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SIGNA PROFILE 7.80 CONFORMANCE STATEMENT

1. 0043x300 1 DS PSD estimated limit in tesla persecond 0043xx0E DS 1 Sarvghead 0043xx0 1 O Windowvalue oowoo s 1 SS Levlvaue 04 XID 5 1 O Histogram tables ooe 1 Userdefineddata ooa 1 Private Scan Options Owe 55 4 Effective echospacing 00433s 00 ss 1 String slop fied 10043 0 5 1 Stingslopfild2 Oooow 5 1 Raw datatype 0M43xQF 5 1 Raw datatype 10043830 5 1 RA cord oftargetreconcenter 0045 3 Ds 2 Raw datatype 043xx32 5 1 Neg scanspacing 0045 083 a Offset Frequency J 0043xx3 5 1 User usage tag o o 0043x035 User fill mp 0043 xx36 User fill map LSW owen 1 User5 Userd8 0043 038 24 Slop int 10 slop int 17 0043 xx60 IS Slop int ll reserved field Slop int 15 Current Station ui DE EE
2. 007xx44 1 NormalAcoord 007xx 49 1 doc ver 2 8 73 sal onl GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 FL RAS letter for side of image SH B 1 8 Private Creator Identification GEMS_IMPS_01 Private Element Creator 0029 10xx LO fJ 1 Lower range of Pixelst 0020x200 s 1 LowerrageofPixelsl 0029x205 DS f 1 LowerrageofPixelsl 0029x200 DS 1 Lower range of Pixelst 0029x30 s 1 LowerrangeofPixelsl 10029 00 5 1 Lower range of Pixelst 0029x0 SH 1 LowerrageofPixelsl 0029x2302 55 1 Version of the hdr struct 0029 00 5 1 Advantage comp Overflow 0029 xx34 s 1 1 B 1 9 Private Creator Identification GEMS 01 Private Element Creator 004410 LO 1 Windowvalue J 0M3xx310 US 1 Total input views owen os 1 XRaychin 043x312 s 3 O Decon kernel parameters 0043xx 1 ss 5 Calibration parameters 0043xxI1 ss 3 Total output views owas 5 3 Number ofoverra
3. Numberof Acquisitions 0025xxl ss f 1 Series Complete Flag 0025xxi s 1 Number of images archived 0025xxI8 s 1 Last image numberused 0025xxI SL f 1 Primary Receiver Suite and Host 0025 xx1A 5 1 Re Tele B 1 7 Private Creator Identification GEMS IMAG 01 Private Element Creator 0027z10xx to 1 Image archive flag 0027x400 s 1 Scout Type 1 1 1 J 0027xx0 SS 1 Vmamamp oaao SL 1 Vmaphse 027xxXID s 1 O Vmamod 1 xxl SL 1 O oo SL 1 O Smart scan ON OFF flag 100700 SS 1 Foreign Image Revision 00272xx30 SH 1 Plane Typ 1 027x35 SS 1 RAS Hetter of image location 00272xx40 5 f 1 Image location 0027xx 4D 1 Center R coord of plane image 00272xx42 1 Center A coord of planeimage 00272xx43 FL 1 Center S coord of plane image 0027xx4 m 1 Normal R coord
4. 0018 1100 3 O Ganry Detector Tit 00181120 3 Convolution Kernel 00181210 3 FipAnge 0081310 3 O Image Number _ 00200015 1 O Image Position Patient 00200032 ic SS O Image Orientation Patient 00200037 IC 1 000000 Slice Location 0001040 3 Samples Per Pixel _ 0028000 R 00 0 O Photometric Interpretation 00280004 Absent from all profiles Rows Q 0980010 Columns Q 0908001D tp Pixel Spacing 002800800 IC O Bits Allocated 00280100 R O Bits Stored 00280101 MRI Absentfromprofils High Bit 00280102 MRI Absent from profiles doc ver 2 8 83
5. doc ver 2 8 51 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 3 6 Support of Extended Character Sets The MOD Archive Application will support copy of SOP instances containing the ISO IR 100 Latin alphabet No 1 supplementary set and DICOM default character sets as defined in PS3 5 doc ver 2 8 52 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 4 PRINT SCU CONFORMANCE 4 0 Introduction This Conformance Statement CS specifies the SIGNA PROFILE compliance to DICOM v3 0 It details the DICOM Service Classes and roles which are supported by this product in it s version 7 80 The SIGNA PROFILE product uses DICOM services to provide the DICOM Print SCU Application Profile The SIGNA PROFILE product uses DICOM Print SCU to print images on DICOM Compliant Printers Note the format of this section follows the format of the DICOM Standard Part 2 conformance Annex A hence the paragraph numbering scheme Please refer to that part of the standard while reading this section 4 1 IMPLEMENTATION MODEL PRINT SCU The DICOM Print SCU is a DICOM print filter which provides the capability to print images to DICOM printers The DICOM Print filter acts as an SCU of the DICOM print management SOP class 4 1 1 Application Data Flow Diagram DICOM print SCU Implementation model DICOM INTERFACE Film DICO Compose Print SCU Printer Film Composer is the User interface a
6. 2 2 1 3 4 Retrieve Request From Remote AE This AE is indefinitely listening for associations No operator action is required to respond to a retrieve request 2 2 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 2 1 3 4 2 Presentation Context Table Table 2 2 1 3 4 2 1 Acceptable Presentation Contexts for DICOM Server AE and Real World Activity Retrieve Request Presentation Context Table Abstract Syntax Transfer Syntax Extended Negotiation UID List Study Root 1 2 840 10008 5 1 4 1 2 2 2 Implicit VR Little 1 2 840 10008 1 2 SCU None Query Retrieve Endian MOVE 2 2 1 3 4 2 1 SOP Specific Conformance to C MOVE SCP The DICOM Server AE provides standard conformance to the baseline Study root C MOVE Service Class SCP Each C MOVE SCP operation supports an Association Timer Operation Inactivity Timer and Session Timer with a time out values of 900 seconds 900 seconds and 60 minutes respectively These time outs are configurable in dcs cfg as bi_assoc_tio bi_store_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
7. NEMA Publication 1300 North 17th Street Suite 1847 Rosslyn VA 22209 USA Phone 703 841 3200 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 1 2 Intended Audience The reader of this document is concerned with software design and or system integration issues It is assumed that the reader of this document is familiar with the DICOM v3 0 Standards and with the terminology and concepts which are used in those Standards If readers are unfamiliar with DICOM v3 0 terminology they should first refer to the document listed below then read the DICOM v3 0 Standard itself prior to reading this DICOM Conformance Statement document Introduction to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statement Direction 2118780 1 3 Scope and Field of Application It is the intent of this document in conjunction with the Introduction to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statement Direction 2118780 to provide an unambiguous specification for GEMS implementations This specification called a Conformance Statement includes a DICOM v3 0 Conformance Statement and is necessary to ensure proper processing and interpretation of GEMS medical data exchanged using DICOM v3 0 The GEMS Conformance Statements are available to the public The reader of this DICOM Conformance Statement should be aware that different GEMS devices are capable of using different Information Object Defin
8. SH 1 Image actual date owe SL 1 Seviceid 0009xx30 SH 1 Mobile location number 0009xx3 SH 1 Equipment UID J 0009xxE 1 Genesis Version now 10009 SH 1 Exam Record checksum 0009xxED UL 1 Actual series data time stamp 0009xxE9 SL 1 Re Tele 0 B 2 2 Private Creator Identification PATI 01 Private Element Creator 0011 10xx 0011 xx10 B 2 3 Private Creator Identification GEMS ACQU 01 Private Element Creator 0019 10xx Horiz Frame of ref 0019 xx0F 0019 xx11 0019 xx12 0019 xx17 doc ver 2 8 76 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 0019xxi 0019xx1 DS 1 0019 xx1A ele Last scan loc Display field of view Second echo Number of echoes Table delta Contiguous Peak SAR Monitor SAR 0019 xx95 Internal pulse seq Name i O Transmitting coil o Surface Coil Type S Extremity Coil flag Raw data run number i O Calibrated Field strength i O SAT fat waterbone o Receive bandwidth i O Internal pulse seq Name Transmitting coil Surface Coil Type Extremity Coil flag Raw data run number Calibrated Field strength SAT fat water bone
9. UbDlit o Both None GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 2 4 4 Private Data Elements Refer to Appendix B for a complete listing of private data elements used with this implementation 2 5 CONFIGURATION 2 5 1 AE Title Presentation Address Mapping The SIGNA PROFILE system allows the user to Remove or Update the mapping of remote AE Titles to IP Addresses and Ports These options can be selected from the Remote Host Selection menu displayed by choosing Selected remote host from the Network pull down menu from the local database manager 2 5 2 Configurable Parameters Note Note The following fields are configurable for the DICOM Server AE Local AE Title the machine hostname Local IP Address Local IP Netmask Max PDU length Time outs which are set for all hosts are configurable in dcs cfg note denotes any SOP class time in sec Association time out bi assoc tio Inactivity time out bi_store_tio Session timeout bi_session_tio Move operation time out bi_move_tio Find time out bi_find_tio All configurations should be performed by a GE Field Service Engineer The local port on which the SIGNA PROFILE system receives DICOM incoming TCP connections is port 4006 2 6 SUPPORT OF EXTENDED CHARACTER SETS doc ver 2 8 In addition to the DICOM default character set SIGNA PROFILE supports the ISO IR 100 Lati
10. 3 MEDIA STORAGE CONFORMANCE STATEMENT doc ver 2 8 3 11 11 12 13 13 13 14 14 14 15 16 17 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 3 0 Introduction 39 3 1 Implementation Model MOD Archive Server 39 3 1 1 Application Data Flow Diagram 39 3 1 2 Functional Definitions of AE s 40 3 1 3 Sequencing of Real World Activities 40 3 1 4 File Meta Information for Implementation Class and Version 40 3 2 Specifications 40 3 2 1 MOD Archive Specification 41 3 3 Standard Augmented and Private Application Profiles 43 3 3 1 Class and Profile Identification 43 3 3 2 Clinical Contexts 43 3 3 3 Standard Application Profiles 44 3 3 4 Private Application Profiles 49 3 4 Extensions Specialization s and Privatization s of SOP Classes and Transfer Syntaxes 51 3 4 1 Extensions Specialization s and Privatization s of SOP Classes 51 3 42 Private Transfer Syntax Specification 51 3 5 Configuration 51 3 6 Support of Extended Character Sets 52 4 PRINT SCU CONFORMANCE 53 4 0 Introduction 53 41 IMPLEMENTATION MODEL PRINT SCU 53 4 1 1 Application Data Flow Diagram 53 4 1 2 Functional Definition of AE s 54 4 1 3 Sequencing of Real World Activities 54 42 AE SPECIFICATIONS 54 4 2 1 DICOM Print SCU AE Specification 54 4 2 2 Association Establishment Policy 55 4 2 3 Association Establishment Policy 55 4 2 4 Association Acceptance Policy 60 4 3 COMMUNICATION PROFILES 60 4 3 1 Supported Communicat
11. 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 for the N CREATE are supported 0010 Printer Dependent Session Sequence 0500 2010 PORTRAIT Set in Configuration File 0040 Film Size ID 2010 Sent zero length Sent zero length 0050 Magnification type 2010 BILINEAR Set in Configuration File 0060 CUBIC 57 doc ver 2 8 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 ae ee NNNM NONE 0130 Information 0150 0080 0100 WHITE 0110 WHITE 0120 Note Attributes sent zero length use the camera default values 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 OxC602 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
12. COL if sent Variable Flip Angle Flag 0018 1315 Always sent Value is Y for RAMPED x where x is AP IS IR PA SL or AL else value is N 0018 1316 Sent if available else not sent Temporal Resolution 0020 0110 Always sent even if value is zero length A 3 SC Specific IOD Definition A 3 1 SC Image IOD Modules Reference 5 2 i Patient Study ASB 11 SC Equipment A513 M lmagePixl Only the type 1 elements are sent M SC Image Not sent consists entirely of type 3 elemen M Modality LUT Only the type 1C elements are sent U SOP Common ASM A 4 Standalone Overlay Specific IOD Definition A 4 1 Standalone Overlay Image IOD Modules pd Patient Study ASB OvelyPae 50 MT SOP Common ASM A 5 CT MR SC Standalone Overlay IOD Common Table Definitions A 5 1 Patient Module Attribute Name Patient s Name 0010 0010 2 As entered at the user interface or from worklist Supports 5 different components doc ver 2 8 64 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 delimited by Supports a maximum length of 64 characters including the delimiter Delimiters must be operator entered from the user interface Patient s Birth Date 0010 0030 2 Always sent zero length Patient s Sex 00100040 2 Alwayssen i O Referenced Patient S
13. Receive bandwidth doc ver 2 8 77 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 ser data ser data ser data ser data ser data ser data ser data um ser data User data User data Projection angle Saturation planes Surface coil intensity SAT location R SAT location L SAT location A SAT location P SAT location H 0 SAT thickness R L SAT thickness A P SAT thickness H F Prescribed flow axis Velocity encoding Thickness disclaimer Prescan status Raw data type Projection Algorithm Projection algorithm 0019 xxD3 Fractional echo 0019 xxD5 Prep pulse 0019 xxD6 Cardiac phases 0019 xxD7 Variable echoflag 0019 xxD8 Concatenated SAT 0019 xxD9 User data User data Velocity Encode Scale Fasphaes 0 Q0I9xx 5 1 Transmission gain Q0I9xxF DS 1 0019 xxDO 0019 xxD2 j SAT location F ele B 2 4 Private Creator Identification GEMS_RELA_01 Private Element Creator 0021 10xx Series from which Prescribed 0021 xx03 doc ver 2 8 78 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 D 0021 xx51 D D 5 55 55 55 55 55 5 5 5 SH SH SL SL SL SL SL DS DS DS DS Float slop 0021 xx5F Auto window level alpha 0021 xx81 Auto window level beta 0021 xx82 00
14. 2 Options None applicable 3 2 1 2 3 Real World Activity Copy to Local Storage The MOD Archive Application acts as an FSR when copying from the MOD to local storage The MOD Archive Application will copy any SOP Instance selected from an MOD Directory list from the MOD to the local storage upon request The MOD Directory listing Real World Application will filter out the SOP Instances that do not match the Application Profile 3 2 1 2 3 1 Application Profiles for the RWA Copy to Local Storage For the list of Application Profiles that invoke this AE for the MOD Copy to Local Storage RWA see Table 3 2 1 3 2 1 2 3 2 Options None applicable doc ver 2 8 42 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 3 2 1 2 4 Real World Activity Update MOD The MOD Archive Application acts as an FSU using the Interchange option when requested to update an MOD The MOD Archive Application will take the selected list of SOP instances and eliminate any SOP instance that does not correspond to permissible SOP instances listed in the Application Profiles Table 3 2 1 The remaining SOP instances are written to the media that is found in the MOD Archive Application disk drive The determination of the potentially applicable Application Profile is dependent on the type of media and associated software on which the AE has been invoked 3 2 1 2 4 1 Application Profiles for the RWA Update MOD Request For the list
15. Classes in the File set AII DICOM files in the File set incorporating SOP Instances defined for the specific Application Profile shall be referenced by the Directory Records All DICOM SOP Instance files in the File set are stored in the MSDOS file system subdirectory GEMS and are referenced from the DICOMDIR directory records Refer to Appendix C for a complete listing of all the optional modules and optional attributes used in the DICOMDIR definition Please note that the mandatory attributes in each of the directory records as mentioned in Part 3 Addendum Basic Directory Information Object Definition are not listed in the appendix but are supported by the implementation Directory records found in the PRI CTMR MODI2 profile do not contain the Attribute Frame of Reference 0020 0052 This Attribute was specified as Required after the first release of this Application Profile 3 3 4 1 4 1 Additional Keys None 3 3 4 1 5 Other Parameters This section defines other parameters common to all specific Application Profiles in the PRI CTMR MODI class which need to be specified in order to ensure interoperable information interchange See 3 4 2 for JPEG endoding problem in the PRI CTMR MODI2 profile 3 3 4 1 5 1 Image Attribute Values doc ver 2 8 50 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 The attributes listed in Table 3 3 3 1 5 1 1 used within the CT MR SC Standalone Overlay Image files s
16. PS3 12 3 3 3 1 3 Logical Format The STD CTMR MODI2 Application profile media format conforms to the Logical Format specification in PS3 12 The following table 3 3 3 1 3 1 defines the specific values used for this profile Table 3 3 3 1 3 1 Boot Sector for STD CTMR MOD12 conformance media 00 02 OxEB3CO0 Jump instruction to loader NOPs 62 500 Any contents acceptable _ _ 3 3 3 1 4 Directory Information in DICOMDIR Conformant Application Entities shall include in the DICOMDIR File a Basic Directory IOD containing Directory Records at the Patient and subsidiary levels appropriate to the SOP Classes in the File set All DICOM files in the File set incorporating SOP Instances defined for the specific Application Profile shall be referenced by the Directory Records All DICOM SOP Instance files in the File set are stored in the MSDOS file system subdirectory GEMS and are referenced from the DICOMDIR directory records Refer to Appendix C for a complete listing of all the optional modules and optional attributes used in the DICOMDIR definition Please note that the mandatory attributes in each of the directory records as mentioned in Part 3 Addendum Basic Directory Information Object Definition are not listed in the appendix but are supported by the implementation NOTE doc ver 2 8 46 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 The modality
17. RAMP RL GEMS RAMP LR GEMS RAMP AP GEMS doc ver 2 8 35 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 RAMP_PA_GEMS RAMP SI GEMS RAMP IS GEMS FC FREQ AX GEMS FC SLICE AX GEMS SS GEMS VASCANGIO GEMS RESP GEMS BC GEMS 21024 GEMS CC GEMS 2512 GEMS Z2 GEMS Z4 GEMS FR GEMS BSP GEMS FWF GEMS FWW GEMS T2P GEMS SSRF GEMS RTBC GEMS AN GEMS Note When converting a received DICOM IOD to Advantage format if element 18 22 does not contain any of the defined values the received data will be interpreted as having the value NONE 2 4 2 Private SOP Classes ID Net v2 0 Private IODs are based upon the April 1993 draft version of the DICOM v3 0 ID Net v2 0 IODs are supported for backward compatibility The following private SOP classes are defined Abstract Syntax Name UD GE Private DICOM MR Image Information Object ID Net v2 0 compatible 1 2 840 113619 4 2 GE Private DICOM CT Image Information Object ID Net v2 0 compatible 1 2 840 113619 4 3 GE Private DICOM Display Information Object ID Net v2 0 compatible 1 2 840 113619 4 4 Note See the ID Net v2 0 Implementation Profiles Direction 46 269546G2 for definitions of Information Objects 2 4 3 Private Transfer Syntax The following private SOP transfer syntax is defined Transfer Syntax Name UD Implicit VR Big Endian 1 2 840 113619 5 2 This private transfer syntax is identical to the DICOM Implicit VR Little E
18. SH 1 Imaging Mode 0027x3D SS 1 Pulse Sequence 00272xx32 5 1 Imaging Options 0022 x33 1 Plane Typ 1 1 1 027x35 SS 1 Oblique Plane 007x39 SL 1 RAS letter of image location 0027x409 5 f 1 Image location o ooo ooe 1 Center R coord of plane image 0027 xx42 1 Center A coord of plane image 0027 xx43 FL f 1 Center S coord of plane image 0027xx4 FL 1 Normal R coord 007x445 1 NormalAcoord 07w 1 NormalScoord 0027xx4 1 R Coord of Top RightComer 0027xx4 FL 1 Coord of Top Right Comer 0027xx4 1 ACoordofBottomRightCorer 0027xx 4C 1 S Coord of Bottom Right Corner 0027xx4D FL 1 Imagedimenion X 100760 FL 1 Imagedimenson Y 00277xx6D 1 NumberofExcitations J 0027xx62 1 T sal oul sol sal e B 2 8 Private Creator Identification GEMS_IMPS_01 Private Element Creator 0029 10xx LO 1 LowerrageofPixelsl 0029x315
19. SL 1 Upper range of Pixels 0020x319 s 1 LowerrangeofPixels2 0029xx1 s 1 Upper range of Pixels Ox s 1 Lenoftothdrinbyes 1009 1 SL 1 Version of the hdr struct 0029x060 5 1 Advantage comp Overflow 0020xx3 s 1 Advantage comp Underflow 0029 xx35 SL _ 1 1 doc ver 2 8 80 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 B 2 9 Private Creator Identification GEMS PARM 01 Private Element Creator 004410x to 1 Bitmap of prescan options 0043x300 55 1 Gradientoffsetin X owe ss 1 Gradient offsetin Y O0 ss 1 Gradient offsetinZ 0043x30 ss 1 Image is original or unoriginal 00432xx0 SS 1 NumberofEPIshos 00433500 ss 1 Views per segment 0043xx0 5 1 Respiratory rate bpm Oeo SS 1 Respiratory triggerpoint 0043 xx09 SS 1 Typeofreceiverused 0043x20 ss 1 Peak rate of change of gradient field 0043xx0B 05 1 Limits in units of percent
20. Slop int 16 Total of Stations u 1 HHH U Study Instance UID 0043 xx61 1 Study ID 0043 xx62 Scanner Table Entry 0043 xx6f doc ver 2 8 81 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 Appendix C DICOMDIR Directory Information C 1 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 1 Basic Directory IOD Definition Directory Information B X 32 1 DICOM PS3 10 C 1 2 Directory Information Module Offset of the Next Directory Record 0004 1400 Pic Record In use Flag 0004410 1C fo Offset of Referenced Lower Level 0004 1420 1C Directory Entity Referenced Transfer Syntax UID in 0004 1512 Only found in IMAGE Directory Record File C 1 3 Directory Record Selection Keys As indicated in table C 1 2 the PRI CTMR MOD 12 application profile will have only the Patient Study Series and Image directory record types Given below are the lists of attributes supported under each of these directories C 1 3 1 Patient Keys Patients Name sf 00 0010 2 O PaientID 00100020 tT C 1 3 2 Study Keys SudyDae 000800200 1 Stud
21. Updater is used by Application Entities which receive a transferred File Set and update it by the addition of information Typical entities using this role would include analytic workstations which for instance may add to the File set an information object containing a processed e g edge enhanced image File set Updaters do not have to read the images File set Updaters shall be able to generate one or more of the SOP Instances defined for the specific Application Profile for which a conformance statement is made and to read and update the DICOMDIR file 3 3 3 Standard Application Profiles The MOD Archive Server supports the standard Application Profile CTMR MOD as an FSC FSR or FSU doc ver 2 8 44 GE Medical Systems REV 2 8 SIGNA PROFILE CONFORMANCE STATEMENT sm 2303347 3 3 3 1 STD CTMR MOD12 Class Profile 3 3 3 1 1 SOP Classes and Transfer Syntaxes This class of Application Profiles is based on the Media Storage Service Class with the Interchange Option see PS3 4 SOP Classes and corresponding Transfer Syntaxes supported by STD CTMR MOD12 Application Profiles is also specified in the Table 3 3 3 1 1 1 Table 3 3 3 1 1 1 IOD s and Transfer Syntaxes for CTMR MOD Application Profiles Information SOP Class UID Transfer Syntax and UID Object Definition Basic Directory CT Image Storage CT Image Storage MR Image Storage MR Image Storage SC Image Storage SC Image Storage Standalone Overla
22. be taken by Print SCU All the return status Failure message will be sent and the print session will be terminated 4 2 3 1 3 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 DICOM Tag Valid Range Default Value Image Position 2020 Based on Image No Default Value 0010 Display format Preformatted Grayscale 2020 5 Image Sequence 0110 0028 doc ver 2 8 58 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 1 0002 SERRE Ex 0034 0100 0101 0102 0028 O unsigned integer O unsigned integer 0103 0020 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 4 2 3 1 3 4 Printer SOP Class N GET DIMSE service is supported for Printer SOP Class If an N EVENT REPORT DIMSE service is received when association is active Print SCU handles the relevant states but the data received is ignored The Print SCU issues the request to retrieve following attributes If Printer returns Printer Status of FAILURE the association is ter
23. image will then be accessed in the same manner as any other image by the applications on the SIGNA PROFILE 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 SIGNA PROFILE system Image Installation If the image installation is unsuccessful a message will appear in the Message Log informing the user of the failure and the image will be removed If the image installation process finds that an element is not encoded according to the DICOM standard it will fail to install the image and the file will be removed Image Installation of GE Created MR or CT Images Images that were originally created on recent GE MR and CT scanners will be converted from their native Advantage Proprietary Format to DICOM format for transmission If the images are stored as full fidelity representations and are subsequently returned to recent GE scanners then the images will be transformed back to Advantage Proprietary Format There is an assumption made by such GE scanners The private element 0009 1001 is used as the full fidelity flag If this flag contains the string GE GENESIS FF when received by a scanner then it is assumed that the image object was originally a GE created image object and contains all private elements that it was sent with If full fidelity flag is present and not all the elements are sent back as sent ie not full fidelity there
24. in Part 3 Addendum Basic Directory Information Object Definition are not listed in the appendix but are supported by the implementation NOTE doc ver 2 8 48 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 The modality attribute 0008 0060 in the DICOMDIR Series records should be CT MR for Secondary Capture and Standalone Overlay SOP Class Images Otherwise the SIGNA PROFILE DICOM media display browser will not list up the series for contents rendering the retrieval to local storage impossible 3 3 3 2 4 1 Additional Keys None 3 3 3 2 5 Other Parameters This section defines other parameters common to all specific Application Profiles in the STD CTMR MOD23 class which need to be specified in order to ensure interoperable information interchange 3 3 3 2 5 1 Image Attribute Values The attributes listed in Table 3 3 3 1 5 1 1 used within the CT MR SC Standalone Overlay Image files shall take the values specified Overlay data if present shall be encoded in Overlay Data 60X X 3000 3 3 3 2 5 1 1 Attribute Value Precedence None 3 3 4 Private Application Profiles The MOD Archive Server supports a private Application Profile PRI CTMR MODI2 as an FSR or FSU 3 3 4 4 PRI CTMR MOD19 Class Profile 3 3 4 1 1 SOP Classes and Transfer Syntaxes This class of Application Profiles is based on the Media Storage Service Class with the Interchange Option see PS3 4 SOP Classes and corres
25. 0008 0100 1 0008 0102 1 gt Code Meaning 0008 0104 3 Contrast Bolus Route 0018 1040 3 0018 1014 3 gt Additional Drug Sequence 0018 002A 3 Contrast Bolus Volume 0018 1041 3 0018 1043 3 3 3 3 Contrast Bolus Administration Route Sequence Contrast Bolus Start Time 0018 1042 3 Contrast Bolus Ingredient 0018 1048 3 Contrast Bolus Ingredient 0018 1049 Concentration A 5 10 SOP Common Module 3 0 Attribute Name A 5 11 Overlay Plane Module pe 1 1 3 CEJ a NM Loa S N N N N ent if contrast exam as entered in user interface ent if contrast exam as entered in user interface Not Used Discarded Not Used 3 Not Used Discarded Attribute Name Definitions Definitions Overlay Columns 60xx 0011 1 Only for SC amp Standalone Overlay IOD Definitions Overlay Type 60xx 0040 1 Only for SC amp Standalone Overlay IOD Definitions 68 doc ver 2 8 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 Origin 60xx 0050 1 Only for SC amp Standalone Overlay IOD Definitions Overlay Bits Allocated 60xx 0100 A 5 12 VOL LUT Module Only for SC amp Standalone Overlay IOD Definitions Only for SC amp Standalone Overlay IOD Definitions Not Used Discarded Not Used Discarded Not Used Discarded Not Used Discarded Not Used Discarded Not Used Discarded Not Used Discar
26. 2 8 14 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 2 1 1 Application Data Flow Diagram DICOM Standard ILLUSTRATION 2 0 Interface IMPLEMENTATION MODEL DATA FLOW DIAGRAM Image Remotely Stored Remote system requests image storage Image Installation DICOM SERVER AE Query Retrieve SCP Request Choose DICOM Ping Request There are three 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 The Choose Push Option Real World activity consists of an operator selecting one or more study series or image in the local database manager and choosing either Send examination Send series or Send image from the Network pull down menu on the local database manager to send the image s to a selected destination 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 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 stud
27. 21 Auto window level window 021 xx83 To window level level 0021 xx84 DS DS DS DS DS B 2 5 Private Creator Identification GEMS_STDY_01 Private Element Creator 0023 10xx LOT 1 SL Number of unachieved Series 00223302 se 1 Reference image field 00252 s10 SS f 1 Summary image 0022 s50 5 1 Start time sec first axial 00223550 1 No ofupdatesto header 002531304 SL 1 Indicates if study has complete info DICOM genesis 0023 xx7D SS 1 HHH B 2 6 Private Creator Identification GEMS_SERS_01 LO Last pulse sequenceused 0025 xx06 5 f 1 Images in Series 0025 xx07 1 Landmark Counter 0025 xx10 SL ss Indicates no of updates to header 0025xxI s 1 doc ver 2 8 79 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 Number of images archived 0025 xx18 Last image number used 0025 xx19 Primary Receiver Suite and Host 0025 xx1A B 2 7 Private Creator Identification GEMS 01 LO Image archive flag 0027x400 s 1 Scout Type 1 1 1 1 jJ 007xx0 SS 1 Foreign Image Revision 00272xx30
28. 7 doc ver 2 8 9 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 doc ver 2 8 sm 2303347 This DICOM Conformance Statement documents the DICOM v3 0 Conformance Statement and Technical Specification required to interoperate with the GEMS network interface Introductory information which is applicable to all GEMS Conformance Statements is described in the document Introduction to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statement Direction 2118780 This Introduction familiarizes the reader with DICOM terminology and general concepts It should be read prior to reading the individual products GEMS Conformance Statements The GEMS Conformance Statement contained in this document also specifies the Lower Layer communications which it supports e g TCP IP However the Technical Specifications are defined in the DICOM v3 0 Part 8 standard For more information including Network Architecture and basic DICOM concepts please refer to the Introduction For the convenience of software developers there is collector Direction available By ordering the collector the Introduction described above and all of the currently published GEMS Product Conformance Statements will be received The collector Direction is ID Net v3 0 Conformance Statements Direction 2117016 For more information regarding DICOM v3 0 copies of the Standard may be obtained by written request or phone by contacting
29. 9 xx57 0019 xx58 0019 xx5E 0019 xx5F 0019 xx60 0019 xx62 0019 xx6A 0019 xx6B 0019 xx70 Set if fat estimates were used 0019 xx76 Primary speed correction used Overrange correctionused 0019 ss 1 Dynamic Zalphavalue onee DS 1 B 1 4 Private Creator Identification GEMS RELA 01 LO Series from which Prescribed 002130 ss 1 Genesis Version now 0021x40 5 1 Series Record checksum 0021xx0 f 1 Genesis version Now 0021xxl8 5 1 Acgreconrecordchecksum 0021xx1 f 1 Screen Format 0021xx37 SS doc ver 2 8 72 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 Anatomical reference for scout 0021 xx4A Tube focal spot position 0021 xx90 Biopsy position 0021 xx91 Biopsy T location 0021 xx92 Biopsy ref location 0021 xx93 B 1 5 Private Creator Identification GEMS STDY 01 B 1 6 Private Creator Identification GEMS SERS 01 Private Element Creator 002510 LO f 1 Last pulse sequenceused 10025009 SS f 1 Images in Series 0025 1 Landmark Counter 0025xx10 SL 1
30. DICOM Conformance Statement Evolution of the Standard may require changes to devices which have implemented DICOM v3 0 In addition GE reserves the right to discontinue or make changes to the support of communications features on its products reflected on 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 To be informed of the evolution of the implementation described in this document the User is advised to regularly check the GE Internet Server accessible via anonymous ftp GE Internet Server Address ftp med ge com 192 88 230 11 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 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 1 5 References A list of references which is applicable to all GEMS Conformance Statements is included in the Introduction to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statement Direction 2118780 1 6 Definitions A set of definitions which is applicable to all GEMS Conformance Statements is included in the Introduction
31. Exam or Get Series or Get Image from the Network pull down menu 2 2 1 2 3 2 Proposed Presentation Contexts doc ver 2 8 24 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 When the Real World activity Get 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 2 2 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 2 1 3 1 Each C MOVE SCU operation supports an Association Timer Operation Inactivity Timer and Session Timer with time out values of 900 seconds 900 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 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 2 1 2 4 DICOM Ping to Remote AE 2 2 1 2 4 1 Associated Real World Activity The operator must first select a destination by choosing Selected remote host from Network pull
32. FILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 2 3 COMMUNICATION PROFILES 2 3 1 Supported Communication Stacks parts 8 9 DICOM Upper Layer Part 8 is supported using TCP IP 2 3 2 TCP IP Stack The TCP IP stack is inherited from a UNIX Operating System 2 3 2 1 Physical Media Support Ethernet v2 0 IEEE 802 3 2 3 3 Point to Point Stack A 50 pin ACR NEMA connection is not applicable to this product doc ver 2 8 34 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 2 4 EXTENSIONS SPECIALIZATIONS PRIVATIZATIONS 2 4 1 Specialized Information Object Definition Following is a list of additional private attributes defined for a standard MR IOD For incoming third party DICOM images the values in these elements are retained without modification 0008 0008 Value 3 MR Image IOD specific specializations PROJECTION IMAGE REFORMATTED SCREEN SAVE PROC COMB Value 4 MR Image implementation specific COLLAPSE VASCULAR IVI Note When converting a received DICOM IOD to Advantage format if element 8 8 does not contain any of the defined values the IOD will be converted to secondary capture IOD 0018 0022 Scan Options Defined Terms NONE VASCTOF GEMS VASCPC GEMS CINE GEMS FAST GEMS IIC GEMS GRAPH GEMS IRP GEMS DEP GEMS CL GEMS SAT GEMS NPW RT GEMS VB GEMS POMP GEMS VB GEMS EDR GEMS SEQ GEMS CS GEMS MP GEMS SQPIX GEMS MT GEMS EPI GEMS TRF GEMS RTR GEMS FT GEMS NF GEMS
33. GE Medical Systems Technical Publications Direction 2303347 Revision 2 8 SIGNA PROFILE 7 80 CONFORMANCE STATEMENT for DICOM v3 0 sm Service Manual do not duplicate Copyright 2001 by General Electric Company GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 blank page doc ver 2 8 2 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 TABLE OF CONTENTS 1 SECTION 1 INTRODUCTION 1 0 1 1 1 2 1 3 1 4 1 5 1 6 1 7 Overview Overall Conformance Statement Documentation Structure Intended Audience Scope and Field of Application Important Remarks References Definitions Symbols and Abbreviations 2 SECTION 2 NETWORK CONFORMANCE STATEMENT 2 0 2 1 2 1 1 INTRODUCTION IMPLEMENTATION MODEL Application Data Flow Diagram 2 1 2 Functional Definition of AE s 2 1 3 Sequencing of Real World Activities 2 2 2 2 1 2 3 2 3 1 AE SPECIFICATIONS DICOM Server AE Specification COMMUNICATION PROFILES Supported Communication Stacks parts 8 9 2 3 2 TCP IP Stack 2 3 3 Point to Point Stack 2 4 2 4 1 EXTENSIONS SPECIALIZATIONS PRIVATIZATIONS Specialized Information Object Definition 2 4 2 Private SOP Classes 2 4 3 Private Transfer Syntax 2 4 4 Private Data Elements 2 5 2 5 1 CONFIGURATION AE Title Presentation Address Mapping 2 5 2 Configurable Parameters 2 6 SUPPORT OF EXTENDED CHARACTER SETS
34. Local Storage FSR Interchange The MOD Archive Application will query the user before initializing media when a File set is found on the media and an initialize operation has been requested Depending on the physical media type being 2 3 GB or 1 2 GB medis the system will apply the correct characteristics as an FSC to meet the appropriate Application Profile As an FSU role the system will produce directory sequences for each SOP instance that is added to the File set consistent with the STD CTMR MOD 12 23 profile and it will make the File set directory so that an early installed base system that only understands the PRI CTMR MOD 12 profile will not be able to use the media An upgrade to the installed base system will be required to learn how to be a FSU or FSR of the STD CTMR MOD 12 23 profile directory sequences 3 2 1 1 File Meta Information for the Application Entity Following are the values set in the File Meta Information for this AE Title Source Application Entity Title Not used by the MOD Archive Application Private Information Creator UID Not used by the MOD Archive Application Private Information Not used by the MOD Archive Application 3 2 1 2 Real World Activities 3 2 1 2 1 Real World Activity Create MOD Request The MOD Archive Application acts as an FSC using the Interchange option when requested to initialize LABEL the media The AE will use the appropriate Application Profile depending on the
35. SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 Appendix A IDO Definitions Enclosed is a listing of only the Optional Conditional modules attributes used by this implementation for CT MR SC and Standalone Overlay IOD s NOTE All other modules which are mandatory and consist of only type 1 elements and attributes which are type 1 pre DICOM standard are supported by this implementation but are not explicitly listed here A 1 CT Specific IOD Definition 1 1 CT Ima e IOD Modules i Patient Study PASS c u Image Plane TAS i Pixel __ Only the type 1 elements Contrast Bolus ASS po CT mage TAN SOPCommn A59 5 M e 1 2 CT Image Module Value always sent Xray Tube Current 018 151 3 Value always sent Exposure i O FQOIRIIS2 Value always sen Filter Type oe 1160 Sent Defined terms BODY FILTER BOWTIE FLAT FILT FLAT FILTER LARGE B TIE FIL Focal Spot 0018 1190 3 Sent Fixed value of 0 7 or 1 2 Convolution Kernel 0018 1210 doc ver 2 8 62 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 Defined Terms TH A 2 MR Specific IOD Definition A 2 1 MR Image IOD Modules po Patient Study TAS po mage Plane A57 Pf mage Pixel Only the type 1 elements are sent po Contrast Bolus A 5 8 MR Image 22 po SOP Common A59 A 2 2 MR Image Module 0018 0022 Always
36. SOP classes doc ver 2 8 32 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 SOP Class Name SOP Class UID CT Image Information Storage 1 2 840 10008 5 1 4 1 1 2 MR Image Information Storage 1 2 840 10008 5 1 4 1 1 4 Secondary Capture image storage 1 2 840 10008 5 1 4 1 1 7 Standalone Overlay storage 1 2 840 10008 5 1 4 1 1 8 In addition to the C MOVE response status values defined in DICOM V3 0 part 4 the following status values will be returned e 000 Indicates that an error occurred while retrieving records from the local database e 001 Indicates all other processing error e 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 an SdC based product 2 2 1 3 4 3 Presentation Context Acceptance Criteria No criterion 2 2 1 3 4 4 Transfer Syntax Selection Policy The SCP does not have a default acceptance policy if more that one acceptable transfer syntaxes are proposed for the same SOP class in separate presentation contexts It is the responsibility of the SCU to make a selection from the list of accepted presentation contexts that apply to any particular SOP class If multiple transfer syntaxes are proposed in the same presentation context the SCP will accept the first one doc ver 2 8 33 GE Medical Systems SIGNA PRO
37. TORE operations over a single association A single association for a single series will be used for the multiple C STORE operations necessary for the images in the series 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 20 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 Each C STORE operation supports an Association Timer This timer starts when the association request is sent and stops when the association is established or rejected The time out is configurable in dcs cfg as bi_assoc_tio and defaults to 30 seconds Each C STORE operation also supports an Operation Inactivity Timer This time out starts once the first C STORE request has been issued on association or received and is reset each time a C STORE response has been received or when subsequent C STORES are sent This time out is configurable in dcs cfg as bi_store_tio and defaults to 90 seconds Each C STORE operation also su
38. and Service Class Options This Application Profile Class uses the Media Storage Service Class defined in PS3 4 with the Interchange Option The Application Entity shall support one or more roles of the File set Creator File set Reader and File set Updater defined in PS3 10 3 3 2 1 1 File Set Creator The Application Entity acting as a File set Creator generates a File Set under the PRI CTMR MODI2 Application Profile Class Typical entities using this role would include CT or MR equipment and archive systems which generate a patient record to transfer to another institution File Set Creator shall be able to generate the Basic Directory SOP Class in the DICOMDIR File with all types of Directory Records related to the SOP Classes stored in the File set FSC for the MOD profile has no concept of finalizing the disc at the completion of most recent write session This is a requirement of CD R and does not apply to the MOD profiles 3 3 2 1 2 File Set Reader The role of File Set Reader is used by the Application Entities which receive a transferred File Set Typical entities using this role would include display workstations and archive systems which receive a patient record transferred from another institution File Set Readers shall be able to read all the SOP Classes defined for the specific Application Profile for which a Conformance Statement is made using all the defined Transfer Syntaxes 3 3 2 1 3 File Set Updater The role of File Set
39. are 2 possible actions 1 the translator will do its best to convert the image and will use default values where DICOM fields are missing 2 If certain critical information is not provided then the image will be stored as a Screen save It is strongly suggested that if GE private element 0009 1001 is present then all GE private elements originally associated with the image be preserved Image Installation of non GE Created MR or CT 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 28 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT sm 2303347 REV 2 8 2 2 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 2 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 2 2 1 3 2 2 Presentation Context Table Table 2 2 1 3 2 2 1 Acceptable Presentation Contexts for DICOM Server AE and Real World Activity Verification Request Presentation Context Table Extended Name UID Verification 1 2 840 10008 1 1 Implicit VR Little 1 2 840 10008 1 2 Endian 2 2 1 3 2 2 1 SOP Specific Conformance to Verifica
40. attribute 0008 0060 in the DICOMDIR Series records should be CT MR for Seconday Capture and Standalone Overlay SOP Class Images Otherwise the SIGNA PROFILE DICOM media display browser will not list up the series for contents rendering the retrieval to local storage impossible 3 3 3 1 4 1 Additional Keys None 3 3 3 1 5 Other Parameters This section defines other parameters common to all specific Application Profiles in the STD CTMR 12 class which need to be specified in order to ensure interoperable information interchange 3 3 3 1 5 1 Image Attribute Values The attributes listed in Table 3 3 3 1 5 1 1 used within the CT MR SC Standalone Overlay Image files shall take the values specified Table 3 3 3 1 5 1 1 CTMR MOD Required Image Attribute Values for CT and MR SC and OV Images Modality 0008 0060 CT MR Photometric Interpretation 0028 0004 MONOCHROME2 Bits Allocated 0028 0100 0028 0101 Overlay data if present shall be encoded in Overlay Data 60XX 3000 3 3 3 1 5 1 1 Attribute Value Precedence None 3 3 3 2 STD CTMR MOD23 Class Profile 3 3 3 2 1 SOP Classes and Transfer Syntaxes This class of Application Profiles is based on the Media Storage Service Class with the Interchange Option see PS3 4 SOP Classes and corresponding Transfer Syntaxes supported by the STD CTMR MOD23 Application Profiles is also specified in the Table 3 3 3 1 1 1 3 3 3 2 2 Physical Media and Media Formats doc v
41. c Film Session SOP Class 1 2 840 10008 5 1 1 Basic Film Box SOP Class 1 2 840 10008 5 1 2 Basic Grayscale Image Box SOP Class 1 2 840 10008 5 1 4 Printer SOP Class 1 2 840 10008 5 1 16 The Print SCU does not support any optional SOP class doc ver 2 8 56 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 4 2 3 1 3 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 DICOM Tag Valid Range Default Value Number of Copies 2000 0010 2000 0020 HIGH HIGH Medium Type 2000 0030 CLEAR FILM Set in Configuration BLUE FILM File PAPER Film Destination 2000 0040 MAGAZINE Set in Configuration PROCESSOR File Session Label 2000 0050 Sdc DICOM PRINT Sdc DICOM PRINT Memory 2000 0060 Sent zero length Sent zero length Allocation If a Failure status is returned during N CREATE operation of Film session following action will be taken by Print SCU 0x213 Resource Limitation message will be sent All other status Failure message will be sent In all the cases the print session will be terminated 4 2 3 1 3 2 Basic Film box SOP Class The Print SCU supports the following DIMSE Service Elements for the Basic Film Box SOP Class N CREATE
42. cation Table End Location P 0027100 Retuned P 00271044 Returned P 00271042 P 00271043 Retuned P 00271055 Returned P 0027105 Returned RAS LetterforSideoflmage 1 P 00271052 Returned RAS Letter for Anterior Posterior P 00271053 Returned RAS Letter for Scout Start Location P 00271054 Returned _ RAS Letter for Scout End Location P 0027 1055 Returned Image DimensionX 1 P 00271060 Returned Image Dimension Y 00271061 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 Heturned 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 doc ver 2 8 31 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 If the database does not have a value corresponding to any requested optional key a zero length element will be returned Except sequence matching all other matchings are supported Only hierarchical query is supported Therefore the C FIND SCP will not perform any extended negotiation
43. ded Not Used Discarded Not Used Discarded iot Used Discarded Not Used Discarded ot Used Discarded Not Used Discarded Not Used Discarded Window Width 0028 1051 Always sent for secondary capture one value For CT and MR images value is calculated from histogram of pixel data The middle point between maximum and minimum pixel value is used Always sent for secondary capture one value For CT and MR images value is calculated from histogram of pixel data The difference between maximum and minimum pixel value is used Window Center amp Width 0028 1055 3 Not used Discarded Explanation A 5 13 Frame of Reference Module Attribute Name Frame of Reference UID 0020 0052 Position Reference Indicator 0020 1040 Value as entered at the user interface A 5 14 SC Equipment Module Attribute Name Modality 0008 0060 Modality of original image MR or CT A 5 15 Overlay Identification Module doc ver 2 8 69 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 Attribute Name Overlay Number 0020 0022 The image number of the image this overlay is for Overlay Date 0008 0024 Date of overlay Overlay Time 0008 0034 Time of overlay A 5 16 Requested Procedure Module Requested Procedure ID 0040 1001 Sent if present in image Referenced Study Sequence 0008 1110 Sent if present in image UID Instance UID A n anes Procedure 17 Sche
44. dies series or images A single association for a single series will be used for the multiple C STORE operations necessary for the images in the series 2 2 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 Operation has been performed The following selection method is used when choosing from multiple accepted transfer syntaxes 1 If image is stored locally in Implicit VR the order of preference is as follows i Implicit VR Big Endian GE private transfer syntax see section 2 4 3 ii Implicit VR Little Endian 2 If image is stored locally in Explicit VR or in proprietary Advantage format the order of preference is as follows i Explicit VR Big Endian ii Implicit Big Endian GE private transfer syntax see section 2 4 3 iii Implicit VR Little Endian iv Explicit VR Little Endian Table 2 2 1 2 1 2 1 Proposed Presentation Contexts for DICOM Server AE and Real World activity Push Image s Presentation Context Table Proposal Abstract Syntax Transfer Syntax Extended Negotiation aaa UID List aa CT Image Storage 1 2 840 10008 5 1 4 1 1 2 Implicit VR Little 1 2 840 10008 1 2 Endian doc ver 2 8 19 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 1 2 840 10008 5 1 4 1 1 2 CT Image Storage MR Image Storage MR Image Storage Secondary Capture Secondary Capture Stand alo
45. down menu on the local database manager and then choose a hostname The operator then has to perform the Real World activity Choose DICOM PING to send a C ECHO request to get the status of the Remote AE 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 2 1 2 4 2 Presentation Context Table Table 2 2 1 3 2 2 1 Acceptable Presentation Contexts for DICOM Server AE and Real World Activity DICOM Ping Presentation Context Table Abstract Syntax Transfer Syntax Extended Negotiation Name UID UID List Elie Verification 1 2 840 10008 1 1 Implicit VR Little 1 2 840 10008 1 2 Endian doc ver 2 8 25 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 2 2 1 2 4 2 1 SOP Specific Conformance Statement to Verification SOP Class The DICOM Server AE provides standard conformance to the DICOM Verification Service Class Each ECHO operation supports an Association Timer Operation Inactivity Timer and Session Timer with a time out values of 300 seconds 90 seconds and 60 minutes respectively Upon receiving a C ECHO RSP containing a successful status a message will be posted to the operator indicating success 2 2 1 3 Association Acceptance Policy The DICOM Server AE places no limitations on who may connect to it When the DICOM Server AE accepts an association for image storage it wil
46. duled Procedure LU Moaie Module Attribute Name Scheduled Procedure Step 0040 0007 1C Sent if present in image Description Scheduled Procedure Action Item 0040 0008 MR does not use Code Sequence Schedule Procedure Step ID 0040 0009 Sent if present in image doc ver 2 8 70 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 Appendix B Private Data Elements Enclosed is a listing of private data elements used in this implementation for CT MR Image IOD definition 1 CT Image IOD Private Data Elements Definition B 1 1 Private Creator Identification GEMS_IDEN_01 Private Element Creator J 000910x LO J 1 Fulfiddiy J 0009xx00 1 Suteid owe 5 1 Productia 0009xx0 SH 1 Image actual date owen SL 1 le le Seviceid 0009 xx30 1 Mobile location number 0009 xx31 5 1 Equipment UID 0009 xxE3 1 Genesis Version now 10009 5 1 Exam Record checksum 0009xxED UL 1 Actual series data time stamp 0009xxE9 SL 1 B 1 2 Private Creator Identification GEMS_PATI_01 Private Element Creator 0011 10xx 0011 xx10 B 1 3 Private Creat
47. eation 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 doc ver 2 8 39 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 The MOD Archive Server AE can initialize Media by acting as an FSC to create a new DICOM File set on a 2 3 GB MOD media or a 1 2GB MOD media It initializes the DICOM File set and writes the specified SOP instances onto the MOD The SOP instances written will be limited to instances that match the criteria of one of the Application Profiles that is supported When updating media a pre existing File set will be updated with the selected SOP instances that match one of the supported Application Profiles 3 1 2 Functional Definitions of AE s This Server has only one Application Entity the MOD Archive Application The MOD Archive Application can perform these functions e It can initialize create DOS filesystem a piece of media writing a new label and DICOM File set onto the media LABEL e It can update a piece of media by adding new SOP instances to an already existing DICOM File set from local storage SAVE e It can display a directory listing of the File set on a piece of media QUERY e It can copy SOP instance from the MOD onto local storage RESTORE 3 1 3 Sequencing of Real World Activities The updatin
48. ent Always sent zero length Generated for each image always sent Generated for each image always sent Always sent Generated for each acquisition always sent Generated for each acquisition always sent Not Used Discarded Not Used Discarded Not Used Discarded Not Used Discarded Not Used Discarded Not Used Discarded Not Used Discarded A 5 7 Image Plane Module Value always sent A 5 8 Image Pixel Module Value always sent Value always sent Not Used Discarded Pixel Aspect Ratio Smallest Image Pixel Value 0028 0106 3 Not Used Discarded Largest Image Pixel Value 0028 0107 3 NotUsed Discarde Red Palette Color Lookup Table 0028 1101 1C Descriptor 3 3 Descriptor 1 i Blue Palette Color Lookup Table 0028 1103 1C Not Used Discarded doc ver 2 8 67 ot Used Discarded GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 Descriptor o oo Red Palette Color Lookup Table 0028 1201 Data Green Palette Color Lookup Table 0028 1202 Data ot Used Discarded N N ot Used Discarded Blue Palette Color Lookup Table 0028 1203 1 Not Used Discarded Data A 5 9 Contrast Bolus Module Attribute Name Contrast Bolus Agent gt Code Value gt Coding Scheme Designator 0018 0010 g Type 0010 2 Contrast Bolus Agent Sequence 0018 0012 3
49. equence 0008 1120 3 Not used Will be discarded gt Referenced SOP Class UID 00081150 Notused Will be discarded Not used Will be discarded Not used Will be discarded Not used Will be discarded Not used Will be discarded Not used Will be discarded Not used Will be discarded A 5 2 General Study Module Attribute Name Study Instance UID 0020 000D 1 Value from worklist is used if present and single worklist entry Value is generated uniquely for each exam if worklist entry is not present or multiple worklists entries are satisfied with this study worklist Truncated to 33 characters A 5 3 Patient Study Module Attribute Name removed user interface Patient s Size 0010 1020 3 Not Supported Information will be removed Patient s Weight 0010 1030 Value from user interface removed interface Truncated to 60 characters A 5 4 General Series Module doc ver 2 8 65 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 0008 0060 0008 0031 Not Used Discarded Sent if entered at user interface Limited to 24 characters Value from user interface is sent Value from user interface is sent Limited to 4 characters 0008 103E gt Referenced SOP Class UID 0008 1150 gt Referenced SOP Instance UID 0008 1155 Body Part Examined 0018 0015 Patient Position 0018 5100 Value used for performed procedure
50. er 2 8 47 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 The CT MR Application Profiles in the STD CTMR MOD23 require the 130mm 1 2GB 512 Byte per Sector Magneto Optical Rewritable physical media with the PC File System as defined in PS3 12 3 3 3 2 3 Logical Format The STD CTMR MOD23 Application profile media format conforms to the Logical Format specification in PS3 12 The following table 3 3 3 2 3 1 defines the specific values used for this profile Table 3 3 3 2 3 1 Boot Sector for STD CTMR MOD23 conformance media 00 02 OxEB3CO0 Jump instruction to loader NOPs 62 500 Any contents acceptable _ _ 3 3 3 2 4 Directory Information in DICOMDIR Conformant Application Entities shall include in the DICOMDIR File a Basic Directory IOD containing Directory Records at the Patient and subsidiary levels appropriate to the SOP Classes in the File set All DICOM files in the File set incorporating SOP Instances defined for the specific Application Profile shall be referenced by the Directory Records All DICOM SOP Instance files in the File set are stored in the MSDOS file system subdirectory GEMS and are referenced from the DICOMDIR directory records Refer to Appendix C for a complete listing of all the optional modules and optional attributes used in the DICOMDIR definition Please note that the mandatory attributes in each of the directory records as mentioned
51. eta SOP class 1 2 840 10008 5 1 1 9 Printer SOP class 1 2 840 10008 5 1 1 16 doc ver 2 8 54 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 4 2 2 Association Establishment Policy 4 2 2 1 General The Print SCU provides options to indicate the printer AE title Printer host name In this product these inputs are provided by Film Composer Depending on these inputs the Print SCU will establish the association with the desired printer 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 Print SCU AE is Maximum Length PDU 10 Kbytes 4 2 2 2 Number of Associations The Print SCU will initiate only one association with printer This will not initiate any other associations while the current association is active 4 2 2 3 Asynchronous Nature The print SCU does not support asynchronous operations All operations will be performed synchronously 4 2 2 4 Implementation identifying information The Implementation UID allows unique identification of a set of products that share the same implementation The Implementation UID for this GEMS Implementation is SIGNA PROFILE Implementation UID 1 2 840 113619 6 93 4 2 3 Association Establishment Policy doc ver 2 8 55 GE Medical S
52. following DICOM v3 0 SOP Classes as an SCU 1 2 840 10008 5 1 4 1 2 2 1 This Application Entity provides Standard Conformance to the following DICOM v3 0 SOP classes as an SCP 1 2 840 10008 5 1 4 1 1 4 1 2 840 10008 5 1 4 1 2 2 1 doc ver 2 8 17 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 2 2 1 1 Association Establishment Policy 2 2 1 1 1 General The DICOM Application Context Name ACN which is always proposed is Application Context Name 1 2 840 10008 3 1 1 1 The Maximum Length PDU negotiation is included in all association establishment requests The maximum length PDU for association initiated by the DICOM Server AE is Maximum Length PDU 36 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 Syntaxes The user information items sent by this product are Maximum PDU Length and Implementation UID 2 2 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 or respond to an echo 2 2 1 1 3 Asynchronous Nature Asynchronous mode is not supported All operati
53. g function can only be performed on a piece of media that has already had a DICOM File set created The display function can only be performed on a piece of media that has already had a DICOM File set created With no SOP instances having been added the directory will be displayed empty The copy function can only be performed with a piece of media that had been updated and had DICOM SOP instances in the File set There are no other sequencing requirements 3 1 4 File Meta Information for Implementation Class and Version The File Meta Information for this implementation is SIGNA PROFILE 1 2 840 113619 6 93 Implementation UID Implementation Version Name OFFIS_DCMTK_341 3 2 AE Specifications doc ver 2 8 40 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 3 2 1 MOD Archive Specification The MOD Archive provides standard conformance to DICOM Interchange Option of the Media Storage Service Class The Application Profiles and roles are listed in Table 3 2 1 Table 3 2 1 Application Profile Activities and Roles for MOD Update Application Profiles Real World Activity SC Option Supported PoE UpdteMOD po Directory PoC To Local Storage ge il Pp Display Directory FSR Interchange Copy To Local Storage FSR Interchange pdate MOD FSU Intrchange Pp Display Directory FSR Interchange Copy To
54. hall take the values specified Overlay data if present shall be encoded in Overlay Data 60X X 3000 3 3 4 1 5 1 1 Attribute Value Precedence None 3 4 Extensions Specialization s and Privatization s of SOP Classes and Transfer Syntaxes 3 4 4 Extensions Specialization s and Privatization s of SOP Classes The CT MR SOP Class Images have definitions extended for Defined Terms and include GE specific Private Data elements The following sections describe the details for these SOP classes 3 4 1 1 SOP Specific Conformance Statement for CT SOP Class Refer to section 2 4 for standard extensions and Appendix B for private data elements 3 4 1 2 SOP Specific Conformance Statement for MR SOP Class Refer to section 2 4 for standard extensions and Appendix B for private data elements 3 4 2 Private Transfer Syntax Specification The SOP instance files in the Media File set in the PRI CTMR MODI2 profile uses a non standard JPEG compression process resulting in interoperability problems when decoded using readily available industry standard JPEG decompression routines 3 5 Configuration The MOD Archive Application will have only 1 2GB drive installed Table 3 5 1 Supported Profiles for various Drive Configurations Disk Drive Installed Profiles Supported 1 3 GB Optical Disk Drive PRI CTMR MODI2 OO O STD CTMR MOD12 2 6 GB Optical Disk Drive PRI CTMR MOD12 p STD CTMR MODI2 Id STD CTMR MOD23
55. ion Stacks parts 8 9 60 4 3 2 TCP IP Stack 60 4 4 Standard Extended Specialised Private SOPs 61 4 5 Configuration 61 4 5 1 AE Title Presentation Address Mapping 61 4 5 2 Configurable Parameters 61 4 6 Support of Extended Character Set 61 APPENDIX A IDO DEFINITIONS 62 doc ver 2 8 4 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 APPENDIX B PRIVATE DATA ELEMENTS APPENDIX C DICOMDIR DIRECTORY INFORMATION doc ver 2 8 5 71 82 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 doc ver 2 8 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 THE SERVICE MANUAL HAS BEEN CONSULTED AND UNDERSTOOD FAILURE TO HEED THIS WARNING MAY RESULT IN INJURY TO THE SERVICE PROVIDER OPERATOR OR PATIENT FROM ELECTRIC SHOCK MECHANICAL OR OTHER HAZARDS GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 1 SECTION 1 INTRODUCTION 1 0 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 the GEMS equipment compliance to the DICOM requirements for the implementa
56. itions For example a GEMS 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 GEMS implementation If the user encounters unspecified private data elements while parsing a GEMS Data Set the user is well advised to ignore those data elements per the DICOM v3 0 standard Unspecified private data element information is subject to change without notice If however the device is acting as a full fidelity storage device it should retain and re transmit all of the private data elements which are sent by GEMS devices doc ver 2 8 11 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 1 4 Important Remarks The use of these DICOM Conformance Statements in conjunction with the DICOM v3 0 Standards is intended to facilitate communication with GE imaging equipment However by itself it is not sufficient to ensure that inter operation will be successful The user or user s agent needs to proceed with caution and address at least four issues doc ver 2 8 Integration The integration of any device into an overall system of interconnected devices goes beyond the scope of standards DICOM v3 0 and of this introduction and associated DICOM Conformance Statements when interoperability with non GE equipment is desired The responsibili
57. ive 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 e 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 C FIND 16 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 RSP message The Remote AE can terminate the query by sending a C CANCEL FIND RQ message e Retrieve If a C MOVE RQ message is received the DICOM Server AE will lookup 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 MOVE RSP will be sent back with an appropriate status 2 1 3 Sequencing of Real World Activities Real World Activity Query Remote must be performed before Choose Pull Option can be performed 2 2 AE SPECIFICATIONS 2 2 1 DICOM Server AE Specification This Application Entity provides Standard Conformance to the
58. l receive any images transmitted on that association and store the images on disk It will also respond to queries from Remote AEs by sending matching entries Any Remote AE can request and receive a list of images on the local database The Remote AE must be configured in the local database manager s list of Remote AE for it to be able to retrieve images from DICOM Server AE Any remote AE can open an association to the DICOM Server AE for the purpose of verification 2 2 1 3 1 Receive Image s This AE is indefinitely listening for associations No operator action is required to receive an image 2 2 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 SIGNA PROFILE 2 2 1 3 1 2 Presentation Context Table Table 2 2 1 3 1 2 1 Acceptable Presentation Contexts for DICOM Server AE and Real World Activity Receive Image s Presentation Context Table Abstract Syntax Transfer Syntax Extended Negotiation doc ver 2 8 26 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 UID List IEEE Endian GE Private Endian GE Private ndian Note The SCP does not have a default acceptance policy if more that one acceptable transfer syntaxes are proposed by the SCU It is the responsibility of the SCU to make a selection from more than one transfer syntanxes accepted If multiple transfer syntaxes are pro
59. minated and the requester will be notified of the printer status If the WARNING status is received the SCU will continue with the print session 0008 0070 Printer shall return Value Manufacturer Model 0008 1090 Printer shall return Value Name Device Serial No 1800 1000 Printer shall return Value doc ver 2 8 59 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 Software Versions 1800 1020 Printer shall return Value Date Last Calibrated 1800 1200 Printer shall return Value Time Last Calibrated 1800 1201 Printer shall return Value The Print SCU issues the N GET service to retrieve the printer status The statuses are processed as follows If Printer status 2110 0010 is NORMAL the film is printed If Printer status 2110 0010 is FAILURE the print job is terminated The Printer Status Info 2110 0020 attribute is not processed e If Printer status 2110 0010 is WARNING one of three things will happen a Ifthe 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 c For all other Printer Status Info 2110 0020 values the status is ignored and the print job continues 4 2 4 Association Acceptance Policy The Print SCU does no
60. n alphabet 1 supplementary set for the purpose of interchange 38 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 3 MEDIA STORAGE CONFORMANCE STATEMENT 3 0 Introduction This Conformance Statement CS specifies the SIGNA PROFILE compliance to DICOM v3 0 Media Interchange It details the DICOM Media Storage Application Profiles and roles which are supported by this product in it s version 7 80 Note the format of this section follows the format of the DICOM Standard Part 2 conformance Annex C hence the paragraph numbering scheme Please refer to that part of the standard while reading this section 3 1 Implementation Model MOD Archive Server All DICOM functionality on the SIGNA PROFILE 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 3 1 1 Application Data Flow Diagram The MOD Archive Server creates and or updates the 5 25 inch 130mm MOD media with various DICOM SOP instances It can process CT MR Secondary Capture and Overlay IOD s Illustration 3 1 Specific AE Application Model Display Directory Create MOD DICOM MOD Archive Server AE Media Storage Local Storage Update MOD The MOD Archive Server AE has a local storage that may contain various SOP instances These may have been obtained by original cr
61. n invoke the Pull operation by choosing Get Exam or Get Series or Get Image from the Network pull down menu or the operator can cause a new association with different parameters to the same Remote AE by choosing Change search parameters from the Search pull down menu on the remote database manager 2 2 1 2 2 2 Proposed Presentation Contexts 2 2 1 2 2 2 1 When the Real World activity Query or Pull 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 SOP Specific Conformance Statement for C FIND SCU After the Query operation is initiated the DICOM Server AE will perform a study root C FIND RQ request at each of the three levels Study Series and Image in succession The Initial Study Level request will ask for all studies in the Remote database that match the user specified Patient name Patient id Study date Accession number and Study id Zero length data in any of those fields means match on any value Zero length data is the default value if the user does not specify a value The user specified Patient name will come surrounded by single asterisks asterisk is a wild card that matched any number of characters The Study date is a range of dates where a date is exactly 8 characters long and the format of the range is is any date
62. nd this is used to initiate the local real world activity User issues the print request using Film Composer Film composer allows printer selection and it composes the preformatted film file This film file is interpreted by SCU and it sends the appropriate messages to DICOM print SCP running on DICOM printer doc ver 2 8 53 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 4 1 2 Functional Definition of AE s DICOM Print SCU Establishes the Association with requested printer to print the composed film If the Remote AE accepts the presentation context applicable to the print job the DICOM Print AE SCU will send the print job to the receiving Remote AE by using the N CREATE and N SET services 4 1 3 Sequencing of Real World Activities User has to select the DICOM printer from Film Composer Interface The images to be printed shall be dragged and dropped into film composer slots from Viewing applications either manually or automatically In case of manual drag and drop user has to press Print Button to print the images The Print SCU will start the Print Session The Print Session involves establishing association with printer followed by the next sequence of activities The Print SCU gets the Printer status using N GET service If the Printer returns FAILURE status the print session will be terminated and the requester will be notified of the printer status The film session is created using N CREATE
63. ndian syntax except for the encapsulation of the pixel data Pixel data element 7FE0 0010 is encoded in Big Endian format for this private transfer syntax All other elements are encoded in Little Endian format as dictated by the DICOM standard The following table shows the presentation contexts that are proposed for GE private SOP classes doc ver 2 8 36 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 Presentation Context Table Accepted Proposed Transfer Syntax Abstract Syntax GE Private DICOM MR Image Information Object ID Net v2 0 GE Private DICOM MR Image Information Object ID Net v2 0 GE Private DICOM CT Image Information Object ID Net v2 0 compatible GE Private DICOM CT Image Information Object ID Net v2 0 compatible GE Private DICOM Display Information Object ID Net v2 0 compatible GE Private DICOM Display Information Object ID Net v2 0 compatible doc ver 2 8 1 2 840 113619 4 2 1 2 840 113619 4 2 1 2 840 113619 4 3 1 2 840 113619 4 3 1 2 840 113619 4 4 1 2 840 113619 4 4 Implicit VR Little Endian Implicit VR Big Endian GE Private Implicit VR Little Endian Implicit VR Big Endian GE Private Implicit VR Little Endian Implicit VR Big Endian GE Private 37 UID List 1 2 840 10008 1 2 1 2 840 113619 5 2 1 2 840 10008 1 2 1 2 840 113619 5 2 1 2 840 10008 1 2 1 2 840 113619 5 2 Extended Negotiation
64. ne Overlay Stand alone Overlay Study Root Query Retrieve FIND Study Root Query Retrieve MOVE Note 2 2 1 2 1 2 1 Classes doc ver 2 8 1 2 840 10008 5 1 4 1 1 4 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 7 1 2 840 10008 5 1 4 1 1 8 1 2 840 10008 5 1 4 1 1 8 1 2 840 10008 5 1 4 1 2 2 1 Implicit VR Little 1 2 840 10008 1 2 Endian 1 2 840 10008 5 1 4 1 2 2 2 Implicit VR Little 1 2 840 10008 1 2 ome Endian sm 2303347 1 2 840 10008 1 2 1 Implicit VR Big Endian GE private Explicit VR Little Endian Explicit VR Big Endian Implicit VR Little Endian Implicit VR Big GE 1 2 840 10008 1 2 2 1 2 840 10008 1 2 1 2 840 113619 5 2 Explicit VR Little 1 2 840 10008 1 2 1 Endian Explicit VR Big Endian Implicit VR Little Endian Implicit VR Big GE 1 2 840 10008 1 2 2 1 2 840 10008 1 2 1 2 840 113619 5 2 Explicit VR Little 1 2 840 10008 1 2 1 Endian Explicit VR Big Endian Implicit VR Little Endian Implicit VR Big GE 1 2 840 10008 1 2 2 bol 1 2 840 10008 1 2 1 2 840 113619 5 2 Explicit VR Little 1 2 840 10008 1 2 1 Endian Explicit VR Big Endian 1 2 840 10008 1 2 2 Other Presentation contexts with private SOP class names may be offered when establishing an association These are private SOP classes which may be ignored See section 2 4 2 SOP Specific Conformance Statement for Image Storage SOP This implementation can perform multiple C S
65. nges 0043x 19 ss 5 image scalefactors 0043xx1 Ds 1 BBH coefficients Ows Ds 3 O Number of BBH chainstoblend 0043 19 SS f 1 Starting channel number 003 s 1 Ppscanparameters 0043xxlB ss 1 GE image integrity owa 55 1 Levlvaue 043 xxID 5 1 Delta starttime J 00M3xxlE s 1 SL Avg ovemangesallviews 0043x320 DS 1 doc ver 2 8 74 PR Go J Oo GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 0043 OB _ Duatonofxrayon 0043 xx m 4 slop_int_10 slop_int_17 0043xx60 165 8 gt B 1 10 Private Creator Identification GEMS_HELIOS_01 doc ver 2 8 75 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 i Phantom calibration time 0045 xx1C B 2 MR Image IOD Private Data Elements Definition B 2 1 Private Creator Identification GEMS IDEN 01 Private Element Creator J 000910x LO 1 Full fidelity 0009 xx01 1 Suteid owe 1 Productida ow
66. of Application Profiles that invoke this AE for the MOD Copy to Local Storage RWA see Table 3 2 1 3 2 1 2 4 2 Options None applicable 3 3 Standard Augmented and Private Application Profiles 3 3 1 Class and Profile Identification The Class of Application Profiles defined here is for Computed Tomography and Magnetic Resonance Imaging Clinical applications The identifier for this class is CTMR MOD The specific Application Profile in this class is shown in Table 3 3 1 1 Table 3 3 1 1 CTMR MOD Profiles CT MR Studies on 2 3 GB STD CTMR MOD23 It handles single frame 12 or 16 bit MOD media grayscale compressed uncompressed images CT MR Studies on 1 2 GB STD CTMR MOD12 It handles single frame 12 or 16 bit MOD media grayscale compressed uncompressed images CT MR Studies on 1 2 GB PRI CTMR MOD12 It handles single frame 12 or 16 bit MOD media grayscale compressed uncompressed images 3 3 2 Clinical Contexts doc ver 2 8 43 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 This Application Profile facilitates the interchange of primary CT and MR images as well as processed CT and MR images as Secondary Capture and Standalone Overlay Images Please refer to appendix A for the IOD definitions CT MR SC and OV images may co exist within the same File set Typical interchanges would be between acquisition devices archives and workstations within and between institutions 3 3 2 1 Roles
67. ons will be performed synchronously 2 2 1 1 4 Implementation Identifying Information The Implementation UID allows unique identification of a set of products that share the same implementation The Implementation UID for this GEMS Implementation is SIGNA PROFILE Implementation UID 1 2 840 113619 6 93 doc ver 2 8 18 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 2 2 1 2 Association Initiation by Real World Activity This AE attempts to initiate a new association due to a Push operation initiated by the user A new association is also initiated when the user performs a Query Remote operation or issues a retrieve operation by performing a Get operation at Study Series Image level 2 2 1 2 1 Push Image s to Remote AE 2 2 1 2 1 1 Associated Real World Activity 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 Send examination Send series or Send image from the Network pull down menu on the local database manager Note If multiple study series or images are chosen to be pushed one association will be established for each of the stu
68. or Identification GEMS ACQU 01 Private Element Creator 001910x LO 1 Numter of cells I in Detector 0019x0 SL 1 Cell number at Thea 0019x0 DS 1 Cell spacings ooo DS 1 Horiz frame of ref ne DS f 1 Seresconrast oon 5 1 Startnumberforbaseline 0019xxI3 5 1 End number for baseline 0019xxI ss 1 Start number for enhanced scans 0019xxI5 SS f 1 End numberforenhancedscans 001916 SS f 1 Seriesplane ooann ss 1 O FstscanRAS ooo LO First scan location ooo Ds 1 LastscamRAS 00l9xxlA Lastscanloc 009xx3lB DS _1__ Display field of view Oox Ds 1 Table speed ooe s 1 Mid scantime o 0019x222 DS 1 doc ver 2 8 71 m m m m m 1 1 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 gt ka gt gt gt gt gt i 0019 xx52 001
69. physical media type that is in the optical disk drive be it 2 3 GB or 1 2 GB media doc ver 2 8 41 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 The MOD Archive Application will label the media and take the user provided list of SOP instances eliminating any SOP instances on that list that does not correspond to one of the Application Profiles in Table 3 2 1 These SOP instances are written to the media and a corresponding DICOMDIR is created The determination of the potentially applicable Application Profile is dependent on the type of media and the associated software on which the AE has been invoked 3 2 1 2 1 1 Application Profiles for the RWA Create MOD For the list of Application Profiles that invoke this AE for the Create MOD RWA see Table 3 2 1 3 2 1 2 2 Real World Activity Display Directory The MOD Archive Application acts as an FSR using the Interchange option when requested to provide a directory listing When an MOD update 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 3 2 1 2 2 1 Media Storage Application Profiles for the RWA Display Directory For the list of Application Profiles that invoke this AE for the MOD directory listing RWA see Table 3 2 1 There are no extensions or specialization s 3 2 1 2 2
70. ponding Transfer Syntaxes supported by the PRI CTMR MODI2 Application Profiles is specified in the Table 3 3 3 1 1 1 NOTE The MOD Archive Application chooses the JPEG Lossless compression selection value 1 as the default transfer syntax for storing images on the media But the transfer syntax is selectable on a per media basis at install time using a method defined by the Application The SOP instance files in the Media File set in the PRI CTMR MIDI2 profile uses a non standard JPEG compression process resulting in interoperability problems when decoded using readily available industry doc ver 2 8 49 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 decompression routine See section 3 4 3 for details of the encoding problem unique to the PRI CTMR MODI2 profile 3 3 4 1 2 Physical Media and Media Formats The CT MR Application Profiles in the PRI CTMR MOD12 require the 130mm 1 2GB 512 Byte per Sector Magneto Optical Rewritable physical media with the PC File System as defined in PS3 12 3 3 4 1 3 Logical Format The PRI CTMR MODI2 Application profile media format conforms to the Logical Format specification in PS3 12 Table 3 3 3 1 3 1 defines the specific values used for this profile 3 3 4 1 4 Directory Information in DICOMDIR Conformant Application Entities shall include in the DICOMDIR File a Basic Directory IOD containing Directory Records at the Patient and subsidiary levels appropriate to the SOP
71. posed in the same presentation context the SCP will accept the first one 2 2 1 3 1 2 1 SOP Specific Conformance to Storage SOP Classes The DICOM Server AE conforms to the SOP s of the Storage Service Class at level 1 base Type 3 elements will be discarded unless explicitly stated otherwise reference Appendix A IOD Definitions Private elements will be discarded from the image when receiving images containing non GE private data elements Each C STORE SCP operation supports an Association Timer Operation Inactivity Timer and Session Timer with time out values of 900 seconds 900 seconds and 60 minutes respectively 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 e 0110 Processing Failure Indicates that an internal system call has failed while processing an image doc ver 2 8 27 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 doc ver 2 8 sm 2303347 e 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 SIGNA PROFILE system e A712 Out of Resources Indicates that there was not enough resource such as memory to store the image e A800 SOP Class not supported In the event of a successful C STORE operation the image has successfully been written to disk The
72. pports a Session Timer This timer starts when the association is established and stops when the association is ended This time out is configurable in dcs cfg as bi_session_tio and defaults to 60 minutes If any of the three timers mentioned above expires the connection is closed and the operation in progress is considered failed When DICOM Server AE initiates an association to issue a C STORE one of the following two operations will be performed If the image is stored locally on the SIGNA PROFILE in DICOM format Dic appears in the Fmt column at the exam level of the local database manager 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 If the image is stored locally on the SIGNA PROFILE in a non DICOM Advantage format Adv appears in the Fmt field at the exam level of the local database manager the image will be translated and then transmitted by the DICOM Server AE to the identical profiles specified by the CT Advantage Conformance Statement for DICOM v3 0 Direction 2118781 and the MR Signa Advantage Conformance Statement for DICOM v3 0 Direction 2118782 2 2 1 2 2 Query Remote AE 2 2 1 2 2 1 Associated Real World Activity doc ver 2 8 The operator must first select a destination by choosing Selected remote host from Network pull down menu on the local database manager and then choose a ho
73. sent even if value is zero length MR Acquisition Type 0018 0023 2D or 3D depending on acquisition type Sequence Variant is not SK Always sent Y or N Number Of Averages 0018 0083 3 Always sent_ even if value is zero length Imaging Frequency 0018 0084 3 Always sent_ even if value is zero length Imaged Nucleus 0018 0085 3 Zerolengthelementissen Echo Number 00180086 3 Always sent even if value is zero length Magnetic Field Strength 0018 0087 3 Sentifavailable else not sent Spacing Between Slices 00180088 3 Always sent_ even if value is zero length Percent Sampling 0018 0093 3 Always sent_ even if value is zero length Percent Phase Field of View 00180094 3 Always sent_ even if value is zero length Pixel Bandwidth 001800905 3 Sent if available else not sen Nominal Interval 0018 1062 3 Sent if available else not sen Heart Rate 100018 1088 3 Sentif available else not sen Cardiac Number of Images 0018 1090 3 Sent if available else not sent doc ver 2 8 63 GO GO J Go Go Go Go Go Go Go Go Go GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 Phase Encoding Direction 0018 1312 3 Sent if available else not sent Is ROW or
74. service In case of error return the print session will be terminated The attribute values for the Film session will be specified with the film session request The film box is created using N CREATE service The print session will be terminated if the printer fails to create the film box The film box attribute values will be sent in the film box create request The image attributes for the images to be printed in this session will be set using the N SET service If the printer fails to accommodate the images in the image set to be printed the print session will be terminated The film will be printed using the N ACTION service Only film box printing is supported In case of error the print session will be terminated Film box instance will be deleted using the N DELETE service The SCU does not wait for N LEVENT REPORT from Printer after deleting the film box instance The N EVENT REPORT received when the asssociation is still active are handled but the data received will be ignored Finally the association will be terminated and if all the above operations are successful the requester will be notified of the successul print session This just indicates the images to be printed have been successfully sent to the printer 4 2 AE SPECIFICATIONS 4 2 1 DICOM Print SCU AE Specification Print SCU provides Standard Conformance to the following DICOM 3 0 SOP classes as an SCU SOP CLASS SOP CLASS UID Basic grayscale print management m
75. step Value used for performed procedure step Not Used Will be discarded Sent As selected by operator when patient is positioned Defined terms are Head First Prone HFS Head First Supine Head First Decubitus Right Head First Decubitus Left FFDR Feet First Decubitus Right FFDL Feet First Decubitus Left FFP Feet First Prone FFS Feet First Supine A 5 5 General Equipment Module Attribute Name SYSTEMS characters Institution Address 0008 008 1 Not Used Discarded Station Name 0008 1010 3 Sent Value is configurable Limited to 8 characters Institution Department Name 0008 1040 Not Used Discarded Manufacturers Model Name 0008 1090 o Sequence i Device Serial Number 0018 1000 Sent if present in image Software Versions 0018 1020 3 Always sent as 07 for this version does not distinguish individual software releases Spatial Resolution 0018 1050 Sent only for MR images Date of Last Calibration 00181200 3 4J 0 0 000 Time of Last Calibration 018120 3 J 0o 0 Pixel Padding Value 0028 0120 3 Sent For CT images the value used may not correspond to the actual value used in doc ver 2 8 66 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 the image Older CT scanners used 32768 while newer scanners use 2000 as padding A 5 6 General Image Module Notes Generated sequentially always s
76. stname 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 Heceive entry is selected from the Network pull down menu Otherwise if the operator had set Custom search to On when setting the Remote host parameters the Query operation will cause a Customize search parameters menu to appear The operator can 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 21 SIGNA PROFILE CONFORMANCE STATEMENT GE Medical Systems REV 2 8 sm 2303347 selects a range type from the Exam date pull down menu where the choices are All Before Between or Exactly Once a range type is selected the correct number of fields appear 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 ca
77. t accept associations 4 3 COMMUNICATION PROFILES doc ver 2 8 4 3 1 Supported Communication Stacks parts 8 9 DICOM Upper Layer Part 8 is supported using TCP IP 4 3 2 TCP IP Stack The TCP IP stack is inherited from the UNIX Operating System 4 3 2 1 Not Applicable 4 3 2 2 Physical Media Support Ethernet v2 0 IEEE 802 3 60 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 4 4 Standard Extended Specialised Private SOPs None 4 5 Configuration 4 5 1 AE Title Presentation Address Mapping The Local AE title is Print SCU The SIGNA PROFILE system allows the user to Remove or Update the mapping of remote DICOM Printer AE Titles to IP Addresses and Ports These options can be selected from the Remote Printer Selection menu displayed by choosing Configure button from the Film Composer 4 5 2 Configurable Parameters The following fields are configurable for the DICOM Print SCU AE e Local IP Address e Local IP Netmask e Max PDU length e Time outs which are set for all hosts are configurable in dprint cfg Association time out bi assoc tio Session timeout bi session tio Create timeout bi ncreate tio Note All configurations should be performed by a GE Field Service Engineer 4 6 Support of Extended Character Set The Print SCU does not support any Extended Character Set doc ver 2 8 61 GE Medical Systems
78. te Creator Identification P 0021 0010 GEMS RELA 01 Scout Anref P 0021 104A Zero Length Private Creator Identification TP 0027000 GEMS_IMAG 01 Location RAS 1 P 00271040 Zero Length Location P 00271041 Zero Length Center R Coordinate P 100271042 Zero Length Center A Coordinate P 100271043 Zero Length Table Start Location P 00271050 Zero Length Table End Location P 0027 1051 Zero Length RAS Letter for Side of Image P 0027 1052 ZeroLength RAS Letter for Anterior Posterior TP 00271053 ZeroLength RAS Letter for Scout Start Location P 00271054_ ZeroLength RAS Letter for Scout End Location P 0027 1055 ZeroLength Image Dimension X TP 00271060 Zero Length Image Dimension Y PS 00271061 Zero Length Note In the above tables the type field has the following meaning R Required U Unique O Optional P Private 2 2 1 2 3 Get Image s from Remote AE 2 2 1 2 3 1 Associated Real World Activity The operator must first select a destination by choosing Selected remote host from Network pull down 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
79. ther component doc ver 2 8 30 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 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 Type Tag Usage 0020003 Matched O 00080008 Retuned O 00280010 Returned O 00280011 Returned O 00200032 Retuned O 00200037 Retuned O 00180050 Returned O 00180088 __ Returned O 0018 1120 Returned O 0018 1210 Returned O 008100 Returned O 0018009 Returned O 0018 1314 O 0018 0086 Retuned O 00180081 Retuned O 00180082 Returned O 00180080 Returned O 0018 1060 Retuned Private Creator Identification IP 0019 010 GEMS ACQU 01 DfovRect 1 1 y O Dfov Rect Midscan Time Azimuth Number of Echo Scout Anref P 001910tE Returned P 00197022424 Returned P 0019105 Returned P 0019 07E Returned Private Creator Identification IP 0021 0010 GEMS RELA 01 Scout sd P 0021 104A Private Creator Identification P 0027 0010 GEMS IMAG 01 Location RAS Location Center R Coordinate Center A Coordinate Table Start Lo
80. tion SOP Class Abstract Syntax Transfer Syntax Negotiation UID List y y The DICOM Server AE provides standard conformance to the DICOM Verification Service Class Each ECHO operation supports an Association Timer Operation Inactivity Timer and Session Timer with a time out values of 900 seconds 900 seconds and 60 minutes respectively 2 2 1 3 3 Query Request from Remote AE This AE is indefinitely listening for associations No operator action is required to respond to a query request 2 2 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 2 1 3 3 2 Presentation Context Table doc ver 2 8 29 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 Table 2 2 1 3 1 2 1 Acceptable Presentation Contexts for DICOM Server AE and Real World Activity Query Request Presentation Context Table Abstract Syntax Transfer Syntax Extended Negotiation UID List NER ed Study Root 1 2 840 10008 5 1 4 1 2 2 1 Implicit VR Little 1 2 840 10008 1 2 SCU None Query Retrieve Endian FIND 2 2 1 3 3 2 1 SOP Specific Conformance to C FIND SCP Each C FIND SCP operation supports an Association Timer Operation Inactivity Timer and Session Timer with time out val
81. tion of Networking features Section 3 Media Storage Conformance Statement which specifies the GEMS equipment compliance to the DICOM requirements for the implementation of Media Storage featuresq Section 4 Print SCU Conformance Statement which specifies the GEMS equipment compliance to the DICOM requirements for the implementation of DICOM Print SCU doc ver 2 8 7 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 1 1 Overall Conformance Statement Documentation Structure The Documentation Structure of the GEMS Conformance Statements and their relationship with the DICOM v3 0 Conformance Statements is shown in Illustration below doc ver 2 8 8 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 ID Net v3 0 Introduction to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statement Direction 2118780 APPLICATION ENTITY SPECIFICATION SERVICE CLASSES INFORMATION OBJECTS MESSAGE EXCHANGES ETC SIGNA PROFILE 1 fo cece Prod uct Conformance Conformance Statement Statement Im plementation Direction Direction 2285230 eea DICOM STANDARD Standard DICOM V 3 0 Specification Part 1 DICOM V 3 0 Part 13 This document specifies the DICOM v3 0 implementation It is entitled SIGNA PROFILE 7 80 Conformance Statement for DICOM v3 0 Direction 230334
82. to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statement Direction 2118780 1 7 Symbols and Abbreviations A list of symbols and abbreviations which is applicable to all GEMS Conformance Statements is included in the Introduction to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statement Direction 2118780 doc ver 2 8 13 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 2 SECTION 2 NETWORK CONFORMANCE STATEMENT 2 0 INTRODUCTION This Conformance Statement CS specifies the SIGNA PROFILE compliance to DICOM v3 0 It details the DICOM Service Classes and roles which are supported by this product in it s version 7 80 The SIGNA PROFILE product uses DICOM services to import images for possible further analysis and or processing It also uses DICOM services to export images to other DICOM compliant machines Note the format of this section follows the format of the DICOM Standard Part 2 conformance Annex A hence the paragraph numbering scheme Please refer to that part of the standard while reading this section 2 1 IMPLEMENTATION MODEL All DICOM functionality on the SIGNA PROFILE 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 doc ver
83. ty 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 v3 0 Standard DICOM v3 0 will incorporate new features and technologies and GE may follow the evolution of the Standard The GEMS protocol is based on DICOM v3 0 as specified in each
84. ues of 900 seconds 900 seconds and 60 minutes respectively All Required R and Unique U study series and image level keys for the Study Root Query Retrieve information model are supported Some optional O keys are also supported as described in the following tables Table 2 2 1 3 3 2 1 1 Supported study level keys Description Type Tag Usagge Study date 1 1 1 1 1 1 R 00080020 Matched Studytim 1 1 1 1 R 00080080 Matched Accession number R 00080050 Matched Patient s name TT R 00100010 Matched Patientid 1 R 00100020 Matched Sudyid R X 00200010 Matched Studydescripion 1 O 00081030 Returned Private Creator Identification P 00090010 GEMS IDEN 01 Suteld Pf 0009 1002 Returned Table 2 2 1 3 3 2 1 2 Supported series level keys Description Type Tag Usage Modality 1 1 1 1 R 000800606 Matched Series number A R 002000011 Series description 1 O 0008 103E Manactuer O 0008 0070 Images in series TO 0020 1002 Table 2 2 1 3 3 2 1 3 Supported image level keys The local database does not store the different components of the patient s name in separate fields so it is not possible to query for studies by last name or any o
85. umber matches this value Patient s name 0010 0010 Zero length for any Patient name or Patient s name matches this value Study id uM 0020 0010 Zero length for any Study id or Study id matches this value Study Instance UID U 0020 000D Zero length for Study level query Study Instance UID of study for which matches are requested at a lower level Study description JO 0008 1030 Private Creator Identification 0009 0010 GEMS IDEN 01 0009 1002 Series Instance UID 0020 000E Zero length for Series level query Series instance UID of series for which matches are requested at a low level 0008 103E__ Zero length 0008 0070__ Zero length 0020 1002 Zero length U doc ver 2 8 23 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 Description Convolution kernel O 00181210 Zerolength Reconstruction diameter O 00181100 X Zerolengh Data collection diameter O 00180000 Zerolength Flip angle O 00181314 Zerolength Echo number O 00180086 X Zerolengh Echo time O 00180081 Zerolegh Inversion time O 00180082 Zerolength Repetition time O 00180080 Zerolengh Private Creator Identification P 00190010 GEMS ACQU 01 Dfov Rect J P 0019101E Zero Length Midscan Time P 100191024 Zero Length Azimuth P 00191026 Zero Length Number of Echo P 0019107E X ZeroLengh Priva
86. ver Application Entity initiates the following operations e Initiate an association to a Remote AE for the purpose of sending images to the Remote AE If the Remote AE accepts the presentation context applicable to the image s being sent the DICOM Server AE will send the image s to the receiving Remote AE by invoking C STORE RQ operation for each image on the same association e 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 e Send a C MOVE RQ request to a Remote AE for retrieve of images after successful association establishment The DICOM Server AE s Storage SCP will receive the images over a separate association e Initiate an association with a Remote AE to verify it s status with a C ECHO RQ The Remote AE will report it s status in a C ECHO RSP The DICOM Server AE waits for association requests from Remote AEs that wish to perform the following operations e 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 e Image Storage If a C STORE RQ message is received the DICOM Server AE will rece
87. y Standalone Overlay M Mandatory NOTE The MOD Archive Application chooses the JPEG Lossless compression selection value 1 as the default transfer syntax for storing images on the media But the transfer syntax is selectable on a per media basis at 1 2 840 10008 1 3 10 1 2 840 10008 5 1 4 1 1 2 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 4 1 2 840 10008 5 1 4 1 1 7 1 2 840 10008 5 1 4 1 1 7 1 2 840 10008 5 1 4 1 1 8 1 2 840 10008 5 1 4 1 1 8 O Optional Explicit VR Little Endian Uncompressed 1 2 840 10008 1 2 1 Explicit VR Big Endian Uncompressed 1 2 840 10008 1 2 2 JPEG Lossless Process Selection Value 14 1 2 840 10008 1 2 4 70 Explicit VR Big Endian Uncompressed 1 2 840 10008 1 2 2 JPEG Lossless Process Selection Value 14 1 2 840 10008 1 2 4 70 Explicit VR Big Endian Uncompressed 1 2 840 10008 1 2 2 JPEG Lossless Process Selection Value 14 1 2 840 10008 1 2 4 70 Explicit VR Big Endian Uncompressed 1 2 840 10008 1 2 2 JPEG Lossless Process Selection Value 14 1 2 840 10008 1 2 4 70 install time using a method defined by the Application 3 3 3 1 2 Physical Media and Media Formats doc ver 2 8 45 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 The CT MR Application Profiles in the STD CTMR MOD12 require the 130mm 1 2GB 512 Byte per Sector Magneto Optical Rewritable physical media with the PC File System as defined in
88. y Time 00800800 1 J h J9 Accession Numer _ 000800500 2 O Study Description 0008050 2 00 Study Instance UID 0020 000D IC O Sway D doc ver 2 8 82 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 C 1 3 3 Series Keys Image Type 3 O Modality J 00080060 1 4 J Manufacturer sId 00080070 3 0 0000 O Series Description 0008108 3 0 0 Manuf 0008100 3 9 O Series Instance UID Series Numer C 1 3 4 Image Keys Sequence Variant 0018000 Slice Thickness 08 0050 3 0 Repetition Time 00180080 3 000 EchoTime J 008008D 3 J Inversion Time 008008 3 0 0 00 Numberof Averages 0018008 3 S O Spacing Between Slices 00180088 3 00000 O Data Collection Diameter 00180090 3 00 Contrast Bolus Route _ 00181040 3 S Trigger Time 0081060 3 Reconstruction Diameter
89. y in the study list to retrieve the list of series and images Real World Activity Choose Pull Option will be available once the Query Remote 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 either Get Examination Get Series or Get Images doc ver 2 8 15 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 Real World Activity Choose DICOM Ping consists of an operator selecting DICOM Ping from the Network pull down menu on the local database manager to check the status of the selected remote DICOM AE There is no Real World activity required for the DICOM Server AE to respond to an incoming DICOM store query or retrieve The DICOM Server AE is always prepared to respond to a DICOM Store Query or Retrieve by any remote DICOM AE The DICOM Server AE will perform the Real World activity mage Installation after the remote AE sends an image to the SIGNA PROFILE product 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 The DICOM Server AE will also respond to an incoming retrieval request from a Remote AE by sending the image s to the Destination AE 2 1 2 Functional Definition of AE s doc ver 2 8 DICOM Ser
90. ystems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 Print SCU initiates association with the Printer which is running DICOM print SCP provided as input to print SCU by film Composer 4 2 3 1 Real World Activity 4 2 3 1 1 Associated Real World Activity Print The Film Composer allows the user to select printers and it also allows the user to drag and drop the images from viewer application into the film It also allows the user to manipulate some print parameters like film format and number of copies to print When user presses the Print Button the Film composer communicates this request to Print SCU which then tries to establish the association with requested printer and sends the images for printing 4 2 3 1 2 Proposed Presentation Contexts The Proposed Presentation Context table for the Print SCU is as shown in following Table Presentation Context Table Transfer Syntax Extended Negotiation Ep DICOM Implict Grayscale Print 1 2 840 10008 5 1 VRLittle Endian 1 2 840 10008 1 2 SCU Management 1 9 Transfer Syntax SOP Class Printer SOP 1 2 840 10008 5 1 DICOM Implicit Class 1 16 VRLittle Endian 1 2 840 10008 1 2 SCU Transfer Syntax 4 2 3 1 3 SOP Specific Conformance Statement The Print SCU supports the following mandatory SOP classes which are defined under the Basic Grayscale Print Management Meta SOP Class Mandatory Print SOP Classes supported by Print SCU NAME Basi
91. yyyymmdd is any date on or before that year month day yyyymmdd yyyymmdd is any date on or between those dates is only on that date The C FIND SCU will not perform any extended negotiation and so will only perform hierarchical query Each C FIND SCU operation supports an Association Timer Operation Inactivity Timer and Session Timer with time out values of 900 seconds 900 seconds and 60 minutes respectively These values are configurable in dcs cfg 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 that do not contain a valid DICOM data stream No VR validation is performed which means that syntax errors will be ignored 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 Table 2 2 1 2 2 2 1 1 Requested Study Level Keys doc ver 2 8 22 GE Medical Systems SIGNA PROFILE CONFORMANCE STATEMENT REV 2 8 sm 2303347 Study date 0008 0020 Zero length for any Study date or yyyymmdd yyyymmdd matches inclusive range of from to Study dates From or To date can be zero length meaning that side of the range is any date ui 0008 0030 Accession number 0008 0050 Zero length for any Accession number or Accession n

SIGNA PROFILE 7.80 CONFORMANCE STATEMENT

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