the Print Job SOP
Instance is created
Any other status code.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is logged.
If a Failure or Warning status is returned during the N-ACTION operation of the Film Box, the
association will be terminated.
Following are the status codes that are more specifically processed when receiving messages from a
Print SCP equipment for the Basic Film Box SOP Class N-DELETE:
Table 2.3.1.2.8.2.1.2-3
Service
Status
Failure
Status Codes Received by DICOM SERVER AE for Basic Film Box SOP Class N-DELETE
Status
Codes
0119
Further Meaning
Class-instance conflict
0210
Duplicate invocation
0117
Invalid SOP instance
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Application Behavior When receiving
Status Codes
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
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Success
*
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
0212
Mistyped argument
0118
No such SOP Class
0112
No such SOP Instance
0110
Processing failure
0213
Resource limitation
0211
Unrecognized operation
0000
Film box successfully deleted
*
Any other status code.
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Logs the success message.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
If a Failure or Warning status is returned during the N-DELETE operation of the Film Box, the
association will be terminated.
2.3.1.2.8.2.1.3
Basic Grayscale and Color Image Box SOP Classes
The DICOM SERVER AE supports the following DIMSE Service Elements for Basic Grayscale and Color
Image Box SOP Classes :
-
N-SET
- Requests the Printer to set the image box attributes.
Only one association is opened at a time. The association is open until the response message is
returned from the SCP or a network error occurs. No other configurable timers are available.
Following are the status codes that are more specifically processed when receiving messages from a
Print SCP equipment for the Basic Grayscale and Color Image Box SOP Classes N-SET:
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Table 2.3.1.2.8.2.1.3-1
Service
Status
Failure
Status Codes Received by DICOM SERVER AE for Basic Grayscale and Color Image Box
SOP Classes N-SET
Status
Further Meaning
Application Behavior When receiving
Codes
Status Codes
C603
Image size is larger than image box Pauses print job and displays print failure
size
message on the film composer UI. Error
details along with the status code is
logged.
C605
Insufficient memory in printer to
Log printer memory full error.
store the image
Pauses print job and displays print failure
message on the film composer UI.
C613
Combined Print Image size is larger Pauses print job and displays print failure
than the Image Box size
message on the film composer UI. Error
details along with the status code is
logged.
0119
Class-instance conflict
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
0210
Duplicate invocation
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
0106
Invalid attribute value
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
0212
Mistyped argument
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
0117
Invalid SOP instance
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
0121
Missing attribute value
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
0105
No such attributes
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
0118
No such SOP Class
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
0112
No such SOP Instance
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
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Warning
0110
Processing failure
0213
Resource limitation
0211
Unrecognized operation
B604
Image size larger than image box
size, the image has been
demagnified.
B605
Requested Min Density or Max
Density outside of printer’s
operating range. The printer will
use its respective minimum or
maximum density value instead.
Image size is larger than the Image
Box size. The Image has been
cropped to fit.
B609
B60A
Success
*
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
0000
*
Image size or Combined Print
Image size is larger than the Image
Box size. The Image or Combined
Print Image has been decimated to
fit.
Image successfully stored in Image
Box
Any other status code.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Continues setting image box if more
images are there, else sends N-Action
request.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
If a Failure/Warning status is returned during the N-SET operation of the Image Box, the association
will be terminated.
2.3.1.2.8.2.1.4
Printer SOP Class
The N-GET DIMSE service is supported for the Printer SOP Class. If an N-EVENT-REPORT DIMSE service
is received when the association is active, the DICOM SERVER AE handles the relevant states, but the
data received is ignored.
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Following are the status codes the Application may send back in the N-Event-Report response
command to the Printer SOP Class SCP Equipment that sent the N-Event-Report request:
Table 2.3.1.2.8.2.1.4-1
Status Codes Returned by DICOM SERVER AE for Printer SOP Class N-Event-Report
Service
Status
Status
Code
Success
0000
Further Meaning
Status Code Explanation
N-EVENT-REPORT received successfully
The DICOM SERVER AE issues the N-GET service to retrieve the printer status.
processed as follows:

If Printer status (2110,0010) is NORMAL, the film is printed.

If Printer status (2110,0010) is FAILURE the print job is terminated.
(2110,0020) attribute is not processed.

If Printer status
Related Fields
Sent Back to the
SCU
None
The statuses are
The Printer Status Info
(2110,0010) is WARNING one of two things will happen:
o If the Printer Status Info (2110,0020) is “RECEIVER FULL” or “SUPPLY EMPTY”, or “FILM
JAM” the status is displayed to the user and the print job is aborted.
o For all other Printer Status Info (2110,0020) values, the status is ignored and the print
job continues.
Only one association is opened at a time. The association is open until the response message is
returned from the SCP or a network error occurs. No other configurable timers are available.
For the attribute list requested by this product and for the behavior of this product on each returned
value, refer to Section 4.6 Printer SOP Class.
Following are the status codes that are more specifically processed when receiving messages from a
Print SCP equipment for the Printer SOP Class N-GET:
2.3.1.2.8.2.1.4-2 Status Codes Received by DICOM SERVER AE for Printer SOP Class N-GET
Service
Status
Failure
Status
Codes
0107
Further Meaning
Attribute list error
0119
Class-instance conflict
0210
Duplicate invocation
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Application Behavior When receiving
Status Codes
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
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*
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
0117
Invalid SOP instance
0212
Mistyped argument
0118
No such SOP Class
0112
No such SOP Instance
0110
Processing failure
0213
Resource limitation
0211
Unrecognized operation
0000
Success
*
Any other status code.
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Proceed with parsing dataset returned
from N-Get response and perform
appropriate operations. Refer section 4.2.5
Pauses print job and displays print failure
message on the film composer UI. Error
details along with the status code is
logged.
Refer Section.4 Print Management Implementation.
2.3.1.3 Association Acceptance Policy
The DICOM Server AE places limitations on who may connect to it.
If the Remote AE needs to “Push Images” or “Query/Retrieve Images”, to the local system then it has
to be configured in the Local system to do the same.
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When the DICOM Server AE accepts an association for image storage, it will receive any images
transmitted on that association and store the images on disk.
It will also respond to queries from Remote AEs by sending matching entries. Any Remote AE can
request and receive a list of images on the local database. The Remote AE must be configured in the
local database manager’s list of Remote AE for it to be able to retrieve images from DICOM Server AE.
Any remote AE can open an association to the DICOM Server AE for the purpose of verification.
2.3.1.3.1 Real-World Activity: Receive Images
This AE is indefinitely listening for associations. No operator action is required to receive an image.
2.3.1.3.1.1 Associated Real-World Activity
The Real-World Activity associated with the Receive Images operation is the storage of the image on
the disk drive of the GEHC CT.
2.3.1.3.1.2 Presentation Context Table
Table 2.3.1.3.1.2-1:
Accepted Presentation Contexts for DICOM Server AE and Real-World Activity
Receive Images
Abstract Syntax
Name
Verification
CT Image Storage
MR Image Storage
Presentation Context Table – Accepted
Transfer Syntax
Role
Extended
Negotiation
UID
1.2.840.10008.1.1
Name List
Implicit VR Little
Endian
UID List
1.2.840.10008.1.2
SCP
None
1.2.840.10008.5.1.4.1.1.
2
Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big
Endian
Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big
Endian
Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big
Endian
Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big
Endian
1.2.840.10008.1.2
SCP
None
1.2.840.10008.1.2.
1
1.2.840.10008.1.2.
2
1.2.840.10008.1.2
SCP
None
SCP
None
SCP
None
1.2.840.10008.5.1.4.1.1.
4
PET Image Storage
1.2.840.10008.5.1.4.1.1.
128
RT Structure Set
Storage
1.2.840.10008.5.1.4.1.1.
481
.3
68 of 181
1.2.840.10008.1.2.
1
1.2.840.10008.1.2.
2
1.2.840.10008.1.2
1.2.840.10008.1.2.
1
1.2.840.10008.1.2.
2
1.2.840.10008.1.2
1.2.840.10008.1.2.
1
1.2.840.10008.1.2.
2
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Secondary
Capture Image
Storage
1.2.840.10008.5.1.4.1.1.
7
Enhanced SR
1.2.840.10008.5.1.4.1.1.
88
.22
Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big
Endian
Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big
Endian
1.2.840.10008.1.21
.2.840.10008.1.2.1
1.2.840.10008.1.2.
2
SCP
None
1.2.840.10008.1.2
1.2.840.10008.1.2.
1
1.2.840.10008.1.2.
2
SCP
None
Note: The SCP does not have a default acceptance policy if more than one acceptable transfer syntaxes are
proposed by the SCU. It is the responsibility of the SCU to make a selection from more than one transfer
syntaxes accepted. If multiple transfer syntaxes are proposed in the same presentation context, the SCP will
accept the first one.
2.3.1.3.1.2.1 SOP Specific Conformance to C_STORE SCP
The DICOM Server AE conforms to the SOP’s of the Storage Service Class at level 1 (base).
Each C-STORE SCP operation supports an “Association Timer” and “Operation Inactivity Timer” with
time out values of 30 seconds, 15 seconds respectively.

Association Timer – duration for SCP to respond to an association request.

Inactivity Timer – duration between two commands after the association.
Image Reception
If the DICOM Server AE returns one of the following status codes, then the C-STORE operation
was unsuccessful and no image will be installed:
Service
Status
Failure
Further Meaning
Status Code Explanation
A700
Refused: Out of resources
Not enough disk space to store DICOM
image.
A710
Refused: Out of Resources
Remote AE is not given permission to store
on this AE
(0000,0902)
A711
Refused: Out of resources
Unable to connect to local database for
storage.
(0000,0902)
A900
Error: Data Set does not
match SOP
Class
Storage of the DICOM object in localdb
failed due to invalid data set.
(0000,0901)
(0000,0902)
Status
Code
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Related
Fields Sent
Back to the
SCU
(0000,0902)
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C000
Error: Cannot understand
Storage of the DICOM object in localdb
failed.
(0000,0901)
(0000,0902)
In the event of a successful C-STORE operation, the image has successfully been written to
disk. The image will then be accessed in the same manner as any other image by the
applications on the GEHC CT system.
Images may be deleted when instructed to do so by the user. Thus the duration of the storage
of the image is determined by the users of the GEHC CT system.
Image Installation
If the image installation is unsuccessful, a message will appear in the Message Log informing
the user of the failure and the image will be removed.
If the image installation process finds that an element is not encoded according to the DICOM
standard, it will fail to install the image and the file will be removed.
Image Installation of non-GE Created MR or CT Images
Images received from non-GE products are installed as the appropriate image object. Their
private data elements will be maintained if the negotiated transfer syntax is Explicit Little or
Big Endian. Also if any critical fields (mandatory) are missing, then the image will not be
installed.
This AE is indefinitely listening for associations. No operator action is required to respond to a
verification message.
2.3.1.3.2 Real-World Activity: Verification Request from Remote AE
2.3.1.3.2.1
Associated Real-World Activity
This AE is indefinitely listening for associations. No operator action is required to respond to a verification
message. The Real-World Activity associated with the verification request is to send a C-ECHO response
message with a status of “success” to the requesting AE.
2.3.1.3.2.2 Presentation Context Table
Table 2.3.1.3.2.2-1:
Acceptable Presentation Contexts for DICOM Server AE and
Real-World Activity Verification Request
Abstract Syntax
Name
Verification
UID
1.2.840.10008.1.
1
Presentation Context Table
Transfer Syntax
Name List
Implicit VR Little
Endian
Explicit VR Little Endian
Explicit VR Big Endian
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UID List
1.2.840.10008.1.2
1.2.840.10008.1.2.
1
1.2.840.10008.1.2.
2
Role
Extended
Negotiation
SCP
None
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REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
2.3.1.3.2.2.1 SOP Specific Conformance to C_ECHO SCP
The DICOM Server AE provides standard conformance to the DICOM Verification Service Class.
Each ECHO operation supports an “Association Timer” and “Operation Inactivity Timer” with time out
values of 30 seconds and 15 seconds respectively.
2.3.1.3.3 Real-World Activity: Search Local Database (Query Request from Remote AE)
This AE is indefinitely listening for associations. No operator action is required to respond to a query
request.
2.3.1.3.3.1 Associated Real-World Activity
The Real-World Activity associated with “Search Local Database” is to search the local database for
entries that match the request and send a C-FIND response message with a status of “pending” for
each matching entry and send a C-FIND response message with a status of "success" after the last
"pending" response.
If the C-FIND SCP receives a C-FIND-CANCEL request, it sends a C-FIND response message with a
status of "cancel (FE00H)".
2.3.1.3.3.2 Presentation Context Table
Table 2.3.1.3.3.2-1:
Acceptable Presentation Contexts for DICOM Server AE and Real-World Activity
Query Request
Presentation Context Table
Abstract Syntax
Name
UID
Study Root
Query/Retrieve
FIND
1.2.840.10008.5.1.4.1.2.2.1
Transfer Syntax
Name List
Implicit VR Little Endian
Explicit VR Little Endian
Explicit VR Big Endian
Role
Extended
Negotiation
SCP
None
UID List
1.2.840.10008.1.2
1.2.840.10008.1.2.1
1.2.840.10008.1.2.2
2.3.1.3.3.2.1 SOP Specific Conformance to C-FIND SCP
Each C-FIND SCP operation supports an “Association Timer” and “Operation Inactivity Timer” with
time out values of 30 seconds and 15 seconds respectively.
All Required (R) and Unique (U) study, series, and image level keys for the Study-Root Query/Retrieve
information model are supported. Some optional (O) keys are also supported as described in the
following tables.
Table 2.3.1.3.3.2.1-1
Supported study level keys
Description
Type
Tag
R
R
R
R
0008,0020
0008,0030
0008,0050
0010,0010
Study date
Study time
Accession number
Patient’s name
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Usage
Matched
Matched
Matched
Matched
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Description
Patient id
Study id
Study Instance UID
Study description
Suite Id
Type
Tag
R
R
U
O
P
0010,0020
0020,0010
0020,000D
0008,1030
0009,0002
Table 2.3.1.3.3.2.1-2
Supported series level keys
Description
Type
Tag
R
R
U
O
O
O
0008,0060
0020,0011
0020,000E
0008,103E
0008,0070
0020,1002
Modality
Series number
Series Instance UID
Series description
Manufacturer
Images in series
Table 2.3.1.3.3.2.1-3
Usage
Matched
Matched
Matched
Returned
Returned
Usage
Matched
Matched
Matched
Returned
Returned
Returned
Supported image level keys
Description
Image number
Image Instance UID
Image type
Rows
Columns
Image position
Image orientation
Slice thickness
Slice spacing
Gantry tilt
Convolution kernel
Reconstruction diameter
Data collection diameter
Flip angle
Echo number
Echo time
Inversion time
Repetition time
Trigger time
Dfov Rect
Midscan Time
Azimuth
Number of Echo
Scout Anref
Type
Tag
R
U
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
P
P
P
P
P
0020,0013
0008,0018
0008,0008
0028,0010
0028,0011
0020,0032
0020,0037
0018,0050
0018,0088
0018,1120
0018,1210
0018,1100
0018,0090
0018,1314
0018,0086
0018,0081
0018,0082
0018,0080
0018,1060
0019,001E
0019,0024
0019,0026
0019,007E
0021,004A
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Usage
Matched
Matched
Returned
Returned
Returned
Returned
Returned
Returned
Returned
Returned
Returned
Returned
Returned
Returned
Returned
Returned
Returned
Returned
Returned
Returned
Returned
Returned
Returned
Returned
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DIRECTION DOC1906666, REV 1
Description
Location RAS
Location
Center R Coordinate
Center A Coordinate
Table Start Location
Table End Location
RAS Letter for Side of Image
RAS Letter for Anterior/Posterior
RAS Letter for Scout Start Location
RAS Letter for Scout End Location
Image Dimension X
Image Dimension Y
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Type
Tag
P
P
P
P
P
P
P
P
P
P
P
P
0027,0040
0027,0041
0027,0042
0027,0043
0027,0050
0027,0051
0027,0052
0027,0053
0027,0054
0027,0055
0027,0060
0027,0061
Usage
Returned
Returned
Returned
Returned
Returned
Returned
Returned
Returned
Returned
Returned
Returned
Returned
Note: In the above tables the type field has the following meaning:
R = Required
U = Unique O = Optional
P = Private
Only keys with Usage type Matched will be matched against values in the database.
Values in keys of type Returned will be ignored and will be filled in with data from the database.
If an optional key is requested that does not appear in any of the tables above, that key will be
ignored and no corresponding element will be returned.
If the database does not have a value corresponding to any requested optional key a zero-length
element will be returned.
Sequence matching is not supported.
Range matching is supported for attributes of type date and time.
Only hierarchical query is supported.
Special character “?” can be used to match any single character and special character * can be used
to match any character or set of characters for (0008, 0050) Accession Number, (0010, 0010)
Patient’s Name, (0010, 0020) Patient ID and (0020, 0010) Study ID.
Except sequence matching all other matching are supported. (i.e. wildcard (“*”, “?”) and range (“-“)
matching is supported as defined in DICOM PS3.4 Section C.2 Query/Retrieve Information Model
Definition.)
Following are the status codes the Application may send back to the SCU Equipment while
performing the requested Query:
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Service
Status
Failure
Status
Code
A900
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Further Meaning
Status Code Explanation
Error: Invalid dataset
This status code is sent for the following
reasons
Related
Fields Sent
Back to the
SCU
(0000,0902)
1.When does not have required information,
like query retrieve level
C001
Error: Unable to process
This status code is sent for the following
reasons
(0000,0902)
1.When remote AE is not given permission
to store on this AE.
2. Not able to connect to local database,
because of max connection limit reached.
3. Database query fails.
Cancel
FE00
Matching terminated due
to cancel
This status code will be returned when None
DICOM SERVER AE receives C-FIND-CANCEL
from remote AE
Success
0000
Matching is complete - No
final identifier is supplied
Matching complete
None
Pending
FF00
Matches are continuing Current Match is supplied
and any Optional Keys
were supported in the
same manner as Required
Keys.
For pending messages
Identifier
2.3.1.3.4 Real-World Activity: Move Images (Retrieve Request from Remote AE)
This AE is indefinitely listening for associations. No operator action is required to respond to a retrieve
request.
2.3.1.3.4.1 Associated Real-World Activity
The Real-World Activity associated with “Move Images” is to send all images corresponding to the CMOVE request to the destination AE through a separate association.
If the C-MOVE SCP receives a C-MOVE-CANCEL request, it discontinues the move operation and
closes the separate association.
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2.3.1.3.4.2 Presentation Context Table
Table 2.3.1.3.4.2-1:
Acceptable Presentation Contexts for DICOM Server AE and
Real-World Activity “Move Images”
Presentation Context Table
Abstract Syntax
Name
UID
Study Root
Query/Retrieve
MOVE
1.2.840.10008.5.1.4.1.2.2.2
Transfer Syntax
Name List
Implicit VR Little Endian
Explicit VR Little Endian
Explicit VR Big Endian
Role
Extended
Negotiation
SCP
None
UID List
1.2.840.10008.1.2
1.2.840.10008.1.2.1
1.2.840.10008.1.2.2
2.3.1.3.4.2.1 SOP Specific Conformance to C-MOVE SCP
The DICOM Server AE provides standard conformance to the baseline Study-root C-MOVE Service
Class SCP.
Each C-MOVE SCP operation supports an “Association Timer” and “Operation Inactivity Timer” with
time out values of 30 seconds and 15 seconds and 60 minutes respectively. All images requested in
a C-MOVE-RQ will be sent over a single association. A C-MOVE-RSP with a “pending” status will be
returned to the requester every five images.
C-MOVE supports list of Studies (through list of Study UIDs), list of Series (through list of Series UIDs)
and list of Images (through list of Instances UIDs).
To send C-MOVE to a 3rd party system is supported if 3rd party destination AE details are configured
in the system.
The C-MOVE SCP will invoke C-STORE requests for the following SOP classes:
SOP Class Name
SOP Class UID
CT Image Information Storage
1.2.840.10008.5.1.4.1.1.2
MR Image Information Storage
1.2.840.10008.5.1.4.1.1.4
PET Image Information Storage
1.2.840.10008.5.1.4.1.1.128
RT Structure Set Storage
1.2.840.10008.5.1.4.1.1.481.3
Secondary Capture image storage
1.2.840.10008.5.1.4.1.1.7
Grayscale Softcopy Presentation State Storage
1.2.840.10008.5.1.4.1.1.11.1
Enhanced SR
1.2.840.10008.5.1.4.1.1.88.22
X-Ray Radiation Dose SR
1.2.840.10008.5.1.4.1.1.88.67
Following are the status codes the Application may send back to the SCU Equipment while
performing the requested Retrieve:
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Service
Status
Failure
Status
Code
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Further Meaning
Status Code Explanation
Related
Fields Sent
Back to the
SCU
A701
Refused: Out of resources Unable to calculate number
of matches
This status code is sent when local database
query fails
(0000,0902)
A702
Refused: Out of resources Unable to perform suboperations
This status code is sent to Retrieve SCU when
the association is rejected by the C-STORE SCP
(0000,0902)
A801
Error: Move Destination
Unknown
This status code is sent when the destination AE
named in the C-MOVE request is unknown to
DICOM SERVER AE.
(0000,0902)
A900
Error: Invalid dataset
This status code is sent for the following reasons
(0000,0902)
1.When the retrieve request does not contain
required information, like query retrieve level
C001
Error: Unable to process
This status code is sent for the following reasons
(0000,0902)
1.When Remote AE does not have permissions
to use DICOM SERVER AEs retrieve service
2. Not able to connect to local database,
because of max connection limit reached.
3. Database query fails.
Cancel
FE00
Sub-operations terminated
due to a Cancel indication
This status code is sent when DICOM SERVER AE
receives C-MOVE-CANCEL request from the
Remote AE.
(0000,1021)
(0000,1022)
(0000,1023)
(0000,0902))
Success
0000
Sub-operations Complete No Failure.
All the composite SOP instances have been
successfully sent to the C-MOVE destination
(0000,1021)
(0000,1022)
(0000,1023)
Pending
FF00
Sub-operations are
continuing -
For pending sub operation to remote AE
(0000,1020)
(0000,1021)
(0000,1022)
(0000,1023)
2.3.1.3.4.3 Presentation Context Acceptance Criteria
No criterion.
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2.3.1.3.4.4 Transfer Syntax Selection Policy
All protocols detailed above in the tables are supported; no priority selection is given.
2.3.1.3.5 Real-World Activity: Listen to remote Storage Commitment SCP
The DICOM SERVER AE is indefinitely listening for associations. No operator action is required to
receive a Storage Commitment notification (N-EVENT-REPORT).
2.3.1.3.5.1
Associated Real-World Activity
The Real-World Activity associated consists into:
• Flag the exams/series that have been committed (transfer of ownership) in the database
• Display the error when some images of a patient existing in the database have not been
committed
2.3.1.3.5.2 Presentation Context Table
Presentation Context Table – Accepted by DICOM SERVER AE for Activity Storage commit notification
from Remote AE
Abstract Syntax
Transfer Syntax
Name
UID
Name List
UID List
Storage
Commitment Push
Model
1.2.840.10008.1.20.1
Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big Endian
1.2.840.10008.1.2
1.2.840.10008.1.2.
1
1.2.840.10008.1.2.
2
Role
Extended
Negotiatio
n
SCU
None
2.3.1.3.5.2.1
SOP Specific DICOM Conformance Statement for the Storage Commitment Push Model SOP Class
(N-EVENT-REPORT)
The DICOM SERVER AE monitors an “Operation Inactivity” timer. The connection with the SCU will be
terminated if it is inactive for the configured time-out interval. Default time-out is 15 seconds and is
configurable.
Once the N_EVENT_REPORT response is received from the SCP, the following actions will be taken
depending on the status of response.
2.3.1.3.5.2.1.1
Commitment response with SUCCESS status
The “Archived” flag information in the browser for all the successfully archived exam/series will be
updated. The archive status column in the browser will be changed to display “Archived” icon to
indicate that the exam/series has been archived successfully. The job queue entry will be removed.
N_EVENT_REPORT response will be sent on the same association as N_EVENT_REPORT request. No
data set will be sent along with the response.
Following are the status codes the Application may send back to the SCP Equipment after receiving
the N-EVENT-REPORT:
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Servic
e
Status
Error
Status
Codes
0110
Processing
Failure
Indicates that an internal error
occured while processing.
Succe
ss
0000
Success
The storage commitment result
received successfully.
2.3.1.3.5.2.1.2
Further Meaning
Status Code sending explanation
Related Fields
sent back to
the SCU
None
None
Commitment response with FAILURE status
In the event of complete/partial failure the user will be notified about the status and the job entry will
be paused. There is no attempt made to automatically retry the failed SOP instances. However the
user can manually retry the failed jobs. Such requests will be treated as new requests. This will go
through the complete sequence of operations once again.
The failure reason is ignored. Failed SOP instances will have their “Archived” flag information
unaltered. Failed SOP instances are logged.
Note: The archived status flag in the browser is a shared flag with local archive. When the status is
“Archived”, it means that the images are archived but doesn’t specify whether on local archive
device or remote archive device. It is left to the user’s discretion whether the local SOP instances are
to be deleted.
N_EVENT_REPORT response will be sent on the same association as N_EVENT_REPORT request. No
data set will be sent along with the response.
Please see section 5.1.2.1 for the complete list of N_EVENT_REPORT failure statuses processed by the
system.
Following are the status codes the Application may send back to the SCP Equipment after receiving
the N-EVENT-REPORT:
Service
Status
Status
Codes
Further Meaning
Status Code sending explanation
Error
0110
Processing Failure
Indicates that an internal error occurred
while processing.
Success
0000
Success
The storage commitment result received
successfully.
Related
Fields sent
back to the
SCU
None
None
2.3.1.3.5.3 Presentation Context Acceptance Criterion
The DICOM SERVER AE evaluates each Presentation Context independently, and accepts any
Presentation Context that matches an Abstract Syntax for any Real-World Activity.
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2.3.1.3.5.4 Transfer Syntax Selection Policies
Within each Presentation Context, the DICOM SERVER AE will select Transfer Syntaxes according to
the following priority (highest priority first):
1. Explicit VR Little Endian
2. Implicit VR Little Endian
3. Explicit VR Big Endian
2.4
Communication Profiles
2.4.1 Supported Communication Stacks (parts 8)
DICOM Upper Layer (Part 8) is supported using TCP/IP.
2.4.2 TCP/IP Stack
The TCP/IP stack is inherited from a UNIX Operating System.
2.4.2.1 Physical Media Support
Ethernet v2.0, IEEE 802.3
2.4.3 Others
2.5

DHCP is not supported.

IPv6 is not supported.
Extensions / Specializations / Privatizations
2.5.1 Standard Extended Elements
Refer to Appendix A for supported Standard Extended Elements.
2.5.2 Private Data Elements
Refer to Appendix B for a complete listing of private data elements used with this implementation.
2.6
Configuration
2.6.1 AE Title/Presentation Address Mapping
The GEHC CT system allows the user to “add”, “Remove”, or “Update the mapping of remote AE Titles
to IP Addresses and Ports. These options can be selected from “Network Configuration” dialog box
displayed by choosing “Network Configuration” from the “Tools” pull-down menu from the local
database browser.
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2.6.2 Configurable Parameters
The following fields are configurable for this AE (local):




Local AE Title
Local IP Address
Local Listening Port Number
Local IP Netmask
Note:
The local port on which the GEHC CT system receives DICOM incoming TCP connections is
configured by default to port 4006.
The following fields are configurable for every remote DICOM AE:



Remote AE Title
Remote IP Address
Listening TCP/IP Port Number
The following fields are configurable:




Association Establishment Timer time-out
Store, Find, Move Timers time-out
Inactivity Timers time-out
Maximum PDU length
Note: Timeouts are set in network-cfg.xml and mergecom.pro files
Note: All configurations should be performed by a GE Field Service Engineer.
2.6.2.1 Print Configuration
The following fields are configurable for DICOM Print. The valid ranges are as described in Section 6.2
Attribute Name
Medium Type
DICOM Tag
(2000, 0030)
Film Destination
(2000, 0040)
Magnification Type
(2010, 0060)
Min Density
(2010, 0120)
Max Density
(2010, 0130)
Empty Image Density
(2010, 0110)
Border Density
(2010, 0100)
Configuration Information
(2010, 0150)
Smoothing Type
(2010, 0080)
The following network timers are supported and are configurable. When these timers expire the
association is terminated. The default values are defined in dprint.cfg as below
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Timeout Description
Association Time out
Default Value
Configuration Parameter Name
120 seconds
bi_assoc_tio
Session Time out
1200 seconds
bi_session_tio
Echo Time out
200 seconds
bi_echo_tio
N-SET Time out
300 seconds
bi_nset_tio
N-ACTION Time out
300 seconds
bi_naction_tio
N-CREATE Time out
300 seconds
bi_ncreate_tio
N-DELETE Time out
300 seconds
bi_ndelete_tio
N-GET Time out
100 seconds
bi_nget_tio
2.6.2.2 PPS Configuration
The parameters Remote MPPS AE IP Address, Remote AE(HIS/RIS) IP Port and Remote MPPS AE Title
define where the MPPS requests will be directed.
The default value of Local AE Title is host name of the scanner appended with string “_PPS”. If the
length exceeds 16 characters the AE Title is truncated to a length of 16.)
Configurable DICOM Data:
The following DICOM sequences are currently defaulted to be automatically sent in the PPS NCREATE and PPS N-SET however PPS can be configured to not send them:


(0008, 1032) Procedure Code Sequence – sent in the PPS N-CREATE. If not sent, the PPS NCREATE will contain an empty Procedure Code Sequence.
(0040, 0260) Performed Protocol Code Sequence – sent in the PPS N_SET. If not sent, the PPS NSET will not contain a Performed Protocol Code Sequence.
The configuration is performed by GEHC Field Service Engineers changing parameters in
configuration file Dicom.cfg
2.6.2.3 Modality Worklist Query Configuration
HIS/RIS is configured as a remote AE. These parameters define where worklist queries will be
directed. Configuration of these parameters is performed by GEHC Field Service engineers using the
ModalityWorklist installation facilities.
The following parameters are configurable for the DICOM Worklist Server AE:




Local (Worklist Server) AE Title (automatically set to host name of scanner)
Local IP address
Local IP netmask
Local IP gateway
The following parameters are configurable by changing their values in the configuration file
/usr/g/config/WLdcm.cfg. Note that these parameters typically need not be changed. Furthermore,
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no support is provided for retaining changed settings: the values will require changing again after a
system software upgrade.
Implementation UID
PDU size
Association time-out period
Session time-out period
C-FIND time-out period





2.6.2.4 GSPS Configuration
Exam Split allows for the configuration of the following parameters that pertain to the remote AE.

Remote GSPS AE IP Address
IP Address used to contact the remote GSPS AE

Remote GSPS IP Port:
IP Port used to contact the remote GSPS AE

Remote GSPS AE Title
Application Entity Title used to contact the remote
GSPS AE

Remote HES AE IP Address
IP Address used to contact the remote HES AE

Remote HES IP Port:
IP Port used to contact the remote HES AE

Remote HES AE Title
Application Entity Title used to contact the remote
HES AE
The following are configurable for the GSPS.




2.7
Remote Host IP address
Remote Host port
Remote AE Title
Changesplit_mode <HES/VES>
Support of Extended Character Sets
In addition to the DICOM default character set, GEHC CT supports the ISO IR 100 Latin alphabet #1
supplementary set for the purpose of interchange.
As a Storage SCP, the product will accept SOP Instances with any value of Specific Character Set
(0008,0005). As a Query SCU, it will similarly accept response items with any value of Specific
Character Set. However, it will display in the user interface only characters specified as within ISO_IR
6 (ASCII) or the configured extended character set.
The product user interface will allow the user to enter characters from the console keyboard that is
within ASCII or the configured extended character set. If any such extended characters are included
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in SOP Instances or in query identifier matching fields, the product will appropriately specify the
extended character set in Specific Character Set (0008,0005).
The generated MPPS messages will also specify the character set in (0008,0005) if the referenced
images contain extended characters.
As a Modality Worklist SCU, it only uses ISO_IR 100 Specific Character Set in the worklist query
requests.
2.8
Codes and Controlled Terminology
The product uses coded terminology as defined below.
2.8.1 Mapped Coded Terminology
The product maps, without change, coded terminology values supplied in Modality Worklist
Scheduled Procedure Steps into Image SOP Instance and Modality Performed Procedure Step
attributes, as described in Sections 6 and 7.
2.9 Security Profiles
The product does not conform to any defined DICOM Security Profiles.
It is assumed that the product is used within a secured environment. It is assumed that a secured
environment includes at a minimum:
1.
Firewall or router protections to ensure that only approved external hosts have network
access to the product.
2.
Firewall or router protections to ensure that the product only has network access to
approved external hosts and services.
3.
Any communications with external hosts and services outside the locally secured
environment use appropriate secure network channels (such as a Virtual Private
Network (VPN))
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3.1
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MEDIA STORAGE CONFORMANCE STATEMENT
Introduction
This conformance statement specifies the GEHC CT conformance to the DICOM Media Interchange. It
details the DICOM Media Storage Application Profiles and roles that are supported by this product.
GEHC CT system provides capabilities to DICOM interchange on CD-R (Compact Disc - Recordable),
CD-RW (Compact Disc - ReWritable), DVD-R (Digital Video Disc - Recordable), DVD-RW (Digital Video
Disc - ReWritable) and USB (Universal Serial Bus) memory.
GEHC CT system works with most of the IOD’s like Computed Tomography (CT), Magnetic Resonance
(MR), Computed Radiography (CR), Positron Emission Tomography (PET).
3.2
Implementation Model
The DICOM Interchange Archive Server Application Entity (AE) handles all DICOM media storage
functionality on the GEHC CT system.
The DICOM Interchange Archive Server AE is commanded to perform DICOM services through the
buttons and menu selections on the user interface. It also uses the appropriate recorders to provide
the service Interchange Media profiles.
3.2.1 Application Data Flow Diagram
The Basic and Specific Application models for the CD-R/CD-RW/DVD-R/DVD-RW/USB devices are
shown in the following Illustrations.
The DICOM Interchange Archive Server Application Entity (AE) handles the DICOM CREATE CD
(/DVD/USB) / RESTORE CD (USB) / QUERY CD (USB) functionality for the CD/DVD/USB media. The
DICOM Interchange Archive Server Application Entity (AE) is commanded by the user to perform
DICOM services operating on the DICOM media through the use of buttons and menu selections on
the graphical user interface of the platform.
The user requests the creation of a DICOM File Set and the writing of this DICOM File Set on blank
Interchange Media by selecting images in the local Browser and selecting the Interchange Media as
being the selected device. Then, the iso9660 image of the CD/DVD/USB to write will be generated.
Once the generation has been done, it writes the complete set of data on the selected Interchange
Media.
The Media Interchange Application Model for the GEHC CT system is shown in Illustration 3-1:
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Illustration 3-1: Specific AE Application Model
Display
Directory
QUERY
Local
Storage
RESTORE
DICOM
Archive Server
AE
FSC
Media
Storage
FSR
Record Media
CREATE
The DICOM Interchange Archive Server AE has a local storage that may contain various SOP
instances. These may have been obtained by original creation, network (DICOM or proprietary) or by
removable media using other application entities. These instances are external to this conformance
claim and the origin of SOP instances is outside the scope of this claim.
The DICOM Interchange Archive Server AE can initialize Media by acting as an FSC to create a new
DICOM File-set on a blank interchange media. It initializes the DICOM File-set and writes the specified
SOP instances onto the Interchange Media at once. The SOP instances written will be limited to
instances that match the criteria of one of the Application Profiles that is supported.
Updating the media is not supported.
3.2.2 Functional Definitions of AE's
The CD-R/ CD-RW/DVD-R/DVD-RW/USB DICOM Interchange Archive Server Application Entity
support the following functions:
·
Generate and write a DICOM File Set (FSC) in a one shot activity. (CREATE).
·
Read a DICOM File Set (FSR) on an Interchange Media (QUERY).
·
It can copy SOP instances from the media onto local storage. (RESTORE).
3.2.3 Sequencing of Real World Activities
The display function (QUERY) can only be performed on a piece of media that already had a DICOM
File-set created. With no SOP instances having been added, the directory will be displayed empty.
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The write function (CREATE) can only be performed on a blank (unused) Interchange Media. Updates
to an already recorded Interchange Medium are not supported.
There are no other sequencing requirements.
3.2.4 File Meta Information for Implementation Class and Version
The File Meta-Information for this implementation is:

File Meta-Information Version .................................1

Implementation Version Name ...............................Software Revision (See Appendix D)
The table in Appendix D identifies the Implementation UID for this product version.
3.3
AE Specifications
3.3.1 DICOM CD-R/CD-RW/DVD-R/DVD-RW/USB Media Interchange AE Specification
The DICOM CD-R/CD-RW/DVD-R/DVD-RW/USB Media Interchange AE provides standard
conformance to DICOM Media Storage Service Class. The Application Profiles and roles are listed in
Table 3.3.1-1.
Table 3.3.1-1: DICOM CD-R/CD-RW/DVD-R/DVD-RW/USB Supported Application Profiles
Application Profiles
Supported
STD-GEN-CD
STD-GEN-CD
STD-GEN-CD
STD-GEN-DVD-JPEG
STD-GEN-USB-JPEG
STD-GEN-USB-JPEG
STD-GEN-USB-JPEG
Real World Activity
Role
SC Option
FSC
FSR
FSR
FSC
FSC
FSR
FSR
Interchange
Interchange
Interchange
Interchange
Interchange
Interchange
Interchange
CREATE CD
QUERY CD
RESTORE CD
CREATE DVD
CREATE USB
QUERY USB
RESTORE USB
Note: JPEG compressed images are supported for USB restore only.
.
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3.3.1.1 File Meta Information for the CD-R/CD-RW/DVD-R/DVD-RW/USB DICOM Media Interchange
Application Entity
Following are the values set in the File Meta Information for this AE. Please refer to Appendix D for
details on specific GEHC CT system information.

Implementation UID : See Appendix D

Implementation version name : See Appendix D
3.3.1.2 Real World Activities for the CD-R/CD-RW/DVD-R/DVD-RW/USB DICOM Media Interchange
Application Entity
3.3.1.2.1
Real World Activity:
Record Media - CREATE (CD/DVD/USB)
The DICOM Media Interchange Application acts as an FSC using the interchange option when
requested to copy SOP Instances from the local database to a CD-R / CD-RW / DVD-R / DVD-RW /
USB.
The user selects the entries in the local database that he/she wants the DICOM Media Interchange
Application to copy onto Interchange Media.
The graphic interface allows the user to select the entries (studies, series or images) in the local
database to be copied onto to the selected Interchange Media.
The DICOM Media Interchange Application creates one File Set per generated Interchange Media.

The graphic interface allows the user to select the entries (studies, series or images) in the local
database to be copied onto to the selected Interchange Media.

A user cannot create CD/DVD/USB while restore CD/USB is in process.

A DICOM Media Viewer is provided along with the selected object instances on the interchange
media. This viewer can be loaded on a standard PC running Windows XP, Windows Vista or
Windows 7.
Before writing on the Interchange Media, the DICOM Media Interchange Application checks for the
following condition:

The inserted media is blank and write-able. If the condition is not met, an error is displayed and
the user needs to replace it with a blank media.
Note:
Since JPEG compression is not enabled, the transfer syntax for SOP Instances will always be Explicit
VR Little Endian (ELE) Uncompressed Transfer Syntax, UID 1.2.840.10008.1.2.1. For any other IODs
with Transfer syntax other than ELE, the corresponding SOP instance data are converted to ELE and
then copied to CD/DVD/USB. During the conversion to ELE, the private tags are stored with VR as UN
if the syntax is implicit to facilitate fidelity.
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The Object SOP instances have to be encoded with the ISO_IR 100 Specific Character set or DICOM
Default Character Set.
3.3.1.2.1.1
Application Profiles for the RWA: Record Media - CREATE (CD/DVD/USB)
Refer to Table 3.3.1-1 for the list of Application Profiles that invoke this AE for the Create CD/DVD/USB
RWA.
3.3.1.2.1.1.1 Options for STD-GEN-CD, STD-GEN-DVD-JPEG and STD-GEN-USB-JPEG Application Profile:
Following are the SOP Classes supported by the RWA “Create CD/DVD/USB”. All SOP Instances use
the Explicit VR Little Endian Uncompressed Transfer Syntax, UID 1.2.840.10008.1.2.1 for creating
CD/DVD/USB.
TABLE 3.3.1.2.1.1.1-1
SOP Class
SOP Class UID
CT Image Storage
1.2.840.10008.5.1.4.1.1.2
MR Image Storage
1.2.840.10008.5.1.4.1.1.4
PET Image Information Storage
1.2.840.10008.5.1.4.1.1.128
RT Structure Set Storage
1.2.840.10008.5.1.4.1.1.481.3
Secondary Capture Image Storage
1.2.840.10008.5.1.4.1.1.7
Grayscale Softcopy Presentation State Storage
1.2.840.10008.5.1.4.1.1.11.1
X-Ray Radiation Dose SR Image Storage
1.2.840.10008.5.1.4.1.1.88.67
Enhanced SR Image Storage
1.2.840.10008.5.1.4.1.1.88.22
3.3.1.2.1.1.2 FSC Directory Options
Refer to Appendix C for a complete listing of all modules and attributes used in the DICOMDIR
definition.
NOTE:
Modality attribute (0008,0060) in the DICOMDIR Series records should be “CT” for Secondary
Capture SOP Class Images. Otherwise the GEHC CT system’s DICOM media display browser will not
list-up the series for contents rendering the retrieval to local storage impossible.
For USB, only one DICOM file set shall be stored in the first partition of a partitioned device. If the
device is not partitioned, only one DICOM file set shall be stored on the device.
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3.3.1.2.2 Real World Activity: Display Directory – QUERY (CD/USB)
The DICOM Media Interchange AE acts as an FSR using the interchange option when requested to
browse the Interchange Media.
When the DICOM Media Interchange AE is requested to provide a directory listing, it reads the Fileset and displays the DICOMDIR directory entries, according to the STUDY Root paradigm.
If the media is not blank, then Interchange Media gets mounted. To remove the media, the user has
to select the eject button on user interface for the appropriate drive.
A user cannot display the directory when create CD/DVD/USB or restore CD/USB are in progress.
3.3.1.2.2.1 Application Profiles for the RWA: Display Directory
For the list of Application Profiles that invoke this AE for the Display Directory CD/USB RWA,, see Table
3.3.1-1.
There are no extensions or specializations.
3.3.1.2.2.2 Media Storage Application Profile for the RWA: Display Directory:
Following are the SOP Classes supported by the RWA “Display Directory of CD/USB”:
Information
Object
Definition
Media
Storage
Directory
Storage
SOP Class UID
1.2.840.10008.1.3.10
Transfer Syntax
Explicit VR Little Endian
Transfer Syntax UID
1.2.840.10008.1.2.1
3.3.1.2.3 Real World Activity (RWA): Local Storage – RESTORE (CD/USB)
The CD/USB DICOM Media Interchange AE acts as an FSR using the interchange option when
requested to copy SOP instances from the CD/USB to the local database.
The user selects the SOP instances that he wants the DICOM Media Interchange AE to copy on the
local database by selecting appropriate Study/Series/Image instances and clicking on the suitable
restore buttons. Once selected, the SOP instances are copied from the media to the local database.
If the media is not blank, then the Interchange Media gets mounted. To remove the media, the user
has to select the eject button on the User Interface for the appropriate drive.
A user cannot restore CD/USB while create CD/DVD/USB is in process.
A user can only restore selected composite objects at a time from a media; any other attempt of
selections to restore CD/USB on media in same drive will wait until the first one is completed.
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3.3.1.2.3.1 Application Profiles for the RWA: Local Storage – RESTORE (CD/USB)
For the list of Application Profiles that invoke this AE for the Restore RWA, see Table 3.3.1-1. For
extensions and specialization’s see section 3.5.
3.3.1.2.3.1.1 Options for STD-GEN-CD and STD-GEN-USB-JPEG Application Profile:
Following are the SOP Classes supported by the RWA “Local Storage – RESTORE (CD/USB)”.
Information
Object
Definition
Media
Storage
Directory
Storage
See Table
3.3.1.2.1.1.1-1
See Table
3.3.1.2.1.1.1-1
SOP Class UID
Transfer Syntax
1.2.840.10008.1.3.10
Explicit VR Little Endian
See Table
3.3.1.2.1.1.1-1
See Table
3.3.1.2.1.1.1-1
Explicit VR Little Endian
See Table
3.3.1.2.1.1.1-1
See Table
3.3.1.2.1.1.1-1
See Table
3.3.1.2.1.1.1-1
See Table
3.3.1.2.1.1.1-1
JPEG Lossless Process 14
(selection value 1)
Transfer Syntax UID
1.2.840.10008.1.2.1
1.2.840.10008.1.2.1
1.2.840.10008.1.2.4.70
(STD-GEN-USB-JPEG only)
JPEG Lossy, Baseline
Sequential with Huffman
Coding
(Process 1)
1.2.840.10008.1.2.4.50
(STD-GEN-USB-JPEG only)
JPEG Extended (Process 2 & 4):
Default Transfer Syntax for
Lossy JPEG 12 Bit Image
Compression (Process 4 only)
1.2.840.10008.1.2.4.51
(STD-GEN-USB-JPEG only)
3.4
Augmented and Private Application Profiles
3.4.1 Augmented Application Profiles
The CD/DVD/USB Media Archive Interchange AE does not support any augmented Application
Profiles.
3.4.2 Private Application Profiles
The CD/DVD/USB Media Interchange AE does not support any private Application Profiles.
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3.5
Extensions, Specializations and Privatizations of SOP Classes and Transfer Syntax
3.5.1
Extensions, Specialization’s and Privatizations of SOP Classes
The CT/MR SOP Class Images have definitions extended for Defined Terms and include GE specific
Private Data elements. The following sections describe the details for these SOP classes.
3.5.1.1 SOP Specific Conformance Statement for Basic Directory SOP Class
Following attributes are Standard extensions for each Directory Record type.
Key Attribute
Tag
Directory Record Type
Image Type
(0008,0008)
SERIES
Manufacturer’s ID
(0008,0070)
SERIES
Series Description
SERIES
Manufacturer’s Model Name
(0008,103E)
(0008,1090)
SOP Instance UID
(0008,0018)
IMAGE
PRESENTATION
SR DOCUMENT
Acquisition Time
(0008,0032)
IMAGE
Slice Thickness
(0018,0050)
IMAGE
Spacing Between Slices
(0018,0088)
IMAGE
Data Collection Diameter
(0018,0090)
IMAGE
Reconstruction Diameter
(0018,1100)
IMAGE
Gantry/Detector Tilt
(0018,1120)
IMAGE
Convolution Kernel
(0018,1210)
IMAGE
Slice Location
(0020,1041)
IMAGE
SERIES
Refer to Appendix B for private data elements.
3.5.2 Private Transfer Syntax Specification
None specified.
3.6
Configuration
For the CD/DVD/USB Interchange Media Application, the source AE Title encoded in the File MetaInformation cannot be modified.
3.7
Support of Extended Character Sets
The CD/DVD/USB Interchange Media Application will support copy of SOP instances containing the
ISO IR 100 (Latin alphabet No. 1, supplementary set) and DICOM default character sets as defined in
PS3.5.
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Any incoming SOP instances encoded using another extended character set will not be installed in
the GEHC CT system database.
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Print Management Implementation
4.1
Introduction
This section of conformance Statement specifies the implementation for the specific SOP Classes
supported in the Basic Grayscale and Color Print Management Meta SOP Classes, the attributes
supported for both IODs and services, and the valid range of values for mandatory and optional
attributes.
4.2
Basic Film Session SOP Class
The Print SCU supports the following DIMSE Service Elements for the Basic Film Session SOP Class.

4.2.1
N-CREATE – Requests the Print SCP to create an instance of Basic Film Session.
Basic Film Session N-Create Attributes
The following Attribute values are supported by the N-CREATE:
Attribute name
Specific Character Set
Tag
(0008,0005)
Use
Not used
*Number of Copies
(2000,0010)
Set by user.
Valid range is : 1-99
*Print Priority
(2000,0020)
Set when a printer device is added using the
Film Composer Tool. Default value is HIGH. Set
in Configuration file
Valid Range is :
HIGH or MED or LOW
*Medium Type
(2000,0030)
Set when a printer device is added using the
Film Composer Tool. Set in Configuration File
Valid values are :
PAPER or CLEAR FILM or BLUE FILM
*Film Destination
(2000,0040)
Set when a printer device is added using the
Film Composer Tool. Set in Configuration File
Valid values are :
MAGAZINE or PROCESSOR
Film Session Label
(2000,0050)
Not used.
Memory Allocation
(2000,0060)
Not used.
Owner ID
(2100,0160)
Not used.
Note: * denotes that the attribute is optional for the SCU. However, we do provide values for all of
these optional attributes and if the SCP does not support the requested value it may choose
to either return a failure status or ignore the value provided and use its default value.
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Basic Film Box SOP Class
The Print SCU supports the following DIMSE Service Elements for the Basic Film Box SOP Class.
4.3.1

N-CREATE
–
Requests the Print SCP to create an instance of Film Box.

N-ACTION
–
Requests the Print SCP to print the Film Box onto Printer.

N-DELETE
–
Requests the Print SCP to delete the Film Box Instance.
Basic Film Box N-Create Attributes
This table lists the attributes that are sent to the SCP in the Basic Film Box N-Create Request, and
that are received in the Basic Film Box N-Create Response from the SCP
Attribute Name
Tag
Use
Image Display Format
(2010,0010)
Set in User Interface.
Valid Range: STANDARD\C,R
Referenced Film Session
Sequence
(2010,0500)
Sent in the request
>Referenced SOP Class
UID
(0008,1150)
Film session SOP Class UID (1.2.840.10008.5.1.1.1)
>Referenced SOP
Instance UID
(0008,1155)
Film session SOP instance UID
Referenced Image Box
Sequence
(2010,0510)
Used in Image Box N-SET request
>Referenced SOP Class
UID
(0008,1150)
>Referenced SOP
Instance UID
(0008,1155)
*Film Orientation
(2010,0040)
Set when a printer device is added using the Film
Composer Tool. Set in Configuration File.
Valid value is : PORTRAIT.
Film Size ID
(2010,0050)
Set when a printer device is added using the Film
Composer Tool.
Valid values are :
14INX17IN,
A3,
A4,
8INX10IN,
8.5INX11IN,
10INX12IN,
10INX14IN,
11INX14IN,
11INX17IN,
14INX14IN,
24CMX24CM,
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24CMX30CM.
4.3.2
*Magnification Type
(2010,0060)
Set when a printer device is added using the Film
Composer Tool. Set in Configuration File.
Valid values are:
REPLICATE
BILINEAR
CUBIC
NONE
*Max Density
(2010,0130)
Set when a printer device is added using the Film
Composer Tool. Set in Configuration File.
Valid range is : 0-4095.
Configuration Information
(2010,0150)
Set when a printer device is added using the Film
Composer Tool
Annotation Display Format
ID
(2010,0030)
Not Supported.
*Smoothing Type
(2010,0080)
Set when a printer device is added using the Film
Composer Tool. Set in Configuration File.
*Border Density
(2010,0100)
Set when a printer device is added using the Film
Composer Tool. Set in Configuration File.
Valid values are:
BLACK or WHITE or Not sent
*Empty Image Density
(2010,0110)
Set when a printer device is added using the Film
Composer Tool. Set in Configuration File.
Valid values are:
BLACK or WHITE or Not sent
*Min Density
(2010,0120)
Set when a printer device is added using the Film
Composer Tool. Set in Configuration File.
Valid values are:
0-4095 or Not sent
*Trim
(2010,0140)
Illumination
(2010,015E)
Not Supported.
Reflected Ambient Light
(2010,0160)
Not Supported.
Requested Resolution ID
(2020,0050)
Not Supported.
ICC Profile
(0028,2000)
Not Supported.
Valid values are:
YES or NO or Not Sent
Default value : NO
Basic Film Box N-Action Attributes
Following are the Action reply arguments that are supported if present in the N-Action response of the
Basic Film Box SOP Class
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Action Type ID
Print
4.3.3
1
Attribute
Tag
Usage SCU
Referenced Print
Job Sequence
(2100,0500)
Ignored
>Referenced SOP
Class UID
(0008,1150)
Ignored
>Referenced SOP
Instance UID
(0008,1155)
Ignored
>Print Job ID
(2100,0010)
Not supported
Basic Film Box N-Delete
The DICOM SERVER AE requests the Print SCP to delete the Film Box Instance.
Note: * denotes that the attribute is optional for the SCU. However, we do provide values for all of
these optional attributes and if the SCP does not support the requested value it may choose
to either return a failure status or ignore the value provided and use its default value.
4.4
Basic Grayscale Image Box SOP Class
The Print SCU supports the following DIMSE Service Elements for Grayscale Image Box SOP Class.

N-SET – Requests the Printer to set the image box attributes.
This table lists the attributes that are sent in the Basic Grayscale Image Box N-Set Request:
Attribute Name
Tag
Use
Image Position
(2020,0010)
Based on Image Display Format
Basic Grayscale Image
Sequence
(2020,0110)
Sent in the request
>Samples Per Pixel
(0028,0002)
1
>Photometric
Interpretation
(0028,0004)
MONOCHROME2
>Rows
(0028,0010)
Image Dependent
>Columns
(0028,0011)
Image Dependent
>Pixel Aspect Ratio
(0028,0034)
1\1
>Bits Allocated
(0028,0100)
8 (if Bits Stored=8) or
16 (if Bits Stored=12)
>Bits Stored
(0028,0101)
8 or 12. Default value: 8
>High Bit
(0028,0102)
7 (if Bits Stored=8) or
11 (if Bits Stored=12)
>Pixel Representation
(0028,0103)
0 (unsigned integer)
>Pixel Data
(7FE0,0010)
Pixel data
*Polarity
(2020,0020)
NORMAL
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Magnification Type
(2010,0060)
BILINEAR
CUBIC
REPLICATE
NONE
Smoothing Type
(2010,0080)
Printer Dependent
Min Density
(2010,0120)
0-4095, Not Sent
Max Density
(2010,0130)
0-4095
Configuration Information
(2010,0150)
Printer Dependent
Requested Image Size
(2020,0030)
Not used
Requested Decimate/Crop (2020,0040)
Behavior
Not used
Referenced Presentation
LUT Sequence
(2050,0500)
Not supported.
> Referenced SOP Class
UID
(0008,1150)
Not supported.
> Referenced SOP Instance (0008,1155)
UID
Not supported.
Note: * denotes that the attribute is optional for the SCU. However, we do provide values for all of these
optional attributes and if the SCP does not support the requested value it may choose to either return
a failure status or ignore the value provided and use its default value.
4.5
Basic Color Image Box SOP Class
The Print SCU supports the following DIMSE Service Elements for Basic Color Image Box SOP Class.

N-SET - Requests the Printer to set the image box attributes.
This table lists the attributes that are sent in the Basic Color Image Box N-Set Request:
Attribute Name
Tag
Use
Image Position
(2020,0010)
Basic Color Image
Sequence
(2020,0111)
>Samples Per Pixel
(0028,0002)
3
>Photometric
Interpretation
(0028,0004)
RGB
>Planar Configuration
(0028,0006)
1
>Rows
(0028,0010)
Image Dependent
>Columns
(0028,0011)
Image Dependent
>Pixel Aspect Ratio
(0028,0034)
1/1
>Bits Allocated
(0028,0100)
8
>Bits Stored
(0028,0101)
8
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>High Bit
(0028,0102)
7
>Pixel Representation
(0028,0103)
0 (unsigned integer)
>Pixel Data
(7FE0,0010)
Pixel data
*Polarity
(2020,0020)
NORMAL
Magnification Type
(2010,0060)
BILINEAR
CUBIC
REPLICATE
NONE
Smoothing Type
(2010,0080)
Printer Dependent
Requested Image Size
(2020,0030)
Not used
Requested Decimate/Crop
Behavior
(2020,0040)
Not used
Printer SOP Class
N-GET DIMSE service is supported for the Printer SOP Class. If an N-EVENT-REPORT DIMSE service is
received when the association is active, Print SCU handles the relevant states but the data received
is ignored.
This table defines the set of attributes that this product may request using the Printer N-Get service.
It also describes the product behavior when receiving the N-Get response from the Printer SCP:
Attribute Name
Printer Status
Tag
(2110,0010)
Use
NORMAL: Status is logged and sends
Film Session N-CREATE request.
WARNING: Status is logged. Pauses the
print job and displays status code on
the film composer UI.
FAILURE: Status is logged. Pauses the
print job and displays print failure
message on the film composer UI.
Printer Status Info
(2110,0020)
SUPPLY LOW: Logs the message and
continues printing.
SUPPLY EMPTY: print job is paused and
the message is logged.
RECEIVER FULL: print job is paused and
the message is logged.
FILM JAM: print job is paused and the
message is logged.
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Printer Name
(2110,0030)
Logged if sent by SCP
Manufacturer
(0008,0070)
Logged if sent by SCP
Manufacturer Model Name
(0008,1090)
Logged if sent by SCP
Device Serial Number
(0018,1000)
Logged if sent by SCP
Software Versions
(0018,1020)
Logged if sent by SCP
Date Of Last Calibration
(0018,1200)
Ignored
Time Of Last Calibration
(0018,1201)
Ignored
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5
5.1
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Storage Commitment Push Model Implementation
Storage Commitment Push Model Information Object Definition
Please refer to DICOM Part 3 (Information Object Definitions) for a description of each of the
attributes contained within the Storage Commitment Information Object.
The Storage Commitment Information Object is used both for N-ACTION Storage Commitment
Requests and N-EVENT-REPORT Storage Commitment Notifications by the SCU.
5.1.1 Storage Commitment Module for N-ACTION
Table – 5.1.1-1 Storage Commitment Module for N-ACTION
Attribute Name
Tag
SCU Use
Transaction UID
(0008,1195)
Generated for each retry
Storage Media File-Set ID
(0088,0130)
Not supported
Storage Media File-Set UID
(0088,0140)
Not supported
Referenced SOP Sequence
(0008,1199)
>Referenced SOP Class UID
(0008,1150)
>Referenced SOP Instance UID
(0008,1155)
>Storage Media File-Set ID
(0088,0130)
Not supported
>Storage Media File-Set UID
(0088,0140)
Not supported
5.1.2 Storage Commitment Module for N-EVENT-REPORT
Table – 5.1.2-1 Storage Commitment Module for N-EVENT-REPORT
Attribute Name
Tag
SCU Use
Transaction UID
(0008,1195)
Value received from SCP
Retrieve AE Title
(0008,0054)
Not used
Storage Media File-Set ID
(0088,0130)
Not used
Storage Media File-Set UID
(0088,0140)
Not used
Referenced SOP Sequence
(0008,1199)
When status is SUCCESS, the
“Archived” flag value for the
referenced SOP instances is
changed to “Yes” in the browser.
In case of partial failure, the archival
status of a series is updated only if
all the images of the series are
archived successfully. Archive status
of series is not updated if archiving
of one or more images of the series
failed. Image level archive status
updation is not supported.
>Referenced SOP Class UID
(0008,1150)
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>Referenced SOP Instance UID
(0008,1155)
>Retrieve AE Title
(0008,0054)
Not used.
>Storage Media File-Set ID
(0088,0130)
Not used
>Storage Media File-Set UID
(0088,0140)
Not used
Failed SOP Sequence
(0008,1198)
“Archived” flag value for the failed
SOP instance is unaltered. Failed
SOP instances are logged.
>Referenced SOP Class UID
(0008,1150)
>Referenced SOP Instance UID
(0008,1155)
>Failure Reason
(0008,1197)
Not used.
5.1.2.1 Processing of Failure Reason when received in a N-Event-Report
When receiving a N-Event-Report request with Event Type ID equal to 2, meaning that Storage
Commitment is complete, but failure exists, following is the set of value that this Storage
Commitment SCU AE is able to process.
Failure
Reason
Meaning
Application Behavior When Receiving Reason
Code
0110H
Processing Failure
Log file updated: Processing Failure. Job failed.
0112H
No such object instance
Log file updated: No such object instance. Job
failed.
0213H
Resource limitation
Log file updated: resource limitation. Job failed.
0122H
Referenced SOP Class not
supported
Log file updated: reference SOP class not
supported. Job failed.
0119H
Class / Instance conflict
Log file updated: class/instance conflict. Job
failed.
0131H
Duplicate transaction UID
Log file updated: duplicate transaction UID. Job
failed.
*
Other Failure Reason code
values
Log file updated: unknown failure. Job failed.
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6
6.1
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Modality Worklist Information Model Definition
Modality Worklist Information Model Definition
6.1.1 Introduction
This section specifies the use of the DICOM Modality Worklist Information Model used to organize
data and against which a Modality Worklist Query will be performed.
6.1.2 Modality Worklist Information Model Description
In order to serve as a Service Class Provider (SCP) of the Modality Worklist Service Class, a DICOM
Application Entity (AE) possesses information about the attributes of a number of managed worklist
items. These items are organized into Modality Worklist Information Modules. In this Service Class,
the Information Model plays a role similar to an Information Object Definition of most other DICOM
Service Classes.
6.1.3 Modality Worklist Information Model Entity-Relationship Model
The Entity-Relationship diagram for the Modality Worklist Information Model schema is shown in
Illustration 6.1.3-1. It represents the information that composes a Worklist Item. In this figure, the
following diagrammatic convention is established to represent the information organization:

Each entity is represented by a rectangular box

Each relationship is represented by a diamond shaped box.

The fact that a relationship exists between two entities is depicted by lines connecting the
corresponding entity boxes to the relationship boxes.
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Illustration 6.1.3-1 – Modality Worklist Information Model E/R DIAGRAM
Scheduled
Procedure Step
Worklist
Item
contained in
1
Requested
Procedure
requested for
1
Imaging Service
Request
done for
1
Patient
is included
0,1
Visit
6.1.3.1 Entity Descriptions
Please refer to DICOM Standard PS 3.3. (Information Object Definitions) and PS 3.4 (Service Class
Specifications) for a description of each of the Entities contained within the Modality Worklist
Information Model.
6.1.3.1.1 Scheduled Procedure Step
A Scheduled Procedure Step is an arbitrarily defined scheduled unit of service that is specified by the
Procedure Plan for a Requested Procedure. It specifies one or more Action Items (events) involving
equipment (i.e. imaging modality equipment), human resources, location and time (i.e. start time, stop
time, duration).
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6.1.3.1.2 Requested Procedure Entity Description
A Requested Procedure is an instance of a Procedure of a given Procedure Type. An instance of a
Requested Procedure includes all of the items of information that are specified by an instance of a
Procedure Plan that is selected for the Requested Procedure by the imaging service provider.
6.1.3.1.3 Imaging Service Request Entity Description
An Imaging Service Request is a set of one or more Requested Procedures selected from a list of
Procedure Types. An Imaging Service Request is submitted by one authorized imaging service
requester to one authorized imaging service provider in the context of one Service Episode.
6.1.3.1.4 Visit Entity Description
A Visit is the context in which the treatment or management of an arbitrary subset of a Patient’s
medical conditions occurs. A Visit is limited to the description of a Patient’s activities at a single
facility.
6.1.3.1.5 Patient Entity Description
A Patient is a person receiving, or registered to receive healthcare services.
6.1.4 ModalityWorklist Mapping of DICOM Entities
Table 6.1.4-1 —Mapping of DICOM Entities to ModalityWorklist Entities
DICOM
ModalityWorklist Entity
Scheduled Procedure Step
Exam
Requested Procedure
Exam
Imaging Service Request
Exam
Visit
Exam
Patient
Patient
6.1.5 Modality Worklist Information Model Module
Within an entity of the DICOM Modality Worklist Information Model, attributes are grouped together
into related set of attributes called modules. A module facilitates the understanding of the semantics
concerning the attributes and how the attributes relate to one another. A module grouping does not
infer any encoding of information into datasets.
Table 6.1.5-1 identifies the defined modules within the entities that comprise the DICOM Modality
Worklist Information Model. Modules are identified by Module Name.
See DICOM PS 3.3 and PS 3.4 for a complete definition of the entities, modules, and attributes.
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Table 6.1.5-1 – Modality Worklist Information Model Modules
Entity Name
Scheduled Procedure Step
Module Name
Reference
SOP Common
6.1.6.2.1
Scheduled Procedure Step
6.1.6.2.2
Requested Procedure
Requested Procedure
6.1.6.3.1
Imaging Service Request
Imaging Service Request
6.1.6.4.1
Visit
Visit Identification
6.1.6.5.1
Visit Status
6.1.6.5.2
Visit Relationship
6.1.6.5.3
Visit Admission
6.1.6.5.4
Patient Relationship
6.1.6.6.1
Patient Identification
6.1.6.6.2
Patient Demographic
6.1.6.6.3
Patient Medical
6.1.6.6.4
Patient
6.1.6 Information Model Keys
Please refer to DICOM Standard PS 3.3. (Information Object Definitions) and PS 3.4 (Service Class
Specifications) for a description of each of the Entities contained within the Modality Worklist
Information Model.
The following Module descriptions contain the attributes that are present in a C-FIND request
message sent by the Worklist Server AE to a remote AE. It should be noted that they are the same as
those defined in the DICOM Standard, PS 3.4 (Service Class Specifications) and include:



Attribute Name
Tag: group and element numbers
Expected Matching Key Type: R-required, O-optional

Expected Return Key Type:
 1 - non-zero value required
 1C - conditionally of type 1
 2 - required to be present, possibly with zero-length value
 3 - optional
Mapped into The Image: whether this data is mapped into subsequently acquired images
Notes: clarification of this implementation’s use/treatment of this attribute


All data elements in the following Module descriptions are requested by the Worklist Server AE.
Values of data elements that are not mapped into images, and are not otherwise dealt with
(displayed on the user interface, etc.), are not used and are, thus, discarded upon receipt. See Table
B-1 for further information.
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Data elements for which values can be sent for matching purposes are described as such. Data
elements for which values are not sent are sent with zero length and universal matching will apply.
This is the default case if no other description to the contrary is provided.
6.1.6.1 Supported Matching
The following are the types of matching that can be request by the implementation:



Single Value matching
Universal Matching
Range of date/time
6.1.6.2 Scheduled Procedure Step Entity
6.1.6.2.1 SOP Common Module
Table 6.1.6.2.1-1 – SOP Common Module Attributes
Attribute Name
Specific Character
Set
Tag
Expected
Matching
Key Type
Expected
Returned
Key Type
Mapped
into the
Image/
MPPS
Note
(0008,0005)
O
1C
No/No
This value is always sent.
ISO_IR_100 is the default value sent
during querying if not set explicitly.
Product uses the value returned if it
is set in the response.
6.1.6.2.2 Scheduled Procedure Step Module
Table 6.1.6.2.2-1 – Scheduled Procedure Step Module Attributes
Attribute Name
Scheduled Procedure
Step Sequence
Scheduled Station AE
Title
Tag
Expected Expected
Matchin Returned
Key Type
g Key
Type
Mapped
into the
Image/
MPPS
Note
(0040,0100)
R
1
No/No
Requested in the MWL queries.
(0040,0001)
R
1
No/No
Matching is supported as follows:
either no AE title is supplied
(universal matching), or the
scanner’s Worklist Server AE title is
supplied for matching; this is user
selectable.
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Scheduled Procedure
Step Start Date
(0040,0002)
R
1
No/No
Scheduled Procedure
Step Start Time
(0040,0003)
R
1
No/No
Modality
(0008,0060)
R
1
Yes/Yes
Matching is supported as follows:
either no Modality is supplied
(universal matching), or the
scanner’s Modality is supplied for
matching; this is user selectable.
Scheduled
Performing
Physician's Name
(0040,0006)
R
2
Yes/Yes
This attribute is sent with zerolength. This value is mapped into
(0008, 1050) in the image header.
Scheduled Procedure
Step Description
(0040,0007)
O
1C
Yes/Yes
Scheduled Station
Name
(0040,0010)
O
2
No/No
Scheduled Procedure
Step Location
(0040,0011)
O
2
No/No
Scheduled Protocol
Code Sequence
(0040,0008)
O
1C
Yes/Yes
Code Value
(0008,0100)
O
1C
Yes/Yes
Coding Scheme
Designator
(0008,0102)
O
1C
Yes/Yes
Code Meaning
(0008,0104)
O
3
Yes/Yes
Pre-Medication
(0040,0012)
O
2C
No/No
Scheduled
Procedure Step ID
(0040,0009)
O
1
Yes/Yes
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Matching is supported as one of the
following; this is user selectable:
 all days,
 today only,
 today and a number of days
before today,
 today and a number of days after
today,
 today and a number of days
before today and a number of
days after today.
Number of days before/after is
specified by the user.
Returned values must be exactly 8
numeric characters in YYYYMMDD
format.
This attribute is sent with zerolength. Returned values must be
exactly 6 numeric characters in
HHMMSS format.
Up to 5 Scheduled Protocol Code
Sequence Items are mapped into
the image if they system is
configured to support GSPS.
NOTE: though type 3, the scanner
expects Code Meaning to be sent if
(0040,0008) is sent.
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Requested
Contrast Agent
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
(0032,1070)
O
2C
No/No
Displayed on “More Info...” screen.
6.1.6.3 Requested Procedure Entity
6.1.6.3.1 Requested Procedure Module
Table 6.2.6.3.1-1 Requested Procedure Module Attributes
Attribute Name
Tag
Expected
Matching
Key Type
Expected
Returned
Key Type
Requested Procedure ID
(0040,1001)
O
1
Yes/Yes User can enter the value for
Requested Procedure Id prior
to query. If user has entered
the value then that value will
be sent as part of the query.
The value returned in the
response shall be mapped to
the image.
Requested Procedure
Description
(0032,1060)
O
1C
Yes/Yes Truncated to 22 characters
by default however this is
configurable to allow 64
characters.
Requested Procedure Code
Sequence
(0032,1064)
O
1C
Yes/No
Code Value
(0008,0100)
O
1C
Yes/No
Coding Scheme
Designator
(0008,0102)
O
1C
Yes/No
(0008,0104)
O
3
Yes/No
Code Meaning
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Mapped
into the
Image/
MPPS
Note
NOTE: thought type 3, the
scanner expects Code
Meaning to be sent if
(0032,1064) is sent.
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Attribute Name
Study Instance UID
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Tag
Expected
Matching
Key Type
Expected
Returned
Key Type
Mapped
into the
Image/
MPPS
Note
(0020,000D)
O
1
Yes
(Based
on User
option)/Y
es
User ( Modality ) will be able to
configure the following. If the
user has set the option to
“Use MWL Study UID”, then
study Instance UID will be
copied into the final DICOM
image header. If this option is
not set then a new Study
instance UID is generated
locally on the scanner.
The default setting is to
generate a new study
instance uid if a worklist entry
is re-used however it can be
configured to reuse the same
study instance uid.
Referenced Study Sequence
(0008,1110)
O
2
Yes/Yes Only 1 Referenced Study
Sequence is mapped into the
image.
Referenced SOP Class UID (0008,1150)
O
1C
Yes/Yes
Referenced SOP Instance
UID
(0008,1155)
O
1C
Yes/Yes
Requested Procedure Priority
(0040,1003)
O
2
No/No
Patient Transport
Arrangements
(0040,1004)
O
2
No/No
Requested Procedure
Location
(0040,1005)
O
3
No/No
Confidentiality Code
(0040,1008)
O
3
No/No
6.1.6.4 Imaging Service Request Entity
6.1.6.4.1 Imaging Service Request Module
Table 6.1.6.4.1-1 – Imaging Service Request Module Attributes
Attribute Name
Tag
Expected
Matching
Key Type
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Expected
Returned
Key Type
Mapped
into the
Image/
MPPS
Note
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Accession Number
(0008,0050)
O
2
Yes/Yes User will be able to enter
value for Accession Number
prior to query to be sent as
part of C-FIND request.
Supports maximum of 16
characters.
Requesting Physician
(0032,1032)
O
2
No/No
Referring Physician's Name
(0008,0090)
O
2
Yes/Yes Truncated to 32 characters
by default however this is
configurable to allow 64
characters.
Requesting Service
(0032,1033)
O
3
No/No
6.1.6.5 Visit Entity
6.1.6.5.1 Visit Identification
Table 6.1.6.5.1-1 – Visit Identification Module Attributes
Attribute Name
Tag
Expected
Matching
Key Type
Expected
Returned
Key Type
Mapped
into the
Image/
MPPS
Admission ID
(0038,0010)
O
2
No/No
Institution Name
(0008.0080)
O
3
No/No
Note
6.1.6.5.2 Visit Status
Table 6.1.6.5.2-1 – Visit Status Module Attributes
Attribute Name
Current Patient Location
Tag
Expected
Matching
Key Type
Expected
Returned
Key Type
Mapped
into the
Image/
MPPS
(0038,0300)
O
2
No/No
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Note
Displayed on “More Info...”
screen.
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REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
6.1.6.5.3 Visit Relationship
Table 6.1.6.5.3-1 – Relationship Module Attributes
Attribute Name
Tag
Expected
Matching
Key Type
Expected
Returned
Key Type
Mapped
into the
Image/
MPPS
Referenced Patient Sequence
(0008,1120)
O
2
No/Yes
Referenced SOP Class UID
(0008,1150)
O
2
No/Yes
Referenced SOP Instance UID
(0008,1155)
O
2
No/Yes
Note
6.1.6.5.4 Visit Admission
No data elements are requested from the Visit Admission Module.
6.1.6.6 Patient Entity
6.1.6.6.1 Patient Relationship
No data elements are requested from the Patient Relationship Module.
6.1.6.6.2 Patient Identification
Table 6.1.6.6.2-1 – Patient Identification Module Attributes
Tag
Expected
Matching
Key Type
Expected
Returned
Key Type
Mapped
into the
Image/
MPPS
Patient's
Name
(0010,0010)
R
1
Yes/Yes
Supports up to 32 characters by default
however this is configurable to allow 64
characters. See also Note1.
Patient ID
(0010,0020)
R
1
Yes/Yes
Supports up to 16 characters by default
however this is configurable to 64 characters.
Other
Patient ID
(0010, 1000)
O
3
Yes/No
Supports 64 characters.
Attribute
Name
Note
Note 1 :



Modality Worklist server supports 32 characters for patient Name
Supports DICOM format for patient Name ( with “^” as delimiters )
If patient name in worklist has more than 32 characters then
 Worklist will be accepted by the server
 Worklist Browser will display only the first 32 characters
 “More Info” screen will display the full patient name
 Only the FIRST 32 characters is copied into the final DICOM image header by default
however this is configurable to allow 64 characters.
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6.1.6.6.3 Patient Demographic
Table 6.1.6.6.3-1 – Patient Demographic Module Attributes
Attribute Name
Tag
Expected
Matching
Key Type
Expected
Returned
Key Type
Mapped
into the
Image/
MPPS
Patient’s Birth Date
(0010,0030)
O
2
Yes/Yes
Patient's Sex
(0010,0040)
O
2
Yes/Yes
Patient's Weight
(0010,1030)
O
2
Yes/No
Confidentiality constraint
on patient data
(0040,3001)
O
2
No/No
Patient’s Size
(0010,1020)
O
3
No/No
Patient’s Address
(0010,1040)
O
3
No/No
Patient’s Telephone
Numbers
(0010,2154)
O
3
No/No
Note
This value is also used to
calculate the Patient’s Age.
Limited to maximum value of
999 kg.
6.1.6.6.4 Patient Medical
Table 6.1.6.6.4-1 – Patient Medical Module Attributes
Attribute Name
Tag
Expected
Matching
Key Type
Expected
Returned
Key Type
Mapped
into the
Image/
MPPS
Patient State
(0038,0500)
O
2
No/No
Pregnancy Status
(0010,21C0)
O
2
No/No
Displayed on “More Info...”
screen.
Medical Alerts
(0010,2000)
O
2
No/No
Displayed on “More Info...”
screen.
Contrast Allergies
(0010,2110)
O
2
No/No
Displayed on “More Info...”
screen.
Special Needs
(0038,0050)
O
2
No/No
Displayed on “More Info...”
screen.
Additional Patient History
(0010,21B0)
O
3
Yes/No
Displayed on “More Info...”
screen.
6.2
Note
Private Data Dictionary
The ModalityWorklist implementation does not define any Private Attributes within the Modality
Worklist Information Model.
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REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
C-FIND Request Message
This section provides a detailed description of the C-FIND request message data that is
provided to the remote AE during a worklist query operation. The dump in Table 6.4-1 below
lists, in exact message order, the fields transferred as part of the C-FIND request message for a
typical query.
In this particular dump, no values are specified for the Scheduled Procedure Step Start and
End Dates (the attributes are sent with zero length). In DICOM this is interpreted as meaning all
dates (i.e. universal matching). The Modality is also not specified in this particular dump,
meaning all modalities. Note that the user, through the use of the GEHC CT user interface, can
submit a worklist query that will cause non-zero values to be sent for these attributes.
Table 6.3-1 – C-FIND Request Message Dump
(0008,0000) UL
108
#
4, 1 IdentifyingGroupLength
(0008,0005) CS
[ISO_IR 100]
#
12, 1 SpecificCharacterSet
(0008,0050) SH
(no value available) #
0, 0 AccessionNumber
(0008,0080) LO
(no value available) #
0, 0 InstitutionName
(0008,0090) PN
(no value available) #
0, 0 ReferringPhysicianName
(0008,1110) SQ
(Sequence with explicit Length #=1) #
24, 1 ReferencedStudySequence
(fffe,e000) na
(Item with explicit Length #=2) #
16, 1 Item
(0008,1150) UI
(no value available) #
0, 0 ReferencedSOPClassUID
(0008,1155) UI
(no value available) #
0, 0 ReferencedSOPInstanceUID
(fffe,e00d) na
(ItemDelimitationItem for re-encoding) #
0, 1 ItemDelimitationItem
(fffe,e0dd) na
(SequenceDelimitationItem for re-enc.) #
0, 1 SequenceDelimitationItem
(0008,1120) SQ
(Sequence with explicit Length #=1) #
24, 1 ReferencedPatientSequence
(fffe,e000) na
(Item with explicit Length #=2) #
16, 1 Item
(0008,1150) UI
(no value available) #
0, 0 ReferencedSOPClassUID
(0008,1155) UI
(no value available) #
0, 0 ReferencedSOPInstanceUID
(fffe,e00d) na
(ItemDelimitationItem for re-encoding) #
0, 1 ItemDelimitationItem
(fffe,e0dd) na
(SequenceDelimitationItem for re-enc.) #
0, 1 SequenceDelimitationItem
(0010,0000) UL
96
#
4, 1 PatientGroupLength
(0010,0010) PN
(no value available) #
0, 0 PatientName
(0010,0020) LO
(no value available) #
0, 0 PatientID
(0010,0030) DA
(no value available) #
0, 0 PatientBirthDate
(0010,0040) CS
(no value available) #
0, 0 PatientSex
(0010,1000) LO
(no value available) #
0, 0 Other Patient IDs
(0010,1020) DS
(no value available) #
0, 0 PatientSize
(0010,1030) DS
(no value available) #
0, 0 PatientWeight
(0010,1040) LO
(no value available) #
0, 0 PatientAddress
(0010,2000) LO
(no value available) #
0, 0 MedicalAlerts
(0010,2110) LO
(no value available) #
0, 0 ContrastAllergies
(0010,2154) SH
(no value available) #
0, 0 PatientTelephoneNumber
(0010,2160) SH
(no value available) #
0, 0 Ethinc Group
(0010,21b0) LT
(no value available) #
0, 1 AdditionalPatientHistory
(0010,21c0) US
(no value available) #
0, 0 PregnancyStatus
(0010,4000) LT
(no value available) #
0, 0 Patient Comments
(0020,0000) UL
8
#
4, 1 ImageGroupLength
(0020,000d) UI
(no value available) #
0, 0 StudyInstanceUID
(0032,0000) UL
64
#
4, 1 StudyGroupLength
(0032,1032) PN
(no value available) #
0, 0 RequestingPhysician
(0032,1033) LO
(no value available) #
0, 0 RequestingService
(0032,1060) LO
(no value available) #
0, 0 RequestedProcedureDescription
(0032,1064) SQ
(Sequence with explicit Length #=1) #
32, 1 RequestedProcedureCodeSequence
(fffe,e000) na
(Item with explicit Length #=3) #
24, 1 Item
(0008,0100) SH
(no value available) #
0, 0 CodeValue
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(0008,0102) SH
(no value available) #
0, 0 CodingSchemeDesignator
(0008,0104) LO
(no value available) #
0, 0 CodeMeaning
(fffe,e00d) na
(ItemDelimitationItem for re-encoding) #
0, 1 ItemDelimitationItem
(fffe,e0dd) na
(SequenceDelimitationItem for re-enc.) #
0, 1 SequenceDelimitationItem
(0038,0000) UL
32
#
4, 1 VisitGroupLength
(0038,0010) LO
(no value available) #
0, 0 AdmissionID
(0038,0050) LO
(no value available) #
0, 0 SpecialNeeds
(0038,0300) LO
(no value available) #
0, 0 CurrentPatientLocation
(0038,0500) LO
(no value available) #
0, 0 PatientState
(0040,0000) UL
192
#
4, 1 ModalityWorklistGroupLength
(0040,0100) SQ
(Sequence with explicit Length #=1) # 136, 1 ScheduledProcedureStepSequence
(fffe,e000) na
(Item with explicit Length #=12) # 128, 1 Item
(0008,0060) CS
(no value available) #
0, 0 Modality
(0032,1070) LO
(no value available) #
0, 0 RequestedContrastAgent
(0040,0001) AE
(no value available) #
0, 0 ScheduledStationAETitle
(0040,0002) DA
(no value available) #
0, 0 ScheduledProcedureStepStartDate
(0040,0003) TM
(no value available) #
0, 0 ScheduledProcedureStepStartTime
(0040,0006) PN
(no value available) #
0, 0 ScheduledPerformingPhysiciansName
(0040,0007) LO
(no value available) #
0, 0 ScheduledProcedureStepDescription
(0040,0008) SQ
(Seq with explicit Length #=1) #
32, 1 ScheduledActionItemCodeSequence
(fffe,e000) na
(Item with explicit Length #=3) #
24, 1 Item
(0008,0100) SH
(no value available) #
0, 0 CodeValue
(0008,0102) SH
(no value available) #
0, 0 CodingSchemeDesignator
(0008,0104) LO
(no value available) #
0, 0 CodeMeaning
(fffe,e00d) na
(ItemDelimitationItem for re-encoding) #
0, 1 ItemDelimitationItem
(fffe,e0dd) na
(SequenceDelimitationItem for re-enc.) #
0, 1 SequenceDelimitationItem
(0040,0009) SH
(no value available) #
0, 0 ScheduledProcedureStepID
(0040,0010) SH
(no value available) #
0, 0 ScheduledStationName
(0040,0011) SH
(no value available) #
0, 0 ScheduledProcedureStepLocation
(0040,0012) LO
(no value available) #
0, 0 PreMedication
(fffe,e00d) na
(ItemDelimitationItem for re-encoding) #
0, 1 ItemDelimitationItem
(fffe,e0dd) na
(SequenceDelimitationItem for re-enc.) #
0, 1 SequenceDelimitationItem
(0040,1001) SH
(no value available) #
0, 0 RequestedProcedureID
(0040,1003) SH
(no value available) #
0, 0 RequestedProcedurePriority
(0040,1004) LO
(no value available) #
0, 0 PatientTransportArrangements
(0040,1005) LO
(no value available) #
0, 0 RequestedProcedureLocation
(0040,1008) LO
(no value available) #
0, 0 ConfidentialityCode
(0040,1010) PN
(no value available) #
0, 0 Names of Intended Recipients
(0040,1400) LT
(no value available) #
0, 0 Requested Procedure Comments
(0040,2400) LT
(no value available) #
0, 0 Imaging Service Request Comm.
(0040,3001) LO
(no value available) #
0, 0 ConfidentialityConstraintOnPatientData
If the query is for a particular date range, the ScheduledProcedureStepStartDate will be filled
with a valid date range. If either the start or end date are left blank by the user, they will
simply be blank in the query.
Below is an example of a date range for August 30, 1997 through October 12, 1997.
(0040,0002) DA
[19970830-19971012]
#
18, 1
ScheduledProcedureStepStartDate
Below is an example of a date range for August 30, 1997 through the end of time.
(0040,0002) DA
[19970830-]
#
18,
1
ScheduledProcedureStepStartDate
Below is an example of a date range from the beginning of time through August 30, 1997.
(0040,0002) DA
[-19970830]
#
18,
1
ScheduledProcedureStepStartDate
If the query is for records for this modality, the Modality will be filled in as follows:
(0008,0060) CS
[CT]
#
2, 1
Modality
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If the query is for records for this Scanner, the Modality will be filled in with CT as above and the
Scheduled Station AE Title will be filled in with the value configured for this system. For example, this
station was configured as CTRoom1.
(0040,0001) AE
[CTRoom1]
#
8,
1
ScheduledStationAETitle
User will be able to enter the values for “Accession Number” prior to the query. If value is entered then
that value will be sent as part of the query. For example, if “1234” is entered then
(0008,0050) SH
[1234] #
4, 1
AccessionNumber
User will be able to enter the values for “Requested Procedure Id” prior to the query. If value is
entered then that value will be sent as part of the query. For example, if “3456” is entered then
(0040,1001) SH
[3456] #
4, 1
RequestedProcedureID
User will be able to enter the values for “Patient Id” prior to the query. If value is entered then
that value will be sent as part of the query. For example, if “6789” is entered then
(0010,0020) LO
[6789] #
4, 1
PatientID
User will be able to enter the values for “Patient Name” prior to the query. If value is entered
then that value will be sent as part of the query. For example, if “Lastname^Firstname” is
entered then
(0010,0010) PN
6.4
[Lastname^Firstname] #
18, 1 PatientName
Use of Specific DICOM Data
This section details the use of the DICOM data returned by remote AEs during worklist queries.
The GEHC CT user interface fields that display the data, along with the data’s mapping into
resulting acquired and transferred DICOM images, are presented in following table 6.5-1.
Table 6.4-1 – Specific Data Usage
DICOM Worklist Data
Element
Accession Number
(0008,0050)
Patient ID (0010,0020)
Patient Schedule Screen Field
GEHC CT DICOM Image Data Element
Req Number
Accession Number
Supports maximum of 16 characters.
Can be configured so the top level
accession number tag in the image
header will be empty if worklists are
grouped and have different accession
numbers. Default behavior is to fill in
the top level accession number in the
grouped case.
Patient ID
Supports maximum of 16 characters.
Can be configured to allow 64
characters.
Patient ID
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Other Patient ID (0010,1000)
Patient Name (0010,0010)
Patient’s Birth Date
(0010,0030)
Patient's Sex (0010,0040)
Patient's Weight (0010,1030)
Referring Physician’s Name
(0008,0090)
Requested Procedure
Description (0032,1060)
Scheduled Procedure Step
Start Date
(0040,0002)
Scheduled Procedure Step
Start Time
(0040,0003)
Scheduled Performing
Physician’s Name (0040,0006)
Study Instance UID
(0020,000d)
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Other Patient Ids (only
displayed on the More Info
screen)
Patient Name
Patient Age (Patient Birth Date
user to calculate age)
Sex
Weight in Kg
Referring Physician
Exam Description
Patient ID
Supports maximum of 64 characters.
Patient Name
Supports maximum of 32 characters.
Can be configured to allow 64
characters.
Patient Birth Date
Patient’s Sex
Patient's Weight
Referring Physician’s Name
Study Description.
Date
Not available.
Time
Not available.
Performing Physician (only
displayed on the “More Info..”
screen)
Study instance UID (only
displayed on the “More Info...”
screen)
This value is mapped into (0008, 1050)
in the image header.
Requested Procedure Id
Requested Proc ID
(0040,1001)
Pregnancy Status (0010,21C0) Pregnancy Status (only
displayed on the “More Info...”
screen)
Medical Alerts (0010,2000)
Medical Alerts (only displayed
on the “More Info...” screen)
Contrast Allergies (0010,2110) Contrast Allergies (only
displayed on the “More Info...”
screen)
Special Needs (0038,0050)
Special Needs (only displayed
on the “More Info...” screen)
Requested Contrast Agent
Requested Contrast Agent (only
(0032,1070)
displayed on the “More Info...”
screen)
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User ( Modality ) will be able to
configure the following. If the user has
set the option to “Use MWL Study UID”,
then study Instance UID will be
copied into the final DICOM image
header. If this option is not set then a
new Study instance UID is generated
locally on the scanner.
Requested Procedure Id.
Not available.
Not available.
Not available.
Not available.
Not available.
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
Current Patient Location
(0038,0300)
Additional Patient History
(0010,21B0)
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Current Patient Location (only
displayed on the “More Info...”
screen)
Additional Patient History (only
displayed on the “More Info...”
screen)
Not available.
Patient History.
Note that the display of a specific data item on the “More Info...” screen is contingent on the
item being enabled for display. Depending on the preferences of each specific site, data can
either be displayed or not. A GE field service engineer can assist in setting these site
preferences.
6.5
Setting User Preferences
6.5.1 Setting “Use MWL Study UID “ Option
Setting this option to “Yes” copies the Study Instance UID from Worklist into the final DICOM
Image header. If this option is set to “No” then a new study instance uid will be generated
locally.
1.Click on “Patient Schedule”
2.Click on “Preferences” button
3.Set the option “Use Study UID?”, to either “Yes” or “No”
6.5.2 Setting Custom Query Option
This option allows the user to enter values for “Accession Number” and / or “ Requested
Procedure Id” , which are used for Custom Query.
1.Click on “Patient Schedule”
2.Click on “Preferences” button
3.Set the option “Show Update Parameters? ”, to “Yes”
4.To do a query click on “Update” button.
A User Interface appears, with provision to enter values for:
a) Accession Number
b) Requested Proc. ID
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7.1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
PERFORMED PROCEDURE STEP CONFORMANCE STATEMENT
Introduction
This section of the DICOM Conformance Statement specifies the compliance to DICOM
conformance requirements for the Modality Performed Procedure Step feature on this GEHC
product. Note that the format of this section strictly follows the format defined in DICOM
Standard PS 3.2 (Conformance). Please refer to that part of the standard while reading this
section. The PPS option for GEHC CT allows a Modality Performed Procedure Step to be
communicated to the Hospital/Radiology information system. The PPS feature is providing the
DICOM Modality Performed Procedure Step service as a service class user (SCU).
This feature works in conjunction with DICOM Modality Worklist feature, if installed. However
the conformance of this feature is independent of Modality Worklist feature. For information
on conformance of Modality Worklist feature to DICOM standard please refer to the
appropriate section or document.
7.2
N-CREATE & N-SET Request Message
PPS Feature for GEHC CT supports all named attributes listed in Table F.7.2.1 in PS3.4 of DICOM
standard. That is, attributes that are not explicitly referenced by name in the table are not
supported. (Example is last row in the table reads “All other attributes from Radiation Dose
Module and Billing and Material Code Module”. The attributes referenced here are not
supported).
For the MPPS associated with an acquisition, the following attributes are copied from the
Modality Worklist SCU into the MPPS request Message, if procedure performed corresponds to
the SPS information retrieved through the Modality Worklist.
GEHC CT supports the selection of single or multiple SPS for a scan. The following are
applicable.

Single SPS selection results in single PPS message

Multiple SPS selection results in single PPS message

Multiple SPS selection is allowed only if they all correspond to same patient id

A maximum of 15 SPS’s can be selected

Referenced Study Sequence - a maximum of ten Item’s is supported. This attribute will be
present only if SPS information is available from Modality Worklist SCU.

At the end of acquisition the user might choose to ‘Defer PPS’ and later choose to
‘Complete PPS’ or ‘Discontinue PPS’ from the user interface provided in the system. In this
case, the date and time when user chooses to ‘Complete PPS’ or ‘Discontinue PPS’ is taken
as the Performed Procedure Step End Date and Performed Procedure Step End Time
respectively (Not the actual end date and end time of acquisition)

Mapping of SPS data to MPPS SOP instance is explained in section 7.3
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Mapping of specific SPS data to CT DICOM IMAGE HEADER , for PPS is explained in section
7.4
For the MPPS associated with a post-processing the following restrictions apply on the
attributes listed below.

Referenced Study Sequence – The sequence is not sent in the MPPS message

Scheduled Step Attribute Sequence – a maximum of ONE item is supported. The attribute
will be send only if SPS information is available in the image instance.

Referenced Patient Sequence – This sequence is not added

Scheduled Protocol Code Sequence – The sequence is not send in the MPPS message

Performed Procedure Step Start date & Performed Procedure Step start time – The exam
date and exam time that is the Start date and Start Time of the associated Study
Component (Exam) is used, not the actual time when post-processing started.

Performed Procedure Step end date & Performed Procedure Step end time - The date and
time when user chooses to ‘Complete PPS’ or ‘Discontinue PPS’ is taken as the Performed
Procedure Step End Date and Performed Procedure Step End Time respectively (Not the
actual end date and end time of post-processing).

Procedure Code Sequence – This sequence is sent with ZERO items in the MPPS message

Performed Protocol Code Sequence – This sequence is sent with ZERO items in the MPPS
message.

Referenced Standalone SOP Instance Sequence – The sequence is sent with ZERO items in
the MPPS message.
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MODALITY PERFORMED PROCEDURE STEP MODULE DEFINITIONS
The following table gives specific usage of some of attributes in the MPPS SOP instance
created, with reference to each of the real-world scenarios mentioned in 2.3.1.2.7.1.1 of this
document.
Attribute Name
Tag
Usage in MPPS Instance
Acquisition with Acquisition without
Post-Processing
MWL data
MWL data
Not used, but
Not used
Not used, but
copied into
copied into image
image header
header
Specific Character Set
(0008,0005)
Scheduled Step Attribute
Sequence
>Study Instance UID
(0040,0270)
Up to 15 items
(0020,000D)
Created at the
scanner
Copied from source
image
>Referenced Study
Sequence
>Accession Number
(0008,1110)
>Placer Order
Number/Imaging Service
Request
>Filler Order
Number/Imaging Service
Request
>Requested Procedure ID
(0040,2016)
Copied from SPS,
if option to copy
is selected or
else created at
the scanner
Copied from SPS,
if selected
Copied from SPS,
if selected
Not sent as part
of image header
Not sent as part of
image header
User input on the
scanner
Not sent as part of
image header
Not sent as part of
image header
Copied from source
image
Not sent as part of
image header
(0040,2017)
Not sent as part
of image header
Not sent as part of
image header
Not sent as part of
image header
(0040,1001)
>Requested Procedure
Description
>Placer Order
Number/Procedure
>Filler Order
Number/Procedure
>Scheduled Procedure ID
(0032,1060)
User input on the
scanner
Not used
> Scheduled Performing
Physician’s Name
>Scheduled Procedure
Step Description
>Scheduled Protocol Code
Sequence
Patient's Name
(0040,0006)
Patient ID
(0010,0020)
Copied from SPS,
if selected
Copied from SPS,
if selected
Not sent as part
of image header
Not sent as part
of image header
Copied from SPS,
if selected
Copied from SPS,
if selected
Copied from SPS,
if selected
Copied from SPS,
if selected
Copied from SPS,
if selected
Copied from SPS,
if selected
Copied from source
image
Not sent as part of
image header
Not sent as part of
image header
Not sent as part of
image header
Copied from source
image
Copied from source
image
Copied from source
image
Not sent as part of
image header
Copied from source
image
Copied from source
image
(0008,0050)
(0040,1006)
(0040,1007)
(0040,0009)
(0040,0007)
(0040,0008)
(0010,0010)
120 of 181
Up to 15 items
Not used
Not used
Not used
Not used
Not used
Not used
User input on the
scanner
User input on the
scanner
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
Attribute Name
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Tag
Patient's Birth Date
(0010,0030)
Patient's Sex
(0010,0040)
Referenced Patient
Sequence
Performed Procedure Step
ID
(0008,1120)
Performed Station AE Title
(0040,0241)
Performed Station Name
(0040,0242)
Performed Location
(0040,0243)
Performed Procedure Step
Start Date
Performed Procedure Step
Start Time
Performed Procedure Step
Description
Performed Procedure Step
status
Performed Procedure Type
Description
Procedure Code Sequence
(0040,0244)
Performed Procedure Step
End Date
(0040,0250)
Performed Procedure Step
End Time
Modality
(0040,0253)
Acquisition with
MWL data
Copied from SPS,
if selected
Copied from SPS,
if selected
Copied from SPS,
if selected
Created at the
scanner. Will
have the
following
“PPS_ID_<exam
number”
Local system
host-name
Local system
suite id
Local system
suite id
Same as exam
start date
Same as exam
start time
Copied from SPS,
if selected
See Note 1.
Usage in MPPS Instance
Acquisition without
Post-Processing
MWL data
User input on the
Copied from source
scanner
image
User input on the
Copied from source
scanner
image
Not used
No item
Created at the
scanner. Will have
the following
“PPS_ID_<exam
number”
New generated,
may not be unique
Local system hostname
Local system suite id
Local system suite id
Local system hostname
Local system hostname
Not used
Same as exam date
Same as exam date
Same as exam time
Same as exam time
Not sent as part of
image header
See Note 1.
Not sent as part of
image header
See Note 1.
Not sent as part
of image header
Not sent as part
of image header.
Not sent in MPPS
N-Create.
Date when all
images got
installed
Not sent as part of
image header
Not sent as part of
image header. Not
sent in MPPS NCreate.
Date when all
images got installed
(0040,0251)
Time when all
images got
installed
Time when all
images got installed
(0008,0060)
Value “CT” is
stored in image
header
Value “CT” is stored
in image header
Not sent as part of
image header
Not sent as part of
image header. Not
sent in MPPS NCreate.
The date “Complete
PPS” or
“Discontinue PPS” is
invoked, not the
actual end of postprocessing
The time “Complete
PPS” or
“Discontinue PPS” is
invoked, not the
actual end of postprocessing
Value “CT” is stored
in image header
(0040,0245)
(0040,0254)
(0040,0252)
(0040,0255)
(0008,1032)
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GE HEALTHCARE
DIRECTION DOC1673565, REV 1
Attribute Name
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Tag
Study ID
(0020,0010)
Performed Protocol Code
Sequence
Performed Series
Sequence
(0040,0260)
>Performing Physician's
Name
>Protocol Name
(0008,1050)
>Operator's Name
(0008,1070)
>Retrieve AE Title
(0008,0054)
>Referenced Image
Sequence
(0008,1140)
>Referenced Standalone
SOP Instance Sequence
>All other attributes from
Performed Series
Sequence (which Table
F.7.2.1 of DICOM standard
PS3.4 does not explicitly
list)
All other attributes from
Radiation Dose Module
and Billing and Material
Code Module (which Table
F.7.2.1 of DICOM standard
PS3.4 does not explicitly
list)
(0040,0220)
Note 1:
(0040,0340)
(0018,1030)
Usage in MPPS Instance
Acquisition with Acquisition without
Post-Processing
MWL data
MWL data
Same as exam
Same as exam
Copied from source
number
number
image
Derived from
Not used
Not used
(0040, 0008)
One item for
One item for each
One item for each
each series
series created
series created with
created
post-processing
Copied from SPS, User input on the
Not sent as part of
if selected
scanner
image header
The name of the The name of the
Copied from source
protocol
protocol selected on image
selected on the
the scanner
scanner
Copied from SPS User input on the
Not sent as part of
if selected and
scanner
image header
present
otherwise from
user input on the
scanner
Local system
Local system hosthost-name of the
host-name
name
system
One item for
One item for each
One item for each
each image
image created
image generated
created within
within the series
by post-processing
the series
Not sent as part Not sent as part of
Not sent as part of
of image header image header
image header
Not sent as part Not sent as part of
Not sent as part of
of image header image header
image header
Not sent as part
of image header
Not sent as part of
image header
Not sent as part of
image header

When PPS start ( N-CREATE) message is sent, this element will have the value
“IN PROGRESS”

When PPS end ( N-SET) message is sent, this element will have either
“COMPLETED” or “DISCONTINUED” based on user selection
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GE HEALTHCARE
DIRECTION DOC1673565, REV 1
7.4
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Use of Specific DICOM Data
7.4.1 Patient Level
Attribute Name
Tag
Usage in CT DICOM Image Header
Patient Name
(0010,0010)
Copied from SPS, if selected
Patient ID
(0010,0020)
Copied from SPS, if selected
Patient Birthdate
(0010,0030)
Copied from SPS, if selected
Patient Sex
(0010,0040)
Copied from SPS, if selected
Referenced Patient Sequence
(0008,1120)
Copied from SPS, if selected
Ref. SOP class uid
(0008,1150)
Ref. SOP Instance uid
(0008,1155)
7.4.2 Study Level
Attribute Name
Tag
Usage in CT DICOM Image Header
Study Instance UID
(0020,000D)
Copied from SPS, if selected
Study ID
(0020,0010)
Scanner generated study ID
Referring Physicians name
(0008,0090)
Copied from SPS, if selected
Accession Number
(0008,0050)
If multiple SPS’s are selected, then accession
number from the first selection (determined by the
user) is used, however, it is configurable to be set to
zero length. Default is to use the accession number
from the first selection.
Referenced Study Sequence
(0008,1110)
Copied from SPS, if selected
Ref. SOP class uid
(0008,1150)
Ref. SOP Instance uid
(0008,1155)
7.4.3 Series Level
Attribute Name
Tag
Usage in CT DICOM Image Header
Modality
(0008,0060)
Value “CT” is copied
Protocol Name
(0018,1030)
Name of the selected protocol is copied
Operator Name
(0008,1070)
Copied from SPS if selected and present otherwise
generated from user input on scanner
Referenced Performed
Procedure Step Sequence
(0008,1111)
Will be present only if SPS , obtained from HIS/RIS is
selected for scanning
Ref. SOP class uid
(0008,1150)
Value of MPPS SOP class UID
Ref. SOP Instance uid
(0008,1155)
Scanner generated unique UID
(0040,0275)
Will be present only if SPS obtained from HIS/RIS is
selected for scanning. If multiple SPS’s are selected
then this will contain multiple items one for each
Requested Attribute Sequence
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GE HEALTHCARE
DIRECTION DOC1673565, REV 1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Attribute Name
Tag
Usage in CT DICOM Image Header
SPS. For all other cases this element will not be
present
Requested Procedure Id
(0040,1001)
Copied from SPS, if selected
Scheduled Procedure Step
Id
(0040,0009)
Copied from SPS, if selected
Scheduled Procedure Step
description
(0040,0007)
Copied from SPS, if selected
Scheduled Protocol Code
Sequence
Performed Procedure Step Id
(0040,0008)
Copied from SPS, if selected
(0040,0253)
Performed Procedure Step start
date
Performed Procedure Step start
time
Performed Procedure Step
description
(0040,0244)
Created at the scanner. The string “PPS_ID_<exam
number” is used.
Same as exam start date
(0040,0245)
Same as exam start time
(0040,0254)
Exam description is used
124 of 181
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
8
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Grayscale Softcopy Presentation State
8.1
Introduction
This section specifies the use of the DICOM Grayscale Softcopy Presentation State (GSPS) IOD to
represent the information included in GSPSs produced by this product.
8.2
8.3
CT Mapping of DICOM Entities
The CT system maps DICOM Information Entities to local Information Entities in the product’s
database and user interface.
DICOM IE
CT Entity
Patient
Patient
Study
Exam
Series
Series
Presentation State
Presentation State
IOD Module Table
The Grayscale Softcopy Presentation State Information Object Definition comprises the modules
of the following table.
Entity Name
Module Name
Reference
Patient
Patient
8.4.1.1
M
Study
General Study
8.4.2.1
M
Patient Study
8.4.2.2
U
General Series
8.4.3.1
M
Presentation Series
8.4.3.2
M
Equipment
General Equipment
8.4.4.1
M
Presentation State
Presentation State
Identification
8.4.5.1
M
Presentation State
Relationship
8.4.5.2
M
Presentation State
Shutter
Exam Split : Not sent (attribute condition not
met)
Save State : 8.4.5.3
M
Presentation State Mask
Not sent (attribute condition not met)
M
Mask
Not sent (no multi-frame present)
C
Display Shutter
Not sent (no display shutter)
C
Bitmap Display Shutter
Not sent (no bitmap data present)
C
Overlay Plane
Not sent (no overlay data present)
C
Overlay Activation
Not sent (no overlay data present)
C
Series
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Usage
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
8.4
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Displayed Area
8.4.5.4
M
Graphic Annotation
Not sent (no annotation data present)
C
Spatial Transformation
Not sent (no flip/rotate being applied)
C
Graphic Layer
Not sent (no graphics layers are added)
C
Modality LUT
8.4.5.5
C
Softcopy VOI LUT
8.4.5.6
C
Softcopy Presentation
LUT
8.4.5.7
M
SOP Common
8.4.5.8
M
Information Module Definitions
Please refer to DICOM Part 3 (Information Object Definitions) for a description of each of the
entities, modules, and attributes contained within the GSPS Information Object.
The following modules are included to convey Enumerated Values, Defined Terms, and Optional
Attributes supported. Type 1 & Type 2 Attributes are also included for completeness and to define
what values they may take and where these values are obtained from when generating the
instance. It should be noted that they are the same ones as defined in the DICOM Standard Part
3 (Information Object Definitions). Also note that Attributes not present in tables are not supported
8.4.1 Patient Entity Module
8.4.1.1 Patient Module
Attribute Name
Tag
Type
Notes
Patient’s Name
(0010,0010)
2
Copied from original images
Patient ID
(0010,0020)
2
Copied from original images
Patient’s Birth Date
(0010,0030)
2
Copied from original images
Patient’s Sex
(0010,0040)
2
Copied from original images
Other Patient ID
(0010,1000)
3
Copied from original images
Tag
Type
Study Instance UID
(0020,000D)
1
Copied from original images
Study Date
(0008,0020)
2
Copied from original images
Study Time
(0008,0030)
2
Copied from original images
Accession Number
(0008,0050)
2
Copied from original images
Referring Physician’s
Name
(0008,0090)
2
Copied from original images
8.4.2 Study Entity Module
8.4.2.1 General Study Module
Attribute Name
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Notes
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
Attribute Name
Note:
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Tag
Type
Notes
Referenced Study
Sequence
(0008,1110)
3
Exam Split : Copied from original images
Save State : Not sent
> Referenced SOP
Class UID
(0008,1150)
1
Value copied from original Images
corresponding to the Requested Procedure
this GSPS is responding to.
> Referrenced SOP
Instance UID
(0008,1155)
1
Value copied from original Images
corresponding to the Requested Procedure
this GSPS is responding to
Study ID
(0020,0010)
2
Copied from original images
Study Description
(0008,1030)
3
Exam Split : Copied from original images
Save State : Not Sent
If two or more of the accession numbers in the grouped case are different, the top level Accession Number
(0008, 0050) shall contain 1 of the accession numbers if the relevant CT Image Objects contain a
value in the top level Accession Number (0008, 0050) otherwise the top level Accession Number shall
be zero length.
8.4.2.2 Patient Study Module
Attribute Name
Tag
Type
Notes
Patient’s Age
(0010,1010)
3
Copied from original images
Patient’s Size
(0010,1020)
3
Copied from original images
Patient’s Weight
(0010,1030)
3
Copied from original images
Additional Patient’s
History
(0010,21b0)
3
Not Sent.
8.4.3 Series Entity Module
8.4.3.1 General Series Module
Attribute Name
Series Number
Tag
(0020,0011)
Type
2
Laterality
Series Date
Series Time
Modality
Performing Physician’s
Name
Protocol Name
(0020,0060)
(0008,0021)
(0008,0031)
(0008,0060)
(0008,1050)
2C
3
3
1
3
Always sent zero-length.
Not Sent.
Not Sent.
“PR”
(0018,1030)
3
Not Sent.
Series Description
(0008,103E)
3
Exam Split : This will be set as Requested
Procedure Code Meaning. If Code Meaning
absent, it will be Requested Procedure
Description
127 of 181
Notes
Set to(original Series Number + 100000)
Not Sent.
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Save State : “Presentation Series”
Operators Name
(0008,1070)
3
Not sent
Series Instance UID
(0020,000E)
1
Performed Procedure
Step Start Date
(0040,0244)
3
Performed Procedure
Step Start Time
(0040,0245)
3
Performed Procedure
Step ID
(0040,0253)
3
Performed Procedure
Step Description
(0040,0254)
3
Requested Attributes
Sequence
(0040,0275)
3
> Requested
Procedure ID
(0040,1001)
1C
> Accession Number
(0008,0050)
3
> Referenced Study
Sequence
> Study Instance UID
(0008,1110)
3
(0020,000D)
3
> Requested
Procedure Desc
> Requested
Procedure Code
Sequence
> Scheduled Procedure
Step Desc
(0032,1060)
3
(0032,1064)
3
Generated new number for each series and
always sent.
Exam Split : Calculated and sent.
Save State ; Not sent
Exam Split : Calculated and sent.
Save State : Not sent.
Exam Split : Will be set as Requested
Procedure ID (0040,1001) from (0040,0275)
Save State : Not sent.
Exam Split : This will be set as Requested
Procedure Code Meaning with a “PGP-“
prefix. If Code Meaning absent, it will be
Requested Procedure Description.
The
length will be truncated to 64 if necessary.
Save State : Not sent.
Exam Split : Sent when MPPS option is
enabled and filled in based on what RIS
provides to scanner. Number of items
relates to number of items selected from
Patient Schedule.
Save State : Not sent.
Exam Split : Always sent, copied from RIS
Save State : Not sent.
Exam Split : Value from worklist sent
Save State : Not sent.
Exam Split : Value from worklist sent
Save State : Not sent.
Exam Split : Value from worklist sent
Save State : Not sent.
Exam Split : Value from worklist sent
Save State : Not sent.
Exam Split : Value from worklist sent.
Save State : Not sent.
(0040,0007)
3
> Scheduled Protocol
Code Sequence
(0040,0008)
3
> Scheduled Procedure
Step ID
> Reason for
Requested Procedure
> Reason for
Requested Procedure
Code sequence
(0040,0009)
3
(0040,1002)
3
(0040,1004)
3
128 of 181
Exam Split : Value from worklist sent
Save State : Not sent.
Exam Split : Value from worklist sent
Save State : Not sent.
Exam Split : Value from worklist sent
Save State : Not sent.
Exam Split : Value from worklist sent
Save State : Not sent.
Exam Split : Value from worklist sent
Save State : Not sent.
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
Referenced Performed
Procedure
Step Sequence
>Referenced SOP Class
UID
>Referenced SOP
Instance UID
Note:
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
(0008,1111)
3
(0008,1150)
1C
Exam Split : Value used for performed
procedure step
Save State : Not Sent.
Copied from original images
(0008,1155)
1C
Generated for each series and always sent.
If scheduled procedures are grouped, the accession number for each procedure is stored in the Request
Attributes Sequence (0040, 0275) in the image header.
8.4.3.2 Presentation Series Module
Attribute Name
Tag
Type
(0008,0060)
1
Tag
Type
Manufacturer
(0008,0070)
2
Always sent as “GE MEDICAL SYSTEMS”
Institution Name
(0008,0080)
3
Copied from original images
Station Name
(0008,1010)
3
Copied from original images
Manufacturers Model
Name
(0008,1090)
3
Copied from original images
Software Versions
(0018,1020)
3
Copied from original images
Modality
Notes
“PR“
8.4.4 Equipment Module
8.4.4.1 General Equipment
Attribute Name
Notes
8.4.5 Presentation State Entity Module
8.4.5.1 Presentation State Identification Module
Attribute Name
Tag
Type
Presentation Creation
Date
(0070,0082)
1
Calculated and sent.
Presentation Creation
Time
(0070,0083)
1
Calculated and sent.
Instance Number
(0020,0013)
1
Set to 23 and sent.
Content Label
(0070,0080)
1
Exam Split: This will be set as “PGP” plus
Requested Procedure Code Meaning or
Requested Procedure Description converted
to all capital letters and truncated to 16
characters.
Save State : “GEGSPS_0”
129 of 181
Notes
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Content Description
(0070,0081)
2
Exam Split : String input on Comments box in
Exam Split screen
Save State : “SE (Series Number) IM (First
Image Number) TO IM (Last Image Number)”
Content Creator’s
Name
(0070,0084)
2
Same as Station Name(0008,1010)
8.4.5.2 Presentation State Relationship
Attribute Name
Tag
Type
Notes
Referenced Series
Sequence
(0008,1115)
1
Calculated and sent.
> Referenced Image
Sequence
(0008,1140)
1
Always sent, references images selected.
>> Reference SOP
Class UID
(0008,1150)
1
Always sent
>> Reference SOP
Instance UID
(0008,1155)
1
Always sent
> Series Instance UID
(0020,000E)
1
Always sent, references series selected
8.4.5.3 Presentation State Shutter
Attribute Name
Tag
Type
(0018,1622)
1
Tag
Type
Displayed Area
Selection Sequence
(0070,005A)
1
Exam Split : calculated values for pan and
zoom being displayed.
Save State : the number of images in the
original series
>Referenced Image
Sequence
(0008,1140)
1C
Always sent.
>Displayed Area Top
Left Hand Corner
(0070,0052)
1
Always sent.
>Displayed Area
Bottom Right Hand
Corner
(0070,0053)
1
Always sent.
>Presentation Size
Mode
(0070,0100)
1
Always sent.
>Presentation Pixel
Spacing
(0070,0101)
1C
Always sent.
Shutter Presentation
Value
Notes
Exam Split : Not sent.
Save State : Always sent.
8.4.5.4 Displayed Area
Attribute Name
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Notes
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
>Presentation Pixel
Magnification Ratio
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
(0070,0103)
1C
Always sent.
8.4.5.5 Modality LUT Module
Attribute Name
Tag
Type
Notes
Rescale slope intercept
(0028,1052)
1C
Always sent
Rescale slope
(0028,1053)
1C
Always sent
Rescale type
(0028,1054)
1C
Always sent as “HU”
Tag
Type
Softcopy VOI LUT Sequence
(0028,3110)
1
Always sent
> Reference Image Sequence
(0008,1140)
1C
Always sent
> Window Center
(0028,1050)
1C
Always sent
> Window Width
(0028,1051)
1C
Always sent
> Window Center & Width
Explanation
(0028,1055)
3
Always sent
8.4.5.6 Softcopy VOI LUT Module
Attribute Name
Notes
8.4.5.7 Softcopy Presentation LUT Module
Attribute Name
Tag
Type
Notes
Presentation LUT sequence
(2050,0010)
1C
Not sent, condition not met.
Presentation LUT shape
(2050,0020)
1C
Always sent as “IDENTITY”
Tag
Type
SOP Class UID
(0008,0016)
1
Always sent.
SOP Instance UID
(0008,0018)
1
Always sent.
Specific Character Set
(0008,0005)
1C
“ISO_IR 100“
Instance Creation Date
(0008,0012)
3
Always sent.
Instance Creation Time
(0008,0013)
3
Always sent.
Instance Number
(0020,0013)
1
Set to 23 and sent.
8.4.5.8 SOP Common Module
Attribute Name
8.5
Image Header Changes Supporting GSPS
8.5.1 Request Attributes Sequence
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Notes
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
The (0040, 0275) Request Attributes Sequence has been expanded to include DICOM tags that
the Virtual Exam Split (VES) application requires to complete the VES GSPS and PPS.
The Requested Attributes Sequence may contain a maximum of 15 sequence items.
This sequence will only appear in the image header if the VES/HES option is installed or PPS is
enabled..
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GE HEALTHCARE
DIRECTION DOC1673565, REV 1
9
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Structured Report Object Implementation
GEHC CT system supports 2 types of SRs, Enhanced SR and X-ray Radiation Dose SR. Both of them
support following attributes.
9.1
9.2
IOD Module Table
Entity Name
Module Name
Reference
Patient
Patient
A.3.1
M
Study
General Study
A.3.2
M
Patient Study
A.3.3
U
Series
SR Document Series
9.2
M
Equipment
General Equipment
A.3.5
M
Document
SR Document General
9.3
M
SR Document Content
9.4
M
SOP Common
A.3.8
M
SR Document Series Module
Attribute Name
9.3
Usage
Tag
Type
Notes
Modality
(0008,0060)
1
Sent as “SR“
Series Instance UID
(0020,000E)
1
Sent.
Series Number
(0020,0011)
1
Sent as “997”
Referenced Performed Procedure
Step Sequence
(0008,1111)
2
Sent.
SR Document General Module
Attribute Name
Tag
Type
Instance Number
(0020,0013)
1
Sent
Completion Flag
(0040,A491)
1
COMPLETE sent
Completion Flag Description
(0040,A492)
3
Verification Flag
(0040,A493)
1
Sent empty
UNVERIFIED sent
Content Date
(0008,0023)
1
Sent
Content Time
(0008,0033)
1
Verifying Observer Sequence
(0040,A073)
1C
Sent
Not sent per conditional
>Verifying Observer Name
(0040,A075)
1
Not sent
>Verifying Observer
Identification Code Sequence
(0040,A088)
2
Not sent
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Notes
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
>>Include 'Code Sequence Macro' Table 8.8-1
Not sent
>Verifying Organization
(0040,A027)
1
Not sent
>Verification DateTime
(0040,A030)
1
Not sent
Author Observer Sequence
(0040,A078)
3
Not sent
>Include 'Identified Person or Device Macro' Table C.17-3b
Participant Sequence
(0040,A07A)
3
>Participation Type
(0040,A080)
1
Not sent
Not sent
>Participation DateTime
(0040,A082)
2
Not sent
>Include 'Identified Person or Device Macro' Table C.17-3b
Custodial Organization
Sequence
(0040,A07C)
3
Not sent
>Institution Name
(0008,0080)
2
Not sent
>Institution Code Sequence
(0008,0082)
2
Not sent
1C
Not sent per condition
>>Include 'Code Sequence Macro' Table 8.8-1
Predecessor Documents
Sequence
(0040,A360)
>Include ' Hierarchical SOP Instance Reference Macro' Table C.17-3
Identical Documents
Sequence
(0040,A525)
1C
Not sent per condition
>Include ' Hierarchical SOP Instance Reference Macro' Table C.17-3
Referenced Request
Sequence
>Study Instance UID
(0040,A370)
1C
Not sent per condition
(0020,000D)
1
Not Sent
>Referenced Study Sequence
(0008,1110)
2
Not Sent
>> Include ‘SOP Instance Reference Macro' Table 10-11
>Accession Number
>Placer Order
Number/Imaging Service
Request
>Filler Order Number/Imaging
Service Request
>Requested Procedure ID
(0008,0050)
2
Not Sent
(0040,2016)
2
Not Sent
(0040,2017)
2
Not Sent
(0040,1001)
>Requested Procedure
(0032,1060)
Description
>Requested Procedure Code
(0032,1064)
Sequence
>>Include 'Code Sequence Macro' Table 8.8-1
2
2
Not Sent
Not Sent
2
Not Sent
No Baseline Context ID Number is specified.
>Reason for the Requested
Procedure
(0040,1002)
3
Not Sent
>Reason for Requested
Procedure Code Sequence
(0040,100A)
3
Not Sent
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>>Include 'Code Sequence Macro' Table 8.8-1
Performed Procedure Code
(0040,A372)
Sequence
>Include 'Code Sequence Macro' Table 8.8-1
Current Requested Procedure
Evidence Sequence
No Baseline Context ID Number is specified.
Sent empty
2
No Baseline Context ID Number is specified.
(0040,A375)
1C
Not Sent
>Include ' Hierarchical SOP Instance Reference Macro' Table C.17-3
Pertinent Other Evidence
Sequence
(0040,A385)
1C
Not sent
>Include ' Hierarchical SOP Instance Reference Macro' Table C.17-3
Referenced Instance
Sequence
(0008,114A)
1C
Not sent
1
Not sent
>Include ‘SOP Instance Reference Macro' Table 10-11
>Purpose of Reference Code
Sequence
(0040,A170)
>>Include 'Code Sequence Macro' Table 8.8-1
9.4
SR Document Content Module
The tables below capture notes concerning the values stored.
9.4.1 TID 10011 – CT Radiation Dose
NL
Rel with
Parent
1
2 >
HAS
CONCEPT
MOD
3 >>
HAS
CONCEPT
MOD
4 >
VT
Concept Name
VM Req
Type
CONTA EV (113701,
INER DCM, “X-Ray
Radiation Dose
Report”)
CODE EV (121058,
DCM, ”Procedure
reported”)
CODE EV (G-C0E8, SRT,
“Has Intent”)
INCLU DTID (1002)
DE
Observer
Context
Notes
1
M
Sent
1
M
Code sequence (P5-08000, SRT,
Computed Tomography X-Ray)
sent
1
M
Code sequence (R-408C3, SRT,
Diagnostic Intent) sent
1-n
M
See TID 1002 Observer context
(sent with Device context values
equal to Implementation UID.
Device Role in Procedure code
sequences (113859, DCM,
Irradiating Device) and (121097,
DCM, Recording) sent. Single
item sent.)
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5 >
HAS OBS
CONTEXT
DATETI EV (113809,
ME
DCM, “Start of XRay Irradiation”)
1
M
Sent
6 >
HAS OBS
CONTEXT
DATETI EV (113810,
ME
DCM, “End of XRay Irradiation”)
1
M
Sent
7 >
HAS OBS
CONTEXT
CODE EV (113705,
DCM, “Scope of
Accumulation”)
1
M
Code sequence (113014, DCM,
Study) sent
8 >>
HAS
UIDRE DCID (10001) UID
PROPERTIES F
Types
1
M
Study Instance UID sent
9 >
CONTAINS
INCLU DTID (10012) CT
DE
Accumulated
Dose Data
1
M
See TID 10012 CT Accumulated
Dose Data table below for
details
10 >
CONTAINS
INCLU DTID (10013) CT 1-n
DE
Irradiation Event
Data
M
See TID 10013 CT Irradiation
Event Data table below for
details
11 >
CONTAINS
TEXT
1
U
Not sent
12 >
CONTAINS
1-n
M
Code sequence (113856, DCM,
Automated Data Collection) sent
13 >
CONTAINS
1
U
Not sent.
EV (121106,
DCM,
“Comment”)
CODE EV (113854,
DCM,
“Source of Dose
Information”)
INCLU DTID (1020)
Person
DE
Participant
9.4.2 TID 10012 – CT Accumulated Dose Data
NL Rel with
VT
Concept Name VM Req Notes
Parent
Type
1
CONTA EV (113811,
INER DCM, ”CT
Accumulated
Dose Data”)
1
M
Sent
2
>
CONTAINS
NUM
EV (113812,
DCM, “Total
Number of
Irradiation
Events”)
1
M
Sent
3
>
CONTAINS
NUM
EV (113813,
DCM, “CT Dose
Length Product
Total”)
1
M
Sent
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4
>
CONTAINS
NUM
EV (113814,
DCM, “CT
Effective Dose
Total”)
1
U
Not sent
5
>>
HAS
TEXT
PROPERTIES
EV (121406,DCM,
“Reference
Authority”)
1
MC
Not sent
6
>>
HAS
CODE EV (121406,DCM,
PROPERTIES
“Reference
Authority”)
1
MC
Not sent
7
>>
HAS
CONCEPT
MOD
1
M
Not sent
8
>>
HAS
TEXT
PROPERTIES
1
MC
Not sent
9
>>
HAS
CONTA EV (113816,
PROPERTIES INER DCM, “Condition
Effective Dose
measured”)
1
MC
Not sent
CODE EV (G-C036,SRT,
“Measurement
Method”)
EV (113815,DCM,
“Patient Model”)
10 >>> CONTAINS
TEXT
EV (113817,DCM,
“Effective Dose
Phantom Type”)
1
M
Not sent
11 >>> CONTAINS
TEXT
EV (113818,
DCM, “Dosimeter
Type”)
1
M
Not sent
12 >
CONTAINS
TEXT
EV (121106,
DCM,
“Comment”)
1
U
Not sent
13 >
CONTAINS
INCLU DTID(1021)
DE
Device
Participant
1
MC
Not sent
9.4.3 TID 10013 – CT Irradiation Event Data
NL
Rel with
Parent
1
VT
Concept Name
VM Req
Type
Notes
CONTA EV (113819, DCM,
INER ”CT Acquisition”)
1
M
Sent
1
U
Not sent
1
M
Sent. See note below for
specifics.
2
>
CONTAINS
TEXT
EV (125203, DCM,
“Acquisition
Protocol”)
3
>
CONTAINS
CODE EV (123014 ,
DCM, ”Target
Region”)
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4
>
CONTAINS
CODE EV (113820, DCM,
“CT Acquisition
Type”)
1
M
Sent
5
>
CONTAINS
CODE (G-C32C, SRT,
“Procedure
Context”)
1
U
Not sent
6
>
CONTAINS
UIDRE EV (113769, DCM,
F
“Irradiation Event
UID”)
1
M
Sent; all images from this
irradiation event contain same
Irradiation Event UID (0x0008,
0x3010)
7
>
CONTAINS
CONTA EV (113822, DCM,
INER “CT Acquisition
Parameters”)
1
M
Sent
8
>>
CONTAINS
NUM
EV (113824, DCM,
“Exposure Time”)
1
M
Sent
9
>>
CONTAINS
INCLU DTID(10014)
DE
Scanning Length
1
M
See TID 10014 Scanning Length
table below for details
10 >>
CONTAINS
NUM
EV (113826, DCM,
“Nominal Single
Collimation
Width”)
1
M
Sent
11 >>
CONTAINS
NUM
EV (113827, DCM,
“Nominal Total
Collimation
Width”)
1
M
Sent
12 >>
CONTAINS
NUM
EV (113828, DCM,
“Pitch Factor”)
1
MC
Sent per conditional
13 >>
CONTAINS
NUM
EV (113823, DCM,
“Number of XRay Sources”)
1
M
Sent
14 >>
CONTAINS
CONTA EV (113831, DCM, 1-n
INER “CT X-Ray Source
Parameters”)
M
Single item sent.
15 >>> CONTAINS
TEXT
EV (113832, DCM,
“Identification of
the X-Ray
Source”)
1
M
Sent
16 >>> CONTAINS
NUM
EV (113733, DCM,
“KVP”)
1
M
Sent
17 >>> CONTAINS
NUM
EV (113833, DCM,
“Maximum X-Ray
Tube Current”)
1
M
Sent
18 >>> CONTAINS
NUM
EV (113734, DCM,
“X-Ray Tube
Current”
1
M
Sent
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19 >>> CONTAINS
NUM
EV (113834, DCM,
“Exposure Time
per Rotation”)
1
MC
20 >>> CONTAINS
NUM
EV (113821, DCM,
“X-Ray Filter
Aluminum
Equivalent”)
1
U
21 >
CONTAINS
CONTA EV (113829, DCM,
INER “CT Dose”)
1
MC
Sent per conditional
22 >>
CONTAINS
NUM
EV (113830, DCM,
“Mean CTDIvol ”)
1
M
Sent
23 >>
CONTAINS
CODE EV (113835, DCM,
“CTDIw Phantom
Type”)
1
M
Sent
(IEC Head Dosimetry
Phantom
or
IEC Body
Dosimetry Phantom)
24 >>
CONTAINS
NUM
EV (113836, DCM,
“CTDIfreeair
Calculation
Factor”)
1
U
Not sent
25 >>
CONTAINS
NUM
EV (113837, DCM,
“Mean
CTDIfreeair”)
1
U
Not sent
26 >>
CONTAINS
NUM
EV (113838, DCM,
“DLP”)
1
M
Sent
27 >>
CONTAINS
NUM
EV (113839, DCM,
“Effective Dose”)
1
U
Not sent
1
MC
Not sent
EV (113840, DCM,
“Effective Dose
Conversion
Factor”)
1
MC
Not sent
1
M
See TID 10015 CT Dose Check
Details table below for details
1
U
Not sent
U
Not sent
U
Not sent
MC
Not sent.
28 >>> HAS
CONCEPT
MOD
CODE EV (G-C036, SRT,
“Measurement
Method“)
29 >>>> HAS
NUM
PROPERTIES
30 >>
CONTAINS
31 >
CONTAINS
INCLU DTID(10015) CT
DE
Dose Check
Details
TEXT EV (113842, DCM,
“X-Ray
Modulation
Type”)
32 >
CONTAINS
TEXT
33 >
CONTAINS
34 >
CONTAINS
EV (121106, DCM, 1
“Comment”)
INCLU DTID (1020)
1-n
Person
DE
Participant
INCLU DTID (1021)
1
Device
DE
139 of 181
Sent per conditional
Not sent
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REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Participant
9.4.4 TID 10014 - Scanning Length
NL
Rel with
Parent
VT
Concept Name
VM
Notes
1
Req
Type
M
1
NUM
2
NUM
3
NUM
4
NUM
5
NUM
6
NUM
7
NUM
8
UIDREF
EV(113825, DCM,
“Scanning
Length”)
EV(113893, DCM,
“Length of
Reconstructable
Volume”)
EV(113899, DCM,
“Exposed
Range”)
EV(113895, DCM,
“Top Z Location
of
Reconstructable
Volume”)
EV(113896, DCM,
“Bottom Z
Location of
Reconstructable
Volume”)
EV(113897, DCM,
“Top Z Location
of Scanning
Length”)
EV(113898, DCM.
“Bottom Z
Location of
Scanning
Length”)
EV(112227, DCM,
“Frame of
Reference UID”)
1
U
Sent, except not sent for Scout
1
UC
Sent per conditional
1
U
Sent, except not sent for Scout
1
U
Sent, except not sent for Scout
1
U
Sent
1
U
Sent
1
MC
Sent
Sent
9.4.5 TID 10015 – CT Dose Check Details
NL
Rel with
Parent
1
2
>
CONTAINS
VT
Concept Name
VM
CONTAINER
EV(113900, DCM,
“Dose Check Alert
Details”)
EV(113901, DCM,
“DLP Alert Value
Configured”)
CODE
140 of 181
Notes
1
Req
Type
MC
1
M
Sent
Sent
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
3
>
CONTAINS
CODE
4
>
CONTAINS
NUM
5
>
CONTAINS
NUM
6
>
CONTAINS
NUM
7
>
CONTAINS
NUM
8
>
CONTAINS
TEXT
9
>
CONTAINS
INCLUDE
10
CONTAINER
11
>
CONTAINS
CODE
12
>
CONTAINS
CODE
13
>
CONTAINS
NUM
14
>
CONTAINS
NUM
15
>
CONTAINS
NUM
16
>
CONTAINS
NUM
17
>
CONTAINS
TEXT
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
EV(113902, DCM,
“CTDIvol Alert
Value Configured”)
EV(113903, DCM,
“DLP Alert Value”)
EV(113904, DCM,
“CTDIvol Alert
Value”)
EV(113905, DCM,
“Accumulated DLP
Forward
Estimate”)
EV(113906, DCM,
“Accumulated
CTDIvol Forward
Estimate”)
EV(113907, DCM,
“Reason for
Proceeding”)
DTID(1020) Person
Participant
1
M
Sent
1
MC
Sent per conditional
1
MC
Sent per conditional
1
MC
Sent per conditional
1
MC
Sent per conditional
1
UC
Sent per conditional
1
MC
EV(113908, DCM,
“Dose Check
Notification
Details”)
EV(113909, DCM,
“DLP Notification
Value Configured”)
EV(113910, DCM,
“CTDIvol
Notification Value
Configured”)
EV(113911, DCM,
“DLP Notification
Value”)
EV(113912, DCM,
“CTDIvol
Notification
Value”)
EV(113913, DCM,
“DLP Forward
Estimate”)
EV(113914, DCM,
“CTDIvol Forward
Estimate”)
EV(113907, DCM,
“Reason for
Proceeding”)
1
MC
Sent per conditional.
See TID 1020 Person
Participant table below for
details
Sent
1
M
Sent
1
M
Sent
1
MC
Sent per conditional
1
MC
Sent per conditional
1
MC
Sent per conditional
1
MC
Sent per conditional
1
UC
Sent per conditional
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18
>
CONTAINS
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
INCLUDE
DTID(1020) Person
Participant
1
UC
Not sent
9.4.6 TID 1002 – Observer Context
NL
Rel with
Parent
VT
Concept Name
VM Req
Type
Note
1
HAS OBS CODE
CONTEXT
EV (121005,DCM,
“Observer Type”)
1
MC Sent as “Device“.
2
HAS OBS INCLUDE
CONTEXT
DTID (1003) Person
observer identifying
attributes
1
MC Not sent.
3
HAS OBS INCLUDE
CONTEXT
DTID (1004) Device
observer identifying
attributes
1
MC See TID 1004 Device
Observer Identifying
Attributes table below for
details.
9.4.7 TID 1004 – Device Observer Identifying Attributes
NL
Rel with
Parent
VT
Concept Name
VM Req
Type
Note
1
UIDREF
EV (121012,DCM, “Device
Observer UID”)
1
M
Sent. Same as
Implementation UID
(0002,0012)
See Appendix.D.
2
TEXT
EV (121013,DCM, “Device
Observer Name”)
1
U
Sent. Same as Station
Name (0008,1010)
3
TEXT
EV (121014,DCM, “Device
Observer Manufacturer”)
1
U
Sent as “GE Medical
Systems”.
4
TEXT
EV (121015,DCM, “Device
Observer Model Name”)
1
U
Sent. Same as
Manufacturer’s Model
Name (0008,1090)
5
TEXT
EV (121016,DCM, “Device
Observer Serial Number”)
1
U
Sent. Same as Device
Serial Number (0018,1000)
6
TEXT
EV (121017,DCM, “Device
Observer Physical
Location during
observation”)
1
U
Not Sent.
7
CODE
EV (113876, DCM,
“Device Role in
Procedure”)
1-n
U
Sent as “Irradiating
Device” and “Recording”.
9.4.8 TID 1020 – Person Participant
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NL
VT
Rel with
Parent
1
Note:
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
PNAME
Concept Name
VM Req
Type
Note
EV (113870,DCM,
“Person Name”)
1
M
Sent
Person’s name is free text,
not PNAME format.
2 >
CODE
HAS
PROPERTIES
EV (113875,DCM,
“Person Role in
Procedure”)
1
M
Sent as “Irradiation
Authorizing”.
3 >
TEXT
HAS
PROPERTIES
EV (113871,DCM,
”Person ID”)
1
U
Sent.
4 >
TEXT
HAS
PROPERTIES
EV (113872,DCM,
”Person ID Issuer”)
1
U
Not Sent.
5 >
TEXT
HAS
PROPERTIES
EV (113873,DCM,
“Organization Name”)
1
U
Not Sent.
6 >
CODE
HAS
PROPERTIES
EV (113874,DCM,
“Person Role in
Organization”)
1
U
Not Sent.
Target region is filled in per the following table:
Protocol Category
Head
Orbit
Neck
Upper Extremity
Chest
Abdomen
Spine
Pelvis
Lower Extremity
Value stored in Target Region
SRT
T-D1100
Head
SRT
T-D0801
Eye region
SRT
T-D1600
Neck
SRT T-02220
Shoulder
SRT T-D3000
Chest
SRT
T-D4000
Abdomen
SRT T-11503
Lumbar spine
SRT
T-D6000
Pelvis
SRT T-D0300
Extremity
Note: CT X-Ray Radiation Dose SR Record adheres to the DICOM 2011 edition.
9.5
Configuration
The product is configured by default to not generate the CT X-Ray Radiation Dose SR Record.
Creation of the CT Dose Record can be enabled via reconfig.
The product implements the CT Radiation Dose Report template (TID 10011) per DICOM Supplement
127.
The DICOM standard says that the SOP class shall be the “X-Ray Radiation Dose SR” SOP Class
(1.2.840.10008.5.1.4.1.1.88.67).
However, since many products may not support this SOP class, the product supports the option via
reconfig to create the CT Radiation Dose Report as an “Enhanced SR” SOP Class
(1.2.840.10008.5.1.4.1.1.88.22).
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SR setting can be configured in “Dose Report” in reconfig menu as below.



“Full” will produce the X-Ray Radiation Dose SR SOP class
“On” will produce the Enhanced SR SOP class.
“Off” will not produce any SOP class.
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10 Security Conformance Statement
10.1 De-identification
The GEHC CT system satisfies the following requirements for de-identification
De-identification occurs, for example, when an anonymous patient operation is performed. This deidentification only covers DICOM attributes that contain protected patient information. The encrypted
data capability is not supported, so once an image has been de-identified no facility is provided to
recover the lost information.
The de-identification specified in this section only applies to GE generated images. All third party
images have only the standard DICOM elements de-identified, all private tags (non-GE private tags)
within these images are dropped.
De-identification supports the following object types:
· CT Image Objects
De-identification does not support the following object types:
· Secondary capture images
· Structured reports
· Grayscale presentation state objects
This de-identification specification applies when the GEHC CT system is configured for full deidentification. If the system is configured for partial de-identification, some attributes will remain
unchanged.
Table 10.1-1 provides the list of attributes and the expected action when de-identifying images.
Table 10.1-1
DICOM Attributes De-Identified
DICOM Tag
0008,0014
0008,0018
0008,0050
0008,0080
0008,0081
0008,0090
0008,0092
0008,0094
0008,1010
0008,1030
0008,103E
0008,1040
0008,1048
0008,1050
Attribute Name
Instance Creator UID
SOP Instance UID
Accession Number
Institution Name
Institution Address
Referring Physician’s Name
Referring Physician’s Address
Referring Physician’s Telephone
Numbers
Station Name
Study Description
Series Description
Institutional Department Name
Physicians of Record
Performing Physicians’ Name
Action
element dropped
assign new UID
made zero length
made zero length
element dropped
made zero length
element dropped
element dropped
“ANONYMIZED”
“ANONYMIZED”
“ANONYMIZED”
element dropped
element dropped
element dropped
145 of 181
Comments
Refer to Note 1
Refer to Note 1
Refer to Note 1
Refer to Note 1
Refer to Note 1
Refer to Note 1
Refer to Note 1
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
DICOM Tag
0008,1060
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Action
made zero length
0008,1110
>0008,1150
>0008,1155
0008,1140
Attribute Name
Name of Physicians Reading
Study
Operators’ Name
Admitting Diagnoses
Description
Referenced Study Sequence
Referenced SOP Class UID
Referenced SOP Instance UID
Referenced Image Sequence
>0008,1150
>0008,1155
0010,0010
0010,0020
0010,0030
0010,0032
0010,0040
0010,1000
0010,1001
0010,1010
0010,1020
0010,1030
0010,1090
0010,2160
0010,2180
0010,21B0
0010,4000
0018,1030
0020,000D
Referenced SOP Class UID
Referenced SOP Instance UID
Patient’s Name
Patient ID
Patient’s Birth Date
Patient’s Birth Time
Patient’s Sex
Other Patient Ids
Other Patient Names
Patient’s Age
Patient’s Size
Patient’s Weight
Medical Record Locator
Ethnic Group
Occupation
Additional Patient’s History
Patient Comments
Protocol Name
Study Instance UID
element dropped
element dropped
“ANONxxxx”
“ANONxxxx”
made zero length
element dropped
made zero length
made zero length
element dropped
made zero length
made zero length
made zero length
element dropped
element dropped
element dropped
made zero length
element dropped
made zero length
assign new UID
0020,000E
Series Instance UID
assign new UID
0020,0010
Study ID
retain Study ID
0020,0052
Frame of Reference UID
assign new UID
0020,0200
Synchronization Frame of
Reference UID
UID
Content Sequence
Storage Media File-set UID
Referenced Frame of Reference
UID
Related Frame of Reference
UID
element dropped
This value is used for all
images in exam
This value is used for all
images in series
This value is used in
patient ID
This value is used for all
images sharing this UID
Refer to Note 1
element dropped
drop sequence
element dropped
element dropped
Refer to Note 1
Refer to Note 1
Refer to Note 1
Refer to Note 1
element dropped
Refer to Note 1
0008,1070
0008,1080
0040,A124
0040,A730
0088,0140
3006,0024
3006,00C2
made zero length
element dropped
drop sequence
element dropped
element dropped
drop sequence
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Comments
Refer to Note 1
Special handling is
performed when the
entire exam in deidentified in one
operation. See Table
10.1-2 for details.
xxxx = study id
xxxx = study id
Refer to Note 1
Refer to Note 1
Refer to Note 1
Refer to Note 1
Refer to Note 1
Refer to Note 1
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Note 1: these elements are not currently present in GE images, however, the described action will
occur on 3rd party images.
The following special processing is performed based on image type:
Table 10.1-2
De-identification Processing by Image Type
10.2
Image Type
CT Image
SC Image
Processing
de-identified based on the tables above
image discarded
GSPS
SR
object discarded
object discarded
ASSOCIATION LEVEL SECURITY
The GEHC CT system provides association level security for Query Retrieve operations.
The system will only allow remote DICOM servers to pull images if the remote DICOM server is defined
on the GEHC CT system. The remote DICOM server’s IP address, AE title, and Port number must be
configured on the GEHC CT system for the networking pull to begin.
Note that this association level security only applies to the retrieve request; query operations will be
accepted from any connected DICOM client.
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APPENDIX A:
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
CT Image and Secondary Capture Modules/Attributes
The tables below specify the attributes of the CT Image and Secondary Capture Image transmitted by
the Storage SCU AE.
A.1
CT Image IOD
A.1.1 CT Image IOD Modules
Entity Name
Module Name
Reference
Patient
Patient
A.3.1
M
Study
General Study
A.3.2
M
Patient Study
A.3.3
U
Series
General Series
A.3.4
M
Frame of Reference
Frame of Reference
A.4.5
M
Equipment
General Equipment
A.3.5
M
Image
General Image
A.3.6
M
Image Plane
A.4.1
M
Image Pixel
A.4.2
M
Contrast/Bolus
A.4.3
C
CT Image
A.4.4
M
VOI LUT
A.3.7
U
SOP Common
A.3.8
M
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REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
A.1.1.1 Implementation Specific details
For all CT Images created by GEHC CT patient birth date element (0010,0030) is sent, if the
operator has entered the details. If the operator has not entered the details it will be sent as a
“Zero length element”
The length of Accession number element (0008,0050) is a maximum of 16 characters
Window Center (0028,1050) and Window Width (0028,1051) are sent for all CT Images created
by GEHC CT
Based on whether contrast was used or not the following applies for CT Images created by
GEHC CT
Mode
(0018,0010)
(0018,1040)
No Contrast
Not sent
Not sent
Oral Contrast
Oral Contrast Agent name
The string “Oral”
IV Contrast
IV Contrast agent name
The String “IV”
Oral and IV
contrast
Oral contrast agent “ & “
IV Contrast agent
The string “Oral & IV”
Supported field length for DICOM fields
DICOM Tag
A.2
Field Name
Field Length
( 0008, 0050 )
Accession Number
16 characters
( 0010, 0010 )
Patient Name
32 characters
(configurable to 64)
( 0010, 0020 )
Patient Id
16 characters
(configurable to 64)
SC Image IOD
A.2.1 SC Image IOD Modules
Entity Name
Module Name
Reference
Patient
Patient
A.3.1
M
Study
General Study
A.3.2
M
Patient Study
A.3.3
U
Series
General Series
A.3.4
M
Equipment
General Equipment
A.3.5
U
SC Equipment
A.5.1
M
General Image
A.3.6
M
Image
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Image Pixel
A.5.2
M
SC Image
Not sent (consists entirely of type
3 element).
M
Modality LUT
A.5.3
U
VOI LUT
A.3.7
U
SOP Common
A.3.8
M
A.2.2 CT Dose Report SC Image Details
The product is configured by default to generate a CT X-Ray Radiation Dose Report SC Image
summarizing the study dose. The pixel data contains a textual, viewable report of the dose
information. The next section identifies the additional standard DICOM attributes added to capture
the same information as reported in the CT X-Ray Radiation Dose Record, described in Section 9.
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A.2.2.1 Implementation Specific details
Attribute Name
Tag
Type
Notes
Total Number of
Exposures
(0040,0301)
3
Total number of exposures made during this
Performed Procedure Step.
Exposure dose
sequence
(0040,030E)
3
Exposure Dose Sequence will contain Total
Number of Exposures (0040,0301) items.
>kVp
(0018,0060)
3
Peak kilo voltage output
>X-Ray Tube Current
(0018,8151)
3
X-Ray tube current in microA. NOTE: the XRay Radiation Dose SR records this in mA.
>Exposure Time
(0018,1150)
3
Time of x-ray exposure in msec.
>Acquisition Type
(0018,9302)
3
>CTDIvol
(0018,9345)
3
Computed Tomography Dose Index in mGy
according to IEC 60601-2-44.
>CTDI Phantom Type
Code Seq
(0018,9346)
3
The type of phantom used for CTDI
measurement according to IEC 60601-2-44.
>Single Collimation
Width
(0018,9306)
3
The width of a single row of acquired data in
mm.
>Total Collimation
(0018,9307)
3
The width of the total collimation in mm over
the area of active x-ray detection.
>Spiral Pitch Factor
(0018,9311)
3
Ratio of the Table Feed per Rotation
(0092,9310) to the Total Collimation Width
(0018,9307)
>Body Part Examined
(0018,0015)
3
Text description of the part of the body
examined. See the values for target
region at the end of section 9.4.3 for the
values stored.
Comments on
Radiation Dose
(0040,0310)
3
Used to record total and per exposure DLP.
The format is:
TotalDLP=xxx
DLP=xxx
DLP=xxx
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A.3
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Common Modules
A.3.1 Patient Module
Attribute Name
Tag
Type
Notes
Patient’s Name
(0010,0010)
2
As entered at user interface or from worklist.
Supports 5 different components delimited by
“^”. Supports a maximum length of 32
characters including the delimiter. Can be
configured to allow 64 characters.
Patient ID
(0010,0020)
2
As entered at user interface or from worklist.
Supports maximum of 16 characters. Can be
configured to allow 64 characters.
Patient’s Birth Date
(0010,0030)
2
As entered at user interface or from worklist.
Patient’s Sex
(0010,0040)
2
As entered at user interface or from worklist.
Referenced Patient
Sequence
(0008,1120)
3
Value from the worklist
>Referenced SOP
Class UID
(0008,1150)
1C
Value from the worklist
>Referenced SOP
Instance UID
(0008,1155)
1C
Value from the worklist
Other Patient ID
(0010,1000)
3
Value from the worklist
Tag
Type
Study Instance UID
(0020,000D)
1
Value from worklist, if present, is used.
Otherwise, the scanner creates a unique
value for each exam.
If worklist is reused, system can be
configured to reuse the study instance uid.
Default behavior is to generate a new study
instance uid if the worklist is reused.
Study Date
(0008,0020)
2
Generated for each exam and always sent.
Study Time
(0008,0030)
2
Generated for each exam and always sent.
Accession Number
(0008,0050)
2
Value from user interface or worklist sent.
If worklists with different accession numbers
are grouped, the default behavior is to fill in
the top level accession number in the image
header. The accession number can be
configured to be empty in the grouped case.
Referring Physician’s
Name
(0008,0090)
2
Value from user interface sent. Accepts 32
characters by default but is configurable to
accept 64 characters.
A.3.2 General Study Module
Attribute Name
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Attribute Name
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Tag
Type
Notes
Study ID
(0020,0010)
2
Generated for each exam on the scanner
and always sent..
Study Description
(0008,1030)
3
Value from user interface or worklist sent.
Accepts 22 characters by default but is
configurable to accept 64 characters.
Name of Physician(s)
Reading Study
(0008,1060)
3
Sent if entered at the user interface.
Referenced Study
Sequence
(0008,1110)
3
Value from the worklist
>Referenced SOP Class
UID
(0008,1150)
1C
Value from the worklist
>Referenced SOP
Instance UID
(0008,1155)
1C
Value from the worklist
Tag
Type
Patient’s Age
(0010,1010)
3
Calculated from Date of Birth entered at user
interface.
Patient’s Size
(0010,1020)
3
Value from user interface or worklist sent
Patient’s Weight
(0010,1030)
3
Value from user interface or worklist sent.
Additional Patient’s
History
(0010,21b0)
3
Value from user interface or worklist sent
Tag
(0020,0011)
(0020,0060)
(0008,0021)
(0008,0031)
(0008,0060)
(0008,1050)
Type
2
2C
3
3
1
3
(0018,1030)
(0008,103E)
(0008,1070)
(0018,5100)
3
3
3
2C
A.3.3 Patient Study Module
Attribute Name
Notes
A.3.4 General Series Module
Attribute Name
Series Number
Laterality
Series Date
Series Time
Modality
Performing Physician’s
Name
Protocol Name
Series Description
Operator’s Name
Patient Position
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Notes
Generated sequentially, always sent.
Always sent zero-length.
Generated for each series and always sent.
Generated for each series and always sent.
Always sent as “CT”
Mapped from (0040, 0006) in the worklist.
Sent if entered at user interface.
Value from user interface is sent.
Value from user interface is sent.
Sent. As selected by operator when patient is
positioned. Defined terms are:
HFP
= Head-First Prone
HFS
= Head-First Supine
HFDR = Head-First Decubitus Right
HFDL = Head-First Decubitus Left
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DIRECTION DOC1673565, REV 1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Series Instance UID
Performed Procedure
Step Start Date
Performed Procedure
Step Start Time
Performed Procedure
Step ID
Performed Procedure
Step Description
Requested Attributes
Sequence
(0020,000E)
(0040,0244)
1
3
FFDR = Feet-First Decubitus Right
FFDL = Feet-First Decubitus Left
FFP
= Feet-First Prone
FFS
= Feet-First Supine
Always sent
Sent when MPPS option is enabled
(0040,0245)
3
Sent when MPPS option is enabled
(0040,0253)
3
Sent when MPPS option is enabled
(0040,0254)
3
Sent when MPPS option is enabled
(0040,0275)
3
> Requested
Procedure ID
> Accession Number
> Referenced Study
Sequence
> Study Instance UID
> Requested
Procedure Desc
> Requested
Procedure Code
Sequence
> Scheduled Procedure
Step Desc
> Scheduled Protocol
Code Sequence
> Scheduled Procedure
Step ID
> Reason for
Requested Procedure
> Reason for
Requested Procedure
Code sequence
Body Part Examined
Referenced Performed
Procedure
Step Sequence
>Referenced SOP Class
UID
>Referenced SOP
Instance UID
(0040,1001)
1C
Sent when MPPS option is enabled and filled
in based on what RIS provides to scanner.
Number of items relates to number of items
selected from Patient Schedule.
Always sent, copied from RIS
(0008,0050)
(0008,1110)
3
3
Value from worklist sent
Value from worklist sent
(0020,000D)
(0032,1060)
3
3
Value from worklist sent
Value from worklist sent
(0032,1064)
3
Value from worklist sent
(0040,0007)
3
Value from worklist sent
(0040,0008)
3
Value from worklist sent
(0040,0009)
3
Value from worklist sent
(0040,1002)
3
Value from worklist sent
(0040,1004)
3
Value from worklist sent
(0018,0015)
(0008,1111)
3
3
Only sent for GSI CT images.
Value used for performed procedure step
(0008,1150)
1C
Value used for performed procedure step
(0008,1155)
1C
Value used for performed procedure step
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A.3.5 General Equipment Module
Attribute Name
Tag
Type
Notes
Manufacturer
(0008,0070)
2
Always sent as “GE MEDICAL SYSTEMS”
Institution Name
(0008,0080)
3
Sent. Value is configurable.
Station Name
(0008,1010)
3
Sent. Value is configurable.
Manufacturers Model
Name
(0008,1090)
3
Sent.
Device Serial Number
(0018,1000)
3
Sent, Using Gantry Serial number from
Product Locator tool.
Software Versions
(0018,1020)
3
Sent.
Pixel Padding Value
(0028,0120)
3
Sent.
Attribute Name
Tag
Type
Notes
Image Number
(0020,0013)
2
Generated sequentially, always sent.
Patient Orientation
(0020,0020)
2C
Always sent zero length for SC images.
Image Date
(0008,0023)
2C
Generated for each image, always sent.
Image Time
(0008,0033)
2C
Generated for each image, always sent.
Image Type
(0008,0008)
3
Always sent.
Value 3: CT Image IOD specific
specializations
AXIAL
LOCALIZER
SEGMENTED
REFORMATTED
PROCESSED
COMBINED
CTINTERVENTION
A.3.6 General Image Module
Value 4: GE CT Image implementation
specific
MIN IP
MIP
AVERAGE
VOLREN
INTEGRAL
HD MIP
RAYSUM
SURFACE
MINMAX
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FLUORO
GSI MONO
GSI HIGH KV
GSI LOW KV
GSI MD
GSI QC
GSI EFF Z
GSI CLR OVRLY
DIGITALTILT
A.3.7
Acquisition Number
(0020,0012)
3
Generated for each acquisition, always sent.
Acquisition Date
(0008,0022)
3
Generated for each acquisition, always sent.
Acquisition Time
(0008,0032)
3
Generated for each acquisition, always sent.
Format is in fractional seconds as small as 1
millionth of a second.
Referenced Image
Sequence
(0008,1140)
3
>Reference SOP Class
UID
(0008,1150)
1
>Reference SOP
Instance UID
(0008,1155)
1
Irradiation Event UID
(0008,3010)
3
Always sent.
VOI LUT Module
Attribute Name
Tag
Type
Notes
Window Center
(0028,1050)
1C
Window Center for display. Always
sent.
Window Width
(0028,1051)
1C
Window Width for display. Always
sent.
Tag
Type
SOP Class UID
(0008,0016)
1
Always sent.
SOP Instance UID
(0008,0018)
1
Always sent.
Specific Character Set
(0008,0005)
1C
ISO_IR 100
Instance Creation Date
(0008,0012)
3
Always sent.
Instance Creation Time
(0008,0013)
3
Always sent.
Instance Number
(0020,0013)
3
Always sent.
A.3.8 SOP Common Module
Attribute Name
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A.4
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
CT Image Modules
A.4.1 Image Plane Module
Attribute Name
Tag
Type
Notes
Slice Thickness
(0018,0050)
2
Value always sent.
Image Slice Location
(0020,1041)
3
Value always sent. Note: Slice Location
reflects the gantry ISO center table location
value for the image in mm. If the gantry is
tilted, this value will differ from the image
position (0020, 0032) Z value which reflects
the upper left-hand voxel (center of the first
voxel transmitted) of the grid, in mm in the
registered Frame of Reference. The system
can be configured to save the upper lefthand corner Z coordinate value into (0020,
1041) Slice Location instead of the gantry ISO
center table location.
Image Position
(0020,0032)
1
Always sent. System configuration allows
images to be flipped and rotated. Default
behavior is to not allow flip and rotate. Note
that the Image Position reflects the x, y and z
coordinate of the upper left corner of the first
voxel transmitted instead of the center of the
first voxel transmitted.
Image Orientation
(0020,0037)
1
Always sent. System configuration allows
images to be flipped and rotated. Default
behavior is to not allow flip and rotate.
Pixel Spacing
(0028,0030)
1
Always sent
Attribute Name
Tag
Type
Samples per Pixel
(0028,0002)
1
Always sent with value = 1
Photometric
Interpretation
(0028,0004)
1
Always sent.
Rows
(0028,0010)
1
Always sent
Columns
(0028,0011)
1
Always sent
Bits Allocated
(0028,0100)
1
Always sent with value = 16
Bits Stored
(0028,0101)
1
Always sent with value = 16
High Bit
(0028,0102)
1
Always sent with value = 15
Pixel Representation
(0028,0103)
1
Always sent with value = 1
Pixel Data
(7FE0,0010)
1
Always sent
A.4.2 Image Pixel Module
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A.4.3 Contrast Bolus Module
Attribute Name
Tag
Type
Notes
Contrast/Bolus Agent
(0018,0010)
2
Sent if contrast exam, as entered
in user interface.
Contrast/Bolus Route
(0018,1040)
3
Sent if contrast exam, as entered
in user interface.
A.4.4 CT Image Module
Attribute Name
Image Type
Tag
Type
(0008,0008)
1
Notes
Always sent.
Defined terms:
Value 3:
AXIAL
LOCALIZER
SEGMENTED
REFORMATTED
PROCESSED
COMBINED
CTINTERVENTION
Value 4:
MIN IP
MIP
AVERAGE
VOLREN
INTEGRAL
HD MIP
RAYSUM
SURFACE
MINMAX
FLUORO
GSI MONO
GSI HIGH KV
GSI LOW KV
GSI MD
GSI QC
GSI EFF Z
GSI CLR OVRLY
DIGITALTILT
Samples per Pixel
(0028,0002)
1
Always sent with value = 1
Photometric Interpretation
(0028,0004)
1
Always sent
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Attribute Name
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Tag
Type
Notes
Bits Allocated
(0028,0100)
1
Always sent with value = 16
Bits Stored
(0028,0101)
1
Always sent with value = 16
High Bit
(0028,0102)
1
Always sent with value = 15
Rescale Intercept
(0028,1052)
1
Always sent
Rescale Slope
(0028,1053)
1
Always sent
Rescale Type
(0028,1054)
1C
Always sent with value = HU
KV
(0018,0060)
2
Value always sent.
Acquisition Number
(0020,0012)
2
Value always sent.
Scan Options
(0018,0022)
3
Value always sent.
Defined Terms :
AXIAL MODE
SCOUT MODE
AXIAL XRON MODE
AXIAL XROFF MODE
STATIC XRON MODE
STATIC XROFF MOD
TUBE HEAT MODE
DAS MODE
TUBE CAL MODE
BIOPSY MODE
CINE
HELICAL
ROTGENCAL MODE
FLUORO MODE
Data Collection Diameter
(0018,0090)
3
Value always sent.
Reconstruction Diameter
(0018,1100)
3
Value sent for all images
except scouts.
Distance Source to Detector
(0018,1110)
3
Value always sent.
Distance Source to Patient
(0018,1111)
3
Value always sent.
Gantry / Detector Tilt
(0018,1120)
3
Value always sent.
Table Height
(0018,1130)
3
Value always sent.
Rotation Direction
(0018,1140)
3
Not sent for scout or axial.
Exposure Time
(0018,1150)
3
Value always sent.
X-Ray Tube Current
(0018,1151)
3
Value always sent.
Exposure
(0018,1152)
3
Value always sent. (See Note
below)
Filter Type
(0018,1160)
3
Sent.
Defined terms:
BODY FILTER
MEDIUM FILTER
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Attribute Name
Tag
Type
Notes
HEAD FILTER
Generator Power
(0018,1170)
3
Always sent
Focal Spot
(0018,1190)
3
Sent. Fixed value of 0.7 or
1.2.
Convolution Kernel
(0018,1210)
3
Not sent for scouts.
Defined terms:
SMOOTH
SOFT
STANDARD
STD+
DETAIL
BONE
BONEPLUS
CHST
EDGE
SHARP
LUNG
ULTRA
HD LUNG
STANDARD2
DETAIL2
BONE2
BONEPLUS2
EDGE2
STANDARDPLUS2
DETAILPLUS2
HD ULTA
HD SOFT
Revolution Time
(0018, 9305)
3
Sent for spiral scan only
Single Collimation Width
(0018, 9306)
3
Sent for spiral scan only
Total Collimation Width
(0018, 9307)
3
Sent for spiral scan only
Table Speed
(0018, 9309)
3
Sent for spiral scan only
Table Feed per Rotation
(0018, 9310)
3
Sent for spiral scan only
CT Pitch Factor
(0018, 9311)
3
Sent for spiral scan only
CAUTION
It is possible for the operator of GEHC CT system to change the
table height while scanning a series of images. Therefore,
implementations must use the Frame of Reference UID
(0020,0052) in conjunction with the Table Height (0018,1130) to
determine if two images are spatially related.
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Decsciption of how to calculate the Dicom Exposure field (0018,1152)
prescribed image coverage
(avg mA for image)
mA
image thickness
views to make image
Total coverage
exposure = (exposure time) * (image avg mA)* (slice thickness)/(total coverage)
exposure time = total x-ray on time
helical total coverage= (exposure time * table velocity)
axial or cine total coverage = macro row thickness * no of active rows
Slice thickness = nominal prospective reconstructed slice selection
Exposue.ppt
T. Toth 03-Aug-04
Note:
A.4.5 Frame of Reference Module
Attribute Name
Tag
Type
Frame of Reference UID
(0020,0052)
1
See Caution below.
Position Reference Indicator
(0020,1040)
2
Value as entered at the user
interface.
CAUTION
A.4.6
Notes
It is possible for the operator of GEHC CT system to change the
table height while scanning a series of images. Therefore,
implementations must use the Frame of Reference UID
(0020,0052) in conjunction with the Table Height (0018,1130) to
determine if two images are spatially related.
Other Attributes
Attribute Name
Tag
Type
Temporal Position Index
(0020,9128)
3
Filled into CT image for some
applications. Pass number for
shuttle images.
Nominal Percentage of Cardiac
Phase
(0020,9241)
3
Filled into CT image for some
applications. Prescribed
percentage of cardiac phase.
Creator Version UID
(0008,9123)
3
Unique identifier filled into CT GSI
images to capture the version of
raw data.
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A.5
A.5.1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
SC Image Modules
SC Equipment Module
Attribute Name
Tag
Type
Notes
Conversion Type
(0008,0064)
1
Always sent with value WSD
Modality
(0008,0060)
3
Modality of original image.
This will not be sent, if its value is
NULL.
A.5.2 Image Pixel Module
A.5.3
Attribute Name
Tag
Type
Notes
Samples per Pixel
(0028,0002)
1
Always sent with value = 1
Photometric
Interpretation
(0028,0004)
1
Always sent.
Rows
(0028,0010)
1
Always sent
Columns
(0028,0011)
1
Always sent
Bits Allocated
(0028,0100)
1
Always sent with value = 16
Bits Stored
(0028,0101)
1
Always sent with value = 16
High Bit
(0028,0102)
1
Always sent with value = 15
Pixel Representation
(0028,0103)
1
Always sent with value = 1
Pixel Data
(7FE0,0010)
1
Always sent
Modality LUT Module
Attribute Name
Tag
Type
Rescale intercept
(0028,1052)
1C
Always sent
Rescale Slope
(0028,1053)
1C
Always sent
Rescale Type
(0028,1054
1C
Always sent with value = HU
162 of 181
Notes
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
APPENDIX B:
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Private Data Elements
Enclosed is a listing of private data elements used in this implementation for CT Image IOD
definition.
B.1
CT Image IOD Private Data Elements Definition
B.1.1 Private Creator Identification (GEMS_IDEN_01)
Attribute Name
Tag
VR
VM
Full fidelity
(0009,1001)
LO
1
Suite id
(0009,1002)
SH
1
Product id
(0009,1004)
SH
1
Image actual date
(0009,1027)
SL
1
Equipment UID
(0009,10E3)
UI
1
Note: For all images created by GEHC CT system (0009,1001) element will have the value
“CT_LIGHTSPEED”.
B.1.2 Private Creator Identification (GEMS_ACQU_01)
Attribute Name
Number of cells I in Detector
Cell number at Theta
Cell spacing
Horiz. Frame of ref.
Series contrast
First scan ras
Last scan ras
Table speed
Mid scan time
Mid scan flag
Degrees of azimuth
Gantry period
Number of triggers
Angle of first view
Trigger frequency
Scan FOV type
Segment number
Total segments requested
View compression factor
Recon post proc. Flag
Dependent on #views processed
163 of 181
Tag
VR
VM
(0019,1002)
(0019,1003)
(0019,1004)
(0019,100F)
(0019,1011)
(0019,1018)
(0019,101A)
(0019,1023)
(0019,1024)
(0019,1025)
(0019,1026)
(0019,1027)
(0019,102C)
(0019,102E)
(0019,102F)
(0019,1039)
(0019,1042)
(0019,1043)
(0019,1047)
(0019,1052)
(0019,106A)
SL
DS
DS
DS
SS
LO
LO
DS
DS
SS
SL
DS
SL
DS
DS
SS
SS
SS
SS
SS
SS
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
B.1.3 Private Creator Identification (GEMS_RELA_01)
Attribute Name
Series from which Prescribed
Series Prescribed From
Image Prescribed From
Biopsy position
Biopsy T location
Biopsy ref location
Tag
VR
VM
(0021,1003)
(0021,1035)
(0021,1036)
(0021,1091)
(0021,1092)
(0021,1093)
SS
SS
SS
SS
FL
FL
1
1
1
1
1
1
Tag
VR
VM
(0023,1070)
FD
1
B.1.4 Private Creator Identification (GEMS_STDY_01)
Attribute Name
Start time(secs) in first axial
B.1.5 Private Creator Identification (GEMS_IMAG_01)
Attribute Name
Scout Type
Vma mamp
Vma mod
GE Noise Index * 10
Smart scan ON/OFF flag
Plane Type
Center R coord of plane image
Center A coord of plane image
Center S coord of plane image
Normal R coord
Normal A coord
Normal S coord
Table start location
Table end location
Tag
VR
VM
(0027,1010)
(0027,101C)
(0027,101E)
(0027,101F)
(0027,1020)
(0027,1035)
(0027,1042)
(0027,1043)
(0027,1044)
(0027,1045)
(0027,1046)
(0027,1047)
(0027,1050)
(0027,1051)
SS
SL
SL
SL
SS
SS
FL
FL
FL
FL
FL
FL
FL
FL
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Tag
VR
VM
(0039,1095)
LO
1
Tag
VR
VM
(0029,1001)
(0029,1002)
SS
DS
1
1
B.1.6 Private Creator Identification (GEMS_0039)
Attribute Name
SR Application Name
B.1.7 Private Creator Identification (GEMS_CT_FLRO_1)
Attribute Name
CT Int Fluoro
Image Precise Location
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GE HEALTHCARE
DIRECTION DOC1673565, REV 1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
B.1.8 Private Creator Identification (GEMS_PARM_01)
Attribute Name
Window value
X-ray chain
Number of overranges
Delta start time
Max overranges in a view
Corrected after glow terms
Reference channels
No views ref chans blocked
Scan pitch ratio
Unique image iden
Private Scan Options
RA cord of target recon center
Trigger on position
Degree of rotation
DAS trigger source
DAS fpa gain
DAS output source
DAS ad input
DAS cal mode
Start scan to X-ray on delay
Duration of X-ray on
Prospective image filter
Motion correction
Tag
VR
VM
(0043,1010)
(0043,1012)
(0043,1016)
(0043,101E)
(0043,101F)
(0043,1021)
(0043,1025)
(0043,1026)
(0043,1027)
(0043,1028)
(0043,102B)
(0043,1031)
(0043,1040)
(0043,1041)
(0043,1042)
(0043,1043)
(0043,1044)
(0043,1045)
(0043,1046)
(0043,104D)
(0043,104E)
(0043,1064)
(0043,1065)
US
SS
SS
DS
SL
SS
SS
US
SH
OB
SS
DS
FL
FL
SL
SL
SL
SL
SL
FL
FL
CS
US
1
3
1
1
1
1
6
4
1
1
4
2
1
1
1
1
1
1
1
1
1
8
2
B.1.9 Private Creator Identification (GEMS_HELIOS_01)
Note: Dicom elements (0045, 1030-1034) and (0045, 1036-1039) and (0045, 103B) are present only if
the appropriate cardiac option is installed on the scanner.
Attribute Name
Number of Macro Rows in Detector
Macro width at ISO Center
DAS type
DAS gain
DAS Temprature
Table Direction
Z smoothing Factor
View Weighting Mode
Sigma Row number
Minimum DAS value
Maximum Offset Value
Number of Views shifted
Z tracking Flag
Mean Z error
Z tracking Error
165 of 181
Tag
VR
VM
(0045, 1001)
(0045, 1002)
(0045, 1003)
(0045, 1004)
(0045, 1005)
(0045, 1006)
(0045, 1007)
(0045, 1008)
(0045, 1009)
(0045, 100A)
(0045, 100B)
(0045, 100C)
(0045, 100D)
(0045, 100E)
(0045, 100F)
SS
FL
SS
SS
SS
CS
FL
SS
SS
FL
FL
SS
SS
FL
FL
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Attribute Name
Start View 2A
Number of Views 2A
Start View 1A
Sigma Mode
Number of Views 1A
Start View 2B
Number Views 2B
Start View 1B
Number of Views 1B
Iterbone Flag
Perisstaltic Flag
CardiacReconAlgorithm
AvgHeartRateForImage
TemporalResolution
PctRpeakDelay
ActualPctRpeakDelay
EkgFullMaStartPhase
EkgFullMaEndPhase
EkgModulationMaxMa
EkgModulationMinMa
NoiseReductionImageFilterDesc
RPeakTimeDelay
ActualRPeakTimeDelay
CardiacScanOptions
Tag
VR
VM
(0045, 1010)
(0045, 1011)
(0045, 1012)
(0045, 1013)
(0045, 1014)
(0045, 1015)
(0045, 1016)
(0045, 1017)
(0045, 1018)
(0045, 1021)
(0045, 1022)
(0045, 1030)
(0045, 1031)
(0045, 1032)
(0045, 1033)
(0045, 1034)
(0045, 1036)
(0045, 1037)
(0045, 1038)
(0045, 1039)
(0045, 103B)
(0045, 103F)
(0045, 1044)
(0045, 1045)
SS
SS
SS
SS
SS
SS
SS
SS
SS
SS
SS
CS
CS
FL
CS
CS
CS
CS
CS
CS
LO
IS
IS
ST
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
B.1.10 Private Creator Identification (GEMS_CT_CARDIAC_001)
Note: Private Group 49 is present only if the appropriate cardiac option is installed on the scanner.
Attribute Name
CT Cardiac Sequence
HeartRateAtConfirm
AvgHeartRatePriorToConfirm
MinHeartRatePriorToConfirm
MaxHeartRatePriorToConfirm
StdDevHeartRatePriorToConfirm
NumHeartRateSamplesPriorToConfirm
AutoHeartRateDetectPredict
SystemOptimizedHeartRate
EkgMonitorType
NumReconSectors
RpeakTimeStamps
EkgGatingType
EkgWaveTimeOffFirstDataPoint
TemporalAlg
PhaseLocation
PreBlendedCycle1
166 of 181
Tag
VR
VM
(0049, 1001)
(0049, 1002)
(0049, 1003)
(0049, 1004)
(0049, 1005)
(0049, 1006)
(0049, 1007)
(0049, 1008)
(0049, 1009)
(0049, 100A)
(0049, 100B)
(0049, 100C)
(0049, 1016)
(0049, 101B)
(0049, 1022)
(0049, 1023)
(0049, 1024)
SQ
CS
FL
CS
CS
FL
US
CS
CS
ST
CS
FL
SH
FL
CS
CS
OW
1
1
1
1
1
1
1
1
1
1
1
1-256
1
1
1
1
1
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
PreBlendedCycle2
CompressionAlg
(0049, 1025)
(0049, 1026)
OW
CS
1
1
B.1.11 Private Creator Identification (GEHC_CT_ADVAPP_001)
Note: Private tags (0053, 1001) through (0053,1003) and (0053,1070) through (0053,109F) are only
present for multi-energy CT images.
Attribute Name
MultiEnergyNoiseRedBlendingFactor
MultiEnergyNoiseRedScaleFactor
MultiEnergyMDTransformEnergies
ShuttleFlag
TableSpeedNotReachesTargetFlag
IterativeReconAnnotation
IterativeReconMode
IterativeReconConfiguration
IterativeReconLevel
reconFlipRotateAnno
HiResMode
RespiratoryFlag
Image Position Patient Setting
Shutter Mode
Shutter Mode Percent
Image Browser Annotation
Overlapped Recon Flag
Row Number Anotation Flag
ImageCheckAnnotation
ODMFlag
ODMReductionPercent
multiEnergySourceCount
multiEnergyScanType
multiEnergyReconType
multiEnergyImageType
multiEnergyMaterialType
monchromaticEnergy
MultiEnergyWeightedSubtractionWeight1
MultiEnergyWeightedSubtractionWeight2
MultiEnergyWeightedSubtractionType
MultiEnergyAcqMethod
MultiEnergyFeatAnnotName
MultiEnergyNoiseReduced
MultiEnergyNoiseReducdeMethod
SubOptimalIQString
MultiEnergyHighLowRatio
MultiEnergyDutyCycle
MeasuredEffectiveHighkVp
MeasuredEffectiveLowkVp
167 of 181
Tag
VR
VM
(0053, 1001)
(0053, 1002)
(0053, 1003)
(0053, 1020)
(0053, 1021)
(0053, 1040)
(0053, 1041)
(0053, 1042)
(0053, 1043)
(0053, 1060)
(0053, 1061)
(0053, 1062)
(0053, 1063)
(0053, 1064)
(0053, 1065)
(0053, 1066)
(0053, 1067)
(0053, 1068)
(0053, 1069)
(0053, 106A)
(0053, 106B)
(0053, 1070)
(0053, 1071)
(0053, 1072)
(0053, 1073)
(0053, 1074)
(0053, 1075)
(0053, 1076)
(0053, 1077)
(0053, 1078)
(0053, 1079)
(0053, 107A)
(0053, 107B)
(0053, 107C)
(0053, 107D)
(0053, 107E)
(0053, 107F)
(0053, 1080)
(0053, 1081)
FL
FL
IS
IS
IS
SH
SH
LO
SH
SH
SH
SH
CS
IS
IS
LO
IS
IS
LO
IS
IS
IS
LO
LO
LO
LO
DS
DS
DS
LO
LO
SH
SH
LO
LO
DS
DS
DS
DS
1-n
1-n
1-n
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
MeasuredEffectiveMeankVp
MeasuredEffectiveMeanmA
CommandedFirstkVp
CommandedFirstmA
CommandedSecondkVp
CommandedSecondmA
MultiEnergyKVAnnotName
MultiEnergyKVUnitLabel
MaterialType#1
MaterialType#2
GSIScanModePreset
MonoWindowLow
MonoWindoHigh
MD1AttenuationCurve
MD1intercept
MD1slope
MD1supportData
MD2supportData
NM1data
MD2intercept
MD2slope
NM2data
MD2attenuationCurve
GSIdataVersion
MARsAnnotation
MultiEnergyNumNoiseRedPairs
MultiEnergyNoiseRedString
(0053, 1082)
(0053, 1083)
(0053, 1084)
(0053, 1085)
(0053, 1086)
(0053, 1087)
(0053, 1088)
(0053, 1089)
(0053, 108A)
(0053, 108B)
(0053, 108C)
(0053, 108D)
(0053, 108E)
(0053, 108F)
(0053, 1092)
(0053, 1093)
(0053, 1095)
(0053, 1096)
(0053, 1097)
(0053, 1098)
(0053, 1099)
(0053, 109A)
(0053, 109B)
(0053, 109C)
(0053, 109D)
(0053, 109E)
(0053, 109F)
168 of 181
DS
DS
DS
DS
DS
DS
SH
SH
LO
LO
LO
IS
IS
FL
DS
DS
OW
OW
OW
DS
DS
OW
FL
SH
LO
IS
LO
1
1
1
1
1
1
1
1
1
1
1
2
2
110
1
1
1
1
1
1
1
1
110
1
1
1
1-n
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
APPENDIX C:
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Private Data Elements DICOMDIR Directory Information
Enclosed here is a listing of only the optional (conditional) modules and optional attributes used by
this implementation in the DICOMDIR definition. All standard attributes as defined in Part 3 Addendum
(Basic Directory Information Object) are supported by this implementation but not listed here.
C.1
Basic Directory IOD Definition
Module
Usage
Notes
Directory Information
U
Sent
File Set Identification
M
Sent
C.2
File Set Identification Module
Attribute Name
Tag
Type
(0004,1130)
2
Tag
Type
Offset of the First Directory Record
of the Root Directory Entity
(0004,1200)
1
Set by application
Offset of the Last Directory Record of
the Root Directory Entity
(0004,1202)
1
Set by application
File-set Consistency Flag
(0004,1212)
1
0000H: no known
inconsistencies.
Directory Record Sequence
(0004,1220)
2
Supported.
>Offset of the Next Directory Record
(0004,1400)
1
Set by application
>Record In-use Flag
(0004,1410)
1
FFFFH: record is in use
>Offset of Referenced Lower-Level
Directory Entity
(0004,1420)
1
Set by application
>Directory Record Type
(0004,1430)
1
“PATIENT”, “STUDY”, “SERIES”,
“IMAGE”, “PRESENTATION” and
“SR DOCUMENT”
>Referenced File ID
(0004,1500)
1C
Generated only for Image,
Presentation and SR Document
Directory Records
, starting with A/A/A/A/Z01.
>Referenced SOP Class UID in file
(0004,1510)
1C
Generated only for Image,
Presentation and SR Document
Directory Records
>Referenced SOP Instance UID in File
(0004,1511)
1C
Generated only for Image,
Presentation and SR Document
File Set ID
C.3
Notes
Set by application
Directory Information Module
Attribute Name
169 of 181
Notes
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Directory Records. Set to SOP
Instance UID (0008,0018) during
save to media.
>Referenced Transfer Syntax UID in File
(0004,1512)
>Record Selection Keys
1C
Generated only for Image,
Presentation and SR Document
Directory Records
See C.4
170 of 181
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
C.4
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Directory Record Selection Keys
STD-GEN-CD, STD-GEN-DVD-JPEG and STD-GEN-USB-JPEG Application Profiles will have PATIENT,
STUDY, SERIES, IMAGE, PRESENTATION and SR DOCUMENT directory record types. Given below are
the attributes supported under each of these directories.
Additional Keys column in each list specifies whether each key is an additional key for STD-GEN-CD,
STD-GEN-DVD-JPEG and STD-GEN-USB-JPEG or not.
C.4.1 PATIENT KEYS
Attribute Name
Tag
Additional
Keys
Type
Specific Character Set
(0008,0005)
No
1C
ISO_IR 100
Patient’s Name
(0010,0010)
No
2
If present in composite object
instances it will be set to same value,
otherwise set to NULL
Patient ID
(0010,0020)
No
1
If present in composite object
instances it will be set to same value,
otherwise method as stated in
section C.4.1.1 is followed to set the
value.
Patient Birth Date
(0010,0030)
Yes
(DVD/USB)
1C
If present in composite object
instances it will be set to same value,
otherwise not present
Patient Sex
(0010,0040)
Yes
(DVD/USB)
1C
If present in composite object
instances it will be set to same value,
otherwise not present
C.4.1.1 Methods to set Patient ID
dummyPatID = 0;
if (patientID is present in the image)
{
put patientID value in DICOMDIR
}
else
{
if (current image is of same study)
{
put "no_patID" + dummyPatID
}
else if (current image is not of same study)
{
put "no_patID" + (++dummyPatID)
}
}
171 of 181
Notes
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Later point of time, if we get the patient ID then the above dummy patient ID should be updated
with the actual patient ID.
Scenario:
=========
For example if we are adding 8 images, and 4 images are of Series S1 and 4 images are of series
S2 belonging to the same Study as S1. Series S1 images are not having any value for patient ID but
series S2 images are having the value of patient ID. Now while DICOMDIR creation, initially we
would put dummy patient ID value when iterating through series S1 but when we reach to the
second series image then previously filled dummy patient ID should be filled with the actual patient
ID found in series S2 images.
Another example: if several series belong to a same Study without Patient ID in any of the images,
a single Patient ID (i.e. a single Directory Record) is assigned to this Study, and all Series are
attached to the Study they belong to. Do not duplicate Study UIDs (i.e. do not generate two
Directory Records with the same Study UID).
C.4.2 STUDY KEYS
Attribute Name
Tag
Additional
Keys
Type
Specific Character Set
(0008,0005)
No
1C
ISO_IR 100
Study Date
(0008,0020)
No
1
If present in composite object instances
it will be set to same value, otherwise
method as stated in sec C.4.2.1 is
followed to set the value.
Study Time
(0008,0030)
No
1
If present in composite object instances
it will be set to same value, otherwise
method as stated in sec C.4.2.1 is
followed to set the value.
Accession Number
(0008,0050)
No
2
If present in composite object
instances it will be set to same value,
otherwise set to NULL
Study Description
(0008,1030)
No
2
If present in composite object
instances it will be set to same value,
otherwise set to NULL
Study Instance UID
(0020,000D)
No
1C
This is set to value that is present in the
composite object instances, otherwise
composite object instances are not
Archived.
Study ID
(0020,0010)
No
1
If present in composite object
instances it will be set to same value,
otherwise method as stated in section
C.4.2.2 is followed to set the value
172 of 181
Notes
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
C.4.2.1 Method to set Study Date and Time
if (studyDateTime is present)
{
put its value in DICOMDIR
}
else
{
look for seriesDateTime
if (seriesDateTime is present)
{
put seriesDateTime value in DICOMDIR
}
else
{
look for acquisitionDateTime (either ((0008,0022),(0008,0032)) or (0008,002A))
if (acquisitionDateTime is present)
{
put acquisitionDateTime value in DICOMDIR
}
else
{
look for contentDateTime
if(contentDateTime is present)
{
put contentDateTime value in DICOMDIR
}
else
{
look for instanceCreationDateTime
if(instanceCreationDateTime is present)
{
put instanceCreationDateTime value in DICOMDIR
}
else
{
put a DummyDateTime
}
}
}
}
}
Ideally, the oldest Date-Time found among all images belonging to the Study should be stored in
DICOMDIR.
C.4.2.2 Method to set Study ID
if (studyID is present in the image)
{
put studyID value in DICOMDIR
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DIRECTION DOC1673565, REV 1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
}
else
{
put a dummy studyID value in DICOMDIR. please take care of the length (< 16)
}
Later point of time, if correct Study ID is found in any of the image present in the Study then
dummy Study ID has to be replaced with correct one.
C.4.3 SERIES KEYS
Attribute Name
Tag
Additional
Keys
Type
Specific Character Set
(0008,0005)
No
1C
Image Type
(0008,0008)
No
3
If present in composite object
instances it will be set to same value,
otherwise not sent
Modality
(0008,0060)
No
1
If present in composite object
instance it will be set to same
value, otherwise an error is
returned and the object not put on
media
Manufacturer’s Id
(0008,0070)
No
3
If present in composite object
instances it will be set to same
value, otherwise not sent
Institution Name
(0008,0080)
Yes
(DVD / USB)
1C
If present in composite object
instances it will be set to same
value, otherwise not sent
Institution Address
(0008,0081)
Yes
(DVD / USB)
1C
If present in composite object
instances it will be set to same
value, otherwise not sent
Series Description
(0008,103E)
No
3
If present in composite object
instances it will be set to same
value, otherwise not sent
Performing Physician’s
Name
(0008,1050)
Yes
(DVD / USB)
1C
If present in composite object
instances it will be set to same
value, otherwise not sent
Manufacturer’s Model
Name
(0008,1090)
No
3
If present in composite object
instances it will be set to same
value, otherwise not sent
Series Instance UID
(0020,000E)
No
1
This is set to value that is present in
the composite object instance,
otherwise check for presence of
Referenced SOP Instance UID in
File (0004,1511), if both not present,
instance is not put on media.
174 of 181
Notes
ISO_IR 100
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
Series Number
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
(0020,0011)
No
1
If present in composite object
instance, it will be set to same
value, otherwise method as stated
in section C.4.3.1 is followed to set
the value.
C.4.3.1 Method to set Series Number
dummySeriesNum = 0;
if (seriesNum is present in image)
{
put seriesNum value in DICOMDIR
}
else
{
if (same series)
{
put dummySeriesNum value in DICOMDIR
}
else (different series)
{
put (++dummySeriesNum) value in DICOMDIR
}
}
Later point of time, if correct series Num is found in any of the image present in the series then
dummy series number has to be replaced with correct one.
C.4.4 IMAGE KEYS
Attribute Name
Tag
Additional
Keys
Type
Specific Character Set
(0008,0005)
No
1C
ISO_IR 100
Image Type
(0008,0008)
Yes
(CD/DVD/USB)
1C
If present in composite
object instances it will be set
to same value, otherwise not
sent
SOP Instance UID
Acquisition Datetime
(0008,0018)
(0008,002A)
No
No
3
1C
Acquisition Time
(0008,0032)
No
3
Same as (0004,1511)
If present in composite
object instances it will be set
to same value, otherwise not
sent.
If present in composite
object instances it will be set
to same value, otherwise not
sent
175 of 181
Notes
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Referenced Image
Sequence
(0008,1140)
Yes
(CD/DVD/USB)
1C
If present in composite
object instances it will be set
to same value, otherwise not
sent
>Reference SOP Class
UID
(0008,1150)
Yes
(CD/DVD/USB)
1C
Required if Referenced
Image
Sequence (0008,1140) is
present
>Reference SOP
Instance UID
(0008,1155)
Yes
(CD/DVD/USB)
1C
Required if Referenced
Image
Sequence (0008,1140) is
present
Slice Thickness
(0018,0050)
No
3
Included
Spacing Between Slices
(0018,0088)
No
3
Included
Data Collection
Diameter
(0018,0090)
No
3
Included
Reconstruction
Diameter
(0018,1100)
No
3
Included
Gantry/Detector Tilt
(0018,1120)
No
3
Included
Convolution Kernel
Acquisition Time
Synchronized
(0018,1210)
(0018,1800)
No
No
3
1C
Image Number
(0020,0013)
No
1
Included
If present in composite
object instances it will be set
to same value, otherwise not
sent.
If present in composite
object instances it will be set
to same value. otherwise
method as stated in section
C.4.4.1 is followed to set the
value.
Image Position (Patient)
(0020,0032)
Yes
(CD/DVD/USB)
1C
If present in composite
object instances it will be set
to same value, otherwise not
sent
Image Orientation
(Patient)
(0020,0037)
Yes
(CD/DVD/USB)
1C
If present in composite
object instances it will be set
to same value, otherwise not
sent
Frame of Reference UID
(0020,0052)
Yes
(CD/DVD/USB)
1C
If present in composite
object instances it will be set
to same value, otherwise not
sent
Synchronization Frame
of Reference UID
(0020,0200)
Yes
(CD/DVD/USB)
1C
If present in composite
object instances it will be set
to same value, otherwise not
sent
176 of 181
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Slice Location
(0020,1041)
No
3
Included
Number of Frames
(0028,0008)
Yes
(DVD/USB)
1C
Not included
Rows
(0028,0010)
Yes
(CD/DVD/USB)
1
If present in composite
object instances it will be set
to same value, otherwise an
error is returned
Columns
(0028,0011)
Yes
(CD/DVD/USB)
1
If present in composite
object instances it will be set
to same value, otherwise an
error is returned
Pixel Spacing
(0028,0030)
Yes
(CD/DVD/USB)
1C
If present in composite
object instances it will be set
to same value, otherwise not
sent
Bits Allocated
(0028,0100)
No
1
Not included
Bits Stored
(0028,0101)
No
1
Not included
High Bit
(0028,0102)
No
1
Not included
Lossy Image
Compression Ratio
(0028,2112)
Yes
(DVD/USB)
1C
If present in composite
object instances it will be set
to same value, otherwise not
sent
Calibration Image
(0050,0004)
Yes
(DVD/USB)
1C
If present in composite
object instances it will be set
to same value, otherwise not
sent
C.4.4.1 Method to set Image Number
dummyImageNum = 0;
if (imageNum is present in image)
{
put imageNum value in DICOMDIR
}
else
{
put ++ dummyImageNum in DICOMDIR
}
C.4.5
PRESENTATION KEYS
Attribute Name
Tag
Additional
Keys
177 of 181
Type
Notes
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Specific Character Set
(0008,0005)
No
1C
ISO_IR 100
SOP Instance UID
(0008,0018)
No
3
Same as (0004,1511)
Referenced Series
Sequence
(0008,1115)
No
1C
Calculated and sent.
> Referenced Image
Sequence
(0008,1140)
No
1
Always sent, references images
selected.
>> Reference SOP Class
UID
(0008,1150)
No
1
Always sent
>> Reference SOP Instance
UID
(0008,1155)
No
1
Always sent
> Series Instance UID
(0020,000E)
No
1
Always sent, references series
selected
Image Number
(0020,0013)
No
1
If present in composite object
instances it will be set to same value.
otherwise method as stated in section
C.4.4.1 is followed to set the value.
Set to 23
Content Label
(0070,0080)
No
1
and sent.
Exam Split : This will be set as “PGP”
plus Requested Procedure Code
Meaning or Requested Procedure
Description converted to all capital
letters and truncated to 16
characters.
Save State : “GEGSPS_0”
Content Description
(0070,0081)
No
2
Exam Split : String input on Comments
box in Exam Split screen
Save State : “SE (Series Number) IM
(First Image Number) TO IM (Last
Image Number)”
Presentation Creation
Date
(0070,0082)
No
1
Calculated and sent.
Presentation Creation
Time
(0070,0083)
No
1
Calculated and sent.
Content Creator’s Name
(0070,0084)
No
2
Same as Station Name(0008,1010)
C.4.6
SR DOCUMENT KEYS
Attribute Name
Tag
Additional
Keys
Type
Specific Character Set
(0008,0005)
No
1C
ISO_IR 100
SOP Instance UID
(0008,0018)
No
3
Same as (0004,1511)
178 of 181
Notes
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Image Date
(0008,0023)
No
1
Generated for each image, always
sent.
Image Time
(0008,0033)
No
1
Generated for each image, always
sent.
Image Number
(0020,0013)
No
1
Concept Name Code
Sequence
(0040,A043)
No
1
If present in composite object
instances it will be set to same value.
otherwise method as stated in section
C.4.4.1 is followed to set the value.
A coded representation of the
document title.
>Code Value
(0008,0100)
No
1
Always sent
>Coding Scheme
Designator
(0008,0102)
No
1
Always sent
>Code Meaning
(0008,0104)
No
1
Always sent
Completion Flag
(0040,A491)
No
1
COMPLETE sent
Verification Flag
(0040,A493)
No
1
UNVERIFIED sent
Content Sequence
(0040,A730)
No
1C
Contains the Target Content Items that
modify the Concept Name Code
Sequence of the root Content Item
(Document Title).
One or more Items shall be included in
this Sequence.
All, and only, Content Items with the
HAS CONCEPT MOD relationship from
the root Content Item shall be included
in this Sequence.
Required if the root Content Item is the
Source Content Item of HAS CONCEPT
MOD relationships.
>Relationship Type
(0040,A010)
No
1
Enumerated Value:
HAS CONCEPT MOD
179 of 181
GE HEALTHCARE
DIRECTION DOC1673565, REV 1
APPENDIX D:
REVOLUTION ACTS DICOM CONFORMANCE STATEMENT
Implementation UID for Product Versions
Product Model
Revolution ACTs
Software
Revision
16IW38.5
180 of 181
Implementation UID
1.2.840.113619.2.415
GE Healthcare
3000 N. Grandview Blvd., Waukesha, WI 53188 U.S.A.
www.gehealthcare.com
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