AGF A HEALTH CARE DICOM Conformance Statement · Print Management Basic Grayscale ... 2.2.1.2.3...

HE/000978 of 33Document No. 000978, Revision 1.1

NoteID Livelink : 10527996Agfa HealthCare 3 March, 2006

AGFA HEALTHCAREDICOM Conformance Statement

CR QS Version 3.0

Status: Released

Document No. 000978 Revision:1.1

NoteID Livelink : 10527996

When printed, this is NOT a controlled copy

HE/000978 of 33Document No. 000978, Revision 1.1 NoteID Livelink : 10527996

Agfa HealthCare 3 March, 2006

Document Information

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Agfa shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance or use of this publication. Agfa reserves the right to revise this publication and to make changes to its content at any time, without obligation to notify any person or entity of such revisions and changes. This publication may only be used in connection with the promotion, sales, installation and use of Agfa equipment.

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Copyright March, 06Agfa HealthCare

All rights reserved



Conformance Statement Overview

The CR QS Version 3.0, implements the necessary DICOM services to facilitate receiving unprocessed CR images from a CR Digitizer, performing image processing, and sending the processed images to a remote storage or print device over a Medical Imaging Systems network. The CR QS Version 3.0 may also acquire patient information from a Hospital Information System (RIS) for use in identifying processed images.

The table below provides an overview of the network services supported by CR QS Version 3.0 system.

Network Services Supported

SOP Classes User of Service (SCU) Provider of Service (SCP)

Verification SOP Class Yes No

Transfer

CR Image Storage SOP Class Yes No

Workflow Management

Modality Worklist Information Model- FINE Yes No

Print Management

Basic Grayscale Print Management Meta SOP Class Yes No



Table of Contents

Conformance Statement Overview.................................................................3

1 Introduction ............................................................................................6

1.1 Revision Record ....................................................................................................... 61.2 Purpose and Intended Audience of this Document .................................................. 61.3 General Remarks...................................................................................................... 61.3.1 Integration and Validation Activities .................................................................... 61.3.2 Future Evolution .................................................................................................. 61.4 Acronyms and Abbreviations.................................................................................... 71.5 Related Documents .................................................................................................. 7

2 Networking .............................................................................................8

2.1 Implementation Model .............................................................................................. 82.1.1 Application Data Flow Diagram ........................................................................... 82.1.2 Functional Definitions of AE’s.............................................................................. 92.1.2.1 Functional Capability of IPD/QC Viewer Application Entity............................ 92.1.2.2 Functional Capability of ID Viewer Application Entity .................................... 92.2 AE Specifications...................................................................................................... 92.2.1 IPD/QC Viewer AE Specification......................................................................... 92.2.1.1 SOP Classes Supported ................................................................................ 92.2.1.2 Association Establishment Policies.............................................................. 102.2.1.2.1 General.................................................................................................... 102.2.1.2.2 Number of Associations .......................................................................... 102.2.1.2.3 Asynchronous Nature.............................................................................. 102.2.1.2.4 Implementation Identifying Information ................................................... 102.2.1.3 Association Initiation Policies ....................................................................... 112.2.1.3.1 Activity- Request Verification of External AE .......................................... 112.2.1.3.1.1 Description and Sequencing of Activity 112.2.1.3.1.2 Proposed Presentation Contexts 112.2.1.3.1.3 Specific Conformance for Verification SOP Class 112.2.1.3.2 Activity- Send Images to External Storage AE........................................ 112.2.1.3.2.1 Description and Sequencing of Activity 112.2.1.3.2.2 Proposed Presentation Contexts 122.2.1.3.2.3 Specific Conformance for CR Storage SOP Class 122.2.1.3.2.3.1 Supported DICOM Elements and Status codes for C-STORE..... 122.2.1.3.3 Activity- Send Images to External Print AE............................................. 172.2.1.3.3.1 Description and Sequencing of Activity 172.2.1.3.3.2 Proposed Presentation Contexts 182.2.1.3.3.3 Specific Conformance to Grayscale Print Management Meta SOP Class 182.2.1.3.3.3.1 Specific Conformance for Basic Film Session SOP Class ........... 182.2.1.3.3.3.1.1 Supported DICOM Elements and Status codes for N-CREATE: .................. 182.2.1.3.3.3.2 Specific Conformance for Basic Film Box SOP Class.................. 192.2.1.3.3.3.2.1 Supported DICOM Elements and Status codes for N-CREATE: .................. 192.2.1.3.3.3.2.2 Basic Film Box SOP Class Operations for N-ACTION.................................. 202.2.1.3.3.3.3 Specific Conformance for Basic Grayscale Image Box SOP Class .

...................................................................................................... 21



2.2.1.3.3.3.3.1 Basic Grayscale Image Box SOP Class Operations for N-SET .................... 21 2.2.1.3.3.3.4 Specific Conformance for Printer SOP Class ............................... 222.2.1.3.3.3.4.1 Printer SOP Class Operations for N-GET ..................................................... 222.2.1.3.3.3.4.2 Printer SOP Class Operations for N-EVENT-REPORT ................................ 232.2.1.3.3.4 Specific Conformance to Print Job SOP Class 232.2.1.3.3.4.1 Print Job SOP Class Operations for N-GET ................................. 232.2.1.3.3.5 Specific Conformance to Presentation LUT SOP Class 232.2.1.3.3.5.1 Presentation LUT SOP Class Operations for N-GET ................... 232.2.1.4 Association Acceptance Policies.................................................................. 242.2.2 ID Viewer AE Specification................................................................................ 242.2.2.1 SOP Classes Supported .............................................................................. 242.2.2.2 Association Establishment Policies.............................................................. 242.2.2.2.1 General.................................................................................................... 242.2.2.2.2 Number of Associations .......................................................................... 242.2.2.2.3 Asynchronous Nature.............................................................................. 252.2.2.2.4 Implementation Identifying Information ................................................... 252.2.2.3 Association Initiation Policies ....................................................................... 252.2.2.3.1 Activity- Get Worklist from External AE................................................... 252.2.2.3.1.1 Description and Sequencing of Activity 252.2.2.3.1.2 Proposed Presentation Contexts 252.2.2.3.1.3 Specific Conformance for Modality Worklist Information Model- FIND SOP

Class 262.2.2.3.1.3.1 Worklist Oriented Query Selection................................................ 262.2.2.3.1.3.2 Patient-Oriented Query Selection ................................................. 262.2.2.3.1.3.3 Query Keys Matching.................................................................... 272.2.2.3.1.3.4 Status codes processed when receiving messages from a Modality

Worklist SCP .................................................................................. 292.2.2.4 Association Acceptance Policies.................................................................. 292.3 Network Interfaces.................................................................................................. 292.3.1 Physical Medium Support.................................................................................. 292.4 Configuration .......................................................................................................... 292.4.1 AE Title/ Presentation Mapping......................................................................... 292.4.1.1 Local AE Titles ............................................................................................. 292.4.2 Configuration Parameters ................................................................................. 302.4.2.1 General configuration Parameters ............................................................... 302.4.2.2 IPD/QC Viewer AE ....................................................................................... 302.4.2.3 ID Viewer AE ................................................................................................ 302.4.2.3.1 RIS Settings ............................................................................................ 302.4.2.3.2 IDVRisDefault.xml mapping file............................................................... 30

3 Media Interchange................................................................................31

4 Support for Extended Character Sets...................................................32

5 Security ................................................................................................33

5.1 IHE Security Profile ................................................................................................ 335.1.1 Authentication.................................................................................................... 335.1.2 Accountability .................................................................................................... 335.1.3 User Authentication ........................................................................................... 33



1 INTRODUCTION

1.1 Revision Record

Table 1-1 Revision Record

Revision Number Date Reason for Change

1.0 February 7, 2005 New

1.2 Purpose and Intended Audience of this Document

This document is a DICOM Conformance Statement for the DICOM Services of the CR QS Version 3.0 computed radiography modality.

The user of this document is involved with system integration and/or software design. We assume that the reader is familiar with the terminology and concepts that are used in the DICOM 3.0 standard and the IHE Technical Framework.

Readers not familiar with DICOM 3.0 terminology should first read the appropriate parts of the DICOM standard itself, prior to reading this conformance statement.

Although the use of this conformance statement in conjunction with the DICOM 3.0 standard is intended to facilitate communication with Agfa Healthcare equipment, it is not sufficient to guarantee, by itself, the inter-operation of the connection.

1.3 General Remarks

1.3.1 Integration and Validation Activities

The integration of any device into a system of interconnected devices goes beyond the scope of the DICOM 3.0 standard and this conformance statement when interoperability is desired. The responsibility for analyzing the applications requirements and developing a solution that integrates the Agfa equipment with other vendors’ systems is the user’s responsibility and should not be underestimated.

In some circumstances it might be necessary to perform a validation to make sure that functional interoperability between the Agfa equipment and non-Agfa devices works as expected. The user should ensure that any non-Agfa equipment provider accepts responsibility for any validation required for their connection with the Agfa equipment.

1.3.2 Future Evolution

As the DICOM 3.0 standard evolves to meet the user’s growing requirements and to incorporate new features and technologies, Agfa will follow the evolution of the standard. This evolution of the standard may require changes to devices that have implemented DICOM 3.0. The user should ensure that any non-Agfa provider, who connects with Agfa devices, also plans for future evolution of the DICOM standard. A refusal to do so may result in the loss of functionality and/or connectivity between the different products.



1.4 Acronyms and Abbreviations

Definitions, terms and abbreviations used in this document are defined within the different parts of the DICOM standard. Abbreviations and terms are as follows:

AE DICOM Application Entity

AET Application Entity Title

ACSE Association Control Service Element

CD-R Compact Disk Recordable

DICOM Digital Imaging and Communications in Medicine

FSC File-Set Creator

FSU File-Set Updater

FSR File-Set Reader

GSDF Grayscale Standard Display Function

GSPS Grayscale Softcopy Presentation State

IE Information Entity

IOD (DICOM) Information Object Definition

ISO International Standard Organization

MPPS Modality Performed Procedure Step

MSPS Modality Scheduled Procedure Step

PDU DICOM Protocol Data Unit

QC Quality Control

SCU DICOM Service Class User (DICOM client)

SCP DICOM Service Class Provider (DICOM server)

SOP DICOM Service-Object Pair

UID Unique Identifier

VR Value Representation

1.5 Related Documents

ACR-NEMA Digital Imaging and Communications in Medicine (DICOM) V3.0. 2003.

IHE Radiology Technical Framework Revision 5.5 – Final Text, November 20, 2003



2 NETWORKING

2.1 Implementation Model

2.1.1 Application Data Flow Diagram

Figure 2-1 Functional Overview – Application Data Flow

LocalApplication & Storage

Activity

CR QS Version 3.0

RemoteApplicationConnectivityVerificationSCU/SCP

DICOM Standard

VerificationSCU

StorageSCU

PrintManagement

SCU

ID Viewer

CR ImageStorage

SCP

RemotePrinterSCP

RemoteWorklist

SCP

IPD / QC Viewer

WorklistSCU



2.1.2 Functional Definitions of AE’s

2.1.2.1 Functional Capability of IPD/QC Viewer Application Entity

The IPD/QC Viewer Application Entity temporary stores CR images from a CR digitizer. The User would then QC the images and send to a Store or Print SCP.

2.1.2.2 Functional Capability of ID Viewer Application Entity

The ID Viewer Application Entity uses the C-FIND to get a response from a Worklist Provider for the creation of a Worklist on the CR QS workstation. This allows the user to easily add patient information to identify cassettes.

2.2 AE Specifications

2.2.1 IPD/QC Viewer AE Specification

2.2.1.1 SOP Classes Supported

This Application Entity provides Standard Conformance to the following SOP Classes:

Table 2-1 SOP Classes for IPD / QC Viewer AE

SOP Class Name SOP Class UID SCU SCP

Verification

Verification SOP Class 1.2.840.10008.1.1 Yes No

Transfer

CR Image Storage SOP Class 1.2.840.10008.5.1.4.1.1.1 Yes No

Print Management

Basic Grayscale Print Management Meta SOP Class 1.2.840.10008.5.1.1.9 Yes No

Basic Film Session SOP Class 1.2.840.10008.5.1.1.1 Yes No

Basic Film Box SOP Class 1.2.840.10008.5.1.1.2 Yes No

Basic Grayscale Image Box SOP Class 1.2.840.10008.5.1.1.4 Yes No

Printer SOP Class 1.2.840.10008.5.1.1.16 Yes No

Print Job 1.2.840.10008.5.1.1.14 Yes No

Presentation LUT 1.2.840.10008.5.1.1.23 Yes No



2.2.1.2 Association Establishment Policies

2.2.1.2.1 General

Table 2-2 DICOM Application Context

Application Context Name 1.2.840.10008.3.1.1.1

2.2.1.2.2 Number of Associations

Table 2-3 Number of Associations as an Association Initiator for IPD / QC Viewer

Maximum number of simultaneous associations initiated 1

Table 2-4 Number of Associations as an Association Acceptor for IPD / QC Viewer

Maximum number of simultaneous associations accepted 0

2.2.1.2.3 Asynchronous Nature

Table 2-5 Asynchronous Nature as an Association Initiator for IPD / QC Viewer

Maximum number of outstanding asynchronous transactions0

2.2.1.2.4 Implementation Identifying Information

Table 2-6 DICOM implementation Class and Version for IPD/QC Viewer for Transfer

Implementation Class UID 1.3.51.0.1.2

Implementation Version Name DTF_VERSION_129

Table 2-7 DICOM implementation Class and Version for IPD/QC Viewer for Print Management


Implementation Version Name Dicom Print



2.2.1.3 Association Initiation Policies

2.2.1.3.1 Activity- Request Verification of External AE

2.2.1.3.1.1 Description and Sequencing of Activity

The IPD/QC Viewer AE attempts to initiate a DICOM association due to one of the following activities:

o Initiation of Verification by Service (CR QS Configuration tool).

2.2.1.3.1.2 Proposed Presentation Contexts

Table 2-8 Presentation Contexts Proposed by IPD / QC Viewer

Abstract Syntax Transfer Syntax

Name UID Name UID

Role

Extended

Negotiation

Verification 1.2.840.10008.1.1 DICOM Implicit Little Endian

1.2.840.10008.1.2 SCU None

2.2.1.3.1.3 Specific Conformance for Verification SOP Class

The IPD/QC Viewer provides standard conformance to the DICOM Verification Service Class as a SCU. The following status code is returned in response to a C-ECHO:

Table 2-9 C-ECHO Response Status

Service Status

Further Meaning Status Code (0000,0900)

Reason

Success Success 0000

2.2.1.3.2 Activity- Send Images to External Storage AE


The IPD/QC Viewer AE attempts to initiate a new association due to two activities:

� Initiation of a Transmit by the User.

� Initiation of a Transmit by the task manager (auto routing).



Although there are two different activities that can begin a DICOM Storage association, the DICOM association initiation and transfer process is identical.

A typical sequence of DIMSE messages sent over a association between IPD/QC Viewer and a Printer is:

1. IPD/QC Viewer sends an ASSOCIATE-RQ to open an association with the Storage AE.

2. IPD/QC Viewer sends a C-STORE-RQ on the Computed Radiography Image Storage SOP Class to transmit the images.

3. IPD/QC Viewer sends a RELEASE-RQ to Close the association with the Storage AE.


Table 2-10 Presentation Contexts Proposed by IPD/QC Viewer


Name UID Name UID RoleExtended

Negotiation

Verification SOP Class

1.2.840.10008.1.1 DICOM Implicit Little Endian

1.2.840.10008.1.2 SCU None

CR Image Storage 1.2.840.10008.5.1.4.1.1.1 DICOM Implicit Little Endian

1.2.840.10008.1.2 SCU None

2.2.1.3.2.3 Specific Conformance for CR Storage SOP Class

The IPD/QC Viewer AE supports sending the following DIMSE Services:

— C-STORE

2.2.1.3.2.3.1 Supported DICOM Elements and Status codes for C-STORE

IPD/QC Viewer supports the standard DICOM elements for this SOP Class as an SCU.

Table 2-11 C-Store SCU standard DICOM attributes.

Module Attribute Name Group, Tag

Prensence(note 7)

Value

Patient’s name 0010,0010 VNAPPatient ID 0010,0020 ALWAYSPatient’s birth date 0010,0030 ALWAYSPatient’s sex 0010,0040 ALWAYSOther Patient IDs 0010,1000 ANAP

Patient

Ethnic Group 0010,2160 ANAP




Prensence(note 7)

Value

Patient Comments 0010,4000 VNAPStudy date 0008,0020 ALWAYSStudy time 0008,0030 ALWAYSAccession number (RIS ID) 0008,0050 ALWAYSReferring physician’s name 0008,0090 VNAPStudy description (Exam type) 0008,1030 ALWAYSName of physician reading study (Radiologist) 0008,1060 VNAPStudy instance UID 0020,000

DALWAYS

General Study

Study ID 0020,0010 ANAPAdmitting diagnoses description 0008,1080 ANAPPatient’s size 0010,1020 VNAPPatient’s weight 0010,1030 VNAPOccupation 0010,2180 ANAP

Patient Study

Additional patient history 0010,21B0 VNAPModality 0008,0060 ALWAYS CR (Fixed)Series description (exam subtype) 0008,103E ALWAYSOperator’s Name 0008,1070 VNAPPerforming physician’s name 0008,1050 VNAPBody part examined 0018,0015 VNAPSeries instance UID 0020,000E ALWAYSSeries number 0020,0011 ALWAYS

General Series

Laterality 0020,0060 VNAPBody part examined 0018,0015 VNAPFocal spot 0018,1190 VNAPScreen type (Plate type) 0018,1260 ALWAYS

CR Series

View position 0018,5101 ALWAYSManufacturer 0008,0070 ALWAYS AGFA (Fixed)Institution’s name (Institution ID, Hospital name) 0008,0080 VNAP ConfigurableStation name 0008,1010 ALWAYS (Digitizer name)Department 0008,1040 VNAP ConfigurableManufacturer’s model name 0008,1090 ALWAYS ADC (Fixed)Device serial number 0018,1000 ALWAYS

General Equipment

Software versions 0018,1020 ALWAYS (Digitizer software version)Image type 0008,0008 ALWAYS DERIVED\PRIMARYAcquisition date (Identification date) 0008,0022 ALWAYSAcquisition time (Identification time) 0008,0032 ALWAYSImage number 0020,0013 ALWAYS 1Patient orientation 0020,0020 ALWAYS

General Image

Image comment 0020,4000 ALWAYS ^^^^ (Note1)Samples per pixel 0028,0002 ALWAYS 1Photometric interpretation 0028,0004 ALWAYS MONOCHROME1Rows 0028,0010 ALWAYSColumns 0028,0011 ALWAYSPixel Aspect Ratio 0028,0034 VNAPBits allocated 0028,0100 ALWAYS 8 or 16Bits stored 0028,0101 ALWAYS 8 or 12High bit 0028,0102 ALWAYS 7 or 11Pixel representation 0028,0103 ALWAYS 0=unsigned, 1=signedSmallest Image Pixel Value 0028,0106 VNAP 0Largest Image Pixel Value 0028,0107 VNAP 0

Image Pixel

Pixel data 7FE0,0010

ALWAYS

Contrast/Bolus Agent 0018,0010 ANAPContrast/Bolus volume 0018,1041 ALWAYS 0

Contrast / Bolus

Contrast/Bolus Total dose 0018,1044 ALWAYS 0




Prensence(note 7)

Value

KVP 0018,0060 VNAP 0Plate ID (Cassette number) 0018,1004 ALWAYSExposure 0018,1152 VNAP 0Imager pixel spacing 0018,1164 ALWAYSDIG Acquisition Device Processing Code (ID menu No.)

0018,1401 ALWAYS

Cassette orientation 0018,1402 ALWAYSCassette size (Plate size) 0018,1403 VNAPExposures on plate (Usage count) 0018,1404 ALWAYSSensitivity (Exposure class) 0018,6000 ALWAYS

CR Image

Photometric Interpretation 0028,0004 ALWAYSRescale intercept 0028,1052 See notesRescale slope 0028,1053 See notes

Modality LUT

Rescale type 0028,1054 See notes OD (Note 2)OD REL (Note 3)OD REL FR (Note 4)LOG_E REL (Note 5)

VOI LUT Sequence 0028,3010 See notes (Note 6)>LUT descriptor (table-size, table-zero, table-depth)

0028,3002 See notes

>LUT explanation 0028,3003 See notes>LUT data 0028,3006 See notesWindow center 0028,1050 See notes

VOI LUT

Window width 0028,1051 See notesCharacter set 0008,0005 ALWAYSInstance creation date 0008,0012 ALWAYSInstance creation time 0008,0013 ALWAYSSOP Class UID 0008,0016 ALWAYS

SOP Common

SOP Instance UID (Unique identifier) 0008,0018 ALWAYSMedical alerts 0010,2000 ANAPContrast allergies 0010,2110 ANAPSpecial needs 0038,0050 ANAPPatient Position 0018,5100 VNAPCurrent patient location 0038,0300 ANAPPatient data confidentiality constraint description 0040,3001 ANAPPolarity 2020,0020 ALWAYS NORMALSource Number 300A,0212 VNAPSource Type 300A,0214 VNAP

Patient Medical

Approval status 300E,0002 ALWAYS

Notes:

1. Image Comment Format: <Comment-proper>^<User-info-0>^ ... ^<User-info-3>

2. OD For Rescale Type OD, the DICOM optical densities are in multiples of 0.001. The VOI LUT Module contains a Window Center= 1600, and Window Width= 2800. The Modality LUT Module contains a Rescale Intercept= 200. The Rescale Slope for 8 bits stored = 10.9804 and the Rescale Slope for 12 bits stored = 0.684.

3. OD REL For Rescale Type OD REL, the pixel data is proportional to the optical densities. The Modality LUT Module contains a Rescale Intercept= 0 and a Rescale Slope = 1. The VOI LUT Module contains a Window Center= 2048, and Window Width= 4096.The formula used is:

d = h x p + z (d = density value, h = slope, p = pixel value, and z = offset)



4. OD REL FR Similar to OD REL, OD REL FR contains pixel data that is proportional to optical densities however The VOI LUT Module contains a Window Center, and Window Width in terms of OD REL pixel values. The Modality LUT Module contains a Rescale Intercept= 0 and a Rescale Slope = 1.

5. LOG_E REL For Rescale Type LOG_E REL, the pixel values are linearly related to the Log Exposure on the image plate; the maximum pixel value corresponds to a delta LogE of 3.2767 above the LogE for the minimum pixel value. The Rescale Intercept = 0.0 and the Rescale Slope = 1. VOI LUT range = 0-2 bits stored A VOI LUT Module is also present containing a lookup table.

6. VOI LUT Module Either the VOI LUT Sequence (0028,3010) or the Window Center (0028,1051) and Window Width (0028,1052) attributes are sent. Note, if VOI LUT Sequence is sent, the LUT Descriptor (0028,3002) contains:

Table-size: Number of entries in LUT table (interpretation is US);Table-zero: Pixel value for first element in LUT table (interpretation is US)Table-depth: Number of bits per table entry (16).

7. Presence: VNAP: Value Not Always Present: the tag is always sent, however sometimes without value. ANAP: Attribute Not Always Present.

IPD/QC Viewer supports the following additional private elements for this SOP Class as an SCU.

Table 2-12 C-Store SCU private attributes.

Module Attribute Name Group, Tag VR Default Value

Private Private Identification Code 0019,0010 SH AGFAImage Processing Parameters 0019,1010 ST (Note 1)Sensitometry Name 0019,1013 LODose Monitoring List 0019,1015 LO

Clipped Exposure Deviation 0019,101A LOLogarithmic PLT Full Scale 0019,101B LOTotal number of series 0019,1060 USID Station name 0019,1062 SHNumber of images in study to be transmitted (only sent with autoverify: on)

0019,1065 US

Total number of images 0019,1070 USGeometrical Transformations 0019,1080 STRoam Origin 0019,1081 STZoom factor 0019,1082 USStatus 0019,1093 CS

Note:1. The Image Processing Parameters attribute has the following format:

• MENU= A integer image processing number.



- CC= Collimation configuration.

- CB= Collimation border.

- FP= Threshold value

- MD0= Lower window boundery offset.

- MD1= Upper window boundery offset.

- MC= Musica contrast amplification.

- MDSMIN= Minimal printable density.

- MDSMAX= Maximal printed density.

- MS= Sensitometric curve.

- MU= POI setting.

- EC= Edge contrast boosting.

- LR= Latitude direction.

- NR= Noise reduction.

CR QS supports the standard DICOM return codes for this SOP Class as an SCU.

Table 2-13 N-CREATE Response Status codes

Service Status

Further Meaning

Status Code (0000,0900)

Reason

Success Success 0000 Operation successfully completed.

Warning Data set does not match SOP Class

B007H Indicates that the Data Set does not match the SOP Class, but that the image was stored anyway.

Warning Elements discarded

B006H Indicates that some elements are discarded, but that the image was stored anyway.

Warning Attribute Value out of range

0116H Indicates that a certain attribute value is out of range, but that the image was stored anyway.

Failure Failure If the SCP AE returns any other error or warning status than described in this table, the CR QS Storage Component will abort the association.



2.2.1.3.3 Activity- Send Images to External Print AE


IPD/QC Viewer acting as a Print SCU establishes an association with a remote Print SCP for the purpose of sending images and image presentation data for printing on hard copy medium.

The IPD/QC Viewer AE attempts to initiate a new association due to two activities:

1. Initiation of a print request by the user.

2. Initiation of a print request by the task manager (auto routing).

Although there are two different activities that can begin a DICOM Print, the DICOM association initiation and transfer process is identical.

A typical sequence of DIMSE messages sent over a association between IPD/QC Viewer and a Printer is:

4. IPD/QC Viewer sends an ASSOCIATE-RQ to open an association with the printer.

5. IPD/QC Viewer sends an N-CREAT-RQ on the Film Session SOP Class to create a film session.

6. IPD/QC Viewer sends an N-CREAT-RQ on the Presentation LUT SOP Class to create a Presentation LUT (if supported by the Printer).

7. IPD/QC Viewer sends an N-CREAT-RQ on the Film Box SOP Class to create a film box linked to the Film Session. A single Image Box will be created.

8. IPD/QC Viewer sends an N-SET-RQ on the Image Box SOP Class to transfer image data to the Printer.

9. IPD/QC Viewer sends an N-GET-RQ on the Printer SOP Class to obtain current printer status information. If the Printer reports a status of FAILURE, the print-job will abort.

10. IPD/QC Viewer sends an N-ACTION-RQ on the Film Box SOP Class to instruct the Printer to print the film.

11. IPD/QC Viewer sends an N-DELETE-RQ on the Film Box SOP Class to delete the Film Session SOP Instance.

12. IPD/QC Viewer sends an N-RELEASE-RQ to close the association with the Printer.




Table 2-14 Presentation Contexts Proposed by IPD / QC Viewer


Name UID Name UID

Role

Extended

Negotiation

Basic Grayscale Print Management Meta

1.2.840.10008.5.1.1.9 DICOM Implicit Little Endian

1.2.840.10008.1.2 SCU None

Print Job 1.2.840.10008.5.1.1.14 DICOM Implicit Little Endian

1.2.840.10008.1.2 SCU None

Presentation LUT 1.2.840.10008.5.1.1.23 DICOM Implicit Little Endian

1.2.840.10008.1.2 SCU None

2.2.1.3.3.3 Specific Conformance to Grayscale Print Management Meta SOP Class

The IPD/QC Viewer supports the following SOP classes as a SCU:

Table 2-15SOP CLASSES FOR BASIC GRAYSCALE PRINT MANAGEMENT META SOP CLASS


Basic Film Session 1.2.840.10008.5.1.1.1 Yes No

Basic Film Box 1.2.840.10008.5.1.1.2 Yes No

Basic Grayscale Image Box 1.2.840.10008.5.1.1.4 Yes No

Printer 1.2.840.10008.5.1.1.16 Yes No

2.2.1.3.3.3.1 Specific Conformance for Basic Film Session SOP Class

The IPD/QC Viewer supports sending the following DIMSE Services:

— N-CREATE

2.2.1.3.3.3.1.1 Supported DICOM Elements and Status codes for N-CREATE:

The IPD/QC Viewer provides the following support for the Film Session attributes sent by the N-CREATE DIMSE service:



Table 2-16 BASIC FILM SESSION SOP CLASS N-CREATE SENT ATTRIBUTES

Attribute Tag Value User or Service Configurable?

Copies (2000,0010) 1-5 User Configurable

Print Priority (2000,0020) LOW No

Medium Type (2000,0030) (Printer Dependent) Service Configurable

Film Destination (2000,0040) PROCESSOR No

Film Session Lable (2000,0050) ASTD1-1P No

The following status codes are recognized in response to a N-CREATE:


Service Status

Further Meaning


Reason


Warning Elements discarded

B006H Indicates that some elements are discarded, but that the image was stored anyway.

Warning Attribute Value out of range

0116H Indicates that a certain attribute value is out of range, but that the image was stored anyway.

Failure Failure If the SCP AE returns any other error or warning status than described in this table, the IPD/QC Viewer will abort the association.

2.2.1.3.3.3.2 Specific Conformance for Basic Film Box SOP Class

The IPD/QC Viewer provides support for the following DIMSE Services:

— N-CREATE

— N-ACTION

2.2.1.3.3.3.2.1 Supported DICOM Elements and Status codes for N-CREATE:

The IPD/QC Viewer provides the following support for the Basic Film Box attributessent by the N-CREAT DIMSE service:

Table 2-18Basic Film BOX SOP Class N-CREATE Sent Attributes


Image Display Format

(2010,0010) (Printer Dependent) Service ConfigurableUser Configurable

Film Orientation (2010,0040) PORTRAITLANDSCAPE

User Configurable




Film Size ID (2010,0050) (Printer Dependent) Service ConfigurableUser Configurable

Border Density (2010,0100) The desired density in hundredths of OD.

Service Configurable

Empty Image Density

(2010,0110) BLACK No

Minimum Density

(2010,0120) The desired density in hundredths of OD.


Maximum Density

(2010,0130) The desired density in hundredths of OD.


Trim (2010,0140) NO NoConfiguration Information

(2010,0150) (Printer Dependent) Service Configurable

Illumination (2010,015E) 2000 No

Reflective Ambient light

(2010,0160) 150 No

The following status codes are recognized in response to a N-CREATE:

Table 2-19 N-CREAT Response Status codes

Service Status

Further Meaning


Reason


Warning Attribute Value Out of Range

0116H Returned if an attribute value is out of range. The instance UID is created.

Failure Failure If the SCP AE returns any other error or warning status, the IPD/QC Viewer will abort the association.

2.2.1.3.3.3.2.2 Basic Film Box SOP Class Operations for N-ACTION

The following status codes are recognized in response to a N-ACTION:

Table 2-20 N-ACTION Response Status codes

Service Status

Further Meaning


Reason

Success Success 0000H Operation successfully completed.

Warning Empty page B603H Film Box SOP Instance hierarchy does not contain Image Box SOP Instances (empty page). Association will abort.




2.2.1.3.3.3.3 Specific Conformance for Basic Grayscale Image Box SOP Class


— N-SET

2.2.1.3.3.3.3.1 Basic Grayscale Image Box SOP Class Operations for N-SET

The IPD/QC Viewer provides the following support for the Basic Grayscale Image Box attributes sent by the N-SET DIMSE service:

Table 2-21Basic Grayscale Image Box SOP Class N-SET Attributes

Attribute Tag Value User or Service Configurable?Magnification Type

(2010,0060) (Printer Dependent) Service Configurable

Smoothing Type (2010,0080) (Printer Dependent) Service Configurable

Image Position (2020,0010) 1-xx Polarity (2020,0020) NORMAL NoBasic Grayscale Image Sequence

(2020,0110) 1-xx

>Samples Per Pixel

(0028,0002) 1 No

>Photometric Interpretation

(0028,0004) MONOCHROME2 No

>Rows (0028,0010) > 0>Columns (0028,0011) > 0

>Bits Allocated (0028,0100) 8 No>Bits Stored (0028,0101) 8 No>High Bit (0028,0102) 7 No>Pixel Representation

(0028,0103) 0 No

>Pixel Data (7FE0,0010)

The following status codes are recognized in response to a N-SET:

Table 2-22 N-SET Response Status codes

Service Status

Further Meaning Status Code

(0000,0900)

Reason


Warning Attribute out of range 0116H Returned if an attribute is out of the range

Warning Requested density outside printers range

B604H The printer will use its respective minimum or maximum density value instead.



Warning Requested density outside printers range

B605H The printer will use its respective minimum or maximum density value instead.


2.2.1.3.3.3.4 Specific Conformance for Printer SOP Class


� N-GET

� N-EVENT-REPORT

2.2.1.3.3.3.4.1 Printer SOP Class Operations for N-GET

The IPD/QC Viewer uses the Printer SOP Class N-GET operation to obtain information about the current printer status.

Table 2-23Printer SOP Class N-GET sent Attributes

Attribute Tag Valid RangeManufacturer (0008,0070) Provided by printerManufacturer’s Model Name

(0008,1090) Provided by printer

Device Serial Number


Software Version (0018,1020) Provided by printerDate of Last Calibration


Time of last Calibration


Printer Status (2110,0010) NORMALWARNINGFAILURE

(2110,0020)Printer Name (2110,0030) Provided by printer

Table 2-24 N-GET Response Status codes

Service Status

Further Meaning


Reason


Failure Failure If the SCP AE returns any other error status, the IPD/QC Viewer will abort the association.



2.2.1.3.3.3.4.2 Printer SOP Class Operations for N-EVENT-REPORT

The IPD/QC Viewer provides support for the Printer attributes sent by the N-EVENT-REPORT DIMSE service:

Table 2-25Printer SOP Class N-EVENT-REPORT sent Attributes

Attribute Tag Valid RangePrinter Status (2110,0010) NORMAL

WARNINGFAILURE

Printer Status Info. (2110,0020 Provided by printer

2.2.1.3.3.4 Specific Conformance to Print Job SOP Class


� N-GET

2.2.1.3.3.4.1 Print Job SOP Class Operations for N-GET

The IPD/QC Viewer provides the following support for the Print Job SOP Class attributes sent by the N-GET DIMSE service:

Table 2-26Print Job SOP Class N-GET sent Attributes

Attribute Tag Valid RangeExecution Status (2100,0020) Provided by printerCreation Date (2100,0040) Provided by printerCreation Time (2100,0050) Provided by printerPrinter Name (2110,0030) Provided by printer

2.2.1.3.3.5 Specific Conformance to Presentation LUT SOP Class


� N-CREAT

� N-DELETE

2.2.1.3.3.5.1 Presentation LUT SOP Class Operations for N-GET

The IPD/QC Viewer provides the following support for the Presentation LUT SOP Class attributes sent by the N-CREAT DIMSE service:



Table 2-27 PRESENTATION LUT SOP CLASS N-CREATE SENT ATTRIBUTES


Presentation LUT Sequence

(2050,0010)

LUT Descriptor (0028,3002)

LUT Explanation (0028,3003)

LUT Data (0028,3006)


Service Status

Further Meaning


Reason


2.2.1.4 Association Acceptance Policies

The IPD/QC Viewer does not accept associations.

2.2.2 ID Viewer AE Specification

2.2.2.1 SOP Classes Supported

This Application Entity provides Standard Conformance to the following SOP Classes:

Table 2-279 SOP Classes for ID Viewer


Workflow Management

Modality Worklist Information Model - FIND 1.2.840.10008.5.1.4.31 Yes No

2.2.2.2 Association Establishment Policies

2.2.2.2.1 General

Table 2-30 DICOM Application Context

Application Context Name 1.2.840.10008.3.1.1.1

2.2.2.2.2 Number of Associations

Table 2-31 Number of Associations as an Association Initiator for ID Viewer



Maximum number of simultaneous associations initiated 1

Table 2-282 Number of Associations as an Association Acceptor for ID Viewer

Maximum number of simultaneous associations accepted 0

2.2.2.2.3 Asynchronous Nature

Table 2-293 Asynchronous Nature as an Association Initiator for ID Viewer

Maximum number of outstanding asynchronous transactions0

2.2.2.2.4 Implementation Identifying Information

Table 2-304 DICOM implementation Class and Version for ID Viewer


Implementation Version Name AGFA DTF1.0.78

2.2.2.3 Association Initiation Policies

2.2.2.3.1 Activity- Get Worklist from External AE


The ID Viewer AE attempts to initiate a new association due to two Real-World activities:

� Worklist oriented query manually initiated by the User.

� Patient oriented query manually initiated by the User.

Although there are two different real world activities that can begin a DICOM Worklist query, the DICOM association initiation and transfer process is identical.


Table 2-315 Presentation Contexts Proposed by ID Viewer


Name UID Name UID

Role

Extended

Negotiation

Modality Worklist Information Model-FIND

1.2.840.10008.5.1.4.31 DICOM Implicit Little Endian

1.2.840.10008.1.2 SCU None



2.2.2.3.1.3 Specific Conformance for Modality Worklist Information Model- FIND SOP Class

ID Viewer provides standard conformance to the DICOM Basic Worklist ManagementService Class.

2.2.2.3.1.3.1 Worklist Oriented Query Selection

The following values are used as matching attributes in the Worklist Oriented Query:

ID Viewer Name: This value is User selectable from a list of ID Viewers configured on the system. This value will be used as the Scheduled Station AE Title (0040,0001) query.

Start date: This value is User selectable from a list containing the following values; Today, Today- (= everything from today and later), Yesterday, Yesterday - (= everything from yesterday and later), Last 3 days, Last 7 days, and All. This value will be used as the Scheduled Procedure Step Start Date (0040,0002) query.

Performing Physician: This value is User configurable or selectable from a list of performing physicians configured on the system. This value will be used as the Scheduled Performing Phys. Name (0040,0006) query.

Modality: This value is set to: CR. This will be used as the Modality (0008,0060) query.

2.2.2.3.1.3.2 Patient-Oriented Query Selection

The following values are used as matching attributes in the Patient Oriented Query:

ID Viewer Name: This value is User selectable from a list of ID Viewers configuredon the system. This value will be used as the Scheduled Station AE Title (0040,0001) query.

Start date: This value is User selectable from a list containing the following values; Today, Today- (= everything from today and later), Yesterday, Yesterday - (=everything from yesterday and later), Last 3 days, Last 7 days, and All. This value will be used as the Scheduled Procedure Step Start Date (0040,0002) query.

Performing Physician: This value is User configurable or selectable from a list of performing physicians configured on the system. This value will be used as the Scheduled Performing Phys. Name (0040,0006) query.

Modality: This value is set to: CR. This will be used as the Modality (0008,0060) query.

Patient Name: This value is User configurable. The value will be mapped to the first component (family name complex) of the Patient's name (0010,0010)

Patient ID: This value is User configurable. The value will be mapped to the Patient ID (0010,0020). If patient ID is present the value of Patient's Name will be zero length.



Accession number: This value is User configurable. The value will be mapped to the Accession Number (0008,0050). If Accession number is present the value of Patient's Name, and Patient ID will be zero length.

2.2.2.3.1.3.3 Query Keys Matching

ID Viewer requests the following matching key types:

• SV Single valued match

• RM Range Matching

• SM Sequence Matching

ID Viewer requests the following elements returned for this SOP class:

Table 2-326 Modality Worklist information model attributes.

Module Attribute Name Tag Match

SOP Common Specific Character Set (0008,0005) SV

Scheduled Procedure Step Sequence (0040,0100) SM

> Scheduled Station AE Title (0040,0001) SV

> Scheduled Procedure Step Start Date (0040,0002) SV or RM

> Scheduled Procedure Step Start Time (0040,0003) Zero length

> Modality (0008,0060) CR (Fixed)

> Scheduled Performing Phys. Name (0040,0006) SV or Zero-length

> Scheduled Procedure Step Description (0040,0007) Zero-length

> Scheduled Station Name (0040,0010) Zero-length

> Scheduled Procedure Step Location (0040,0011) Zero-length

> Scheduled Action Item Code Sequence (0040,0008) SM with Zero length item

>> Code Value (0008,0100) ---

>> Code Scheme Designator (0008,0102) ---

>> Code Meaning (0008,0104) ---

> Pre Medication (0040,0012) Zero-length

> Scheduled Procedure step ID (0040,0009) Zero-length

> Scheduled Procedure Step Status (0040,0020) Zero-length

Scheduled Procedure Step

> Requested Contrast Agent (0032,1070) Zero-length

Requested Procedure ID (0040,1001) Zero-length

Requested Procedure Description (0032,1060) SV or Zero-length

Requested Procedure Code Sequence (0032,1064) SM with Zero-length item

> Code Value (0008,0100) --

> Coding Scheme Designator (0008,0102) --

> Code Meaning (0008,0104) --

Study Instance UID (0020,000D) Zero-length

Referenced Study Sequence (0008,1110) SM with Zero-length item

> Referenced SOP Class UID (0008,1150) --

> Referenced SOP Instance UID (0008,1155) --

Requested Procedure

Requested Procedure Priority (0040,1003) Zero-length



Module Attribute Name Tag Match

Patient Transport Arrangements (0040,1004) Zero-length

Reason for the Requested Procedure (0040,1002) Zero-length

Accession Number (0008,0050) Zero-length

Imaging Service Request Comments (0040,2400) Zero-length

Requesting Physician (0032,1032) Zero-length

Referring Physician’s Name (0008,0090) Zero-length

Requesting Service (0032,1033) Zero-length

Placer Issuer and Number (0040,2016) Zero-length

Imaging Service Request

Filler Issuer and Number (0040,2017) Zero-length

Visit Identification Admission ID (0038,0010) Zero-length

Visit Status Current Patient Location (0038,0300) Zero-length

Referenced Patient Sequence (0008,1120) SM with Zero-length item





Visit Relationship


Visit Admission Admitting Diagnosis Description (0008,1080) Zero-length



Patient Relationship


Patient’s Name (0010,0010) Zero-length

Patient ID (0010,0020) Zero-length

Patient Identification

Other Patient Ids (0010,1000) Zero-length

Patient’s Birth Date (0010,0030) Zero-length

Patient’s Birth Time (0010,0032) Zero-length

Patient’s Sex (0010,0040) Zero-length

Patient’s Weight (0010,1030) Zero-length

Military Rank (0010,1080) Zero-length

Confidentiality Constraint on Patient Data (0040,3001) Zero-length

Patient’s Age (0010,1010) Zero-length

Patient’s Size (0010,1020) Zero-length

Ethnic Group (0010,2160) Zero-length

Occupation (0010,2180) Zero-length

Patient Demographic

Patient Comments (0010,4000) Zero-length

Patient State (0038,0500) Zero-length

Medical Alerts (0010,2000) Zero-length

Contrast Allergies (0010,2110) Zero-length

Special Needs (0038,0050) Zero-length

Patient Medical

Additional Patient History (0010,21B0) Zero-length



2.2.2.3.1.3.4 Status codes processed when receiving messages from a Modality Worklist SCP

Table 2-337 C-FIND response status.

Service

StatusFurther Meaning Status Code ID Viewer

Behavior

Refused Out of Resources A700 No Worklist

Identifier Does Not Match SOP Class A900 No WorklistFailed

Unable to Process Cxxx No Worklist

Cancel Matching terminated due to Cancel request FE00 No Worklist

Success Matching is complete – No final Identifier is supplied 0000 Worklist displayed

Pending Matches are continuing – Current Match is supplied and any optional Keys were supported in the same manner as Required keys

FF00 Pending

Matches are continuing – Warning that one or more Optional Keys were not supported for existence for this Identifier

FF01 Pending

2.2.2.4 Association Acceptance Policies

The ID Viewer AE does not accept associations.

2.3 Network Interfaces

CR QS Version 3.0 provides DICOM V3.0 TCP/IP Network Communication Support as defined in PS 3.8 of the DICOM Standard.

2.3.1 Physical Medium Support

CR QS Version 3.0 supports 10BaseT and 100BaseT. This is automatically configured via a detection mechanism and both are galvanically isolated for IEC601 compliance.

2.4 Configuration

2.4.1 AE Title/ Presentation Mapping

2.4.1.1 Local AE Titles

Table 2-348 AE Title Configuration Table

Application Entity Default AE Title Default TCP/IP Port

IPD/QC Viewer (Service configurable) (Service configurable)

ID Viewer (Service configurable) (Service configurable)



2.4.2 Configuration Parameters

2.4.2.1 General configuration Parameters

The following parameters are configurable via the Windows Control Panel:

Local IP Address, Netmask and Gateway

2.4.2.2 IPD/QC Viewer AE

System configuration is performed by Service using the CR QS Configuration Viewer software tool.

2.4.2.3 ID Viewer AE

System configuration is performed by Service using the CR QS Configuration Viewer software tool except as listed below.

2.4.2.3.1 RIS Settings

RIS settings are configured via the CR QS ID Viewer GUI ->

Under Tools -> Customize

Type of RIS: DICOM Worklist

For RIS/HIS Dicom Server:

• Called AE_title: Add in the ‘AE_Title’ box.

• Calling AE_title: Add in the ‘AE_Title’ box.

• Add the Remote IP Address and Listen port in the ‘DICOMserver’ box as follows:

• aaa.aaa.aaa.aaa:bbbb (Where aaa.aaa.aaa.aaa is IP Address and bbbb the remote port number.)

• Specific Character set: To be specified if required

2.4.2.3.2 IDVRisDefault.xml mapping file

The way CR QS processes the information obtained from the DICOM Modality Worklist Query is configured by means of the IDVRisDefault.xml mapping file. This file is included in the CR QS software release. If necessary this file can be modified by Service when a specific customer configuration is needed.



3 MEDIA INTERCHANGE The CR QS Version 3.0 does not support DICOM Media Interchange.

Only XML format is supported.



4 SUPPORT FOR EXTENDED CHARACTER SETSCR QS Version 3.0 supports the following character sets:

Table 4-1 Character Sets

• ISO-IR 100 Latin Alphabet No. 1

• ISO-IR 13 Japanese JIS X0201 Katakana

• ISO-IR 14 Japanese JIS X0201 Romaji

• ISO-IR 87 Japanese JIS X0208 Kanji

• ISO-IR 149 Korean KS X 1001 Hangui and Hanji

• ISO 2022 GB2312 Chinese Guo Biao 2312-80

• ISO 2022 GBK Chinese Guo Biao 2312-80

• ISO 2022 B5 Chinese Big5

• ISO 2022 IR 6 Default



5 SECURITY

5.1 IHE Security Profile

The CR QS Version 3.0 supports the Authentication, Accountability, and User Authentication IHE Security Profiles. The Security Administrator sets the configurations for Security Profiles.

5.1.1 Authentication

The CR QS Version 3.0 can be configured to communicate using Transport Layer Security (TLS). The default port for TLS is 2763 (Service configurable).

5.1.2 Accountability

The CR QS Version 3.0 can be configured to send audit records to an Audit Record Repository.

5.1.3 User Authentication

The CR QS Version 3.0 provides users different levels of user interfaces based on their needs.

Table 5-1

Interface Type: Passwords Required? Level

GUI

User Yes 1 (Low)

Service Yes 2

Security Administrator Yes 3 (High)

The Security Administrator has the ability to change all passwords.

AGF A HEALTH CARE DICOM Conformance Statement · Print Management Basic Grayscale ... 2.2.1.2.3...

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