DICOM 3.0 Conformance Statement

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1 Version 2.7 DICOM 3.0 Conformance Statement 1

2 1. Conformance Statement Overview SOP Classes Query and Retrieve Study Root Query/Retrieve Information Model Find Study Root Query/Retrieve Information Model Move Transfer Table 1.1 Network Services User of Service (SCU) 12-Lead ECG Waveform Yes Yes Ambulatory ECG Waveform Yes Yes Basic Text SR Yes Yes Basic Voice Audio Waveform Yes Yes Blending Softcopy Presentation State Yes Yes Cardiac Electrophysiology Waveform Yes Yes Color Softcopy Presentation State Yes Yes Comprehensive SR Yes Yes Computed Radiography Image Yes Yes CT Image Yes Yes Digital Intra-oral X-Ray Image (Presentation) Digital Intra-oral X-Ray Image (Processing) Yes Yes Digital Mammography Image (Presentation) Digital Mammography Image (Processing) Yes Yes Digital X-Ray Image (Presentation) Yes Yes Digital X-Ray Image (Processing) Yes Yes Encapsulated PDF SOP Class Yes Yes Enhanced MR Image Yes Yes Enhanced SR Yes Yes General ECG Waveform Yes Yes Grayscale Softcopy Presentation State Yes Yes Hardcopy Color Image Yes Yes Hardcopy Grayscale Image Yes Yes Yes Yes Yes Yes Provider of Service (SCP) Yes Yes Yes Yes 2

3 Hemodynamic Waveform Yes Yes Key Image Object SOP Class Yes Yes Key Image Object SOP Class Yes Yes MR Image Yes Yes Multi-frame Grayscale Byte Secondary Capture Image Multi-frame Grayscale Word Secondary Capture Image Multi-frame Single Bit Secondary Capture Image Multi-frame True Color Secondary Capture Image Nuclear Medicine Image Yes Yes Ophthalmic Photography IOD 16 Bit Image Yes Yes Ophthalmic Photography IOD 8 Bit Image Yes Yes Pseudo Color Softcopy Presentation State Yes Yes Positron Emission Tomography Image Yes Yes RT Beams Treatment Record Yes Yes RT Brachy Treatment Record Yes Yes RT Dose Yes Yes RT Image Yes Yes RT Plan Yes Yes RT Structure Set Yes Yes RT Treatment Summary Record Yes Yes Secondary Capture Image Yes Yes Stand-alone Curve Yes Yes Stand-alone Modality LUT Yes Yes Stand-alone Overlay Yes Yes Standalone PET Curve Yes Yes Stand-alone VOI LUT Yes Yes Stereometric Relationship Image Yes Yes Stored Print Yes Yes Ultrasound Image Yes Yes Ultrasound Image Yes Yes Ultrasound Multi-frame Image Yes Yes Video Endoscopic SOP Class Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 3

4 VL Endoscopic Image Yes Yes VL Microscopic Image Yes Yes VL Photographic Image Yes Yes VL Slide Yes Yes X-Ray Angiographic Image Yes Yes X-Ray Radiofluoroscopic Image Yes Yes Verification Verification Yes Yes Table 1.2 Media Services Media Application Profile Write Files (FSC) Read Files (FSR) CD Recordable General Purpose CD-R See conformance note Yes General Purpose Secure CD-R See conformance note No DVD Recordable General Purpose DVD-R See conformance note No General Purpose Secure DVD-R See conformance note No 4

5 2. Table of Contents 1. Conformance Statement Overview Introduction Revision History Legal Notices Copyright Notice Trademark Acknowledgements Contact Address Definitions, Terms and Abbreviations References Implementation Model SCP AE Application Data Flow Diagram Functional Definition of AE Sequencing of Real World Activities SCU AE Application Data Flow Diagram Functional Definition of AE Sequencing of Real World Activities DICOM DISC Writer AE Application Data Flow Diagram Functional Definition of AE Sequencing of Real World Activities Query and Retrieve SCU AE Application Data Flow Diagram Functional Definitions of AE Sequencing of Real World Activities Query and Retrieve SCP AE Application Data Flow Diagram Functional Definitions of AE Sequencing of Real World Activities

6 4.6. Importer AE Application Data Flow Diagram Functional Definitions of AE Sequencing of Real World Activities Verification AE Application Data Flow Diagram Functional Definitions of AE Sequencing of Real World Activities AE Specifications SCP AE SOP Classes Association Establishment Policies Association Initiation by Real World Activity Association Acceptance Policy SCU AE SOP Classes Association Establishment Policies Association Initiation by Real World Activity Association Acceptance Policy DICOM DISC Writer AE File Meta Information Real World Activity Store Images on DICOM DISC Query and Retrieve SCU AE SOP Classes Association Establishment Policies Association Initiation by Real World Activity Sop Specific Conformance to C-Move SOP Class Association Acceptance Policy Query and Retrieve SCP AE SOP Classes Association Establishment Policies

7 Association Initiation by Real World Activity Association Acceptance for Real World Activity Importer AE Initiation by Real World Activity Import Images Verification AE SOP Classes Association Establishment Policies Association Initiation by Real World Activity Association Acceptance for Real World Activity Accept Verification Communication Profiles Supported Communication Stacks TCP/IP Stack API Physical Media Support Support of Extended Character Sets Configuration Configurable Parameters Host Configuration SCP AE Query and Retrieve SCU AE Query and Retrieve SCP AE Peer Configuration Security Security Profiles Association Level Security Application Level Security

8 3. Introduction This document describes the conformance of the expedo Application Suite to the DICOM 3.0 Standard [DICOM] Revision History Revision Author Comments Date 1 Matthew Gray Created 05/20/ Matthew Gray Updated 06/29/ Timothy Krehl Updated 06/10/ Dion Barrier Updated 07/07/ Dion Barrier Updated 07/27/ Lara Zimberoff Updated 02/13/ Legal Notices Copyright Notice Sorna Corporation. All rights reserved. No part of this document may be copied or reprinted, in whole or part, without written permission. The contents of this document are subject to change without notice or legal obligation Trademark Acknowledgements expedo is a registered trademark of Sorna Corporation. Windows is a registered trademark of Microsoft Corporation in the United States and other countries. This document may include trademarks or registered trademarks of other companies Contact Address Sorna Corporation 2020 Silver Bell Road Suite 17 Eagan, MN Definitions, Terms and Abbreviations AE Application Entity ANSI American National Standard Institute DICOM Digital Imaging and Communications in Medicine FSR File Set Reader FSC File Set Creator IOD Information Object Definition ISO International Organization for Standardization NEMA National Electrical Manufacturers Association SCP Service Class Provider SCU Service Class User 8

9 SOP TCP/IP UID XML Service-Object Pair Transmission Control Protocol/Internet Protocol Unique Identifier extensible Markup Language 3.4. References [DICOM] Digital Imaging and Communications in Medicine (DICOM), NEMA PS ,

10 4. Implementation Model 4.1. SCP AE Application Data Flow Diagram Figure 4.1 SCP AE Dataflow Functional Definition of AE The SCP AE accepts connections to the configured AE title s presentation address. Associations having presentation contexts with SOP classes will be accepted Receive Images The Receive Images operation is initiated by a successful association with a remote AE requesting to store images. Images received from the remote AE are sent to an image storage system(s). The system(s) to which received images are sent are determined by configuration for the destination AE title Sequencing of Real World Activities Figure 4.2 Example Real World Activity for SCP AE 10

11 4.2. SCU AE Application Data Flow Diagram Functional Definition of AE Figure 4.3 SCU AE Dataflow Send Images The Send Images operation is initiated in response to Query and Retrieve or DICOM DISC media import operations. An association is initiated with the destination AE and is followed by a transfer of the requested images using C-Store operations Sequencing of Real World Activities Not Applicable 11

12 4.3. DICOM DISC Writer AE Application Data Flow Diagram Functional Definition of AE Figure 4.4 DICOM DISC Writer AE Dataflow Store Images on DICOM DISC The operation Store Images on DICOM DISC is initiated by the existence of a job production order in the build queue. Images bundled with the job will be conveyed to a DICOM DISC. Job production orders may include the following options: Data Encryption writes images in Secure DICOM File Format. Re-identification modifies patient demographic information. DISC Write Verification verifies successful creation of DISC media. Include Structured Reports retrieves associated structured reports from image source Sequencing of Real World Activities Not applicable 12

13 4.4. Query and Retrieve SCU AE Application Data Flow Diagram Functional Definitions of AE Figure 4.5 Query and Retrieve SCU AE Dataflow Query Images Query Images establishes an association with a DICOM Query/Retrieve SCP using a presentation context having a Find SOP class. A Find request is sent with user specified query fields Retrieve Images Retrieve Images establishes an association with a DICOM Query/Retrieve SCP using a presentation context having a Move SOP class. A Move request is sent for selected studies. 13

14 Sequencing of Real World Activities Figure 4.6 Example Real World Activity for Query and Retrieve SCU AE 14

15 4.5. Query and Retrieve SCP AE Application Data Flow Diagram Figure 4.7 Query and Retrieve SCP AE Dataflow Functional Definitions of AE The Query and Retrieve SCP AE accepts connections to the configured AE title s presentation address. Associations having presentation contexts with Find or Move SOP classes will be accepted Search Images Search Images is initiated by a Find request to the addressed local store. Search Images searches the host file system area assigned to the addressed local store for matches to user provided search criterion. Results are returned to the calling SCU Send Images Send Objects is initiated by a Move request to the addressed local store. Send Images initiates Store requests through the SCU AE for the image instances corresponding to the received Move request. 15

16 Sequencing of Real World Activities Figure 4.8 Example Real World Activity for SCU AE 16

17 4.6. Importer AE Application Data Flow Diagram Figure 4.9 Importer AE Dataflow Functional Definitions of AE The Importer AE is a FSR enabling the importation of DICOM part 10 files from removable DICOM disc media Import Images Import Images reads in a DICOM file set and sends Store requests to a user selected. Import Images includes the ability to re-identify patient demographic using one of the following user selected source options: Query and Retrieve SCP Modality Worklist Management SCP User-entered Values 17

18 Sequencing of Real World Activities Figure 4.10 Example Real World Activity for Importer AE 18

19 4.7. Verification AE Application Data Flow Diagram Functional Definitions of AE Figure 4.11 Verification AE Dataflow Request Verification The Verification AE acts as an SCU by sending requests with a presentation context having a Verification SOP class Accept Verification The Verification AE acts as an SCP by accepting connections for associations having presentation contexts for Verification SOP classes Sequencing of Real World Activities Figure 4.12 Example Real World Activity for Verification AE 19

20 5. AE Specifications 5.1. SCP AE SOP Classes The SCP AE provides Standard Conformance to the following SOP classes: Table 5.1 Supported SOP Classes SOP Class Name SOP Class UID SCU SCP Stored Print No Yes Hardcopy Grayscale Image No Yes Hardcopy Color Image No Yes Computed Radiography Image No Yes Digital X-Ray Image No Yes (Presentation) Digital X-Ray Image (Processing) No Yes Digital Mammography Image No Yes (Presentation) Digital Mammography Image No Yes (Processing) Digital Intra-oral X-Ray Image No Yes (Presentation) Digital Intra-oral X-Ray Image No Yes (Processing) CT Image No Yes Ultrasound Multi-frame Image No Yes MR Image No Yes Enhanced MR Image No Yes Ultrasound Image No Yes Ultrasound Image No Yes Secondary Capture Image No Yes Multi-frame Single Bit Secondary No Yes Capture Image Multi-frame Grayscale Byte Secondary No Yes Capture Image Multi-frame Grayscale Word Secondary No Yes Capture Image Multi-frame True Color Secondary No Yes Capture Image Stand-alone Overlay No Yes Stand-alone Curve No Yes 12-Lead ECG Waveform No Yes General ECG Waveform No Yes Ambulatory ECG Waveform No Yes Hemodynamic Waveform No Yes 20

21 Cardiac Electrophysiology Waveform No Yes Basic Voice Audio Waveform No Yes Stand-alone Modality LUT No Yes Stand-alone VOI LUT No Yes Grayscale Softcopy Presentation State No Yes Color Softcopy Presentation State No Yes Pseudo Color Softcopy Presentation No Yes State Blended Softcopy Presentation State No Yes X-Ray Angiographic Image No Yes X-Ray Radiofluoroscopic Image No Yes Nuclear Medicine Image No Yes Key Image Object SOP Class No Yes VL Endoscopic Image No Yes Video Endoscopic SOP Class No Yes VL Microscopic Image No Yes VL Slide No Yes VL Photographic Image No Yes Ophthalmic Photography IOD 8 Bit No Yes Image Ophthalmic Photography IOD 16 Bit No Yes Image Stereometric Relationship Image No Yes Basic Text SR No Yes Enhanced SR No Yes Comprehensive SR No Yes Key Image Object SOP Class No Yes Encapsulated PDF SOP Class No Yes Positron Emission Tomography Image No Yes Standalone PET Curve No Yes RT Image No Yes RT Dose No Yes RT Structure Set No Yes RT Beams Treatment Record No Yes RT Plan No Yes RT Brachy Treatment Record No Yes RT Treatment Summary Record No Yes 21

22 Association Establishment Policies General The DICOM standard Application context shall be specified. Application Context Name Number of Associations The SCP AE is internally limited by configuration in the number of simultaneous associations it may accept. Maximum Number of Simultaneous Associations (acceptor) 100 (default) Asynchronous Nature Multiple outstanding operations over a single association are not supported. Maximum Number of Outstanding Asynchronous Transactions Implementation Identifying Information Implementation Class UID Implementation Version Name EXPEDOSVC{x} Association Initiation by Real World Activity The SCP AE never initiates an association Association Acceptance Policy The SCP AE accepts associations from remote AEs offering valid Presentation Contexts. Figure 5.1 Receive Images Activity Accepted Presentation Contexts Note: transfer syntax support is consistent across classes. 1 {x} representing the application version number. E.g

23 23

24 Table 5.2 Accepted Presentation Contexts Abstract Syntax Transfer Syntax Role Ext. Name UID Name UID Neg. See Table 5.1 See Table 5.1 Implicit VR Little Endian SCP None Explicit VR Little Endian SCP None Explicit VR Big Endian SCP None JPEG Process 1 Baseline SCP None JPEG Process Ext SCP None JPEG Process SCP None Lossless JPEG Process SCP None Lossless SV1 JPEG Lossless SCP None JPEG Near Lossless SCP None JPEG 2000 Near Lossless SCP None JPEG SCP None MPEG SCP None Table 5.3 SCP AE C-Store Status Return Reasons Service Status Further Meaning Error Reason Code Refused Out of resources A700 Out of resources Failed Identifier Mismatch A900 Identifier/SOP Class mismatch Not Supported C001 Option is not supported on the expedo system Volume Not Found C002 Unable to find specified local store Not Responding C003 The server is not responding. Try again later Not Authorized C004 The system could not log you on Presentation Context C006 Cannot understand Missing Cancel Request Cancelled FE00 Cancelled Pending Pending FF00 Pending Success Success 0000 Success 24

25 5.2. SCU AE SOP Classes The SCU AE provides Standard Conformance to the following SOP classes: Table 5.4 Supported SOP Classes SOP Class Name SOP Class UID SCU SCP Stored Print Yes No Hardcopy Grayscale Image Yes No Hardcopy Color Image Yes No Computed Radiography Image Yes No Digital X-Ray Image Yes No (Presentation) Digital X-Ray Image (Processing) Yes No Digital Mammography Image Yes No (Presentation) Digital Mammography Image Yes No (Processing) Digital Intra-oral X-Ray Image Yes No (Presentation) Digital Intra-oral X-Ray Image Yes No (Processing) CT Image Yes No Ultrasound Multi-frame Image Yes No MR Image Yes No Enhanced MR Image Yes No Ultrasound Image Yes No Ultrasound Image Yes No Secondary Capture Image Yes No Multi-frame Single Bit Secondary Yes No Capture Image Multi-frame Grayscale Byte Secondary Yes No Capture Image Multi-frame Grayscale Word Secondary Yes No Capture Image Multi-frame True Color Secondary Yes No Capture Image Stand-alone Overlay Yes No Stand-alone Curve Yes No 12-Lead ECG Waveform Yes No General ECG Waveform Yes No Ambulatory ECG Waveform Yes No Hemodynamic Waveform Yes No Cardiac Electrophysiology Waveform Yes No Basic Voice Audio Waveform Yes No 25

26 Stand-alone Modality LUT Yes No Stand-alone VOI LUT Yes No Grayscale Softcopy Presentation State Yes No X-Ray Angiographic Image Yes No X-Ray Radiofluoroscopic Image Yes No Nuclear Medicine Image Yes No Key Image Object SOP Class Yes No VL Endoscopic Image Yes No Video Endoscopic SOP Class Yes No VL Microscopic Image Yes No VL Slide Yes No VL Photographic Image Yes No Ophthalmic Photography IOD 8 Bit Yes No Image Ophthalmic Photography IOD 16 Bit Yes No Image Stereometric Relationship Image Yes No Basic Text SR Yes No Enhanced SR Yes No Comprehensive SR Yes No Key Image Object SOP Class Yes No Encapsulated PDF SOP Class Yes No Positron Emission Tomography Image Yes No Standalone PET Curve Yes No RT Image Yes No RT Dose Yes No RT Structure Set Yes No RT Beams Treatment Record Yes No RT Plan Yes No RT Brachy Treatment Record Yes No RT Treatment Summary Record Yes No Association Establishment Policies General The DICOM standard Application context shall be specified. Application Context Name Number of Associations The SCU AE is not internally limited in the number of simultaneous associations it may initiate. Maximum Number of Simultaneous Associations (initiator) No Limit 26

27 Asynchronous Nature Multiple outstanding operations over a single association are not supported. Maximum Number of Outstanding Asynchronous Transactions Implementation Identifying Information Implementation Class UID Implementation Version Name EXPEDOSVC{x} Association Initiation by Real World Activity Figure 5.2 Send Images Activity Table 5.5 Proposed Presentation Contexts Abstract Syntax Transfer Syntax Role Ext. Name UID Name UID Neg. See Table 5.4 See Table 5.4 Implicit VR Little Endian SCU None Explicit VR Little Endian SCU None Explicit VR Big Endian SCU None JPEG Process 1 Baseline SCU None JPEG Process Ext SCU None JPEG Process SCU None Lossless JPEG Process SCU None Lossless SV1 JPEG Lossless SCU None JPEG Near Lossless SCU None JPEG 2000 Near Lossless SCU None JPEG SCU None MPEG SCU None 2 {x} representing the application version number. E.g

28 Association Acceptance Policy The SCU AE never accepts an association. 28

29 5.3. DICOM DISC Writer AE Conformance to DICOM Interchange of the Media Service DICOM DISC Writer AE supports DICOM Interchange of the Media Service. It provides standard conformance as a FSC as defined in part 10 of the DICOM standard. NOTE: The DICOM DISC Writer AE is agnostic with respect to transfer syntax as an FSC for Image classes. Image instances included in a build job production order receive no conversion/post-processing. Standard conformant application profiles are only possible if images to be written already match profile transfer syntax options. Table 5.6 Supported Application Profiles Application Real-World Activity Roles SC Option Profiles Supported STD-GEN-CD Store Images on DICOM DISC FSC Interchange STD-GEN-SEC-CD Store Images on DICOM DISC FSC Interchange STD-GEN-DVD Store Images on DICOM DISC FSC Interchange STD-GEN-SEC-DVD Store Images on DICOM DISC FSC Interchange File Meta Information Implementation Class UID Implementation Version Name EXPEDOSVC{x} Real World Activity Store Images on DICOM DISC The DICOM DISC Writer AE acts as an FSC to export SOP instances associated with DICOM DISC build jobs. The user is able to provide DISC production options that include the re-identification of patient demographics, encryption of DICOM files 4 as well as DISC verification Options DICOM DISC Writer AE supports the SOP classes and Transfer Syntaxes listed in the table below. Table 5.7 Supported IODs, SOP Classes and Transfer Syntaxes IOD SOP Class UID Transfer Syntax Transfer Syntax UID Basic Directory Explicit VR Little Endian Uncompressed Stored Print Refer to Hardcopy Grayscale Conformance Note. Image Refer to Conformance Note. 3 {x} representing the application version number. E.g Refer to the Security section of this document for DICOM conformance specifics. 29

30 Hardcopy Color Image Computed Radiography Image Digital X-Ray Image (Presentation) Digital X-Ray Image (Processing) Digital Mammography Image (Presentation) Digital Mammography Image (Processing) Digital Intra-oral X Ray Image (Presentation) Digital Intra-oral X Ray Image (Processing) CT Image Ultrasound Multiframe Image MR Image Enhanced MR Image Ultrasound Image Ultrasound Image Secondary Capture Image Multi-frame Single Bit Secondary Capture Image Multi-frame Grayscale Byte Secondary Capture Image Multi-frame Grayscale Word Secondary Capture Image 30

31 Multi-frame True Color Secondary Capture Image Stand-alone Overlay Stand-alone Curve Lead ECG Waveform General ECG Waveform Ambulatory ECG Waveform Hemodynamic Waveform Cardiac Electrophysiology Waveform Basic Voice Audio Waveform Stand-alone Modality LUT Stand-alone VOI LUT Grayscale Softcopy Presentation State X-Ray Angiographic Image X-Ray Radiofluoroscopic Image Nuclear Medicine Image Key Image Object SOP Class VL Endoscopic Image Video Endoscopic SOP Class VL Microscopic Image VL Slide VL Photographic Image Ophthalmic Photography IOD 8 31

32 Bit Image Ophthalmic Photography IOD 16 Bit Image Stereometric Relationship Image Basic Text SR Enhanced SR Comprehensive SR Key Image Object SOP Class Encapsulated PDF SOP Class Positron Emission Tomography Image Standalone PET Curve RT Image RT Dose RT Structure Set RT Beams Treatment Record RT Plan RT Brachy Treatment Record RT Treatment Summary Record 32

33 5.4. Query and Retrieve SCU AE SOP Classes The Query and Retrieve SCU AE provides Standard Conformance to the following SOP classes: Table 5.8 Supported SOP Classes SOP Class Name SOP Class UID SCU SCP Study Root Query/Retrieve Information Yes No Model Find Study Root Query/Retrieve Information Model Move Yes No Association Establishment Policies General The DICOM standard Application context shall be specified. Application Context Name Number of Associations The Query and Retrieve SCU AE is not internally limited in the number of simultaneous associations it may initiate. Maximum Number of Simultaneous Associations (initiator) No Limit Asynchronous Nature Multiple outstanding operations over a single association are not supported. Maximum Number of Outstanding Asynchronous Transactions Implementation Identifying Information Implementation Class UID Implementation Version Name EXPEDOSVC{x} 5 5 {x} representing the application version number. E.g

34 Association Initiation by Real World Activity Real World Activity Query Images Figure 5.3 Query Images Activity Table 5.9 Proposed Presentation Contexts Abstract Syntax Transfer Syntax Role Ext. Name UID Name UID Neg. Study Root Query/Retrieve Information Model Find Implicit VR Little Endian SCU None SOP Specific Conformance to C-Find SOP Class Query and Retrieve AE SCU provides standard conformance to the C-Find SOP class. Only a single information model, Study Root is supported. Table 5.10 Study Root Request Identifier for Query and Retrieve SCU AE Name Tag Study Level Patient s ID (0010,0020) Patient s Name (0010,0010) Patient s Sex (0010,0040) Study ID (0020,0010) Study Date (0008,0020) Study Accession No. (0008,0050) Study Description (0008,1030) 34

35 Real World Activity Retrieve Images Figure 5.4 Retrieve Images Activity Table 5.11 Proposed Presentation Contexts Abstract Syntax Transfer Syntax Role Ext. Name UID Name UID Neg. Study Root Query/Retrieve Information Model Move Implicit VR Little Endian Sop Specific Conformance to C-Move SOP Class Query and Retrieve AE SCU provides standard conformance to the C-Move SOP class Association Acceptance Policy The Query and Retrieve SCU AE does not accept associations SCU None 35

36 5.5. Query and Retrieve SCP AE SOP Classes The Query and Retrieve SCP AE provides Standard Conformance to the following SOP classes: Table 5.12 Supported SOP Classes SOP Class Name SOP Class UID SCU SCP Study Root Query/Retrieve Information No Yes Model Find Study Root Query/Retrieve Information Model Move No Yes Association Establishment Policies General The DICOM standard Application context shall be specified. Application Context Name Number of Associations The Query and Retrieve SCP AE is internally limited by configuration in the number of simultaneous associations it may accept. Maximum Number of Simultaneous Associations (acceptor) 100 (default) Asynchronous Nature Multiple outstanding operations over a single association are not supported. Maximum Number of Outstanding Asynchronous Transactions Implementation Identifying Information Implementation Class UID Implementation Version Name EXPEDOSVC{x} Association Initiation by Real World Activity The Query and Retrieve SCP AE never initiates an association Association Acceptance for Real World Activity The Query and Retrieve SCP AE accepts associations from remote AEs offering valid Presentation Contexts. 6 {x} representing the application version number. E.g

37 Figure 5.5 Search Images and Send Images Accepted Presentation Contexts Table 5.13 Accepted Presentation Contexts Abstract Syntax Transfer Syntax Role Ext. Name UID Name UID Neg. See Table See Table Implicit VR Little Endian SCP None Explicit VR Little Endian SCP None Explicit VR Big Endian SCP None JPEG Process 1 Baseline SCP None JPEG Process Ext SCP None JPEG Process SCP None Lossless JPEG Process SCP None Lossless SV1 JPEG Lossless SCP None JPEG Near Lossless SCP None JPEG 2000 Near Lossless SCP None JPEG SCP None MPEG SCP None 37

38 Table 5.14 Study Root Request Identifier for Query and Retrieve SCP AE Name Tag Types of Matching Study Level Patient s ID (0010,0020) S, U, W Patient s Name (0010,0010) S, U, W Patient s DOB (0010,0030) S, U Patient s Sex (0010,0040) S, U Study UID (0020,000D) S, U Study ID (0020,0010) S, U Study Date (0008,0020) R, U Study Accession No. (0008,0050) S, U, W Study Description (0008,1030) S, U, W Legend: R= Range; S = Single Value; U = Universal; W = Wild Card NOTE: Wild card matching does not support the OR ( \ ) operator. Patient name matching does not support the caret ( ^ ) operator. Table 5.15 Query and Retrieve SCP AE Status Return Reasons Service Status Further Meaning Error Reason Code Refused Out of resources A700 Out of resources Move Host Unknown A801 Unknown move destination Failed Identifier Mismatch A900 Identifier/SOP Class mismatch Not Supported C001 Option is not supported on the expedo system Volume Not Found C002 Unable to find specified local store Not Responding C003 The server is not responding. Try again later Not Authorized C004 The system could not log you on Data File Missing C005 File Not Found Presentation Context C006 Cannot understand Missing Cancel Request Cancelled FE00 Cancelled Pending Pending FF00 Pending Success Success 0000 Success 38

39 5.6. Importer AE Conformance to DICOM Interchange of the Media Service Importer AE supports DICOM Interchange of the Media Service. It provides standard conformance as a FSR as defined part 10 of the DICOM standard. NOTE: The Importer AE is agnostic with respect to transfer syntax as an FSR for Image classes. Conversion/post-processing of images is delegated to the SCU AE. Table 5.16 Supported Application Profiles Application Real-World Activity Roles SC Option Profiles Supported STD-GEN-CD Store Images on DICOM DISC FSR Interchange Initiation by Real World Activity Import Images The Importer AE acts as an FSR to import DICOM image instance files into the user specified remote AE Options Importer AE supports the SOP classes and Transfer Syntaxes listed in the table below. Table 5.17 Supported IODs, SOP Classes and Transfer Syntaxes IOD SOP Class UID Transfer Syntax Transfer Syntax UID Basic Directory Explicit VR Little Endian Uncompressed Stored Print Refer to Hardcopy Grayscale Conformance Note. Image Hardcopy Color Image Computed Radiography Image Digital X-Ray Image (Presentation) Digital X-Ray Image (Processing) Digital Mammography Image (Presentation) Digital Mammography Image Refer to Conformance Note. 39

40 (Processing) Digital Intra-oral X Ray Image (Presentation) Digital Intra-oral X Ray Image (Processing) CT Image Ultrasound Multiframe Image MR Image Enhanced MR Image Ultrasound Image Ultrasound Image Secondary Capture Image Multi-frame Single Bit Secondary Capture Image Multi-frame Grayscale Byte Secondary Capture Image Multi-frame Grayscale Word Secondary Capture Image Multi-frame True Color Secondary Capture Image Stand-alone Overlay Stand-alone Curve Lead ECG Waveform General ECG Waveform Ambulatory ECG Waveform Hemodynamic Waveform 40

41 Cardiac Electrophysiology Waveform Basic Voice Audio Waveform Stand-alone Modality LUT Stand-alone VOI LUT Grayscale Softcopy Presentation State X-Ray Angiographic Image X-Ray Radiofluoroscopic Image Nuclear Medicine Image Key Image Object SOP Class VL Endoscopic Image Video Endoscopic SOP Class VL Microscopic Image VL Slide VL Photographic Image Ophthalmic Photography IOD 8 Bit Image Ophthalmic Photography IOD 16 Bit Image Stereometric Relationship Image Basic Text SR Enhanced SR Comprehensive SR Key Image Object SOP Class Encapsulated PDF SOP Class Positron Emission Tomography Image 41

42 Standalone PET Curve RT Image RT Dose RT Structure Set RT Beams Treatment Record RT Plan RT Brachy Treatment Record RT Treatment Summary Record 42

43 5.7. Verification AE SOP Classes The Verification AE provides Standard Conformance to the following SOP classes: Table 5.18 Supported SOP Classes SOP Class Name SOP Class UID SCU SCP Verification Yes Yes Association Establishment Policies General The DICOM standard Application context shall be specified. Application Context Name Number of Associations The Verification AE is not internally limited in the number of simultaneous associations it may initiate. Maximum Number of Simultaneous Associations (initiator) Maximum Number of Simultaneous Associations (acceptor) No Limit 100 (default) Asynchronous Nature Multiple outstanding operations over a single association are not supported. Maximum Number of Outstanding Asynchronous Transactio ns Implementation Identifying Information Implementation Class UID Implementation Version Name EXPEDOSVC{x} 7 7 {x} representing the application version number. E.g

44 Association Initiation by Real World Activity Activity Request Verification Figure 5.6 Request Verification Activity Table 5.19 Proposed Presentation Contexts Abstract Syntax Transfer Syntax Role Ext. Name UID Name UID Neg. Verification Implicit VR Little Endian SCU None Association Acceptance for Real World Activity Accept Verification The Verification AE accepts associations from remote AEs offering valid Presentation Contexts to fulfill the Accept Verification activity. Figure 5.7 Accept Verification Activity 44

45 Accepted Presentation Contexts Table 5.20 Accepted Presentation Contexts Abstract Syntax Transfer Syntax Role Ext. Name UID Name UID Neg. Verification Implicit VR Little SCP None Endian Explicit VR Little Endian SCP None Explicit VR Big Endian SCP None JPEG Process SCP None Baseline JPEG Process Ext SCP None JPEG Process SCP None Lossless JPEG Process SCP None Lossless SV1 JPEG Lossless SCP None JPEG Near Lossless SCP None JPEG 2000 Near SCP None Lossless JPEG SCP None MPEG SCP None 45

46 6. Communication Profiles 6.1. Supported Communication Stacks DICOM Upper Layer over TCP/IP as defined by part 8 of the DICOM standard is supported TCP/IP Stack The TCP/IP stack is inherited from the underlying host operating system API The application makes use of the Windows Socket 2 interface Physical Media Support Any physical medium supported by the host operating system can be used. 46

47 7. Support of Extended Character Sets The expedo Application Suite supports the ISO_IR 100 (ISO/IEC ) character set. 47

48 8. Configuration Configuration of the expedo Application Suite may be accomplished through the Windows client or by editing the underlying XML documents Configurable Parameters Host Configuration Port number Binding address Maximum PDU size Maximum concurrent accepted connections Send/Receive buffer size Receive timeout Socket linger Socket keep-alive SCP AE AE Title Originator timeout Query and Retrieve SCU AE AE Title Query and Retrieve SCP AE AE Title Peer Configuration AE title IP address Port number 48

49 9. Security 9.1. Security Profiles The DICOM DISC Writer AE provides standard conformance to the Basic DICOM Media Security Profile Association Level Security The expedo local store is secured against an acceptable peer list Application Level Security Clients of the expedo Application Suite are secured with password protected user accounts. 49

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