Philips Epiq 5 Manual

 
3  INTRODUCTION  
3.1   AUDIENCE  
This document is intended for hospital staff, health care system integrators, software designers or 
implementers. It is assumed that the reader has a working understanding of DICOM.  
3.2    REMARKS  
DICOM, by itself, does not guarantee interoperability. However, the Conformance Statement facilitates a first -
level validation for interoperability between different applications supporting the same DICOM func tionality. 
This Conformance Statement is not intended to...

 IOD  Information Object Definition 
ISO   International Standard Organization  
LOINC  Logical Observ ation Identifiers Names and Codes  
MPPS  Modality Performed Procedure Step  
MW L   Modality Worklist  
R   Required Key Attribute  
O   Optional Key Attribute  
PDIR   Patient Directory screen on EPIQ/Affiniti  
PDU   Protocol Data Unit  
PDE   Patient Data Entry  screen on EPIQ/Aff initi 
PS3.x   Reference to part ‘x’ the DICOM 3.0 Standard  
PSC   Philips Support Connect.  It is the primary...

 
Integrated Healthcare Enterprise (IHE) Cardiology Technical Framework, Vol. 2, Transactions, Revision 4.0, 
Final Text, August 5, 2011  
Integrated Healthcare Enterprise (IHE) Cardiology Technical Framework  S upplement,  Stress Testing 
Workflow, Trial Implementation Revision 2.1, October 15, 2010  
Joint VA / DoD DICOM Conformance Requirements for Digital Acquisition Modalities, Version 3.0, September 
28, 2005  
 
 
 
E7 and E5/A70 and A50 1.5.x.x    DICOM Conformance Statement 000490000000111   Rev...

 
4  NETWORKING  
4.1  IMPLEMENTATION  MODEL  
4.1.1    Applicati on Data  Flow 
Send 
Images, Reports, Commits; Query  ImagesStorage 
Application  Entity
Update 
Worklist
Acquire Images
Workflow 
Application  Entity
Film
ImagesHardcopy 
Application  Entity
DICOM Standard Interface
Local AE's Connected AE's
Receives Images, 
Reports, Commits;  Returns 
Commitments
Sends images
Receives queries
Provides Worklist Items
Receives MPPS  Create / Set
Prints 
Film Sheets
 
E7 and E5/A70 and A50 1.5.x.x...

 Figure 1:  APPL IC AT ION DAT A FLOW DI AG R AM  
—  The  Storage Application Entity  sends  Images  and  Structured Reports  to a remote AE.  It is associated with the 
local real -world activity “Acquire”  on  EPIQ/Affiniti .  Sending of images may occur automatically when configured to 
do so, either “After Each  Print/Acquire” or “At End of Exam” w ith or without “Send on Demand”, with separate 
export destination configurati on of each acquisition control. The system can also be configured to...

 o  Append from Patient Directory  
  Select an Ended study from the Patient Directory  and press c hoose “Append.” Two options are 
available:   
•   “Add”  (if less than 24 hours old), allows images to be added to the original Study, using 
the same Study Instance UID, and a new  Performed Procedure Step SOP Instance UID. If 
more than 24 hours old, only “Create” will be available.   
•   “Create”, which will create a new Study Instance UID.  
o   Append from Image Review  
  Open  the Study  in...

 •  Retrieve using the Query/Retrieve service  
•   Unsolicited  push from a Storage SCU to EPIQ/Affiniti  acting as a Storage SCP.  This mechanism requires that 
the Storage SCU to have previously been configured as an acceptable DICOM Storage Device.  
4.1.2.2  Function al Definition of Workflow Application Entity  
Update Worklist attempts to download a Modality Worklist from a Modality W orklist SCP  with studies matching the 
search criteria.  Default query criteria are  Modality of US  (ultrasound)...

 
4.1.3 Sequencing of Real -World Activities  
StorageHardcopyWorkflowDepartment SchedulerPrinterImage Manager
1  Query Worklist
 2  Receive Worklist
3 Create MPPS
9 Complete MPPS 
5 Print Film Sheet
10 Image and SR Document Commit Request 
12 Accept Commitment Response
user update or query
7  Store SR Document
4 Store Image
acquire first image
end exam
store completion 
acquireimage
end exam
sheet full
commit status update
8 Discontinued MPPS cancel exam
optional append11 Optional Append
or Accept...

 
Notes:  
•   Messages may slightly change order occasionally.  
•   All selected store, print and workflow devices are sent data during  the exam when configured for send  “After 
Each Print/ Acquire” or at “At End of Exam.”  
•   Selecting a study from Review for export will send to all selected devices.  
Other workflow situations (e.g. unscheduled procedure steps) will have other sequencing constr aints.  Printing or 
storage could equally take place after image acquisition. Printing could be...

 
 
Figures 2c Illustrates Flow Changes to Send At End of Exam with Send on Demand (SoD)  
StorageHardcopyWorkflowDepartmentSchedulerPrinterImageManager
3 Create MPPS
7 Complete MPPS
4 Print Film Sheet
8 Image and SR Document Commit Request
9 Accept Commitment Response
6 Store Final SR Document
1 Acquire Images
first storedimage
end exam
storecompletion
end exam
sheet full
commit statusupdate
Send onDemand2 Store Images, SR and Print Film Sheets since last SoD
5 Store Remaining Images, Send Remaining...