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DICOM Conformance Statement EPIQ 7 and 5 Release 1.5.x.x Affiniti 70 and 50 Release 1.5.x.x 000490000000111 Rev A 24 Nov 2015 © Koninklijke Philips Electronics N.V. 2015 All rights are reserved.
0.1 Revision History Document Version Date of Issue Author s Description A 24 Nov 2015 EC, JL, ML Initial Release E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 2
1 CONFORMANCE STATEMENT OVERVIEW Table 1.1 provides an overview of the supported network services. Table 1.1 NETWORK SERVICES Networking SOP Classes User of Service (SCU) Provider of Service (SCP) Transfer Ultrasound Image Storage Yes* Yes* Ultrasound Image Storage (Retired) Yes* Yes* Ultrasound Multiframe Image Storage Yes* Yes* Ultrasound Multiframe Image Storage (Retired) Yes* Yes* Secondary Capture Image Storage Yes* Yes* Multi-frame True Color Secondary Capture Image Storage Yes* Yes* CT Image Storage Yes* Yes* Enhanced CT Image Storage Yes* Yes* Digital Mammography X -Ray Image Storage – For Presentation Yes* Yes* Digital Mammography X -Ray Image Storage – For Processing Yes* Yes* MR Image Storage Yes* Yes* Enhanced MR Image Storage Yes* Yes* MR Spectroscopy Image Storage Yes* Yes* Multi-frame Single Bit Secondary Capture Image Storage Yes* Yes* Multi-frame Grayscale Byte Secondary Capture Image Storage Yes* Yes* Multi-frame Grayscale Word Secondary Capture Image Storage Yes* Yes* Positron Emission Tomography Image Storage Yes* Yes* X-Ray Angiographic Image Storage Yes* Yes* Private 3D Presentation State Storage Yes* Yes* Comprehensive SR Storage Yes* No Storage Commitment Push Model Yes* No Query/Retrieve Study Root Query/Retrieve -FIND Yes** No Study Root Query/Retrieve -MOVE Yes** No Workflow Management E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 3
The Philips EPIQ and Affiniti Ultrasound system s implement the necessary DICOM
® services to download
worklists from an information system, store I mages and Structured Reports to a network storage device,
commit previously stored US images, store Images and Structured Reports to CD , DVD , or removable USB
Media s torage device s, print to a networked DICOM printer device , receive previously stored ultrasound and
other modality images, and inform the information system about the work actually done.
* Purchasable option “Netlink DICOM 3.0”. DICOM Printing does not require an option.
** Requires option “ Ultrasound Query Retrieve” or Multi -Modality Query Retrieve.
The SOP Classes are categorized as shown in Table 1.2 :
Table 1.2
UID VALUES
UID Value UID NAME Category
1.2.840.10008.1.20.1 Storage Commitment
Push Model SOP Class Workflow Management
1.2.840.10008.3.1.2.3.3 Modality Performed
Procedure Step SOP
Class Workflow Management
1.2.840.10008.5.1.1.9 Basic Grayscale Print
Management Meta SOP
Class Print Management
1.2.840.10008.5.1.1.18 Basic Color Print
Management Meta SOP
Class Print
Management
1.2.840.10008.5.1.4.1.1.1.2 Digital Mammography X -
Ray Image Storage – For
Presentation Transfer
1.2.840.10008.5.1.4.1.1.1.2.1 Digital Mammography X -
Ray Image Storage – For
Processing Transfer
1.2.840.10008.5.1.4.1.1.2 CT Image Storage Transfer
1.2.840.10008.5.1.4.1.1.2.1 Enhanced CT Image
Storage Transfer
1.2.840.10008.5.1.4.1.1.3.1 Ultrasound Multi -frame
Image Storage Transfer
® DICOM is the registered trademark of the National Electrical Manufacturers Association for its standards publications relating to digital
communications of medical information.
Modality Worklist Information Model - FIND Yes* No
Modality Performed Procedure Step Yes* No
Print Management
Basic Grayscale Print Management Yes No
Basic Color Print Management Yes No
E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 4
UID Value UID NAME Category 1.2.840.10008.5.1.4.1.1.3 Ultrasound Multi -frame Image Storage (Retired) Transfer 1.2.840.10008.5.1.4.1.1.4 MR Image Storage Transfer 1.2.840.10008.5.1.4.1.1.4.1 Enhanced MR Image Storage Transfer 1.2.840.10008.5.1.4.1.1.4.2 MR Spectroscopy Storage Transfer 1.2.840.10008.5.1.4.1.1.6.1 Ultrasound Image Storage Transfer 1.2.840.10008.5.1.4.1.1.6 Ultrasound Image Storage (Retired) Transfer 1.2.840.10008.5.1.4.1.1.7 Secondary Capture Image Storage Transfer 1.2.840.10008.5.1.4.1.1.7.1 Multi-frame Single Bit Secondary Capture Image Storage Transfer 1.2.840.10008.5.1.4.1.1.7.2 Multi-frame Grayscale Byte Secondary Capture Image Storage Transfer 1.2.840.10008.5.1.4.1.1.7.3 Multi-frame Grayscale Word Secondary Capture Image Storage Transfer 1.2.840.10008.5.1.4.1.1.7.4 Multi-frame True Color Secondary Capture Image Storage Transfer 1.2.840.10008.5.1.4.1.1.128 Positron Emission Tomography Image Storage Transfer 1.2.840.10008.5.1.4.1.1.12.1 X-Ray Angiographic Image Storage Transfer 1.3.46.670589.2.5.1.1 Private 3D Presentation State Storage Transfer 1.2.840.10008.5.1.4.1.1.88.33 Comprehensive SR Storage Transfer 1.2.840.10008.5.1.4.1.2.2.1 Study Root Query/Retrieve Information Model – FIND Query/Retrieve 1.2.840.10008.5.1.4.1.2.2. 2 Study Root Query/Retrieve Information Model – MOVE Query/Retrieve 1.2.840.10008.5.1.4.31 Modality Worklist Information Model – FIND Workflow Management 1.2.840.10008.5.1.4.31 Modality Worklist Information Model – FIND Workflow Management Table 1.3 specifies the Media Storage Application Profiles supported. E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 5
Table 1.3 MEDIA SERVICES Media Storage Application Profile Write Files (FSC or FSU) Read Files (FSR) STD-US -SC -SF&MF -CDR Yes / Yes Yes(1) STD-US -SC -SF&MF -DVD Yes / Yes Yes(1) STD-GEN -USB- JPEG Yes / Yes Yes(1) (1) Structured Reports cannot be imported. E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 6
2 TABLE OF CONTENTS 1 CONFORMANCE STATEMENT OVERVIEW .......................................................................................... 3 2 TABLE OF CONTENTS ........................................................................................................................... 7 3 INTRODUCTION .................................................................................................................................... 11 3.1 AUDIENCE ............................................................................................................................. 11 3.2 REMARKS .............................................................................................................................. 11 3.3 DEFINITIONS, TERMS AND ABBREVIATIONS ................................................................... 11 3.4 REFERENCES ....................................................................................................................... 12 4 NETWORKING ....................................................................................................................................... 14 4.1 IMPLEMENTATION MODEL.................................................................................................. 14 4.1.1 Application Data Flow ................................................................................................... 14 4.1.2 Functional Definition of AEs ......................................................................................... 16 4.1.2.1 Functional Definition of Storage Application Entity ............................................. 16 4.1.2.2 Functional Definition of Workflow Application Entity .......................................... 17 4.1.2.3 Functional Definition of Hardcopy Application Entity .......................................... 17 4.1.3 Sequencing of Real-World Act ivities ............................................................................ 18 4.2 AE SPECIFICATIONS ............................................................................................................ 21 4.2.1 Storage Application Entity Specification ....................................................................... 21 4.2.1.1 SOP Classes ...................................................................................................... 21 4.2.1.2 Association Establishment Policy ....................................................................... 22 4.2.1.2.1 General ..................................................................................... 22 4.2.1.2.2 Number of Associations ............................................................ 22 4.2.1.2.3 Asynchronous Nature ............................................................... 22 4.2.1.2.4 Implementation Identifying Information..................................... 22 4.2.1.3 Association Initiation Policy ................................................................................ 23 4.2.1.3.1 Activity – Store Images and Structured Reports ...................... 23 4.2.1.3.1.1 Description and Sequencing of Activities ...................................... 23 4.2.1.3.1.2 Proposed Presentation Contexts ................................................... 25 4.2.1.3.1.3 SOP Specific Conformance ........................................................... 27 4.2.1.3.1.3.1 Image and Comprehensive Structured Report Storage SOP Classes 27 4.2.1.3.1.3.2 SOP Specific Conformance for Storage Commitment Push Model SOP Class ...................................................................................... 27 4.2.1.3.2 Activity – Query and Request Retrieval of Studies ................... 29 4.2.1.3.2.1 Description and Sequenci ng of Activities ...................................... 29 4.2.1.3.2.2 Proposed Presentation Contexts ................................................... 30 4.2.1.3.2.3 SOP Specific Conformance for SOP Classes ............................... 30 4.2.1.3.2.3.1 Study Root Query Retrieve – FIND SOP Class ................ 30 4.2.1.3.2.3.2 Study Root Query Retrieve – MOVE SOP Class ............. 31 4.2.1.4 Association Acceptance Policy ........................................................................... 31 4.2.1.4.1 Activity – Receive Storage Commitment Response ................. 31 4.2.1.4.1.1 Description and Sequencing of Activities ...................................... 31 4.2.1.4.1.2 Accepted Presentation Contexts ................................................... 31 4.2.1.4.1.3 SOP Specific Conformance for Storage Commitment Push Model SOP Class 32 4.2.1.4.1.3.1 Storage Commitment Notifications (N -EVENT -REPORT) 32 4.2.1.4.1.3.2 Storage Commitment Attributes (N -EVENT -REPORT) .... 32 4.2.1.4.2 Activity – Storage from a Remote Storage SCU ...................... 33 4.2.1.4.2.1 Description and Sequencing of Activities ...................................... 33 4.2.1.4.2.2 Accepted Presentation Contexts ................................................... 34 4.2.2 Workflow Application Entity Specification ..................................................................... 36 E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 7
4.2.2.1 SOP Classes ...................................................................................................... 36 4.2.2.2 Association Establishment Policy ....................................................................... 36 4.2.2.2.1 General ..................................................................................... 36 4.2.2.2.2 Number of Associations ............................................................ 36 4.2.2.2.3 Asynchronous Nature ............................................................... 36 4.2.2.2.4 Implementation Identifying Information..................................... 36 4.2.2.3 Association Initiation Policy ................................................................................ 37 4.2.2.3.1 Activity – W orklist Update ......................................................... 37 4.2.2.3.1.1 Description and Sequencing of Activities ...................................... 37 4.2.2.3.1.1.1 Worklist Update using Broad Query ................................. 37 4.2.2.3.1.1.2 Worklist Update using Patient Query ................................ 38 4.2.2.3.1.2 Proposed Presentation Contexts ................................................... 38 4.2.2.3.1.3 SOP Specific Conformance for Modality Worklist ......................... 38 4.2.2.3.2 Activity –Acquire Images .......................................................... 41 4.2.2.3.2.1 Description and Sequencing of Activities ...................................... 41 4.2.2.3.2.2 Proposed Presentation Contexts ................................................... 43 4.2.2.3.2.3 SOP Specific Conformance for MPPS .......................................... 43 4.2.2.4 Association Acceptance Policy ........................................................................... 46 4.2.3 Hardcopy Application Entity Specification .................................................................... 46 4.2.3.1 SOP Classes ...................................................................................................... 46 4.2.3.2 Association Establishment Policy ....................................................................... 46 4.2.3.2.1 General ..................................................................................... 46 4.2.3.2.2 Number of Associations ............................................................ 46 4.2.3.2.3 Asynchronous Nature ............................................................... 47 4.2.3.2.4 Implementation Identifying Information..................................... 47 4.2.3.3 Association Initiation Policy ................................................................................ 47 4.2.3.3.1 Activity – Film Images ............................................................... 47 4.2.3.3.1.1 Description and Sequencing of Activities ...................................... 47 4.2.3.3.1.2 Proposed Presentation Contexts ................................................... 48 4.2.3.3.1.3 SOP Specific Conformance for all Print SOP Classes .................. 49 4.2.3.3.1.3.1 Printer SOP Class Operations (N -GET) ........................... 49 4.2.3.3.1.3.2 Printer SOP Class Notifications (N -EVENT -REPORT) .... 50 4.2.3.3.1.3.3 SOP Specific Conformance for the Film Session SOP Class 50 4.2.3.3.1.3.4 Film Session SOP Class Operations (N -CREATE) .......... 50 4.2.3.3.1.4 SOP Specific Conformance for the Film Box SOP Class .............. 51 4.2.3.3.1.4.1 Film Box SOP Class Operations (N -CREATE) ................. 51 4.2.3.3.1.4.2 Film Box SOP Class Operations (N -ACTION) .................. 53 4.2.3.3.1.5 SOP Specific Conformance for the Image Box SOP Class ........... 53 4.2.3.3.1.5.1 Image Box SOP Class Operations (N -SET) ..................... 53 4.2.3.4 Association Acceptance Policy ........................................................................... 54 4.2.4 Verification Application Entity specification .................................................................. 54 4.2.4.1 SOP Class .......................................................................................................... 54 4.2.4.2 Association Establishment Policy ....................................................................... 54 4.2.4.2.1 General ..................................................................................... 54 4.2.4.2.2 Number of Associations ............................................................ 55 4.2.4.2.3 Asynchronous Nature ............................................................... 55 4.2.4.2.4 Implementation Identifying Information..................................... 55 4.2.4.3 Association Initiation Policy ................................................................................ 56 4.2.4.3.1 Activity – Verify Remote SCP ................................................... 56 4.2.4.3.1.1 Description and Sequencing of Activities ...................................... 56 4.2.4.3.1.2 Proposed Presentation Contexts ................................................... 56 4.2.4.3.1.3 SOP Specific Conformance for Verification ................................... 57 4.2.4.4 Association Acceptance Policy ........................................................................... 58 4.2.4.4.1 Activity – Verification By Remote AE ........................................ 58 4.2.4.4.1.1 Description and Sequencing of Activities ...................................... 58 E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 8
4.2.4.4.1.2 Accepted Presentation Contexts ................................................... 59 4.2.4.4.1.3 SOP Specific Conformance for Verification ................................... 59 4.3 NETWORK INTERFACES ..................................................................................................... 59 4.3.1 Physical Network Interface ........................................................................................... 59 4.3.2 Additional Protocols ...................................................................................................... 60 4.3.3 IPv4 and IPv6 Support .................................................................................................. 60 4.4 CONFIGURATION ................................................................................................................. 60 4.4.1 AE Title/Presentation Address Mapping ....................................................................... 60 4.4.1.1 Local AE Title ...................................................................................................... 60 4.4.1.2 Remote AE Title/Presentation Address Mapping ............................................... 61 4.4.1.2.1 Image Storage Configuration .................................................... 61 4.4.1.2.2 Structured Report Storage Configuration ................................. 62 4.4.1.2.3 Advanced DICOM Device Association Configuration ............... 62 4.4.1.2.4 Serial Structured Report Storage Configuration ....................... 63 4.4.1.2.5 Workflow Configuration ............................................................ 63 4.4.1.2.6 Hardcopy .................................................................................. 63 4.4.2 Parameters ................................................................................................................... 63 5 MEDIA STORAGE .................................................................................................................................. 64 5.1 IMPLEMENTATION MODEL.................................................................................................. 64 5.1.1 Application Data Flow ................................................................................................... 64 5.1.2 Functional Definition of AEs ......................................................................................... 65 5.1.2.1 Functional Definition of Media Application Entity ............................................... 65 5.1.3 Sequencing of Real-World Activities ............................................................................ 65 5.1.4 File Meta Information Options ...................................................................................... 65 5.2 AE SPECIFICATIONS ............................................................................................................ 65 5.2.1 Media Application Entity Specification .......................................................................... 65 5.2.1.1 File Meta Information for the Application Entity .................................................. 65 5.2.1.2 Real-World Activities ........................................................................................... 66 5.2.1.2.1 Activity – Export to Media ......................................................... 66 5.2.1.2.2 Activity – Import from Media ..................................................... 66 5.2.1.2.3 Activity – Update to Media ........................................................ 66 5.2.1.2.3.1 Media Storage Application Profiles ................................................ 66 5.2.1.2.3.2 Options .......................................................................................... 66 6 TRANSFORMATION OF DICOM TO CDA ............................................................................................ 68 7 SUPPORT OF CHARACTER SETS ...................................................................................................... 68 8 SECURITY .............................................................................................................................................. 68 8.1 GENERAL SECURITY ........................................................................................................... 68 8.2 SUPPORTED DICOM SECURITY PROFILES ...................................................................... 68 8.2.1 TLS Secure Transport Connection Profiles .................................................................. 68 9 ANNEXES ............................................................................................................................................... 70 9.1 IOD CONTENTS .................................................................................................................... 70 9.1.1 Created SOP Instances ................................................................................................ 70 9.1.1.1 US or US Multiframe Image IOD ........................................................................ 70 9.1.1.2 Secondary Capture IOD ..................................................................................... 71 9.1.1.3 Multi-Frame True Color Secondary Capture IOD ............................................... 71 9.1.1.4 Comprehensive Structured Report IOD .............................................................. 72 9.1.1.5 Attribute Content by Module ............................................................................... 72 9.1.1.5.1 Common Modules ..................................................................... 72 9.1.1.5.2 US or Multiframe Image Modules ............................................. 76 9.1.1.5.3 Secondary Capture Image Modules ......................................... 82 9.1.1.5.4 Comprehensive Structured Report Modules ............................ 84 9.1.2 Usage of Attributes from Received IOD’s ..................................................................... 87 9.1.3 Attribute Mapping ......................................................................................................... 87 E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 9
9.1.4 Coerced/Modified Fields ............................................................................................... 88 9.1.5 Attribute Anonymization ................................................................................................ 89 9.2 DATA DICTIONARY OF PRIVATE ATTRIBUTES ................................................................ 90 9.3 CODED TERMINOLOGY AND TEMPLATES ........................................................................ 90 9.4 GRAYSCALE IMAGE CONSISTENCY .................................................................................. 91 9.5 STANDARD EXTENDED/SPECIALIZED/PRIVATE SO P CLASSES ................................... 91 9.5.1 Ultrasound Image and Multi -frame Image SOP Classes ............................................. 91 9.5.2 3D Presentation State Private SOP Class ................................................................... 92 9.6 PRIVATE TRANSFER SYNTAXES ....................................................................................... 92 A.1 STRUCTURED REPORTS .................................................................................................... 93 A.1.1 Introduction ................................................................................................................... 93 A.1.1.1 Measurements Linked to Images ....................................................................... 93 A.1.2 Clinical Scope ............................................................................................................... 94 A.2 APPLICATIONS THAT EXPORT STRUCTURED REPO RTS FROM EPIQ AND AFFINITI . 94 A.3 DICOM STRUCTURED REP ORT EXPORT SPECIFICATIONS .......................................... 94 A.3.1 Philips Healthcare Ultrasound Data Portal Website ..................................................... 94 A.4 PRIVATE TEMPLATE EXTENSIONS .................................................................................... 95 A.4.1 TID5001: OB-GYN Patient Characteristics .................................................................. 95 A.4.2 TID5008: Fetal Biometry Group ................................................................................... 95 A.4.3 TID5101: Vascular Patient Characteristics ................................................................... 96 A.4.4 TID5202: Echocardiography Patient Characteristics ................................................... 97 A.5 USER-DEFINED MEASUREMENTS AND CALCULATIONS ............................................... 98 A.5.1 Description .................................................................................................................... 98 A.5.1.1 Philips Generic DICOM Export Format ............................................................... 98 A.5.1.2 DICOM Template Compatible Export Format ..................................................... 98 A.5.1.3 Private Template and Template Extensions ....................................................... 99 A.5.1.3.1 TID5000: OB-GYN Ultrasound Procedure Report .................... 99 A.5.1.3.2 TID5100: Vascular Ultrasound Report ...................................... 99 A.5.1.3.3 TID5200: Echocardiography Procedure Report ....................... 99 A.5.1.3.4 TID995300: Pediatric Echocardiography Procedure Report .... 99 A.5.1.3.5 TID9900: User -defined concepts .............................................. 99 A.5.1.3.6 TID9901: User-defined concept ................................................ 99 A.5.1.3.7 TID9902: Fetal Heart Section ................................................. 100 A.5.1.3.8 TID 5009: Fetal Biophysical Profile Section ........................... 100 A.5.1.3.9 TID 5016: Pelvis and Uterus Section ...................................... 101 B.1 BULK PRIVATE ATTRIBU TES ............................................................................................ 102 E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 10
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