GE Healthcare Discovery 710, 610, Optima 560 PET-CT Scanner DICOM Conformance Statement
विज्ञापन
विज्ञापन
g
_________________________________________________________ __
GE H
EALTHCARE
Technical
Publications
Discovery 710/610 and Optima 560
DICOM Conformance Statement
5330620-1EN
Rev 13
© 2014, General Electric Company, All Rights Reserved
GE Healthcare Discovery 710/610 and Optima 560 DICOM Conformance Statement
REV 13
Direction 5330620-1EN
Page Left Intentionally Blank
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GE Healthcare Discovery 710/610 and Optima 560 DICOM Conformance Statement
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Important Precautions
Language
ПРЕДУПРЕЖДЕНИЕ
(BG)
警告
(ZH-CN)
• ТОВА УПЪТВАНЕ ЗА РАБОТА Е НАЛИЧНО САМО НА АНГЛИЙСКИ ЕЗИК.
• АКО ДОСТАВЧИКЪТ НА УСЛУГАТА НА КЛИЕНТА ИЗИСКА ЕЗИК, РАЗЛИЧЕН ОТ
АНГЛИЙСКИ, ЗАДЪЛЖЕНИЕ НА КЛИЕНТА Е ДА ОСИГУРИ ПРЕВОД.
• НЕ ИЗПОЛЗВАЙТЕ ОБОРУДВАНЕТО ПРЕДИ ДА СТЕ СЕ КОНСУЛТИРАЛИ И
РАЗБРАЛИ УПЪТВАНЕТО ЗА РАБОТА.
• НЕСПАЗВАНЕТО НА ТОВА ПРЕДУПРЕЖДЕНИЕ МОЖЕ ДА ДОВЕДЕ ДО
НАРАНЯВАНЕ НА ДОСТАВЧИКА НА УСЛУГАТА, ОПЕРАТОРА ИЛИ ПАЦИЕНТ В
РЕЗУЛТАТ НА ТОКОВ УДАР ИЛИ МЕХАНИЧНА ИЛИ ДРУГА ОПАСНОСТ.
• 本维修手册仅提供英文版本。
• 如果维修服务提供商需要非英文版本,客户需自行提供翻译服务。
• 未详细阅读和完全理解本维修手册之前,不得进行维修。
• 忽略本警告可能对维修人员,操作员或患者造成触电、机械伤害或其他形式
的伤害。
VÝSTRAHA
(CS)
ADVARSEL
(DA)
• TENTO PROVOZNÍ NÁVOD EXISTUJE POUZE V ANGLICKÉM JAZYCE.
• V PŘÍPADĚ, ŽE EXTERNÍ SLUŽBA ZÁKAZNÍKŮM POTŘEBUJE NÁVOD V JINÉM
JAZYCE, JE ZAJIŠTĚNÍ PŘEKLADU DO ODPOVÍDAJÍCÍHO JAZYKA ÚKOLEM
ZÁKAZNÍKA.
• NESNAŽTE SE O ÚDRŽBU TOHOTO ZAŘÍZENÍ, ANIŽ BYSTE SI PŘEČETLI TENTO
PROVOZNÍ NÁVOD A POCHOPILI JEHO OBSAH.
• V PŘÍPADĚ NEDODRŽOVÁNÍ TÉTO VÝSTRAHY MŮŽE DOJÍT K PORANĚNÍ
PRACOVNÍKA PRODEJNÍHO SERVISU, OBSLUŽNÉHO PERSONÁLU NEBO
PACIENTŮ VLIVEM ELEKTRICKÉHOP PROUDU, RESPEKTIVE VLIVEM
MECHANICKÝCH ČI JINÝCH RIZIK.
• DENNE SERVICEMANUAL FINDES KUN PÅ ENGELSK.
• HVIS EN KUNDES TEKNIKER HAR BRUG FOR ET ANDET SPROG END ENGELSK,
ER DET KUNDENS ANSVAR AT SØRGE FOR OVERSÆTTELSE.
• FORSØG IKKE AT SERVICERE UDSTYRET MEDMINDRE
DENNE SERVICEMANUAL HAR VÆRET KONSULTERET OG ER FORSTÅET.
• MANGLENDE OVERHOLDELSE AF DENNE ADVARSEL KAN MEDFØRE SKADE PÅ
GRUND AF ELEKTRISK, MEKANISK ELLER ANDEN FARE FOR TEKNIKEREN,
OPERATØREN ELLER PATIENTEN.
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WAARSCHUWING
(NL)
• DEZE ONDERHOUDSHANDLEIDING IS ENKEL IN HET ENGELS VERKRIJGBAAR.
• ALS HET ONDERHOUDSPERSONEEL EEN ANDERE TAAL VEREIST, DAN IS DE
KLANT VERANTWOORDELIJK VOOR DE VERTALING ERVAN.
• PROBEER DE APPARATUUR NIET TE ONDERHOUDEN VOORDAT DEZE
ONDERHOUDSHANDLEIDING WERD GERAADPLEEGD EN BEGREPEN IS.
• INDIEN DEZE WAARSCHUWING NIET WORDT OPGEVOLGD, ZOU HET
ONDERHOUDSPERSONEEL, DE OPERATOR OF EEN PATIËNT GEWOND KUNNEN
RAKEN ALS GEVOLG VAN EEN ELEKTRISCHE SCHOK, MECHANISCHE OF ANDERE
GEVAREN.
WARNING
(EN)
• THIS SERVICE MANUAL IS AVAILABLE IN ENGLISH ONLY.
• IF A CUSTOMER'S SERVICE PROVIDER REQUIRES A LANGUAGE OTHER THAN
ENGLISH, IT IS THE CUSTOMER'S RESPONSIBILITY TO PROVIDE TRANSLATION
SERVICES.
• DO NOT ATTEMPT TO SERVICE THE EQUIPMENT UNLESS
THIS SERVICE MANUAL HAS BEEN CONSULTED AND IS UNDERSTOOD.
• FAILURE TO HEED THIS WARNING MAY RESULT IN INJURY TO THE SERVICE
PROVIDER, OPERATOR, OR PATIENT FROM ELECTRIC SHOCK, OR FROM
MECHANICAL OR OTHER HAZARDS.
HOIATUS
(ET)
• KÄESOLEV TEENINDUSJUHEND ON SAADAVAL AINULT INGLISE KEELES.
• KUI KLIENDITEENINDUSE OSUTAJA NÕUAB JUHENDIT INGLISE KEELEST
ERINEVAS KEELES, VASTUTAB KLIENT TÕLKETEENUSE OSUTAMISE EEST.
• ÄRGE ÜRITAGE SEADMEID TEENINDADA ENNE EELNEVALT
KÄESOLEVA TEENINDUSJUHENDIGA TUTVUMIST JA SELLEST ARU SAAMIST.
• KÄESOLEVA HOIATUSE EIRAMINE VÕIB PÕHJUSTADA TEENUSEOSUTAJA,
OPERAATORI VÕI PATSIENDI VIGASTAMIST ELEKTRILÖÖGI, MEHAANILISE VÕI
MUU OHU TAGAJÄRJEL.
VAROITUS
(FI)
• TÄMÄ HUOLTO-OHJE ON SAATAVILLA VAIN ENGLANNIKSI.
• JOS ASIAKKAAN HUOLTOHENKILÖSTÖ VAATII MUUTA KUIN
ENGLANNINKIELISTÄ MATERIAALIA, TARVITTAVAN KÄÄNNÖKSEN
HANKKIMINEN ON ASIAKKAAN VASTUULLA.
• ÄLÄ YRITÄ KORJATA LAITTEISTOA ENNEN KUIN OLET VARMASTI LUKENUT JA
YMMÄRTÄNYT TÄMÄN HUOLTO-OHJEEN.
• MIKÄLI TÄTÄ VAROITUSTA EI NOUDATETA, SEURAUKSENA VOI OLLA
HUOLTOHENKILÖSTÖN, LAITTEISTON KÄYTTÄJÄN TAI POTILAAN
VAHINGOITTUMINEN SÄHKÖISKUN, MEKAANISEN VIAN TAI MUUN
VAARATILANTEEN VUOKSI.
ATTENTION
(FR)
• CE MANUEL DE SERVICE N'EST DISPONIBLE QU'EN ANGLAIS.
• 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.
• NE PAS TENTER D'INTERVENIR SUR LES EQUIPEMENTS
TANT QUE LE MANUEL SERVICE N'A PAS ETE CONSULTE ET COMPRIS
• 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.
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WARNUNG
(DE)
• DIESE SERVICEANLEITUNG EXISTIERT NUR IN ENGLISCHER SPRACHE.
• FALLS EIN FREMDER KUNDENDIENST EINE ANDERE SPRACHE BENÖTIGT, IST ES
AUFGABE DES KUNDEN FÜR EINE ENTSPRECHENDE ÜBERSETZUNG ZU
SORGEN.
• VERSUCHEN SIE NICHT DIESE ANLAGE ZU WARTEN,
OHNE DIESE SERVICEANLEITUNG GELESEN UND VERSTANDEN ZU HABEN
.
• WIRD DIESE WARNUNG NICHT BEACHTET, SO KANN ES ZU VERLETZUNGEN DES
KUNDENDIENSTTECHNIKERS, DES BEDIENERS ODER DES PATIENTEN DURCH
STROMSCHLÄGE, MECHANISCHE ODER SONSTIGE GEFAHREN KOMMEN.
ΠΡΟΕΙΔΟΠΟΙΗΣΗ
(EL)
• ΤΟ ΠΑΡΟΝ ΕΓΧΕΙΡΙΔΙΟ ΣΕΡΒΙΣ ΔΙΑΤΙΘΕΤΑΙ ΣΤΑ ΑΓΓΛΙΚΑ ΜΟΝΟ.
• ΕΑΝ ΤΟ ΑΤΟΜΟ ΠΑΡΟΧΗΣ ΣΕΡΒΙΣ ΕΝΟΣ ΠΕΛΑΤΗ ΑΠΑΙΤΕΙ ΤΟ ΠΑΡΟΝ ΕΓΧΕΙΡΙΔΙΟ
ΣΕ ΓΛΩΣΣΑ ΕΚΤΟΣ ΤΩΝ ΑΓΓΛΙΚΩΝ, ΑΠΟΤΕΛΕΙ ΕΥΘΥΝΗ ΤΟΥ ΠΕΛΑΤΗ ΝΑ
ΠΑΡΕΧΕΙ ΥΠΗΡΕΣΙΕΣ ΜΕΤΑΦΡΑΣΗΣ.
• ΜΗΝ ΕΠΙΧΕΙΡΗΣΕΤΕ ΤΗΝ ΕΚΤΕΛΕΣΗ ΕΡΓΑΣΙΩΝ ΣΕΡΒΙΣ ΣΤΟΝ ΕΞΟΠΛΙΣΜΟ ΕΚΤΟΣ
ΕΑΝ ΕΧΕΤΕ ΣΥΜΒΟΥΛΕΥΤΕΙ ΚΑΙ ΕΧΕΤΕ ΚΑΤΑΝΟΗΣΕΙ ΤΟ ΠΑΡΟΝ ΕΓΧΕΙΡΙΔΙΟ
ΣΕΡΒΙΣ.
• ΕΑΝ ΔΕ ΛΑΒΕΤΕ ΥΠΟΨΗ ΤΗΝ ΠΡΟΕΙΔΟΠΟΙΗΣΗ ΑΥΤΗ, ΕΝΔΕΧΕΤΑΙ ΝΑ
ΠΡΟΚΛΗΘΕΙ ΤΡΑΥΜΑΤΙΣΜΟΣ ΣΤΟ ΑΤΟΜΟ ΠΑΡΟΧΗΣ ΣΕΡΒΙΣ, ΣΤΟ ΧΕΙΡΙΣΤΗ Ή
ΣΤΟΝ ΑΣΘΕΝΗ ΑΠΟ ΗΛΕΚΤΡΟΠΛΗΞΙΑ, ΜΗΧΑΝΙΚΟΥΣ Ή ΑΛΛΟΥΣ ΚΙΝΔΥΝΟΥΣ.
FIGYELMEZTETÉS
(HU)
• EZEN KARBANTARTÁSI KÉZIKÖNYV KIZÁRÓLAG ANGOL NYELVEN ÉRHETŐ EL.
• HA A VEVŐ SZOLGÁLTATÓJA ANGOLTÓL ELTÉRŐ NYELVRE TART IGÉNYT, AKKOR
A VEVŐ FELELŐSSÉGE A FORDÍTÁS ELKÉSZÍTTETÉSE.
• NE PRÓBÁLJA ELKEZDENI HASZNÁLNI A BERENDEZÉST, AMÍG A
KARBANTARTÁSI KÉZIKÖNYVBEN LEÍRTAKAT NEM ÉRTELMEZTÉK.
• EZEN FIGYELMEZTETÉS FIGYELMEN KÍVÜL HAGYÁSA A SZOLGÁLTATÓ,
MŰKÖDTETŐ VAGY A BETEG ÁRAMÜTÉS, MECHANIKAI VAGY EGYÉB
VESZÉLYHELYZET MIATTI SÉRÜLÉSÉT EREDMÉNYEZHETI.
AÐVÖRUN
(IS)
• ÞESSI ÞJÓNUSTUHANDBÓK ER EINGÖNGU FÁANLEG Á ENSKU.
• EF AÐ ÞJÓNUSTUVEITANDI VIÐSKIPTAMANNS ÞARFNAST ANNAS TUNGUMÁLS
EN ENSKU, ER ÞAÐ SKYLDA VIÐSKIPTAMANNS AÐ SKAFFA
TUNGUMÁLAÞJÓNUSTU.
• REYNIÐ EKKI AÐ AFGREIÐA TÆKIÐ NEMA AÐ ÞESSI ÞJÓNUSTUHANDBÓK
HEFUR VERIÐ SKOÐUÐ OG SKILIN.
• BROT Á SINNA ÞESSARI AÐVÖRUN GETUR LEITT TIL MEIÐSLA Á
ÞJÓNUSTUVEITANDA, STJÓRNANDA EÐA SJÚKLINGS FRÁ RAFLOSTI, VÉLRÆNU
EÐA ÖÐRUM ÁHÆTTUM.
AVVERTENZA
(IT)
• IL PRESENTE MANUALE DI MANUTENZIONE E DISPONIBILE SOLTANTO IN
INGLESE.
• SE UN ADDETTO ALLA MANUTENZIONE ESTERNO ALLA GEHC RICHIEDE IL
MANUALE IN UNA LINGUA DIVERSA, IL CLIENTE E TENUTO A PROVVEDERE
DIRETTAMENTE ALLA TRADUZIONE.
• SI PROCEDA ALLA MANUTENZIONE DELL'APPARECCHIATURA SOLO DOPO AVER
CONSULTATO IL PRESENTE MANUALE ED AVERNE COMPRESO IL CONTENUTO
• IL NON RISPETTO 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.
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· このサービスマニュアルには英語版しかありません。
· サービスを担当される業者が英語以外の言語を要求される場合、翻訳作業
はその業者の責任で行うものとさせていただきます。
· このサービスマニュアルを熟読し理解せずに、装置のサービスを行わない
でください。
·
この警告に従わない場合、サービスを担当される方、操作員あ
るいは患者さんが、感電や機械的又はその他の危険により負
傷する可能性があります。
경고
(KO)
• 본 서비스 지침서는 영어로만 이용하실 수 있습니다.
• 고객의 서비스 제공자가 영어 이외의 언어를 요구할 경우, 번역 서비스를
제공하는 것은 고객의 책임입니다.
• 본 서비스 지침서를 참고했고 이해하지 않는 한은 해당 장비를 수리하려고
시도하지 마십시오.
• 이 경고에 유의하지 않으면 전기 쇼크, 기계상의 혹은 다른 위험으로부터
서비스 제공자, 운영자 혹은 환자에게 위해를 가할 수 있습니다.
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BRĪDINĀJUMS
• ŠĪ APKALPES ROKASGRĀMATA IR PIEEJAMA TIKAI ANGĻU VALODĀ.
(LV)
• JA KLIENTA APKALPES SNIEDZĒJAM NEPIECIEŠAMA INFORMĀCIJA CITĀ
VALODĀ, NEVIS ANGĻU, KLIENTA PIENĀKUMS IR NODROŠINĀT TULKOŠANU.
• NEVEICIET APRĪKOJUMA APKALPI BEZ APKALPES ROKASGRĀMATAS
IZLASĪŠANAS UN SAPRAŠANAS.
• ŠĪ BRĪDINĀJUMA NEIEVĒROŠANA VAR RADĪT ELEKTRISKĀS STRĀVAS TRIECIENA,
MEHĀNISKU VAI CITU RISKU IZRAISĪTU TRAUMU APKALPES SNIEDZĒJAM,
OPERATORAM VAI PACIENTAM.
ĮSPĖJIMAS
(LT)
• ŠIS EKSPLOATAVIMO VADOVAS YRA PRIEINAMAS TIK ANGLŲ KALBA.
• JEI KLIENTO PASLAUGŲ TIEKĖJAS REIKALAUJA VADOVO KITA KALBA – NE
ANGLŲ, NUMATYTI VERTIMO PASLAUGAS YRA KLIENTO ATSAKOMYBĖ.
• NEMĖGINKITE ATLIKTI ĮRANGOS TECHNINĖS PRIEŽIŪROS, NEBENT
ATSIŽVELGĖTE Į ŠĮ EKSPLOATAVIMO VADOVĄ IR JĮ SUPRATOTE.
• JEI NEATKREIPSITE DĖMESIO Į ŠĮ PERSPĖJIMĄ, GALIMI SUŽALOJIMAI DĖL
ELEKTROS ŠOKO,
• MECHANINIŲ AR KITŲ PAVOJŲ PASLAUGŲ TIEKĖJUI, OPERATORIUI AR
PACIENTUI.
ADVARSEL
(NO)
• DENNE SERVICEHÅNDBOKEN FINNES BARE PÅ ENGELSK.
• HVIS KUNDENS SERVICELEVERANDØR TRENGER ET ANNET SPRÅK, ER DET
KUNDENS ANSVAR Å SØRGE FOR OVERSETTELSE.
• IKKE FORSØK Å REPARERE UTSTYRET UTEN AT DENNE SERVICEHÅNDBOKEN ER
LEST OG FORSTÅTT.
• MANGLENDE HENSYN TIL DENNE ADVARSELEN KAN FØRE TIL AT
SERVICELEVERANDØREN, OPERATØREN ELLER PASIENTEN SKADES PÅ GRUNN
AV ELEKTRISK STØT, MEKANISKE ELLER ANDRE FARER.
OSTRZEŻENIE
(PL)
• NINIEJSZY PODRĘCZNIK SERWISOWY DOSTĘPNY JEST JEDYNIE W JĘZYKU
ANGIELSKIM.
• JEŚLI DOSTAWCA USŁUG KLIENTA WYMAGA JĘZYKA INNEGO NIŻ ANGIELSKI,
ZAPEWNIENIE USŁUGI TŁUMACZENIA JEST OBOWIĄZKIEM KLIENTA.
• NIE PRÓBOWAĆ SERWISOWAĆ WYPOSAŻENIA BEZ ZAPOZNANIA SIĘ I
ZROZUMIENIA NINIEJSZEGO PODRĘCZNIKA SERWISOWEGO.
• NIEZASTOSOWANIE SIĘ DO TEGO OSTRZEŻENIA MOŻE SPOWODOWAĆ URAZY
DOSTAWCY USŁUG, OPERATORA LUB PACJENTA W WYNIKU PORAŻENIA
ELEKTRYCZNEGO, ZAGROŻENIA MECHANICZNEGO BĄDŹ INNEGO.
ATENÇÃO
(PT-BR)
• ESTE MANUAL DE ASSISTENCIA TECNICA SO SE ENCONTRA
DISPONIVEL EM INGLES.
• SE QUALQUER OUTRO SERVIÇO DE ASSISTENCIA TECNICA, QUE NÃO
A GEHC, SOLICITAR ESTES MANUAIS NOUTRO IDIOMA, E DA
RESPONSABILIDADE DO CLIENTE FORNECER OS SERVIÇOS DE
TRADUÇÃO.
• NÃO TENTE REPARAR O EQUIPAMENTO SEM TER CONSULTADO E
COMPREENDIDO ESTE MANUAL DE ASSISTÊNCIA TÉCNICA
• O NÃO CUMPRIMENTO DESTE AVISO PODE POR EM PERIGO A
SEGURANÇA DO TÉCNICO, OPERADOR OU PACIENTE DEVIDO A
CHOQUES ELÉTRICOS, MECÂNICOS OU OUTROS.
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ATENÇÃO
(PT-PT)
• ESTE MANUAL DE ASSISTENCIA TECNICA SO SE ENCONTRA
DISPONIVEL EM INGLES.
• SE QUALQUER OUTRO SERVIÇO DE ASSISTENCIA TECNICA, QUE NÃO
A GEHC, SOLICITAR ESTES MANUAIS NOUTRO IDIOMA, E DA
RESPONSABILIDADE DO CLIENTE FORNECER OS SERVIÇOS DE
TRADUÇÃO.
• NÃO TENTE REPARAR O EQUIPAMENTO SEM TER CONSULTADO E
COMPREENDIDO ESTE MANUAL DE ASSISTÊNCIA TÉCNICA
• O NÃO CUMPRIMENTO DESTE AVISO PODE COLOCAR EM PERIGO A
SEGURANÇA DO TÉCNICO, DO OPERADOR OU DO PACIENTE DEVIDO
A CHOQUES ELÉCTRICOS, MECÂNICOS OU OUTROS.
ATENŢIE
(RO)
• ACEST MANUAL DE SERVICE ESTE DISPONIBIL NUMAI ÎN LIMBA
ENGLEZĂ.
• DACĂ UN FURNIZOR DE SERVICII PENTRU CLIENŢI NECESITĂ O ALTĂ
LIMBĂ DECÂT CEA ENGLEZĂ, ESTE DE DATORIA CLIENTULUI SĂ
FURNIZEZE O TRADUCERE.
• NU ÎNCERCAŢI SĂ REPARAŢI ECHIPAMENTUL DECÂT ULTERIOR
CONSULTĂRII ŞI ÎNŢELEGERII ACESTUI MANUAL DE SERVICE.
• IGNORAREA ACESTUI AVERTISMENT AR PUTEA DUCE LA RĂNIREA
DEPANATORULUI, OPERATORULUI SAU PACIENTULUI ÎN URMA
PERICOLELOR DE ELECTROCUTARE, MECANICE SAU DE ALTĂ NATURĂ.
ОСТОРОЖНО!
(RU)
UPOZORENJE
(SR)
• ДАННОЕ РУКОВОДСТВО ПО ОБСЛУЖИВАНИЮ ПРЕДЛАГАЕТСЯ
ТОЛЬКО НА АНГЛИЙСКОМ ЯЗЫКЕ.
• ЕСЛИ СЕРВИСНОМУ ПЕРСОНАЛУ КЛИЕНТА НЕОБХОДИМО
РУКОВОДСТВО НЕ НА АНГЛИЙСКОМ, А НА КАКОМ-ТО ДРУГОМ
ЯЗЫКЕ, КЛИЕНТУ СЛЕДУЕТ САМОСТОЯТЕЛЬНО ОБЕСПЕЧИТЬ
ПЕРЕВОД.
• ПЕРЕД ОБСЛУЖИВАНИЕМ ОБОРУДОВАНИЯ ОБЯЗАТЕЛЬНО
ОБРАТИТЕСЬ К ДАННОМУ РУКОВОДСТВУ И ПОЙМИТЕ
ИЗЛОЖЕННЫЕ В НЕМ СВЕДЕНИЯ.
• НЕСОБЛЮДЕНИЕ ТРЕБОВАНИЙ ДАННОГО ПРЕДУПРЕЖДЕНИЯ
МОЖЕТ ПРИВЕСТИ К ТОМУ, ЧТО СПЕЦИАЛИСТ ПО
ОБСЛУЖИВАНИЮ, ОПЕРАТОР ИЛИ ПАЦИЕНТ ПОЛУЧАТ УДАР
ЭЛЕКТРИЧЕСКИМ ТОКОМ, МЕХАНИЧЕСКУЮ ТРАВМУ ИЛИ ДРУГОЕ
ПОВРЕЖДЕНИЕ.
• OVO SERVISNO UPUTSTVO JE DOSTUPNO SAMO NA ENGLESKOM
JEZIKU.
• AKO KLIJENTOV SERVISER ZAHTEVA NEKI DRUGI JEZIK, KLIJENT JE
DUŽAN DA OBEZBEDI PREVODILAČKE USLUGE.
• NE POKUŠAVAJTE DA OPRAVITE UREĐAJ AKO NISTE PROČITALI I
RAZUMELI OVO SERVISNO UPUTSTVO.
• ZANEMARIVANJE OVOG UPOZORENJA MOŽE DOVESTI DO
POVREĐIVANJA SERVISERA, RUKOVAOCA ILI PACIJENTA USLED
STRUJNOG UDARA ILI MEHANIČKIH I DRUGIH OPASNOSTI.
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UPOZORNENIE
• TENTO NÁVOD NA OBSLUHU JE K DISPOZÍCII LEN V ANGLIČTINE.
(SK)
• AK ZÁKAZNÍKOV POSKYTOVATEĽ SLUŽIEB VYŽADUJE INÝ JAZYK AKO
ANGLIČTINU, POSKYTNUTIE PREKLADATEĽSKÝCH SLUŽIEB JE
ZODPOVEDNOSŤOU ZÁKAZNÍKA.
• NEPOKÚŠAJTE SA O OBSLUHU ZARIADENIA SKÔR, AKO SI
NEPREČÍTATE NÁVOD NA OBLUHU A NEPOROZUMIETE MU.
• ZANEDBANIE TOHTO UPOZORNENIA MÔŽE VYÚSTIŤ DO ZRANENIA
POSKYTOVATEĽA SLUŽIEB, OBSLUHUJÚCEJ OSOBY ALEBO PACIENTA
ELEKTRICKÝM PRÚDOM, DO MECHANICKÉHO ALEBO INÉHO
NEBEZPEČENSTVA.
ATENCION
(ES)
• ESTE MANUAL DE SERVICIO SOLO EXISTE EN INGLES.
• SI ALGUN PROVEEDOR DE SERVICIOS AJENO A GEHC SOLICITA UN
IDIOMA QUE NO SEA EL INGLES, ES RESPONSABILIDAD DEL CLIENTE
OFRECER UN SERVICIO DE TRADUCCION
• NO SE DEBERA DAR SERVICIO TECNICO AL EQUIPO,
SIN HABER CONSULTADO Y COMPRENDIDO ESTE MANUAL DE
SERVICIO
• 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.
VARNING
(SV)
• DEN HÄR SERVICEHANDBOKEN FINNS BARA TILLGÄNGLIG PÅ
ENGELSKA.
• OM EN KUNDS SERVICETEKNIKER HAR BEHOV AV ETT ANNAT SPRÅK
ÄN ENGELSKA ANSVARAR KUNDEN FÖR ATT TILLHANDAHÅLLA
ÖVERSÄTTNINGSTJÄNSTER.
• FÖRSÖK INTE UTFÖRA SERVICE PÅ UTRUSTNINGEN OM DU INTE HAR
LÄST OCH FÖRSTÅR DEN HÄR SERVICEHANDBOKEN.
• OM DU INTE TAR HÄNSYN TILL DEN HÄR VARNINGEN KAN DET
RESULTERA I SKADOR PÅ SERVICETEKNIKERN, OPERATÖREN ELLER
PATIENTEN TILL FÖLJD AV ELEKTRISKA STÖTAR, MEKANISKA FAROR
ELLER ANDRA FAROR.
DİKKAT
(TR)
• BU SERVİS KILAVUZUNUN SADECE İNGİLİZCESİ MEVCUTTUR.
• EĞER MÜŞTERİ TEKNİSYENİ BU KILAVUZU İNGİLİZCE DIŞINDA BİR
BAŞKA LİSANDAN TALEP EDERSE, BUNU TERCÜME ETTİRMEK
MÜŞTERİYE DÜŞER.
• SERVİS KILAVUZUNU OKUYUP ANLAMADAN EKİPMANLARA
MÜDAHALE ETMEYİNİZ.
• BU UYARIYA UYULMAMASI, ELEKTRİK, MEKANİK VEYA DİĞER
TEHLİKELERDEN DOLAYI TEKNİSYEN, OPERATÖR VEYA HASTANIN
YARALANMASINA YOL AÇABİLİR.
LEGAL NOTES
TRADEMARKS
All products and their name brands are trademarks of their respective holders.
OMISSIONS & ERRORS
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REV 13
Direction 5330620-1EN
Customers, please contact your GE Sales or Service representatives.
GE personnel, please use the GE Healthcare PQR Process to report all omissions, errors, and defects in this publication.
Copyrights
All Material Copyright (c) 2014 by the General Electric Company, All rights reserved.
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REV 13
Direction 5330620-1EN
REVISON HISTORY
Rev Date Author(s) Change History
1
2
3
4
May 29, 2009
May 29, 2009
May 29, 2009
May 29, 2009
Toan T. Le
Toan T. Le
Toan T. Le
Toan T. Le
Initial release.
Update for KH PPR1
Update per review comments
Update per review comments
5
6
Aug 17, 2009
Sep 16, 2009
Joe Muth
Joe Muth
Update for KH PPR2 Software Release.
Update for KH PPR2 Software Release.
7 Oct 06, 2010 C Rajasekaran Update for Dayton Release
9 Dec 20, 2011 C Rajasekaran/ Update for Optima 560 Release and CSE review comments
10 July 2, 2012
Joe Muth
C Rajasekaran Update for Eagle Release
Section 2: Network Conformance Statement is modified for coreload release RWA
Section 3: Media Conformance modified to include CD-RW/DVD-
RW/USB profiles
DVD-RAM and MOD Profiles are removed
Section 10 is added for Security Conformance
Section 8 is updated for Save State (8.3)
Appendix Section of CT is updated for 8,8 Image Type(A3.7 and
A4.4)
HCSDM00112251: SPR is addressed for PET Tags( Q Static)
11
11
R2
Sep 18, 2012
Oct 3, 2012
Joe Muth
Joe Muth
11
R3
Oct 9, 2012 Joe Muth
12 March 20,2014 Mousumi
Hazarika
13 August 08,2014 Mousumi
Hazarika
Update for Eagle per GEHC internal review comments. See document sheet for specific details.
Update for Eagle per GEHC internal review comments. See document sheet for specific details.
Update for Eagle per GEHC internal review comments. See document sheet for specific details.
Update for Eagle QR 1.2 release.
Update for Eagle QR 2.0 release
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Direction 5330620-1EN
CONFORMANCE STATEMENT OVERVIEW
This DICOM Conformance Statement captures the DICOM capabilities of the GEHC PET-CT scanners identified below. This document applies to the following software releases for each product:
Discovery 710
Discovery 610
Optima 560 pet_coreload.xx, pet_mfk.xx pet_coreload.xx, pet_mfk.xx pet_mfk.xx
Table 0.1 provides an overview of the network services supported by GEHC PET-CT products identified above
.
Table 0.1 – NETWORK SERVICES
SOP Classes User of Service
(SCU)
Provider of
Service (SCP)
Transfer
CT Image Storage
MR Image Storage
Secondary Capture Image Storage
Yes
Yes
Yes
Grayscale Softcopy Presentation State Storage
Enhanced SR
X-Ray Radiation Dose SR
RT Structure Set Storage
Positron Emission Tomography Image Storage
GE Private PET Raw Data Storage
GE Private PET List Data Storage
Query/Retrieve
Study Root Query/Retrieve Information Model – FIND
Study Root Query/Retrieve Information Model – MOVE
Print Management
Basic Grayscale Print Management Meta SOP Class
Yes
Yes
No
Yes
Yes
Basic Color Print Management Meta SOP Class
Printer SOP Class
Workflow Management
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Storage Commitment Push Model SOP Class
Modality Performed Procedure Step SOP Class*
Modality Worklist Information Model – FIND SOP Class*
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
Yes
Yes
No
No
No
No
No
No
Option*: This means that this service can be purchased separately
Table 0.2 provides an overview of the Media Storage Application Profiles supported by the PET-CT products identified above.
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Table 0.2 - MEDIA SERVICES
Media Storage Application Profile Write Files
(FSC or FSU)
Read Files
(FSR)
STD-GEN-CD
General Purpose JPEG DVD
Compact Disk – Recordable
Yes/No
DVD
Yes (FSC)
Yes
No
USB
General Purpose JPEG USB Yes (FSC) Yes
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1 TABLE OF CONTENTS
IMPORTANT PRECAUTIONS ..................................................................................................................... 3
L
ANGUAGE
............................................................................................................................................. 3
1
TABLE OF CONTENTS ..................................................................................................................... 14
1
INTRODUCTION ............................................................................................................................. 20
1.1
O
VERVIEW
................................................................................................................................. 20
1.2
O
VERALL
C
ONFORMANCE
S
TATEMENT
D
OCUMENTATION
S
TRUCTURE
......................................................... 22
1.3
I
NTENDED
A
UDIENCE
.................................................................................................................... 23
1.4
S
COPE AND
F
IELD OF
A
PPLICATION
................................................................................................... 23
1.5
I
MPORTANT
R
EMARKS
................................................................................................................... 23
1.6
R
EFERENCES
............................................................................................................................... 25
1.7
D
EFINITIONS
............................................................................................................................... 25
1.8
S
YMBOLS AND
A
BBREVIATIONS
........................................................................................................ 27
2
NETWORK CONFORMANCE STATEMENT ........................................................................................ 28
2.1
I
NTRODUCTION
............................................................................................................................ 28
2.2
2.2.1
I
MPLEMENTATION
M
ODEL
............................................................................................................... 28
Application Data Flow Diagram .................................................................................... 29
2.2.2
2.2.3
Move Images (Retrieve Request from Remote AE) ...................................................................................... 32
Move Images (Retrieve Request from Remote AE) ...................................................................................... 34
Functional Definition of AE’s .......................................................................................... 34
Sequencing of Real-World Activities .............................................................................. 36
2.3
2.3.1
AE S
2.3.1.2
PECIFICATIONS
2.3.1.1
Association Establishment Policy ................................................................................................. 37
2.3.1.1.1
2.3.1.1.2
2.3.1.1.3
2.3.1.1.4
2.3.1.2.1
Association Initiation by Real-World Activity ................................................................................. 38
2.3.1.2.1.1
2.3.1.2.1.2
2.3.1.2.1.2.2.1.1 Application Data Flow Diagram ............................................................................... 41
2.3.1.2.6.2
2.3.1.2.7
2.3.1.2.7.1
...................................................................................................................... 36
DICOM Server AE Specification ...................................................................................... 36
General ............................................................................................................................. 37
Number of Associations ..................................................................................................... 38
Asynchronous Nature ........................................................................................................ 38
Implementation Identifying Information ............................................................................. 38
Push Images ..................................................................................................................... 38
Associated Real-World Activity ....................................................................................... 38
2.3.1.2.1.2.2.1.1 GSPS Acquisition System with MWL data .............................................................................. 41
2.3.1.2.1.2.2.2.3 GSPS Acquisition System with MWL data .............................................................................. 43
2.3.1.2.2
2.3.1.2.2.1
2.3.1.2.2.2
2.3.1.2.3
2.3.1.2.3.1
2.3.1.2.3.2
2.3.1.2.4
2.3.1.2.4.1
Real-World Activity: Verify Connectivity .............................................................................. 47
2.3.1.2.4.2
2.3.1.2.5.3.2 Storage Commitment Push Model SOP Class Request Processing ........................................... 51
2.3.1.2.5.3.3 Storage Commitment Push Model SOP Class Response Processing ......................................... 51
2.3.1.2.5.3.3.1 Commit response with SUCCESS status ........................................................................... 51
2.3.1.2.5.3.3.2 Commit response with FAILURE status ............................................................................ 52
2.3.1.2.6
Real-World Activity: Modality Worklist Query ...................................................................... 52
2.3.1.2.6.1 Associated Real-World Activity ............................................................................................. 52
Proposed Presentation Contexts ..................................................................................... 38
Manual Query ................................................................................................................... 43
Associated Real-World Activity ....................................................................................... 43
Proposed Presentation Contexts ..................................................................................... 44
Real World Activity: Manual Retrieve .................................................................................. 46
Associated Real-World Activity ....................................................................................... 46
Proposed Presentation Contexts ..................................................................................... 46
Associated Real-World Activity ....................................................................................... 47
Proposed Presentation Context Table ............................................................................. 47
Proposed Presentation Context Table ............................................................................. 53
Real-World Activity: Modality Performed Procedure Step Notification .................................. 56
Sequencing of Real-World Activities ............................................................................... 56
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2.4
2.3.1.2.7.2 Proposed Presentation Context Table ................................................................................... 58
2.3.1.2.8
2.3.1.2.8.1
2.3.1.2.8.2
2.3.1.3
2.3.1.3.5
2.3.1.3.5.1
Real World Activity: Print .................................................................................................... 59
Associated Real World Activity ....................................................................................... 59
Proposed Presentation Contexts ..................................................................................... 60
Association Acceptance Policy .................................................................................................... 67
2.3.1.3.1
2.3.1.3.1.1
2.3.1.3.1.2
2.3.1.3.2
2.3.1.3.2.1
2.3.1.3.2.2
2.3.1.3.3
2.3.1.3.3.1
2.3.1.3.3.2
2.3.1.3.4
2.3.1.3.4.1
2.3.1.3.4.2
Receive Image(s) ............................................................................................................... 68
Associated Real-World Activity ....................................................................................... 68
Presentation Context Table ............................................................................................ 68
Verification Request from Remote AE ................................................................................. 70
Associated Real-World Activity ....................................................................................... 70
Presentation Context Table ............................................................................................ 71
Search Local Database (Query Request from Remote AE) .................................................... 71
Associated Real-World Activity ....................................................................................... 71
Presentation Context Table ............................................................................................ 71
Move Images (Retrieve Request from Remote AE) ............................................................... 73
Associated Real-World Activity ....................................................................................... 74
Presentation Context Table ............................................................................................ 74
Listen to remote Storage Commitment SCP ........................................................................ 75
Associated Real World Activity ....................................................................................... 75
2.3.1.3.5.2 Accepted Presentation Context Table ................................................................................... 75
2.3.1.3.5.2.1.1 Commit response with SUCCESS status ........................................................................... 75
2.3.1.3.5.2.1.2 Commit response with FAILURE status ............................................................................ 76
2.3.1.4 Presentation Context Acceptance Criterion ................................................................................ 77
2.4.1
C
OMMUNICATION
2.4.2
2.4.2.1
2.4.3
2.4.4
P
ROFILES
............................................................................................................ 77
Supported Communication Stacks (part 8) ..................................................................... 77
TCP/IP Stack ................................................................................................................ 77
Physical Media Support ............................................................................................................... 77
Additional Protocols ..................................................................................................... 77
IPv4 and IPv6 Support .................................................................................................. 77
2.5
2.5.1
2.5.2
E
XTENSIONS
/ S
PECIALIZATIONS
/ P
RIVATIZATIONS
................................................................................ 77
Standard Extended / Specialized / Private SOP Classes ................................................... 77
Private SOP Class GE PET Raw ...................................................................................... 78
2.6
C
ONFIGURATION
.......................................................................................................................... 78
2.6.1
2.6.2
AE Title/Presentation Address Mapping ......................................................................... 78
Configurable Parameters .............................................................................................. 78
2.7
S
UPPORT OF
E
XTENDED
C
HARACTER
S
ETS
........................................................................................... 82
2.8
2.8.1
2.8.2
CODES AND CONTROLLED TERMINOLOGY ................................................................................. 82
Mapped Coded Terminology ......................................................................................... 82
PET Isotope and Patient Orientation Module .................................................................. 82
2.9
SECURITY PROFILES ................................................................................................................. 82
3
MEDIA STORAGE CONFORMANCE STATEMENT .............................................................................. 84
3.1
I
NTRODUCTION
............................................................................................................................ 84
3.2
3.2.1
3.2.2
3.2.3
3.2.4
I
MPLEMENTATION
M
ODEL
: M
EDIA
S
ERVER
........................................................................................... 84
Application Data Flow Diagram .................................................................................... 84
Functional Definitions of AE's ........................................................................................ 86
Sequencing of Real World Activities ............................................................................... 86
File Meta Information for Implementation Class and Version ........................................... 86
3.3
AE S
PECIFICATIONS
...................................................................................................................... 86
3.3.1
3.3.1.1
3.3.1.2
3.3.1.2.1
3.3.1.2.2
3.3.1.2.2.1
3.3.1.2.2.2
3.3.1.2.3
DICOM Storage Media (CD /DVD /USB Storage) Interchange AE Specification ................... 86
File Meta Information for Implementation Class and Version ........................................................ 87
Real-World Activities for the DICOM Media Interchange AE ........................................................... 87
3.3.1.2.1.1
3.3.1.2.3.1
Real-World Activity (RWA) Create (Generate and Write) CD/DVD/USB ................................... 87
Application Profiles for the RWA: Create CD/DVD/USB ..................................................... 88
Real World Activity: QUERY ................................................................................................ 89
Application Profiles for the RWA: Display Directory .......................................................... 89
Media Storage Application Profile for the RWA: Display Directory: .................................... 89
Real World Activity: RESTORE ............................................................................................. 90
Application Profiles for the RWA: Local Storage – RESTORE (CD/USB) ................................ 90
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3.4
3.4.1
3.4.2
A
UGMENTED AND
P
RIVATE
A
PPLICATION
P
ROFILES
................................................................................ 91
Augmented Application Profiles .................................................................................... 91
Private Application Profiles ........................................................................................... 91
3.5
E
XTENSIONS
, S
PECIALIZATIONS AND
P
RIVATIZATION OF
SOP C
LASSES AND
T
RANSFER
S
YNTAX
........................... 91
3.5.1
3.5.1.1
SOP Specific Conformance Statement for CT SOP Class ................................................................ 91
3.5.1.2
3.5.1.3
3.5.2
Extensions, Specializations and Privatizations of SOP Classes ......................................... 91
SOP Specific Conformance Statement for MR SOP Class ............................................................... 91
SOP Specific Conformance Statement for PET SOP Class .............................................................. 91
Private Transfer Syntax Specification ............................................................................. 91
3.6
C
ONFIGURATION
.......................................................................................................................... 92
3.7
S
UPPORT OF
E
XTENDED
C
HARACTER
S
ETS
........................................................................................... 92
4
PRINT MANAGEMENT IMPLEMENTATION ....................................................................................... 93
4.1
I
NTRODUCTION
................................................................................................................................ 93
4.2
B
ASIC
F
ILM
S
ESSION
SOP C
LASS
........................................................................................................... 93
4.2.1
Basic Film Session N-Create Attributes .......................................................................... 93
4.3
B
ASIC
F
ILM
B
OX
SOP C
LASS
........................................................................................................... 93
4.3.1
Basic Film Box N-Create Attributes ................................................................................ 93
4.4
B
ASIC
G
RAYSCALE
I
MAGE
B
OX
SOP C
LASS
......................................................................................... 95
4.5
B
ASIC
C
OLOR
I
MAGE
B
OX
SOP C
LASS
............................................................................................... 96
4.6
P
RINTER
SOP C
LASS
.................................................................................................................... 97
5
STORAGE COMMITMENT PUSH MODEL IMPLEMENTATION ............................................................. 99
5.1
S
TORAGE
C
OMMITMENT
P
USH
M
ODEL
I
NFORMATION
O
BJECT
D
EFINITION
................................................... 99
5.1.1 Storage Commitment Module for N-ACTION ............................................................................. 99
5.1.2 Storage Commitment Module for N-EVENT-REPORT .................................................................. 99
5.1.2.1 Processing of Failure Reason when received in a N-Event-Report ..................................................... 100
6 MODALITY WORK LIST QUERY IMPLEMENTATION ............................................................................. 101
6.1 MODALITY WORKLIST INFORMATION MODEL DEFINITION ............................................................. 101
6.1.1
I
NTRODUCTION
........................................................................................................................... 101
6.1.1
6.1.2
6.1.3
6.1.3.1
6.1.3.2
6.1.3.3
6.1.3.4
6.1.3.5
6.1.4
6.1.5
6.1.6
6.1.7
6.1.8
6.1.8.1
6.1.8.2
6.1.9
6.1.9.1
6.1.10
Requested Procedure Module .................................................................................................... 107
6.1.10.1
6.1.11
6.1.11.1
6.1.11.2
6.1.11.3
6.1.11.4
6.1.12
6.1.12.1
Modality Worklist Information Model Description ......................................................... 101
Modality Worklist Information Model Entity-Relationship Model .................................... 101
Entity Descriptions ..................................................................................................... 102
Scheduled Procedure Step ........................................................................................................ 102
Requested Procedure Entity Description .................................................................................... 102
Imaging Service Request Entity Description ............................................................................... 102
Visit Entity Description ............................................................................................................... 103
Patient Entity Description .......................................................................................................... 103
Modality Worklist Mapping of DICOM Entities ............................................................... 103
Information Model Module Table ................................................................................. 103
Information Model Keys .............................................................................................. 104
Supported Matching ................................................................................................... 105
Scheduled Procedure Step Entity ................................................................................. 105
SOP Common Module ............................................................................................................... 105
Scheduled Procedure Step Module ............................................................................................ 105
Requested Procedure Entity ........................................................................................ 107
Imaging Service Request Entity ................................................................................... 108
Imaging Service Request Module ............................................................................................... 108
Visit Entity .................................................................................................................. 109
Visit Identification ..................................................................................................................... 109
Visit Status ............................................................................................................................... 109
Visit Relationship ...................................................................................................................... 110
Visit Admission ......................................................................................................................... 110
Patient Entity ............................................................................................................. 110
Patient Relationship .................................................................................................................. 110
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6.1.12.2
6.1.12.3
6.1.12.4
Patient Identification ................................................................................................................. 110
Patient Demographic ................................................................................................................ 111
Patient Medical ......................................................................................................................... 111
6.2
P
RIVATE
D
ATA
D
ICTIONARY
........................................................................................................... 111
6.3
U
SE OF
S
PECIFIC
DICOM D
ATA
..................................................................................................... 115
6.4
S
ETTING
U
SER
P
REFERENCES
........................................................................................................ 116
6.4.1
6.4.2
Setting “Use MWL Study UID” Option ........................................................................... 116
Setting Custom Query Option ...................................................................................... 116
7
MODALITY PERFORMED PROCEDURE STEP IMPLEMENTATION ..................................................... 117
7.1
I
NTRODUCTION
.......................................................................................................................... 117
7.2
N-CREATE & N-SET REQUEST MESSAGE ................................................................................... 117
7.3
7.4
7.4.1 Patient Level ......................................................................................................................... 122
7.4.2
7.4.3
MODALITY PERFORMED PROCEDURE STEP MODULE DEFINITIONS ............................................ 118
Use of Specific DICOM Data ........................................................................................ 122
Study Level ................................................................................................................ 122
Series Level ................................................................................................................ 122
8
GRAYSCALE SOFTCOPY PRESENTATION STATE IMPLEMENTATION ............................................... 124
8.1
I
NTRODUCTION
.......................................................................................................................... 124
8.2
PET M
APPING OF
DICOM
ENTITIES
................................................................................................ 124
8.3
IOD M
ODULE
T
ABLE
................................................................................................................... 124
8.4
I
NFORMATION
M
ODULE
D
EFINITION
................................................................................................ 125
8.5
8.5.1
8.5.2
I
MAGE
H
EADER
C
HANGES
S
UPPORTING
GSPS ................................................................................... 129
Request Attributes Sequence ...................................................................................... 129
Accession Number ..................................................................................................... 130
9
S
TRUCTURED
R
EPORT
I
NFORMATION
O
BJECT
I
MPLEMENTATION
.............................................................. 131
9.1
IOD M
ODULE
T
ABLE
................................................................................................................... 131
9.2
SR D
OCUMENT
S
ERIES
M
ODULE
.................................................................................................... 131
9.3
SR D
OCUMENT
G
ENERAL
M
ODULE
................................................................................................. 131
9.4
SR D
OCUMENT
C
ONTENT
M
ODULE
................................................................................................. 133
9.4.1
9.4.2
9.4.3
TID 10011 – CT Radiation Dose ................................................................................... 133
TID 10012 – CT Accumulated Dose Data ...................................................................... 134
TID 10013 – CT Irradiation Event Data ......................................................................... 135
9.5
C
ONFIGURATION
........................................................................................................................ 137
APPENDIX A:
CT/PET IMAGE AND SECONDARY CAPTURE MODULES/ATTRIBUTES .......................... 139
A.1
CT S
PECIFIC
IOD D
EFINITION
........................................................................................................ 139
A.1.1
CT Image IOD Modules ............................................................................................... 139
A.2
A.2.1
SC
A.2.2
A.2.2.1
I
MAGE
IOD .......................................................................................................................... 139
SC Image IOD Modules ............................................................................................... 139
CT Dose Report SC Image Details ................................................................................ 140
Implementation Specific details ................................................................................................. 141
A.3
C
OMMON
M
ODULES
................................................................................................................... 141
A.3.1
A.3.2
A.3.3
A.3.4
A.3.5
A.3.6
A.3.7
Patient Module ........................................................................................................... 141
General Study Module ................................................................................................ 142
Patient Study Module ................................................................................................. 142
General Series Module ................................................................................................ 142
Frame of Reference Module ........................................................................................ 143
General Equipment Module ......................................................................................... 143
General Image Module ............................................................................................... 144
A.4
A.4.1
A.4.2
CT I
MAGE
M
ODULES
................................................................................................................... 145
Image Plane Module ................................................................................................... 145
Image Pixel Module .................................................................................................... 145
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A.5
A.4.3
A.4.4
A.4.5
A.4.6
A.5.1
A.5.2
A.5.3
A.5.4
SC I
Contrast Bolus Module ............................................................................................... 146
CT Image Module ....................................................................................................... 146
VOI LUT Module ......................................................................................................... 149
SOP Common Module ................................................................................................. 150
MAGE
M
ODULES
................................................................................................................... 150
SC Equipment Module ................................................................................................ 150
Image Pixel Module .................................................................................................... 150
VOI LUT Module ......................................................................................................... 150
SOP Common Module ................................................................................................. 151
A.7.11
A.7.12
A.7.13
A.7.14
A.7.15
A.7.16
A.7.17
A.7.18
A.7.19
A.7.20
A.7.21
A.7.22
A.7.23
A.7.24
A.6
A.7
O
THER
A
TTRIBUTES
.................................................................................................................... 151
A.7.1
A.7.2
A.7.3
A.7.4
A.7.5
A.7.6
A.7.7
A.7.8
PET
A.7.9
A.7.10
S
PECIFIC
IOD C
OMMON
M
ODULE
D
EFINITIONS
............................................................................ 152
PET Image IOD Modules .............................................................................................. 152
Patient Module ........................................................................................................... 152
General Study Module ................................................................................................ 153
Patient Study Module ................................................................................................. 153
Discovery PET Exam Module ....................................................................................... 154
General Series Module ................................................................................................ 154
PET Series Module ...................................................................................................... 155
Acquisition Context Module ........................................................................................ 157
PET Isotope Module .................................................................................................... 157
PET Multi-gated Acquisition Module ............................................................................. 161
NM/PET Patient Orientation Module ............................................................................ 161
Discovery PET Image Set Module ................................................................................. 162
Discovery PET Scan Module ........................................................................................ 162
Frame of Reference Module ........................................................................................ 162
General Equipment Module ......................................................................................... 162
General Image Module ............................................................................................... 163
Image Plane Module ................................................................................................... 164
Image Pixel Module .................................................................................................... 164
PET Image Module ..................................................................................................... 165
Overlay Plane Module ................................................................................................. 167
VOI LUT Module ......................................................................................................... 167
Discovery PET Image Module ...................................................................................... 168
Discovery PET Frame Module ...................................................................................... 168
SOP Common ............................................................................................................ 168
APPENDIX B:
PRIVATE DATA ELEMENTS ......................................................................................... 169
B.1
B.1.1
B.1.2
B.1.3
B.1.4
B.1.5
B.1.6
CT
B.1.7
B.1.8
B.1.9
B.1.10
B.1.11
B.1.12
I
MAGE
IOD P
RIVATE
D
ATA
E
LEMENTS
D
EFINITION
.......................................................................... 169
Private Creator Identification (GEMS_IDEN_01) ............................................................. 169
Private Creator Identification (GEMS_ACQU_01) ........................................................... 169
Private Creator Identification (GEMS_RELA_01) ............................................................ 170
Private Creator Identification (GEMS_STDY_01) ............................................................ 170
Private Creator Identification (GEMS_IMAG_01) ............................................................ 170
Private Creator Identification (GEMS_0039) .................................................................. 170
Private Creator Identification (GEMS_0039) .................................................................. 170
Private Creator Identification (GEMS_PARM_01) ........................................................... 170
Private Creator Identification(GEMS_HELIOS_01) .......................................................... 171
Private Creator Identification (GEMS_CT_CARDIAC_001) ............................................... 172
Private Creator Identification (GEHC_CT_ADVAPP_001) ................................................ 172
Private Creator Identification (GEMS_PETD_01) ............................................................ 173
B.2
PET I
MAGE
IOD P
RIVATE
D
ATA
E
LEMENTS
D
EFINITION
......................................................................... 173
B.2.1
B.2.2
B.2.3
B.2.4
B.2.5
Private Creator Identification (GEMS_PETD_01) ............................................................ 173
Discovery PET Patient Module ..................................................................................... 173
Discovery PET Exam Module ....................................................................................... 174
Discovery PET Scan Module ........................................................................................ 174
Discovery PET Frame Module ...................................................................................... 177
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Discovery PET ImageSet Module ................................................................................. 179
Discovery PET Image Module ...................................................................................... 183
APPENDIX C:
DICOMDIR DIRECTORY INFORMATION ...................................................................... 185
C.1
B
ASIC
D
IRECTORY
IOD D
EFINITION
................................................................................................. 185
C.2
F
ILE
S
ET
I
DENTIFICATION
M
ODULE
.................................................................................................. 185
C.3
D
IRECTORY
I
NFORMATION
M
ODULE
................................................................................................ 185
C.4
D
IRECTORY
R
ECORD
S
ELECTION
K
EYS
.............................................................................................. 186
C.4.1 Patient Keys ......................................................................................................................... 186
C.4.2 Study Keys ........................................................................................................................... 186
C.4.3 Series Keys ........................................................................................................................... 187
C.4.4 Image Keys .......................................................................................................................... 188
C.4.5 PRESENTATION Keys ............................................................................................................. 190
C.4.6 STRUCTURED REPORT Keys ................................................................................................... 190
C.4.7 PRIVATE (GEMS PET RAW) Keys .............................................................................................. 191
APPENDIX D:
GE DISCOVERY PRIVATE PET RAW DATA .................................................................... 192
D.1
D.1.1
D.1.2
D.1.3
D.1.4
D.1.5
D.1.6
D.1.7
D.1.8
D.1.9
GE
D.1.10
D.1.13
P
D.1.10.1
D.1.11
D.1.12
RIVATE
PET R
AW
D
ATA
I
NFORMATION
O
BJECT
I
MPLEMENTATION
...................................................... 192
Discovery PET RAW Data Patient Entity Module ............................................................ 192
Discovery PET RAW Data Exam Module ....................................................................... 192
Discovery PET RAW Data Scan Entity Modules ............................................................. 193
Discovery PET RAW Data Equipment Entity Modules .................................................... 193
Private Creator Identification Information .................................................................... 193
Discovery PET Patient Module ..................................................................................... 193
Discovery PET Exam Module ....................................................................................... 193
Discovery PET Scan Module ........................................................................................ 193
Discovery PET Frame Module ...................................................................................... 193
General Modules ........................................................................................................ 194
SOP Common Module Attributes ................................................................................................ 194
Discovery PET Raw Data Module ................................................................................. 194
Discovery PET Correction Cal Module .......................................................................... 195
Discovery PET Well Counter Module ............................................................................ 196
D.2
D.2.1
D.2.2
D.2.3
D.2.4
D.2.5
D.2.6
D.2.7
D.2.8
D.2.9
GE
D.2.10
D.2.13
P
D.2.10.1
D.2.11
D.2.12
RIVATE
PET L
IST
D
ATA
I
NFORMATION
O
BJECT
I
MPLEMENTATION
....................................................... 198
Discovery PET LIST Data Patient Entity Module ............................................................. 198
Discovery PET LIST Data Exam Module ........................................................................ 198
Discovery PET LIST Data Scan Entity Modules .............................................................. 199
Discovery PET LIST Data Equipment Entity Modules ...................................................... 199
Private Creator Identification Information .................................................................... 199
Discovery PET Patient Module ..................................................................................... 199
Discovery PET Exam Module ....................................................................................... 199
Discovery PET Scan Module ........................................................................................ 199
Discovery PET Frame Module ...................................................................................... 199
General Modules ........................................................................................................ 200
SOP Common Module Attributes ................................................................................................ 200
Discovery PET List Data Module .................................................................................. 200
Discovery PET Correction Cal Module .......................................................................... 201
Discovery PET Well Counter Module ............................................................................ 202
APPENDIX E:
IMPLEMENTATION UID FOR PRODUCT VERSIONS ...................................................... 204
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1 INTRODUCTION
Note: Throughout this entire document the term “Discovery” refers to the following Discovery products:
Discovery 710/610 64 Slice: Software Version pet_coreload.XX
Discovery 710/610 16 Slice: Software Version pet_mfk.XX
Optima 560/560FX: Software Version pet_mfk.XX
Note: The Discovery product lines present an Image Works desktop, which contains advanced applications offered on the Advantage Workstation. The DICOM Conformance Statements related to these applications can be found at the following website: http://www.ge.com/dicom
Advanced Application
CardIQ Physio
Dynamic Vue
DICOM Conformance Statement Reference on website
CardIQ Physio DOC0267787 Rev 5
Dynamic VUE 5248182-100 Rev 1
MotionVUE 2
Cardiac (CardIQ Plus, CardEP)
MotionVUE 2 DOC0611467 Rev 4
Volume Viewer 9.x Applications 2087557 Rev 1
CT Perfusion 4 Multi-organ and Neuro CT Perfusion V4.0 2329613-100 Rev 0
Reformat Volume Viewer 9.x Applications 2087557 Rev 1
Volume Viewer Volume Viewer 9.x Applications 2087557 Rev 1
Advantage CT Colonography Pro
Advanced Vessel Analysis
Advantage 4D
IOS/Nuevo
Volume Viewer 9.x Applications 2087557 Rev 1
Volume Viewer 9.x Applications 2087557 Rev 1
DOC0685777 Rev 1 Ver 3
DOC0924600 Rev 3
1.1 Overview
This DICOM Conformance Statement is divided into Sections as described below:
Section 1 – Introduction, which describes the overall structure, intent, and references for this
Conformance Statement.
Section 2 - Network Conformance Statement, which specifies GEHC PET compliance to the DICOM requirements for the implementation of networking features.
Section 3 - Media Storage Conformance Statement, which specifies GEHC PET compliance to the
DICOM requirements for the implementation of Media Storage features.
Section 4 – Print Management Implementation, which specifies GEHC PET compliance to DICOM requirements for the implementation of the Print management service.
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Section 5 - Storage Commitment Push Model Implementation, which specifies the GEHC PET compliance to DICOM requirements for the implementation of the Storage Commitment service, to store the images using remote DICOM entity, which is Storage Commitment SCP.
Section 6 -Modality Worklist Query Implementation - which specifies GEHC PET compliance to
DICOM requirements for the implementation of the Modality Worklist service. ModalityWorklist is providing the DICOM C-FIND service as a service class user (SCU).
Section 7 – Modality Performed Procedure Step Implementation - which specifies GEHC PET compliance to DICOM requirements for the implementation of the Modality Performed Procedure
Step service. The PPS option allows a Modality Performed Procedure Step to be communicated to the Hospital/Radiology information system. The PPS feature is providing the DICOM Modality
Performed Procedure Step service as a service class user (SCU).
Section 8 - Gray Scale Softcopy Presentation State Implementation - which specifies GEHC PET compliance to DICOM requirements for the implementation of the Grayscale Softcopy Presentation
State IOD.
Section 9 - Structured Report Information Object Implementation - which specifies the GEHC PET compliance to DICOM requirements for the implementation of the CT X-ray Radiation Dose /
Enhanced Structured Report.
Appendix A specifies the CT/PET/MR IOD information object.
Appendix B specifies the private data element definition for CT/PET/MR IOD.
Appendix C specifies the DICOMDIR directory information.
Appendix D specifies the private data element definition for PET Raw and List Data.
Appendix E specifies Implementation UIDs for different product versions.
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1.2 Overall Conformance Statement Documentation Structure
The Documentation Structure of the GEHC DICOM Conformance Statements is shown in the Illustration below.
GEHC DICOM Conformance Statements
@
http://www.ge.com/DICOM
Product
Implementation:
APPLICATION ENTITY SPECIFICATION
(SERVICE CLASSES, INFORMATION OBJECTS, MESSAGE EXCHANGES, ETC.)
CT Advantage
Conformance
MR Advantage
Conformanc e
PET Dis covery
Direction:
Direction:
Optima 560
Conformance
Statement
D irection:
5330620-1EN
......
C onformanc e
Statement
Direc tion:
......
Standard
Specification:
DICOM STANDARD
DICOM
Part 1
DICOM
Part 2
DICOM
Part 3
DIC OM
Part 4
DIC OM
Part 16
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This DICOM Conformance Statement documents the DICOM Conformance Statement and Technical
Specification required to interoperate with the GEHC network interface.
The GEHC Conformance Statement, contained in this document, also specifies the Lower Layer communications, which it supports (e.g., TCP/IP). However, the Technical Specifications are defined in the DICOM Part 8 standard.
For more information regarding DICOM, copies of the Standard may be obtained on the Internet at http://medical.nema.org
. Comments on the Standard may be addressed to:
DICOM Secretariat
NEMA
1300 N. 17 th
Street, Suite 1742
Rosslyn, VA 22209
USA
Phone: +1.703.841.3200
1.3 Intended Audience
The reader of this document is concerned with software design and/or system integration issues. It is assumed that the reader of this document is familiar with the DICOM Standard and with the terminology and concepts which are used in that Standard.
1.4 Scope and Field of Application
It is the intent of this document to provide an unambiguous specification for GEHC implementations.
This specification, called a Conformance Statement, includes a DICOM Conformance Statement and is necessary to ensure proper processing and interpretation of GEHC medical data exchanged using
DICOM. The GEHC Conformance Statements are available to the public.
The reader of this DICOM Conformance Statement should be aware that different GEHC devices are capable of using different Information Object Definitions. For example, a GEHC CT Scanner may send images using the CT Information Object, MR Information Object, Secondary Capture Object, etc.
Included in this DICOM Conformance Statement are the Module Definitions which define all data elements used by this GEHC implementation. If the user encounters unspecified private data elements while parsing a GEHC Data Set, the user is well advised to ignore those data elements (per the DICOM standard). Unspecified private data element information is subject to change without notice. If, however, the device is acting as a "full fidelity storage device", it should retain and retransmit all of the private data elements which are sent by GEHC devices.
1.5 Important Remarks
The use of these DICOM Conformance Statements, in conjunction with the DICOM Standards, is intended to facilitate communication with GE imaging equipment. However, by itself, it is not
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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:
• Integration
The integration of any device into an overall system of interconnected devices goes beyond the scope of standards (DICOM), and of this introduction and associated DICOM
Conformance Statements when interoperability with non-GE equipment is desired. The responsibility to analyze the applications requirements and to design a solution that integrates GE imaging equipment with non–GE systems is the user's responsibility and should not be underestimated. The user is strongly advised to ensure that such an integration analysis is correctly performed.
• Validation
Testing the complete range of possible interactions between any GE device and non–GE devices, before the connection is declared operational, should not be overlooked. Therefore, the user should ensure that any non–GE provider accepts full responsibility for all validation required for their connection with GE devices. This includes the accuracy of the image data once it has crossed the interface between the GE imaging equipment and the non–GE device and the stability of the image data for the intended applications. Such a validation is required before any clinical use (diagnosis and/or treatment) is performed. It applies when images acquired on GE imaging equipment are processed/displayed on a non-GE device, as well as when images acquired on non-GE equipment is processed/displayed on a GE console or workstation.
• Future Evolution
GE understands that the DICOM Standard will evolve to meet the user's growing requirements. GE is actively involved in the development of the DICOM Standard. DICOM will incorporate new features and technologies and GE may follow the evolution of the Standard.
The GEHC protocol is based on DICOM as specified in each DICOM Conformance Statement.
Evolution of the Standard may require changes to devices which have implemented DICOM.
In addition, GE reserves the right to discontinue or make changes to the support of communications features (on its products) described by these DICOM Conformance
Statements. The user should ensure that any non–GE 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.
•
Interaction
It is the sole responsibility of the non–GE provider to ensure that communication with the interfaced equipment does not cause degradation of GE imaging equipment performance and/or function.
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1.6 References
NEMA PS3 Digital Imaging and Communications in Medicine (DICOM) Standard, available free at http://medical.nema.org/
1.7 Definitions
Informal definitions are provided for the following terms used in this Conformance Statement. The
DICOM Standard is the authoritative source for formal definitions of these terms.
Abstract Syntax – the information agreed to be exchanged between applications, generally equivalent to a Service/Object Pair (SOP) Class. Examples: Verification SOP Class, Modality Worklist
Information Model Find SOP Class, Computed Radiography Image Storage SOP Class.
Application Entity (AE) – an end point of a DICOM information exchange, including the DICOM network or media interface software; i.e., the software that sends or receives DICOM information objects or messages. A single device may have multiple Application Entities.
Application Entity Title – the externally known name of an Application Entity, used to identify a
DICOM application to other DICOM applications on the network.
Application Context – the specification of the type of communication used between Application
Entities. Example: DICOM network protocol.
Association – a network communication channel set up between Application Entities.
Attribute – – a unit of information in an object definition; a data element identified by a tag. The information may be a complex data structure (Sequence), itself composed of lower level data elements. Examples: Patient ID (0010, 0020), Accession Number (0008, 0050), Photometric
Interpretation (0028, 0004), Procedure Code Sequence (0008, 1032).
Information Object Definition (IOD) – the specified set of Attributes that comprise a type of data object; does not represent a specific instance of the data object, but rather a class of similar data objects that have the same properties. The Attributes may be specified as Mandatory (Type 1),
Required but possibly unknown (Type 2), or Optional (Type 3), and there may be conditions associated with the use of an Attribute (Types 1C and 2C). Examples: MR Image IOD, CT Image IOD,
Print Job IOD.
Joint Photographic Experts Group (JPEG) – a set of standardized image compression techniques, available for use by DICOM applications.
Media Application Profile – the specification of DICOM information objects and encoding exchanged on removable media (e.g., CDs)
Module – a set of Attributes within an Information Object Definition that are logically related to each other. Example: Patient Module includes Patient Name, Patient ID, Patient Birth Date, and Patient
Sex.
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Negotiation – first phase of Association establishment that allows Application Entities to agree on the types of data to be exchanged and how that data will be encoded.
Presentation Context – the set of DICOM network services used over an Association, as negotiated between Application Entities; includes Abstract Syntaxes and Transfer Syntaxes.
Protocol Data Unit (PDU) – a packet (piece) of a DICOM message sent across the network. Devices must specify the maximum size packet they can receive for DICOM messages.
Security Profile – a set of mechanisms, such as encryption, user authentication, or digital signatures, used by an Application Entity to ensure confidentiality, integrity, and/or availability of exchanged DICOM data
Service Class Provider (SCP) – role of an Application Entity that provides a DICOM network service; typically, a server that performs operations requested by another Application Entity (Service Class
User). Examples: Picture Archiving and Communication System (image storage SCP, and image query/retrieve SCP), Radiology Information System (modality worklist SCP).
Service Class User (SCU) – role of an Application Entity that uses a DICOM network service; typically, a client. Examples: imaging modality (image storage SCU, and modality worklist SCU), imaging workstation (image query/retrieve SCU)
Service/Object Pair (SOP) Class – the specification of the network or media transfer (service) of a particular type of data (object); the fundamental unit of DICOM interoperability specification.
Examples: Ultrasound Image Storage Service, Basic Grayscale Print Management.
Service/Object Pair (SOP) Instance – information object; a specific occurrence of information exchanged in a SOP Class. Examples: a specific x-ray image.
Tag – a 32-bit identifier for a data element, represented as a pair of four digit hexadecimal numbers, the “group” and the “element”. If the “group” number is odd, the tag is for a private
(manufacturer-specific) data element. Examples: (0010, 0020) [Patient ID], (07FE, 0010) [Pixel Data],
(0019,0210) [private data element]
Transfer Syntax – the encoding used for exchange of DICOM information objects and messages.
Examples: JPEG compressed (images), little endian explicit value representation.
Unique Identifier (UID) – a globally unique “dotted decimal” string that identifies a specific object or a class of objects; an ISO-8824 Object Identifier. Examples: Study Instance UID, SOP Class UID, SOP
Instance UID.
Value Representation (VR) – the format type of an individual DICOM data element, such as text, an integer, a person’s name, or a code. DICOM information objects can be transmitted with either explicit identification of the type of each data element (Explicit VR), or without explicit identification
(Implicit VR); with Implicit VR, the receiving application must use a DICOM data dictionary to look up the format of each data
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1.8 Symbols and Abbreviations
AE Application Entity
CD-R Compact Disk Recordable
CT Computed Tomography
DICOM Digital Imaging and Communications in Medicine
FSC File-Set Creator
FSU File-Set Updater
FSR File-Set Reader
GSPS Grayscale Softcopy Presentation State
HIS Hospital Information System
IHE Integrating the Healthcare Enterprise
IOD Information Object Definition
JPEG Joint Photographic Experts Group
MPPS Modality Performed Procedure Step
MSPS Modality Scheduled Procedure Step
MTU Maximum Transmission Unit (IP)
MWL Modality Worklist
NTP Network Time Protocol
O Optional (Key Attribute)
PACS Picture Archiving and Communication System
PET Positron Emission Tomography
R Required (Key Attribute)
RIS Radiology Information System
SC Secondary Capture
SCP Service Class Provider
SCU Service Class User
SOP Service-Object Pair
SR Structured Reporting
TCP/IP Transmission Control Protocol/Internet Protocol
U Unique (Key Attribute)
VR Value Representation
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2 NETWORK CONFORMANCE STATEMENT
2.1 Introduction
This Conformance Statement (CS) specifies the Discovery and Optima compliance to DICOM. It details the DICOM Service Classes and roles that are supported by this product. For the remainder of this document, the term Discovery will also include the Optima product configurations unless specifically noted.
The GEHC Discovery product uses DICOM services to support the following functionalities:
• Import images for possible further analysis and/or processing
• Export images to other DICOM-compliant machines
• Confirm that a DICOM image has been permanently stored (archived) by a device
• Query for and display DICOM modality worklist information from a remote hospital or radiology department information systems
• Communicate Modality Performed Procedure Step to the Hospital/Radiology information systems
• Print images on DICOM Compliant Printers
2.2 Implementation Model
All DICOM functionality on the Discovery product is handled by the DICOM Server Application Entity
(AE). The DICOM Server AE is commanded to perform DICOM services through the buttons and menu selections on the main user interface panel. The DICOM Server AE is also listening to a pre-defined port for incoming connections.
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2.2.1 Application Data Flow Diagram
ILLUSTRATION 2-0
IMPLEMENTATION MODEL DATA FLOW DIAGRAM
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There are several Real-World Activities that will cause the DICOM Server Application Entity (DICOM
Server AE) to initiate a DICOM association to a remote DICOM Application Entity.
Real world Activities for Discovery 710, Discovery 610 and Optima 560 (SW Version: pet_mfk.xx)
Push Images
This Real-World activity consists of an operator selecting one or more study, series or image in the local database manager and choosing either “Push Examination”, “Push Series” or
“Push Image from the “Network” pull-down menu on the local database manager to send the image(s) to a selected destination.
Manual Query
This Real-World Activity causes the DICOM Server AE to initiate an association to the Remote
DICOM AE and request the list of all studies. Once the DICOM Server AE receives the list of studies, it will select the first study (as determined through the local database manager list sort criterion) and request the list of series for that study. After receiving the list of series the
DICOM Server AE will ask for the list of images for the first series in the list. The operator can then select any study in the study list to retrieve the list of series and images.
Manual Retrieve
This Real-World Activity will be available once the Manual Query activity is performed. The operator can now select one or more study (series or image) and ask the DICOM Server AE to retrieve the selected image(s) from the Remote DICOM AE by choosing “Get Examination”,
“Get Series”, or “Get Images”.
Verify Connectivity
This Real-World Activity consists of an operator selecting “Ping DICOM host” from the
“Network” pull down menu. This will cause the DICOM Server AE to initiate a “DICOM
Verification Request” to the remote AE, to verify the remote system activeness.
Remote Archive
This Real-World activity consists of an operator choosing a remote DICOM AE that supports
Storage Commitment as provider as the archive device and selecting one or more exam or series from the local database and choosing either Save Exam or Save Series from the archive menu. The images to be committed are sent to the remote provider entity first. The
Commitment request for the transferred image instances is sent after the complete image transfer. The Commitment response must come on a different association.
Modality Worklist Query
The operator or the system initiates a modality worklist query to the modality worklist SCP with a given set of query parameters. The modality worklist SCP returns responses matching the query parameters. Worklist items from the returned worklist query responses are
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Modality Performed Procedure Step Notification
When the user begins the image acquisition process and generates the first image, the
DICOM SERVER AE sends N-CREATE message to the configured MPPS SCP to indicate that the image acquisition process has been started for the requested procedure. The operator can close the acquisition session either by completing the acquisition process or discontinuing the ongoing scan. On closing the acquisition session, the DICOM SERVER AE sends N-SET message to the configured MPPS SCP to indicate the acquisition state of the requested procedure, with appropriate MPPS status (COMPLETED/DISCONTINUED).
The Film Composer allows the operator to select printers and it also allows the user to drag and drop the images (from viewer application) into the film. When user presses the "Print"
Button, the DICOM SERVER AE tries to establish the association with requested printer and sends the images for printing.
Receive Images
When remote DICOM hosts send DICOM images to DICOM SERVER AE, images are installed in the local database. The browser displays the content of the local database.
Search Local Database (Query Request from Remote AE)
For this operation, a remote DICOM AE asks to obtain the list of data at study/Series/Image level. Once a Query request is received, the DICOM Server AE will search the local database for all entries that match the keys requested by the Remote DICOM AE and send back the list of matches.
Move Images (Retrieve Request from Remote AE)
For this operation, a remote DICOM AE asks to send data at Study/Series/Image level from the local AE to another DICOM Remote AE. The Remote DICOM AE shall be declared locally on the system.
Listen to remote Storage Commitment SCP
The DICOM SERVER AE is indefinitely listening for association requests. No operator action is required to receive a Storage Commitment notification (N-EVENT-REPORT).
Real world Activities for Discovery 710 and Discovery 610 (SW Version: pet_coreload.xx)
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Push Images
This Real-World Activity consists of an operator selecting one or more studies, series, or images in the local database browser. The operator then clicks on the destination button in the network panel at the bottom of the local database browser. Real-World Activity, Query
Remote, causes the DICOM Server AE to initiate an association to the Remote DICOM AE and request the list of all studies. Once the DICOM Server AE receives the list of studies, the operator will have to choose the study and the local database browser will list the series of the study chosen. After receiving the list of series the DICOM Server AE will ask for the list of images for the series chosen by the operator.
Manual Query
The operator queries one or a set of remote DICOM databases to obtain a list of data at
Study/Series/Image level by clicking on the icon that represents the wanted remote DICOM AE.
Manual Retrieve
This Real-World activity will be available once the Manual Query activity is performed. The operator can now select one or more studies (series or images) and ask the DICOM Server AE to retrieve the selected image(s) from the Remote DICOM AE by clicking on the “Local DB” button at the bottom of the local database browser
Verify Connectivity
This Real-World activity consists of an operator selecting a Remote DICOM AE from the
“Network Configuration” window and clicking on “Ping” on the right side-bar. This is to check the status of the selected remote DICOM AE.
Remote Archive
This Real-World activity consists of an operator choosing a remote DICOM AE that supports
Storage Commitment as provider from the archive panel at the bottom of the local database browser. The operator chooses the exam or series in the local database browser and clicks on the archival destination from the archive list at the bottom of the local database browser.
Modality Worklist Query
The operator or the system initiates a modality worklist query to the modality worklist SCP with a given set of query parameters. The modality worklist SCP returns responses matching the query parameters. Worklist items from the returned worklist query responses are presented to the user. The user then chooses the desired worklist item and begins the image acquisition process.
Modality Performed Procedure Step Notification
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When the user begins the image acquisition process and generates the first image, the
DICOM SERVER AE sends N-CREATE message to the configured MPPS SCP to indicate that the image acquisition process has been started for the requested procedure. The operator can close the acquisition session either by completing the acquisition process or discontinuing the ongoing scan. On closing the acquisition session, the DICOM SERVER AE sends N-SET message to the configured MPPS SCP to indicate the acquisition state of the requested procedure, with appropriate MPPS status (COMPLETED/DISCONTINUED).
The Film Composer allows the operator to select printers and it also allows the user to drag and drop the images (from viewer application) into the film. When user presses the "Print"
Button, the DICOM SERVER AE tries to establish the association with requested printer and sends the images for printing.
Receive Images
When remote DICOM hosts send DICOM images to DICOM SERVER AE, images are installed in the local database. The browser displays the content of the local database.
Search Local Database (Query Request from Remote AE)
For this operation, a remote DICOM AE asks to obtain the list of data at study/Series/Image level. Once a Query request is received, the DICOM Server AE will search the local database for all entries that match the keys requested by the Remote DICOM AE and send back the list of matches.
Move Images (Retrieve Request from Remote AE)
For this operation, a remote DICOM AE asks to send data at Study/Series/Image level from the local AE to another DICOM Remote AE. The Remote DICOM AE shall be declared locally on the system.
Listen to remote Storage Commitment SCP
The DICOM SERVER AE is indefinitely listening for association requests. No operator action is required to receive a Storage Commitment notification (N-EVENT-REPORT).
2.2.2 Functional Definition of AE’s
DICOM Server Application Entity initiates the following operations:
• The DICOM Server initiates an association and sends a C-ECHO-RQ message to the remote
DICOM AE; the remote DICOM Server will send back its status in a C-ECHO-RSP.
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• Initiate an association to a Remote AE to send image(s). If the Remote AE accepts the presentation context applicable to the image(s) being sent, the DICOM Server AE will send the image(s) by invoking C-STORE-RQ operation for each image on the same association.
• Initiate an association with a Remote AE to query for images on the remote host. A Study-Root
Study-Level C-FIND-RQ request will be sent to the Remote AE once an association has been established. After all responses are received, DICOM Server AE will issue a Series-Level C-FIND-
RQ request to get the series for a study in the list. An Image-Level C-FIND-RQ will be issued for the first series in the series list.
• Initiate an association to a Remote AE for the purpose of committing images previously sent successfully to the Remote AE for the purpose of the remote AE to commit to the storage of those images. If the Remote AE accepts the presentation context, a storage commitment will be established with the Remote AE with the DICOM Server AE sending the N-ACTION Request. The
Remote AE completes the commitment by sending the N-EVENT REPORT. The DICOM Server AE updates the archive flag in the image browser for successful instances.
• Send a C-MOVE-RQ request to a Remote AE after successful association establishment. The
DICOM Server AE’s Storage SCP will receive the images over a separate association.
• Initiate an association with a Remote AE to query for and display DICOM modality worklist information. Once the remote AE accepts the presentation context, system will issue a modality worklist query request using the C-FIND service
• Initiate an association with a Remote AE to create and update DICOM Modality Performed
Procedure Step SOP instance in the remote AE. Once the remote AE accepts the presentation context, SOP instance is created using N-CREATE service and updated using N-SET service.
• Initiates as association with a remote printer for printing the images. If the Remote AE accepts the presentation context applicable to the print job, Discovery system will send the print job to the receiving remote AE.
The DICOM Server AE waits for association requests from Remote AEs that wish to perform the following operations:
• Verification: If a C-ECHO-RQ message is received, the DICOM Server AE will send back a C-ECHO-
RSP message with a status of “success”.
• Image Storage: If a C-STORE-RQ message is received, the DICOM Server AE will receive the image and try to update the local database. If the image is stored successfully on storage media and the database updated a status of “success” will be returned in a C-STORE-RSP message.
• Query: If a C-FIND-RQ message is received the DICOM Server AE will search the database for the requested attributes and send back a C-FIND-RSP message containing a match and a status of
“pending”. After all matching records have been sent, a status of “success” will be returned in a
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C-FIND-RSP message. The Remote AE can terminate the query by sending a C-CANCEL-FIND-RQ message.
• Retrieve: If a C-MOVE-RQ message is received the DICOM Server AE will look up its list of configured Remote AEs for the Destination AE. If the Destination AE is configured, the DICOM
Server AE will open a new association to the Destination AE and use C-STORE-RQ to send the image(s). The DICOM Server AE will send a C-MOVE-RSP message with a status of “pending” after every five images are sent. When all images are sent or if DICOM Server AE receives a C-
CANCEL-MOVE-RQ a final C-STORE-RSP will be sent back with an appropriate status.
• Storage Commitment Response: If a N-EVENT-REPORT request is received from the Remote
Storage Commitment SCP the DICOM Server AE will update the Archive flag information for successful instances.
2.2.3 Sequencing of Real-World Activities
Real-World Activity Manual Query must be performed before Manual Retrieve can be performed.
2.3 AE Specifications
2.3.1 DICOM Server AE Specification
This Application Entity provides Standard Conformance to the following DICOM SOP Classes as an
SCU:
SOP Class Name (SCU)
Verification (Echo)
CT Image Information Storage
MR Image Information Storage
Secondary Capture Image Storage
Study Root Query/Retrieve – FIND
Study Root Query/Retrieve – MOVE
X-Ray Radiation Dose SR
Enhanced SR
Storage Commitment Push Model
PET Image Information Storage
GE Private PET Raw data Storage
Modality Performed Procedure Step SOP Class
Modality Worklist Information Model - FIND
Grayscale Softcopy Presentation State
Basic Color Print Management meta SOP Class
Printer SOP Class
SOP Class UID
1.2.840.10008.1.1
1.2.840.10008.5.1.4.1.1.2
1.2.840.10008.5.1.4.1.1.4
1.2.840.10008.5.1.4.1.1.7
1.2.840.10008.5.1.4.1.2.2.1
1.2.840.10008.5.1.4.1.2.2.2
1.2.840.10008.5.1.4.1.1.88.67
1.2.840.10008.5.1.4.1.1.88.22
1.2.840.10008.1.20.1
1.2.840.10008.5.1.4.1.1.128
1.2.840.113619.4.30
1.2.840.10008.3.1.2.3.3
1.2.840.10008.5.1.4.31
1.2.840.10008.5.1.4.1.1.11.1
1.2.840.10008.5.1.1.18
1.2.840.10008.5.1.1.16
Note: As to GSPS as an SCU, refer to Section 8: Grayscale Softcopy Presentation State
Implementation for further details.
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The Discovery 710/610 and Optima 560 use the GE PET Raw SOP Class for local storage and management of "list" data. Unlike other types of GE PET Raw (such as sinogram and spectra data), list data is not supported in network operations such as send and receive, and the list data objects will not be visible via Remote AE DICOM Servers (Remote hosts). List data objects are labeled as
"List" on the database browser, and can be identified by tag (0008, 0060) (see Section D.2)
This Application Entity provides Standard Conformance to the following DICOM SOP classes as an
SCP:
SOP Class Name (SCP)
Verification (Echo)
CT Image Information Storage
MR Image Information Storage
Secondary Capture Image Storage
Study Root Query/Retrieve – FIND
Study Root Query/Retrieve – MOVE
X-Ray Radiation Dose SR
Enhanced SR
PET Image Information Storage
GE Private PET Raw data Storage
SOP Class UID
1.2.840.10008.1.1
1.2.840.10008.5.1.4.1.1.2
1.2.840.10008.5.1.4.1.1.4
1.2.840.10008.5.1.4.1.1.7
1.2.840.10008.5.1.4.1.2.2.1
1.2.840.10008.5.1.4.1.2.2.2
1.2.840.10008.5.1.4.1.1.88.67
1.2.840.10008.5.1.4.1.1.88.22
1.2.840.10008.5.1.4.1.1.128
1.2.840.113619.4.30
2.3.1.1 Association Establishment Policy
2.3.1.1.1 General
The DICOM Application Context Name (ACN), which is always proposed, is:
Application Context Name 1.2.840.10008.3.1.1.1
The Maximum Length PDU negotiation is included in all association establishment requests. The maximum length PDU for association initiated by the DICOM Server AE is:
Maximum Length PDU 64 Kbytes
SOP class Extended Negotiation is not supported.
The maximum number of Presentation Context Items that is supported is 60. Note that the same
Abstract Syntax may be offered multiple times with different Transfer Syntax.
The user information items sent by this product are:
• Maximum PDU Length
• Implementation Class UID
• SCP/SCU Role Selection
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2.3.1.1.2 Number of Associations
The DICOM Server AE (SCU) will initiate only one DICOM association at a time to perform an image store to a remote host or retrieve image(s) from a Remote AE.
The DICOM Server AE (SCP) can have a maximum of four DICOM associations open simultaneously to receive and store image store, N-EVENT-REPORT of Storage Commitment or respond to an echo.
2.3.1.1.3 Asynchronous Nature
Asynchronous mode is not supported. All operations will be performed synchronously.
2.3.1.1.4 Implementation Identifying Information
The table in Appendix E identifies the Implementation UID for this product version.
2.3.1.2 Association Initiation by Real-World Activity
2.3.1.2.1 Push Images
2.3.1.2.1.1 Associated Real-World Activity
Behavior for Discovery 710/610 and Optima 560 Products (SW Version: pet_mfk.xx)
The operator must first select a destination by choosing “Select Remote Host” from the “Network” pull-down menu on the local database manager and then choose a hostname.
The “Push” operation will cause the DICOM server AE to initiate an Association when the operator selects one or more study, series, or images in the local database manager and then chooses either
“Push Examination”, “Push Series”, or “Push Image” from the “Network” pull-down menu on the local database manager.
Behavior for Discovery 710/610 products (SW Version: pet_coreload.xx)
The operator must first select the exam/series/image on the local database browser and click on the Remote DICOM AE in the network panel at the bottom of the local database browser to which the operator desires to send the exam/series/image to.
Note: If multiple study, series, or images are chosen to be pushed, one association will be established for each of the studies, series, or images. Some GE PET Raw SOP instances stored locally in the scanner database are not supported in network operations. Refer to
Appendix D.2
2.3.1.2.1.2 Proposed Presentation Contexts
The following table shows the proposed presentation contexts for the DICOM Server AE after Real-
World Activity “Push Images” Operation has been performed.
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Table 2.3.1.2.1.2-1 Proposed Presentation Contexts for DICOM Server AE and Real-World activities Push, Query, Pull (Get Images) and Verification (DICOM Ping)
Abstract Syntax
Presentation Context Table – Proposal
Transfer Syntax
Name
CT Image
Storage
Role Extended
Negotiatio n
SCU None
MR Image
Storage
UID
1.2.840.10008.5.1.4.
1.1.2
Name List
Implicit VR Little
Endian
Implicit VR Big
Endian (GE Private)
Explicit VR Little
Endian
Explicit VR Big
Endian
1.2.840.10008.5.1.4.
1.1.4
Implicit VR Little
Endian
Implicit VR Big
Endian (GE Private)
Explicit VR Little
Endian
Explicit VR Big
Endian
Secondary
Capture Image
Storage
1.2.840.10008.5.1.4.
1.1.7
Implicit VR Little
Endian
Implicit VR Big
Endian (GE Private)
Explicit VR Little
Endian
Explicit VR Big
Endian
Study Root
Query/Retrieve
FIND
Study Root
Query/Retrieve
MOVE
Verification SOP
Class
1.2.840.10008.5.1.4.
1.2.2.1
1.2.840.10008.5.1.4.
1.2.2.2
Implicit VR Little
Endian
Implicit VR Little
Endian
PET Image
Storage
Enhanced SR
1.2.840.10008.1.1 Implicit VR Little
Endian
1.2.840.10008.5.1.4.
1.1.128
1.2.840.10008.5.1.4.
1.1.88.22
Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big
Endian
Implicit VR Little
Endian
UID List
1.2.840.10008.1.
2
1.2.840.113619.5
.2
1.2.840.10008.1.
2.1
1.2.840.10008.1.
2.2
1.2.840.10008.1.
2
1.2.840.113619.5
.2
1.2.840.10008.1.
2.1
1.2.840.10008.1.
2.2
1.2.840.10008.1.
2
1.2.840.113619.5
.2
1.2.840.10008.1.
2.1
1.2.840.10008.1.
2.2
1.2.840.10008.1.
2
1.2.840.10008.1.
2
1.2.840.10008.1.
2
1.2.840.10008.1.
2
1.2.840.10008.1.
2.1
1.2.840.10008.1.
2.2
1.2.840.10008.1.
2
SCU
SCU
SCU
SCU
SCU
SCU
SCU
None
None
None
None
None
None
None
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Presentation Context Table – Proposal
Name
Abstract Syntax Transfer Syntax Role Extended
Negotiatio n
X-Ray Radiation
Dose SR
GE Private PET
Raw data SOP class
UID
1.2.840.10008.5.1.4.
1.1.88.67
Name List
Explicit VR Little
Endian
Explicit VR Big
Endian
Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big
Endian
1.2.840.113619.4.30 Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big
Endian
UID List
1.2.840.10008.1.
2.1
1.2.840.10008.1.
2.2
1.2.840.10008.1.
2
1.2.840.10008.1.
2.1
1.2.840.10008.1.
2.2
1.2.840.10008.1.
2
1.2.840.10008.1.
2.1
1.2.840.10008.1.
2.2
SCU
SCU
None
None
2.3.1.2.1.2.1 SOP Specific Conformance Statement for All Storage SOP Classes
This implementation can perform multiple C-STORE operations over a single association.
Upon receiving a C-STORE confirmation containing a successful status, this implementation will perform the next C-STORE operation. The association will be maintained if possible.
Upon receiving a C-STORE confirmation containing a Refused status, this implementation will terminate the association.
Upon receiving a C-STORE confirmation containing any status that is not Success or Refused, this implementation will consider the current request to be a failure but will continue to attempt to send the remaining images in the request on the same association.
Each C-STORE operation supports an “Association Timer”. This timer starts when the association request is sent or received and stops when the association is established. The time-out is 60 seconds.
Each C-STORE operation also supports an “Operation Inactivity Timer”. This time-out starts once the first C-STORE request has been issued (on association) or received and is reset each time a C-STORE response has been received or when subsequent C-STORES are sent. This time-out is 300 seconds.
Each C-STORE operation also supports a “Session Timer”. This timer starts when the association is established and stops when the association is ended. This time-out is 60 minutes.
If any of the three timers mentioned above expires, the connection is closed and the operation in progress is considered failed.
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Note: The time-outs are configurable.
When DICOM Server AE initiates an association to issue a C-STORE, the following will occur:
The image will be transmitted by the DICOM Server AE with the same elements as was originally received or created locally (for the standard elements only).
2.3.1.2.1.2.2 SOP Specific Conformance Statement for Grayscale Softcopy Presentation State Storage SOP Class
To create Grayscale Softcopy Presentation State, there are 2 sequences in GEHC CT, Exam Split and
Save State
2.3.1.2.1.2.2.1 Exam Split
Exam Split option have the two options i.e. Virtual Exam Split and Hard Exam Split.
•
•
Virtual Exam Split will create Gray Scale Presentation State and Performed Presentation State.
In Hard Exam Split, application will send the user selected images from grouped Images that acquired during acquisition. PPS will not be sent along with these images.
The DICOM Modality ‘Gray Scale Presentation State’ service is provided by the Exam Split. The CT
DICOM AE is commanded to perform transmission of Gray Scale Presentation State object through the user interface. The CT DICOM AE is commanded to perform transmission of Hard Split Images through the user interface.
2.3.1.2.1.2.2.1.1 Application Data Flow Diagram
The basic Application models for the feature are shown in the following illustration:
Scanner receives MWL Requested
Procedures from HIS/RIS.
Operator associates images, display settings (Window Level,
Window Width, Pan, Zoom and
Image Orientation) with a requested procedure
Operator selects multiple requested procedures and scans images as a single exam
GSPS object
PPS object
After post processing Exam Split application presents user selected images and Requested procedures for split to create PPS and GSPS objects
2.3.1.2.1.2.2.1.1 GSPS Acquisition System with MWL data
GSPS Remote
Viewer
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The system has a Modality Work-list Server AE installed. Work-List information is obtained from
HIS/RIS system through the use of Basic Work-list Management Service. Use of the information retrieved in the creation of Image SOP instance is described in the Modality Work-list Conformance statement. Use of the information retrieved in MPPS SOP instances is described later in this document.
•
•
After Post processing Exam Split application presents associated requested Procedure(s) along with selected acquired Images.
Exam Split application includes the necessary information related to Requested Procedure, scheduled Procedure Steps and the Performed Procedure Step of the images acquired
•
• during acquisition.
After User modifications on Image(s), user has to click on Send button to create Gray Scale
Presentation State and Performed Procedure Step objects to transmit to remote host. If there is any Image Orientation, user will be notified about the orientation before sending to
Remote Host.
Exam Split will provide Host Selection user interface to select remote host to transmit of Gray
Scale Presentation State object. Performed Procedure Step object will be sent to default
Performed Procedure Step host.
•
After successful transmission of Gray Scale Presentation State and Performed Procedure
Step objects to remote host, user will be notified with success.
2.3.1.2.1.2.2.2 Save State
2.3.1.2.1.2.2.2.1 Implementation Model
Save State will create Grayscale Presentation State (GSPS) including user annotation.
2.3.1.2.1.2.2.2.2 Application Data Flow Diagram
The basic Application models for the feature are shown in the following illustration:
Scan a series.
Select the scanned series from image browser
.
Associates images, display settings
(Window Level, Window Width,
Pan, Zoom and Image Orientation) with a requested.
Press Save State.
GSPS series is created with new series
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2.3.1.2.1.2.2.2.3 GSPS Acquisition System with MWL data
•
•
•
Operator takes some scans. After the scan finished, images shall be selected from image browser and select Viewer.
Operator adds annotation or ROI on images, change WW or WL, zoom or roam images.
After changing settings, operator shall select “Save State” on Viewer menu. Then, GSPS object shall be created with a new series number.
2.3.1.2.2 Manual Query
2.3.1.2.2.1 Associated Real-World Activity
Behavior for Discovery 710/610 and Optima 560 Products (SW Version: pet_mfk.xx)
The operator must first select a destination by choosing “Select Remote Host” from “Network” pulldown menu on the local database manager and then choose a hostname. To do custom queries select “Yes” for “Custom search” option.
Note: Custom queries can be done on the following fields “Last Name contains”, “Exam Number”,
“Patient Id” or “Accession Number”.
To initiate a Query select “Receive” from “Network” pull-down menu.
Note: If “Custom Search” option is set then a small GUI will show up. Operator will be able to enter custom query fields. Entering values in “Last Name contains” field will initiate wild card query for patient name.
The “Query” operation will cause the DICOM Server AE to initiate an association to the selected
Remote AE when the “Query Remote Host” entry is selected from the “Network” pull-down menu.
Once a list of Study/Series/Image is retrieved, the operator can invoke the “Get” operation by choosing “Get Exam” or “Get Series” or “Get Image” from the “Network” pull-down menu.
Note:
• Get Exam will not pull the PET List Series (list objects) if the remote exam contains the same.
• Remote Host Exam containing PET List Series will not show the same during the Network Pull and search operations.
Behavior for Discovery 710/610 Products (SW Version: pet_coreload.xx)
The operator must select the Remote DICOM AE from the “Source” pull-down on the local database browser and select the hostname of the source from where the images are to be retrieved.
Provided that the operator had set "Custom search" to "Off" when setting the Remote host parameters, the “Query” operation will cause the DICOM Server AE to initiate an association (with zero length Patient name, Patient id, Study date, Accession number, and Study id) to the selected
Remote AE when the “Hostname” entry is selected from the “Source” pull-down menu.
Otherwise, if the operator had set "Custom search" to "On" when setting the Remote host
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REV 13 Direction 5330620-1EN parameters, the “Query” operation will cause a Customize search parameters menu to appear. The operator can enter values for Patient name, Patient id, Study date, Accession number, and Study id.
Not entering a value means match on any value for that field. Patient name will match on any patient name that contains what the operator entered. Patient id, Study id, and Accession number will match on what the operator enters.
For Study date, the operator selects a range type from the "Exam Date" pull down menu, where the choices are “Equals“, “Before“, “Between“, or “After“. Once a range type is selected, the correct number of fields appears and the operator enters dates into those fields. Once the desired parameters are entered the operator chooses "OK" and that will cause the DICOM Server AE to initiate an association to the selected Remote AE.
Once a list of Study/Series/Image is retrieved, the operator can invoke the “Pull” operation by clicking on the “Local DB” button at the bottom of the local database browser.
2.3.1.2.2.2 Proposed Presentation Contexts
When the Real-World activity “Manual Query” is initiated all presentation contexts shown in table
2.2.1.2.1.2-1 are proposed during association establishment, but only the Query/Retrieve-FIND related contexts are applicable to this activity.
2.3.1.2.2.2.1 SOP Specific Conformance Statement for C-FIND SCU
After the Query operation is initiated, the DICOM Server AE will perform a study-root C-FIND-RQ request at each of the three levels (Study, Series, and Image) in succession. The Initial Study-Level request will ask for all studies in the Remote database.
The C-FIND SCU will not perform any extended negotiation and so will only perform hierarchical query. Relational Queries are not supported. C-CANCEL-FIND-RQ is not supported.
Each C-FIND SCU operation supports an “Association Timer”, “Operation Inactivity Timer” and
“Session Timer” with time out values of 60 seconds, 300 seconds and 60 minutes respectively.
If a “Cancel” or “Refused” status is returned from the Remote AE the association is closed and the operation terminated.
The DICOM Server AE will parse each matching C-FIND-RSP reply and ignore the entries it fails to parse. Tables 2.2.1.2.2.2.1-1 - 2.2.1.2.2.2.1-3 shows the various fields that are requested at the
Study, Series, and Image levels of the C-FIND request.
Query results are filtered based on the Modality field. Only CT/MR/PET Screen Save images are supported.
Table 2.3.1.2.2.2.1-1: Requested Study Level Keys
Description
Study date
Study time
Patient’s name
Type
R
R
R
Tag
0008,0020
0008,0030
0010,0010
Value
Zero length
Zero length
Zero length
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Description
Type
Tag Value
Patient ID
Study id
Study Instance UID
Study description
Private Creator Identification
Suite Id
O
P
P
R
R
U
0010,0020
0020,0010
0020,000D
0008,1030
0009,00xx
0009,xx02
Zero length
Zero length
Zero length
Zero length
GEMS_IDEN_01
Zero Length
Table 2.3.1.2.2.2.1-2: Requested Series Level Keys
Description
Modality
Series number
Series Instance UID
Series description
Manufacturer
Images in series
U
O
O
Type
R
R
O
Table 2.3.1.2.2.2.1-3: Requested Image Level Keys
Description
Type
Image number R
Image Instance UID U
Image type
Rows
Columns
Image position
Image orientation
Slice thickness
Slice spacing
Gantry tilt
Convolution kernel
Reconstruction diameter
Data collection diameter
Flip angle
Echo Number
Echo time
Inversion time
Repetition time
Private Creator Identification
Dfov Rect
Midscan Time
P
P
O
O
P
O
O
O
O
O
O
O
O
O
O
O
O
O
O
Tag
0008,0060
0020,0011
0020,000E
0008,103E
0008,0070
0020,1002
Tag
0020,0013
0008,0018
0008,0008
0028,0010
0028,0011
0020,0032
0020,0037
0018,0050
0018,0088
0018,1120
0018,1210
0018,1100
0018,0090
0018,1314
0018,0086
0018,0081
0018,0082
0018,0080
0019,00xx
0019,xx1E
0019,xx24
Value
Zero length
Zero length
Series UID
Zero length
Zero length
Zero length
Value
Zero length
Image UID
Zero length
Zero length
Zero length
Zero length
Zero length
Zero length
Zero length
Zero length
Zero length
Zero length
Zero length
Zero length
Zero length
Zero length
Zero length
Zero length
GEMS_ACQU_01
Zero Length
Zero Length
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Description
Type
Tag Value
Azimuth P 0019,xx26 Zero Length
Number of Echo P 0019,xx7E Zero Length
Private Creator Identification
Scout Anref
Private Creator Identification
Location RAS
Location
Center R Coordinate
Center A Coordinate
Table Start Location
Table End Location
RAS Letter for Side of Image
RAS Letter for Anterior/Posterior
RAS Letter for Scout Start Location
RAS Letter for Scout End Location
Image Dimension X
Image Dimension Y
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
0021,00xx
0021,xx4A
0027,00xx
0027,xx40
0027,xx41
0027,xx42
0027,xx43
0027,xx50
0027,xx51
0027,xx52
0027,xx53
0027,xx54
0027,xx55
0027,xx60
0027,xx61
GEMS_RELA_01
Zero Length
GEMS_IMAG_01
Zero Length
Zero Length
Zero Length
Zero Length
Zero Length
Zero Length
Zero Length
Zero Length
Zero Length
Zero Length
Zero Length
Zero Length
Note1: Refer to section 2.3.1.2.2.1 for Custom Search/Query option.
Note2: Type P refers to a private DICOM element.
2.3.1.2.3 Real World Activity: Manual Retrieve
2.3.1.2.3.1 Associated Real-World Activity
Behavior for Discovery 710/610 and Optima 560 Products (SW Version: pet_mfk.xx)
The operator must first select a destination by choosing “Select Remote Host” from “Network” pulldown menu on the local database manager and then choose a hostname. The operator then has to perform the Real-World activity “Query” to get a list of Study/Series/Image. Once the list of
Study/Series/Image is retrieved, the operator can invoke the “Get” operation by choosing “Get
Exam” or “Get Series” or “Get Image” from the “Network” pull-down menu.
Behavior for Discovery 710/610 Products (SW Version pet_coreload.xx)
The operator must select the Remote DICOM AE from the “Source” pull-down on the local database browser and select the hostname of the source from where the images are to be retrieved. Once a list of Study/Series/Image is retrieved, the operator can invoke the “Retrieve” operation by clicking on the “Local DB” button at the bottom of the local database browser.
2.3.1.2.3.2 Proposed Presentation Contexts
When the Real-World activity “Manual Retrieve” is initiated all presentation contexts shown in table
2.2.1.2.1.2-1 are proposed during association establishment, but only the Query/Retrieve-MOVE related contexts are applicable to this activity.
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2.3.1.2.3.2.1 SOP Specific Conformance Statement for C-MOVE SCU
When the operator starts a Get operation at any level (Study, Series, Image) the DICOM Server AE will initiate a C-MOVE-RQ request to the Remote AE with the DICOM Server AE as the Destination AE.
The Storage SCP will handle the incoming images as described in section 2.3.1.3.1. A user attention pop-up will be posted if a failure status is received. The specific error message for the failure will be logged.
Each C-MOVE SCU operation supports an “Association Timer”, “Operation Inactivity Timer” and
“Session Timer” with time out values of 60 seconds, 300 seconds and 60 minutes respectively.
The DICOM Server AE will send a C-CANCEL-MOVE-RQ to the Remote AE if the operator “Pauses” or
“Clears” the job from the local database manager Network queue.
2.3.1.2.4 Real-World Activity: Verify Connectivity
2.3.1.2.4.1 Associated Real-World Activity
Behavior for Discovery 710/610 and Optima 560 Products (SW Version: pet_mfk.xx)
The operator must first select a destination by choosing “Select Remote Host” from “Network” pulldown menu on the local database manager and then choose a hostname.
The operator must then select the “Ping DICOM host” from “Network” pull-down menu.
The DICOM server will initiate an association with the remote DICOM AE in order to verify communication at the application level. The success or failure of the verification process is displayed to the user.
Behavior for Discovery 710/610 Products (SW Version: pet_coreload.xx)
The operator shall select a Remote DICOM AE from the “Network Configuration” window and click on “Ping” on the right side-bar. The DICOM server will initiate an association with the remote DICOM
AE in order to verify communication at the application level. The success or failure of the verification process is displayed to the user.
If the C-ECHO response is received with a success, the DICOM Server will post a pop-up to the operator indicating that the remote device is alive.
2.3.1.2.4.2 Proposed Presentation Context Table
Refer to the Table 2.2.1.2.1.2-1 for the Proposed Presentation Contexts for DICOM Server AE and
Real-World activity Verification
2.3.1.2.4.2.1 SOP Specific DICOM Conformance C_ECHO SCU
The Discovery DICOM Server AE provides standard conformance to the DICOM Verification Service
Class.
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Each ECHO operation supports an “Association Timer”, “Operation Inactivity Timer” and “Session
Timer” with time out values of 60 seconds, 15 seconds and 60 minutes respectively
2.3.1.2.5 Real World Activity: Remote Archive
2.3.1.2.5.1 Associated Real World Activity: “Choose Archive Save Option”
Behavior for Discovery 710/610 and Optima 560 Products (SW Version: pet_mfk.xx)
The operator must first select a destination by choosing “Select Remote Host” from “Network” pulldown menu on the local database manager and then choose a hostname. Select the “Update” option, if the hostname is already present. Set the “Archive Node” option to “Yes”. If the remote host is not present add the remote host in the local database with “Archive Node” option set to “Yes”.
Note: The remote node should be a Storage Commitment SCP.
The operator must then select “Archive “pull-down menu on the local database manager. Select
“Select Media” option menu. Select “Remote Node” in the menu.
Note: Only if you configure the remote node as an “archive node” will you see the remote node option in the archive menu.
The user selects the exam/series to be committed.
Behavior for Discovery 710/610 Products (SW Version: pet_coreload.xx)
The operator must first set remote hosts from Network Configuration from “Tools“ pull-down menu.
If the remote node is already present, select one remote host, click “Edit“ on the right side-bar and make a check on “Archive Node” check box. If the remote host is not present, add the remote host with check on “Archive Node” check box.
Note: The remote node should be a Storage Commitment SCP. STC AE Title can be different from
STORE AE title. The user selects the exam/series to be committed and click on the archival destination from the archive list at the bottom of the local database browser.
All the images currently in the selected exam/series will be sent to the selected remote archive node
(which is also the Storage commitment SCP) using DICOM C-STORE operations. Once all the images are transferred the commitment request will be sent on a separate association.
2.3.1.2.5.2 Associated Real World Activity: “Auto Archive Exam/Series”
The Auto archive API’s are used to archive the exams/series onto local archive media or the remote archive node (which shall be a Storage Commitment SCP) without manual interface. If the default device selected for Auto Archive is a remote Storage Commitment SCP then all the images currently in the specified exam/series will be sent to the selected Storage commitment SCP using C-STORE operations. On successful transfer of all the images the Storage Commitment request will be sent.
2.3.1.2.5.3 Proposed Presentation Context
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The Proposed Presentation Context table for the DICOM Storage Commitment SCU is as shown in following Table.
Presentation Context Table
Abstract Syntax
Name UID
Transfer Syntax
Name UID
Role Extended
Negotiatio n
Storage
Commitment
Push Model SOP
Class
1.2.840.10008.1.
20.1
DICOM Implicit VR
Little Endian Transfer
Syntax
1.2.840.10008.1.
2
SCU None
2.3.1.2.5.3.1 SOP Specific DICOM Conformance Statement for the Storage Commitment Push Model SOP Class SCU (N-
ACTION)
The Storage Commitment SCU can send the commitment request for following
DICOM SOP classes.
NAME
CT Image Storage SOP Class
PET Image Storage SOP Class
MR Image storage SOP Class
GE Private PET Raw data Storage
Secondary Capture Storage SOP Class
X-Ray Radiation Dose SR
Enhanced SR
RT Structure Set Storage
Grayscale Softcopy Presentation State Storage SOP Class
UID
1.2.840.10008.5.1.4.1.1.2
1.2.840.10008.5.1.4.1.1.128
1.2.840.10008.5.1.4.1.1.4
1.2.840.113619.4.30
1.2.840.10008.5.1.4.1.1.7
1.2.840.10008.5.1.4.1.1.88.67
1.2.840.10008.5.1.4.1.1.88.22
1.2.840.10008.5.1.4.1.1.481.3
1.2.840.10008.5.1.4.1.1.11.1
Note:
The Discovery product supports type of raw data format called “PET List Data” with SOP class name GE Private PET List data and SOP class UID 1.2.840.113619.4.30.Though it is having same SOP class UID as PET Raw data; PET List data won’t be supporting any
Archive/Restore operations. Exam containing the PET List Series will skip the same during
“Save by Exam”. The Storage Commitment SCU is not supported for GE Private PET List
Data. o Save by Series on PET List series not supported o Save by Image on PET List frame not supported
The images in the selected exam/series are sent to the remote commitment provider entity using
DICOM C-STORE operations. If there are any failures in the image transfers the Storage commitment request will not be sent. The corresponding job will be marked as failed and user will be notified of the status of job.
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If all the images are successfully transferred then the commitment request will be sent on a different association with the list of sop instances.
If the N-ACTION request fails, the job will be marked as failed otherwise following sequence of actions will take place.
The SCU waits for N-ACTION-RSP from provider on the same association for a configurable amount of time. If it does not receive N-ACTION-RSP during this time it will close the association. It changes the Job state to “Wait” indicating the job is waiting for the response from commitment provider. The job will be marked as failed if the response is not received by stop job time. Stop job time is the maximum duration the job can wait for responses.
The DICOM SERVER AE can receive N-EVENT-REPORT from the Storage Commitment Provider at any time.
A New transaction UID will be created for each retry by user. The old transaction UID is not applicable for these requests
Following are the status codes that are more specifically processed when receiving N-Action responses from Storage Commitment SCP equipment:
Status Codes Received by DICOM SERVER AE for Activity Remote Archive
Service
Status
Status
Code
Further Meaning
Failure 0119 Class-instance conflict
Success
*
0115
0117
0212
0114
0118
0110
0213
0211
0000
*
Invalid argument value
Invalid SOP Instance
Mistyped argument
No such argument
No such SOP Class
Processing failure
Resource limitation
Unrecognized operation
Any other status code.
Application Behavior When Receiving
Status Code
System displays the appropriate error message in job manager user interface
System displays the appropriate error message in job manager user interface
System displays the appropriate error message in job manager user interface
System displays the appropriate error message in job manager user interface
System displays the appropriate error message in job manager user interface
System displays the appropriate error message in job manager user interface
System displays the appropriate error message in job manager user interface
System logs the appropriate error message and retries the operation after the configured time is elapsed.
System displays the appropriate error message in job manager user interface
The request for storage comment is considered successfully sent. System displays “waiting” message in job manager user interface.
System displays the appropriate error message in job manager user interface.
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2.3.1.2.5.3.2 Storage Commitment Push Model SOP Class Request Processing
The Following DIMSE service Elements are supported for the Storage Commitment request and processing.
N-ACTION – Requests the remote Storage Commitment SCP to commit to storing the image instances.
The following attributes are sent as part of the DATA Set for the N-ACTION request.
Attribute
Transaction UID
Referenced SOP Sequence
SOP Class UID
SOP Instance UID
Tag
(0008,1195)
(0008,1199)
(0008,1150)
(0008,1155)
Value
Transaction UID
§ Referenced Study Component sequence attribute is not sent.
§
Storage Media File-Set ID and Storage Media File-Set UID attributes are not supported.
2.3.1.2.5.3.3 Storage Commitment Push Model SOP Class Response Processing
The following DIMSE Service Elements are supported for the Storage Commitment response processing
N-EVENT-REPORT – The Response sent by the remote Storage Commitment SCP.
Once the N-EVENT REPORT is received, the following actions will be taken depending on the status of the response.
2.3.1.2.5.3.3.1 Commit response with SUCCESS status
The Archive flag information in the browser for all the successful instances will be updated. The status will be changed to “Y”.
The job queue entry will be removed
The following attributes are expected as part of DATA Set for N-Event-REPORT from SCP
Attribute
Transaction UID
Referenced SOP Sequence
SOP Class UID
Tag
(0008,1195)
(0008,1199)
(0008,1150)
Value
Value received from SCP
Value received from SCP
Value received from SCP
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SOP Instance UID (0008,1155) Value received from SCP
2.3.1.2.5.3.3.2 Commit response with FAILURE status
The following attributes are expected as part of DATA Set for N-EVENT-REPORT from SCP:
N-EVENT-REPORT-RSP will be sent on the same association itself. No DATA Set will be sent along with the response.
Attribute
Transaction UID
Failed SOP Sequence
> SOP Class UID
> SOP Instance UID
>Failure Reason
Tag
(0008,1195)
(0008,1198)
(0008,1150)
(0008,1155)
(0008,1197)
Value
Value received from SCP
Value received from SCP
Value received from SCP
Value received from SCP
Value received from SCP
In case of complete/partial failure the user will be notified about the status and the job entry will be paused. There is no attempt made to retry automatically the failed sop instances. However the user can manually retry the failed jobs. Such requests will be treated as new requests. This will go through the whole sequence of operations once again.
The failure reason is ignored.
Failed SOP instances will have their archive flag information unaltered.
Note: The archive status flag in the browser is a shared flag with local archive. When the status is
“Y”, it means that the images are archived but doesn’t specify whether on local archive device or remote archive device. It is left to the user’s discretion whether the local sop instances (with their archive flag set to “Y”) are to be deleted.
N-EVENT-REPORT-RSP will be sent on the same association itself. No DATA Set will be sent along with the response.
Note: (0008, 1199) Reference SOP Sequence is not handled.
Refer Section - 5 Storage Commitment Push Model Implementation.
2.3.1.2.6 Real-World Activity: Modality Worklist Query
2.3.1.2.6.1 Associated Real-World Activity
The operator of the system initiates a query for a modality worklist by either opening the Schedule screen or by opening the Schedule screen and pressing the Update button. The choice of which of these two behaviors occurs is user configurable. The Worklist Server will then initiate an association with the remote AE in order to query for the worklist
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A user can configure a number of parameters that directly control the worklist query request. The user can request worklist items that are intended for the scanner the user is working at, all items that apply to the modality of the scanner the user is working at or all worklist items available. These selections and their effects on worklist query parameters are given below:
Note: Only single MWL entry available in MWL for PET-CT exam, user can select the entry for PET-CT procedure.
This Scanner:
(CT)
All
Systems:
This
System
All PET Systems
All NM System
All Scanners
PET
•
•
CT
•
•
•
•
•
•
•
•
•
•
Modality, (0008,0060) – set to CT
Scheduled Station AE Title, (0040,0001) – set to local AE title
Modality, (0008,0060) - set to CT
Scheduled Station AE Title, (0040,0001) - zero-length (universal matching)
Modality, (0008,0060) – set to PT
Scheduled Station AE Title, (0040,0001) – set to local AE title
Modality, (0008,0060) – set to PT
Scheduled Station AE Title, (0040,0001) – zero-length (universal matching)
Modality, (0008,0060) – set to NM
Scheduled Station AE Title, (0040,0001) – zero-length (universal matching)
Modality, (0008,0060) - zero-length (universal matching)
Scheduled Station AE Title, (0040,0001) - zero-length (universal matching)
The scheduled dates of procedures of interest can be specified for query by selecting a specific date range. The date ranges available are Today, Days Before Today, Days After Today and All Days.
These selections and their effects on worklist query parameters are given below:
Today: Scheduled Procedure Step Start Date (0040,0002) - set to
YYYYMMDD, where this date is the current date.
Days Before Today and
Days After Today:
Scheduled Procedure Step Start Date (0040,0002) - set to
YYYYMMDD-YYYYMMDD, where this date range represents the specified number of days before today and/or after today. Note that number of days both before and after can be specified in the same query and that each always includes today.
All Days: Scheduled Procedure Step Start Date (0040,0002) - zero-length
(universal matching)
2.3.1.2.6.2 Proposed Presentation Context Table
The following table shows the proposed presentation contexts for the Worklist Server AE after realworld activity “Worklist Query” has been initiated:
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Presentation Context Table – Proposed
Abstract Syntax
Name
Modality Worklist
Information
Model – FIND
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
Role
Extended
Negotiatio n
SCU None
2.3.1.2.6.2.1 SOP Specific DICOM Conformance Statement for the Modality Worklist Information Model FIND
SOP Class
If the remote AE does not support the proposed Presentation Context, an appropriate error is logged and the operator is notified.
This implementation can receive multiple C-FIND results over a single association. Only one association is opened at a time.
Each C-FIND response received from the remote AE is parsed to verify the length/type of the items in the response). Upon detecting any error in the response data, the Worklist Server AE will save worklist entry in binary format for investigative purposes and the Worklist Server AE will continue receiving worklist entries. Note: All worklist entries, valid and invalid, can be configured to be saved in binary format.
On receipt of any error from the remote AE, the Worklist Server will issue a C-FIND-CANCEL and, upon receipt of a C-FIND-RSP (or if an applicable timer expires), will abort the association. All previously received worklist items are retained. Warnings received from the remote AE are ignored.
Each C-FIND operation supports a configurable “Association Timer.” This timer starts when the association request is sent or received and stops when the association is established. The default time-out value is 30 seconds.
Each C-FIND operation supports a configurable “Session Timer.” This timer starts when an association is established and stops when the association is ended. The default time-out value is
3600 seconds.
If any of the above timers expires, the association is aborted (A-ABORT) and the operation in progress is considered to be failed. Any previously received worklist items are discarded.
2.3.1.2.6.2.2 Record Acceptance Policy
The Discovery implementation adheres to strict value checking of incoming query responses from the remote AE. Each response received is examined to verify that all Type 1 attributes are present with non-zero length, that all Type 2 attributes are present (possibly with zero length) and that the data for all attributes is consistent with respect to the attributes’ value representation (VR).
Any inconsistencies in the response data, with respect to the categories described above are considered errors. Upon detecting any such errors in the response data, the Worklist Server AE will issue a C-FIND-CANCEL and, upon receipt of a C-FIND-RSP (or if an applicable timer expires), will
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Fields considered Type 1 by the Worklist Server include:
• (0010,0010), Patient Name
• (0010,0020), Patient ID
• (0020,000D), Study Instance UID
• (0040,0001), Scheduled Station AE Title
• (0040,0002), Scheduled Procedure Step Start Date
1
• (0040,0003), Scheduled Procedure Step Start Time
1
• (0040,0009), Scheduled Procedure Step ID
• (0040,1001), Requested Procedure ID
Start Date must be of the form YYYYMMDD, exactly eight numeric characters, and Start Time must be of the form HHMMSS, exactly six numeric characters.
Fields considered Type 2 by Worklist Server include:
• (0008,0050), Accession Number
• (0008,0060), Modality
• (0008,0090), Referring Physician Name
• (0010,0030), Patient Date of Birth
• (0010,0040), Patient Sex
• (0010,1030), Patient Weight in kg
• (0010,2000), Medical Alerts
• (0010,2110), Contrast Allergies
• (0010,21C0), Pregnancy Status
• (0032,1032), Requesting Physician
• (0032,1070), Requested Contrast Agent
• (0038,0010), Admission ID
• (0038,0050), Special Needs
• (0038,0300), Current Patient Location
• (0038,0500), Patient State
• (0040,0006), Performing Physician
• (0040,0010), Scheduled Station Name
• (0040,0011), Scheduled Procedure Step Location
• (0040,0012), Pre-order Medication
• (0040,1003), Requested Procedure Priority
• (0040,1004), Patient Transport Arrangements
• (0040,3001), Confidentiality Constraint
Refer Section.6 Modality Worklist Query Implementation.
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2.3.1.2.7 Real-World Activity: Modality Performed Procedure Step Notification
Direction 5330620-1EN
The PPS Server AE is implemented as an application process on the scanner host computer. It runs as a daemon serving requests from other applications to send the PPS information to the remote AE and return the results to the requesting application.
The PPS Server AE initiates the following functions.
• Start PPS: Initiates a DICOM association in order to create a DICOM Modality Performed
Procedure Step SOP instance in the remote AE. If the remote AE accepts a presentation context applicable to Modality performed Procedure Step, the PPS Server AE will issue a request to create the SOP instance in the remote AE via the N-CREATE service.
• Complete PPS: Initiates a DICOM association in order to update a DICOM Modality Performed
Step instance that is already created with the remote AE. If the remote AE accepts a presentation context applicable to Modality performed Procedure Step, the PPS Server AE will issue a request to update the SOP instance in the remote AE via the N-SET service. The PPS
Status is set to ‘COMPLETED’.
• Discontinue PPS: Initiates a DICOM association in order to update a DICOM Modality Performed
Step instance that is already created with the remote AE. If the remote AE accepts a presentation context applicable to Modality performed Procedure Step, the PPS Server AE will issue a request to update the SOP instance in the remote AE via the N-SET service. The PPS
Status is set to ‘DISCONTINUED’.
2.3.1.2.7.1 Sequencing of Real-World Activities
2.3.1.2.7.1.1 PPS from Acquisition System with MWL data
Note: In the Discovery Scanner Products, PPS Feature is available. Any reference to PPS below and/or throughout this Conformance Statement Document are specific both CT and PET Images from the
Discovery systems.
The system has a Modality Work-list Server AE installed. Work-List information is obtained from
HIS/RIS system through the use of Basic Work-list Management Service. Use of the information retrieved in the creation of Image SOP instance is described in the Modality Work-list Conformance statement. Use of the information retrieved in MPPS SOP instances is described later in this document.
• The system initiates a ‘Start PPS’ before starting a scan, i.e. when the image acquisition is started. The system retrieves necessary information related to the Scheduled Procedure Step from Modality Work-list Server. PPS Server AE initiates a MPPS (Modality Performed Procedure
Step) N-CREATE request to the remote AE (MPPS SCP), in-order to create a MPPS SOP instance at the remote AE.
• The MPPS SCP returns response indicating the success/failure of the request execution. The PPS state information is updated in the system based on the response data, and is presented to the user. The DICOM association is closed.
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• System includes the necessary information related to Scheduled Procedure Steps and the
Performed procedure Step in the image instances created.
• At the end of image acquisition, system initiates a ‘Complete PPS’ or ‘Discontinue PPS’ based on the choice selected by the user using the user interface provided. The user is also given a choice
‘Defer PPS’ which is described below. PPS Server AE initiates a MPPS N-SET request to the remote
AE, in-order to update the MPPS SOP instance that is already created. The N-SET is sent over a
new DICOM association
• The remote AE returns response indicating the success/failure of the request execution. The PPS state information is updated in the system based on the response data, and is presented to the user.
• At the end of image acquisition, if the user has chosen ‘Defer PPS’, the user is provided with an interface to ‘Complete PPS’ or ‘Discontinue PPS’ at any later time. The user might wish to alter the image set generated through acquisition, before invoking these operations. Note that the user explicitly uses the user interface provided to invoke this operation, as in the case of PPS generated for post-processing, which is described in the following section. PPS messages N-
CREATE ( if applicable) and N-SET will be sent over the same DICOM association
• The remote AE returns response indicating the success/failure of the request execution. The PPS state information is updated in the system based on the response data, and is presented to the user.
2.3.1.2.7.1.2 PPS from acquisition system without MWL data
The system either does not have a Modality Work-list Server AE installed or a Modality Work-list
Server AE installed but no Work-List information is obtained from HIS/RIS system for the current procedure that is being performed. The information required for performing the procedure is supplied through the user interface of the system. The use of this information in MPPS SOP instances is described later in this document.
• The system initiates a ‘Start PPS’ before starting a scan, i.e. when the image acquisition is started. PPS Server AE initiates a MPPS (Modality Performed Procedure Step) N-CREATE request to the remote AE (MPPS SCP), in-order to create a MPPS SOP instance at the remote AE.
• The MPPS SCP returns response indicating the success/failure of the request execution. The PPS state information is updated in the system based on the response data, and is presented to the user.
• System includes the necessary information related to Scheduled Procedure Steps and the
Performed procedure Step in the image instances created.
• At the end of image acquisition, system initiates a ‘Complete PPS’ or ‘Discontinue PPS’ based on the choice selected by the user using the user interface provided. The user is also given a choice
‘Defer PPS’ which is described below. PPS Server AE initiates a MPPS N-SET request to the remote
AE, in-order to update the MPPS SOP instance that is already created.
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• The remote AE returns response indicating the success/failure of the request execution. The PPS state information is updated in the system based on the response data, and is presented to the user.
• At the end of image acquisition, if the user has chosen ‘Defer PPS’, the user is provided with an interface to ‘Complete PPS’ or ‘Discontinue PPS’ at any later time. The user might wish to alter the image set generated through acquisition, before invoking these operations. Note that the user explicitly uses the user interface provided to invoke this operation, as in the case of PPS generated for post-processing, which is described in the following section.
• The remote AE returns response indicating the success/failure of the request execution. The PPS state information is updated in the system based on the response data, and is presented to the user.
2.3.1.2.7.1.3 PPS from post-processing system
• The user initiates post-processing on the images generated through acquisition.
• The system creates a Modality performed Procedure Step instance locally in the system. If the source image instance has the Scheduled Procedure Step information, it is copied into the image instances created. Also the system includes the necessary information related to the
Modality Performed Procedure Step into the image instance.
• At the end of (one or more) post-processing, the user initiates ‘Complete PPS’ or ‘Discontinue
PPS’ through the user interface provided. PPS Server AE initiates a MPPS (Modality Performed
Procedure Step) N-CREATE request to the remote AE (MPPS SCP), in-order to create a MPPS SOP instance at the remote AE (which is actually a replica of the locally created MPPS SOP instance).
• The remote AE returns response indicating the success/failure of the request execution. If the response indicates success, PPS Server AE initiates a MPPS N-SET request to the remote AE, inorder to update the MPPS SOP instance that is already created, with the additional information.
• The remote AE returns response indicating the success/failure of the request execution. The PPS state information is updated in the system based on the response data, and is presented to the user.
2.3.1.2.7.2 Proposed Presentation Context Table
The following table shows the proposed presentation contexts for the PPS Server AE after any of the real-world activity listed in section 2.3.1.6.1 Sequencing of Real-World Activities, is initiated.
Presentation Context Table – Proposed
Abstract Syntax
Name
Modality
Performed
Procedure Step
UID
Transfer Syntax
Name List UID List
1.2.840.10008.3.1.2.3.3
Implicit VR
Little Endian
1.2.840.10008.1.2
Role
Extended
SCU
Negotiation
None
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2.3.1.2.7.2.1 SOP Specific DICOM Conformance Statement for MPPS SOP class
If the remote AE does not support the proposed Presentation context, an appropriate error message logged. Only one association is opened at a time.
All the operations used by this SOP class support an association timer, which is configurable. The timer is started when a request (association request, N-CREATE request or N-SET request) is send and stopped when the respective response is received. The default time-out value is 300 seconds.
All the operations used by this SOP class support a “Session Timer”. This timer is started when the association is established and stopped when association is ended. The default time-out value is
3000 seconds.
If any of the above timers expires the association is aborted and the operation in-progress is considered FAILED.
In any case an operation (N-CREATE or N-SET) fails, system updates the state to enable operator to manually invoke the operation at any later time.
2.3.1.2.8 Real World Activity: Print
2.3.1.2.8.1 Associated Real World Activity
The Film Composer is the User interface and this is used to initiate the local real world activity. The user issues the print request using Film Composer. Film composer allows printer selection and it composes the pre-formatted film file. This film file is interpreted by Print SCU and it sends the appropriate messages to
DICOM print SCP running on a DICOM printer.
2.3.1.2.8.1.1 Sequencing of Real World Activities
• The DICOM printer is installed through a camera installation process. The DICOM printer is selected from the Film Composer Interface for Manual Filming. Auto filming is enabled using the camera setup via the camera installation process.
•
Images may be acquired for printing in the following manner:
– Images to be printed may be manually dropped from Viewing applications into the manual film composer slots.
– Images to be printed may be automatically dropped from Viewing applications into the manual film composer slots.
– Images to be printed may be manually dropped from Viewing applications into the auto film composer slots.
– Image series to be printed may be automatically dropped from the
PrintSeries application into the manual film composer slots.
– Images to be printed may be automatically dropped from the
Scanning Application into the auto film composer slots.
• Based upon the filming mode (and the attributes) used to acquire images into the film composer, films will be automatically printed when the film session is full, or the user must press the Print Button to print the images.
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• The Print SCU retrieves the Print SCP status by using the N-GET service of Printer SOP Class. If the printer returns a FAILURE status the print session will be terminated. The printer status is not read.
• The film session is created using the N-CREATE service. The print session will be terminated if the printer fails to create the film session.
• The film box is created using the N-CREATE service. The print session will be terminated if the printer fails to create the film box.
• The images are placed on the film box by using the N-SET. If the printer fails to place the image on the film box, the print session will be terminated.
• The film will be printed using the N-ACTION. Only film box printing is supported. If the printer fails to print the film, the print session will be terminated.
• After the successful N-ACTION, the film box will be deleted using the N-DELETE. Any N-
EVENT-REPORTS given to the PRINT SCU will be received but the data is ignored. After the film box is deleted, the association will be closed.
• Upon the successful completion of the above sequencing and the association is closed, the user will be notified of the successful print session.
2.3.1.2.8.2 Proposed Presentation Contexts
The Proposed Presentation Context Table for the Print SCU is as shown in following Table.
Verification SOP
Class
Abstract Syntax
Name
Basic Grayscale
Management
Meta SOP Class
Basic Color Print
Management
Meta SOP Class
1.2.840.10008.5.1.1.
18
Presentation Context Table – Proposed
UID
1.2.840.10008.5.1.1.
9
1.2.840.10008.1.1
Transfer
Syntax
Transfer Syntax
Name
DICOM Implicit
VR Little Endian
DICOM Implicit
VR Little Endian
Transfer
Syntax
DICOM Implicit
VR Little Endian
Transfer
Syntax
Role Extended
Negotiatio n
UID
1.2.840.10008.1.2 SCU
1.2.840.10008.1.2 SCU
1.2.840.10008.1.2 SCU
None
None
None
Printer SOP Class 1.2.840.10008.5.1.1.
16
DICOM Implicit
VR Little Endian
Transfer
Syntax
1.2.840.10008.1.2 SCU None
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Print Job SOP
Class
1.2.840.10008.5.1.1.
14
DICOM Implicit
VR Little Endian
Transfer
Syntax
1.2.840.10008.1.2 SCU None
Note: Certain Presentation Contexts may be negotiated that are not used during the association.
See the following sections for the DICOM Print services performed by the Discovery.
2.3.1.2.8.2.1 SOP Specific DICOM Conformance Statement for Basic Grayscale and Color Print Management SOP
Classes
The DICOM SERVER AE uses the following DIMSE services of the supported SOP Classes for Activity print:
SOP Class
Basic Film Session
Basic Film Box
Basic Grayscale Image Box
Basic Color Image Box
Printer
Print Job SOP Class
SOP Class UID
1.2.840.10008.5.1.1.1
1.2.840.10008.5.1.1.2
1.2.840.10008.5.1.1.4
1.2.840.10008.5.1.1.4.1
1.2.840.10008.5.11.16
1.2.840.10008.5.1.1.14
DIMSE Service
Element
N-CREATE
N-SET
N-DELETE
N- ACTION
N-CREATE
N- ACTION
N-DELETE
N-SET
N-SET
N-SET
N-EVENT-REPORT
N-GET
N-EVENT-REPORT
N-GET
SCU Usage
Used(Mandatory)
Not used
Not Used
Not Used
Used(Mandatory)
Used(Mandatory)
Used
Not Used
Used(Mandatory)
Used(Mandatory)
Used(Mandatory)
Used
Used(Mandatory)
Used
2.3.1.2.8.2.1.1 Basic Film Session SOP Class
The Print SCU supports the following DIMSE Service Elements for the Basic Film Session SOP Class.
N-CREATE – Requests the Print SCP to create an instance of Basic Film Session.
The following Attribute values are supported by the N-CREATE:
Attribute
* Number of Copies
* Print Priority
* Medium Type
DICOM Tag
( 2000, 0010 ) 1-99
Valid Range Default Value
Set by user
( 2000, 0020 ) HIGH / MED / LOW Set in Configuration file
(Default value is HIGH)
( 2000, 0030 ) CLEAR FILM Set in Configuration File
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* Film Destination
BLUE FILM
PAPER
( 2000, 0040 ) MAGAZINE
PROCESSOR
Set in Configuration File
Note: * denotes that the attribute is optional for the SCU. However, we do provide values for all of these optional attributes and if the SCP does not support the requested value it may choose to either return a failure status or ignore the value provided and use its default value.
If Failure status is returned during N-CREATE operation of Film session the following action will be taken by Print SCU:
0x213 “Resource Limitation” message will be logged.
All other status “Failure” message will be logged.
In all the cases the print session will be terminated.
2.3.1.2.8.2.1.2 Basic Film Box SOP Class
The Print SCU supports the following DIMSE Service Elements for the Basic Film Box SOP Class.
• N-CREATE
– Requests the Print SCP to create an instance of Film Box.
• N-ACTION
– Requests the Print SCP to print the Film Box onto Printer.
• N-DELETE
– Requests the Print SCP to delete the Film Box Instance.
The Following Attribute values are supported:
Attribute
Image Display
Format
Reference Film
Session Sequence
Referenced Image
Box Sequence
*Film Orientation
Film Size ID
*Magnification type
*Max Density
Configuration
Information
*Smoothing type
DICOM Tag
( 2010, 0010 )
( 2010, 0500 )
(2010,0510)
( 2010, 0040 )
( 2010, 0050 )
( 2010, 0060 )
( 2010, 0130 )
( 2010, 0150 )
( 2010, 0080 )
Valid Range
STANDARD/C,R
Printer Dependent
Default Value
Set in User Interface
NA
PORTRAIT
Sent zero length
BILINEAR
CUBIC
REPLICATE
NONE
NA
Set in Configuration File
Sent zero length
Set in Configuration File
0-4095 Set in Configuration File
Printer Dependent Set in Configuration File
Printer Dependent Set in Configuration File
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*Border density ( 2010, 0100 ) BLACK
WHITE
Set in Configuration File
*Empty image density
( 2010, 0110 )
BLACK
WHITE
Set in Configuration File
*Min density
*Trim
( 2010, 0120 )
( 2010, 0140 )
0-4094
NO
Set in Configuration File
NO
Note: Attributes “sent zero length” use the camera default values.
Note: * denotes that the attribute is optional for the SCU. However, we do provide values for all of these optional attributes and if the SCP does not support the requested value it may choose to either return a failure status or ignore the value provided and use its default value.
If Failure status is returned during N-CREATE operation of Film box following action will be taken by Print SCU.
0x213: “Resource Limitation” message will be sent.
0x106: “Unsupported Film Format” message will be sent.
All other status: “Failure” message will be sent
In all the cases the print session will be terminated.
If Failure status is returned during N-ACTION operation of Film box following action will be taken by Print SCU.
0xC602: “Unable to Create Print Job” message will be sent.
All other status: “Failure” message will be sent.
In all the cases the print session will be terminated.
If Failure status is returned during N-DELETE operation of Film box following action will be taken by Print SCU.
All the return status: “Failure” message will be sent and the print session will be terminated.
2.3.1.2.8.2.1.3 Basic Grayscale Image Box SOP Class
The Print SCU supports the following DIMSE Service Elements for Grayscale Image Box SOP Class.
N-SET – Requests the Printer to set the image box attributes.
The Following Attribute values are supported:
Attribute Name
Image Position
Basic Grayscale Image Sequence
Tag Use
(2020,0010) Based on Image Display Format
(2020,0110) Sent in the request
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>Samples Per Pixel (0028,0002) 1
>Photometric Interpretation
>Rows
>Columns
>Pixel Aspect Ratio
>Bits Allocated
>Bits Stored
>High Bit
>Pixel Representation
(0028,0004) MONOCHROME2
(0028,0010) Image Dependent
(0028,0011) Image Dependent
(0028,0034) 1\1
(0028,0100) 8 (if Bits Stored=8) or
16 (if Bits Stored=12)
(0028,0101) 8 or 12
(0028,0102) 7 (if Bits Stored=8) or
11 (if Bits Stored=12)
(0028,0103) 0 (unsigned integer)
>Pixel Data
Polarity
Magnification Type
Smoothing Type
(7FE0,0010) Pixel data
(2020,0020) NORMAL
(2010,0060) BILINEAR
CUBIC
REPLICATE
NONE
(2010,0080) Printer Dependent
Min Density
Max Density
Configuration Information
Requested Image Size
(2010,0120) 0-4095, Not Sent
(2010,0130) 0-4095
(2010,0150) Printer Dependent
(2020,0030) Not used
Requested Decimate/Crop Behavior (2020,0040) Not used
Referenced Presentation LUT
Sequence
(2050,0500) Not supported.
> Referenced SOP Class UID
> Referenced SOP Instance UID
(0008,1150) Not supported.
(0008,1155) Not supported.
Note: * denotes that the attribute is optional for the SCU. However, we do provide values for all of these optional attributes and if the SCP does not support the requested value it may choose to either return a failure status or ignore the value provided and use its default value.
If Failure status is returned during N-SET operation of Image Box following action will be taken by
Print SCU.
0xC605: “Resources temporarily not available” message will be sent.
All other status: “Failure” message will be sent.
In all the cases the print session will be terminated.
2.3.1.2.8.2.1.4 Basic Color Image Box SOP Class
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The Print SCU supports the following DIMSE Service Elements for Basic Color Image Box SOP Class.
N-SET – Requests the Printer to set the image box attributes.
The Following Attribute values are supported:
Attribute Name
Image Position
Basic Color Image Sequence
>Samples Per Pixel
>Photometric Interpretation
>Planar Configuration
>Rows
>Columns
Tag Use
(2020,0010) Based on Image Display Format
(2020,0111)
(0028,0002) 3
(0028,0004) RGB
(0028,0006) 1
(0028,0010) Image Dependent
(0028,0011) Image Dependent
>Pixel Aspect Ratio
>Bits Allocated
>Bits Stored
>High Bit
>Pixel Representation
>Pixel Data
Polarity
Magnification Type
(0028,0034) 1/1
(0028,0100) 8
(0028,0101) 8
(0028,0102) 7
(0028,0103) 0 (unsigned integer)
(7FE0,0010) Pixel data
(2020,0020) NORMAL
(2010,0060) BILINEAR
CUBIC
REPLICATE
NONE
Smoothing Type
Requested Image Size
(2010,0080) Printer Dependent
(2020,0030) Not used
Requested Decimate/Crop Behavior (2020,0040) Not used
Note: * denotes that the attribute is optional for the SCU. However, we do provide values for all of these optional attributes and if the SCP does not support the requested value it may choose to either return a failure status or ignore the value provided and use its default value.
If a Normal status is returned during the N-SET operation of Image Box, a Film Session N-Create request is sent.
If a Failure status is returned during the N-SET operation of Image Box, the association will be terminated.
If a Warning status is returned during the N-SET operation of the Image Box, the association will be terminated.
The status values which are specific for this SOP Class are defined as follows
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Status Meaning Error Code
Warning
Failure
Image size larger than image box size, the image has been demagnified.
Image size is larger than the
Image Box size. The Image has been cropped to fit.
Image size or Combined Print
Image size is larger than the
Image Box size. The Image or combined Print Image has been decimated to fit.
Image size is larger than image box size
Insufficient memory in printer to store the image
Combined Print Image size is larger than the Image Box size.
B604
B609
B60A
C603
C605
C613
2.3.1.2.8.2.1.5 Printer SOP Class
N-GET DIMSE service is supported for the Printer SOP Class. If an N-EVENT-REPORT DIMSE service is received when the association is active, Print SCU handles the relevant states but the data received is ignored.
Print SCU issues the request to retrieve the following attributes:
Optional Attribute
Printer Status
Printer Status Info
Printer Name
Manufacturer
Manufacturer Model Name
Device Serial No.
Software Versions
Date Last Calibrated
Time Last Calibrated
DICOM Tag
( 2110, 0010 )
( 2110, 0020 )
( 2110, 0030 )
( 0008, 0070 )
( 0008, 1090 )
( 0018, 1000 )
( 0018, 1020 )
( 0018, 1200 )
( 0018, 1201 )
Default Value
Printer shall return Value
Printer shall return Value
Printer may return Value
Printer may return Value
Printer may return Value
Printer may return Value
Printer may return Value
Printer may return Value
Printer may return Value
The Print SCU issues the N-GET service to retrieve the printer status. The status is processed as follows:
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• If Printer status (2110, 0010) is NORMAL, the film is printed.
• If Printer status (2110, 0010) is FAILURE, the print job is terminated. The Printer Status Info (2110,
0020) attribute is not processed.
• If Printer status (2110, 0010) is WARNING, one of three things will happen: a)
If the Printer Status Info (2110, 0020) is “SUPPLY LOW” the status is displayed to the user and the print job continues. b)
If the Printer Status Info (2110, 0020) is “RECEIVER FULL” or “SUPPLY EMPTY” or “FILM JAM” the status is displayed to the user and the print job is aborted.
For all other Printer Status Info (2110, 0020) values, the status is ignored and the print job continues.
2.3.1.2.8.2.1.6 Print Job SOP Class
Print SCU looks for following attributes in N-EVENT REPORT data received from Print SCP. If Print SCU does not receive N-EVENT_REPORT it requests the Print SCP to retrieve the following set of attributes using N-GET.
Attribute Name
Execution Status
Execution Status info
Print Priority
Creation Date
Creation Time
Printer Name
Originator
DICOM Tag
( 2100, 0020 )
( 2100, 0030 )
( 2000, 0020 )
( 2100, 0040 )
( 2100, 0050 )
( 2110, 0030 )
( 2100, 0070 )
Default Value
Value returned by Print SCP
Value returned by Print SCP
Value returned by Print SCP
Value returned by Print SCP
Value returned by Print SCP
Value returned by Print SCP
Value returned by Print SCP
2.3.1.3 Association Acceptance Policy
The DICOM Server AE places limitations on who may connect to it.
If the Remote AE needs to “Push Images” or “Query/Retrieve Images”, to the local system then it has to be configured in the Local system to do the same.
When the DICOM Server AE accepts an association for image storage, it will receive any images transmitted on that association and store the images on disk.
It will also respond to queries from Remote AEs by sending matching entries. Any Remote AE can request and receive a list of images on the local database. The Remote AE must be configured in the local database manager’s list of Remote AE for it to be able to retrieve images from DICOM
Server AE.
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Any remote AE can open an association to the DICOM Server AE for the purpose of verification.
It will also listen for and receive Storage Commitment notification (N-EVENT-REPORT) from a Remote
Storage commitment SCP.
2.3.1.3.1 Receive Image(s)
This AE is indefinitely listening for associations. No operator action is required to receive an image.
2.3.1.3.1.1 Associated Real-World Activity
The Real-World Activity associated with the Receive Image(s) operation is the storage of the image on the disk drive of the Discovery.
2.3.1.3.1.2 Presentation Context Table
Table 2.3.1.3.1.2-1: Accepted Presentation Contexts for DICOM Server AE and Real-World Activity
Receive Image(s)
Abstract Syntax
Presentation Context Table – Accepted
Transfer Syntax
Name
CT Image
Storage
Role Extended
Negotiati on
SCP None
MR Image
Storage
Secondary
Capture Image
Storage
UID
1.2.840.10008.5.1.4.1
.1.2
1.2.840.10008.5.1.4.1
.1.4
Name List
Implicit VR Little
Endian
Implicit VR Big
Endian
(GE Private)
Explicit VR Little
Endian
Explicit VR Big
Endian
Implicit VR Little
Endian
Implicit VR Big
Endian (GE Private)
Explicit VR Little
Endian
Explicit VR Big
Endian
1.2.840.10008.5.1.4.1
.1.7
Implicit VR Little
Endian
Implicit VR Big
Endian (GE Private)
Explicit VR Little
Endian
Explicit VR Big
UID List
1.2.840.10008.1.
2
1.2.840.113619.5
.2
1.2.840.10008.1.
2.1
1.2.840.10008.1.
2.2
1.2.840.10008.1.
2
1.2.840.113619.5
.2
1.2.840.10008.1.
2.1
1.2.840.10008.1.
2.2
1.2.840.10008.1.
2
1.2.840.113619.5
.2
1.2.840.10008.1.
2.1
SCP
SCP
None
None
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Endian
X-ray Radiation
Dose SR
Enhanced SR
PET Image
Storage
GE Private PET raw data
1.2.840.10008.5.1.4.1
.1.88.67
1.2.840.10008.5.1.4.1
.1.88.22
1.2.840.10008.5.1.4.1
.1.128
Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big
Endian
Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big
Endian
Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big
Endian
1.2.840.113619.4.30 Implicit VR Little
Endian
Explicit VR Little
Endian
Explicit VR Big
Endian
1.2.840.10008.1.
2.2
1.2.840.10008.1.
2
1.2.840.10008.1.
2.1
1.2.840.10008.1.
2.2
1.2.840.10008.1.
2
1.2.840.10008.1.
2.1
1.2.840.10008.1.
2.2
1.2.840.10008.1.
2
1.2.840.10008.1.
2.1
1.2.840.10008.1.
2.2
1.2.840.10008.1.
2
1.2.840.10008.1.
2.1
1.2.840.10008.1.
2.2
SCP
SCP
SCP
SCP
None
None
None
None
2.3.1.3.1.2.1 SOP Specific DICOM Conformance Statement for all Storage SOP Classes
The DICOM Server AE conforms to the SOP’s of the Storage Service Class at level 1 (base). Private elements will be discarded from the image when receiving images containing non-GE private data elements. All of the standard type elements (1,1c,2,2c,3) will be retained.
Each C-STORE SCP operation supports an “Association Timer”, “Operation Inactivity Timer” and
“Session Timer” with time out values of 60 seconds, 900 seconds and 60 minutes respectively.
Association Timer – duration for SCP to respond to an association request.
Session Timer – duration from association to first command sent by SCU.
Inactivity Timer – duration between two commands after the association.
Image Reception
If the DICOM Server AE returns one of the following status codes, then the C-STORE operation was unsuccessful and no image will be installed:
• 0110
(Processing Failure) Indicates that an internal system call has failed while processing an image.
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• A711 (Out of Resources) Indicates that probably there was not enough disk space to store the image. The user should attempt recovery by removing some images from the
Discovery system.
• A712 (Out of Resources) Indicates that there was not enough resource (such as memory) to store the image.
• A800 (SOP Class not supported)
In the event of a successful C-STORE operation, the image has successfully been written to disk. The image will then be accessed in the same manner as any other image by the applications on the Discovery system.
Images may be deleted when instructed to do so by the user. Thus the duration of the storage of the image is determined by the users of the Discovery system.
Attention: This Discovery/Optima system does not support previous non-Discovery based
PET/CT Raw Data. Receiving/Pulling Raw Data series acquired from a non-Discovery based product onto the Discovery/Optima will cause the network process to fail. Furthermore,
Discovery 710/610 and Optima 560 Raw Data format has changed and is no longer backward compatible with previous PET/CT systems. Sending/Pushing Discovery 710/610 and Optima 560 Raw Data Series onto a non-Discovery 710/610 or Optima 560 system will also cause the network process to fail. This applies to the GE proprietary PET Raw Data IOD.
Image Installation
If the image installation is unsuccessful, a message will appear in the Message Log informing the user of the failure and the image will be removed.
If the image installation process finds that an element is not encoded according to the
DICOM standard, it will fail to install the image and the file will be removed.
Image Installation of non-GE Created CT, MR or PET Images
Images received from non-GE products are installed as appropriate image object without any of their private data elements. Also if some critical fields (mandatory) are missing, then the image will not be installed.
2.3.1.3.2 Verification Request from Remote AE
This AE is indefinitely listening for associations. No operator action is required to respond to a
verification message.
2.3.1.3.2.1 Associated Real-World Activity
The Real-World Activity associated with the verification request is to send a C-ECHO response message with a status of “success” to the requesting AE.
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2.3.1.3.2.2 Presentation Context Table
Table 2.3.1.3.2.2-1: Acceptable Presentation Contexts for DICOM Server AE and
Real-World Activity Verification Request
Abstract Syntax
Name UID
Verification 1.2.840.10008.
1.1
Presentation Context Table
Transfer Syntax
Name List
Implicit VR Little
Endian
UID List
1.2.840.10008.1.
2
Role Extended
Negotiation
SCP None
2.3.1.3.2.2.1 SOP Specific Conformance to DICOM Verification Service Class
The DICOM Server AE provides standard conformance to the DICOM Verification Service Class.
Each ECHO operation supports an “Operation Inactivity Timer” with time out value of 15 seconds.
2.3.1.3.3 Search Local Database (Query Request from Remote AE)
This AE is indefinitely listening for associations. No operator action is required to respond to a query request.
2.3.1.3.3.1 Associated Real-World Activity
The Real-World Activity associated with the query request is to search the local database for entries that match the request and send a C-FIND response message with a status of “pending” for each matching entry.
2.3.1.3.3.2 Presentation Context Table
Table 2.3.1.3.3.2-1: Acceptable Presentation Contexts for DICOM Server AE and Real-World Activity
Query Request
Abstract Syntax
Presentation Context Table
Transfer Syntax Role
Name
Study Root
Query/Retrieve
FIND
UID
1.2.840.10008.5.1.4.1.2.2
.1
Name List
Implicit VR
Little Endian
UID List
1.2.840.10008.1.2 SCP
Extended
Negotiation
None
2.3.1.3.3.2.1 SOP Specific Conformance to C-FIND SCP
All Required (R) and Unique (U) study, series, and image level keys for the Study-Root Query/Retrieve information model are supported. Some optional (O) keys are also supported as described in the following tables.
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Table 2.3.1.3.3.2.1-1 Supported study level keys
Description
Study date
Study time
Accession number
Patient’s name
Patient id
Study id
Study Instance UID
Study description
Suite Id
Table 2.3.1.3.3.2.1-2 Supported series level keys
Description
Modality
Series number
Series Instance UID
Series description
Manufacturer
Images in series
Type
R
R
U
O
O
O
Table 2.3.1.3.3.2.1-3 Supported image level keys
Description
Image number
Image Instance UID
Image type
Rows
Columns
Image position
Image orientation
Slice thickness
Slice spacing
Gantry tilt
Convolution kernel
Reconstruction diameter
Data collection diameter
Flip angle
Echo number
Echo time
Inversion time
Repetition time
Trigger time
O
O
O
O
O
O
O
O
Type
R
U
O
O
O
O
O
O
O
O
O
Type
R
R
R
R
R
R
U
O
P
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Tag
0008,0020
0008,0030
0008,0050
0010,0010
0010,0020
0020,0010
0020,000D
0008,1030
0009,0002
Tag
0008,0060
0020,0011
0020,000E
0008,103E
0008,0070
0020,1002
Usage
Matched
Matched
Matched
Returned
Returned
Returned
Tag Usage
0020,0013 Matched
0008,0018 Matched
0008,0008 Returned
0028,0010 Returned
0028,0011 Returned
0020,0032 Returned
0020,0037 Returned
0018,0050 Returned
0018,0088 Returned
0018,1120 Returned
0018,1210 Returned
0018,1100 Returned
0018,0090 Returned
0018,1314 Returned
0018,0086 Returned
0018,0081 Returned
0018,0082 Returned
0018,0080 Returned
0018,1060 Returned
Usage
Matched
Matched
Matched
Matched
Matched
Matched
Matched
Returned
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Description
Type
Tag Usage
Dfov Rect P 0019,001E Returned
Midscan Time
Azimuth
Number of Echo
Scout Anref
Location RAS
Location
Center R Coordinate
Center A Coordinate
Table Start Location
Table End Location
P
P
P
P
P
P
P
P
P
P
0019,0024 Returned
0019,0026 Returned
0019,007E Returned
0021,004A Returned
0027,0040 Returned
0027,0041 Returned
0027,0042 Returned
0027,0043 Returned
0027,0050 Returned
0027,0051 Returned
RAS Letter for Side of Image
RAS Letter for Anterior/Posterior
RAS Letter for Scout Start Location
RAS Letter for Scout End Location
Image Dimension X
Image Dimension Y
P
P
P
P
P
P
0027,0052 Returned
0027,0053 Returned
0027,0054 Returned
0027,0055 Returned
0027,0060 Returned
0027,0061 Returned
Note: In the above tables the type field has the following meaning:
R = Required U = Unique O = Optional P = Private
Only keys with Usage type Matched will be matched against values in the database.
Values in keys of type Returned will be ignored and will be filled in with data from the database.
If an optional key is requested that does not appear in any of the tables above, that key will be ignored and no corresponding element will be returned.
If the database does not have a value corresponding to any requested optional key a zero-length element will be returned.
Sequence matching is not supported.
Range matching is supported for attributes of type date and time.
Only hierarchical query is supported.
Special character ? can be used to match any single character and special character * can be used to match any character or set of characters for (0008, 0050) Accession Number, (0010, 0010)
Patient’s Name, (0010, 0020) Patient ID and (0020, 0010) Study ID.
2.3.1.3.4 Move Images (Retrieve Request from Remote AE)
This AE is indefinitely listening for associations. No operator action is required to respond to a
retrieve request.
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2.3.1.3.4.1 Associated Real-World Activity
The Real-World Activity associated with the Retrieve Request is to send all images corresponding to the C-MOVE request to the destination AE through a separate association.
2.3.1.3.4.2 Presentation Context Table
Table 2.3.1.3.4.2-1: Acceptable Presentation Contexts for DICOM Server AE and
Real-World Activity Retrieve Request.
Abstract Syntax
Presentation Context Table
Transfer Syntax Role
Name
Study Root
Query/Retrie ve
MOVE
UID
1.2.840.10008.5.1.4.1.2.
2.2
2.3.1.3.4.2.1 SOP Specific Conformance to C-MOVE SCP
Name List
Implicit VR
Little Endian
UID List
1.2.840.10008.
1.2
SCP
Extended
Negotiation
None
The DICOM Server AE provides standard conformance to the baseline Study-root C-MOVE Service
Class SCP.
Each C-MOVE SCP operation supports an “Association Timer”, “Operation Inactivity Timer” and
“Session Timer” with time out values of 60 seconds, 300 seconds and 60 minutes respectively. These time-outs are configurable in dcs.cfg as bi_assoc_tio, bi_move_tio and bi_session_tio respectively
All images requested in a C-MOVE-RQ will be sent over a single association. A C-MOVE-RSP with a
“pending” status will be returned to the requester every five images.
The C-MOVE SCP will invoke C-STORE requests for the following SOP classes:
SOP Class Name
CT Image Information Storage
MR Image Information Storage
Secondary Capture image storage
X-Ray Radiation Dose SR
Enhanced SR
PET Image Information Storage
SOP Class UID
1.2.840.10008.5.1.4.1.1.2
1.2.840.10008.5.1.4.1.1.4
1.2.840.10008.5.1.4.1.1.7
1.2.840.10008.5.1.4.1.1.88.67
1.2.840.10008.5.1.4.1.1.88.22
1.2.840.10008.5.1.4.1.1.128
In addition to the C-MOVE response status values defined in DICOM part 4 the following status values will be returned:
§
C000 - Indicates that an error occurred while retrieving records from the local database.
§ C001- Indicates all other processing error.
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§ C011 - If the Destination AE returns a “Storage Full” condition this status will be returned. This status will only be sent if the Destination AE returns a status of A711 and is only applicable if the Destination AE is another GE Healthcare product.
2.3.1.3.5 Listen to remote Storage Commitment SCP
The DICOM SERVER AE is indefinitely listening for associations. No operator action is required to receive a
Storage Commitment notification (N-EVENT-REPORT).
2.3.1.3.5.1 Associated Real World Activity
§
Flag the exams/series that have been committed (transfer of ownership) in the database
§
Display the error when some images of a patient existing in the database have not been committed
2.3.1.3.5.2 Accepted Presentation Context Table
The Accepted Presentation Context table for the DICOM Storage Commitment SCU is shown in the following table.
Accepted Presentation Context Table
Abstract Syntax
Name UID
Transfer Syntax
Name List UID List
Role Extended
Negotiati on
Storage
Commitment
Push Model
1.2.840.10008.1.20.1
Implicit VR Little
Endian
Explicit VR Little
Endian
1.2.840.10008.1.2
1.2.840.10008.1.2.1
SCU None
2.3.1.3.5.2.1 SOP Specific DICOM Conformance Statement for the Storage Commitment Push Model SOP Class (N-
EVENT-REPORT)
Once the N-EVENT REPORT is received, the following actions will be taken depending on the status of the response.
2.3.1.3.5.2.1.1 Commit response with SUCCESS status
The Archive flag information in the browser for all the successful instances will be updated. The status will be changed to “Y”. The job queue entry will be removed. N-EVENT-REPORT-RSP will be sent on the same association itself. No DATA Set will be sent along with the response.
Following are the status codes the Application may send back to the SCP after receiving the N-
EVENT-REPORT:
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Status Codes Returned by DICOM SERVER AE for Activity Listen to remote Storage Commitment SCP with
SUCCESS Status
Service
Status
Error
Status
Codes
Further Meaning Status Code sending explanation Related Fields sent back to the
SCU
None
Success
0110 Processing Failure Indicates that an internal error occured while processing.
0000 Success The storage commitment result received successfully.
None
2.3.1.3.5.2.1.2 Commit response with FAILURE status
In case of complete/partial failure the user will be notified about the status and the job entry will be paused. There is no attempt made to retry automatically the failed sop instances. However the user can manually retry the failed jobs. Such requests will be treated as new requests. This will go through the whole sequence of operations once again.
The failure reason is ignored.
Failed SOP instances will have their archive flag information unaltered.
Note: The archive status flag in the browser is a shared flag with local archive. When the status is
“Y”, it means that the images are archived but doesn’t specify whether on local archive device or remote archive device. It is left to the user’s discretion whether the local sop instances (with their archive flag set to “Y”) are to be deleted.
N-EVENT-REPORT-RSP will be sent on the same association itself. No DATA Set will be sent along with the response.
Please see section 5.1.2.1
for the complete list of N_EVENT_REPORT failure statuses processed by the system and section 2.3.1.2.5.3.1 for the complete list of status codes the application may send back in the N-Event-Report response command to the Storage Commitment SCP equipment that sent the N-Event- Report request.
Following are the status codes the Application may send back to the SCP Equipment after receiving the N-EVENT-REPORT:
Status Codes Returned by DICOM SERVER AE for Activity Listen to remote Storage Commitment SCP with
FAILURE Status
Service
Status
Error
Status
Codes
0110
Success 0000
Further
Meaning
Processing
Failure
Success
Status Code sending explanation
Indicates that an internal error occurred while processing.
The storage commitment result received
Related
Fields sent back to the
SCU
None
None
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2.3.1.4 Presentation Context Acceptance Criterion
The DICOM SERVER AE evaluates each Presentation Context independently, and accepts any
Presentation Context that matches an Abstract Syntax for any Real-World Activity.
2.3.1.5 Transfer Syntax Selection Policies
Within each Presentation Context, the DICOM SERVER AE will select Transfer Syntaxes according to the following priority (highest priority first):
1. Explicit VR Little Endian
2. Implicit VR Little Endian
3. Explicit VR Big Endian
2.4 Communication Profiles
2.4.1 Supported Communication Stacks (part 8)
DICOM Upper Layer (Part 8) is supported using TCP/IP.
2.4.2 TCP/IP Stack
The TCP/IP stack is inherited from a UNIX Operating System.
2.4.2.1
Physical Media Support
Ethernet v2.0, IEEE 802.3. Auto senses 10/100 Base T Ethernet connection.
2.4.3 Additional Protocols
DHCP is not supported in this product.
2.4.4 IPv4 and IPv6 Support
IPv4 and IPv6 are supported by this product.
2.5 Extensions / Specializations / Privatizations
2.5.1 Standard Extended / Specialized / Private SOP Classes
The product provides Standard Extended Conformance to all supported SOP Classes, through the inclusion of additional Type 3 Standard Elements and Private Data Elements. The extensions are defined in Sections. Please refer section A 4.4 for CT IOD
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2.5.2 Private SOP Class GE PET Raw
Refer to Appendix B& Appendix D for a complete listing of private data elements used with this implementation.
2.6 Configuration
2.6.1 AE Title/Presentation Address Mapping
The Discovery system allows the user to “add”, “Remove”, or “Update the mapping of remote AE
Titles to IP Addresses and Ports.
In
Discovery 710, Discovery 610 and Optima 560 (SW Version: pet_mfk.xx) -
These options can be selected from the “Remote Host Selection” menu displayed by choosing
“Select Remote Host” from the “Network” pull-down menu from the local database manager.
In
Discovery 710 and Discovery 610 (SW Version: pet_coreload.xx) –
These options can be selected from “Network Configuration” dialog box displayed by choosing
“Network Configuration” from the “Tools” pull-down menu from the local database browser.
2.6.2 Configurable Parameters
The following fields are configurable for the DICOM Server AE:
• Local AE Title (the machine hostname)
• Local IP Address
• Local IP Netmask
• Local Listening Port Number
Note: The local port on which the GEHC PET system receives DICOM incoming TCP connections is port 4006.
The following fields are configurable for every Remote DICOM AE:
• Remote AE Title
• Remote IP Address
• Listening TCP/IP Port Number
• Max PDU length
For the Discovery 710/610 and Optima 560 product (SW Version pet_mfk.xx), time-outs, which are set for all hosts, are configurable in dcs.cfg:
*Association time-out
*Session timeout
*Create timeout
- bi_assoc_tio
- bi_session_tio
- bi_ncreate_tio
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• For the Discovery 710/610 and Optima 560 products (SW Version pet_coreload.xx) timeouts are set in network-cfg.xml and mergecom.pro files
Note:
All configurations should be performed by a GE Field Service Engineer.
2.6.2.1 PPS Configuration
PPS allows for the configuration of the following parameters that pertain to the remote AE.
• Remote MPPS AE IP Address:
IP Address used to contact the remote MPPS AE
• Remote AE (HIS/RIS) IP Port:
IP Port used to contact the remote MPPS AE
• Remote MPPS AE Title:
Application Entity Title used to contact the remote MPPS AE
These parameters define where the MPPS requests will be directed. Configuration of these parameters is performed by GEHC Field Service engineers, using the installation facilities.
The following are configurable for the PPS Server AE:
• Local (PPS Server AE) AE Title (The default is host name of the scanner appended with string
“_PPS”. If the length exceeds 16 characters the AE Title is truncated to a length of 16.)
• Local IP Address
• Local IP net-mask
• Local IP gateway
• The following parameters are configurable, but need change only in case of a system software upgrade:
• Implementation UID
• PDU size
• Association time-out period
• Session time-out period
The following DICOM sequences are currently defaulted to be automatically sent in the PPS N-CREATE and PPS N-SET however PPS can be configured to not send them:
• (0008, 1032) Procedure Code Sequence – sent in the PPS N-CREATE. If not sent, the PPS N-CREATE will contain an empty Procedure Code Sequence.
• (0040, 0260) Performed Protocol Code Sequence – sent in the PPS N_SET. If not sent, the PPS N-SET will not contain a Performed Protocol Code Sequence.
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2.6.2.2 Modality Worklist Query Configuration
HIS/RIS is configured as a remote AE. These parameters define where worklist queries will be directed.
Configuration of these parameters is performed by GEHC Field Service engineers using the
ModalityWorklist installation facilities.
The following parameters are configurable for the DICOM Worklist Server AE:
• Local (Worklist Server) AE Title (automatically set to host name of scanner)
• Local IP address
• Local IP netmask
• Local IP gateway
The following parameters are configurable by changing their values in the configuration file
/usr/g/config/WLdcm.cfg. Note that these parameters typically need not be changed.
Furthermore, no support is provided for retaining changed settings: the values will require changing again after a system software upgrade.
• Implementation UID
• PDU size
• Association time-out period
• Session time-out period
• C-FIND time-out period
2.6.2.3 GSPS Configuration
Exam Split allows for the configuration of the following parameters that pertain to the remote AE.
•
•
Remote GSPS AE IP Address
Remote GSPS IP Port:
IP Address used to contact the remote GSPS AE
IP Port used to contact the remote GSPS AE
•
Remote GSPS AE Title Application Entity Title used to contact the remote
GSPS AE
•
•
•
Remote HES AE IP Address
Remote HES IP Port:
Remote HES AE Title
IP Address used to contact the remote HES AE
IP Port used to contact the remote HES AE
Application Entity Title used to contact the remote
HES AE
The Following are configurable for the GSPS.
• Remote Host IP address
• Remote Host port
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• Remote AE Title
• VES_ORIENTATION (environment variable for enable/disable Flip/Rotate functionality in
VES)
• Changesplit_mode <HES/VES>
2.6.2.4 Print Configuration
The following DICOM print parameters are configurable.
Attribute Name DICOM Tag
Medium Type
Film Destination
(2000, 0030)
(2000, 0040)
Magnification Type
Min Density
Max Density
Empty Image Density
Border Density
Configuration Information
(2010, 0060)
(2010, 0120)
(2010, 0130)
(2010, 0110)
(2010, 0100)
(2010, 0150)
Smoothing Type (2010, 0080)
The following network timers are supported and are configurable. When these timers expire the association is terminated. The default values are:
Timeout Description Default Value
Association Time out
Session Time out
120 seconds
1200 seconds
N-SET Time out
N-ACTION Time out
N-CREATE Time out
300 seconds
300 seconds
300 seconds
N-DELETE Time out
N-GET Time out
300 seconds
100 seconds
Time-outs, which are set for all hosts, are configurable in dprint.cfg:
*Association time-out - bi_assoc_tio
*Session timeout
*Create timeout
- bi_session_tio
- bi_ncreate_tio
Note: All configurations are performed by a GE Field Service Engineer
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2.7 Support of Extended Character Sets
In addition to the DICOM default character set, Discovery supports the ISO IR 100 Latin alphabet #1 supplementary set for the purpose of interchange .
As a Storage SCP, the product will accept SOP Instances with any value of Specific Character Set
(0008,0005).
As a Query SCU, it will similarly accept response items with any value of Specific Character Set.
However, it will display in the user interface only characters specified as within ISO_IR 6 (ASCII) or the configured extended character set.
The product user interface will allow the user to enter characters from the console keyboard that is within ASCII or the configured extended character set. If any such extended characters are included in SOP Instances or in query identifier matching fields, the product will appropriately specify the extended character set in Specific Character Set (0008,0005).
The generated MPPS messages will also specify the character set in (0008,0005) if the referenced images contain extended characters.
As a Modality Worklist SCU, it only uses ISO_IR 100 Specific Character Set in the worklist query requests.
2.8 CODES AND CONTROLLED TERMINOLOGY
The product uses coded terminology as defined below .
2.8.1 Mapped Coded Terminology
The product maps, without change, coded terminology values supplied in Modality Worklist
Scheduled Procedure Steps into Image SOP Instance and Modality Performed Procedure Step attributes, as described in Sections 6 and 7.
2.8.2 PET Isotope and Patient Orientation Module
The encodings used in formatting the sequences in the PET isotope and patient orientation module, which are supplied into the Image SOP Instance, are described in Appendix A.
2.9 SECURITY PROFILES
The product does not conform to any defined DICOM Security Profiles.
It is assumed that the product is used within a secured environment. It is assumed that a secured environment includes at a minimum:
• Firewall or router protections to ensure that only approved external hosts have network access to the product.
• Firewall or router protections to ensure that the product only has network access to approved external hosts and services.
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• Any communications with external hosts and services outside the locally secured environment use appropriate secure network channels (such as a Virtual Private Network (VPN))
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3 MEDIA STORAGE CONFORMANCE STATEMENT
3.1 Introduction
The GEHC PET-CT system provides capabilities to DICOM Media Interchange on CD (Compact Disc),
DVD (Digital Video Disc –Recordable) and USB Storage device with VFAT file system. The system works with most of the IOD’s like Computed Tomography (CT), Magnetic Resonance (MR), Positron
Emission Tomography (PET), and Digital X-Ray images.
3.2 Implementation Model: Media Server
All DICOM functionality on the Discovery and Optima products is handled by the DICOM Server
Application Entity (AE). The DICOM Server AE is commanded to perform DICOM services through the buttons and menu selections on the main user interface panel.
3.2.1 Application Data Flow Diagram
The media interchange application model for the Discovery and Optima systems is shown in the following Illustration :
Illustration 3-2: SYSTEM MEDIA INTERCHANGE APPLICATION MODEL AND DATA FLOW DIAGRAM
Display
Directory/
QUERY
Local
Storage/
RESTORE
DICOM
Media
Interchange
FSC
Media
Storage
FSR
Media
Storage
Record
Media/
RECORD
The DICOM Media Interchange Application Entity (AE) handles the DICOM CREATE/RESTORE functionality for the CD/DVD and USB storage media. The DICOM Media Interchange AE is commanded by the user to perform DICOM services operating on the DICOM media through the use of buttons and menu selections on the graphical user interface of the platform.
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The DICOM Media Interchange AE has a local storage that may contain various SOP instances.
These may have been obtained by original creation, network (DICOM or proprietary) or by removable media using other application entities. These instances are external to this conformance claim and the origin of SOP instances is outside the scope of this claim.
The Media Creator initializes Media by acting as an FSC to create a new DICOM File-set on a 700MB
CD/4.7GB DVD/USB Storage(no size limit) blank Interchange Media. It initializes the DICOM File-set and writes all the specified SOP instances onto the Interchange Media at once. The SOP instances written will be limited to instances that match the criteria of one of the Application Profiles that is supported. Updating the media is not supported.
The DICOM Media Interchange AE acts as an FSR when requested to browse the Interchange Media such that user can select the SOP instances that he wants the DICOM Media Interchange AE to copy on the local database by selecting appropriate Study/Series/Image instances.
The supported file system during creation and restore are listed below:
File System Supported during
Media Create (FSC)
Supported during
Media Restore (FSR)
ISO 9660 YES YES
UDF NO YES
VFAT YES YES
The supported media during creation and restore are listed below:
Media
Supported during
Media Create
(FSC)
File System supported (FSC)
Supported during
Media Restore (FSR)
CD -R
CD -RW
DVD -R
DVD -RW
DVD+R
DVD+RW
DVD-ROM
USB Storage (VFAT
NO
NO
NO
YES
YES
YES
YES
YES
ISO 9660
ISO 9660
ISO 9660
ISO 9660
ISO 9660
ISO 9660
ISO 9660
VFAT
YES
YES
YES
YES
YES
YES
YES
YES
File System supported (FSR)
ISO 9660
ISO 9660
ISO 9660 & UDF
ISO 9660 & UDF
ISO 9660 & UDF
ISO 9660 & UDF
ISO 9660 & UDF
VFAT
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3.2.2 Functional Definitions of AE's
The DICOM Media Interchange AE supports the following functions:
•
•
•
Generate and write a DICOM File Set (FSC) in a one shot activity. (SAVE).
Read a DICOM File Set (FSR) on an Interchange Media (QUERY).
It can copy SOP instances from the media onto local storage. (RESTORE).
3.2.3 Sequencing of Real World Activities
Sequencing of DICOM Media Interchange AE Real World Activities
The display function (QUERY) can only be performed on a piece of media that already has a DICOM
File set created. With no SOP instances having been added, the directory will be displayed empty.
The save function can only be performed on a blank (unused) Interchange Media. Updates to an already recorded Interchange Medium are not supported.
There are no other sequencing requirements.
3.2.4 File Meta Information for Implementation Class and Version
The File Meta-Information for this implementation is:
• File Meta-Information Version .......................................... 1
• Implementation Version Name ........................................ Software Revision (See Appendix E)
The table in Appendix E identifies the Implementation UID for this product version.
3.3 AE Specifications
3.3.1 DICOM Storage Media (CD /DVD /USB Storage) Interchange AE Specification
The DICOM CD/DVD/USB Storage Media AE provides standard conformance to DICOM Media
Interchange Option of the Media Storage Service Class. The supported Application Profiles and roles are listed below.
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Table 3.3.1-1: Application Profile, Activities and Roles for CD/DVD-R/CD-RW /DVD-RW/USB
Update
Supported Application
Profile
STD-GEN-CD
STD-GEN-CD
STD-GEN-CD
STD-GEN-DVD-JPEG
STD-GEN-DVD-JPEG
STD-GEN-DVD-JPEG
STD-GEN-USB-JPEG
STD-GEN-USB-JPEG
STD-GEN-USB-JPEG
Real World Activity
CREATE CD
QUERY CD
RESTORE CD
CREATE DVD
QUERY DVD
RESTORE DVD
CREATE USB
QUERY USB
RESTORE USB
3.3.1.1
File Meta Information for Implementation Class and Version
Role
FSC
FSR
FSR
FSC
FSR
FSR
FSC
FSR
FSR
The File Meta-Information for this implementation is:
Option
Interchange
Interchange
Interchange
Interchange
Interchange
Interchange
Interchange
Interchange
Interchange
• File Meta-Information Version ................................... 1
• Implementation Version Name ................................. Software Revision (See Appendix E)
The table in Appendix E identifies the Implementation UID for this product version.
3.3.1.2 Real-World Activities for the DICOM Media Interchange AE
3.3.1.2.1 Real-World Activity (RWA) Create (Generate and Write) CD/DVD/USB
The DICOM Media Interchange AE acts as an FSC using the interchange option when requested to copy SOP Instances from the local database to a CD-R/DVD-R/CD-RW/DVD-RW/USB
The user selects the entries in the local database that he/she wants the DICOM Media Interchange
AE to copy onto Interchange Media.
The graphic interface allows the user to select the entries (patients, studies, series or images) in the local database to be copied onto to the selected Interchange Media.
The DICOM Media Interchange AE creates one File Set per generated Interchange Media.
• A user can only create one copy of CD/DVD image for a drive at a time; any other attempt of creation will wait until the first one is complete.
• A user cannot create CD/DVD/USB while restore CD/DVD/USB is in process. o A DICOM Media Viewer is provided along with the selected object instances on the interchange media. This viewer can be loaded on a standard PC running Windows XP,
Windows Vista or Windows 7.
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Before writing on the Interchange Medium, the DICOM Media Interchange AE checks for the following condition:
• The inserted media is blank and write-able. If the condition is not met, an error is displayed and the user needs to replace it with a blank media.
3.3.1.2.1.1 Application Profiles for the RWA: Create CD/DVD/USB
For the AE Conforms to the Application Profile, see the Table 3.3.1-1 in section 3.3 for Create
CD/DVD/USB
3.3.1.2.1.1.1 Options for STD-GEN-CD STD-GEN-DVD-JPEG and STD-GEN-USB-JPEG Application Profile:
Following are the SOP Classes supported by the RWA “Create CD/DVD/USB”. All SOP Instances use the Explicit VR Little Endian Uncompressed Transfer Syntax, UID 1.2.840.10008.1.2.1. for creating
CD/DVD/USB.
TABLE 3.3.1.2-1
SOP Class
CT Image Storage
MR Image Storage
Positron Emission Tomography Image
Storage
Nuclear Medicine Image Storage
Ultrasound Image Storage
X-Ray Angiographic Image Storage
SOP Class UID
1.2.840.10008.5.1.4.1.1.2
1.2.840.10008.5.1.4.1.1.4
1.2.840.10008.5.1.4.1.1.128
1.2.840.10008.5.1.4.1.1.20
1.2.840.10008.5.1.4.1.1.6
1.2.840.10008.5.1.4.1.1.12.1
1.2.840.10008.5.1.4.1.1.7 Secondary Capture Image Storage
Grayscale Softcopy Presentation State
Storage
1.2.840.10008.5.1.4.1.1.11.1
Enhanced SR Storage
GEMS PET Raw Information Storage
1.2.840.10008.5.1.4.1.1.88.22
1.2.840.113619.4.30
3.3.1.2.1.1.2 FSC Directory Options
Refer to Appendix C for a complete listing of all modules and attributes used in the DICOMDIR definition.
NOTE:
Modality attribute (0008,0060) in the DICOMDIR Series records should be “CT” for Secondary
Capture SOP Class Images. Otherwise the GEHC CT system’s DICOM media display browser will not list-up the series for contents rendering the retrieval to local storage impossible.
For USB, only one DICOM file set shall be stored in the first partition of a partitioned device. If the device is not partitioned, only one DICOM file set shall be stored on the device.
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Attention:
The Discovery 710/610 supports type of raw data format called “PET List Data” with SOP class name GE Private PET List data and SOP class UID 1.2.840.113619.4.30. Though it is having same SOP class UID as PET Raw data, PET List data won’t be supporting any Archive/Restore operations. Exam containing the PET List Series will skip the same during “Save by Exam”.
The Discovery 710/610 uses the GE PET Raw SOP Class for local storage and management of "list” data. Unlike other types of GE PET Raw (such as sinogram and spectra data), list data is not supported in archive operations such as save and restore, and the list data objects will not be visible via Archive browsers. List data objects are labeled as "List" on the database browser, and can be identified by tag (0008, 0060) (see Section D.2) o Save by Series on PET List series not supported o Save by Image on PET List frame not supported
PET List Data behavior on PET Applications
On saving exams (contains PET List Series) generated from Anonymous Patient data or Edit Patient
Data or Edit Tracer application, the exam level archive flag set to Yes after skipping the PET List
Series during save.
Note: The Optima 560 product does not support PET List Data.
3.3.1.2.2 Real World Activity: QUERY
The DICOM Media Interchange AE acts as an FSR using the interchange option when requested to browse the Interchange Media.
When Media Application is requested to provide a directory listing it will read the File-set and display the DICOMDIR directory entries for those SOP instances in the File-set that correspond to the user selected Application Profile.
If the media is not blank, then Interchange Media gets mounted. To remove the media, the user has to select the eject button on user interface for the appropriate drive.
A user cannot display the directory when create CD/DVD/USB or restore CD/USB are in progress
3.3.1.2.2.1 Application Profiles for the RWA: Display Directory
For the list of Application Profiles that invoke this AE for the Display Directory CD/USB RWA,, see
Table 3.3.1-1.
There are no extensions or specializations.
3.3.1.2.2.2 Media Storage Application Profile for the RWA: Display Directory:
Following are the SOP Classes supported by the RWA “Display Directory of CD/USB”:
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Information
Object
Definition
Media
Storage
Directory
Storage
SOP Class UID
1.2.840.10008.1.3.10
Transfer Syntax
Transfer Syntax UID
Explicit VR Little Endian
1.2.840.10008.1.2.1
3.3.1.2.3 Real World Activity: RESTORE
The DICOM Media (CD/DVD /USB Storage) Interchange AE acts as an FSR using the interchange option when requested to copy SOP instances from the CD/DVD/USB to the local database.
The user selects the SOP instances that he wants the DICOM Media Interchange AE to copy on the local database by selecting appropriate Study/Series/Image instances and clicking on the suitable restore buttons. Once selected, the SOP instances are copied from the media to the local database.
If the media is not blank, then the Interchange Media gets mounted. To remove the media, the user has to select the eject button on the User Interface for the appropriate drive.
A user cannot restore CD/DVD/USB while create CD/DVD/USB is in process.
A user can only restore selected composite objects at a time from a media; any other attempt of selections to restore CD/DVD/USB on media in same drive will wait until the first one is completed.
3.3.1.2.3.1 Application Profiles for the RWA: Local Storage – RESTORE (CD/USB)
For the list of Application Profiles that invoke this AE for the Restore RWA, see Table 3.3.1-1. For extensions and specialization’s see section 3.5.
3.3.1.2.3.1.1 Options for STD-GEN-CD and STD-GEN-USB-JPEG Application Profile:
Following are the SOP Classes supported by the RWA “
Local Storage – RESTORE (CD/USB)
”.
Information
Object
Definition
Media
Storage
Directory
Storage
See Table
3.3.1.2.1.1.1-1
See Table
3.3.1.2.1.1.1-1
SOP Class UID
1.2.840.10008.1.3.10
See Table
3.3.1.2.1.1.1-1
See Table
3.3.1.2.1.1.1-1
Transfer Syntax
Explicit VR Little Endian
Explicit VR Little Endian
JPEG Lossless Process 14
(selection value 1)
(STD-GEN-USB-JPEG only)
Transfer Syntax UID
1.2.840.10008.1.2.1
1.2.840.10008.1.2.1
1.2.840.10008.1.2.4.70
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See Table
3.3.1.2.1.1.1-1
See Table
3.3.1.2.1.1.1-1
See Table
3.3.1.2.1.1.1-1
See Table
3.3.1.2.1.1.1-1
JPEG Lossy, Baseline
Sequential with Huffman
Coding
(Process 1)
(STD-GEN-USB-JPEG only)
JPEG Extended (Process 2 & 4):
Default Transfer Syntax for
Lossy JPEG 12 Bit Image
Compression (Process 4 only)
(STD-GEN-USB-JPEG only)
1.2.840.10008.1.2.4.50
1.2.840.10008.1.2.4.51
3.4 Augmented and Private Application Profiles
3.4.1 Augmented Application Profiles
The CD/DVD/USB Media Archive Interchange AE does not support any augmented Application
Profiles.
3.4.2 Private Application Profiles
The CD/DVD/USB Media Interchange AE does not support any private Application Profiles.
3.5 Extensions, Specializations and Privatization of SOP Classes and Transfer Syntax
3.5.1 Extensions, Specializations and Privatizations of SOP Classes
The CT/MR/PET SOP Class Images have definitions extended for Defined Terms and include GE specific Private Data elements. The following sections describe the details for these SOP classes.
3.5.1.1 SOP Specific Conformance Statement for CT SOP Class
Refer to section 2.5 for standard extensions and Appendix B for private data elements.
3.5.1.2
SOP Specific Conformance Statement for MR SOP Class
Refer to section 2.5 for standard extensions and Appendix B for private data elements.
3.5.1.3 SOP Specific Conformance Statement for PET SOP Class
Refer to section 2.5 for standard extensions and Appendix B for private data elements.
3.5.2 Private Transfer Syntax Specification
None specified
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3.6 Configuration
For the CD/DVD/USB Interchange Media Application, the source AE Title encoded in the File Meta-
Information cannot be modified.
3.7 Support of Extended Character Sets
The DICOM Media Interchange AE will support copy of SOP instances containing the ISO IR 100
(Latin alphabet No. 1, supplementary set) and DICOM default character sets as defined in PS3.5.
Any incoming SOP instances encoded using another extended character set will not be installed in the GEHC PET-CT system database.
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4 PRINT Management Implementation
4.1 Introduction
This section of the DICOM Conformance Statement specifies the implementation for the specific SOP
Classes supported in the Basic Grayscale and Color Print Management Meta SOP Classes, the attributes supported for both IODs and services, and the valid range of values for mandatory and optional attributes.
4.2 Basic Film Session SOP Class
The Print SCU supports the following DIMSE Service Elements for the Basic Film Session SOP Class.
• N-CREATE – Requests the Print SCP to create an instance of Basic Film Session.
4.2.1 Basic Film Session N-Create Attributes
The following Attribute values are supported by the N-CREATE:
Attribute
* Number of Copies
* Print Priority
* Medium Type
* Film Destination
DICOM Tag Valid Range
( 2000, 0010 ) 1-99
Default Value
Set by user
( 2000, 0020 ) HIGH / MED / LOW Set in Configuration file
(Default value is HIGH)
( 2000, 0030 ) CLEAR FILM
BLUE FILM
PAPER
Set in Configuration File
( 2000, 0040 ) MAGAZINE
PROCESSOR
Set in Configuration File
Note: * denotes that the attribute is optional for the SCU. However, we do provide values for all of these optional attributes and if the SCP does not support the requested value it may choose to either return a failure status or ignore the value provided and use its default value.
4.3 Basic Film Box SOP Class
The Print SCU supports the following DIMSE Service Elements for the Basic Film Box SOP Class.
• N-CREATE
• N-ACTION
• N-DELETE
– Requests the Print SCP to create an instance of Film Box.
– Requests the Print SCP to print the Film Box onto Printer.
– Requests the Print SCP to delete the Film Box Instance.
4.3.1 Basic Film Box N-Create Attributes
This table lists the attributes that are sent to the SCP in the Basic Film Box N-Create Request, and that are received in the Basic Film Box N-Create Response from the SCP
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Attribute Name DICOM Tag Use
Image Display
Format
Reference Film
Session Sequence
( 2010, 0010 )
( 2010, 0500 )
Set in User Interface
Valid Range -STANDARD/C,R
Sent in the request
Referenced Image
Box Sequence
*Film Orientation
Film Size ID
*Magnification type
*Max Density
Configuration
Information
*Smoothing type
*Border density
(2010,0510)
( 2010, 0040 )
( 2010, 0050 )
( 2010, 0060 )
( 2010, 0130 )
( 2010, 0150 )
( 2010, 0080 )
( 2010, 0100 )
NA
Set when a printer device is added using the
Film
Composer Tool. Set in Configuration File.
Valid value is: PORTRAIT
Set when a printer device is added using the
Film
Composer Tool.
Valid values are :
14INX17IN,
A3,
A4,
8INX10IN,
8.5INX11IN,
10INX12IN,
10INX14IN,
11INX14IN,
11INX17IN,
14INX14IN,
24CMX24CM,
24CMX30CM.
Set when a printer device is added using the
Film
Composer Tool. Set in Configuration File.
Valid values are:
REPLICATE
BILINEAR
CUBIC
NONE
Set when a printer device is added using the
Film
Composer Tool. Set in Configuration File.
Valid range is: 0-4095.
Set when a printer device is added using the
Film
Composer Tool
Set when a printer device is added using the
Film
Composer Tool. Set in Configuration File.
Set when a printer device is added using the
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Film
Composer Tool. Set in Configuration File.
Valid values are:
*Empty image density
( 2010, 0110 )
BLACK or WHITE or Not sent
Set when a printer device is added using the
Film
Composer Tool. Set in Configuration File.
Valid values are:
BLACK or WHITE or Not sent
*Min density
*Trim
( 2010, 0120 )
( 2010, 0140 )
Set when a printer device is added using the
Film
Composer Tool. Set in Configuration File.
Valid values are:
0-4095 or Not sent
Valid values are:
YES or NO or Not Sent
Default value : NO
4.4 Basic Grayscale Image Box SOP Class
The Print SCU supports the following DIMSE Service Elements for Grayscale Image Box SOP Class.
• N-SET – Requests the Printer to set the image box attributes.
This table lists the attributes that are sent in the Basic Grayscale Image Box N-Set Request:
Attribute Name Tag Use
Image Position (2020,0010) Based on Image Display Format
Basic Grayscale Image Sequence
>Samples Per Pixel
>Photometric Interpretation
>Rows
>Columns
>Pixel Aspect Ratio
>Bits Allocated
>Bits Stored
>High Bit
>Pixel Representation
>Pixel Data
Polarity
Magnification Type
(2020,0110) Sent in the request
(0028,0002) 1
(0028,0004) MONOCHROME2
(0028,0010) Image Dependent
(0028,0011) Image Dependent
(0028,0034) 1\1
(0028,0100) 8 (if Bits Stored=8) or
16 (if Bits Stored=12)
(0028,0101) 8 or 12. Default value: 8
(0028,0102) 7 (if Bits Stored=8) or
11 (if Bits Stored=12)
(0028,0103) 0 (unsigned integer)
(7FE0,0010) Pixel data
(2020,0020) NORMAL
(2010,0060) BILINEAR
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CUBIC
REPLICATE
NONE
Smoothing Type
Min Density
Max Density
(2010,0080) Printer Dependent
(2010,0120) 0-4095, Not Sent
(2010,0130) 0-4095
Configuration Information
Requested Image Size
(2010,0150) Printer Dependent
(2020,0030) Not used
Requested Decimate/Crop Behavior (2020,0040) Not used
Referenced Presentation LUT
Sequence
> Referenced SOP Class UID
(2050,0500) Not supported.
(0008,1150) Not supported.
> Referenced SOP Instance UID (0008,1155) Not supported.
Note: * denotes that the attribute is optional for the SCU. However, we do provide values for all of these optional attributes and if the SCP does not support the requested value it may choose to either return a failure status or ignore the value provided and use its default value
4.5 Basic Color Image Box SOP Class
The Print SCU supports the following DIMSE Service Elements for Basic Color Image Box SOP Class.
• N-SET - Requests the Printer to set the image box attributes.
This table lists the attributes that are sent in the Basic Color Image Box N-Set Request:
Attribute Name Tag Use
Image Position
Basic Color Image Sequence
>Samples Per Pixel
>Photometric Interpretation
>Planar Configuration
(2020,0010) Based on Image Display Format
(2020,0111)
(0028,0002) 3
(0028,0004) RGB
(0028,0006) 1
>Rows
>Columns
>Pixel Aspect Ratio
>Bits Allocated
>Bits Stored
>High Bit
>Pixel Representation
>Pixel Data
(0028,0010) Image Dependent
(0028,0011) Image Dependent
(0028,0034) 1/1
(0028,0100) 8
(0028,0101) 8
(0028,0102) 7
(0028,0103) 0 (unsigned integer)
(7FE0,0010) Pixel data
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Polarity (2020,0020) NORMAL
Magnification Type (2010,0060) BILINEAR
CUBIC
REPLICATE
NONE
Smoothing Type
Requested Image Size
(2010,0080) Printer Dependent
(2020,0030) Not used
Requested Decimate/Crop Behavior (2020,0040) Not used
4.6 Printer SOP Class
N-GET DIMSE service is supported for the Printer SOP Class. If an N-EVENT-REPORT DIMSE service is received when the association is active, Print SCU handles the relevant states but the data received.
This table defines the set of attributes that this product may request using the Printer N-Get service. It also describes the product behavior when receiving the N-Get response from the Printer SCP:
Attribute Name Tag
Printer Status
Printer Status Info
Printer Name
( 2110, 0010 )
( 2110, 0020 )
( 2110, 0030 )
Use
NORMAL: Status is logged and sends
Film Session
N-CREATE request.
WARNING: Status is logged. Pauses the print job and displays status code on the film composer UI.
FAILURE: Status is logged. Pauses the print job and displays print failure message on the film composer UI.
SUPPLY LOW: Logs the message and continues printing.
SUPPLY EMPTY: print job is paused and the message is logged.
RECEIVER FULL: print job is paused and the message is logged.
FILM JAM: print job is paused and the message is logged.
Logged if sent by SCP
Manufacturer
Manufacturer Model Name
Device Serial No.
Software Versions
( 0008, 0070 )
( 0008, 1090 )
( 0018, 1000 )
( 0018, 1020 )
Logged if sent by SCP
Logged if sent by SCP
Logged if sent by SCP
Logged if sent by SCP
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Date Last Calibrated ( 0018, 1200 ) Ignored
Time Last Calibrated ( 0018, 1201 ) Ignored
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5 Storage Commitment Push Model Implementation
5.1 Storage Commitment Push Model Information Object Definition
Please refer to DICOM Part 3 (Information Object Definitions) for a description of each of the attributes contained within the Storage Commitment Information Object.
The Storage Commitment Information Object is used both for N-ACTION Storage Commitment
Requests and N-EVENT-REPORT Storage Commitment Notifications by the SCU.
5.1.1 Storage Commitment Module for N-ACTION
Table – 5.1.1-1- Storage Commitment Module for N-ACTION.
Attribute Name
Transaction UID
Storage Media File-Set ID
Storage Media File-Set UID
Referenced SOP Sequence
>Referenced SOP Class UID
>Referenced SOP Instance UID
Storage Media File-Set ID
Storage Media File-Set UID
Tag
(0008,1195)
(0088,0130)
(0088,0140)
(0008,1199)
(0008,1150)
(0008,1155)
(0088,0130)
(0088,0140)
SCU Use
Generated for each retry
Not Supported
Not Supported
Not Supported
Not Supported
5.1.2 Storage Commitment Module for N-EVENT-REPORT
Table – 5.1.2-1 Storage Commitment Module for N-EVENT-REPORT
Attribute Name
Transaction UID
Tag SCU Use
(0008,1195) Value received from SCP
Retrieve AE Title
Storage Media File-Set ID
Storage Media File-Set UID
Referenced SOP Sequence
> Referenced SOP Class UID
>Referenced SOP Instance UID
>Retrieve AE Title
(0008,0054) Not used
(0088,0130) Not used
(0088,0140) Not used
(0008,1199) When status is SUCCESS, the
“Archived” flag value for the referenced
SOP instances is changed to “Y” in the browser.
(0008,1150)
(0008,1155)
(0008,0054) Not used
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>Storage Media File-Set ID (0088,0130) Not used
>Storage Media File-Set UID
Failed SOP Sequence
>Referenced SOP Class UID
>Referenced SOP Instance UID
>Failure Reason
(0088,0140) Not used
(0008,1198)
“Archived” flag value for the failed
SOP instance is unaltered. Failed
(0008,1150)
SOP instances are logged.
(0008,1155)
(0008,1197)
Not used
5.1.2.1 Processing of Failure Reason when received in a N-Event-Report
When receiving a N-Event-Report request with a Event Type ID equal to 2, meaning that Storage
Commitment is complete, but failure exists, following is the set of value that this Storage
Commitment SCU AE is able to process.
Failure
Reason
Meaning
0110H Processing failure
0112H No such object instance
0213H Resource limitation
0122H
Referenced SOP Class not supported
0119H Class / Instance conflict
0131H Duplicate transaction UID
* Other Failure Reason code values
Application Behavior When Receiving Reason
Code
Log file updated: Processing Failure. Job failed.
Log file updated: No such object instance. Job failed.
Log file updated: resource limitation. Job failed.
Log file updated: reference SOP class not supported. Job failed.
Log file updated: class/instance conflict. Job failed.
Log file updated: duplicate transaction UID. Job failed.
Log file updated: unknown failure. Job failed.
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6 Modality Work List Query Implementation
6.1 Modality Worklist Information Model Definition
6.1.1 Introduction
This section specifies the use of the DICOM Modality Worklist Information Model used to organize data and against which a Modality Worklist Query will be performed.
6.1.1 Modality Worklist Information Model Description
In order to serve as a Service Class Provider (SCP) of the Modality Worklist Service Class, a DICOM
Application Entity (AE) possesses information about the attributes of a number of managed worklist items. These items are organized into Modality Worklist Information Modules. In this Service Class, the Information Model plays a role similar to an Information Object Definition of most other DICOM
Service Classes.
6.1.2 Modality Worklist Information Model Entity-Relationship Model
The Entity-Relationship diagram for the Modality Worklist Information Model schema is shown in
Illustration 6.1.2-1. It represents the information that composes a Worklist Item. In this figure, the following diagrammatic convention is established to represent the information organization:
• Each entity is represented by a rectangular box
• Each relationship is represented by a diamond shaped box.
• The fact that a relationship exists between two entities is depicted by lines connecting the corresponding entity boxes to the relationship boxes.
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Illustration 6.1.2-1 – Modality Worklist Information Model E/R DIAGRAM
Scheduled
Procedure Step contained in
1
Requested
Procedure requested for
1
Imaging Service
Request
Worklist
Item done for
1
Patient is included
0,1
Visit
6.1.3 Entity Descriptions
Please refer to DICOM Standard PS 3.3. (Information Object Definitions) and PS 3.4 (Service Class
Specifications) for a description of each of the Entities contained within the Modality Worklist
Information Model.
6.1.3.1 Scheduled Procedure Step
A Scheduled Procedure Step is an arbitrarily defined scheduled unit of service that is specified by the Procedure Plan for a Requested Procedure. It specifies one or more Action Items (events) involving equipment (i.e. imaging modality equipment), human resources, location and time (i.e. start time, stop time, duration).
6.1.3.2 Requested Procedure Entity Description
A Requested Procedure is an instance of a Procedure of a given Procedure Type. An instance of a
Requested Procedure includes all of the items of information that are specified by an instance of a
Procedure Plan that is selected for the Requested Procedure by the imaging service provider.
6.1.3.3 Imaging Service Request Entity Description
An Imaging Service Request is a set of one or more Requested Procedures selected from a list of
Procedure Types. An Imaging Service Request is submitted by one authorized imaging service requester to one authorized imaging service provider in the context of one Service Episode.
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6.1.3.4 Visit Entity Description
Direction 5330620-1EN
A Visit is the context in which the treatment or management of an arbitrary subset of a Patient’s medical conditions occurs. A Visit is limited to the description of a Patient’s activities at a single facility.
6.1.3.5 Patient Entity Description
A Patient is a person receiving, or registered to receive healthcare services.
6.1.4 Modality Worklist Mapping of DICOM Entities
Table 6.1.4-1 —Mapping of DICOM Entities to Modality Worklist Entities
DICOM
Scheduled Procedure Step
Requested Procedure
Imaging Service Request
Visit
Patient
Modality Worklist Entity
Exam
Exam
Exam
Exam
Patient
6.1.5 Information Model Module Table
Within an entity of the DICOM Modality Worklist Information Model, attributes are grouped together into related set of attributes called modules. A module facilitates the understanding of the semantics concerning the attributes and how the attributes relate to one another. A module grouping does not infer any encoding of information into datasets.
Table 6.1.5-1 identifies the defined modules within the entities that comprise the DICOM Modality
Worklist Information Model. Modules are identified by Module Name.
See DICOM PS 3.3 and PS 3.4 for a complete definition of the entities, modules, and attributes.
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Table 6.1.5-1 – Modality Worklist Information Model Modules
Entity Name Module Name Reference
Scheduled Procedure Step SOP Common 6.8.9.1
Scheduled Procedure Step 6.8.9.2
Requested Procedure Requested Procedure 6.8.10.1
Imaging Service Request Imaging Service Request 6.8.11.1
Visit Visit Identification 6.8.12.1
Visit Status
Visit Relationship
Visit Admission
6.8.12.2
6.8.12.3
6.8.12.4
Patient Patient Relationship
Patient Identification
Patient Demographic
Patient Medical
6.8.13.1
6.8.13.2
6.8.13.3
6.8.13.4
6.1.6 Information Model Keys
Please refer to DICOM Standard PS 3.3. (Information Object Definitions) and PS 3.4 (Service Class
Specifications) for a description of each of the Entities contained within the Modality Worklist
Information Model.
The following Module descriptions contain the attributes that are present in a C-FIND request message sent by the Worklist Server AE to a remote AE. It should be noted that they are the same as those defined in the DICOM Standard, PS 3.4 (Service Class Specifications) and include:
• Name
• Tag group and element numbers
• Expected Matching Key Type: R-required, O-optional
• Expected Return Key Type:
− 1 - non-zero value required
− 1C - conditionally of type 1
− 2 - required to be present, possibly with zero-length value
− 3 - optional
• Mapped into The Image - whether this data is mapped into subsequently acquired images
• Notes - clarification of this implementation’s use/treatment of this attribute
All data elements in the following Module descriptions are requested by the Worklist Server AE.
Values of data elements that are not mapped into images, and are not otherwise dealt with
(displayed on the user interface, etc.), are not used and are, thus, discarded upon receipt. See Table
B-1 for further information.
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Data elements for which values can be sent for matching purposes are described as such. Data elements for which values are not sent are sent with zero length and universal matching will apply.
This is the default case if no other description to the contrary is provided.
6.1.7 Supported Matching
The following are the types of matching that can be request by the implementation:
• Single Value matching
• Universal Matching
• Range of date/time
6.1.8 Scheduled Procedure Step Entity
6.1.8.1 SOP Common Module
Table 6.1.8.1-1 – SOP Common Module Attributes
Attribute Name
Specific Character Set
Tag
(0008,0005)
Expected
Matching
Key Type
O
Expecte d
Returne d Key
Type
Mapped into the
Image
Note
1C No
Matching for this item is supported only for the character set ISO_IR
100. SCP is not required to return
(0008,0005) if there are no non-
ASCII characters in the response.
6.1.8.2 Scheduled Procedure Step Module
Table 6.1.8.2-1 – Scheduled Procedure Step Module Attributes
Attribute Name Tag
Expected
Matching
Key Type
Scheduled Procedure
Step Sequence
(0040,0100) R
Scheduled Station AE
Title
(0040,0001) R 1
Expected
Returned
Key Type
1
Mapped into the
Image
Note
No
No Matching is supported as follows: either no AE title is supplied (universal matching), or the scanner’s
Worklist Server AE title is supplied for matching; this is user selectable.
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Scheduled Procedure
Step Start Date
Scheduled Procedure
Step Start Time
(0040,0002) R
(0040,0003) R
1
1
No
No
Matching is supported as one of the following; this is user selectable:
•
•
•
•
• all days, today only, today and a number of days before today, today and a number of days after today, today and a number of days before today and a number of days after today.
Number of days before/after is specified by the user.
Returned values must be exactly 8 numeric characters in YYYYMMDD format.
This attribute is sent with zero-length. Returned values must be exactly 6 numeric characters in HHMMSS format.
Modality (0008,0060) R 1 Yes
Matching is supported as follows: either no Modality is supplied (universal matching), or the scanner’s
Modality is supplied for matching; this is user selectable.
2 No Scheduled Performing
Physician's Name
(0040,0006) R
Scheduled Procedure
Step Description
(0040,0007) O
Scheduled Station
Name
(0040,0010) O
Scheduled Procedure
Step Location
(0040,0011) O
Scheduled Protocol
Code Sequence
(0040,0008) O
1C
2
2
1C
Yes
No
No
Yes
This attribute is sent with zero-length.
Code Value
Coding Scheme
Designator
(0008,0102) O
Code Meaning
Pre-Medication
(0008,0100) O
(0008,0104) O
(0040,0012) O
1C
1C
3
2C
Yes
Yes
Yes
No
Up to 5 Scheduled Action
Item Code Sequence Items are mapped into the image if they system is configured to support GSPS.
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Scheduled Procedure
Step ID
(0040,0009) O 1 Yes
Requested
Contrast Agent
(0032,1070) O 2C No
Displayed on “More Info...” screen.
6.1.9 Requested Procedure Entity
6.1.9.1 Requested Procedure Module
Table 6.1.9.1-1 Requested Procedure Module Attributes
Attribute Name
Requested Procedure ID
Tag
Expected
Matching
Key Type
(0040,1001) O
Expected
Returned
Key Type
1
1C
Mapped into the
Image
Note
Yes
Yes
User can enter the value for
Requested Procedure Id prior to query. If user has entered the value then that value will be sent as part of the query.
The value returned in the response shall be mapped to the image. Default value is
"ReqProcID GE"
Truncated to 22 characters.
Requested
Description
Procedure
(0032,1060) O
Requested Procedure Code
Sequence
(0032,1064) O
Code Value
Coding
Designator
Code Meaning
(0008,0100) O
Scheme (0008,0102) O
(0008,0104) O
1C
1C
1C
3
No
No
No
No
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Attribute Name Tag Expected
Matching
Key Type
Expected
Returned
Key Type
Mapped into the
Image
Note
Study Instance UID (0020,000D) O 1
Referenced Study Sequence (0008,1110) O 2
1C
Yes
(Based on User option)
User ( Modality ) will be able to configure the following. If the user has set the option to
“Use MWL Study UID”, then study Instance UID will be copied into the final DICOM image header. If this option is not set then a new Study instance UID is generated locally on the scanner.
The default setting is to generate a new study instance uid if a worklist entry is re-used however it can be configured to reuse the same study instance uid.
Yes
Yes
Only 1 Referenced Study
Sequence is mapped into the image.
Referenced SOP Class
UID
(0008,1150) O
SOP (0008,1155) O Referenced
Instance UID
Requested
Priority
Patient
Arrangements
Requested
Location
Procedure
Transport
Procedure
(0040,1003)
(0040,1004)
(0040,1005)
O
O
O
Confidentiality Code (0040,1008) O
1C
2
2
3
3
Yes
No
No
No
No
6.1.10 Imaging Service Request Entity
6.1.10.1 Imaging Service Request Module
Table 6.1.10.1-1 – Imaging Service Request Module Attributes
Attribute Name Tag
Expected
Matching
Key Type
Expected
Returned
Key Type
Mapped into the
Image
Note
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Accession Number (0008,0050) O 2 Yes User will be able to enter value for Accession Number prior to query to be sent as part of C-FIND request.
Supports maximum of 16 characters.
Requesting Physician (0032,1032) O
Referring Physician's Name (0008,0090) O
Requesting Service (0032,1033) O
2
2
3
No
Yes
No
Truncated to 32 characters.
6.1.11 Visit Entity
6.1.11.1 Visit Identification
Table 6.1.11.1-1 – Visit Identification Module Attributes
Attribute Name
Admission ID
Institution Name
Tag Expected
Matching
Key Type
(0038,0010) O
(0008.0080) O
2
3
Expected
Returned
Key Type
Mapped into the
Image
Note
No
No
6.1.11.2 Visit Status
Table 6.1.11.2.-1 – Visit Status Module Attributes
Attribute Name
Current Patient Location
Tag
Expected
Matching
Key Type
(0038,0300) O
Expected
Returned
Key Type
2
Mapped into the
Image
Note
No Displayed on “More Info...” screen.
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6.1.11.3 Visit Relationship
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Table 6.1.11.3-1 – Relationship Module Attributes
Attribute Name Tag Expected
Matching
Key Type
(0008,1120) O Referenced Patient Sequence
Referenced SOP Class UID (0008,1150) O
Referenced SOP Instance UID (0008,1155) O
2
2
Expected
Returned
Key Type
2
6.1.11.4 Visit Admission
No data elements are requested from the Visit Admission Module.
Mapped into the
Image
Note
No
No
No
6.1.12 Patient Entity
6.1.12.1 Patient Relationship
No data elements are requested from the Patient Relationship Module.
6.1.12.2 Patient Identification
Table 6.1.12.2-1 – Patient Identification Module Attributes
Attribute
Name
Tag
Expect ed
Matchi ng Key
Type
Expected
Returned
Key Type
R 1
Mapped into the
Image
Note
Patient's
Name
(0010,0010)
Patient ID (0010,0020) R 1
Yes
Yes
Supports up to 32 characters by default however this is configurable to allow 64 characters. See also Note1.
Supports up to 16 characters by default however this is configurable to 64 characters.
Supports 64 characters. Other
Patient ID
(0010, 1000) O 3 Yes
Note 1 :
• Modality Worklist server supports 32 characters for patient Name
• Supports DICOM format for patient Name ( with “^” as delimiters )
• If patient name in worklist has more than 32 characters then
§
Worklist will be accepted by the server
§
Worklist Browser will display only the first 32 characters
§
“More Info” screen will display the full patient name
§
Only the FIRST 32 characters is copied into the final DICOM image header by default
however this is configurable to allow 64 characters.
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6.1.12.3 Patient Demographic
Table 6.1.12.3-1 – Patient Demographic Module Attributes
Attribute Name
Patient’s Birth Date
Patient's Sex
Patient's Weight
Tag
Expected
Matching
Key Type
(0010,0030) O
(0010,0040) O
(0010,1030) O
Confidentiality constraint on patient data
(0040,3001) O
Patient’s Size (0010,1020) O
Patient’s Address
Patient’s
Numbers
Telephone
(0010,1040) O
(0010,2154) O
3
3
3
6.1.12.4 Patient Medical
Table 6.1.12.4-1 – Patient Medical Module Attributes
2
2
Expected
Returned
Key Type
2
2
Mapped into the
Image
Note
Yes This value is also used to calculate the Patient’s Age.
Yes
Yes
No
Limited to maximum value of
999 kg.
No
No
No
Attribute Name
Patient State
Pregnancy Status
Medical Alerts
Contrast Allergies
Special Needs
Tag
Expected
Matching
Key Type
(0038,0500) O
(0010,21C0) O
(0010,2000) O
(0010,2110) O
(0038,0050) O
Additional Patient History (0010,21B0) O
2
2
Expected
Returned
Key Type
2
2
2
3
Mapped into the
Image
Note
No
No Displayed on “More Info...” screen.
No
No
No
No
Displayed on “More Info...” screen.
Displayed on “More Info...” screen.
Displayed on “More Info...” screen.
Displayed on “More Info...” screen.
6.2 Private Data Dictionary
The Modality Worklist implementation does not define any Private Attributes within the Modality
Worklist Information Model.
6.3 C-FIND Request Message
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This section provides a detailed description of the C-FIND request message data that is provided to the remote AE during a worklist query operation. The dump in Table 6.10-1 below lists, in exact message order, the fields transferred as part of the C-FIND request message for a typical query.
In this particular dump, no values are specified for the Scheduled Procedure Step Start and End
Dates (the attributes are sent with zero length). In DICOM this is interpreted as meaning all dates (i.e. universal matching). The Modality is also not specified in this particular dump, meaning all modalities. Note that the user, through the use of the Discovery user interface, can submit a worklist query that will cause non-zero values to be sent for these attributes.
Table 6.3-1 – C-FIND Request Message Dump
(0008,0000) UL 108 # 4, 1 IdentifyingGroupLength
(0008,0005) CS [ISO_IR 100] # 12, 1 SpecificCharacterSet
(0008,0050) SH (no value available) # 0, 0 AccessionNumber
(0008,0080) LO (no value available) # 0, 0 InstitutionName
(0008,0090) PN (no value available) # 0, 0 ReferringPhysicianName
(0008,1110) SQ (Sequence with explicit Length #=1) # 24, 1 ReferencedStudySequence
(fffe,e000) na (Item with explicit Length #=2) # 16, 1 Item
(0008,1150) UI (no value available) # 0, 0 ReferencedSOPClassUID
(0008,1155) UI (no value available) # 0, 0 ReferencedSOPInstanceUID
(fffe,e00d) na (ItemDelimitationItem for re-encoding) # 0, 1 ItemDelimitationItem
(fffe,e0dd) na (SequenceDelimitationItem for re-enc.) # 0, 1 SequenceDelimitationItem
(0008,1120) SQ (Sequence with explicit Length #=1) # 24, 1 ReferencedPatientSequence
(fffe,e000) na (Item with explicit Length #=2) # 16, 1 Item
(0008,1150) UI (no value available) # 0, 0 ReferencedSOPClassUID
(0008,1155) UI (no value available) # 0, 0 ReferencedSOPInstanceUID
(fffe,e00d) na (ItemDelimitationItem for re-encoding) # 0, 1 ItemDelimitationItem
(fffe,e0dd) na (SequenceDelimitationItem for re-enc.) # 0, 1 SequenceDelimitationItem
(0010,0000) UL 96 # 4, 1 PatientGroupLength
(0010,0010) PN (no value available) # 0, 0 PatientName
(0010,0020) LO (no value available) # 0, 0 PatientID
(0010,0030) DA (no value available) # 0, 0 PatientBirthDate
(0010,0040) CS (no value available) # 0, 0 PatientSex
(0010,1000) LO (no value available) # 0, 0 Other Patient IDs
(0010,1020) DS (no value available) # 0, 0 PatientSize
(0010,1030) DS (no value available) # 0, 0 PatientWeight
(0010,1040) LO (no value available) # 0, 0 PatientAddress
(0010,2000) LO (no value available) # 0, 0 MedicalAlerts
(0010,2110) LO (no value available) # 0, 0 ContrastAllergies
(0010,2154) SH (no value available) # 0, 0 PatientTelephoneNumber
(0010,2160) SH (no value available) # 0, 0 Ethinc Group
(0010,21b0) LT (no value available) # 0, 1 AdditionalPatientHistory
(0010,21c0) US (no value available) # 0, 0 PregnancyStatus
(0010,4000) LT (no value available) # 0, 0 Patient Comments
(0020,0000) UL 8 # 4, 1 ImageGroupLength
(0020,000d) UI (no value available) # 0, 0 StudyInstanceUID
(0032,0000) UL 64 # 4, 1 StudyGroupLength
(0032,1032) PN (no value available) # 0, 0 RequestingPhysician
(0032,1033) LO (no value available) # 0, 0 RequestingService
(0032,1060) LO (no value available) # 0, 0 RequestedProcedureDescription
(0032,1064) SQ (Sequence with explicit Length #=1) # 32, 1 RequestedProcedureCodeSequence
(fffe,e000) na (Item with explicit Length #=3) # 24, 1 Item
(0008,0100) SH (no value available) # 0, 0 CodeValue
(0008,0102) SH (no value available) # 0, 0 CodingSchemeDesignator
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(0008,0104) LO (no value available) # 0, 0 CodeMeaning
(fffe,e00d) na (ItemDelimitationItem for re-encoding) # 0, 1 ItemDelimitationItem
(fffe,e0dd) na (SequenceDelimitationItem for re-enc.) # 0, 1 SequenceDelimitationItem
(0038,0000) UL 32 # 4, 1 VisitGroupLength
(0038,0010) LO (no value available) # 0, 0 AdmissionID
(0038,0050) LO (no value available) # 0, 0 SpecialNeeds
(0038,0300) LO (no value available) # 0, 0 CurrentPatientLocation
(0038,0500) LO (no value available) # 0, 0 PatientState
(0040,0000) UL 192 # 4, 1 ModalityWorklistGroupLength
(0040,0100) SQ (Sequence with explicit Length #=1) # 136, 1 ScheduledProcedureStepSequence
(fffe,e000) na (Item with explicit Length #=12) # 128, 1 Item
(0008,0060) CS (no value available) # 0, 0 Modality
(0032,1070) LO (no value available) # 0, 0 RequestedContrastAgent
(0040,0001) AE (no value available) # 0, 0 ScheduledStationAETitle
(0040,0002) DA (no value available) # 0, 0 ScheduledProcedureStepStartDate
(0040,0003) TM (no value available) # 0, 0 ScheduledProcedureStepStartTime
(0040,0006) PN (no value available) # 0, 0 ScheduledPerformingPhysiciansName
(0040,0007) LO (no value available) # 0, 0 ScheduledProcedureStepDescription
(0040,0008) SQ (Seq with explicit Length #=1) # 32, 1 ScheduledActionItemCodeSequence
(fffe,e000) na (Item with explicit Length #=3) # 24, 1 Item
(0008,0100) SH (no value available) # 0, 0 CodeValue
(0008,0102) SH (no value available) # 0, 0 CodingSchemeDesignator
(0008,0104) LO (no value available) # 0, 0 CodeMeaning
(fffe,e00d) na (ItemDelimitationItem for re-encoding) # 0, 1 ItemDelimitationItem
(fffe,e0dd) na (SequenceDelimitationItem for re-enc.) # 0, 1 SequenceDelimitationItem
(0040,0009) SH (no value available) # 0, 0 ScheduledProcedureStepID
(0040,0010) SH (no value available) # 0, 0 ScheduledStationName
(0040,0011) SH (no value available) # 0, 0 ScheduledProcedureStepLocation
(0040,0012) LO (no value available) # 0, 0 PreMedication
(fffe,e00d) na (ItemDelimitationItem for re-encoding) # 0, 1 ItemDelimitationItem
(fffe,e0dd) na (SequenceDelimitationItem for re-enc.) # 0, 1 SequenceDelimitationItem
(0040,1001) SH (no value available) # 0, 0 RequestedProcedureID
(0040,1003) SH (no value available) # 0, 0 RequestedProcedurePriority
(0040,1004) LO (no value available) # 0, 0 PatientTransportArrangements
(0040,1005) LO (no value available) # 0, 0 RequestedProcedureLocation
(0040,1008) LO (no value available) # 0, 0 ConfidentialityCode
(0040,1010) PN (no value available) # 0, 0 Names of Intended Recipients
(0040,1400) LT (no value available) # 0, 0 Requested Procedure Comments
(0040,2400) LT (no value available) # 0, 0 Imaging Service Request Comm.
(0040,3001) LO (no value available) # 0, 0 ConfidentialityConstraintOnPatientData
If the query is for a particular date range, the ScheduledProcedureStepStartDate will be filled with a valid date range. If either the start or end date are left blank by the user, they will simply be blank in the query.
Below is an example of a date range for August 30, 1997 through October 12, 1997.
(0040,0002) DA [19970830-19971012] # 18, 1 ScheduledProcedureStepStartDate
Below is an example of a date range for August 30, 1997 through the end of time.
(0040,0002) DA [19970830-] # 18, 1 ScheduledProcedureStepStartDate
Below is an example of a date range from the beginning of time through August 30, 1997.
(0040,0002) DA [-19970830] # 18, 1 ScheduledProcedureStepStartDate
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If the query is for records for this modality, the Modality will be filled in as follows:
(0008,0060) CS [CT] # 2, 1 Modality
If the query is for records for this Scanner, the Modality will be filled in with CT as above and the
Scheduled Station AE Title will be filled in with the value configured for this system. For example, this station was configured as CTRoom1.
(0040,0001) AE [CTRoom1] # 8, 1 ScheduledStationAETitle
User will be able to enter the values for “Accession Number” prior to the query. If value is entered then that value will be sent as part of the query. For example, if “1234” is entered then
(0008,0050) SH [1234] # 4, 1 AccessionNumber
User will be able to enter the values for “Requested Procedure Id” prior to the query. If value is entered then that value will be sent as part of the query. For example, if “3456” is entered then
(0040,1001) SH [3456] # 4, 1 RequestedProcedureID
User will be able to enter the values for “Patient Id” prior to the query. If value is entered then that value will be sent as part of the query. For example, if “6789” is entered then
(0010,0020) LO [6789] # 4, 1 PatientID
User will be able to enter the values for “Patient Name” prior to the query. If value is entered then that value will be sent as part of the query. For example, if “Lastname^Firstname” is entered then
(0010,0010) PN [Lastname^Firstname] # 18, 1 PatientName
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6.3 Use of Specific DICOM Data
This section details the use of the DICOM data returned by remote AEs during worklist queries. The
Discovery user interface fields that display the data, along with the data’s mapping into resulting acquired and transferred DICOM images, are presented in following table 6.11-1.
Table 6.11-1 – Specific Data Usage
DICOM Worklist Data
Element
Accession
(0008,0050)
Number
Patient ID (0010,0020)
Patient Schedule Screen Field Discovery DICOM Image Data
Element
Req Number
Patient ID
Patient Name (0010,0010) Patient Name
Patient’s Birth Date
(0010,0030)
Patient Age (Patient Birth Date user to calculate age)
Patient's Sex (0010,0040) Sex
Patient's
(0010,1030)
Weight Weight in Kg
Referring Physician Referring Physician’s Name
(0008,0090)
Requested Procedure
Description (0032,1060)
Exam Description
Scheduled Procedure Step
Start Date
(0040,0002)
Scheduled Procedure Step
Start Time
(0040,0003)
Date
Time
Study Instance
(0020,000d)
UID Study instance UID (only displayed on the “More Info...” screen)
Requested Proc ID Requested Procedure Id
(0040,1001)
Pregnancy
(0010,21C0)
Status Pregnancy Status (only displayed on the “More Info...” screen)
Medical Alerts (0010,2000) Medical Alerts (only displayed on the “More Info...” screen)
Accession Number
Supports maximum of 16 characters.
Patient ID
Supports maximum of 16 characters.
Can be configured to allow 64 characters.
Patient Name
Supports maximum of 32 characters.
Can be configured to allow 64 characters.
Patient Birth Date
Patient’s Sex
Patient's Weight
Referring Physician’s Name
Study Description.
Not available.
Not available.
Study Instance UID, if User has set the
preference to “Use MWL Study UID”.
Requested Procedure Id.
Not available.
Not available.
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Contrast
(0010,2110)
Allergies Contrast Allergies (only displayed on the “More Info...” screen)
Not available.
Not available. Special Needs (0038,0050) Special Needs (only displayed on the “More Info...” screen)
Requested Contrast Agent
(0032,1070)
Requested Contrast Agent (only displayed on the “More Info...” screen)
Not available.
Current Patient Location
(0038,0300)
Additional Patient History
(0010,21B0)
Current Patient Location (only displayed on the “More Info...” screen)
Additional Patient History (only displayed on the “More Info...” screen)
Not available.
Patient History.
Note that the display of a specific data item on the “More Info...” screen is contingent on the item being enabled for display. Depending on the preferences of each specific site, data can either be displayed or not. A GE field service engineer can assist in setting these site preferences.
6.4 Setting User Preferences
6.4.1 Setting “Use MWL Study UID” Option
Setting this option to “Yes” copy the Study Instance UID from work-list into the final DICOM Image
header. If this option is set to “No” then a new study instance uid will be generated locally.
1. Click on “Patient Schedule”
2. Click on “Preferences” button
3. Set the option “Use Study Instance UID”, to either “Yes” or “No”
6.4.2 Setting Custom Query Option
This option allows the user to enter values for “Accession Number” and / or “ Requested Procedure
Id” , which are used for Custom Query.
1. Click on “Patient Schedule”
2. Click on “Preferences” button
3. Set the option “Show Update Parameters ”, to “Yes”
4. To do a query click on “Update” button.
A User Interface appears, with provision to enter values for: a) Accession Number b) Requested Procedure Id
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7 Modality Performed Procedure Step Implementation
7.1 Introduction
This section of the DICOM Conformance Statement specifies the compliance to DICOM conformance requirements for the Modality Performed Procedure Step feature on this GEHC product. Note that the format of this section strictly follows the format defined in DICOM Standard
PS 3.2 (Conformance). Please refer to that part of the standard while reading this section. The PPS option for GEHC PET allows a Modality Performed
Procedure Step to be communicated to the Hospital/Radiology information system. The PPS feature is providing the DICOM Modality Performed Procedure Step service as a service class user (SCU).
This feature works in conjunction with DICOM Modality Worklist feature, if installed. However the conformance of this feature is independent of Modality Worklist feature. For information on conformance of Modality Worklist feature to DICOM standard
7.2 N-CREATE & N-SET REQUEST MESSAGE
PPS Feature for Discovery supports all named attributes listed in Table F.7.2.1 in PS3.4 of DICOM standard. That is, attributes that are not explicitly referenced by name in the table are not supported. (Example is last row in the table reads “All other attributes from Radiation Dose Module and Billing and Material Code Module”. The attributes referenced here are not supported).
For the MPPS associated with an acquisition, the following attributes are copied from the Modality
Work-list SCU into the MPPS request Message, if procedure performed corresponds to the SPS information retrieved through the Modality Work-list.
Discovery supports the selection of single or multiple SPS for a scan. The following are applicable.
• Single SPS selection results in single PPS message
• Multiple SPS selection results in single PPS message
• Multiple SPS selection is allowed only if they all correspond to same patient id
• A maximum of 15 SPS’s can be selected
• Referenced Study Sequence - a maximum of ten Item’s is supported. This attribute will be
present only if SPS information is available from Modality Work-list SCU.
• At the end of acquisition the user might choose to ‘Defer PPS’ and later choose to ‘Complete PPS’ or ‘Discontinue PPS’ from the user interface provided in the system. In this case, the date and time when user chooses to ‘Complete PPS’ or ‘Discontinue PPS’ is taken as the Performed
Procedure Step End Date and Performed Procedure Step End Time respectively (Not the actual end date and end time of acquisition)
• Mapping of SPS data to MPPS SOP instance is explained in section 7.3
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• Mapping of specific SPS data to CT DICOM IMAGE HEADER , for PPS is explained in section 7.4
For the MPPS associated with a post-processing the following restrictions apply on the attributes listed below.
• Referenced Study Sequence – The sequence is not sent in the MPPS message
• Scheduled Step Attribute Sequence – a maximum of ONE item is supported. The attribute will be send only if SPS information is available in the image instance.
• Referenced Patient Sequence – This sequence is not added
• Scheduled Protocol Code Sequence – The sequence is not send in the MPPS message
• Performed Procedure Step Start date & Performed Procedure Step start time – The exam date and exam time that is the Start date and Start Time of the associated Study Component (Exam) is used, not the actual time when post-processing started.
• Performed Procedure Step end date & Performed Procedure Step end time - The date and time when user chooses to ‘Complete PPS’ or ‘Discontinue PPS’ is taken as the Performed Procedure
Step End Date and Performed Procedure Step End Time respectively (Not the actual end date and end time of post-processing).
• Procedure Code Sequence – This sequence is sent with ZERO items in the MPPS message
• Performed Protocol Code Sequence – This sequence is sent with ZERO items in the MPPS message.
• Referenced Standalone SOP Instance Sequence – The sequence is sent with ZERO items in the
MPPS message.
7.3 MODALITY PERFORMED PROCEDURE STEP MODULE DEFINITIONS
The following table gives specific usage of some of attributes in the MPPS SOP instance created with reference to each of the real-world scenarios.
Attribute Name Tag
Specific Character Set (0008,0005)
Scheduled Step Attribute
Sequence
>Study Instance UID
(0040,0270)
(0020,000D)
Usage in MPPS Instance
Acquisition with
MWL data
Not used, but copied into image header
Up to 15 items
Acquisition without
MWL data
Not used
Post-Processing
Not used, but copied into image header
Up to 15 items
>Referenced
Sequence
>Accession Number
Study (0008,1110)
(0008,0050)
Copied from SPS, if option to copy is selected or else created at the scanner
Copied from SPS, if selected
Copied from SPS, if selected
Created at the scanner
Not sent as part of image header
User input on the scanner
Copied from source image
Not sent as part of image header
Copied from source image
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Attribute Name Tag Usage in MPPS Instance
Acquisition with
MWL data
Not sent as part of image header
Acquisition without
MWL data
Not sent as part of image header
Post-Processing
Not sent as part of image header
>Placer Order
Number/Imaging Service
Request
(0040,2016)
>Filler Order
Number/Imaging Service
Request
(0040,2017)
>Requested Procedure ID (0040,1001)
Not sent as part of image header
Not sent as part of image header
User input on the scanner
Not used
Not sent as part of image header
>Requested Procedure
Description
(0032,1060)
>Placer
Number/Procedure
>Filler
Number/Procedure
Order
Order
(0040,1006)
(0040,1007)
>Scheduled Procedure ID (0040,0009)
>Scheduled Procedure
Step Description
>Scheduled Protocol Code
Sequence
Patient's Name
Patient ID
Patient's Birth Date
Patient's Sex
Referenced
Sequence
Patient
Performed Procedure Step
ID
Performed Station AE Title (0040,0241)
Performed Station Name (0040,0242)
Performed Location
Performed Procedure Step
Start Date
Performed Procedure Step
Start Time
Performed Procedure Step
Description
(0040,0007)
(0040,0008)
(0010,0010)
(0010,0020)
(0010,0030)
(0010,0040)
(0008,1120)
(0040,0253)
(0040,0243)
(0040,0244)
(0040,0245)
(0040,0254)
Copied from SPS, if selected
Copied from SPS, if selected
Not sent as part of image header
Not sent as part of image header
Copied from SPS, if selected
Copied from SPS, if selected
Copied from SPS, if selected
Copied from SPS, if selected
Copied from SPS, if selected
Copied from SPS, if selected
Copied from SPS, if selected
Copied from SPS, if selected
Created at the scanner. Will have following the
“PPS_ID_<exam
number”
Local system host-name
Local system suite id
Local system suite id
Same as exam start date
Same as exam start time
Copied from SPS, if selected
Not used
Not used
Not used
Not used
Not used
User input on the scanner
User input on the scanner
User input on the scanner
User input on the scanner
Not used
Created at the scanner. Will have the following
“PPS_ID_<exam
number”
Local system hostname
Local system hostname
Local system suite id Local system hostname
Local system suite id Not used
Same as exam date Same as exam date
Same as exam time Same as exam time
Not sent as part of image header
Copied from source image
Not sent as part of image header
Not sent as part of image header
Not sent as part of image header
Copied from source image
Copied from source image
Not sent as part of image header
Copied from source image
Copied from source image
Copied from source image
Copied from source image
No item
New generated, may not be unique
Not sent as part of image header
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Attribute Name Tag Usage in MPPS Instance
Acquisition with
MWL data
See Note 1.
Acquisition without
MWL data
See Note 1.
Post-Processing
See Note 1. Performed Procedure Step status
Performed Procedure Type
(0040,0252)
(0040,0255)
Description
Procedure Code Sequence (0008,1032)
Performed Procedure Step
End Date
Performed Procedure Step
End Time
Modality
Study ID
Performed Protocol Code sequence
Performed
Sequence
Series
>Performing Physician's
Name
>Protocol Name
>Operator's Name
(0040,0250)
(0040,0251)
(0008,0060)
(0020,0010)
(0040,0260)
(0040,0340)
(0008,1050)
(0018,1030)
(0008,1070)
Not sent as part of image header
Not sent as part of image header.
Not sent in MPPS
N-Create.
Date when all images installed images installed got
Time when all got
Not sent as part of image header
Not sent as part of image header. Not sent in MPPS N-
Create.
Date when all images got installed
Time when all images got installed
Value “CT”, “PT or
“NM” is stored in the header image depending on the original value of the
Modality Tag in the worklist entry or entries.
Please see note
2 below for details.
Same as exam number
Derived from
(0040, 0008)
One item for each series created
Copied from SPS, if selected
The name of the protocol selected on the scanner
Value “PT” is stored in image header
Same number
Not used
One item for each scanner as series created exam
User input on the
The name of the protocol selected on the scanner
Copied from source image
Not used
One item for each series created with post-processing
Not sent as part of image header
Copied from source image
Copied from SPS User input on the Not sent as part of
Not sent as part of image header
Not sent as part of image header. Not sent in MPPS N-
Create.
The date “Complete
PPS” or
“Discontinue PPS” is invoked, not the actual end of postprocessing
The time “Complete
PPS” or
“Discontinue PPS” is invoked, not the actual end of postprocessing
Value “CT”, “PT or
“NM” is stored in the image header depending on the original value of the
Modality Tag in the worklist entry or entries. Please see note 2 below for details.
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Attribute Name Tag Usage in MPPS Instance
>Retrieve AE Title
>Referenced
Sequence
Image
(0008,0054)
(0008,1140)
(0040,0220)
Acquisition with
MWL data
if selected and present otherwise from user input on the scanner
Local system host-name
One item for each image created within the series
Not sent as part of image header
Not sent as part of image header
Acquisition without
MWL data
scanner
Local system hostname
One item for each image created within the series
Not sent as part of image header
Not sent as part of image header
Post-Processing
image header host-name of the system
One item for each image generated by post-processing
Not sent as part of image header
Not sent as part of image header
>Referenced Standalone
SOP Instance Sequence
>All other attributes from
Performed Series
Sequence (which Table
F.7.2.1 of DICOM standard
PS3.4 does not explicitly list)
All other attributes from
Radiation Dose Module and Billing and Material
Code Module (which Table
F.7.2.1 of DICOM standard
PS3.4 does not explicitly list)
Not sent as part of image header
Not sent as part of image header
Not sent as part of image header
Note 1:
Note 2
• When PPS start ( N-CREATE) message is sent, this element will have the value “IN PROGRESS”
• When PPS end ( N-SET) message is sent, this element will have either
“COMPLETED” or “DISCONTINUED” based on user selection
• The Value for the Modality tag depends on the original Modality value from the MWL entries as follow:
Single MWL item selected:
MWL Order Original Modality Modality in the MPPS SOP
CT CT
PT PT
NM NM
Others PT
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Multiples MWL items selected:
MWL Order Original Modality Modality in the MPPS SOP
1/ All orders have the same Modality Selected Modality value
(CT or PT or NM) (CT or PT or NM)
2/ All orders have the same Modality PT
which is not CT nor PT or NM
3/ Different Modalities found in orders PT
7.4 Use of Specific DICOM Data
7.4.1 Patient Level
Attribute Name
Patient Name
Patient ID
Tag
(0010,0010)
(0010,0020)
Patient Birthdate
Patient Sex
(0010,0030)
(0010,0040)
Referenced Patient Sequence (0008,1120)
Ref. SOP class uid (0008,1150)
Ref. SOP Instance uid (0008,1155)
Usage in CT/PET DICOM Image Header
Copied from SPS, if selected
Copied from SPS, if selected
Copied from SPS, if selected
Copied from SPS, if selected
Copied from SPS, if selected
7.4.2 Study Level
Attribute Name
Study Instance UID
Study ID
Referring Physicians name
Accession Number
Referenced Study Sequence
Ref. SOP class uid
Ref. SOP Instance uid
7.4.3 Series Level
Attribute Name
Modality
Tag
(0020,000D)
(0020,0010)
(0008,0090)
(0008,0050)
(0008,1110)
(0008,1150)
(0008,1155)
Tag
(0008,0060)
Usage in CT/PET DICOM Image Header
Copied from SPS, if selected
Scanner generated study ID
Copied from SPS, if selected
If multiple SPS’s are selected, then accession number from the first selection ( determined by the user) is used.
Copied from SPS, if selected
Usage in CT/PET DICOM Image Header
Value “CT”, “PT or “NM” is stored in the image
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Attribute Name Tag Usage in CT/PET DICOM Image Header
header depending on the original value of the
Modality Tag in the worklist entry or entries. Please see note above for details.
Protocol Name
Operator Name
(0018,1030)
(0008,1070)
Referenced Performed
Procedure Step Sequence
Ref. SOP class uid
(0008,1111)
(0008,1150)
Ref. SOP Instance uid (0008,1155)
Requested Attribute Sequence (0040,0275)
Requested Procedure Id
Scheduled Procedure Step
Id
Scheduled Procedure Step description
Scheduled Protocol Code
Sequence
Performed Procedure Step Id
(0040,1001)
(0040,0009)
(0040,0007)
(0040,0008)
(0040,0253)
(0040,0244)
Name of the selected protocol is copied
Copied from SPS if selected and present otherwise generated from user input on scanner
Will be present only if SPS, obtained from HIS/RIS is selected for scanning
Value of MPPS SOP class UID
Scanner generated unique UID
Will be present only if SPS, obtained from HIS/RIS is selected for scanning. If multiple SPS’s are selected then this will contain multiple items one for each
SPS. For all other cases this element will not be present
Copied from SPS, if selected. Default value is
"ReqProcID GE"
Copied from SPS, if selected. Default value is
"SchProcID GE"
Copied from SPS, if selected
Copied from SPS, if selected
Created at the scanner. The string
“PPS_ID_<examnumber>” is used.
Same as exam start date Performed Procedure Step start date
Performed Procedure Step start time
Performed Procedure Step description
(0040,0245)
(0040,0254)
Same as exam start time
Exam description is used
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8 Grayscale Softcopy Presentation State Implementation
8.1 Introduction
This section specifies the use of the DICOM Grayscale Softcopy Presentation State (GSPS) IOD to represent the information included in GSPSs produced by this product.
8.2 PET Mapping of DICOM entities
The PET system maps DICOM information Entities to local information entities in the product’s database and interface.
DICOM PET Entity
Patient
Study
Series
Presentation State
Patient
Exam
Series
Presentation State
8.3 IOD Module Table
The Grayscale Softcopy Presentation State Information Object Definition comprises the modules of the following table.
Entity Name Module Name Reference Usage
Patient
Study
Series
Equipment
Presentation State
Patient
General Study
Patient Study
General Series
Presentation Series
General Equipment
Presentation State Identification
Presentation State Relationship
Displayed Area
Modality LUT
Softcopy VOI LUT
Softcopy Presentation LUT
SOP Common
8.4.1.1
8.4.2.1
8.4.2.2
8.4.3.1
8.4.3.2
8.4.4.1
8.4.5.1
8.4.5.2
8.4.5.3
8.4.5.4
8.4.5.5
8.4.5.6
8.4.5.7
M
M
M
M
M
M
U
M
M
C
C
C
C
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8.4 Information Module Definition
Please refer to DICOM Part 3 (Information Object Definitions) for a description of each of the entities, modules, and attributes contained within the GSPS Information Object. The following modules are included to convey Enumerated Values, Defined Terms, and Optional Attributes supported. Type 1 &
Type 2 Attributes are also included for completeness and to define what values they may take and where these values are obtained from when generating the instance. It should be noted that they are the same ones as defined in the DICOM Standard Part 3 (Information Object Definitions). Also note that attributes that are not present in tables are not supported.
8.4.1 Patient Entity Module
8.4.1.1 Patient Module
Attribute Name Tag Type Notes
Patient’s Name
Patient ID
Patient's Birth Date
Patient's Sex
(0010,0010)
(0010,0020)
(0010,0030)
(0010,0040)
2
2
2
2
Copied from acquired image(s)
Copied from acquired image(s)
Copied from acquired image(s)
Copied from acquired image(s)
8.4.2 Study Entity Module
8.4.2.1 General Study Module
Attribute Name
Study Instance UID
Study Date
Study Time
Accession Number
Referring Physician’s
Name
Study ID
Study Description
Tag
(0020,000D)
(0008,0020)
(0008,0030)
(0008,0050)
(0008,0090)
(0020,0010)
(0008,1030)
(0008,1110)
Type
2
2
2
2
2
2
3
3
Notes
Copied from acquired image(s)
Copied from acquired image(s)
Copied from acquired image(s)
Copied from acquired image(s)
Copied from acquired image(s)
Copied from acquired image(s)
This will be set as Requested
Procedure Code Meaning. If Code
Meaning absent, it will be
Requested Procedure Description
Copied from acquired image(s) Referenced Study
Sequence
> Referenced SOP
Class UID
(0008,1150) 1
> Referenced SOP
Instance UID
(0008,1155) 1
Value copied from original Images corresponding to the Requested
Procedure this GSPS is responding to.
Value copied from original Images corresponding to the Requested
Procedure this GSPS is responding
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8.4.2.2 Patient Study Module
Attribute Name
Patient’s Age
Tag
(0010,1010)
Type
3
Notes
Copied from original images
Patient’s Size
Patient’s Weight
(0010,1020)
(0010,1030)
3
3
Copied from original images
Copied from original images
Additional Patient’s
History
8.4.3 Series Entity Module
8.4.3.1 General Series Module
Attribute Name
Series Number
Laterality
Series Date
Series Time
Modality
Performing
Physician’s Name
Protocol Name
Series Description
(0010,21b0)
Tag
(0020,0011)
(0020,0060)
(0008,0021)
(0008,0031)
(0008,0060)
(0008,1050)
(0018,1030)
(0008,103E)
3
Type
2
2C
3
3
1
3
3
3
Not sent
Notes
Copied from original images
Always sent zero-length.
Not Sent.
Not Sent.
“PR”
Not Sent
Operators Name
Series Instance UID
Performed Procedure Step
Start Date
Performed Procedure Step
Start Time
Performed Procedure Step
ID
Performed Procedure Step
Description
Requested Attribute
Sequence
(0008,1070)
(0020,000E)
(0040,0244)
(0040,0245)
(0040,0253)
(0040,0254)
(0040,0275)
3
1
3
3
3
3
3
Not Sent.
This will be set as Requested
Procedure Code Meaning. If Code
Meaning absent, it will be
Requested Procedure Description
Not sent
Generated new number for each series and always sent.
Exam Split Application will calculate and send
Exam Split Application will calculate and send
Will be set as Requested
Procedure ID (0040,1001) from
(0040,0275)
This will be set as Requested
Procedure Code Meaning. If Code
Meaning absent, it will be
Requested Procedure Description
Sent when MPPS option is enabled and filled in based on what RIS provides to scanner. Number of
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> Requested Procedure ID (0040,1001) 1C items relates to number of items selected from Patient Schedule.
Always sent, copied from RIS
> Accession Number (0008,0050) 3 Value from worklist sent
(0008,1110) 3 Value from worklist sent >Referenced Study
Sequence
>Study Instance UID
> Requested Procedure
Desc
> Requested Procedure
Code Sequence
> Scheduled Procedure
Step Desc
> Scheduled Protocol
Code Sequence
> Scheduled Procedure
Step ID
> Reason for Requested
Procedure
> Reason for Requested
Procedure Code sequence
Referenced Performed
Procedure Step Sequence
>Referenced SOP Class
UID
>Referenced SOP Instance
UID
8.4.3.2 Presentation Series Module
Attribute Name
Modality
8.4.4 General Equipment Module
8.4.4.1 General Equipment
Attribute Name
Manufacturer
Institution Name
Station Name
Manufacturers Model
Name
Software Versions
8.4.5 Presentation State Entity Module
(0020,000D)
(0032,1060)
(0032,1064)
(0040,0007)
(0040,0008)
(0040,0009)
(0040,1002)
(0040,1004)
(0008,1111)
(0008,1150)
(0008,1155)
Tag
(0008,0060)
Tag
(0008,0070)
(0008,0080)
(0008,1010)
(0008,1090)
(0018,1020)
3
3
3
3
3
3
3
3
3
1C
1C
Type
1
Type
2
3
3
3
3
Value from worklist sent
Value from worklist sent
Value from worklist sent.
Value from worklist sent.
Value from worklist sent.
Value from worklist sent.
Value from worklist sent.
Value from worklist sent.
Value used for performed procedure step
Copied from original images
Generated for each series and always sent.
Notes
“PR”
Notes
Always sent as “GE MEDICAL
SYSTEMS”
Copied from original images
Copied from original images
Copied from original images
Copied from original images
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8.4.5.1 Presentation State Identification Module
Attribute Name Tag Type Notes
Presentation Creation
Date
Presentation Create
Time
Instance Number
(0070,0082)
(0070,0083)
(0020,0013)
1
1
1
Calculated and sent.
Calculated and sent.
Exam Split Application will set as "24”
8.4.5.2 Presentation State Relationship
Attribute Name Tag
(0008,1115)
Type
1
Notes
Calculated and sent. Referenced Series
Sequence
> Referenced Image
Sequence
>> Reference SOP
Class UID
>> Reference SOP
Instance UID
> Series Instance UID
8.4.5.3 Displayed Area
Attribute Name
(0008,1140)
(0008,1150)
(0008,1155)
(0020,000E)
Tag
1
1
1
1
Type
Always sent
Always sent
Always sent
Always sent
Notes
Displayed area selection sequence
(0070,005A) 1 Exam Split Application will calculate values for
Window Width, Window
Level, pan and zoom
8.4.5.4 Modality LUT Module
Attribute Name
Rescale slope Intercept
Rescale Slope
Rescale type
Tag
(0028,1052)
(0028,1053)
(0028,1054)
Type
1C
1C
1C
Notes
Always sent
Always sent
Exam Split Application will set this value.
8.4.5.5 Softcopy VOI LUT Module
Attribute Name
Softcopy VOI LUT
Sequence
> Reference Image
Sequence
Tag
(0028,3110)
(0008,1140)
Type
1
1C
Notes
Always sent
Always sent
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> Window Center (0028,1050) 1C Always sent
> Window Width
Presentation LUT shape
(0028,1051)
> Window Center &
Width Explanation
Attribute Name
(0028,1055)
8.4.5.6 Softcopy Presentation LUT Module
Tag
(2050,0020)
1C
3
Type
1C
Always sent
Always sent
Notes
Always sent as
“IDENTITY”
8.4.5.7 SOP Common Module
Attribute Name
SOP Class UID
SOP Instance UID
Specific Character Set
Instance Creation Date
Instance Creation Time
Instance Number
Tag
(0008,0016)
(0008,0018)
(0008,0005)
(0008,0012)
(0008,0013)
(0020,0013)
Type
1
1
1C
3
3
1
Notes
Always sent.
Always sent.
“ISO_IR 100“
Always sent.
Always sent.
Set to 24 and sent.
8.5 Image Header Changes Supporting GSPS
8.5.1 Request Attributes Sequence
The (0040, 0275) Request Attributes Sequence has been expanded to include dicom tags that the VES application requires to complete the VES GSPS and PPS. This sequence now contains the following elements:
(0040, 0275) Request Attributes Sequence
>(0008, 0050) Accession Number
>(0008, 1110) Reference Study Sequence
> >(0008, 1150) Referenced SOP Class UID
>>(0008, 1155) Referenced SOP Instance UID
>(0020, 000D) Study Instance UID
>(0032, 1060) Requested Procedure Description
>(0032, 1064) Requested Procedure Code Sequence
>>(0008, 0100) Code Value
>>(0008, 0102) Coding Scheme Designator
>>(0008, 0104) Code Meaning
>(0040, 0007) Scheduled Procedure Description
>(0040, 0008) Scheduled Action Item Code Sequence
>>(0008, 0100) Code Value
>>(0008, 0102) Coding Scheme Designator
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>>(0008, 0104) Code Meaning
>(0040, 0009) Scheduled Procedure Step ID
>(0040, 1001) Requested Procedure ID
The Requested Attributes Sequence may contain a maximum of 15 sequence items.
This sequence will only appear in the image header if the VES/HES option is installed or PPS is enabled.
8.5.2 Accession Number
If scheduled procedures are grouped, the accession number for each procedure is stored in the Request
Attributes Sequence (0040, 0275) in the image header.
If two or more of the accession numbers in the grouped case are different, the top level Accession Number
(0008, 0050) shall contain 1 of the accession numbers.
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9 Structured Report Information Object Implementation
9.1 IOD Module Table
Entity Name
Patient
Study
Series
Equipment
Document
9.2 SR Document Series Module
Attribute Name
Modality
Series Instance UID
Series Number
Referenced Performed Procedure
Step Sequence
Module Name
Patient
General Study
Patient Study
SR Document Series
General Equipment
SR Document General
SR Document Content
SOP Common
Tag
(0008,0060)
(0020,000E)
(0020,0011)
(0008,1111)
Reference
A.3.1
A.3.2
A.3.3
9.2
A.3.5
9.3
9.4
A.3.9
Type
1
1
1
2
Notes
Sent as “SR”
Sent.
Sent as “997”
Sent
Usage
M
M
U
M
M
M
M
M
9.3 SR Document General Module
Attribute Name Tag
Instance Number
Completion Flag
Completion Flag Description
Verification Flag
(0020,0013)
(0040,A491)
(0040,A492)
(0040,A493)
Content Date
Content Time
Verifying Observer Sequence
(0008,0023)
(0008,0033)
(0040,A073)
>Verifying Observer Name
>Verifying Observer
Identification Code Sequence
(0040,A075)
(0040,A088)
>>Include 'Code Sequence Macro' Table 8.8-1
>Verifying Organization (0040,A027)
Type Notes
1 Sent
1 COMPLETE sent
3 Sent empty
1
UNVERIFIED sent
1 Sent
1 Sent
1C
Not sent per conditional
1 Not sent
2 Not sent
Not sent
1 Not sent
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>Verification DateTime (0040,A030) 1 Not sent
Author Observer Sequence (0040,A078) 3 Not sent
>Include 'Identified Person or Device Macro' Table C.17-3b
Participant Sequence
>Participation Type
(0040,A07A)
(0040,A080)
3 Not sent
1
Not sent
>Participation DateTime (0040,A082) 2 Not sent
>Include 'Identified Person or Device Macro' Table C.17-3b
Custodial Organization
Sequence
(0040,A07C) 3 Not sent
>Institution Name
>Institution Code Sequence
>>Include 'Code Sequence Macro' Table 8.8-1
Predecessor Documents
Sequence
(0008,0080)
(0008,0082)
(0040,A360)
2 Not sent
2 Not sent
1C
Not sent per condition
>Include ' Hierarchical SOP Instance Reference Macro' Table C.17-3
Identical Documents
Sequence
(0040,A525) 1C Not sent per condition
>Include ' Hierarchical SOP Instance Reference Macro' Table C.17-3
Referenced Request
Sequence
>Study Instance UID
(0040,A370)
(0020,000D)
1C
1
Not sent per condition
Not Sent
>Referenced Study Sequence (0008,1110) 2 Not Sent
>> Include ‘SOP Instance Reference Macro' Table 10-11
>Accession Number
>Placer Order
Number/Imaging Service
Request
>Filler Order Number/Imaging
Service Request
>Requested Procedure ID
(0008,0050)
(0040,2016)
(0040,2017)
(0040,1001)
>Requested Procedure
Description
>Requested Procedure Code
Sequence
(0032,1060)
(0032,1064)
>>Include 'Code Sequence Macro' Table 8.8-1
2 Not Sent
2
2
2
2
2
Not Sent
Not Sent
Not Sent
Not Sent
Not Sent
No Baseline Context ID Number is specified.
>Reason for the Requested
Procedure
(0040,1002) 3 Not Sent
3 Not Sent >Reason for Requested
Procedure Code Sequence
(0040,100A)
>>Include 'Code Sequence Macro' Table 8.8-1
Performed Procedure Code
Sequence
(0040,A372)
No Baseline Context ID Number is specified.
2
Sent empty
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>Include 'Code Sequence Macro' Table 8.8-1 No Baseline Context ID Number is specified.
Current Requested Procedure
Evidence Sequence
(0040,A375) 1C Not Sent
>Include ' Hierarchical SOP Instance Reference Macro' Table C.17-3
Pertinent Other Evidence
Sequence
(0040,A385) 1C Not sent
>Include ' Hierarchical SOP Instance Reference Macro' Table C.17-3
Referenced Instance
Sequence
(0008,114A)
>Include ‘SOP Instance Reference Macro' Table 10-11
1C Not sent
>Purpose of Reference Code
Sequence
(0040,A170) 1 Not sent
>>Include 'Code Sequence Macro' Table 8.8-1
9.4 SR Document Content Module
The tables below capture notes concerning the values stored.
9.4.1 TID 10011 – CT Radiation Dose
NL Rel with
Parent
1
2 > HAS
CONCEPT
MOD
VT
CONTA
INER
Concept Name VM Req
Type
EV (113701,
DCM, “X-ray
Radiation Dose
Report”)
1 M
Notes
Sent
CODE EV (121058,
DCM, ”Procedure reported”)
1 M Code sequence (P5-08000, SRT,
Computed Tomography X-ray) sent
3 >
INCLU
DE
DTID (1002)
Observer
Context
1-n M
Observer context sent with
Device context values equal to
Implementation UID. Single item sent.
4 >
5 >
HAS OBS
CONTEXT
HAS OBS
CONTEXT
DATETI
ME
EV (113809,
DCM, “Start of Xray Irradiation”)
DATETI
ME
EV (113810,
DCM, “End of Xray Irradiation”)
6 > HAS OBS
CONTEXT
7 >> HAS
PROPERTIES
CODE EV (113705,
DCM, “Scope of
Accumulation”)
UIDRE
F
DCID (10001) UID
Types
1
1
1
1
M Sent
M Sent
M Code sequence (113014, DCM,
Study) sent
M Study Instance UID sent
8 > CONTAINS INCLU DTID (10012) CT 1 M
See CT Accumulated Dose Data
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DE Accumulated
Dose Data table below for details
9 > CONTAINS INCLU
DE
DTID (10013) CT
Irradiation Event
Data
1-n M See CT Irradiation Event Data table below for details
10 > CONTAINS TEXT EV (121106,
DCM,
“Comment”)
1 U Not sent
9.4.2 TID 10012 – CT Accumulated Dose Data
NL Rel with
Parent
VT Concept Name VM Req
Type
1 1
Notes
M Sent CONTA
INER
EV (113811,
DCM, ”CT
Accumulated
Dose Data”)
1 M Sent 2 > CONTAINS NUM EV (113812,
DCM, “Total
Number of
Irradiation
Events”)
3 > CONTAINS NUM EV (113813,
DCM, “CT Dose
Length Product
Total”)
4 > CONTAINS NUM EV (113814,
DCM, “CT
Effective Dose
Total”)
5 >>
HAS
PROPERTIES
TEXT EV (121406,DCM,
“Reference
Authority”)
6 >> HAS
PROPERTIES
7 >> HAS
CONCEPT
MOD
CODE EV (121406,DCM,
“Reference
Authority”)
CODE EV (G-C036,SRT,
“Measurement
Method”)
8 >>
HAS
PROPERTIES
TEXT EV (113815,DCM,
“Patient Model”)
9 >> HAS
PROPERTIES
CONTA
INER
EV (113816,
DCM, “Condition
Effective Dose measured”)
10 >>> CONTAINS TEXT EV (113817,DCM,
“Effective Dose
1
1
1 MC Not sent
1 MC Not sent
1
1 MC Not sent
1 MC Not sent
1
M Sent
U Not sent
M Not sent
M Not sent
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Phantom Type”)
1 M Not sent 11 >>> CONTAINS TEXT EV (113818,
DCM, “Dosimeter
Type”)
12 > CONTAINS TEXT EV (121106,
DCM,
“Comment”)
1 U Not sent
9.4.3 TID 10013 – CT Irradiation Event Data
NL Rel with
Parent
VT Concept Name VM Req
Type
1 CONTA
INER
EV (113819, DCM,
”CT Acquisition”)
Notes
1 M Sent
2 > CONTAINS TEXT EV (125203, DCM,
“Acquisition
Protocol”)
3 > CONTAINS CODE EV (123014 ,
DCM, ”Target
Region”)
4 > CONTAINS CODE EV (113820, DCM,
“CT Acquisition
Type”)
5 > CONTAINS CODE (G-C232, SRT,
“Procedure
Context”)
6 > CONTAINS UIDRE
F
EV (113769, DCM,
“Irradiation Event
UID”)
7 > CONTAINS NUM EV (113821, DCM,
“X-ray Filter
Aluminium
Equivalent”)
8 > CONTAINS CONTA
INER
EV (113822, DCM,
“CT Acquisition
Parameters”)
9 >> CONTAINS NUM EV (113824, DCM,
“Exposure Time”)
1
1
1
1
1
1
1
1
U
M
M
U
M
U
M
M
Not sent
Sent. See note below for specifics.
Sent
Not sent
Sent
Not sent
Sent
Sent
10 >> CONTAINS NUM EV (113825, DCM,
“Scanning
Length”)
11 >> CONTAINS NUM EV (113826, DCM,
“Nominal Single
Collimation
Width”)
1
1
M
M
Sent
Sent
12 >> CONTAINS NUM EV (113827, DCM, 1 M Sent
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“Nominal Total
Collimation
Width”)
13 >> CONTAINS NUM EV (113828, DCM,
“Pitch Factor”)
1 MC Sent per conditional
14 >> CONTAINS NUM EV (113823, DCM,
“Number of X-ray
Sources”)
15 >> CONTAINS CONTA
INER
EV (113831, DCM,
“CT X-ray Source
Parameters”)
16 >>> CONTAINS TEXT EV (113832, DCM,
“Identification
Number of the Xray Source”)
1
1-n M Single item sent.
1
M
M
Sent
Sent
17 >>> CONTAINS NUM EV (113733, DCM,
“KVP”)
18 >>> CONTAINS NUM EV (113833, DCM,
“Maximum X-ray
Tube Current”)
1 M Sent
1 M Sent
1 M Sent 19 >>> CONTAINS NUM EV (113734, DCM,
“Mean X-ray
Tube Current”
20 >>> CONTAINS NUM EV (113834, DCM,
“Exposure Time per Rotation”)
21 > CONTAINS CONTA
INER
EV (113829, DCM,
“CT Dose”)
22 >> CONTAINS NUM EV (113830, DCM,
“Mean CTDIvol ”)
23 >> CONTAINS CODE EV (113835, DCM,
“CTDIw Phantom
Type”)
24 >> CONTAINS NUM EV (113836, DCM,
“CTDIfreeair
Calculation
Factor”)
25 >> CONTAINS NUM EV (113837, DCM,
“Mean
CTDIfreeair”)
1
1
1
MC Sent per conditional
MC Sent per conditional
M Sent
1 M
Sent (IEC Head Dosimetry
1
1
U
U
Phantom or IEC Body
Dosimetry Phantom)
Not sent
Not sent
26 >> CONTAINS NUM EV (113838, DCM,
“DLP”)
27 >> CONTAINS NUM EV (113839, DCM,
“Effective Dose”)
28 >>> HAS
CONCEPT
CODE EV (G-C036, SRT,
“Measurement
1 M Sent
1
1
U Not sent
MC Not sent
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MOD Method“)
29 >>>> HAS
PROPERTIES
NUM EV (113840, DCM,
“Effective Dose
Conversion
Factor”)
1 MC Not sent
30 > CONTAINS TEXT EV (121106, DCM,
“Comment”)
1 U Not sent
Note: Target region is filled in per the following table:
Protocol Category Value stored in Target Region
Head
Orbit
Neck
Upper Extremity
Chest
Abdomen
Spine
Pelvis
Lower Extremity
SRT T-D1100 Head
SRT T-D0801 Orbital region
SRT T-D1600 Neck
SRT T-02220 Shoulder
SRT T-D3000 Chest
SRT T-D4000 Abdomen
SRT T-11503 Lumbar spine
SRT T-D6000 Pelvis
SRT T-D0300 Extremity
•
9.5 Configuration
The product is configured by default to not generate the CT X-Ray Radiation Dose SR Record. Creation of the CT Dose Record can be enabled via reconfig.
The product implements the CT Radiation Dose Report template (TID 10011) per DICOM. The DICOM standard says that the SOP class shall be the “X-Ray Radiation Dose SR” SOP Class
(1.2.840.10008.5.1.4.1.1.88.67). However, since many products may not support this SOP class, the product supports the option via reconfig to create the CT Radiation Dose Report as an “Enhanced SR” SOP
Class (1.2.840.10008.5.1.4.1.1.88.22). reconfig “Dose Report:” set to “Full” will produce the X-Ray Radiation
Dose SR SOP class and “Yes” will produce the Enhanced SR
SR setting can be configured in “Dose Report” in reconfig menu as below.
•
•
“Full” will produce the X-Ray Radiation Dose SR SOP class
“On” will produce the Enhanced SR SOP class.
“Off” will not produce any SOP class.
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APPENDIX A: CT/PET Image and Secondary Capture Modules/Attributes
Enclosed is a listing of only the Optional/Conditional modules/attributes used by this implementation for CT/SC.
Note: All other modules that are mandatory and attributes that are type 1 & 2 in nature per the
DICOM standard are supported by this implementation but are not explicitly listed here.
A.1 CT Specific IOD Definition
A.1.1
CT Image IOD Modules
Entity Name
Patient
Study
Series
Frame of Reference
Equipment
Image
Module Name
Patient
General Study
Patient Study
General Series
Frame of Reference
General Equipment
General Image
Image Plane
Image Pixel
Contrast/Bolus
CT Image
VOI LUT
SOP Common
A.4.2
A.4.3
A.4.4
A.4.5
A.4.6
Référence
A.3.1
A.3.2
A.3.3
A.3.4
A.3.5
A.3.6
A.3.7
A.4.1
Usage
M
M
U
M
M
M
M
M
M
C
M
U
M
A.2 SC Image IOD
A.2.1
SC Image IOD Modules
Entity Name
Patient
Study
Series
Equipment
Image
Module Name
Patient
General Study
Patient Study
General Series
General Equipment
SC Equipment
General Image
Image Pixel
Reference
A.3.1
A.3.2
A.3.3
A.3.4
A.3.6
A.5.1
A.3.7
A.5.2
Usage
M
M
U
M
U
M
M
M
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SC Image Not sent (consists entirely of type 3 element).
M
VOI LUT
SOP Common
A.5.3
A.5.4
U
M
A.2.2
CT Dose Report SC Image Details
The product is configured by default to generate a CT X-Ray Radiation Dose Report SC Image summarizing the study dose. The pixel data contains a textual, viewable report of the dose information. The next section identifies the additional standard DICOM attributes added to capture the same information as reported in the CT X-Ray Radiation Dose Record, described in Section 9. The Discovery 710/610 and
Optima 560 products will write these additional attributes.
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A.2.2.1 Implementation Specific details
Attribute Name
Total Number of
Exposures
Exposure dose sequence
>kVp
>X-Ray Tube Current
Tag
(0040,0301)
(0040,030E)
(0018,0060)
(0018,8151)
>Exposure Time
>Acquisition Type
>CTDIvol
>CTDI Phantom Type
Code Seq
>Single Collimation
Width
>Total Collimation
>Sprial Pitch Factor
>Body Part Examined
Comments on
Radiation Dose
(0018,1150)
(0018,9302)
(0018,9345)
(0018,9346)
(0018,9306)
(0018,9307)
(0018,9311)
(0018,0015)
(0040,0310)
Type Notes
3 Total number of exposures made during this
Performed Procedure Step.
3
3
Exposure Dose Sequence will contain Total
Number of Exposures (0040,0301) items.
Peak kilo voltage output
3
3
3
3
X-Ray tube current in microA. NOTE: the X-
Ray Radiation Dose SR records this in mA.
Time of x-ray exposure in msec.
Computed Tomography Dose Index in mGy according to IEC 60601-2-44.
3
3
3
3
3
3
The type of phantom used for CTDI measurement according to IEC 60601-2-44.
The width of a single row of acquired data in mm.
The width of the total collimation in mm over the area of active x-ray detection.
Ratio of the Table Feed per Rotation
(0092,9310) to the Total Collimation Width
(0018,9307)
Text description of the part of the body examined. See the values for target region at the end of section 9.4.3 for the values stored.
Used to record total and per exposure DLP.
The format is:
TotalDLP=xxx
DLP=xxx
DLP=xxx
A.3 Common Modules
A.3.1
Patient Module
Attribute Name
Patient’s Name
Tag
(0010,0010)
Type Notes
2 As entered at user interface or from worklist.
Supports 5 different components delimited by
“^”. Supports a maximum length of 32
characters including the delimiter.
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Patient ID (0010,0020) 2 As entered at user interface or from worklist.
Supports maximum of 16 characters.
Patient’s Birth Date
Patient’s Sex
(0010,0030)
(0010,0040)
2
2
As entered at user interface or from worklist.
As entered at user interface or from worklist.
A.3.2
General Study Module
Attribute Name
Study Instance UID
Tag
(0020,000D)
Study Date
Study Time
Accession Number
Referring Physician’s
Name
Study ID
Study Description
Name of Physician(s)
Reading Study
(0008,0020)
(0008,0030)
(0008,0050)
(0008,0090)
(0020,0010)
(0008,1030)
(0008,1060)
Type Notes
1 Value from worklist, if present, is used.
Otherwise, the scanner creates a unique value for each exam.
If worklist is reused, system can be configured to reuse the study instance uid.
Default behavior is to generate a new study instance uid if the worklist is reused.
2 Generated for each exam and always sent.
2
2
2
2
Generated for each exam and always sent.
Value from user interface or worklist sent.
Value from user interface sent. Accepts 32 characters.
Generated for each exam on the scanner and always sent.
3
3
Value from user interface or worklist sent.
Accepts 22 characters by default but is configurable to accept 64 characters.
Sent if entered at the user interface.
A.3.3
Patient Study Module
Attribute Name
Patient’s Age
Tag
(0010,1010)
Patient’s Weight
Additional Patient’s
History
(0010,1030)
(0010,21b0)
A.3.4
General Series Module
Attribute Name
Series Number
Laterality
Series Date
Tag
(0020,0011)
(0020,0060)
(0008,0021)
Type Notes
3 Calculated from Date of Birth entered at user interface.
3
3
Value from user interface or worklist sent.
Value from user interface.
Type Notes
2
2C
3
Generated sequentially, always sent.
Always sent zero-length.
Generated for each series and always sent.
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Series Time (0008,0031) 3 Generated for each series and always sent.
Modality
Protocol Name
Series Description
Operators Name
Patient Position
(0008,0060)
(0018,1030)
(0008,103E)
(0008,1070)
(0018,5100)
(0020,000E)
(0040,0244)
1
3
3
3
2C
1
3
Always sent
Sent if entered at user interface.
Value from user interface is sent.
Value from user interface is sent.
Sent. As selected by operator when patient is positioned. Defined terms are:
HFP = Head-First Prone
HFS = Head-First Supine
HFDR = Head-First Decubitus Right
HFDL = Head-First Decubitus Left
FFDR = Feet-First Decubitus Right
FFDL = Feet-First Decubitus Left
FFP = Feet-First Prone
FFS = Feet-First Supine
Always sent
Sent when MPPS option is enabled
Series Instance UID
Performed Procedure
Step Start Date
Performed Procedure
Step Start Time
Performed Procedure
Step ID
Performed Procedure
Step Description
(0040,0245)
(0040,0253)
(0040,0254)
3
3
3
Sent when MPPS option is enabled
Sent when MPPS option is enabled
Sent when MPPS option is enabled
A.3.5
Frame of Reference Module
Attribute Name
Frame of Reference UID
Position Reference Indicator
CAUTION
Tag
(0020,0052)
(0020,1040)
Type
1
2
Notes
See Caution below.
Value as entered at the user interface.
It is possible for the operator of Discovery CT system to change the table height while scanning a series of images. Therefore, implementations must use the Frame of Reference UID
(0020,0052) in conjunction with the Table Height (0018,1130) to determine if two images are spatially related.
A.3.6
General Equipment Module
Attribute Name
Manufacturer
Institution Name
Station Name
Tag
(0008,0070)
(0008,0080)
(0008,1010)
Type Notes
2
3
3
Always sent as “GE MEDICAL SYSTEMS”
Sent. Value is configurable.
Sent. Value is configurable.
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Attribute Name Tag Type Notes
Manufacturers Model
Name
(0008,1090) 3
(0018,1000) 3 Sent if present in image. Device Serial Number
Software Versions
Spatial Resolution
Pixel Padding Value
(0018,1020)
(0018,1050)
(0028,0120)
3
3
3
Always sent as “05” for this version - does not distinguish individual software releases.
Sent only for MR images.
Sent.
A.3.7
General Image Module
Attribute Name
Image Number
Patient Orientation
Image Date
Image Time
Image Type
Tag
(0020,0013)
(0020,0020)
(0008,0023)
(0008,0033)
(0008,0008)
Type Notes
2 Generated sequentially, always sent.
2C Always sent zero length for SC images.
2C
2C
3
Generated for each image, always sent.
Generated for each image, always sent.
Always sent.
Value 3: CT Image IOD specific specializations
AXIAL
LOCALIZER
SEGMENTED
REFORMATTED
PROCESSED
COMBINED
CTINTERVENTION
Value 4: GE CT Image implementation specific
MIN IP
MIP
AVERAGE
VOLREN
INTEGRAL
HD MIP
RAYSUM
SURFACE
MINMAX
FLUORO
GSI MONO
GSI HIGH KV
GSI LOW KV
GSI MD
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GSI QC
GSI EFF Z
GSI CLR OVRLY
DIGITALTILT
Acquisition Number (0020,0012) 3 Generated for each acquisition, always sent.
Acquisition Date
Acquisition Time
(0008,0022)
(0008,0032)
3
3
Generated for each acquisition, always sent.
Generated for each acquisition, always sent.
Format is in fractional seconds as small as 1 millionth of a second.
A.4 CT Image Modules
A.4.1
Image Plane Module
Attribute Name
Slice Thickness
Image Slice Location
Tag
(0018,0050)
(0020,1041)
Image Position
Image Orientation
(0020, 0032)
(0020, 0037)
(0028,0030)
Type Notes
2
3
Value always sent.
Value always sent. Note: Slice Location reflects the gantry ISO center table location value for the image in mm. If the gantry is tilted, this value will differ from the image position (0020, 0032) Z value which reflects the upper left-hand voxel (center of the first voxel transmitted) of the grid, in mm in the registered Frame of Reference. The system can be configured to save the upper lefthand corner Z coordinate value into (0020,
1041) Slice Location instead of the gantry ISO center table location.
1
1
1
Always sent. System configuration allows images to be flipped and rotated. Default behavior is to not allow flip and rotate.
Always sent. System configuration allows images to be flipped and rotated. Default behavior is to not allow flip and rotate.
Always sent Pixel Spacing
A.4.2
Image Pixel Module
Attribute Name
Samples per Pixel
Photometric
Interpretation
Rows
Columns
Tag
(0028,0002)
(0028,0004)
(0028,0010)
(0028,0011)
Type Notes
1 Always sent with value = 1
1 Always sent.
1
1
Always sent
Always sent
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Bits Allocated (0028,0100) 1 Always sent with value = 16
Bits Stored (0028,0101) 1 Always sent with value = 16
High Bit
Pixel Representation
Pixel Data
(0028,0102)
(0028,0103)
(7FE0,0010)
1
1
1
Always sent with value = 15
Always sent with value = 1
Always sent
A.4.3
Contrast Bolus Module
Attribute Name
Contrast/Bolus Agent
Contrast/Bolus Route
Tag
(0018,0010)
(0018,1040)
Type
2
3
Notes
Sent if contrast exam, as entered in user interface.
Sent if contrast exam, as entered in user interface.
A.4.4
CT Image Module
Attribute Name
Image Type
Tag
(0008,0008)
Type
1
Notes
Always sent. See section
2.5.1
Value 3:
AXIAL
LOCALIZER
SEGMENTED
REFORMATTED
PROCESSED
COMBINED
CTINTERVENTION
Value 4:
MIN IP
MIP
AVERAGE
VOLREN
INTEGRAL
HD MIP
RAYSUM
SURFACE
MINMAX
FLUORO
GSI MONO
GSI HIGH KV
GSI LOW KV
GSI MD
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Attribute Name Tag Type Notes
GSI QC
GSI EFF Z
GSI CLR OVRLY
DIGITALTILT
Samples per Pixel
Photometric Interpretation
Bits Allocated
Bits Stored
High Bit
Rescale Intercept
Rescale Slope
KV
Acquisition Number
Scan Options
Data Collection Diameter
Reconstruction Diameter
Distance Source to Detector
Distance Source to Patient
Gantry / Detector Tilt
Table Height
Rotation Direction
Exposure Time
X-Ray Tube Current
Exposure
Filter Type
Generator Power
Focal Spot
Convolution Kernel
(0028,0002)
(0028,0004)
(0028,0100)
(0028,0101)
(0028,0102)
(0028,1052)
(0028,1053
(0018,0060)
(0020,0012)
(0018,0022)
(0018,0090)
(0018,1100)
(0018,1110)
(0018,1111)
(0018,1120)
(0018,1130)
(0018,1140)
(0018,1150)
(0018,1151)
(0018,1152)
(0018,1160)
(0018,1170)
(0018,1190)
(0018,1210)
3
3
3
3
3
3
3
3
3
3
1
2
1
1
1
1
1
1
3
3
2
3
3
3
Always sent with value = 1
Always sent
Always sent with value = 16
Always sent with value = 16
Always sent with value = 15
Always sent
Always sent
Value always sent.
Value always sent.
Value always sent.
Value always sent.
Value sent for all images except scouts.
Value always sent.
Value always sent.
Value always sent.
Value always sent.
Not sent for scout or axial.
Value always sent.
Value always sent.
Value always sent. (See Note below)
Sent.
Defined terms:
BODY FILTER
MEDIUM FILTER
HEAD FILTER
Always sent
Sent. Fixed value of 0.7 or
1.2.
Not sent for scouts.
Defined terms:
SMOOTH
SOFT
STANDARD
STD+
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Attribute Name Tag Type Notes
DETAIL
BONE
BONEPLUS
CHST
EDGE
SHARP
LUNG
HD LUNG
STANDARD2
DETAIL2
BONE2
BONEPLUS2
EDGE2
STANDARDPLUS2
DETAILPLUS2
HD ULTA
HD SOFT
PET AC
Revolution Time
Single Collimation Width
Total Collimation Width
Table Speed
Table Feed per Rotation
CT Pitch Factor
Scan Options
CT Image IOD specific specializations
(0018, 9305)
(0018, 9306)
(0018, 9307)
(0018, 9309)
(0018, 9310)
(0018, 9311)
(0018,0022)
(0008,0008)
3
3
3
3
3
3
3
Sent for spiral scan only
Sent for spiral scan only
Sent for spiral scan only
Sent for spiral scan only
Sent for spiral scan only
Sent for spiral scan only
AXIAL MODE
SCOUT MODE
AXIAL XRON MODE
AXIAL XROFF MODE
STATIC XRON MODE
STATIC XROFF MODE
TUBE HEAT MODE
DAS MODE
TUBE CAL MODE
BIOPSY MODE
CINE
HELICAL
ROTGENCAL MODE
FLUORO MODE
AXIAL
LOCALIZER
SEGMENTED
REFORMATTED
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Attribute Name Tag Type Notes
PROCESSED
COMBINED
CTINTERVENTION
CT Image implementation specific (0008,0008) MIN IP
MIP
AVERAGE
VOLREN
INTEGRAL
HD MIP
RAYSUM
SURFACE
MINMAX
FLUORO
CAUTION
It is possible for the operator of PET-CT Discovery systems to change the table height while scanning a series of CT images. Therefore, implementations must use the Frame of Reference UID (0020,0052) in conjunction with the Table Height (0018,1130) to determine if two images are spatially related. For PET-CT hybrid scans, scanning the
PET and CT at different table heights is prevented.
Decsciption of how to calculate the Dicom Exposure field (0018,1152)
prescribed image coverage
(avg mA for image) mA image thickness views to make image
Total coverage exposure = (exposure time) * (image avg mA)* (slice thickness)/(total coverage)
Exposue.ppt
T. Toth 03-Aug-04 exposure time = total x-ray on time helical total coverage= (exposure time * table velocity) axial or cine total coverage = macro row thickness * no of active rows
Slice thickness = nominal prospective reconstructed slice selection
Note:
A.4.5
VOI LUT Module
Attribute Name
Rescale intercept
Tag
(0028,1052)
Type
1C
Notes
Always sent
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Rescale Slope (0028,1053) 1C Always sent
Rescale Type (0028,1054) 1C Always sent with value = HU
Window Center
Window Width
(0028,1050)
(0028,1051)
3
1C
Window Center for display. Always sent.
Window Width for display. Always sent.
A.4.6
SOP Common Module
Attribute Name
SOP Class UID
SOP Instance UID
Specific Character Set
Tag
(008,0016
(008,0018)
(0008,0005)
Type
1
1
1C
Notes
Always sent.
Always sent.
ISO_IR 100
A.5 SC Image Modules
A.5.1
SC Equipment Module
Attribute Name
Conversion Type
Modality
Tag
(0008,0064)
(0008,0060)
Type
1
3
Notes
Always sent with value WSD
Modality of original image
A.5.2
Image Pixel Module
Attribute Name
Samples per Pixel
Photometric
Interpretation
Rows
Columns
Bits Allocated
Bits Stored
High Bit
Pixel Representation
Pixel Data
A.5.3
VOI LUT Module
Attribute Name
Rescale intercept
Rescale Slope
Tag
(0028,0002)
(0028,0004)
(0028,0010)
(0028,0011)
(0028,0100)
(0028,0101)
(0028,0102)
(0028,0103)
(7FE0,0010)
Type Notes
1 Always sent with value = 1
1 Always sent.
1
1
1
1
1
1
1
Always sent
Always sent
Always sent with value = 16
Always sent with value = 16
Always sent with value = 15
Always sent with value = 1
Always sent
Tag
(0028,1052)
(0028,1053)
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Type
1C
1C
Notes
Always sent
Always sent
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Rescale Type (0028,1054) 1C Always sent with value = HU
Window Center (0028,1050) 3 Window Center for display. Always sent.
Window Width (0028,1051) 1C Window Width for display. Always sent.
A.5.4
SOP Common Module
Attribute Name
SOP Class UID
SOP Instance UID
Specific Character Set
A.6 Other Attributes
Attribute Name
Temporal Position Index
Nominal Percentage of Cardiac
Phase
Tag
(008,0016
(008,0018)
(0008,0005)
Tag
(0020,9128)
(0020,9241)
Type
1
1
1C
Type
3
3
Notes
Always sent.
Always sent.
ISO_IR 100
Notes
Filled into CT image for some applications. Pass number for shuttle images.
Filled into CT image for some applications. Prescribed percentage of cardiac phase.
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A.7 PET Specific IOD Common Module Definitions
A.7.1
PET Image IOD Modules
Entity Name
Patient
Study
Series
Frame of Reference
Equipment
Image
General Modules
Module Name
Patient
General Study
Patient Study
Discovery PET Exam
General Series
PET Series
Acquisition Context Module
PET Isotope
PET Multi-gated Acquisition
NM/PET Patient Orientation
Discovery PET Imageset
Discovery PET Scan
Frame of Reference
General Equipment
General Image
Image Plane
Image Pixel
PET Image
Overlay Plane
VOI LUT
Discovery PET Image
Discovery PET Frame
SOP Common
Reference
A.7.2
A.7.3
A.7.4
A.7.5
A.7.6
A.7.7
A.7.8
A.7.9
A.7.10
A.7.11
A.7.12
A.7.13
A.7.14
A.7.15
A.7.16
A.7.17
A.7.18
A.7.19
A.7.20
A.7.21
A.7.22
A.7.23
A.7.24
A.7.2
Patient Module
This section specifies the Attributes of the Patient that describe and identify the Patient who is the subject of a diagnostic Study. This Module contains Attributes of the patient that are needed for diagnostic interpretation of the Image and are common for all studies performed on the patient.
Attribute Name Tag Type VR VM Notes
Patient’s Name (0010,0010) 2 PN (32) 1
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Patient ID (0010,0020) 2 LO (16) 1
Patient’s Birth Date (0010,0030) 2 DA (26) 1
Patient’s Sex
Referenced Patient Sequence
>Referenced SOP Class UID
>Referenced SOP Instance UID
Patient’s Birth Time
Other Patient IDs
Other Patient Names
Ethnic Group
Patient Comments
(0010,0040)
(0008,1120)
(0008,1150)
(0008,1155)
(0010,0032)
(0010,1000)
(0010,1001)
(0010,2160)
(0010,4000)
2 CS (16)
3 SQ
1C UI
1C UI
3 TM
3 LO
3 PN
3 SH
3 LT
1-n
1-n
1
1
1
1
1
1
1 Not used
Not used
Not used
Not used
Not used
Not used
Not used
Not used
A.7.3
General Study Module
Attribute Name
Study Instance UID
Study Date
Study Time
Referring Physician’s Name
Study ID
Accession Number
Tag
(0020,000D)
(0008,0020)
(0008,0030)
(0008,0090)
(0020,0010)
(0008,0050)
Study Description
Physician(s) of Record
(0008,1030)
(0008,1048)
Name of Physician(s) Reading Study (0008,1060)
Referenced Study Sequence (0008,1110)
> Referenced SOP Class UID
> Referenced SOP Instance UID
Procedure Code Sequence
(0008,1150)
(0008,1155)
(0008,1032)
Type
1
2
2
2
2
2
3
3
3
3
1C
1C
3
VR
UI
DA
TM
PN
SH
SH
LO
PN
PN
SQ
UI
UI
SQ
1
1-n
1-n
1
1
1
1
VM
1
Notes
1 Same as Exam Date
1 Same as Exam Time
Not used
Diagnostician
Value copied from
SPS
1
1
1
Value copied from
SPS
Value copied from
SPS
Not Used
A.7.4
Patient Study Module
This section defines Attributes that provide information about the Patient at the time the Study was performed.
Attribute Name Tag Type VR VM Notes
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Admitting Diagnosis Description (0008,1080) 3 LO 1-n Not Used
Patient’s Age (0010,1010) 3 AS 1
Patient’s Size (0010,1020) 3 DS 1
Value equals to
Exam date minus
Patient Birth date
Value is always in meter unit
Patient’s Weight
Occupation
Additional Patient’s History
(0010,1030)
(0010,2180)
(0010,21B0)
3
3
3
DS
SH
LT
1
1
1
Not used
A.7.5
Discovery PET Exam Module
Refer to Section B.2.3 for details.
A.7.6
General Series Module
Attribute Name
Modality
Series Instance UID
Series Number
Laterality
Series Date
Series Time
Performing Physician’s Name
Protocol Name
Series Description
Operators’ Name
Referenced Performed Procedure
Step Sequence
> Referenced SOP Class UID
> Referenced SOP Instance UID
Body Part Examined
Patient Position
Smallest Pixel Value in Series
Largest Pixel Value in Series
Request Attributes Sequence
Tag
(0008,0060)
(0020,000E)
(0020,0011)
(0020,0060)
(0008,0021)
(0008,0031)
(0008,1050)
(0018,1030)
Type
1
1
2
2C
3
3
3
3
(0008,103E)
(0008,1070)
(0008,1111)
3
3
3
(0008,1150)
(0008,1155)
(0018,0015)
(0018,5100)
(0028,0108)
(0028,0109)
(0040, 0275)
3
3
3
1C
1C
3
2C
VM
1
1
1
1
1
1
1-n
1
1
1-n
1
VR
CS
UI
IS
CS
DA
TM
PN
LO
LO
PN
SQ
UI
UI
CS
CS
US/SS
US/SS
SQ
1
1
1
1
1
1
1
Notes
Not used
Not used
User selected protocol
Not used
Not used
Not used
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Attribute Name
> Accession Number
Tag
(0008, 0050)
Type
3
VR
SH
VM
1
Notes
> Reference Study Sequence
>> Referenced SOP Class UID
>> Referenced SOP Instance UID
> Study Instance UID
(0008, 1110)
(0008, 1150)
(0008, 1155)
(0020, 000D)
> Requested Procedure Description (0032, 1060)
> Requested Procedure Code
Sequence
(0032, 1064)
>> Code Value (0008, 0100)
>> Coding Scheme Designator
>> Code Meaning
(0008, 0102)
(0008, 0104)
> Scheduled Procedure Description (0040, 0007)
> Scheduled Procedure Step ID (0040, 0009)
> Requested Procedure ID (0040, 1001)
1C
1C
3
3
3
3
3
3
3
3
3
3
SH
SH
LO
LO
SH
SH
SQ
UI
UI
UI
LO
SQ
1
1
1
1
1
1
1
1
1
1
1
1
A.7.7
PET Series Module
Attribute Name
Series Date
Series Time
Counts Source
Units
Series Type
Reprojection Method
Number of R-R Intervals
Number of Time Slots
Tag
(0008,0021)
Type
1
(0008,0031) 1
(0054,1002)
(0054,1001)
(0054,1000)
(0054,1004)
(0054,0061)
1
1
1
2C
1C
(0054,0071) 1C
VR
DA
TM
CS
CS
CS
CS
US
US
VM
1
1
Notes
Always shows
Acquisition Date
Always shows
Acquisition Time
2
1
1
1
1 For Gated Scan,
Value equals to 1.
Provided from
[0x0009,0x10dd]
Number of R-R
Intervals, always
1 if scan is gated
1 For Gated Scan, value equal to the number of bin intervals.
Provided from
[0x0009,0x10de]
Number of Time
Slots, which is #
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Number of Time Slices
Number of Slices
(0054,0101)
(0054,0081)
1C
1
US
US
1
1
Corrected Image
Randoms Correction Method
Attenuation Correction Method
Scatter Correction Method
Decay Correction
Reconstruction Diameter
Convolution Kernel
Reconstruction Method
Detector Lines of Response Used
Acquisition Start Condition
Acquisition Start Condition Data
Acquisition Termination Condition
Acquisition Termination Condition
Data
Field of View Shape
Field of View Dimensions
Gantry / Detector Tilt
Gantry/Detector Slew
Type of Detector Motion
Collimator Type
Collimator/Grid Name
Axial Acceptance
Axial Mash
Transverse Mash
Detector Element Size
Coincidence Window Width
Energy Window Range Sequence
> Energy Window Lower Limit
> Energy Window Upper Limit
Secondary Counts Type
(0018,1147)
(0018,1149)
(0018,1120)
(0018,1121)
(0054,0202)
(0018,1181)
(0018,1180)
(0054,1200)
(0054,1201)
(0054,1202)
(0054,1203)
(0054,1210)
(0028,0051)
(0054,1100)
(0054,1101)
(0054,1105)
(0054,1102)
(0018,1100)
(0018,1210)
(0054,1103)
(0054,1104)
(0018,0073)
(0018,0074)
(0018,0071)
(0018,0075)
(0054,0013)
(0054,0014)
(0054,0015)
(0054,1220)
3
3
3
3
SQ
DS
DS
CS
CS
IS
DS
DS
CS
CS
SH
DS
IS
IS
DS
DS
3
2
3
3
3
3
3
3
3
3
3
3
3
3
1
3
3
3
2
3
3
3
3
3
3
CS
DS
SH
LO
CS
CS
LO
LO
LO
CS
IS
CS
IS
1
1
1
1
1
1
1
1-n
1
1-n
1
1
1
1
1
1
1-n
1
1-2
2
1
2
1
1
1
1
1
1
1
Not used
Difference between Upper and Lower
Coincidence limits
Value equals
“DLYD” if scan delay events is
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A.7.8
Acquisition Context Module
Attribute Name
Acquisition Context
Sequence
Tag
(0040,0555)
>Concept Name Code Sequence (0040,A043)
>> Code Value (0008, 0100)
>> Coding Scheme Designator (0008, 0102)
>> Code Meaning
> Concept Code Sequence
>> Code Value
(0008, 0104)
(0040,A168)
(0008, 0100)
>> Coding Scheme Designator
>> Code Meaning
(0008, 0102)
(0008, 0104)
Type VR
2 SQ
1C SQ
1C SH
1C SH
3 LO
3 SQ
1C SH
1C
3
SH
LO
VM Notes
1
1
1 109054
1 DCM
1 Patient State
1
1 Value depends on
Patient State.
Value is "F-01604"
(If Patient state is rest) or "109091" (If
Patient state is stress) or
"UNKNOWN".
1
Value depends on
Patient State.
Value is "SRT" (If
Patient state is rest) or "DCM" (If Patient state is stress) or
"UNKNOWN".
1 Value depends on
Patient State.
Value is " Resting
State" (If Patient state is rest) or "
Cardiac Stress
State" (If Patient state is stress) or
"UNKNOWN".
A.7.9
PET Isotope Module
Attribute Name
Radiopharmaceutical Information
Tag
(0054,0016)
Type VR VM
2 SQ 1
Notes
Single item sequence
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Sequence
> Radionuclide Code Sequence (0054,0300) 2 SQ 1 Single item sequence
>> Code Value (0008,0100) 1C SH
>> Coding Scheme Designator
>> Code Meaning
> Radiopharmaceutical Route
> Administration Route Code
Sequence
>> Code Value
>> Coding Scheme Designator
>> Code Meaning
> Radiopharmaceutical Volume
> Radiopharmaceutical Start Time
> Radiopharmaceutical Stop Time
> Radionuclide Total Dose
> Radionuclide Half Life
> Radionuclide Positron Fraction
> Radiopharmaceutical Specific
Activity
> Radiopharmaceutical
> Radiopharmaceutical Code
Sequence
>> Code Value
(0008,0102)
(0008,0104)
(0018,1070)
(0054,0302)
(0008,0100)
(0008,0102)
(0008,0104)
(0018,1071)
(0018,1072)
(0018,1073)
(0018,1074)
(0018,1075)
(0018,1076)
(0018,1077)
(0018,0031)
(0054,0304)
(0008,0100)
1C
1C
3
3
3
3
3
1C
3
3
3
3
3
3
3
3
1C
SH
SH
LO
DS
TM
TM
DS
SH
LO
LO
SQ
DS
DS
DS
LO
SQ
SH
1 Code value is based on radionuclide name
1 SRT
1 Radionuclide name
1 Not Used
1 Not Used
1
1
1
1
1
1
1
1
Not Used
Not Used
Not Used
1 Not Used
1 Value depends on tracer activity, post injection activity, half life, measure date time, admin date time, post injection date time
Not Used
1 Tracer name
1 Single item sequence
1
>> Coding Scheme Designator
>> Code Meaning
Intervention Drug Information
Sequence
(0008,0102)
(0008,0104)
(0018,0026)
> Intervention Drug Name (0018,0034)
> Intervention Drug Code Sequence (0018,0029)
>> Code Value (0008,0100)
>> Coding Scheme Designator
>> Code Meaning
(0008,0102)
(0008,0104)
3
3
1C
1C
3
1C
3
3
SH
LO
SQ
LO
SQ
SH
SH
LO
1
1
1
1
1
1
1
1
Value is based on
Tracer name
SRT
Tracer name
Not Used
Not Used
Not Used
Not Used
Not Used
Not Used
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18F
13N
11C
15O
68Ga
68Ge
62Cu
82Rb
22Na
75Br
76Br
64Cu
124I
14O
60Cu
61Cu
66Ga
38K
52Mn
94mTc
45Ti
86Y
90Y
GE Healthcare Discovery 710/610 and Optima 560DICOM Conformance Statement
REV 13 Direction 5330620-1EN
> Intervention Drug Start Time (0018,0035) 3 TM 1 Not Used
> Intervention Drug Stop Time (0018,0027) 3 TM 1 Not Used
> Intervention Drug Dose (0018,0028) 3 DS 1 Not Used
UI Selection
Radionuclide (0054,0300)
Code Value
(0008,0100)
C-111A1
C-107A1
C-105A1
C-B1038
C-131A3
C-128A2
C-127A5
C-159A2
C-155A1
C-113A1
C-113A2
C-127A2
C-114A5
C-1018C
C-127A4
C-127A1
C-131A1
C-135A4
C-149A1
C-163AA
C-166A2
C-162A3
C-162A7
Code Meaning
(0008,0104)
^18^Fluorine
^13^Nitrogen
^11^Carbon
^15^Oxygen
^68^Gallium
^68^Germanium
^62^Copper
^82^Rubidium
^22^Sodium
^75^Bromine
^76^Bromine
^64^Copper
^124^Iodine
^14^Oxygen
^60^Copper
^61^Copper
^66^Gallium
^38^Potassium
^52^Manganese
^94m^Technetium
^45^Titanium
^86^Yttrium
^90^Yttrium
UI Selection
FDG -- fluorodeoxyglucose
FDOPA -- fluoroDOPA
F- -- Fluorine
NH3 -- ammonia
H2O -- water
O2 -- oxygen
Radiopharmaceuticals (0054,0304)
Code Value
(0008,0100)
C-B1031
Code Meaning
(0008,0104)
Fluorodeoxyglucose F^18^
C-B1034
Y-X1745
C-B103C
C-B1039
C-B1038
Fluoro-L-dopa F^18^
F- -- Fluorine
Ammonia N^13^
Oxygen-water O^15^
Oxygen O^15^
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[150]CO -- carbon monoxide C-B103A Carbon monoxide O^15^
[150]CO2 -- carbon dioxide
OAc -- Acetate
Palmitate
[11C]CO -- carbon monoxide
[11C]CO2 -- carbon dioxide
Rubidium cation
FluoroSpiperone
L-2-Fluorotyrosine
Misonidazole
[11C]Butanol
Deoxyglucose
Glucose
Methionine
N-MethylSpiperone
Raclopride
Thymidine(FLT)
L-1-Tyrosine
[15O]Butanol
EDTA
PTSM
Choline
Rubidium chloride
Sodium
[62Cu]ATSM
[11C]Carfentanil
[11C]Flumazenil
[18F]Flumazenil
Fluorethyltyrosin
Fluoromethane
Fluorouracil
Fluorobenzothiazole
Germanium
[13N]Glutamate
[I124]Monoclonal Antibody
Sodium Flouride
[I124]Sodium Iodide
[18F]Flutemetamol
[18F]Fluciclatide
[18F]Fluciclovine
Y-X1766
C-B07DC
C-B07DD
C-B07E7
choline
C-B1037
C-B1047
C-B07DB
C-B103F
C-B07DE
C-B07DF
C-B07E0
C-B07E2
C-B07E3
C-B07E4
C-B103B
C-B1043
C-B1044
C-B1045
Y-X1754
Y-X1755
C-B1033
Y-X1757
C-B07E1
Y-X1759
Y-X1760
Y-X1761
C-B103E
Y-X1763
C-B1042
C-B1036
C-B1046
C-B103D
C-B07E6
C-B1032
C-B07E8
UNKNOWN
UNKNOWN
UNKNOWN
Carbon dioxide O^15^
Acetate C^11^
Palmitate C^11^
Carbon monoxide C^11^
CO2 -- carbon dioxide
Rubidium cation
Spiperone F^18^
L-2-Fluorotyrosine
Fluormisonidazole F^18^
[11C]Butanol
Deoxyglucose
Glucose
Methionine C^11^
N-MethylSpiperone
Raclopride C^11^
Thymidine (FLT)F^18^
L-1-Tyrosine
Butanol O^15^
EDTA Ga^68^
PTSM Cu^62^
Choline
Rubidium chloride Rb^82^
Sodium Na^22
ATSM Cu^64^
Carfentanil C^11^
Flumazenil C^11^
Flumazenil F^18^
Fluorethyltyrosin F^18^
Fluoromethane F^18^
Fluorouracil F^18^
Fluorobenzothiazole F^18^
Germanium Ge^68^
Glutamate N^13^
Monoclonal antibody I^124^
Sodium flouride F^18^
Sodium iodide I^124^
Flutemetamol F^18^
Fluciclatide F^18^
Fluciclovine F^18^
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A.7.10
PET Multi-gated Acquisition Module
Attribute Name
Beat Rejection Flag
Trigger Source or Type
PVC Rejection
Skip Beats
Heart Rate
Tag
(0018,1080)
(0018,1061)
(0018,1085)
(0018,1086)
(0018,1088)
Type VR VM
2 CS 1
3
3
3
3
LO
LO
IS
IS
1
1
1
1
Notes
Value is “Y” or “N” depends on Trigger
Rejection Method selected by Users.
Not Used
Not Used
Framing Type (0018,1064) 3 LO 1
Note: The Multi-Gated Acquisition Module is only sent for Gated (respiratory/cardiac) acquisition.
A.7.11
NM/PET Patient Orientation Module
Attribute Name
Patient Orientation Code Sequence
> Code Value
> Coding Scheme Designator
> Code Meaning
> Patient Orientation Modifier Code
Sequence
>> Code Value
>> Coding Scheme Designator
>> Code Meaning
Patient Gantry Relationship Code
Sequence
> Code Value
> Coding Scheme Designator
> Code Meaning
Tag
(0054,0410)
(0008,0100)
(0008,0102)
(0008,0104)
(0054,0412)
(0008,0100)
(0008,0102)
(0008,0104)
(0054,0414)
(0008,0100)
(0008,0102)
(0008,0104)
1C
1C
3
2
Type VR VM
2 SQ
Notes
1 Zero length sequence
1C SH 1
1C
3
2C
SH
LO
SQ
1
1
1
99SDM
SH
SH
LO
SQ
1C
1C
3
SH
SH
LO
Code Value
(0008,0100)
F-10450
Patient Orientation
Code Meaning
(0008,0104)
recumbent
Patient Orientation Modifier
F-10310
F-10317
Code Value
(0008,0100)
Code Meaning
(0008,0104)
prone right lateral decubitus
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1
1
1
1
1 99SDM
1
1 Zero length sequence
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F-10319
F-10340
F-10470
F-10480
Code Value
(0008,0100)
left lateral decubitus supine
Patient Gantry Relationship
headfirst feet-first
Code Meaning
(0008,0104)
A.7.12
Discovery PET Image Set Module
Refer to Section B.2.6 for details.
A.7.13
Discovery PET Scan Module
Refer to Section B.2.4 for details
A.7.14
Frame of Reference Module
This section specifies the Attributes necessary to uniquely identify a frame of reference which insures the spatial relationship of Images within a Series. It also allows Images across multiple
Series to share the same Frame Of Reference. This Frame Of Reference (or coordinate system) shall be constant for all Images related to a specific Frame Of Reference.
Attribute Name
Frame of Reference UID
Tag
(0020,0052)
Type VR VM
1 UI 1
Notes
Position Reference Indicator (0020,1040) 2 LO 1 Scan Landmark
A.7.15
General Equipment Module
This section specifies the Attributes, which identify and describe the piece of equipment, which produced a Series of Images.
Attribute Name Tag Type VR VM Notes
Manufacturer (0008,0070) 2 LO 1 GE Medical System
Institution Name
Institution Address
Station Name
Institutional Department Name
Manufacturer’s Model Name
Device Serial Number
(0008,0080)
(0008,0081)
(0008,1010)
(0008,1040)
(0008,1090)
(0018,1000)
3 LO 1
3 ST 1
3 SH 1
3 LO 1
3 LO 1
3 LO 1
Hospital name
Not Used
Not Used
Not Used
Scanner Description
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Software Versions (0018,1020) 3 LO 1 Image software version
Frame software version
Spatial Resolution
Date of Last Calibration
Time of Last Calibration
Pixel Padding Value
(0018,1050)
(0018,1200)
(0018,1201)
(0028,0120)
3 DS 1
3 DA 1-n
3 TM 1-n
3 US or
SS
1
Not Used
Not Used
Not Used
Not Used
A.7.16
General Image Module
This section specifies the Attributes, which identify and describe an image within a particular series.
Attribute Name
Image Number
Tag
(0020,0013)
Type VR VM
2 IS 1
Notes
Patient Orientation
Image Date
Image Time
Image Type
Acquisition Number
Acquisition Date
Acquisition Time
Referenced Image Sequence
> Referenced SOP Class UID
> Referenced SOP Instance UID
Timezone Offset From UTC
Source Image Sequence
> Referenced SOP Class UID
> Referenced SOP Instance UID
Images in Acquisition
Image Comments
(0020,0020)
(0008,0023)
(0008,0033)
(0008,0008)
(0020,0012)
(0008,0022)
(0008,0032)
(0008,1140)
(0008,1150)
(0008,1155)
(0x0008,0x0201
)
(0008,2112)
(0008,1150)
(0008,1155)
(0020,1002)
(0020,4000)
2C
2C
2C
3
3
CS
DA
TM
2
1
1
CS 1-n
IS 1
3 DA 1
3 TM 1
Not Used
Extract date from image date time
Extract time from image date time
Not Used
Acquisition Date
Acquisition Time
3 SQ 1
1C UI 1
Not Used
Not Used
1C UI 1 Not Used
3 LO 1 Contains the offset from UTC to the time zone for all DA and TM
Attributes present in this SOP
Instance.
Encoded as an ASCII string in the format “&ZZZ”. The components of the string, from left to right, are
& = “+” or “-“, and ZZZZ = Hours and Minutes of offsets.
3 SQ 1 Not Used
1C UI 1
1C UI 1
3
3
IS 1
LT 1
Not Used
Not Used
Not Used
Not Used
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Lossy Image Compression (0028,2110) 3 CS 1
A.7.17
Image Plane Module
This section specifies the Attributes, which define the transmitted pixel array of a two dimensional
image plane.
Attribute Name Tag Type VR VM Notes
Pixel Spacing (0028,0030) 1 DS 2 Value 1 = pixel width
Value 2 = pixel height
Image Orientation (Patient) (0020,0037) 1 DS 6
Image Position (Patient)
Slice Thickness
Slice Location
(0020,0032)
(0018,0050)
(0020,1041)
1 DS 3
2 DS 1
3 DS 1
Patient Row inferior
Patient Row Posterior
Patient Row Superior
Patient Column inferior
Patient Column Posterior
Patient Column Superior
Patient inferior
Patient Posterior
Patient Superior
A.7.18
Image Pixel Module
This section specifies the Attributes that describe the pixel data of the image.
Attribute Name
Samples per Pixel
Photometric Interpretation
Rows
Columns
Bits Allocated
Bits Stored
High Bit
Pixel Representation
Pixel Data
Planar Configuration
Pixel Aspect Ratio
Smallest Image Pixel Value
Tag
(0028,0002)
(0028,0004)
(0028,0010)
(0028,0011)
(0028,0100)
(0028,0101)
(0028,0102)
(0028,0103)
(7FE0,0010)
(0028,0006)
(0028,0034)
(0028,0106)
Type VR VM
1 US 1
1 CS 1
1 US 1
1 US 1
1 US 1
1 US 1
1 US 1
1 US 1
1 OB/
OW
1
1C US 1
1C IS 2
3 US/ 1
Notes
Matrix Size Height
Matrix Size Width
= 0001H (2’s complement)
Pixel data (sent as OW)
Not Used
Not Used
Not Used
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SS
Largest Image Pixel Value (0028,0107) 3 US/
SS
1 Not Used
Red Palette Color Lookup Table
Descriptor
Green Palette Color Lookup Table
Descriptor
Blue Palette Color Lookup Table
Descriptor
Red Palette Color Lookup Table
Data
Green Palette Color Lookup Table
Data
Blue Palette Color Lookup Table
Data
(0028,1101)
(0028,1102)
(0028,1103)
(0028,1201)
(0028,1202)
(0028,1203)
1C US/
US or
SS/
US
1C US/
US or
SS/
US
1C US/
US or
SS/
US
1C US or
SS
1C US or
SS
1C US or
SS
3
3
3
1-n
1-n
1-n
Not Used
Not Used
Not Used
Not Used
Not Used
Not Used
A.7.19
PET Image Module
This section specifies the Attributes that describe the image within a particular PET Series.
Attribute Name
Image Type
Tag
(0008,0008)
Type VR VM
1 CS 1-n
Notes
Use Image Set Source
Samples per Pixel
Photometric Interpretation
Bits Allocated
Bits Stored
High Bit
Rescale Intercept
Rescale Slope
Frame Reference Time
(0028,0002)
(0028,0004)
(0028,0100)
(0028,0101)
(0028,0102)
(0028,1052)
(0028,1053)
(0054,1300)
1 US 1
1 CS 1
1 US 1
1 US 1
1 US 1
1 DS 1
1 DS 1
1 DS 1
1
”MONOCHROME2”
Image depth (always 16)
Image depth (always 16)
15
0
Use scale factor,
Value equals to Frame
Referenced Time if not Zero,
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Time.
Trigger Time (0018,1060)
Frame Time
Low R-R Value
High R-R Value
Lossy Image Compression
Image Index
Acquisition Date
Acquisition Time
Actual Frame Duration
Nominal Interval
Intervals Acquired
Intervals Rejected
Primary Counts (Prompts)
Accumulated
Secondary Counts Accumulated
Slice Sensitivity Factor
(0018,1063)
(0018,1081)
(0018,1082)
(0028,2110)
(0054,1330)
(0008,0022)
(0008,0032)
(0018,1242)
(0018,1062)
(0018,1083)
(0018,1084)
(0054,1310)
(0054,1311)
(0054,1320)
1C DS 1 Time interval, in msec, from the start of the trigger to the beginning of data acquisition for this image.
1C DS 1 For Gated Scans, value equals to
Image bin Duration. Otherwise, value equals to 0.
1C IS 1
1C IS 1
Lower rejection limit
Upper rejection limit
1C CS 1 Value equals 00H for NO compression.
Otherwise, value equals 01H if compression is lossy.
1 US 1 scan mode image location image time image bin time
2 DA 1
2 TM 1
Value equals Scan Date Time plus Image Time.
Value equals Scan Date Time plus Image Time.
1C IS 1 Image duration (Converted from seconds in DB to milliseconds)
3
3
3
3
IS
IS
IS
IS
1
1
1
1
Not Used
Triggers acquired
Triggers rejected
Total prompts
Decay Factor
Dose Calibration Factor
Scatter Fraction Factor
Dead Time Factor
Referenced Overlay Sequence
(0054,1321)
(0054,1322)
(0054,1323)
(0054,1324)
(0008,1130)
3
3
IS
DS
1-n
1
Value 1 = total delays
Value equals coefficient if coefficient is not NULL.
Otherwise, value equals 1.0
Decay factor 1C DS 1
3 DS 1 Value equals Activity factor times 1.0e+06 (Value is converted MBq/ml to Bq/ml)
3 DS 1 Value equals Scatter subtracted divided by total counts
3 DS 1
3 SQ 1
Deadtime factor
Not Used
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>Referenced SOP Class UID (0008,1150) 1 UI 1 Not Used
>Referenced SOP Instance UID (0008,1155) 1 UI 1 Not Used
Referenced Curve Sequence
>Referenced SOP Class UID
>Referenced SOP Instance UID
Anatomic Region Sequence
> Code Value
> Coding Scheme Designator
> Code Meaning
> Anatomic Region Modifier
Sequence
>> Code Value
>> Coding Scheme Designator
>> Code Meaning
Primary Anatomic Structure
Sequence
> Code Value
> Coding Scheme Designator
> Code Meaning
> Primary Anatomic Structure
Modifier Sequence
>> Code Value
>> Coding Scheme Designator
>> Code Meaning
(0008,1145)
(0008,1150)
(0008,1155)
(0008,2218)
(0008,0100)
(0008,0102)
(0008,0104)
(0008,2220)
(0008,0100)
(0008,0102)
(0008,0104)
(0008,2228)
(0008,0100)
(0008,0102)
(0008,0104)
(0008,2230)
(0008,0100)
(0008,0102)
(0008,0104)
3 SQ 1
1 UI 1
1 UI 1
3 SQ 1
1 SH 1
1 SH 1
3 LO 1
3 SQ 1
1 SH 1
1 SH 1
3 LO 1
3 SQ 1
1 SH 1
1 SH 1
3 LO 1
3 SQ 1
1 SH 1
1 SH 1
3 LO 1
Not Used
Not Used
Not Used
Not Used
Not Used
Not Used
Not Used
Not Used
Not Used
Not Used
Not Used
Not Used
Not Used
Not Used
Not Used
Not Used
Not Used
Not Used
Not Used
A.7.20
Overlay Plane Module
This section contains Attributes that describe characteristics of an Overlay Plane.
Overlay Planes are not currently used in GE Discovery ST PET AE.
A.7.21
VOI LUT Module
This section specifies the Attributes that describe the VOI LUT.
Attribute Name
VOI Lut Sequence
Tag
(0028,3010)
Type
3
VR
SQ
> LUT Descriptor (0028,3002) 1C US\US or
SS\US
VM
1
3
Notes
Not Used
Not Used
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> LUT Explanation (0028,3003) 3 LO 1 Not Used
> LUT Data
Window Center
(0028,3006)
(0028,1050)
1C
3
US or SS
DS
1-n
1-n
Not Used
Window center
Window Width
Window Center & Width
Explanation
(0028,1051)
(0028,1055)
1C
3
DS
LO
1-n
1-n
Window width
Not Used
A.7.22
Discovery PET Image Module
Refer to Section B.2.7 for details.
A.7.23
Discovery PET Frame Module
Refer to Section B.2.5 for details.
A.7.24
SOP Common
This section defines the Attributes which are required for proper functioning and identification of the associated SOP Instances. They do not specify any semantics about the Real-World Object represented by the IOD.
Attribute Name
SOP Class UID
SOP Instance UID
Specific Character Set
Instance Creation Date
Instance Creation Time
Instance Creator UID
Tag
(0008,0016)
(0008,0018)
(0008,0005)
(0008,0012)
(0008,0013)
(0008,0014)
Type VR VM
1 UI 1
1
1C
UI
CS
Notes
1
1 Always sent as “ISO_IR
100”
3
3
3
DA
TM
UI
1
1
1
Current Date
Current Time
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APPENDIX B: Private Data Elements
Enclosed is a listing of private data elements used in this implementation for CT Image IOD definition.
B.1 CT Image IOD Private Data Elements Definition
B.1.1 Private Creator Identification (GEMS_IDEN_01)
Attribute Name
Full fidelity
Suite id
Product id
Image actual date
Equipment UID
Tag
(0009,1001)
(0009,1002)
(0009,1004)
(0009,1027)
(0009,10E3)
VR
LO
SH
SH
SL
UI
VM
1
1
1
1
1
Note: For all images created by Discovery system (0009,xx01) element will have the value
“CT_DISCOVERY”.
B.1.2 Private Creator Identification (GEMS_ACQU_01)
Attribute Name
Number of cells I in Detector
Cell number at Theta
Cell spacing
Horiz. Frame of ref.
Series contrast
First scan ras
Last scan ras
Table speed
Mid scan time
Mid scan flag
Degrees of azimuth
Gantry period
Number of triggers
Angle of first view
Trigger frequency
Scan FOV type
Segment number
Total segments requested
View compression factor
Recon post proc. Flag
Dependent on #views processed
Tag
(0019,1002)
(0019,1003)
(0019,1004)
(0019,100F)
(0019,1011)
(0019,1018)
(0019,101A)
(0019,1023)
(0019,1024)
(0019,1025)
(0019,1026)
(0019,1027)
(0019,102C)
(0019,102E)
(0019,102F)
(0019,1039)
(0019,1042)
(0019,1043)
(0019,1047)
(0019,1052)
(0019,106A)
VR
SL
SS
SS
SS
SS
SS
SS
DS
SS
SL
DS
SL
DS
DS
DS
DS
DS
SS
LO
LO
DS
VM
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
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B.1.3 Private Creator Identification (GEMS_RELA_01)
Attribute Name
Series from which Prescribed
Series Prescribed From
Image Prescribed From
Biopsy position
Biopsy T location
Biopsy ref location
Tag
(0021,1003)
(0021,1035)
(0021,1036)
(0021,1091)
(0021,1092)
(0021,1093)
VR VM
SS
SS
SS
SS
FL
FL
1
1
1
1
1
1
B.1.4 Private Creator Identification (GEMS_STDY_01)
Attribute Name
Start time(secs) in first axial
Tag
(0023,1070)
VR
FD
VM
1
B.1.5 Private Creator Identification (GEMS_IMAG_01)
Attribute Name
Scout Type
Vma mamp
Vma mod
Vma clip
Smart scan ON/OFF flag
Plane Type
Center R coord of plane image
Center A coord of plane image
Center S coord of plane image
Normal R coord
Normal A coord
Normal S coord
Table start location
Table end location
Tag
(0027,1010)
(0027,101C)
(0027,101E)
(0027,101F)
(0027,1020)
(0027,1035)
(0027,1042)
(0027,1043)
(0027,1044)
(0027,1045)
(0027,1046)
(0027,1047)
(0027,1050)
(0027,1051)
B.1.6 Private Creator Identification (GEMS_0039)
Attribute Name
SR Application Name
Tag
(0039,1095)
B.1.7 Private Creator Identification (GEMS_0039)
Attribute Name
SR Application Name
B.1.8 Private Creator Identification (GEMS_PARM_01)
Attribute Name
Tag
(0039,1095)
Tag
VR VM
1
1
1
1
1
1
1
1
1
1
1
1
1
1
SS
FL
FL
FL
FL
FL
FL
FL
FL
SS
SL
SL
SL
SS
VR
LO
VR
LO
VR
VM
1
VM
1
VM
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Attribute Name
Window value
X-ray chain
Tag
(0043,1010)
(0043,1012)
VR
US
SS
VM
1
3
Number of overranges
Delta start time
Max overranges in a view
Corrected after glow terms
Reference channels
No views ref chans blocked
Scan pitch ratio
Unique image iden
Private Scan Options
RA cord of target recon center
Trigger on position
Degree of rotation
DAS trigger source
DAS fpa gain
DAS output source
DAS ad input
DAS cal mode
Start scan to X-ray on delay
Duration of X-ray on
Recon filter
(0043,1016)
(0043,101E)
(0043,101F)
(0043,1021)
(0043,1025)
(0043,1026)
(0043,1027)
(0043,1028)
(0043,102B)
(0043,1031)
(0043,1040)
(0043,1041)
(0043,1042)
(0043,1043)
(0043,1044)
(0043,1045)
(0043,1046)
(0043,104D)
(0043,104E)
(0043, 1064)
FL
FL
SL
SL
SL
SL
SL
FL
FL
LO
SS
US
SH
OB
SS
DS
SS
DS
SL
SS
1
1
1
1
1
1
1
1
1
1
1
4
2
6
6
1
1
1
1
1
B.1.9 Private Creator Identification(GEMS_HELIOS_01)
Note: Dicom elements (0045, 1030-1034) and (0045, 1036-1039) and (0045, 103B) are present only if the appropriate cardiac option is installed on the scanner.
Attribute Name Tag VR VM
Number of Macro Rows in Detector
Macro width at ISO Center
DAS type
DAS gain
DAS Temprature
Table Direction
Z smoothing Factor
View Weighting Mode
Sigma Row number
Minimum DAS value
Maximum Offset Value
Number of Views shifted
Z tracking Flag
Mean Z error
Z tracking Error
Start View 2A
Number of Views 2A
Start View 1A
Sigma Mode
(0045, 1001)
(0045, 1002)
(0045, 1003)
(0045, 1004)
(0045, 1005)
(0045, 1006)
(0045, 1007)
(0045, 1008)
(0045, 1009)
(0045, 100A)
(0045, 100B)
(0045, 100C)
(0045, 100D)
(0045, 100E)
(0045, 100F)
(0045, 1010)
(0045, 1011)
(0045, 1012)
(0045, 1013)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
CS
FL
SS
SS
FL
FL
SS
SS
FL
SS
SS
SS
SS
FL
FL
SS
SS
SS
SS
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Attribute Name
Number of Views 1A
Start View 2B
Tag
(0045, 1014)
(0045, 1015)
VR
SS
SS
VM
1
1
Number Views 2B
Start View 1B
Number of Views 1B
Iterbone Flag
Perisstaltic Flag
CardiacReconAlgorithm
AvgHeartRateForImage
TemporalResolution
PctRpeakDelay
ActualPctRpeakDelay
EkgFullMaStartPhase
EkgFullMaEndPhase
EkgModulationMaxMa
EkgModulationMinMa
NoiseReductionImageFilterDesc
RPeakTimeDelay
ActualRPeakTimeDelay
CardiacScanOptions
(0045, 1016)
(0045, 1017)
(0045, 1018)
(0045, 1021)
(0045, 1022)
(0045, 1030)
(0045, 1031)
(0045, 1032)
(0045, 1033)
(0045, 1034)
(0045, 1036)
(0045, 1037)
(0045, 1038)
(0045, 1039)
(0045, 103B)
(0045, 103F)
(0045, 1044)
(0045, 1045)
SS
CS
CS
FL
CS
CS
SS
SS
SS
SS
CS
CS
CS
CS
LO
IS
IS
ST
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
B.1.10 Private Creator Identification (GEMS_CT_CARDIAC_001)
Note: Private Group 49 is present only if the appropriate cardiac option is installed on the scanner.
Attribute Name Tag VR VM
CT Cardiac Sequence
HeartRateAtConfirm
AvgHeartRatePriorToConfirm
MinHeartRatePriorToConfirm
MaxHeartRatePriorToConfirm
StdDevHeartRatePriorToConfirm
NumHeartRateSamplesPriorToConfirm
AutoHeartRateDetectPredict
SystemOptimizedHeartRate
EkgMonitorType
NumReconSectors
RpeakTimeStamps
EkgGatingType
EkgWaveTimeOffFirstDataPoint
(0049, 1001)
(0049, 1002)
(0049, 1003)
(0049, 1004)
(0049, 1005)
(0049, 1006)
(0049, 1007)
(0049, 1008)
(0049, 1009)
(0049, 100A)
(0049, 100B)
(0049, 100C
(0049,1016)
(0049,101B)
SQ
CS
FL
CS
CS
FL
US
CS
CS
ST
CS
FL
SH
FL
1
1
1
1
1
1
1
1
1
1
1
256
1
1
B.1.11 Private Creator Identification (GEHC_CT_ADVAPP_001)
Note: Private tags (0053,1070) through (0053,109D) are only present for multi-energy CT images.
Attribute Name Tag VR VM
ShuttleFlag (0053, 1020) IS 1
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TableSpeedNotReachesTargetFlag
IterativeReconAnnotation
IterativeReconMode
IterativeReconConfiguration
IterativeReconLevel reconFlipRotateAnno
HiResMode
RespiratoryFlag
(0053, 1021)
(0053, 1040)
(0053, 1041)
(0053, 1042)
(0053, 1043)
(0053, 1060)
(0053, 1061)
(0053, 1062)
SH
SH
SH
SH
IS
SH
SH
LO
1
1
1
1
1
1
1
1
B.1.12 Private Creator Identification (GEMS_PETD_01)
Attribute Name
Gating Type
% Phase Value
Total Number of Bins
Tag
(0x0015,0x101A)
(0x0015,0x101B)
(0x0015,0x101C)
Type VR VM
3 US 1 Gating Type:
Cardiac = 1
Respiratory = 2
No Gating = 3
Notes
3 SL 1 The number of selected target phases in the binning protocol use in Adv4D application.
3 US 1 The target phase value that the images belong to.
Note: Private Group 15 is only generated images from the Motion Free Application, specifically the
Advantage4D application version which runs on the CT/PET scanner.
B.2 PET Image IOD Private Data Elements Definition
B.2.1 Private Creator Identification (GEMS_PETD_01)
Private Creator Identification (GEMS_PETD_01)
Attribute Name Tag
Private Creator Data Element (0009,0010)
GE Discovery PET Implementation Version
Name
(0009,1001)
Type
1
3
VR
SH
LO
VM
1
2
Value 1: ”GE Discovery ST PET ”
B.2.2 Discovery PET Patient Module
Private Creator Identification (GEMS_PETD_01)
Attribute Name
PET Implementation Name
Tag
(0009,1001)
PET patient_id
PET compatible_version
PET patient_datetime
PET type
(0009,1002)
(0009,1003)
(0009,1005)
(0009,1006)
Type VR
3 LO
3
3
LO
SH
3
3
DT
SL
VM
1
1
1
1
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Value 2: IDB_SOFTWARE_VERSION
Value 2: IDB_SOFTWARE_VERSION
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Blood Glucose Level
(0009,10F3)
3 FL 1
IsPatientDiabetic
(0009,10F4)
3 SL 1
Date of Last Treatment
(0009,10F5)
3 DA 1
B.2.3 Discovery PET Exam Module
Private Creator Identification (GEMS_PETD_01)
Attribute Name Tag
PET exam_id
PET compatible_version
PET software_version
(0009,1007)
(0009,1008)
(0009,1009)
Type VR
3 UI
3 SH
3 SH
VM
1
1
1
B.2.4 Discovery PET Scan Module
Private Creator Identification (GEMS_PETD_01)
Attribute Name Tag
PET scan_id
PET compatible_version
PET software_version
(0009,100A)
(0009,100B)
(0009,100C)
PET scan_datetime
PET scan_ready
PET scan_description
PET hospital_name
PET scanner_desc
PET manufacturer
PET for_identifier
PET landmark_name
PET landmark_abbrev
PET patient_position
PET scan_perspective
PET scan_type
PET scan_mode
PET start_condition
PET start_cond_data
PET sel_stop_cond
PET sel_stop_cond_data
(0009,100D)
(0009,100E)
(0009,100F)
(0009,1010)
(0009,1011)
(0009,1012)
(0009,1013)
(0009,1014)
(0009,1015)
(0009,1016)
(0009,1017)
(0009,1018)
(0009,1019)
(0009,101A)
(0009,101B)
(0009,101C)
(0009,101D)
3 UI
3 LO
3 SH
3 SL
3 SL
3 SL
3 SL
3 SL
3 SL
3 SL
3 SL
Type VR
3 UI
3 SH
3 SH
3 DT
3 DT
3 ST
3 LO
3 LO
3 LO
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
VM
1
1
1
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PET collect_deadtime (0009,101E) 3 SL 1
PET collect_singles
PET collect_countrate
(0009,101F)
(0009,1020)
3 SL
3 SL
1
1
PET countrate_period
PET delayed_events
PET delayed_bias
PET word_size
PET axial_acceptance
PET axial_angle_3d
PET theta_compression
PET axial_compression
PET gantry_tilt_angle
PET collimation
PET scan_fov
PET axial_fov
PET event_separation
PET mask_width
PET binning_mode
PET tracer_name
PET batch_description
PET tracer_activity
PET meas_datetime
PET pre_inj_volume
PET admin_datetime
PET post_inj_activity
PET post_inj_datetime
PET radionuclide_name
PET half_life
PET positron_fraction
PET source1_holder
PET source1_activity
PET source1_meas_dt
PET source1_radnuclide
PET source1_half_life
PET source2_holder
(0009,102F)
(0009,1036)
(0009,1037)
(0009,1038)
(0009,1039)
(0009,103A)
(0009,103B)
(0009,103C)
(0009,103D)
(0009,103E)
(0009,103F)
(0009,1040)
(0009,1041)
(0009,1042)
(0009,1043)
(0009,1044)
(0009,1045)
(0009,1046)
(0009,1021)
(0009,1022)
(0009,1023)
(0009,1024)
(0009,1025)
(0009,1026)
(0009,1027)
(0009,1028)
(0009,1029)
(0009,102A)
(0009,102B)
(0009,102C)
(0009,102D)
(0009,102E)
3 DT
3 SH
3 FL
3 FL
3 SL
3 FL
3 DT
3 SH
3 SL
3 LO
3 LO
3 FL
3 DT
3 FL
3 DT
3 FL
3 FL
3 SL
3 SL
3 SL
3 SL
3 SL
3 SL
3 SL
3 SL
3 SL
3 FL
3 SL
3 SL
3 SL
3 SL
3 SL
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
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PET source2_activity (0009,1047) 3 FL 1
PET source2_meas_dt
PET source2_radnuclide
(0009,1048)
(0009,1049)
3 DT
3 SH
1
1
PET source2_half_life
PET source_speed
PET source_location
PET emission_present
PET lower_axial_acc
PET upper_axial_acc
PET lower_coinc_limit
PET upper_coinc_limit
PET coinc_delay_offset
PET coinc_output_mode
PET upper_energy_limit
PET lower_energy_limit
PET normal_cal_id
PET normal_2d_cal_id
PET blank_cal_id
PET wc_cal_id
PET derived
PET contrast_agent
PET vqc_x_axis_trans
PET vqc_x_axis_tilt
(0009,104A)
(0009,104B)
(0009,104C)
(0009,104D)
(0009,104E)
(0009,104F)
(0009,1050)
(0009,1051)
(0009,1052)
(0009,1053)
(0009,1054)
(0009,1055)
(0009,1056)
(0009,1057)
(0009,1058)
(0009,1059)
(0009,105A)
(0009,105B)
(0009, 10CB)
(0009, 10CC)
3 FL
3 SL
3 FL
3 SL
3 SL
3 SL
3 SL
3 SL
3 SL
3 SL
3 SL
3 SL
3 UI
3 UI
3 UI
3 UI
3 SL
3 LO
3
FL
3 FL
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
PET vqc_y_axis_trans
PET vqc_y_axis_swivel
PET vqc_z_axis_trans
PET vqc_z_axis_roll
PET image_set_id
PET image_one_loc
PET image_index_loc
PET num_of_rr_interval
PET num_of_time_slots
PET num_of_slices
PET num_of_time_slices
PET rest_stress
(0009, 10CD)
(0009, 10CE)
(0009, 10CF)
(0009, 10D0)
(0009, 10D2)
(0009, 10D6)
(0009, 10D7)
(0009,10DD)
(0009,10DE)
(0009,10DF)
(0009,10E0)
(0009,10E2)
3 FL
3 FL
3 FL
3 FL
3
UI
3
FL
3
FL
1C US
1C US
1C US
1 US
1 SL
1
1
1
1
1
1
1
1
1
1
1
1
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PET tracerInjection_UID (0009,10F2) 3 UI 1
PET Q Static Scan Mode
PET Sharp IR Flag
(0009,10F6)
(0015,103D)
3 SL
3 UL
1
1
PET Scatter Limit
Event histogram Format
Number of Detector Rows
Number of Detector Columns
Physio Gating Type
Total Number of Bins
(0015,103E)
(0015,1039)
(0015,103A)
(0015,103B)
(0015,101A)
(0015, 101B)
3 UL
3 SL
3 SL
3 SL
3 SL
3 SL
1
1
1
1
1
1
B.2.5 Discovery PET Frame Module
Private Creator Identification (GEMS_PETD_01)
Attribute Name Tag
PET frame_id
PET trig_rej_method
PET number_for_reject
PET lower_reject_limit
PET upper_reject_limit
(0009,105C)
(0009,1030)
(0009,1031)
(0009,1032)
(0009,1033)
PET triggers_acquired
PET triggers_rejected
PET scan_id
PET exam_id
PET patient_id
PET compatible_version
PET software_version
PET where_is_frame
PET frame_size
PET file_exists
PET patient_entry
PET table_height
PET table_z_position
PET landmark_datetime
PET slice_count
PET start_location
PET acq_delay
(0009,1034)
(0009,1035)
(0009,105D)
(0009,105E)
(0009,105F)
(0009,1060)
(0009,1061)
(0009,1062)
(0009,1063)
(0009,1064)
(0009,1065)
(0009,1066)
(0009,1067)
(0009,1068)
(0009,1069)
(0009,106A)
(0009,106B)
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3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Type VR
3 UI
3
3
SL
SL
3
3
SL
SL
LO
SH
SH
ST
SL
SL
UI
UI
FL
DT
SL
FL
SL
SL
SL
FL
SL
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
VM
1
1
1
1
1
GE Healthcare Discovery 710/610 and Optima 560DICOM Conformance Statement
REV 13 Direction 5330620-1EN
PET acq_start (0009,106C) 3 DT 1
PET acq_duration
PET acq_bin_dur
(0009,106D)
(0009,106E)
3
3
SL
SL
1
1
PET acq_bin_start
PET actual_stop_cond
PET total_prompts
PET total_delays
PET frame_valid
PET validity_info
PET archived
PET compression
PET uncompressed_size
PET accum_bin_dur
PET frame_number
PET list_file_exists
PET where_is_list_frame
PET unlisted_scan
PET phase percentage
PET acq_bin_num
PET acq_bin_dur_percent
PET prompt gamma
PET tracerInjection UID
PET Q Static Frame
PET Sharp IR Flag
PET Scatter Limit
SL
ST
SL
SL
SL
SL
SL
SL
SL
SL
SL
SL
FD
FD
FL
SL
FL
SL 1
1
1
1
UI 1
SL 1
UL
UL
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
(0009,106F)
(0009,1070)
(0009,1071)
(0009,1072)
(0009,1073)
(0009,1074)
(0009,1075)
(0009,1076)
(0009,1077)
(0009,1078)
(0009,10D8)
(0009,10D9)
(0009,10DA)
(0009,10E1)
(0009, 10E3)
(0009, 10E8)
(0009, 10E9)
(0009, 10F1)
(0009,10F2)
(0009,10F7)
(0015,103D)
(0015,103E)
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B.2.6 Discovery PET ImageSet Module
Private Creator Identification (GEMS_PETD_01)
Attribute Name Tag
PET compatible_version
PET software_version
PET is_datetime
PET is_source
PET is_contents
PET is_type
PET is_reference
PET multi_patient
(0009,1079)
(0009,107A)
(0009,107B)
(0009,107C)
(0009,107D)
(0009,107E)
(0009,107F)
(0009,1080)
PET number_of_normals
PET color_map_id
PET window_level_type
PET rotate
PET flip
PET zoom
PET pan_x
PET pan_y
PET window_level_min
PET window_level_max
PET recon_method
PET attenuation
PET atten_coefficient
PET bp_filter
PET bp_filter_cutoff
PET bp_filter_order
PET bp_center_l
PET bp_center_p
PET atten_smooth
PET atten_smooth_param
PET angle_smooth_param
PET wellcountercal_id
PET trans_scan_id
(0009,1081)
(0009,1082)
(0009,1083)
(0009,1084)
(0009,1085)
(0009,1086)
(0009,1087)
(0009,1088)
(0009,1089)
(0009,108A)
(0009,108B)
(0009,108C)
(0009,108D)
(0009,108E)
(0009,108F)
(0009,1090)
(0009,1091)
(0009,1092)
(0009,1093)
(0009,1094)
(0009,1095)
(0009,1096)
(0009,1097)
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Type VR
3 SH
3 SH
3 DT
SL
SL
SL
DS
SL
SL
FL
SL
SL
SL
UI
SL
FL
SL
SL
SL
FL
SL
FL
FL
FL
FL
SL
SL
FL
SL
UI
UI
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
3
1
1
1
VM
1
1
1
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PET norm_cal_id (0009,1098) 3 UI 1
PET blnk_cal_id
PET cac_edge_threshold
(0009,1099)
(0009,109A)
3
3
UI
FL
1
1
PET cac_skull_offset
PET emiss_sub_id
PET radial_filter_3d
PET radial_cutoff_3d
PET axial_filter_3d
PET axial_cutoff_3d
PET axial_start
PET axial_spacing
PET axial_angles_used
PET ir_num_iterations
PET ir_num_subsets
PET ir_recon_fov
PET ir_corr_model
PET ir_loop_filter
PET ir_pre_filt_parm
PET ir_loop_filt_parm
PET response_filt_parm
PET post_filter
PET post_filt_parm
PET ir_regularize
PET regularize_parm
PET ac_bp_filter
PET ac_bp_filt_cut_off
PET ac_bp_filt_order
PET ac_img_smooth
PET ac_img_smooth_parm
PET scatter_method
PET scatter_num_iter
PET scatter_parm
PET ctac_conv_scale
PET loop_filter_parm
Recon Protocol
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
(0009,10B7)
(0009,10B8)
(0009,10B9)
(0009,10BA)
(0009,10BB)
(0009,10BC)
(0009,10BD)
(0009,10BE)
(0009,10BF)
(0009,10C0)
(0009,10C1)
(0009,10C2)
(0009,10C3)
(0009,10C4)
(0009,10C5)
(0009, 10D4)
(0009,10D5)
(0009,10E4)
(0009,109B)
(0009,109C)
(0009,109D)
(0009,109E)
(0009,109F)
(0009,10A0)
(0009,10A1)
(0009,10A2)
(0009,10A3)
(0009,10B2)
(0009,10B3)
(0009,10B4)
(0009,10B5)
(0009,10B6)
SL
SS
FL
LO
FL
SL
SS
FL
FL
SS
FL
SS
FL
FL
FL
SS
FL
ST
FL
SS
SS
FL
SL
SS
SS
SL
FL
FL
FL
UI
SS
FL
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
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PET prompt gamma
(0009,10F1)
3 SL 1
PET tracerInjectionUID
(0009,10F2)
3 UI 1
PET Q Static ScanMode
PET Q Static Frame
(0009,10F6)
(0009,10F7)
3
3
SL
SL
1
1
Blood Glucose Level
(0009,10F3)
3 FL 1
IsPatientDiabetic
(0009,10F4)
3 SL 1
Date of Last Treatment
(0009,10F5)
3 DA 1
PET QStatic Recon (0009,10FD) 3 SH 1
Privates added for Discovery 710/610 and Optima 560
Attribute Name
Phase Matched Series
Tag
(0015,101D)
CTAC Percent Value
Recon Matrix Size
PET Recon Parameters Exists
First Packet Number
IR Loop Filter Ratio
IR Loop Filter Correction
BP3d Filter FlagU
BP3d Filter CutoffU
BP3d Filter OrderU
BP3d Filter FlagV
BP3d Filter OrderV
BP3d Filter CutoffV
Decay Flag
Image filter 3d flag
WCC Cal Flag
Emission Scatter Flag
Recon Algorithm
Normalization Flag
Emission Deadtime Flag
Emission Random Flag
Blank Scan Flag
PET sharp IR Flag
PET scatter limit
(0015, 101E)
(0015, 103C)
(0015, 101F)
(0015, 1020)
(0015, 1021)
(0015, 1022)
(0015, 1023)
(0015, 1024)
(0015, 1025)
(0015, 1026)
(0015, 1027)
(0015, 1028)
(0015, 1029)
(0015, 102E)
(0015, 102F)
(0015, 1030)
(0015, 1031)
(0015, 1032)
(0015, 1033)
(0015, 1034)
(0015, 1035)
(0015,103D)
(0015,103E)
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Type VR
3 SL
3
3
3
3
SL
US
UL
SL
FL
FL
UL
FL
SL
UL
UL
UL
UL
UL
UL
UL
FL
SL
UL
UL
UL
UL
UL
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
VM
1
1
1
1
1
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Regularized Recon Beta (0009,10F8) 3 FL 1
Regularized Recon Gamma (0009,10F9) 3 FL 1
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B.2.7 Discovery PET Image Module
Private Creator Identification (GEMS_PETD_01)
Attribute Name Tag
PET compatible_version (0009,10A4)
PET software_version
PET slice_number
PET total_counts
PET other_atts
PET other_atts_size
PET archived
PET bp_center_x
PET bp_center_y
PET trans_frame_id
PET tpluse_frame_id
PET profile_spacing
PET seg_qc_parm
PET overlap
PET ovlp_frm_id
PET ovlp_trans_frm_id
PET ovlp_tpulse_frm_id
PET ir_z_filter_flag
PET ir_z_filter_ratio
PET left shift
PET posterior shift
PET superior shift
3D Filter flag
3D Filter cutoff
3D Filter order
Reformat group
PET prompt gamma
PET tracerInjectionUID
PET Q Static Scan Mode
PET Q Static Frame
PET QStatic Recon (0009,10FD)
(0009,10C7)
(0009,10C8)
(0009,10C9)
(0009,10CA)
(0009, 10DB)
(0009, 10DC)
(0009, 10E5)
(0009, 10E6)
(0009, 10E7)
(0009,10EA)
(0009,10EB)
(0009,10EC)
(0009,10F0)
(0009,10F1)
(0009,10F2)
(0009,10F6)
(0009,10F7)
(0009,10A5)
(0009,10A6)
(0009,10A7)
(0009,10A8)
(0009,10A9)
(0009,10AA)
(0009,10AB)
(0009,10AC)
(0009,10AD)
(0009,10AE)
(0009,10B1)
(0009,10C6)
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Type VR
3 SH
3 SH
3 SL
3 FL
3 OB
3 SL
3 SL
3 FL
3 FL
3 UI
3 UI
3 FL
3 FL
3 SL
3 UI
3 UI
3 UI
3 SL
3 FL
3 FL
3 FL
3 FL
3 SL
3 FL
3 SL
3 UI
3 SL
3 UI
3 SL
3 SL
3 SH
1
1
1
1
1
1
1
1
1
1
1
1
1
1
VM
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
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GE Healthcare Discovery 710/610 and Optima 560DICOM Conformance Statement
REV 13 Direction 5330620-1EN
Number of Detector Rows (0015,103A) 3 SL 1
Number of Detector Columns
Physio Gating Type
Total Number of Bins
(0015,103B)
(0015,101A)
(0015,101B)
3 SL
3 SL
3 SL
1
1
1
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APPENDIX C: DICOMDIR Directory Information
Enclosed here is a listing of only the optional (conditional) modules and optional attributes used by this implementation in the DICOMDIR definition. All standard attributes as defined in Part 3 Addendum (Basic
Directory Information Object) are supported by this implementation but not listed here.
C.1 Basic Directory IOD Definition
Module
Directory Information
Reference
DICOM Part 3 Annex F.3
Usage Notes
U
C.2 File Set Identification Module
Attribute Name
File Set ID
Tag
(0004,1130)
C.3 Directory Information Module
Attribute Name
Offset of the First Directory Record of the Root
Directory Entity
Offset of the Last Directory Record of the Root
Directory Entity
File-set Consistency Flag
Directory Record Sequence
>Offset of the Next Directory Record
>Record In-use Flag
>Offset of Referenced Lower-Level Directory
Entity
>Directory Record Type
>Private Record UID
>Referenced File ID
>MRDR Directory Record Offset
>Referenced SOP Class UID in File
Type
Tag
(0004,1200)
(0004,1202)
(0004,1212)
(0004,1220)
(0004,1400)
(0004,1410)
(0004,1420)
(0004,1430)
(0004,1432)
(0004,1500)
(0004,1504)
(0004,1510)
2
Notes
Set by application
Type
1
1
1
2
1C
1C
1C
1C
1C
1C
1C
!C
Notes
Set by application
Set by application
0000H: no known inconsistencies .
Not supported.
Set by application
FFFFH: record is in use
Set by application
PATIENT, STUDY, SERIES,
IMAGE, PRESENTATION,
SR DOCUMENT and
PRIVATE
Generated only for Image
Directory Record, starting with A/A/A/A/Z01 .
Not generated
Generated for Image
Directory Record
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>Referenced SOP Instance UID in File (0004,1511) 1C Generated for Image
Directory Record. Set to
SOP Instance UID
(0008,0018) during save to media.
>Referenced Transfer Syntax UID in
File
(0004,1512) 1C Not supported
C.4 Directory Record Selection Keys
The STD-GEN-CD and STD-GEN-DVD Application Profiles will have only the Patient, Study, Series, and Image directory record types. Given below are the attributes supported under each of these records.
C.4.1 Patient Keys
Attribute Name
Specific Character Set
Patient's Name
Patient ID
Patient Birth Date
Patient Birth Time
Patient Sex
Tag Type
(0008,0005) 1C
(0010,0010) 2
(0010,0020)
(0010, 0030)
(0010, 0032)
(0010, 0040)
1
2
2
2
Notes
ISO_IR 100.
If present in composite object instances it will be set to same value, other wise set to NULL .
If present in composite object instances it will be set to same value, other wise set to NULL .
If present in composite object instances it will be set to same value, other wise set to NULL.
If present in composite object instances it will be set to same value, other wise set to NULL.
If present in composite object instances it will be set to same value, other wise set to NULL.
C.4.2 Study Keys
Attribute Name
Specific Character Set
Study Date
Tag Type
(0008,0005) 1C ISO_IR 100.
(0008,0020) 1
Notes
If present in composite object instances it will be set to same value, other wise set to NULL .
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Study Time (0008,0030) 1
Study Description
Study Instance UID
(0008,1030) 2
(0020,000D) 1C
If present in composite object instances it will be set to same value, other wise set to NULL .
If present in composite object instances it will be set to same value, other wise set to NULL .
This is set to value that is present in the composite object instances, otherwise composite object instances are not Archived .
Study ID
Accession Number
(0020,0010) 1
(0008,0050) 2
If present in composite object instances it will be set to same value, other wise set to NULL .
If present in composite object instances it will be set to same value, other wise set to NULL .
C.4.3 Series Keys
Attribute Name
Specific Character Set
Modality
Series Instance UID
Series Number
Icon Image Sequence
Manufacturer
Series Description
Manufacturer’s Model Name
Image Type
Series Date
Performing Physician’s Name
Tag Type
(0008,0005) 1C
(0008,0060) 1
(0020,000E) 1
(0020,0011)
(0088,0200)
(0008,0070)
(0008,103E)
(0008,1090)
(0008,0008)
(0008, 0021)
(0008,1050)
1
3
2
2
2
2
2
2
Notes
ISO_IR 100
Set to one that is found in composite object instances.
This is set to value that is present in the composite object instances, otherwise check for presence of
Referenced SOP Instance UID in File
(0004,1511), if both not present, instance is not archived.
If present in composite object instances it will be set to same value, other wise set to NULL.
Not supported
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
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Series Type (0054, 1000) 2 If present in composite object instances it will be set to same value, other wise set to NULL
C.4.4 Image Keys
Attribute Name
Specific Character Set
Image Number
Icon Image Sequence
SOP Class UID
Slice Thickness
Repetition Time
Echo Time
Inversion Time
Number of Averages
Spacing Between Slices
Data Collection Diameter
Contrast Bolus Route
Trigger Time
Reconstruction Diameter
Gantry Detector Tilt
Tag Type
(0008,0005) 1C
(0020,0013) 1
(0088,0200)
(0008,0016)
(0018,0050)
(0018,0080)
(0018,0081)
(0018,0082)
(0018,0083)
(0018,0088)
(0018,0090)
(0018,1040)
(0018,1060)
(0018,1100)
(0018,1120)
3
1
2
2
2
2
2
2
2
2
2
2
2
Notes
ISO_IR 100
.
If present in composite object instances it will be set to same value, other wise set to NULL
Note supported
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
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Flip Angle (0018,1314) 2
Slice Location
Rows
Columns
Echo Numbers
(0020,1041) 2
(0028,0010) 2
(0028,0011) 2
(0008,0086) 2
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
Samples Per Pixel (0028,0002) 2
Bits Allocated
Bits Stored
Referenced SOP Class UID in File
Referenced SOP Instance UID in File
SOP Instance UID
Referenced Transfer Syntax UID in File
Frame of Reference UID
Sequence Variant
Convolution Kernel
Image Position Patient
Image Orientation Patient
(0028,0100) 2
(0028,0101) 2
(0004,1510) 2
(0004,1511) 2
(0008,0018) 2
(0004,1512)
(0020,0052)
2
2
(0018,0021) 2
(0018,1210) 2
(0020,0032) 2
(0020,0037) 2
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
If present in composite object instances it will be set to same value, other wise set to NULL
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Pixel Spacing (0028,0030) 2 If present in composite object instances it will be set to same value, other wise set to NULL
C.4.5 PRESENTATION Keys
Key Tag
Specific Character Set (0008,0005
)
Instance Number (0020,0013
)
SOP Instance UID
Referenced Series
Sequence
Content Label
Content Description
(0008,0018
)
(0008,1115
)
(0070,0080
)
(0070,0081
)
Presentation Creation
Date
Presentation Creation
Time
Content Creator’s
Name
(0070,0082
)
(0070,0083
)
(0070,0084
)
Type
(for CD)
1C
1
E
1C
1
2
1
1
2
Type
(for DVD
/ USB)
1C
Attribute Description
ISO_IR 100
1
E
1C
If present in composite object instance it will be set to same value, otherwise computed
If present in composite object instances it will be set to same value, otherwise sent empty
Not used.
1
2
1
1
2
If present in composite object instance it will be set to same value, otherwise not sent
If present in composite object instances it will be set to same value, otherwise not sent
If present in composite object instances it will be set to same value, otherwise not sent
If present in composite object instances it will be set to same value, otherwise not sent
If present in composite object instances it will be set to same value, otherwise not sent
C.4.6 STRUCTURED REPORT Keys
Key Tag
Specific Character Set (0008,0005)
Instance Number (0020,0013)
SOP Instance UID
Completion Flag
(0008,0018)
(0040,A491)
Type
(for CD)
1C
1
E
1
Type
(for DVD
/ USB)
1C
1
E
1
Attribute Description
ISO_IR 100
If present in composite object instance it will be set to same value, otherwise computed
If present in composite object instances it will be set to same value, otherwise sent empty
If present in composite object instance it will be set to same value, otherwise not sent
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Content Date (0008,0023) 1 1
Content Time
Concept Name Code
Sequence
Verifying Observer
Sequence
Verification Flag
(0008,0033)
(0040,A043)
(0040,A073)
(0040,A493)
1
1C
E
1
1
1C
E
1
If present in composite object instances it will be set to same value, otherwise not sent
If present in composite object instances it will be set to same value, otherwise not sent
If present in composite object instances it will be set to same value, otherwise not sent
If present in composite object instances it will be set to same value, otherwise sent empty
If present in composite object instances it will be set to same value, otherwise not sent
Verification Date Time (0040,A030)
1C 1C Not used
Content Sequence (0040,A730)
1C 1C Not used
C.4.7 PRIVATE (GEMS PET RAW) Keys
Key Tag
Specific Character Set (0008,0005)
Instance Number (0020,0013)
SOP Instance UID
Rows
Columns
(0008,0018)
Frame of Reference UID (0020,0052)
(0028,0010)
(0028,0011)
Type
(for
CD)
1C
1
2
2
2
2
Type
(for DVD
/ USB)
1C
1
2
2
2
2
Attribute Description
ISO_IR 100
If present in composite object instance it will be set to same value, otherwise computed
If present in composite object instances it will be set to same value, otherwise sent empty
If present in composite object instance it will be set to same value, otherwise sent empty
If present in composite object instances it will be set to same value, otherwise sent empty
If present in composite object instances it will be set to same value, otherwise sent empty
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APPENDIX D: GE Discovery Private PET RAW DATA
D.1 GE Private PET Raw Data Information Object Implementation
This section specifies the implementation of GE private defined Information Object namely ‘GE Private
PET Raw Data IOD’ used in the GE PET Raw Data Storage (SOP Class “1.2.840.113619.4.30”. The implementation is detailed to the extent that vendor applications can recognize an instance of the object.
Storage devices that supports full fidelity storage of this IOD can use the data detailed here to optimize the storage and retrieval of the data or display useful information to the user to distinguish among the IOD instances.
The IOD contains data that are not published in this document. No implementation shall assume any meaning to such data and its meaning and definition is subject to change without notice.
D.1.1 Discovery PET RAW Data Patient Entity Module
This section specifies the attributes of the Patient that describe and identify the Patient who is the subject of a diagnostic Study. This Module contains Attributes of the patient that are needed for diagnostic interpretation of the Image and are common for all studies performed on the patient.
Attribute Name
Patient’s Name
Patient ID
Patient’s Birth Date
Patient’s Sex
Tag
(0010,0010)
(0010,0020)
(0010,0030)
(0010,0040)
Type
2
2
2
2
VR
PN (64)
LO (64)
DA (26)
CS (16)
VM
1
1
1
1
Notes
D.1.2 Discovery PET RAW Data Exam Module
This section specifies the attributes which describe and identify the Study performed upon the
Patient.
Attribute Name
Study Instance UID
Study Date
Study Time
Referring Physician’s Name
Study ID
Accession Number
Tag
(0020,000D)
(0008,0020)
(0008,0030)
(0008,0090)
(0020,0010)
(0008,0050)
Type VR VM
1 UI 1
2
2
2
2
DA
TM
PN
SH
1
1
1
1
2 SH 1
Notes
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D.1.3 Discovery PET RAW Data Scan Entity Modules
This section specifies the attributes which identify and describe general information about the Scan within a Study.
Attribute Name
Modality
Series Instance UID
Series Number
Operators’ Name
Patient Position
Tag
(0008,0060)
(0020,000E)
(0020,0011)
(0008,1070)
(0018,5100)
Type VR VM
1 CS 1
1
2
3
UI
IS
PN
1
1
1-n
2C CS 1
Notes
D.1.4 Discovery PET RAW Data Equipment Entity Modules
This section specifies the attributes which identify and describe the piece of equipment which produced the instance of the Private SOP class.
Attribute Name
Manufacturer
Institution Name
Manufacturer’s Model Name
Software Versions
Tag
(0008,0070)
(0008,0080)
(0008,1090)
(0018,1020)
Type VR VM
2 LO 1
3 LO 1
3
3
LO
LO
1
1
Notes
D.1.5 Private Creator Identification Information
Refer to section B.2.1 of this document, as GEMS_PETD_01 is used for this private IOD.
D.1.6 Discovery PET Patient Module
Refer to section B.2.2 of this document
D.1.7 Discovery PET Exam Module
Refer to section B.2.3 of this document
D.1.8 Discovery PET Scan Module
Refer to section B.2.4 of this document
D.1.9 Discovery PET Frame Module
Refer to section B.2.5 of this document.
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D.1.10 General Modules
This section defines the attributes which are required for proper functioning and identification of the associated SOP Instances. They do not specify any semantics about the Real-World Object represented by the IOD.
D.1.10.1 SOP Common Module Attributes
Attribute Name
SOP Class UID
SOP Instance UID
Specific Character Set
Instance Creation Date
Instance Creation Time
Instance Creator UID
Tag
(0008,0016)
(0008,0018)
(0008,0005)
(0008,0012)
(0008,0013)
(0008,0014)
Type VR
1 UI
1
1C
3
UI
CS
DA
3
3
TM
UI
VM
1
1
1
1
1
1
Notes
D.1.11 Discovery PET Raw Data Module
Private Creator Identification (GEMS_PETD_01)
Attribute Name Tag
PET raw_data_type (0021,1001)
PET raw_data_size (0021,1002)
PET raw_data_blob (0023,1002)
Type VR
3 US
3 UL
3 OB
VM
1
1
1
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Recon parameters
Attribute Name
Recon Matrix Size
Tag
(0x0015,0x103C)
Notes
PET Recon Parameters
Exists
First Packet Number
IR Loop Filter Ratio
IR Loop Filter
Correction
BP3d Filter FlagU
BP3d Filter CutoffU
BP3d Filter OrderU
BP3d Filter FlagV
BP3d Filter OrderV
BP3d Filter CutoffV
Decay Flag
Image filter 3d flag
WCC Cal Flag
Emission Scatter Flag
Recon Algorithm
(0x0015|0x101F)
(0x0015|0x1020)
(0x0015|0x1021)
(0x0015|0x1022)
(0x0015|0x1023)
(0x0015|0x1024)
(0x0015|0x1025)
(0x0015|0x1026)
(0x0015|0x1027)
(0x0015|0x1028)
(0x0015|0x1029)
(0x0015|0x102E)
(0x0015|0x102F)
(0x0015|0x1030)
(0x0015|0x1031)
Normalization Flag
Emission Deadtime
(0x0015|0x1032)
(0x0015|0x1033)
Flag
Emission Random Flag (0x0015|0x1034)
Blank Scan Flag (0x0015|0x1035)
Type VR VM
3 US 1
3 UL 1
3
3
3
SL
FL
FL
1
1
1
3 UL 1
3
3
FL
SL
1
1
3 UL 1
3 FL 1
3 SL 1
3 UL 1
3 UL 1
3 UL 1
3 UL 1
3 UL 1
3 UL 1
3 UL 1
3 UL 1
3 UL 1
D.1.12 Discovery PET Correction Cal Module
Private Creator Identification (GEMS_PETD_01)
Attribute Name Tag
PET scan_type
PET frame unlisted scan
PET prompt gamma
PET tracerInjection UID
PET correction_cal_id
PET compatible_version
PET software_version
PET cal_datetime
(0009,1018)
(0009,10E1)
(0009,10F1)
(0009,10F2)
(0017,1001)
(0017,1002)
(0017,1003)
(0017,1004)
PET scan_type (0009,1018)
3
3
3
3
3
Type VR
3 SL
3
3
SL
SL
UI
UI
SH
SH
DT
3 SL
1
1
1
1
1
VM
1
1
1
1
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PET cal_description (0017,1005) 3 LO 1
PET cal_type
PET where_is_corr
(0017,1006)
(0017,1007)
3
3
SL
ST
1
1
PET corr_file_size
PET scan_id
PET scan_datetime
PET norm_2d_cal_id
PET hosp_identifier
PET archived
(0017,1008)
(0017,1009)
(0017,100A)
(0017,100B)
(0017,100C)
(0017,100D)
3
3
3
3
3
3
SL
LO
DT
LO
SH
SL
1
1
1
1
1
1
D.1.13 Discovery PET Well Counter Module
Private Creator Identification (GEMS_PETD_01)
Attribute Name Tag
PET scan_type
PET frame unlisted scan
PET prompt gamma
PET tracerInjection UID
(0009,1018)
(0009,10E1)
(0009,10F1)
(0009,10F2)
PET wc_cal_id
PET compatible_version
PET software_version
PET cal_datetime
PET cal_type
PET cal_description
PET cal_hardware
PET coefficients
PET activity_factor_hr
PET activity_factor_hs
PET activity_factor_3d
PET scan_id
PET scan_datetime
PET hosp_identifier
PET meas_activity
PET meas_datetime
PET axial_filter_3d
PET axial_cutoff_3d
(0019,1001)
(0019,1002)
(0019,1003)
(0019,1004)
(0019,1005)
(0019,1006)
(0019,1007)
(0019,1008)
(0019,1009)
(0019,100A)
(0019,100B)
(0019,100C)
(0019,100D)
(0019,100E)
(0019,100F)
(0019,1010)
(0019,1011)
(0019,1012)
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3
3
3
3
3
3
3
Type VR
3 SL
3
3
3
SL
SL
UI
SL
LO
LO
UI
SH
SH
DT
3
3
3
3
3
3
3
3
3
3
3
LO
DT
SH
FL
OB
FL
FL
FL
DT
SL
FL
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
VM
1
1
1
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PET default_flag (0019,1013)
3
SL 1
PET archived (0019,1014)
3
SL 1
PET wc_cal_rec_method (0019,1015)
3
SL 1
PET activity_factor_2d (0019,1016)
3
FL 1
PET isotope (0019,1017)
3
SL 1
WCC Image Set ID (0019,1018)
3
UI 1
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D.2 GE Private PET List Data Information Object Implementation
This section specifies the implementation of GE private defined Information Object namely ‘GE Private
PET List Data IOD’ used in the GE List Data (SOP Class “1.2.840.113619.4.30”. The implementation is detailed to the extent that vendor applications can recognize an instance of the object.
This IOD is not supported for any network Send/Receive operations and Archive Restore operations
(DVD/MOD) Though it is having same SOP class UID has GE PET Raw Data, the PET List Data IOD is handled by using modality (0008,0060) which is having different value “GEMS PET LST”.
• The exam containing PET List Series (list objects) will skip the same while transferring by exam.
• Push Series is not supported for PET List Series
• Push Image is not supported for PET List Frame
The IOD contains data that are not published in this document. No implementation shall assume any meaning to such data and its meaning and definition is subject to change without notice.
D.2.1 Discovery PET LIST Data Patient Entity Module
This section specifies the attributes of the Patient that describe and identify the Patient who is the subject of a diagnostic Study. This Module contains Attributes of the patient that are needed for diagnostic interpretation of the Image and are common for all studies performed on the patient.
Attribute Name
Patient’s Name
Patient ID
Patient’s Birth Date
Patient’s Sex
Tag
(0010,0010)
(0010,0020)
(0010,0030)
(0010,0040)
Type
2
2
2
2
VR
PN (64)
LO (64)
DA (26)
CS (16)
VM
1
1
1
1
Notes
D.2.2 Discovery PET LIST Data Exam Module
This section specifies the attributes which describe and identify the Study performed upon the
Patient.
Attribute Name
Study Instance UID
Study Date
Study Time
Referring Physician’s Name
Study ID
Tag
(0020,000D)
(0008,0020)
(0008,0030)
(0008,0090)
(0020,0010)
Type VR VM
1 UI 1
2
2
2
2
DA
TM
PN
SH
1
1
1
1
Notes
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Accession Number (0008,0050) 2 SH 1
D.2.3 Discovery PET LIST Data Scan Entity Modules
This section specifies the attributes that identify and describe general information about the Scan within a Study.
Attribute Name
Modality
Series Instance UID
Series Number
Operators’ Name
Patient Position
Tag
(0008,0060)
(0020,000E)
(0020,0011)
(0008,1070)
(0018,5100)
Type VR VM
1 CS 1
1 UI 1
2
3
2C
IS
PN
CS
1
1-n
1
Notes
D.2.4 Discovery PET LIST Data Equipment Entity Modules
This section specifies the attributes that identify and describe the piece of equipment, which produced the instance of the Private SOP class.
Attribute Name
Manufacturer
Institution Name
Manufacturer’s Model Name
Software Versions
Tag
(0008,0070)
(0008,0080)
(0008,1090)
(0018,1020)
Type VR VM
2 LO 1
3
3
3
LO
LO
LO
1
1
1
Notes
D.2.5 Private Creator Identification Information
Refer to section B.2.1 of this document, as GEMS_PETD_01 is used for this private IOD.
D.2.6 Discovery PET Patient Module
Refer to section B.2.2 of this document
D.2.7 Discovery PET Exam Module
Refer to section B.2.3 of this document
D.2.8 Discovery PET Scan Module
Refer to section B.2.4 of this document
D.2.9 Discovery PET Frame Module
Refer to section B.2.5 of this document.
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D.2.10 General Modules
This section defines the attributes which are required for proper functioning and identification of the associated SOP Instances. They do not specify any semantics about the Real-World Object represented by the IOD.
D.2.10.1 SOP Common Module Attributes
Attribute Name
SOP Class UID
SOP Instance UID
Specific Character Set
Instance Creation Date
Instance Creation Time
Instance Creator UID
Tag
(0008,0016)
(0008,0018)
(0008,0005)
(0008,0012)
(0008,0013)
(0008,0014)
Type VR
1 UI
1
1C
3
UI
CS
DA
3
3
TM
UI
VM
1
1
1
1
1
1
Notes
D.2.11 Discovery PET List Data Module
Private Creator Identification (GEMS_PETD_01)
Attribute Name Tag
PET raw_data_type (0021,1001)
PET raw_data_size (0021,1002)
PET raw_data_blob (0023,1002)
Type VR
3 US
3 UL
3 OB
VM
1
1
1
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Recon parameters
Attribute Name
Recon Matrix Size
Tag
(0x0015,0x103C)
Notes
PET Recon Parameters
Exists
First Packet Number
IR Loop Filter Ratio
IR Loop Filter
Correction
BP3d Filter FlagU
BP3d Filter CutoffU
BP3d Filter OrderU
BP3d Filter FlagV
BP3d Filter OrderV
BP3d Filter CutoffV
Decay Flag
Image filter 3d flag
WCC Cal Flag
Emission Scatter Flag
Recon Algorithm
(0x0015|0x101F)
(0x0015|0x1020)
(0x0015|0x1021)
(0x0015|0x1022)
(0x0015|0x1023)
(0x0015|0x1024)
(0x0015|0x1025)
(0x0015|0x1026)
(0x0015|0x1027)
(0x0015|0x1028)
(0x0015|0x1029)
(0x0015|0x102E)
(0x0015|0x102F)
(0x0015|0x1030)
(0x0015|0x1031)
Normalization Flag
Emission Deadtime
(0x0015|0x1032)
(0x0015|0x1033)
Flag
Emission Random Flag (0x0015|0x1034)
Blank Scan Flag (0x0015|0x1035)
Type VR VM
3 US 1
3 UL 1
3
3
3
SL
FL
FL
1
1
1
3 UL 1
3
3
FL
SL
1
1
3 UL 1
3 FL 1
3 SL 1
3 UL 1
3 UL 1
3 UL 1
3 UL 1
3 UL 1
3 UL 1
3 UL 1
3 UL 1
3 UL 1
D.2.12 Discovery PET Correction Cal Module
Private Creator Identification (GEMS_PETD_01)
Attribute Name Tag
PET scan_type
PET frame unlisted scan
PET prompt gamma
PET tracerInjection UID
PET correction_cal_id
PET compatible_version
PET software_version
PET cal_datetime
(0009,1018)
(0009,10E1)
(0009,10F1)
(0009,10F2)
(0017,1001)
(0017,1002)
(0017,1003)
(0017,1004)
PET scan_type (0009,1018)
3
3
3
3
3
Type VR
3 SL
3
3
SL
SL
UI
UI
SH
SH
DT
3 SL
1
1
1
1
1
VM
1
1
1
1
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PET cal_description (0017,1005) 3 LO 1
PET cal_type
PET where_is_corr
(0017,1006)
(0017,1007)
3
3
SL
ST
1
1
PET corr_file_size
PET scan_id
PET scan_datetime
PET norm_2d_cal_id
PET hosp_identifier
PET archived
(0017,1008)
(0017,1009)
(0017,100A)
(0017,100B)
(0017,100C)
(0017,100D)
3
3
3
3
3
3
SL
LO
DT
LO
SH
SL
1
1
1
1
1
1
D.2.13 Discovery PET Well Counter Module
Private Creator Identification (GEMS_PETD_01)
Attribute Name Tag
PET scan_type
PET frame unlisted scan
PET prompt gamma
PET tracerInjection UID
(0009,1018)
(0009,10E1)
(0009,10F1)
(0009,10F2)
PET wc_cal_id
PET compatible_version
PET software_version
PET cal_datetime
PET cal_type
PET cal_description
PET cal_hardware
PET coefficients
PET activity_factor_hr
PET activity_factor_hs
PET activity_factor_3d
PET scan_id
PET scan_datetime
PET hosp_identifier
PET meas_activity
PET meas_datetime
PET axial_filter_3d
PET axial_cutoff_3d
(0019,1001)
(0019,1002)
(0019,1003)
(0019,1004)
(0019,1005)
(0019,1006)
(0019,1007)
(0019,1008)
(0019,1009)
(0019,100A)
(0019,100B)
(0019,100C)
(0019,100D)
(0019,100E)
(0019,100F)
(0019,1010)
(0019,1011)
(0019,1012)
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3
3
3
3
3
3
3
Type VR
3 SL
3
3
3
SL
SL
UI
SL
LO
LO
UI
SH
SH
DT
3
3
3
3
3
3
3
3
3
3
3
LO
DT
SH
FL
OB
FL
FL
FL
DT
SL
FL
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
VM
1
1
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PET default_flag (0019,1013)
3
SL 1
PET archived (0019,1014)
3
SL 1
PET wc_cal_rec_method (0019,1015)
3
SL 1
PET activity_factor_2d (0019,1016)
3
FL 1
PET isotope (0019,1017)
3
SL 1
WCC Image Set ID (0019,1018)
3
UI 1
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APPENDIX E: Implementation UID for Product Versions
Product Model Implementation UID
Discovery 610
Discovery 710
Optima 560
Software
Revision
pet_coreload.xx, pet_mfk.xx pet_coreload.xx pet_mfk.xx pet_mfk.xx
1.2.840.113619.2.290
1.2.840.113619.2.290
1.2.840.113619.2.290
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GE Healthcare, a General Electric Company
3000 N. Grandview Boulevard
Waukesha, Wisconsin 53188
USA www.gehealthcare.com
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