OPHTHALMIC DATA SYSTEM

IMAGEnet 6

DICOM Conformance Statement

Topcon Healthcare Solutions, Inc.

111 Bauer Drive, Oakland, NJ 07436, USA
Phone: (201) 599-5100

http://www.topconhealth.com

Copyright @Topcon Healthcare Solutions, Inc.

 Rev. D

Document Version History

DOCUMENT
DATE AUTHOR DESCRIPTION
VERSION
Karthik
Rev. 1.0 November 1, 2018 Document created.
Dharmarajan

Rev. A December 7, 2018 Sean Royama IODs updated.

Rev. B April 11, 2019 Jay Singer Formatting updates

New part number for 2.3 release:

Rev C June 4th 2020 Jay Singer
1026000-U7
Update IMAGEnet 6 version from 2.3
Rev D August 25, 2022 Sean Royama
to 2.51.

DICOM Conformance Statement for IMAGEnet 6 Page 2 of 29

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EXECUTIVE OVERVIEW

This document is the DICOM Conformance Statement for IMAGEnet6 system to perform DICOM
export and DICOM storage of acquired images through Topcon Image acquisition subsystems. It
accommodates reading information from HIS using the DICOM Modality Worklist as a Storage
Class User (SCU), storing images to the hospital PACS server using the DICOM Ophthalmic
Photography Image Storage (OP SOP Class) or DICOM Ophthalmic Tomography Image Storage
(OPT) or DICOM Encapsulated pdf (ePDF) as a SCU.

Supported DICOM SOP Classes Table 1.1

SOP Class Name (see note) SOP Class UID Service Class
Role
Verification 1.2.840.10008.1.1 SCU

Modality Worklist Information Model Find 1.2.840.10008.5.1.4.31 SCU

OP Ophthalmic 8-bit Image Storage 1.2.840.10008.5.1.4.1.1.77.1.5.1 SCU

Encapsulated PDF Storage 1.2.840.10008.5.1.4.1.1.104.1 SCU
OPT Ophthalmic Tomography 8-bit Storage 1.2.840.10008.5.1.4.1.1.77.1.5.4 SCU

Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 SCU

DICOM Conformance Statement for IMAGEnet 6 Page 3 of 29

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Table of Contents
OPHTHALMIC DATA SYSTEM....................................................................................................... 1

1. INTRODUCTION ......................................................................................................................... 6

2. IMPLEMENTATION MODEL ....................................................................................................... 7

2.1. Application Data Flow Diagram............................................................................................. 7

2.2. Functional definitions of AE .................................................................................................. 8

2.3. Sequencing of Real-World Activities ..................................................................................... 8

2.3.3 MWL is not available while acquiring images (Unscheduled) ........................................ 8

3. AE SPECIFICATIONS ................................................................................................................. 9

3.1. Worklist AE ........................................................................................................................... 9

3.2. Storage AE.......................................................................................................................... 11

4. COMMUNICATION PROFILES................................................................................................. 14

4.1. Supported Communication Stacks...................................................................................... 14

4.2. Physical Media Support ...................................................................................................... 14

5. EXENTIONS/SPECIALIZATIONS/PRIVATIZATIONS .............................................................. 14

6. CONFIGURATION .................................................................................................................... 15

6.1 Configuration for Remote MWL ........................................................................................... 15

6.2 Configuration for Remote Storage ....................................................................................... 15

6.3 Configuration for Local AE ................................................................................................... 15

6.4. AE Title/Presentation Address Mapping ............................................................................. 15

7. Security...................................................................................................................................... 15

8. SUPPORT OF EXTENDED CHARACTER SETS ..................................................................... 15

9. IOD DESCRIPTION:.................................................................................................................. 16

9.1. Ophthalmic Photography (OP) IOD .................................................................................... 16

9.2. Ophthalmic Tomography (OPT) IOD .................................................................................. 16

9.3. Encapsulated PDF (EPDF) IOD.......................................................................................... 17

9.4. Secondary Capture ............................................................................................................. 17

9.5. Module Lists................................................................................................................... 17

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9.5.1 Patient Module ...................................................................................................... 17
9.5.2 General Study Module ........................................................................................... 18
9.5.3. General Series Module .......................................................................................... 18
9.5.4 Ophthalmic Photography Series Module............................................................... 18
9.5.5 Ophthalmic Tomography Series Module ............................................................... 19
9.5.6 Frame of Reference Module .................................................................................. 19
9.5.7 Synchronization Module........................................................................................ 19
9.5.8 General Equipment Module .................................................................................. 19
9.5.9 General Image Module .......................................................................................... 20
9.5.10 Image Pixel Module ............................................................................................... 20
9.5.11 SOP Common Module ........................................................................................... 21
9.5.11 SC Equipment Module ........................................................................................... 21
9.5.12 SC Image Module ................................................................................................... 21
9.5.13 Cine ........................................................................................................................ 21
9.5.14 Multi Frame Module ............................................................................................. 21
9.5.15 Ophthalmic Photography Image Module .............................................................. 21
9.5.16 Ocular Region Imaged Module .............................................................................. 21
9.5.17 Ophthalmic Photography Acquisition Parameters Module ................................... 22
9.5.18 Ophthalmic Photographic Parameters Module ..................................................... 22
9.5.19 Enhanced Contrast / Bolus .................................................................................... 22
9.5.20 Multi-frame functional groups .............................................................................. 23
9.5.21 Multi-frame Dimension ......................................................................................... 25
9.5.22 Ophthalmic Tomography Image ............................................................................ 26
9.5.23 Ophthalmic Tomography Acquisition Parameters................................................. 26
9.5.24 Ophthalmic Tomography Parameters ................................................................... 27
9.5.25 Acquisition Context Module .................................................................................. 27
9.5.26 Encapsulated Document Series ............................................................................. 27
9.5.27 Encapsulated Document........................................................................................ 27
10. ABBREVIATIONS.................................................................................................................... 28

DICOM Conformance Statement for IMAGEnet 6 Page 5 of 29

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1. INTRODUCTION
This document is the DICOM 3.0 Conformance Statement for the IMAGEnet 6 v2.51 DICOM
services Module. The IMAGEnet 6 v2.51 DICOM is a windows service used to perform DICOM
Auto Storage, copy and export of diagnostic and medical images. This component conforms to the
DICOM 3.0 standard to allow the sharing of medical information and images with other Electronic
Medical Record (EMR) systems that support DICOM standards.

DICOM Conformance Statement for IMAGEnet 6 Page 6 of 29

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2. IMPLEMENTATION MODEL

2.1. Application Data Flow Diagram

Figure 1 – The IMAGEnet 6 v2.51 DICOM Connection Module – Data Flow
Model

Verification
SCP

Display Worklist Worklist AE C-FIND

Modality Worklist
SCP

Verification
SCP

Save images Storage AE C-STORE

Storage
SCP

External
Internal Environment
Environment
(IMAGEnet 6 v2.51) (DICOM host)
DICOM Interface

DICOM Conformance Statement for IMAGEnet 6 Page 7 of 29

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2.2. Functional definitions of AE

• After a user requests to query worklist, the Worklist AE reads the Hospital Worklist
information and displays it on IMAGEnet screen.

• After a user captures retina images or OCT images are captures, the AE sends them to the
Hospital Remote Storage using the Storage Services.

• After a user requests to store images to hospital System the Storage interface AE sends
images to the Hospital Remote Storage using the Storage Services.

• The Verification Service is initiated manually by user interface.

2.3. Sequencing of Real-World Activities

2.3.1 The DICOM functionality is implemented in a Web Service self-hosted in a Windows

Service program. The Web Service provides APIs for the IMAGEnet 6 main module to carry out
DICOM functions including MWL C-Find, C-Store, and C-Echo.

2.3.2 MWL is available while acquiring images

• Send worklist query to the Hospital MWL SCP.

• Receive results of worklist and display them on screen.

• A user chooses a worklist item and start acquiring images.

• Complete acquisition.

• Store acquired images to remote storage AE by using storage service (C-Store).

2.3.3 MWL is not available while acquiring images (Unscheduled)

• Enter patient information into the local database.

• Start acquiring images.

• Complete acquisition.

• Store acquired images to local storage.

• Send worklist query to the Hospital MWL SCP. (When MWL becomes available)

• Receive results of worklist and display them on screen.

• A user selects a worklist item and associate it with a locally stored study that matches the
selected worklist.

• Store the chosen local study to remote storage AE by using storage service (C-Store).

DICOM Conformance Statement for IMAGEnet 6 Page 8 of 29

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3. AE SPECIFICATIONS

3.1. Worklist AE
This AE provides standard conformance to the following DICOM V3.0 SOP Classes:

SOP Class Name SOP Class UID Usage

Verification 1.2.840.10008.1.1 SCU
Modality Worklist Information Model Find 1.2.840.10008.5.1.4.31 SCU

3.1.1. Association Establishment Policies

3.1.1.1. General

For the Verification SOP Class, the Worklist AE initiates an Association when acting as a SCU.
For the Modality Worklist Information Model Find SOP Class the Worklist AE initiates an
Association to the Modality Worklist Provider.

3.1.1.2. Number of Associations

The AE will attempt only one association establishment at a time for each SOP Class.

3.1.1.3. Asynchronous Nature

Asynchronous operation is not supported.

3.1.1.4. Implementation Identifying Information

The Implementation Class UID is “2.16.840.1.114517.20.4.1.1".

The implementation version name is "IMAGENET6V2_1”.

3.1.2. Association Initiation Policy

The AE initiates an association for Modality Worklist Information by using Model Find SOP Class
when the user requests the Modality Worklist. There is one real world activity that initiate an
association for Verification SOP Class:

• Manual request by the Operator

3.1.2.1. Real World Activity Verify Availability of Destination

3.1.2.1.1. Associated Real-World Activity

The associated Real-World Activity is the verification of the availability of the destination. The AE
uses the DIMSE C-ECHO command to verify whether the receiving AE is able to negotiate an
association and respond.

3.1.2.1.2. Proposed Presentation Contexts

Presentation Context Table

Abstract Syntax Transfer Syntax Role Ext.
Name UID Name List UID List Neg.
Verification 1.2.840.10008.1.1 Implicit VR Little 1.2.840.10008.1.2 SCU None

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Endian

3.1.2.1.2.1. Specific Conformance

The AE provides Standard Conformance to the DICOM Verification Service class.

3.1.2.1.2.2. Association length and duration

The association is released immediately after the response has been received. If the
response duration exceeds the specified timeout value, the association will be terminated.

3.1.2.1.2.3. Implementation Specific Behavior

Not applicable.

3.1.2.1.2.4. Transfer Syntax Selection Policies

Not applicable.

3.1.2.1.2.5. Error and Status handling

Process will be terminated if critical error has occurred and description is displayed in the
information message box and messages are stored in log file. Status of message processing is
also displayed.

3.1.2.2. Real World Activity Request Worklist

3.1.2.2.1. Associated Real-World Activity

The associated Real-World Activity is the attempt to display a Worklist on the application window.

3.1.2.2.2. Proposed Presentation Contexts

Presentation Context Table

Abstract Syntax Transfer Syntax Role Ext.
Name UID Name List UID List Neg.
Worklist 1.2.840.10008.5.1.4.31 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None

3.1.2.2.2.1. SOP Specific Conformance

• The AE is able to issue a C-FIND Request to the Basic Modality Worklist SCP using the
Accession Number (0008, 0050) as a Matching Key attribute.

• The AE is able to issue a C-FIND Request to the Basic Modality Worklist SCP using the Patient’s
Name (0010, 0010) as a Matching Key attribute.

• The AE is able to issue a C-FIND Request to the Basic Modality Worklist SCP using the Patient
ID (0010, 0020) as a Matching Key attribute.

• The AE is able to issue a C-FIND Request to the Basic Modality Worklist SCP using Scheduled
Procedure Step Start Date (0040, 0002) as a Matching Key attribute.

• The AE is able to issue a C-FIND Request to the Basic Modality Worklist SCP using the
Requested Procedure ID (0040, 1001) as a Matching Key attribute.

DICOM Conformance Statement for IMAGEnet 6 Page 10 of 29

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• The Accession Number or Requested Procedure ID is retrieved with Single Value Matching.

• The AE is able to issue a C-FIND Request to the Basic Modality Worklist SCP using the Modality
(0008, 0060) as a Matching Key attribute.

• The AE is able to issue a C-FIND Request to the Basic Modality Worklist SCP using the
Scheduled Station AE Title (0040, 0001) as a Matching Key attribute.

3.1.2.2.2.1.1. Association length and duration

The association is released after all data are transmitted to satisfy the actual request. If the
response duration exceeds the specified timeout value, the association will be terminated.
3.1.2.2.2.1.2. Error and Status handling
Process will be terminated if critical error has occurred and description is displayed in
information message box as well as is stored in log file.

3.1.2.2.2.1.3 Attributes displayed for MWL Query Results

Displayed attribute Tag
Patient's Name (0010,0010)
Patient ID (0010,0020)
Accession Number (0008,0050)
Patient’s Sex (0010,0040)
Patient’s Birth Date (0010,0030)
Scheduled Procedure Step Description (0040,0007)
Scheduled Protocol Code Sequence – Code Meaning (0008,0104)
Scheduled Procedure Step Start Date (0040,0002)
Requested Procedure ID (0040,1001)
Referring Physician’s Name (0008,0090)
Scheduled Station AE Title (0004,0001)
Modality (0008,0060)
Requested Procedure Description (0032,1060)

3.1.2.2.2.1.4 Transfer Syntax Selection Policies

Not applicable.

3.2. Storage AE
This Application Entity provides Standard Conformance to the following DICOM V3.0 SOP Classes:

SOP Class Name SOP Class UID Usage

Verification 1.2.840.10008.1.1 SCU
OP Photographic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.5.1 SCU
OPT Ophthalmic Tomography Storage 1.2.840.10008.5.1.4.1.1.77.1.5.4 SCU
Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 SCU
Encapsulated PDF Storage 1.2.840.10008.5.1.4.1.1.104.1 SCU

DICOM Conformance Statement for IMAGEnet 6 Page 11 of 29

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3.2.1. Association Establishment Policies

3.2.1.1. General

For the Verification SOP Class, the Worklist AE initiates an Association when acting as a SCU, it
accepts an Association when acting as a SCP.

3.2.1.2. Number of Associations

The AE will attempt only one association establishment at a time for each SOP Class.

3.2.1.3. Asynchronous Nature

Asynchronous operation is not supported.

3.2.1.4. Implementation Identifying Information

The Implementation Class UID is "2.16.840.1.114517.20.4.1.1".

The implementation version name is "IMAGENET6V2_1".

3.2.2. Association Initiation Policy

The AE initiates an association as a SCU for OP Photographic Image Storage SOP Class or OPT
Ophthalmic Tomographic 8-bit Image Storage SOP class or Encapsulated pdf or Secondary storage
depending on the user request, when the user requests to send one image or a collection of images.

3.2.2.1. Real World Activity Verify Availability of Destination

3.2.2.1.1. Associated Real-World Activity

The associated Real-World Activity is the verification of the availability of the destination. The AE will
attempt to use the DIMSE C-ECHO command to verify whether the receiving AE is able to negotiate
an Association and respond. This service is initiated manually by a user.

3.2.2.1.2. Proposed Presentation Contexts

Presentation Context Table

Abstract Syntax Transfer Syntax Role Ext.
Name UID Name List UID List Neg.
Verification 1.2.840.10008.1.1 Implicit VR Little 1.2.840.10008.1.2 SCU None
Endian

3.2.2.1.2.1. Specific Conformance

The AE provides Standard Conformance to the DICOM Verification Service class.

3.2.2.1.2.2. Association length and duration

The association is released immediately after the response has been received. If the
response duration exceeds the specified timeout value, the association will be terminated.

3.2.2.1.2.3. Implementation Specific Behavior

Not applicable.

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3.2.2.1.2.4. Presentation Context Acceptance Criterion

The AE will always accept a Presentation Context for the Verification SOP class with the DICOM
Default Transfer Syntax.

3.2.2.1.2.5. Transfer Syntax Selection Policies

Not applicable.

3.2.2.2. Real World Activity Stores Images

3.2.2.2.1. Associated Real-World Activity

The associated Real-World Activity is the attempt to store images in the Hospital System.

3.2.2.2.2. Proposed Presentation Contexts

Presentation Context Table

Abstract Syntax Transfer Syntax Role Ext.
Name UID Name List UID List Neg.
Ophthalmic 1.2.840.10008.5.1. Implicit VR Little 1.2.840.10008.1. SCU None
Photography 4.1.1. 77.1.5.1 Endian 2
image storage
(OCT)
Ophthalmic 1.2.840.10008.5.1. Explicit VR Little 1.2.840.10008.1. SCU None
Photography 4.1.1. 77.1.5.1 Endian 2.1
image storage
(OCT)
Ophthalmic 1.2.840.10008.5.1. JPEG Baseline 1.2.840.10008.1. SCU None
Photography 4.1.1. 77.1.5.1 Lossy Compression 2.4.50
image storage
(OCT)

Ophthalmic 1.2.840.10008.5.1. Implicit VR Little 1.2.840.10008.1. SCU None

Tomography 4.1.1. 77.1.5.1 Endian 2
storage (OPT)
Ophthalmic 1.2.840.10008.5.1. Explicit VR Little 1.2.840.10008.1. SCU None
Tomography 4.1.1. 77.1.5.1 Endian 2.1
image storage
(OPT)
Ophthalmic 1.2.840.10008.5.1. JPEG Baseline 1.2.840.10008.1. SCU None
Tomography 4.1.1. 77.1.5.1 Lossy Compression 2.4.50
image storage
(OPT)
Secondary 1.2.840.10008.5.1. Implicit VR Little 1.2.840.10008.1. SCU None
Capture Image 4.1.1.7 Endian 2
Storage
Secondary 1.2.840.10008.5.1. Explicit VR Little 1.2.840.10008.1. SCU None
Capture Image 4.1.1.7 Endian 2.1
Storage
Secondary 1.2.840.10008.5.1. JPEG Baseline 1.2.840.10008.1. SCU None
Capture Image 4.1.1.7 Lossy Compression 2.4.50
Storage
Encapsulated 1.2.840.10008.5.1. Explicit VR Little 1.2.840.10008.1. SCU None
PDF (EPDF) 4.1.1.104.1 Endian 2.1

DICOM Conformance Statement for IMAGEnet 6 Page 13 of 29

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3.2.2.2.2.1. Specific Conformance

See Chapter 9.

3.2.2.2.2.1.1. Association length and duration

The association is released after all data are transmitted to satisfy the actual request. If the
response duration exceeds the specified timeout value, the association will be terminated.

3.2.2.2.2.1.2. Error and Status handling

Process will be terminated if critical error is occurred and description is displayed in information
message box. Status of message processing is also displayed.

3.2.2.2.2.1.3. Presentation Context Acceptance Criterion

The Storage AE will only accept Presentation Contexts specified in the above table.

3.2.2.2.2.1.4. Transfer Syntax Selection Policies

This AE decides the transfer syntaxes to be included in presentation context using one of
methods (determined by configuration parameters) at below.

Include the transfer syntax selected in configuration as well as the default transfer syntax.

4. COMMUNICATION PROFILES

4.1. Supported Communication Stacks

The TCP/IP stack is the only supported protocol.

4.1.1. TCP/IP Stack

The AE inherits the TCP/IP stack from the MS-WINDOWS system upon which they execute.

4.2. Physical Media Support

The AE‘s are only software components, therefore they are indifferent to the physical medium
over which TCP/IP executes. The AE’s can use any network adapters that MS-WINDOWS can
bind the TCP/IP protocol.

5. EXENTIONS/SPECIALIZATIONS/PRIVATIZATIONS
Not applicable.

DICOM Conformance Statement for IMAGEnet 6 Page 14 of 29

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6. CONFIGURATION

6.1 Configuration for Remote MWL

The following parameters are configurable for Remote MWL SCP:

• MWL SCP AE Title

• MWL SCP IP address
• MWL SCP IP Port Number
• Time out.

6.2 Configuration for Remote Storage

For a remote storage SCP, the following parameters are configurable:

• Storage SCP AE Title

• Storage SCP IP address
• Storage SCP IP Port Number
• Maximum PDU size (min.: 4Kb, default: 32Kb, max.: 512Kb)
• Timeout values
• Transfer Syntax

6.3 Configuration for Local AE

The following parameters are configurable for the local AE:
• Station Name
• AE Title
• Institution
• Department
• Manufacturer of device

6.4. AE Title/Presentation Address Mapping

• The AE titles for SCP and SCU are configurable

• Node IP address, subnet mask, hostname, hostname aliases are configured by the local
system administrator

• TCP/IP port is configurable.

7. Security
IMAGEnet 6 does not support any specific security measures. IMAGEnet 6 is supposed to be used
within a secured environment.

8. SUPPORT OF EXTENDED CHARACTER SETS

No extended character sets are supported.

DICOM Conformance Statement for IMAGEnet 6 Page 15 of 29

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9. IOD DESCRIPTION:

9.1. Ophthalmic Photography (OP) IOD

Information Entity Module Reference Usage*1
Patient Patient 9.5.1 M
Study General Study 0 M
Series General Series 9.5.3 M
Ophthalmic 9.5.4 M
Photography Series
Frame of Reference Synchronization 9.5.7 M
Equipment General Equipment 9.5.8 M
Image General Image 9.5.9 M
Image Pixel 9.5.10 M
Enhanced Contrast / Bolus 9.5.19 C
Cine 9.5.13 C
Multi Frame 9.5.14 M
Ophthalmic Photography Image 9.5.15 M
Ocular Region Imaged 9.5.16 M
Ophthalmic Photography Acquisition Parameters 9.5.17 M
Ophthalmic Photographic Parameters 9.5.18 M
SOP Common 9.5.110 M
*1: M=Mandatory, C=Conditional, U=User option

9.2. Ophthalmic Tomography (OPT) IOD

Information Entity Module Reference Usage*1
Patient Patient 9.5.10 M
Study General Study 9.5.2 M
Series General Series 9.5.3 M
Ophthalmic Tomography 0 M
Series
Frame of Reference Frame of Reference 9.5.60 C
Synchronization 9.5.7 C
Equipment General Equipment 9.5.8 M
Image Image Pixel 9.5.100 M
Multi-frame Functional 9.5.20 M
Groups
Multi-frame Dimension 9.5.21 M
Acquisition Context 9.5.25 M

Ophthalmic Tomography 9.5.22 M

Image

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Information Entity Module Reference Usage*1
Ophthalmic Tomography 9.5.230 M
Acquisition Parameters
Ophthalmic Tomography 9.5.24 M
Parameters
Ocular Region Imaged 9.5.16 M
SOP Common 9.5.11 M
*1: M=Mandatory, C=Conditional, U=User option

9.3. Encapsulated PDF (EPDF) IOD

Information Entity Module Reference Usage*1
Patient Patient 9.5.1 M
Study General Study 9.5.2 M
Series Encapsulated Document 9.5.26 M
Series
Equipment General Equipment 9.5.8 M
SC Equipment 9.6.2 M
Encapsulated Document Encapsulated Document 9.5.27 M
SOP Common 9.5.11 M
*1: M=Mandatory, C=Conditional, U=User option

9.4. Secondary Capture

Information Entity Module Reference Usage*1
Patient Patient 9.5.1 M
Study General Study 9.5.2 M
Series General Series 9.5.3 M
Equipment General Equipment 9.5.8 U
SC Equipment 9.5.11 M
Image General Image 9.5.9 M
Image Pixel 9.5.10 M
SOP Common 9.5.11 M
SC Image 9.5.12 M
*1: M=Mandatory, C=Conditional, U=User option

9.5. Module Lists

9.5.1 Patient Module

Attribute Name Tag Type Attribute Description
Patient’s Name (0010,0010) 2 A value obtained from a modality worklist
or a value of the IMAGEnet database.
Patient ID (0010,0020) 2 A value obtained from a modality worklist
or a value of the IMAGEnet database.
Patient’s Birth Date (0010,0030) 2 A value obtained from a modality worklist
or a value of the IMAGEnet database.

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Attribute Name Tag Type Attribute Description
Patient’s Sex (0010,0040) 2 A value obtained from a modality worklist
or a value of the IMAGEnet database.
Other Patient IDs (0010,1000) 3 A value obtained from a modality worklist.
Ethnic Group (0010,2160) 3 A value obtained from a modality worklist
or a value of the IMAGEnet database.

9.5.2 General Study Module

Attribute Name Tag Type Attribute Description
Study Instance UID (0020,000D) 1 A value obtained from a modality worklist
or a value created by IMAGEnet.
Study Date (0008,0020) 2 A value created by IMAGEnet
Study Time (0008,0030) 2 A value created by IMAGEnet
Referring (0008,0090) 2 A value obtained from a modality worklist
Physician’s Name
Study ID (0020,0010) 2 A value obtained from a modality worklist
or a value created by IMAGEnet.

Accession Number (0008,0050) 2 A value obtained from a modality worklist.

No value if does not exist.
Study Description (0008,1030) 3 A value obtained from modality worklist or
a value created by IMAGEnet.

9.5.3. General Series Module

Attribute Name Tag Type Attribute Description
Modality (0008,0060) 1 A value created by IMAGEnet
Series Instance (0020,000E) 1 A value created by modality.
UID
Series Number (0020,0011) 2 A value created by modality
Laterality (0020,0060) 2C R, L or B (OP/OPT does not have this
tag as OP/OPT use Image Laterality
(0020,0062)
Series Description (0008,103E) 3 A value created by modality.
>Scheduled (0040,0007) 3 A value obtained from a modality worklist.
Procedure Step No value if does not exist.
Description
Series Date (0008,0021) 3 Capture Date

9.5.4 Ophthalmic Photography Series Module

Attribute Name Tag Type Attribute Description
Modality (0008,0060) 1 OP（Fixed）

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9.5.5 Ophthalmic Tomography Series Module

Attribute Name Tag Type Attribute Description
Modality (0008,0060) 1 OPT（Fixed）
Series Number (0020,0011) 1 A value created by IMAGEnet

9.5.6 Frame of Reference Module

Attribute Name Tag Type Attribute Description
Frame of Reference UID (0020,0052) 1 A Value created by IMAGEnet
Position Reference Indicator (0020,1040) 2 No Value

9.5.7 Synchronization Module

Attribute Name Tag Type Attribute Description
Synchronization Frame of (0020,0200) 1 A value created by IMAGEnet
Reference UID
Synchronization Trigger (0018,106A) 1 NO TRIGGER (Fixed)
Acquisition Time (0018,1800) 1 N (Fixed)
Synchronized

9.5.8 General Equipment Module

Attribute Name Tag Type Attribute Description
Manufacturer (0008,0070) 2 Configured value
Institution Name （0008,0080） 3 Configured value
Station Name (0008,1010) 3 Configured value
Institutional Department Name (0008,1040) 3 Configured value
Manufacturer’s Model Name (0008,1090) 3 Model name of device. No value if
unknown
Software Versions (0018,1020) 3 IMAGEnet software version, read from
system.
Device Serial Number (0018,1000) 3 A value got from device. Only apply to
OPT images.
Operators’ Name (0008,1070) 3 Registered IMAGEnet6 user name.

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 Rev. D

9.5.9 General Image Module

Attribute Name Tag Type Attribute Description
Instance Number (0020,0013) 2 A value created by IMAGEnet
Content Date (0008,0023) 2C Date of Capture
Content Time (0008,0033) 2C Time of Capture
Acquisition Date (0008,0022) 3 Same as Content Date
Acquisition Time (0008,0032) 3 Same as Content Time
Image Type (0008,0008) 3 ORIGINAL\PRIMARY\\Procedure
Name.
Patient Orientation (0020,0020) 2C L\F
（No value with SC）
Lossy Image Compression (0028,2110) 3 00 = The image has never been lossy
compression
01 = The image has been lossy
compression
Lossy Image Compression Ratio (0028,2112) 3 Compression ratio.
(Only for JPEG Baseline(Process 1)
transfer syntax)
Lossy Image Compression Method (0028,2114) 3 ISO_10918_1（Fixed）
(Only for JPEG Baseline(Process
1)transfer syntax)

9.5.10 Image Pixel Module

Attribute Name Tag Type Attribute Description
Sample per Pixel (0028,0002) 1 1 (BW) or 3 (color)
Photometric Interpretation (0028,0004) 1 MONOCHROME2, YBR_FULL_422
(lossy JPEG) or RGB (lossless JPEG)
Rows (0028,0010) 1 A value created by IMAGEnet
Columns (0028,0011) 1 A value created by IMAGEnet
Bits Allocated (0028,0100) 1 A value created by IMAGEnet
Bits Stored (0028,0101) 1 A value created by IMAGEnet
High Bit (0028,0102) 1 A value created by IMAGEnet
Pixel Representation (0028,0103) 1 A value created by IMAGEnet
Pixel Data (7FE0,0010) 1 A value created by IMAGEnet
Planar Configuration (0028,0006) 1C 0(Fixed) : only with OP
No tag with the others.

DICOM Conformance Statement for IMAGEnet 6 Page 20 of 29

 Rev. D

9.5.11 SOP Common Module

Attribute Name Tag Type Attribute Description
SOP Class UID (0008,0016) 1 Generated by Modality
SOP Instance UID (0008,0018) 1 A value created by IMAGEnet
Specific Character Set (0008,0005) 1C ISO_IR_100

9.5.11 SC Equipment Module

Attribute Name Tag Type Attribute Description
Conversion Type (0008,0064) 1 WSD（Fixed)

9.5.12 SC Image Module

This module is not used in IMAGEnet 6.

9.5.13 Cine
Attribute Name Tag Type Attribute Description
Frame Time (0018,1063) 1C 0（Fixed）

9.5.14 Multi Frame Module

Attribute Name Tag Type Attribute Description
Number of Frames (0028,0008) 1 1（Fixed）
Frame Increment Pointer (0028,0009) 1 0018,1063（Fixed）

9.5.15 Ophthalmic Photography Image Module

Attribute Name Tag Type Attribute Description
Image Type (0008,0008) 1 ORIGINAL\PRIMARY\\Procedure
Name
Lossy Image Compression (0028,2110) 1 Defined for JPEG compressed images
Burned in Annotation (0028,0301) 1 No
Pixel Spacing (0028,0030) 1C A pair of values created by IMAGEnet
Acquisition DateTime (0008,002A) 1C Session Date Time

9.5.16 Ocular Region Imaged Module

Attribute Name Tag Type Attribute Description

DICOM Conformance Statement for IMAGEnet 6 Page 21 of 29

 Rev. D
Image Laterality (0020,0062) 1 R, L or B
Anatomic Region Sequence (0008,2218) 1 ―
>Code Value (0008,0100) 1C T-AA610（Fixed）
>Coding Scheme Designator (0008,0102) 1C SRT（Fixed）
>Code Meaning (0008,0104) 1 Retina（Fixed）

9.5.17 Ophthalmic Photography Acquisition Parameters Module

Attribute Name Tag Type Attribute Description
Patient Eye Movement Commanded (0022,0005) 2 Empty
Refractive State Sequence (0022,001B) 2 Empty
Emmetropic Magnification (0022,000A) 2 Empty
Intra Ocular Pressure (0022,000B) 2 Empty
Horizontal Field of View (0022,000C) 2 Empty
Pupil Dilated (0022,000D) 2 Empty

9.5.18 Ophthalmic Photographic Parameters Module

Attribute Name Tag Type Attribute Description
Acquisition Device Type Code Sequence (0022,0015) 1 ―
> Code Value (0008,0100) 2 A value created by IMAGEnet
> Coding Scheme Designator (0008,0102) 2 A value created by IMAGEnet
> Code Meaning (0008,0104) 2 A value created by IMAGEnet
Illumination Type Code Sequence (0022,0016) 2 ―
Light Path Filter Type Stack Code (0022,0017) 2 ―
Sequence
Image Path Filter Type Stack Code (0022,0018) 2 ―
Sequence
Lenses Code Sequence (0022,0019) 2 ―

9.5.19 Enhanced Contrast / Bolus

Attribute Name Tag Type Attribute Description
Contrast/Bolus Agent Sequence (0018,0012) 1 A value created by IMAGEnet
>Code Value (0008,0100) 1 A value created by IMAGEnet

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 Rev. D
>Coding Scheme Designator (0008,0102) 1 A value created by IMAGEnet
>Code Meaning (0008,0104) 1 A value created by IMAGEnet
>Contrast/Bolus Administration A value created by IMAGEnet
(0018,0014) 1
Route Sequence
>>Code Value (0008,0100) 1 A value created by IMAGEnet
>>Coding Scheme Designator (0008,0102) 1 A value created by IMAGEnet
>>Code Meaning (0008,0104) 2 A value created by IMAGEnet
>Contrast/Bolus Volume (0018,1041) 2 A value created by IMAGEnet
>Contrast/Bolus Ingredient A value created by IMAGEnet
(0018,1049) 1
Concentration
>Contrast/Bolus Agent Number (0018,9337) 2 A value created by IMAGEnet
>Contrast/Bolus Ingredient Code A value created by IMAGEnet
(0018,9338) 3
Sequence
>Contrast Administration Profile A value created by IMAGEnet
(0018,9340) 2
Sequence
>>Contrast/Bolus Volume (0018,1041) 3 A value created by IMAGEnet
>>Contrast/Bolus Start Time (0018,1042) 3 A value created by IMAGEnet
>>Contrast/Bolus Stop Time (0018,1043) 1 A value created by IMAGEnet
>>Contrast Flow Duration (0018,1047) 3 A value created by IMAGEnet

9.5.20 Multi-frame functional groups

Attribute Name Tag Type Attribute Description
Shared Functional Groups (5200,9229) 1 ―
Sequence
>C.8.17.10 Ophthalmic Tomography Functional Group Macros
>C.7.6.16.2.1 Pixel Measures Macro
>Pixel Measures Sequence (0028,9110) 1 ―
(0028,0030) Pixel spacing
>>Pixel Spacing 1C
*If there is no value “0\0”
(0018,0050) Slice thickness
>>Slice Thickness 1C
*If there is no value “0”
>C.7.6.16.2.4 Plane Orientation (Patient) Macro
>Plane Orientation Sequence (0020,9116) 1 ―
(0020,0037) 1.000000\0.000000\0.000000\0.0000
>>Image Orientation (Patient) 1C
00\1.000000\0.000000（Fixed）
>C.7.6.16.2.5 Referenced Image Macro
>Referenced Image Sequence (0008,1140) 2 ―
>>Referenced SOP Class UID (0008,1150) 1.2.840.10008.5.1.4.1.1.77.1.5.1
1
（Fixed）
>>Referenced SOP Instance UID (0008,1155) Instance UID of OP which is created
1
by same procedure

DICOM Conformance Statement for IMAGEnet 6 Page 23 of 29

 Rev. D
Attribute Name Tag Type Attribute Description
>>Purpose of Reference Code (0040,A170) 1 ―
Sequence
>>>Code Value (0008,0100) 1C 121311(Fixed)
>>>Coding Scheme Designator (0008,0102) 1C DCM(Fixed)
>>>Code Meaning (0008,0104) 1 Localizer(Fixed)
>C.7.6.16.2.6 Derivation Image Macro
>Derivation Image Sequence (0008,9124) 2 ―
(0008,2111) Lossy compression with JPEG
baseline, IJG quality factor 90,
>>Derivation Description 3 compression ratio *.****
(Only JPEG Baseline (Process 1)
transfer syntax)
(0008,9215) 1 ―
>>>Derivation Code Sequence (Only JPEG Baseline (Process 1)
transfer syntax)
(0008,0100) 1C 113040
>>>Code Value (Only JPEG Baseline (Process 1)
transfer syntax)
(0008,0102) 1C DCM
>>>Coding Scheme Designator (Only JPEG Baseline (Process 1)
transfer syntax)
(0008,0104) 1 Lossy Compression
>>> Code Meaning (Only JPEG Baseline (Process 1)
transfer syntax)
>C.7.6.16.2.8 Frame Anatomy Macro
>Frame Anatomy Sequence (0020,9071) 1 ―
>>Frame Laterality (0020,9072) 1 Measured eye

>>General Anatomy Mandatory Macro

>>Anatomic Region Sequence (0008,2218) 2 ―

>>>Code Value (0008,0100) 1C T-AA610(Fixed)
>>>Coding Scheme Designator (0008,0102) 1C SRT(Fixed)
>>>Code Meaning (0008,0104) 1 Retina(Fixed)
Per-frame Functional Groups (5200,9230) ―
1
Sequence
>C.8.17.10 Ophthalmic Tomography Functional Group Macros
>C.7.6.16.2.2 Frame Content Macro
>Frame Content Sequence (0020,9111) 1 ―
>>Frame Reference Date time (0018,9151) 1C No Value
>>Frame Acquisition Date time (0018,9074) 1C No Value
>>Frame Acquisition Duration (0018,9220) 1C No Value
>>Dimension Index Values (0020,9157) 1C 1 , Flame number

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 Rev. D
>>Stack ID (0020,9056) 1C 1(Fixed)
>>In-Stack Position Number (0020,9057) 1C Flame number
>C.7.6.16.2.3 Plane Position (Patient) Macro
>Plane Position Sequence (0020,9113) 1 ―
>>Image Position (Patient) (0020,0032) 1C No Value
>>Purpose of Reference Code (0040, A170) ―
1
Sequence
>>>Code Value (0008,0100) 1C 121311(Fixed)
>>>Coding Scheme Designator (0008,0102) 1C DCM(Fixed)
>>>Code Meaning (0008,0104) 1 Localizer(Fixed)
>C.8.17.10.1 Ophthalmic Frame Location Macro
>Ophthalmic Frame Location (0022,0031) ―
1
Sequence
(0008,1150) 1.2.840.10008.5.1.4.1.1.77.1.5.1(Fixe
>>Referenced SOP Class UID 1
d)
(0008,1155) Instance UID of OP which is created
>>Referenced SOP Instance UID 1
by same procedure
(0022,0032) The value calculated from scan
>>Reference Coordinates 1
position information
>>Ophthalmic Image Orientation (0022,0039) 1 LINEAR(Fixed)
(0020,0013) A value created by IMAGEnet
Instance Number 1

Content Date (0008,0023) 1 Capture Date

Content Time (0008,0033) 1 Capture Time
Number of Frames (0028,0008) 1 Number of Frames

Concatenation Frame Offset (0020,9228) 1C 0(Fixed)

Number
Representative Frame Number (0028,6010) 3 1(Fixed)
Concatenation UID (0020,9161) 1C A value created by IMAGEnet
SOP Instance UID of Concatenation (0020,0242) A value created by IMAGEnet
1C
Source
In-concatenation Number (0020,9162) 1C 1(Fixed)
In-concatenation Total Number (0020,9163) 3 1(Fixed)

9.5.21 Multi-frame Dimension

Attribute Name Tag Type Attribute Description
Dimension Organization Sequence (0020,9221) 1 ―
>Dimension Organization UID (0020,9164) 1 A value created by IMAGEnet
Dimension Organization Type (0020,9311) 3 3D(Fixed)
Dimension Index Sequence (0020,9222) 1 ―
>Dimension Index Pointer (0020,9165) 1 (0020,9056) (Fixed)

DICOM Conformance Statement for IMAGEnet 6 Page 25 of 29

 Rev. D

>Functional Group Pointer (0020,9167) 1C (0020,9111) (Fixed)

>Dimension Index Pointer (0020,9165) 1 (0020,9057) (Fixed)
>Functional Group Pointer (0020,9167) 1C (0020,9111) (Fixed)

9.5.22 Ophthalmic Tomography Image

Attribute Name Tag Type Attribute Description
Image Type (0008,0008) 1 ORIGINAL\PRIMARY\
Samples per Pixel (0028,0002) 1 1(Fixed)
Acquisition Date Time (0008,002A) 1 Capture date time
Acquisition Duration (0018,9073) 1C 0(Fixed)
Acquisition Number (0020,0012) 1 1(Fixed)
Photometric Interpretation (0028,0004) 1 MONOCHROME2(Fixed)
Pixel Representation (0028,0103) 1 0(Fixed)
Bits Allocated (0028,0100) 1 8(Fixed)
Bits Stored (0028,0101) 1 8(Fixed)
High Bit (0028,0102) 1 7(Fixed)
Presentation LUT Shape (2050,0020) 1 IDENTITY(Fixed)
Lossy Image Compression (0028,2110) 1 00 = The image has never been lossy
compression
01 = The image has been lossy
compression
Lossy Image (0028,2112) 1C Compression ratio
Compression (Only for JPEG Baseline (Process 1)
Ratio transfer syntax)
Lossy Image (0028,2114) 1C ISO_10918_1
Compression (Only for JPEG Baseline (Process 1)
Method transfer syntax)

Burned In Annotation (0028,0301) 1 NO(Fixed)

Concatenation Frame Offset 1 0(Fixed)
(0020,9228)
Number
In-concatenation Number (0020,9162) 1 1(Fixed)
In-concatenation Total Number (0020,9163) 1 1(Fixed)

9.5.23 Ophthalmic Tomography Acquisition Parameters

Attribute Name Tag Type Attribute Description
Axial Length of the Eye (0022,0030) 2 No Value
Horizontal Field of View (0022,000C) 2 No Value
C.8.17.8-2 Ophthalmic Acquisition Parameters Macro
Refractive State Sequence (0022,001B) 2 ―

DICOM Conformance Statement for IMAGEnet 6 Page 26 of 29

 Rev. D
Emmetropic Magnification (0022,000A) 2 No Value
Intra Ocular Pressure (0022,000B) 2 No Value
Pupil Dilated (0022,000D) 2 No Value

9.5.24 Ophthalmic Tomography Parameters

Attribute Name Tag Type Attribute Description
Acquisition Device Type Code (0022,0015) 1 ―
Sequence
>Code Value (0008,0100) 1C A-00FBE(Fixed)
> Coding Scheme Designator (0008,0102) 1C SRT(Fixed)
>Code Meaning (0008,0104) 1 Optical Coherence Tomography
Scanner(Fixed)
Light Path Filter Type Stack Code (0022,0017) 2 ―
Sequence
Detector Type (0018,7004) 1 CCD(Fixed)
Illumination Wave Length (0022,0055) 1C 840 or 1050（Depend on Model）
Illumination Power (0022,0056) 1C 650 or 1050（Depend on Model）
Illumination Bandwidth (0022,0057) 1C 50 or 60（Depend on Model）
Depth Spatial Resolution (0022,0035) 1C 6 or 8（Depend on Model）
Maximum Depth Distortion (0022,0036) 1C 0.5(Fixed)
Along-scan Spatial Resolution (0022,0037) 1C 20(Fixed)
Maximum Along-scan Distortion (0022,0038) 1C 0.5(Fixed)
Across-scan Spatial Resolution (0022,0048) 1C 20(Fixed)
Maximum Across-scan Distortion (0022,0049) 1C 0.5(Fixed)

9.5.25 Acquisition Context Module

Attribute Name Tag Type Attribute Description
Acquisition Context Sequence (0040,0555) 2 ―

9.5.26 Encapsulated Document Series

Attribute Name Tag Type Attribute Description
Modality (0008,0060) 1 A value generated by modality
Series Instance UID (0020,000E) 1 A value generated by modality.
Series Number (0020,0011) 1 A value generated by modality.

9.5.27 Encapsulated Document

Attribute Name Tag Type Attribute Description
Instance Number (0020,0013) 1 A value generated by modality

DICOM Conformance Statement for IMAGEnet 6 Page 27 of 29

 Rev. D
Content Date (0008,0023) 2 Date of acquisition
Content Time (0008,0033) 2 Time of acquisition
Acquisition Date (0008,0022) 3 Same as Content Date
Acquisition Time (0008,0032) 3 Same as Content Time
Burned in Annotation (0028,0301) 1 Yes
Document Title (0042,0010) 2 OCT Report Title.
Concept Name Code Sequence (0040, A043) 2 No Value
MIME Type of Encapsulated (0042,0012) 1 Application/pdf (Fixed)
Document
Encapsulated Document (0042,0011) 1 Encapsulated PDF stream of OCT
Report.

10. ABBREVIATIONS
ASCII American Standard Code for Information Interchange
AE Application Entity
ANSI American National Standards Institute
CR Computed Radiography
CT Computed Tomography
DICOM Digital Imaging and Communications in Medicine
DIMSE DICOM Message Service Element
DIMSE-C DICOM Message Service Element Composite
DIMSE-N DICOM Message Service Element Normalized
DOD Department Of Defense
DX Digital Radiography
FTP File Transfer Protocol (part of the TCP/IP protocol suite)
HL7 Health Level 7
HIS/RIS Hospital Information System/ Radiology Information System
ID Identifier
IE Information Entity
IHE Integrating the Healthcare Enterprise
HIS Indian Health Services
HIMSS Healthcare Information and Management Systems Society
IS Information System
IOD Information Object Definition
ISO International Standards Organization
MPPS Modality Performed Procedure Step
NEMA National Electrical Manufacturers Association
MR Magnetic Resonance
OSI Open Systems Interconnection
PACS Picture Archiving and Communication System
PDU Protocol Data Unit
PN Person Name
RFC Request For Comments
RIS Radiology Information System
RSNA Radiological Society of North America
SCP Service Class Provider
SCU Service Class User

DICOM Conformance Statement for IMAGEnet 6 Page 28 of 29

 Rev. D
SOP Service-Object Pair
TCP/IP Transmission Control Protocol/Internet Protocol
UID Unique Identifier
VA Department of Veterans Affairs
VR Value Representation
XA X-Ray Angiography

1026000-U7

DICOM Conformance Statement for IMAGEnet 6 Page 29 of 29