TABLE OF CONTENTS

1. Introduction ..................................................................................................................... 3
1.1. Abbreviations and Acronyms................................................................................... 3
2. Implementation Model .................................................................................................... 4
2.1. Application Data Flow Diagram............................................................................... 4
2.2. Functional Definitions of AEs................................................................................... 4
3. AE Specifications.............................................................................................................. 5
3.1. Common information ............................................................................................. 5
3.2. ConsoleSCU............................................................................................................. 5
3.2.1. Send Image (StoreSCU) ................................................................................... 5
3.2.2. Request Storage Commitment ........................................................................ 5
3.3. Console ................................................................................................................... 6
3.3.1. Send Echorequest (EchoSCU) .......................................................................... 6
3.3.2. Worklist query (FindSCP) ................................................................................. 6
3.3.3. Send MPPS message ........................................................................................... 7
3.3.4. Dicom Media Service ........................................................................................... 8
3.3.5. Gray Scale Standard Display Function.............................................................. 8
3.3.6. Implementation Class UID ............................................................................... 8
3.4. ORPrintSCU ............................................................................................................. 9

DICOM / DICONDE / DICOS Conformance Statement dicomPACS® DX-R Page 2 / 10

Device Master File DMF001153-002
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1. Introduction

This DICOM/DICONDE/DICOS conformance statement specifies the behaviour and functionality of the
following application:
• dicomPACS® DX-R
• OR inspect
• OR secure

This software provides the following capabilities:

• acquisition of CR and DR images

• viewing of images
• printing of images to standard and DICOM printers
• creation of patient CD's

The Software uses the DICOM software development kit (DCMTK) from OFFIS e. V. Oldenburg.
(see http://dicom.offis.de/software.php.en)

Contact address: Oehm & Rehbein GmbH

Neptunallee 7c
18057 Rostock
Germany

Web: http://www.or-technology.com

1. 1. Abbreviations and Acronyms

ASCII American Standard Code for Information Interchange

AE Application Entity
AE-Title name of an AE
ANSI American National Standards Institute
DCMTK OFFIS DICOM Toolkit
DICOM Digital Imaging and Communications in Medicine
DICONDE Digital Imaging and Communication in Nondestructive Evaluation
DICOS Digital Imaging and Communication in Security
ECR European Congress of Radiology
GSPS Grayscale Softcopy Presentation State
HIMSS Healthcare Information and Management Systems Society
IE Information Entity
IHE Integrating the Healthcare Enterprise
IOD Information Object Definition
ISO International Standards Organization
NEMA National Electrical Manufacturers Association
OSI Open Systems Interconnection
PDU Protocol Data Unit
RSNA Radiological Society of North America
SCP Service Class Provider
SCU Service Class User
SOP Service Object Pair
TCP/IP Transmission Control Protocol / Internet Protocol
TLS Transport Layer Security
UID Unique Identifier
VM Value Multiplicity
VR Value Representation

Author: Approved by: Released by: Date:

Markus Brüggmann Silke Döring Markus Brüggmann 01.03.2018
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2. Implementation M odel

2. 1. Application Data Flow Diagram

dicomPACS®DX-R consists of a set of independent processes.

Query C-Find
Worklist Server
Worklist

dicomPACS® DX-R MPPS N-Create

Begin/End OR inspect MPPS Server
examination MPPS N-Set
OR secure

C-Store

Send SC N-Action
Object
DICOM Archive
SC N-Event-Report
ConsoleSCU

Print to
DICOM
DICOM
Print SCP
Printer ORPrintSCU

Figure 1. Implementation Model of dicomPACS®DX-R, OR Inspect and OR secure

2. 2. Functional Definitions of AEs

dicomPACS®DX-R consist of different processes which handle DICOM communication.

The main processes are dicomPACS® DX-R , OR inspect or OR secure. It implements the Worklist
SCU and MPPS SCU.
On user request dicomPACS®DX-R tests connection to remote AEs

Program ConsoleSCU is used to send images to remote AEs and to verify storage with storage
commitment service class.

ORPrintSCU implements the Basic Grayscale Print Management service class as SCU. The process
is used by dicomPACS®DX-R to send print jobs to DICOM printers.

Author: Approved by: Released by: Date:

Markus Brüggmann Silke Döring Markus Brüggmann 01.03.2018
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3. AE Specifications

3. 1. C ommon information

dicomPACS® DX-R proposes following transfer syntax for DICOM communication:

Transfer Syntax UID

Explicit VR Little Endian 1.2.840.10008.1.2.1
Explicit VR Big Endian 1.2.840.10008.1.2.2
Implicit VR Little Endian 1.2.840.10008.1.2

3. 2. C onsoleSCU

3. 2.1. Send Image (StoreSCU)

ConsoleSCU will attempt to establish an association whenever an image is committed in dicom-

PACS®DX-R and if automated sending is enabled. Sending of image can also be started on user request.

The StoreSCU function creates only one association at a time. Supported DICOM SOP classes are:

SOP Class Name SOP Class UID SCU SCP

Computed Radiography Image Storage 1.2.840.10008.5.1.4.1.1.1 X
Digital X ray Image Storage For Presentation 1.2.840.10008.5.1.4.1.1.1.1 X
Digital X ray Image Storage For Processing 1.2.840.10008.5.1.4.1.1.1.1.1 X

3. 2.2. Request Storage C ommitment

Storage Commitment request is automatically send about 1 minute after successful sending image to
remote AE if storage commitment is configured for this AE. Console SCU expects storage commitment
result on a new association from remote AE. If storage commitment re quest fails or no response is re-
ceived then the request is repeated after 5 minutes.

Storage Commitment is requested for SOP classes listed in section 3.2.1 ConsoelSCU does not support
the optional Storage Media File-Set & UID Attributes.

Author: Approved by: Released by: Date:

Markus Brüggmann Silke Döring Markus Brüggmann 01.03.2018
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3. 3. C onsole

3. 3.1. Send E chorequest (EchoSCU)

The EchoSCP function sends a C-Echo request if user test connection to AE.

Abstract Sy ntax Transfer Sy ntax Role E xt.

Name UID Name L ist UID L ist Negotiat
Verification 1.2.840.10008.1.1 Implicit VR Little Endian 1.2.840.10008.1.2 SCU none
Explicit VR Little Endian 1.2.840.10008.1.2.1
Explicit VR Big Endian 1.2.840.10008.1.2.2

3. 3.2. Worklist query (FindSCP)

dicomPACS® DX-R queries the configured DICOM worklist server in an interval of 30 seconds.

Proposed transfer syntaxes are:

Abstract Sy ntax Transfer Sy ntax Role E xt.
Negotiat
Name UID Name L ist UID L ist
Modality Worklist 1.2.840.10008.5.1.4.31 Implicit VR Little Endian 1.2.840.10008.1.2 SCU none
Information
Model – FIND Explicit VR Little Endian 1.2.840.10008.1.2.1

Explicit VR Big Endian 1.2.840.10008.1.2.2

Result of worklist query is displayed as list of planned examinations.

Worklist query includes following attributes:

Attribute Description Tag Matching

DICOM DICONDE/DICOS
AccessionNumber 0008,0050
ReferringPhysiciansName Component Owner Name 0008,0090
PatientsName Component/Object 0010,0010
PatientID Component /Object ID 0010,0020
PatientsBirthDate Component Manufacturing Date 0010,0030
PatientsSex n/a 0010,0040
StudyInstanceUID 0020,000d
RequestedProcedureDescription 0032,1060
ScheduledProcedureStepSequence 0040,0100
> Modality 0008,0060 X
> ScheduledStationAETitle 0040,0001 X
> ScheduledProcedureStepStartDate 0040,0002 X
> ScheduledProcedureStepStartTime 0040,0003
> Scheduled Performing Physicians 0040,0006
n/a
Name
> Scheduled Procedure Step Description 0040,0007
> ScheduledProtocolCodeSequence 0040,0008
>> CodeValue 0008,0100
>> CodingSchemeDesignator 0008,0102
>> CodingSchemeVersion 0008,0103
>> CodeMeaning 0008,0104

Extended negotiations are not supported.

Author: Approved by: Released by: Date:
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3. 3.3. Send M PPS message

dicomPACS® DX-R supports the Modality Performed Procedure Step SOP class as SCU.
The function sends the state of currently open examination to a MPPS server. The state messages are
sent on following operations:

State Operation
IN PROGRESS - if study was planned via Worklist server and study is opened first time
- if first examination is planned for a study
COMPLETED - if all images of an study are committed
DISCONTINUED - if all examinations are removed from study

Following attributes are sent:

Attribute Description Tag N- N-SET

CREATE
DICOM DICONDE/DICOS
Scheduled Step Attribute Sequence 0040,0270 X -
> Study Instance UID 0020,000d X -
>Accession Number 0008,0050 X -
>Requested Procedure ID 0040,1001 X -
>Requested Procedure Description 0032,1060 X -
>Scheduled Procedure Step ID 0040,0009 X -
>Scheduled Procedure Step Description 0040,0007 X -
>Scheduled Protocol Code Sequence 0040,0008 X -
Patient’s Name Component/Object 0010,0010 X -
Patient ID Component/object ID 0010,0020 X -
Patient’s Birth Date Component Manufac- 0010,0030 X -
turing Date
Patient’s Sex n/a 0010,0040 X -
Referenced Patient Sequence n/a 0008,1120 X -
Performed Procedure Step ID 0040,0253 X -
Performed Station AE Title 0040,0241 X -
Performed Station Name 0040,0242 X -
Performed Location 0040,0243 X -
Performed Procedure Step Start Date 0040,0244 X -
Performed Procedure Step Start Time 0040,0245 X -
Performed Procedure Step Status 0040,0252 X X
Performed Procedure Step Description 0040,0254 X X
Performed Procedure Type Description 0040,0255 X X
Procedure Code Sequence 0008,1032 X X
Performed Procedure Step End Date 0040,0250 X X
Performed Procedure Step End Time 0040,0251 X X
Modality 0008,0060 X X
Study ID 0020,0010 X X
Performed Protocol Code Sequence 0040,0260 X X
Performed Series Sequence 0040,0340 X X

Author: Approved by: Released by: Date:

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3. 3.4. D icom M edia Service

dicomPACS® DX-R conforms to the DICOM Media Storage Service and File Format (PS 3.10) and the Me-
dia Storage Application Profiles (PS 3.11) for creating file sets on CD-Recordable media.
Following application profiles are supported:

Description Identifier FSR FSC

General Purpose CD-R Image Interchange Profile STD-GEN-CD X X

It supports the following real world activities:

Real World Activity Role SC Option

Create CD-R disk of images FSC Interchange

To create media user can add studies of different patients to a media collection. Then the user can cre-
ate the medium from the collection.

dicomPACS® DX-R stores files in following transfer syntax:

Transfer Syntax UID

Explicit VR Little Endian 1.2.840.10008.1.2.1

Outside of the DICOM/DICONDE/DICOS standard the medium contains a viewing software and a pre-
view of images.

3. 3.5. Gray Scale Standard Display Function

The digital imaging and communication in medicine (DICOM) grayscale standard display function (GSDF)
defines the luminance response of a display such that an observer’s perception of image contrast is con-
sistent throughout the pixel value range of a displayed image. The GSDF ensures that the perceived con-
trast is consistent throughout the grayscale range of a given display, but displays that have substantially
different maximum luminance values or contrast ratios will not provide an exact perceptual match.

dicomPACS® DX-R conforms to the Grayscale standard display function (PS 3.14) on pre -calibrated single
display systems with the function for daily visual check for approval of display luminance to check visual
consistency. The accurate display of greyscales has to be checked by sight at least once a day. Right after
starting the application a test image is used for this purpose.

3. 3.6. Implementation C lass UID

The following data is used when sending with ORDicomSCP.dll and when saving (as in the dicomCC,
worklist server, worklist queries, MPPS, storage commit and find / retrieve in the viewer):

Implementation version name: O+R_DICOMAPI_120

Implementation class UID: 1.2.826.0.1.3680043.2.876.0.1.2.0

Author: Approved by: Released by: Date:

Markus Brüggmann Silke Döring Markus Brüggmann 01.03.2018
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3. 4. ORPrintSCU

The ORPrintSCU provides standard conformance to the Basic Grayscale Print Management Meta SOP
class as SCU.:

ORPrintSCU attempts to initiate a new association if a print job is generated by a dicomPACS® Viewer.
Print jobs are queued by the software and processed sequential.

The maximum PDU length can be configured in the range 4096..131072 bytes. The default is 16384
bytes. ORPrintSCU establishes only one association at a time. The software does not support asynchro-
nous transactions.

ORPrintSCU supports following presentation contexts:

Abstract Sy ntax Transfer Sy ntax Role E xt.
Name UID Name L ist UID L ist Negotiat
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 Explicit VR Little Endian 1.2.840.10008.1.2.1
class Explicit VR Big Endian 1.2.840.10008.1.2.2

ORPrintSCU supports the following mandatory SOP classes as defined by the Basic Grayscale Print Man-
agement Meta Class:

SOP Class Name SOP Class UID

Basic Film Session SOP class 1.2.840.10008.5.1.1.1
Basic Film Box SOP Class 1.2.840.10008.5.1.1.2
Basic Grayscale Image Box SOP Class 1.2.840.10008.5.1.1.4
Printer SOP Class 1.2.840.10008.5.1.1.16

It is configured by the file ‘PrinterConfig.xml’ which is located in the installation directory of the dicom-
PACS® Viewer. The following tables list the attributes supported for the different SOP classes. The values
in the Usage column are used as follows:

Usage Meaning
A Attribute is always sent
C The attribute is only send if it is defined in the print job

Attribute Description Tag Usage

Basic Film Session Attributes
Number of Copies 2000,0010 A
Print Priority 2000,0020 C
Medium Type 2000,0030 C
Film Destination 2000,0040 C
Film Session Label 2000,0050 A
Basic Film Box SOP Class Attributes
Image Display Format 2010,0010 A
Referenced Film Session Sequence 2010,0500 A
> Referenced SOP class UID 0008,1150 A
> Referenced SOP Instance UID 0008,1155 A
Film Orientation 2010,0040 C
Filme Size ID 2010,0050 C
Magnification Type 2010,0060 C
Min Density 2010,0120 C
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Attribute Description Tag Usage

Max Density 2010,0130 C
Configuration Information 2010,0150 C
Smoothing Type 2010,0080 C
Border Density 2010,0100 C
Empty Image Density 2010,0110 C
Trim 2010,0140 C
Illumination 2010,015e C
Reflect Ambient Light 2010,0160 C
Basic Grayscale Image Box Attributes
Image Position 2020,0010 A
Basic Grayscale Image Sequence 2020,0110 A
> Samples per Pixel 0028,0002 A
> Photometric Interpretation 0028,0004 A
> Rows 0028,0010 A
> Columns 0028,0011 A
> Pixel Aspect Ratio 0028,0034 A
> Bits Allocated 0028,0100 A
> Bits Stored 0028,0101 A
> High Bit 0028,0102 A
> Pixel Representation 0028,0103 A
> Pixel Data 7fe0,0010 A

Author: Approved by: Released by: Date:

Markus Brüggmann Silke Döring Markus Brüggmann 01.03.2018