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Innova 2100-IQ, 3100-IQ, 4100-IQ Cardiovascular

1. 1 DICOM Standard Interface The Innova DICOM Application Entity is an application which handles DICOM protocol communication Innova DICOM AE is automatically brought up when the Innova system is powered on All remote DICOM AE must be manually configured on the Innova usually at the software installation time by a GE Field Engineer 30 2 Implementation Model Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 There are five local Real World activities which can cause the Innova DICOM AE to initiate a DICOM association e Copy Images Request Storage Commitment for a set of images e Get Worklist e Verification e Provide MPPS Copy Image consists of an operator selecting one or several images through the User Interface known as Browser and Viewer Selection of Remote System and visualization of the transfer status is done in a specific screen The remote system can be any DICOM storage SCP supporting XA modality Request storage commitment consists of an automatic request performed by the system after each successful image transfer to request Transfer of Ownership for the Images that have been transferred earlier by the Copy Image real world activity The remote system shall be a DICOM Storage Commitment SCP Get Worklist activity consists of an operator request for the transfer of a list of procedure to be performed
2. Optionally in the same association opened for N ACTION request the system can wait for a configurable delay to receive the NCEVENT REPORT request and send the N EVENT REPORT response in the same association The system will accept a configurable number of DICOM associations from the Storage Commitment SCP to receive storage commitment responses Get worklist O O O O O O O O O Build a DICOM formatted basic worklist management data reguest Initiate a DICOM Association to send the request Wait for worklist response s Access to the local database to add new patient exam demographic data Close the association Verification Initiate a DICOM Association Send the C ECHO request Wait for the C ECHO response Close the Association Provide MPPS Information 2 Implementation Model Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare O O Direction 5394268 5 8EN Revision 1 User selects one MWL entry scheduled case OR User selects no MWL entry and manually creates a patient un scheduled case and starts the exam At the start of an exam build a MPPS N CREATE DICOM message Initiate a DICOM association to send the N CREATE request Wait for the response Close the Association At the termination of the exam build a MPPS N SET DICOM message mentioning the status as COMPLETED or DISCONTINUED Initiate a DICOM a
3. UPOZORNENIE SK ATENCION ES Direction 5394268 5 8EN Revision 1 Acest manual de service este disponibil doar in limba englez Daca un furnizor de servicii pentru clienti necesita o alta limba decat cea engleza este de datoria clientului sa furnizeze o traducere Nu ncerca i s reparati echipamentul dec t ulterior consult rii si n elegerii acestui manual de service Ignorarea acestui avertisment ar putea duce la r nirea depanatorului operatorului sau pacientului n urma pericolelor de electrocutare mecanice sau de alt natur laHHoe PYKOBOACTBO NO TEXHNYECKOMY o6cnyxuBaHuto Npe ACTABNeHO TOJIBKO Ha HINUNCKOM A3bIKE Ecnu cepsucHomy nepconany knmueHTa Heo6xonuMo pyKOBO ICTBO He Ha aHrTIMCKOM a Ha KAKOM TO Apyrom s83blKe KNNEHTY crienyer CAMOCTOATENbHO o6ecrieuuTb nepeBog llepea TexHAHeCKAM o6cnyxuBauueM o6opynoBaHAn OOR3aTENEHO o6parurecb K HaHHOMy PYKOBOACTBY M NOUMUTe M3IrloxeHHble B HEM CBeneHMs HecoOrioneuue Tpe6oBaHu AaHHOrO ripeayripeKneHas MOXKeT MNPUBECTU K TOMY YTO cneunasimcT no TEXOOCNYKABAHMID oneparop nnn nauneHT nosyuvuT yap ONEKTPUYECKUM TOKOM MeXaHMAHeCKyro TpaBMy una npyroe rioBpexkneHde Ovo servisno uputstvo je dostupno samo na engleskom jeziku Ako klijentov serviser zahteva neki drugi jezik klijent je duzan da obezbedi prevodi la ke usluge Ne poku avajte da opravite ure aj ako niste pro itali i razumeli ovo servisno uputstvo Zanemarivanje ovog upozorenja mo
4. e Nie pr bowa serwisowa urz dzenia bez zapoznania si z niniejszym podr cznikiem serwisowym i zrozumienia go e Niezastosowanie sie do tego ostrze enia mo e doprowadzi do obra e serwisanta operatora lub pacjenta w wyniku pora enia pr dem elektrycznym zagro enia me chanicznego b d innego Este manual de assist ncia t cnica encontra se dispon vel unicamente em ingl s e Se outro servi o de assist ncia t cnica solicitar a tradu o deste manual caber ao cliente fornecer os servi os de tradu o e Nao tente reparar o equipamento sem ter consultado e compreendido este manual de assist ncia t cnica e An o observ ncia deste aviso pode ocasionar ferimentos no t cnico operador ou paciente decorrentes de choques el tricos mec nicos ou outros Este manual de assist ncia t cnica s se encontra dispon vel em ingl s e Se qualquer outro servico de assist ncia t cnica solicitar este manual noutro idioma da responsabilidade do cliente fornecer os servicos de traduc o e Nao tente reparar o equipamento sem ter consultado e compreendido este manual de assist ncia t cnica e O n o cumprimento deste aviso pode colocar em perigo a seguran a do t cnico do operador ou do paciente devido a choques el ctricos mec nicos ou outros Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare ATENTIE RO OCTOPOXHO RU UPOZORENJE SR
5. ee ese ee ese Re Re AA Re AA AA Re AAR AA Re AR ee RR AR Re RR ee Re RR ER Re RR Ee 49 Chapter 4 X RAY ANGIOGRAPHY XA INFORMATION OBJECT IMPLEMENTATION 51 T Introd ctioN M E 51 2 Innova Mapping of DICOM EntitieS iese sesse see ee ee ee ee ee ee ee ee ee ee ee ee nennen AAR AAR RA RR RE ee EE ee 52 3 TOD Module Table EER EE ER GE GER GR e ete ap md M t dus 53 4 Information Module Def Os usi ete el utet ga ote e teh iodo eneldo 55 4 1 Patient Entity Modules RENE eset eatin cok net See c eee vus uote cde A aaa e 55 4 2 Study Entity Modules nre ido enla 55 421 General Study Moduie Ms RE EE E 55 4 2 2 Patient Study Mod le sii AS 56 4 3 Senes Entity Modules vicio A AA 56 4 4 Equipment Entity Modules sess eene nennen nenne 58 2 5 Image Entity Modules ED ntes siete itin ptione 58 4 5 1 General Image MOC itte etta scada 58 4 5 2 Image Pixel Module ere eee e o GE a EE DR tad 59 4 5 3 ContrasuBolus Module ae RR HE EES EE uta ngu Rx RE ped etes Ee 59 4 5 4 Ciis Module een aes ne eco dett eb d dece SN 59 45 5 MultiF rame Module o aiii 60 4 9 6 Frame Pointers Module noie nya oed ENG OER aero 60 4 5 7 Mask Module rectae uted pedales taa 60 4 5 8 Display Shutter Mode EE GEE GEE to eia ien b Mae ida hd 60 45 39 X Ray Image Module asunto 61 4 9 10 X Ray Acquisition Module ss EES re a 61 4 5 11 X Ray Collimator Module ir eit e ee te RR nne re
6. AWibueName Tag Type Attribute Description Frame Time 0018 1063 1C Nominal time in msec between frames Required if frame increment SHE 0028 0009 points to frame time Frame time vector 0018 1065 An array which contains the real time increments in msec between frames for a Multi frame image Required if Frame Increment Pointer 0028 0009 points to Frame Time Vector If exist the interval time values of the inter vals during acquisition e g between two sections or seg ments Start Trim 0008 2142 29 The frame number of the next frame after the last trial im Stop Trim 0008 2143 ET Last frame of the multi frame image Recommended Display Frame 0008 2144 Number of frames per second truncated to integer Rate Chapter 4 X Ray Angiography XA Information Object Implementation 59 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Attribute Name Type Attribute Description 0018 0040 Number of frames per second truncated to integer 4 5 5 Multi Frame Module This module is used only if pixel data is Multi Frame Cine data Table 4 12 Multi Frame Module Attributes Attribute Name ag Attribute Description Number of Frames 0028 0008 1 Internally generated by acquisition system Maximum 460 1 Frame Increment Pointer 0028 0009 EE 0018 1063 OR 0018 1065 4 5 6 Frame Pointers Module
7. Table 5 7 General Equipment Module Attributes Attribute Name Attribute Description Institution Name 0008 0080 3 From Service User Interface configured at the installation of the system Restricted to 64 characters Institution Address 0008 0081 3 From Service User Interface configured at the installation of the system Restricted to 1024 characters Station Name 0008 1010 Ee AE title of the system that created the DICOM image Manufacturer s Model Name Model Name 0008 1090 ME DL Device Serial Number 0018 1000 Manufacturer s serial number of the equip ment From internal configuration of the ma chine Software Versions 0018 1020 DL application version 4 4 2 SC Equipment Module Table 5 8 SC Equipment Module Attributes 4 5 Image Entity Modules 4 5 1 General Image Module Table 5 9 General Image Module Attributes remo f oomoo EAN ATT emne Type 0008 0008 DERIVED PRIMARY SINGLE PLANE OR DERIVED SECONDARY SINGLE PLANE Acquisition Date 0008 0022 YYYYMMDD restricted to 8 characters date the sequence was acquired Acquisition Time 0008 0032 3 HHMMSS XXX restricted to 10 characters time the sequence was acquired Chapter 5 SC Information Object Implementation 79 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 Attribute Name Attribute Description Source Image Sequence 0008 2112
8. WARNING EN HOIATUS ET Direction 5394268 5 8EN Revision 1 Tento provozni navod existuje pouze v anglick m jazyce V p pad Ze extern slu ba z kazn k m pot ebuje n vod v jin m jazyce je zaji t n p ekladu do odpov daj c ho jazyka kolem z kazn ka Nesna te se o dr bu tohoto za zen ani byste si p e etli tento provozn n vod a pochopili jeho obsah V p pad nedodr ov n t to v strahy m e doj t k poran n pracovn ka prodejn ho servisu obslu n ho person lu nebo pacient vlivem elektrick ho proudu respektive vlivem mechanick ch i jin ch rizik Denne servicemanual findes kun p engelsk Hvis en kundes tekniker har brug for et andet sprog end engelsk er det kundens ansvar at s rge for overs ttelse Fors g ikke at servicere udstyret uden at l se og forst denne servicemanual Manglende overholdelse af denne advarsel kan medf re skade p grund af elektrisk st d mekanisk eller anden fare for teknikeren operat ren eller patienten Deze onderhoudshandleiding is enkel in het Engels verkrijgbaar Als het onderhoudspersoneel een andere taal vereist dan is de klant verantwoordelijk voor de vertaling ervan Probeer de apparatuur niet te onderhouden alvorens deze onderhoudshandleiding werd geraadpleegd en begrepen is Indien deze waarschuwing niet wordt opgevolgd zou het onderhoudspersoneel de operator of een pati nt gewond kunnen raken als gevolg va
9. a b c encoded mac address of the DL host x y z unique id protected against reinstallation and re en trance Study Time 0008 0030 HHMMSS XXX restricted to 10 characters Referring Physician s Name 0008 0090 From User Interface or worklist restricted to 64 characters Study ID 0020 0010 From User Interface or Worklist restricted to 16 characters 0008 0050 From User Interface or Worklist restricted to 16 characters Chapter 4 X Ray Angiography XA Information Object Implementation 55 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 Attribute Name Attribute Description Study Description 0008 1030 3 Generated description from the worklist entries If no value found value is taken from user interface Name of Physician s Read 0008 1060 3 From User Interface restricted to 64 characters Value con ing Study tains only one component May not be sent Reference Study Sequence 0008 1110 gt Reference SOP Class UID 0008 1150 From Worklist The sequence may have zero or more Items From Worklist Required if a sequence item is present UID Sequence Present if MPPS option is enabled May not be sent gt Code schema designator 0008 0102 Required if a sequence item is present gt Code meaning 0008 0104 Required if a sequence item is present 4 2 2 Patient Study Module Table 4 5 Patient S
10. itive in degrees gt Rotation 0027 xx12 Position of the Xray Image Intensifier about the patient from the CAU to CRA direction where movement from CAU to vertical is pos itive in degrees gt Focal Distance 0027 xx13 Distance in mm from source to detector center gt Field of View 0027 xx14 Dimensions of the image Intensifier Field of View in mm gt Table Vertical Position 0027 xx15 DS 1 Absolute Vertical position of the table in mm with respect to the table referential Down moving is positive The value of this attribute applies to the first frame of the Multi frame image Chapter 8 Modality Performed Procedure Step Implementation 111 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 This page left intentionally blank 112 6 Standard Extended and Private Data Attributes 2011 General Electric Company GE Medical Systems a General Electric Company going to market as GE Healthcare 283 rue de la Mini re 78530 Buc FRANCE www gehealthcare com
11. 3001300 OR 200 200 OR 172 172 OR 170 170 OR 1601160 OR 1501150 OR 147 147 OR 121421 OR 1201120 5 2 Private Group DLX SERIE 01 Private Group Private Group DLX SERIE 01 is modeled as part of the Image Information Entity Table 5 15 Private Group DLX SERIE 01 Attribute Name E NEUSS S Attribute Description and Use Slope LV regression 0019 xx25 Slope coefficient unit less of the linear regression correction of the Left Ventricu lar volume This linear regression corrects Intercept LV regression 0019 xx26 table vertical position 0019 xx21 the Left Ventricular volume calculated by the Dodge s method from the contour of the left ventricle traced by an expert Intercept coefficient in cm3 of the linear regression correction of the Left Ventricu lar volume This linear regression corrects the Left Ventricular volume calculated by the Dodge s method from the contour of the left ventricle traced by an expert Absolute Vertical position of the table in mm with respect to the table referential Down moving is positive The value of this attribute applies to the first frame of the Multi frame image Absolute Lateral position in mm of the ta ble with respectto the table referential Left moving is positive The value of this attrib ute applies to the first frame of the Multi frame image table lateral position 0019 xx23 angle value 1 0019 xx01 angle value 2 0019 xx02 angle value 3 0019 xx0
12. 3Dcal 3D frame unit size 0021 xx0E Elements of the projection matrices Each element is a real number represented by a maximum of 5 digits in its integer part then a comma then 15 digits in its fractional part 1 Version of the calibration algorithm 1 Size in mm of the unity used to describe the 3D frame dimensions EN EN 1 EN EN 1 EN EN Z z 3Dcal C arm angle 0021 xx0A 5 Standard Extended and Private Data Attributes Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Attribute Name as Aftribute Description and Use 3Dcal calibration mode um XxOF Internal code used to classify the different modes of calibration 3Dcal image frame origin row 0021 xx10 Vertical coordinate of the origin of the im age frame used for the calculation of the projection matrices given as row of the calibration image starts at O 3Dcal image frame origin column 0021 xx11 1 Horizontal coordinate of the origin of the image frame used for the calculation of the projection matrices given as column of the calibration image starts at O 3Dcal positioner pivot rotation speed 0021 xx12 Speed of the pivot rotation in degrees per second as specified by the operator be fore the acquisition of the calibration phan tom Note this speed may be slightly different from the actual speed of the gan try due to mechanical constraints like ac celerati
13. Attribute Description and Use Enumerated type containing one of the fol lowing values PRE POST and PRE_POST ACC segment name Defined terms Prox imal RCARCA OstiumMid RCADistal RCARight PDARight LV BRLMCALMCA OstiumProximal LADMid LAD Distal LAD1st Diagonal2nd Diagonal1st Septal Proximal CircumflexMid Circumflex1st Marginal2nd Marginal3rd Marginal Distal CircumflexL Size of pre procedure catheter in millime ters Required if Analysis Type 0009 1100 is PRE or PRE POST Pre Catheter Size 0009 xx12 Pre Reference Diameter 0009 xx13 Pre Minimum Lumen Diameter 0009 xx14 Pre procedure Reference Diameter in millimeters Required if Analysis Type 0009 1100 is PRE or PRE POST Pre procedure Minimum Lumen Diameter in millimeters Required if Analysis Type 0009 1100 is PRE or PRE POST Pre Catheter Name 0009 xx11 1 User description of pre procedure cathe ter Required if Analysis Type 0009 1100 is PRE or PRE POST et KENNEN 5 Standard Extended and Private Data Attributes Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 Attribute Name Attribute Description and Use Pre Average Diameter um xx15 Pre procedure Average Diameter in milli meters Required if Analysis Type 0009 1100 is PRE or PRE POST Pre procedure Stenosis Length in milli meters Required if Analysis Type 0009 1
14. Chapter 5 SC Information Object Implementation Table X Position to Isocenter Table Y Position to Isocenter Table Z Position to Isocenter Direction 5394268 5 8EN Revision 1 Attribute Description and Use Location of the points that define the cali bration object given as column Ratio between the SID over the distance from source to the center of the calibration object gt 1 0 no units String containing algorithm generation al gorithm version and algorithm release A new release does not change the algo rithm only change code structure I O code optimization no units String containing algorithm generation al gorithm version and algorithm release A new release does not change the algo rithm only change code structure I O code optimization no units code returned by the calibration algorithm no units Distance between the object of observa tion and table top in mm Image rotation at the detector reading in degrees before image flip Horizontal and vertical image sweep per formed by the acquisition system before sending the DICOM image Defined terms are YES and NO Indicates the possibility to downscan the pixel data to 512x512 for exchange pur poses Enumerated values YES NO Rotation of the table in the horizontal plane in degrees Zero is defined when the head feet axis of the table is aligned with the CRA CAU axis of the Isocenter Z Positive angles are clockwise when
15. The AE will process each Failure Reason Code as described below Failure Application Behavior When Receiving Reason Code Reason Processing failure Display error in network queue No such object instance Display error in network queue Resource limitation Display error in network queue 0119H Class Instance conflict Display error in network queue Duplicate transaction UID Display error in network queue T Any other status code Display error in network queue In case of the timeout AE can receive NCEVENT REPORT on the Association initiated by the Storage Commitment SCP Application Entity Referenced SOP Class not supported Display error in network queue It will be processed as described for Association initiated by the Storage Commitment SCP see Section 3 4 3 The AE will return the standard status codes in NCEVENT REPORT RSP message as specified below Service Status Status Codes Further Meaning Further Meaning Failure 0119 Class instance conflict The specified SOP Instance is not a member of the specified SOP class 0112 No such SOP Instance The SOP Instance UID specified implied a viola tion of the UID construction rules 0110 Processing failure A general failure in processing the operation was encountered 3 8 5 Real world Activity Send MPPS 3 3 5 1 Associated Real world Activity This implementation provides for simple transfer of procedure and image information using the DICOM Modality Performed Procedure Step SOP Cl
16. e dovesti do povre ivanja servisera rukovaoca ili pacijenta usled strujnog udara ili mehani kih i drugih opasnosti Tento n vod na obsluhu je k dispoz cii len v angli tine Ak z kazn kov poskytovatel slu ieb vy aduje in jazyk ako angli tinu poskytnutie prekladatelsk ch slu ieb je zodpovednos ou z kazn ka Nepok ajte sa o obsluhu zariadenia k m si nepre tate n vod na obluhu a neporo zumiete mu Zanedbanie tohto upozornenia m e sp sobi zranenie poskytovate a slu ieb obslu huj cej osoby alebo pacienta elektrick m pr dom mechanick alebo in ohrozenie Este manual de servicio s lo existe en ingl s Si el encargado de mantenimiento de un cliente necesita un idioma que no sea el ingl s el cliente deber encargarse de la traducci n del manual No se deber dar servicio t cnico al equipo sin haber consultado y comprendido este manual de servicio La no observancia del presente aviso puede dar lugar a que el proveedor de servicios el operador o el paciente sufran lesiones provocadas por causas el ctricas mec ni cas o de otra naturaleza Important Information Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare VARNING SV OPOZORILO SL DIKKAT TR Important Information Direction 5394268 5 8EN Revision 1 Den har servicehandboken finns bara tillganglig pa engelska Om en kunds servicetekniker har behov av
17. h nisku vai citu faktoru izrais tu traumu risks apkopes sniedz jam operatoram vai pacientam Important Information Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare ISP JIMAS LT ADVARSEL NO OSTRZEZENIE PL ATENCAO PT BR ATENCAO PT PT Important Information Direction 5394268 5 8EN Revision 1 Sis eksploatavimo vadovas yra tik anglu kalba e Jei kliento paslaug tiek jas reikalauja vadovo kita kalba ne angl suteikti vertimo paslaugas privalo klientas e Nem ginkite atlikti rangos technin s prie i ros jei neperskait te ar nesupratote io eksploatavimo vadovo e Jei nepaisysite io sp jimo galimi paslaug tiek jo operatoriaus ar paciento su a lojimai d l elektros oko mechanini ar kit pavoj Denne serviceh ndboken finnes bare p engelsk e Hvis kundens serviceleverand r har bruk for et annet spr k er det kundens ansvar a s rge for oversettelse e Ikke fors k reparere utstyret uten at denne servicehandboken er lest og forst tt e Manglende hensyn til denne advarselen kan f re til at serviceleverandgren oper at ren eller pasienten skades p grunn av elektrisk st t mekaniske eller andre farer Niniejszy podr cznik serwisowy dost pny jest jedynie w j zyku angielskim e Je li serwisant klienta wymaga j zyka innego ni angielski zapewnienie us ugi t u maczenia jest obowi zkiem klienta
18. in Chapter 8 Chapter 8 Modality Performed Procedure Step Implementation e Innova includes Attributes in the Modality Performed Procedure Step N SET as described in Chapter 8 Chapter 8 Modality Performed Procedure Step Implementation e Innova sends N SET after the exam is ended The N SET will include all acquired images SOP Instance UIDs and the status of COMPLETED or DISCONTINUED It will not include reference of the Secondary Capture Image SOP Instances e For this SOP class all status codes with status Refused or Error are treated as failures and terminate the association and operation All status codes with status Warning or Success are treated as successes e f either N CREATE or N SET fails the MPPS transaction is considered to be failed e If N CREATE fails the corresponding N SET will not be sent to the SCP Re sending failed MPPS will re send both N CREATE and N SET to the SCP e If N CREATE succeeds and N SET fails Re sending failed MPPS will only re send the failed N SET to the SCP NOTE The default timeout to receive the N CREATE or N SET response is 10 secs and is not configurable 3 4 Association Acceptance Policy 3 4 1 Introduction The Innova DICOM AE places no limitation on who may connect to it 4208 AE Specifications Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Any remote AE can open an association to
19. looking at the table from upwards The val id range is from 180 to 180 Contains the value of the first frame X position of the Table Reference Point with respect to the Isocenter mm Posi tive values are towards the LAO direction ofthe Isocenter The value of this attribute applies to the first frame of the Multi frame image Y position of the Table Reference Point with respect to the Isocenter mm posi tive values are downwards the horizontal plane in the vertical direction The value of this attribute applies to the first frame of the Multi frame image Z position of the Table Reference Point with respect to the Isocenter mm Posi tive values are towards the CRA direction ofthe Isocenter The value of this attribute applies to the first frame of the Multi frame image 85 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Attribute Name ee AE Attribute Description and Use table head tilt angle 0019 xxEE Angle of the head feet axis of the table in degrees relative to the horizontal plane Zero is defined when the head feet axis is in the horizontal plane Positive values are when the head of the table is upwards the horizontal plane The valid range is from 45 to 45 Contains the value of the first frame Table Head Tilt Angle precision 0019 xxEF Precision of the Table Tilt angle expressed as standard deviati
20. storage commitment provider s and if the storage commitment provider s sends a busy signal as a Storage commitment response this parameter determines the delay between the automatic retries of Innova NOTE AGE Field Engineer must perform all the above configurations The following fields are configurable for every remote DICOM AE used as storage SCP Remote AE Title Remote IP Address Listening TCP IP Port Number Array size of the pixel data to be transferred 512x512 or any size up to 1024x1024 The following fields are configurable for every remote DICOM AE used as storage commitment SCP 48 Remote Storage Commitment SCP AE Title Remote Storage Commitment SCP IP Address Remote Storage Commitment SCP Listening TCP IP Port Number 6 Configuration Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 7 Support of Extended Character Sets The Innova system generates only a single byte character set ISO IR 100 Latin alphabet Number 1 supplementary set The product user interface will allow the user to enter characters from the console keyboard that are within ISO IR 100 Latin alphabet Number 1 supplementary set As a Modality Worklist SCU the product will accept the worklist responses only if it satisfies the following e Attribute Specific Character Set 0008 0005 is not present e Attribute Specific Character Set 0008 000
21. 0010 0040 o 2 Yee Requested zero length Patient s Weight 0010 1030 0 2 Yes Requested zero length Patient s Size 0010 1020 o 3 vemo Requested zero length NOTE in the Expected Return Key Type column indicates that this information is displayed on screen if available Chapter 6 Modality Worklist Information Model Definition 97 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 This page left intentionally blank 98 4 Worklist Query Module Definitions Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Chapter 7 Storage Commitment Push Model Implementation 1 Storage Commitment Push Model Implementation 1 1 Storage commitment push model implementation Please refer to DICOM Part 3 Information Object Definitions for a description of each of the attributes contained within the Storage Commitment Information Object The Storage Commitment Information Object is used both for N ACTION Storage Commitment Requests by the SCU and N EVENT REPORT Storage Commitment Notifications by the SCP 1 2 Storage Commitment Module for N Action Table 7 1 Storage Commitment Module for N Action RQ Transaction UID 0008 1195 Restricted to 64 characters internally gen erated as follows registered prefix for GEMS 2 Regi
22. 13 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 3 3 1 2 Proposed Presentation Context Table ee ee ee ee AA AR Re RR Re AR RE 35 3 3 2 Real World Activity Verification Acknowledge esse ee ee ee ee Re ee ee ee 37 3 3 2 1 Associated Real World Activity 37 3 3 2 2 Proposed Presentation Context Table ee AA AR Re AAR AR RE 37 3 3 3 Real World Activity Get Worklist ee ee EE RE ee EE RE ee dee RE GE AE Ee Re Se Gee Gee ee GEE Ee ee 37 3 3 3 1 Associated Real World Activity oooooccccccccccnoncnnanccnnonnnnononnnnnnnnnnnnannnnnos 37 3 3 3 2 Proposed Presentation Context Table ee ee AAR AR Re RR Re AR RE 38 3 3 4 Real World Activity Request Storage CommitmenNE ees ese ee ee 39 3 3 4 1 Associated Real World ACUVItY eie ee EER ER GE ee EE Ge Ee Ge Gee ee eene 39 3 3 4 2 Proposed Presentation Context Table ee ee AAR AA Re RR AR RR Ee 39 3 3 5 Real world Activity Send MPPS RE REEKSE RE BERE Ee ER Re acia 41 3 3 5 1 Associated Real world Activity 41 3 3 5 2 Proposed Presentation context table ee ee ee ee AAR AR Re AAR AAR RE 42 3 4 Association Acceptance Policy ori ns BEE KA ES eos seme sedet E Se eg eye Seg eek 42 34V Introduction MR em 42 3 4 2 Real World Activity Verification Acknowledge esse ee ee ee ee RR Re ee ee ee 43 3 4 2 1 Associated Real World
23. CRA is positive Required if Table Motion is DYNAMIC NOTE If the table is rotated this attribute determines a change of the table position in the LAO RAO direction of the isocenter system which is fixed and inde pendent from the rotation angle of the table Table Angle 0018 1138 3 Angle of the head feet axis of the table in de grees relative to the horizontal plane Zero is defined when the head feet axis is in the hori zontal plane Positive values are when the head of the table is upwards the horizontal plane The valid range is from 45 to 45 Con tains the maximum value of all the frames of the multi frame image 4 5 13 XA Positioner Module Table 4 21 XA Positioner Module Attributes Attribute Name Ta Attribute Description Distance Source to Patient 0018 1111 3 Internally generated by the acquisition sys tem Distance Source to Detector 0018 1110 3 Internally generated by the acquisition sys tem Estimated Radiographic Magnification 0018 1114 3 Calculated from 0018 1110 and Factor 0018 1111 Positioner Motion 0018 1500 2C DYNAMIC if Pivot moves or C ARM moves or L arm moves or Tilt varies or Table rotation happens If NO motion in Pivot or C arm or Tilt or Table rotation then it will be sent as STATIC Chapter 4 X Ray Angiography XA Information Object Implementation 63 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 539426
24. Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Revision History 5394268 1 8EN rev 1 May 5 2010 Initial Release of direction 5394268 1 8EN 5394268 2 8EN rev 1 May 31 2010 Initial Release of direction 5394268 2 8EN 5394268 3 8EN rev 1 July 27 2010 Initial Release of direction 5394268 3 8EN 5394268 4 8EN rev 1 December 28 2010 Initial Release of direction 5394268 4 8EN 5394268 5 8EN rev 1 March 17 2011 Initial Release of direction 5394268 5 8EN rev 1 Revision History 11 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 This page left intentionally blank 12 Revision History Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Table of Contents Chapter 1 CONFORMANCE STATEMENT OVERVIEW ese eek gee eek Re nennen nnne nnne 19 1 Conformance Statement OVervigw ctt rente ride 19 Chapter 2 INTRODUGTION as ERENS ONREG ER ED EER EKS PERS DERE De Dee bu Bere sede vd eb dee 21 N erelid ede P TEES 21 ES EE OR OO EE ROE SOE i 21 1 2 Overall Dicom Conformance Statement Document Structure iis ee 21 143 Intended Audience c EUM 23 1 4 Scope and Field Application ee ee ee Re AA AA AR RR AR RE ER RE ER ee ee ee ee ee ee ee ee ee ee ee ee 23 1 5 I
25. Direction 5394268 5 8EN Revision 1 Table 4 29 Private Group GEMS DL STUDY 01 Attribute Name Attribute Description and Use study dose 0015 xx80 DS 1 Total dose delivered to the patient during the study in mGy study total dap 0015 xx81 Cumulative dose area product for the study in cGy cm2 study fluoro dap 0015 xx82 Cumulative dose area product for the flu oro acquisitions performed during the study in cGy cm2 study fluoro time 0015 xx83 IS 1 Total time of fluoroscopy during the study in seconds study record dap 0015 xx84 DS 1 Cumulative dose area product for the re cord acquisitions performed during the study in cGy cm2 study record time 0015 xx85 Total time of record acquisitions during the study in seconds Study dose Frontal 0015 xx92 Cumulated Dose of all frontal acquisitions under a study in mGy 72 5 Standard Extended and Private Data Attributes Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Chapter 5 SC Information Object Implementation 1 Introduction This section specifies the use of the DICOM SC Image IOD to represent the information included in SC images produced by this implementation Corresponding attributes are conveyed using the module construct Chapter 5 SC Information Object Implementation 73 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Stat
26. Modules anti it 96 4 5 1 Patient Identification ara ean EE Ee Ee Eg adul eien aus N SN 96 4 5 2 Patient Demographic rtr e ie iii 97 Chapter 7 STORAGE COMMITMENT PUSH MODEL IMPLEMENTATION eene 99 1 Storage Commitment Push Model ImplementatiON ooooooooocccccccccccnncnononancnonononononanannnn nro nnncnnnnnnnn 99 1 1 Storage commitment push model implementation ees ee ee ee ee AR AAR RE ee ee ee ee ee 99 1 2 Storage Commitment Module for N ACHON ee Re Re ee een 99 1 3 Storage Commitment Module for N Event Report iese ee ee ee ee ee Re ee ee ee ee ee Re ee ee ee 99 Chapter 8 MODALITY PERFORMED PROCEDURE STEP IMPLEMENTATION 101 Wy IOREOQUCUODE EE SS RS GR ROES ER i obs M M ies 101 2 Relationship Between Scheduled and Performed Procedure StepS is ee ee AA RR EE EG 102 3 Modality Performed Procedure Step Module Table eee 103 4 Modality Performed Procedure Step Module Definitions ee ee ee ee RR Re ee ee ee ee 104 4 1 sOPF Common Module ESE tii mate eii ae 104 Table of Contents 17 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 4 2 Performed Procedure Step Relationship MOdule cc ccccceeceeeeeeeeeeeaeeeeeseeeeeeeeteeeees 104 4 3 Performed Procedure Step Information Module iese ese ee AR RR RR ee ee ee ee ee e
27. Revision 1 6 Configuration GEMS Field Service Engineers configure the INNOVA System The DICOM configuration items below are configurable or re configurable by a Field Service Engineer 6 1 AE Title Presentation Address Mapping The INNOVA System DICOM SERVER AE allows for the configuration of the mapping of remote AE titles to IP addresses and ports The IP address of a remote AE may be in a different sub net using routing GEMS Field Service Engineers perform this configuration 6 2 Configurable Parameters The following fields are configurable for this AE local e Local AE Title e Local IP Address e Local IP Netmask NOTE The local listening port number is not configurable for this product and is equal to 4002 The following fields are configurable for the DICOM AE used as worklist SCP e Remote AE Title e Remote IP Address e Listening TCP IP Port Number e The default request timeout value is 60sec The following fields are configurable for the DICOM AE used as MPPS SCP e Remote AE Title e Remote IP Address e Listening TCP IP Port Number The following fields are configurable for the DICOM AE used as store SCP e Auto Push If this parameter is set at the end of every acquisition Innova automatically pushes the images to the storage provider s e Push Timeout After the transfer of images Innova waits for this maximum time period to receive the response from the storage provider s The following fields are
28. SC Equipment Used Module N N N Section 4 5 5 SOP Common SOP Common Used Module Chapter 5 SC Information Object Implementation 75 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 4 Information Module Definitions Please refer to DICOM Standard Part 3 Information Object Definitions for a description of each of the entities and modules contained within the SC Information Object The following modules are included to convey Enumerated Values Defined Terms and Optional Attributes supported Type 1 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 Also note that Attributes not present in tables are not supported 4 1 Patient Entity Modules Patient Module Table 5 3 Patient Entity Modules Attributes Attribute Name Attribute Description Patient s Name 0010 0010 2 From user interface or worklist When from user interface value contains only last name restricted to 32 chars first name restricted to 31 chars When from worklist equals first component group Patient ID 0010 0020 From worklist or user interface Restricted to 64 chars Patient s Birth Date 0010 0030 2 From user interface or worklist Restric
29. Surface Area 000948 Body Surface Area given in sguare me ters Artery Territory Region 000949 SH 1 Region of interest as selected by the user Defined terms RCA LAD CFX Number of Diseased Vessels 0009 xx50 IS 1 The number of diseased vessels in the re gion of interest as selected by the user Hypokinesis in Region 0009 xx51 DS 1 The amount of hypokinetic wall motion in the region of interest in standard devia tions Hyperkinesis in Opposite Region 0009 xx52 DS 1 The amount of hyperkinetic wall motion in the region opposite the region of interest in standard deviations Percent Total LV Hypokinesis 0009 xx53 IS 1 Percentage of chords in the total LV con tour which are hypokinetic by more than 2 standard deviations Calibration Factor 0009 xx55 Millimeter per pixel 90 5 Standard Extended and Private Data Attributes Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM Direction 5394268 5 8EN Revision 1 GE Healthcare Chapter 6 Modality Worklist Information Model Definition 1 Introduction This section specifies the use of the DICOM Modality Worklist Information Model used to organize data and against which a Modality Worklist Query will be performed Chapter 6 Modality Worklist Information Model Definition 91 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 2 Innova M
30. These operation will cause e the Innova Application Entity to initiate a DICOM association e the Innova DL application to build the C FIND request e the Innova Application Entity to emit the C FIND request e the Innova Application Entity to receive the C FIND Reponse s Chapter 3 Network Conformance Statement 37 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 e the Innova Application Entity to close the association e the possibility for the user to add a new item to the local database While the query is in progress it is possible to cancel it by pressing a button on the patient browser This will cause a C FIND cancel to be sent 3 3 3 2 Proposed Presentation Context Table 38 Presentation Context Table Proposed Abstract Syntax Transfer Syntax Extended Name UD Namett UID List Negotiation Modality Worklist 1 2 840 10008 5 1 4 31 Implicit VR Little Endian 1 2 840 10008 1 2 SCU None Information Mod el FIND SOP Specific DICOM Conformance Statement for the Modality Worklist Information Model FIND SOP Class Following are the status codes that are more specifically processed when receiving messages from a Modality Worklist SCP equipment Service Status Status Codes Further Meaning Application Behavior When receiv Related Fields Processed ing Status Codes if received Refused A700 Out o
31. UID NOTE inthe Expected Return Key Type column indicates that this information is displayed on screen if available 4 3 Common Imaging Service Request Entity Modules Imaging Service Request Module Chapter 6 Modality Worklist Information Model Definition 95 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Table 6 6 Imaging Service Request Module Attributes Attribute Name Tag Expected Expected Re Mapped into Matching Key turned Key the Image Type Type MPPS Accession Number 0008 0050 25 Yes Yes Single Value or Wild char matching is supported user entered value is sent Referring Physician s Name 0008 0090 2 Yes No Requested zero length The first person name component group is mapped in the image No truncation is performed Values may be truncated for display only NOTE inthe Expected Return Key Type column indicates that this information is displayed on screen if available 4 4 Common visit Entity Modules Visit Identification Table 6 7 Visit Identification Module Attribute Attribute Name Tag Expected Expected Re Mapped into Matching Key turned Key the Image Type Type MPPS Admission ID 0038 0010 0 2 Ye Requested zero length 4 5 Common Patient Entity Modules 4 5 1 Patient Identification Table 6 8 Patient Identification Module Attributes Attribute Name Tag Expected Expected
32. configurable for the DICOM AE used as storage commitment SCP Chapter 3 Network Conformance Statement 47 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Delay after Push After the images have been successfully exported to the receiving station this parameter determines the amount of time Innova waits to attempt the Storage Commitment requests to the Storage Commitment provider s Request timeout Amount of time the association is held open after the Storage Commitment request is sent If the timeout is over Innova will automatically release the association without receiving acknowledgement from the storage commitment provider s The default request timeout value is 60 sec Maximum number of concurrent associations Maximum number of simultaneous connections that Innova can accept from the storage commitment provider s to receive the storage commitment responses Maximum number of automatic retry After sending the Storage commitment request to the storage commitment provider s and if the storage commitment provider s sends a busy signal resource limitation as a Storage commitment response this parameter determines the maximum number of times Innova automatically retries sending the storage commitment request to the storage commitment provider s Delay between automatic retries After sending the Storage commitment request to the
33. eerte ater tete EOD ee te x ee xut e MULUS Een CREE NH Nut de 76 4 241 General Study Module ESE ED tie iub GEE setae SE EE UR IUE AER BE IE GEE eM an 76 4 2 2 Patient Study Module ii tb ee rft ee tite tert et to RE De eee tete t e pedea Mtis 77 4 3 Series Entity Modules 5 23 0 oret eoe pee eae eR e ea auto ae Ed se rd eb ace 77 4 4 Equipment Entity Modules ee ee Ee ee ee GR ee ee eee mener nnns 79 4 4 1 General Equipment Module esse ee ee ee ee ee ee ee ee AA ee Re AAR Re AR Re RR Ee 79 4 4 2 SC Equipment Module ee ee ee ee ee ee ee ee ee ee ee ee ee AA AA ee AA Re ee ee 79 4 9 Image Entity Modules Ns ai 79 4 5 1 General Image Module errat arias 79 45 2 mage Pixel Module EE EE EE GE GESE RE entm AR BE RD tm ents situs 80 4305 SG Image Modules italia 80 4 54 VOLLUT modules td oat cased e edo Pig Mo o Mo o i ases aita ia 80 4 5 5 SOP Common Module ins EER WER ee ese se Re Ee ERGE ke ae ERR WEE uten 81 5 Standard Extended and Private Data AftributeS ss ee ee ee ee ee ee RR ee ee ee ee ee ee Re ee ee 82 dal Standard UDS ss EE Et 82 5 2 Private Group DLX SERIE OT reran sesse ee ee ee ee ee ee ee ee ee Ee ee ee ee Re ee senes nnn ee ee ee ek ee EE 83 5 3 Private Group GEMS DL IMG OT ees ee ee ee ee ee ee ee ee Ee ee ee ee EE ee ee ee ee ER ee ee nna ee EE 84 16 Table of Contents Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Heal
34. of electrical and mechanical safety the useful x ray beam becomes a source of danger in the hands of the unauthorized or unqualified operator Excessive exposure to x radiation causes damage to human tissue Therefore adequate precautions must be taken to prevent unauthorized or unqualified persons from operating this equipment or exposing themselves or others to its radiation Before operation persons qualified and authorized to operate this equipment should be familiar with the Recommendations of the International Commission on Radiological Protection contained in Annals Number 26 of the ICRP and with applicable national standards ATENCION LOS APARATOS DE RAYOS X SON PELIGROSOS PARA EL PACIENTE Y EL MANIPULADOR CUANDO LAS NORMAS DE PROTECCION NO ESTAN OBSERVADAS Aunque este aparato est construido seg n las normas de seguridad m s estrictas la radiaci n X constituye un peligro al ser manipulado por personas no autorizadas o incompetentes Una exposici n excesiva a la radiaci n X puede causar da os al organismo Por consiguiente se deber n tomar todas las precauciones necesarias para evitar que las personas incompetentes o no autorizadas utilicen este aparato lo que ser a un peligro para los dem s y para s mismas Antes de efectuar las manipulaciones las personas habilitadas y competentes en el uso de este aparato deber n informarse sobre las normas de protecci n fijadas por la Comisi n Internacional de la Protecci n Radiol g
35. til mei sla j nustuveitanda stj rnanda e a sj klings fr raflosti v lr nu e a rum h ttum Il presente manuale di manutenzione disponibile soltanto in lingua inglese Se un addetto alla manutenzione richiede il manuale in una lingua diversa il cliente tenuto a provvedere direttamente alla traduzione Procedere alla manutenzione dell apparecchiatura solo dopo aver consultato il pre sente manuale ed averne compreso il contenuto Il mancato rispetto della presente avvertenza potrebbe causare lesioni all addetto alla manutenzione all operatore o ai pazienti provocate da scosse elettriche urti mecca nici o altri rischi COY EANIAP MC XB U 7d V UA Y EACHAC NORAD RAHUIAOSB RE BERE NORA BEA TOR BORBETTSENESUETULEEZET CNY EANIAS ZAR BREST IC RBONU EASTDEUC lt ESE nm COBAIHDEWUBA 7 UA iHBXe amp n j HFBAOU IE SEA RED RAT OHO fe SC d EID ARE d d E MulA um 42 80121 013504 UA LC D740 AHJA Xa RI ol ololel 21048 278 BH HY HIA B x ast 7 2 240 telelL e san Ao ROSA Lea Al 43 714138 98 SE 7E LEO al A HIA AS Ab ASA LE HAHAH HAS apkopes rokasgr mata ir pieejama tikai ang u valoda Ja klienta apkopes sniedz jam nepiecie ama inform cija cit valod klienta pien kums ir nodro in t tulkojumu Neveiciet apr kojuma apkopi bez apkopes rokasgr matas izlas anas un sapra anas br din juma neiev ro anas rezult t var rasties elektrisk s str vas trieciena me
36. to which the patient was exposed accumulated over the complete Performed Procedure Step and measured in dGy cm cm including fluoro scopy 108 4 Modality Performed Procedure Step Module Definitions Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 5 Billing and Material Management Codes Module N A Chapter 8 Modality Performed Procedure Step Implementation 109 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 6 Standard Extended and Private Data Attributes The Product supports the Standard and Private Attributes defined in the following sections in Standard Extended MPPS Instances as Type 3 data elements 6 1 Standard Attributes The Product supports the following attributes not specified in the MPPS IOD in SOP Instances as Type 3 data elements Table 8 7 Standard Extended Attributes Attribute Name Distance Source to Detector 0018 1110 Distance in mm from the source to detector center Note This value is traditionally referred to as Source Image Receptor Distance SID Exposure Dose Sequence 0040 030E Exposure Dose Sequence will contain Total Number of Exposures 0040 0301 items plus an item for each fluo roscopy episode not already counted as an exposure gt Radiation Mode 0018 115A Specifies X Ray radiation m
37. yrit korjata laitteistoa ennen kuin olet varmasti lukenut ja ymm rt nyt t m n huolto ohjeen Mik li t t varoitusta ei noudateta seurauksena voi olla huoltohenkil st n laitteiston k ytt j n tai potilaan vahingoittuminen s hk iskun mekaanisen vian tai muun vaar atilanteen vuoksi Ce manuel d installation et de maintenance est disponible uniquement en anglais Sile technicien d un client a besoin de ce manuel dans une langue autre que l anglais il incombe au client de le faire traduire Ne pas tenter d intervenir sur les quipements tant que ce manuel d installation et de maintenance n a pas t consult et compris Le non respect de cet avertissement peut entrainer chez le technicien l op rateur ou le patient des blessures dues des dangers lectriques m caniques ou autres Diese Serviceanleitung existiert nur in englischer Sprache Falls ein fremder Kundendienst eine andere Sprache ben tigt ist es Aufgabe des Kunden f r eine entsprechende Ubersetzung zu sorgen Versuchen Sie nicht diese Anlage zu warten ohne diese Serviceanleitung gelesen und verstanden zu haben Wird diese Warnung nicht beachtet so kann es zu Verletzungen des Kundendienst technikers des Bedieners oder des Patienten durch Stromschl ge mechanische oder sonstige Gefahren kommen To Trapov eyxelpidio o pBig S1ATIBETOI HOVO ora ayyAIK E v o TEXVIKOG O DBIG v g TreAdtn arraire TO TTODOV EYXEIPIOIO GE YAWOTA EKT G TWV
38. 00 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare sc Secondary Capture SCP Service Class Provider SCU Service Class User SOP Service Object Pair SPS Scheduled Procedure Step VR Value Representation VM Value Multiplicity XA X ray Angiography Direction 5394268 5 8EN Revision 1 7 Introduction Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Chapter 3 Network Conformance Statement 1 Introduction This section of the DICOM Conformance Statement specifies the Innova product compliance to DICOM requirements for Networking features This section details the roles and the DICOM Service Classes the Innova System supports The Innova System DICOM implementation allows The user to copy Innova images acquired through the system to a remote DICOM Application Entity using the Standard Storage DICOM Service as a Service Class User The user to request storage commitment for Innova images that were previously sent trough the system to a remote DICOM application entity using the Storage Commitment Service as a Service Class User The user to check the application level communication from the Innova DICOM Server to a remote DICOM Application Entity To this aim the Innova System uses the Verification DICOM Service Class as a Service Class User The user to get from the Radiology Informa
39. 0008 0104 Required if a sequence item is present Performed Procedure Step 0040 0253 Internally generated identifier ID Performed Procedure Step 0040 0244 3 Date on which the Performed Procedure step started Same as Start Date Study Date Performed Procedure Step 0040 0245 3 Time on which the Performed Procedure Step started Same as Start Time Study Time Performed Procedure Step 0040 0254 3 description of the Procedure Step that was performed Description 4 4 Equipment Entity Modules General Equipment Module Table 4 7 General Equipment Module Attributes Attribute Name Tag Attribute Description Manufacturer 0008 0070 GE MEDICAL SYSTEMS Institution Name 0008 0080 3 From Service User Interface configured at the installa tion of the system Restricted to 64 characters Institution Address 0008 0081 3 From Service User Interface configured at the installa tion of the system Restricted to 1024 characters Station name 0008 1010 AE Title of the system that created the DICOM image Manufacturer s Model Name 0008 1090 DL Device Serial Number 0018 1000 3 Manufacturer s serial number of the equipment From in ternal configuration of the machine Software Versions 0018 1020 DL application version 4 5 Image Entity Modules 4 5 1 General Image Module 58 Table 4 8 General Image Module Attributes Content Time Same as acquisition time 0008 0032 Image Type 0008 0008 Always ORIGINAL
40. 1 1C The Code Value 0008 0100 is an identifier that is unambiguous within the Coding Scheme denoted by Coding Scheme Desig nator 0008 0102 and Coding Scheme Ver sion 0008 0103 gt Coding Scheme Designator 0008 0102 1 1C The attribute Coding Scheme Designator 0008 0102 identifies the coding scheme in which the code for a term is defined gt Code Meaning 0008 0104 3 3 The Code Meaning 0008 0104 is text which has meaning to a human and which conveys the meaning of the term defined by the com bination of Code Value and Coding Scheme Designator 4 Modality Performed Procedure Step Module Definitions Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 4 4 Image Acquisition Result Module Table 8 5 Image Acquisition Result Module Attributes Attribute Name Tag Type for Use SCU N SET Study Id 0020 0010 For scheduled case Study ID 0020 0010 is equal to the Requested Procedure ID 0040 1001 extracted from the Modality Worklist item For an unscheduled case Study ID 0020 0010 will be equal to the val ue entered by the user in Ul Sequence describing the Protocol performed for this Procedure Step This sequence may have zero or more Items Performed Protocol Code Sequence 0040 0260 The Code Value 0008 0100 is an identifier that is unambiguous within the Coding Scheme denoted by Coding Scheme Desig nator 000
41. 100 is PRE or PRE POST Pre Stenosis Length 0009 xx16 Pre procedure Stenosis as a percentage Required if Analysis Type 0009 1100 is PRE or PRE POST Pre Stenosis 96 0009 xx17 Pre procedure Geometric Area Reduction as a percentage Required if Analysis Type 0009 1100 is PRE or PRE POST Pre Geometric Area Reduction 0009 xx18 User description of post procedure cathe ter Required if Analysis Type 0009 1100 is POST or PRE_POST Post Catheter Name 0009 xx21 Size of post procedure catheter in millime ters Required if Analysis Type 0009 1100 is POST or PRE POST Post Catheter Size 0009 xx22 Post procedure Reference Diameter in millimeters Required if Analysis Type 0009 1100 is POST or PRE POST Post Reference Diameter 0009 xx23 Post procedure Minimum Lumen Diame ter in millimeters Required if Analysis Type 0009 1100 is POST or PRE POST Post Minimum Lumen Diameter 0009024 Post procedure Average Diameter in mil limeters Reguired if Analysis Type 0009 1100 is POST or PRE POST Post Average Diameter 0009 xx25 Post procedure Stenosis Length in milli meters Required if Analysis Type 0009 1100 is POST or PRE_POST Post Stenosis Length 0009 xx26 Post procedure Stenosis as a percentage Required if Analysis Type 0009 1100 is POST or PRE_POST Post Stenosis 0009 xx27 Post procedure Geometric Area Reduc tion a
42. 100 0 to 100 0 5 4 Private Group GEMS_DL_STUDY_01 86 Private Group Private Group GEMS_DL_STUDY_01 is modeled as part of the Image Information Entity Table 5 17 Private Group GEMS_DL_STUDY_01 Attribute Name Attribute Description and Use study dose 0015 xx80 Total dose delivered to the patient during the study in mGy 5 Standard Extended and Private Data Attributes Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 AWbueNam Name Attribute Description and Use study total dap um o nR Cumulative dose area product for the study in cGy cm2 study fluoro dap 0015 xx82 Cumulative dose area product for the flu oro acquisitions performed during the study in cGy cm2 study fluoro time 0015 xx83 IS 1 Total time of fluoroscopy during the study in seconds study record dap 0015 xx84 DS 1 Cumulative dose area product for the re cord acquisitions performed during the study in cGy cm2 study record time 0015 xx85 Total time of record acquisitions during the study in seconds 5 5 Private Group GEMS_QVA_PHOTO_01 Private Group Private Group GEMS_QVA_PHOTO_01 modeled as part of the Image Information Entity Table 5 18 Private Group GEMS_QVA_PHOTO_01 EEE O i f 1 venoms en N Dodge Ejection Fraction 0009 xx63 Dodge s Ejection Fraction in percent 0 A UU Simpson s End Diastolic Volume ml s End Diast
43. 147 OR 121421 OR 1201120 Field Of View Origin 0018 7030 Depends on the size of the FOV imaged region of the X ray detector Field Of View Rotation 0018 7032 Clockwise rotation in degrees of Field of View that is the image pixels stored in Pixel Data relative to the physical detector Enumerated Values 0 90 180 270 Required if Field of View Horizontal Flip 0018 7034 is present Field of View Horizontal Flip 0018 7034 Whether or not a horizontal flip has been applied to the Field of View that is the image pixels stored in Pixel Data 7FE0 0010 after rotation relative to the physical de tector as described in Field of View Rotation 0018 7032 Enumerated Values NO YES Required if Field of View Rotation 0018 7032 is present 64 4 Information Module Definitions Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Attribute Name E ES IE Attribute Description Imager Pixel Spacing 0018 1164 Around 0 2 mm for FOV 120 mm to FOV 200 mm and around 0 4 mm for FOV 200 mm and above 4 5 15 VOI LUT module Table 4 23 VOI LUT Module Attributes Attribute Name Attribute Description Window center 0028 1050 1C Value of the window center optimized at the image acquisition Window width 0028 1051 Value of the window width optimized at the image ac quisition 4 5 16 SOP Common Module Table 4 24 SOP Comm
44. 3 Chapter 5 SC Information Object Implementation 83 Positioner angle for L arm in degrees Movement positive when rotating from RAO to LAO patient HFS no table rota tion Positioner angle for Pivot arm in degrees Movement is positive when rotating from RAO to vertical patient HFS no table ro tation Positioner angle for C arm in degrees Movement is positive when rotating from CAU to vertical patient HFS no table ro tation F table longitudinal position 0019 xx22 1 Absolute Longitudinal position of the table in mm with respect to the table referen tial Head moving is positive The value of this attribute applies to the first frame of the Multi frame image MM IM Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 5 3 Private Group GEMS DL IMG 01 Private Group Private Group GEMS DL IMG O1is modeled as part of the Image Information Entity Table 5 16 Private Group GEMS DL IMG 01 Attribute Name Attribute Description and Use Source series number 0019 xx50 1 number of the source series for a photo no units Source image number 0019 xx51 number of the source image for a photo no units Source frame number 0019 xx52 Frame number of original image no units patient position per image 0019 xxC7 Patient position descriptor relative to the equipment The defined terms are head first HFP head f
45. 3 A sequence which identifies the set of Image SOP Class Instance pairs of the images which were used to derive this image gt referenced frame number 0008 1160 3 references one or more frames of a multi frame image identifying which frames were used to derive this image gt referenced sop class uid 0008 1150 Uniquely identifies the referenced SOP Class gt referenced sop instance uid 0008 1155 1C Uniquely identifies the referenced SOP In stance Image Comments 0020 4000 had From User Interface restricted to 64 charac ters Burned In Annotation In Annotation 0028 0301 3 NO forSecondary Captures NO for Secondary Captures 4 5 2 Image Pixel Module Table 5 10 Image Pixel Module Attributes bemem emp v base esse memesnas Wem v 4 5 3 SC Image Module Table 5 11 SC Image Module Attributes Date of eme Capture 0018 1012 The date the Secondary Capture Image was captured Time of Secondary Capture 0018 1014 coe The time the Secondary Capture Image was captured 4 5 4 VOI LUT module Table 5 12 VOI LUT module Attributes Attribute Name Attribute Description 80 4 Information Module Definitions Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 4 5 5 SOP Common Module Table 5 13 SOP Common Module Attributes Attribute Name Attribute De
46. 5 has only a single value and the value is either ISO IR 100 or ISO IR 6 e Attribute Specific Character Set 0008 0005 has more than one value and the first value is either not present or ISO IR 100 or ISO IR 6 Text attributes of the Scheduled Procedure Step Identifier including Patient and Physician names that include extended characters will be displayed considering only the first character set and hence only the first component group will be used All other component groups of Person names will be ignored by the system Chapter 3 Network Conformance Statement 49 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 This page left intentionally blank 50 7 Support of Extended Character Sets Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Chapter 4 X Ray Angiography XA Information Object Implementation 1 Introduction This section specifies the use of the DICOM X Ray Angiographic Image IOD to represent the information included in X Ray Angiographic Images produced by this implementation Corresponding attributes are conveyed using the module construct Chapter 4 X Ray Angiography XA Information Object Implementation 51 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Directio
47. 8 0102 and Coding Scheme Ver sion 0008 0103 gt Code Value 0008 0100 The attribute Coding Scheme Designator 0008 0102 identifies the coding scheme in gt Coding Scheme Designator 0008 0102 gt Code Meaning 0008 0104 which the code for a term is defined The Code Meaning 0008 0104 is text which has meaning to a human and which conveys the meaning of the term defined by the com bination of Code Value and Coding Scheme Designator 1 N Create Always sent EMPTY N Set Attributes of the Series that comprise this Modality Performed Procedure Step Performed Series Sequence 0040 0340 2 The Sequence may have one or more Items gt Performing Physician s Name 0008 1050 gt Protocol Name 0018 1030 gt Operator s Name 0008 1070 gt Series Instance UID 0020 000E gt Series Description 0008 103E gt Retrieve AE Title 0008 0054 gt Referenced Image Sequence 0008 1140 gt gt Referenced SOP Class UID 0008 1150 Uniquely identifies the referenced SOP Class gt gt Referenced SOP Instance UID 0008 1155 Uniquely identifies the referenced SOP In stance Chapter 8 Modality Performed Procedure Step Implementation 107 Name of the physician s administering this Series User defined description of the conditions under which the Series was performed Name s of the operator s who supporting this Series Unique Identifier of the Series User provided des
48. 8 5 8EN Revision 1 Attribute Name Tag Attribute Description Positioner Primary Angle 0018 1510 2 Position of the Xray Image Intensifier about the patient from the RAO to LAO direction where movement from RAO to vertical is pos itive For multi frame images value of the first frame Note The values correspond to the motions in Pivot C L arm Rotation Tilt Patient Posi tion Positioner Secondary Angle 0018 1511 Position of the Xray Image Intensifier about the patient from the CAU to CRA direction where movement from CAU to vertical is pos itive For multi frame images value of the first frame Note The values correspond to the motions in Pivot C L arm Rotation Tilt Patient Posi tion Positioner Primary Angle Increment 0018 1520 Value of the RAO LAO increments relative to the first frame Required if positioner motion is DYNAMIC Positioner Secondary Angle Increment 0018 1521 Value of the CRA CAU increments relative to the first frame Required if positioner motion is DYNAMIC 4 5 14 DX Detector Module Table 4 22 DX Detector Module Attributes Attribute Name Attribute Description Detector Type 0018 7004 SCINTILLATOR Field of View Shape 0018 1147 RECTANGLE Field of View Dimension s 0018 1149 3 From user selection in the User Interface of the acquis ition system Possible values are 400400 OR 3201320 OR 3001300 OR 2001200 OR 1721172 OR 170470 OR 1601160 OR 1501150 OR 1471
49. Activity cene ree nen 43 3 4 2 2 Accepted Presentation Context Table seek ee ER ee ee ee ee ee ee ee ee Re 43 3 4 3 Real World Activity Request Storage CommitmenNE ees ese ee 43 3 4 3 1 Associated Real World AcCVItY ese Re ee ee ee 43 3 4 3 2 Accepted Presentation Context Table eek AR ee ee ee ee ee ee ee Re 43 4 COMMUNICATION Profiles Gi ss NEE it cna A pune dep dde GE ER es DS geo ee ees oa 45 4 1 Supported Communication Stacks PS 3 8 PS 3 9 45 RS ik Mem TP t 45 4 3 TCP IP Stacks Le AA OE EE e te e ee ee t ee n te tite t 45 4 3 APIE aca ee as seed ada ect Ares Sal Males 45 4 3 2 Physical Media SUPPoOrt cccceeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeaeseaaeeaaaeaaaa 45 4 4 Politit to Point SAC eee ee Me dede st 45 5 Extensions Specializations Privatizations sess 46 5 1 Standard Extended SOP Class65 irren cem tech een koe nat eager even dcs ce Ve Rude 46 Cong UFAUON co pose pet i meets ab dei uia clara e i dee E E e E Eco Ede nd te uec ge ed Ui RU 47 14 Table of Contents Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 6 1 AE Title Presentation Address MappiNg iese esse esse ek eek Re RR ER RR ee Ee ee ee ee ee ee ee ee ee ee ee AT 6 2 Configurable Parmalat cimil 47 7 Support of Extended Character Set
50. Conformance Statement should be aware that different GEMS devices are capable of using different Information Object Definitions For example a GEMS CT Scanner may send images using the CT Information Object MR Information Object Secondary Capture Object etc Included in this DICOM Conformance Statement are the Module Definitions which define all data elements used by this GEMS implementation If the user encounters unspecified private data elements while parsing a GEMS Data Set the user is well advised to ignore those data elements per the DICOM standard Unspecified private data element information is subject to change without notice If however the device is acting as a full fidelity storage device it should retain and re transmit all of the private data elements which are sent by GEMS devices 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 e 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 a
51. 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 Interaction It is the sole responsibility of the non GE provider to ensure that communication with the interfaced equipment does not cause degradation of GE imaging equipment performance and or function 1 6 References NEMA PS3 24 Digital Imaging and Communications in Medicine DICOM Standard available free at http medical nema org 1 7 Definitions Informal definitions are provided for the following terms used in this Conformance Statement The DICOM Standard is the authoritative source for formal definitons of these terms Abstract Syntax The information agreed to be exchanged between applications generally equivalent to a Service Object Pair SOP Class Examples Verification SOP C
52. From Worklist Sent if the Sequence is not Empty Patient s name 0010 0010 2 filled from User Interface 2 From Worklist or User In terface Patient ID 0010 0020 2 filled from User Interface 2 From Worklist or User In terface Patient s birth date 0010 0030 2 filled from User Interface 2 From Worklist or User In terface Patient s sex 0010 0040 2 filled from User Interface 2 From Worklist or User In terface 4 3 Performed Procedure Step Information Module Table 8 4 Performed Procedure Step Information Module Attributes Attribute Name Tag Type for SCU N SET Performed Procedure Step ID 0040 0253 Ed Internally generated Unigue within a patient Performed Station AE Title 0040 0241 EE a ne TERRA AE Title configured in DL Performed Station Name 0040 0242 EE Same as AE Title TERRA Performed Location 0040 0243 Dam G 0040 0243 Every S O Performed Procedure Step Start Date 0040 0244 1 Date on which the Performed Procedure Step started Performed Procedure Step Start Time 0040 0245 oe e Time at which the Performed Procedure Step started Chapter 8 Modality Performed Procedure Step Implementation 105 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 106 Attribute Name Tag Type for SCU N SET Performed Procedure Step Status 0040 0252 1 3 Contains the state of the Performed Proce dure
53. GE Healthcare Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM OPERATING DOCUMENTATION 5394268 5 8EN Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 ATTENTION LES APPAREILS A RAYONS X SONT DANGEREUX ALA FOIS POUR LE PATIENT ET POUR LE MANIPULATEUR SI LES MESURES DE PROTECTION NE SONT PAS STRICTEMENT APPLIQUEES Bien que cet appareil soit construit selon les normes de s curit les plus s v res la source de rayonnement X repr sente un danger lorsque le manipulateur est non qualifi ou non averti Une exposition excessive au rayonnement X entraine des dommages l organisme Par cons quent toutes les pr cautions doivent tre prises pour viter que les personnes non autoris es ou non qualifi es utilisent cet appareil cr ant ainsi un danger pour les autres et pour elles m mes Avant chaque manipulation les personnes qualifi es et autoris es se servir de cet appareil doivent se renseigner sur les mesures de protection tablies par la Commission Internationale de la Protection Radiologique Annales 26 Recommandations de la Commission Internationale sur la Protection Radiologique et les normes nationales en vigueur WARNING X RAY EQUIPMENT IS DANGEROUS TO BOTH PATIENT AND OPERATOR UNLESS MEASURES OF PROTECTION ARE STRICTLY OBSERVED Though this equipment is built to the highest standards
54. Healthcare Direction 5394268 5 8EN Revision 1 Attribute Name ECCE ee Attribute Attribute Desorption Protocol Name 0018 1030 From User Interface user defined description of the acquisition protocol Series Description 0008 103E Internally generated Series Description using Study RP SPS in formation May not be sent Operators Name 0008 1070 From User Interface restricted to 64 characters May not be sent Referenced Performed 0008 1111 Uniquely identifies the Modality Performed Procedure Step SOP Procedure Step Sequence Instance Present only if MPPS Option is enabled May not be sent gt Reference SOP Class 0008 1150 1C Uniquely identifies the MPPS SOP Class Required if a sequence UID item is present gt Reference SOP instance 0008 1155 1C Uniquely identifies the MPPS SOP Instance Required if a se UID quence item is present Patient position 0018 5100 2C Patient position descriptor relative to the equipment Defined terms are HFP Head First Prone HFS Head First Supine HFDR Head First Decubitus Right HFDL Head First Decubitus Left FFDR Feet First Decubitus Right FFDL Feet First Decubitus Left FFP Feet First Prone FFS Feet First Supine Request attribute se 0040 0275 Sequence that contains attributes from the Imaging Service Re quence quest The sequence may have only one item gt Request procedure id 0040 1001 Identifier that identifies the Requested Procedure in the Imagin
55. Modality Performed Procedure Step Information Object Definition 4 1 SOP Common Module Table 8 2 SOP Common Module Attributes Attribute Name Tag Type for Type for SCU N SCU N SET CREATE Specific Character Set 0008 0005 48 Ed ISO IR 100 4 2 Performed Procedure Step Relationship Module Table 8 3 Performed Procedure Step Relationship Module Attributes Attribute Name Type for SCU N CREATE Acquisition without MWL En Acquisition with MWL Entry EE EE Scheduled Scheduled Step Attributes Sequence Attributes Sequence 0040 0270 0270 1 Has 1 Has only one item one item 1 Has 1 Has only one item one item gt Study Instance UID 0020 000D 2 sa is internally generat 1 filled from worklist gt Referenced Study Sequence 0008 1110 2 Sent EMPTY For scheduled cases the val ue comes from Worklist If Not available in Worklist SOP Class UID 0008 1150 filled with the value 1 2 840 10008 3 1 2 3 1 and A SOP Instance UID 0008 1155 filled with value stored in Study Instance UID 0020 000D Sent Empty in case of unscheduled exams gt gt Referenced SOP Class UID 0008 1150 1 Not Sent 1 filled from worklist If not available filled with value 1 2 840 10008 3 1 2 3 1 gt gt Referenced SOP Instance UID 0008 1155 1 Not Sent 1 filled from worklist If not available filled with study in stance UID 0020 000D gt Accession Number 0008 0050 2 Sent EMPTY 2 filled from Worklist Can
56. OM Conformance Statement and Technical Specification required to interoperate with the GEMS network interface 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 22 7 Introduction Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 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 1 4 Scope and Field Application It is the intent of this document 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 The GEMS Conformance Statements are available to the public The reader of this DICOM
57. PRIMARY SINGLE PLANE Acquisition Date 0008 0022 3 YYYYMMDD restricted to 8 characters date the se quence was acquired Acquisition Time 0008 0032 HHMMSS XXX restricted to 10 characters Image Comments 0020 4000 From User Interface restricted to 64 characters 4 Information Module Definitions Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 4 5 2 Image Pixel Module Table 4 9 Image Pixel Module Attributes Attribute Name Attribute Description Photometric Interpretation 0028 0004 MONOCHROME2 Rows 0028 0010 1 Depends on the size of the FOV imaged region of the X ray detector and the re sampling applied during the DICOM conversion Possible values are 1024 1000 864 736 608 750 800 512 and 500 Columns 0028 001 1 Depends on the size of the FOV imaged region of the X ray detector and the re sampling applied during the DICOM conversion Possible values are 1024 1000 864 736 608 750 800 512 and 500 eS uu 5 memesnam mom fe 4 5 3 Contrast Bolus Module This module is used only if contrast media was used in this image Table 4 10 Contrast Bolus Module Attributes Attribute Name Attribute Description Contrast Bolus Agent 0018 0010 EMPTY 4 5 4 Cine Module This module is used only if pixel data is Multi Frame Cine data Table 4 11 Cine Module Attributes Attribute Name
58. QYYAIKWV OTTOTEAEI UBUVN TOU TIEAGTN VO TTOD XEI TIG UTTNPEGIES HETAMPAONG Mnyv rrixeiprjoere TOV EKTEAEON EPYACIWV GEDBIG oTov EFOTTAIGHO av Dev EXETE OUUROUAEUTEI KAI karavorjozi TO rrap v EYXEIPIOIO o pic Av Dev TIPOGEEETE Tn v TTDOEIGOTTOINON AUTH EVOEXETAI VA TTDOKANBEI rpauparicu g OTOV TEXVIKO O PBIC OTO XEIPIOTH rj oTov AGBEVA ATT NAEKTPOTTANEIA UNXAVIKOUG GAAOUG KIVOUVOUG Ezen karbantart si k zik nyv kiz r lag angol nyelven rhet el Ha a vev szolg ltat ja angolt l elt r nyelvre tart ig nyt akkor a vev felel ss ge a forditas elk szittet se Ne pr b lja elkezdeni haszn lni a berendez st am g a karbantartasi k zik nyvben le rtakat nem rtelmezt k Ezen figyelmeztet s figyelmen k v l hagy sa a szolg ltat m k dtet vagy a beteg ram t s mechanikai vagy egy b vesz lyhelyzet miatti s r l s t eredm nyezheti Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare ADVORUN IS AVVERTENZA IT au KO BRIDINAJUMS LV Direction 5394268 5 8EN Revision 1 bessi pj nustuhandb k er a eins f anleg ensku Ef ad bj nustuveitandi vi skiptamanns arfnast annas tungum ls en ensku er pad skylda vi skiptamanns a skaffa tungum lapj nustu Reyni ekki a afgrei a t ki nema a essi bj nustuhandb k hefur veri sko u og skilin Brot sinna essari a v run getur leitt
59. RCA Multiple Hypokinesia in Region Chapter 5 SC Information Object Implementation 87 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 Attribute Name Attribute Description and Use RCA Multiple Hyperkinesia in Opposite 0009 xx72 FL 1 RCA Multiple Hyperkinesia in Opposite Region Region RCA Multiple Total LV contour Percent 0009 xx73 RCA Multiple Total LV contour Percent LAD Single Hypokinesia in Region 0009 xx74 AN NN LAD Single Hypokinesia in Region LAD Single Hyperkinesia in Opposite Re 0009 xx75 a LAD Single Hyperkinesia in Opposite Re PEA gion LAD LAD Single Total LV contour Percent Total LV contour Percent 0009 xx76 ore s a LAD LAD Single Total LV contour Percent Total LV contour Percent LAD Multiple Hypokinesia in Region 0009 xx77 pa LAD Multiple Hypokinesia in Region LAD Multiple Hyperkinesia in Opposite 0009 xx78 LAD Multiple Hyperkinesia in Opposite RRA EE LAD LAD Multiple Total LV contour Percent Total LV contour Percent 0009 xx79 xt as a JLAD LAD Multiple Total LV contour Percent Total LV contour Percent Boe Eni plane mina Gees OR TETERA 5 6 Private Group QCA_RESULTS 88 Private Group Private Group QCA RESULTS modeled as part of the Image Information Entity Table 5 19 Private Group QCA RESULTS Attribute Name Analysis Views um xx00 Segment 0009 xx10
60. Re Mapped into Matching Key turned Key the Image Type Type MPPS Patient s Name 0010 0010 1 Yes Yes Matching is supported user entered value is sent Wild cards are appended in the query at the end of the compo nents first name and last name The first person name component group returned is mapped in the image No trun cation is performed Values may be truncated for display only Patient ID 0010 0020 Yes Yes Matching is supported user Puede value is sent E Patient ID EET 1000 ET issuer of Patient ID of Patient ID 0010 0021 0021 NotUsed Used Not Sent Sent Issuer of Patient ID Qualifiers 0010 0024 Not Used Not Sent Sequence 96 4 Worklist Query Module Definitions Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Attribute Name Tag Expected Expected Re Mapped into Matching Key turned Key the Image Type Type MPPS Other Patient IDs Sequence 0010 1002 p OA rap Not Used Not Sent NOTE inthe Expected Return Key Type column indicates that this information is displayed on screen if available 4 5 2 Patient Demographic Table 6 9 Patient Demographic Module Attributes Attribute Name Tag Expected Expected Re Mapped into Matching Key turned Key the Image Type Type MPPS Patients Birth Date 0010 0030 o ar veses Requested zero length Patient s Sex
61. Step Enumerated Values IN PROGRESS Started but not complete DISCONTINUED Canceled or unsuccess fully terminated COMPLETED Successfully completed Performed Procedure Step Description 0040 0254 2 3 Institution generated description or classifi cation of the Procedure Step that was per formed formed Performed Procedure Code Sequence 0008 1032 2 3 For Scheduled cases copy from Requested Procedure Code Sequence Sent Empty in case of unscheduled exams gt Code Value 0008 0100 1C 1C The Code Value 0008 0100 is an identifier that is unambiguous within the Coding Scheme denoted by Coding Scheme Desig nator 0008 0102 and Coding Scheme Ver sion 0008 0103 gt Coding Scheme Designator 0008 0102 1C 1C The attribute Coding Scheme Designator 0008 0102 identifies the coding scheme in which the code for a term is defined gt Code Meaning 0008 0104 3 3 The Code Meaning 0008 0104 is text which has meaning to a human and which conveys the meaning of the term defined by the com bination of Code Value and Coding Scheme Designator Performed Procedure Step End Date 0040 0250 2 1 Date on which the Performed Procedure Step ended Performed Procedure Step End Time 0040 0251 Time at which the Performed Procedure Step ended Performed Procedure Step Discontinuation 0040 0281 3 3 The reason the Performed Procedure Step Reason Code Sequence Status 0040 0252 was set to DISCONTIN UED gt Code Value 0008 0100
62. Table 4 13 Frame Pointers Module Attributes Attribute Name Type Attribute Description Representative Frame Number 0028 6010 Calculated as start_trim stop_trim start_trim 2 4 5 7 Mask Module This module is used only if the image may be subtracted Table 4 14 Mask Module Attributes Attribute Name Attribute Description Mask Substraction Sequence 0028 6100 Defines a sequence which describe mask subtraction operations for a Multi frame Image gt Mask Operation 0028 6101 AVG_SUB or NONE gt Applicable Frame Range 0028 6102 1C Frames of the mask operation applied during the last review gt Mask Frame Numbers 0028 6110 Frames selected as Mask during the last review Re quired if Mask Operation 0028 6101 is AVG SUB gt Mask Subpixel Shift 0028 6114 Recommended Viewing Mode 0028 1090 4 5 8 Display Shutter Module Table 4 15 Display Shutter Module Attributes Pixel shift applied during the last review SUB or NAT Shutter Shape 0018 1600 D a N RECTANGULAR Shutter Left Vertical Edge 0018 1602 STE Internally generated by acquisition system Shutter Right Vertical Edge 0018 1604 e Internally generated by acquisition system 1 1C 1C C Shutter Upper Horizontal Edge 0018 1606 Internally generated by acquisition system 60 4 Information Module Definitions Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Directio
63. Upon receiving a C STORE confirmation containing a Refused status this implementation will terminate the association No new assocation will be opened to send remaining images Upon receiving a C STORE confirmation containing a status other than Successful or Warning this implementation will consider the current request to be a failure but will continue to attempt to send any remaining images in the request over a different association This implementation can perform multiple C STORE operation over a single association Establishing an association supports an Association Timer This timer starts when the association request is sent and stops when the Association response is received The time out value is 10 seconds This Association time out value is not configurable in the system If the above time outs expires the association is closed and the operation in progress is considered to be failed After sending the C STORE requests system waits for a configurable Push Time out default value is 45 seconds to receive the C STORE response from the storage provider s If the storage provider s did not send the response within this time interval system times out and the C STORE operation will be considered to be FAILED Upon receiving a C STORE response containing a Successful or Warning status this implementation will perform the next C STORE operation The association will be maintained if possible Upon receiving a C STORE response c
64. a Simple Case One to multiple aka Append Case Zero to one aka Unscheduled Case or Acquisition without MWL Data Zero to multiple aka Append for Unscheduled case NOTE Multiple to one relationship aka Group Case is not supported 2 Relationship Between Scheduled and Performed Procedure Steps Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 3 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 8 1 SOP Common Module Section 4 1 SOP Common Module Performed Procedure Step Relation Section 4 2 Performed Procedure Step i Relationship Module Performed Procedure Step Information Section 4 3 Performed Procedure Step Module Information Module Image Acquisition Result Module Section 4 4 Image Acquisition Result Module Radiation Dose Module Section 4 5 Radiation Dose Module Billing and Material Management Co Not Used des Module Chapter 8 Modality Performed Procedure Step Implementation 103 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 4 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
65. al Attributes supported Type 1 amp Type 2 Attributes are also included for completeness and to define what values they may take It should be noted that they are the same ones as defined in the DICOM Standard Part 3 Information Object Definitions Also note that Attributes not present in tables are not supported 4 1 Patient Entity Modules Patient Module Table 4 3 Patient Module Attributes Attribute Name Attribute Description Patient s Name 0010 0010 From user interface or worklist When from user interface value contains only last name restricted to 32 chars first name restricted to 31 chars When from worklist equals first component group Patient ID 0010 0020 From worklist or user interface Restricted to 64 chars Patient s Sex 0010 0040 Other Patient ID 0010 1000 Other patient identifier or code From Worklist Issuer of Patient ID 0010 0021 Not Sent Issuer of Patient ID Qualifi 0010 0024 Not Sent ers Sequence os atentos esse wee 3 ss 4 2 Study Entity Modules 4 2 1 General Study Module Table 4 4 General Study Module Aftributes Attribute Name Attribute Description 1 Study Instance UID 0020 000D From Worklist Otherwise Internally generated as follows From user interface or worklist M F or O Patient s Birth Date 0010 0030 2 From user interface or worklist Restricted to 8 chars YYYYMMDD 3 3 3 3 registered prefix for GEMS 2 Registered prefix within GEMS
66. alue 5000 0114 250 Curve Data 5000 3000 Points in the curve each dimension for the first point fol lowed by dimen sions for second point etc 5 2 Private Group DLX_SERIE_01 Private Group DLX_SERIE_01 is modeled as part of the Image Information Entity Table 4 26 Private Group DLX_SERIE_01 Attribute Name Attribute Description and Use adx acq mode um xx14 This is a numerical code of the acquisi tion mode and is used in AW to auto start applications Defined codes for Innova are 100 Fluoro Store 2 Cardiac NoSub 32 Auto DSA 116 Bolus for Pasting Angio Sub 126 Chase 129 3D Calibration 140 NoSub 3D 128 Sub 3D 0019 xx20 IP address of the machine that sends the series 66 5 Standard Extended and Private Data Attributes Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Attribute Name Attribute Description and Use Lambda cm pincushion distortion 0019 xx24 DS 1 Coefficient of the pincushion distortion model of the Image Intensifier in cm 1 This model allows correcting the position of a point of the image as function of the distance to the center of the image Slope LV regression 0019 xx25 DS 1 Slope coefficient unit less of the linear regression correction of the Left Ventricu lar volume This linear regression corrects the Left Ventricular volume calculated by the Dodge s method fro
67. apping of DICOM Entities The Innova maps DICOM Information Entities to local Information Entities in the product s database and user interface Table 6 1 Mapping of DICOM Entities to Innova Entities DICOM Innova Entity 92 2 Innova Mapping of DICOM Entities Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 3 Worklist Query Module Table See DICOM PS 3 3 and PS 3 4 for a complete definition of the entities modules and attributes Table 6 2 Modality Worklist Information Model Modules Scheduled Procedure Step SOP Common Common Section 4 1 1 SOP Common Module 4 1 1 SOP Common Module Section 4 1 2 Scheduled Procedure Step Scheduled Procedure Step Module Requested Procedure Section 4 2 Common Requested Proce Requested Procedure dure Entity Modules Imaging Service Request Section 4 3 Common Imaging Service Re aio Service Request A Entity Modules Visit Visit Identification Identification Section 4 4 Common visit Section 4 4 Common visit Entity Modules Modules Chapter 6 Modality Worklist Information Model Definition 93 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 4 Worklist Query Module Definitions Please refer to DICOM Standard PS 3 3 Information Object Definitions for a description of each of the query
68. ass as a Service Class User SCU The Performed Procedure Step N CREATE message is sent automatically when the user starts the exam and after a worklist entry has been selected or patient data have been entered on the patient data entry screen There is no operator intervention required Chapter 3 Network Conformance Statement 41 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 The Performed Procedure Step N SET message is sent automatically after the exam has been ended There is no operator intervention required If the operator successfully ended the exam a COMPLETED status is sent If the operator aborted the exam a DISCONTINUED status is sent and the user can select the discontinuation reason from a predefined list or add custom reason codes 3 3 5 2 Proposed Presentation context table Presentation Context Table Proposed Abstract Syntax Transfer Syntax Extended Nam UD Nawet UID List Negotiation Modality Per 1 2 840 10008 3 1 2 3 3 Implicit VR Little Endian 1 2 840 10008 1 2 SCU None formed Proce dure Step Modality Per 1 2 840 10008 3 1 2 3 3 Explicit VR Little Endian 1 2 840 10008 1 2 1 SCU None formed Proce dure Step SOP Specific DICOM Conformance Statement for Modality Performed Procedure Step SOP Class e Innova includes Attributes in the Modality Performed Procedure Step N CREATE as described
69. ave the same properties The Attributes may be specified as Mandatory Type 1 Required but possibly unknown Type 2 or Optional Type 3 and there may be conditions associated with the use of an Attribute Types 1C and 2C Examples MR Image IOD CT Image IOD Print Job IOD Joint Photographic Experts Group JPEG A set of standardized image compression techniques available for use by DICOM applications Media Application Profile The specification of DICOM information objects and encoding exchanged on removable media e g CDs Module A set of Attributes within an nformation Object Definition that are logically related to each other Example Patient Module includes Patient Name Patient ID Patient Birth Date and Patient Sex Chapter 2 Introduction 25 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 26 Negotiation First phase of Association establishment that allows Application Entities to agree on the types of data to be exchanged and how that data will be encoded Presentation Context The set of DICOM network services used over an Association as negotiated between Application Entities includes Abstract Syntaxes and Transfer Syntaxes Protocol Data Unit PDU A packet piece of a DICOM message sent across the network Devices must specify the maximum size packet they can receive for DICOM messages Security Profi
70. be updated through User Inter face EE Er aa Procedure ID ER 1001 2 Sent EE rd ET ar From Worklist gt Requested Procedure Code Sequence Procedure Code Sequence 0032 1064 1064 3 Not Sent Not Sent 3 From Worklist From Worklist gt gt Code Value 0008 0100 1 Not Sent 1 From Worklist Sent if the Sequence is not Empty gt gt Coding Scheme Designator 0008 0102 1 Not Sent 1 From Worklist Sent if the Sequence is not Empty 104 4 Modality Performed Procedure Step Module Definitions Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Attribute Name Tag Type for SCU N CREATE Acquisition without MWL En Acquisition with MWL Entry try Sequence is not Empty gt gt Code Meaning 0008 0104 1 Not Sent 1 From Worklist Sent if the gt Requested Procedure Description 0032 1060 2 Sent Empty 2 From Worklist gt Scheduled Procedure Step ID 0040 0009 2 Sent Empty 2 From Worklist gt Scheduled Procedure Step Description 0040 0007 2 Sent Empty 2 From Worklist gt Scheduled Protocol Code Sequence 0040 0008 2 Sent Empty 2 From Worklist gt gt Code Value 0008 0100 1 Not Sent 1 From Worklist Sent if the Sequence is not Empty gt gt Coding Scheme Designator 0008 0102 1 Not Sent 1 From Worklist Sent if the Sequence is not Empty gt gt Code Meaning 0008 0104 3 Not Sent 3
71. ceived il i Any other status code A message is displayed with text None Last query failed more detailed information is logged in the error log NOTE The default timeout to receive the C FIND response is 30 secs and is not configurable 3 3 4 Real World Activity Request Storage Commitment 3 3 4 1 Associated Real World Activity The operator may configure the image storage destination host to have an associated Storage Commitment SCP AE this can be the same AE as the Storage SCP If there is an associated Storage Commitment SCP specified after each successful image transfer the system will automatically 1 Wait for a configurable delay time this allows re routing of images from Storage SCP to the Storage Commitment SCP if needed 2 Initiate a DICOM association to the Storage Commitment SCP to send the storage commitment request 3 3 4 2 Proposed Presentation Context Table Presentation Context Table Proposed Abstract Syntax Transfer Syntax cure Storage Commit 1 2 840 10008 20 1 Implicit VR Little Endian 1 2 840 10008 1 2 SCU None ment Push Mod el Storage Commit 1 2 840 10008 20 1 Explicit VR Little Endian 1 2 840 10008 1 2 1 SCU ment Push Mod el SOP Specific DICOM Conformance Statement for the Storage Commitment Push Model SOP Class SCU The Storage Commitment will be requested for all SOP Instances for which the image transfer was successful Each request may include one or more SOP Ins
72. cription of the Series AE Title A Sequence that provides reference to XA Image SOP Instances created during the ac quisition of the procedure step This does not include reference of the Secondary Capture Image SOP Instances The sequence may have zero or more Items Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 Attribute Name Tag Type for SCU N SET gt Referenced Non Image Composite SOP In 0040 0220 2C Always sent EMPTY stance Sequence 4 5 Radiation Dose Module Table 8 6 Radiation Dose Module Attributes Attribute Name Type for Type for SCU N SCU N SET CREATE Total Time of Fluoroscopy 0040 0300 N Create Sent Empty N Set Total duration of X Ray exposure during fluoroscopy in seconds pedal time during this Performed Procedure Step Total Number of Exposures 0040 0301 N Create Sent Empty N Set Total number of exposures made during this Performed Procedure Step Entrance Dose 0040 0302 N Create Sent Empty N Set Average entrance dose value meas ured in dGy at the surface of the patient during this Performed Procedure Step Entrance Dose in mGy 0040 8302 N Create Sent Empty N Set Average entrance dose value meas ured in mGy at the surface of the patient during this Performed Procedure Step Image Area Dose Product 0018 115E N Create Sent Empty N Set Total area dose product
73. d Section 4 5 5 Multi Frame Required if pixel data is Multi Module Frame Cine data Frame Pointers Used Section 4 5 6 Frame Pointers Module Mask Used Section 4 5 7 Mask Module Required if the Image may be subtracted Display Shutter Used Section 4 5 8 Display Shutter Module Chapter 4 X Ray Angiography XA Information Object Implementation 53 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 X Ray Image Used Section 4 5 9 X Ray Image Module X Ray Acquisition Used Section 4 5 10 X Ray Acquisi tion Module X Ray Collimator Used Section 4 5 11 X Ray Collima tor Module X Ray Table Used Section 4 5 12 X Ray Table Required if image is created with Module table motion May be present otherwise XA Positioner Used Section 4 5 13 XA Positioner Module DX Detector Used Section 4 5 14 DX Detector Module SOP Common Used Section 4 5 16 SOP Common Module 54 3 IOD Module Table Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 4 Information Module Definitions Please refer to DICOM Part 3 Information Object Definitions for a description of each of the entities modules and attributes contained within the X Ray Angiographic Information Object The following modules are included to convey Enumerated Values Defined Terms and Option
74. ds the horizontal plane in the vertical direction The value of this attribute applies to the first frame of the Multi frame image 5 Standard Extended and Private Data Attributes Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM Direction 5394268 5 8EN Revision 7 GE Healthcare Attribute Name Tg VR w Attribute Description and Use Table Z Position to Isocenter Table head tilt angle Table Head Tilt Angle precision Table cradle angle SID vector SOD vector LV Diastolic contour LV Systolic contour Default brightness contrast User brightness contrast i MM 0019 xxEE 0019 xxEF 0019 xxBE 0019 xxE9 0019 xx0C 0019 xx0D 0019 xx4E 0019 xx4F 5 5 Private Group GEMS_DL_STUDY_01 Private Group GEMS_DL_STUDY_01is modeled as part of the Image Information Entity Chapter 4 X Ray Angiography XA Information Object Implementation Z position of the Table Reference Point with respect to the Isocenter mm Posi tive values are towards the CRA direction ofthe Isocenter The value of this attribute applies to the first frame of the Multi frame image Angle of the head feet axis of the table in degrees relative to the horizontal plane Zero is defined when the head feet axis is in the horizontal plane Positive values are when the head of the table is upwards the horizontal plane The valid range is from 45 to 45 Contains the value of t
75. duled Proce dure Step gt Scheduled Procedure Step Description 0040 0007 3 Institution generated description or classifica tion of the Scheduled Procedure Step to be performed gt Scheduled Protocol Code Sequence 0040 0008 3 Sequence describing the Scheduled Protocol following a specific coding scheme gt gt Code Value 0008 0100 Required if a sequence item is present gt gt Code schema designator 0008 0102 Required if a sequence item is present 0008 0104 Required if a sequence item is present Identifier that identifies the Requested Proce dure in the Imaging Service Request Re quired if Sequence Item is present Institution generated administrative descrip tion or classification of Requested Procedure May not be sent A sequence that conveys the Procedure Type of the requested procedure The Requested Patient Position 0018 5100 Patient position descriptor relative to the equipment Defined terms are HFP Head First Prone HFS Head First Supine HFDR Head First Decubitus Right HFDL Head First Decubitus Left FFDR Feet First Decubitus Right FFDL Feet First Decubitus Left FFP Feet First Prone FFS Feet First Supine 3 3 3 3 3 3 C 3 1C 3 3 1C 1C 4 Information Module Definitions Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 4 4 Equipment Entity Modules 4 4 1 General Equipment Module
76. e 105 4 4 Image Acquisition Result Module ees sesse ERGE ER ERGE RR Ee ek AR Ee Gee Gede RS Ak Ke nadaa 107 4 5 Radiation Dose Module ES RE aene dece RE te ea ie 108 5 Billing and Material Management Codes Module iese ee ee ee ee ee ee RR Re ee ee ee ee ee 109 6 Standard Extended and Private Data AftributeS issie ee ee ee ee ee Ee ee ee ee ee ee RR be ee ee ee ee 110 6 1 Standard Attributes tete etes htt ri ee UR ee deck Ru ee a I Ge ED ee RE a 110 6 2 Private Group GEMS DE STUDY OT tit rb EE a deoa ts 110 6 3 Private Group GEMS DLX DOSE 41 1 see ee ee ee ee ee ee ee nnn nnns nnn nnn ee ee eke anas 111 18 Table of Contents Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Chapter 1 Conformance Statement Overview 1 Conformance Statement Overview The Innova system provides sophisticated image processing and storage functions Innova system will provide support for DICOM 3 0 to achieve interoperability across equipment produced by different vendors Table 1 1 provides an overview of the network services supported by Innova system Table 1 1 SOP Classes User of Service SCU Provider of Service SCP Secondary Capture Image Storage Yes X Ray Angiographic Image Storage Yes Option This means that this service can be purchased separately Chapter 1 Conformance Statement Overvi
77. ed BOOO Coercion of Data Ele Send operation successful ments B007 Data Set does not Send operation successful None match SOP Class B006 Elements Discarded Send operation successful None 0000 Send operation successful None 3 3 2 Real World Activity Verification Acknowledge 3 3 2 1 Associated Real World Activity The operator must select a destination in the User Interface and press the Verification button These operations will cause e the Innova DICOM Application Entity to initiate a DICOM association e the Innova DICOM Application Entity to emit a C ECHO command to check if the remote AE is available 3 3 2 2 Proposed Presentation Context Table Presentation Context Table Proposed Abstract Syntax Transfer Syntax roe Extended Negotiation Verification 1 2 840 10008 1 1 Implicit VR Little Endian 1 2 840 10008 1 2 SCU None SOP Specific DICOM Conformance Statement for Verification SOP Class The Innova DICOM AE provides standard conformance to the DICOM Verification SOP class NOTE The default timeout to receive the C ECHO response is 30 secs and is not configurable 3 3 3 Real World Activity Get Worklist 3 3 3 1 Associated Real World Activity The worklist transfer can be initiated either automatically when the DL application starts or manually by either clicking the Refresh button in the Patient Browser interface or the Refresh now button in the Define Worklist Settings screen
78. ement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 2 Innova Mapping of DICOM Entities The Innova maps DICOM Information Entities to local Information Entities in the product s database and user interface Table 5 1 Mapping of DICOM Entities to Innova Entities DICOM IE Innova Entity 74 2 Innova Mapping of DICOM Entities Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 3 IOD Module Table The Secondary Capture 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 Standard Extended and Private Data Attributes Table 5 2 SC Image IOD Modules Patient Section 4 1 Patient Entity Mod Patient Used ules Clinical Trial Subject NotUsed o NA Study Section 4 2 1 General Study General Study Used Module Section 4 2 2 Patient Study Patient Study Used Module Series Section 4 3 Table 5 6 General General Series Used Series Module Attributes Section 4 5 1 General Image General Image Used Module Section 4 5 2 Image Pixel Mod Image Pixel Used ule i A Clinical Trial Study NotUsed Image SC Image Section 4 5 3 SC Image Module Equipment Section 4 4 1 General Equip General Equipment Used ment Module Vor LUT Section 4 54 VOI LUT modue N N N Section 4 4 2 SC Equipment
79. ett annat sprak an engelska ansvarar kunden f r att tillhandah lla 6versattningstjanster F rs k inte utf ra service p utrustningen om du inte har l st och f rst r den h r servicehandboken Om du inte tar h nsyn till den h r varningen kan det resultera i skador p servicete knikern operat ren eller patienten till f ljd av elektriska st tar mekaniska faror eller andra faror Ta servisni priro nik je na voljo samo v angle kem jeziku e ponudnik storitve stranke potrebuje priro nik v drugem jeziku mora stranka za gotoviti prevod Ne posku ajte servisirati opreme e tega priro nika niste v celoti prebrali in razumeli e tega opozorila ne upo tevate se lahko zaradi elektri nega udara mehanskih ali drugih nevarnosti po koduje ponudnik storitev operater ali bolnik Bu servis k lavuzunun sadece ingilizcesi mevcuttur E er m teri teknisyeni bu k lavuzu ingilizce d nda bir ba ka lisandan talep ederse bunu terc me ettirmek m teriye d er Servis k lavuzunu okuyup anlamadan ekipmanlara m dahale etmeyiniz Bu uyar ya uyulmamas elektrik mekanik veya di er tehlikelerden dolay teknisyen operat r veya hastan n yaralanmas na yol a abilir Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 This page left intentionally blank 10 Impor ant Information Innova 2100 IQ 3100 IQ 4100 IQ
80. ew 19 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 This page left intentionally blank 20 7 Conformance Statement Overview Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Chapter 2 Introduction 1 Introduction 1 1 Overview This DICOM Conformance Statement is divided into Chapters as described below e Chapter 1 Conformance Statement Overview which describes the purpose of this Conformance Statement e Chapter 2 Introduction which describes the overall structure intent and references for this Conformance Statement e Chapter 3 Network Conformance Statement which specifies the GEMS equipment compliance to the DICOM requirements for the implementation of Networking features e Chapter 4 X Ray Angiography Information Object Implementation which specifies the GEMS equipment compliance to DICOM requirements for the implementation of a X Ray Angiography Information Object e Chapter 5 Secondary capture Information Object Implementation which specifies the GEMS equipment compliance to DICOM requirements for the implementation of a Secondary capture Information Object e Chapter 6 Modality Worklist Information Model which specifies the GEMS equipment compliance to DICOM requirements for the implementation of the Modality Work
81. f resources A message is displayed with text 0000 0902 Last query failed more detailed information is logged in the error log 0122 SOP Class not Supported A message is displayed with text 0000 0902 Last query failed more detailed information is logged in the error log Failed A900 Identifier does not match SOP Class A message is displayed 0000 0901 0000 0902 class with text Last query failed more detailed information is logged in the error log Cxxx Unable to process A message is displayed with text 0000 0901 0000 0902 Last query failed more detailed information is logged in the error log Cancel FEOO Matching terminated due to can A message is displayed with text None cel Canceled Success 0000 Matching is complete No final Worklist matches are displayed None identifier is supplied Pending FFOO Matches are continuing Current None None Match is supplied and any Option al Keys were supported in the same manner as Required Keys FF01 Matches are continuing Warning None None that one or more Optional Keys were not supported for existence for this Identifier 3 AE Specifications Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Service Status Status Codes Further Meaning Application Behavior When receiv Related Fields Processed ing Status Codes if re
82. g Service Request Required if Sequence Item is present gt Requested Procedure 0032 1060 3 Institution generated administrative description or classification Description of Requested Procedure May not be sent gt Requested procedure 0032 1064 3 A sequence that conveys the procedure Type of the requested Code Sequence procedure The Requested Procedure Code Sequence shall con tain only a single item gt gt Code Value 0008 0100 Required if a sequence item is present gt gt Code schema designa 0008 0102 Required if a sequence item is present tor 0008 0104 Required if a sequence item is present gt Scheduled Procedure 0040 0009 1C Identifier that identifies the Scheduled Procedure step Step ID gt Scheduled Procedure 0040 0007 3 Institution generated description or classification of the Sched Step Description uled Procedure Step to be performed gt Scheduled Protocol Code 0040 0008 Sequence describing the Scheduled Protocol following a specific EE coding Scheme CodeVaue Value 0008 0100 AE RE Required if a sequence item is present Chapter 4 X Ray Angiography XA Information Object Implementation 57 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Attribute Name Tag Attribute Description gt gt Code schema designa 0008 0102 Required if a sequence item is present tor gt gt Code meaning
83. hapter 5 SC Information Object Implementation 77 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 78 Series Date 0008 0021 Date the Series started YYYYMMDD restrict ed to 8 characters Series Time 0008 0031 Time the Series started HHMMSS XXX re stricted to 10 characters Performing Physicians Name 0008 1050 Protocol Name 0018 1030 From User Interface user defined description of the acquisition protocol Internally generated Series Description using Study RP SPS information Series Description 0008 103E From User Interface restricted to 64 charac ters From User Interface restricted to 64 charac ters Operator s Name 0008 1070 i Attribute Name Tag Attribute Description 2 Sequence that contains attributes from the Imaging Service Request The sequence may have only one item Request Attributes Sequence 0040 0275 gt Requested Procedure ID 0040 1001 gt Requested Procedure Description 0032 1060 Procedure Code Sequence shall contain only gt Requested Procedure Code Sequence 0032 1064 a single item gt gt Code Value 0008 0100 i te Required if a sequence item is present gt gt Code schema designator 0008 0102 ate Required if a sequence item is present 0008 0104 Required if a sequence item is present gt Scheduled Procedure Step ID 0040 0009 1c Identifier that identifies the Sche
84. he first frame Precision of the Table Tilt angle expressed as standard deviation in degrees Con tains values equal or higher than zero Angle of the left right axis of the table in degrees relative to the horizontal plane Zero is when the left right axis is in the ho riwontal plane Positive values are when the left of the table is upwards the horizon tal plane The valid range is from 45 to 45 Contains the value of the first frame Distance in mm from source to detector center for each frame of the multi frame image Distance in mm from source to the system isocenter This is a multi valued attribute that contains the SOD for each frame Diastolic contour image coordinates Three or more pairs of values with the co ordinates of the contour points row and column starting at 1 1 with respect to the origin upper left corner of the pixel data Systolic contour image coordinates Three or more pairs of values with the coordi nates of the contour points row and col umn starting at 1 1 with respect to the origin upper left corner of the pixel data The brightness contrast applied during the image acquisition Brightness from 0 0 to 100 0 Contrast from 100 0 to 100 0 The brightness contrast modified by the user during the image review Brightness from 0 0 to 100 0 Contrast from 100 0 to 100 0 71 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare
85. iate a DICOM association with the selected destination and transfer the selected images on this association 2 If system is configured for autoarchive the Innova DICOM AE will automatically initiate a DICOM association with the selected destination to transfer any new image created on the system 3 3 1 2 Proposed Presentation Context Table Presentation Context Table Proposed Abstract Syntax Transfer Syntax Extended Negotia tion Secondary Capture Im 1 2 840 10008 5 1 4 1 1 7 Implicit VR Little 1 2 840 10008 1 2 SCU None age Storage Endian Secondary Capture Im 1 2 840 10008 5 1 4 1 1 7 Explicit VR Little 1 2 840 10008 1 2 1 SCU None age Storage Endian X Ray Angiographic 1 2 840 10008 5 1 4 1 1 12 Implicit VR Little 1 2 840 10008 1 2 SCU None Image Storage 1 Endian X Ray Angiographic 1 2 840 10008 5 1 4 1 1 12 Explicit VR Little 1 2 840 10008 1 2 1 SCU None Image Storage 1 Endian SOP Specific DICOM Conformance Statement for all Storage SOP Classes This implementation can perform multiple C STORE operation over a single association Chapter 3 Network Conformance Statement 35 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 36 Upon receiving a C STORE confirmation containing a Successful status this implementation will perform the next C STORE operation The association will be maintained if possible
86. ica Anales No 26 Recomendaci nes de la Comisi n Internacional sobre la Protecci n Radiol gica y normas nacionales ACHTUNG R NTGENAPPARATE SIND EINE GEFAHR F R PATIENTEN SOWIE BEDIENUNGSPERSONAL WENN DIE GELTENDEN SICHERHEITSVORKEHRUNGEN NICHT GENAU BEACHTET WERDEN Dieser Apparat entspricht in seiner Bauweise strengsten elektrischen und mechanischen Sichereitsnormen doch in den Handen unbefugter oder unqualifizierter Personen wird er zu einer Gefahrenquelle Ubermafige R ntgenbestrahlung ist f r den menschlichen Organismus sch dlich Deswegen sind hinreichende Vorsichtsmafsnahmen erforderlich um zu verhindern dafunbefugte oder unqualifizierte Personen solche Ger te bedienen oder sich selbst und andere Personen deren Bestrahlung aussetzen k nnen Vor Inbetriebnahme dieses Apparats sollte sich das qualifizierte und befugte Bedienungspersonal mit den geltenden Kriterien f r den gefahrlosen Strahleneinsatz durch sorgf ltiges Studium des Hefts Nr 26 der Internationalen Kommission f r Strahlenschutz ICRP vertraut machen Empfehlungen der Internationalen Kommission f r Strahlenschutz und anderer nationaler Normenbeh rden Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Important Information LANGUAGE NPEAYMAPEKAEHVME Tosa yrrerBaHe 3a pa6ora e HanuuHo camo Ha aHrTIM CKA 3VK BG e AKO HOCTaBUMKPT H ycnyrata Ha knueHra M3VCKa npyr ea
87. irst supine HFS head first decubitus right HFDR head first decubitus left HFDL feet first decubitus right FFDR feet first decubitus left FFDL feet first Prone FFP feet first Supine FFS D internal label 0019 xx4C PHOTO calibration frame 0019 xx81 frame on which the calibration was per formed calibration object 0019 xx82 Enumerated sphere catheter or segment only one in with respect to the calibration factor US 1 calibration image original 0019 xx89 if extended calibration the image number of the original calibration calibration frame original 0019 xx8A if extended calibration the frame number of the original calibration calibration number of points uif 0019 xx8B 0 1 or 2 no units calibration points row 0019 xx8C US 1 2 Location of the points that define the cali bration object given as row 64 5 Standard Extended and Private Data Attributes Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Attribute Name calibration points column 0019 xx8D calibration magnification ratio 0019 xx8E 0019 xx8F 0019 xx90 calibration return code 0019 xx91 Distance Object to Table Top 0019 xx2B image detector rotation angle 0019 xx92 image flip 0019 xx95 can downscan 512 calibration sw version extend calibration sw version table rotation angle 0019 xxEA 0019 xxEB 0019 xxEC 0019 xxED
88. key attributes contained within the Modality Worklist Information Model 4 1 Common Scheduled Procedure Step Entity Modules 4 1 1 SOP Common Module Table 6 3 SOP Common Module Attributes Attribute Name Tag Expected Expected Re Mapped into Matching Key turned Key the Image Type Type MPPS Specific Character Set 0008 0005 1C No No Matching on this tag is not sup ported ISO IR 100 or ISO IR 6 is only accepted The default value if either not present or sent as EMPTY shall be considered as ISO IR 6 Multi valued character set is supported provided the first character set value is either EMPTY or ISO 2022 IR 6 or ISO 2022 IR 100 4 1 2 Scheduled Procedure Step Module Table 6 4 Scheduled Procedure Step Module Attributes Attribute Name Tag Expected Expected Re Mapped into Matching Key turned Key the Image Type Type MPPS Scheduled Procedure Step Se 0040 0100 1 No No quence gt Scheduled Station AE Title 0040 0001 1 No No Matching is supported The matching value is the AE Title of the Innova system gt Scheduled Procedure Step 0040 0002 1 No No Matching value can be config Start Date ured for date or date range gt Scheduled Procedure EN 0040 0003 No No Requested zero length EN Time gt Modality 0008 0060 No No Matching is supported This is requested either as zero length or as XA user configurable gt Scheduled Performing Physi 0040 0006 No No Requested zero length After cian
89. lass Modality Worklist Information Model Find SOP Class Computed Radiography Image Storage SOP Class 7 Introduction Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Application Entity AE An end point of a DICOM information exchange including the DICOM network or media interface software i e the software that sends or receives DICOM information objects or messages A single device may have multiple Application Entities Application Entity Title The externally known name of an Application Entity used to identify a DICOM application to other DICOM applications on the network Application Context The specification of the type of communication used between Application Entities Example DICOM network protocol Association A network communication channel set up between Application Entities Attribute A unit of information in an object definition a data element identified by a tag The information may be a complex data structure Sequence itself composed of lower level data elements Examples Patient ID 0010 0020 Accession Number 0008 0050 Photometric Interpretation 0028 0004 Procedure Code Sequence 0008 1032 Information Object Definition IOD The specified set of Attributes that comprise a type of data object does not represent a specific instance of the data object but rather a class of similar data objects that h
90. le A set of mechanisms such as encryption user authentication or digital signatures used by an Application Entityto ensure confidentiality integrity and or availability of exchanged DICOM data Service Class Provider SCP Role of an Application Entity that provides a DICOM network service typically a server that performs operations requested by another Application Entity Service Class User Examples Picture Archiving and Communication System image storage SCP and image query retrieve SCP Radiology Information System modality worklist SCP Service Class User SCU Role of an Application Entitythat uses a DICOM network service typically a client Examples imaging modality image storage SCU and modality worklist SCU imaging workstation image query retrieve SCU Service Object Pair SOP Class The specification of the network or media transfer service of a particular type of data object the fundamental unit of DICOM interoperability specification Examples Ultrasound Image Storage Service Basic Grayscale Print Management Service Object Pair SOP Instance An information object a specific occurrence of information exchanged in a SOP Class Examples a specific x ray image Tag A 32 bit identifier for a data element represented as a pair of four digit hexadecimal numbers the group and the element If the group number is odd the tag is for a private manufacturer specific data element Example
91. le Selec ment Push Mod tion Nego el tiation Storage Commit 1 2 840 10008 1 20 1 Explicit VR Little Endian 1 2 840 10008 1 2 1 SCU Role Selec ment Push Mod tion Nego el tiation Storage Commit 1 2 840 10008 1 20 1 Implicit VR Big Endian 1 2 840 10008 1 2 2 SCU Role Selec ment Push Mod tion Nego el tiation SOP Specific DICOM Conformance Statement for the Storage Commitment Push Model SOP Class SCU Chapter 3 Network Conformance Statement 43 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 The Innova 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 NCEVENT REPORT Storage Commitment Result the Innova will mark all SOP Instances for which a success status is indicated with an Archived flag shown on the user interface as ARCHIVED When all Instances associated with a Study or a Patient are Archived the Study or Patient will also be shown on the user interface with status ARCHIVED Only Patients Studies or Instances marked ARCHIVED may be deleted by user action without double confirmation If the Storage Commitment Result indicates any failure status an error message will be displayed to the user and the error including the Failure Reason 0008 1197 attribu
92. list service e Chapter 7 Storage Commitment Information Model Implementation which specifies the GEMS equipment compliance to DICOM requirements for the implementation of the Storage Commitment service e Chapter 8 Modality Performed Procedure Step which specifies the GEMS equipment compliance to DICOM requirements for the implementation of a Modality Performed Procedure Step Service 1 2 Overall Dicom Conformance Statement Document Structure The Documentation Structure of the GEMS Conformance Statements and their relationship with the DICOM Conformance Statements is shown in the Illustration below Chapter 2 Introduction 21 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Illustration 2 1 GEMS DICOM Conformance Statements http www ge com DICOM APPLICATION ENTITY SPECIFICATION l SERVICE CLASSES INFORMATION OBJECTS MESSAGE EXCHANGES ETC Innova 2100 IQ 3100 IQ 4100 IQ Conformance Product Cardiovascular Statement Implementation Imaging System Direction Conformance Statement Direction 5394268 4 8EN DICOM STANDARD Standard em Specification i Part 16 This document specifies the DICOM implementation It is entitled Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement for DICOM Direction 5394268 4 8EN This DICOM Conformance Statement documents the DIC
93. m the contour of the left ventricle traced by an expert Intercept LV regression 0019 xx26 DS 1 Intercept coefficient in cm3 of the linear regression correction of the Left Ventricu lar volume This linear regression corrects the Left Ventricular volume calculated by the Dodge s method from the contour of the left ventricle traced by an expert table vertical position 0019 xx21 DS 1 Absolute Vertical position of the table in mm with respect to the table referential Down moving is positive The value of this attribute applies to the first frame of the Multi frame image table longitudinal position 0019 xx22 DS 1 Absolute Longitudinal position of the table in mm with respect to the table referen tial Head moving is positive The value of this attribute applies to the first frame of the Multi frame image table lateral position 0019 xx23 DS 1 Absolute Lateral position in mm of the ta ble with respect to the table referential Left moving is positive The value of this attrib ute applies to the first frame of the Multi frame image angle value 1 0019 xx01 DS 1 Positioner angle for L arm in degrees Movement positive when rotating from RAO to LAO patient HFS no table rota tion angle value 2 0019 xx02 DS 1 Positioner angle for Pivot arm in degrees Movement is positive when rotating from RAO to vertical patient HFS no table ro tation angle value 3 0019 xx03 DS 1 Positioner angle for C arm in degrees Movemen
94. mportant Remarks re ee KEER ads 23 NITIDE eae Cee taeda 24 TST STATON cT 24 1 8 Symbols and Abbreviations xis END eg ee tenu den Educ dene Sots ute rte Sas ad eee eos 27 Chapter 3 NETWORK CONFORMANCE STATEMENT ccccceeeeeseeeeseeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeseeeeeeeeeenees 29 O 29 2 Implementation Modelarea ER ee ee ee ee ee ee E ee AA AA RA AR AAR ER ER nnne nis 30 2 1 Application Data Flow DiagraM iese ee ee ee ee ee ee ee ee ee AA Re AAR RR ER Re Re ee ee ee ee ee ee ee ee ee ee 30 22 Funcional Definition OF AE SERE ES EG EE set GER ERG GE Ge Eg GE te A aes 31 2 3 Sequencing of Real World AGUVIUGS ce psa thuc ter e tret euo pe red de educa ibt dn 33 3 AE SDOCIfICAtiOris oii cede ie e ev d edt ara eve De ot e do Ae det bee a Wena dd 34 3 1 Innova AE SpecificatiON sesse ee ee ee nennen nnne ee nennen nnne nnne 34 3 2 Association Establishment PolicieS se ee ee ee ee ee RR RR Re ee ee ee eene 34 3 2 V SOA eU ED ED dans 34 3 2 2 Number of ASSOCIATIONS sar er uice cov P yr Qe voe Ene dien ado uode eine 34 3 2 3 Asynchronous Nature aaa 34 3 2 4 Implementation Identifying Information ee ee ee Re ee ee ee m 34 3 3 Association Initiation Politeia 35 3 3 1 Real World Activity Copy Images eese enin niente teen decine 35 3 3 1 1 Associated Real World ActivVity oooooonccccccccccnonnonnnconononnnnnnnnnnnnnnnnnnnnnnnnos 35 Table of Contents
95. n 5394268 5 8EN Revision 1 2 Innova Mapping of DICOM Entities Table 4 1 Mapping of DICOM Entities to Innova Entities DICOM IE Innova Entity Image Sequence 52 2 Innova Mapping of DICOM Entities Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 3 IOD Module Table The X Ray Angiographic Image 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 Standard Extended and Private Data Attributes Table 4 2 X Ray Angiographic Image IOD Modules ules Clinical Trial Subject Not Used o NA Study General Study Used Section 4 2 1 General Study Module Patient Study Used Section 4 2 2 Patient Study Module Cincai Tr Study Not Used wu ules i j N A i N A Clinical Trial Series Not Used ca izati N A Frame of Reference Synchronization Not Used Equipment General Equipment Used Section 4 4 Equipment Entity Modules Frame of Reference Synchronization Not Used ONA General Image Used Section 4 5 1 General Image Module Image Pixel Used Section 4 5 1 General Image Module Contrast Bolus Used Section 4 5 3 Contrast Bolus Required if contrast media was Module used in this image Cine Used Section 4 5 4 Cine Module Required if pixel data is Multi Frame Cine data Multi Frame Use
96. n 5394268 5 8EN Revision 1 Attribute Name Attribute Description Shutter Lower Horizontal Edge 0018 1608 Internally generated by acquisition system 4 5 9 X Ray Image Module Table 4 16 X Ray Image Module Attributes Pixel Representation 0028 0103 1 Image Type Values 1 2 3 have the following Enumerated Values Table 4 17 Image Type Enumerated Values ORIGINAL identifies an Original Image PRIMARY identifies a Primary Image DISP DRM or SQRT See Table 4 17 Parameters of scanning sequence Attribute Description NO m T See Table 4 9 4 5 10 X Ray Acquisition Module Table 4 18 X Ray Acquisition Module Attributes Attribute Name X Ray Tube Current 0018 1151 g Attribute Description Peak kilo voltage output of the Xray gener ator used Xray tube current in mA Radiation Setting 0018 1155 Identify the general level of Xray dose expo sure Enumerated values are SC low dose fluoro GR high dose cine Exposure 0018 1152 2 The product of exposure time and Xray tube current expressed in mAs Required if either Exposure Time 0018 1150 or Xray tube current 0018 1151 are not present 2 1 2C 2C C Chapter 4 X Ray Angiography XA Information Object Implementation Duration of Xray exposure in msec 61 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Attribute Name Type At
97. n een elektrische schok mechanische of andere gevaren This service manual is available in English only If a customer s service provider requires a language other than English it is the cus tomer s responsibility to provide translation services Do not attempt to service the equipment unless this service manual has been con sulted and is understood Failure to heed this warning may result in injury to the service provider operator or patient from electric shock mechanical or other hazards See teenindusjuhend on saadaval ainult inglise keeles Kui klienditeeninduse osutaja n uab juhendit inglise keelest erinevas keeles vastutab klient t lketeenuse osutamise eest Arge ritage seadmeid teenindada enne eelnevalt k esoleva teenindusjuhendiga tut vumist ja sellest aru saamist K esoleva hoiatuse eiramine v ib p hjustada teenuseosutaja operaatori v i patsiendi vigastamist elektril gi mehaanilise v i muu ohu tagaj rjel Important Information Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare VAROITUS Fl ATTENTION FR WARNUNG DE MPOEIAOMOIHZH EL FIGYELMEZTET S HU Important Information Direction 5394268 5 8EN Revision 1 T ma huolto ohje on saatavilla vain englanniksi Jos asiakkaan huoltohenkil st vaatii muuta kuin englanninkielist materiaalia tarvit tavan k nn ksen hankkiminen on asiakkaan vastuulla l
98. n of the calibration phantom helix Note the size of the image of the calibra tion phantom may be bigger than the Field of View region 3Dcal acquisition date 0021 xx04 DA 1 Date of the acquisition of the calibration phantom 3Dcal acquisition time 0021 xx05 TM 1 Time of the acquisition of the calibration phantom 3Dcal calibration processing date 0021 xx06 1 Date of the processing of the calibration that has determined the projection matri ces 3Dcal calibration processing time 0021 xx07 3Dcal L arm angle 0021 xx08 3Dcal Pivot angle vector 0021 xx09 Time of the processing of the calibration that has determined the projection matri ces Mechanical angle of the L arm in de grees corresponding to the first image of the acquisition of the calibration phantom Vector of the mechanical angles of the Piv ot in degrees corresponding to all the images of the acquisition of the calibration phantom The number of values of this at tribute must be equal to the attribute 0021 xx13 3Dcal number of images Mechanical angle of the C arm in de grees corresponding to the first image of the acquisition of the calibration phantom Sequence containing the elements of the calibration matrices The number of items of this sequence must be equal to the at tribute 0021 xx13 3Dcal number of im ages 3Dcal matrix sequence 0021 xx0B gt 3Dcal matrix elements 0021 xx0C 3Dcal algorithm version 0021 xx0D
99. nalyze the applications requirements and to design a solution that integrates GE imaging equipment with non GE systems is the user s responsibility and should Chapter 2 Introduction 23 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 not be underestimated The useris strongly advised to ensure that such an integration analysis is correctly performed Validation Testing the complete range of possible interactions between any GE device and non GE devices before the connection is declared operational should not be overlooked Therefore the user should ensure that any non GE provider accepts full responsibility for all validation required for their connection with GE devices This includes the accuracy of the image data once it has crossed the interface between the GE imaging equipment and the non GE device and the stability of the image data for the intended applications Such a validation is required before any clinical use diagnosis and or treatment is performed It applies when images acquired on GE imaging equipment are processed displayed on a non GE device as well as when images acquired on non GE equipment is processed displayed on a GE console or workstation Future Evolution GE understands that the DICOM Standard will evolve to meet the user s growing requirements GE is actively involved in the development of the DICOM Standard
100. nding the N ACTION request to the storage commitment provider s and if the storage commitment provider s sends a busy signal resource limitation as a N ACTION response Innova AE can automatically retry sending the N ACTION request to the storage commitment provider s The Maximum Number of Retries and the Delay between the retries is configurable By default the Maximum number of retries 3 and Delay between auto retries 30 secs If the N ACTION response conveys failure status the association is closed by the AE Following are the status codes that are more specifically processed when receiving N ACTION responses from a Storage Commitment SCP N ACTION response Status Codes Service Status Status Codes Further Meaning Application Behavior When Re Related Fields Processed ceiving Status Codes if Received Success 0000H successful request Waiting for storage commitment None response Failed 0213H Resource limitation Automatic retry of storage commit None ment request for a configurable number of times with a configura ble delay between retries Failed Other than Failure reason other than re Display error status in network None above Source limitation queue After receiving the successful N ACTION response AE will keep the association open for a configurable delay default is 60 seconds During this delay AE will accept N EVENT REPORT requests sent by the remote SCP for the SOP instances referenced in the current N ACTION re
101. ode Enumerated Values e CONTINUOUS PULSED gt KVp 0018 0060 Peak kilo voltage output of the x ray generator used An average in the case of fluoroscopy continuous radiation mode gt X Ray Tube Current in yA 0018 8151 X Ray Tube Current in HA An average in the case of flu oroscopy continuous radiation mode gt Exposure Time Time 0018 1150 Time of x ray exposure or fluoroscopy in msec gt Filter Type 0018 1160 Type of filter s inserted into the X Ray beam e g wedg es 6 2 Private Group GEMS_DL_STUDY_01 110 Private Group GEMS DL STUDY 01 is modeled as part of the Performed Procedure Step Information Entity Table 8 8 Private Group GEMS DL STUDY 01 AWibueName Name EE Attribute Description and Use pps_dose 0015 xx80 Total dose delivered to the patient during the Performed Procedure Step in mGy pps_total_dap 0015 xx81 Cumulative dose area product for the Per formed Procedure Step in cGy cm2 pps fluoro dap 0015 xx82 DS 1 Cumulative dose area product for the fluoro acquisitions performed during the Performed Procedure Step in cGy cm2 pps fluoro time 0015 xx83 IS 1 Total time of fluoroscopy during the Per formed Procedure Step in seconds 6 Standard Extended and Private Data Attributes Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Attribute Name mE UR BEE BE m Attribute De
102. of all the frames of the multi frame image Distance Source to Patient 0018 1111 Internally generated by the acquisition system Distance Source to Detector 0018 1110 Internally generated by the acquisition system Positioner Motion 0018 1500 DYNAMIC if Pivot moves or C ARM moves or L arm moves or Tilt varies or Table rotation happens If NO motion in Pivot or C arm or Tilt or Table rotation then it will be sent as STATIC Positioner Primary Angle 0018 1510 Position of the Xray Image Intensifier about the patient from the RAO to LAO direction where movement from RAO to vertical is positive For multi frame images value of the first frame Note The values correspond to the mo tions in Pivot C L arm Rotation Tilt Patient Position Positioner Secondary Angle 0018 1511 Position of the Xray Image Intensifier about the patient from the CAU to CRA direction where movement from CAU to vertical is positive For multi frame im ages value of the first frame Note The values correspond to the mo tions in Pivot C L arm Rotation Tilt Patient Position 82 5 Standard Extended and Private Data Attributes Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 field of view dimension s 0018 1149 From user selection in the User Interface of the acquisition system Possible val ues are 400 400 OR 320 320 OR
103. olic Volume ml 0009 xx64 xx64 1 Simpson s End Diastolic Volume mi s End Diastolic Volume ml Simpson End Systolic Volume ml 0009 xx65 ER Simpson s End Systolic Volume ml Simspon s Stroke Volume ml 0009 xx66 EE Bek Simspon s Stroke Volume ml Simpson Ejection Fraction 0009 xx67 Simspon s Ejection Fraction in percent 0 le EUA CFX CFX Single Hypokinesia in Region Hypokinesia in Region 0009 xx68 MEE CFX Single Hypokinesia in Region Hypokinesia in Region CFX Single Hyperkinesia in Opposite Re 0009 xx69 d CFX Single Hyperkinesia in Opposite Re gion gion CFX Single Total LV contour Percent 0009 xx6A L CFX Single Total LV contour Percent CFX Multiple Hypokinesia in Region 0009 xx6B ee CFX Multiple Hypokinesia in Region CFX Multiple Hyperkinesia in Opposite 0009 xx6C CFX Multiple Hyperkinesia in Opposite EER d a GEE CFX CFX Multiple Total LV contour Percent Total LV contour Percent 0009 xx6D xx6D S 4 cx CFX Multiple Total LV contour Percent Total LV contour Percent RCA Single Hypokinesia in Region 0009 xx6E BREEK RCA Single Hypokinesia in Region RCA Single Hyperkinesia in Opposite Re 0009 xx6F m Ee RCA Single Hyperkinesia in Opposite Re UTA gion RCA IRCA Single Total LV contour Percent Total LV contour Percent 0009 xx70 xro 1 RCA RCA Single Total LV contour Percent Total LV contour Percent RCA Multiple Hypokinesia in Region 0009 xx71 PII
104. on 3Dcal number of images 0021 xx13 Number of projections acquired during the acquisition of the calibration phantom 3Dcal Instance UID 0021 xx14 UI 1 SOP Instance UID of the DICOM image corresponding to the acquisition of the cal ibration phantom 3Dcal image pixel spacing 0021 xx15 FL 2 Distance between the center of each pixel of the image of the calibration phantom specified by a pair row spacing value de limiter column spacing value in mm 3Dcal centering mode 0021 xx16 CS 1 Type of algorithm that centers the projec tion matrices defined values are ISO CENTER HELIX RECTIFIED OTH ER Generalized calibration 0021 xx20 LT 1 Augmented calibration string containing the concatenated content of the general ized calibration data 5 4 Private Group GEMS_DL_IMG_01 Private Group GEMS DL IMG 01is modeled as part of the Image Information Entity Chapter 4 X Ray Angiography XA Information Object Implementation 69 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 70 Table 4 28 Private Group GEMS_DL_IMG_01 Attribute Name Attribute Description and Use Patient position per image 0019 xxC7 CS 1 Patient position descriptor relative to the equipment The defined terms are head first HFP head first supine HFS head first decubitus right HFDR head first decubitus left HFDL feet first decubitus
105. on Module Attributes Attribute Name Attribute Description SOP Class UID 0008 0016 1 2 840 10008 5 1 4 1 1 12 1 SOP Instance UID 0008 0018 1 Restricted to 64 characters internally generated as follows registered prefix for GEMS 2 Registered prefix within GEMS a b c encoded mac address of the DL host x y z unique id protected against reinstallation and re entrance Specific Character Set 0008 0005 ISO IR 100 Instance Number 0020 0013 Internally generated starting at 1 Chapter 4 X Ray Angiography XA Information Object Implementation 65 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 5 Standard Extended and Private Data Attributes The Product supports the Standard and Private Attributes defined in the following sections in Standard Extended X Ray Angiographic SOP Instances as Type 3 data elements 5 1 Standard Attributes The Product supports the following attributes not specified in the X Ray Angiographic IOD in SOP Instances as Type 3 data elements Table 4 25 Standard Extended Attributes Information Entity Name Attribute Name te te Number of Points 5000 0010 Number of data s in this Curve Type of Data 5000 0020 Data Value Representation 5000 0103 0000H EM short SCOPI Curve Data Descriptor 5000 0110 Coordinate Start Value 5000 0112 E Coordinate Step V
106. on in degrees Con tains values equal or higher than zero table cradle angle 0019 xxBC Angle of the left right axis of the table in degrees relative to the horizontal plane Zero is when the left right axis is in the horizontal plane Positive values are when the left of the table is upwards the horizon tal plane The valid range is from 45 to 45 Contains the value of the first frame SID vector 0019 xxBE Distance in mm from source to detector center for each frame of the multi frame image SOD vector 0019 xxE9 Distance in mm from source to the system isocenter This is a multi valued attribute that contains the SOD for each frame LV Diastolic contour 0019 xx0C Diastolic contour image coordinates Three or more pairs of values with the co ordinates of the contour points row and column starting at 1 1 with respect to the origin upper left corner of the pixel data LV Systolic contour 0019 xx0D Systolic contour image coordinates Three or more pairs of values with the coordi nates of the contour points row and col umn starting at 1 1 with respect to the origin upper left corner of the pixel data default brightness contrast 0019 xx4E The brightness contrast applied during the image acquisition Brightness from 0 0 to 100 0 Contrast from 100 0 to 100 0 user brightness contrast 0019 xx4F The brightness contrast modified by the user during the image review Brightness from 0 0 to 100 0 Contrast from
107. on the Innova acquisition system from a remote HIS RIS system The Remote system can be any DICOM modality worklist SCP Query keys can be entered for the following items e Patient Name e Patient ID e Accession number e Procedure ID The system can be configured to query for its own modality XA or AE Title A date or a date range for the query can also be specified Verification consists of an operator request for the verification of the availability of a remote station Provide MPPS Information entity consists of automatic MPPS transactions generated by the system during the start and termination of the exam 2 2 Functional Definition of AE s The Innova DICOM Application Entity supports the following five SCU functions 1 Copy images Chapter 3 Network Conformance Statement 31 GE Healthcare 32 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM O O Direction 5394268 5 8EN Revision 1 Access to patient demographics and pixel Data in the local database Build a DICOM Dataset Initiate a DICOM Association to send the image s Send Images Close the association Request Storage Commitment O Initiate a DICOM Association in order to request Storage Commitment for the sent image s Send the N ACTION request Wait for the NCACTION RSP response Close the Association Receive N EVENT REPORT request in a seperate association Send the N EVENT REPORT response
108. ontaining a status other than Successful or Warning this implementation will consider the current request to be a failure but will continue to attempt to send any remaining images in the request over a different association Following are the status codes that are more specifically processed when receiving messages from a Storage SCP equipment Service Status Status Codes Further Meaning Application Behavior When receiv Related Fields Processed if re ing Status Codes ceived Refused ATxx Out of resources Send operation failed Root 0000 0902 cause indicated in error log Will continue to attempt any remaining send operations 0122 SOP Class not Sup Send operation failed Root 0000 0902 ported cause indicated in error log Will continue to attempt any remaining send operations Cxxx Cannot Understand Send operation failed Root 0000 0901 0000 0902 cause indicated in error log Will continue to attempt any remaining send operations A9xx Data Set does not Send operation failed Root 0000 0901 0000 0902 match SOP Class cause indicated in error log Will continue to attempt any remaining send operations 3 AE Specifications Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Service Status Status Codes Further Meaning Application Behavior When receiv Related Fields Processed if re ing Status Codes ceiv
109. quest or any N ACTION request s sent previously The association is closed when this timeout expires and there is no active transaction performed by the system linked to this association If an NCEVENT REPORT request is received on this association the AE will process it and send an N EVENT REPORT response on the same association The association will not be closed by the AE even if the NCEVENT REPORT conveys failure Upon receiving a Storage Commitment NCEVENT REPORT Storage Commitment Result the Innova will mark all SOP Instances for which a success status is indicated with an Archived flag shown on the user interface as ARCHIVED When all Instances associated with a Study or a 3 AE Specifications Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Patient is Archived the Study or Patient will also be shown on the user interface with status ARCHIVED Only Patients Studies or Instances marked ARCHIVED may be deleted by user action without double confirmation If the Storage Commitment Result indicates any failure status an error message will be displayed to the user and the error including the Failure Reason 0008 1197 attribute values will be written to the error log Any retry will be manually reinitiated On retry the AE will transfer again the instances and then initiate a new Storage Commitment Request for them
110. racters Referenced Study Sequence 0008 1110 3 From Worklist The sequence may have zero or more Items gt Referenced SOP Class UID 0008 1150 1 From Worklist Required if a sequence item is present gt Referenced SOP instance UID 0008 1155 From Worklist Required if a sequence item is present 4 2 2 Patient Study Module Table 5 5 Patient Study Module Attributes Attribute Name REN CC a Attribute Description Patient s Age 0010 1010 Either from User Interface or Calculated from Patient s Birth Date 0010 0030 Three digits followed by one letter In Years Y Months M Weeks W or Days D Patient s Size 0010 1020 From User Interface restricted to 16 charac ters Patient s Weight 0010 1030 From User Interface restricted to 16 charac ters Admission ID 0038 0010 3 From Worklist Identification number of the vis it as assigned by the healthcare provider 4 3 Series Entity Modules General Series Module Table 5 6 General Series Module Attributes tribute Name Attribute Desorption Series Instance UID 0020 000E 1 Unique identifier of the Series Restricted to 64 characters internally generated as follows registered prefix for GEMS 2 Registered prefix within GEMS a b c encoded mac address of the DL host x y z unique id pro tected against reinstallation and re entrance Series Number 0020 001 1 2 A number that identifies this Series Internally generated starting at 1 C
111. right FFDR feet first decubitus left FFDL feet first prone FFP feet first supine FFS Calibration sw version 0019 xx8F LO 1 String containing algorithm generation al gorithm version and algorithm release A new release does not change the algo rithm only change code structure I O code optimization no units Image detector rotation angle 0019 xx92 Image rotation at the detector reading in degrees before image flip image flip 0019 xx95 Horizontal and vertical image sweep per formed by the acquisition system before sending the DICOM image Defined terms are YES and NO Can downscan 512 0019 xxAA Indicates the possibility to downscan the pixel data to 512x512 for exchange pur poses Enumerated values YES NO Table rotation angle 0019 xxEA Rotation of the table in the horizontal plane in degrees Zero is defined when the head feet axis of the table is aligned with the CRA CAU axis of the Isocenter Z Positive angles are clockwise when looking at the table from upwards The val id range is from 180 to 180 Contains the value of the first frame Table X Position to Isocenter 0019 xxEB X position of the Table Reference Point with respect to the Isocenter mm Posi tive values are towards the LAO direction of the Isocenter The value of this attribute Table Y Position to Isocenter 0019 xxEC Y position of the Table Reference Point with respect to the Isocenter mm posi tive values are downwar
112. rocess Table 7 3 Storage Commitment Module for N Event Report Failure Reason Application Behavior When Receiving Rea son Code 0110H Processing failure Display error status in network queue 0112H No such object instance Display error status in network queue 0213H Resource limitation Display error status in network queue EE ae ae 1 Storage Commitment Push Model Implementation Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Chapter 8 Modality Performed Procedure Step Implementation 1 Introduction This section specifies the use of the DICOM Modality Performed Procedure Step information to be communicated to the Hospital Radiology information system This feature works in conjunction with DICOM Modality Worklist feature if installed However the conformance of this feature is independent of Modality Worklist feature For information on conformance of Modality Worklist feature to DICOM standard please refer to the appropriate section in this document Chapter 8 Modality Performed Procedure Step Implementation 101 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 2 Relationship Between Scheduled and Performed Procedure Steps 102 Innova supports the following relationships between Scheduled Procedure Step and PPS One to one ak
113. ronous mode is not supported All operations will be performed synchronously 3 2 4 Implementation Identifying Information The Implementation UID for this DICOM Implementation is 34 3 AE Specifications Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 Table 3 4 Innova Implementation UID 1 2 840 113619 6 269 Innova Implementation Version Name Innova_3100_4100 3 3 Association Initiation Policy When the Innova Application Entity initiates an Association for any Real World Activity it will propose the Presentation Contexts for all Real World Activities i e there is only a single comprehensive Presentation Context Negotiation proposed for the AE The Innova proposes only a single Transfer Syntax in each Presentation Context i e for each Abstract Syntax in the following Presentation Context Tables the AE proposes one Presentation Context for each specified Transfer Syntax 3 3 1 Real World Activity Copy Images 3 3 1 1 Associated Real World Activity The operator must select a destination in the User Interface towards which the images will be transferred Then one of the two following scenarios is possible 1 The operator selects data to be sent to the destination though the User Interface Once these selections are done the user clicks on the Network button to initiate a Copy images operation The Innova DICOM AE will then init
114. s 0010 0020 Patient ID O7FE 0010 Pixel Data 00019 0210 private data element 7 Introduction Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Transfer Syntax The encoding used for exchange of DICOM information objects and messages Examples JPEG compressed images little endian explicit value representation Unique Identifier UID A globally unique dotted decimal string that identifies a specific object or a class of objects an ISO 8824 Object Identifier Examples Study Instance UID SOP Class UID SOP Instance UID Value Representation VR The format type of an individual DICOM data element such as text an integer a person s name or a code DICOM information objects can be transmitted with either explicit identification of the type of each data element Explicit VR or without explicit identification Implicit VR with Implicit VR the receiving application must use a DICOM data dictionary to look up the format of each data element 1 8 Symbols and Abbreviations AE Application Entity AET Application Entity Title DICOM Digital Imaging and Communications in Medicine DPPS Data Points Per Second IOD Information Object Definition MWL Modality Worklist MPPS Modality Performed Procedure Step PACS Picture Archiving and Communication System Chapter 2 Introduction 27 28 Innova 2100 IQ 31
115. s Name user confirmation the first val ue can be mapped into Per forming Physician 0008 1050 gt Scheduled Procedure Step 0040 0007 Yes Yes Description gt Scheduled Protocol Code Se 0040 0008 Yes Yes quence 94 4 Worklist Query Module Definitions Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Attribute Name Tag Expected Expected Re Mapped into Matching Key turned Key the Image Type Type MPPS NOTE inthe Expected Return Key Type column indicates that this information is displayed on screen if available 4 2 Common Requested Procedure Entity Modules Requested Procedure Module Table 6 5 Requested Procedure Module Attributes Attribute Name Tag Expected Expected Re Mapped into Matching Key turned Key the Image Type Type MPPS Requested Procedure ID 0040 1001 1 Yes Yes Single Value or Wild card matching is supported for this data element Requested zero length This information can be mapped into Study ID 0020 0010 after user confir mation Requested Procedure Descrip 0032 1060 ME iii Requested zero length tion Requested Procedure Code 0032 1064 Yes Yes E E gt Code Value Value 0008 0100 0100 YesYes ll lt EIN N o s vrs ooo susy instance uo N 0 1 vem EEU IE RR I gt Referenced SOP Class UID SOP Class UID oer NEN Yesives
116. s a percentage Required if Analysis Type 0009 1100 is POST or PRE_POST Post Geometric Area Reduction 0009 xx28 5 7 Private Group QUANTITATIVE_RESULTS Private Group Private Group QUANTITATIVE_RESULTS modeled as part of the Image Information Entity Table 5 20 Private Group QUANTITATIVE_RESULTS Attribute Name Attribute Description and Use Calibration Frame 0009 xx40 IS 1 Frame in this image used for calibration no value if image was not calibrated or cal ibration was extended from another image Chapter 5 SC Information Object Implementation 89 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Attribute Name a UE Attribute Description and Use End Diastolic Frame 0009 xx41 Frame number of the end diastolic frame used in the analysis End Systolic Frame 0009 xx42 IS 1 Frame number of the end systolic frame used in the analysis End Diastolic Volume 0009 xx43 DS 1 End Diastolic Volume given in cubic cen timeters End Systolic Volume 0009 xx44 KEARD E End Systolic Volume given in cubic centi meters MR Volume 0009 xx45 x45 DS 1 Stroke Volume Stroke Volume given in cubic centimeters in cubic centimeters Cardiac Cardiac Output 0009 xx46 Um M Cardiac Output given in liters per minute Ejection Fraction 0009 xx47 EER Ejection Fraction expressed as a percent age Body
117. scription SOP Class UID 0008 0016 1 2 840 10008 5 1 4 1 1 7 SOP Instance UID 0008 0018 1 Restricted to 64 characters internally gener ated as follows registered prefix for GEMS 2 Registered prefix within GEMS a b c encoded mac address of the DL host x y z unique id protected against reinstallation and re entrance Specific Character Set 0008 0005 ISO IR 100 Instance Number 0020 0013 Internally generated starting at 1 Chapter 5 SC Information Object Implementation 81 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 5 Standard Extended and Private Data Attributes The Product supports the Standard and Private Attributes defined in the following sections in Standard Extended SC SOP Instances as Type 3 data elements 5 1 Standard Attributes The product supports the following attributes not specified in the Secondary Capture IOD in SOP Instances as Type 3 data elements Table 5 14 Standard Extented Attributes KVP 0018 0060 Peak kilo voltage output of the Xray gen erator used Table Angle 0018 1138 Angle of the head feet axis of the table in degrees relative to the horizontal plane Zero is defined when the head feet axis is in the horizontal plane Positive values are when the head ofthe table is upwards the horizontal plane The valid range is from 45 to 45 Contains the maximum value
118. scription and Use pps record dap 0015 xx84 Cumulative dose area product for the record acquisitions performed during the Performed Procedure Step in cGy cm2 pps record time 0015 xx85 Total time of record acquisitions during the Performed Procedure Step in seconds number of record runs 0015 xx9E IS 1 Total number of exposures made during the Performed Procedure Step no units 6 3 Private Group GEMS_DLX_DOSE_1 Private Group GEMS DLX DOSE 1 is modeled as part of the Performed Procedure Step Information Entity Table 8 9 Private Group GEMS DLX DOSE 1 Attribute Name Attribute Description and Use EES Cumulation 0027 xx16 MEAR Defined terms CUMULATE Private Radiation Dose Private Radiation Dose Sequence 0027 xx01 eo A el Private Radiation Dose Sequence gt Run Number 0027 xx02 A number that identifies the image image number Runtime 00000000 Time 0027 xx03 CE m O rmeresemesete Time the Series started gt Frames sFramespersec sec 0027 xx05 esel m o Number of frames per second gt Plane 0027 xx06 Plane on which the current image is ac quired Defined terms FR for Monoplane 0027 xx07 Peak kilo voltage output of the x ray genera tor used in kv 0027 xx08 EE X ray tube current in mA 0027 xx10 ee Duration of xray exposure in msec pre 0027 xx11 Position of the Xray Image Intensifier about the patient from the RAO to LAO direction where movement from RAO to vertical is pos
119. ssociation to send the N SET request Wait for the response Close the Association The Innova DICOM Application Entity also serves a default SCP function the Verification Service Class independently from others SCU functions 2 3 Sequencing of Real World Activities Not Applicable Chapter 3 Network Conformance Statement 33 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 3 AE Specifications 3 1 Innova AE Specification The Innova Application Entity provides Standard Conformance to the following DICOM SOP Classes as an SCU and or as an SCP Table 3 1 pe a anton mago Sage hasiiesesaaser ve No ew Wok nemer ee no 1260000852401 ie e Y es es 3 2 Association Establishment Policies 3 2 1 General The DICOM Application Context Name ACN which is always proposed is Table 3 2 Application Context Name 1 2 840 10008 3 1 1 1 The maximum length PDU receive size for the Innova Application Entity is Table 3 3 Maximum Length PDU 1024 Kbytes NOTE This value is not configurable 3 22 Number of Assoc ations The Innova Application Entity will initiate a maximum of 1 association at a time for each service to remote nodes The Innova Application Entity will support a maximum of 5 simultaneous associations initiated by remote nodes for the Storage Commitment Push Model 3 2 3 Asynchronous Nature Asynch
120. stered prefix of Innova System within GEMS a b c encoded mac address of the DL host x y z unique id protected against rein stallation ETE TN mene o o kreeres sorces ens Preteens soP tree wensy 1 3 Storage Commitment Module for N Event Report Table 7 2 Storage Commitment Module for N Event Report Fewasun ANT Storage Media Fle Set UID 0088 0140 Referenced SOP Sequence 0008 1199 The AE considers the SOP Instances ref erenced by this sequence as successfully archived Chapter 7 Storage Commitment Push Model Implementation 99 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 100 EXACT AUT peewessoemawaus gang Failed SOP Sequence 0008 1198 The AE considers the SOP Instances ref erenced by this sequence as not archived the application will display an error status in the network queue gt Referenced SOP Class UID 0008 1150 FT gt Referenced SOP Instance UID 0008 1155 Pe 0008 1197 See Table 7 3 for the range of possible val ues Processing of Failure Reason when received in a N Event Report When receiving a N Event Report request with a Event Type ID equal to 2 meaning that Storage Commitment is complete but failure exists following is the set of value that this Storage Commitment SCU AE is able to p
121. t is positive when rotating from CAU to vertical patient HFS no table ro tation user zoom factor 0019 xx18 IS 1 Zoom factor integer with no units applied by the user to the default image displayed X zoom 0019 xx19 IS 1 row number of the origin of the zoomed area with respect to the origin of the FOV area starting at 0 Y zoom 0019 xx1A IS 1 column number of the origin of the zoomed area with respect to the origin of the FOV area starting at 0 User spatial filter strength 0019 xx17 IS 1 The strength of the spatial filters no units selected by the user during the image Re view Values from 1 to 7 Chapter 4 X Ray Angiography XA Information Object Implementation 67 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 5 3 Private Group GEMS_XR3DCAL_01 68 Private Group GEMS_XR3DCAL_01is modeled as part of the Image Information Entity Table 4 27 Private Group GEMS_XR3DCAL_01 Attribute Name Attribute Description and Use 3Dcal image rows 0021 xx01 IS 1 Number of rows of the image of the cali bration phantom helix that has been used to determine the projection matrices 3Dcal image columns 0021 xx02 IS 1 Number of columns of the image of the calibration phantom helix that has been used to determine the projection matrices 3Dcal field of view 0021 xx03 FL 1 Field of View in mm applied to the acquis itio
122. t re Rationis 62 45 12 X Ray Table Module to odit e eR eene ee N ee es ea 62 4 513 XA Positioner Mod le insi rae toa a EE Rope ada truces 63 49 14 DX Detector Module cce oam Edu een Ver ses cru dee puedes ed Ee ee Ee 64 4 5 15 VOI EUT module rtr s 65 Table of Contents 15 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 45 10 SOP Common Module castrista tddi GE RE Ge ee oe 65 5 Standard Extended and Private Data Attributes eese eene 66 9 1 Standard illi De ie 66 5 2 Private Group DLX SERIE O1 esse ee ees see ee ee ee ee ee ee ee ee ee Ee ee ee ee ee ee ee ee nnn ee ee ee ee Ee Ee 66 5 3 Private Group GEMS XR3DCAL OT ees ees ee ee ee ee ee RE ee ee ee ee ee Ee EE ee ee ee ee ee ek EE ee ee ee ee 68 5 4 Private Group GEMS DL IMG OT ee ee ee ee ee ee Ee ee ee ee ee ee ee ee ee ee ee ER ee nnns 69 5 5 Private Group GEMS DL STUDY OT ees ee ee ee ee ee Re ee ee ek ee ee ee ee ee Ge GR EE ee ee ee ee 71 Chapter 5 SC INFORMATION OBJECT IMPLEMENTATION ee ees ee ee esse eek ese ee ee Re ee ek RR ee eek Kaak eek ae 73 WTO UCA ED 73 2 Innova Mapping of DICOM Entities essen nere RE ee EE ee 74 3 NOD Module Tabla een s 75 4 Information Module Definilloris cire A Naas 76 4 1 Patient Entity Modules nc ie Doer a do ai 76 4 2 Study Entity Modules
123. tances depending on the number of images that were transferred The AE uses DICOM network storage services to transfer SOP Instances which are to be committed The AE may request Storage Commitment for Instances of any of the Composite SOP Classes it supports as an SCU see Chapter 4 Chapter 4 X Ray Angiography XA Information Object Implementation and Chapter 5 Chapter 5 SC Information Object Implementation The Storage Commitment will be requested for all SOP Instances for which the image transfer was successful Chapter 3 Network Conformance Statement 39 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 40 The time interval to attempt the Storage Commitment requests after the successful image transfer is configurable The default value is O seconds i e immediately after the image transfer Each Storage Commitment request N ACTION may include one or more SOP Instances depending on the numberof images that were transferred AE do 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 The Storage Commitment Information Object is described in Chapter 7 Storage commitment push model information object definition The AE will generate a new transaction UID at each new Storage commitment request N ACTION After se
124. te values will be written to the error log Any retry will be manually reinitiated On retry the AE will transfer again the instances and then initiate a new Storage Commitment Request for them The list of specific Failure Reason Codes that this AE will be able to process is described below Failure Application Behavior When Receiving Reason Code Reason 0110H Processing failure Display error in network queue 0112H No such object instance Display error in network queue 0213H Resource limitation Display error in network queue 0119H Class Instance conflict Display error in network queue Duplicate transaction UID Display error in network queue Any other status code Display error in network queue The AE will return the standard status codes in NCEVENT REPORT RSP message as specified below Service Status Status Codes Further Meaning Further Meaning Failure 0119 Class instance conflict The specified SOP Instance is not a member of the specified SOP class 0122H Referenced SOP Class not supported Display error in network queue 0112 No such SOP Instance The SOP Instance UID specified implied a viola tion of the UID construction rules 0110 Processing failure A general failure in processing the operation was encountered Successful notification 44 3 AE Specifications Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 4 Communica
125. ted to 8 chars YYYYMMDD From user interface or worklist M F or O 4 2 Study Entity Modules 4 2 1 General Study Module 76 Table 5 4 General Study Module Attributes Attribute Name Attribute Description Study Instance UID 0020 000D 1 From Worklist Otherwise internally generat ed as follows registered prefix for GEMS 2 Registered prefix within GEMS a b c encoded mac address of the DL host x y z unique id protected against reinstallation and re entrance Study Date 0008 0020 YYYYMMDD restricted to 8 characters Study Time 0008 0030 HHMMSS XXX restricted to 10 characters 4 Information Module Definitions Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 7 AttributeName Name Attribute Description Referring Physician s Name m 0090 Patient s referring physician From User Inter face or worklist restricted to 64 characters Study ID 0020 0010 From User Interface or Worklist restricted to 16 characters Accession Number 0008 0050 2 From User Interface or Worklist restricted to 16 characters Study Description 0008 1030 3 Generated description from the Worklist en tries for Requested Procedure If no value found the value is taken from User Interface Name of Physician s Reading Study 0008 1060 3 Physician reading the exam From User Inter face or worklist restricted to 64 cha
126. thcare Direction 5394268 5 8EN Revision 1 5 4 Private Group GEMS DL STUDY OT eie ee ee ee ee ee ER ee ee ee ee RE Ee ee ee ee ee Ge ER EE ee ee ee ee 86 5 5 Private Group GEMS QVA PHOTO 01 ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee nnns 87 9 6 Private Group QCA RESULTS rait en ER EER EG repr pte ARE Ge AG Ee Ee REX BEER ERGE ee ske ke 88 5 7 Private Group QUANTITATIVE RESULTS ede ee esse ee see ee ee ede ee ee ee ee eene nnns 89 Chapter 6 MODALITY WORKLIST INFORMATION MODEL DEFINITION ees esse ee ese ese ee eek gees ee ae 91 UM eed edel AE EE RE EE A EG 91 2 Innova Mapping of DICOM EntitieS esse sees sees ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee Re AAR AAR RA RR RE ee EE ee 92 3 Worklist Query Modules Table ss aas tet pot RSA ED NEGE DE Ea dp Eo EE ette tu tc Oe ee bot eb Ee 93 4 Worklist Query Module Defiriilioris siii iut Lote See de Ee N ge gee ee EE 94 4 1 Common Scheduled Procedure Step Entity Modules ee ee ee ee ee ee 94 4 1 1 SOP Commo ml MOU EE de Ge den te ee 94 4 1 2 Scheduled Procedure Step Module oooocoooccoccoccccoccccnccccncnnnnnnnnnnnonnnnnnnnnncnnncnoncnnnnnnnnnos 94 4 2 Common Requested Procedure Entity Modules sesse sees ese ee ee ee ee ee 95 4 3 Common Imaging Service Request Entity Modules se sesse ee ee ee ee ee ee ee 95 4 4 Common visit Entity MOGUlBS 2 vias EE EE vertex cea Dio t ete vel eat ee lei Re RE RUE De 96 4 5 Common Patient Entity
127. the Innova DICOM AE for the purpose of application level communication verification 3 4 2 Real World Activity Verification Acknowledge 3 4 2 1 Associated Real World Activity The Innova DICOM AE is always listening to associations No operator action is required to respond to a Verification request from any DICOM node 3 4 2 2 Accepted Presentation Context Table Presentation Context Table Proposed Abstract Syntax Transfer Syntax a Extended Negotiation Verification SOP 1 2 840 10008 1 1 Implicit VR Little Endian 1 2 840 10008 1 2 None Class Explicit VR Little Endian 1 2 840 10008 1 2 1 Explicit VR Big Endian 1 2 840 10008 1 2 1 2 SOP Specific Conformance Statement for Verification SOP Class Innova DICOM Application provides standard conformance to the DICOM Verification Service Class NOTE Innova AE will time out 60 secs after Association Acknowledgment is sent and no Verification request is received This time out is not configurable 3 4 3 Real World Activity Request Storage Commitment 3 4 3 1 Associated Real World Activity The AE will accept a configurable number of DICOM associations to receive the storage commitment responses The number of accepted associations can be configured from 1 to 5 3 4 3 2 Accepted Presentation Context Table Presentation Context Table Proposed Abstract Syntax Transfer Syntax Eiend Storage Commit 1 2 840 10008 1 20 1 Implicit VR Little Endian 1 2 840 10008 1 2 SCU Ro
128. tion Profiles 4 1 Supported Communication Stacks PS 3 8 PS 3 9 DICOM Upper Layer PS 3 8 is supported using TCP IP 4 2 OSI Stack OSI stack not supported 4 3 TCP IP Stack The TCP IP stack is inherited from a Windows NT Operating System 4 3 1 API Not applicable to this product 4 3 2 Physical Media Support DICOM is indifferent to the Physical medium over which TCP IP executes e g Ethernet V2 0 IEEE 802 3 ATM FDDI NOTE For more information about the Physical Media available on INNOVA System please refer to the Product Data Sheet 4 4 Point to Point Stack A 50 pin ACR NEMA connection is not applicable to this product Chapter 3 Network Conformance Statement 45 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 5 Extensions Specializations Privatizations 5 1 Standard Extended SOP Classes The product provides Standard Extended Conformance to all supported SOP Classes through the inclusion of additional Type 3 Standard Elements and Private Data Elements The extensions are defined in Sections e Chapter 4 Chapter 4 X Ray Angiography XA Information Object Implementation e Chapter 5 Chapter 5 SC Information Object Implementation 46 5 Extensions Specializations Privatizations Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN
129. tion System RIS the list of procedure to be performed This is done using the Basic Worklist Management DICOM Service as a Service Class User A remote Application Entity to check the application level communication with the Innova System This is done by providing the Verification DICOM Service Class as a Service Class Provider To inform a remote DICOM Application Entity that a specific Procedure Step has been started using N CREATE messages and later that this Procedure Step has been completed or discontinued using N SET messages This is done by using the Modality Performed Procedure Step service as a Service Class User Chapter 3 Network Conformance Statement 29 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 2 Implementation Model 2 1 Application Data Flow Diagram The network application model for the Innova is shown in the following Illustration Illustration 3 1 Innova Network Application Model and Data Flow Diagram Association Initiation Images stored remotely Copy images Take ownership for Request Storage Commitment Innova DICOM Application Entity Provide Worklist Response Remote System Request or Request or Acknowledge Acknowledge Verification Verification Association Acceptance and Initiation Provide MPPS Information Store MPPS gt Information
130. tribute Description 0018 1166 Identify the grid Defined Terms are IN a grid is positioned and NONE no grid is used Average Pulse Width 0018 1154 Average width of Xray pulse in msec Radiation Mode 0018 115A Specifies Xray radiation mode CONTINU OUS PULSED Image and Fluoroscopy Area 0018 115E Dose product XRay dose measured in dGy cm cm to which the patient was exposed for the ac Intensifier Size 0018 1162 Focal Spot 0018 1190 quisition of this image plus any Non digitally Field of View Shape 0018 1147 recorded fluoro which may have been per formed to prepare for the acquisition of this Field of View Dimension s 0018 1149 image 204 8 for 20cm detector 307 2 for 30cm de tector and 409 6 for 40cm detector Nominal focal spot size in mm used to ac quire this image RECTANGLE From user selection in the User Interface of the acquisition system Possible values are 400 400 OR 320 320 OR 300 300 OR 200 200 OR 172 172 OR 170 170 OR 160 160 OR 150 150 OR 147 147 OR 1211121 OR 120 120 Imager Pixel Spacing 0018 1164 3 Around 0 2 mm for FOV 120 mm to FOV 200 mm and around 0 4 mm for FOV 200 mm and above 4 5 11 X Ray Collimator Module Table 4 19 X Ray Collimator Module Attributes Attribute Name Type Attribute Description D 3 3 3 3 3 3 3 3 4 5 12 X Ray Table Module Table 4 20 X Ray Table Module Attributes Attribute Name Type Attrib
131. tudy Module Attributes Attribute Name Attribute Description Patient s Age 0010 1010 3 Either from User Interface or Calculated from Patient s Birth Date 0010 0030 Three digits followed by one letter In Years Y Months M Weeks W or Days D May not be sent Patient s Size 0010 1020 3 From User Interface or worklist restricted to 16 characters May not be sent Patient s Weight 0010 1030 3 From User Interface or worklist restricted to 16 characters May not be sent Admission ID 0038 0010 3 From Worklist Identification number of the visit as assigned by the healthcare provider May not be sent 4 3 Series Entity Modules 56 General Series Module Table 4 6 General Series Module Attributes Attribute Name Attribute Description Series Instance UID 0020 000E 1 Restricted to 64 characters internally generated as follows reg istered prefix for GEMS 2 Registered prefix within GEMS a b c encoded mac address of the DL host x y z unique id protected against reinstallation and reentrance 0020 0011 Internally generated starting at 1 0008 0021 YYYYMMDD restricted to 8 characters 0008 0031 HHMMSS XXX restricted to 10 characters Performing Physicians 0008 1050 From User Interface restricted to 64 characters Name 4 Information Module Definitions Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE
132. u 3anbmkeHue Ha knHeHra e na ocurypu npeBon e He manonsaBajTe o6opynBaHero npegn na cre ce koHcyrirupanu n pas6panu yrrerBaHero 3a pabora e HecnaaBaHero Ha TOBa npenynpexneuue Moxe na noBene no HapausiBaHe Ha AocTaBuuka Ha ycnyrara oneparopa nnn nauyeHra B peayrirar H TOKOB YAap MexaHuyHa nnn Apyra onacHocr LA ARES FA HE AR NC UIS o ZH CN oc MREPHAERSAREEIRURA WEPER TRADE AGAMA BRA IE FM ZA FR TREE o ARRAN E RS RI BEN SARS AA REA ARS EDS PLEEG NUUS S SCR eA ln Ho AS BRAS TERA SCRA ZH HK fiic PS BS BR CLER S EUR OCA ZZ BOIS SE SPARE HM RG RICSHMARBFRARBARANA 8 RU 27 EE RUE E RSS o TOS UE SEE EPIS BRE OUR Mite SUE AIM MMe SLE BS fe Ens We er ed ZH TW 28 PIS EE RE E SEGA XCARDAAMEARRE BEAR PATEAR EDEEM A RIF ROAM AERE MES TF Mo OEURKEECONEE UBEBSSMEEBE RIERSUSSIANNIS MH Ef Rm EIE UPOZORENJE Ovaj servisni priru nik dostupan je na engleskom jeziku HR e Ako davatelj usluge klijenta treba neki drugi jezik klijent je du an osigurati prijevod e Ne poku avajte servisirati opremu ako niste u potpunosti pro itali i razumjeli ovaj ser visni priru nik e Zanemarite li ovo upozorenje mo e do i do ozljede davatelja usluge operatera ili pacijenta uslijed strujnog udara mehani kih ili drugih rizika Important Information 3 Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare VYSTRAHA CS ADVARSEL DA WAARSCHUWING NL
133. ute Description 1 1 1 1 C C C C Table Motion 0018 1134 2 Defined terms STATIC DYNAMIC DYNAMIC if table moves in at least one direction 62 4 Information Module Definitions Innova 2100 IQ 3100 IQ 4100 IQ Cardiovascular Imaging System Conformance Statement of DICOM GE Healthcare Direction 5394268 5 8EN Revision 1 Attribute Name Tag Attribute Description Table Vertical Increment 0018 1135 Incremental change in Vertical position of the table plane relative to first frame of Multiframe image given in mm Table motion down is pos itive Required if Table Motion is DYNAMIC NOTE if the table is tilted this attribute deter mines a change ofthe tilted plane in the vertical direction Table Longitudinal Increment 0018 1137 2C Incremental change in Longitudinal position of the table in the table plane even if the table is tilted relative to first frame of Multiframe image given in mm Table motion towards LAO is pos itive Required if Table Motion is DYNAM IC NOTE if the table is tilted and rotated this attribute determines a change of the table in the tilted plane not in the horizontal plane and in the CRA CAU direction of the isocenter sys tem which is fixed and independent from the rotation angle of the table Table Lateral Increment 0018 1136 2C Incremental change in Lateral position of the table in the horizontal plane relative to first frame of Multiframe image given in mm Table motion towards

Innova 2100-IQ, 3100-IQ, 4100-IQ Cardiovascular

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