GFA Ealth ARE DICOM Conformance Statement: "Workstation NX 2.0"

HE/001132 Page 1 of 92
Document No.001132, Revision 2.0

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AGFA HEALTHCARE
DICOM Conformance Statement
"Workstation NX 2.0"
Status : Released
Revision 2.0
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HE/001132 Page 2 of 92
Document No. 001132, Revision 2.0
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Conformance Statement Overview

"Workstation", implements the necessary DICOM services to facilitate receiving of unprocessed CR images
from an AGFA Digitizer, performing image processing and sending the processed images to a remote
storage or print device over a Medical Imaging Systems network. "Workstation" may also acquire patient
information from a Radiology Information System (RIS) for use in identifying processed images.
The table below provides an overview of the network services supported by "Workstation"
Table 1.1-1: Network Services Supported
SOP Classes User of Service (SCU) Provider of Service (SCP)

Transfer
Computed Radiography Image Storage Option No
Digital X-Ray Image Storage – For Presentation Option No
Digital X-Ray Image Storage – For Processing Option No
Grayscale Softcopy Presentation State Storage SOP Class Option No
Digital Mammography Image Storage – For Presentation Option No
Digital Mammography Image Storage – For Processing Option No
Workflow Management
Storage Commitment Push Model SOP Class Option No
Modality Performed Procedure Step SOP Class Option No
Modality Worklist Information Model – FIND Option No
Print Management
Basic Grayscale Print Management Meta SOP Class Option No
Basic Film Session SOP Class Option No
Basic Film Box SOP Class Option No
Basic Grayscale Image Box SOP Class Option No
Printer SOP Class Option No
Print Job SOP Class Option No
Presentation LUT SOP Class Option No
"Workstation" does support Media Services.
Table 1.1-2: Media Services Supported
Media Storage Application Profile Write Files (FSC or FSU) Read Files (FSR)
Compact Disk - Recordable
General Purpose CD-R Yes No

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Table of Contents
1 Introduction ............................................................................................7
1.1 Revision Record ................................................................................................... 7
1.2 Purpose and Intended Audience of this Document ................................................ 7
1.3 General Remarks ................................................................................................. 7
1.3.1 Integration and Validation Activities.................................................................. 7
1.3.2 Future Evolution .............................................................................................. 7
1.4 Acronyms and Abbreviations ................................................................................ 8
1.5 Related Documents .............................................................................................. 8
2 Networking .............................................................................................9
2.1 Implementation Model .......................................................................................... 9
2.1.1 Application Data Flow Diagram........................................................................ 9
2.1.2 Functional Definitions of AE’s .......................................................................... 9
2.1.2.1 Functional Definition of DICOM Store Application Entity.............................. 9
2.1.2.2 Functional Definition of DICOM Print Application Entity ..............................10
2.1.2.3 Functional Definition of RIS Application Entity............................................10
2.1.2.3.1 DICOM Modality Worklist ......................................................................10
2.1.2.3.2 DICOM Modality Worklist query on Accession Number .........................10
2.1.2.4 Functional Definition of MPPS Application Entity........................................10
2.1.3 Sequencing of Real World Activities................................................................11
2.2 AE Specifications.................................................................................................12
2.2.1 DICOM Store Application Entity Specification .................................................12
2.2.1.1 SOP Classes Supported ............................................................................12
2.2.1.2 Association Establishment Policies ............................................................12
2.2.1.2.1 General ................................................................................................12
2.2.1.2.2 Number of Associations ........................................................................12
2.2.1.2.3 Asynchronous Nature ...........................................................................13
2.2.1.2.4 Implementation Identifying Information..................................................13
2.2.1.3 Association Initiation Policies .....................................................................13
2.2.1.3.1 Activity – Send Images .........................................................................13
2.2.1.3.1.1 Description and Sequencing of Activity 13
2.2.1.3.1.2 Proposed Presentation Contexts 15
2.2.1.3.1.3 SOP Specific Conformance 17
2.2.1.4 Association Acceptance Policies................................................................30
2.2.1.4.1 Receive Storage Commitment Response..............................................30
2.2.1.4.1.2 Accepted Presentation Contexts 30
2.2.1.4.1.3 SOP Specific Conformance – Storage Commitment SOP Class
(1.2.840.10008.1.20.1) 31
2.2.1.4.1.4 SOP Specific Conformance – Verification SOP Class
(1.2.840.10008.1.1) 32
2.2.2 DICOM Print Application Entity Specification...................................................33
2.2.2.2.1 General ................................................................................................33

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2.2.2.3.1 Activity – Print Images ..........................................................................34

2.2.2.3.1.3 SOP Specific Conformance - Basic Grayscale Print Management
Meta SOP Class 36
2.2.2.3.1.4 SOP Specific Conformance Print Job SOP Class
(1.2.840.10008.5.1.1.14) 41
2.2.2.3.1.5 SOP Specific Conformance Presentation LUT SOP Class
(1.2.840.10008.5.1.1.23) 43
2.2.2.3.1.6 SOP Specific Conformance Verification SOP Class
(1.2.840.10008.1.1) 44
2.2.3 RIS Application Entity Specification.................................................................45
2.2.3.2.1 General ................................................................................................45
2.2.3.3.1 Activity – Query RIS..............................................................................46
2.2.3.3.1.3 SOP Specific Conformance – Modality Worklist SOP Class
(1.2.840.10008.5.1.4.31) 46
2.2.3.4 User defined fields.....................................................................................50
2.2.4 MPPS Application Entity Specification ............................................................51
2.2.4.2.1 General ................................................................................................51
2.2.4.3.1 Activity – Acquire Images, Print Images, ...............................................52
2.2.4.3.1.3 SOP Specific Conformance – MPPS (1.2.840.10008.3.1.2.3.3) 53
2.3 Network Interfaces...............................................................................................58
2.3.1 Physical Medium Support ...............................................................................58
2.3.2 Additional Protocols........................................................................................58
2.4 Configuration.......................................................................................................59
2.4.1 AE Title/ Presentation Address Mapping .........................................................59
2.4.1.1 Local AE Titles ..........................................................................................59
2.4.1.2 Remote AE Title/ Presentation Address Mapping .......................................59
2.4.1.2.1 Storage.................................................................................................59
2.4.1.2.1.1 Archive options 59
2.4.1.2.2 RIS.......................................................................................................61
2.4.1.2.2.1 Configuration of a RIS 61
2.4.1.2.2.2 Configuration of RIS Mapping 62
2.4.1.2.3 MPPS...................................................................................................63
2.4.1.2.4 Printing.................................................................................................63
2.4.1.3 Queue Management & Job description ......................................................63
2.4.1.4 DICOM Store AE .......................................................................................63
2.4.1.4.1 Queue description.................................................................................63

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2.4.1.4.2 Job description .....................................................................................64

2.4.1.5 DICOM Print AE ........................................................................................64
2.4.2 Parameters.....................................................................................................64
3 Media Interchange................................................................................67
3.1 Implementation Model .........................................................................................67
3.1.2 Functional Definition of AEs............................................................................67
3.1.3 Sequencing of Real World Activities................................................................67
3.1.4 File Meta Information for Implementation Class and Version ...........................67
3.2 AE Specifications.................................................................................................68
3.2.1 Offline-Media Application Entity Specification..................................................68
3.2.1.1 Real World Activities..................................................................................68
3.2.1.1.1 Real World Activity - Export to CD-R.....................................................68
3.2.1.1.1.1 Media Storage Application Profile 69
3.3 Media Configuration ............................................................................................70
4 Support for Extended Character Sets...................................................71
5 Security ................................................................................................72
5.1 Security Profiles ..................................................................................................72
5.2 Association Level Security ...................................................................................72
5.3 Application Level Security....................................................................................72
6 Annexes ...............................................................................................73
6.1 IOD Contents.......................................................................................................73
6.1.1 Created SOP Instances ..................................................................................73
6.1.1.1 Common Modules .....................................................................................73
6.1.1.2 CR.............................................................................................................79
6.1.1.2.1 CR Image IOD......................................................................................79
6.1.1.2.2 CR Modules..........................................................................................80
6.1.1.3 DX.............................................................................................................81
6.1.1.3.1 DX Image IOD ......................................................................................81
6.1.1.3.2 DX Modules..........................................................................................81
6.1.1.4 MG ............................................................................................................86
6.1.1.4.1 MG Image IOD .....................................................................................86
6.1.1.4.2 MG Modules .........................................................................................87
6.1.1.5 GSPS........................................................................................................87
6.1.1.5.1 GSPS IOD............................................................................................87
6.1.1.5.2 GSPS Modules.....................................................................................88
6.2 Attribute Mapping ................................................................................................90
6.3 Grayscale Image Consistency .............................................................................92

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1 INTRODUCTION
1.1 Revision Record

Revision
Date Reason for Change
Number
1.0 20/12/2006 Initial version NX2.0
2.0 21/03/2007 Updated for NX2.0.xxx
1.2 Purpose and Intended Audience of this Document

This document is a DICOM Conformance Statement for the DICOM Services of the "Workstation" product. It
is written according to part PS 3.2 of Digital Imaging and Communications in Medicine (DICOM) 3.0, NEMA
PS 3.1-3.16, 2004.
The user of this document is involved with system integration and/or software design. We assume that the
reader is familiar with the terminology and concepts that are used in the DICOM 3.0 standard and the IHE
Technical Framework.
Readers not familiar with DICOM 3.0 terminology should first read the appropriate parts of the DICOM
standard itself, prior to reading this conformance statement.
Although the use of this conformance statement in conjunction with the DICOM 3.0 standard is intended to
facilitate communication with Agfa ADC imaging equipment, it is not sufficient to guarantee, by itself, the
inter-operation of the connection.
1.3 General Remarks
1.3.1 Integration and Validation Activities

The integration of any device into a system of interconnected devices goes beyond the scope of the DICOM
3.0 standard and this conformance statement when interoperability is desired. The responsibility for
analyzing the applications requirements and developing a solution that integrates the Agfa equipment with
other vendors’ systems is the user’s responsibility and should not be underestimated.
In some circumstances it might be necessary to perform a validation to make sure that functional
interoperability between the Agfa equipment and non-Agfa devices works as expected. The user should
ensure that any non-Agfa provider accepts responsibility for any validation required for their connection with
the Agfa equipment.
1.3.2 Future Evolution

As the DICOM 3.0 standard evolves to meet the user’s growing requirements and to incorporate new
features and technologies, Agfa will follow the evolution of the standard. This evolution of the standard may
require changes to devices that have implemented DICOM 3.0. The user should ensure that any non-Agfa
provider, who connects with Agfa devices, also plans for future evolution of the DICOM standard. A refusal to
do so may result in the loss of functionality and/or connectivity between the different products.

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1.4 Acronyms and Abbreviations

Definitions, terms and abbreviations used in this document are defined within the different parts of the
DICOM standard. Abbreviations and terms are as follows:
Ø AE DICOM Application Entity
Ø AET Application Entity Title
Ø ACSE Association Control Service Element
Ø CD-R Compact Disk Recordable
Ø DICOM Digital Imaging and Communications in Medicine
Ø FSC File-Set Creator
Ø FSU File-Set Updater
Ø FSR File-Set Reader
Ø GSDF Grayscale Standard Display Function
Ø GSPS Grayscale Softcopy Presentation State
Ø IE Information Entity
Ø IOD (DICOM) Information Object Definition
Ø ISO International Standard Organization
Ø LUT Lookup Table
Ø MPPS Modality Performed Procedure Step
Ø MSPS Modality Scheduled Procedure Step
Ø PDU DICOM Protocol Data Unit
Ø SCU DICOM Service Class User (DICOM client)
Ø SCP DICOM Service Class Provider (DICOM server)
Ø SOP DICOM Service-Object Pair
Ø UID Unique Identifier
Ø VR Value Representation
1.5 Related Documents

Ø ACR-NEMA Digital Imaging and Communications in Medicine (DICOM) V3.0. 2004.
Ø IHE Radiology Technical Framework Revision 6 – Final Text, May 2005

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2 NETWORKING
2.1 Implementation Model
2.1.1 Application Data Flow Diagram
local remote
Remote
Request to send DICOM Store Application Entity
images & GSPS Application Entity Receives Images
& GSPS
Remote
Request to Print DICOM Print Application Entity
film sheets Application Entity Prints Film
Sheets
Query RIS Remote

RIS Application Entity
Application Entity Provides Worklist
Items
Query RIS by
AccessionNumber
Archive Images
Remote
MPPS Application Entity
Application Entity Receives MPPS
Print Images Create / Update
Acquire Images
DICOM Standard
Interface
Figure 2.1-1: Functional Overview – Application Data Flow
2.1.2 Functional Definitions of AE’s
2.1.2.1 Functional Definition of DICOM Store Application Entity

The DICOM Store Application Entity sends images and Presentation States to a remote AE (This can be a
configured Archiving station, a diagnostic workstation …). It is associated with the local real-world activity
“Send Images & GSPS”. If Storage Commitment is configured for the archive destination, the DICOM Store
AE will request Storage Commitment and a job will only be marked as successful when the commitment is

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successfully obtained. An image that has been successfully sent to an archive cannot be sent to that archive
again.
2.1.2.2 Functional Definition of DICOM Print Application Entity

The DICOM Print Application Entity prints images on a remote AE (A configured Printer). It is associated with
the local real-world activity “Request to print film sheets”. A job will only be marked as “successful” when the
sheet is successfully printed.
2.1.2.3 Functional Definition of RIS Application Entity

The RIS Application Entity receives Worklist information from a remote AE. It is associated with the local
real-world activity “Query RIS”. This can be triggered manually by clicking the “Query RIS” button or triggered
automatically at a specified interval. When properly configured, the RIS can also be queried by Accession
Number.
The RIS query can be configured in different ways (for the possible configurations, see § 2.4.1.2.2.1). The
two that are relevant for DICOM are described in the following paragraphs:
2.1.2.3.1 DICOM Modality Worklist

The use of DICOM Modality Worklist (DMWL) queries the RIS by means of query keys. The query keys can
be changed by the user in the configuration tool (see § 2.4.1.2.2.1). Based on these keys, the worklist will be
populated during the next RIS query.
2.1.2.3.2 DICOM Modality Worklist query on Accession Number

By querying by Accession Number, only the worklist items that contain the specified Accession Number are
returned. These results are parsed, mapped and shown as a Worklist.
2.1.2.4 Functional Definition of MPPS Application Entity

The MPPS Application Entity sends MPPS information to a remote AE when MPPS reporting is configured.
The local real-world activities “Acquire Images”, “Archive Images” and “Print Images” can trigger the creation
of an MPPS instance. This can also be done by adding a new SOP Instance UID to a MPPS, by adding a
Dose to a MPPS or by adding a Print Sheet to a MPPS. The local real-world activity “Close Session” or the
modification of the session’s Accession Number will complete the MPPS. This happens completely
automatically and no user intervention is possible.

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2.1.3 Sequencing of Real World Activities
Store Print MPPS RIS RIS MPPS Printer PACS
1. Query RIS (by

AccessionNumber)
2. Receive Worklist
3. Select Workitem (SPS)
4. Create MPPS
(when first image acquired)
5. Acquire Images
6. Print Acquired Images
7. Store Acquired Images

8. Commit Acquired Images
9. Complete MPPS
Figure 2.1-2: sequencing constraints
Under normal scheduled workflow conditions the sequencing constraints illustrated in Figure 2.1-2 apply:
1. Query RIS
2. Receive Worklist
3. Select Workitem
4. Create MPPS
5. Acquire Images
6. Print Acquired Images
7. Store Acquired Images (+ GSPS)
8. Commit Acquired Images
9. Finalize MPPS

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2.2 AE Specifications
2.2.1 DICOM Store Application Entity Specification
2.2.1.1 SOP Classes Supported

This Application Entity provides Standard Conformance to the following SOP Class(es):
Table 2.2-1: SOP Class(es) for the DICOM Store Application Entity
SOP Class Name SOP Class UID SCU SCP

Computed Radiography Image Storage 1.2.840.10008.5.1.4.1.1.1 Yes No
Digital X-ray Image Storage – for presentation 1.2.840.10008.5.1.4.1.1.1.1 Yes No
Digital X-ray Image Storage – for processing 1.2.840.10008.5.1.4.1.1.1.1.1 Yes No
Digital Mammography Image Storage – For 1.2.840.10008.5.1.4.1.1.1.2 Yes No
Presentation
Digital Mammography Image Storage – For 1.2.840.10008.5.1.4.1.1.1.2.1 Yes No
Processing
Grayscale Softcopy Presentation State 1.2.840.10008.5.1.4.1.1.11.1 Yes No
Storage SOP Class
Storage Commitment Push Model SOP Class 1.2.840.10008.1.20.1 Yes No
2.2.1.2 Association Establishment Policies
2.2.1.2.1 General
The DICOM standard Application context is always proposed:
Table 2.2-2: DICOM Application Context
Application Context Name 1.2.840.10008.3.1.1.1
2.2.1.2.2 Number of Associations

"Workstation" initiates one association at a time for each destination to which a transfer request is being
processed in the active job queue list. Only one job per destination will be active at a time, the other remains
pending until the active job for that destination is completed or failed. There can however be several
simultaneous associations to different destinations.
Table 2.2-3: Number of Associations as an Association Initiator for DICOM Store AE
1 per destination
Maximum number of simultaneous associations initiated
(32 max)
Table 2.2-4: Number of Associations as an Association Acceptor for DICOM Store AE
1 for storage
Maximum number of simultaneous associations accepted
commit response

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2.2.1.2.3 Asynchronous Nature

Table 2.2-5: Asynchronous Nature as an Association Initiator for DICOM Store AE
Maximum number of outstanding asynchronous transactions 1
The DICOM Store AE allows a single outstanding operation on any association. Therefore, it does not
support asynchronous operations window negotiation, other than the default as specified by the DICOM
specification.
2.2.1.2.4 Implementation Identifying Information

Table 2.2-6: DICOM implementation Class and Version for DICOM Store AE
Implementation Class UID 1.3.51.0.1.3

1
Implementation Version Name AGFA DTF1.0.XX
2.2.1.3 Association Initiation Policies
2.2.1.3.1 Activity – Send Images
2.2.1.3.1.1 Description and Sequencing of Activity

A user can select an image and request it to be sent to a destination The request is forwarded to the job
queue and then processed. An image can also be sent automatically when closing an exam.
Note:
An image can only be sent to an archiving destination if it hasn’t been archived there yet.
The DICOM Store AE is then invoked by the queue that is responsible for processing network archival tasks
for a specific destination. The DICOM Store AE will attempt to initiate a new Association in order to issue a
C-STORE request. If the job contains multiple images, then multiple C-STORE requests will be issued over
the same Association. The association will be closed when the last image (or GSPS) is sent.
If the association cannot be opened, the job is set to a retry state. If after a configurable number of retries the
job still fails, it is set to an error state (“Failed”). It can then be restarted by the user through the job control
interface. If three successive jobs to a same destination fail, the queue for that destination will be stalled. It
will retry to process the job three (3) more times. If this fails, the queue for that destination will be stalled for a
longer time, meaning that it will only retry jobs to that destination every five (5) minutes.
When the association was rejected by the device due to a configuration issue, the queue for that device will
be stalled when three (3) successive jobs experience a device failure.
If the Remote AE is configured to support Storage Commit, the DICOM Store AE will send a Storage Commit
request (N-ACTION) over a new association and will then wait for an N-EVENT-REPORT. If the N-EVENT-
REPORT does not arrive within the waiting period, the AE closes the association and assumes that a
separate association will be set up for the N-EVENT-REPORT. If this report does not arrive within a
(configurable) amount of time, the job will be marked as FAILED.
1
XX is the build version number.

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"Workstation" does not foresee additional logic when the system is shut down, regarding storage
commitment time outs. In other words: when a storage commit reply does not reach "Workstation"
successfully, because "Workstation" was/is down at that point in time, the job will time out and go to FAILED.
A Possible sequence of iterations between the DICOM Store AE and an Image Manager is illustrated in
figure 2.2-1
Store PACS
1. Open Association
2. C-STORE (CR Image)
3. C-STORE (GSPS)
4. C-STORE (CR Image)
5. C-STORE (GSPS)
6. Close Association
7. Open Association
6. N-ACTION (Storage Commit Rq)
7. N-EVENT-REPORT (Storage Commit Resp)
Figure 2.2-1: Example of a Storage AE Sequencing Diagram (with Storage Commit)
The DICOM Store AE may reject the association attempts as shown in the table below:

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Table 2.2-7: Association Reject Reasons
Result Response Reason/Diag

The Dicom library refuses the association SCU Device not known
The Dicom library refuses the association Maximum number of association

processing threads exceeded
The Dicom library refuses the association A799 Dicom Library is not allowed to accept
C-STORE commands from this device
and therefore refuses the association.
The Dicom library refuses the association A0102 SOP Class is not found back in the
configuration
The Dicom library refuses the association A702 The Dicom library is unable to create the
Dicom media file due to the fact that the
disk is full
The Dicom library refuses the association A703 The Dicom library is unable to create the
Dicom media file due to resource
problems other than ‘disk is full’.
The Dicom library refuses the association A703 The Dicom library is unable to acquire
the complete C-STORE request due to
network problems.
The Dicom library refuses the association A701 The Dicom library is unable to acquire
the complete C-STORE request due to
network problems (time-out while
reading data from socket) 2.
2.2.1.3.1.2 Proposed Presentation Contexts

The DICOM Store AE is capable of proposing the Presentation Contexts shown in the following table:
2
The time-out value is hard-coded in the Dicom library as being 60 seconds.

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Table 2.2-8: Presentation Contexts Proposed by DICOM Store AE

Presentation Context Table
Abstract Syntax Transfer Syntax Role Extended
Name UID Name List UID List Negotiation
CR Image 1.2.840.1000 JPEG LLNH1 Encoded 1.2.840.10008.1.2.4.57 SCU None

Storage 8.5.1.4.1.1.1 (i.e. lossless)
JPEG LLNHF Encoded 1.2.840.10008.1.2.4.70
(i.e. lossless)
JPEG Lossy 8 bit 1.2.840.10008.1.2.4. 50
JPEG Lossy 12 bit 1.2.840.10008.1.2.4.51
Implicit VR Little Endian 1.2.840.10008.1.2
Explicit VR Little Endian 1.2.840.10008.1.2.1
Digital X-ray 1.2.840.1000 JPEG LLNH1 Encoded 1.2.840.10008.1.2.4.57 SCU None
Image Storage 8.5.1.4.1.1.1. (i.e. lossless)
– for 1 JPEG LLNHF Encoded 1.2.840.10008.1.2.4.70
presentation (i.e. lossless)
JPEG Lossy 8 bit 1.2.840.10008.1.2.4.50
JPEG Lossy 12 bit 1.2.840.10008.1.2.4.51
Implicit VR Little Endian 1.2.840.10008.1.2.1
Explicit VR Little Endian
Digital X-ray 1.2.840.1000 JPEG LLNH1 Encoded 1.2.840.10008.1.2.4.57 SCU None
Image Storage 8.5.1.4.1.1.1. (i.e. lossless)
– for processing 1.1 JPEG LLNHF Encoded 1.2.840.10008.1.2.4.70
(i.e. lossless)
JPEG Lossy 8 bit 1.2.840.10008.1.2.4.50
JPEG Lossy 12 bit 1.2.840.10008.1.2.4.51
Digital 1.2.840.1000 JPEG LLNH1 Encoded 1.2.840.10008.1.2.4.57 SCU None
Mammography 8.5.1.4.1.1.1. (i.e. lossless)
Image Storage 2 JPEG LLNHF Encoded 1.2.840.10008.1.2.4.70
– For (i.e. lossless)
Presentation
JPEG Lossy 8 bit 1.2.840.10008.1.2.4.50
JPEG Lossy 12 bit 1.2.840.10008.1.2.4.51
Digital 1.2.840.1000 JPEG LLNH1 Encoded 1.2.840.10008.1.2.4.57 SCU None
Mammography 8.5.1.4.1.1.1. (i.e. lossless)
Image Storage 2.1 JPEG LLNHF Encoded 1.2.840.10008.1.2.4.70
– For (i.e. lossless)
Processing
JPEG Lossy 8 bit 1.2.840.10008.1.2.4. 50
JPEG Lossy 12 bit 1.2.840.10008.1.2.4.511.2.
Implicit VR Little Endian 840.10008.1.2
Grayscale 1.2.840.1000 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Softcopy 8.5.1.4.1.1.11 Explicit VR Little Endian 1.2.840.10008.1.2.1
Presentation .1
State Storage
SOP Class

HE/001132 Page 17 of 92

Abstract Syntax Transfer Syntax Role Extended
Storage 1.2.840.1000 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None

Commitment 8.1.20.1
Push Model
SOP Class
Depending on the configuration of "Workstation", either the CR Image Storage, the Digital X-ray Image
Storage – for processing or the Digital X-ray Image Storage – for presentation, the Digital Mammography
Image Storage – For Presentation or the Digital Mammography Image Storage – For Processing will be
proposed.
The Grayscale Softcopy Presentation State Storage SOP Class and the Storage Commitment Push Model
SOP Class will only be proposed if configured
2.2.1.3.1.3 SOP Specific Conformance
2.2.1.3.1.3.1 Image & Presentation State Storage
2.2.1.3.1.3.1.1 Computed Radiography Image Storage SOP Class

(1.2.840.10008.5.1.4.1.1.1)
The Computed Radiography Image Storage SOP class is a Storage Standard SOP Class that uses the CR
IOD (§6.1.1.2.1).
2.2.1.3.1.3.1.2 Digital X-ray Image Storage – for presentation SOP Class

(1.2.840.10008.5.1.4.1.1.1.1)
The Digital X-Ray Image Storage - For Presentation SOP Class uses the DX IOD (§6.1.1.3.1) with an
Enumerated Value of FOR PRESENTATION for Presentation Intent Type (0008, 0068).
2.2.1.3.1.3.1.3 Digital X-ray Image Storage – for processing SOP Class

(1.2.840.10008.5.1.4.1.1.1.1)
The Digital X-Ray Image Storage - For Processing SOP Class uses the DX IOD (§6.1.1.3.1) with an
Enumerated Value of FOR PROCESSING for Presentation Intent Type (0008, 0068).
As a SCU of the Digital X-Ray Image Storage - For Processing SOP Class, it also supports the Digital X-Ray
Image Storage - For Presentation SOP Class.
2.2.1.3.1.3.1.4 Digital Mammography Image Storage – for presentation SOP

Class (1.2.840.10008.5.1.4.1.1.1.2)
The Digital Mammography Image Storage - For Presentation SOP Class uses the MG IOD (§6.1.1.4.1) with
an Enumerated Value of FOR PRESENTATION for Presentation Intent Type (0008, 0068).
2.2.1.3.1.3.1.5 Digital Mammography Image Storage – for processing SOP Class

(1.2.840.10008.5.1.4.1.1.1.2.1)
The Digital Mammography Image Storage - For Processing SOP Class uses the MG IOD (§6.1.1.4.1) with an
Enumerated Value of FOR PROCESSING for Presentation Intent Type (0008, 0068).

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2.2.1.3.1.3.1.6 Grayscale Softcopy Presentation State Storage SOP Class

(1.2.840.10008.5.1.4.1.1.11.1)
The Grayscale Softcopy Presentation State Storage SOP Class extends the functionality of the Storage
Service class to add the ability to convey an intended presentation state or record an existing presentation
state.
It includes capabilities for specifying:
· the output grayscale space in P-Values

· grayscale contrast transformations including modality and VOI LUT
· selection of the area of the image to display
· image and display relative annotations, including graphics, text and overlays
Note:
A GSPS always refers to exactly one (1) image. Since re-sending an image is prohibited in
"Workstation", an archived image can also have maximally one (1) GSPS that refers to it.
Depending on the configured SOP class to be used (CR (§ 2.2.1.3.1.3.1), DX for presentation (§2.2.1..3.2) or
MG for presentation (§ 2.2.1.3.1.3.4) annotations and shutters are stored in the GSPS or burned in the
image as described in the following table:
Table 2.2-9: Use of GSPS vs. Burning in the image
CR
DX for presentation DX for processing
MG for presentation
Image Processed pixels
(processing,W/L,collimation) + RAW pixels
LUTs
Annotations GSPS or Burned in
Shutters GSPS or
when GSPS is not used:
In case of CR the shutter is
burned into the Pixel data.
In case of DX and MG the Ignored
shutter is described in the
shutter module of the image
header.
Zoom GSPS or discarded
Markers Always burned in
The following paragraphs describe into detail how each annotation is embedded in the GSPS:
2.2.1.3.1.3.1.6.1 Text

HE/001132 Page 19 of 92
Graphic Layer Module

(0070,0060) Graphic Layer Sequence
(0070,0002) >Graphic Layer ID123
(0070,0068) >Graphic Layer Description Text
Graphic Annotation Module

(0070,0001) Graphic Annotation Sequence
(0070,0002) > Graphic Layer ID123
(0070,0008) > Text Object Sequence
(0070,0003) >> Bounding box annotation units PIXEL
(0070,0004) >> Anchor Point Annotation Units -
(0070,0006) >> Unformatted Text Value [value]
(0070,0010) >> Bounding Box Top Left Hand Corner [value]
(0070,0011) >> Bounding Box Top Right Hand Corner [value]
(0070,0012) >> Bounding Box Text Horizontal Justification LEFT
(0070,0014) >> Anchor Point -
(0070,0015) >> Anchor Point Visibility -
2.2.1.3.1.3.1.6.2 Arrow
A text is foreseen for each arrow, but it may be an empty string. The arrow consists of two polylines.

(0070,0002) >Graphic Layer ID
(0070,0068) >Graphic Layer Description Arrow

(0070,0002) > Graphic Layer [ID of the corresponding layer]
(0070,0004) >> Anchor Point Annotation Units PIXEL
(0070,0014) >> Anchor Point [value of arrow point]
(0070,0015) >> Anchor Point Visibility N
(0070,0009) > Graphic Object Sequence
Arrow line
(0070,0005) >> Graphic Annotation Units PIXEL
(0070,0020) >> Graphic Dimensions 2
(0070,0021) >> Number of Graphic Points 2
(0070,0022) >> Graphic Data [values]
(0070,0023) >> Graphic Type POLYLINE
(0070,0024) >> Graphic Filled -
Arrow point

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2.2.1.3.1.3.1.6.3 Rectangle
A rectangle is always provided with a corresponding text (for measurements). If the text is moved by
the operator, an extra text object is added to the GSPS.

(0070,0068) >Graphic Layer Description Rectangle or Rectangle_SAL

(0070,0014) >> Anchor Point -
(0070,0024) >> Graphic Filled N
2.2.1.3.1.3.1.6.4 Circle
A circle is always provided with a corresponding text (for measurements). If the text is moved by the
operator, an extra text object is added to the GSPS.


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(0070,0068) >Graphic Layer Description Circle

(0070,0014) >> Anchor Point -
(0070,0023) >> Graphic Type CIRCLE
2.2.1.3.1.3.1.6.5 Polygon
A polygon is always provided with a corresponding text (for measurements). If the text is moved by
the operator, an extra text object is added to the GSPS.

(0070,0068) >Graphic Layer Description Polygon

(0070,0014) >> Anchor Point -
(0070,0021) >> Number of Graphic Points [value]

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2.2.1.3.1.3.1.6.6 Freehand

(0070,0068) >Graphic Layer Description Freehand

(0070,0014) >> Anchor Point -
(0070,0021) >> Number of Graphic Points [value]
(0070,0023) >> Graphic Type INTERPOLATED
2.2.1.3.1.3.1.6.7 Line
A line consists of two parts: the actual line, and a small line indicating the middle point of the line:

(0070,0068) >Graphic Layer Description Line


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Item for the actual line
Item for the indication of the middle
2.2.1.3.1.3.1.6.8 Perpendicular
A perpendicular also consists of two lines A and B, as illustrated in the example below:

(0070,0068) >Graphic Layer Description Perpendicular

Item for the first line (A)
Item for the second line (B)

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2.2.1.3.1.3.1.6.9 Calibration ruler

The calibration ruler is displayed at the side of the image and is the result of a calibration action of
the operator.
It consists out of a ruler (constructed using several lines) and some text.

(0070,0068) >Graphic Layer Description Calibration Ruler

(0070,0014) >> Anchor Point -
First ruler line
(0070,0023) >> Graphic Type CIRCLE
…
2.2.1.3.1.3.1.6.10 Angle
An angle measurement is a combination of 2 lines and 2 short lines, with 2 angle texts

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(0070,0068) >Graphic Layer Description Angle

(0070,0008) > Text Object Sequence -> 2 texts for the degrees
(0070,0009) > Graphic Object Sequence Long line 1
Long line 2
Small middle line 1
Small middle line 2
2.2.1.3.1.3.1.6.11 Distance
A distance is composed of a line with a text value.

(0070,0068) >Graphic Layer Description Distance

(0070,0008) > Text Object Sequence -> used for the distance text
Item for the actual line

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Items for the ruler (cfr. Calibration ruler)
2.2.1.3.1.3.1.6.12 Leg Length Difference

(0070,0068) >Graphic Layer Description Leg Length Difference

(0070,0008) > Text Object Sequence Measurement text
(0070,0009) > Graphic Object Sequence First horizontal line
Second horizontal line
Vertical line
Arrow point 1
Arrow point 2
Arrow line

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2.2.1.3.1.3.1.6.13 Scoliosis
ine
er L
Upp
23
Lo
we
r li
ne

(0070,0068) >Graphic Layer Description Scoliosis Measurement

(0070,0008) > Text Object Sequence Measurement text
(0070,0009) > Graphic Object Sequence Upper line
Upper line perpendicular
Lower line
Lower line perpendicular
2.2.1.3.1.3.1.6.14 Display Shutter

Display Shutter Module
(0018,1600) Shutter Shape RECTANGULAR

(0018,1602) Shutter Left Vertical Edge [value]
(0018,1604) Shutter Right Vertical Edge [value]
(0018,1606) Shutter Upper Horizontal Edge [value]
(0018,1608) Shutter Lower Horizontal Edge [value]
The manner in which the display area occluded by the shutter is neutralized (black-out, gray, or other means)
is defined by the Attribute Shutter Presentation Value (0018,1622). This attribute present in the Presentation
LUT module is mandatory when a display shutter is present in the GSPS. The value can go from 0000xH
(black) to FFFFxH (white)

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2.2.1.3.1.3.1.6.15 Flipping/ rotating/ zooming

Flipping and rotating is always done on pixel level. The relevant DICOM tags can be found in the following
table:
Table 2.2-10: DICOM spatial transformation module attributes.
attribute tag Actions

Rotate 90° Rotate 90° counter Flip horizontal
clockwise clockwise
Image Rotation (0070,0042) If image is not If image is not flipped
flipped : increased : decreased with 90
with 90 (modulo (modulo 360)
360) Otherwise : increased
Otherwise : with 90 (modulo 360)
decreased with 90
(modulo 360)
Image horizontal (0070,0041) inverted (true «
flip false)
- Zoom/Pan is integrated in the Displayed Area module of the GSPS.
2.2.1.3.1.3.2 Storage Commitment Push Model SOP Class

(1.2.840.10008.1.20.1)
When the Storage Commitment Push Model has been configured, the DICOM Store AE will request storage
commitment for instances of the Image Storage SOP Class and Grayscale Softcopy Presentation State
Storage SOP Class with each successfully completed “sent” job. The DICOM Store AE transmits the SOP
Instances to the Remote AE. The request for storage commitment is transmitted to the Remote AE together
with a list of references to one or more SOP Instances. If the Provider accepts the Storage Commitment with
Success Status, the generated Transaction UID, together with study identification data and a time-stamp, is
kept. Success or failure of storage commitment is subsequently indicated by a notification from the Remote
AE to "Workstation".
The DIMSE-N Services applicable to the Storage Commitment Push Model SOP Class are:
Ø N-EVENT_REPORT
Ø N-ACTION
The Storage Commitment Request operation allows a DICOM Store AE to request an SCP to commit to the
safekeeping of a set of SOP Instances as described above. This operation is invoked through the N-ACTION
primitive.
The N-ACTION is invoked by "Workstation" and is sent by creating a new association.
The behavior of Storage AE when encountering status codes in an N-ACTION response is summarized in
the Table below:

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Table 2.2-11: Storage Commitment N-ACTION Information
Action Type Requirement Type

Action Type Name Attribute Tag
ID SCU
Request Storage Transaction UID (0008,1195)
1 1
Commitment
Storage Media File-
(0088, 0130) 3
Set ID
Storage Media File-
(0088,0140) 3
Set UID
Referenced SOP
(0008,1199) 1
Sequence
>Referenced SOP
(0008,1150) 1
Class UID
>Referenced SOP
(0008,1155) 1
Instance UID
(0088, 0130)
>Storage Media
File-Set ID 3
>Storage Media
(0088, 0140)
File-Set UID 3
Table 2.2-12: Storage Commitment N-ACTION Response Status Handling Behavior
Service Further Meaning Error Code Behavior

Status
Success 0000 successful Notification
Warning
Error
The behavior of the AE during communication failure is summarized in a table as follows:
Table 2.2-13: DICOM Command Communication Failure Behavior
Exception Behavior
Timeout e.g. The Association is aborted using A-ABORT and command marked as failed. The
reason is logged and reported to the user.
Association aborted e.g. The command is marked as failed. The reason is logged and reported to the user.
The DICOM Store AE does not wait for an N-EVENT-REPORT. It closes the association as soon it receives
the N-ACTION-RP from the Remote AE. So, NX does not support N-EVENT-REPORT within the same
association as the N-ACTION

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2.2.1.4 Association Acceptance Policies
2.2.1.4.1 Receive Storage Commitment Response

Each Storage Commitment Request that NX sends, is uniquely identified by the Transaction UID Attribute
(0008,1195) value that is generated by NX. After sending a Storage Commitment Request, NX expects an
N-EVENT-REPORT from the SCP. NX will then respond with an N-EVENT-REPORT response primitive
with a status code.
The NX DICOM Store AE will accept associations in order to receive responses to a Storage Commitment
Request.
DICOM Store AE PACS
1. Open Association
2. N-EVENT-REPORT (Storage Commit Resp)
Figure 2.2-2: Sequencing of Receive Storage Commitment response
2.2.1.4.1.2 Accepted Presentation Contexts

Table 2.2-14: Acceptable Presentation Contexts for Receive Storage Commitment Response

Abstract Syntax Transfer Syntax Extended
Role
Storage 1.2.840.10008.1.20.1 Implicit VR Little 1.2.840.10008.1.2 SCU None

Commitment Endian
Push Model Explicit VR Little 1.2.840.10008.1.2.1
Endian
Verification 1.2.840.10008.1.1 Implicit VR Little 1.2.840.10008.1.2 SCP None
Endian
Explicit VR Little 1.2.840.10008.1.2.1
Endian

HE/001132 Page 31 of 92
2.2.1.4.1.3 SOP Specific Conformance – Storage Commitment SOP Class

(1.2.840.10008.1.20.1)
The AE will consider Storage Commitment FAILED if no N-EVENT-REPORT is received for a Transaction
UID within a configurable time period.
Table 2.2-15: Storage Commitment N-EVENT-REPORT expected Information
Action Type Action Type Requirement Type

Attribute Tag
Name ID SCU
Storage Transaction UID (0008,1195)
1 1
Commitment
Request Storage Media File-Set
(0088,0130) 3
Successful ID
Storage Media File-Set
(0088,0140) 3
UID
Referenced SOP
(0008,1199) 1
Sequence
>Referenced SOP
(0008,1150) 1
Class UID
>Referenced SOP
(0008,1155) 1
Instance UID
(0088,0130)
>Storage Media File-
3
Set ID
>Storage Media File-

(0088,0140)
Set UID 3
Transaction UID (0008,1195)

Storage 2 1
Commitment Referenced SOP (0008,1199)
Request Complete- 1
Sequence
Failures Exist >Referenced SOP (0008,1150)
1
Class UID
>Referenced SOP (0008,1155)
1
Instance UID
Failed SOP sequence (0008,1198)
1
1
Class UID
1
Instance UID
>Failure Reason (0008,1197)
1
The behavior of Storage AE when receiving Event Types within the N-EVENT-REPORT is summarized in
the Table below:

HE/001132 Page 32 of 92
Table 2.2-16: Storage Commitment N-EVENT-REPORT Behavior
Event Type Name Event Type Behavior

ID
Storage Commitment Request 1 The job will be marked as SUCCESSFUL
Successful
Storage Commitment Request 2 The job will be marked as FAILED.
Complete – Failure exists
The reasons for returning specific status codes in a N-EVENT-REPORT response are summarized in the
table below:
Table 2.2-17: Storage Commitment N-EVENT-REPORT Response Status Reasons
Service Further Meaning status Code Reasons

Status
Success 0000 The SCP has successfully returned all matching
information.
The behavior of the DICOM Store AE when receiving Event types over this association is the same as when
receiving them over the same association as documented in section 2.2.1.3.1.3.2
2.2.1.4.1.4 SOP Specific Conformance – Verification SOP Class

(1.2.840.10008.1.1)
The Storage AE provides standard conformance to the Verification SOP Class as an SCP. This verification is
accomplished on an established Association using the C-ECHO DIMSE-C service.
These tests can be executed in the "Workstation Service & Configuration Tool".
The Configuration Tool opens an association when testing of a remote application is requested during a
configuration session. This can be done when entering new data for remote application configuration or to
verify existing configuration data using the C-ECHO DIMSE-C service.

HE/001132 Page 33 of 92
2.2.2 DICOM Print Application Entity Specification

Table 2.2-18: SOP Class(es) for the DICOM Print Application Entity
SOP Class SOP Class UID SCU SCP

Verification 1.2.840.10008.1.1 Yes No
Basic Grayscale Print Management Meta SOP Class 1.2.840.10008.5.1.1.9 Yes No
Basic Film Session SOP Class 1.2.840.10008.5.1.1.1 Yes No
Basic Film Box SOP Class 1.2.840.10008.5.1.1.2 Yes No
Basic Grayscale Image Box SOP Class 1.2.840.10008.5.1.1.4 Yes No
Printer SOP Class 1.2.840.10008.5.1.1.16 Yes No
Print Job SOP Class 1.2.840.10008.5.1.1.14 Yes No
Presentation LUT SOP Class 1.2.840.10008.5.1.1.23 Yes No
2.2.2.2.1 General

"Workstation" initiates one association at a time for each destination to which a print request is being
processed in the active job queue list. Only one job per destination will be active at a time, the other remains
pending until the active job for that destination is completed or failed. There can however be several
simultaneous associations to different destinations.
Table 2.2-20: Number of Associations as an Association Initiator for DICOM Print AE
1 per destination
Maximum number of simultaneous associations initiated
(32 max)

Table 2.2-21: Asynchronous Nature as an Association Initiator for DICOM Print AE
Maximum number of outstanding asynchronous transactions None
DICOM Print AE allows a single outstanding operation on any association. Therefore it does not support
asynchronous operations window negotiation, other than the default as specified by the DICOM specification.

HE/001132 Page 34 of 92

Table 2.2-22: DICOM implementation Class and Version for DICOM Print AE
Implementation Version Name DPM1.XX 3
2.2.2.3.1 Activity – Print Images

The user composes images into film sheets and requests them to be sent to a specific hardcopy device. A
priori, the desired film format can be selected. Each sheet is internally processed, converted to a
STANDARD/1,1 page and then one print job is forwarded to the job queue of the destination and processed
individually.
The DICOM Print AE or "Workstation" will initiate a separate Association for each Print Session.
If the Printer rejects the Association, then "Workstation" issues a warning message. In case of a time-out
(e.g. no answer from the Printer) or a warning message, the request will be retried after at least 20 seconds.
In the mean time requests to other destinations will be handled.
After an association is established, the "Workstation" will send one film session to the Printer. Each film
session will contain one film box, which in turn contains one image box.
The N-ACTION DIMSE service on Film Session SOP class instructs the printer to print the film session.
The print job has finished printing when the job is transferred to the printer or when the printer has sent the
N-EVENT-REPORT “Done” (in case print job sop class is supported by the printer).
The "Workstation" releases the association. In case of N-EVENT-REPORT it will not wait for print job status
“Done”.
The default PDU size negotiated by the "Workstation" is 65542 bytes.
It is possible to print up to 16 bit (see §2.4.1.2.4).
3
XX is the build version number

HE/001132 Page 35 of 92
DICOM Print AE Printer
1. Open Association
2. N-CREATE-RQ (Basic Film Session)
3. N-CREATE -RSP
4. N-CREATE-RQ (Presentation LUT)

5. N-CREATE-RSP
6. N-CREATE-RQ (Basic Film Box)

7. N-CREATE-RSP
8. N-SET-RQ (Basic Grayscale Image Box)

9. N-SET-RSP
10. N-GET-RQ (Printer)

11. N-GET-RSP
12. N-ACTION-RQ
13. N-ACTION-RSP
14. N-DELETE-RQ
15. N-DELETE-RSP
Figure 2.2-3: Sequencing of Receive Storage Commitment response

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The DICOM Print AE is capable of proposing the Presentation Contexts shown in the following table:
Table 2.2-23: Presentation Contexts Proposed by DICOM Print AE
Extended
SOP Class Transfer Syntax
Role Negotiation
SOP Class SOP Class UID Name UID
Verification 1.2.840.10008.1.1 DICOM Implicit 1.2.840.10008.1.2 SCU None
VR Little Endian
Basic Grayscale Print Management 1.2.840.10008.5.1 DICOM Implicit 1.2.840.10008.1.2 SCU None
Meta SOP Class .1.9 VR Little Endian
Print Job SOP Class 1.2.840.10008.5.1 DICOM Implicit 1.2.840.10008.1.2 SCU None
.1.14 VR Little Endian
Presentation LUT SOP Class 1.2.840.10008.5.1 DICOM Implicit 1.2.840.10008.1.2 SCU None
.1.23 VR Little Endian
Note:
The Presentation Context shall use Abstract Syntax IDs which correspond to the SOP Classes UID of
the Meta SOP Class specified in the first column of the Transfer Syntax Table or included SOP
Classes. None of the included SOP Classes supports extended negotiation.
2.2.2.3.1.3 SOP Specific Conformance - Basic Grayscale Print Management

Meta SOP Class
"Workstation" provides Standard conformance to the DICOM Basic Grayscale Print Management Class
(1.2.840.10008.1.1.9) as SCU.
Support for Basic Grayscale Print Management as SCU also implies support for the following SOP Classes
as SCU:
1. Basic Film Session SOP Class
2. Basic Film Box SOP Class
3. Basic Grayscale Image Box SOP Class
4. Printer SOP Class
2.2.2.3.1.3.1 Basic Film Session SOP Class (1.2.840.10008.5.1.1.1)

The Basic Film Session IOD describes the presentation parameters which are common for all the films of a
film session (e.g. number of films, film destination, …)
The Basic Film Session SOP Instance refers to one or more Basic Film Box SOP Instance (§2.2.2.3.1.3.2).
"Workstation"(SCU) can send the following DIMSE services:

HE/001132 Page 37 of 92
Ø N-CREATE
Ø N-ACTION
N-CREATE is issued by "Workstation" (SCU) to create a Basic Film Session SOP instance, when an
Association has been established. The N-CREATE causes the Basic Film Session (root element) to be
created by the SCP AE and its attributes initialized. The following attributes are supported:
Table 2.2-24: Supported N-CREATE Attributes for a Basic Film Session
Attribute Name Tag Value

Number of Copies (2000,0010) Always set to 1
Print priority (2000,0020) Configurable
Medium Type (2000,0030) BLUE FILM ,CLEAR FILM, PAPER (configurable)
Film destination (2000,0040) MAGAZINE, BIN-i , PROCESSOR (configurable)
"Workstation" (SCU) will process the N-CREATE confirmation and response Status codes. The following
status codes are recognized:
Table 2.2-25: N-CREATE Status Codes
Code Status Meaning

0000 Success Film Session successfully created
0116H Warning (or The SCP AE returns the attribute ”Value Out of Range”. This may result in Image Quality
Failure, Degradation.
depends on "Workstation" will continue when its destination is an AGFA printer, but stops (ABORT) when
the selected its destination is a non-AGFA printer (might lead to unacceptable image quality).
Printer Profile)
0106H Error The SCP AE returns the attribute ”Invalid Attribute Value” . This indicates that the requested
memory allocation cannot be provided.
0213H Resource Limitation is returned by the SCP AE for the Basic Film Session SOP Class to
indicate that the requested allocation can temporarily not be provided.
* Other Status Other Dicom error codes result in the failure of the job. Other warnings are not
codes communicated to the user.
N-ACTION is issued by "Workstation" (SCU) to print a Film Session. This means that all subordinate Basic
Film Boxes will be assembled into a print job for printing. (The job can therefore contain more than one film.)
"Workstation" (SCU) will process the N-ACTION confirmation and response Status codes. The following
status codes in Table 2.2-25 are recognized :

HE/001132 Page 38 of 92
Table 2.2-26: N-ACTION Status Codes
Code Status Meaning

0000 Success Normally returned by the SCP AE. Film(s) belonging to the film session are accepted for
printing.
B601 Warning Film session printing (collation) is not supported.
B602 Film Session SOP Instance hierarchy does not contain Image Box SOP Instances (empty
page).
B604 Image size is larger then Image Box size, the image has been magnified.
C600 Error Film Session SOP Instance hierarchy does not contain Film Box SOP instances.
C601 Unable to create Film SOP Instance; The print queue is full (device failure).
C603 Image size is larger then Image box size
* Other Status Other Dicom error codes result in the failure of the job. Other warnings are not communicated
codes to the user.
N-DELETE is issued by "Workstation" (SCU) to delete a Film Session. This means that the complete Film
Session SOP Instance hierarchy will be deleted.
2.2.2.3.1.3.2 Basic Film Box SOP Class (1.2.840.10008.5.1.1.2)

The Basic Film Box IOD is an abstraction of the presentation of one film of the film session. The Basic Film
Box IOD describes the presentation parameters which are common for all images on a given sheet of film.
The Basic Film Box SOP Instance refers to one or more Image Box SOP Instances, zero or more film related
Annotation Box SOP Instances, and zero or one Presentation LUT SOP Instance.
"Workstation" (SCU) can send the following DIMSE services:

Ø N-CREATE
N-CREATE is issued by "Workstation" (SCU) to create a Basic Film Box under the created Film Session and
initialize its attributes. (The creation of a Basic Film Box also causes the subordinate Basic Image Boxes to
be created for each location in the film format.)
The supported Film Box N-CREATE attributes are listed in the table below:
Table 2.2-27: Supported N-CREATE Attributes for a Basic Film Box

Image Display Format (2010,0010) STANDARD\1,1
Film Orientation (2010,0040) PORTRAIT,LANDSCAPE
Film Size ID (2010,0050) 8INX10IN, 10INX12IN, 10INX14IN, 11INX14IN, 14INX14IN,
14INX17IN, A4, A, 14INx36IN, 14Inx51IN (configurable)
Magnification type (2010, 0060) NONE, REPLICATE
Border Density (2010,0100) WHITE, BLACK or ODx100 (configurable)
Empty Image Density (2010,0110) WHITE, BLACK or ODx100 (configurable)
Min Density (2010,0120) Configurable
Max Density (2010,0130) Configurable
Trim (2010,0140) NO

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Configuration Information (2010,0150) Configurable
Illumination (2010,015E) Configurable
Reflective Ambient Light (2010,0160) Configurable
Referenced Film Session (2010,0500) A sequence which provides references to a Film Session SOP
Sequence Class/Instance pairs. Only a single Item is permitted in this
Sequence.
>Referenced SOP Class UID (0008,1150) Uniquely identifies the referenced SOP Class
>Referenced SOP Instance UID (0008,1155) Uniquely identifies the referenced SOP Instance.
Referenced Presentation LUT (2050, 0500) A sequence which provides references to a Presentation LUT
Sequence related SOP Class/Instance pairs. Only a single Item shall be
included in this sequence.
>Referenced SOP Class UID (0008, 1150) Uniquely identifies the referenced SOP Class
>Referenced SOP Instance UID (0008, 1155) Uniquely identifies the referenced SOP Instance.
"Workstation" (SCU) will process the N-CREATE confirmation and response Status codes. The status codes
below are recognized:
Table 2.2-28: N-CREATE Status Codes
Code Status Meaning

0000 Success Normally returned by the SCP AE. Film Box successfully created.
B605 Warning Requested Min Density or Max Density outside of printer’s operating range. The printer will use its
respective minimum or maximum density value instead.
* Other Other Dicom error codes result in the failure of the job. Other warnings are not communicated to
Status the user.
codes
2.2.2.3.1.3.3 Basic Grayscale Image Box SOP Class (1.2.840.10008.5.1.1.4)

The Basic Image Box IOD is an abstraction of the presentation of an image and image related data in the
image area of a film. The Basic Image Box IOD describes the presentation parameters and image pixel data
which apply to a single image of a sheet of film.
The Basic Grayscale Image Box SOP Instance is created by the SCP at the time as the Basic Film Box SOP
Instance (§ 2.2.2.3.1.3.2) is created, based on the value of the Basic Film Box Attribute Image Display
Format (2010, 0010).
The Basic Grayscale Image Box SOP Instance refers to zero or one Image Overlay Box SOP Instance and
zero or one Presentation LUT SOP Instance.
· N-SET
N-SET is issued by "Workstation" (SCU) to update an instance of the Grayscale Image Box SOP Class.
When all needed Basic Grayscale Image Boxes have been set, "Workstation" (SCU) issues a print
command. There can be empty image positions. By using N-SET, "Workstation" (SCU) can instruct the SCP
to erase the image in the image position by setting a zero length and no value in the attribute Basic
Grayscale Image Sequence. The N-Set attributes for the Basic Grayscale Image Box are listed below:

HE/001132 Page 40 of 92
Table 2.2-29: Supported N-SET Attributes for a Basic Grayscale Image Box

Image Position (2020,0010) 1
Polarity (2020,0020) NORMAL, REVERSE
Basic Grayscale Image Sequence (2020,0110)
>Samples Per Pixel (0028,0002) 1
>Photometric Interpretation (0028,0004) MONOCHROME2
>Rows (0028,0010) larger than 0
>Columns (0028,0011) larger than 0
>Bits Allocated (0028,0100) 8 – 16
>Bits Stored (0028,0101) 8 – 16
>High Bit (0028,0102) 7 to 15
>Pixel Representation (0028,0103) 0
>Pixel Data (7FE0,0010) A data stream of the pixel samples that comprise the Image.
"Workstation" (SCU) will process the N-SET confirmation and response Status codes. The status codes
listed below in Table 2.2-30are recognized:
Table 2.2-30: N-SET Status Codes
Code Status Meaning

0000 Success Normally returned by the SCP AE. Image successfully stored in Image Box
B604 Warning Image size is larger then Image Box size, the image has been magnified.
B605 Requested Min Density or Max Density outside of printer’s operating range. The printer will
use its respective minimum or maximum density value instead.
C603 Error Image size is larger then Image box size
C605 Insufficient memory in printer to store the image.
* Other Status Other Dicom error codes result in the failure of the job. Other warnings are not communicated
codes to the user.
2.2.2.3.1.3.4 Printer SOP Class (1.2.840.10008.5.1.1.16)

The Printer IOD is an abstraction of the hard copy printer and is the basic Information Entity to monitor the
status of the printer.
The Printer SOP Instance is created by the SCP during start-up of the hard copy printer and has a well-
known SOP Instance UID.
The Printer SOP Class is used to monitor the status of the printer.
"Workstation" (SCU) will accept the following DIMSE services:
· N-EVENT-REPORT
· N-GET
N-EVENT-REPORT is used to report the changes of the printer status in an asynchronous way.
The SCP uses the N-EVENT-REPORT to inform "Workstation" about each execution change. "Workstation"
will return the confirmation of the N-EVENT-REPORT operation.

HE/001132 Page 41 of 92
Table 2.2-31: Notification Event Information
Event Type Event Type ID Attribute Tag

Name
Normal 1 Printer Status Info (2110, 0020)
Film Destination (2000, 0040)
Printer Name (2110, 0030)
Warning 2 Printer Status Info (2110, 0020)
Failure 3 Printer Status Info (2110, 0020)
Note:
If the Event Type Name = Warning or Failure then the warning/failure condition can be stored by the
SCP Printer Status Info argument.
N-GET is issued by "Workstation" (SCU) to retrieve an instance of the Printer SOP class. "Workstation"
specifies the UID of the SOP Instance to be retrieved. The supported N-GET attributes are listed in the table
below:
Table 2.2-32: Supported Attributes for N-GET on a Printer

Printer Status (2110,0010) NORMAL, WARNING, FAILURE
Printer Status Info (2110,0020) Printer dependent
Printer Name (2110,0030) User defined name identifying the printer.
Manufacturer (0008,0070) Manufacturer of the printer
Manufacturer Model Name (0008,1090) Manufacturer’s model number of the printer
Device Serial Number (0018,1000) Manufacturer’s serial number of the printer
Software Versions (0018,1020) Manufacturer's designation of software
version of the printer.
Date Last Calibration (0018,1200) Date when the printer was last calibrated.
Time Last Calibration (0018,1201) Time when the printer was last calibrated.
2.2.2.3.1.4 SOP Specific Conformance Print Job SOP Class

(1.2.840.10008.5.1.1.14)
The Print Job IOD is an abstraction of the Print Job transaction and is the basic information entity to monitor
the execution of the Print Process. A Print Job contains one film or multiple films, all belonging to the same
film session.
The Print Job SOP Class is created by N-ACTION operation of the Film Session SOP Class (§2.2.2.3.1.3.1),
Film Box SOP Class (§2.2.2.3.1.3.2), or Pull Print Request SOP Class. The Print Job SOP Instance is
deleted after the films are printed or after a failure condition.
"Workstation" (SCU) will accept the following DIMSE services:

HE/001132 Page 42 of 92
· N-EVENT-REPORT
· N-GET
N-EVENT-REPORT is used by the SCP to report execution status changes to "Workstation" (SCU) in an
asynchronous way.
N-EVENT-REPORT has the following arguments
Table 2.2-33: Notification Event Information
Event Type Name Event Type ID Attribute Tag

Pending 1 Execution Status Info (2100, 0030)
Print Job ID (2100, 0010)
Film Session Label (2000, 0050)
Printing 2 Execution Status Info (2100, 0030)
Done 3 Execution Status Info (2100, 0030)
Failure 4 Execution Status Info (2100, 0030)
Note:
The SCU only releases the Association after the receipt of the event type Done or Failure, if the print
job sop class is supported.
"Workstation" (SCU) returns the confirmation from the N-EVENT-REPORT operation.
N-GET is used to retrieve an instance of the Print Job SOP Class. "Workstation" (SCU) uses the N-GET to
request the SCP to get a Print Job SOP Instance. "Workstation" specifies the UID of the SOP Instance to be
retrieved.
Table 2.2-34: Supported N-GET Attributes for a Print Job

Execution Status (2100, 0020) PENDING, PRINTING, DONE, FAILURE

HE/001132 Page 43 of 92

Execution State Info (2100, 0030) Printer dependent.
Print Priority (2000, 0020) HIGH, MED, LOW
Creation Date (2100, 0040) Date of print job creation.
Creation Time (2100, 0050) Time of print job creation
Printer Name (2110, 0030) User defined name identifying the printer
Originator (2100, 0070) DICOM AE title that issued the print operation
2.2.2.3.1.5 SOP Specific Conformance Presentation LUT SOP Class

(1.2.840.10008.5.1.1.23)
The Presentation LUT Information Object is an abstraction of a Presentation LUT. The objective of the
Presentation LUT is to realize image display tailored for specific modalities, applications, and user
preferences. It is used to prepare image pixel data for display on devices that conform to the Grayscale
Standard Display Function.
The output of the Presentation LUT is Presentation Values (P-Values).
A N-CREATE is issued by "Workstation" (SCU) to create a Presentation LUT SOP Instance. The supported
Presentation LUT attributes are listed below:
Table 2.2-35: Supported Attributes for Presentation LUT
Tag Name Supported Default

(2050,0020) Presentation LUT Shape IDENTITY (Note) IDENTITY
Note:
‘Presentation LUT Sequence’ is not supported.
"Workstation" (SCU) will process the N-CREATE confirmation and response Status codes. The status codes
listed below are recognized:
Table 2.2-36: N-CREATE confirmation and response Status codes
Code Status Meaning

0000 Success Presentation LUT successfully created
B605 Warning Requested Min or Max Density outside of printer’s operating range. The printer will use its
respective minimum or maximum value instead.

HE/001132 Page 44 of 92
Note:
"Workstation" (SCU) uses the N-CREATE Service Element to request the SCP to create a
Presentation LUT SOP Instance. "Workstation" shall initialize the Attributes of the SOP Class.
The Presentation LUT persists in the SCP as long as the Association in which it was created is open
or an explicit N-DELETE is issued by the SCU.
2.2.2.3.1.6 SOP Specific Conformance Verification SOP Class

(1.2.840.10008.1.1)
See §2.2.1.4.1.4.

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2.2.3 RIS Application Entity Specification


Modality Worklist Information Model – FIND 1.2.840.10008.5.1.4.31 Yes No
2.2.3.2.1 General

"Workstation" initiates one association at a time to query the worklist.
Table 2.2-39: Number of Associations as an Association Initiator for RIS AE
Maximum number of simultaneous associations initiated 1

Table 2.2-40: Asynchronous Nature as an Association Initiator for RIS AE
"Workstation" does not support asynchronous communication (multiple outstanding transactions over a
single connection)

Table 2.2-41: DICOM implementation Class and Version for DICOM RIS AE
Implementation Version Name AGFA DTF1.0.XX 4
4

HE/001132 Page 46 of 92
2.2.3.3.1 Activity – Query RIS

The request for Query RIS is initiated by user interaction (pressing the “Query RIS” button) or automatically
at specific time intervals (configurable by the user). Depending on the configuration this can either be a query
based on a user provided accession number or be a complete worklist update based on date, modality and
Scheduled Station AE title.
RIS AE Department Scheduler
1. Open Association
2. C-FIND Request (Worklist query)
3. C-FIND Response(Worklist item)-status = pending
4. C-FIND Response(Worklist item)-status = pending
5. C-FIND Response - status = success
Figure 2.2-4: Sample Sequencing Diagram for Refresh Worklist

The RIS Application Entity is capable of proposing the Presentation Contexts shown in the following table:

Role
Modality 1.2.840.10008.5.1.4.31 Implicit VR Little 1.2.840.10008.1.2 SCU None

Worklist Endian
Information
Model – FIND
2.2.3.3.1.3 SOP Specific Conformance – Modality Worklist SOP Class

(1.2.840.10008.5.1.4.31)
The Modality Worklist SOP class, defined within the Basic Worklist Management Service Class, defines an
application-level class of service which facilitates the communication of information to the imaging modality
about Scheduled Procedure Steps, and entities related to the Scheduled Procedure Steps.
This worklist is structured according to Scheduled Procedure Steps. A procedure step is a unit of service in
the context of a requested imaging procedure.

HE/001132 Page 47 of 92
The behavior of a RIS AE when encountering status codes in a C-FIND response is summarized in the Table
below:
Table 2.2-43: C-Find Response Status Handling Behavior
Service Status Status Code Status Code

Success 0000 Matching is complete
Refused A700 Out of resources
Failed A900 Identifier does not match SOP Class
C000-CFFF Unable to Process
Cancel FE00 Matching terminated due to Cancel request
Pending FF00 Matches are continuing – Current Match is supplied and any Optional
Keys were supported in the same manner as Required Keys.
FF01 Matches are continuing – Warning that one or more Optional Keys were
not supported
* Other Status codes Other Dicom error codes result in the failure of the job. Other warnings
are not communicated to the user.
Exception Behavior
Timeout
Association aborted
The table below provides a description of the Worklist Request Identifier. Unexpected attributes returned in a
C-FIND response are ignored.
Table 2.2-45: Worklist request identifiers
Attribute name Tag Broad Query Accession number

query
Scheduled Procedure Step
Scheduled Station AE Title (0040, 0001) Single Value Matching
Scheduled Procedure Step Start Date (0040, 0002) Range Matching
Scheduled Procedure Step Start Time (0040, 0003)
Scheduled Procedure Step Location (0040, 0011)
Modality (0008, 0060) Single Value Matching
Scheduled Procedure Step Description (0040, 0007)
Scheduled Performing Physician's Name (0040, 0006)
Scheduled Performing Physician's ID Sequence (0040, 000B)
Scheduled Station Name (0040, 0010)
Scheduled Protocol Code Sequence (0040, 0008)
Pre-Medication (0040, 0012)
Scheduled Procedure Step ID (0040, 0009)
Request Contrast Agent (0032, 1070)
Scheduled Procedure Step Status (0040, 0020)
Scheduled Procedure Step Comment (0040, 0400)
Requested Procedure

HE/001132 Page 48 of 92

query
Requested Procedure Description (0032, 1060)
Requested Procedure Code Sequence (0032, 1064)
Requested Procedure ID (0040, 1001)
Study Instance UID (0020, 000D)
Referenced Study Sequence (0008, 1110)
Reason for the Requested Procedure (0040, 1002)
Requested Procedure Priority (0040, 1003)
Patient Transport Arrangement (0040, 1004)
Requested Procedure Location (0040, 1005)
Requested Procedure Comments (0040, 1400)
Confidentiality Code (0040, 1008)
Reporting Priority (0040, 1009)
Names of Intended Recipients of Results (0040, 1010)
Intended Recipients of Results Identification (0040, 1011)
Sequence
Imaging Service Request
Accession Number (0008, 0050) Wildcard matching
Requesting Physician (0032, 1032)
Requesting Physician Identification Sequence (0032, 1031)
Referring Physician's Name (0008, 0090)
Referring Physician Identification Sequence (0008, 0096)
Requesting Service (0032, 1033)
Placer Order Number (0040, 2016)
Filler Order Number (0040, 2017)
Imaging Service Request Comments (0040, 2400)
Issue Date of Imaging Service Request (0040, 2004)
Issue Time of Imaging Service Request (0040, 2005)
Order Entered by… (0040, 2008)
Order Enterer’s Location (0040, 2009)
Order Callback Phone Number (0040, 2010)
Reason for imaging service (0040, 2001)
Visit Identification
Admission ID (0038, 0010)
Institution Name (0008, 0080)
Institution Address (0008, 0081)
Institution Code Sequence (0008, 0082)
Issuer of Admission ID (0038, 0011)
Visit Status
Current Patient Location (0038, 0300)
Visit Status ID (0038, 0008)
Patient’s Institution Residence (0038, 0400)
Visit Comments (0038, 4000)
Visit Relationship
Referenced Patient Sequence (0008, 1120)
Visit Admission
Route of Admissions (0038, 0016)
Admitting Date (0038, 0020)

HE/001132 Page 49 of 92

query
Admitting Time (0038, 0021)
Scheduled Admission Date (0038, 001A)
Scheduled Admission Time (0038, 001B)
Admitting Diagnosis Description (0008, 1080)
Admitting Diagnosis Code Sequence (0008, 1084)
Patient Identification
Patient's Name (0010, 0010)
Patient ID (0010, 0020)
Other Patient IDs (0010, 1000)
Issuer of Patient ID (0010, 0021)
Other Patient Names (0010, 1001)
Patient’s Birth Name (0010, 1005)
Patient’s Mother’s Birth Name (0010, 1060)
Medical Record Locator (0010, 1090)
Referenced Patient Alias Sequence (0032,0004)
Patient Demographic
Patients Birth Date (0010, 0030)
Patient's Sex (0010, 0040)
Patient’s Birth Time (0010, 0032)
Patient’s Primary Language Code Sequence (0010, 0101)
>Patient’s Primary Language Code Modifier (0010, 0102)
Sequence
Patient’s Weight (0010, 1030)
Patient’s Size (0010, 1020)
Patient’s Age (0010, 1010)
Military Rank (0010, 1080)
Branch of Service (0010, 1081)
Ethnic Group (0010, 2160)
Occupation (0010, 2180)
Patient Comment (0010, 4000)
Confidentiality constraint on patient data (0040, 3001)
Patient’s Insurance Plan Code Sequence (0010, 0050)
Patient’s Address (0010, 1040)
Country of Residence (0010, 2150)
Region of Residence (0010, 2152)
Patient’s Telephone Numbers (0010, 2154)
Patient’s Religious Preference (0010, 21F0)
Patient Medical
Patient State (0038, 0500)
Pregnancy Status (0010, 21C0)
Medical Alerts (0010, 2000)
Contrast Allergies (0010, 2110)
Special Needs (0038, 0050)
Additional Patient History (0010, 21B0)
Last Menstrual Date (0010, 21D0)
Smoking Status (0010, 21A0)

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2.2.3.4 User defined fields

There are five (5) optional (type 3) user defined fields that can be mapped from the RIS and which can be
sent out during archiving and exporting.
These fields can be found in the following Table:
Table 2.2-46: List of User defined DICOM fields
Tag Description VR
(0019, 0010) “Agfa ADC NX” LO
(0019, 10F0) User Defined field 1 LO

HE/001132 Page 51 of 92
2.2.4 MPPS Application Entity Specification


Modality Performed Procedure Step 1.2.840.10008.3.1.2.3.3 Yes No
2.2.4.2.1 General

"Workstation" initiates one association at a time to query the worklist.
Table 2.2-49: Number of Associations as an Association Initiator for MPPS AE
Maximum number of simultaneous associations initiated 1

Table 2.2-50: Asynchronous Nature as an Association Initiator for MPPS AE
"Workstation" does not support asynchronous communication (multiple outstanding transactions over a
single connection)

Table 2.2-51: DICOM implementation Class and Version for DICOM MPPS AE
Implementation Version Name AGFA DTF1.0.XX 5
5

HE/001132 Page 52 of 92
2.2.4.3.1 Activity – Acquire Images, Print Images,

When the first image of a session arrives, an association will be opened to create an MPPS instance (via N-
CREATE) on the MPPS manager. "Workstation" will wait for an N-CREATE response from the Department
Scheduler (status success). When the N-CREATE response is received, the association with the Department
Scheduler will be closed. When the session is closed on "Workstation", an association will be opened to
complete the MPPS instance (via N-SET). Again "Workstation" will wait for an N-SET response from the
Department Scheduler (status success). Once the response is received, the association will be closed.
When all images of a study are transferred to another study and no new images are acquired before the
session is closed, an N-SET MPPS discontinued will be sent in stead of the normal N-SET response.
MPPS AE Department Scheduler
1. Open Association
2. N-CREATE (MPPS) - IN PROGRESS
4. Aquire Images()
5. Open Association
6. N-SET (MPPS) - COMPLETED
Figure 2.2-5: Sample Sequencing Diagram for MPPS

HE/001132 Page 53 of 92

The MPPS Application Entity is capable of proposing the Presentation Contexts shown in the following table:

Role
Modality 1.2.840.10008.3.1.2.3.3 Implicit VR Little 1.2.840.10008.1.2 SCU None

Performed Endian
Procedure Step Explicit VR Little 1.2.840.10008.1.2.1
Endian
2.2.4.3.1.3 SOP Specific Conformance – MPPS (1.2.840.10008.3.1.2.3.3)

· N-CREATE
· N-SET
A N-CREATE allows "Workstation" to create an instance of the Modality Performed Procedure Step SOP
Class and provide information about a specific real-world Performed Procedure Step that is under control of
"Workstation".
A N-SET allows "Workstation" to set Attribute Values of an instance of the Modality Performed Procedure
Step SOP Class and provide information about a specific real-world Modality Performed Procedure Step that
is under control of "Workstation".
Note:
"Workstation" informs the Information System as soon as possible that the performance of the Procedure Step
has been started by sending the N-CREATE Service Request. This allows an SCP of the Modality Worklist SOP
Class (if supported) to update the Modality Worklist. Some of the attribute values are already known at the
beginning of the Procedure Step, they are sent in the N-CREATE command. Other mandatory attributes are
known only at the end of the Performed Procedure Step, they are assigned a value in the NSET command.
The behavior of MPPS AE when encountering status codes in an MPPS N-CREATE or N-SET response is
summarized in the Table below:
Table 2.2-53: N-CREATE/N-SET Response Status Handling Behavior
Service Further Meaning Status Code Behavior

Status
Success Matching is complete 0000 The SCP has completed the operation successfully
Failure Processing Failure – 0110H

Performed Procedure
Step Object may no
longer be updated

HE/001132 Page 54 of 92
Service Further Meaning Status Code Behavior

Status
* Other Status codes * Other Dicom error codes result in the failure of the job.
Other warnings are not communicated to the user.
Exception Behavior
Timeout If the sending fails, the system will retry automatically until the session is cleaned up.
Association aborted If the sending fails, the system will retry automatically until the session is cleaned up.
The following table provides a description of the MPPS N-CREATE and N-SET request identifiers sent by the
MPPS AE. Empty cells in the N-CREATE and N-SET columns indicate that the attribute is not sent. An “X”
indicates that an appropriate value will be sent.
Table 2.2-55: MPPS N-CREATE/N-SET Request Identifier
Attribute Tag N-CREATE N-SET

Specific Character Set (0008, 0005) X X
Performed Procedure Step Relationship
Scheduled Step Attribute Sequence (0040, 0270)
>Study Instance UID (0020, 000D) X
From MWL or
>Referenced Study Sequence (0008, 1110) user input
From MWL or
>>Referenced SOP Class UID (0008, 1150) user input
From MWL or
>>Referenced SOP Instance UID (0008, 1155) user input
From MWL or
>Accession Number (0008, 0050) user input N/A
From MWL or
>Placer Order Number/Imaging Service Request (0040, 2016) user input
From MWL or
>Filler Order Number/Imaging Service Request (0040, 2017) user input
From MWL or
>Requested Procedure ID (0040, 1001) user input
From MWL or
>Requested Procedure Description (0032, 1060) user input
From MWL or
>Scheduled Procedure Step ID (0040, 0009) user input
From MWL or
>Scheduled Procedure Step Description (0040, 0007) user input
From MWL or
>Scheduled Protocol Code Sequence (0040, 0008) user input
From MWL or
>>Code Value (0008, 0100) user input
From MWL or
>>Coding Scheme designator (0008, 0102) user input
From MWL or
>>Coding Scheme Version (0008, 0103) user input

HE/001132 Page 55 of 92

From MWL or
>>Code Meaning (0008, 0104) user input
>>All other Attributes from Scheduled Protocol
Code Sequence
From MWL or
Patient’s Name (0010, 0010) user input
From MWL or
Patient ID (0010, 0020) user input
From MWL or
Patient’s Birth Date (0010, 0030) user input
From MWL or
Patient’s Sex (0010, 0040) user input
From MWL or
Referenced Patient Sequence (0008, 1120) user input
From MWL or
>Referenced SOP Class UID (0008, 1150) user input
From MWL or
>Referenced Instance UID (0008, 1155) user input
Performed Procedure Step Information
Performed Procedure Step ID (0040, 0253) X
Performed Station AE Title (0040, 0241) X
Performed Station Name (0040, 0242) X
Performed Location (0040, 0243) X
Performed Procedure Step Start Date (0040, 0244) X
Performed Procedure Step Start Time (0040, 0245) X
Performed Procedure Step Status (0040, 0252) "IN PROGRESS" "COMPLETED"
Exam group
names of the
exposures in the
Performed Procedure Step Description (0040, 0254) study X
set to the
Requested
Procedure
Description from
Performed Procedure Type Description (0040, 0255) the SPS X
Procedure Code Sequence (0008, 1032) Zero length Zero length
Performed Procedure Step End Date (0040, 0250) Empty close session date
Performed Procedure Step End Time (0040, 0251) Empty close session time
only if user provided
Comments on the Performed Procedure Step (0040, 0280) Empty this information
Performed Procedure Step Discontinuation Available if
Reason Code Sequence (0040, 0281) Empty discontinued
>Code Value (0008, 0100) Empty “”
>Coding Scheme Designator (0008, 0102) Empty “”
>Coding Scheme Version (0008, 0103) Empty “”
>Code Meaning (0008, 0104) Empty “”
Image Acquisition Results
Modality (0008, 0060) CR or DX
set to Requested
Procedure ID or
automatically
generated for
Study ID (0020, 0010) unscheduled

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case
Performed Protocol Code Sequence (0040, 0260) Empty Empty
>Code Value (0008, 0100) Empty Empty
>Coding Scheme Designator (0008, 0102) Empty Empty
>Coding Scheme Version (0008, 0103) Empty Empty
>Code Meaning (0008, 0104) Empty Empty
>All other Attributes from Performed Protocol
Code Sequence
Performed Series Sequence (0040, 0340) Empty
If user provided this
information.
>Performing Physician’s Name (0008, 1050) Empty Otherwise empty.
concatenation of “CR
” or “DX ” plus all
exam groups of the
exposures, taken in
>Protocol Name (0018, 1030) Empty this MPPS
Operator who was
logged in at the
>Operator’s Name (0008, 1070) Empty Create of this MPPS
>Series Instance UID (0020, 000E) Empty X
BODY PART [space]
>Series Description (0008, 103E) Empty VIEW POSITION
>Retrieve AE Title (0008, 0054) Empty Blank
>Referenced Image Sequence (0008, 1140) Empty X
>>Referenced SOP Class UID (0008, 1150) Empty X
>>Referenced SOP Instance UID (0008, 1155) Empty X
>Referenced Non-Image Composite SOP X
Instance Sequence (0040, 0220) Empty
>>Referenced SOP Class UID (0008, 1150) Empty X
>>Referenced SOP Instance UID (0008, 1155) Empty X
Billing And Material Management Code Module
Film Consumption Sequence (0040, 0321) Empty X
>Number of Films (2100, 0170) Empty X
>Medium Type (2000, 0030) Empty X
>Film Size ID (2010, 0050) Empty X
Radiation Dose Module
Total Number of Exposures (0040,0301) Empty X
Exposure Dose Sequence (0040,030E) Empty X
>Distance Source to Detector (0018,1110) Empty X
>Entrance Dose (0040,0302) Empty X
>Entrance Dose in mGy (0040,8302) Empty X
>KVp (0018,0060) Empty X
>X-ray Tube Current in μA (0018,8151) Empty X
>Image Area Dose Product (0018,115E) Empty X
>Exposure Time (0018,1150) Empty X
>Filter Type (0018,1160) Empty X
>Filter Material (0018,7050) Empty X

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Note:
1. The requirement for the final state is that which applies at the time that the Performed Procedure Step
Status (0040,0252) is N-SET to a value of COMPLETED or DISCONTINUED. It is only described if it is
different from the SCP requirement for the N-CREATE.
2. The Performed Series Sequence (0040,0340) may not be empty (zero length) at the time that the
Performed Procedure Step Status (0040,0252) is N-SET to a value of COMPLETED or
DISCONTINUED. In other words a Series must exist for every Performed Procedure Step, though it
may contain no Images or Non-Image Composite objects, if none were created.
3. Only attributes that are specified in a SOP Instance at N-CREATE may later be updated through the N-
SET. If "Workstation" wishes to use the PPS Discontinuation Reason Code Sequence (0040, 0281), it
creates that attribute (zero-length) during MPPS N-CREATE.

HE/001132 Page 58 of 92
2.3 Network Interfaces

"Workstation" provides DICOM V3.0 TCP/IP Network Communication Support as defined in PS 3.8 of the
DICOM Standard (2004). "Workstation" inherits its TCP/IP stack from the computer system upon which it
executes.
2.3.1 Physical Medium Support

"Workstation" is indifferent to the physical medium over which TCP/IP executes; it inherits the medium from
the computer system upon which it is being executed.
2.3.2 Additional Protocols

"Workstation" can use DNS to resolve hostnames. It will use the TCP/IP stack from the Windows System it
runs on.
For audit trailing the "Workstation" will query an NTP server as time reference. This NTP Server can be
configured in the "Workstation Service & Configuration Tool". For all other cases the local system clock will
be used as a time reference.

HE/001132 Page 59 of 92
2.4 Configuration
2.4.1 AE Title/ Presentation Address Mapping
2.4.1.1 Local AE Titles

"Workstation" uses the AE Titles and TCP/IP Ports configured by means of the "Workstation Service &
Configuration Tool". The Field Service Engineer can configure the TCP Port via the "Workstation Service &
Configuration Tool". No Default AE Titles are provided. The AE Titles must be configured during installation.
The local AE Title used by each individual application can be configured independently of the AE Title used
by other local applications.
Table 2.4-1: AE Title Configuration Table
Application Entity Default AE Title Default TCP/IP Port

Storage No Default 104
Hardcopy No Default Not Applicable
RIS No Default Not Applicable
MPPS No Default Not Applicable
2.4.1.2 Remote AE Title/ Presentation Address Mapping

The AE title, host names and port numbers of remote applications are configured using the "Workstation
Service & Configuration Tool".
2.4.1.2.1 Storage
The "Workstation Service & Configuration Tool" must be used to set the AE Titles, port-numbers, host-
names and capabilities for the remote Storage SCPs. Associations will only be accepted from known AE
Titles while associations from unknown AE Titles will be rejected (an AE Title is known if it can be selected
within the "Workstation Service & Configuration Tool"). Multiple remote Storage SCPs can be defined. Any
Storage SCP can be configured to be an “Archive” device causing storage commitment to be requested for
images or presentation states transmitted to the device.
Storage Commit can be enabled or disabled.
The Archive Connection can be tested by means of a DICOM Ping (C-echo) test to the archive.
2.4.1.2.1.1 Archive options
When sending images to an archive, this can be done by means of the following SOP classes: CR, DX and
MG for presentation or DX and MG for processing. The latter is a RAW image, without any annotations or
measurements burned in.
Image pixels can be sent in the requested output type (configurable) depending on the used SOP class and
whether GSPS is supported or not6.
CR image, WITHOUT GSPS:
- 8 bit OD
- 8 bit OD Gamma correction
- 8 bit P-Value
6
anonymous archiving (i.e. without patient demographics) is not supported

HE/001132 Page 60 of 92
- 12-bit OD
- 12-bit OD Gamma correction
- 12 bit P-Value
- 12-bit OD REL
- 12-bit M1 Image + VOI Lut OD REL
- 12-bit M1 Image + VOI Lut Gamma
- 15-bit M1 Image + VOI Lut P-Value
Note: it is possible to send P-values even in CR images, using the (2050, 0020) Presentation Lut
Shape = "Identity" in the General Image Module
CR image, GSPS ENABLED:

-> only P-value output formats are allowed, since the output of GSPS has to be P-values anyway:
- 8 bit P-Value
- 12 bit P-Value
Note: when GSPS is enabled, the LUT tables in the GSPS are a copy of the LUTs in the image
object.
DX image "for presentation" and/or MG image “for presentation”, both with or without GSPS:
- 8 bit P-Value
- 12 bit P-Value
DX image "for processing" or MG image “for processing”

-> this is always without GSPS, as it is the raw image.
-> the output type cannot be chosen either
Table 2.4-2: Overview of the PACS DICOM CR-Image Types supported by "Workstation".
PI M-Lut Rescale VOI-Lut P-LUT MU1 MU2

LUT-
(1) Intercept Slope Type Explanation WinCenter WinWidth Shape (2) (3)
Description 28,0004 28.1052 28.1053 28.1054 28.3003 28,1050 28.1051 2050,0020
8-bit OD M1 200 10.9804 OD - 1600 2800 - X X

M2 3000 -10.9804 OD - 1600 2800 - X X
8-bit ODGAMMA M1 200 10.9804 OD - 1600 2800 - X X
M2 3000 -10.9804 OD - 1600 2800 - X X
8-bit P-Value M1 0.0 1.0 P-VALUES - 128 256 INVERSE X X
M2 0.0 1.0 P-VALUES - 128 256 IDENTITY X X
12-bit OD M1 200 0.684 OD - 1600 2800 - X X

M2 3000 -0.684 OD - 1600 2800 - X X
12-bit ODGAMMA M1 200 0.684 OD - 1600 2800 - X X

HE/001132 Page 61 of 92
PI M-Lut Rescale VOI-Lut P-LUT MU1 MU2

LUT-
(1) Intercept Slope Type Explanation WinCenter WinWidth Shape (2) (3)
M2 3000 -0.684 OD - 1600 2800 - X X
12-bit P-Value M1 0.0 1.0 P-VALUES - 2048 4096 INVERSE X X
M2 0.0 1.0 P-VALUES - 2048 4096 IDENTITY X X
12-bit OD REL M1 0.0 1.0 OD REL - 2048 4096 - X X

M2 0.0 1.0 OD REL - 2048 4096 - X X
12-bit Image --> VOI Lut OD REL M1 0.0 1.0 LOG_E REL E25, NK5. … - (7) - (7) - X
(12)
M2 0.0 1.0 LOG_E REL E25, NK5. … - (7) - (7) - X
12-bit image --> VOI Lut M1 0.0 1.0 LOG_E REL E25, NK5. … - (7) - (7) - X
ODGamma (12)
M2 0.0 1.0 LOG_E REL E25, NK5. … - (7) - (7) - X
15-bit Image --> VOI Lut P-Value
M1 0.0 1.0 P-VALUES E25, NK5. … - (7) - (7) INVERSE X
(15)
M2 0.0 1.0 P-VALUES E25, NK5. … - (7) - (7) IDENTITY X
12-bit Image --> VOI Lut OD REL M1 0.0 1.0 LOG_E REL - - (7) - (7) - X
(12)
M2 0.0 1.0 LOG_E REL - - (7) - (7) - X
12-bit Image --> VOI Lut M1 0.0 1.0 LOG_E REL - - (7) - (7) - X
ODGamma (12)
M2 0.0 1.0 LOG_E REL - - (7) - (7) - X
15-bit Image --> VOI Lut P-Value M1 0.0 1.0 P-VALUES - WC (9) WW (9) INVERSE X
(15)
M2 0.0 1.0 P-VALUES - WC (9) WW (9) IDENTITY X
(1) Photometric Interpretation : MONOCHROME1 (M1) or MONOCHROME2 (M2)
(2) Formats supported by Musica1 processing
(3) Formats supported by Musica2 processing
(7) WinCenter/WinWidth are not present. Instead LUT Data is present.
(9) Values are in pixel values (eg. 16384, 16384)
(12) After application of the VOI Lut, the bit depth will be equal to the bit depth before application of the VOI Lut, i.c 12 bit
(15) After application of the VOI Lut, the bit depth will be equal to the bit depth before application of the VOI Lut, i.c 15 bit
The above table should be read as follows:

- This table contains the properties for each DICOM CR-Image Type. The relevant DICOM tags
are shown in the column headers and the values that define a specific DICOM CR-Image Type
can be found below the corresponding tag.
- The PACS DICOM CR-Image Types supported by "Workstation" are marked with an “X”.
2.4.1.2.2 RIS
The "Workstation Service & Configuration Tool" must be used to set the AE Title, port-number, host-name
and capabilities of the remote Modality Worklist SCP.
Only one single remote Modality Worklist SCP can be defined at the same time.
2.4.1.2.2.1 Configuration of a RIS
2.4.1.2.2.1.1 Query keys

Query keys are used when the RIS connection is configured for DICOM Modality Worklist. In the
configuration Tool, the user is allowed to enter and/or modify certain query keys. Based on these keys, the
worklist will be populated at the next RIS query.

HE/001132 Page 62 of 92
See Table 2.2-45
2.4.1.2.2.1.2 Protocol Codes
Note on Japanese Protocol Codes

In Japan, the use of protocol codes is slightly different. See the guidelines of the JIRA and JAHIS [JAPAN].
Each Scheduled Protocol Code Sequence consists of the following information:
Table 2.4-3: Information in a Japanese Scheduled Protocol Code Sequence.
Item Coding Scheme No. of items Code Value/Code Meaning

Designator
Procedure content JJ1017T 1 Specified in Section 5.3 7
Target region JJ1017P 1 Specified in Section 5.4 13
Imaging direction JJ1017D 0-N Specified in Section 5.5 13
(Table copied from [JAPAN], p.9)
Each item mentioned in the table is wrapped in a scheduled protocol code sequence item. As shown in the
table, for each item a different coding scheme designator is used.
In practice, a triplet (with the imaging direction possibly omitted) refers to a single Exposure Type in the
"Workstation" exposure tree.
Example of a Japanese SPS

Example of a Scheduled Protocol Code Sequence in a Japanese SPS:
Coding Coding Code Code Meaning

Scheme Scheme Value
Designator Version
JJ1017T 1.0 GX.01.00 Radiography – General Radiography – NOS
JJ1017P 1.0 25.6.201 Chest – Respiratory System – Lung
JJ1017D 1.0 G-5200 Anterior to posterior
JJ1017D 1.0 G-A101 Left lateral
This SPS schedules 2 exposures: Chest AP and Chest LL
"Workstation" can be configured for the use of the Japanese system of Protocol Codes (JJ1017) by means of
the "Workstation Service & Configuration Tool".
2.4.1.2.2.2 Configuration of RIS Mapping

RIS mapping defines how incoming worklist attributes from the RIS are mapped to the SPS elements.
7
See guidelines of the JIRA and JAHIS [JAPAN].

HE/001132 Page 63 of 92
With RIS mapping, the incoming SPS attributes of the RIS are mapped to the internal data structure of
"Workstation". Standard the system will provide a default (1:1) mapping. However in cases where the RIS
sends out the RIS data in a non DICOM conformant way, the customization of the mapping needs to be done
by the operator. This can be done in the "Workstation Service & Configuration Tool".
2.4.1.2.3 MPPS
MPPS reporting can be enabled/ disabled by the operator.
The "Workstation Service & Configuration Tool" must be used to set the AE Title, port-number, host-name
and capabilities of the remote MPPS SCP. Only one single remote MPPS SCP can be defined at a time.
2.4.1.2.4 Printing
The "Workstation Service & Configuration Tool" must be used to set the AE Titles, port-numbers, host-
names and capabilities for the printers. Only the supported printers can be configured. Multiple printers can
be defined.
The DICOM attributes per printer that are configurable are defined in Table 2.2-24, Table 2.2-27, Table
2.2-29
Additionally, the following parameters can be configured
Table 2.4-4: Configurable Printer parameters.
Parameter Configurable
(yes/no)
Name Yes
Description Yes
Use N-Events Yes

IP Address Yes
Port Number Yes
AE Title Yes
SSL Enabled Yes
2.4.1.3 Queue Management & Job description
2.4.1.4 DICOM Store AE
2.4.1.4.1 Queue description

Each Remote Store AE destination has its own configuration (as described in §2.4.1.2.1) and queue. For
each destination, a different retry policy can be configured.
It is possible to configure the rerouting of a DICOM Store queue. A typical example for when this is needed is
a PACS that is temporarily down. The queue can be rerouted to a web server. This web server will then later

HE/001132 Page 64 of 92
on forward the images to the PACS. A DICOM Store queue can only be rerouted to another DICOM Store
queue with
- The same output type configured (this includes the SOP class to be used)
- The same GSPS support
If the new destination is configured for Storage Commitment, the storage commit request will be sent to the
new destination when processing the job.
By means of a SENT-flag, an image that has already been successfully sent to a specific archive cannot be
sent to that archive twice. The SENT-flag can be applied to all DICOM store destinations, including both the
archive and the other softcopy destinations (e.g. viewing stations).
2.4.1.4.2 Job description

One archive job can contain multiple images. All these images and their GSPS’s will be sent to the archive
through a single association.
The user can perform the following actions on existing jobs: “Delete job” and “Expedite job”
When an image in the archive job does not reach its destination, or when the storage commit replies “time
out”, the job is FAILED. .
2.4.1.5 DICOM Print AE

There is only one entry per print job (with possible multiple sheets) in the queue.
All queue actions are done on one print job: retry, reprint, expedite, …
2.4.2 Parameters
The specification of important operational parameters, and if configurable, their default value and range, are
specified in the table below.
The parameters that apply to all Application Entities are specified in the “General Parameters” section. Those
specific to particular Applications are specified in separate sections specific to each AE.
Table 2.4-5: Configurable Parameters for "Workstation".
Parameter Configurable Default value

(yes/no)
General Parameters
Max PDU Receive Size No 65542
Max PDU Send Size (larger PDUs will never be

sent, even if the receiver supports a larger Max PDU
Receive Size. If the receiver supports a smaller Max
PDU Receive Size then the Max PDU Send Size will
be reduced accordingly for the duration of the No 65542
Association. Max PDU Receive Size information is
exchanged during DICOM Association Negotiation in
the Maximum Length Sub-Item of the A-
ASSOCIATION-RQ and A-ASSOCIATE-AC)

HE/001132 Page 65 of 92

(yes/no)
Time-out waiting for an acceptance or rejection

response to an Association Request (Application No 15 minutes
Level Timeout)
Time-out waiting for a response to an Association
No 15 minutes
release request (Application Level Timeout)
Time-out waiting for completion of a TCP/IP connect

No 100 seconds
request (Low-level timeout)
Time-out awaiting a Response to a DIMSE Request
(Low-Level Timeout) No 100 seconds
Time-out for waiting for data between TCP/IP-

packets (Low Level Timeout) No 100 seconds
Storage parameters
Storage SCU time-out waiting for a response to a C- No 15 minutes
STORE-RQ
Manually: There’s no
restriction of the number of
Number of times a failed send job may be retried No retires of failed jobs as
long as they aren’t
deleted.
Delay between retrying failed send jobs No N/A
Supported Transfer Syntaxes (separately

configurable for each remote AE) Yes
Secure DICOM (SSL) Yes
Is Archive?8 Yes
Storage Commit Parameters
Enable Storage Commit Yes
Enable secure DICOM Connection Yes
8
If yes, images sent to this destination will be referenced in the MPPS.

HE/001132 Page 66 of 92

(yes/no)
Timeout waiting for a Storage Commitment
Notification (maximum duration of applicability for a Yes
Storage Commitment Transaction UID).
Modality Worklist Parameters

Modality Worklist SCU time-out waiting for the final
response to a C-FIND-RQ No 15 minutes
Maximum number of Worklist Items No 400
Supported Transfer Syntaxes for Modality Worklist Implicit VR Little Endian

No
Delay between automatic Worklist Updates Yes
MPPS Parameters
Enable MPPS Reporting Yes
MPPS SCU time-out waiting for a response to a N-
CREATE-RQ No 15 minutes
MPPS SCU time-out waiting for a response to a N-
SET-RQ No 15 minutes
Supported Transfer Syntaxes for MPPS Implicit VR Little Endian

No
Print Parameters
Print SCU time-out waiting for a response to a N-
No 10 minutes
CREATE-RQ

No 10 minutes
SET-RQ

No 10 minutes
ACTION-RQ
Supported Transfer Syntaxes (separately Taken from printer device

No
configurable for each remote printer) model provided by Agfa.
Number of times a failed print-job may be retried No Automatically : 8 times
2 times immediately, then

the job gets parked for 3
minutes and retried 3
Delay between retrying failed print-jobs No times again. In case the
job still fails, it is parked
for 5 minutes and retried 3
times.

No 10 minutes
CREATE-RQ

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3 MEDIA INTERCHANGE
"Workstation" is able to create or read DICOM Interchange media. The related capabilities are described in
the following sections.
3.1 Implementation Model
Offline-Media Application CD-R

Export To CD-R Export
Entity Storage Medium
Figure 3.1-1: Application Data Flow Diagram for Media Storage
- The Offline-Media Application Entity exports DICOM images and Presentation States to a CD-R
Storage medium. It is associated with the local real-world activity “Export Images”. “Export
Images” is performed upon user request.
3.1.2 Functional Definition of AEs
3.1.3 Sequencing of Real World Activities

At least one image or presentation state must exist and be selected before the Offline-Media Application
Entity can be invoked. The Offline-Media Application Entity is invoked through the local real-world activity
“Export Images”.
The operator must insert a new (blank) CD-R media before invocation of the Offline-Media Application Entity.
If no CD-R is inserted, the Offline-Media Application Entity will prompt for a media to be inserted before
starting to write to the CD-R device. The export job can be canceled from the job queue by clicking “Cancel”
on this prompt.
Processed Images are exported in standard DICOM format. A Dicom Viewer is burned with the images on
the CD, to view these images later on. The images can be read by any Dicom Compatible application.
Export to a hard disk is NOT supported by "Workstation".
3.1.4 File Meta Information for Implementation Class and Version

The implementation information written to the File Meta Header in each file is:

HE/001132 Page 68 of 92
Table 3.1-1: AE Related Application Profiles, Real World Activities and Roles

9
Implementation Version Name AGFA DTF1.0.XX
3.2 AE Specifications
3.2.1 Offline-Media Application Entity Specification

The Offline-Media Application Entity provides standard conformance to the DICOM Interchange Option of
the Media Storage Service Class. The Application Profiles and roles are listed below:
Table 3.2-1: AE Related Application Profiles, Real World Activities and Roles
Application Profile Supported Real-World Activity Roles SC Option
Portable data for imaging Export to CD-R FSC Interchange

(creation of a File-Set)
3.2.1.1 Real World Activities
3.2.1.1.1 Real World Activity - Export to CD-R

The Offline-Media Application Entity acts as an FSC using the interchange option when requested to export
SOP Instances from the local database to a CD-R medium.
If the current contents selection does not fit on a single media, an error message is displayed and the export
will fail.
The user will be prompted to insert an empty CD-R for each export job. The contents of the export job will be
written together with a corresponding DICOMDIR, which is placed in the root directory, to a single-session
CD-R. Writing in multi-session mode is supported. The user can cancel an export job in the job queue.
The file names and directory names may reflect the patient name or ID if necessary, but in case the operator
selects “anonymous export” these names and IDs should not refer to the actual patient.
The aim of anonymous export is that any data, which could be used to derive the identity of the patient, is
removed from the image. This includes all dates, UID and other ID’s, patient related information and all
related physician’s names.
All attributes from the following modules are therefore blanked:
- Patient
- Patient Study
- Patient Medical
- General Study
- General Series
- DX Series
- SOP Common
- General Image
9
XX is the build version number.

HE/001132 Page 69 of 92
Exceptions exist for attributes which are necessary to correctly import or interpret the image. Therefore the
following values are kept or replaced by generated values:
Table 3.2-2: Necessary Values when performing an Anonymous Export.
Attribute Tag Set to …

Patient’s Name (0010,0010) “Anonymous”
Study Instance UID (0020,000D) Keep value
Modality (0008,0060) Keep value
Series Instance UID (0020,000E) Keep value
Laterality (0020,0060) Keep value
Series description (0008,103E) Keep value
Protocol name (0018,1030) Keep value
Body Part Examined (0018,0015) Keep value
Smallest Pixel Value in Series (0028,0108) Keep value
Largest Pixel Value in Series (0028,0109) Keep value
Presentation Intent Type (0008,0068) Keep value
SOP Instance UID (0008,0018) Keep value
SOP Class UID (0008,0016) Keep value
Specific character set (0008,0005) Keep value
Patient Orientation (0020,0020) Keep value
Image type (0008,0008) Keep value
Image comments (0020,4000) Keep value
Presentation LUT shape (2050,0020) Keep value
3.2.1.1.1.1 Media Storage Application Profile

The Offline-Media Application Entity supports the STD-GEN-CD Application Profile.
3.2.1.1.1.1.1 Options
The Offline-Media Application Entity supports the SOP Classes and Transfer Syntaxes listed in the Table
below:
Table 3.2-3: IOD’S, SOP Classes and Transfer syntaxes for offline media
IOD SOP Class UID Transfer Syntax Transfer Syntax UID
CR Image Storage 1.2.840.10008.5.1.4.1.1.1 Explicit VR Little Endian 1.2.840.10008.1.2.1
Digital X-Ray Image

1.2.840.10008.5.1.4.1.1.1.1 Explicit VR Little Endian 1.2.840.10008.1.2.1
Storage – For Presentation

HE/001132 Page 70 of 92
IOD SOP Class UID Transfer Syntax Transfer Syntax UID

Digital X-Ray Image
1.2.840.10008.5.1.4.1.1.1.1.1 Explicit VR Little Endian 1.2.840.10008.1.2.1
Storage – For Processing
Grayscale Softcopy
1.2.840.10008.5.1.4.1.1.11.1 Explicit VR Little Endian 1.2.840.10008.1.2.1
Presentation State Storage
Digital Mammography 1.2.840.10008.5.1.4.1.1.1.2 Implicit VR Little Endian 1.2.840.10008.1.2

Image Storage – For
Presentation
Digital Mammography 1.2.840.10008.5.1.4.1.1.1.2.1 Implicit VR Little Endian 1.2.840.10008.1.2
Image Storage – For
Processing
3.3 Media Configuration

The Source AE Title in the File Meta Information is the AE Title that can be configured in the General
Settings in the "Workstation Service & Configuration Tool".

HE/001132 Page 71 of 92
4 SUPPORT FOR EXTENDED CHARACTER SETS

"Workstation" supports the following character sets:
· ISO-IR 6 (default) Basic G0 Set

· ISO-IR 100 Latin Alphabet No. 1
· ISO-IR 126 Greek
· ISO-IR 144 Cyrillic
· ISO-IR 127 Arabic
· ISO-IR 13 Japanese
· ISO-IR 138 Hebrew
Chinese Character Sets
· GB18030 GB18030-2000
· ISO 2022 B5 Big 5
· ISO 2022 GBK GB 2313-80
Japanese Character Sets
· ISO 2022 IR 87 ASCII and Kanji
· ISO 2022 IR 13 Katakana, Romaj and Kanji
ISO 2022 IR 87
· ISO 2022 IR 159 Japanese suppl. Kanji
Other Character Sets
· ISO 2022 IR 126 Greek
· ISO 2022 IR 144 Cyrillic
· ISO 2022 IR 138 Hebrew
· ISO 2022 IR 149 Korean
· ISO 2022 IR 127 Arabic
· ISO 2022 IR 100 Latin alphabet No 1
· UTF-8 Unicode

HE/001132 Page 72 of 92
5 SECURITY
5.1 Security Profiles

The workstation supports the following profiles:
Ø Basic TLS Secure Transport Connection Profile
Ø Basic Network Address Management Profile
Ø Basic Time synchronization Profile
5.2 Association Level Security

"Workstation" supports secure associations using TLS. Associations are only allowed to be opened when
they are received from an AE title that is known to the Workstation (i.e. the specific AE title has been
configured in the "Workstation Service & Configuration Tool".).
5.3 Application Level Security

"Workstation" supports application level security by means of role based access control. These user roles
are associated to the Windows XP users. In the "Workstation Service & Configuration Tool", user roles can
be assigned to certain accounts. Some of the user roles can be modified or new ones can be created by a
user with the appropriate rights.
By default the workstation will be configured to automatically log the current user out after a certain period of
non-activity.
Audit logging to an external repository is supported
"Workstation" can be configured to get its time from an NTP-server.

HE/001132 Page 73 of 92
6 ANNEXES
6.1 IOD Contents
6.1.1 Created SOP Instances

The following tables use a number of abbreviations. The abbreviations used in the “Presence of...”- column,
are:
Ø VNAP Value Not Always Present (attribute sent zero length if no value is present)
Ø ANAP Attribute Not Always Present
Ø ALWAYS Always Present with a value
Ø EMPTY Attribute is sent without a value
The abbreviations used in the “Source”-column:

Ø USER the attribute value source is from User input
Ø AUTO the attribute value is generated automatically
Ø MWL. the attribute value is the value received from the Modality Worklist
Ø CONFIG the attribute value source is a configurable parameter
6.1.1.1 Common Modules

Table 6.1-1: Common Modules
Presence of
Attribute Name Tag VR Value Source
Value
Patient
Patient Identification
Patient's Name (0010, 0010) PN VNAP User / MWL
Patient ID (0010, 0020) LO VNAP User / MWL
Issuer of Patient ID (0010, 0021) LO ANAP MWL
Other Patient IDs (0010,1000) LO ANAP MWL
Other Patient Names (0010,1001) PN ANAP MWL
Patient’s Birth Name (0010, 1005) PN ANAP MWL
Patient’s Mother’s Birth Name (0010, 1060) PN ANAP MWL
Medical Record Locator (0010, 1090) LO ANAP MWL
Patient Demographic
Patient’s Age (0010, 1010) AS ANAP User / MWL
Occupation (0010, 2180) SH ANAP MWL
Confidentiality Constraint on
Patient Data Description (0040, 3001) LO ANAP MWL
Patient's Birth Date (0010, 0030) DA VNAP User / MWL
Patient’s Birth Time (0010, 0032) TM VNAP User / MWL
Patient's Sex (0010, 0040) CS VNAP User / MWL
Patient's Insurance Plan Code
Sequence (0010, 0050) SQ ANAP MWL

HE/001132 Page 74 of 92
Presence of
Value
> Code Sequence
> Patient’s Primary Language
Code Modifier Sequence (0010, 0102) SQ ANAP MWL
>> Code Sequence
Patient's Size (0010, 1020) DS ANAP User / MWL
Patient's Weight (0010, 1030) DS ANAP User / MWL
Patient’s Address (0010, 1040) LO ANAP MWL
Military Rank (0010, 1080) LO ANAP User / MWL
Branch of Service (0010, 1081) LO ANAP User / MWL
Country of Residence (0010, 2150) LO ANAP MWL
Region of Residence (0010, 2152) LO ANAP MWL
Patient’s Telephone Numbers (0010, 2154) SH ANAP MWL
Ethnic Group (0010,2160) SH ANAP User / MWL
Patient's Religious Preference (0010, 21F0) LO ANAP MWL
Patient Comments (0010,4000) LT ANAP User / MWL
Visit Status
Referenced Patient Sequence (0008, 1120) SQ ANAP MWL
>Referenced SOP Class UID (0008, 1150) UI ANAP MWL
>Referenced SOP Instance
UID (0008, 1155) UI ANAP MWL
Visit Status ID (0038, 0008) CS ANAP MWL
Current Patient Location (0038, 0300) LO ANAP MWL
Patient’s Institution Residence (0038, 0400) LO ANAP MWL
Visit Comments (0038, 4000) LT ANAP Auto
Patient Medical
Medical Alerts (0010, 2000) LO ANAP MWL
Contrast Allergies (0010, 2110) LO ANAP MWL
Smoking Status (0010, 21A0) CS ANAP User / MWL
Pregnancy Status (0010, 21C0) US ANAP User / MWL
Last Menstrual Date (0010, 21D0) DA ANAP User / MWL
Special Needs (0038, 0050) LO ANAP MWL
Patient State (0038, 0500) LO ANAP MWL
Additional Patient’s History (0010, 21B0) LT ANAP MWL
Study
General Study
Study Instance UID (0020, 000D) UI ALWAYS MWL / Auto
Study Date (0008, 0020) DA ALWAYS Auto
Study Time (0008, 0030) TM ALWAYS Auto
Referring Physician's Name (0008, 0090) PN VNAP User / MWL
Referring Physician Identification
Requested
Procedure ID or
generated for
unscheduled (app A
Study ID (0020, 0010) SH IHE note 5) ALWAYS Auto / MWL
Accession Number (0008, 0050) SH VNAP User / MWL
Performed
Procedure step
Study Description (0008, 1030) LO Description ANAP Auto

HE/001132 Page 75 of 92
Presence of
Value
Physician(s) of Record (0008, 1048) PN ANAP MWL
Physician(s) of Record
Identification Sequence (0008, 1049) SQ ANAP MWL
Name of Physician(s) Reading
Study (0008, 1060) PN ANAP MWL
Physician(s) Reading Study
Identification Sequence (0008, 1062) ANAP User
Referenced Patient Sequence (0008, 1120) SQ ANAP MWL
>Referenced SOP Class UID (0008, 1150) UI ANAP MWL
>Referenced SOP Instance
UID (0008, 1155) UI ANAP MWL
Procedure Code Sequence (0008, 1032) SQ ANAP MWL
Patient Study
Admitting Diagnoses Description (0008, 1080) LO ANAP MWL
Admitting Diagnoses Code
Patient’s Age (0010, 1010) AS ANAP User / MWL
Patient's Size (0010, 1020) DS ANAP User / MWL
Patient's Weight (0010, 1030) DS ANAP User / MWL
Occupation (0010, 2480) SH ANAP MWL
Additional Patient’s History (0010, 21B0) LT ANAP MWL
Series
General Series
Config,
>Archive
settings SOP
Modality (0008,0060) CS ALWAYS Class
Different for each
Series Instance UID (0020,000E) UI image ALWAYS Auto
Series Number (0020, 0011) IS ALWAYS Auto
Based on protocol
Laterality (0020,0060) CS code ALWAYS User / Auto
Performing Physicians’ Name (0008, 1050) PN ANAP User
Performing Physician’s
Identification Sequence (0008, 1050) SQ ANAP MWL
Protocol Name (0018, 1030) LO ANAP Auto
Exposure Type
Series Description (0008, 103E) LO Name ALWAYS Auto
Depending on
security setting either
auto filled in with
Operators' Name (0008, 1070) PN login ALWAYS User / Auto
Referenced Performed Procedure
Step Sequence (0008, 1111) SQ ANAP Auto
>Referenced SOP Class UID (0008, 1150) UI ANAP Auto
>Referenced SOP Instance UID (0008, 1155) UI ANAP Auto
Related Series Sequence (0008, 1250) SQ ANAP MWL
> Study Instance UID (0020, 000D) UI
> Series instance UID (0020, 000E) UI
>Purpose of Reference Code
Sequence (0040, A170) SQ
Patient Position (0018, 5100) CS Empty ANAP
Smallest Pixel Value in Series (0028, 0108) US NEVER

HE/001132 Page 76 of 92
Presence of
Value
Largest Pixel Value in Series (0028, 0109) US NEVER
Request Attributes Sequence (0040, 0275) SQ ANAP MWL
>Requested Procedure ID (0040, 1001) SH ANAP MWL
>Reason for the Requested
Procedure (0040, 1002) LO
>Reason for Requested
Procedure Code Sequence (0040, 100A) SQ
>Scheduled Procedure Step ID (0040, 0009) SH ANAP MWL
>Scheduled Procedure Step
Description (0040, 0007) LO ANAP MWL
>Scheduled Protocol Code
10
>> Protocol Context Sequence (0040, 0440) SQ
>>>Content Item Modifier
Sequence (0040, 0441) SQ
Performed Procedure Step ID (0040, 0253) SH ANAP Auto
Exam group
names of
Performed Procedure Step exposures in
Description (0040, 0254) LO the study Auto
Performed Procedure Step Start
Date (0040, 0244) DA Auto
Performed Procedure Step Start
Time (0040, 0245) TM Auto
Performed Protocol Code
Sequence (0040, 0260) SQ ANAP MWL / User
> Code Value (0008, 0100) SH ANAP MWL / User
> Code Scheme Designator (0008, 0102) SH ANAP MWL / User
> Code Meaning (0008, 0104) SH ANAP MWL / User
> Protocol Context Sequence (0040, 0440) SQ ANAP MWL / User
>>Content Item Modifier
Sequence (0040, 0441) SQ ANAP MWL / User
Comments on the Performed
Procedure Step (0040, 0280) LO ANAP Auto
Equipment
General Equipment
Station Name (0008, 1010) SH Auto
Institution Name (0008, 0080) LO ANAP MWL/ Config
Institution Address (0008, 0081) ST ANAP MWL /Config
Institutional Department Name (0008, 1040) LO ANAP MWL/ Config
Auto (from
Manufacturer (0008, 0070) LO ALWAYS digitizer)
Auto (from
Manufacturer’s Model Name (0008, 1090) LO ALWAYS digitizer)
Device Serial Number (0018, 1000) LO ALWAYS Auto
Software Versions (0018, 1020) LO ANAP Auto
Image
General Image
10
The following rules are applicable for DICOM:
- When 0008,102 was not supplied by the RIS, its value will be "UNKNOWN".

HE/001132 Page 77 of 92
Presence of
Value
Instance Number (0020, 0013) CS ALWAYS Auto
Patient Orientation (0020, 0020) IS ALWAYS Auto
Content Date (0008, 0023) DT VNAP Auto
Content Time (0008, 0033) TM VNAP Auto
Image Type (0008, 0008) CS ALWAYS Auto
Acquisition Number (0020, 0012) IS ANAP Auto
Acquisition Date (0008, 0022) DA ALWAYS Auto / User
Acquisition Time (0008, 0032) TM ALWAYS Auto / User
Acquisition Datetime (0008, 002A) DT ALWAYS Auto
Referenced Image Sequence (0008, 1140) SQ ANAP
> Referenced SOP Class UID (0008, 1150) UI ANAP
> Referenced SOP Instance UID (0008, 1155) UI ANAP
> Referenced Frame Number (0008, 1160) IS ANAP
> Purpose of Reference Code
Sequence (0040, A170) SQ ANAP
Derivation description (0008, 2111) ST ANAP Auto
Source Image Sequence (0008, 2112) SQ ANAP Auto
> Referenced SOP Class UID (0008, 1150) UI
> Referenced SOP Instance UID (0008, 1155) UI
> Referenced Frame Number (0008, 1160) IS
Sequence (0040, A170) SQ
Referenced Waveform Sequence (0008, 113A) SQ NEVER
Sequence (0040, A170) SQ ANAP Auto
Images in Acquisition (0020, 1002) IS NEVER
Image Comments (0020, 4000) LT ANAP User
When exposure is
defined as QC in
Quality Control Image (0028, 0300) CS study tree ANAP Auto
Burned in Annotation (0028, 0301) CS No ALWAYS Fixed
Lossy Image Compression (0028, 2110) CS EMPTY Empty
Lossy Image Compression Ratio (0028, 2112) DS ANAP Auto
Lossy Image Compression
Method (0028, 2114) CS ANAP Auto
Presentation LUT Shape (2050, 0020) CS ALWAYS Config
Image Pixel
Samples per Pixel (0028, 0002) US 1 ALWAYS Fixed
11
Photometric Interpretation (0028, 0004) CS M1 or M2 ALWAYS Auto
Rows (0028, 0010) US ALWAYS Auto
Columns (0028, 0011) US ALWAYS Auto
Pixel Aspect Ratio (0028, 0034) IS ANAP Auto
Bits Allocated (0028, 0100) US ALWAYS Auto
Bits Stored (0028, 0101) US ALWAYS Auto
High Bit (0028, 0102) US ALWAYS Auto
12
Pixel Representation (0028, 0103) US ALWAYS Auto
11
Fixed M1 when using DX for Processing
12
Depends on digitizer type. In case of DX for Processing,
the pixel representation is fixed 0

HE/001132 Page 78 of 92
Presence of
Value
Pixel Data (7FE0, 0010) OB ALWAYS Auto
Planar Configuration (0028, 0006) US NEVER
Smallest Image Pixel Value (0028, 0106) US NEVER
Largest Image Pixel Value (0028, 0107) US NEVER
Red Palette Color Lookup Table
descriptor (0028, 1101) US NEVER
Green Palette Color Lookup Table
Blue Palette Color Lookup Table
Red Palette Color Lookup Table
data (0028, 1201) OW NEVER
Green Palette Color Lookup Table
Blue Palette Color Lookup Table
SOP Common
SOP Class UID (0008, 0016) UI ALWAYS Fixed
SOP Instance UID (0008, 0018) UI ALWAYS Auto
Specific Character Set (0008, 0005) CS ANAP Config
Instance Creation Date (0008, 0012) DA ALWAYS Auto
Instance Creation Time (0008, 0013) TM ALWAYS Auto
Related General SOP Class UID (0008, 001A) UI NEVER
Original Specialized SOP Class
UID (0008, 001B) UI NEVER
Coding Scheme Identification
Sequence (0008, 0110) SQ NEVER
> Code Scheme Designator (0008, 0102) SH NEVER
> Coding Scheme Registry (0008, 0112) LO NEVER
> Coding Scheme UID (0008, 010C) UI NEVER
> Coding Scheme External ID (0008, 0114) ST NEVER
> Coding Scheme Name (0008, 0115) ST NEVER
> Responsible Organization (0008, 0116) ST NEVER
Timezone Offset From UTC (0008, 0201) SH NEVER
Contributing Equipment Sequence (0018, A001) SQ
> Manufacturer (0008,0070) LO ALWAYS Config
> Institution Name (0008,0080) LO ANAP Config
> Institution Address (0008,0081) ST ANAP MWL / Config
Config:Station
name of the
> Station Name (0008,1010) SH ALWAYS
digitizer
known on NX
> Institutional Department Name (0008,1040) LO ANAP MWL / Config
> Manufacturer’s Model Name (0008,1090) LO ALWAYS Auto
> Device Serial Number (0018,1000) LO ALWAYS Auto
> Software Versions (0018,1020) LO ALWAYS Auto
> Spatial Resolution (0018,1050) DS NEVER
> Date of Last Calibration (0018,1200) DA NEVER
> Time of Last Calibration (0018,1201) TM NEVER
> Contribution DateTime (0018,A002) DT NEVER

HE/001132 Page 79 of 92
Presence of
Value
> Contribution Description (0018,A003) ST NEVER
Instance Number (0020,0013) IS ALWAYS Auto
SOP Instance Status (0100,0410) CS NEVER
SOP Authorization Date and Time (0100,0420) DT NEVER
SOP Authorization Comment (0100,0424) LT NEVER
Authorization Equipment
Certification Number (0100,0426) LO NEVER
Encrypted Attributes Sequence (0400,0500) SQ NEVER
>Encrypted Content Transfer
Syntax UID (0400,0510) UI NEVER
>Encrypted Content (0400,0520) OB NEVER
Private attributes
Only available in
case that the image
was scanned using a
non-Compact family
Plate sensitivity (0019,10F6) DS digitizer. ANAP Auto
Only available in
case that the image
was scanned using a
non-Compact family
Plate erasability (0019,10F7) DS digitizer. ANAP Auto
Requested Procedure Description (0032,1060) LO ANAP Manual/MWL
6.1.1.2 CR
6.1.1.2.1 CR Image IOD

Table 6.1-2: IOD of Created CR Image SOP Instances
IE Module Reference Presence of Module

Patient Patient Identification Table 6.1-1 ALWAYS
Extended Patient Table 6.1-1 If received from MWL
Study General Study Table 6.1-1 ALWAYS
Patient Study Table 6.1-1 ALWAYS
Series General Series Table 6.1-1 ALWAYS
CR Series Table 6.1-3 ALWAYS
Equipment General Equipment Table 6.1-1 ALWAYS
Image General Image Table 6.1-1 ALWAYS
Image Pixel Table 6.1-1 ALWAYS
CR Image Table 6.1-3 ALWAYS
Modality LUT Table 6.1-3 ALWAYS
VOI LUT Table 6.1-3 ALWAYS
SOP Common Table 6.1-1 ALWAYS

HE/001132 Page 80 of 92
6.1.1.2.2 CR Modules
Table 6.1-3: CR Modules of Created SOP Instances
Presence
of Value
Series
CR Series
View Position (0018,5101) CS Based on protocol code ALWAYS Auto / User
Focal Spot (0018, 1190) DS Auto
Filter Type (0018, 1160) SH Auto
Body Part Examined (0018,0015) CS Based on protocol code ALWAYS Auto / User
Collimator/ Grid Name (0018, 1180) SH
Plate Type (0018, 1260) SH ALWAYS Auto
Phosphor Type (0018, 1261) LO ANAP Auto
Image
CR Image
Fixed per
Photometric Interpretation (0028, 0004) CS ALWAYS archive model
KVP (0018, 0060) DS ANAP (1) Auto
Plate ID (0018,1004) LO ALWAYS Auto
Distance Source to Detector (0018, 1110) DS ANAP (1) Auto
Distance Source to Patient (0018, 1111) DS ANAP (1) Auto
Exposure Time (0018, 1150) IS ANAP (1) Auto
X-Ray Tube Current (0018, 1151) IS ANAP (1) Auto
Exposure (0018, 1152) IS ANAP (1) Auto
Exposure in µAs (0018, 1153) IS ANAP (1) Auto
Imager Pixel Spacing (0018, 1164) DS ALWAYS Auto
Pixel Spacing (0028, 0030) DS ALWAYS Auto
Generator Power (0018, 1170) IS ANAP (1) Auto
Acquisition Device Processing
Description (0018, 1400) LO ANAP Auto
Code (0018, 1401) LO ANAP Auto
Cassette Orientation (0018, 1402) CS ALWAYS Auto / User
Cassette Size (0018, 1403) CS ALWAYS Auto
Lgm value multiplied by
Relative X-Ray Exposure (0018, 1405) IS 100 ANAP Auto
Sensitivity (0018, 6000) DS ALWAYS Config / User
Modality LUT
Modality LUT Sequence (0028, 3000) SQ ANAP Auto
> LUT Descriptor (0028, 3002) SS ANAP Auto
> LUT Explanation (0028, 3003) LO ANAP Auto
> Modality LUT Type (0028, 3004) LO
> LUT Data (0028, 3006) SS ANAP Auto
Rescale Intercept (0028, 1052) DS ANAP Auto
Rescale Slope (0028, 1053) DS ANAP Auto
Rescale Type (0028, 1054) LO ANAP Auto
VOI LUT
VOI LUT Sequence (0028, 3010) SQ ANAP Config
> LUT Descriptor (0028, 3002) SS ANAP Auto

HE/001132 Page 81 of 92
Presence
of Value
> LUT Explanation (0028, 3003) LO ANAP Auto
> LUT Data (0028, 3006) SS ANAP Auto
Window Center (0028, 1050) DS ANAP Auto
Window Width (0028, 1051) DS ANAP Auto
Window Center & Width
Explanation (0028,1055) LO ANAP Auto
6.1.1.3 DX
6.1.1.3.1 DX Image IOD

Table 6.1-4: IOD of Created DX Image SOP Instances

DX Series Table 6.1-5 ALWAYS
Display Shutter Table 6.1-5 When shutter is applied
DX Anatomy Table 6.1-5 ALWAYS
DX Image Table 6.1-5 ALWAYS
DX Detector Table 6.1-5 ALWAYS
X-Ray acquisition Table 6.1-5 When the XRDI Module is installed
dose
X-Ray Collimator Table 6.1-5 When the XRDI Module is installed
DX Positioning Table 6.1-5
Acquisition Context Table 6.1-5 ALWAYS
6.1.1.3.2 DX Modules
Table 6.1-5: DX Module of Created SOP Instances
Presence
of Value
Series
DX Series
Modality (0008, 0060) CS DX ALWAYS Config
Referenced Performed Procedure (0008, 1111) SQ ANAP Auto

HE/001132 Page 82 of 92
Presence
of Value
Step Sequence
> Referenced SOP Class UID (0008, 1150) UI ANAP Auto
> Referenced SOP Instance UID (0008, 1155) UI ANAP Auto
For Processing/For
Presentation Intent Type (0008, 0068) CS Presentation ALWAYS Config
Image
Display Shutter
Shutter Shape (0018, 1600) CS ANAP User
Shutter Left Vertical Edge (0018, 1602) IS ANAP User
Shutter Right Vertical Edge (0018, 1604) IS ANAP User
Shutter Upper Horizontal Edge (0018, 1606) IS ANAP User
Shutter Lower Horizontal Edge (0018, 1608) IS ANAP User
Vertices of the Polygonal Shutter (0018, 1620) IS ANAP User
Shutter Presentation Value (0018, 1622) US ANAP User
DX Anatomy
Anatomic Region Sequence (0008,2218) SQ ANAP Config / User
> Anatomic Region Modifier
Sequence (0008, 2220) SQ ANAP Config
Image Laterality (0020, 0062) CS ALWAYS Config / User
DX Image
ORIGINAL when coming
from a digitizer, DERIVED
when the image comes
from a Save as new
The sub-attribute IOD

Specific Characteristics is
filled in with the exposure
type name for QA images
Image Type (0008, 0008) CS (used by Auto-QC2) ALWAYS Auto
Samples per Pixel (0028, 0002) US ALWAYS Auto
Photometric Interpretation (0028, 0004) CS ALWAYS Config
Bits Allocated (0028, 0100) US ALWAYS Auto
Bits Stored (0028, 0101) US ALWAYS Auto
High Bit (0028, 0102) US ALWAYS Auto
Pixel Representation (0028, 0103) US ALWAYS Auto
Pixel Intensity Relationship (0028, 1040) CS ALWAYS Auto
Pixel Intensity Relationship Sign (0028, 1041) SS ALWAYS Auto
Rescale Intercept 13 (0028, 1052) DS 0 and 1 ALWAYS Config
28
Rescale Slope (0028, 1053) DS 0 and 1 ALWAYS Config
Rescale Type (0028, 1054) LO ALWAYS Config
Presentation LUT Shape (2050, 0020) CS IDENTITY ALWAYS Fixed
Lossy Image Compression (0028, 2110) CS 00 ALWAYS Fixed
Lossy Image Compression Ratio (0028, 2112) DS ANAP Auto
Derivation Description (0008, 2111) ST ANAP Auto
Description (0018, 1400) LO ANAP Auto
Code (0018, 1401) LO ANAP Auto
13
Fixed when using DX for Processing

HE/001132 Page 83 of 92
Presence
of Value
Patient Orientation (0020, 0020) CS ALWAYS Auto
Calibration Image (0050, 0004) CS ANAP Config
Burned in Annotation (0028, 0301) CS YES ALWAYS Fixed
VOI LUT Sequence (0028, 3010) SQ ANAP Auto
>LUT Descriptor (0028, 3002) SS ANAP Auto
>LUT Explanation (0028, 3003) LO ANAP Auto
>LUT Data (0028, 3006) SS ANAP Auto
Explanation (0028, 1055) LO ANAP Auto
DX Detector
Detector Type (0018, 7004) CS ANAP Auto
(1)
Detector Configuration (0018, 7005) CS ANAP Auto
For the DX/S family of
digitizers:
0 = Phosphor IP
1 = Needle IP
For the ADC Compact

family of digitizers:
- Label of the type of
storage phosphor plates
Detector Description (0018, 7006) LT (e.g. MD10) ALWAYS Auto
Detector Mode (0018, 7008) LT ANAP(1) Auto
For the DX/S family of
digitizers, this is the
Image plate ID.
For the ADC Compact

family of digitizers, this is
Detector ID (0018, 700A) SH the cassette ID. ALWAYS Auto
Date of Last Detector Calibration (0018, 700C) DA ANAP Auto
Exposures on Detector Since Last
Calibration (0018, 7010) IS ANAP Auto
Exposures on Detector Since
Manufactured (0018, 1404) IS ANAP Auto
Detector Time Since Last
Exposure (0018, 7012) DS ANAP(1) Auto
Detector Active Time (0018, 7014) DS ANAP(1) Auto
Detector Activation Offset From
(1)
Exposure (0018, 7016) DS ANAP Auto
Detector Binning (0018, 701A) DS ANAP (1) Auto
Detector Manufacturer Name (0018, 702A) LO ANAP (1) Auto
Detector Manufacturer’s Model
(1)
Name (0018, 702B) LO ANAP Auto
Detector Conditions Nominal Flag (0018, 7000) CS ANAP (1) Auto
Detector temperature (0018, 7001) DS ANAP (1) Auto
Sensitivity (0018, 6000) DS ALWAYS Config / User
Field of View Shape (0018, 1147) CS ANAP (1) Auto
(1)
Field of view Dimension(s) (0018, 1149) IS ANAP Auto
Field of View Origin (0018, 7030) DS ANAP (1) Auto
Field of View Rotation (0018, 7032) DS ANAP User

HE/001132 Page 84 of 92
Presence
of Value
Field of View Horizontal Flip (0018, 7034) CS ANAP User
Imager Pixel Spacing (0018, 1164) DS ALWAYS Auto
Pixel Spacing (0028, 0030) DS ALWAYS Auto
Detector Element Physical Size (0018, 7020) DS ANAP Auto
Detector Element Spacing (0018, 7022) DS ANAP Auto
Detector Active Shape (0018, 7024) CS RECTANGLE ALWAYS Fixed
Cassette size translated
Detector Active Dimension(s) (0018, 7026) DS into MM ALWAYS Auto
Detector Active Origin (0018, 7028) DS ANAP Auto
X-Ray Collimator
Collimator Shape (0018, 1700) CS ANAP Auto / User
Collimator Left Vertical Edge (0018, 1702) IS ANAP Auto / User
Collimator Right Vertical Edge (0018, 1704) IS ANAP Auto / User
Collimator Upper Horizontal Edge (0018, 1706) IS ANAP Auto / User
Collimator Lower Horizontal Edge (0018, 1708) IS ANAP Auto / User
Center of Circular Collimator (0018, 1710) IS ANAP Auto / User
Radius of Circular Collimator (0018, 1712) IS ANAP Auto / User
Vertices of the Polygonal
Collimator (0018, 1720) IS ANAP Auto / User
DX Positioning
Projection Eponymous Name
Code Sequence (0018, 5104) SQ ANAP Auto
Patient Position (0018, 5100) CS ANAP User
View Position (0018, 5101) CS Based on protocol code ALWAYS Auto / User
View Code Sequence (0054, 0220) SQ ANAP Auto
Patient Orientation Code
Sequence (0054, 0410) SQ ANAP (1) Auto
Patient Orientation Modifier Code
Sequence (0054, 0412) SQ ANAP (1) Auto
Patient Gantry Relationship Code
(1)
Sequence (0054, 0414) SQ ANAP Auto
Distance Source to Detector (0018, 1110) DS ANAP (1) Auto
Estimated Radiographic
(1) (1)
Magnification Factor (0018, 1114) DS ANAP User/XRDI
(1)
Positioner Type (0018, 1508) CS ANAP Auto
Positioner Primary Angle (0018, 1510) DS ANAP (1) Auto
Positioner Secondary Angle (0018, 1511) DS ANAP (1) Auto
(1)
Detector Primary Angle (0018, 1510) DS ANAP Auto
(1)
Detector Secondary Angle (0018, 1511) DS ANAP Auto
(1)
Body Part Thickness (0018, 11A0) DS ANAP User/XRDI
(1)
Compression Force (0018, 11A2) DS ANAP User/XRDI
X-Ray Acquisition dose
(1) (1)
KVP (0018, 0060) DS ANAP User/XRDI
(1) (1)
X-Ray Tube Current (0018, 1151) IS ANAP User/XRDI
(1)
X-Ray Tube Current in µA (0018, 8151) IS ANAP (1) User/XRDI
(1)
Exposure Time (0018, 1150) IS ANAP (1) User/XRDI
(1) (1)
Exposure Time in µs (0018, 8150) IS ANAP User/XRDI
(1)
Exposure (0018, 1152) IS ANAP (1) User/XRDI
(1)
Exposure in µAs (0018, 1153) IS ANAP Auto

HE/001132 Page 85 of 92
Presence
of Value
(1)
Distance Source to Detector (0018, 1110) DS ANAP (1) User/XRDI
Image Area Dose Product (0018, 115E) DS ANAP (1) Auto
(1) (1)
Body Part Thickness (0018, 11A0) DS ANAP User/XRDI
Lgm value multiplied by
Relative X-Ray Exposure (0018, 1405) IS 100 ANAP Auto
(1) (1)
Entrance Dose (0040, 0302) US ANAP User/XRDI
(1) (1)
Entrance Dose in mGy (0040, 8302) US ANAP User/XRDI
Exposed Area (0040, 0303) US ANAP (1) Auto
Distance Source to Entrance (0040, 0306) DS ANAP (1) Auto
Comments on Radiation Dose (0040, 0310) ST ANAP (1) Auto
X-Ray Output (0040, 0312) DS ANAP (1) Auto
Half Value Layer (0040, 0314) DS ANAP (1) Auto
(1) (1)
Organ Dose (0040, 0316) DS ANAP User/XRDI
Organ Exposed (0040, 0318) CS ANAP (1) Auto
(1)
Anode target Material (0018, 1191) CS ANAP (1) User/XRDI
(1)
Filter Material (0018, 7050) CS ANAP (1) User/XRDI
Filter Thickness Minimum (0018, 7052) DS ANAP (1) Auto
Filter Thickness Maximum (0018, 7054) DS ANAP (1) Auto
(1)
Grid (0018, 1166) CS ANAP (1) User/XRDI
(1)
Grid Absorbing Material (0018, 7040) LT ANAP (1) User/XRDI
(1)
Grid Pitch (0018, 7044) DS ANAP (1) User/XRDI
(1)
Grid Thickness (0018, 7042) DS ANAP (1) User/XRDI
- Manual
(1)
Exposure Control Mode (0018, 7060) CS - Automatic ANAP (1) User/XRDI
Exposure Control Mode
(1)
Description (0018, 7062) LT ANAP (1) User/XRDI
(1)
Phototimer Setting (0018, 7065) DS ANAP (1) User/XRDI
Image and Fluoroscopy Area
(1)
Dose Product (0018, 115E) DS ANAP (1) User/XRDI
(1) (1)
Grid Focal Distance (0018, 704C) DS ANAP User/XRDI
(1)
Rectification Type (0018, 1156) CS ANAP Auto
VOI LUT
VOI LUT Sequence (0028, 3010) SQ ANAP Auto
>LUT Descriptor (0028, 3002) SS ANAP Auto
>LUT Explanation (0028, 3003) LO ANAP Auto
>LUT Data (0028, 3006) SS ANAP Auto
Explanation (0028, 1055) LO ANAP Auto
Acquisition Context
Acquisition Context Sequence (0040, 0555) SQ EMPTY Fixed
> Value Type (0040, A040) CS EMPTY Fixed
> Concept Name Code Sequence (0040, A043) SQ EMPTY Fixed
> Referenced Frame numbers (0040, A136) US EMPTY Fixed
> Numeric Value (0040, A30A) DS EMPTY Fixed
> Measurement Units Code
Sequence (0040, 08EA) SQ EMPTY Fixed
> Date (0040, A121) DT EMPTY Fixed

HE/001132 Page 86 of 92
Presence
of Value
> Time (0040, A122) TM EMPTY Fixed
> Person Name (0040, A123) PN EMPTY Fixed
> Text Value (0040, A160) UT EMPTY Fixed
> Concept Code Sequence (0040, A168) SQ EMPTY Fixed
(2)
Acquisition Context Description (0040, 0556) ST ANAP Auto
Private attributes
LANDSCAPE or
Cassette orientation (0019,10F5) CS PORTRAIT ALWAYS Auto
(1)
: Can only be available in case of XRDI. For details on the actual content, please refer to the XRDI Dicom
Conformance statement.
(2)
: Never present
6.1.1.4 MG
6.1.1.4.1 MG Image IOD

Table 6.1-6: IOD of Created MG Image SOP Instances

DX Series Table 6.1-5 ALWAYS
Mammography Series Table 6.1-7 ALWAYS
DX Anatomy Table 6.1-5 ALWAYS
DX Image Table 6.1-5 ALWAYS
DX Detector Table 6.1-5 ALWAYS
X-Ray acquisition dose Table 6.1-5 When the XRDI Module is installed
X-Ray Collimator Table 6.1-5 When the XRDI Module is installed
DX Positioning Table 6.1-5
Mammography Image Table 6.1-7 ALWAYS
Acquisition Context Table 6.1-5 ALWAYS

HE/001132 Page 87 of 92
6.1.1.4.2 MG Modules
Table 6.1-7: MG Module of Created SOP Instances
Presence
of Value
Series
Mammography Series
Modality (0008, 0060) CS MG ALWAYS Config
Sequence that contains
attributes from the
Request Attributes Sequence (0040, 0275) DS Imaging Service Request ANAP MWL
Image
Mammography Image
Mammographic
Positioner Type (0018, 1508) CS None Always Auto
Distance Source to detector (0018, 1110) DS ANAP Auto
Distance Source to patient (0018, 1111) DS ANAP Auto
Positioner Primary Angle (0018, 1510) DS ANAP User/XRDI14
Positioner Secondary Angle (0018, 1511) DS ANAP User/XRDI26
R = right
L = left
Image Laterality (0020, 0062) CS B = both (e.g. cleavage) ALWAYS Auto
Organ Exposed (0040, 0318) CS BREAST ALWAYS Auto
YES
Implant Present (0028, 1300) DS NO ANAP Config
View Code Sequence (0054, 0220) CS Always Config / User
View Modifier Code Sequence (0054, 0222) SQ ANAP Config / User
6.1.1.5 GSPS
6.1.1.5.1 GSPS IOD

Table 6.1-8: IOD of Created DX Image SOP Instances

Presentation Series Table 6.1-9 ALWAYS
Image Presentation State Table 6.1-9 ALWAYS
Displayed Area Table 6.1-9 ALWAYS
Graphic Annotation Table 6.1-9 When graphic annotations are present
Graphic Layer Table 6.1-9 When graphic annotations are present
14
Value is supplied by user of XRDI component in case of XRDI configuration

HE/001132 Page 88 of 92

Modality LUT Table 6.1-9 ALWAYS
Softcopy VOI LUT Table 6.1-9 ALWAYS
Softcopy Table 6.1-9 ALWAYS
Presentation LUT
Spatial Table 6.1-9 ALWAYS
Transformation
6.1.1.5.2 GSPS Modules

Table 6.1-9: GSPS Modules of Created SOP Instances
Presence
of Value
Series
Presentation Series
Modality (0008, 0060) CS PR ALWAYS Fixed
Image
Presentation State
Instance Number (0020, 0013) IS ALWAYS Auto
Content Label (0070, 0080) CS GSPS ALWAYS Auto
Content Description (0070, 0081) LO Empty Empty
Presentation Creation Date (0070, 0082) DA ALWAYS Auto
Presentation Creation Time (0070, 0083) TM ALWAYS Auto
Content Creator’s Name (0070, 0084) PN VNAP Auto
Referenced Series Sequence (0008, 1115) SQ ALWAYS Auto
>Series Instance UID (0020, 000E) UI ALWAYS Auto
>Referenced Image Sequence (0008,1140) SQ ALWAYS Auto
>>Referenced SOP Class UID (0008,1150) UI ALWAYS Auto
>>Referenced SOP Instance UID (0008,1155) UI ALWAYS Auto
>> Referenced Frame Number (0008, 1160) IS ALWAYS Auto
Shutter Presentation Value (0018, 1622) US ANAP Auto
Mask Subtraction Sequence (0028, 6100) SQ ANAP Auto
>Mask Operation (0028, 6101) CS ANAP Auto
> Contrast Frame Averaging (0028, 6112) US ANAP Auto
Recommended Viewing Mode (0028, 1090) CS ANAP Auto
Display Shutter
Shutter Shape (0018, 1600) CS ALWAYS User
Shutter Left Vertical Edge (0018, 1602) IS ALWAYS User
Shutter Right Vertical Edge (0018, 1604) IS ALWAYS User
Shutter Upper Horizontal Edge (0018, 1606) IS ALWAYS User
Shutter Lower Horizontal Edge (0018, 1608) IS ALWAYS User
Vertices of the Polygonal Shutter (0018, 1620) IS ANAP User
Shutter Presentation Value (0018, 1622) US ANAP User
Displayed Area
Displayed Area Selection
Sequence (0070, 005A) SQ ALWAYS Auto
>Referenced Image Sequence (0008, 1140) SQ ANAP Auto

HE/001132 Page 89 of 92
Presence
of Value
>>Referenced SOP Class UID (0008, 1150) UI ANAP Auto
>>Referenced SOP Instance UID (0008, 1155) UI ANAP Auto
>Displayed Area Top Left Hand
Corner (0070, 0052) SL ALWAYS Auto
>Displayed Area Bottom Right
Hand Corner (0070, 0053) SL ALWAYS Auto
SCALE TO
>Presentation Size Mode (0070, 0100) CS FIT ALWAYS Auto
>Presentation Pixel Spacing (0070, 0101) DS ALWAYS Auto
> Presentation Pixel Aspect Ratio (0070, 0102) IS ANAP Auto
> Presentation Pixel Magnification
Ratio (0070, 0103) FL ANAP Auto
Spatial Transformation
Image Rotation (0070, 0042) US ANAP User
Image Horizontal Flip (0070, 0041) CS ANAP User
Graphic Annotation
Graphic Annotation Sequence (0070, 0001) SQ ALWAYS User
>Referenced Image Sequence (0008, 1140) SQ ALWAYS Auto
>>Referenced SOP Class UID (0008, 1150) UI ALWAYS Auto
>>Referenced SOP Instance UID (0008, 1155) UI ALWAYS Auto
>>Referenced Frame number (0008, 1155) IS
>Graphic Layer (0070, 0002) CS ALWAYS Auto
>Text Object Sequence (0070, 0008) SQ ANAP Auto
>>Bounding Box Annotation Units (0070, 0003) CS PIXEL ANAP Auto
>>Anchor Point Annotation Units (0070, 0004) CS PIXEL ANAP Auto
>>Unformatted Text Value (0070, 0006) ST ANAP Auto
>>Bounding Box Top Left Hand
Corner (0070, 0010) FL ANAP Auto
>>Bounding Box Bottom Right
Hand Corner (0070, 0011) FL ANAP Auto
>>Bounding Box Text Horizontal
Justification (0070, 0012) CS ANAP Auto
>>Anchor Point (0070, 0014) FL ANAP Auto
>>Anchor Point Visibility (0070, 0015) CS ANAP Auto
>Graphic Object Sequence (0070, 0009) SQ ANAP Auto
>>Graphic Annotation Units (0070, 0005) CS ANAP Auto
>>Graphic Dimensions (0070, 0020) US ANAP Auto
>>Number of Graphic Points (0070, 0021) US ANAP Auto
>>Graphic Data (0070, 0022) FL ANAP Auto
>>Graphic Type (0070, 0023) CS ANAP Auto
>>Graphic Filled (0070, 0024) CS ANAP Auto
Softcopy Presentation LUT
Presentation LUT Shape (2050, 0020) CS IDENTITY ALWAYS Auto
Graphic Layer
Graphic Layer Sequence (0070, 0060) SQ ALWAYS Auto
>Graphic Layer (0070, 0002) CS ALWAYS Auto
>Graphic Layer Order (0070, 0062) IS ALWAYS Auto
>Graphic Layer Recommended
Display Grayscale Value (0070, 0066) US ANAP Auto
>Graphic Layer Recommended
Display RGB Value (0070, 0067) US ANAP Auto

HE/001132 Page 90 of 92
Presence
of Value
>Graphic Layer Description (0070, 0068) LO ANAP Auto
Modality LUT
Rescale Intercept (0028,1052) DS ANAP Auto
Rescale Slope (0028,1053) DS ANAP Auto
Rescale Type (0028,1054) LO ANAP Auto
VOI LUT
VOI LUT Sequence (0028,3010) SQ ANAP Auto
>LUT Descriptor (0028,3002) SS ANAP Auto
>LUT Explanation (0028,3003) LO ANAP Auto
>LUT Data (0028,3006) SS ANAP Auto
Window Center (0028,1050) DS ANAP Auto
Window Width (0028,1051) DS ANAP Auto
Explanation (0028,1055) LO ANAP Auto
6.2 Attribute Mapping

The relationships between attributes received via Modality Worklist, stored in acquired images and
communicated via MPPS are summarized in Table 6.2-1.
Table 6.2-1: Attribute Mapping between Modality Worklist, Image and MPPS
Modality Worklist Image IOD MPPS IOD
Patient Name Patient Name Patient Name
Patient ID Patient ID Patient ID
Patient’s Birth Date Patient’s Birth Date Patient’s Birth Date
Patient’s Sex Patient’s Sex Patient’s Sex
Patient’s Weight Patient’s Weight
Referring Physician’s Name Referring Physician’s Name
---- ---- Scheduled Step Attributes

Sequence
Study Instance UID Study Instance UID > Study Instance UID
Referenced Study Sequence Referenced Study Sequence > Referenced Study Sequence
Accession Number Accession Number > Accession Number
---- Request Attributes Sequence ----
Requested Procedure ID > Requested Procedure ID > Requested Procedure ID
Requested Procedure Description > Requested Procedure

Description

HE/001132 Page 91 of 92
Modality Worklist Image IOD MPPS IOD
Scheduled Procedure Step ID > Scheduled Procedure Step ID > Scheduled Procedure Step ID
Scheduled Procedure Step > Scheduled Procedure Step > Scheduled Procedure Step
Description Description Description
Scheduled Protocol Code > Scheduled Protocol Code ----

Sequence Sequence
---- Performed Protocol Code Performed Protocol Code

Sequence Sequence
---- Study ID Study ID
---- Performed Procedure Step ID Performed Procedure Step ID
---- Performed Procedure Step Start Performed Procedure Step Start

Date Date
---- Performed Procedure Step Start Performed Procedure Step Start

Time Time
---- Performed Procedure Step Performed Procedure Step

Description Description
---- Comments on the Performed Comments on the Performed

Procedure Step Procedure Step
---- ---- Performed Series Sequence
Scheduled Performing Physician’s Performing Physician’s Name > Performing Physician’s Name
Name
Requested Procedure Code ---- Procedure Code Sequence

Sequence
---- Referenced Study Component ----

Sequence
---- > Referenced SOP Class UID SOP Class UID
---- > Referenced SOP Instance UID SOP Instance UID
---- Protocol Name Protocol Name

HE/001132 Page 92 of 92
6.3 Grayscale Image Consistency

The display monitor attached to "Workstation" can be calibrated according to the Grayscale Standard Display
Function (GSDF).

This document was approved by:
Signatures:
1. Bruno Laffin on 2007/06/14 12:06:45 PM GMT+1
Approval Completion Date: 2007/06/14 1:41:36 PM GMT+1

Document ID/Node ID: 14140190
Source Version: 8
PDF Version: 9
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GFA Ealth ARE DICOM Conformance Statement: "Workstation NX 2.0"

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Service-related contact All service-related contact information http://www.agfa.com/en/he/support/support_service/index.jsp

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Conformance Statement Overview

Table 1.1-1: Network Services Supported

SOP Classes User of Service (SCU) Provider of Service (SCP)

"Workstation" does support Media Services.

Table 1.1-2: Media Services Supported

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2.2.2.3.1 Activity – Print Images ..........................................................................34

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2.4.1.4.2 Job description .....................................................................................64

4 Support for Extended Character Sets...................................................71

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1.1 Revision Record

1.2 Purpose and Intended Audience of this Document

1.3 General Remarks

1.3.1 Integration and Validation Activities

1.3.2 Future Evolution

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1.4 Acronyms and Abbreviations

1.5 Related Documents

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2.1 Implementation Model

2.1.1 Application Data Flow Diagram

Query RIS Remote

Figure 2.1-1: Functional Overview – Application Data Flow

2.1.2 Functional Definitions of AE’s

2.1.2.1 Functional Definition of DICOM Store Application Entity

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2.1.2.2 Functional Definition of DICOM Print Application Entity

2.1.2.3 Functional Definition of RIS Application Entity

2.1.2.3.1 DICOM Modality Worklist

2.1.2.3.2 DICOM Modality Worklist query on Accession Number

2.1.2.4 Functional Definition of MPPS Application Entity

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2.1.3 Sequencing of Real World Activities

Store Print MPPS RIS RIS MPPS Printer PACS

1. Query RIS (by

3. Select Workitem (SPS)

6. Print Acquired Images

7. Store Acquired Images

Figure 2.1-2: sequencing constraints

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2.2.1 DICOM Store Application Entity Specification

2.2.1.1 SOP Classes Supported

SOP Class Name SOP Class UID SCU SCP

2.2.1.2 Association Establishment Policies

Table 2.2-2: DICOM Application Context

Application Context Name 1.2.840.10008.3.1.1.1

2.2.1.2.2 Number of Associations

Table 2.2-3: Number of Associations as an Association Initiator for DICOM Store AE

Table 2.2-4: Number of Associations as an Association Acceptor for DICOM Store AE

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2.2.1.2.3 Asynchronous Nature