GE Advantx DLX C19.XX Dicom Conformance Statement Dicom Conformance Statement
Advantx DLX C19.XX is a DICOM Conformance Statement that describes the DICOM functions implemented by a particular piece of equipment. It is intended to facilitate communication with GE imaging equipment. This document applies to DLX Release C19.XX and lists the DICOM functions (e.g., send a CT image, send an MR image, query for images, etc.) which have been implemented by a particular piece of equipment.
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Technical Publications Direction 2142505–100 Revision 6 Advantx DLX (ID/NET V3.0) Dicom Conformance Statement This document applies to DLX Release C19.XX do not duplicate CopyrightE 2000 by General Electric Co. Blank page GE Medical Systems Advantx DLX REV 6 Dicom Conformance Statement 2142505–100 TABLE OF CONTENTS CHAPTER TITLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LIST OF EFFECTIVE PAGES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 PAGE v INTRODUCTION TO THE INTEGRATED DICOM/NETWORK V3.0 (ID/NETV3.0) CONFORMANCE STATEMENT Direction: 2118780–100 2 ADVANTX DLX CONFORMANCE STATEMENT FOR DICOM V3.0 (ID/NETV3.0) Direction: 2142506–100 3 GE Medical Systems Advantx DLX REV 6 Dicom Conformance Statement 2142505–100 Blank page 4 GE Medical Systems Advantx DLX REV 6 Dicom Conformance Statement 2142505–100 D THIS SERVICE MANUAL IS AVAILABLE IN ENGLISH ONLY. WARNING D IF A CUSTOMER’S SERVICE PROVIDER REQUIRES A LANGUAGE OTHER THAN ENGLISH, IT IS THE CUSTOMER’S RESPONSIBILITY TO PROVIDE TRANSLATION SERVICES. D DO NOT ATTEMPT TO SERVICE THE EQUIPMENT UNLESS THIS SERVICE MANUAL HAS BEEN CONSULTED AND IS UNDERSTOOD. D FAILURE TO HEED THIS WARNING MAY RESULT IN INJURY TO THE SERVICE PROVIDER, OPERATOR OR PATIENT FROM ELECTRIC SHOCK, MECHANICAL OR OTHER HAZARDS. D CE MANUEL DE MAINTENANCE N’EST DISPONIBLE QU’EN ANGLAIS. AVERTISSEMENT D SI LE TECHNICIEN DU CLIENT A BESOIN DE CE MANUEL DANS UNE AUTRE LANGUE QUE L’ANGLAIS, C’EST AU CLIENT QU’IL INCOMBE DE LE FAIRE TRADUIRE. D NE PAS TENTER D’INTERVENTION SUR LES ÉQUIPEMENTS TANT QUE LE MANUEL SERVICE N’A PAS ÉTÉ CONSULTÉ ET COMPRIS. D LE NON-RESPECT DE CET AVERTISSEMENT PEUT ENTRAÎNER CHEZ LE TECHNICIEN, L’OPÉRATEUR OU LE PATIENT DES BLESSURES DUES À DES DANGERS ÉLECTRIQUES, MÉCANIQUES OU AUTRES. WARNUNG D DIESES KUNDENDIENST–HANDBUCH EXISTIERT NUR IN ENGLISCHER SPRACHE. D FALLS EIN FREMDER KUNDENDIENST EINE ANDERE SPRACHE BENÖTIGT, IST ES AUFGABE DES KUNDEN FÜR EINE ENTSPRECHENDE ÜBERSETZUNG ZU SORGEN. D VERSUCHEN SIE NICHT, DAS GERÄT ZU REPARIEREN, BEVOR DIESES KUNDENDIENST–HANDBUCH NICHT ZU RATE GEZOGEN UND VERSTANDEN WURDE. D WIRD DIESE WARNUNG NICHT BEACHTET, SO KANN ES ZU VERLETZUNGEN DES KUNDENDIENSTTECHNIKERS, DES BEDIENERS ODER DES PATIENTEN DURCH ELEKTRISCHE SCHLÄGE, MECHANISCHE ODER SONSTIGE GEFAHREN KOMMEN. D ESTE MANUAL DE SERVICIO SÓLO EXISTE EN INGLÉS. AVISO D SI ALGÚN PROVEEDOR DE SERVICIOS AJENO A GEMS SOLICITA UN IDIOMA QUE NO SEA EL INGLÉS, ES RESPONSABILIDAD DEL CLIENTE OFRECER UN SERVICIO DE TRADUCCIÓN. D NO SE DEBERÁ DAR SERVICIO TÉCNICO AL EQUIPO, SIN HABER CONSULTADO Y COMPRENDIDO ESTE MANUAL DE SERVICIO. D LA NO OBSERVANCIA DEL PRESENTE AVISO PUEDE DAR LUGAR A QUE EL PROVEEDOR DE SERVICIOS, EL OPERADOR O EL PACIENTE SUFRAN LESIONES PROVOCADAS POR CAUSAS ELÉCTRICAS, MECÁNICAS O DE OTRA NATURALEZA. 5 GE Medical Systems Advantx DLX REV 6 Dicom Conformance Statement 2142505–100 ATENÇÃO D ESTE MANUAL DE ASSISTÊNCIA TÉCNICA SÓ SE ENCONTRA DISPONÍVEL EM INGLÊS. D SE QUALQUER OUTRO SERVIÇO DE ASSISTÊNCIA TÉCNICA, QUE NÃO A GEMS, SOLICITAR ESTES MANUAIS NOUTRO IDIOMA, É DA RESPONSABILIDADE DO CLIENTE FORNECER OS SERVIÇOS DE TRADUÇÃO. D NÃO TENTE REPARAR O EQUIPAMENTO SEM TER CONSULTADO E COMPREENDIDO ESTE MANUAL DE ASSISTÊNCIA TÉCNICA. D O NÃO CUMPRIMENTO DESTE AVISO PODE POR EM PERIGO A SEGURANÇA DO TÉCNICO, OPERADOR OU PACIENTE DEVIDO A‘ CHOQUES ELÉTRICOS, MECÂNICOS OU OUTROS. AVVERTENZA D IL PRESENTE MANUALE DI MANUTENZIONE È DISPONIBILE SOLTANTO IN INGLESE. D SE UN ADDETTO ALLA MANUTENZIONE ESTERNO ALLA GEMS RICHIEDE IL MANUALE IN UNA LINGUA DIVERSA, IL CLIENTE È TENUTO A PROVVEDERE DIRETTAMENTE ALLA TRADUZIONE. D SI PROCEDA ALLA MANUTENZIONE DELL’APPARECCHIATURA SOLO DOPO AVER CONSULTATO IL PRESENTE MANUALE ED AVERNE COMPRESO IL CONTENUTO. D NON TENERE CONTO DELLA PRESENTE AVVERTENZA POTREBBE FAR COMPIERE OPERAZIONI DA CUI DERIVINO LESIONI ALL’ADDETTO ALLA MANUTENZIONE, ALL’UTILIZZATORE ED AL PAZIENTE PER FOLGORAZIONE ELETTRICA, PER URTI MECCANICI OD ALTRI RISCHI. 6 GE Medical Systems Advantx DLX REV 6 Dicom Conformance Statement 2142505–100 REVISION HISTORY REV DATE REASON FOR CHANGE 0 Nov. 28, 1995 Initial release to Direction Stock. 1 April, 1997 PART 2 Direction: 2 November, 1997 2142506–100 Updated PART 2 Direction: 2142506–100 Updated for coherence with Software and new information on Worklist 3 June 1998 4 5 6 April 1999 July 1999 February 2000 PART 2 Direction: 2142506–100 Updated: 3D function – Errors Corrections in texts, details codes for Adx_reverse_Sweep field, and Worklist information updated Title page updated with “This document applies to DLX Release C16.12 and C17.12” Title page updated with “This document applies to DLX Release C18.XX” Title page updated with “This document applies to DLX Release C19.XX”. Real–world Activity “Verification” added. LIST OF EFFECTIVE PAGES PAGE NUMBER REVISION NUMBER Title page 6 i thru vi 6 PAGE NUMBER 7 REVISION NUMBER PAGE NUMBER REVISION NUMBER GE Medical Systems Advantx DLX REV 6 Dicom Conformance Statement 2142505–100 Blank page 8 Technical Publications Direction 2118780 Revision 0 Introduction to the Integrated – Dicom/Network V3.0 (ID/NET V3.0) Conformance Statement do not duplicate CopyrightE 1995 by General Electric Co. Blank page GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 REVISION HISTORY REV DATE REASON FOR CHANGE 0 August 31, 1994 Initial release to Direction Stock. LIST OF EFFECTIVE PAGES PAGE NUMBER REVISION NUMBER Title Page 0 Revision History I thru II 0 Table of Contents i thru ii 0 Introduction 1-1 thru 1-8 0 Network Architecture Concepts 2-1 thru 2-8 0 PAGE NUMBER Application Layer Concepts Used In DICOM v3.0 and ID/Net 3-1 thru 3-8 0 References 4-1 thru 4-6 0 1 REVISION NUMBER PAGE NUMBER REVISION NUMBER GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 THIS PAGE LEFT INTENTIONALLY BLANK 2 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 TABLE OF CONTENTS SECTION 1 - INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Ć1 OVERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Ć2 INTENDED AUDIENCE FOR THIS DOCUMENT . . . . . . . 1Ć3 CONNECTIVITY FOR INCREASED EFFICIENCY . . . . . . 1Ć4 THE NEED FOR A STANDARD . . . . . . . . . . . . . . . . . . . . . . . 1Ć5 ID/NET - AN OPEN, INTEGRATED INTERFACE . . . . . . 1Ć5Ć1 ID/Net - An Integrated Network . . . . . . . . . . . . . . . . . . . . . . . 1Ć5Ć2 ID/Net - An Open Network . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Ć5Ć3 ID/Net - Support by GE Products and ID/Net DICOM Conformance Statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Ć5Ć4 ID/Net v3.0 Compatibility with ID/Net v2.0 . . . . . . . . . . . . . . . 1Ć6 IMPORTANT REMARKS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Ć7 OVERALL ID/NET DOCUMENTATION STRUCTURE . . 1Ć7Ć1 ID/Net v3.0 Documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Ć7Ć2 ID/Net v2.0 Documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Ć1 1Ć1 1Ć2 1Ć2 1Ć2 1Ć3 1Ć3 1Ć3 SECTION 2 - NETWORK ARCHITECTURE CONCEPTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Ć1 OVERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Ć2 BASIC NETWORK LEVELS AND PROTOCOLS . . . . . . . . 2Ć2Ć1 Network Architecture and the Post Office Analogy . . . . . . . . 2Ć2Ć2 DICOM and the OSI Reference Model . . . . . . . . . . . . . . . . . . 2Ć1 2Ć1 2Ć1 2Ć2 2Ć8 SECTION 3 - APPLICATION LAYER CONCEPTS USED IN DICOM V3.0 AND ID/NET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Ć1 OVERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Ć2 CONFORMANCE STATEMENTS . . . . . . . . . . . . . . . . . . . . . . 3Ć3 DICOM V3.0 APPLICATION LAYER CONCEPTS . . . . . . . 3Ć3Ć1 Information Object Definition . . . . . . . . . . . . . . . . . . . . . . . . . 3Ć3Ć2 DICOM Message Service Element (DIMSE) Services . . . . . 3Ć3Ć3 Service Object Pair (SOP) Class . . . . . . . . . . . . . . . . . . . . . . . . 3Ć3Ć4 Service Class . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Ć3Ć5 Association Negotiation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Ć3Ć6 Example of AE Concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Ć4 UNIQUE IDENTIFIERS (UIDS) . . . . . . . . . . . . . . . . . . . . . . 3Ć5 RELATIONSHIP OF CONCEPTS TO THE PARTS OF THE DICOM V3.0 STANDARDS . . . . . . . . . . . . . . . . . . . . . . . SECTION 4 - REFERENCES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Ć1 NORMATIVE REFERENCES . . . . . . . . . . . . . . . . . . . . . . . . . 4Ć2 RELATED PUBLICATIONS OF INTEREST . . . . . . . . . . . . . 4Ć3 DICOM SOFTWARE COMMONLY AVAILABLE . . . . . . . . 4Ć4 DEFINITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Ć5 SYMBOLS AND ABBREVIATIONS . . . . . . . . . . . . . . . . . . . . 1 1Ć4 1Ć5 1Ć6 1Ć6 1Ć8 1Ć9 3Ć1 3Ć1 3Ć1 3Ć2 3Ć3 3Ć3 3Ć3 3Ć4 3Ć4 3Ć5 3Ć8 3Ć9 4Ć1 4Ć1 4Ć1 4Ć1 4Ć2 4Ć5 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 THIS PAGE LEFT INTENTIONALLY BLANK 2 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 SECTION 1 - INTRODUCTION 1-1 OVERVIEW This document is the Introduction to the Integrated DICOM/Network v3.0 (ID/Net v3.0)Conformance Statement. It is applicable to all GE Medical Systems (GE) products which support the ID/Net v3.0 network. More specifically, this document is an introduction to the Conformance Statements related to GE ID/Net products. Section 1 provides general information about the GE strategy for Open Connectivity. It includes a brief description of the relationships of GE ID/Net v3.0 and the DICOM V3.0 standards and also includes important remarks which users of ID/Net should address carefully when connecting imaging systems. Section 2 is an overview of network architecture concepts, including the ISO seven layer model and the DICOM Applications Layer model. Section 3 describes the basic technical concepts and terminology which are used in the DICOM standard and the ID/Net environment. Section 4 provides some basic reference material (references, definitions, acronyms) for DICOM and ID/Net which is common to all GE DICOM Conformance Statements. 1-2 INTENDED AUDIENCE FOR THIS DOCUMENT This document is intended for a broad audience in areas of medical imaging, software design, network planning, and/or systems integration. The reader must have a basic understanding of networking. The purpose of this document is to familiarize the reader with some of the ID/Net and DICOM v3.0 terminology and concepts. If, however, the reader intends to work at the software implementation and/or systems integration levels, this Introduction will be helpful, but insufficient. In this case the reader must also read the DICOM v3.0 standard and the specific product Conformance Statements. 1-3 CONNECTIVITY FOR INCREASED EFFICIENCY Connectivity is desirable for a number of reasons since it may provide clinical benefits and may increase the following departmental efficiencies: D D D D Rapid availability of images to diagnosticians and clinicians. Ease of exchange of images between locations (remotely or locally). Ease of image access for filming, reading, archiving (off-loading the tasks from scanners), or advanced analysis (3D, DentaScan). Integration of image acquisition and diagnostic information into the hospital inĆ formation system, a necessary step toward patient record consolidation. The benefits of shared digital information may include simultaneous access of information by multiple users, post processing of image data, reduction in film loss, reduction in film storage space, etc., which may result in increased productivity, efficiency, cost-effectiveness, and improved patient care. To pursue these potential benefits the concept of “Networked systems” must be incorporated. Fully networked systems are capable of interoperating to communicate image and related information. Simply being connected to a network does not mean that two devices can interoperate, that is, send, receive, display, analyze, or archive data, etc. ID/Net provides the interoperability foundation for networked devices, thus allowing customers to begin to choose equipment optimized for a particular application. 1–1 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 1-4 Conformance Statement 2118780 THE NEED FOR A STANDARD True connectivity requires the definition and implementation of a common network communications standard among manufacturers, one that addresses a wide variety of imaging components – image acquisition equipment, display workstations, archiving systems, hard copy devices and information management systems, for example. DICOM has emerged as the medical information networking standard, currently defining CT, MR, Nuclear Medicine, Ultrasound and Computed Radiography images, as well as Laser Camera and HIS/RIS interfaces. Also, the definition of X–Ray Angiography and Media Interchange is well underway. The development of DICOM has been the result of joint effort between NEMA (Medical Imaging Vendors) and the ACR (American College of Radiology). Other medical specialties have also contributed to this effort, in particular the ACC (American College of Cardiology). DICOM is also a global standard. In particular, CEN in Europe is actively involved in the definition of DICOM standards and has decided to use DICOM as the basis for a European Standard. An active liaison also exists with the JIRA and IS&C committees in Japan. GE has been a major contributor to the development of this standard, and implementation of these DICOM concepts is realized in the GE ID/Net v3.0. 1-5 ID/NET - AN OPEN, INTEGRATED INTERFACE The GE Integrated DICOM/Network v3.0 allows users to connect among GE DICOM imaging systems, as well as to other manufacturers’ DICOM–based products. GE ID/Net v3.0 is a DICOM–based implementation which provides a common, open networking approach for medical imaging equipment. ID/Net is the interoperability foundation for a wide range of GE products and for interfacing with third party devices. ID/Net provides the flexibility to configure, in many cases, network solutions that meet GE customers’ diverse communication requirements. ID/Net also inherently provides for the option of purchasing standard network devices, such as cabling, transceivers, modems, routers, bridges, etc., to meet most network needs. Because ID/Net is based upon networking standards, the size and configuration of health care site networks are flexible. The networking standards allow different technologies to be employed (e.g., wide area networks, local area networks, etc.). With GE and ID/Net, you have the ability to begin accessing the benefits of connectivity today – and a solid link to the future. 1-5-1 ID/Net - An Integrated Network ID/Net is integrated. DICOM standards are an integral part of product design, so investment in costly and complex gateways often needed to network between dissimilar proprietary networks is not likely (some older equipment may be an exception.) 1-5-2 ID/Net - An Open Network ID/Net is open. It enables connectivity to other manufacturers’ DICOM–compatible equipment. GE ID/Net interfaces are documented in DICOM Conformance Statements. If your current systems have not been built to DICOM standards, third party connections may be used to convert proprietary image format into DICOM standards. 1–2 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 1-5-3 Conformance Statement 2118780 ID/Net - Support by GE Products and ID/Net DICOM Conformance Statements A number of GE systems are already demonstrating the effectiveness of ID/Net v2.0 and/or ID/Net v3.0 connectivity. Among them are our CT 9800, HiLight and HiSpeed Advantage systems, as well as MR Signa 5.X systems, Advantage Independent Consoles, and Advantage Windows workstations. As the DICOM standard evolves, additional modalities and connections are expected to be implemented. For more specific information regarding current product capabilities and availability, please contact your GE Sales representative. For the purposes of backward compatibility, the CT Advantage, MR Signa 5.x Advantage, and CT9800 ID/Link II continue to support ID/Net v2.0. This continuum in network connectivity is presented in section 1–5–4. Any GE equipment which supports ID/Net will have a “DICOM Conformance Statement” available to the public. The Conformance Statement is an implementation profile which lists the DICOM functions (e.g., send a CT image, send an MR image, query for images, etc.) which have been implemented by a particular piece of equipment. The DICOM standard, and thus ID/Net, is structured such that each device can implement the appropriate functions of the standard for its intended application. In order for two devices to interoperate, both devices must have a complementary set of functions implemented. As part of the standard, two devices negotiate before they begin to communicate to verify that the common function(s) does exist. However, before attempting to interoperate, the existence of a set of common functions should be determined by reviewing the Conformance Statement of each device. For example, a product could implement the “image send” function, but not the “image receive” function. The exact technical specification of how ID/Net v3.0 implementations conform to DICOM v3.0 is given in each GE product ID/Net DICOM Conformance Statement. It is the intent of this document (“Introduction to the ID/Net v3.0 Conformance Statement”) to provide introductory information which is common and applicable to all ID/Net DICOM Conformance Statements. The Conformance Statements may be ordered by specifying the Direction number, as defined in the “Overall ID/Net Documentation Structure”, section 1–7. 1-5-4 ID/Net v3.0 Compatibility with ID/Net v2.0 ID/Net v2.0 products were released before the DICOM Standard was completed. ID/Net v2.0 is a network protocol based on the DICOM Part 8 network communications specification, but with GE specific Information Object Definitions (IOD’s). The GE IOD’s are publicly available as the “ID/Net v2.0 Implementation Profiles”, Direction 46–269546G2, and are based on the April 1993 draft version of DICOM v3.0. ID/Net v3.0 is fully compliant with the final version of DICOM v3.0, but also backward compatible with ID/Net v2.0 as shown in Illustration 1–1. 1-6 IMPORTANT REMARKS The use of these Conformance Statements, in conjunction with the DICOM v3.0 Standards, is intended to facilitate communication with GE imaging equipment. However, by itself, it is not sufficient to ensure that inter–operation will be successful. The user (or user’s agent) needs to proceed with caution and address at least four issues: 1–3 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 ID/NET V3.0 ID/NET V2.0 INFORMATION OBJECT DEFINITIONS: SERVICE CLASSES: CT MR DISPLAY CT GE GE GE DICOM VERIFIĆ CATION DIMSE C-ECHO COMMANDS: MR SECONDĆ OVERĆ ARY LAY CAPĆ TURE DICOM DICOM DICOM STUDYBASED INFORMATION MODEL STORAGE SERVICE CLASS QUERY RETRIEVE C-STORE C-FIND C-MOVE ASSOCIATION NEGOTIATION & DIMSE SERVICE DICOM/UL (DICOM PART 8) TCP/IP ETHERNET D Integration - The integration of any device into an overall system of interconĆ nected devices goes beyond the scope of standards (DICOM v3.0), and of this introduction and associated Conformance Statements when interoperability with non-GE equipment is desired. The responsibility to analyze the applicaĆ tions requirements and to design a solution that integrates GE imaging equipĆ ment with nonĆGE systems is the user's responsibility and should not be underestimated. The user is strongly advised to ensure that such an integration analysis is correctly performed. D Validation - Testing the complete range of possible interactions between any GE device and nonĆGE devices, before the connection is declared operational, should not be overlooked. Therefore, the user should ensure that any nonĆGE 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 nonĆGE 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. 1–4 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 1-7 Conformance Statement 2118780 D Future Evolution - GE understands that the DICOM Standard will evolve to meet the user's growing requirements. GE is actively involved in the developĆ ment of the DICOM v3.0 Standard. DICOM v3.0 will incorporate new features and technologies and GE may follow the evolution of the Standard. ID/Net v3.0 is based on DICOM v3.0 as specified in each ID/Net DICOM Conformance Statement. Evolution of the Standard may require changes to devices which have implemented DICOM v3.0. In addition, GE reserves the right to discontinue or make changes to the support of communications features (on its products) reĆ flected on by these ID/Net DICOM Conformance Statements. The user should ensure that any nonĆGE provider, which connects with GE devices, also plans for the future evolution of the DICOM Standard. Failure 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. D Interaction - It is the sole responsibility of the nonĆGE provider to ensure that communication with the interfaced equipment does not cause degradation of GE imaging equipment performance and/or function. OVERALL ID/NET DOCUMENTATION STRUCTURE The Documentation Structure presented in Illustration 1–1 (next page) shows the overall organization of the ID/Net documentation. ILLUSTRATION 1-2 1-7-1 ID/Net v3.0 Documentation This document focuses upon the ID/Net DICOM v3.0 Conformance Statements and provides references to the ID/Net v2.0 Implementation Profiles. This document is the introductory level document: Introduction to the Integrated DICOM/Network v3.0 (ID/Net v3.0) Conformance Statement Direction: 2118780 This Introduction is applicable to all ID/Net v3.0 GE products. It is intended to familiarize the reader with ID/Net v3.0 and DICOM v3.0 terminology and general concepts. This document should be read prior to reading the product specific ID/Net DICOM Conformance Statements. For the convenience of software developers, this Introduction and all of the currently published ID/Net DICOM Conformance Statements may be ordered under a single reference: ID/Net v3.0 Conformance Statements Direction: 2117016 1–5 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 Introduction to the Integrated DICOM/Network v3.0 (ID/Net v3.0) Conformance Statement Direction: 2118780 APPLICATION ENTITY SPECIFICATION (services classes, Information objects, message exchange, etc.) CT9800 DICOM v3.0 (ID/Net v3.0) MR Advantage Direction: Conformance 46-269546G5 Statement for CT Advantage DICOM v3.0 Conformance (ID/Net v3.0) Statement for Direction: DICOM v3.0 2118782 (ID/Net v3.0) Direction: 2118781 DICOM STANDARD DICOM v3.0 Part 1 DICOM v3.0 Part 2 DICOM v3.0 Part 3 DICOM v3.0 Part 4 1–6 DICOM v3.0 Part 5 DICOM v3.0 Part 6 DICOM v3.0 Part 7 DICOM v3.0 Part 8 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 1-7-2 Conformance Statement 2118780 ID/Net v2.0 Documentation ID/Net v2.0 documentation followed a similar structure. In cases where installed equipment not yet upgraded to ID/Net v3.0 needs to be networked, the ID/Net v2.0 documentation (Implementation Profiles) include complete conformance statements. The following documents may be ordered: CT Advantage Implementation Profile for ACR–NEMA v2.0 with DICOM v3.0 Extensions (ID/Net v2.0) Direction: 46–269546G3 MR Advantage Implementation Profile for ACR–NEMA v2.0 with DICOM v3.0 Extensions (ID/Net v2.0) Direction: 46–269546G4 CT 9800 Implementation Profile for ACR–NEMA v2.0 with DICOM v3.0 Extensions (ID/Net v2.0) Direction: 46–269546G5 For the sake of convenience, the ID/Net v2.0 documentation can be ordered under a single direction number: ID/Net v2.0 Implementation Profiles Direction 46–269546G2 1–7 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 THIS PAGE LEFT INTENTIONALLY BLANK 1–8 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 SECTION 2 - 2-1 OVERVIEW The second part of this document describes some of the Network Architecture concepts and models which are used in ID/Net v3.0 and DICOM v3.0. ID/Net v3.0 is fully based upon DICOM v3.0. 2-2 A successful network architecture must be layered to facilitate integration of evolving technologies. The Open Systems Interconnection (OSI) Reference Model defined by the International Standards Organization is the accepted seven layer model for the design of modular network architectures. The purpose of this Section is to provide a brief explanation of the OSI networking architecture. Section 2–2–1 provides some analogies to introduce these concepts. Section 2–2–2 illustrates how DICOM is based on the OSI reference model. 2-2-1 Network Architecture and the Post Office Analogy The fundamental choices made by the DICOM v3.0 Standard can be understood by comparing a digital medical image network to a postal system. A postal system is complex, employing computers to track and route mail, and trucks, trains, and airplanes to move mail. But for the end user, the complexity of the system is transparent. When it comes to the content of the envelope, the two people who want to communicate need a common language for writing the letter. If they do not speak the same language but both know a third language, the third language would be the common language, the language of communication. For example, if a French person and a Japanese person both spoke English and they wanted to write to each other, they would go through this process (refer to Illustration 2–1 as you read the steps below it): ILLUSTRATION 2-1 1.. The letter is composed in the writer's native language, for example, French. 2.. The letter is translated into English. 3.. The letter is inserted into an envelope, and the envelope is addressed to meet the postal system's requirements. 4.. The letter is put into a mail box, picked up by the writer's post office and sent across town or around the world. 5.. The letter is received by the reader's post office. 6.. The address on the envelope is read, and the letter is delivered to that address. 7.. The letter is opened and read in English. 8.. The English is translated into the reader's native language, for example, JapaĆ nese. 2–1 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 Reader/Receiver Writer/Sender %" %" %" %" +)!! !* & +! !&# ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÅÅÅÅÅÅÅ ÁÁÁÁÁÁÁ ÅÅÅÅÅÅÅ ÅÅÅÅÅÅÅ ÅÅÅÅÅÅÅ ÍÍÍÍÍÍÍ ÅÅÅÅÅÅÅ ÍÍÍÍÍÍÍ ÍÍÍÍÍÍÍ ÍÍÍÍÍÍÍ ÍÍÍÍÍÍÍ PeerĆtoĆPeer Understanding PeerĆtoĆPeer Understanding PeerĆtoĆPeer Understanding Physical Flow S %"$ , "") %! % (#%# !# $ # %"$ , "") %! % ## !# #'# S # #'# ! %#!& % $ &# ! $%"$ &% #'#$ !## S $$ $ & ) % "#!$$ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÅÅÅÅÅÅÅ ÁÁÁÁÁÁÁ ÅÅÅÅÅÅÅ ÅÅÅÅÅÅÅ ÅÅÅÅÅÅÅ ÍÍÍÍÍÍÍ ÅÅÅÅÅÅÅ ÍÍÍÍÍÍÍ ÍÍÍÍÍÍÍ ÍÍÍÍÍÍÍ ÍÍÍÍÍÍÍ %" %" %" %" ÄÄ ÄÄ S %"$ #) ! "#,%!,"# & #$% $!( $ $! (% ##!($ S %& ")$ !( !&#$ %( %"$ $!( $ $ ##!( After packaging and addressing a letter and putting it into a mailbox, the postal system takes over and performs Steps 4 and 5. The letter could travel by truck, train or plane. The method of transportation does not matter as long as the letter is reliably delivered to its destination. Refer to Illustration 2–2 as you read the following: H The devices on a digital medical network are similar to the businesses on a postal H system. Just as each business is different, the devices can be different. They inĆ clude workstations, image acquisition devices, information systems, image storĆ age and distribution control devices, gateways, hard copy printers and other peripherals. The imaging and text data being transferred across a digital medical network vaĆ ries, just as the contents of letters being carried by the postal system varies. The postal system does not care about the contents of the letters it delivers, nor does it alter the contents. In a similar manner, digital medical networks should transfer image and text data without altering the information. 2–2 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 H The postal system delivers both small envelopes and large packages. In the same H manner, a digital medical network should reliably transfer a few bytes to megaĆ bytes of data. The postal system employs different methods of transportation to move the mail in an efficient and cost effective manner, including people, trucks, trains and airĆ planes. In the same way, digital medical networks should integrate different transmission technologies to get the job done: D Within the hospital, digital medical networks may support different types of Local Area Networks (LANs). For example, Ethernet, Fiber Distributed Data Interface (FDDI), Digital Links, Dial-up circuits, etc. D When communicating outside a hospital, a digital medical network should integrate Wide Area Networks (WANs) links. These links are in general proĆ vided by regional or national telecommunication carriers who use a comĆ bination of terrestrial, microwave and satellite technologies. A wide range of service and speeds are available ranging from kilobit per second phone lines to megabit per second leased lines and switched high speed services. POSTAL SYSTEM COMPARED TO A DIGITAL MEDICAL NETWORK ÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎ ÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎ ÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎ ÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎ ÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎ ÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎ ÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎ ÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎ ÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎ ÌÌÌÌ ÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎ ÌÌÌÌ ÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎ ÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎ ÏÏÏÏ ÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎ ÏÏÏÏ ÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎ ÏÏÏÏ ÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎ S Digital medical devices are similar to businesses connected by a postal system. S Text and images are like the letters put into the mailbox. S LANs and WANs are similar to the trucks and airplanes used by the post office to move the mail from one location to another. 2–3 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 When digital medical devices need to “get the message across”, they communicate using the same steps as the businesses of the postal system. The sending and receiving digital medical devices should match at all levels of networking to guarantee efficient and reliable delivery of data. The three layers of networking and the application they support are defined immediately following Illustration 2–3. ILLUSTRATION 2-3 H The application Transactions and Database are like the contents of a letter writĆ ten in the native language. They are specific to each device, just as the usage of the contents of a letter is specific to each reader and writer. The DICOM v3.0 Standard only addresses the network communications functions and data necesĆ sary to support the applications. It does not specify the internal design of the deĆ vice. H The Application Message Exchange layer is similar to the translated letter. Using DICOM v3.0, this layer allows nonĆcompatible platforms and applications to communicate by defining common protocols and formats which support such feaĆ tures as image transfer, database queries and retrieval of images/text related inĆ formation. H The Logical Networking layer is similar to the letter's packaging and labeling. This layer defines how the message will be managed by the network and guaranĆ tees reliable delivery within a hospital and remote hospitals. The Logical NetĆ working layer shields the Application Message Exchange layer from physical network technologies. H The Physical Networking layer is similar to the trucks, trains and airplanes which transport the letter. It is the physical medium (i.e. cabling) and its access methods (access hardware and intermediate switches) such as Ethernet, FDDI, etc., which exchanges the bits of data. The Physical Networking layer should support a choice of options in order to address, in a cost effective manner, the various perĆ formance requirements of the Logical Networking layer. The Logical and Physical Networking layers must work together to support the Application Message Exchange layer. To guarantee interoperability between devices, one approach must be specified for each layer. The selection of these choices establishes a network architecture. Networking support is an integral part of any digital medical device. The Physical Network which externally links the device is a small component of what is required for devices to actually interoperate. The Logical Networking and Application Message Exchange functions which are integrated into the medical devices play a role transparent to the user, but fundamental to information exchange. 2–4 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 Transaction/ Database Bonjour" ÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁ ÄÄÄÄ ÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁ ÄÄÄÄ ÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁ ÄÄÄÄ ÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁ ÅÅÅÅÅÅÅÅÅÅ ÁÁÁÁÁÁÁÁÁÁ ÅÅÅÅÅÅÅÅÅÅ ÁÁÁÁÁÁÁÁÁÁ ÅÅÅÅÅÅÅÅÅÅ ÅÅÅÅÅÅÅÅÅÅ ÄÄÄÄ ÅÅÅÅÅÅÅÅÅÅ ÅÅÅÅÅÅÅÅÅÅ ÄÄÄÄ ÅÅÅÅÅÅÅÅÅÅ ÅÅÅÅÅÅÅÅÅÅ ÄÄÄÄ ÅÅÅÅÅÅÅÅÅÅ ÅÅÅÅÅÅÅÅÅÅ ÍÍÍÍÍÍÍÍÍÍ ÅÅÅÅÅÅÅÅÅÅ ÍÍÍÍÍÍÍÍÍÍ ÅÅÅÅÅÅÅÅÅÅ ÍÍÍÍÍÍÍÍÍÍ ÍÍÍÍÍÍÍÍÍÍ ÄÄÄÄ ÍÍÍÍÍÍÍÍÍÍ ÍÍÍÍÍÍÍÍÍÍ ÄÄÄÄ ÍÍÍÍÍÍÍÍÍÍ ÍÍÍÍÍÍÍÍÍÍ ÄÄÄÄ ÍÍÍÍÍÍÍÍÍÍ ÍÍÍÍÍÍÍÍÍÍ ÍÍÍÍÍÍÍÍÍÍ ÍÍÍÍÍÍÍÍÍÍ ÍÍÍÍÍÍÍÍÍÍ ÍÍÍÍÍÍÍÍÍÍ Application Message Exchange Application Message Exchange Logical Networking Logical Networking Physical Networking Physical Networking Transaction/ Database O Hayoo Gozaima Su" Physical Flow ÁÁÁÁ ÁÁÁ ÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÁÁÁ ÁÁ Á ÁÁÁÁ ÁÁÁ ÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄ ÁÁÁ ÅÅÅ ÅÅÅ ÁÁ Á ÁÁÁ ÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄ ÁÁÁ ÅÅ Å ÅÅÅ ÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄ ÅÅÅ ÁÁ Á ÁÁÁ ÁÁÁ ÍÍÍ ÍÍÍ ÅÅ Å ÅÅÅ ÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄ ÅÅÅ ÍÍ Í ÍÍÍ ÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄ ÍÍÍ ÅÅ Å ÅÅÅ ÅÅÅ ÍÍ Í ÍÍÍ ÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄ ÍÍÍ ÍÍ Í ÍÍÍ ÍÍÍ Application Message Exchange Layer Logical Networking Layer Physical Networking Layer Device A Device B S The Application Transaction/Database is specific for each digital medical device. S The network is an integral part of each digital medical device. S The Application Message Exchange, Logical Networking and Physical Networking layers are common for all digital medical devices. GE ID/Net is an open network architecture as it relies on network standards broadly supported by the medical industry (e.g., DICOM) and the computer industry (e.g., TCP/IP, Ethernet, OSI, etc.) for all of the networking layers. 2–5 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 2-2-2 Conformance Statement 2118780 DICOM and the OSI Reference Model As stated earlier, DICOM v3.0 is structured according to the OSI Reference Model. The OSI Reference Model defines seven layers of communication protocol which may be more simply grouped into the three layers previously described: 1.) 2.) 3.) Application Message Exchange Layer Logical Networking Layer Physical Networking Layer DICOM defines one Application Message Exchange Layer which may operate over two logical/physical networking protocols: 1.) 2.) DICOM Upper Layers (UL) with TCP/IP OSI protocol ID/Net v3.0 has selected the DICOM UL with TCP/IP. Illustration 2–4 shows how the DICOM UL TCP/IP network protocol relates to the OSI Reference Model. 2–6 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 ILLUSTRATION 2-4 DICOM UL TCP/IP AND OSI LAYERS DICOM UL TCP/IP Layers Application Message Exchange ÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁ ÅÅÅÅÅÅÅÅÅÅ ÁÁÁÁÁÁÁÁÁÁ ÅÅÅÅÅÅÅÅÅÅ ÅÅÅÅÅÅÅÅÅÅ ÅÅÅÅÅÅÅÅÅÅ ÅÅÅÅÅÅÅÅÅÅ ÅÅÅÅÅÅÅÅÅÅ ÅÅÅÅÅÅÅÅÅÅ ÍÍÍÍÍÍÍÍÍÍ ÅÅÅÅÅÅÅÅÅÅ ÍÍÍÍÍÍÍÍÍÍ ÍÍÍÍÍÍÍÍÍÍ ÍÍÍÍÍÍÍÍÍÍ ÍÍÍÍÍÍÍÍÍÍ ÍÍÍÍÍÍÍÍÍÍ ÍÍÍÍÍÍÍÍÍÍ ÍÍÍÍÍÍÍÍÍÍ DICOM Application Entity DICOM Upper Layers (UL) Logical Networking Transmission Control Protocol (TCP) Internet Protocol (IP) OSI Layers Application Presentation & Session Transport Network Ethernet V2.0, FDDI, etc. Physical Networking Data Link & Physical S Modular architectures provide the flexibility for evolving technologies. S DICOM is modeled after the International Standards Organization OSI Reference Model. In the Logical Networking Layer the ID/Net architecture uses DICOM UL protocol (standardized by DICOM v3.0 Part 8) and Transmission Control Protocol/Internet Protocol (TCP/IP). TCP is a robust protocol which guarantees reliable delivery of the application messages. IP provides mechanisms which support the routing of data within a hospital or to remote hospitals over a variety of physical networks. The ID/Net Physical Networking Layer generally relies on Ethernet v2.0 as the Datalink and Physical Network Layer. Other physical network technologies may be combined with Ethernet v2.0 (e.g. FDDI or Wide Area Networks (WAN’s)). It should be noted that TCP, IP, and Ethernet are not specific to the DICOM standard and are multi-industry standards implemented in off-the-shelf commercial products. The DICOM Upper Layers (UL) and the DICOM Application Layer are specific to the DICOM standard. The DICOM Application Layer is introduced in more detail in section 3. 2–7 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 THIS PAGE LEFT INTENTIONALLY BLANK 2–8 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 SECTION 3 - 3-1 OVERVIEW This section of the document describes some of the fundamental concepts and models which are used by the Application layer standardized by DICOM v3.0 and used by ID/Net Implementations. DICOM v3.0 uses Object Oriented Design concepts and the OSI Reference Model. All parts of the DICOM v3.0 standard were unanimously approved in October of 1993. Part 10 of the DICOM Standard – Media Storage and File Formats, as well as additional parts which are under development as of early 1994, are not discussed in this section. The reader interested in a complete presentation of these concepts should refer to the DICOM v3.0 standard. The last part in this section provides an overview of the nine DICOM v3.0 Parts. 3-2 CONFORMANCE STATEMENTS A DICOM v3.0 Conformance Statement is available for every piece of GE Imaging Equipment having an ID/Net Interface (as is required by DICOM). The Conformance Statement explicitly states the network capabilities and options implemented by that device. For example, a Conformance Statement identifies which Information Object Definitions (MR image, Patient/Study (RIS) object, etc.) may be sent and/or received. It also identifies which Service Classes have been implemented (Storage, Query/Retrieve, Print, etc.). The purpose of the Conformance Statement is to define the capabilities of a specific device and allow the reader to determine what exact functionality is available. That is, Conformance Statements allow implementations to assess the level of interoperability between two DICOM compliant devices. 3-3 DICOM V3.0 APPLICATION LAYER CONCEPTS An Application Entity (AE) is an OSI Application Layer function which includes the mechanisms by which applications exchange information on a network. The basic concepts of an Application Entity, as used in the DICOM v3.0 standard, are described in this section (see Ill. 3–1 for a pictorial representation of the DICOM Application Entity). The DICOM model is based on an object-oriented model. Object-oriented modeling uses abstract data objects (e.g., the definition of MR images, CT images, etc.) to represent a class of real-world objects. Object-oriented modeling also defines generic “methods” (e.g., Store, Delete, Create, Get, etc.) which act upon the data objects. The combination of a method and a data object being used by two peer AEs over an association constitutes an instance of communication. Illustration 3–1 shows the relationship of the DICOM objects model. 3–1 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 ILLUSTRATION 3-1 DICOM OBJECTS RELATIONSHIP MODEL DICOM Application Entity Service Classes (Store, Query/Retrieve, Print,Study Management, etc.) Association Negotiation Information Objects (MR, CT, Patient, etc.) DICOM Message Service Element (Store, Delete, Create, Get, etc.) Upper Layer Association Services Upper Layer Presentation Data Service An AE uses the following concepts: 1.. Information Object Definitions (data object definitions) 2.. DICOM Message Service Element Services (generic methods) 3.. Service Object Pair (SOP) Classes (the method and data object combined) 4.. Service Classes (a set of related SOP Classes) 5.. Association Negotiation (negotiate how data will be encoded and the type of data to be exchanged) Each of these concepts is defined in further detail in sections 3–3–1 through 3–3–5. 3-3-1 Information Object Definition An Information Object Definition (IOD) is the specification used to define an abstract data object (the information to exchange). The goal of an IOD is to provide an unambiguous specification about related pieces of information. IODs do not represent a specific instance of the data object, but rather a class of similar data objects which have the same properties. IODs provide the mechanisms to specify data objects such as images (e.g., MR, CT, NM, etc.) and also image related data objects such as curves, overlays, Radiology Information System (RIS) information, etc. 3–2 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 In DICOM an IOD consists of an Entity Relationship Model, information entities, modules, and attributes. The content of an IOD is similar to a memo. A memo consists of words (called attributes), sentences (a set of related words, called modules), paragraphs (a set of related sentences, called information entities), and finally the memo (a set of related paragraphs, described by an Entity Relationship Model). 3-3-2 DICOM Message Service Element (DIMSE) Services Specifying an IOD is key for communication. However, it is not sufficient. Services (methods) which operate on IODs need to be standardized. DICOM defines a set of generic services (such as Store, Create, Delete, Get, etc.) which act upon instances of an IOD. These services are called the DICOM Message Service Element (DIMSE). 3-3-3 Service Object Pair (SOP) Class The coupling of one or more DIMSE Services with one specific IOD results in a Service Object Pair Class (SOP Class). A SOP Class specification contains the rules which are applied to the DIMSE Services and a related IOD. A SOP Class is equivalent to an “object class” in the object-oriented model (the data plus the methods). A SOP Class is the key specification building block for the successful communication between two AEs. However, like the IOD, the SOP Class does not represent a specific instance of communication. When a specific instance of communication does occur it is defined as a SOP Instance. SOP Instances are used to represent real-world occurrences of images, studies, patients, etc. The analogy of a sentence can be used to describe the MR Storage SOP Class. The IOD acts as the noun (an MR image). The DIMSE Service acts as the verb (Store). The SOP Class is similar to a generic sentence (Store an MR image). The SOP Instance is similar to a specific sentence (Store this MR image). 3-3-4 Service Class A Service Class represents a specific function which is to be accomplished by peer AEs and is defined by a set of related SOP Classes. For example, the features needed to query for image information and to retrieve the actual image data are very closely related. To achieve these features two SOP Classes are required, one to gather image information (query) and one to get the image data (retrieve). The Query/Retrieve Service Class combines these related SOP Classes into one Service Class. The Service Class defines two roles which are used by communicating AEs, the Service Class User (SCU) and Service Class Provider (SCP). These roles are based on the “client/server model”. The SCU acts as the “client” while the SCP acts as the “server”. For example, for the Storage Service Class, the SCU acts as the image send device while the SCP acts as the image receive device. 3-3-5 Association Negotiation Association establishment is the first phase of communication between peer AEs. The AEs use the association establishment to negotiate how data will be encoded and the type of data to be exchanged. Some of these negotiated parameters include Application Context, Abstract Syntaxes, Transfer Syntaxes, and Application Association Information. 3–3 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 The method of negotiation used in DICOM v3.0 is fairly simple. The device which initiates the association proposes a list of possible options for each negotiated parameter. The initiating device must be capable of supporting all of the options which it proposes. The responding device selects which of the options it can support and returns this information to the initiating device. This commonly agreed upon set of options is then available on the corresponding association. 3-3-6 Example of AE Concepts Following is an example of two systems which need to send/receive an MR image. This example illustrates how DICOM is used to achieve this image exchange. ILLUSTRATION 3-1 EXAMPLE OF AE CONCEPTS MR SCANNER MR OPERATOR'S CONSOLE WORK STATION MR Image ID/Net D The MR Operator's Console sends an MR Image to a WorkStation using ID/Net D Each system supports DICOM Application Entity (AE) functionality (over DICOM UL and TCP/IP) In order to understand how to exchange this MR image, both the MR Scanner and the Workstation need to implement the DICOM Application Entity concepts previously discussed. To determine the data structure that defines an MR image each device must understand the MR Image Information Object Definition. 3–4 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 The MR Image IOD contains the Attributes which describe the complete set of data needed to define the image. Some of the Attributes are Patient Name, Date of Scan, MR Acquisition Type, Echo Time, Pixel Data, etc. Associated Attributes are grouped into Modules. Modules contain the exact definition of each Attribute, including whether the Attributes are required or optional and the rules of how these Attributes are related. A few of the Modules are: Patient Identification Module, Image Pixel Module, Overlay Plane Module, Lookup Table Module, etc. Associated Modules are grouped into Information Entities. The key Information Entities include Patient, Study, Series, Equipment and Image. As an example, the Image Information Entity includes the Image Pixel Module, Overlay Plane Module, and the Lookup Table Module. The relationship of the Information Entities is described by an Entity Relationship Model (see Ill. 3–2 for an example of an Entity Relationship Model and DICOM Standard Part 3, section 5 for information on how to interpret Entity relationship diagrams). ILLUSTRATION 3-2 MR IMAGE ENTITY RELATIONSHIP DIAGRAM Patient 1 is the subject of 1,n Study 1 Equipment contains 1,n 1 creates 1,n Series 0,n 1 spatially defines 1 Frame of Reference contains 1,n MR Image To determine how to send/receive the MR image each device must understand the C–STORE DIMSE Service. This is the generic service (method) which is used to send or receive any image, e.g., MR, CT, Nuclear, etc. 3–5 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 To determine how to couple the MR Image IOD and the C–STORE DIMSE Service each device must understand the MR Storage SOP Class. In this example, only one DIMSE Service is coupled with the MR Image IOD. However, other examples may include multiple DIMSE Services coupled with one IOD. The MR Storage Service Class is one of the SOP Classes specified by the DICOM Storage Service Class. Each AE must understand which role it wishes to play for the MR Storage SOP Class. The MR Scanner, which is sending the image, will act as the Storage Service Class User (SCU). The Workstation, which is receiving the image, will act as the Storage Service Class Provider (SCP). To establish an Association between the two devices so the image may be sent, both AE’s must understand the negotiation process. Two of the key parameters which will be negotiated during Association Establishment are the Abstract Syntax and Transfer Syntax. The Abstract Syntax identifies the SOP Class. In this example, the Abstract Syntax is the MR Storage SOP Class (i.e., the MR Image IOD and the C–STORE DIMSE Service). The Transfer Syntax identifies the type of pixel data encoding which will be used to send this image, e.g., compressed or uncompressed pixel data. In this example, the MR Scanner may initiate the Association by proposing several Abstract and Transfer Syntaxes. The responding Workstation will identify the Syntaxes it can support in its response to the MR Scanner. 3-3-6-1 Communication Scenario Now lets go through the order that the steps occur in the actual transmission of the image. The MR Scanner first initiates an association to the Workstation. It offers an Abstract Syntax which represents the MR Storage SOP Class with two Transfer Syntaxes, compressed or uncompressed pixel data. The Workstation responds by accepting the MR Storage SOP Class and selecting the uncompressed Transfer Syntax (it could not support compression). The association is now established. The MR Scanner constructs the image per the MR IOD and uses the C–STORE DIMSE Service to send that IOD. The result will form a message including a command (C–STORE) and a Data Set (the MR IOD encoded Attributes). The actual image or MR Image SOP Instance is identified by a unique identifier or UID (see section 3–4) . The Workstation receives this MR Image SOP Instance and stores the information in it’s database. The Workstation returns a “successful” response using the STORE DIMSE Service. The image has now been successfully received. At this time the MR Scanner may send more images or release the association. Note: The above example illustrates a simple transfer of images. If both the MR Scanner and the Workstation had implemented additional SOP Classes, such as Query/Retrieve, these features could also be used on the same association. 3-4 UNIQUE IDENTIFIERS (UIDS) Unique Identifiers (UIDs) provide the capability to uniquely identify a wide variety of items. It guarantees uniqueness across countries, sites, vendors and equipment. This scheme is used to uniquely identify items such as Service Object Pairs (SOP) Classes, images, instances, network negotiation parameters, etc. 3–6 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 The UID identification scheme is based on the OSI Information Object as defined by the ISO 8824 standard. All UIDs, used within the context of the DICOM Standard, are based upon registered values as defined by ISO 9843-3 to ensure global uniqueness. There is a root portion of the UID which uniquely identifies GE Medical Systems. The root is registered with ISO and therefore guarantees that GE-specific UIDs are unique among vendors. Per the DICOM v3.0 standard, three types of UID values are used: 1.. The DICOM UID values which are defined in the DICOM Standard (such as SOP class UIDs). 2.. GEĆspecific UID values which are defined in the ID/Net DICOM Conformance Statement for GE products (such as product Implementation Class UID's). 3.. GE-specific UID values dynamically generated by GE product implementaĆ tions (such as Image SOP Instance UIDs). 3-5 RELATIONSHIP OF CONCEPTS TO THE PARTS OF THE DICOM V3.0 STANDARDS DICOM v3.0 is comprised of nine Parts which were balloted and approved in October, 1993. As of early 1994, three additional Parts related to Media Storage and File Format were placed under review. The nine Parts of the DICOM v3.0 Standard and the areas which are covered are: Introduction and Overview Conformance Requirements Includes requirements for accurately writing a DICOM Conformance Statement. Information Objects Definitions Includes IODs for MR, CT, Ultrasound, Nuclear, etc. It also includes IOD's for Network Filming and Imaging Study Management (often called HIS/RIS Interfacing). Service Classes Specifications Includes definitions of Service Class concepts, the SCU/SCP roles, and definitions of Service Classes (i.e. Image Storage, Query/Retrieve, Network Print, Study Management, Results Management, etc.). Data Structure and Encoding Includes DICOM data set structure, Data Element encoding rules, value encoding definitions (e.g., short string, unsigned short int, etc.), Attribute types, UID encoding rules and registration, and Transfer Syntax specifications. The support of JPEG lossless compression is also fully specified. Data Dictionary Includes Element list which is made up of Attribute Names and descriptions, Data Element Tags (Group and Element numbers), Value Representations and Multiplicity. Message Exchange Includes association negotiation information and structures, DIMSE operation and notification rules and DIMSE service and protocol definitions (e.g., CĆSTORE, CĆECHO). 3–7 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 Network Communication Support for Message Exchange Includes Association Establishment protocol and encoding, including the DICOM Upper Layer protocol used with TCP/IP. PointĆtoĆpoint Communication Includes 50Ćpin hardware specification and communication protocol. This is the ACR-NEMA specific hardware interface which was defined in Version 2 of the Standard. It has been included as Part 9 of the DICOM Standard for historical purposes. 3–8 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 SECTION 4 - REFERENCES 4-1 4-2 4-3 NORMATIVE REFERENCES D DICOM - Part 1: Document Structure D DICOM - Part 2: Conformance D DICOM - Part 3: Information Object Definitions D DICOM - Part 4: Service Class Specifications D DICOM - Part 5: Data Structure and Encoding D DICOM - Part 6: Data Dictionary D DICOM - Part 7: Message Exchange D DICOM - Part 8: Network Communication Support for Message Exchange RELATED PUBLICATIONS OF INTEREST D DICOM v3.0 Standard (printed copy): ACR-NEMA / DICOM Representative NEMA 2101 L Street, NW, Suite 300 Washington DC 20037 USA (202 457-1965) D DICOM v3.0 (electronic copy): Available through anonymous ftp from Pennsylvania State University ftp address: ftp.xray.hmc.psu.edu D SCAR 1994 Buying Imaging Products with a DICOM Interface - Made Easy" Van Syckle, Sippel-Schmidt, Parisot DICOM SOFTWARE COMMONLY AVAILABLE DICOM v3.0 Shareware (RSNA 1993 Central Test Node Software) available via anonymous ftp over internet: 4-4 D Mallinckrodt Institute of Radiology ftp address: wuerlim.wustl.edu (128.252.115.18) D Institute OFFIS, Oldenburg University (Germany), CERIUM in Rennes, France, and CEN/TC251/WG4 ftp address: ftp.uni-oldenburg.de DEFINITIONS Many of the terms defined here are used in sections 2 and 3 of this document and in the ID/Net DICOM Conformance Statement of each GEMS product. Abstract Syntax: The Abstract Syntax identifies the Service/Object Pair (SOP) Class which is used when two peer DICOM Application Entities communicate. The Abstract Syntax is negotiated at the time of Association Establishment. 4–1 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 ACR-NEMA: A standards body sponsored by the American College of Radiology (ACR) and the National Electrical Manufacturers Association (NEMA). Application Context: An Application Context is a name which is used to identify the use of the DICOM Application Services over an association. It is negotiated between two peers during association establishment. Application Entity (AE): An Application Entity is an OSI Application Layer function which includes the mechanisms by which applications exchange information on a network. Oversimplistically, an AE is a program which contains network communications capabilities and which runs on a computer. Association Establishment: An Association represents a level of connectivity between to AEs. An Association Establishment is the first phase of communication between two peer DICOM AEs. The two peers use this method to negotiate some communication parameters such as Abstract Syntax, Transfer Syntax, etc. Attributes: Attributes are properties which describe an Information Object Definition. An Attribute is identified by a name and its associated Data Element Tag (group and element number). Conformance Statement: The Conformance Statement states which options and features of DICOM have been implemented by a specific product (e.g. which IOD’s, which Service Classes, etc.). It specifies in technical detail how a particular implementation meets the conformance requirements set forth by DICOM v3.0. Every device which claims DICOM conformance must openly publish a DICOM conformance statement, written in the format specified by DICOM Part 2. Data Element: A Data Element is an encoded Attribute and is part of a Data Dictionary. The Data Element Tag is used to uniquely identify the piece of information within the Dictionary. An Element Number is combined with a Group Number to make up a tag. For example, Study (Exam) Number is Group 20 Element 10. The group and element number tag are encoded in the Data Set (and, hence, the data stream.) DICOM: The acronym of the final version of the standard produced by the ACR-NEMA committee is officially called: Digital Imaging and Communications in Medicine (DICOM v3.0), and was unanimously approved in October 1993. 4–2 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 DIMSE: DICOM Message Service Element. The DICOM v3.0 Standard defines the services and protocols used by an Application Entity to exchange messages. These services and protocols define the DICOM Message Service Element (DIMSE). DIMSE defines generic “operations” (such as Store, Move, Find, Get, etc.) which can be used in specifying SOP Classes. DIMSE are defined in DICOM v3.0 Part 7. Element: Informal term used to reference a Data Element. Full Fidelity Storage: The characteristic of a receiving device to be able to receive and store all attributes, including private attributes, specified for a given Image Information Object Definition. Group: A Group is a collection of data elements within a message and is part of a Data Dictionary Tag (see Tag). Information Entity: An Information Entity is a subset of an Information Object Definition (e.g., CT image or MR image). It is a group of related Modules. Information Object: Informal term used to reference an Information Object Definition. Information Object Definition (IOD): An IOD is a data model which is an abstraction of real-world information (e.g., an MR Image or CT Image) and which is acted upon by one or more DIMSE operations. An IOD consists of a data model describing the interpretation of the information and the attributes which define it. Module: A Module is a set of Attributes within an Information Object which are logically related to each other. For example, the “Patient Identification Module” may be defined by the following attributes: Patient Name, Patient ID, and Patient Birthdate, and Patient Sex. Service Class: A Service Class defines a specific function which is to be accomplished by connecting AEs. A Service Class specifies a set of one or more Service/Object Pairs (SOP) which perform a function across a network and provide interoperability between two application entities. Examples of a Service Class include image storage, query/retrieve, etc. Service Class Provider (SCP): A Service Class Provider acts in a “server” role to the Service Class during a network communications exchange. An SCP performs operations requested by an SCU and may also provide notifications to the SCU. An example of a Storage Service Class Provider would be the image storage device. In this case, the image storage device is storing the image as requested by the SCU. Service Class User (SCU): A Service Class User acts in a “client” role to the Service Class during a network communications exchange. An SCU requests that an SCP perform operations. An example of a Storage Service Class User would be the image send device. In this case, the image send device will send an image by requesting the SCP to store that image. Service/Object Pair (SOP) Class: A SOP Class is defined by the union of an IOD and a DIMSE Service Group. The SOP Class definition contains the rules and semantics which may extend or restrict the definitions of the DIMSE Service Group or the IOD attributes. A DICOM Application Entity may support one or more SOP Classes. Each SOP Class is identified by a SOP Class UID. SOP Instance: A representation of a specific occurrence of a SOP class. 4–3 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 Tag: The Tag is used to uniquely identify information within a Data Dictionary. A Group Number is combined with an Element Number to make up a tag. For example, Study (Exam) Number is Group 20 Element 10. The group and element number tag are encoded in the data stream. In v2.0, the Group was used to convey semantic information (e.g., Group 10 is Image Information). However, in DICOM v3.0 the Group semantic information has been replaced with the Module concept. Transfer Syntax: The Transfer Syntax represents the type of data encoding which is used when two peer DICOM Application Entities communicate. The Transfer Syntax is negotiated at the time of Association Establishment. Examples of Transfer Syntaxes are Little Endian, Big Endian, JPEG lossless compression, etc. Unique Identifier (UID): A Unique Identifier is a method which is used to create a globally unique ASCII-numeric string. It guarantees uniqueness across multiple countries, sites, vendors and equipment. The UID encoding method which is used in DICOM v3.0 is ISO compliant. A few examples for uses of UIDs are SOP Class UID, Image UID, network negotiation parameters, etc. Upper Layer (UL): The Upper Layer is part of the DICOM Logical Network Layer of software. The Upper Layer performs such functions as the Association Establishment (including Abstract and Transfer Syntax negotiation), the encoding and decoding of a DICOM message stream, etc. 4-5 SYMBOLS AND ABBREVIATIONS ACC American College of Cardiology American College of Radiology Application Entity American National Standards Institute Digital Imaging and Communications in Medicine DICOM Message Service Element GE Medical Systems Hospital Information System Integrated DICOM/Network Information Object Definition Image Save & Carry International Standards Organization Japanese Industry Radiology Aparatus National Electrical Manufacturers Association Open Systems Interconnection Radiology Information System Service Class Provider 4–4 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 Service Class User Service/Object Pair Transmission Control Protocol/Internet Protocol Unique Identifier Upper Layer 4–5 GE Medical Systems Introduction to the Integrated – Dicom/Network V3.0 REV 0 Conformance Statement 2118780 THIS PAGE LEFT INTENTIONALLY BLANK 4–6 #"&! ( 3./#). #(#2 +2 &(1 0'## &.!+*.&* .& !&$&! /&* )#-&! +-/% )#-&! #"&! ( 3./#). 5 0-+,# #(#2 -0# "# ( &*&4-# 0! #"#2 - *!# Technical Publications Direction 2142506–100 Revision 6 Advantx DLX Dicom V3.0 (ID/NET V3.0) (ID/NET V3.0) Dicom Conformance Statement This document applies to DLX Release C19.XX do not duplicate CopyrightE 1995 by General Electric Co. Blank page Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 TABLE OF CONTENTS SECTION TITLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LIST OF EFFECTIVE PAGES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SECTION 1 – INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PAGE v 1–1 1–0 OVERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–1 1–1 OVERALL Conformance Statement DOCUMENT STRUCTURE . . . . . . . . . . . . . . . 1–1 1–2 INTENDED AUDIENCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–3 1–3 scope and field of application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–4 1–4 important remarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–4 1–5 references . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–5 1–6 definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–5 1–7 symbols and abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–5 SECTION 2 – CONFORMANCE STATEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–1 2–0 introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–1 2–1 IMPLEmentation model . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–1 2–1–1 Application Data Flow Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–1 2–1–2 Functional Definition of AE’s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–2 2–1–3 Sequencing of Real–World Activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–2 2–2 AE Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–2 2–2–1 AE Specification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–2 2–2–1–1 Association Establishment Policies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–3 2–2–1–1–1 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–3 2–2–1–1–2 Number of Associations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–3 2–2–1–1–3 Asynchronous Nature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–3 2–2–1–1–4 Implementation Identifying Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–4 2–2–1–2 Association Initiation Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–4 2–2–1–2–1 Real–World Activity ”Copy Image” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–4 2–2–1–2–1–1 Associated Real–World Activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–4 2–2–1–2–1–2 Proposed Presentation Contexts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–4 2–2–1–2–1–2–1 SOP Specific Conformance Statement for Image Storage SOP Class . . . . . . . . 2–4 2–2–1–2–2 Real–World Activity ”Get Worklist” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–5 2–2–1–2–2–1 Associated Real–World Activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–5 2–2–1–2–2–2 Proposed Presentation Contexts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–5 2–2–1–2–2–2–1 SOP Specific Conformance Statement for Worklist SOP Class . . . . . . . . . . . . . 2–5 2–2–1–2–3 Real–world Activity “Verification” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–6 5 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 2–2–1–2–3–1 Associated Real–World Activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–6 2–2–1–2–3–2 Proposed Presentation contexts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–6 2–2–1–3 Association Acceptance Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–6 2–2–1–3–1 Real–World Activity ”Verification acknowledge” . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–7 2–2–1–3–1–1 Associated Real–World Activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–7 2–2–1–3–1–2 Accepted Presentation Contexts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–7 2–2–1–3–1–2–1 SOP Specific Conformance Statement for Verification SOP Class . . . . . . . . . . 2–7 2–3 Communication profiles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–8 2–3–1 Supported Communication Stacks (parts 8,9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–8 2–3–2 TCP/IP Stack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–8 2–3–2–1 API . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–8 2–3–2–2 Physical Media Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–8 2–3–3 Point–to–Point Stack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–8 2–4 Extensions / specializations / privatizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–8 2–5 Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–8 2–5–1 AE Title/Presentation Address Mapping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–8 2–5–2 Configurable Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–8 2–6 Support of extended character sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–8 SECTION 3 XA INFORMATION OBJECT IMPLEMENTATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–1 3–0 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–1 3–1 XA Image IOD Implementation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–1 3–2 XA Image IOD Entity–Relationship Model . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–1 3–2–1 Entities Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–2 3–2–2 DLX Mapping of DICOM entities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–2 3–3 XA Image IOD Module Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–2 3–4 InFORMATION MODULE DEFINITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–3 3–4–1 Patient Entity Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–3 3–4–1–1 Patient Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–3 3–4–2 Study Entity Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–4 3–4–2–1 General Study . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–4 3–4–2–2 Patient Study . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–4 3–4–3 Series Entity Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–4 3–4–3–1 General Series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–4 3–4–4 Equipment Entity Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–5 3–4–4–1 General Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–5 3–4–5 Image Entity Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–5 3–4–5–1 General Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–5 3–4–5–2 Image Pixel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–6 3–4–5–3 Cine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–6 3–4–5–4 Multi–Frame . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–6 6 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 3–4–5–5 Frame Pointers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–6 3–4–5–6 Mask . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–7 3–4–5–7 Display Shutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–7 3–4–5–8 Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–7 3–4–5–9 X–Ray Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–8 3–4–5–10 X–Ray Acquisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–8 3–4–5–11 X–Ray Collimator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–10 3–4–5–12 XA Positioner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–10 3–4–5–13 X–Ray table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–11 3–4–5–14 Curve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–11 3–4–5–15 SOP Common . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–11 3–5 3–12 PRIVATE DATA DICTIONARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SECTION 4 – SECONDARY CAPTURE IMPLEMENTATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–1 4–0 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–1 4–1 SC Image IOD Implementation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–1 4–2 SC Image IOD Entity–Relationship Model . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–1 4–2–1 Entities Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–2 4–2–2 DLX Mapping of DICOM entities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–3 4–3 SC Image IOD Module Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–3 4–4 Module Library . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–3 4–4–1 Patient Entity Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–4 4–4–1–1 Patient Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–4 4–4–2 Study Entity Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–4 4–4–2–1 General Study . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–4 4–4–2–2 Patient Study . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–4 4–4–3 Series Entity Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–4 4–4–3–1 General Series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–4 4–4–4 Equipment Entity Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–5 4–4–4–1 SC Equipment Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–5 4–4–5 Image Entity Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–5 4–4–5–1 General Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–5 4–4–5–2 Image Pixel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–6 4–4–5–3 Overlay Plane Module 4–6 4–4–5–4 SOP Common . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–6 4–5 PRIVATE DATA DICTIONARY FOR SECONDARY CAPTURE . . . . . . . . . . . . . . . 4–7 SECTION 5 – BASIC WORKLIST MANAGEMENT IMPLEMENTATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–1 5–0 INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–1 5–1 WORKLIST INFORMATION MODEL IMPLEMENTATION . . . . . . . . . . . . . . . . . . 5–1 5–2 WORKLIST INFORMATION MODEL ENTITY – RELATIONSHIP DIAGRAM . . 5–1 7 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 5–2–1 Entities Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–2 5–3 Basic Worklist Information Module Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–2 5–4 INFORMATION MODULE DEFINITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–3 5–4–1 Patient Entity Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–3 5–4–1–1 Patient Identification Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–3 5–4–1–2 Patient Demographic Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–3 5–4–1–3 Patient Medical Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–3 5–4–2 Visit/Facility Episode Entity Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–4 5–4–2–1 Visit Identification Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–4 5–4–2–2 Visit Status Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–4 5–4–2–3 Visit Relationship Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–4 5–4–3 Imaging Service Request Entity Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–5 5–4–3–1 Imaging Service Request Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–5 5–4–4 Requested Procedure Entity Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–5 5–4–4–1 Requested Procedure Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–5 5–4–5 Scheduled Procedure Step Entity Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–6 5–4–5–1 Scheduled Procedure Step Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–6 5–4–5–2 SOP Common Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–6 8 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 REVISION HISTORY REV DATE REASON FOR CHANGE 0 1 Nov. 24, 1995 April, 1997 2 3 November 1997 June 1998 4 April 1999 5 6 July 1999 February 2000 Initial release to Direction Stock. Basic Worklist Management Implementation for HIS/RISPatient/Study data retrieval parts of Section 2 and the complete Section 5 Release updated for coherence with software. Release updated for corrections and Worklist query model. Add code meaning for Reverse_Sweep field. Title page updated with “This document applies to DLX Release C16.12 and C17.12” Title page updated with “This document applies to DLX Release C18.XX” Title page updated with “This document applies to DLX Release C19.XX”. Real–world Activity “Verification” added. LIST OF EFFECTIVE PAGES PAGE NUMBER REVISION NUMBER Title Page 6 Table of Contents i thru iv 6 Revision History v thru vi 6 Introduction 1–1 thru 1–6 6 Conformance Statement 2–1 thru 2–8 6 PAGE NUMBER ADVANTX DLX3 Information Object Definition 3–1 thru 3–12 6 Secondary Capture Implementation 4–1 thru 4–8 6 Basic Worklist Management Implementation 5-1 thru 5-4 6 1 REVISION NUMBER PAGE NUMBER REVISION NUMBER Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 2 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 SECTION 1 – INTRODUCTION 1–0 OVERVIEW Section 1, Introduction, provides general information about the content and scope of this document. Section 2, Conformance Statement, is the DICOM v3.0 Conformance Statement related to this product. Conformance Statements defines the subset of options selected from those offered by the DICOM v3.0 standard. Section 3, DLX3 XRAY Angiographic Information Object Implementation defines the technical specifications required to interoperate with a DICOM v3.0 network interface. They define the technical details of the Information Object Definitions (IOD’s) listed in the Conformance Statement. This section contains also the description of the private elements used in this implementation. Section 4, Secondary Capture Image Information Object implementation, defines the technical specifications required to interoperate with a DICOM v3.0 network interface. They define the technical details of the Information Object definition (IOD’s) listed in the Conformance statement.This section contains also the description of the private elements used in this implementation. Section 5, Basic Worklist Management Implementation, defines the technical specifications required to interoperate with a DICOM v3.0 network interface. They define the technical details of the Information Object Definitions (IOD’s) listed in the Conformance Statement. 1-1 OVERALL CONFORMANCE STATEMENT DOCUMENT STRUCTURE The Documentation Structure of the ID/Net v3.0 Conformance Statements and their relationship with the DICOM v3.0 Conformance Statements is shown in Illustration 1–1. 1–1 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 ILLUSTRATION 1-1 Introduction to the Integrated DICOM/Network v3.0 (ID/Net v3.0) Conformance Statement Direction: 2118780 APPLICATION ENTITY SPECIFICATION (services classes, Information objects, message exchange, etc.) CT9800 DICOM v3.0 (ID/Net v3.0) MR Advantage Direction: Conformance 46-269546G5 Statement for ADVANTX DICOM.v3.0 DLX3 (ID/Net v3.0) Conformance Direction: Statement for 2118782 DICOM v3.0 (ID/Net v3.0) Direction: ........ DICOM STANDARD DICOM v3.0 Part 1 DICOM v3.0 Part 2 DICOM v3.0 Part 3 DICOM v3.0 Part 4 1–2 DICOM v3.0 Part 5 DICOM v3.0 Part 6 DICOM v3.0 Part 7 DICOM v3.0 Part 8 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 This document specifies the DICOM v3.0 implementation. It is entitled: ADVANTX DLX Conformance Statement for DICOM v3.0 (ID/Net v3.0) Direction ........# 2142506–100 This Conformance Statement documents the DICOM v3.0 Conformance Statement and Technical Specification required to interoperate with the GEMS ID/Net v3.0 network interface. Introductory information, which is applicable to all GEMS ID/Net v3.0 Conformance Statements, is described in the document: Introduction to the Integrated DICOM/Network v3.0 (ID/Net v3.0) Conformance Statement Direction: 2118780. This Introduction familiarizes the reader with DICOM terminology and general concepts. It should be read prior to reading the individual products’ ID/Net v3.0 Conformance Statements. The ID/Net v3.0 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 v3.0 Part 8 standard. For more information including Network Architecture and basic DICOM concepts, please refer to the Introduction. For the convenience of software developers, there is “collector” Direction available. By ordering the collector, the Introduction described above and all of the currently published ID/Net v3.0 Product Conformance Statements will be received. The collector Direction is: ID/Net v3.0 Conformance Statements Direction: 2117016 For more information regarding DICOM v3.0, copies of the Standard may be obtained by written request or phone by contacting: NEMA Publication 2101 L Street, N.W., Suite 300 Washington, DC 20037 USA Phone: (202) 457–8474 1-2 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 v3.0 Standards and with the terminology and concepts which are used in those Standards. If readers are unfamiliar with DICOM v3.0 terminology they should first refer to the document listed below, then read the DICOM v3.0 Standard itself, prior to reading this Conformance Statement document. Introduction to the Integrated DICOM/Network v3.0 (ID/Net v3.0) Conformance Statement Direction: 2118780 1–3 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 1-3 Dicom Conformance Statement 2142506–100 SCOPE AND FIELD OF APPLICATION It is the intent of this document, in conjunction with the Introduction to the Integrated DICOM/Network v3.0 (ID/Net v3.0) Conformance Statement, Direction: 2118780, to provide an unambiguous specification for GEMS ID/Net v3.0 implementations. This specification, called a Conformance Statement, includes a DICOM v3.0 Conformance Statement and is necessary to ensure proper processing and interpretation of GEMS medical image data exchanged using DICOM v3.0. The GEMS ID/Net v3.0 Conformance Statements are available to the public. The reader of this Conformance Statement should be aware that different GEMS devices are capable of using different Information Object Definitions. For example, a GEMS CT Scanner may send images using the CT Information Object, MR Information Object, Secondary Capture Object, etc. Included in this Conformance Statement are the Module Definitions which define all data elements used by this GEMS ID/Net v3.0 implementation. If the user encounters unspecified private data elements while parsing a GEMS Data Set, the user is well advised to ignore those data elements (per the DICOM v3.0 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 GEMS devices. 1-4 IMPORTANT REMARKS The use of these Conformance Statements, in conjunction with the DICOM v3.0 Standards, is intended to facilitate communication with GE imaging equipment. However, by itself, it is not sufficient to ensure that inter–operation will be successful. The user (or user’s agent) needs to proceed with caution and address at least four issues: D Integration - The integration of any device into an overall system of interconĆ nected devices goes beyond the scope of standards (DICOM v3.0), and of this introduction and associated Conformance Statements when interoperability with non-GE equipment is desired. The responsibility to analyze the applicaĆ tions requirements and to design a solution that integrates GE imaging equipĆ ment with nonĆGE systems is the user's responsibility and should not be underestimated. The user is strongly advised to ensure that such an integration analysis is correctly performed. D Validation - Testing the complete range of possible interactions between any GE device and nonĆGE devices, before the connection is declared operational, should not be overlooked. Therefore, the user should ensure that any nonĆGE 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 nonĆGE 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. 1–4 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 1-5 Dicom Conformance Statement 2142506–100 D Future Evolution - GE understands that the DICOM Standard will evolve to meet the user's growing requirements. GE is actively involved in the developĆ ment of the DICOM v3.0 Standard. DICOM v3.0 will incorporate new features and technologies and GE may follow the evolution of the Standard. ID/Net v3.0 is based on DICOM v3.0 as specified in each ID/Net DICOM Conformance Statement. Evolution of the Standard may require changes to devices which have implemented DICOM v3.0. In addition, GE reserves the right to discontinue or make changes to the support of communications features (on its products) reĆ flected on by these ID/Net DICOM Conformance Statements. The user should ensure that any nonĆGE provider, which connects with GE devices, also plans for the future evolution of the DICOM Standard. Failure 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. D To be kept informed of the evolution of the implementation described in this document, the User should register on the GE Internet Server, accessible via anonymous ftp, by entering his e-mail address (GE Internet Server Address: ftp.med.ge.com, 192.88.230.11) D Interaction - It is the sole responsibility of the nonĆGE provider to ensure that communication with the interfaced equipment does not cause degradation of GE imaging equipment performance and/or function. REFERENCES A list of references which is applicable to all ID/Net v3.0 Conformance Statements is included in the Introduction to the Integrated DICOM/Network v3.0 (ID/Net v3.0) Conformance Statement, Direction: 2118780. The information object implementation refers to the XRAY Angiographic Image Object Definition (DICOM v3.0 Standart Supplement 6) to Part 3 (Information Object Definition) 1-6 DEFINITIONS A set of definitions which is applicable to all ID/Net v3.0 Conformance Statements is included in the Introduction to the Integrated DICOM/Network v3.0 (ID/Net v3.0) Conformance Statement, Direction: 2118780. 1-7 SYMBOLS AND ABBREVIATIONS A list of symbols and abbreviations which is applicable to all ID/Net v3.0 Conformance Statements is included in the Introduction to the Integrated DICOM/Network v3.0 (ID/Net v3.0) Conformance Statement, Direction: 2118780. 1–5 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 THIS PAGE LEFT INTENTIONALLY BLANK 1–6 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 SECTION 2 - CONFORMANCE STATEMENT 2-0 INTRODUCTION This conformance statement (CS) specifies the GE Advantx DLX compliance to DICOM v3.0. It details the DICOM Service Classes and roles which are supported by this product. Advantx DLX is an Integrated Digital Vascular Imaging System for both Angiography and Cardiac applications. It uses DICOM services to export images to remote workstations Note that the format of this section strictly follows the format of DICOM Standard Part 2 (Conformance) Annex A. Please refer to that part of the standard while reading this section. 2-1 IMPLEMENTATION MODEL 2-1-1 Application Data Flow Diagram The Basic and Specific Application models for this device are shown in Ill. 2–1 . ILLUSTRATION 2-1 Copy Images Image Stored remotly dlx_root Get Worklist AE Provide Worklist Response Remote system request Verification Verification Acknowledge The dlx_root Application Entity (AE) is an application which handles DICOM protocol communication. dlx_root AE is automatically brought up when the Digital Angiographic system (DLX) is powered on. All remote DICOM’s AE must be manually configured on the DLX, usually at the software installation time, by a GE field engineer. There are 3 local real world activities: Copy Image (CI), Get Worklist (GW) and Verification which can cause the dlx_root AE to initiate a DICOM association. CI consists of an operator selecting one or several images to be sent on one or several Remote System(s). Selection of Images is done from the Operator console screens (known as BROWSER and VIEWER); selection of Remote Systems and visualisation of the status of the transfer is done on a specific menu (known as TRANSFER menu) . Remote Workstation can be any DICOM compliant WorkStation. 2–1 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 GW consists of an operator request for the transfer of a list of Patient/Exam entries from a predefined remote HIS/RIS system. There is no query key set for subselection of items. The current implementation asks for all data prepared for transfer to DLX. The remote workstation can be any DICOM compliant HIS/RIS system supporting XA modality. Verification consists of an operator request for the verification of the availability of a remote station. 2-1-2 Functional Definition of AE's The dlx_root Application Entity supports the following three SCU functions (one at a time): 1. D Copy Images: Access to patient demographics and Pixel Data in the local database. D Build a DICOM format data set. D Initiate a DICOM association to send the image(s). 2. D Get Worklist: Build a DICOM formatted basic worklist management data request. D Initiate a DICOM association to send the request. D Wait for worklist response(s). D Access the local database to add new patient/exam demographic data. D Close the open Association. 3. D Verification D Initiate a DICOM association Close the association The dlx_root Application Entity also serves a default SCP function, the verification (Echo) Service Class request, independently from the other SCU functions. 2-1-3 Sequencing of Real-World Activities Not Applicable 2-2 AE SPECIFICATIONS 2-2-1 AE Specification This Application Entity provides Standard Conformance to the following DICOM V3.0 SOP Classes as an SCU: SOP Class Name SOP Class UID X-Ray Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.12.1 Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 Modality Worklist 1.2.840.10008.5.1.4.31 Verification 1.2.840.10008.1.1 X–Ray Angiographic Image Storage is implemented as a Standard Extended SOP Class. It contains type 3 private Data Elements. 2–2 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 Standard conformance as an SCP is not applicable for this Application Entity. This Application Entity provides Standard Conformance to the following DICOM V3.0 SOP Classs as an SCP : SOP Class Name SOP Class UID Verification Service Class 1.2.840.10008.1.1 2-2-1-1 Association Establishment Policies 2-2-1-1-1 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 an association initiated by the dlx_root AE is: Maximum Length PDU 16 Kbytes The SOP class Extended Negotiation is not supported. The maximum number of Presentation Contexts Items that will be proposed is 2. The user info items sent by this product are: Note: 2-2-1-1-2 D Maximum PDU Length D Implementation UID Max PDU length can be configured at installation time. Number of Associations The dlx_root AE will Initiate only one DICOM association to perform an image storage or a Worklist transfer as an SCU to a remote host. The dlx_root AE will not support multiple SCU associations simultaneously. The verification SCP association can be open simultaneously to another SCU association. 2-2-1-1-3 Asynchronous Nature Asynchronous mode is not supported. All operations will be performed synchronously. 2–3 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 2-2-1-1-4 Implementation Identifying Information The Implementation UID for this ID/Net v3.0 Implementation is: AdvantX DLX Implementation UID 2-2-1-2 1.2.840.113619.6.33 Association Initiation Policy dlx_root AE attempts to initiate a new association for each image it attempts to transfer. This association corresponds to one Real–World Activity: Copy Image(CI) or Get Worklist (GW). 2-2-1-2-1 Real-World Activity "Copy Image" 2-2-1-2-1-1 Associated Real-World Activity The operator selects a destination by selecting an Host in the ‘TRANSFER’ menu (by default the last selected host is active). Then he selects Image(s) to be sent by selection in both BROWSER (at patient level), or VIEWER (at sequence or photo level). This operation will cause 2-2-1-2-1-2 D the dlx_root AE to initiate a DICOM association. D the dlx_root AE to emit a C-ECHO command to check if the remote AE is availĆ able. D the DLX to build a DICOM image from its compressed raw data D the dlx_root AE to initiate a DICOM association, select the appropriate Abstract and Transfer syntax from those accepted by the remote AE D the dlx_root AE to emit C-STORE command to send the image. Proposed Presentation Contexts Presentation Context Table - Proposed Abstract Syntax Name UID Transfer Syntax Name List Role UID List Expanded Negotiation XRAY Angio Image Storage 1.2.840.10008.5.1.4.1.1.12. 1 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None Secondary CapĆ ture Image Storage 1.2.840.10008.5.1.4.1.1.7 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None 2-2-1-2-1-2-1SOP Specific Conformance Statement for Image Storage SOP Class This implementation performs a single C–STORE operation over an association. If the AE doesn’t receive a C–ECHO confirmation, this implementation will terminate the association. The transfer is considered as failed, no association for C–STORE will be attempted. Upon receiving a C–ECHO confirmation containing an Error, Refused or Warning status, this implementation will consider the result as OK. This is because the only purpose of the C–ECHO is to check that the remote AE responds, whatever is the C–ECHO status. This implementation doesn’t require that remote AE implements Verification SOP class as a SCP. 2–4 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 Upon receiving a C–STORE confirmation containing an Error or a Refused status, this implementation will terminate the association. The current C–STORE is considered as failed. Upon receiving a C–STORE confirmation containing a Warning Status, this implementation will treat it as an Error or Refused response. Each C–STORE operation supports an “ Association Timer ”. This timer starts when the association request is sent and stops when the association is established. This timer is set to 60 seconds. Each C–STORE operation supports an “ Operation Inactivity Timer ”. This timer starts once a C–STORE request has been issued and stops once a C–STORE confirmation has been received. This Timer is set to 60 minutes. If any of the 2 timers expires, the connection is closed and the operation is considered as failed. 2-2-1-2-2 Real-World Activity "Get Worklist" 2-2-1-2-2-1 Associated Real-World Activity The Worklist option has to be enabled by the system installation procedure. The operator selects a destination host through a service menu. The worklist transfer can be initiated from the Patient Viewer Dialogue by pressing the “Worklist” soft key. This operation will cause: 2-2-1-2-2-2 D the dlx_root AE to initiate a DICOM association. D the dlx_root AE to emit a C–ECHO request to check if the remote AE is available. Finally the association is closed. D the DLX to build a Basic Worklist C–FIND Request. D the dlx_root AE to initiate a DICOM association, select the appropriate Abstract and Transfer Syntax from those accepted by the remote AE. D the dlx_root AE to emit the C–FIND Request. D the dlx_root AE to receive C–FIND (Worklist) Response(s). D the DLX to add new entry items to the local database if they are not existing yet. D the dlx_root AE to close the association. Proposed Presentation Contexts Abstract Syntax Name Modality Worklist Information UID 1.2.840.10008.5.1.4.31 Transfer Syntax Name List Implicit VR Little Endian UID List 1.2.840.10008.1.2 Model - FIND 2-2-1-2-2-2-1SOP Specific Conformance Statement for Worklist SOP Class This implementation performs a single C–FIND operation over one association. 2–5 Role Expanded Negotiation SCU None Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 If the AE does not receive a C–ECHO confirmation, this implementation will terminate the association. The Worklist request is considered as failed. Upon receiving a C–ECHO confirmation containing an Error, Refused or Warning status, this implementation will consider the result OK. This is because the only purpose of the C–ECHO is to check that the remote AE responds. Each C–ECHO and C–FIND operation supports an “Association Timer”. This timer starts when the association request is sent and the stops when the association is established. This timer is set to 30 seconds. The C–ECHO operation supports an “Operation Inactivity Timer”. This timer starts when the C–ECHO request is sent and it stops when the C–ECHO response is received. This timer is also set to 30 seconds. Upon receiving a C–FIND response containing an error status this implementation will terminate the association issuing a close request. The current C–FIND is considered as failed. Each C–FIND operation supports an “Operation Inactivity Timer”. This timer starts when the C–FIND request is sent and it stops when the C–FIND final response received. This timer is set to 60 seconds. If any of the timers expires, the connection is closed and the operation is considered as failed. Badly formatted C–FIND response(s) from the SCP will result in the initiatiation of a C–FIND cancel request. In the dlx_root AE, the C–FIND cancel operation is not implemented as an additional operator choice. On completion of operation the dlx_root AE places the status (flag) of the final Worklist update operation on DLX into the Abort flag of the close association request. That way the Worklist provider can get a final success feed back of the complete HIS/RIS data transfer operation. This flag setting doesn’t change the basic DICOM association management functionality. 2-2-1-2-3 Real–world Activity “Verification” 2-2-1-2-3-1 Associated Real-World Activity The operator selects a destination by selecting an host in the TRANSFER menu (by default the last selected host is active). Then he presses on the “host verification” button or on the “worklist verification”button if he wants to test the worklist server. These operations will cause 2-2-1-2-3-2 D the dlx_root AE to initiate a DICOM association. D the dlx_root AE to emit a C–ECHO command to check if the remote AE is available. Proposed Presentation contexts Presentation Context Table - Proposed Abstract Syntax Name Verification 2-2-1-3 Transfer Syntax UID 1.2.840.10008.1.1 Name List Implicit VR Little Endian UID List 1.2.840.10008.1.2 Association Acceptance Policy The dlx_root AE provides only DICOM Verification Service Class. 2–6 Role Expanded Negotiation SCU None Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 2-2-1-3-1 Real-World Activity "Verification acknowledge" DLX echoes to a Verification request from any DICOM node. This function is transparent to the user (no user interface, no message logged on screen). 2-2-1-3-1-1 Associated Real-World Activity 2-2-1-3-1-2 Accepted Presentation Contexts Presentation Context Table - Accepted Abstract Syntax Name Verification UID 1.2.840.10008.1.1 Transfer Syntax Name List Implicit VR Little Endian Role UID List 1.2.840.10008.1.2 Negotiation SCP 2-2-1-3-1-2-1SOP Specific Conformance Statement for Verification SOP Class The dlx_root AE provides standard conformance to the DICOM Verification Service Class. 2–7 Expanded None Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 2-3 COMMUNICATION PROFILES 2-3-1 Supported Communication Stacks (parts 8,9) DICOM Upper Layer (Part 8) is supported using TCP/IP. 2-3-2 TCP/IP Stack The TCP/IP stack is inherited from a UNIX Operating System. 2-3-2-1 API Not applicable to this product. 2-3-2-2 Physical Media Support Ethernet v2.0, IEEE 802.3. 2-3-3 Point-to-Point Stack A 50–pin ACR–NEMA connection is not applicable to this product. 2-4 EXTENSIONS / SPECIALIZATIONS / PRIVATIZATIONS Refer to Section 3 for the description of AdvantX DLX Private DICOM Data Dictionary Refer to Section 4 for the description of Secondary capture Private DICOM Data Dictionary 2-5 CONFIGURATION 2-5-1 AE Title/Presentation Address Mapping The Local AE Title is configurable. This must be configured by a GEMS Field Service Engineer during an installation. 2-5-2 Configurable Parameters The following fields are configurable for this AE (local): D Local AE Title D Local IP Address The following fields are configurable for every remote DICOM AE: Note: 2-6 D Remote AE Title D Responding TCP/IP Port D Remote IP Address All configuration must be performed by a GE Field Engineer. SUPPORT OF EXTENDED CHARACTER SETS This implementation supports the following extended character set: ISO–IR–100 2–8 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 SECTION 3 - XA INFORMATION OBJECT IMPLEMENTATION 3-0 INTRODUCTION This section specifies the use of the DICOM v3.0 XRAY Angiographic Image IOD to represent the information included in XRAY Angiographic images produced by this implementation. Corresponding attributes are conveyed using the module construct. 3-1 XA IMAGE IOD IMPLEMENTATION This section defines the implementation of XA image information object. It refers to the DICOM V3.0 Standard, Supplement 4 (Oct 21, 1995) to Part 3 (Information Object definition). 3-2 XA IMAGE IOD ENTITY-RELATIONSHIP MODEL Illustration 3–1 XRAY Angiographic Image Entity Relationship Diagram Patient 1 is the subject of 1,50 Study 1 Equipment contains 1 1 1,n creates Series 1 contains 1,75 XRAY Angio Multiframe Image 3–1 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 The Entity–Relationship diagram for the XRAY Angiographic Image interoperability schema is shown in Illustartion 3–1. In this figure, the following diagrammatic convention is established to represent the information organisation : D each entiy is represented by a rectanglar box D each relationship is represented by a diamond shaped box. D the fact that a relationship exists between two enties is depicted by lines connectĆ ing the corresponding entity boxes to the relationsip boxes. The relationships are fully defined with the maximum number of possible entities in the relationship shown. 3-2-1 Entities Description Refer to DICOM Standard Supplement 4 (Oct 21, 1995) to Part 3 (Information Object Definitions) for a descripion of the entities contained within this Information object. 3-2-2 DLX Mapping of DICOM entities ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ DICOM entities map to the DLX entities in respect to the following : DICOM 3-3 DLX Patient Entity Patient Entity Study Entity Examination Entity Series Entity no match, there is a one to one relationship between DICOM Study and Series Multiframe Image Entity Sequence Entity Frame Image XA IMAGE IOD MODULE TABLE Within an entity of the DICOM v3.0 XRAY Angio Image Information Object Definition, attributes are grouped into related set of attributes. A set of related attributes is termed a module. A module acilitates the understanding of the semantics concerning the attributes and how the attributes are related with each other. A module grouping does not infer any encoding of information into datasets. Table 2 identifies the defined modules within the entities which comprise the DICOM v3.0 XRAY Angio Image Information object Definition. Modules are identified by Module Name. See DICOM v3.0 Part 3 for a complete definition of the entities, modules, and attributes. 3–2 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 Table 2 XRAY Angiographic Image Information Object Definition (IOD) Module Table ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ IE Module Name Reference Patient Patient 3.4.1.1 Study General Study 3.4.2.1 Patient Study 3.4.2.2 Series General Series 3.4.3.1 Equipment General Equipment 3.4.4.1 Image General Image 3.4.5.1 Image Pixel 3.4.5.2 Cine 3.4.5.3 Multi-Frame 3.4.5.4 Frame Pointers 3.4.5.5 Mask 3.4.5.6 Display Shutter 3.4.5.7 Device 3.4.5.8 X-Ray Image 3.4.5.9 X-Ray Acquisition 3.4.5.10 X-Ray Collimator 3.4.5.11 X-Ray Table 3.4.5.12 XA Positioner 3.4.5.13 Curve 3.4.5.14 SOP Common 3.4.5.15 3-4 INFORMATION MODULE DEFINITIONS Please refer to DICOM v3.0 Standard Part 3 (Information Object Definition) for a description of each of the entities and modules contained within the XRAY Angiographic Information Object. Modules contain also type 3 Private elements. 3-4-1 Patient Entity Module 3-4-1-1 Patient Module ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ Attribute Name Element Tag TP Notes Patient's Name 0010, 0010 2 From user interface, restricted to 48 char. Patient ID 0010, 0020 2 From user interface, restricted to 64 char. Patient's Birth Date 0010, 0030 2 From user interface, no value if wrong format Patient's Sex 0010, 0040 2 From user interface, "M", "F" or "O" Patient DOB 0011, xx01 3 Patient Date of Birth in free form. 3–3 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 3-4-2 Study Entity Module 3-4-2-1 General Study ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ Á ÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ Attribute Name Element Tag TP Notes Study Instance UID 0020, 000D 1 Restricted to 64 char. Study Date 0008, 0020 2 YYYYMMDD, restricted to 8 char. Study Time 0008, 0030 2 HHMMSS.XXX, restricted to 10 char. Referring Physicians' Name 0008, 0090 2 From user interface, restricted to 48 char. Study ID 0020, 0010 2 From user interface, restricted to 64 char. Accession number 0008, 0050 2 May have a value if comming from worklist alĆ ready filled, restricted to 16 char. Study Description 0008, 1030 3 From user interface, restricted to 16 char. 3-4-2-2 Patient Study Attribute Name Element Tag TP Notes Patient's Size 0010, 1020 3 From user interface. Patient's Weight 0010, 1030 3 From user interface, restricted to 16 char. Additional Patient's History 0010, 21B0 3 From user interface, restricted to 252 char. Patient address 0010, 1040 3 From user interface, restricted to 252 char. Patient telephone 0010, 2154 3 From user interface, restricted to 32 char. 3-4-3 Series Entity Module ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ 3-4-3-1 General Series Attribute Name Element Tag TP Notes Modality 0008, 0060 1 XA Series Instance UID 0020, 000E 1 Restricted to 64 char. Study instance UID + '.1' Series Number 0020, 0011 2 1 Series Date 0008, 0021 3 YYYYMMDD, restricted to 8 char. Series Time 0008, 0031 3 HHMMSS.XXX, restricted to 10 char. Performing Physician's Name 0008, 1050 3 From user interface, restricted to 48 char. Series Description 0008, 103E 3 From user interface, restricted to 16 char. Operators' Name 0008, 1070 3 From user interface, restricted to 48 char. 3–4 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 3-4-4 Equipment Entity Module 3-4-4-1 General Equipment ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ Attribute Name Element Tag TP Notes Manufacturer 0008, 0070 3 GE MEDICAL SYSTEMS Institution Name 0008, 0080 3 Generated by DLXINSTAL during acquisition Institution Address 0008, 0081 3 Manufacturer Model Name 0008, 1090 3 DLX Device Serial Number 0018, 1000 3 Identifier entered in DLXINSTAL Software versions 0018, 1020 3 Database version, internal to DLX 3-4-5 Image Entity Module 3-4-5-1 General Image ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ Attribute Name Element Tag TP Notes Image Number 0020,0013 2 Image number in the Series Image Date 0008,0023 2C YYYYMMDD, restricted to 8 char. Image Time 0008,0033 2C HHMMSS.XXX, restricted to 10 char. Image Type 0008,0008 3 ORIGINAL\PRIMARY\ either SINGLE PLANE, BIPLANE A or BIPLANE B Acquisition Date 0008,0022 3 YYYYMMDD, restricted to 8 char. Acquisition Time 0008,0032 3 HHMMSS.XXX, restricted to 10 char. Patient Orientation 0020,0020 2 No value, Zero length Image comments 0020,4000 3 From user interface, restricted to 16 char. Referenced Image Sequence 0008, 1140 3 In case of DLX biplane acquisition, used to identify the related plane Image (LATeral if FRonTal or FRonTal if LATeral) >Referenced SOP Class UID 0008, 1150 1C 1.2.840.10008.5.1.4.1.1.12.1 >Referenced SOP Instance UID 0008, 1155 1C Restricted to 64 char. Series_UID if monoplane, Series_UID + '.1' if frontal from biplane, Series_UID + '.2' if lateral from biplane Lossy Image Compression 0028, 2110 3 00 Side_mark 0019, xx1D 3 represents patient orientation as 2 characters located on the left and right side of the disĆ played frame. Encoding is the following : 0 : not defined 1, 4, 6 : Left of the patient is on the left side of the frame 2, 3, 5 : Right of the patient is on the left side of the frame 3–5 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ 3-4-5-2 Image Pixel Attribute Name Samples per Pixel Photometric Interpretation Element Tag 0028, 0002 0028, 0004 TP 1 1 Rows Columns Bits Allocated Bits Stored High Bit Pixel Representation Pixel Data 0028, 0010 0028, 0011 0028, 0100 0028, 0101 0028, 0102 0028, 0103 7FE0, 0010 1 1 1 1 1 1 1 Element Tag 0018, 1065 0008, 2142 0008, 2143 0008, 2144 TP 1C 1 1 1 Notes Generated by acquisition system Generated by acquisition system Generated by acquisition system Generated by acquisition system 0018, 1066 0018, 0040 1 1 0.0 Generated by acquisition system TP 1 1 Notes Generated by acquisition system 0018, 1065 Notes Initialized as the frame number located at the 1/3rd of the multiframe image. 3-4-5-3 Cine Attribute Name Frame Time Vector Start Trim Stop Trim Recommended Display Frame Rate Frame Delay Cine Rate 3-4-5-4 Multi-Frame Attribute Name Number of Frames Frame Increment pointer 3-4-5-5 Notes 1 MONOCHROME1 if reverse video, or MONOĆ CHROME2 otherwise 512 or 1024 512 or 1024 8 or 16 8 or 10 7 or 9 0 Element Tag 0028, 0008 0028, 0009 Frame Pointers Attribute Name Representative Frame NumĆ ber Cur_spatial_filter_strength Zoom_factor X_zoom Y_zoom Text_annotation Box Element Tag 0028, 6010 TP 3 0019, xx17 0019, xx18 0019, xx19 0019, xx1A 70nn, xx04 70nn, xx05 3 3 3 3 3 3 Arrow end 70nn, xx07 3 3–6 1, 2 or 4 coordinate of the center of the zoomed area coordinate of the center of the zoomed area There could be up to 5 annoatation per images Coordinates of the lower left corner of the first character of the annotation (x, y) Coordinates of extrems of the arrow (x, y), the arrow always starts from the annotation text. Arrows is always a staight line. (0,0) value means 'no arrow' is attached to the annotation. Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ 3-4-5-6 Mask Attribute Name Mask Subtraction Sequence >Mask Operation >Applicable Frame Range >Mask Frame Numbers Element Tag 0028, 6100 0028, 6101 0028, 6102 0028, 6110 TP 1 1 3 1C >Mask Sub-pixel shift Recommended viewing mode Percentage_landscape 0028, 6114 0028, 1090 3 2 NONE or AVG_SUB generated by acquisition system Number of mask image: from user interface or generated by acquisition system (depending on acquisition mode) Xpixel shift / Ypixel shift: from user interface SUB/NAT 0019, xx1E 3 Percentage of mask applied 3-4-5-7 Notes Display Shutter Attribute Name Shutter Shape Element Tag 0018, 1600 TP 1 Display Shutter Left VertiĆ cal Edge Display Shutter Right VertiĆ cal Edge Display Shutter Upper HorĆ izontal Edge Display Shutter Lower HorĆ izontal Edge Center of Circular Display Shutter Radius of Circular Display Shutter 0018, 1602 1C Notes CIRCULAR or RECTANGULAR. Combined Rectangular and Circular could exist and is repĆ resented by both RECTANGULAR/CIRCUĆ LAR attributes. From user interface 0018, 1604 1C From user interface 0018, 1606 1C From user interface 0018, 1608 1C From user interface 0018, 1610 1C From user interface 0018, 1612 1C From user interface Attribute Name Device Sequence >Code Value >Coding Scheme DesignaĆ tor >Device Diameter Element Tag 0050, 0010 0008, 0100 0008, 0102 TP 3 1C 1C Notes 0050, 0016 3 >Device Diameter Units 0050, 0017 2C Set in DLXINSTAL for BALL, from user interĆ face for CATHETER MM 3-4-5-8 Device 3–7 BALL or CATHETER 99DEV Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ 3-4-5-9 X-Ray Image Attribute Name Frame Increment pointer Lossy Image Compression Image Type Element Tag 0028, 0009 0028,2110 0008, 0008 TP 1C 1C 1 Pixel Intensity Relationship 0028, 1040 1 Samples per Pixel Photometric interpretation 0028,0002 0028,0004 1 1 Bits allocated Bits stored High Bit Pixel Representation Reference Image Sequence 0028, 0100 0028, 0101 0028, 0102 0028, 0103 0008, 1140 1 1 1 1 1C >Reference SOP class UID >Reference SOP instance UID 0008, 1150 0008, 1155 1C 1C R Wave Pointer Scan Options Calibration Image 0028, 6040 0018, 0022 0050, 0004 3 3 3 3-4-5-10 Notes 00 ORIGINAL\PRIMARY\ either SINGLE PLANE, BIPLANE A or BIPLANE B value : LIN, or DISP. In DISP mode, only spaĆ tial measurements are available. 1 MONOCHROME1 if reverse video, MONOĆ CHROME2 otherwise 8 or 16 8 or 10 7 or 9 0 Used to identify the related plane Image in case of Biplane acquisition (LATeral if FRonTal or FRonTal if LATeral) 1.2.840.10008.5.1.4.1.1.12.1 Restricted to 64 char. Series_UID if monoplane, Series_UID + '.2' if frontal from biplane, Series_UID + '.1' if lateral from biplane EKG or STEP, or CHASE, or ROTA or no value No value, zero length X-Ray Acquisition Attribute Name KVP Field of view Shape Field of View Dimension Grid Radiation Mode Radiation Setting Exposure Time X-ray Tube Current Intensifier Size Adx_procedure_name Adx_exam_name Adx_patient_size Acq_Record View Adx_injector_delay Adx_auto_inject Adx_acq_mode Element Tag 0018, 0060 0018, 1147 0018, 1149 0018, 1166 0018, 115A 0018, 1155 0018, 1150 0018, 1151 0018,1162 0019, xx07 0019, xx08 0019 , xx09 0019, 000A 0019, xx10 0019, xx11 0019, xx14 TP 2 3 3 3 3 1 2C 2C 3 3 3 3 3 3 3 3 Notes Generated by acquisition system ROUND Generated by acquisition system, multiplied by 25.4 IN PULSED GR Generated by acquisition system Restricted to 8 char. Set in DLXINSTAL, multiplied by 25.4 free text information free text information LOW, MEDIUM, ADULT 1 Frontal, 2 Lateral 3 Biplane delay in start of injection in 1/10th of seconds 1 if autoinjection, 0 if not 0,1 for vascular 2..7 for cardiac 8..13 for DSA stepping 14..19, 26 for Bolus Chasing 20..25 for HSS acquisition 3–8 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ Attribute Name Adx_camera_rotation _enĆ able Element Tag 0019, xx15 TP 3 Adx_reverse_sweep 0019, xx16 3 Adx_focus Adx_dose Adx_exposure_duration IP address 0019, xx1B 0019, xx1C 0019, xx1F 0019, xx20 3 3 3 3 Notes 0 ––> disable 1 ––> enable Value sent by acquisition system Advantx–E 0 if generated by acquisition system Advantx1 Value Meaning –––––––––––––––––––––––––––––––––––––––––––––––––– 0 No reverse sweep on frontal and lateral 1 No reverse sweep on lateral, only vertical reverse sweep on frontal, 2 No reverse sweep on lateral, only horizontal reverse sweep on frontal, 3 No reverse sweep on lateral, vertical and horizontal reverse sweep on frontal, 4 Only vertical reverse sweep on lateral, no reverse sweep on frontal, 5 Only vertical reverse sweep on lateral, only vertical reverse sweep on frontal, 6 Only vertical reverse sweep on lateral, only horizontal reverse sweep on frontal, 7 Only vertical reverse sweep on lateral, vertical and horizontal reverse sweep on frontal, 8 Only horizontal reverse sweep on lateral, no reverse sweep on frontal, 9 Only horizontal reverse sweep on lateral, only vertical reverse sweep on frontal, 10 Only horizontal reverse sweep on lateral, only horizontal reverse sweep on frontal, 11 Only horizontal reverse sweep on lateral, vertical and horizontal reverse sweep on frontal, 12 Vertical and horizontal reverse sweep on lateral, no reverse sweep on frontal, 13 Vertical and horizontal reverse sweep on lateral, only vertical reverse sweep on frontal, 14 Vertical and horizontal reverse sweep on lateral, only horizontal reverse sweep on frontal, 15 Vertical and horizontal reverse sweep on lateral, vertical and horizontal reverse sweep on frontal. Values sent by acquisition system Advantx–E 0 if generated by acquisition system Advantx1 focus on frontal plane 0, 1, 2, 3 for dose A, B, C, D in ms. IP Address of the machine that sends the serie 3–9 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ 3-4-5-11 X-Ray Collimator Attribute Name Collimator shape Center of circular collimator Radius of circular CollimaĆ tor 3-4-5-12 Element Tag 0018,1700 0018,1710 0018,1712 TP 1 1C 1C Notes value : CIRCULAR 512\512 or 256\256 Set in DLXINSTAL Notes Value sent by acquisition system Advantx–E 0 if generated by acquisition system Advantx1 Value sent by acquisition system Advantx–E 0 if generated by acquisition system Advantx1 (0018, 1110) divided by (0018, 1111) XA Positioner Attribute Name Distance Source to Patient Element Tag 0018, 1111 TP 3 Distance Source to detector 0018, 1110 3 Estimated Radiographic Magnification factor Positioner Motion Positioner Primary Angle 0018, 1114 3 0018, 1500 0018, 1510 2C 2 Positioner Secondary Angle 0018, 1511 2 Positioner Primary Angle Increment Positioner Secondary Angle Increment Angle_value_1 Angle_value_2 Angle_value_3 Angle_label_1 Angle_label_2 Angle_label_3 0018, 1520 2C STATIC or DYNAMIC Calculated with (0019, 0006), (0019, 0001), (0019, 0002), (0019, 0003) Calculated with (0019, 0006), (0019, 0001), (0019, 0002), (0019, 0003) Generated by acquisition system 0018, 1521 2C Generated by acquisition system 0019, xx01 0019, xx02 0019, xx03 0019, xx04 0019, xx05 0019, xx06 3 3 3 3 3 3 Positioner angle for L arm in degrees Positioner angle for P arm in degrees Positioner angle for C arm in degrees L CAU, CRA LAO, RAO 3–10 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ 3-4-5-13 X-Ray table Attribute Name Table Motion Table Vertical Increment Table Longitudinal IncreĆ ment Table Lateral Increment Table Vertical position Element Tag 0018, 1134 0018, 1135 0018, 1137 TP 2 2C 2C Notes DYNAMIC or STATIC 0 Generated by acquisition system 0018, 1136 0019, xx21 2C 3 Table Longitudinal position 0019, xx22 3 Table Lateral position 0019, xx23 3 0 Vertical position of table in mm with respect to GEMS defined origin. Longitudinal position of table in mm with reĆ spect to GEMS defined origin. Vertical position of table in mm with respect to GEMS defined origin. 3-4-5-14 Curve ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ Attribute Name Curve Dimensions Number of points Element Tag 50xx, 0005 50xx, 0010 TP 1 1 Type of Data Data Value Representation Curve Data Curve Description 50xx, 0020 50xx, 0103 50xx, 3000 50xx, 0022 1 1 1 3 Notes 1 for PHYSIO, 2 for ROI Generated by acquisition system for PHYSIO, from user interface for ROI ROI or PHYSIO 0 only if Type of Data (50xx, 0020) = ROI, then DIASTOLE or SYSTOLE Curves can be either Cardiac Contours (1 diastolic and 1 systolic per multiframe image), or a physiological curve (e.g. EKG). For a Multiframe Image, there could be 2 Cardiac contour and 2 physiological curves. 3-4-5-15 SOP Common ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ Attribute Name SOP Class UID SOP Instance UID Element Tag 0008, 0016 0008, 0018 TP 1 1 Specific Character 0008, 0005 1C 3–11 Notes 1.2.840.10008.5.1.4.1.1.12.1 Restricted to 64 char. Series_UID if monoplane, Series_UID + '.1' if frontal from biplane, SeĆ ries_UID + '.2' if lateral from biplane ISO-IR-100 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 3-5 Dicom Conformance Statement 2142506–100 ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ Á ÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ Á ÁÁÁÁÁ ÁÁÁÁ Á ÁÁÁÁÁ ÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁÁ ÁÁÁÁÁ PRIVATE DATA DICTIONARY Attribute Name Data Element Tag VR VM Private Creator PATIENT_01 Patient DOB 0011, 00xx 0011, xx01 LO LT 1 1 Private Creator Series_01 Angle_value_1 Angle_value_2 Angle_value_3 Angle_label_1 Angle_label_2 Angle_label_3 Adx_procedure_name Adx_exam_name Adx_patient_size Acq_record view Adx_injector_delay Adx_auto_inject Adx_acq_mod Adx_camera_rotation_enable Adx_reverse_sweep Cur_spatial_filter_strength Zoom_factor X_zoom Y_zoom Adx_focus Adx_dose Side_mark Percentage_landscape Adx_exposure_duration IP address Table vertical position Table longitudinal position Table lateral position 0019,00xx 0019, xx01 0019, xx02 0019, xx03 0019, xx04 0019, xx05 0019, xx06 0019, xx07 0019, xx08 0019, xx09 0019, 000A 0019, xx10 0019, xx11 0019, xx14 0019, xx15 0019, xx16 0019, xx17 0019, xx18 0019, xx19 0019, xx1A 0019, xx1B 0019, xx1C 0019, xx1D 0019, xx1E 0019, xx1F 0019, xx20 0019, xx21 0019, xx22 0019, xx23 LO DS DS DS CS CS CS ST ST SH IS DS CS IS CS CS IS IS IS IS DS CS IS IS DS SH * * * 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 * * * Private Creator ANNOT_01 70nn,00xx Text_annotation 70nn, xx04 Box 70nn, xx05 Arrow end 70nn, xx07 *: to be defined by person who implements. LO ST IS IS 1 1 2 2 3–12 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ Attribute Name Private Creator PATIENT_01 Private Creator SERIE_01 Private Creator ANNOT_01 3–13 Data Element Tag Value 0011,00xx 0019,00xx 70nn,00xx DLX_PATNT_01 DLX_SERIE_01 DLX_ANNOT_01 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 Blank page 3–14 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 SECTION 4 - SECONDARY CAPTURE IMPLEMENTATION 4-0 INTRODUCTION This section specifies the use of the DICOM v3.0 Secondary Capture Image IOD to represent the information included in Secondary Capture images produced by this implementation. Corresponding attributes are conveyed using the module construct. 4-1 SC IMAGE IOD IMPLEMENTATION This section defines the implementation of SC image information object. It refers to the DICOM V3.0 Standard, Part 3 (Information Object definition). 4-2 SC IMAGE IOD ENTITY-RELATIONSHIP MODEL 4–1 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 Illustration 4–1 SC Image Entity Relationship Diagram Patient 1 is the subject of 1,50 Study 1 Equipment contains 1 1 1,n creates Series 1 contains 1,50 Secondary Capture Image The Entity–Relationship diagram for the SC Image interoperability schema is shown in Illustration 4–1. The following diagrammatic convention is established to represent the information organisation : D each entity is represented by a rectanglar box D each relationship is represented by a diamond shaped box D the fact that a relationship exists between two entities is depicted by lines conĆ necting the corresponding entity boxes to the relationship boxes. The relationships are fully defined with the maximum number of possible entities in the relationship shown. 4-2-1 Entities Description Refer to DICOM Standard Part 3 (Information Object Definitions) for a descripion of each of the entities contained within the Secondary Capture Image Information Object Definition. 4–2 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 4-2-2 DLX Mapping of DICOM entities DICOM entities map to the DLX entities in respect to the following : ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ Patient Entity Study Entity Serie Entity DICOM DLX Patient Entity Examination Entity no match, there is a one to one relationship between DICOM Study and Serie Photo Entity Secondary Image Entity 4-3 SC IMAGE IOD MODULE TABLE Within an entity of the DICOM v3.0 XRAY Angio Image Information Object Definition, attributes are grouped into related set of attributes. A set of related attributes is termed a module. A module facilitates the understanding of the semantics concerning the attributes and how the attributes are related with each other. A module grouping does not infer any encoding of information into datasets. Table 5–2 identifies the defined modules within the entities which comprise the DICOM v3.0 XRAY Angio Image Information object Definition. Modules are identified by Module Name. See DICOM v3.0 Part 3 for a complete definition of the entities, modules, and attributes. Table 4.2 SC Image Information Object Definition (IOD) Module Table ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ Patient Study IE Series Equipment Image 4-4 Module Name Patient General Study Patient Study General Series SC Equipment General Image Image Pixel Overlay Plane SOP Common Reference 4-4-1-1 4-4-2-1 4-4-2-2 4-4-3-1 4-4-4-1 4-4-5-1 4-4-5-2 4-4-5-3 4-4-5-4 MODULE LIBRARY Please refer to DICOM v3.0 Standard Part 3 (Information Object Definition) for a description of each of the entities and modules contained within the SC Information Object. Modules contain also type 3 Private elements. See DICOM v3.0 Part 3 for a complete definition of the entities, modules, and attributes. 4–3 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 4-4-1 Patient Entity Module 4-4-1-1 Patient Module ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ Attribute Name Patient's Name Patient ID Patient's Birth Date Patient's Sex Patient DOB Element Tag 0010, 0010 0010, 0020 0010, 0030 0010, 0040 0011, xx01 4-4-2 Study Entity Module 4-4-2-1 General Study TP 2 2 2 2 3 Notes From user interface, restricted to 48 char. From user interface, restricted to 64 char. From user interface, no value if wrong format From user interface, "M", "F" or "O" Patient Date of birth in free form. ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ Á ÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ Attribute Name Study Instance UID Study Date Study Time Referring Physicians' Name Study ID Accession number Study Description 4-4-2-2 TP 1 2 2 2 2 2 0008, 1030 3 Element Tag 0010, 1020 0010, 1030 0010, 21B0 0010, 1040 0010, 2154 TP 3 3 3 3 3 Notes Restricted to 64 char. YYYYMMDD, restricted to 8 char. HHMMSS.XXX, restricted to 10 char. From user interface, restricted to 48 char. From user interface, restricted to 64 char. May have a value if comming from worklist alĆ ready filled, restricted to 16 char. From user interface, restricted to 16 char. Patient Study Attribute Name Patient's Size Patient's Weight Additional Patient's History Patient address Patient telephone 4-4-3 Element Tag 0020, 000D 0008, 0020 0008, 0030 0008, 0090 0020, 0010 0008, 0050 Notes From user interface. From user interface, restricted to 16 char. From user interface, restricted to 252 char. From user interface, restricted to 252 char. From user interface, restricted to 32 char. Series Entity Module ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ 4-4-3-1 General Series Attribute Name Modality Series Instance UID Series Number Series Date Series Time Performing Physician's Name Series Description Operators' Name Patient position Element Tag 0008, 0060 0020, 000E 0020, 0011 0008, 0021 0008, 0031 0008, 1050 TP 1 1 2 3 3 3 Notes value : XA Restricted to 64 char. Study instance UID + '.1' value : 1 YYYYMMDD, restricted to 8 char. HHMMSS.XXX, restricted to 10 char. From user interface, restricted to 48 char. 0008, 103E 0008, 1070 0018, 5100 3 3 2C From user interface, restricted to 16 char. From user interface, restricted to 48 char. No value, Zero length 4–4 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 4-4-4 Equipment Entity Module 4-4-4-1 SC Equipment Module ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ Attribute Name Conversion Type Modality Manufacturer Institution name Institution Address Secondary Capture Device Manufacturer Secondary Capture Device Manufacturer's Model Name 4-4-5 Element Tag 0008, 0064 0008, 0060 0008, 0070 0008, 0080 0008, 0081 0018, 1016 TP 1 3 3 3 3 3 0018, 1018 3 Notes WSD XA GE MEDICAL SYSTEMS Generated by DLXINSTAL during acquisition GE MEDICAL SYSTEMS DLX Image Entity Module ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ 4-4-5-1 General Image Attribute Name Image Number Image Date Image Time Image Type Element Tag 0020,0013 0008,0023 0008,0033 0008,0008 TP 2 2C 2C 3 Patient Orientation Referenced Image Sequence 0020,0020 0008, 1140 2C 3 >Referenced SOP Class UID >Referenced SOP Instance UID 0008, 1150 1C 0008, 1155 1C Source Image Sequence >Referenced SOP Class UID >Referenced SOP Instance UID 0008, 2112 0008, 1150 3 1C 0008, 1155 1C Image comments 0020, 4000 3 4–5 Notes Image number in the serie YYYYMMDD, restricted to 8 char. HHMMSS.XXX, restricted to 10 char. DERIVED\SECONDARY\ either SINGLE PLANE, BIPLANE A or BIPLANE B No value, Zero length Used to reference the associated plane SecondĆ ary Capture in case of Biplane Acquisition 1.2.840.10008.5.1.4.1.1.7 Restricted to 64 char. Photo_UID + '.2' if frontal plane photo, Photo_UID + '.1' if lateral plane photo used to reference the original acquisition 1.2.840.10008.5.1.4.1.1.12.1 Restricted to 64 char. Series_UID + '.1' if frontal plane photo, Series_UID + '.2' if lateral plane photo From user interface, restricted to 16 char. Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ 4-4-5-2 Image Pixel Attribute Name Samples per Pixel Photometric Interpretation Element Tag 0028, 0002 0028, 0004 TP 1 1 Rows Columns Bits Allocated Bits Stored High Bit Pixel Representation Pixel Data 0028, 0010 0028, 0011 0028, 0100 0028, 0101 0028, 0102 0028, 0103 7FE0, 0010 1 1 1 1 1 1 1 4-4-5-3 Overlay Plane Module Attribute Name Rows Columns Overlay type Origin Bits Allocated Bit Position Gray Palette color lookup table descriptor Element Tag 60nn, 0010 60nn, 0011 60nn, 0040 60nn, 0050 60nn, 0100 60nn, 0102 60nn, xx01 TP 1 1 1 2 1 1 3 Gray Palette color lookup table data 60nn, xx02 3 4-4-5-4 Notes 1 MONOCHROME1 if reverse video, or MONOĆ CHROME2 otherwise 512 or 1024 512 or 1024 16 8 7 0 Notes 512 or 1024 512 or 1024 G 1,1 1 8..15 `1,1,8',to describe a lookup table of 1 entry, with the ovl value mapped on the 1rst entry of the lookup table, and with lookup table data coded on 8 bits (0.255). For complete description, refer to Palette color lookup table descriptor of Image pixel module (tag 0028,1101) 0 for black overlay 255 for white overlay For complete description, refer to Palette color lookup table data of Image pixel module (tag 0028,1201) SOP Common ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ Attribute Name SOP Class UID SOP Instance UID Specific Character Set Element Tag 0008, 0016 0008, 0018 TP 1 1 0008, 0005 1C 4–6 Notes 1.2.840.10008.5.1.4.1.1.7 Restricted to 64 char. Series_UID + '.1' if frontal plane photo, Series_UID + '.2' if lateral plane photo ISO-IR-100 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 4-5 Dicom Conformance Statement 2142506–100 ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ Á ÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ Á ÁÁÁÁ ÁÁÁ Á ÁÁÁ ÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁ ÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁ ÁÁÁÁ ÁÁÁ PRIVATE DATA DICTIONARY FOR SECONDARY CAPTURE Attribute Name Data Elemenr Tag VR VM Private Creator PATIENT_01 Patient DOB 0011,00xx 0011, xx01 LO LT 1 1 Private Creator LKUP_01 Gray Palette color lookup table descriptor Gray Palette color lookup table data 60nn,00xx 60nn, xx01 60nn, xx02 LO LT LT 1 3 1 ÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁÁÁ ÁÁÁÁÁÁÁ Attribute name Private Creator PATIENT_01 Private Creator LKUP_01 4–7 Data Element Tag Value 0011,00xx 60nn,00xx DLX_PATNT_01 DLX_LKUP_01 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 Blank page 4–8 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 SECTION 5 - BASIC WORKLIST MANAGEMENT IMPLEMENTATION 5-0 INTRODUCTION This section specifies the use of the Basic Worklist Management Information Objects to transfer the Worklist from the Information System to the Application Entity where the task is performed. 5-1 WORKLIST INFORMATION MODEL IMPLEMENTATION This section defines the implementation of the Basic Worklist Information Object. It refers to the DICOM V3.0 Standard, Basic Worklist Management – Supplement 10 (August 11, 1995) to Part 3 (Information Object definition). 5-2 WORKLIST INFORMATION MODEL ENTITY RELATIONSHIP DIAGRAM ILLUSTRATION 5-1 Scheduled Procedure Step WORKLIST ITEM Contained in Requested Procedure Requested for Imaging Service Request done for Visit/Facility Episode made for/by Patient 5–1 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 The Entity–Relationship diagram for the Basic Worklist Management interoperability schema is shown in Illustration 5–1. In this figure, the following diagrammatic convention is established to represent the information organization : • each entity is represented by the gray rectangular box. • each relationship is represented by the white rectangular box. • the fact that a relationship exists between the two entities is depicted by lines connecting the corresponding entity boxes to the relationship boxes. 5-2-1 Entities Description Refer to DICOM Standard Supplement 10 (August 11, 1995) to Part 3 (Information Object Definitions) for a description of the entities contained within this Information object. 5-3 BASIC WORKLIST INFORMATION MODULE TABLE Within an entity of the DICOM v3.0 Basic Worklist Information Object Definition, attributes are grouped into related set of attributes. A set of related attributes is termed a module. A module facilitates the understanding of the semantics concerning the attributes and how the attributes are related with each other. A module grouping does not infer any encoding of information into data sets. Table 2 identifies the defined modules within the entities which comprise the DICOM v3.0 Basic Worklist Management Information Object. Modules are identified by Module Name. See DICOM v3.0 Part 3 for a complete definition of the entities, modules and attributes. Table 2 Basic Worklist Management Information Module Table IE MODULE NAME Reference Patient Patient Identification Module para. 5–4–1–1 Patient Demographic Module para. 5–4–1–2 Patient Medical Module para. 5–4–1–3 Visit Identification Module para. 5–4–2–1 Visit Status Module para. 5–4–2–2 Visit Relationship Module para. 5–4–2–3 Imaging Service Request Imaging Service Request Module para. 5–4–3–1 Requested Procedure Requested Procedure Module para. 5–4–4–1 Scheduled Procedure Step Scheduled Procedure Step Module para. 5–4–5–1 SOP Common Module para. 5–4–5–2 Visit/Facility Episode 5–2 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 5-4 INFORMATION MODULE DEFINITIONS Please refer to DICOM v3.0 Standard Part 3 (Information Object Definition) and the supplements for a description of each of the entities and modules contained within the Basic Worklist Management Information Object. Modules do not contain any type 3 Private Elements. 5-4-1 Patient Entity Module 5-4-1-1 Patient Identification Module Attribute Name Element Tag Patient’s Name Patient ID 5-4-1-2 0010, 0010 Expected matching key type R Expected Returned key type 1 Mapped Notes into the image Yes Zero length sent. Truncated to 48 characters. Last name is truncated to 25, first name is truncated to 20. A ”^” character is added to separate last name and first name in database 0010, 0020 R 1 Yes Expected Returned key type 3 Zero length sent Truncated to 18 characters. Patient Demographic Module Attribute Name Element Tag Patient’s Address 0010, 1040 Expected matching key type O Patients Telephone Numbers 0010, 2154 O 3 Mapped Notes into the image Yes Truncated to 252 characters. Each line is truncated to 30 characters. Add ”||” after each line, then concatenate them in database. Yes Truncated to 32 characters. Patient’s Birth Date 0010, 0030 O 2 Yes Truncated to 24 characters. Patient’s Sex 0010, 0040 O 2 Yes ’0’ if ”M”, ’1’ otherwise. Patient’s Size 0010, 1020 O 3 Yes Truncated to 16 characters. Multiplied by 100. (Unit = cm) Patient’s Weight 0010, 1030 O 2 Yes Truncated to 16 characters. Expected matching key type O Expected Returned key type 3 Mapped Notes into the image Yes Truncated to 252 characters. 5-4-1-3 Patient Medical Module Attribute Name Element Tag Additional Patient History 0010, 21B0 5–3 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 5-4-2 Visit/Facility Episode Entity Module 5-4-2-1 Visit Identification Module Attribute Name Element Tag Institution Name Admission ID 5-4-2-2 0008, 0080 Expected matching key type O Expected Returned key type 3 Mapped Notes into the image Yes Truncated to 48 characters. 0038, 0010 O 2 No Visit Status Module This Module is not sent as the necessary information is not available. 5-4-2-3 Visit Relationship Module This Module is not sent as the necessary information is not available. 5–4 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 5-4-3 Imaging Service Request Entity Module 5-4-3-1 Imaging Service Request Module Attribute Name Element Tag 0008, 0090 Expected matching key type O Expected Returned key type 2 Mapped Notes into the image Yes Truncated to 48 characters. Referring Physician’s Name Accession Number 0008, 0050 O 1 Yes Expected Returned key type 1 Mapped Notes into the image Yes Truncated to 64 characters. ”0” if empty. 5-4-4 Requested Procedure Entity Module 5-4-4-1 Requested Procedure Module Truncated to 16 characters. ’\’ and control characters are replaced by space character. Attribute Name Element Tag Requested Procedure ID 0040, 1001 Expected matching key type O Study Instance UID 0020, 000D O 1 Yes Truncated to 64 characters. Affected by database if empty. Requested Procedure Descrip- 0032, 1060 tion O 1C Yes Truncated to 252 characters. 5–5 Advantx DLX Dicom V3.0 (ID/NET V3.0) GE Medical Systems REV 6 Dicom Conformance Statement 2142506–100 5-4-5 Scheduled Procedure Step Entity Module 5-4-5-1 Scheduled Procedure Step Module Attribute Name Element Tag Scheduled Procedure Step Se- 0040, 0100 quence Expected matching key type R Expected Returned key type 1 Mapped Notes into the image No >Scheduled Station AE title 0040, 0001 R 1 No Zero length sent >Scheduled Station Name 0040, 0010 O 2 No local station name sent (*) >Scheduled Procedure Step 0040, 0002 Start Date R 1 No Zero length sent >Scheduled Procedure Step 0040, 0003 Start Time R 1 No Zero length sent >Scheduled Performing Physician’s Name 0040, 0006 R 2 Yes Truncated to 20 characters. >Scheduled Procedure Step ID 0040, 0009 O 1 No >Modality R 1 No 0008, 0060 Modality value = ”XA” (*) (*) This means that matching is requested upon the provided value. 5-4-5-2 SOP Common Module Attribute Name Element Tag Specific Character Set 0008, 0005 Expected matching key type O Expected Returned key type 1C Mapped Notes into the image Yes Note: Incoming worklist files MUST NOT contain study UID with a length over 62 characters. 5–6 #"&! ( 3./#). #(#2 +2 &(1 0'## &.!+*.&* .& !&$&! /&* )#-&! +-/% )#-&! #"&! ( 3./#). 5 0-+,# #(#2 -0# "# ( &*&4-# 0! #"#2 - *!#
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Key Features
- DICOM Conformance Statement
- Facilitates communication with GE imaging equipment
- Lists DICOM functions implemented by the device
- Applies to DLX Release C19.XX
Frequently Answers and Questions
What is a DICOM Conformance Statement?
A DICOM Conformance Statement is a document that describes the DICOM functions implemented by a particular piece of equipment. It is intended to facilitate communication with GE imaging equipment.
What is the purpose of this document?
This document applies to DLX Release C19.XX and lists the DICOM functions (e.g., send a CT image, send an MR image, query for images, etc.) which have been implemented by a particular piece of equipment.
What is the purpose of this document?
This document describes the DICOM functions implemented by a particular piece of equipment. It is intended to facilitate communication with GE imaging equipment.
What is the purpose of this document?
This document provides detailed information about the DICOM functions supported by the Advantx DLX system, specifically for Release C19.XX.