Technical Publications: Volume Share 5 - Advantage Workstation 4.6 Dicom Conformance Statement

g GE Healthcare
Technical
Publications
Direction 5404296-100
Revision 2
Volume Share 5– Advantage Workstation 4.6

DICOM CONFORMANCE STATEMENT
Copyright 2011 by General Electric Co.
Do not duplicate
GE Healthcare
VS5 – ADVANTAGE WORKSTATION 4.6
GE Healthcare DICOM CONFORMANCE STATEMENT
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CONFORMANCE STATEMENT OVERVIEW
The Advantage Workstation AW4.6 is a Networked Medical Imaging Console
dedicated to Examination Review and Diagnosis on film. The workstation uses
DICOM services to import images for possible further analysis or processing and to
export images to other DICOM implementations, DICOM printers or DICOM
Interchange media. It also uses the DICOM Storage Commitment service to transfer
ownership of images to a remote workstation supporting storage commitment such
as an archive system. Advantage Workstation is not an archive workstation.
Table 0.1 provides an overview of the network services supported by AW4.6.
Table 0.1 – NETWORK SERVICES

SOP Classes User of Service Provider of
(SCU) Service (SCP)
Transfer
Computed Radiography Image Storage Yes Yes
Digital X-Ray Image Storage – For Presentation Yes Yes
Digital X-Ray Image Storage – For Processing Yes Yes
Digital Mammography X-Ray Image Storage – For Yes Yes
Presentation
Digital Mammography X-Ray Image Storage – For Yes Yes
Processing
CT Image Storage Yes Yes
Ultrasound Multi-frame Image Storage Yes Yes
Ultrasound Multi-frame Image Storage (Retired) Yes Yes
MR Image Storage Yes Yes
Ultrasound Image Storage Yes Yes
Ultrasound Image Storage (Retired) Yes Yes
Secondary Capture Image Storage Yes Yes
Standalone Overlay Storage No Yes
X-Ray Angiographic Image Storage Yes Yes
X-Ray Radiofluoroscopic Image Storage Yes Yes
Nuclear Medicine Image Storage Yes Yes
Spatial Registration Storage Yes Yes
Basic Text SR Yes Yes
Enhanced SR Yes Yes
Comprehensive SR Yes Yes
Mammography CAD SR Yes Yes
Key Object Selection Document Yes Yes
X-Ray Radiation Dose SR Yes Yes
Encapsulated PDF Storage Yes Yes
Positron Emission Tomography Image Storage Yes Yes
Standalone Curve Storage Yes Yes
Standalone PET Curve Storage Yes Yes
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RT Image Information Storage Yes Yes
RT Structure Set Storage Yes Yes
RT Plan Storage Yes Yes
GE Private DICOM 3D Object Yes Yes
NM Genie Private Data Yes Yes
PET Advance Private Data Yes Yes
Verification SOP Class Yes Yes
Query/Retrieve
Patient Root Query/Retrieve Information Model – MOVE No Yes
Study Root Query/Retrieve Information Model – FIND Yes Yes
Study Root Query/Retrieve Information Model – MOVE Yes Yes
Print Management
Basic Film Session SOP Class Yes No
Basic Film Box SOP Class Yes No
Basic Grayscale Image Box SOP Class Yes No
Basic Color Image Box SOP Class Yes No
Basic Grayscale Print Management Meta SOP Class Yes No
Basic Color Print Management Meta SOP Class Yes No
Printer SOP Class Yes No
Workflow Management
Storage Commitment Push Model SOP Class Yes No
Table 0.2 provides an overview of the Media Storage Application Profiles supported
by AW4.6.
Table 0.2 - MEDIA SERVICES

Media Storage Application Profile Write Files Read Files
(FSC or FSU) (FSR)
Compact Disk - Recordable
Basic Cardiac X-Ray Angiographic CD-R Yes: FSC Yes
Augmented Basic Cardiac X-Ray Angiographic CD-R Yes: FSC Yes
General Purpose CD-R Yes: FSC Yes
DVD
General Purpose JPEG DVD Yes: FSC Yes
General Purpose JPEG 2000 DVD No Yes
USB
General Purpose JPEG USB Yes: FSC Yes
General Purpose JPEG 2000 USB No Yes
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TABLE OF CONTENTS
1. INTRODUCTION ................................................................................................................ 11
1.1 Overview ................................................................................................................................................................... 11
1.2 Overall DICOM Conformance Statement Document Structure .......................................................................... 13
1.3 Intended Audience ................................................................................................................................................... 14
1.4 Scope and Field of Application ............................................................................................................................... 14
1.5 Important Remarks ................................................................................................................................................. 15
1.6 References ................................................................................................................................................................ 15
1.7 Definitions ................................................................................................................................................................ 16
1.8 Symbols and Abbreviations .................................................................................................................................... 17
2. NETWORK CONFORMANCE STATEMENT ........................................................................... 20
2.1 Introduction.............................................................................................................................................................. 20
2.2 Implementation Model ............................................................................................................................................ 20
2.3 AE Specifications...................................................................................................................................................... 27
2.4 Communication Profiles.......................................................................................................................................... 59
2.5 Extensions / Specializations/ Privatizations ......................................................................................................... 59
2.6 Configuration ........................................................................................................................................................... 60
2.7 Support of Extended Character Sets ..................................................................................................................... 62
2.8 Codes and Controlled Terminology ....................................................................................................................... 62
2.9 Security Profiles ....................................................................................................................................................... 62
3. MEDIA STORAGE CONFORMANCE STATEMENT .................................................................. 64
3.1 INTRODUCTION ........................................................................................................................................................ 64
3.2 IMPLEMENTATION MODEL ...................................................................................................................................... 64
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3.3 AE SPECIFICATIONS ................................................................................................................................................. 66
3.4 Augmented and Private Application Profiles ....................................................................................................... 73
3.5 EXTENSIONS, SPECIALIZATIONS, PRIVATIZATIONS of SOP Classes and Transfer Syntaxes ............................. 76
3.6 CONFIGURATION...................................................................................................................................................... 76
3.7 SUPPORT OF EXTENDED CHARACTER SETS ........................................................................................................... 76
4. STORAGE COMMITMENT PUSH MODEL IMPLEMENTATION................................................. 77
4.1 Storage Commitment Push Model Information Object Definition ..................................................................... 77
5. BASIC DIRECTORY INFORMATION OBJECT IMPLEMENTATION ........................................... 79
5.1 IOD Module Table .................................................................................................................................................... 79
5.2 Information Module Definitions ............................................................................................................................. 79
6. PRINT MANAGEMENT SOP CLASS DEFINITION ................................................................... 91
6.1 INTRODUCTION ........................................................................................................................................................ 91
6.2 Print management SOP class definitions .............................................................................................................. 91
7. SC INFORMATION OBJECT IMPLEMENTATION ................................................................. 109
7.1 introduction............................................................................................................................................................ 109
7.2 SC Entity-Relationship Model ............................................................................................................................... 109
7.3 SC-IOD MODULE TABLE ......................................................................................................................................... 110
7.4 SC-INFORMATION MODULE DEFINITIONS ........................................................................................................... 111
7.5 SC-PRIvate data dictionary .................................................................................................................................. 122
8. ENHANCED SR INFORMATION OBJECT IMPLEMENTATION ............................................... 125
8.1 Introduction............................................................................................................................................................ 125
8.2 ENHANCED SR Entity-Relationship Model .......................................................................................................... 125
8.3 ENHANCED SR-IOD MODULE TABLE .................................................................................................................... 127
8.4 ENHANCED SR -INFORMATION MODULE DEFINITIONS ..................................................................................... 128
8.5 ENHANCE SR – PRIVATE DATA DICTIONARY ........................................................................................................ 134
8.6 ENHANCE SR – TEMPLATE IDENTIFICATION ........................................................................................................ 134

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8.7 ENHANCE SR - Private Coded Entries .................................................................................................................. 135
9. KEY OBJECT SELECTION INFORMATION OBJECT IMPLEMENTATION ................................ 137
9.1 Introduction............................................................................................................................................................ 137
9.2 KEY OBJECT SELECTION Entity-Relationship Model .......................................................................................... 137
9.3 KEY OBJECT SELECTION-IOD MODULE TABLE .................................................................................................... 139
9.4 KEY OBJECT SELECTION -INFORMATION MODULE DEFINITIONS ..................................................................... 140
9.5 KEY OBJECT SELECTION – TEMPLATE IDENTIFICATION ..................................................................................... 147
10. XA IMAGE INFORMATION OBJECT IMPLEMENTATION ...................................................... 150
10.1 Introduction............................................................................................................................................................ 150
10.2 XA IMAGE Entity-Relationship Model ................................................................................................................... 150
10.3 XA IMAGE-IOD MODULE TABLE ............................................................................................................................ 152
10.4 XA Image -INFORMATION MODULE DEFINITIONS .............................................................................................. 154
10.5 XA IMAGE-Private data dictionary ....................................................................................................................... 163
11. PRIVATE OBJECT INFORMATION OBJECT IMPLEMENTATION ........................................... 167
11.1 introduction............................................................................................................................................................ 167
12. XA DOWNSCAN INFORMATION OBJECT IMPLEMENTATION ............................................. 168
12.1 introduction............................................................................................................................................................ 168
12.2 XA Entity-Relationship Model ............................................................................................................................... 168
12.3 XA- DOWNSCAN IOD ............................................................................................................................................. 169
12.4 Implementation Identifying Information ............................................................................................................ 173
13. TOOL TO MODIFY FIRST AND LAST NAME OF PATIENTS ................................................... 174
13.1 introduction............................................................................................................................................................ 174
13.2 Description ............................................................................................................................................................. 174
13.3 REAL WORLD ACTIVITY .......................................................................................................................................... 174
13.4 PROCESSING of Iods .............................................................................................................................................. 175
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14. QUERY IMPLEMENTATION ............................................................................................... 182
14.1 Advantage Workstation Mapping of DICOM Entities ....................................................................................... 182
14.2 Information Model Keys ........................................................................................................................................ 182
14.3 Private Data Attributes ......................................................................................................................................... 188
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1. INTRODUCTION
1.1 OVERVIEW
This DICOM Conformance Statement is divided into Sections as described below:
Section 1 (Introduction), which describes the overall structure, intent, and

references for this Conformance Statement
Section 2 (Network Conformance Statement) specifies the GEHC equipment

compliance to the DICOM requirements for the implementation of
networking features.
Section 3 (Media Storage Conformance Statement) specifies the GEHC

equipment compliance to the DICOM requirements for the implementation
of Media Storage features
Section 4 (Storage Commitment Push Model Implementation) specifies the

GEHC equipment compliance to the DICOM requirements for the
implementation of Storage Commitment Push feature.
Section 5 (Basic Directory Information Object Implementation) specifies

the GEHC equipment compliance to the DICOM requirements for the
implementation of Media Storage Directory Information Object.
Section 6 (Network Print SCU Conformance Statement) specifies the GEHC

of Network Print features.
Section 7 (Network Print Management SOP Class definition) specifies the

implementation of Network Print Management SOP Class.
Section 8 (SC Information Object Implementation) specifies the GEHC

of SC Information Object Implementation feature.
Section 9 (Enhanced SR Object Implementation) specifies the GEHC

of Enhanced SR Information Object Implementation feature.
Section 10 (Key Object Selection Object Implementation) specifies the

implementation of Key Object Selection Information Object Implementation
feature.
Section 11 (XA Image Object Implementation) specifies the GEHC

of XA Image Information Object Implementation feature.
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Section 12 (DPO Information Object Implementation) specifies that AW4.6
does not support DPO any more.
Section 13 (XA Downscan Information Object Implementation) specifies

the DICOM attributes that are modified when reducing the resolution of GE
XA Cardiac images to 512x512.
Section 14 (Tool to modify first and last name of patients) specifies the
DICOM attributes that are modified to create anonymous images from
existing images.
Section 15 (Query Implementation) specifies the GEHC equipment

compliance to the DICOM requirements for the implementation of Network
Query feature.
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1.2 OVERALL DICOM CONFORMANCE STATEMENT DOCUMENT STRUCTURE
The Documentation Structure of the GEHC DICOM Conformance Statements is shown
in the Illustration below.
GEHC DICOM Conformance Statements
@
http://www.ge.com/DICOM
APPLICATION ENTITY SPECIFICATION

(SERVICE CLASSES, INFORMATION O BJECTS, MESSAGE EXCHANG ES, ETC.)
C T Adva nta ge
Co nfo rm ance
MR Ad vanta gemen t
S tate
C on formaDirection
nce :
Advan tag e
Sta tem ent . .....
Product Wo rksta tion 4.6
D ire
Co nfo rm ance
ction: Co nfo rma nce
Sta tem ent
Implementation: S tate men t
Direction :
D ire ction:
. .....
54 04 296 -1 00
DICOM STANDARD
Standard DIC OM
Specification: Pa rt 1
DI COM
DI COM
Pa rt 2
DI COM
Pa rt 3
P art 4
D IC OM
P art 16
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This document specifies the DICOM implementation. It is entitled:
VS5- Advantage Workstation 4.6

Conformance Statement for DICOM
Direction 5404296-100
This DICOM Conformance Statement documents the DICOM Conformance Statement

and Technical Specification required to interoperate with the GEHC network
interface.
The GEHC Conformance Statement, contained in this document, also specifies the
Lower Layer communications which it supports (e.g., TCP/IP). However, the Technical
Specifications are defined in the DICOM Part 8 standard.
For more information regarding DICOM, copies of the Standard may be obtained on
the Internet at http://medical.nema.org. Comments on the Standard may be
addressed to:
DICOM Secretariat
NEMA
1300 N. 17th Street, Suite 1752
Rosslyn, VA 22209
USA
Phone: +1.703.841.3200
1.3 INTENDED AUDIENCE

The reader of this document is concerned with software design and/or system
integration issues. It is assumed that the reader of this document is familiar with the
DICOM Standard and with the terminology and concepts which are used in that
Standard.
1.4 SCOPE AND FIELD OF APPLICATION

It is the intent of this document to provide an unambiguous specification for GEHC
implementations. This specification, called a Conformance Statement, includes a
DICOM Conformance Statement and is necessary to ensure proper processing and
interpretation of GEHC medical data exchanged using DICOM. The GEHC
Conformance Statements are available to the public.
The reader of this DICOM Conformance Statement should be aware that different
GEHC devices are capable of using different Information Object Definitions. For
example, a GEHC CT Scanner may send images using the CT Information Object, MR
Information Object, Secondary Capture Object, etc.
Included in this DICOM Conformance Statement are the Module Definitions which
define all data elements used by this GEHC implementation. If the user encounters
unspecified private data elements while parsing a GEHC Data Set, the user is well
advised to ignore those data elements (per the DICOM standard). Unspecified private
data element information is subject to change without notice. If, however, the device
is acting as a "full fidelity storage device", it should retain and re-transmit all of the
private data elements which are sent by GEHC devices.
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1.5 IMPORTANT REMARKS
The use of these DICOM Conformance Statements, in conjunction with the DICOM
Standards, is intended to facilitate communication with GE imaging equipment.
However, by itself, it is not sufficient to ensure that inter-operation will be
successful. The user (or user's agent) needs to proceed with caution and address
at least four issues:
 Integration - The integration of any device into an overall system of

interconnected devices goes beyond the scope of standards (DICOM v3.0), and
of this introduction and associated DICOM Conformance Statements when
interoperability with non-GE equipment is desired. The responsibility to analyze
the applications requirements and to design a solution that integrates GE
imaging equipment with non–GE systems is the user's responsibility and should
not be underestimated. The user is strongly advised to ensure that such an
integration analysis is correctly performed.
 Validation - Testing the complete range of possible interactions between any GE
device and non–GE devices, before the connection is declared operational,
should not be overlooked. Therefore, the user should ensure that any non–GE
provider accepts full responsibility for all validation required for their connection
with GE devices. This includes the accuracy of the image data once it has
crossed the interface between the GE imaging equipment and the non–GE
device and the stability of the image data for the intended applications.
Such a validation is required before any clinical use (diagnosis and/or treatment)
is performed. It applies when images acquired on GE imaging equipment are
processed/displayed on a non-GE device, as well as when images acquired on
non-GE equipment is processed/displayed on a GE console or workstation.
 Future Evolution - GE understands that the DICOM Standard will evolve to meet
the user's growing requirements. GE is actively involved in the development of
the DICOM Standard. DICOM will incorporate new features and technologies and
GE may follow the evolution of the Standard. The GEHC protocol is based on
DICOM as specified in each DICOM Conformance Statement. Evolution of the
Standard may require changes to devices which have implemented DICOM. In
addition, GE reserves the right to discontinue or make changes to the support
of communications features (on its products) described by these DICOM
Conformance Statements. The user should ensure that any non–GE provider,
which connects with GE devices, also plans for the future evolution of the DICOM
Standard. Failure to do so will likely result in the loss of function and/or
connectivity as the DICOM Standard changes and GE Products are enhanced to
support these changes.
 Interaction - It is the sole responsibility of the non–GE provider to ensure that
communication with the interfaced equipment does not cause degradation of GE
imaging equipment performance and/or function.
1.6 REFERENCES
Document Reference
NEMA PS3 Digital Imaging and Communications in Medicine (DICOM)
Standard, available free at http://medical.nema.org/
AW VXTL DCS Advantage Windows Voxtool 2.0 DICOM Conformance Statement
(Direction Number: 2198583-100)
GENIE DCS GENIE™ Processing & Review R2.6 DICOM Conformance Statement
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(Direction number: 2260424-100)
ADV DCS Advance 4.05 DICOM Conformance Statement (Direction number:
2270669-100 Rev. 0.3)
1.7 DEFINITIONS
Informal definitions are provided for the following terms used in this Conformance
Statement. The DICOM Standard is the authoritative source for formal definitons of
these terms.
Abstract Syntax – the information agreed to be exchanged between applications,

generally equivalent to a Service/Object Pair (SOP) Class. Examples : Verification SOP
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 – 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.
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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 (SOP) Class – the specification of the network or media transfer
(service) of a particular type of data (object); the fundamental unit of DICOM
interoperability specification. Examples: Ultrasound Image Storage Service, Basic
Grayscale Print Management.
Service/Object Pair (SOP) Instance – an information object; a specific occurrence of

information exchanged in a SOP Class. Examples: a specific x-ray image.
Tag – a 32-bit identifier for a data element, represented as a pair of four digit
hexadecimal numbers, the “group” and the “element”. If the “group” number is odd,
the tag is for a private (manufacturer-specific) data element. 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.
1.8 SYMBOLS AND ABBREVIATIONS

AE Application Entity
AET Application Entity Title
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CAD Computer Aided Detection
CDA Clinical Document Architecture
CD-R Compact Disk Recordable
CSE Customer Service Engineer
CR Computed Radiography
CT Computed Tomography
DICOM Digital Imaging and Communications in Medicine
DX Digital X-ray
FSC File-Set Creator
FSU File-Set Updater
FSR File-Set Reader
GEHC General Electric Healthcare
IHE Integrating the Healthcare Enterprise
IOD Information Object Definition
ISO International Organization for Standards
JPEG Joint Photographic Experts Group
LUT Look-up Table
MG Mammography (X-ray)
MR Magnetic Resonance Imaging
NM Nuclear Medicine
O Optional (Key Attribute)
OSI Open Systems Interconnection
PET Positron Emission Tomography
PDU Protocol Data Unit
R Required (Key Attribute)
RF Radiofluoroscopy
RT Radiotherapy
SC Secondary Capture
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SCP Service Class Provider
SCU Service Class User
SOP Service-Object Pair
SR Structured Reporting
TCP/IP Transmission Control Protocol/Internet Protocol
U Unique (Key Attribute)
UL Upper Layer
US Ultrasound
VR Value Representation
XA X-ray Angiography
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2. NET WORK CONFORMANCE STATEMENT
2.1 INTRODUCTION
This section of the DICOM Conformance Statement specifies the AW4.6 compliance
to DICOM requirements for Networking features.
The Advantage Workstation 4.6 is a Networked Medical Imaging Console dedicated

to Examination Review and Diagnosis on film. The workstation uses DICOM services
to import images for possible further analysis or processing and to export images to
other DICOM implementations, DICOM printers or DICOM Interchange media. It also
uses the DICOM Storage Commitment service to transfer ownership of images to a
remote workstation supporting storage commitment such as an archive system.
The Advantage Workstation 4.6 has the ability to compose films through the use of
an application known as FILMER. The Advantage Workstation 4.6 uses DICOM Print
Management Service Class to send images to hard copy printers. The films can then
be used for possible further analysis.
The station provides a basis for applications built on top of it. These applications can
create specific Information Object Definitions that will be described in the
conformance statement of the added applications. The added applications can
benefit the network facilities provided by the station.
This DICOM conformance statement refers to the DICOM standard PS3.3 for the
description of standard IODs.
This DICOM conformance statement refers to other DICOM conformance statements

for formal descriptions of IODs created by added applications:
 GE Private 3D Model Objects are described in the AW VXTL DCS, see 1.6 -
References
 GE private DICOM NM images are described in the GENIE DCS, see 1.6 -
References
 GE private DICOM PET images are described in the ADV DCS, see 1.6 - References
Note that the format of this section strictly follows the format defined in DICOM
Standard PS 3.2 (Conformance). Please refer to that part of the standard while
reading this section
2.2 IMPLEMENTATION MODEL
2.2.1 Application Data Flow Diagram

The network application model for the AW4.6 is shown in the following Illustration :
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ILLUSTRATION 2–1
AW4.6 NETWORK APPLICATION MODEL AND DATA FLOW DIAGRAM
Association
Push Studies/ Initiation Image Stored
Series/Images Remotely
Receive Images
Image Sent
Remotely
Manual Query
Remote Query
to SCP
Search Selected
DICOM Remote Retrieve

Manual Retrieve SERVER to SCP
AE
Query SCP Remote Query
from SCU
Retrieve SCP Remote Retrieve

from SCU
Association
Acceptance
DICOM Standard
Interface
Note: The DICOM SERVER AE plays also the DICOM Verification SOP class as a SCU
and SCP. It is not indicated on the illustration above.
The DICOM SERVER Application Entity (AE) is an application that handles DICOM
protocol communication. The DICOM SERVER AE is automatically brought up when
the Advantage Workstation 4.6 is powered on.
The DICOM SERVER AE is invoked by the following Real World Activities:
 Push Studies/Series/Images.
For this operation, the operator selects:
 some studies, series or images on the console browser and then sends the
selected studies, series or images on one or several remote DICOM AE by a
drag and drop on the icon that represents the wanted remote DICOM AE.
 a set of studies of the same patient and launches the end of review. A set of
series of the patient will be then sent to a set of declared remote DICOM AEs
following user defined rules.
The transfer activity is displayed on a specific icon.
The declaration of remote DICOM AE is done through a specific application (known as
NETWORK MANAGEMENT).
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 Manual Query
For this operation, the operator queries one or a set of remote DICOM databases to
obtain a list of data at Study/Series/Image level by clicking on the icon that
represents the wanted remote DICOM AE. The query is selective based on criteria
described below in the document.
 Search Selected
For this operation, the operator selects a patient and queries one or a set of remote
DICOM databases to obtain a list of data corresponding to the selected patient at
Study/Series/Image level by clicking on the “Search Selected” icon. The query is
selective based on criteria described below in the document.
 Manual Retrieve
Once the remote browser is displayed (Manual Query), the operator can retrieve the
SOP Classes supported by the Advantage Workstation 4.6 from the remote DICOM
AE. The data can be retrieved at the Study, Series and Image levels.
 Receive images from a Remote DICOM AE

When images are installed in the local database, the local Patient List displays the
content of the Advantage Workstation 4.6 local database.
 Remote Query
For this operation, a remote DICOM AE asks to obtain the list of data at
Study/Series/Image level.
 Remote Retrieve
For this operation, a remote DICOM AE asks to send data at
Patient/Study/Series/Image level from the local AE to another DICOM Remote AE. The
remote DICOM AE can ask to move the SOP Classes supported by the Advantage
Workstation 4.6 at the Patient/Study/Series/Image level. The Remote DICOM AE shall
be declared locally on the Advantage Workstation 4.6. The declaration of remote
DICOM AE is done through a specific application (known as NETWORK
MANAGEMENT).
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ILLUSTRATION 2–2
AW4.6 DICOM STORAGE COMMITMENT AND DATA FLOW DIAGRAM
Association
Images sent Storage

successfully to a Commitment
remote DICOM AE N-ACTION
Open periodic DICOM

association with remote
DICOM AE STORAGE COMMITMENT
SERVER AE
Images Storage
committed in Commitment
local database N-EVENT REPORT
Association Acceptance
DICOM
Standard
Interface
Note: The STORAGE COMMITMENT SERVER AE plays also the DICOM

Verification SOP class as SCP. It is not indicated on the illustration above.
The DICOM STORAGE COMMITMENT SERVER AE is invoked by the following Real World
Activities:
 Initiate Storage Commitment to a Remote DICOM AE.

 Listen to remote Storage Commitment SCP.
 Open periodic associations.
The Basic and Specific Application models for this device are shown in the following
Illustration
DICOM Print SCU Application Entity Model
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Association Initiation
Manual & Acceptance
Image
Print
DICOM Print
SCU Film
Application Printed
Entity Remotely
Direct
Image
Print
The DICOM Print SCU Application Entity (AE) is an application that handles the DICOM
protocol communication with Remote DICOM Printers. The DICOM Print SCU AE is
activated when the user requests for a print.
The DICOM Print SCU AE is invoked by the following Real World Activities:
 Manual Image Print
For this operation, the operator uses the FILMER application to prepare a layout of
images and send the pages to the PRINT BUILDER.
 Direct Image Print
For this operation, the operator displays the images in the VIEWER and sends the
images directly to the PRINT BUILDER.
In both cases, the PRINT BUILDER receives the “Simple print” request, composes a
film then sends the film to the selected Remote DICOM Printer
2.2.2 Functional Definition of AE's

DICOM SERVER AE
The DICOM SERVER AE initiates the following operations:
 Initiate a DICOM association to send DICOM SOP Classes to a remote DICOM AE.
 Initiate a DICOM association to ask for remote patient demographics.
 Initiate a DICOM association to ask for transmitting images from a remote
DICOM AE to Advantage Workstation 4.6.
 Initiate a DICOM association to check if an AET is alive (Verification SOP Class as
SCU)
The DICOM SERVER AE waits for association requests from Remote AE:
 Answer to DICOM associations requesting patient, study, series or image

information..
 Answer to DICOM associations requesting transmission of DICOM SOP Instances
from the Advantage Workstation 4.6.
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 Answer to DICOM associations transmitting DICOM SOP Classes to be stored on
the Advantage Workstation 4.6.
 Answer to DICOM associations transmitting Verification SOP Class to the
Advantage Workstation 4.6.
STORAGE COMMITMENT SERVER AE:
The STORAGE COMMITMENT SERVER AE initiates the following operations:
 Initiate a DICOM association to ask for the storage commitment of specific

images and wait for a Storage Commitment Notification (N-EVENT-REPORT)
 Initiate a DICOM association and wait for a Storage Commitment Notification (N-
EVENT-REPORT)
The STORAGE COMMITMENT SERVER AE waits for association requests from Remote
Storage Commitment AE:
 Answer to DICOM associations transmitting Storage Commitment Notification (N-

EVENT-REPORT)
DICOM PRINT SCU AE:
The DICOM Print SCU AE supports the following functions:
 Access to pixel data
 Initiate a DICOM association to send DICOM SOP Classes (corresponding to the

DICOM Print Management service class) to a remote DICOM Printer
2.2.3 Sequencing of Real-World Activities

DICOM SERVER AE:
Not applicable.
STORAGE COMMITMENT SERVER AE:
This sequence is only applicable for Remote AE where Storage Commitment Option is
allowed in Network Manager.
1. The user selects the images and sends them to a remote host.
2. If the remote DICOM AE is associated with a Storage Commitment Provider AE and

if the images are successfully sent to the DICOM AE, then a N-ACTION-RQ request is
sent automatically to the associated Storage Commitment Provider AE. The Storage
Commitment Provider AE can be configured independently from the remote DICOM
AE with network address, port and AE title.
3. Waits for N-ACTION-RSP from a remote Storage Commitment Provider AE.
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4. On reception of failure in N-ACTION-RSP, the Storage Commitment AE logs the
error, displays a pop-up and stops.
5. On reception of success, Storage Commitment AE is ready to receive at any time

from Storage Commitment Provider the N-EVENT-REPORT-RQ notification.
6. On reception of a successful N-EVENT-REPORT-RQ notification from Storage

Commitment Provider, the images are flagged as committed in the database.
7. The Storage Commitment AE sends a N-EVENT-REPORT-RSP to the Storage

Commitment Provider
8. The Storage Commitment AE opens periodic association with all the DICOM AE that
have been declared as Storage Commitment Provider on the station. The time
between these associations is configurable.
DICOM PRINT SCU AE:
The user selects the remote DICOM Printer from Print Builder Graphical User
Interface.
1. The images to be printed shall be dragged and drop into the FILMER application
either manually or automatically.
2. The PRINT BUILDER receives the “Simple print” request, composes a film then
activates the DICOM Print SCU AE that initiates the following actions.
3. The PRINT BUILDER Initiates a DICOM association and selects a Presentation
Context.
4. N-GETs printer status from the Printer SOP Instance
a. If the Printer Status is FAILURE
i. The failure is displayed to the user
ii. The association is aborted
b. If the Printer Status is a warning
i. Just report the warning status and continue
c. Else (Ok status)
i. The Print goes on
d. Endif
5. N-CREATEs a Basic Film Session SOP Instance
6. N-CREATEs a Basic Film Box SOP Instance for the current film
7. N-SETs the Basic Film Box SOP Instance with the Image Box SOP Instance for
each image on the film
8. N-ACTIONs on the Basic Film Box SOP Instance
9. N-DELETEs on the Basic Film Box SOP Instance
10. Releases the DICOM association after printing is successful or failure has been
signaled to the user
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2.3 AE SPECIFICATIONS
2.3.1 DICOM SERVER AE Specification

The DICOM SERVER AE Application Entity provides Standard Conformance to the
following DICOM SOP Classes as an SCU and/or as an SCP:
SOP Class Name SOP Class UID SCU SCP
Verification SOP Class 1.2.840.10008.1.1 Yes Yes
Computed Radiography Image Storage 1.2.840.10008.5.1.4.1.1.1 Yes Yes
Digital X-Ray Image Storage – For Presentation 1.2.840.10008.5.1.4.1.1.1.1 Yes Yes
Digital X-Ray Image Storage – For Processing 1.2.840.10008.5.1.4.1.1.1.1.1 Yes Yes
Digital Mammography X-Ray Image Storage – For 1.2.840.10008.5.1.4.1.1.1.2 Yes Yes

Presentation
Digital Mammography X-Ray Image Storage – For 1.2.840.10008.5.1.4.1.1.1.2.1 Yes Yes

Processing
CT Image Storage 1.2.840.10008.5.1.4.1.1.2 Yes Yes
Ultrasound Multi-frame Image Storage 1.2.840.10008.5.1.4.1.1.3.1 Yes Yes
Ultrasound Multi-frame Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.3 Yes Yes
MR Image Storage 1.2.840.10008.5.1.4.1.1.4 Yes Yes
Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1 Yes Yes
Ultrasound Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.6 Yes Yes
Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 Yes Yes
Standalone Overlay Storage 1.2.840.10008.5.1.4.1.1.8 No Yes
X-Ray Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.12.1 Yes Yes
X-Ray Radiofluoroscopic Image Storage 1.2.840.10008.5.1.4.1.1.12.2 Yes Yes
Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.20 Yes Yes
Spatial Registration Storage 1.2.840.10008.5.1.4.1.1.66.1 Yes Yes
Basic Text SR Storage 1.2.840.10008.5.1.4.1.1.88.11 Yes Yes
Enhanced SR Storage 1.2.840.10008.5.1.4.1.1.88.22 Yes Yes
Comprehensive SR 1.2.840.10008.5.1.4.1.1.88.33 Yes Yes
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Mammography CAD SR 1.2.840.10008.5.1.4.1.1.88.50 Yes Yes
Key Object Selection Document Storage 1.2.840.10008.5.1.4.1.1.88.59 Yes Yes
X-Ray Radiation Dose SR 1.2.840.10008.5.1.4.1.1.88.67 Yes Yes
Encapsulated PDF Storage 1.2.840.10008.5.1.4.1.1.104.1 Yes Yes
Positron Emission Tomography Image Storage 1.2.840.10008.5.1.4.1.1.128 Yes Yes
Standalone Curve Storage 1.2.840.10008.5.1.4.1.1.9 Yes Yes
Standalone PET Curve Storage 1.2.840.10008.5.1.4.1.1.129 Yes Yes
RT Image Information Storage 1.2.840.10008.5.1.4.1.1.481.1 Yes Yes
RT Structure Set Storage 1.2.840.10008.5.1.4.1.1.481.3 Yes Yes
RT Plan Storage 1.2.840.10008.5.1.4.1.1.481.5 Yes Yes
GE Private DICOM 3D Object 1.2.840.113619.4.26 Yes Yes
PET Advance Private Data 1.2.840.113619.4.30 Yes Yes
NM Genie Private Data 1.2.840.113619.4.27 Yes Yes
Patient Root Query/Retrieve Information Model – 1.2.840.10008.5.1.4.1.2.1.2 No Yes

MOVE
Study Root Query/Retrieve Information Model – FIND 1.2.840.10008.5.1.4.1.2.2.1 Yes Yes
Study Root Query/Retrieve Information Model – MOVE 1.2.840.10008.5.1.4.1.2.2.2 Yes Yes
Note: C-FIND is done using Study Root Information Model.
Note: Grayscale Softcopy Presentation State Storage (1.2.840.10008.5.1.4.1.1.11.1)

and Blending Softcopy Presentation State Storage
(1.2.840.10008.5.1.4.1.1.11.4) abstract syntax is received on network / read
from media and some properties (image number, date/time, description and
creator’s name) are displayed in the BROWSER but the basic Advantage
Workstation 4.6 applications cannot display this object in a meaningful way
(only black image is visible) and objects content is not taken into account
while displaying the referenced images.
2.3.1.1 Association Establishment Policies
2.3.1.1.1 General
The DICOM Application Context Name (ACN), which is always proposed, is:
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Application Context Name 1.2.840.10008.3.1.1.1
The maximum length PDU negotiation is included in all association establishment

requests.
The maximum length PDU receive size for the DICOM SERVER AE is:
Maximum Length PDU 64234 Bytes / Configurable
Note: The SOP Class Extended Negotiation is not supported.
Note: The user information Items sent by this product are:
 Maximum PDU Length

 Implementation UID
2.3.1.1.2 Number of Associations

The DICOM SERVER AE will initiate only one DICOM association at a time to perform a
DICOM store operation as a SCU to a Remote Host AE.
The DICOM SERVER AE will initiate only one DICOM association at a time to perform a
DICOM Query/Retrieve operation as a SCU with a Remote Host AE.
The DICOM SERVER AE can have a maximum of 4 open DICOM associations at a time
to perform a DICOM operation as a SCP.
2.3.1.1.3 Asynchronous Nature

Asynchronous mode is not supported. All operations will be performed
synchronously.
2.3.1.1.4 Implementation Identifying Information

The Implementation UID for this DICOM Implementation is:
Advantage Workstation 4.6 Implementation UID 1.2.840.113619.6.286

Advantage Workstation 4.6 Implementation Version The Implementation Version Name represents the
Name canonical version of the AW, for example:
AW4_6_02_020_SLE
2.3.1.2 Association Initiation Policy

When the DICOM SERVER AE Application Entity initiates an Association for any Real-
World Activity, it will propose the Presentation Contexts for all Real-World Activities;
i.e., there is only a single, comprehensive Presentation Context Negotiation proposed
for the AE.
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The DICOM SERVER AE proposes the transfer syntaxes “Uncompressed Transfer
Group” of Table 2.3–1 in each Presentation Context.
2.3.1.2.1 Real-World Activity: Push Studies/Series/Images to Remote AE
2.3.1.2.1.1 Associated Real-World Activity

The operator can select in the BROWSER one or several Studies (or Series/Images) to
be sent. Then, the user can either drag and drop the selection on the icon
representing then Remote DICOM AE, or click on the “Push” icon and select a Remote
DICOM AE in the LIST OF REMOTE HOST.
The operator can select in the BROWSER one or several studies of the same patient
and launch the End of review tool. A set of series of the patient will be then sent to a
set of declared remote DICOM AEs following user defined rules.
This operation will cause the following actions:
 The DICOM SERVER AE will initiate a DICOM association, negotiate with the
Remote AE an appropriate Abstract and Transfer Syntax.
 The DICOM SERVER AE will emit a C-STORE command to send the image, if the
negotiation is successful.
2.3.1.2.1.2 Association Initiation Policy

The DICOM SERVER AE initiates a new association with a remote DICOM AE for each
job selected by the operator. The operator can select to push to a remote DICOM AE:
 a study, a series, an image or
 a set of several images that belong to the same patient through the end
review paradigm
This Real World Activity can be activated by two user interface events:
 Push manually Studies/Series/Images to a remote DICOM AE
 Push the selection or a subset of the selection to a set of remote DICOM AEs
through the end review paradigm
2.3.1.2.1.3 Proposed Presentation Context

The following table shows the transfer syntax groups that are referred from the
Presentation Context Tables. If a group is referred all its transfer syntaxes are
proposed or any can be accepted during handshake.
Table 2.3–1 Transfer Syntax Groups table

Transfer Syntax Group Transfer Syntax
Name Name List UID List
Uncompressed Transfer Group Implicit VR Little Endian 1.2.840.10008.1.2
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Explicit VR Little Endian 1.2.840.10008.1.2.1
Explicit VR Big Endian 1.2.840.10008.1.2.2
Compressed Transfer Group JPEG Lossless HIER 14 1.2.840.10008.1.2.4.70

JPEG 2000 Lossless ONLY 1.2.840.10008.1.2.4.90
JPEG Baseline (Process 1) 1.2.840.10008.1.2.4.50
JPEG Extended (Process 2 & 4) 1.2.840.10008.1.2.4.51
JPEG 2000 1.2.840.10008.1.2.4.91
Note: The usage of the different transfer syntax groups are defined later in different
sections of the document.
Note: The Compressed Transfer Group is turned off by default and can be enabled
by GE Field Engineer.
The following table shows the proposed presentation contexts for the DICOM Server
AE after Real-World Activity “Push” Operation has been performed.
Table 2.3–2 Presentation Context Table – Proposed by DICOM SERVER AE for Push activity
Abstract Syntax Transfer Syntax Group Role Extended
Name UID Name Negotiation
Computed Radiography Image 1.2.840.10008.5.1.4.1.1.1 Uncompressed Transfer SCU None

Storage Group
CT Image Storage 1.2.840.10008.5.1.4.1.1.2 Uncompressed Transfer SCU None

Group
MR Image Storage 1.2.840.10008.5.1.4.1.1.4 Uncompressed Transfer SCU None

Group
X-Ray Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.12.1 Uncompressed Transfer SCU None

Group
X-Ray Radiofluoroscopic Image 1.2.840.10008.5.1.4.1.1.12.2 Uncompressed Transfer SCU None

Storage Group
Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 Uncompressed Transfer SCU None

Group
Digital X-Ray Image Storage - For 1.2.840.10008.5.1.4.1.1.1.1 Uncompressed Transfer SCU None
Presentation Group
Digital X-Ray Image Storage - For 1.2.840.10008.5.1.4.1.1.1.1.1 Uncompressed Transfer SCU None
Processing Group
Digital Mammography X-Ray Image 1.2.840.10008.5.1.4.1.1.1.2 Uncompressed Transfer SCU None

Storage - For Presentation Group
Digital Mammography X-Ray Image 1.2.840.10008.5.1.4.1.1.1.2.1 Uncompressed Transfer SCU None

Storage - For Processing Group
Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.20 Uncompressed Transfer SCU None

Group
Standalone Curve Storage 1.2.840.10008.5.1.4.1.1.9 Uncompressed Transfer SCU None
Group
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Positron Emission Tomography Image 1.2.840.10008.5.1.4.1.1.128 Uncompressed Transfer SCU None
Storage Group
Standalone PET Curve Storage 1.2.840.10008.5.1.4.1.1.129 Uncompressed Transfer SCU None

Group
RT Image Information Storage 1.2.840.10008.5.1.4.1.1.481.1 Uncompressed Transfer SCU None

Group
RT Structure Set Information Storage 1.2.840.10008.5.1.4.1.1.481.3 Uncompressed Transfer SCU None

Group
RT Plan Information Storage 1.2.840.10008.5.1.4.1.1.481.5 Uncompressed Transfer SCU None

Group
NM Genie Private Data 1.2.840.113619.4.27 Uncompressed Transfer SCU None
Group
PET Advance Private Data 1.2.840.113619.4.30 Uncompressed Transfer SCU None
Group
GE Private DICOM 3D Object 1.2.840.113619.4.26 Uncompressed Transfer SCU None

Group
Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1 Uncompressed Transfer SCU None

Group
Ultrasound Multi-frame Image Storage 1.2.840.10008.5.1.4.1.1.3.1 Uncompressed Transfer SCU None

Group
Ultrasound Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.6 Uncompressed Transfer SCU None

Group
Ultrasound Multi-frame Image Storage 1.2.840.10008.5.1.4.1.1.3 Uncompressed Transfer SCU None

(Retired) Group
Basic Text SR 1.2.840.10008.5.1.4.1.1.88.11 Uncompressed Transfer SCU None

Group
Enhanced SR 1.2.840.10008.5.1.4.1.1.88.22 Uncompressed Transfer SCU None

Group
Comprehensive SR 1.2.840.10008.5.1.4.1.1.88.33 Uncompressed Transfer SCU None

Group
Mammography CAD SR 1.2.840.10008.5.1.4.1.1.88.50 Uncompressed Transfer SCU None

Group
Spatial Registration Storage 1.2.840.10008.5.1.4.1.1.66.1 Uncompressed Transfer SCU None

Group
Key Object Selection Document 1.2.840.10008.5.1.4.1.1.88.59 Uncompressed Transfer SCU None

Storage Group
X-Ray Radiation Dose SR Storage 1.2.840.10008.5.1.4.1.1.88.67 Uncompressed Transfer SCU None

Group
Encapsulated PDF Storage 1.2.840.10008.5.1.4.1.1.104.1 Uncompressed Transfer SCU None

Group

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Note: See Table 2.3–1 for the list of transfer syntaxes available for the Transfer
Syntax Group.
2.3.1.2.1.3.1 SOP Specific DICOM Conformance Statement for Image Storage SOP Classes
Following are the status codes that are more specifically processed when receiving
messages from a Storage SCP equipment :
Service Status Further Meaning Application Behavior When Receiving Status

Status Code Code
Failure A700- Refused: Out of resources Upon receiving a C-STORE confirmation

A7FF containing any status that is not Success or
Refused, this implementation will consider the
A900- Error: Data Set does not match current request to be a failure and will terminate
A9FF SOP Class the association except if the C-STORE is invoked
from a C-MOVE SCP. In this case it will continue to
C000- Error: Cannot Understand attempt to send the remaining images in the
CFFF request on the same association.
0122 SOP Class Not Supported
Warning B000 Coercion of Data Elements Ignored.
B006 Elements Discarded
B007 Data Set does not match SOP

Class
Success 0000 This implementation will perform the next C-

STORE operation. The association will be
maintained if possible.
* * Any other status code. Upon receiving a C-STORE confirmation

containing a Refused status, this implementation
will terminate the association.
This implementation can perform multiple C-STORE operations over a single

association.
Each C-STORE operation supports an “Association Timer”. This timer starts when the
association request is sent and stops when the association is established. Default
time-out is 30 seconds.
Each C-STORE operation supports an “Operation Inactivity Timer”. This timer starts
when a C-STORE request is emitted and is reset each time a C-STORE response has
been received, or when subsequent C-STORE are received. Default time-out is 180
seconds.
If any of the two timers mentioned above expires, the connection is aborted and the
operation is considered as failed.
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2.3.1.2.1.3.2 SOP Specific DICOM Conformance Statement for the Grayscale and Blending Softcopy Presentation
State Storage SOP Class
The DICOM SERVER AE does not support creation and application of the
transformations defined by Grayscale and Blending Softcopy Presentation State
Storage SOP Instances.
The objects are just received/sent on network and read from/written on media. Some
properties (image number, date/time, description and creator’s name) are displayed
in the BROWSER but the basic Advantage Workstation 4.6 applications cannot
display this object in a meaningful way (only black image is visible) and objects
content is not taken into account while displaying the referenced images.
2.3.1.2.2 Real-World Activity: Manual Query

The operator queries a Remote database or a set of Remote databases by clicking on
the corresponding icon. A new BROWSER (known as the REMOTE BROWSER) appears
on the screen(s) upon successful query.
The “Query” operation will cause the DICOM Server AE to initiate an association to the
selected Remote AE. Once a list of Study/Series/Image has been queried, the
operator can invoke the “Retrieve” operation by choosing “Get Exam” or “Get Series”
or “Get Image” from the displayed REMOTE BROWSER (drag on drop the selection on
the icon representing the Advantage Workstation 4.6 or click on the “Get” icon).
Note: The SCU will cancel the C-FIND by issuing a C-FIND-CANCEL request after the
reception of 500 studies. This number is configurable by the GE Field
Engineer.
Note: The REMOTE BROWSER is able to display up to 1500 studies at a time when
querying a set of remote DICOM AEs. This number is configurable by the GE
Field Engineer.

The DICOM SERVER AE initiates a new association for querying Study Folders (or
Series/Images) on a remote DICOM AE. This association corresponds to one Real
World Activity.
2.3.1.2.2.3 Proposed Presentation Context Table
Presentation Context Table – Proposed by DICOM SERVER AE for Activity Manual Query
Study Root Query/Retrieve 1.2.840.10008.5.1.4.1.2.2. Uncompressed Transfer Group SCU None

Information Model - FIND 1
Syntax Group.
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2.3.1.2.2.3.1 SOP Specific DICOM Conformance Statement for C-FIND-SCU
DICOM Server AE is able to generate C-Find-Cancel, see the table below.
messages from a C-FIND SCP equipment :

Status Code Code
Failure A700 Refused: Out of resources Upon receiving a C-FIND response with any
failure status, this implementation will consider
A900 Error: Identifier does not the current request to be a failure and will
match SOP Class terminate the association.
C000- Error: Unable to process

CFFF
Cancel FE00 Matching terminated due to Displays a message that the query was stopped.
cancel
Success 0000 Matching is complete - No Results displayed in the Remote Patient List.
final identifier is supplied If the query is done on Study level the Patient List
automatically selects the first study and
continues the query on series level. If this is
finished the first series is automatically selected
and query is continued on image level.
If study level query results in more than 500

studies the patient list displays a message about
this limitation and cancels the query.
Pending FF00 Matches are continuing - Processed.

Current Match is supplied and
any Optional Keys were
supported in the same
manner as Required Keys.
FF01 Matches are continuing -

Warning that one or more
Optional Keys were not
supported for existence
and/or matching for this
Identifier
* * Any other status code.
The C-FIND SCU will only perform hierarchical query (No extended negotiation
supported)
Each C-FIND SCU supports an “Association Timer” and an “Operation Inactivity

Timer”. These timers are defaulted to 30 and 90 seconds.
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The DICOM SERVER AE will parse each matching C-FIND-RSP reply and will abort the
association if an entry does not contain a valid dataset.
2.3.1.2.2.3.1.1 Patient name format definition

DICOM SERVER AE is able to send the Patient Name in following wildcard matching
formats:
 “PATIENT_NAME” if IS filter is selected in filter manager for patient name
 “PATIENT_NAME”* if BEGINS filter is selected or Search Selected feature is

used
 *” PATIENT_NAME”* if CONTAINS filter is selected
Where”PATIENT_NAME” may contain the following ASCII characters:
 a-z, A-Z, 1-9
 `~!@#$%^&()-_=+[]{}|:;”’<>,.?/
If the query has no result at patient level and the Field Engineer configured the
station to try an automatic second query DICOM SERVER AE will replace ‘^’ and ‘ ‘
characters in the patient name with ‘*’ or ‘?’ depending on the configuration and
issue a second query.
2.3.1.2.3 Real-World Activity: Search Selected Query

This activity uses the “Manual Query” real-world activity. For detailed information
refer to the previous section. Only the differences are detailed here.

The operator queries a Remote database or a set of Remote databases by clicking on
the “Search Selected” icon. A new BROWSER (known as the REMOTE BROWSER)
appears on the screen(s) with the patient name and patient id automatically filled in
based on the information of the selected patient.
Due to limitations the Patient’s Name and Id are cut to the longest starting ASCII
substring. For example “Kovács^Olivér” is cut to “Kov” since “á” is not an ASCII
character. The Specific Character Set (0008,0005) field is set to the DICOM original
Specific Character Set information.
See Patient name format definition in 2.3.1.2.2.3.1.1 for more information.
See status management in 2.3.1.2.2.3.1 for more information.
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2.3.1.2.4 Real-World Activity: Manual Retrieve

The operator then has to perform the Real-World activity “Query” to get a list of
Studies, Series and Images. Once the list of list of Studies, Series and Images is
retrieved, the operator can invoke the “Retrieve” operation by choosing “Get Exam” or
“Get Series” or “Get Image” from the displayed REMOTE BROWSER (drag on drop the
selection on the icon representing the Advantage Workstation 4.6 or click on the
“Get” icon).

The DICOM SERVER AE initiates a new association for retrieving Studies, Series and
Images on a remote DICOM AE. This association corresponds to one Real World
Activity.

When the remote DICOM AE is declared as a Study Root Provider or the invoked
operation is “Get Study” or “Get Series” or “Get Image”, the presentation context
shown in following table is proposed.
Presentation Context Table – Proposed by DICOM SERVER AE for Activity Manual Retrieve
Study Root Query/Retrieve 1.2.840.10008.5.1.4.1.2.2. Uncompressed Transfer Group SCU None

Information Model - MOVE 2
Syntax Group.
2.3.1.2.4.3.1 SOP Specific DICOM Conformance Statement for the Study Root Query/Retrieve Information Model -
MOVE SOP Classes
When the operator starts a Move operation at any level (Study, Series, Image) the
DICOM Server AE will initiate a C-MOVE-RQ request to the Remote AE with the DICOM
Server AE as the Destination AE. The Storage SCP (“Receive Images from Remote AE”)
will handle the incoming images.
Each C-MOVE SCU supports an “Association Timer” and an “Operation Inactivity

Timer”. These timers are defaulted to 30 and 600 seconds. DICOM Server AE does not
support C-MOVE Cancel operation.
messages from a C-MOVE SCP equipment :
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Status Code Code
Failure A701 Refused: Out of resources - Upon receiving a C-MOVE response with any
Unable to calculate number of failure status this implementation will consider
matches the current request to be a failure and will
terminate the association.
A702 Refused: Out of resources -
Unable to perform sub-
operations
A801 Refused: Move Destination

Unknown
A900 Error: Identifier does not

match SOP Class
C000- Error: Unable to process

CFFF
Cancel FE00 Sub-operations terminated This implementation will release the association.
due to a Cancel indication
Warning B000 Sub-operations Complete - Processed.

One or more Failures.
Success 0000 Sub-operations Complete - No This implementation will perform the next C-
Failure. MOVE operation.
Pending FF00 Sub-operations are continuing Processed.

-
* * Any other status code. Upon receiving a C-MOVE response with any
other status this implementation will consider the
current request to be a failure and will terminate
the association.
2.3.1.2.5 Real-World Activity: Manual DICOM Ping

The service engineer would like to check whether a Remote AE is up and DICOM
services are available. For this operation a terminal is opened and “sendecho”
command is typed. The command line tool asks for local and remote Application
Entity Title, remote IP address and port then checks the status of the remote DICOM
Verification SOP class.
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The DICOM SERVER AE initiates a new association for checking the status of the
Remote AE. This association corresponds to one Real World Activity.

The DICOM SERVER AE proposes the following presentation context table.
Presentation Context Table – Proposed by DICOM SERVER AE for Activity Manual DICOM Ping
Verification 1.2.840.10008.1.1 Uncompressed Transfer Group SCU None
Syntax Group.
2.3.1.3 Association Acceptance Policy

The DICOM SERVER AE refuses the association if they are too many open
connections.
There are two DICOM Acceptance Policies that is configurable by GE Field Engineer:
 Strict DICOM Acceptance Policy

In this mode only the DICOM hosts that are configured on AW4.6 are
accepted.
 Free DICOM Acceptance Policy

In this mode all DICOM hosts are accepted for Query and Store operations.
Retrieve operation always requires the destination DICOM host to be
configured on AW4.6.
2.3.1.3.1 Real-World Activity: Receive Images from Remote AE

This AE is indefinitely listening for associations. No operator action is required to
receive an image.

The Real-World Activity associated with the Receive Images operation is the storage
of the images on the disk drive of the Advantage Workstation 4.6 and the declaration
of the images in the database of the same station.
2.3.1.3.1.2 Presentation Context Table

Acceptable Presentation Contexts for DICOM Server AE and Real-World Activity
Receive Images from Remote AE.
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Presentation Context Table – Proposed by DICOM SERVER AE for Activity Receive Images from Remote AE
Abstract Syntax Transfer Syntax Role Extended
Group
Computed Radiography Image Storage 1.2.840.10008.5.1.4.1.1.1 Uncompressed Transfer SCP None

Group
CT Image Storage 1.2.840.10008.5.1.4.1.1.2
Compressed Transfer
Group
MR Image Storage 1.2.840.10008.5.1.4.1.1.4
X-Ray Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.12.1
X-Ray Radiofluoroscopic Image Storage 1.2.840.10008.5.1.4.1.1.2
Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.2
Digital X-Ray Image Storage - For 1.2.840.10008.5.1.4.1.1.1.1

Presentation
Digital X-Ray Image Storage - For 1.2.840.10008.5.1.4.1.1.1.1.1

Processing
Digital Mammography X-Ray Image 1.2.840.10008.5.1.4.1.1.1.2

Storage - For Presentation
Digital Mammography X-Ray Image 1.2.840.10008.5.1.4.1.1.1.2.1

Storage - For Processing
Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.20
Standalone Curve Storage 1.2.840.10008.5.1.4.1.1.9
Positron Emission Tomography Image 1.2.840.10008.5.1.4.1.1.128

Storage
Standalone PET Curve Storage 1.2.840.10008.5.1.4.1.1.129
RT Image Information Storage 1.2.840.10008.5.1.4.1.1.481.1
RT Structure Set Information Storage 1.2.840.10008.5.1.4.1.1.481.3
RT Plan Information Storage 1.2.840.10008.5.1.4.1.1.481.5
NM Genie Private Data 1.2.840.113619.4.27
PET Advance Private Data 1.2.840.113619.4.30
GE Private DICOM 3D Object 1.2.840.113619.4.26
Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.2
Ultrasound Multi-frame Image Storage 1.2.840.10008.5.1.4.1.1.2
Ultrasound Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.6
Basic Text SR 1.2.840.10008.5.1.4.1.1.88.11
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Enhanced SR 1.2.840.10008.5.1.4.1.1.88.22
Comprehensive SR 1.2.840.10008.5.1.4.1.1.88.33
Mammography CAD SR 1.2.840.10008.5.1.4.1.1.88.50
Spatial Registration Storage 1.2.840.10008.5.1.4.1.1.66.1
Key Object Selection Document 1.2.840.10008.5.1.4.1.1.88.59

Storage
X-Ray Radiation Dose SR Storage 1.2.840.10008.5.1.4.1.1.88.67
Encapsulated PDF Storage 1.2.840.10008.5.1.4.1.1.104.1

Syntax Group.
2.3.1.3.1.2.1 SOP Specific Conformance to Storage SOP Classes

The DICOM SERVER AE provides Level 1 (BASE) Conformance, and stores all
mandatory (Type 1 and 2) data elements of received SOP Instances. It also stores
selected optional (Type 3) data elements, and private data elements for which it has a
data dictionary entry, as described in Section 2.1 Introduction.
The DICOM SERVER AE does not support Digital Signatures Level 0 support, as it does
not provide Level 2 (FULL) Conformance.
When a compressed image arrives on the station it is always stored in decompressed

format. The Lossy Image Compression attribute (0028,2110) is added and set to “01”
on originally lossy compressed images.
Successfully received SOP Instances may be accessed via the user interface and by
DICOM network query retrieve. SOP Instances may be deleted by End Of Review or
autodelete tools if configured so or manually by the user.
The DICOM SERVER does not perform coercion and data editing.
In case of failure, the image will not be installed in the local database. Following are
the status codes the Application may send back to the SCU Equipment after
performing the requested Storage :
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Service Status Further Meaning Status Code Explanation Related Fields
Status Code Sent Back to
the SCU
Failure A700 Refused: Out of resources Indicates that probably there was not enough
disk space to store the image or database
inconsistency issue. The user should attempt
recovery by removing some images from the
Advantage Workstation 4.6. The association is
aborted.
0110 Processing failure Indicates that there was an internal error

processing the incoming DICOM entity i.e. reading
patient/exam/series/image level information
from the message, converting messages to a file,
writing the file to disk. The association is aborted.
Success 0000 Image is most probably declared in the database: None
In the event of a successful C-STORE operation,

the image has successfully been written to disk,
but may not have been declared in the database.
For performance reasons the declaration of

second and successor images of the same CT
and MR series are not synchronized – while the
declaration of the first image of each series is
always done before status is sent back to SCU.
Indeed, the successful status code is returned

before the declaration of these images since it is
assumed that if the first image was declared
successfully and this image is written on the disk
it has no reason not to be declared. Thus, if the
declaration failed the association is aborted.
Each C-STORE SCP operation supports an “Operation Inactivity Timer” with time out
values of 605 seconds.
The image will then be accessed in the same manner as any other image by the
applications on the Advantage Workstation 4.6.
When declaration of an image during a C-STORE operation fails, a message will

appear in the browser informing the user of a failure.
Image Declaration phase:
Note: To be displayed in the Viewer an image containing overlay planes defined in

the high bits of the pixels (7FE0,0010) must fulfill the following conditions:
 the pixels are unsigned integers (0028,0103),
 the pixel allocated bits is equal to 16 (0028,0100)
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 the overlay sizes, (60xx,0010) and (60xx,0011), are equal to the image size,
(0028,0010) and (0028,0011)
 the overlay origins (60xx,0050) are equal to x=1, y=1,
Note: To be displayed in the Viewer an image containing overlay planes defined in

the header fields (60xx, 3000) must fulfill the following conditions:
 the file contains a single frame (0028,0008),
 the overlay origins (60xx,0050) are equal to x=1, y=1,
 the sizes of all overlays, (60xx,0010) and (60xx,0011), are equal to the image
size, (0028,0010) and (0028,0011)
Note: Only the 8 first overlay planes can be displayed in the Viewer.
Note: The Viewer does not support multi-frame overlays ((60xx, 0015) and (60xx,
0051))
Note: Images that have the fields Patient’s Name (0010,0010) and Patient ID
(0010,0020) empty are accepted into the local database.
Note: If the pixel size is available measurement algorithm uses:
 either because defined in the image header
 (0008,2111) for combined images
 (0018,1164) or (0028,0030) if the first one is undefined, for CR images
 (0018,1164) for Senovision, DX and MG images
 (0028,0030) for other images
 (no header field is used for XA and RF images)
 either because the end user has calibrated the image,

measurements shall be indicated in millimeters for distance or
square millimeters for areas. Otherwise, they shall be indicated in
pixels or square pixels.
Note: Standalone Overlay Storage SOP Class instances will be formatted into
Secondary Capture SOP Class instances when installed on the Advantage
Workstation 4.6.
Note: All kind of color images are stored by the Advantage Workstation 4.6, but only
images that have a photometric interpretation (0028,0004) equal to
“MONOCHROME 1”, “MONOCHROME 2”, “PALETTE COLOR” or “RGB” with
planar configuration (0028,0006) equal to 0 (color by pixel) or 1 (color by
plane) are displayable.
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Note: Modality LUT (0028,3000) will be ignored by the Advantage Workstation 4.6.
Note: Images with non-square pixels are not handled correctly by the Advantage
Workstation 4.6.
Note: No optional data elements (Type 3) or filled data elements (Type 2) are
required to be declared on the Advantage Workstation 4.6.
Note: When 2 images have the same DICOM Instance UID, the latest image
received will overwrite the first received image if it has the same
patient/study/series identifiers. It will be refused otherwise.
Note: AW annotates the contrast agent “+C” on the CT and MR images with the
following algorithm:
If the manufacturer is “GE Medical Systems” then if the Contrast Agent

(0018,0010) is valued and has a value different from “NONE” and if the Contrast Route
(0018,0040) is valued and contains “IV” then “+C”
Otherwise if the manufacturer is not “GE Medical Systems” then, if the

Contrast Agent (0018,0010) is valued and has a value different from “NONE” then
“+C”.
2.3.1.3.1.3 Presentation Context Acceptance Criterion

The DICOM SERVER AE evaluates each Presentation Context independently, and
accepts any Presentation Context that matches an Abstract Syntax for any Real-
World Activity.
2.3.1.3.1.4 Transfer Syntax Selection Policies

Within each Presentation Context, the DICOM SERVER AE will select Transfer Syntaxes
according to the following priority (highest priority first):
If the compressed DICOM networking is enabled:
1. JPEG Lossless HIER 14

2. JPEG 2000 Lossless ONLY
3. JPEG Baseline (Process 1)
4. JPEG Extended (Process 2 & 4)
5. JPEG 2000
6. Explicit VR Little Endian
7. Explicit VR Big Endian
8. Implicit VR Little Endian
If the compressed DICOM networking is disabled:
1. Explicit VR Little Endian

2. Explicit VR Big Endian
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3. Implicit VR Little Endian
2.3.1.3.2 Real-World Activity: Query Request from Remote AE

respond to a query request.

The Real-World Activity associated with the query request is to search the local
database for entries that match the request and send a C-FIND response message
with a status of “pending” for each matching entry and send a C-FIND response
message with a status of "success" after the last "pending" response.
If the C-FIND SCP receives a C-FIND-CANCEL request, it sends a C-FIND response

message with a status of "cancel".
2.3.1.3.2.2 Association Acceptance Policy

The DICOM SERVER AE refuses the association if they are too many opened
connections.

Acceptable Presentation Contexts for DICOM Server AE and Real-World Activity Query
Request.
Presentation Context Table by DICOM SERVER AE for Activity Query Request

Study Root Query/Retrieve 1.2.840.10008.5.1.4.1.2.2. Uncompressed Transfer Group SCP None

Information Model - FIND 1
Syntax Group.
2.3.1.3.2.3.1 SOP Specific Conformance to C-FIND SCP

The DICOM SERVER AE provides matching against query keys as described in 14 -
QUERY Implementation.
Following are the status codes the Application may send back to the SCU Equipment
while performing the requested Query :
Service Status Further Meaning Stat`us Code Explanation Related Fields

the SCU
Failure A700 Refused: Out of resources When too many connections are open at the None
same time.
A900 Error: Identifier does not When the DICOM Server AE processes an invalid None
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match SOP Class data set.
C001 Error: Unable to process When the DICOM Server AE processes an internal None
error or a decoding error
Cancel FE00 Matching terminated due to If the DICOM remote AE sent a DICOM C-FIND None
cancel CANCEL request
Success 0000 Matching is complete - No None

final identifier is supplied
Pending FF00 Matches are continuing - For pending messages None

Current Match is supplied and
any Optional Keys were
supported in the same
manner as Required Keys.
FF01 Matches are continuing - For pending messages when the DICOM remote None
Warning that one or more AE asked for optional key
Optional Keys were not
supported for existence
and/or matching for this
Identifier
Each C-FIND SCP operation supports an “Operation Inactivity Timer” with a time out
value of 605 seconds. This timer corresponds to the number of seconds to wait when
data between TCP/IP packets are transferred.
2.3.1.3.2.4 Presentation Context Acceptance Criteria

See 2.3.1.3.1.3 - Presentation Context Acceptance Criterion.
2.3.1.3.2.5 Transfer Syntax Selection Policy

Only uncompressed transfer syntaxes are selected from the section 2.3.1.3.1.4 -
Transfer Syntax Selection Policies.
2.3.1.3.3 Real-World Activity: Retrieve Request From Remote AE

respond to a retrieve request.

The Real-World Activity associated with the Retrieve Request is to send all images
corresponding to the C-MOVE request to the destination AE through a separate
association.
If the C-MOVE SCP receives a C-MOVE-CANCEL request, it closes the separate

association.

The DICOM SERVER AE rejects the association if they are too many open connections.
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The DICOM SERVER AE rejects the association if the Remote DICOM AE is not declared
on the local Advantage Workstation 4.6.

Retrieve Request.
Presentation Context Table by DICOM SERVER AE for Activity Retrieve Request From Remote AE
Study Root Query/Retrieve 1.2.840.10008.5.1.4.1.2.2. Uncompressed Transfer Group SCP None

Patient Root Query/Retrieve 1.2.840.10008.5.1.4.1.2.1. Uncompressed Transfer Group SCP None

Syntax Group.
2.3.1.3.3.3.1 SOP Specific Conformance to C-MOVE SCP

The DICOM SERVER AE supports Storage Sub-operations for Instances of any of the
Composite SOP Classes it supports as an SCU (see Section 2.3.1.2.1 Real-World
Activity: Push Studies/Series/Images to Remote AE.
The DICOM Server AE provides standard conformance to the baseline Study-root C-

MOVE Service Class SCP and Patient-root C-MOVE Service Class SCP.
The DICOM Server AE supports C-MOVE Service Class SCP to any known DICOM
Remote host referenced by MOVE AE.
Following are the status codes the Application may send back to the SCU Equipment
while performing the requested Retrieve :

the SCU
Failure A701 Refused: Out of resources - When there is too much data to process. None
Unable to calculate number of
matches
A702 Refused: Out of resources - When the association with the C-STORE SCP was None
Unable to perform sub- rejected.
operations
A801 Error: Move Destination When the destination unknown. None

Unknown
A900 Error: Identifier does not When the dataset is invalid. None
match SOP Class
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Cancel FE00 Sub-operations terminated (C-Move Cancel Request Received) when the C- None
due to a Cancel indication MOVE SCU cancelled the operation
Warning B000 Sub-operations Complete - When one or more failure occurred. None
One or more Failures.
Success 0000 Sub-operations Complete - No When the whole C-MOVE operation was None
Failure. successful
Pending FF00 Sub-operations are continuing For pending messages. (0000,1020)

- (0000,1021)
(0000,1022)
(0000,1023)
Each C-MOVE SCP operation supports an “Operation Inactivity Timer” with a time out
value of 605 seconds. This timer corresponds to the number of seconds to wait when
data between TCP/IP packets are transferred.
All images requested in a C-MOVE-RQ will be sent over a single association. A C-

MOVE-RSP with a “pending” status will be returned to the requester every seven
seconds.


2.3.1.3.4 Real-World Activity: DICOM Ping from remote DICOM host

The Real-World Activity associated with the DICOM Ping from remote host operation
is to check the status of the DICOM Server AE.

The DICOM SERVER AE rejects the association if they are too many open connections.

DICOM Ping from remote DICOM host.
Presentation Context Table by DICOM SERVER AE for Activity DICOM Ping from remote host
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Verification 1.2.840.10008.1.1 Uncompressed Transfer Group SCP None
Syntax Group.


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2.3.2 DICOM STORAGE COMMITMENT SERVER AE Specification

This Application Entity provides Standard Conformance to the following DICOM SOP
Classes as an SCU:
SOP Class Name SOP Class UID
Storage Commitment Push Model 1.2.840.10008.1.20.1
2.3.2.1.1 General
The DICOM STORAGE COMMITMENT SERVER AE uses the same resources as the
DICOM SERVER AE, for detailed information please read the section 2.3.1.1
Association Establishment Policies of DICOM SERVER AE.

The DICOM STORAGE COMMITMENT SERVER AE will initiate only one DICOM
association at a time to perform a DICOM storage commitment operation as a SCU
to a Remote DICOM AE.
The DICOM STORAGE COMMITMENT SERVER AE can have a maximum of 2 open

DICOM associations at a time to perform a DICOM storage commitment operation as
a SCU with Role/selection negotiation.
The Storage Commitment Provider AE can be configured independently from the

remote DICOM AE with network address, port and AE title.
Storage Commitment request is sent just after images has been remotely stored.

synchronously.

The DICOM STORAGE COMMITMENT SERVER AE uses the same resources as the
DICOM SERVER AE, for detailed information please read the section 2.3.1.1
Association Establishment Policies of DICOM SERVER AE.

When the DICOM STORAGE COMMITMENT SERVER AE Application Entity initiates an
Association for any Real-World Activity, it will propose the Presentation Contexts for
all Real-World Activities; i.e., there is only a single, comprehensive Presentation
Context Negotiation proposed for the AE.
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The DICOM STORAGE COMMITMENT SERVER AE proposes only a single Transfer
Syntax in each Presentation Context; i.e., for each Abstract Syntax in the following
Presentation Context Tables, the AE proposes one Presentation Context for each
specified Transfer Syntax.
2.3.2.2.1 Real-World Activity: Initiate Storage Commitment to a Remote AE

The operator can associate a DICOM Storage Commitment Provider AE option to a
Remote AE in the Network Manager. When the user selects a Remote AE with this
option enabled STORAGE COMMITMENT AE will always try to initiate a Storage
Commitment.
The user selects in the BROWSER one or several studies, series or images to be sent.
Then, the user can either drag and drop the selection on the icon representing then
Remote DICOM AE, or click on the “Push” icon and select a Remote DICOM AE in the
LIST OF REMOTE HOST. The user can also decide to use the ‘end review’ paradigm to
send a set of series of the same patient.
 The Advantage Workstation 4.6.retrieves the appropriate DICOM images to push

from its database.
 The DICOM SERVER AE initiates a DICOM association, negotiates with the Remote
AE an appropriate Abstract and Transfer Syntax.
 If the negotiation is successful, the DICOM SERVER AE emits C-STORE command

to send the images to the Remote AE.
 When the images have been sent, the DICOM SERVER AE asks the DICOM
STORAGE COMMITMENT SERVER AE to commit all the images that have been
successfully sent.
 The DICOM STORAGE COMMITMENT SERVER AE initiates a DICOM association,

negotiates with the Remote AE an appropriate Abstract and Transfer Syntax.
 If the negotiation is successful, the DICOM STORAGE COMMITMENT SERVER AE

emits a N-ACTION request. Only one N-ACTION request is sent for all images to
be committed.
 If the DICOM STORAGE COMMITMENT SERVER AE receives a successful N-ACTION

RSP, the server waits a configurable period of time (default = 10s) for the
reception of a N_EVENT_REPORT. (See section Real-World Activity “Listen to
remote Storage Commitment SCP”)

Only one N-ACTION request is sent for all images that have been sent during the Real
World Activity: “Push Studies/Series/images to Remote AE”
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Presentation Context Table - Proposed

Storage Commitment 1.2.840.10008.1.20.1 Uncompressed Transfer Group SCU None

Push Model
Syntax Group.
2.3.2.2.1.3.1 SOP Specific DICOM Conformance Statement for the Storage Commitment Push Model SOP Class SCU
(N-ACTION)
The DICOM STORAGE COMMITMENT SERVER AE can receive a N-EVENT-REPORT from
the Storage Commitment Provider at any time (See section Real-World Activity “Listen
to remote Storage Commitment SCP”).
The DICOM STORAGE COMMITMENT SERVER AE uses DICOM network storage services
to transfer SOP Instance List which are to be committed. It does not support the
optional Storage Media File-Set ID and UID Attributes in the Storage Commitment N-
ACTION for transfer of SOP Instances by media for Storage Commitment.
The DICOM STORAGE COMMITMENT SERVER AE may request Storage Commitment for
Instances of any of the Composite SOP Classes it supports as an SCU (see Section
2.3.1.2.1 for Real-World Activity: Push Studies/Series/Images to Remote AE).
The Storage Commitment Information Object is described in Section 4.
If the received N-ACTION Response from the Storage Commitment Provider has a
success status, the DICOM STORAGE COMMITMENT SERVER AE waits for an N-EVENT-
REPORT during a configurable period of time. This period is set to 10s by default.
N-Action responses from a Storage Commitment SCP equipment:

Status Code Code
Failure 0119 Class-instance conflict An error file is logged, the Storage Commitment is
abandoned and a pop-up is displayed to the user.
0210 Duplicate invocation
0115 Invalid argument value
0117 Invalid SOP Instance
0212 Mistyped argument
0123 No such action
0114 No such argument
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0118 No such SOP Class
0112 No such SOP Instance
0110 Processing failure
0213 Resource limitation
0211 Unrecognized operation
Success 0000 For each image successfully committed, the

image is flagged as “Committed” into the
database.
* * Any other status code. Ignored
2.3.2.2.2 Real-World Activity: Open periodic association

The operator can associate a DICOM Storage Commitment Provider AE to a Remote
AE.
The system periodically scans the configuration file and opens an “empty”
association with all the Remote DICOM AE declared as Storage Commitment
Provider. The association is always opened even if Advantage Workstation does not
expect any N_EVENT_REPORT. The time between two association creation is
configurable by GE Field Engineer – even to large numbers, that is it can be
practically turned off.
This periodic association enables a Storage Commitment Provider to send an

N_EVENT_REPORT during a standard association negotiation.
 The DICOM STORAGE COMMITMENT SERVER AE initiates a DICOM association,

negotiates with the Remote AE an appropriate Abstract and Transfer Syntax.
 If the negotiation is successful, the DICOM STORAGE COMMITMENT SERVER AE

waits a configurable period of time (default = 10s) for the reception of a
N_EVENT_REPORT. (See section Real-World Activity “Listen to remote Storage
Commitment SCP”)

After the association negotiation, the DICOM STORAGE COMMITMENT SERVER AE
waits for an incoming N_EVENT_REPORT.

See the general Proposed Presentation Context DICOM STORAGE COMMITMENT
SERVER AE in Section 2.3.2.2.1.3.
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2.3.2.2.2.3.1 SOP Specific DICOM Conformance Statement for the Storage Commitment Push Model SOP Class (N-
_EVENT_REPORT)
The DICOM STORAGE COMMITMENT SERVER AE waits for an N-EVENT-REPORT during
a configurable period of time. This period is set to 10s by default.
The DICOM STORAGE COMMITMENT SERVER AE can receive a N-EVENT-REPORT from

the Storage Commitment Provider at any time (See section Real-World Activity “Listen
to remote Storage Commitment SCP”).
Following are the status codes the DICOM STORAGE COMMITMENT SERVER AE may
send back in the N-Event-Report response command to the Storage Commitment
SCP Equipment that sent the N-Event-Report request:

the SCU
Failure 0110 Processing failure This status code is sent back on any (0000,0002)
error during database manipulations or (0000,0120)
internal communication failures. (0000,1000)
(0000,1002)
Success 0000 Report could be processed without any None

issue.
2.3.2.3 Association Acceptance Policy
2.3.2.3.1 Real-World Activity: Listen to remote Storage Commitment SCP

The DICOM STORAGE COMMITMENT SERVER AE is indefinitely listening for
associations. No operator action is required to receive a Storage Commitment
notification (N-EVENT-REPORT).

The Real-World Activity associated consists into:
 Flag the images that have been committed (transfer of ownership) in the
database.
 Pop up an error when some images of a patient existing in the database

have not been committed.

The Storage Commitment Provider initiating the association must use the role
selection negotiation.
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See the general Proposed Presentation Context DICOM STORAGE COMMITMENT
SERVER AE in Section 2.3.2.2.1.3.
2.3.2.3.1.3.1 SOP Specific DICOM Conformance Statement for the Storage Commitment Push Model SOP Class (N-
EVENT-REPORT)
The DICOM STORAGE COMMITMENT SERVER AE will propose the SCP role (via SCP/SCU
Role Selection Negotiation) within a Presentation Context for the Storage
Commitment Push Model SOP Class. If the destination does not accept that Role
Negotiation, the AE will not be able to send Storage Commitment Results using N-
Event-Report Requests.
Following are the status codes the Application may send back to the SCP Equipment
after receiving the N-EVENT-REPORT:
Service Status Further Meaning Status Code sending explanation Related Fields
Status Codes sent back to
the SCU
Error 0110 Processing Failure Indicates that an internal error occurs while None
processing.
Success 0000 None
The DICOM STORAGE COMMITMENT SERVER AE parses all the items present in the N-
EVENT-REPORT.
For each image successfully committed, the image is flagged as “Committed” into the
database. An error is logged for any image that cannot be committed and a pop up is
displayed to the user when the image still exists in the database.
2.3.2.3.2 Real-World Activity: DICOM Ping from remote DICOM host

The Real-World Activity associated with the DICOM Ping from remote host operation
is to check the status of the DICOM STORAGE COMMITMENT SERVER AE.

The DICOM STORAGE COMMITMENT SERVER AE rejects the association if they are too
many open connections.

Acceptable Presentation Contexts for DICOM STORAGE COMMITMENT SERVER AE and
Real-World Activity DICOM Ping from remote DICOM host.
Presentation Context Table by DICOM STORAGE COMMITMENT SERVER AE for Activity DICOM Ping from remote
host
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Verification 1.2.840.10008.1.1 Uncompressed Transfer Group SCP None
Syntax Group.


2.3.3 DICOM Print SCU AE Specification

This Application Entity provides Standard Conformance to the following DICOM SOP
Classes as an SCU:
SOP Class Name SOP Class UID
Basic Grayscale Print Management Meta SOP Class 1.2.840.10008.5.1.1.9
Basic Color Print Management Meta SOP Class 1.2.840.10008.5.1.1.18
Note: Support of the Basic Grayscale Print Management Meta SOP Class as an SCU
mandates support for the Basic Film Session, Basic Film Box, Basic Grayscale
Image Box and Printer SOP Classes as an SCU.
Note: Support of the Basic Color Print Management Meta SOP Class as an SCU
mandates support for the Basic Film Session, Basic Film Box, Basic Color
Image Box and Printer SOP Classes as an SCU.
2.3.3.1.1 General
The DICOM Application Context Name (ACN) that is always proposed is:
Application Context Name 1.2.840.10008.3.1.1.1
The Maximum Length PDU negotiation is included in all association establishment

requests.
The maximum length PDU for an association initiated by the DICOM Print SCU is:
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Maximum Length PDU 28672 Bytes
The Print Management Service Class does not support extended negotiation.
The user information Items sent by this product are:
 Implementation UID
Note: The Maximum length PDU is not configurable

The DICOM Print SCU AE supports only one association at a time. The printing
requests are internally queued.

synchronously.

The Implementation UID for this DICOM Implementation is:
Advantage Workstation 4.6 Filmer Implementation UID 1.2.840.113619.6.246
2.3.3.2.1 Real-World Activity “Manual Image Print”

The user has the possibility to drag and drop images from the VIEWER to the FILMER
application. The Print Manager application allows to define, suppress and select
different REMOTE DICOM printers and to manipulate some print parameters like the
number of copies. When the user requests for a print by pushing the “Print” button,
the DICOM Print SCU tries to establish the association with the requested printer and
sends the images for printing.
Note: The Print Builder application allows to select different REMOTE DICOM printers
and to manipulate some print parameters like the number of copies.
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Presentation Context Table – Proposed

Name UID Name List UID List Negotiation
Basic Grayscale Print 1.2.840.10008.5.1.1.9 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Management Meta SOP Class
Basic Color Print Management 1.2.840.10008.5.1.1.18 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Meta SOP Class
2.3.3.2.1.2.1 SOP Specific DICOM Conformance Statement for Print Management SOP Classes
The DICOM Print SCU AE initiates one association with the selected REMOTE DICOM
Printer. The DICOM Print SCU AE will not open another association while the current
one is active.
The Basic Grayscale Print Management Meta SOP Class and the Color Grayscale Print
Management Meta SOP Class are never negotiated simultaneously.
For each of the supported Print Management SOP and Meta SOP Classes, the
optional attributes and service elements supported, the valid range of values for
mandatory and optional attributes, and the status code behavior are described in
Section 6.
2.3.3.2.2 Real-World Activity “Direct Image Print”

The user has the possibility to directly send images from the VIEWER to the Print
Builder application. The Print Builder application will launch the DICOM Print SCU that
tries to establish the association with the default printer and sends the images for
printing.
Presentation Context Table – Proposed

Name UID Name List UID List Negotiation
Basic Grayscale Print 1.2.840.10008.5.1.1.9 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Management Meta SOP Class
Basic Color Print Management 1.2.840.10008.5.1.1.18 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Meta SOP Class
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2.3.3.2.2.2.1 SOP Specific DICOM Conformance Statement for Print Management SOP Classes
The DICOM Print SCU AE initiates one association with the selected REMOTE DICOM
Printer. The DICOM Print SCU AE will not open another association while the current
one is active.
The Basic Grayscale Print Management Meta SOP Class and the Color Grayscale Print
Management Meta SOP Class are never negotiated simultaneously.
For each of the supported Print Management SOP and Meta SOP Classes, the
optional attributes and service elements supported, the valid range of values for
mandatory and optional attributes, and the status code behavior are described in
Annex.
2.4 COMMUNICATION PROFILES
2.4.1 Supported Communication Stacks

The DICOM Upper Layer Protocol is supported using TCP/IP, as specified in DICOM
PS3.8.
The TCP/IP stack is inherited from a UNIX Operating System.
2.4.2 Physical Media Support

The product is provided with a 10/100/1000 Mb/s auto-sensing Ethernet interface.
Additional or alternate network interfaces are available.
Note: For more information about the Physical Media available for Advantage
Workstation 4.6, please refer to the Product Data Sheet.
2.5 EXTENSIONS / SPECIALIZATIONS/ PRIVATIZATIONS
2.5.1 Standard Extended / Specialized / Private SOP Classes

Some Private SOP Classes can be used by this product but are not exported outside
of the station and so are not described below.
2.5.1.1 Standard Extended SOP Classes

The product provides Standard Extended Conformance to all supported SOP Classes,
through the inclusion of additional Type 3 Standard Elements and Private Data
Elements.
2.5.1.1.1 Extended Enhanced SR object

The extension of this SOP Class is described in paragraph 8 - ENHANCED SR
INFORMATION OBJECT IMPLEMENTATION.
The Enhanced DICOM SR does not implement the TID 2000 but the private
ELECTRONIC FILM TID. Refer to §8.
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2.5.1.1.2 Extended Secondary Capture object
The extension of this SOP Class is described in paragraph 7 - SC INFORMATION
OBJECT IMPLEMENTATION.
2.5.1.2 Private SOP Class GE DICOM Private 3D object

GE Private 3D Model Objects are described in the AW VXTL DCS, see 1.6 - References
2.5.1.3 Private SOP Class GE DICOM Private NM image

GE Private DICOM NM image Objects are described in the GENIE DCS, see 1.6 -
References.
2.5.1.4 Private SOP Class GE DICOM Private PET image

GE Private DICOM PET image Objects are described in the ADV DCS, see 1.6 -
References.
2.5.2 Private Transfer Syntaxes

No Private Transfer Syntax is supported.
2.6 CONFIGURATION
2.6.1 AE Title/Presentation Address Mapping

The GE Field Engineer must configure the hostname of the station during installation.
The hostname will then be used for the AET address mapping.
DICOM SERVER AE
The Local AE Title is set to hostname.
DICOM STORAGE COMMITMENT SERVER AE
The Local AE Title is set to SCU_hostname.
The GE Field Engineer can update the DICOM STORAGE COMMITMENT SERVER AET in
a configuration file
DICOM PRINT SCU AE
The local DICOM Print SCU AE Title is: “PR_Hostname” where Hostname is the system
hostname defined at installation. The default AET PR_Hostname can be overwritten
by GE Field Engineer if the length of Local DICOM Print SCU AE Title exceeds 16
characters.
2.6.2 Configurable Parameters

The following fields are configurable for the DICOM SERVER AE (local):
 Local AE Ttitle
 Local IP Address (defined by the station)
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 Local IP Netmask (defined by the station)
The Local Listening Port Number is not configurable and set to 4006.
The following fields are configurable for the DICOM STORAGE COMMITMENT SERVER
AE (local):
 Local AE Title
 Local IP Address (defined by the station)
 Local IP Netmask (defined by the station)
The Local Listening Port Number is configurable and set to 4008.
The following fields are configurable for every remote DICOM AE and DICOM
STORAGE COMMITMENT AE:
 Remote AE Title
 Remote IP Address
 Listening TCP/IP Port Number
A default router IP Address for all remote nodes can be configured as well as some
specific routes.
The following fields are configurable:
 Association Establishment Timer

 Store, Find, Move, Timers
 Inactivity Timers
 Maximum Length PDU
The following fields are configurable for the DICOM PRINT SCU AE (local):
~sdc/AIA/bin/configure.printAET
 Local AE Title
Note: The Local IP address and the local IP netmask are the ones of the workstation
Note: No local Port Number is defined because the product is never responding to
an association request.
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The following fields are configurable for every remote DICOM AE:
 Remote AE Title
 Remote IP Address
 Listening TCP/IP Port Number
The Service Tools allow the administrator to add, delete, or update the Remote
DICOM Printers parameters described above.
A default router IP Address for all DICOM remote nodes (including printers, Storage
SCP Workstations...) can be configured as well as some specific routes.
The following fields are configurable:
 Message report timeout (default=60s)
 Event report timeout (default=3600s)
The GE Field Engineer can update this configuration.
Only one association can be performed at a time by this implementation.
Note: All configurations must be performed by a GE Field Engineer.
Note: Configuration Information (2010,0150) is set by the User during the DICOM
printer declaration.
2.7 SUPPORT OF EXTENDED CHARACTER SETS

The AW4.6 will support fully only the ISO_IR 100 (ISO 8859-1:1987 Latin alphabet N 1.
supplementary set) as extended character sets.
For other extended character sets, they will be supported for DICOM data exchange
and in the database (as currently described in the DICOM 2009 standard). But
applications, which will load and manipulate these data, may have a restrictive
behavior.
2.8 CODES AND CONTROLLED TERMINOLOGY

The product uses no coded terminology.
2.9 SECURITY PROFILES

The product does not conform to any defined DICOM Security Profiles.
It is assumed that the product is used within a secured environment. It is assumed

that a secured environment includes at a minimum:
1. Firewall or router protections to ensure that only approved external hosts have
network access to the product.
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2. Firewall or router protections to ensure that the product only has network access
to approved external hosts and services.
3. Any communications with external hosts and services outside the locally secured
environment use appropriate secure network channels (such as a Virtual Private
Network (VPN))
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3. MEDIA STORAGE CONFORMANCE STATEMENT
3.1 INTRODUCTION
This section of the conformance statement (CS) specifies the Advantage Workstation 4.6
compliance to DICOM Media Interchange. It details the DICOM Media Storage Application
Profiles and roles that are supported by this product.
This station provides capabilities to DICOM interchange on CD-Rs (Compact Disc-

Recordable), DVDs (Digital Versatile Disc) and USB (Universal Serial Bus) with different
application profiles supported. The Advantage Workstation 4.6 Core Software provides
the DICOM interchange capability for all the applications that may be used on the
Advantage Workstation 4.6 basis. Please, refer to the DICOM conformance statement of
each added application for a complete description of their compliance to DICOM.
Note: Due to technology issues, it is possible that some types of DVDs cannot be read or
burnt on the Advantage Workstation 4.6. The function of reading and generating
DICOM interchange DVDs is also dependent of the hardware on which the
Advantage Workstation 4.6 release is installed.
3.2 IMPLEMENTATION MODEL
3.2.1 Application Data Flow Diagram

The CD/DVD/USB DICOM Media Server Application Entity (AE) handles the DICOM CREATE
CD/RESTORE CD functionality for the CD-R, CD-RW, CD+R, CD+RW device as well as the
DICOM CREATE DVD/RESTORE DVD functionality for the DVD+-/RW device and the DICOM
CREATE USB/RESTORE USB functionality for the USB device. The CD/DVD/USB DICOM
Media Server Application Entity (AE) is commanded by the user to perform DICOM services
operating on the DICOM media through the use of buttons and menu selections on the
graphical user interface of the station.
The user selects the type of media (either CD, DVD or USB) and then requests the creation
of a DICOM File Set and the writing of this DICOM File Set on blank media by selecting
images in the local Browser and inserting them in the Media Composer. Then, the images
of the different media to burn will be generated. Once the generation has been done, the
user can ask to burn the complete set of data on one or more media of the same type
(CD, DVD or USB)
The user can request the reading of a DICOM file set written on an interchange media by
selecting the CD/DVD/USB drive as the active device, and browsing the media using the
“Query” Item of the device drop down menu, and then restore the selected items by a
drag and drop on the local browser icon or by clicking on the suitable restore buttons.
The media intechange application model for the Advantage Workstation 4.6 is shown in
the following Illustration :
CD/DVD/USB DICOM Media Server AE Model
ILLUSTRATION 3–1
ADVANTAGE WORKSTATION 4.6 MEDIA INTERCHANGE APPLICATION MODEL AND DATA FLOW DIAGRAM
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User
requests
Save on
Media
CD/DVD/USB
User FSC
requests
DICOM Media Server
Browse AE
Media (CD/DVD/USB Composer GUI) FSR CD or DVD or
(to compose Media) USB
User
requests
Restore
from Media
3.2.2 Functional Definition of the DICOM Media Server AE
3.2.2.1 Functional definition of the DICOM Media Server AE

The CD/DVD/USB DICOM Media Server Application Entity supports the following functions:
 Has access to patient demographics and pixel data in the local database.
 Can generate a DICOM File Set (FSC) in a one shot activity.
 Can update DICOM File Set on USB in a very limited way { see notes }.
 Can write a DICOM File Set (FSC) on a CD-R, CD+R, CD-RW, CD+RW, DVD+R, DVD+RW,
DVD-R, DVD-RW
 Can read a DICOM File Set (FSR) on CD-R, CD+R, CD-RW, CD+RW, CDROM, DVD-R,
DVD+R, DVD-RW, DVD+RW, DVDROM
Note: Due to technology issues, it is possible that some types of DVDs cannot be read or
burnt on the Advantage Workstation 4.6. The function of reading and generating
DICOM interchange DVDs is also dependent of the hardware on which the
Advantage Workstation 4.6 release is installed.
Note: When exporting data to a USB mass storage device using the Media Composer,
the data exported to the USB device will not be fully DICOM compliant if images or
series from an exam originate from different Media Composer sessions. In such
cases, they will appear on the USB device as duplicate entries on the patient level.
When retrieving data from a USB device, the user always have to sort the
images/series by the Patient Name / Patient ID and review the list to make sure
that all exams belong to the same patient. If the Exam list on the USB media is
sorted by any criteria other than Patient Name / Patient ID, you may miss
additional entries for the selected patient.
3.2.3 Sequencing of Real-World Activities

Not applicable.
3.2.4 File Meta Information Options (See PS3.10)

The File Meta-Information for this implementation is :
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File Meta-Information Version 1

Advantage Workstation 4.6 Implementation UID 1.2.840.113619.6.286
Advantage Workstation 4.6 Implementation Version The Implementation Version Name represents the
Name canonical version of the AW, for example:
AW4_6_02_020_SLE
Source Application Entity Title The Source Application Entity Title is
derived from the hostname
3.2.5 Sequencing Requirements

For writing on CD, DVD it is necessary to use blank media. The support of media depends
of the hardware that is used.
For writing an USB it is not necessary to use blank media.
3.3 AE SPECIFICATIONS
3.3.1 DICOM MEDIA SERVER AE Specification

The DICOM CD/DVD/USB SERVER Application Entity provides standard conformance to
DICOM Interchange Option of the Media Storage Service Class. The application Profiles
and roles are listed below.
Supported Application Profile Real World Activity Role Description
STD-GEN-CD Browse Media (CD) FSR Interchange

STD-XABC-CD Restore Media (CD)
AUG-XABC-CD
STD-GEN-CD Create Media (CD) FSC Interchange

STD-XABC-CD
AUG-XABC-CD
STD-GEN-DVD-JPEG Browse Media (DVD) FSR Interchange

STD-GEN-DVD-J2K Restore Media (DVD)
STD-GEN-DVD-JPEG Create Media (DVD) FSC Interchange
STD-GEN-USB-JPEG Browse Media (USB) FSR Interchange

STD-GEN-USB-J2K Restore Media (USB)
STD-GEN-USB-JPEG Create Media (USB) FSC Interchange
Note: The supported compressed transfer syntaxes in STD-GEN-DVD-JPEG, STD-GEN-

DVD-J2K, STD-GEN-USB-JPEG and STD-GEN-USB-J2K are defined in by
Compressed Transfer Group in Table 2.3–1
3.3.1.1 File Meta Information for the DICOM MEDIA SERVER AE Application Entity
See the table in Section 3.2.4 - File Meta Information Options (See PS3.10).
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3.3.1.2 Real-World Activities for the DICOM MEDIA SERVER Application Entity
3.3.1.2.1 Real-World Activity (RWA) ”Browse Media”

The CD/DVD/USB DICOM Media Server AE acts as an FSR using the interchange option
when requested to browse the media.
When the CD/DVD/USB DICOM Media Server AE is requested to provide a directory listing,
it reads the File-set and displays the DICOMDIR directory entries, according to the
PATIENT, STUDY, SERIES, IMAGE paradigm.
If the DICOMDIR file is not found in the File-set, Free Image Importer is activated to choose
individual files to import from the media.
3.3.1.2.1.1 Media Storage Application Profile for the RWA “Browse Media”:
For the list of Application Profiles that invoke this AE for the Browse Media RWA, see the
Table in Section 3.3.1
3.3.1.2.1.1.1 Options
Following are the SOP Classes supported by the RWA “Browse Media”:
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
3.3.1.2.2 Real-World Activity (RWA) ”Restore Media”

The CD/DVD/USB DICOM Media Server AE acts as an FSR using the interchange option
when requested to copy SOP instances from the media to the local database.
The user selects the SOP instances that he wants the CD/DVD/USB DICOM Media Server
AE to copy on the local database by a drag and drop on the local browser icon or by
clicking on the suitable restore buttons. Once selected, the SOP instances are copied from
the media to the local database.
Only, the SOP classes supported by the station are declared to the database in a transfer
syntax supported by the station.
3.3.1.2.2.1 Media Storage Application Profile for the RWA “Restore Media”:
For the list of Application Profiles that invoke this AE for the Restore Media RWA, see the
Table in Section 3.3.1.
3.3.1.2.2.1.1 Options
Following are the SOP Classes and transfer syntaxes are supported by the RWA “Restore
Media”:
Information Object Definition SOP Class UID Transfer

Syntax Group
Computed Radiographic Image Storage 1.2.840.10008.5.1.4.1.1.1 Uncompresse
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CT Image Storage 1.2.840.10008.5.1.4.1.1.2 d Transfer
Group
MR Image Storage 1.2.840.10008.5.1.4.1.1.4
Xray Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.12.1 Compressed

Transfer
Xray Radiofluoroscopic Image Storage 1.2.840.10008.5.1.4.1.1.12.2 Group
Digital X-Ray Image Storage - For Presentation 1.2.840.10008.5.1.4.1.1.1.1
Digital X-Ray Image Storage - For Processing 1.2.840.10008.5.1.4.1.1.1.1.1
Digital Mammography X-Ray Image Storage - For 1.2.840.10008.5.1.4.1.1.1.2

Presentation
Digital Mammography X-Ray Image Storage - For 1.2.840.10008.5.1.4.1.1.1.2.1

Processing
Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.20
Positron Emission Tomography Image Storage 1.2.840.10008.5.1.4.1.1.128
RT Image Storage 1.2.840.10008.5.1.4.1.1.481.1
RT Structure Set Storage 1.2.840.10008.5.1.4.1.1.481.3
RT Plan Storage 1.2.840.10008.5.1.4.1.1.481.5
NM Genie Private Data 1.2.840.113619.4.27
PET Advance Private Data 1.2.840.113619.4.30
GE Private DICOM 3D object 1.2.840.113619.4.26
Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1
Ultrasound Multi-frame Image Storage 1.2.840.10008.5.1.4.1.1.3.1
Ultrasound Multi-frame Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.3
Basic Text SR 1.2.840.10008.5.1.4.1.1.88.11
Enhanced SR 1.2.840.10008.5.1.4.1.1.88.22
Comprehensive SR 1.2.840.10008.5.1.4.1.1.88.33
Mammography CAD SR 1.2.840.10008.5.1.4.1.1.88.50
Spatial Registration Storage 1.2.840.10008.5.1.4.1.1.66.1
Key Object Selection Document Storage 1.2.840.10008.5.1.4.1.1.88.59
X-Ray Radiation Dose SR Storage 1.2.840.10008.5.1.4.1.1.88.67
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Encapsulated PDF Storage 1.2.840.10008.5.1.4.1.1.104.1
Note: SOP instances encoded with an encapsulated Transfer Syntax and which contain
encapsulated Pixel Data (7FE0,0010) nested within a Sequence Data element are
not copied on the local database.
the Digital Signatures Sequence (FFFA,FFFA) or the Data Set Trailing Padding
attribute (FFFC,FFFC) are not copied on the local database.
Note: When copying on the local database a SOP instance encoded with a lossy
encapsulated Transfer Syntax on the media, the SOP instance is copied using a
non encapsulated Transfer Syntax and the Lossy Image Compression attribute
(0028,2110) is added and set to “01”.
Note: Grayscale Softcopy Presentation State Storage (1.2.840.10008.5.1.4.1.1.11.1) and

Blending Softcopy Presentation State Storage (1.2.840.10008.5.1.4.1.1.11.4)
abstract syntax is received on network / read from media and some properties
(image number, date/time, description and creator’s name) are displayed in the
BROWSER but the basic Advantage Workstation 4.6 applications cannot display
this object in a meaningful way (only black image is visible) and objects content is
not taken into account while displaying the referenced images.
encapsulated Pixel Data (7FE0,0010) nested within a Sequence Data element are
not copied on the local database.
Note: NM Genie Private Data (1.2.840.113619.4.27), PET Advance Private Data

(1.2.840.113619.4.30) and GE Private DICOM 3D object (1.2.840.113619.4.26) Objects are
expected as “IMAGE” directory record type.
Note: See Table 2.3–1 for the list of transfer syntaxes available for the Transfer Syntax
Group.
3.3.1.2.3 Real-World Activity (RWA) ”Create Media”

The CD/DVD/USB DICOM Media Server AE acts as an FSC using the interchange option
when requested to copy SOP Instances from the local database to one or multiple
interchange media.
The user selects the entries in the local database that he wants the CD/DVD/USB DICOM
Media Server AE to copy onto interchange media.
The graphic interface (CD/DVD/USB Composer) allows the user to select the entries in the
local database to be copied onto one or more interchange media. He/she may
 Add patients, studies, series or images from the local database onto the CD/DVD/USB
Composer
 Remove patients, studies, series or images from the CD/DVD/USB Composer.
The CD/DVD/USB Composer will create one File Set per generated interchange media.
The user has the opportunity to choose some options before composing the interchange
media:
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 The type of interchange media: to create: CD, DVD or USB
 The DICOM profile used for writing the interchange media. The user has the
opportunity to choose:
 the “General Purpose option”
No images are compressed images on the media.
The following table lists the used media profile selected by Media Type in this
case.
Interchange Media Media profile used
CD STD-GEN-CD
DVD STD-GEN-DVD-JPEG
USB STD-GEN-USB-JPEG
 the “Compress XA 512 Cardiac option”
XA 512x512 (8 bits) are always being saved compressed with JPEG lossless
Process 14(1.2.840.10008.1.2.4.70).
The following table lists the used media profile selected by Media Type in this
case.
Interchange Media Only XA 512x512 (8 Otherwise
bits) images selected
CD STD-XABC-CD AUG-XABC-CD
DVD STD-GEN-DVD-JPEG STD-GEN-DVD-JPEG
USB STD-GEN-USB-JPEG STD-GEN-USB-JPEG
 Burn a DICOM Image Viewer along with the images (not for USB).
 Burn a DICOM SR Viewer along with the images (also for USB)
 Reduce the resolution of XA Cardiac images to 512x512x8bits. This procedure is the
downscan processing and it manages images of the following resolutions:
1000x1000x8bits, 864x864x8bits, 800x800x8bits, 736X736x8bits and 608x608x8bits.
The CD/DVD/USB DICOM Media Server AE will generate new images from the input
images.
The user has the opportunity to choose some options after composing the interchange
media:
 Read after write mode to check the binary integrity of what is written on the
interchange media.
 Update the number of copies to generate.
The user has to insert blank CD/DVD disc or any FAT16/32 formatted USB device into the
drive. Before writing the disc, the CD/DVD DICOM Media Server AE checks that the
inserted media is blank and writable. If the condition is not met, an error is displayed and
the disc is ejected.
Before writing to USB media the user has to choose the right partition on media. If the
filesystem is not VFAT an error is displayed to the user.
Note: The corresponding SOP instances are set to the Explicit VR Little Endian transfer
syntax and copied to the interchange media. Unknown Private Data Elements are
encoded with the DICOM unknown Value Representation.
Note: Limitations: Because of resource allocation issues USB Media Composer cannot
add more than 60.000 images in a session and maintain more than 300.000
images on the media in total.
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3.3.1.2.3.1 Media Storage Application Profile for the RWA “Create Media”:
This AE can use the following profiles for the RWA “Create Media”:
 STD-GEN-CD
 STD-XABC-CD
 AUG-XABC-CD
 STD-GEN-DVD-JPEG
 STD-GEN-USB-JPEG
Please refer to the Table in Section 3.3.1.
3.3.1.2.3.1.1 Options:
Following are the SOP Classes supported by the RWA “Create Media”:
Media Storage Directory Storage 1.2.840.10008.1.3.10 Explicit VR Little Endian 1.2.840.10008.1.2.1
Computed Radiographic Image Storage 1.2.840.10008.5.1.4.1.1.1 Explicit VR Little Endian 1.2.840.10008.1.2.1
CT Image Storage 1.2.840.10008.5.1.4.1.1.2 Explicit VR Little Endian 1.2.840.10008.1.2.1
MR Image Storage 1.2.840.10008.5.1.4.1.1.4 Explicit VR Little Endian 1.2.840.10008.1.2.1
Xray Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.12.1 Explicit VR Little Endian 1.2.840.10008.1.2.1
JPEG lossless Process 14 1.2.840.10008.1.2.4.70 for

(selection value 1) for images 512x512 (8bits).
images 512x512 (8bits).
Xray Radiofluoroscopic Image Storage 1.2.840.10008.5.1.4.1.1.12.2 Explicit VR Little Endian 1.2.840.10008.1.2.1
Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 Explicit VR Little Endian 1.2.840.10008.1.2.1
Digital X-Ray Image Storage - For 1.2.840.10008.5.1.4.1.1.1.1 Explicit VR Little Endian 1.2.840.10008.1.2.1
Presentation
Digital X-Ray Image Storage - For 1.2.840.10008.5.1.4.1.1.1.1.1 Explicit VR Little Endian 1.2.840.10008.1.2.1
Processing
Digital Mammography X-Ray Image 1.2.840.10008.5.1.4.1.1.1.2 Explicit VR Little Endian 1.2.840.10008.1.2.1

Digital Mammography X-Ray Image 1.2.840.10008.5.1.4.1.1.1.2.1 Explicit VR Little Endian 1.2.840.10008.1.2.1

Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.20 Explicit VR Little Endian 1.2.840.10008.1.2.1
Standalone Curve Storage 1.2.840.10008.5.1.4.1.1.9 Explicit VR Little Endian 1.2.840.10008.1.2.1
Positron Emission Tomography Image 1.2.840.10008.5.1.4.1.1.128 Explicit VR Little Endian 1.2.840.10008.1.2.1

Storage
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Standalone PET Curve Storage 1.2.840.10008.5.1.4.1.1.129 Explicit VR Little Endian 1.2.840.10008.1.2.1
RT Image Storage 1.2.840.10008.5.1.4.1.1.481.1 Explicit VR Little Endian 1.2.840.10008.1.2.1
RT Structure Set Storage 1.2.840.10008.5.1.4.1.1.481.3 Explicit VR Little Endian 1.2.840.10008.1.2.1
RT Plan Storage 1.2.840.10008.5.1.4.1.1.481.5 Explicit VR Little Endian 1.2.840.10008.1.2.1
GE Private DICOM 3D object 1.2.840.113619.4.26 Explicit VR Little Endian 1.2.840.10008.1.2.1
Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1 Explicit VR Little Endian 1.2.840.10008.1.2.1
Ultrasound Multi-frame Image Storage 1.2.840.10008.5.1.4.1.1.3.1 Explicit VR Little Endian 1.2.840.10008.1.2.1
Ultrasound Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.6 Explicit VR Little Endian 1.2.840.10008.1.2.1
Ultrasound Multi-frame Image Storage 1.2.840.10008.5.1.4.1.1.3 Explicit VR Little Endian 1.2.840.10008.1.2.1

(Retired)
Basic Text SR 1.2.840.10008.5.1.4.1.1.88.11 Explicit VR Little Endian 1.2.840.10008.1.2.1
Enhanced SR 1.2.840.10008.5.1.4.1.1.88.22 Explicit VR Little Endian 1.2.840.10008.1.2.1
Comprehensive SR 1.2.840.10008.5.1.4.1.1.88.33 Explicit VR Little Endian 1.2.840.10008.1.2.1
Mammography CAD SR 1.2.840.10008.5.1.4.1.1.88.50 Explicit VR Little Endian 1.2.840.10008.1.2.1
Spatial Registration Storage 1.2.840.10008.5.1.4.1.1.66. Explicit VR Little Endian 1.2.840.10008.1.2.1

1
Key Object Selection Document 1.2.840.10008.5.1.4.1.1.88. Explicit VR Little Endian 1.2.840.10008.1.2.1

Storage 59
Encapsulated PDF Storage 1.2.840.10008.5.1.4.1.1.104 Explicit VR Little Endian 1.2.840.10008.1.2.1

.1
Note: If the “Compress XA 512 Cardiac option” (AUG-XABC-CD for CDs, STD-GEN-DVD-
JPEG for DVDs and STD-GEN-USB-JPEG for USBs) has been chosen by the user,
Xray Angiographic Instances which contain Pixel Data (7FE0,0010) nested within a
Sequence Data element are not copied onto the CD/DVD/USB.
Note: If the “Compress XA 512 Cardiac option” (AUG-XABC-CD for CDs, STD-GEN-DVD-
JPEG for DVDs and STD-GEN-USB-JPEG for USBs) has been chosen by the user,
Xray Angiographic Instances which contain the Data Set Trailing Padding
attribute (FFFC,FFFC) are not copied onto the CD/DVD/USB.
Note: Grayscale Softcopy Presentation State Storage (1.2.840.10008.5.1.4.1.1.11.1) and

Blending Softcopy Presentation State Storage (1.2.840.10008.5.1.4.1.1.11.4)
abstract syntax can be written on any media. The referenced images are not
pulled automatically.
Note: For NM Genie Private Data (1.2.840.113619.4.27), PET Advance Private Data
(1.2.840.113619.4.30) and GE Private DICOM 3D object (1.2.840.113619.4.26) Objects
“IMAGE” directory record type is created.
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Note: NM Genie Private Data (1.2.840.113619.4.27) and PET Advance Private Data
(1.2.840.113619.4.30) can be written only on CD only with STD-GEN-CD Application
Profile with Explicit VR Little Endian (1.2.840.10008.1.2.1) transfer syntax.
3.4 AUGMENTED AND PRIVATE APPLICATION PROFILES

One augmented profile is defined to create a CD of XA 512x512 (8bits) images along with
other SOP Classes. This profile is defined as the AUG-XABC-CD Application Profile.
3.4.1 Augmented Application Profiles
3.4.1.1 Augmented Application Profile AUG-XABC-CD

The AE defines the augmented profile AUG-XABC-CD derived from the STD-XABC-CD
profile.
3.4.1.1.1 SOP Class Augmentations
Computed Radiographic Image 1.2.840.10008.5.1.4.1.1.1 Explicit VR Little Endian 1.2.840.10008.1.2.1

Storage
CT Image Storage 1.2.840.10008.5.1.4.1.1.2 Explicit VR Little Endian 1.2.840.10008.1.2.1
MR Image Storage 1.2.840.10008.5.1.4.1.1.4 Explicit VR Little Endian 1.2.840.10008.1.2.1
XRay Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.12.1 JPEG lossless Process 14 1.2.840.10008.1.2.4.70 for
(selection value 1) for images 512x512 (8bits).
images 512x512 (8bits).
1.2.840.10008.1.2.1 for
Explicit VR Little Endian other XA images
for other XA images
Xray Radiofluoroscopic Image 1.2.840.10008.5.1.4.1.1.12.2 Explicit VR Little Endian 1.2.840.10008.1.2.1

Storage
Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 Explicit VR Little Endian 1.2.840.10008.1.2.1
Digital X-Ray Image Storage - For 1.2.840.10008.5.1.4.1.1.1.1 Explicit VR Little Endian 1.2.840.10008.1.2.1
Presentation
Digital X-Ray Image Storage - For 1.2.840.10008.5.1.4.1.1.1.1.1 Explicit VR Little Endian 1.2.840.10008.1.2.1
Processing
Digital Mammography X-Ray Image 1.2.840.10008.5.1.4.1.1.1.2 Explicit VR Little Endian 1.2.840.10008.1.2.1

Digital Mammography X-Ray Image 1.2.840.10008.5.1.4.1.1.1.2.1 Explicit VR Little Endian 1.2.840.10008.1.2.1

Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.20 Explicit VR Little Endian 1.2.840.10008.1.2.1
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Standalone Curve Storage 1.2.840.10008.5.1.4.1.1.9 Explicit VR Little Endian 1.2.840.10008.1.2.1
Positron Emission Tomography 1.2.840.10008.5.1.4.1.1.128 Explicit VR Little Endian 1.2.840.10008.1.2.1

Image Storage
Standalone PET Curve Storage 1.2.840.10008.5.1.4.1.1.129 Explicit VR Little Endian 1.2.840.10008.1.2.1
RT Image Storage 1.2.840.10008.5.1.4.1.1.481.1 Explicit VR Little Endian 1.2.840.10008.1.2.1
RT Structure Set Storage 1.2.840.10008.5.1.4.1.1.481.3 Explicit VR Little Endian 1.2.840.10008.1.2.1
RT Plan Storage 1.2.840.10008.5.1.4.1.1.481.5 Explicit VR Little Endian 1.2.840.10008.1.2.1
NM Genie Private Data 1.2.840.113619.4.27 Explicit VR Little Endian 1.2.840.10008.1.2.1
PET Advance Private Data 1.2.840.113619.4.30 Explicit VR Little Endian 1.2.840.10008.1.2.1
GE Private DICOM 3D object 1.2.840.113619.4.26 Explicit VR Little Endian 1.2.840.10008.1.2.1
Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1 Explicit VR Little Endian 1.2.840.10008.1.2.1
Ultrasound Multi-frame Image 1.2.840.10008.5.1.4.1.1.3.1 Explicit VR Little Endian 1.2.840.10008.1.2.1

Storage
Ultrasound Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.6 Explicit VR Little Endian 1.2.840.10008.1.2.1
Ultrasound Multi-frame Image 1.2.840.10008.5.1.4.1.1.3 Explicit VR Little Endian 1.2.840.10008.1.2.1

Storage (Retired)
Basic Text SR 1.2.840.10008.5.1.4.1.1.88.11 Explicit VR Little Endian 1.2.840.10008.1.2.1
Enhanced SR 1.2.840.10008.5.1.4.1.1.88.22 Explicit VR Little Endian 1.2.840.10008.1.2.1
Comprehensive SR 1.2.840.10008.5.1.4.1.1.88.33 Explicit VR Little Endian 1.2.840.10008.1.2.1
Mammography CAD SR 1.2.840.10008.5.1.4.1.1.88.50 Explicit VR Little Endian 1.2.840.10008.1.2.1
Spatial Registration Storage 1.2.840.10008.5.1.4.1.1.66. Explicit VR Little Endian 1.2.840.10008.1.2.1

1
Key Object Selection Document 1.2.840.10008.5.1.4.1.1.88. Explicit VR Little Endian 1.2.840.10008.1.2.1

Storage 59
Encapsulated PDF Storage 1.2.840.10008.5.1.4.1.1.10 Explicit VR Little Endian 1.2.840.10008.1.2.1

4.1
3.4.1.1.2 Directory Augmentations

AUG-XABC-CD Application Profile is implemented and built on STD-XABC-CD Profile with
the following keys are added as Type 3 data elements in the Basic Directory IOD
compared to the base STD-XABC-CD Application Profile.
Key Attribute Tag Directory Record Type
Patient’s Birth Date (0010,0030) PATIENT
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Patient’s Sex (0010,0040) PATIENT
Series Description (0008,103E) SERIES
Manufacturer (0008,1090) SERIES
Institution Name (0008,0080) SERIES
Institution Address (0008,0081) SERIES
Attending Physician’s Name (0008,1050) SERIES
Image Type (0008,0008) IMAGE
Image Date (0008,0023) IMAGE
Image Time (0008, 0033 IMAGE
Recommended Display Frame Rate (0008,2144) IMAGE
Radiation Settings (0018,1155) IMAGE (See Note below)
Image Comments (0020,4000) IMAGE
Number Of Frames (0028,0008) IMAGE
Rows (0028,0010) IMAGE
Columns (0028,0011) IMAGE
Note: Radiation Settings can be valued for XA and RF images only.
The XA images having the following attributes can be downscanned to 512x512x8bits:
 SOP Class UID (0008,0016) is “1.2.840.10008.5.1.4.1.1.12.1”.
 The “Can Downscan 512” private attribute (0019,xxAA, GEMS_DL_IMG_01) can be found in the data set, and its
value is “YES”
or
the “Can Downscan 512” private attribute (0019,xxAA, GEMS_DL_IMG_01) cannot be found in the data set
and Manufacturer (0008,0070) is “GE MEDICAL SYSTEMS” and the Manufacturer’s Model Name (0008,1090) is “DL”
 Bits Allocated (0028,0100) is equal to 8.
 Bits Stored (0028,0101) is less than or equal to 8.
 Rows (0028,0010) and Columns (0028,0011) attributes have the following values: 1000 x 1000 or 864 x 864 or 800 x
800 or 736 x 736 or 608x608.
All other images cannot be processed. Please refer to section 12 for more information about the downscan.
Note: The meaning of (0019,xxAA, GEMS_DL_IMG_01) is the private element (0019,xxAA)

associated with the Private Creator Identification is GEMS_DL_IMG_01.
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3.4.1.1.3 Other Augmentations
No Other Augmentations are implemented.
3.4.2 Private Application Profiles

None
3.5 EXTENSIONS, SPECIALIZATIONS, PRIVATIZATIONS OF SOP CLASSES AND TRANSFER SYNTAXES

This section describes the extension of SOP Classes used in the scope of the AUG-XABC-
CD Application Profile.
3.5.1 Standard Extended / Specialized / Private SOP Classes
3.5.1.1 Standard Extended SOP Classes

The product provides Standard Extended Conformance to all supported SOP Classes,
through the inclusion of additional Type 3 Data Elements for each supported profile. The
extensions are defined in sections 5.2.2.
3.5.1.2 Private SOP Class NM Genie Private Data

GE private DICOM NM images are described in the GENIE DCS, see 1.6 - References
3.5.1.3 Private SOP Class PET Advance Private Data

GE private DICOM PET images are described in the ADV DCS, see 1.6 - References
3.5.1.4 Private SOP Class GE Private DICOM 3D object

GE Private 3D Model Objects are described in the AW VXTL DCS, see 1.6 - References
3.5.2 Private Transfer Syntaxes

No private Transfer Syntax is written on media by the described CD/DVD/USB DICOM
SERVER AE of Advantage Workstation 4.6.
3.6 CONFIGURATION
The source AE Title encoded in the File Meta-Information cannot be modified.
3.7 SUPPORT OF EXTENDED CHARACTER SETS

The Advantage Workstation supports extended character sets as specified in Section 2.7,
Support of Extended Character Sets of Networking.
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4. STORAGE COMMITMENT PUSH MODEL IMPLEMENTATION
4.1 STORAGE COMMITMENT PUSH MODEL INFORMATION OBJECT DEFINITION

Please refer to DICOM Part 3 (Information Object Definitions) for a description of each of
the attributes contained within the Storage Commitment Information Object.
The Storage Commitment Information Object is used both for N-ACTION Storage
Commitment Requests by the SCU and N-EVENT-REPORT Storage Commitment
Notifications by the SCP.
4.1.1 STORAGE COMMITMENT MODULE FOR N-ACTION

TABLE 4-1 STORAGE COMMITMENT MODULE FOR N-ACTION
Attribute Name Tag SCU Use
Transaction UID (0008,1195) Uses the UID generation service provided
by the platform, the algorithm depends on
the
 UID root of the product
(1.2.840.113619.2.286)
 MAC Address of the workstation
 Unix Process identifier
 Date and time.
Storage Media File-Set ID (0088,0130) Not used
Storage Media File-Set UID (0088,0140) Not used
Referenced SOP Sequence (0008,1199)
>Referenced SOP Class UID (0008,1150)
>Referenced SOP Instance UID (0008,1155)
>Storage Media File-Set ID (0088,0130) Not used
>Storage Media File-Set UID (0088,0140) Not used
4.1.2 STORAGE COMMITMENT MODULE FOR N-EVENT-REPORT

TABLE 4-2 STORAGE COMMITMENT MODULE FOR N-EVENT-REPORT
Attribute Name Tag SCU Use
Transaction UID (0008,1195) Not used
Retrieve AE Title (0008,0054) Not used
Storage Media File-Set ID (0088,0130) Not used
Storage Media File-Set UID (0088,0140) Not used
Referenced SOP Sequence (0008,1199) Success of storage commitment is
registered in the database. If images are
removed in the meanwhile the report is
ignored.
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>Retrieve AE Title (0008,0054) Not used
>Storage Media File-Set ID (0088,0130) Not used
>Storage Media File-Set UID (0088,0140) Not used
Failed SOP Sequence (0008,1198) Failure and reason is logged. A general
failure is reported to the user.
>Failure Reason (0008,1197) See Section 4.1.2.1 for the list of processed
values.
4.1.2.1 Processing of Failure Reason when received in a N-Event-Report

When receiving a N-Event-Report request with a Event Type ID equal to 2, meaning that
Storage Commitment is complete, but failure exists, following is the set of value that this
Storage Commitment SCU AE is able to process:
Failure Reason Meaning Application Behavior When

Receiving Reason Code
0110H Processing failure Failure and reason is logged. A
0112H No such object instance general failure is reported to the
user.
0213H Resource limitation
0122H Referenced SOP Class not
supported
0119H Class / Instance conflict
0131H Duplicate transaction UID
* Other Failure Reason code values
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5. BASIC DIRECTORY INFORMATION OBJECT IMPLEMENTATION
5.1 IOD MODULE TABLE

Table 5-1 identifies the defined modules within the entities which comprise the Basic
Directory IOD. Modules are identified by Module Name.
See DICOM Part 3 for a complete definition of the entities, modules, and attributes.
TABLE 5-1 BASIC DIRECTORY IOD MODULES

Module Name Reference
File Set Identification 5.2.1
Directory Information 5.2.2
FSC of this implementation creates a Directory Information Module and FSR supports it.
5.2 INFORMATION MODULE DEFINITIONS

Please refer to DICOM Standard Part 3 (Information Object Definitions) for a description of
each of the modules and directory records contained within the Basic Directory
Information Object.
The following modules are included to convey Enumerated Values, Defined Terms, and
Optional Attributes supported. Type 1 & Type 2 Attributes are also included for
completeness and to define what values they may take and where these values are
obtained from. It should be noted that they are the same ones as defined in the DICOM
Standard Part 3 (Information Object Definitions). Also note that Attributes not present in
tables are not supported.
5.2.1 File Set identification Module

TABLE 5-2 FILE-SET IDENTIFICATION MODULE
Attribute Name Tag Type Attribute Description
File-set ID (0004,1130) 2 The value is created as follows: GEMS_<day
of month>_<month>_<year>, for example:
GEMS_20_10_2010
File-set Descriptor File ID (0004,1141) 1C Not used by FSR and not filled by FSC.
Specific Character Set of File-set (0004,1142) 1C Not used by FSR and not filled by FSC.
Descriptor File
5.2.2 Directory Information Module

TABLE 5-3 DIRECTORY INFORMATION MODULE
Offset of the First Directory Record of (0004,1200) 1
the Root Directory Entity
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Offset of the Last Directory Record of (0004,1202) 1
the Root Directory Entity
File-set Consistency Flag (0004,1212) 1 FSC sets the value:
0000H: no known inconsistencies
Directory Record Sequence (0004,1220) 2 FSC creates items in Directory Records
sequence.
>Offset of the Next Directory Record (0004,1400) 1C
>Record In-use Flag (0004,1410) 1C FSC sets only:
FFFFH: record is in use
Inactive records are not used (0000H)
>Offset of Referenced Lower-Level (0004,1420) 1C
Directory Entity
>Directory Record Type (0004,1430) 1C The following values are supported by FSR,
FSC:
PATIENT
STUDY
SERIES
IMAGE
RT DOSE
RT STRUCTURE SET
RT PLAN
SR DOCUMENT
KEY OBJECT DOC
REGISTRATION
ENCAP DOC
CURVE
>Private Record UID (0004,1432) 1C No private Records are created
>Referenced File ID (0004,1500) 1C Filename is generated to be unique on the
media like: DICOM<postfix
letters>\PA<number of patient>\ST<number
of study>\SE<number of series>\IM<number
of image>
Field is included if Directory Record Type is
not PATIENT/STUDY/SERIES.
>Referenced SOP Class UID in File (0004,1510) 1C Field is included if Directory Record Type is
>Referenced SOP Instance UID in File (0004,1511) 1C Field is included if Directory Record Type is
>Referenced Transfer Syntax UID in File (0004,1512) 1C Field is included if Directory Record Type is
> Referenced Related General SOP Class (0004,151A) 1C Field is included if Directory Record Type is
UID in File not PATIENT/STUDY/SERIES.
>Record Selection Keys See Note:.
Note: A postfix letter for Referenced File ID can be the English alphabetical characters:
A-Z. The first not used directory name is searched in the following order: “DICOM”,
“DICOMA”, “DICOMB”, … “DICOMZ”, “DICOMAA”, “DICOMAB”, …, “DICOMAZ”, ….
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5.2.3 Definition of Specific Directory Records
5.2.3.1 Patient Directory Record Definition

TABLE 5-4 PATIENT KEYS
Key Tag Type Attribute Description
Specific (0008,0005) 1C FSC copies this value from the first instance
Character Set of the patient. FSR supports all character
sets.
Patient's Name (0010,0010) 2 FSC copies this value from the first instance
of the patient.
The patient name in the referenced object
instances may be different if Advantage
Workstation is configure not to use the
patient name in the patient key. In this case
multiple different patient names can be in
the referenced objects since the original
value is kept in the files.
FSR uses the patient name from this attribute
to show to the user what he would like to
restore. When the objects are copied to the
database the and shown in the local patient
list the value is read from the referenced
object instances.
Patient ID (0010,0020) 1 FSC copies this value from the first instance
of the patient.
The patient id in the referenced object
instances may be different if the referenced
object instance holds an empty value. In this
case this attribute will be “NOID” and the
referenced file will contain an empty value.
FSR uses the patient id from this attribute to
show to the user what he would like to
restore. When the objects are copied to the
database the and shown in the local patient
list the value is read from the referenced
object instances.
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Patient’s Birth (0010,0030) STD-GEN-CD: FSC copies this value from the first instance
Date 3 of the patient.
The patient birth date in the referenced
STD-XABC-CD, object instances may be different if
AUG-XABC-CD: Advantage Workstation is configure not to
2 use the patient birth date in the patient key.
In this case multiple different patient birth
dates can be in the referenced objects since
STD-GEN-DVD-JPEG, the original value is kept in the files.
STD-GEN-USB-JPEG: For STD-XABC-CD and AUG-XABC-CD profiles
1C this value always present with non empty
value.
For STD-GEN-DVD-JPEG and STD-GEN-USB-
JPEG profiles this value is 1C: present and
non empty if referenced dataset contains it.
FSR does not use the value from this attribute

to show to the user. When the objects are
copied to the database the and shown in the
local patient list the value is read from the
referenced object instances.
Patient’s Sex (0010,0040) FSC copies this value from the first instance
of the patient.
The patient sex in the referenced object
instances may be different if Advantage
Workstation is configure not to use the
patient birth date in the patient key. In this
case multiple different patient sexes can be
in the referenced objects since the original
value is kept in the files.
For STD-XABC-CD and AUG-XABC-CD profiles
this value always present with non empty
value.
For STD-GEN-DVD-JPEG and STD-GEN-USB-
JPEG profiles this value is 1C: present and
non empty if referenced dataset contains it.

to show to the user. When the objects are
copied to the database the and shown in the
local patient list the value is read from the
referenced object instances.
TABLE 5-5 EXTENDED PATIENT KEYS FOR STD-GEN-CD PROFILE

Patient’s Birth Date (0010,0030) 2 For STD-GEN-CD profile this value is always
present and may be empty.
Patient’s Sex (0010,0040) 2 For STD-GEN-CD profile this value is always
present and may be empty.
5.2.3.2 Study Directory Record Definition

TABLE 5-6 STUDY KEYS
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Specific Character Set (0008,0005) 1C FSC copies this value from the first instance
of the study. FSR supports all character sets.
Study Date (0008,0020) 1 FSC sets this value from the first instance of
the study in the following order if the value is
empty:
 Study Date (0008,0020)
 Series Date (0008,0021)
 Acquisition Date (0008,0022)
 Date of Secondary Capture
(0018,1012)
 Structure Set Date (3006,0008)
 RT Plan Date (300A,0006)
 Content Date (0008,0023)
 Presentation Creation Date
(0070,0082)
 Instance Creation Date (0008,0012)
If the Study Date cannot be determined by
these fields the study cannot be written on
the media.
Study Time (0008,0030) 1 FSC sets this value from the first instance of
the study in the following order if the value is
empty:
 Study Time (0008,0030)
 Series Time (0008,0031)
 Acquisition Time (0008,0032)
 Time of Secondary Capture
(0018,1014)
 Structure Set Time (3006,0009)
 RT Plan Time (300A,0007)
 Content Time (0008,0033)
 Presentation Creation Time
(0070,0083)
 Instance Creation Time (0008,0013)
If the Study Time cannot be determined by
these fields the study cannot be written on
the media.
Study Description (0008,1030) 2 Filled by FSC from (0008,1030) from the first
instance of the study.
Used by an FSR to display the field in the
Media Patient List.
Study Instance UID (0020,000D) 1C Always used rather than (0004,1511), read
from the first image from the study.
Study ID (0020,0010) 1 Filled by FSC from (0020,0010) from the first
instance of the study or “NOID” if not the field
is empty.
Accession Number (0008,0050) 2 Filled by an FSC from (0008,0050) from the
first instance of the study.
Used by an FSR to display the field in the
Media Patient List.
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5.2.3.3 Series Directory Record Definition
TABLE 5-7 SERIES KEYS
of the series. FSR supports all character sets.
Modality (0008,0060) 1 If a series has empty modality (0008,0060)
than the series cannot be written on media.
Series Instance UID (0020,000E) 1
Series Number (0020,0011) 1 If a series has empty series number
(0020,0011) than the series cannot be written
on media.
Icon Image Sequence (0088,0200) 3 This implementation does not support Icon
Image Sequence at series level.
Body Part Examined (0018,0015) 3 FSC copies this value from the first instance
of the series.
to show to the user.
TABLE 5-8 ADDITIONAL SERIES KEYS FOR STD-XABC-CD, AUG-XABC-CD, DVD-JPEG AND STD-GEN-USB-JPEG PROFILES
Institution Name (0008,0080) STD-GEN-DVD-JPEG, FSC copies this value from the first
STD-GEN-USB-JPEG: instance of the series.
1C FSR does not use the value from this
attribute to show to the user.
Institution Address (0008,0081) STD-XABC-CD, FSC copies this value from the first
AUG-XABC-CD: instance of the series.
2 FSR does not use the value from this
Performing Physicians’ (0008,1050) FSC copies this value from the first
Name instance of the series.
FSR does not use the value from this
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5.2.3.4 Image Directory Record Definition
TABLE 5-9 IMAGE KEYS
Specific Character Set (0008,0005) 1C FSC copies this value from the image.
FSR supports all character sets.
Instance Number (0020,0013) 1 An image without instance number cannot
be written on the media.
TABLE 5-10 ADDITIONAL IMAGE KEYS FOR STD-GEN-DVD-JPEG AND STD-GEN-USB-JPEG PROFILES
Image Type (0008,0008) 1C FSC copies this value from the image if
present and not empty.
FSR displays the value from this attribute to
the user.
Calibration Image (0050,0004) 1C FSC copies this value from the image if
Referenced Image Sequence (0008,1140) 1C FSC copies this value from the image if
Lossy Image Compression Ratio (0028,2112) 1C FSC copies this value from the image if
Rows (0028,0010) 1 FSC copies this value from the image. If the
value is not defined or empty the image
cannot be written on the media.
Columns (0028,0011) 1 FSC copies this value from the image. If the
value is not defined or empty the image
cannot be written on the media.
Frame of Reference UID (0020,0052) 1C FSC copies this value from the image if
present and not empty. If the value defined
but empty the image cannot be written on
the media.
Synchronization Frame of Reference (0020,0200) 1C FSC copies this value from the image if
UID present and not empty. If the value defined
the media.
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Number of Frames (0028,0008) 1C FSC copies this value from the image if
the media.
Acquisition Time Synchronized (0018,1800) 1C FSC copies this value from the image if
the media.
Acquisition Datetime (0008,002A) 1C FSC copies this value from the image if
the media.
Image Position (Patient) (0020,0032) 1C FSC copies this value from the image if
the media.
Image Orientation (Patient) (0020,0037) 1C FSC copies this value from the image if
the media.
Pixel Spacing (0028,0030) 1C FSC copies this value from the image if
the media.
TABLE 5-11 ADDITIONAL IMAGE KEYS FOR STD-XABC-CD AND AUG-XABC-CD PROFILES
Icon Image Sequence (0088,0200) 1 FSR does no use icon image sequence.
Image Type (0008,0008) 1 FSC copies this value from the image.
the user.
Calibration Image (0050,0004) 2 FSC copies this value from the image. If the
value is not defined the image cannot be
written on the media.
Referenced Image Sequence (0008,1140) 1C FSC copies this value from the image if Image
Type is of BIPLANE A or BIPLANE B.
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>Referenced SOP Class UID (0008,1150) 1C FSC copies this value from the image if Image
>Referenced SOP Instance UID (0008,1155) 1C FSC copies this value from the image if Image
TABLE 5-12
ADDITIONAL IMAGE KEYS FOR STD-GEN-CD
Image Type (0008,0008) 1C FSC copies this value from the image.
the user.
Referenced Image Sequence (0008,1140) 1C FSC copies this value from the image if
>Referenced SOP Class UID (0008,1150) 1C FSC copies this value from the image if
Referenced Image Sequence is present.
>Referenced SOP Instance UID (0008,1155) 1C FSC copies this value from the image if
Referenced Image Sequence is present.
5.2.3.4.1 Icon Image Key Definition
 Icons are created from the original XA images by downsampling it to 128x128.

The key frame number is read from DICOM Tag “Representative Frame Number”
(0028,1060) if present, otherwise calculated by max(1, frame count/3).
 MONOCHROME 1 and 2 Photometric Interpretations (0028,0004) are created
 Size is 128x128
 Bits Allocated (0028,0100) and Bits Stored (0028,0101) is 8
 High Bit is 7
5.2.3.5 RT Dose Directory Record Definition

TABLE 5-13 RT DOSE KEYS
Dose Summation Type (3004,000A) 1
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Icon Image Sequence (0088,0200) 3 This implementation does not support Icon
Image Sequence for RT Dose.
5.2.3.6 RT Structure Set Directory Record Definition

TABLE 5-14 RT STRUCTURE SET KEYS
Structure Set Label (3006,0002) 1
Structure Set Date (3006,0008) 2
Structure Set Time (3006,0009) 2
5.2.3.7 RT Plan Directory Record Definition

TABLE 5-15 RT PLAN KEYS
RT Plan Label (300A,0002) 1
RT Plan Date (300A,0006) 2
RT Plan Time (300A,0007) 2
5.2.3.8 Presentation State Directory Record Definition

TABLE 5-16 PRESENTATION KEYS
Presentation Creation Date (0070,0082) 1
Presentation Creation Time (0070,0083) 1
Content Label (0070,0080) 1
Content Description (0070,0081) 2
Content Creator’s Name (0070,0084) 2
Referenced Series Sequence (0008,1115) 1C
>Series Instance UID (0020,000E) 1
>Referenced Image Sequence (0008,1140) 1
>>Include ‘SOP Instance Reference Macro’
Blending Sequence (0070,0402) 1C
>Study Instance UID (0020,000D) 1
>Referenced Series Sequence (0008,1115) 1
>>Series Instance UID (0020,000E) 1
>>Referenced Image Sequence (0008,1140) 1
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>>>Include ‘SOP Instance Reference Macro’
5.2.3.9 SR Document Directory Record Definition

TABLE 5-17 SR DOCUMENT KEYS
Completion Flag (0040,A491) 1
Verification Flag (0040,A493) 1
Content Date (0008,0023) 1
Content Time (0008,0033) 1
Verification DateTime (0040,A030) 1C The latests datetime found in the verifying
observer sequence.
Concept Name Code Sequence (0040,A043) 1
>Include ‘Code Sequence Macro’
Content Sequence (0040,A730) 1C
>Relationship Type (0040,A010) 1 All “HAS CONCEPT MOD” relationship type are
copied into the sequence of the SR Tree.
>Include ‘Document Content Macro’
5.2.3.10 Key Object Document Directory Record Definition

TABLE 5-18 KEY OBJECT DOCUMENT KEYS
Content Sequence (0040,A730) 1C
>Relationship Type (0040,A010) 1 All “HAS CONCEPT MOD” relationship type are
copied into the sequence of the SR Tree.
>Include ‘Document Content Macro’
5.2.3.11 Registration Directory Record Definition

TABLE 5-19 REGISTRATION KEYS
Instance Number (0020,0013) 1
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Content Label (0070,0080) 1
Content Description (0070,0081) 2
Content Creator’s Name (0070,0084) 2
5.2.3.12 Encapsulated Document Directory Record Definition

TABLE 5-20 ENCAPSULATED DOCUMENT KEYS
Document Title (0042,0010) 2
HL7 Instance Identifier (0040,E001) 1C
MIME Type of Encapsulated Document (0042,0012) 1
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6. PRINT MANAGEMENT SOP CLASS DEFINITION
6.1 INTRODUCTION
This section of the DICOM Conformance Statement specifies the supported Print
Management SOP and Meta SOP Classes, the optional attributes and service elements
supported, the valid range of values for mandatory and optional attributes, and the status
code behavior.
This section contains:
6.2.1- Basic Film Session SOP Class
6.2.2 - Basic Film Box SOP Class
6.2.3 - Image Box SOP Classes
6.2.4 - Printer SOP Class
6.2 PRINT MANAGEMENT SOP CLASS DEFINITIONS
6.2.1 Basic Film Session SOP Class

The DICOM Print SCU AE supports the N-CREATE DIMSE Service Element for the Basic Film
Session SOP Class.
 The N-CREATE DIMSE Service element sent by the DICOM Print SCU AE requests the
Remote DICOM Print SCP to create an instance of Basic Film Session.
6.2.1.1 IOD Description
6.2.1.1.1 IOD modules
Module Reference Module Description

SOP Common 6.2.1.1.2 Contains SOP Common information
Basic Film Session 6.2.1.1.3 Contains Film Session presentations
Presentation Module information
Basic Film Session 6.2.1.1.4 References to related SOPs
Relationship
6.2.1.1.2 SOP Common Module

SOP Class UID (0008,0016) 1 1.2.840.10008.5.1.1.1
SOP Instance UID (0008,0018) 1 Generated from GE Based UID: <station
configuration> and timestamp
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6.2.1.1.3 Basic Film Session Presentation Module
Attribute name Tag Attribute Description
Number of Copies (2000,0010) 1 to 10, depending of print manager configuration.
Default value: 1
Print Priority (2000,0020) HIGH or MED or LOW depending of default
configuration
Default value: LOW
Medium Type (2000,0030) PAPER or CLEAR FILM or BLUE FILM depending of
configuration of associated Remote DICOM printer
Default value: BLUE FILM
Film Destination (2000,0040) MAGAZINE or PROCESSOR depending of configuration
of associated Remote DICOM printer
Default value:PROCESSOR
Film Session Label (2000,0050) Configurable by the Field Engineer
Not sent by default
Note: Default configuration can be modified during the installation of the Advantage
Workstation 4.6.
6.2.1.1.4 Basic Film Session Relationship Module

Attribute Name Tag Attribute Description
Referenced Film Box Sequence (2000,0500) Not used
>Referenced SOP Class UID (0008,1150) Not used
>Referenced SOP Instance UID (0008,1155) Not used
6.2.1.2 DIMSE Service Group
DIMSE Service Element Usage SCU

N-CREATE M
N-SET Not used
N-DELETE Not used
N-ACTION Not used
6.2.1.2.1 N-CREATE
6.2.1.2.1.1 Attributes
Attribute Name Tag Usage SCU

Number of Copies (2000,0010) Used
Print Priority (2000,0020) Used
Medium Type (2000,0030) Used
Film Destination (2000,0040) Used
Film Session Label (2000,0050) Used, not sent if
empty
Memory Alocation (2000,0060) Not Used
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6.2.1.2.1.2 Status
Service Status Further Meaning Application Behavior When receiving Status

Status Codes Codes
Warning B600 Memory allocation not supported Association is aborted
Success 0000 Film session successfully created Next step describe in the sequencing of Real-
World Activities paragraph is performed
Note: The association is aborted for all other status.
6.2.1.2.1.3 Behavior
No specific behavior
6.2.1.2.2 N-SET
This service is not used.
6.2.1.2.3 N-DELETE
6.2.1.2.4 N-ACTION
6.2.2 Basic Film Box SOP Class

The DICOM Print SCU AE supports the following DIMSE Service Element for the Basic Film
Box SOP Class.
 The N-CREATE DIMSE Service element sent by the DICOM Print SCU AE requests the
Remote DICOM Print SCP to create an instance of Basic Film Box
 The N-ACTION DIMSE Service element sent by the DICOM Print SCU AE requests the
Remote DICOM Print SCP to print the Basic Film Box onto the hard copy printer.
 The N-DELETE DIMSE Service element sent by the DICOM Print SCU AE requests the
Remote DICOM Print SCP to release the Basic Film Box instance.
Module Reference Module Descripion

Basic Film Box 6.2.2.1.3 Contains Film Box presentation
Basic Film Box 6.2.2.1.4 References to related SOPs
Relationship
Module
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SOP Class UID (0008,0016) 1 1.2.840.10008.5.1.1.2
6.2.2.1.3 Basic Film Box Presentation Module

Image Display Format (2010,0010) STANDARD\C,R [C 1 to 5] and [R 1 to 4]
SLIDE
SUPERSLIDE
Default value: STANDARD (Depending of configuration
of associated remote DICOM printer).
Annotation Display Format ID (2010,0030) Not sent.
Film Orientation (2010,0040) PORTRAIT
LANDSCAPE
Default value: PORTRAIT (Depending of configuration of
associated remote DICOM printer).
Film Size ID (2010,0050) 8INX10IN
8_5INX11IN(Letter)
10INX12IN
10INX14IN
11INX14IN
11INX17IN
14INX14IN
14INX17IN
24CMX24CM
24CMX30CM
A4(210mmx297mm)
A3(297mm x 420mm)
(Depending of configuration of associated remote

DICOM printer). Default value: First selection when
declaring printer.
Magnification Type (2010,0060) One of the following defined term is sent:

REPLICATE
BILINEAR
CUBIC
NONE
Default value: CUBIC (Depending of configuration set
by user when declaring the printer).
Smoothing Type (2010,0080) Sent if Magnification type = CUBIC
Default value: "" (Depending of configuration set by
user when declaring the printer).
Border density (2010,0100) BLACK or WHITE depending of default configuration.
Default value: BLACK
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Empty Image Density (2010,0110) BLACK or WHITE depending of default configuration.
Default value: ""
Min Density (2010,0120) -1 by default or set to positive integer. Default value
depends of configuration set by user when declaring
the printer
Max Density (2010,0130) -1 by default or set to positive integer. Default value
depends of configuration set by user when declaring
the printer
Trim (2010,0140) Set to YES or NO according to value set by user when
declaring the printer.
Default value: NO
Configuration Information (2010,0150) Empty by default or set to a value defined when
declaring the printer.
Illumination (2010,015E) Not sent.
Reflected Ambient Light (2010,0160) Not sent.
Requested Resolution ID (2020,0050) Not sent.
Referenced Presentation LUT Sequence (2050,0500) Not sent.
6.2.2.1.4 Basic Film Box Relationship Module

Referenced Film Session Sequence (2010,0500) Used (Set)
>Referenced SOP Class UID (0008,1150) 1.2.840.10008.5.1.1.1
>Referenced SOP Instance UID (0008,1155) Used (Set to the Film Session SOP Instance UID)
Referenced Image Box Sequence (2010,0510) Used, when received
>Referenced SOP Class UID (0008,1150) Used, when received
>Referenced SOP Instance UID (0008,1155) Used, when received
Referenced Basic Annotation Box (2010,0520) Not used
Sequence

N-CREATE M
N-ACTION M
N-DELETE Used
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6.2.2.2.1 N-CREATE

Image Display Format (2010,0010) M
Referenced Film Session Sequence (2010,0500) M
>Referenced SOP Class UID (0008,1150) M
>Referenced SOP Instance UID (0008,1155) M
Referenced Image Box Sequence (2010,0510) Used (Received)
>Referenced SOP Class UID (0008,1150) Used (Received)
>Referenced SOP Instance UID (0008,1155) Used (Received)
Referenced Basic Annotation Box (2010,0520) Not used
Sequence
Film Orientation (2010,0040) Used
Film Size ID (2010,0050) Used
Magnification Type (2010,0060) Used
Max Density (2010,0130) Used. Not sent if -1
Configuration Information (2010,0150) Used. Not sent if empty
Annotation Display Format ID (2010,0030) Not used
Smoothing Type (2010,0080) Used. Not sent if magnification
different from CUBIC
Border Density (2010,0100) Used Not sent if empty
Empty Image Density (2010,0110) Used Not sent if empty
Min Density (2010,0120) Used Not sent if -1
Trim (2010,0140) Used Not sent if empty
6.2.2.2.1.2 Status

Status Codes Codes
Success 0000 Film Box successfully created Association goes on
Warning B605 Requested Min Density or Max Density Treated as Success

outside of printer’s operating range.
The printer will use its respective
minimum or maximum density value
instead.
Failure C616 There is an existing Film Box that has Association is aborted
not been printed and N-ACTION at the
Film Session level is not supported. A
new Film Box will not be created when
a previous Film Box has not been
printed.
The association is aborted for all other status.
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There is no specific behavior.
6.2.2.2.2 N-DELETE
The SCU uses the N-DELETE to request the SCP to delete the Basic Film Box SOP Instance
hierarchy.
6.2.2.2.2.2 Status

Status Codes Codes
Failure 0119 Class-instance conflict Association aborted
0210 Duplicate invocation Association aborted
0117 Invalid SOP instance Association aborted
0212 Mistyped argument Association aborted
0118 No such SOP Class Association aborted
0112 No such SOP Instance Association aborted
0110 Processing failure Association aborted
0213 Resource limitation Association aborted
0211 Unrecognized operation Association aborted
Success 0000 Film session successfully deleted Job successfully canceled
6.2.2.2.3 N-ACTION
N-ACTION is used to print the current film of the film session.
Action Type Name Action Attribute Tag Usage

Type ID SCU
Print 1 Referenced Print Job (2100,0500) Not used
Sequence
>Referenced SOP (0008,1150) Not used
Class UID
>Referenced SOP (0008,1155) Not used
Instance UID
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6.2.2.2.3.2 Status

Status Codes Codes
Success 0000 Film accepted for printing. Next step describe in the sequencing of Real-
World Activities paragraph is performed
Warning B603 Film Box SOP Instance hierarchy does This case should not happen. This warning is
not contain Image Box SOP Instances considered as an error.
(empty page) Association is aborted.
B604 Image size is larger than image box This case should not happen. This warning is
size. considered as an error.
Association is aborted.
B609 Image size is larger than the Image Box This case should not happen. This warning is
size. The Image has considered as an error.
been cropped to fit. Association is aborted.
B60A Image size or Combined Print Image This case should not happen. This warning is
size is larger than the Image considered as an error.
Box size. Image or Combined Print Association is aborted.
Image has been decimated to fit.
Failure C602 Unable to create Print Job SOP Appropriate message is returned to the user.
Instance; print queue is full Association is aborted.
C604 Image position collision: multiple Appropriate message is returned to the user.
images assigned to single image Association is aborted.
position
C603 Image size is larger than image box size Appropriate message is returned to the user.
(by using the specified magnification Association is aborted.
value)
C613 Combined Print Image size is larger Appropriate message is returned to the user.
than the Image Box size
SCU uses the N-ACTION to request the SCP to print one or more copies of a single film of
the film session.
6.2.3 Image Box SOP Classes
6.2.3.1 Basic Grayscale Image Box SOP Class

The DICOM Print SCU AE supports the following DIMSE Service Element for the Basic
Grayscale Image Box SOP Class.
 The N-SET DIMSE Service element sent by the DICOM Print SCU AE requests the
Remote DICOM Print SCP to set the attributes of the Basic Grayscale Image Box
Instance.
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6.2.3.1.1 IOD description
6.2.3.1.1.1 IOD modules

SOP Common 6.2.3.1.1.2 Contains SOP Common information
Image Box Pixel 6.2.3.1.1.3 Contains Image Box presentation
Image Box Relationship 6.2.3.1.1.4 References to related SOPs
Module
6.2.3.1.1.2 SOP Common Module

SOP Class UID (0008,0016) 1 1.2.840.10008.5.1.1.4
6.2.3.1.1.3 Image Box Pixel Presentation Module

Image Position (2020,0010) Value depends of the position within the Film box (1-N)
Polarity (2020,0020) NORMAL = pixels shall be printed as specified by the
Photometric Interpretation (0028,0004)
REVERSE = pixels shall be printed with the opposite
polarity as specified by the Photometric Interpretation
(0028,0004)
Default value: NORMAL (Depending of default
configuration)
Magnification Type (2010,0060) Same value as defined in the Film box
Smoothing Type (2010,0080) Same value as defined in the Film box
Configuration Information (2010,0150) Same value as defined in the Film Box.
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Requested Image Size (2020,0030) Not sent
Requested Decimate/Crop Behavior (2020,0040) Not sent
Basic Grayscale Image Sequence (2020,0110) This sequence is always included if the Image Box is a
Basic Grayscale Image Box
>Samples Per Pixel (0028,0002) 1
>Photometric Interpretation (0028,0004) MONOCHROME1 or MONOCHROME2 depending of
default configuration.
Default value: MONOCHROME2
>Rows (0028,0010) Original image height
>Columns (0028,0011) Oiginal image width
>Pixel Aspect Ratio (0028,0034) 1\1
>Bits Allocated (0028,0100) Depends on the image pixel depth (8 or 16)
>Bits Stored (0028,0101) Depends on the image pixel depth (8, 12 bits)
>High Bit (0028,0102) Depends on the image pixel depth (7, 11)
>Pixel Representation (0028,0103) 0 (Unsigned Integer)
>Pixel Data (7FE0,0010)
Original Image Sequence (2130,00C0) Not sent
6.2.3.1.1.4 Image Box Relationship Module

Referenced Image Sequence (0008,1140) Not used
>Referenced Frame Number (0008,1160) Not used
Referenced Image Overlay Box (2020,0130) Not used
Sequence
Referenced VOI LUT Sequence (2020,0140) Not used
6.2.3.1.2 DIMSE Service Group

N-SET M
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6.2.3.1.2.1 N-SET
6.2.3.1.2.1.1 Attributes

Image Position (2020,0010) M
Basic Grayscale Image Sequence (2020,0110) M
>Samples Per Pixel (0028,0002) M
>Photometric Interpretation (0028,0004) M
>Rows (0028,0010) M
>Columns (0028,0011) M
>Pixel Aspect Ratio (0028,0034) M
>Bits Allocated (0028,0100) M
>Bits Stored (0028,0101) M
>High Bit (0028,0102) M
>Pixel Representation (0028,0103) M
>Pixel Data (7FE0,0010) M
Polarity (2020,0020) Used
Referenced Overlay Sequence (0008,1130) Not used
>SOP Class UID (0008,1150) Not used
>SOP Instance UID (0008,1155) Not used
Smoothing Type (2010,0080) Used, not sent if magnfication is
different of CUBIC
Configuration Information (2010,0150) Used, not sent if empty
Requested Image Size (2020,0030) Not used
6.2.3.1.2.1.2 Status

Status Codes Codes
Failure C603 Image size is larger than image box Appropriate message is returned to the user.
size Association is aborted.
C605 Insufficient memory in printer to store Appropriate message is returned to the user.
the image Association is aborted.
than the Image Box size Association is aborted.
0119 Class-instance conflict Generic error message is returned to the user.

0210 Duplicate invocation Generic error message is returned to the user.
0106 Invalid attribute value Generic error message is returned to the user.
0212 Mistyped argument Generic error message is returned to the user.
0117 Invalid SOP instance Generic error message is returned to the user.
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0121 Missing attribute value Generic error message is returned to the user.
0105 No such attributes Generic error message is returned to the user.
0118 No such SOP Class Generic error message is returned to the user.
0112 No such SOP Instance Generic error message is returned to the user.
0110 Processing failure Generic error message is returned to the user.
0213 Resource limitation Generic error message is returned to the user.
0211 Unrecognized operation Generic error message is returned to the user.
Warning B604 Image size larger than image box size, Following printing choice (true size), the
the image has been demagnified. warning can be ignored (Association goes on)
or considered as a failure (Association is
aborted)
B605 Requested Min Density or Max Density Considered as Success

instead.
B609 Image size is larger than the Image Following printing choice (true size), the
Box size. The Image has been cropped warning can be ignored (Association goes on)
to fit. or considered as a failure (Association is
aborted)
B60A Image size or Combined Print Image Following printing choice (true size), the
size is larger than the Image Box size. warning can be ignored (Association goes on)
The Image or Combined Print Image or considered as a failure (Association is
has been decimated to fit. aborted)
Success 0000 Image successfully stored in Image Association goes on

Box
6.2.3.1.2.1.3 Behavior
6.2.3.2 Basic Color Image Box SOP Class

The DICOM Print SCU AE supports the following DIMSE Service Element for the Color
Image Box SOP Class.
 The N-SET DIMSE Service element sent by the DICOM Print SCU AE requests the
Remote DICOM Print SCP to set the attributes of the Color Image Box Instance.
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6.2.3.2.1 IOD description
6.2.3.2.1.1 IOD modules

SOP Common 6.2.3.2.1.2 Contains SOP Common information
Image Box Pixel 6.2.3.2.1.3 Contains Image Box presentation
Image Box Relationship 6.2.3.2.1.4 References to related SOPs
Module
6.2.3.2.1.2 SOP Common Module

SOP Class UID (0008,0016) 1 1.2.840.10008.5.1.1.4.1
6.2.3.2.1.3 Image Box Pixel Presentation Module

Image Position (2020,0010) Value depends of the position within the Film box (1-N)
Polarity (2020,0020) NORMAL
Magnification Type (2010,0060) Same value as defined in the Film box
Smoothing Type (2010,0080) Same value as defined in the Film box
Configuration Information (2010,0150) Same value as defined in the Film Box.
Requested Image Size (2020,0030) Not sent
Requested Decimate/Crop Behavior (2020,0040) Not sent
Basic Color Image Sequence (2020,0111) This sequence is always included if the Image Box is a
Basic Color Image Box
>Samples Per Pixel (0028,0002) 3
>Photometric Interpretation (0028,0004) RGB
>Planar Configuration (0028,0006) 1
>Rows (0028,0010) Original image height
>Columns (0028,0011) Oiginal image width
>Pixel Aspect Ratio (0028,0034) 1\1
>Bits Allocated (0028,0100) 8
>Bits Stored (0028,0101) 8
>High Bit (0028,0102) 7
>Pixel Representation (0028,0103) 0
>Pixel Data (7FE0,0010)
Original Image Sequence (2130,00C0) Not sent
6.2.3.2.1.4 Image Box Relationship Module

Referenced Image Sequence (0008,1140) Not used
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Referenced Image Overlay Box (2020,0130) Not used
Sequence
Referenced VOI LUT Sequence (2020,0140) Not used
6.2.3.2.2 DIMSE Service Group

N-SET M
6.2.3.2.2.1 N-SET
6.2.3.2.2.1.1 Attributes

Image Position (2020,0010) M
Basic Color Image Sequence (2020,0111) M
>Samples Per Pixel (0028,0002) M
>Photometric Interpretation (0028,0004) M
>Planar Configuration (0028,0006) Used
>Rows (0028,0010) M
>Columns (0028,0011) M
>Pixel Aspect Ratio (0028,0034) M
>Bits Allocated (0028,0100) M
>Bits Stored (0028,0101) M
>High Bit (0028,0102) M
>Pixel Representation (0028,0103) M
>Pixel Data (7FE0,0010) M
Polarity (2020,0020) Used
Referenced Overlay Sequence (0008,1130) Not used
>SOP Class UID (0008,1150) Not used
>SOP Instance UID (0008,1155) Not used
Smoothing Type (2010,0080) Used. Not sent if magnfication is
different of CUBIC
Configuration Information (2010,0150) Used, not sent if empty
Requested Image Size (2020,0030) Not used
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6.2.3.2.2.1.2 Status

Status Codes Codes
Failure C603 Image size is larger than image box Appropriate message is returned to the user.
size Association is aborted.
C605 Insufficient memory in printer to store Appropriate message is returned to the user.
the image Association is aborted.
than the Image Box size Association is aborted.
0119 Class-instance conflict Generic error message is returned to the user.

0210 Duplicate invocation Generic error message is returned to the user.
0106 Invalid attribute value Generic error message is returned to the user.
0212 Mistyped argument Generic error message is returned to the user.
0117 Invalid SOP instance Generic error message is returned to the user.
0121 Missing attribute value Generic error message is returned to the user.
0105 No such attributes Generic error message is returned to the user.
0118 No such SOP Class Generic error message is returned to the user.
0112 No such SOP Instance Generic error message is returned to the user.
0110 Processing failure Generic error message is returned to the user.
0213 Resource limitation Generic error message is returned to the user.
0211 Unrecognized operation Generic error message is returned to the user.
Warning B604 Image size larger than image box size, Following printing choice (true size), the
the image has been demagnified. warning can be ignored (Association goes on)
or considered as a failure (Association is
aborted)
B605 Requested Min Density or Max Density Considered as Success

instead.
B609 Image size is larger than the Image Following printing choice (true size), the
Box size. The Image has been cropped warning can be ignored (Association goes on)
to fit. or considered as a failure (Association is
aborted)
B60A Image size or Combined Print Image Following printing choice (true size), the
size is larger than the Image Box size. warning can be ignored (Association goes on)
The Image or Combined Print Image or considered as a failure (Association is
has been decimated to fit. aborted)
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Success 0000 Image successfully stored in Image Association goes on
Box
6.2.3.2.2.1.3 Behavior
6.2.4 Printer SOP Class

The DICOM Print SCU AE supports the following DIMSE Service Element for the Basic
Printer SOP Class.
The N-EVENT_REPORT DIMSE Service element sent by the DICOM Print SCP to the local
DICOM Print SCU AE. The DICOM Print SCU handles the Printer Status and Printer Status
Info fields. All other received data are ignored.
The N-GET DIMSE Service element sent by the DICOM Print SCU AE requests the Remote
DICOM Print SCP to give information on the Remote DICOM Printer.

Printer Module 6.2.4.1.3 Contains status information to monitor
the printer

SOP Class UID (0008,0016) 1 1.2.840.10008.5.1.1.16
6.2.4.1.3 Printer Module

Printer Status (2110,0010) The behaviour defined for the following term
 NORMAL: Association goes on.
 FAILURE: Association is aborted.
 WARNING: Association is not released
Printer Status Info (2110,0020) Printer return value
Printer Name (2110,0030) Printer return value
Manufacturer (0008,0070) Printer return value if not empty
Manufacturer Model Name (0008,1090) Printer return value if not empty
Device Serial Number (0018,1000) Printer return value if not empty
Software Versions (0018,1020) Printer return value if not empty
Date Of Last Calibration (0018,1200) Printer return value if not empty
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Time Of Last Calibration (0018,1201) Printer return value if not empty

N-EVENT-REPORT M
N-GET U
6.2.4.2.1 N-EVENT-REPORT
Event Type Name Event Attribute Tag Usage

Type ID SCU
Normal 1 Printer Name (2110,0030) Used
Printer Status Info (2110,0020) Used
Warning 2 Printer Name (2110,0030) Used
Failure 3 Printer Name (2110,0030) Used
On reception Failure status, the Print SCU aborts the association.
If Event Report Type ID is FAILURE

Signal print failure to the user, association is aborted
Else If Event Report Type ID is WARNING
Signal print warning to the user
Else
Signal print success to the user
In all cases, N-EVENT-REPORT_RSP with the status of Success is returned
6.2.4.2.2 N-GET
Attribute name Tag Usage SCU

Printer Status (2110,0010) Used
Printer Name (2110,0030) Used if returned by the printer
Manufacturer (0008,0070) Used if returned by the printer
Manufacturer Model Name (0008,1090) Used if returned by the printer
Device Serial Number (0018,1000) Used if returned by the printer
Software Versions (0018,1020) Used if returned by the printer
Date Last Calibration (0018,1200) Used if returned by the printer
Last Calibration (0018,1201) Used if returned by the printer
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If Printer Status is FAILURE
Signal print failure to the user, association aborted
Else If Printer Status is WARNING
Signal print warning to the user
Else
Signal print success to the user
In case of FAILURE or WARNING, the Printer Status Info is displayed to user under
a readable message
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7. SC INFORMATION OBJECT IMPLEMENTATION
7.1 INTRODUCTION
This section specifies the use of the DICOM SC Image IOD to represent the information
included in SC images produced by this implementation. Corresponding attributes are
conveyed using the module construct. The contents of this section are:
In the Viewer workflow, each secondary capture DICOM field (Screen Save image) will be
filled with value present in the original image, except when a specific rule is applied and
described in this chapter.
In the AngioViz workflow, each secondary capture DICOM field (Screen Save image) will be
filled just like Viewer workflow, except when a specific rule is applied and described in this
chapter.
7.2- SC Entity-Relationship Model
7.3- SC-IOD MODULE TABLE
7.4- SC-INFORMATION MODULE DEFINITIONS

7.5- SC-PRIvate data dictionary
In the following chapter, all new study, series and image instance UID are generated from
base UID:
 for AW4.6 2D Multi-Modality Viewer: 1.2.840.113619.2.247
 for AW 4.6 Filmer: 1.2.840.113619.2.246
Note: Note: A Screen Save image is a DICOM Secondary Capture generated by Advantage
Workstation 4.6.
7.2 SC ENTITY-RELATIONSHIP MODEL

The Entity-Relationship diagram for the SC Image interoperability schema is shown in
Illustration 8.2.1. In this figure, the following diagrammatic convention is established to
represent the information organization:
 Each entity is represented by a rectangular box

 Each relationship is represented by a diamond shaped box.
 The fact that a relationship exists between two entities is depicted by lines connecting
the corresponding entity boxes to the relationship boxes.
The relationships are fully defined with the maximum number of possible entities in the
relationship shown. In other words, the relationship between Series and Image can have
up to n Images per Series, but the Patient to Study relationship has 1 Study for each
Patient (a Patient can have more than one Study on the system, however each Study will
contain all of the information pertaining to that Patient).
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ILLUSTRATION 7.2-1
SC IMAGE ENTITY RELATIONSHIP DIAGRAM
Patient
1
is
the subject
of
1,n
Study
contains
1,n
Series
creates
1,n
1 1
Equipment contains
0,n
SC Image
7.2.1 ENTITY DESCRIPTIONS

each of the entities contained within the SC Information Object.
7.2.2 Advantage Workstation 4.6 Mapping of DICOM entities

TABLE 7-1 MAPPING OF DICOM ENTITIES TO ADVANTAGE WORKSTATION 4.6 ENTITIES
DICOM Advantage Workstation 4.6 Entity
Patient Patient
Study Exam
Series Series
Image Image
7.3 SC-IOD MODULE TABLE

Within an entity of the DICOM SC IOD, attributes are grouped into related set of attributes.
A set of related attributes is termed a module. A module facilitates the understanding of
the semantics concerning the attributes and how the attributes are related with each
other. A module grouping does not infer any encoding of information into datasets.
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Table 6.3-1 identifies the defined modules within the entities that comprise the DICOM SC
IOD. The modules are identified by their Module Name.
TABLE 7-2 SC IMAGE IOD MODULES

Entity Name Module Name Usage Reference
Patient Patient Used 7.4.1.1
Clinical Trial Subject Not used N/A
Study General Study Used 7.4.2.1
Patient Study Used 7.4.2.2
Clinical Trial Study Not used N/A
Series General Series Used 7.4.3.1
Clinical Trial Series Not used N/A
Equipment General Equipment Used 7.4.4.1
SC Equipment Used 7.4.9.1
Image General Image Used 7.4.5.1
Image Pixel Used 7.4.5.2
Device Not used N/A
SC Image Used 7.4.9.2
Overlay Plane Not used N/A
Modality LUT Used 7.4.7.2
VOI LUT Used 7.4.7.1
SOP Common Used 7.4.8.1
7.4 SC-INFORMATION MODULE DEFINITIONS

each of the entities and modules contained within the SC Information Object.
completeness and to define what values they may take and where these values are
obtained from. It should be noted that they are the same ones as defined in the DICOM
Standard Part 3 (Information Object Definitions).
Note: Elements not listed are not supported
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7.4.1 Common Patient Entity Modules
7.4.1.1 Patient Module

This section specifies the Attributes of the Patient that describe and identify the Patient
who is the subject of a diagnostic Study. This Module contains Attributes of the patient
that are needed for diagnostic interpretation of the Image and are common for all studies
performed on the patient.
TABLE 7-3 PATIENT MODULE ATTRIBUTES

Patient's Name (0010,0010) 2 Viewer/AngioViz
Original
Filmer
Original if No Mix Mode or Mix Mode
= Study
User defined if Mix Mode = Patient
Patient ID (0010,0020) 2 Viewer/AngioViz
Original
Filmer
= Study
Function of pid and time if Mix Mode
= Patient
Issuer of Patient ID (0010,0021) 3 Not Present
Issuer of Patient ID Qualifiers (0010,0024) 3 Not Present
Sequence
Patient's Birth Date (0010,0030) 2 Viewer/AngioViz
Original
Filmer
= Study
Empty if Mix Mode = Patient
Patient's Sex (0010,0040) 2 Viewer/AngioViz
Original
Filmer
= Study
Other Patient ID (0010,1000) 3 Not Present
Other Patient Ids Sequence (0010,1002) 3 Not Present
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7.4.2 Common Study Entity Modules
7.4.2.1 General Study Module

This section specifies the Attributes, which describe and identify the Study performed
upon the Patient.
TABLE 7-4 GENERAL STUDY MODULE ATTRIBUTES

Attribute Name Tag Type Notes
Study Instance UID (0020,000D) 1 Viewer/AngioViz
Original
Filmer
Original if No Mix Mode
Generated if Mix Mode = Patient or Mix
Mode = Study
Study Date (0008,0020) 2 Viewer/AngioViz
Original (Empty if does not exist)
Filmer
Original (Empty if does not exist) if No Mix
Mode
Empty if Mix Mode = Patient or Mix Mode
= Study
Study Time (0008,0030) 2 Viewer/AngioViz
Filmer
Mode
= Study
Referring Physician's Name (0008,0090) 2 Viewer/AngioViz
Filmer
Mode
= Study
Study ID (0020,0010) 2 Viewer/AngioViz
Filmer
Mode
Mode = Study
Accession Number (0008,0050) 2 Viewer/AngioViz
Filmer
Mode
= Study
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Study Description (0008,1030) 3 Viewer/AngioViz
Filmer
Mode
User defined if Mix Mode = Patient or Mix
Mode = Study
7.4.2.2 Patient Study Module

This section defines Attributes that provide information about the Patient at the time the
Study was performed.
TABLE 7-5 PATIENT STUDY MODULE ATTRIBUTES

Patient's Age (0010,1010) 3 Viewer/AngioViz
Original
Filmer
Not present if Mix Mode = Patient or Mix Mode
= Study
Patient's Size (0010,1020) 3 Viewer/AngioViz
Original
Filmer
= Study
Patient's Weight (0010,1030) 3 Viewer/AngioViz
Original
Filmer
= Study
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7.4.3 Common Series Entity Modules
7.4.3.1 General Series Module

This section specifies the Attributes that identify and describe general information about
the Series within a Study.
TABLE 7-6 GENERAL SERIES MODULE ATTRIBUTES

Modality (0008,0060) 1 Viewer/AngioViz
Original
Filmer
 Original if all Filmer data have the same
defined modality
 OT (Other) otherwise
Series Instance UID (0020,000E) 1 Generated
Series Number (0020,0011) 2 Generated
Series Date (0008,0021) 3 Not present except for AngioViz:
- Date of the creation of the series with the
AngioViz SCPT's
Series Time (0008,0031) 3 Not present except for AngioViz

- Time of the creation of the series with the
AngioViz SCPT's
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Series Description (0008,103E) 3 Viewer
 For XA image, when the secondary
capture image is generated per original
image, the series description is set to the
secondary capture image comments if
valued: (0020,4000)
 “SCREEN SAVE” otherwise
Filmer
User defined (AW Electronic film by default)
AngioViz
“AngioViz”
Performing Physician Name (0008,1050) 3 Not present
Operator’s Name (0008,1070) 3 Name of the current user logged on the
station, present only if the name encoding is
compatible with the Specific Character Set
specified.
Protocol Name (0018,1030) 3 Not present except for AngioViz:
- Equals Series Description (“AngioViz”)
7.4.4 Common Equipment Entity Modules
7.4.4.1 General Equipment Module

This section specifies the Attributes that identify and describe the piece of equipment that
produced a Series of Images.
TABLE 7-7 GENERAL EQUIPMENT MODULE ATTRIBUTES

Manufacturer (0008,0070) 2 Copied from original image
Institution Name (0008,0080) 3 Viewer
Copied from original image
Filmer
Copied from original image if No Mix Mode
Empty if Mix Mode = Patient or Mix Mode =
Study
AngioViz
Institution name configured on the AW
Institution Address (0008,0081) 3 Viewer/AngioViz
Copied from original image
Filmer
Copied from original image if No Mix Mode
Study
Station Name (0008,1010) 3 Copied from original image except for
AngioViz:
- Station Name of the AW
Manufacturer's Model Name (0008,1090) 3 Model Name of the AW
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Software Versions (0018,1020) 3 Copied from original image except for
AngioViz:
- SW Version of the AW
7.4.5 Common Image Entity Modules
7.4.5.1 General Image Module

This section specifies the Attributes that identify and describe an image within a particular
series.
TABLE 7-8 GENERAL IMAGE MODULE ATTRIBUTES

Instance Number (0020,0013) 2 Generated
Patient Orientation (0020,0020) 2C See 7.4.5.1.1.1.
Content Date (0008,0023) 2C Derived from original image, except for
AngioViz:
Date of the creation of the AngioViz SCPT
Content Time (0008,0033) 2C Derived from original image, except for
AngioViz:
Time of the creation of the AngioViz SCPT
Image Type (0008,0008) 3 See 7.4.5.1.1.2.
Source image Sequence (0008,2112) 3 Viewer/AngioViz
Set in Screen save image created by AW4.6
2D Multi-Modality Viewer
Filmer
Defined by the application that sends the
image to the Filmer
>Referenced SOP Class UID (0008,1150) 1C SOP Class UID of the original image
>Referenced SOP Instance UID (0008,1155) 1C SOP Instance UID of the original image
>Referenced frame number (0008,1160) 3 Not present, except for AngioViz:
Multi-valued, as many values as number of
frames used for the processing, i.e.
(last_frame used - first-frame used + 1). The
values are the frame numbers, i.e.
first_frame\first_frame+1\first_frame+2…
>Distance Source to Detector (0018,1110) 1C Not present, except for AngioViz,
Derived from original image
>Distance Source to Patient (0018,1111) 3 Not present, except for AngioViz,
>Table Angle (0018,1138) 3 Not present, except for AngioViz,
>Positioner Primary Angle (0018,1510) 3 Not present, except for AngioViz,
>Positioner Secondary Angle (0018,1511) 3 Not present, except for AngioViz,
Burned In Annotation (0028, 0301) 3 YES
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Image Comments (0020,4000) 3 For XA modality, application defined (based
on original value).
For AngioViz, IMG_DESCRIPTION, or empty
field
Otherwise, not defined
7.4.5.1.1 General Image Attribute Descriptions
7.4.5.1.1.1 Patient Orientation

Derived from original if Screen Save Viewer/AngioViz.
Empty if Filmer
7.4.5.1.1.2 Image Type

If a third value is defined in the original DICOM Image Type, then the image type is set to:
DERIVED\SECONDARY\<Originaltype>\SCREEN SAVE
If no third value is defined in the original DICOM Image Type or if the Image Type is empty,
then the image type is set to:
DERIVED\SECONDARY\SCREEN SAVE
7.4.5.1.1.3 Derivation Description

This field is not encoded
7.4.5.2 Image Pixel Module

This section specifies the Attributes that describe the pixel data of the image.
TABLE 7-9 IMAGE PIXEL MODULE ATTRIBUTES

Samples per Pixel (0028,0002) 1 1 - if image is displayed in levels of gray
3 - if image is displayed in full colors
Photometric Interpretation (0028,0004) 1 Set to MONOCHROME1 if the minimum pixels
value 0=white and the element (0028, 0002) is
set to the value 1.
Set to MONOCHROME2 if the minimum pixels
value 0=black and the element (0028, 0002) is
set to the value 1.
Set to RGB If the element (0028, 0002) is set to
the value of 3.
Planar Configuration (0028, 0006) 1C 0, if element (0028, 0002) is 3
Not present otherwise
Pixel Aspect Ratio (0028, 0034) 1C Derived from original image.
Not present if equal to 1\1
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Rows (0028,0010) 1 Viewer/AngioViz
If original image rows < 512, then 512
If 512<= original image rows <= 2560, then
original image rows
If 2560 < original image rows, then 2560
Filmer
If original image rows < 256, then 256
If 256 <= original image rows <= 2560, then
original image rows
If 2560 < original image rows, then 2560
Columns (0028,0011) 1 Viewer/AngioViz
If original image columns < 512, then 512
If 512<= original image columns <= 2560, then
original image columns
If 2560 < original image columns, then 2560
Filmer
If original image columns < 256, then 256
If 256 <= original image columns <= 2560, then
original image columns
If 2560 < original image columns, then 2560
Bits Allocated (0028,0100) 1 Copy of original image Bits Allocated value or 8
if the element (0028, 0002) has value 3.
Bits Stored (0028,0101) 1 Copy of original image Bits Stored value or 8 if
the element (0028, 0002) has value 3
High Bit (0028,0102) 1 Bits Stored - 1
Pixel Representation (0028,0103) 1 Copy of original image Pixel Representation
value or 0000h if the element (0028, 0002) has
value 3
Pixel Data (7FE0,0010) 1 Derived from original pixel data
7.4.5.2.1 Image Pixel Module Augmentation

This section specified the DICOM tags added for the Secondary Captures in the Image
Pixel Module.
Pixel Spacing (0028,0030) 3 Derived from the original image Pixel Size if
defined in original image
Not Present if Pixel Size is not defined in
original image
7.4.6 Overlay Plan Modules

This module is not implemented for this IOD.
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7.4.7 Lookup Table Modules
7.4.7.1 VOI LUT module

This section specifies the Attributes that describe the VOI LUT.
TABLE 7-10 VOI LUT MODULE ATTRIBUTES

VOI LUT Sequence (0028, 3010) 3 Present when the image displayed uses a
private VOI LUT or when present in the original
image.
> LUT Descriptor (0028, 3002) 1C See 7.4.7.1.1
> LUT Data (0028, 3006) 1C The VOI LUT Data in the item.
If the number of data is < 2^16-1, then the
Value Representation is set to US.
If the number of data is > 2^16-1, then the
Value Representation is set to OW.
Window Center (0028,1050) 3 Current Window Center (WL) + value of
element (0x0028,0x1052) of original image if
found in the original image header. This
element is applicable only with Photometric
Interpretation (0x0028,0x0004) value of
MONOCHROME1 and MONOCHROME2
otherwise this element is Not Present
Window Width (0028,1051) 1C If Window Width (0x0028,0x1050) value is
stored a window width value is stored in this
element. This element is written only with
Photometric Interpretation (0x0028,0x0004)
value of MONOCHROME1 and MONOCHROME2
otherwise this element is Not Present
Note: When the VOI LUT Sequence is present in the image, there is always only one item
present in this sequence.
7.4.7.1.1 Description of the LUT descriptor

The first value is set to the number of entries in the look up table. It is set to 0 if the
number of entries is equal to 2^16.
The second value is set to the first input value mapped.
The third value is always 16.
If the possible range after application of rescale slope/rescale intercept is signed, the
Value Representation is set to SS. Otherwise, the Value Representation is set to US.
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7.4.7.2 Modality LUT module
This section specifies the Attributes that describe the Modality LUT.
TABLE 7-11 MODALITY LUT MODULE ATTRIBUTES

Rescale Intercept (0028,1052) 1C If original image header contains Rescale
intercept value then the SC image contains its
copy or the element is Not applicable if the
element (0028, 0002) has value 3 or, if neither
condition can be satisfied this element is Not
Present.
Rescale Slope (0028,1053) 1C If original image header contains Rescale
slope value then the SC image contains its
copy or the element is Not applicable if the
element (0028, 0002) has value 3 or, if neither
condition can be satisfied this element is Not
Present.
Rescale Type (0028,1054) 1C If the element (0028, 0002) has value of 3 or if
the image header does not contain Rescale
intercept, this element is not present,
otherwise it is set to US.
7.4.8 General Modules
7.4.8.1 SOP Common Module

This section defines the Attributes that are required for proper functioning and
identification of the associated SOP Instances. They do not specify any semantics about
the Real-World Object represented by the IOD.
TABLE 7-12 SOP COMMON MODULE ATTRIBUTES

SOP Class UID (0008,0016) 1 1.2.840.10008.5.1.4.1.1.7
Specific Character Set (0008,0005) 1C  If original field is not present:
 Set to ISO_IR 100 if some fields
contain non-English characters.
 Otherwise the field is not generated
 If original field is present, original value
NOTE: Multi valued Specific Character Set

with first value non-null and Specific
Character Set ISO_IR 13 are not supported.
7.4.9 SC Modules
This Section describes SC Equipment, and Image Modules. These Modules contain
Attributes that are specific to SC Image IOD.
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7.4.9.1 SC Equipment Module
This Module describes equipment used to convert images into a DICOM format.
TABLE 7-13 SC IMAGE EQUIPMENT MODULE ATTRIBUTES

Conversion Type (0008,0064) 1 WSD
Modality (0008,0060) 3 Original if Screen Save Image
Original if all Filmer data have the same
defined modality, OT otherwise
Secondary Capture Device ID (0018,1010) 3 Real station host name
Secondary Capture Device (0018,1016) 3 GE MEDICAL SYSTEMS
Manufacturer
Secondary Capture Device (0018,1018) 3 Filmer
Manufacturer's Model Name FILMER_3.0
Viewer / AngioViz
VIEWER_3.0
Secondary Capture Device Software (0018,1019) 3 Application defined
Version (Software version build identifier)
7.4.9.2 SC Image Module

The table in this Section contains IOD Attributes that describe SC images.
TABLE 7-14 SC IMAGE MODULE ATTRIBUTES

Date of Secondary Capture (0018,1012) 3 Creation date of the Secondary Capture
Time of Secondary Capture (0018,1014) 3 Creation time of the Secondary Capture
7.5 SC-PRIVATE DATA DICTIONARY

This section describes the private attributes of this IOD.
TABLE 7.5-1 PRIVATE CREATOR IDENTIFICATION: GEMS_IDEN_01

Attribute Name Tag Type VR VM
Full fidelity (0009,xx01) 3 LO 1
Suite id (0009,xx02) 3 SH 1
Product id (0009,xx04) 3 SH 1
Image actual date (0009,xx27) 3 SL 1
Service id (0009,xx30) 3 SH 1
Mobile location number (0009,xx31) 3 SH 1
Equipment UID (0009,xxE3) 3 UI 1
Genesis Version - now (0009, xxE6) 3 SH 1
Exam Record checksum (0009, xxE7) 3 UL 1
Series Suite Id (0009, xxE8) 3 SH 1
Actual series data time (0009, xxE9) 3 SL 1
stamp
TABLE 7.5-3 PRIVATE CREATOR IDENTIFICATION: GEMS_RELA_01

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Series from which Prescribed (0021,xx03) 3 SS 1
Genesis Version - now (0021,xx05) 3 SH 1
Series Record checksum (0021,xx07) 3 UL 1
Screen Format (0021,xx37) 3 SS 1
TABLE 7.5-4 PRIVATE CREATOR IDENTIFICATION: GEMS_SERS_01

Images in Series (0025,xx07) 3 SL 1
Last Instance Number used (0025,xx19) 3 SL 1
Primary Receiver Suite and (0025,xx1A) 3 SH 1
Host
TABLE 7.5-5 PRIVATE CREATOR IDENTIFICATION: GEMS_IMPS_01

Version of the hdr struct (0029,xx26) 3 SS 1
Advantage comp. Overflow (0029,xx34) 3 SL 1
Advantage comp. Underflow (0029,xx35) 3 SL 1
TABLE 7.5-6 PRIVATE CREATOR IDENTIFICATION: GEMS_PARM_01

Decon kernel parameters (0043,xx13) 3 SS 5
TABLE 7.5-7 PRIVATE CREATOR IDENTIFICATION: DLX_SERIE_01

ONLY IN ANGIOVIZ
Angle value 1 (0019,xx01) 3 DS 1
Table vertical position (0019,xx21) 3 DS 1
Table longitudinal position (0019,xx22) 3 DS 1
Table lateral position (0019,xx23) 3 DS 1
TABLE 7.5-8 PRIVATE CREATOR IDENTIFICATION: GEMS_DL_IMG_01

Acquisition plane (0019,xxDE) 3 CS 1
Only for AngioViz
table cradle tilt angle (0019,xxBC) 3 FL 1
table rotation angle (0019,xxEA) 3 FL 1
Table X Position to Isocenter (0019,xxEB) 3 FL 1
Table Y Position to Isocenter (0019,xxEC) 3 FL 1
Table Z Position to Isocenter (0019,xxED) 3 FL 1
table head tilt angle (0019,xxEE) 3 FL 1
patient position per image (0019,xxC7) 3 CS 1
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TABLE 7.5-9 PRIVATE CREATOR IDENTIFICATION: GEMS_INTVL_FLOW_01
ONLY IN ANGIOVIZ
AngioViz Processing Mode (0033,xx01) 3 CS 1
AngioViz Mask Frame (0033,xx02) 3 IS 1
AngioViz First Frame (0033,xx03) 3 IS 1
AngioViz Last Frame (0033,xx04) 3 IS 1
AngioViz Contrast Agent (0033,xx05) 3 CS 1
AngioViz Saturation (0033,xx06) 3 FL 1
Percentage
AngioViz Time Zero Frame (0033,xx07) 3 IS 1
AngioViz Maximum Time (0033,xx08) 3 FL 1
AngioViz Algorithm version (0033,xx09) 3 LO 1
Note: These elements are present in the generated Secondary Capture if these elements
were present in the original images
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8. ENHANCED SR INFORMATION OBJECT IMPLEMENTATION
8.1 INTRODUCTION
This section specifies the use of the DICOM Enhanced SR IOD to represent the information
included in Enhanced SR produced by this implementation. Corresponding attributes are
conveyed using the module construct.
The enhanced SR is a way for the Filmer to generate Electronic Film and reload it, using
DICOM standard.
The contents of this section are:
8.2- ENHANCED SR Entity-Relationship Model

8.3- ENHANCED SR-IOD MODULE TABLE
8.4- ENHANCED SR -INFORMATION MODULE DEFINITIONS
8.5- ENHANCE SR – PRIVATE DATA DICTIONARY
8.6- ENHANCE SR – TEMPLATE IDENTIFICATION
8.7- ENHANCE SR - Private Coded Entries
Note: The Enhanced DICOM SR produced by this implementation is also named:

“Electronic Film”
8.2 ENHANCED SR ENTITY-RELATIONSHIP MODEL

The Entity-Relationship diagram for the ENHANCED SR interoperability schema is shown
in Illustration 8.2.1. In this figure, the following diagrammatic convention is established to

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ILLUSTRATION 8.2-1
ENHANCED SR IMAGE ENTITY RELATIONSHIP DIAGRAM
Patient
1
is
the subject
of
1,n
Study
contains
1,n
Series
creates
1,n
1 1
Equipment contains
0,n
SR
document

each of the entities contained within the ENHANCED SR Information Object.
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Patient Patient
Study Exam
Series Series
Equipment Equipment
SR document SR document
8.3 ENHANCED SR-IOD MODULE TABLE

Within an entity of the DICOM ENHANCED SR IOD, attributes are grouped into related set
of attributes. A set of related attributes is termed a module. A module facilitates the
understanding of the semantics concerning the attributes and how the attributes are
related with each other. A module grouping does not infer any encoding of information
into datasets.
Table 8.3.1 identifies the defined modules within the entities which comprise the DICOM
SR IOD. Modules are identified by Module Name.
TABLE 8-2 ENHANCED SR DOCUMENT IOD MODULES

Entity Name Module Name Reference
Patient Patient 8.4.1.1
Specimen Identification N/A
Clinical Trial Subject N/A
Study General Study 9.4.2.1
Patient Study 8.4.2.2
Clinical Trial Study N/A
Series SR document Series 8.4.3.1
Clinical Trial Series N/A
Equipment General Equipment 8.4.4.1
Document SR document General 8.4.5.1
SR document Content 8.4.5.2
SOP Common 8.4.6.1
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8.4 ENHANCED SR -INFORMATION MODULE DEFINITIONS

each of the entities and modules contained within the ENHANCED SR Information Object.
completeness and to define what values they may take and from where these values are
obtained. It should be noted that they are the same ones as defined in the DICOM
An Electronic Film is a DICOM ENHANCED SR IOD generated by the application ‘Filmer’ of

Advantage Workstation 4.6.
Filmer base UID: 1.2.840.113619.2.246
Note: Elements not listed are not supported
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This section specifies the attributes of the Patient that describe and identify the Patient
who is the subject of a diagnostic Study. This Module contains attributes of the patient

Patient's Name (0010,0010) 2 Patient name of first referenced image
if No Mix Mode or Mix Mode = Study
Patient ID (0010,0020) 2 Patient ID of first referenced image if
No Mix Mode or Mix Mode = Study
= Patient
Issuer of Patient ID (0010,0021) 3 Not filled
Issuer of Patient ID Qualifiers (0010,0024) 3 Not filled
Sequence
Patient's Birth Date (0010,0030) 2 Patient's Birth Date of first referenced
image if No Mix Mode or Mix Mode =
Study
Patient's Sex (0010,0040) 2 Patient's Sex of first referenced image if
Other Patient IDs (0010,1000) 3 Not filled
Other Patient Ids Sequence (0010,1002) 3 Not filled

The following Study IE Modules are common to all Composite Image IODs that reference
the Study IE.
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upon the Patient.

Study Instance UID (0020,000D) 1 Original if No Mix Mode
Mode = Study
Study Date (0008,0020) 2 Study Date of first referenced image (Empty
if does not exist) if No Mix Mode
= Study
Study Time (0008,0030) 2 Study Time of first referenced image (Empty
= Study
Accession Number (0008,0050) 2 Accession Number of first referenced image
(Empty if does not exist) if No Mix Mode
= Study
Referring Physician's Name (0008,0090) 2 Referring Physician's Name of first
referenced image (Empty if does not exist)
if No Mix Mode
Semantically empty if Mix Mode = Patient
or Mix Mode = Study (The content may be
empty or contain only ^)
Study Description (0008,1030) 3 Study Description of first referenced image
Mode = Study
Study ID (0020,0010) 2 Study ID of first referenced image (Empty if
does not exist) if No Mix Mode
Mode = Study
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Patient's Age (0010,1010) 3 Patient's Age of first referenced image if No Mix
Mode
= Study
Patient's Size (0010,1020) 3 Patient's Size of first referenced image if No Mix
Mode
= Study
Patient's Weight (0010,1030) 3 Patient's Weight of first referenced image if No
Mix Mode
= Study
8.4.3 SR Document Series Entity Modules

The following SR Document Series IE Modules are common to all Composite Image IODs
that reference the SR Document Series IE.
8.4.3.1 SR Document Series Module

This section specifies the attributes that identify and describe general information about
the SR Document Series within a Study.
TABLE 8-6 SR DOCUMENT SERIES MODULE ATTRIBUTES

Modality (0008,0060) 1 SR
Referenced Performed Procedure Step (0008,1111) 2 Empty
Sequence
Series Description (0008,103E) 3 User defined, filled by default with “AW
Electronic Film”
Series Date (0008,0021) 3 Not present
Series Time (0008,0031) 3 Not present
Note: The series description is also present in the content of the SR. (See AW41 EF TID
template description in section 7.6)
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The following Equipment IE Module is common to all Composite Image IODs that
reference the Equipment IE.

This section specifies the attributes that identify and describe the piece of equipment that

Manufacturer (0008,0070) 2 GE MEDICAL SYSTEMS
Institution Name (0008,0080) 3 Hospital Name provided on the platform
Station Name (0008,1010) 3 Host name provided on the platform
Manufacturer's Model Name (0008,1090) 3 FILMER_3.0
Software Versions (0018,1020) 3 Application defined
(Software version build identifier)
8.4.5 SR document Entity Modules

The following SR document Modules are common to all Composite Image IODs that
reference the Image IE.
8.4.5.1 SR document General

This section specifies the attributes that identify and describe the SR document.
TABLE 8-8 SR DOCUMENT GENERAL MODULE ATTRIBUTES

Instance Number (0020, 0013) 1 Generated
Completion flag (0040, A491) 1 COMPLETE
Verification flag (0040, A493) 1 VERIFIED
Content Date (0008, 0023) 1 Generated at the date when the Electronic
film is created
Content Time (0008, 0033) 1 Generated at the time when the Electronic
film is created
Verifying Observer Sequence (0040,A073) 1C
> Verifying Observer Name (0040,A075) 1 Name of the user that currently is logged on
the station
> Verifying Observer Code Sequence (0040,A088) 2 Empty
> Verifying Organization (0040,A027) 1 Institution Name (0008,0080) of General
Equipment Module
> Verifying Date Time (0040,A030) 1 Generated at the time when the Electronic
film is created
Performed Procedure Code Sequence (0040, A372) 2 Empty
Current Requested Procedure Evidence (0040,A375) 1C List of images from all studies considered as
Sequence input of the Electronic Film
> Study Instance UID (0020,000D) 1 Refer to (0040,A375)
> Referenced Series Sequence (0008,1115) 1 Refer to (0040,A375)
>> Series Instance UID (0020,000E) 1 Refer to (0040,A375)
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>> Referenced SOP Sequence (0008,1199) 1 Refer to (0040,A375)
>>> Referenced SOP Class UID (0008,1150) 1 Refer to (0040,A375)
>>> Referenced SOP Instance UID (0008,1155) 1 Refer to (0040,A375)
8.4.5.2 SR Document Content Module

This section specifies the attributes that identify and describe the SR content
TABLE 8-9 SR DOCUMENT CONTENT MODULE ATTRIBUTES

Content Template Sequence (0040, A504) 1C Template that describes the content of the
content item
> Mapping Resource (0008, 0105) 1 PRIVATE
> Template Identifier (0040, DB00) 1 AW41 EF TID
Content Sequence (0040, A730) 1C Content of the DICOM SR
Value Type (0040, A040) 1 CONTAINER
Concept Name code Sequence (0040, A043) 1C
> Code Value (0008, 0100) 1C AWVF-0001
> Coding Scheme Designator (0008, 0102) 1C 99GEMS
> Code Meaning (0008, 0104) 1C Electronic Film Presentation
Continuity Of Content (0040, A050) 1C SEPARATE

The SOP Common Module is mandatory for all DICOM IODs.


SOP Class UID (0008,0016) 1 1.2.840.10008.5.1.4.1.1.88.22
SOP Instance UID (0008,0018) 1 Generated from GE Based UID, <station
configuration> and timestamp.
Specific Character Set (0008,0005) 1C  ISO_IR 100 if Mix Mode = Patient
 Otherwise:
 ISO_IR 100 if original value is not
present and at least one of the Dicom
data element contains non-ascii
characters.
 Original value otherwise
Note: Multi valued Specific Character Set
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8.5 ENHANCE SR – PRIVATE DATA DICTIONARY
TABLE 8-11 PRIVATE CREATOR IDENTIFICATION: GEMS_ADWSOFT_DPO1

Attribute Name Tag Type VR VM Attribute Description
Private Entity Launch (0039,xx95) 3 LO 1 Name of application to launch
Command
8.6 ENHANCE SR – TEMPLATE IDENTIFICATION

This section describes the Electronic Film Presentation Template
This template describes how the SR Document Content Module of the Enhanced SR
Information Object Definition is constrained for the purpose of implementing the
Electronic Film. This template is non-standard, Mapping Resource (0008,0105) = PRIVATE,
Template Identifier (0040,DB00) = AW41 EF TID.
8.6.1 TID Electronic Film Presentation

NL Rel with VT Concept Name VM Req ConditionValue Set
Parent Type Constraint
1 CONTAINER EV(AWVF-0001,99GEMS, 1 M Root Node,
"Electronic Film SEPARATE
Presentation")
2 > HAS OBS INCLUDE DTID (1003) Person observer 1 M
CONTEXT identifying attributes
3 > CONTAINS INCLUDE ETID Page Presentation 1-n U
4 > HAS CODE EV (113011, DCM, 1 MC Present and
CONCEPT "Document Title Modifier") equal to
MOD (0008,103E)
8.6.2 TID Page Presentation

1 - CONTAINER EV(AWVF-0002, 99GEMS, 1 M SEPARATE
“Page Presentation”)
2 > CONTAINS INCLUDE ETID Slot Group Presentation 1-n U
8.6.3 TID Slot Group Presentation

"Slot Group Presentation")
2 > CONTAINS INCLUDE ETID Geometry 1 M
3 > CONTAINS INCLUDE ETID Slot Presentation 1-n U
8.6.4 TID Slot Presentation

NL Rel with VT Concept Name VM Req Condition Value Set
"Slot Presentation")
2 > CONTAINS INCLUDE ETID Geometry 1 M
3 > CONTAINS TEXT EV(AWVF-0009, 99GEMS, 1 UC IF rows 4
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NL Rel with VT Concept Name VM Req Condition Value Set
"Notepad") and 5
absent
4 > CONTAINS IMAGE 1 UC IF rows 3
and 5
absent
5 > - INCLUDE ETID Cine Sequence 1 UC IF rows 3
and 4
absent
8.6.5 TID Cine Sequence

1 CONTAINS NUM EV(AWVF-0010, 99GEMS, 1 M UNITS=EV(s,
"Time between cine frames") UCUM,”second”)
2 CONTAINS IMAGE 1-n M
8.6.6 TID Geometry

1 - NUM EV(AWVF-0005, 99GEMS, 1 M UNITS=EV(1,
"Relative horizontal position UCUM, ”ratio”)
of top left corner")
"Relative vertical position of UCUM, ”ratio”)
top left corner")
"Relative horizontal size") UCUM, ”ratio”)
"Relative vertical size") UCUM, ”ratio”)
8.7 ENHANCE SR - PRIVATE CODED ENTRIES

The private coded entries that are required for implementing the Electronic Film are listed
below (these are referred to in the Electronic Film Presentation Template).
TABLE 8-12 PRIVATE CODED ENTRIES: 99GEMS

Coded Entries
Coding Scheme Designator Code Value Code Meaning
(0008,0102) (0008,0100) (0008,0104)
99GEMS AWVF-0001 Electronic Film Presentation
99GEMS AWVF-0002 Page Presentation
99GEMS AWVF-0003 Slot Group Presentation
99GEMS AWVF-0004 Slot Presentation
99GEMS AWVF-0005 Relative horizontal position of top left corner
99GEMS AWVF-0006 Relative vertical position of top left corner
99GEMS AWVF-0007 Relative horizontal size
99GEMS AWVF-0008 Relative vertical size
99GEMS AWVF-0009 Notepad
99GEMS AWVF-0010 Time between cine frames
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9. KEY OBJECT SELECTION INFORMATION OBJECT IMPLEMENTATION
9.1 INTRODUCTION
This section specifies the use of the DICOM Key Object Selection IOD to represent the
information included in KOS produced by this implementation. Corresponding attributes
are conveyed using the module construct.
KOS: Key Object Selection - Is used to flag significant images. The radiologist selects Key
Images, and creates appropriate Notes. The referring physician views the Key Image Note
prepared by radiologist.
The Viewer works on original images, while the Filmer can concatenate in the same series
derived images coming from multiple applications and series.
Therefore the DICOM mapping reflecting these differences is different.
The contents of this section are:
9.2 - KEY OBJECT SELECTION Entity-Relationship Model
9.3 - KEY OBJECT SELECTION-IOD MODULE TABLE
9.4 - KEY OBJECT SELECTION -INFORMATION MODULE DEFINITIONS
9.5 - KEY OBJECT SELECTION – TEMPLATE IDENTIFICATION
9.2 KEY OBJECT SELECTION ENTITY-RELATIONSHIP MODEL

The Entity-Relationship diagram for the Key Object Selection interoperability schema is
shown in Illustration 9.2.1. In this figure, the following diagrammatic convention is
established to represent the information organization:

up to n Images per Series, but the Study to Patient relationship has 1 Patient for each
Study (a Patient can have more than one Study on the system, however each Study will
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ILLUSTRATION 9.2-1
KEY OBJECT SELECTION IMAGE ENTITY RELATIONSHIP DIAGRAM
Patient
1
is
the subject
of
1,n
Study
contains
1,n
Series
creates
1,n
1 1
Equipment contains
0,n
Key Object
Selection
document

each of the entities contained within the Key Object Selection Information Object.
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Patient Patient
Study Exam
Series Series
Equipment Equipment
Key Object Selection document Key Object Selection document
9.3 KEY OBJECT SELECTION-IOD MODULE TABLE

Within an entity of the DICOM KEY OBJECT SELECTION IOD, attributes are grouped into
related set of attributes. A set of related attributes is termed a module. A module
facilitates the understanding of the semantics concerning the attributes and how the
attributes are related with each other. A module grouping does not infer any encoding of
information into datasets.
Table 9.3.1 identifies the defined modules within the entities which comprise the DICOM
KEY OBJECT SELECTION IOD. Modules are identified by Module Name.
TABLE 9-2 KEY OBJECT SELECTION DOCUMENT IOD MODULES

Patient Patient 9.4.1.1
Specimen Identification N/A
Series Key Object Document Series 9.4.3.1
Equipment General Equipment 9.4.4.1
Document Key Object Document 9.4.5.1
SR document Content 10.4.5.2
SOP Common 9.4.6.1
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9.4 KEY OBJECT SELECTION -INFORMATION MODULE DEFINITIONS

each of the entities and modules contained within the KEY OBJECT SELECTION
Information Object.
The Key Object Selection IOD described here is the one generated by the applications
‘Viewer’ and ‘Filmer’ of Advantage Workstation 4.6.
AW4.6 2D Multi-Modality Viewer base UID: 1.2.840.113619.2.247, and AW4.6 Filmer base
UID: 1.2.840.113619.2.246
Also note that elements not listed in following modules are not supported.
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Patient's Name (0010,0010) 2 Viewer
Original
Filmer
Patient name of first referenced image
if No Mix Mode or Mix Mode = Study
Patient ID (0010,0020) 2 Viewer
Original
Filmer
Patient ID of first referenced image if
= Patient
Issuer of Patient ID (0010,0021) 3 Not filled
Issuer of Patient ID Qualifiers (0010,0024) 3 Not filled
Sequence
Patient's Birth Date (0010,0030) 2 Viewer
Original
Filmer
Patient's Birth Date of first referenced
image if No Mix Mode or Mix Mode =
Study
Patient’s Birth Time (0010,0032) 3 Viewer
Original if present, empty otherwise
Filmer
Empty
Patient's Sex (0010,0040) 2 Viewer
Original
Filmer
Patient's Sex of first referenced image if
Other Patient IDs (0010,1000) 3 Not filled
Other Patient Ids Sequence (0010,1002) 3 Not filled
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Ethnic Group (0010,2160) 3 Viewer
Filmer
Empty
Patient Comments (0010,4000) 3 Viewer
Filmer
Empty

upon the Patient.

Study Instance UID (0020,000D) 1 Viewer
Original
Filmer
Mode = Study
Study Date (0008,0020) 2 Viewer
Original
Filmer
Study Date of first referenced image (Empty
= Study
Study Time (0008,0030) 2 Viewer
Original
Filmer
Study Time of first referenced image (Empty
= Study
Accession Number (0008,0050) 2 Viewer
Original
Filmer
Accession Number of first referenced image
= Study
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Referring Physician's Name (0008,0090) 2 Viewer
Original
Filmer
Referring Physician's Name of first
referenced image (Empty if does not exist)
if No Mix Mode
Semantically empty if Mix Mode = Patient
or Mix Mode = Study (The content may be
empty or contain only ^)
Study Description (0008,1030) 3 Viewer
Filmer
If No Mix Mode, this is the study Description
of first referenced image. It is empty if the
original study description is not present.
Mode = Study
Study ID (0020,0010) 2 Viewer
Original
Filmer
Study ID of first referenced image (Empty if
does not exist) if No Mix Mode
Mode = Study


Patient's Age (0010,1010) 3 Viewer
Filmer
Patient's Age of first referenced image if No Mix
Mode. It is empty if the original Patient's Age is
not present.
Study
Patient's Size (0010,1020) 3 Viewer
Filmer
Patient's Size of first referenced image if No Mix
Mode. It is empty if the original Patient's Size is
not present.
Study
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Patient's Weight (0010,1030) 3 Viewer
Filmer
Patient's Weight of first referenced image if No
Mix Mode. It is empty if the original Patient's
Weight is not present.
Study
Occupation (0010,2180) 3 Viewer
Filmer
Empty
Additional Patient History (0010,21B0) 3 Viewer
Filmer
Empty
9.4.3 Key Object Document Series Entity Modules
9.4.3.1 Key Object Document Series Module

This section specifies the attributes that identify and describe general information about
the Key Object Document Series within a Study.
TABLE 9-6 KEY OBJECT SELECTION DOCUMENT SERIES MODULE ATTRIBUTES

Modality (0008,0060) 1 KO
Series Description (0008,103E) 3 Viewer:
Key Object description if not empty, Key Object
Selection title otherwise.
Filmer:
Begin with Key Object Selection title, followed
by user description (filled by default with “AW
Electronic Film”)
Series Date (0008,0021) 3 Not present
Series Time (0008,0031) 3 Not present
Referenced Performed Procedure Step (0008,1111) 2 Empty
Sequence

This section specifies the attributes that identify and describe the piece of equipment that
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Manufacturer (0008,0070) 2 GE MEDICAL SYSTEMS
Institution Name (0008,0080) 3 Hospital Name provided on the platform
Institution Address (0008,0081) 3 Viewer
Filmer
Empty
Station Name (0008,1010) 3 Host name provided on the platform
Institutional Department Name (0008,1040) 3 Viewer
Filmer
Empty
Manufacturer's Model Name (0008,1090) 3 Viewer: VIEWER_3.0
Filmer: FILMER_3.0
Device Serial Number (0018,1000) 3 Empty
Software Versions (0018,1020) 3 Software version build identifier
9.4.5 Key Object document Entity Modules
9.4.5.1 Key Object document

This section specifies the attributes that identify and describe the Key Object document.
TABLE 9-8 KEY OBJECT DOCUMENT GENERAL MODULE ATTRIBUTES

Instance Number (0020, 0013) 1 Generated
Content Date (0008, 0023) 1 Generated at the date when the Key Object
is created
Content Time (0008, 0033) 1 Generated at the time when the Key Object is
created
Referenced Request Sequence (0040,A370) 1C N/A
Current Requested Procedure Evidence (0040,A375) 1C List of images referenced within the Key
Sequence Object Selection.
> Study Instance UID (0020,000D) 1 Refer to (0040,A375)
> Referenced Series Sequence (0008,1115) 1 Refer to (0040,A375)
>> Series Instance UID (0020,000E) 1 Refer to (0040,A375)
>> Referenced SOP Sequence (0008,1199) 1 Refer to (0040,A375)
>>> Referenced SOP Class UID (0008,1150) 1 Refer to (0040,A375)
>>> Referenced SOP Instance UID (0008,1155) 1 Refer to (0040,A375)
9.4.5.2 SR Document Content Module

This section specifies the attributes that identify and describe the SR Document content
TABLE 9-9 SR DOCUMENT CONTENT MODULE ATTRIBUTES

Value Type (0040, A040) 1 CONTAINER
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Concept Name code Sequence (0040, A043) 1C Describe Title in DCID(7010) Key Object
Selection Document Titles. See 9.5.4
Note: For Filmer, title is forced to “Of Interest”
Note: This title is translated into current
application language
> Code Value (0008, 0100) 1C See (0040, A043) Sequence
> Coding Scheme Designator (0008, 0102) 1C See (0040, A043) Sequence
> Code Meaning (0008, 0104) 1C See (0040, A043) Sequence
Continuity Of Content (0040, A050) 1C SEPARATE
Content Template Sequence (0040, A504) 1C Template that describes the content of the
content item
> Mapping Resource (0008, 0105) 1 DCMR
> Template Identifier (0040, DB00) 1 2010
Observation Date Time (0040, A032) 1C Generated at the date and time when the
Key Object is created
Content Sequence (0040, A730) 1C Content of the DICOM KEY OBJECT
SELECTION – See 9.5
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The SOP Common Module is mandatory for all DICOM IODs.


Instance Creation Date (0008,0012) 3 Date the Key Object was created
Instance Creation Time (0008,0013) 3 Time the Key Object was created
Instance Creator UID (0008,0014) 3 Empty
SOP Class UID (0008,0016) 1 1.2.840.10008.5.1.4.1.1.88.59
SOP Instance UID (0008,0018) 1 Generated from GE Based UID, <station
configuration> and timestamp.
Specific Character Set (0008,0005) 1C Viewer:
 ISO_IR 100 if original value is not present
and at least one of the Dicom data
element contains non-ascii characters.
Filmer:
 ISO_IR 100 if Mix Mode = Patient
 Otherwise:
 ISO_IR 100 if original value is not
present and at least one of the Dicom
data element contains non-ascii
characters.
Note: Multi valued Specific Character Set
Instance Number (0020,0013) 3 Equal to 1
9.5 KEY OBJECT SELECTION – TEMPLATE IDENTIFICATION

This section describes the Key Object Selection Template – TID 2010
This template describes how the SR Document Content Module of the Key Object
Selection Information Object Definition is constrained. This template is the standard TID
2010.
9.5.1 TID 2010 Key Object Selection

NL Rel with VT Concept Name VM Req Condition Value Set Constraint
Parent Type
1 CONTAINER DCID(7010) Key Object 1 M Root node
Selection Document Title
2 > HAS CODE EV (113011, DCM, "Document 1-n U Not used
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CONCEPT Title Modifier")
MOD
3 > HAS CODE EV (113011, DCM, "Document 1 UC IF Row 1 Concept Name = DCID (7011)
CONCEPT Title Modifier") (113001, DCM, "Rejected for
MOD Quality Reasons") or
(113010, DCM," Quality
Issue")
4 > HAS CODE EV (113011, DCM, "Document 1 MC IF Row 1 Concept Name = DCID (7012)
CONCEPT Title Modifier") (113013, DCM, "Best In Set")
MOD
5 > HAS INCLUDE DTID(1204) Language of 1 U Not used
CONCEPT Content Item and
MOD Descendants
6 > HAS OBS INCLUDE DTID(1002) Observer Context 1-n U Present
CONTEXT
7 > CONTAINS TEXT EV(113012, DCM, ”Key Object 1 U Viewer:
Description”) User defined. It is not present if
description is not filled
Filmer:
User defined, filled by default
with “AW Electronic Film”
8 > CONTAINS IMAGE Purpose of Reference shall 1-n MC Present
not be present
9.5.2 TID 1002 Observer Context

Parent Type
1 HAS OBS CODE EV (121005,DCM, “Observer 1 MC EV (121006,DCM,
CONTEXT Type”)
“Person”)
2 HAS OBS INCLUDE DTID (1003) Person observer 1 MC
CONTEXT identifying attributes
9.5.3 TID 1003 Person Observer Identifying Attributes

Parent Type
1 PNAME EV (121008,DCM, “Person 1 M Name of the current user
Observer Name”)
2 TEXT EV (121009,DCM, “ Person 1 U Hospital Name provided on the
Observer’s Organization platform
Name”)
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9.5.4 CID 7010 Key Object Selection Document Title

(0008,0102) (0008,0100) (0008,0104)
DCM 113000 Of Interest
DCM 113001 Rejected for Quality Reasons
DCM 113002 For Referring Provider
DCM 113003 For Surgery
DCM 113004 For Teaching
DCM 113005 For Conference
DCM 113006 For Therapy
DCM 113007 For Patient
DCM 113008 For Peer Review
DCM 113009 For Research
DCM 113010 Quality Issue
DCM 113013 Best In Set
DCM 113018 For Printing
DCM 113020 For Report Attachment
DCM 113030 Manifest
DCM 113031 Signed Manifest
DCM 113032 Complete Study Content
DCM 113033 Signed Complete Study Content
DCM 113034 Complete Acquisition Content
DCM 113035 Signed Complete Acquisition Content
DCM 113036 Group of Frames for Display
9.5.5 CID 7012 Key Object Selection Document Title Modifier

(0008,0102) (0008,0100) (0008,0104)
DCM 113014 Study
DCM 113015 Series
DCM 113016 Performed Procedure Step
DCM 113017 Stage-View
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10. XA IMAGE INFORMATION OBJECT IMPLEMENTATION
10.1 INTRODUCTION
The AW 4.6 2D Multi-Modality Viewer can save all injected frames of a DSA or Bolus multi-
frame image (including user annotations and measurements) into a new XA multi-frame
image. In case of biplane acquisition, two XA multi-frame images will be saved,
corresponding to both frontal and lateral original images. This feature only works on XA
GE images.
The aim of the DEVIRED XA images, is it to create substracted images for systems that
cannot perform the operation. The substraction is applied in it and so the object
generated can be reviewed on elsewhere without having to apply processing again.
This section specifies the use of the DICOM XA Image IOD to represent the information
included in XA image produced by this implementation. Corresponding attributes are
conveyed using the module construct. The contents of this section are:
10.2 - XA IMAGE Entity-Relationship Model
10.3 - XA IMAGE-IOD MODULE TABLE
10.4 - XA Image -INFORMATION MODULE DEFINITIONS
10.5 - XA IMAGE-Private data dictionary
10.2 XA IMAGE ENTITY-RELATIONSHIP MODEL

The Entity-Relationship diagram for the XA Image interoperability schema is shown in

up to n Images per Series, but the Study to Patient relationship has 1 Patient for each
Study (a Patient can have more than one Study on the system, however each Study will
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ILLUSTRATION 10.2-1
XA IMAGE IMAGE ENTITY RELATIONSHIP DIAGRAM
Patient
1
is
the subject
of
1,n
Study
contains
1,n
Series
creates
1,n
1 1
Equipment contains
0,n
Image

each of the entities contained within the XA Image Information Object.
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Patient Patient
Study Exam
Series Series
Equipment Equipment
Image Image
10.3 XA IMAGE-IOD MODULE TABLE

Within an entity of the DICOM XA Image IOD, attributes are grouped into related set of
attributes. A set of related attributes is termed a module. A module facilitates the
understanding of the semantics concerning the attributes and how the attributes are
related with each other. A module grouping does not infer any encoding of information
into datasets.
Table 10.3-1 identifies the defined modules within the entities which comprise the DICOM
XA Image IOD. Modules are identified by Module Name.
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TABLE 10-2 XA IMAGE DOCUMENT IOD MODULES
Patient Patient 10.4.1
Series General Series 10.4.3
Equipment General Equipment 10.4.4
Image General Image 10.4.5.1
Image Pixels 10.4.5.2
Contrast/Bolus 10.4.5.3
Cine 10.4.5.4
Multi-Frame 10.4.5.5
Frame Pointers 10.4.5.6
Display Shutter N/A
Device N/A
Intervention N/A
X-Ray Image 10.4.5.7
X-Ray Acquisition 10.4.5.8
X-Ray Collimator 10.4.5.9
X-Ray Table 10.4.5.10
XA Positioner 10.4.5.11
DX Detector 10.4.5.12
Overlay Plane N/A
Multi-Frame Overlay N/A
Modality LUT N/A
VOI LUT 10.4.5.13
SOP Common 10.4.5.14
X-Ray Filtration (standard extended) 10.4.5.15
Mask N/A
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10.4 XA IMAGE -INFORMATION MODULE DEFINITIONS

each of the entities and modules contained within the XA Image Information Object.
The XA Image IOD described here is the one generated by the applications ‘Viewer’ of
Advantage Workstation 4.6, based on an original XA image.
AW 4.6 2D Multi-Modality Viewer base UID: 1.2.840.113619.2.247
Also note that elements not listed in following modules are ignored and not copied.
10.4.1 Patient Module

TABLE 10.4-1 PATIENT MODULE
Patient's Name (0010,0010) 2 Copy from original
Patient ID (0010,0020) 2 Copy from original
Issuer of Patient ID (0010,0021) 3 Copy from original
Issuer of Patient ID Qualifiers (0010,0024) 3 Copy from original
Sequence
Patient's Birth Date (0010,0030) 2 Copy from original
Patient's Sex (0010,0040) 2 Copy from original
Other Patient Ids (0010,1000) 3 Copy from original
Other Patient Ids Sequence (0010,1002) 3 Copy from original
10.4.2 Study Modules

TABLE 10.4-2 GENRAL STUDY MODULE
Study Instance UID (0020,000D) 1 Copy from original
Study Date (0008,0020) 2 Copy from original
Study Time (0008,0030) 2 Copy from original
Referring Physician's Name (0008,0090) 2 Copy from original
Study ID (0020,0010) 2 Copy from original
Accession Number (0008,0050) 2 Copy from original
Study Description (0008,1030) 3 Copy from original
Name of Physician(s) Reading (0008,1060) 3 Copy from original
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Study
Referenced Study Sequence (0008,1110) 3 Copy from original if present, not
present otherwise
>Referenced SOP Class UID (0008,1150) 1 Copy from original
>Referenced SOP instance UID (0008,1155) 1 Copy from original

Procedure Code Sequence (0008,1032) 3 Copy from original if present, not
present otherwise
>Code Value (0008,0100) 1C Copy from original
>Coding Scheme Designator (0008,0102) 1C Copy from original
>Code Meaning (0008,0104) 1C Copy from original

TABLE 10.4-3 PATIENT STUDY MODULE
Patient's Age (0010.1010) 3 Copy from original
Patient's Size (0010,1020) 3 Copy from original
Patient's Weight (0010,1030) 3 Copy from original
Admission ID (0038,0010) 3 Copy from original
10.4.3 Series Module

TABLE 10.4-4 SERIES MODULE
Modality (0008,0060) 1 Copy from original
Series Number (0020,0011) 2 Copy from original, in generation
mode of one XA processed series per
original series
Or
the value of the DICOM field
(0020,0013) 'Instance Number' of the
original image, in generation mode of
one XA processed series per original
image
Performing Physicians' Name (0008,1050) 3 Copy from original
Protocol Name (0018,1030) 3 Copy from original, in generation
mode of one XA processed series per
original series
Or
the value of the DICOM field
(0020,4000) ‘Image Comments’ of the
original image, in generation mode of
one XA processed series per original
image
Series Description (0008,103E) 3 "Processed:" followed by original series
description. Eventually truncated to 64
chars. , in generation mode of one XA
processed series per original series
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Or
“Processed: “ followed by the value of
the DICOM field (0020,4000) ‘Image
Comments’ of the original image, in
generation mode of one XA processed
series per original image
Operators' Name (0008,1070) 3 Current user's name
Patient Position (0018,5100) 3 Copy from original
Request Attributes Sequence (0040,0275) 3 Copy from original if present, not
present otherwise
>Requested Procedure ID (0040,1001) 1C Copy from original if present, not
present otherwise
>Requested Procedure (0032,1060) 3 Copy from original
Description
>Requested Procedure Code (0032,1064) 3 Copy from original if present, not
Sequence present otherwise
>>Code Value (0008,0100) 1C Copy from original
>>Coding Scheme Designator (0008,0102) 1C Copy from original
>>Code Meaning (0008,0104) 1C Copy from original
>Scheduled Procedure Step ID (0040,0009) 1C Copy from original if present, not
present otherwise
>Scheduled Procedure Step (0040,0007) 3 Copy from original
Description
>Scheduled Protocol Code (0040,0008) 3 Copy from original if present, not
Sequence present otherwise
>>Code Value (0008,0100) 1C Copy from original
>>Coding Scheme Designator (0008,0102) 1C Copy from original
>>Code Meaning (0008,0104) 1C Copy from original
10.4.4 Equipement Module

The following Equipment IE Module is common to all Composite Image IODs that
reference the Equipment IE.
TABLE 10.4-4 EQUIPMENT MODULE

Manufacturer (0008,0070) 2 Copy from original
Institution Name (0008,0080) 3 Copy from original
Institution Address (0008,0081) 3 Copy from original
Station Name (0008,1010) 3 Copy from original
Manufacturer's Model Name (0008,1090) 3 Copy from original
Device Serial Number (0018,1000) 3 Copy from original
Software versions (0018,1020) 3 Copy from original
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10.4.5 Image Modules
This section specifies the Attributes that describe the Image Entity Modules.
10.4.5.1 General Image Module

TABLE 10.4-5 GENERAL IMAGE MODULE
Instance Number (0020,0013) 2 Copy from original
Patient Orientation (0020,0020) 2C Copy from original if same number of
frames than original,
calculated otherwise
Content Date (0008,0023) 2C Copy from original
Content Time (0008,0033) 2C Copy from original
Image Type (0008,0008) 3 "DERIVED\SECONDARY\SINGLE PLANE"
or
"DERIVED\SECONDARY\BIPLANE A"
or
"DERIVED\SECONDARY\BIPLANE B"
Eventually followed by:

- “DISTORTION FREE”, if the fourth field
of original image is equal to
“DISTORTION FREE”,
- “IMAGE PASTING”, if the fourth field
of original image is equal to “IMAGE
PASTING”
Acquisition Date (0008,0022) 3 Copy from original
Acquisition Time (0008,0032) 3 Copy from original
Referenced Image Sequence (0008,1140) 3 Not present in case of single plane
>Referenced SOP class UID (0008,1150) 1C SOP Class UID of the derived other
plane of a biplane pair
>Referenced SOP instance (0008,1155) 1C Instance UID of the derived other
UID plane of a biplane pair
>Purpose of Referenced Code (0040,A170) 3 Generated
Sequence
>>Code Value (0008,0100) 1C "121314"

>>Coding Scheme Designator (0008,0102) 1C "DCM"
>>Code meaning (0008,0104) 1C "Other image of biplane pair"

Source Image Sequence (0008,2112) 3 Generated
>Referenced SOP class UID (0008,1150) 1C SOP class UID of the original XA image
>Referenced SOP instance (0008,1155) 1C Instance UID of the original XA image

UID
> Referenced Frame Number (0008,1160) 1C Not present
Image Comments (0020,4000) 3 Copy from original
Burned In Annotation (0028,0301) 3 Copy from original
Lossy Image Compression (0028,2110) 3 Copy from original
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10.4.5.2 Image Pixels Module

TABLE 10.4-6 IMAGE PIXELS MODULE
Samples per Pixel (0028,0002) 1 Copy from original
Photometric Interpretation (0028,0004) 1 Copy from original
Rows (0028,0010) 1 Copy from original

Columns (0028,0011) 1 Copy from original
Bits Allocated (0028,0100) 1 Copy from original
Bits Stored (0028,0101) 1 Copy from original
High Bit (0028,0102) 1 Copy from original
Pixel Representation (0028,0103) 1 Copy from original
Pixel Data (7FE0,0010) 1 Derived from original pixel data
10.4.5.3 Contrast Bolus Module

This module is not present in generated image if it is not present in original one.
TABLE 10.4-7 CONTRAST BOLUS MODULE

Contrast/Bolus Agent (0018,0010) 2 Copy from original
10.4.5.4 Cine Module

TABLE 10.4-8 CINE MODULE

Frame Time (0018,1063) 1C Copy from original if present, not
present otherwise
Frame Time Vector (0018,1065) 1C If present in original image:
- Copy from original if same
number of frames than
original,
- subset of original otherwise
If not present in original image:
Not Present
Start Trim (0008,2142) 3 Copy from original if same number of
set to 1 otherwise
Stop Trim (0008,2143) 3 Copy from original if same number of
set to number of frames (0028,0008)
otherwise
Recommended Display Frame (0008,2144) 3 Copy from original
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Rate
Cine Rate (0018,0040) 3 Copy from original

Frame Delay (0018,1066) 3 Copy from original if same number of
based on original otherwise
10.4.5.5 Multi Frame Module

TABLE 10.4-9 MULTI-FRAME MODULE
Number Of Frames (0028,0008) 1C Set to number of opacified images,
otherwise copy of original (if no mask)
Frame Increment Pointer (0028,0009) 1C Copy from original

Note: if number of frames different
than original, and if Frame Increment
Pointer is (0018,1063), keep pointer to
(0018,1063) Frame Time value.
10.4.5.6 Frame Pointers Module

TABLE 10.4-10 FRAME POINTERS MODULE
Representative Frame (0028,6010) 3 Copy from original if same number of
Number frames than original,
(new value = old value - first opacified
frame number) otherwise
10.4.5.7 X-Ray Image Module

TABLE 10.4-11 X-RAY IMAGE MODULE
Frame Increment Pointer (0028,0009) 1C Copy from original
Lossy Image Compression (0028,2110) 1C Copy from original
Image Type (0008,0008) 3 "DERIVED\SECONDARY\SINGLE PLANE"

or
"DERIVED\SECONDARY\BIPLANE A"
or
"DERIVED\SECONDARY\BIPLANE B"
Eventually followed by:

- “DISTORTION FREE”, if the fourth field
of original image is equal to
“DISTORTION FREE”,
- “IMAGE PASTING”, if the fourth field
of original image is equal to “IMAGE
PASTING”
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Pixel Intensity Relationship (0028,1040) 1 "DISP"
Samples per Pixel (0028,0002) 1 Copy from original

Photometric Interpretation (0028,0004) 1 Copy from original
Bits Allocated (0028,0100) 1 Copy from original

Bits Stored (0028,0101) 1 Copy from original
High Bit (0028,0102) 1 Copy from original
Pixel Representation (0028,0103) 1 Copy from original
Scan Options (0018,0022) 3 Copy from original
Referenced Image Sequence (0008,1140) 1C Not present in case of single plane
>Referenced SOP class UID (0008,1150) 1C SOP Class UID of the derived other
plane of a biplane pair
>Referenced SOP instance (0008,1155) 1C Instance UID of the derived other
UID plane of a biplane pair
>Purpose of Referenced Code (0040,A170) 3 See below
Sequence
>>Code Value (0008,0100) 1C "121314"

>>Coding Scheme Designator (0008,0102) 1C "DCM"
>>Code meaning (0008,0104) 1C "Other image of biplane pair"

Calibration Image (0050,0004) 3 Copy from original
10.4.5.8 X-Ray Acquisition Module

TABLE 10.4-12 X-RAY ACQUISITION MODULE
KVP (0018,0060) 2 Copy from original
Radiation Setting (0018,1155) 1 Copy from original
X-Ray Tube Current (0018,1151) 2C Copy from original
Exposure Time (0018,1150) 2C Copy from original
Exposure (0018,1152) 2C Copy from original
Grid (0018,1166) 3 Copy from original
Average Pulse Width (0018,1154) 3 Copy from original
Radiation Mode (0018,115A) 3 Copy from original
Intensifier Size (0018,1162) 3 Copy from original
Field of View Shape (0018,1147) 3 Copy from original
Field of View Dimension(s) (0018,1149) 3 Copy from original
Focal Spot (0018,1190) 3 Copy from original

Image and Fluoroscopy Area (0018,115E) 3 Copy from original
Dose Product
10.4.5.9 X-Ray Collimator Module

TABLE 10.4-13 X-RAY COLLIMATOR MODULE

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Collimator Shape (0018,1700) 1 Copy from original
Collimator Left Vertical Edge (0018,1702) 1C Copy from original
Collimator Right Vertical Edge (0018,1704) 1C Copy from original
Collimator Upper Horizontal (0018,1706) 1C Copy from original

Edge
Collimator Lower Horizontal (0018,1708) 1C Copy from original
Edge
10.4.5.10 X-Ray Table Module

TABLE 10.4-14 X-RAY TABLE MODULE

Table Motion (0018,1134) 2 Copy from original
Table Vertical Increment (0018,1135) 2C Copy from original if same number of
Table Longitudinal Increment (0018,1137) 2C Copy from original if same number of
Table Lateral Increment (0018,1136) 2C Copy from original if same number of
Table Angle (0018,1138) 3 Copy from original
10.4.5.11 XA Positioner Module

TABLE 10.4-15 XA POSITIONER MODULE
Distance Source To Patient (0018,1111) 3 Copy from original if same number of
Distance Source To Detector (0018,1110) 3 Copy from original if same number of
Estimated Radiographic (0018,1114) 3 Copy from original
Magnification Factor
Positioner Motion (0018,1500) 2C Copy from original
Positioner Primary Angle (0018,1510) 2 Copy from original if same number of
Positioner Secondary Angle (0018,1511) 2 Copy from original if same number of
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Positioner Primary Angle (0018,1520) 2C If present in original image:
Increment - Copy from original if same
original,
- based on original otherwise
Not Present
Positioner Secondary Angle (0018,1521) 2C If present in original image:
Increment - Copy from original if same
original,
- based on original otherwise
Not Present
10.4.5.12 DX Detector Module

TABLE 10.4-16 DX DETECTOR MODULE

Detector Type (0018,7004) 2 Copy from original
Field of View Shape (0018,1147) 3 Copy from original
Field of View Dimension(s) (0018,1149) 3 Copy from original
Field of View Origin (0018,7030) 1C Copy from original if present, not

present otherwise
Field of View Rotation (0018,7032) 1C Copy from original if present, not
present otherwise
Field of View Horizontal Flip (0018,7034) 1C Copy from original if present, not
present otherwise
Imager Pixel Spacing (0018,1164) 3 Copy from original
10.4.5.13 VOI Lut Module

TABLE 10.4-17 VOI LUT MODULE
Window Center (0028,1050) 3 current one
Window Width (0028,1051) 3 current one

TABLE 10.4-18 SOP COMMON MODULE
Sop Class UID (0008,0016) 1 XA SOP class UID
Sop Instance UID (0008,0018) 1 Generated
Specific Character Set (0008,0005) 1C Copy from original
Instance Number (0020,0013) 2 Copy from original
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10.4.5.15 X-Ray Filtration Module (standard extended)

TABLE 10.4-19 X-RAY FILTRATION MODULE
Filter Type (0018,1160) 3 Copy from original
10.5 XA IMAGE-PRIVATE DATA DICTIONARY

Table 10.5-1 PRIVATE CREATOR IDENTIFICATION: DLX_SERIE_01
Attribute Name Tag VR VM Type

adx acq mode (0019,xx14) IS 1 3
ip address (0019,xx20) LO 1 3
Lambda cm pincushion distortion (0019,xx24) DS 1 3
Slope LV regression (0019,xx25) DS 1 3
Intercept LV regression (0019,xx26) DS 1 3
table vertical position (0019,xx21) DS 1 3
table longitudinal position (0019,xx22) DS 1 3
table lateral position (0019,xx23) DS 1 3
angle value 1 (0019,xx01) DS 1 3
user spatial filter strength (0019,xx17) IS 1 3
Table 10.5-2 PRIVATE CREATOR IDENTIFICATION: GEMS_DL_IMG_01

patient orientation vector (0019,xxBF) CS 2-2N 3
patient position per image (0019,xxC7) CS 1 3
Acquisition plane (0019,xxDE) CS 1 3
contrast bolus ingredient relative absorption (0019,xxE0) FL 1 3
auto injection enabled (0019,xxA4) CS 1 3
injection phase (0019,xxA5) CS 1 3
injection delay (0019,xxA6) DS 1 3
reference injection frame number (0019,xxA7) IS 1 3
recommended display frame rate float (0019,xxB8) FL 1 3
fov dimension double (0019,xx0B) DS 1-2 3
Distance Object to Table Top (0019,xx2B) FL 1 3
detector gain (0019,xx34) DS 1 3
image detector rotation angle (0019,xx92) DS 1 3
image flip (0019,xx95) CS 2 3
can downscan 512 (0019,xxAA) CS 1 3
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Acquisition Mode Description (0019,xxB1) LO 1 3
Acquisition Mode Display Label (0019,xxB2) LO 1 3
Acquisition Protocol User Name (0019,xxB3) LO 1 3
Acquisition Region (0019,xxBA) CS 1 3
Acquisition SUB mode (0019,xxBB) CS 1 3
preselected pivot rotation speed (0019,xxC5) FL 1 3
detection gain value (0019,xxD4) FL 1 3
mR mAs calibration value (0019,xxD5) FL 1 3
DRM LUT file name (0019,xxDC) LO 1 3
DRM Strength (0019,xxDD) DS 1-N 3
Table Tilt Angle First frame (0019,xxEE) FL 1 3
table rotation angle (0019,xxEA) FL 1 3
table cradle angle (0019,xxBC) FL 1 3
table rotation status vector (0019,xxBD) CS 1-N 3
table rotation angle increment (0019,xxC3) FL 1-N 3
Table X Position to Isocenter (0019,xxEB) FL 1 3
Table Y Position to Isocenter (0019,xxEC) FL 1 3
Table Z Position to Isocenter (0019,xxED) FL 1 3
Table X Position to Isocenter increment (0019,xxD7) FL 1-N 3
Table Y Position to Isocenter increment (0019,xxD8) FL 1-N 3
Table Z Position to Isocenter increment (0019,xxD9) FL 1-N 3
Table Head Tilt Angle increment (0019,xxDA) FL 1-N 3
Table Cradle Tilt Angle increment (0019,xxDB) FL 1-N 3
angle 1 increment (0019,xx97) DS 1-N 3
SID vector (0019,xxBE) FL 1-N 3
SOD vector (0019,xxE9) FL 1-N 3
spectral filter thickness (0019,xxC4) IS 1 3
default spatial filter family (0019,xx31) IS 1 3
default spatial filter strength (0019,xx32) IS 1 3
current spatial filter strength (0019,xxAB) IS 1 3
applicable review mode (0019,xx9D) CS 1 3
log lut control points (0019,xx9E) DS 1-N 3
exp lut SUB control points (0019,xx9F) DS 1-N 3
ABD value (0019,xxA0) DS 1 3
sub window center (0019,xxA1) DS 1 3
sub window width (0019,xxA2) DS 1 3
exp lut NOSUB control points (0019,xxAD) DS 1-N 3
SUB operator LUTs names (0019,xxAE) LO 1-N 3
current spatial filter strength (0019,xxAB) IS 1 3
Table 10.5-3 PRIVATE CREATOR IDENTIFICATION: GEMS_DL_STUDY_01
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study dose (0015,xx80) DS 1 3
study total dap (0015,xx81) DS 1 3
study fluoro dap (0015,xx82) DS 1 3
study fluoro time (0015,xx83) IS 1 3
study record dap (0015,xx84) DS 1 3
study record time (0015,xx85) IS 1 3
Study dose Frontal (0015,xx92) FL 1 3
Study total dap Frontal (0015,xx93) FL 1 3
study fluoro dap frontal (0015,xx94) FL 1 3
study fluoro time frontal (0015,xx95) IS 1 3
study record dap frontal (0015,xx96) FL 1 3
study record time frontal (0015,xx97) IS 1 3
study dose lateral (0015,xx98) FL 1 3
study total dap lateral (0015,xx99) FL 1 3
study fluoro dap lateral (0015,xx9A) FL 1 3
study fluoro time lateral (0015,xx9B) IS 1 3
study record dap lateral (0015,xx9C) FL 1 3
study record time lateral (0015,xx9D) IS 1 3
Table 10.5-4 PRIVATE CREATOR IDENTIFICATION: GEMS_FUNCTOOL_01

Bias (0051,xx03) SL 1 3
Scale (0051,xx04) FL 1 3
Table 10.5-5 PRIVATE CREATOR IDENTIFICATION: GEMS_IDEN_01

Full Fidelity (0009,xx01) LO 1 3
Suite id (0009,xx02) SH 1 3
Product ID (0009,xx04) SH 1 3
Image actual date (0009,xx27) SL 1 3
Unique Service ID from config file (0009,xx30) SH 1 3
Mobile Location Number (0009,xx31) SH 1 3
Equipment UID (0009,xxE3) UI 1 3
Genesis version - now - 09 (0009,xxE6) SH 1 3
Exam record checksum (0009,xxE7) UL 1 3
Series suite id (0009,xxE8) SH 1 3
Actual series data time stamp (0009,xxE9) SL 1 3
Table 10.5-6 PRIVATE CREATOR IDENTIFICATION: GEMS_IMPS_01
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Version of the hdr struct (0029,xx26) SS 1 3
Advantage comp. Overflow (0029,xx34) SL 1 3
Advantage comp. Underflow (0029,xx35) SL 1 3
Table 10.5-7 PRIVATE CREATOR IDENTIFICATION: GEMS_PARM_01

Decon kernel parameters (0043,xx13) SS 5 3
Table 10.5-8 PRIVATE CREATOR IDENTIFICATION: GEMS_RELA_01

Series from which Prescribed (0021,xx03) SS 1 3
Genesis version - now - 21 (0021,xx05) SH 1 3
Series record checksum (0021,xx07) UL 1 3
Screen Format (0021,xx37) SS 1 3
Table 10.5-9 PRIVATE CREATOR IDENTIFICATION: GEMS_SERS_01

Images in Series (0025,xx07) SL 1 3
Last image number used (0025,xx19) SL 1 3
Primary Receiver Suite and Host (0025,xx1A) SH 1 3
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11. PRIVATE OBJECT INFORMATION OBJECT IMPLEMENTATION
11.1 INTRODUCTION
AW4.6 supports the following DICOM Private Objects:
 GE Private 3D Model Objects, described in the AW VXTL DCS, see 1.6 - References
 GE private DICOM NM images, described in the GENIE DCS, see 1.6 - References
 GE private DICOM PET images, described in the ADV DCS, see 1.6 - References
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12. XA DOWNSCAN INFORMATION OBJECT IMPLEMENTATION
12.1 INTRODUCTION
This section specifies the modifications of XA images produced by this implementation
during the downscan processing. This processing consists in modifying an existing GE XA
8bit image to reduce the resolution of an X-Ray 8bit image to 512x512.
12.2 XA ENTITY-RELATIONSHIP MODEL

The Entity-Relationship diagram for the XA Image interoperability schema is shown in

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ILLUSTRATION 12.2-1
XA IMAGE ENTITY RELATIONSHIP DIAGRAM
Patient
1
is
the subject
of
1,n
Study
contains
1,n
Series
creates
1,n
1 1
Equipment contains
0,n
XA Image
12.2.1 Entity Descriptions

Please refer to DICOM Standard Part 3 (Information Object Definitions) for a full
description of each of the entities contained within the XA Information Object.

TABLE 12-1
MAPPING OF DICOM ENTITIES TO ADVANTAGE WORKSTATION 4.6 ENTITIES
Patient Patient
Study Exam
Series Series
Image Image
12.3 XA- DOWNSCAN IOD

The conditions to apply the downscan processing are indicated in 3.4.1.1.2.
The modifications that are done to the XA image during the downscan processing are
listed in the following tables, the other fields are copied as is, no IOD module explicitly
defined for those fields.
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TABLE 12-2
XA DOWNSCAN IMAGE DOCUMENT IOD MODULES
Patient Patient Information 12.3.1
Series General Series 12.3.3
Image Image Pixels 12.3.4
Display Shutter 12.3.10
X-Ray Acquisition 12.3.7
X-Ray Collimator 12.3.9
DX Detector 12.3.8
SOP Common 12.3.5
Frame Pixel Shift Macro 12.3.6
Private Module for GEMS_DL_IMG_01 12.3.11
Private Module for DLX_SERIE_01 12.3.12
Private Module for GEMS_DL_FRAME_01 12.3.13
12.3.1 Patient Module

Attribute Name Tag VR VM Downscan image description
Patient's Name (0010,0010) PN 1 Copied
Patient ID (0010,0020) LO 1 Copied
Issuer of Patient ID (0010,0021) LO 1 Not filled
Issuer of Patient ID Qualifiers Sequence (0010,0024) SQ 1 Not filled
Patient's Birth Date (0010,0030) DA 1 Copied
Patient’s Birth Time (0010,0032) TM 1 Copied
Patient's Sex (0010,0040) CS 1 Copied
Other Patient IDs (0010,1000) LO 1-N Copied

Study Instance UID (0020,000D) UI 1 Copied
Study Date (0008,0020) DA 1 Copied
Study Time (0008,0030) TM 1 Copied
Accession Number (0008,0050) SH 1 Copied
Referring Physician's Name (0008,0090) PN 1 Copied
Study Description (0008,1030) LO 1 Copied
Study ID (0020,0010) SH 1 Copied
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Patient's Age (0010,1010) AS 1 Copied
Patient's Size (0010,1020) DS 1 Copied
Patient's Weight (0010,1030) DS 1 Copied
Admission ID (0038,0010) LO 1 Copied
12.3.3 General Series Module

Referenced Performed Procedure Step (0008,1111) SQ 1
Removed
Sequence
Series Instance UID (0020,000E) UI 1 Generated with root UID: 1.2.840.113619.2.286
Performed Procedure Step ID (0040,0253) SH 1 Removed
Performed Procedure Step Start Date (0040,0244) DA 1 Removed
Performed Procedure Step Start Time (0040,0245) TM 1 Removed
Performed Procedure Step Description (0040,0254) LO 1 Removed
Performed Protocol Code Sequence (0040,0260) SQ 1 Removed
12.3.4 Image Pixels Module

Rows (0028,0010) IS 1 512
Columns (0028,0011) IS 1 512
Pixel Length (7FE0,0000) LO 1 This group length depends of the transfer syntax
and of the length of the pixel data
Pixel Data (7FE0,0010) OB 1 Updated to match new size of 512x512
12.3.5 SOP Common Module

SOP Instance UID (0008,0018) UI 1 Copied from 0019, xx29, GEMS_DL_IMG_01
or Generated with root UID: 1.2.840.113619.2.286
12.3.6 Frame Pixel Shift Macro Module

Mask Sub-pixel Shift (0028,6114) FL 2 Updated to match new size of 512x512
Note: This attribute is found in an item of the
Mask Substraction sequence (0028,6100).
12.3.7 X-RAY Acquisition Module

FOV Dimension(s) (0018,1149) IS 2 No change (both Horizontal and Vertical
dimensions)
Imager Pixel Spacing (0018,1164) DS 2 Updated to match new size of 512x512
12.3.8 DX Detector Module

FOV Origin (0018,7030) DS 2 Updated to match new size of 512x512
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12.3.9 X-RAY Collimator Module
Collimator Left Vertical Edge (0018,1702) IS 1 Updated to match new size of 512x512
Collimator Right Vertical Edge (0018,1704) IS 1 Updated to match new size of 512x512
Collimator Upper Horizontal Edge (0018,1706) IS 1 Updated to match new size of 512x512
Collimator Lower Horizontal Edge (0018,1708) IS 1 Updated to match new size of 512x512
Center of Circular Collimator (0018,1710) IS 2 Updated to match new size of 512x512
Radius of Circular Collimator (0018,1712) IS 1 Updated to match new size of 512x512
Vertices of the Polygonal Collimator (0018,1720) IS 2-
Updated to match new size of 512x512
2n
12.3.10 Display Shutter Macro Module

Shutter Left Vertical Edge (0018,1602) IS 1 Updated to match new size of 512x512
Shutter Right Vertical Edge (0018,1604) IS 1 Updated to match new size of 512x512
Shutter Upper Horizontal Edge (0018,1606) IS 1 Updated to match new size of 512x512
Shutter Lower Horizontal Edge (0018,1608) IS 1 Updated to match new size of 512x512
Center of Circular Shutter (0018,1610) IS 2 Updated to match new size of 512x512
Note: This attribute is not present in actual DL
images, see Notes for DL images.
Radius of Circular Shutter (0018,1612) IS 1 Updated to match new size of 512x512
Note: This attribute is not present in actual DL
Vertices of the Polygonal Shutter (0018,1620) IS 2- Updated to match new size of 512x512
2n Note: This attribute is not present in actual DL
Note: An image is DL image if Manufacturer (0008,0070) is “GE MEDICAL SYSTEMS” and the
Manufacturer’s Model Name (0008,1090) is “DL”
12.3.11 Private Module for GEMS_DL_IMG_01

Attribute Name Tag Private Creator VR VM Downscan image description
Calibration Factor (0019,xx84) GEMS_DL_IMG_01 FL 1 Removed
Calibration Accuracy (0019,xx87) GEMS_DL_IMG_01 US 1 Removed
Calibration Points Row (0019,xx8C) GEMS_DL_IMG_01 US 1-n Removed
Calibration Points (0019,xx8D) GEMS_DL_IMG_01 US 1-n
Removed
Column
Can Dowsncan 512 (0019,xxAA) GEMS_DL_IMG_01 CS 1 NO
fov_dim_double (0019,xx0B) GEMS_DL_IMG_01 DS 2 No change (both Horizontal and Vertical
dimensions)
Detector Origin (0019,xx4B) GEMS_DL_IMG_01 IS 2 Updated to match new size of 512x512
12.3.12 Private Module for DLX_SERIE_01

X Zoom (0019,xx19) DLX_SERIE_01 IS 1 Updated to match new size of 512x512
Y Zoom (0019,xx1A) DLX_SERIE_01 IS 1 Updated to match new size of 512x512
12.3.13 Private Module for GEMS_DL_FRAME_01

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FOV Origin (0025,xx33) GEMS_DL_FRAME_01 IS 2 Updated to match new size of 512x512
frame_sequence sequence
(0025,xx0A,GEMS_DL_FRAME_01).
FOV Dimensions (0025,xx30) GEMS_DL_FRAME_01 IS 2 No change (both Horizontal and Vertical
dimensions)
Collimator Left Vertical (0025,xx34) GEMS_DL_FRAME_01 IS 1 Updated to match new size of 512x512
Edge Note: This attribute is found in an item of the
Collimator Right Vertical (0025,xx35) GEMS_DL_FRAME_01 IS 1
Edge
Collimator Upper (0025,xx36) GEMS_DL_FRAME_01 IS 1 Note: This attribute is found in an item of the
Horizontal Edge frame_sequence sequence

Collimator Lower (0025,xx37) GEMS_DL_FRAME_01 IS 1 Note: This attribute is found in an item of the
Horizontal Edge frame_sequence sequence

Vertices of the Polygonal (0025,xx38) GEMS_DL_FRAME_01 IS 2-2n Note: This attribute is found in an item of the
Collimator frame_sequence sequence
12.4 IMPLEMENTATION IDENTIFYING INFORMATION

The Implementation UID for this DICOM downscan implementation is:
AW Downscan Implementation UID 1.2.840.113619.2.286
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13. TOOL TO MODIFY FIRST AND LAST NAME OF PATIENTS
13.1 INTRODUCTION
This section describes the use of the tool that enables to modify the first and last
name of the selected study. This tool is available on AW4.6. This implementation is
intended to create new DICOM images from original DICOM images by removing and
modifying specific elements that will be listed in 13.3.
13.2 DESCRIPTION
This implementation is conformant to the Basic Application Level Confidentiality
Profile as a de-identifier (described in DICOM PS 3.15 – Annex E) but this conformance
does not guarantee a complete de-identification of the generated objects.
The user is invited to check that the created DICOM objects are conformant to local
regulations and hospital regulations.
In the following chapter, all UIDs except implementation class UID are generated
from AW4.6 Anonymous Maker base UID: 1.2.840.113619.2.248.
Please note that UID chaining will be maintained within the same session: i.e: if an
image references another image, the two anonymized images will still be correctly
referenced.
13.3 REAL WORLD ACTIVITY

The user is able to modify the Patient Name and Patient ID and to select the following
preferences when de-identifying a set of DICOM images.
 Keep or not Accession Number
 Keep or not Study ID
 Keep or not Institution Name
 Keep or not Study Description
 Keep or not Series Description
 Keep or not Protocol Name
 Keep or not Patient’s Sex
 Keep or not Patient’s Age
 Keep or not Patient’s Size, Patient’s Weight
 Keep the original dates or modify all dates relatively to a user defined
reference date
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Note: No option shall be kept in order to be compliant with the Basic Application
Level Confidentiality Profile Attributes modifications as indicated in DICOM PS
3.15 – Annex E.
13.4 PROCESSING OF IODS

The following IODs are processed:
CR Image Stotage 1.2.840.10008.5.1.4.1.1.1
Digital X-Ray Image Storage - For Presentation 1.2.840.10008.5.1.4.1.1.1.1
Digital X-Ray Image Storage - For Processing 1.2.840.10008.5.1.4.1.1.1.1.1
Digital Mammography X-Ray Image Storage - For 1.2.840.10008.5.1.4.1.1.1.2

Presentation
Digital Mammography X-Ray Image Storage - For 1.2.840.10008.5.1.4.1.1.1.2.1

Processing
CT Image Storage 1.2.840.10008.5.1.4.1.1.2
Ultrasound Multi-Frame Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.3
Ultrasound Multi-Frame Image Storage 1.2.840.10008.5.1.4.1.1.3.1
MR Image Storage 1.2.840.10008.5.1.4.1.1.4
Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1
Standalone Overlay Storage 1.2.840.10008.5.1.4.1.1.8
X-Ray Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.12.1
X-Ray Radiofluoroscopic Image Storage 1.2.840.10008.5.1.4.1.1.12.2
Nuclear Medecine Image Storage 1.2.840.10008.5.1.4.1.1.20
Positron Emission Tomography Image Storage 1.2.840.10008.5.1.4.1.1.128
RT Image Storage 1.2.840.10008.5.1.4.1.1.481.1
RT Structure Set Storage 1.2.840.10008.5.1.4.1.1.481.3
RT Plan Storage 1.2.840.10008.5.1.4.1.1.481.5
The following IODs are processed but a warning message is displayed to the user
when such an IOD is processed.
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Grayscale Softcopy Presentation State Storage 1.2.840.10008.5.1.4.1.1.11.1
The IODs containing the DICOM fields indicated in the table below are processed but
a warning message is displayed to the user.
Curves (50xx,xxxx)
Overlays (60xx,xxxx)
Note: A warning may also be displayed to the user when some private DICOM fields
generated by GE Medical Systems devices are present in the original IOD.
Note: Note: All other IODs are never processed:
TABLE 13-1
MODIFIED ATTRIBUTES DESCRIPTION
Attribute Name Tag Private Creator VR VM Description

Media SOP Instance (0002,0003) n/a UI 1 Generated from GE Based UID: <station
UID configuration> and timestamp
The generated UID is identical to the generated
SOP Instance UID
Implementation Class (0002,0012) n/a UI 1 1.2.840.113619.6.248
UID
Implementation (0002,0013) n/a SH 1 dynamically set through an environment
Version Name variable
Source AET (0002,0016) n/a AE 1 Removed attribute
Private Information (0002,0100) n/a UI 1 Removed attribute
Creator UID
Specific Character Set (0008,0005) n/a CS 1-N  If non present in the original image, and if
the new Patient Name contains non English
character(s), set to “ISO_IR 100”
Instance Creator UID (0008,0014) n/a UI 1 Removed attribute
SOP Instance UID (0008,0018) n/a UI 1 Generated from GE Based UID: <station
The generated UID is identical to the generated
Media SOP Instance UID
Accession Number (0008,0050) n/a SH 1 Following user preferences
 Original Value
 If present in the original image, set to an
empty value
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Institution Name (0008,0080) n/a LO 1 Following user preferences
 Original Value
empty value
Institution Address (0008,0081) n/a ST 1 Removed attribute
Referring Physician’s (0008,0090) n/a PN 1 If present in the original image, set to an empty
Name value
Referring Physician’s (0008,0092) n/a ST 1 Removed attribute
Address
Referring Physician’s (0008,0094) n/a SH 1-N Removed attribute
Telephone Numbers
Station Name (0008,1010) n/a SH 1 Removed attribute
Study Description (0008,1030) n/a LO 1 Following user preferences
 Original Value
empty value
Series Description (0008,103E) n/a LO 1 Following user preferences
 Original Value
 Removed Attribute
Institutional (0008,1040) n/a LO 1 Removed attribute
Department Name
Physician(s) of Record (0008,1048) n/a PN 1-N Removed attribute
Performing Physicians’ (0008,1050) n/a PN 1-N Removed attribute
Name
Name of Physician(s) (0008,1060) n/a PN 1-N Removed attribute
Reading Study
Operators’ Name (0008,1070) n/a PN 1-N present in the original image, set to an empty
value
Admitting Diagnoses (0008,1080) n/a LO 1-N Removed attribute
Description
Referenced SOP (0008,1155) n/a UI 1 Generated from GE Based UID: <station
Instance UID configuration> and timestamp
Derivation Description (0008,2111) n/a ST 1 Removed attribute
Patient’s Name (0010,0010) n/a PN 1 User defined value
Patient ID (0010,0020) n/a LO 1 Set to a random value for all images
Patient’s Birth Date (0010,0030) n/a DA 1 If present in the original image, set to an empty
value
Patient’s Birth Time (0010,0032) n/a TM 1 Removed attribute
Patient’s Sex (0010,0040) n/a CS 1 Following user preferences
 Original Value
empty value
Other Patient Ids (0010,1000) n/a LO 1-N Removed attribute
Other Patient Names (0010,1001) n/a PN 1-N Removed attribute
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Patient’s Birth Name (0010,1005) n/a PN 1 Removed attribute
Patient’s Age (0010,1010) n/a AS 1 Following the user preference
 Original Value
Patient’s Size (0010,1020) n/a DS 1 Following the user preference
 Original Value
Patient’s Weight (0010,1030) n/a DS 1 Following the user preference
 Original Value
Patient’s Address (0010,1040) n/a LO 1 Removed attribute
Patient’s Mother Birth (0010,1060) n/a PN 1 Removed attribute
Name
Military Rank (0010,1080) n/a LO 1 Removed attribute
Branch of Service (0010,1081) n/a LO 1 Removed attribute
Medical Record Locator (0010,1090) n/a LO 1 Removed attribute
Region of Residence (0010,2152) n/a LO 1 Removed attribute
Patient’s Telephone (0010,2154) n/a SH 1-N Removed attribute
numbers
Ethnic Group (0010,2160) n/a SH 1 Removed attribute
Occupation (0010,2180) n/a SH 1 Removed attribute
Additional Patient’s (0010,21B0) n/a LT 1 Removed attribute
History
Patient Comments (0010,4000) n/a LT 1 Removed attribute
Device Serial Number (0018,1000) n/a LO 1 If present in the original image, set to an empty
value
Protocol Name (0018,1030) n/a LO 1 Following the user preference
 Original Value
Study Instance UID (0020,000D) n/a UI 1 Generated from GE Based UID: <station
Series Instance UID (0020,000E) n/a UI 1 Generated from GE Based UID: <station
Study ID (0020,0010) n/a SH 1 Following user preferences
 Original Value
empty value
Frame of Reference (0020,0052) n/a UI 1 If present in the original image, generated from
UID GE Based UID: <station configuration> and
timestamp
Synchronization Frame (0020,0200) n/a UI 1 If present in the original image, generated from
of Reference UID GE Based UID: <station configuration> and
timestamp
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Image Comments (0020,4000) n/a LT 1 Removed attribute
Concatenation UID (0020,9161) n/a UI 1 If present in the original image, generated from
GE Based UID: <station configuration> and
timestamp
Dimension (0020,9164) n/a UI 1 If present in the original image, generated from
Organization UID GE Based UID: <station configuration> and
timestamp
Palette Color Lookup (0028,1199) n/a UI 1 If present in the original image, generated from
Table UID GE Based UID: <station configuration> and
timestamp
Requesting Physician (0032,1032) n/a PN 1 Removed attribute
Requesting Service (0032,1033) n/a LO 1 Removed attribute
Scheduled Performing (0040,0006) n/a PN 1 Removed attribute
Physician’s Name
Scheduled Station (0040,0010) n/a SH 1-N Removed attribute
Name
Scheduled Procedure (0040,0011) n/a SH 1 Removed attribute
Step Location
Performed Station (0040,0242) n/a SH 1 Removed attribute
Name
Performed Location (0040,0243) n/a SH 1 Removed attribute
Request Attributes (0040,0275) n/a SQ 1 Removed attribute
Sequence
Names of Intended (0040,1010) n/a PN 1-N Removed attribute
Recipients of Results
Order Entered By (0040,2008) n/a PN 1 Removed attribute
Order Enterer’s (0040,2009) n/a SH 1 Removed attribute
Location
Order Callback Phone (0040,2010) n/a SH 1 Removed attribute
Number
Scheduled Station (0040,4025) n/a SQ 1 Removed attribute
Name Code Sequence
Scheduled Station (0040,4027) n/a SQ 1 Removed attribute
Geographic Location
Code Sequence
Performed Station (0040,4030) n/a SQ 1 Removed attribute
Geographic Location
Code Sequence
Human Performer’s (0040,4036) n/a LO 1 Removed attribute
Organization
Human Performer’s (0040,4037) n/a PN 1 Removed attribute
Name
Verifying Observer’s (0040,A075) n/a PN 1 If present in the original image, set to an empty
Name value
Person Name (0040,A123) n/a PN 1 If present in the original image, set to an empty
value
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UID (0040,A124) n/a UI 1 If present in the original image, generated from
timestamp
Content Sequence (0040,A730) n/a SQ 1 Removed attribute
Presentation Creator’s (0070,0084) n/a PN 1 If present in the original image, set to an empty
Name value
Fiducial UID (0070,031A) n/a UI 1 If present in the original image, generated from
timestamp
Storage Media File-set (0088,0140) n/a UI 1 If present in the original image, generated from
UID GE Based UID: <station configuration> and
timestamp
Topic Author (0088,0910) n/a LO 1 If present in the original image, set to an empty
value
Digital Signature UID (0400,0100) n/a UI 1 If present in the original image, generated from
timestamp
Radiation Machine (3002,0020) n/a SH 1 If present in the original image, set to an empty
Name value
Referenced Frame of (3006,0024) n/a UI 1 If present in the original image, generated from
Reference UID GE Based UID: <station configuration> and
timestamp
ROI Interpreter (3006,00A6) n/a PN 1 If present in the original image, set to an empty
value
Related Frame of (3006,00C2) n/a UI 1 If present in the original image, generated from
Reference UID GE Based UID: <station configuration> and
timestamp
Dose Reference UID (300A,0013) n/a UI 1 If present in the original image, generated from
timestamp
Treatment Machine (300A,00B2) n/a SH 1 If present in the original image, set to an empty
Name value
Brachy Accessory (300A,0266) n/a LO 1 Removed attribute
Device Name
Source Applicator (300A,0294) n/a LO 1 Removed attribute
Name
Receiver Name (300E,0008) n/a PN 1 If present in the original image, set to an empty
value
Interpretation Recorder (4008,0102) n/a PN 1 Removed attribute
Interpretation (4008,010A) n/a PN 1 Removed attribute
Transcriber
Interpretation Author (4008,010C) n/a PN 1 If present in the original image, set to an empty
value
Physician Approving (4008,0114) n/a PN 1 Removed attribute
Interpretation
Distribution Name (4008,0119) n/a PN 1 Removed attribute
Distribution Address (4008,011A) n/a LO 1 Removed attribute
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Note: Fields which are used for DICOM encoding but have no semantics, for
example a group length field, may be also modified.
Note: GE Medical Systems Private fields are specifically managed. However, this
management is not described in this document.
Note: Unknown private and standard DICOM 2009 attributes are removed (see:
DICOM_2009 - ftp://medical.nema.org/medical/dicom/2009/).
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14. QUERY IMPLEMENTATION
14.1 ADVANTAGE WORKSTATION MAPPING OF DICOM ENTITIES

The Advantage Workstation maps DICOM Information Entities to local Information
Entities in the product’s database and user interface.
TABLE 14-1
MAPPING OF DICOM ENTITIES TO ADVANTAGE WORKSTATION ENTITIES
DICOM Advantage Workstation Entity
Patient Patient
Study Exam
Series Series
Image Image
14.2 INFORMATION MODEL KEYS

Please refer to DICOM Standard PS 3.4 (Service Class Specifications) for a description
of each of the levels contained within the Query/Retrieve Information Model.
14.2.1 Common Query Keys

The query key attributes specified in this section are used at all levels and in all
classes of query.
TABLE 14-2
Q/R COMMON RETRIEVE ATTRIBUTES
Attribute Name Tag Type SCU Use SCP Use
Specific Character Set (0008,0005) - See 14.2.1.1.1 See 14.2.1.1.1
Query Retrieve Level (0008,0052) - Set to level of query: Matched to level of query
STUDY
SERIES
IMAGE
Retrieve AE Title (0008,0054) - Attribute is not Always returned with AE
requested. Returned Title of <name of DICOM
value is not used. Server AE>
Storage Media File-set ID (0088,0130) - Attribute is not Not used.
requested. Returned
value is ignored
Storage Media File-set UID (0088,0140) - Attribute is not Not used.
requested. Returned
value is ignored
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14.2.1.1 Q/R Common Attribute Descriptions
If an optional key is requested that does not appear in any of the tables below, that
key will be ignored and no corresponding element will be returned.
If the database does not have a value corresponding to any requested optional key a
zero-length element will be returned.
Sequence matching is not supported.
The AE does not support Relational Search. Therefore, the C-FIND SCP will not
perform any extended negotiation.
The AE supports case-insensitive matching for the attributes of Value Representation

PN: Patient's Name (0010,0010).
14.2.1.1.1 Specific Character Set

As an SCU, the attribute Specific Character Set (0008,0005) will not be sent, unless a
patient or physician name is sent with a matching key that may include a non-ASCII
character; in that case, the extended character set identifier read from the local
DICOM entity will be sent. No non-ASCII characters may be entered from the console
keyboard. Query response item text attributes, including patient and physician
names, that include non-ASCII characters will be displayed as described in Section
2.7.
As an SCP, if the attribute Specific Character Set (0008,0005) is received the key
attributes will be converted to Unicode string and matching will be done in Unicode
format. Specific Character Set of the matching DICOM Object will be sent in Query
responses.
14.2.2 Study Level – Study Root

This section defines the keys at the Study Level of the Study Root Query/Retrieve
Information Model that are supported by this implementation.
TABLE 14-3
STUDY LEVEL ATTRIBUTES FOR THE STUDY ROOT
QUERY/RETRIEVE INFORMATION MODEL
Study Date (0008,0020) R* Matching is requested if Date Range matched
enabled in the current
filter.
Study Time (0008,0030) R* Matching is requested if Time Range matched
enabled in the current
filter.
Accession Number (0008,0050) R* Matching is requested if Matched. Both ? and *
enabled in the current matching supported with
filter. any occurrence.
Equality and wildchar
matching is supported
with <value>*, or
*<value>*.
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Study ID (0020,0010) R* Zero length. Only ASCII IDs are
matched correctly. Both ?
and * matching
supported with any
occurrence.
Patient's Name (0010,0010) R* Matching is requested if Matched. Case insensitive
enabled in the current ? and * matching
filter. supported with any
Equality and wildchar occurrence.
matching is supported ‘^’ and ‘ ‘ characters
with <value>*, or match themselves only,
*<value>*. that is ‘Smith^Joe’ in
See 2.3.1.2.2.3.1.1 for query does not matches
more information. ‘Smith Joe’ in the
database.
Patient ID (0010,0020) R* Matching is requested if Matched. Both ? and *
enabled in the current matching supported with
filter. any occurrence.
Equality and wildchar
matching is supported
with <value>*, or
*<value>*.
Study Instance UID (0020,000D) U Zero length Matched
Modalities in Study (0008,0061) O* Matching is requested if Mutiple value matching is
enabled in the current supported.
filter. Value multiplicity is No wildchar matching is
0-n. supported.
Referring Physician's (0008,0090) O* Zero length. Matched. Both ? and *
Name matching supported with
any occurrence.
Study Description (0008,1030) O* Zero length. This element is only
returned.
Patient's Birth Date (0010,0030) O Zero length. Not matched and not
returned.
Patient's Sex (0010,0040) O Zero length. This element is only
returned.
Note: * in the Type column indicates that this information is displayed on screen by
SCU, if available
14.2.3 Series Level

This section defines the keys at the Series Level of the Study Root Query/Retrieve
Information Models that are supported by this implementation.
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TABLE 14-4
SERIES LEVEL ATTRIBUTES FOR THE
Modality (0008,0060) R* Zero length. Matched. Both ? and *
matching supported with
any occurrence.
Series Number (0020,0011) R* Zero length. Matched. Both ? and *
matching supported with
any occurrence.
Series Instance UID (0020,000E) U Zero length. Matched
Series Description (0008,103E) O* Zero length. This element is only
returned.
SCU, if available
14.2.4 Image Level

This section defines the keys at the Image Level of the Patient Root and Study Root
Query/Retrieve Information Models that are supported by this implementation.
TABLE 14-5
IMAGE LEVEL ATTRIBUTES FOR THE
Instance Number (0020,0013) R* Zero length. Matched
SOP Instance UID (0008,0018) U Zero length. Matched
SOP Class UID (0008,0016) O Zero length. Matched
Rows (0028,0010) O* Zero length. Only returned for CT, MR,
NM, PT, RF, XA objects.
Columns (0028,0011) O* Zero length. Only returned for CT, MR,
NM, PT, RF, XA objects.
Number of Frames (0028,0008) O* Zero length. Only returned for NM, RF,
US, XA objects.
Content Label (0070,0080) O* Zero length. Matched and returned for
Presentation and
Registration objects.
Only ASCII strings are
and * matching
supported with any
occurrence.
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Content Description (0070,0081) O* Zero length. Matched and returned for
Presentation and
and * matching
supported with any
occurrence.
Presentation Creation (0070,0082) O* Zero length. Range matched and
Date returned for Presentation
objects.
Presentation Creation (0070,0083) O* Zero length. Range matched and
Time returned for Presentation
objects.
Presentation Creator’s (0070,0084) O Zero length. Matched and returned for
Name Presentation and
and * matching
supported with any
occurrence.
Completion Flag (0040,A491) O Zero length Matched and returned
only for Structured
Report objects.
Verification Flag (0040,A493) O Zero length Matched and returned
only for Structured
Report objects.
Content Date (0008,0023) O* Zero length. Range matched for
Returned for all objects.
Content Time (0008,0033) O* Zero length. Range matched for
Returned for all objects.
Image Comments (0020,4000) O* Zero length. This element is only
returned.
Slice Thickness (0018,0050) O* Zero length. Only returned for CT, MR
objects.
Spacing Between Slices (0018,0088) O* Zero length. Only returned for CT, MR
objects.
Gantry Detector Tilt (0018,1120) O* Zero length. Only returned for CT
objects.
Convolution Kernel (0018,1210) O* Zero length. Only returned for CT
objects.
Body Part Examined (0018,0015) O* Zero length. Only returned for MG
objects.
Repetition Time (0018,0080) O* Zero length. Only returned for MR
objects.
Echo Time (0018,0081) O* Zero length. Only returned for MR
objects.
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DIR 5404296-100 REV 2
Inversion Time (0018,0082) O* Zero length. Only returned for MR
objects.
Echo Number(s) (0018,0086) O* Zero length. Only returned for MR
objects.
Trigger Time (0018,1060) O* Zero length. Only returned for MR
objects.
Flip Angle (0018,1314) O* Zero length. Only returned for MR
objects.
Counts Source (0054,1002) O* Zero length. Only returned for PT
objects.
Image Index (0054,1330) O* Zero length. Only returned for PT
objects.
Recommended Display (0008,2144) O* Zero length. Only returned for RF
Frame Rate objects.
Radiation Setting (0018,1155) O* Zero length. Only returned for RF
objects.
Heart Rate (0018,1088) O* Zero length. Only returned for US
objects.
Operators Name (0008,1070) O* Zero length. Only returned for RT
objects.
RT Image Label (3002,0002) O* Zero length. Only returned for RT
objects.
RT Image Name (3002,0003) O* Zero length. Only returned for RT
objects.
Structure Set Label (3006,0002) O* Zero length. Only returned for RT
objects.
Structure Set Name (3006,0004) O* Zero length. Only returned for RT
objects.
RT Plan Label (300A,0002) O* Zero length. Only returned for RT
objects.
RT Plan Name (300A,0003) O* Zero length. Only returned for RT
objects.
Sequence Variant (0018,0021) O* Zero length. Not matched, not
returned.
Data Collection Diameter (0018,0090) O* Zero length. Not matched, not
returned.
Reconstruction Diameter (0018,1100) O* Zero length. Not matched, not
returned.
Image Orientation (0020,0037) O* Zero length. Not matched, not
(Patient) returned.
Slice Location (0020,1041) O* Zero length. Not matched, not
returned.
SCU, if available
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14.3 PRIVATE DATA ATTRIBUTES
The Product supports the Private Attributes defined in the following sections in Query
identifiers.
14.3.1 Private Group GEMS_DIRECT_CONNECT

Private Group GEMS_DIRECT_CONNECT is modeled at the Study / Series / Image
Query Level. It is requested in query and returned by SCP if the remote DICOM host is
declared with Direct Connect option locally.
TABLE 14-6
PRIVATE GROUP GEMS_DIRECT_CONNECT
Attribute Name Tag VR VM Attribute Description and Use
Private Creator Identification (0055,00xx) LO 1 Always filled with
GEMS_DIRECT_CONNECT
Patient Folder Path (0055,xx01) UT 1 Relative path of the patient’s folder on
the shared drive.
Study Folder Path (0055,xx02) UT 1 Relative path of the study’s folder on the
shared drive.
Series Folder Path (0055,xx03) UT 1 Relative path of the series’s folder on
the shared drive.
Image Folder Path (0055,xx04) UT 1 Relative path of the image’s folder on
the shared drive.
Database Id (0055,xx05) ST 1 The identifier of the database.
188

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Volume Share 5– Advantage Workstation 4.6

Copyright 2011 by General Electric Co.

THIS PAGE LEFT INTENTIONALLY BLANK

Table 0.1 provides an overview of the network services supported by AW4.6.

Table 0.1 – NETWORK SERVICES

Table 0.2 - MEDIA SERVICES

1. INTRODUCTION ................................................................................................................ 11

1.1 Overview ................................................................................................................................................................... 11

1.2 Overall DICOM Conformance Statement Document Structure .......................................................................... 13

1.3 Intended Audience ................................................................................................................................................... 14

1.4 Scope and Field of Application ............................................................................................................................... 14

1.5 Important Remarks ................................................................................................................................................. 15

1.6 References ................................................................................................................................................................ 15

1.7 Definitions ................................................................................................................................................................ 16

1.8 Symbols and Abbreviations .................................................................................................................................... 17

2. NETWORK CONFORMANCE STATEMENT ........................................................................... 20

2.1 Introduction.............................................................................................................................................................. 20

2.2 Implementation Model ............................................................................................................................................ 20

2.3 AE Specifications...................................................................................................................................................... 27

2.4 Communication Profiles.......................................................................................................................................... 59

2.5 Extensions / Specializations/ Privatizations ......................................................................................................... 59

2.6 Configuration ........................................................................................................................................................... 60

2.7 Support of Extended Character Sets ..................................................................................................................... 62

2.8 Codes and Controlled Terminology ....................................................................................................................... 62

2.9 Security Profiles ....................................................................................................................................................... 62

3. MEDIA STORAGE CONFORMANCE STATEMENT .................................................................. 64

3.1 INTRODUCTION ........................................................................................................................................................ 64

3.2 IMPLEMENTATION MODEL ...................................................................................................................................... 64

3.4 Augmented and Private Application Profiles ....................................................................................................... 73

3.6 CONFIGURATION...................................................................................................................................................... 76

3.7 SUPPORT OF EXTENDED CHARACTER SETS ........................................................................................................... 76

4. STORAGE COMMITMENT PUSH MODEL IMPLEMENTATION................................................. 77

5. BASIC DIRECTORY INFORMATION OBJECT IMPLEMENTATION ........................................... 79

5.1 IOD Module Table .................................................................................................................................................... 79

5.2 Information Module Definitions ............................................................................................................................. 79

6. PRINT MANAGEMENT SOP CLASS DEFINITION ................................................................... 91

6.1 INTRODUCTION ........................................................................................................................................................ 91

6.2 Print management SOP class definitions .............................................................................................................. 91

7. SC INFORMATION OBJECT IMPLEMENTATION ................................................................. 109

7.1 introduction............................................................................................................................................................ 109

7.2 SC Entity-Relationship Model ............................................................................................................................... 109

7.3 SC-IOD MODULE TABLE ......................................................................................................................................... 110

7.4 SC-INFORMATION MODULE DEFINITIONS ........................................................................................................... 111

7.5 SC-PRIvate data dictionary .................................................................................................................................. 122

8. ENHANCED SR INFORMATION OBJECT IMPLEMENTATION ............................................... 125

8.1 Introduction............................................................................................................................................................ 125

8.2 ENHANCED SR Entity-Relationship Model .......................................................................................................... 125

8.3 ENHANCED SR-IOD MODULE TABLE .................................................................................................................... 127

8.4 ENHANCED SR -INFORMATION MODULE DEFINITIONS ..................................................................................... 128

8.5 ENHANCE SR – PRIVATE DATA DICTIONARY ........................................................................................................ 134

8.6 ENHANCE SR – TEMPLATE IDENTIFICATION ........................................................................................................ 134

9. KEY OBJECT SELECTION INFORMATION OBJECT IMPLEMENTATION ................................ 137

9.1 Introduction............................................................................................................................................................ 137

9.2 KEY OBJECT SELECTION Entity-Relationship Model .......................................................................................... 137

9.3 KEY OBJECT SELECTION-IOD MODULE TABLE .................................................................................................... 139

9.4 KEY OBJECT SELECTION -INFORMATION MODULE DEFINITIONS ..................................................................... 140

9.5 KEY OBJECT SELECTION – TEMPLATE IDENTIFICATION ..................................................................................... 147

10. XA IMAGE INFORMATION OBJECT IMPLEMENTATION ...................................................... 150