DICOM Conformance Statement Eleva Workspot 2.0

DICOM
Conformance Statement
Eleva Workspot 2.0 for
• DigitalDiagnost 2.0
• EasyUpgrade DR
• DRF2
© Koninklijke Philips Electronics N.V. 2013

All rights are reserved.
Issued by:
Philips Medical Systems Nederland BV, a Philips Healthcare company,
P.O. Box 10.000

5680 DA Best
The Netherlands
Email: [email protected]
Internet: http://www.healthcare.philips.com/connectivity
Document Number: ICAP-PF.0008782

Date: 13-December-2013
DICOM Conformance Statement Page 3 of 81
1. DICOM C ONFORMANCE S TATEMENT O VERVIEW

This document is the DICOM Conformance Statement for the Philips Medical Systems
XD-S.
A table of Supported Networking DICOM Service (SOP) Classes is provided with roles
(User/Provider)
Eleva Workspot 2.0
Eleval Workspot 2.0.the first deliverable of the digital acquisition work spot (AWS). The
specified functions are regarded as common to all digital radiography modalities.The
new workstation will be the release for centralization of the some target-systems on
Windows platform.
These target-systems are:
 DigitalDiagnost 2.0, which is the first DigitalDiagnost release on the Eleva
Platform
 EasyUpgrade DR, an upgrade for the analog bucky system.
 DRF2 is the next version of the DRF1 and upgrade for the EasyDiagnost
The figure below shows the position of the Eleva Workspot 2.0 in a radiology
environment.
Figure 1: Eleva Workspot 2.0 in a DICOM network
Eleva Workspot 2.0 is an embedded modality system for DICOM images. It provides,
among other things, the following features:
 Verification of application level communication.
 Basic Worklist Management (BWLM).
 Storage of images on a remote DICOM System.
 Study Management per Modality Performed Procedure Step (MPPS)
 Printing of hardcopies on a remote DICOM Printer.
 Storage of images per DICOM Media only on Compact Disc (CD)

Document Number: ICAP-PF.0008782 Eleva Workspot 2.0 13 Dec 2013
Table 1: Network Services
SOP Class User of Provider

Service of Service
Name UID (SCU) (SCP)
Other
Verification SOP Class 1.2.840.10008.1.1 No Yes
Print Management
Basic Grayscale Print Management 1.2.840.10008.5.1.1.9 Yes No
Meta SOP Class
>Basic Film Box SOP Class 1.2.840.10008.5.1.1.2 Yes No
>Basic Film Session SOP Class 1.2.840.10008.5.1.1.1 Yes No
>Basic Grayscale Image Box SOP 1.2.840.10008.5.1.1.4 Yes No
Class
>Printer SOP Class 1.2.840.10008.5.1.1.16 Yes No
Transfer
Computed Radiography Image Storage 1.2.840.10008.5.1.4.1.1.1 Yes No
SOP Class
Digital X-Ray Image Storage - For Pres. 1.2.840.10008.5.1.4.1.1.1.1 Yes No
SOP
Digital X-Ray Image Storage - For Proc. 1.2.840.10008.5.1.4.1.1.1.1.1 Yes No
SOP
Secondary Capture Image Storage SOP 1.2.840.10008.5.1.4.1.1.7 Yes No
Class
Workflow Management
Modality Performed Procedure Step 1.2.840.10008.3.1.2.3.3 Yes No
SOP Class
Modality Worklist Information Model - 1.2.840.10008.5.1.4.31 Yes No
FIND SOP Class
Storage Commitment Push Model SOP 1.2.840.10008.1.20.1 Yes No
Class
The services can be specified as a SCU, SCP or as an Option, which means that it is
either configurable or that it can be purchased separately.
A table of Supported Media Storage Application Profiles (with roles) is provided

Table 2: Media Services
Media Storage Application Profile Write Files (FSC or FSU) Read Files (FSR)
Compact Disk – Recordable

General Purpose CD-R Interchange Yes No

2. TABLE OF C ONTENTS
1. DICOM CONFORMANCE STATEMENT OVERVIEW .................................................................3
2. TABLE OF CONTENTS ...............................................................................................................5
3. INTRODUCTION ..........................................................................................................................7
3.1. REVISION HISTORY ...............................................................................................................7
3.2. AUDIENCE ...............................................................................................................................7
3.3. REMARKS ................................................................................................................................7
3.4. DEFINITIONS, TERMS AND ABBREVIATIONS .....................................................................8
3.5. REFERENCES .........................................................................................................................9
4. NETWORKING ...........................................................................................................................10
4.1. IMPLEMENTATION MODEL .................................................................................................10
4.1.1. Application Data Flow .........................................................................................................10
4.1.2. Functional Definition of AE’s ..............................................................................................11
4.1.2.1. Functional Definition of Eleva .............................................................................................11
4.1.3. Sequencing of Real World Activities ..................................................................................13
4.2. AE SPECIFICATIONS ............................................................................................................14
4.2.1. Eleva...................................................................................................................................14
4.2.1.1. SOP Classes ......................................................................................................................14
4.2.1.2. Association Policies ............................................................................................................14
4.2.1.2.1. General ..........................................................................................................................14
4.2.1.2.2. Number of Associations .................................................................................................14
4.2.1.2.3. Asynchronous Nature.....................................................................................................15
4.2.1.2.4. Implementation Identifying Information ..........................................................................15
4.2.1.2.5. Communication Failure Handling ...................................................................................15
4.2.1.3. Association Initiation Policy ................................................................................................15
4.2.1.3.1. (Real-World) Activity – Print Management As SCU .......................................................19
4.2.1.3.2. (Real-World) Activity – Image Export .............................................................................24
4.2.1.3.3. (Real-World) Activity – Modality Performed Procedure Step As SCU ...........................27
4.2.1.3.4. (Real-World) Activity – Modality worklist As SCU ..........................................................33
4.2.1.3.5. (Real-World) Activity – Storage Commitment Push Model AS SCU..............................41
4.2.1.4. Association Acceptance Policy...........................................................................................44
4.2.1.4.1. (Real-World) Activity – Verification as SCP ...................................................................46
4.3. NETWORK INTERFACES .....................................................................................................48
4.3.1. Physical Network Interfaces ...............................................................................................48
4.3.2. Additional Protocols ............................................................................................................48
4.4. CONFIGURATION .................................................................................................................48
4.4.1. AE Title/Presentation Address Mapping.............................................................................48
4.4.1.1. Local AE Titles ...................................................................................................................48
4.4.1.2. Remote AE Title/Presentation Address Mapping ...............................................................48
4.4.2. Parameters .........................................................................................................................48
5. MEDIA INTERCHANGE .............................................................................................................50
5.1. IMPLEMENTATION MODEL .................................................................................................50
5.1.1. Application Data Flow Diagram ..........................................................................................50
5.1.2. Functional Definitions of AE’s .............................................................................................50
5.1.2.1. Functional Definition of Eleva Workspot 2.0 ......................................................................50
5.1.3. Sequencing of Real World Activities ..................................................................................50
5.1.4. File Meta Information for Implementation Class and Version ............................................51
5.2. ELEVA AE ..............................................................................................................................51
5.2.1.1. Real-World Activities ..........................................................................................................51
5.2.1.1.1. Display Directory ............................................................................................................51
5.2.1.1.2. Write Images ..................................................................................................................51
5.3. AUGMENTED AND PRIVATE APPLICATION PROFILES ...................................................52
5.3.1. Augmented Application Profiles .........................................................................................52
5.3.1.1. Augmented Application Profile x ........................................................................................52
5.3.1.1.1. SOP Class Augmentations ............................................................................................52
5.3.1.1.2. Directory Augmentations ................................................................................................52
5.3.1.1.3. Other Augmentations .....................................................................................................52
5.3.2. Private Application Profiles .................................................................................................52

5.4. MEDIA CONFIGURATION .....................................................................................................52

6. SUPPORT OF CHARACTER SETS...........................................................................................54
7. SECURITY ..................................................................................................................................55
7.1.1. Secure Transport Connection Profiles ...............................................................................55
7.1.1.1. The Basic TLS Secure Transport Connection Profile ........................................................55
7.1.2. Attribute Confidentiality Profiles..........................................................................................55
7.1.2.1. The Basic Application Level Confidentiality Profile.............................................................55
8. ANNEXES OF APPLICATION "ELEVA" ...................................................................................57
8.1. IOD CONTENTS ....................................................................................................................57
8.1.1. Created SOP Instance .......................................................................................................57
8.1.1.1. List of created SOP Classes ..............................................................................................57
8.1.1.2. Computed Radiography Image Storage SOP Class ..........................................................58
8.1.1.3. Secondary Capture Image Storage SOP Class .................................................................62
8.1.1.4. Digital X-Ray Image Storage - For Pres. SOP ...................................................................67
8.1.1.5. Digital X-Ray Image Storage - For Proc. SOP ...................................................................73
8.1.2. Usage of Attributes from Received IOD .............................................................................79
8.1.3. Attribute Mapping ...............................................................................................................80
8.1.4. Coerced/Modified fields ......................................................................................................80
8.2. DATA DICTIONARY OF PRIVATE ATTRIBUTES ................................................................81
8.3. CODED TERMINOLOGY AND TEMPLATES .......................................................................81
8.4. GRAYSCALE IMAGE CONSISTENCY .................................................................................81
8.5. STANDARD EXTENDED/SPECIALIZED/PRIVATE SOPS ...................................................81
8.6. PRIVATE TRANSFER SYNTAXES .......................................................................................81

3. I NTRODUCTION
The introduction specifies product and relevant disclaimers as well as any general
information that the vendor feels is appropriate.
3.1. Revision History

The revision history provides dates and differences of the different releases.
Table 3: Revision History
Document
Date of Issue Status Description
Version
00 01 January 2006 Draft Template for the DICOM Conformance Statement
(Ref. DICOM Standard PS 3.2 - Conformance)
01 24 September 2007 Proposal Creation of the draft version of the DICOM
Conformance Statement Eleva Workspot 2.0
02 19 December 2007 Approved Final version of DICOM Conformance Statement.
03 11 February 2008 Approved Updated final version of DICOM Conformance
Statement. Added the session 7 - Security
04 11 September 2009 Approved Change: System PCR 1.2 is retired. Now taken in
Document with number XPS031-080444
05 13 December 2013 Authorized Remove 0018,703x Attributes and LiveLink ID
3.2. Audience
This Conformance Statement is intended for:
• (Potential) customers
• System integrators of medical equipment
• Marketing staff interested in system functionality
• Software designers implementing DICOM interfaces
It is assumed that the reader is familiar with the DICOM standard.
3.3. Remarks
The DICOM Conformance Statement is contained in chapter 4 through 8 and follows
the contents and structuring requirements of DICOM PS 3.2.
This DICOM Conformance Statement by itself does not guarantee successful

interoperability of Philips equipment with non-Philips equipment. The user (or user’s
agent) should be aware of the following issues:
• Interoperability
Interoperability refers to the ability of application functions, distributed over two or
more systems, to work successfully together. The integration of medical devices
into an IT environment may require application functions that are not specified
within the scope of DICOM. Consequently, using only the information provided by
this Conformance Statement does not guarantee interoperability of Philips
equipment with non-Philips equipment.
It is the user’s responsibility to analyze thoroughly the application requirements and
to specify a solution that integrates Philips equipment with non-Philips equipment.
• Validation
Philips equipment has been carefully tested to assure that the actual
implementation of the DICOM interface corresponds with this Conformance
Statement.
Where Philips equipment is linked to non-Philips equipment, the first step is to
compare the relevant Conformance Statements. If the Conformance Statements
indicate that successful information exchange should be possible, additional
validation tests will be necessary to ensure the functionality, performance,

accuracy and stability of image and image related data. It is the responsibility of the
user (or user’s agent) to specify the appropriate test suite and to carry out the
additional validation tests.
• New versions of the DICOM Standard

The DICOM Standard will evolve in future to meet the user’s growing requirements
and to incorporate new features and technologies. Philips is actively involved in this
evolution and plans to adapt its equipment to future versions of the DICOM
Standard. In order to do so, Philips reserves the right to make changes to its
products or to discontinue its delivery.
The user should ensure that any non-Philips provider linking to Philips equipment
also adapts to future versions of the DICOM Standard. If not, the incorporation of
DICOM enhancements into Philips equipment may lead to loss of connectivity (in
case of networking) and incompatibility (in case of media).
3.4. Definitions, Terms and Abbreviations

DICOM definitions, terms and abbreviations are used throughout this Conformance
Statement. For a description of these, see NEMA PS 3.3 and PS 3.4.
The word Philips in this document refers to Philips Medical Systems.
The following acronyms and abbreviations are used in this document.
AE Application Entity
ANSI American National Standard Institute
AP Application Profile
BOT Basic Offset Table
CD Compact Disc
CD-R CD-Recordable
CD-M CD-Medical
CR Computed Radiography
CT Computed Tomography
DCR Dynamic Cardio Review
DICOM Digital Imaging and Communications in Medicine
DIMSE DICOM Message Service Element
DIMSE-C DIMSE-Composite
DIMSE-N DIMSE-Normalized
DX Digital X-Ray
EBE DICOM Explicit VR Big Endian
ELE DICOM Explicit VR Little Endian
FSC File-set Creator
FSR File-set Reader
FSU File-set Updater
GUI Graphic User Interface
HIS Hospital Information System
HL7 Health Level Seven
ILE DICOM Implicit VR Little Endian
IOD Information Object Definition
ISIS Information System – Imaging System
MOD Magneto-Optical Disk
MPPS Modality Performed Procedure Step
MR Magnetic Resonance
NEMA National Electrical Manufacturers Association
NM Nuclear Medicine
PDU Protocol Data Unit
RF X-Ray Radiofluoroscopic
RIS Radiology Information System
RT Radiotherapy
RWA Real-World Activity
SC Secondary Capture
SCM Study Component Management

SCP Service Class Provider

SCU Service Class User
SOP Service Object Pair
TCP/IP Transmission Control Protocol/ Internet Protocol
UID Unique Identifier
US Ultrasound
USMF Ultrasound Multi-frame
WLM Worklist Management
XA X-Ray Angiographic
3.5. References
[DICOM] Digital Imaging and Communications in Medicine, Part 1 – 18
(NEMA PS 3.1– PS 3.18),
National Electrical Manufacturers Association (NEMA)
th
Publication Sales 1300 N. 17 Street, Suite 1847
Rosslyn, Virginia. 22209, United States of America
Internet: http://medical nema.org/
Note that at any point in time the official standard consists of the most
recent yearly edition of the base standard (currently 2004) plus all the
supplements and correction items that have been approved as Final Text.

4. N ETWORKING
This section contains the networking related services (vs. the media related ones).
4.1. Implementation model

The implementation model consists of three sections:
 The application data flow diagram, specifying the relationship between the
Application Entities and the “external world” or Real-World Activities,
 A functional description of each Application Entity, and
 The sequencing constraints among them.
4.1.1. Application Data Flow

The Eleva Workspot 2.0 system consists of one single application entity only the Eleva
Workspot 2.0 Application Entity (Eleva AE)
The figure bellows shows the networking application data flow as a functional overview
of the Eleva AE.
It incorporates the following functionality.

 The Eleva AE can verify application level communication by using the verification
service as SCP.
 The Eleva AE can request a worklist by using the Basic Worklist Management
service as SCU.
 The Eleva AE can store images by using the Storage service as SCU and use the
Storage-Commit SOP-Class perform storage-commit as SCU.
 The Eleva AE can compose the modality performed procedure step by using the
Study Management service as SCU.
 The Eleva AE can print images by using the Print Management service as SCU
Eleva AE.

Eleva Workspot 2.0

Request
Verification
Query
Worklist Basic Worklist
Managment
Create
Performed
Procedure
Step
MPPS
Set
Performed
Procedure Eleva AE
Step
Request
Storage
Storage
Commit
Commitment
Storage Store Image
Print Request Print Images
Local Remote
DICOM Standard Network Interface
Figure 2: Application Data Flow Diagram
4.1.2. Functional Definition of AE’s

This section describes in general terms the functions to be performed by the AE, and
the DICOM services used to accomplish these functions.
4.1.2.1. Functional Definition of Eleva

The Eleva AE is the one and only application entity within the Eleva Workspot. It
includes the following service classes.
Verification Service Class

The Eleva AE provides the Verification service as SCP.
A remote SCU shall request an association with the Eleva AE for Verification SOP
class. After accepting the association the Eleva AE shall receive and respond to the
Verification request and release the association when requested.
Basic Worklist Management Service Class

The Eleva AE may use the Basic Worklist Management service as SCU.

After initiating the worklist query the Eleva AE shall request an association with the
configured remote Basic Worklist Management SCP. After accepting the association
the Eleva AE shall send the find request, wait for response, and then release the
association.
The user interface shall be updated with the query results.
Storage Service Class

The Eleva AE may use the Storage service as SCU.
After a performed procedure step the Eleva AE shall store the related images at the
configured Storage SCP. It shall request an association with the remote Storage SCP
for the applicable Storage SOP classes. After accepting the association the Eleva AE
shall send the store request, wait for response, and then release the association.
After successful storage the user interface shall be updated accordingly.
After successful storage, if selected, the ELEVA AE shall request storage commitment
per Storage Commitment service (ref. Storage Commitment Service Class)
Storage Commitment Service Class

The ELEVA AE can perform the Storage Commitment service as SCU.
The ELEVA AE shall request an association with the selected remote SCP for the
Storage Commitment Push Model SOP class. When the association is accepted, the
ELEVA AE shall send the Storage Commitment requests, receive the Storage
Commitment responses and act accordingly, and release the association.
When the remote commitment actions have been finished, the remote SCP should
request an association with the ELEVA AE (still SCU). After accepting the
association, the ELEVA AE shall receive the Storage Commitment reports, and
release the association when requested.
The Storage Commitment Service can be done synchronously and asynchronously.

A detailed specification of the Storage Commitment is described in section 4.2.1.3.5
(Real-World Activity: Storage Commitment Push Model as SCU).
Study Management Service Class

The Eleva AE may use the Study Management service as SCU.
Before performing a procedure step the Eleva AE shall request an association with the
configured remote Study Management SCP. After accepting the association the Eleva
AE shall send a create request, wait for response, and then release the association.
After performing a procedure step the Eleva AE shall request a new association to
send a set request, and after response, release the association.
Depending on the status of creates and set and the configuration the Eleva AE may
perform a retry.
The user interface shall be updated with the performed procedure step status.
Basic Grayscale Print Management Meta Class

The Eleva AE may use the Basic Grayscale Print Management service as SCU.
After a performed procedure step the Eleva AE shall print the related images on the
configured Printer. It shall request an association with the remote Basic Grayscale Print
Management SCP for the applicable Basic Grayscale Print Management SOP class.
After accepting the association the Eleva AE shall send the print request, wait for
response, and then release the association.
After successful printing the user interface shall be updated accordingly.

4.1.3. Sequencing of Real World Activities

The figure below shows a typical sequence of an examination using a worklist. The
user updates the worklist (query Worklist) and then selects and opens an
examination. When the user starts the examination (acquiring the first image), the RIS
is notified (Create Performed Procedure Step). After the user confirmed each
acquisition (image 1-N) per default the image is sent to archive (Store Image) and
printer (Print Image) simultaneously. Finally, when closing the examination, the RIS is
notified to update the data of the examination (Set Performed Procedure Step).
Note that Print Image will send images to the printer only when enough images were
received to fulfill the configured printer format or when the print job is flushed
manually.
When the last image of an examination is received the print job will be flushed
automatically.
Figure 3: Sequence of an examination

4.2. AE Specifications
The next section in the DICOM Conformance Statement is a set of application entity
specifications. There are as many of these subsections as there are different AE's in
the implementation.
4.2.1. Eleva
Detail of this specific Application Entity is specified in this section.
4.2.1.1. SOP Classes

This Application Entity provides Standard Conformance to the following SOP Classes.
Table 4: SOP Classes for Eleva
SOP Class Name SOP Class UID SCU SCP

Computed Radiography Image Storage SOP 1.2.840.10008.5.1.4.1.1.1 Yes No
Class
Digital X-Ray Image Storage - For Pres. SOP 1.2.840.10008.5.1.4.1.1.1.1 Yes No
Digital X-Ray Image Storage - For Proc. SOP 1.2.840.10008.5.1.4.1.1.1.1.1 Yes No
Modality Performed Procedure Step SOP Class 1.2.840.10008.3.1.2.3.3 Yes No
Modality Worklist Information Model - FIND SOP 1.2.840.10008.5.1.4.31 Yes No
Class
Secondary Capture Image Storage SOP Class 1.2.840.10008.5.1.4.1.1.7 Yes No
Storage Commitment Push Model SOP Class 1.2.840.10008.1.20.1 Yes No
Verification SOP Class 1.2.840.10008.1.1 No Yes
Basic Grayscale Print Management Meta SOP 1.2.840.10008.5.1.1.9 Yes No
Class
>Basic Film Box SOP Class 1.2.840.10008.5.1.1.2 Yes No
>Basic Film Session SOP Class 1.2.840.10008.5.1.1.1 Yes No
>Basic Grayscale Image Box SOP Class 1.2.840.10008.5.1.1.4 Yes No
>Printer SOP Class 1.2.840.10008.5.1.1.16 Yes No
Note: Any SOP specific behavior is documented later in the conformance statement in
the applicable SOP specific conformance section.
4.2.1.2. Association Policies

Each AE specification contains a description of the general association establishment
and acceptance policies of the AE.
4.2.1.2.1. General
The DICOM standard application context has specified.
Table 5: DICOM Application Context
Application Context Name 1.2.840.10008.3.1.1.1
4.2.1.2.2. Number of Associations

The number of simultaneous associations that an Application Entity may support as a
Initiator or Acceptor is specified.
Table 6: Number of Associations as an Association Initiator for Eleva
Maximum number of simultaneous associations 2
Table 7: Number of Associations as an Association Acceptor for Eleva
Maximum number of simultaneous associations 1

4.2.1.2.3. Asynchronous Nature

If the implementation supports negotiation of multiple outstanding transactions this is
stated here, along with the maximum number of outstanding transactions supported.
Table 8: Asynchronous Nature as an Association Initiator for Eleva
Maximum number of outstanding asynchronous transactions 0
4.2.1.2.4. Implementation Identifying Information

The value supplied for Implementation Class UID and version name are documented
here.
Table 9: DICOM Implementation Class and Version for Eleva
Implementation Class UID 1.3.46.670589.30.1.3
Implementation Version Name PMS_ELEVA_PA_2.1
4.2.1.2.5. Communication Failure Handling

The behavior of the AE during communication failure is summarized in next table.
Table 10: Communication Failure Behavior
Exception Behavior
4.2.1.3. Association Initiation Policy

This describes the conditions under which the AE will initiate an association.
The behavior of the AE during association rejection is summarized in next table

Table 11: DICOM Association Rejection Handling
Result Source Reason/Diagnosis Behavior

1– 1 – DICOM UL service-user 1 – no-reason-given Association is not established.
rejected- The following error is logged.
permanent Association rejected by peer (
1: REJECT_RESULT
_permanent,
1: REJECT_SOURCE_dul_user,
1: REJECT_REASON
_no_reason_given)
2 – application- Association is not established.
context-name-not- The following error is logged.
supported Association rejected by peer (
1: REJECT_RESULT
_permanent,
2: REJECT_REASON
_application_context_not_support
)
3 – calling-AE-title- Association is not established.
not-recognized The following error is logged.
Association rejected by peer (
1: REJECT_RESULT
_permanent,
3: REJECT_REASON
_calling_aetitle_not_recognized)


7 – called-AE-title- Association is not established.
1: REJECT_RESULT
_permanent,
7: REJECT_REASON
_called_aetitle_not_recognized)
2 – DICOM UL service-provider 1 – no-reason-given Association is not established.
(ACSE related function) The following error is logged.
Error: UserRecoverable:
impl.dicom.access.PEER:
Associationrejected by peer (
1: REJECT_RESULT
_permanent,
2: REJECT_SOURCE
_dul_provider (acse),
1: REJECT_REASON
_no_reason_given)
2 – protocol-version- Association is not established.
not-supported The following error is logged.
1: REJECT_RESULT
_permanent,
2: REJECT_SOURCE
2: REJECT_REASON
)
3 – DICOM UL service-provider 1 – temporary- Association is not established.
(presentation related function) congestion The following error is logged.
1: REJECT_RESULT
_permanent,
3: REJECT_SOURCE
_dul_provider (presentation),
1: REJECT_REASON
_no_reason_given)
2 – local-limit- Association is not established.
exceeded The following error is logged.
1: REJECT_RESULT
_permanent,
3: REJECT_SOURCE
2: REJECT_REASON
)
2– 1 – DICOM UL service-user 1 – no-reason-given Association is not established.
rejected- The following error is logged.
transient Association rejected by peer (
2: REJECT_RESULT_transient,
1: REJECT_REASON
_no_reason_given)
2 – application- Association is not established.
context-name-not- The following error is logged.
supported Association rejected by peer (
2: REJECT_REASON
)
3 – calling-AE-title- Association is not established.
3: REJECT_REASON
_calling_aetitle_not_recognized)


7 – called-AE-title- Association is not established.
7: REJECT_REASON
_called_aetitle_not_recognized)
2 – DICOM UL service-provider 1 – no-reason-given Association is not established.
(ACSE related function) The following error is logged.
2: REJECT_SOURCE
1: REJECT_REASON
_no_reason_given)
2 – protocol-version- Association is not established.
not-supported The following error is logged.
2: REJECT_SOURCE
2: REJECT_REASON
)
3 – DICOM UL service-provider 1 – temporary- Association is not established.
(presentation related function) congestion The following error is logged.
3: REJECT_SOURCE
1: REJECT_REASON
_no_reason_given)
2 – local-limit- Association is not established.
exceeded The following error is logged.
3: REJECT_SOURCE
2: REJECT_REASON
)
The behavior of the AE on receiving an association abort is summarized in next table

Table 12: DICOM Association Abort Handling
Source Reason/Diagnosis Behavior

0 – DICOM UL service-user 0 – reason-not-specified When received, the Eleva Workspot
terminates the connection with the following
log: Association ABORTED by peer (
0: ABORT_SOURCE_dul_user,
0: ABORT_REASON_not_specified).
2 – DICOM UL service-provider 0 – reason-not-specified When received, the Eleva Workspot
2: ABORT_SOURCE_dul_provider,
1 – unrecognized-PDU When received, theEleva Workspot
1: ABORT_REASON_unrecognized_pdu).
2 – unexpected-PDU When received, theEleva Workspot
2: ABORT_REASON_unexpected_pdu).


4 – unrecognized-PDU When received, the Eleva Workspot
parameter terminates the connection with the following
4: ABORT_REASON
_unrecognized_pdu_parameter).
5 – unexpected-PDU When received, the Eleva Workspot
5: ABORT_REASON
_unexpected_pdu_parameter).
6 – invalid-PDU- When received, the Eleva Workspot
parameter value terminates the connection with the following
6: ABORT_REASON
_invalid_pdu_parameter).
The behavior of the AE during DICOM communication failure is summarized in next

table.
Table 13: DICOM Command Communication Failure Behavior
Exception Behavior
Timeout The Association is aborted using A-ABORT and command marked as failed.
The reason is logged and reported to the user.
Association aborted The command is marked as failed. The reason is logged and reported to the
user.

4.2.1.3.1. (Real-World) Activity – Print Management As SCU
4.2.1.3.1.1. Description and Sequencing of Activities
System AE Printer
A-ASSOCIATE-RQ
A-ASSOCIATE-AC
N-GET-RQ (Printer)
N-GET-RSP (Printer)
N-CREATE-RQ (Basic Film Session)
N-CREATE-RSP (Basic Film Session)
N-CREATE-RQ (Basic Film Box)
N-CREATE-RSP (Basic Film Box)
N-SET-RQ (Basic Grayscale Image Box)
N-SET-RSP (Basic Grayscale Image Box)
N-ACTION RQ (Basic Film Box)
Hardcopy
snapshot
N-ACTION RSP (Basic Film Box)
A-RELEASE-RQ
A-RELEASE-RP
Figure 4: (Real World) Activity - Print Management As SCU
The Eleva AE cannot handle any N-EVENT-REPORT messages.

A print job (film session) comprises one single film box with one single image (that is
composed of 1..N modality images).
The print component in Eleva Workspot 2.0 supports a highly automated print from
acquisition operation mode, that does not interrupt the clinical acquisition workflow.
Supplementary to that is the manual print operation mode that is to be used as
advanced interactive print preview and as reprint facility.
There shall be two modes of configuration for automatic printing: auto and easy print.
In auto print mode conflicting and incomplete print jobs are either printed “as is” or
must be manually corrected and confirmed.
In easy print mode all automatically started print jobs have to be confirmed manually.
The behaviour of the print GUI on entry is dependent on the configuration not on the
workflow context.
The three different print modes are:
• No auto print jobs active: Screen is empty.
• Auto print configured: All uncomplete pages and conflict jobs are seen for that
patient.
• Easy print configured: All current print jobs are seen for that patient.
By Manual Printing the basic composition of films is possible with click and point
functions.
To allow for more automation, auto-arranging (AA) is required.
AA takes the configured defaults (2x1P 14x17) and loads the images automatically.

User can make multiple selections of images or all images select/deselect and pressed
"arrange". Images are taken for AA in the order they have been selected, if this is
relevant for the
Templates if ALL images are selected, then they are taken in order from top left to
lower right in rows.
After AA the result can be modified manually.
By Auto Print the operation mode the handling of conflicts between configuration and
operation is configurable. This means:
If the collimation and thus the image is larger as originally configured it can be
configured if the image shall be cut, scaled or the print job with the conflict shall be
manually corrected and confirmed.
If the operator omits one of the routine views configured and a page is thus left half-
filled it can be configured if the page is going to be printed half-filled, if a layout suitable
for the number of available images is chosen instead or if the page must be manually
changed and confirmed.
In case of a manual check configured conflict jobs are sent to the print GUI and
handled like the Easy Print. Outstanding jobs are shown to the user by:
• An icon in the patient list at every affected patient / study
• User guidance giving patient name of unprinted film at the time the film ready to
be printed
By Easy Print all print jobs are sent to the Print UI for checking first.
The user is not forced to go there, but outstanding jobs are shown to the user by:
• An icon in the patient list at every affected patient / study
• User guidance giving patient name of unprinted film at the time the film ready to be
printed
Depending on the response status of set and the configuration the Eleva AE may
perform a retry.
4.2.1.3.1.2. Proposed Presentation Contexts
Table 14: Proposed Presentation Contexts for (Real-World) Activity – Print

Management As SCU
Presentation Context Table
Abstract Syntax Transfer Syntax Exten

ded
Role
Negoti
Name UID Name List UID List
ation
Basic Grayscale Print 1.2.840.10008.5.1.1.9 SCU None
Management Meta SOP
Class
>Basic Film Box SOP 1.2.840.10008.5.1.1.2 Explicit VR Big Endian 1.2.840.10008.1.2.2 SCU None
Class Explicit VR Little Endian 1.2.840.10008.1.2.1
Implicit VR Little Endian 1.2.840.10008.1.2
>Basic Film Session 1.2.840.10008.5.1.1.1 Explicit VR Big Endian 1.2.840.10008.1.2.2 SCU None
SOP Class Explicit VR Little Endian 1.2.840.10008.1.2.1
>Basic Grayscale Image 1.2.840.10008.5.1.1.4 Explicit VR Big Endian 1.2.840.10008.1.2.2 SCU None
Box SOP Class Explicit VR Little Endian 1.2.840.10008.1.2.1
>Printer SOP Class 1.2.840.10008.5.1.1.16 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Explicit VR Big Endian 1.2.840.10008.1.2.2
Explicit VR Little Endian 1.2.840.10008.1.2.1

This section includes the dataset specific behavior, i.e. error codes, error and
exception handling, time-outs, etc.
Table 15: DICOM Command Response Status Handling Behavior for

Grayscale Print Management Meta Sop Class
Service Status Code Further Meaning Behavior

Success 0000 Successful operation The print job continues.
Failure xxxx Any failure In the AutoPrint mode a GUI is invoked. The status
panel of this GUI displays a message based on the
'Further Meaning'.
The warning or failure response of a print request that
is invoked by the Manual Print Composer GUI will be
displayed by a pop-up window (if the user has not
closed the GUI before the printer status was delivered).
Warning xxxx Any warning In the AutoPrint mode a GUI is invoked. The status
panel of this GUI displays a message based on the
'Further Meaning'.
The warning or failure response of a print request that
is invoked by the Manual Print Composer GUI will be
displayed by a pop-up window (if the user has not
closed the GUI before the printer status was delivered).
The behavior of the AE during communication failure is summarized next table.

Exception Behavior
Timeout The Association is aborted using A-ABORT and the command is marked as
failed. The reason is logged. After a maximum number of retries the user is
notified via pop-up (in preview mode only).
Association aborted The command is marked as failed. The reason is logged. After a maximum
number of retries the user is notified via pop-up (in preview mode only).
Failed to connect Log entry. After a maximum number of retries the user is notified via pop-up (in
preview mode only).
This section specifies each IOD created (including private IOD’s).
Abbreviations used in the Module table for the column "Presence of Value" are:
ALWAYS The attribute is always present with a value
EMPTY The attribute is always present without any value (attribute sent zero
length)
VNAP The attribute is always present and its Value is Not Always Present
(attribute sent zero length if no value is present)
ANAP The attribute is present under specified condition – if present then it
will always have a value
VNAPCV The attribute is present under specified condition – if present then
its Value is Not Always Present (attribute sent zero length if
condition applies and no value is present)
ANAPEV The attribute is present under specified condition – if present then it
will not have any value
The abbreviations used in the Module table for the column "Source" are:
AUTO The attribute value is generated automatically
CONFIG The attribute value source is a configurable parameter
COPY The attribute value source is another SOP instance
FIXED The attribute value is hard-coded in the application
IMPLICIT The attribute value source is a user-implicit setting
MPPS The attribute value is the same as that use for Modality Performed
Procedure Step

MWL The attribute value source is a Modality Worklist

USER The attribute value source is explicit user input
4.2.1.3.1.3. SOP Specific Conformance for Basic Film Box SOP Class of the
Basic Grayscale Print Management Meta SOP Class
This section includes the SOP specific behavior, i.e. error codes, error and exception
handling, time-outs, etc.
Behavior of an Application Entity SOP class is summarized as shown in next Table.
The standard as well as the manufacturer specific status codes and their
corresponding behavior are specified.
4.2.1.3.1.3.1. Dataset Specific Conformance for Basic Film Box N-ACTION

SCU
4.2.1.3.1.3.2. Dataset Specific Conformance for Basic Film Box N-CREATE

SCU
Table 17: Basic Film Box Presentation Module
Presence
Attribute Name Tag VR Value Source Comment
of Value
Image Display Format 2010,0010 ST ALWAYS Config
Film Orientation 2010,0040 CS ALWAYS Config
Film Size ID 2010,0050 CS ALWAYS Config
Magnification Type 2010,0060 CS ALWAYS Config
Max Density 2010,0130 US ALWAYS Config
Trim 2010,0140 CS ALWAYS Config
Configuration Information 2010,0150 ST ALWAYS Config
Table 18: Basic Film Box Relationship Module
Presence
of Value
Referenced Film Session 2010,0500 SQ ALWAYS AUTO
Sequence
>Referenced SOP Class UID 0008,1150 UI ALWAYS AUTO
>Referenced SOP Instance UID 0008,1155 UI ALWAYS AUTO
4.2.1.3.1.4. SOP Specific Conformance for Basic Film Session SOP Class of the
Basic Grayscale Print Management Meta SOP Class

4.2.1.3.1.4.1. Dataset Specific Conformance for Basic Film Session N-

CREATE SCU
Table 19: Basic Film Session Presentation Module
Presence
of Value
Number of Copies 2000,0010 IS ALWAYS AUTO
Print Priority 2000,0020 CS ALWAYS AUTO
Medium Type 2000,0030 CS ALWAYS USER
Film Destination 2000,0040 CS ALWAYS CONFI
G
Film Session Label 2000,0050 LO ALWAYS AUTO
4.2.1.3.1.5. SOP Specific Conformance for Basic Grayscale Image Box SOP
Class of the Basic Grayscale Print Management Meta SOP Class
4.2.1.3.1.5.1. Dataset Specific Conformance for Basic Grayscale Image

Box N-SET SCU
Table 20: Image Box Pixel Presentation Module
Presence
of Value
Image Position 2020,0010 US ALWAYS AUTO
Polarity 2020,0020 CS ALWAYS AUTO
Basic Grayscale Image 2020,0110 SQ ALWAYS AUTO
Sequence
>Samples per Pixel 0028,0002 US 1, 1 ALWAYS AUTO
>Photometric Interpretation 0028,0004 CS MONOCHROME1, ALWAYS CONFI
MONOCHROME2, G
MONOCHROME1,
MONOCHROME2
>Rows 0028,0010 US ALWAYS IMPLICI Depending on the
T selected printer type and
film size.
>Columns 0028,0011 US ALWAYS IMPLICI Depending on the
T selected printer type and
film size.
>Bits Allocated 0028,0100 US 16, 8, 16, 8, 8, 16 ALWAYS AUTO
>Bits Stored 0028,0101 US 8, 12, 12, 8, 8 ALWAYS IMPLICI
T
>High Bit 0028,0102 US 7, 11, 11, 7, 7 ALWAYS AUTO
>Pixel Representation 0028,0103 US 0x0000 ALWAYS AUTO
>Pixel Data 7FE0,0010 O ALWAYS AUTO
W/
OB

4.2.1.3.1.6. SOP Specific Conformance for Printer SOP Class of the Basic
Grayscale Print Management Meta SOP Class
4.2.1.3.1.6.1. Dataset Specific Conformance for Printer N-EVENT-REPORT

SCP
4.2.1.3.2. (Real-World) Activity – Image Export

System AE Remote AE
A-ASSOCIATE-RQ
A-ASSOCIATE-AC
C-STORE-RQ
C-STORE-RSP
A-RELEASE-RQ
A-RELEASE-RP
Figure 5: (Real World) Activity - Image Export
Export means that Eleva Workspot 2.0 stores images without Storage Commitment.
This RWA may be initiated in two ways.
 Manually in the viewer, after clicking the Store button the ELEVA AE will store
the selected images at the selected Storage SCP.
 Automatically during an examination, after clicking the Confirm button the

ELEVA AE will automatically store the related images of the performed
procedure step at the configured Storage SCP.
The ELEVA AE will request an association with the remote Storage SCP for the
applicable Storage SOP classes. After accepting the association the ELEVA AE will
send the store request, wait for response, and then release the association. The store
response status may be inspected on the UI.
Depending on the status of the store the ELEVA AE may queue store requests for
retries. The queued store requests can be cancelled from the UI.

Table 21: Proposed Presentation Contexts for (Real-World) Activity – Image

Export

ded
Role
Negoti
ation
Computed Radiography 1.2.840.10008.5.1.4.1.1.1 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Image Storage SOP Explicit VR Big Endian 1.2.840.10008.1.2.2
Class
Digital X-Ray Image 1.2.840.10008.5.1.4.1.1.1.1 Explicit VR Big Endian 1.2.840.10008.1.2.2 SCU None
Storage - For Pres. SOP Explicit VR Little Endian 1.2.840.10008.1.2.1
Digital X-Ray Image 1.2.840.10008.5.1.4.1.1.1.1.1 Explicit VR Big Endian 1.2.840.10008.1.2.2 SCU None
Storage - For Proc. SOP Explicit VR Little Endian 1.2.840.10008.1.2.1
Secondary Capture 1.2.840.10008.5.1.4.1.1.7 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Image Storage SOP Explicit VR Big Endian 1.2.840.10008.1.2.2
Class
By default, all images are DICOM Stored according to the SOP Class Digital XRay. CR
Image attributes that are undefined for DX Images are stored in private attributes.
As a configurable choice, Images can be stored as Computed Radiology SOP Class.

This capability is required to be compatible with installed radiology equipment. DX
Image attributes that are undefined for CR Images are then stored in private attributes.
Another choice can be DICOM Stored according to Secondary Capture SOP Class.
This capability is required to be compatible with installed radiology equipment.
Optionally only the attributes defined for Secondary Capture Images or all attributes are
stored
For DICOM CR images there is a constraint that a change in position, detector, body
part or laterality implies a new series. This has been relaxed for DX images through the
use of the 'DX Anatomy Imaged' and 'DX Positioning' Modules, which define attributes
at image level.
The DX Image IOD is used in two SOP Classes as defined in the DICOM Standard, a
SOP Class for storage of images intended for Presentation, and a SOP Class for
storage of images intended for further Processing before presentation.
These are distinguished by their SOP Class UID and by the Enumerated Value of the
mandatory Attribute in the DX Series Module, Presentation Intent Type (0008,0068).
It is possible to export / store one single image first as a DICOM CR and secondly as a
DICOM DX object, therefore the SOP Instance UIDs of both DICOM image instances
have to be different.
The Numbering Scheme shall support ‘Hanging Protocols’ of PACS systems & Viewing
Stations, in case of the CR as well as the DX model:
1. The Series Number shall start with 1 for the first Series of every Study Instance,
identified by StudyInstanceUID.
2. The Series Number shall increase by 1 for every new Series Instance within the
same Study Instance, by the timely order, the Series Instances are created.
3. The Image Number shall start with 1 for every new Series Instance.

4. The Image Number shall increase by 1 for every new Image Instance within the
same SeriesInstance, by the timely order, the Images are created.
For DX SOP Class is in the DICOM Standard defined:

The Digital X-Ray (DX) Image Information Object Definition specifies an image that has
been created by a digital projection radiography imaging device.
Notes:
 This includes but is not limited to: chest radiography, linear and multi-directional
tomography, orthopantomography and skeletal radiography. Acquisition of image
data may include but is not limited to: CCD-based sensors, stimulable phosphor
imaging plates, amorphous selenium, scintillation based amorphous silicon and
secondary capture of film-based images.
 Specific IODs are defined for intra-oral radiography and mammography that further
specialize the DX IOD.
A DX image shall consist of the result of a single X-Ray exposure, in order to ensure
that the anatomical and orientation attributes are meaningful for the image, permitting
safe annotation, appropriate image processing and appropriate dissemination.
Notes:
 The requirement for the Eleva Workspot 2.0 specifically deprecates the common
film/screen and Computed Radiography practice of making multiple exposures on
different areas of a cassette or plate by using lead occlusion between exposures.
Such acquisitions could be separated and transformed into multiple DX images
during an appropriate quality assurance step by an operator.
 The requirement for the Eleva Workspot 2.0 does not deprecate the acquisition of
multiple paired structures during a single exposure, provided that they can be
described by the relevant orientation Attributes. For example, an AP or PA
projection of both hands side by side is typically obtained in a single exposure, and
can be described by a Patient Orientation (0020,0020) of R\H or L\H since both
hands are in the same traditional Anatomical Position.
4.2.1.3.2.3. SOP Specific Conformance for Storage SOP Classes

Table 22: C-STORE-RQ Status Response

Success 0000 Storage is complete UI status is updated
Refused A7xx Out of resources The association is released. The reason is logged. The
user is informed.
Error A9xx Data set does not match The association is released. The reason is logged. The
SOP class user is informed.
Cxxx Cannot understand The association is released. The reason is logged. The
user is informed.
Warning B000 Coercion of data The association is released. The reason is logged. The
elements user is informed.
B006 Elements discarded The association is released. The reason is logged. The
user is informed.
B007 Data set does not match The association is released. The reason is logged. The
The status can be inspected via the user interface.

Exception Behavior
Timeout The Association is aborted using A-ABORT and command marked as failed.
user.
4.2.1.3.3. (Real-World) Activity – Modality Performed Procedure Step As SCU

System AE Remote AE
A-ASSOCIATE-RQ (N-CREATE)
A-ASSOCIATE-AC (N-CREATE)
N-CREATE-RQ
N_CREATE-RSP
A-RELEASE-RQ (N-CREATE)
A-RELEASE-RP (N-CREATE)
A-ASSOCIATE-RQ (N-SET)
A-ASSOCIATE-AC (N-SET )
N-SET-RQ
N-SET-RSP
A-RELEASE-RQ (N-SET)
A-RELEASE-RP (N-SET)
Figure 6: (Real World) Activity - Modality Performed Procedure Step As SCU
Description of Activities
An Eleva Workspot 2.0 “Examination” is regarded equivalent to a DICOM Procedure

Step. It is scheduled or manually entered before an acquisition is taken, and performed
by taking acquisitions. If scheduled by the RIS, one Examination is the result of one
Scheduled Procedure Step. Since an examination may not be re-opened after having
been closed, and each examination workflow context is enclosed in one MPPS, one
examination may result in 0:1 MPPS instances. However, image archiving after the
examination’s closure leads to 1:n MPPS instances per examination (append case).
After the image for a Scheduled Procedure Step has been acquired, the system sets
the MPPS status of the related examination to “IN PROGRESS” and generates an
initial MPPS IN PROGRESS message. The system does not generate intermediate
MPPS IN PROGRESS messages for subsequent acquisitions of this Scheduled
Procedure Step instance.
After finishing the appropriate acquisition(s), the system will change the MPPS status
of the related examination to “COMPLETED” and generate an MPPS N-SET-FINAL
message.
Eleva Workspot 2.0 also generates MPPS messages for unscheduled examinations.

The MPPS COMPLETED message will list the UID’s of all related DICOM archived
images and the format of (optionally) generated direct prints.
After abandoning or discontinuing a procedure step, the operator may set the MPPS
status of the related examination to “DISCONTINUED” and the system generates a
MPPS DICONTINUED message. The reason for abandoning or discontinuing a
procedure step is unspecified.
The operator may interchange the performed sequence order of scheduled procedure
steps.
MPPS messages may interleave. Depending on the application workflow optimization

by the user, an MPPS sequence like this may come up:
MPPS / SOP Instance UID 1: N-CREATE (IN PROGRESS)

...
MPPS / SOP Instance UID 2: N-SET (COMPLETED)
(i.e.: running multiple procedure steps ‘in parallel’).
Sequencing of Activities
After storing a performed procedure step the ELEVA AE shall request an association
with the configured remote Study Management SCP. After accepting the association
the ELEVA AE shall send a Create request, wait for response, and then release the
association.
Table 24: Proposed Presentation Contexts for (Real-World) Activity – Modality

Performed Procedure Step As SCU

ded
Role
Negoti
ation
Modality Performed 1.2.840.10008.3.1.2.3.3 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Procedure Step SOP Explicit VR Big Endian 1.2.840.10008.1.2.2
Class
4.2.1.3.3.3. SOP Specific Conformance for Modality Performed Procedure Step

SOP Class
When acquiring the first image of a Scheduled or Unscheduled Procedure Step, Eleva
Workspot 2.0 generates a MPPS IN PROGRESS message.
Eleva Workspot 2.0 does not generate intermediate IN PROGRESS (N-SET)
messages and does not support the Performed Procedure Step Exception
Management Option. Eleva Workspot 2.0 has no Billing Code Tables and does not
support the Performed Procedure Step Billing and Material Management Option,

except default values for Medium Type (2000,0030) and Film Size ID (2010,0050), if
optional Local Print is configured.
Assisted Acquisition Protocol Setting Option

ELEVA AE by default derives the specific acquisition protocol from the Scheduled
Protocol Code Sequence Items. Any single Item results in an Examination.
ELEVA AE supports 3 more (configurable) mapping relations, as shown below:
 Examination is selected from Scheduled Protocol Code Items->Code Value

(0040,0008) (default)
 Examination is selected from Scheduled Procedure Step Description
(0040,0007)
 Examination is selected from Requested Procedure Code Items->Code Value
(0032,1064)
 Examination is selected from Requested Procedure Description (0032,1060)
ELEVA AE does not evaluate the attributes Coding Scheme Version (0008,0103),
Coding Scheme Designator (0008,0102), Code Meaning (0008,0104), but only the
Code Value (0008,0100), for mapping the examination settings. I.e. ELEVA AE expects
that any used Code Value is unique (unambiguous) within a given RIS domain.
Restrictions Depending on Number of Scheduled Protocol Code Items

It is highly recommended that the Scheduled Procedure Step contains only 1 Item in
the Scheduled Protocol Code Sequence.
If the Scheduled Procedure Step contains <n> items in the Scheduled Protocol Code
Sequence, the Scheduled Procedure Step is split into <n> examinations, where any
single examination shows only 1 of the Scheduled Protocol Code Items, but all the
other attributes are the same.
When such an examination is returned back via MPPS, also the Performed Protocol
Code Sequence will show only 1 item. If all <n> Scheduled Procedure Step Code Items
are performed, <n> MPPS instances will be sent back to the RIS, and the sum of all
Performed Protocol Code Items will be <n>.
4.2.1.3.3.3.1. Dataset Specific Conformance for Modality Performed

Procedure Step N-CREATE SCU
Table 25: MPPS Request Identifiers for N-CREATE-RQ
Attribute Name Tag VR Value Comment
Performed Procedure Step Information Module

Performed Station AE Title 0040,0241 AE Eleva
Performed Procedure Step Start 0040,0244 DA Start of the examination
Date
Performed Procedure Step Start 0040,0245 TM Start of the examination
Time
Performed Procedure Step 0040,0252 CS
Status
Performed Procedure Step ID 0040,0253 SH
Performed Station Name 0040,0242 SH EMPTY
Performed Location 0040,0243 SH EMPTY
Performed Procedure Step End 0040,0250 DA Finish of the examination
Date
Performed Procedure Step End 0040,0251 TM Finish of the examination
Time
Performed Procedure Step 0040,0254 LO
Description


Performed Procedure Type 0040,0255 LO
Description
Procedure Code Sequence 0008,1032 SQ
>Code Value 0008,0100 SH
>Coding Scheme Designator 0008,0102 SH
>Coding Scheme Version 0008,0103 SH
>Code Meaning 0008,0104 LO
Radiation Dose Module
Image and Fluoroscopy Area 0018,115E DS Not sent in case of
Dose Product appended MPPS
Instances
Total Time of Fluoroscopy 0040,0300 US
Total Number of Exposures 0040,0301 US
Entrance Dose 0040,0302 US
Exposure Dose Sequence 0040,030E SQ
SOP Common Module
Specific Character Set 0008,0005 CS Optional
Performed Procedure Step Relationship Module
Patient's Name 0010,0010 PN
Patient ID 0010,0020 LO
Patient's Birth Date 0010,0030 DA
Patient's Sex 0010,0040 CS
Scheduled Step Attributes 0040,0270 SQ
Sequence
>Study Instance UID 0020,000D UI
>Accession Number 0008,0050 SH
>Requested Procedure 0032,1060 LO
Description
>Scheduled Procedure Step 0040,0007 LO
Description
>Scheduled Procedure Step ID 0040,0009 SH
>Requested Procedure ID 0040,1001 SH
>Referenced Study Sequence 0008,1110 SQ
>>Referenced SOP Class UID 0008,1150 UI
>>Referenced SOP Instance 0008,1155 UI
UID
>Scheduled Protocol Code 0040,0008 SQ
Sequence
>>Code Value 0008,0100 SH
>>Coding Scheme Designator 0008,0102 SH
>>Code Meaning 0008,0104 LO
Referenced Patient Sequence 0008,1120 SQ
Image Acquisition Results Module
Modality 0008,0060 CS
Study ID 0020,0010 SH
Performed Protocol Code 0040,0260 SQ
Sequence
Performed Series Sequence 0040,0340 SQ
Billing And Material Management Code Module
Film Consumption Sequence 0040,0321 SQ
Additional Module
Issuer of Patient ID 0010,0021 LO

Table 26: N-CREATE-RQ Status Response

Success 0000 Successful operation The SCP has successfully received the modality
performed procedure step create request. Log entry.
Failure 0213 Resource limitation The command is reported to the user as failed. The
reason is logged.
After a configured period of time the storage will be
retried up to a configured number of times.
xxxx Any failure accept The command is reported to the user as failed. The
reason is logged. No retry.
Exception Behavior
Timeout The Association is aborted using AP-ABORT and command marked as failed.
user.
4.2.1.3.3.3.2. Dataset Specific Conformance for Modality Performed

Procedure Step N-SET SCU
Table 28: MPPS Request Identifiers for N-SET-RQ
Performed Procedure Step Information Module

Performed Procedure Step End 0040,0250 DA
Date
Performed Procedure Step End 0040,0251 TM
Time
Performed Procedure Step 0040,0252 CS
Status
Performed Procedure Step 0040,0254 LO
Description
Procedure Code Sequence 0008,1032 SQ
Radiation Dose Module
Image and Fluoroscopy Area 0018,115E DS Not accumulating: re-
Dose Product processed images, non-
digital images. Not sent
in case of appended
MPPS instances.
Total Time of Fluoroscopy 0040,0300 US
Total Number of Exposures 0040,0301 US Not accumulating: re-
processed images, non-
digital images. Not sent
in case of appended
MPPS instances.
Entrance Dose 0040,0302 US
Exposure Dose Sequence 0040,030E SQ
Image Acquisition Results Module
Performed Protocol Code 0040,0260 SQ
Sequence


Performed Series Sequence 0040,0340 SQ
>Protocol Name 0018,1030 LO Copied from Performed
Protocol Code Sequence
- Item code Value.
>Series Instance UID 0020,000E UI
>Retrieve AE Title 0008,0054 AE
>Series Description 0008,103E LO
>Performing Physician's Name 0008,1050 PN
>Operators' Name 0008,1070 PN N-Values
>Referenced Image Sequence 0008,1140 SQ
>Referenced Non-Image 0040,0220 SQ
Composite SOP Instance
Sequence
Billing And Material Management Code Module
Film Consumption Sequence 0040,0321 SQ
>Medium Type 2000,0030 CS
>Film Size ID 2010,0050 CS
>Number of Films 2100,0170 IS
Table 29: N-SET-RQ Status Response

Success 0000 Confirmation The association is released.
Failure 0110 Processing failure – The reason is logged.
performed procedure
step object may no
longer be updated
xxxx (any other failure) The reason is logged.
Exception Behavior
user.

4.2.1.3.4. (Real-World) Activity – Modality worklist As SCU

System AE Remote AE
A-ASSOCIATE-RQ
A-ASSOCIATE-AC
C-FIND-RQ
C-FIND-RSP (Pending 1:N)
C-FIND-RSP (success)
A-RELEASE-RQ
A-RELEASE-RP
Figure 7: (Real World) Activity - Modality worklist As SCU
For each Broad or specific Worklist request, an association towards the Basic Worklist
Management SCP is established and a C-FIND request is transmitted. The Broad
query can be configured with a combination of the Matching Keys:
 Scheduled Station AE Title
 Scheduled Procedure Step Start Date
 Modality
Each of the matching keys is optional. The association will be closed on reception of
the last C-FIND response. The Worklist Query result is displayed in the Patient List.
The query is interruptible if it was triggered by the user.
After clicking the Query Worklist button the ELEVA AE shall request an association
with the configured remote Basic Worklist Management SCP.
When the association is accepted the ELEVA AE shall send the broad query find
request, wait for response, and then release the association.
After clicking the Query Worklist button the ELEVA AE shall request an association
with the configured remote Basic Worklist Management SCP. When the association is
accepted the ELEVA AE shall send the Broad Query find request, wait for response,
and then release the association.
After clicking the Patient Query button - entering and confirming the matching key
values - the ELEVA AE shall request an association with the configured remote Basic
Worklist Management SCP. When the association is accepted the ELEVA AE shall
send the patient query find request, wait for response, and then release the
association.
Optionally the Broad Query may also be performed automatically in the system
background. The time interval between subsequent background queries is
configurable. Manual and automatic background queries are serialized and do not
interfere with another.

Table 31: Proposed Presentation Contexts for (Real-World) Activity – Modality

worklist As SCU

ded
Role
Negoti
ation
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 Big Endian 1.2.840.10008.1.2.2
SOP Class
4.2.1.3.4.3. SOP Specific Conformance for Modality Worklist Information Model

- FIND SOP Class
4.2.1.3.4.3.1. Dataset Specific Conformance for Modality Worklist (Patient

query) C-FIND SCU
The table below should be read as follows:

Attribute Name: Attributes supported to build a Modality Worklist Request Identifier.
Tag: DICOM tag for this attribute.
VR: DICOM VR for this attribute.
M: Matching Keys for (automatic) Worklist Update.
R: Return Keys. An “X” will indicate that this attribute as Return Key with
zero length for Universal Matching.
Q: Interactive Query Key. An “X” will indicate that this attribute as
matching key can be used.
D: Displayed Keys. An “X” indicates that this Worklist attribute is
displayed to the user during a patient registration dialog.
IOD: An “X” indicates that this Worklist attribute is included into all object
Instances created during performance of the related Procedure Step.
Type of matching: The following types of matching exists:
Single Value Matching
List of UID Matching
Wild Card Matching
Range Matching
Sequence Matching
Universal Matching

Table 32: Worklist Request Identifier
Type of
Attribute Name Tag VR M R Q D IOD Comment
Matching
SOP Common Module
Specific Character Set 0008,0005 CS
Patient Identification Module
Patient's Name 0010,0010 PN X X X X Single
Value,Universal,
WildCard
Patient ID 0010,0020 LO X X X X Single
Value,Universal
Issuer of Patient ID 0010,0021 LO X
Other Patient IDs 0010,1000 LO X
Patient Demographic Module
Patient's Birth Date 0010,0030 DA X X
Patient's Sex 0010,0040 CS X X
Patient's Age 0010,1010 AS
Patient's Size 0010,1020 DS X X
Patient's Weight 0010,1030 DS X X
Ethnic Group 0010,2160 SH X X
Patient Comments 0010,4000 LT X X
Confidentiality Constraint on 0040,3001 LO
Patient Data Description
Patient Medical Module
Medical Alerts 0010,2000 LO X X
Contrast Allergies 0010,2110 LO X X
Additional Patient History 0010,21B0 LT X X
Pregnancy Status 0010,21C0 US X X
Special Needs 0038,0050 LO X
Visit Status Module
Current Patient Location 0038,0300 LO X
Scheduled Procedure Step Module
Scheduled Procedure Step 0040,0100 SQ X
Sequence
>Modality 0008,0060 CS X X X Single SOP Classes: CR, DX,
Value,Universal OT, US, MG, RF, XA,
PX, NM
>Requested Contrast Agent 0032,1070 LO X
>Scheduled Station AE Title 0040,0001 AE X X X Single
Value,Universal
>Scheduled Procedure Step 0040,0002 DA X X X X Single Value: All, Today,
Start Date Value,Universal Tomorrow, Yesterday
>Scheduled Procedure Step 0040,0003 TM X X
Start Time
>Scheduled Procedure Step 0040,0004 DA X
End Date
>Scheduled Procedure Step 0040,0005 TM X
End Time
>Scheduled Performing 0040,0006 PN X
Physician's Name
>Scheduled Procedure Step 0040,0007 LO X X
Description
>Scheduled Procedure Step ID 0040,0009 SH X
>Scheduled Station Name 0040,0010 SH X
>Scheduled Procedure Step 0040,0011 SH X
Location
>Pre-Medication 0040,0012 LO X
>Scheduled Procedure Step 0040,0020 CS X
Status
>Comments on the Scheduled 0040,0400 LT X
Procedure Step

Type of
Matching
>Scheduled Protocol Code 0040,0008 SQ X
Sequence
>>Code Value 0008,0100 SH X
>>Coding Scheme Designator 0008,0102 SH X
>>Coding Scheme Version 0008,0103 SH X
>>Code Meaning 0008,0104 LO X
Requested Procedure Module
Study Instance UID 0020,000D UI X
Requested Procedure 0032,1060 LO X X
Description
Requested Procedure ID 0040,1001 SH X Single
Value,Universal
Reason for the Requested 0040,1002 LO
Procedure
Requested Procedure Priority 0040,1003 SH
Patient Transport Arrangements 0040,1004 LO
Names of Intended Recipients 0040,1010 PN
of Results
Requested Procedure 0040,1400 LT
Comments
Referenced Study Sequence 0008,1110 SQ X
>Referenced SOP Class UID 0008,1150 UI X
>Referenced SOP Instance UID 0008,1155 UI X
Requested Procedure Code 0032,1064 SQ X
Sequence
>Code Value 0008,0100 SH X
>Coding Scheme Designator 0008,0102 SH X
>Coding Scheme Version 0008,0103 SH X
>Code Meaning 0008,0104 LO X
Imaging Service Request Module
Accession Number 0008,0050 SH X X X X Single
Value,Universal
Referring Physician's Name 0008,0090 PN X
Requesting Physician 0032,1032 PN X
Requesting Service 0032,1033 LO
Reason for the Imaging Service 0040,2001 LO X
Request (RETIRED)
Issue Date of Imaging Service 0040,2004 DA
Request
Imaging Service Request 0040,2400 LT
Comments
Table 33: C-FIND-RQ Status Response

Success 0000 Matching is complete The worklist is updated.
Failure A700 Refused The association is released. The reason is logged.
– Out of resources
A900 Failed The association is released. The reason is logged.
– Identifier does not
match SOP class
Cxxx Failed The association is released. The reason is logged.
– Unable to process
Cancel FE00 Matching terminated The association is released. The reason is logged.
due to Cancel request


Pending FF00 Matches are continuing The Query Worklist job continues.
– Current match is
supplied and any
optional keys were
supported in the same
manner as required
keys
FF01 Matches are continuing The Query Worklist job continues.
– Warning that one or
more optional keys were
not supported for
existence and/or
matching for this
identifier
Exception Behavior
RIS query timeout The Association is aborted using A-ABORT and command marked as failed.
(default 240 seconds) The reason is logged and reported to the user.
user.
4.2.1.3.4.3.2. Patient and Study Merge

The ELEVA AE looks in its internal database for a Study with the same Study Instance
UID (0020,000D) as given in the Scheduled Procedure Step.
If a Study Instance UID match was not found, it looks for a Patient with the same
Patient ID (0010,0020) as given in the Scheduled Procedure Step. If no Patient match
is found, a new Patient is created, using attributes from Scheduled Procedure Step. If
Patient with a matching Patient ID was found, attributes are updated for the internal
Patient, based on the attributes as given in the Scheduled Procedure Step.
A new Study with a Study Instance UID as given in the Scheduled Procedure Step is
created.
If a Study Instance UID match was found, all Patient attributes as given in the
Scheduled Procedure Step are updated in the internal database for the parent patient
of this study. Study attributes are updated for the internal study based on the attributes
as given in the Scheduled Procedure Step.
4.2.1.3.4.3.3. Scheduled Procedure Step (= Examination) Merge

If the ELEVA AE’s internal database contains no SPS with Scheduled Procedure Step
ID (0040,0009) identifying an incoming Scheduled Procedure Step, it creates a new
one and creates an corresponding Examination referencing this Scheduled Procedure
Step ID.
If the ELEVA AE’s internal database contains already an SPS with the Scheduled
Procedure Step ID (0040,0009) identifying an incoming Scheduled Procedure Step, the
behavior depends on the corresponding Examination state.
If the Examination is still “scheduled”, the SPS attributes are compared to the attributes
sent with the most recent WLM query. If at least one attribute differs, the scheduled
Examination is deleted and re-scheduled. Manual changes the user might have
performed on this Examination are lost.
If the Examination has already started, no changes are performed, and the potential
changes of the incoming Scheduled Procedure Step are disregarded.

4.2.1.3.4.3.4. Dataset Specific Conformance for Modality Worklist

(Broadcast Query) C-FIND SCU
The table below should be read as follows:

Attribute Name: Attributes supported to build a Modality Worklist Request Identifier.
Tag: DICOM tag for this attribute.
VR: DICOM VR for this attribute.
M: Matching Keys for (automatic) Worklist Update.
R: Return Keys. An “X” will indicate that this attribute as Return Key with
zero length for Universal Matching.
Q: Interactive Query Key. An “X” will indicate that this attribute as
matching key can be used.
D: Displayed Keys. An “X” indicates that this Worklist attribute is
displayed to the user during a patient registration dialog.
IOD: An “X” indicates that this Worklist attribute is included into all object
Instances created during performance of the related Procedure Step.
Type of matching: The following types of matching exists:
Single Value Matching
List of UID Matching
Wild Card Matching
Range Matching
Sequence Matching
Universal Matching
Table 35: Worklist Request Identifier
Type of
Matching
SOP Common Module
Specific Character Set 0008,0005 CS
Patient Identification Module
Patient's Name 0010,0010 PN X Last name, First name,
Prefix, Middle name,
Suffix
Patient ID 0010,0020 LO X
Issuer of Patient ID 0010,0021 LO
Other Patient IDs 0010,1000 LO
Patient Demographic Module
Patient's Birth Date 0010,0030 DA X
Patient's Sex 0010,0040 CS X
Patient's Age 0010,1010 AS
Patient's Size 0010,1020 DS
Patient's Weight 0010,1030 DS X
Ethnic Group 0010,2160 SH
Patient Comments 0010,4000 LT
Confidentiality Constraint on 0040,3001 LO
Patient Data Description
Patient Medical Module
Medical Alerts 0010,2000 LO X
Contrast Allergies 0010,2110 LO
Additional Patient History 0010,21B0 LT
Pregnancy Status 0010,21C0 US X
Special Needs 0038,0050 LO
Visit Status Module
Current Patient Location 0038,0300 LO

Type of
Matching
Scheduled Procedure Step Module
Scheduled Procedure Step 0040,0100 SQ
Sequence
>Modality 0008,0060 CS
>Requested Contrast Agent 0032,1070 LO
>Scheduled Station AE Title 0040,0001 AE
>Scheduled Procedure Step 0040,0002 DA
Start Date
>Scheduled Procedure Step 0040,0003 TM
Start Time
>Scheduled Procedure Step 0040,0004 DA
End Date
>Scheduled Procedure Step 0040,0005 TM
End Time
>Scheduled Performing 0040,0006 PN X
Physician's Name
>Scheduled Procedure Step 0040,0007 LO
Description
>Scheduled Procedure Step ID 0040,0009 SH
>Scheduled Station Name 0040,0010 SH
>Scheduled Procedure Step 0040,0011 SH
Location
>Pre-Medication 0040,0012 LO
>Scheduled Procedure Step 0040,0020 CS
Status
>Comments on the Scheduled 0040,0400 LT
Procedure Step
>Scheduled Protocol Code 0040,0008 SQ
Sequence
>>Code Value 0008,0100 SH
>>Coding Scheme Designator 0008,0102 SH
>>Coding Scheme Version 0008,0103 SH
>>Code Meaning 0008,0104 LO
Requested Procedure Module
Study Instance UID 0020,000D UI
Requested Procedure 0032,1060 LO
Description
Requested Procedure ID 0040,1001 SH
Reason for the Requested 0040,1002 LO
Procedure
Requested Procedure Priority 0040,1003 SH
Patient Transport Arrangements 0040,1004 LO
Names of Intended Recipients 0040,1010 PN
of Results
Requested Procedure 0040,1400 LT
Comments
Referenced Study Sequence 0008,1110 SQ
>Referenced SOP Class UID 0008,1150 UI
>Referenced SOP Instance UID 0008,1155 UI
Requested Procedure Code 0032,1064 SQ
Sequence
Imaging Service Request Module
Accession Number 0008,0050 SH X
Referring Physician's Name 0008,0090 PN X
Requesting Physician 0032,1032 PN X
Requesting Service 0032,1033 LO

Type of
Matching
Reason for the Imaging Service 0040,2001 LO
Request (RETIRED)
Issue Date of Imaging Service 0040,2004 DA
Request
Imaging Service Request 0040,2400 LT
Comments
Table 36: C-FIND-RQ Status Response

Success 0000 Matching is complete The worklist is updated.
Failure A700 Refused The association is released. The reason is logged.
– Out of resources
A900 Failed The association is released. The reason is logged.
– Identifier does not
match SOP class
Cxxx Failed The association is released. The reason is logged.
– Unable to process
Cancel FE00 Matching terminated The association is released. The reason is logged.
due to Cancel request
Pending FF00 Matches are continuing The Query Worklist job continues.
– Current match is
supplied and any
optional keys were
supported in the same
manner as required
keys
FF01 Matches are continuing The Query Worklist job continues.
– Warning that one or
more optional keys were
not supported for
existence and/or
matching for this
identifier
Exception Behavior
RIS query timeout The Association is aborted using A-ABORT and command marked as failed.
(default 240 seconds) The reason is logged and reported to the user.
user.
4.2.1.3.4.3.5. Dataset Specific Conformance for Modality Worklist

Information Model - FIND C-CANCEL SCU
Exception Behavior
user.

4.2.1.3.5. (Real-World) Activity – Storage Commitment Push Model AS SCU

System AE Remote AE
A-ASSOCIATE-RQ
A-ASSOCIATE-AC
N-ACTION-RQ
N-ACTION-RSP
A-RELEASE-RQ
A-RELEASE-RP
A-ASSOCIATE-RQ
A-ASSOCIATE-AC
N-EVENT-REPORT-RQ
N-EVENT-REPORT-RSP
A-RELEASE-RQ
A-RELEASE-RP
Figure 8: (Real World) Activity - Storage Commitment Push Model AS SCU
System AE Remote AE
A-ASSOCIATE-RQ
A-ASSOCIATE-AC
A-ASSOCIATE-AC
N-ACTION-RQ
N-ACTION-RSP
N-EVENT-REPORT-RQ
N-EVENT-REPORT-RSP
A-RELEASE-RQ
A-RELEASE-RP
Figure 9: (Real World) Activity - Storage Commitment Push Model AS SCU
Archive means that Eleva Workspot 2.0 stores images with Storage Commitment.
 Manually in the viewer, after clicking the Store button the ELEVA AE will store the
selected images at the selected Storage SCP.
 Automatically during an examination, after clicking the Confirm button the ELEVA
AE will automatically store the related images of the performed procedure step at
the configured Storage SCP.

The ELEVA AE will request an association with the remote Storage SCP for the
applicable Storage SOP classes. After accepting the association the ELEVA AE will
send the store request, wait for response, and then release the association. The store
response status may be inspected on the UI. The transferred image shall not be
deleted from the system until the Storage Commit N-Event is received.
Depending on the status of the store the ELEVA AE may queue store requests for
retries. The queued store requests can be cancelled from the UI.
When an archive supports DICOM Storage Commitment, this node can be configured
for it. For each image that is sent to this node, also a Storage Commitment Request is
sent. The image is delete-protected until the Storage Commit Response has been
received. The current status is shown in the Image Info Panel.
In case of a wrong configuration (an archive is configured to support Storage
Commitment, but does not really do so), the MIP component recognizes this, and our
application sees a successful Storage Commitment.
Table 39: Proposed Presentation Contexts for (Real-World) Activity – Storage

Commitment Push Model AS SCU

ded
Role
Negoti
ation
Storage Commitment 1.2.840.10008.1.20.1 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Push Model SOP Class Explicit VR Big Endian 1.2.840.10008.1.2.2
4.2.1.3.5.3. SOP Specific Conformance for Storage Commitment Push Model

SOP Class
4.2.1.3.5.3.1. Dataset Specific Conformance for Storage Commitment

Push Model N-ACTION SCU
Table 40: Storage Commitment Attribute for N-ACTION-RQ
Attribute Name Tag Comment
Storage Commitment Module

Transaction UID 0008,1195
Referenced SOP Sequence 0008,1199
>Referenced SOP Class UID 0008,1150
>Referenced SOP Instance UID 0008,1155

Table 41: N-ACTION-RQ Status Response

Success 0000 Storage is complete UI status is updated
Refused A7xx Out of resources The association is released. The reason is logged. The
user is informed.
Error A9xx Data set does not match The association is released. The reason is logged. The
Cxxx Cannot understand The association is released. The reason is logged. The
user is informed.
Warning B000 Coercion of data The association is released. The reason is logged. The
elements user is informed.
B006 Elements discarded The association is released. The reason is logged. The
user is informed.
B007 Data set does not match The association is released. The reason is logged. The
Exception Behavior
user.
4.2.1.3.5.3.2. Dataset Specific Conformance for Storage Commitment

Push Model N-EVENT-REPORT SCP
Table 43: N-EVENT-REPORT-RQ Status Response
Exception Behavior
user.

4.2.1.4. Association Acceptance Policy



ELEVA AE accepts associations to allow remote applications to verify application level
communication.
The ELEVA AE rejects association requests from unknown applications, i.e.

applications that offer an unknown “calling AE title”. An application is known if and only
if it is defined per configuration.
The ELEVA AE rejects association requests from applications that do not address the
ELEVA AE, i.e. that offer a wrong “called AE title”.
Table 45: DICOM Association Rejection Handling
Result Source Reason/Diagnosis Explanation

1– 1 – DICOM UL service-user 1 – no-reason-given Association is not established
rejected- due to any problem other than
permanent that specified in the rows below.
(Example: Problem while
decoding the DICOM stream).
2 – application- An application context name
context-name-not- other than 1.2.840.10008.3.1.1.1
supported is requested by the SCU during
association.
3 – calling-AE-title- - The configuration does not
not-recognized contain a repository having the
Calling AE Title as per the
association request.
- There is a problem in
configuration (related to
composing the configuration from
the SCU and the SCP
configuration).
7 – called-AE-title- The called AE Title in the
not-recognized association request does not
match the AE Title as per the
configuration.
2 – DICOM UL service-provider 1 – no-reason-given Not used.
(ACSE related function) 2 – protocol-version- Not used.
not-supported
3 – DICOM UL service-provider 1 – temporary- Not used.
(presentation related function) congestion
2 – local-limit- Not used.
exceeded
2– 1 – DICOM UL service-user 1 – no-reason-given Not used.
rejected- 2 – application- Not used.
transient context-name-not-
supported
3 – calling-AE-title- Not used.
not-recognized
7 – called-AE-title- Not used.
not-recognized
2 – DICOM UL service-provider 1 – no-reason-given Maximum number of associations
(ACSE related function) is exceeded and an association
request is received.
2 – protocol-version- Not used.
not-supported

Result Source Reason/Diagnosis Explanation

3 – DICOM UL service-provider 1 – temporary- Not used.
(presentation related function) congestion
2 – local-limit- Not used.
exceeded
The behavior of the AE on receiving an association abort is summarized in next table

Table 46: DICOM Association Abort Policies

0 – DICOM UL service-user 0 – reason-not-specified When received, the Eleva Workspot 2.0
0: ABORT_SOURCE_dul_user,
Sent when:
Association times out due to inactivity
Any other problem than ones specified in
the rows below. (Examples: Problem while
decoding the DICOM stream, Invalid
request, Echo SCP was unable to send the
Response to SCU, Error writing to SCU
stream).
2 – DICOM UL service-provider 0 – reason-not-specified When received, the Eleva Workspot 2.0
0: ABORT_REASON_not_specified)
1 – unrecognized-PDU When received, the Eleva Workspot 2.0
1: ABORT_REASON_unrecognized_pdu).
Sent when:
An unrecognized PDU type is received.
2 – unexpected-PDU When received, the Eleva WorkspEleva
Workspot 2.0 terminates the connection
with the following log: Association
ABORTED by peer (
2: ABORT_REASON_unexpected_pdu).
Sent when:
The received PDU type is not expected in
the current state of connection.
4 – unrecognized-PDU When received, the Eleva Workspot 2.0
4: ABORT_REASON
_unrecognized_pdu_parameter).
Sent when:
An unrecognized Associate PDU item is
received.
5 – unexpected-PDU When received, the Eleva Workspot 2.0
5: ABORT_REASON
_unexpected_pdu_parameter).
Sent when:
One of the Associate PDU items is received
more than once.
unexpectedly.


6 – invalid-PDU- When received, the Eleva Workspot 2.0
parameter value terminates the connection with the following
6: ABORT_REASON
_invalid_pdu_parameter).
Sent when:
more than once.
One of the Associate PDU items is not
received.
Empty Called AE Title String (space-only) is
received.
Empty Calling AE Title String (space-only)
is received.
Unknown abstract syntax is received
The length or the format of the received
PDU item is invalid.
4.2.1.4.1. (Real-World) Activity – Verification as SCP

Remote AE System AE
A-ASSOCIATE-RQ
A-ASSOCIATE-AC
C-ECHO-RQ
C-ECHO-RSP
A-RELEASE-RQ
A-RELEASE-RP
Figure 10: (Real World) Activity - Verification as SCP
The ELEVA AE accepts associations from systems that whish to verify application level
communication using the C-ECHO command.
4.2.1.4.1.2. Accepted Presentation Contexts
Table 47: Acceptable Presentation Contexts for (Real-World) Activity –

Verification as SCP

ded
Role
Negoti
ation
Verification SOP Class 1.2.840.10008.1.1 Explicit VR Big Endian 1.2.840.10008.1.2.2 SCP None

4.2.1.4.1.3. SOP Specific Conformance for Verification SOP Class

4.2.1.4.1.3.1. Dataset Specific Conformance for Verification C-ECHO SCP

Table 48: C-ECHO-RSP Status Response

Success 0000 Verification is complete The Eleva Workspot 2.0 has successfully received the
verification request.
Exception Behavior
user.

4.3. Network Interfaces
4.3.1. Physical Network Interfaces

The Eleva Workspot 2.0 provides DICOM 3.0 TCP/IP Network Communication Support
as defined in Part 8 of the DICOM 3.0 Standard.
The Eleva Workspot 2.0 system supports ISO 8802-3 10BASE-T and 100Base-TX
Ethernet.
4.3.2. Additional Protocols

No additional protocols are used.
4.4. Configuration
Any implementation’s DICOM conformance may be dependent upon configuration,
which takes place at the time of installation. Issues concerning configuration is
addressed in this section.
4.4.1. AE Title/Presentation Address Mapping

An important installation issue is the translation from AE title to presentation address.
How this is to be performed shall be described in this section.
4.4.1.1. Local AE Titles

The local AE title mapping and configuration are specified.
Table 50: AE Title Configuration Table
Application Entity Default AE Title Default TCP/IP Port

ELEVA AE ELEVA 3010
4.4.1.2. Remote AE Title/Presentation Address Mapping

All remote applications to be selected as destination (SCP) are configurable for the
following items:
• The Application Entity Title of the remote application.
The Presentation Address of where the remote application should accept association
requests.
4.4.2. Parameters
The specification of important operational parameters, their default value and range (if
configurable) is specified here.
Table 51: Configuration Parameters table
Parameter Configurable Default Value
General Parameters
Maximum PDU receive size No -
Maximum PDU send size Yes 16384
Maximum number of simultaneous associations Yes 2
Artim Timeout Yes 60 [seconds]
Specifies the time in seconds of the ARTIM (Association
Request/Reject/Release TIMer).
Allowed values:
0: unlimited waiting time
0 < n: real time in seconds

Parameter Configurable Default Value

Automatic Association Timeout Yes 0 [unlimited]
Specifies the association inactivity timeout in seconds after
which the association is closed automatically.
Allowed values:
-1: immediate timeout
Transfer Syntax support: ILE, ELE, EBE Yes ILE, ELE, EBE
Storage Specific Parameters
Automatic export to a configurable destination Yes -
Storage Commitment Specific Parameters
Storage Commit Max Reply Waiting Time Yes -1 [asynchronous]
Specifies the time in seconds that is waited for a storage
commitment event report message. After this time the
association will be terminated
Allowed values:
-1: immediate timeout
Basic Worklist Management Specific Parameters
RIS query timeout Yes 240 [minutes]
Specifies the time after which the query is automatically aborted
Allowed values: 1- 300 minutes
Background broad query time interval Yes 0 [no broad query]
Specifies the time until the background query will be repeated.
Allowed values:
0: no broad query
0 < n: real time in minutes
Print Management Specific Parameters
Automatic print to a configurable destination Yes -

5. M EDIA I NTERCHANGE
5.1. Implementation Model

The implementation model shall identify the DICOM Application Entities in a specific
implementation and relate the Application Entities to Real-World Activities.
5.1.1. Application Data Flow Diagram

The Eleva Workspot 2.0 system consists of one single application entity only: the Eleva
Workspot 2.0 Application Entity.
Next figure shows the Media Interchange application data flow as a functional overview
of the Eleva AE.
Display Eleva Workspot 2.0

Contents FSC
FSU DICOM
Media AE Storage
FSR Medium
Only contents
Write
Images
Figure 11: Media Interchange Application Data Flow Diagram
The ELEVA AE will act as a FSR when reading the directory of the medium.
The ELEVA AE will act as a FSC/FSU when writing the selected images in a patient
folder onto the CD-R medium.
5.1.2. Functional Definitions of AE’s

This section shall describe in general terms the functions to be performed by the AE,
and the DICOM services used to accomplish these functions.
5.1.2.1. Functional Definition of Eleva Workspot 2.0

The ELEVA AE is the one and only application entity within the Eleva Workspot 2.0. It
includes the following service class.
Media Storage Service Class

The ELEVA AE can perform the Media Storage service as SCU, with capabilities for
RWA Display Directory (as FSR) and RWA Write Images (as FSC/FSU).
5.1.3. Sequencing of Real World Activities

Write images can be initiated by selecting a proper export destination, selecting
requested images and clicking the export button.
Whenever a CD-R has to be written the ELEVA AE first tries to read the DICOMDIR.
The ELEVA AE will compile the updated DICOMDIR and any required DICOM images
into a CD session image; this CD session image will be written to CD-R.

5.1.4. File Meta Information for Implementation Class and Version

This next table specified the list of values assigned to the File Meta Information
attributes that pertain to the Implementation Class and Version.
Table 52: AE Related Application Profiles, Real-World Activities, and Roles
File Meta Information attributes Value

File Meta Information Version 00, 01
Implementation Class UID 1.3.46.670589.30.1.3
Implementation Version Name PMS_ELEVA_PA_2.1
5.2. Eleva AE
The ELEVA AE provides Standard Conformance to the DICOM Media Storage Service
and File Format ([DICOM] PS 3.10) and the Media Storage Application Profiles STD-
GEN-CD ([DICOM] PS 3.11) for reading.
ELEVA AE supports multi-patient and multi-session CD-R disks.
The supported Application Profiles, their Roles and the Service Class (SC) options, all
defined in DICOM terminology, are listed in next table.
Table 53: AE Related Application Profiles, Real-World Activities, and Roles
Supported Application Profile Real-World Activity Roles SC Option

STD-GEN-CD Display Directory FSR Interchange
Write Images FSC, FSU Interchange
Only adding on of instances is supported for the FSU, deleting is not supported.
5.2.1.1. Real-World Activities

This section describes the real-world activities for the roles and Media Storage Service
Class options supported by the ELEVA AE.
5.2.1.1.1. Display Directory

The ELEVA AE will act as an FSR when reading the directory of the medium. This will
result in an overview of the images on the Eleva Workspot 2.0 screen.
5.2.1.1.1.1. Media Storage Application Profile

The ELEVA AE supports the RWA Display Directory for the STD-GEN-CD Application
Profile.
5.2.1.1.2. Write Images

When an image transfer to CD-R is initiated then the ELEVA AE acts as an FSC or
FSU using the interchange option to export SOP Instances from the local database to a
CD-R medium.
5.2.1.1.2.1. Media Storage Application Profile

The ELEVA AE supports the RWA Write Images for the STD-GEN-CD Application
Profile.
5.2.1.1.2.1.1. Options
The DICOMDIR file will be extended when new images are written. In case some
attributes are not present in an image but are specified as mandatory in the DICOMDIR
definition in DICOM Media, a generated value will be filled in.

5.3. Augmented and Private Application Profiles

This section shall be used for the description of augmented and private Application
Profiles.
5.3.1. Augmented Application Profiles

Any augmented Application Profiles used by an AE shall be described in these
sections. The rules governing the structure of an augmented AP shall be described.
5.3.1.1. Augmented Application Profile x

Each augmented Application Profile shall have a section 5.3.1.x that describes the
specific features of the Application Profile that make it augmented. These shall be
described in the three repeating sections that follow.
5.3.1.1.1. SOP Class Augmentations

The additional SOP classes, beyond those specified in the standard AP on which this
augmented AP is based, shall be detailed in this section.
5.3.1.1.2. Directory Augmentations

Any additions to the Directory IOD that augment this AP shall be described in this
section.
5.3.1.1.3. Other Augmentations

Any additions to, or extensions of the Application Profile shall be described in this
section. An example of such other augmentation is addition of a role (FSR, FSC, FSU)
to the standard Application Profile set of defined roles.
5.3.2. Private Application Profiles

The rules that govern construction of a private Application Profile shall be described.
This section shall be used to describe the details of the private AP.
Notes:
• Refer to PS 3.11 for a description of constructing a private Application Profile.
• If the AP deviates from the rules governing a private AP in any manner, it is non-
conformant and is outside the scope of this standard.
5.4. Media Configuration

By anonymous patient on CD where change the following DICOM attributes
Attribute Tag Change to
Media Storage SOP Instance UID 0002,0003 New UID
Referenced SOP Instance UID in File 0004,1511 New UID
SOP Instance UID 0008,0016 New UID
Accession Number 0008,0050 [empty]
Institution Name 0008,0080 [empty]
Institution Address 0008,0081 [empty]
Referring Physician's Name 0008,0090 [empty]
Station Name 0008,1010 [empty]
Study Description 0008,1030 [empty]
Series Description 0008,103E [empty]
Institutional Department Name 0008,1040 [empty]
Performing Physician's Name 0008,1050 [empty]
Operators' Name 0008,1070 [empty]
Patient Name 0010,0010 [empty]
Patient ID 0010,0020 New ID
Patient's Birth Date 0010,0030 [empty]

Attribute Tag Change to

Patient's Sex 0010,0040 [empty]
Other Patient IDs 0010,1000 [empty]
Patient's Size 0010,1020 [empty]
Patient's Weight 0010,1030 [empty]
Device Serial Number 0018,1000 New ID
Study Instance UID 0020,000D New UID
Series Instance UID 0020,000E New UID
Study ID 0020,0010 New ID
Requesting Physician 0032,1032 [empty]
Request Attributes Sequence 0040,0270 [empty sequence]
Requested Procedure ID 0040,1001 New ID
.

6. S UPPORT OF C HARACTER S ETS

Any support for character sets beyond the default character repertoire in Network and
Media services shall be described here.
Table 54: Supported DICOM Character Sets of Eleva Workspot
ISO Code
Character Set ESC
Defined Term Registration Eleme Character Set
Description Sequence
Number nt
Latin alphabet No. 1 ISO_IR 100 - ISO-IR 6 G0 ISO 646
- ISO-IR 100 G1 Supplementary set
of ISO 8859

7. S ECURITY
7.1.1. Secure Transport Connection Profiles
7.1.1.1. The Basic TLS Secure Transport Connection Profile

XD-S conforms to the Basic TLS Secure Transport Connection Profile.
Since XD-S acts only as SCU (except Verify) no IP port is specified to accept TLS
connections.
XD-S provides a service accessible tool to configure private keys and certificates of the
local and remote DICOM nodes.
7.1.2. Attribute Confidentiality Profiles
7.1.2.1. The Basic Application Level Confidentiality Profile

XD-S conforms to the Basic Application Level Confidentiality Profile as de-identifier.
De-identified SOP Instances will be created on DICOM Media if specified by the user.
No instances of the Encrypted Attributes Data Set are created. No Transfer Syntaxes
are supported for encoding/decoding of Encrypted Attributes Data Sets.
Table 55 lists the protected attributes. The terms used to describe the replacement
value can be read as follows:
empty The attribute will have a value of zero length.

n. a. Not applicable, the attribute is not contained in the standard IOD of XD-S.
anon string The original value is mapped onto a string with a length of max 12
characters UID using the procedure described below.
anon UID The original value is mapped onto a syntactically valid DICOM UID using
the procedure described below.
The above mentioned mapping procedure works as follows:

• The original value is taken as a string of arbitrary length.
• This string is mapped onto a 16-byte value using MD5 hash.
• From this value only the first 8 bytes are used further.
• To create an anon string these first 8 bytes are mapped onto a 12 characters
long string using base 64.
• To create an anon UID the 8 bytes are read as two integers which are used to
create a valid DICOM UID:
(ImplClassUID).(DevSerialNu).2.Integer(byte[0-3]).Integer(byte[4-7])
MD5 hash makes practically sure that different strings are mapped to different 16-byte
values. So the whole procedure ensures that the relationship between SOP Instances
by the means of their UIDs remains consistent.
Table 55: Basic Application Level Confidentiality Profile Attributes

Attribute Name Tag Replacement Value
Instance Creator UID 0008,0014 anon UID
SOP Instance UID 0008,0018 anon UID
Accession Number 0008,0050 empty
Institution Name 0008,0080 empty

Attribute Name Tag Replacement Value

Institution Address 0008,0081 empty
Referring Physician’s Name 0008,0090 empty
Referring Physician’s Address 0008,0092 n. a.
Referring Physician’s Telephone Numbers 0008,0094 n. a.
Station Name 0008,1010 empty
Study Description 0008,1030 empty
Series Description 0008,103E empty
Institutional Department Name 0008,1040 empty
Physician(s) of Record 0008,1048 empty
Performing Physicians’ Name 0008,1050 empty
Name of Physician(s) Reading Study 0008,1060 empty
Operators’ Name 0008,1070 empty
Admitting Diagnoses Description 0008,1080 empty
Referenced SOP Instance UID 0008,1155 anon UID
Derivation Description 0008,2111 empty
Patient’s Name 0010,0010 empty
Patient ID 0010,0020 anon string
Patient’s Birth Date 0010,0030 empty
Patient’s Birth Time 0010,0032 empty
Patient’s Sex 0010,0040 empty
Other Patient Ids 0010,1000 empty
Other Patient Names 0010,1001 empty
Patient’s Age 0010,1010 empty
Patient’s Size 0010,1020 empty
Patient’s Weight 0010,1030 empty
Medical Record Locator 0010,1090 n. a.
Ethnic Group 0010,2160 empty
Occupation 0010,2180 empty
Additional Patient’s History 0010,21B0 empty
Patient Comments 0010,4000 empty
Device Serial Number 0018,1000 anon string
Protocol Name 0018,1030 empty
Study Instance UID 0020,000D anon UID
Series Instance UID 0020,000E anon UID
Study ID 0020,0010 anon string
Frame of Reference UID 0020,0052 anon UID
Synchronization Frame of Reference UID 0020,0200 n. a.
Image Comments 0020,4000 empty
Requested Attributes Sequence 0040,0275 empty
UID 0040,A124 anon UID
Content Sequence 0040,A730 empty
Storage Media File-set UID 0088,0140 anon UID
Referenced Frame of Reference UID 3006,0024 n. a.
Related Frame of Reference UID 3006,00C2 n. a.
No attributes or attribute values are inserted.

8. ANNEXES OF APPLICATION "E LEVA "
8.1. IOD Contents
8.1.1. Created SOP Instance
This section specifies each IOD created (including private IOD’s). It should specify the
attribute name, tag, VR, and value. The value should specify the range and source
(e.g. user input, Modality Worklist, automatically generated, etc.). For content items in
templates, the range and source of the concept name and concept values should be
specified. Whether the value is always present or not shall be specified.
Abbreviations used in the IOD tables for the column "Presence of Module" are:
ALWAYS The module is always present
CONDITIONAL The module is used under specified condition
Abbreviations used in the Module table for the column "Presence of Value" are:
ALWAYS The attribute is always present with a value
EMPTY The attribute is always present without any value (attribute sent zero
length)
VNAP The attribute is always present and its Value is Not Always Present
(attribute sent zero length if no value is present)
ANAP The attribute is present under specified condition – if present then it
will always have a value
ANAPCV The attribute is present under specified condition – if present then
its Value is Not Always Present (attribute sent zero length if
condition applies and no value is present)
ANAPEV The attribute is present under specified condition – if present then it
will not have any value
The abbreviations used in the Module table for the column "Source" are:
AUTO The attribute value is generated automatically
CONFIG The attribute value source is a configurable parameter
COPY The attribute value source is another SOP instance
FIXED The attribute value is hard-coded in the application
IMPLICIT The attribute value source is a user-implicit setting
MPPS The attribute value is the same as that use for Modality Performed
Procedure Step
MWL The attribute value source is a Modality Worklist
USER The attribute value source is explicit user input
8.1.1.1. List of created SOP Classes
Table 56: List of created SOP Classes
SOP Class Name SOP Class UID

Computed Radiography Image Storage SOP Class 1.2.840.10008.5.1.4.1.1.1
Secondary Capture Image Storage SOP Class 1.2.840.10008.5.1.4.1.1.7
Digital X-Ray Image Storage - For Pres. SOP 1.2.840.10008.5.1.4.1.1.1.1
Digital X-Ray Image Storage - For Proc. SOP 1.2.840.10008.5.1.4.1.1.1.1.1

8.1.1.2. Computed Radiography Image Storage SOP Class
Table 57: IOD of Created Computed Radiography Image Storage SOP Class
Instances
Presence Of
Information Entity Module
Module
Patient Patient Module
Study General Study Module
Study Patient Study Module
Series General Series Module
Series CR Series Module
Equipment General Equipment Module
Image General Image Module
Image Contrast/Bolus Module
Image CR Image Module
Image Image Pixel Module
Image SOP Common Module
Image Overlay Plane Module
Image Modality LUT Module
Image VOI LUT Module
Additional Module
Table 58: Patient Module
Presence
of Value
Patient's Name 0010,0010 PN VNAP MWL/U
SER
Patient ID 0010,0020 LO ALWAYS MWL/A
UTO
Patient's Birth Date 0010,0030 DA VNAP MWL/U
SER
Patient's Sex 0010,0040 CS F, M, O, F, M, O VNAP MWL/U
SER
Issuer of Patient ID 0010,0021 LO ANAP MWL/U
SER
Other Patient IDs 0010,1000 LO ANAP MWL/U
SER
Ethnic Group 0010,2160 SH ANAP AUTO
Patient Comments 0010,4000 LT ANAP MWL/U
SER
Table 59: General Study Module
Presence
of Value
Study Instance UID 0020,000D UI ALWAYS MWL/A
UTO
Study Date 0008,0020 DA VNAP AUTO
Study Time 0008,0030 TM VNAP AUTO
Accession Number 0008,0050 SH VNAP MWL/U
SER
Referring Physician's Name 0008,0090 PN VNAP MWL/U
SER
Study ID 0020,0010 SH VNAP MWL/A
UTO
Study Description 0008,1030 LO ANAP MWL/U
SER
Referenced Study Sequence 0008,1110 SQ ANAP MWL
>Referenced SOP Class UID 0008,1150 UI ANAPEV MWL
>Referenced SOP Instance UID 0008,1155 UI ANAPEV MWL
Procedure Code Sequence 0008,1032 SQ ANAP MWL

>Code Value 0008,0100 SH ALWAYS MWL

>Coding Scheme Designator 0008,0102 SH ALWAYS MWL
>Code Meaning 0008,0104 LO ALWAYS MWL
Table 60: Patient Study Module
Presence
of Value
Patient's Size 0010,1020 DS ANAP MWL/U
SER
Patient's Weight 0010,1030 DS ANAP MWL/U
SER
Additional Patient History 0010,21B0 LT ANAP MWL/U
SER
Table 61: General Series Module
Presence
of Value
Modality 0008,0060 CS CR, CR ALWAYS CONFI
G
Series Instance UID 0020,000E UI ALWAYS MPPS/A
UTO
Series Number 0020,0011 IS ALWAYS MPPS/A
UTO
Laterality 0020,0060 CS VNAP CONFI
G
Series Date 0008,0021 DA ANAP AUTO
Series Time 0008,0031 TM ANAP AUTO
Series Description 0008,103E LO ANAP MPPS/
USER
Performing Physician's Name 0008,1050 PN ANAP MPPS/
USER
Operators' Name 0008,1070 PN ALWAYS MPPS/
USER
Protocol Name 0018,1030 LO ALWAYS MWL/U
SER
Performed Procedure Step Start 0040,0244 DA ANAP MPPS/A
Date UTO
Performed Procedure Step Start 0040,0245 TM ANAP MPPS/A
Time UTO
Performed Procedure Step ID 0040,0253 SH ANAP MPPS/A
UTO
Performed Procedure Step 0040,0254 LO ANAP MPPS/A
Description UTO
Referenced Performed 0008,1111 SQ ALWAYS AUTO
Procedure Step Sequence
Performed Protocol Code 0040,0260 SQ ANAP MWL
Sequence
Request Attributes Sequence 0040,0275 SQ ANAP MWL
>Scheduled Procedure Step ID 0040,0009 SH ANAPEV MWL
>Requested Procedure ID 0040,1001 SH ANAPEV MWL
>Scheduled Procedure Step 0040,0007 LO ANAP MWL
Description
>Scheduled Protocol Code 0040,0008 SQ ANAP MWL
Sequence
>>Code Value 0008,0100 SH ALWAYS MWL
>>Coding Scheme Designator 0008,0102 SH ALWAYS MWL
>>Code Meaning 0008,0104 LO ALWAYS MWL

Table 62: CR Series Module
Presence
of Value
Body Part Examined 0018,0015 CS VNAP MPPS/
USER
View Position 0018,5101 CS VNAP AUTO
Table 63: General Equipment Module
Presence
of Value
Manufacturer 0008,0070 LO Philips Medical Systems ALWAYS AUTO
Institution Name 0008,0080 LO ALWAYS CONFI
G
Institution Address 0008,0081 ST ALWAYS CONFI
G
Station Name 0008,1010 SH ALWAYS CONFI
G
Institutional Department Name 0008,1040 LO ALWAYS CONFI
G
Manufacturer's Model Name 0008,1090 LO DigitalDiagnost, ALWAYS AUTO
EasyUpgrade DR,
Eleva Workspot,
Device Serial Number 0018,1000 LO ALWAYS CONFI
G
Software Version(s) 0018,1020 LO ALWAYS AUTO
Spatial Resolution 0018,1050 DS ALWAYS AUTO
Table 64: General Image Module
Presence
of Value
Instance Number 0020,0013 IS ALWAYS AUTO
Content Date 0008,0023 DA ALWAYS AUTO
Content Time 0008,0033 TM ALWAYS AUTO
Patient Orientation 0020,0020 CS VNAP AUTO
Image Type 0008,0008 CS ORIGINAL, ORIGINAL, ALWAYS AUTO
PRIMARY, PRIMARY
Acquisition Date 0008,0022 DA ALWAYS AUTO
Acquisition Time 0008,0032 TM ALWAYS AUTO
Burned In Annotation 0028,0301 CS ALWAYS AUTO
Lossy Image Compression 0028,2110 CS 00, 00 ANAP AUTO
Presentation LUT Shape 2050,0020 CS IDENTITY, IDENTITY, ALWAYS AUTO
IDENTITY
Table 65: Contrast/Bolus Module
Presence
of Value
Contrast/Bolus Agent 0018,0010 LO VNAP AUTO
Table 66: CR Image Module
Presence
of Value
Photometric Interpretation 0028,0004 CS MONOCHROME2, ALWAYS AUTO
MONOCHROME2
KVP 0018,0060 DS ANAP AUTO
Distance Source to Detector 0018,1110 DS ANAP AUTO
Exposure Time 0018,1150 IS ANAP AUTO
X-ray Tube Current 0018,1151 IS ANAP AUTO
Exposure 0018,1152 IS ANAP AUTO
Imager Pixel Spacing 0018,1164 DS ALWAYS AUTO

Acquisition Device Processing 0018,1400 LO ANAP AUTO

Description
Relative X-ray Exposure 0018,1405 IS ANAP AUTO
Table 67: Image Pixel Module
Presence
of Value
Samples per Pixel 0028,0002 US 1, 1 ALWAYS AUTO
Rows 0028,0010 US ALWAYS AUTO
Columns 0028,0011 US ALWAYS AUTO
Bits Allocated 0028,0100 US 16, 16 ALWAYS AUTO
Bits Stored 0028,0101 US 15, 10, 12, 10 ALWAYS AUTO
High Bit 0028,0102 US 14, 9, 11 ALWAYS AUTO
Pixel Representation 0028,0103 US 0000 ALWAYS AUTO
Pixel Data 7FE0,0010 O ALWAYS AUTO
W/
OB
Pixel Aspect Ratio 0028,0034 IS 1, 1 ALWAYS AUTO
Table 68: SOP Common Module
Presence
of Value
Specific Character Set 0008,0005 CS ANAPCV AUTO
SOP Class UID 0008,0016 UI ALWAYS AUTO
SOP Instance UID 0008,0018 UI 1.2.840.10008.5.1.4.1.1.1 ALWAYS AUTO
Table 69: Overlay Plane Module
Presence
of Value
Overlay Rows 6000,0010 US ANAP AUTO
Overlay Columns 6000,0011 US ANAP AUTO
Overlay Type 6000,0040 CS ANAP AUTO
Overlay Origin 6000,0050 SS ANAP AUTO
Overlay Bits Allocated 6000,0100 US ANAP AUTO
Overlay Bit Position 6000,0102 US ANAP AUTO
Overlay Data 6000,3000 O ANAP AUTO
W/
OB
Table 70: Modality LUT Module
Presence
of Value
Rescale Intercept 0028,1052 DS ALWAYS AUTO
Rescale Slope 0028,1053 DS ALWAYS AUTO
Rescale Type 0028,1054 LO US, US ALWAYS AUTO
Table 71: VOI LUT Module
Presence
of Value
Window Center 0028,1050 DS 2047.0 ALWAYS AUTO
Window Width 0028,1051 DS 4095.0 ALWAYS AUTO
Table 72: Additional Module
Presence
of Value
Medical Alerts 0010,2000 LO VNAP MWL/U
SER

Contrast Allergies 0010,2110 LO VNAP MWL/U

SER
Pregnancy Status 0010,21C0 US VNAP MWL/U
SER
Image and Fluoroscopy Area 0018,115E DS VNAP AUTO
Dose Product
Requesting Physician 0032,1032 PN VNAP MWL/U
SER
Requesting Service 0032,1033 LO VNAP MWL/U
SER
Requested Procedure 0032,1060 LO VNAP MWL/U
Description SER
Special Needs 0038,0050 LO VNAP MWL/U
SER
Patient State 0038,0500 LO VNAP MWL/U
SER
Performed Station AE Title 0040,0241 AE VNAP MPPS/A
UTO
Performed Procedure Step End 0040,0250 DA VNAP MPPS/A
Date UTO
Performed Procedure Step End 0040,0251 TM VNAP MPPS/A
Time UTO
Performed Procedure Step 0040,0252 CS VNAP MPPS/A
Status UTO
Total Time of Fluoroscopy 0040,0300 US VNAP AUTO
Total Number of Exposures 0040,0301 US VNAP AUTO
Entrance Dose 0040,0302 US VNAP AUTO
Requested Procedure ID 0040,1001 SH VNAP MWL/U
SER
Reason for the Requested 0040,1002 LO VNAP MWL/U
Procedure SER
Requested Procedure Priority 0040,1003 SH VNAP MWL/U
SER
Patient Transport Arrangements 0040,1004 LO VNAP MWL/U
SER
Names of Intended Recipients 0040,1010 PN VNAP MWL/U
of Results SER
Requested Procedure 0040,1400 LT VNAP MWL/U
Comments SER
Reason for the Imaging Service 0040,2001 LO VNAP MWL
Request (RETIRED)
Issue Date of Imaging Service 0040,2004 DA VNAP MWL/U
Request SER
Imaging Service Request 0040,2400 LT VNAP MWL/U
Comments SER
Requested Procedure Code 0032,1064 SQ VNAP MWL
Sequence
Exposure Dose Sequence 0040,030E SQ VNAP AUTO
Film Consumption Sequence 0040,0321 SQ VNAP AUTO
8.1.1.3. Secondary Capture Image Storage SOP Class
Table 73: IOD of Created Secondary Capture Image Storage SOP Class Instances
Presence Of
Module
Patient Patient Module
Study General Study Module
Study Patient Study Module
Series General Series Module
Equipment General Equipment Module
Equipment SC Equipment Module
Image General Image Module
Image Image Pixel Module

Image SC Image Module

Image SOP Common Module
Image Modality LUT Module
Image VOI LUT Module
Additional Module
Presence
of Value
SER
Patient ID 0010,0020 LO ALWAYS MWL/U
SER
SER
Patient's Sex 0010,0040 CS VNAP MWL/U
SER
Issuer of Patient ID 0010,0021 LO ANAP
SER
Ethnic Group 0010,2160 SH ANAP MWL/U
SER
SER
Presence
of Value
Study Instance UID 0020,000D UI ALWAYS MWL/A
UTO
Study Date 0008,0020 DA VNAP AUTO
Study Time 0008,0030 TM VNAP AUTO
SER
SER
Study ID 0020,0010 SH VNAP MWL/A
UTO
SER
Presence
of Value
Patient's Size 0010,1020 DS ANAP MWL/A
UTO
Patient's Weight 0010,1030 DS VNAP MWL/A
UTO
Additional Patient History 0010,21B0 LT VNAP MWL/A
UTO

Presence
of Value
UTO
Series Number 0020,0011 IS ALWAYS MPPS/A
UTO
Laterality 0020,0060 CS VNAP CONFI
G
Series Date 0008,0021 DA ANAP AUTO
Series Time 0008,0031 TM ANAP AUTO
USER
USER
Operators' Name 0008,1070 PN ALWAYS MPPS/
USER
Body Part Examined 0018,0015 CS VNAP MPPS/
USER
Protocol Name 0018,1030 LO ALWAYS MWL/U
SER
Date UTO
Time UTO
UTO
Description UTO
Referenced Performed 0008,1111 SQ ALWAYS AUTO
Sequence
Description
Sequence
Presence
of Value
Manufacturer 0008,0070 LO ALWAYS AUTO
G
G
G
G


EasyUpgrade DR,
Eleva Workspot,
Device Serial Number 0018,1000 LO ANAP
Table 79: SC Equipment Module
Presence
of Value
Conversion Type 0008,0064 CS ALWAYS AUTO
Modality 0008,0060 CS ALWAYS AUTO
Presence
of Value
Instance Number 0020,0013 IS ALWAYS AUTO
Patient Orientation 0020,0020 CS VNAP USER
Image Type 0008,0008 CS ALWAYS AUTO
Burned In Annotation 0028,0301 CS ALWAYS AUTO
Lossy Image Compression 0028,2110 CS ANAP AUTO
Presence
of Value
Photometric Interpretation 0028,0004 CS ALWAYS AUTO
Bits Allocated 0028,0100 US 16, 16 ALWAYS AUTO
Bits Stored 0028,0101 US 10, 12, 10 ALWAYS AUTO
High Bit 0028,0102 US 9, 11 ALWAYS AUTO
W/
OB
Planar Configuration 0028,0006 US ALWAYS AUTO
Pixel Aspect Ratio 0028,0034 IS ALWAYS AUTO
Table 82: SC Image Module
Presence
of Value
Date of Secondary Capture 0018,1012 DA ALWAYS AUTO
Time of Secondary Capture 0018,1014 TM ALWAYS AUTO
Presence
of Value
Specific Character Set 0008,0005 CS ANAPCV AUTO
SOP Class UID 0008,0016 UI ALWAYS AUTO
SOP Instance UID 0008,0018 UI ALWAYS AUTO

Table 84: Modality LUT Module
Presence
of Value
Rescale Type 0028,1054 LO ALWAYS AUTO
Table 85: VOI LUT Module
Presence
of Value
Window Center 0028,1050 DS ALWAYS AUTO
Window Width 0028,1051 DS ALWAYS AUTO
Presence
of Value
Presentation Intent Type 0008,0068 CS VNAP AUTO
SER
SER
SER
KVP 0018,0060 DS VNAP AUTO
Distance Source to Detector 0018,1110 DS VNAP AUTO
Exposure Time 0018,1150 IS VNAP AUTO
X-ray Tube Current 0018,1151 IS VNAP AUTO
Exposure 0018,1152 IS VNAP AUTO
Radiation Setting 0018,1155 CS VNAP AUTO
Image and Fluoroscopy Area 0018,115E DS VNAP AUTO
Dose Product
Imager Pixel Spacing 0018,1164 DS VNAP AUTO
Acquisition Device Processing 0018,1400 LO VNAP AUTO
Description
Relative X-ray Exposure 0018,1405 IS VNAP AUTO
Tomo Layer Height 0018,1460 DS VNAP AUTO
Positioner Motion 0018,1500 CS VNAP AUTO
Positioner Type 0018,1508 CS VNAP AUTO
Positioner Primary Angle 0018,1510 DS VNAP AUTO
Positioner Secondary Angle 0018,1511 DS VNAP AUTO
Increment
Increment
Collimator Shape 0018,1700 CS VNAP AUTO
Collimator Left Vertical Edge 0018,1702 IS VNAP AUTO
Collimator Right Vertical Edge 0018,1704 IS VNAP AUTO
Collimator Upper Horizontal 0018,1706 IS VNAP AUTO
Edge
Collimator Lower Horizontal 0018,1708 IS VNAP AUTO
Edge
Center of Circular Collimator 0018,1710 IS VNAP AUTO
Radius of Circular Collimator 0018,1712 IS VNAP AUTO
Vertices of the Polygonal 0018,1720 IS VNAP AUTO
Collimator
View Position 0018,5101 CS VNAP AUTO
Detector Type 0018,7004 CS VNAP AUTO
Date of Last Detector 0018,700C DA VNAP AUTO
Calibration

Time of Last Detector 0018,700E TM VNAP AUTO

Calibration
03 11 PH Updated final version of VNAP AUTO
February - DICOM Conformance
2008 HI- Statement. Added the
PII- session 7 - Security
IC2
Pixel Intensity Relationship 0028,1040 CS VNAP AUTO
Pixel Intensity Relationship Sign 0028,1041 SS VNAP AUTO
SER
SER
Description SER
SER
SER
UTO
Date UTO
Time UTO
Status UTO
Entrance Dose 0040,0302 US VNAP AUTO
Requested Procedure ID 0040,1001 SH VNAP MWL/U
SER
Reason for the Requested 0040,1002 LO VNAP MWL/U
Procedure SER
Requested Procedure Priority 0040,1003 SH VNAP MWL/U
SER
SER
Names of Intended Recipients 0040,1010 PN VNAP AUTO
of Results
Requested Procedure 0040,1400 LT VNAP MWL
Comments
Request (RETIRED)
Issue Date of Imaging Service 0040,2004 DA VNAP MWL/U
Request SER
Comments SER
Sequence
Acquisition Context Sequence 0040,0555 SQ VNAP AUTO
8.1.1.4. Digital X-Ray Image Storage - For Pres. SOP
Table 87: IOD of Created Digital X-Ray Image Storage - For Pres. SOP Instances
Presence Of
Module
Image DX Anatomy Imaged Module ALWAYS
Image DX Detector Module ALWAYS
Image DX Image Module ALWAYS
Image DX Positioning Module CONDITIONAL

Series DX Series Module ALWAYS

Image X-Ray Acquisition Dose Module CONDITIONAL
Patient Patient Module ALWAYS
Study General Study Module ALWAYS
Study Patient Study Module CONDITIONAL
Series General Series Module ALWAYS
Equipment General Equipment Module ALWAYS
Image Contrast/Bolus Module CONDITIONAL
Image Display Shutter Module CONDITIONAL
Waveform Acquisition Context Module ALWAYS
Image General Image Module ALWAYS
Image Image Pixel Module ALWAYS
Image X-Ray Tomography Acquisition Module CONDITIONAL
Image X-Ray Collimator Module CONDITIONAL
Image SOP Common Module ALWAYS
Image Overlay Plane Module CONDITIONAL
Additional Module ALWAYS
Table 88: DX Anatomy Imaged Module
Presence
of Value
Image Laterality 0020,0062 CS ALWAYS AUTO
Anatomic Region Sequence 0008,2218 SQ VNAP AUTO
Table 89: DX Detector Module
Presence
of Value
Date of Last Detector 0018,700C DA ANAP AUTO
Calibration
Time of Last Detector 0018,700E TM ANAP AUTO
Calibration
Table 90: DX Image Module
Presence
of Value
PRIMARY, PRIMARY
Patient Orientation 0020,0020 CS ALWAYS AUTO
MONOCHROME2
Bits Allocated 0028,0100 US 16, 16, 16 ALWAYS AUTO
Bits Stored 0028,0101 US 15, 10, 12, 10, 12, 15, 10 ALWAYS CONFI
G
High Bit 0028,0102 US 14, 9, 11, 11, 14, 9 ALWAYS AUTO
Burned In Annotation 0028,0301 CS ALWAYS CONFI
G
Pixel Intensity Relationship 0028,1040 CS LOG, LOG ALWAYS AUTO
Pixel Intensity Relationship Sign 0028,1041 SS 1, 1 ALWAYS AUTO
Lossy Image Compression 0028,2110 CS 00, 00 ALWAYS AUTO
Presentation LUT Shape 2050,0020 CS IDENTITY, IDENTITY, ALWAYS AUTO
IDENTITY
Window Center 0028,1050 DS 2047.0 ANAPEV AUTO

Window Width 0028,1051 DS 4095.0 ANAPEV AUTO

Description
Table 91: DX Positioning Module
Presence
of Value
Positioner Primary Angle 0018,1510 DS ANAP AUTO
Positioner Secondary Angle 0018,1511 DS ANAP AUTO
View Position 0018,5101 CS ANAP AUTO
Table 92: DX Series Module
Presence
of Value
Modality 0008,0060 CS DX, DX ALWAYS CONFI
G
Presentation Intent Type 0008,0068 CS FOR PRESENTATION, ALWAYS AUTO
FOR PRESENTATION
Referenced Performed 0008,1111 SQ ANAPEV AUTO
>Referenced SOP Class UID 0008,1150 UI ANAPEV AUTO
>Referenced SOP Instance UID 0008,1155 UI 1.2.840.10008.3.1.2.3.3 ANAPEV AUTO
Table 93: X-Ray Acquisition Dose Module
Presence
of Value
Image and Fluoroscopy Area 0018,115E DS ANAP AUTO
Dose Product
Entrance Dose 0040,0302 US ANAP AUTO
Presence
of Value
SER
Patient ID 0010,0020 LO VNAP MWL/U
SER
SER
Patient's Sex 0010,0040 CS VNAP MWL/U
SER
SER
SER
SER
SER

Presence
of Value
Study Instance UID 0020,000D UI ALWAYS MPPS/A
UTO
Study Date 0008,0020 DA VNAP MPPS
Study Time 0008,0030 TM VNAP MPPS
SER
SER
Study ID 0020,0010 SH VNAP MPPS/A
UTO
SER
>Referenced SOP Class UID 0008,1150 UI ALWAYS MWL
>Referenced SOP Instance UID 0008,1155 UI ALWAYS MWL
Presence
of Value
SER
SER
SER
Presence
of Value
UTO
Series Number 0020,0011 IS VNAP MPPS/A
UTO
Laterality 0020,0060 CS ANAPCV CONFI
G
Series Date 0008,0021 DA ANAP MPPS
Series Time 0008,0031 TM ANAP MPPS
USER
USER
Operators' Name 0008,1070 PN ANAP MPPS/
USER
Body Part Examined 0018,0015 CS ANAP MPPS/
USER
Protocol Name 0018,1030 LO ANAP MWL/U
SER
Date UTO
Time UTO
UTO
Description UTO


Sequence
Description
Sequence
Presence
of Value
Manufacturer 0008,0070 LO Philips Medical Systems VNAP AUTO
Institution Name 0008,0080 LO ANAP CONFI
G
Institution Address 0008,0081 ST ANAP CONFI
G
Station Name 0008,1010 SH ANAP CONFI
G
Institutional Department Name 0008,1040 LO ANAP CONFI
G
Manufacturer's Model Name 0008,1090 LO DigitalDiagnost, ANAP AUTO
EasyUpgrade DR,
Eleva Workspot,
Device Serial Number 0018,1000 LO ANAP CONFI
G
Software Version(s) 0018,1020 LO ANAP AUTO
Spatial Resolution 0018,1050 DS ANAP AUTO
Presence
of Value
Table 100: Display Shutter Module
Presence
of Value
Shutter Shape 0018,1600 CS ALWAYS AUTO
Shutter Left Vertical Edge 0018,1602 IS ANAPEV AUTO
Shutter Right Vertical Edge 0018,1604 IS ANAPEV AUTO
Shutter Upper Horizontal Edge 0018,1606 IS ANAPEV AUTO
Shutter Lower Horizontal Edge 0018,1608 IS ANAPEV AUTO
Center of Circular Shutter 0018,1610 IS ANAPEV AUTO
Radius of Circular Shutter 0018,1612 IS ANAPEV AUTO
Vertices of the Polygonal 0018,1620 IS ANAPEV AUTO
Shutter
Table 101: Acquisition Context Module
Presence
of Value

Presence
of Value
Instance Number 0020,0013 IS VNAP AUTO
Content Date 0008,0023 DA ANAPCV AUTO
Content Time 0008,0033 TM ANAPCV AUTO
Acquisition Date 0008,0022 DA ANAP AUTO
Acquisition Time 0008,0032 TM ANAP AUTO
Presence
of Value
W/
OB
Pixel Aspect Ratio 0028,0034 IS 1, 1 ANAPEV AUTO
Table 104: X-Ray Tomography Acquisition Module
Presence
of Value
Tomo Layer Height 0018,1460 DS ALWAYS AUTO
Table 105: X-Ray Collimator Module
Presence
of Value
Collimator Shape 0018,1700 CS ALWAYS AUTO
Collimator Left Vertical Edge 0018,1702 IS ANAPEV AUTO
Collimator Right Vertical Edge 0018,1704 IS ANAPEV AUTO
Collimator Upper Horizontal 0018,1706 IS ANAPEV AUTO
Edge
Collimator Lower Horizontal 0018,1708 IS ANAPEV AUTO
Edge
Center of Circular Collimator 0018,1710 IS ANAPEV AUTO
Radius of Circular Collimator 0018,1712 IS ANAPEV AUTO
Collimator
Presence
of Value
Specific Character Set 0008,0005 CS ANAPEV AUTO
SOP Class UID 0008,0016 UI ANAPEV AUTO
SOP Instance UID 0008,0018 UI 1.2.840.10008.5.1.4.1.1.1. ANAPEV AUTO
1
Presence
of Value
Overlay Rows 6000,0010 US ALWAYS AUTO
Overlay Columns 6000,0011 US ALWAYS AUTO
Overlay Type 6000,0040 CS ALWAYS AUTO
Overlay Origin 6000,0050 SS ALWAYS AUTO
Overlay Bits Allocated 6000,0100 US ALWAYS AUTO
Overlay Bit Position 6000,0102 US ALWAYS AUTO

Overlay Data 6000,3000 O ANAPEV AUTO

W/
OB
Presence
of Value
SER
SER
SER
Increment
SER
SER
Description SER
SER
SER
UTO
Date UTO
Time UTO
Status UTO
Requested Procedure ID 0040,1001 SH VNAP MWL/A
UTO
Requested Procedure Priority 0040,1003 SH VNAP MWL
SER
of Results
Comments
Request (RETIRED)
Comments SER
Sequence
8.1.1.5. Digital X-Ray Image Storage - For Proc. SOP
Table 109: IOD of Created Digital X-Ray Image Storage - For Proc. SOP Instances
Presence Of
Module
Image DX Anatomy Imaged Module ALWAYS
Image DX Detector Module ALWAYS
Image DX Image Module ALWAYS

Image DX Positioning Module CONDITIONAL

Series DX Series Module ALWAYS
Image X-Ray Acquisition Dose Module CONDITIONAL
Patient Patient Module ALWAYS
Study General Study Module ALWAYS
Study Patient Study Module CONDITIONAL
Series General Series Module ALWAYS
Equipment General Equipment Module ALWAYS
Image Contrast/Bolus Module CONDITIONAL
Image Display Shutter Module CONDITIONAL
Waveform Acquisition Context Module ALWAYS
Image General Image Module ALWAYS
Image Image Pixel Module ALWAYS
Image X-Ray Tomography Acquisition Module CONDITIONAL
Image X-Ray Collimator Module CONDITIONAL
Image SOP Common Module ALWAYS
Image Overlay Plane Module CONDITIONAL
Additional Module ALWAYS
Table 110: DX Anatomy Imaged Module
Presence
of Value
Image Laterality 0020,0062 CS ALWAYS AUTO
Anatomic Region Sequence 0008,2218 SQ VNAP AUTO
Table 111: DX Detector Module
Presence
of Value
Date of Last Detector 0018,700C DA ANAP AUTO
Calibration
Time of Last Detector 0018,700E TM ANAP AUTO
Calibration
Table 112: DX Image Module
Presence
of Value
PRIMARY, PRIMARY
Patient Orientation 0020,0020 CS ALWAYS AUTO
Samples per Pixel 0028,0002 US ALWAYS AUTO
MONOCHROME2
Bits Allocated 0028,0100 US 16, 16, 16 ALWAYS AUTO
Bits Stored 0028,0101 US 15, 10, 12, 10, 12, 15, 10 ALWAYS CONFI
G
High Bit 0028,0102 US 14, 9, 11, 11, 14, 9 ALWAYS AUTO
Pixel Representation 0028,0103 US ALWAYS AUTO
Burned In Annotation 0028,0301 CS ALWAYS CONFI
G
Pixel Intensity Relationship 0028,1040 CS LOG, LOG ALWAYS AUTO
Pixel Intensity Relationship Sign 0028,1041 SS 1, 1 ALWAYS AUTO
Lossy Image Compression 0028,2110 CS 00, 00 ALWAYS AUTO
Presentation LUT Shape 2050,0020 CS INVERSE, INVERSE ALWAYS AUTO
Window Center 0028,1050 DS 2047.0 ANAPEV AUTO

Window Width 0028,1051 DS 4095.0 ANAPEV AUTO

Description
Table 113: DX Positioning Module
Presence
of Value
Positioner Primary Angle 0018,1510 DS ANAP AUTO
Positioner Secondary Angle 0018,1511 DS ANAP AUTO
View Position 0018,5101 CS ANAP AUTO
Table 114: DX Series Module
Presence
of Value
Modality 0008,0060 CS DX, DX ALWAYS CONFI
G
Presentation Intent Type 0008,0068 CS FOR PROCESSING, FOR ALWAYS AUTO
PROCESSING
Referenced Performed 0008,1111 SQ ANAPEV AUTO
Table 115: X-Ray Acquisition Dose Module
Presence
of Value
Image and Fluoroscopy Area 0018,115E DS ANAP AUTO
Dose Product
Entrance Dose 0040,0302 US ANAP AUTO
Presence
of Value
SER
Patient ID 0010,0020 LO ALWAYS MWL/U
SER
SER
Patient's Sex 0010,0040 CS F, M, O, F, M, O VNAP MWL/U
SER
SER
SER
SER
SER

Presence
of Value
Study Instance UID 0020,000D UI ALWAYS MPPS/A
UTO
Study Date 0008,0020 DA ALWAYS MPPS
Study Time 0008,0030 TM ALWAYS MPPS
SER
SER
Study ID 0020,0010 SH ALWAYS MPPS/A
UTO
SER
Presence
of Value
SER
SER
SER
Presence
of Value
UTO
Series Number 0020,0011 IS VNAP MPPS/A
UTO
Laterality 0020,0060 CS ANAPCV CONFI
G
Series Date 0008,0021 DA ANAP MPPS
Series Time 0008,0031 TM ANAP MPPS
USER
USER
Operators' Name 0008,1070 PN ANAP MPPS/
USER
Body Part Examined 0018,0015 CS ANAP MPPS/
USER
Protocol Name 0018,1030 LO ANAP MWL/U
SER
Date UTO
Time UTO
UTO
Description UTO


Sequence
Description
Sequence
Presence
of Value
Manufacturer 0008,0070 LO Philips Medical Systems ALWAYS AUTO
G
G
G
G
EasyUpgrade DR,
Eleva Workspot,
Device Serial Number 0018,1000 LO ALWAYS CONFI
G
Presence
of Value
Table 122: Display Shutter Module
Presence
of Value
Shutter Shape 0018,1600 CS ALWAYS AUTO
Shutter Left Vertical Edge 0018,1602 IS ANAPEV AUTO
Shutter Right Vertical Edge 0018,1604 IS ANAPEV AUTO
Shutter Upper Horizontal Edge 0018,1606 IS ANAPEV AUTO
Shutter Lower Horizontal Edge 0018,1608 IS ANAPEV AUTO
Center of Circular Shutter 0018,1610 IS ANAPEV AUTO
Radius of Circular Shutter 0018,1612 IS ANAPEV AUTO
Shutter
Table 123: Acquisition Context Module
Presence
of Value

Presence
of Value
Instance Number 0020,0013 IS VNAP AUTO
Presence
of Value
W/
OB
Pixel Aspect Ratio 0028,0034 IS 1, 1 ANAPEV AUTO
Table 126: X-Ray Tomography Acquisition Module
Presence
of Value
Tomo Layer Height 0018,1460 DS ALWAYS AUTO
Table 127: X-Ray Collimator Module
Presence
of Value
Collimator Shape 0018,1700 CS ALWAYS AUTO
Collimator Left Vertical Edge 0018,1702 IS ANAPEV AUTO
Collimator Right Vertical Edge 0018,1704 IS ANAPEV AUTO
Collimator Upper Horizontal 0018,1706 IS ANAPEV AUTO
Edge
Collimator Lower Horizontal 0018,1708 IS ANAPEV AUTO
Edge
Center of Circular Collimator 0018,1710 IS ANAPEV AUTO
Radius of Circular Collimator 0018,1712 IS ANAPEV AUTO
Collimator
Presence
of Value
Specific Character Set 0008,0005 CS ANAPEV AUTO
SOP Class UID 0008,0016 UI ANAPEV AUTO
SOP Instance UID 0008,0018 UI ANAPEV AUTO
Presence
of Value
Overlay Rows 6000,0010 US ALWAYS AUTO
Overlay Columns 6000,0011 US ALWAYS AUTO
Overlay Type 6000,0040 CS G ALWAYS AUTO
Overlay Origin 6000,0050 SS 1, 1, 1 ALWAYS AUTO
Overlay Bits Allocated 6000,0100 US 1 ALWAYS AUTO
Overlay Bit Position 6000,0102 US 0 ALWAYS AUTO

Overlay Data 6000,3000 O ANAPEV AUTO

W/
OB
Presence
of Value
SER
SER
SER
Increment
Increment
SER
SER
Description SER
SER
SER
UTO
Date UTO
Time UTO
Status UTO
Requested Procedure ID 0040,1001 SH VNAP MWL/A
UTO
Reason for the Requested 0040,1002 LO VNAP MWL
Procedure
Requested Procedure Priority 0040,1003 SH VNAP MWL
SER
of Results
Comments
Request (RETIRED)
Comments SER
Sequence
8.1.2. Usage of Attributes from Received IOD

The Eleva Workspot 2.0 has only an export side. The modality cannot read/view
images from a CD or by import.

8.1.3. Attribute Mapping

Table 131: Attribute Mapping during Modality Workflow
BWLM MPPS Image IOD

Name
Tag Create Tag Set Tag Tag
Accession Number 0008,0050 0008,0050 - 0008,0050
Modality - 0008,0060 - 0008,0060
Referring Physician's Name 0008,0090 - - 0008,0090
Operators’ Name - - 0008,1070 0008,1070
Referenced Study Sequence 0008,1110 0008,1110 - 0008,1110
Referenced Image Sequence - - (0008,1140) -
> Referenced SOP Class UID
- - 0008,1150 0008,0016
SOP Class UID
> Referenced SOP Instance UID
- - 0008,1155 0008,0018
SOP Instance UID
Patient's Name 0010,0010 0010,0010 - 0010,0010
Patient ID 0010,0020 0010,0020 - 0010,0020
Issuer of Patient ID 0010,0021 0010,0021 - 0010,0021
Patient's Birth Date 0010,0030 0010,0030 - 0010,0030
Patient's Sex 0010,0040 0010,0040 - 0010,0040
Other Patient IDs 0010,1000 0010,1000 - 0010,1000
Medical Alerts 0010,2000 - - 0010,2000
Contrast Allergies 0010,2110 - - 0010,2110
Ethnic group 0010,2160 - - 0010,2160
Additional Patient History 0010,21B0 - - 0010,21B0
Pregnancy Status 0010,21C0 - - 0010,21C0
Patient Comments 0010,4000 - - 0010,4000
Protocol Name - - 0018,1030 0018,1030
Study Instance UID 0020,000D 0020,000D - 0020,000D

Series Instance UID 0020,000E 0020,000E
Study ID - 0020,0010 - 0020,0010
Requesting Service 0032,1033 - - 0032,1033
Requested Procedure Description 0032,1060 0032,1060 - -
Requested Procedure Code Sequence3
0032,1064 0008,1032 0008,1032 0008,1032
Performed Procedure Code Sequence
Special Needs 0038,0050 - - 0038,0050
Patient State 0038,0500 - - 0038,0500
Scheduled Procedure Step Description4 0040,0007 - 0040,0007
0040,0007
Performed Procedure Step Description 0040,0254 - 0040,0254
Scheduled Protocol Code Sequence4 0040,0008
0040,0008 0040,0260 0040,0260
Performed Protocol Code Sequence 0040,0260
Scheduled Procedure Step ID 0040,0009 0040,0009 - 0040,0009
Performed Procedure Step Start Date - 0040,0244 - 0040,0244
Performed Procedure Step Start Time - 0040,0245 - 0040,0245
Performed Procedure Step ID - 0040,0253 - 0040,0253
Requested Procedure ID 0040,1001 0040,1001 - 0040,1001
Note 1: Value accumulated from all performed acquisitions including dropped (repeated) acquisitions.
Note 2: Image related specific value.
Note 3: If procedure is performed as requested.
Note 4: If protocol is performed as scheduled.
8.1.4. Coerced/Modified fields

Not applicable

8.2. Data Dictionary of Private Attributes

No applicable.
8.3. Coded Terminology and Templates

Not applicable.
8.4. Grayscale Image consistency

The monitor of Eleva Workspot 2.0 system can be calibrated according Grayscale
Display Function Standard.
The pixel values exported and printed should be interpreted as P-Value. If the export
destination or the printer does not support GSDF, Eleva Workspot 2.0 provides
calibration tools to adapt to this device to afford grayscale image consistency. The
calibration takes into account ambient luminance and lightbox luminance.
8.5. Standard Extended/Specialized/Private SOPs

Not applicable.
8.6. Private Transfer Syntaxes

Not applicable.


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DICOM

Eleva Workspot 2.0 for

© Koninklijke Philips Electronics N.V. 2013

P.O. Box 10.000

Document Number: ICAP-PF.0008782

1. DICOM C ONFORMANCE S TATEMENT O VERVIEW

Figure 1: Eleva Workspot 2.0 in a DICOM network

© Koninklijke Philips Electronics N.V. 2013

Table 1: Network Services

SOP Class User of Provider

A table of Supported Media Storage Application Profiles (with roles) is provided

Compact Disk – Recordable

© Koninklijke Philips Electronics N.V. 2013

© Koninklijke Philips Electronics N.V. 2013

5.4. MEDIA CONFIGURATION .....................................................................................................52

© Koninklijke Philips Electronics N.V. 2013

3.1. Revision History

This DICOM Conformance Statement by itself does not guarantee successful

© Koninklijke Philips Electronics N.V. 2013

• New versions of the DICOM Standard

3.4. Definitions, Terms and Abbreviations

The following acronyms and abbreviations are used in this document.

© Koninklijke Philips Electronics N.V. 2013

SCP Service Class Provider

© Koninklijke Philips Electronics N.V. 2013

4.1. Implementation model

4.1.1. Application Data Flow

It incorporates the following functionality.

© Koninklijke Philips Electronics N.V. 2013

Eleva Workspot 2.0

Storage Store Image

Print Request Print Images

DICOM Standard Network Interface

Figure 2: Application Data Flow Diagram

4.1.2. Functional Definition of AE’s

4.1.2.1. Functional Definition of Eleva

Verification Service Class

Basic Worklist Management Service Class

© Koninklijke Philips Electronics N.V. 2013

The user interface shall be updated with the query results.

Storage Service Class

After successful storage the user interface shall be updated accordingly.

Storage Commitment Service Class

The Storage Commitment Service can be done synchronously and asynchronously.

Study Management Service Class

Basic Grayscale Print Management Meta Class

After successful printing the user interface shall be updated accordingly.

© Koninklijke Philips Electronics N.V. 2013

4.1.3. Sequencing of Real World Activities

Figure 3: Sequence of an examination

© Koninklijke Philips Electronics N.V. 2013

4.2.1.1. SOP Classes

SOP Class Name SOP Class UID SCU SCP

4.2.1.2. Association Policies

Application Context Name 1.2.840.10008.3.1.1.1

4.2.1.2.2. Number of Associations

Maximum number of simultaneous associations 2

Table 7: Number of Associations as an Association Acceptor for Eleva

Maximum number of simultaneous associations 1

© Koninklijke Philips Electronics N.V. 2013