This document applies to GATEWAY Release V5/media/documents/us-global/products/... · GE Medical Systems DICOM High–Speed Interface GATEWAY REV 6 DICOM Conformance Statement 2153427–100

TechnicalPublications

Direction 2153427–100Revision 6

DICOM High–Speed Interface GATEWAYDICOM Conformance Statement

This document applies toGATEWAY Release V5.XX

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Copyright� 1997, 1998, 1999, 2000 by General Electric Co.

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GE Medical Systems DICOM High–Speed Interface GATEWAY

REV 6 DICOM Conformance Statement 2153427–100

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TABLE OF CONTENTS

CHAPTER TITLE PAGE

REVISION HISTORY v. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

LIST OF EFFECTIVE PAGES v. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SECTION 1 – INTRODUCTION I–1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1–0 OVERVIEW I–1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1–1 OVERALL Conformance Statement DOCUMENT STRUCTURE I–1. . . . . . . .

1–2 INTENDED AUDIENCE I–3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1–3 scope and field of application I–4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1–4 important remarks I–4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1–5 references I–5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1–6 definitions I–5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1–7 symbols and abbreviations I–5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SECTION 2 – CONFORMANCE STATEMENT II–1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–0 Introduction II–1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–1 IMPLEmentation model II–1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–1–1 Application Data Flow Diagram II–1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–1–2 Functional Definition of AE’s II–2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–1–3 Sequencing of Real–World Activities II–2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–2 AE Specifications II–3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–2–1 AE Specification II–3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–2–1–1 Association Establishment Policies II–3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–2–1–1–1 General II–3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–2–1–1–2 Number of Associations II–3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–2–1–1–3 Asynchronous Nature II–4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–2–1–1–4 Implementation Identifying Information II–4. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–2–1–2 Association Initiation Policy II–4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–2–1–2–1 Real–World Activity ”Copy Image” II–4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–2–1–2–1–1 Associated Real–World Activity II–4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–2–1–2–1–2 Proposed Presentation Contexts II–5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–2–1–2–1–2–1 SOP Specific Conformance Statement for Image Storage SOP Class II–5. . . . . . .

2–2–1–2–2 Real–World Activity ”Request Storage Commit” II–5. . . . . . . . . . . . . . . . . . . . . .


2–2–1–2–2–2 Proposed Presentation Contexts II–6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .



ii

2–2–1–2–2–2–1 SOP Specific Conformance Statement for Storage Commitment Push Model SOP Class II–6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–2–1–2–3 Real–world Activity “Verification” II–6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


2–2–1–2–3–2 Proposed Presentation contexts II–7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–2–1–3 Association Acceptance Policy II–7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–2–1–3–1 Real–World Activity ”Verification acknowledge” II–7. . . . . . . . . . . . . . . . . . . . . .


2–2–1–3–1–2 Accepted Presentation Contexts II–7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–2–1–3–1–2–1 SOP Specific Conformance Statement for Verification SOP Class II–7. . . . . . . . .

2–2–1–3–1–2–2 SOP Specific Conformance Statement for Storage Commitment Push Model SOP Class II–8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–3 Communication profiles II–8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–3–1 Supported Communication Stacks (parts 8,9) II–8. . . . . . . . . . . . . . . . . . . . . . . . .

2–3–2 TCP/IP Stack II–8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–3–2–1 API II–8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–3–2–2 Physical Media Support II–8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–3–3 Point–to–Point Stack II–8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–4 Extensions / specializations / privatizations II–8. . . . . . . . . . . . . . . . . . . . . . . . . . .

2–5 Configuration II–8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–5–1 AE Title/Presentation Address Mapping II–8. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–5–2 Configurable Parameters II–9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–6 Support of extended character sets II–9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SECTION 3 – XA INFORMATION OBJECT IMPLEMENTATION III–1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–0 Introduction III–1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–1 XA Image IOD Implementation III–1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–2 XA Image IOD Entity–Relationship Model III–1. . . . . . . . . . . . . . . . . . . . . . . . . .

3–2–1 Entities Description III–2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–2–2 DLX Mapping of DICOM entities III–2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–3 XA Image IOD Module Table III–2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4 InFORMATION MODULE DEFINITIONS III–3. . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–1 Patient Entity Module III–3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–1–1 Patient Module III–3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–2 Study Entity Module III–4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–2–1 General Study III–4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–2–2 Patient Study III–4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–3 Series Entity Module III–4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–3–1 General Series III–4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–4 Equipment Entity Module III–5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–4–1 General Equipment III–5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–5 Image Entity Module III–5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .



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3–4–5–1 General Image III–5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–5–2 Image Pixel III–6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–5–3 Cine III–6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–5–4 Multi–Frame III–6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–5–5 Frame Pointers III–7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–5–6 Mask III–7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–5–7 Display Shutter III–8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–5–8 Device III–8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–5–9 X–Ray Image III–9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–5–10 X–Ray Acquisition III–10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–5–11 X–Ray Collimator III–11. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–5–12 X–Ray table III–11. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–5–13 XA Positioner III–11. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–5–14 Curve III–12. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–4–5–15 SOP Common III–12. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–5 PRIVATE DATA DICTIONARY III–13. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SECTION 4 – SECONDARY CAPTURE IMPLEMENTATION IV–1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4–0 Introduction IV–1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4–1 SC Image IOD Implementation IV–1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4–2 SC Image IOD Entity–Relationship Model IV–1. . . . . . . . . . . . . . . . . . . . . . . . . . .

4–2–1 Entities Description IV–2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4–2–2 DICOM High–Speed Interface Mapping of DICOM entities IV–2. . . . . . . . . . . . .

4–3 SC Image IOD Module Table IV–2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4–4 Module Library IV–3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4–4–1 Patient Entity Module IV–3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4–4–1–1 Patient Module IV–3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4–4–2 Study Entity Module IV–3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4–4–2–1 General Study IV–3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4–4–2–2 Patient Study IV–4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4–4–3 Series Entity Module IV–4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4–4–3–1 General Series IV–4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4–4–4 Equipment Entity Module IV–4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4–4–4–1 SC Equipment Module IV–4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4–4–5 Image Entity Module IV–5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4–4–5–1 General Image IV–5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4–4–5–2 Image Pixel IV–5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4–4–5–3 Overlay Plane Module IV–6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4–4–5–4 SOP Common IV–6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4–5 PRIVATE DATA DICTIONARY FOR SECONDARY CAPTURE IV–7. . . . . . . .



iv

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v

REVISION HISTORY

REV DATE REASON FOR CHANGE

� �� Initial release to Direction Stock (C13.XX DLX Software Release).

� � � �� Made various changes to text for accuracy and usability(C14.10 DLX Software Release)

� ��!�� Release updated for coherence with software (C15.07 DLX Software Release).

� �� Reference DGW renamed to DICOM High–Speed Interface(C17.10 DLX Software Release)

� � �� Storage Commitment (Transfer of Ownership) Modifications

� �� " �� DGW release V4.xxReal–World activity “Verification” added.

� �� DGW release V5.xx

LIST OF EFFECTIVE PAGES

PAGE REVISIONNUMBER NUMBER

Title Page 6

Table of Contentsi thru iv 6

Revision Historyv thru vi 6

Section 1I–1 thru I–6 6

Section 2II–1 thru II–10 6

Section 3III–1 thru III–14 6

Section 4IV–1 thru IV–8 6



vi

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SECTION 1 – INTRODUCTION

1–0 OVERVIEW

Section 1, Introduction, provides general information about the content and scope of thisdocument.

Section 2, Conformance Statement, is the DICOM v3.0 Conformance Statement related tothis product. Conformance Statements defines the subset of options selected from thoseoffered by the DICOM v3.0 standard.

Section 3, DLX DICOM High–Speed Interface XRAY Angiographic Information ObjectImplementation defines the technical specifications required to interoperate with a DICOMv3.0 network interface. They define the technical details of the Information ObjectDefinitions (IOD’s) listed in the Conformance Statement. This section contains also thedescription of the private elements used in this implementation.

Section 4, Secondary Capture Image Information Object implementation, defines thetechnical specifications required to interoperate with a DICOM v3.0 network interface.They define the technical details of the Information Object definition (IOD’s) listed in theConformance statement.This section contains also the description of the private elementsused in this implementation.

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The Documentation Structure of the GEMS Conformance Statements and their relationshipwith the DICOM v3.0 Conformance Statements is shown in Illustration 1–1.



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This document specifies the DICOM v3.0 implementation. It is entitled:

DLX DICOM High–Speed InterfaceConformance Statement for DICOM v3.0 Direction ........# 2153427–100

This Conformance Statement documents the DICOM v3.0 Conformance Statement andTechnical Specification required to interoperate with the GEMS network interface.Introductory information, which is applicable to all GEMS Conformance Statements, isdescribed in the document:

Introduction to the Integrated DICOM/Network v3.0 (ID/Net v3.0)Conformance StatementDirection: 2118780.

This Introduction familiarizes the reader with DICOM terminology and general concepts. Itshould be read prior to reading the individual products’ GEMS Conformance Statements.

The GEMS Conformance Statement, contained in this document, also specifies the LowerLayer communications which it supports (e.g., TCP/IP). However, the TechnicalSpecifications are defined in the DICOM v3.0 Part 8 standard.

For more information including Network Architecture and basic DICOM concepts, pleaserefer to the Introduction.

For the convenience of software developers, there is “collector” Direction available. Byordering the collector, the Introduction described above and all of the currently publishedGEMS Product Conformance Statements will be received. The collector Direction is:

ID/Net v3.0 Conformance Statements Direction: 2117016

For more information regarding DICOM v3.0, copies of the Standard may be obtained bywritten request or phone by contacting:

NEMA Publication1300 North 17th StreetSuite 1847Rosslyn, VA 22209USAPhone: (703) 841–3200

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The reader of this document is concerned with software design and/or system integrationissues. It is assumed that the reader of this document is familiar with the DICOM v3.0Standards and with the terminology and concepts which are used in those Standards.

If readers are unfamiliar with DICOM v3.0 terminology they should first refer to thedocument listed below, then read the DICOM v3.0 Standard itself, prior to reading thisConformance Statement document.

Introduction to the Integrated DICOM/Network v3.0 (ID/Net v3.0)Conformance StatementDirection: 2118780



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It is the intent of this document, in conjunction with the Introduction to the IntegratedDICOM/Network v3.0 (ID/Net v3.0) Conformance Statement, Direction: 2118780, toprovide an unambiguous specification for GEMS implementations. This specification,called a Conformance Statement, includes a DICOM v3.0 Conformance Statement and isnecessary to ensure proper processing and interpretation of GEMS medical image dataexchanged using DICOM v3.0. The GEMS Conformance Statements are available to thepublic.

The reader of this Conformance Statement should be aware that different GEMS devices are capable of using different Information Object Definitions. For example, aGEMS CT Scanner may send images using the CT Information Object, MR InformationObject, Secondary Capture Object, etc.

Included in this Conformance Statement are the Module Definitions which define all dataelements used by this GEMS implementation. If the user encounters unspecified privatedata elements while parsing a GEMS Data Set, the user is well advised to ignore those dataelements (per the DICOM v3.0 standard). Unspecified private data element information issubject to change without notice. If, however, the device is acting as a ”full fidelity storagedevice”, it should retain and retransmit all of the private data elements which are sent byGEMS devices.

��

The use of these Conformance Statements, in conjunction with the DICOM v3.0 Standards,is intended to facilitate communication with GE imaging equipment. However, by itself, itis not sufficient to ensure that inter–operation will be successful. The user (or user’sagent) needs to proceed with caution and address at least four issues:

� �!%��#�%�"! � �� !'��%�'�"! "� �!+ ��)�� !'" �! ")�%�� &+&'� "� �!'�%�"!-!��'�� )��& �"�& ��+"!� '�� &�"#� "� &'�!��%�& � �� )�� !� "� '��&�!'%"�(�'�"! �!� �&&"��'�� "!�"% �!�� '�'� �!'& *��! �!'�%"#�%��'+*�'� !"!�� $(�# �!' �& ��&�%�� %�&#"!&��'+ '" �!��+,� '�� ##��-'�"!& %�$(�%� �!'& �!� '" ��&��! � &"�('�"! '��' �!'��%�'�& �� !� �$(�#- �!' *�'� !"!-�� &+&'� & �& '�� &$�#�$ %�&#"!&��'+ �!� &�"(�� !"' ��(!��%�&'� �'�� &$�# �& &'%"!��+ ��)�&�� '" �!&(%� '��' &(�� ! �!'��%�'�"!

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A list of references which is applicable to all GEMS Conformance Statements is included inthe Introduction to the Integrated DICOM/Network v3.0 (ID/Net v3.0) ConformanceStatement, Direction: 2118780.

The information object implementation refers to the XRAY Angiographic Image ObjectDefinition (DICOM v3.0 Standart Supplement 6) to Part 3 (Information Object Definition)

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A set of definitions which is applicable to all GEMS Conformance Statements is included inthe Introduction to the Integrated DICOM/Network v3.0 (ID/Net v3.0) ConformanceStatement, Direction: 2118780.

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A list of symbols and abbreviations which is applicable to all GEMS ConformanceStatements is included in the Introduction to the Integrated DICOM/Network v3.0 (ID/Netv3.0) Conformance Statement, Direction: 2118780.



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This conformance statement (CS) specifies the GE DLX DICOM High–Speed Interface(so–called DICOM High–Speed Interface in the rest of this document) compliance toDICOM v3.0. It details the DICOM Service Classes and roles which are supported by thisproduct.

Advantx DLX is an Integrated Digital Vascular Imaging System for both Angiography andCardiac applications. The first implementation of the DLX DICOM High–Speed Interfaceuses DICOM services to export cardiac images only to remote workstations.

Note that the format of this section strictly follows the format of DICOM Standard Part 2(Conformance) Annex A. Please refer to that part of the standard while reading this section.

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The Basic and Specific Application models for this device are shown in Illustration 2–1.

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DGW–STOREAE

DICOM INTERFACE STANDARD

Copy Image

Storedremotly

Remote systemrequest

Verification

Images

Verification

Acknowledge

AcknowledgeStorage

Commitment

RequestStorage

Commitment

Images

Committed

AcknowledgeStorage

CommitmentRequest

The DICOM High–Speed Interface–STORE Application Entity (AE) is an application whichhandles DICOM protocol communication. DICOM High–Speed Interface–STORE AE isautomatically brought up when the Digital Angiographic system (DLX) is powered on.



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The remote DICOM’s AE must be manually configured on the DLX, usually at the softwareinstallation time, by a GE field engineer.

There is a local real world activity Copy Image (CI), which can cause the DICOMHigh–Speed Interface–STORE AE to initiate a DICOM association to store an Image

There is a second local real world activity Request Storage Commit (ReqSC), which alsocauses the DGW–STORE AE to initiate a DICOM association. This association is used torequest Transfer of Ownership for the Images that have been transferred earlier by the CIreal world activity. CI consists of an operator selection of one or several images to be sent to the Remote System.Selection of Images is done from the Operator console screens (known as BROWSER andVIEWER); Visualisation of the transfer status is done on a specific menu (known asTRANSFER menu) . Remote Workstation can be any DICOM compliant WorkStation.

There is no User interface for the invoking of the ReqSC activity. Infact, this activityimmediately follows a successful CI activity.

There is a local real world activity Verification that consists of an operator request for theverification of the availability of a remote station.

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The DICOM High–Speed Interface–STORE Application Entity supports the followingfunctions:

� Access to patient demographics and Pixel Data in the local database.

� Initiation of a DICOM association in order to send the image(s).

� Image(s) Send.

� Initiation of a DICOM association in order to request Storage Commitment of the sentimage(s)

� Request Storage Commitment for sent image(s).

� Accept DICOM Association for receiving Storage Commitment response.

� Receive Storage Commitment response.

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The Copy Image activity must be successful in sending an image to the remote station beforethe Request Storage Commit activity can be triggered.



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This Application Entity provides Standard Conformance to the following DICOM V3.0SOP Classes as an SCU:

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��&%��(. ��'*+(� �$� � �*&(� � ��

�*&(� � �&$$"*$�%* �+)! �&��# �� #�)) ��

��("�"��*"&% 1.2.840.10008.1.1

X–Ray Angiographic Image Storage is implemented as a Standard Extended SOP Class. Itcontains type 3 private Data Elements.

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The DICOM Application Context Name (ACN), which is always proposed, is:

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The maximum Length PDU negotiation is included in all association establishmentrequests.

The maximum length PDU for an association initiated by the DICOM High–SpeedInterface–STORE AE is:

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The SOP class Extended Negotiation is not supported.

The user info items sent by this product are:

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The DICOM High–Speed Interface–STORE AE will initiate only one DICOM associationto perform an image storage as an SCU to a remote host in one at a time manner.



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Otherwise, the DICOM High–Speed Interface–STORE AE will not support multipleassociations open simultaneously.

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Asynchronous mode is now supported. All Image store and Request Storage Commitoperations will be performed synchronously, with the exception that a single C–Echoresponse or a single N–Event (Storage Commitment ) Response may occur in parallel withother operations.

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The Implementation UID for this ID/Net v3.0 Implementation is:

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DICOM High–Speed Interface–STORE AE attempts to initiate a new association for eachimage it attempts to transfer. This association corresponds to 1 Real–World Activity : CopyImages (CI).

After each successful transfer of an image, the DGW–STORE AE attempts to initiate a newassociation to send a Storage Commitment Request for that particular image. Thisassociation corresponds to the second Real–World Activity: Request Storage Commit(ReqSC).

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The DICOM High–Speed Interface–STORE AE sends user selected XA and SC IODs to apreselected remote AE one at a time.

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The destination is set at installation time by the Field Service Engineer.

The Operator selects Image(s) to be sent by selection in both BROWSER (at patient level),or VIEWER (at sequence or photo level).

This operation will cause

� #�� DICOM High–Speed Interface�� #� ��#��#� � � �� ""��#��"��# #�� !� !��#� �"#!��# �� !��"��! "'�#�& �!�� #��"� �� #�� ' #��!��#� �

� #�� DICOM High–Speed Interface�� #� ��# �� #�"�� #��

� #�� DICOM High–Speed Interface #� �$�� !�� #" �� !�""��!�% ��#� �� #�� ' �$!�� #�� #!��"��!�



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This implementation performs a single C–STORE operation over an association.

Upon receiving a C–STORE confirmation containing an Error or a Refused status, thisimplementation will terminate the association. The current C–STORE is considered as failed.

Upon receiving a C–STORE confirmation containing a Warning Status, thisimplementation will treat it as an Error or Refused response.

Each C–STORE operation supports an “ Association Timer ”. This timer starts when theassociation request is sent and stops when the association is established. This timer is set to30 seconds.

Each C–STORE operation supports an “ Operation Inactivity Timer ”. This timer startsonce a C–STORE request has been issued and stops once a C–STORE confirmation has beenreceived. This Timer is set to 180 seconds.

If any of the 2 timers expires, the connection is closed and the operation is considered as failed.

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�� #��&)#� ��+"-"+/ ��(,�*+ �+&)�!� &$$"+�

The DGW–STORE AE sends one Storage Commitment Request for the XA and SC, whichhave been transferred earlier by way of “Copy Image” activity. This request is sent for eachXA/SC to the preselected remote AE one at a time.



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The destination is set at installation time by the Field Service Engineer.

The Operator selects Image(s) to be sent by selection in both BROWSER (at patient level),or VIEWER (at sequence or photo level) – CI Activity. Upon successful transfer of theselected Image(s), the Request Storage Commit activity is automatically triggered.

This operation will cause

� .$! �� .) %(%.%�.! � �� --)�%�.%)(� -!&!�. .$! �**,)*,%�.!��-.,��. �( �,�(-"!, -2(.�1 ",)' .$)-! ��!*.! �2 .$! ,!').! ��

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��'! �� '! �%,- �� %,- �!#)-%�-%)(

�.),�#! )''%.3'!(. �/-$ �) !&

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This implementation performs a single N–Action operation over an association.

Upon receiving a N–Action confirmation containing an Error or a Refused status, thisimplementation will terminate the association. The current N–Action is considered asfailed.

Upon receiving a N–Action confirmation containing a Success Status, this implementationwill treat it as only the Storage Commitment request was successful. The implementationexpects to receive the actual response of the Storage Commitment request via another RealWorld Activity : Acknowledge Storage Commit (ASC).

Each N–Action operation supports an “ Association Timer ”. This timer starts when theassociation request is sent and stops when the association is established. This timer is set to30 seconds.

Each N–Action operation supports an “ Operation Inactivity Timer ”.. This timer startsonce a N–Action request has been issued and stops once a N–Action confirmation has beenreceived. This Timer is set to 180 seconds.

If any of the 2 timers expires, the connection is closed and the operation is considered asfailed.

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The operator selects a destination by selecting an host in the TRANSFER menu (by defaultthe last selected host is active).



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Then he presses on the “host verification” button.

These operations will cause

� the dlx_root AE to initiate a DICOM association.

� the dlx_root AE to emit a C–ECHO command to check if the remote AE is available.

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��& �� & �#+, �� #+, � "(,#�,#('

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1.2.840.10008.1.2 ��

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The DGW–STORE AE provides the DICOM Verification Service Class and the StorageCommitment Push Model service Class in the SCP Role.

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DICOM High–Speed Interface echoes to a Verification request from any DICOM node. Thisfunction is transparent to the user (no user interface, a message is just logged in a file by theDICOM server).

�� ++(�#�, � � �%��(*%� ��,#-#,0

The Echo requester must address the DGW properly by the installed ATM IP address (orhostname) using the local DGW hostname on the ATM network as application title andsending to the correct TCP/IP port (default: 4006)

Note: The Port number where the DGW–STORE AE is listening at is configure–able atinstallation time.

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�* + ',�,#(' (', /, ��% � �� ), �

��+,*��, �0',�/ �*�'+! * �0',�/ �(% �/)�'� �

��& �� & �#+, �� #+, � "(,#�,#('

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The DICOM High–Speed Interface–STORE AE provides standard conformance to theDICOM Verification Service Class.



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This implementation accepts a single N–Event operation over an association.

Upon receiving a N–Event Request (Storage Commitment Response) for a particularimage, this implementation will send a corresponding N–Event End to the remote.

The Success status contained in the N–Event Request will be used to mark the Image in theDLX database as Archived.

The Failed status contained in the N–Event Request will not update the Image status in theDLX database.

The implementation will then wait for the release of the Association, initiated by the remote.

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DICOM Upper Layer (Part 8) is supported using TCP/IP.

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The TCP/IP stack is inherited from a UNIX Operating System.

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Not applicable to this product.

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The DICOM High–Speed Interface supports an Aynchronous Transfer Mode (ATM)network interface using OC–3c multimode fiber. It supports Classical IP over AAL5 inaccordance with RFC–1577 and signaling in accordance with ATM Forum UNI 3.1.DICOM High–Speed Interface supports either Switched Virtual Channel and PermanentVirtual Channel.

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A 50–pin ACR–NEMA connection is not applicable to this product.

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Refer to Section 3 for the description of DICOM High–Speed Interface Private DICOMData Dictionary

Refer to Section 4 for the description of Secondary capture Private DICOM Data Dictionary

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The Local AE Title is configurable as the DICOM High–Speed Interface hostname on theATM network. The remote AE title is configurable. This must be configured by a GEMSField Service Engineer during DICOM High–Speed Interface installation.



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The following fields are configurable for this AE (local):

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This implementation supports the following extended character set:ISO–IR–100



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This section specifies the use of the DICOM v3.0 XRAY Angiographic Image IOD torepresent the information included in XRAY Angiographic images produced by thisimplementation. Corresponding attributes are conveyed using the module construct.

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This section defines the implementation of XA image information object. It refers to theDICOM V3.0 Standard, Supplement 4 (Oct 21, 1995) to Part 3 (Information Objectdefinition).

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Patient

is thesubject of

Study

contains

Series

contains

XRAY AngioMultiframe

Image

creates

Equipment

1

1,75

1

1,50

1

1

1

1,n



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The Entity–Relationship diagram for the XRAY Angiographic Image interoperabilityschema is shown in Illustration 3–1. In this figure, the following diagrammatic convention isestablished to represent the information organisation:

� each entiy is represented by a rectanglar box.

� each relationship is represented by a diamond shaped box.

� the fact that a relationship exists between two enties is depicted by lines connecting thecorresponding entity boxes to the relationsip boxes.

The relationships are fully defined with the maximum number of possible entities in therelationship shown.

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Refer to DICOM Standard Supplement 4 (Oct 21, 1995) to Part 3 (Information ObjectDefinitions) for a descripion of the entities contained within this Information object.

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��#��$ ��%�%)ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ

� ��%�� %��#� �$ � �� % �� #��%� �$��!��%'�� %&�) �� #��$

ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ�&�%��#�� %�%)

ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ��"&�� %�%)ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ

ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ�#��ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ ��

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Within an entity of the DICOM v3.0 XRAY Angio Image Information Object Definition,attributes are grouped into related set of attributes. A set of related attributes is termed amodule. A module acilitates the understanding of the semantics concerning the attributesand how the attributes are related with each other. A module grouping does not infer anyencoding of information into datasets.

Table 3–1 identifies the defined modules within the entities which comprise the DICOMv3.0 XRAY Angio Image Information object Definition. Modules are identified by ModuleName.

See DICOM v3.0 Part 3 for a complete definition of the entities, modules, and attributes.



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TABLE 3–1XRAY ANGIOGRAPHIC IMAGE INFORMATION OBJECT DEFINITION (IOD) MODULE TABLE

ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ

ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ

�$�(!� ��"�ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ

��%�#��ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ�"4*&.4

ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ�"4*&.4

ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ

��ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ�45%9

ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ�&.&2", �45%9


��ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ

ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ�"4*&.4 �45%9

ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ��ÁÁÁÁÁÁÁ


�&2*&3ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ

�&.&2", �&2*&3ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ

��ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ

�15*0-&.4ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ

�&.&2", �15*0-&.4ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ

��

ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ�-"(& ÁÁÁÁÁÁÁÁÁÁÁÁ

ÁÁÁÁÁÁÁÁÁÁÁÁ�&.&2", �-"(& ÁÁÁÁÁÁÁÁÁÁÁ

ÁÁÁÁÁÁÁÁÁÁÁ��


ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ�-"(& �*8&, ÁÁÁÁÁÁÁÁÁÁÁ



ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ�*.& ÁÁÁÁÁÁÁÁÁÁÁ



ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ�5,4*��2"-& ÁÁÁÁÁÁÁÁÁÁÁ



ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ�2"-& �/*.4&23 ÁÁÁÁÁÁÁÁÁÁÁ



ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ�"3+ ÁÁÁÁÁÁÁÁÁÁÁ



ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ�*30,"9 �)544&2 ÁÁÁÁÁÁÁÁÁÁÁ



ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ�&6*$& ÁÁÁÁÁÁÁÁÁÁÁ



ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ!��"9 �-"(&


�� ÁÁÁÁÁÁÁÁÁÁÁÁÁÁ

ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ!��"9 �$15*3*4*/.



ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ!��"9 �/,,*-"4/2



ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ!��"9 "#,&

ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ�� ÁÁÁÁÁÁÁ

ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ!� �/3*4*/.&2

ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ�� ÁÁÁÁÁÁÁ


ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ

�526&ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ

��


ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ�� /--/. ÁÁÁÁÁÁÁÁÁÁÁ


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Please refer to DICOM v3.0 Standard Part 3 (Information Object Definition) for adescription of each of the entities and modules contained within the XRAY AngiographicInformation Object.

Modules contain also type 3 Private elements.

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ÁÁÁÁ��ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ�$'�&ÁÁÁÁÁÁÁÁÁ

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ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ�2/- 53&2 *.4&2'"$&� 2&342*$4&% 4/ �� $)"2�ÁÁÁÁÁÁÁÁÁ

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This section specifies the use of the DICOM v3.0 Secondary Capture Image IOD torepresent the information included in Secondary Capture images produced by thisimplementation. Corresponding attributes are conveyed using the module construct.

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This section defines the implementation of SC image information object. It refers to theDICOM V3.0 Standard, Part 3 (Information Object definition).

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Secondary Capture



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The Entity–Relationship diagram for the SC Image interoperability schema is shown inIllustration 3–2. The following diagrammatic convention is established to represent theinformation organisation:

� each entity is represented by a rectanglar box.

� each relationship is represented by a diamond shaped box.

� the fact that a relationship exists between two entities is depicted by lines connectingthe corresponding entity boxes to the relationship boxes.

The relationships are fully defined with the maximum number of possible entities in therelationship shown.

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Refer to DICOM Standard Part 3 (Information Object Definitions) for a descripion of eachof the entities contained within the Secondary Capture Image Information ObjectDefinition.

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DICOM entities map to the DLX entities in respect to the following :


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Within an entity of the DICOM v3.0 XRAY Angio Image Information Object Definition,attributes are grouped into related set of attributes. A set of related attributes is termed amodule. A module facilitates the understanding of the semantics concerning the attributesand how the attributes are related with each other. A module grouping does not infer anyencoding of information into datasets.

Table 4–1 identifies the defined modules within the entities which comprise the DICOMv3.0 XRAY Angio Image Information object Definition. Modules are identified by ModuleName.




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TABLE 4–1SC IMAGE INFORMATION OBJECT DEFINITION (IOD) MODULE TABLE



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Please refer to DICOM v3.0 Standard Part 3 (Information Object Definition) for adescription of each of the entities and modules contained within the SC Information Object.

Modules contain also type 3 Private elements.


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This document applies to GATEWAY Release V5/media/documents/us-global/products/... · GE Medical Systems DICOM High–Speed Interface GATEWAY REV 6 DICOM Conformance Statement 2153427–100