Philips Epiq 5 Manual
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Patient ID (0010,0020) Study Instance UID (0020,000D ) Series Instance UID (0020,000E ) Study ID (0020,0010) 4.2.1.3.2.3.2 Study Root Query Retrieve – MOVE SOP Class After examining the results of the user -initiated Query, the user may select one or more Studies from the query results list and request that the contents of the selected Studies be retrieved. A C -MOVE message is sent to the Query/Retrieve SCP requesting that the selected items be stored back to this system. Table 4.16 QUERY/RETRIEVE MESSAGE CONTENTS Request Type Attribute Tag Value C-MOVE Query/Retrieve Level (0008,0052) STUDY Study Instance UID (0020,000D ) (Study UID to Send) 4.2.1.4 Association Acceptance Policy 4.2.1.4.1 Activity – Receive Storage Commitment Response 4.2.1.4.1.1 Description and Sequencing of Activities The Storage AE accepts associations for pending responses to a Storage Commitment Request only using SCP/SCU Role Negotiation of “SCP” explicitly stating that the association is in itiated by the SCP to the SCU. 4.2.1.4.1.2 Accepted Presentation Contexts Table 4.17 summarizes Presentation Contexts that the Storage AE accepts. Table 4.17 ACCEPTABLE PRESENTAT ION CONTEXTS FOR ACTIVITY RECEIVE STO RAGE COMMITMENT RESPONSE Presentation Context Table Abstract Syntax Transfer Syntax Role Ext. Neg. Name UID Name List UID List Storage Commitment Push Model 1.2.840.10008.1.20.1 Implicit VR Little Endian Explicit VR Little Endian 1.2.840.10008.1.2 1.2.840.10008.1.2.1 SCU None E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 31
4.2.1.4.1.3 SOP Specific Conformance for Storage Commitment Push Model SOP Class 4.2.1.4.1.3.1 Storage Commitment Notifications (N -EVENT -REPORT) The Storage AE can receive an N -EVENT -REPORT notification received from the SCP via an association requested by the SCP with reverse- role negotiation. Upon receipt of an N -EVENT -REPORT the timer associated with the Transaction UID will be canceled. Table 4.18 summarizes the behavior of Storage AE when receiving Event Types within the N -EVENT -REPORT. Table 4.18 STORA GE COMMITMENT N -EVENT -REPORT BEHAVIOR Event Type Name Event Type ID Behavior Storage Commitment Request Successful 1 The commit status is set to complete for each object. Storage Commitment Request Complete – Failures Exist 2 The commit status remains incomplete. The commit comment for each object is logged. The reasons for returning specific status codes in an N-EVENT -REPORT response are summarized in Table 4.19. Table 4.19 STORAGE COMMITMENT N -EVENT -REPORT RESPONSE STATUS REASONS Service Status Further Meaning Error Code Reasons Success Success 0000 The storage commitment result has been successfully received. 4.2.1.4.1.3.2 Storage Commitment Attributes (N -EVENT -REPORT) Table 4.20 lists the attributes that are supported within the N -EVENT -REPORT. Table 4.20 STORAGE COMMITMENT N -EVENT -REPORT MESSAGE CONTENTS Event Type Name Event Type ID Attribute Tag Requirement Type SCU Storage Commitment Request Successful 1 Transaction UID (0008,1195) None Retrieve AE Title (0008,0054) None Storage Media File -Set ID (0088,0130) None Storage Media File- Set UID (0088,0140) None Referenced SOP Sequence (0008,1199) None >Referenced SOP Class UID (0008,1150) None >Referenced SOP Instance UID (0008,1155) None >Retrieve AE Title (0008,0054) None >Storage Media File- Set ID (0088,0130) None >Storage Media File- Set UID (0088,0140) None Storage 2 Transaction UID (0008,1195) None E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 32
Commitment Request Complete – Failures Exist Retrieve AE Title (0008,0054) None Storage Media File- Set ID (0088,0130) None Storage Media File- Set UID (0088,0140) None Referenced SOP Sequence (0008,1199) None >Referenced SOP Class UID (0008,1150) None >Referenced SOP Instance UID (0008,1155) None >Retrieve AE Title (0008,0054) None >Storage Media File- Set ID (0088,0130) None >Storage Media File- Set UID (0088,0140) None Failed SOP Sequence (0008,1198) None >Referenced SOP Class UID (0008,1150) None >Referenced SOP Instance UID (0008,1155) None >Failure Reason (0008,1197) None 4.2.1.4.2 Activity – Storage from a Remote Storage SCU 4.2.1.4.2.1 Description and Sequencing of Activities The Storage AE accepts associations for storage from remote Storage SCUs. There are two distinct scenarios in which images are transferred from a remote Storage SCU to EPIQ/Affiniti : • Fulfillment of a Query/Retrieve C -MOVE request by the Query/Retrieve SCP • Unsolicited push of images from a remote Storage SCU In order for EPIQ/Aff initi to accept associations from a remote Storage SCU, the AE Title of the remote Storage SCU must be configured as a Storage device in EPIQ/Affiniti. Studies of images that are received through this mechanism will appear in the Patient Directory. Storage AEImage Manager 13. Close Association 12. C-STORE (images) 11. Open AssociationStudy appears in Review as Imported Figure 4b STORAGE FROM REMOTE STORAGE SCU SEQUENCE DI AG R AM E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 33
4.2.1.4.2.2 Accepted Presentation Contexts Table 4.21 summarizes Presentation Contexts that t he Storage AE accepts for this activity . Table 4.21 ACCEPTABLE PRESENTAT ION CONTEXTS FOR ACTIVITY STORAGE FRO M A REMOTE SCU Presentation Context Table Abstract Syntax Transfer Syntax Role Ext. Neg. Name UID Name List UID List US Image Storage 1.2.840.10008.5.1.4.1.1. 6.1 Implicit VR Little Endian Explicit VR Little Endian JPEG Lossy Baseline JPEG Lossless Baseline RLE Lossless 1.2.840.10008.1.2 1.2.840.10008.1.2.1 1.2.840.10008.1.2.4.50 1.2.840.10008.1.2.4.70 1.2.840.10008.1.2.5 SCP None US Image Storage (retired) 1.2.840.10008.5.1.4.1.1. 6 Implicit VR Little Endian Explicit VR Little Endian JPEG Lossy Baseline JPEG Lossless Baseline RLE Lossless 1.2.840.10008.1.2 1.2.840.10008.1.2.1 1.2.840.10008.1.2.4.50 1.2.840.10008.1.2.4.70 1.2.840.10008.1.2.5 SCP None US Multiframe Image Storage 1.2.840.10008.5.1.4.1.1. 3.1 Implicit VR Little Endian Explicit VR Little Endian JPEG Lossy Baseline RLE Lossless 1.2.840.10008.1.2 1.2.840.10008.1.2.1 1.2.840.10008.1.2.4.50 1.2.840.10008.1.2.5 SCP None US Multiframe Image Storage (retired) 1.2.840.10008.5.1.4.1.1. 3 Implicit VR Little Endian Explicit VR Little Endian JPEG Lossy Baseline RLE Lossless 1.2.840.10008.1.2 1.2.840.10008.1.2.1 1.2.840.10008.1.2.4.50 1.2.840.10008.1.2.5 SCP None Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1. 7 Implicit VR Little Endian Explicit VR Little Endian JPEG Lossy Baseline JPEG Lossless Baseline RLE Lossless 1.2.840.10008.1.2 1.2.840.10008.1.2.1 1.2.840.10008.1.2.4.50 1.2.840.10008.1.2.4.70 1.2.840.10008.1.2.5 SCP None Multi -frame True Color Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1. 7.4 Implicit VR Little Endian Explicit VR Little Endian JPEG Lossy Baseline RLE Lossless 1.2.840.10008.1.2 1.2.840.10008.1.2.1 1.2.840.10008.1.2.4.50 1.2.840.10008.1.2.5 SCP None CT Image Storage 1.2.840.10008.5.1.4.1.1. 2 Implicit VR Little Endian Explicit VR Little Endian JPEG Lossy Baseline JPEG Extended 12- bit Lossy JPEG Lossless Baseline 1.2.840.10008.1.2 1.2.840.10008.1.2.1 1.2.840.10008.1.2.4.50 1.2.840.10008.1.2.4.51 1.2.840.10008.1.2.4.70 SCP None Enhanced CT Image Storage 1.2.840.10008.5.1.4.1.1. 2.1 Implicit VR Little Endian Explicit VR Little Endian JPEG Lossy Baseline JPEG Extended 12-bit Lossy JPEG Lossless Baseline 1.2.840.10008.1.2 1.2.840.10008.1.2.1 1.2.840.10008.1.2.4.50 1.2.840.10008.1.2.4.51 1.2.840.10008.1.2.4.70 SCP None E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 34
Digital Mammography X- Ray Image Storage – For Presentation 1.2.840.10008.5.1.4.1.1. 1.2 Implicit VR Little Endian Explicit VR Little Endian JPEG Lossy Baseline JPEG Extended 12- bit Lossy JPEG Lossless Baseline 1.2.840.10008.1.2 1.2.840.10008.1.2.1 1.2.840.10008.1.2.4.50 1.2.840.10008.1.2.4.51 1.2.840.10008.1.2.4.70 SCP None Digital Mammography X - Ray Image Storage – For Processing 1.2.840.10008.5.1.4.1.1. 1.2.1 Implicit VR Little Endian Explicit VR Little Endian JPEG Lossy Baseline JPEG Extended 12- bit Lossy JPEG Lossless Baseline 1.2.840.10008.1.2 1.2.840.10008.1.2.1 1.2.840.10008.1.2.4.50 1.2.840.10008.1.2.4.51 1.2.840.10008.1.2.4.70 SCP None MR Image Storage 1.2.840.10008.5.1.4.1.1. 4 Implicit VR Little Endian Explicit VR Little Endian JPEG Lossy Baseline JPEG Extended 12- bit Lossy JPEG Lossless Baseline 1.2.840.10008.1.2 1.2.840.10008.1.2.1 1.2.840.10008.1.2.4.50 1.2.840.10008.1.2.4.51 1.2.840.10008.1.2.4.70 SCP None Enhanced MR Image Storage 1.2.840.10008.5.1.4.1.1. 4.1 Implicit VR Little Endian Explicit VR Little Endian JPEG Lossy Baseline JPEG Extended 12- bit Lossy JPEG Lossless Baseline 1.2.840.10008.1.2 1.2.840.10008.1.2.1 1.2.840.10008.1.2.4.50 1.2.840.10008.1.2.4.51 1.2.840.10008.1.2.4.70 SCP None MR Spectroscopy Image Storage 1.2.840.10008.5.1.4.1.1. 4.2 Implicit VR Little Endian Explicit VR Little Endian JPEG Lossy Baseline JPEG Extended 12- bit Lossy JPEG Lossless Baseline 1.2.840.10008.1.2 1.2.840.10008.1.2.1 1.2.840.10008.1.2.4.50 1.2.840.10008.1.2.4.51 1.2.840.10008.1.2.4.70 SCP None Multi -frame Single Bit Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1. 7.1 Implicit VR Little Endian Explicit VR Little Endian 1.2.840.10008.1.2 1.2.840.10008.1.2.1 SCP None Multi -frame Grayscale Byte Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1. 7.2 Implicit VR Little Endian Explicit VR Little Endian JPEG Lossy Baseline JPEG Lossless Baseline RLE Lossless 1.2.840.10008.1.2 1.2.840.10008.1.2.1 1.2.840.10008.1.2.4.50 1.2.840.10008.1.2.4.70 1.2.840.10008.1.2.5 SCP None Multi -frame Grayscale Word Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1. 7.3 Implicit VR Little Endian Explicit VR Little Endian JPEG Lossy Baseline JPEG Lossless Baseline RLE Lossless 1.2.840.10008.1.2 1.2.840.10008.1.2.1 1.2.840.10008.1.2.4.50 1.2.840.10008.1.2.4.70 1.2.840.10008.1.2.5 SCP None Positron Emission Tomography Image Storage 1.2.840.10008.5.1.4.1.1. 128 Implicit VR Little Endian Explicit VR Little Endian JPEG Lossy Baseline JPEG Lossless Baseline 1.2.840.10008.1.2 1.2.840.10008.1.2.1 1.2.840.10008.1.2.4.50 1.2.840.10008.1.2.4.70 SCP None X-Ray Angiographic Image Storage 1.2.840.10008.5.1.4.1.1. 12.1 Implicit VR Little Endian Explicit VR Little Endian JPEG Lossy Baseline JPEG Lossless Baseline 1.2.840.10008.1.2 1.2.840.10008.1.2.1 1.2.840.10008.1.2.4.50 1.2.840.10008.1.2.4.70 SCP None Private 3D Presentation State 1.3.46.670589.2.5.1.1 Implicit VR Little Endian Explicit VR Little Endian 1.2.840.10008.1.2 1.2.840.10008.1.2.1 SCP None E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 35
4.2.2 Workflow Application Entity Specification 4.2.2.1 SOP Classes EPIQ/Affiniti provides Standard Conformance to the following SOP Classes: Table 4.22 SOP CLASSES FOR AE WORKFLOW SOP Class Name SOP Class UID SCU SCP MWL Information Model – FIND 1.2.840.10008.5.1.4.31 Yes No Modality Performed Procedure Step 1.2.840.10008.3.1.2.3.3 Yes No 4.2.2.2 Association Establishment Policy 4.2.2.2.1 General The DICOM standard application context name for DICOM 3.0 is always proposed: Table 4.23 DICOM APPLICATION CONTEXT FOR AE WORKFLOW Application Context Name 1.2.840.10008.3.1.1.1 4.2.2.2.2 Number of Associations EPIQ/Affiniti initiates one Association at a time for a Worklist request. Table 4.24 NUMBER OF ASSOCIATIONS INITIATED FOR AE WORKFLOW Maximum number of simultaneous Associations 1 4.2.2.2.3 Asynchronous Nature EPIQ/Affiniti does not support asynchronous communication. Table 4.25 ASYNCHRONOUS NATURE AS A SCU FOR AE WORKFLOW Maximum number of outstanding asynchronous transactions 1 4.2.2.2.4 Implementation Identifying Information The implementation information for this Application Entity is: E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 36
Table 4.26 DICOM IMPLEMENTATION CLASS AND VERSION FOR AE WORKFLOW Implementation Class UID 1.3.46.670589.14.10000.105 Implementation Version Name EPIQ-AFFIN_1.05 4.2.2.3 Association Initiation Policy 4.2.2.3.1 Activity – Worklist Update 4.2.2.3.1.1 Description and Sequencing of Activities The Worklist Update activity is capable of updating the modality worklist using either a Broad Query or a Patient Query, as described later in this section. A possible sequence of interactions between the Workflow AE and a Departmental Scheduler (e.g. a device such as a RIS or HIS which supports the MWL SOP Class as an SCP) is illustrated in Figure 5: Workflow AEDepartmentS cheduler 1. Open Association 2. C-FIND Request (Worklist Query) 3. C-FIND Response (Worklist Item) - Status=Pending 4. C-FIND Response - Status=Success 5. Close Association auto update or user query worklist updated repeat until all matches are returned b. Close Association* a. Open Association* * 9mpty Association is done for internal application logic Figure 5 SEQUENCING OF ACTIVI TY – WORKLIST UPDATE 4.2.2.3.1.1.1 Worklist Update using Broad Query In Broad Query, the Modality W orklist SCP is queried based on a set of pre- defined query attributes (see Table 4.30 Column “ BQ” for DICOM Attributes corresponding to each parameter) : • Scheduled Date = today’s da te • Station Name = this system’s name or a user -specified value • Station Location = this system’s location or a user -specified value • AE Title = this system’s AE Title or a user -specified value E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 37
• Modality = “US” or a user - specified value The user may configure one of the following schemes for updating the worklist using Broad Query : • The worklist may be updated when the user presses “Update W orklist” on the patient data entry screen • The worklist may be updated automatically each time an exam is ended • The worklist may be updated periodically at a configurable time interval between 15 and 120 minutes in 15 minute increments The user at may cancel a worklist update anytime between sending the update request and receiving the final response. 4.2.2.3.1.1.2 Worklist Upda te using Patient Query In Patient Query, the Modality W orklist SCP is queried based on a set of query attributes provided by the user at the time of the query (see Table 4.30 Column “ PQ” for DICOM Attributes corresponding to each parameter): • Modality = “US” or the custom value defined for Broad Query • Any combination of o Patient Last Name = wildcard or matching leading letters o Patient ID = exact match o Accession Number = exact match o Requested Procedure ID = exact match o Scheduled Date = exact match or matching a date range around today Patient Query is performed manually when specifically requested by the user. The user at may cancel a worklist update anytime between sending the update request and receiving the final response. 4.2.2.3.1.2 Proposed Presentation Contexts EPIQ/Affiniti will propose Presentation Contexts as shown in the following table: Table 4.27 PROPOSED PRESENTATION CONTEXTS FOR ACTIVITY WORKLIST UPD Presentation Context Table Abstract Syntax Transfer Syntax Role Ext. Neg. Name UID Name List UID List Modality Worklist Information Model – FIND 1.2.840.10008.5.1. 4.31 Implicit VR Little Endian Explicit VR Little Endian 1.2.840.10008.1.2 1.2.840.10008.1.2.1 SCU None 4.2.2.3.1.3 SOP Specific Conformance for Modality Worklist Table 4.28 summarizes the behavior of EPIQ/Affiniti when encountering status codes in a MWL C -FIND response. A message “query failed” will appear on the user interface if EPIQ/Affiniti receives any other SCP response status than “Success” or “Pending.” Table 4.28 MODALITY WORKLIST C -FIND RESPONSE STATUS HANDLING BEHAVIOR Service Status Further Meaning Error Code Behavior Success Matching is complete 0000 The system replaced the worklist from the response. E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 38
Service Status Further Meaning Error Code Behavior Refused Out of Resources A700 The Association is aborted using A -ABORT. The worklist is not replaced. Failed Identifier does not match SOP Class A900 Same as “Refused” above. Failed Unable to Process C000 – CFFF Same as “Refused” above. Cancel Matching terminated due to Cancel request FE00 The retrieved items are ignored. Pending Matches are continuing FF00 Continue. Pending Matches are continuing – Warning that one or more Optional Keys were not supported FF01 Continue. * * Any other status code. Same as “Refused” above. Table 4.29 summarizes the behavior of EPIQ/Affiniti during communication failure. Table 4.29 MODALITY WORKLIST COMMUNICATION FAILURE BEHAVIOR Exception Behavior Timeout Same as Service Status “Refused” in the table above. Association aborted by the SCP or network layers Same as Service Status “Refused” in the table above. Table 4.30 describes the EPIQ/Affiniti W orklist Matching Keys and requested attributes. Unexpected attributes returned in a C -FIND response are ignored. Non- matching responses returned by the SCP due to unsupported optional matching keys are ignored. E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 39
Table 4.30
WORKLIST MATCHING KEYS
Module Name
Attribute Name
Tag VR BQ PQ R D IOD M SD
SOP Common
Specific Character Set (0008,0005) CS x
Scheduled Procedure Step
Scheduled Procedure Step Sequence (0040,0100) SQ x x
> Scheduled Station AE Title (0040,0001) AE (S) x
> Scheduled Procedure Step Start Date (0040,0002) DA S x x x > Scheduled Procedure Step Start Time (0040,0003) TM x x > Modality (0008,0060) CS S, (S) x x x x
> Scheduled Procedure Step Description (0040,0007) LO x x x x 2
> Scheduled Protocol Code Sequence (0040,0008) SQ x x x
>>Code Value (0008,0100) SH x x x
>>Coding Scheme Designator (0008,0102) SH x x x
>>Code Meaning (0008,0104) LO x x x x 3
> Scheduled Station Name (0040,0010) SH (S) x
> Scheduled Procedure Step Location (0040,0011) SH (S) x
> Scheduled Procedure Step ID (0040,0009) SH x x x
> Requested Contrast Agent (0032,1070) LO x
Requested Procedure
Requested Procedure ID (0040,1001) SH x x x xnote4 xnote4
Reason for the Requested Procedure (0040,1002) LO x 4
Requested Procedure Description (0032,1060) LO x xnote2 x x 1
Study Instance UID (0020,000D) UI x x x
Referenced Study Sequence (0008,1110) SQ x x x
>Referenced SOP Class UID (0008,1150) UI x x x
>Referenced SOP Instance UID (0008,1155) UI x x x
Requested Procedure Code Sequence (0032,1064) SQ x xnote3 xnote3
>>Code Value (0008,0100) SH x x x
>>Coding Scheme Designator (0008,0102) SH x x x
>>Code Meaning (0008,0104) LO x x x x
Names of Intended Recipients of Results (0040,1010) PN x x x
Imaging Service Request
Accession Number (0008,0050) SH x x x x x
Requesting Physician (0032,1032) PN x x
Reason for the Imaging Service Request (ret.) (0040,2001) LO x 5
Visit Relationship
Referenced Patient Sequence (0008,1120) SQ x x
Visit Admission
Referring Physicians Name (0008,0090) PN x x x x
Patient Identification
Patient’s Name (0010,0010) PN x x x x x
Patient ID (0010,0020) LO x x x x x
Other Patient IDs (0010,1000) LO x x x
Patient Demographic
Patient’s Birth Date (0010,0030) DA x x x x
Patient’s Sex (0010,0040) CS x x x x
Patient Size (0010,1020) DS x x x
Ethnic Group (0010,2160) SH x x
Patient’s W eight (0010,1030) DS x x x
Patient Commentsnote1 (0010,4000) LT x x x
E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 40