PS3.2

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Foreword

This DICOM Standard was developed according to the procedures of the DICOM Standards Committee.

The DICOM Standard is structured as a multi-part document using the guidelines established in [ISO/IEC Directives, Part 2].

1 Scope and Field of Application

Conformance Statements are critical to interoperability because they provide important information for implementers and system integrators in order to determine whether or not applications do interoperate. In addition, when issues occur, they provide a source of information in order to potentially resolve any problems. Lastly, it is important to provide potential implementers with a consistent template for generating these documents.

PS3.2 defines principles that implementations claiming conformance to the Standard shall follow. PS3.2 specifies:

the minimum general conformance requirements that must be met by any implementation claiming conformance to the DICOM Standard. Additional conformance requirements for particular features, Service Classes, Information Objects, and communications protocols may be found in the conformance sections of other Parts of the DICOM Standard;
the purpose and structure of a Conformance Statement. PS3.2 provides a framework by which conformance information can be placed into a Conformance Statement as dictated by the conformance sections of other Parts of the DICOM Standard.

The DICOM Standard does not specify:

testing or validation procedures to assess an implementation's conformance to the Standard;
testing or validation procedures to assess whether an implementation matches to its Conformance Statement;
what optional features, Service Classes, or Information Objects should be supported for a given type of device.

2 Normative References

The following standards contain provisions, which, through reference in this text, constitute provisions of this Standard. At the time of publication, the editions indicated were valid. All standards are subject to revision, and parties to agreements based on this Standard are encouraged to investigate the possibilities of applying the most recent editions of the standards indicated below.

[ISO/IEC Directives, Part 2] ISO/IEC. 2016/05. 7.0. Rules for the structure and drafting of International Standards. http://www.iec.ch/members_experts/refdocs/iec/isoiecdir-2%7Bed7.0%7Den.pdf .

[ISO 7498-1] ISO. 1994. Information Processing Systems - Open Systems Interconnection - Basic Reference Model.

[ISO 8649] ISO. 1988. Information Processing Systems - Open Systems Interconnection - Service definition for the Association Control Service Element (ACSE).

[ISO 8822] ISO. 1988. Information Processing Systems - Open Systems Interconnection - Connection oriented presentation service definition.

3 Definitions

For the purposes of this Standard the following definitions apply.

3.1 Reference Model Definitions

This Part makes use of the following terms defined in [ISO 7498-1]:

Application Entity (AE): See [ISO 7498-1].
Application Entity Title: See [ISO 7498-1].
Protocol Data Unit: See [ISO 7498-1].
Transfer Syntax: See [ISO 7498-1].

3.2 ACSE Service Definitions

This Part makes use of the following terms defined in [ISO 8649]:

Association: See [ISO 8649].
Association Initiator: See [ISO 8649].

3.3 Presentation Service Definitions

This Part makes use of the following terms defined in [ISO 8822]:

Abstract Syntax: See [ISO 8822].
Abstract Syntax Name: See [ISO 8822].
Presentation Context: See [ISO 8822].
Transfer Syntax Name: See [ISO 8822].

3.4 DICOM Introduction and Overview Definitions

This Part makes use of the following terms defined in PS3.1:

Conformance Statement: Conformance Statement.
Information Object: Information Object.
Service-Object Pair Class (SOP Class): Service-Object Pair Class (SOP Class).

3.5 DICOM Information Object Definitions

This Part makes use of the following terms defined in PS3.3:

Information Object Definition (IOD): Information Object Definition.

3.6 DICOM Service Class Specification Definitions

This Part makes use of the following terms defined in PS3.4:

Real-World Activity: Real-World Activity.
Service Class: Service Class.
Service Class User (SCU): Service Class User (SCU).
Service Class Provider (SCP): Service Class Provider (SCP).
Meta Service-Object Pair Class (Meta SOP Class): Meta Service-Object Pair Class (Meta SOP Class).

3.7 DICOM Data Structure and Encoding Definitions

This Part makes use of the following terms defined in PS3.5:

Data Set: Data Set.
DICOM Transfer Syntax: DICOM Transfer Syntax.
Unique Identifier (UID): Unique Identifier (UID).

3.8 DICOM Message Exchange Definitions

This Part makes use of the following terms defined in PS3.7:

Extended Negotiation: Extended Negotiation.
Implementation Class UID: Implementation Class UID.

3.9 DICOM Upper Layer Service Definitions

This Part makes use of the following terms defined in PS3.8:

DICOM Upper Layer Service: DICOM Upper Layer Service.
Presentation Address: Presentation Address.

3.10 Media Storage and File Format for Data Interchange

This Part makes use of the following terms defined in PS3.10:

File-set: File-set.
File-set Creator (FSC): File-set Creator.
File-set Reader (FSR): File-set Reader.
File-set Updater (FSU): File-set Updater.
Application Profile: Application Profile.

3.11 DICOM Conformance

This Part uses the following definitions:

Standard SOP Class

A SOP Class defined in the DICOM Standard that is used in an implementation with no modifications.

Standard Extended SOP Class

A SOP Class defined in the DICOM Standard extended in an implementation with additional Type 3 Attributes. The additional Attributes may either be drawn from the Data Dictionary in PS3.6, or may be Private Attributes. The semantics of the related Standard SOP Class shall not be modified by the additional Type 3 Attributes when absent. Therefore, the Standard Extended SOP Class utilizes the same UID as the related Standard SOP Class.

Note

IODs from a Standard Extended SOP Class may be freely exchanged between DICOM implementations since implementations that do not recognize the additional Type 3 Attributes would simply ignore them.

Specialized SOP Class

A SOP Class derived from a Standard SOP Class that has been specialized in an implementation by additional Type 1, 1C, 2, 2C, or 3 Attributes, by enumeration of specific permitted values for Attributes, or by enumeration of specific permitted Templates. The additional Attributes may either be drawn from the Data Dictionary in PS3.6, or may be Private Attributes. The enumeration of permitted Attribute values or Templates shall be a subset of those permitted in the related Standard SOP Class. Since the semantics of the related Standard SOP Class may be modified by the additional Attributes, a Specialized SOP Class utilizes a Privately Defined UID that differs from the UID for the related Standard SOP Class.

Note

Since a Specialized SOP Class has a different UID than a Standard or Standard Extended SOP Class, other DICOM implementations may not recognize the Specialized SOP Class. Because of this limitation, a Specialized SOP Class should only be used when a Standard or Standard Extended SOP Class would not be appropriate. Before different implementations can exchange Instances in a Specialized SOP Class, the implementations must agree on the UID, content (in particular the additional Type 1, 1C, 2, and 2C Attributes), and semantics of the Specialized SOP Class. A Specialized SOP Class may be used to create a new or experimental SOP Class that is closely related to a Standard SOP Class.
The Association Negotiation for a Specialized SOP Class may include a SOP Class Common Extended Negotiation Sub-Item (as defined in PS3.7) for identification of the Service Class and of the Related General SOP Class from which it was specialized. This may allow a receiving application, without prior agreement on the Specialized SOP Class IOD, to process Instances of that class as if they were instances of a Related General SOP Class.

Private SOP Class

A SOP Class that is not defined in the DICOM Standard, but is published in an implementation's Conformance Statement.

Note

Since a Private SOP Class is not defined in the DICOM Standard, other DICOM implementations may not recognize the Private SOP Class. Because of this limitation, a Private SOP Class should only be used when a Standard or Standard Extended SOP Class would not be appropriate. In order for different implementations to exchange Instances in a Private SOP Class, the implementations must agree on the UID, content (in particular the Type 1, 1C, 2, and 2C Attributes), and semantics of the Private SOP Class. A Private SOP class may be used to create a totally new or experimental SOP Class.

Standard Attribute

An Attribute defined in the Data Dictionary in PS3.6.

Private Attribute

An Attribute that is not defined in the DICOM Standard.

Standard Application Profile

An Application Profile defined in the DICOM Standard that is used in an implementation with no modifications.

Augmented Application Profile

An Application Profile derived from a Standard Application Profile by incorporating support for additional Standard or Standard Extended SOP Classes.

Private Application Profile

An Application Profile that is not defined in the DICOM Standard, but is published in an implementation's Conformance Statement.

Security Profile

A mechanism for selecting an appropriate set of choices from the Parts of the DICOM Standard along with corresponding security mechanisms (e.g., encryption algorithms) for the support of security facilities.

Transformation of DICOM SR to CDA

A mechanism for mapping and transforming DICOM SR objects to HL7 CDA documents.

4 Symbols and Abbreviations

The following symbols and abbreviations are used in this Part.

ACR: American College of Radiology
ACSE: Association Control Service Element
AE: Application Entity
ANSI: American National Standards Institute
AP: Application Profile
API: Application Programming Interface
ASCII: American Standard Code for Information Interchange
CEN TC251: Comite Europeen de Normalisation-Technical Committee 251-Medical Informatics
DICOM: Digital Imaging and Communications in Medicine
DIMSE: DICOM Message Service Element
DIMSE-C: DICOM Message Service Element-Composite
DIMSE-N: DICOM Message Service Element-Normalized
FSC: File-set Creator
FSR: File-set Reader
FSU: File-set Updater
HISPP: Healthcare Informatics Standards Planning Panel
HL7: Health Level 7
IE: Information Entity
IEEE: Institute of Electrical and Electronics Engineers
IOD: Information Object Definition
ISO: International Standards Organization
ISP: International Standardized Profile
JIRA: Japan Medical Imaging and Radiological Systems Industries Association
MSDS: Healthcare Message Standard Developers Sub-Committee
NEMA: National Electrical Manufacturers Association
OSI: Open Systems Interconnection
PDU: Protocol Data Unit
REST: Representational State Transfer
RESTful: A RESTful Web service is a Web service implemented using REST architecture and HTTP (see http://www.ics.uci.edu/~fielding/pubs/dissertation/fielding_dissertation.pdf)
RWA: Real-World Activity
SCP: Service Class Provider
SCU: Service Class User
SOP: Service-Object Pair
STOW-RS: STore Over the Web by RESTful Services
TCP/IP: Transmission Control Protocol/Internet Protocol
UID: Unique Identifier
UML: Unified Modeling Language
WADO-RS: Web Access to DICOM Objects by RESTful Services
WADO-URI: Web Access to DICOM Objects by URI

5 Conventions

5.1 Application Data Flow Diagram

In a Conformance Statement, the relationships between Real-World Activities and Application Entities are illustrated by an Application Data Flow Diagram.

5.1.1 Application Entity

An Application Entity is depicted as a box in an Application Data Flow Diagram, shown in Figure 5.1-1

Figure 5.1-1. Application Entity Convention

5.1.2 Real-World Activity

A Real-World Activity is depicted as a circle in an Application Data Flow Diagram, shown in Figure 5.1-2.

Figure 5.1-2. Real-World Activity Convention

Circles representing multiple Real-World Activities may overlap, indicating a degree of overlap in the Real-World Activities.

5.1.3 Local Relationships

A relationship between a local Real-World Activity and an Application Entity is depicted within an Application Data Flow Diagram by placing the local Real-World Activity to the left of the related Application Entity with a dashed line between them as shown in Figure 5.1-3.

Figure 5.1-3. Local Relationship Convention

An Application Entity may be associated with multiple Real-World Activities.

A Real-World Activity may be associated with multiple Application Entities.

5.1.4 Network-Associations

An association between a local Application Entity and a remote Application Entity over a network supporting a remote Real-World Activity is depicted within an Application Data Flow Diagram by placing the remote Real-World Activity to the right of the related local Application Entity with one or two arrows drawn between them as shown in Figure 5.1-4. The dashed line represents the DICOM Standard Interface between the local Application Entities, and whatever remote Application Entities that handle the remote Real-World Activities. An arrow from the local Application Entity to the remote Real-World Activity indicates that an occurrence of the local Real-World Activity will cause the local Application Entity to initiate an association for the purpose of causing the remote Real-World Activity to occur. An arrow from the remote Real-World Activity to the local Application Entity indicates that the local Application Entity expects to receive an association request when the remote Real-World Activity occurs, causing the local Application Entity to perform the local Real-World Activity.

Figure 5.1-4. Associations Convention

5.1.5 Media Storage File-Set Access

Application Entities exchanging information on media use the DICOM File Service as specified in PS3.10 for access to, or creation of, File-sets. This File Service provides operations that support three basic roles, which are File-set Creator (FSC), File-set Reader (FSR), and File-set Updater (FSU).

These roles are depicted on an Application Data Flow diagram by directional arrows placed between the local Application Entities and the DICOM Storage Media on which the roles are applied.

File-set Creator (FSC), denoted by
File-set Reader (FSR), denoted by
File-set Updater (FSU), denoted by
Physical movement of the medium, denoted by (with or without arrowhead)

Figure 5.1-5 illustrates the three basic roles.

Figure 5.1-5. File-Set Access

The local interactions shown on the left between a local Real-World activity and a local Application Entity are depicted by a dashed line. The arrows on the right represent access by the local Application Entity to a File-set on the DICOM Storage Medium. When an Application Entity supports several roles, this combination is depicted with multiple arrows corresponding to each of the roles. The dotted arrow symbolizes the removable nature of media for an interchange application.

Note

The use of two arrows relative to an FSC and an FSR should be distinguished from the case where a double arrow relative to an FSU is used. For example, an FSU may update a File-set without creating a new File-set, whereas a combined FSC and FSR may be used to create and verify a File-set.

6 Purpose of a Conformance Statement

An implementation need not employ all the optional components of the DICOM Standard. After meeting the minimum general requirements, a conformant DICOM implementation may utilize whatever SOP Classes, communications protocols, Media Storage Application Profiles, optional (Type 3) Attributes, codes and controlled terminology, etc., needed to accomplish its designed task.

Note

In fact, it is expected that an implementation might only support the SOP Classes related to its Real World Activities. For example, a simple film digitizer may not support the SOP Classes for other imaging modalities since such support may not be required. On the other hand, a complex storage server might be required to support SOP Classes from multiple modalities in order to adequately function as a storage server. The choice of which components of the DICOM Standard are utilized by an implementation depends heavily on the intended application and is beyond the scope of this Standard.

In addition, the DICOM Standard allows an implementation to extend or specialize the DICOM defined SOP Classes, as well as define Private SOP classes.

A Conformance Statement allows a user to determine which optional components of the DICOM Standard are supported by a particular implementation, and what additional extensions or specializations an implementation adds. By comparing the Conformance Statements from two different implementations, a knowledgeable user should be able to determine whether and to what extent communications might be supported between the two implementations.

Different structures are used for the content of Conformance Statements depending on whether the implementation supports a DICOM network interface, a DICOM Media Storage interface, or a combination thereof. In the latter case, a single Conformance Statement shall be provided that consists of the appropriate sections.

The first part of the conformance statement contains a DICOM Conformance Statement Overview, which is typically a one-page description in the beginning of the document providing a high level description and also listing the Networking and Media Service Classes, including their roles (SCU/SCP, FSC, FSR, etc.).

6.1 Overview of Networking Section for Conformance Statements

The networking section of a Conformance Statement consists of the following major parts:

a functional overview containing the Application Data Flow Diagram that shows all the Application Entities, including any sequencing constraints among them. It also shows how they relate to both local and remote Real World Activities;
a more detailed specification of each Application Entity, listing the SOP Classes supported and outlining the policies with which it initiates or accepts associations;
for each Application Entity and Real-World Activity combination, a description of proposed (for Association Initiation) and acceptable (for Association Acceptance) Presentation Contexts;

Note

A Presentation Context consists of an Abstract Syntax plus a list of acceptable Transfer Syntaxes. The Abstract Syntax identifies one SOP Class or Meta SOP Class (a collection of related SOP Classes identified by a single Abstract Syntax UID). By listing the Application Entities with their proposed and accepted Presentation Contexts, the Conformance Statement is identifying the set of Information Objects and Service Classes that are recognized by this implementation;

for each SOP Class related to an Abstract Syntax, a list of any SOP options supported;
a set of communications protocols that this implementation supports;
a description of any extensions, specializations, and publicly disclosed privatizations in this implementation;
a section describing DICOM related configuration details;
a description of any implementation details that may be related to DICOM conformance or interoperability;
a description of what codes and controlled terminology mechanisms are used.

6.2 Overview of Media Storage Section for Conformance Statements

The media storage section of a Conformance Statement consists of the following major parts:

a functional overview containing the Application Data Flow Diagram that shows all the Application Entities, including any sequencing constraints among them. It also shows how they relate to both local and remote Real-World Activities;
a more detailed specification of each Application Entity listing the Media Storage Application Profiles supported (this defines SOP Classes supported and media selected), which outlines the policies with which it creates, reads, or updates File-sets on the media;
a list of optional SOP Classes supported;
for each Media Storage SOP Class related to a media storage Application Profile, a list of any SOP options supported;
for each Media Storage SOP Class related to a media storage Application Profile, a list of optional Transfer Syntaxes supported;
a description of any extensions, specializations, and publicly disclosed privatizations in this implementation such as Augmented or Private Application Profiles;
a section describing DICOM related configuration details;
a description of any implementation details that may be related to DICOM conformance or interoperability;
a description of what codes and controlled terminology mechanisms are used.

7 Conformance Requirements

An implementation claiming DICOM conformance may choose to support one of the following:

network conformance according to Section 7.1 (DICOM Network Conformance Requirements);
media storage conformance according to Section 7.2 (DICOM Media Storage Conformance Requirements);
both of the above.

7.1 DICOM Networking Conformance Requirements

An implementation claiming DICOM network conformance shall:

conform to the minimum conformance requirements defined in this section;
provide with the implementation a Conformance Statement structured according to the rules and policies in this Part including Annex A;
conform to at least one Standard or Standard Extended SOP class as defined in PS3.4;

Note

Conformance to a Standard or Standard Extended SOP class implies conformance to the related IOD outlined in PS3.3, the Data Elements defined in PS3.6, and the operations and notifications defined in PS3.7.

comply with the rules governing SOP Class types outlined in Section 7.3;
accept a Presentation Context for the Verification SOP Class as an SCP if the implementation accepts any DICOM association requests;
produce and/or process Data Sets as defined in PS3.5;

Note

Conformance to PS3.5 also implies conformance to PS3.6.

obtain legitimate right to a registered <org id> for creating UIDs (see PS3.5) if an implementation utilizes Privately Defined UIDs (i.e., UIDs not defined in the DICOM Standard);
support the following communication mode:
- TCP/IP (See PS3.8).

7.2 DICOM Media Interchange Conformance Requirements

An implementation claiming DICOM Media Interchange conformance shall:

conform to the minimum conformance requirements defined in this section;
provide with the implementation a Conformance Statement structured according to the rules and policies in this Part including Annex C;
conform to at least one Standard Application Profile as defined in PS3.11;
support one of the Physical Media and associated Media Format, as specified by PS3.12;
comply with the rules governing SOP Class types outlined in Section 7.3;
comply with the specific rules governing media storage Application Profile according to their types as specified in Section 7.4. No other types of Application Profiles may be used;
read as an FSR or FSU all SOP Classes defined as mandatory by each of the supported Application Profiles encoded in any of the mandatory Transfer Syntaxes.
write as an FSC or FSU all SOP Classes defined as mandatory by each of the supported Application Profiles in one of the mandatory Transfer Syntaxes;
be able to gracefully ignore any Standard, Standard Extended, Specialized or Private SOP Classes that may be present on the Storage Medium but are not defined in any of the Application Profiles to which conformance is claimed.

Note

There may be more than one Application Profile used to create or read a File-set on a single physical medium (e.g., a medium may have a File-set created with Standard and Augmented Application Profiles).

be able to gracefully ignore Directory Records in the DICOMDIR file that do not correspond to Directory Records defined in any of the Application Profiles to which conformance is claimed.
access the File-set(s) on media using the standard roles defined in PS3.10;
produce and/or process Data Sets as defined in PS3.5 encapsulated in DICOM Files;

Note

Conformance to PS3.5 also implies conformance to PS3.6

obtain legitimate right to a registered <org id> for creating UIDs (see PS3.5) if an implementation utilizes Privately Defined UIDs (i.e., UIDs not defined in the DICOM Standard).

An implementation that does not meet all the above requirements shall not claim conformance to DICOM for Media Storage Interchange.

7.3 Rules Governing Types of SOP Classes

Each SOP Class published in a Conformance Statement is one of four basic types. Each SOP Class in an implementation claiming conformance to the DICOM Standard shall be handled in accordance with the following rules, as dictated by the type of SOP Class.

Standard SOP Classes conform to all relevant Parts of the DICOM Standard with no additions or changes.

To claim conformance to a Standard SOP Class, an implementation shall make a declaration of this fact in its Conformance Statement, and identify its selected options, roles, and behavior.

Standard Extended SOP Classes shall:

be a proper super set of one Standard SOP Class;
not change the semantics of any Standard Attribute of that Standard SOP Class;
not contain any Private Type 1, 1C, 2, or 2C Attributes, nor add additional Standard Type 1, 1C, 2 or 2C Attributes;
not change any Standard Type 3 Attributes to Type 1, 1C, 2, or 2C;
use the same UID as the Standard SOP Class on which it is based.

A Standard Extended SOP Class may include Standard and/or Private Type 3 Attributes beyond those defined in the IOD on which it is based as long as the Conformance Statement identifies the added Attributes and defines their relationship with the PS3.3 information model. If additional Type 3 Attributes drawn from the Data Dictionary in PS3.6 are sent that affect the encoding of other Attributes, or whose encoding depends on the values of other Attributes, their presence and use shall be consistent.

Note

E.g., An Attribute such as Pixel Padding Value (0028,0120) with a dictionary VR of US or SS would not be allowed to be present without Pixel Representation (0028,0103) also being present to resolve the encoding ambiguity. Further, Pixel Padding Value would not be allowed to be present in the absence of the Pixel Data (7FE0,0010) to which it applies.

An implementation claiming conformance with a Standard Extended SOP Class shall identify in its Conformance Statement the Standard SOP Class being extended, the options, roles, and behavior selected, and describe the Attributes being added with the Standard SOP Class's IOD Model and Modules.

Specialized SOP Classes shall:

be completely conformant to relevant Parts of the DICOM Standard;
be based on a Standard SOP Class, i.e.:
- contain all the Type 1, 1C, 2, and 2C Attributes of Standard SOP Class on which it is based;
- not change the semantics of any Standard Attribute;
- use a Privately Defined UID for its SOP Class (i.e., shall not be identified with a DICOM Defined UID);
be based on the DICOM Information Model in PS3.3 and PS3.4.

Specialized SOP Classes may:

contain additional Standard and/or Private Type 1, 1C, 2, or 2C Attributes;
add Private and Standard Type 3 Attributes, which may or may not be published in the Conformance Statement.

Note

The usage of any unpublished Attributes may be ignored by other users and providers of the Specialized SOP Class.
enumerate the permitted values for Attributes within the set allowed by the Standard SOP Class;
enumerate the permitted Templates for Content Items within the set allowed by the Standard SOP Class.

An implementation claiming conformance with a Specialized SOP Class shall include in its Conformance Statement the identity of the Standard SOP Class being specialized, a description of usage of all Standard and Private Type 1, 1C, 2, and 2C Attributes in the Specialized SOP Class, a description of the constraints on Attributes values and Templates, and the associated Privately Defined UID.

Private SOP Classes shall:

be completely conformant to relevant Parts of the DICOM Standard with the possible exception that support of the DICOM Default Transfer Syntax or a Transfer Syntax mandated by a media storage Application Profile is not required;
not change the PS3.6 specification of any Standard Attributes;
use a Privately Defined UID for its SOP Class (i.e., shall not be identified with a DICOM Defined UID);
not change existing DIMSE Services or create new ones;
not change existing DICOM File Services defined in PS3.10 or extend them in a manner that jeopardizes interoperability.

Private SOP Classes may:

use or apply DIMSE Services to privately defined or altered IODs (i.e., not necessarily be based on a Standard SOP Class);
use or apply Media Storage Operations to privately defined or altered IODs (i.e., not necessarily be based on a Standard SOP Class);
designate any Standard Attribute as Type 1, 1C, 2, or 2C regardless of the Type of the Attribute in other IODs;
define Private Attributes as Type 1, 1C, 2, or 2C;
include Private and Standard Type 3 Attributes, which may or may not be published in the Conformance Statement.

An implementation claiming conformance with a Private SOP Class shall provide a PS3.3, PS3.4, and PS3.6-like description of the Private SOP Class in the implementation's Conformance Statement, including descriptions of the usage of all Standard and Private Type 1, 1C, 2, or 2C Attributes in the SOP Class, the DICOM Information Model, and the Privately Defined UIDs.

Note

Unpublished SOP Classes (i.e., SOP Classes that are not defined in the DICOM Standard and are not defined in the Conformance Statement) are permitted in order to allow an implementation to support other abstract syntaxes within the DICOM Application Context. Such unpublished SOP Classes would utilize Privately Defined UIDs. The presence of an unpublished SOP Class does not prevent the implementation from being DICOM conformant but would have no meaning to other implementations and may be ignored.

7.4 Rules Governing Types of Application Profiles

Application Profile used in a Conformance Statement shall be of one of three basic types. Each Application Profile in an implementation claiming conformance to the DICOM Standard shall be handled in accordance with the following rules, as dictated by the type of Application Profile.

7.4.1 Standard Application Profile

A Standard Application Profile shall:

conform to all relevant Parts of DICOM with no changes;
support only one of the Physical Media and associated Media Format, as specified by PS3.12.

To claim conformance to a Standard Application Profile, an implementation shall make a declaration of this fact in its Conformance Statement, and identify its selected options, roles, and behavior.

An implementation of a Standard Application Profile may extend Standard SOP Classes of this Standard application profile. Such Standard Extended SOP Classes shall meet the requirements specified in Section 7.3.

7.4.2 Augmented Application Profile

An Augmented Application Profile shall:

be a proper super set of the Standard Application Profile. It adds the support of additional Standard or Standard Extended SOP Classes;
use the same Physical Media and its associated Media Format specified in the corresponding Standard Application Profile;
not include Specialized or Private SOP Classes.

An Augmented Application Profile may:

include one or more Standard or Standard Extended SOP Classes in addition to those of the corresponding Standard Application Profile. These additional SOP Classes may be mandatory or optional;
include the extensions (e.g., additional required keys, additional directory records) to the Basic Directory Information Object corresponding to the SOP Classes defined in a);
add one or more new roles (FSC, FSR, FSU).

To claim conformance to an Augmented Application Profile, an implementation shall make a declaration of this fact in its Conformance Statement, and shall identify the Standard Application Profile from which it is derived and specify the augmentations. The implementation shall also identify its selected options, roles, and behavior.

An implementation of a Augmented Application Profile may:

extend Standard SOP Classes of the corresponding Standard application profile. Such Standard Extended SOP Classes shall meet the requirements specified in Section 7.3;
also claim conformance to the Standard Application Profile on which this Augmented Profile is based. In this case, FSC and FSU implementations shall be able to restrict their behavior to the Standard Application Profile (i.e., provide a means to write only the Standard or Standard Extended SOP Classes defined in the corresponding Standard Application Profile).

7.4.3 Private Application Profile

A Private Application Profile:

conforms to PS3.10 and to the Media Storage Service Class specified in PS3.4;
support only one of the Physical Media and associated Media Format, as specified by PS3.12;

Note

The intent of these two conditions is to ensure that at least the DICOMDIR is readable by other APs.
complies with the rules governing SOP Classes in Section 7.3.

To claim conformance to a Private Application Profile, an implementation shall make a declaration of this fact in its Conformance Statement, and shall provide a description of the Application Profile patterned after the descriptions in PS3.11. The implementation shall also identify its selected options, roles, and behavior.

Note

An implementation that does not meet the provisions of Section 7, including the types of Application Profile, is not conformant to DICOM and so is outside the scope of DICOM conformance. Such an implementation is not an Application Profile in DICOM terminology. For example, if an implementation chooses to write DICOM files onto media that is not in PS3.12, or use a file system not defined for a specific media type in PS3.12, then that implementation cannot claim that it conforms to the DICOM Standard using that media or file system.

7.5 Conformance of DICOM Media

DICOM does not define conformance of a piece of medium in a generic sense. DICOM conformance of a piece of medium can only be evaluated within the scope of one or more media storage Application Profiles that define specific contexts for interoperability.

Note

One may accept the statement "this is a DICOM CD-R" when pointing to a storage medium. However, one should not state "this CD-R is DICOM conformant", but rather "this CD-R conforms to the Basic Cardiac X-ray Angiographic DICOM Application Profile".

7.6 Security Profiles

DICOM specifies methods for providing security at different levels of the ISO OSI Basic Reference Model through the use of mechanisms specific to a particular layer. The methods for applying these mechanisms are described in the various parts of the DICOM Standard. Some mechanisms and algorithms are specified in PS3.15 as Security Profiles. An implementation's Conformance Statement describes which Security Profiles can be used by that application.

Note

For example, the Basic TLS Secure Transport Connection Profile defines a mechanism for authenticating entities participating in the exchange of data, and for protecting the integrity and confidentiality of information during interchange.

An implementation shall list in its Conformance Statement any Security Profiles that it supports, how it selects which Security Profiles it uses, how it uses features of that Security Profile, and any extensions it makes to that Security Profile.

An implementation shall list in its Conformance Statement any additional use of the User Identity association negotiation sub-item that is not specified in a standard Security Profile.

7.7 Transformation of DICOM SR to CDA

DICOM specifies the transformation of DICOM SR objects to CDA documents in PS3.20.

This transformation is unidirectional (DICOM SR to HL7 CDA). Conformance statements shall at a minimum state conformance to the top level templates used for the SR document and the CDA document.

A DICOM Conformance Statement Template (Normative)

This Annex is a template that shall be used to generate a DICOM Conformance Statement. The document is hierarchically structured in three different levels:

A DICOM Conformance Statement Overview, which is typically one page, geared towards people that want to get a quick overview of the functionality and services.
For Networking and Media, the relationship between the AEs, followed by the information for each AE
For the services supported as SCU and SCP all the SOP specific details

Annexes are provided to specify the Object descriptions (IODs), with specifics about the field usage as well as the data dictionaries.

Note

The numbering scheme for numbering paragraphs in this document is to be used as a guideline in preparing the outline of the Conformance Statement. Although strongly encouraged, the Conformance Statement is not required to have exactly the same paragraph numbers because a particular Conformance Statement might have special considerations, which will cause the outline to differ in certain details from the outline of this document. In addition, a vendor might have internal company guidelines prescribing a specific format. Note however, that the overall structure, tables, definition of variables and information such as headers, should be strictly followed.

A.0 Cover Page

A DICOM Conformance Statement may have a cover page, which, if present, shall include:

The commercial name and version(s) of the concerned product or products (if applicable to several products) including all optional features. The product version shall correspond to the functionality as described in this conformance statement.
Date of the document

A.1 Conformance Statement Overview

The Overview consist of typically 5-10 lines describing the network services and media storage capabilities supported by the product in layman's terms (i.e., no DICOM acronyms should be used).

A table of Supported Networking DICOM Service (SOP) Classes is provided with roles (User/Provider), organized in 4 categories:

Transfer
Query/Retrieve
Workflow Management
Print Management

The first column shall specify the SOP Classes exactly as named in PS3.6., Registry of DICOM Unique Identifiers. The phrase "and specializations" may be added to indicate support of all specializations negotiated through the SOP Class Common Extended Negotiation. If the implementation supports all SOP Classes of a particular Service Class through SOP Class Common Extended Negotiation, the first column shall specify "All services of the <x> Service Class".

Table A.1-1. Network Services

SOP Classes	User of Service (SCU)	Provider of Service (SCP)
Transfer
CT Image Storage	Yes	No
US Image Storage	Yes	Yes
Query/Retrieve
Patient Root Information Model FIND	Option	No
Notes, Reports, Measurements Transfer
Comprehensive SR, and specializations	No	Yes
…

The services can be specified as a SCU, SCP or as an Option, which means that it is either configurable or that it can be purchased separately.

Note

Verification SCP (C-Echo) is not included in the table above because it is required for any Acceptor of an Association. The Verification SCU details are covered in the details of the conformance statement.

The SOP Classes are categorized as follows:

Table A.1-2. UID Values

UID Value	UID Name	Category
1.2.840.10008.1.20.1	Storage Commitment Push Model SOP Class	Workflow Management
1.2.840.10008.1.40	Procedural Event Logging SOP Class	Workflow Management
1.2.840.10008.1.42	Substance Administration Logging SOP Class	Workflow Management
1.2.840.10008.3.1.2.3.3	Modality Performed Procedure Step SOP Class	Workflow Management
1.2.840.10008.3.1.2.3.4	Modality Performed Procedure Step Retrieve SOP Class	Workflow Management
1.2.840.10008.3.1.2.3.5	Modality Performed Procedure Step Notification SOP Class	Workflow Management
1.2.840.10008.4.2	Storage Service Class	Transfer
1.2.840.10008.5.1.1.1	Basic Film Session SOP Class	Print Management
1.2.840.10008.5.1.1.2	Basic Film Box SOP Class	Print Management
1.2.840.10008.5.1.1.4	Basic Grayscale Image Box SOP Class	Print Management
1.2.840.10008.5.1.1.4.1	Basic Color Image Box SOP Class	Print Management
1.2.840.10008.5.1.1.9	Basic Grayscale Print Management Meta SOP Class	Print Management
1.2.840.10008.5.1.1.14	Print Job SOP Class	Print Management
1.2.840.10008.5.1.1.15	Basic Annotation Box SOP Class	Print Management
1.2.840.10008.5.1.1.16	Printer SOP Class	Print Management
1.2.840.10008.5.1.1.16.376	Printer Configuration Retrieval SOP Class	Print Management
1.2.840.10008.5.1.1.18	Basic Color Print Management Meta SOP Class	Print Management
1.2.840.10008.5.1.1.23	Presentation LUT SOP Class	Print Management
1.2.840.10008.5.1.1.24.1	Basic Print Image Overlay Box SOP Class	Print Management
1.2.840.10008.5.1.1.33	Media Creation Management SOP Class	Print Management
1.2.840.10008.5.1.4.1.1.1	Computed Radiography Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.1.1	Digital X-Ray Image Storage - For Presentation SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.1.1.1	Digital X-Ray Image Storage - For Processing SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.1.2	Digital Mammography X-Ray Image Storage - For Presentation SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.1.2.1	Digital Mammography X-Ray Image Storage - For Processing SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.1.3	Digital Intra-oral X-Ray Image Storage - For Presentation SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.1.3.1	Digital Intra-oral X-Ray Image Storage - For Processing SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.2	CT Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.2.1	Enhanced CT Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.3.1	Ultrasound Multi-frame Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.4	MR Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.4.1	Enhanced MR Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.4.2	MR Spectroscopy Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.4.3	Enhanced MR Color Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.6.1	Ultrasound Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.6.2	Enhanced US Volume Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.7	Secondary Capture Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.7.1	Multi-frame Single Bit Secondary Capture Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.7.2	Multi-frame Grayscale Byte Secondary Capture Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.7.3	Multi-frame Grayscale Word Secondary Capture Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.7.4	Multi-frame True Color Secondary Capture Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.9.1.1	12-lead ECG Waveform Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.9.1.2	General ECG Waveform Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.9.1.3	Ambulatory ECG Waveform Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.9.2.1	Hemodynamic Waveform Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.9.3.1	Cardiac Electrophysiology Waveform Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.9.4.1	Basic Voice Audio Waveform Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.9.4.2	General Audio Waveform Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.9.5.1	Arterial Pulse Waveform Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.9.6.1	Respiratory Waveform Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.11.1	Grayscale Softcopy Presentation State Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.11.2	Color Softcopy Presentation State Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.11.3	Pseudo-Color Softcopy Presentation State Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.11.4	Blending Softcopy Presentation State Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.11.5	XA/XRF Grayscale Softcopy Presentation State Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.11.6	Grayscale Planar MPR Volumetric Presentation State Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.11.7	Compositing Planar MPR Volumetric Presentation State Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.11.8	Advanced Blending Presentation State Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.11.9	Volume Rendering Volumetric Presentation State Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.11.10	Segmented Volume Rendering Volumetric Presentation State Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.11.11	Multiple Volume Rendering Volumetric Presentation State Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.12.1	X-Ray Angiographic Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.12.1.1	Enhanced XA Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.12.2	X-Ray Radiofluoroscopic Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.12.2.1	Enhanced XRF Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.13.1.1	X-Ray 3D Angiographic Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.13.1.2	X-Ray 3D Craniofacial Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.13.1.3	Breast Tomosynthesis Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.13.1.4	Breast Projection X-Ray Image Storage - For Presentation SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.13.1.5	Breast Projection X-Ray Image Storage - For Processing SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.14.1	Intravascular Optical Coherence Tomography Image Storage - For Presentation SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.14.2	Intravascular Optical Coherence Tomography Image Storage - For Processing SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.20	Nuclear Medicine Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.30	Parametric Map Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.66	Raw Data Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.66.1	Spatial Registration Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.66.2	Spatial Fiducials Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.66.3	Deformable Spatial Registration Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.66.4	Segmentation Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.66.5	Surface Segmentation Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.66.6	Tractography Results Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.67	Real World Value Mapping Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.68.1	Surface Scan Mesh Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.68.2	Surface Scan Point Cloud Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.77.1.1	VL Endoscopic Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.77.1.1.1	Video Endoscopic Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.77.1.2	VL Microscopic Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.77.1.2.1	Video Microscopic Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.77.1.3	VL Slide-Coordinates Microscopic Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.77.1.4	VL Photographic Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.77.1.4.1	Video Photographic Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.77.1.5.1	Ophthalmic Photography 8 Bit Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.77.1.5.2	Ophthalmic Photography 16 Bit Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.77.1.5.3	Stereometric Relationship Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.77.1.5.4	Ophthalmic Tomography Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.77.1.5.5	Wide Field Ophthalmic Photography Stereographic Projection Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.77.1.5.6	Wide Field Ophthalmic Photography 3D Coordinates Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.77.1.5.7	Ophthalmic Optical Coherence Tomography En Face Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.77.1.5.8	Ophthalmic Optical Coherence Tomography B-scan Volume Analysis Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.77.1.6	VL Whole Slide Microscopy Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.78.1	Lensometry Measurements Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.78.2	Autorefraction Measurements Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.78.3	Keratometry Measurements Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.78.4	Subjective Refraction Measurements Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.78.5	Visual Acuity Measurements Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.78.6	Spectacle Prescription Report Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.78.7	Ophthalmic Axial Measurements Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.78.8	Intraocular Lens Calculations Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.79.1	Macular Grid Thickness and Volume Report Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.80.1	Ophthalmic Visual Field Static Perimetry Measurements Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.81.1	Ophthalmic Thickness Map Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.82.1	Corneal Topography Map Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.88.11	Basic Text SR Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.88.22	Enhanced SR Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.88.33	Comprehensive SR Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.88.34	Comprehensive 3D SR Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.88.40	Procedure Log Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.88.50	Mammography CAD SR Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.88.59	Key Object Selection Document Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.88.65	Chest CAD SR Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.88.67	X-Ray Radiation Dose SR Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.88.68	Radiopharmaceutical Radiation Dose SR Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.88.69	Colon CAD SR Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.88.70	Implantation Plan SR Document Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.88.71	Acquisition Context SR Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.88.72	Simplified Adult Echo SR Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.88.73	Patient Radiation Dose SR Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.88.74	Planned Imaging Agent Administration SR Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.88.75	Performed Imaging Agent Administration SR Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.90.1	Content Assessment Results Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.104.1	Encapsulated PDF Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.104.2	Encapsulated CDA Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.104.3	Encapsulated STL Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.128	Positron Emission Tomography Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.130	Enhanced PET Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.131	Basic Structured Display Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.200.1	CT Defined Procedure Protocol Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.200.2	CT Performed Procedure Protocol Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.200.3	Protocol Approval Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.481.1	RT Image Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.481.2	RT Dose Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.481.3	RT Structure Set Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.481.4	RT Beams Treatment Record Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.481.5	RT Plan Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.481.6	RT Brachy Treatment Record Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.481.7	RT Treatment Summary Record Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.481.8	RT Ion Plan Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.481.9	RT Ion Beams Treatment Record Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.481.10	RT Physician Intent Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.481.11	RT Segment Annotation Storage SOP Class	Transfer
1.2.840.10008.5.1.4.1.1.481.12	RT Radiation Set Storage	Transfer
1.2.840.10008.5.1.4.1.1.481.13	C-Arm Photon-Electron Radiation Storage	Transfer
1.2.840.10008.5.1.4.1.2.1.1	Patient Root Query/Retrieve Information Model - FIND SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.1.2.1.2	Patient Root Query/Retrieve Information Model - MOVE SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.1.2.1.3	Patient Root Query/Retrieve Information Model - GET SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.1.2.2.1	Study Root Query/Retrieve Information Model - FIND SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.1.2.2.2	Study Root Query/Retrieve Information Model - MOVE SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.1.2.2.3	Study Root Query/Retrieve Information Model - GET SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.1.2.4.2	Composite Instance Root Retrieve - MOVE SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.1.2.4.3	Composite Instance Root Retrieve - GET SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.1.2.5.3	Composite Instance Retrieve Without Bulk Data - GET SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.20.1	Defined Procedure Protocol Information Model - FIND SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.20.2	Defined Procedure Protocol Information Model - MOVE SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.20.3	Defined Procedure Protocol Information Model - GET SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.1.1.200.4	Protocol Approval Information Model - FIND SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.1.1.200.5	Protocol Approval Information Model - MOVE SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.1.1.200.6	Protocol Approval Information Model - GET SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.31	Modality Worklist Information Model - FIND SOP Class	Workflow Management
1.2.840.10008.5.1.4.32.1	General Purpose Worklist Information Model - FIND SOP Class (Retired)	Workflow Management
1.2.840.10008.5.1.4.32.2	General Purpose Scheduled Procedure Step SOP Class (Retired)	Workflow Management
1.2.840.10008.5.1.4.32.3	General Purpose Performed Procedure Step SOP Class (Retired)	Workflow Management
1.2.840.10008.5.1.4.32	General Purpose Worklist Management Meta SOP Class (Retired)	Workflow Management
1.2.840.10008.5.1.4.33	Instance Availability Notification SOP Class	Workflow Management
1.2.840.10008.5.1.4.34.6.1	Unified Procedure Step - Push SOP Class	Workflow Management
1.2.840.10008.5.1.4.34.6.2	Unified Procedure Step - Watch SOP Class	Workflow Management
1.2.840.10008.5.1.4.34.6.3	Unified Procedure Step - Pull SOP Class	Workflow Management
1.2.840.10008.5.1.4.34.6.4	Unified Procedure Step - Event SOP Class	Workflow Management
1.2.840.10008.5.1.4.34.6.5	Unified Procedure Step - Query SOP Class	Workflow Management
1.2.840.10008.5.1.4.34.7	RT Beams Delivery Instruction Storage SOP Class	Transfer
1.2.840.10008.5.1.4.34.8	RT Conventional Machine Verification SOP Class	Workflow Management
1.2.840.10008.5.1.4.34.9	RT Ion Machine Verification SOP Class	Workflow Management
1.2.840.10008.5.1.4.34.10	RT Brachy Application Setup Delivery Instruction Storage SOP Class	Transfer
1.2.840.10008.5.1.4.37.1	General Relevant Patient Information Query SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.37.2	Breast Imaging Relevant Patient Information Query SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.37.3	Cardiac Relevant Patient Information Query SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.38.1	Hanging Protocol Storage SOP Class	Transfer
1.2.840.10008.5.1.4.38.2	Hanging Protocol Information Model - FIND SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.38.3	Hanging Protocol Information Model - MOVE SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.39.1	Color Palette Storage SOP Class	Transfer
1.2.840.10008.5.1.4.39.2	Color Palette Information Model - FIND SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.39.3	Color Palette Information Model - MOVE SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.39.4	Color Palette Information Model - GET SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.41	Product Characteristics Query SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.42	Substance Approval Query SOP Class	Query/Retrieve
1.2.840.10008.5.1.4.43.1	Generic Implant Template Storage SOP Class	Transfer
1.2.840.10008.5.1.4.43.2	Generic Implant Template Information Model - FIND SOP Class	Query / Retrieve
1.2.840.10008.5.1.4.43.3	Generic Implant Template Information Model - MOVE SOP Class	Query / Retrieve
1.2.840.10008.5.1.4.43.4	Generic Implant Template Information Model - GET SOP Class	Query / Retrieve
1.2.840.10008.5.1.4.44.1	Implant Assembly Template Storage SOP Class	Transfer
1.2.840.10008.5.1.4.44.2	Implant Assembly Template Information Model - FIND SOP Class	Query / Retrieve
1.2.840.10008.5.1.4.44.3	Implant Assembly Template Information Model - MOVE SOP Class	Query / Retrieve
1.2.840.10008.5.1.4.44.4	Implant Assembly Template Information Model - GET SOP Class	Query / Retrieve
1.2.840.10008.5.1.4.45.1	Implant Template Group Storage SOP Class	Transfer
1.2.840.10008.5.1.4.45.2	Implant Template Group Information Model - FIND SOP Class	Query / Retrieve
1.2.840.10008.5.1.4.45.3	Implant Template Group Information Model - MOVE SOP Class	Query / Retrieve
1.2.840.10008.5.1.4.45.4	Implant Template Group Information Model - GET SOP Class	Query / Retrieve

A table of Supported Media Storage Application Profiles (with roles) is provided, organized in categories:

Compact Disk - Recordable
Magneto-Optical Disk
DVD
BD
USB and Flash Memory
Email
Other Media

Table A.1-3. Media Services

Media Storage Application Profile	Write Files (FSC or FSU)	Read Files (FSR)
Compact Disk - Recordable
General Purpose CD-R	Option	Yes
Magneto-Optical Disk
CT/MR 2.3 GB MOD	Yes	Yes
DVD
General Purpose DVD-RAM	Yes	Yes
BD
General Purpose BD Interchange with MPEG-4 AVC/H.264 BD-Compatible HiP@Level4.1	Yes	Yes
USB and Flash Memory
General Purpose USB Media Interchange with JPEG	Yes	Yes
Email
General Purpose MIME Interchange	Yes	No
General Purpose ZIP Email	Yes	No

A.2 Table of Contents

The table of contents will be provided to assist readers in easily finding the needed information.

A.3 Introduction

The introduction specifies product and relevant disclaimers as well as any general information that the vendor feels is appropriate.

The following subsections are suggested:

A.3.1 Revision History

The revision history provides dates and differences of the different releases of the product and the Conformance Statement.

A.3.2 Audience

The audience is specified with their assumed pre-knowledge. The following example may be used as a template:

This document is written for the people that need to understand how <Product Name> will integrate into their healthcare facility. This includes both those responsible for overall imaging network policy and architecture, as well as integrators who need to have a detailed understanding of the DICOM features of the product. This document contains some basic DICOM definitions so that any reader may understand how this product implements DICOM features. However, integrators are expected to fully understand all the DICOM terminology, how the tables in this document relate to the product's functionality, and how that functionality integrates with other devices that support compatible DICOM features.

A.3.3 Remarks

Any important remarks, disclaimers, and general information are specified. The following example may be used as a template:

The scope of this DICOM Conformance Statement is to facilitate integration between <Product Name> and other DICOM products. The Conformance Statement should be read and understood in conjunction with the DICOM Standard. DICOM by itself does not guarantee interoperability. The Conformance Statement does, however, facilitate a first-level comparison for interoperability between different applications supporting compatible DICOM functionality.

This Conformance Statement is not supposed to replace validation with other DICOM equipment to ensure proper exchange of intended information. In fact, the user should be aware of the following important issues:

The comparison of different Conformance Statements is just the first step towards assessing interconnectivity and interoperability between the product and other DICOM conformant equipment.
Test procedures should be defined and executed to validate the required level of interoperability with specific compatible DICOM equipment, as established by the healthcare facility.

If the product has an IHE Integration Statement, the following statement may be applicable:

<Product Name> has participated in an industry-wide testing program sponsored by Integrating the Healthcare Enterprise (IHE). The IHE Integration Statement for <Product Name>, together with the IHE Technical Framework, may facilitate the process of validation testing.

A.3.4 Terms and Definitions

Terms and definitions should be listed here. The following example may be used as a template:

Informal definitions are provided for the following terms used in this Conformance Statement. The DICOM Standard is the authoritative source for formal definitions of these terms.

Abstract Syntax: The information agreed to be exchanged between applications, generally equivalent to a Service/Object Pair (SOP) Class. Examples: Verification SOP Class, Modality Worklist Information Model Find SOP Class, Computed Radiography Image Storage SOP Class.
Application Entity (AE): An end point of a DICOM information exchange, including the DICOM network or media interface software; i.e., the software that sends or receives DICOM information objects or messages. A single device may have multiple Application Entities.
Application Entity Title (AET): The externally known name of an Application Entity, used to identify a DICOM application to other DICOM applications on the network.
Application Context: The specification of the type of communication used between Application Entities. Example: DICOM network protocol.
Association: A network communication channel set up between Application Entities.
Attribute: A unit of information in an object definition; a data element identified by a tag. The information may be a complex data structure (Sequence), itself composed of lower level data elements. Examples: Patient ID (0010,0020), Accession Number (0008,0050), Photometric Interpretation (0028,0004), Procedure Code Sequence (0008,1032).
Information Object Definition (IOD): The specified set of Attributes that comprise a type of data object; does not represent a specific instance of the data object, but rather a class of similar data objects that have the same properties. The Attributes may be specified as Mandatory (Type 1), Required but possibly unknown (Type 2), or Optional (Type 3), and there may be conditions associated with the use of an Attribute (Types 1C and 2C). Examples: MR Image IOD, CT Image IOD, Print Job IOD.
Joint Photographic Experts Group (JPEG): A set of standardized image compression techniques, available for use by DICOM applications.
Media Application Profile: The specification of DICOM information objects and encoding exchanged on removable media (e.g., CDs).
Module: A set of Attributes within an Information Object Definition that are logically related to each other. Example: Patient Module includes Patient Name, Patient ID, Patient Birth Date, and Patient Sex.
Negotiation: First phase of Association establishment that allows Application Entities to agree on the types of data to be exchanged and how that data will be encoded.
Presentation Context: The set of DICOM network services used over an Association, as negotiated between Application Entities; includes Abstract Syntaxes and Transfer Syntaxes.
Protocol Data Unit (PDU): A packet (piece) of a DICOM message sent across the network. Devices must specify the maximum size packet they can receive for DICOM messages.
Security Profile: A set of mechanisms, such as encryption, user authentication, or digital signatures, used by an Application Entity to ensure confidentiality, integrity, and/or availability of exchanged DICOM data.
Service Class Provider (SCP): Role of an Application Entity that provides a DICOM network service; typically, a server that performs operations requested by another Application Entity (Service Class User). Examples: Picture Archiving and Communication System (image storage SCP, and image query/retrieve SCP), Radiology Information System (modality worklist SCP).
Service Class User (SCU): Role of an Application Entity that uses a DICOM network service; typically, a client. Examples: imaging modality (image storage SCU, and modality worklist SCU), imaging workstation (image query/retrieve SCU).
Service/Object Pair Class (SOP Class): The specification of the network or media transfer (service) of a particular type of data (object); the fundamental unit of DICOM interoperability specification. Examples: Ultrasound Image Storage Service, Basic Grayscale Print Management.
Service/Object Pair Instance (SOP Instance): An information object; a specific occurrence of information exchanged in a SOP Class. Examples: a specific x-ray image.
Tag: A 32-bit identifier for a data element, represented as a pair of four digit hexadecimal numbers, the "group" and the "element". If the "group" number is odd, the tag is for a private (manufacturer-specific) data element. Examples: (0010,0020) [Patient ID], (07FE,0010) [Pixel Data], (0019,0210) [private data element].
Transfer Syntax: The encoding used for exchange of DICOM information objects and messages. Examples: JPEG compressed (images), little endian explicit value representation.
Unique Identifier (UID): A globally unique "dotted decimal" string that identifies a specific object or a class of objects; an ISO-8824 Object Identifier. Examples: Study Instance UID, SOP Class UID, SOP Instance UID.
Value Representation (VR): The format type of an individual DICOM data element, such as text, an integer, a person's name, or a code. DICOM information objects can be transmitted with either explicit identification of the type of each data element (Explicit VR), or without explicit identification (Implicit VR); with Implicit VR, the receiving application must use a DICOM data dictionary to look up the format of each data element.

A.3.5 Basics of DICOM Communication

A layman's introduction to DICOM may be included here. The following example may be used as a template:

This section describes terminology used in this Conformance Statement for the non-specialist. The key terms used in the Conformance Statement are highlighted in italics below. This section is not a substitute for training about DICOM, and it makes many simplifications about the meanings of DICOM terms.

Two Application Entities (devices) that want to communicate with each other over a network using DICOM protocol must first agree on several things during an initial network "handshake". One of the two devices must initiate an Association (a connection to the other device), and ask if specific services, information, and encoding can be supported by the other device (Negotiation).

DICOM specifies a number of network services and types of information objects, each of which is called an Abstract Syntax for the Negotiation. DICOM also specifies a variety of methods for encoding data, denoted Transfer Syntaxes. The Negotiation allows the initiating Application Entity to propose combinations of Abstract Syntax and Transfer Syntax to be used on the Association; these combinations are called Presentation Contexts. The receiving Application Entity accepts the Presentation Contexts it supports.

For each Presentation Context, the Association Negotiation also allows the devices to agree on Roles - which one is the Service Class User (SCU - client) and which is the Service Class Provider (SCP - server). Normally the device initiating the connection is the SCU, i.e., the client system calls the server, but not always.

The Association Negotiation finally enables exchange of maximum network packet (PDU) size, security information, and network service options (called Extended Negotiation information).

The Application Entities, having negotiated the Association parameters, may now commence exchanging data. Common data exchanges include queries for worklists and lists of stored images, transfer of image objects and analyses (structured reports), and sending images to film printers. Each exchangeable unit of data is formatted by the sender in accordance with the appropriate Information Object Definition, and sent using the negotiated Transfer Syntax. There is a Default Transfer Syntax that all systems must accept, but it may not be the most efficient for some use cases. Each transfer is explicitly acknowledged by the receiver with a Response Status indicating success, failure, or that query or retrieve operations are still in process.

Two Application Entities may also communicate with each other by exchanging media (such as a CD-R). Since there is no Association Negotiation possible, they both use a Media Application Profile that specifies "pre-negotiated" exchange media format, Abstract Syntax, and Transfer Syntax.

A.3.6 Abbreviations

Abbreviations should be listed here. These may be taken from the following list, deleting terms that are not used within the Conformance Statement, and adding any additional terms that are used:

AE: Application Entity
AET: Application Entity Title
CAD: Computer Aided Detection
CDA: Clinical Document Architecture
CD-R: Compact Disk Recordable
CSE: Customer Service Engineer
CR: Computed Radiography
CT: Computed Tomography
DHCP: Dynamic Host Configuration Protocol
DICOM: Digital Imaging and Communications in Medicine
DIT: Directory Information Tree (LDAP)
DN: Distinguished Name (LDAP)
DNS: Domain Name System
DX: Digital X-ray
FSC: File-Set Creator
FSU: File-Set Updater
FSR: File-Set Reader
GSDF: Grayscale Standard Display Function
GSPS: Grayscale Softcopy Presentation State
HIS: Hospital Information System
HL7: Health Level 7 Standard
IHE: Integrating the Healthcare Enterprise
IOD: Information Object Definition
IPv4: Internet Protocol version 4
IPv6: Internet Protocol version 6
ISO: International Organization for Standards
IO: Intra-oral X-ray
JPEG: Joint Photographic Experts Group
LDAP: Lightweight Directory Access Protocol
LDIF: LDAP Data Interchange Format
LUT: Look-up Table
MAR: Medication Administration Record
MPEG: Moving Picture Experts Group
MG: Mammography (X-ray)
MPPS: Modality Performed Procedure Step
MR: Magnetic Resonance Imaging
MSPS: Modality Scheduled Procedure Step
MTU: Maximum Transmission Unit (IP)
MWL: Modality Worklist
NM: Nuclear Medicine
NTP: Network Time Protocol
O: Optional (Key Attribute)
OP: Ophthalmic Photography
OSI: Open Systems Interconnection
PACS: Picture Archiving and Communication System
PET: Positron Emission Tomography
PDU: Protocol Data Unit
R: Required (Key Attribute)
RDN: Relative Distinguished Name (LDAP)
RF: Radiofluoroscopy
RIS: Radiology Information System.
RT: Radiotherapy
SC: Secondary Capture
SCP: Service Class Provider
SCU: Service Class User
SOP: Service-Object Pair
SPS: Scheduled Procedure Step
SR: Structured Reporting
TCP/IP: Transmission Control Protocol/Internet Protocol
U: Unique (Key Attribute)
UL: Upper Layer
US: Ultrasound
VL: Visible Light
VR: Value Representation
XA: X-ray Angiography

A.3.7 References

Referenced documents should be listed here, including appropriate product manuals (such as service manuals that specify how to set DICOM communication parameters). References to the DICOM Standard should provide the URL for the free published version of the Standard, but should not specify a date of publication:

NEMA PS3 Digital Imaging and Communications in Medicine (DICOM) Standard, available free at http://medical.nema.org/

A.4 Networking

This section contains the networking related services (vs. the media related ones).

A.4.1 Implementation Model

The Implementation model consists of three sections: the Application Data Flow Diagram, specifying the relationship between the Application Entities and the "external world" or Real-World activities, a functional description of each Application Entity, and the sequencing constraints among them.

A.4.1.1 Application Data Flow

As part of the Implementation model, an Application Data Flow Diagram shall be included. This diagram represents all of the Application Entities present in an implementation, and graphically depicts the relationship of the AEs use of DICOM to Real-World Activities as well as any applicable User interaction. Figure A.4.1-1 is a template for such a Data Flow Diagram.

In this illustration, according to figure A.4.1-1, an occurrence of local Real-World Activity A will cause local Application Entity <1> to initiate an association for the purpose of causing Real-World Activity X to occur remotely. It also shows that Real-World Activities B and Y are interactively related via Application Entity <2>, with B being local and Y Remote, and that local Application Entity 3 expects to receive an association request when remote Real-World Activity Z occurs so that it can perform Real-World Activity C and/or D. When the performance of Real-World activities relies on interactions within the implementation, one may depict the circles as overlapping as shown in Figure A.4.1-1. Any such overlap shall be discussed in this section of a Conformance Statement.

Typically, there is a one to one relationship between an AE and an AE Title. Devices may be capable of configuring the relationship between AE and AE Title (e.g., by merging Application Entities to use a single AE Title). This is specified in the configuration section.

Figure A.4.1-1. Functional Overview

The Application Data Flow Diagram shall contain overview text with one bullet per AE. Each bullet should provide an overview of each one of the AEs, in relationship to their real-world activities, AE network exchanges and external real-world activities.

Note

There is no standard definition or guidelines on the number of AEs within a product and what an AE should encompass. Its functionality and scope is purely to the discretion of the vendor and typically depending on the system architecture.

A.4.1.2 Functional Definition of AEs

This Part shall contain a functional definition for each individual local Application Entity. This shall describe in general terms the functions to be performed by the AE, and the DICOM services used to accomplish these functions. In this sense, "DICOM services" refers not only to DICOM Service Classes, but also to lower level DICOM services, such as Association Services.

A.4.1.2.1 Functional Definition of "Application Entity <1>"

Functional description of "Application Entity <1>" (substitute actual AE name), i.e., what is it that the AE performs.

A.4.1.2.2 Functional Definition of "Application Entity <2>"

Same for "Application Entity <2>".

A.4.1.2.3 Functional Definition of "Application Entity <3>"

Same for "Application Entity <3>".

A.4.1.3 Sequencing of Real World Activities

If applicable, this section shall contain a description of sequencing as well as potential constraints, of Real-World Activities, including any applicable user interactions, as performed by all the Application Entities. A UML sequence diagram, which depicts the Real-World Activities as vertical bars and shows the events exchanged between them as arrows, is strongly recommended.

A.4.2 AE Specifications:

The next section in the DICOM Conformance Statement is a set of Application Entity Specifications. There shall be one such specification for each Application Entity. Each individual AE Specification has a subsection, A.4.2.x. There are as many of these subsections as there are different AEs in the implementation. That is, if there are two distinct AEs, then there will be two subsections, A.4.2.1, and A.4.2.2.

A.4.2.1 "Application Entity <1>"

Every detail of this specific Application Entity shall be completely specified under this section.

AEs that utilize the DIMSE services shall have the following sections.

Note

AEs that utilize other services are described later, and will re-use this section numbering.

A.4.2.1.1 SOP Classes

The specification for an Application Entity shall contain a statement of the form:

"This Application Entity provides Standard Conformance to the following SOP Class(es) :"

Table A.4.2-1. SOP Class(Es) for "Application Entity <1>"

SOP Class Name	SOP Class UID	SCU	SCP
SOP Class UID Name as specified in the registry table of DICOM Unique Identifiers (UID) in PS3.6, with phrase "and specializations" as appropriate	UID as specified in PS3.6	Yes/No	Yes/No

Note

Any SOP specific behavior is documented later in the conformance statement in the applicable SOP specific conformance section.

A.4.2.1.2 Association Policies

Each AE Specification shall contain a description of the General Association Establishment and Acceptance policies of the AE.

A.4.2.1.2.1 General

The DICOM standard Application context shall be specified.

Table A.4.2-2. DICOM Application Context

Application Context Name

1.2.840.10008.3.1.1.1

A.4.2.1.2.2 Number of Associations.

The number of simultaneous associations, which an Application Entity may support as a SCU or SCP, shall be specified. Any rules governing simultaneity of associations shall be defined here.

Note

For example an AE may have the capability to have up to 10 simultaneous associations, but may limit itself to have no more than 2 with any particular other AE. There may also be policies based upon combinations of simultaneous Real-World Activities.

Table A.4.2-3. Number of Associations as an Association Initiator for "Application Entity <1>"

Maximum number of simultaneous associations

Table A.4.2-4. Number of Associations as an Association Acceptor for "Application Entity <1>"

Maximum number of simultaneous associations

A.4.2.1.2.3 Asynchronous Nature

If the implementation supports negotiation of multiple outstanding transactions, this shall be stated here, along with the maximum number of outstanding transactions supported.

Table A.4.2-5. Asynchronous Nature as an Association Initiator for "Application Entity <1>"

Maximum number of outstanding asynchronous transactions

A.4.2.1.2.4 Implementation Identifying Information

The value supplied for Implementation Class UID shall be documented here. If a version name is supplied, this fact shall be documented here. Policies defining the values supplied for version name may be stated here.

Table A.4.2-6. DICOM Implementation Class and Version for "Application Entity <1>"

Implementation Class UID	a.b.c.xxxxxxx.yyy.zz
Implementation Version Name	XYZxyz

A.4.2.1.3 Association Initiation Policy

This describes the conditions under which the AE will initiate an association.

A.4.2.1.3.1 "Activity <1>"

A.4.2.1.3.1.1 Description and Sequencing of Activities

If applicable, this section shall contain a description of sequencing of the events for "Activity <1>" (substitute actual activity name), including any applicable user interactions, which this specific AE performs. A UML sequence diagram, which depicts the Application Entity and Real-World Activities as vertical bars and shows the events exchanged between them as arrows, is strongly recommended.

Note

An example of a situation in which such a description is required is an AE, which supports both the Storage Service Class and the Modality Performed Procedure SOP Class. Some implementations might store the images before sending the final MPPS N-SET message while other implementations might send the final MPPS N-SET message before sending the images.

A.4.2.1.3.1.2 Proposed Presentation Contexts

Each time an association is initiated, the Association Initiator proposes a number of Presentation Contexts to be used on that association. In this subsection, the Presentation Contexts proposed by "Application Entity <1>" for "Activity <1>" shall be defined in a table with the following format:

Table A.4.2-7. Proposed Presentation Contexts for "Application Entity <1>"

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name List	UID List	Role	Extended Negotiation
name_a	AS_UID_a	XS_Name_1, ..., XS_Name_n	XS_UID_1, _, XS_UID_n	SCP \| SCU \| BOTH	None \|See Note <1> \| See Table A.4.2-8
...	...	...	...	...	...

Note

<1>: <Describe the content of any extended negotiation done for the SOP Classes of this Presentation Context. One note may serve multiple Presentation Contexts, as a single Abstract Syntax often corresponds to a single SOP class, which may appear in different Presentation Contexts.>

In Table A.4.2-7, the following meanings are assigned to the fields:

<name_a> This is the name of the Abstract Syntax to be used with this Presentation Context.
<AS_UID_a> This is the UID of the Abstract Syntax to be used for this Presentation Context.
<XS_Name_n> This is the name of a Transfer Syntax that may be used for this Presentation Context.
<XS_UID_n> The UID of the corresponding Transfer Syntax.

If the AE through this Real World Activity might propose any of the SOP Classes of a particular Service Class (e.g., the Storage Service Class), the Abstract Syntax Name and UID shall be those of the Service Class. This section shall describe the conditions under which a SOP Class of that Service Class will be proposed in a Presentation Context.

Note

For instance, an AE may receive instances of a non-preconfigured SOP Class through support of SOP Class Common Extended Negotiation. These instances may be limited to specializations of a particular SOP Class, or they may be any SOP Class within the Service Class, and any such limits should be described.

This section shall describe the conditions under which the AE may change the SOP Class UID of SOP Instances sent, due to fall-back mechanisms.

Note

For instance, if the SCP does not accept the proposed Abstract Syntax (SOP Class) for which there is a Related General SOP Class that was accepted, the AE may modify SOP Instances of the refused SOP Class to use the Related General SOP Class for transmission.

In the event that the Abstract Syntax of the Presentation Context represents a Meta-SOP Class (that is, it includes many SOP Classes) and extended negotiation is supported for some of these SOP Classes, the following table is required to define this extended negotiation. This table is referenced in Table A.4.2-7:

Table A.4.2-8. Extended Negotiation as a SCU

SOP Class Name	SOP Class UID	Extended Negotiation
Name_i	SOP_UID_I	None \| See Note <1>
...	...	...

Note

<1>: <Describe the content of any extended negotiation done for this SOP Class. One note may serve multiple Presentation Contexts, as a SOP class that may appear in different Presentation Contexts and/or Meta SOP Classes>

The implementation of the initiator shall document which Transfer Syntax will be chosen in case multiple Transfer Syntaxes are accepted during the Association Acceptance.

A.4.2.1.3.1.3 SOP Specific Conformance for SOP Class(Es)

This section includes the SOP specific behavior, i.e., error codes, error and exception handling, time-outs, etc. The information shall be as described in the SOP specific Conformance Statement section of PS3.4 (or relevant private SOP definition). It shall include the content of any extended negotiation. Keys shall be specified including how they are used (Matching, return keys, interactive query, whether they are displayed to the user, universal and/or list matching, etc.).

In particular, the behavior associated with the exchange of images available to the AE only in a lossy compressed form shall be documented. For example, if a lossy compressed transfer syntax is not negotiated, will the AE decompress the image data and send it using one of the negotiated transfer syntaxes.

All details regarding the specific conformance, including response behavior to all status codes, both from an application level and communication errors shall be provided in the form of a table as follows:

Table A.4.2-9. DICOM Command Response Status Handling Behavior

Service Status	Further Meaning	Error Code	Behavior
e.g., Success	e.g., Matching is complete	e.g., 0000	e.g., The SCP has successfully returned all matching information.
Warning
Error
…..

The behavior of the AE during communication failure is summarized in a table as follows:

Table A.4.2-10. DICOM Command Communication Failure Behavior

Exception	Behavior
e.g., Timeout	e.g., The Association is aborted using A-ABORT and command marked as failed. The reason is logged and reported to the user.
e.g., Association aborted	e.g., The command is marked as failed. The reason is logged and reported to the user.

A.4.2.1.4 Association Acceptance Policy

Each AE Specification shall contain a description of the Association Acceptance policies of the AE. This describes the conditions under which the AE will accept an association.

A.4.2.1.4.1 "Activity <2>"

A.4.2.1.4.1.1 Description and Sequencing of Activities

A.4.2.1.4.1.2 Accepted Presentation Contexts

Table A.4.2-11. Acceptable Presentation Contexts For"Application Entity <1>" and "Activity <2>"

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name	UID	Role	Extended Negotiation
name_a	AS_UID_a	XS_Name_a	XS_UID_a	SCP \| SCU \| Both	None \|See Note <1>\| See Table A.4.2-12
...	...	...	...	...	...

Note

<1>: <Describe the content of any extended negotiation done for the SOP Classes of this Presentation Context. In particular, acceptance of specialized SOP Classes of the Abstract Syntax specified in this Presentation Context shall be noted. One note may serve multiple Presentation Contexts, as a single Abstract Syntax often corresponds to a single SOP class, which may appear in different Presentation Contexts>

In Table A.4.2-11, the following meanings are assigned to the fields:

<name_a> This is the name of the Abstract Syntax to be used with this Presentation Context.

<AS_UID_a> This is the UID of the Abstract Syntax to be used for this Presentation Context.

<XS_Name_a> This is the name of a Transfer Syntax that may be used for this Presentation Context.

<XS_UID_a> The UID of the corresponding transfer syntax.

If the AE through this Real World Activity supports all SOP Classes of a particular Service Class (e.g., the Storage Service Class) through SOP Class Common Extended Negotiation, the Abstract Syntax Name and UID shall be those of the Service Class, and this shall be noted under Extended Negotiation.

Table A.4.2-12. Extended Negotiation as a SCP

SOP Class name	SOP Class UID	Extended Negotiation
Name_i	SOP_UID_I	None \| See Note <1>
...	...	...

Note

<1>: <Describe the content of any extended negotiation done for this SOP Class. One note may serve multiple Presentation Contexts, as a SOP class, which may appear in different Presentation Contexts, and/or Meta SOP Classes>

Any rules that govern the acceptance of presentation contexts for this AE shall be stated here as well. This includes rules for which combinations of Abstract/Transfer Syntaxes are acceptable, and rules for prioritization of presentation contexts. Rules that govern selection of transfer syntax within a presentation context shall be stated here.

A.4.2.1.4.1.3 SOP Specific Conformance for SOP Class(Es)

The behavior of an Application Entity shall be summarized as shown in Table 4.2-13. Standard as well as the manufacturer specific status codes and their corresponding behavior shall be specified.

Table 4.2-13. Storage C-STORE Response Status

Service Status	Further Meaning	Error Code	Reason
Success	Success	0000	Explain
Refused	Out of Resources	A700-A7FF	Explain
Error	Data Set does not match SOP Class	A900-A9FF	Explain
Error	Specify	Specify	Explain
Warning	Specify	Specify	Explain

A.4.2.2 "Application Entity <1>"

An Application Entity that supports Web services shall have the following sections:

Details of this specific Application Entity shall be specified under this section.

A.4.2.2.1 Retired

See PS3.2-2017b.

A.4.2.2.2 WADO-URI Specifications

All WADO-URI services that are supported shall be listed. Other WADO-URI services that are not supported may be indicated.

For each supported service, the parameters and restrictions on those parameters shall be described.

Any connection policies such as restrictions on the number of connections, support for pipeline requests, etc. shall be described.

A.4.2.2.3 Restful Services Specifications

All RESTful services that are supported shall be listed. Other RESTful services that are not supported may be indicated.

For each supported service, the parameters and restrictions on those parameters shall be described.

Any connection policies such as restrictions on the number of connections, support for pipeline requests, etc. shall be described.

A.4.2.3 "Application Entity <2>"

The same info shall be repeated for each additional AE.

A.4.3 Network Interfaces

A.4.3.1 Physical Network Interface

If applicable, specifies what physical network interface(s) are supported.

A.4.3.2 Additional Protocols

Additional protocols such as used for configuration management are listed here. Any conformance to specific System Management Profiles defined in PS3.15 shall be listed per the following table.

Table A.4.3-1. System Management Profiles Table

Profile Name	Actor	Protocols Used	Optional Transactions	Security Support
Profile (1)	P Client	Protocol_1, Protocol_2	N/A
Profile (x)	X Client	Protocol_2, Protocol_3	Protocol_3 Option_A supported

If the implementation conforms to the Basic Network Address Management Profile as a DHCP Client actor (see PS3.15), the use of DHCP to configure the local IP address and hostname shall be described.

Note

The hostname is an alias for the IP address, and has no semantic relationship to AE titles. It is solely a convenience for configuration description.

If the implementation conforms to the Basic Network Address Management Profile as a DNS Client actor (see PS3.15), the use of DNS to obtain IP addresses from hostname information shall be described.

If the implementation conforms to the Basic Time Synchronization profile as an NTP Client or SNTP Client, the available NTP configuration alternatives shall be described. If the implementation conforms to the Basic Time Synchronization Profile as an NTP Server, the available server configuration alternatives shall be described. Any device specific requirements for accuracy or maximum allowable synchronization error shall be described.

If there is support for WADO (see PS3.18) the options supported and any restrictions shall be described.

A.4.3.3 IPv4 and IPv6 Support

The support for specific IPv4 and IPv6 features and associated optional IPv6 security and configuration facilities shall be documented.

A.4.4 Configuration

Any implementation's DICOM conformance may be dependent upon configuration, which takes place at the time of installation. Issues concerning configuration shall be addressed in this section.

A.4.4.1 AE Title/Presentation Address Mapping

An important installation issue is the translation from AE title to Presentation Address. How this is to be performed shall be described in this section.

Note

There does not necessarily have to be a one to one relationship between AE titles and Application Entities. If so, this should be made clear in the tables.

A.4.4.1.1 Local AE Titles.

The local AE title mapping and configuration shall be specified. The following table shall be used:

Table A.4.4-1. AE Title Configuration Table

Application Entity	Default AE Title	Default TCP/IP Port
AE (1)	Name	Specify
AE (2)	Name	Specify
AE (x)

If the implementation conforms to the Application Configuration Management Profile as an LDAP Client actor (see PS3.15), any use of LDAP to configure the local AE titles shall be described. Any conformance to the Update LDAP Server option shall be specified, together with the values for all component object attributes in the update sent to the LDAP Server.

A.4.4.1.2 Remote AE Title/Presentation Address Mapping

Configuration of remote host names and port numbers shall be specified here.

A.4.4.1.2.1 Remote SCP 1

Configuration of the remote AET port number, host-names, IP addresses and capabilities shall be specified. If applicable, multiple remote SCPs can be specified.

If the implementation conforms to the Application Configuration Management Profile as an LDAP Client actor (see PS3.15), any use of LDAP to configure the remote device addresses and capabilities shall be described. The LDAP queries used to obtain remote device component object attributes shall be specified.

Note

In particular, use of LDAP to obtain the AE Title, TCP port, and IP address for specific system actors (e.g., an Image Archive, or a Performed Procedure Step Manager) should be detailed, as well as how the LDAP information for remote devices is selected for operational use.

A.4.4.1.2.2 Remote SCP 2

Etc.

A.4.4.2 Parameters

The specification of important operational parameters, and if configurable, their default value and range, shall be specified here. The parameters that apply to all Application Entities should be specified in a "General Parameters" section while those specific to particular Application Entities should be specified in separate sections specific to each AE. The following table, which is shown here with a recommended baseline of parameters, shall be used:

Table A.4.4-2. Configuration Parameters Table

Parameter	Configurable (Yes/No)	Default Value
General Parameters
Time-out waiting for acceptance or rejection Response to an Association Open Request. (Application Level timeout)
General DIMSE level time-out values
Time-out waiting for response to TCP/IP connect request. (Low-level timeout)
Time-out waiting for acceptance of a TCP/IP message over the network. (Low-level timeout)
Time-out for waiting for data between TCP/IP packets. (Low-level timeout)
Any changes to default TCP/IP settings, such as configurable stack parameters.
Definition of arbitrarily chosen origins
Definition of constant values used in Dose Related Distance Measurements
Other configurable parameters
AE Specific Parameters
Size constraint in maximum object size (see note)
Maximum PDU size the AE can receive
Maximum PDU size the AE can send
AE specific DIMSE level time-out values
Number of simultaneous Associations by Service and/or SOP Class
<SOP Class support> (e.g., Multi-frame vs. single frame vs. SC support), when configurable
<Transfer Syntax support>, e.g., JPEG, Explicit VR, when configurable
Other parameters that are configurable

Note

In particular when accommodating Multi-frame objects (e.g., Ultrasound Multi-frame, NM, XA, RF), a receiver might have a certain restriction with regard to its maximum length. This restriction should be specified here.

Additional configuration parameters such as hardware options for e.g., a printer shall be specified as well.

A.5 Media Interchange

A.5.1 Implementation Model

The Implementation Model shall identify the DICOM Application Entities in a specific implementation and relate the Application Entities to Real-World Activities.

A.5.1.1 Application Data Flow Diagram

As part of the Implementation Model, an Application Data Flow Diagram shall be included. This diagram represents all of the Application Entities present in an implementation and graphically depicts the relationship of the AEs use of DICOM to real world activities. Figure A.5.1-1 is a template for such a Data Flow Diagram. Accompanying the Application Data Flow Diagram shall be a discussion of the Application Data Flow represented.

In this illustration, according to Figure A.5.1-1, an occurrence of local Real-World Activity A or B will cause the local Application Entity 1 to initiate either creation of a File-set on a medium (FSC) for the purpose of interchange with a remote Real-World Activity X or to access a File-set on a medium for reading (FSR). The remote Real-World Activity X accesses the medium physically transferred from Real-World Activity A or B.

An occurrence of Real-World Activity C will cause the local Application Entity 2 to update a File-set (FSU) on a mounted medium.

Figure A.5.1-1. Application Data Flow Diagram

Note

If the AE expects a remote Real-World Activity to access the media for a specific purpose, this should be shown in the Application Data Flow Diagram as well as described in Section Section A.5.1.1.

A.5.1.2 Functional Definitions of AEs

The next part of the Conformance Statement shall contain a functional definition for each local Application Entity. This shall describe in general terms the functions to be performed by the AE, and the DICOM services used to accomplish these functions. In this sense "DICOM services" refers not only to DICOM Service Classes, but also to lower level DICOM services, such as the Media File System and mapping to particular Media Formats.

A.5.1.3 Sequencing of Real World Activities

If applicable, this section shall contain a description of sequencing of Real World Activities that the AEs require.

Note

An example of a situation in which a such a description is required is an AE that supports roles as a File-set Updater and File-set Reader. In some instances, the File-set will be updated then read (e.g., for verification); and in other instances, may be read first to determine if the File-set needs to be updated.

A.5.1.4 File Meta Information for Implementation Class and Version

This section shall be used to list the values assigned to the File Meta Information attributes (see PS3.10) that pertain to the Implementation Class and Version. These are:

File Meta Information Version
Implementation Class UID
Implementation Version Name

A.5.2 AE Specifications

The next section in the DICOM Conformance Statement is a set of Application Entity Specifications. There shall be one such specification for each Application Entity type.

A.5.2.1 "Application Entity <1>" - Specification

The following table, Table A.5.2-1, shows that for one or more Application Profiles in the first column, there are a number of Real-World Activities in the second column and the roles required for each of these Real-World Activities in the third column

Table A.5.2-1. AE Related Application Profiles, Real-World Activities, and Roles

Supported Application Profile	Real-World Activity	Roles
STD-AP1	RWA A	FSR
	RWA B	FSR, FSC
STD-AP1, AUG-AP2, etc.	RWA C	FSU
	RWA D	FSC

This section shall also contain any general policies that apply to all of the AEs described in subsequent section.

A.5.2.1.1 File Meta Information for the "Application Entity <1>"

This section shall contain the values of the File Meta Information that pertain to the Application Entity (see PS3.10). These are:

Source Application Entity Title

If Private Information is used in the Application Profile File Meta Information, the following two File Meta Information attributes may be documented:

Private Information Creator UID
Private Information

A.5.2.1.2 Real-World Activities

The first sentence in this section shall state the Roles and Media Storage Service Class Options supported by the "Application Entity <1>".

A.5.2.1.2.i "Real-World Activity "

The AE Specification shall contain a description of the Real-World Activities, which invoke the particular AE. There will be one section, A.5.2.1.2.i where i increments for each RWA, per Real-World Activity.

A.5.2.1.2.i.1 Media Storage Application Profile

The Application Profile that is used by the AE described in A.5.2-1 is specified in this section.

A.5.2.1.2.i.1.y Options

The options used in the Application Profiled specified in Table A.5.2-1 shall be detailed in this section. There will be separate sections for each option specified for the AP. If there are no options used in the Application Profile specified in A.5.2.x, this section may be omitted.

A.5.2.2 "Application Entity <2>" - Specification

Each individual AE Specification has a subsection, A.5.2.x. There are as many of these subsections as there are different AEs in the implementation. That is, if there are two distinct AEs, then there will be two subsections, A.5.2.1, and A.5.2.2.

A.5.3 Augmented and Private Application Profiles

This Section shall be used for the description of Augmented and Private Application Profiles.

A.5.3.1 Augmented Application Profiles

Any Augmented Application Profiles used by an AE shall be described in these sections. The rules governing the structure of an Augmented AP shall be described.

A.5.3.1.1 "Augmented Application Profile <1>"

Each Augmented Application Profile shall have a section A.5.3.1.x that describes the specific features of the Application Profile that make it Augmented. These shall be described in the three repeating sections that follow.

A.5.3.1.1.1 SOP Class Augmentations

The additional SOP Classes beyond those specified in the Standard AP on which this Augmented AP is based shall be detailed in this section.

A.5.3.1.1.2 Directory Augmentations

Any additions to the Directory IOD that augment this AP shall be described in this section.

A.5.3.1.1.3 Other Augmentations

Any additions to, or extensions of the Application Profile shall be described in this section. An example of such another augmentation is addition of a role (FSR, FSC, FSU) to the Standard Application Profile set of defined roles.

A.5.3.1.2 "Augmented Application Profile <2>"

To be repeated for the second, third, etc. Augmented Application Profile.

A.5.3.2 Private Application Profiles

The rules that govern construction of a Private Application Profile shall be described. This section shall be used to describe the details of the Private AP.

Note

Refer to PS3.11 for a description of constructing a Private Application Profile.
If the AP deviates from the rules governing a Private AP in any manner, it is non-conformant and is outside the scope of this Standard.

A.5.4 Media Configuration

Any implementation's DICOM conformance may be dependent upon configuration that takes place at the time of installation. Issues concerning configuration shall be addressed in this section (e.g., the configuration of the Source AE Title in File Meta Information).

A.6 Transformation of DICOM to CDA

The supported SR objects and corresponding template identifiers shall be described. The release version and template identifier of the generated valid CDA documents shall be documented. The transformation process may be described by reference to a specific Annex of PS3.20.

A.7 Support of Character Sets

Any support for Character Sets beyond the Default Character Repertoire in Network and Media Services shall be described here.

The behavior when an unsupported character set is received shall be documented.
Character set configuration capabilities, if any, shall be specified.
Mapping and/or conversion of character sets across Services and Instances shall be specified.
Query capabilities for attributes that include non-default character sets, both for the Worklist service class and Query service class shall be specified. Behavior of attributes using extended character sets by a C-FIND, both as SCU and SCP request and response, shall be specified. In particular the handling of Person Names (VR of PN) shall be specified.
The presentation of the characters to a user, i.e., capabilities, font limitations and/or substitutions shall be specified.

A.8 Security

A.8.1 Security Profiles

Any support for Security Profiles as defined in PS3.15 shall be described here. Any extensions to Security Profiles shall be described, e.g., extended schema for audit trail messages.

An implementation shall declare which level of security features it supports, including such things as:

The conditions under which the implementation preserves the integrity of Digital Signatures (e.g., is the implementation bit-preserving).
The conditions under which the implementation verifies incoming Digital Signatures.
The conditions under which the implementation replaces Digital Signatures.
IPv6 Security capabilities

A.8.2 Association Level Security

Any support for security at the Association level (e.g., allowing only certain AE-titles and/or IP addresses to open an Association) shall be specified here.

A.8.3 Application Level Security

Any support for additional application level security as it applies to the DICOM communication (e.g., passwords, biometrics) can be described here.

A.9 Annexes

A.9.1 IOD Contents

A.9.1.1 Created SOP Instance(s)

This section specifies each IOD created (including Private IODs). It should specify the Attribute Name, tag, VR, and Value. The Value should specify the range and source (e.g., User input, Modality Worklist, automatically generated, etc.). For content items in templates, the range and source of the concept name and concept values should be specified. Whether the value is always present or not shall be specified.

Recommended abbreviations to be used for the tables are:

VNAP Value Not Always Present (attribute sent zero length if no value is present)

ANAP Attribute Not Always Present

ALWAYS Always Present with a value

EMPTY Attribute is sent without a value

Recommended abbreviations to be used for the source of the data values in the tables are:

USER the attribute value source is from User input

AUTO the attribute value is generated automatically

MWL,MPPS, etc. the attribute value is the same as the value received using a DICOM service such as Modality Worklist, Modality Performed Procedure Step, etc.

CONFIG the attribute value source is a configurable parameter

Specification of a company web address can refer to sample SOP Instances that are available.

Private attributes should be specified.

A.9.1.2 Usage of Attributes From Received IODs

Each Application that depends on certain fields to function correctly should specify which ones are required for it to perform its intended function.

A.9.1.3 Attribute Mapping

When attributes are used by different SOP Classes, e.g., Modality Worklist, Storage and Modality Performed Procedure Step, this mapping shall be specified. For devices that specify other external protocols, such as HL7, mapping of their fields into the DICOM attributes is not required but highly recommended.

A.9.1.4 Coerced/Modified Fields

A SCU might coerce certain Attributes, e.g., the Patient Name. A SCP might provide a different value of an Attribute than was received. These changes shall be specified here. An example is Patient Name, which could be modified using available information from either an internal database or obtained from an Information System/Information Manager. Another example is the generation of a new SOP Instance UID for an existing instance. The conditions influencing such coercion should be specified..

A.9.2 Data Dictionary of Private Attributes

Any private Attributes should be specified, including their VR, VM and which are known to be safe from identity leakage. Private SOP Classes and Transfer syntaxes should be listed. Whether or not private Attributes are described in Private Data Element Characteristics Sequence (0008,0300) should be specified in Section A.9.1 IOD Contents.

A.9.3 Coded Terminology and Templates

Support for Coded Terminology and templates shall be described here.

A.9.3.1 Context Groups

Each Context Group (i.e., use of coded terminology in a specific context) shall be specified here with its default value set, and whether the value set is configurable. The configurable options are specified.

Table A.9.3-1. Context Groups

Context Group	Default Value Set	Configurable	Use
Logical Context Identification	CID xxx \| extended CID xxx \| Private CID yyyy \| None	No\| Extensible\|Replaceable	Description of method of selection of a term from the Context Group, and identification of the IOD, Attribute, and/or Content Item that uses the term
e.g., Acquisition Protocol Equipment Settings	e.g., None	e.g., Replaceable	e.g., Value of Scheduled Protocol Code Sequence (0040,0008) from selected Modality Worklist Scheduled Procedure Step is matched to this group for protocol-assisted equipment set-up. Selected value from this group is used in Modality Performed Procedure Step Performed Protocol Code Sequence (0040,0260)
e.g., Patient Orientation	e.g., CID 19 “Patient Orientation”	e.g., No	e.g., Mapped from user console selection of Patient Orientation. Used in Patient Orientation Code Sequence (0054,0410)
...	...	...	...

The Default Value Set may be an extension of a standard context group ("extended CID xxx"). If used, a table shall be provided specifying the extended context group, the Context Group Local Version (0008,0107) value and the Context Group Creator UID (0008,010D).

This section describes the specification of any private context groups that are used. It shall follow the format for context groups specified in PS3.16.

A.9.3.2 Template Specifications

This section specifies any extensions to standard templates and/or any private templates that are used, and defines them. Definitions shall follow the format for templates specified in PS3.16

A.9.3.3 Private Code Definitions

This section specifies any private codes used and their definitions.

A.9.4 Grayscale Image Consistency

Any support for the DICOM Grayscale Standard Display Function will be specified in this section.

A.9.5 Standard Extended/Specialized/Private SOP Classes

This section describes Standard Extended SOP Class, Specialized SOP Class, or Private SOP Class that are used.

A.9.5.1 Standard Extended/Specialized/Private SOP

This section describes a particular Standard Extended SOP Class, Specialized SOP Class, or Private SOP Class.

A.9.6 Private Transfer Syntaxes

This section describes any private Transfer Syntaxes that are listed in the Transfer Syntax Tables.

A.9.6.1 Private Transfer Syntax

This section describes particular private transfer syntax. It shall follow the guidelines specified in PS3.5.

B Conformance Statement Sample Integrated Modality (Informative)

Disclaimer:

This document is an example DICOM Conformance Statement for a fictional image acquisition modality called EXAMPLE-INTEGRATED-MODALITY produced by a fictional vendor called EXAMPLE-IMAGING-PRODUCTS.

As stated in the annex title, this document is truly informative, and not normative. A conformance statement of an actual product might implement additional services and options as appropriate for its specific purpose. In addition, an actual product might implement the services described in a different manner and, for example, with different characteristics and/or sequencing of activities. In other words, this conformance statement example does not intend to standardize a particular manner that a product might implement DICOM functionality.

B.0 Cover Page

Company Name: EXAMPLE-IMAGING-PRODUCTS.

Product Name: SAMPLE INTEGRATED MODALITY

Version: 1.0-rev. A.1

Internal document number: 4226-xxx-yyy-zzz rev 1

Date: YYYYMMDD

B.1 Conformance Statement Overview

This fictional product EXAMPLE-INTEGRATED-MODALITY implements the necessary DICOM services to download work lists from an information system, save acquired RF images and associated Presentation States to a network storage device or CD-R, print to a networked hardcopy device and inform the information system about the work actually done.

Table B.1-1 provides an overview of the network services supported by EXAMPLE-INTEGRATED-MODALITY.

Table B.1-1. Network Services

SOP Classes	User of Service (SCU)	Provider of Service (SCP)
Transfer
X-Ray Radiofluoroscopic Image Storage	Yes	No
Grayscale Softcopy Presentation State	Yes	No
Workflow Management
Modality Worklist	Yes	No
Storage Commitment Push Model	Yes	No
Modality Performed Procedure Step	Yes	No
Print Management
Basic Grayscale Print Management	Option (see Note 1)	No
Presentation LUT	Option (see Note 1)	No

Note

Support for the Print Services is a separately licensable option. Details about licensable options can be found under:http://www.example-imaging-products.nocom/exampleintegrated-modality/licence-options

Table B.1-2 provides an overview of the Media Storage Application Profiles supported by Example-Integrated-Modality.

Table B.1-2. Media Services

Media Storage Application Profile	Write Files (FSC or FSU)	Read Files (FSR)
Compact Disk - Recordable
General Purpose CD-R	Yes	No

B.2 Table of Contents

A table of contents shall be provided to assist readers in easily finding the needed information.

B.3 Introduction

B.3.1 Revision History

Table B.3.1. Revision History

Document Version	Date of Issue	Author	Description
1.1	October 30, 2003	WG 6	Version for Final Text
1.2	August 30, 2007	WG 6	Revised Introduction

B.3.2 Audience, Remarks, Terms and Definitions, Basics of DICOM Communication, Abbreviations, References

See example text in Section A.3.

B.3.3 Additional Remarks for This Example

This document is a sample DICOM Conformance Statement created for DICOM PS3.2. It is to be used solely as an example to illustrate how to create a DICOM Conformance Statement for an acquisition modality. The subject of the document, EXAMPLE-INTEGRATED-MODALITY, is a fictional product.

B.4 Networking

B.4.1 Implementation Model

B.4.1.1 Application Data Flow

Figure B.4.1-1. Application Data Flow Diagram

The Storage Application Entity sends images and Presentation States to a remote AE. It is associated with the local real-world activity "Send Images & GSPS". "Send Images & GSPS" is performed upon user request for each study completed or for specific images selected. When activated by user's settings (auto-send), each marked set of images and associated Presentation States can be immediately stored to a preferred destination whenever a Patient/Study is closed by the user. If the remote AE is configured as an archive device the Storage AE will request Storage Commitment and if a commitment is successfully obtained will record this information in the local database.
The Workflow Application Entity receives Worklist information from and sends MPPS information to a remote AE. It is associated with the local real-world activities "Update Worklist" and "Acquire Images". When the "Update Worklist" local real-world activity is performed the Workflow Application Entity queries a remote AE for worklist items and provides the set of worklist items matching the query request. "Update Worklist" is performed as a result of an operator request or can be performed automatically at specific time intervals. When the "Acquire Images" local real-world activity is performed the Workflow Application Entity creates and updates Modality Performed Procedure Step instances managed by a remote AE. Acquisition of images will result in automated creation of an MPPS Instance. Completion of the MPPS is performed as the result of an operator action.
The Hardcopy Application Entity prints images on a remote AE (Printer). It is associated with the local real-world activity "Film Images". "Film Images" creates a print-job within the print queue containing one or more virtual film sheets composed from images selected by the user.

B.4.1.2 Functional Definition of AEs

B.4.1.2.1 Functional Definition of Storage Application Entity

The existence of a send-job queue entry with associated network destination will activate the Storage AE. An association request is sent to the destination AE and upon successful negotiation of a Presentation Context the image transfer is started. If the association cannot be opened, the related send-job is set to an error state and can be restarted by the user via job control interface. By default, the Storage AE will not try to initiate another association for this send-job automatically. However, an automatic retry (retry-timer, retrycount) can be configured by a CSE.

B.4.1.2.2 Functional Definition of Workflow Application Entity

Worklist Update attempts to download a Worklist from a remote node. If the Workflow AE establishes an Association to a remote AE, it will transfer all worklist items via the open Association. During receiving the worklist response items are counted and the query processing is canceled if the configurable limit of items is reached. The results will be displayed in a separate list, which will be cleared with the next Worklist Update.

The Workflow AE performs the creation of a MPPS Instance automatically whenever images are acquired. Further updates on the MPPS data can be performed interactively from the related MPPS user interface. The MPPS "Complete" or "Discontinued" states can only be set from the user interface.

B.4.1.2.3 Functional Definition of Hardcopy Application Entity

The existence of a print-job in the print queue will activate the Hardcopy AE. An association is established with the printer and the printer's status determined. If the printer is operating normally, the film sheets described within the print-job will be printed. Changes in printer status will be detected (e.g., out of film) and reported to the user. If the printer is not operating normally, the print-job will set to an error state and can be restarted by the user via the job control interface.

B.4.1.3 Sequencing of Real-World Activities

Figure B.4.1-2. Sequencing Constraints

Under normal scheduled workflow conditions the sequencing constraints illustrated in Figure B.4.1-2 apply:

Query Worklist
Receive Worklist of Modality Scheduled Procedure Steps (MSPS)
Select Workitem (MSPS) from Worklist
Start acquisition and create MPPS
Acquire Images
Complete acquisition and finalize MPPS
Print acquired images (optional step)
Store acquired images and any associated Grayscale Softcopy Presentation State (GSPS) instances.
If the Image Manager is configured as an archive device the Storage AE will request Storage Commitment for the images and associated GSPS instances.

Other workflow situations (e.g., unscheduled procedure steps) will have other sequencing constraints. Printing could equally take place after the acquired images have been stored. Printing could be omitted completely if no printer is connected or hard copies are not required.

B.4.2 AE Specifications

B.4.2.1 Storage Application Entity Specification

B.4.2.1.1 SOP Classes

EXAMPLE-INTEGRATED-MODALITY provides Standard Conformance to the following SOP Classes:

Table B.4.2-1. SOP Classes for AE Storage

SOP Class Name	SOP Class UID	SCU	SCP
X-Ray Radiofluoroscopic Image Storage	1.2.840.10008.5.1.4.1.1.12.2	Yes	No
Grayscale Softcopy Presentation State Storage	1.2.840.10008.5.1.4.1.1.11.1	Yes	No
Storage Commitment Push Model	1.2.840.10008.1.20.1	Yes	No
Verification	1.2.840.10008.1.1	No	Yes

B.4.2.1.2 Association Policies

B.4.2.1.2.1 General

The DICOM standard application context name for DICOM is always proposed:

Table B.4.2-2. DICOM Application Context for AE Storage

Application Context Name

1.2.840.10008.3.1.1.1

B.4.2.1.2.2 Number of Associations

EXAMPLE-INTEGRATED-MODALITY 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 will be active at a time, the other remains pending until the active job is completed or failed.

Table B.4.2-3. Number of Associations Initiated for AE Storage

Maximum number of simultaneous Associations

1 (configurable)

EXAMPLE-INTEGRATED-MODALITY accepts Associations to receive N-EVENT-REPORT notifications for the Storage Commitment Push Model SOP Class.

Table B.4.2-4. Number of Associations Accepted for AE Storage

Maximum number of simultaneous Associations

5 (configurable)

B.4.2.1.2.3 Asynchronous Nature

EXAMPLE-INTEGRATED-MODALITY does not support asynchronous communication (multiple outstanding transactions over a single Association).

Table B.4.2-5. Asynchronous Nature as a SCU for AE Storage

Maximum number of outstanding asynchronous transactions

B.4.2.1.2.4 Implementation Identifying Information

The implementation information for this Application Entity is:

Table B.4.2-6. DICOM Implementation Class and Version for AE Storage

Implementation Class UID	1.xxxxxxx.yyy.etc.ad.inf.usw
Implementation Version Name	EXINTMOD_01

B.4.2.1.3 Association Initiation Policy

B.4.2.1.3.1 Activity - Send Images

B.4.2.1.3.1.1 Description and Sequencing of Activities

A user can select images and presentation states and request them to be sent to multiple destinations (up to 3). Each request is forwarded to the job queue and processed individually. When the "Auto-send" option is active, each marked instance or marked set of instances stored in database will be forwarded to the network job queue for a pre-configured auto-send target destination. Which instances will be automatically marked and the destination where the instances are automatically sent to can be configured. The "Auto-send" is triggered by the Close Patient user application.

The Storage AE is invoked by the job control interface that is responsible for processing network archival tasks. The job consists of data describing the instances marked for storage and the destination. An internal daemon process triggered by a job for a specific network destination initiates a C-STORE request to store images. If the process successfully establishes an Association to a remote Application Entity, it will transfer each marked instance one after another via the open Association. Status of the transfer is reported through the job control interface. Only one job will be active at a time. If the C-STORE Response from the remote Application contains a status other than Success or Warning, the Association is aborted and the related Job is switched to a failed state. It can be restarted any time by user interaction or, if configured, by automated retry.

The Storage AE attempts 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.

If the Remote AE is configured as an archive device the Storage AE will, after all images and presentation states have been sent, transmit a single Storage Commitment request (N-ACTION) over the same Association. Upon receiving the N-ACTION response the Storage AE will delay releasing the Association for a configurable amount of time. If no N-EVENT-REPORT is received within this time period the Association will be immediately released (i.e., notification of Storage Commitment success or failure will be received over a separate association). However, the Storage AE is capable of receiving an N-EVENT-REPORT request at any time during an association provided a Presentation Context for the Storage Commitment Push Model has been successfully negotiated (i.e., the N-ACTION is sent at the end of one association and the N-EVENT-REPORT is received during an association initiated for a subsequent send job or during an association initiated by the Remote AE for the specific purpose of sending the N-EVENT-REPORT).

Figure B.4.2-1. Sequencing of Activity - Send Images

A possible sequence of interactions between the Storage AE and an Image Manager (e.g., a storage or archive device supporting the Storage and Storage Commitment SOP Classes as an SCP) is illustrated in Figure B.4.2-1:

The Storage AE opens an association with the Image Manager
An acquired RF image is transmitted to the Image Manager using a C-STORE request and the Image Manager replies with a C-STORE response (status success).
A GSPS instance is transmitted to the Image Manager using a C-STORE request and the Image Manager replies with a C-STORE response (status success).
Another acquired RF image is transmitted to the Image Manager using a C-STORE request and the Image Manager replies with a C-STORE response (status success).
Another GSPS instance is transmitted to the Image Manager using a C-STORE request and the Image Manager replies with a C-STORE response (status success).
An N-ACTION request is transmitted to the Image Manager to obtain storage commitment of previously transmitted RF images and GSPS instances. The Image Manager replies with a N-ACTION response indicating the request has been received and is being processed.
The Image Manager immediately transmits an N-EVENT-REPORT request notifying the Storage AE of the status of the Storage Commitment Request (sent in step 6 using the N-ACTION message). The Storage AE replies with a N-EVENT-REPORT response confirming receipt. The Image Manager could send this message at any time or omit it entirely in favor of transmitting the N-EVENT-REPORT over a separate dedicated association (see note).
The Storage AE closes the association with the Image Manager.

Note

Many other message sequences are possible depending on the number of images and GSPS instances to be stored, support for Storage Commitment and when the SCP sends the N-EVENT-REPORT. The N-EVENT-REPORT can also be sent over a separate association initiated by the Image Manager (see Section B.4.2.1.4.1 on Activity - Receive Storage Commitment Response).

B.4.2.1.3.1.2 Proposed Presentation Contexts

EXAMPLE-INTEGRATED-MODALITY is capable of proposing the Presentation Contexts shown in the following table:

Table B.4.2-7. Proposed Presentation Contexts for Activity Send Images

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name List	UID List	Role	Extended Negotiation
X-Ray Radio Fluoroscopic Image Storage	1.2.840.10008.5.1.4.1.1.12.2	Implicit VR Little Endian Explicit VR Little Endian	1.2.840.10008.1.2 1.2.840.10008.1.2.1	SCU	None
Grayscale Softcopy Presentation State Storage	1.2.840.10008.5.1.4.1.1.11.1	Implicit VR Little Endian Explicit VR Little Endian	1.2.840.10008.1.2 1.2.840.10008.1.2.1	SCU	None
Storage Commitment Push Model	1.2.840.10008.1.20.1	Implicit VR Little Endian Explicit VR Little Endian	1.2.840.10008.1.2 1.2.840.10008.1.2.1	SCU	None

Presentation Contexts for X-Ray Radio Fluoroscopic Image Storage or Grayscale Softcopy Presentation State Storage will only be proposed if the Send Job contains instances for these SOP Classes.

A Presentation Context for the Storage Commitment Push Model will only be proposed if the Remote AE is configured as an archive device.

B.4.2.1.3.1.3 SOP Specific Conformance Image & Pres State Storage SOP Classes

All Image & Presentation State Storage SOP Classes supported by the Storage AE exhibit the same behavior, except where stated, and are described together in this section.

If X-Ray Radio Fluoroscopic Image Storage SOP Instances are included in the Send Job and a corresponding Presentation Context is not accepted then the Association is aborted using AP-ABORT and the send job is marked as failed. The job failure is logged and reported to the user via the job control application.

If Grayscale Softcopy Presentation State Storage SOP Instances are included in the Send Job and a corresponding Presentation Context cannot be negotiated then Grayscale Softcopy Presentation State Storage SOP Instances will not be sent and a warning is logged. Any remaining Image Storage SOP Instances included in the Send Job will be transmitted. Failure to negotiate a Presentation Context for Grayscale Softcopy Presentation State Storage does not in itself cause the Send Job to be marked as failed. The behavior of Storage AE when encountering status codes in a C-STORE response is summarized in the Table below:

Table B.4.2-8. Storage C-STORE Response Status Handling Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	The SCP has successfully stored the SOP Instance. If all SOP Instances in a send job have status success then the job is marked as complete.
Refused	Out of Resources	A700-A7FF	The Association is aborted using A-ABORT and the send job is marked as failed. The status meaning is logged and the job failure is reported to the user via the job control application. This is a transient failure.
Error	Data Set does not match SOP Class	A900-A9FF	The Association is aborted using A-ABORT and the send job is marked as failed. The status meaning is logged and the job failure is reported to the user via the job control application.
Error	Cannot Understand	C000-CFFF	The Association is aborted using A-ABORT and the send job is marked as failed. The status meaning is logged and the job failure is reported to the user via the job control application.
Warning	Coercion of Data Elements	B000	Image transmission is considered successful but the status meaning is logged.
Warning	Data Set does not match SOP Class	B007	Image transmission is considered successful but the status meaning is logged.
Warning	Elements Discarded	B006	Image transmission is considered successful but the status meaning is logged.
*	*	Any other status code.	The Association is aborted using A-ABORT and the send job is marked as failed. The status code is logged and the job failure is reported to the user via the job control application.

The behavior of Storage AE during communication failure is summarized in the Table below:

Table B.4.2-9. Storage Communication Failure Behavior

Exception	Behavior
Timeout	The Association is aborted using A-ABORT and the send job is marked as failed. The reason is logged and the job failure is reported to the user via the job control application.
Association aborted by the SCP or network layers	The send job is marked as failed. The reason is logged and the job failure is reported to the user via the job control application.

A failed send job can be restarted by user interaction. The system can be configured to automatically resend failed jobs if a transient status code is received. The delay between resending failed jobs and the number of retries is also configurable.

The contents of X-Ray Radio Fluoroscopic Image Storage SOP Instances created by EXAMPLE-INTEGRATED-MODALITY conform to the DICOM X-Ray Radio Fluoroscopic Image IOD definition and are described in Section B.8.1.

The contents of Grayscale Softcopy Presentation State Storage SOP Instances created by EXAMPLE-INTEGRATED-MODALITY conform to the DICOM Grayscale Softcopy Presentation State IOD and are described in Section B.8.1.

Grayscale Softcopy Presentation State Storage SOP Instances are created upon user request (e.g., explicitly via "Save" or implicitly via "Close Patient") in order to save the most recent visual appearance of an image (e.g., window center/width, shutters, graphic annotations). When saving the visual appearance, a default Presentation Label will be supplied, which the user can change. The user also has the possibility to enter a detailed Presentation Description. If multiple images from the same study are being displayed the request to save the visual appearance will create one or more Presentation States referencing all displayed images. If images from multiple studies are being displayed at least a separate Presentation State will be created for each study.

When displaying an existing image the most recently saved Grayscale Softcopy Presentation State containing references to the image will be automatically applied. The user has the option to select other Presentation States that also reference the image.

Grayscale Softcopy Presentation State Storage SOP Instances created by EXAMPLE-INTEGRATED-MODALITY will only reference instances of X-Ray Radio Fluoroscopic Image Storage SOP Instances.

Graphical annotations and shutters are only stored in Grayscale Softcopy Presentation State objects. Remote AEs that do not support the Grayscale Softcopy Presentation State Storage SOP Class will not have access to graphical annotations or shutters created by EXAMPLE-INTEGRATED-MODALITY.

B.4.2.1.3.1.4 SOP Specific Conformance for Storage Commitment SOP Class

B.4.2.1.3.1.4.1 Storage Commitment Operations (N-ACTION)

The Storage AE will request storage commitment for instances of the X-Ray Radio Fluoroscopic Image Storage SOP Class and Grayscale Softcopy Presentation State Storage SOP Class if the Remote AE is configured as an archive device and a presentation context for the Storage Commitment Push Model has been accepted.

The Storage AE will consider Storage Commitment failed if no N-EVENT-REPORT is received for a Transaction UID within a configurable time period after receiving a successful N-ACTION response (duration of applicability for a Transaction UID).

The Storage AE does not send the optional Storage Media FileSet ID & UID Attributes or the Referenced Study Component Sequence Attribute in the N-ACTION

The behavior of Storage AE when encountering status codes in a N-ACTION response is summarized in the Table below:

Table B.4.2-10. Storage Commitment N-ACTION Response Status Handling Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	The request for storage comment is considered successfully sent. A timer is started that will expire if no N-EVENT-REPORT for the Transaction UID is received within a configurable timeout period.
*	*	Any other status code.	The Association is aborted using A-ABORT and the request for storage comment is marked as failed. The status meaning is logged and reported to the user.

The behavior of Storage AE during communication failure is summarized in the Table below:

Table B.4.2-11. Storage Commitment Communication Failure Behavior

Exception	Behavior
Timeout	The Association is aborted using A-ABORT and the send job is marked as failed. The reason is logged and the job failure is reported to the user via the job control application.
Association aborted by the SCP or network layers	The send job is marked as failed. The reason is logged and the job failure is reported to the user via the job control application.

B.4.2.1.3.1.4.2 Storage Commitment Notifications (N-EVENT-REPORT)

The Storage AE is capable of receiving an N-EVENT-REPORT notification if it has successfully negotiated a Presentation Context for the Storage Commitment Push Model (i.e., only associations established with archive devices).

Upon receipt of a N-EVENT-REPORT the timer associated with the Transaction UID will be canceled.

The behavior of Storage AE when receiving Event Types within the N-EVENT-REPORT is summarized in the Table below.

Table B.4.2-12. Storage Commitment N-EVENT-REPORT Behavior

Event Type Name	Event Type ID	Behavior
Storage Commitment Request Successful	1	The Referenced SOP Instances under Referenced SOP Sequence (0008,1199) are marked within the database as "Stored & Committed (SC) " to the value of Retrieve AE Title (0008,0054). Successfully committed SOP Instances are candidates for automatic deletion from the local database if local resources become scarce. The conditions under which automatic deletion is initiated and the amount of space freed are site configurable. SOP Instances will not be deleted if they are marked with a lock flag. The least recently accessed SOP Instances are deleted first.
Storage Commitment Request Complete - Failures Exist	2	The Referenced SOP Instances under Referenced SOP Sequence (0008,1199) are treated in the same way as in the success case (Event Type 1). The Referenced SOP Instances under Failed SOP Sequence (0008,1198) are marked within the database as "Store & Commit Failed (Sf) ". The Failure Reasons are logged and the job failure is reported to the user via the job control application. A send job that failed storage commitment will not be automatically restarted but can be restarted by user interaction.

The reasons for returning specific status codes in a N-EVENT-REPORT response are summarized in the Table below.

Table B.4.2-13. Storage Commitment N-EVENT-REPORT Response Status Reasons

Service Status	Further Meaning	Error Code	Reasons
Success	Success	0000	The storage commitment result has been successfully received.
Failure	Unrecognized Operation	0211H	The Transaction UID in the N-EVENT-REPORT request is not recognized (was never issued within an N-ACTION request).
Failure	Resource Limitation	0213H	The Transaction UID in the N-EVENT-REPORT request has expired (no N-EVENT-REPORT was received within a configurable time limit).
Failure	No Such Event Type	0113H	An invalid Event Type ID was supplied in the N-EVENT-REPORT request.
Failure	Processing Failure	0110H	An internal error occurred during processing of the N-EVENT-REPORT. A short description of the error will be returned in Error Comment (0000,0902).
Failure	Invalid Argument Value	0115H	One or more SOP Instance UIDs with the Referenced SOP Sequence (0008,1199) or Failed SOP Sequence (0008,1198) was not included in the Storage Commitment Request associated with this Transaction UID. The unrecognized SOP Instance UIDs will be returned within the Event Information of the N-EVENT-REPORT response.

B.4.2.1.4 Association Acceptance Policy

B.4.2.1.4.1 Activity - Receive Storage Commitment Response

B.4.2.1.4.1.1 Description and Sequencing of Activities

The Storage AE will accept associations in order to receive responses to a Storage Commitment Request.

Figure B.4.2-2. Sequencing of Activity - Receive Storage Commitment Response

A possible sequence of interactions between the Storage AE and an Image Manager (e.g., a storage or archive device supporting Storage Commitment SOP Classes as an SCP) is illustrated in the Figure above:

The Image Manager opens a new association with the Storage AE.
The Image Manager sends an N-EVENT-REPORT request notifying the Storage AE of the status of a previous Storage Commitment Request. The Storage AE replies with a N-EVENT-REPORT response confirming receipt.
The Image Manager closes the association with the Storage AE.

The Storage AE may reject association attempts as shown in the Table below. The Result, Source and Reason/Diag columns represent the values returned in the appropriate fields of an ASSOCIATE-RJ PDU (see Section 9.3.4 in PS3.8 ). The contents of the Source column is abbreviated to save space and the meaning of the abbreviations are:

1 - DICOM UL service-user
2 - DICOM UL service-provider (ASCE related function)
3 - DICOM UL service-provider (Presentation related function)

Table B.4.2-14. Association Rejection Reasons

Result	Source	Reason/Diag	Explanation
2 - rejected-transient	c	2 - local-limit-exceeded	The (configurable) maximum number of simultaneous associations has been reached. An association request with the same parameters may succeed at a later time.
2 - rejected-transient	c	1 - temporary-congestion	No associations can be accepted at this time due to the real-time requirements of higher priority activities (e.g., during image acquisition no associations will be accepted) or because insufficient resources are available (e.g., memory, processes, threads). An association request with the same parameters may succeed at a later time.
1 - rejected-permanent	a	2 - application-context-name-not-supported	The association request contained an unsupported Application Context Name. An association request with the same parameters will not succeed at a later time.
1 - rejected-permanent	a	7 - called-AE-title-not-recognized	The association request contained an unrecognized Called AE Title. An association request with the same parameters will not succeed at a later time unless configuration changes are made. This rejection reason normally occurs when the association initiator is incorrectly configured and attempts to address the association acceptor using the wrong AE Title.
1 - rejected-permanent	a	3 - calling-AE-title-not-recognized	The association request contained an unrecognized Calling AE Title. An association request with the same parameters will not succeed at a later time unless configuration changes are made. This rejection reason normally occurs when the association acceptor has not been configured to recognize the AE Title of the association initiator.
1 - rejected-permanent	b	1 - no-reason-given	The association request could not be parsed. An association request with the same format will not succeed at a later time.

B.4.2.1.4.1.2 Accepted Presentation Contexts

The Storage AE will accept Presentation Contexts as shown in the Table below.

Table B.4.2-15. Acceptable Presentation Contexts for Activity Receive Storage Commitment Response

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name List	UID List	Role	Extended Negotiation
Storage Commitment Push Model	1.2.840.10008.1.20.1	Implicit VR Little Endian Explicit VR Little Endian	1.2.840.10008.1.2 1.2.840.10008.1.2.1	SCU	None
Verification	1.2.840.10008.1.1	Implicit VR Little Endian Explicit VR Little Endian	1.2.840.10008.1.2 1.2.840.10008.1.2.1	SCP	None

The Storage AE will prefer to select the Explicit VR Little Endian Transfer Syntax if multiple transfer syntaxes are offered. The Storage AE will only accept the SCU role (which must be proposed via SCP/SCU Role Selection Negotiation) within a Presentation Context for the Storage Commitment Push Model SOP Class.

B.4.2.1.4.1.3 SOP Specific Conformance for Storage Commitment SOP Class

B.4.2.1.4.1.3.1 Storage Commitment Notifications (N-EVENT-REPORT)

Upon receipt of a N-EVENT-REPORT the timer associated with the Transaction UID will be canceled.

The behavior of Storage AE when receiving Event Types within the N-EVENT-REPORT is summarized in Table B.4.2-12.

The reasons for returning specific status codes in a N-EVENT-REPORT response are summarized in Table B.4.2-13.

B.4.2.1.4.1.4 SOP Specific Conformance for Verification SOP Class

The Storage AE provides standard conformance to the Verification SOP Class as an SCP. If the C-ECHO request was successfully received, a 0000 (Success) status code will be returned in the C-ECHO response. Otherwise, a C000 (Error - Cannot Understand) status code will be returned in the C-ECHO response.

B.4.2.2 Workflow Application Entity Specification

B.4.2.2.1 SOP Classes

EXAMPLE-INTEGRATED-MODALITY provides Standard Conformance to the following SOP Classes:

Table B.4.2-16. SOP Classes for AE Workflow

SOP Class Name	SOP Class UID	SCU	SCP
Modality Worklist Information Model - FIND	1.2.840.10008.5.1.4.31	Yes	No
Modality Performed Procedure Step	1.2.840.10008.3.1.2.3.3	Yes	No

B.4.2.2.2 Association Policies

B.4.2.2.2.1 General

The DICOM standard application context name for DICOM is always proposed:

Table B.4.2-17. DICOM Application Context for AE Workflow

Application Context Name

1.2.840.10008.3.1.1.1

B.4.2.2.2.2 Number of Associations

EXAMPLE-INTEGRATED-MODALITY initiates one Association at a time for a Worklist request.

Table B.4.2-18. Number of Associations Initiated for AE Workflow

Maximum number of simultaneous Associations

B.4.2.2.2.3 Asynchronous Nature

EXAMPLE-INTEGRATED-MODALITY does not support asynchronous communication (multiple outstanding transactions over a single Association).

Table B.4.2-19. Asynchronous Nature as a SCU for AE Workflow

Maximum number of outstanding asynchronous transactions

B.4.2.2.2.4 Implementation Identifying Information

The implementation information for this Application Entity is:

Table B.4.2-20. DICOM Implementation Class and Version for AE Workflow

Implementation Class UID	1.xxxxxxx.yyy.etc.ad.inf.usw
Implementation Version Name	EXINTMOD_01

B.4.2.2.3 Association Initiation Policy

B.4.2.2.3.1 Activity - Worklist Update

B.4.2.2.3.1.1 Description and Sequencing of Activities

The request for a Worklist Update is initiated by user interaction, i.e., pressing the buttons "Worklist Update"/"Patient Worklist Query" or automatically at specific time intervals, configurable by the user. With "Worklist Update" the automated query mechanism is performed immediately on request, while with "Patient Worklist Query" a dialog to enter search criteria is opened and an interactive query can be performed.

The interactive Patient Worklist Query will display a dialog for entering data as search criteria. When the Query is started on user request, only the data from the dialog will be inserted as matching keys into the query.

With automated worklist queries (including "Worklist Update") the EXAMPLE-INTEGRATED-MODALITY always requests all items for a Scheduled Procedure Step Start Date (actual date), Modality (RF) and Scheduled Station AE Title. Query for the Scheduled Station AE Title is configurable by a Service Engineer.

Upon initiation of the request, the EXAMPLE-INTEGRATED-MODALITY will build an Identifier for the C-FIND request, will initiate an Association to send the request and will wait for Worklist responses. After retrieval of all responses, EXAMPLE-INTEGRATED-MODALITY will access the local database to add or update patient demographic data. To protect the system from overflow, the EXAMPLE-INTEGRATED-MODALITY will limit the number of processed worklist responses to a configurable maximum. During receiving the worklist response items are counted and the query processing is canceled by issuing a C-FIND-CANCEL if the configurable limit of items is reached. The results will be displayed in a separate list, which will be cleared with the next worklist update.

EXAMPLE-INTEGRATED-MODALITY will initiate an Association in order to issue a C-FIND request according to the Modality Worklist Information Model.

Figure B.4.2-3. Sequencing of Activity - Worklist Update

A possible sequence of interactions between the Workflow AE and a Departmental Scheduler (e.g., a device such as a RIS or HIS that supports the Modality Worklist SOP Class as an SCP) is illustrated in the Figure above:

The Worklist AE opens an association with the Departmental Scheduler
The Worklist AE sends a C-FIND request to the Departmental Scheduler containing the Worklist Query attributes.
The Departmental Scheduler returns a C-FIND response containing the requested attributes of the first matching Worklist Item.
The Departmental Scheduler returns another C-FIND response containing the requested attributes of the second matching Worklist Item.
The Departmental Scheduler returns another C-FIND response with status Success indicating that no further matching Worklist Items exist. This example assumes that only 2 Worklist items match the Worklist Query.
The Worklist AE closes the association with the Departmental Scheduler.
The user selects a Worklist Item from the Worklist and prepares to acquire new images.

B.4.2.2.3.1.2 Proposed Presentation Contexts

EXAMPLE-INTEGRATED-MODALITY will propose Presentation Contexts as shown in the following table:

Table B.4.2-21. Proposed Presentation Contexts for Activity Worklist Update

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name List	UID List	Role	Extended Negotiation
Modality Worklist Information Model - FIND	1.2.840.10008.5.1.4.31	Implicit VR Little Endian	1.2.840.10008.1.2	SCU	None
Modality Worklist Information Model - FIND	1.2.840.10008.5.1.4.31	Explicit VR Little Endian	1.2.840.10008.1.2.1	SCU	None

B.4.2.2.3.1.3 SOP Specific Conformance for Modality Worklist

The behavior of EXAMPLE-INTEGRATED-MODALITY when encountering status codes in a Modality Worklist C-FIND response is summarized in the Table below. If any other SCP response status than "Success" or "Pending" is received by EXAMPLEINTEGRATED-MODALITY, a message "query failed" will appear on the user interface.

Table B.4.2-22. Modality Worklist C-FIND Response Status Handling Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Matching is complete	0000	The SCP has completed the matches. Worklist items are available for display or further processing.
Refused	Out of Resources	A700	The Association is aborted using A-ABORT and the worklist query is marked as failed. The status meaning is logged and reported to the user if an interactive query. Any additional error information in the Response will be logged.
Failed	Identifier does not match SOP Class	A900	The Association is aborted using A-ABORT and the worklist query is marked as failed. The status meaning is logged and reported to the user if an interactive query. Any additional error information in the Response will be logged.
Failed	Unable to Process	C000 - CFFF	The Association is aborted using A-ABORT and the worklist query is marked as failed. The status meaning is logged and reported to the user if an interactive query. Any additional error information in the Response will be logged.
Cancel	Matching terminated due to Cancel request	FE00	If the query was canceled due to too may worklist items then the SCP has completed the matches. Worklist items are available for display or further processing. Otherwise, the Association is aborted using A-ABORT and the worklist query is marked as failed. The status meaning is logged and reported to the user if an interactive query.
Pending	Matches are continuing	FF00	The worklist item contained in the Identifier is collected for later display or further processing.
Pending	Matches are continuing - Warning that one or more Optional Keys were not supported	FF01	The worklist item contained in the Identifier is collected for later display or further processing. The status meaning is logged only once for each C-FIND operation.
*	*	Any other status code.	The Association is aborted using A-ABORT and the worklist is marked as failed. The status meaning is logged and reported to the user if an interactive query. Any additional error information in the Response will be logged.

The behavior of EXAMPLE-INTEGRATED-MODALITY during communication failure is summarized in the Table below.

Table B.4.2-23. Modality Worklist Communication Failure Behavior

Exception	Behavior
Timeout	The Association is aborted using A-ABORT and the worklist query marked as failed. The reason is logged and reported to the user if an interactive query.
Association aborted by the SCP or network layers	The worklist query is marked as failed. The reason is logged and reported to the user if an interactive query.

Acquired images will always use the Study Instance UID specified for the Scheduled Procedure Step (if available). If an acquisition is unscheduled, a Study Instance UID will be generated locally.

The Table below provides a description of the EXAMPLEINTEGRATED-MODALITY Worklist Request Identifier and specifies the attributes that are copied into the images. Unexpected attributes returned in a C-FIND response are ignored.

Requested return attributes not supported by the SCP are set to have no value. Non-matching responses returned by the SCP due to unsupported optional matching keys are ignored. No attempt is made it filter out possible duplicate entries.

Table B.4.2-24. Worklist Request Identifier

Module Name
Attribute Name	Tag	VR	M	R	Q	D	IOD
Scheduled Procedure Step
Scheduled Procedure Step Sequence	(0040,0100)	SQ
>Scheduled Station AE Title	(0040,0001)	AE	(S)			x
>Scheduled Procedure Step Start Date	(0040,0002)	DA	S			x
>Scheduled Procedure Step Start Time	(0040,0003)	TM		x		x
>Modality	(0008,0060)	CS	S	x
>Scheduled Performing Physician's Name	(0040,0006)	PN		x	x	x	x
>Scheduled Procedure Step Description	(0040,0007)	LO		x		x	x
>Scheduled Station Name	(0040,0010)	SH		x
>Scheduled Procedure Step Location	(0040,0011)	SH		x
>Scheduled Protocol Code Sequence	(0040,0008)	SQ		x			x
>Pre-Medication	(0040,0012)	LO		x		x
>Scheduled Procedure Step ID	(0040,0009)	SH		x		x	x
>Requested Contrast Agent	(0032,1070)	LO		x		x
Requested Procedure
Requested Procedure ID	(0040,1001)	SH		x	x	x	x
Requested Procedure Description	(0032,1060)	LO		x		x	x
Study Instance UID	(0020,000D)	UI		x			x
Requested Procedure Priority	(0040,1003)	SH		x
Patient Transport Arrangements	(0040,1004)	LO		x
Referenced Study Sequence	(0008,1110)	SQ		x			x
Requested Procedure Code Sequence	(0032,1064)	SQ		x			x
Imaging Service Request
Accession Number	(0008,0050)	SH		x	x	x	x
Requesting Physician	(0032,1032)	PN		x		x	x
Referring Physician's Name	(0008,0090)	PN		x	x	x	x
Visit Identification
Admission ID	(0038,0010)	LO		x
Visit Status
Current Patient Location	(0038,0300)	LO		x	x
Visit Admission
Admitting Diagnosis Description	(0008,1080)	LO		x		x
Patient Identification
Patient's Name	(0010,0010)	PN		x	x	x	x
Patient ID	(0010,0020)	LO		x	x	x	x
Patient Demographic
Patient's Birth Date	(0010,0030)	DA		x	x	x	x
Patient's Sex	(0010,0040)	CS		x	x	x	x
Patient's Weight	(0010,1030)	DS		x		x	x
Confidentiality Constraint on Patient Data Description	(0040,3001)	LO		x		x
Patient Medical
Patient State	(0038,0500)	LO		x		x
Pregnancy Status	(0010,21C0)	US		x		x
Medical Alerts	(0010,2000)	LO		x		x
Allergies	(0010,2110)	LO		x		x
Special Needs	(0038,0050)	LO		x		x

Note

If an extended character set is used in the Request Identifier, Specific Character Set (0008,0005) will be included in the Identifier with the value "ISO_IR 100" or "ISO_IR 144" (see Section B.6). Otherwise, Specific Character Set (0008,0005) will not be sent

The above tables should be read as follows:

Module Name: The name of the associated module for supported worklist attributes.
Attribute Name: Attributes supported to build an EXAMPLEINTEGRATED-MODALITY Worklist Request Identifier.
Tag: DICOM tag for this attribute.
VR: DICOM VR for this attribute.
M: Matching keys for (automatic) Worklist Update. A "S" will indicate that EXAMPLE-INTEGRATED-MODALITY will supply an attribute value for Single Value Matching, a "R" will indicate Range Matching and a "*" will denote wild card matching. It can be configured if "Scheduled Station AE Title" is additionally supplied "(S) " and if Modality is set to RF or SC.
R: Return keys. An "x" will indicate that EXAMPLE-INTEGRATED-MODALITY will supply this attribute as Return Key with zero length for Universal Matching. The EXAMPLE-INTEGRATED-MODALITY will support retired date format (yyyy.mm.dd) for "Patient's Birth Date" and "Scheduled Procedure Step Start Date" in the response identifiers. For "Scheduled Procedure Step Start Time" also retired time format as well as unspecified time components are supported.
Q: Interactive Query Key. An "x" " will indicate that EXAMPLE-INTEGRATED-MODALITY will supply this attribute as matching key, if entered in the Query Patient Worklist dialog. For example, the Patient Name can be entered thereby restricting Worklist responses to Procedure Steps scheduled for the patient.
D: Displayed keys. An "x" indicates that this worklist attribute is displayed to the user during a patient registration dialog. For example, Patient Name will be displayed when registering the patient prior to an examination.
IOD: An "x" indicates that this Worklist attribute is included into all Object Instances created during performance of the related Procedure Step.

The default Query Configuration is set to "Modality" (RF) and "Date" (date of today). Optionally, additional matching for the own AET is configurable.

B.4.2.2.3.2 Activity - Acquire Images

B.4.2.2.3.2.1 Description and Sequencing of Activities

After Patient registration, the EXAMPLE-INTEGRATED-MODALITY is awaiting the 1st application of X-Ray Dose to the patient. The trigger to create a MPPS SOP Instance is derived from this event. An Association to the configured MPPS SCP system is established immediately and the related MPPS SOP Instance will be created.

A manual update can be performed with the MPPS user interface where is it possible to set the final state of the MPPS to "COMPLETED" or "DISCONTINUED". In the "Discontinued" case the user can also select the discontinuation reason from a list corresponding to CID 9300 “Procedure Discontinuation Reasons”. A MPPS Instance that has been sent with a state of "COMPLETED" or "DISCONTINUED" can no longer be updated.

The EXAMPLE-INTEGRATED-MODALITY will support creation of "unscheduled cases" by allowing MPPS Instances to be communicated for locally registered Patients.

The EXAMPLE-INTEGRATED-MODALITY only supports a 0-to-1 relationship between Scheduled and Performed Procedure Steps.

EXAMPLE-INTEGRATED-MODALITY will initiate an Association to issue an:

N-CREATE request according to the CREATE Modality Performed Procedure Step SOP Instance operation or a
N-SET request to update the contents and state of the MPPS according to the SET Modality Performed Procedure Step Information operation.

Figure B.4.2-4. Sequencing of Activity - Acquire Images

A possible sequence of interactions between the Workflow AE and a Departmental Scheduler (e.g., a device such as a RIS or HIS that supports the MPPS SOP Class as an SCP) is illustrated in Figure B.4.2-4:

The Worklist AE opens an association with the Departmental Scheduler
The Worklist AE sends an N-CREATE request to the Departmental Scheduler to create an MPPS instance with status of "IN PROGRESS" and create all necessary attributes. The Departmental Scheduler acknowledges the MPPS creation with an N-CREATE response (status success).
The Worklist AE closes the association with the Departmental Scheduler.
All images are acquired and stored in the local database.
The Worklist AE opens an association with the Departmental Scheduler.
The Worklist AE sends an N-SET request to the Departmental Scheduler to update the MPPS instance with status of "COMPLETED" and set all necessary attributes. The Departmental Scheduler acknowledges the MPPS update with an N-SET response (status success).
The Worklist AE closes the association with the Departmental Scheduler.

B.4.2.2.3.2.2 Proposed Presentation Contexts

EXAMPLE-INTEGRATED-MODALITY will propose Presentation Contexts as shown in the following table:

Table B.4.2-25. Proposed Presentation Contexts for Real-World Activity Acquire Images

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name List	UID List	Role	Extended Negotiation
Modality Performed Procedure Step	1.2.840.10008.3.1.2.3.3	Implicit VR Little Endian	1.2.840.10008.1.2	SCU	None
Modality Performed Procedure Step	1.2.840.10008.3.1.2.3.3	Explicit VR Little Endian	1.2.840.10008.1.2.1	SCU	None

B.4.2.2.3.2.3 SOP Specific Conformance for MPPS

The behavior of EXAMPLE-INTEGRATED-MODALITY when encountering status codes in an MPPS N-CREATE or N-SET response is summarized in Table B.4.2-26. If any other SCP response status than "Success" or "Warning" is received by EXAMPLEINTEGRATED-MODALITY, a message "MPPS update failed" will appear on the user interface.

Table B.4.2-26. MPPS N-CREATE / N-SET Response Status Handling Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	The SCP has completed the operation successfully.
Failure	Processing Failure - Performed Procedure Step Object may no longer be updated	0110	The Association is aborted using A-ABORT and the MPPS is marked as failed. The status meaning is logged and reported to the user. Additional information in the Response will be logged (i.e., Error Comment and Error ID).
Warning	Attribute Value Out of Range	0116H	The MPPS operation is considered successful but the status meaning is logged. Additional information in the Response identifying the attributes out of range will be logged (i.e., Elements in the Modification List/Attribute List)
*	*	Any other status code.	The Association is aborted using A-ABORT and the MPPS is marked as failed. The status meaning is logged and reported to the user.

The behavior of EXAMPLE-INTEGRATED-MODALITY during communication failure is summarized in the Table below:

Table B.4.2-27. MPPS Communication Failure Behavior

Exception	Behavior
Timeout	The Association is aborted using A-ABORT and MPPS marked as failed. The reason is logged and reported to the user.
Association aborted by the SCP or network layers	The MPPS is marked as failed. The reason is logged and reported to the user.

Table B.4.2-28 provides a description of the MPPS N-CREATE and N-SET request identifiers sent by EXAMPLE-INTEGRATED-MODALITY. 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. A "Zero length" attribute will be sent with zero length.

Table B.4.2-28. MPPS N-CREATE / N-SET Request Identifier

Attribute Name	Tag	VR	N-CREATE	N-SET
Specific Character Set	(0008,0005)	CS	"ISO_IR 100" or "ISO_IR 144"
Modality	(0008,0060)	CS	RF
Referenced Patient Sequence	(0008,1120)	SQ	Zero length
Patient's Name	(0010,0010)	PN	From Modality Worklist or user input (all 5 components). The user can modify values provided via Modality Worklist.
Patient ID	(0010,0020)	LO	From Modality Worklist or user input. The user can modify values provided via Modality Worklist.
Patient's Birth Date	(0010,0030)	DA	From Modality Worklist or user input. The user can modify values provided via Modality Worklist.
Patient's Sex	(0010,0040)	CS	From Modality Worklist or user input. The user can modify values provided via Modality Worklist.
Distance Source to Detector (SID)	(0018,1110)	DS	Zero length	x
Image Area Dose Product	(0018,115E)	DS	Zero length	x
Study ID	(0020,0010)	SH	From Modality Worklist or user input. The user can modify values provided via Modality Worklist.
Performed Station AE Title	(0040,0241)	AE	MPPS AE Title
Performed Station Name	(0040,0242)	SH	From configuration
Performed Location	(0040,0243)	SH	From configuration
Performed Procedure Step Start Date	(0040,0244)	DA	Actual start date
Performed Procedure Step Start Time	(0040,0245)	TM	Actual start time
Performed Procedure Step End Date	(0040,0250)	DA	Zero length	Actual end date
Performed Procedure Step End Time	(0040,0251)	TM	Zero length	Actual end time
Performed Procedure Step Status	(0040,0252)	CS	IN PROGRESS	DISCONTINUED or COMPLETED
Performed Procedure Step Discontinuation Reason Code Sequence	(0040,0281)	SQ	Zero length	If Performed Procedure Step Status (0040,0252) is "DISCONTINUED" then a single item will be present containing a user-selected entry drawn from CID 9300 “Procedure Discontinuation Reasons”.
Performed Procedure Step ID	(0040,0253)	SH	Automatically created but can be modified by the user.
Performed Procedure Step Description	(0040,0254)	LO	From Modality Worklist or user input. The user can modify the description provided via Modality Worklist.
Performed Procedure Type Description	(0040,0255)	LO	Zero length
Performed Protocol Code Sequence	(0040,0260)	SQ	Zero length	Zero or more items
Scheduled Step Attributes Sequence	(0040,0270)	SQ	If 1st dose applied results in an Instance
> Accession Number	(0008,0050)	SH	From Modality Worklist or user input. The user can modify values provided via Modality Worklist.
> Referenced Study Sequence	(0008,1110)	SQ	From Modality Worklist
>> Referenced SOP Class UID	(0008,1150)	UI	From Modality Worklist
>> Referenced SOP Instance UID	(0008,1155)	UI	From Modality Worklist
> Study Instance UID	(0020,000D)	UI	From Modality Worklist
> Requested Procedure Description	(0032,1060)	LO	From Modality Worklist
> Scheduled Procedure Step Description	(0040,0007)	LO	From Modality Worklist
> Scheduled Protocol Code Sequence	(0040,0008)	SQ	From Modality Worklist
> Scheduled Procedure Step ID	(0040,0009)	SH	From Modality Worklist
> Requested Procedure ID	(0040,1001)	SH	From Modality Worklist
Performed Series Sequence	(0040,0340)	SQ	if 1st dose applied results in an instance	One or more items
> Retrieve AE Title	(0008,0054)	AE	x	x
> Series Description	(0008,103E)	LO	x	x
> Performing Physician's Name	(0008,1050)	PN	x	x
> Operator's Name	(0008,1070)	PN	x	x
> Referenced Image Sequence	(0008,1140)	SQ	One or more items	One or more items
>> Referenced SOP Class UID	(0008,1150)	UI	x	x
>> Referenced SOP Instance UID	(0008,1155)	UI	x	x
> Protocol Name	(0018,1030)	LO	x	x
> Series Instance UID	(0020,000E)	UI	x	x
> Referenced Standalone SOP Instance Seq.	(0040,0220)	SQ	Zero length (SOP classes not supported)	Zero length (SOP classes not supported)
Total Time of Fluoroscopy	(0040,0300)	US	Zero length	Total time
Total Number of Exposures	(0040,0301)	US	Zero length	Number of exposures
Entrance Dose	(0040,0302)	US	Zero length	Entrance dose
Exposed Area	(0040,0303)	US	Zero length	Exposed area
Film Consumption Sequence	(0040,0321)	SQ	Zero length	Zero or more items
> Medium Type	(2000,0030)	CS		x
> Film Size ID	(2010,0050)	CS		x
> Number of Films	(2100,0170)	IS		x

B.4.2.2.4 Association Acceptance Policy

The Workflow Application Entity does not accept Associations.

B.4.2.3 Hardcopy Application Entity Specification

B.4.2.3.1 SOP Classes

EXAMPLE-INTEGRATED-MODALITY provides Standard Conformance to the following SOP Classes:

Table B.4.2-29. SOP Classes for AE Hardcopy

SOP Class Name	SOP Class UID	SCU	SCP
Basic Grayscale Print Management Meta	1.2.840.10008.5.1.1.9	Yes	No
Presentation LUT	1.2.840.10008.5.1.1.23	Yes	No

B.4.2.3.2 Association Policies

B.4.2.3.2.1 General

The DICOM standard application context name for DICOM is always proposed:

Table B.4.2-30. DICOM Application Context for AE Hardcopy

Application Context Name

1.2.840.10008.3.1.1.1

B.4.2.3.2.2 Number of Associations

EXAMPLE-INTEGRATED-MODALITY initiates one Association at a time for each configured hardcopy device. Multiple hardcopy devices can be configured.

Table B.4.2-31. Number of Associations Initiated for AE Hardcopy

Maximum number of simultaneous Associations

(number of configured hardcopy devices)

B.4.2.3.2.3 Asynchronous Nature

EXAMPLE-INTEGRATED-MODALITY does not support asynchronous communication (multiple outstanding transactions over a single Association).

Table B.4.2-32. Asynchronous Nature as a SCU for AE Hardcopy

Maximum number of outstanding asynchronous transactions

B.4.2.3.2.4 Implementation Identifying Information

The implementation information for this Application Entity is:

Table B.4.2-33. DICOM Implementation Class and Version for AE Hardcopy

Implementation Class UID	1.xxxxxxx.yyy.etc.ad.inf.usw
Implementation Version Name	EXINTMOD_01

B.4.2.3.3 Association Initiation Policy

B.4.2.3.3.1 Activity - Film Images

B.4.2.3.3.1.1 Description and Sequencing of Activities

A user composes images onto film sheets and requests them to be sent to a specific hardcopy device. The user can select the desired film format and number of copies. Each print-job is forwarded to the job queue and processed individually.

The Hardcopy AE is invoked by the job control interface that is responsible for processing network tasks. The job consists of data describing the images and graphics to be printed as well as the requested layout and other parameters. The film sheet is internally processed, converted to a STANDARD/1,1 page and then the page image is sent. If no association to the printer can be established, the print-job is switched to a failed state and the user informed.

Figure B.4.2-5. Sequencing of Activity - Film Images

A typical sequence of DIMSE messages sent over an association between Hardcopy AE and a Printer is illustrated in Figure B.4.2-5:

Hardcopy AE opens an association with the Printer
N-GET on the Printer SOP Class is used to obtain current printer status information. If the Printer reports a status of FAILURE, the print-job is switched to a failed state and the user informed.
N-CREATE on the Film Session SOP Class creates a Film Session.
N-CREATE on the Presentation LUT SOP Class creates a Presentation LUT (if supported by the printer).
N-CREATE on the Film Box SOP Class creates a Film Box linked to the Film Session. A single Image Box will be created as the result of this operation (Hardcopy AE only uses the format STANDARD\1,1)
N-SET on the Image Box SOP Class transfers the contents of the film sheet to the printer. If the printer does not support the Presentation LUT SOP Class, the image data will be passed through a printer-specific correction LUT before being sent.
N-ACTION on the Film Box SOP Class instructs the printer to print the Film Box
The printer prints the requested number of film sheets
The Printer asynchronously reports its status via N-EVENT-REPORT notification (Printer SOP Class). The printer can send this message at any time. Hardcopy AE does not require the N-EVENT-REPORT to be sent. Hardcopy AE is capable of receiving an N-EVENT-REPORT notification at any time during an association. If the Printer reports a status of FAILURE, the print-job is switched to a failed state and the user informed.
N-DELETE on the Film Session SOP Class deletes the complete Film Session SOP Instance hierarchy.
Hardcopy AE closes the association with the Printer

Status of the print-job is reported through the job control interface. Only one job will be active at a time for each separate hardcopy device. If any Response from the remote Application contains a status other than Success or Warning, the Association is aborted and the related Job is switched to a failed state. It can be restarted any time by user interaction or, if configured, by automated retry.

B.4.2.3.3.1.2 Proposed Presentation Contexts

EXAMPLE-INTEGRATED-MODALITY is capable of proposing the Presentation Contexts shown in the Table below:

Table B.4.2-34. Proposed Presentation Contexts for Activity Film Images

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name List	UID List	Role	Extended Negotiation
Basic Grayscale Print Management Meta	1.2.840.10008.5.1.1.9	Implicit VR Little Endian Explicit VR Little Endian	1.2.840.10008.1.2 1.2.840.10008.1.2.1	SCU	None
Presentation LUT	1.2.840.10008.5.1.1.23	Implicit VR Little Endian Explicit VR Little Endian	1.2.840.10008.1.2 1.2.840.10008.1.2.1	SCU	None

B.4.2.3.3.1.3 Common SOP Specific Conformance for All Print SOP Classes

The general behavior of Hardcopy AE during communication failure is summarized in the Table below. This behavior is common for all SOP Classes supported by Hardcopy AE.

Table B.4.2-35. Hardcopy Communication Failure Behavior

Exception	Behavior
Timeout	The Association is aborted using A-ABORT and the print-job is marked as failed. The reason is logged and the job failure is reported to the user via the job control application.
Association aborted by the SCP or network layers	The print-job is marked as failed. The reason is logged and the job failure is reported to the user via the job control application.

B.4.2.3.3.1.4 SOP Specific Conformance for the Printer SOP Class

Hardcopy AE supports the following DIMSE operations and notifications for the Printer SOP Class:

N-GET
N-EVENT-REPORT

Details of the supported attributes and status handling behavior are described in the following subsections.

B.4.2.3.3.1.4.1 Printer SOP Class Operations (N-GET)

Hardcopy AE uses the Printer SOP Class N-GET operation to obtain information about the current printer status. The attributes obtained via N-GET are listed in the Table below:

Table B.4.2-36. Printer SOP Class N-GET Request Attributes

Attribute Name	Tag	VR	Value	Presence of Value	Source
Printer Status	(2110,0010)	CS	Provided by Printer	ALWAYS	Printer
Printer Status Info	(2110,0020)	CS	Provided by Printer	ALWAYS	Printer

The Printer Status information is evaluated as follows:

If Printer status (2110,0010) is NORMAL, the print-job continues to be printed.
If Printer status (2110,0010) is FAILURE, the print-job is marked as failed. The contents of Printer Status Info (2110,0020) is logged and reported to the user via the job control application.
If Printer status (2110,0010) is WARNING, the print-job continues to be printed. The contents of Printer Status Info (2110,0020) is logged and reported to the user via the job control application.

The behavior of Hardcopy AE when encountering status codes in a N-GET response is summarized in the Table below:

Table B.4.2-37. Printer SOP Class N-GET Response Status Handling Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	The request to get printer status information was success.
*	*	Any other status code.	The Association is aborted using A-ABORT and the print-job is marked as failed. The status meaning is logged and reported to the user.

B.4.2.3.3.1.4.2 Printer SOP Class Notifications (N-EVENT-REPORT)

Hardcopy AE is capable of receiving an N-EVENT-REPORT request at any time during an association.

The behavior of Hardcopy AE when receiving Event Types within the N-EVENT-REPORT is summarized in the Table below:

Table B.4.2-38. Printer SOP Class N-EVENT-REPORT Behavior

Event Type Name	Event Type ID	Behavior
Normal	1	The print-job continues to be printed.
Warning	2	The print-job continues to be printed. The contents of Printer Status Info (2110,0020) is logged and reported to the user via the job-control application.
Failure	3	The print-job is marked as failed. The contents of Printer Status Info (2110,0020) is logged and reported to the user via the job-control application.
*	*	An invalid Event Type ID will cause a status code of 0113H to be returned in a N-EVENT-REPORT response.

The reasons for returning specific status codes in a N-EVENT-REPORT response are summarized in the Table below:

Table B.4.2-39. Printer SOP Class N-EVENT-REPORT Response Status Reasons

Service Status	Further Meaning	Error Code	Reasons
Success	Success	0000	The notification event has been successfully received.
Failure	No Such Event Type	0113H	An invalid Event Type ID was supplied in the N-EVENT-REPORT request.
Failure	Processing Failure	0110H	An internal error occurred during processing of the N-EVENT-REPORT. A short description of the error will be returned in Error Comment (0000,0902).

B.4.2.3.3.1.5 SOP Specific Conformance for the Film Session SOP Class

Hardcopy AE supports the following DIMSE operations for the Film Session SOP Class:

N-CREATE
N-DELETE

Details of the supported attributes and status handling behavior are described in the following subsections.

B.4.2.3.3.1.5.1 Film Session SOP Class Operations (N-CREATE)

The attributes supplied in an N-CREATE Request are listed in the Table below:

Table B.4.2-40. Film Session SOP Class N-CREATE Request Attributes

Attribute Name	Tag	VR	Value	Presence of Value	Source
Number of Copies	(2000,0010)	IS	1 .. 10	ALWAYS	User
Medium Type	(2000,0030)	CS	BLUE FILM, CLEAR FILM or PAPER	ALWAYS	User
Film Destination	(2000,0040)	CS	MAGAZINE or PROCESSOR	ALWAYS	User

The behavior of Hardcopy AE when encountering status codes in a N-CREATE response is summarized in the Table below:

Table B.4.2-41. Film Session SOP Class N-CREATE Response Status Handling Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	The SCP has completed the operation successfully.
Warning	Attribute Value Out of Range	0116H	The N-CREATE operation is considered successful but the status meaning is logged. Additional information in the Response identifying the attributes out of range will be logged (i.e., Elements in the Modification List/Attribute List)
Warning	Attribute List Error	0107H	The N-CREATE operation is considered successful but the status meaning is logged. Additional information in the Response identifying the attributes will be logged (i.e., Elements in the Attribute Identifier List)
*	*	Any other status code.	The Association is aborted using A-ABORT and the print-job is marked as failed. The status meaning is logged and reported to the user.

B.4.2.3.3.1.5.2 Film Session SOP Class Operations (N-DELETE)

The behavior of Hardcopy AE when encountering status codes in a N-DELETE response is summarized in the Table below:

Table B.4.2-42. Printer SOP Class N-DELETE Response Status Handling Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	The SCP has completed the operation successfully.
*	*	Any other status code.	The Association is aborted using A-ABORT and the print-job is marked as failed. The status meaning is logged and reported to the user.

B.4.2.3.3.1.6 SOP Specific Conformance for the Presentation LUT SOP Class

Hardcopy AE supports the following DIMSE operations for the Presentation LUT SOP Class:

N-CREATE

Details of the supported attributes and status handling behavior are described in the following subsections.

B.4.2.3.3.1.6.1 Presentation LUT SOP Class Operations (N-CREATE)

The attributes supplied in an N-CREATE Request are listed in the Table below:

Table B.4.2-43. Presentation LUT SOP Class N-CREATE Request Attributes

Attribute Name	Tag	VR	Value	Presence of Value	Source
Presentation LUT Shape	(2050,0020)	CS	IDENTITY	ALWAYS	Auto

The behavior of Hardcopy AE when encountering status codes in a N-CREATE response is summarized in the Table below:

Table B.4.2-44. Presentation LUT SOP Class N-CREATE Response Status Handling Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	The SCP has completed the operation successfully.
Warning	Requested Min Density or Max Density outside of printer's operating range	B605H	The N-CREATE operation is considered successful but the status meaning is logged.
*	*	Any other status code.	The Association is aborted using A-ABORT and the print-job is marked as failed. The status meaning is logged and reported to the user.
Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	The SCP has completed the operation successfully.

B.4.2.3.3.1.7 SOP Specific Conformance for the Film Box SOP Class

Hardcopy AE supports the following DIMSE operations for the Presentation LUT SOP Class:

N-CREATE
N-ACTION

Details of the supported attributes and status handling behavior are described in the following subsections.

B.4.2.3.3.1.7.1 Film Box SOP Class Operations (N-CREATE)

The attributes supplied in an N-CREATE Request are listed in the Table below:

Table B.4.2-45. Film Box SOP Class N-CREATE Request Attributes

Attribute Name	Tag	VR	Value	Presence of Value	Source
Image Display Format	(2010,0010)	CS	STANDARD\1,1	ALWAYS	Auto
Referenced Film Session Sequence	(2010,0500)	SQ		ALWAYS	Auto
>Referenced SOP Class UID	(0008,1150)	UI	1.2.840.10008.5.1.1.1	ALWAYS	Auto
>Referenced SOP Instance UID	(0008,1155)	UI	From created Film Session SOP Instance	ALWAYS	Auto
Film Orientation	(2010,0040)	CS	PORTRAIT or LANDSCAPE	ALWAYS	User
Film Size ID	(2010,0050)	CS	14INX17IN, 14INX14IN, 11INX14IN, 11INX11IN, 85INX11IN, 8INX10IN	ALWAYS	User
Magnification Type	(2010,0060)	CS	REPLICATE, BILINEAR, CUBIC or NONE	ALWAYS	User
Border Density	(2010,0100)	CS	BLACK or WHITE	ALWAYS	User
Max Density	(2010,0130)	US	0 .. 310	ALWAYS	Auto
Min Density	(2010,0120)	US	0 .. 50	ALWAYS	Auto
Illumination	(2010,015E)	US	0 .. 5000	ALWAYS	User
Reflective Ambient Light	(2010,0160)	US	0 .. 100	ALWAYS	User
Referenced Presentation LUT Sequence	(2050,0500)	SQ	Only sent if Presentation LUT SOP Class has been negotiated.	ANAP	Auto
>Referenced SOP Class UID	(0008,1150)	UI	1.2.840.10008.5.1.1.23	ALWAYS	Auto
>Referenced SOP Instance UID	(0008,1155)	UI	From created Presentation LUT SOP Instance	ALWAYS	Auto

The behavior of Hardcopy AE when encountering status codes in a N-CREATE response is summarized in the Table below:

Table B.4.2-46. Film Box SOP Class N-CREATE Response Status Handling Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	The SCP has completed the operation successfully.
Warning	Requested Min Density or Max Density outside of printer's operating range	B605H	The N-CREATE operation is considered successful but the status meaning is logged.
*	*	Any other status code.	The Association is aborted using A-ABORT and the print-job is marked as failed. The status meaning is logged and reported to the user.

B.4.2.3.3.1.7.2 Film Box SOP Class Operations (N-ACTION)

An N-ACTION Request is issued to instruct the Print SCP to print the contents of the Film Box. The Action Reply argument in an N-ACTION response is not evaluated.

The behavior of Hardcopy AE when encountering status codes in a N-ACTION response is summarized in the Table below:

Table B.4.2-47. Film Box SOP Class N-ACTION Response Status Handling Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	The SCP has completed the operation successfully. The film has been accepted for printing.
Warning	Film Box SOP Instance hierarchy does not contain Image Box SOP Instances (empty page)	B603H	The Association is aborted using A-ABORT and the print-job is marked as failed. The status meaning is logged and reported to the user.
Warning	Image size is larger than Image Box size. The image has been demagnified.	B604H	The N-ACTION operation is considered successful but the status meaning is logged.
Warning	Image size is larger than Image Box size. The image has been cropped to fit.	B609H	The N-ACTION operation is considered successful but the status meaning is logged.
Warning	Image size or Combined Print Image Size is larger than Image Box size. The image or combined Print Image has been decimated to fit.	B60AH	The N-ACTION operation is considered successful but the status meaning is logged.
Failure	Unable to create Print Job SOP Instance; print queue is full.	C602	The Association is aborted using A-ABORT and the print-job is marked as failed. The status meaning is logged and reported to the user.
Failure	Image size is larger than Image Box size.	C603	The Association is aborted using A-ABORT and the print-job is marked as failed. The status meaning is logged and reported to the user.
Failure	Combined Print Image Size is larger than Image Box size.	C613	The Association is aborted using A-ABORT and the print-job is marked as failed. The status meaning is logged and reported to the user.
*	*	Any other status code.	The Association is aborted using A-ABORT and the print-job is marked as failed. The status meaning is logged and reported to the user.

B.4.2.3.3.1.8 SOP Specific Conformance for the Image Box SOP Class

Hardcopy AE supports the following DIMSE operations for the Image Box SOP Class:

N-SET

Details of the supported attributes and status handling behavior are described in the following subsections.

B.4.2.3.3.1.8.1 Image Box SOP Class Operations (N-SET)

The attributes supplied in an N-SET Request are listed in the Table below:

Table B.4.2-48. Image Box SOP Class N-SET Request Attributes

Attribute Name	Tag	VR	Value	Presence of Value	Source
Image Position	(2020,0010)	US	1	ALWAYS	Auto
Basic Grayscale Image Sequence	(2020,0110)	SQ		ALWAYS	Auto
>Samples Per Pixel	(0028,0002)	US	1	ALWAYS	Auto
>Photometric Interpretation	(0028,0004)	CS	MONOCHROME2	ALWAYS	Auto
>Rows	(0028,0010)	US	Depends on film size	ALWAYS	Auto
>Columns	(0028,0011)	US	Depends on film size	ALWAYS	Auto
>Pixel Aspect Ratio	(0028,0034)	IS	1\1	ALWAYS	Auto
>Bits Allocated	(0028,0100)	US	8	ALWAYS	Auto
>Bits Stored	(0028,0101)	US	8	ALWAYS	Auto
>High Bit	(0028,0102)	US	7	ALWAYS	Auto
>Pixel Representation	(0028,0103)	US	0	ALWAYS	Auto
>Pixel Data	(7FE0,0010)	OB	Pixels of rendered film sheet	ALWAYS	Auto

The behavior of Hardcopy AE when encountering status codes in a N-SET response is summarized in the Table below:

Table B.4.2-49. Image Box SOP Class N-SET Response Status Handling Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	The SCP has completed the operation successfully. Image successfully stored in Image Box.
Warning	Image size is larger than Image Box size. The image has been demagnified.	B604H	The N-SET operation is considered successful but the status meaning is logged.
Warning	Requested Min Density or Max Density outside of printer's operating range.	B605H	The N-SET operation is considered successful but the status meaning is logged.
Warning	Image size is larger than Image Box size. The image has been cropped to fit.	B609H	The N-SET operation is considered successful but the status meaning is logged.
Warning	Image size or Combined Print Image Size is larger than Image Box size. The image or combined Print Image has been decimated to fit.	B60AH	The N-SET operation is considered successful but the status meaning is logged.
Failure	Image size is larger than Image Box size.	C603	The Association is aborted using A-ABORT and the print-job is marked as failed. The status meaning is logged and reported to the user.
Failure	Insufficient memory in printer to store the image.	C605	The Association is aborted using A-ABORT and the print-job is marked as failed. The status meaning is logged and reported to the user.
Failure	Combined Print Image Size is larger than Image Box size.	C613	The Association is aborted using A-ABORT and the print-job is marked as failed. The status meaning is logged and reported to the user.
*	*	Any other status code.	The Association is aborted using A-ABORT and the print-job is marked as failed. The status meaning is logged and reported to the user.

B.4.2.3.4 Association Acceptance Policy

The Hardcopy Application Entity does not accept Associations.

B.4.3 Network Interfaces

B.4.3.1 Physical Network Interface

EXAMPLE-INTEGRATED-MODALITY supports a single network interface. One of the following physical network interfaces will be available depending on installed hardware options:

Table B.4.3-1. Supported Physical Network Interfaces

Ethernet 100baseT

Ethernet 10baseT

B.4.3.2 Additional Protocols

EXAMPLE-INTEGRATED-MODLALITY conforms to the System Management Profiles listed in the Table below. All requested transactions for the listed profiles and actors are supported. Support for optional transactions are listed in the Table below:

Table B.4.3-2. Supported System Management Profiles

Profile Name	Actor	Protocols Used	Optional Transactions	Security Support
Network Address Management	DHCP Client	DHCP	N/A
Network Address Management	DNS Client	DNS	N/A
Time Synchronization	NTP Client	NTP	Find NTP Server
Time Synchronization	DHCP Client	DHCP	N/A
DICOM Application Configuration Management	LDAP Client	LDAP	Client Update LDAP Server	See Section B.7

B.4.3.2.1 DHCP

DHCP can be used to obtain TCP/IP network configuration information. The network parameters obtainable via DHCP are shown in the Table below. The Default Value column of the table shows the default used if the DHCP server does not provide a value. Values for network parameters set in the Service/Installation tool take precedence over values obtained from the DHCP server. Support for DHCP can be configured via the Service/Installation Tool. The Service/Installation tool can be used to configure the machine name. If DHCP is not in use, TCP/IP network configuration information can be manually configured via the Service/Installation Tool.

Table B.4.3-3. Supported DHCP Parameters

DHCP Parameter	Default Value
IP Address	None
Hostname	Requested machine name
List of NTP servers	Empty list
List of DNS servers	Empty list
Routers	Empty list
Static routes	None
Domain name	None
Subnet mask	Derived from IP Address (see service manual)
Broadcast address	Derived from IP Address (see service manual)
Default router	None
Time offset	Site configurable (from Timezone)
MTU	Network Hardware Dependent
Auto-IP permission	No permission

If the DHCP server refuses to renew a lease on the assigned IP address all active DICOM Associations will be aborted.

B.4.3.2.2 DNS

DNS can be used for address resolution. If DHCP is not in use or the DHCP server does not return any DNS server addresses, the identity of a DNS server can be configured via the Service/Installation Tool. If a DNS server is not in use, local mapping between hostname and IP address can be manually configured via the Service/Installation Tool.

B.4.3.2.3 NTP

The NTP client implements the optional Find NTP Server Transaction. The NTP client will issue an NTP broadcast to identify any local NTP servers. If no local servers can found via NTP broadcast, the NTP Servers identified by DHCP will be used as time references. Additionally, one or more NTP Servers can be configured via the Service/Installation Tool. If no NTP Servers are identified then the local clock will be used as a time reference and a warning written to the system log files.

B.4.3.2.4 LDAP

LDAP can be used to obtain information about network Application Entities. The identity of an LDAP server can be obtained using the Find LDAP Server Transaction of the DICOM Application Configuration Management Profile (i.e., a DNS SRV RR query for the LDAP service) and the first LDAP server returned will be used. The Service/Installation Tool can also be used to manually configure the identity of an LDAP server (a manually entered value takes precedence).

LDAP Basic Authentication can be configured via the Service/Installation Tool by specifying a bind DN and password. If LDAP Basic Authentication is not configured the LDAP client will bind anonymously.

The supported LDAP Security Profiles are:

Basic
Basic-Manual
Anonymous
Anonymous-Manual

The use of LDAP to publish and obtain device configuration information is described in Section B.4.4.

B.4.3.3 IPv4 and IPv6 Support

This product only supports IPv4 connections.

B.4.4 Configuration

B.4.4.1 AE Title/Presentation Address Mapping

B.4.4.1.1 Local AE Titles

All local applications use the AE Titles and TCP/IP Ports configured via the Service/Installation Tool. The Field Service Engineer can configure the TCP Port via the Service/Installation 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. If so configured, all local AEs are capable of using the same AE Title.

Table B.4.4-1. AE Title Configuration Table

Application Entity	Default AE Title	Default TCP/IP Port
Storage	No Default	104
Workflow	No Default	Not Applicable
Hardcopy	No Default	Not Applicable

B.4.4.1.1.1 Obtaining Local Configuration From LDAP Server

The Service/Installation Tool can be used to specify that an LDAP Server be the master of local configuration information. The Query LDAP Server transaction of the Network Configuration Profile is used to obtain configuration information. The LDAP

Server will be queried for updated information at boot time but the query can also be manually invoked from the Service/Installation Tool. A search is performed for an LDAP entity within the DICOM configuration sub-tree having an identical device name (as entered in the Service/Installation Tool). The local configuration will be updated to match the central configuration (i.e., AE Titles, TCP Port Numbers, Peer AEs, Private Data, etc). The central configuration information will be checked for consistency before the local configuration is updated.

The configuration parameters that can be updated by the central LDAP server and can affect the local configuration for the device are listed in the Table below:

Table B.4.4-2. Device Configuration Parameters Obtained From LDAP Server

LDAP object class	LDAP attribute	Local Meaning
dicomDevice	dicomDescription	Displayed in the Service/Installation Tool
dicomDevice	dicomVendorData	Private device configuration parameters (e.g., examination protocol codes and parameters)
dicomDevice	dicomDeviceType	Displayed in the Service/Installation Tool

The Application Entities described by the LDAP server are matched to the supported local application entities (Storage, Workflow or Hardcopy) by inspecting the private information within the dicomVendorData attribute for each dicomNetworkAE.

The configuration parameters that can be updated by the central LDAP server and affect the local configuration for each supported local AE are listed in the Table below:

Table B.4.4-3. AE Configuration Parameters Obtained From LDAP Server

LDAP object class	LDAP attribute	Local Meaning
dicomNetworkAE	dicomAETitle	Local AE Title(s)
dicomNetworkAE	dicomDescription	Displayed in the Service/Installation Tool
dicomNetworkAE	dicomNetworkConnectionReference	Associated network connection parameters
dicomNetworkAE	dicomPeerAETitle	Default collection of Peer AE
dicomNetworkAE	dicomVendorData	Private AE configuration parameters (e.g., timeouts, max PDU lengths, maximum number of simultaneous associations).
dicomNetworkAE	dicomApplicationCluster	Displayed in the Service/Installation Tool

The configuration parameters that can be updated by the central LDAP server and affect the local configuration for the network connection are listed in the Table below:

Table B.4.4-4. Network Connection Configuration Parameters Obtained From LDAP Server

LDAP object class	LDAP attribute	Local Meaning
dicomNetworkConnection	dicomHostname	Hostname
dicomNetworkConnection	dicomPort	TCP Port

B.4.4.1.1.2 Publishing Local Configuration to LDAP Server

The Service/Installation Tool can be used to publish local configuration information to the LDAP Server.

The LDAP client will bind to the server using LDAP Basic Authentication (or anonymously if LDAP Basic Authentication is not configured). The LDAP Client expects that the necessary DICOM Root objects exist in the LDAP DIT and performed searches to identify the following information:

The DN of the dicomConfigurationRoot identifying the root if all DICOM Configuration information.
The DN of the dicomDevicesRoot under which new devices can be inserted
The DN of the dicomUniqueAETitlesRegistryRoot under which unique AE Titles can be registered
The DN of any existing dicomDevice object that represents the device hosting the LDAP client (dicomDeviceName identical to locally configured device name).

Modifications can be made to existing LDAP entries for the device or new entries will be created if necessary. It is possible to manually assign AE Titles for each local Application Entity or to automatically generate random AE Titles. In both cases, the LDAP server is queried to determine that the AE Titles are currently unused.

Two different methods (Manual and Automatic) are supported to update the LDAP server and an appropriate method must be selected depending on the security policies enforced by the LDAP server.

Manual Update

An LDIF file (RFC 2489) will be created containing all new or updated LDAP objects and attributes. The objects will be appropriately located in the server's LDAP tree. The LDIF file will be written to the local file system or to exchangeable media (e.g., floppy). The file can be transferred to the LDAP server and imported using server specific tools.

Automatic Update

The LDAP client will attempt to register unique AE Titles. If the manually chosen AE Titles are manually already in use the update will be aborted and new AE Titles must be chosen. If AE Titles were randomly selected the LDAP client will use the random AE Title allocation technique described by the "Update LDAP Server" transaction of the DICOM Application Configuration Management Profile.
The LDAP client will create new LDAP objects or update existing objects as necessary at appropriate locations in the server's LDAP tree.
If the server refuses any object creation or update operation the Automatic Update will be aborted. In case of failure, the LDAP server may contain partial configuration information that must be corrected by the LDAP server administrator.

The same set of LDAP objects and attributes will be entered into the LDAP DIT for both the Manual and Automatic Update methods. Values for all configurable attributes can be entered using Service/Installation Tool. Table B.4.4-5 lists the attributes and default values created for the installed device.

Table B.4.4-5. Device Configuration Parameters Updated On LDAP Server

LDAP object class	LDAP attribute	Configurable (Yes/No)	Default Value
dicomDevice	dicomDeviceName	Yes
	dicomDescription	Yes	Radio-Fluoroscopic Image Acquisition Modality
	dicomManufacturer	No	EXAMPLE-IMAGING-PRODUCTS
	dicomManufacturerModelName	No	Example-Integrated-Modality
	dicomVersion	No	1
	dicomPrimaryDeviceType	No	RF
	dicomVendorData	Yes

Table B.4.4-6 lists the attributes and default values used to describe the network configuration:

Table B.4.4-6. Network Connection Configuration Parameters Updated On LDAP Server

LDAP object class	LDAP attribute	Configurable (Yes/No)	Default Value
dicomNetworkConnection	dicomHostname	Yes
dicomNetworkConnection	dicomPort	Yes	104

The Table below lists the attributes and default values used to describe the Storage AE:

Table B.4.4-7. Storage AE Configuration Parameters Updated On LDAP Server

LDAP object class	LDAP attribute	Configurable (Yes/No)	Default Value
dicomNetworkAE	dicomAETitle	Yes
	dicomDescription	Yes	Storage Application
	dicomPeerAETitle	Yes
	dicomVendorData	Yes
	dicomApplicationCluster	Yes
	dicomAssociationInitiator	No	TRUE
	dicomAssociationAcceptor	No	TRUE
dicomTransferCapability	dicomSOPClass	No	X-Ray Radiofluoroscopic Image Storage Grayscale Softcopy Presentation State Storage Storage Commitment Push Model
	dicomTransferRole	No	SCU
	dicomTransferSyntax	Yes	Explicit VR Little Endian Implicit VR Little Endian

The Table below lists the attributes and default values used to describe the Workflow AE:

Table B.4.4-8. Workflow AE Configuration Parameters Updated On LDAP Server

LDAP object class	LDAP attribute	Configurable (Yes/No)	Default Value
dicomNetworkAE	dicomAETitle	Yes
	dicomDescription	Yes	Workflow Application
	dicomPeerAETitle	Yes
	dicomVendorData	Yes
	dicomApplicationCluster	Yes
	dicomAssociationInitiator	No	TRUE
	dicomAssociationAcceptor	No	FALSE
dicomTransferCapability	dicomSOPClass	No	Modality Worklist Information Model - FIND Modality Performed Procedure Step
	dicomTransferRole	No	SCU
	dicomTransferSyntax	Yes	Explicit VR Little Endian Implicit VR Little Endian

The Table below lists the attributes and default values used to describe the Hardcopy AE:

Table B.4.4-9. Hardcopy AE Configuration Parameters Updated On LDAP Server

LDAP object class	LDAP attribute	Configurable (Yes/No)	Default Value
dicomNetworkAE	dicomAETitle	Yes
	dicomDescription	Yes	Hardcopy Application
	dicomNetworkConnectionReference	n/a
	dicomPeerAETitle	Yes
	dicomVendorData	Yes
	dicomApplicationCluster	Yes
	dicomAssociationInitiator	No	TRUE
	dicomAssociationAcceptor	No	FALSE
dicomTransferCapability	dicomSOPClass	No	Basic Grayscale Print Management Meta Presentation LUT
	dicomTransferRole	No	SCU
	dicomTransferSyntax	Yes	Explicit VR Little Endian Implicit VR Little Endian

B.4.4.1.2 Remote AE Title/Presentation Address Mapping

The AE Title, host names and port numbers of remote applications are configured using the EXAMPLE-INTEGRATED-MODALITY Service/Installation Tool.

B.4.4.1.2.1 Storage

The EXAMPLE-INTEGRATED-MODALITY Service/Installation 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 and associations from unknown AE Titles will be rejected (an AE Title is known if it can be selected within the Service/Installation 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.

If an LDAP server is available, the Service/Installation Tool will search for suitable remote Storage SCPs and present these for selection. If the LDAP object for the Storage AE contains one or more dicomPeerAETitle attributes then only these Peer AEs will be available for selection. Otherwise, remote AEs will only be available for selection if they support compatible SOP Classes as an SCP. If a remote AE is attached to a device containing a dicomDeviceType attribute with value "ARCHIVE" it will be automatically configured as an "Archive" device provided the AE also supports Storage Commitment as an SCP.

These LDAP-assisted selection policies can be overridden and a search performed for a specific device or AE Title.

B.4.4.1.2.2 Workflow

The EXAMPLE-INTEGRATED-MODALITY Service/Installation Tool must be used to set the AE Title, port-number, host-name and capabilities of the remote Modality Worklist SCP. Only a single remote Modality Worklist SCP can be defined.

If an LDAP server is available, the Service/Installation Tool will search for suitable remote Modality Worklist SCPs and present these for selection. Remote AEs will only be available for selection if they support the Modality Worklist SOP Class as an SCP. If a remote AE is attached to a device containing a dicomDeviceType attribute with value "DSS" (Department System Scheduler) it will be presented as the preferred selection.

The EXAMPLE-INTEGRATED-MODALITY Service/Installation Tool must be used to set the AE Title, port-number, host-name and capabilities of the remote MPPS SCP. Only a single remote MPPS SCP can be defined.

If an LDAP server is available, the Service/Installation Tool will search for suitable remote MPPS SCPs and present these for selection. Remote AEs will only be available for selection if they support the MPPS SOP Class as an SCP. If a remote AE is attached to a device containing a dicomDeviceType attribute with value "DSS" (Department System Scheduler) it will be presented as the preferred selection.

B.4.4.1.2.3 Hardcopy

The EXAMPLE-INTEGRATED-MODALITY Service/Installation Tool must be used to set the AEs' AE Titles, port-numbers, host-names, IPaddresses and capabilities for the remote Print SCPs.

Multiple remote Print SCPs can be defined.

If an LDAP server is available, the Service/Installation Tool will search for suitable remote Print SCPs and present these for selection. Remote AEs will only be available for selection if they support the Basic Grayscale Print Management Meta SOP Class as an SCP. If a remote AE is attached to a device containing a dicomDeviceType attribute with value "PRINT" (Hard Copy Print Server) it will be presented as the preferred selection.

B.4.4.2 Parameters

A large number of parameters related to acquisition and general operation can be configured using the Service/Installation Tool. The Table below only shows those configuration parameters relevant to DICOM communication. See the EXAMPLEINTEGRATED-MODALITY Service Manual for details on general configuration capabilities.

Table B.4.4-10. Configuration Parameters Table

Parameter	Configurable (Yes/No)	Default Value
General Parameters
Max PDU Receive Size	Yes	65536 Bytes(64 kB)
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 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)	No	65536 Bytes(64 kB)
Time-out waiting for a acceptance or rejection response to an Association Request (Application Level Timeout)	Yes	15 s
Time-out waiting for a response to an Association release request (Application Level Timeout)	Yes	30 s
Time-out waiting for completion of a TCP/IP connect request (Low-level timeout)	Yes	15 s
Time-out awaiting a Response to a DIMSE Request (Low-Level Timeout)	Yes	360 s
Time-out for waiting for data between TCP/IP-packets (Low Level Timeout)	Yes	30 s
Storage Parameters
Storage SCU time-out waiting for a response to a C-STORE-RQ	Yes	120 s
Number of times a failed send job may be retried	Yes	0 (Failed send jobs are not retried)
Delay between retrying failed send jobs	Yes	60 s
Maximum number of simultaneously initiated Associations by the Storage AE	Yes	1
Supported Transfer Syntaxes (separately configurable for each remote AE)	Yes	Implicit VR Little Endian Explicit VR Little Endian
Storage Commitment Parameters
Timeout waiting for a Storage Commitment Notification (maximum duration of applicability for a Storage Commitment Transaction UID).	Yes	24 hours
Maximum number of simultaneously accepted Associations by the Storage AE	Yes	5
Delay association release after sending a Storage Commitment Request (wait for a Storage Commitment Notification over the same association).	Yes	120 s
Modality Worklist Parameters
Modality Worklist SCU time-out waiting for the final response to a C-FIND-RQ	Yes	600 s
Maximum number of Worklist Items	Yes	100
Supported Transfer Syntaxes for Modality Worklist	Yes	Implicit VR Little Endian Explicit VR Little Endian
Delay between automatic Worklist Updates	Yes	10 mins
Query Worklist for specific Scheduled Station AE Title	Yes	EXINTMOD_WFL
Query Worklist for specific Modality Value	Yes	RF
MPPS Parameters
MPPS SCU time-out waiting for a response to a N-CREATE-RQ	Yes	60 s
MPPS SCU time-out waiting for a response to a N-SET-RQ	Yes	30 s
Supported Transfer Syntaxes for MPPS	Yes	Implicit VR Little Endian Explicit VR Little Endian
Print Parameters
Print SCU time-out waiting for a response to a N-CREATE-RQ	Yes	60 s
Print SCU time-out waiting for a response to a N-SET-RQ	Yes	30 s
Print SCU time-out waiting for a response to a N-ACTION-RQ	Yes	360s
Supported Transfer Syntaxes (separately configurable for each remote printer)	Yes	Implicit VR Little Endian Explicit VR Little Endian
Number of times a failed print-job may be retried	Yes	0 (Failed send jobs are not retried)
Delay between retrying failed print-jobs	Yes	60 s
Printer correction LUT (separately configurable for each remote printer)	Yes	Identity LUT

B.5 Media Interchange

B.5.1 Implementation Model

B.5.1.1 Application Data Flow

Figure B.5.1-1. Application Data Flow Diagram for Media Storage

The Offline-Media Application Entity exports images and Presentation States to a CD-R Storage medium. It is associated with the local real-world activity "Export to CD-R". "Export to CD-R" is performed upon user request for selected patients, studies, series or instances (images or presentation states).

B.5.1.2 Functional Definition of AEs

B.5.1.2.1 Functional Definition of Offline-Media Application Entity

Activation of the "Export to CD-R" icon or menu entry will pass the currently selected patients, studies, series or instances (images or presentation states) to the Offline-Media Application Entity. The SOP Instances associated with the selection will be collected into one or more export jobs. The contents of each export job will be written to a single CD-R media.

B.5.1.3 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 operator can insert a new CD-R media at any time before or after invocation of the Offline-Media Application Entity. The Offline-Media Application Entity will wait indefinitely for a media to be inserted before starting to write to the CD-R device. If no CD-R media is available the export job can be canceled from the job queue.

B.5.1.4 File Meta Information Options

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

Table B.5.1-1. DICOM Implementation Class and Version for Media Storage

Implementation Class UID	1.xxxxxxx.yyy.etc.ad.inf.usw
Implementation Version Name	EXINTMOD_01

B.5.2 AE Specifications

B.5.2.1 Offline-Media Application Entity Specification

The Offline-Media Application Entity provides standard conformance to the Media Storage Service Class. The Application Profiles and roles are listed below:

Table B.5.2-1. Application Profiles, Activities and Roles for Offline-Media

Application Profiles Supported	Real World Activity	Role
STD-GEN-CD	Export to CD-R	FSC

B.5.2.1.1 File Meta Information for the Application Entity

The Source Application Entity Title included in the File Meta Header is configurable (see Section B.5.4).

B.5.2.1.2 Real-World Activities

B.5.2.1.2.1 Activity - Export to CD-R

The Offline-Media Application Entity acts as an FSC when requested to export SOP Instances from the local database to a CD-R medium.

A dialogue will be presented allowing the user to modify the suggested media label and provides control over the available media capacity. If the contents of the current selection do not fit on a single media an automatic separation into multiple export jobs will be suggested that can be adapted by the user.

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 to a single-session CDR. Writing in multi-session mode is not supported. The user can cancel an export job in the job queue.

B.5.2.1.2.1.1 Media Storage Application Profiles

The Offline-Media Application Entity support the STD-GEN-CD Application Profile.

B.5.2.1.2.1.1.1 Options

The Offline-Media Application Entity supports the SOP Classes and Transfer Syntaxes listed in the Table below:

Table B.5.2-2. IODs, SOP Classes and Transfer Syntaxes for OfflineMedia

Information Object Definition	SOP Class UID	Transfer Syntax	Transfer Syntax UID
Media Storage Directory Storage	1.2.840.10008.1.3.10	Explicit VR Little Endian	1.2.840.10008.1.2.1
X-Ray Radio Fluoroscopic Image Storage	1.2.840.10008.5.1.4.1.1.12.2	Explicit VR Little Endian	1.2.840.10008.1.2.1
Grayscale Softcopy Presentation State Storage	1.2.840.10008.5.1.4.1.1.11.1	Explicit VR Little Endian	1.2.840.10008.1.2.1

B.5.3 Augmented and Private Application Profiles

EXAMPLE-INTEGRATED-MODALITY does not support any augmented for private application profiles.

B.5.4 Media Configuration

All local applications use the AE Titles configured via the Service/Installation Tool. The Application Entity Titles configurable for Media Services are listed in the Table below:

Table B.5.4-1. AE Title Configuration Table

Application Entity	Default AE Title
Offline-Media	EXINTMOD_MEDIA

B.6 Support of Character Sets

All EXAMPLE-INTEGRATED-MODALITY DICOM applications support the

ISO_IR 100 (ISO 8859-1:1987 Latin Alphabet No. 1 supplementary set)

ISO_IR 144 (ISO 8859-5:1988 Latin/Cyrillic Alphabet supplementary set)

If the EXAMPLE-INTEGRATED-MODALITY is configured for Cyrillic character set support, ISO_IR 144 will be used automatically.

B.7 Security

EXAMPLE-INTEGRATED-MODALITY does not support any specific security measures.

It is assumed that EXAMPLE-INTEGRATED-MODALITY is used within a secured environment. It is assumed that a secured environment includes at a minimum:

Firewall or router protections to ensure that only approved external hosts have network access to EXAMPLEINTEGRATED-MODALITY.
Firewall or router protections to ensure that EXAMPLEINTEGRATED-MODALITY only has network access to approved external hosts and services.
Any communication with external hosts and services outside the locally secured environment use appropriate secure network channels (e.g., such as a Virtual Private Network (VPN) )

Other network security procedures such as automated intrusion detection may be appropriate in some environments. Additional security features may be established by the local security policy and are beyond the scope of this conformance statement.

B.8 Annexes

B.8.1 IOD Contents

B.8.1.1 Created SOP Instances

Examples of X-Ray Radiofluoroscopic images and Grayscale Softcopy Presentation States created by EXAMPLE-INTEGRATED-MODALITY can be downloaded from:

http://www.example-imaging-products.nocom/example-integrated-modality/example-images

Table B.8.1-1 specifies the attributes of an X-Ray Radiofluoroscopic Image transmitted by the EXAMPLE-INTEGRATED-MODALITY storage application.

Table B.8.1-2 specifies the attributes of a Grayscale Softcopy Presentation State transmitted by the EXAMPLEINTEGRATED-MODALITY storage application.

The following tables use a number of abbreviations. The abbreviations used in the "Presence of …" column are:

VNAP: Value Not Always Present (attribute sent zero length if no value is present)
ANAP: Attribute Not Always Present
ALWAYS: Always Present
EMPTY: Attribute is sent without a value

The abbreviations used in the "Source" column:

MWL: the attribute value source Modality Worklist
USER: the attribute value source is from User input
AUTO: the attribute value is generated automatically
MPPS: the attribute value is the same as that use for Modality Performed Procedure Step
CONFIG: the attribute value source is a configurable parameter

Note

All dates and times are encoded in the local configured calendar and time. Date, Time and Time zone are configured using the Service/Installation Tool.

B.8.1.1.1 X-Ray Radiofluoroscopic Image IOD

Table B.8.1-1. IOD of Created Rf SOP Instances

IE	Module	Reference	Presence of Module
Patient	Patient	Table B.8.1-3	ALWAYS
Study	General Study	Table B.8.1-4	ALWAYS
Study	Patient Study	Table B.8.1-5	ALWAYS
Series	General Series	Table B.8.1-6	ALWAYS
Equipment	General Equipment	Table B.8.1-7	ALWAYS
Image	General Image	Table B.8.1-8	ALWAYS
	Image Pixel	Table B.8.1-10	ALWAYS
	Cine	Table B.8.1-11	Only if Multi-frame
	Multi-Frame	Table B.8.1-12	Only if Multi-frame
	Frame Pointers	Table B.8.1-13	Only if Multi-frame
	Mask	Table B.8.1-14	ALWAYS
	X-Ray Image	Table B.8.1-15	ALWAYS
	X-Ray Acquisition	Table B.8.1-16	ALWAYS
	Modality LUT	Table B.8.1-17	Only if Pixel Intensity Relationship (0028,1040) is LOG
	VOI LUT	Table B.8.1-18	ALWAYS
	SOP Common	Table B.8.1-19	ALWAYS
	Private Application	Table B.8.1-8	ALWAYS

B.8.1.1.2 Grayscale Softcopy Presentation State IOD

Table B.8.1-2. IOD of Created Grayscale Softcopy Presentation State SOP Instances

IE	Module	Reference	Presence of Module
Patient	Patient	Table B.8.1-3	ALWAYS
Study	General Study	Table B.8.1-4	ALWAYS
Study	Patient Study	Table B.8.1-5	ALWAYS
Series	General Series	Table B.8.1-6	ALWAYS
	Presentation Series	Table B.8.1-20	ALWAYS
Equipment	General Equipment	Table B.8.1-7	ALWAYS
Presentation State	Presentation State	Table B.8.1-21	ALWAYS
	Display Shutter	Table B.8.1-22	Only if Shutter applied
	Displayed Area	Table B.8.1-23	ALWAYS
	Graphic Annotation	Table B.8.1-24	Only if Graphic Annotations are present
	Spatial Transformation	Table B.8.1-25	Only if Spacial Transformation applied
	Graphic Layer	Table B.8.1-26	Only if Graphic Annotations are present
	Modality LUT	Table B.8.1-27	ALWAYS
	Softcopy VOI LUT	Table B.8.1-28	ALWAYS
	Softcopy Presentation LUT	Table B.8.1-29	ALWAYS
	SOP Common	Table B.8.1-19	ALWAYS
	Private Application	Table B.8.1-8	ALWAYS

B.8.1.1.3 Common Modules

Table B.8.1-3. Patient Module of Created SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Patient's Name	(0010,0010)	PN	From Modality Worklist or user input. Values supplied via Modality Worklist will be entered as received. Values supplied via user input will contain all 5 components (some possibly empty). . Maximum 64 characters.	VNAP	MWL/USER
Patient ID	(0010,0020)	LO	From Modality Worklist or user input. Maximum 64 characters.	VNAP	MWL/USER
Patient's Birth Date	(0010,0030)	DA	From Modality Worklist or user input	VNAP	MWL/USER
Patient's Sex	(0010,0040)	CS	From Modality Worklist or user input	VNAP	MWL/USER
Patient Comments	(0010,4000)	LT	From User Input. Maximum 1024 characters.	VNAP	USER

Table B.8.1-4. General Study Module of Created SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Study Instance UID	(0020,000D)	UI	From Modality Worklist or generated by device	ALWAYS	MWL/AUTO
Study Date	(0008,0020)	DA	<yyyymmdd>	ALWAYS	AUTO
Study Time	(0008,0030)	TM	<hhmmss>	ALWAYS	AUTO
Referring Physician's Name	(0008,0090)	PN	From Modality Worklist	VNAP	MWL
Study ID	(0020,0010)	SH	Requested Procedure ID from Worklist or User Input	VNAP	MWL/USER
Accession Number	(0008,0050)	SH	From Modality Worklist or user input	VNAP	MWL/USER
Study Description	(0008,1030)	LO	Comment text box in study list. Maximum 1024 characters.	VNAP	USER
Referenced Study Sequence	(0008,1110)	SQ	From Modality Worklist	VNAP	MWL
>Referenced SOP Class UID	(0008,1150)	UI	From Modality Worklist	VNAP	MWL
>Referenced SOP Instance UID	(0008,1155)	UI	From Modality Worklist	VNAP	MWL

Table B.8.1-5. Patient Study Module of Created SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Admitting Diagnosis Description	(0008,1080)	LO	From Modality Worklist	VNAP	MWL
Patient's Age	(0010,1010)	AS	Calculated from DoB input on base of actual Date	ALWAYS	AUTO
Patient's Weight	(0010,1030)	DS	From Modality Worklist or user input	VNAP	MWL/USER

Table B.8.1-6. General Series Module of Created SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Modality	(0008,0060)	CS	RF	ALWAYS	AUTO
Series Instance UID	(0020,000E)	UI	Generated by device	ALWAYS	AUTO
Series Number	(0020,0011)	IS	Generated by device	ALWAYS	AUTO
Series Date	(0008,0021)	DA	<yyyymmdd>	ALWAYS	AUTO
Series Time	(0008,0031)	TM	<hhmmss>	ALWAYS	AUTO
Performing Physician's Name	(0008,1050)	PN	Physician field in Study list. Maximum 64 characters.	VNAP	USER
Protocol Name	(0018,1030)	LO	Organ program	ALWAYS	AUTO
Series Description	(0008,103E)	LO	Organ from Study list. Maximum 512 characters.	VNAP	USER
Operator's Name	(0008,1070)	PN	Operator field in Study list. Maximum 64 characters.	VNAP	USER
Referenced Performed Procedure Step Sequence	(0008,1111)	SQ	Identifies the MPPS SOP Instance to which this image is related	ALWAYS	MPPS
>Referenced SOP Class UID	(0008,1150)	UI	MPPS SOP Class UID	ALWAYS	MPPS
>Referenced SOP Instance UID	(0008,1155)	UI	MPPS SOP Instance UID	ALWAYS	MPPS
Request Attributes Sequence	(0040,0275)	SQ	Zero or 1 item will be present	ALWAYS	AUTO
>Requested Procedure ID	(0040,1001)	SH	From Modality Worklist	VNAP	MWL
>Scheduled Procedure Step ID	(0040,0009)	SH	From Modality Worklist	VNAP	MWL
>Scheduled Procedure Step Description	(0040,0007)	LO	From Modality Worklist	VNAP	MWL
>Scheduled Protocol Code Sequence	(0040,0008)	SQ	From Modality Worklist	VNAP	MWL
Performed Procedure Step ID	(0040,0253)	SH	Same as MPPS.	ALWAYS	MPPS
Performed Procedure Step Start Date	(0040,0244)	DA	Same as MPPS	ALWAYS	MPPS
Performed Procedure Step Start Time	(0040,0245)	TM	Same as MPPS	ALWAYS	MPPS
Performed Procedure Step Description	(0040,0254)	LO	Same as MPPS. From user input. Maximum 64 characters.	VNAP	MPPS
Performed Protocol Code Sequence	(0040,0260)	SQ	Same as MPPS	ALWAYS	MPPS
Comments on the Performed Procedure Step	(0040,0280)	LO	Same as MPPS. From user input. Maximum 64 characters.	VNAP	MPPS

Table B.8.1-7. General Equipment Module of Created SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Manufacturer	(0008,0070)	LO	EXAMPLE-IMAGING-PRODUCTS	ALWAYS	AUTO
Institution Name	(0008,0080)	LO	From Configuration	VNAP	CONFIG
Station Name	(0008,1010)	SH	From Configuration	ALWAYS	CONFIG
Manufacturer's Model Name	(0008,1090)	LO	EXAMPLE-INTEGRATED-MODALITY	ALWAYS	AUTO
Device Serial Number	(0018,1000)	LO	From Configuration	ALWAYS	CONFIG
Software Version	(0018,1020)	LO	From Configuration	ALWAYS	CONFIG
Private Creator	(0009,00xx)	LO	EXINTMOD_EQ_01	ALWAYS	AUTO
Equipment UID	(0009,xx01)	UI	From Configuration	ALWAYS	CONFIG
Service UID	(0009,xx02)	UI	From Configuration	ALWAYS	CONFIG

Table B.8.1-8. Private Application Module of Created SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Private Creator	(0029,00xx)	LO	EXINTMOD_IM_01	ALWAYS	AUTO
Application Header Sequence	(0029,xx40)	SQ	Zero or more items. Each item contains private application data from a different application.	VNAP	AUTO
>Private Creator	(0029,00xx)	LO	EXINTMOD_IM_01	ALWAYS	AUTO
> Application Header Type	(0029,xx41)	CS	One of PLATFORM or PLUGIN	ALWAYS	AUTO
> Application Header ID	(0029,xx42)	LO	One of ACQUISITION, IMAGE PROCESSING, VIEWER, AUDIT, ACCESS, ROUTING or STATUS	ALWAYS	AUTO
> Application Header Version	(0029,xx43)	LO	From Application	ALWAYS	AUTO
> Application Header Data	(0029,xx44)	OB	From Application	ALWAYS	AUTO
Workflow Control Flags	(0029,xx50)	LO	One or more of:P: printedcom: completedrea: readver: verifiedRI: receivedAC: archived and committedE: exportedm: marked	VNAP	AUTO
Archive Management Flag - Keep Online	(0029,xx51)	CS	00 = remote control not required (default)01 = keep instance online.	ALWAYS	AUTO
Archive Management Flag - Do Not Archive	(0029,xx52)	CS	00 = remote control not required (default)01 = do not archive instance.	ALWAYS	AUTO

B.8.1.1.4 X-Ray Radiofluoroscopic Image Modules

Table B.8.1-9. General Image Module of Created Rf SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Instance Number	(0020,0013)	IS	Generated by device	ALWAYS	AUTO
Patient Orientation	(0020,0020)	CS	Zero length	EMPTY	AUTO
Content Date	(0008,0023)	DA	<yyyymmdd>	ALWAYS	AUTO
Content Time	(0008,0033)	TM	<hhmmss>	ALWAYS	AUTO
Acquisition Number	(0020,0012)	IS	Generated by device	ALWAYS	AUTO
Image Comments	(0020,4000)	LT	From user input. Maximum 1024 characters.	VNAP	USER
Anatomic Region Sequence	(0008,2218)	SQ	From user input.	ALWAYS	USER
> Include 'Code Sequence Macro'	Baseline Context ID is 4009 (see also Section B.8.6)

Table B.8.1-10. Image Pixel Module of Created Rf SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Pixel Data	(7FE0,0010)	OW	The Pixel Data itself does not contain any burned-in annotation.	ALWAYS	AUTO

Table B.8.1-11. Cine Module of Created Rf SOP

Attribute Name	Tag	VR	Value	Presence of Value	Source
Frame Time	(0018,1063)	DS	Only if multi-frame.	ANAP	AUTO
Recommended Display Frame Rate	(0008,2144)	IS	Only if multi-frame Same as Cine Rate	ANAP	AUTO
Cine Rate	(0018,0040)	IS	Only if multi-frame	ANAP	AUTO

Table B.8.1-12. Multi-Frame Module of Created Rf SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Number of Frames	(0028,0008)	IS	Only if multi-frame	ANAP	AUTO

Table B.8.1-13. Frame Pointers Module of Created Rf SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Representative Frame Number	(0028,6010)	US	Only if multi-frame	ANAP	AUTO

Table B.8.1-14. Mask Module of Created Rf SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Mask Subtraction Sequence	(0028,6100)	SQ	Only if multi-frame and (0028,1040) = LOG	ANAP	AUTO
> Mask Operation	(0028,6101)	CS	AVG_SUB	ANAP	AUTO
> Mask Frame Numbers	(0028,6110)	US	Mask Frame Number	ANAP	AUTO
Recommended Viewing Mode	(0028,1090)	CS	NAT or SUB	ALWAYS	AUTO

Table B.8.1-15. X-Ray Image Module of Created Rf SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Frame Increment Pointer	(0028,0009)	AT	<0018,1063> only if multi-frame	ANAP	AUTO
Image Type	(0008,0008)	CS	ORIGINAL\PRIMARY\SINGLE PLANE\DAS (acquired images) ORIGINAL\DERIVED\SINGLE PLANE (post-processed images)	ALWAYS	AUTO
Pixel Intensity Relationship	(0028,1040)	CS	LIN or LOG	ALWAYS	AUTO
Samples per Pixel	(0028,0002)	US	1	ALWAYS	AUTO
Photometric Interpretation	(0028,0004)	CS	MONOCHROME2	ALWAYS	AUTO
Rows	(0028,0010)	US	1024	ALWAYS	AUTO
Columns	(0028,0011)	US	1024	ALWAYS	AUTO
Bits Allocated	(0028,0100)	US	16	ALWAYS	AUTO
Bits Stored	(0028,0101)	US	10	ALWAYS	AUTO
High Bit	(0028,0102)	US	9	ALWAYS	AUTO
Pixel Representation	(0028,0103)	US	0000H	ALWAYS	AUTO

Table B.8.1-16. X-Ray Acquisition Module of Created Rf SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
KVP	(0018,0060)	DS	From Acquisition parameters	ALWAYS	AUTO
Radiation Setting	(0018,1155)	CS	GR	ALWAYS	AUTO
X-Ray Tube Current	(0018,1151)	IS	From Acquisition parameters	ALWAYS	AUTO
Exposure Time	(0018,1150)	IS	From Acquisition parameters	ALWAYS	AUTO
Radiation Mode	(0018,115A)	CS	CONTINUOUS	ALWAYS	AUTO
Intensifier Size	(0018,1162)	DS	From Acquisition parameters	ALWAYS	AUTO
Private Creator	(0019,00xx)	LO	EXINTMOD_AQ_01	ALWAYS	AUTO
Edge Enhancement Percent	(0019,xx10)	IS	0 .. 100	VNAP	AUTO
Landmark	(0019,xx20)	IS	0 .. 100	VNAP	AUTO
Pixel Shift Horizontal	(0019,xx30)	DS	-20 .. +20	VNAP	AUTO
Pixel Shift Vertical	(0019,xx40)	DS	-20 .. +20	VNAP	AUTO

Table B.8.1-17. Modality LUT Module of Created Rf SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Modality LUT Sequence	(0028,3000)	SQ	present if (0028,1040) = LOG	ANAP	AUTO
> LUT Descriptor	(0028,3002)	US	<1024,0,16>	ANAP	AUTO
> Modality LUT Type	(0028,3004)	LO	US	ANAP	AUTO
> LUT Data	(0028,3006)	US	LUT	ANAP	AUTO

Table B.8.1-18. VOI LUT Module of Created RF SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Window Center	(0028,1050)	DS	0…1023	ALWAYS	AUTO
Window Width	(0028,1051)	DS	1…1024	ALWAYS	AUTO

Table B.8.1-19. SOP Common Module of Created Rf SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Specific Character Set	(0008,0005)	CS	"ISO_IR 100" or "ISO_IR 144"	ALWAYS	CONFIG
SOP Class UID	(0008,0016)	UI	1.2.840.10008.5.1.4.1.1.12.2	ALWAYS	AUTO
SOP Instance UID	(0008,0018)	UI	Generated by device	ALWAYS	AUTO

B.8.1.1.5 Grayscale Softcopy Presentation State Modules

Table B.8.1-20. Presentation Series Module of Created GSPS SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Modality	(0008,0060)	CS	PR	ALWAYS	AUTO

Table B.8.1-21. Presentation State Module of Created GSPS SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Instance Number	(0020,0013)	IS	Generated by device	ALWAYS	AUTO
Presentation Label	(0070,0080)	CS	From user input.	ALWAYS	USER
Presentation Description	(0070,0081)	LO	From user input.	VNAP	USER
Presentation Creation Date	(0070,0082)	DA	Generated by device	ALWAYS	AUTO
Presentation Creation Time	(0070,0083)	TM	Generated by device	ALWAYS	AUTO
Presentation Creator's Name	(0070,0084)	PN	Generated by device according to currently active user.	ALWAYS	AUTO
Referenced Series Sequence	(0008,1115)	SQ	One or more items.	ALWAYS	AUTO
>Series Instance UID	(0020,000E)	UI	From referenced image	ALWAYS	AUTO
>Referenced Image Sequence	(0008,1140)	SQ	From referenced image	ALWAYS	AUTO
>>Referenced SOP Class UID	(0008,1150)	UI	From referenced image	ALWAYS	AUTO
>>Referenced SOP Instance UID	(0008,1155)	UI	From referenced image	ALWAYS	AUTO
>>Referenced Frame Number	(0008,1160)	IS	If referenced image is a multi-frame image	ANAP	AUTO
Shutter Presentation Value	(0018,1622)	US	Generated by device if shutter present	ANAP	AUTO

Table B.8.1-22. Display Shutter Module of Created GSPS SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Shutter Shape	(0018,1600)	CS	If shutter applied: RECTANGULAR\CIRCULAR	ANAP	AUTO
Shutter Left Vertical Edge	(0018,1602)	IS	If RECTANGULAR shutter applied	ANAP	AUTO
Shutter Right Vertical Edge	(0018,1604)	IS	If RECTANGULAR shutter applied	ANAP	AUTO
Shutter Upper Horizontal Edge	(0018,1606)	IS	If RECTANGULAR shutter applied	ANAP	AUTO
Shutter Lower Horizontal Edge	(0018,1608)	IS	If RECTANGULAR shutter applied	ANAP	AUTO
Center of Circular Shutter	(0018,1610)	IS	If CIRCULAR shutter applied	ANAP	AUTO
Radius of Circular Shutter	(0018,1612)	IS	If CIRCULAR shutter applied	ANAP	AUTO

Table B.8.1-23. Displayed Area Module of Created GSPS SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Displayed Area Selection Sequence	(0070,005A)	SQ	One or more items	ALWAYS	AUTO
>Referenced Image Sequence	(0008,1140)	SQ	One or more items	ALWAYS	AUTO
>>Referenced SOP Class UID	(0008,1150)	UI	From referenced image	ALWAYS	AUTO
>>Referenced SOP Instance UID	(0008,1155)	UI	From referenced image	ALWAYS	AUTO
>>Referenced Frame Number	(0008,1160)	IS	If referenced image is a multi-frame image	ANAP	AUTO
>Displayed Area Top Left Hand Corner	(0070,0052)	SL	From current display setting	ALWAYS	AUTO
>Displayed Area Bottom Right Hand Corner	(0070,0053)	SL	From current display setting	ALWAYS	AUTO
>Presentation Size Mode	(0070,0100)	CS	From current display setting	ALWAYS	AUTO
>Presentation Pixel Spacing	(0070,0101)	DS	From current display setting	ANAP	AUTO
>Presentation Pixel Aspect Ratio	(0070,0102)	IS	From current display setting	ANAP	AUTO
>Presentation Pixel Magnification Ratio	(0070,0103)	FL	From current display setting	ANAP	AUTO

Table B.8.1-24. Graphic Annotation Module of Created GSPS SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Graphic Annotation Sequence	(0070,0001)	SQ	One or more items	ANAP	AUTO
>Referenced Image Sequence	(0008,1140)	SQ	One or more items	ALWAYS	AUTO
>>Referenced SOP Class UID	(0008,1150)	UI	From referenced image	ALWAYS	AUTO
>>Referenced SOP Instance UID	(0008,1155)	UI	From referenced image	ALWAYS	AUTO
>>Referenced Frame Number	(0008,1160)	IS	If referenced image is a multi-frame image	ANAP	AUTO
>Graphic Layer	(0070,0002)	CS	Layer in Graphic Layer Module	ALWAYS	AUTO
>Text Object Sequence	(0070,0008)	SQ	One or more items if text annotation present	ANAP	AUTO
>>Anchor Point Annotation Units	(0070,0004)	CS	PIXEL	ALWAYS	AUTO
>>Unformatted Text Value	(0070,0006)	ST	From user input	ALWAYS	USER
>>Anchor Point	(0070,0014)	FL	From user input	ALWAYS	USER
>>Anchor Point Visibility	(0070,0015)	CS	From user input	ALWAYS	USER
>Graphic Object Sequence	(0070,0009)	SQ	One or more items if graphic annotation present	ANAP	AUTO
>>Graphic Annotation Units	(0070,0005)	CS	PIXEL	ALWAYS	AUTO
>>Graphic Dimensions	(0070,0020)	US	2	ALWAYS	AUTO
>>Number of Graphic Points	(0070,0021)	US	From user input	ALWAYS	USER
>>Graphic Data	(0070,0022)	FL	From user input	ALWAYS	USER
>>Graphic Type	(0070,0023)	CS	One of POINT, POLYLINE, INTERPOLATED, CIRCLE or ELLIPSE	ALWAYS	USER
>>Graphic Filled	(0070,0024)	CS	From user input	ANAP	USER
Attribute Name	Tag	VR	Value	Presence of Value	Source
Graphic Annotation Sequence	(0070,0001)	SQ	One or more items	ANAP	AUTO
>Referenced Image Sequence	(0008,1140)	SQ	One or more items	ALWAYS	AUTO
>>Referenced SOP Class UID	(0008,1150)	UI	From referenced image	ALWAYS	AUTO
>>Referenced SOP Instance UID	(0008,1155)	UI	From referenced image	ALWAYS	AUTO
>>Referenced Frame Number	(0008,1160)	IS	If referenced image is a multi-frame image	ANAP	AUTO
>Graphic Layer	(0070,0002)	CS	Layer in Graphic Layer Module	ALWAYS	AUTO
>Text Object Sequence	(0070,0008)	SQ	One or more items if text annotation present	ANAP	AUTO
>>Anchor Point Annotation Units	(0070,0004)	CS	PIXEL	ALWAYS	AUTO
>>Unformatted Text Value	(0070,0006)	ST	From user input	ALWAYS	USER
>>Anchor Point	(0070,0014)	FL	From user input	ALWAYS	USER
>>Anchor Point Visibility	(0070,0015)	CS	From user input	ALWAYS	USER
>Graphic Object Sequence	(0070,0009)	SQ	One or more items if graphic annotation present	ANAP	AUTO
>>Graphic Annotation Units	(0070,0005)	CS	PIXEL	ALWAYS	AUTO
>>Graphic Dimensions	(0070,0020)	US	2	ALWAYS	AUTO
>>Number of Graphic Points	(0070,0021)	US	From user input	ALWAYS	USER
>>Graphic Data	(0070,0022)	FL	From user input	ALWAYS	USER
>>Graphic Type	(0070,0023)	CS	One of POINT, POLYLINE, INTERPOLATED, CIRCLE or ELLIPSE	ALWAYS	USER
>>Graphic Filled	(0070,0024)	CS	From user input	ANAP	USER

Table B.8.1-25. Spatial Transformation Module of Created GSPS SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Image Rotation	(0070,0042)	US	From current display setting	ANAP	AUTO
Image Horizontal Flip	(0070,0041)	CS	From current display setting	ANAP	AUTO

Table B.8.1-26. Graphic Layer Module of Created GSPS SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Graphic Layer Sequence	(0070,0060)	SQ	One or more items	ANAP	AUTO
>Graphic Layer	(0070,0002)	CS	LAYER1. LAYER2, LAYER3, …	ALWAYS	AUTO
>Graphic Layer Order	(0070,0062)	IS	From current display setting	ALWAYS	AUTO

Table B.8.1-27. Modality LUT Module of Created GSPS SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Modality LUT Sequence	(0028,3000)	SQ	One item	ANAP	AUTO
>LUT Descriptor	(0028,3002)	US	<1024,0,16>	ALWAYS	AUTO
>Modality LUT Type	(0028,3004)	LO	US	ALWAYS	AUTO
>LUT Data	(0028,3006)	US	LUT	ALWAYS	AUTO
Rescale Intercept	(0028,1052)	DS	1	ANAP	AUTO
Rescale Slope	(0028,1053)	DS	0	ANAP	AUTO
Rescale Type	(0028,1054)	LO	US	ANAP	AUTO

Table B.8.1-28. Softcopy VOI LUT Module of Created GSPS SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Softcopy VOI LUT Sequence	(0028,3110)	SQ	One or more items	ALWAYS	AUTO
>Referenced Image Sequence	(0008,1140)	SQ	One or more items	ALWAYS	AUTO
>>Referenced SOP Class UID	(0008,1150)	UI	From referenced image	ALWAYS	AUTO
>>Referenced SOP Instance UID	(0008,1155)	UI	From referenced image	ALWAYS	AUTO
>>Referenced Frame Number	(0008,1160)	IS	If referenced image is a multi-frame image	ANAP	AUTO
>Window Center	(0028,1050)	DS	From current display setting: 0…1023	ALWAYS	AUTO
>Window Width	(0028,1051)	DS	From current display setting: 1…1024	ALWAYS	AUTO
>Window Center & Width Explanation	(0028,1055)	LO	Name of Window Preset	ANAP	AUTO

Table B.8.1-29. Softcopy Presentation LUT Module of Created GSPS SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Presentation LUT Shape	(2050,0020	CS	IDENTITY	ALWAYS	AUTO

Table B.8.1-30. SOP Common Module of Created GSPS SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Specific Character Set	(0008,0005)	CS	"ISO_IR 100" or "ISO_IR 144"	ALWAYS	CONFIG
SOP Class UID	(0008,0016)	UI	1.2.840.10008.5.1.4.1.1.11.1	ALWAYS	AUTO
SOP Instance UID	(0008,0018)	UI	Generated by device	ALWAYS	AUTO

B.8.1.2 Used Fields in Received IOD By Application

The EXAMPLE-INTEGRATED-MODALITY storage application does not receive SOP Instances. The usage of attributes received via Modality Worklist is described in Section B.4.2.2.3.1.3.

B.8.1.3 Attribute Mapping

The relationships between attributes received via Modality Worklist, stored in acquired images and communicated via MPPS are summarized in Table B.8.1-31. The format and conventions used in DICOM Table B.8.1-31 are the same as the corresponding table in Section J.6 in PS3.17 .

Table B.8.1-31. 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
Scheduled Procedure Step ID	>Scheduled Procedure Step ID	>Scheduled Procedure Step ID
Scheduled Procedure Step Description	>Scheduled Procedure Step Description	>Scheduled Procedure Step Description
Scheduled Protocol Code Sequence	>Scheduled Protocol Code Sequence	----
----	Performed Protocol Code Sequence	Performed Protocol Code Sequence
----	Study ID	Study ID
----	Performed Procedure Step ID	Performed Procedure Step ID
----	Performed Procedure Step Start Date	Performed Procedure Step Start Date
----	Performed Procedure Step Start Time	Performed Procedure Step Start Time
----	Performed Procedure Step Description	Performed Procedure Step Description
----	Comments on the Performed Procedure Step	Comments on the Performed Procedure Step
----	----	Performed Series Sequence
Scheduled Performing Physician's Name	Performing Physician's Name	>Performing Physician's Name
Requested Procedure Code Sequence	----	Procedure Code Sequence
----	Referenced Study Component Sequence	----
----	>Referenced SOP Class UID	SOP Class UID
----	>Referenced SOP Instance UID	SOP Instance UID
----	Protocol Name	Protocol Name

B.8.1.4 Coerced/Modified Fields

The Modality Worklist AE will truncate attribute values received in the response to a Modality Worklist Query if the value length is longer than the maximum length permitted by the attribute's VR.

B.8.2 Data Dictionary of Private Attributes

The Private Attributes added to created SOP Instances are listed in the Table below. EXAMPLE-INTEGRATED-MODALITY reserves blocks of private attributes in groups 0009, 0019 and 0029. Further details on usage of these private attributes are contained in Section B.8.1.

Table B.8.2-1. Data Dictionary of Private Attributes

Tag	Attribute Name	VR	VM	Attribute Description
(0009,00xx)	Private Creator	LO	1	EXINTMODMAKER
(0009,xx01)	Equipment UID	UI	1
(0009,xx02)	Service UID	UI	1
(0019,00xx)	Private Creator	LO	1	EXINTMODMAKER
(0019,xx10)	Edge Enhancement Percent	IS	1
(0019,xx20)	Landmark	IS	1
(0019,xx30)	Pixel Shift Horizontal	DS	1
(0019,xx40)	Pixel Shift Vertical	DS	1
(0029,00xx)	Private Creator	LO	1	EXINTMODMAKER
(0029,xx40)	Application Header Sequence	SQ	1
(0029,xx41)	Application Header Type	CS	1
(0029,xx42)	Application Header ID	LO	1
(0029,xx43)	Application Header Version	LO	1
(0029,xx44)	Application Header Data	OB	1
(0029,xx50)	Workflow Control Flags	LO	8
(0029,xx51)	Archive Management Flag - Keep Online	CS	1
(0029,xx52)	Archive Management Flag - Do Not Archive	CS	1

B.8.3 Coded Terminology and Templates

The Workflow AE is capable of supporting arbitrary coding schemes for Procedure and Protocol Codes. The contents of Requested Procedure Code Sequence (0032,1064) and Scheduled Protocol Code Sequence (0040,0008) supplied in Worklist Items will be mapped to Image IOD and MPPS attributes as described in Table B.8.1-31. During installation, a service technician will establish a mapping between the site-specific codes and the Protocol Names used internally to identify acquisition protocols.

The contents of Anatomic Region Sequence (0008,2218) in generated images will be filled with an anatomic code selected by the user from a catalog. The default catalog of anatomic codes corresponds to CID 4009 “DX Anatomy Imaged” but can be extended using the Service/Installation Tool.

The contents of Performed Procedure Step Discontinuation Reason Code Sequence (0040,0281) for a discontinued MPPS will be filled with a code selected by the user from a fixed list corresponding to CID 9300 “Procedure Discontinuation Reasons”.

B.8.4 Grayscale Image Consistency

The high resolution display monitor attached to EXAMPLEINTEGRATED-MODALITY can be calibrated according to the Grayscale Standard Display Function (GSDF). The Service/Installation Tool is used together with a luminance meter to measure the Characteristic Curve of the display system and the current ambient light. See the EXAMPLE-INTEGRATED-MODALITY Service Manual for details on the calibration procedure and supported calibration hardware. The result of the calibration procedure is a Monitor Correction LUT that will be active within the display subsystem after a system reboot.

B.8.5 Standard Extended / Specialized / Private SOP Classes

No Specialized or Private SOP Classes are supported.

B.8.5.1 X-Ray Radiofluoroscopic Image Storage SOP Class

The X-Ray Radiofluoroscopic Image Storage SOP Class is extended to create a Standard Extended SOP Class by addition of standard and private attributes to the created SOP Instances as documented in Section B.8.1.

B.8.6 Private Transfer Syntaxes

No Private Transfer Syntaxes are supported.

C Conformance Statement Sample DICOMRis Interface (Informative)

Disclaimer:

This document is an example DICOM Conformance Statement for a product that supports DICOM SOP Classes frequently associated with a Radiology Information System or RIS. The product whose conformance is being documented, DICOMRis, and the manufacturer, Hospital Systems, are fictional.

C.0 Cover Page

Company Name: EXAMPLE RIS Products.

Product Name: SAMPLE DICOMRis Interface

Version: 1.0-rev. A.1

Internal document number: 4226-xxx-yyy-zzz rev 1

Date: YYYYMMDD

C.1 Conformance Statement Overview

Hospital Systems' DICOMRis is a suite of applications that implement a full-featured Radiology Information System (RIS). DICOMRis includes features typically associated with a RIS, including interfaces to various Hospital Information Systems, Patient Tracking, Results Reporting, Film Tracking, Management Reporting, PACS Integration, etc. The DICOMRis GUI-based client application, RisView, runs on a Windows 95/98/NT platform; the server platform is Digital Unix.

As part of PACS Integration DICOMRis supports several DICOM Service Classes, using DICOMTool's DICOM Toolkit, to provide the following capabilities:

Allowing Modalities to query for worklists of procedures to be performed and for patient and procedure demographics. DICOMRis processes these queries by directly accessing the DICOMRis database, which is automatically updated with appropriate data through the normal operations of the RIS.

Updating the DICOMRis database in response to Procedure Step transactions initiated by Modalities as they perform examinations. Relevant data contained in these transactions may be viewed using RisView.

Table C.1-1. Network Services

SOP Classes	User of Service (SCU)	Provider of Service (SCP)
Workflow Management
Modality Worklist	No	Yes
Modality Performed Procedure Step	No	Yes

C.2 Table of Contents

A table of contents shall be provided to assist readers in easily finding the needed information.

C.3 Introduction

C.3.1 Revision History

Table C.3.1-1. Revision History

Document Version	Revision Date	Revision Author	Revision Description
1.1	October 30, 2003	WG 6	Version for Final Text
1.2	August 30, 2007	WG 6	Revised Introduction

C.3.2 Audience, Remarks, Terms and Definitions, Basics of DICOM Communication, Abbreviations, References

See example text in Section A.3.

C.3.3 Additional References for This Example

IHE Radiology Technical Framework, Revision 7.0, ACC/HIMSS/RSNA, 2006.

Logical Observation Identifier Names and Codes (LOINC). Regenstrief Institute. Indianapolis. 2018.http://loinc.org/

C.3.4 Additional Remarks and Definitions for This Example

This document is a sample DICOM Conformance Statement created for DICOM PS3.2. It is to be used solely as an example to illustrate how to create a DICOM Conformance Statement for a departmental information system supporting DICOM Modality Worklist and Modality Performed Procedure Step Services. The subject of the document, DICOMRis, is a fictional product.

DICOMRis Database The database that indexes procedures, orders and patients

DICOMSRV DICOM MWL and MPPS application

RisView DICOMRis' GUI-based application providing views into the DICOMRis' Database, reporting function, etc.

C.4 Networking

C.4.1 Implementation Model

C.4.1.1 Application Data Flow

Figure C.4.1-1. DICOM Standard Interface

The DICOMRis DICOMSRV application provides access to Scheduled Procedure information, supports updating of the RIS database as procedures are performed. The various flows in the diagram above are described as follows

DICOMSRV accepts associations for Verification from Verification SCUs and responds automatically with Success status

DICOMSRV accepts Association Requests for Modality Worklist from MWL SCUs and responds to queries from these SCUs. When a query is received DICOMSRV engages in local real-world activity Scheduled Procedure Queries. This results in a set of matching responses that DICOMSRV returns to the MWL SCU.

DICOMSRV accepts Association Requests for Modality Performed Procedure Step from MPPS SCUs and responds to N-CREATE and N-SET Requests from these SCUs. When an N-CREATE or N-SET is received DICOMSRV engages in local real-world activity Update Procedure. This results in updates to the DICOMRis Database per the contents of the received message. DICOMSRV then returns N-SET or N-CREATE status to the MPPS SCU.

C.4.1.2 Functional Definition of AEs

C.4.1.2.1 Functional Definition of DICOMSRV Application Entity

DICOMSRV is a background process running on a Unix server. A single instance of DICOMSRV is started at System boot but multiple instances may be running at any one time as a result of forking of additional processes. The application may be started/restarted interactively via a utility. In addition, there is a monitoring process that may be configured to restart the application automatically should it crash. Events are logged to application-specific log files with a time stamp. Multiple logging levels are supported. At the lowest logging level the following are logged:

The AE Title of the remote AE when the Association is created
The status of each DICOM Service Request
Any updates to the DICOMRis Database

Higher levels of logging can be configured to cause dumping of the contents of DICOM Service and Association messages..

DICOMSRV will listen for connection requests at the Presentation Address configured for its AE Title. This application is an implementation of a concurrent server; it forks a new process for each connection request it receives. Each forked process exists for the life of a single association and then exits. DICOMSRV will accept Presentation Contexts for the Modality Worklist, Modality Performed Procedure Step and Verification SOP Classes. Validation of DICOM Service Request messages is configurable using command-line parameters and may return Failure status in the event of an invalid Service Request according to the specifications in the standard. Upon receipt of a Verification Request DICOMSRV will respond with a successful Verification response. When a MWL query is received DICOMSRV will query the DICOMRis database for a list of Scheduled Procedure Steps matching the query and will return a pending C-Find response for each match. Before DICOMRis can include patient and order information in response to a Modality Worklist query, patients must be registered and there must be orders for those patients in the DICOMRis database.. Registration and order information is typically interfaced to DICOMRis from a HIS but can also be entered directly into DICOMRis using DICOMRis's registration and order entry applications. Reception of an MPPS N-Create or N-Set Request may result in updates to various tables in the DICOMRis database and may result in changes to the procedure state of the Requested Procedure(s) referenced within the message. If an MPPS message containing non-matching demographic data is received, this will be logged, an exception document generated and an entry added to an exception table in the database.

C.4.1.3 Sequencing of Real World Activities

Figure C.4.1-2. Sequencing Constraints

Under normal circumstances the sequencing depicted above applies:

The Modality queries for a worklist of Scheduled Procedure Steps
DICOMSRV searches its database and returns matches to the query
The Modality begins performance of a Procedure Step and sends the MPPS N-CREATE
The Modality completes or discontinues the procedure and sends the MPPS N-SET with status of COMPLETE or DISCONTINUED

The workflow above is not the only one possible. For example, in a Trauma or unscheduled flow there may be no worklist query prior to the performance of the procedure and the sending of MPPS messages. The flow would also be altered if the Modality did not support both Modality Worklist and MPPS. The Description and Sequencing of Activities and the SOP Specific Conformance sections below for the respective Real World Activities provide additional detail

C.4.2 AE Specifications

C.4.2.1 DICOMSRV AE Specification

This application provides Standard Conformance to the following DICOM SOP Classes:

C.4.2.1.1 SOP Classes

Table C.4.2-1. SOP Classes for AE DICOMSRV

SOP Class Name	SOP Class UID	SCU	SCP
Verification	1.2.840.10008.1.1	No	Yes
Modality Worklist	1.2.840.10008.5.1.4.31	No	Yes
Modality Performed Procedure Step	1.2.840.10008.3.1.2.3.3	No	Yes

C.4.2.1.2 Association Policies

C.4.2.1.2.1 General

The Application Context Name for DICOM is the only Application Context proposed.

Table C.4.2-2. DICOM Application Context

Application Context Name

1.2.840.10008.3.1.1.1

C.4.2.1.2.2 Number of Associations

DICOMSRV will support as many simultaneous associations as SCP as are requested by Workflow SCUs up to a configurable maximum. DICOMSRV limits the number of concurrent associations to a given Workflow SCU as described below.

Table C.4.2-3. Number of Associations as an SCP for AE DICOMSRV

Maximum number of simultaneous associations

Configurable value. Maximum of 3 simultaneous associations to a given SCU

C.4.2.1.2.3 Asynchronous Nature

Asynchronous communication (multiple outstanding transactions over a single association) is not supported.

C.4.2.1.2.4 Implementation Identifying Information

Table C.4.2-4. DICOM Implementation Class and Version for DICOMSRV

Implementation Class UID	xxxxxxx.yyy.etc.ad.inf.usw
Implementation Version Name	DICOMRis_260

C.4.2.1.3 Association Initiation Policy

DICOMSRV does not initiate Associations.

C.4.2.1.4 Association Acceptance Policy

DICOMSRV will accept associations for the MWL, MPPS and Verification SOP Classes as an SCP. The job runs in the background and forks a new process for each connection request from a Remote AE

C.4.2.1.4.1 Activity - Configured AE Requests MWL Query

C.4.2.1.4.1.1 Description and Sequencing of Activities

When Modality Worklist SCUs query DICOMSRV the queries run against the Scheduled Procedure Step Worklist (referred to hereafter as the 'SPS Worklist' or 'Worklist') in the DICOMRis database. There is a configurable mapping between the Universal Service ID contained in the HL7 Order messages (see Table C.8.1-4) and one or more Requested Procedures within the DICOMRis database. A Requested Procedure may, in turn, map to 1 or more Scheduled Procedure Steps though the relation is usually 1-to-1. This mapping is also site-configurable. The relation between Accession Number (0008,0050) and Requested Procedure ID (0040,1001) is 1-to-1 within DICOMRis and these attributes have the same value in all MWL responses. Scheduled Procedure Step entries are added and removed from the Worklist as follows:

Add Scheduled Procedure Step Entries Normal Pathway - As orders are received from the HIS via HL7 or entered using DICOMRis' Ordering and Scheduling application, additions are made to the SPS Worklist in the DICOMRis database per the mapping specified above.
Add Scheduled Procedure Step Entries Exception Pathway - Users can interactively create additional Scheduled Procedure Step entries for a given Requested Procedure using the Procedure Update application. It may be necessary to create additional entries under certain conditions such as when it is discovered that a procedure must be redone after having previously been marked as completed. This does not apply to canceled procedures
Remove Scheduled Procedure Step Entries Normal Pathway - An SPS entry is removed from the SPS Worklist under the following circumstances:
As mentioned previously, DICOMRis supports common RIS function to set the state of the procedure as it progresses from being ordered to being resulted and signed. Setting the procedure state may be initiated interactively via the Procedure Update application or as a result of various events. An entry in the SPS Worklist is removed when the Requested Procedure that is the parent of the SPS is set to a configured status. This configuration is system-wide applying equally to all procedures.
If configured to change the state of a Requested Procedure on receipt of an MPPS N-CREATE or N-SET referencing the procedure then the change in state may result in removal of SPS entries related to the procedure as described above
Remove Entries Exception Pathway - When a procedure is canceled all SPS entries related to that procedure are removed from the Worklist.

Remove Entries Maintenance Pathway - SPS entries that are still in the Worklist a configurable time after their scheduled start date/time will be removed by a day-end maintenance job.

In the table below the following applies:

To cause a given action to occur, MPPS messages must reference the parent Requested Procedure related to the SPS entry and applicable configuration must be in place.

Table C.4.2-5. Scheduled Procedure Step Entry Actions Table

Events	Scheduled Procedure Step Entry Actions
Order received from HIS or entered using DICOMRis application	Add one or more Entries to Worklist
User adds SPS entry interactively	Add Entry to Worklist
MPPS message received that changes procedure state of parent procedure to status configured for removal of child SPS entry from Worklist	Remove Entry from Worklist
Current time exceeds SPS scheduled time by a Worklist configured time interval	Remove Entry from Worklist
Parent procedure canceled	Remove one or more Entries from Worklist
Parent procedure set to a state that causes removal of child SPS entries from Worklist	Remove one or more Entries from Worklist

Figure C.4.2-1. Sequencing Diagram for Activity: Configured AE Requests MWL Query

The figure above is a possible sequence of messages between a Modality Worklist SCU and DICOMSRV.

The Modality opens an Association with DICOMSRV for the purpose of querying for a Modality Worklist
The Modality sends an MWL C-FIND query to DICOMSRV
DICOMSRV queries its database using the attributes from the C-FIND Request and returns 0 to N C-FIND responses depending on matches returned from the database. DICOMSRV checks for a C-FIND Cancel Request after a configured number of responses are sent. If a Cancel is received then no further Pending responses are sent.
DICOMSRV sends the final C-FIND response
The Modality closes the Association

C.4.2.1.4.1.2 Accepted Presentation Contexts

Table C.4.2-6. Acceptable Presentation Contexts for AE DICOMSRV and Real-World Activity 'Configured AE Requests MWL Query'

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name List	UID List	Role	Extended Negotiation
Modality Worklist Information Model - FIND	1.2.840.10008.5.1.4.31	Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
Modality Worklist Information Model - FIND	1.2.840.10008.5.1.4.31	Explicit VR Little Endian	1.2.840.10008.1.2.1	SCP	None

C.4.2.1.4.1.2.1 Presentation Context Acceptance Criterion

Depending on configuration, DICOMSRV may or may not accept multiple Presentation Contexts containing the same Abstract Syntax.

C.4.2.1.4.1.2.2 Transfer Syntax Selection Policy

Transfer Syntaxes in addition to the default Implicit VR Little Endian may be configured for a given Abstract Syntax. DICOMSRV's preferred Transfer Syntax is Explicit VR Little Endian and this will be selected if offered.

C.4.2.1.4.1.3 SOP Specific Conformance for Modality Worklist SOP Class

DICOMSRV does not support matching on any optional matching key attributes.

DICOMSRV supports case-insensitive matching on the following Person Name Value Representation elements:

Patient Name (0010,0010)

DICOMSRV supports optional return key attributes as described in the table below.

Table C.4.2-7. Modality Worklist Optional Return Keys Supported

Description/Module	Tag	Remark
Scheduled Procedure Step
>Scheduled Protocol Code Sequence	(0040,0008)
>>Code Meaning	(0008,0104)
>Comments on the Scheduled Procedure Step	(0040,0400)	This attribute, if valued, will contain details of the protocol to be used in carrying out this step. The attribute could contain a full description of the protocol or simply indicate modifications to the protocol designated by the Scheduled Protocol Code Sequence
>Requested Contrast Agent	(0032,1070)
Requested Procedure
Reason for the Requested Procedure	(0040,1002)
Requested Procedure Comments	(0040,1400)
Imaging Service Request
Reason for the Imaging Service Request	(0040,2001)
Imaging Service Request Comments	(0040,2400)
Requesting Service	(0032,1033)
Issuing Date of Imaging Service Request	(0040,2004)
Issuing Time of Imaging Service Request	(0040,2005)
Placer Order Number / Imaging Service Request	(0040,2016)
Filler Order Number / Imaging Service Request	(0040,2017)
Order entered by	(0040,2008)
Order Enterer's Location	(0040,2009)
Visit Status
Patient's Institution Residence	(0038,0400)
Visit Admission
Referring Physician's	(0008,0090)
Referring Physician's Address	(0008,0092)
Referring Physician's Phone Numbers	(0008,0094)
Admitting Diagnosis Description	(0008,1080)
Admitting Date	(0038,0020)
Admitting Time	(0038,0021)
Patient Identification
Issuer of Patient ID	(0010,0021)
Patient Demographic
Occupation	(0010,2180)
Patient's Address	(0010,1040)
Country of Residence	(0010,2150)
Patient's Telephone Numbers	(0010,2154)
Ethnic Group	(0010,2160)
Patient's Religious Preference	(0010,21F0)
Patient Comments	(0010,4000)
Patient Medical
Smoking Status	(0010,21A0)
Last Menstrual Date	(0010,21D0)

DICOMSRV returns C-FIND response statuses as specified below.

Table C.4.2-8. MWL C-FIND Response Status Reasons

Service Status	Further Meaning	Error Code	Reasons
Success	Matching is complete	0000	The response status code and meaning are logged in the job log file.
Failure	Out of resources	A700	If the number of matches exceeds a configurable maximum this error code is returned. An error comment describing the error is also returned. The response status code and meaning are logged in the job log file.
	Identifier does not match SOP class	A900	This status is returned if the C-FIND request specifies query or Return keys that are not specified as part of the Modality Worklist Information Model - FIND SOP Class. The response status code and meaning are logged in the job log file.
	Unable to process	C001	This status is returned due to internal errors within DICOMSRV such as a processing failure response on a query of the DICOMRis database. The response status code and meaning are logged in the job log file.
Canceled	Matching terminated due to cancel request	FE00	This status is returned if a Cancel Request is received from the SCU during the processing of a Modality Worklist request. The response status code and meaning are logged in the job log file.
Pending	Matching is continuing	FF00	The status is returned with each matching response. A message is logged for each pending response.
Pending	Matching is continuing - Current match is supplied and any optional keys were supported in the same matter as required keys	FF01	The status is returned with each matching response if one or more optional matching or return keys are not supported for existence. A message is logged for each pending response.

C.4.2.1.4.2 Activity - Configured AE Makes Procedure Step Request

When a configured remote AE sends a conformant association request including one of the Modality Performed Procedure Step Presentation Contexts in the table below then DICOMSRV will accept the Association.

C.4.2.1.4.2.1 Description and Sequencing of Activities

As mentioned above, DICOMSRV is started at system boot time and is thus ready to process MPPS messages at any time thereafter. The sequencing diagram below specifies a common flow of messages related to this activity. Prior to this sequence of messages it is necessary that orders have been received from the HIS interface or created via DICOMRis Ordering and Scheduling application. Attributes from the orders and created procedures, usually queried using MWL, will be included in the MPPS messages the Modality sends to DICOMSRV. Key attributes in the MPPS N-CREATE and N-SET, specified below, are extracted and matched against values in the DICOMRis database. A match allows full update of all applicable DICOMRis database tables.

Figure C.4.2-2. Sequencing Diagram for Activity: Configured AE Makes Procedure Step Request

The figure above is a possible sequence of messages and events for the Configured AE Makes Procedure Step Request activity.

The Modality opens an Association to update DICOMSRV using MPPS
The Modality sends an N-CREATE Request to indicate that it is performing one or more Requested Procedures
The Modality performs all or part of the procedure(s)
DICOMSRV stores the MPPS and executes the matching algorithm described in the conformance section below. If a successful match is found, then updates to various tables per the N-CREATE are performed. See Table C.4.2-10 for additional detail. In the matching case, the procedure state of the procedure(s) referenced in the MPPS is updated if so configured
The Modality sends an N-SET setting the status of the MPPS to COMPLETED
DICOMSRV stores the MPPS. If the N-CREATE for this step matched then updates are performed as specified in step 4
The Modality closes the Association

DICOMSRV also supports the 5 IHE Unidentified Patient Use Cases. Cases 1, 2 and 4 are transparent to the MPPS SCU and follow the normal flow. In case 3, the patient upon whom a given procedure must be immediately performed has been registered on the HIS and has a valid Patient ID but has no order specifying the applicable procedure. DICOMSRV recognizes this case when an MPPS N-CREATE is received with a matching Patient ID, zero-length Accession Number (0008,0050) and Requested Procedure ID (0040,1001). If the MPPS SCU is configured for support of IHE Trauma cases, DICOMSRV will order a procedure corresponding to the code contained in the Procedure Code Sequence (0008,1032), if this code is recognized, or will order a default procedure based on configuration. If the default procedure is ordered then a user may modify the procedure using DICOMRis Ordering and Scheduling application.

In case 5, there is no existing registration or order for a patient on whom a procedure must be immediately performed. Values are entered on the Modality identifying the patient and procedure. DICOMSRV recognizes this case when an MPPS N-CREATE is received containing a Patient ID within a configured range. This range will never contain Patient IDs created in the normal flow. If the MPPS SCU is configured for support of IHE Trauma cases, DICOMSRV will register the patient with the Patient ID provided and will order a procedure as described above.

C.4.2.1.4.2.2 Accepted Presentation Contexts

Table C.4.2-9. Acceptable Presentation Contexts for AE DICOMSRV and Real-World Activity "Configured AE Makes Procedure Step Request"

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name List	UID List	Role	Extended Negotiation
Modality Performed Procedure Step SOP Class	1.2.840.10008.3.1.2.3.3	Implicit VR Little Endian	1.2.840.10008.1.2.1	SCP	None
Modality Performed Procedure Step SOP Class	1.2.840.10008.3.1.2.3.3	Explicit VR Little Endian	1.2.840.10008.1.2.1	SCP	None

DICOMSRV's preferred Transfer Syntax is Explicit VR Little Endian and this will be selected if offered.

C.4.2.1.4.2.3 SOP Specific Conformance for MPPS SOP Class

The table below lists all Modality Performed Procedure Step attributes, whether they may be created by N-CREATE and updated by N-SET and what parts of the DICOMRis database they are used to update. All MPPS messages and thus their attributes are stored for the configurable Purge Period described below. The 'Database Updates' column considers updates separate from the storage of MPPS messages. If no value is present this indicates that there are is no update to the database associated with the given element.

Table C.4.2-10. Supported N-SET/N-CREATE Attributes for MPPS

Attribute Name	Tag	N-Create	N-Set	Database Updates
SOP Common Module
Specific Character Set	(0008,0005)	Y	N
Performed Procedure Step Relationship Module
Scheduled Step Attribute Sequence	(0040,0270)	Y	N	Y
>Study Instance UID	(0020,000D)	Y	N	Overwrite existing value if different from received value
>Referenced Study Sequence	(0008,1110)	Y	N
>>Referenced SOP Class UID	(0008,1150)	Y	N
>>Referenced SOP Instance UID	(0008,1155)	Y	N
>Accession Number	(0008,0050)	Y	N
>Placer Order Number/Imaging Service Request	(0040,2006)	Y	N
>Filler Order Number/Imaging Service Request	(0040,2007)	Y	N
>Requested Procedure ID	(0040,1001)	Y	N
>Requested Procedure Description	(0032,1060)	Y	N
>Scheduled Procedure Step ID	(0040,0009)	Y	N
>Scheduled Procedure Step Description	(0040,0007)	Y	N
>Scheduled Protocol Code Sequence	(0040,0008)	Y	N
>>Code Value	(0008,0100)	Y	N
>>Coding Scheme designator	(0008,0102)	Y	N
>>Code Meaning	(0008,0104)	Y	N
Patient Name	(0010,0010)	Y	N
Patient ID	(0010,0020)	Y	N
Patient's Birth Date	(0010,0030)	Y	N
Patient's Sex	(0010,0040)	Y	N
Referenced Patient Sequence	(0008,1120)	Y	N
>Referenced SOP Class UID	(0008,1150)	Y	N
>Referenced SOP Instance UID	(0008,1155)	Y	N
Performed Procedure Step Information
Performed Procedure Step ID	(0040,0253)	Y	N
Performed Station AE Title	(0040,0241)	Y	N
Performed Station Name	(0040,0242)	Y	N
Performed Location	(0040,0243)	Y	N
Performed Procedure Step Start Date	(0040,0244)	Y	N
Performed Procedure Step Start Time	(0040,0245)	Y	N
Performed Procedure Step Status	(0040,0252)	Y	Y
Performed Procedure Step Description	(0040,0254)	Y	Y
Performed Procedure Type Description	(0040,0255)	Y	Y
Procedure Code Sequence	(0008,1032)	Y	Y
>Code Value	(0008,0100)	Y	Y
>Coding Scheme Designator	(0008,0102)	Y	Y
>Code Meaning	(0008,0104)	Y	Y
Performed Procedure Step End Date	(0040,0250)	Y	Y
Performed Procedure Step End Time	(0040,0251)	Y	Y
Comments on the Performed Procedure Step	(0040,0280)	Y	Y
Image Acquisition Results
Modality	(0008,0060)	Y	N
Study ID	(0020,0010)	Y	N
Performed Protocol Code Sequence	(0040,0260)	Y	Y	If valued, stored with current and historical procedure records
>Code Value	(0008,0100)	Y	Y
>Coding Scheme Designator	(0008,0102)	Y	Y
>Code Meaning	(0008,0104)	Y	Y
Performed Series Sequence	(0040,0340)	Y	Y	Y
>Performing Physician's Name	(0008,1050)	Y	Y	Y
>Protocol Name	(0018,1030)	Y	Y	Stored with current and historical tables
>Operator's Name	(0008,1070)	Y	Y	If automatic setting of procedure states is enabled, stored in current and historical procedure tables to indicate who modified the state of the procedure
>Series Instance UID	(0020,000E)	Y	Y
>Series Description	(0008,103E)	Y	Y
>Retrieve AE Title	(0008,0054)	Y	Y
Referenced Image Sequence	(0008,1140)	Y	Y
>>Referenced SOP Class UID	(0008,1150)	Y	Y
>>Referenced SOP Instance UID	(0008,1155)	Y	Y
>Referenced Standalone SOP Instance Sequence	(0040,0220)	Y	Y
>>Referenced SOP Class UID	(0008,1150)	Y	Y
>>Referenced SOP Instance UID	(0008,1155)	Y	Y
Billing and Material Management Code
Billing Procedure Step Sequence
>Code Value	(0008,0100)	Y	Y
>Coding Scheme Designator	(0008,0102)	Y	Y
>Code Meaning	(0008,0104)	Y	Y
Film Consumption Sequence	(0040,0321)	Y	Y
> Number of Films	(2100,0170)	Y	Y	Updates Supply and Film-Procedure Tables
> Medium Type	(2000,0030)	Y	Y
> Film Size ID	(2010,0050)	Y	Y
Billing Supplies and Devices Sequence	(0040,0384)	Y	Y
>Billing Item Sequence	(0040,0296)	Y	Y
>>Code Value	(0008,0100)	Y	Y	Updates Supply table if Coding Scheme Designator for Billing Item Sequence is DICOMRIS_SUPPLY and the Code Value is a value from this Code Set
>>Coding Scheme Designator	(0008,0102)	Y	Y
>>Code Meaning	(0008,0104)	Y	Y
>Quantity Sequence	(0040,0293)	Y	Y
>>Quantity	(0040,0294)	Y	Y
>>Measuring Units Sequence	(0040,0295)	Y	Y
>>>Code Value	(0008,0100)	Y	Y
>>>Coding Scheme Designator	(0008,0102)	Y	Y
>>>Code Meaning	(0008,0104)	Y	Y

The list below details the behavior of DICOMSRV on occurrence of certain MPPS events and with respect to the coercion of attributes and duration of storage of MPPS messages:

Reception of a New MPPS Instance - The MPPS message is stored in the database. DICOMSRV will then extract the Patient ID (0020,0010) and as many Accession Numbers (0008,0050) as there are items in the Scheduled Step Attribute Sequence (0040,0270) from the N-CREATE and try to match these values against the Patient Medical Record Number and one or more Accession Numbers in the DICOMRis database. If a non-matching N-CREATE is received, it and any following N-SETs will be marked as exceptions. These exceptions can be reconciled using the RisView application. Otherwise, DICOMSRV will:
Update its database with values contained in the N-CREATE per table above.
Update the state of each referenced procedure if so configured.
Update of MPPS to 'DISCONTINUED' or 'COMPLETED' - The N-SET is stored in the database. If the preceding N-CREATE matched then the following is done:
The attribute values in the N-SET will be used to update the DICOMRis database per table above.
Update the state of each referenced procedure if so configured.
Coercion of Attributes - DICOMSRV will coerce attributes as specified in Table C.8.1-3. This coercion may occur when a given step is set to the 'IN PROGRESS' or 'COMPLETED' or 'DISCONTINUED'
Storage Duration for MPPS Messages - MPPS messages are purged from the DICOMRis database after a configurable period of time has elapsed since the step has been set to a final state or was last updated.

Table C.4.2-11. MPPS N-CREATE/N-SET Response Status Reasons

Service Status	Further Meaning	Error Code	Reasons
Success	Successful completion of the N-SET or N-CREATE Request	0000	The response status code and meaning are logged in the job log file.
Failure	Processing Failure	0110	Internal error within DICOMSRV. The response status code and meaning are logged in the job log file.
	Duplicate SOP Instance	0111	This status is returned when the SCU has attempted to N-CREATE a SOP Instance that has already been created. The response status code and meaning are logged in the job log file
	No such SOP Instance	0112	Status returned when the SCU is trying to SET a SOP instance that has not been created. The response status code and meaning are logged in the job log file
	Missing Attribute	0120	This status is returned if an attribute required to be sent in the N-CREATE or required to be sent before completion of the Procedure Step has not been sent. The response status code and meaning are logged in the job log file.

C.4.2.1.4.3 Activity - Configured AE Requests Verification

C.4.2.1.4.3.1 Description and Sequencing of Activities

A remote AE sends an Echo Request to verify that DICOMSRV is awake and listening. DICOMSRV responds with success status as long as the request can be parsed.

C.4.2.1.4.3.2 Accepted Presentation Contexts

Table C.4.2-12. Acceptable Presentation Contexts for AE DICOMSRV and Real-World Activity Configured AE Requests Verification

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name List	UID List	Role	Extended Negotiation
Verification SOP Class	1.2.840.10008.1.1	Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
Verification SOP Class	1.2.840.10008.1.1	Explicit VR Little Endian	1.2.840.10008.1.2.1	SCP	None

C.4.2.1.4.3.3 SOP Specific Conformance

DICOMSRV provides Standard conformance to the DICOM Verification service class.

C.4.2.1.4.3.4 Presentation Context Acceptance Criterion

Depending on configuration, DICOMSRV may or may not accept multiple presentation contexts containing the same abstract syntax.

C.4.2.1.4.3.5 Transfer Syntax Selection Policy

Transfer Syntaxes in addition to the default Implicit VR Little Endian may be configured for a given Abstract Syntax using DICOM Tool's configuration files. When this is done, the first Transfer Syntax encountered in the configuration file, which matches a Transfer Syntax offered for a given Presentation Context, will be selected as the accepted Transfer Syntax for that Presentation Context.

C.4.3 Network Interfaces

C.4.3.1 Physical Network Interface

The DICOMRis DICOM applications are indifferent to the physical medium over which TCP/IP executes.

C.4.3.2 Additional Protocols

DHCP support can be configured using the Configuration application. If DHCP is not configured a static IP address is assigned.

If DNS support exists on the local network, then DNS is used for address resolution. The address of the DNS server is retrieved using DHCP if the DHCP option is enabled. If DNS is not supported then the hostnames and addresses are configured in the local hosts file.

C.4.3.3 IPv4 and IPv6 Support

This product supports both IPv4 and IPv6. It does not utilize any of the optional configuration identification or security features of IPv6.

C.4.4 Configuration

C.4.4.1 AE Title/Presentation Address Mapping

The AE Title and port of DICOMSRV is configurable by the user from a GUI-based configuration application. The IP Address is picked by the site and may be changed by a Field Engineer.

C.4.4.1.1 Local AE Titles

Table C.4.2-13. AE Title Configuration Table

Application Entity	Default AE Title	Default TCP/IP Port
DICOMSRV	Must be configured	104

C.4.4.1.2 Remote AE Title/Presentation Address Mapping

The AE Titles, host names, port numbers and supported Presentation Contexts of remote applications are configured in file DICOMSRV.cfg. This file is referenced by DICOMTool's software when API calls are made to create Associations to remote AEs

C.4.4.2 Parameters

DICOMSRV configuration parameters related to DICOM communications are below. A blank cell under the 'Default Value' heading indicates that there is no default value for the specific configuration attribute.

Table C.4.2-14. Configuration Parameters Table

Parameter	Configurable	Default Value
General Parameters
Time-out waiting for acceptance or rejection Response to an Association Open Request	Yes	30 Seconds
Time-out waiting for response to TCP/IP connect() request.	Yes	15 Seconds
Time-out for waiting for data between TCP/IP packets. (Low-level timeout)	Yes	15 Seconds
Time-out waiting for a response to a DIMSE Request	Yes	30 Seconds
Time-out waiting for the next DIMSE Request	Yes	60 Seconds
Debugging Capabilities
Hex Dump DIMSE Messages	Yes	Off
Hex Dump Association Messages	Yes	Off
TCP/IP Settings
TCP/IP Send Buffer	Yes	65535 Bytes
TCP//IP Receive Buffer	Yes	65535 Bytes
PacketFilter	Yes	On. This option enables running of tcpdump utility from the command line to capture TCP packet headers/contents
DICOMSRV Parameters
Maximum Number of Simultaneous Associations	Yes	20
Maximum Number of Associations to a given device	Yes	3
Maximum PDU size the AE can receive	Yes	65536 Bytes
Maximum PDU size the AE can send	No	The lower of the value above and the max PDU size specified by the Remote AE in the Association Request
Validation of DICOM Service Messages	Yes	Validate messages and log validation errors. Do not automatically return error for all validation errors
Modality Worklist Parameters
Maximum Number of Matches for an MWL Request	Yes	100
Time period after Scheduled Date/Time to leave SPS entries in the SPS Worklist	Yes	2880 min
State of Parent Procedure that causes deletion of child SPS Entries	Yes	PROCEDURE STARTED
Supported Transfer Syntaxes	Yes	Explicit VR Little Endian Implicit VR Little Endian
Modality Performed Procedure Step Parameters
Generate charges based on supplies specified in MPPS transactions	Yes	Off
Purge Period for MPPS transactions in final state	Yes	30 days
State to automatically set procedures to for a given AE on receipt of matching N-CREATE	Yes
State to automatically set procedures to for a given AE on receipt of matching N-SET COMPLETED	Yes
State to automatically set procedures to for a given AE on receipt of matching N-SET DISCONTINUED	Yes
Flag specifying support for IHE Trauma cases for a given AE	Yes	false
Patient ID Range to be used for Patient Registration for IHE Trauma case	Yes
Default Procedure Code to be used for orders for IHE Trauma cases	Yes
Supported Transfer Syntaxes	Yes	Explicit VR Little Endian Implicit VR Little Endian

C.5 Media Interchange

DICOMSRV does not support Media Storage

C.6 Support of Character Sets

DICOMSRV support the following character sets in addition to the default:

ISO_IR 100

C.7 Security

DICOMSRV does not support any specific security measures

C.8 Annexes

C.8.1 IOD Contents

C.8.1.1 Created SOP Instances

DICOMRis does not create SOP instances

C.8.1.2 Usage of Attributes From Received IODs

Fields from MPPS such as technique and supplies and how they are used.

Table C.8.1-1. Attributes in MPPS IOD Used By DICOMRis Applications

Attribute Name	Tag	Database Updates
SOP Common Module
Performed Procedure Step Relationship Module
Scheduled Step Attribute Sequence	(0040,0270)
>Accession Number	(0008,0050)	These attributes need to match values in the DICOMRis database so other data contained in MPPS messages e.g., Dose and Materials data, can update the database and be displayed by the RisView application as described below
Patient ID	(0010,0020)
Performed Procedure Step Information
Performed Station AE Title	(0040,0241)	This attribute is used by the MppsSrv application as a key into the DICOM Configuration database to determine if the procedure referenced by the MPPS message should automatically have its state changed
Performed Procedure Step Description	(0040,0254)	Values for these attributes are accessible using the RisView application if they have been stored
Procedure Code Sequence	(0008,1032)
>Code Value	(0008,0100)
>Coding Scheme Designator	(0008,0102)
>Code Meaning	(0008,0104)
Image Acquisition Results
Performed Protocol Code Sequence	(0040,0260)	Values for these attributes are required if the RisView application is to display the protocol used to perform the procedure
>Code Value	(0008,0100)
>Coding Scheme Designator	(0008,0102)
>Code Meaning	(0008,0104)
Performed Series Sequence	(0040,0340)
>Protocol Name	(0018,1030)
>Operator's Name	(0008,1070)	Can be displayed by RisView application
>Retrieve AE Title	(0008,0054)
Billing and Material Management Code
Billing Procedure Step Sequence		Values are needed for these attributes so that the RisView application can display actual supplies and film used to perform a given procedure rather than default values associated with the given procedure in the DICOMRis database The values of these attributes may also be used to generate charges if the site is configured for charging based on MPPS
>Code Value	(0008,0100)
>Coding Scheme Designator	(0008,0102)
>Code Meaning	(0008,0104)
Film Consumption Sequence	(0040,0321)
> Number of Films	(2100,0170)
> Medium Type	(2000,0030)
> Film Size ID	(2010,0050)
Billing Supplies and Devices Sequence	(0040,0384)
>Billing Item Sequence	(0040,0296)
>>Code Value	(0008,0100)
>>Coding Scheme Designator	(0008,0102)
>>Code Meaning	(0008,0104)
>Quantity Sequence	(0040,0293)
>>Quantity	(0040,0294)
>>Measuring Units Sequence	(0040,0295)
>>>Code Value	(0008,0100)
>>>Coding Scheme Designator	(0008,0102)
>>>Code Meaning	(0008,0104)

C.8.1.3 Attribute Mapping

The mapping between attributes received via HL7 from the HIS and those supplied in Modality Worklist is configurable. The default mapping is contained in the table below. Empty cells indicate that there is no mapping for the specific attribute

Table C.8.1-2. HL7/Modality Worklist Attribute Mapping

DICOM Attribute	DICOM Tag	HL7 Attribute Name	HL7 Segment	Notes
Scheduled Procedure Step
Scheduled Procedure Step Sequence	(0040,0100)
>Scheduled Station AE Title	(0040,0001)			DICOMRis generated
>Scheduled Procedure Step Start Date	(0040,0002)	Quantity/Timing	ORM OBR:27	DICOMRis generated
>Scheduled Procedure Step Start Time	(0040,0003)	Quantity/Timing	ORM OBR:27	DICOMRis generated
>Modality	(0008,0060)			DICOMRis generated
>Scheduled Performing Physician's Name	(0040,0006)	Technician	ORM OBR:34
>Scheduled Procedure Step Description	(0040,0007)			DICOMRis generated
>Scheduled Station Name	(0040,0010)			DICOMRis generated
>Scheduled Procedure Step Location	(0040,0011)			DICOMRis generated
>Scheduled Protocol Code Sequence	(0040,0008)
>>Code Value	(0008,0100)			DICOMRis generated
>>Coding Scheme Designator	(0008,0102)			DICOMRis generated
>>Code Meaning	(0008,0104)			DICOMRis generated
>Pre-Medication	(0040,0012)			DICOMRis generated
>Scheduled Procedure Step ID	(0040,0009)			DICOMRis generated
>Requested Contrast Agent	(0032,1070)			DICOMRis generated
>Scheduled Procedure Step Status	(0040,0020)			DICOMRis generated
>Comments on the Scheduled Procedure Step	(0040,0400)			DICOMRis generated
Requested Procedure
Requested Procedure ID	(0040,1001)			DICOMRis generated
Requested Procedure Description	(0032,1060)			DICOMRis generated
Requested Procedure Code Sequence	(0032,1064)
>Code Value	(0008,0100)	Universal Service Id	ORM OBR:44	The value in the HL7 attribute is mapped to one or more procedure codes in the DICOMRis database. The mapping is configurable
>Coding Scheme Designator	(0008,0102)	Universal Service Id	ORM OBR:44	Maps to a site-defined Coding Scheme, the LOINC Coding Scheme or the DICOMRis internal Coding Scheme
>Code Meaning	(0008,0008)			DICOMRis generated
Study Instance UID	(0020,000D)			DICOMRis generated
Referenced Study Sequence	(0008,1110)
>Referenced SOP Class UID	(0008,1150)			DICOMRis generated
>Referenced SOP Instance UID	(0008,1155)			DICOMRis generated
Requested Procedure Priority	(0040,1003)		ORM OBR:27
Patient Transport Arrangements	(0040,1004)		ORM OBR:30
Reason for the Requested Procedure	(0040,0040)			DICOMRis generated
Imaging Service Request
Accession Number	(0008,0050)			DICOMRis generated
Requesting Physician	(0032,1032)		ORM OBR:16
Referring Physician's Name	(0008,0090)		ORM PV1:8
Reason for the Imaging Service Request	(0040,2001)	Reason for Study	ORM OBR:31
Order Entered By	(0040,2008)	Entered By	ORM ORC:10
Order Enterer's Location	(0040,2009)	Entering Organization	ORM ORC:17
Visit Identification
Admission ID	(0038,0010)		ADT PID:3
Admitting Diagnosis Description	(0008,1080)		ADT DG1:4
Admitting Diagnoses Code Sequence	(0008,1084)
>Code Value	(0008,0008)		ADT DG1:3
>Coding Scheme Designator	(0008,0008)		ADT DG1:2
>Code Meaning	(0008,0008)
Patient Identification
Patient's Name	(0010,0010)		ADT PID:5
Patient ID	(0010,0020)		ADT PID:3
Patient Demographics
Patients Birth Date	(0010,0030)		ADT PID:7
Patient's Sex	(0010,0040)		ADT PID:8
Patient's Weight	(0010,1030)		ADT OBX:5
Ethnic Group	(0010,2160)		ADT PID:10
Patient Comment	(0010,4000)		ORM NTE:3
Patient Medical
Patient State	(0038,0500)	Danger Code	ORM OBR:12
Pregnancy Status	(0010,21C0)	Filler Field 1	ORM OBR:20
Medical Alerts	(0010,2000)	Relevant Clinical Information	ORM OBR:13
Allergies	(0010,2110)		ADT AL1:3
Last Menstrual Date	(0010,21D0)	Filler Field 1	ORM OBR:20

C.8.1.4 Coerced/Modified Fields

Table C.8.1-3. Coerced Fields for Modality Performed Procedure Step

Attribute Name	Tag	Coercion Conditions
Performed Procedure Step Relationship Module
Scheduled Step Attribute Sequence	(0040,0270)
>Accession Number	(0008,0050)	Procedure Step has been placed in the Exception queue due to failure to match DICOMRis database. User enters a corrected value for Accession number through the RisView application
>Placer Order Number/Imaging Service Request	(0040,2006)	Value for this attribute is coerced when the value does not match the corresponding value in the DICOMRis database. This may occur when the step is initially processed or during exception resolution
>Filler Order Number/Imaging Service Request	(0040,2007)	As for attribute Placer Order Number/Imaging Service Request
>Requested Procedure ID	(0040,1001)	As for attribute Placer Order Number/Imaging Service Request
>Requested Procedure Description	(0032,1060)	As for attribute Placer Order Number/Imaging Service Request
>Scheduled Procedure Step ID	(0040,0009)	As for attribute Placer Order Number/Imaging Service Request
>Scheduled Procedure Step Description	(0040,0007)	As for attribute Placer Order Number/Imaging Service Request
>Scheduled Protocol Code Sequence	(0040,0008)	As for attribute Placer Order Number/Imaging Service Request
>>Code Value	(0008,0100)	As for attribute Placer Order Number/Imaging Service Request
>>Coding Scheme designator	(0008,0102)	As for attribute Placer Order Number/Imaging Service Request
>>Code Meaning	(0008,0104)	As for attribute Placer Order Number/Imaging Service Request
Patient Name	(0010,0010)	As for attribute Placer Order Number/Imaging Service Request
Patient ID	(0010,0020)	Procedure Step has been placed in the Exception queue due to failure to match DICOMRis database. User enters a corrected value for Patient ID through the RisView application
Patient's Birth Date	(0010,0030)	As for attribute Placer Order Number/Imaging Service Request
Patient's Sex	(0010,0040)	As for attribute Placer Order Number/Imaging Service Request

C.8.2 Data Dictionary of Private Attributes

DICOMSRV does not use any private attributes.

C.8.3 Coded Terminology and Templates

DICOMRis's usage of Coding Schemes is specified in the table below. This table lists the Coding Schemes used by DICOMRis for attributes it originates. Usage of Controlled Terminology by Applications sending IODs to DICOMRis is discussed in the relevant SOP Specific Conformance sections above. The Procedure and Protocol Codes in the DICOMRis database can be exported to files and transferred across the network using the Configuration Utility. This allows Modalities to access and incorporate these codes if so desired.

Table C.8.1-4. DICOMRis Controlled Terminology Usage

SOP Class/Service	Attribute Name	Tag	Baseline Context ID	Coding Scheme	Remarks
Scheduled Procedure Step Module
MWL/ C-FIND	>Scheduled Protocol Code Sequence	(0040,0008)	None	LOINC, DICOMRis Procedure, site-supplied procedure codes or site-supplied protocol codes	At the option of the site, DICOMRis may be configured to associate LOINC, DICOMRis Internal codes or site-supplied procedure codes with the various procedures represented in their Item master file. The configured procedure code will be passed in this attribute unless the site has supplied and configured protocol codes to be associated with the respective procedures in addition to procedure codes. In this case the configured protocol code will be passed
Requested Procedure Module
	Requested Procedure Code Sequence	(0032,1064)	None	LOINC, DICOMRis Procedure, site-supplied procedure codes	See remarks for Scheduled Protocol Code Sequence (0040,0040). The difference is that a procedure code is always passed in this attribute rather than a protocol code

C.8.4 Grayscale Image Consistency

DICOMSRV does not support the Grayscale Standard Display Function

C.8.5 Standard Extended/Specialized/Private SOP Classes

DICOMSRV does not claim conformance to any Extended, Specialized or Private SOP Classes.

C.8.6 Private Transfer Syntaxes

DICOMSRV does not employ any Private Transfer Syntaxes.

D Conformance Statement Sample DICOM Image Viewer (Informative)

Disclaimer:

This document is an example DICOM Conformance Statement for a fictional image display device for DICOM images and spectroscopy objects obtained over the network, from interchange media, or from PS3.10 files loaded from the local file system.

D.0 Cover Page

Company Name: EXAMPLE-Viewing PRODUCTS.

Product Name: SAMPLE DICOM Image Viewer

Version: 1.0-rev. A.1

Internal document number: 4226-xxx-yyy-zzz rev 1

Date: YYYYMMDD

D.1 Conformance Statement Overview

The application supports querying a remote system for a list of DICOM objects that may then be retrieved to the local system. It also supports sending locally loaded images across the network to another system.

All storage SOP Classes defined as of DICOM 2002 can be received, stored and transmitted by the application, but only images and spectroscopy objects may be loaded and viewed. All single and multi-frame with grayscale and RGB color (but not palette color, except for Enhanced MR images) images may be displayed.

Only hierarchical query and retrieval is supported.

Table D.1-1. Network Services

SOP Classes	User of Service(SCU)	Provider of Service(SCP)
Transfer
Stored Print Storage SOP Class	Stored only	Yes
Hardcopy Grayscale Image Storage SOP Class	Stored and Viewed	Yes
Hardcopy Color Image Storage SOP Class	Stored and Viewed	Yes
Computed Radiography Image Storage	Stored and Viewed	Yes
Digital X-Ray Image Storage - For Presentation	Stored and Viewed	Yes
Digital X-Ray Image Storage - For Processing	Stored only	Yes
Digital Mammography X-Ray Image Storage - For Presentation	Stored and Viewed	Yes
Digital Mammography X-Ray Image Storage - For Processing	Stored only	Yes
Digital Intra-oral X-Ray Image Storage - For Presentation	Stored and Viewed	Yes
Digital Intra-oral X-Ray Image Storage - For Processing	Stored only	Yes
CT Image Storage	Stored and Viewed	Yes
Ultrasound Multi-frame Image Storage (Retired)	Stored and Viewed	Yes
Ultrasound Multi-frame Image Storage	Stored and Viewed	Yes
MR Image Storage	Stored and Viewed	Yes
Enhanced MR Image Storage	Stored and Viewed	Yes
MR Spectroscopy Storage	Stored and Viewed	Yes
Nuclear Medicine Image Storage (Retired)	Stored and Viewed	Yes
Ultrasound Image Storage (Retired)	Stored and Viewed	Yes
Ultrasound Image Storage	Stored and Viewed	Yes
Secondary Capture Image Storage	Stored and Viewed	Yes
Multi-frame Single Bit Secondary Capture Image Storage	Stored and Viewed	Yes
Multi-frame Grayscale Byte Secondary Capture Image Storage	Stored and Viewed	Yes
Multi-frame Grayscale Word Secondary Capture Image Storage	Stored and Viewed	Yes
Multi-frame True Color Secondary Capture Image Storage	Stored and Viewed	Yes
Standalone Overlay Storage	Stored only	Yes
Standalone Curve Storage	Stored only	Yes
12-lead ECG Waveform Storage	Stored only	Yes
General ECG Waveform Storage	Stored only	Yes
Ambulatory ECG Waveform Storage	Stored only	Yes
Hemodynamic Waveform Storage	Stored only	Yes
Cardiac Electrophysiology Waveform Storage	Stored only	Yes
Basic Voice Audio Waveform Storage	Stored only	Yes
Standalone Modality LUT Storage	Stored only	Yes
Standalone VOI LUT Storage	Stored only	Yes
Grayscale Softcopy Presentation State Storage SOP Class	Stored and Viewed	Yes
X-Ray Angiographic Image Storage	Stored and Viewed	Yes
X-Ray Radiofluoroscopic Image Storage	Stored and Viewed	Yes
X-Ray Angiographic Bi-Plane Image Storage (Retired)	Stored only	Yes
Nuclear Medicine Image Storage	Stored and Viewed	Yes
Raw Data Storage	Stored only	Yes
VL Image Storage (Retired)	Stored and Viewed	Yes
VL Multi-frame Image Storage (Retired)	Stored and Viewed	Yes
VL Endoscopic Image Storage	Stored and Viewed	Yes
VL Microscopic Image Storage	Stored and Viewed	Yes
VL Slide-Coordinates Microscopic Image Storage	Stored and Viewed	Yes
VL Photographic Image Storage	Stored and Viewed	Yes
Basic Text SR	Stored only	Yes
Enhanced SR	Stored only	Yes
Comprehensive SR	Stored only	Yes
Mammography CAD SR	Stored only	Yes
Key Object Selection Document	Stored only	Yes
Positron Emission Tomography Image Storage	Stored and Viewed	Yes
Standalone PET Curve Storage	Stored only	Yes
RT Image Storage	Stored and Viewed	Yes
RT Dose Storage	Stored only	Yes
RT Structure Set Storage	Stored only	Yes
RT Beams Treatment Record Storage	Stored only	Yes
RT Plan Storage	Stored only	Yes
RT Brachy Treatment Record Storage	Stored only	Yes
RT Treatment Summary Record Storage	Stored only	Yes
Query/Retrieve
Study Root Information Model FIND	Yes - Hierarchical only	No
Study Root Information Model MOVE	Yes - Hierarchical only	No

Table D.1-2. Media Services

Media Storage Application Profile	Write Files(FSC or FSU)	Read Files(FSR)
Compact Disk - Recordable
General Purpose CD-R	No	Yes
DVD
General Purpose DVD-RAM	No	Yes

D.2 Table of Contents

A table of contents shall be provided to assist readers in easily finding the needed information.

D.3 Introduction

D.3.1 Revision History

Table D.3.1-1. Revision History

Document Version	Date of Issue	Author	Description
1.1	October 30, 2003	WG 6	Version for Final Text
1.2	August 30, 2007	WG 6	Revised Introduction

D.3.2 Audience, Remarks, Terms and Definitions, Basics of DICOM Communication, Abbreviations, References

See example text in Section A.3.

D.3.3 Additional Remarks for This Example

This document is a sample DICOM Conformance Statement created for DICOM PS3.2. It is to be used solely as an example to illustrate how to create a DICOM Conformance Statement for a workstation supporting a variety of types of DICOM images. The subject of the document, SAMPLE DICOM IMAGE VIEWER, is a fictional product.

D.4 Networking

D.4.1 Implementation Model

D.4.1.1 Application Data Flow

Figure D.4.1-1. Implementation Model

The application is a single pure Java application that provides both a user interface, internal database and network listener that spawns additional threads as necessary to handle incoming connections, as well as media support.

Conceptually the network services may be modeled as the following separate AEs, though in fact all the AEs share a single (configurable) AE Title:

ECHO-SCP, which responds to verification requests
STORAGE-SCP, which receives incoming images and other composite instances
STORAGE-SCU, which sends outbound images and other composite instances
FIND-SCU, which queries remote AEs for lists of studies, series and instances
MOVE-SCU, which retrieves selected studies, series or instances

D.4.1.2 Functional Definitions of AEs

D.4.1.2.1 ECHO-SCP

ECHO-SCP waits in the background for connections, will accept associations with Presentation Contexts for SOP Class of the Verification Service Class, and will respond successfully to echo requests.

D.4.1.2.2 STORAGE-SCP

STORAGE-SCP waits in the background for connections, will accept associations with Presentation Contexts for SOP Classes of the Storage Service Class, and will store the received instances to the local database where they may subsequently be listed and viewed through the user interface.

D.4.1.2.3 STORAGE-SCU

STORAGE-SCU is activated through the user interface when a user selects instances from the local database or a DICOMDIR, or the currently displayed instance, and requests that they be sent to a remote AE (selected from a pre-configured list).

D.4.1.2.4 FIND-SCU

FIND-SCU is activated through the user interface when a user selects a remote AE to query (from a pre-configured list), then initiates a query. Queries are performed recursively from the study through the series and instance levels until all matching instances have been listed.

D.4.1.2.5 MOVE-SCU

MOVE-SCU is activated through the user interface when a user selects a study, series or instance for retrieval. A connection to the remote AE is established to initiate and monitor the retrieval and the STORAGE-SCP AE receives the retrieved instances.

D.4.1.3 Sequencing of Real-World Activities

All SCP activities are performed asynchronously in the background and not dependent on any sequencing.

All SCU activities are sequentially initiated in the user interface, and another activity may not be initiated until the prior activity has completed.

D.4.2 AE Specifications

D.4.2.1 ECHO-SCP

D.4.2.1.1 SOP Classes

ECHO-SCP provide Standard Conformance to the following SOP Class(es) :

Table D.4.2-1. SOP Classes Supported By ECHO-SCP

SOP Class Name	SOP Class UID	SCU	SCP
Verification SOP Class	1.2.840.10008.1.1	No	Yes

D.4.2.1.2 Association Policies

D.4.2.1.2.1 General

ECHO-SCP accepts but never initiates associations.

Table D.4.2-2. Maximum PDU Size Received as a SCP for ECHO-SCP

Maximum PDU size received

Unlimited

D.4.2.1.2.2 Number of Associations

Table D.4.2-3. Number of Associations as a SCP for ECHO-SCP

Maximum number of simultaneous associations

Unlimited

D.4.2.1.2.3 Asynchronous Nature

ECHO-SCP will only allow a single outstanding operation on an Association. Therefore, ECHO-SCP will not perform asynchronous operations window negotiation.

D.4.2.1.2.4 Implementation Identifying Information

Table D.4.2-4. DICOM Implementation Class and Version for ECHO-SCP

Implementation Class UID	xxxxxxxxxxx.yy.etc.ad.inf.usw
Implementation Version Name	Viewer1.0

D.4.2.1.3 Association Initiation Policy

ECHO-SCP does not initiate associations.

D.4.2.1.4 Association Acceptance Policy

When ECHO-SCP accepts an association, it will respond to echo requests. If the Called AE Title does not match the pre-configured AE Title shared by all the SCPs of the application, the association will be rejected.

D.4.2.1.4.1 Activity- Receive Echo Request

D.4.2.1.4.1.1 Description and Sequencing of Activities

D.4.2.1.4.1.2 Accepted Presentation Contexts

Table D.4.2-5. Acceptable Presentation Contexts for ECHO-SCP and Receive Echo Request

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name List	UID List	Role	Extended Negotiation
Verification	1.2.840.10008.1.1	Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
Verification	1.2.840.10008.1.1	Explicit VR Little Endian	1.2.840.10008.1.2.1	SCP	None

D.4.2.1.4.1.2.1 Extended Negotiation

No extended negotiation is performed.

D.4.2.1.4.1.3 SOP Specific Conformance

D.4.2.1.4.1.3.1 SOP Specific Conformance to Verification SOP Class

ECHO-SCP provides standard conformance to the Verification Service Class.

D.4.2.1.4.1.3.2 Presentation Context Acceptance Criterion

ECHO-SCP will always accept any Presentation Context for the supported SOP Classes with the supported Transfer Syntaxes. More than one proposed Presentation Context will be accepted for the same Abstract Syntax if the Transfer Syntax is supported, whether or not it is the same as another Presentation Context.

D.4.2.1.4.1.3.3 Transfer Syntax Selection Policies

ECHO-SCP prefers explicit Transfer Syntaxes. If offered a choice of Transfer Syntaxes in a Presentation Context, it will apply the following priority to the choice of Transfer Syntax:

first encountered explicit Transfer Syntax,
default Transfer Syntax.

ECHO-SCP will accept duplicate Presentation Contexts, that is, if it is offered multiple Presentation Contexts, each of which offers acceptable Transfer Syntaxes, it will accept all Presentation Contexts, applying the same priority for selecting a Transfer Syntax for each.

D.4.2.2 STORAGE-SCP

D.4.2.2.1 SOP Classes

STORAGE-SCP provide Standard Conformance to the following SOP Class(es) :

Table D.4.2-6. SOP Classes Supported By STORAGE-SCP

SOP Class Name	SOP Class UID	SCU	SCP
Stored Print Storage	1.2.840.10008.5.1.1.27	No	Yes
Hardcopy Grayscale Image Storage	1.2.840.10008.5.1.1.29	No	Yes
Hardcopy Color Image Storage	1.2.840.10008.5.1.1.30	No	Yes
Computed Radiography Image Storage	1.2.840.10008.5.1.4.1.1.1	No	Yes
Digital X-Ray Image Storage - For Presentation	1.2.840.10008.5.1.4.1.1.1.1	No	Yes
Digital X-Ray Image Storage - For Processing	1.2.840.10008.5.1.4.1.1.1.1.1	No	Yes
Digital Mammography X-Ray Image Storage - For Presentation	1.2.840.10008.5.1.4.1.1.1.2	No	Yes
Digital Mammography X-Ray Image Storage - For Processing	1.2.840.10008.5.1.4.1.1.1.2.1	No	Yes
Digital Intra-oral X-Ray Image Storage - For Presentation	1.2.840.10008.5.1.4.1.1.1.3	No	Yes
Digital Intra-oral X-Ray Image Storage - For Processing	1.2.840.10008.5.1.4.1.1.1.3.1	No	Yes
CT Image Storage	1.2.840.10008.5.1.4.1.1.2	No	Yes
Ultrasound Multi-frame Image Storage (Retired)	1.2.840.10008.5.1.4.1.1.3	No	Yes
Ultrasound Multi-frame Image Storage	1.2.840.10008.5.1.4.1.1.3.1	No	Yes
MR Image Storage	1.2.840.10008.5.1.4.1.1.4	No	Yes
Enhanced MR Image Storage	1.2.840.10008.5.1.4.1.1.4.1	No	Yes
MR Spectroscopy Storage	1.2.840.10008.5.1.4.1.1.4.2	No	Yes
Standalone Modality LUT Storage	1.2.840.10008.5.1.4.1.1.10	No	Yes
Standalone VOI LUT Storage	1.2.840.10008.5.1.4.1.1.11	No	Yes
Grayscale Softcopy Presentation State Storage	1.2.840.10008.5.1.4.1.1.11.1	No	Yes
X-Ray Angiographic Image Storage	1.2.840.10008.5.1.4.1.1.12.1	No	Yes
X-Ray Radiofluoroscopic Image Storage	1.2.840.10008.5.1.4.1.1.12.2	No	Yes
X-Ray Angiographic Bi-Plane Image Storage (Retired)	1.2.840.10008.5.1.4.1.1.12.3	No	Yes
Nuclear Medicine Image Storage	1.2.840.10008.5.1.4.1.1.20	No	Yes
Raw Data Storage	1.2.840.10008.5.1.4.1.1.66	No	Yes
VL Image Storage (Retired)	1.2.840.10008.5.1.4.1.1.77.1	No	Yes
VL Multi-frame Image Storage (Retired)	1.2.840.10008.5.1.4.1.1.77.2	No	Yes
VL Endoscopic Image Storage	1.2.840.10008.5.1.4.1.1.77.1.1	No	Yes
VL Microscopic Image Storage	1.2.840.10008.5.1.4.1.1.77.1.2	No	Yes
VL Slide-Coordinates Microscopic Image Storage	1.2.840.10008.5.1.4.1.1.77.1.3	No	Yes
VL Photographic Image Storage	1.2.840.10008.5.1.4.1.1.77.1.4	No	Yes
Basic Text SR	1.2.840.10008.5.1.4.1.1.88.11	No	Yes
Enhanced SR	1.2.840.10008.5.1.4.1.1.88.22	No	Yes
Comprehensive SR	1.2.840.10008.5.1.4.1.1.88.33	No	Yes
Mammography CAD SR	1.2.840.10008.5.1.4.1.1.88.50	No	Yes
Key Object Selection Document	1.2.840.10008.5.1.4.1.1.88.59	No	Yes
Positron Emission Tomography Image Storage	1.2.840.10008.5.1.4.1.1.128	No	Yes
Standalone PET Curve Storage	1.2.840.10008.5.1.4.1.1.129	No	Yes
RT Image Storage	1.2.840.10008.5.1.4.1.1.481.1	No	Yes
RT Dose Storage	1.2.840.10008.5.1.4.1.1.481.2	No	Yes
RT Structure Set Storage	1.2.840.10008.5.1.4.1.1.481.3	No	Yes
RT Beams Treatment Record Storage	1.2.840.10008.5.1.4.1.1.481.4	No	Yes
RT Plan Storage	1.2.840.10008.5.1.4.1.1.481.5	No	Yes
RT Brachy Treatment Record Storage	1.2.840.10008.5.1.4.1.1.481.6	No	Yes
RT Treatment Summary Record Storage	1.2.840.10008.5.1.4.1.1.481.7	No	Yes

D.4.2.2.2 Association Policies

D.4.2.2.2.1 General

STORAGE-SCP accepts but never initiates associations.

Table D.4.2-7. Maximum PDU Size Received as a SCP for STORAGE-SCP

Maximum PDU size received

Unlimited

D.4.2.2.2.2 Number of Associations

Table D.4.2-8. Number of Associations as a SCP for STORAGE-SCP

Maximum number of simultaneous associations

Unlimited

D.4.2.2.2.3 Asynchronous Nature

STORAGE-SCP will only allow a single outstanding operation on an Association. Therefore, STORAGE-SCP will not perform asynchronous operations window negotiation.

D.4.2.2.2.4 Implementation Identifying Information

Table D.4.2-9. DICOM Implementation Class and Version for STORAGE-SCP

Implementation Class UID	xxxxxxxxxxx.yy.etc.ad.inf.usw
Implementation Version Name	Viewer1.0

D.4.2.2.3 Association Initiation Policy

STORAGE-SCP does not initiate associations.

D.4.2.2.4 Association Acceptance Policy

When STORAGE-SCP accepts an association, it will respond to storage requests. If the Called AE Title does not match the pre-configured AE Title shared by all the SCPs of the application, the association will be rejected.

D.4.2.2.4.1 Activity - Receive Storage Request

D.4.2.2.4.1.1 Description and Sequencing of Activities

As instances are received they are copied to the local file system and a record inserted into the local database. If the received instance is a duplicate of a previously received instance, the old file and database record will be overwritten with the new one.

D.4.2.2.4.1.2 Accepted Presentation Contexts

Table D.4.2-10. Acceptable Presentation Contexts for STORAGE-SCP and Receive Storage Request

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name List	UID List	Role	Extended Negotiation
See Table D.4.2-6	See Table D.4.2-6	Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
See Table D.4.2-6	See Table D.4.2-6	Explicit VR Little Endian	1.2.840.10008.1.2.1	SCP	None

D.4.2.2.4.1.2.1 Extended Negotiation

No extended negotiation is performed, though STORAGE-SCP:

is a Level 2 Storage SCP (Full - does not discard any data elements)
does not support digital signatures
does not coerce any received data elements

D.4.2.2.4.1.3 SOP Specific Conformance

D.4.2.2.4.1.3.1 SOP Specific Conformance to Storage SOP Classes

STORAGE-SCP provides standard conformance to the Storage Service Class.

When displaying an image in the viewing application, the newest Grayscale Softcopy Presentation State containing references to the image will be automatically applied and the GSPS Presentation Label and Presentation description will be displayed. The user has the option to select any other Presentation States that also references the image. If no Presentation State references the image then no Presentation State will be applied by default.

The Mask Subtraction transformation is not supported by this implementation. It is not possible display Presentation States containing the Mask Subtraction Sequence (0028,6100).

All of the Image Storage SOP Classes listed in Table D.4.2-6 are supported as references from instances of the Grayscale Softcopy Presentation State Storage SOP Class.

D.4.2.2.4.1.3.2 Presentation Context Acceptance Criterion

STORAGE-SCP will always accept any Presentation Context for the supported SOP Classes with the supported Transfer Syntaxes. More than one proposed Presentation Context will be accepted for the same Abstract Syntax if the Transfer Syntax is supported, whether or not it is the same as another Presentation Context.

D.4.2.2.4.1.3.3 Transfer Syntax Selection Policies

STORAGE-SCP prefers explicit Transfer Syntaxes. If offered a choice of Transfer Syntaxes in a Presentation Context, it will apply the following priority to the choice of Transfer Syntax:

first encountered explicit Transfer Syntax,
default Transfer Syntax.

STORAGE-SCP will accept duplicate Presentation Contexts, that is, if it is offered multiple Presentation Contexts, each of which offers acceptable Transfer Syntaxes, it will accept all Presentation Contexts, applying the same priority for selecting a Transfer Syntax for each.

D.4.2.2.4.1.3.4 Response Status

STORAGE-SCP will behave as described in the Table below when generating the C-STORE response command message.

Table D.4.2-11. Response Status for STORAGE-SCP and Receive Storage Request

Service Status	Further Meaning	Status Codes	Reason
Refused	Out of Resources	A7xx	Never sent
Error	Data Set does not match SOP Class	A9xx	Never sent - Data Set is not checked prior to storage
	Cannot understand	Cxxx	Never sent
Warning	Coercion of Data Elements	B000	Never sent - no coercion is ever performed
	Data Set does not match SOP Class	B007	Never sent - Data Set is not checked prior to storage
	Elements Discarded	B006	Never sent - all elements are always stored
Success		0000

D.4.2.3 STORAGE-SCU

D.4.2.3.1 SOP Classes

STORAGE-SCU provide Standard Conformance to the following SOP Class(es) :

Table D.4.2-12. SOP Classes Supported By STORAGE-SCU

SOP Class Name	SOP Class UID	SCU	SCP
Stored Print Storage	1.2.840.10008.5.1.1.27	Yes	No
Hardcopy Grayscale Image Storage	1.2.840.10008.5.1.1.29	Yes	No
Hardcopy Color Image Storage	1.2.840.10008.5.1.1.30	Yes	No
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 X-Ray Image Storage - For Presentation	1.2.840.10008.5.1.4.1.1.1.2	Yes	No
Digital Mammography X-Ray Image Storage - For Processing	1.2.840.10008.5.1.4.1.1.1.2.1	Yes	No
Digital Intra-oral X-Ray Image Storage - For Presentation	1.2.840.10008.5.1.4.1.1.1.3	Yes	No
Digital Intra-oral X-Ray Image Storage - For Processing	1.2.840.10008.5.1.4.1.1.1.3.1	Yes	No
CT Image Storage	1.2.840.10008.5.1.4.1.1.2	Yes	No
Ultrasound Multi-frame Image Storage (Retired)	1.2.840.10008.5.1.4.1.1.3	Yes	No
Ultrasound Multi-frame Image Storage	1.2.840.10008.5.1.4.1.1.3.1	Yes	No
MR Image Storage	1.2.840.10008.5.1.4.1.1.4	Yes	No
Enhanced MR Image Storage	1.2.840.10008.5.1.4.1.1.4.1	Yes	No
MR Spectroscopy Storage	1.2.840.10008.5.1.4.1.1.4.2	Yes	No
Standalone Modality LUT Storage	1.2.840.10008.5.1.4.1.1.10	Yes	No
Standalone VOI LUT Storage	1.2.840.10008.5.1.4.1.1.11	Yes	No
Grayscale Softcopy Presentation State Storage	1.2.840.10008.5.1.4.1.1.11.1	Yes	No
X-Ray Angiographic Image Storage	1.2.840.10008.5.1.4.1.1.12.1	Yes	No
X-Ray Radiofluoroscopic Image Storage	1.2.840.10008.5.1.4.1.1.12.2	Yes	No
X-Ray Angiographic Bi-Plane Image Storage (Retired)	1.2.840.10008.5.1.4.1.1.12.3	Yes	No
Nuclear Medicine Image Storage	1.2.840.10008.5.1.4.1.1.20	Yes	No
Raw Data Storage	1.2.840.10008.5.1.4.1.1.66	Yes	No
VL Image Storage (Retired)	1.2.840.10008.5.1.4.1.1.77.1	Yes	No
VL Multi-frame Image Storage (Retired)	1.2.840.10008.5.1.4.1.1.77.2	Yes	No
VL Endoscopic Image Storage	1.2.840.10008.5.1.4.1.1.77.1.1	Yes	No
VL Microscopic Image Storage	1.2.840.10008.5.1.4.1.1.77.1.2	Yes	No
VL Slide-Coordinates Microscopic Image Storage	1.2.840.10008.5.1.4.1.1.77.1.3	Yes	No
VL Photographic Image Storage	1.2.840.10008.5.1.4.1.1.77.1.4	Yes	No
Basic Text SR	1.2.840.10008.5.1.4.1.1.88.11	Yes	No
Enhanced SR	1.2.840.10008.5.1.4.1.1.88.22	Yes	No
Comprehensive SR	1.2.840.10008.5.1.4.1.1.88.33	Yes	No
Mammography CAD SR	1.2.840.10008.5.1.4.1.1.88.50	Yes	No
Key Object Selection Document	1.2.840.10008.5.1.4.1.1.88.59	Yes	No
Positron Emission Tomography Image Storage	1.2.840.10008.5.1.4.1.1.128	Yes	No
Standalone PET Curve Storage	1.2.840.10008.5.1.4.1.1.129	Yes	No
RT Image Storage	1.2.840.10008.5.1.4.1.1.481.1	Yes	No
RT Dose Storage	1.2.840.10008.5.1.4.1.1.481.2	Yes	No
RT Structure Set Storage	1.2.840.10008.5.1.4.1.1.481.3	Yes	No
RT Beams Treatment Record Storage	1.2.840.10008.5.1.4.1.1.481.4	Yes	No
RT Plan Storage	1.2.840.10008.5.1.4.1.1.481.5	Yes	No
RT Brachy Treatment Record Storage	1.2.840.10008.5.1.4.1.1.481.6	Yes	No
RT Treatment Summary Record Storage	1.2.840.10008.5.1.4.1.1.481.7	Yes	No

D.4.2.3.2 Association Policies

D.4.2.3.2.1 General

STORAGE-SCU initiates but never accepts associations.

Table D.4.2-13. Maximum PDU Size Received as a SCP for STORAGE-SCU

Maximum PDU size received

Unlimited

D.4.2.3.2.2 Number of Associations

Table D.4.2-14. Number of Associations as a SCP for STORAGE-SCU

Maximum number of simultaneous associations

D.4.2.3.2.3 Asynchronous Nature

STORAGE-SCU will only allow a single outstanding operation on an Association. Therefore, STORAGE-SCU will not perform asynchronous operations window negotiation.

D.4.2.3.2.4 Implementation Identifying Information

Table D.4.2-15. DICOM Implementation Class and Version for STORAGE-SCU

Implementation Class UID	xxxxxxxxxxx.yy.etc.ad.inf.usw
Implementation Version Name	Viewer1.0

D.4.2.3.3 Association Initiation Policy

STORAGE-SCU attempts to initiate a new association for each instance it attempts to transfer.

D.4.2.3.3.1 Activity - Send Storage Request

D.4.2.3.3.1.1 Description and Sequencing of Activities

For each instance selected from the user interface to be transferred, a single attempt will be made to transmit it to the selected remote AE. If the send fails, for whatever reason, no retry will be performed, and an attempt will be made to send the next instance.

D.4.2.3.3.1.2 Proposed Presentation Contexts

Table D.4.2-16. Proposed Presentation Contexts for STORAGE-SCU and Receive Storage Request

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name List	UID List	Role	Extended Negotiation
See Table D.4.2-12	See Table D.4.2-12	Implicit VR Little Endian	1.2.840.10008.1.2	SCU	None
See Table D.4.2-12	See Table D.4.2-12	Explicit VR Little Endian	1.2.840.10008.1.2.1	SCU	None

STORAGE-SCU will propose Presentation Contexts only for the SOP Class of the instance that is to be transferred.

For that SOP Class, STORAGE-SCU will propose multiple Presentation Contexts, one for each of the supported Transfer Syntaxes, and an additional Presentation Context with all of the supported Transfer Syntaxes, in order to determine which Transfer Syntaxes the remote SCP supports, and which it prefers.

D.4.2.3.3.1.2.1 Extended Negotiation

No extended negotiation is performed.

D.4.2.3.3.1.3 SOP Specific Conformance

D.4.2.3.3.1.3.1 SOP Specific Conformance to Storage SOP Classes

STORAGE-SCU provides standard conformance to the Storage Service Class.

D.4.2.3.3.1.3.2 Presentation Context Acceptance Criterion

STORAGE-SCU does not accept associations.

D.4.2.3.3.1.3.3 Transfer Syntax Selection Policies

STORAGE-SCU prefers explicit Transfer Syntaxes. If offered a choice of Transfer Syntaxes in the accepted Presentation Contexts, it will apply the following priority to the choice of Presentation Context to use for the C-STORE operation:

first encountered explicit Transfer Syntax,
default Transfer Syntax.

D.4.2.3.3.1.3.4 Response Status

STORAGE-SCU will behave as described in the Table below in response to the status returned in the C-STORE response command message.

Table D.4.2-17. Response Status for STORAGE-SCU and Receive Storage Request

Service Status	Further Meaning	Status Codes	Behavior
Refused	Out of Resources	A7xx	Ignored
Error	Data Set does not match SOP Class	A9xx	Ignored
	Cannot understand	Cxxx	Ignored
Warning	Coercion of Data Elements	B000	Ignored
	Data Set does not match SOP Class	B007	Ignored
	Elements Discarded	B006	Ignored
Success		0000	Ignored

D.4.2.3.4 Association Acceptance Policy

STORAGE-SCU does not accept associations.

D.4.2.4 FIND-SCU

D.4.2.4.1 SOP Classes

FIND-SCU provide Standard Conformance to the following SOP Class(es) :

Table D.4.2-18. SOP Classes Supported By FIND-SCU

SOP Class Name	SOP Class UID	SCU	SCP
Study Root Query/Retrieve Information Model - FIND	1.2.840.10008.5.1.4.1.2.2.1	Yes	No

D.4.2.4.2 Association Policies

D.4.2.4.2.1 General

FIND-SCU initiates but never accepts associations.

Table D.4.2-19. Maximum PDU Size Received as a SCP for FIND-SCU

Maximum PDU size received

Unlimited

D.4.2.4.2.2 Number of Associations

Table D.4.2-20. Number of Associations as a SCP for FIND-SCU

Maximum number of simultaneous associations

D.4.2.4.2.3 Asynchronous Nature

FIND-SCU will only allow a single outstanding operation on an Association. Therefore, FIND-SCU will not perform asynchronous operations window negotiation.

D.4.2.4.2.4 Implementation Identifying Information

Table D.4.2-21. DICOM Implementation Class and Version for FIND-SCU

Implementation Class UID	xxxxxxxxxxx.yy.etc.ad.inf.usw
Implementation Version Name	Viewer1.0

D.4.2.4.3 Association Initiation Policy

FIND-SCU attempts to initiate a new association when the user performs the query action from the user interface. If this involves recursive queries for lower query levels in the hierarchy, these will be performed on the same association.

D.4.2.4.3.1 Activity - Query Remote AE

D.4.2.4.3.1.1 Description and Sequencing of Activities

A single attempt will be made to query the remote AE. If the query fails, for whatever reason, no retry will be performed.

D.4.2.4.3.1.2 Proposed Presentation Contexts

Table D.4.2-22. Proposed Presentation Contexts for FIND-SCU and Query Remote AE

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name	UID	Role	Extended Negotiation
See Table D.4.2-18	See Table D.4.2-18	Implicit VR Little Endian	1.2.840.10008.1.2	SCU	None
See Table D.4.2-18	See Table D.4.2-18	Explicit VR Little Endian	1.2.840.10008.1.2.1	SCU	None

FIND-SCU will propose multiple Presentation Contexts, one for each of the supported Transfer Syntaxes, and an additional Presentation Context with all of the supported Transfer Syntaxes, in order to determine which Transfer Syntaxes the remote SCP supports, and which it prefers.

D.4.2.4.3.1.2.1 Extended Negotiation

No extended negotiation is performed.

In particular, relational queries are not supported.

D.4.2.4.3.1.3 SOP Specific Conformance

D.4.2.4.3.1.3.1 SOP Specific Conformance to C-FIND SOP Classes

FIND-SCU provides standard conformance to the supported C-FIND SOP Classes.

Only a single information model, Study Root, is supported.

All queries are initiated at the highest level of the information model (the STUDY level), and then for each response received, recursively repeated at the next lower levels (the SERIES and then IMAGE levels), in order to completely elucidate the "tree" of instances available on the remote AE (from which the user may subsequently request a retrieval at any level).

No CANCEL requests are ever issued.

Unexpected attributes returned in a C-FIND response (those not requested) are listed in the browser at the appropriate level if present in the dictionary. Requested return attributes not returned by the SCP are ignored. Non-matching responses returned by the SCP due to unsupported (hopefully optional) matching keys are not filtered locally by the FIND-SCU and thus will still be presented in the browser. No attempt is made to filter out duplicate responses.

Specific Character Set will always be included at every query level. If present in the response, Specific Character Set will be used to identify character sets other than the default character set for display of strings in the browser.

Table D.4.2-23. Study Root Request Identifier for FIND-SCU

Name	Tag	Types of Matching
STUDY Level
Patient's ID	(0010,0020)	S,*,U
Patient's Name	(0010,0010)	S,*,U
Patient's Birth Date	(0010,0030)	S,*,U,R
Patient's Sex	(0010,0040)	S,*,U
Patient's Birth Time	(0010,0032)	S,*,U,R
Other Patient's ID's	(0010,1000)	S,*,U
Other Patient's Names	(0010,1001)	S,*,U
Ethnic Group	(0010,2160)	S,*,U
Patient Comments	(0010,4000)	S,*,U
Study ID	(0020,0010)	S,*,U
Study Description	(0008,1030)	S,*,U
Modalities In Study	(0008,0061)	S,*,U
Study Date	(0008,0020)	S,*,U,R
Study Time	(0008,0030)	S,*,U,R
Referring Physician's Name	(0008,0090)	S,*,U
Accession Number	(0008,0050)	S,*,U
Physician of Record	(0008,1048)	S,*,U
Name of Physician(s) Reading Study	(0008,1060)	S,*,U
Admitting Diagnoses Description	(0008,1080)	S,*,U
Patient's Age	(0010,1010)	S,*,U
Patient's Size	(0010,1020)	S,*,U
Patient's Weight	(0010,1030)	S,*,U
Occupation	(0010,2180)	S,*,U
Additional Patient History	(0010,21B0)	S,*,U
Study Instance UID	(0020,000D)	UNIQUE
SERIES Level
Series Number	(0020,0011)	S,*,U
Series Description	(0008,103E)	S,*,U
Modality	(0008,0060)	S,*,U
Series Date	(0008,0021)	S,*,U
Series Time	(0008,0031)	S,*,U
Performing Physician's Name	(0008,1050)	S,*,U
Protocol Name	(0018,1030)	S,*,U
Operator's Name	(0008,1070)	S,*,U
Laterality	(0020,0060)	S,*,U
Body Part Examined	(0018,0015)	S,*,U
Manufacturer	(0008,0070)	S,*,U
Manufacturer's Model Name	(0008,1090)	S,*,U
Station Name	(0008,1010)	S,*,U
Institution Name	(0008,0080)	S,*,U
Institutional Department Name	(0008,1040)	S,*,U
Series Instance UID	(0020,000E)	UNIQUE
IMAGE Level
Instance Number	(0020,0013)	S,*,U
Image Comments	(0020,4000)	S,*,U
Content Date	(0008,0023)	S,*,U,R
Content Time	(0008,0033)	S,*,U,R
Image Type	(0008,0008)	S,*,U
Acquisition Number	(0020,0012)	S,*,U
Acquisition Date	(0008,0022)	S,*,U,R
Acquisition Time	(0008,0032)	S,*,U,R
Acquisition Date Time	(0008,002A)	S,*,U,R
Derivation Description	(0008,2111)	S,*,U
Contrast/Bolus Agent	(0018,0010)	S,*,U
Quality Control Image	(0028,0300)	S,*,U
Burned In Annotation	(0028,0301)	S,*,U
Lossy Image Compression	(0028,2110)	S,*,U
Lossy Image Compression Ratio	(0028,2112)	S,*,U
Number of Frames	(0028,0008)	S,*,U
SOP Instance UID	(0008,0018)	UNIQUE
SOP Class UID	(0008,0016)	NONE
Common to all query levels
Specific Character Set	(0008,0005)	S,*,U

Types of Matching:

The types of Matching supported by the C-FIND SCU. An "S" indicates the identifier attribute uses Single Value Matching, an "R" indicates Range Matching, a n"*"indicates wild card matching, a 'U' indicates Universal Matching, and an 'L' indicates that UID lists are sent. "NONE" indicates that no matching is supported, but that values for this Element are requested to be returned (i.e., universal matching), and "UNIQUE" indicates that this is the Unique Key for that query level, in which case Universal Matching or Single Value Matching is used depending on the query level.

D.4.2.4.3.1.3.2 Presentation Context Acceptance Criterion

FIND-SCU does not accept associations.

D.4.2.4.3.1.3.3 Transfer Syntax Selection Policies

FIND-SCU prefers explicit Transfer Syntaxes. If offered a choice of Transfer Syntaxes in the accepted Presentation Contexts, it will apply the following priority to the choice of Presentation Context to use for the C-STORE operation:

first encountered explicit Transfer Syntax,
default Transfer Syntax.

D.4.2.4.3.1.3.4 Response Status

FIND-SCU will behave as described in Table D.4.2-24 in response to the status returned in the C-FIND response command message(s).

Table D.4.2-24. Response Status for FIND-SCU and Query Remote AE Request

Service Status	Further Meaning	Status Codes	Behavior
Refused	Out of Resources	A700	Current query is terminated; remaining queries continue
Error	Identifier does not match SOP Class	A900	Current query is terminated; remaining queries continue
	Unable to process	Cxxx	Current query is terminated; remaining queries continue
Cancel	Matching terminated due to Cancel request	FE00	Ignored (should never occur, since cancels never issued)
Success	Matching is complete - No final Identifier is supplied	0000	Current query is terminated; remaining queries continue
Pending	Matches are continuing - Current Match is supplied and any Optional Keys were supported in the same manner as Required Keys	FF00	Identifier used to populate browser and trigger recursive lower level queries
	Matches are continuing - Warning that one or more Optional Keys were not supported for existence and/or matching for this Identifier	FF01	Identifier used to populate browser and trigger recursive lower level queries

D.4.2.4.4 Association Acceptance Policy

FIND-SCU does not accept associations.

D.4.2.5 MOVE-SCU

D.4.2.5.1 SOP Classes

MOVE-SCU provide Standard Conformance to the following SOP Class(es) :

Table D.4.2-25. SOP Classes Supported By MOVE-SCU

SOP Class Name	SOP Class UID	SCU	SCP
Study Root Query/Retrieve Information Model - MOVE	1.2.840.10008.5.1.4.1.2.2.2	Yes	No

D.4.2.5.2 Association Policies

D.4.2.5.2.1 General

MOVE-SCU initiates but never accepts associations.

Table D.4.2-26. Maximum PDU Size Received as a SCP for MOVE-SCU

Maximum PDU size received

Unlimited

D.4.2.5.2.2 Number of Associations

Table D.4.2-27. Number of Associations as a SCP for MOVE-SCU

Maximum number of simultaneous associations

D.4.2.5.2.3 Asynchronous Nature

MOVE-SCU will only allow a single outstanding operation on an Association. Therefore, MOVE-SCU will not perform asynchronous operations window negotiation.

D.4.2.5.2.4 Implementation Identifying Information

Table D.4.2-28. DICOM Implementation Class and Version for MOVE-SCU

Implementation Class UID	xxxxxxxxxxx.yy.etc.ad.inf.usw
Implementation Version Name	Viewer1.0

D.4.2.5.3 Association Initiation Policy

MOVE-SCU attempts to initiate a new association when the user performs the retrieve action from the user interface.

D.4.2.5.3.1 Activity - Retrieve From Remote AE

D.4.2.5.3.1.1 Description and Sequencing of Activities

For the entity (study, series or instance) selected from the user interface to be retrieved, a single attempt will be made to retrieve it from the selected remote AE. If the retrieve fails, for whatever reason, no retry will be performed.

D.4.2.5.3.1.2 Proposed Presentation Contexts

Table D.4.2-29. Proposed Presentation Contexts for MOVE-SCU and Retrieve From Remote AE

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name List	UID List	Role	Extended Negotiation
See Table D.4.2-25	See Table D.4.2-25	Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
See Table D.4.2-25	See Table D.4.2-25	Explicit VR Little Endian	1.2.840.10008.1.2.1	SCP	None

MOVE-SCU will propose multiple Presentation Contexts, one for each of the supported Transfer Syntaxes, and an additional Presentation Context with all of the supported Transfer Syntaxes, in order to determine which Transfer Syntaxes the remote SCP supports, and which it prefers.

D.4.2.5.3.1.2.1 Extended Negotiation

No extended negotiation is performed.

In particular, relational retrievals are not supported.

D.4.2.5.3.1.3 SOP Specific Conformance

D.4.2.5.3.1.3.1 SOP Specific Conformance to C-FIND SOP Classes

MOVE-SCU provides standard conformance to the supported C-MOVE SOP Classes.

Only a single information model, Study Root, is supported.

A retrieval will be performed at the STUDY, SERIES or IMAGE level depending on what level of entity has been selected by the user in the browser.

No CANCEL requests are ever issued.

The retrieval is performed from the AE that was specified in the Retrieve AE attribute returned from the query performed by FIND-SCU. The instances are retrieved to the current application's local database by specifying the destination as the AE Title of the STORE-SCP AE of the local application. This implies that the remote C-MOVE SCP must be preconfigured to determine the presentation address corresponding to the STORE-SCP AE. The STORE-SCP AE will accept storage requests addressed to it from anywhere, so no pre-configuration of the local application to accept from the remote AE is necessary (except in so far as it was necessary to configure FIND-SCU).

Table D.4.2-30. Study Root Request Identifier for MOVE-SCU

Name	Tag	Unique, Matching or Return Key
STUDY level
Study Instance UID	(0020,000D)	U
SERIES level
Series Instance UID	(0020,000E)	U
IMAGE level
SOP Instance UID	(0008,0018)	U

D.4.2.5.3.1.3.2 Presentation Context Acceptance Criterion

MOVE-SCU does not accept associations.

D.4.2.5.3.1.3.3 Transfer Syntax Selection Policies

MOVE-SCU prefers explicit Transfer Syntaxes. If offered a choice of Transfer Syntaxes in the accepted Presentation Contexts, it will apply the following priority to the choice of Presentation Context to use for the C-STORE operation:

first encountered explicit Transfer Syntax,

D.4.2.5.3.1.3.4 Response Status

MOVE-SCU will behave as described in the Table below in response to the status returned in the C-MOVE response command message(s).

Table D.4.2-31. Response Status for MOVE-SCU and Retrieve From Remote AE Request

Service Status	Further Meaning	Status Codes	Related Fields	Behavior
Refused	Out of Resources - Unable to calculate number of matches	A701	(0000,0902)	Retrieval is terminated
	Out of Resources - Unable to perform sub-operations	A702	(0000,1020) (0000,1021) (0000,1022) (0000,1023)	Retrieval is terminated
	Move Destination unknown	A801	(0000,0902)	Retrieval is terminated
Failed	Identifier does not match SOP Class	A900	(0000,0901) (0000,0902)	Retrieval is terminated
	Unable to process	Cxxx	(0000,0901) (0000,0902)	Retrieval is terminated
Cancel	Sub-operations terminated due to Cancel Indication	FE00	(0000,1020) (0000,1021) (0000,1022) (0000,1023)	Retrieval is terminated (should never occur, since cancels never issued)
Warning	Sub-operations Complete - One or more Failures	B000	(0000,1020) (0000,1022) (0000,1023)	Retrieval is terminated
Success	Sub-operations Complete - No Failures	0000	(0000,1020) (0000,1021) (0000,1022) (0000,1023)	Retrieval is terminated
Pending	Sub-operations are continuing	FF00	(0000,1020) (0000,1021) (0000,1022) (0000,1023)	Retrieval continues

D.4.2.5.3.1.3.5 Sub-Operation Dependent Behavior

Since the C-MOVE operation is dependent on completion of C-STORE sub-operations that are occurring on a separate association, the question of failure of operations on the other association(s) must be considered.

MOVE-SCU completely ignores whatever activities are taking place in relation to the STORAGE-SCP AE that is receiving the retrieved instances. Once the C-MOVE has been initiated it runs to completion (or failure) as described in the C-MOVE response command message(s). There is no attempt by MOVE-SCU to confirm that instances have actually been successfully received or locally stored.

Whether or not completely or partially successfully retrievals are made available in the local database to the user is purely dependent on the success or failure of the C-STORE sub-operations, not on any explicit action by MOVE-SCU.

Whether or not the remote AE attempts to retry any failed C-STORE sub-operations is beyond the control of MOVE-SCU.

If the association on which the C-MOVE was issued is aborted for any reason, whether or not the C-STORE sub-operations continue is dependent on the remote AE; the local STORAGE-SCP will continue to accept associations and storage operations regardless.

D.4.2.5.4 Association Acceptance Policy

MOVE-SCU does not accept associations.

D.4.3 Network Interfaces

D.4.3.1 Physical Network Interface

The application is indifferent to the physical medium over which TCP/IP executes, which is dependent on the underlying operating system and hardware.

D.4.3.2 Additional Protocols

When host names rather than IP addresses are used in the configuration properties to specify presentation addresses for remote AEs, the application is dependent on the name resolution mechanism of the underlying operating system.

D.4.3.3 IPv4 and IPv6 Support

This product supports both IPv4 and IPv6. It does not utilize any of the optional configuration identification or security features of IPv6.

D.4.4 Configuration

All configuration is performed through the use of Java properties file(s) stored in pre-defined locations that are specific to the underlying operating system. Refer to the Release Notes for specific details.

D.4.4.1 AE Title/Presentation Address Mapping

The Calling AE Title of the local application is configurable in the preferences file, and is shared by all of the AEs. The mapping of the logical name by which remote AEs are described in the user interface to Called AE Titles as well as presentation address (hostname or IP address and port number) is configurable in the preferences file.

D.4.4.2 Parameters

Table D.4.4-1. Configuration Parameters Table

Parameter	Configurable	Default Value
General Parameters
PDU Size	No	16kB
Time-out waiting for acceptance or rejection Response to an Association Open Request. (Application Level timeout)	No	None
General DIMSE level time-out values	No	None
Time-out waiting for response to TCP/IP connect() request. (Low-level timeout)	No	None
Time-out waiting for acceptance of a TCP/IP message over the network. (Low-level timeout)	No	None
Time-out for waiting for data between TCP/IP packets. (Low-level timeout)	No	None
Any changes to default TCP/IP settings, such as configurable stack parameters.	No	None
AE Specific Parameters (all AEs)
Size constraint in maximum object size	No	None
Maximum PDU size the AE can receive (see note 1)	No	Unlimited
Maximum PDU size the AE can send	No	Unlimited
AE specific DIMSE level time-out values	No	None
Number of simultaneous Associations by Service and/or SOP Class	No	Unlimited
SOP Class support	No	All supported SOP Classes always proposed and accepted
Transfer Syntax support	No	All supported Transfer Syntaxes always proposed and accepted
Other parameters that are configurable	No	None

Note

Though the application can support unlimited PDU sizes, it will never offer a Maximum Received PDU Length of zero (unlimited) since this triggers a bug in some older systems.

D.5 Media Interchange

D.5.1 Implementation Model

D.5.1.1 Application Data Flow

Figure D.5.1-1. Implementation Model

The application is a single pure Java application that provides a user interface, network support and media support as a File Set Reader.

Conceptually it may be modeled as the following single AE:

MEDIA-FSR, which loads a user-selected PS3.10 compliant file, which may be a DICOMDIR or an image or spectroscopy object, either from the local file system or from PS3.12 compliant media according to one of the General Purpose Media Application Profiles of PS3.11 (CD-R or DVD-RAM)

In effect, the application is media-neutral, since the user is required to browse and locate the DICOMDIR file. Furthermore, any DICOM image or spectroscopy object encoded in one of the standard uncompressed Transfer Syntaxes may be loaded, even in the absence of a PS3.10 compliant meta-information header, in which case a "best guess" at the Transfer Syntax will be made.

Compressed Transfer Syntaxes are not supported, which limits the Media Application Profiles supported.

D.5.1.2 Functional Definitions of AEs

D.5.1.2.1 MEDIA-FSR

MEDIA-FSR is activated through the user interface to select directories, images and spectra for display, import into the local database or network transmission.

D.5.1.3 Sequencing of Real-World Activities

All FSR activities are sequentially initiated in the user interface, and another activity may not be initiated until the prior activity has completed.

D.5.2 AE Specifications

D.5.2.1 MEDIA-FSR

MEDIA-FSR provides standard conformance to the Media Storage Service Class.

Table D.5.2-1. Application Profiles, Activities, and Roles for MEDIA-FSR

Application Profiles Supported	Real World Activity	Role
STD-GEN-CD	Load directory or file	FSR
STD-GEN-DVD-RAM	Load directory or file	FSR

Note

The application is media neutral and dependent on the underlying hardware. Any (non-secure) General Purpose Profile can be supported.

D.5.2.1.1 File Meta Information for the Application Entity

Not applicable, since MEDIA-FSR is not an FSC or FSU.

D.5.2.1.2 Real World Activities

D.5.2.1.2.1 Activity - Load Directory or File

MEDIA-FSR is activated through the user interface when a user selects the File load operation.

If the loaded file is a DICOMDIR, a browser will be displayed, from which instances may be selected and in turn loaded for display, imported into the local database or sent to a remote AE over the network.

If the file is an image or spectroscopy instance, it will be loaded and displayed.

D.5.2.1.2.1.1 Application Profile Specific Conformance

There are no extensions or specializations.

D.5.3 Augmented and Private Profiles

D.5.3.1 Augmented Profiles

None.

D.5.3.2 Private Profiles

None.

D.5.4 Media Configuration

None.

D.6 Support of Character Sets

D.6.1 Overview

The application supports all extended character sets defined in the DICOM 2002 standard, including single-byte and multi-byte character sets as well as code extension techniques using ISO 2022 escapes.

Support extends to correctly decoding and displaying the correct symbol for all names and strings found in the DICOMDIR, in storage instances from media and received over the network, and in the local database.

No specific support for sorting of strings other than in the default character set is provided in the browsers.

D.6.2 Character Sets

In addition to the default character repertoire, the Defined Terms for Specific Character Set in Table D.6.2-1 are supported:

Table D.6.2-1. Supported Specific Character Set Defined Terms

Character Set Description	Defined Term
Latin alphabet No. 1	ISO_IR 100
Latin alphabet No. 2	ISO_IR 101
Latin alphabet No. 3	ISO_IR 109
Latin alphabet No. 4	ISO_IR 110
Cyrillic	ISO_IR 144
Arabic	ISO_IR 127
Greek	ISO_IR 126
Hebrew	ISO_IR 138
Latin alphabet No. 5	ISO_IR 148
Japanese	ISO_IR 13
Thai	ISO_IR 166
Default repertoire	ISO 2022 IR 6
Latin alphabet No. 1	ISO 2022 IR 100
Latin alphabet No. 2	ISO 2022 IR 101
Latin alphabet No. 3	ISO 2022 IR 109
Latin alphabet No. 4	ISO 2022 IR 110
Cyrillic	ISO 2022 IR 144
Arabic	ISO 2022 IR 127
Greek	ISO 2022 IR 126
Hebrew	ISO 2022 IR 138
Latin alphabet No. 5	ISO 2022 IR 148
Japanese	ISO 2022 IR 13
Thai	ISO 2022 IR 166
Japanese	ISO 2022 IR 87
Japanese	ISO 2022 IR 159
Korean	ISO 2022 IR 149

D.6.3 Character Set Configuration

Whether or not characters are displayed correctly depends on the presence of font support in the underlying operating system. Typically, as described in the Release Notes, it may be necessary for the user to add one of the "all Unicode" fonts to their system configuration in order to correctly display characters that would not typically be used in the default locale.

D.7 Security

D.7.1 Security Profiles

None supported.

D.7.2 Association Level Security

None supported.

Any Calling AE Titles and/or IP addresses may open an Association.

D.7.3 Application Level Security

None supported.

D.8 Annexes

D.8.1 IOD Contents

D.8.1.1 Created SOP Instances

None.

D.8.1.2 Usage of Attributes From Received IODs

No SOP Class specific fields are required.

The local database, remote query and directory browsers make use of the conventional identification attributes to distinguish patients, studies, series and instances. In particular, if two patients have the same value for Patient ID, they will be treated as the same in the browser and the local database.

D.8.1.3 Attribute Mapping

Not applicable.

D.8.1.4 Coerced/Modified Fields

No coercion is performed.

D.8.2 Data Dictionary of Private Attributes

No private attributes are defined.

D.8.3 Coded Terminology and Templates

The value for Code Meaning will be displayed for all code sequences. No local lexicon is provided to look up alternative code meanings.

D.8.4 Grayscale Image Consistency

The high resolution display monitor attached to the product can be calibrated according to the Grayscale Standard Display Function (GSDF). The Service/Installation Tool is used together with a luminance meter to measure the Characteristic Curve of the display system and the current ambient light. See the product Service Manual for details on the calibration procedure and supported calibration hardware. The result of the calibration procedure is a Monitor Correction LUT that will be active within the display subsystem after a system reboot.

D.8.5 Standard Extended/Specialized/Private SOP Classes

None

D.8.6 Private Transfer Syntaxes

None.

E Conformance Statement Example Print Server (Informative)

Disclaimer:

This document is a sample DICOM Conformance Statement for a fictional Print Server (SCP) Management System, called EXAMPLE-PRINT-SERVER-MANAGEMENT (also called Print Server) produced by a fictional vendor called EXAMPLE-IMAGING-PRODUCTS.

E.0 Cover Page

Company Name: EXAMPLE-PrintingPRODUCTS.

Product Name: EXAMPLE-PRINT-SERVER

Version: 1.0-rev. A.1

Internal document number: 4226-xxx-yyy-zzz rev 1

Date: YYYYMMDD

E.1 Conformance Statement Overview

This fictional product EXAMPLE-PRINT-SERVER-MANAGEMENT implements the necessary DICOM services to facilitate the Print (SCP) Imaging Management in the healthcare departments, managing Print imaging over a network on Medical Laser Imaging Systems. It enables the capabilities to capture images at any networked DICOM modality and then print them anywhere they're needed in the medical facility.

Furthermore, before sending the images to be printed the EXAMPLE-PRINT-SERVER-MANAGEMENT will apply image processing, using presentation parameters and LUT to improve the image presentation quality and consistency. Moreover, it will manage the printing presentation format and the Printer queue and Configuration.

Table E.1-1 provides an overview of the network services supported by EXAMPLE-PRINT-SERVER-MANAGEMENT.

Table E.1-1. Network Services

SOP Classes	User of Service (SCU)	Provider of Service (SCP)
Print Management
Grayscale Print Management Meta	No	Yes
Presentation LUT	No	Yes
Printer Configuration	No	Yes
Print Job	No	Yes
Basic Annotation	No	Yes

E.2 Table of Contents

A table of contents shall be provided to assist readers in easily finding the needed information.

E.3 Introduction

E.3.1 Revision History

Table E.3.1-1. Revision History

Document Version	Date	Author	Description
1.1	October 30,2003	WG 6	For Final Text
1.2	August 30, 2007	WG 6	Revised Introduction

E.3.2 Audience, Remarks, Terms and Definitions, Basics of DICOM Communication, Abbreviations, References

See example text in Section A.3.

E.3.3 Additional Remarks for This Example

This document is a sample DICOM Conformance Statement created for DICOM PS3.2. It is to be used solely as an example to illustrate how to create a DICOM Conformance Statement for a print server system supporting DICOM Print Services. The subject of the document, EXAMPLE-PRINT-SERVER-MANAGEMENT, is a fictional product.

E.4 Networking

E.4.1 Implementation Model

E.4.1.1 Application Data Flow

This implementation model uses the DICOM Basic Print Management Meta SOP Class to receive studies for the Medical Imager. Multiple associations to Print SCUs are supported.

Figure E.4.1-1. Application Data Flow Diagram

The Print Server is receiving the Images with the Presentation and Annotation information, it Apply it on the images and creates a print-job within the print queue, containing one or more film pages composed from images selected by the client Print SCU. Furthermore, it also manages the Printer Status and Configuration.

E4.1.2 Functional Definition of AEs

E.4.1.2.1 Functional Definition of Print Server (SCP) Application Entity

The Print Server System acquires the images with the demographics and presentation information from the connected Print Composer (SCU) that is Grouped with a Workstation or an Archive device. Studies are temporarily stored on disk. The images are then processed and formatted and finally queued as a print job on the Printer queue. If the Printer is operating normally, then the film sheets described in the print-job will be printed. Changes in the Printer operation status will be detected (e.g., film Magazine empty) and reported back to the Print SCU. If the Printer is not operating normally, then the print-job will be set to an error state and can be restarted by the user via the job control interface.

The Print Server Management includes:

DICOM Association and Negotiation Management
Image Buffering
Image Processing (Windowing level, P-LUT, GSDF, Annotation, etc)
Image Formatting (Film sheet format)
Printing
Print Job Status Tracking
Print Status Tracking
Printer Configuration Tracking

The Printer Status and Configuration can be requested at any time by the Print SCU, while the Print Server will update the Print SCU asynchronously whenever the Printer status get changed. Furthermore, the Print Server provides in addition a Service operation of checking the networking connectivity to it's Print SCU using the Verification SOP Class.

E.4.1.3 Sequencing of Real-World Activities

Figure E.4.1-2. Print Server Management Sequence

Note

The Print Job N-GET and N-EVENT-REPORT are Asynchronous messages that may occur at any time after the Print Job was created.
The Printer Status & Configuration N-GET and the N-EVENT-REPORT are Asynchronous messages that may occur at any time it is needed during the Print sequence.

The Print Server Management workflow activities in the sequence order as described in Figure E.4.1-2 apply:

DICOM Film Session N-CREATE
DICOM Presentation LUT N-CREATE
DICOM Film Box N-CREATE
Create Image Boxes & Annotation Boxes
DICOM Image Box N-SET
DICOM Annotation Box N-SET
DICOM Film Session N-ACTION, A print job is created for each Film Session N-action.
DICOM Film Box N-ACTION, A print job is created for each Film Box N-action.
Create Print Job
DICOM Film Session N-DELETE.

The following additional activities are asynchronous mode and they can be send any time the Print Server is up and running:

* DICOM Print Job N-GET, request the execution status of a Print Job.

* DICOM Print Job N-EVENT-REPORT, report an update on the execution status of a Print Job.

** DICOM Printer Status N-GET - Request a Printer Status, anytime the Printer is ON.

** DICOM Printer Configuration N-GET - Request the Printer configuration, anytime the Printer is ON.

** DICOM Printer Status N-EVENT-REPORT - Report the Printer Status Changed.

E.4.2 AE Specifications

E.4.2.1 Print Server Management (SCP) Application Entity Specification

E.4.2.1.1 SOP Classes

The EXAMPLE-PRINT-SERVER-MANAGEMENT provides Standard Conformance to the following SOP Classes:

Table E.4.2-1. SOP Classes for AE Print Server (SCP)

SOP Class Name	SOP Class UID	SCU	SCP
Basic Grayscale Print Management Meta SOP Class	1.2.840.10008.5.1.1.9	No	Yes
Presentation LUT SOP Class	1.2.840.10008.5.1.1.23	No	Yes
Printer Configuration	1.2.840.10008.5.1.1.16.376	No	Yes
Print Job	1.2.840.10008.5.1.1.14	No	Yes
Basic Annotation Box SOP Class	1.2.840.10008.5.1.1.15	No	Yes
Verification SOP Class	1.2.840.10008.1.1	Yes	Yes

E.4.2.1.2 Association Establishment Policy

E.4.2.1.2.1 General

The Print Server Management System will accept associations while configured as an Print SCP and while a valid local Printer destination exists.

The DICOM standard application context name for DICOM is always accepted

Table E.4.2-2. DICOM Application Context for AE Print SCP

Application Context Name

1.2.840.10008.3.1.1.1

E.4.2.1.2.2 Number of Associations

The EXAMPLE-PRINT-SERVER-MANAGEMENT will accept Up to 8 simultaneous delivery Associations. If an attempt is made to open more than 8 simultaneous Associations, the Print Server System will reject the additional Associations (A-ASSOCIATE-RJ).

Table E.4.2-3. Number of Associations Accepted for AE Print Server Management (SCP)

Maximum number of simultaneous Associations

8 (Configurable)

EXAMPLE-PRINT-SERVER-MANAGEMENT will also initiate one Association at a time for each destination to which a connectivity verification request is being processed. Only one connectivity verification job will be active at a time, the other remains pending until the active job is completed or failed.

Table E.4.2-4. Number of Associations Initiated for Connectivity

Maximum number of simultaneous Associations

E.4.2.1.2.3 Asynchronous Nature

The EXAMPLE-PRINT-SERVER-MANAGEMENT does not support asynchronous communication. Multiple outstanding transactions are not supported. It allows up to one invoked and one performed operation on an Association (it is synchronous).

Table E.4.2-5. Asynchronous Nature as a SCP for AE Print Server (SCP)

Maximum number of outstanding asynchronous transactions

E.4.2.1.2.4 Implementation Identifying Information

The implementation information for this Application Entity is:

Table E.4.2-6. DICOM Implementation Class and Version for AE Print SCP

Implementation Class UID	xxxxxxxxxxx.yy.etc.ad.inf.usw
Implementation Version Name	PRINTSCP_VERS_01

E.4.2.1.3 Association Initiation Policy

E.4.2.1.3.1 Activity - Connectivity Verification

E.4.2.1.3.1.1 Description and Sequencing of Activities

The EXAMPLE-PRINT-SERVER-MANAGEMENT initiates Associations only for the purpose of verifying a DICOM connection.

E.4.2.1.3.1.2 Proposed Presentation Context Table

The EXAMPLE-PRINT-SERVER-MANAGEMENT is capable of proposing the Presentation Contexts as shown in the following table:

Table E.4.2-7. Proposed Presentation Context for Connectivity Verification

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name List	UID List	Role	Extended Negotiation
Verification	1.2.840.10008.1.1	Implicit VR Little Endian	1.2.840.10008.1.2	SCU	None
Verification	1.2.840.10008.1.1	Explicit VR Little Endian	1.2.840.10008.1.2.1	SCU	None

E.4.2.1.3.1.3 SOP Specific Conformance for Connectivity Verification

The EXAMPLE-PRINT-SERVER-MANAGEMENT provides standard conformance to the DICOM Verification Service Class as an SCU. The status code for the C-ECHO is as follows:

Table E.4.2-8. C-ECHO Response Status Handling Behavior

Code	Status	Meaning
0000	Success	The C-ECHO request is accepted.

E.4.2.1.4 Association Acceptance Policy

E.4.2.1.4.1 Activity - Print Server Management

E.4.2.1.4.1.1 Description and Sequencing of Activities

A remote peer DICOM Application Entity, acting as an Print SCU, establishes an association with the EXAMPLE-PRINT-SERVER-MANAGEMENT that accepts these Associations for the purpose of receiving images and image presentation related data for image processing and printing on a hard copy medium.

When an association has been established the Sequencing of Real-World Activities is as described in Section E.4.1.3.

The Print Server (SCP) AE may reject association attempts as shown in Table E.4.2-9. The Result, Source and Reason/Diag columns represent the values returned in the appropriate fields of an ASSOCIATE-RJ PDU (see Section 9.3.4 “A-ASSOCIATE-RJ PDU Structure” in PS3.8 ). The contents of the Source column is abbreviated to save space and the meaning of the abbreviations are:

1 - DICOM UL service-user
2 - DICOM UL service-provider (ASCE related function)
3 - DICOM UL service-provider (Presentation related function)

Table E.4.2-9. Association Rejection Reasons

Result	Source	Reason/Diag	Explanation
2 - rejected-transient	c	2 - local-limit-exceeded	The (configurable) maximum number of simultaneous associations has been reached. An association request with the same parameters may succeed at a later time.
2 - rejected-transient	c	1 - temporary-congestion	No associations can be accepted at this time due to the real-time requirements of higher priority activities (e.g., during image acquisition no associations will be accepted) or because insufficient resources are available (e.g., memory, processes, threads). An association request with the same parameters may succeed at a later time.
1 - rejected-permanent	a	2 - application-context-name-not-supported	The association request contained an unsupported Application Context Name. An association request with the same parameters will not succeed at a later time.
1 - rejected-permanent	a	7 - called-AE-title-not-recognized	The association request contained an unrecognized Called AE Title. An association request with the same parameters will not succeed at a later time unless configuration changes are made. This rejection reason normally occurs when the association initiator is incorrectly configured and attempts to address the association acceptor using the wrong AE Title.
1 - rejected-permanent	a	3 - calling-AE-title-not-recognized	The association request contained an unrecognized Calling AE Title. An association request with the same parameters will not succeed at a later time unless configuration changes are made. This rejection reason normally occurs when the association acceptor has not been configured to recognize the AE Title of the association initiator.
1 - rejected-permanent	b	1 - no-reason-given	The association request could not be parsed. An association request with the same format will not succeed at a later time.

E.4.2.1.4.1.2 Accepted Presentation Contexts

EXAMPLE-PRINT-SERVER-MANAGEMENT will accept Presentation Contexts as shown in the following table:

Table E.4.2-10. Accepted Presentation Contexts for Print Server Management Activity

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name List	UID List	Role	Extended Negotiation
Verification	1.2.840.10008.1.1	Implicit VR Little Endian Explicit VR Little Endian	1.2.840.10008.1.2 1.2.840.10008.1.2.1	SCP	None
Basic Grayscale Print Management Meta SOP	1.2.840.10008.5.1.1.9	Implicit VR Little Endian Explicit VR Little Endian	1.2.840.10008.1.2 1.2.840.10008.1.2.1	SCP	None
Basic Annotation Box	1.2.840.10008.5.1.1.15	Implicit VR Little Endian Explicit VR Little Endian	1.2.840.10008.1.2 1.2.840.10008.1.2.1	SCP	None
Print Job	1.2.840.10008.5.1.1.14	Implicit VR Little Endian Explicit VR Little Endian	1.2.840.10008.1.2 1.2.840.10008.1.2.1	SCP	None
Presentation LUT	1.2.840.10008.5.1.1.23	Implicit VR Little Endian Explicit VR Little Endian	1.2.840.10008.1.2 1.2.840.10008.1.2.1	SCP	None
Printer Configuration	1.2.840.10008.5.1.1.16.376	Implicit VR Little Endian Explicit VR Little Endian	1.2.840.10008.1.2 1.2.840.10008.1.2.1	SCP	None

The Print Server Management AE will prefer to accept the Explicit VR Little Endian Transfer Syntax if multiple transfer syntaxes are offered. Furthermore, At the time of association establishment, the Print Server Management confirms, returning a list of presentation contexts that were proposed by the Print SCU and that will be supported by the Print Server Management.

E.4.2.1.4.1.3 SOP Specific Conformance

E.4.2.1.4.1.3.1 Specific Conformance for Verification SOP Class

The EXAMPLE-PRINT-SERVER-MANAGEMENT provides standard conformance to the DICOM Verification Service Class as a SCP. The status code for the C-ECHO is in the following table:

Table E.4.2-11. C-ECHO Response Status Handling Reasons

Code	Status	Reason
0000	Success	The C-ECHO request is accepted.

E.4.2.1.4.1.3.2 Specific Conformance to Grayscale Print Management Meta SOP Class

The EXAMPLE-PRINT-SERVER-MANAGEMENT supports the following mandatory SOP classes as defined by the Basic Grayscale Print Management Meta SOP Class:

Table E.4.2-12. SOP Classes for Basic Grayscale Print Management Meta SOP Class

SOP Class Name	SOP Class UID	SCU	SCP
Basic Film Session	1.2.840.10008.5.1.1.1	No	Yes
Basic Film Box	1.2.840.10008.5.1.1.2	No	Yes
Basic Grayscale Image Box	1.2.840.10008.5.1.1.4	No	Yes
Printer	1.2.840.10008.5.1.1.16	No	Yes

The Common SOP Specific Conformance for all Print SOP Classes, including the general behavior of Print Server Management AE during communication failure is summarized in the following table:

Table E.4.2-13. Print Server SCP Communication Failure Reasons

Exception	Behavior
Timeout	The Association is aborted using A-ABORT and the print-job is marked as failed. The reason is logged and the job failure is reported to the user via the job control application.
Association aborted by the SCP or network layers	The print-job is marked as failed. The reason is logged and the job failure is reported to the user via the job control application.

The specific SOP Conformance statement for each of the Basic Grayscale Print Management Meta SOP Class components is described in the subsequent sections.

E.4.2.1.4.1.3.2.1 Specific Conformance for Basic Film Session SOP Class

The EXAMPLE-PRINT-SERVER-MANAGEMENT provides support for the following DIMSE Services:

N-CREATE
N-SET
N-ACTION
N-DELETE

E.4.2.1.4.1.3.2.1.1 Film Session SOP Class Operations for N-CREATE

The EXAMPLE-PRINT-SERVER-MANAGEMENT provides the following support for the Film Session attributes sent by the N-CREATE DIMSE service::

Table E.4.2-14. Basic Film Session SOP Class N-CREATE Request Attributes

Attribute	Tag	Valid Range	Default Value if not sent by SCU or invalid value received	Response to Invalid Value
Number of Copies	(2000,0010)	1 - 99	1	Warning (0x116)
Print Priority	(2000,0020)	LOW MED HIGH	LOW	Warning (0x116)
Medium Type	(2000,0030)	CLEAR FILM BLUE FILM PAPER CURRENT (See Section E.8.5.1)	CLEAR FILM	Warning (0x116)
Film Destination	(2000,0040)	MAGAZINE PROCESSOR CURRENT (See Section E.8.5.1)	MAGAZINE	Warning (0x116)
Film Session Label	(2000,0050)	Up to 64 characters	No default.	Warning (0x116)

The Print Server Management behavior and specific status codes sent for the N-CREATE of a specific Film Session is described in the following table:

Table E.4.2-15. Film Session SOP Class N-CREATE Response Status Handling Reasons

Service Status	Further Meaning	Error Code	Reason
Success	Success	0000	The SCP has completed the operation successfully.
Warning	Attribute Value Out of Range	0116	The N-CREATE operation is considered successful but the status meaning is logged. Additional information in the Response identifying the attributes out of range will be logged (i.e., Elements in the Modification List/Attribute List)
Warning	Memory allocation not supported	B600	A Data Set is returned with valid attributes/values.
Warning	Attribute List Error	0107	The N-CREATE operation is considered successful but the status meaning is logged. Additional information in the Response identifying the attributes will be logged (i.e., Elements in the Attribute Identifier List)
Failure	Invalid attribute value	0106	A Data Set is returned of all invalid attributes/values
Failure	Processing failure	0110	Cannot decode the DIMSE attribute.
Failure	Invalid object instance	0117	Instance UID given had incorrect syntax
Failure	Resource limitation	0213	Film Session cannot be opened.

E.4.2.1.4.1.3.2.1.2 Film Session SOP Class Operations for N-SET

The EXAMPLE-PRINT-SERVER-MANAGEMENT provides the support for the Film Session attributes sent by the N-SET DIMSE service identically as it is described for the Film Session with N-CREATE, Table E.4.2-15.

The Print Server Management behavior and specific status codes sent for the N-SET of a specific Film Session is described in the following table:

Table E.4.2-16. Film Session SOP Class N-SET Response Status Handling Reasons

Service Status	Further Meaning	Error Code	Reason
Success	Success	0000	The SCP has completed the operation successfully. Some attributes may have different values than what was requested. The actual values of attributes are returned.
Warning	Attribute Value Out of Range	0116	The attribute in question are returned in the responses Data Set.
Warning	Attribute List Error	0107	The N-CREATE operation is considered successful but the status meaning is logged. Additional information in the Response identifying the attributes will be logged (i.e., Elements in the Attribute Identifier List)
Warning	Memory allocation not supported	B600	.A Data Set is returned with valid attributes/values.
Failure	Invalid attribute value	0106	A Data Set is returned of all invalid attributes/values
Failure	Processing failure	0110	Cannot decode the DIMSE attribute.
Failure	Invalid object instance	0112	No such object instance: the instance UID given does not exist.

E.4.2.1.4.1.3.2.1.3 Film Session SOP Class Operations for N-DELETE

The Print Server Management behavior and specific status codes sent for the N-DELETE of a specific Film Session is described in the following table:

Table E.4.2-17. Film Session SOP Class N-DELETE Response Status Handling Reasons

Service Status

Further Meaning

Error Code

Reason

Success

0000

The SCP has completed the operation successfully. Film session has been successfully deleted.

Failure

Unknown UID

0112

No such object instance: the instance UID given does not exist.

The Association is aborted using A-ABORT and the print-job is marked as failed. The status meaning is logged and reported to the user.

E.4.2.1.4.1.3.2.1.4 Film Session SOP Class Operations for N-ACTION

The receipt of the N-ACTION will result in submitting a print job to print all the films of the film session in the order that they were received. The Film Session N-ACTION arguments are defined in the DICOM Standard Table H.4-3 “N-ACTION Arguments” in PS3.4 . The number of films that can be stored for print is limited by the size of the Printer's installed disk space and the number of images sent by the connected Print SCU simultaneously.

The Print Server Management behavior and specific status codes sent for the N-ACTION of a specific Film Session is described in the following table:

Table E.4.2-18. Film Session SOP Class N-ACTION Response Status Handling Reasons

Service Status	Further Meaning	Error Code	Reason
Success	Success	0000	Films in the film session are accepted for printing. Print Job SOP instance is created and the instance UID is returned.
Warning	Empty film page	B602	Film Session SOP instance hierarchy does not contain Image Box SOP instances (empty page). Empty page will not be printed.
Warning	Image larger then Image Box	B604	Image size is larger then Image Box size. Image has been de-magnified
Warning	Image larger then Image Box	B609	Image size is larger then Image Box size. Image has been clipped to fit it
Warning	Image larger then Image Box	B60A	Image size is larger then Image Box size. Image has been decimated to fit it.
Failure	Invalid object	0112	No such object instance: the instance UID given does not exist.
Failure	Invalid operation	0211	The action ID type is not supported (i.e., not PRINT).
Failure	Processing failure	C600	Film Session SOP instance hierarchy does not contain Film Box SOP instances.
Failure	OUT of Resources	C601	Unable to create Print Job SOP instance; print queue is full..
Failure	Wrong Image size	C603	Image size is larger then Image Box size. The image will not be printed.
Failure	Wrong Print Image size	C613	Print Image size is greater then the Image Box size. The image will not be printed.

E.4.2.1.4.1.3.2.2 Specific Conformance for Basic Film Box SOP Class

The EXAMPLE-PRINT-SERVER-MANAGEMENT provides support for the following DIMSE Services:

N-CREATE
N-SET
N-ACTION
N-DELETE

E.4.2.1.4.1.3.2.2.1 Basic Film Box SOP Class Operations for N-CREATE

The EXAMPLE-PRINT-SERVER-MANAGEMENT provides the following support for the Film Box attributes sent by the N-CREATE DIMSE service

Table E.4.2-19. Basic Film Box SOP Class N-CREATE Request Attributes

Attribute	Tag	Valid Range	Default Value if not sent by SCU or invalid value received	Response to Invalid Value
Image Display Format	(2010,0010)	STANDARD\C,R ROW\R1,R2,R3 COL\C1,C2,C3	Configurable	Failure (0x0106)
Referenced Film Session Sequence	(2010,0500)	N/A	N/A	N/A
> Referenced SOP Class UID	(0008,1150)	SOP Class UID	Mandatory, no default	Failure (0x0106)
> Referenced SOP Instance UID	(0008,1155)	SOP Instance UID	Mandatory, no default	Failure (0x0106)
Referenced Image Box Sequence	(2010,0510)	N/A	N/A	N/A
> Referenced SOP Class UID	(0008,1150)	SOP Class UID	Mandatory, no default	Failure (0x0106)
> Referenced SOP Instance UID	(0008,1155)	SOP Instance UID	Mandatory, no default	Failure (0x0106)
Film Orientation	(2010,0040)	PORTRAIT LANDSCAPE	PORTRAIT	Warning (0x116)
Film Size Id (See Note 1)	(2010,0050)	8INX10IN 11INX14IN 14INX17IN CURRENT	14INX17IN	Warning (0x116)
Magnification Type	(2010,0060)	REPLICATE BILINEAR CUBIC NONE	Configurable	Warning (0x116)
Max Density	(2010,0130)	170-350	320	Warning (0x116)
Annotation Display Format Id see note 2	(2010,0030)	LABEL BOTTOM COMBINED NONE	NONE	Warning (0x116)
Smoothing Type See note 3	(2010,0080)	0-15, the value is laser specific.	Configurable	Warning (0x116)
Border Density See note 4	(2010,0100)	WHITE BLACK	BLACK	Warning (0x116)
Trim See note 5	(2010,0140)	YES NO	NO	Warning (0x116)
Reference Presentation LUT Sequence	(2050,0500)	N/A	N/A	N/A
>Referenced SOP Class UID	(0008,1150)	SOP Class UID	Mandatory if sequence is present, no default	Failure (0x0106)
>Referenced SOP Instance UID	(0008,1155)	SOP Instance UID	Mandatory if sequence is present, no default	Failure (0x0106)
Illumination	(2010,015E)	Any valid value in the unit of cd/m^2	2000, Mandatory if Presentation LUT is supported	Warning (0x116)
Reflective Ambient Light	(2010,0160)	Any valid value in the unit of cd/m^2	10, Mandatory if Presentation LUT is supported	Warning (0x116)

Note

See the addition value "CURRENT" in Section E.8.5.1
Annotation Display Format Id1 - instructs the Print Server Management System to create annotation boxes and set the format of the annotation boxes. The currently loaded machine resident font will be used. See table below.
Smoothing Type - If Magnification Type is CUBIC, this attribute allows the SCU to specify the various smoothing effects provided by the interpolation algorithm in the Laser Imager. 0 specifies replicate, and 1 through 15 specifies various levels of smoothing.
Border Density - allows the density of the areas surrounding and between images on the film to be either dark or white.
Trim - specifies whether a trim box be printed around each image on film. The trim density is the opposite of the border density.

The following table describes the annotation formats are supported:

Table E.4.2-20. Annotation Display Formats

Annotation Display Format Id	Format
LABEL	Prints a text string at the top of the film as a label. One Annotation Box is created. The Annotation Position for this box must be 0.
BOTTOM	Prints a text string at the bottom of each image. The number of Annotation Boxes created will be equal to the number of images supported by the Image Display Format. The Annotation Position for each annotation string should be the same as the corresponding Image Position.
COMBINED	Combines the above two annotation formats: Prints a text string at the bottom of each image (with Annotation Position matching the corresponding Image Position), and a label at the top of the film (its Annotation Position = 0). The number of Annotation Boxes created will be one greater than the number of images supported by the Image Display Format.
NONE	No text string is printed at the top of the film or at the bottom of each image.

The Print Server Management behavior and specific status codes sent for the N-CREATE of a specific Film Box is described in the following table:

Table E.4.2-21. Film Box SOP Class N-CREATE Response Status Handling Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	Film box is successfully created. Some attributes may have different values than what was requested. The actual values of attributes are returned. Note that any existing film box will become inaccessible when a new film box is successfully created. Failure will be returned to the SCU if the SCU attempts to access (set image, erase image, delete, print) the previous film box
Warning	Attribute Value Out of Range	0116	With the exception of the referenced Film Session sequence, the referenced Image Box sequence and the possible referenced Annotation Box sequence, the attribute in question will be the only attribute returned in the responses Data Set.
Warning	Min/Max Density out-range	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.
Failure	Invalid attribute value	0106	A Data Set is returned with all invalid attributes/values
Failure	Processing failure	0110	Cannot decode the DIMSE attribute
Failure	Duplicate SOP instance	0111	The given Instance UID is already in use.
Failure	Invalid object instance	0117	The given Instance UID had incorrect syntax.
Failure	Missing attribute	0120	Mandatory attributes are missing. A list of missing mandatory attribute tags is returned in the Attribute Identifier List (0000,1005).
Failure	Missing attribute value	0121	A mandatory attribute was given, but had no value. A Data Set is returned of all attributes/values missing.
Failure	Resource limitation	0213	Film Session cannot be opened.
Failure	Out of Print Job Sequence	C616	There is an existing Film Box that has not been printed and the Film Session N-ACTION, is not supported. A new Film Box will not be created when a previous Film Box has not been printed.

E.4.2.1.4.1.3.2.2.2 Basic Film Box SOP Class Operations for N-SET

The EXAMPLE-PRINT-SERVER-MANAGEMENT provides the support for the following Film Box attributes sent by the N-SET DIMSE service:

Table E.4.2-22. Basic Film Box SOP Class N-SET Request Attributes

Attribute	Tag	Valid Range	Default Value if not sent by SCU or invalid value received	Response to Invalid Value
Magnification Type	(2010,0060)	REPLICATE BILINEAR CUBIC NONE	Configurable	Warning (0x116)
Max Density	(2010,0130)	170-350	320	Warning (0x116)
Smoothing Types (See Note 1)	(2010,0080)	0-15, the value is laser specific.	Configurable	Warning (0x116)
Border Density (See Note 2)	(2010,0100)	WHITE BLACK	BLACK	Warning (0x116)
Trim (See Note 3)	(2010,0140)	YES NO	NO	Warning (0x116)
Reference Presentation LUT Sequence	(2050,0500)	N/A	N/A	N/A
>Referenced SOP Class UID	(0008,1150)	SOP Class UID	Mandatory if sequence is present, no default	Failure (0x0106)
>Referenced SOP Instance UID	(0008,1155)	SOP Instance UID	Mandatory if sequence is present, no default	Failure (0x0106)
Illumination	(2010,015E)	Any valid value in the unit of cd/m^2	2000, Mandatory if Presentation LUT is supported	Warning (0x116)
Configuration Information	(2010,0150)	LUT = m,n m = a character string or 0, n = 0-15, the value is laser specific. CSxxx 000 ≤ xxx ≤ 015	m = a character string or 0, n is configurable.	Warning (0x116)
Reflective Ambient Light	(2010,0160)	Any valid value in the unit of cd/m^2	10, Mandatory if Presentation LUT is supported	Warning (0x116)

Note

Smoothing Type 2- If Magnification Type is CUBIC, this attribute allows the SCU to specify the various smoothing effects provided by the interpolation algorithm in the Laser Imager. 0 specifies replicate, and 1 through 15 specifies various levels of smoothing.
Border Density 3- allows the density of the areas surrounding and between images on the film to be either dark or white.
Trim4 - specifies whether a trim box be printed around each image on film. The trim density is the opposite of the border density.

The Print Server Management behavior and specific status codes sent for the N-SET of a specific Film Box is described in the following table:

Table E.4.2-23. Film Box SOP Class N-SET Response Status Handling Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	Some attributes may have different values than what was requested. The actual values of attributes are returned.
Warning	Illegal Attribute	0107	Attributes not recognized within the context of this SOP class. For example, an N-Set on the Image Display format attribute was attempted. A list of offending attribute tags is returned in Attribute List (0000,1005). A Data Set is still returned with valid attributes/values.
Warning	Attribute out of range	0116	The attribute in question is the only attribute returned in the responses Data Set.
Failure	Invalid attribute value	0106	A Data Set is returned with all invalid attributes/values
Failure	Processing failure	0110	Cannot decode the DIMSE attribute
Failure	No object instance	0112	The given instance UID does not exist.
Failure	Missing attribute value	0121	A mandatory attribute was given, but had no value. A Data Set is returned of all attributes/values missing.

E.4.2.1.4.1.3.2.2.3 Basic Film Box SOP Class Operations for N-DELETE

The EXAMPLE-PRINT-SERVER-MANAGEMENT provides the support for deleting the last created Film Box.

The specific behavior and status codes sent for the N-DELETE of the last created Film Box is described in the following table:

Table E.4.2-24. Film Box SOP Class N-DELETE Response Status Handling Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	Film box has been successfully deleted.
Failure	Illegal UID	0112	No such object instance: the instance UID given does not exist.

E.4.2.1.4.1.3.2.2.4 Basic Film Box SOP Class Operations for N-ACTION

The EXAMPLE-PRINT-SERVER-MANAGEMENT provides the support for submitting the print job for printing the specific Film Box. The Film BOX N-ACTION arguments are defined in the DICOM Standard Table H.4-8 “N-ACTION Arguments” in PS3.4 .

The specific behavior and status codes sent for the N-ACTION of the specific Film Box is described in the following table:

Table E.4.2-25. Film Box SOP Class N-ACTION Response Status Handling Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	Film accepted for printing. Print Job SOP instance is created, and the instance UID is returned
Warning	Empty Film Page	B603	Film Box SOP instance hierarchy does not contain Image Box SOP instances (empty page). Empty page will not be printed.
Warning	Image larger then Image Box	B604	Image size is larger then Image Box size. Image has been de-magnified
Warning	Image larger then Image Box	B609	Image size is larger then Image Box size. Image has been clipped to fit it
Warning	Image larger then Image Box	B60A	Image size is larger then Image Box size. Image has been decimated to fit it.
Failure	Out of Resources	C602	Unable to create Print Job SOP instance; print queue is full.
Failure	Wrong Image size	C603	Image size is larger then Image Box size. The image will not be printed.
Failure	Wrong Print Image size	C613	Print Image size is greater then the Image Box size. The image will not be printed.

E.4.2.1.4.1.3.2.3 Specific Conformance for Image Box SOP Class

The EXAMPLE-PRINT-SERVER-MANAGEMENT provides the following support for the attributes contained in the N-SET DIMSE Service of the Basic Grayscale Image Box SOP Class:

Table E.4.2-26. Image Box SOP Class N-SET Request Attributes

Attribute	Tag	Valid Range	Default Value if not sent by SCU or invalid value received	Response to Invalid Value
Image Position	(2020,0010)	1 - Max number of images for Display Format	Mandatory, no default.	Failure (0x0106)
Basic Grayscale Image Sequence	(2020,0110)	N/A	N/A	N/A
>Samples Per Pixel	(0028,0002)	1	Mandatory, no default.	Failure (0x0106)
>Photometric Interpretation	(0028,0004)	MONOCHROME1 MONOCHROME2	Mandatory, no default.	Failure (0x0106)
>Rows (See Note 1)	(0028,0010)	1 - Maximum rows for film size	Mandatory, no default.	Failure (0x0106) or (0xC603)
>Columns (See Note 1)	(0028,0011)	1 - Maximum columns for film size.	Mandatory, no default.	Failure (0x0106) or (0xC603)
>Pixel Aspect Ratio	(0028,0034)	Any pair of valid positive integers (1 to 215-1)	1:1	Warning (0x116)
>Bits Allocated	(0028,0100)	8 or 16	Mandatory, no default.	Failure (0x0106)
>Bits Stored (See Note 4)	(0028,0101)	8 - 16	Mandatory, no default.	Failure (0x0106)
>High Bit	(0028,0102)	7-15	Mandatory, no default.	Failure (0x0106)
>Pixel Representation	(0028,0103)	0 = unsigned 1 = 2's Complement	Mandatory, no default.	Failure (0x0106)
Polarity	(2020,0020)	NORMAL REVERSE	NORMAL	Failure (0x0106)
Magnification Type (See Note 2)	(2010,0060)	REPLICATE BILINEAR CUBIC NONE	Configurable	Warning (0x116)
Smoothing Type (See Note 3)	(2010,0080)	0-15, the value is laser specific.	Configurable	Warning (0x116)
Requested Image Size	(2020,0030)	Up to the maximum row size for film size.	Not set	Warning (0x116)
Image Tone Adjustment	(2001,1170)	0 - None 1 - General 2 - CR Tone 3 - DR Tone	0	Failure (0x0106)
Reference Presentation LUT Sequence	(2050,0500)	N/A	N/A	N/A
>Referenced SOP Class UID	(0008,1150)	SOP Class UID	Mandatory if sequence is present, no default	Failure (0x0106)
>Referenced SOP Instance UID	(0008,1155)	SOP Instance UID	Mandatory if sequence is present, no default	Failure (0x0106)

Note

Max Rows and Columns - The Maximum number of printable pixel matrix per supported Media size
Magnification Type - Same as the attribute Magnification Type in Film Box, but used here for image based setting. If not specified, the value of this attribute inherits from Magnification Type in Film Box.
Smoothing Type - If Magnification Type was cubic, this attribute allows the Laser Imager interpolation algorithm to be further defined.
See the addition value in Section E.8.5.1

The Print Server Management behavior and specific status codes sent for the N-SET of a specific Image Box is described in the following table:

Table E.4.2-27. Image Box SOP Class N-SET Response Status Handling Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	Some attributes may have different values than what was requested. The actual values of attributes are returned.
Warning	Attribute out of range	0116	The attribute in question is the only attribute returned in the responses Data Set.
Warning	Image larger then Image Box	B604	Image size is larger then Image Box size. Image has been de-magnified
Warning	Image larger then Image Box	B609	Image size is larger then Image Box size. Image has been clipped to fit it
Warning	Image larger then Image Box	B60A	Image size is larger then Image Box size. Image has been decimated to fit it.
Failure	No object instance	0112	The given instance UID does not exist.
Failure	Missing attributes	0120	Mandatory attributes are missing. A list of missing mandatory attribute tags is returned.
Failure	Missing attribute value	0121	A mandatory attribute was given, but had no value. A Data Set is returned of all attributes/values missing.
Failure	Image size doesn't match	C603	Image size exceeds Image Box dimensions.
Failure	Out of Resources	C605	Insufficient memory or disk space to store the image.

E.4.2.1.4.1.3.2.4 Specific Conformance for Printer SOP Class

The EXAMPLE-PRINT-SERVER-MANAGEMENT supports the following DIMSE operations and notifications for the Printer SOP Class:

N-GET
N-EVENT-REPORT

Details of the supported attributes and status-handling behavior are described in the following subsections.

E.4.2.1.4.1.3.2.4.1 Specific Conformance for Printer N-GET Status

The Print SCU uses the Printer SOP Class N-GET operation to obtain information about the current Printer status. The attributes obtained via N-GET are listed in the table below.

The following tables (listing attributes are sent by the SCP) use a number of abbreviations. The abbreviations used in the "Presence of Value" column are:

VNAP: Value Not Always Present (attribute sent zero length if no value is present)

ANAP: Attribute Not Always Present

ALWAYS: Always Present

EMPTY: Attribute is sent without a value

NS: Not supported - attribute is not being sent

Table E.4.2-28. Printer SOP Class N-GET Request Attributes

Attribute Name	Tag	VR	Value	Presence of Value	Source
Printer Status	(2110,0010)	CS	NORMALWARNINGFAILURE	ALWAYS	Printer
Printer Status Info	(2110,0020)	CS	for NORMAL conditions: "NORMAL" for WARNING conditions: "PRINTER INIT" "SUPPLY LOW" "NO SUPPLY MGZ" "BAD SUPPLY MGZ" "FILM JAM" "SUPPLY EMPTY" "COVER OPEN" "ELEC DOWN" "PROC INIT" for FAILURE conditions "CHECK PRINTER" "ELEC CONFIG ERR" "ELEC SW ERROR" "PRINTER OFFLINE" "PRINTER DOWN" "CALIBRATION ERR" "FILM TRANS ERR" "PROC DOWN" "UNKNOWN"	ALWAYS	Printer
Printer Name	(2110,0030)	LO	Any value up to 16 characters in length. Chosen by user at time of installation	ANAP	Printer
Manufacturer	(0008,0070)	LO	Any value up to 16 characters in length. Chosen by user at time of installation	ANAP	Printer
Manufacturer Model Name	(0008,1090)	LO	Any value up to 16 characters in length. Chosen by user at time of installation	ANAP	Printer
Device Serial Number	(0018,1000)	LO	number up to 8 ASCII characters	ANAP	Printer
Software Version	(0018,1020)	LO	ID up to 6 ASCII characters	ANAP	Printer
Date Last Calibration	(0018,1200)	DA	Provided by Printer	NS	Printer
Last Calibration	(0008,1090)	TM	Provided by Printer	NS	Printer

The Printer Status information is evaluated as follows:

If Printer status (2110,0010) is NORMAL, the print-job continues to be printed.
If Printer status (2110,0010) is FAILURE, the print-job is marked as failed. The contents of Printer Status Info (2110,0020) is logged
If Printer status (2110,0010) is WARNING, the print-job continues to be printed. The content of Printer Status Info (2110,0020) is logged.

The following status codes may be returned in response to Printer N-GET:

Table E.4.2-29. Printer SOP Class N-GET Response Status Handling Behavior

Service Status

Further Meaning

Error Code

Behavior

Success

0000

The request to get printer status information was success.

Warning

0107

Attributes not recognized within the context of this SOP class. For example, unsupported attributes were requested.

A list of offending attribute tags is returned in Attribute List (0000,1005).

A Data Set is still returned with valid attributes/values.

Error

Failure

Any other status code.

The Association is aborted using A-ABORT and the print-job is marked as failed. The status meaning is logged and reported to the user.

E.4.2.1.4.1.3.2.4.2 Specific Conformance for Printer N-EVENT-REPORT Status

EXAMPLE-PRINT-SERVER-MANAGEMENT can be configured to send the Printer status information using the N-EVENT-REPORT DIMSE Service, asynchronously to all associated SCU that support the Printer SOP class. When the printer status is NORMAL, no attribute is sent. When the printer status is either WARNING or FAILURE, the following attributes are sent:

Table E.4.2-30. Printer SOP Class N-EVENT-REPORT Attributes

Attribute Name

Tag

Value

Presence of Value

Source

Printer Name

(2110,0030)

Any value up to 16 characters in length. Chosen by user at time of installation

ANAP

Printer

Printer Status

(2110,0010)

NORMALWARNINGFAILURE

ALWAYS

Printer

Printer Status Info

(2110,0020)

If FAILURE:

ELEC CONFIG ERR
ELEC SW ERROR
PRINTER DOWN
UNKNOWN

If WARNING**:

PROC INIT
PROC DOWN
PRINTER INIT
CALIBRATION ERR
PROC OVERFLOW FL
CHEMICALS EMPTY
CHECK CHEMISTRY
PROC OVERFLOW HI
CHEMICALS LOW
BAD SUPPLY MGZ
NO SUPPLY MGZ
SUPPLY MGZ ERR
SUPPLY EMPTY
SUPPLY LOW
RECEIVER FULL
NO RECEIVE MGZ
CALIBRATION ERR
COVER OPEN
FILM JAM

ALWAYS

Printer

The EXAMPLE-PRINT-SERVER-MANAGEMENT behavior when sending the N-EVENT-REPORT is summarized in the following table:

Table E.4.2-31. Printer SOP Class N-EVENT-REPORT Behavior

Event Type Name	Event Type ID	Behavior
Normal	1	The print-job continues to be printed.
Warning	2	The print-job continues to be printed. The contents of Printer Status Info (2110,0020) is logged and reported to the user via the job-control application.
Failure	3	The print-job is marked as failed. The contents of Printer Status Info (2110,0020) is logged and reported to the user via the job-control application.
*	*	An invalid Event Type ID will cause a status code of 0113H to be returned in a N-EVENT-REPORT response.

E.4.2.1.4.1.3.3 Specific Conformance to Basic Annotation Box SOP Class

The EXAMPLE-PRINT-SERVER-MANAGEMENT creates the Basic Annotation Box SOP instance at the time the Basic Film Box SOP instance is created, based on the value of the attribute Annotation Display Format ID (2010,0030) of the Basic Film Box.

The created Basic Annotation Box SOP instance can be updated with the N-SET DIMSE service. The following table describes the attributes that can be updated:

Table E.4.2-32. Basic Annotation Box SOP Class N-SET Request Attributes

Attribute

Tag

Valid Range

Default Value if not sent by SCU or invalid value received

Response to Invalid Value

Annotation

Position

(2030,0010)

0 - Max number of annotation strings defined for Annotation Format

Mandatory,

no default.

Failure (0x0106)

Text String

(2030,0020)

1-64 characters

Null string

Warning (0x116)

The Print Server Management behavior and specific status codes sent for the N-SET of a specific Annotation Box is described in the following table:

Table E.4.2-33. Basic Annotation Box SOP Class N-SET Response Status Handling Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	Some attributes may have different values than what was requested. The actual values of attributes are returned.
Warning	Attribute out of range	0116	The attribute in question is the only attribute returned in the responses Data Set.
Failure	Invalid attribute value	0106	A Data Set is returned with all the invalid attributes/values.
Failure	Processing failure	0110	Can not decode the DIMSE attribute.
Failure	No object instance	0112	The given instance UID does not exist.
Failure	Missing attributes	0120	Mandatory attributes are missing. A list of missing mandatory attribute tags is returned.
Failure	Missing attribute value	0121	A mandatory attribute was given, but had no value. A Data Set is returned of all attributes/values missing.

E.4.2.1.4.1.3.4 Specific Conformance to Print Job Box SOP Class

The EXAMPLE-PRINT-SERVER-MANAGEMENT supports the following DIMSE operations and notifications for the Print Job SOP Class:

N-GET
N-EVENT-REPORT

Details of the supported attributes and status-handling behavior are described in the following subsections.

E.4.2.1.4.1.3.4.1 Specific Conformance for Print Job N-Event-Report

The EXAMPLE-PRINT-SERVER-MANAGEMENT can be configured to report the status of the Print job using the N-EVENT-REPORT DIMSE Service, asynchronously to the associated SCU that created the job and establishes the association to support the Print Job SOP Class. The Print Job N-EVENT-REPORT will provide the following information:

Table E.4.2-34. Print Job SOP Class N-EVENT-REPORT Attributes

Attribute Name

Tag

Value

Presence of Value

Source

Printer Name

(2110,0030)

Any value up to 16 characters in length. Chosen by user at time of installation

ANAP

Printer

Film Session Label

(2000,0050)

Up to 64 characters

ALWAYS

Printer

Execution Status Info

(2100,0030)

If PRINTING or DONE:

NORMAL

If PENDING:

QUEUED
PROC INIT
PROC DOWN
PRINTER INIT
CALIBRATION ERR
PROC OVERFLOW
CHEMICALS EMPTY
CHECK CHEMISTRY
PROC OVERFLOW HI
CHEMICALS LOW
BAD SUPPLY MGZ
NO SUPPLY MGZ
SUPPLY MGZ ERR
SUPPLY EMPTY
SUPPLY LOW
RECEIVER FULL
NO RECEIVE MGZ
CALIBRATION ERR
COVER OPEN
FILM JAM

If FAILURE:

JOB CANCELED
INVALID PAGE DES
ELEC SW ERROR
UNKNOWN

ALWAYS

Printer

For each status type: PENDING, PRINTING, DONE and FAILURE, the following print job attributes are returned to the SCU:

Table E.4.2-35. Print Job SOP Class N-EVENT-REPORT Notification Events Information

Event Type Name	Event Type ID	Attribute Name	Tag
Pending	1	Execution Status Info	(2100,0030)
		Print Job ID	(2100,0010)
		Film Session Label	(2000,0050)
		Printer Name	(2110,0030)
Printing	2	Execution Status Info	(2100,0030)
		Print Job ID	(2100,0010)
		Film Session Label	(2000,0050)
		Printer Name	(2110,0030)
Done	3	Execution Status Info	(2100,0030)
		Print Job ID	(2100,0010)
		Film Session Label	(2000,0050)
		Printer Name	(2110,0030)
Failure	4	Execution Status Info	(2100,0030)
		Print Job ID	(2100,0010)
		Film Session Label	(2000,0050)
		Printer Name	(2110,0030)

If the Event Type is Failure or Pending then the error/pending condition is sent to the SCU through the Execution Status Info element (2100,0030), as described in Table E.4.2-35.

When the Event Type is Done or Printing the Print Server is deleting the Print Job SOP Instance after receiving a confirmation from the Print SCU.

E.4.2.1.4.1.3.4.2 Specific Conformance for Print Job N-GET

The EXAMPLE-PRINT-SERVER-MANAGEMENT support the Print Job N-GET requests. When a Print SCU needs to monitor the status of a print job, it can either maintain its association until the Print Server Management System notifies the SCU that the print job has completed, or it may open a new association with the Print Server Management System to track the print job using the Print Job SOP Class N-GET status.

The following table describes the Print Server Management System responds to a N-GET Print Job DIMSE Service request and returns the following attributes in support of Print Job SOP Class.

Table E.4.2-36. Print Job SOP Class N-GET Request Attributes

Attribute Name	Tag	VR	Value	Presence of Value	Source
Execution Status	(2100,0020)	CS	PENDING PRINTING DONE FAILURE	ALWAYS	Printer
Print Priority	(2000,0020)	CS	HIGH MED LOW	ANAP	Printer
Printer Name	(2110,0030)	LO	Any value up to 16 characters in length. Chosen by user at time of installation	ANAP	Printer
Originator	(2100,0070)	AE	16 bytes string for the SCU AE title that issued the print operation	ANAP	Printer
Creation Date	(2100,0040)	DA	8 bytes Date format string: YYYYMMDD for the Date of print job creation	ANAP	Printer
Creation Time	(2100,0050)	TM	Up to 16 bytes Time string format: hhmmss.fraction for Time of print job creation	ANAP	Printer
Execution Status Info	(2100,0030)	LO	If PRINTING or DONE: NORMAL If PENDING: QUEUED PROC INIT PROC DOWN PRINTER INIT CALIBRATION ERR PROC OVERFLOW FL CHEMICALS EMPTY CHECK CHEMISTRY PROC OVERFLOW HI CHEMICALS LOW BAD SUPPLY MGZ NO SUPPLY MGZ SUPPLY MGZ ERR SUPPLY EMPTY SUPPLY LOW RECEIVER FULL NO RECEIVE MGZ CALIBRATION ERR COVER OPEN FILM JAM If FAILURE: JOB CANCELED INVALID PAGE DES ELEC SW ERROR UNKNOWN	ALWAYS	Printer

The following table describes the status codes and behavior of the Print Server reply in response to Print Job N-GET requested by the Print SCU:

Table E.4.2-37. Print Job SOP Class N-GET Response Status Handling Behavior

Service Status

Further Meaning

Error Code

Behavior

Success

0000

The request is successful; printer information is returned.

Warning

Attributes not recognized

0107

Attributes not recognized within the context of this SOP class.

A list of offending attribute tags is returned in Attribute List (0000,1005).

A Data Set is still returned with valid attributes/values.

Failure

No such object instance

0112

The instance UID given does not exist.

E.4.2.1.4.1.3.5 Specific Conformance for Presentation LUT Box SOP Class

The Print Server Management System supports the Presentation LUT SOP class as SCP. Print SCU may negotiate this support and create a Presentation LUT instance prior to the creation of Film Boxes or Image Boxes. Multiple Presentation LUT instances are supported in an association, but only one instance will be supported for each image.

The SCU shall send either Presentation LUT Sequence or the Presentation LUT Shape. These values are mutually exclusive and the action will result in an error if neither or both are present. The presence of the Presentation LUT instance overrides any Data Set in the Configuration Information attribute (2010,0150) of the Film Box or Image Box.

The Print Server Management System provides support for the following DIMSE Services:

N-CREATE
N-DELETE

E.4.2.1.4.1.3.5.1 Presentation LUT Box SOP Class Operation for N-CREATE

The Print Server Management System supports the following attributes of the

N-CREATE DIMSE Service of the Presentation LUT SOP Class:

Table E.4.2-38. Presentation LUT SOP Class N-CREATE Request Attributes

Attribute & Usage	Tag	Supported Values	Default Values if not sent by SCU or invalid value received	Response to Invalid Value
Presentation LUT Sequence	(2050,0010)		None.
>LUT Descriptor	(0028,3002)	The first value is the number of entries in the lookup table The second value represents the first mapped value of the LUT. The third value shall be 10-16 (which represents the bit depth of each LUT entries.	First value should be the number of LUT entries. Second value should be 0 The third value default is 12.	Failure (0x0106)
>LUT Explanation	(0028,3003)		None.	NA
>LUT Data	(0028,3006)		None.
Presentation LUT Shape	(2050,0020)	Enumerated values: IDENTITY or LIN OD.	None.	Failure (0x0107)

The Print Server Management behavior and specific status codes sent for the N-CREATE of a specific Presentation LUT is described in the following table:

Table E.4.2-39. Presentation LUT SOP Class N-CREATE Response Status Handling Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	The SCP has completed successfully the creation of the Presentation LUT.
Warning	Requested Min Density or Max Density outside of printer's operating range	B605H	The N-CREATE operation is considered successful but the status meaning is logged.
Failure	Invalid LUT Descriptor values	0106	Reject the Presentation LUT
Failure	Invalid Presentation LUT Shape value	0107	Reject the Presentation LUT Shape
Failure	Send both Presentation LUT and Presentation LUT Shape	0108	Reject both the Presentation LUT and Presentation LUT Shape.

E.4.2.1.4.1.3.5.2 Presentation LUT Box SOP Class Operation for N-Delete

When a N-DELETE DIMSE service is requested with a specific Presentation LUT SOP instance, the Print Server Management System will not delete the specified Presentation LUT SOP instance as long as there are outstanding references to it. Otherwise, it deletes the specified Presentation LUT SOP instance.

E.4.2.1.4.1.3.5.3 Consistent Presentation of Grayscale Images

The EXAMPLE-PRINT-SERVER-MANAGEMENT supports the DICOM standard (PS3.14) Grayscale Standard Display Function (GSDF) for Consistent Presentation of Displayed and Printed Images. The Image Consistency is achieved through the support of the Presentation LUT (transforming the image pixels value in to the Standard Presentation P-values) and then Transforming the Image pixel values from the standard Presentation (P-value) space to the Optical Density space. Calibrating the Imager Printer Device to adjust the Printer Imager characteristic curve to fit the GSDF curve. The EXAMPLE-PRINT-SERVER-MANAGEMENT Service Manual describes in details the Imager Printer calibration to the DICOM GSDF curve.

E.4.2.1.4.1.3.6 Specific Conformance for Printer Configuration SOP Class

The EXAMPLE-PRINT-SERVER-MANAGEMENT is supporting the Printer Configuration N-GET requested by the Print SCU. The following table describes the Printer Configuration attributes:

Table E.4.2-40. Printer Configuration SOP Class N-GET Response Attributes

Attribute Name	Tag	VR	Value	Presence of Value	Source
Printer Configuration Sequence	(2000,001E)	SQ	Sequence of the configuration attributes	ALWAYS	Printer
>SOP Classes Supported	(0008,115A)	UI	SOP Class supported UID.	ANAP	Printer
>Maximum Memory Allocation	(2000,0061)	IS	See Film (page) sizes	ANAP	Printer
>Memory Bit Depth	(2000,00A0)	US	8 through 16	ANAP	Printer
>Printing Bit Depth	(2000,00A1)	US	8 or 12	ANAP	Printer
>Media Installed Sequence	(2000,00A2)	SQ		ANAP	Printer
>>Item Number	(0020,0019)	IS		ANAP	Printer
>>Medium Type (See Note 1)	(2000,0030)	CS	BLUE FILM, CLEAR FILM, PAPER CURRENT	ANAP	Printer
>>Film Size ID (See Note 1)	(2010,0050)	CS	8INX10IN 11INX14IN 14INX17IN CURRENT	ANAP	Printer
>>Min Density	(2010,0120)	US	0..50	ANAP	Printer
>>Max Density	(2010,0130)	US	0..400	ANAP	Printer
>Supported Image Display Formats Sequence	(2000,00A8)	SQ		ANAP	Printer
>>Rows	(0028,0010)	US	1 to Max Film rows	ANAP	Printer
>>Columns	(0028,0011)	US	1 to max Film columns	ANAP	Printer
>>Image Display Format	(2010,0010)	ST	STANDARD\C,R ROW\R1,R2,R3 COL\C1,C2,C3	ANAP	Printer
>>Film Orientation	(2010,0040)	CS	PORTRAIT LANDSCAPE	ANAP	Printer
>>Film Size ID (See Note 1)	(2010,0050)	CS	8INX10IN 11INX14IN 14INX17IN CURRENT	ANAP	Printer
>>Printer Resolution ID	(2010,0052)	CS	STANDARD HIGH	ANAP	Printer
>>Printer Pixel Spacing	(2010,0376)	DS	Pair of decimal numbers	ANAP	Printer
>>Requested Image Size Flag	(2020,00A0)	CS	YES NO	ANAP	Printer
>Default Printer Resolution ID	(2010,0054)	CS	STANDARD HIGH	ANAP	Printer
>Default Magnification Type	(2010,00A6)	CS	REPLICATE BILINEAR CUBIC NONE	ANAP	Printer
>Default Smoothing Type	(2010,00A8)	CS	0-15, the value is laser specific.	ANAP	Printer
>Maximum Collated Films	(2010,0154)	IS	1..100	ANAP	Printer
>Decimate/Crop Result	(2020,00A2)	CS	DECIMATE CROP FAIL	ANAP	Printer
>Manufacturer	(0008,0070)	LO	Any value up to 16 characters in length. Chosen by user at time of installation	ANAP	Printer
>Manufacturer Model Name	(0008,1090)	LO	Any value up to 16 characters in length. Chosen by user at time of installation	ANAP	Printer
>Printer Name	(2110,0030)	LO	Any value up to 16 characters in length. Chosen by user at time of installation	ANAP	Printer

Note

See the addition value "CURRENT" in Section E.8.5.1

E.4.3 Network Interfaces

E.4.3.1 Physical Network Interface

The EXAMPLE-PRINT-SERVER-MANAGEMENT supports a single network interface. One of the following physical network interfaces will be available depending on installed hardware options:

Table E.4.3-1. Supported Physical Network Interfaces

Ethernet 100baseT

Ethernet 10baseT

E.4.3.2 Additional Protocols

DHCP can be used to obtain TCP/IP network configuration information (e.g., own TCP/IP address, net-mask, default gateway, DNS server, etc). Support for DHCP can be configured via the Configuration Service/Installation Tool. . If DHCP is not in use, TCP/IP network configuration information can be manually configured via the Service/Installation Tool.

DNS can be used for address resolution. If DHCP is not in use, the identity of a DNS server can be configured via the Service/Installation Tool. If a DNS server is not in use, local mapping between hostname and TCP/IP address can be manually configured via the Service/Installation Tool.

E.4.3.3 IPv4 and IPv6 Support

This product supports both IPv4 and IPv6. It does not utilize any of the optional configuration identification or security features of IPv6.

E.4.4 Configuration

E.4.4.1 AE Title/Presentation Address Mapping

E4.4.1.1 Local AE Titles

All local applications use the AETs and TCP/IP Ports configured via the Service/Installation Tool. The Field Service Engineer can configure the IP Address via the Service/Installation Tool. No Default AE Titles are provided. The AE Titles must be configured during installation. The local AET used by each individual application can be configured independently of the AET used by other local applications. If so configured, all local AEs are capable of using the same AET.

The EXAMPLE-PRINT-SERVER-MANAGEMENT is configured via the Configuration Service/Installation Tool as follows

Table E.4.4-1. AE Title Configuration Table

Application Entity	Default AE Title	Default TCP/IP Port
PRINT-SCP	Must be configured	104

E.4.4.1.2 Remote AE Title/Presentation Address Mapping

The AET, host names and port numbers of remote applications are configured using the EXAMPLE-PRINT-SERVER-MANAGEMENT Service/Installation Tool.

E.4.4.1.2.1 Print Server Management

The EXAMPLE-PRINT-SERVER-MANAGEMENT Service/Installation tool must be used to set the AETs, port-numbers, host-names, Local Network Host Name, Router Address(Gateway), Sub-net Mask, IP-addresses (if no DHCP is used) and other capabilities for the remote Print SCUs. Multiple remote Print SCUs can be defined.

E.4.4.2 Parameters

A large number of parameters related to Print Management, Communications and general operation can be configured using the Service/Installation Tool. The following table shows those configuration parameters relevant to DICOM communication. See the EXAMPLE-PRINT-SERVER-MANAGEMENT Configuration Service Manual for details on general configuration capabilities.

Table E.4.4-2. Configuration Parameters Table

Parameter	Configurable (Yes/No)	Default Value
General Parameters
Max PDU Receive Size	Yes	128 KB
Max PDU Send 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 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)	Yes	128 KB
Time-out waiting for a acceptance or rejection response to an Association Request (Application level Timeout).	Yes	20 s
Time-out waiting for a response to an Association release request (Application level Timeout)	Yes	30 s
Time-out waiting for completion of a TCP/IP connect request (Low-level timeout)	Yes	20 s
Time-out awaiting a Response to a DIMSE Request (Low level Timeout)	Yes	360 s
Time-out for waiting for data between TCP/IP-packets (Low level Timeout)	Yes	30 s
Maximum number of simultaneous Associations	Yes	8
Supported Transfer Syntaxes	Yes	Implicit VR Little Endian Explicit VR Little Endian
Print Server Management
Default Print parameters: Max density, Min Density, Contrast, Border Density, Trim, Magnification type, Smoothing factor, Polarity, Number of Copies, Cropping Algorithm, Orientation.	Yes	Configurable
Number of times a failed print-job may be retried	Yes	3
Delay between retrying failed print-jobs	Yes	60s
Printer Bit-depth Configurable: 8 or 12	Yes	12
Custom Format	No	NA
Media Type: Transparent (Film), Reflective (Paper)	Yes	Transparent
Media size Configurable: 8IN X 10IN 11IN X 14IN 14IN X 14IN 14IN X 17IN	Yes	14IN X 17IN
Maximum number of printable pixel matrix per supported Media size; see Note	No	8x10 - 2286x2836 11x14 - 4096x3195 14x14 - 4096x4108 14x17 - 4096x5120
Maximum number of collated films in a film session	Yes	12
Support N-EVENT-REPORT (On/Off for either Printer, Print Job or both).	Yes	On
Handling of print jobs when requested Media Type and/or Film Size are not currently installed. The options are: Queue the print job until the film matching the requested Media Type and/or Film Size is loaded. Print on the film currently loaded in the printer.	Yes	Print on available media
Print SCP time-out waiting for a SCU confirmation to a Print Status N-EVENT-REPORT	Yes	60 s
Print SCP time-out waiting for a SCU confirmation to a Print Job N-EVENT-REPORT	Yes	60 s
Supported Transfer Syntaxes (separately configurable for each remote SCU printer)	Yes	Implicit VR Little Endian Explicit VR Little Endian

Note

The adjustment (Magnification or Clipping) of the original image to the Printable image size is described in the Printer Service Manual.

E.5 Media Interchange

The EXAMPLE-PRINT-SERVER-MANAGEMENT does not support Media Storage.

E.6 Support of Character Sets

The EXAMPLE-PRINT-SERVER-MANAGEMENT supports the following Character sets:

ISO_IR 100 (ISO 8859-1:1987 Latin Alphabet No. 1 supplementary set)

ISO_IR 144 (ISO 8859-5:1988 Latin/Cyrillic Alphabet supplementary set)

E.7 Security

The EXAMPLE-PRINT-SERVER-MANAGEMENT does not support any specific security measures.

E.8 Annexes

E.8.1 IOD Contents

E.8.1.1 Created IOD Instance(s)

The EXAMPLE-PRINT-SERVER-MANAGEMENT creates the following IOD types of instances: Image Boxes, Annotation Boxes, Print Jobs, Printer, and Printer Configuration.

The attributes of the created IODs are described in the SOP Specific Conformance, Section E.4.2.1.4.1.3.

E.8.1.2 Usage of Attributes From Received IODs

The usage of attributes received in the IODs sent by the Print SCU is described in the SOP Specific Conformance, Section E.4.2.1.4.1.3.

E.8.1.3 Attribute Mapping

The following table is a mapping table of attributes that can be set by different Print IODs. If more then one IOD is setting the same element, then the value will be over-written by the IOD's value in the order from left to right, such that the Printer Configuration (PC) specific element values (as described in the mapping table #45) is in lowest order might be overwritten by any other IOD.

Table E.8.1-1. Print Server Attribute Mapping

Attribute Name	Tag	PC	FS	FB	IB	PI	PJ
Print Priority	(2000,0020)		X				X
Medium Type	(2000,0030)	X	X
Image Display Format	(2010,0010)	X		X	X
Film Orientation	(2010,0040)	X		X
Film Size ID	(2010,0050)	X		X
Magnification Type	(2010,0060)			X	X
Smoothing Type	(2010,0080)			X	X
Min Density	(2010,0120)	X		X
Max Density	(2010,0130)	X		X
Configuration Information	(2010,0150)			X	X
Printer Name	(2110,0030)					X	X

Print Management IODs Abbreviations

PC - Printer Configuration

FS - Film Session

FB - Film Box

IB - Image Box

PI - Printer Information

PJ - Print Job

The IODs in the above table are in the order from Left to Right over-writing values that are already set by previous IODs. For Example: the Print Priority element can be set by both the Film Session and the Print Job, however if both IODs are setting this values then the Print Job Print Priority value will over write the Film Session Print Priority value.

E.8.1.4 Coerced/Modified Fields

The EXAMPLE-PRINT-SERVER-MANAGEMENT AE will truncate attribute values received from the Print Composer (SCU) if the value length is longer than the maximum length permitted by the attribute VR.

E.8.2 Data Dictionary of Private Attributes

The EXAMPLE-PRINT-SERVER-MANAGEMENT AE System reserves private attribute values in group 2001. The private attributes added to created SOP instances are listed in the following table:

Table E.8.2-1. Data Dictionary of Private Attributes

Tag	Attribute Name	VR	VM	Attribute Description
(2001,00xx)	Private creator			PRINT SERVER_2001
(2001,xx00)	Sheets Left	IS	1	Number of sheets left in the film magazine.
(2001,xx70)	Image Tone Adjustment	LO	1	Specify tone scaling for the image

E.8.3 Coded Terminology and Templates

The EXAMPLE-PRINT-SERVER-MANAGEMENT is not using any Codes (SNOMED) or Controlled Terminology, such as the use of the DICOM Content Mapping Resource (DCMR).

E.8.4 Grayscale Image Consistency

The EXAMPLE-PRINT-SERVER-MANAGEMENT AE supports the Grayscale Standard Display Function (GSDF) as described in PS3.14, for the Printer Calibration and Hardcopy Image Consistency.

E.8.5 Standard Extended / Specialized / Private SOP Classes

E.8.5.1 Standard Extended Basic Film Session SOP Class

The EXAMPLE-PRINT-SERVER-MANAGEMENT is making the following extensions to DICOM SOP Classes:

SOP Class : Basic Film Session SOP

Attribute : Film Destination (2000,0040)

Extensions value : CURRENT

This extension allows the SCU to print on the destination currently configured at the printer.

SOP Class : Basic Film Session SOP

Attribute : Medium Type (2000,2000)

Extensions : CURRENT

This extension allows images to be printed on whatever media type is currently loaded in the printer.

Note that if Medium Type is specified, and a media type other than that requested is installed, then the EXAMPLE-PRINT-SERVER-MANAGEMENT will return success (0x0) and will either queue the print job until the correct media type is installed, or print on the media currently installed, based on the EXAMPLE-PRINT-SERVER-MANAGEMENT configuration. Specifying the Media Type to CURRENT will ensure that the print job will always be printed.

If Medium Type is not specified, then the default CURRENT will be used, allowing images to always be printed.

E.8.5.2 Standard Extended Basic Film Box SOP Class

SOP Class : Basic Film Box SOP

Attribute : Film Size (2010,2010)

Extensions : CURRENT

This extension allows images to be printed on whatever film size is currently loaded in the printer.

Note that if Film Size is specified, and a size other than that requested is installed, the EXAMPLE-PRINT-SERVER-MANAGEMENT will return success (0x0), and will either queue the print job until the correct sized film is installed or print on the media currently installed, based on the EXAMPLE-PRINT-SERVER-MANAGEMENT configuration. Specifying the Film Size to CURRENT will ensure that the print job will always be printed.

If Film Size is not specified, then the default CURRENT will be used, allowing images to always be printed.

E.8.5.3 Standard Extended Basic Grayscale Image Box SOP Class

SOP Class : Basic Grayscale Image Box SOP

Attribute : Bits Stored (0028,0028)

Extensions : 8-16 bits stored are supported.

DICOM only specifies 8 and 12 for number of bits stored. The EXAMPLE-PRINT-SERVER-MANAGEMENT supports the number of bits stored to be from 8 through 16 bits.

SOP Class : Basic Grayscale Image Box SOP

Attribute : High Bit (0028,0028)

Extensions : High Bit positions 7 - 15 are supported.

DICOM specifies that the high bit must be the 7th or 11th bit (for 8 or 12 bits stored, respectively). The EXAMPLE-PRINT-SERVER-MANAGEMENT supports the high bit to be the number of bits stored minus one. For example, if the number of bits stored is 13, the high bit is 12.

E.8.6 Private Transfer Syntaxes

No Private Transfer Syntaxes is supported.

F DICOM Conformance Statement Query-Retrieve-Server (Informative)

Disclaimer:

This document is an example DICOM Conformance Statement for a fictional device called EXAMPLE-QUERY-RETRIEVE-SERVER, which is a self-contained networked computer system used for archiving diagnostic medical images.

F.0 Cover Page

Company Name: EXAMPLE-ARCHIVING-PRODUCTS.

Product Name: SAMPLE QUERY-RETRIEVE-SERVER

Version: 1.0-rev. A.1

Internal document number: 4226-xxx-yyy-zzz rev 1

Date: YYYYMMDD

F.1 Conformance Statement Overview

The EXAMPLE-QUERY-RETRIEVE-SERVER is a self-contained networked computer system used for archiving diagnostic medical images. It allows external systems to send images to it for permanent storage, retrieve information about such images, and retrieve the images themselves. The system conforms to the DICOM standard to allow the sharing of medical information with other digital imaging systems.

Table F.1-1. Network Services

SOP Classes	User of Service (SCU)	Provider of Service (SCP)
Transfer
US Image Storage (Retired)	Yes	Yes
US Image Storage	Yes	Yes
US Multi-frame Storage (Retired)	Yes	Yes
US Multi-frame Storage	Yes	Yes
Computed Radiography Image Storage	Yes	Yes
CT Image Storage	Yes	Yes
MR Image Storage	Yes	Yes
Secondary Capture Image Storage	Yes	Yes
Storage Commitment
Storage Commitment Push Model	No	Yes
Query/Retrieve
Patient Root Q/R - FIND	No	Yes
Patient Root Q/R - MOVE	No	Yes
Study Root Q/R - FIND	No	Yes
Study Root Q/R - MOVE	No	Yes

Note

Relational Queries are not supported either as an SCU or SCP.

F.2 Table of Contents

A table of contents shall be provided to assist readers in easily finding the needed information.

F.3 Introduction

F.3.1 Revision History

Table F.3.1-1. Revision History

Document Version	Date	Author	Description
1.1	October 30, 2003	DICOM WG6	Version for Final Text
1.2	August 30, 2007	WG 6	Revised Introduction

F.3.2 Audience, Remarks, Terms and Definitions, Basics of DICOM Communication, Abbreviations, References

See example text in Section A.3.

F.3.3 Additional Remarks for This Example

This document is a sample DICOM Conformance Statement created for DICOM PS3.2. It is to be used solely as an example to illustrate how to create a DICOM Conformance Statement for an image storage system supporting DICOM images. The subject of the document, EXAMPLE-QUERY-RETRIEVE-SERVER, is a fictional product.

F.4 Networking

F.4.1 Implementation Model

F.4.1.1 Application Data Flow

The division of EXAMPLE-QUERY-RETRIEVE-SERVER into the separate DICOM Application Entities represents a somewhat arbitrary partitioning of functionality. For the purpose of this document they are organized in this manner so as to detail their independent logical functionality.

By default all of the defined Application Entities have different AE Titles. However, EXAMPLE-QUERY-RETRIEVE-SERVER can be configured so that the QUERY-RETRIEVE-SCP AE and STORAGE-SCU AE share the same Application Entity Title. However, the QUERY-RETRIEVE-SCP AE and STORAGE-SCP AE must have separate Application Entity Titles.

Figure F.4.1-1. Example-Query-Retrieve-Server DICOM Data Flow Diagram

The Application Entities detailed in the Application Data Flow Diagram are all Windows NT applications.

The STORAGE-SCU AE can send Composite SOP Instances. It handles requests from the QUERY-RETRIEVE-SCP AE to transmit Images to a specific DICOM destination. The STORAGE-SCU AE functions as a C-STORE SCU. (Note that in this example Conformance Statement this STORAGE-SCU AE does not allow a Local User to request that images be sent to a Remote AE. If a 'real' AE does allow this then this should be mentioned here and in the other appropriate areas of the Conformance Statement).
The QUERY-RETRIEVE-SCP AE can handle incoming query and retrieve requests. It can handle external queries for Patient, Study, Series, and Image data, and also handle Image retrieval requests. The QUERY-RETRIEVE-SCP AE handles retrieval requests by issuing a command to the STORAGE-SCU AE to send the requested Images to the destination specified by the Remote AE. The QUERY-RETRIEVE-SCP AE functions as an SCP for C-FIND and C-MOVE requests.
The STORAGE-SCP AE can receive incoming DICOM images and add them to the EXAMPLE-QUERY-RETRIEVE-SERVER database. It can respond to external Storage and Verification Requests as a Service Class Provider (SCP) for C-STORE and C-ECHO requests. The STORAGE-SCP AE can also handle Storage Commitment Push Model Requests. It can thus be used to query whether the EXAMPLE-QUERY-RETRIEVE-SERVER will confirm ownership and responsibility for specific Composite SOP Instances. The STORAGE-SCP AE currently only supports image type Composite SOP Instances.

F.4.1.2 Functional Definition of AEs

F.4.1.2.1 Functional Definition of STORAGE-SCU Application Entity

The STORAGE-SCU AE can be invoked by the QUERY-RETRIEVE-SCP AE to trigger the transfer of specific images to a remote destination AE. The STORAGE-SCU AE must be correctly configured with the host and port number of any external DICOM AEs that are to be C-MOVE retrieval destinations. The Presentation Contexts to use are determined from the headers of the DICOM files to be transferred. Some conversion of the DICOM image objects is possible if the original Presentation Context is not supported by the remote destination AE or if compression is preferred.

F.4.1.2.2 Functional Definition of QUERY-RETRIEVE-SCP Application Entity

The QUERY-RETRIEVE-SCP AE waits for another application to connect at the presentation address configured for its Application Entity Title. When another application connects, QUERY-RETRIEVE-SCP AE expects it to be a DICOM application. QUERY-RETRIEVE-SCP AE will accept Associations with Presentation Contexts for SOP Classes of the DICOM Query-Retrieve Service Class, and Verification Service Class. It will handle query and retrieve requests on these Presentation Contexts and respond with data objects with values corresponding to the contents of the EXAMPLE-QUERY-RETRIEVE-SERVER database. For C-MOVE requests the destination for the image objects is determined from the Destination AE Title contained in the C-MOVE request. When a retrieval request is received, the QUERY-RETRIEVE-SCP AE issues a command to the STORAGE-SCU AE to send the specified images to the C-MOVE Destination AE.

F.4.1.2.3 Functional Definition of STORAGE-SCP Application Entity

The STORAGE-SCP AE waits for another application to connect at the presentation address configured for its Application Entity Title. When another application connects, the STORAGE-SCP AE expects it to be a DICOM application. The STORAGE-SCP AE will accept Associations with Presentation Contexts for SOP Classes of the Verification, Storage, and Storage Commitment Service Classes. Any images received on such Presentation Contexts will be added to the EXAMPLE-QUERY-RETRIEVE-SERVER database. If a Storage Commitment Push Model N-ACTION Request is received then the STORAGE-COMMITMENT-SCP AE will immediately check if the referenced Composite SOP Instances are in the EXAMPLE-QUERY-RETRIEVE-SERVER database and return an N-EVENT-REPORT Notification. It will never 'cache' Storage Commitment Push Model Requests and wait for Composite SOP Instances to be received at a later time.

F.4.1.3 Sequencing of Real-World Activities

The only sequencing constraint that exists across all the EXAMPLE-QUERY-RETRIEVE-SERVER Application Entities is the fact that a Composite SOP Instance must be received by the STORAGE-SCP AE before Storage Commitment Push Model or Query-Retrieve Requests related to this SOP Instance can be successfully handled:

Figure F.4.1-2. Sequencing Constraints

Note that the only constraint is for the Composite SOP Instance to be received prior to the other events. For example, it is not necessary for the Storage Commitment Push Model Request to be received prior to receiving Query or Retrieval Requests related to the SOP Instance.

F.4.2 AE Specifications

F.4.2.1 STORAGE-SCU Application Entity Specification

F.4.2.1.1 SOP Classes

The STORAGE-SCU AE provides Standard Conformance to the following DICOM SOP Classes:

Table F.4.2-1. SOP Classes for STORAGE-SCU AE

SOP Class Name	SOP Class UID	SCU	SCP
Verification	1.2.840.10008.1.1	Yes	No
US Image Storage (Retired)	1.2.840.10008.5.1.4.1.1.6	Yes	No
US Image Storage	1.2.840.10008.5.1.4.1.1.6.1	Yes	No
US Multi-frame Storage (Retired)	1.2.840.10008.5.1.4.1.1.3	Yes	No
US Multi-frame Storage	1.2.840.10008.5.1.4.1.1.3.1	Yes	No
Computed Radiography Image Storage	1.2.840.10008.5.1.4.1.1.1	Yes	No
CT Image Storage	1.2.840.10008.5.1.4.1.1.2	Yes	No
MR Image Storage	1.2.840.10008.5.1.4.1.1.4	Yes	No
Secondary Capture Image Storage	1.2.840.10008.5.1.4.1.1.7	Yes	No

STORAGE-SCU AE can be configured to use the retired US Image objects (US Image Storage, 1.2.840.10008.5.1.4.1.1.6, and US Multi-frame Storage, 1.2.840.10008.5.1.4.1.1.3) rather than the current US SOP Classes for ultrasound images or vice-versa, making any necessary changes to make the transformed image objects conformant to the corresponding SOP Class. This is only done if the external Storage SCP AE does not support the SOP Instance's original SOP Class.

By altering the configuration it is possible to support additional or fewer SOP Classes.

F.4.2.1.2 Association Establishment Policies

F.4.2.1.2.1 General

The STORAGE-SCU AE can only form Associations when requested to do so by the QUERY-RETRIEVE-SCP AE. The STORAGE-SCU AE can only request the opening of an Association. It cannot accept requests to open Associations from external Application Entities.

The DICOM standard Application Context Name for DICOM is always proposed:

Table F.4.2-2. DICOM Application Context for STORAGE-SCU AE

Application Context Name

1.2.840.10008.3.1.1.1

F.4.2.1.2.2 Number of Associations

The maximum number of simultaneous Associations is configurable, but is usually limited to a maximum of 10. This configuration largely depends on whether relatively quick response to multiple simultaneous C-MOVE Destination AEs is required or maximum throughput performance is required. If the latter is the case, then no simultaneous Associations are permitted, in order to reduce disk thrashing and thus maximize throughput. The STORAGE-SCU AE can initiate simultaneous Associations to a given external C-MOVE Destination AE up to the maximum number configured. There is no separate limit on the maximum number permitted to the same C-MOVE Destination AE.

If the first attempt to open an Association fails then the STORAGE-SCU AE will reschedule the task to attempt it again after a configurable time delay. The number of times to reattempt Association establishment is configurable, with the default being zero.

Table F.4.2-3. Number of Associations as a SCU for STORAGE-SCU AE

Maximum number of simultaneous Associations

10 (Configurable)

F.4.2.1.2.3 Asynchronous Nature

The STORAGE-SCU AE does not support asynchronous communication (multiple outstanding transactions over a single Association). All Association requests must be completed and acknowledged before a new operation can be initiated.

Table F.4.2-4. Asynchronous Nature as a SCU for STORAGE-SCU AE

Maximum number of outstanding asynchronous transactions

1 (Not Configurable)

F.4.2.1.2.4 Implementation Identifying Information

Table F.4.2-5. DICOM Implementation Class and Version for STORAGE-SCU AE

Implementation Class UID	1.840.xxxxxxx.yyy.etc…
Implementation Version Name	EX_VERS_01

Note that the STORAGE-SCU AE and QUERY-RETRIEVE-SCP AE use the same Implementation Class UID. All EXAMPLE-QUERY-RETRIEVE-SERVER AEs use the same Implementation Version Name. This Version Name is updated with each new release of the product software, as the different AE versions are never released independently.

F.4.2.1.3 Association Initiation Policy

F.4.2.1.3.1 Activity - Send Images Requested By an External Peer AE

F.4.2.1.3.1.1 Description and Sequencing of Activity

The STORAGE-SCU AE will initiate a new Association when the QUERY-RETRIEVE-SCP AE invokes the STORAGE-SCU AE to transmit images. The QUERY-RETRIEVE-SCP AE will issue such a command whenever it receives a valid C-MOVE Request. An Association Request is sent to the specified C-MOVE Destination AE and upon successful negotiation of the required Presentation Context the image transfer is started. In all cases an attempt will be made to transmit all the indicated images in a single Association, but this may not always be possible. The Association will be released when all the images have been sent. If an error occurs during transmission over an open Association then the image transfer is halted. The STORAGE-SCU AE will not attempt to independently retry the image export.

Note that the STORAGE-SCU AE does not support the unsolicited sending of SOP Instances using the DICOM Storage Service Class. It will only send SOP Instances in response to a C-MOVE Request from a peer AE.

Figure F.4.2-1. Sequencing of Activity - Send Images Requested By an External Peer AE

The following sequencing constraints illustrated in Figure F.4.2-1 apply to the STORAGE-SCU AE:

Peer AE requests retrieval of Study, Series, or Images from QUERY-RETRIEVE-SCP AE (C-MOVE-RQ).
QUERY-RETRIEVE-SCP AE signals STORAGE-SCU AE to send the image Composite SOP Instances indicated in the C-MOVE-RQ to the C-MOVE Destination AE.
STORAGE-SCU AE opens a new Association with the indicated C-MOVE Destination AE.
STORAGE-SCU AE sends the indicated Composite SOP Instances.
STORAGE-SCU AE closes the Association.
The Verification Service is only supported as a utility function for Service staff. It is used only as a diagnostic tool.

F.4.2.1.3.1.2 Proposed Presentation Contexts

STORAGE-SCU AE will propose Presentation Contexts as shown in the following table:

Table F.4.2-6. Proposed Presentation Contexts By the STORAGE-SCU AE

Presentation Context Table
Abstract Syntax	Transfer Syntax	Role	Ext. Neg.
Name	UID	Name	UID
Verification	1.2.840.10008.1.1	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCU	None
US Image Storage (Retired)	1.2.840.10008.5.1.4.1.1.6	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCU	None
US Image Storage (Retired)	1.2.840.10008.5.1.4.1.1.6	DICOM Explicit VR Little Endian	1.2.840.10008.1.2.1	SCU	None
US Image Storage (Retired)	1.2.840.10008.5.1.4.1.1.6	DICOM Explicit JPEG baseline lossy compression	1.2.840.10008.1.2.4.50	SCU	None
US Image Storage	1.2.840.10008.5.1.4.1.1.6.1	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCU	None
US Image Storage	1.2.840.10008.5.1.4.1.1.6.1	DICOM Explicit VR Little Endian	1.2.840.10008.1.2.1	SCU	None
US Image Storage	1.2.840.10008.5.1.4.1.1.6.1	DICOM Explicit JPEG baseline lossy compression	1.2.840.10008.1.2.4.50	SCU	None
US Multi-frame Storage (Retired)	1.2.840.10008.5.1.4.1.1.3	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCU	None
US Multi-frame Storage (Retired)	1.2.840.10008.5.1.4.1.1.3	DICOM Explicit VR Little Endian	1.2.840.10008.1.2.1	SCU	None
US Multi-frame Storage (Retired)	1.2.840.10008.5.1.4.1.1.3	DICOM Explicit JPEG baseline lossy compression	1.2.840.10008.1.2.4.50	SCU	None
US Multi-frame Storage	1.2.840.10008.5.1.4.1.1.3.1	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCU	None
US Multi-frame Storage	1.2.840.10008.5.1.4.1.1.3.1	DICOM Explicit VR Little Endian	1.2.840.10008.1.2.1	SCU	None
US Multi-frame Storage	1.2.840.10008.5.1.4.1.1.3.1	DICOM Explicit JPEG baseline lossy compression	1.2.840.10008.1.2.4.50	SCU	None
Computer Radiography Image Storage	1.2.840.10008.5.1.4.1.1.1	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCU	None
Computer Radiography Image Storage	1.2.840.10008.5.1.4.1.1.1	DICOM Explicit VR Little Endian	1.2.840.10008.1.2.1	SCU	None
CT Image Storage	1.2.840.10008.5.1.4.1.1.2	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCU	None
CT Image Storage	1.2.840.10008.5.1.4.1.1.2	DICOM Explicit VR Little Endian	1.2.840.10008.1.2.1	SCU	None
MR Image Storage	1.2.840.10008.5.1.4.1.1.4	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCU	None
MR Image Storage	1.2.840.10008.5.1.4.1.1.4	DICOM Explicit VR Little Endian	1.2.840.10008.1.2.1	SCU	None
Secondary Capture Image Storage	1.2.840.10008.5.1.4.1.1.7	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCU	None
Secondary Capture Image Storage	1.2.840.10008.5.1.4.1.1.7	DICOM Explicit VR Little Endian	1.2.840.10008.1.2.1	SCU	None
Secondary Capture Image Storage	1.2.840.10008.5.1.4.1.1.7	DICOM Explicit JPEG baseline lossy compression	1.2.840.10008.1.2.4.50	SCU	None

Note

The SOP Classes and Transfer Syntaxes that the STORAGE-SCU AE proposes, as listed above, represent the default behavior. The STORAGE-SCU AE can be configured to propose a subset of these contexts or additional Presentation Contexts. Also, the default Behavior is to propose just a single Transfer Syntax per Presentation Context. However, this can be altered so that every proposed Presentation Context has a unique SOP Class and one or more Transfer Syntaxes. That is, the default behavior is to determine the Transfer Syntaxes the SCP can accept as opposed to which it prefers.

F.4.2.1.3.1.3 SOP Specific Conformance for Verification SOP Class

F.4.2.1.3.1.4 SOP Specific Conformance for Image SOP Classes

Composite DICOM SOP Instances are maintained as DICOM Part 10 compliant files in the EXAMPLE-QUERY-RETRIEVE-SERVER database. The entire set of tags received with the image will be saved in EXAMPLE-QUERY-RETRIEVE-SERVER; this includes all Private and SOP Extended Elements. When a SOP Instance is selected for export from EXAMPLE-QUERY-RETRIEVE-SERVER, its content will be exported as it was originally received except for a few possible exceptions. Some of the Patient demographic and Study information Elements whose values can have been altered due to changes administered on EXAMPLE-QUERY-RETRIEVE-SERVER or changes to the state of the image data due to compression can be altered when the SOP Instance is exported.

The Patient demographic and Study information can be entered or altered by several means: manually, or from HL7 messaging,. The replacement behavior depends on which specific DICOM and HL7 services are supported. Also, this behavior is configurable. Values can be altered without changing the SOP Instance UID unless otherwise noted. Refer to the Annex for the specific details of which Elements can have their values altered at time of export.

The EXAMPLE-QUERY-RETRIEVE-SERVER creates files called Service Logs that can be used to monitor their status and diagnose any problems that may arise. If any error occurs during DICOM communication then appropriate messages are always output to these Service Logs. In addition, error messages may be output as alerts to the User Interface in certain cases.

The STORAGE-SCU AE will exhibit the following Behavior according to the Status Code value returned in a C-STORE Response from a destination C-STORE SCP:

Table F.4.2-7. STORAGE-SCU AE C-STORE Response Status Handling Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	The SCP has successfully stored the exported SOP Instance. A message is sent to the QUERY-RETRIEVE-SCP AE indicating successful export. The QUERY-RETRIEVE-SCP AE will send the appropriate PENDING or SUCCESS Status in the C-MOVE Response. Success indication message is output to the Service Logs. No message is posted to the User Interface.
Refused	Out of Resources	A700 -A7FF	This is treated as a permanent Failure. A message is sent to the QUERY-RETRIEVE-SCP AE indicating an export failure and the Association is released. The QUERY-RETRIEVE-SCP AE will send an appropriate Status in the C-MOVE Response. Error indication message is output to the Service Logs. No message is posted to the User Interface.
Error	Data Set does not match SOP Class	A900 -A9FF	This is treated as a permanent Failure. A message is sent to the QUERY-RETRIEVE-SCP AE indicating an export failure and the Association is released. The QUERY-RETRIEVE-SCP AE will send an appropriate Status in the C-MOVE Response. Error indication message is output to the Service Logs. No message is posted to the User Interface.
Error	Cannot Understand	C000 -CFFF	This is treated as a permanent Failure. A message is sent to the QUERY-RETRIEVE-SCP AE indicating an export failure and the Association is released. The QUERY-RETRIEVE-SCP AE will send an appropriate Status in the C-MOVE Response. Error indication message is output to the Service Logs. No message is posted to the User Interface.
Warning	Coercion of Data Elements	B000	Image transmission is considered successful. A message is sent to the QUERY-RETRIEVE-SCP AE indicating successful export. The QUERY-RETRIEVE-SCP AE will send the appropriate PENDING or SUCCESS Status in the C-MOVE Response. Warning indication message is output to the Service Logs. No message is posted to the User Interface.
Warning	Data Set does not match SOP Class	B007	Image transmission is considered successful. A message is sent to the QUERY-RETRIEVE-SCP AE indicating successful export. The QUERY-RETRIEVE-SCP AE will send the appropriate PENDING or SUCCESS Status in the C-MOVE Response. Warning indication message is output to the Service Logs. No message is posted to the User Interface.
Warning	Elements Discarded	B006	Image transmission is considered successful. A message is sent to the QUERY-RETRIEVE-SCP AE indicating successful export. The QUERY-RETRIEVE-SCP AE will send the appropriate PENDING or SUCCESS Status in the C-MOVE Response. Warning indication message is output to the Service Logs. No message is posted to the User Interface.
Warning	Attribute List Error	0107	Image transmission is considered successful. A message is sent to the QUERY-RETRIEVE-SCP AE indicating successful export. The QUERY-RETRIEVE-SCP AE will send the appropriate PENDING or SUCCESS Status in the C-MOVE Response. Warning indication message is output to the Service Logs. No message is posted to the User Interface.
Warning	Attribute Value Out of Range	0116	Image transmission is considered successful. A message is sent to the QUERY-RETRIEVE-SCP AE indicating successful export. The QUERY-RETRIEVE-SCP AE will send the appropriate PENDING or SUCCESS Status in the C-MOVE Response. Warning indication message is output to the Service Logs. No message is posted to the User Interface.
*	*	Any other status code.	This is treated as a permanent Failure. A message is sent to the QUERY-RETRIEVE-SCP AE indicating an export failure and the Association is released. The QUERY-RETRIEVE-SCP AE will send an appropriate Status in the C-MOVE Response. Error indication message is output to the Service Logs. No message is posted to the User Interface.

All Status Codes indicating an error or refusal are treated as a permanent failure. The STORAGE-SCU AE never automatically resends images when an error Status Code is returned in a C-STORE Response. For specific behavior regarding Status Code values returned in C-MOVE Responses, refer to the Services Supported as an SCP by the QUERY-RETRIEVE-SCP AE.

Table F.4.2-8. STORAGE-SCU AE Communication Failure Behavior

Exception

Behavior

Timeout expiry for an expected DICOM Message Response (DIMSE level timeout).

The Association is aborted using a DICOM A-ABORT and a message is sent to the QUERY-RETRIEVE-SCP AE indicating an export failure. The QUERY-RETRIEVE-SCP AE will send an appropriate Status in the C-MOVE Response.

Error indication message is output to the Service Logs.

No message is posted to the User Interface.

Timeout expiry for an expected DICOM PDU or TCP/IP packet (Low-level timeout).

Error indication message is output to the Service Logs.

No message is posted to the User Interface.

Association A-ABORTed by the SCP or the network layers indicate communication loss (i.e., low-level TCP/IP socket closure)

A message is sent to the QUERY-RETRIEVE-SCP AE indicating an export failure. The QUERY-RETRIEVE-SCP AE will send an appropriate Status in the C-MOVE Response.

Error indication message is output to the Service Logs.

No message is posted to the User Interface.

F.4.2.1.4 Association Acceptance Policy

The STORAGE-SCU AE does not accept Associations.

F.4.2.2 QUERY-RETRIEVE-SCP Application Entity Specification

F.4.2.2.1 SOP Classes

The QUERY-RETRIEVE-SCP AE provides Standard Conformance to the following DICOM SOP Classes:

Table F.4.2-9. SOP Classes for QUERY-RETRIEVE-SCP AE

SOP Class Name	SOP Class UID	SCU	SCP
Patient Root Q/R Information Model - FIND	1.2.840.10008.5.1.4.1.2.1.1	No	Yes
Patient Root Q/R Information Model - MOVE	1.2.840.10008.5.1.4.1.2.1.2	No	Yes
Study Root Q/R Information Model - FIND	1.2.840.10008.5.1.4.1.2.2.1	No	Yes
Study Root Q/R Information Model - MOVE	1.2.840.10008.5.1.4.1.2.2.2	No	Yes

F.4.2.2.2 Association Policies

F.4.2.2.2.1 General

The QUERY-RETRIEVE-SCP AE will never initiate Associations; it only accepts Association Requests from external DICOM AEs. The QUERY-RETRIEVE-SCP AE will accept Associations for Verification, C-FIND, and C-MOVE requests. In the case of a C-MOVE request, the QUERY-RETRIEVE-SCP AE will issue a command to the STORAGE-SCU AE to initiate an Association with the Destination DICOM AE to send images as specified by the originator of the C-MOVE Request.

The DICOM standard Application Context Name for DICOM is always accepted:

Table F.4.2-10. DICOM Application Context for QUERY-RETRIEVE-SCP AE

Application Context Name

1.2.840.10008.3.1.1.1

F.4.2.2.2.2 Number of Associations

The QUERY-RETRIEVE-SCP AE can support multiple simultaneous Associations. Each time the QUERY-RETRIEVE-SCP AE receives an Association, a child process will be spawned to process the Verification, Query, or Retrieval request. The maximum number of child processes, and thus the maximum number of simultaneous Associations that can be processed, is set by configuration. The default maximum is 10 in total. The maximum number of simultaneous Associations can be either an absolute number or a maximum number for each requesting external Application Entity. The latter flexibility can be useful if communication with one external AE is unreliable and one does not wish 'hung' connections with this AE to prevent Associations with other client AEs.

Table F.4.2-11. Number of Simultaneous Associations as a SCP for QUERY-RETRIEVE-SCP AE

Maximum number of simultaneous Associations

10 (Configurable)

F.4.2.2.2.3 Asynchronous Nature

The QUERY-RETRIEVE-SCP AE does not support asynchronous communication (multiple outstanding transactions over a single Association). All Association requests must be completed and acknowledged before a new operation can be initiated.

Table F.4.2-12. Asynchronous Nature as a SCP for QUERY-RETRIEVE-SCP AE

Maximum number of outstanding asynchronous transactions

1 (Not Configurable)

F.4.2.2.2.4 Implementation Identifying Information

The implementation information for the Application Entity is:

Table F.4.2-13. DICOM Implementation Class and Version for QUERY-RETRIEVE-SCP AE

Implementation Class UID	1.840.xxxxxxx.yyy.etc…
Implementation Version Name	EX_VERS_01

Note that the STORAGE-SCU AE, and QUERY-RETRIEVE-SCP AE use the same Implementation Class UID. All EXAMPLE-QUERY-RETRIEVE-SERVER AEs use the same Implementation Version Name. This Version Name is updated with each new release of the product software, as the different AE versions are never released independently.

F.4.2.2.3 Association Initiation Policy

The QUERY-RETRIEVE-SCP AE does not initiate Associations.

F.4.2.2.4 Association Acceptance Policy

F.4.2.2.4.1 Activity - Handling Query and Retrieval Requests

F.4.2.2.4.1.1 Description and Sequencing of Activity

The QUERY-RETRIEVE-SCP AE accepts Associations only if they have valid Presentation Contexts. If none of the requested Presentation Contexts are accepted then the Association Request itself is rejected. It can be configured to only accept Associations with certain hosts (using TCP/IP address) and/or Application Entity Titles.

If QUERY-RETRIEVE-SCP AE receives a query (C-FIND) request then the response(s) will be sent over the same Association used to send the C-FIND-Request.

If QUERY-RETRIEVE-SCP AE receives a retrieval (C-MOVE) request then the responses will be sent over the same Association used to send the C-MOVE-Request. The QUERY-RETRIEVE-SCP AE will notify the STORAGE-SCU to send the requested SOP Instances to the C-MOVE Destination. The STORAGE-SCU AE notifies the QUERY-RETRIEVE-SCP AE of the success or failure of each attempt to send a Composite SOP Instance to the peer C-MOVE Destination AE. The QUERY-RETRIEVE-SCP AE then sends a C-MOVE Response indicating this status after each attempt. Once the STORAGE-SCU AE has finished attempting to transfer all the requested SOP Instances, the QUERY-RETRIEVE-SCP AE sends a final C-MOVE Response indicating the overall status of the attempted retrieval.

Figure F.4.2-2. Sequencing of Activity - Handling Query and Retrieval Requests

The following sequencing constraints illustrated in Figure F.4.2-2 apply to the QUERY-RETRIEVE-SCP AE for handling queries (C-FIND-Requests) :

Peer AE opens an Association with the QUERY-RETRIEVE-SCP AE.
Peer AE sends a C-FIND-RQ Message
QUERY-RETRIEVE-SCP AE returns a C-FIND-RSP Message to the peer AE with matching information. A C-FIND-RSP is sent for each entity matching the identifier specified in the C-FIND-RQ. A final C-FIND-RSP is sent indicating that the matching is complete.
Peer AE closes the Association. Note that the peer AE does not have to close the Association immediately. Further C-FIND or C-MOVE Requests can be sent over the Association before it is closed.

The following sequencing constraints illustrated in Figure F.4.2-2 apply to the QUERY-RETRIEVE-SCP AE for handling retrievals (C-MOVE-Requests) :

Peer AE opens an Association with the QUERY-RETRIEVE-SCP AE.
Peer AE sends a C-MOVE-RQ Message
QUERY-RETRIEVE-SCP AE notifies the STORAGE-SCU AE to send the Composite SOP Instances to the peer C-MOVE Destination AE as indicated in the C-MOVE-RQ.
After attempting to send a SOP Instance, the STORAGE-SCU AE indicates to the QUERY-RETRIEVE-SCP AE whether the transfer succeeded or failed. The QUERY-RETRIEVE-SCP AE then returns a C-MOVE-RSP indicating this success or failure.
Once the STORAGE-SCU AE has completed all attempts to transfer the SOP Instances to the C-MOVE Destination AE, or the first failure occurred, the QUERY-RETRIEVE-SCP AE sends a final C-MOVE-RSP indicating the overall success or failure of the retrieval.
Peer AE closes the Association. Note that the peer AE does not have to close the Association immediately. Further C-FIND or C-MOVE Requests can be sent over the Association before it is closed.

The QUERY-RETRIEVE-SCP AE may reject Association attempts as shown in the table below. The Result, Source and Reason/Diag columns represent the values returned in the corresponding fields of an ASSOCIATE-RJ PDU (see Section 9.3.4 “A-ASSOCIATE-RJ PDU Structure” in PS3.8 ). The following abbreviations are used in the Source column:

1 - DICOM UL service-user
2 - DICOM UL service-provider (ASCE related function)
3 - DICOM UL service-provider (Presentation related function)

Table F.4.2-14. Association Rejection Reasons

Result	Source	Reason/Diag	Explanation
2 - rejected-transient	c	2 - local-limit-exceeded	The (configurable) maximum number of simultaneous Associations has been reached. An Association request with the same parameters may succeed at a later time.
2 - rejected-transient	c	1 - temporary-congestion	No Associations can be accepted at this time due to the real-time requirements of higher priority activities (e.g., during image acquisition no Associations will be accepted) or because insufficient resources are available (e.g., memory, processes, threads). An Association request with the same parameters may succeed at a later time.
1 - rejected-permanent	a	2 - application-context-name-not-supported	The Association request contained an unsupported Application Context Name. An association request with the same parameters will not succeed at a later time.
1 - rejected-permanent	a	7 - called-AE-title-not-recognized	The Association request contained an unrecognized Called AE Title. An Association request with the same parameters will not succeed at a later time unless configuration changes are made. This rejection reason normally occurs when the Association initiator is incorrectly configured and attempts to address the Association acceptor using the wrong AE Title.
1 - rejected-permanent	a	3 - calling-AE-title-not-recognized	The Association request contained an unrecognized Calling AE Title. An Association request with the same parameters will not succeed at a later time unless configuration changes are made. This rejection reason normally occurs when the Association acceptor has not been configured to recognize the AE Title of the Association initiator.
1 - rejected-permanent	b	1 - no-reason-given	The Association request could not be parsed. An Association request with the same format will not succeed at a later time.

F.4.2.2.4.1.2 Accepted Presentation Contexts

QUERY-RETRIEVE-SCP AE will accept Presentation Contexts as shown in the following table:

Table F.4.2-15. Accepted Presentation Contexts By the QUERY-RETRIEVE-SCP AE

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name	UID	Role	Extended Negotiation
Verification	1.2.840.10008.1.1	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
Patient Root Q/R Information Model - FIND	1.2.840.10008.5.1.4.1.2.1.1	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
Patient Root Q/R Information Model - MOVE	1.2.840.10008.5.1.4.1.2.1.2	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
Study Root Q/R Information Model - FIND	1.2.840.10008.5.1.4.1.2.2.1	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
Study Root Q/R Information Model - MOVE	1.2.840.10008.5.1.4.1.2.2.2	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None

F.4.2.2.4.1.3 SOP Specific Conformance for Query SOP Classes

The QUERY-RETRIEVE-SCP AE supports hierarchical queries and not relational queries. There are no attributes always returned by default. Only those attributes requested in the query identifier are returned. Query responses always return values from the EXAMPLE-QUERY-RETRIEVE-SERVER database. Exported SOP Instances are always updated with the latest values in the database prior to export. Thus, a change in Patient demographic information will be contained in both the C-FIND Responses and any Composite SOP Instances exported to a C-MOVE Destination AE.

Patient Root Information Model

All required search keys on each of the four levels (Patient, Study, Series, and Image) are supported. However, the Patient ID (0010,0020) key must have at least a partial value if the Patient's Name (0010,0010) is not present in a Patient Level query.

Study Root Information Model

All the required search keys on each of the three levels (Study, Series, and Image) are supported. If no partial values are specified for Study attributes then either the Patient ID (0010,0020) key or the Patient's Name (0010,0010) must have at least a partial value specified.

Table F.4.2-16. Patient Root C-FIND SCP Supported Elements

Level Name

Attribute Name

Tag

Types of Matching

SOP Common

Specific Character Set

0008,0005

NONE

Patient Level

Patient's Name

Patient ID

Patient's Birth Date

Patient's Sex

Other Patient IDs

Other Patient Names

0010,0010

0010,0020

0010,0030

0010,0040

0010,1000

0010,1001

S,*,U

S,U

NONE

Study Level

Study Date

Study Time

Accession Number

Study ID

Study Instance UID

Referring Physician's Name

Study Description

0008,0020

0008,0030

0008,0050

0020,0010

0020,000D

0008,0090

0008,1030

S,R,U

R,U

S,*,U

S,U,L

S,*,U

Series Level

Modality

Series Number

Series Instance UID

Operator's Name

0008,0060

0020,0011

0020,000E

0008,1070

S,U

S,*,U

S,U,L

NONE

Image Level

Instance Number

SOP Instance UID

0020,0013

0008,0018

S,*,U

S,U,L

Table F.4.2-17. Study Root C-FIND SCP Supported Elements

Level Name

Attribute Name

Tag

Types of Matching

SOP Common

Specific Character Set

0008,0005

NONE

Study Level

Patient's Name

Patient ID

Patient's Birth Date

Patient's Sex

Other Patient IDs

Other Patient Names

Study Date

Study Time

Accession Number

Study ID

Study Instance UID

Referring Physician's Name

Study Description

0010,0010

0010,0020

0010,0030

0010,0040

0010,1000

0010,1001

0008,0020

0008,0030

0008,0050

0020,0010

0020,000D

0008,0090

0008,1030

S,*,U

S,U

NONE

S,R,U

R,U

S,*,U

S,U,L

S,*,U

Series Level

Modality

Series Number

Series Instance UID

Operator's Name

0008,0060

0020,0011

0020,000E

0008,1070

S,U

S,*,U

S,U,L

NONE

Image Level

Instance Number

SOP Instance UID

0020,0013

0008,0018

S,*,U

S,U,L

The tables should be read as follows:

Attribute Name: Attributes supported for returned C-FIND Responses.

Tag: Appropriate DICOM tag for this attribute.

VR: Appropriate DICOM VR for this attribute.

Types of Matching: The types of Matching supported by the C-FIND SCP. A "S" indicates the identifier attribute can specify Single Value Matching, a "R" will indicate Range Matching, a "*" will denote wild card matching, an 'U' will indicate universal matching, and 'L' will indicate that UID lists are supported for matching. "NONE" indicates that no matching is supported, but that values for this Element in the database can be returned.

Table F.4.2-19. QUERY-RETRIEVE-SCP AE C-FIND Response Status Return Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	Matching is complete. No final identifier is supplied.
Refused	Out of Resources	A700	System reached the limit in disk space or memory usage. Error message is output to as an alert to the User Interface, and to the Service Log.
Failed	Identifier does not match SOP Class	A900	The C-FIND query identifier contains invalid Elements or values, or is missing mandatory Elements or values for the specified SOP Class. Error message is output to the Service Log.
Failed	Unable to process	C001	The C-FIND query identifier is valid for the specified SOP Class but cannot be used to query the database. For example, this can occur if a Patient Level query is issued but the identifier has only empty values for both the Patient ID and the Patient Name. Error message is output to the Service Log.
Cancel	Matching terminated due to Cancel Request	FE00	The C-FIND SCU sent a Cancel Request. This has been acknowledged and the search for matches has been halted.
Pending	Matches are continuing and current match is supplied.	FF00	Indicates that the search for further matches is continuing. This is returned when each successful match is returned and when further matches are forthcoming. This status code is returned if all Optional keys in the query identifier are actually supported.
Pending	Matches are continuing but one or more Optional Keys were not supported.	FF01	Indicates that the search for further matches is continuing. This is returned when each successful match is returned and when further matches are forthcoming. This status code is returned if there are Optional keys in the query identifier that are not supported.

F.4.2.2.4.1.4 SOP Specific Conformance for Retrieval SOP Classes

The QUERY-RETRIEVE-SCP AE will convey to the STORAGE-SCU AE that an Association with a DICOM Application Entity named by the external C-MOVE SCU (through a MOVE Destination AE Title) should be established. It will also convey to the STORAGE-SCU AE to perform C-STORE operations on specific images requested by the external C-MOVE SCU. One or more of the Image Storage Presentation Contexts listed in Table F.4.2-6 will be negotiated.

The QUERY-RETRIEVE-SCP AE can support lists of UIDs in the C-MOVE Request at the Study, Series, and Image Levels. The list of UIDs must be at the Level of the C-MOVE Request however. For example, if the C-MOVE Request is for Series Level retrieval but the identifier contains a list of Study UIDs then the C-MOVE Request will be rejected, and the A900 Failed Status Code will be returned in the C-MOVE Response.

An initial C-MOVE Response is always sent after confirming that the C-MOVE Request itself can be processed. After this, the QUERY-RETRIEVE-SCP AE will return a response to the C-MOVE SCU after the STORAGE-SCU AE has attempted to send each image. This response reports the number of remaining SOP Instances to transfer, and the number transferred having a successful, failed, or warning status. If the Composite SOP Instances must be retrieved from long-term archive prior to export there may be quite a long delay between the first C-MOVE Response and the next one after the attempt to export the first image. The maximum length of time for this delay will depend on the particular type of archive used but typically varies between 3 and 10 minutes.

Table F.4.2-20. QUERY-RETRIEVE-SCP AE C-MOVE Response Status Return Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Sub-operations complete - No Failures	0000	All the Composite SOP Instances have been successfully sent to the C-MOVE Destination AE.
Refused	Out of Resources - Unable to calculate number of matches	A701	Number of matches cannot be determined due to system failure. Returned if the server's database is not functioning so the search for matches to the C-MOVE Request cannot be found. Error message is output as an alert on the User Interface, and to the Service Log.
	Out of Resources - Unable to perform sub-operations	A702	C-STORE sub-operations cannot be performed due to failure to access Composite SOP Instances in archive, or failure of a C-STORE Request. For example, this Status will be returned if the required SOP Instances are determined to be off-line (i.e., the MO media has been removed from the archive jukebox). Error message is output as an alert on the User Interface, and to the Service Log.
	Move destination unknown	A801	The Destination Application Entity named in the C-MOVE Request is unknown to Query-Retrieve SCP AE. Error message is output to the Service Log.
Failed	Identifier does not match SOP Class	A900	The C-MOVE identifier contains invalid Elements or values, or is missing mandatory Elements or values for the specified SOP Class or retrieval level. Error message is output to the Service Log.
Cancel	Matching terminated due to Cancel Request	FE00	The C-MOVE SCU sent a Cancel Request. This has been acknowledged and the export of Composite SOP Instances to the C-MOVE Destination AE has been halted.
Pending	Sub-operations are continuing	FF00	A Response with this Status Code is sent every time a Composite SOP Instance has been successfully sent to the C-MOVE Destination AE.

Note that the Warning Status, B000 (Sub-operations complete - One or more Failures) is never returned. If a failure occurs during export to the C-MOVE Destination AE by the STORAGE-SCU AE then the entire task is aborted. Thus any remaining matches are not exported.

Table F.4.2-21. QUERY-RETRIEVE-SCP AE Communication Failure Behavior

Exception

Behavior

Timeout expiry for an expected DICOM Message Request (DIMSE level timeout). I.e. The QUERY-RETRIEVE-SCP AE is waiting for the next C-FIND or C-MOVE Request on an open Association but the timer expires.

The Association is aborted by issuing a DICOM A-ABORT.

Error message is output to the Service Log. If the STORAGE-SCU AE is still exporting Composite SOP Instances as a result of an earlier C-MOVE Request received on this Association, it will continue attempting to complete the entire C-MOVE Request.

Timeout expiry for an expected DICOM PDU or TCP/IP packet (Low-level timeout). I.e. The QUERY-RETRIEVE-SCP AE is waiting for the next message PDU but the timer expires.

The Association is aborted by issuing a DICOM A-ABORT.

Association aborted by the SCU or the network layers indicate communication loss (i.e., low-level TCP/IP socket closure)

F.4.2.3 STORAGE-SCP Application Entity Specification

F.4.2.3.1 SOP Classes

The STORAGE-SCP AE provides Standard Conformance to the following DICOM SOP Classes:

Table F.4.2-22. SOP Classes for STORAGE-SCP AE

SOP Class Name	SOP Class UID	SCU	SCP
Verification	1.2.840.10008.1.1	Yes	Yes
Storage Commitment Push Model	1.2.840.10008.1.20.1	No	Yes
US Image Storage (Retired)	1.2.840.10008.5.1.4.1.1.6	No	Yes
US Image Storage	1.2.840.10008.5.1.4.1.1.6.1	No	Yes
US Multi-frame Storage (Retired)	1.2.840.10008.5.1.4.1.1.3	No	Yes
US Multi-frame Storage	1.2.840.10008.5.1.4.1.1.3.1	No	Yes
Computed Radiography Image Storage	1.2.840.10008.5.1.4.1.1.1	No	Yes
CT Image Storage	1.2.840.10008.5.1.4.1.1.2	No	Yes
MR Image Storage	1.2.840.10008.5.1.4.1.1.4	No	Yes
Secondary Capture Image Storage	1.2.840.10008.5.1.4.1.1.7	No	Yes

These are the default SOP Classes supported. By altering the configuration it is possible to support additional or fewer SOP Classes.

F.4.2.3.2 Association Policies

F.4.2.3.2.1 General

The STORAGE-SCP AE can both accept and propose Association Requests. The STORAGE-SCP AE will accept Association Requests for the Verification, Storage, and Storage Commitment Push Model Services. It will propose Associations only for the Storage Commitment Push Model Service.

The DICOM standard Application Context Name for DICOM is always accepted and proposed:

Table F.4.2-23. DICOM Application Context for STORAGE-SCP AE

Application Context Name

1.2.840.10008.3.1.1.1

F.4.2.3.2.2 Number of Associations

The STORAGE-SCP AE can support multiple simultaneous Associations requested by peer AEs. Each time the STORAGE-SCP AE receives an Association, a child process will be spawned to process the Verification, Storage, or Storage Commitment Push Model Service requests. The maximum number of child processes, and thus the maximum number of simultaneous Associations that can be processed, is set by configuration. The default maximum number is 10 in total. This maximum number of simultaneous Associations can be either an absolute number or a maximum number for each requesting external Application Entity. The latter flexibility can be useful if communication with one external AE is unreliable and one does not wish 'hung' connections with this AE to prevent Associations with other client AEs.

The STORAGE-SCP AE initiates one Association at a time for sending Storage Commitment Push Model N-EVENT-REPORTs to peer AEs.

Table F.4.2-24. Number of Simultaneous Associations as an SCP for STORAGE-SCP AE

Maximum number of simultaneous Associations requested by peer AEs	10 (Configurable)
Maximum number of simultaneous Associations proposed by STORAGE-SCP AE	1

F.4.2.3.2.3 Asynchronous Nature

The STORAGE-SCP AE does not support asynchronous communication (multiple outstanding transactions over a single Association). The STORAGE-SCP AE does permit an SCU to send multiple Storage Commitment Push Model Requests before it has sent back any N-EVENT-REPORT Notifications. However, the STORAGE-SCP AE must send an N-ACTION Response before permitting another N-ACTION Request to be received so the DICOM communication itself is not truly asynchronous.

Table F.4.2-25. Asynchronous Nature as a SCP for STORAGE-SCP AE

Maximum number of outstanding asynchronous transactions

1 (Not Configurable)

There is no limit on the number of outstanding Storage Commitment Push Model Requests that can be received and acknowledged before the STORAGE-SCP AE has responded with the corresponding N-EVENT-REPORT Notifications.

Table F.4.2-26. Outstanding Storage Commitment Push Model Requests for STORAGE-SCP AE

Maximum number of outstanding Storage Commitment Requests for which no N-EVENT Notification has been sent

No Maximum Limit

F.4.2.3.2.4 Implementation Identifying Information

The implementation information for this Application Entity is:

Table F.4.2-27. DICOM Implementation Class and Version for STORAGE-SCP AE

Implementation Class UID	1.840.xxxxxxx.yyy.etc…
Implementation Version Name	EX_VERS_01

Note that the STORAGE-SCP AE specifies a different Implementation Class UID than that used by the other Application Entities. All EXAMPLE-QUERY-RETRIEVE-SERVER AEs use the same Implementation Version Name. This Version Name is updated with each new release of the product software, as the different AE versions are never released independently.

F.4.2.3.3 Association Initiation Policy

F.4.2.3.3.1 Activity - Send Storage Commitment Notification Over New Association

F.4.2.3.3.1.1 Description and Sequencing of Activity

The STORAGE-SCP AE will initiate a new Association if a Storage Commitment Push Model Notification (N-EVENT-REPORT) cannot be sent back over the original Association used to send the corresponding request. A new Association will always be requested by the STORAGE-SCP AE in such cases even if the peer AE requests another Association after the original has been closed (i.e., A peer AE opens an Association and sends some Storage requests and a Storage Commitment Push Model request. Before the STORAGE-SCP AE can send the Storage Commitment Push Model N-EVEN-REPORT the Association is closed. The peer AE then opens another Association and begins to send Storage requests. In such a case the STORAGE-SCP AE will always initiate a new Association to send the N-EVENT-REPORT even though it could send the N-EVENT-REPORT over the new Association opened by the peer AE).

An Association Request is sent to the peer AE that sent the Storage Commitment Push Model request and upon successful negotiation of the required Presentation Context the outstanding N-EVENT-REPORT is sent. If there are multiple outstanding N-EVENT-REPORTs to be sent to a single peer AE then the STORAGE-SCP AE will attempt to send them all over a single Association rather than requesting a new Association for each one. The Association will be released when all the N-EVENT-REPORTs for the peer AE have been sent. If any type of error occurs during transmission (either a communication failure or indicated by a Status Code returned by the peer AE) over an open Association then the transfer of N-EVENT-REPORTs is halted. A new Association will be opened to retry sending outstanding N-EVENT-REPORTs. The maximum number of times the STORAGE-SCP AE will attempt to resend an N-EVENT-REPORT is configurable, along with the amount of time to wait between attempts to resend.

If the STORAGE-SCP AE sends a Notification request (N-EVENT-REPORT-RQ) over the original Association opened by the peer AE but receives a request to close the Association rather than a response to the Notification (N-EVENT-REPORT-RSP) then this is handled in the same way as if the request to close the Association had been received before trying to send the Notification request. Thus, the STORAGE-SCP AE will then open a new Association to resend the Notification request.

The STORAGE-SCP AE can be configured to always open a new Association before sending a Storage Commitment Push Model Notifications (N-EVENT-REPORT), in which case the sequencing illustrated in Figure F.4.2-3 will always be followed.

Figure F.4.2-3. Sequencing of Activity - Send Storage Commitment Notification Over New Association

The following sequencing constraints illustrated in Figure F.4.2-3 apply to the STORAGE-SCP AE for handling Storage Commitment Push Model Requests using a new Association:

Peer AE opens an Association with the STORAGE-SCP AE.
Peer AE requests Storage Commitment of Composite SOP Instance(s) (peer sends N-ACTION-RQ and STORAGE-SCP AE responds with N-ACTION-RSP to indicate that it received the request).
Peer AE closes the Association before the STORAGE-SCP AE can successfully send the Storage Commitment Push Model Notification (N-EVENT-REPORT-RQ).
STORAGE-SCP AE opens an Association with the peer AE.
STORAGE-SCP AE sends Storage Commitment Push Model Notification (N-EVENT-REPORT). More than one can be sent over a single Association if multiple Notifications are outstanding.
STORAGE-SCP AE closes the Association with the peer AE.

The Verification Service as an SCU is only supported as a utility function for Service staff. It is used only as a diagnostic tool when the STORAGE-SCP AE is failing to open new Associations to send N-EVENT-REPORTs to peer AEs.

F.4.2.3.3.1.2 Proposed Presentation Contexts

STORAGE-SCP AE will propose Presentation Contexts as shown in the following table:

Table F.4.2-28. Proposed Presentation Contexts By the STORAGE-SCP AE

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name	UID	Role	Extended Negotiation
Verification	1.2.840.10008.1.1	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCU	None
Storage Commitment Push Model	1.2.840.10008.1.20.1	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
Storage Commitment Push Model	1.2.840.10008.1.20.1	DICOM Explicit VR Little Endian	1.2.840.10008.1.2.1	SCP	None

F.4.2.3.3.1.3 SOP Specific Conformance for Storage SOP Classes

The associated Activity with the Storage Commitment Push Model service is the communication by the STORAGE-SCP AE to peer AEs that it has committed to permanently store Composite SOP Instances that have been sent to it. It thus allows peer AEs to determine whether the EXAMPLE-QUERY-RETRIEVE-SERVER has taken responsibility for the archiving of specific SOP Instances so that they can be flushed from the peer AE system.

The STORAGE-SCP AE will initiate a new Association to a peer AE that sent a Storage Commitment Push Model request if the original Association over which this was sent is no longer open. For a detailed explanation of the SOP specific Behavior of the STORAGE-SCP AE in this case please refer to 4.2.4.4.1.3.3, Storage Commitment Push Model as an SCP.

F.4.2.3.3.1.4 SOP Specific Conformance for Verification SOP Class

Standard conformance is provided to the DICOM Verification Service Class as an SCU. The Verification Service as an SCU is actually only supported as a diagnostic service tool for network communication issues. It can be used to test whether Associations can actually be opened with a peer AE that is issuing Storage Commitment Push Model requests (i.e., to test whether the indicated TCP/IP port and AE Title for sending N-EVENT-REPORT Requests to the peer AE are truly functional).

F.4.2.3.4 Association Acceptance Policy

F.4.2.3.4.1 Activity - Receive Images and Storage Commitment Requests

F.4.2.3.4.1.1 Description and Sequencing of Activity

The STORAGE-SCP AE accepts Associations only if they have valid Presentation Contexts. If none of the requested Presentation Contexts are accepted then the Association Request itself is rejected. It can be configured to only accept Associations with certain hosts (using TCP/IP address) and/or Application Entity Titles.

The default behavior of the STORAGE-SCP AE is to always attempt to send a Storage Commitment Push Model Notification (N-EVENT-REPORT) over the same Association opened by the peer AE to send the request (N-ACTION). If the STORAGE-SCP AE receives a request to close the Association either before sending the Notification or before receiving the corresponding N-EVENT-REPORT-RSP then it will open a new Association to send the Notification. Refer to Section F.4.2.3.4.1.5 for the details.

Figure F.4.2-4. Sequencing of Activity - Receive Images and Storage Commitment Requests

The following sequencing constraints illustrated in Figure F.4.2-4 apply to the STORAGE-SCP AE for handling Storage Commitment Push Model Requests over the original Association:

Peer AE opens an Association with the STORAGE-SCP AE.
Peer AE sends zero or more Composite SOP Instances.
Peer AE requests Storage Commitment of Composite SOP Instance(s) (peer sends N-ACTION-RQ and STORAGE-SCP AE responds with N-ACTION-RSP to indicate that it received the request).
STORAGE-SCP AE sends Storage Commitment Push Model Notification request (N-EVENT-REPORT-RQ) and successfully receives Notification response (N-EVENT-REPORT-RSP) from peer AE.
Peer AE closes the Association.

If the STORAGE-SCP AE receives a request to close the Association from the peer AE before sending the Notification request (N-EVENT-REPORT-RQ) or when expecting to receive a Notification response (N-EVENT-REPORT-RSP) then it will open a new Association to send (or resend) the Notification. Refer to 0 for the details. The STORAGE-SCP AE has a configurable timeout value for the maximum amount of time that it will wait on an open Association for a new request from a peer AE. A peer AE can reset this timer by sending a Verification request (C-ECHO-RQ). This can act as a useful mechanism for a peer AE to maintain an active Association if the length of time between sending Storage or Storage Commitment requests can be long (such as when using a single Association to send images as they are acquired during an ultrasound exam).

The STORAGE-SCP AE may reject Association attempts as shown in the Table below. The Result, Source and Reason/Diag columns represent the values returned in the corresponding fields of an ASSOCIATE-RJ PDU (see Section 9.3.4 “A-ASSOCIATE-RJ PDU Structure” in PS3.8 ). The following abbreviations are used in the Source column:

1 - DICOM UL service-user
2 - DICOM UL service-provider (ASCE related function)
3 - DICOM UL service-provider (Presentation related function)

Table F.4.2-29. Association Rejection Reasons

Result	Source	Reason/Diag	Explanation
2 - rejected-transient	c	2 - local-limit-exceeded	The (configurable) maximum number of simultaneous Associations has been reached. An Association request with the same parameters may succeed at a later time.
2 - rejected-transient	c	1 - temporary-congestion	No Associations can be accepted at this time due to the real-time requirements of higher priority activities (e.g., during image acquisition no Associations will be accepted) or because insufficient resources are available (e.g., memory, processes, threads). An Association request with the same parameters may succeed at a later time.
1 - rejected-permanent	a	2 - application-context-name-not-supported	The Association request contained an unsupported Application Context Name. An association request with the same parameters will not succeed at a later time.
1 - rejected-permanent	a	7 - called-AE-title-not-recognized	The Association request contained an unrecognized Called AE Title. An Association request with the same parameters will not succeed at a later time unless configuration changes are made. This rejection reason normally occurs when the Association initiator is incorrectly configured and attempts to address the Association acceptor using the wrong AE Title.
1 - rejected-permanent	a	3 - calling-AE-title-not-recognized	The Association request contained an unrecognized Calling AE Title. An Association request with the same parameters will not succeed at a later time unless configuration changes are made. This rejection reason normally occurs when the Association acceptor has not been configured to recognize the AE Title of the Association initiator.
1 - rejected-permanent	b	1 - no-reason-given	The Association request could not be parsed. An Association request with the same format will not succeed at a later time.

F.4.2.3.4.1.2 Accepted Presentation Contexts

The default Behavior of the STORAGE-SCP AE supports the Implicit VR Little Endian and Explicit VR Little Endian Transfer Syntaxes for all Associations. In addition, explicit JPEG (baseline lossy) compression syntax is supported for the following SOP Classes: US Image, US Multi-frame Image, US Image (retired), US Multi-frame Image (retired), VL Image, VL Multi-frame and Secondary Capture Image Storage.

The STORAGE-SCP AE can be configured to accept a subset of these Transfer Syntaxes, with the inclusion of Implicit VR Little Endian being mandatory.

If multiple Transfer Syntaxes are proposed per Presentation Context then only the most preferable Transfer Syntax is accepted. The order of Transfer Syntax preference for the STORAGE-SCP AE is configurable. The default preference order if multiple Transfer Syntaxes are proposed in a single Presentation Context is: JPEG Baseline1, Little Endian Explicit, Little Endian Implicit (if all these are proposed for a single Presentation Context). This means that if the Implicit VR Little Endian and Explicit VR Little Endian Transfer Syntaxes are proposed in a single Presentation Context then the accepted Transfer Syntax will be Explicit VR Little Endian. This order of preference is configurable.

Any of the Presentation Contexts shown in the following table are acceptable to the STORAGE-SCP AE for receiving images.

Table F.4.2-30. Accepted Presentation Contexts By STORAGE-SCP AE

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name	UID	Role	Extended Negotiation
Verification	1.2.840.10008.1.1	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
Storage Commitment Push Model	1.2.840.10008.1.20.1	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
Storage Commitment Push Model	1.2.840.10008.1.20.1	DICOM Explicit VR Little Endian	1.2.840.10008.1.2.1	SCP	None
US Image Storage (Retired)	1.2.840.10008.5.1.4.1.1.6	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
US Image Storage (Retired)	1.2.840.10008.5.1.4.1.1.6	DICOM Explicit VR Little Endian	1.2.840.10008.1.2.1	SCP	None
US Image Storage (Retired)	1.2.840.10008.5.1.4.1.1.6	DICOM Explicit JPEG baseline lossy compression	1.2.840.10008.1.2.4.50	SCP	None
US Image Storage	1.2.840.10008.5.1.4.1.1.6.1	DICOM Implicit VR Little Endian (uncompressed)	1.2.840.10008.1.2	SCP	None
US Image Storage	1.2.840.10008.5.1.4.1.1.6.1	DICOM Explicit VR Little Endian (uncompressed)	1.2.840.10008.1.2.1	SCP	None
US Image Storage	1.2.840.10008.5.1.4.1.1.6.1	DICOM Explicit JPEG baseline lossy compression	1.2.840.10008.1.2.4.50	SCP	None
US Multi-frame Storage (Retired)	1.2.840.10008.5.1.4.1.1.3	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
US Multi-frame Storage (Retired)	1.2.840.10008.5.1.4.1.1.3	DICOM Explicit VR Little Endian	1.2.840.10008.1.2.1	SCP	None
US Multi-frame Storage (Retired)	1.2.840.10008.5.1.4.1.1.3	DICOM Explicit JPEG baseline lossy compression	1.2.840.10008.1.2.4.50	SCP	None
US Multi-frame Storage	1.2.840.10008.5.1.4.1.1.3.1	DICOM Implicit VR Little Endian (uncompressed)	1.2.840.10008.1.2	SCP	None
US Multi-frame Storage	1.2.840.10008.5.1.4.1.1.3.1	DICOM Explicit VR Little Endian (uncompressed)	1.2.840.10008.1.2.1	SCP	None
US Multi-frame Storage	1.2.840.10008.5.1.4.1.1.3.1	DICOM Explicit JPEG baseline lossy compression	1.2.840.10008.1.2.4.50	SCP	None
Computer Radiography Image Storage	1.2.840.10008.5.1.4.1.1.1	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
Computer Radiography Image Storage	1.2.840.10008.5.1.4.1.1.1	DICOM Explicit VR Little Endian	1.2.840.10008.1.2.1	SCP	None
CT Image Storage	1.2.840.10008.5.1.4.1.1.2	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
CT Image Storage	1.2.840.10008.5.1.4.1.1.2	DICOM Explicit VR Little Endian	1.2.840.10008.1.2.1	SCP	None
MR Image Storage	1.2.840.10008.5.1.4.1.1.4	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
MR Image Storage	1.2.840.10008.5.1.4.1.1.4	DICOM Explicit VR Little Endian	1.2.840.10008.1.2.1	SCP	None
NM Image Storage (Retired)	1.2.840.10008.5.1.4.1.1.5	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
Secondary Capture Image Storage	1.2.840.10008.5.1.4.1.1.7	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
Secondary Capture Image Storage	1.2.840.10008.5.1.4.1.1.7	DICOM Explicit VR Little Endian	1.2.840.10008.1.2.1	SCP	None
Secondary Capture Image Storage	1.2.840.10008.5.1.4.1.1.7	DICOM Explicit JPEG lossy compression	1.2.840.10008.1.2.4.50	SCP	None

F.4.2.3.4.1.3 SOP Specific Conformance for Verification SOP Class

The STORAGE-SCP AE provides standard conformance to the Verification SOP Class as an SCP.

F.4.2.3.4.1.4 SOP Specific Conformance for Storage SOP Classes

The associated Activity with the Storage service is the storage of medical image data received over the network on a designated hard disk. The STORAGE-SCP AE will return a failure status if it is unable to store the images on to the hard disk.

The STORAGE-SCP AE does not have any dependencies on the number of Associations used to send images to it. Images belonging to more than one Study or Series can be sent over a single or multiple Associations. Images belonging to a single Study or Series can also be sent over different Associations. There is no limit on either the number of SOP Instances or the maximum amount of total SOP Instance data that can be transferred over a single Association.

The STORAGE-SCP AE is configured to retain the original DICOM data in DICOM Part 10 compliant file format. The STORAGE-SCP AE is Level 2 (Full) conformant as a Storage SCP. In addition, all Private and SOP Class Extended Elements are maintained in the DICOM format files. In addition to saving all Elements in files, a subset of the Elements are stored in the EXAMPLE-QUERY-RETRIEVE-SERVER database to support query and retrieval requests and also allow updating of Patient, Study, and Series information by user input, or demographic and Study related messages. Refer to the Annex for the list of Elements that are checked and/or processed upon receiving a Composite SOP Instance.

The Behavior for handling duplicate SOP Instances is configurable. The default Behavior is to assign a new SOP Instance UID to a received SOP Instance if it conflicts with an existing SOP Instance UID. An alternative configuration is possible that causes the original object with the conflicting SOP Instance UID to be replaced by the new SOP Instance. This Behavior is most commonly enabled if a Storage SCU re-sends entire Studies or Series if a single failure occurs when sending a group of SOP Instances.

For the purposes of image display the system supports the following photometric interpretations: MONOCHROME1, MONOCHROME2, RGB, PALETTE COLOR, YBR FULL 422, and YBR FULL.

It is expected that optimal Window Center and Width values are specified in the DICOM Image Objects if they have greater than 8 bits of image data stored per sample. If optimal Window Center and Width values are not provided, then the EXAMPLE-QUERY-RETRIEVE-SERVER is capable of estimating values using histogram analysis.

For multi-frame image SOP Instances sent using JPEG compression Transfer Syntax, sending a fully specified offset table increases performance, because the entire file does not have to be parsed to find the individual frame offsets. However, the inclusion of an offset table is not required for archiving or viewing of such SOP Instances.

Display of information conveyed using the DICOM Curve Module is not supported. Graphic overlay data sent either embedded in the unused image pixel data bits or in the separate Overlay Data Element is supported for display. Region of Interest overlays are not yet supported.

If an image SOP Instance specifies an aspect ratio that is not one-to-one then the image data will be automatically resized when displayed on the system monitor so that they are always displayed in a one-to-one aspect ratio.

The average throughput performance has been determined to be between 2 and 6 Mega Bytes per second on a 100 Megabit Ethernet network. Actual performance will depend greatly on the performance of the C-STORE SCU, the number of simultaneous active Associations, and the underlying network performance.

Table F.4.2-31. STORAGE-SCP AE C-STORE Response Status Return Reasons

Service Status	Further Meaning	Error Code	Reason
Success	Success	0000	The Composite SOP Instance was successfully received, verified, and stored in the system database.
Refused	Out of Resources	A700	Indicates that there was not enough disk space to store the image. Error message is output to the Service Log. The SOP Instance will not be saved.
Error	Data Set does not match SOP Class	A900	Indicates that the Data Set does not encode a valid instance of the SOP Class specified. This status is returned if the DICOM Object stream can be successfully parsed but does not contain values for one or more mandatory Elements of the SOP Class. The STORAGE-SCP AE does not perform a comprehensive check, as it only checks a subset of required Elements. In addition, if the SOP Class is for a type of image but the SOP Instance does not contain values necessary for its display then this status is returned. Error message is output to the Service Log. The system can be configured to temporarily save such Data Sets in order to aid problem diagnosis.
Error	Cannot understand	C000	Indicates that the STORAGE-SCP AE cannot parse the Data Set into Elements. Error message is output to the Service Log. The system can be configured to temporarily save such Data Sets in order to aid problem diagnosis.
Warning	Coercion of Data Elements	B000	Indicates that one or more Element values were coerced. Refer to the Attributes defined in Annex for a list of those that can be coerced. Note that return of this status is disabled by default, as some SCUs treat it as an Error code rather than a Warning.

Note

If a failure condition does occur when handling an Association then all images previously received successfully over the Association are maintained in the EXAMPLE-QUERY-RETRIEVE-SERVER database. No previously successfully received images are discarded. Even if an image is successfully received but an error occurs transmitting the C-STORE Response then this final image is maintained rather than discarded. If the loss of an Association is detected then the Association is closed.

The Behavior of STORAGE-SCP AE during communication failure is summarized in the following table:

Table F.4.2-32. STORAGE-SCP AE Storage Service Communication Failure Reasons

Exception

Reason

Timeout expiry for an expected DICOM Message Request (DIMSE level timeout). I.e. The STORAGE-SCP AE is waiting for the next C-STORE Request on an open Association but the timer expires.

The Association is aborted by issuing a DICOM A-ABORT.

Error message is output to the Service Log. If some Composite SOP Instances have already been successfully received then they are maintained in the database. They are not automatically discarded because of a later failure.

Timeout expiry for an expected DICOM PDU or TCP/IP packet (Low-level timeout). I.e. The STORAGE-SCP AE is waiting for the next C-STORE Data Set PDU but the timer expires.

The Association is aborted by issuing a DICOM A-ABORT.

Error message is output to the Service Log. If a C-STORE Data Set has not been fully received then the data already received is discarded. If some Composite SOP Instances have already been successfully received over the Association then they are maintained in the database.

Association aborted by the SCU or the network layers indicate communication loss (i.e., low-level TCP/IP socket closure)

F.4.2.3.4.1.5 SOP Specific Conformance for Storage Commitment SOP Class

The STORAGE-SCP AE takes the list of Composite SOP Instance UIDs specified in a Storage Commitment Push Model N-ACTION Request and checks if they are present in the EXAMPLE-QUERY-RETRIEVE-SERVER database. As long as the Composite SOP Instance UIDs are present in the database, the STORAGE-SCP AE will consider those Composite SOP Instance UIDs to be successfully archived. The STORAGE-SCP AE does not require the Composite SOP Instances to actually be successfully written to archive media in order to commit to responsibility for maintaining these SOP Instances.

Once the STORAGE-SCP AE has checked for the existence of the specified Composite SOP Instances, it will then attempt to send the Notification request (N-EVENT-REPORT-RQ). The default behavior is to attempt to send this Notification over the same Association that was used by the peer AE to send the original N-ACTION Request. If the Association has already been released or Message transfer fails for some reason then the STORAGE-SCP AE will attempt to send the N-EVENT-REPORT-RQ over a new Association. The STORAGE-SCP AE will request a new Association with the peer AE that made the original N-ACTION Request. The STORAGE-SCP AE can be configured to always open a new Association in order to send the Notification request.

The STORAGE-SCP AE will not cache Storage Commitment Push Model N-ACTION Requests that specify Composite SOP Instances that have not yet been transferred to the EXAMPLE-QUERY-RETRIEVE-SERVER. If a peer AE sends a Storage Commitment Push Model N-ACTION Request before the specified Composite SOP Instances are later sent over the same Association, the STORAGE-SCP AE will not commit to responsibility for such SOP Instances.

The STORAGE-SCP AE does not support the optional Storage Media File-Set ID & UID attributes in the N-ACTION.

The EXAMPLE-QUERY-RETRIEVE-SERVER never automatically deletes Composite SOP Instances from the archive. The absolute persistence of SOP Instances and the maximum archiving capacity for such SOP Instances is dependent on the archiving media and capacity used by the EXAMPLE-QUERY-RETRIEVE-SERVER and is dependent on the actual specifications of the purchased system. It is necessary to check the actual system specifications to determine these characteristics.

The STORAGE-SCP AE will support Storage Commitment Push Model requests for SOP Instances of any of the Storage SOP Classes that are also supported by the STORAGE-SCP AE:

Table F.4.2-33. Supported Referenced SOP Classes in Storage Commitment Push Model N-ACTION Requests

Supported Referenced SOP Classes
US Image Storage (Retired)
US Image Storage
US Multi-frame Storage (Retired)
US Multi-frame Storage
Computed Radiography Image Storage
CT Image Storage
MR Image Storage
Secondary Capture Image Storage

The STORAGE-SCP AE will return the following Status Code values in N-ACTION Responses:

Table F.4.2-34. STORAGE-SCP AE Storage Commitment Push Model N-ACTION Response Status Return Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	The SCP has successfully received the Storage Commitment Push Model N-ACTION Request and can process the commitment request for the indicated SOP Instances.
Error	Processing Failure	0110	Indicates that the Storage Commitment Push Model N-ACTION Request cannot be parsed or fully processed due to a database or system failure.
Error	Missing Attribute	0120	Indicates that the Storage Commitment Push Model N-ACTION Request cannot be processed because a required attribute is missing from the N-ACTION Request Data Set.
Error	Missing Attribute Value	0121	Indicates that the Storage Commitment Push Model N-ACTION Request cannot be processed because a Type 1 attribute in the N-ACTION Request Data Set does not specify a value.

The STORAGE-SCP AE will exhibit the following Behavior according to the Status Code value returned in an N-EVENT-REPORT Response from a destination Storage Commitment Push Model SCU:

Table F.4.2-35. STORAGE-SCP AE N-EVENT-REPORT Response Status Handling Behavior

Service Status

Further Meaning

Error Code

Behavior

Success

0000

The SCU has successfully received the Storage Commitment Push Model N-EVENT-REPORT Request.

Success indication message is output to the Service Logs.

No message is posted to the User Interface.

Warning

Attribute List Error

0107

Transmission of Storage Commitment Push Model N-EVENT-REPORT Request is considered successful.

Warning indication message is output to the Service Logs.

No message is posted to the User Interface.

Any other status code.

This is treated as a permanent Failure.

Error indication message is output to the Service Logs.

No message is posted to the User Interface.

All Status Codes indicating an error or refusal are treated as a permanent failure. The STORAGE-SCP AE can be configured to automatically reattempt the sending of Storage Commitment Push Model N-EVENT-REPORT Requests if an error Status Code is returned or a communication failure occurs. The maximum number of times to attempt sending as well as the time to wait between attempts is configurable.

Table F.4.2-36. STORAGE-SCP AE Storage Commitment Push Model Communication Failure Behavior

Exception	Behavior
Timeout expiry for an expected DICOM Message Request (DIMSE level timeout). I.e. The STORAGE-SCP AE is waiting for the next N-ACTION Request on an open Association but the timer expires.	The Association is aborted by issuing a DICOM A-ABORT. If some Composite SOP Instances have been successfully received over the same Association via the Storage Service then they are maintained in the database. They are not automatically discarded because of a later Storage Commitment messaging failure. Any previously received Storage Commitment Push Model N-ACTION Requests will still be fully processed. Error indication message is output to the Service Logs. No message is posted to the User Interface.
Timeout expiry for an expected DICOM Message Response (DIMSE level timeout). I.e. The STORAGE-SCP AE is waiting for the next N-EVENT-REPORT Response on an open Association but the timer expires.	The Association is aborted by issuing a DICOM A-ABORT. If some Composite SOP Instances have been successfully received over the same Association via the Storage Service then they are maintained in the database. They are not automatically discarded because of a later Storage Commitment messaging failure. Any previously received Storage Commitment Push Model N-ACTION Requests will still be fully processed. Error indication message is output to the Service Logs. No message is posted to the User Interface.
Timeout expiry for an expected DICOM PDU or TCP/IP packet (Low-level timeout).	The Association is aborted by issuing a DICOM A-ABORT. If some Composite SOP Instances have been successfully received over the same Association via the Storage Service then they are maintained in the database. They are not automatically discarded because of a later Storage Commitment messaging failure. Any previously received Storage Commitment Push Model N-ACTION Requests will still be fully processed. Error indication message is output to the Service Logs. No message is posted to the User Interface.
Association A-ABORTed by the SCU or the network layers indicate communication loss (i.e., low-level TCP/IP socket closure)	The TCP/IP socket is closed. If some Composite SOP Instances have been successfully received over the same Association via the Storage Service then they are maintained in the database. They are not automatically discarded because of a later Storage Commitment messaging failure. Any previously received Storage Commitment Push Model N-ACTION Requests will still be fully processed. Error indication message is output to the Service Logs. No message is posted to the User Interface.

F.4.3 Network Interfaces

F.4.3.1 Physical Network Interface

The EXAMPLE-QUERY-RETRIEVE-SERVER supports a single network interface. One of the following physical network interfaces will be available depending on installed hardware options:

Table F.4.3-1. Supported Physical Network Interfaces

Ethernet 100baseT

Ethernet 10baseT

F.4.3.2 Additional Protocols

EXAMPLE-QUERY-RETRIEVE-SERVER conforms to the System Management Profiles listed in Table F.4.3-2. All requested transactions for the listed profiles and actors are supported. It does not support any optional transactions.

Table F.4.3-2. Supported System Management Profiles

Profile Name	Actor	Protocols Used	Optional Transactions	Security Support
Network Address Management	DHCP Client	DHCP	N/A
Network Address Management	DNS Client	DNS	N/A

F.4.3.2.1 DHCP

DHCP can be used to obtain TCP/IP network configuration information. The network parameters obtainable via DHCP are shown in Table F.4.3-3. The Default Value column of the table shows the default used if the DHCP server does not provide a value. Values for network parameters set in the Service/Installation tool take precedence over values obtained from the DHCP server. Support for DHCP can be configured via the Service/Installation Tool. The Service/Installation tool can be used to configure the machine name. If DHCP is not in use, TCP/IP network configuration information can be manually configured via the Service/Installation Tool.

Table F.4.3-3. Supported DHCP Parameters

DHCP Parameter	Default Value
IP Address	None
Hostname	Requested machine name
List of NTP servers	Empty list
List of DNS servers	Empty list
Routers	Empty list
Static routes	None
Domain name	None
Subnet mask	Derived from IP Address (see service manual)
Broadcast address	Derived from IP Address (see service manual)
Default router	None
Time offset	Site configurable (from Time zone)
MTU	Network Hardware Dependent
Auto-IP permission	No permission

If the DHCP server refuses to renew a lease on the assigned IP address all active DICOM Associations will be aborted.

F.4.3.2.2 DNS

F.4.3.3 IPv4 and IPv6 Support

This product supports both IPv4 and IPv6. It does not utilize any of the optional configuration identification or security features of IPv6.

F.4.4 Configuration

F.4.4.1 AE Title/Presentation Address Mapping

F.4.4.1.1 Local AE Titles

The mapping from AE Title to TCP/IP addresses and ports is configurable and set at the time of installation by Installation Personnel.

Table F.4.4-1. Default Application Entity Characteristics

Application Entity	Role	Default AE Title	Default TCP/IP Port
STORAGE-SCU	SCU	EX_STORE_SCU	None
STORAGE-SCP	SCP	EX_STORE_SCP	4000
QUERY-RETRIEVE-SCP	SCP	EX_QUERY_SCP	5000

The STORAGE-SCU and QUERY-RETRIEVE-SCP Application Entities can be configured to have the same AE Title. The STORAGE-SCP Application Entity must not have the same AE Title as the other two.

F.4.4.1.2 Remote AE Title/Presentation Address Mapping

The mapping of external AE Titles to TCP/IP addresses and ports is configurable and set at the time of installation by Installation Personnel. This mapping is necessary for resolving the IP address and port of C-MOVE Destination Application Entities and must be correctly configured for the QUERY-RETRIEVE-SCP AE to correctly function as a C-MOVE SCP.

F.4.4.2 Parameters

Table F.4.4-2. Configuration Parameters

Parameter	Configurable	Default Value
General Parameters
Maximum PDU size I can receive	Yes	128kbytes
Maximum PDU size I can send	Yes	128kbytes
Time-out waiting for response to TCP/IP connect() request. (Low-level timeout)	Yes	10 s
Time-out waiting for A-ASSOCIATE RQ PDU on open TCP/IP connection. (ARTIM timeout)	Yes	30 s
Time-out waiting for acceptance or rejection response to an Association Open Request. (Application Level timeout)	Yes	30s
Time-out waiting for acceptance of a TCP/IP message over the network. (Low-level timeout)	Yes	30 s
Time-out for waiting for data between TCP/IP packets. (Low-level timeout)	Yes	30 s
The Windows NT TCP/IP socket buffer size is set to 1,342,177 bytes in order to improve image data throughput performance.	No	1,342,177 bytes
STORAGE-SCU AE Parameters
Maximum number of simultaneous Associations.	Yes	10
STORAGE-SCU AE time-out waiting for a Response to a C-STORE-RQ. (DIMSE timeout)	Yes	5 minutes
STORAGE-SCU AE number of times a failed send job to a C-MOVE Destination is automatically retried.	No	0
STORAGE-SCP AE Parameters
Maximum PDU Size	Yes	16384
Maximum number of simultaneous Associations (Can be configured to be a maximum total number or a maximum per external SCU AE)	Yes	10
STORAGE-SCP AE time-out waiting on an open Association for the next Request message (C-STORE-RQ, Association Close Request. etc.) (DIMSE timeout)	Yes	15 minutes
STORAGE-SCP AE maximum number of simultaneous Associations	Yes Note Can be configured with a maximum per external AE	10
Permanent archival of SOP Instances sent by a peer AE to the STORAGE-SCP AE in response to a retrieval request from QUERY-RETRIEVE AE.	Yes	FALSE (Such received SOP Instances are not archived.)
Permanent archival of SOP Instances sent unsolicited by a peer AE to the STORAGE-SCP AE. I.e. Not in response to a retrieval request from QUERY-RETRIEVE AE.	Yes	TRUE (Such received SOP Instances are archived.)
Always open a new Association to send a Storage Commitment Push Model Notification request (N-EVENT-REPORT-RQ).	Yes	FALSE (Default is to try and send Notifications over original Association opened by peer AE).
Maximum number of times to attempt sending a Storage Commitment Push Model N-EVENT-REPORT Request when an error status is returned or communication failure occurs.	Yes	5
Time to wait between attempts to send a Storage Commitment Push Model N-EVENT-REPORT Request when an error status is returned or communication failure occurs.	Yes	5 minutes
QUERY-RETRIEVE-SCP AE Parameters
Maximum PDU Size	Yes	16384
Maximum number of simultaneous Associations (Can be configured to be a maximum total number or a maximum per external SCU AE)	Yes	10
QUERY-RETRIEVE-SCP AE time-out waiting on an open Association for the next message (C-FIND-RQ, C-MOVE-RQ, Association Close Request. etc.) (DIMSE timeout)	Yes	3 minutes
QUERY-RETRIEVE-SCP AE maximum number of simultaneous Associations	Yes Note Can be configured with a maximum per external AE	10

F.5 Media Interchange

EXAMPLE-QUERY-RETRIEVE-SERVER does not support Media Storage.

F.6 Support of Extended Character Sets

All EXAMPLE-QUERY-RETRIEVE-SERVER DICOM applications support the following:

ISO_IR 100 (ISO 8859-1:1987 Latin Alphabet No. 1 supplementary set)

As well as supporting this Extended Character Set for DICOM messaging, the Query-Server system database and user interface can support the expected display of this character set.

F.7 Security

F.7.1 Security Profiles

The EXAMPLE-QUERY-RETRIEVE-SERVER conforms to the bit preserving Digital Signatures Security Profile, if the STORAGE SCP AE receives a SOP Instance in an Explicit Transfer Syntax and the STORAGE SCU AE can export such SOP Instances using an Explicit Transfer Syntax.

F.7.2 Association Level Security

The QUERY-RETRIEVE-SCP AE and the STORAGE-SCP AE can both be configured to check the following DICOM values when determining whether to accept Association Open Requests:

Calling AE Title

Called AE Title

Application Context

Each SCP AE can be configured to accept Association Requests from only a limited list of Calling AE Titles. They SCP AEs can have different lists. Each SCP AE can be configured to check that the Association requestor specifies the correct Called AE Title for the SCP.

In addition the IP address of the requestor can be checked. The SCP AEs can be constrained to only accept Association Requests from a configured list of IP addresses. The SCP AEs can have different lists.

F.8 Annexes

F.8.1 IOD Contents

F.8.1.1 STORAGE-SCP AE Element Use

The following Elements of Composite SOP Instances received by the STORAGE-SCP AE are either stored to the permanent EXAMPLE-QUERY-RETRIEVE-SERVER database or of particular importance in the received images.

SOP Instances conforming to the following Composite Image SOP Classes are fully supported for display on the system workstations.

Table F.8.1-1. Supported Composite Image SOP Classes for Display

US Image Storage (Retired)

US Image Storage

US Multi-frame Storage (Retired)

US Multi-frame Storage

Computed Radiography Image Storage

CT Image Storage

MR Image Storage

Secondary Capture Image Storage

Table F.8.1-2. Significant Elements in Received Composite SOP Instances

Module	Attribute Name	Tag ID	Type	Significance
Patient	Patient Name	(0010,0010)	Opt	STORAGE-SCP AE can be configured to apply a default value if there is no value specified. Value is saved to database as separate first and last names. Only first and last names are entered in the EXAMPLE-QUERY-RETRIEVE-SERVER database. Both first and last names can be a maximum of 64 characters each. Names will be parsed correctly if they are in the format of 'lname^fname' or 'lname, fname'. If space separation is used (i.e., 'lname fname') then the entire name will be treated as the last name.
	Patient ID	(0010,0020)	Opt	STORAGE-SCP AE can be configured to apply a default value if there is no value specified. Verification on incoming Patient IDs is performed. If an ID already exists but the existing name does not match, then the ID is coerced because different Patient records in the EXAMPLE-QUERY-RETRIEVE-SERVER database cannot have identical Patient IDs. Value is saved to database.
	Patient's Birth Date	(0010,0030)	Opt	STORAGE-SCP AE can be configured to apply a default value if there is no value specified. Value is saved to database.
	Patient's Sex	(0010,0040)	Opt	First character must be 'M', 'm', 'F', 'f', 'O', or 'o'. If a different value, or not specified, then will be entered in the database as 'U', unknown. Value is saved to database. 'U' is never exported in DICOM images; instead, the Element value will be left empty for export.
General Study	Study Instance UID	(0020,000D)	Mand	Must be provided. Value is saved to database.
	Study Date	(0008,0020)	Opt	STORAGE-SCP AE can be configured to apply a default value if there is no value specified. Value is saved to database.
	Referring Physician's Name	(0008,0090)	Opt	Value is saved to database.
	Accession Number	(0008,0050)	Opt	STORAGE-SCP AE can be configured to apply a default value if there is no value specified. Matching used to determine which Accession number to apply is configurable (i.e., HIS/RIS provided Accession Number may be used if the Patient ID, Patient Name, Study Date, and Modality provided in the HIS/RIS and SOP Instance match). Value is saved to database.
	Study Description	(0008,1030)	Opt	If matched value(s) in the EXAMPLE-QUERY-RETRIEVE-SERVER exam type database, then it will be saved to the database as an exam type.
General Series	Modality	(0008,0060)	Opt	STORAGE-SCP AE can be configured to apply a default value if there is no value specified. Value is saved to database but must be two characters in length.
	Series Description	(0008,103E)	Opt	If matched value(s) in the EXAMPLE-QUERY-RETRIEVE-SERVER exam type database then it will be saved to the database as an exam type.
	Operator's Name	(0008,1070)	Opt	Value is saved to database.
	Body Part Examined	(0018,0015)	Opt	If matched value(s) in the EXAMPLE-QUERY-RETRIEVE-SERVER exam type database then it will be saved to the database as an exam type.
General Image	Image Type	(0008,0008)	Opt	If the third value, the modality specific value, matches value(s) in the EXAMPLE-QUERY-RETRIEVE-SERVER exam type database then it will be saved to the database as an exam type.
Image Plane	Pixel Spacing	(0028,0030)	Opt	Used for automatic scaling of measurement tool if specified in an image SOP Instance.
US Region Calibration	Sequence of Ultrasound Regions	(0018,6011)	Opt	Used for automatic scaling of measurement tool if specified in an Ultrasound or Ultrasound Multi-frame Image SOP Instance.
Image Pixel	Photometric Interpretation	(0028,0004)	Cond	The following photometric interpretations are supported for image display purposes: MONOCHROME1, MONOCHROME2, RGB, PALETTE COLOR, YBR FULL 422, and YBR FULL. Required if SOP Instance is an Image.
	Bits Allocated	(0028,0100)	Cond	Must be 8 or 16 bits for image display purposes. Required if SOP Instance is an Image.
	Bits Stored	(0028,0101)	Cond	All values of 16 or fewer are supported for image display purposes. Required if SOP Instance is an Image.
Overlay Plane Module (See Note)	Overlay Rows	(6000,0010)	Cond	Number of Rows in Overlay. Required in order to display an Overlay.
	Overlay Columns	(6000,0011)	Cond	Number of Columns in Overlay. Required in order to display an Overlay.
	Overlay Type	(6000,0040)	Cond	Overlay data is used only if the value is "G", Graphics. Graphic overlay data can be automatically displayed if the system is configured to do so. "ROI", Region Of Interest, overlay data is not displayed to the user of the system. Required in order to display an Overlay.
	Overlay Origin	(6000,0050)	Cond	Value must be 1\1 or greater. If either Overlay Origin coordinate is less than 1 then the overlay is not displayed. Required in order to display an Overlay.
	Overlay Bits Allocated	(6000,0100)	Cond	Must be 8 or 16 if the overlay data are embedded. Required in order to display an Overlay.
	Overlay Bit Position	(6000,0102)	Cond	Used if the overlay data is embedded. If the data is embedded then this position must indicate a bit not used by each image pixel sample. Required in order to display an Overlay.
	Overlay Data	(6000,3000)	Cond	Overlay data present in this Element or embedded in the pixel data is supported for display. Required in order to display a non-embedded Overlay.
VOI LUT	Window Center	(0028,1050)	Opt	It is recommended that this value be defined for images that have greater than 8 bits stored per pixel sample for image display
VOI LUT	Window Width	(0028,1051)	Opt	It is recommended that this value be defined for images that have greater than 8 bits stored per pixel sample for image display
SOP Common	SOP Instance UID	(0008,0018)	Mand	Must be provided. If a duplicate SOP Instance UID is received, the system can be configured to either coerce the duplicate value with a new UID or replace the original UID with the newly received one. The system can also be configured to either preserve the original UID or assign a new UID if the received image data is lossy compressed by the QUERY-RETRIEVE-SERVER prior to archival.

Note

Note that only overlay information contained in the 6000 Group will be used for display. Overlay information contained in the other possible Groups (6002, 6004, etc.) will be ignored for display purposes. Such information will still be archived however.

F.8.1.2 STORAGE-SCU AE Element Modification

The following table contains a list of all Elements that can have a value modified by the STORAGE-SCU at the time of export using the Storage Service depending on the capabilities of the receiver:

Table F.8.1-3. Significant Elements in Exported Composite SOP Instances

Module	Attribute Name	Tag ID	Value
Image Pixel	Photometric Interpretation	(0028,0004)	STORAGE-SCU AE can convert all images to MONOCHROME2 or RGB based on the configuration for the destination AE. If the photometric interpretation of the image data is altered in a lossy manner, which could occur when converting from color to grayscale, then the SOP Instance UID is altered.
VOI LUT	Window Center	(0028,1050)	Default Window Center value can be configured for a specific destination AE.
VOI LUT	Window Width	(0028,1051)	Default Window Width value can be configured for a specific external destination AE.
SOP Common	SOP Instance UID	(0008,0018)	System assigns a new UID if the image data is lossy compressed by the STORAGE-SCU AE at the time of export. Unless the pixel data is lossy compressed or there is a conflict between duplicate SOP Instance UIDs the original value received is not altered.

G Conformance Statement Sample ImageViewer with Hanging Protocol Support (Informative)

Disclaimer:

This document is an example DICOM Conformance Statement for a fictional image display device for DICOM images and Hanging Protocol objects obtained over the network.

G.0 Cover Page

Company Name: EXAMPLE-ViewingPRODUCTS.

Product Name: SAMPLE ImageViewer with Hanging Protocol Support

Version: 1.0-rev. A.1

Internal document number: 4226-xxx-yyy-zzz rev 1

Date: YYYYMMDD

G.1 Conformance Statement Overview

The application supports accepting Images and Presentation States from remote systems, and querying a remote system for Hanging Protocol Instances that may then be retrieved to the local system. It also supports sending locally loaded images and created Presentation State and Hanging Protocol Instances across the network to remote systems.

Table G.1-1. Network Services

SOP Classes	User of Service(SCU)	Provider of Service(SCP)
Transfer
Ultrasound Image Storage	Yes	Yes
Ultrasound Multi-frame Image Storage	Yes	Yes
MR Image Storage	Yes	Yes
Digital Mammography X-Ray Image Storage - For Presentation	Yes	Yes
Grayscale Softcopy Presentation State Storage SOP Class	Yes	Yes
Hanging Protocol Storage	Yes	Yes
Query/Retrieve
Hanging Protocol Information Model - FIND	Yes	No
Hanging Protocol Information Model - MOVE	Yes	No

G.2 Table of Contents

A table of contents shall be provided to assist readers in easily finding the needed information.

G.3 Introduction

G.3.1 Revision History

Table G.3.1-1. Revision History

Document Version	Date of Issue	Author	Description
1.1	April 30, 2004	WG 11	Version for Final Text
1.2	August 30, 2007	WG 6	Revised Introduction

G.3.2 Audience, Remarks, Terms and Definitions, Basics of DICOM Communication, Abbreviations, References

See example text in Section A.3.

G.3.3 Additional Remarks for This Example

This document is a sample DICOM Conformance Statement created for DICOM PS3.2. It is to be used solely as an example to illustrate how to create a DICOM Conformance Statement for a workstation supporting a variety of types of DICOM images and DICOM Hanging Protocol objects. The subject of the document, SAMPLE IMAGE VIEWER, is a fictional product.

G.4 Networking

G.4.1 Implementation Model

G.4.1.1 Application Data Flow

Figure G.4.1-1. Implementation Model

The application provides both a user interface, internal database and network listener that spawns additional threads as necessary to handle incoming connections.

Conceptually the network services may be modeled as the following separate AEs, though in fact all the AEs share a single (configurable) AE Title:

STORAGE-SCP, which receives incoming Image, Presentation State, and Hanging Protocol Instances
STORAGE-SCU, which sends outbound Image, Presentation State, and Hanging Protocol Instances
FIND-SCU, which queries remote AEs for Hanging Protocol Instances
MOVE-SCU, which retrieves Hanging Protocol Instances

G.4.1.2 Functional Definitions of AEs

G.4.1.2.1 STORAGE-SCP

STORAGE-SCP waits in the background for connections, will accept associations with Presentation Contexts for SOP Classes of the Storage Service Class and Hanging Protocol Storage Service Class, and will store the received instances to the local database where they may subsequently be listed and viewed through the user interface.

G.4.1.2.2 STORAGE-SCU

STORAGE-SCU is activated through the user interface when a user selects instances from the local database, or the currently displayed instance, and requests that they be sent to a remote AE (selected from a pre-configured list).

G.4.1.2.3 FIND-SCU

FIND-SCU is activated in the background when images for a study are received, to query for matching Hanging Protocols if an appropriate Hanging Protocol Instance is not available in the local database.

G.4.1.2.4 MOVE-SCU

MOVE-SCU is activated in the background, to retrieve Hanging Protocol Instances identified in the query results returned to the FIND-SCU. A connection to the remote AE is established to initiate and monitor the retrieval, and the STORAGE-SCP AE receives the retrieved instances.

G.4.1.3 Sequencing of Real-World Activities

All SCP activities are performed asynchronously in the background and not dependent on any sequencing.

Storage SCU activities are sequentially initiated in the user interface, and another activity may not be initiated until the prior activity has completed. Find and Move SCU activities are performed asynchronously in the background, where Move activities are triggered by the results of Find activities.

G.4.2 AE Specifications

G.4.2.1 STORAGE-SCP

G.4.2.1.1 SOP Classes

STORAGE-SCP provide Standard Conformance to the following SOP Class(es) :

Table G.4.2-1. SOP Classes Supported By STORAGE-SCP

SOP Class Name	SOP Class UID	SCU	SCP
Ultrasound Image Storage	1.2.840.10008.5.1.4.1.1.6.1	No	Yes
Ultrasound Multi-frame Image Storage	1.2.840.10008.5.1.4.1.1.3.1	No	Yes
MR Image Storage	1.2.840.10008.5.1.4.1.1.4	No	Yes
Digital Mammography X-Ray Image Storage - For Presentation	1.2.840.10008.5.1.4.1.1.1.2	No	Yes
Grayscale Softcopy Presentation State Storage	1.2.840.10008.5.1.4.1.1.11.1	No	Yes
Hanging Protocol Storage	1.2.840.10008.5.1.4.38.1	No	Yes

G.4.2.1.2 Association Policies

G.4.2.1.2.1 General

STORAGE-SCP accepts but never initiates associations.

Table G.4.2-2. Maximum PDU Size Received as a SCP for STORAGE-SCP

Maximum PDU size received

Unlimited

G.4.2.1.2.2 Number of Associations

Table G.4.2-3. Number of Associations as a SCP for STORAGE-SCP

Maximum number of simultaneous associations

Unlimited

G.4.2.1.2.3 Asynchronous Nature

STORAGE-SCP will only allow a single outstanding operation on an Association. Therefore, STORAGE-SCP will not perform asynchronous operations window negotiation.

G.4.2.1.2.4 Implementation Identifying Information

Table G.4.2-4. DICOM Implementation Class and Version for STORAGE-SCP

Implementation Class UID	1.2.840.999999.3.6
Implementation Version Name	Viewer1.0

G.4.2.1.3 Association Initiation Policy

STORAGE-SCP does not initiate associations.

G.4.2.1.4 Association Acceptance Policy

G.4.2.1.4.1 Activity - Receive Storage Request

G.4.2.1.4.1.1 Description and Sequencing of Activities

G.4.2.1.4.1.2 Accepted Presentation Contexts

Table G.4.2-5. Accepted Presentation Contexts for STORAGE-SCP and Receive Storage Request

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name List	UID List	Role	Extended Negotiation
See Table G.4.2-1	See Table G.4.2-1	Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
See Table G.4.2-1	See Table G.4.2-1	Explicit VR Little Endian	1.2.840.10008.1.2.1	SCP	None

G.4.2.1.4.1.2.1 Extended Negotiation

No extended negotiation is performed, though STORAGE-SCP:

is a Level 2 Storage SCP (Full - does not discard any data elements)
does not support digital signatures
does not coerce any received data elements

G.4.2.1.4.1.3 SOP Specific Conformance

G.4.2.1.4.1.3.1 SOP Specific Conformance to Storage Service Class

STORAGE-SCP provides standard conformance to the Storage Service Class.

When displaying an image in the viewing application, if a Hanging Protocol Instance is not being applied or the instance being applied does not contain presentation intent attributes, the newest Grayscale Softcopy Presentation State containing references to the image will be automatically applied, and the GSPS Presentation Label and Presentation Description will be displayed. The user has the option to select any other Presentation States that also reference the image. If no Presentation State references the image then no Presentation State will be applied by default. If a Hanging Protocol Instance is being applied, the presentation intent attributes, if present, are used to select the closest matching GSPS instance to apply. If there is no GSPS instance, then the Hanging Protocol Instance presentation intent attributes are applied, if present.

All of the Image Storage SOP Classes listed in Table G.4.2-1 are supported as references from instances of the Grayscale Softcopy Presentation State Storage SOP Class.

G.4.2.1.4.1.3.2 SOP Specific Conformance to Hanging Protocol Storage Service Class

STORAGE-SCP provides standard conformance to the Hanging Protocol Storage Service Class.

If Partial Data Display Handling (0072,0208) is zero length, then MAINTAIN_LAYOUT behavior is applied. If the value is ADAPT_LAYOUT, then Image Boxes are proportionally resized to occupy all available display space.

If the display environment of a Hanging Protocol Instance differs from the display environment of the ImageViewer, then the layout is maintained.

The Hanging Protocol SOP instances are stored to a local database until explicitly deleted. When a study is selected for display, the application automatically applies a Hanging Protocol Instance to the study.

G.4.2.1.4.1.3.3 Presentation Context Acceptance Criterion

G.4.2.1.4.1.3.4 Transfer Syntax Selection Policies

STORAGE-SCP prefers explicit Transfer Syntaxes. If offered a choice of Transfer Syntaxes in a Presentation Context, it will apply the following priority to the choice of Transfer Syntax:

first encountered explicit Transfer Syntax,
default Transfer Syntax.

G.4.2.1.4.1.3.5 Response Status

STORAGE-SCP will behave as described in the Table below when generating the C-STORE response command message.

Table G.4.2-6. Response Status for STORAGE-SCP and Receive Storage Request

Service Status	Further Meaning	Status Codes	Reason
Failure	Refused: Out of Resources	A700	Never sent
	Error: Data Set does not match SOP Class	A900	Never sent - Data Set is not checked prior to storage
	Error: Cannot understand	C000	Never sent
Warning	Coercion of Data Elements	B000	Never sent - no coercion is ever performed
	Data Set does not match SOP Class	B007	Never sent - Data Set is not checked prior to storage
	Elements Discarded	B006	Never sent - all elements are always stored
Success		0000

G.4.2.2 STORAGE-SCU

G.4.2.2.1 SOP Classes

STORAGE-SCU provides Standard Conformance to the following SOP Class(es) :

Table G.4.2-7. SOP Classes Supported By STORAGE-SCU

SOP Class Name	SOP Class UID	SCU	SCP
Ultrasound Image Storage	1.2.840.10008.5.1.4.1.1.6.1	Yes	No
Ultrasound Multi-frame Image Storage	1.2.840.10008.5.1.4.1.1.3.1	Yes	No
MR Image Storage	1.2.840.10008.5.1.4.1.1.4	Yes	No
Digital Mammography X-Ray Image Storage - For Presentation	1.2.840.10008.5.1.4.1.1.1.2	Yes	No
Grayscale Softcopy Presentation State Storage	1.2.840.10008.5.1.4.1.1.11.1	Yes	No
Hanging Protocol Storage	1.2.840.10008.5.1.4.38.1	Yes	No

G.4.2.2.2 Association Policies

G.4.2.2.2.1 General

STORAGE-SCU initiates but never accepts associations.

Table G.4.2-8. Maximum PDU Size Received as a SCP for STORAGE-SCU

Maximum PDU size received

Unlimited

G.4.2.2.2.2 Number of Associations

Table G.4.2-9. Number of Associations as a SCP for STORAGE-SCU

Maximum number of simultaneous associations

G.4.2.2.2.3 Asynchronous Nature

STORAGE-SCU will only allow a single outstanding operation on an Association. Therefore, STORAGE-SCU will not perform asynchronous operations window negotiation.

G.4.2.2.2.4 Implementation Identifying Information

Table G.4.2-10. DICOM Implementation Class and Version for STORAGE-SCU

Implementation Class UID	1.2.840.999999.3.6
Implementation Version Name	Viewer1.0

G.4.2.2.3 Association Initiation Policy

STORAGE-SCU attempts to initiate a new association for each instance it attempts to transfer.

G.4.2.2.3.1 Activity - Send Storage Request

G.4.2.2.3.1.1 Description and Sequencing of Activities

For each Image, Presentation State, or Hanging Protocol Instance selected from the user interface to be transferred, a single attempt will be made to transmit it to the selected remote AE. If the send fails, for whatever reason, no retry will be performed, and an attempt will be made to send the next instance.

G.4.2.2.3.1.2 Proposed Presentation Contexts

Table G.4.2-11. Proposed Presentation Contexts for STORAGE-SCU and Receive Storage Request

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name List	UID List	Role	Extended Negotiation
See Table G.4.2-7	See Table G.4.2-7	Implicit VR Little Endian	1.2.840.10008.1.2	SCU	None
See Table G.4.2-7	See Table G.4.2-7	Explicit VR Little Endian	1.2.840.10008.1.2.1	SCU	None

STORAGE-SCU will propose Presentation Contexts only for the SOP Class of the instance that is to be transferred.

G.4.2.2.3.1.2.1 Extended Negotiation

No extended negotiation is performed.

G.4.2.2.3.1.3 SOP Specific Conformance

G.4.2.2.3.1.3.1 SOP Specific Conformance to Storage Service Class

STORAGE-SCU provides standard conformance to the Storage Service Class.

G.4.2.2.3.1.3.2 SOP Specific Conformance to Hanging Protocol Storage Service Class

STORAGE-SCU provides standard conformance to the Hanging Protocol Storage Service Class.

In Hanging Protocol Instances created on the Viewer, no Private Attributes are used as the value of Selector Attribute (0072,0026) in any of the Sequence Attributes to which it applies.

G.4.2.2.3.1.3.3 Presentation Context Acceptance Criterion

STORAGE-SCU does not accept associations.

G.4.2.2.3.1.3.4 Transfer Syntax Selection Policies

first encountered explicit Transfer Syntax,
default Transfer Syntax.

G.4.2.2.3.1.3.5 Response Status

STORAGE-SCU will behave as described in the Table below in response to the status returned in the C-STORE response command message.

Table G.4.2-12. Response Behavior for STORAGE-SCU and Send Storage Request

Service Status	Further Meaning	Status Codes	Behavior
Failure	Refused: Out of Resources	A7xx	The user is notified and the failure is logged
	Error: Data Set does not match SOP Class	A9xx	The user is notified and the failure is logged
	Error: Cannot understand	Cxxx	The user is notified and the failure is logged
Warning	Coercion of Data Elements	B000	Ignored
	Data Set does not match SOP Class	B007	Ignored
	Elements Discarded	B006	Ignored
Success		0000	Ignored

G.4.2.2.4 Association Acceptance Policy

STORAGE-SCU does not accept associations.

G.4.2.3 FIND-SCU

G.4.2.3.1 SOP Classes

FIND-SCU provide Standard Conformance to the following SOP Class(es) :

Table G.4.2-13. SOP Classes Supported By FIND-SCU

SOP Class Name	SOP Class UID	SCU	SCP
Hanging Protocol Information Model - FIND	1.2.840.10008.5.1.4.38.2	Yes	No

G.4.2.3.2 Association Policies

G.4.2.3.2.1 General

FIND-SCU initiates but never accepts associations.

Table G.4.2-14. Maximum PDU Size Received as a SCP for FIND-SCU

Maximum PDU size received

Unlimited

G.4.2.3.2.2 Number of Associations

Table G.4.2-15. Number of Associations as a SCP for FIND-SCU

Maximum number of simultaneous associations

G.4.2.3.2.3 Asynchronous Nature

FIND-SCU will only allow a single outstanding operation on an Association. Therefore, FIND-SCU will not perform asynchronous operations window negotiation.

G.4.2.3.2.4 Implementation Identifying Information

Table G.4.2-16. DICOM Implementation Class and Version for FIND-SCU

Implementation Class UID	1.2.840.999999.3.6
Implementation Version Name	Viewer1.0

G.4.2.3.3 Association Initiation Policy

FIND-SCU attempts to initiate a new association when a study is received for which an appropriate Hanging Protocol Instance is not already stored in the local database.

G.4.2.3.3.1 Activity - Query Remote AE

G.4.2.3.3.1.1 Description and Sequencing of Activities

A single attempt will be made to query the remote AE. If the query fails, for whatever reason, no retry will be performed.

G.4.2.3.3.1.2 Proposed Presentation Contexts

Table G.4.2-17. Proposed Presentation Contexts for FIND-SCU and Query Remote AE

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name	UID	Role	Extended Negotiation
See Table G.4.2-13	See Table G.4.2-13	Implicit VR Little Endian	1.2.840.10008.1.2	SCU	None
See Table G.4.2-13	See Table G.4.2-13	Explicit VR Little Endian	1.2.840.10008.1.2.1	SCU	None

G.4.2.3.3.1.2.1 Extended Negotiation

No extended negotiation is performed.

G.4.2.3.3.1.3 SOP Specific Conformance

G.4.2.3.3.1.3.1 SOP Specific Conformance to C-FIND SOP Classes

FIND-SCU provides standard conformance to the supported C-FIND SOP Class.

The following applies to Hanging Protocol Information Model C-FIND.

If present in the response, Specific Character Set will be used to identify character sets other than the default character set for matching between Hanging Protocol and Image Instances.

Table G.4.2.3.3.1.3.1-1. Hanging Protocol Information Model C-FIND SOP Specific Conformance

Name	Tag	Types of Matching
SOP Class UID	(0008,0016)	zero length
SOP Instance UID	(0008,0018)	zero length
Hanging Protocol Name	(0072,0002)	S, *, U
Hanging Protocol Description	(0072,0004)	zero length
Hanging Protocol Level	(0072,0006)	S, U
Hanging Protocol Creator	(0072,0008)	zero length
Hanging Protocol Creation Datetime	(0072,000A)	zero length
Hanging Protocol Definition Sequence	(0072,000C)	SQ, U
>Modality	(0008,0060)	From list (US, MR, MG) or zero length
>Anatomic Region Sequence	(0008,2218)	From CID 4 “Anatomic Region” or zero length
>> Code Value	(0008,0100)	S, U
>> Coding Scheme Designator	(0008,0102)	S, U
>>Coding Scheme Version	(0008,0103)	zero length
>>Code Meaning	(0008,0104)	zero length
>Laterality	(0020,0060)	From list (R, L, U, B) or zero length
> Procedure Code Sequence	(0008,1032)	zero length
>Reason for Requested Procedure Code Sequence	(0040,100A)	zero length
Number of Priors Referenced	(0072,0014)	zero length
Hanging Protocol User Identification Code Sequence	(0072,000E)	From list of local coded terms or zero length
>Code Value	(0008,0100)	S, U
>Coding Scheme Designator	(0008,0102)	S, U
>Coding Scheme Version	(0008,0103)	zero length
>Code Meaning	(0008,0104)	zero length
Hanging Protocol User Group Name	(0072,0010)	zero length
Number of Screens	(0072,0100)	zero length
Nominal Screen Definition Sequence	(0072,0102)	zero length

G.4.2.3.3.1.3.2 Presentation Context Acceptance Criterion

FIND-SCU does not accept associations.

G.4.2.3.3.1.3.3 Transfer Syntax Selection Policies

first encountered explicit Transfer Syntax,
default Transfer Syntax.

G.4.2.3.3.1.3.4 Response Status

FIND-SCU will behave as described in Table G.4.2-19 in response to the status returned in the C-FIND response command message(s).

Table G.4.2-19. Response Status for FIND-SCU and Query Remote AE Request

Service Status	Further Meaning	Status Codes	Behavior
Refused	Out of Resources	A700	Current query is terminated; remaining queries continue
Error	Identifier does not match SOP Class	A900	Current query is terminated; remaining queries continue
	Unable to process	Cxxx	Current query is terminated; remaining queries continue
Cancel	Matching terminated due to Cancel request	FE00	Ignored (should never occur, since cancels never issued)
Success	Matching is complete - No final Identifier is supplied	0000	Current query is terminated. If one or more Pending responses were received, logic is applied to trigger Retrieve of best suited Hanging Protocol Instances; remaining queries continue
Pending	Matches are continuing - Current Match is supplied and any Optional Keys were supported in the same manner as Required Keys	FF00	Identifier stored temporarily for use in setting up Retrieve.
	Matches are continuing - Warning that one or more Optional Keys were not supported for existence and/or matching for this Identifier	FF01	Identifier stored temporarily for use in setting up Retrieve

G.4.2.3.4 Association Acceptance Policy

FIND-SCU does not accept associations.

G.4.2.4 MOVE-SCU

G.4.2.4.1 SOP Classes

MOVE-SCU provide Standard Conformance to the following SOP Class(es) :

Table G.4.2-20. SOP Classes Supported By MOVE-SCU

SOP Class Name	SOP Class UID	SCU	SCP
Hanging Protocol Information Model - MOVE	1.2.840.10008.5.1.4.38.3	Yes	No

G.4.2.4.2 Association Policies

G.4.2.4.2.1 General

MOVE-SCU initiates but never accepts associations.

Table G.4.2-21. Maximum PDU Size Received as a SCP for MOVE-SCU

Maximum PDU size received

Unlimited

G.4.2.4.2.2 Number of Associations

Table G.4.2-27. Number of Associations as a SCP for MOVE-SCU

Maximum number of simultaneous associations

G.4.2.4.2.3 Asynchronous Nature

MOVE-SCU will only allow a single outstanding operation on an Association. Therefore, MOVE-SCU will not perform asynchronous operations window negotiation.

G.4.2.4.2.4 Implementation Identifying Information

Table G.4.2-23. DICOM Implementation Class and Version for MOVE-SCU

Implementation Class UID	1.2.840.999999.3.6
Implementation Version Name	Viewer1.0

G.4.2.4.3 Association Initiation Policy

MOVE-SCU attempts to initiate a new association when the results of the FIND-SCU indicate matching Hanging Protocol Instances to retrieve.

G.4.2.4.3.1 Activity - Retrieve From Remote AE

G.4.2.4.3.1.1 Description and Sequencing of Activities

A single attempt will be made to retrieve Hanging Protocol Instances from the remote AE. If the retrieve fails, for whatever reason, no retry will be performed.

G.4.2.4.3.1.2 Proposed Presentation Contexts

Table G.4.2-24. Proposed Presentation Contexts for MOVE-SCU and Retrieve From Remote AE

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name List	UID List	Role	Extended Negotiation
See Table G.4.2-20	See Table G.4.2-20	Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
See Table G.4.2-20	See Table G.4.2-20	Explicit VR Little Endian	1.2.840.10008.1.2.1	SCP	None

G.4.2.4.3.1.2.1 Extended Negotiation

No extended negotiation is performed.

G.4.2.4.3.1.3 SOP Specific Conformance

G.4.2.4.3.1.3.1 SOP Specific Conformance to C-FIND SOP Classes

MOVE-SCU provides standard conformance to the supported C-MOVE SOP Class.

No CANCEL requests are ever issued.

Table G.4.2-25. Request Identifier for MOVE-SCU

Name	Tag	Request Key
Hanging Protocol
SOP Instance UID	(0008,0018)	List of UIDs

G.4.2.4.3.1.3.2 Presentation Context Acceptance Criterion

MOVE-SCU does not accept associations.

G.4.2.4.3.1.3.3 Transfer Syntax Selection Policies

first encountered explicit Transfer Syntax,
default Transfer Syntax.

G.4.2.4.3.1.3.4 Response Status

MOVE-SCU will behave as described in the Table below in response to the status returned in the C-MOVE response command message(s).

Table G.4.2-26. Response Status for MOVE-SCU and Retrieve From Remote AE Request

Service Status	Further Meaning	Status Codes	Related Fields	Behavior
Refused	Out of Resources - Unable to calculate number of matches	A701	(0000,0902)	Retrieval is terminated
	Out of Resources - Unable to perform sub-operations	A702	(0000,1020) (0000,1021) (0000,1022) (0000,1023)	Retrieval is terminated
	Move Destination unknown	A801	(0000,0902)	Retrieval is terminated
Failed	Identifier does not match SOP Class	A900	(0000,0901) (0000,0902)	Retrieval is terminated
	Unable to process	Cxxx	(0000,0901) (0000,0902)	Retrieval is terminated
Cancel	Sub-operations terminated due to Cancel Indication	FE00	(0000,1020) (0000,1021) (0000,1022) (0000,1023)	Retrieval is terminated (should never occur, since cancels never issued)
Warning	Sub-operations Complete - One or more Failures	B000	(0000,1020) (0000,1022) (0000,1023)	Retrieval is terminated
Success	Sub-operations Complete - No Failures	0000	(0000,1020) (0000,1021) (0000,1022) (0000,1023)	Retrieval is terminated
Pending	Sub-operations are continuing	FF00	(0000,1020) (0000,1021) (0000,1022) (0000,1023)	Retrieval continues

G.4.2.4.3.1.3.5 Sub-Operation Dependent Behavior

Whether or not the remote AE attempts to retry any failed C-STORE sub-operations is beyond the control of MOVE-SCU.

G.4.2.4.4 Association Acceptance Policy

MOVE-SCU does not accept associations.

G.4.3 Network Interfaces

G.4.3.1 Physical Network Interface

The application is indifferent to the physical medium over which TCP/IP executes, which is dependent on the underlying operating system and hardware.

G.4.3.2 Additional Protocols

G.4.3.3 IPv4 and IPv6 Support

This product supports both IPv4 and IPv6. It does not utilize any of the optional configuration identification or security features of IPv6.

G.4.4 Configuration

G.4.4.1 AE Title/Presentation Address Mapping

The Calling AE Titles of the local application are configurable in the preferences file. The mapping of the logical name by which remote AEs are described in the user interface to Called AE Titles as well as presentation address (hostname or IP address and port number) is configurable in the preferences file.

G.4.4.2 Parameters

Table G.4.4-1. Configuration Parameters Table

Parameter	Configurable	Default Value
General Parameters
PDU Size	No	16kB
Time-out waiting for acceptance or rejection Response to an Association Open Request. (Application Level timeout)	No	None
General DIMSE level time-out values	No	None
Time-out waiting for response to TCP/IP connect() request. (Low-level timeout)	No	None
Time-out waiting for acceptance of a TCP/IP message over the network. (Low-level timeout)	No	None
Time-out for waiting for data between TCP/IP packets. (Low-level timeout)	No	None
Any changes to default TCP/IP settings, such as configurable stack parameters.	No	None
AE Specific Parameters (all AEs)
Size constraint in maximum object size	No	None
Maximum PDU size the AE can receive (see note 1)	No	Unlimited
Maximum PDU size the AE can send	No	Unlimited
AE specific DIMSE level time-out values	No	None
Number of simultaneous Associations by Service and/or SOP Class	No	Unlimited
SOP Class support	No	All supported SOP Classes always proposed and accepted
Transfer Syntax support	No	All supported Transfer Syntaxes always proposed and accepted
Other parameters that are configurable	No	None

Note

Though the application can support unlimited PDU sizes, it will never offer a Maximum Received PDU Length of zero (unlimited) since this triggers a bug in some older systems.

G.5 Media Interchange

None supported.

G.6 Support of Character Sets

G.6.1 Overview

Support extends to correctly decoding and displaying the correct symbol in the supported character sets for all names and strings received over the network, and in the local database.

No specific support for sorting of strings other than in the default character set is provided in the browsers.

G.6.2 Character Sets

In addition to the default character repertoire, the Defined Terms for Specific Character Set in Table G.6.2-1 are supported:

Table G.6.2-1. Supported Specific Character Set Defined Terms

Character Set Description	Defined Term
Latin alphabet No. 1	ISO_IR 100

G.6.3 Character Set Configuration

Whether or not characters are displayed correctly depends on the presence of font support in the underlying operating system.

G.7 Security

G.7.1 Security Profiles

None supported.

G.7.2 Association Level Security

None supported.

Any Calling AE Titles and/or IP addresses may open an Association.

G.7.3 Application Level Security

None supported.

G.8 Annexes

G.8.1 IOD Contents

G.8.1.1 Created SOP Instances

Table G.8.1-1 specifies the attributes of a Hanging Protocol Instance transmitted by the ImageViewer application.

The following tables use a number of abbreviations. The abbreviations used in the "Presence of …" column are:

VNAP Value Not Always Present (attribute sent zero length if no value is present)

ANAP Attribute Not Always Present

ALWAYS Always Present

EMPTY Attribute is sent without a value

The abbreviations used in the "Source" column:

USER the attribute value source is from User input

AUTO the attribute value is generated automatically

CONFIG the attribute value source is a configurable parameter

Note

All dates and times are encoded in the local configured calendar and time. Date, Time and Time zone are configured using the Service/Installation Tool.

G.8.1.1.1 Hanging Protocol IOD

Table G.8.1-1. IOD of Created Hanging Protocol SOP Instances

IE	Module	Reference	Presence of Module
Hanging Protocol	SOP Common	Table G.8.1-2	ALWAYS
Hanging Protocol Definition		Table G.8.1-3	ALWAYS
Hanging Protocol Environment		Table G.8.1-4	ALWAYS
Hanging Protocol Display		Table G.8.1-5	ALWAYS

Table G.8.1-2. SOP Common Module of Created SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Specific Character Set	(0008,0005)	CS	From Table G.6.2-1	ALWAYS	CONFIG
SOP Class UID	(0008,0016)	UI	1.2.840.10008.5.1.4.38.1	ALWAYS	AUTO
SOP Instance UID	(0008,0018)	UI	Generated by device	ALWAYS	AUTO

Table G.8.1-3. Hanging Protocol Definition Module of Created SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Hanging Protocol Name	(0072,0002)	SH	From user input.	ALWAYS	USER
Hanging Protocol Description	(0072,0004)	LO	From user input.	ALWAYS	USER
Hanging Protocol Level	(0072,0006)	CS	From user input.	ALWAYS	USER
Hanging Protocol Creator	(0072,0008)	LO	From user login.	ALWAYS	AUTO
Hanging Protocol Creation Datetime	(0072,000A)	DT	Generated by device.	ALWAYS	AUTO
Hanging Protocol Definition Sequence	(0072,000C)	SQ	One or more sequence items.	ALWAYS	AUTO
>Modality	(0008,0060)	CS	From Defined Terms, based on user input.	ANAP	USER/AUTO
>Anatomic Region Sequence	(0008,2218)	SQ	One or more sequence items, based on user input.	ANAP	USER/AUTO
>>Include 'Code Sequence Macro'			Defined CID 4 “Anatomic Region”
>Laterality	(0020,0060)	CS	R, L, B, U or zero length, based on user input.	ANAP	USER/AUTO
> Procedure Code Sequence	(0008,1032)	SQ	Zero length.	EMPTY	AUTO
>Reason for Requested Procedure Code Sequence	(0040,100A)	SQ	Zero length.	EMPTY	AUTO
Number of Priors Referenced	(0072,0014)	US	Numeric value.	ALWAYS	AUTO
Image Sets Sequence	(0072,0020)	SQ	One or more sequence items.	ALWAYS	AUTO
>Image Set Selector Sequence	(0072,0022)	SQ	One or more sequence items.	ALWAYS	AUTO
>>Image Set Selector Usage Flag	(0072,0024)	CS	MATCH or NO_MATCH, depending on Selector Attribute.	ALWAYS	AUTO
>>Selector Attribute	(0072,0026)	AT	Relevant Attribute Tags from DICOM Data Dictionary.	ALWAYS	AUTO
>>Selector Sequence Pointer	(0072,0052)	AT	Relevant Sequence Attribute Tags from DICOM Data Dictionary, if Selector Attribute is nested in a Sequence.	ANAP	AUTO
>>Selector Attribute VR	(0072,0050)	CS	VR of Selector Attribute	ALWAYS	AUTO
>>The attribute from the Hanging Protocol Selector Attribute Value Macro that is required by the value of Selector Attribute VR.				ALWAYS	AUTO
>>Selector Value Number	(0072,0028)	US	0,1-n	ALWAYS	AUTO
>Time Based Image Sets Sequence	(0072,0030)	SQ	One or more sequence items.	ALWAYS	AUTO
>>Image Set Number	(0072,0032)	US	Generated by device.	ALWAYS	AUTO
>>Image Set Selector Category	(0072,0034)	CS	RELATIVE_TIME or ABSTRACT_PRIOR, based on user input.	ALWAYS	AUTO
>>Relative Time	(0072,0038)	US	From user input.	ANAP	USER
>>Relative Time Units	(0072,003A)	CS	From user input.	ANAP	USER
>>Abstract Prior Value	(0072,003C)	SS	From user input.	ANAP	USER
>>Image Set Label	(0072,0040)	LO	From user input.	ANAP	USER
Hanging Protocol User Identification Code Sequence	(0072,000E)	SQ	One sequence item.	ALWAYS	USER/AUTO
>>Include 'Code Sequence Macro'			Local coded terms for users
Hanging Protocol User Group Name	(0072,0010)	LO	From user input.	ANAP	USER/AUTO

Table G.8.1-4. Hanging Protocol Environment Module of Created SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Number of Screens	(0072,0100)	US	2	ALWAYS	AUTO
Nominal Screen Definition Sequence	(0072,0102)	SQ	Two sequence items.	ALWAYS	AUTO
>Number of Vertical Pixels	(0072,0104)	US	1024	ALWAYS	AUTO
>Number of Horizontal Pixels	(0072,0106)	US	1280	ALWAYS	AUTO
>Display Environment Spatial Position	(0072,0108)	FD	Sequence Item 1: 0.0\|1.0\|0.5\|0.0 Sequence Item 2: 0.5\|1.0\|1.0\|0.0	ALWAYS	AUTO
>Screen Minimum Color Bit Depth	(0072,010C)	US	8	ALWAYS	AUTO

Table G.8.1-5. Hanging Protocol Display Module of Created SOP Instances

Attribute Name	Tag	VR	Value	Presence of Value	Source
Display Sets Sequence	(0072,0200)	SQ	One or more sequence items.	ALWAYS	AUTO
>Display Set Number	(0072,0202)	US	Generated by device.	ALWAYS	AUTO
>Display Set Label	(0072,0203)	LO	From user input	ANAP	USER
>Display Set Presentation Group	(0072,0204)	US	1	ALWAYS	AUTO
>Image Set Number	(0072,0032)	US	Determined by application.	ALWAYS	AUTO
>Image Boxes Sequence	(0072,0300)	SQ	One sequence item.	ALWAYS	AUTO
>>Image Box Number	(0072,0302)	US	Generated by device.	ALWAYS	AUTO
>>Display Environment Spatial Position	(0072,0108)	FD	Determined by application with user input.	ALWAYS	AUTO
>>Image Box Layout Type	(0072,0304)	CS	TILED, STACK or SINGLE, determined by application with user input.	ALWAYS	AUTO
>>Image Box Tile Horizontal Dimension	(0072,0306)	US	For TILED, determined by application with user input.	ANAP	AUTO
>>Image Box Tile Vertical Dimension	(0072,0308)	US	For TILED, determined by application with user input.	ANAP	AUTO
>>Image Box Scroll Direction	(0072,0310)	CS	For TILED, VERTICAL or HORIZONTAL, determined by application with user input.	ANAP	AUTO
>>Image Box Small Scroll Type	(0072,0312)	CS	For TILED only, value is IMAGE.	ANAP	AUTO
>>Image Box Small Scroll Amount	(0072,0314)	US	For TILED only, value is 1.	ANAP	AUTO
>>Image Box Large Scroll Type	(0072,0316)	CS	For TILED only, value is ROW_COLUMN.	ANAP	AUTO
>>Image Box Large Scroll Amount	(0072,0318)	US	For TILED only, value is 1.	ANAP	AUTO
>Filter Operations Sequence	(0072,0400)	SQ	Zero or more sequence items.	VNAP	AUTO
>>Filter-by Category	(0072,0402)	CS	IMAGE_PLANE if present.	ANAP	USER/AUTO
>>Selector Attribute	(0072,0026)	AT	(0008,0008) Image Type, (0018,0010) Contrast/Bolus Agent, (0018,0086) Echo Number, (0018,5101) View Position, (0054,0220) View Code Sequence, (0054,0222) View Modifier Code Sequence.	ANAP	USER/AUTO
>>Selector Sequence Pointer	(0072,0052)	AT	Relevant Sequence Attribute Tags from DICOM Data Dictionary, if Selector Attribute is nested in a Sequence, such as (0054,0220) View Code Sequence.	ANAP	AUTO
>>Selector Attribute VR	(0072,0050)	CS	VR of Selector Attribute, if present	ANAP	AUTO
>>The attribute from the Hanging Protocol Selector Attribute Value Macro that is required by the value of Selector Attribute VR, if present.				ANAP	AUTO
>>Selector Value Number	(0072,0028)	US	3 for (0008,0008) Image Type, 1 for other Selector Attributes.	ANAP	AUTO
>>Filter-by Operator	(0072,0406)	CS	MEMBER_OF or NOT_MEMBER_OF.	ALWAYS	USER
>Sorting Operations Sequence	(0072,0600)	SQ	Zero or more sequence items.	VNAP	AUTO
>>Selector Attribute	(0072,0026)	AT	(0008,0032) Acquisition Time, (0018,0086) Echo Time, (0020,0013) Instance Number.	ANAP	USER
>>Selector Sequence Pointer	(0072,0052)	AT	Relevant Sequence Attribute Tags from DICOM Data Dictionary, if Selector Attribute is nested in a Sequence.	ANAP	AUTO
>>Selector Value Number	(0072,0028)	US	1 for most Selector Attributes, if present.	ANAP	AUTO
>>Sort-by Category	(0072,0602)	CS	ALONG_AXIS	ANAP	USER
>>Sorting Direction	(0072,0604)	CS	INCREASING or DECREASING	ALWAYS	USER
>Display Set Patient Orientation	(0072,0700)	CS	From user input or automated algorithm.	ANAP	USER/AUTO
>VOI Type	(0072,0702)	CS	From user input or automated algorithm.	ANAP	USER/AUTO
>Show Image True Size Flag	(0072,0710)	CS	NO	ALWAYS	AUTO
>Show Graphic Annotation Flag	(0072,0712)	CS	YES	ALWAYS	AUTO
>Show Patient Demographics Flag	(0072,0714)	CS	YES	ALWAYS	AUTO
>Show Acquisition Techniques Flag	(0072,0716)	CS	YES	ALWAYS	AUTO
Partial Data Display Handling	(0072,0208)	CS	MAINTAIN_LAYOUT	ALWAYS	AUTO
Synchronized Scrolling Sequence	(0072,0210)	SQ	Zero or more sequence items, based on user input or automated algorithm.	ANAP	USER/AUTO
>Display Set Scrolling Group	(0072,0212)	US	Display Set numbers.	ALWAYS	AUTO
Navigation Indicator Sequence	(0072,0214)	SQ	Zero or more sequence items, based on user input.	ANAP	USER
>Navigation Display Set	(0072,0216)	US	Display Set number, user or automated.	ANAP	USER/AUTO
>Reference Display Sets	(0072,0218)	US	Display Set numbers, user or automated.	ALWAYS	USER/AUTO

G.8.1.2 Usage of Attributes From Received IODs

No SOP Class specific fields for images are required.

The Reformatting Operation Type (0072,0510) attribute with value MPR or SLAB is supported for the MR Image Storage SOP Class only.

G.8.1.3 Attribute Mapping

Not applicable.

G.8.1.4 Coerced/Modified Fields

No coercion is performed.

G.8.2 Data Dictionary of Private Attributes

No private attributes are defined.

G.8.3 Coded Terminology and Templates

The value for Code Meaning will be displayed for all code sequences. No local lexicon is provided to look up alternative code meanings.

G.8.4 Grayscale Image Consistency

The high resolution display monitor attached to the product can be calibrated according to the Grayscale Standard Display Function (GSDF).

G.8.5 Standard Extended/Specialized/Private SOP Classes

None

G.8.6 Private Transfer Syntaxes

None.

H DICOM Conformance Statement Medication-System-Gateway (Informative)

Disclaimer:

This document is an example DICOM Conformance Statement for a fictional device called EXAMPLE-MEDICATION-SYSTEM-GATEWAY, which is a networked computer system used to provide radiology systems with access to a pharmacy system and a medication administration record system.

H.0 Cover Page

Company Name: EXAMPLE-GATEWAY-PRODUCTS.

Product Name: EXAMPLE-MEDICATION-SYSTEM-GATEWAY

Version: 1.0-rev. A.1

Internal document number: 4226-xxx-yyy-zzz rev 1

Date: YYYYMMDD

H.1 Conformance Statement Overview

The EXAMPLE-MEDICATION-SYSTEM-GATEWAY is a networked computer system used to provide radiology systems with access to a pharmacy system and a medication administration record system. It allows imaging modalities systems and departmental information systems to retrieve information about drugs and contrast agents, to verify that administration of a drug or contrast agent to a particular patient is allowed, and to record the administration of a drug or contrast agent to a patient.

Table H.1-1. Network Services

SOP Classes	User of Service (SCU)	Provider of Service (SCP)
Workflow Management
Substance Administration Logging	No	Yes
Query/Retrieve
Product Characteristics Query	No	Yes
Substance Approval Query	No	Yes

H.2 Table of Contents

A table of contents shall be provided to assist readers in easily finding the needed information.

H.3 Introduction

H.3.1 Revision History

Table H.3.1-1. Revision History

Document Version	Date	Author	Description
1.1	October 30, 2006	DICOM WG6	Version for Final Text
1.2	August 30, 2007	WG 6	Revised Introduction

H.3.2 Audience,Remarks,Terms and Definitions, Basics of DICOM Communication, Abbreviations, References

See example text in Section A.3.

H.3.3 Additional Remarks for This Example

The EXAMPLE-MEDICATION-SYSTEM-GATEWAY relies on the associated, but independent, Pharmacy and Medication Administration Record Systems to fulfill the medical application functions implicit in the DICOM services supported. In particular, these functions are part of a critical patient safety workflow. However, those patient safety functions are not specified by DICOM, and they are not fully described by this Conformance Statement. Please see the product specifications of the Pharmacy and Medication Administration Record Systems for full details on the clinical decision support and records management features of those systems.

This document is a sample DICOM Conformance Statement created for DICOM PS3.2. It is to be used solely as an example to illustrate how to create a DICOM Conformance Statement for a server supporting the DICOM Substance Administration Information Services. The subject of the document, EXAMPLE-MEDICATION-SYSTEM-GATEWAY, is a fictional product.

H.4 Networking

H.4.1 Implementation Model

H.4.1.1 Application Data Flow

The division of EXAMPLE-MEDICATION-SYSTEM-GATEWAY into the separate DICOM Application Entities represents their independent logical functionality.

By default all of the defined Application Entities have different AE Titles. However, EXAMPLE-MEDICATION-SYSTEM-GATEWAY can be configured so that the PHARMACY-SCP AE and MAR-SCP AE share the same Application Entity Title.

Figure H.4.2-1. Example-Medication-System-Gateway DICOM Data Flow Diagram

H.4.1.2 Functional Definition of AEs

H.4.1.2.1 Functional Definition of PHARMACY-SCP Application Entity

The PHARMACY-SCP AE handles incoming external queries for pharmacy (drug and contrast agent) product data, and also handles requests for approval of administration of pharmacy product. The PHARMACY-SCP AE handles queries by translating the standard DICOM queries to the non-standard interface of the Pharmacy Information System and the Patient Registration System.

The PHARMACY-SCP AE waits for another application to connect at the presentation address configured for its Application Entity Title. PHARMACY-SCP AE will accept Associations with Presentation Contexts for SOP Classes of the DICOM Substance Administration Information Service Class, and Verification Service Class. It will handle query requests on these Presentation Contexts and respond with values corresponding to the information provided by the Pharmacy Information System.

H.4.1.2.2 Functional Definition of MAR-SCP Application Entity

The MAR-SCP AE receives incoming DICOM notifications of drug or contrast agent administration, and adds them to the Medication Administration Record System database.

The MAR-SCP AE waits for another application to connect at the presentation address configured for its Application Entity Title. The MAR-SCP AE will accept Associations with Presentation Contexts for SOP Classes of the Substance Administration Logging and Verification SOP Classes. Any drug or contrast agent administration images notifications received on such Presentation Contexts will be added to the Medication Administration Record System database.

H.4.1.3 Sequencing of Real-World Activities

There are no sequencing constraints across the EXAMPLE-MEDICATION-SYSTEM-GATEWAY Application Entities. Each query or notification is handled independently.

H.4.2 AE Specifications

H.4.2.1 PHARMACY-SCP Application Entity Specification

H.4.2.1.1 SOP Classes

The PHARMACY-SCP AE provides Standard Conformance to the following DICOM SOP Classes:

Table H.4.2-1. SOP Classes for PHARMACY-SCP AE

SOP Class Name	SOP Class UID	SCU	SCP
Verification	1.2.840.10008.1.1	No	Yes
Product Characteristics Query	1.2.840.10008.5.1.4.41	No	Yes
Substance Approval Query	1.2.840.10008.5.1.4.42	No	Yes

H.4.2.1.2 Association Policies

H.4.2.1.2.1 General

The PHARMACY-SCP AE will never initiate Associations; it only accepts Association Requests from external DICOM AEs. The PHARMACY-SCP AE will accept Associations for Verification (C-ECHO) and Query (C-FIND) requests.

The DICOM standard Application Context Name for DICOM is always accepted:

Table H.4.2-2. DICOM Application Context for PHARMACY-SCP AE

Application Context Name

1.2.840.10008.3.1.1.1

H.4.2.1.2.2 Number of Associations

The PHARMACY-SCP AE can support multiple simultaneous Associations. Each time the PHARMACY-SCP AE receives an Association, a child process will be spawned to process the Verification or Query request. The maximum number of child processes, and thus the maximum number of simultaneous Associations that can be processed, is set by configuration. The default maximum is 10 in total.

Table H.4.2-3. Number of Simultaneous Associations as a SCP for PHARMACY-SCP AE

Maximum number of simultaneous Associations

10 (Configurable)

H.4.2.1.2.3 Asynchronous Nature

The PHARMACY-SCP AE does not support asynchronous communication (multiple outstanding transactions over a single Association). All Association requests must be completed and acknowledged before a new operation can be initiated.

Table H.4.2-4. Asynchronous Nature as a SCP for PHARMACY-SCP AE

Maximum number of outstanding asynchronous transactions

1 (Not Configurable)

H.4.2.1.2.4 Implementation Identifying Information

The implementation information for the Application Entity is:

Table H.4.2-5. DICOM Implementation Class and Version for PHARMACY-SCP AE

Implementation Class UID	1.840.xxxxxxx.yyy.etc…
Implementation Version Name	EX_VERS_01

Note that all EXAMPLE-MEDICATION-SYSTEM-GATEWAY AEs use the same Implementation Class UID and Implementation Version Name. This Version Name is updated with each new release of the product software, as the different AE versions are never released independently.

H.4.2.1.3 Association Initiation Policy

The PHARMACY-SCP AE does not initiate Associations.

H.4.2.1.4 Association Acceptance Policy

H.4.2.1.4.1 Activity - Handling Query Requests

H.4.2.1.4.1.1 Description and Sequencing of Activity

The PHARMACY-SCP AE accepts Associations only if they have valid Presentation Contexts. If none of the requested Presentation Contexts are accepted then the Association Request itself is rejected. It can be configured to only accept Associations with certain hosts (using TCP/IP address) and/or Application Entity Titles.

The following sequencing applies to the PHARMACY-SCP AE for handling queries (C-FIND-Requests) :

Peer AE opens an Association with the PHARMACY-SCP AE.
Peer AE sends a C-FIND-RQ Message
If the query is for a Substance Administration Approval, PHARMACY-SCP AE requests basic patient demographic data (e.g., name, sex) from the Patient Registration System
PHARMACY-SCP AE translates the query into a request for the Pharmacy Information System (for either Product Information or for Substance Administration Approval), which responds with the requested data (or an indication of no matching data for the query).
If matching information is provided, PHARMACY-SCP AE returns a C-FIND-RSP Message to the peer AE with the matching information.
A final C-FIND-RSP is sent indicating that the matching is complete.
Peer AE closes the Association. Note that the peer AE does not have to close the Association immediately. Further C-FIND Requests can be sent over the Association before it is closed.

The PHARMACY-SCP AE may reject Association attempts as shown in the table below. The Result, Source and Reason/Diag columns represent the values returned in the corresponding fields of an ASSOCIATE-RJ PDU (see Section 9.3.4 “A-ASSOCIATE-RJ PDU Structure” in PS3.8 ). The following abbreviations are used in the Source column:

1 - DICOM UL service-user
2 - DICOM UL service-provider (ASCE related function)
3 - DICOM UL service-provider (Presentation related function)

Table H.4.2-6. Association Rejection Reasons

Result	Source	Reason/Diag	Explanation
2 - rejected-transient	c	2 - local-limit-exceeded	The (configurable) maximum number of simultaneous Associations has been reached. An Association request with the same parameters may succeed at a later time.
2 - rejected-transient	c	1 - temporary-congestion	No Associations can be accepted at this time due to the real-time requirements of higher priority activities or because insufficient resources are available (e.g., memory, processes, threads). An Association request with the same parameters may succeed at a later time.
1 - rejected-permanent	a	2 - application-context-name-not-supported	The Association request contained an unsupported Application Context Name. An association request with the same parameters will not succeed at a later time.
1 - rejected-permanent	a	7 - called-AE-title-not-recognized	The Association request contained an unrecognized Called AE Title. An Association request with the same parameters will not succeed at a later time unless configuration changes are made. This rejection reason normally occurs when the Association initiator is incorrectly configured and attempts to address the Association acceptor using the wrong AE Title.
1 - rejected-permanent	a	3 - calling-AE-title-not-recognized	The Association request contained an unrecognized Calling AE Title. An Association request with the same parameters will not succeed at a later time unless configuration changes are made. This rejection reason normally occurs when the Association acceptor has not been configured to recognize the AE Title of the Association initiator.
1 - rejected-permanent	b	1 - no-reason-given	The Association request could not be parsed. An Association request with the same format will not succeed at a later time.

The PHARMACY-SCP AE will close the Association under the exceptional circumstances listed in Table H.4.2-7.

Table H.4.2-7. PHARMACY-SCP AE Communication Failure Behavior

Exception

Behavior

Timeout expiry for an expected DICOM Message Request (DIMSE level timeout). I.e. The PHARMACY-SCP AE is waiting for the next C-FIND Request on an open Association but the timer expires.

The Association is aborted by issuing a DICOM A-ABORT.

Error message is output to the Service Audit Trail.

Timeout expiry for an expected DICOM PDU or TCP/IP packet (Low-level timeout). I.e. The PHARMACY-SCP AE is waiting for the next message PDU but the timer expires.

The Association is aborted by issuing a DICOM A-ABORT.

Error message is output to the Service Audit Trail.

Association aborted by the SCU or the network layers indicate communication loss (i.e., low-level TCP/IP socket closure)

Error message is output to the Service Audit Trail.

H.4.2.1.4.1.2 Accepted Presentation Contexts

The PHARMACY-SCP AE will accept Presentation Contexts as shown in Table H.4.2-8.

Table H.4.2-8. Accepted Presentation Contexts By the PHARMACY-SCP AE

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name	UID	Role	Extended Negotiation
Verification	1.2.840.10008.1.1	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
Product Characteristics Query	1.2.840.10008.5.1.4.41	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
Product Characteristics Query	1.2.840.10008.5.1.4.41	DICOM Explicit VR Little Endian	1.2.840.10008.1.2.1	SCP	None
Substance Approval Query	1.2.840.10008.5.1.4.42	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
Substance Approval Query	1.2.840.10008.5.1.4.42	DICOM Explicit VR Little Endian	1.2.840.10008.1.2.1	SCP	None

H.4.2.1.4.1.3 SOP Specific Conformance for Verification SOP Class

The PHARMACY -SCP AE provides standard conformance to the Verification SOP Class as an SCP.

H.4.2.1.4.1.4 SOP Specific Conformance for Product Characteristics Query SOP Class

The PHARMACY-SCP AE supports the Return Key Attributes shown in Tables H.4.2-9 and H.4.2-10. Only those attributes requested in the query identifier are returned. Note that queries about devices are not supported.

Table H.4.2-9. Return Key Attributes Supported for Product Characteristics Query

Product Package Identifier	(0044,0001)	Returned with query match value
Product Type Code Sequence	(0044,0007)	RxNorm coded type of drug
Manufacturer	(0008,0070)
Product Name	(0044,0008)
Product Description	(0044,0009)
Product Lot Identifier	(0044,000A)
Product Expiration DateTime	(0044,000B)
Product Parameter Sequence	(0044,0013)	See Table H.4.2-10 for parameters supported
Pertinent Documents Sequence	(0038,0100)	Zero or one item returned
>Retrieve URI	(0040,E010)

Table H.4.2-10. Product Parameter Sequence Item Concepts Supported

Concept Name Code Sequence (0040,A043)
(118565006, SCT, "Volume")
(127489000, SCT, "Active Ingredient")

Only the ASCII (DICOM Default) character set is supported by the Pharmacy Information System; Specific Character Set (0008,0005) is not used.

H.4.2.1.4.1.5 SOP Specific Conformance for Substance Approval Query SOP Class

The PHARMACY-SCP AE supports the Matching Key Attributes shown in Table H.4.2-11. It can be configured to match on Patient ID, or on Admission ID, or on a combination of Patient ID and Issuer of Patient ID, or on a combination of Admission ID and Issuer of Admission ID. As required by the SOP Class, one of Patient ID or Admission ID must be present in the query, as must Product Package Identifier and Administration Route Code Sequence. Note, however, that the Pharmacy Information System does not support verification of administration route. Also note that queries about devices are not supported.

Table H.4.2-11. Matching Key Attributes Supported for Substance Approval Query

Patient ID	(0010,0020)
Issuer of Patient ID	(0010,0021)
Admission ID	(0038,0010)
Issuer of Admission ID	(0038,0011)
Product Package Identifier	(0044,0001)
Administration Route Code Sequence	(0054,0302)
>Code Value	(0008,0100)
>Coding Scheme Designator	(0008,0102)

The PHARMACY-SCP AE supports the Return Key Attributes shown in Table H.4.2-12. Only those attributes requested in the query identifier are returned.

Table H.4.2-12. Return Key Attributes Supported for Substance Approval Query

Patient's Name	(0010,0010)	Obtained from Patient Registration System
Patient ID	(0010,0020)	Obtained from Patient Registration System if AE configured for Admission ID matching, or Admission ID + Issuer of Admission ID matching
Issuer of Patient ID	(0010,0021)	Returned only if AE configured for Patient ID + Issuer of Patient ID matching
Patient's Birth Date	(0010,0030)	Obtained from Patient Registration System
Patient's Sex	(0010,0040)	Obtained from Patient Registration System
Admission ID	(0038,0010)	Returned only if AE configured for Admission ID matching, or Admission ID + Issuer of Admission ID matching
Issuer of Admission ID	(0038,0011)	Returned only if AE configured for Admission ID + Issuer of Admission ID matching
Product Package Identifier	(0044,0001)	Returned with query match value
Administration Route Code Sequence	(0054,0302)	Returned with query match value
Substance Administration Approval	(0044,0002)	Obtained from Pharmacy Information System
Approval Status Further Description	(0044,0003)	Obtained from Pharmacy Information System
Approval Status DateTime	(0044,0004)

Specific Character Set (0008,0005) is returned with value ISO_IR 192 if the Patient Registration System provides non-ASCII Unicode characters in Patient Name.

H.4.2.1.4.1.6 PHARMACY-SCP AE C-FIND Response Behavior

The PHARMACY-SCP AE supports the C-FIND Response Status return values and behavior shown in Table H.4.2-13.

Table H.4.2-13. PHARMACY-SCP AE C-FIND Response Status Return Behavior

Service Status	Further Meaning	Error Code	Behavior
Success	Success	0000	Matching is complete. No final identifier is supplied.
Failure	Out of Resources	A700	System reached the limit in memory usage for queuing requests to the Pharmacy Information System. Error message is output to as an alert to the Service Audit Trail.
	Identifier does not match SOP Class	A900	The C-FIND query identifier contains invalid Elements or values, or is missing mandatory Elements or values for the specified SOP Class. Error message is output to the Service Audit Trail.
	Unable to process	C001	The AE is unable to establish a session with the Pharmacy Information System. Error message is output to the Service Audit Trail.
	Unable to process	C002	The AE is unable to establish a session with the Patient Registration System. Error message is output to the Service Audit Trail.
	Unable to process	C110	The AE is unable to identify the Patient. Error message is output to the Service Audit Trail.
	Unable to process	C120	The AE is unable to identify the Product. Error message is output to the Service Audit Trail.
Cancel	Matching terminated due to Cancel Request	FE00	The C-FIND SCU sent a Cancel Request. This has been acknowledged and the search for matches has been halted.
Pending	Matches are continuing and current match is supplied.	FF00	Indicates that the successful match is returned and a further response (0000) is forthcoming. This status code is returned if all Optional keys in the query identifier are actually supported.
Pending	Matches are continuing but one or more Optional Keys were not supported.	FF01	Indicates that the successful match is returned and a further response (0000) is forthcoming. This status code is returned if there are Optional keys in the query identifier that are not supported.

H.4.2.2 MAR-SCP Application Entity Specification

H.4.2.2.1 SOP Classes

The MAR-SCP AE provides Standard Conformance to the following DICOM SOP Classes:

Table H.4.2-14. SOP Classes for MAR-SCP AE

SOP Class Name	SOP Class UID	SCU	SCP
Verification	1.2.840.10008.1.1	No	Yes
Substance Administration Logging	1.2.840.10008.1.42	No	Yes

H.4.2.2.2 Association Policies

H.4.2.2.2.1 General

The MAR-SCP AE will never initiate Associations; it only accepts Association Requests from external DICOM AEs. The MAR-SCP AE will accept Associations for Verification (C-ECHO) and Substance Administration Logging (N-ACTION) requests.

The DICOM standard Application Context Name for DICOM is always accepted and proposed:

Table H.4.2-15. DICOM Application Context for MAR-SCP AE

Application Context Name

1.2.840.10008.3.1.1.1

H.4.2.2.2.2 Number of Associations

The MAR-SCP AE can support multiple simultaneous Associations. Each time the MAR-SCP AE receives an Association, a child process will be spawned to process the Verification or Substance Administration Logging request. The maximum number of child processes, and thus the maximum number of simultaneous Associations that can be processed, is set by configuration. The default maximum number is 10 in total.

Table H.4.2-16. Number of Simultaneous Associations as an SCP for MAR-SCP AE

Maximum number of simultaneous Associations requested by peer AEs

10 (Configurable)

H.4.2.2.2.3 Asynchronous Nature

The MAR-SCP AE does not support asynchronous communication (multiple outstanding transactions over a single Association). All Association requests must be completed and acknowledged before a new operation can be initiated.

Table H.4.2-17. Asynchronous Nature as a SCP for MAR-SCP AE

Maximum number of outstanding asynchronous transactions

1 (Not Configurable)

H.4.2.2.2.4 Implementation Identifying Information

The implementation information for this Application Entity is:

Table H.4.2-18. DICOM Implementation Class and Version for MAR-SCP AE

Implementation Class UID	1.840.xxxxxxx.yyy.etc…
Implementation Version Name	EX_VERS_01

H.4.2.2.3 Association Initiation Policy

The MAR-SCP AE does not initiate Associations.

H.4.2.2.4 Association Acceptance Policy

H.4.2.2.4.1 Activity - Handling Substance Administration Logging Requests

H.4.2.2.4.1.1 Description and Sequencing of Activity

The MAR-SCP AE accepts Associations only if they have valid Presentation Contexts. If none of the requested Presentation Contexts are accepted then the Association Request itself is rejected. It can be configured to only accept Associations with certain hosts (using TCP/IP address) and/or Application Entity Titles.

The following sequencing applies to the MAR-SCP AE for handling Substance Administration Logging Requests (N-ACTION) :

Peer AE opens an Association with the MAR-SCP AE.
Peer AE sends N-ACTION-RQ to request logging of a substance administration event.
If the request does not include the Patient ID, MAR-SCP AE requests the Patient ID corresponding to the Admission ID from the Patient Registration System
MAR-SCP AE translates the logging request into a database operation on the Medication Administration Record System database.
MAR-SCP AE responds with N-ACTION-RSP to indicate that it received and processed the request.
Peer AE closes the Association. Note that the peer AE does not have to close the Association immediately. Further N-ACTION Requests can be sent over the Association before it is closed.

The MAR-SCP AE may reject Association attempts as shown in the Table below. The Result, Source and Reason/Diag columns represent the values returned in the corresponding fields of an ASSOCIATE-RJ PDU (see Section 9.3.4 “A-ASSOCIATE-RJ PDU Structure” in PS3.8 ). The following abbreviations are used in the Source column:

1 - DICOM UL service-user
2 - DICOM UL service-provider (ASCE related function)
3 - DICOM UL service-provider (Presentation related function)

Table H.4.2-19. Association Rejection Reasons

Result	Source	Reason/Diag	Explanation
2 - rejected-transient	c	2 - local-limit-exceeded	The (configurable) maximum number of simultaneous Associations has been reached. An Association request with the same parameters may succeed at a later time.
2 - rejected-transient	c	1 - temporary-congestion	No Associations can be accepted at this time due to the real-time requirements of higher priority activities (e.g., during image acquisition no Associations will be accepted) or because insufficient resources are available (e.g., memory, processes, threads). An Association request with the same parameters may succeed at a later time.
1 - rejected-permanent	a	2 - application-context-name-not-supported	The Association request contained an unsupported Application Context Name. An association request with the same parameters will not succeed at a later time.
1 - rejected-permanent	a	7 - called-AE-title-not-recognized	The Association request contained an unrecognized Called AE Title. An Association request with the same parameters will not succeed at a later time unless configuration changes are made. This rejection reason normally occurs when the Association initiator is incorrectly configured and attempts to address the Association acceptor using the wrong AE Title.
1 - rejected-permanent	a	3 - calling-AE-title-not-recognized	The Association request contained an unrecognized Calling AE Title. An Association request with the same parameters will not succeed at a later time unless configuration changes are made. This rejection reason normally occurs when the Association acceptor has not been configured to recognize the AE Title of the Association initiator.
1 - rejected-permanent	b	1 - no-reason-given	The Association request could not be parsed. An Association request with the same format will not succeed at a later time.

The MAR-SCP AE will close the Association under the exceptional circumstances listed in Table H.4.2-20.

Table H.4.2-20. PHARMACY-SCP AE Communication Failure Behavior

Exception

Behavior

Timeout expiry for an expected DICOM Message Request (DIMSE level timeout). I.e. The MAR-SCP AE is waiting for the next N-ACTION Request on an open Association but the timer expires.

The Association is aborted by issuing a DICOM A-ABORT.

Error message is output to the Service Audit Trail.

Timeout expiry for an expected DICOM PDU or TCP/IP packet (Low-level timeout). I.e. The MAR-SCP AE is waiting for the next message PDU but the timer expires.

The Association is aborted by issuing a DICOM A-ABORT.

Error message is output to the Service Audit Trail.

Association aborted by the SCU or the network layers indicate communication loss (i.e., low-level TCP/IP socket closure)

Error message is output to the Service Audit Trail.

H.4.2.2.4.1.2 Accepted Presentation Contexts

The MAR-SCP AE will accept Presentation Contexts as shown in Table H.4.2-21.

Table H.4.2-21. Accepted Presentation Contexts By MAR-SCP AE

Presentation Context Table
Abstract Syntax		Transfer Syntax		Role	Extended Negotiation
Name	UID	Name	UID	Role	Extended Negotiation
Verification	1.2.840.10008.1.1	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
Substance Administration Logging	1.2.840.10008.1.42	DICOM Implicit VR Little Endian	1.2.840.10008.1.2	SCP	None
Substance Administration Logging	1.2.840.10008.1.42	DICOM Explicit VR Little Endian	1.2.840.10008.1.2.1	SCP	None

H.4.2.2.4.1.3 SOP Specific Conformance for Verification SOP Class

The MAR-SCP AE provides standard conformance to the Verification SOP Class as an SCP.

H.4.2.2.4.1.4 SOP Specific Conformance for Substance Administration Logging SOP Classes

As required by the SOP Class, one of Patient ID or Admission ID must be present in the Substance Administration Logging request. If the request does not include the Patient ID, the MAR-SCP AE requests the Patient ID corresponding to the Admission ID from the Patient Registration System.

The MAR-SCP AE SCP translates the attributes shown in Table H.4.2-22 into database fields of the Medication Administration Record System. All other provided attributes are converted to text strings and placed in the ClinicalNotes field of the database.

Table H.4.2-22. Attributes of Logging Request Imported to Mar Database

Patient ID	(0010,0020)
Product Package Identifier	(0044,0001)
Product Name	(0044,0008)
Substance Administration DateTime	(0044,0010)
Administration Route Code Sequence	(0054,0302)
Operator Identification Sequence	(0008,1072)

The MAR-SCP AE supports the N-ACTION Response Status return values and behavior shown in Table H.4.2-23.

Table H.4.2-23. MAR-SCP AE N-ACTION Response Status Return Reasons

Service Status	Further Meaning	Status Code	Reason
Success	Success	0000	The log entry was successfully received and stored in the Medication Administration Record System database.
Failure	Processing failure	0110	The AE is unable to establish a session with the Medication Administration Record System (Error ID=C003), or with the Patient Registration System (Error ID=C002). Error message is output to the Service Audit Trail.
	Operator not authorized to add entry to Medication Administration Record	C10E	The AE received a user authorization rejection from the Medication Administration Record System. Error message is output to the Service Audit Trail.
	Patient cannot be identified from Patient ID or Admission ID	C110	The AE is unable to identify the Patient. Error message is output to the Service Audit Trail.
	Update of Medication Administration Record failed	C111	The Medication Administration Record System reported a database error. Error message is output to the Service Audit Trail.

H.4.3 Network Interfaces

H.4.3.1 Physical Network Interface

The EXAMPLE-MEDICATION-SYSTEM-GATEWAY supports a single network interface. One of the following physical network interfaces will be available depending on installed hardware options:

Table H.4.3-1. Supported Physical Network Interfaces

Ethernet 100baseT
Gigabit Ethernet

H.4.3.2 Additional Protocols

EXAMPLE-MEDICATION-SYSTEM-GATEWAY conforms to the System Management Profiles listed in Table F.4.3-2. All requested transactions for the listed profiles and actors are supported. It does not support any optional transactions.

Table H.4.3-2. Supported System Management Profiles

Profile Name	Actor	Protocols Used	Optional Transactions	Security Support
Network Address Management	DHCP Client	DHCP	N/A
DNS Client	DNS	N/A

H.4.3.2.1 DHCP

Table H.4.3-3. Supported DHCP Parameters

DHCP Parameter	Default Value
IP Address	None
Hostname	Requested machine name
List of NTP servers	Empty list
List of DNS servers	Empty list
Routers	Empty list
Static routes	None
Domain name	None
Subnet mask	Derived from IP Address (see service manual)
Broadcast address	Derived from IP Address (see service manual)
Default router	None
Time offset	Site configurable (from Time zone)
MTU	Network Hardware Dependent
Auto-IP permission	No permission

If the DHCP server refuses to renew a lease on the assigned IP address all active DICOM Associations will be aborted.

H.4.3.2.2 DNS

H.4.4 Configuration

H.4.4.1 AE Title/Presentation Address Mapping

H.4.4.1.1 Local AE Titles

The mapping from AE Title to TCP/IP addresses and ports is configurable and set at the time of installation by Installation Personnel.

Table H.4.4-1. Default Application Entity Characteristics

Application Entity	Role	Default AE Title	Default TCP/IP Port
PHARMACY-SCP	SCP	EX_PHAR_SCP	5000
MAR-SCP	SCP	EX_MAR_SCP	4000

The PHARMACY-SCP and MAR-SCP Application Entities can be configured to have the same AE Title.

H.4.4.1.2 Remote AE Title/Presentation Address Mapping

The mapping of external AE Titles to TCP/IP addresses and ports is configurable and set at the time of installation by Installation Personnel. This mapping is necessary for resolving the IP address and port of C-MOVE Destination Application Entities and must be correctly configured for the PHARMACY-SCP AE to correctly function as a C-MOVE SCP.

H.4.4.2 Parameters

Table H.4.4-2. Configuration Parameters

Parameter	Configurable	Default Value
General Parameters
Maximum PDU size I can receive	Yes	128kbytes
Maximum PDU size I can send	Yes	128kbytes
Time-out waiting for response to TCP/IP connect() request. (Low-level timeout)	Yes	10 s
Time-out waiting for A-ASSOCIATE RQ PDU on open TCP/IP connection. (ARTIM timeout)	Yes	30 s
Time-out waiting for acceptance or rejection response to an Association Open Request. (Application Level timeout)	Yes	30s
Time-out waiting for acceptance of a TCP/IP message over the network. (Low-level timeout)	Yes	30 s
Time-out for waiting for data between TCP/IP packets. (Low-level timeout)	Yes	30 s
PHARMACY-SCP AE Parameters
Maximum number of simultaneous Associations	Yes	10
AE time-out waiting on an open Association for the next message (C-FIND-RQ, Association Close Request. etc.) (DIMSE timeout)	Yes	1 minute
MAR-SCP AE Parameters
Maximum number of simultaneous Associations	Yes	10
AE time-out waiting on an open Association for the next Request message (N-ACTION-RQ, Association Close Request. etc.) (DIMSE timeout)	Yes	1 minute

H.5 Media Interchange

EXAMPLE-MEDICATION-SYSTEM-GATEWAY does not support Media Storage.

H.6 Support of Extended Character Sets

All EXAMPLE-MEDICATION-SYSTEM-GATEWAY DICOM applications support the following:

ISO_IR 192 (Unicode)

H.7 Security

H.7.1 Security Profiles

The EXAMPLE-MEDICATION-SYSTEM-GATEWAY is configurable to support the Kerberos Identity Negotiation Association Profile.

H.7.2 Association Level Security

The PHARMACY-SCP AE and the MAR-SCP AE can both be configured to accept Association Requests from only a limited list of Calling AE Titles. The SCP AEs can have different lists. Each SCP AE can be configured to check that the Association requestor specifies the correct Called AE Title for the SCP.

I Conformance Statement Sample WADO Service (Informative)

Disclaimer:

This document is an example DICOM Conformance Statement for a fictional application service called EXAMPLE-WADO-SERVICE produced by a fictional vendor called EXAMPLE-PACS-PRODUCTS.

I.0 Cover Page

Company Name: EXAMPLE-PACS-PRODUCTS.

Product Name: EXAMPLE-WADO-SERVICE

Version: 1.0-rev. A.1

Internal document number: 4226-xxx-yyy-zzz rev 1

Date: YYYYMMDD

I.1 Conformance Statement Overview

This fictional product EXAMPLE-WADO-SERVICE implements the WADO-URI services and the WADO RS services for access to DICOM SOP Instances that are stored on an EXAMPLE-PACS-ARCHIVE. The EXAMPLE-WADO-SERVICE is only available as a plug in option for the EXAMPLE-PACS-ARCHIVE. All of the networking, database, and other services are provided by the EXAMPLE-PACS-ARCHIVE. This conformance claim refers to the conformance claim for the EXAMPLE-PACS-ARCHIVE for all such services.

Table I.1-1 provides an overview of the network services supported by EXAMPLE-WADO-SERVICE.

Table I.1-1. Network Services

Network Service	User of Service (Client)	Provider of Service (Server)
WADO - URI - Retrieve Imaging Document	No	Yes
WADO - URI - Retrieve Rendered Imaging Document	No	Yes
WADO - RS - Retrieve Study	No	Yes
WADO - RS - Retrieve Series	No	Yes
WADO - RS - Retrieve Instance	No	Yes
WADO - RS - Retrieve Frames	No	Yes
WADO - RS - Retrieve Bulkdata	No	Yes
WADO - RS - Retrieve Metadata	No	Yes

I.2 Table of Contents

A table of contents shall be provided to assist readers in easily finding the needed information.

I.3 Introduction

I.3.1 Revision History

Table I.3.1-1. Revision History

Document Version	Date of Issue	Author	Description
1.1	October 30, 2003	WG 6	Version for Final Text
1.2	August 30, 2007	WG 6	Revised Introduction
1.3	February 6, 2013	WG 6	WADO-RS Final Text

I.3.2 Audience, Remarks, Terms and Definitions, Basics of DICOM Communication, Abbreviations, References

See example text in Section A.3.

I.3.3 Additional Remarks for This Example

I.4 Networking

I.4.1 Implementation Model

I.4.1.1 Application Data Flow

Figure I.4.1-1. Application Data Flow Diagram

The WADO Service Application receives WADO requests from a remote AE. These requests may be either over the URI, WS or RS interfaces. It is associated with the local real-world activity "Retrieve Images". It converts these requests into internal lookup functions to find the matching SOP Instances. It then obtains these matching SOP Instances and composes a response back to the requesting remote AE.

I.4.1.2 Functional Definition of AEs

I.4.1.2.1 Functional Definition of WADO Service Application

The reception of a WADO request will activate the AE. An internal request is sent to the search capabilities of the EXAMPLE-WADO-SERVICE. This request is based upon the request parameters or the URL resource end point from the WADO request. The response is a list of all SOP instances stored on the EXAMPLE-PACS-ARCHIVE that match the request parameters. If there are no matching instances, the AE will indicate this in the WADO response. For all matching instances, the AE will utilize the internal image transfer request to obtain a copy of each instance. If the request was for retrieval of instances, these instances will be returned. If the request was for retrieval of rendered instances, then the AE will render each instance and return the rendered results.

I.4.2 AE Specifications

This AE complies with Chapter 6 in PS3.18 , specifications for RS and URI access.

I.4.2.1 WADO-WS Specifications

DICOM has retired the WADO-WS Service. See PS3.2-2017b. This product still supports this service as described here.

I.4.2.1.1 WADO-WS Retrieve Imaging Document Set

Table I.4.2-1. WADO-WS Retrieve Imaging Document Set Specification

Parameter	Restrictions
Transfer Syntaxes Supported	Any transfer syntax supported by the hosting EXAMPLE-PACS-ARCHIVE
SOP Class Restrictions	Any SOP class supported by the hosting EXAMPLE-PACS-ARCHIVE
Size restriction	Any size supported by the hosting EXAMPLE-PACS-ARCHIVE
Anonymization	Supports the DICOM Basic Application Level Confidentiality Profile plus the Retain Patient Characteristics option.

I.4.2.1.2 WADO-WS Retrieve Rendered Imaging Document Set

Table I.4.2-3. WADO-WS Retrieve Rendered Imaging Documents Specification

Parameter	Restrictions
Transfer Syntaxes Supported	Restricted to transfer syntaxes supported by the hosting EXAMPLE-PACS-ARCHIVE
SOP Class Restrictions	Restricted to SOP classes supported by the hosting EXAMPLE-PACS-ARCHIVE
Size restriction	Restricted to sizes supported by the hosting EXAMPLE-PACS-ARCHIVE
Rendered formats available	Supports JPEG and PDF for IMAGE IODS, and PDF for non-IMAGE IODS.
Rows restrictions	Must be in range 16 - 32767
Columns restrictions	Must be in range 16 - 32767
Region restrictions	None
Window Center restrictions	None
Window Width restrictions	None
Image Quality restrictions	None
Anonymization	Supports the DICOM Basic Application Level Confidentiality Profile plus the Retain Patient Characteristics option.
Annotation restrictions	None
Compression available	JPEG
Other restrictions	None

I.4.2.1.3 WADO-WS Retrieve Imaging Document Set Metadata

Not supported

I.4.2.1.4 Connection Policies

I.4.2.1.4.1 General

All standard WS connection policies apply. There are no extensions for WS options.

I.4.2.1.4.2 Number of Connections

EXAMPLE-WADO-SERVICE limits the number of simultaneous WS requests. Additional requests will be queued after the TCP connection is accepted. When an earlier request completes, a pending request will proceed.

Table I.4.2-4. Number of WS Requests Supported

Maximum number of simultaneous WS requests

100 (configurable)

I.4.2.1.4.3 Asynchronous Nature

EXAMPLE-WADO-SERVICE does not support WS asynchronous response.

I.4.2.2 WADO-URI Specification

I.4.2.2.1 WADO-URI Retrieve Imaging Document Set

Table I.4.2-5. WADO-URI Retrieve Imaging Documents Specification

Parameter	Restrictions
Transfer Syntaxes Supported	Restricted to transfer syntaxes supported by the hosting EXAMPLE-PACS-ARCHIVE
SOP Class restrictions	Restricted to SOP classes supported by the hosting EXAMPLE-PACS-ARCHIVE
Size restriction	Restricted to sizes supported by the hosting EXAMPLE-PACS-ARCHIVE
Anonymization	Supports the DICOM Basic Application Level Confidentiality Profile plus the Retain Patient Characteristics option.

If the URI Retrieve specifies no transfer syntax that is supported by the archive, the SOP Instance will be returned using the Implicit VR Little Endian Transfer Syntax.

I.4.2.2.2 WADO-URI Retrieve Rendered Imaging Document Set

Table I.4.2-6. WADO-URI Retrieve Rendered Imaging Documents Specification

Parameter	Restrictions
Transfer Syntaxes Supported	Restricted to transfer syntaxes supported by the hosting EXAMPLE-PACS-ARCHIVE
SOP Class restrictions	Restricted to SOP classes supported by the hosting EXAMPLE-PACS-ARCHIVE
Size restriction	Restricted to sizes supported by the hosting EXAMPLE-PACS-ARCHIVE
Rendered formats available	Supports JPEG and PDF for IMAGE IODS, and PDF for non-IMAGE IODS.
Rows restrictions	Must be in range 16 - 32767
Columns restrictions	Must be in range 16 - 32767
Region restrictions	None
Window Center restrictions	Whole window must be in the range of image pixel values.
Window Width restrictions	Must be greater than 4 and whole window must be in the range of image pixel values.
Image Quality restrictions	None
Anonymization	Supports the DICOM Basic Application Level Confidentiality Profile plus the Retain Patient Characteristics option.
Annotation Restrictions	None
Compression available	JPEG
Other restrictions	None

I.4.2.2.3 WADO-URI Retrieve Imaging Document Set Metadata

Not supported.

I.4.2.2.4 Connection Policies

I.4.2.2.4.1 General

All URI connections are limited to HTTP GET requests. The EXAMPLE-WADO-SERVICE ignores all unknown HTTP header parameters.

I.4.2.2.4.2 Number of Connections

EXAMPLE-WADO-SERVICE limits the number of simultaneous HTTP connections.

Table I.4.2-7. Number of HTTP Requests Supported

Maximum number of simultaneous HTTP requests

100 (configurable)

I.4.2.2.4.3 Asynchronous Nature

EXAMPLE-WADO-SERVICE supports HTTP pipelined requests and responses.

I.4.2.3 WADO-RS Specifications

I.4.2.3.1 WADO-RS Retrieve Study

Table I.4.2.3-1. WADO-RS Retrieve Study

Options	Restrictions
Data Types Supported (Accept Type)	Restricted to application/dicom or application/octet-stream
Transfer Syntaxes Supported (transfer-syntax Accept parameter)	Any Transfer Syntax supported by the hosting EXAMPLE-PACS-ARCHIVE
SOP Class Restrictions	Restricted to SOP classes supported by the hosting EXAMPLE-PACS-ARCHIVE
Size Restriction	Restricted to size supported by the hosting EXAMPLE-PACS-ARCHIVE

I.4.2.3.2 WADO-RS Retrieve Series

Table I.4.2.3-2. WADO-RS Retrieve Series

Options	Restrictions
Data Types Supported (Accept Type)	Restricted to application/dicom or application/octet-stream
Transfer Syntaxes Supported (Transfer-syntax Accept parameter)	Any Transfer Syntax supported by the hosting EXAMPLE-PACS-ARCHIVE
SOP Class Restrictions	Restricted to SOP classes supported by the hosting EXAMPLE-PACS-ARCHIVE
Size Restriction	Restricted to size supported by the hosting EXAMPLE-PACS-ARCHIVE

I.4.2.3.3 WADO-RS Retrieve Instance

Table I.4.2.3-3. WADO-RS Retrieve Instance

Options	Restrictions
Data Types Supported (Accept Type)	Restricted to application/dicom or application/octet-stream
Transfer Syntaxes Supported (Transfer-syntax Accept parameter)	Any Transfer Syntax supported by the hosting EXAMPLE-PACS-ARCHIVE
SOP Class Restrictions	Restricted to SOP classes supported by the hosting EXAMPLE-PACS-ARCHIVE
Size Restriction	Restricted to size supported by the hosting EXAMPLE-PACS-ARCHIVE

I.4.2.3.4 WADO-RS Retrieve Frames

Table I.4.2.3-4. WADO-RS Retrieve Frames

Options	Restrictions
Data Types Supported (Accept Type)	Restricted to application/octet-stream
Transfer Syntaxes Supported (Transfer-syntax Accept parameter)	Any Transfer Syntax supported by the hosting EXAMPLE-PACS-ARCHIVE
SOP Class Restrictions	Restricted to Multi-Frame Image Objects as defined in PS3.3.
Size Restriction	Restricted to size supported by the hosting EXAMPLE-PACS-ARCHIVE

I.4.2.3.5 WADO-RS Retrieve Bulk Data

Table I.4.2.3-5. WADO-RS Retrieve Bulk Data

Options	Restrictions
Data Types Supported (Accept Type)	Restricted to application/octet-stream
Transfer Syntaxes Supported (Transfer-syntax Accept parameter)	Any Transfer Syntax supported by the hosting EXAMPLE-PACS-ARCHIVE
SOP Class Restrictions	Restricted to SOP classes supported by the hosting EXAMPLE-PACS-ARCHIVE
Size Restriction	Restricted to size supported by the hosting EXAMPLE-PACS-ARCHIVE

I.4.2.3.6 WADO-RS Retrieve Metadata

Table I.4.2.3-6. WADO-RS Retrieve Metadata

Options	Restrictions
Data Types Supported (Accept Type)	Restricted to application/dicom+xml
Accept-Encoding	Restricted to gzip, deflate, or identity (the use of no transformation whatsoever). See W3C RFC 2616 Protocol Parameters Section 3.5 for more information (http://www.w3.org/Protocols/rfc2616/rfc2616-sec3.html).
SOP Class Restrictions	Restricted to SOP classes supported by the hosting EXAMPLE-PACS-ARCHIVE
Size Restriction	Restricted to size supported by the hosting EXAMPLE-PACS-ARCHIVE

I.4.2.3.7 Connection Policies

I.4.2.3.7.1 General

All standard RS connection policies apply. There are no extensions for RS options.

I.4.2.3.7.2 Number of Connections

EXAMPLE-WADO-SERVICE limits the number of simultaneous RS requests. Additional requests will be queued after the HTTP connection is accepted. When an earlier request completes, a pending request will proceed.

Table I.4.2.3-7. Number of Rs Requests Supported

Maximum number of simultaneous RS requests

100 (configurable)

I.4.2.3.7.3 Asynchronous Nature

EXAMPLE-WADO-SERVICE does not support RS asynchronous response.

I.4.3 Network Interfaces

I.4.3.1 Physical Network Interface

EXAMPLE-WADO-SERVICE uses the network interface from the hosting EXAMPLE-PACS-ARCHIVE. See its conformance claim for details.

I.4.3.2 Additional Protocols

EXAMPLE-WADO-SERVICE uses the network services from the hosting EXAMPLE-PACS-ARCHIVE. See its conformance claim for details.

I.4.3.3 IPv4 and IPv6 Support

This product supports both IPv4 and IPv6 connections.

I.4.4 Configuration

I.4.4.1 HTTP URI Interface

The EXAMPLE-WADO-SERVICE can be configured to respond on two ports, one for unprotected HTTP traffic and one for TLS protected traffic. The TLS port will refuse any connection from a system that is not recognized as authenticated by a known authority.

I.4.4.2 WS Interface

DICOM has retired the WADO-WS Service. See PS3.2-2017b. This product still supports this service as described here.

The EXAMPLE-WADO-SERVICE can be configured to respond on either one or two service endpoints. Each endpoint offers both of the services.

The WSDL file to be used by clients is made available at the location http://<servername>/EXAMPLE-WADO-SERVICE?WSDL.

I.4.4.3 RS Interface

I.5 Media Interchange

Not applicable

I.6 Support of Character Sets

All EXAMPLE-WADO-SERVICEs support Unicode UTF-8 for all Web Services transactions. The EXAMPLE-WADO-SERVICE does not convert character sets when returning SOP Instances using DICOM encoding. The original DICOM encoded character sets are preserved. When a PDF encoding is returned, character set conversion is performed and the PDF is returned with a UTF-8 encoding. JPEG renderings, will also utilize UTF-8 encoding for internal labels.

See conformance claim for EXAMPLE-PACS-ARCHIVE for character sets used within the DICOM instances.

I.7 Security

EXAMPLE-WADO-SERVICE supports transport level security measures for all Web Services.

The EXAMPLE-WADO-SERVICE supports the following transport level security measures:

HTTP BASIC Authorization over SSL
Digest Authorization
SSL Client Certificates

The transport level security measures are the support for bi-directional authentication using TLS connections. The EXAMPLE-WADO-SERVICE can provide it's certificate information, and can be configured with either a direct comparison (self-signed) certificate or a chain of trust certificate.

The EXAMPLE-WADO-SERVICE will refuse a connection over TLS from a source that does not have a recognized authentication. For example, a certificate authenticated by "Big Bank Corp." will not be accepted unless the EXAMPLE-WADO-SERVICE has been configured to accept authentications from "Big Bank Corp." The list of acceptable certificates for EXAMPLE-WADO-SERVICE is not shared with certificates used by other system applications and must be maintained independently.

The EXAMPLE-WADO-SERVICE can optionally be configured to support the following session authentication mechanisms:

Kerberos Local Domain Sessions
Shibboleth Cross Domain Sessions (using SAML2.0)

I.8 Annexes

I.8.1 IOD Contents

See Conformance claim for the EXAMPLE-PACS-ARCHIVE.

I.8.3 Coded Terminology and Templates

See conformance claim for EXAMPLE-PACS-ARCHIVE

I.8.4 Grayscale Image Consistency

The EXAMPLE-WADO-SERVICE assumes that the JPEG images will be displayed with monitors calibrated to the sRGB profile when rendering images.

I.8.5 Standard Extended / Specialized / Private SOP Classes

See conformance claim for EXAMPLE-PACS-ARCHIVE

I.8.6 Private Transfer Syntaxes

If you request a DICOM object, it will not be returned in a private transfer syntax.

J Conformance Statement Sample STOW Service (Informative)

Disclaimer:

This document is an example DICOM Conformance Statement for a fictional application service called EXAMPLE-STOW-SERVICE produced by a fictional vendor called EXAMPLE-PACS-PRODUCTS.

J.0 Cover Page

Company Name: EXAMPLE-PACS-PRODUCTS-VENDOR

Product Name: EXAMPLE-STOW-SERVICE

Version: 1.0-rev. A.1

Internal document number: 1024-1960-xx-yy-zz rev 1

Date: YYYYMMDD

J.1 Conformance Statement Overview

This fictional product EXAMPLE-STOW-SERVICE implements the STOW-RS services for storing DICOM SOP Instances into an EXAMPLE-PACS-ARCHIVE. The EXAMPLE-STOW-SERVICE is only available as a plug in option for the EXAMPLE-PACS-ARCHIVE. All of the networking, database, and other services are provided by the EXAMPLE-PACS-ARCHIVE. This conformance claim refers to the conformance claim for the EXAMPLE-PACS-ARCHIVE for all such services.

Table J.1-1 provides an overview of the network services supported by EXAMPLE-STOW-SERVICE.

Table J.1-1. Network Services

Network Service	User of Service (Client)	Provider of Service (Server)
STorage Over the Web (STOW)
STOW-RS - Store Instances	No	Yes

J.2 Table of Contents

A table of contents shall be provided to assist readers in easily finding the needed information.

J.3 Introduction

J.3.1 Revision History

Table J.3.1-1. Revision History

Document Version	Date of Issue	Author	Description
1.1	November 16 ^th, 2012	LCS	Version for Final Text
1.2	February 8 ^th, 2013	LCS	Revised Introduction
1.3	May 16 ^th, 2013	SAR	Incorporated CP-71

J.3.2 Audience, Remarks, Terms and Definitions, Basics of DICOM Communication, Abbreviations, References

See example text in Section A.3.

J.3.3 Additional Remarks for This Example

This document is a sample DICOM Conformance Statement created for DICOM PS3.2. It is to be used solely as an example to illustrate how to create a DICOM Conformance Statement for a DICOM Service Class Provider (SCP). The subject of the document, EXAMPLE-STOW-SERVICE, is a fictional product.

J.4 Networking

J.4.1 Implementation Model

J.4.1.1 Application Data Flow

Example STOW Service

Figure J.4.1-1. Application Data Flow Diagram

The STOW-RS Service Application receives STOW requests from a remote AE. These requests are HTTP POST requests. It is associated with the local real-world activity "Store Instances". It converts these requests into internal functions to store the given SOP Instances. It returns a summary HTTP status line, including a status code and an associated textual phase, followed by an XML message indicating success, warning, or failure for each instance to the requesting remote AE.

J.4.1.2 Functional Definition of AEs

J.4.1.2.1 Functional Definition of STOW Service Application

The reception of a STOW-RS POST request will activate the STOW-RS Service. The storage request is based upon the accept headers in the STOW-RS POST request. The response includes an HTTP status line, including a status-code and its associated textual phrase, followed by an XML message indicating success, warning, or failure for each instance stored by the STOW-RS service.

J.4.2 AE Specifications

This AE complies with ????, specification for STOW-RS storage.

J.4.2.1 STOW-RS Specifications

J.4.2.1.1 STOW-RS Store Instance

Table J.4.2-1. STOW-RS Store Instances Specification

Category	Restrictions
Media Types Supported (Accept header)	Restricted to application/dicom or application/dicom+xml
Transfer Syntaxes Supported (Media Type parameter)	Any Transfer Syntax supported by the hosting EXAMPLE-PACS-ARCHIVE
SOP Class Restrictions	Restricted to SOP classes supported by the hosting EXAMPLE-PACS-ARCHIVE
Size restriction	Restricted to size supported by the hosting EXAMPLE-PACS-ARCHIVE

J.4.2.2.4 Connection Policies

J.4.2.2.4.1 General

All standard RS connection policies apply. There are no extensions for RS options.

J.4.2.2.4.2 Number of Connections

EXAMPLE-STOW-SERVICE limits the number of simultaneous RS requests. Additional requests will be queued after the HTTP connection is accepted. When an earlier request completes, a pending request will proceed.

Table J.4.2-4. Number of HTTP Requests Supported

Maximum number of simultaneous RS requests

100 (configurable)

J.4.2.2.4.3 Asynchronous Nature

EXAMPLE-STOW-SERVICE does not support RS asynchronous response.

J.4.2.2.4.4 SOP Specific Conformance for SOP Class(Es)

The EXAMPLE-STOW-SERVICE response message header contains status codes indicating success, warning, or failure as shown in the "HTTP Standard Response Codes" below. No additional status codes are used.

Table J.4.2.2.4.4-1. HTTP Standard Response Codes

Service Status	HTTP Status Code	STOW-RS Description
Failure	400 - Bad Request	This indicates that the STOW-RS Service was unable to store any instances due to bad syntax.
	401 - Unauthorized	This indicates that the STOW-RS Service refused to create or append any instances because the client is not authenticated.
	403 - Forbidden	This indicates that the STOW-RS Service understood the request, but is refusing to fulfill it (e.g., an authenticated user with insufficient privileges).
	409 - Conflict	This indicates that the STOW-RS Service request was formed correctly but the service was unable to store any instances due to a conflict in the request (e.g., unsupported SOP Class or Study Instance UID mismatch). This may also be used to indicate that a STOW-RS Service was unable to store any instances for a mixture of reasons. Additional information regarding the instance errors can be found in the XML response message body.
	503 - Busy	This indicates that the STOW-RS Service was unable to store any instances because it was out of resources.
Warning	202 - Accepted	This indicates that the STOW-RS Service stored some of the instances but warnings or failures exist for others. Additional information regarding this error can be found in the XML response message body.


Success	200 - OK	This indicates that the STOW-RS Service successfully stored all the instances.

The EXAMPLE-STOW-SERVICE response message body (PS3.18 XML Store Instances Response Module) contains the DICOM status codes for individual SOP Instances indicating success, warning, or failure as defined below. No additional status codes are used.

For the following semantics the associated value are used for the Warning Reason (0008,1196):

B000

Coercion of Data Elements

The STOW-RS Service modified one or more data elements during storage of the instance.

B006

Elements Discarded

The STOW-RS Service discarded some data elements during storage of the instance.

B007

Data Set does not match SOP Class

The STOW-RS Service stored the instance despite the Data Set not matching the constraints of the SOP Class.

Additional codes may be used for the Warning Reason (0008,1196) to address the semantics of other issues.

In the event that multiple codes may apply, the single most appropriate code is used.

For the following semantics the associated value are used for the Failure Reason (0008,1197).

A700

Refused out of Resources

The STOW-RS Service did not store the instance because it was out of memory.

A710

Refused out of Resources

The STOW-RS Service did not store the instance because it was out of storage space.

A900

Error: Data Set does not match SOP Class

The STOW-RS Service did not store the instance because the SOP Class of an element in the Referenced SOP Instance Sequence did not correspond to the SOP class registered for this SOP Instance at the STOW-RS Service.

C000

Error: Cannot understand

The STOW-RS Service did not store the instance because it cannot understand certain Data Elements.

C122

Referenced Transfer Syntax not supported

The STOW-RS Service did not store the instance because it does not support the requested Transfer Syntax for the instance.

0110

Processing failure

The STOW-RS Service did not store the instance because of a general failure in processing the operation.

0122

Referenced SOP Class not supported

The STOW-RS Service did not store the instance because it does not support the requested SOP Class.

Additional codes may be used for the Failure Reason (0008,1197) to address the semantics of other errors.

In the event that multiple codes may apply, the single most appropriate code shall be used.

J.4.3 Network Interfaces

J.4.3.1 Physical Network Interface

EXAMPLE-STOW-SERVICE uses the network interface from the hosting EXAMPLE-PACS-ARCHIVE. See its conformance claim for details.

J.4.3.2 Additional Protocols

EXAMPLE-STOW-SERVICE uses the network services from the hosting EXAMPLE-PACS-ARCHIVE. See its conformance claim for details.

J.4.3.3 IPv4 and IPv6 Support

This product supports both IPv4 and IPv6 connections.

J.4.4 Configuration

J.4.4.1 STOW-RS Interface

The EXAMPLE-STOW-SERVICE is configured to respond to TLS protected traffic. The TLS port will refuse any connection from a system that is not recognized as authenticated by a known authority.

J.5 Media Interchange

Not applicable

J.6 Support of Character Sets

All EXAMPLE-STOW-SERVICEs support Unicode UTF-8 for all RS transactions.

The EXAMPLE-STOW-SERVICE does not convert character sets when storing PS3.10 binary Instances. The original DICOM encoded character sets are preserved.

J.7 Security

The EXAMPLE-STOW-SERVICE supports the following transport level security measures:

HTTP BASIC Authorization over SSL
Digest Authorization
SSL Client Certificates

The transport level security measures support bi-directional authentication using TLS connections. The EXAMPLE-STOW-SERVICE can provide its certificate information, and can be configured with either a direct comparison (self-signed) certificate or a chain of trust certificates.

The EXAMPLE-STOW-SERVICE will refuse a connection over TLS from a source that does not have a recognized authentication. For example, a certificate authenticated by "Big Hospital Provider" will not be accepted unless the EXAMPLE-STOW-SERVICE has been configured to accept authentications from "Big Hospital Provider". The list of acceptable certificates for EXAMPLE-STOW-SERVICE is not shared with certificates used by other system applications and must be maintained independently.

The EXAMPLE-STOW-SERVICE can optionally be configured to use the following session authentication mechanisms:

Kerberos Local Domain Sessions
Shibboleth Cross Domain Sessions (using SAML2.0)
OAuth 2.0 complying with IHE ITI Internet User Authentication (IUA)

J.8 Annexes

J.8.1 IOD Contents

See conformance claim for the EXAMPLE-PACS-ARCHIVE.

J.8.2 Data Dictionary of Private Attributes

No data dictionary for private attributes is provided. Private attributes are stored as received without modification.

J.8.3 Coded Terminology and Templates

See conformance claim for EXAMPLE-PACS-ARCHIVE.

J.8.4 Standard Extended / Specialized / Private SOP Classes

See conformance claim for EXAMPLE-PACS-ARCHIVE.

J.8.5 Private Transfer Syntaxes

Private transfer syntaxes are not supported.

K Conformance Statement Sample QIDO-RS Provider (Informative)

Disclaimer:

This document is an example DICOM Conformance Statement for a fictional application service called EXAMPLE-QIDO-SERVICE produced by a fictional vendor called EXAMPLE-PACS-PRODUCTS.

K.0 Cover Page

Company Name: EXAMPLE-PACS-PRODUCTS

Product Name: EXAMPLE-QIDO-SERVICE

Version: 1.0-rev. A.1

Internal document number: 1024-xxx-yyy-zzz rev 1

Date: YYYYMMDD

K.1 Conformance Statement Overview

This fictional product EXAMPLE-QIDO-SERVICE implements QIDO-RS, which allow the client to search for studies, series or SOP instances stored in an EXAMPLE-PACS-ARCHIVE. The EXAMPLE- QIDO-SERVICE is only available as a plug in option for the EXAMPLE-PACS-ARCHIVE. All of the networking, database, and other services are provided by the EXAMPLE-PACS-ARCHIVE. This conformance claim refers to the conformance claim for the EXAMPLE-PACS-ARCHIVE for all such services.

Table K.1-1 provides an overview of the network services supported by EXAMPLE-QIDO-SERVICE.

Table K.1-1. Network Services

Network Service	User of Service (Client)	Provider of Service (Server)
Query by ID for DICOM Objects (QIDO)
QIDO-RS - Search for Studies	No	Yes
QIDO-RS - Search for Series	No	Yes
QIDO-RS - Search for Instances	No	Yes

K.2 Table of Contents

A table of contents shall be provided to assist readers in easily finding the needed information.

K.3 Introduction

K.3.1 Revision History

Table K.3.1-1. Revision History

Document Version	Date of Issue	Author	Description
1.1	October 24, 2011	WG-27	Version for Final Text
1.2	March 26, 2013	WG-27	Revised Introduction

K.3.2 Audience, Remarks, Terms and Definitions, Basics of DICOM Communication, Abbreviations, References

See example text in Section A.3.

K.3.3 Additional Remarks for This Example

K.4 Networking

K.4.1 Implementation Model

K.4.1.1 Application Data Flow

Figure K.4.1-1. Application Data Flow Diagram

The QIDO-RS Provider Application receives QIDO requests from a remote AE. These requests are HTTP GET requests. It is associated with the local real-world activity "Query Remote Device". It uses the request to select matching Studies, Series or Instances. It then returns a set of matching Studies, Series or Instances or a response code indicating warning or failure back to the requesting device.

K.4.1.2 Functional Definition of AEs

K.4.1.2.1 Functional Definition of QIDO Service Application

The reception of a QIDO-RS GET request will activate the QIDO-RS Provider. An internal query request is sent to the search capabilities of the associated PACS or Vendor Neutral Archive (VNA). The search result is based upon the URL of the QIDO-RS GET request. The response is a status code indicating the success, warning, or failure of the search along with any matching results stored in the Remote PACS or VNA.

K.4.2 AE Specifications

This AE complies with ????, specification for QIDO-RS.

K.4.2.1 QIDO-RS Specifications

K.4.2.1.1 QIDO-RS Search for Studies

Table K.4.2-1. QIDO-RS Search for Studies Specification

Parameter	Restrictions
Media Types	Restricted to "multipart/related; type=application/dicom+xml" or "application/dicom+json"
Matching Attributes	See Table K.4.2-1a
Return Attributes	See Table K.4.2-1a
Limit and Offset supported	Yes
Person Name Matching	Literal, case insensitive. Section Section K.4.2.2 “Extended Negotiation”.

Table K.4.2-1a. QIDO-RS Study Attribute Matching

Keyword	Tag	Types of Matching
STUDY Level
StudyDate	00080020	S,*,U,R
StudyTime	00080030	S,*,U,R
AccessionNumber	00080050	S,*,U
ModalitiesInStudy	00080061	S,*,U
ReferringPhysiciansName	00080090	S,*,U
StudyDescription	00081030	S,*,U
PhysicianOfRecord	00081048	U
PatientsName	00100010	S,*,U
PatientID	00100020	S,*,U
PatientBirthDate	00100030	NONE
PatientSex	00100040	NONE
StudyInstanceUID	0020000D	UNIQUE
StudyID	00200010	S,*,U
NumberOfStudyRelatedSeries	00201206	NONE
NumberOfStudyRelatedInstances	00201208	NONE
RetrieveURL	00081190	NONE
Common to all query levels
InstanceAvailability	00080056	S,*,U
SpecificCharacterSet	00080005	NONE
RetrieveURL	00081190	NONE

Types of Matching (see Section C.2.2.2 “Attribute Matching” in PS3.4 ) :

"S" indicates the identifier attribute uses Single Value Matching

"L" indicates UID List Matching

"U" indicates Universal Matching.

Note

If only Universal Matching is supported for an attribute then that attribute can only be passed as an "includefield" query key

"*" indicates wild card matching

"R" indicates Range Matching

"SEQUENCE" indicates Sequence Matching

"NONE" indicates that no matching is supported, but that values for this Element requested will be returned with all requests

"UNIQUE" indicates that this is the Unique Key for that query level, in which case Universal Matching or Single Value Matching is used depending on the query level (see Section C.2.2.1.1 “Unique Keys” in PS3.4 ).

K.4.2.1.2 QIDO-RS Search for Series

Table K.4.2-2. QIDO-RS Search for Series Specification

Parameter	Restrictions
Media Types	Restricted to "multipart/related; type=application/dicom+xml" or "application/dicom+json"
Matching Attributes	See Table K.4.2-2a
Return Attributes	See Table K.4.2-2a
Limit and Offset supported	Yes
Relational Queries Supported	No

Table K.4.2-2a. QIDO-RS Series Attribute Matching

Keyword	Tag	Types of Matching
SERIES Level
Modality	00080060	S,*,U
SeriesDescription	0008103E	NONE
SeriesInstanceUID	0020000E	UNIQUE
SeriesNumber	00200011	S,*,U
NumberOfSeriesRelatedInstances	00201209	NONE
PerformedProcedureStepStartDate	00400244	S,*,U,R
PerformedProcedureStepStartTime	00400245	S,*,U,R
RequestAttributeSequence	00400275	SEQUENCE
>ScheduledProcedureStepID	00400009	S,*,U
>RequestedProcedureID	00401001	S,*,U
Common to all query levels
InstanceAvailability	00080056	S,*,U
SpecificCharacterSet	00080005	NONE
RetrieveURL	00081190	NONE

Types of matching: Section Section K.4.2.1.1 “QIDO-RS Search for Studies”.

K.4.2.1.3 QIDO-RS Search for Instances

Table K.4.2-3. QIDO-RS Search for Instances Specification

Parameter	Restrictions
Media Types	Restricted to "multipart/related; type=application/dicom+xml" or "application/dicom+json"
Matching Attributes	See Table K.4.2-3a
Return Attributes	See Table K.4.2-3a
Limit and Offset supported	Yes
Relational Queries Supported	Series-level, only

Table K.4.2-3a. QIDO-RS Instance Attribute Matching

Keyword	Tag	Types of Matching
SERIES Level
Modality	00080060	S,*,U
SeriesDescription	0008103E	NONE
SeriesInstanceUID	0020000E	UNIQUE
SeriesNumber	00200011	S,*,U
NumberOfSeriesRelatedInstances	00201209	NONE
PerformedProcedureStepStartDate	00400244	S,*,U,R
PerformedProcedureStepStartTime	00400245	S,*,U,R
RequestAttributeSequence	00400275	SEQUENCE
>ScheduledProcedureStepID	00400009	S,*,U
>RequestedProcedureID	00401001	S,*,U
COMPOSITE INSTANCE Level
SOPClassUID	00080016	L
SOPInstanceUID	00080018	UNIQUE
InstanceNumber	00200013	S,*,U
Rows	00280010	NONE
Columns	00280011	NONE
BitsAllocated	00280100	NONE
NumberOfFrames	00280008	NONE
Common to all query levels
InstanceAvailability	00080056	S,*,U
SpecificCharacterSet	00080005	NONE
RetrieveURL	00081190	NONE

Types of matching: Section Section K.4.2.1.1 “QIDO-RS Search for Studies”.

K.4.2.1.4 Connection Policies

K.4.2.1.4.1 General

All standard RS connection policies apply. There are no extensions for RS options.

K.4.2.1.4.2 Number of Connections

EXAMPLE-QIDO-SERVICE limits the number of simultaneous RS requests. Additional requests will be queued after the HTTP connection is accepted. When an earlier request completes, a pending request will proceed.

Table K.4.2-4. Number of HTTP Requests Supported

Maximum number of simultaneous RS requests

100 (configurable)

K.4.2.1.4.3 Asynchronous Nature

EXAMPLE-QIDO-SERVICE does not support RS asynchronous response.

K.4.2.1.4.4 Response Status

The EXAMPLE-QIDO-SERVICE shall provide a response message header containing the appropriate status code indicating success, warning, or failure as shown in Table K.4.2-5.

Table K.4.2-5. HTTP Standard Response Codes

Code	Name	Description
Success
200	OK	The query completed and any matching results are returned in the message body.
Failure
400	Bad Request	This indicates that the QIDO-RS Provider was unable to fulfill it because it cannot understand the query component.
401	Unauthorized	This indicates that the QIDO-RS Provider refused to fulfill it because the client is not authorized.
403	Forbidden	This indicates that the QIDO-RS Provider understood the request, but is refusing to fulfill it (e.g., no single patient specified, an authorized user with insufficient privileges, etc.).
413	Request entity too large	This indicates that the query was too broad and a narrower query or paging should be requested. This code will be returned for queries that do not specify PatientID.
503	Busy	Service is unavailable.

K.4.2.2 Extended Negotiation

EXAMPLE-QIDO-SERVICE does not support the "fuzzymatching" query key.

EXAMPLE-QIDO-SERVICE will perform case insensitive matching for PN VR attributes but will not perform other forms of fuzzy matching. This applies to the following attributes:

Referring Physician's Name (0008,0090)
Physician(s) of Record (0008,1048)
Patient's Name (0010,0010)

K.4.3 Network Interfaces

K.4.3.1 Physical Network Interface

EXAMPLE-QIDO-SERVICE uses the network interface from the hosting EXAMPLE-PACS-ARCHIVE. See its conformance claim for details.

K.4.3.2 Additional Protocols

EXAMPLE-QIDO-SERVICE uses the network services from the hosting EXAMPLE-PACS-ARCHIVE. See its conformance claim for details.

K.4.3.3 IPv4 and IPv6 Support

This product supports both IPv4 and IPv6 connections.

K.4.4 Configuration

K.4.4.1 QIDO-RS Interface

The EXAMPLE-QIDO-SERVICE can be configured to respond on one port for TLS protected traffic. The TLS port will refuse any connection from a system that is not recognized as authenticated by a known authority.

K.5 Media Interchange

Not applicable

K.6 Support of Character Sets

EXAMPLE-QIDO-SERVICE supports Unicode UTF-8 for all RS transactions.

See conformance claim for EXAMPLE-PACS-ARCHIVE for character sets used within the DICOM instances.

K.7 Security

The EXAMPLE-QIDO-SERVICE supports the following transport level security measures:

HTTP BASIC Authorization over SSL
Digest Authorization
SSL Client Certificates

The transport level security measures support bi-directional authentication using TLS connections. The EXAMPLE-QIDO-SERVICE can provide its certificate information, and can be configured with either a direct comparison (self-signed) certificate or a chain of trust certificate.

The EXAMPLE-QIDO-SERVICE will refuse a connection over TLS from a source that does not have a recognized authentication. For example, a certificate authenticated by "Big Hospital Provider." will not be accepted unless the EXAMPLE-QIDO-SERVICE has been configured to accept authentications from "Big Hospital Provider." The list of acceptable certificates for EXAMPLE-QIDO-SERVICE is not shared with certificates used by other system applications and must be maintained independently.

The EXAMPLE-QIDO-SERVICE can optionally be configured to use the following session authentication mechanisms:

Kerberos Local Domain Sessions
Shibboleth Cross Domain Sessions (using SAML2.0)
OAuth 2.0 complying with IHE ITI Internet User Authentication (IUA) Profile

L Conformance Statement Sample DICOM-RTV Service Provider (Informative)

Disclaimer:

This document is an example DICOM Conformance Statement for a fictional application service called EXAMPLE-RTV-SERVICE produced by a fictional vendor called EXAMPLE-IMAGING-PRODUCTS.

L.0 Cover Page

Company Name: EXAMPLE-IMAGING-PRODUCTS

Product Name: EXAMPLE-RTV-SERVICE

Version: 1.0-rev. A.1

Internal document number: 1024-1960-xx-yy-zz rev 1

Date: YYYYMMDD

L.1 Conformance Statement Overview

This fictional product EXAMPLE-RTV-SERVICE implements the DICOM-RTV services for sending video and associated metadata, to be consumed in real-time by other compliant devices. The EXAMPLE-RTV-SERVICE is only available as a plug in option for the EXAMPLE-INTEGRATED-MODALITY. All of the networking, database, and other services are provided by the EXAMPLE-INTEGRATED-MODALITY. This conformance claim refers to the conformance claim for the EXAMPLE-INTEGRATED-MODALITY for all such services.

Table L.1-1 provides an overview of the network services supported by EXAMPLE-RTV-SERVICE.

Table L.1-1. Network Services

Network Service	User of Service (SCU)	Provider of Service (SCP)
DICOM Real-Time Video (DICOM-RTV)
DICOM-RTV	No	Yes

L.2 Table of Contents

A table of contents shall be provided to assist readers in easily finding the needed information.

L.3 Introduction

L.3.1 Revision History

Table L.3.1-1. Revision History

Document Version	Date of Issue	Author	Description
1.1	March 8 ^th, 2018	ECR	Initial version for PC

L.3.2 Audience, Remarks, Terms and Definitions, Basics of DICOM Communication, Abbreviations, References

See example text in Section A.3.

L.3.3 Additional Remarks for This Example

This document is a sample DICOM Conformance Statement created for DICOM PS3.2. It is to be used solely as an example to illustrate how to create a DICOM Conformance Statement for a DICOM-RTV Service Provider. The subject of the document, EXAMPLE-RTV-SERVICE, is a fictional product.

L.4 Networking

L.4.1 Implementation Model

L.4.1.1 Application Data Flow

Figure L.4.1-1. Application Data Flow Diagram

The DICOM-RTV Service Application provides multiple DICOM-RTV compliant Flows, transported in RTP over IP, that can be consumed by one or multiple other DICOM-RTV Service Application(s).

L.4.1.2 Functional Definition of AEs

L.4.1.2.1 Functional Definition of RTV Service Application

The DICOM-RTV Service is Active when the equipment produces video content.

L.4.2 AE Specifications

This AE complies with Section 6.2 “Transport” in PS3.22 , specification for DICOM-RTV.

L.4.2.1 DICOM-RTV Application Entity Specifications

L.4.2.1.1 SOP Classes

EXAMPLE-RTV-SERVICE provides Standard Conformance to the following SOP Classes:

Table L.4.2-1. SOP Classes for DICOM-RTV AE

SOP Class Name	SOP Class UID	SCU	SCP
Video Photographic Image Real-Time Communication	1.2.840.10008.10.2	No	Yes

Some restrictions applies on the Real-Time Communications:

Table L.4.2-2. DICOM-RTV Instances Specification

Category	Restrictions
Transfer Syntaxes Supported	SMPTE ST 2110-20 Uncompressed Progressive Active Video
Photometric interpretation	RGB
Bit depth	10

Table L.4.2-3. DICOM-RTV Screen Resolutions

Rows	Columns	Frame rate	Video Type	Progressive or Interlaced
1080	1920	25	25 Hz HD	P
1080	1920	29.97, 30	30 Hz HD	P
1080	1920	25	25 Hz HD	I
1080	1920	29.97, 30	30 Hz HD	I
720	1280	25	25 Hz HD	P
720	1280	29.97, 30	30 Hz HD	P
720	1280	50	50 Hz HD	P
720	1280	59.94, 60	60 Hz HD	P

The resolution is defined by the equipment configuration, and is reflected in the SDP object.

L.4.2.1.2 Connection Policies

L.4.2.1.2.1 General

The consumer shall get the SDP object on the following URL: http://<local-IP-address-of-the-device>/SDP.

L.4.2.1.2.2 Number of Connections

L.4.2.1.2.2

EXAMPLE-RTV-SERVICE is provided in multicast. The limit of simultaneous connection depends on the local network infrastructure.

L.4.3 Network Interfaces

L.4.3.1 Physical Network Interface

EXAMPLE-RTV-SERVICE uses the network interface from the hosting EXAMPLE-INTEGRATED-MODALITY. See its conformance claim for details.

L.4.3.2 Additional Protocols

EXAMPLE-RTV-SERVICE uses the network services from the hosting EXAMPLE-INTEGRATED-MODALITY. See its conformance claim for details.

L.4.3.3 IPv4 and IPv6 Support

This product supports both IPv4 and IPv6 connections.

L.4.4 Configuration

L.4.4.1 DICOM-RTV Interface

The EXAMPLE-RTV-SERVICE is configured to define the following parameters expressed in the SDP object:

the RTP payload type (PT) used for the video is 96
the RTP payload type (PT) used for DICOM-RTV Metadata is 104.

L.5 Media Interchange

Not applicable.

L.6 Support of Character Sets

All EXAMPLE-RTV-SERVICEs support Unicode UTF-8 for all communications.

L.7 Security

Has to be managed at the individual sites and installations.

L.8 Annexes

L.8.1 IOD Contents

See conformance claim for the EXAMPLE-INTEGRATED-MODALITY. The modules and fields contained in the DICOM-RTV metadata are reflecting the values of the corresponding ones in the EXAMPLE-INTEGRATED-MODALITY X-Ray Radiofluoroscopic Image Storage IOD.

L.8.2 Data Dictionary of Private Attributes

No private Attributes are used.

L.8.3 Coded Terminology and Templates

See conformance claim for EXAMPLE-INTEGRATED-MODALITY.

L.8.4 Standard Extended / Specialized / Private SOP Classes

Not Applicable.

L.8.5 Private Transfer Syntaxes

Private transfer syntaxes are not supported.

M Conformance Statement Sample DICOM-RTV Service Consumer (Informative)

Disclaimer:

This document is an example DICOM Conformance Statement for a fictional application service called EXAMPLE-RTV-DISPLAY produced by a fictional vendor called EXAMPLE-Viewing ÂPRODUCTS.

M.0 Cover Page

Company Name: EXAMPLE-Viewing ÂPRODUCTS

Product Name: EXAMPLE-RTV-DISPLAY

Version: 1.0-rev. A.1

Internal document number: 1024-1960-xx-yy-zz rev 1

Date: YYYYMMDD

M.1 Conformance Statement Overview

This fictional product EXAMPLE-RTV-DISPLAY implements the DICOM-RTV services for consuming video, audio and associated metadata, provided by another compliant device, and displaying the information in a window on the screen. The EXAMPLE-RTV-DISPLAY is only available as a plug in option for the EXAMPLE-INTEGRATED-MODALITY. All of the networking, database, and other services are provided by the "SAMPLE DICOM Image Viewer". This conformance claim refers to the conformance claim for the "SAMPLE DICOM Image Viewer" for all such services.

Table M.1-1 provides an overview of the network services supported by EXAMPLE-RTV-DISPLAY.

Table M.1-1. Network Services

Network Service	User of Service (SCU)	Provider of Service (SCP)
DICOM Real-Time Video (DICOM-RTV)
DICOM-RTV	Yes	No

M.2 Table of Contents

A table of contents shall be provided to assist readers in easily finding the needed information.

M.3 Introduction

M.3.1 Revision History

Table M.3.1-1. Revision History

Document Version	Date of Issue	Author	Description
1.1	March 8 ^th, 2018	ECR	Initial version for PC

M.3.2 Audience, Remarks, Terms and Definitions, Basics of DICOM Communication, Abbreviations, References

See example text in Section A.3.

M.3.3 Additional Remarks for This Example

This document is a sample DICOM Conformance Statement created for DICOM PS3.2. It is to be used solely as an example to illustrate how to create a DICOM Conformance Statement for a DICOM-RTV Service Provider. The subject of the document, EXAMPLE-RTV-SERVICE, is a fictional product.

M.4 Networking

M.4.1 Implementation Model

M.4.1.1 Application Data Flow

Figure M.4.1-1. Application Data Flow Diagram

The DICOM-RTV Service Application consumes one or multiple DICOM-RTV compliant Flows, transported in RTP over IP, that is/are provided by one other DICOM-RTV Service Application.

M.4.1.2 Functional Definition of AEs

M.4.1.2.1 Functional Definition of RTV Service Application

The DICOM-RTV Service is Active when the real-time display feature of the equipment is running and some video and/or audio content is provided.

M.4.2 AE Specifications

This AE complies with Section 6.2 “Transport” in PS3.22 , specification for DICOM-RTV.

M.4.2.1 DICOM-RTV Application Entity Specifications

M.4.2.1.1 SOP Classes

EXAMPLE-RTV-SERVICE provides Standard Conformance to the following SOP Classes:

Table M.4.2-1. SOP Classes for DICOM-RTV AE

SOP Class Name	SOP Class UID	SCU	SCP
Video Photographic Image Real-Time Communication	1.2.840.10008.10.2	Yes	No
Audio Waveform Real-Time Communication	1.2.840.10008.10.3	Yes	No
Rendition Selection Document Real-Time Communication	1.2.840.10008.10.4	Yes	No

Some restrictions applies on the Real-Time Communications:

Table M.4.2-2. DICOM-RTV Instances Specification

Category	Restrictions
Transfer Syntaxes Supported	SMPTE ST 2110-20 Uncompressed Progressive Active Video, SMPTE ST 2110-30 PCM Digital Audio
Photometric interpretation	RGB
Bit depth (video)	10
Number of Waveform Channels	2
Bit depth (audio)	16 (signed 16-bits linear)
Sampling Frequency	48 kHz

Table M.4.2-3. DICOM-RTV Screen Resolutions

Rows	Columns	Frame rate	Video Type	Progressive or Interlaced
1080	1920	25	25 Hz HD	P
1080	1920	29.97, 30	30 Hz HD	P
1080	1920	25	25 Hz HD	I
1080	1920	29.97, 30	30 Hz HD	I
720	1280	25	25 Hz HD	P
720	1280	29.97, 30	30 Hz HD	P
720	1280	50	50 Hz HD	P
720	1280	59.94, 60	60 Hz HD	P

The resolution is automatically determined based on the one provided by the sent video.

M.4.2.1.2 Connection Policies

M.4.2.1.2.1 General

The URL to be accessed by the equipment to get the SDP object is set by configuration.

M.4.2.1.2.2 Number of Connections

EXAMPLE-RTV-DISPLAY is consuming multicast communication.

M.4.3 Network Interfaces

M.4.3.1 Physical Network Interface

M.4.3.1 Physical Network Interface

EXAMPLE-RTV-DISPLAY uses the network interface from the hosting "SAMPLE DICOM Image Viewer". See its conformance claim for details.

M.4.3.2 Additional Protocols

EXAMPLE-RTV-DISPLAY uses the network services from the hosting "SAMPLE DICOM Image Viewer". See its conformance claim for details.

M.4.3.3 IPv4 and IPv6 Support

This product supports both IPv4 and IPv6 connections.

M.4.4 Configuration

M.4.4.1 DICOM-RTV Interface

The EXAMPLE-RTV-DISPLAY uses the network parameters (IP, portâ€¦) defined in the SDP.

M.5 Media Interchange

Not applicable.

M.6 Support of Character Sets

EXAMPLE-RTV-DISPLAY supports only Unicode UTF-8 for all communications.

M.7 Security

Has to be managed at the individual sites and installations.

M.8 Annexes

M.8.1 IOD Contents

Not Applicable.

M.8.2 Data Dictionary of Private Attributes

No private Attributes are used.

M.8.3 Coded Terminology and Templates

Not Applicable.

M.8.4 Standard Extended / Specialized / Private SOP Classes

Not Applicable.

M.8.5 Private Transfer Syntaxes

Private transfer syntaxes are not supported.