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CASE/ CardioSoft

1. Study ID 0020 0010 2 Filled with Requested Procedure ID from the worklist if available otherwise empty 0008 0050 Taken from worklist if it is there otherwise empty Referenced Study Sequence 0008 1110 3 Used SOP Class 1 2 840 10008 3 1 2 3 1 Used SOP Instance Study Instance UID from worklist if available otherwise uniquely generated by the equipment 8 3 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV 8 2 3 General Series Module TABLE 8 2 3 GENERAL SERIES MODULE ATTRIBUTES et Protocol Name 1030 Filled with or ad test protocol name mio Opera Nene onem Referenced Performed Procedure Step 0008 1111 3 SOP Class UID 1 2 840 10008 3 1 2 3 3 Sequence SOP Instance Uniquely created PPS SOP Instance UID SOP Request Attributes Sequence 0040 0275 3 Used if Requested Procedure ID Scheduled Procedure Step ID and Scheduled Protocol Code are available from the worklist _ gt Reason for Requested Procedure 0040 1001 3 Not used Code Sequence 8 4 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A gt gt Code Sequence Macro gt Scheduled Procedure Step ID 0040 0009 gt Scheduled Procedure Step Description 0040 0007 gt Scheduled Protocol Code Sequence 0040 0008
2. E E ES E 6 5 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV 6 2 4 General Equipment Module TABLE 6 2 4 GENERAL EQUIPMENT MODULE ATTRIBUTES Attribute Name Tag Attribute Description Manufacturer 0008 0070 Set to Medical Systems Institution Name 0008 0080 Not used Institution Address 0008 0081 Not used Station Name 0008 1010 Not used Institutional Department Name 0008 1040 Not used Manufacturer s Model Name 0008 1090 Not used Device Serial Number 0018 1000 Not used Software Versions 0018 1020 Not used Spatial Resolution 0018 1050 Not used Date of Last Calibration 0018 1200 Not used Time of Last Calibration 0018 1201 Not used Pixel Padding Value 0028 0120 Not used 6 2 5 SC Equipment Module TABLE 6 2 5 SC EQUIPMENT MODULE ATTRIBUTES Conversion Type 0008 0064 EX WSD Workstation Modality 0008 0060 Used in Encapsulated Document Series Module with defined term Secondary Capture Device Manufacturer S Secondary Capture Device Manufacturers 0018 1018 3 Not used Model Name Secondary Capture Device Software 0018 1019 3 Not used Version 6 2 6 Encapsulated Document Module TABLE 6 2 6 ENCAPSULATED DOCUMENT MODULE ATTRIBUTES Attribute Name Instance Number 0020 0013 Continuous number within a series starting with Zero 6 6 CASE CARDIOSOFT CS GE
3. 0040 1010 1 1 1 1 CASE CARDIOSOFT CS DICOM CONFORMANCE STATEMENT Type of matching Universal Returned value can be displayed in the worklist Returned value can be mapped to the Order number field in the test information if configured in System Configuration item Source for Order number and truncated to 60 characters As the order number field is part of the products final report it is visible in the Encapsulated Document PDF itself Attribute is copied to 0040 1001 in Modality Performed Procedure Step N CREATE RQ Encapsulated PDF Instances 12 Lead ECG Waveform Instances and General ECG Waveform Instances Attribute is mapped to Study ID 0020 0010 in Modality Performed Procedure Step N CREATE RQ Encapsulated PDF Instances 12 Lead ECG Waveform Instances and General ECG Waveform Instances Type of matching Universal Returned value can be displayed in the worklist Type of matching Universal Returned value Requested Procedure Code Meaning can be displayed in the worklist Type of matching Universal Returned value used for Encapsulated PDF and ECG Waveform C Store Type of matching Universal Not used Not used Not used Not used Not used Not used Not used Not used CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A Reason for the 0040 1002 O 3 No Not
4. Admitting Date 0038 0020 Admitting Time 0038 0021 N o No verset Admitting 0008 1084 3 No Not used Diagnoses Code Sequence 3 3 9 Patient Relationship TABLE 3 3 9 PATIENT RELATIONSHIP MODULE ATTRIBUTES Attribute Name Tag Expected Expected Mapped Note Matching Returned into the Key Type Key Type Referenced Visit 0008 1125 3 No Not used Sequence gt Referenced 0008 1150 3 No Not used SOP Class UID UID v SOP Instance Not used Referenced 0038 0004 3 Patient Alias Sequence gt Referenced 0008 1150 3 No Not used SOP Class UID gt Referenced 0008 1155 3 No Not used SOP Instance UID 3 3 10 Patient Identification TABLE 3 3 10 PATIENT IDENTIFICATION MODULE ATTRIBUTES CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A Attribute Name Tag Expected Expected Mapped Matching Returned into the Patient s Name 0010 0010 Type of matching Wild Card matching Last Name can be entered for query Returned value can be displayed in the worklist Returned value is mapped to the Last name and First Name fields in the local database Both fields are truncated to 30 characters Type of matching Single value Patient ID can be entered for query Returned value can be displayed in the worklist Returned value is mapped to the Patient ID field in the lo
5. DOBUTAMINE Ergospirometry DOBUTAMINE Pharma Protocol CSO ESPIRO CSO E PERSANTINE Ergospirometry PERSANTINE Pharma Protocol CSO ESPIRO CSO ERG UNKNOWN Ergospirometry Unknown Ergometer Protocol CSO ESPIRO CSO TRM UNKNOWN Ergospirometry Unknown Treadmill Protocol CSO ECG CSO ECG Resting ECG test EKG Protocol not applicable CSO ABP CSO ABP Ambulatory Blood Pressure test Protocol not applicable CSO SPI CSO SPI Spirometry test Protocol not applicable Procedures for configuring these Context Groups are found in the product Service Manual 2 9 SECURITY PROFILES The product does not conform to any defined DICOM Security Profiles It is assumed that the product is used within a secured environment It is assumed that a secured environment includes at a minimum 1 Firewall or router protections to ensure that only approved external hosts have network access to the product 2 Firewall or router protections to ensure that the product only has network access to approved external hosts and services 3 Any communications with external hosts and services outside the locally secured environment use appropriate secure network channels such as a Virtual Private Network VPN CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A 3 MODALITY WORKLIST QUERY IMPLEMENTATION 3 1 CASE CARDIOSOFT CS MAPPING OF DICOM ENTITIES The CASE CardioSoft CS maps DICOM Information Entities to local
6. 0008 1150 0008 1155 0008 0054 0088 0130 0088 0140 0008 1198 0008 1150 0008 1155 0008 1197 5 2 SCU Use Returned value is compared with cached Transaction UID All SOP Instances of the corresponding Transaction UID are compared with cached values and if found Transfer status is set to Committed If at least one SOP Instance of the Transaction UID failed the transfer status remains as Transferred and does not switch to Committed GE MEDICAL SYSTEMS DIR 2040396 087 REV A CASE CARDIOSOFT CS DICOM CONFORMANCE STATEMENT 6 ENCAPSULATED PDF INFORMATION OBJECT Entity Name Module Name Usage Reference Patient Patient Used 6 2 1 Specimen Identification Not used Clinical Trial Subject Not used Study General Study Used 6 2 2 Patient Study Not used Clinical Trial Study Not used Series Encapsulated Used 6 2 3 Clinical Trial Series Not used Equipment General Equipment Used 6 2 4 SC Equipment Used 6 2 5 Encapsulated Encapsulated Used 6 2 6 Document Document SOP Common Used 6 2 7 IMPLEMENTATION 6 1 IOD MODULE TABLE The Encapsulated PDF Information Object Definition comprises the modules of the following table plus Standard Extended and Private attributes Standard Extended and Private attributes are described in Section 6 3 TABLE 6 1 1 ENCAPSULATED PDF IOD MODULES Document Series 6 2 INFORMATION MODULE DEFINITIONS Please refe
7. HC HC HC HC HC Ic Not used Not used Not used Not used Not used Not used gt gt Channel Sensitivity Units Sequence 003A 0211 Context ID 3082 is used gt gt gt Code Value Set to uV gt gt gt Coding Scheme Set to UCUM Set to 1 4 Set to 1 Set to 0 8 7 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANGE STATEMENT DIR 2040396 087 REV A gt gt Channel Time Skew 003A 0214 1C Not used Channel Sample Skew is used instead gt gt Channel Sample Skew 003A 0215 1C Used Offset of first sample of channel from waveform multiplex group start time in samples gt gt Filter Low Frequency 003A 0220 3 Set to 0 01 or 0 05 Hz depending on the filter settings of this waveform gt gt Filter High Frequency 003A 0221 3 Set to 20 40 100 or 150 Hz depending on the filter settings of this waveform gt Waveform Sample ion 1006 see to SS Interpretation gt Waveform Padding Value 5400 100A Not used acquisition equipment does not insert padding 8 2 7 Acquisition Context Module TABLE 8 2 7 ACQUISITION CONTEXT MODULE ATTRIBUTES SE Acquisition Context Sequence 0040 0555 Two items are present in this sequence _ TID 3401 is used First sequence item sequence item gt Value Type 0040 A040 Set to CODE gt Concept Name Code Sequence 0040 A043
8. 0020 000D gt Referenced Study Sequence 0008 1110 gt gt Referenced SOP Class UID 0008 1150 gt gt Referenced SOP Instance 0008 1155 UID gt Placer Order 0040 2016 Number Imaging Service Request gt Filler Order 0040 2017 Number Imaging Service Request gt Requested Procedure ID 0040 1001 gt Requested Procedure 0032 1060 Description gt Scheduled Procedure Step 0040 0009 ID gt Scheduled Procedure Step 0040 0007 Description 2 Type for SCU N CREATE N SET Use Type for SCU Supported comes from the MWL or entered in the Patient List dialog Supported comes from the MWL or entered in the Patient List dialog Supported comes from the MWL or entered in the Patient List dialog EE Supported comes from the MWL or entered in the Patient List dialog Supported always empty d Supported 1 item can be sent Supported comes from the MWL or created on it s own in case of an unscheduled test Set to 1 2 840 10008 3 1 2 3 1 Study Instance UID from the MWL if available otherwise uniquely generated by the equipment Supported comes from the MWL if available otherwise empty IEEE Supported comes from the MWL if available otherwise empty Supported comes from the MWL if available otherwise empty CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A gt Scheduled Protocol Code Sequence
9. CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A 4 MODALITY PERFORMED PROCEDURE STEP IMPLEMENTATION 4 1 MODALITY PERFORMED PROCEDURE STEP MODULE TABLE See DICOM PS 3 3 and PS 3 4 for a complete definition of the entities modules and attributes TABLE 4 1 1 MODALITY PERFORMED PROCEDURE STEP MODULES Module Name Reference SOP Common 4 2 1 Performed Procedure Step Relationship 4 2 2 Performed Procedure Step Information 4 2 3 Image Acquisition Results 4 2 4 Radiation Dose 4 2 5 Billing and Material Management Codes 4 2 6 4 2 MODALITY PERFORMED PROCEDURE STEP MODULE DEFINITIONS Please refer to DICOM Standard PS 3 3 Information Object Definitions for a description of each of the attributes contained within the Modality Performed Procedure Step Information Object Definition 4 2 1 SOP Common Module TABLE 4 2 1 SOP COMMON MODULE ATTRIBUTES Attribute Name Tag Type for Type for SCU SCU N CREATE N SET Specific Character Set 0008 0005 1C GE MEDICAL SYSTEMS DIR 2040396 087 REV A CASE CARDIOSOFT CS DICOM CONFORMANCE STATEMENT 4 2 2 Performed Procedure Step Relationship Module TABLE 4 2 2 PERFORMED PROCEDURE STEP RELATIONSHIP MODULE ATTRIBUTES Attribute Name Tag Referenced Patient Sequence 0008 1120 gt Referenced SOP Class UID 0008 1150 gt Referenced SOP Instance 0008 1155 UID Scheduled Step Attributes 0040 0270 Sequence gt Study Instance UID
10. gt gt Code Sequence Macro 0040 0008 2 Supported see Configurable Context Groups chapter 4 4 3 4 2 3 Performed Procedure Step Information Module TABLE 4 2 3 PERFORMED PROCEDURE STEP INFORMATION MODULE ATTRIBUTES Attribute Name Tag Type for Type for Use SCU SCU N CREATE N SET Performed Station AE Title 0040 0241 1 Supported Supported always empty Supported always empty Supported current date Performed Station Name 0040 0242 2 Performed Location 0040 0243 2 Performed Procedure Step 0040 0244 1 Start Date Performed Procedure Step 0040 0245 1 Supported current time Start Time Performed Procedure Step ID 0040 0253 1 Supported Performed Procedure Step 0040 0250 2 3 Supported End Date Always Current empty date Performed Procedure Step 0040 0251 2 3 Supported End Time Always Current empty time Performed Procedure Step 0040 0252 1 3 Supported Status Performed Procedure Step 0040 0254 2 3 Supported Description Comments on the Performed 0040 0280 3 3 Not used Procedure Step Performed Procedure Type 0040 0255 2 3 Description Always Not used Supported Not used Code Sequence Macro Performed Procedure Step 0040 0281 3 3 CID 9300 is used Discontinuation Reason Code Sequence gt Code Sequence Macro Dom il i Always Supported empty 4 3 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT
11. gt gt Code Sequence Macro Se 753 Used see Configurable Context Groups chapter 8 4 3 Performed Procedure Step ID 0040 0253 Equipment generated ID date time of this procedure step format MMDDYYYYHHMMSS Performed Procedure Step Start Date 0040 0244 Performed Procedure Step Start Time 0040 0245 Performed Procedure Step Description 0040 0254 Taken from the worklist Scheduled Step gt Requested Procedure Description 0032 1060 Taken from the worklist if available Description if available For Exercise or Ergospirometry test this field is mapped to the test type field in the Test Information dialog Performed Protocol Code Sequence 0040 0260 3 Used if Performed Protocol Code and Performed Protocol Code Scheme are available See Configurable Context Groups chapter 8 4 3 Comments on the Performed Procedure 0040 0280 Step 8 2 4 General Equipment Module TABLE 8 2 4 GENERAL EQUIPMEN T MODULE ATTRIBUTES Attribute Name Tag Attribute Description Manufacturer 0008 0070 Set to Medical Systems Institution Name 0008 0080 Not used Institution Address 0008 0081 Not used Station Name 0008 1010 Not used Institutional Department Name 0008 1040 Not used Manufacturer s Model Name 0008 1090 Not used Device Serial Number 0018 1000 Not used Software Versions 0018 1020 Not used Spatial Resolution 0018 1050 Not used Date of Last Calibration 0018 1200 Not used Time of Last Calib
12. 0008 0013 3 Not used 0008 0014 3 Not used 8 9 CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A 0008020 3 N r used 0020 0013 3 Not used 0100 0410 3 Not used 0100 0420 3 Not used 0100 0424 3 Not used 0100 0426 3 Not used Certification Number 4FFE 0001 3 Not used 0400 0005 1 Not used 0400 0010 1 Not used UID 0400 0015 1 Not used 0400 0020 1 Not used FFFA FFFA 3 Not used 0400 0005 1 Not used 0400 0100 1 Not used 0400 0105 1 Not used 0400 0110 1 Not used 0400 0115 1 Not used 0400 0120 1 Not used 0400 0305 IC Not used 0400 03 10 3 Not used GE MEDICAL SYSTEMS DIR 2040396 087 REV A Context Group Protocol Codes CASE CARDIOSOFT CS DICOM CONFORMANCE STATEMENT 8 3 STANDARD EXTENDED AND PRIVATE DATA ATTRIBUTES The Product supports the Standard Extended and Private Data Attributes defined in the following sections in General ECG Waveform SOP Instances as Type 3 data elements 8 3 1 Standard Extended Attributes There are no Standard Extended Attributes supported in General ECG Waveform IOD 8 3 2 Private Data Attributes There are no Private Data Attributes supported in General ECG Waveform SOP Instances 8 4 STANDARD EXTENDED AND PRIVATE CONTEXT GROUPS The Product supports coded terminology using Standard Extended Private and Configurable Context Groups defined in the following sections 8 4 1
13. 2 2 3 1 3 2 2 1 SOP Specific DICOM Conformance Statement for Verification SOP Class The AE provides standard conformance to the Verification SOP Class as an SCP The default port number is 108 2 3 1 3 2 3 Presentation Context Acceptance Criterion No criterion GE MEDICAL SYSTEMS DIR 2040396 087 REV A CASE CARDIOSOFT CS DICOM CONFORMANCE STATEMENT 2 3 1 3 2 4 Transfer Syntax Selection Policies The selected transfer syntax is based on the proposed transfer syntax list The priority order is Explicit VR Little Endian Explicit VR Big Endian and Implicit VR Little Endian 2 4 COMMUNICATION PROFILES 2 4 1 Supported Communication Stacks The DICOM Upper Layer Protocol is supported using TCP IP as specified in DICOM PS3 8 The TCP IP stack is inherited from the Operating Systems Windows XP Professional Windows Vista Home Windows Vista Premium 32 bit Windows Vista Business 32 bit all for CardioSoft CS Windows XP Embedded for CASE 2 4 2 Physical Media Support The product is provided with a 10 100 Mb s auto sensing Ethernet interface Additional or alternate network interfaces may be available Note For more information about the Physical Media available on CASE CardioSoft CS please refer to the Product Data Sheet 2 5 EXTENSIONS SPECIALIZATIONS PRIVATIZATIONS 2 5 1 Standard Extended Specialized Private SOP Classes 2 5 1 1 Standard Extended SOP Classes There are no Standard Extended SOP Clas
14. BP Monitor Ergospirometry test when entering the Pre Test phase The Modality Performed Procedure Step Completed or Discontinued N SET is sent when the test is finished Exercise test Confirmation of the Test end status dialog when stepping to the Post Test Review or Initial screen Resting ECG test Confirmation of the Test end status dialog when stepping to the Post Test Review screen e Spirometry test Confirmation of the Test end status dialog when stepping to the Post Test Review screen e Confirmation of the Test end status dialog after downloading data from the BP Monitor Ergospirometry Confirmation of the Test end status dialog when stepping to the Post Test Review or Initial screen The Test end status dialog provides the following selections e Test successfully finished leads to MPPS Completed e Test cancelled unsuccessfully terminated leads to MPPS Discontinued with one of the following selectable reasons o Procedure was cancelled Equipment failure Incorrect procedure ordered Patient allergic to media Patient refused to continue Patient did not arrive Duplicate order Equipment change Unspecified reason Incorrect worklist entry selected Patient condition prevented continuing 00000000 00 The association is opened before the transaction and closed after the transaction CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DI
15. Information Entities in the product s database and user interface TABLE 3 1 1 MAPPING OF DICOM ENTITIES TO CASE CARDIOSOFT CS ENTITIES DICOM CASE CardioSoft CS Entity Scheduled Procedure Step Requested Procedure Imaging Service Request 3 2 WORKLIST QUERY MODULE TABLE See DICOM PS 3 3 and PS 3 4 for a complete definition of the entities modules and attributes TABLE 3 2 1 MODALITY WORKLIST INFORMATION MODEL MODULES Entity Name Module Name Scheduled Procedure Step SOP Common Scheduled Procedure Step Requested Procedure Requested Procedure Imaging Service Request Imaging Service Request Visit Visit Identification Visit Status Visit Relationship Visit Admission Patient Patient Relationship Patient Identification Patient Demographic Patient Medical GE MEDICAL SYSTEMS DIR 2040396 087 REV A Attribute Name CASE CARDIOSOFT CS DICOM CONFORMANCE STATEMENT 3 3 WORKLIST QUERY MODULE DEFINITIONS Please refer to DICOM Standard PS 3 3 Information Object Definitions for description of each of the query key attributes contained within the Modality Worklist Information Model Not used means that these elements are not requested 3 3 1 SOP Common Module TABLE 3 3 1 SOP COMMON MODULE ATTRIBUTES Expected Expected Mapped Matching Returned into the Key Type Key Type Image Attribute Name 3 3 1 1 SOP Common Module Attribute Descriptions 3 3 1 1 1 Specific Chara
16. Module CASE CARDIOSOFT CS DICOM CONFORMANCE STATEMENT TABLE 6 2 7 SOP COMMON MODULE ATTRIBUTES Tag Type Attribute Description 1 2 840 10008 5 1 4 1 1 104 1 0008 0018 1 Uniquely generated by the equipment Implementation UID is used as base ID 0008 0005 IC 8 2 7 0008 0012 3 Not used 0008 0013 3 Not used 0008 0014 3 Not used 0008 0201 3 Not used 0020 0013 3 Not used 0100 0410 3 Not used 0100 0420 3 Not used 0100 0424 3 Not used 0100 0426 3 Not used Certification Number 4FFE 0001 3 Not used 0400 0005 1 Not used 0400 0010 Not used UID 0400 0015 1 Not used 0400 0020 1 Not used FFFA FFFA 3 Not used 0400 0005 1 Not used 0400 0100 1 Not used 0400 0105 1 Not used 0400 0110 1 Not used 0400 0115 1 Not used 0400 0120 1 Not used 0400 0305 IC Not used 0400 03 10 3 Not used 6 8 GE MEDICAL SYSTEMS DIR 2040396 087 REV A Context Group Protocol Codes CASE CARDIOSOFT CS DICOM CONFORMANGE STATEMENT 6 3 STANDARD EXTENDED AND PRIVATE DATA ATTRIBUTES The Product supports the Standard Extended and Private Data Attributes defined in the following sections in Encapsulated PDF SOP Instances as Type 3 data elements 6 3 1 Standard Extended Attributes There are no Standard Extended Attributes supported in Encapsulated PDF SOP Instances 6 3 2 Private Data Attributes There are no Private Data Attributes supported in Encapsulated PDF SOP Inst
17. Name Not used gt Text Value 0040 A 160 Not used gt Concept Code Sequence Not used gt gt Code Sequence Macro Acquisition Context Description Not used Sequence set to stage UCUM stage gt Numeric Value 0040 A30A 1 Stage number of Exercise or Ergospirometry test 7 2 8 SOP Common Module TABLE 7 2 8 SOP COMMON MODULE ATTRIBUTES Tag Attribute Description SOP Class UID 0008 0016 1 Set to 1 2 840 10008 5 1 4 1 1 9 1 1 SOP Instance UID 0008 0018 1 Uniquely generated by the equipment Implementation UID is used as base ID 0008 0005 IC See2 7 0008 0012 3 Not used 0008 0013 3 Not used 0008 0014 3 Not used 7 9 CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A 0008020 3 N r used 0020 0013 3 Not used 0100 0410 3 Not used 0100 0420 3 Not used 0100 0424 3 Not used 0100 0426 3 Not used Certification Number 4FFE 0001 3 Not used 0400 0005 1 Not used 0400 0010 1 Not used UID 0400 0015 1 Not used 0400 0020 1 Not used FFFA FFFA 3 Not used 0400 0005 1 Not used 0400 0100 1 Not used 0400 0105 1 Not used 0400 0110 1 Not used 0400 0115 1 Not used 0400 0120 1 Not used 0400 0305 IC Not used 0400 03 10 3 Not used 7 10 GE MEDICAL SYSTEMS DIR 2040396 087 REV A Context Group Protocol Codes CASE CARDIOSOFT CS DICOM CONFORMANCE STATE
18. STRESS CSO STRESS CSO STRESS CSO STRESS CSO STRESS CSO STRESS CSO STRESS CSO STRESS CSO STRESS CSO ESPIRO CSO ESPIRO CSO ESPIRO CSO ESPIRO CSO ESPIRO CSO ESPIRO CSO ESPIRO CSO ESPIRO CSO ESPIRO CSO ESPIRO CSO ESPIRO CSO ESPIRO CSO ESPIRO CSO ESPIRO CSO ESPIRO CSO ESPIRO CSO ESPIRO Coding Scheme Code Value 0008 0100 CSO WHO CSO WHOS50 CSO WHOT75 CSO HOLLMANN CSO BAL CSO STD FRANCE CSO MODWHO CSO CONCONI CSO BRUCE CSO MODBRUCE CSO NAUGHTON CSO ELLESTAD CSO MODBALKE CSO USAFSAM CSO SLOWUSAFSAM CSO CORNELL CSO BALKE CSO MODBALKEWARE CSO ADENOSINE CSO DOBUTAMINE CSO PERSANTINE CSO ERG UNKNOWN CSO TRM UNKNOWN CSO E WHO CSO E WHO50 CSO E WHO75 CSO E HOLLMANN CSO E BAL CSO E STD FRANCE CSO E MODWHO CSO E CONCONI CSO E BRUCE CSO E MODBRUCE CSO E NAUGHTON CSO E ELLESTAD CSO E MODBALKE CSO E USAFSAM CSO E SLOWUSAFSAM CSO E CORNELL CSO E BALKE Code Meaning 0008 0104 Exercise Test WHO Ergometer Protocol Exercise Test WHO50 Ergometer Protocol Exercise Test WHO75 Ergometer Protocol Exercise Test HOLLMANN Ergometer Protocol Exercise Test BAL Ergometer Protocol Exercise Test STD FRANCE Ergometer Protocol Exercise Test MODWHO Ergometer Protocol Exercise Test CONCONI Ergometer Protocol Exercise Test BRUCE Treadmill Protocol Exercise Test MODBRUCE Treadmill Protocol Exercise Test NAUGHTON Treadmill Protocol Exercise Test ELLESTAD Treadmill Protocol Ex
19. Study Not used Series General Series Used 7 2 3 Clinical Trial Series Not used Frame of Synchronization Not used Reference Equipment General Equipment Used 7 2 4 Waveform Waveform Used 71 25 Identification Waveform Used 7 2 6 Acquisition Context Used 1 21 Waveform Annotation Not used SOP Common Used 7 2 8 7 2 INFORMATION MODULE DEFINITIONS Please refer to DICOM v3 0 Standard Part 3 Information Object Definitions for a description of each of the entities and modules contained within the Encapsulated PDF Information Object The following modules are included to convey Enumerated Values Defined Terms and Optional Attributes supported Type I amp Type 2 Attributes are also included for completeness and to define what values they may take and where these values are obtained from It should be noted that they are the same ones as defined in the DICOM v3 0 Standard Part 3 Information Object Definitions Elements not listed in tables shall be considered as Not used 7 1 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV 7 2 1 Patient Module TABLE 7 2 1 PATIENT MODULE ATTRIBUTES Attribute Name Tag Type Attribute Description Patient s Name 0010 0010 2 May be entered User Interface taken from worklist if it is there Last name and First Name fields are both truncated to 30 characters Patient ID 0010 0020 2 May be entered User Interface or tak
20. Time 0010 0032 3 Not used Other Patient IDs 0010 1000 3 Not used Other Patient Names 0010 1001 3 Not used Ethnic Group 0010 2160 3 Not used Patient Comments 0010 4000 3 Not used 6 2 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV 6 2 2 General Study Module TABLE 6 2 2 GENERAL STUDY MODULE ATTRIBUTES Study Instance UID 0020 000D Taken from worklist if it is there If not uniquely generated by the equipment Study Date 0008 0020 Set to test date Sly Oxon 2 Study ID 0020 0010 2 Filled with Requested Procedure ID from the worklist if available otherwise empty 0008 0050 Taken from worklist if it is there otherwise empty Referenced Study Sequence 0008 1110 3 Used SOP Class 1 2 840 10008 3 1 2 3 1 Used SOP Instance Study Instance UID from worklist if available otherwise uniquely generated by the equipment 6 3 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV 6 2 3 Encapsulated Document Series Module TABLE 6 2 3 ENCAPSULATED DOCUMENT SERIES MODULE ATTRIBUTES Et Referenced Performed Procedure Step m 1111 Sequence gt Referenced SOP Class UID 00081150 1 Setto 1 2 840 10008 3 1 2 3 3 gt Referenced SOP Instance UID 0008 1155 Uniquely created PPS SOP Instance UID 0006 1035 Request Attributes Sequence 0040 0275 3 Used if Requested Proce
21. Waveform object one C STORE message is sent The association is opened before the first ECG Waveform object is sent and closed after the last ECG Waveform object was sent Storage of ECG Waveforms either uses the General ECG Waveform SOP Class or the 12 Lead ECG Waveform SOP Class which is the default value Product Service Manual The General ECG Waveform SOP Class also supports 15 Lead ECG acquisition Alternatively CASE CardioSoft CS provides DICOM Part 10 File Export using all listed Storage SOP Classes to a configurable folder File name customization can be done in the Export Configuration dialog of the System Configuration This fits into the CASE CardioSoft CS export concept CASE CardioSoft CS does not use the DICOM File Services and therefore does not play the role of an FSC DICOMDIR is not used 2 3 1 2 3 2 Proposed Presentation Context Table CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A Presentation Context Table Proposed by AE CASE CardioSoft CS for Activity C Save Test Abstract Syntax Transfer Syntax Role Extended 12 lead ECG Waveform 1 2 840 10008 5 1 4 1 1 9 1 1 Implicit VR Little Endian 1 2 840 10008 1 2 SCU None Storage Explicit VR Little Endian 1 2 840 10008 1 2 1 Explicit VR Big Endian 1 2 840 10008 1 2 2 General ECG Waveform 1 2 840 10008 5 1 4 1 1 9 1 2 Implicit VR Little Endian 1 2 840 10008 1 2 SCU None Storage Explicit VR Little E
22. field is part of the products final reports it is visible in the Encapsulated Document PDF itself gt Scheduled Procedure 0040 0007 1 Type of matching Universal Step Description Returned value can be displayed in the worklist Returned value mapped to the Test type field in the test information for Exercise and Ergospirometry tests only and truncated to 50 characters gt Scheduled Station 0040 0010 2 No Type of matching Universal Ed be gt Scheduled Procedure 0040 0011 2 No Type of matching Universal ed ks gt Scheduled Protocol 0040 0008 1 Type of matching Universal Code Sequence Returned value can be displayed in the worklist See Configurable Context Groups Stress Protocol chapter 2 8 3 gt gt Code Sequence Macro GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REVA ____________ gt Scheduled Procedure 0040 0009 Step ID mu CASE CARDIOSOFT CS DICOM CONFORMANCE STATEMENT Type of matching Universal Returned value can be displayed in the worklist Returned value can be mapped to the Order number field in the test information if configured in System Configuration item Source for Order number and truncated to 60 characters As the order number field is part of the products final report it is visible in the Encapsulated Document PDF itself Attribute is copied to 0040 0009 in Modality Performed Proce
23. 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 implementation of Networking features Section 3 Modality Worklist Information Model which specifies the GEMS equipment compliance to DICOM requirements for the implementation of the Modality Worklist service Section 4 Modality Performed Procedure Step SOP Class Definition which specifies the GEMS equipment compliance to DICOM requirements for the implementation of a Modality Performed Procedure Step Service Section 5 Storage Commitment Push Model SOP Class Definition which specifies the GEMS equipment compliance to DICOM requirements for the implementation of a Storage Commitment Push Model Service Section 6 Encapsulated PDF Information Object Implementation which specifies the GEMS equipment compliance to DICOM requirements for the implementation of an Encapsulated PDF Object Section 7 12 Lead ECG Waveform Information Object Implementation which specifies the GEMS equipment compliance to DICOM requirements for the implementation of a 12 Lead ECG Waveform Object Section 8 General ECG Waveform Information Object Implementation which specifies the GEMS equipment compliance to DICOM requirements for the implementation of an General ECG Waveform
24. query a DICOM worklist Receives DICOM modality worklist information Initiates a DICOM association to notify start of test Initiates a DICOM association to notify end of test Initiates a DICOM association to send Composite Instances Transmits DICOM Composite Instances to the DICOM Storage SCP Initiates a DICOM association to request storage commitment of Composite Instances Responds to replies for storage commitment requests of Composite Instances e Initiates verification as SCU to assist in network diagnostics Responds to verification requests as SCP from other devices GE MEDICAL SYSTEMS CARDIOSOFT CS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A 2 2 3 Sequencing of Real World Activities In case of a scheduled test the following sequence takes place Modality Worklist query Start test with Modality Performed Procedure Step In Progress End test with Modality Performed Procedure Step Completed or Discontinued Save test with storage of Composite Instances Save test completed with Storage Commitment request if enabled in system configuration Test status change with reception of Storage Commitment replies For an unscheduled test the sequence is identical except that the Modality Worklist query is not applicable 2 3 AE SPECIFICATIONS 2 3 1 CASE CardioSoft CS AE Specification The CASE CardioSoft CS Application Entity provides Standard Conformance to the fol
25. status the error will be written to the error log CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A Any retry of the Storage Commitment Request must be manually reinitiated by resending the test to the Image Archive test list button Send to Image Archive In this case also the C STORE is resent The always returns Success Status 0000 to Storage Commitment N EVENT REPORT 2 3 1 3 1 3 Presentation Context Acceptance Criterion CASE CardioSoft CS evaluates each Presentation Context independently and accepts any Presentation Context that matches an Abstract Syntax for any Real World Activity 2 3 1 3 1 4 Transfer Syntax Selection Policies Within each Presentation Context CASE CardioSoft CS will accept the first proposed transfer syntax that it also supports for that Abstract Syntax 2 3 1 3 2 Real World Activity Echo 2 3 1 3 2 1 Associated Real World Activity An incoming Verification Request will cause the AE to accept the association and respond with a Verification Response 2 3 1 3 2 2 Accepted Presentation Context Table Presentation Context Table Accepted by AE CASE CardioSoft CS for Activity F Echo Abstract Syntax Transfer Syntax Extended UID Name List UID List Negotiation Verification SOP Class 1 2 840 10008 1 1 Implicit VR Little Endian 1 2 840 10008 1 2 None Explicit VR Little Endian 1 2 840 10008 1 2 1 Explicit VR Big Endian 1 2 840 10008 1 2
26. used Requested Procedure Requested Procedure 0040 1400 O 3 No Not used Comments 3 3 3 1 Requested Procedure Module Attribute Descriptions 3 3 3 1 1 Study Instance UID The returned MWL Study Instance UID is used in the N CREATE RQ message of the MPPS The returned MWL Study Instance UID is used in each individual C STORE message Per created image Encapsulated PDF as well as ECG Waveform of the related procedure For an unscheduled workflow the Study Instance UID is created by the SCU 3 3 4 Imaging Service Request Module TABLE 3 3 4 IMAGING SERVICE REQUEST MODULE ATTRIBUTES Attribute Name Tag Expected Expected Mapped Use Matching Returned into the Key Type Key Type Image Accession Number 0008 0050 2 Yes Type of matching Universal Returned value can be displayed in the worklist Returned value can be mapped to the Order number field in the test information if configured in System Configuration item Source for Order number and truncated to 60 characters As the order number field is part of the products final report it is visible in the Encapsulated Document PDF itself Attribute is copied to 0008 0050 in Modality Performed Procedure Step N CREATE RQ Encapsulated PDF Instances 12 Lead ECG Waveform Instances and General ECG Waveform Instances Requesting Physician 0032 1032 2 Yes Type of matching Universal Returned value can be d
27. 1155 0040 A0B0 003A 020C 003A 0210 03A 0211 0 003A 0212 E E 3 3 C C C C C C C C 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 The number of waveforms channels per group e channel e g as 1 rhythm channel 4 groups 2 5 seconds plus 1 group x 10 seconds format 3 channels e g 3 monitored leads in I group 12 monitored leads in 4 groups x 2 5 seconds 6 channels e g 6 monitored leads in 1 group or 12 monitored leads in 2 groups x 5 seconds 12 channels e g 12 monitored leads in 1 group x 10 seconds Can be 1250 2 5 seconds 2500 5 seconds or 5000 10 seconds with a sampling rate of 500Hz Number of Waveform Channels Context ID CID 3001 is used SCPECG lead labels as defined e g 5 6 3 9 1 for Lead Set to Lead lt specified lead label gt Set to uV Set to UCUM Set to microvolt Set to 1 4 Set to 1 7 7 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANGE STATEMENT DIR 2040396 087 REV A gt gt Channel Time Skew 003A 0214 1C Not used Channel Sample Skew is used instead gt gt Channel Sample Skew 003A 0215 1C Used Offset of first sample of channel from waveform multiplex group start time in samples gt gt Filter Low Frequency 003A 0220 3 Set to 0 01 or 0 05 Hz depending on the filter settings of this waveform gt gt Filter High Freq
28. ARDIOSOFT CS MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REVA Number of Waveform Channels 003A 0005 The number of waveforms channels per group e channels e g 3 monitored leads in 1 group 12 monitored leads in 4 groups x 2 5 seconds 6 channels e g 6 monitored leads in 1 group or 12 monitored leads in 2 groups x 5 seconds 12 channels e g 12 monitored leads in 1 group x 10 seconds 15 channels e g 15 monitored leads in 1 group x 10 seconds gt Number of Waveform Samples 003A 0010 Can be 1250 2 5 seconds 2500 5 seconds or 5000 10 seconds with a sampling rate of gt Sampling Frequency 003A 001A 1 500Hz gt Multiplex Group Label 003A 0020 Number of Waveform Channels gt gt Wavefonn Chanel Number 5 ramea fa rame sas fa gt gt Channel Source Sequere 0340208 1 SCPECG lead labels as defined e g 5 6 3 9 1 for Lead I gt gt gt Code Value 3 3 3 gt gt gt Coding Meaning Set to Lead lt specified lead label gt gt gt gt Cine Venton 1 Not used Code value is unambiguous gt Channel Source Moes Sequence 00340200 1C Sr gt Source Waveform Sequence 3 gt gt reteremsd SOP Clas UID 008 1150 iC gt gt reterened SOP vance UID 008 1155 IC po en Walon cans ic Se J a se 5 menne HC
29. DIR 2040396 087 REV A 4 2 4 Image Acquisition Results Module TABLE 4 2 4 IMAGE ACQUISITION RESULTS MODULE ATTRIBUTES Attribute Name Tag Type for Type for Use SCU SCU N CREATE N SET Modality 0008 0060 1 Supported Study ID 0020 0010 2 Filled with Requested Procedure ID from the worklist if available otherwise empty Performed Protocol Code 0040 0260 2 3 Supported see Configurable Context Groups Sequence chapter 4 4 3 Performed Series Sequence 0040 0340 2 3 Always Supported empty gt Performing Physician s 0008 1050 2 2 Name Not used Always empty gt Operator s Name 0008 1070 2 2 Not used Always empty gt Protocol Name 0018 1030 1 1 Not used Supported 1 gt Series Instance UID 0020 000E 1 gt Series Description 0008 103E 2 2 empty gt Title 0008 0054 2 Not used Always empty gt Referenced Image Sequence 0008 1140 2 2 Not used Always empty gt gt Referenced SOP Class UID 0008 1150 1 1 gt gt Referenced SOP Instance 0008 1155 1 UID 1 gt Referenced Non Image 0040 0220 2 2 Sequence includes all SOP Instances created Composite SOP Instance Not used during MPPS Max number is 50 Sequence Referenced Standalone SOP Instance Sequence gt gt Referenced SOP Class UID 0008 1150 1 1 Supported Supported 4 4 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A 1 1 Supported 4 2 5 R
30. GE Medical Systems Technical Publications Direction 2040396 087 Revision Rev CASE CardioSoft CS V6 6 DICOM CONFORMANCE STATEMENT Copyright 2009 by General Electric Co Do not duplicate GE Medical Systems CASE CARDIOSOFT CS V6 6 GE MEDICAL SYSTEMS CONFORMANCE STATEMENT DIR 2040396 087 REV A CASE CARDIOSOFT CS V6 6 GE MEDICAL SYSTEMS CONFORMANCE STATEMENT DIR 2040396 087 REV A THIS PAGE LEFT INTENTIONALLY BLANK CASE CARDIOSOFT CS V6 6 GE MEDICAL SYSTEMS CONFORMANCE STATEMENT DIR 2040396 087 REV A TABLE OF CONTENTS 1 INTRODUCTION PEU 1 1 11 OVERVIEW secs csestsccsccscsssscedecsndsnsconsesonsessncesncsssssacasssndescoscseassdacedessosessedasesessnsoacesnsscasansonsssedsSeodeesasssesoncsaassadcondeseoss 1 1 12 OVERALL DICOM CONFORMANCE STATEMENT DOCUMENT 1 2 L3 INTENDED AUDIENCE sss E aa 1 4 14 SCOPE AND FIELD OF APPLICATION sesseseesenveveenensenesnenseneenensenesnennenesnennenesnennenesnennenesnenneneenennennsnennenesnensenee 1 4 15 IMPORTANT DUE VH 1 5 L6 REFERENCES 1 6 1 7 7 DEFINITIONS ek 1 6 18 SYMBOLS AND ABBREVIATIONS eeseseesesveveenensenevnensenevnennenennensenevnennenesnensenevnennenesnensennenennenesnennenennennenesnennenee 1 6 2 NETWORK C
31. LE 7 2 3 GENERAL SERIES MODULE ATTRIBUTES E E E Protocol Name 1030 Filled with Exercise or ad test protocol name Opera Nan onem Referenced Performed Procedure Step 0008 1111 3 SOP Class UID 1 2 840 10008 3 1 2 3 3 Sequence SOP Instance IOD Uniquely created PPS SOP Instance UID Request Attributes Sequence 0040 0275 3 Used if Requested Procedure ID Scheduled Procedure Step ID and Scheduled Protocol Code are available from the worklist _ gt Reason for Requested Procedure 0040 1001 3 Not used Code Sequence 7 4 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A gt gt Code Sequence Macro gt Scheduled Procedure Step ID 0040 0009 gt Scheduled Procedure Step Description 0040 0007 gt Scheduled Protocol Code Sequence 0040 0008 gt gt Code Sequence Macro Se 753 Used see Configurable Context Groups chapter 7 4 3 Performed Procedure Step ID 0040 0253 Equipment generated ID date time of this procedure step format MMDDYYYYHHMMSS Performed Procedure Step Start Date 0040 0244 Performed Procedure Step Start Time 0040 0245 Performed Procedure Step Description 0040 0254 Taken from the worklist Scheduled Step gt Requested Procedure Description 0032 1060 Taken from the worklist if available Description if available For Exercise o
32. MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV 2 2 3 Document Title 0042 0010 Title structure Patient Last Name First Name Patient ID Test Type Continuous number Test Date Test Time gt Include Code Sequence Macro Set to to UNVERIFIED if the test is not yet confirmed Concept Name Code Sequence 0040 A043 Verification Flag 0040 A493 Set to VERIFIED if the test is already confirmed User Interface MIME Type of Encapsulated Document 0042 0012 Set to application pdf Encapsulated Document 0042 0011 EN Binary data of PDF Note One could distinguish four stages in the creation of the Encapsulated Document Object identified by the following Attributes C 1 1 1 1 1 Measurement and or data collection identified by Acquisition Datetime 0008 002A in the Encapsulated Document Module 2 Creation of the original documentation of the data collection identified by Content Date 0008 0023 and Content Time 0008 0033 3 Rendering of the original documentation into the format that will be encapsulated e g a PDF document The rendering time is not captured by any DICOM Attribute but may be encoded in the rendering 4 Encapsulation of the rendering into DICOM Object identified by Instance Creation Date 0008 0012 and Instance Creation Time 0008 0013 in the SOP Common Module 6 7 GE MEDICAL SYSTEMS DIR 2040396 087 REV A 6 2 7 SOP Common
33. MENT 7 3 STANDARD EXTENDED AND PRIVATE DATA ATTRIBUTES The Product supports the Standard Extended and Private Data Attributes defined in the following sections in 12 Lead ECG Waveform SOP Instances as Type 3 data elements 7 3 1 Standard Extended Attributes There are no Standard Extended Attributes supported in 12 Lead ECG Waveform IOD 7 3 2 Private Data Attributes There are no Private Data Attributes supported in 12 Lead ECG Waveform SOP Instances 7 4 STANDARD EXTENDED AND PRIVATE CONTEXT GROUPS The Product supports coded terminology using Standard Extended Private and Configurable Context Groups defined in the following sections 7 4 1 Standard Extended Context Groups There are no Standard Extended Context Groups supported in 12 Lead ECG Waveform SOP Instances 7 4 2 Private Context Groups There are no Private Context Groups supported in 12 Lead ECG Waveform SOP Instances 7 4 3 Configurable Context Groups The Product supports the following Configurable Context Groups for 12 Lead ECG Waveform SOP Instances created by this product TABLE 7 4 1 CONFIGURABLE CONTEXT GROUPS Default Value Set Use See 2 8 3 Selected value from this group is used in the Scheduled Protocol Code Sequence 0040 0008 and the Performed Protocol Code Sequence 0040 0260 7 11 GE MEDICAL SYSTEMS DIR 2040396 087 REV A CARDIOSOFT CS DICOM CONFORMANCE STATEMENT 8 GENERAL ECG WAVEFORM INFORMATION OBJECT IMPLEME
34. MPPS SOP Instances 4 3 2 Private Data Attributes There are no Private Data Attributes supported in MPPS SOP Instances 4 4 STANDARD EXTENDED AND PRIVATE CONTEXT GROUPS The Product supports coded terminology using Standard Extended Private and Configurable Context Groups defined in the following sections 4 4 1 Standard Extended Context Groups There are no extensions to standard Context Groups for MPPS SOP Instances 4 4 2 Private Context Groups There are no Private Context Groups supported for MPPS SOP Instances 4 4 3 Configurable Context Groups The Product supports the following Configurable Context Groups for MPPS SOP Instances created by this product 4 6 GE MEDICAL SYSTEMS DIR 2040396 087 REV A Context Group Protocol Codes CASE CARDIOSOFT CS DICOM CONFORMANCE STATEMENT TABLE 4 4 1 CONFIGURABLE CONTEXT GROUPS Default Value Set Use See 2 8 3 Selected value from this group is used in the Scheduled Protocol Code Sequence 0040 0008 and the Performed Protocol Code Sequence 0040 0260 4 7 GE MEDICAL SYSTEMS DIR 2040396 087 REV A CASE CARDIOSOFT CS DICOM CONFORMANCE STATEMENT 5 STORAGE COMMITMENT PUSH MODEL IMPLEMENTATION 5 1 STORAGE COMMITMENT PUSH DEFINITION MODEL INFORMATION OBJECT Please refer to DICOM Part 3 Information Object Definitions for description of each of the attributes contained within the Storage Commitment Information Object The Storage Commitment In
35. NTATION 8 1 IOD MODULE TABLE The General ECG Waveform Information Object Definition comprises the modules of the following table plus Standard Extended and Private attributes Standard Extended and Private attributes are described in Section 8 3 TABLE 8 1 1 GENERAL ECG WAVEFORM IOD MODULES Entity Name Module Name Usage Reference Patient Patient Used 8 2 1 Clinical Trial Subject Not used Study General Study Used 8 2 2 Patient Study Not used Clinical Trial Study Not used Series General Series Used 8 2 3 Clinical Trial Series Not used Frame of Synchronization Not used Reference Equipment General Equipment Used 8 2 4 Waveform Waveform Used 8 2 5 Identification Waveform Used 8 2 6 Acquisition Context Used 8 2 7 Waveform Annotation Not used SOP Common Used 8 2 8 8 2 INFORMATION MODULE DEFINITIONS Please refer to DICOM v3 0 Standard Part 3 Information Object Definitions for a description of each of the entities and modules contained within the General ECG Waveform Information Object The following modules are included to convey Enumerated Values Defined Terms and Optional Attributes supported Type I amp Type 2 Attributes are also included for completeness and to define what values they may take and where these values are obtained from It should be noted that they are the same ones as defined in the DICOM v3 0 Standard Part 3 Information Object Definitions Elements not lis
36. ODULE TTRIBUTES CASE CARDIOSOFT CS DICOM CONFORMANCE STATEMENT CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A 3 3 6 Visit Status TABLE 3 3 6 VISIT STATUS MODULE ATTRIBUTES Attribute Name Tag Expected Expected Mapped Note Matching Returned into the Key Type Key Type Image Current Patient 0038 0300 O 2 No Not used Location Visit Status ID 0038 0008 O 3 No Not used Patient s 0038 0400 O 3 No Not used Institution Residence Visit Comments 0038 4000 O 3 No Not used 3 3 7 Visit Relationship TABLE 3 3 7 VISIT RELATIONSHIP MODULE ATTRIBUTES Attribute Name Tag Expected Expected Mapped Note Matching Returned into the Key Type Key Type Image Referenced 0008 1120 O 2 No Not used Patient Sequence gt Referenced SOP 0008 1150 O 1C No Not used Class UID gt Referenced SOP 0008 1155 O 1C No Not used Instance UID 3 3 8 Visit Admission TABLE 3 3 8 VISIT ADMISSION MODULE ATTRIBUTES Attribute Name Expected Matching Key Type Expected Returned Key Type Mapped into the Image No Not used CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A Referring 0008 0094 Physician s Phone Numbers Admitting 0008 1080 3 No Not used Diagnoses Description gt Code Sequence Macro Route of 0038 0016 Admissions
37. ONFORMANCE 2 1 2 1 INTRODUCTION M 2 1 2 2 IMPLEMENTATION MODEL sessevesveseevevseneeseneenenneneenenneneenenneneenenseneenenseneenenneneenenneneenennensenennennenenneneenenneneenennene 2 1 2 3 SPECIFICATIONS vcsicccsusssciccosvsescdncescdecteutescdasesddesuoustssdncdeddecteusesctnsesddecnswstscdncteddecteulescdasesddecueusudedecdecdecteutccees 2 4 2 4 COMMUNICATION PROFILES sesveseevessensevensenenseneenenneneenensneensnnennenenneneensnnsnennennsnennennenennsnnenennsnnenennsnnenennenee 2 15 2 5 EXTENSIONS SPECIALIZATIONS PRIVATIZATIONS sesseveevessvvensensvnennenevneneenenneneenenneneensnnensensnnensenenee 2 15 2 6 CONFIGURATION 2 15 2 7 SUPPORT OF EXTENDED CHARACTER SETS seseevesvessvvensensnnensenevnennensnnnnenennnennenneneenennenennsnnenennsnnenensenee 2 17 28 CODES AND CONTROLLED TERMINOLOGY sesesverenensereneneerenenevsenenensenenensenenensenenensenenensenenensenenensenenensese 2 17 29 SECURITY PROFILES C 2 19 3 MODALITY WORKLIST QUERY IMPLEMENTATION 3 1 31 CardioSoft CS Mapping of DICOM entities reereevvrveevvennvnnennennennennenneenesnsennennennennenneenennsennennennenneeneenee 3 1 3 2 Wortklist Query MODULE TABLE 3 1 3 3 Worklist Query Mo
38. Object GE MEDICAL SYSTEMS DIR 2040396 087 REV A CASE CARDIOSOFT CS V6 6 CONFORMANCE STATEMENT 12 OVERALL DICOM CONFORMANCE STATEMENT DOCUMENT STRUCTURE The Documentation Structure of the GEMS Conformance Statements and their relationship with the DICOM v3 0 Conformance Statements is shown in the Illustration below CASE CARDIOSOFT CS V6 6 GE MEDICAL SYSTEMS CONFORMANCE STATEMENT DIR 2040396 087 REV A 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 M CardioS Product 6 cs i Conformance Statement Implementation EN Direction Statement Direction 2040396 087 TETTESTE SJ DICOM STANDARD Standard DICOM Specification Part 1 DICOM Part 16 This document specifies the DICOM implementation It is entitled CASE CardioSoft CS V6 6 Conformance Statement for DICOM 1 3 GE MEDICAL SYSTEMS DIR 2040396 087 REV A CASE CARDIOSOFT CS V6 6 CONFORMANCE STATEMENT Direction 2040396 087 This DICOM Conformance Statement documents the DICOM 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 docume
39. R 2040396 087 REV A 2 3 1 2 2 2 Proposed Presentation Context Table Presentation Context Table Proposed by AE CASE CardioSoft CS for Activity Start End Test Abstract Syntax Transfer Syntax Role Extended Name UID Name List UID List Negotiation Modality Performed 1 2 840 10008 3 1 2 3 3 Implicit VR Little Endian 1 2 840 10008 1 2 SCU None Step SOP Explicit VR Little Endian 1 2 840 10008 1 2 1 ass Explicit VR Big Endian 1 2 840 10008 1 2 2 2 3 1 2 2 2 1 SOP Specific DICOM Conformance Statement for Modality Performed Procedure Step SOP Class The CASE CardioSoft CS includes attributes in the Modality Performed Procedure Step N CREATE as described in Section 4 2 If the response to an N CREATE RSP fails the user is informed by an error message that the connection to the PPS Manager failed The AE includes attributes in the Modality Performed Procedure Step N SET as described in Section 4 2 If the response to an N SET RSP fails the user is informed by an error message that the connection to the PPS Manager failed 2 3 1 2 3 Real World Activity C Save Test 2 3 1 2 3 1 Associated Real World Activity The Image Stored C STORE message is sent to the Storage SCP when the test is stored Exercise test When stepping to the Post Test Review or Initial screen Resting ECG test When stepping to the Post Test Review screen Spirometry test When stepping to the Post Test Review screen ABP test After download
40. Sequence set to 109054 DCM Patient State LLL E gt Time 0040 A122 1C Not used gt Person Name 0040 A123 1C Not used gt Text Value 0040 A160 1C Not used 8 8 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANGE STATEMENT DIR 2040396 087 REV A gt Concept Code Sequence 0040 A168 1 1C See CID 3262 gt gt Code Sequence Macro er Second sequence item PT Set to NUMERIC gt Concept Name Code Sequence E EE Value Type 040 A040 Sequence set to 109055 DCM Protocol Stage gt gt Code Sequence Macro gt Referenced Frame Numbers 0040 A136 Not used gt Measurement Units Code Sequence gt gt Code Sequence Macro gt Date Not used gt Time 0040 A 122 Not used gt Person Name Not used gt Text Value 0040 A 160 Not used gt Concept Code Sequence Not used gt gt Code Sequence Macro Acquisition Context Description Not used Sequence set to stage UCUM stage gt Numeric Value 0040 A30A 1 Stage number of Exercise or Ergospirometry test 8 2 8 SOP Common Module TABLE 8 2 8 SOP COMMON MODULE ATTRIBUTES Tag Attribute Description SOP Class UID 0008 0016 1 Set to 1 2 840 10008 5 1 4 1 1 9 1 2 SOP Instance UID 0008 0018 1 Uniquely generated by the equipment Implementation UID is used as base ID 0008 0005 IC 27 0008 0012 3 Not used
41. Standard Extended Context Groups There are no Standard Extended Context Groups supported in General ECG Waveform SOP Instances 8 4 2 Private Context Groups There are no Private Context Groups supported in General ECG Waveform SOP Instances 8 4 3 Configurable Context Groups The Product supports the following Configurable Context Groups for General ECG Waveform SOP Instances created by this product TABLE 8 4 1 CONFIGURABLE CONTEXT GROUPS Default Value Set Use See 2 8 3 Selected value from this group is used in the Scheduled Protocol Code Sequence 0040 0008 and the Performed Protocol Code Sequence 0040 0260
42. adiation Dose Module gt gt Referenced SOP Instance 0008 1155 UID TABLE 4 2 5 RADIATION DOSE MODULE ATTRIBUTE S Attribute Name Tag Type for Type for Use SCU SCU N CREATE N SET Anatomic Structure Space or 0008 2229 3 Not used Region Sequence doom gt 3 3 Distance Source to Detector 0018 1110 SID mono gt oan 0302 3 oan 302 3 3 css gt 3 mo 3 CITIES 0018 0060 0188151 018 150 018 160 018 7050 4 2 6 Billing and Material Management Codes Module TABLE 4 2 6 BILLING AND MATERIAL MANAGEMENT CODES MODULE ATTRIBUTES Attribute Name Tag Type for Type for SCU SCU N CREATE N SET Billing Procedure Step 0040 0320 3 Sequence 4 5 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV Not used 3 gt Code Sequence Macro 3 conan gt gt 0100050 3 i 3 Billing Supplies and Devices Sequence 0040 0324 gt gt 3 3 3 040029 gt gt Measuring Units Sequence 0040 0295 gt gt gt Code Sequence Macro 4 3 STANDARD EXTENDED AND PRIVATE DATA ATTRIBUTES The Product supports the Standard Extended and Private Data Attributes defined in the following sections in MPPS SOP Instances as Type 3 data elements 4 3 1 Standard Extended Attributes There are no Standard Extended Attributes supported in
43. ances 6 4 STANDARD EXTENDED AND PRIVATE CONTEXT GROUPS The Product supports coded terminology using Standard Extended Private and Configurable Context Groups defined in the following sections 6 4 1 Standard Extended Context Groups There are no Standard Extended Context Groups supported in Encapsulated SOP Instances 6 4 2 Private Context Groups There are no Private Context Groups supported in Encapsulated SOP Instances 6 4 3 Configurable Context Groups The Product supports the following Configurable Context Groups for Encapsulated PDF SOP Instances created by this product TABLE 6 4 1 CONFIGURABLE CONTEXT GROUPS See 2 8 3 Selected value from this group is used in the Scheduled Protocol Code Sequence 0040 0008 and the Performed Protocol Code Sequence 0040 0260 6 9 GE MEDICAL SYSTEMS DIR 2040396 087 REV A CARDIOSOFT CS DICOM CONFORMANCE STATEMENT 7 12 LEAD ECG WAVEFORM INFORMATION OBJECT IMPLEMENTATION 7 1 IOD MODULE TABLE The 12 Lead ECG Waveform Information Object Definition comprises the modules of the following table plus Standard Extended and Private attributes Standard Extended and Private attributes are described in Section 7 3 TABLE 7 1 1 12 LEAD ECG WAVEFORM IOD MODULES Entity Name Module Name Usage Reference Patient Patient Used 7 2 1 Clinical Trial Subject Not used Study General Study Used 7 2 2 Patient Study Not used Clinical Trial
44. atches are continuing Warning that one or more Optional Keys were not supported for existence for this Application Behavior When Receiving Status Code Received items of the worklist are displayed and the user is informed that there may be more items The association is closed The user is informed in the status bar of the worklist screen that the worklist could not be received The worklist is cleared The error is logged The association is closed The user is informed in the status bar of the worklist screen that the worklist could not be received The worklist is cleared The error is logged The association is closed The user is informed in the status bar of the worklist screen that the worklist could not be received The worklist is cleared The error is logged The association is closed The worklist is displayed The association is closed Continue receiving keys Continue receiving keys CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A 2 3 1 2 2 Real World Activity Start End Test 2 3 1 2 2 1 Associated Real World Activity The Modality Performed Procedure Step In Progress N CREATE is sent when the test is started Exercise test when entering the Pre Test phase Resting ECG test after the first 10 second ECG has been acquired Spirometry test when initiating the first trial ABP test when initiating the download from the
45. cal database with a truncation to 30 characters Key Key Type Image Other Patient 0010 1001 Not used Names Patient s Birth 0010 1005 No Not used Name Patient s 0010 1060 No Not used Mother s Birth Name Medical Record 0010 1090 Not used Locator 3 3 11 Patient Demographic Issuer of Patient 0010 0021 ID Other Patient 0010 1000 IDs CCE TABLE 3 3 11 PATIENT DEMOGRAPHIC MODULE ATTRIBUTES Attribute Name Expected Expected Mapped Note Matching Returned into the Key Type Key Type Image Patients Birth Date 0010 0030 2 Yes Type of matching Universal Returned value can be displayed in the worklist Returned value is mapped to the Date of Birth field in the local database CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A Patient s Sex 0010 0040 Type of matching Universal Returned value can be displayed in the worklist Returned value is mapped to the Gender field in the local database Patient s Weight 0010 1030 Type of matching Universal Returned value can be displayed in the worklist Returned value is mapped to the Weight field in the local database Confidentiality 0040 3001 constraint on patient data Patient s Size 0010 1020 Type of matching Universal Returned value can be displayed in the worklist Returned value is mapped to the Height field in t
46. cation Request in the System Configuration screen Associations will be released upon the receipt of each C ECHO confirmation In the event that the SCP does not respond the operation will time out close the association and inform the user 2 3 1 2 5 2 Proposed Presentation Context Table Presentation Context Table Proposed by AE CASE CardioSoft CS for Activity Echo Abstract Syntax Transfer Syntax Extended UID Name List UID List Negotiation Verification SOP Class 1 2 840 10008 1 1 Implicit VR Little Endian 1 2 840 10008 1 2 SCU None Explicit VR Little Endian 1 2 840 10008 1 2 1 1 2 840 10008 1 2 2 Explicit VR Big Endian CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A 2 3 1 3 Association Acceptance Policy 2 3 1 3 1 Real World Activity E Storage commitment received 2 3 1 3 1 1 Associated Real World Activity CASE CardioSoft CS waits for an SCP association request for the N EVENT REPORT messages on the configured port see System Configuration When the requested association is accepted by CASE CardioSoft CS all messages are read processed and the corresponding N EVENT RSP messages are sent The CASE CardioSoft CS receives N EVENT REPORT messages at any time CASE CardioSoft CS is running N EVENT REPORT messages shall use a different association as the one used to transfer N ACTION RQ messages There is no time limit for the dura
47. cho Worklist Query initiates connection to the Modality Worklist SCP performs query and retrieves the matching entries to the product Start End Test initiates connection to the Modality PPS SCP N CREATE N SET messages are sent Save Test initiates connection to the Storage SCP Image Archive and transmits configured Composite Instances to the Storage SCP C STORE After successful transmission the transfer status of the test in the database is set to Transferred Save Test completed initiates commitment request N ACTION RQ message that is sent to the Storage Commitment SCP for the images of the test if Storage Commitment is enabled default in the System Configuration Storage commitment received Receiving the corresponding commitment responses N EVENT REPORT from the Storage Commitment SCP at any time the system runs initiates the system to set the transfer status of the test in the database to Committed DCM If Storage Commitment is disabled the transfer status is directly set to Committed DCM A committed test cannot be modified default see Service Manual Echo Initiates a connection to the DICOM SCP sends a verification request and closes the connection It also responds to incoming Verification requests for service use 2 2 2 Functional Definition of AE s Application Entity CASE CardioSoft CS supports the following functions Initiates a DICOM association to
48. cit VR Big Endian 1 2 840 10008 1 2 2 2 3 1 2 1 2 1 SOP Specific DICOM Conformance Statement for Modality Worklist Information Model FIND SOP Class The CASE CardioSoft CS includes matching keys in the Modality Worklist queries as described in Section 3 The Scheduled Procedure Steps and it s corresponding response information are displayed in the DICOM Worklist accessible through the Patient List button Order List In System Configuration DICOM tab the displayable fields of the worklist can be configured Further information see Service Manual A C FIND CANCEL is not supported However the number of displayed worklist items is limited to 200 If more are available the user is informed to modify the filter criteria for the query see Operators Manual GE MEDICAL SYSTEMS DIR 2040396 087 REV A Service Status Status Code Failure 700 900 Pending 0 FF01 CASE CARDIOSOFT CS DICOM CONFORMANCE STATEMENT Following are the status codes that are more specifically processed when receiving messages from a Modality Worklist SCP equipment Further Meaning Refused Out of resources Error Identifier does not match SOP Class Error Unable to process Matching terminated due to cancel Matching is complete No final identifier is supplied Matches are continuing Current Match is supplied and any Optional Keys were supported in the same manner as Required Keys M
49. cter Set See section See 2 7 3 3 2 Scheduled Procedure Step Module TABLE 3 3 2 SCHEDULED PROCEDURE STEP MODULE ATTRIBUTES Expected Expected Mapped Matching Returned into the Scheduled Procedure 0040 0100 Step Sequence gt Scheduled Station AE 0040 0001 Type of matching Single value Title Matching value dynamically configurable in worklist Returned value can be displayed in worklist gt Scheduled Procedure 0040 0002 Type of matching Single value range Step Start Date Matching value dynamically configurable in the worklist Returned value is displayed in worklist gt Scheduled Procedure 0040 0003 No matching always zero Step Start Time Returned value is displayed in worklist CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A gt Scheduled Procedure 0040 0004 3 No Not used Step End Date gt Scheduled Procedure 0040 0005 3 No Not used Step End Time gt Modality 0008 0060 1 No Type of matching Single value Matching value dynamically configurable in System Configuration DICOM tab item Modality for worklist query default value gt Scheduled 0040 0006 2 Yes Type of matching Universal erforming Physician s Returned value can be displayed in the worklist ame Returned value mapped to the Attending Physician field in the test information and truncated to 30 characters As the Attending Physician
50. dentifying Information The Implementation UID for this DICOM Implementation is CASE CardioSoft CS Implementation UID 1 2 840 113619 6 235 The Implementation Version Name for this DICOM Implementation is CASE CardioSoft CS Implementation Version Name CSOFT V10 GE MEDICAL SYSTEMS DIR 2040396 087 REV A Abstract Syntax Modality Worklist Information Model FIND 1 2 840 10008 5 1 4 31 CASE CARDIOSOFT CS DICOM CONFORMANCE STATEMENT 2 3 1 2 Association Initiation Policy When the CASE CardioSoft CS Application Entity initiates an Association for any Real World Activity it will propose the Presentation Context for only this Real World Activity CASE CardioSoft CS proposes a set of Transfer Syntaxes per Presentation Context and Abstract Syntax 2 3 1 2 1 Real World Activity Worklist Query 2 3 1 2 1 1 Associated Real World Activity The user may initiate DICOM Worklist Query when entering the Order List screen or when clicking the Find button in the Order List screen The query sends a C FIND RQ to the Worklist SCP The association is closed upon the receipt of C FIND RSP confirmation 2 3 1 2 1 2 Proposed Presentation Context Table Presentation Context Table Proposed by AE CASE CardioSoft CS for Activity A Worklist Query Transfer Syntax Extended UID Name List Negotiation Implicit VR Little Endian 1 2 840 10008 1 2 None Explicit VR Little Endian 1 2 840 10008 1 2 1 Expli
51. dule Definitions e eee eee ee eee eee eere ette 3 2 CASE CARDIOSOFT CS V6 6 GE MEDICAL SYSTEMS CONFORMANCE STATEMENT DIR 2040396 087 REV 4 MODALITY PERFORMED PROCEDURE STEP IMPLEMENTATION 4 1 4 1 Modality Performed Procedure Step MODULE TABLE ssessvossessvessveseveevenneenneennesssesnsenneensesssesssensssnesennnenseenee 4 1 4 2 Modality Performed Procedure Step Module Definitions ccsccccccssscssscssscscssscsscescssssssccsscsscesscescssseees 4 1 4 3 Standard Extended and Private Data Attributes eseseveveeverveevveneennennennennennenneenevnnennennennennenneenennsennennennenneeneenee 4 6 4 4 Standard Extended and Private CONTEXT Groups seeseervevvenvenvennennennennennennenneenernsennennennennenneenevnsennennennenneeneenee 4 6 5 STORAGE COMMITMENT PUSH MODEL IMPLEMENTATION 5 1 5 1 Storage Commitment PUSH Model Information Object definition eessvosvovsvevvevevennvenneenneenseensesseesnesssesssennsee 5 1 6 ENCAPSULATED PDF INFORMATION OBJECT IMPLEMENTATION 6 1 61 TOD MODULE WI Diner 6 1 6 2 INFORMATION MODULE DEFINITIONS esseseevesveseenennenenneneenennennenensensenenneneenenneneenenneneenennennenennennenenneneenennene 6 1 6 3 Standard Extended and Private Data Attributes sceseveevvverv
52. dure ID Scheduled Procedure Step ID and Scheduled Protocol Code are available from the worklist _ gt Reason for Requested Procedure 1001 used Code Sequence 6 4 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A gt gt Code Sequence Macro il gt Scheduled Procedure Step ID 0040 0009 gt Scheduled Procedure Step Description 0040 0007 gt Scheduled Protocol Code Sequence 0040 0008 Context Sequenss gt gt gt Comet Hem Moditer ronan aaa Performed Procedure Step ID 0040 0253 Used Used see Configurable Context Group chapter 6 4 3 Equipment generated ID date time of this procedure step format MMDDYYYYHHMMSS 3 Taken from the worklist Scheduled Step Description if available For Exercise and Ergospirometry test this field is mapped to the test type field in the Test Information dialog AAI i us SS Performed Procedure Step Start Date AI Performed Procedure Step Start Time Performed Procedure Step Description 0040 0254 Performed Protocol Code Sequence 0040 0260 Used if Performed Protocol Code and Performed Protocol Code Scheme are available See Configurable Context Groups chapter 6 4 3 gt Code Sequence Macro OTT hem Modifier Sense 3 Comments on the Performed Procedure 0040 0280 3 Step ot used EG re
53. dure Step N CREATE RQ Encapsulated PDF Instances 12 Lead ECG Waveform Instances and General ECG Waveform Instances mm o Nm gt Scheduled Procedure 0040 0020 Not used Step Status gt Comments on the 0040 0400 Not used Scheduled Procedure Step gt Requested Contrast 0032 1070 2C No Not used Agent 3 3 2 1 Scheduled Procedure Step Module Attribute Descriptions 3 3 2 1 1 Scheduled Station AE Title The MWL could also be queried for procedure steps of other acquisition workstations The title source for image storage is always that of querying station 3 3 3 Requested Procedure Module TABLE 3 3 3 REQUESTED PROCEDURE MODULE ATTRIBUTES Attribute Name Tag Expected Expected Mapped Matching Returned into the Key Type Key Type Image 3 4 GE MEDICAL SYSTEMS DIR 2040396 087 REV A Requested Procedure ID Requested Procedure Description Requested Procedure Code Sequence gt Code Sequence Macro Study Instance UID Referenced Study Sequence gt Referenced SOP Class UID gt Referenced SOP Instance UID Requested Procedure Priority Patient Transport Arrangements Requested Procedure Location Confidentiality Code Reporting Priority Names of Intended Recipients of Results 0040 1001 0032 1060 0032 1064 0020 000D 0008 1110 0008 1150 0008 1155 0040 1003 0040 1004 0040 1005 0040 1008 0040 1009
54. ection 2118780 1 4 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 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 1 4 GE MEDICAL SYSTEMS DIR 2040396 087 REV A CASE CARDIOSOFT CS V6 6 CONFORMANCE STATEMENT The reader of this DICOM Conformance Statement should be aware that different GEMS devices are capable of using different Information Object Definitions For example 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 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 a
55. eenvennvnnennennennennenneenernnennennennennenneenevnsennennennennenneenee 6 9 6 4 Standard Extended and Private CONTEXT Groups sessvosvevvevveenvenvenseennesssennsenessnnsenneennesnsesnsesneennesnnesssensnenesee 6 9 7 12 LEAD ECG WAVEFORM INFORMATION OBJECT IMPLEMENTATION 7 1 7113 9131000101 OM V LI B Deco rp 7 1 7 2 INFORMATION MODULE DEFINITIONS essesvevesvesesnesnenenneneenennennenenneneenenneneenenneneenenneneenennennenennennenenneneenennene 7 1 7 3 Standard Extended and Private Data Attributes scesevervvnvevevevennennennennennennennnennennennennennennennsenesnnennennennennenneen 7 11 7 4 Standard Extended and Private CONTEXT Groups sssesesevessvensvenneesseensernvennvennesnsevssensssnnsenneenneensesssessseensenneene 7 11 8 GENERAL ECG WAVEFORM INFORMATION OBJECT IMPLEMENTATION 8 1 81 TOD MODULE TABLE Dic rr 8 1 8 2 INFORMATION MODULE DEFINITIONS esseseevesveseeveveenennensenennennenenneneenenneneenenneneenenneneenennennenenneneenenneneenennene 8 1 8 3 Standard Extended and Private Data Attributes scesevervvevvevevnvennvnnennennennennennnenevnnennennennennenneenesenennennennennenneen 8 11 8 4 Standard Extended and Private CONTEXT Groups sssesesevessvenneenneessevnserneennvensesnsesssesnssnnsennsennesnnesssessseeneenneene 8 11 CASE CARDIOSOFT CS V6 6 GE MEDICAL SYSTEMS CONFORMANCE STATEMENT DIR 2040396 087 REV A 1 INTRODUCTION 1 1 OVERVIEW This DICOM Conformance Statement is divided
56. en from worklist if it is there max 30 characters Patient s Birth Date 0010 0030 2 May be entered User Interface or taken from worklist if it is there Patient s Sex 0010 0040 2 May be entered User Interface or taken from worklist if it is there Referenced Patient Sequence 0008 1120 3 Not used gt Referenced SOP Class Instance UIDs Patient s Birth Time 0010 0032 3 Not used Other Patient IDs 0010 1000 3 Not used Other Patient Names 0010 1001 3 Not used Ethnic Group 0010 2160 3 Not used Patient Comments 0010 4000 3 Not used 7 2 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV 7 2 2 General Study Module TABLE 7 2 2 GENERAL STUDY MODULE ATTRIBUTES Study Instance UID 0020 000D Taken from worklist if it is there If not uniquely generated by the equipment Study Date 0008 0020 Set to test date Sly Oxon 2 Study ID 0020 0010 2 Filled with Requested Procedure ID from the worklist if available otherwise empty 0008 0050 Taken from worklist if it is there otherwise empty Referenced Study Sequence 0008 1110 3 Used SOP Class 1 2 840 10008 3 1 2 3 1 Used SOP Instance Study Instance UID from worklist if available otherwise uniquely generated by the equipment 7 3 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV 7 2 3 General Series Module TAB
57. entical software application It provides the following DICOM functionality e Querying and retrieving DICOM Modality Worklist from a Worklist SCP e Sending start and end of a test MPPS in progress MPPS completed discontinued to a DICOM Modality Performed Procedure Step SCP e Sending storage commitment requests and receiving replies to a DICOM Storage Commitment SCP e Exporting DICOM Composite Instances as Storage SCU o ECG Waveforms for Exercise or Ergospirometry tests o Final report as DICOM Encapsulated PDF for all types of tests DICOM Verification as SCP and SCU 2 2 IMPLEMENTATION MODEL 2 2 1 Application Data Flow Diagram The network application model for the CASE CardioSoft CS is shown in the following Illustration CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A ILLUSTRATION 2 1 CASE CARDIOSOFT CS NETWORK APPLICATION MODEL AND DATA FLOW DIAGRAM DICOM Association Initiation Standard Interface Modality Worklist SCP Worklist Query Modality PPS SCP Storage SCP Save Test Storage ommitmen Remote Verification SCP SCU Association Initiation CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A There are 6 local real world activities that occur in CASE CardioSoft CS Worklist Query Start End Test Save Test Save Test completed Test Status change E
58. ercise Test MODBALKE Treadmill Protocol Exercise Test USAFSAM Treadmill Protocol Exercise Test SLOWUSAFSAM Treadmill Protocol Exercise Test CORNELL Treadmill Protocol Exercise Test BALKE Treadmill Protocol Exercise Test MODBALKEWARE Treadmill Protocol Exercise Test ADENOSINE Pharma Protocol Exercise Test DOBUTAMINE Pharma Protocol Exercise Test PERSANTINE Pharma Protocol Exercise Test Unknown Ergometer Protocol Exercise Test Unknown Treadmill Protocol Ergospirometry WHO Ergometer Protocol Ergospirometry WHOSO Ergometer Protocol Ergospirometry WHO75 Ergometer Protocol Ergospirometry HOLLMANN Ergometer Protocol Ergospirometry BAL Ergometer Protocol Ergospirometry STD FRANCE Ergometer Protocol Ergospirometry MODWHO Ergometer Protocol Ergospirometry CONCONI Ergometer Protocol Ergospirometry BRUCE Treadmill Protocol Ergospirometry MODBRUCE Treadmill Protocol Ergospirometry NAUGHTON Treadmill Protocol Ergospirometry ELLESTAD Treadmill Protocol Ergospirometry MODBALKE Treadmill Protocol Ergospirometry USAFSAM Treadmill Protocol Ergospirometry SLOWUSAFSAM Treadmill Protocol Ergospirometry CORNELL Treadmill Protocol Ergospirometry BALKE Treadmill Protocol CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A CSO_ESPIRO CSO MODBALKEWARE Ergospirometry MODBALKEWARE Treadmill Protocol CSO_ESPIRO CSO_E_ADENOSINE Ergospirometry ADENOSINE Pharma Protocol CSO_ESPIRO CSO
59. formation Object is used both for N ACTION Storage Commitment Requests by the SCU and N EVENT REPORT Storage Commitment Notifications by the SCP 5 1 1 STORAGE COMMITMENT MODULE FOR N ACTION TABLE 5 1 1 STORAGE COMMITMENT MODULE FOR N ACTION Attribute Name Transaction UID Storage Media File Set ID Storage Media File Set UID Referenced SOP Sequence gt Referenced SOP Class UID gt Referenced SOP Instance UID gt Storage Media File Set ID gt Storage Media File Set UID 5 1 2 Tag 0008 1195 0008 1199 0008 1155 0088 0140 TABLE 5 1 1 0088 0130 0088 0140 0008 1150 0088 0130 SCU Use Uniquely generated by the equipment and cached Not used Not used Supported Supported Supported cached Not used Not used STORAGE COMMITMENT MODULE FOR N EVENT REPORT STORAGE COMMITMENT MODULE FOR N EVENT REPORT CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANGE STATEMENT DIR 2040396 087 REV A Attribute Name Transaction UID Retrieve AE Title Storage Media File Set ID Storage Media File Set UID Referenced SOP Sequence gt Referenced SOP Class UID gt Referenced SOP Instance UID gt Retrieve AE Title gt Storage Media File Set ID gt Storage Media File Set UID Failed SOP Sequence gt Referenced SOP Class UID gt Referenced SOP Instance UID gt Failure Reason Tag 0008 1195 0008 0054 0088 0130 0088 0140 0008 1199
60. he local database Patient s Address 0010 1040 3 No Notu Not used yee ee _ Patient s Birth 3 No Not used Time Patient s Insurance 0010 0050 Not used Plan Code Sequence gt Code Sequence Macro Patient s Primary 0010 0101 ot used Language Code Sequence gt Code Sequence Macro gt Patient s Primary 0010 0102 used Language Code Modifier Sequence gt gt Code Sequence Macro CASE CARDIOSOFT GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A Branch of Service 0010108 3 Notused Country of 0010 2150 3 No Not used Residence Region of 0010 2152 3 No Not used Residence 0010 2154 No Not used Ethnic Group 0010 2160 3 Patient s Religious 0010 21F0 3 Not used Preference 3 3 12 Patient Medical TABLE 3 3 12 PATIENT MEDICAL MODULE ATTRIBUTES Attribute Tag Expected Expected Mapped Note Name Matching Returned into the Key Type Key Type Image Patient State 0038 0500 O 2 No Not used Pregnancy 0010 21C0 2 Not used Status Medical Alerts 0010 2000 O 2 No Not used Contrast 0010 2110 O 2 No Not used Allergies Special Needs 0038 0050 O 2 No Not used Smoking 0010 21A0 O 3 No Not used Status Additional 0010 21B0 O 3 No Not used Patient History Last Menstrual 0010 21D0 O 3 No Not used Date CASE
61. ing data from the BP Monitor Ergospirometry When stepping to the Post Test Review or Initial screen After successful transmission of all C STORE messages per test the transfer status for this test is set to Transferred DCM which is displayed in the overall test list of CASE CardioSoft CS If the response to a C STORE fails the user is informed by an error message that the connection to the Image Archive failed In case of an error CASE CardioSoft CS does not send further C STORES for this corresponding test Encapsulated PDF GE MEDICAL SYSTEMS DIR 2040396 087 REV A CASE CARDIOSOFT CS DICOM CONFORMANCE STATEMENT The Encapsulated PDF is created as one final report depending on the test specific configuration DICOM Encapsulated PDF is provided by the following test types Exercise test Resting ECG Spirometry test ABP test Ergospirometry test The association is opened before the transaction and closed after the transaction ECG Waveforms Note DICOM ECG Waveforms are only provided by Exercise and Ergospirometry test The following ECG Waveforms objects are sent per test first 12SL ECG strip in Pre Test phase as Resting ECG if available e Last ECG strip in Pre Test phase as Baseline ECG if available e Last ECG strip per stage in Exercise Phase as Exercise ECG if available e Last ECG strip in Recovery Phase as Post Exercise ECG if available Per ECG
62. isplayed in the worklist Returned value mapped to the Ordering Physician field in the test information and truncated to 30 characters As the Ordering Physician field is part of the products final report it is visible in the Encapsulated Document PDF itself GE MEDICAL SYSTEMS DIR 2040396 087 REV A Referring Physician s Name Requesting Service Reason for the Imaging Service Request Imaging Service Request Comments Issue Date of Imaging Service Request Issue Time of Imaging Service Request Placer Order Number Imaging Service Request Filler Order Number Imaging Service Request Order entered Order Enterer s Location Order Callback Phone Number Attribute Name Admission ID Institution Name Institution Address Institution Code Sequence gt Code Sequence Macro Issuer of Admission ID 0008 0090 0032 1033 0040 2001 0040 2400 0040 2004 0040 2005 0040 2016 0040 2017 0040 2008 0040 2009 0040 2010 2 No 3 No 3 No 3 No 3 No 3 No 3 No 3 No 3 No 3 No 3 No 3 3 5 Visit Identification 0038 0010 0008 0080 0008 008 1 0008 0082 0038 0011 Expected Expected Matching Returned TABLE 3 3 5 Mapped into the Not used Not used Not used Not used Not used Not used Not used Not used Not used Not used Not used VISIT IDENTIFICATION M
63. lowing DICOM SOP Classes as an SCU SOP Class Name SOP Class UID Modality Worklist Information Model FIND 1 2 840 10008 5 1 4 31 Modality Performed Procedure Step Storage Commitment Push Model 12 lead ECG Waveform Storage General ECG Waveform Storage Encapsulated PDF Storage Verification SOP Class 1 2 840 10008 3 1 2 3 3 1 2 840 10008 1 20 1 1 2 840 10008 5 1 4 1 1 9 1 1 1 2 840 10008 5 1 4 1 1 9 1 2 1 2 840 10008 5 1 4 1 1 104 1 1 2 840 10008 1 1 The CASE CardioSoft CS Application Entity provides Standard Conformance to the following DICOM SOP Classes as an SCP SOP Class Name SOP Class UID Verification SOP Class 1 2 840 10008 1 1 2 4 GE MEDICAL SYSTEMS DIR 2040396 087 REV A CASE CARDIOSOFT CS DICOM CONFORMANCE STATEMENT 2 3 1 1 Association Establishment Policies 2 3 1 1 1 General The DICOM Application Context Name ACN which is always proposed is Application Context Name 1 2 840 10008 3 1 1 1 The maximum length PDU receive size not configurable for the CASE CardioSoft CS is 64234 Maximum Length PDU 2 3 1 1 2 Number of Associations The CASE CardioSoft CS will initiate a maximum of 1 simultaneous associations to remote nodes The CASE CardioSoft CS will support a maximum of simultaneous associations initiated by remote nodes 2 3 1 1 3 Asynchronous Nature Asynchronous mode is not supported All operations will be performed synchronously 2 3 1 1 4 Implementation I
64. nded applications Such a validation is required before any clinical use diagnosis and or treatment is performed It applies when images acquired on GE imaging equipment are processed displayed on a non GE device as well as when images acquired on non GE equipment is processed displayed on a GE console or workstation Future Evolution GE understands that the DICOM Standard will evolve to meet the user s growing requirements GE is actively involved in the development of the DICOM Standard DICOM will incorporate new features and technologies and GE may follow the evolution of the Standard The GEMS protocol is based on DICOM as specified in each DICOM Conformance Statement Evolution of the Standard may require changes to devices which have implemented DICOM In addition GE reserves the right to discontinue or make changes to the support of communications features on its products described by these DICOM Conformance Statements The user should ensure that any non GE provider which connects with GE devices also plans for the future evolution of the DICOM Standard Failure to do so will likely result in the loss of function and or connectivity as the DICOM Standard changes and GE Products are enhanced to support these changes GE MEDICAL SYSTEMS DIR 2040396 087 REV A CASE CARDIOSOFT CS V6 6 CONFORMANCE STATEMENT 9 Interaction It is the sole responsibility of the non GE provider to ensure that communication with the interfaced e
65. ndian 1 2 840 10008 1 2 1 Explicit VR Big Endian 1 2 840 10008 1 2 2 Encapsulated PDF 1 2 840 10008 5 1 4 1 1 104 1 Implicit VR Little Endian 1 2 840 10008 1 2 SCU None Storage Explicit VR Little Endian 1 2 840 10008 1 2 1 Explicit VR Big Endian 1 2 840 10008 1 2 2 2 3 1 2 3 2 1 SOP Specific DICOM Conformance Statement for All Storage SOP Classes The CASE CardioSoft CS includes optional data elements in the SOP Instances as described in Sections 6 2 Encapsulated PDF IOD 7 2 12 Lead ECG Waveform IOD and 8 2 General ECG Waveform IOD 2 3 1 2 4 Real World Activity D Save Test completed 2 3 1 2 4 1 Associated Real World Activity When the test is stored Real World Activity C Save Test CASE CardioSoft CS initiates an association and sends an N ACTION RQ to the SCP if this is enabled in the System Configuration which is the default value N EVENT REPORT messages shall use a different association as the one used to transfer N ACTION RQ messages All status codes of the N ACTION RSP with status Failure or Warning are treated as failures and terminate the association and operation The user is informed by an error message that the connection to the Image Manager failed After reception of the N ACTION RSP the association is closed The number of SOP Instances per individual request depends on the duration of the test For Resting ECG Spirometry and ABP only 1 SOP Instance is sent final report sent as encaps
66. nt 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 Part 8 standard For more information including Network Architecture and basic DICOM concepts please refer to the Introduction For more information regarding DICOM copies of the Standard may be obtained on the Internet at http medical nema org Comments on the Standard may be addressed to DICOM Secretariat NEMA 1300 N 17 Street Suite 1847 Rosslyn VA 22209 USA Phone 1 703 841 3200 1 3 INTENDED AUDIENCE The reader of this document is concerned with software design and or system integration issues It is assumed that the reader of this document is familiar with the DICOM Standard and with the terminology and concepts which are used in that Standard If readers are unfamiliar with DICOM terminology they should first refer to the document listed below then read the DICOM Standard itself prior to reading this DICOM Conformance Statement document Introduction to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statement Dir
67. on 9 SCU TCP IP Port Number through System Configuration DICOM screen DICOM Verification 9 retries retry interval timeout see product Service Manual General 9 Timeout for reading messages e g response messages default value 5 seconds Further information about the DICOM Configuration please see the Service Manual of the Product Note All configurations must be performed by a GE Field Engineer 2 16 GE MEDICAL SYSTEMS DIR 2040396 087 REV A Context Group Stress Protocol CASE CARDIOSOFT CS DICOM CONFORMANCE STATEMENT 2 7 SUPPORT OF EXTENDED CHARACTER SETS CASE CardioSoft CS will support the following single byte extended character sets ISO IR 6 ASCII Default ISO IR 100 ISO 8859 1 Latin 1 Western Europe ISO IR 101 ISO 8859 2 Latin 2 Central Eastern Europe ISO IR 144 ISO 8859 5 Cyrillic ISO IR 148 ISO 8859 9 Latin 5 Turkish as extended character set As Query SCU the product will accept response items with any value of Specific Character Set 0008 0005 However it will display in the user interface only characters specified as within ISO IR 6 ASCII or the configured extended character set The product user interface will allow the user to enter characters that are within ASCII or the configured extended character set If any such extended characters are included in SOP Instances or in query identifier matching fields the product will appropriately specif
68. quipment does not cause degradation of GE imaging equipment performance and or function 1 6 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 7 DEFINITIONS A set of definitions 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 8 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 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A 2 NETWORK CONFORMANCE STATEMENT 2 1 INTRODUCTION This section of the DICOM Conformance Statement specifies the CASE CardioSoft CS compliance to DICOM requirements for Networking features Note that the format of this section strictly follows the format defined in DICOM Standard PS 3 2 Conformance Please refer to that part of the standard while reading this section CASE CardioSoft CS is a PC based diagnostic workstation for Exercise tests Resting ECG Ambulatory Blood Pressure ABP Spirometry and Ergospirometry tests All 3 products CASE CardioSoft CS include the id
69. r Ergospirometry test this field is mapped to the test type field in the Test Information dialog Performed Protocol Code Sequence 0040 0260 3 Used if Performed Protocol Code and Performed Protocol Code Scheme are available See Configurable Context Groups chapter 7 4 3 Comments on the Performed Procedure 0040 0280 Step 7 2 4 General Equipment Module TABLE 7 2 4 GENERAL EQUIPMEN T MODULE ATTRIBUTES Attribute Name Tag Attribute Description Manufacturer 0008 0070 Set to Medical Systems Institution Name 0008 0080 Not used Institution Address 0008 0081 Not used Station Name 0008 1010 Not used Institutional Department Name 0008 1040 Not used Manufacturer s Model Name 0008 1090 Not used Device Serial Number 0018 1000 Not used Software Versions 0018 1020 Not used Spatial Resolution 0018 1050 Not used Date of Last Calibration 0018 1200 Not used Time of Last Calibration 0018 1201 Not used Pixel Padding Value 0028 0120 Not used 7 5 GE MEDICAL SYSTEMS DIR 2040396 087 REV A CASE CARDIOSOFT CS DICOM CONFORMANCE STATEMENT 7 2 5 Waveform Identification Module TABLE 7 2 5 WAVEFORM IDENTIFICATION MODULE ATTRIBUTES Attribute Name L Tag Type se 0020 0013 Continuous number within a series starting with Zero 0008 0023 Date of the test that includes this waveform 0008 0033 Time of the test that includes this waveform Acquisition Datetime 0008 002A 1 Da
70. r to DICOM v3 0 Standard Part 3 Information Object Definitions for a description of each of the entities and modules contained within the Encapsulated PDF Information Object The following modules are included to convey Enumerated Values Defined Terms and Optional Attributes supported Type I amp Type 2 Attributes are also included for completeness and to define what values they may take and where these values are obtained from It should be noted that they are the same ones as defined in the DICOM v3 0 Standard Part 3 Information Object Definitions Elements not listed in tables shall be considered as Not used 6 1 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV 6 2 1 Patient Module TABLE 6 2 1 PATIENT MODULE ATTRIBUTES Attribute Name Tag Type Attribute Description Patient s Name 0010 0010 2 May be entered User Interface taken from worklist if it is there Last name and First Name fields are both truncated to 30 characters Patient ID 0010 0020 2 May be entered User Interface or taken from worklist if it is there max 30 characters Patient s Birth Date 0010 0030 2 May be entered User Interface or taken from worklist if it is there Patient s Sex 0010 0040 2 May be entered User Interface or taken from worklist if it is there Referenced Patient Sequence 0008 1120 3 Not used gt Referenced SOP Class Instance UIDs Patient s Birth
71. ration 0018 1201 Not used Pixel Padding Value 0028 0120 Not used 8 5 GE MEDICAL SYSTEMS DIR 2040396 087 REV A CASE CARDIOSOFT CS DICOM CONFORMANGE STATEMENT 8 2 5 Waveform Identification Module TABLE 8 2 5 WAVEFORM IDENTIFICATION MODULE ATTRIBUTES Attribute Name 0020 0013 Continuous number within series starting with Zero 0008 0023 Date of the test that includes this waveform 0008 0033 Time of the test that includes this waveform Acquisition Datetime 0008 002A 1 Date and time of the acquisition of this waveform 8 2 6 Waveform Module TABLE 8 2 6 WAVEFORM MODULE ATTRIBUTES Waveform Sequence 5400 0100 gt Multiplex Group Time Offset 0018 1068 gt Trigger Time Offset 0018 1069 gt Trigger Sample Position 0018 106E The default value is to use 1 sequence with max 3 6 12 or 15 Leads depending on the number of monitored leads see Exercise test configuration including a 10 second ECG stripe Especially in case of a 12 lead ECG the number of waveform items may vary up to 4 depending on the used 12 Lead 12SL Report Format see Exercise test configuration However this must be explicitly enabled see Product Service Manual Not used Acquisition Time Synchronized also not used Not used waveform acquisition is not synchronized to a trigger Not used gt Waveform Originality 003A 0004 Set to ORIGINAL 8 6 CASE C
72. re sent by GEMS devices 1 5 IMPORTANT REMARKS The use of these DICOM Conformance Statements in conjunction with the DICOM Standards is intended to facilitate communication with GE imaging equipment However by itself it is not 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 9 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 responsibility to analyze the applications requirements and to design a solution that integrates GE imaging equipment with non GE systems is the user s responsibility and should not be underestimated The user is strongly advised to ensure that such an integration analysis is correctly performed Validation Testing the complete range of possible interactions between any GE device and non GE devices before the connection is declared operational should not be overlooked Therefore the user should ensure that any non GE provider accepts full responsibility for all validation required for their connection with GE devices This includes the accuracy of the image data once it has crossed the interface between the GE imaging equipment and the non GE device and the stability of the image data for the inte
73. s supported by this product 2 5 1 2 Private SOP Class There are no Private SOP Classes supported by the product 2 5 2 Private Transfer Syntaxes There are no private Transfer Syntaxes supported by the product 2 6 CONFIGURATION 2 6 1 AE Title Presentation Address Mapping The Local AE title is configurable in the System Configuration see below 2 15 GE MEDICAL SYSTEMS DIR 2040396 087 REV A CASE CARDIOSOFT CS DICOM CONFORMANCE STATEMENT 2 6 2 Configurable Parameters The following fields are configurable for this AE local 9 Local AE Title through System Configuration DICOM screen 9 Local IP Address through Operating System static IP Address configuration 9 Local Listening Port Number for Storage Commitment SCU through System Configuration DICOM screen 9 Local IP Netmask through Operating System static IP Address configuration The following SCP DICOM AE s are configurable SCP DSS Order Filler DMWL Query SCP PPS Manager MPPS SCP Image Archive Storage Image Stored SCP Image Manager Storage Commitment The following fields are configurable for the listed SCP DICOM also used for Verification 9 SCP AE Title through System Configuration DICOM screen SCP IP Address through System Configuration DICOM screen SCP TCP IP Port Number through System Configuration DICOM screen The following field is configurable as Storage Commitment SCU also used for Verificati
74. te and time of the acquisition of this waveform 7 2 6 Waveform Module TABLE 7 2 6 WAVEFORM MODULE ATTRIBUTES Waveform Sequence 5400 0100 gt Multiplex Group Time Offset 0018 1068 gt Trigger Time Offset 0018 1069 gt Trigger Sample Position 0018 106E The default value is to use 1 sequence with max 3 6 or 12 Leads depending on the number of monitored leads see Exercise test configuration including a 10 second ECG stripe Especially in case of a 12 lead ECG the number of waveform items may vary up to 5 depending on the used 12 Lead 12SL Report Format see Exercise test configuration However this must be explicitly enabled see Product Service Manual Not used Acquisition Time Synchronized also not used Not used waveform acquisition is not synchronized to a trigger Not used gt Waveform Originality 003A 0004 Set to ORIGINAL 7 6 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANGE STATEMENT DIR 2040396 087 REV A gt Number of Waveform Channels gt Number of Waveform Samples gt Sampling Frequency gt Multiplex Group Label gt Channel Definition Sequence gt gt gt Code Value gt gt gt Coding Version gt gt Channel Sensitivity Correction Factor 003A 0005 003A 0010 003A 001A 003A 0020 003A 0200 03A 0202 03A 0203 03A 0205 03A 0208 0 0 0 0 m 003A 0209 003A 020A 0008 1150 0008
75. ted in tables shall be considered as Not used 8 1 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV 8 2 1 Patient Module TABLE 8 2 1 PATIENT MODULE ATTRIBUTES Attribute Name Tag Type Attribute Description Patient s Name 0010 0010 2 May be entered User Interface taken from worklist if it is there Last name and First Name fields are both truncated to 30 characters Patient ID 0010 0020 2 May be entered User Interface or taken from worklist if it is there max 30 characters Patient s Birth Date 0010 0030 2 May be entered User Interface or taken from worklist if it is there Patient s Sex 0010 0040 2 May be entered User Interface or taken from worklist if it is there Referenced Patient Sequence 0008 1120 3 Not used gt Referenced SOP Class Instance UIDs Patient s Birth Time 0010 0032 3 Not used Other Patient IDs 0010 1000 3 Not used Other Patient Names 0010 1001 3 Not used Ethnic Group 0010 2160 3 Not used Patient Comments 0010 4000 3 Not used 8 2 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV 8 2 2 General Study Module TABLE 8 2 2 GENERAL STUDY MODULE ATTRIBUTES Study Instance UID 0020 000D Taken from worklist if it is there If not uniquely generated by the equipment Study Date 0008 0020 Set to test date Sly Oxon 2
76. tion of applicability of the Transaction UID 2 3 1 3 1 2 Accepted Presentation Context Table Presentation Context Table Accepted by AE CASE CardioSoft CS for Activity E Storage commitment received Abstract Syntax Transfer Syntax Extended UID Name List UID List Negotiation Storage Commitment 1 2 840 10008 1 20 1 Implicit VR Little Endian 1 2 840 10008 1 2 None Push Model Explicit VR Little Endian 1 2 840 10008 1 2 1 Explicit VR Big Endian 1 2 840 10008 1 2 2 2 3 1 3 1 2 1 SOP Specific DICOM Conformance Statement for the Storage Commitment Push Model SOP Class SCU CASE CardioSoft CS will only accept the SCU role which must be proposed via SCP SCU Role Selection Negotiation within a Presentation Context for the Storage Commitment Push Model SOP Class Upon receiving a Storage Commitment N EVENT REPORT Storage Commitment Result CASE CardioSoft CS will validate the Transaction UID against its list of outstanding Storage Commitment Request Transaction UIDs If it matches an outstanding Request and if all SOP Instances for this test indicate a success status the AE will mark the test in it s test list with Committed DCM If at least one of them don t have success status the test keeps its status Transferred The transfer status Committed DCM does not allow to modify this test anymore default can be changed in System Configuration If the Storage Commitment Result indicates any failure
77. uency 003A 0221 3 Set to 20 40 100 or 150 Hz depending on the filter settings of this waveform gt Waveform Sample ion 1006 see to SS Interpretation gt Waveform Padding Value 5400 100A Not used acquisition equipment does not insert padding 7 2 7 Acquisition Context Module TABLE 7 2 7 ACQUISITION CONTEXT MODULE ATTRIBUTES SE Acquisition Context Sequence 0040 0555 Two items are present in this sequence _ TID 3401 is used First sequence item sequence item gt Value Type 0040 A040 Set to CODE gt Concept Name Code Sequence 0040 A043 Sequence set to 109054 DCM Patient State LLL E gt Time 0040 A122 1C Not used gt Person Name 0040 A123 1C Not used gt Text Value 0040 A160 1C Not used 7 8 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANGE STATEMENT DIR 2040396 087 REV A gt Concept Code Sequence 0040 A168 1 1C See CID 3262 gt gt Code Sequence Macro er Second sequence item PT Set to NUMERIC gt Concept Name Code Sequence E EE Value Type 040 A040 Sequence set to 109055 DCM Protocol Stage gt gt Code Sequence Macro gt Referenced Frame Numbers 0040 A136 Not used gt Measurement Units Code Sequence gt gt Code Sequence Macro gt Date Not used gt Time 0040 A 122 Not used gt Person
78. ulated PDF For the Exercise and Ergospirometry test the number depends on how many 12SL ECGs were executed and how many stages have passed Typically about 10 SOP Instances may be sent to the SCP Maximum is 50 CASE CARDIOSOFT CS GE MEDICAL SYSTEMS DICOM CONFORMANCE STATEMENT DIR 2040396 087 REV A 2 3 1 2 4 2 Proposed Presentation Context Table Presentation Context Table Proposed by AE CASE CardioSoft CS for Activity D Save Test completed Abstract Syntax Transfer Syntax Extended UID Name List UID List Negotiation Storage Commitment 1 2 840 10008 1 20 1 Implicit VR Little Endian 1 2 840 10008 1 2 None Push Model Explicit VR Little Endian 1 2 840 10008 1 2 1 Explicit VR Big Endian 1 2 840 10008 1 2 2 2 3 1 2 4 2 1 SOP Specific DICOM Conformance Statement for the Storage Commitment Push Model SOP Class SCU CASE CardioSoft CS uses DICOM network storage services to transfer SOP Instances which are to be committed It does not support the optional Storage Media File Set ID and UID Attributes in the Storage Commitment N ACTION for transfer of SOP Instances by media for Storage Commitment CASE CardioSoft CS may request Storage Commitment for Instances of any of the SOP Classes it supports as an SCU see Section 2 3 1 2 3 2 The Storage Commitment Information Object is described in Section 5 2 3 1 2 5 Real World Activity F Echo 2 3 1 2 5 1 Associated Real World Activity The user may initiate a DICOM Verifi
79. y the extended character set in Specific Character Set 0008 0005 The product will accept as Modality Worklist SCU Scheduled Procedure Step Identifiers with any value of Specific Character Set 0008 0005 Text attributes of the Scheduled Procedure Step Identifier including Patient and Physician names that include extended characters will be displayed as described above Please see the Service Manual for the extended character set configuration 2 8 CODES AND CONTROLLED TERMINOLOGY 2 8 1 Fixed Coded Terminology Not applicable 2 8 2 Mapped Coded Terminology Not applicable 2 8 3 Configurable Coded Terminology The product allows configuration of the following sets of coded terminology CID 3261 Value of Scheduled Protocol Code Sequence 0040 0008 from CSO_STRESS selected Modality Worklist Scheduled Procedure Step is CSO_ESPIRO matched to this group for selection of the test type one of CSO_ECG Exercise test Resting ECG Spirometry ABP test GE MEDICAL SYSTEMS DIR 2040396 087 REV A CSO CSO SPI CASE CARDIOSOFT CS DICOM CONFORMANCE STATEMENT Ergospirometry test and protocol type e g BRUCE Selected value from this group is used in the Performed Protocol Code Sequence 0040 0260 Designator 0008 0102 CSO STRESS CSO STRESS CSO STRESS CSO STRESS CSO STRESS CSO STRESS CSO STRESS CSO STRESS CSO STRESS CSO STRESS CSO STRESS CSO STRESS CSO STRESS CSO STRESS CSO

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