ACUSON S2000TM Ultrasound System

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DICOM Conformance Statement

Version VA16 2009-Apr-03

© Siemens Healthcare 2009

All rights reserved

Siemens Healthcare,
Henkestr. 127, D-91052 Erlangen, Germany

Headquarters: Berlin and Munich

Siemens AG, Wittelsbacher Platz 2, D-80333 Munich, Germany

ACUSON S2000TM is a trademark of Siemens Healthcare.

 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

CONFORMANCE STATEMENT OVERVIEW

The ACUSON S2000TM Ultrasound System supports the following DICOM Application Entities:

- Verification:
o Verification AE
- Transfer:
o Storage AE
o Storage Commitment AE
- Query / Retrieve:
o Query AE
o Retrieve AE
- Workflow Management:
o Worklist AE
o MPPS AE
- Print Management
o Print AE
Table 1. NETWORK SERVICES
Service Class User Service Class Provider
SOP Classes
(SCU) (SCP)

VERIFICATION
Verification AE
Verification Yes Yes
TRANSFER
Storage AE
Ultrasound Image Storage Yes Yes
Ultrasound Multi-frame Image Storage Yes Yes
Secondary Capture Image Storage Yes Yes
Comprehensive SR Yes No
Storage Commitment AE
Storage Commitment Push Model Yes Yes
QUERY / RETRIEVE
Query AE
Patient Root Query/Retrieve Information Model - FIND Yes Yes
Retrieve AE
Patient Root Query/Retrieve Information Model - MOVE Yes Yes
WORKFLOW MANAGEMENT
Worklist AE
Modality Worklist Information Model - FIND Yes No
MPPS AE
Modality Performed Procedure Step Yes No
PRINT MANAGEMENT
Print AE
Basic Grayscale Print Management Meta SOP Class Yes No
Basic Color Print Management Meta SOP Class Yes No
Print Job SOP Class Yes No

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DICOM Conformance Statement

Table 2. UID VALUES

SOP Class Name SOP Class UID Category

Verification AE
Verification 1.2.840.10008.1.1 Verification
Storage AE
Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1 Transfer
Ultrasound Multi-frame Image Storage 1.2.840.10008.5.1.4.1.1.3.1 Transfer
Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 Transfer
Comprehensive SR 1.2.840.10008.5.1.4.1.1.88.33 Transfer
Storage Commitment AE
Storage Commitment Push Model 1.2.840.10008.1.20.1 Transfer

Query AE
Patient Root Query/Retrieve Information Model - FIND 1.2.840.10008.5.1.4.1.2.1.1 Query / Retrieve
Retrieve AE
Patient Root Query/Retrieve Information Model - MOVE 1.2.840.10008.5.1.4.1.2.1.2 Query / Retrieve

Worklist AE
Modality Worklist Information Model - FIND 1.2.840.10008.5.1.4.31 Workflow Management
MPPS AE
Modality Performed Procedure Step 1.2.840.10008. 3.1.2.3.3 Workflow Management
Print AE
Basic Grayscale Print Management Meta SOP Class 1.2.840.10008.5.1.1.9 Print Management
Basic Color Print Management Meta SOP Class 1.2.840.10008.5.1.1.18 Print Management
Print Job SOP Class 1.2.840.10008.5.1.1.14 Print Management

Table 3. MEDIA SERVICES

Media Storage Application Write Files Read Files
Profile FSC FSU FSR
Compact Disc - Recordable

STD-GEN-CDR
STD-US-SC-MF-CDR Yes No** No**
STD-US-ID-MF-CDR
DVD - Recordable
STD_GEN-DVD
STD-US-SC-MF-DVD Yes No** No**
STD-US-ID-MF-DVD
** The ACUSON S2000 system acts as a File Set Reader (FSR) and File Set Updater (FSU) only for CD/DVD discs that were
created on an ACUSON S2000 system.

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DICOM Conformance Statement

Table of Contents

1.0 PURPOSE............................................................................................................. 13
1.1 SCOPE ....................................................................................................................... 13
2.0 REFERENCES...................................................................................................... 13
3.0 DEFINITIONS ....................................................................................................... 14
3.1 SUPPORT OF EXTENDED CHARACTER SETS...................................................... 14
4.0 IMPLEMENTATION MODEL ................................................................................ 15
4.1 APPLICATION DATA FLOW DIAGRAMS ................................................................ 15
4.1.1 Verification............................................................................................................................ 15
4.1.2 Storage ................................................................................................................................. 16
4.1.3 Structured Reporting ............................................................................................................ 16
4.1.4 Storage Commitment ........................................................................................................... 16
4.1.5 Print ...................................................................................................................................... 17
4.1.6 Modality Worklist .................................................................................................................. 17
4.1.7 Modality Performed Procedure Step .................................................................................... 18
4.1.8 Query / Retrieve ................................................................................................................... 19
4.2 AE FUNCTIONAL DEFINITIONS............................................................................... 21
4.2.1 Verification Real-World Activities ......................................................................................... 21
4.2.2 Storage Real-World Activities .............................................................................................. 21
4.2.3 Structured Reporting Real-World Activities.......................................................................... 21
4.2.4 Storage Commitment Real-World Activities ......................................................................... 21
4.2.5 Print Real-World Activities.................................................................................................... 21
4.2.6 Worklist Real-World Activities .............................................................................................. 22
4.2.7 Modality Performed Procedure Step Real-World Activity .................................................... 23
4.2.8 Sequencing of Real-World Activities .................................................................................... 23
5.0 AE SPECIFICATIONS .......................................................................................... 24
5.1 VERIFICATION AE SPECIFICATION........................................................................ 24
5.1.1 Association Initiation by Real-World Activity ........................................................................ 24
5.1.1.1 Real-World Activity - Verification SCU/SCP ............................................................... 25
5.1.1.1.1 Associated Real-World Activity - Associated Real-World Activity .................... 25
5.1.1.1.2 Proposed Presentation Contexts - Verification SCU/SCP................................ 25
5.1.1.1.3 SOP Specific Conformance Statement - Verification SCU/SCP ...................... 25
5.2 STORAGE AE SPECIFICATION ............................................................................... 25
5.2.1 Association Establishment Policies...................................................................................... 26
5.2.1.1 General ....................................................................................................................... 26
5.2.1.2 Number of Associations.............................................................................................. 26
5.2.1.3 Asynchronous Nature ................................................................................................. 26
5.2.1.4 Implementation Identifying Information ...................................................................... 26
5.2.1.5 Maximum PDU Size Offered ...................................................................................... 26
5.2.1.6 DICOM Application Context........................................................................................ 26
5.2.2 Association Initiation by Real-World Activity ........................................................................ 26
5.2.2.1 Real World Activity - Storage SCU............................................................................. 26
5.2.2.1.1 Associated Real World Activities - Storage SCU.............................................. 26
5.2.2.1.2 Proposed Presentation Context........................................................................ 27
5.2.2.1.3 Photometric Interpretation ................................................................................ 28
5.2.2.1.4 SOP Specific Conformance to Storage Service SOP Classes......................... 29

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5.2.2.2 SR Document Content Module................................................................................... 54

5.2.2.3 Content Template ....................................................................................................... 54
5.2.2.3.1 Error Handling................................................................................................... 55
5.3 STORAGE COMMITMENT AE SPECIFICATION...................................................... 55
5.3.1 Association Establishment Policies...................................................................................... 55
5.3.1.1 General ....................................................................................................................... 55
5.3.1.2 Number of Associations.............................................................................................. 55
5.3.1.3 Asynchronous Nature ................................................................................................. 56
5.3.1.4 Implementation Identifying Information ...................................................................... 56
5.3.2 Association Initiation by Real-World Activity ........................................................................ 56
5.3.2.1 Real-World Activity - Send Storage Commitment Request........................................ 56
5.3.2.1.1 Associated Real-World Activity - Send Storage Commitment Request ........... 56
5.3.2.1.2 Proposed Presentation Contexts - Send Storage Commitment Request ........ 56
5.3.2.1.3 SOP Specific Conformance Statement - Send Storage Commitment Request56
5.3.3 Association Acceptance Policy ............................................................................................ 57
5.3.3.1 Real World Activity - Receive Storage Commitment Response................................. 57
5.3.3.1.1 Associated Real World Activity - Receive Storage Commitment Response .... 57
5.3.3.1.2 Accepted Presentation Contexts - Receive Storage Commitment Response . 57
5.3.3.1.3 SOP Specific Conformance Statement - Receive Storage Commitment
Response.......................................................................................................... 57
5.4 PRINT AE SPECIFICATION ...................................................................................... 58
5.4.1 Association Establishment Policies...................................................................................... 59
5.4.1.1 General ....................................................................................................................... 59
5.4.1.2 Number of Associations.............................................................................................. 59
5.4.1.3 Asynchronous Nature ................................................................................................. 59
5.4.1.4 Implementation Identifying Information ...................................................................... 59
5.4.2 Association Initiation by Real-World Activity ........................................................................ 59
5.4.2.1 Real World Activity - Print........................................................................................... 59
5.4.2.1.1 Associated Real World Activities - Print ........................................................... 60
5.4.2.1.2 Proposed Presentation Contexts...................................................................... 60
5.4.2.1.2.1 SOP Specific Conformance Statement................................................... 60
5.4.2.1.2.1.1 SOP Specific Conformance to Basic Film Session SOP Class .... 61
5.4.2.1.2.1.2 SOP Specific Conformance to Basic Film Box SOP Class........... 62
5.4.2.1.2.1.3 SOP Specific Conformance to Basic Grayscale Image Box SOP
Class ............................................................................................. 64
5.4.2.1.2.1.4 SOP Specific Conformance to Basic Color Image Box SOP Class
...................................................................................................... 65
5.4.2.1.2.1.5 SOP Specific Conformance to Printer SOP Class ........................ 66
5.4.2.1.2.1.6 SOP Specific Conformance to Print Job SOP Class .................... 66
5.5 MODALITY WORKLIST AE SPECIFICATION .......................................................... 67
5.5.1 Association Establishment Policies...................................................................................... 67
5.5.1.1 General ....................................................................................................................... 67
5.5.1.2 Number of Associations.............................................................................................. 67
5.5.1.3 Asynchronous Nature ................................................................................................. 67
5.5.1.4 Implementation Identifying Information ...................................................................... 68
5.5.2 Association Initiation by Real-World Activity ........................................................................ 68
5.5.2.1 Real World Activity—Worklist ..................................................................................... 68
5.5.2.1.1 Proposed Presentation Context........................................................................ 68
5.5.2.1.2 SOP Specific Conformance to Modality Worklist Service SOP Class.............. 68
5.5.2.1.3 Error Handling................................................................................................... 72
5.6 MODALITY PERFORMED PROCEDURE STEP AE SPECIFICATION .................... 72
5.6.1 Association Establishment Policies...................................................................................... 72
5.6.1.1 General ....................................................................................................................... 72

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5.6.1.2 Number of Associations.............................................................................................. 73

5.6.1.3 Asynchronous Nature ................................................................................................. 73
5.6.1.4 Implementation Identifying Information ...................................................................... 73
5.6.2 Association Initiation by Real-World Activity ........................................................................ 73
5.6.2.1 Real World Activity ..................................................................................................... 73
5.6.2.1.1 Associated Real-World Activity......................................................................... 73
5.6.2.1.2 Proposed Presentation Contexts...................................................................... 73
5.6.2.1.3 SOP Specific Conformance Statement ............................................................ 74
5.7 QUERY/RETRIEVE SERVICE AES SPECIFICATION .............................................. 78
5.7.1 Association Establishment Policies...................................................................................... 79
5.7.1.1 General ....................................................................................................................... 79
5.7.1.2 Number of Associations.............................................................................................. 79
5.7.1.3 Asynchronous Nature ................................................................................................. 79
5.7.1.4 Implementation Identifying Information ...................................................................... 79
5.7.1.5 Association Initiation Policy ........................................................................................ 79
5.7.2 Real World Activity - Find SCU ............................................................................................ 80
5.7.2.1 Associated Real-World Activity - Find SCU “Search”................................................. 80
5.7.2.2 Proposed Presentation Contexts - Find SCU............................................................. 80
5.7.2.3 SOP Specific Conformance - Find SCU..................................................................... 80
5.7.3 Real-World Activity – Move SCU ......................................................................................... 84
5.7.3.1 Associated Real-World Activity - Move SCU “Import” ................................................ 84
5.7.3.2 Proposed Presentation Contexts - Move SCU ........................................................... 84
5.7.3.3 SOP Specific Conformance - Move SCU “Import” ..................................................... 84
5.7.4 Association Acceptance Policy ............................................................................................ 85
5.7.4.1 Real-World Activity – Find SCP.................................................................................. 85
5.7.4.1.1 Associated Real-World Activity - Find SCP ...................................................... 85
5.7.4.1.2 Accepted Presentation Contexts - Find SCP.................................................... 85
5.7.4.1.3 SOP Specific Conformance Statement - Find SCP.......................................... 86
5.7.4.1.4 Patient Root Information Model ........................................................................ 86
5.7.4.1.5 Study Root Information Model .......................................................................... 88
5.7.4.1.6 Patient/Study Only Information Model .............................................................. 89
5.7.4.2 Real-World Activity - Move SCP................................................................................. 91
5.7.4.2.1 Associated Real-World Activity - Move SCP .................................................... 91
5.7.4.2.2 Accepted Presentation Contexts - Move SCP.................................................. 91
5.7.4.2.3 SOP Specific Conformance - Move SCP ......................................................... 91
6.0 COMMUNICATION PROFILES ............................................................................ 92
6.1 TCP/IP STACK SUPPORTED ................................................................................... 92
6.1.1 Physical Media Supported.................................................................................................... 92
7.0 EXTENSIONS/SPECIALIZATIONS/PRIVATIZATIONS ....................................... 92
7.1 STANDARD EXTENDED/SPECIALIZED/PRIVATE SYNTAXES ............................. 92
7.2 PRIVATE TRANSFER SYNTAXES ........................................................................... 92
8.0 CONFIGURATION ................................................................................................ 92
8.1 BASIC SYSTEM CONFIGURATION ......................................................................... 93
8.2 DICOM NETWORK CONFIGURATION ..................................................................... 93
8.2.1 Local Host - TCP/IP and General......................................................................................... 93
8.3 DICOM STORAGE CONFIGURATION...................................................................... 93
8.4 DICOM HIS/RIS CONFIGURATION .......................................................................... 94

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8.5 DICOM PRINT CONFIGURATION............................................................................. 94

8.6 “PRINT/STORE” KEY CONFIGURATION ................................................................ 94
8.6.1 Multiple Destinations - Auto Transfer ................................................................................... 95
8.6.2 Overlay or Burned in graphics.............................................................................................. 95
8.6.3 Secondary Capture Image Storage SOP Class ................................................................... 95
8.6.4 Auto Retry ............................................................................................................................ 95
8.6.5 Compression ........................................................................................................................ 95
8.6.6 Print Routing - Auto Transfer ............................................................................................... 95
9.0 MEDIA STORAGE ................................................................................................ 96
9.1 IMPLEMENTATION MODEL ..................................................................................... 96
9.2 APPLICATION DATA FLOW DIAGRAM................................................................... 96
10.0 MEDIA STORAGE AE FUNCTIONAL DEFINITION............................................. 97
10.1 REAL-WORLD ACTIVITIES FOR MEDIA STORAGE............................................... 97
10.1.1 Browse Directory Information—Real World Activity.......................................................... 97
10.1.2 Import into Local Storage—Real-World Activity................................................................ 97
10.1.3 Export to Local Archive Media—Real-World Activity ........................................................ 97
10.1.4 Sequencing of Real World Activities ................................................................................. 97
10.2 AE SPECIFICATIONS................................................................................................ 97
10.2.1 ACUSON S2000 system Media Storage AE Specification ............................................... 97
10.2.2 File Meta Information Options........................................................................................... 98
10.3 MEDIA STORAGE APPLICATION PROFILE............................................................ 98
10.3.1 DICOMDIR keys................................................................................................................ 98
10.3.2 Compliance to STD-GEN-CDR....................................................................................... 100
10.3.3 Compliance to STD-US-SC-MF-CDR ............................................................................. 100
10.3.4 Compliance to STD-US-ID-MF-CDR .............................................................................. 101
10.4 AUGMENTED AND PRIVATE PROFILES .............................................................. 102
10.4.1 Augmented Application Profiles ...................................................................................... 102
10.4.1.1 AUG-GEN-CDR, AUG-US-SC-MF-CDR, AUG-US-ID-MF-CDR .......................... 102
10.4.2 Private Application Profiles ............................................................................................. 102
10.5 EXTENSIONS, SPECIALIZATIONS AND PRIVATIZATIONS OF SOP CLASSES
AND TRANSFER SYNTAXES ................................................................................. 102
10.6 CONFIGURATION ................................................................................................... 103
10.6.1 AE Title Mapping............................................................................................................. 103
10.6.1.1 DICOM Media Storage AE Title ............................................................................ 103
10.7 SUPPORT OF EXTENDED CHARACTER SETS.................................................... 103
11.0 APPENDIX A: OB-GYN STRUCTURED REPORT MEASUREMENTS ............. 104
11.1 PATIENT CHARACTERISTICS ............................................................................... 104
11.2 OB-GYN SUMMARY................................................................................................ 105
11.3 FETUS SUMMARY .................................................................................................. 105
11.3.1 US Age Authors .............................................................................................................. 106
11.3.2 EFW Authors................................................................................................................... 106
11.3.3 EFW% Authors................................................................................................................ 107
11.3.4 EFW Gestational Age Authors ........................................................................................ 107
11.4 FETAL BIOMETRY RATIOS.................................................................................... 107

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11.5 FETAL BIOMETRY MEASUREMENTS................................................................... 108

11.5.1 AC Gestational Age Authors ........................................................................................... 111
11.5.2 AC Growth Authors ......................................................................................................... 111
11.5.3 BPD Gestational Age Authors......................................................................................... 112
11.5.4 BPD Growth Authors....................................................................................................... 112
11.5.5 FL Gestational Age Authors............................................................................................ 112
11.5.6 FL Growth Authors .......................................................................................................... 113
11.5.7 HC Gestational Age Authors........................................................................................... 113
11.5.8 HC Growth Authors ......................................................................................................... 113
11.6 FETAL LONG BONES BIOMETRY MEASUREMENTS.......................................... 114
11.6.1 HL Gestational Age Authors ........................................................................................... 115
11.6.2 HL Growth Authors.......................................................................................................... 115
11.7 FETAL CRANIUM .................................................................................................... 115
11.7.1 Binoc D Gestational Age Authors ................................................................................... 116
11.8 AMNIOTIC SAC ....................................................................................................... 116
11.9 EARLY GESTATION BIOMETRY MEASUREMENTS ............................................ 117
11.9.1 CRL Gestational Age Authors......................................................................................... 117
11.9.2 CRL Growth Authors ....................................................................................................... 118
11.9.3 GSD Gestational Age Authors ........................................................................................ 118
11.9.4 GSD Growth Authors ...................................................................................................... 118
11.10 FETAL BIOPHYSICAL PROFILE ............................................................................ 118
11.11 PELVIS AND UTERUS ............................................................................................ 119
11.12 FETAL AND PELVIC VASCULATURE ................................................................... 119
11.12.1 Fetal Vasculature ............................................................................................................ 120
11.12.2 Pelvic Vasculature........................................................................................................... 121
11.13 PRIVATE SECTION: OVARIES ............................................................................... 121
11.14 PRIVATE SECTIONS: LEFT FOLLICLES AND RIGHT FOLLICLES..................... 122
11.15 PRIVATE SECTIONS: LEFT CYSTS AND RIGHT CYSTS..................................... 122
11.16 PRIVATE SECTION: BLADDER ............................................................................. 123
11.17 PRIVATE SECTION: MATERNAL KIDNEY ............................................................ 124
11.18 PRIVATE SECTION: BREAST ................................................................................ 125
12.0 APPENDIX B: VASCULAR STRUCTURED REPORT MEASUREMENTS ....... 135
12.1 PATIENT CHARACTERISTICS ............................................................................... 136
12.2 PROCEDURE SUMMARY ....................................................................................... 137
12.3 BLOOD VESSELS OF HEAD (LEFT INTRACRANIAL CEREBRAL VESSELS) ... 137
12.4 BLOOD VESSEL OF HEAD (RIGHT INTRACRANIAL CEREBRAL VESSELS) ... 137
12.5 BLOOD VESSEL OF HEAD (UNILATERAL INTRACRANIAL CEREBRAL
VESSELS) ................................................................................................................ 138
12.6 ARTERY OF NECK (LEFT EXTRACRANIAL ARTERIES, CAROTID RATIOS) .... 138
12.7 ARTERY OF NECK (RIGHT EXTRACRANIAL ARTERIES, CAROTID RATIOS).. 139
12.8 ARTERY OF LOWER EXTREMITY (LEFT SIDE) ................................................... 140

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12.9 ARTERY OF LOWER EXTREMITY (RIGHT SIDE) ................................................. 142

12.10 ARTERY OF UPPER EXTREMITY (LEFT SIDE) .................................................... 144
12.11 ARTERY OF UPPER EXTREMITY (RIGHT SIDE) .................................................. 145
12.12 VASCULAR STRUCTURE OF KIDNEY (LEFT SIDE) ............................................ 146
12.13 VASCULAR STRUCTURE OF KIDNEY (RIGHT SIDE) .......................................... 146
12.14 ARTERY OF ABDOMEN (UNILATERAL) ............................................................... 147
12.15 VEIN OF ABDOMEN (LEFT SIDE) .......................................................................... 148
12.16 VEIN OF ABDOMEN (RIGHT SIDE) ........................................................................ 148
12.17 VEIN OF ABDOMEN (UNILATERAL) ..................................................................... 148
12.18 ULTRASOUND GRAFT ........................................................................................... 149
12.19 PRIVATE SECTION: MIXED CAROTID RATIOS.................................................... 150
12.20 PRIVATE SECTION: KIDNEY ................................................................................. 151
12.21 PRIVATE SECTION: URETER ................................................................................ 151
12.22 PRIVATE SECTION: BLADDER ............................................................................. 152
12.23 PRIVATE SECTION: LIVER, GALL BLADDER, PANCREAS ................................ 152
12.24 PRIVATE SECTION: SPLEEN................................................................................. 153
13.0 APPENDIX C: ECHOCARDIOGRAPHY STRUCTURED REPORT ................... 154
13.1 LEFT VENTRICLE ................................................................................................... 154
13.2 RIGHT VENTRICLE ................................................................................................. 163
13.3 LEFT ATRIUM.......................................................................................................... 164
13.4 RIGHT ATRIUM........................................................................................................ 164
13.5 AORTIC VALVE ....................................................................................................... 164
13.6 MITRAL VALVE ....................................................................................................... 165
13.7 PULMONIC VALVE.................................................................................................. 168
13.8 TRICUSPID VALVE ................................................................................................. 169
13.9 AORTA ..................................................................................................................... 170
13.10 PULMONARY ARTERY........................................................................................... 170
13.11 PULMONARY VENOUS STRUCTURE ................................................................... 170

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List of Tables

Table 1: References.................................................................................................................................... 13
Table 2: Acronyms and Abbreviations ........................................................................................................ 14
Table 3: Patient Registration fields populated from Worklist ...................................................................... 22
Table 4: Supported SOP Classes ............................................................................................................... 24
Table 5: Verification Presentation Context Table........................................................................................ 25
Table 6: Supported Storage SOP Classes ................................................................................................. 25
Table 7: Store Presentation Context Table................................................................................................. 27
Table 8: Photometric Interpretation............................................................................................................. 28
Table 9: US Image IOD Attributes .............................................................................................................. 29
Table 10: Secondary Capture IOD Attributes ............................................................................................. 35
Table 11: US-MF IOD Attributes – Clips ..................................................................................................... 39
Table 12: US-MF Image IOD Attributes - 3D Volumetric Data ................................................................... 44
Table 13: Comprehensive SR Image IOD Modules.................................................................................... 53
Table 14: SR Document Series Module...................................................................................................... 53
Table 15: SR Document General Module ................................................................................................... 53
Table 16: SR Document Content Module Attributes................................................................................... 54
Table 17: Root Templates for SR SOP Instances ...................................................................................... 55
Table 18: C-STORE Status Responses...................................................................................................... 55
Table 19: Standard SOP Classes as Storage Commitment Push Model................................................... 55
Table 20: Initiation Presentation Context Storage Commitment Request .................................................. 56
Table 21: Presentation Context accepted for Storage Commitment .......................................................... 57
Table 22: Basic Gray Scale Print Management Meta SOP Classes .......................................................... 58
Table 23: Basic Color Print Management Meta SOP Classes.................................................................... 58
Table 24: Presentation Context Table ........................................................................................................ 60
Table 25: Basic Film Session N_CREATE_RQ attributes .......................................................................... 61
Table 26: Attributes of the N_DELETE_RQ - Basic Film Session SOP Class ........................................... 61
Table 27: Basic Film Session SOP Status.................................................................................................. 62
Table 28: Supported DIMSE Services for Basic Film Box SOP Class ....................................................... 62
Table 29: Used Basic Film Box N_CREATE_RQ Attributes....................................................................... 62
Table 30: Attributes of the N_DELETE_RQ on the Basic Film Session SOP Class .................................. 63
Table 31: Basic Film Box SOP Status ........................................................................................................ 64
Table 32: Used Basic Grayscale Image Box N-Set Attributes.................................................................... 64
Table 33: Basic Grayscale Image Box SOP Status .................................................................................... 65
Table 34: Used Basic Color Image Box N-Set Attributes ........................................................................... 65
Table 35: Basic Color Image Box SOP Status............................................................................................ 65
Table 36: Used Printer N-Event Reports .................................................................................................... 66
Table 37: Mandatory Printer N_GET_RSP, N_EVENT_REPORT_RQ Attributes ..................................... 66
Table 38: Used Print Job N-Event Reports................................................................................................. 66
Table 39: SOP Classes as an SCU ............................................................................................................ 67
Table 40: Worklist Presentation Context Table........................................................................................... 68
Table 41: Modality Worklist Matching Key Attributes (Broad Query).......................................................... 68
Table 42: Modality Worklist Matching Key Attributes (Patient Based Query)............................................. 69
Table 43: Modality Worklist C_FIND_RSP Return Key Attributes .............................................................. 69
Table 44: C-FIND Status Responses.......................................................................................................... 72
Table 45: SOP Classes as an SCU ............................................................................................................ 72
Table 46: Proposed Presentation Contexts ................................................................................................ 73
Table 47: Performed Procedure Step N-CREATE Attributes ..................................................................... 74
Table 48: N-CREATE Response Status ..................................................................................................... 76
Table 49: Performed Procedure Step N-SET Attributes ............................................................................. 77
Table 50: N-SET Response Status............................................................................................................. 78
Table 51: User Configurable Printer Parameters........................................................................................ 94
Table 52: Application profiles, Activities, and Roles for DICOM Exchange Media ..................................... 98

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Table 53: DICOMDIR Keys ......................................................................................................................... 98

Table 54: STD-GEN-CDR Supported SOP Classes................................................................................. 100
Table 55: STD-US-SC-MF-CDR Supported SOP Classes....................................................................... 101
Table 56: STD-US-ID-MF-CDR Supported SOP Classes ........................................................................ 101
Table 57: Augmented Application profiles, Activities, and Roles for DICOM Exchange Media ............... 102
Table 58: AUG-GEN-CDR, AUG-US-SC-MF-CDR and AUG-US-ID-MF-CDR Supported SOP Classes 102

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List of Figures

Figure 1: Verification Model ........................................................................................................................ 15

Figure 2: Store Model.................................................................................................................................. 16
Figure 3: Structured Report Model.............................................................................................................. 16
Figure 4: Storage Commitment Model ........................................................................................................ 17
Figure 5: Print Model................................................................................................................................... 17
Figure 6: Modality Worklist Model............................................................................................................... 18
Figure 7: Modality Performed Procedure Step Model................................................................................. 18
Figure 8: Query/Retrieve Model.................................................................................................................. 19
Figure 9: Implementation Model ................................................................................................................. 20
Figure 10: Media Storage Application Data Flow Diagram......................................................................... 96

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1.0 Purpose
This document describes the conformance to the ACR-NEMA DICOM 3.0 Standard by the
ACUSON S2000 ultrasound system version 1.0 from Siemens Medical Solutions, Inc.
Ultrasound Division. It shall establish the conformance specifications for this system only, and
does not apply to other products offered by Siemens Medical Solutions, or its affiliates.
The ACUSON S2000 ultrasound system is a device that generates ultrasound images that can be
sent using DICOM standard protocols and definitions to other DICOM compliant devices that
support the SOP classes defined in Table 4: .

1.1 Scope
The DICOM standard provides a well-defined set of structures and protocols that allow inter-
operability of a wide variety of medical imaging devices. The ACUSON S2000 ultrasound
system provides support for essential services related to ultrasound scanning and connectivity to
DICOM compliant devices. ACUSON S2000 systems will not support all features supported by
the DICOM standard. This document clearly states the DICOM services and data classes that are
supported by the applications included with the ACUSON S2000 ultrasound system. The intent
of this document is to allow users and other vendors who also conform to the DICOM standard
to exchange information within the specific context of those elements of the DICOM standard
that ACUSON S2000 ultrasound system supports.
This document is written with respect to the adopted portions of the DICOM standard, Version 3.
The following sections of this document follow the outline specified in the DICOM Standard
NEMA publication PS3.3 [1].

2.0 References
Specifications of the DICOM 3.0 standard may be obtained from ACR-NEMA for customers
who require detailed information.
Table 1: References

Document Title Location

[1] Part 2 of the DICOM Standard: NEMA Standards Publication ftp://medical.nema.org/medical/dicom/2008/
PS 3.2-2008, Digital Imaging and Communications in Medicine
(DICOM), Part 2: Conformance
[2] Part 4 of the DICOM Standard: NEMA Standards Publication
PS 3.4-2008, Digital Imaging and Communications in Medicine
(DICOM), Part 4: Service Class Specifications
[3] Part 16 of the DICOM Standard, NEMA Standards Publication
PS 3.16-2008, Digital Imaging and Communication in Medicine
(DICOM), Part 16: Content Mapping Resource

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3.0 Definitions
Table 2: Acronyms and Abbreviations

Acronym or Abbreviation Definition

ACR-NEMA American College of Radiology - National Electrical
Manufacturer's Association
AE Application Entity
Conformance Statement A formal statement associated with a specific
implementation of the DICOM Standard. It specifies the
Service Classes, Information Objects, Communications
Protocols and Media Storage Application Profiles
supported by the implementation.
DICOM 3.0 Digital Imaging and Communications in Medicine,
Version 3.0.
DIMSE DICOM Message Service Element
EBE Explicit Big Endian transfer syntax
ELE Explicit Little Endian transfer syntax
ILE Implicit Little Endian transfer syntax
C-STORE Composite Store
Ethernet Network topology devised in 1976 by DIX
(DEC/Intel/Xerox) which is the most common in
practice today.
IOD Information Object Definition
MWL Modality Worklist
OB-GYN Obstetric or Obstetrical and Gynaecological
OOG Object Oriented Graphics
PACS Picture Archiving and Communications Systems
PDU Protocol Data Unit
RWA Real-World Activity
SCP Service Class Provider
SCU Service Class User
SOP Service-Object Pair

SR Structured Reporting
syngo Siemens DICOM Application Framework - Common
User SW
UID Unique identifier

3.1 Support of Extended Character Sets

The ACUSON S2000 platform supports the ISO 8859 Latin 1 (ISO-IR 100) character set family
and the same family with code extensions (ISO 2022 IR 100 Latin-1).

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4.0 Implementation Model

ACUSON S2000 system users can store images directly on the system hard drive. Images can
also be transferred to DICOM workstations and archive servers on a network. Storage
Commitment can be used to insure that patient images and data is safely committed. The system
is capable of querying a HIS/RIS, using DICOM Basic Worklist Management Service Class, for
a list of scheduled patient procedures. Measurements from OB-GYN, Vascular, and Cardiac
exams can be exported as DICOM SR Objects. Performed procedure status and other procedure
information can be returned to the HIS/ RIS using Modality Performed Procedure Step (MPPS).
ACUSON S2000 system real world activities are indicated by “Real World Activity” name while
“S2000 AE” indicates the invoked Application Entity. Similarly, the activities associated with
service providers are indicated as “Real World Service Activity.”

4.1 Application Data Flow Diagrams

Figure 9 illustrates the ACUSON S2000 system Application Entities (AE) in the context of the
implementation model. Relationships between users invoked activities (in the circles at the left of
the AEs) and the associated real-world activities provided by DICOM service providers (in the
circles on the right side of the diagram) are shown.

4.1.1 Verification
Verification is available in the DICOM Network nodes, Print Devices and HIS/RIS Nodes
configuration pages of the Local Service UI or the DICOM configuration UI. Verification can be
used for diagnostic purposes. When used as a diagnostic tool, Verification will return the
following messages to the user:
ƒ Application Entity Title “AE Name” is responding.
ƒ Application Entity Title “AE Name” is not responding.
The ACUSON S2000 system supports the Verification service as SCP and SCU.

S2000

S2000 S2000

Figure 1: Verification Model

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4.1.2 Storage
The ACUSON S2000 system Storage Application Entity originates associations for transfer of
DICOM Composite Information Objects to remote Application Entities. The ACUSON S2000
system system acts as SCU for the C-STORE DICOM network service.
If configured, DICOM Store may be invoked by pressing a “Print/Store” key, which causes the
image currently displayed on the system monitor screen to be captured to hard drive and
transferred. Print/Store keys are configurable through the system presets function. Images may
also be manually transferred through the Patient Browser UI screen.

S2000

Figure 2: Store Model

4.1.3 Structured Reporting

The Structured Reporting Storage Service Class defines an application-level class of service
which facilitates the transfer of measurements obtained from OB-GYN, Vascular, and Cardiac
studies to storage devices that support the DICOM Comprehensive Structured Reporting Storage
Service class.

DICOM Standard Interface

C-STORE REQ

Storage
S2000 SR Store Storage SCU
SCP
C-STORE RSP

Figure 3: Structured Report Model

4.1.4 Storage Commitment

The Storage Commitment service class defines an application-level class of service which
facilitates the commitment to storage. It performs an additional task of commitment of composite
objects apart from the network based storage of images as defined by the Storage Service class.

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Figure 4: Storage Commitment Model

4.1.5 Print
The Print Management Service Classes define an application-level class of services which facili-
tate the printing of images on a hardcopy medium. The print management SCU and print
management SCP are peer DICOM print management application entities. The DICOM print
application supports the print management DIMSE services as SCU.

Figure 5: Print Model

4.1.6 Modality Worklist

The Modality Worklist service class defines an application-level class of service which facilitates
the transfer of worklists from the information system to the imaging modality. The worklist is
queried by the AE and supplies the SCU with the scheduled tasks which have to be performed on
the modality. The ACUSON S2000 system DICOM worklist application supports the worklist
service as SCU.

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C-FIND-RQ
S2000

Figure 6: Modality Worklist Model

Note: It is configurable to get the worklist updates either automatically (in a configurable time
interval) or manually (initiated by the user). The user can do a broad worklist query (all jobs for
the own modality or own application entity).

4.1.7 Modality Performed Procedure Step

The Modality Performed Procedure Step service class defines an application-level class of
service which facilitates the transfer of procedure status and billing information from the
imaging modality to the information system. The performed procedure step is sent by the
ACUSON S2000 system AE and supplies the SCP with the performed tasks on the modality. The
DICOM performed procedure step application supports the performed procedure step service as
SCU.

Figure 7: Modality Performed Procedure Step Model

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4.1.8 Query / Retrieve

The query/retrieve service class defines an application-level class of services which facilitates
the management of images and patient data against the well-defined information model of
DICOM and allows a DICOM AE to retrieve images from a remote DICOM node or to request a
remote DICOM AE to initiate a transfer of images to another DICOM AE. The ACUSON S2000
system DICOM query/retrieve application supports the query/retrieve services to act as SCU and
SCP.

Figure 8: Query/Retrieve Model

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Figure 9: Implementation Model

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4.2 AE Functional Definitions

4.2.1 Verification Real-World Activities
The ACUSON S2000 system verification application entity support the verification service class
as a SCU and as a SCP. As the SCU it allows the operator to verify the ability of a remote
DICOM node to receive DICOM messages. As a SCP it allows for remote DICOM nodes to
verify that DICOM message exchange is possible with the ACUSON S2000 system system.

4.2.2 Storage Real-World Activities

The ACUSON S2000 system Storage application entity performs all of the functions necessary
to transmit ultrasound images and associated data to DICOM network archive servers and/or
workstations. The ACUSON S2000 system Storage AE supports the Ultrasound Image Storage
SOP Class, the Ultrasound Multi-Frame Image Storage SOP Class and the Secondary Capture
Image SOP Class as a SCU. The ACUSON S2000 system Storage AE initiates separate
associations to the storage SCP servers, each time the user selects “Store/Print” or “Send/Archive
To Destination”.

4.2.3 Structured Reporting Real-World Activities

The ACUSON S2000 system Storage application entity performs all of the functions necessary
to transmit associated data to DICOM network archive servers and/or workstations. The
ACUSON S2000 system Storage AE supports the Ultrasound Comprehensive SOP class as SCU.
The ACUSON S2000 system Storage AE initiates separate associations to the storage SCP
servers, when the study is closed and “Image Auto Transfer” in “Store/Print” is enabled or each
time the user selects “Send/Archive To Destination”.

4.2.4 Storage Commitment Real-World Activities

The Storage Commitment Push Model SCU (SC-SCU) uses the Storage Commitment Service
Class to request commitment for one or more composite objects from the Storage Commitment
Push Model SCP (SC-SCP). SC-SCU issues an N-ACTION-RQ to SC-SCP containing a list of
references to composite objects, requesting that the SC-SCP takes responsibility for storage
commitment of the composite objects. If the SC-SCP has determined that all the composite
objects exist and it has successfully completed storage commitment for the set of composite
objects, it issues an N-EVENT-REPORT-RQ with status successful and the list of stored images.
SC-SCU now knows that the composite objects have been committed by SC-SCP and can delete
its copies of composite objects. The information from the N_EVENT-REPORT-RQ is
propagated back to the user interface.
The ACUSON S2000 system SCU can be configured to receive the N_EVENT_REPORT-RQ
on the same association on which N_ACTION-RQ was sent or on a different association.

4.2.5 Print Real-World Activities

The ACUSON S2000 system Print AE provides all aspects of the Print Management SCU. The
AE initiates separate associations to the print servers, verifying their on-line status when the user

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selects “Print/Store” or “Expose Film Job.” The ACUSON S2000 system Print AE
accommodates both grayscale and color print servers.
To invoke the Print “REAL WORLD ACTIVITY” the user selects a “Print/Store” key. Film
sheets can be transferred immediately after being filled, at the end of exam, or queued to hard
disk for transfer later.
After an imaging exam is complete, the user has the ability to Print images stored on the hard
drive using the Filming UI. Invoking the “Expose Film Job” Real World activity invokes the
DICOM Print activity for selected exams or individual images. “Expose Film Job” is available
through the Filming UI function.

4.2.6 Worklist Real-World Activities

Patient registration can be automated by using the ‘Worklist’ Real World Activity.
Double clicking the ‘Scheduler’ icon in the patient browser UI initiates a manual Worklist query.
If no matches are found, a message will be presented to the operator indicating so. If one or more
patients are found, the scheduler list will be updated with the scheduled procedures. The
Worklist feature can be configured to query for either the procedures scheduled for the Local
Site (ACUSON S2000 system Worklist SCU AE Title) or for Ultrasound scheduled procedures
(Modality = US). Queries can be made for today’s scheduled procedures, or a user specified
range of scheduled procedure dates and times. The system can also be configured to perform
automatic Worklist queries at user specified intervals.
Patient based queries are supported in the ACUSON S2000 system 1.0 release.
Selection of a patient from the list will cause all demographic information for that patient to be
loaded in to the patient data fields in the Patient Registration screen. The following patient
registration fields will be populated with matching Worklist attributes:
Table 3: Patient Registration fields populated from Worklist

Data Field DICOM Attribute DICOM Tag

Name Patient's Name (0010,0010)
ID Patient ID (0010,0020)
Date of Birth Patient's Birth Date (0010,0030)
Sex Patient's Sex (0010,0040)
Height Patient's Size (0010,1020)
Weight Patient's Weight (0010,1030)
Institution Name Institution name (0008,0080)
Performing Physician Performing Physicians’ Name (0008,1050)
Referring Physician Referring Physician's Name (0008,0090)
Operator Operator’s Name (0008,1070)
Accession No. Accession Number (0008,0050)
Indication Admitting Diagnoses Description (0008,1080)
Request ID Requested Procedure ID (0040,1001)

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Data Field DICOM Attribute DICOM Tag

Requested Procedure Requested Procedure Description (0032,1060)
Scheduled Procedure Step Description (0040,0007)
Additional Info Additional Patient’s History (0010,21B0)

4.2.7 Modality Performed Procedure Step Real-World Activity

The ACUSON S2000 system supports the DICOM Modality Performed Procedure Step Service
as SCU. The modality performed procedure step SCU informs the performed procedure step SCP
about the procedure performed at the modality using the N-CREATE and N-SET DIMSE
service.
Immediately after a new patient, study or scheduled procedure is registered (via Patient
Registration) the ACUSON S2000 system automatically performs an MPPS N-CREATE-RQ
operation with a status of IN-PROGRESS for the newly created Performed Procedure Step.
When the current patient procedure ends, (either with an End Exam, or new Patient / Study /
Procedure) the ACUSON S2000 system automatically performs an MPPS N-SET-RQ final
operation with a status of COMPLETED. The user may also manually complete or discontinue
the current Performed Procedure Step through the MPPS dialog. An MPPS N-SET-RQ final
operation is performed with the appropriate status of COMPLETED or DISCONTINUED.
The modality performed procedure step SCP responds to the N-CREATE-RQ and N-SET-RQ
and confirms that it received the information from the modality.

4.2.8 Sequencing of Real-World Activities

In order for any of the remote processes to be able to provide the SCP services which the
ACUSON S2000 system system has requested, the appropriate associations must first be opened.
This initiation occurs with the following activities:
1. When a “Send To Destination” operation occurs.
2. When one or more Storage SCP devices are configured for transfer “During the exam”
and the associated Print/Store key(s) are pressed. The current image displayed on the
system screen in captured and transferred.
3. When one or more Storage SCP devices are configured for transfer at “End of exam” and
the current patient exam ends (e.g. New Patient, Study or End Exam button is pressed).
All images in the current performed procedure are transferred.
4. When configured, Storage Commitment trigger is automatically derived from the
successful completion of a Send Job.
5. When an “Expose Film Job” print operation occurs.
6. When one or more Print SCP devices are configured for transfer “During the exam” and
the associated Print/Store key(s) are pressed. The current film sheet is transferred after
becoming filled.

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7. When one or more Print SCP devices are configured for transfer at “End of exam” and
the patient procedure ends (e.g. New Patient, Study or End Exam button is pressed). All
film sheets in the current performed procedure are transferred.
8. When user initiated or automatic Worklist query operations occur.
9. When configured, MPPS N-CREATE (status = IN PROGRESS) operation is
automatically performed when a patient is successfully registered. A MPPS N-SET-RQ is
automatically sent when the patient exam ends. The status will be set to COMPLETED or
DISCONTINUED depending on the user selection.

5.0 AE Specifications
The following specifications apply to the AE as depicted in Figure 9: . The ACUSON S2000
system AE provides conformance to the following DICOM Service SOP Classes as an SCU.
Table 4: Supported SOP Classes

Service SOP Class Name SOP Class UID Roles

Verification 1.2.840.10008.1.1 SCU/SCP
Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1 SCU/SCP
Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 SCU/SCP
Ultrasound Multi-frame Image Storage † 1.2.840.10008.5.1.4.1.1.3.1 SCU/SCP
Basic Grayscale Print Management Meta SOP 1.2.840.10008.5.1.1.9 SCU
Class
Basic Color Print Management Meta SOP Class 1.2.840.10008.5.1.1.18 SCU
Print Job SOP Class 1.2.840.10008.5.1.1.14 SCU
Modality Worklist Information Model - FIND 1.2.840.10008.5.1.4.31 SCU
Storage Commitment - Push Model 1.2.840.10008.1.20.1 SCU/SCP
Comprehensive SR 1.2.840.10008.5.1.4.1.1.88.33 SCU
Modality Performed Procedure Step 1.2.840.10008.3.1.2.3.3 SCU
Query/Retrieive 1.2.840.10008.5.1.4.1.2.1.1 SCU/SCP
1.2.840.10008.5.1.4.1.2.1.2
† The Ultrasound Multi-frame Image Storage SOP is used to transfer ACUSON S2000 system Ultrasound clips &
3D volumetric data sets. When used for 3D volumetric data sets, each frame represents a single slice from the 3D
volume. These 3D images may be viewed as Cine images.

5.1 Verification AE Specification

5.1.1 Association Initiation by Real-World Activity
The ACUSON S2000 system DICOM Service Tool application attempts to initiate a new
association for DIMSE C-ECHO service related operations.

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5.1.1.1 Real-World Activity - Verification SCU/SCP

5.1.1.1.1 Associated Real-World Activity - Associated Real-World Activity

The associated Real-World activity is a C-ECHO request initiated by the DICOM Service Tool
application. If the process successfully establishes an association to a remote Application Entity,
it will send the C-ECHO-Request via the open association to verify that the remote Application
Entity is responding to DICOM messages. If a remote process successfully establishes an
association, the ACUSON S2000 system responds to C-ECHO-Requests made from remote
applications.

5.1.1.1.2 Proposed Presentation Contexts - Verification SCU/SCP

The ACUSON S2000TM DICOM application will propose Presentation Contexts as shown in the
following table:
Table 5: Verification Presentation Context Table

Presentation Context Table

Abstract Syntax Transfer Syntax Extended
Role
Name UID Name List UID List Negotiation
Implicit VR Little Endian 1.2.840.10008.1.2
Verification 1.2.840.10008.1.1 Explicit VR Little Endian 1.2.840.10008.1.2.1 SCU / SCP None
Explicit VR Big Endian 1.2.840.10008.1.2.2

5.1.1.1.3 SOP Specific Conformance Statement - Verification SCU/SCP

The ACUSON S2000 system conforms to the definition of a Verification SCU & SCP in
accordance to the DICOM Standard.

5.2 Storage AE Specification

The ACUSON S2000 system DICOM system provides Standard Conformance to the following
DICOM V3.0 SOP Classes as an SCU.
Table 6: Supported Storage SOP Classes

Service SOP Class Name SOP Class UID

Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1
Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7
Ultrasound Multi-frame Image Storage 1.2.840.10008.5.1.4.1.1.3.1
Comprehensive SR 1.2.840.10008.5.1.4.1.1.88.33

This is accomplished using the DIMSE C-STORE Service to whom the SCU issues a service
request with a SOP instance that meets the requirements of the desired ultrasound IOD.

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5.2.1 Association Establishment Policies

5.2.1.1 General
The configuration of the ACUSON S2000 system DICOM application allows the definition of
remote DICOM devices as well as local ultrasound system Application Entity Titles, the port
numbers, the host names and IP addresses.

5.2.1.2 Number of Associations

The ACUSON S2000 system DICOM application initiates several associations at a time, one for
each destination to which a transfer request is being processed in the active job queue list.

5.2.1.3 Asynchronous Nature

The ACUSON S2000 system DICOM software does not support asynchronous communication
(multiple outstanding transactions over a single association).

5.2.1.4 Implementation Identifying Information

The ACUSON S2000 system DICOM software provides a single Implementation Class UID of
ƒ “1.3.12.2.1107.5.9.20000101”
and an Implementation Version Name of
ƒ “SIEMENS_SWFSYNGO”.

5.2.1.5 Maximum PDU Size Offered

The maximum PDU size offered by the ACUSON S2000 system is configurable with default set
to 28672 Bytes.

5.2.1.6 DICOM Application Context

DICOM Application context name: 1.2.840.10008.3.1.1.1

5.2.2 Association Initiation by Real-World Activity

The ACUSON S2000 system DICOM application attempts to initiate a new association for
DIMSE C-STORE operation.

5.2.2.1 Real World Activity - Storage SCU

The user selects “New Patient” at the start of each new patient examination. The user saves
images to the ACUSON S2000 system hard disk with the “Store / Print” button.

5.2.2.1.1 Associated Real World Activities - Storage SCU

An association is established when the user initiates an “Archive to...” or “Send to...” destination
operation from the Patient browser screen. Individual images or entire exams can be transferred
to the selected DICOM Store device (C-STORE request). The association is opened when the
first image of each exam is transferred and closed when the last image transfer is completed.

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An association is also established when auto transfer has been configured and the user initiates a
“Print/Store” operation. If transfer “during the exam” has been configured, an association is
opened for each image acquired during the exam and closed when the image transfer is
completed. If transfer at “end of exam” has been configured, an association is opened when the
exam is completed (i.e. a new Patient / Study is registered or End Exam is performed). The
association is closed when the last image transfer is completed.
If the C-STORE Response from the remote application contains an error status, the association is
aborted.

5.2.2.1.2 Proposed Presentation Context

The following Presentation Context(s) is presented to the SCP in an A-Associate request for
DIMSE C-STORE storage services. The storage services utilize C-STORE services, whose
parameters are defined in PS 3.7.
Table 7: Store Presentation Context Table

Presentation Context Table

Abstract Syntax Transfer Syntax Extended
Role
Name UID Name List UID List Negotiation
Implicit VR Little
1.2.840.10008.1.2 SCU None
Endian
Explicit VR Little
1.2.840.10008.1.2.1 SCU None
Endian
Ultrasound
1.2.840.10008.5.1.4.1.1.6.1 Explicit VR Big
Image Storage 1.2.840.10008.1.2.2 SCU None
Endian
JPEG Lossy
1.2.840.10008.1.2.4.50 SCU None
(Baseline)
JPEG Lossless 1.2.840.10008.1.2.4.70 SCU None
Implicit VR Little
1.2.840.10008.1.2 SCU None
Endian
Explicit VR Little
Secondary 1.2.840.10008.1.2.1 SCU None
Endian
Capture Image 1.2.840.10008.5.1.4.1.1.7
Explicit VR Big
Storage 1.2.840.10008.1.2.2 SCU None
Endian
JPEG Lossy
1.2.840.10008.1.2.4.50 SCU None
(Baseline)
JPEG Lossless 1.2.840.10008.1.2.4.70 SCU None
JPEG Lossy
1.2.840.10008.1.2.4.50 SCU None
(Baseline)
JPEG Lossless 1.2.840.10008.1.2.4.70 SCU None
Ultrasound
Implicit VR Little
Multi-frame 1.2.840.10008.1.2 SCU None
1.2.840.10008.5.1.4.1.1.3.1 Endian
Image Storage
(Clips) Explicit VR Little
1.2.840.10008.1.2.1 SCU None
Endian
Explicit VR Big
1.2.840.10008.1.2.2 SCU None
Endian

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Presentation Context Table

Abstract Syntax Transfer Syntax Extended
Role
Name UID Name List UID List Negotiation
Implicit VR Little
1.2.840.10008.1.2 SCU None
Endian
Ultrasound Explicit VR Little
1.2.840.10008.1.2.1 SCU None
Multi-frame Endian
Image Storage 1.2.840.10008.5.1.4.1.1.3.1 Explicit VR Big
(3D volumetric 1.2.840.10008.1.2.2 SCU None
Endian
data sets) JPEG Lossy
1.2.840.10008.1.2.4.50 SCU None
(Baseline)
JPEG Lossless 1.2.840.10008.1.2.4.70 SCU None
Implicit VR Little
Comprehensive 1.2.840.10008.1.2 SCU None
Endian
SR 1.2.840.10008.5.1.4.1.1.88.33
Explicit VR Little
1.2.840.10008.1.2.1 SCU None
Endian

5.2.2.1.3 Photometric Interpretation

Photometric Interpretation (color mode of the pixel image data) is not a negotiable parameter in DICOM
3.0. The Photometric Interpretation Attribute (0028,0004) is set depending on the transfer syntax, and the
system configuration:

Table 8: Photometric Interpretation

SOP Class Transfer Syntax Photometric

Name UID Name List UID List Interpretation
Implicit VR
1.2.840.10008.1.2
Little Endian RGB or
Explicit VR MONOCHROME2
1.2.840.10008.1.2.1
Little Endian (if RGB to
Ultrasound MONOCHROME
1.2.840.10008.5.1.4.1.1.6.1 Explicit VR
Image Storage 1.2.840.10008.1.2.2 is configured)
Big Endian
JPEG Lossless 1.2.840.10008.1.2.4.70
JPEG Lossy
1.2.840.10008.1.2.4.50 YBR_FULL_422
(Baseline)
Implicit VR
1.2.840.10008.1.2
Little Endian RGB or
Explicit VR MONOCHROME2
Secondary 1.2.840.10008.1.2.1
Little Endian (if RGB to
Capture Image 1.2.840.10008.5.1.4.1.1.7
Explicit VR MONOCHROME
Storage 1.2.840.10008.1.2.2
Big Endian is configured)
JPEG Lossless 1.2.840.10008.1.2.4.70
JPEG Lossy
1.2.840.10008.1.2.4.50 YBR_FULL_422
(Baseline)

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SOP Class Transfer Syntax Photometric

Name UID Name List UID List Interpretation
JPEG Lossy
1.2.840.10008.1.2.4.50 YBR_FULL_422
(Baseline)
JPEG Lossless 1.2.840.10008.1.2.4.70
Ultrasound Implicit VR
1.2.840.10008.5.1.4.1.1.3.1 1.2.840.10008.1.2
Multi-frame Little Endian
Image Storage RGB or
Explicit VR MONOCHROME
(Clips) 1.2.840.10008.1.2.1
Little Endian (ABVS)
Explicit VR
1.2.840.10008.1.2.2
Big Endian
Implicit VR
1.2.840.10008.1.2
Little Endian
Ultrasound Explicit VR
1.2.840.10008.1.2.1
Multi-frame Little Endian
Image Storage 1.2.840.10008.5.1.4.1.1.3.1 Explicit VR MONOCHROME2
1.2.840.10008.1.2.2
(3D volumetric Big Endian
data sets) JPEG Lossy
1.2.840.10008.1.2.4.50
(Baseline)
JPEG Lossless 1.2.840.10008.1.2.4.70

5.2.2.1.4 SOP Specific Conformance to Storage Service SOP Classes

The DICOM images created by the ACUSON S2000 system DICOM application conform to the
DICOM IOD definitions (Standard extended IODs). But they will contain additional private
elements that may be discarded by a DICOM system when modifying the image.
The following table denotes the attributes included in the Ultrasound Image IOD as implemented
on the ACUSON S2000 system system. Attributes not listed are not used.
Table 9: US Image IOD Attributes

Module Attribute Tag Type Notes

Patient's Name (0010,0010) 2 from MWL or user input
Patient ID (0010,0020) 2 from MWL or user input
Patient's Birth Date (0010,0030) 2 from MWL or user input
Patient's Sex (0010,0040) 2 from MWL or user input
Patient
Other Patient IDs (0010,1000) 3 from MWL
Other Patient Names (0010,1001) 3 from MWL
Ethnic Group (0010,2160) 3 from MWL
Patient Comments (0010,4000) 3 from MWL
General Study Study Instance UID (0020,000D) 1 from MWL or created
Study Date (0008,0020) 2 created
Study Time (0008,0030) 2 created
Referring Physician's Name (0008,0090) 2 from MWL or user input
Study ID (0020,0010) 2 created
Accession Number (0008,0050) 2 from MWL or user input

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Module Attribute Tag Type Notes

Study Description (0008,1030) 3 From MWL (requested
procedure description or
scheduled procedure step
description) or user selected
Referenced Study Sequence (0008,1110) 3 from MWL or zero length
>Referenced SOP Class UID (0008,1150) 1C
>Referenced SOP Instance UID (0008,1155) 1C
Procedure Code Sequence (0008,1032) 3
> Include ‘Code Sequence Macro’ 1C
Admitting Diagnoses Description (0008,1080) 3 from MWL or user input
Patient's Age (0010,1010) 3 calculated or user input
Patient Study Patient's Size (0010,1020) 3 from MWL or user input
Patient's Weight (0010,1030) 3 from MWL or user input
Additional Patient’s History (0010,21B0) 3 from MWL or user input
General Series Modality (0008,0060) 1 Set to US
Series Instance UID (0020,000E) 1 created
Series Number (0020,0011) 2 Set to 1...n
Laterality (0020,0060) 2C Set to zero length
Series Date (0008,0021) 3 created
Series Time (0008,0031) 3 created
Performing Physicians’ Name (0008,1050) 3 from MWL or user input
Protocol Name (0018,1030) 3 user input
Series Description (0008,103E) 3 user input
Operators' Name (0008,1070) 3 user input
Referenced Study Component Sequence (0008,1111) 3 created (if MPPS is supported)
>Referenced SOP Class UID (0008,1150) 1C 1.2.840.10008.3.1.2.3.3 (MPPS
SOP Class)
>Referenced SOP Instance UID (0008,1155) 1C MPPS SOP Instance UID
Body Part Examined (0018,0015) 3 user selected
Request Attributes Sequence (0040,0275) 3 from MWL or zero length
>Requested Procedure ID (0040,1001) 1C
>Scheduled Procedure Step ID (0040,0009) 1C
>Scheduled Procedure Step Description (0040,0007) 3
>Scheduled Protocol Code Sequence (0040,0008) 3
>>Include ‘Code Sequence Macro’ 1C
Performed Procedure Step ID (0040,0253) 3 from MWL Scheduled
Procedure Step ID or created
Performed Procedure Step Start Date (0040,0244) 3 created
Performed Procedure Step Start Time (0040,0245) 3 created
Performed Procedure Step Description (0040,0254) 3 from MWL Scheduled
Procedure Step Description or
user input
Performed Protocol Code Sequence (0040,0260) 3

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Module Attribute Tag Type Notes

>Include ‘Code Sequence Macro’ 1C
Comments on the Performed Procedure (0040,0280) 3 from MPPS dialog
Step
Manufacturer (0008,0070) 2 Set to “SIEMENS”
Institution Name (0008,0080) 3 from MWL or user selected
Institution Address (0008,0081) 3 from MWL
General
Station Name (0008,1010) 3 Set to the computer’s host name
Equipment
Manufacturer's Model Name (0008,1090) 3 Set to “S2000”
Device Serial Number (0018,1000) 3 Set to system serial number
Software Versions (0018,1020) 3 Set to “VA16”
Instance Number (0020,0013) 2 1...n
Patient Orientation (0020,0020) 2C Set to zero length
Acquisition Date (0008,0022) 2 created
Content Date (0008,0023) 2C created
Acquisition Time (0008,0032) 3 created
Content Time (0008,0033) 2C created
Derivation Description (0008,2111) 3 Compress BN JPEG Lossy
(xx/xxx.xx). Used if JPEG
Lossy compression is applied.

General Set to: Force Owner CSA-

Image DICOM, CONVERT RGB, US
to MONOCHROME2 when
RGB to MONOCHROME2 is
configured for remote
destination.
Source Image Sequence (0008,2112) 3 Used if 3D rendering to
>Referenced SOP Class UID (0008,1150) 1C reference 3D Volume.
>Referenced SOP Instance UID (0008,1155) 1C
>Referenced Frame Number (0008,1160) 3
Image Comments (0020,4000) 3 user input
Lossy Image Compression Ratio (0028,2112) 3 Only used with JPEG Lossy
compression
Rows (0028,0010) 1 Set to 768
Image Pixel Columns (0028,0011) 1 Set to 1024
Pixel Data (7FE0,0010) 1
US Region Sequence of Ultrasound Regions (0018,6011) 1 one created for each US region
Calibration >Region Spatial Format (0018,6012) 1 displayed
>Region Data Type (0018,6014) 1
>Region Flags (0018,6016) 1
>Region Location Min x0 (0018,6018) 1
>Region Location Min y0 (0018,601A) 1
>Region Location Max x1 (0018,601C) 1

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Module Attribute Tag Type Notes

>Region Location Max y1 (0018,601E) 1
>Reference Pixel x0 (0018,6020) 3
>Reference Pixel y0 (0018,6022) 3
>Physical Units X Direction (0018,6024) 1
>Physical Units Y Direction (0018,6026) 1
>Ref. Pixel Physical Value X (0018,6028) 3
>Ref. Pixel Physical Value Y (0018,602A) 3
>Physical Delta X (0018,602C) 1
>Physical Delta Y (0018,602E) 1
>Transducer Frequency (0018,6030) 3
>Pulse Repetition Frequency (0018,6032) 3 Color Flow and Doppler regions
only
>Doppler Correction Angle (0018,6034) 3 Doppler regions only
Samples Per Pixel (0028,0002) 1 Set to 3.

Set to 1 if RGB to
MONOCROME2 is Configured
for remote
Destination.
Photometric Interpretation (0028,0004) 1 See Table 8:
Bits Allocated (0028,0100) 1 Set to 8
Bits Stored (0028,0101) 1 Set to 8
High Bit (0028,0102) 1 Set to 7
Planar Configuration (0028,0006) 1C Set to 0 (color-by-pixel)
Ultrasound Color Data Present (0028,0014) 1C Set to 1 if Color Flow or Pseudo
Color in image
US Image Pixel Representation (0028,0103) 1 Set to 0 (unsigned integer)
Module Image Type (0008,0008) 2 Normally
ORIGINAL/PRIMARY.

Set to DERIVED/PRIMARY if
RGB to MONOCHROME2 is
configured for remote
destination.
Lossy Image Compression (0028,2110) 1C = 01 if JPEG lossy compressed
Transducer Data (0018,5010) 3 Probe name (e.g. C5-2)
Mechanical Index (0018,5022) 3 B-mode only
Bone Thermal Index (0018,5024) 3 Doppler, M-Mode & Color
Flow only
Cranial Thermal Index (0018,5026) 3 Cranial Doppler only
Soft Tissue Thermal Index (0018,5027) 3 Doppler, M-Mode & Color
Flow only

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Module Attribute Tag Type Notes

Overlay Rows (60xx,0010) 1 Set to 768
Overlay Columns (60xx,0011) 1 Set to 1024
Overlay Plane Overlay Type (60xx,0040) 1 Set to G
(not included Overlay Origin (60xx,0050) 1 Set to 1\1
if burned in Overlay Bits Allocated (60xx,0100) 1 Set to 1
graphics is
Overlay Bit Position (60xx,0102) 1 Set to 0
selected)
Overlay Data (60xx,3000) 1C
Overlay Description (60xx,0022) 3 Set to “Siemens MedCom
Object Graphics”
SOP Class UID (0008,0016) 1 1.2.840.10008.5.1.4.1.1.6.1
SOP Instance UID (0008,0018) 1 created
Specific Character Set (0008,0005) 1C From MWL or set to ISO_IR
SOP Common
100
Instance Creation Date (0008,0012) 3 created
Instance Creation Time (0008,0013) 3 created
Standard Extended SOP Class - Standard and Private Attributes
Patient Patient's Address (0010,1040) 3 from MWL
Demographic Military Rank (0010,1080) 3 from MWL
Medical Alerts (0010,2000) 3 from MWL
Contrast Allergies (0010,2110) 3 from MWL
Smoking Status (0010,21A0) 3 from MWL
Patient
Pregnancy Status (0010,21C0) 3 from MWL
Medical
Last Menstrual Date (0010,21D0) 3 from MWL or input by user
Special Needs (0038,0050) 3 from MWL
Patient State (0038,0500) 3 from MWL
Pixel Spacing (0028,0030) 3 This attribute is not included in
images that contain Doppler or
Image Plane M-Mode data, or images that
contain more than one 2D tissue
region.
Requesting Physician (0032,1032) 3 from MWL
Requesting Service (0032,1033) 3 from MWL
Study
Requested Procedure Description (0032,1060) 3 from MWL
Scheduling
Requested Procedure Code Sequence (0032,1064) 3 from MWL
>Include ‘Code Sequence Macro’ 1C
Study Study Comments (0032,4000) 3 input by user
Classification
Number of Frames in Overlay (60xx,0015) 3 Set to 1 (only used if overlay is
Multi-Frame present)
Overlay Image Frame Origin (60xx,0051) 3 Set to 1 (only used if overlay is
present)
S2000 Private Private Creator (0019,0001) 3 SIEMENS MED SMS USG
Attributes S2000

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Module Attribute Tag Type Notes

S2000 Private Private Creator Version (0019,1000) 3 1.1
Attributes Frame Rate (0019,1003) 3 in fps
Burned in Graphics (0019,100C) 3 0 = Overlay,
1 = Graphics burned into pixel
data
SieClear Index (0019,100D) 3 Off, 1, 2, 3, 4
B-Mode Submode (0019,1020) 3 GEN, THI, etc.
B-Mode Dynamic Range (0019,1021) 3 in dB
B-Mode Overall Gain (0019,1022) 3 in dB
B-Mode Res/Speed Index (0019,1023) 3 Resolution Vs. Speed
B-Mode Edge Enhance Index (0019,1024) 3
B-Mode Persistence Index (0019,1025) 3
B-Mode Map Index (0019,1026) 3
B-Mode Tint Type (0019,102A) 3 0 = Grayscale,
1 = Color Balance,
2 = Pseudo Color
B-Mode Tint Index (0019,102D) 3
ClarifyVE Index (0019,102E) 3 Off, 1, 2, 3, 4, 5, 6, 7
Image Flag (0019,103A) 3 1 = flagged image,
0 (or not present) = not flagged
IPDA/MDA Data (0019,103B) 3
Thumbnail Data (0019,103C) 3
Color Flow state (0019,1040) 3 Low, Gen, High
Color Flow Wall Filter Index (0019,1041) 3
Color Flow Submode (0019,1042) 3 Power, CDV, CDE, VEL
Color Flow Overall Gain (0019,1043) 3 in dB
Color Flow Res/Speed Index (0019,1044) 3
Color Flow Smooth Index (0019,1046) 3
Color Flow Persistence Index (0019,1047) 3
Color Flow Map Index (0019,1048) 3
Color Flow Priority Index (0019,1049) 3
Color Flow Maximum Velocity (0019,1054) 3 in cm/sec
Doppler Dynamic Range (0019,1060) 3 in dB
Doppler Overall Gain (0019,1061) 3 in dB
Doppler Wall Filter (0019,1062) 3 in Hz
Doppler Gate Size (0019,1063) 3 in mm
Doppler Map Index (0019,1065) 3
Doppler Submode (0019,1066) 3 PW, CW, etc.
Doppler Time/Freq Res Index (0019,1069) 3
Doppler Trace Inverted (0019,106A) 3 0, 1
Doppler Tint Type (0019,106C) 3 0 = Grayscale,
1 = Color Balance,
2 = Pseudo Color

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Module Attribute Tag Type Notes

S2000 Private Doppler Tint Index (0019,1072) 3
Attributes M-Mode Dynamic Range (0019,1080) 3 in dB
M-Mode Overall Gain (0019,1081) 3 in dB
M-Mode Edge Enhance Index (0019,1082) 3
M-Mode Map Index (0019,1083) 3
M-Mode Tint Type (0019,1086) 3 0 = Grayscale,
1 = Color Balance,
2 = Pseudo Color
M-Mode Submode (0019,1087) 3 GEN
M-Mode Tint Index (0019,1088) 3
App Model Data (0019,10A0) 3
MedCom Header Info - Private Creator (0029,0010) 3 SIEMENS MEDCOM
MedCom Header data (0029,1020) 3 HEADER
MedCom
PMTF Information 1 (0029,1031) 3
Private
Attributes † PMTF Information 2 (0029,1032) 3
PMTF Information 3 (0029,1033) 3
PMTF Information 4 (0029,1034) 3 DB TO DICOM
MedCom OOG - Private Creator (0029,0011) 3 SIEMENS MEDCOM OOG
MedCom
MedCom OOG Type (0029,1108) 3 MEDCOM OOG 2
Private
Attributes † MedCom OOG Version (0029,1109) 3 VE31F
MedCom OOG Info (0029,1110) 3
† The ACUSON S2000 system uses syngo MedCom private elements. These private elements are used between the ACUSON
S2000 AE and other syngo based AE’s to describe Object Oriented Graphics (OOG). This module is used when object graphics
are drawn on the image and stores the properties of the graphics objects (Line, Circle, Rectangle, Arrows, etc.). The graphics
objects will remain re-animate-able even if such an image is transferred via the DICOM C-Store SOP Class. The graphics objects
may also be stored in a single image overlay plane for compatibility with other products which don’t support the OOG module.
These private elements should be discarded by non-syngo based DICOM application entities when modifying the image overlay
data.

Table 10: This table denotes the attributes included in the Secondary Capture Image IOD as
implemented on the ACUSON S2000 system. Attributes not listed are not used.
Table 10: Secondary Capture IOD Attributes

Module Attribute Tag Type Notes

Patient's Name (0010,0010) 2 from MWL or user input
Patient ID (0010,0020) 2 from MWL or user input
Patient's Birth Date (0010,0030) 2 from MWL or user input
Patient's Sex (0010,0040) 2 from MWL or user input
Patient
Other Patient IDs (0010,1000) 3 from MWL
Other Patient Names (0010,1001) 3 from MWL
Ethnic Group (0010,2160) 3 from MWL
Patient Comments (0010,4000) 3 from MWL

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Module Attribute Tag Type Notes

Study Instance UID (0020,000D) 1 from MWL or created
Study Date (0008,0020) 2 created
Study Time (0008,0030) 2 created
Referring Physician's Name (0008,0090) 2 from MWL or user input
Study ID (0020,0010) 2 created
Accession Number (0008,0050) 2 from MWL or user input
Study Description (0008,1030) 3 from MWL (requested
General Study procedure description or
scheduled procedure step
description) or user selected
Referenced Study Sequence (0008,1110) 3 from MWL or zero length
>Referenced SOP Class UID (0008,1150) 1C
>Referenced SOP Instance UID (0008,1155) 1C
Procedure Code Sequence (0008,1032) 3
> Include ‘Code Sequence Macro’ 1C
Admitting Diagnoses Description (0008,1080) 3 from MWL or user input
Patient's Age (0010,1010) 3 calculated or user input
Patient Study
Patient's Size (0010,1020) 3 from MWL or user input
Patient's Weight (0010,1030) 3 from MWL or user input
Additional Patient’s History (0010,21B0) 3 from MWL or user input
General Series Series Instance UID (0020,000E) 1 created
Series Number (0020,0011) 2 Set to 1...n
Laterality (0020,0060) 2C Set to zero length
Series Date (0008,0021) 3 created
Series Time (0008,0031) 3 created
Performing Physicians’ Name (0008,1050) 3 from MWL or user input
Protocol Name (0018,1030) 3 user input
Series Description (0008,103E) 3 user input
Operators' Name (0008,1070) 3 user input
Referenced Study Component Sequence (0008,1111) 3 created (if MPPS is supported)
>Referenced SOP Class UID (0008,1150) 1C 1.2.840.10008.3.1.2.3.3
(MPPS SOP Class)
>Referenced SOP Instance UID (0008,1155) 1C MPPS SOP Instance UID
Body Part Examined (0018,0015) 3 user selected
Request Attributes Sequence (0040,0275) 3 from MWL or zero length
>Requested Procedure ID (0040,1001) 1C
>Scheduled Procedure Step ID (0040,0009) 1C
>Scheduled Procedure Step Description (0040,0007) 3
>Scheduled Protocol Code Sequence (0040,0008) 3
>>Include ‘Code Sequence Macro’ 1C
Performed Procedure Step ID (0040,0253) 3 from MWL Scheduled
Procedure Step ID or created

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Module Attribute Tag Type Notes

Performed Procedure Step Start Date (0040,0244) 3 created
Performed Procedure Step Start Time (0040,0245) 3 created
Performed Procedure Step Description (0040,0254) 3 from MWL Scheduled
Procedure Step Description or
user input
Performed Protocol Code Sequence (0040,0260) 3
>Include ‘Code Sequence Macro’ 1C
Comments on the Performed Procedure (0040,0280) 3 from MPPS dialog
Step
Manufacturer (0008,0070) 2 Set to “SIEMENS”
Institution Name (0008,0080) 3 from MWL or user selected
Institution Address (0008,0081) 3 from MWL
General
Station Name (0008,1010) 3 Set to the computer’s host name
Equipment
Manufacturer's Model Name (0008,1090) 3 Set to “S2000”
Device Serial Number (0018,1000) 3 Set to system serial number
Software Versions (0018,1020) 3 Set to “VA16”
Conversion Type (0008,0064) 1 Set to WSD
SC Equipment
Modality (0008,0060) 3 Set to US
Instance Number (0020,0013) 2 1...n
Patient Orientation (0020,0020) 2C Set to zero length
Content Date (0008,0023) 2C created
Content Time (0008,0033) 2C created
Image Type (0008,0008) 3 ORIGINAL/PRIMARY
Acquisition Date (0008,0022) 2 created
General Acquisition Time (0008,0032) 3 created
Image Derivation Description (0008,2111) 3 Compress BN JPEG Lossy
(xx/xxx.xx). Only used with
JPEG Lossy compression.
Image Comments (0020,4000) 3 user input
Lossy Image Compression (0028,2110) 1C = 01 if JPEG Lossy
compression
Lossy Image Compression Ratio (0028,2112) 3 Only used with JPEG Lossy
compression
Samples Per Pixel (0028,0002) 1 Set to 3
Photometric Interpretation (0028,0004) 1 See Table 8:
Rows (0028,0010) 1 Set to 768
Columns (0028,0011) 1 Set to 1024
Bits Allocated (0028,0100) 1 Set to 8
Image Pixel
Bits Stored (0028,0101) 1 Set to 8
High Bit (0028,0102) 1 Set to 7
Pixel Representation (0028,0103) 1 Set to 0 (unsigned integer)
Pixel Data (7FE0,0010) 1
Planar Configuration (0028,0006) 1C Set to 0 (color-by-pixel)

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Module Attribute Tag Type Notes

SOP Class UID (0008,0016) 1 1.2.840.10008.5.1.4.1.1.7
SOP Instance UID (0008,0018) 1 created
SOP Common Specific Character Set (0008,0005) 1C From MWL or set to ISO_IR
100
Instance Creation Date (0008,0012) 3 created
Instance Creation Time (0008,0013) 3 created
Standard Extended SOP Class - Standard and Private Attributes
Patient Patient's Address (0010,1040) 3 from MWL
Demographic Military Rank (0010,1080) 3 from MWL
Medical Alerts (0010,2000) 3 from MWL
Contrast Allergies (0010,2110) 3 from MWL
Patient Smoking Status (0010,21A0) 3 from MWL
Medical Pregnancy Status (0010,21C0) 3 from MWL
Last Menstrual Date (0010,21D0) 3 from MWL or input by user
Special Needs (0038,0050) 3 from MWL
Patient State (0038,0500) 3 from MWL
Requesting Physician (0032,1032) 3 from MWL
Requesting Service (0032,1033) 3 from MWL
Study
Requested Procedure Description (0032,1060) 3 from MWL
Scheduling
Requested Procedure Code Sequence (0032,1064) 3 from MWL
>Include ‘Code Sequence Macro’ 1C
Study Study Comments (0032,4000) 3 input by user
Classification
MedCom Header Info - Private Creator (0029,0010) 3 SIEMENS MEDCOM
MedCom Header data (0029,1020) 3 HEADER
PMTF Information 1 (0029,1031) 3
PMTF Information 2 (0029,1032) 3
MedCom
PMTF Information 3 (0029,1033) 3
Private
Attributes † PMTF Information 4 (0029,1034) 3 DB TO DICOM
MedCom OOG - Private Creator (0029,0011) 3 SIEMENS MEDCOM OOG
MedCom OOG Type (0029,1108) 3 MEDCOM OOG 2
MedCom OOG Version (0029,1109) 3 VE31F
MedCom OOG Info (0029,1110) 3

This table denotes the attributes included in the Ultrasound Multi-frame Image IOD as
implemented on the ACUSON S2000 system, when used for Clip images. Attributes not listed
are not used.

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Table 11: US-MF IOD Attributes – Clips

Module Attribute Tag Type Notes

Patient's Name (0010,0010) 2 from MWL or user input
Patient ID (0010,0020) 2 from MWL or user input
Patient's Birth Date (0010,0030) 2 from MWL or user input
Patient's Sex (0010,0040) 2 from MWL or user input
Patient
Other Patient IDs (0010,1000) 3 from MWL
Other Patient Names (0010,1001) 3 from MWL
Ethnic Group (0010,2160) 3 from MWL
Patient Comments (0010,4000) 3 from MWL
Study Instance UID (0020,000D) 1 from MWL or created
Study Date (0008,0020) 2 created
Study Time (0008,0030) 2 created
Referring Physician's Name (0008,0090) 2 from MWL or user input
Study ID (0020,0010) 2 created
Accession Number (0008,0050) 2 from MWL or user input
General Study Study Description (0008,1030) 3 from MWL (requested
procedure description or
scheduled procedure step
description) or user selected
Referenced Study Sequence (0008,1110) 3 from MWL or zero length
>Referenced SOP Class UID (0008,1150) 1C
>Referenced SOP Instance UID (0008,1155) 1C
Procedure Code Sequence (0008,1032) 3
> Include ‘Code Sequence Macro’ 1C
Admitting Diagnoses Description (0008,1080) 3 from MWL or user input
Patient's Age (0010,1010) 3 calculated or user input
Patient Study Patient's Size (0010,1020) 3 from MWL or user input
Patient's Weight (0010,1030) 3 from MWL or user input
Additional Patient’s History (0010,21B0) 3 from MWL or user input
General Series Modality (0008,0060) 1 Set to US
Series Instance UID (0020,000E) 1 created
Series Number (0020,0011) 2 Set to 1...n
Laterality (0020,0060) 2C Set to zero length
Series Date (0008,0021) 3 created
Series Time (0008,0031) 3 created
Performing Physicians’ Name (0008,1050) 3 from MWL or user input
Protocol Name (0018,1030) 3 user input
Series Description (0008,103E) 3 user input
Operators' Name (0008,1070) 3 user input
Referenced Study Component Sequence (0008,1111) 3 created (if MPPS is supported)
>Referenced SOP Class UID (0008,1150) 1C 1.2.840.10008.3.1.2.3.3
(MPPS SOP Class)

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Module Attribute Tag Type Notes

>Referenced SOP Instance UID (0008,1155) 1C MPPS SOP Instance UID
Body Part Examined (0018,0015) 3 user selected
Request Attributes Sequence (0040,0275) 3 from MWL or zero length
>Requested Procedure ID (0040,1001) 1C
>Scheduled Procedure Step ID (0040,0009) 1C
>Scheduled Procedure Step Description (0040,0007) 3
>Scheduled Protocol Code Sequence (0040,0008) 3
>>Include ‘Code Sequence Macro’ 1C
Performed Procedure Step ID (0040,0253) 3 from MWL Scheduled
Procedure Step ID or created
Performed Procedure Step Start Date (0040,0244) 3 created
Performed Procedure Step Start Time (0040,0245) 3 created
Performed Procedure Step Description (0040,0254) 3 from MWL Scheduled
Procedure Step Description or
user input
Performed Protocol Code Sequence (0040,0260) 3
>Include ‘Code Sequence Macro’ 1C
Comments on the Performed Procedure (0040,0280) 3 from MPPS dialog
Step
Manufacturer (0008,0070) 2 Set to “SIEMENS”
Institution Name (0008,0080) 3 from MWL or user selected
General Institution Address (0008,0081) 3 from MWL
Equipment Station Name (0008,1010) 3 Set to the computer’s host name
Manufacturer’s Model Name (0008,1090) 3 Set to “S2000”
Device Serial Number (0018,1000) 3 Set to system serial number
Software Versions (0018,1020) 3 Set to “VA16”
Instance Number (0020,0013) 2 1...n
Patient Orientation (0020,0020) 2C Set to zero length except for
ABVS clips
Content Date (0008,0023) 2C created
Content Time (0008,0033) 2C created
Acquisition Date (0008,0022) 2 created
General Acquisition Time (0008,0032) 3 created
Image
Acquisition Datetime (0008,002A) 3 created
Derivation Description (0008,2111) 3 Compress BN JPEG Lossy (xx)
where (xx) is the compression
ratio.
Image Comments (0020,4000) 3 user input
Lossy Image Compression Ratio (0028,2112) 3 Only used with JPEG Lossy
compression
Rows (0028,0010) 1
Image Pixel Columns (0028,0011) 1
Pixel Data (7FE0,0010) 1

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Module Attribute Tag Type Notes

Cine Frame Time Vector (0018,1065) 1C 1 to Number of Frames
Multi-Frame Number of Frames (0028,0008) 1
Sequence of Ultrasound Regions (0018,6011) 1 one created for each US region
>Region Spatial Format (0018,6012) 1 displayed
>Region Data Type (0018,6014) 1
>Region Flags (0018,6016) 1
>Region Location Min x0 (0018,6018) 1
>Region Location Min y0 (0018,601A) 1
>Region Location Max x1 (0018,601C) 1
>Region Location Max y1 (0018,601E) 1
>Reference Pixel x0 (0018,6020) 3
US Region
>Reference Pixel y0 (0018,6022) 3
Calibration
>Physical Units X Direction (0018,6024) 1
>Physical Units Y Direction (0018,6026) 1
>Ref. Pixel Physical Value X (0018,6028) 3
>Ref. Pixel Physical Value Y (0018,602A) 3
>Physical Delta X (0018,602C) 1
>Physical Delta Y (0018,602E) 1
>Transducer Frequency (0018,6030) 3
>Pulse Repetition Frequency (0018,6032) 3 Color Flow and Doppler regions
only
>Doppler Correction Angle (0018,6034) 3 Doppler regions only
Samples Per Pixel (0028,0002) 1 Set to 3
US Image Set to 1 if RGB to
MONOCHROME2 is
Module
Configured for remote
destination
Photometric Interpretation (0028,0004) 1 See Table 8:
Bits Allocated (0028,0100) 1 Set to 8
Bits Stored (0028,0101) 1 Set to 8
High Bit (0028,0102) 1 Set to 7
Planar Configuration (0028,0006) 1C Set to 0 (color-by-pixel)
Ultrasound Color Data Present (0028,0014) 1C Set to 1 if Color Flow or Pseudo
Color in image
Pixel Representation (0028,0103) 1 Set to 0 (unsigned integer)
Frame Increment Pointer (0028,0009) 1C Sequencing by Frame Time
Vector (0018,1065)
Image Type (0008,0008) 2 DERIVED / PRIMARY
Lossy Image Compression (0028,2110) 1C Set to 01
Transducer Data (0018,5010) 3 Probe name (e.g. C5-2)
Mechanical Index (0018,5022) 3 B-mode only
Bone Thermal Index (0018,5024) 3 Doppler, M-Mode & Color
Flow only

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Module Attribute Tag Type Notes

Cranial Thermal Index (0018,5026) 3 Cranial Doppler only
Soft Tissue Thermal Index (0018,5027) 3 Doppler, M-Mode & Color
Flow only
Overlay Rows (6000,0010) 1 Set to 600
Overlay Columns (6000,0011) 1 Set to 800
Overlay Type (6000,0040) 1 Set to “G” (for Graphics)
Overlay Plane Overlay Origin (6000,0050) 1 Set to 1\1
Overlay Bits Allocated (6000, 0100) 1 Set to 1
Overlay Bit Position (6000,0102) 1 Set to 0
Overlay Data (6000,3000) 1 Contains the overlay pixel data
Number of Frames in Overlay (6000,0015) 1 Number of frames in the
Multi-Frame overlay
Overlay
Image Frame Origin (6000, 0051) 3 Set to 1
SOP Class UID (0008,0016) 1 1.2.840.10008.5.1.4.1.1.6.1
SOP Instance UID (0008,0018) 1 created
Specific Character Set (0008,0005) 1C From MWL or set to ISO_IR
SOP Common
100
Instance Creation Date (0008,0012) 3 created
Instance Creation Time (0008,0013) 3 created
Standard Extended SOP Class - Standard and Private Attributes
Patient Patient's Address (0010,1040) 3 from MWL
Demographic Military Rank (0010,1080) 3 from MWL
Medical Alerts (0010,2000) 3 from MWL
Contrast Allergies (0010,2110) 3 from MWL
Smoking Status (0010,21A0) 3 from MWL
Patient
Pregnancy Status (0010,21C0) 3 from MWL
Medical
Last Menstrual Date (0010,21D0) 3 from MWL or input by user
Special Needs (0038,0050) 3 from MWL
Patient State (0038,0500) 3 from MWL
Pixel Spacing (0028,0030) 3 This attribute is not included in
images that contain Doppler or
Image Plane M-Mode data, or images that
contain more than one 2D tissue
region.
Requesting Physician (0032,1032) 3 from MWL
Requesting Service (0032,1033) 3 from MWL
Study
Requested Procedure Description (0032,1060) 3 from MWL
Scheduling
Requested Procedure Code Sequence (0032,1064) 3 from MWL
>Include ‘Code Sequence Macro’ 1C
Study Study Comments (0032,4000) 3 input by user
Classification

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Module Attribute Tag Type Notes

View Name (0008,2127) 3 ABVS scan location
Spacing Between Slices (0018,0088) 3
Pixel Spacing (0028,0030) 3
Pixel Aspect Ratio (0028,0034) 1C
Representative Frame Number (0028,6010) 3
ABVS Anatomic Region Sequence (0008,2218) 3
Standard >Code Value (0008,0100) 1 T-04000
Extended >Coding Scheme Designator (0008,0102) 1 SNM3
>Code Meaning (0008,0104) 1 Breast
>Anatomic Region Modifier Sequence (0008,2220) 3
>>Code Value (0008,0100) 1 e.g., G-A115
>>Coding Scheme Designator (0008,0102) 1 SRT
>>Code Meaning (0008,0104) 1 e.g., Inferior
Private Creator (0021,0010) 1 SIEMENS Ultrasound S2000
Release Version (0021,0011) 3 ABVS1.0
ABVS Private
Nipple Position (0021,1000) 3 Nipple position marker
ABVS Clip Derived From Volume (0021,1001) 3 Derived from ABVS 3D dataset
Private Creator (0019,00xx) 3 SIEMENS MED SMS USG
S2000
Private Creator Version (0019,xx00) 3 1.1
B-Mode Tint Type (0019,xx2A) 3 0 = Grayscale ,
1 = Color Balance ,
2 = Pseudo Color
B-Mode Tint Index (0019,xx2D) 3
S2000 Private
Attributes Image Flag (0019,xx3A) 3 1 = flagged image,
0 (or not present) = not flagged
Doppler Tint Type (0019,xx6C) 3 0 = Grayscale ,
1 = Color Balance ,
2 = Pseudo Color
M-Mode Tint Type (0019,xx86) 3 0 = Grayscale ,
1 = Color Balance ,
2 = Pseudo Color
MedCom Header Info - Private Creator (0029,0010) 3 SIEMENS MEDCOM
MedCom Header data (0029,1020) 3 HEADER
MedCom
PMTF Information 1 (0029,1031) 3
Private
Attributes † PMTF Information 2 (0029,1032) 3
PMTF Information 3 (0029,1033) 3
PMTF Information 4 (0029,1034) 3 DB TO DICOM
MedCom OOG - Private Creator (0029,0011) 3 SIEMENS MEDCOM OOG
MedCom
MedCom OOG Type (0029,1108) 3 MEDCOM OOG 2
Private
Attributes † MedCom OOG Version (0029,1109) 3 VE31F
MedCom OOG Info (0029,1110) 3

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

This table denotes the attributes included in the Ultrasound Multi-Frame Image IOD as
implemented on the ACUSON S2000 system, when used for 3D volumetric data sets. Attributes
not listed are not used. Each frame represents a single slice from the 3D volume.
Table 12: US-MF Image IOD Attributes - 3D Volumetric Data

Module Attribute Tag Type Notes

Patient's Name (0010,0010) 2 from MWL or user input
Patient ID (0010,0020) 2 from MWL or user input
Patient's Birth Date (0010,0030) 2 from MWL or user input
Patient's Sex (0010,0040) 2 from MWL or user input
Patient
Other Patient IDs (0010,1000) 3 from MWL
Other Patient Names (0010,1001) 3 from MWL
Ethnic Group (0010,2160) 3 from MWL
Patient Comments (0010,4000) 3 from MWL
Study Instance UID (0020,000D) 1 from MWL or created
Study Date (0008,0020) 2 created
Study Time (0008,0030) 2 created
Referring Physician's Name (0008,0090) 2 from MWL or user input
Study ID (0020,0010) 2 created
Accession Number (0008,0050) 2 from MWL or user input
Study Description (0008,1030) 3 from MWL (requested
General Study procedure description or
scheduled procedure step
description) or user selected
Referenced Study Sequence (0008,1110) 3 from MWL or zero length
>Referenced SOP Class UID (0008,1150) 1C
>Referenced SOP Instance UID (0008,1155) 1C
Procedure Code Sequence (0008,1032) 3
> Include ‘Code Sequence Macro’ 1C
Admitting Diagnoses Description (0008,1080) 3 from MWL or user input
Patient's Age (0010,1010) 3 calculated or user input
Patient Study Patient's Size (0010,1020) 3 from MWL or user input
Patient's Weight (0010,1030) 3 from MWL or user input
Additional Patient’s History (0010,21B0) 3 from MWL or user input
General Series Modality (0008,0060) 1 Set to US
Series Instance UID (0020,000E) 1 created
Series Number (0020,0011) 2 Set to 1...n
Laterality (0020,0060) 2C Set to zero length
Series Date (0008,0021) 3 created
Series Time (0008,0031) 3 created
Performing Physicians’ Name (0008,1050) 3 from MWL or user input
Protocol Name (0018,1030) 3 user input
Series Description (0008,103E) 3 user input

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Module Attribute Tag Type Notes

Operators' Name (0008,1070) 3 user input
Referenced Study Component Sequence (0008,1111) 3 created (if MPPS is supported)
>Referenced SOP Class UID (0008,1150) 1C 1.2.840.10008.3.1.2.3.3
(MPPS SOP Class)
>Referenced SOP Instance UID (0008,1155) 1C MPPS SOP Instance UID
Body Part Examined (0018,0015) 3 user selected
Request Attributes Sequence (0040,0275) 3 from MWL or zero length
>Requested Procedure ID (0040,1001) 1C
>Scheduled Procedure Step ID (0040,0009) 1C
>Scheduled Procedure Step Description (0040,0007) 3
>Scheduled Protocol Code Sequence (0040,0008) 3
>>Include ‘Code Sequence Macro’ 1C
Performed Procedure Step ID (0040,0253) 3 from MWL Scheduled
Procedure Step ID or created
Performed Procedure Step Start Date (0040,0244) 3 created
Performed Procedure Step Start Time (0040,0245) 3 created
Performed Procedure Step Description (0040,0254) 3 from MWL Scheduled
Procedure Step Description or
user input
Performed Protocol Code Sequence (0040,0260) 3
>Include ‘Code Sequence Macro’ 1C
Comments on the Performed Procedure (0040,0280) 3 from MPPS dialog
Step
Manufacturer (0008,0070) 2 Set to “SIEMENS”
Institution Name (0008,0080) 3 from MWL or user selected
Institution Address (0008,0081) 3 from MWL
General
Station Name (0008,1010) 3 Set to the computer’s host name
Equipment
Manufacturer's Model Name (0008,1090) 3 Set to “S2000”
Device Serial Number (0018,1000) 3 Set to system serial number
Software Versions (0018,1020) 3 Set to “VA16”
Instance Number (0020,0013) 2 1...n
Patient Orientation (0020,0020) 2C Set to zero length
Acquisition Date (0008,0022) 2 created
Acquisition Time (0008,0032) 3 created
General
Image Acquisition Datetime (0008,002A) 3 created
Derivation Description (0008,2111) 3 US_3D_VOLUME_DATA
Image Comments (0020,4000) 3 user input
Lossy Image Compression Ratio (0028,2112) 3 Only used with JPEG Lossy
compression
Rows (0028,0010) 1 Set to 600
Image Pixel Columns (0028,0011) 1 Set to 800
Pixel Data (7FE0,0010) 1

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Module Attribute Tag Type Notes

Samples Per Pixel (0028,0002) 1 Set to 1
Photometric Interpretation (0028,0004) 1 See Table 8:
Bits Allocated (0028,0100) 1 Set to 8
Bits Stored (0028,0101) 1 Set to 8
High Bit (0028,0102) 1 Set to 7
US Image Ultrasound Color Data Present (0028,0014) 1C Set to 1 if Color Flow or Pseudo
Color is present in the image
Module
Frame Increment Pointer (0028,0009) 1C Set to 0018,1063 (Frame Time
attribute)
Pixel Representation (0028,0103) 1 Set to 0 (unsigned integer)
Image Type (0008,0008) 2 DERIVED / PRIMARY
Lossy Image Compression (0028,2110) 1C = 01 if JPEG lossy compressed
Transducer Data (0018,5010) 3 Probe name (e.g. C5-2)
SOP Class UID (0008,0016) 1 1.2.840.10008.5.1.4.1.1.3.1
SOP Instance UID (0008,0018) 1 created
Specific Character Set (0008,0005) 1C From MWL or set to ISO_IR
SOP Common
100
Instance Creation Date (0008,0012) 3 created
Instance Creation Time (0008,0013) 3 created
Cine Frame Time (0018,1063) 1C created
Multi-Frame Number of Frames (0028,0008) 1 created
Representative Frame Number (0028,6010) 3 Frame number used as pictorial
Frame
representation of the 3D
Pointers
Volume.
Standard Extended SOP Class - Standard and Private Attributes
Patient Patient's Address (0010,1040) 3 from MWL
Demographic Military Rank (0010,1080) 3 from MWL
Medical Alerts (0010,2000) 3 from MWL
Contrast Allergies (0010,2110) 3 from MWL
Patient Smoking Status (0010,21A0) 3 from MWL
Medical Pregnancy Status (0010,21C0) 3 from MWL
Last Menstrual Date (0010,21D0) 3 from MWL or input by user
Special Needs (0038,0050) 3 from MWL
Patient State (0038,0500) 3 from MWL
Requesting Physician (0032,1032) 3 from MWL
Requesting Service (0032,1033) 3 from MWL
Study
Requested Procedure Description (0032,1060) 3 from MWL
Scheduling
Requested Procedure Code Sequence (0032,1064) 3 from MWL
>Include ‘Code Sequence Macro’ 1C
Study Study Comments (0032,4000) 3 input by user
Classification

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Module Attribute Tag Type Notes

S2000 Private Private Creator (0039,0010) 1 SIEMENS MED SMS USG
Attributes S2000 3D VOLUME
Release Version (0039,1000) 3 3.0.3
VolumeAcquisitionDuration (0039,1003) 3
VolumeRawDataType (0039,1004) 3 Data Type (Cartesian/Scan-
Converted/PreScanConverted
Format
ScanType (0039,1005) 3
ZlateralMin (0039,1006) 3 Minimum span along the depth
(wobble min.)
ZlateralSpan (0039,1007) 3 Span along the depth (wobble
span)
ZRadiusOfCurvature (0039,1008) 3 Radius of curvature, in (wobble)
WobbleCorrection (0039,1009) 3 Wobbling shear correction
factor (0.0 to 1.0)
ScaleAlongWidth (0039,1010) 3 Width scaling mm/pixel
ScaleAlongHeight (0039,1011) 3 Height scaling mm/pixel
ScaleAlongDepth (0039,1012) 3 Depth scaling mm/pixel
BufferSize (0039,1013) 3
AcquisitionRate (0039,1014) 3 Time required to acquire one
volume
DepthMinCm (0039,1015) 3 The min/start depth for the
BImage
IsLeftRightFlippedEn (0039,1016) 3 Whether the acquired images
were Left/Right flipped
IsUpDownFlippedEn (0039,1017) 3 Whether the acquired images
were up/down flipped
IsVolumeGeomAccurate (0039,1018) 3 Is the volume passed is
geometrically accurate (In order
to display ruler)
BByteMaskOffset (0039,1019) 3 Bytemasks is the offset fro
Mask data which is used for
space leaping optimization in
renderer
BByteMaskSize (0039,1020) 3 Size of the byte mask data
DepthMaxCm (0039,1021) 3 The max/end depth for the
BImage
AcqPlaneRotationDeg (0039,1022) 3 Angle by which the volume is to
be rotated around, normal to the
Aquisition plane (Z axis) (in
degrees)
BeamAxialSpan (0039,1023) 3 beam span, in mm
BeamLateralMin (0039,1024) 3 Min lateral angle
BeamLateralSpan (0039,1025) 3 Angular span
BeamAxialMin (0039,1026) 3 Axial min or radius of curvature
in 2d

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Module Attribute Tag Type Notes

S2000 Private NumDisplaySamples (0039,1027) 3 Number of actual samples along
Attributes each beam
DVolumeWidth (0039,1028) 3 Volume Width of the
Power/Doppler Volume
DVolumeDepth (0039,1029) 3 Volume Depth of the
Power/Doppler Volume
DVolumeHeight (0039,1030) 3 Volume Height of the
Power/Doppler Volume
DVolumePosX (0039,1031) 3
DVolumePosY (0039,1032) 3
DVolumePosZ (0039,1033 3
DBeamAxialMin (0039,1034) 3 Axial min or radius of curvature
in 2d for Power/Doppler
DBeamAxialSpan (0039,1035) 3
DBeamLateralMin (0039,1036) 3 Min lateral angle for
Power/Doppler
DBeamLateralSpan (0039,1037) 3 Angular span from
Power/Doppler
NumOfVolumesInSequence (0039,1038) 3 Number Of Volumes In
Sequence
DByteMaskOffset (0039,1039) 3 Bytemasks is the offset for the
mask data which is used for
space leaping optimization in
renderer when in
Power/Doppler
DByteMaskSize (0039,1040) 3 Size of the byte mask data when
in Power/Doppler
S2000 Private Attributes - 3D Bookmark Data
S2000 Private PrivateCreatorVersionOfBookmark (0039,1050) 3 3.6.0
Attributes
BCutPlaneEnable (0039,1051) 3 Cut-plane volume rendering for
B data
BMprColorMapIndex (0039,1052) 3 Index of the tint colormap for
MPR B data
BMprDynamicRangeDb (0039,1053) 3 dB value of dynamic range
curve for MPR B data
BMprGrayMapIndex (0039,1054) 3 Index of the image enhancement
LUT for the MPR B data
BVolumeRenderMode (0039,1055) 3 Volume rendering mode for B
data
BVrBrightness (0039,1056) 3 Brightness value for the volume
rendered B data
BVrContrast (0039,1057) 3 Contrast value for the volume
rendered B data
BVrColorMapIndex (0039,1058) 3 Index of the tint colormap for
the volume rendered B data

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Module Attribute Tag Type Notes

S2000 Private BVrDynamicRangeDb (0039,1059) 3 dB value of dynamic range
Attributes curve for the volume rendered B
data
BVrGrayMapIndex (0039,105a) 3 Index of the image enhancement
LUT for the volume rendered B
data
BVrOpacity (0039,105b) 3 Opacity percentage of the
opacity curve used for the
volume rendered B data
BVrThresholdHigh (0039,105c) 3 High threshold of the opacity
curve used for the volume
rendered B data
BVrThresholdLow (0039,105d) 3 Low threshold of the opacity
curve used for the volume
rendered B data
BPreProcessFilterMix (0039,105e) 3 Mix percentage used for mixing
filtered data for the volume
rendered B data
CCutPlaneEnable (0039,105f) 3 Cut-plane volume rendering for
B data
CFrontClipMode (0039,1060) 3 Flag indicating whether Niche
and Parallel Cut edit operation
will clip power data.
CMprColorMapIndex (0039,1061) 3 Index of the tint colormap for
MPR power data
CMprColorFlowPriorityIndex (0039,1062) 3 Threshold representing amount
of power data cut from the MPR
power data
CVolumeRenderMode (0039,1063) 3 Volume rendering mode for
power data
CVrColorMapIndex (0039,1064) 3 Index of the tint colormap for
the volume rendered power data
CVrColorFlowPriorityIndex (0039,1065) 3 Threshold representing amount
of power data cut from the
volume rendered power data
CVrOpacity (0039,1066) 3 Opacity percentage of the
opacity curve used for the
volume rendered power data
CVrThresholdHigh (0039,1067) 3 High threshold of the opacity
curve used for the volume
rendered power data
CVrThresholdLow (0039,1068) 3 Low threshold of the opacity
curve used for the volume
rendered power data
VoiMode (0039,1069) 3 Flag indicating whether VOI is
on or off
VoiRotationOffsetDeg (0039,106a) 3 Fixed rotation applied to VOI
VoiSizeRatioX (0039,106b) 3 Width of VOI in relative units
VoiSizeRatioY (0039,106c) 3 Length of VOI in relative units

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Module Attribute Tag Type Notes

S2000 Private VoiSizeRatioZ (0039,106d) 3 Height of VOI in relative units
Attributes VoiSyncPlane (0039,106e) 3 Plane synced to the VOI
VoiViewMode (0039,106f) 3 Type indicating whether the
rendering is synced to the front
or back of the VOI
VrOrientationA (0039,1070) 3 Matrix representing the
oritentation of the volume
rendered image
MprOrientationA (0039,1071) 3 Matrix representing the
oritentation of the MPRs
VrOffsetVector (0039,1072 3 Vector representing the vertical
and horizontal offset of the
volume on the display
BlendingRatio (0039,1073) 3 Value indicating the amount of
blending between B and power
data when blend is on
FusionBlendMode (0039,1074) 3 Mode for fusing in one display
power and B volume rendered
data
QualityFactor (0039,1075) 3 Factor determining the volume
rendering quality
RendererType (0039,1076) 3 Type of the rendererer engine
used
SliceMode (0039,1077) 3 Mode for displaying the
textured map MPRs in the 3D
quadrant
ActiveQuad (0039,1078) 3 Value indicating which
quadrant in the display is active
ScreenMode (0039,1079) 3 Value indicating which screen
layout is applied
CutPlaneSide (0039,107a) 3 Value indicating which half
space of the cut-plane is used
for volume rendering
WireframeMode (0039,107b) 3 Flag indicating whether
wireframe around rendered data
is on or off
CrossmarkMode (0039,107c) 3 Flag indicating whether
crossmark is shown on the
display
MprDisplayType (0039,107d) 3 Value indicating whether B or
power or B+power data are
displayed in the MPRs
VolumeDisplayType (0039,107e) 3 Value indicating whether B or
power or B+power data are
displayed in the volume
rendered image
LastReset (0039,107f) 3 Value indicating the last reset

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Module Attribute Tag Type Notes

S2000 Private LastNonFullScreenMode (0039,1080) 3 Value indicating the last active
Attributes quadrant before entering full
screen
MprToolIndex (0039,1081) 3 Index indicating which tool
(rotation, pan, resizing) is used
on the MPRs
VoiToolIndex (0039,1082) 3 Index indicating which tool
(rotation, pan, resizing) is used
on the volume rendered image
when VOI is on
ToolLoopMode (0039,1083) 3 Value indicating in which loop
VolumeArbMode (0039,1084) 3 Index indicating whether
volume or MPR rotation is
active on the 3D display
window
MprZoomEn (0039,1085) 3 Flag indicating whether zoom is
enabled in the MPR
IsVolumeZoomEn (0039,1086) 3 Flag indicating whether zoom is
enabled in the rendered volume
ZoomLevelMpr (0039,1087) 3 Value indicating the amount of
zoom (in relative units) applied
in the MPR
ZoomLevelVolume (0039,1088) 3 Value indicating the amount of
zoom (in relative units) applied
in the rendered volume
IsAutoRotateEn (0039,1089) 3 Flag indicating whether
animation is enabled
AutoRotateAxis (0039,108a) 3 Value indicating the axis of
rotation for the animation
AutoRotateRangeIndex (0039,108b) 3 Value indicating the total angle
range for the animation
AutoRotateSpeedIndex (0039,108c) 3 Value indicating the speed (in
relative units) for the animation
CVrBrightness (0039,108d) 3 Brightness value for the volume
rendered power data
CFlowStateIndex (0039,108e) 3 Index for flow state of power
data (low, medium, high)
BSubmodeIndex (0039,108f) 3 Index for indicating the B
submode (THI, B, etc...)
CSubmodeIndex (0039,1090) 3 Index for indicating the C
submode
DICOMAttrNameCutPlane (0039,1091 3 Quadrant used to cut volume
when colume cut enabled
BookmarkChunkId (0039,1092) 3 Index of Bookmark
SequenceMinChunkId (0039,1093) 3 Begin range index of volume
sequence
SequenceMaxChunkId (0039,1094) 3 End range index of volume
sequence

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Module Attribute Tag Type Notes

S2000 Private VolumeRateHz (0039,1095) 3 Rate at which volumes are
Attributes rendered
VoiPositionOffsetX (0039,109a) 3 Offset in the x dimension
between the center of the VOI
and center of volume in relative
units
VoiPositionOffsetY (0039,109b) 3 Offset in the y dimension
between the center of the VOI
and center of volume in relative
units
VoiPositionOffsetZ (0039,109c) 3 Offset in the z dimension
between the center of the VOI
and center of volume in relative
units
VrToolIndex (0039,109d) 3 Index indicating which tool
(rotation, pan, resizing) is used
on the volume rendered image
ShadingPercent (0039,109e) 3 Value indicating the amount of
shading in the volume rendered
image
VolumeType (0039,109f) 3 Value indicating the type of
volume (B or B and Power)
VolumeRateHz (0039,1095) 3 Rate at which volumes are
rendered
DICOMAttrNameVrQuadDisplayType (0039,10a0) 3 The type of display to show in
the volume quadrant
DICOMAttrNameMprCenterLocation (0039,10a1) 3 Offset location of slice
centerpoint with respect to
quadrant center
DICOMAttrNameSliceMode (0039,1077) 3 Value indicating that system in
multislice mode
DICOMAttrNameSliceRangeType (0039,10e0) 3 Value indicating type of slice
mode (horizontal/vertical)
DICOMAttrNameSliceMPRPlane (0039,10e1) 3 Value indicating selected MPR
for slice mode
(Acquisition/Elevation/Coronal)
DICOMAttrNameSliceLayout (0039,10e2) 3 Selected layout for slice mode
(2x2, 3x3, 4x4, 6x6)
DICOMAttrNameSliceSpacing (0039,10e3) 3 Value indicates the spacing
between MPR slices
DICOMAttrNameThinVrMode (0039,10e4) 3 Value indicating that system in
ThinVr mode
DICOMAttrNameThinVrThickness (0039,10e5) 3 Selected thickness value
DICOMAttrNameVoiPivotX (0039,10e6) 3 Curved TOP VOI pivot x
DICOMAttrNameVoiPivotY (0039,10e7) 3 Curved TOP VOI pivot y
DICOMAttrNameVoiPivotZ (0039,10e8) 3 Curved TOP VOI pivot z
DICOMAttrNameCTopVoiQuad (0039,10e9) 3 Curved TOP VOI Quad
DICOMAttrNameIsAbvsVolume (0039,10ee) 3

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Module Attribute Tag Type Notes

S2000 Private DICOMAttrNameIsThinVrAbvsView (0039,10ef) 3
Attributes En
DICOMAttrNameNipplePlacementTool (0039,10f0) 3
Position
DICOMAttrNameAbsScanChirality (0039,10f1) 3
DICOMAttrNameAbsScanDirection (0039,10f2) 3
DICOMAttrNameAbsScanLocation (0039,10f3) 3
DICOMAttrNameTsiDepthMm (0039,10f4) 3
DICOMAttrNameVolumeLabel (0039,10f0) 3

Table 13: Comprehensive SR Image IOD Modules

Entity Name Module Name Reference

Patient Patient See Table 9
Specimen Identification Not Used
Study General Study See Table 9
Patient Study See Table 9
Series SR Document Series See Table 14
Equipment General Equipment See Table 9
Document SR Document General See Table 14
SR Document Content See Table 15
SOP Common See Table 9, 10, 11

Table 14: SR Document Series Module

Attribute Tag Type Notes

Modality (0008,0060) 1 Defined term “SR” used
Series Instance UID (0020,000E) 1 Uniquely generated by the S2000
Series Number (0020,0011) 1 Internally generated; incremented
for each new exam within a study
Reference Performed Procedure Step Sequence (0008,1111) 2
>Referenced SOP Class UID (0008,1150) 1C
>Reference SOP Instance UID (0008,1155) 1C

Table 15: SR Document General Module

Attribute Tag Type Notes

Instance Number (0020,0013) 1 Internally generated incremented for
each new SR document within a
study
Completion Flag (0040,A491) 1 Defined Term “PARTIAL” used
Verification Flag (0040,A493) 1 Defined Term “UNVERIFIED” used
Content Date (0008,0023) 1 Date of creation

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Attribute Tag Type Notes

Content Time (0008,0033) 1 Time of creation
Referenced Request Sequence (0040,A370) 1C Filled in if the exam is based on a
Worklist entry
>Study Instance UID (0020,000D) 1 Taken from the Study Instance UID
in the General Study Module
>Accession Number (0008,0050) 2 From Worklist or Patient
Registration
>Requested Procedure ID (0040,1001) 2 Taken from Worklist if available
>Requested Procedure Description (0032,1060) 2 Taken from Worklist if available
Pertinent Other Evidence Sequence (0040,A385) 1
>Include ‘SOP Instance Reference Macro’ 1C

5.2.2.2 SR Document Content Module

The SR Document Content Module is described in the following table and in the appendices.
Table 16: SR Document Content Module Attributes

Attribute Tag Type Notes

Content Template Sequence (0040,A504) 1C Template ID
>Template Identification Macro
Relationship Type (0040,A010) 1 CONTAINS
Value Type (0040,A040) 1 CONTAINER
Continuity of Content (0040,A050) 1C SEPARATE
Concept Name Code Sequence (0040,A043) 1C See Appendix for “OB Gyn
Ultrasound Procedure Report”,
“Vascular Ultrasound Procedure
Report”, or “Adult
Echocardiography Procedure
Report”
> ‘Code Sequence Macro’
Content Sequence (0040,A730) 1C See Appendix for “OB Gyn
Ultrasound Procedure Report”,
“Vascular Ultrasound Procedure
Report” , or “Adult
Echocardiography Procedure
Report”
>Relationship Type (0040,A010) 1 CONTAINS

5.2.2.3 Content Template

The ACUSON S2000 Ultrasound System supports the following root Templates for SR SOP
Instances created, processed, or displayed by the ACUSON S2000.

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Table 17: Root Templates for SR SOP Instances

SOP Class Template ID Template Description Use

Comprehensive SR 5000 “OB-GYN Ultrasound Procedure Report” Create
Comprehensive SR 5100 “Vascular Ultrasound Report” Create
Comprehensive SR 5200 “Adult Echocardiography Procedure Report” Create

5.2.2.3.1 Error Handling

The following table indicates the possible response status codes, which a SCP may return
following the SCU’s C-STORE-RSP command. Only those status responses that indicate some
form of error condition are presented to the user.
A successful C-STORE operation will allow the AE to continue to the next action desired by the
user.
Table 18: C-STORE Status Responses

Service Futher Meaning Protocol Related

Status Codes Fields
Refused Out of resources. A7xx None
Data set does not match SOP Class. A9xx
Error None
Cannot understand. Cxxx
Coercion of data Elements. B000
Warning Data set does not match SOP Class. B007 None
Elements discarded. B006
Success 0000 None

5.3 Storage Commitment AE Specification

The ACUSON S2000 Storage Commitment AE provides Standard Conformance to the following
DICOM SOP Classes as an SCU.
Table 19: Standard SOP Classes as Storage Commitment Push Model

SOP Class Name SOP Class UID

Storage Commitment Push Model 1.2.840.10008.1.20.1

5.3.1 Association Establishment Policies

5.3.1.1 General
The configuration of ACUSON S2000 system Storage Commitment AE defines the Application
Entity Titles, the port numbers, the host names and IP addresses.

5.3.1.2 Number of Associations

The ACUSON S2000 system Storage Commitment AE initiates several associations at a time,
one for each storage commitment request being processed.

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5.3.1.3 Asynchronous Nature

The ACUSON S2000 system Storage Commitment AE does not support asynchronous
communication (multiple outstanding transactions over a single association).

5.3.1.4 Implementation Identifying Information

The ACUSON S2000 system Storage Commitment AE provides a single Implementation Class
UID of
ƒ “1.3.12.2.1107.5.9.20000101”
and an Implementation Version Name of
ƒ “SIEMENS_SWFSYNGO”.

5.3.2 Association Initiation by Real-World Activity

The ACUSON S2000 system Storage Commitment AE initiates an association when acting as
SCU, in order to send a request for storage commitment.

5.3.2.1 Real-World Activity - Send Storage Commitment Request

5.3.2.1.1 Associated Real-World Activity - Send Storage Commitment Request

The user has sent (or archived) images to another DICOM node, which is configured as storage
commitment SCP. The ACUSON S2000 system will automatically attempt to send a storage
commitment request for these images.

5.3.2.1.2 Proposed Presentation Contexts - Send Storage Commitment Request

The ACUSON S2000 system Storage Commitment AE will propose Presentation Contexts as
shown in the following table:
Table 20: Initiation Presentation Context Storage Commitment Request

Presentation Context Table

Abstract Syntax Transfer Syntax Extended
Role
Name UID Name List UID List Negotiation
Implicit VR Little Endian 1.2.840.10008.1.2
Storage Commitment Push
1.2.840.10008.1.20.1 Explicit VR Big Endian 1.2.840.10008.1.2.2 SCU None
Model SOP Class
Explicit VR Little Endian 1.2.840.10008.1.2.1

5.3.2.1.3 SOP Specific Conformance Statement - Send Storage Commitment Request

The SCU sends the N-ACTION-RQ message and waits for the N-ACTION-RSP. After receiving
this, the transaction is marked as “waiting”.
When configured to automatically transfer images “During the Exam”, a separate Storage
Commitment Request is made for each image transferred to a Storage SCP that is configured for
storage commitment.
Depending on a configuration value, the association will be closed or kept open. In the first case,
there is another configurable value giving the number of minutes (by default 60) to wait for the
corresponding N-EVENT-REPORT-RQ. In the second case, this time is the (also configurable)

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time-out for the association. For both cases, if the N_EVENT_REPORT-RQ does not arrive
during the configured time, the transaction will be marked as failed.
Storage Commitment is supported for all the Storage SOP class UIDs as listed in Table 6: on
page 25. The Referenced Study Component Sequence is not supported.
Storage Media File-Set ID and UID Attributes will not be supported in the N-ACTION primitive
invoked by the Storage Commitment SCU.

5.3.3 Association Acceptance Policy

The ACUSON S2000 system Storage Commitment AE accepts an association when acting as
SCU if configured to receive N-EVENT-REPORT on a separate association.
Note: The ACUSON S2000 system may be configured to accept results in the same or separate
association as the Storage Commitment Request.

5.3.3.1 Real World Activity - Receive Storage Commitment Response

5.3.3.1.1 Associated Real World Activity - Receive Storage Commitment Response

When configured to receive results on a separate association, the ACUSON S2000 system
Storage Commitment AE sends a Storage Commitment Request and then closes the association.
The ACUSON S2000 system Storage Commitment AE will then accept an association request
from the Storage Commitment SCP that wants to send Storage Commitment results.

5.3.3.1.2 Accepted Presentation Contexts - Receive Storage Commitment Response

The ACUSON S2000 system Storage Commitment AE will accept Presentation Contexts as
shown in the following table:
Table 21: Presentation Context accepted for Storage Commitment

Presentation Context Table

Abstract Syntax Transfer Syntax Extended
Role
Name UID Name List UID List Negotiation
Implicit VR Little Endian 1.2.840.10008.1.2
Storage Commitment Push
1.2.840.10008.1.20.1 Explicit VR Big Endian 1.2.840.10008.1.2.2 SCU None
Model SOP Class
Explicit VR Little Endian 1.2.840.10008.1.2.1

5.3.3.1.3 SOP Specific Conformance Statement - Receive Storage Commitment

Response
If the N_EVENT_REPORT received has the status of “Complete - Failure Exists”, the
transaction is marked as failed, otherwise the transaction is marked as “completed”. In both
cases, a message is shown to the user. The committed images are marked in the local database.
The ACUSON S2000 system automatically re-sends images and Storage Commitment Requests
for failed storage commitment results with the following failure codes:
ƒ 0112H - No such object instance.
ƒ 0131H - Duplicate transaction UID.

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The ACUSON S2000 system does not re-send images from a failed storage commitment result
with the following failure codes:
ƒ 0110H - Processing failure
ƒ 0213H - Resource limitation
ƒ 0122H - Referenced SOP Class not supported
ƒ 0119H - Class / Instance conflict
The storage commitment status is displayed at the image level in the Patient Browser. Statuses
are:
ƒ S?/A? = Send/Archive Storage Commitment Waiting for result.
ƒ Sf/Af = Send/Archive Storage Commitment Failed.
ƒ SC/AC = Send/Archive Storage Commitment Succeeded.
When all images in a series are successfully committed, a corresponding “S” or “A” is displayed
at the series level of the Patient Browser.
When all series in a study are successfully committed, a corresponding “S” or “A” is displayed at
the study level of the Patient Browser.

5.4 Print AE Specification

The print management SCU invokes print management DIMSE services to transfer images from
the local AE to the remote SCP AE to print the images with the defined film format and size on a
selected network DICOM hardcopy printer. See DICOM part 4 annex H.
The ACUSON S2000 system system provides Standard Conformance to the following DICOM
V3.0 Basic Grayscale Print Management Meta SOP Class, Basic Color Print Management Meta
SOP Class and the optional Print Job SOP Class as an SCU.
Table 22: Basic Gray Scale Print Management Meta SOP Classes

SOP Class Name SOP Class UID Usage

Basic Grayscale Print Management Meta SOP Class 1.2.840.10008.5.1.1.9 Standard
Basic Film Session SOP Class 1.2.840.10008.5.1.1.1 Standard
Basic Film Box SOP Class 1.2.840.10008.5.1.1.2 Standard
Basic Grayscale Image Box SOP Class 1.2.840.10008.5.1.1.4 Standard
Printer SOP Class 1.2.840.10008.5.1.1.16 Standard
Print Job SOP Class 1.2.840.10008.5.1.1.14 Standard

Table 23: Basic Color Print Management Meta SOP Classes

SOP Class Name SOP Class UID Usage

Basic Color Print Management Meta SOP Class 1.2.840.10008.5.1.1.18 Standard
Basic Film Session SOP Class 1.2.840.10008.5.1.1.1 Standard
Basic Film Box SOP Class 1.2.840.10008.5.1.1.2 Standard

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SOP Class Name SOP Class UID Usage

Basic Color Image Box SOP Class 1.2.840.10008.5.1.1.4.1 Standard
Printer SOP Class 1.2.840.10008.5.1.1.16 Standard
Print Job SOP Class 1.2.840.10008.5.1.1.14 Standard

All mandatory elements of these classes are supported.

5.4.1 Association Establishment Policies

5.4.1.1 General
The configuration of the ACUSON S2000 system DICOM print management application defines
the Application Entity Titles, the port numbers, the host names and IP addresses.

5.4.1.2 Number of Associations

The ACUSON S2000 system DICOM application initiates one/several association(s) at a time,
one for each transfer request being processed.

5.4.1.3 Asynchronous Nature

The ACUSON S2000 system DICOM software does not support asynchronous communication
(multiple outstanding transactions over a single association).

5.4.1.4 Implementation Identifying Information

The ACUSON S2000 system DICOM software provides a single Implementation Class UID of
ƒ “1.3.12.2.1107.5.9.20000101”
and an Implementation Version Name of
ƒ “SIEMENS_ SWFSYNGO”.

5.4.2 Association Initiation by Real-World Activity

The Print Management SCU and SCP establish an association by using the DICOM association
services. During association establishment the Print Management application entities negotiate
the supported SOP classes to exchange the capabilities of the SCU and the SCP. If the SCU
supports only mandatory SOP classes, the negotiation of optional capabilities is not necessary.

5.4.2.1 Real World Activity - Print

The system has three possible print configurations in the “Print/Store” preset page.
When “during exam” is selected, an association is opened with the destination printer after the
last image on the film sheet is acquired and is closed at the end of film sheet transfer.
If transfer at “end of exam” has been configured, an association is opened with the destination
printer(s) when the exam is completed (I.e. a new Patient / Study is registered or End Exam is
performed). All film sheets are then transferred. An association is opened for each of the film
sheets transferred.

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When auto transfer is “disabled” the system copies images onto the film sheet, but auto transfer
does not occur.
Printing of Multi-frame Images is not supported.

5.4.2.1.1 Associated Real World Activities - Print

An association is established when the user initiates an “Expose Film Job” operation from the
Filming UI screen. Individual images or entire exams can be transferred to the selected DICOM
Print device. The association is opened when the first sheet of each selected exam is transferred
and closed when the last sheet transfer is completed.

5.4.2.1.2 Proposed Presentation Contexts

Table 24: Presentation Context Table

Presentation Context Table

Abstract Syntax Transfer Syntax Extended
Role
Name UID Name List UID List Negotiation
Basic Grayscale Explicit VR Little Endian 1.2.840.10008.1.2.1
Print Management 1.2.840.10008.5.1.1.9 Explicit VR Big Endian 1.2.840.10008.1.2.2 SCU None
Meta SOP Class Implicit VR Little Endian 1.2.840.10008.1.2
Basic Color Print Explicit VR Little Endian 1.2.840.10008.1.2.1
Management Meta 1.2.840.10008.5.1.1.18 Explicit VR Big Endian 1.2.840.10008.1.2.2 SCU None
SOP Class Implicit VR Little Endian 1.2.840.10008.1.2
Explicit VR Little Endian 1.2.840.10008.1.2.1
Basic Film Session
1.2.840.10008.5.1.1 Explicit VR Big Endian 1.2.840.10008.1.2.2 SCU None
SOP Class
Implicit VR Little Endian 1.2.840.10008.1.2
Explicit VR Little Endian 1.2.840.10008.1.2.1
Basic Film Box
1.2.840.10008.5.1.2 Explicit VR Big Endian 1.2.840.10008.1.2.2 SCU None
SOP Class
Implicit VR Little Endian 1.2.840.10008.1.2
Explicit VR Little Endian 1.2.840.10008.1.2.1
Basic Color Image
1.2.840.10008.5.1.1.4.1 Explicit VR Big Endian 1.2.840.10008.1.2.2 SCU None
Box SOP Class
Implicit VR Little Endian 1.2.840.10008.1.2
Explicit VR Little Endian 1.2.840.10008.1.2.1
Printer SOP Class 1.2.840.10008.5.1.1.16 Explicit VR Big Endian 1.2.840.10008.1.2.2 SCU None
Implicit VR Little Endian 1.2.840.10008.1.2
Explicit VR Little Endian 1.2.840.10008.1.2.1
Print Job SOP Class 1.2.840.10008.5.1.1.14 Explicit VR Big Endian 1.2.840.10008.1.2.2 SCU None
Implicit VR Little Endian 1.2.840.10008.1.2

5.4.2.1.2.1 SOP Specific Conformance Statement

The Print AE provides standard conformance to the Basic Grayscale Print Management Meta
SOP Class and Basic Color Print Management Meta SOP Class as an SCU.
The application uses a setting platform to define the properties of the connected DICOM SCP.
For example,
ƒ Maximum number of print jobs in the queue.
ƒ Maximum number of print copies.

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ƒ Supported film sizes of the connected DICOM SCP.

ƒ Supported film formats of the DICOM SCP.
ƒ Lookup table definition.

5.4.2.1.2.1.1 SOP Specific Conformance to Basic Film Session SOP Class

The Basic Film Session information object definition describes all the user-defined parameters,
which are common for all the films of a film session. The Basic Film Session refers to one or
more Basic Film Boxes that are printed on one hardcopy printer.
The ACUSON S2000 system DICOM Print application supports the following DIMSE Service
Elements for the Basic Film session SOP Class as SCU:
ƒ N-CREATE
ƒ N-DELETE
The Basic Film Session SOP Class SOP Class N_CREATE_RQ (SCU) uses the following
attributes described in the following table:
Table 25: Basic Film Session N_CREATE_RQ attributes

Attribute Name Attribute Tag Usage Range Description

Number of Copies (2000, 0010) U 1 to 99 Number of requested film copies.
Medium Type (2000, 0030) U PAPER Media used for hardcopy; may be
CLEAR FILM further limited by print vendor/server
BLUE FILM
Film Destination (2000, 0040) U MAGAZINE May be further limited by print vendor,
PROCESSOR and/or print server

The affected SOP Instance UID received in the N_CREATE_RSP message from the SCP will be
saved internally and used for later requests like N_DELETE_RQ on the Basic Film Session SOP
Class.
Table 26: Attributes of the N_DELETE_RQ - Basic Film Session SOP Class

Attribute Name Attribute Tag Source of Information

Requested SOP Instance (0008,0018) Affected SOP Instance UID of
UID N_CREATE_RSP on Basic Film Session.

The N_DELETE_RQ on the Basic Film Session SOP Class is used to delete the complete Basic
Film Session SOP Instance hierarchy.
The Basic Film Session SOP Class interprets the status codes in the following table from
NCREATE_RSP, N_DELETE_RSP messages.

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Table 27: Basic Film Session SOP Status

Service Status Meaning Protocol Code

Film Session SOP Instances hierarchy does not contain film box SOP
C600
instances
Failure
Unable to create print job, print queue is full C601
Image size is larger than images box size C603
Memory allocation not supported B600
Warning Film session printing is not supported B601
Film box does not contain image box (empty page) B602
Success Film belonging to the film session are accepted for printing 0000

5.4.2.1.2.1.2 SOP Specific Conformance to Basic Film Box SOP Class

The Basic Film Box Information object definition describes all the user-defined parameters of
one film of the film session. The Basic Film Box information description defines the presentation
parameters, which are common for all images on a given sheet of film. The Basic Film Box
refers to one or more Image Boxes.
Supported as SCU are:
Table 28: Supported DIMSE Services for Basic Film Box SOP Class

Name Usage Description

N-Create M Creates the Film Box.
N-Delete U Deletes the Film Box. Issued after each film is printed.
N-Action M PRINT. Sent after each Film Box is filled, and at the end of the exam to force a
print of partially filled Film Box.

The Basic Film Box SOP Class N_CREATE_RQ message uses the attributes in the following
table. The used values for each attribute depend on how the DICOM printer is configured within
the ACUSON S2000 product.
Table 29: Used Basic Film Box N_CREATE_RQ Attributes

Attribute Name Attribute Tag Usage Range Description

Image Display Format (2010,0010) M STANDARD\C,R Set to
(with C number of STANDARD\1,1 if
columns and R “formatted by
number of rows) printer is selected”
Otherwise dependent
on configured
printer
Film Orientation (2010,0040) M PORTRAIT Always set to
PORTRAIT

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Attribute Name Attribute Tag Usage Range Description

Film Size ID (2010,0050) M 8INX10IN Valid film sheet
10INX12IN sizes
10INX14IN
11INX14IN
14INX14IN
14INX17IN
24CMX24CM
24CMX30CM
Magnification Type (2010,0060) M REPLICATE Used.
BILINEAR
CUBIC
NONE
Min. Density (2010,0120) U 0-999 Used - printer
specific
Max Density (2010,0130) U 0-999 Used - printer
specific
Referenced Film Session (2010,0500) M 1.2.840.10008.5.1.1.1
Sequence
Referenced SOP Class UID (0008,1150) M
Referenced SOP Instance UID (0008,1155) M

The N_CREATE_RSP message from the SCP then contains the References Image Box Sequence
with its SOP Class and Instance UID’s, which is stored internally and then used for the Basic
Image Box SOP Class N-SET RQ messages.
After all parameters for the Image boxes on the film sheet have been sent then the ACUSON
S2000 system DICOM Print application SCU will issue a N_ACTION_RQ message with the
SOP Instance UID of the Basic Film Box (returned in the N_CREATE_RSP of the Basic Film
Box SOP Class) and the Action Type ID set to 1.
The affected SOP Instance UID received in N_CREATE_RSP message from the SCP will be
saved internally and can be used later for the N_DELETE_RQ request on the Basic Film Box
SOP Class.
Table 30: Attributes of the N_DELETE_RQ on the Basic Film Session SOP Class

Attribute Name Tag Source of Information

Requested SOP (0008,0018) Affected SOP Instance UID of N_CREATE_RSP on
Instance UID Basic Film Box

The Basic Film Box SOP class interprets the status codes in the following table from the
N_CREATE_RSP, N_DELETE_RSP and N_ACTION_RSP messages.

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Table 31: Basic Film Box SOP Status

Service Status Meaning Protocol Codes

Unable to create print job; print queue is full C602
Failure
Image size is larger than image box size C603
Film box does not contain image box (empty page) B603
Warning Requested MinDensity or MaxDensity outside of
B605
printer’s operating range
Success Film accepted for printing 0000

5.4.2.1.2.1.3 SOP Specific Conformance to Basic Grayscale Image Box SOP Class
The Basic Grayscale Image Box information object definition is the presentation of an image and
image related data in the image area of a film. The Basic Image Box information describes the
parameters and image pixel data, which apply to a single image of a sheet of film.
The printing is only suspended in the case of a failure return status of the SCP
The Grayscale Image Box SOP Class uses only the N_SET_RQ with the attributes in the
following table.
Table 32: Used Basic Grayscale Image Box N-Set Attributes

Name Attribute Usage SCU Supported Values

Image Position (2020,0010) M 1, if “formatted by
printer” is selected,
otherwise position for
each image
Basic Grayscale Image Sequence (2020,0110) M
>Samples Per Pixel (0028,0002) M 1
>Photometric Interpretation (0028,0004) M MONOCHROME2
for Grayscale images
>Rows (0028,0010) M
>Columns (0028,0011) M
>Pixel Aspect Ratio (0028,0034) M
>Bits Allocated (0028,0100) M 8
>Bits Stored (0028,0101) M 8
>High Bit (0028,0102) M 7
>Pixel Representation (0028,0103) M 0
>Pixel Data (7FE0,0010) M

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The Grayscale Image Box SOP Class interprets the following status codes:
Table 33: Basic Grayscale Image Box SOP Status

Service Status Meaning Protocol Codes

Image contains more pixels than printer can print in Image Box C603
Failure
Insufficient memory in printer to store the image C605
Success 0000

5.4.2.1.2.1.4 SOP Specific Conformance to Basic Color Image Box SOP Class
The Basic Color Image Box information object definition is the presentation of an image and
image related data in the image area of a film. The Basic Image Box information describes the
presentation parameters and image pixel data, which apply to a single image of a sheet of film.
The Color Image Box SOP Class uses only the N_SET_RQ with the attributes in the following
table.
Table 34: Used Basic Color Image Box N-Set Attributes
Name Attribute Usage SCU Supported Values
Image Position (2020,0010) M 1
Basic Color Image Sequence (2020,0111) M
>Samples Per Pixel (0028,0002) M 3
>Photometric Interpretation (0028,0004) M RGB
>Planar Configuration (0028,0006) M 0
>Rows (0028,0010) M
>Columns (0028,0011) M
>Pixel Aspect Ratio (0028,0034) M
>Bits Allocated (0028,0100) M 8
>Bits Stored (0028,0101) M 8
>High Bit (0028,0102) M 7
>Pixel Representation (0028,0103) M 0
>Pixel Data (7FE0,0010) M

The Color Image Box SOP Class interprets the status codes in the following table.
Table 35: Basic Color Image Box SOP Status

Service Status Meaning Protocol Codes

Warning Image size larger than image box size B604
Image contains more pixels than printer can print in Image Box C603
Failure
Insufficient memory in printer to store the image C605
Success 0000

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5.4.2.1.2.1.5 SOP Specific Conformance to Printer SOP Class

The Printer SOP Class has the possibility to monitor the status of the hardcopy printer in a
synchronous and asynchronous way.
The ACUSON S2000 system DICOM Print application uses the mandatory N-EVENT Report
DIMSE service to monitor the changes of the printer status in an asynchronous way.
It can directly ask the Print SCP for it’s status or can receive Events from the Print SCP
asynchronously:
ƒ N-GET as SCU
ƒ N-EVENT-REPORT as SCU
In both cases the following information is supported:
Table 36: Used Printer N-Event Reports

Event type name Event Attributes Tag Usage SCU

Normal 1 0000
Warning 2 Printer status info (2110,0020) U
Failure 3 Printer status info (2110,0020) U

Table 37: Mandatory Printer N_GET_RSP, N_EVENT_REPORT_RQ Attributes

Attribute Name Tag Usage SCP Supported Values

NORMAL
Printer Status (2110,0010) M FAILURE
WARNING
SUPPLY EMPTY
SUPPLY LOW
Printer Status Info (2110,0020) M RECEIVER FULL
NO RECEIVE MGZ
FILM JAM

5.4.2.1.2.1.6 SOP Specific Conformance to Print Job SOP Class

The Print Job SOP Class has the possibility to monitor the execution of the print process. The
ACUSON S2000 system DICOM Print application supports the optional N-EVENT-REPORT
DIMSE service to receive the changes of the print job status in an asynchronous way.
The following information is supported:
Table 38: Used Print Job N-Event Reports

Event Type Name Event Attributes Tag Usage SCU

Execution Status Info (2100,0030) U
Print Queue Management SOP
Print Job ID (2100,0010)
Normal 1 Class not supported
Film Session Label (2000,0050) U
Printer Name (2110,0030) U

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Event Type Name Event Attributes Tag Usage SCU

Exception Status Info (2100,0030) U
Print Queue Management SOP
Print Job ID (2110,0020)
Printing 2 Class not supported
Film Session Label (2000,0050) U
Printer Name (2110,0030) U
Exception Status Info (2100,0030) U
Print Queue Management SOP
Print Job ID (2100,0010)
Done 3 Class not supported
Film Session Label (2000,0050) U
Printer Name (2110,0030) U
Exception Status Info (2100,0030) U
Print Queue Management SOP
Print Job ID (2100,0010)
Failure 4 Class not supported
Film Session Label (2000,0050) U
Printer Name (2110,0030) U

5.5 Modality Worklist AE Specification

The Modality Worklist SCU requests that the remote SCP performs a match of all keys specified
in the query against the information in its worklist database. The ACUSON S2000 system
system provides Standard Conformance to the following DICOM V3.0 SOP Class as an SCU:
Table 39: SOP Classes as an SCU

SOP Class Name SOP Class UID

Modality Worklist Information Model - FIND 1.2.840.10008.5.1.4.31

5.5.1 Association Establishment Policies

5.5.1.1 General
The configuration of the ACUSON S2000 system DICOM modality worklist application defines
the Application Entity Title, the port number, the host name and IP address.

5.5.1.2 Number of Associations

The ACUSON S2000 system DICOM application initiates one worklist association at a time, one
for each transfer request being processed.

5.5.1.3 Asynchronous Nature

The ACUSON S2000 system DICOM software does not support asynchronous communication
(multiple outstanding transactions over a single association).

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5.5.1.4 Implementation Identifying Information

The ACUSON S2000 system DICOM software provides a single Implementation Class UID of
ƒ “1.3.12.2.1107.5.9.20000101”
and an Implementation Version Name of
ƒ “SIEMENS_ SWFSYNGO”.

5.5.2 Association Initiation by Real-World Activity

The Modality Worklist SCU establishes an association by using the DICOM association
services.
The following DIMSE-C operation is supported as SCU: C-FIND.

5.5.2.1 Real World Activity—Worklist

A separate Network association is established by the AE for each Worklist query operation, with
only one active query at a time. The association is closed at completion of the query.

5.5.2.1.1 Proposed Presentation Context

Table 40: Worklist Presentation Context Table

Presentation Context Table

Abstract Syntax Transfer Syntax Extended
Role
Name UID Name List UID List Negotiation
Modality Worklist Implicit VR Little Endian 1.2.840.10008.1.2
Information Model – 1.2.840.10008.5.1.4.31 Explicit VR Big Endian 1.2.840.10008.1.2.2 SCU None
FIND Explicit VR Little Endian 1.2.840.10008.1.2.1

The ACUSON S2000 system system will always act as an SCU and be the client in a client-
server model.

5.5.2.1.2 SOP Specific Conformance to Modality Worklist Service SOP Class

The ACUSON S2000 system Worklist AE provides conformance to the following DICOM
Service SOP Classes as an SCU all at a standard extended level of conformance:
The following table provides the list of user configurable matching attributes requested in the
Broad Query of the Modality Worklist (C-FIND).
Table 41: Modality Worklist Matching Key Attributes (Broad Query)

Module Attribute Name Tag Match Type Query Value

Scheduled Scheduled Procedure Step (0040,0100) R
Procedure Sequence
Step >Scheduled Station AE Title (0040,0001) R S2000 HIS/RIS SCU AE
Title or “*”
>Scheduled Procedure Step (0040,0002) R Today’s date or user
Start Date specified date range
>Scheduled Procedure Step (0040,0003) O Current time - 23:59:59 or
Start Time User specified time range or
zero length

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Module Attribute Name Tag Match Type Query Value

>Modality (0008,0060) R “US” or “*”

The following table provides the list of user configurable matching attributes requested in the
Patient based Query of the Modality Worklist (C-FIND).
Table 42: Modality Worklist Matching Key Attributes (Patient Based Query)

Module Attribute Name Tag Match Type Query Value

Requested Requested Procedure ID (0040,1001) R As entered in the “Patient
Procedure Module Worklist Query” dialog
Image Service Accession Number (0008,0050) R As entered in the “Patient
Request Worklist Query” dialog
Patient’s Name (0010,0010) R As entered in the “Patient
Patient Worklist Query” dialog
Identification Patient ID (0010,0020) R As entered in the “Patient
Worklist Query” dialog

Return Key Attributes used from the Worklist C_FIND_RSP

The ACUSON S2000 system DICOM worklist SCU supports worklist queries with return key
attributes of all types. The following table describes the return keys that the SCU supports. Most
attributes can be shown in the User Interface; Patient Registration or Patient Browser. Attributes
displayed in the Patient Browser are configurable.
Table 43: Modality Worklist C_FIND_RSP Return Key Attributes

Attribute Name Tag Return Displayed in User

Key Type Interface
SOP Common
Specific Character Set (0008,0005) 1C
Scheduled Procedure Step
Scheduled Procedure Step Sequence (0040,0100) 1
>Scheduled Station AE Title (0040,0001) 1 yes
>Scheduled Procedure Step Start Date (0040,0002) 1 yes
>Scheduled Procedure Step Start Time (0040,0003) 1 yes
>Scheduled Procedure Step End Date (0040,0004) 3
>Scheduled Procedure Step End Time (0040,0005) 3
>Modality (0008,0060) 1 yes
>Scheduled Performing Physician’s Name (0040,0006) 2 yes
>Scheduled Procedure Step Description (0040,0007) 1C yes
>Scheduled Station Name (0040,0010) 2 yes
>Scheduled Procedure Step Location (0040,0011) 2 yes
>Scheduled Protocol Code Sequence (0040,0008) 1C
>>Code Value (0008,0100) 1C yes
>>Coding Scheme Designator (0008,0102) 1C yes
>>Coding Scheme Version (0008,0103) 3 yes

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Attribute Name Tag Return Displayed in User

Key Type Interface
>>Code Meaning (0008,0104) 3 yes
>Pre-Medication (0040,0012) 2C yes
>Scheduled Procedure Step ID (0040,0009) 1 yes
>Requested Contrast Agent (0032,1070) 2C yes
>Scheduled Procedure Step Status (0040,0020) 3 yes
>Comments on the Scheduled Procedure Step (0040,0400) 3
Requested Procedure
Requested Procedure ID (0040,1001) 1 yes
Requested Procedure Description (0032,1060) 1C yes
Requested Procedure Code Sequence (0032,1064) 1C
>Code Value (0008,0100) 1C yes
>Code Scheme Designator (0008,0102) 1C yes
>Code Scheme Version (0008,0103) 3 yes
>Code Meaning (0008,0104) 3 yes
Study Instance UID (0020,000D) 1
Referenced Study Sequence (0008,1110) 2
>Referenced SOP Class UID (0008,1150) 1C
>Referenced SOP Instance UID (0008,1155) 1C
Requested Procedure Priority (0040,1003) 2 yes
Patient Transport Arrangements (0040,1004) 2
Reason for the Requested Procedure (0040,1002) 3
Confidentiality Code (0040,1008) 3
Reporting Priority (0040,1009) 3
Names of Intended Recipients of results (0040,1010) 3
Requested Procedure Comments (0040,1400) 3 yes
Requested Procedure Location (0040,1005) 3
Imaging Service Request
Accession Number (0008,0050) 2 yes
Requesting Physician (0032,1032) 2 yes
Referring Physician’s Name (0008,0090) 2 yes
Reason for the Imaging Service Request (0040,2001) 3
Imaging Service Request Comments (0040,2400) 3 yes
Requesting Service (0032,1033) 3 yes
Issuing Date of Imaging Service Request (0040,2004) 3
Issuing Time of Imaging Service Request (0040,2005) 3
Placer Order Number / Imaging Service (0040,2016) 3
Request
Filler Order Number / Imaging Service (0040,2017) 3
Request
Order entered by... (0040,2008) 3
Order Enterer’s Location (0040,2009) 3

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Attribute Name Tag Return Displayed in User

Key Type Interface
Order Callback Phone Number (0040,2010) 3
Visit Identification
Admission ID (0038,0010) 2 yes
Issuer of Admission ID (0038,0011) 3
Visit Status
Current Patient Location (0038,0300) 2 yes
Visit Relationship
Referenced Patient Sequence (0008,1120) 2
>Referenced SOP Class UID (0008,1150) 2
>Referenced SOP Instance UID (0008,1155) 2
Visit Admission
Institution Name (0008,0080) 3 yes
Admitting Diagnoses Description (0008,1080) 3 yes
Patient Identification
Patient’s Name (0010,0010) 1 yes
Patient ID (0010,0020) 1 yes
Other Patient IDs (0010,1000) 3
Other Patient Names (0010,1001) 3
Patient Demographic
Patients Birth Date (0010,0030) 2 yes
Patient’s Sex (0010,0040) 2 yes
Patient’s Primary Language Code Sequence (0010,0101) 3
>Code Value (0008,0100) 1
>Coding Scheme Designator (0008,0102) 1
>Code Meaning (0008,0104) 1
>Patient’s Primary Language Code Modifier (0010,0102) 3
Sequence
>>Code Value (0008,0100) 1
>>Coding Scheme Designator (0008,0102) 1
>>Code Meaning (0008,0104) 1
Patient’s Size (0010,1020) 3 yes
Patient’s Weight (0010,1030) 2 yes
Confidentiality constraint on patient data (0040,3001) 2
Patient’s Address (0010,1040) 3
Military Rank (0010,1080) 3 yes
Ethnic Group (0010,2160) 3 yes
Patient Comments (0010,4000) 3 yes
Patient Medical
Patient State (0038,0500) 2 yes
Pregnancy Status (0010,21C0) 2 yes

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Attribute Name Tag Return Displayed in User

Key Type Interface
Medical Alerts (0010,2000) 2 yes
Contrast Allergies (0010,2110) 2 yes
Special Needs (0038,0050) 2 yes
Smoking Status (0010,21A0) 3 yes
Last Menstrual Date (0010,21D0) 3 yes
Additional Patient History (0010,21B0) 3 yes

5.5.2.1.3 Error Handling

The following table indicates the possible response status codes, which a SCP may return
following the SCU’s C-FIND command. Only those status responses that indicate some form of
error condition are presented to the user.
Table 44: C-FIND Status Responses

Service Status Further Meaning Protocol Codes

Refused Out of resources A700
Identifier does not match SOP Class A900
Failed
Unable to process Cxxx
Cancel Matching terminated due to Cancel request FE00
Success Matching is complete - No final Identifier is supplied. 0000
Matches are continuing - Current Match is supplied and any Optional
FF00
Keys were supported in the same manner as Required Keys.
Pending
Matches are continuing - Warning that one or more Optional Keys were
FF01
not supported for existence and/or for this Identifier.

5.6 Modality Performed Procedure Step AE Specification

The Modality Performed Procedure Step SCU informs the remote SCP about the performed
examinations at the modality. The ACUSON S2000 system provides Standard Conformance to
the following DICOM V3.0 SOP Class as an SCU:
Table 45: SOP Classes as an SCU

SOP Class Name SOP Class UID

Modality Performed Procedure Step 1.2.840.10008.3.1.2.3.3

5.6.1 Association Establishment Policies

5.6.1.1 General
The configuration of the ACUSON S2000 system DICOM Performed Procedure Step
application defines the Application Entity Title, the port number, the host name and IP address.

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5.6.1.2 Number of Associations

The ACUSON S2000 system DICOM application initiates one/several association(s) at a time,
one for each transfer request being processed.

5.6.1.3 Asynchronous Nature

The ACUSON S2000 system DICOM software does not support asynchronous communication
(multiple outstanding transactions over a single association).

5.6.1.4 Implementation Identifying Information

The ACUSON S2000 system DICOM software provides a single Implementation Class UID of
ƒ “1.3.12.2.1107.5.9.20000101”
and an Implementation Version Name of
ƒ “SIEMENS_ SWFSYNGO”.

5.6.2 Association Initiation by Real-World Activity

The Modality Performed Procedure Step SCU establishes an association by using the DICOM
association services.
The following DIMSE-N operations are supported as SCU:
ƒ N-CREATE
ƒ N-SET

5.6.2.1 Real World Activity

5.6.2.1.1 Associated Real-World Activity

The associated Real-World activity is to send examination information to an SCP by using the
DICOM Modality Performed Procedure Step Service.

5.6.2.1.2 Proposed Presentation Contexts

The ACUSON S2000 system DICOM application will propose Presentation Contexts as shown
in the following table:
Table 46: Proposed Presentation Contexts

Presentation Context Table

Abstract Syntax Transfer Syntax Extended
Role
Name UID Name List UID List Negotiation
Implicit VR Little Endian 1.2.840.10008.1.2
Modality Performed
1.2.840.10008.3.1.2.3.3 Explicit VR Big Endian 1.2.840.10008.1.2.2 SCU None
Procedure Step
Explicit VR Little Endian 1.2.840.10008.1.2.1

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5.6.2.1.3 SOP Specific Conformance Statement

Attributes used for the Performed Procedure Step N-CREATE
The ACUSON S2000 system DICOM performed procedure step SCU informs the remote SCP
when the examination of a scheduled procedure step will be performed. The N-CREATE
message is sent when the examination is started. The following table describes the supported
attributes for a N-CREATE message.
Table 47: Performed Procedure Step N-CREATE Attributes

Attribute Name Tag Required Value

Type
SOP Common
Specific Character Set (0008,0005) 1C from MWL or created
Performed Procedure Step Relationship
Scheduled Step Attribute Sequence (0040,0270) 1
>Study Instance UID (0020,000D) 1 from MWL or created
>Referenced Study Sequence (0008,1110) 2 from MWL or zero length
>>Referenced SOP Class UID (0008,1150) 1C
>>Referenced SOP Instance UID (0008,1155) 1C
>Accession Number (0008,0050) 2 from MWL or user input
>Placer Order Number / Imaging Service Request (0040,2016) 3 from MWL or zero length
>Filler Order Number / Imaging Service Request (0040,2017) 3 from MWL or zero length
>Requested Procedure ID (0040,1001) 2 from MWL or user input
>Requested Procedure Description (0032,1060) 2 from MWL or zero length
>Scheduled Procedure Step ID (0040,0009) 2 from MWL or zero length
>Scheduled Procedure Step Description (0040,0007) 2 from MWL or zero length
>Scheduled Protocol Code Sequence (0040,0008) 2 from MWL or zero length
>>Code Value (0008,0100) 1C
>>Coding Scheme Designator (0008,0102) 1C
>>Code Scheme Version (0008,0103) 3
>>Code Meaning (0008,0104) 3
Patient’s Name (0010,0010) 2 from MWL or user input
Patient ID (0010,0020) 2 from MWL or user input or
created
Patients Birth Date (0010,0030) 2 from MWL or user input
Patient’s Sex (0010,0040) 2 from MWL or user input
Referenced Patient Sequence (0008,1120) 2 from MWL or zero length
>Referenced SOP Class UID (0008,1150) 1C
>Referenced SOP Instance UID (0008,1155) 1C
Performed Procedure Step Information
Performed Procedure Step ID (0040,0253) 1 from SPS ID or created
Performed Station AE Title (0040,0241) 1 own AE Title
Performed Station Name (0040,0242) 2 own hostname
Performed Location (0040,0243) 2 from SPS Location or zero length

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Attribute Name Tag Required Value

Type
Performed Procedure Step Start Date (0040,0244) 1 created
Performed Procedure Step Start Time (0040,0245) 1 created
Performed Procedure Step Status (0040,0252) 1 IN PROGRESS
Performed Procedure Step Description (0040,0254) 2 from SPS Description or zero
length
Performed Procedure Type Description (0040,0255) 2 zero length
Procedure Code Sequence (0008,1032) 2 from Requested Procedure Code
or zero length
>Code Value (0008,0100) 1C
>Code Scheme Designator (0008,0102) 1C
>Code Scheme Version (0008,0103) 3
>Code Meaning (0008,0104) 3
Performed Procedure Step End Date (0040,0250) 2 zero length
Performed Procedure Step End Time (0040,0251) 2 zero length
Comments on the Performed Procedure Step (0040,0280) 3 from MPPS dialog
Image Acquisition Results
Modality (0008,0060) 1 US
Study ID (0020,0010) 2 from Requested Procedure ID or
created
Performed Protocol Code Sequence (0040,0260) 2 from Scheduled Action Item Code
SQ or zero length
>Code Value (0008,0100) 1C
>Code Scheme Designator (0008,0102) 1C
>Code Scheme Version (0008,0103) 3
>Code Meaning (0008,0104) 3
Performed Series Sequence (0040,0340) 2
>Performing Physicians’s Name (0008,1050) 2C from MWL or user input
>Protocol Name (0018,1030) 1C set to “unknown”
>Operator’s Name (0008,1070) 2C user input
>Series Instance UID (0020,000E) 1C created
>Series Description (0008,103E) 2C zero length
>Retrieve AE Title (0008,0054) 2C zero length
>Referenced Image Sequence (0008,1140) 2C zero length
>>Referenced SOP Class UID (0008,1150) 1C
>>Referenced SOP Instance UID (0008,1155) 1C
>Referenced Non-Image Composite SOP (0040,0220) 2C
Instance Sequence
>>Referenced SOP Class UID (0008,1150) 1C
>>Referenced SOP Instance UID (0008,1155) 1C
>Referenced Standalone SOP Instance Sequence (0040,0220) 2C zero length

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Attribute Name Tag Required Value

Type
Billing and Material Code
Billing Procedure Step Sequence (0040,0320) 3
>Code Value (0008,0100) 1C
>Code Scheme Designator (0008,0102) 1C
>Code Scheme Version (0008,0103) 1C
>Code Meaning (0008,0104) 1C
Film Consumption Sequence (0040,0321) 3
>Number of Films (2100,0170) 3
>Medium Type (2000,0030) 3
>Film Size ID (2010,0050) 3
Billing Supplies and Devices Sequence (0040,0324) 3
>Billing Item Sequence (0040,0296) 3
>>Code Value (0008,0100) 1C
>>Code Scheme Designator (0008,0102) 1C
>>Code Scheme Version (0008,0103) 1C
>>Code Meaning (0008,0104) 1C
>Quantity Sequence (0040,0293) 3
>> Quantity (0040,0294) 3
>>Measuring Units Sequence (0040,0295) 1C
>>>Code Value (0008,0100) 1C
>>>Code Scheme Designator (0008,0102) 1C
>>>Code Scheme Version (0008,0103) 1C
>>>Code Meaning (0008,0104) 1C

Status Codes of the Performed Procedure Step N-CREATE

The Performed Procedure Step SCU interprets the following status values:
Table 48: N-CREATE Response Status

Service Status Meaning Status Codes

(0000,0900)
Processing Failure 0110
No such attribute 0105
Invalid attribute value 0106
Duplicate SOP Instance 0111
No such SOP Instance 0112
Failure
No such SOP class 0118
Class instance conflict 0119
Missing attribute 0120
Missing attribute value 0121
Resource limitation 0213
Success Successful Operation 0000

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Attributes used for the Performed Procedure Step N-SET

The ACUSON S2000 system DICOM performed procedure step SCU informs the remote SCP
about the performed examination and its status. The N-SET message is only sent once when the
exam is ended with status “COMPLETED” or when the examination could not be completed
with status “DISCONTINUED”. The following table describes the supported attributes for a N-
SET message.
Table 49: Performed Procedure Step N-SET Attributes

Attribute name Tag Required Value

Type
Performed Procedure Step Information
Performed Procedure Step Status (0040,0252) 3 COMPLETED or DISCONTINUED
Performed Procedure Step Description (0040,0254) 3 from SPS Description or user input
Performed Procedure Type Description (0040,0255) 3 user input
Procedure Code Sequence (0008,1032) 3 from Requested Procedure Code
>Code Value (0008,0100) 1C
>Code Scheme Designator (0008,0102) 1C
>Code Scheme Version (0008,0103) 3
>Code Meaning (0008,0104) 3
Performed Procedure Step End Date (0040,0250) 3 created
Performed Procedure Step End Time (0040,0251) 3 created
Image Acquisition Results
Performed Action Item Code Sequence (0040,0260) 3 from Scheduled Action Item Code SQ.
>Code Value (0008,0100) 1C
>Code Scheme Designator (0008,0102) 1C
>Code Scheme Version (0008,0103) 3
>Code Meaning (0008,0104) 3
Performed Series Sequence (0040,0340) 3
>Performing Physicians’s Name (0008,1050) 2C from MWL or user input
>Protocol Name (0018,1030) 1C user input or set to “unknown”
>Operator’s Name (0008,1070) 2C user input
>Series Instance UID (0020,000E) 1C created
>Series Description (0008,103E) 2C user input
>Retrieve AE Title (0008,0054) 2C from Storage Commitment RSP or zero
length
>Referenced Image Sequence (0008,1140) 2C created
>>Referenced SOP Class UID (0008,1150) 1C
>>Referenced SOP Instance UID (0008,1155) 1C
>Referenced Standalone SOP Instance (0040,0220) 2C zero length
Sequence
All other attributes from Billing and 3 user input
Material Code Module

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Status Codes of the Performed Procedure Step N-SET

The Performed Procedure Step SCU interprets the following status values:
Table 50: N-SET Response Status

Service Status Meaning Status Codes

(0000,0900)
Processing Failure: Performed Procedure
0110
Step Object may no longer be updated
No such attribute 0105
Invalid attribute value 0106
Failure
No such SOP Instance 0112
Invalid object instance 0117
No such SOP class 0118
Class instance conflict 0119
Missing attribute value 0121
Failure
Resource limitation 0213
Success Successful Operation 0000

5.7 Query/Retrieve Service AEs Specification

The Query/Retrieve SCU requests that the remote SCP performs a match of all keys specified in
the request, against the information in its database and the identified images will be moved over
a different (C-MOVE) storage association.
The Query/Retrieve SCP responds to queries based on the records based on its database and
images will be sent to the requesting SCU or to a different storage destination.
ACUSON S2000 DICOM products provide Standard Conformance to the following DICOM
SOP Classes as SCU:
SOP Class Name SOP Class UID
Patient Root Query/Retrieve Information Model - FIND 1.2.840.10008.5.1.4.1.2.1.1
Patient Root Query/Retrieve Information Model - MOVE 1.2.840.10008.5.1.4.1.2.1.2
Study Root Query/Retrieve Information Model - FIND 1.2.840.10008.5.1.4.1.2.2.1
Study Root Query/Retrieve Information Model - MOVE 1.2.840.10008.5.1.4.1.2.2.2
Patient/Study Only Query/Retrieve Information Model - FIND 1.2.840.10008.5.1.4.1.2.3.1
Patient/Study Only Query/Retrieve Information Model - MOVE 1.2.840.10008.5.1.4.1.2.3.2

ACUSON S2000 DICOM products provide Standard Conformance to the following DICOM
SOP Classes as an SCP:
SOP Class Name SOP Class UID
Patient Root Query/Retrieve Information Model - FIND 1.2.840.10008.5.1.4.1.2.1.1
Patient Root Query/Retrieve Information Model - MOVE 1.2.840.10008.5.1.4.1.2.1.2
Patient Root Query/Retrieve Information Model - GET 1.2.840.10008.5.1.4.1.2.1.3
Study Root Query/Retrieve Information Model - FIND 1.2.840.10008.5.1.4.1.2.2.1

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SOP Class Name SOP Class UID

Study Root Query/Retrieve Information Model - MOVE 1.2.840.10008.5.1.4.1.2.2.2
Study Root Query/Retrieve Information Model - GET 1.2.840.10008.5.1.4.1.2.2.3
Patient/Study Only Query/Retrieve Information Model - FIND 1.2.840.10008.5.1.4.1.2.3.1
Patient/Study Only Query/Retrieve Information Model – MOVE 1.2.840.10008.5.1.4.1.2.3.2
Patient/Study Only Query/Retrieve Information Model - GET 1.2.840.10008.5.1.4.1.2.3.3

5.7.1 Association Establishment Policies

5.7.1.1 General
With the “Search...” function the query data are input and the DICOM query/retrieve application
is started. A query request will be sent out to one remote node that can be selected from a list of
configured Query Providers and the response data will be displayed for the user. Upon request
(Import), the retrieval of selected items is initiated.
The default PDU size used will be 28 KB.

5.7.1.2 Number of Associations

The ACUSON S2000 system DICOM application initiates several associations at a time, one for
each destination to which a transfer request is being processed in the active job queue list.
The ACUSON S2000 system DICOM application is able to accept multiple associations at a
time. It can handle up to 10 associations in parallel.

5.7.1.3 Asynchronous Nature

The ACUSON S2000 system DICOM software does not support asynchronous communication
(multiple outstanding transactions over a single association).

5.7.1.4 Implementation Identifying Information

The ACUSON S2000 system DICOM software provides a single Implementation Class UID of
“1.3.12.2.1107.5.9.20000101”
and an Implementation Version Name of
“SIEMENS_SWFSYNGO”.

5.7.1.5 Association Initiation Policy

The query user interface will request the query-data from user and triggers one C-FIND request
to the selected remote node. The response data will be displayed in the query UI for further data
navigation.
When requesting Import of related items the browser requests the retrieve application to send a
C-MOVE request to the related remote node. Images will then be received by the Storage SCP as
described in the related section.

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5.7.2 Real World Activity - Find SCU

5.7.2.1 Associated Real-World Activity - Find SCU “Search”
The associated Real-World activity is to fill out a query form with search data and pass it as
query to the network application which issues a C-FIND over a previously built association. The
remote SCP will respond with related data-entries that will be passed to a browser application.
When data transfer is finished the association is closed.

5.7.2.2 Proposed Presentation Contexts - Find SCU

The ACUSON S2000 system DICOM application will propose Presentation Contexts as shown
in the following table:

Presentation Context Table

Abstract Syntax Transfer Syntax Extended
Role
Name UID Name UID Negotiation
Patient Root Implicit VR Little Endian 1.2.840.10008.1.2
Query/Retrieve 1.2.840.10008.5.1.4.1.2.1.1 Explicit VR Little Endian 1.2.840.10008.1.2.1 SCU None
Model – FIND Explicit VR Big Endian 1.2.840.10008.1.2.2
Study Root Implicit VR Little Endian 1.2.840.10008.1.2
Query/Retrieve 1.2.840.10008.5.1.4.1.2.2.1 Explicit VR Little Endian 1.2.840.10008.1.2.1 SCU None
Model – FIND Explicit VR Big Endian 1.2.840.10008.1.2.2
Patient/Study Implicit VR Little Endian 1.2.840.10008.1.2
Only
1.2.840.10008.5.1.4.1.2.3.1 Explicit VR Little Endian 1.2.840.10008.1.2.1 SCU None
Query/Retrieve
Model – FIND Explicit VR Big Endian 1.2.840.10008.1.2.2

It is configurable which of the two query models (or both) are to be used by the ACUSON S2000
system DICOM Query SCU application. If both Abstract Syntaxes are configured, The C-FIND
SCU will use the Patient Root Model only for C-FIND requests on PATIENT level. For all other
levels it will use the STUDY root model.

5.7.2.3 SOP Specific Conformance - Find SCU

The ACUSON S2000 system DICOM Query/Retrieve SCU supports hierarchical queries with all
mandatory search keys. The interactive querying of attributes on IMAGE level is not supported
by the Query SCU. Though, retrieval of individual Objects is possible. The following table
describes the search keys for the different query models that the SCU supports. Matching is
either wildcard, which means that the user can supply a string containing wildcards, or universal,
which means that the attribute is requested as return value.

User Return Value

Attribute Name Tag Type Matching
Input Display
Patient Level a
Patient Name (0010,0010) R Wildcardb enter value yes
Patient ID (0010,0020) U Wildcardb enter value yes
Patient’s Birth date (0010,0030) O universal (Null) enter value yes

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

User Return Value

Attribute Name Tag Type Matching
Input Display
Patient’s Sex (0010,0040) O universal (Null) enter value yes
Number of Patient related Studies (0020,1200) O universal (Null) yesc
Number of Patient related Series (0020,1202) O universal (Null) no
Number of Patient related
(0020,1204) O universal (Null) no
Instances
Study Level
Patient Named (0010,0010) R Wildcardb enter value yes
Patient ID (0010,0020) R Wildcardb enter value yes
Patient’s Birth date d (0010,0030) O universal (Null) enter value yes
Patient’s Sex d (0010,0040) O universal (Null) enter value yes
Study Instance UID (0020,000D) U universal (Null) no
Study ID (0020,0010) R universal (Null) enter value yes
Study Date (0008,0020) R universal (Null) enter value yes
Study Time (0008,0030) R universal (Null) - yes
Accession Number Enter
(0008,0050) R universal (Null) yes
value
Study Description Enter
(0008,1030) O universal (Null) yes
value
Enter
Referring Physician’s Name (0008,0090) O universal (Null) yes
value
Enter
Name of Physician Reading Study (0008,1060) O universal (Null) yes
value
Enter
Modalities in Study (0008,0061) O universal (Null) yes
value
Storage Media File-Set ID (0008,0130) O universal (Null) no
Retrieve AE Title (0008,0054) O universal (Null) no
Number of Study related Series (0020,1206) O universal (Null) yesa
Number of Study related Instances (0020,1208) O universal (Null) no
Series Level
Series Instance UID (0020,000E) U universal (Null) no
Series Number (0020,0011) R universal (Null) yes
Modality (0008,0060) R universal (Null) enter value yes
Series Description (0008,103E) O universal (Null) enter value yes
Body Part Examined (0018,0015) O universal (Null) enter value yes
Performing Physician (0008,1050) O universal (Null) enter value yes
Storage Media File-Set ID (0008,0130) O universal (Null) yes
Retrieve AE Title (0008,0054) O universal (Null) yes
Protocol Name (0018,1030) O universal (Null) no
Perf. Procedure Step Start Date (0040,0244) O universal (Null) yes
Perf. Procedure Step Start Time (0040,0245) O universal (Null) yes
Requested Attribute Sequence (0040,0275) O universal (Null) yes
> Requested Procedure ID (0040,1001) O universal (Null) yes
> Scheduled Procedure ID (0040,0009) O universal (Null) yes

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

User Return Value

Attribute Name Tag Type Matching
Input Display
Number of Series related
(0020,1209) O universal (Null) yes
Instances
Image Level
SOP Instance UID (0008,0018) U single value no
Image Number (0020,0013) R universal (Null) yes
Storage Media File-Set ID (0008,0130) O universal (Null) no
Retrieve AE Title (0008,0054) O universal (Null) no
Instance Date (0008,0023) O universal (Null) no
Instance Time (0008,0033) O universal (Null) no
Number of Frames (0028,0008) O universal (Null) yes
single value,
Content Date (0008,0023) O range matching, enter value yes
universal
single value,
Content Time (0008,0033) O range matching, enter value yes
universal
sequence
Referenced Request Sequence (0040,A370) O yes
matching
single value,
>Accession Number 0008,0050) O yes
universal
single value,
>Requested Procedure ID (0040,1000) O yes
universal
sequence
Concept Name Code Sequence (0040,A043) O enter value yes
matching
single value,
>Code Value (0008,0100) O universal, yes
wildcard
single value,
>Coding Scheme Designator (0008,0102) O universal, yes
wildcard
single value,
>Coding Scheme Version (0008,0103) O universal, yes
wildcard
single value,
>Code Meaning (0008,0104) O universal, yes
wildcard
single value,
Template Identifier (0040,DB00) O universal, yes
wildcard
single value,
Completion Flag (0040,A491) O universal, enter value yes
wildcard
single value,
Verification Flag (0040,A493) O universal, enter value yes
wildcard
sequence
Verifying Observer Sequence (0040,A073) O enter value yes
matching

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

User Return Value

Attribute Name Tag Type Matching
Input Display
single value,
>Verifying Organization (0040,A027) O universal, yes
wildcard
single value,
>Verifying DateTime (0040,A030) O range matching, enter value yes
universal
single value,
>Verifying Observer Name (0040,A075) O universal, enter value yes
wildcard
>Verifying Observer sequence
(0040,A088) O yes
Identification Code Sequence matching
single value,
>>Code Value (0008,0100) O universal, yes
wildcard
single value,
>>Coding Scheme Designator (0008,0102) O universal, yes
wildcard
single value,
>>Coding Scheme Version (0008,0103) O universal, yes
wildcard
single value,
>>Code Meaning (0008,0104) O universal, yes
wildcard
Note:
a Patient Root Information Model only
b Always a ’*" is appended to the user-supplied string
c Implicitely visualized in the UI if no study and series search attributes have been entered
d Study Root Information Model only
e Date range also possible

Service Meaning Protocol Codes Related Fields

Status
Refused Out of Resources A700 (0000,0902)
(0000,0901)
Identifier does not match SOP Class A900
(0000,0902)
Failed
(0000,0901)
Unable to process CXX
(0000,0902)
Cancel Matching terminated due to Cancel request FE00 None
Success Matching is complete - No final Identifier is supplied 0000 None
Matches are continuing - Current Match is supplied and any
Optional Keys were supported in the same manner as Required FF00 Identifier
Keys
Pending
Matches are continuing - Warning that one or more Optional
Keys were not supported for existence and/or matching for this FF01 Identifier
identifier

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

5.7.3 Real-World Activity – Move SCU

5.7.3.1 Associated Real-World Activity - Move SCU “Import”
When an entry ise selected in the Query UI and activate the “Import” function, a retrieval request
is passed via a C-MOVE service according to the Patient Root or Study Root query model.
C-MOVE operation on Patient Level is not supported by the Query UI.

5.7.3.2 Proposed Presentation Contexts - Move SCU

The ACUSON S2000 system DICOM application will propose Presentation Contexts as shown
in the following table:

Presentation Context Table

Abstract Syntax Transfer Syntax Extended
Role
Name UID Name UID Negotiation
Patient Root Implicit VR Little Endian 1.2.840.10008.1.2
Query/Retrieve 1.2.840.10008.5.1.4.1.2.1.2 Explicit VR Little Endian 1.2.840.10008.1.2.1 SCU None
Model – MOVE Explicit VR Big Endian 1.2.840.10008.1.2.2
Study Root Implicit VR Little Endian 1.2.840.10008.1.2
Query/Retrieve 1.2.840.10008.5.1.4.1.2.2.2 Explicit VR Little Endian 1.2.840.10008.1.2.1 SCU None
Model – MOVE Explicit VR Big Endian 1.2.840.10008.1.2.2

5.7.3.3 SOP Specific Conformance - Move SCU “Import”

At association establishment the C-MOVE presentation context shall be negotiated. The C-

STORE sub-operations must be done on a different association to transfer images to the Storage
Service Class SCP.
The Move SCU interprets following status codes:
Service
Meaning Protocol Codes Related Fields
Status
Refused Out of Resources A700 (0000,0902)
(0000,0901)
Identifier does not match SOP Class A900
(0000,0902)
Failed
(0000,0901)
Unable to process CXX
(0000,0902)
Cancel Matching terminated due to Cancel request FE00 None
Success Matching is complete - No final Identifier is supplied 0000 None
Matches are continuing - Current Match is supplied and any
Optional Keys were supported in the same manner as Required FF00 Identifier
Keys
Pending
Matches are continuing - Warning that one or more Optional
Keys were not supported for existence and/or matching for this FF01 Identifier
identifier

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

5.7.4 Association Acceptance Policy

The ACUSON S2000 system DICOM application will accept associations for the following
DIMSE-C operations as SCP:
• C-FIND
• C-GET
• C-MOVE
• C-FIND-CANCEL
• C-GET-CANCEL
• C-MOVE-CANCEL

5.7.4.1 Real-World Activity – Find SCP

5.7.4.1.1 Associated Real-World Activity - Find SCP

The associated Real-World activity is to respond query requests to an SCU with the query model
Patient Root, Study Root and Patient/Study Only. Relational retrieve operation is NOT
supported. With a C-FIND-CANCEL request the current query can be canceled at any time.
Multiple C-FIND requests over the same association are supported.

5.7.4.1.2 Accepted Presentation Contexts - Find SCP

The ACUSON S2000 system DICOM application will accept Presentation Contexts as shown in
the following table:
Presentation Context Table
Abstract Syntax Transfer Syntax Extended
Role
Name UID Name UID Negotiation
Patient Root Implicit VR Little Endian 1.2.840.10008.1.2
Query/Retrieve 1.2.840.10008.5.1.4.1.2.1.1 Explicit VR Little Endian 1.2.840.10008.1.2.1 SCU None
Model – FIND Explicit VR Big Endian 1.2.840.10008.1.2.2
Study Root Implicit VR Little Endian 1.2.840.10008.1.2
Query/Retrieve 1.2.840.10008.5.1.4.1.2.2.1 Explicit VR Little Endian 1.2.840.10008.1.2.1 SCU None
Model – FIND Explicit VR Big Endian 1.2.840.10008.1.2.2
Patient/Study Implicit VR Little Endian 1.2.840.10008.1.2
Only
1.2.840.10008.5.1.4.1.2.3.1 Explicit VR Little Endian 1.2.840.10008.1.2.1 SCU None
Query/Retrieve
Model – FIND Explicit VR Big Endian 1.2.840.10008.1.2.2

Note: C-FIND Extended Negotiation will NOT be supported.

The order of preference for accepting Transfer Syntaxes is: 1. Explicit VR Little Endian, 2. Explicit VR Big Endian,
3. Implicit VR Little Endian

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

5.7.4.1.3 SOP Specific Conformance Statement - Find SCP

The ACUSON S2000 system DICOM Query/Retrieve SCP supports hierarchical queries with all
mandatory and optional search keys.
The query attribute contents are case-sensitive.
With wildcard queries the symbol “?” is treated as “*” by the C-FIND SCP application. As a
consequence the query string of “?abc*” will be processed as “*abc*”.
If the value for the patient-level unique key “Patient ID” is not known, it may be returned with
zero length. The attribute “Image Comments” will not be included in the C-FIND-RSP, if it is
not set in the DB, even if it was requested as return key in the related C-FIND-RQ.
Usage of Storage Media File-Set ID, Retrieve AE Title with C-FIND-RSP message:
• The C-FIND SCP may return the DICOM attributes StorageMediaFileSetID (0088,0130) and
StorageMediaFileSetUID (0088,0140) as empty or not at all. The Storage Media File-Set ID - if
existent - can be returned at Study/Series/Image Level. Only on Image Level, the values of
ONLINE, NEARLINE of OFFLINE are returned to indicate the Storage Location of the related
Instance.
• The C-FIND SCP may return the DICOM attribute Retrieve AE Title (0008,0054) as empty or
not at all. The Retrieve AE Title - if existent - can only be returned at Image Level (for Patient
Root and Study Root models) or Study Level (for Patient/Study Only model).
Relational Queries are not supported.
A remote DICOM AE can cancel the running query by sending a C-FIND-CANCEL. Matches
are possibly continuing (more C-FIND response with status PENDING) until the cancel
operation has completed.
The supported attributes on the various query levels of the three supported information models
are listed in the tables of the following sections.

5.7.4.1.4 Patient Root Information Model

Usage
Attribute Name Tag Matching
SCU
Patient Level
Patient Name (0010,0010) R Single value, Wildcard, Universal
Patient ID (0010,0020) U Single value, Wildcard, Universal
Patient’s Birth Date (0010,0030) O Single value, Range, Universal
Patient’s Birth Time (0010,0032) O Single value, Range, Universal
Patient’s Sex (0010,0040) O Single value, Wildcard, Universal
Ethnic Group (0010,2160) O Single value, Wildcard, Universal
Patient Comments (0010,4000) O Wildcard, Universal
Number of Patient related Studies (0020,1200) O Universal
Number of Patient related Series (0020,1202) O Universal
Number of Patient related Instances (0020,1204) O Universal
Study Level
Study Instance UID (0020,000D) U Single value, List of UIDs
Study ID (0020,0010) R Single value, Wildcard, Universal
Study Date (0008,0020) R Single value, Range, Universal

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Usage
Attribute Name Tag Matching
SCU
Study Time (0008,0030) R Single value, Range, Universal
Accession Number (0008,0050) R Single value, Wildcard, Universal
Referring Physician’s Name (0008,0090) O Single value, Wildcard, Universal
Study Description (0008,1030) O Single value, Wildcard, Universal
Admitting Diagnoses Description (0008,1080) O Single value, Wildcard, Universal
Patient’s Age (0010,1010) O Single value, Wildcard, Universal
Patient’s Size (0010,1020) O Single value, Universal
Patient’s Weight (0010,1030) O Single value, Universal
Occupation (0010,2180) O Single value, Wildcard, Universal
Additional Patient History (0010,21B0) O Wildcard, Universal
Name of Physician reading Study (0008,1060) O Single value, Wildcard, Universal
Modalities in Study (0008,0061) O Multiple values, Universal
Number of Study related Series (0020,1206) O Universal
Number of Study related Instances (0020,1208) O Universal
Series Level
Series Instance UID (0020,000E) U Single value, List of UID
Series Number (0020,0011) R Single value, Universal
Modality (0008,0060) R Single value, Wildcard, Universal
Laterality (0020,0060) O Single value, Wildcard, Universal
Body Part Examined (0018,0015) O Single value, Wildcard, Universal
Patient Position (0018,5100) O Single value, Wildcard, Universal
Smallest Pixel Value in Series (0028,0108) O Single value, Universal
Largest Pixel Value in Series (0028,0109) O Single value, Universal
Protocol Name (0018,1030) O Single value, Wildcard, Universal
Series Date (0008,0021) O Single value, Range, Universal
Series Time (0008,0031) O Single value, Range, Universal
Series Description (0008,103E) O Single value, Wildcard, Universal
Operators Name (0008,1070) O Single value, Wildcard, Universal
Performing Physician’s Name (0008,1050) O Single value, Wildcard, Universal
Perf. Procedure Step Start Date (0040,0244) O Universal
Perf. Procedure Step Start Time (0040,0245) O Universal
Number of Series related Instances (0020,1209) O Universal
Referenced Request Sequence (0040,A370) O Sequence matching
Image Level
SOP Instance UID (0008,0018) U Single value, List of UID
SOP Class UID (0008,0016) O Single value
Image Number (0020,0013) R Single value, Universal
Image Date (0008,0023) O Single value, Range, Universal
Image Time (0008,0033) O Single value, Range, Universal
Modality (0008,0060) O Single value, Wildcard, Universal
Image Comments (0020,4000) O Universal
Content Date (0008,0023) O Single value, Range, Universal
Content Time (0008,0033) O Single value, Range, Universal
>Accession Number 0008,0050) O Single value, Universal
>Requested Procedure ID (0040,1000) O Single value, Universal
Concept Name Code Sequence (0040,A043) O Sequence matching
>Code Value (0008,0100) O Single value, Wildcard, Universal
>Coding Scheme Designator (0008,0102) O Single value, Wildcard, Universal
>Coding Scheme Version (0008,0103) O Single value, Wildcard, Universal

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Usage
Attribute Name Tag Matching
SCU
>Code Meaning (0008,0104) O Single value, Wildcard, Universal
Template Identifier (0040,DB00) O Single value, Wildcard, Universal
Completion Flag (0040,A491) O Single value, Wildcard, Universal
>Verifying Observer Name (0040,A075) O Single value, Wildcard, Universal
>Verifying Observer Identification Code
(0040,A088) O Sequence matching
Sequence
>>Code Value (0008,0100) O Single value, Wildcard, Universal
>>Coding Scheme Designator (0008,0102) O Single value, Wildcard, Universal
>>Coding Scheme Version (0008,0103) O Single value, Wildcard, Universal
>>Code Meaning (0008,0104) O Single value, Wildcard, Universal

5.7.4.1.5 Study Root Information Model

Usage
Attribute Name Tag Matching
SCU
Study Level
Patient Name (0010,0010) R Single value, Wildcard, Universal
Patient ID (0010,0020) R Single value, Wildcard, Universal
Patient’s Birth Date (0010,0030) O Single value, Range, Universal
Patient’s Birth Time (0010,0032) O Single value, Range, Universal
Patient’s Sex (0010,0040) O Single value, Wildcard, Universal
Patient Comments (0010,4000) O Wildcard, Universal
Number of Patient related Studies (0020,1200) O Universal
Number of Patient related Series (0020,1202) O Universal
Number of Patient related Instances (0020,1204) O Universal
Study Instance UID (0020,000D) U Single value, List of UIDs
Study ID (0020,0010) R Single value, Wildcard, Universal
Study Date (0008,0020) R Single value, Range, Universal
Study Time (0008,0030) R Single value, Range, Universal
Accession Number (0008,0050) R Single value, Wildcard, Universal
Referring Physician’s Name (0008,0090) O Single value, Wildcard, Universal
Study Description (0008,1030) O Single value, Wildcard, Universal
Admitting Diagnosis Description (0008,1080) O Single value, Wildcard, Universal
Patient’s Age (0010,1010) O Single value, Wildcard, Universal
Patient’s Size (0010,1020) O Single value, Universal
Patient’s Weight (0010,1030) O Single value, Universal
Occupation (0010,2180) O Single value, Wildcard, Universal
Additional Patient History (0010,21B0) O Wildcard, Universal
Name of Physician reading the Study (0008,1060) O Single value, Wildcard, Universal
Modalities in Study (0008,0061) O Multiple values, Universal
Number of Study Related Series (0020,1206) O Universal
Number of Study Related Instances (0020,1208) O Universal
Series Level
Series Instance UID (0020,000E) U Single value, List of UIDs
Series Number (0020,0011) R Single value, Universal
Modality (0008,0060) R Single value, Wildcard, Universal
Laterality (0020,0060) O Single value, Wildcard, Universal
Body Part Examined (0018,0015) O Single value, Wildcard, Universal
Patient Position (0018,5100) O Single value, Wildcard, Universal
Smallest Pixel Value in Series (0028,0108) O Single value, Universal

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Usage
Attribute Name Tag Matching
SCU
Largest Pixel Value in Series (0028,0109) O Single value, Universal
Protocol Name (0018,1030) O Single value, Wildcard, Universal
Series Date (0008,0021) O Single value, Range, Universal
Series Time (0008,0031) O Single value, Range, Universal
Series Description (0008,103E) O Single value, Wildcard, Universal
Operator’s Name (0008,1070) O Single value, Wildcard, Universal
Performing Physician’s Name (0008,1050) O Single value, Wildcard, Universal
Performed Procedure Step Start Date (0040,0244) O Universal
Performed Procedure Step Start Time (0040,0245) O Universal
Number of Series related Instances (0020,1209) O Universal
Image Level
SOP Instance UID (0008,0018) U Single value, List of UIDs
SOP Class UID (0008,0016) O Single value
Image Number (0020,0013) R Single value, Universal
Image Date (0008,0023) O Single value, Range, Universal
Image Time (0008,0033) O Single value, Range, Universal
Modality (0008,0060) O Single value, Wildcard, Universal
Image Comments (0020,4000) O Universal
Content Date (0008,0023) O Single value, Range, Universal
Content Time (0008,0033) O Single value, Range, Universal
>Accession Number 0008,0050) O Single value, Universal
>Requested Procedure ID (0040,1000) O Single value, Universal
Concept Name Code Sequence (0040,A043) O Sequence matching
>Code Value (0008,0100) O Single value, Wildcard, Universal
>Coding Scheme Designator (0008,0102) O Single value, Wildcard, Universal
>Coding Scheme Version (0008,0103) O Single value, Wildcard, Universal
>Code Meaning (0008,0104) O Single value, Wildcard, Universal
Template Identifier (0040,DB00) O Single value, Wildcard, Universal
Completion Flag (0040,A491) O Single value, Wildcard, Universal
Verification Flag (0040,A493) O Single value, Wildcard, Universal
Verifying Observer Sequence (0040,A073) O Sequence matching
>Verifying Organization (0040,A027) O Single value, Wildcard, Universal
>Verifying DateTime (0040,A030) O Single value, Range, Universal
>Verifying Observer Name (0040,A075) O Single value, Wildcard, Universal
>Verifying Observer Identification Code
(0040,A088) O Sequence matching
Sequence
>>Code Value (0008,0100) O Single value, Wildcard, Universal
>>Coding Scheme Designator (0008,0102) O Single value, Wildcard, Universal
>>Coding Scheme Version (0008,0103) O Single value, Wildcard, Universal
>>Code Meaning (0008,0104) O Single value, Wildcard, Universal

5.7.4.1.6 Patient/Study Only Information Model

Usage
Attribute Name Tag Matching
SCU
Patient Level
Patient Name (0010,0010) R Single value, Wildcard, Universal
Patient ID (0010,0020) U Single value, Wildcard, Universal
Patient’s Birth Date (0010,0030) O Single value, Range, Universal

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Usage
Attribute Name Tag Matching
SCU
Patient’s Birth Time (0010,0032) O Single value, Range, Universal
Patient’s Sex (0010,0040) O Single value, Wildcard, Universal
Ethnic Group (0010,2160) O Single value, Wildcard, Universal
Patient Comments (0010,4000) O Wildcard, Universal
Number of Patient related Studies (0020,1200) O Universal
Number of Patient related Series (0020,1202) O Universal
Number of Patient related Instances (0020,1204) O Universal
Study Level
Study Instance UID (0020,000D) U Single value, List of UIDs
Study ID (0020,0010) R Single value, Wildcard, Universal
Study Date (0008,0020) R Single value, Range, Universal
Study Time (0008,0030) R Single value, Range, Universal
Accession Number (0008,0050) R Single value, Wildcard, Universal
Referring Physician’s Name (0008,0090) O Single value, Wildcard, Universal
Study Description (0008,1030) O Single value, Wildcard, Universal
Admitting Diagnosis Description (0008,1080) O Single value, Wildcard, Universal
Patient’s Age (0010,1010) O Single value, Wildcard, Universal
Patient’s Size (0010,1020) O Single value, Universal
Patient’s Weight (0010,1030) O Single value, Universal
Occupation (0010,2180) O Single value, Wildcard, Universal
Additional Patient History (0010,21B0) O Wildcard, Universal
Name of Physician reading the Study (0008,1060) O Single value, Wildcard, Universal
Modalities in Study (0008,0061) O Multiple values, Universal
Number of Study Related Series (0020,1206) O Universal
Number of Study Related Instances (0020,1208) O Universal

The Find SCP returns following status codes:

Service
Meaning Protocol Codes Related Fields
Status
Refused Out of Resources A700 (0000,0902)
(0000,0901)
Identifier does not match SOP Class A900
(0000,0902)
Failed
(0000,0901)
Unable to process CXX
(0000,0902)
Cancel Matching terminated due to Cancel request FE00 None
Success Matching is complete - No final Identifier is supplied 0000 None
Matches are continuing - Current Match is supplied and any
Optional Keys were supported in the same manner as Required FF00 Identifier
Keys
Pending
Matches are continuing - Warning that one or more Optional
Keys were not supported for existence and/or matching for this FF01 Identifier
identifier

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

5.7.4.2 Real-World Activity - Move SCP

5.7.4.2.1 Associated Real-World Activity - Move SCP

The associated Real-World activity is to respond to retrieve requests to an SCU. The SCP
supports the query model Patient Root, Study Root and Patient/Study Only. The Storage Service
Class Conformance Statement describes the C-STORE service, which is generated by the C-
MOVE service. Relational retrieve operation is NOT supported.
Multiple C-MOVE requests over the same association are NOT supported.

5.7.4.2.2 Accepted Presentation Contexts - Move SCP

The ACUSON S2000 system DICOM application will accept Presentation Contexts as shown in
the following table:
Presentation Context Table
Abstract Syntax Transfer Syntax Extended
Role
Name UID Name UID Negotiation
Patient Root Implicit VR Little Endian 1.2.840.10008.1.2
Query/Retrieve 1.2.840.10008.5.1.4.1.2.1.2 Explicit VR Little Endian 1.2.840.10008.1.2.1 SCU None
Model – MOVE Explicit VR Big Endian 1.2.840.10008.1.2.2
Study Root Implicit VR Little Endian 1.2.840.10008.1.2
Query/Retrieve 1.2.840.10008.5.1.4.1.2.2.2 Explicit VR Little Endian 1.2.840.10008.1.2.1 SCU None
Model – MOVE Explicit VR Big Endian 1.2.840.10008.1.2.2
Patient/Study
Only Implicit VR Little Endian 1.2.840.10008.1.2
Query/Retrieve 1.2.840.10008.5.1.4.1.2.3.2 Explicit VR Little Endian 1.2.840.10008.1.2.1 SCU None
Model – MOVE Explicit VR Big Endian 1.2.840.10008.1.2.2

Note: The order of preference for accepting Transfer Syntaxes is: 1. Explict VR Little Endian, 2. Explicit VR Big
Endian, 3. Implicit VR Little Endian.

5.7.4.2.3 SOP Specific Conformance - Move SCP

At association establishment the C-MOVE presentation context shall be negotiated. STORE sub-
operations is done on a different association, specified in the C-MOVE request, transfer images
to a remote SCP of the Storage Service Class. Relational retrieve operation NOT supported.
All unique keys have to be supplied according to the selected Query/Retrieve Level. The tables
in the C-FIND SCP section will give information about “U” marked key attributes.

The Move SCP returns following status codes:

Service
Meaning Protocol Codes Related Fields
Status
Refused Out of Resources A700 (0000,0902)
(0000,0901)
Identifier does not match SOP Class A900
(0000,0902)
Failed
(0000,0901)
Unable to process CXX
(0000,0902)

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Service
Meaning Protocol Codes Related Fields
Status
Cancel Matching terminated due to Cancel request FE00 None

Success Matching is complete - No final Identifier is sup-plied 0000 None

Matches are continuing - Current Match is supplied and any

Optional Keys were supported in the same manner as Required FF00 Identifier
Keys
Pending
Matches are continuing - Warning that one or more Optional
Keys were not supported for existence and/or matching for this FF01 Identifier
identifier

6.0 Communication Profiles

All ACUSON S2000 system application entities utilize the DICOM 3.0 TCP/IP communication
support as defined in PS3.8 (Part 8) of the DICOM 3.0 Standard.

6.1 TCP/IP Stack Supported

Each process inherits its TCP/IP stack from the ACUSON S2000™’s operating system TCP/IP
stack. Port number 104 is used for DICOM communication with the ACUSON S2000 system.

6.1.1 Physical Media Supported

Standard representations of IEEE 802.3 (10 Base-T and 100 Base-T is supported).

7.0 Extensions/Specializations/Privatizations
7.1 Standard extended/specialized/private Syntaxes
The ACUSON S2000 includes standard extended and private attributes in the US Image and US-
MF Image IODs. All standard extended and private attributes are type 3. Support for these
attributes by receiving SCPs is not required. See Table 9: US Image IOD Attributes and Table
12: US-MF Image IOD Attributes - 3D Volumetric Data for more information.

7.2 Private Transfer Syntaxes

None.

8.0 Configuration
ACUSON S2000 Networking and DICOM parameters can be configured through the ACUSON
S2000 system Service configuration UI screens. The following configuration is supported:
ƒ Network (local and remote)
ƒ DICOM Store & Storage Commitment
ƒ DICOM Print
ƒ DICOM Worklist & MPPS

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8.1 Basic System Configuration

The following system parameters can be configured via the ACUSON S2000 system System
Presets Basic Menu screens. These parameters are configured in the form of pick lists and are
available to the user when registering a patient or correcting patient data. When selected, these
parameters are mapped to DICOM image attributes:
ƒ Institution Name (0008, 0080)
ƒ Operators Name (0008,1070)
ƒ Referring Physician (0008,0090)
ƒ Performing Physician (0008,1050)
ƒ Requesting Physician (0032,1032)

8.2 DICOM Network Configuration

DICOM and networking parameters can be configured for both the local ACUSON S2000
system device and remote DICOM Service Class Providers through the Local Service
Configuration User Interface or the DICOM Configuration UI.

8.2.1 Local Host - TCP/IP and General

The ACUSON S2000 local network parameters are configurable. The following network
parameters can be configured for ACUSON S2000 system device:
ƒ Host Name
ƒ IP address
ƒ Network IP mask
ƒ Router/Gateway IP addresses
ƒ DICOM Storage, Print and HIS/RIS SCU Application Entity Titles

8.3 DICOM Storage Configuration

Remote DICOM Storage and Storage Commitment Service Class Providers are configured
through the DICOM - Network Nodes Configuration menu. The following parameters can be
configured for each device:
ƒ Host name
ƒ IP address
ƒ AET - Application Entity Title
ƒ Port number
ƒ Proposed transfer syntaxes - (ILE, ELE, EBE, JPEG Lossy, JPEG Lossless)
ƒ Storage Commitment Results in same association as Storage Commitment Request.
ƒ Storage Commitment Results time-out

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8.4 DICOM HIS/RIS Configuration

Remote DICOM Worklist and Modality Performed Procedure Step Service Class Providers are
configured through the DICOM - HIS/RIS Configuration menu. The following parameters can
be configured for each Worklist/MPPS server:
ƒ Host name
ƒ IP address
ƒ AET - Application Entity Title
ƒ Port number
ƒ Query waiting time (in seconds)
ƒ Maximum number of matching results
ƒ Automatic Worklist query interval (in minutes)

8.5 DICOM Print Configuration

For each DICOM Print server, the following data is configurable by the user using the Hardcopy
Devices page of the Service User Interface The user can change the page layout and the
destination printer at any time during the operation of the ACUSON S2000 system. The effect of
changing parameters of the DICOM Print server will be seen at the next film sheet. The current
film sheet is not affected by changing these parameters.
Table 51: User Configurable Printer Parameters

Parameter Description
Host name
IP Address
AE Title Application Entity Title
Port number
Color Appearance Color or monochrome
Print Priority HIGH= Urgent
Medium Type CLEAR FILM, BLUE FILM, and Paper
Film Destination MAGAZINE, PROCESSOR
Max. Density Used to define the Black value - printer specific
Min. Density Used to define the White value - printer specific
Transformation replicate, bilinear, cubic, none
Smoothing 0, 2, 3, 4
Background Black or White

8.6 “Print/Store” Key Configuration

The ACUSON S2000 system user can configure “Print/Store” hard keys to “Output Device”
mapping through the System Presets - Print/Store Configuration menu. Images are acquired and
sent to the assigned device when the user presses the associated key. The following configuration
is supported.

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8.6.1 Multiple Destinations - Auto Transfer

The ACUSON S2000 system “Print/Store” keys may be individually configured to transfer
images to multiple DICOM Storage devices with a single key press. The system can be
configured to automatically transfer images during the exam (with each Print/Store key press) or
at the end of the exam (with an End Exam button press or a New Patient or Study).
Configuration is on a per destination storage SCP basis.

8.6.2 Overlay or Burned in graphics

By default the ACUSON S2000 system system burns all text and graphics into the image pixel
data. Alternatively, the ACUSON S2000 system may be configured to store image text and
graphics using the DICOM Overlay module.

8.6.3 Secondary Capture Image Storage SOP Class

By default the ACUSON S2000 system system stores all static images to the local database using
the Ultrasound Image Storage SOP Class. The ACUSON S2000 system may be configured to
store all static images as Secondary Capture (Secondary Capture Image Storage SOP Class). This
is done to allow image transfer to remote Storage SCPs that do not support the Ultrasound Image
Storage SOP Class.

8.6.4 Auto Retry

Auto retry allows images to be automatically resent to destination Storage SCP devices when
certain failures have occurred, or if the destination device is offline. The user can configure the
retry interval (5 - 60 minutes) and the maximum number of retries (0 - 512). Auto Retry is
configured through the Advanced - Transfer Configuration Menu. These are global setting and
apply to all configured Storage SCP devices.

8.6.5 Compression
The user may configure the desired compression type (transfer syntax) for image transfer
through the Advanced - Transfer Configuration Menu. Configuration is on a per Storage SCP
device basis. Choices are:
ƒ None (uses preferred ELE, ILE, EBE transfer syntax)
ƒ JPEG Lossless (Non-Hierarchical, First-Order Prediction - UID = 1.2.840.10008.1.2.4.70)
ƒ JPEG Lossy (JPEG Baseline, Process 1 - UID = 1.2.840.10008.1.2.4.50)
When JPEG Lossy is selected the use can also enter a compression Quality Factor, in percent.
Note: JPEG Quality factor below 100% may lead to insufficient diagnostic quality of transferred
image.

8.6.6 Print Routing - Auto Transfer

The ACUSON S2000 system “Print/Store” keys may be individually configured to transfer
images to DICOM Printers, or Local OEM Printers. The “Print/Store” keys may also be
individually configured to automatically route images to either a B/W or Color printer based on
image content. Routing is determined by the following image types:

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1. B&W—The image only contains only B&W (grayscale) data.

2. Color Doppler—The image contains Color Doppler data.
3. Tinted—The image contains only B&W (grayscale) data that is pseudo color tinted.
4. 2D Ref.—The 2D reference image contains Color Doppler data.
5. Misc.—Miscellaneous images. This includes GUI screen captures, external video
captures such as VCR, and image review screens containing multiple images.
The user assigns the desired network grayscale or color printer or print server using the “Print/
Store” Configuration presets function. Print media size, format and orientation for the selected
Printer device can also be configured through the “Print/Store” Presets function.

9.0 Media Storage

The ACUSON S2000 system is a device that generates ultrasound images that can be saved to
CD-R (CD-Recordable) and DVD media using DICOM standard protocols and definitions. The
applications described refer to the ACUSON S2000 system DICOM off-line media storage
implementation acting as FSC for the specific application profiles and the related SOP Class
instances. The ACUSON S2000 system acts as a File Set Reader and Updater only for discs that
were created on an ACUSON S2000 system.

9.1 Implementation Model

ACUSON S2000 system users can store images directly on the system hard disk.

9.2 Application Data Flow Diagram

Figure 10: illustrates the ACUSON S2000 system’s Application Entity (AE) Data Flow
Diagram. All relationships between user invoked activities and the associated real-world
activities provided by the DICOM archive application are depicted.

Figure 10: Media Storage Application Data Flow Diagram

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10.0 Media Storage AE Functional Definition

The ACUSON S2000 DICOM offline media storage application consists of the DICOM Image
Manager application entity serving all interfaces to access offline media. The DICOM
application is capable of:
• Creating a new File set onto an unwritten medium (FSC)
• Updating an existing File set by writing new SOP Instances onto the medium.
• Reading the File set’s DICOMDIR and displaying the information.
• Copying SOP Instances from the medium onto local storage.

10.1 Real-World Activities for Media Storage

10.1.1 Browse Directory Information—Real World Activity
The ACUSON S2000 system application entity is capable of browsing CD/DVD DICOM
Exchange media and displaying the contents of the DICOMDIR.

10.1.2 Import into Local Storage—Real-World Activity

The S2000 application entity acts as a FSR using the interchange option when requested to
import SOP Instances from the CD/DVD media into local storage.
The SOP Instance selected from the media directory will be copied into the local storage.

10.1.3 Export to Local Archive Media—Real-World Activity

The ACUSON S2000 system application acts as a FSC (media not initialized) using the
interchange option when requested to copy SOP Instances from the local database to the local
archive media (CD/DVD).

10.1.4 Sequencing of Real World Activities

The DICOM Archive application will not perform updates before the Directory information of
the DICOMDIR is completely read.

10.2 AE Specifications
10.2.1 ACUSON S2000 system Media Storage AE Specification
The ACUSON S2000 system AE provides conformance to the following DICOM SOP Classes
as an FSC. The following specifications apply to the AE as depicted in Figure 10: .
When configuring an uncompressed Transfer Syntax, the STD-US and STD-GEN application
profile classes will be extended to store instances of the following SOP classes in compressed
format.

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Table 52: Application profiles, Activities, and Roles for DICOM Exchange Media
Application Profiles Supported Real World Activity Role SC Option
STD-GEN-CDR Create CD-R FSC † Interchange
STD-US-SC-MF-CDR Update CD-R n/a † Interchange
STD-US-ID-MF-CDR Display Directory n/a † Interchange
Copy to Local Storage n/a † Interchange
† The ACUSON S2000 system acts as a File Set Reader (FSR) and File Set Updater (FSU) for CD/DVD discs that
were created on an ACUSON S2000 system.

10.2.2 File Meta Information Options

The Implementation Class UID is:
• “1.3.12.2.1107.5.9.20000101”
and an Implementation Version Name of
• “SIEMENS_ SWFSYNGO”.

10.3 Media Storage Application Profile

10.3.1 DICOMDIR keys
The DICOMDIR file will contain the following attributes for the levels Patient - Study - Series -
Image (valid for all Application profiles described in this section).

Table 53: DICOMDIR Keys

Attribute Name Tag Type Notes

File-Set Identification
File-set ID (0004,1130) 2 Volume label of media
Directory Information
Offset of the First Directory Record of the (0004,1200) 1
Root Directory Entry
Offset of the Last Directory Record of the (0004,1202) 1
Root Directory Entity
File-set Consistency Flag (0004,1212) 1 0000H
Directory Record Sequence (0004,1220) 2
> Offset of the Next Directory Record (0004,1400) 1C
> Record In-use flag (0004,1410) 1C FFFFH
> Offset of Referenced Lower-Level (0004,1420) 1C
Directory Entity
> Directory Record Type (0004,1430) 1C PATIENT, STUDY, SERIES, IMAGE
> Referenced File ID (0004,1500) 1C contains the filename on media for the
Directory Records of Type IMAGE
> Referenced SOP Class UID in File (0004,1510) 1C for the Directory Records of Type
IMAGE
> Referenced SOP Instance UID in File (0004,1511) 1C for the Directory Records of Type
IMAGE

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Attribute Name Tag Type Notes

> Referenced Transfer Syntax UID in File (0004,1512) 1C for the Directory Records of Type
IMAGE
> Record Selection Keys see below
Patient Keys Directory Record Type PATIENT
Specific Character Set (0008,0005) 1C
Patient’s Name (0010,0010) 2
Patient ID (0010,0020) 1
Date Of Birth (0010,0030) 3
Patient’s Sex (0010,0040) 3
Study Keys Directory Record Type STUDY
Specific Character Set (0008,0005) 1C
Study Date (0008,0020) 1
Study Time (0008,0030) 1
Accession Number (0008,0050) 2
Study Description (0008,1030) 2
Study Instance UID (0020,000D) 1C
Study ID (0020,0010) 1 Will be generated automatically, if not
present. Value = "-"
Series Keys Directory Record Type SERIES
Specific Character Set (0008,0005) 1C
Series Date (0008,0021) 3
Series Time (0008,0031) 3
Modality (0008,0060) 1
Institution name (0008,0080) 3
Institution Address (0008,0081) 3
Series Description (0008,103E) 3
Performing Physician (0008,1050) 3
Series Instance UID (0020,000E) 1
Series Number (0020,0011) 1
Image Keys Directory Record Type IMAGE
Specific Character Set (0008,0005) 1C
Image Type (0008,0008) 3
SOP Class UID (0008,0016) 3
SOP Instance UID (0008,0018) 3
Image Date (0008,0023) 3
Image Time (0008,0033) 3
Image Number (0020,0013) 1
Rows (0028,0010) 3
Columns (0028,0011) 3
Icon Image Sequence (0088,0200) 3
> Samples per Pixel (0028,0002) 1

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Attribute Name Tag Type Notes

> Photometric Interpretation (0028,0004) MONOCHROME2 or PALETTE
COLOR
> Rows (0028,0010) 64
> Columns (0028,0011) 64
> Bits Allocated (0028,0100) 8
> Bits Stored (0028,0101) 8
> High Bit (0028,0102) 7
> Pixel Representation (0028,0103) 0 (unsigned)
> Pixel Data (7FE0,0010) Icon Image pixel data
SR Document Keys Directory Record Type SR Document
Specific Character Set (0008,0005) 1C
Image Date (0008,0023) 1
Image Time (0008,0033) 1
Image Number (0020,0013) 1
Concept Name Code Sequence (0040,A043) 1
> Code Value (0008,0100) 1C One of the following combinations:
> Coding Scheme Designator (0008,0102) 1C 125000, DCM, OB-GYN Ultrasound
> Code Meaning (0008,0104) 1C Procedure Report
125001, DCM, Vascular Ultrasound
Procedure Report
125200, DCM, Adult Echocardiography
Procedure Report
Completion Flag (0040,A491) 1 PARTIAL
Verification Flag (0040,A493) 1 UNVERIFIED

10.3.2 Compliance to STD-GEN-CDR

The ACUSON S2000 conforms to the STD-GEN-CDR profile. The following SOP Classes will
be supported as an FSC.
Table 54: STD-GEN-CDR Supported SOP Classes

IOD SOP Class UID Transfer Syntax and UID FSC FSR FSU
Secondary Capture 1.2.840.10008.5.1.4.1.1.7 Explicit VR Little Endian Yes No † No †
Image Storage

10.3.3 Compliance to STD-US-SC-MF-CDR

For media conforming to the STD-US-SC-MF-CDR profiles the following SOP Classes and
transfer syntaxes will be supported as an FSC.

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Table 55: STD-US-SC-MF-CDR Supported SOP Classes

IOD SOP Class UID Transfer Syntax and UID FSC FSR FSU
Explicit VR Little Endian
Ultrasound Image 1.2.840.10008.1.2.1 Yes No † No †
1.2.840.10008.5.1.4.1.1.6.1
Storage JPEG Lossy (Baseline)
1.2.840.10008.1.2.4.50

Ultrasound Multi-frame JPEG Lossy (Baseline)

1.2.840.10008.5.1.4.1.1.3.1 Yes No † No †
Image Storage (Clips) 1.2.840.10008.1.2.4.50

The following Photometric Interpretations are supported by FSC:

• RGB - Ultrasound Image Storage only
• YBR_FULL_422 - Ultrasound Multi-frame Image Storage (Clips) only
Note: The ACUSON S2000 system stores clips locally using JPEG Lossy (Baseline)
compression and only has access to the pixel data in lossy compressed form. Conversion to other
transfer syntaxes is not supported.
† The ACUSON S2000 system acts as a File Set Reader (FSR) and File Set Updater (FSU) only
for CD-R discs that were created on an ACUSON S2000 system.

10.3.4 Compliance to STD-US-ID-MF-CDR

For media conforming to the STD-US-ID-MF-CDR profiles the following SOP Classes and
transfer syntaxes will be supported as an FSC.
Table 56: STD-US-ID-MF-CDR Supported SOP Classes

IOD SOP Class UID Transfer Syntax and UID FSC FSR FSU
Explicit VR Little Endian
Ultrasound Multi-frame
1.2.840.10008.1.2.1 Yes No † No †
Image Storage (3D 1.2.840.10008.5.1.4.1.1.3.1
volumetric data sets) JPEG Lossy (Baseline)
1.2.840.10008.1.2.4.50

The following Photometric Interpretations are supported by FSC:

• MONOCHROME2
Note: The Ultrasound Multi-frame Image Storage SOP is used to transfer ACUSON S2000
system Ultrasound 3D volumetric data sets. Each frame represents a single slice from the 3D
volume.
† The ACUSON S2000 system acts as a File Set Reader (FSR) and File Set Updater (FSU) only
for CD-R discs that were created on a ACUSON S2000 system.

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10.4 Augmented and Private Profiles

10.4.1 Augmented Application Profiles
When configuring a compressed Transfer Syntax the STD-US and STD-GEN application profile
classes will be extended to store instances of the following SOP classes in compressed format.
Table 57: Augmented Application profiles, Activities, and Roles for DICOM Exchange Media

Application Profiles Supported Real World Activity Role SC Option

AUG-GEN-CDR Create CD-R FSC † Interchange
AUG-US-SC-MF-CDR Update CD-R n/a † Interchange
AUG-US-ID-MF-CDR Display Directory n/a † Interchange
Copy to Local Storage n/a † Interchange

10.4.1.1 AUG-GEN-CDR, AUG-US-SC-MF-CDR, AUG-US-ID-MF-CDR

For media conforming to the AUG-GEN-CDR, AUG-US-SC-MF-CDR and AUG-US-ID-MF-
CDR Profile the following SOP classes will be supported as an FSC.

Table 58: AUG-GEN-CDR, AUG-US-SC-MF-CDR and AUG-US-ID-MF-CDR Supported SOP

Classes

Information Object
SOP Class UID Transfer Syntax and UID FSC FSR FSU
Definitions
US-MF image JPEG Lossless Process 14
1.2.840.10008.5.1.4.1.1.3.1 Yes No † No †
(3D data set) 1.2.840.10008.1.2.4.70
JPEG Lossless Process 14
US Image 1.2.840.10008.5.1.4.1.1.6.1 Yes No † No †
1.2.840.10008.1.2.4.70
JPEG Lossless Process 14
SC Image 1.2.840.10008.5.1.4.1.1.7 Yes No † No †
1.2.840.10008.1.2.4.70
JPEG lossy (baseline)
SC Image 1.2.840.10008.5.1.4.1.1.7 Yes No † No †
1.2.840.10008.1.2.4.50
1.2.840.10008.5.1.4.1.1.88.33 Explicit VR Little Endian
Comprehensive SR Yes No † No †
1.2.840.10008.1.2.1
† The ACUSON S2000 system acts as a File Set Reader (FSR) and File Set Updater (FSU) only for CD-R and DVD
discs that were created on an ACUSON S2000 system.

10.4.2 Private Application Profiles

None.

10.5 Extensions, Specializations and Privatizations of SOP Classes

and Transfer Syntaxes
None.

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10.6 Configuration
10.6.1 AE Title Mapping
10.6.1.1 DICOM Media Storage AE Title
The DICOM Media Storage application (Image Manager) provides the application entity title:
CsaImageManager

10.7 Support of Extended Character Sets

The ACUSON S2000 system system supports the ISO 8859 Latin 1 (ISO-IR 100) character set
family and the same family with code extensions (ISO 2022 IR 100 Latin-1).

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11.0 Appendix A: OB-GYN Structured Report Measurements

This appendix lists the DICOM Structured Report (SR) mappings used in the Obstetric and Gynecologic Structured Reports of ACUSON S2000
system SR files, version 1.0.

The mappings are organized in a manner similar to the DICOM SR Templates as described in PS 3.16-2008 of the DICOM Standard. The
“Label” column identifies the on-screen report label associated with a measurement. All private code values use the Coding Scheme Designator
“99SIEMENS”.

The OB-GYN Report mappings follow the DICOM SR Template TID 5000: OB-GYN Ultrasound Procedure Report, except where noted.
Amniotic Sacs (for multiple fetuses), Ovaries, Follicles, Cysts, Bladder, and Maternal Kidney are private sections in this release.

For a single fetus, the Amniotic Sac Section and the Umbilical Artery in the Pelvic Vascular Section follow the DICOM Standard. For multiple
fetuses, the Amniotic Sac section is a private section and the Umbilical Artery is in the Fetal Vascular Section because the DICOM Standard does
not support multiple fetuses for these measurements. These sections are associated with the appropriate fetus.

Notation:
<L or R> indicates that L or R is in the label name for Left or Right laterality
< … Author > means additional author information is provided in a following subsection
<units> means that the Distance units will be displayed on the report
[…] is additional information about the label

11.1 Patient Characteristics

Label Code Meaning Modifiers Measurement References
(Coding Scheme Designator, Code Value)
Patient Characteristics Container: Patient Characteristics
(DCM, 121118)
Indication Comment (DCM, 121106)
Height Patient Height (LN, 8302-2)
Weight Patient Weight (LN, 29463-7)
Gravida Gravida (LN, 11996-6)
Para Para (LN, 11977-6)
Aborta Aborta (LN, 11612-9)

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Label Code Meaning Modifiers Measurement References

(Coding Scheme Designator, Code Value)
Ectopics Ectopic Pregnancies (LN, 33065-4)
BP Systolic Blood Pressure (SRT, F-008EC)
Diastolic Blood Pressure (SRT, F-008ED)

11.2 OB-GYN Summary

Label Code Meaning Modifiers Measurement References
(Coding Scheme Designator, Code Value)
OB-GYN Summary Container: Summary (DCM, 121111)
No. Fetuses Number of Fetuses (LN, 11878-6)
Additional Info. Comment (DCM, 121106)
Comments Comment (DCM, 121106)
EDC EDD (LN, 11778-8)
LMP LMP (LN, 11955-2)
IVF IVF Date (99SIEMENS, IVFDate)

11.3 Fetus Summary

Label Code Meaning Modifiers Measurement References
(Coding Scheme Designator, Code Value)
Fetus Summary Container: Fetus Summary (DCM, 125008)
Clinical Age Gestational Age (LN, 18185-9)
US Age <Author Label> Composite Ultrasound Age (LN, 11888-5) < US Age Author Information>
US Age <Author Label> +/- 2 Sigma deviation of population (DCM, 121417) Composite Ultrasound Age (LN, 11888-5)
<US Age Author Information>
EFW <Author Label> Estimated Weight (LN, 11727-5) <EFW Author Information>
EFW <Author Label> +/- 2 Sigma Deviation of Population (DCM, 121417) Estimated Weight (LN, 11727-5)
<EFW Author Information>
EFW% <Author Label> EFW percentile rank (LN, 11767-1) <EFW% Author Information> Estimated Weight (LN, 11727-5)
EFW <Author Label> Gestational Age (LN, 18185-9) <EFW Gestational Age Author Information> Estimated Weight (LN, 11727-5)
Fetal HR Fetal Heart Rate (LN, 11948-7)
US EDC EDC using Composite Age
(99SIEMENS, CompositeEdc)

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11.3.1 US Age Authors

Author Label Author Information Comments
Average Equation: Average Ultrasound Age (LN, 11884-4)
Hadlock (BPD, HC, AC, FL) Equation: Composite GA, Hadlock BPD, HC, AC, FL
(99SIEMENS,CompGAHadlock1)
Hadlock (BPD, HC, AC) Equation: Composite GA, Hadlock BPD, HC, AC (99SIEMENS,
CompGAHadlock2)
Hadlock (HC, AC, FL) Equation: Composite GA, Hadlock HC, AC, FL (99SIEMENS,
CompGAHadlock3)
Hadlock (BPD, HC, FL) Equation: Composite GA, Hadlock BPD, HC, FL (99SIEMENS,
CompGAHadlock4)
Hadlock (BPD, AC, FL) Equation: Composite GA, Hadlock BPD, AC, FL (99SIEMENS,
CompGAHadlock5)
Hadlock (AC, FL) Equation: Composite GA, Hadlock AC, FL (99SIEMENS, CompGAHadlock6)
Hadlock (HC, FL) Equation: Composite GA, Hadlock HC, FL (99SIEMENS, CompGAHadlock7)
Hadlock (HC, AC) Equation: Composite GA, Hadlock HC, AC (99SIEMENS, CompGAHadlock8)
Hadlock (BPD, FL) Equation: Composite GA, Hadlock BPD, FL (99SIEMENS, CompGAHadlock9)
Hadlock (BPD, HC) Equation: Composite GA, Hadlock BPD, HC (99SIEMENS, CompGAHadlock10)
Hadlock (BPD, AC) Equation: Composite GA, Hadlock BPD, AC (99SIEMENS, CompGAHadlock11)

11.3.2 EFW Authors

Author Label Author Information Comments
Hadlock (BPD, HC, AC, FL) Equation: EFW by AC, BPD, FL, HC, Hadlock 1985 (LN, 11732-5)
Hadlock (BPD, AC, FL) Equation: EFW by AC, BPD, FL, Hadlock 1985 (LN, 11735-8)
Hadlock (HC, AC, FL) Equation: EFW by AC, FL, HC, Hadlock 1985 (LN, 11746-5)
Hadlock (AC, FL) Equation: EFW by AC, FL, Hadlock 1985 (LN, 11751-5)
Shepard (BPD, AC) Equation: EFW by AC, BPD, Shepard 1982 (LN, 11739-0)
Tokyo (BPD, APAD, TAD, FL) Equation: EFW by BPD, APAD, TAD, FL, Tokyo 1987 (LN, 33144-7) No associated “2 Sigma Deviation of Population” value.
Osaka (BPD, FTA, FL) Equation: EFW by BPD, FTA, FL, Osaka 1990 (LN, 33140-5) No associated “2 Sigma Deviation of Population” value.
JSUM (BPD, AC, FL) Equation: EFW by BPD, AC, FL, JSUM (99SIEMENS, EFWJSUMBpdAcFl) No associated “2 Sigma Deviation of Population” value.
JSUM (BPD, APAD, TAD, FL) Equation: EFW by BPD, APAD, TAD, FL, JSUM No associated “2 Sigma Deviation of Population” value.
(99SIEMENS, EFWJSUMBpdApad)
Merz (BPD, AC) Equation: EFW by BPD, AC, Merz (99SIEMENS, EFWMerzBpdAc)

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11.3.3 EFW% Authors

Author Label EFW Growth Author Information Comments
Hadlock Equation: FWP by GA, Hadlock 1991 (LN, 33162-9)
Williams Equation: FWP by GA, Williams 1982 (LN, 33184-3)
Jeanty Equation: FWP by GA, Jeanty (99SIEMENS, GCEFWJeanty)
Yarkoni Equation: FWP by GA, Yarkoni (99SIEMENS, GCEFWYarkoni)
JSUM Equation: FWP by GA, JSUM (99SIEMENS, GCEFWJSUM)
Tokyo Equation: FWP by GA, Tokyo (99SIEMENS, GCEFWTokyo)
Osaka Equation: FWP by GA, Osaka (99SIEMENS, GCEFWOsaka)

11.3.4 EFW Gestational Age Authors

Author Label EFW Author Information Comments
Tokyo Table: EFW GA Tokyo (99SIEMENS, EFWGATokyo) No associated “2 Sigma Deviation of Population” value.
Osaka Table: EFW GA Osaka (99SIEMENS, EFWGAOsaka) No associated “2 Sigma Deviation of Population” value.
JSUM Table: EFW GA JSUM (99SIEMENS, EFWGAJSUM) No associated “2 Sigma Deviation of Population” value.

11.4 Fetal Biometry Ratios

Label Code Meaning Modifiers Measurement References
(Coding Scheme Designator, Code Value)
Fetal Biometry Ratios Container: Fetal Biometry Ratios
(DCM, 125001)
HC/AC Ratio HC/AC (LN, 11947-9)
HC/AC Range High Normal Range Upper Limit (SRT, R-0038B) HC/AC (LN, 11947-9)
HC/AC Range Low Normal Range Lower Limit (SRT, R-10041) HC/AC (LN, 11947-9)
FL/AC Ratio FL/AC (LN, 11871-1)
FL/AC Range High Normal Range Upper Limit (SRT, R-0038B) FL/AC (LN, 11871-1)
FL/AC Range Low Normal Range Lower Limit (SRT, R-10041) FL/AC (LN, 11871-1)
FL/BPD Ratio FL/BPD (LN, 11872-9)
FL/BPD Range High Normal Range Upper Limit (SRT, R-0038B) FL/BPD (LN, 11872-9)
FL/BPD Range Low Normal Range Lower Limit (SRT, R-10041) FL/BPD (LN, 11872-9)
CI Ratio Cephalic Index (LN, 11823-2)
CI Range High Normal Range Upper Limit (SRT, R-0038B) Cephalic Index (LN, 11823-2)
CI Range Low Normal Range Lower Limit (SRT, R-10041) Cephalic Index (LN, 11823-2)

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Label Code Meaning Modifiers Measurement References

(Coding Scheme Designator, Code Value)
FL/HC Ratio FL/HC (LN, 11873-7)
FL/HC Range High Normal Range Upper Limit (SRT, R-0038B) FL/HC (LN, 11873-7)
FL/HC Range Low Normal Range Lower Limit (SRT, R-10041) FL/HC (LN, 11873-7)
TCD/AC TCD/AC (99SIEMENS, RatioTCDAC)
TCD/AC Range High Normal Range Upper Limit (SRT, R-0038B) TCD/AC (99SIEMENS, RatioTCDAC)
TCD/AC Range Low Normal Range Lower Limit (SRT, R-10041) TCD/AC (99SIEMENS, RatioTCDAC)
LVW/HW LVW OVER HW RATIO
(99SIEMENS, RatioLVWHW)
LVW/HW Range High Normal Range Upper Limit (SRT, R-0038B) LVW OVER HW RATIO
(99SIEMENS, RatioLVWHW)
LVW/HW Range Low Normal Range Lower Limit (SRT, R-10041) LVW OVER HW RATIO
(99SIEMENS, RatioLVWHW)
HA/TA HA/TA (99SIEMENS, RatioHATA)

11.5 Fetal Biometry Measurements

Label Code Meaning Modifiers Measurement References
(Coding Scheme Designator, Code Value)
Fetal Biometry Measurements Container: Fetal Biometry (DCM, 125002)
AC Abdominal Circumference (LN, 11979-2)
AC <Gestational Age Author> Gestational Age (LN, 18185-9) <AC Gestational Age Author Information> Abdominal Circumference (LN, 11979-2)
AC <Gestational Age Author> 2SD 2 Sigma Deviation of Population (DCM, 121417) Gestational Age (LN, 18185-9)
<AC Gestational Age Author Information>
Abdominal Circumference (LN, 11979-2)
AC Mean Abdominal Circumference (LN, 11979-2) Derivation: Mean (SRT, R-00317)
AC <Growth Author> Growth Percentile Rank (DCM, 125012) <AC Growth Author Information> Abdominal Circumference (LN, 11979-2)
APAD Anterior Posterior Abdominal Diameter
(LN, 11818-2)
APAD Mean Anterior Posterior Abdominal Diameter Derivation: Mean (SRT, R-00317)
(LN, 11818-2)
BPD Biparietal Diameter (LN, 11820-8)
BPD <Gestational Age Author> Gestational Age (LN, 18185-9) <BPD Gestational Age Author Information> Biparietal Diameter (LN, 11820-8)
BPD <Gestational Age Author> 2SD 2 Sigma Deviation of Population (DCM, 121417) Gestational Age (LN, 18185-9)
<BPD Gestational Age Author Information>
Biparietal Diameter (LN, 11820-8)
BPD Mean Biparietal Diameter (LN, 11820-8) Derivation: Mean (SRT, R-00317)

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Label Code Meaning Modifiers Measurement References

(Coding Scheme Designator, Code Value)
BPD <Growth Author> Growth Percentile Rank (DCM, 125012) <BPD Growth Author Information> Biparietal Diameter (LN, 11820-8)
FL Femur Length (LN, 11963-6)
FL <Gestational Age Author> Gestational Age (LN, 18185-9) <FL Gestational Age Author Information> Femur Length (LN, 11963-6)
FL <Gestational Age Author> 2SD 2 Sigma Deviation of Population (DCM, 121417) Gestational Age (LN, 18185-9)
<FL Gestational Age Author Information>
Femur Length (LN, 11963-6)
FL Mean Femur Length (LN, 11963-6) Derivation: Mean (SRT, R-00317)
FL <Growth Author> Growth Percentile Rank (DCM, 125012) <FL Growth Author Information> Femur Length (LN, 11963-6)
Foot Foot Length (LN, 11965-1)
Foot, Author: Mercer Gestational Age (LN, 18185-9) Equation: Foot Length, Mercer 1987 Foot Length (LN, 11965-1)
(LN, 11926-3)
Foot, Author: Mercer, 2SD 2 Sigma Deviation of Population (DCM, 121417) Gestational Age (LN, 18185-9)
Equation: Foot Length, Mercer 1987
(LN, 11926-3)
Foot Length (LN, 11965-1)
Foot Mean Foot Length (LN, 11965-1) Derivation: Mean (SRT, R-00317)
HC Head Circumference (LN, 11984-2)
HC <Gestational Age Author> Gestational Age (LN, 18185-9) <HC Gestational Age Author Information> Head Circumference (LN, 11984-2)
HC <Gestational Age Author> 2SD 2 Sigma Deviation of Population (DCM, 121417) Gestational Age (LN, 18185-9)
<HC Gestational Age Author Information>
Head Circumference (LN, 11984-2)
HC Mean Head Circumference (LN, 11984-2) Derivation: Mean (SRT, R-00317)
HC <Growth Author> Growth Percentile Rank (DCM, 125012) <HC Growth Author Information> Head Circumference (LN, 11984-2)
OFD Occipital Frontal Diameter (LN, 11851-3)
OFD, Author: ASUM2000 Gestational Age (LN, 18185-9) Equation: OFD, ASUM 2000 (LN, 33119-9) Occipital Frontal Diameter (LN, 11851-3)
OFD Mean Occipital Frontal Diameter (LN, 11851-3) Derivation: Mean (SRT, R-00317)
OFD, Growth Author: ASUM2000 Growth Percentile Rank (DCM, 125012) Table: OFD by GA, ASUM 2000 Occipital Frontal Diameter (LN, 11851-3)
(LN, 33178-5)
TC Thoracic Circumference (LN, 11988-3)
TC Mean Thoracic Circumference (LN, 11988-3) Derivation: Mean (SRT, R-00317)
TA Thoracic Area (LN, 33068-8)
TA Mean Thoracic Area (LN, 33068-8) Derivation: Mean (SRT, R-00317)

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Label Code Meaning Modifiers Measurement References

(Coding Scheme Designator, Code Value)
TAD Transverse Abdominal Diameter (LN, 11862-0)
TAD Mean Transverse Abdominal Diameter (LN, 11862-0) Derivation: Mean (SRT, R-00317)
TAD, Growth Author: CFEF Growth Percentile Rank (DCM, 125012) Table: TAD by GA CFEF Transverse Abdominal Diameter
(99SIEMENS, GCTADCFEF) (LN, 11862-0)
2D-Mode: L Kidney mm Left Kidney Length (LN, 11834-9)
2D-Mode: L Kidney Mean Left Kidney Length (LN, 11834-9) Derivation: Mean (SRT, R-00317)
2D-Mode: R Kidney mm Right Kidney Length (LN, 11836-4)
2D-Mode: R Kidney Mean Right Kidney Length (LN, 11836-4) Derivation: Mean (SRT, R-00317)
APAD x TAD APAD*TAD (LN, 33191-8)
APAD x TAD, Author: Tokyo Gestational Age (LN, 18185-9) Table: APAD*TAD, Tokyo APAD*TAD (LN, 33191-8)
(99SIEMENS, APADxTADGATokyo)
APAD x TAD Mean APAD*TAD (LN, 33191-8) Derivation: Mean (SRT, R-00317)
APAD x TAD, Growth Author: Growth Percentile Rank (DCM, 125012) Table: APAD TIMES TAD by GA Tokyo APAD*TAD (LN, 33191-8)
Tokyo (99SIEMENS, GCAPADxTADTokyo)
HA Heart Area (99SIEMENS, HeartArea)
FTA Fetal Trunk Area (99SIEMENS, FTrunkArea)
FTA, Author: Osaka Gestational Age (LN, 18185-9) Table: FTA, Osaka 1989 (LN, 33138-9) Fetal Trunk Area
(99SIEMENS, FTrunkArea)
FTA Mean Fetal Trunk Area (99SIEMENS, FTrunkArea) Derivation: Mean (SRT, R-00317)
FTA, Growth Author: Osaka Growth Percentile Rank (DCM, 125012) Table: FTA by GA Osaka Thoracic Area (LN, 33068-8)
(99SIEMENS, GCFTAOsaka)
HC/AC, Growth Author: Campbell Growth Percentile Rank (DCM, 125012) Table: HC/AC by GA, Campbell 1977
(LN, 33182-7)
Volume: L Kidney V Left Fetal Kidney Volume
(99SIEMENS, LFKidneyVol)
Volume: L Kidney Mean Left Fetal Kidney Volume Derivation: Mean (SRT, R-00317)
(99SIEMENS, LFKidneyVol)
Volume: L Kidney D1 Left Fetal Kidney Volume: Distance 1
(99SIEMENS, LFKidneyVolD1)
Volume: L Kidney D2 Left Fetal Kidney Volume: Distance 2
(99SIEMENS, LFKidneyVolD2)
Volume: L Kidney D3 Left Fetal Kidney Volume: Distance 3
(99SIEMENS, LFKidneyVolD3)
Volume: R Kidney V Right Fetal Kidney Volume
(99SIEMENS, RFKidneyVol)

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Label Code Meaning Modifiers Measurement References

(Coding Scheme Designator, Code Value)
Volume: R Kidney Mean Right Fetal Kidney Volume Derivation: Mean (SRT, R-00317)
(99SIEMENS, RFKidneyVol)
Volume: R Kidney D1 Right Fetal Kidney Volume: Distance 1
(99SIEMENS, RFKidneyVolD1)
Volume: R Kidney D2 Right Fetal Kidney Volume: Distance 2
(99SIEMENS, RFKidneyVolD2)
Volume: R Kidney D3 Right Fetal Kidney Volume: Distance 3
(99SIEMENS, RFKidneyVolD3)

11.5.1 AC Gestational Age Authors

Author Label AC Gestational Age Author Information Comments
ASUM2000 Equation: AC, ASUM 2000 (LN, 33072-0) No associated “2 Sigma Deviation of Population” value.
Hadlock Equation: AC, Hadlock 1984 (LN, 11892-7)
ASUM Equation: AC GA ASUM (99SIEMENS, ACGAASUM) No associated “2 Sigma Deviation of Population” value.
Lasser Table: AC GA Lasser (99SIEMENS, ACGALasser)
Merz Table: AC GA Merz (99SIEMENS, ACGAMerz)
JSUM Table: AC GA JSUM (99SIEMENS, ACGAJSUM)

11.5.2 AC Growth Authors

Author Label AC Growth Author Information Comments
Hadlock Equation: AC by GA, Hadlock 1984 (LN, 33146-2)
Merz Table: AC by GA, Merz 1988 (LN, 33148-8)
Chitty Equation: AC (measured) by GA, Chitty 1994 (LN, 33147-0)
ASUM2000 Table: AC by GA, ASUM 2000 (LN, 33145-4)
Jeanty Table: AC by GA Jeanty (99SIEMENS, GCACJeanty)
ASUM Equation: AC by GA ASUM (99SIEMENS, GCACASUM)
Grumback Table: AC by GA Grumback (99SIEMENS, GCACGrumback)
Deter Equation: AC by GA Deter (99SIEMENS, GCACDeter)
JSUM Table: AC by GA JSUM (99SIEMENS, GCACJSUM)
CFEF Table: AC by GA CFEF (99SIEMENS, GCACCFEF)

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11.5.3 BPD Gestational Age Authors

Author Label BPD Gestational Age Author Information Comments
Hadlock Equation: BPD, Hadlock 1984 (LN, 11902-4)
Hansmann Table: BPD, Hansmann 1986 (LN, 33538-0)
Rempen Table: BPD, Rempen 1991 (LN, 33083-7)
ASUM Table: BPD, ASUM 1989 (LN, 33079-5)
Tokyo Table: BPD, Tokyo 1986 (LN, 33085-2) No associated “2 Sigma Deviation of Population” value.
Osaka Table: BPD, Osaka 1989 (LN, 33082-9) No associated “2 Sigma Deviation of Population” value.
ASUM2000 Equation: BPD GA ASUM2000 (99SIEMENS, BPDGAASUM2000) No associated “2 Sigma Deviation of Population” value.
Lasser Table: BPD GA Lasser (99SIEMENS, BPDGALasser)
Merz Table: BPD GA Merz (99SIEMENS, BPDGAMerz)
JSUM Table: BPD GA JSUM (99SIEMENS, BPDGAJSUM)

11.5.4 BPD Growth Authors

Author Label BPD Growth Author Information Comments
Hadlock Equation: BPD by GA, Hadlock 1984 (LN, 33198-3)
Merz Table: BPD by GA, Merz 1988 (LN, 33154-6)
Rempen Table: BPD by GA, Rempen 1991 (LN, 33155-3)
Chitty (out-to-in) Equation: BPD outer inner by GA, Chitty 1994 (LN, 33556-2)
Chitty (out-to-out) Equation: BPD outer outer by GA, Chitty 1994 (LN, 33152-0)
ASUM2000 Table: BPD by GA, ASUM 2000 (LN, 33151-2)
Hansmann Table: BPD by GA Hansmann (99SIEMENS, GCBPDHansmann)
Lasser Equation: BPD by GA Lasser (99SIEMENS, GCBPDLasser)
Grumback Table: BPD by GA Grumback (99SIEMENS, GCBPDGrumback)
JSUM Table: BPD by GA JSUM (99SIEMENS, GCBPDJSUM)
Tokyo Table: BPD by GA Tokyo (99SIEMENS, GCBPDTokyo)
Osaka Table: BPD by GA Osaka (99SIEMENS, GCBPDOsaka)
CFEF Table: BPD by GA CFEF (99SIEMENS, GCBPDCFEF)
ASUM Table: BPD by GA ASUM (99SIEMENS, GCBPDASUM)

11.5.5 FL Gestational Age Authors

Author Label FL Gestational Age Author Information Comments
Hadlock Equation: FL, Hadlock 1984 (LN, 11920-6)
Jeanty Equation: FL, Jeanty 1984 (LN, 11923-0)

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Author Label FL Gestational Age Author Information Comments

Merz Table: FL, Merz 1988 (LN, 33542-2)
Tokyo Table: FL, Tokyo 1986 (LN, 33103-3) No associated “2 Sigma Deviation of Population” value.
Osaka Table: FL, Osaka 1989 (LN, 33101-7) No associated “2 Sigma Deviation of Population” value.
ASUM Equation: FL GA ASUM (99SIEMENS, FLGAASUM)
ASUM2000 Equation: FL GA ASUM2000 (99SIEMENS, FLGAASUM2000) No associated “2 Sigma Deviation of Population” value.
Warda Equation: FL GA Warda (99SIEMENS, FLGAWarda)
JSUM Table: FL GA JSUM (99SIEMENS, FLGAJSUM)

11.5.6 FL Growth Authors

Author Label FL Growth Author Information Comments
Hadlock Equation: FL by GA, Hadlock 1984 (LN, 33166-0)
Jeanty Equation: FL by GA, Jeanty 1982 (LN, 33168-6)
Merz Table: FL by GA, Merz 1988 (LN, 33169-4)
Chitty Equation: FL by GA, Chitty 1994 (LN, 33167-8)
ASUM2000 Table: FL by GA, ASUM 2000 (LN, 33165-2)
Warda Equation: FL by GA Warda (99SIEMENS, GCFLWarda)
JSUM Table: FL by GA JSUM (99SIEMENS, GCFLJSUM)
Tokyo Table: FL by GA Tokyo (99SIEMENS, GCFLTokyo)
Osaka Table: FL by GA Osaka (99SIEMENS, GCFLOsaka)
CFEF Table: FL by GA CFEF (99SIEMENS, GCFLCFEF)
ASUM Equation: FL by GA ASUM (99SIEMENS, GCFLASUM)

11.5.7 HC Gestational Age Authors

Author Label HC Gestational Age Author Information Comments
ASUM2000 Equation: HC, ASUM 2000 (LN, 33109-0) No associated “2 Sigma Deviation of Population” value.
Hadlock Equation: HC, Hadlock 1984 (LN, 11932-1)
Hansmann Table: HC, Hansmann 1986 (LN, 33543-0)
Merz Table: HC, Merz 1988 (LN, 33115-7)
Lasser Table: HC GA Lasser (99SIEMENS, HCGALasser)

11.5.8 HC Growth Authors

Author Label HC Growth Author Information Comments
Hadlock Equation: HC by GA, Hadlock 1984 (LN, 33173-6)

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Author Label HC Growth Author Information Comments

Merz Table: HC by GA, Merz 1988 (LN, 33176-9)
Chitty Equation: HC derived by GA, Chitty 1994 (LN, 33174-4)
ASUM2000 Table: HC by GA, ASUM 2000 (LN, 33172-8)
Hansmann Table: HC by GA Hansmann (99SIEMENS, GCHCHansmann)
ASUM Equation: HC by GA ASUM (99SIEMENS, GCHCASUM)
Chitty Equation: HC by GA Chitty (99SIEMENS, GCHCChitty)
Deter Equation: HC by GA Deter (99SIEMENS, GCHCDeter)
CFEF Table: HC by GA CFEF (99SIEMENS, GCHCCFEF)

11.6 Fetal Long Bones Biometry Measurements

Label Code Meaning Modifiers Measurement References
(Coding Scheme Designator, Code Value)
Fetal Long Bones Biometry Container: Fetal Long Bones (DCM, 125003)
Measurements
Clavicle Clavicle Length (LN, 11962-8)
Clavicle, Author: Yarkoni Gestational Age (LN, 18185-9) Equation: Clavical Length, Yarkoni 1985 Clavicle Length (LN, 11962-8)
(LN, 33088-6)
Clavicle, Author: Yarkoni, 2SD 2 Sigma Deviation of Population (DCM, 121417) Gestational Age (LN, 18185-9)
Equation: Clavical Length, Yarkoni 1985
(LN, 33088-6)
Clavicle Length (LN, 11962-8)
Clavicle Mean Clavicle Length (LN, 11962-8) Derivation: Mean (SRT, R-00317)
HL Humerus Length (LN, 11966-9)
HL <Gestational Age Author> Gestational Age (LN, 18185-9) <HL Gestational Age Author Information> Humerus Length (LN, 11966-9)
HL <Gestational Age Author> 2SD 2 Sigma Deviation of Population (DCM, 121417) Gestational Age (LN, 18185-9)
<HL Gestational Age Author Information>
Humerus Length (LN, 11966-9)
HL Mean Humerus Length (LN, 11966-9) Derivation: Mean (SRT, R-00317)
HL <Growth Author> Growth Percentile Rank (DCM, 125012) <HL Growth Author Information> Humerus Length (LN, 11966-9)
Radius Radius Length (LN, 11967-7)
Radius Mean Radius Length (LN, 11967-7) Derivation: Mean (SRT, R-00317)
Tibia Tibia Length (LN, 11968-5)
Tibia, Author: Jeanty Gestational Age (LN, 18185-9) Equation: Tibia, Jeanty 1984 (LN, 11941-2) Tibia Length (LN, 11968-5)

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Label Code Meaning Modifiers Measurement References

(Coding Scheme Designator, Code Value)
Tibia, Author: Jeanty, 2SD 2 Sigma Deviation of Population (DCM, 121417) Gestational Age (LN, 18185-9)
Equation: Tibia, Jeanty 1984 (LN, 11941-2)
Tibia Length (LN, 11968-5)
Tibia Mean Tibia Length (LN, 11968-5) Derivation: Mean (SRT, R-00317)
Ulna Ulna Length (LN, 11969-3)
Ulna, Author: Jeanty Gestational Age (LN, 18185-9) Equation: Ulna, Jeanty 1984 (LN, 11944-6) Ulna Length (LN, 11969-3)
Ulna, Author: Jeanty, 2SD 2 Sigma Deviation of Population (DCM, 121417) Gestational Age (LN, 18185-9)
Equation: Ulna, Jeanty 1984 (LN, 11944-6)
Ulna Length (LN, 11969-3)
Ulna Mean Ulna Length (LN, 11969-3) Derivation: Mean (SRT, R-00317)

11.6.1 HL Gestational Age Authors

Author Label HL Gestational Age Author Information Comments
ASUM 2000 Equation: Humerus Length, ASUM 2000 (LN, 33116-5) No associated “2 Sigma Deviation of Population” value.
Jeanty Equation: Humerus, Jeanty 1984 (LN, 11936-2)
Osaka Table: Humerus Length, Osaka 1989 (LN, 33117-3) No associated “2 Sigma Deviation of Population” value.

11.6.2 HL Growth Authors

Author Label HL Growth Author Information Comments
ASUM2000 Table: Humerus Length by GA, ASUM 2000 (LN, 33177-7)
Jeanty Equation: HL by GA Jeanty (99SIEMENS, GCHLJeanty)
Merz Table: HL by GA Merz (99SIEMENS, GCHLMerz)
Osaka Table: HL by GA Osaka (99SIEMENS, GCHLOsaka)

11.7 Fetal Cranium

Label Code Meaning Modifiers Measurement References
(Coding Scheme Designator, Code Value)
Fetal Cranium Container: Fetal Cranium (DCM, 125004)
LVW Lateral Ventrical Width (LN, 12171-5)
LVW Mean Lateral Ventrical Width (LN, 12171-5) Derivation: Mean (SRT, R-00317)
Cist Magna Cisterna Magna (LN, 11860-4)
Cist Magna Mean Cisterna Magna (LN, 11860-4) Derivation: Mean (SRT, R-00317)

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Label Code Meaning Modifiers Measurement References

(Coding Scheme Designator, Code Value)
Nuchal Thick Nuchal Fold Thickness (LN, 12146-7)
Nuchal Thick Mean Nuchal Fold Thickness (LN, 12146-7) Derivation: Mean (SRT, R-00317)
Binoc D Outer Orbital Diameter (LN, 11629-3)
Binoc D <Gestational Age Author> Gestational Age (LN, 18185-9) <Binoc D Gestational Age Author Outer Orbital Diameter (LN, 11629-3)
Information>
Binoc D <Gestational Age Author> 2 Sigma Deviation of Population (DCM, 121417) Gestational Age (LN, 18185-9)
2SD <Binoc D Gestational Age Author
Information>
Outer Orbital Diameter (LN, 11629-3)
Binoc D Mean Outer Orbital Diameter (LN, 11629-3) Derivation: Mean (SRT, R-00317)
TCD Trans Cerebellar Diameter (LN, 11863-8)
TCD Mean Trans Cerebellar Diameter (LN, 11863-8) Derivation: Mean (SRT, R-00317)
HW Width of Hemisphere (LN, 12170-7)
HW Mean Width of Hemisphere (LN, 12170-7) Derivation: Mean (SRT, R-00317)

11.7.1 Binoc D Gestational Age Authors

Author Label Binoc D Gestational Age Author Information Comments
Jeanty Table: Binoc D, Jeanty (99SIEMENS, BNGAJeanty)
Tongsong Equation: Binoc D, Tongsong (99SIEMENS, BNGATongsong)

11.8 Amniotic Sac

[Note: AFI values appear in a private Amniotic Sacs section when there are multiple fetuses.]
Label Code Meaning Modifiers Measurement References
(Coding Scheme Designator, Code Value)
Amniotic Sac Finding Site: Amniotic Sac (SRT, T-F1300)
AFI Sum Amniotic Fluid Index (LN, 11627-7)
AFI Q1 First Quadrant Diameter (LN, 11624-4)
AFI Q2 Second Quadrant Diameter (LN, 11626-9)
AFI Q3 Third Quadrant Diameter (LN, 11625-1)
AFI Q4 Fourth Quadrant Diameter (LN, 11623-6)

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11.9 Early Gestation Biometry Measurements

Label Code Meaning Modifiers Measurement References
(Coding Scheme Designator, Code Value)
Early Gestation Biometry Container: Early Gestation (DCM, 125009)
Measurements
CRL Crown Rump Length (LN, 11957-8)
CRL <Gestational Age Author> Gestational Age (LN, 18185-9) <CRL Gestational Age Author Information> Crown Rump Length (LN, 11957-8)
CRL <Gestational Age Author> 2SD 2 Sigma Deviation of Population (DCM, 121417) Gestational Age (LN, 18185-9)
<CRL Gestational Age Author Information>
Crown Rump Length (LN, 11957-8)
CRL Mean Crown Rump Length (LN, 11957-8) Derivation: Mean (SRT, R-00317)
CRL <Growth Author> Growth Percentile Rank (DCM, 125012) <CRL Growth Author Information> Crown Rump Length (LN, 11957-8)
GSD Gestational Sac Diameter (LN, 11850-5)
GSD <Gestational Age Author> Gestational Age (LN, 18185-9) <GSD Gestational Age Author Information> Gestational Sac Diameter (LN, 11850-5)
GSD <Gestational Age Author> 2SD 2 Sigma Deviation of Population (DCM, 121417) Gestational Age (LN, 18185-9)
<GSD Gestational Age Author Information>
Gestational Sac Diameter (LN, 11850-5)
GSD Mean Gestational Sac Diameter (LN, 11850-5) Derivation: Mean (SRT, R-00317)
GSD <Growth Author> Growth Percentile Rank (DCM, 125012) <GSD Growth Author Information> Gestational Sac Diameter (LN, 11850-5)
Yolk Sac Yolk Sac Length (LN, 11816-6)
Yolk Sac Mean Yolk Sac Length (LN, 11816-6) Derivation: Mean (SRT, R-00317)

11.9.1 CRL Gestational Age Authors

Author Label CRL Gestational Age Author Information Comments
ASUM2000 Equation: CRL, ASUM 2000 (LN, 33090-2) No associated “2 Sigma Deviation of Population” value.
Hadlock Equation: CRL, Hadlock 1992 (LN, 11910-7)
Hansmann Table: CRL, Hansmann 1986 (LN, 33540-6)
Rempen Table: CRL, Rempen 1991 (LN, 33094-4)
Osaka Table: CRL, Osaka 1989 (LN, 33093-6) No associated “2 Sigma Deviation of Population” value.
Robinson Equation: CRL, Robinson 1975 (LN, 11914-9)
Tokyo Table: CRL, Tokyo 1986 (LN, 33096-9) No associated “2 Sigma Deviation of Population” value.
Lasser Table: CRL GA Lasser (99SIEMENS, CRLGALasser)
JSUM Table: CRL GA JSUM (99SIEMENS, CRLGAJSUM)

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11.9.2 CRL Growth Authors

Author Label CRL Growth Author Information Comments
Rempen Table: CRL by GA, Rempen 1991 (LN, 33160-3)
ASUM2000 Table: CRL by GA, ASUM 2000 (LN, 33159-5)
Hadlock Equation: CRL by GA Hadlock (99SIEMENS, GCCRLHadlock)
Robinson Equation: CRL by GA Robinson (99SIEMENS, GCCRLRobinson)
Hansmann Table: CRL by GA Hansmann (99SIEMENS, GCCRLHansmann)
JSUM Table: CRL by GA JSUM (99SIEMENS, GCCRLJSUM)
Tokyo Table: CRL by GA Tokyo (99SIEMENS, GCCRLTokyo)
Osaka Table: CRL by GA Osaka (99SIEMENS, GCCRLOsaka)

11.9.3 GSD Gestational Age Authors

Author Label GSD Gestational Age Author Information Comments
Rempen Table: GS, Rempen 1991 (LN, 11929-7)
Tokyo Table: GS, Tokyo 1986 (LN, 33108-2) No associated “2 Sigma Deviation of Population” value.

11.9.4 GSD Growth Authors

Author Label GSD Growth Author Information Comments
Hellman Equation: GSD by GA Hellman (99SIEMENS, GCGSDHellman)
Tokyo Table: GSD by GA Tokyo (99SIEMENS, GCGSDTokyo)

11.10 Fetal Biophysical Profile

Label Code Meaning Modifiers Measurement References
(Coding Scheme Designator, Code Value)
Fetal Biophysical Profile Container: Biophysical Profile (DCM, 125006)
Fetal Movements Gross Body Movement (LN, 11631-9)
Fetal Breathing Fetal Breathing (LN, 11632-7)
Fetal Tone Fetal Tone (LN, 11635-0)
Amniotic Fluid Amniotic Fluid Volume (LN, 11630-1)
Score Biophysical Profile Sum Score (LN, 11634-3)

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11.11 Pelvis and Uterus

Label Code Meaning Modifiers Measurement References
(Coding Scheme Designator, Code Value)
Pelvis and Uterus Container: Pelvis and Uterus (DCM, 125011)
Cervix Len Cervix Length (LN, 11961-0)
Cervix Len Mean Cervix Length (LN, 11961-0) Derivation: Mean (SRT, R-00317)
Endomet Endometrium Thickness (LN, 12145-9)
Endomet Mean Endometrium Thickness (LN, 12145-9) Derivation: Mean (SRT, R-00317)
Uterus Uterus Distance (99SIEMENS, UterusDist)
Uterus Mean Uterus Distance (99SIEMENS, UterusDist) Derivation: Mean (SRT, R-00317)

11.12 Fetal and Pelvic Vasculature

The measurements in this table apply to the vessels listed for Fetal Vasculature (section 11.12.1) and Pelvic Vasculature (section 11.12.2).
Label Code Meaning Modifiers
(Section: Measurement) (Coding Scheme Designator, Code Value)
Doppler: PS Peak Systolic Velocity (LN, 11726-7)
Doppler: ED End Diastolic Velocity (LN, 11653-3)
Doppler: S/D Systolic to Diastolic Velocity Ratio (LN, 12144-2)
Doppler: TAV Time Averaged Peak Velocity (LN, 11692-1)
Doppler: PI Pulsatility Index (LN, 12008-9)
Doppler: RI Resistivity Index (LN, 12023-8)
Doppler: Angle Doppler Angle Correction
(99SIEMENS, DopAngleCor)
Acceleration: Acceleration Acceleration Index (LN, 20167-3)
Acceleration: Mean Acceleration Index (LN, 20167-3) Derivation: Mean (SRT, R-00317)
Acceleration: V1 Acceleration Velocity 1 (99SIEMENS, AccelVel1)
Acceleration: V2 Acceleration Velocity 2 (99SIEMENS, AccelVel2)
Acceleration: T Acceleration Time (LN, 20168-1)
Volume Flow: Volume Flow Volume Flow (LN, 33878-0)
Volume Flow: Mean Volume Flow (LN, 33878-0) Derivation: Mean (SRT, R-00317)
Volume Flow: A Volume Flow Area (99SIEMENS, VolFArea)
Volume Flow: D Volume Flow Distance (99SIEMENS, VolFDist)
Volume Flow: TAMn Volume Flow Time-Averaged Mean Velocity
(99SIEMENS, VolFTAVmV)
Stenosis: %Stenosis [Area] % Area Reduction (SRT, G-0371)

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Label Code Meaning Modifiers

(Section: Measurement) (Coding Scheme Designator, Code Value)
Stenosis: Mean [Area] % Area Reduction (SRT, G-0371) Derivation: Mean (SRT, R-00317)
Stenosis: A1 Meas 1 Vessel Lumen Cross-Sectional Area
(SRT, G-0366)
Stenosis: A2 Meas 2 Vessel Lumen Cross-Sectional Area
(SRT, G-0366)
Stenosis: %Stenosis [Distance] % Diameter Reduction (SRT, G-0372)
Stenosis: Mean [Distance] % Diameter Reduction (SRT, G-0372) Derivation: Mean (SRT, R-00317)
Stenosis: D1 Meas 1 Vessel Lumen Diameter (SRT, G-0364)
Stenosis: D2 Meas 2 Vessel Lumen Diameter (SRT, G-0364)
2D-Mode: <units> Distance (99SIEMENS, Distance)
2D-Mode: Mean Distance (99SIEMENS, Distance) Derivation: Mean (SRT, R-00317)
Velocity: Vel Velocity (99SIEMENS, Velocity)
Velocity: Mean Velocity (99SIEMENS, Velocity) Derivation: Mean (SRT, R-00317)
Velocity: Angle Velocity Angle Correction
(99SIEMENS, VelAngleCor)

11.12.1 Fetal Vasculature

[Note: Umbilical Artery (Umb A) measurements appear in this section when there are multiple fetuses.]
Label Code Meaning Modifiers Measurement References
(Coding Scheme Designator, Code Value)
Fetal Vasculature Finding Site: Embryonic Vascular Structure
(SRT, T-F6800)
Fetal Ao Location: Aorta (SRT, T-4200)
L MCA Location: Middle Cerebral Artery (SRT, T- Laterality: Left (SRT, G-A101)
45600)
R MCA Location: Middle Cerebral Artery (SRT, T- Laterality: Right (SRT, G-A100)
45600)
Umb A Location: Umbilical Artery (SRT, T-F1810)

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11.12.2 Pelvic Vasculature

[Note: Umbilical Artery (Umb A) measurements appear in this section when there is only one fetus.]
Label Code Meaning Modifiers Measurement References
(Coding Scheme Designator, Code Value)
Pelvic Vasculature Finding Site: Pelvic Vascular Structure
(SRT, T-D6007)
Umb A Location: Umbilical Artery (SRT, T-F1810)
L Uterine A Location: Uterine Artery (SRT, T-46820) Laterality: Left (SRT, G-A101)
R Uterine A Location: Uterine Artery (SRT, T-46820) Laterality: Right (SRT, G-A100)
L Ovarian A Location: Ovarian Artery (SRT, T-46980) Laterality: Left (SRT, G-A101)
R Ovarian A Location: Ovarian Artery (SRT, T-46980) Laterality: Right (SRT, G-A100)
Arcuate A Location: Arcuate Artery
(99SIEMENS, ArcuateArtery)

11.13 Private Section: Ovaries

Label Code Meaning Modifiers Measurement References
(Section: Measurement) (Coding Scheme Designator, Code Value)
Ovaries Container: Ovaries Section
(99SIEMENS, Ovaries)
2D-Mode: L Ovary <units> Left Ovary Distance (99SIEMENS, LOvaryDist)
2D-Mode: L Ovary Mean Left Ovary Distance (99SIEMENS, LOvaryDist) Derivation: Mean (SRT, R-00317)
Volume: L Ovary V Left Ovary Volume (LN, 12164-0)
Volume: L Ovary Mean Left Ovary Volume (LN, 12164-0) Derivation: Mean (SRT, R-00317)
Volume: L Ovary D1 Left Ovary Volume: Distance 1
(99SIEMENS, LOvaryVolD1)
Volume: L Ovary D2 Left Ovary Volume: Distance 2
(99SIEMENS, LOvaryVolD2)
Volume: L Ovary D3 Left Ovary Volume: Distance 3
(99SIEMENS, LOvaryVolD3)
2D-Mode: R Ovary <units> Right Ovary Distance (99SIEMENS,
ROvaryDist)
2D-Mode: R Ovary Mean Right Ovary Distance (99SIEMENS, Derivation: Mean (SRT, R-00317)
ROvaryDist)
Volume: R Ovary V Right Ovary Volume (LN, 12165-7)
Volume: R Ovary Mean Right Ovary Volume (LN, 12165-7) Derivation: Mean (SRT, R-00317)

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Label Code Meaning Modifiers Measurement References

(Section: Measurement) (Coding Scheme Designator, Code Value)
Volume: R Ovary D1 Right Ovary Volume: Distance 1
(99SIEMENS, ROvaryVolD1)
Volume: R Ovary D2 Right Ovary Volume: Distance 2
(99SIEMENS, ROvaryVolD2)
Volume: R Ovary D3 Right Ovary Volume: Distance 3
(99SIEMENS, ROvaryVolD3)

11.14 Private Sections: Left Follicles and Right Follicles

Label Code Meaning Modifiers Measurement References
<n> = 1..20 (Coding Scheme Designator, Code Value)
Follicles Container: Follicles Section Laterality: Left (SRT, G-A101)
(99SIEMENS, Follicles)
L Follicle <n> Follicle <n> Distance
(99SIEMENS, Follicle<n>Dist)
L Follicle <n> Mean Follicle <n> Distance Derivation: Mean (SRT, R-00317)
(99SIEMENS, Follicle<n>Dist)

Label Code Meaning Modifiers Measurement References

<n> = 1..20 (Coding Scheme Designator, Code Value)
Follicles Container: Follicles Section Laterality: Laterality: Right (SRT, G-A100)
(99SIEMENS, Follicles)
R Follicle <n> Follicle <n> Distance
(99SIEMENS, Follicle<n>Dist)
R Follicle <n> Mean Follicle <n> Distance Derivation: Mean (SRT, R-00317)
(99SIEMENS, Follicle<n>Dist)

11.15 Private Sections: Left Cysts and Right Cysts

Label Code Meaning Modifiers Measurement References
(Coding Scheme Designator, Code Value)
Cysts Container: Cysts Section Laterality: Left (SRT, G-A101)
<n> = 1..6 (99SIEMENS, Cysts)
L Cyst <n> Cyst <n> Distance (99SIEMENS, Cyst<n>Dist)
L Cyst <n> Mean Cyst <n> Distance (99SIEMENS, Cyst<n>Dist) Derivation: Mean (SRT, R-00317)

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Label Code Meaning Modifiers Measurement References

(Coding Scheme Designator, Code Value)
Cysts Container: Cysts Section Laterality: Laterality: Right (SRT, G-A100)
<n> = 1..6 (99SIEMENS, Cysts)
R Cyst <n> Cyst <n> Distance (99SIEMENS, Cyst<n>Dist)
R Cyst <n> Mean Cyst <n> Distance (99SIEMENS, Cyst<n>Dist) Derivation: Mean (SRT, R-00317)

11.16 Private Section: Bladder

Label Code Meaning Modifiers Measurement References
(Coding Scheme Designator, Code Value)
Bladder Container: Bladder Section
(99SIEMENS, Bladder)
Micturated Micturated Volume
(99SIEMENS, MicturatedVol)
PreVoid Bld V Pre-Void Volume (99SIEMENS, PreVoidVol)
PreVoid Bld Mean Pre-Void Volume (99SIEMENS, PreVoidVol) Derivation: Mean (SRT, R-00317)
PreVoid Bld D1 Pre-Void Volume: Distance 1
(99SIEMENS, PreVoidVolD1)
PreVoid Bld D2 Pre-Void Volume: Distance 2
(99SIEMENS, PreVoidVolD2)
PreVoid Bld D3 Pre-Void Volume: Distance 3
(99SIEMENS, PreVoidVolD3)
PostVoid Bld V Post-Void Volume (99SIEMENS, PostVoidVol)
PostVoid Bld Mean Post-Void Volume (99SIEMENS, PostVoidVol) Derivation: Mean (SRT, R-00317)
PostVoid Bld D1 Post-Void Volume: Distance 1
(99SIEMENS, PostVoidVolD1)
PostVoid Bld D2 Post-Void Volume: Distance 2
(99SIEMENS, PostVoidVolD2)
PostVoid Bld D3 Post-Void Volume: Distance 3
(99SIEMENS, PostVoidVolD3)

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11.17 Private Section: Maternal Kidney

Label Code Meaning Modifiers Measurement References
(Section: Measurement) (Coding Scheme Designator, Code Value)
Maternal Kidney Container: Maternal Kidney
(99SIEMENS, MKidney)
2D-Mode: L Mat Kidney <units> Left Maternal Kidney Distance
(99SIEMENS, LMKidneyDist)
2D-Mode: L Mat Kidney Mean Left Maternal Kidney Distance Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMKidneyDist)
Volume: L Mat Kidney V Left Maternal Kidney Volume
(99SIEMENS, LMKidneyVol)
Volume: L Mat Kidney Mean Left Maternal Kidney Volume Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMKidneyVol)
Volume: L Mat Kidney D1 Left Maternal Kidney Volume: Distance 1
(99SIEMENS, LMKidneyVolD1)
Volume: L Mat Kidney D2 Left Maternal Kidney Volume: Distance 2
(99SIEMENS, LMKidneyVolD2)
Volume: L Mat Kidney D3 Left Maternal Kidney Volume: Distance 3
(99SIEMENS, LMKidneyVolD3)
2D: R Mat Kidney <units> Right Maternal Kidney Distance
(99SIEMENS, RMKidneyDist)
2D: R Mat Kidney Mean Right Maternal Kidney Distance Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMKidneyDist)
Volume: R Mat Kidney V Right Maternal Kidney Volume
(99SIEMENS, RMKidneyVol)
Volume: R Mat Kidney Mean Right Maternal Kidney Volume Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMKidneyVol)
Volume: R Mat Kidney D1 Right Maternal Kidney Volume: Distance 1
(99SIEMENS, RMKidneyVolD1)
Volume: R Mat Kidney D2 Right Maternal Kidney Volume: Distance 2
(99SIEMENS, RMKidneyVolD2)
Volume: R Mat Kidney D3 Right Maternal Kidney Volume: Distance 3
(99SIEMENS, RMKidneyVolD3)

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11.18 Private Section: Breast

Label Code Meaning Modifiers Measurement References
(Coding Scheme Designator, Code Value)
Breast Container: Breast
(99SIEMENS, Breast)
Heading: Breast 2D-Mode Mass Measurements
L Mass 1 Left Mass 1, Breast
(99SIEMENS, LMass1Br)
L Mass 1 Mean Left Mass 1, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass1Br)
L Mass 2 Left Mass 2, Breast
(99SIEMENS, LMass2Br)
L Mass 2 Mean Left Mass 2, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass2Br)
L Mass 3 Left Mass 3, Breast
(99SIEMENS, LMass3Br)
L Mass 3 Mean Left Mass 3, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass3Br)
R Mass 1 Right Mass 1, Breast
(99SIEMENS, RMass1Br)
R Mass 1 Mean Right Mass 1, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass1Br)
R Mass 2 Right Mass 2, Breast
(99SIEMENS, RMass2Br)
R Mass 2 Mean Right Mass 2, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass2Br)
R Mass 3 Right Mass 3, Breast
(99SIEMENS, RMass3Br)
R Mass 3 Mean Right Mass 3, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass3Br)
Heading: Breast Mass Volume Measurements
L Mass 1 V Left Mass 1 Volume, Breast
(99SIEMENS, LMass1VolBr)
L Mass 1 Mean Left Mass 1 Volume, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass1VolBr)
L Mass 1 D1 Left Mass 1 Volume Distance 1, Breast
(99SIEMENS, LM1VolD1Br)

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Label Code Meaning Modifiers Measurement References

(Coding Scheme Designator, Code Value)
L Mass 1 D2 Left Mass 1 Volume Distance 2, Breast
(99SIEMENS, LM1VolD2Br)
L Mass 1 D3 Left Mass 1 Volume Distance 3, Breast
(99SIEMENS, LM1VolD3Br)
L Mass 2 V Left Mass 2 Volume, Breast
(99SIEMENS, LMass2VolBr)
L Mass 2 Mean Left Mass 2 Volume, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass2VolBr)
L Mass 2 D1 Left Mass 2 Volume Distance 1, Breast
(99SIEMENS, LM2VolD1Br)
L Mass 2 D2 Left Mass 2 Volume Distance 2, Breast
(99SIEMENS, LM2VolD2Br)
L Mass 2 D3 Left Mass 2 Volume Distance 3, Breast
(99SIEMENS, LM2VolD3Br)
L Mass 3 V Left Mass 3 Volume, Breast
(99SIEMENS, LMass3VolBr)
L Mass 3 Mean Left Mass 3 Volume, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass3VolBr)
L Mass 3 D1 Left Mass 3 Volume Distance 1, Breast
(99SIEMENS, LM3VolD1Br)
L Mass 3 D2 Left Mass 3 Volume Distance 2, Breast
(99SIEMENS, LM3VolD2Br)
L Mass 3 D3 Left Mass 3 Volume Distance 3, Breast
(99SIEMENS, LM3VolD3Br)
R Mass 1 V Right Mass 1 Volume, Breast
(99SIEMENS, RMass1VolBr)
R Mass 1 Mean Right Mass 1 Volume, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass1VolBr)
R Mass 1 D1 Right Mass 1 Volume Distance 1, Breast
(99SIEMENS, RM1VolD1Br)
R Mass 1 D2 Right Mass 1 Volume Distance 2, Breast
(99SIEMENS, RM1VolD2Br)
R Mass 1 D3 Right Mass 1 Volume Distance 3, Breast
(99SIEMENS, RM1VolD3Br)
R Mass 2 V Right Mass 2 Volume, Breast
(99SIEMENS, RMass2VolBr)

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Label Code Meaning Modifiers Measurement References

(Coding Scheme Designator, Code Value)
R Mass 2 Mean Right Mass 2 Volume, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass2VolBr)
R Mass 2 D1 Right Mass 2 Volume Distance 1, Breast
(99SIEMENS, RM2VolD1Br)
R Mass 2 D2 Right Mass 2 Volume Distance 2, Breast
(99SIEMENS, RM2VolD2Br)
R Mass 2 D3 Right Mass 2 Volume Distance 3, Breast
(99SIEMENS, RM2VolD3Br)
R Mass 3 V Right Mass 3 Volume, Breast
(99SIEMENS, RMass3VolBr)
R Mass 3 Mean Right Mass 3 Volume, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass3VolBr)
R Mass 3 D1 Right Mass 3 Volume Distance 1, Breast
(99SIEMENS, RM3VolD1Br)
R Mass 3 D2 Right Mass 3 Volume Distance 2, Breast
(99SIEMENS, RM3VolD2Br)
R Mass 3 D3 Right Mass 3 Volume Distance 3, Breast
(99SIEMENS, RM3VolD3Br)
Heading: Breast 2D Mode Mass Area Ratio Measurements
L Mass 1 Area Ratio Left Mass 1 Area Ratio, Breast
(99SIEMENS, LMass1ARatioBr)
L Mass 1 Mean Left Mass 1 Area Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass1ARatioBr)
L Mass 1 A1 Left Mass 1 Area Ratio Area 1, Breast
(99SIEMENS, LM1ARatioA1Br)
L Mass 1 A2 Left Mass 1 Area Ratio Area 2, Breast
(99SIEMENS, LM1ARatioA2Br)
L Mass 2 Area Ratio Left Mass 2 Area Ratio, Breast
(99SIEMENS, LMass2ARatioBr)
L Mass 2 Mean Left Mass 2 Area Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass2ARatioBr)
L Mass 2 A1 Left Mass 2 Area Ratio Area 1, Breast
(99SIEMENS, LM2ARatioA1Br)
L Mass 2 A2 Left Mass 2 Area Ratio Area 2, Breast
(99SIEMENS, LM2ARatioA2Br)

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Label Code Meaning Modifiers Measurement References

(Coding Scheme Designator, Code Value)
L Mass 3 Area Ratio Left Mass 3 Area Ratio, Breast
(99SIEMENS, LMass3ARatioBr)
L Mass 3 Mean Left Mass 3 Area Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass3ARatioBr)
L Mass 3 A1 Left Mass 3 Area Ratio Area 1, Breast
(99SIEMENS, LM3ARatioA1Br)
L Mass 3 A2 Left Mass 3 Area Ratio Area 2, Breast
(99SIEMENS, LM3ARatioA2Br)
R Mass 1 Area Ratio Right Mass 1 Area Ratio, Breast
(99SIEMENS, RMass1ARatioBr)
R Mass 1 Mean Right Mass 1 Area Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass1ARatioBr)
R Mass 1 A1 Right Mass 1 Area Ratio Area 1, Breast
(99SIEMENS, RM1ARatioA1Br)
R Mass 1 A2 Right Mass 1 Area Ratio Area 2, Breast
(99SIEMENS, RM1ARatioA2Br)
R Mass 2 Area Ratio Right Mass 2 Area Ratio, Breast
(99SIEMENS, RMass2ARatioBr)
R Mass 2 Mean Right Mass 2 Area Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass2ARatioBr)
R Mass 2 A1 Right Mass 2 Area Ratio Area 1, Breast
(99SIEMENS, RM2ARatioA1Br)
R Mass 2 A2 Right Mass 2 Area Ratio Area 2, Breast
(99SIEMENS, RM2ARatioA2Br)
R Mass 3 Area Ratio Right Mass 3 Area Ratio, Breast
(99SIEMENS, RMass3ARatioBr)
R Mass 3 Mean Right Mass 3 Area Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass3ARatioBr)
R Mass 3 A1 Right Mass 3 Area Ratio Area 1, Breast
(99SIEMENS, RM3ARatioA1Br)
R Mass 3 A2 Right Mass 3 Area Ratio Area 2, Breast
(99SIEMENS, RM3ARatioA2Br)
Heading: Breast 2D Elasticity Image Mass Area Measurements
L Mass 1 EI/B Mode Ratio Left Mass 1 Elasticity Area Ratio, Breast
(99SIEMENS, LMass1ARatioBrE)

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Label Code Meaning Modifiers Measurement References

(Coding Scheme Designator, Code Value)
L Mass 1 Mean Left Mass 1 Elasticity Area Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass1ARatioBrE)
L Mass 1 A1 Left Mass 1 Elasticity Area Ratio Area 1, Breast
(99SIEMENS, LM1ARatioA1BrE)
L Mass 1 A2 Left Mass 1 Elasticity Area Ratio Area 2, Breast
(99SIEMENS, LM1ARatioA2BrE)
L Mass 2 EI/B Mode Ratio Left Mass 2 Elasticity Area Ratio, Breast
(99SIEMENS, LMass2ARatioBrE)
L Mass 2 Mean Left Mass 2 Elasticity Area Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass2ARatioBrE)
L Mass 2 A1 Left Mass 2 Elasticity Area Ratio Area 1, Breast
(99SIEMENS, LM2ARatioA1BrE)
L Mass 2 A2 Left Mass 2 Elasticity Area Ratio Area 2, Breast
(99SIEMENS, LM2ARatioA2BrE)
L Mass 3 EI/B Mode Ratio Left Mass 3 Elasticity Area Ratio, Breast
(99SIEMENS, LMass3ARatioBrE)
L Mass 3 Mean Left Mass 3 Elasticity Area Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass3ARatioBrE)
L Mass 3 A1 Left Mass 3 Elasticity Area Ratio Area 1, Breast
(99SIEMENS, LM3ARatioA1BrE)
L Mass 3 A2 Left Mass 3 Elasticity Area Ratio Area 2, Breast
(99SIEMENS, LM3ARatioA2BrE)
R Mass 1 EI/B Mode Ratio Right Mass 1 Elasticity Area Ratio, Breast
(99SIEMENS, RMass1ARatioBrE)
R Mass 1 Mean Right Mass 1 Elasticity Area Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass1ARatioBrE)
R Mass 1 A1 Right Mass 1 Elasticity Area Ratio Area 1, Breast
(99SIEMENS, RM1ARatioA1BrE)
R Mass 1 A2 Right Mass 1 Elasticity Area Ratio Area 2, Breast
(99SIEMENS, RM1ARatioA2BrE)
R Mass 2 EI/B Mode Ratio Right Mass 2 Elasticity Area Ratio, Breast
(99SIEMENS, RMass2ARatioBrE)
R Mass 2 Mean Right Mass 2 Elasticity Area Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass2ARatioBrE)
R Mass 2 A1 Right Mass 2 Elasticity Area Ratio Area 1, Breast
(99SIEMENS, RM2ARatioA1BrE)

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Label Code Meaning Modifiers Measurement References

(Coding Scheme Designator, Code Value)
R Mass 2 A2 Right Mass 2 Elasticity Area Ratio Area 2, Breast
(99SIEMENS, RM2ARatioA2BrE)
R Mass 3 EI/B Mode Ratio Right Mass 3 Elasticity Area Ratio, Breast
(99SIEMENS, RMass3ARatioBrE)
R Mass 3 Mean Right Mass 3 Elasticity Area Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass3ARatioBrE)
R Mass 3 A1 Right Mass 3 Elasticity Area Ratio Area 1, Breast
(99SIEMENS, RM3ARatioA1BrE)
R Mass 3 A2 Right Mass 3 Elasticity Area Ratio Area 2, Breast
(99SIEMENS, RM3ARatioA2BrE)
Heading: Breast 2D Mode Mass Distance Ratio Measurements
L Mass 1 Distance Ratio Left Mass 1 Distance Ratio, Breast
(99SIEMENS, LMass1DRatioBr)
L Mass 1 Mean Left Mass 1 Distance Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass1DRatioBr)
L Mass 1 D1 Left Mass 1 Distance Ratio Distance 1, Breast
(99SIEMENS, LM1DRatioD1Br)
L Mass 1 D2 Left Mass 1 Distance Ratio Distance 2, Breast
(99SIEMENS, LM1DRatioD2Br)
L Mass 2 Distance Ratio Left Mass 2 Distance Ratio, Breast
(99SIEMENS, LMass2DRatioBr)
L Mass 2 Mean Left Mass 2 Distance Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass2DRatioBr)
L Mass 2 D1 Left Mass 2 Distance Ratio Distance 1, Breast
(99SIEMENS, LM2DRatioD1Br)
L Mass 2 D2 Left Mass 2 Distance Ratio Distance 2, Breast
(99SIEMENS, LM2DRatioD2Br)
L Mass 3 Distance Ratio Left Mass 3 Distance Ratio, Breast
(99SIEMENS, LMass3DRatioBr)
L Mass 3 Mean Left Mass 3 Distance Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass3DRatioBr)
L Mass 3 D1 Left Mass 3 Distance Ratio Distance 1, Breast
(99SIEMENS, LM3DRatioD1Br)
L Mass 3 D2 Left Mass 3 Distance Ratio Distance 2, Breast
(99SIEMENS, LM3DRatioD2Br)

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Label Code Meaning Modifiers Measurement References

(Coding Scheme Designator, Code Value)
R Mass 1 Distance Ratio Right Mass 1 Distance Ratio, Breast
(99SIEMENS, RMass1DRatioBr)
R Mass 1 Mean Right Mass 1 Distance Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass1DRatioBr)
R Mass 1 D1 Right Mass 1 Distance Ratio Distance 1, Breast
(99SIEMENS, RM1DRatioD1Br)
R Mass 1 D2 Right Mass 1 Distance Ratio Distance 2, Breast
(99SIEMENS, RM1DRatioD2Br)
R Mass 2 Distance Ratio Right Mass 2 Distance Ratio, Breast
(99SIEMENS, RMass2DRatioBr)
R Mass 2 Mean Right Mass 2 Distance Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass2DRatioBr)
R Mass 2 D1 Right Mass 2 Distance Ratio Distance 1, Breast
(99SIEMENS, RM2DRatioD1Br)
R Mass 2 D2 Right Mass 2 Distance Ratio Distance 2, Breast
(99SIEMENS, RM2DRatioD2Br)
R Mass 3 Distance Ratio Right Mass 3 Distance Ratio, Breast
(99SIEMENS, RMass3DRatioBr)
R Mass 3 Mean Right Mass 3 Distance Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass3DRatioBr)
R Mass 3 D1 Right Mass 3 Distance Ratio Distance 1, Breast
(99SIEMENS, RM3DRatioD1Br)
R Mass 3 D2 Right Mass 3 Distance Ratio Distance 2, Breast
(99SIEMENS, RM3DRatioD2Br)
Heading: Breast 2D Elasticity Image Mass Distance Measurements
L Mass 1 EI/B Mode Ratio Left Mass 1 Elasticity Distance Ratio, Breast
(99SIEMENS, LMass1DRatioBrE)
L Mass 1 Mean Left Mass 1 Elasticity Distance Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass1DRatioBrE)
L Mass 1 D1 Left Mass 1 Elasticity Distance Ratio Distance 1,
Breast (99SIEMENS, LM1DRatioD1BrE)
L Mass 1 D2 Left Mass 1 Elasticity Distance Ratio Distance 2,
Breast (99SIEMENS, LM1DRatioD2BrE)
L Mass 2 EI/B Mode Ratio Left Mass 2 Elasticity Distance Ratio, Breast
(99SIEMENS, LMass2DRatioBrE)

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Label Code Meaning Modifiers Measurement References

(Coding Scheme Designator, Code Value)
L Mass 2 Mean Left Mass 2 Elasticity Distance Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass2DRatioBrE)
L Mass 2 D1 Left Mass 2 Elasticity Distance Ratio Distance 1,
Breast (99SIEMENS, LM2DRatioD1BrE)
L Mass 2 D2 Left Mass 2 Elasticity Distance Ratio Distance 2,
Breast (99SIEMENS, LM2DRatioD2BrE)
L Mass 3 EI/B Mode Ratio Left Mass 3 Elasticity Distance Ratio, Breast
(99SIEMENS, LMass3DRatioBrE)
L Mass 3 Mean Left Mass 3 Elasticity Distance Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass3DRatioBrE)
L Mass 3 D1 Left Mass 3 Elasticity Distance Ratio Distance 1,
Breast (99SIEMENS, LM3DRatioD1BrE)
L Mass 3 D2 Left Mass 3 Elasticity Distance Ratio Distance 2,
Breast (99SIEMENS, LM3DRatioD2BrE)
R Mass 1 EI/B Mode Ratio Right Mass 1 Elasticity Distance Ratio, Breast
(99SIEMENS, RMass1DRatioBrE)
R Mass 1 Mean Right Mass 1 Elasticity Distance Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass1DRatioBrE)
R Mass 1 D1 Right Mass 1 Elasticity Distance Ratio Distance
1, Breast (99SIEMENS, RM1DRatioD1BrE)
R Mass 1 D2 Right Mass 1 Elasticity Distance Ratio Distance
2, Breast (99SIEMENS, RM1DRatioD2BrE)
R Mass 2 EI/B Mode Ratio Right Mass 2 Elasticity Distance Ratio, Breast
(99SIEMENS, RMass2DRatioBrE)
R Mass 2 Mean Right Mass 2 Elasticity Distance Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass2DRatioBrE)
R Mass 2 D1 Right Mass 2 Elasticity Distance Ratio Distance
1, Breast (99SIEMENS, RM2DRatioD1BrE)
R Mass 2 D2 Right Mass 2 Elasticity Distance Ratio Distance
2, Breast (99SIEMENS, RM2DRatioD2BrE)
R Mass 3 EI/B Mode Ratio Right Mass 3 Elasticity Distance Ratio, Breast
(99SIEMENS, RMass3DRatioBrE)
R Mass 3 Mean Right Mass 3 Elasticity Distance Ratio, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass3DRatioBrE)
R Mass 3 D1 Right Mass 3 Elasticity Distance Ratio Distance
1, Breast (99SIEMENS, RM3DRatioD1BrE)

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Label Code Meaning Modifiers Measurement References

(Coding Scheme Designator, Code Value)
R Mass 3 D2 Right Mass 3 Elasticity Distance Ratio Distance
2, Breast (99SIEMENS, RM3DRatioD2BrE)
Heading: Breast 2D-Mode Mass Area Measurements
Left Mass 1 C Left Mass 1 Circumference, Breast
(99SIEMENS, LMass1CircumfBr)
< Not Shown > Left Mass 1 Circumference, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass1CircumfBr)
Left Mass 2 C Left Mass 2 Circumference, Breast
(99SIEMENS, LMass2CircumfBr)
< Not Shown > Left Mass 2 Circumference, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass2CircumfBr)
Left Mass 3 C Left Mass 3 Circumference, Breast
(99SIEMENS, LMass3CircumfBr)
< Not Shown > Left Mass 3 Circumference, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass3CircumfBr)
Left Mass 1 A Left Mass 1 Area, Breast
(99SIEMENS, LMass1AreaBr)
< Not Shown > Left Mass 1 Area, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass1AreaBr)
Left Mass 2 A Left Mass 2 Area, Breast
(99SIEMENS, LMass2AreaBr)
< Not Shown > Left Mass 2 Area, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass2AreaBr)
Left Mass 3 A Left Mass 3 Area, Breast
(99SIEMENS, LMass3AreaBr)
< Not Shown > Left Mass 3 Area, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, LMass3AreaBr)
Right Mass 1 C Right Mass 1 Circumference, Breast
(99SIEMENS, RMass1CircumfBr)
< Not Shown > Right Mass 1 Circumference, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass1CircumfBr)
Right Mass 2 C Right Mass 2 Circumference, Breast
(99SIEMENS, RMass2CircumfBr)
< Not Shown > Right Mass 2 Circumference, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass2CircumfBr)

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Label Code Meaning Modifiers Measurement References

(Coding Scheme Designator, Code Value)
Right Mass 3 C Right Mass 3 Circumference, Breast
(99SIEMENS, RMass3CircumfBr)
< Not Shown > Right Mass 3 Circumference, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass3CircumfBr)
Right Mass 1 A Right Mass 1 Area, Breast
(99SIEMENS, RMass1AreaBr)
< Not Shown > Right Mass 1 Area, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass1AreaBr)
Right Mass 2 A Right Mass 2 Area, Breast
(99SIEMENS, RMass2AreaBr)
< Not Shown > Right Mass 2 Area, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass2AreaBr)
Right Mass 3 A Right Mass 3 Area, Breast
(99SIEMENS, RMass3AreaBr)
< Not Shown > Right Mass 3 Area, Breast Derivation: Mean (SRT, R-00317)
(99SIEMENS, RMass3AreaBr)

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12.0 Appendix B: Vascular Structured Report Measurements

This appendix lists the DICOM Structured Report (SR) mappings used in the Vascular Structured Reports of ACUSON S2000 system SR files,
version 1.0.

The mappings are organized in a manner similar to the DICOM SR Templates as described in PS 3.16-2008 of the DICOM Standard. The
“Label” column identifies the on-screen report label associated with a measurement. All private code values use the Coding Scheme Designator
“99SIEMENS”.

The Vascular Report mappings follow the DICOM SR Template TID 5100: Vascular Ultrasound Report. Mixed Carotid Ratios, Kidney, Ureter,
Bladder, “Liver, Gall Bladder, Pancreas”, and Spleen are private sections in this release.

The measurements in the table below apply to the vessels listed in this Appendix. The %Stenosis and %Stenosis-related measurements are not
available for veins. “Mean” values are not present in the SR for the following vessels because these vessels are available as labeled
measurements in multiple exam headings: Common Carotid Artery, Vertebral Artery, Innominate Artery, Abdominal Aorta, Inferior Vena Cava,
Renal Artery.

Notation:
<units> means that the Distance units will be displayed on the report
[ … ] is additional information about the label

Label Code Meaning Modifiers

(Section: Measurement) (Coding Scheme Designator, Code Value)
Doppler: PS Peak Systolic Velocity (LN, 11726-7)
Doppler: ED End Diastolic Velocity (LN, 11653-3)
Doppler: S/D Systolic to Diastolic Velocity Ratio (LN, 12144-2)
Doppler: TAV Time Averaged Peak Velocity (LN, 11692-1)
Doppler: TAV Doppler Time Averaged Velocity (99SIEMENS,
DopTAV)
Doppler: PI Pulsatility Index (LN, 12008-9)
Doppler: RI Resistivity Index (LN, 12023-8)
Doppler: Angle Doppler Angle Correction
(99SIEMENS, DopAngleCor)
Acceleration: Acceleration Acceleration Index (LN, 20167-3)
Acceleration: Mean Acceleration Index (LN, 20167-3) Derivation: Mean (SRT, R-00317)

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Label Code Meaning Modifiers

(Section: Measurement) (Coding Scheme Designator, Code Value)
Acceleration: V1 Acceleration Velocity 1 (99SIEMENS, AccelVel1)
Acceleration: V2 Acceleration Velocity 2 (99SIEMENS, AccelVel2)
Acceleration: T Acceleration Time (LN, 20168-1)
Volume Flow: Volume Flow Volume Flow (LN, 33878-0)
Volume Flow: Mean Volume Flow (LN, 33878-0) Derivation: Mean (SRT, R-00317)
Volume Flow: A Volume Flow Area (99SIEMENS, VolFArea)
Volume Flow: D Volume Flow Distance (99SIEMENS, VolFDist)
Volume Flow: TAMn Volume Flow Time-Averaged Mean Velocity
(99SIEMENS, VolFTAVmV)
Stenosis: %Stenosis [Area] % Area Reduction (SRT, G-0371)
Stenosis: Mean [Area] % Area Reduction (SRT, G-0371) Derivation: Mean (SRT, R-00317)
Stenosis: A1 Meas 1 Vessel Lumen Cross-Sectional Area
(SRT, G-0366)
Stenosis: A2 Meas 2 Vessel Lumen Cross-Sectional Area
(SRT, G-0366)
Stenosis: %Stenosis [Distance] % Diameter Reduction (SRT, G-0372)
Stenosis: Mean [Distance] % Diameter Reduction (SRT, G-0372) Derivation: Mean (SRT, R-00317)
Stenosis: D1 Meas 1 Vessel Lumen Diameter (SRT, G-0364)
Stenosis: D2 Meas 2 Vessel Lumen Diameter (SRT, G-0364)
2D-Mode: <units> Distance (99SIEMENS, Distance)
2D-Mode: Mean Distance (99SIEMENS, Distance) Derivation: Mean (SRT, R-00317)
Velocity: Vel Velocity (99SIEMENS, Velocity)
Velocity: Mean Velocity (99SIEMENS, Velocity) Derivation: Mean (SRT, R-00317)
Velocity: Angle Velocity Angle Correction
(99SIEMENS, VelAngleCor)

12.1 Patient Characteristics

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Patient Characteristics Container: Patient Characteristics
(DCM, 121118)
Age Subject Age (DCM, 121033)

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Label Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
Sex Subject Sex (DCM, 121032)
HR Heart Rate (LN, 8867-4)
BP Systolic Blood Pressure (SRT, F-008EC)
Diastolic Blood Pressure (SRT, F-008ED)

12.2 Procedure Summary

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Procedure Summary Container: Summary (DCM, 121111)
Indication Comment (DCM, 121106)
Additional Info. Comment (DCM, 121106)
Comments Comment (DCM, 121106)

12.3 Blood Vessels of Head (Left Intracranial Cerebral Vessels)

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Blood Vessel of Head Finding Site: Blood Vessel of Head (SRT, T-40501) Laterality: Left (SRT, G-A101)
(Intracranial Cerebral Vessels)
L MCA/L ICA-Siphon MCA/ICA Siphon (99SIEMENS, McaIcaSRatio)
L ICA-Siphon [Label:TCD] Location: Carotid Siphon (SRT, T-45308) Laterality: Left (SRT, G-A101)
L MCA [Label:TCD] Location: Middle Cerebral Artery (SRT, T-45600) Laterality: Left (SRT, G-A101)
L PCA [Label:TCD] Location: Posterior Cerebral Artery (SRT, T-45900) Laterality: Left (SRT, G-A101)
L ACA-A1 [Label:TCD] Location: Anterior Cerebral Artery A1 (99SIEMENS, AntCerebAA1) Laterality: Left (SRT, G-A101)
L ACA-A2 [Label:TCD] Location: Anterior Cerebral Artery A2 (99SIEMENS, AntCerebAA2) Laterality: Left (SRT, G-A101)
L PCA-P1 [Label:TCD] Location: Posterior Cerebral Artery P1 Laterality: Left (SRT, G-A101)
(99SIEMENS, PostCerebAP1)
L PCA-P2 [Label:TCD] Location: Posterior Cerebral Artery P2 Laterality: Left (SRT, G-A101)
(99SIEMENS, PostCerebAP2)

12.4 Blood Vessel of Head (Right Intracranial Cerebral Vessels)

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)

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Label Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
Blood Vessel of Head Finding Site: Blood Vessel of Head (SRT, T-40501) Laterality: Right (SRT, G-A100)
(Intracranial Cerebral Vessels)
R MCA/R ICA-Siphon MCA/ICA Siphon (99SIEMENS, McaIcaSRatio)
R ICA-Siphon [Label:TCD] Location: Carotid Siphon (SRT, T-45308) Laterality: Right (SRT, G-A100)
R MCA [Label:TCD] Location: Middle Cerebral Artery (SRT, T-45600) Laterality: Right (SRT, G-A100)
R PCA [Label:TCD] Location: Posterior Cerebral Artery (SRT, T-45900) Laterality: Right (SRT, G-A100)
R ACA-A1 [Label: TCD] Location: Anterior Cerebral Artery A1 (99SIEMENS, AntCerebAA1) Laterality: Right (SRT, G-A100)
R ACA-A2 [Label: TCD] Location: Anterior Cerebral Artery A2 (99SIEMENS, AntCerebAA2) Laterality: Right (SRT, G-A100)
R PCA-P1 [Label: TCD] Location: Posterior Cerebral Artery P1 Laterality: Right (SRT, G-A100)
(99SIEMENS, PostCerebAP1)
R PCA-P2 [Label: TCD] Location: Posterior Cerebral Artery P2 Laterality: Right (SRT, G-A100)
(99SIEMENS, PostCerebAP2)

12.5 Blood Vessel of Head (Unilateral Intracranial Cerebral Vessels)

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Blood Vessel of Head Finding Site: Blood Vessel of Head (SRT, T-40501) Laterality: Unilateral (SRT, G-A103)
(Intracranial Cerebral Vessels)
Basilar A [Label: TCD] Location: Basilar Artery (SRT, T-45800) Laterality: Unilateral (SRT, G-A103)
ACoA [Label: TCD] Location: Anterior Communicating Artery (SRT, T-45530) Laterality: Unilateral (SRT, G-A103)
PCoA [Label: TCD] Location: Posterior Communicating Artery (SRT, T-45320) Laterality: Unilateral (SRT, G-A103)

12.6 Artery of Neck (Left Extracranial Arteries, Carotid Ratios)

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Artery of Neck Finding Site: Artery of Neck (SRT, T-45005) Laterality: Left (SRT, G-A101)
(Extracranial Arteries, Carotid Ratios)
L <Prox, Mid, or Dist> ICA / L <Prox, ICA/CCA velocity ratio (LN, 33868-1)
Mid, or Dist> CCA
[User selected CV Velocity Ratios]
L <Prox, Mid, or Dist> ICA / L <Prox, End Diastole: ICA/CCA (99SIEMENS, EDIcaCCARatio)
Mid, or Dist> CCA ED
[User selected CV ICA/CCA Ratios]

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Label Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
L <Prox, Mid, or Dist> ICA / L <Prox, Peak Systole: ICA/CCA (99SIEMENS, PSIcaCCARatio)
Mid, or Dist> CCA PS
[User selected CV ICA/CCA Ratios]
L CCA [Labels: CV, PV-Art] Location: Common Carotid Artery (SRT, T-45100) Laterality: Left (SRT, G-A101)
L P CCA Topographical Modifier: Proximal (SRT, G-A118)
L M CCA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D CCA Topographical Modifier: Distal (SRT, G-A119)
L ECA [Label: CV] Location: External Carotid Artery (SRT, T-45200) Laterality: Left (SRT, G-A101)
L P ECA Topographical Modifier: Proximal (SRT, G-A118)
L M ECA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D ECA Topographical Modifier: Distal (SRT, G-A119)
L ICA [Label: CV] Location: Internal Carotid Artery (SRT, T-45300) Laterality: Left (SRT, G-A101)
L P ICA Topographical Modifier: Proximal (SRT, G-A118)
L M ICA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D ICA Topographical Modifier: Distal (SRT, G-A119)
L Subclav A [Label: CV] Location: Subclavian Artery (SRT, T-46100) Laterality: Left (SRT, G-A101)
L P Subclav A Topographical Modifier: Proximal (SRT, G-A118)
L M Subclav A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D Subclav A Topographical Modifier: Distal (SRT, G-A119)
L Vert A [Labels: CV, PV-Art, TCD] Location: Vertebral Artery (SRT, T-45700) Laterality: Left (SRT, G-A101)
L Vert A
L P Vert A Topographical Modifier: Proximal (SRT, G-A118)
L M Vert A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D Vert A Topographical Modifier: Distal (SRT, G-A119)

12.7 Artery of Neck (Right Extracranial Arteries, Carotid Ratios)

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Artery of Neck Finding Site: Artery of Neck (SRT, T-45005) Laterality: Right (SRT, G-A100)
(Extracranial Arteries, Carotid Ratios)
R <Prox, Mid, or Dist> ICA ICA/CCA velocity ratio (LN, 33868-1)
/ R <Prox, Mid, or Dist> CCA
[User selected CV Velocity Ratios]

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Label Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
R <Prox, Mid, or Dist> ICA End Diastole: ICA/CCA (99SIEMENS, EDIcaCCARatio)
/ R <Prox, Mid, or Dist> CCA ED
[User selected CV ICA/CCA Ratios]
R <Prox, Mid, or Dist> ICA Peak Systole: ICA/CCA (99SIEMENS, PSIcaCCARatio)
/ R <Prox, Mid, or Dist> CCA PS
[User selected CV ICA/CCA Ratios]
R CCA [Labels: CV, PV-Art] Location: Common Carotid Artery (SRT, T-45100) Laterality: Right (SRT, G-A100)
R P CCA Topographical Modifier: Proximal (SRT, G-A118)
R M CCA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D CCA Topographical Modifier: Distal (SRT, G-A119)
R ECA [Label: CV] Location: External Carotid Artery (SRT, T-45200) Laterality: Right (SRT, G-A100)
R P ECA Topographical Modifier: Proximal (SRT, G-A118)
R M ECA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D ECA Topographical Modifier: Distal (SRT, G-A119)
R ICA [Label: CV] Location: Internal Carotid Artery (SRT, T-45300) Laterality: Right (SRT, G-A100)
R P ICA Topographical Modifier: Proximal (SRT, G-A118)
R M ICA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D ICA Topographical Modifier: Distal (SRT, G-A119)
R Subclav A [Label: CV] Location: Subclavian Artery (SRT, T-46100) Laterality: Right (SRT, G-A100)
R P Subclav A Topographical Modifier: Proximal (SRT, G-A118)
R M Subclav A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D Subclav A Topographical Modifier: Distal (SRT, G-A119)
R Vert A [Labels: CV, PV-Art, TCD] Location: Vertebral Artery (SRT, T-45700) Laterality: Right (SRT, G-A100)
R Vert A
R P Vert A Topographical Modifier: Proximal (SRT, G-A118)
R M Vert A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D Vert A Topographical Modifier: Distal (SRT, G-A119)

12.8 Artery of Lower Extremity (Left Side)

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Artery of Lower Extremity Finding Site: Artery of Lower Extremity (SRT, T-47040) Laterality: Left (SRT, G-A101)
L CIA [Label: PV-Art] Location: Common Iliac Artery (SRT, T-46710) Laterality: Left (SRT, G-A101)
L Iliac A [Label: Abd]

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Label Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
L P CIA Topographical Modifier: Proximal (SRT, G-A118)
L P Iliac A
L M CIA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L M Iliac A
L D CIA Topographical Modifier: Distal (SRT, G-A119)
L D Iliac A
L Ant Tib A [Label: PV-Art] Location: Anterior Tibial Artery (SRT, T-47700) Laterality: Left (SRT, G-A101)
L P Ant Tib A Topographical Modifier: Proximal (SRT, G-A118)
L M Ant Tib A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D Ant Tib A Topographical Modifier: Distal (SRT, G-A119)
L CFA [Label: PV-Art] Location: Common Femoral Artery (SRT, T-47400) Laterality: Left (SRT, G-A101)
L P CFA Topographical Modifier: Proximal (SRT, G-A118)
L M CFA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D CFA Topographical Modifier: Distal (SRT, G-A119)
L DPA [Label: PV-Art] Location: Dorsalis Pedis Artery (SRT, T-47741) Laterality: Left (SRT, G-A101)
L P DPA Topographical Modifier: Proximal (SRT, G-A118)
L M DPA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D DPA Topographical Modifier: Distal (SRT, G-A119)
L EIA [Label: PV-Art] Location: External Iliac Artery (SRT, T-46910) Laterality: Left (SRT, G-A101)
L P EIA Topographical Modifier: Proximal (SRT, G-A118)
L M EIA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D EIA Topographical Modifier: Distal (SRT, G-A119)
L IIA [Label: PV-Art] Location: Internal Iliac Artery (SRT, T-46740) Laterality: Left (SRT, G-A101)
L P IIA Topographical Modifier: Proximal (SRT, G-A118)
L M IIA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D IIA Topographical Modifier: Distal (SRT, G-A119)
L Peroneal A [Label: PV-Art] Location: Peroneal Artery (SRT, T-47630) Laterality: Left (SRT, G-A101)
L P Peroneal A Topographical Modifier: Proximal (SRT, G-A118)
L M Peroneal A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D Peroneal A Topographical Modifier: Distal (SRT, G-A119)
L Pop A [Label: PV-Art] Location: Popliteal Artery (SRT, T-47500) Laterality: Left (SRT, G-A101)
L P Pop A Topographical Modifier: Proximal (SRT, G-A118)
L M Pop A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D Pop A Topographical Modifier: Distal (SRT, G-A119)

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Label Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
L Post Tib A [Label: PV-Art] Location: Posterior Tibial Artery (SRT, T-47600) Laterality: Left (SRT, G-A101)
L P Post Tib A Topographical Modifier: Proximal (SRT, G-A118)
L M Post Tib A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D Post Tib A Topographical Modifier: Distal (SRT, G-A119)
L PFA [Label: PV-Art] Location: Profunda Femoris Artery (SRT, T-47440) Laterality: Left (SRT, G-A101)
L P PFA Topographical Modifier: Proximal (SRT, G-A118)
L M PFA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D PFA Topographical Modifier: Distal (SRT, G-A119)
L SFA [Label: PV-Art] Location: Superficial Femoral Artery (SRT, T-47403) Laterality: Left (SRT, G-A101)
L P SFA Topographical Modifier: Proximal (SRT, G-A118)
L M SFA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D SFA Topographical Modifier: Distal (SRT, G-A119)
L T-P Trunk A [Label: PV-Art] Location: Tibial-Peroneal Trunk Artery Laterality: Left (SRT, G-A101)
(99SIEMENS, TibPeronTrnkA)
L P T-P Trunk A Topographical Modifier: Proximal (SRT, G-A118)
L M T-P Trunk A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D T-P Trunk A Topographical Modifier: Distal (SRT, G-A119)

12.9 Artery of Lower Extremity (Right Side)

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Artery of Lower Extremity Finding Site: Artery of Lower Extremity Laterality: Right (SRT, G-A100)
(SRT, T-47040)
R CIA [Label: PV-Art, Abd] Location: Common Iliac Artery (SRT, T-46710) Laterality: Right (SRT, G-A100)
R P CIA Topographical Modifier: Proximal (SRT, G-A118)
R M CIA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D CIA Topographical Modifier: Distal (SRT, G-A119)
R Ant Tib A [Label: PV-Art] Location: Anterior Tibial Artery (SRT, T-47700) Laterality: Right (SRT, G-A100)
R P Ant Tib A Topographical Modifier: Proximal (SRT, G-A118)
R M Ant Tib A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D Ant Tib A Topographical Modifier: Distal (SRT, G-A119)
R CFA [Label: PV-Art] Location: Common Femoral Artery Laterality: Right (SRT, G-A100)
(SRT, T-47400)
R P CFA Topographical Modifier: Proximal (SRT, G-A118)

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Label Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
R M CFA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D CFA Topographical Modifier: Distal (SRT, G-A119)
R DPA [Label: PV-Art] Location: Dorsalis Pedis Artery (SRT, T-47741) Laterality: Right (SRT, G-A100)
R P DPA Topographical Modifier: Proximal (SRT, G-A118)
R M DPA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D DPA Topographical Modifier: Distal (SRT, G-A119)
R EIA [Label: PV-Art] Location: External Iliac Artery (SRT, T-46910) Laterality: Right (SRT, G-A100)
R P EIA Topographical Modifier: Proximal (SRT, G-A118)
R M EIA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D EIA Topographical Modifier: Distal (SRT, G-A119)
R IIA [Label: PV-Art] Location: Internal Iliac Artery (SRT, T-46740) Laterality: Right (SRT, G-A100)
R P IIA Topographical Modifier: Proximal (SRT, G-A118)
R M IIA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D IIA Topographical Modifier: Distal (SRT, G-A119)
R Peroneal A [Label: PV-Art] Location: Peroneal Artery (SRT, T-47630) Laterality: Right (SRT, G-A100)
R P Peroneal A Topographical Modifier: Proximal (SRT, G-A118)
R M Peroneal A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D Peroneal A Topographical Modifier: Distal (SRT, G-A119)
R Pop A [Label: PV-Art] Location: Popliteal Artery (SRT, T-47500) Laterality: Right (SRT, G-A100)
R P Pop A Topographical Modifier: Proximal (SRT, G-A118)
R M Pop A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D Pop A Topographical Modifier: Distal (SRT, G-A119)
R Post Tib A [Label: PV-Art] Location: Posterior Tibial Artery (SRT, T-47600) Laterality: Right (SRT, G-A100)
R P Post Tib A Topographical Modifier: Proximal (SRT, G-A118)
R M Post Tib A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D Post Tib A Topographical Modifier: Distal (SRT, G-A119)
R PFA [Label: PV-Art] Location: Profunda Femoris Artery Laterality: Right (SRT, G-A100)
(SRT, T-47440)
R P PFA Topographical Modifier: Proximal (SRT, G-A118)
R M PFA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D PFA Topographical Modifier: Distal (SRT, G-A119)
R SFA [Label: PV-Art] Location: Superficial Femoral Artery Laterality: Right (SRT, G-A100)
(SRT, T-47403)
R P SFA Topographical Modifier: Proximal (SRT, G-A118)

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Label Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
R M SFA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D SFA Topographical Modifier: Distal (SRT, G-A119)
R T-P Trunk A [Label: PV-Art] Location: Tibial-Peroneal Trunk Artery Laterality: Right (SRT, G-A100)
(99SIEMENS, TibPeronTrnkA)
R P T-P Trunk A Topographical Modifier: Proximal (SRT, G-A118)
R M T-P Trunk A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D T-P Trunk A Topographical Modifier: Distal (SRT, G-A119)

12.10 Artery of Upper Extremity (Left Side)

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Artery of Upper Extremity Finding Site: Artery of Upper Extremity (SRT, T-47020) Laterality: Left (SRT, G-A101)
L Axillary A [Label: PV-Art] Location: Axillary Artery (SRT, T-47100) Laterality: Left (SRT, G-A101)
L P Axillary A Topographical Modifier: Proximal (SRT, G-A118)
L M Axillary A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D Axillary A Topographical Modifier: Distal (SRT, G-A119)
L Brachial A [Label: PV-Art] Location: Brachial Artery (SRT, T-47160) Laterality: Left (SRT, G-A101)
L P Brachial A Topographical Modifier: Proximal (SRT, G-A118)
L M Brachial A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D Brachial A Topographical Modifier: Distal (SRT, G-A119)
L Deep Brachial A [Label: PV-Art] Location: Deep Brachial Artery (99SIEMENS, DeepBrachialA) Laterality: Left (SRT, G-A101)
L P Deep Brachial A Topographical Modifier: Proximal (SRT, G-A118)
L M Deep Brachial A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D Deep Brachial A Topographical Modifier: Distal (SRT, G-A119)
L Radial A [Label: PV-Art] Location: Radial Artery (SRT, T-47300) Laterality: Left (SRT, G-A101)
L P Radial A Topographical Modifier: Proximal (SRT, G-A118)
L M Radial A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D Radial A Topographical Modifier: Distal (SRT, G-A119)
L Subclav A [Label: PV-Art] Location: Subclavian Artery (SRT, T-46100) Laterality: Left (SRT, G-A101)
L P Subclav A Topographical Modifier: Proximal (SRT, G-A118)
L M Subclav A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D Subclav A Topographical Modifier: Distal (SRT, G-A119)
L Ulnar A [Label: PV-Art] Location: Ulnar Artery (SRT, T-47200) Laterality: Left (SRT, G-A101)

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Label Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
L P Ulnar A Topographical Modifier: Proximal (SRT, G-A118)
L M Ulnar A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D Ulnar A Topographical Modifier: Distal (SRT, G-A119)

12.11 Artery of Upper Extremity (Right Side)

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Artery of Upper Extremity Finding Site: Artery of Upper Extremity (SRT, T-47020) Laterality: Right (SRT, G-A100)
R Axillary A [Label: PV-Art] Location: Axillary Artery (SRT, T-47100) Laterality: Right (SRT, G-A100)
R P Axillary A Topographical Modifier: Proximal (SRT, G-A118)
R M Axillary A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D Axillary A Topographical Modifier: Distal (SRT, G-A119)
R Brachial A [Label: PV-Art] Location: Brachial Artery (SRT, T-47160) Laterality: Right (SRT, G-A100)
R P Brachial A Topographical Modifier: Proximal (SRT, G-A118)
R M Brachial A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D Brachial A Topographical Modifier: Distal (SRT, G-A119)
R Deep Brachial A [Label: PV-Art] Location: Brachial Artery (99SIEMENS, DeepBrachialA) Laterality: Right (SRT, G-A100)
R P Brachial A Topographical Modifier: Proximal (SRT, G-A118)
R M Brachial A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D Brachial A Topographical Modifier: Distal (SRT, G-A119)
Innom A [Labels: CV, PV-Art] Location: Innominate Artery (SRT, T-46010) Laterality: Right (SRT, G-A100)
P Innom A Topographical Modifier: Proximal (SRT, G-A118)
M Innom A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
D Innom A Topographical Modifier: Distal (SRT, G-A119)
R Radial A [Label: PV-Art] Location: Radial Artery (SRT, T-47300) Laterality: Right (SRT, G-A100)
R P Radial A Topographical Modifier: Proximal (SRT, G-A118)
R M Radial A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D Radial A Topographical Modifier: Distal (SRT, G-A119)
R Subclav A [Label: PV-Art] Location: Subclavian Artery (SRT, T-46100) Laterality: Right (SRT, G-A100)
R P Subclav A Topographical Modifier: Proximal (SRT, G-A118)
R M Subclav A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D Subclav A Topographical Modifier: Distal (SRT, G-A119)
R Ulnar A [Label: PV-Art] Location: Ulnar Artery (SRT, T-47200) Laterality: Right (SRT, G-A100)

© Siemens Healthcare, 2009 Version VA16 Page 145 of 171

 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Label Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
R P Ulnar A Topographical Modifier: Proximal (SRT, G-A118)
R M Ulnar A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D Ulnar A Topographical Modifier: Distal (SRT, G-A119)

12.12 Vascular Structure of Kidney (Left Side)

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Vascular Structure of Kidney Finding Site: Vascular Structure of Kidney (SRT, T-71019) Laterality: Left (SRT, G-A101)
Renal A [Labels: Abd, Renal] Location: Renal Artery (SRT, T-46600) Laterality: Left (SRT, G-A101)
L P Renal A Topographical Modifier: Proximal (SRT, G-A118)
L M Renal A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D Renal A Topographical Modifier: Distal (SRT, G-A119)
Segmental A [Label: Renal] Location: Segmental Artery (SRT, T-46659) Laterality: Left (SRT, G-A101)
Arcuate A [Label: Renal] Location: Arcuate Artery of the Kidney (SRT, T-4668A) Laterality: Left (SRT, G-A101)
Interlobar A [Label: Renal] Location: Interlobar Artery of Kidney (SRT, T-4667D) Laterality: Left (SRT, G-A101)
Renal V [Labels: Abd, Renal] Location: Renal Vein (SRT, T-48740) Laterality: Left (SRT, G-A101)

12.13 Vascular Structure of Kidney (Right Side)

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Vascular Structure of Kidney Finding Site: Vascular Structure of Kidney (SRT, T-71019) Laterality: Right (SRT, G-A100)
Renal A [Labels: Abd, Renal] Location: Renal Artery (SRT, T-46600) Laterality: Right (SRT, G-A100)
R P Renal A Topographical Modifier: Proximal (SRT, G-A118)
R M Renal A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D Renal A Topographical Modifier: Distal (SRT, G-A119)
Segmental A [Label: Renal] Location: Segmental Artery (SRT, T-46659) Laterality: Right (SRT, G-A100)
Arcuate A [Label: Renal] Location: Arcuate Artery of the Kidney (SRT, T-4668A) Laterality: Right (SRT, G-A100)
Interlobar A [Label: Renal] Location: Interlobar Artery of Kidney (SRT, T-4667D) Laterality: Right (SRT, G-A100)
Renal V [Labels: Abd, Renal] Location: Renal Vein (SRT, T-48740) Laterality: Right (SRT, G-A100)

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

12.14 Artery of Abdomen (Unilateral)

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Artery of Abdomen Finding Site: Artery of Abdomen (SRT, T-46002) Laterality: Unilateral (SRT, G-C171)
Aorta [Labels: Abd, CV, Renal] Location: Aorta (SRT, T-42000)
Abd Aorta [Labels: PV-Art]
P Aorta Topographical Modifier: Proximal (SRT, G-A118)
P Abd Aorta
M Aorta Topographical Modifier: Mid-longitudinal (SRT, G-A188)
M Abd Aorta
D Aorta Topographical Modifier: Distal (SRT, G-A119)
D Abd Aorta
Celiac A [Label: Abd] Location: Celiac Axis (SRT, T-46400)
Common Heptatic Artery [Label: Abd] Location: Common Hepatic Artery (SRT, T-46421)
P Hepatic A Topographical Modifier: Proximal (SRT, G-A118)
M Hepatic A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
D Hepatic A Topographical Modifier: Distal (SRT, G-A119)
Gastric A [Label: Abd] Location: Gastric Artery (SRT, T-46410)
P Gastric A Topographical Modifier: Proximal (SRT, G-A118)
M Gastric A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
D Gastric A Topographical Modifier: Distal (SRT, G-A119)
Inferior Mesenteric Artery [Label: Abd] Location: Inferior Mesenteric Artery (SRT, T-46520)
P IMA Topographical Modifier: Proximal (SRT, G-A118)
M IMA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
D IMA Topographical Modifier: Distal (SRT, G-A119)
Splenic Artery [Label: Abd] Location: Splenic Artery (SRT, T-46460)
P Splenic A Topographical Modifier: Proximal (SRT, G-A118)
M Splenic A Topographical Modifier: Mid-longitudinal (SRT, G-A188)
D Splenic A Topographical Modifier: Distal (SRT, G-A119)
Superior Mesenteric Artery [Label: Location: Superior Mesenteric Artery (SRT, T-46510)
Abd]
P SMA Topographical Modifier: Proximal (SRT, G-A118)
M SMA Topographical Modifier: Mid-longitudinal (SRT, G-A188)
D SMA Topographical Modifier: Distal (SRT, G-A119)
Bifurcation A [Label: Abd] Location: Bifurcation Artery (99SIEMENS, BifurA)

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

12.15 Vein of Abdomen (Left Side)

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Vein of Abdomen Finding Site: Vein of Abdomen (SRT, T-487A0) Laterality: Left (SRT, G-A101)
Iliac V [Label: Abd] Location: Common Iliac Vein (SRT, T-48920)
L P Iliac V Topographical Modifier: Proximal (SRT, G-A118)
L M Iliac V Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D Iliac V Topographical Modifier: Distal (SRT, G-A119)

12.16 Vein of Abdomen (Right Side)

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Vein of Abdomen Finding Site: Vein of Abdomen (SRT, T-487A0) Laterality: Right (SRT, G-A100)
Iliac V [Label: Abd] Location: Common Iliac Vein (SRT, T-48920)
R P Iliac V Topographical Modifier: Proximal (SRT, G-A118)
R M Iliac V Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D Iliac V Topographical Modifier: Distal (SRT, G-A119)

12.17 Vein of Abdomen (Unilateral)

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Vein of Abdomen Finding Site: Vein of Abdomen (SRT, T-487A0) Laterality: Unilateral (SRT, G-C171)
Left Hepatic Vein [Label: Abd] Location: Left Hepatic Vein (SRT, T-48727)
L P Hepatic V Topographical Modifier: Proximal (SRT, G-A118)
L M Hepatic V Topographical Modifier: Mid-longitudinal (SRT, G-A188)
L D Hepatic V Topographical Modifier: Distal (SRT, G-A119)
Middle Hepatic Vein [Label: Abd] Location: Middle Hepatic Vein (SRT, T-48726)
M P Hepatic V Topographical Modifier: Proximal (SRT, G-A118)
M M Hepatic V Topographical Modifier: Mid-longitudinal (SRT, G-A188)
M D Hepatic V Topographical Modifier: Distal (SRT, G-A119)
Right Hepatic Vein [Label: Abd] Location: Right Hepatic Vein (SRT, T-48725)
R P Hepatic V Topographical Modifier: Proximal (SRT, G-A118)
R M Hepatic V Topographical Modifier: Mid-longitudinal (SRT, G-A188)
R D Hepatic V Topographical Modifier: Distal (SRT, G-A119)
Portal Vein [Label: Abd] Location:Portal Vein (SRT, T-488810)

© Siemens Healthcare, 2009 Version VA16 Page 148 of 171

 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Label Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
P Portal V Topographical Modifier: Proximal (SRT, G-A118)
M Portal V Topographical Modifier: Mid-longitudinal (SRT, G-A188)
D Portal V Topographical Modifier: Distal (SRT, G-A119)
Inferior Vena Cava [Labels: Abd, Location: Inferior Vena Cava (SRT, T-48710)
Renal]
P IVC Topographical Modifier: Proximal (SRT, G-A118)
M IVC Topographical Modifier: Mid-longitudinal (SRT, G-A188)
D IVC Topographical Modifier: Distal (SRT, G-A119)
Splenic Vein [Label: Abd] Location: Splenic Vein (SRT, T-48890)
P Splenic V Topographical Modifier: Proximal (SRT, G-A118)
M Splenic V Topographical Modifier: Mid-longitudinal (SRT, G-A188)
D Splenic V Topographical Modifier: Distal (SRT, G-A119)
Superior Mesenteric Vein [Label: Abd] Location: Superior Mesenteric Vein (SRT, T-48840)
P SMV Topographical Modifier: Proximal (SRT, G-A118)
M SMV Topographical Modifier: Mid-longitudinal (SRT, G-A188)
D SMV Topographical Modifier: Distal (SRT, G-A119)

12.18 Ultrasound Graft

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Ultrasound Graft Finding Site: Vascular Graft (SRT, T-D000F)
Left Abominal Anastomosis Artery Location: Abdominal Anastomosis Artery Laterality: Left (SRT, G-A101)
[Label: Abd] (99SIEMENS, AbdAnastA)
L P Abd Anast A Location: Proximal Anastomosis (SRT, G-D871)
L M Abd Anast A Location: Middle Anastomosis (99SIEMENS, MidAnast)
L D Abd Anast A Location: Distal Anastomosis (SRT, G-D872)
Right Abominal Anastomosis Artery Location: Abdominal Anastomosis Artery Laterality: Right (SRT, G-A100)
[Label: Abd] (99SIEMENS, AbdAnastA)
R P Abd Anast A Location: Proximal Anastomosis (SRT, G-D871)
R M Abd Anast A Location: Middle Anastomosis (99SIEMENS, MidAnast)
R D Abd Anast A Location: Distal Anastomosis (SRT, G-D872)
Left Abominal Anastomosis Vein Location: Abdominal Anastomosis Vein (99SIEMENS, AbdAnastV) Laterality: Left (SRT, G-A101)
[Label: Abd]
L P Abd Anast V Location: Proximal Anastomosis (SRT, G-D871)

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Label Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
L M Abd Anast V Location: Middle Anastomosis (99SIEMENS, MidAnast)
L D Abd Anast V Location: Distal Anastomosis (SRT, G-D872)
Right Abominal Anastomosis Vein Location: Abdominal Anastomosis Vein (99SIEMENS, AbdAnastV) Laterality: Right (SRT, G-A100)
[Label: Abd]
R P Abd Anast V Location: Proximal Anastomosis (SRT, G-D871)
R M Abd Anast V Location: Middle Anastomosis (99SIEMENS, MidAnast)
R D Abd Anast V Location: Distal Anastomosis (SRT, G-D872)
Left Renal Anastomosis Artery Location: Renal Anastomosis Artery (99SIEMENS, RenalAnastA) Laterality: Left (SRT, G-A101)
[Label: Renal]
L P Renal Anast A Location: Proximal Anastomosis (SRT, G-D871)
L M Renal Anast A Location: Middle Anastomosis (99SIEMENS, MidAnast)
L D Renal Anast A Location: Distal Anastomosis (SRT, G-D872)
Right Renal Anastomosis Artery Location: Renal Anastomosis Artery (99SIEMENS, RenalAnastA) Laterality: Right (SRT, G-A100)
[Label: Renal]
R P Renal Anast A Location: Proximal Anastomosis (SRT, G-D871)
R M Renal Anast A Location: Middle Anastomosis (99SIEMENS, MidAnast)
R D Renal Anast A Location: Distal Anastomosis (SRT, G-D872)
Left Renal Anastomosis Vein Location: Renal Anastomosis Vein (99SIEMENS, RenalAnastV) Laterality: Left (SRT, G-A101)
[Label: Renal]
L P Renal Anast V Location: Proximal Anastomosis (SRT, G-D871)
L M Renal Anast V Location: Middle Anastomosis (99SIEMENS, MidAnast)
L D Renal Anast V Location: Distal Anastomosis (SRT, G-D872)
Right Renal Anastomosis Vein Location: Renal Anastomosis Vein (99SIEMENS, RenalAnastV) Laterality: Right (SRT, G-A100)
[Label: Renal]
R P Renal Anast V Location: Proximal Anastomosis (SRT, G-D871)
R M Renal Anast V Location: Middle Anastomosis (99SIEMENS, MidAnast)
R D Renal Anast V Location: Distal Anastomosis (SRT, G-D872)

12.19 Private Section: Mixed Carotid Ratios

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Mixed Carotid Ratios Container: Mixed Carotid Ratios (99SIEMENS, MxCarotidRatios)
R Prox CCA/L Prox CCA Right CCA/Left CCA (99SIEMENS, RCCAoverLCCA) Topographical Modifier: Proximal (SRT, G-A118)
R Mid CCA/L Mid CCA Right CCA/Left CCA (99SIEMENS, RCCAoverLCCA) Topographical Modifier: Mid-longitudinal (SRT, G-A188)

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Label Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
R Dist CCA/L Dist CCA Right CCA/Left CCA (99SIEMENS, RCCAoverLCCA) Topographical Modifier: Distal (SRT, G-A119)

12.20 Private Section: Kidney

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Kidney Container: Kidney (99SIEMENS, Kidney)
L Kidney Left Kidney Distance (99SIEMENS, LKidneyDist)
L Kidney Mean [2D-Mode] Left Kidney Distance (99SIEMENS, LKidneyDist) Derivation: Mean (SRT, R-00317)
L Kidney V Left Kidney Volume (99SIEMENS, LKidneyVol)
L Kidney Mean [Volume] Left Kidney Volume (99SIEMENS, LKidneyVol) Derivation: Mean (SRT, R-00317)
L Kidney D1 Left Kidney Volume: Distance 1 (99SIEMENS, LKidneyVolD1)
L Kidney D2 Left Kidney Volume: Distance 2 (99SIEMENS, LKidneyVolD2)
L Kidney D3 Left Kidney Volume: Distance 3 (99SIEMENS, LKidneyVolD3)
R Kidney Right Kidney Distance (99SIEMENS, RKidneyDist)
R Kidney Mean [2D-Mode] Right Kidney Distance (99SIEMENS, RKidneyDist) Derivation: Mean (SRT, R-00317)
R Kidney V Right Kidney Volume (99SIEMENS, RKidneyVol)
R Kidney Mean [Volume] Right Kidney Volume (99SIEMENS, RKidneyVol) Derivation: Mean (SRT, R-00317)
R Kidney D1 Right Kidney Volume: Distance 1 (99SIEMENS, RKidneyVolD1)
R Kidney D2 Right Kidney Volume: Distance 2 (99SIEMENS, RKidneyVolD2)
R Kidney D3 Right Kidney Volume: Distance 3 (99SIEMENS, RKidneyVolD3)

12.21 Private Section: Ureter

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Ureter Container: Ureter (99SIEMENS, Ureter)
L Ureter Left Ureter Distance (99SIEMENS, LUreterDist)
L Ureter Mean Left Ureter Distance (99SIEMENS, LUreterDist) Derivation: Mean (SRT, R-00317)
R Ureter Right Ureter Distance (99SIEMENS, RUreterDist)
R Ureter Mean Right Ureter Distance (99SIEMENS, RUreterDist) Derivation: Mean (SRT, R-00317)

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DICOM Conformance Statement

12.22 Private Section: Bladder

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Bladder Container: Bladder (99SIEMENS, Bladder)
Micturated Micturated Volume (99SIEMENS, MicturatedVol)
PreVoid Bld V Pre-Void Volume (99SIEMENS, PreVoidVol)
PreVoid Bld Mean Pre-Void Volume (99SIEMENS, PreVoidVol) Derivation: Mean (SRT, R-00317)
PreVoid Bld D1 Pre-Void Volume: Distance 1 (99SIEMENS, PreVoidVolD1)
PreVoid Bld D2 Pre-Void Volume: Distance 2 (99SIEMENS, PreVoidVolD2)
PreVoid Bld D3 Pre-Void Volume: Distance 3 (99SIEMENS, PreVoidVolD3)
PostVoid Bld V Post-Void Volume (99SIEMENS, PostVoidVol)
PostVoid Bld Mean Post-Void Volume (99SIEMENS, PostVoidVol) Derivation: Mean (SRT, R-00317)
PostVoid Bld D1 Post-Void Volume: Distance 1 (99SIEMENS, PostVoidVolD1)
PostVoid Bld D2 Post-Void Volume: Distance 2 (99SIEMENS, PostVoidVolD2)
PostVoid Bld D3 Post-Void Volume: Distance 3 (99SIEMENS, PostVoidVolD3)

12.23 Private Section: Liver, Gall Bladder, Pancreas

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Liver, Gall Bladder, Pancreas Container: Liver, Gall Bladder, Pancreas
(99SIEMENS, LiverGallBPancr)
Liver Liver Distance (99SIEMENS, LiverDist)
Liver Mean [2D-Mode] Liver Distance (99SIEMENS, LiverDist) Derivation: Mean (SRT, R-00317)
Liver V Liver Volume (99SIEMENS, LiverVol)
Liver Mean [Volume] Liver Volume (99SIEMENS, LiverVol) Derivation: Mean (SRT, R-00317)
Liver D1 Liver Volume: Distance 1 (99SIEMENS, LiverVolD1)
Liver D2 Liver Volume: Distance 2 (99SIEMENS, LiverVolD2)
Liver D3 Liver Volume: Distance 3 (99SIEMENS, LiverVolD3)
CHD Common Hepatic Duct Distance (99SIEMENS, CHDuctDist)
CHD Mean Common Hepatic Duct Distance (99SIEMENS, CHDuctDist) Derivation: Mean (SRT, R-00317)
CBD Common Bile Duct Distance (99SIEMENS, CBDuctDist)
CBD Mean Common Bile Duct Distance (99SIEMENS, CBDuctDist) Derivation: Mean (SRT, R-00317)
GB Wall Gall Bladder Wall Thickness (99SIEMENS, GallBWallThk)
GB Wall Mean Gall Bladder Wall Thickness Derivation: Mean (SRT, R-00317)
(99SIEMENS, GallBWallThk)

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DICOM Conformance Statement

Label Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
Panc duct Pancreatic Duct Distance
(99SIEMENS, PancrDuctDist)
Panc duct Mean Pancreatic Duct Distance Derivation: Mean (SRT, R-00317)
(99SIEMENS, PancrDuctDist)

12.24 Private Section: Spleen

Label Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Spleen Container: Spleen (99SIEMENS, Spleen)
Spleen Spleen Distance (99SIEMENS, SpleenDist)
Spleen Mean [2D-Mode] Spleen Distance (99SIEMENS, SpleenDist) Derivation: Mean (SRT, R-00317)
Spleen V Spleen Volume (99SIEMENS, SpleenVol)
Spleen Mean [Volume] Spleen Volume (99SIEMENS, SpleenVol) Derivation: Mean (SRT, R-00317)
Spleen D1 Spleen Volume: Distance 1 (99SIEMENS, SpleenVolD1)
Spleen D2 Spleen Volume: Distance 2 (99SIEMENS, SpleenVolD2)
Spleen D3 Spleen Volume: Distance 3 (99SIEMENS, SpleenVolD3)

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DICOM Conformance Statement

13.0 Appendix C: Echocardiography Structured Report

This appendix lists the DICOM Structured Report (SR) mappings used in the Cardiac Structured Reports of ACUSON S2000 system SR files,
version 1.0.

The mappings are organized in a manner similar to the DICOM SR Templates as described in PS 3.16-2008 of the DICOM Standard. The
“Label” column identifies the on-screen report label associated with a measurement. All private code values use the Coding Scheme Designator
“99SIEMENSUS”.

The Cardiac Report mappings follow the DICOM SR Template TID 5200: Echocardiography Procedure Report. The Qp-Qs and Qp/Qs
measurements that are displayed on the report page are not available in the SR.

Notation:
[…] is additional information about the label

13.1 Left Ventricle

Label (Heading: Measurement) Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Aortic Valve: CI Cardiac Index (SRT, F-32110) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
Measurement Method: Doppler Volume Flow (DCM, 125219)
Aortic Valve: CO Cardiac Output (SRT, F-32100) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
Measurement Method: Doppler Volume Flow (DCM, 125219)
Aortic Valve: IVRT Left Ventricular Isovolumic Relaxation Time
Mitral Valve: IVRT (LN, 18071-1)
Aortic Valve: LVOT diam Cardiovascular Orifice Diameter (SRT, G-038F) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
Mitral Valve: LVOT diam
Aortic Valve: LVOT PGmax Peak Gradient (LN, 20247-3) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
Direction of Flow: Antegrade Flow (SRT, R-42047)
Aortic Valve: LVOT PGmean Mean Gradient (LN, 20256-4) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
Direction of Flow: Antegrade Flow (SRT, R-42047)
Aortic Valve: LVOT Vmax Peak Systolic Velocity (LN, 11726-7) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
Direction of Flow: Antegrade Flow (SRT, R-42047)
Aortic Valve: LVOT Vmean Mean Velocity (LN, 20352-1) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
Direction of Flow: Antegrade Flow (SRT, R-42047)

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DICOM Conformance Statement

Label (Heading: Measurement) Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
Aortic Valve: LVOT VTI Velocity Time Integral (LN, 20354-7) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
Mitral Valve: LVOT VTI Direction of Flow: Antegrade Flow (SRT, R-42047)
Aortic Valve: SI Stroke Index (SRT, F-00078) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
Measurement Method: Doppler Volume Flow (DCM, 125219)
Aortic Valve: SV Stroke Volume (SRT, F-32120) Finding Site: Left Ventricle Outflow Tract (SNM3, T-32650)
Measurement Method: Doppler Volume Flow (DCM, 125219)
Aortic Valve: VSD PGmax Peak Gradient (LN, 20247-3) Finding Site: Ventricular Septal Defect (SRT, D4-31150)
Aortic Valve: VSD Vmax Peak Systolic Velocity (LN, 11726-7) Finding Site: Ventricular Septal Defect (SRT, D4-31150)
Mitral Valve: CO Cardiac Output (SRT, F-32100) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
Measurement Method: Doppler Volume Flow (DCM, 125219)
Mitral Valve: MV LVIMP Left Ventricular Index of Myocardial Performance (SRT, G-037F)
Mitral Valve: SV Stroke Volume (SRT, F-32120) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
Measurement Method: Doppler Volume Flow (DCM, 125219)
Cubed(2D): CI Cardiac Index (SRT, F-32110) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Cube Method (DCM, 125206)
Cubed(2D): CO Cardiac Output (SRT, F-32100) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Cube Method (DCM, 125206)
Cubed(2D): EDV Left Ventricular End Diastolic Volume (LN, 18026-5) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Cube Method (DCM, 125206)
Cubed(2D): EF Left Ventricular Ejection Fraction (LN, 18043-0) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Cube Method (DCM, 125206)
Cubed(2D): ESV Left Ventricular End Systolic Volume (LN, 18148-7) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Cube Method (DCM, 125206)
Cubed(2D): FS Left Ventricular Fractional Shortening (LN, 18051-3) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Cube Method (DCM, 125206)
Cubed(2D): HR Heart Rate (LN, 8867-4) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Cube Method (DCM, 125206)
Cubed(2D): IVSd Interventricular Septum Diastolic Thickness (LN, 18154-5) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Cube Method (DCM, 125206)
Cubed(2D): IVSs Interventricular Septum Systolic Thickness (LN, 18158-6) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Cube Method (DCM, 125206)
Cubed(2D): LVIDd Left Ventricle Internal End Diastolic Dimension (LN, 29436-3) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Cube Method (DCM, 125206)

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DICOM Conformance Statement

Label (Heading: Measurement) Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
Cubed(2D): LVIDs Left Ventricle Internal Systolic Dimension (LN, 29438-9) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Cube Method (DCM, 125206)
Cubed(2D): LVPWd Left Ventricle Posterior Wall Diastolic Thickness (LN, 18152-9) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Cube Method (DCM, 125206)
Cubed(2D): LVPWs Left Ventricle Posterior Wall Systolic Thickness (LN, 18156-0) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Cube Method (DCM, 125206)
Cubed(2D): SI Stroke Index (SRT, F-00078) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Cube Method (DCM, 125206)
Cubed(2D): SV Stroke Volume (SRT, F-32120) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Cube Method (DCM, 125206)
DTI: Aa(l) LV Peak Diastolic Tissue Velocity During Atrial Systole Finding Site: Lateral Mitral Annulus (SRT, G-0392)
(SRT, G-037C)
DTI: Aa(m) LV Peak Diastolic Tissue Velocity During Atrial Systole (SRT, G-037C) Finding Site: Medial Mitral Annulus (SRT, G-0391)
DTI: ARa(l) Mitral Valve DTI acceleration rate of Ea (99SIEMENSUS, CA_MV_ARa) Finding Site: Lateral Mitral Annulus (SRT, G-0392)
DTI: ARa(m) Mitral Valve DTI acceleration rate of Ea (99SIEMENSUS, CA_MV_ARa) Finding Site: Medial Mitral Annulus (SRT, G-0391)
DTI: ATa(l) Mitral Valve DTI acceleration time of Ea (99SIEMENSUS, CA_MV_ATa) Finding Site: Lateral Mitral Annulus (SRT, G-0392)
DTI: ATa(m) Mitral Valve DTI acceleration time of Ea (99SIEMENSUS, CA_MV_ATa) Finding Site: Medial Mitral Annulus (SRT, G-0391)
DTI: DRa(l) Mitral Valve DTI deceleration rate of Ea (99SIEMENSUS, CA_MV_DRa) Finding Site: Lateral Mitral Annulus (SRT, G-0392)
DTI: DRa(m) Mitral Valve DTI deceleration rate of Ea Finding Site: Medial Mitral Annulus (SRT, G-0391)
(99SIEMENSUS, CA_MV_DRa)
DTI: DTa(l) Mitral Valve DTI deceleration time of Ea Finding Site: Lateral Mitral Annulus (SRT, G-0392)
(99SIEMENSUS, CA_MV_DTa)
DTI: DTa(m) Mitral Valve DTI deceleration time of Ea Finding Site: Medial Mitral Annulus (SRT, G-0391)
(99SIEMENSUS, CA_MV_DTa)
DTI: E/Ea(l) Ratio of MV Peak Velocity to LV Peak Tissue Velocity E-Wave Finding Site: Lateral Mitral Annulus (SRT, G-0392)
(SRT, G-037B)
DTI: E/Ea(m) Ratio of MV Peak Velocity to LV Peak Tissue Velocity E-Wave Finding Site: Medial Mitral Annulus (SRT, G-0391)
(SRT, G-037B)
DTI: Ea(l) Left Ventricular Peak Early Diastolic Tissue Velocity (SRT, G-037A) Finding Site: Lateral Mitral Annulus (SRT, G-0392)
DTI: Ea(m) Left Ventricular Peak Early Diastolic Tissue Velocity (SRT, G-037A) Finding Site: Medial Mitral Annulus (SRT, G-0391)
DTI: Ea/Aa(l) Mitral Valve DTI Ea to Aa Ratio (99SIEMENSUS, CA_MV_Ea2Aa) Finding Site: Lateral Mitral Annulus (SRT, G-0392)
DTI: Ea/Aa(m) Mitral Valve DTI Ea to Aa Ratio (99SIEMENSUS, CA_MV_Ea2Aa) Finding Site: Medial Mitral Annulus (SRT, G-0391)
DTI: Sa(l) Left Ventricular Peak Systolic Tissue Velocity (SRT, G-037D) Finding Site: Lateral Mitral Annulus (SRT, G-0392)
DTI: Sa(m) Left Ventricular Peak Systolic Tissue Velocity (SRT, G-037D) Finding Site: Medial Mitral Annulus (SRT, G-0391)

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DICOM Conformance Statement

Label (Heading: Measurement) Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
LV/Cubed(M): CI Cardiac Index (SRT, F-32110) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Cube Method (DCM, 125206)
LV/Cubed(M): CO Cardiac Output (SRT, F-32100) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Cube Method (DCM, 125206)
LV/Cubed(M): EDV Left Ventricular End Diastolic Volume (LN, 18026-5) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Cube Method (DCM, 125206)
LV/Cubed(M): EF Left Ventricular Ejection Fraction (LN, 18043-0) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Cube Method (DCM, 125206)
LV/Cubed(M): ESV Left Ventricular End Systolic Volume (LN, 18148-7) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Cube Method (DCM, 125206)
LV/Cubed(M): FS Left Ventricular Fractional Shortening (LN, 18051-3) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Cube Method (DCM, 125206)
LV/Cubed(M): HR Heart Rate (LN, 8867-4) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Cube Method (DCM, 125206)
LV/Cubed(M): IVSd Interventricular Septum Diastolic Thickness (LN, 18154-5) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Cube Method (DCM, 125206)
LV/Cubed(M): IVSs Interventricular Septum Systolic Thickness (LN, 18158-6) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Cube Method (DCM, 125206)
LV/Cubed(M): LV MASS Left Ventricle Mass (LN, 18087-7) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Cube Method (DCM, 125206)
LV/Cubed(M): LV MASS-c Left Ventricle Mass corrected (99SIEMENSUS, CA_LV_MASSc) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Cube Method (DCM, 125206)
LV/Cubed(M): LV MASS-l Left Ventricle Mass (LN, 18087-7) Image Mode: M-Mode (SRT, G-0394)
Index: Body Surface Area (LN, 8277-6)
Measurement Method: Cube Method (DCM, 125206)
LV/Cubed(M): LVIDd Left Ventricle Internal End Diastolic Dimension (LN, 29436-3) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Cube Method (DCM, 125206)
LV/Cubed(M): LVIDs Left Ventricle Internal Systolic Dimension (LN, 29438-9) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Cube Method (DCM, 125206)
LV/Cubed(M): LVPWd Left Ventricle Posterior Wall Diastolic Thickness (LN, 18152-9) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Cube Method (DCM, 125206)
LV/Cubed(M): LVPWs Left Ventricle Posterior Wall Systolic Thickness (LN, 18156-0) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Cube Method (DCM, 125206)
LV/Cubed(M): mVcf Systolic Index (99SIEMENSUS, CA_LF_VCF) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Cube Method (DCM, 125206)

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DICOM Conformance Statement

Label (Heading: Measurement) Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
LV/Cubed(M): SI Stroke Index (SRT, F-00078) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Cube Method (DCM, 125206)
LV/Cubed(M): SV Stroke Volume (SRT, F-32120) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Cube Method (DCM, 125206)
LV/Teichholz(M): CI Cardiac Index (SRT, F-32110) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Teichholz (DCM, 125209)
LV/Teichholz(M): CO Cardiac Output (SRT, F-32100) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Teichholz (DCM, 125209)
LV/Teichholz(M): EDV Left Ventricular End Diastolic Volume (LN, 18026-5) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Teichholz (DCM, 125209)
LV/Teichholz(M): EF Left Ventricular Ejection Fraction (LN, 18043-0) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Teichholz (DCM, 125209)
LV/Teichholz(M): ESV Left Ventricular End Systolic Volume (LN, 18148-7) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Teichholz (DCM, 125209)
LV/Teichholz(M): FS Left Ventricular Fractional Shortening (LN, 18051-3) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Teichholz (DCM, 125209)
LV/Teichholz(M): HR Heart Rate (LN, 8867-4) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Teichholz (DCM, 125209)
LV/Teichholz(M): IVSd Interventricular Septum Diastolic Thickness (LN, 18154-5) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Teichholz (DCM, 125209)
LV/Teichholz(M): IVSs Interventricular Septum Systolic Thickness (LN, 18158-6) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Teichholz (DCM, 125209)
LV/Teichholz(M): LV MASS Left Ventricle Mass (LN, 18087-7) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Teichholz (DCM, 125209)
LV/Teichholz(M): LV MASS-c Left Ventricle Mass corrected (99SIEMENSUS, CA_LV_MASSc) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Teichholz (DCM, 125209)
LV/Teichholz(M): LV MASS-l Left Ventricle Mass (LN, 18087-7) Image Mode: M-Mode (SRT, G-0394)
Index: Body Surface Area (LN, 8277-6)
Measurement Method: Teichholz (DCM, 125209)
LV/Teichholz(M): LVIDd Left Ventricle Internal End Diastolic Dimension (LN, 29436-3) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Teichholz (DCM, 125209)
LV/Teichholz(M): LVIDs Left Ventricle Internal Systolic Dimension (LN, 29438-9) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Teichholz (DCM, 125209)
LV/Teichholz(M): LVPWd Left Ventricle Posterior Wall Diastolic Thickness (LN, 18152-9) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Teichholz (DCM, 125209)

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DICOM Conformance Statement

Label (Heading: Measurement) Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
LV/Teichholz(M): LVPWs Left Ventricle Posterior Wall Systolic Thickness (LN, 18156-0) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Teichholz (DCM, 125209)
LV/Teichholz(M): mVcf Systolic Index (99SIEMENSUS, CA_LF_VCF) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Teichholz (DCM, 125209)
LV/Teichholz(M): SI Stroke Index (SRT, F-00078) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Teichholz (DCM, 125209)
LV/Teichholz(M): SV Stroke Volume (SRT, F-32120) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Teichholz (DCM, 125209)
LV MASS A-L: A Sax Endo Left Ventricular Diastolic Area (SRT, G-0375) Image Mode: 2D mode (SRT, G-03A2)
Image View: Parasternal Short Axis at the Papillary Muscle Level
(SRT, G-039B)
Measurement Method: Left Ventricle Mass by Area Length
(99SIEMENSUS, LVMassAL)
LV MASS A-L: A Sax Epi Left Ventricle Epicardial Diastolic Area, psax pap view (SRT, G-0379) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Left Ventricle Mass by Area Length
(99SIEMENSUS, LVMassAL)
LV MASS A-L: LV MASS Left Ventricle Mass (LN, 18087-7) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Left Ventricle Mass by Area Length
(99SIEMENSUS, LVMassAL)
LV MASS A-L: LV MASS-l Left Ventricle Mass (LN, 18087-7) Image Mode: 2D mode (SRT, G-03A2)
Index: Body Surface Area (LN, 8277-6)
Measurement Method: Left Ventricle Mass by Area Length
(99SIEMENSUS, LVMassAL)
LV MASS A-L: LVL Left Ventricle Diastolic Major Axis (LN, 18077-8) Image Mode: 2D mode (SRT, G-03A2)
LV MASS A-L: t Myocardial Thickness calculated from Short Axis Epicardial and Cavity Image Mode: 2D mode (SRT, G-03A2)
Areas (99SIEMENSUS, CA_LV_MyoTh)
LV MASS T-E: a Left Ventricle Semi-major Axis Diastolic Dimension (SRT, G-0377) Measurement Method: Left Ventricle Mass by Truncated Ellipse
(DCM, 125222)
LV MASS T-E: A Sax Endo Left Ventricular Diastolic Area (SRT, G-0375) Image View: Parasternal Short Axis at the Papillary Muscle Level
(SRT, G-039B)
Measurement Method: Left Ventricle Mass by Truncated Ellipse
(DCM, 125222)
LV MASS T-E: A Sax Epi Left Ventricle Epicardial Diastolic Area, psax pap view (SRT, G-0379) Measurement Method: Left Ventricle Mass by Truncated Ellipse
(DCM, 125222)
LV MASS T-E: b Short axis radius calculated from short axis cavity area (99SIEMENSUS, Measurement Method: Left Ventricle Mass by Truncated Ellipse
CA_LV_RadSAX) (DCM, 125222)

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DICOM Conformance Statement

Label (Heading: Measurement) Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
LV MASS T-E: d Left Ventricle Truncated Semi-major Axis Diastolic Dimension (SRT, G- Measurement Method: Left Ventricle Mass by Truncated Ellipse
0378) (DCM, 125222)
LV MASS T-E: LV Mass Left Ventricle Mass (LN, 18087-7) Measurement Method: Left Ventricle Mass by Truncated Ellipse
(DCM, 125222)
LV MASS T-E: LV Mass-l Left Ventricle Mass (LN, 18087-7) Index: Body Surface Area (LN, 8277-6)
Measurement Method: Left Ventricle Mass by Truncated Ellipse
(DCM, 125222)
LV MASS T-E: t Myocardial Thickness calculated from short axis epicardial and cavity Measurement Method: Left Ventricle Mass by Truncated Ellipse
areas (99SIEMENSUS, CA_LV_MyoTh) (DCM, 125222)
Simpson BP: CI Cardiac Index (SRT, F-32110) Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson BP: CI2 Cardiac Index (SRT, F-32110) Image View: Apical Two Chamber (SRT, G-A19B)
Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson BP: CI4 Cardiac Index (SRT, F-32110) Image View: Apical Four Chamber (SRT, G-A19C)
Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson BP: CO Cardiac Output (SRT, F-32100) Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson BP: CO2 Cardiac Output (SRT, F-32100) Image View: Apical Two Chamber (SRT, G-A19B)
Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson BP: CO4 Cardiac Output (SRT, F-32100) Image View: Apical Four Chamber (SRT, G-A19C)
Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson BP: difD LV Difference (99SIEMENSUS, CA_LV_DIF) Cardiac Cycle Point: End Diastole (SRT, F-32011)
Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson BP: difS LV Difference (99SIEMENSUS, CA_LV_DIF) Cardiac Cycle Point: F-32011, SRT, End Systole
Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson BP: EDV Left Ventricular End Diastolic Volume (LN, 18026-5) Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson BP: EDV2 Left Ventricular End Diastolic Volume (LN, 18026-5) Image View: Apical Two Chamber (SRT, G-A19B)
Measurement Method: Method of Disks,Biplane (DCM, 125207)
Simpson BP: EDV4 Left Ventricular End Diastolic Volume (LN, 18026-5) Image View: Apical Four Chamber (SRT, G-A19C)
Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson BP: EF Left Ventricular Ejection Fraction (LN, 18043-0) Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson BP: EF2 Left Ventricular Ejection Fraction (LN, 18043-0) Image View: Apical Two Chamber (SRT, G-A19B)
Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson BP: EF4 Left Ventricular Ejection Fraction (LN, 18043-0) Image View: Apical Four Chamber (SRT, G-A19C)
Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson BP: ESV Left Ventricular End Systolic Volume (LN, 18148-7) Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson BP: ESV2 Left Ventricular End Systolic Volume (LN, 18148-7) Image View: Apical Two Chamber (SRT, G-A19B)
Measurement Method: Method of Disks, Biplane (DCM, 125207)

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DICOM Conformance Statement

Label (Heading: Measurement) Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
Simpson BP: ESV4 Left Ventricular End Systolic Volume (LN, 18148-7) Image View: Apical Four Chamber (SRT, G-A19C)
Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson BP: HR Heart Rate (LN, 8867-4) Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson BP: SI Stroke Index (SRT, F-00078) Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson BP: SI2 Stroke Index (SRT, F-00078) Image View: Apical Two Chamber (SRT, G-A19B)
Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson BP: SI4 Stroke Index (SRT, F-00078) Image View: Apical Four Chamber (SRT, G-A19C)
Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson BP: SV Stroke Volume (SRT, F-32120) Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson BP: SV2 Stroke Volume (SRT, F-32120) Image View: Apical Two Chamber (SRT, G-A19B)
Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson BP: SV4 Stroke Volume (SRT, F-32120) Image View: Apical Four Chamber (SRT, G-A19C)
Measurement Method: Method of Disks, Biplane (DCM, 125207)
Simpson SP: CI Cardiac Index (SRT, F-32110) Image View: Apical Four Chamber (SRT, G-A19C)
Measurement Method: Method of Disks, Single Plane (DCM,
125208)
Simpson SP: CO Cardiac Output (SRT, F-32100) Image View: Apical Four Chamber (SRT, G-A19C)
Measurement Method: Method of Disks, Single Plane (DCM,
125208)
Simpson SP: EDV Left Ventricular End Diastolic Volume (LN, 18026-5) Image View: Apical Four Chamber (SRT, G-A19C)
Measurement Method: Method of Disks, Single Plane (DCM,
125208)
Simpson SP: EF Left Ventricular Ejection Fraction (LN, 18043-0) Image View: Apical Four Chamber (SRT, G-A19C)
Measurement Method: Method of Disks, Single Plane (DCM,
125208)
Simpson SP: ESV Left Ventricular End Systolic Volume (LN, 18148-7) Image View: Apical Four Chamber (SRT, G-A19C)
Measurement Method: Method of Disks, Single Plane (DCM,
125208)
Simpson SP: HR Heart Rate (LN, 8867-4) Measurement Method: Method of Disks, Single Plane (DCM,
125208)
Simpson SP: SI Stroke Index (SRT, F-00078) Image View: Apical Four Chamber (SRT, G-A19C)
Measurement Method: Method of Disks, Single Plane (DCM,
125208)
Simpson SP: SV Stroke Volume (SRT, F-32120) Image View: Apical Four Chamber (SRT, G-A19C)
Measurement Method: Method of Disks, Single Plane (DCM,
125208)

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Label (Heading: Measurement) Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
Teichholz(2D): CI Cardiac Index (SRT, F-32110) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Teichholz (DCM, 125209)
Teichholz(2D): CO Cardiac Output (SRT, F-32100) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Teichholz (DCM, 125209)
Teichholz(2D): EDV Left Ventricular End Diastolic Volume (LN, 18026-5) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Teichholz (DCM, 125209)
Teichholz(2D): EF Left Ventricular Ejection Fraction (LN, 18043-0) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Teichholz (DCM, 125209)
Teichholz(2D): ESV Left Ventricular End Systolic Volume (LN, 18148-7) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Teichholz (DCM, 125209)
Teichholz(2D): FS Left Ventricular Fractional Shortening(LN, 18051-3) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Teichholz (DCM, 125209)
Teichholz(2D): HR Heart Rate (LN, 8867-4) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Teichholz (DCM, 125209)
Teichholz(2D): IVSd Interventricular Septum Diastolic Thickness (LN, 18154-5) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Teichholz (DCM, 125209)
Teichholz(2D): IVSs Interventricular Septum Systolic Thickness (LN, 18158-6) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Teichholz (DCM, 125209)
Teichholz(2D): LVIDd Left Ventricle Internal End Diastolic Dimension (LN, 29436-3) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Teichholz (DCM, 125209)
Teichholz(2D): LVIDs Left Ventricle Internal Systolic Dimension (LN, 29438-9) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Teichholz (DCM, 125209)
Teichholz(2D): LVPWd Left Ventricle Posterior Wall Diastolic Thickness (LN, 18152-9) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Teichholz (DCM, 125209)
Teichholz(2D): LVPWs Left Ventricle Posterior Wall Systolic Thickness (LN, 18156-0) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Teichholz (DCM, 125209)
Teichholz(2D): SI Stroke Index (SRT, F-00078) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Teichholz (DCM, 125209)
Teichholz(2D): SV Stroke Volume (SRT, F-32120) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Teichholz (DCM, 125209)

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DICOM Conformance Statement

13.2 Right Ventricle

Label (Heading: Measurement) Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
AV/LA(2D): RV diam Right Ventricular Internal Diastolic Dimension at AV/LA Image Mode: 2D mode (SRT, G-03A2)
(99SIEMENSUS, CA_RV_INTDIA_AV2LA)
AV/LA(M): RV diam Right Ventricular Internal Diastolic Dimension at AV/LA Image Mode: M-Mode (SRT, G-0394)
(99SIEMENSUS, CA_RV_INTDIA_AV2LA)
Cubed(2D): RVAWd Right Ventricle Anterior Wall Diastolic Thickness (LN, 18153-7) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Cube Method (DCM, 125206)
Cubed(2D): RVDd Right Ventricular Internal Diastolic Dimension Image Mode: 2D mode (SRT, G-03A2)
(LN, 20304-2) Measurement Method: Cube Method (DCM, 125206)
LV/Cubed(M): RVDd Right Ventricular Internal Diastolic Dimension Image Mode: M-Mode (SRT, G-0394)
(LN, 20304-2) Measurement Method: Cube Method (DCM, 125206)
LV/Teichholz(M): RVDd Right Ventricular Internal Diastolic Dimension Image Mode: M-Mode (SRT, G-0394)
(LN, 20304-2) Measurement Method: Teichholz (DCM, 125209)
Pulmonary Valve: CI Cardiac Index (SRT, F-32110) Finding Site: Right Ventricle Outflow Tract (SRT, T-32550)
Measurement Method: Doppler Volume Flow (DCM, 125219)
Pulmonary Valve: CO Cardiac Output (SRT, F-32100) Finding Site: Right Ventricle Outflow Tract (SRT, T-32550)
Measurement Method: Doppler Volume Flow (DCM, 125219)
Pulmonary Valve: RVOT diam Cardiovascular Orifice Diameter (SRT, G-038F) Finding Site: Right Ventricle Outflow Tract (SRT, T-32550)
Image Mode:2D mode (SRT, G-03A2)
Pulmonary Valve: SI Stroke Index (SRT, F-00078) Finding Site: Right Ventricle Outflow Tract (SRT, T-32550)
Measurement Method: Doppler Volume Flow (DCM, 125219)
Pulmonary Valve: SV Stroke Volume (SRT, F-32120) Finding Site: Right Ventricle Outflow Tract (SRT, T-32550)
Measurement Method: Doppler Volume Flow (DCM, 125219)
RV: RV diam Right Ventricular Internal Diastolic Dimension
[for 2D and M-Mode] (LN, 20304-2)
Teichholz(2D): RVAWd Right Ventricle Anterior Wall Diastolic Thickness (LN, 18153-7) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Teichholz (DCM, 125209)
Teichholz(2D): RVDd Right Ventricular Internal Diastolic Dimension Image Mode: 2D mode (SRT, G-03A2)
(LN, 20304-2) Measurement Method: Teichholz (DCM, 125209)
TR: RVSP Right Ventricular Peak Systolic Pressure
(SRT, G-0380)
Tricuspid Valve: RVIMP Right Ventricular Index of Myocardial Performance (SRT, G-0381)

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DICOM Conformance Statement

13.3 Left Atrium

Label (Heading: Measurement) Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
AV/LA(2D): LA diam Left Atrium Antero-posterior Systolic Dimension (LN, 29469-4) Image Mode: 2D mode (SRT, G-03A2)
AV/LA(M): LA diam Left Atrium Antero-posterior Systolic Dimension (LN, 29469-4) Image Mode: M-Mode (SRT, G-0394)

13.4 Right Atrium

Label (Heading: Measurement) Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
PR: RAP Right Atrium Systolic Pressure (LN, 18070-3)
TR: RAP
or not shown on report

13.5 Aortic Valve

Label (Heading: Measurement) Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Aortic Valve: AV PGmax Peak Gradient (LN, 20247-3) Direction of Flow: Antegrade Flow (SRT, R-42047)
Aortic Valve: AV PGmean Mean Gradient (LN, 20256-4) Direction of Flow: Antegrade Flow (SRT, R-42047)
Aortic Valve: AV Vmax Peak Systolic Velocity (LN, 11726-7) Direction of Flow: Antegrade Flow (SRT, R-42047)
Aortic Valve: AV Vmean Mean Velocity (LN, 20352-1) Direction of Flow: Antegrade Flow (SRT, R-42047)
Aortic Valve: AV VTI Velocity Time Integral (LN, 20354-7) Direction of Flow: Antegrade Flow (SRT, R-42047)
Aortic Valve: AVA(Trace) Cardiovascular Orifice Area (SRT, G-038E) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Planimetry (DCM, 125220)
Aortic Valve: AVA(Vmax) Cardiovascular Orifice Area (SRT, G-038E) Direction of Flow: Antegrade Flow (SRT, R-42047)
Measurement Method: Continuity Equation by Peak Velocity
(DCM, 125214);
Aortic Valve: AVA(VTI) Cardiovascular Orifice Area (SRT, G-038E) Direction of Flow: Antegrade Flow (SRT, R-42047)
Measurement Method: Continuity Equation by Velocity Time
Integral (DCM, 125215)
Aortic Valve: HR Heart Rate (LN, 8867-4) Finding Site: Aortic Valve (SRT, T-35400)
Aortic Valve: LVET Aortic Valve Ejection Time (LN, 18041-4) Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
Aortic Valve: LVPEP Pre-Ejection Period (LN, 18068-7)
Aortic Valve: LVSTI Aortic Valve Pre-ejection Period to Ejection Time (99SIEMENSUS, CA- Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
AV_PEP2ET)
AR: AI Dec Slope Deceleration Slope (LN, 20216-8) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
Measurement Method: Area by Pressure Half-Time (DCM, 125210)

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DICOM Conformance Statement

Label (Heading: Measurement) Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
AR: AI Dec Time Deceleration Time ( LN, 20217-6) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
Measurement Method: Area by Pressure Half-Time (DCM, 125210)
AR: AI PGmax Peak Gradient (LN, 20247-3) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
Measurement Method: Area by Pressure Half-Time (DCM, 125210)
AR: AI PHT Pressure Half-Time (LN, 20280-4) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
Measurement Method: Area by Pressure Half-Time (DCM, 125210)
AR: AI Vmax Maximum Velocity (LN, 20351-3) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
Measurement Method: Area by Pressure Half-Time (DCM, 125210)
AR: AR PGmax Peak Gradient (LN, 20247-3) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
AR: AR Time Aortic Valve Regurgitant Diastolic Deceleration Time (LN, 17998-6)
AR: AR V ed End Diastolic Velocity (LN, 11653-3) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
AR: AR Vmax Maximum Velocity (LN, 20351-3) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
AR: Decel Rate Deceleration Slope (LN, 20216-8) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
AV/LA(2D): ACS Aortic Valve Cusp Separation (LN, 17996-0) Image Mode: 2D mode (SRT, G-03A2)
AV/LA(2D): AO/LA Aortic Root Diameter to Left Atrium Diameter Ratio Image Mode: 2D mode (SRT, G-03A2)
(99SIEMENSUS, CA_LA_AO2LA)
AV/LA(M): ACS Aortic Valve Cusp Separation (LN, 17996-0) Image Mode: M-Mode (SRT, G-0394)
AV/LA(M): AO/LA Aortic Root Diameter to Left Atrium Diameter Ratio Image Mode: M-Mode (SRT, G-0394)
(99SIEMENSUS, CA_LA_AO2LA)
AV/LA(2D): LVET Aortic Valve Ejection Time (LN, 18041-4) Image Mode: M-Mode (SRT, G-0394)
AV/LA(M): LVET
AV/LA(2D): LVPEP Pre-Ejection Period (LN, 18068-7) Image Mode: M-Mode (SRT, G-0394)
AV/LA(M): LVPEP
AV/LA(2D): LVSTI Aortic Valve Pre-ejection Period to Ejection Time Image Mode: M-Mode (SRT, G-0394)
AV/LA(M): LVSTI (99SIEMENSUS, CA-AV_PEP2ET)
LV/Teichholz(M): LVET Aortic Valve Ejection Time (LN, 18041-4) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Teichholz (DCM, 125209)
LV/Cubed(M): LVET Aortic Valve Ejection Time (LN, 18041-4) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Cube Method (DCM, 125206)

13.6 Mitral Valve

Label (Heading: Measurement) Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Mitral Valve: A/E Mitral Valve A to E Ratio (99SIEMENSUS, CA_MV_A2E)

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DICOM Conformance Statement

Label (Heading: Measurement) Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
Mitral Valve: A duration Mitral Valve A-Wave Duration (SRT, G-0385)
Mitral Valve: CA/CE Mitral Valve A to E Ratio Image Mode: M-Mode (SRT, G-0394)
(99SIEMENSUS, CA_MV_A2E)
Mitral Valve: CA amp Amplitude A Wave Mmode Image Mode: M-Mode (SRT, G-0394)
(99SIEMENSUS, CA_MV_AwaveAmpl)
Mitral Valve: CE amp Amplitude E Wave Mmode Image Mode: M-Mode (SRT, G-0394)
(99SIEMENSUS, CA_MV_EwaveAmpl)
Mitral Valve: CI Cardiac Index (SRT, F-32110) Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
Measurement Method: Doppler Volume Flow (DCM, 125219)
Mitral Valve: DE amp Amplitude D-E Wave Mmode Image Mode: M-Mode (SRT, G-0394)
(99SIEMENSUS, CA_MV_DEWaveAmpl)
Mitral Valve: DE excursion Mitral Valve D-E Excursion (LN, 17997-8) Image Mode: M-Mode (SRT, G-0394)
Mitral Valve: Dec Slope Deceleration Slope (LN, 20216-8) Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
Mitral Valve: Dec Time Mitral Valve E-Wave Deceleration Time
(SRT, G-0384)
Mitral Valve: E/A Mitral Valve E to A Ratio (LN, 18038-0) Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
Mitral Valve: E duration Mitral Valve E-Wave Duration (99SIEMENSUS, CA_MV_DURe)
Mitral Valve: EF slope Mitral Valve E-F Slope by M-Mode (LN, 18040-6) Image Mode: M-Mode (SRT, G-0394)
Mitral Valve: EPSS Mitral Valve EPSS, E wave (LN, 18036-4) Image Mode: 2D mode (SRT, G-03A2)
Mitral Valve: EPSS Mitral Valve EPSS, E wave (LN, 18036-4) Image Mode: M-Mode (SRT, G-0394)
Mitral Valve: HR Heart Rate (LN, 8867-4)
Mitral Valve: MV A pt Mitral Valve A-Wave Peak Velocity (LN, 17978-8)
Mitral Valve: MV C-Odur Mitral Valve Closure to Opening Time
(SRT, G-0387)
Mitral Valve: MV diam Cardiovascular Orifice Diameter (SRT, G-038F)
Mitral Valve: MV E pt Mitral Valve E-Wave Peak Velocity (LN, 18037-2)
Mitral Valve: MV LVET Aortic Valve Ejection Time (LN, 18041-4) Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
Mitral Valve: MV PGmax Mitral Valve Diastolic Peak Instantaneous Gradient (LN, 18057-0)
Mitral Valve: MV PGmean Mean Gradient (LN, 20256-4) Direction of Flow: Antegrade Flow (SRT, R-42047)
Mitral Valve: MV PHT Pressure Half-Time (LN, 20280-4) Direction of Flow: Antegrade Flow (SRT, R-42047)
Mitral Valve: MV Vmax Maximum Velocity (LN, 20351-3) Direction of Flow: Antegrade Flow (SRT, R-42047)
Mitral Valve: MV Vmean Mean Velocity (LN, 20352-1) Direction of Flow: Antegrade Flow (SRT, R-42047)
Mitral Valve: MV VTI Velocity Time Integral (LN, 20354-7) Direction of Flow: Antegrade Flow (SRT, R-42047)

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DICOM Conformance Statement

Label (Heading: Measurement) Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
Mitral Valve: MVA(PHT) Cardiovascular Orifice Area (SRT, G-038E) Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
Direction of Flow: Antegrade Flow (SRT, R-42047)
Measurement Method: Area by Pressure Half-Time (DCM, 125210)
Mitral Valve: MVA(Trace) Cardiovascular Orifice Area (SRT, G-038E) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Planimetry (DCM, 125220);
Mitral Valve: MVA(VTI) Cardiovascular Orifice Area (SRT, G-038E) Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
Direction of Flow: Antegrade Flow (SRT, R-42047)
Measurement Method: Continuity Equation (DCM, 125212)
Mitral Valve: SI Stroke Index (SRT, F-00078) Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
MR: dP/dt Mitral Regurgitation dP/dt derived from Mitral Regurgitation Velocity
(LN, 18035-6)
MR: dt Deceleration Time (LN, 20217-6) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
MR: MR PGmax Peak Gradient (LN, 20247-3) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
MR: MR Vmax Peak Systolic Velocity (LN, 11726-7) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
PISA(MR): Aliasing Vel Mean Velocity (LN, 20252-1) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
Measurement Method: Proximal Isovelocity Surface Area
(DCM, 125216)
Derivation: Estimated (DCM, 121427)
PISA(MR): EO Area Cardiovascular Orifice Area (SRT, G-038E) Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
Direction of Flow: Regurgitant Flow (SRT, R-42E61)
Measurement Method: Proximal Isovelocity Surface Area
(DCM, 125216)
PISA(MR): Flow Rate Peak Instantaneous Flow Rate (LN, 34141-2) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
Measurement Method: Proximal Isovelocity Surface Area
(DCM, 125216)
PISA(MR): Flow Vol Volume Flow (LN, 33878-0) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
Measurement Method: Proximal Isovelocity Surface Area
(DCM, 125216)
PISA(MR): MR Vmax Peak Systolic Velocity (LN, 11726-7) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
Measurement Method: Proximal Isovelocity Surface Area
(DCM, 125216)
PISA(MR): MR VTI Velocity Time Integral (LN, 20354-7) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
Measurement Method: Proximal Isovelocity Surface Area
(DCM, 125216)
PISA(MR): Radius Dome Radius (99SIEMENSUS, CA_DOME) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
Measurement Method: Proximal Isovelocity Surface Area
(DCM, 125216)

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DICOM Conformance Statement

Label (Heading: Measurement) Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
PISA(MS): Aliasing Vel Mean Velocity (LN, 20252-1) Direction of Flow: Antegrade Flow (SRT, R-42047)
Measurement Method: Proximal Isovelocity Surface Area
(DCM, 125216)
Derivation: Estimated (DCM, 121427)
PISA(MS): Angle Angle measured at Mitral Valve Stenosis (99SIEMENSUS, Direction of Flow: Antegrade Flow (SRT, R-42047)
CA_MS_Angle) Measurement Method: Proximal Isovelocity Surface Area
(DCM, 125216)
PISA(MS): Flow Rate Peak Instantaneous Flow Rate (LN, 34141-2) Direction of Flow: Antegrade Flow (SRT, R-42047)
Measurement Method: Proximal Isovelocity Surface Area
(DCM, 125216)
PISA(MS): Flow Vol Volume Flow (LN, 33878-0) Direction of Flow: Antegrade Flow (SRT, R-42047)
Measurement Method: Proximal Isovelocity Surface Area
(DCM, 125216)
PISA(MS): MS PGmax Peak Gradient (LN, 20247-3) Direction of Flow: Antegrade Flow (SRT, R-42047)
Measurement Method: Proximal Isovelocity Surface Area
(DCM, 125216)
PISA(MS): MS Vmax Maximum Velocity (LN, 20351-3) Direction of Flow: Antegrade Flow (SRT, R-42047)
Measurement Method: Proximal Isovelocity Surface Area
(DCM, 125216)
PISA(MS): MS VTI Velocity Time Integral (LN, 20354-7) Direction of Flow: Antegrade Flow (SRT, R-42047)
Measurement Method: Proximal Isovelocity Surface Area
(DCM, 125216)
PISA(MS): MS MVA Cardiovascular Orifice Area (SRT, G-038E) Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
Direction of Flow: Antegrade Flow (SRT, R-42047)
Measurement Method: Proximal Isovelocity Surface Area
(DCM, 125216)
PISA(MS): Radius Dome Radius (99SIEMENSUS, CA_DOME) Direction of Flow: Antegrade Flow (SRT, R-42047)
Measurement Method: Proximal Isovelocity Surface Area
(DCM, 125216)

13.7 Pulmonic Valve

Label (Heading: Measurement) Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
PR: PR PGmax Peak Gradient (LN, 20247-3) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
PR: PR PGmean Mean Gradient (LN, 20256-4) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
PR: PR Ved End Diastolic Velocity (LN, 11653-3) Direction of Flow: Regurgitant Flow (SRT, R-42E61)

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DICOM Conformance Statement

Label (Heading: Measurement) Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
PR: PR Vmax Maximum Velocity (LN, 20351-3) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
PR: PR Vmean Mean Velocity (LN, 20352-1) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
PR: PR VTI Velocity Time Integral (LN, 20354-7) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
Pulmonary Valve: HR Heart Rate (LN, 8867-4)
Pulmonary Valve: PV PGmax Peak Gradient (LN, 20247-3) Direction of Flow: Antegrade Flow (SRT, R-42047)
Pulmonary Valve: PV PGmean Mean Gradient (LN, 20256-4) Direction of Flow: Antegrade Flow (SRT, R-42047)
Pulmonary Valve: PV Vmax Peak Systolic Velocity (LN, 11726-7) Direction of Flow: Antegrade Flow (SRT, R-42047)
Pulmonary Valve: PV Vmean Mean Velocity (LN, 20352-1) Direction of Flow: Antegrade Flow (SRT, R-42047)
Pulmonary Valve: RV Acc T/ET Ratio of Pulmonic Valve Acceleration Time to Ejection Time Direction of Flow: Antegrade Flow (SRT, R-42047)
(SRT, G-0388)
Pulmonary Valve: RV Acc Time Acceleration Time (LN, 20168-1) Direction of Flow: Antegrade Flow (SRT, R-42047)
Pulmonary Valve: RVET Pulmonic Valve Ejection Time (LN, 18042-2)
Tricuspid Valve: RVET
Pulmonary Valve: RVOT VTI Velocity Time Integral (LN, 20354-7) Direction of Flow: Antegrade Flow (SRT, R-42047)
Pulmonary Valve: RVPEP Right Ventricle Pre-Ejection Period (LN, 20301-8) Image Mode: M-Mode (SRT, G-0394)
Pulmonary Valve: RVSTI Pulmonic Valve Pre-ejection Period to Ejection Time Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
(99SIEMENSUS, CA_PV_PEP2ET)

13.8 Tricuspid Valve

Label (Heading: Measurement) Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
TR: TR PGmax Peak Gradient (LN, 20247-3) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
TR: TR PGmean Mean Gradient (LN, 20256-4) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
TR: TR Vmax Peak Systolic Velocity (LN, 11726-7) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
TR: TR Vmean Mean Velocity (LN, 20352-1) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
TR: TR VTI Velocity Time Integral (LN, 20354-7) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
Tricuspid Valve: E/A Tricuspid Valve E to A Ratio (LN, 18039-8) Direction of Flow: Antegrade Flow (SRT, R-42047)
Tricuspid Valve: TV A pt Tricuspid Valve A Wave Peak Velocity Direction of Flow: Antegrade Flow (SRT, R-42047)
(LN, 18030-7)
Tricuspid Valve: TV C-Odur Tricuspid Valve Closure to Opening Time
(SRT, G-0389)
Tricuspid Valve: TV E pt Tricuspid Valve E Wave Peak Velocity Direction of Flow: Antegrade Flow (SRT, R-42047)
(LN, 18031-5)

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Label (Heading: Measurement) Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
Tricuspid Valve: TV PGmax Peak Gradient (LN, 20247-3) Direction of Flow: Antegrade Flow (SRT, R-42047)
Tricuspid Valve: TV PGmean Mean Gradient (LN, 20256-4) Direction of Flow: Antegrade Flow (SRT, R-42047)
Tricuspid Valve: TV Vmax Maximum Velocity (LN, 20351-3) Direction of Flow: Antegrade Flow (SRT, R-42047)
Tricuspid Valve: TV Vmean Mean Velocity (LN, 20352-1) Direction of Flow: Antegrade Flow (SRT, R-42047)
Tricuspid Valve: TV VTI Velocity Time Integral (LN, 20354-7) Direction of Flow: Antegrade Flow (SRT, R-42047)

13.9 Aorta
Label (Heading: Measurement) Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
AV/LA(2D): AO Aortic Root Diameter (LN, 18015-8) Image Mode: 2D mode (SRT, G-03A2)
Cardiac Cycle Point: Systole (SRT, F-32020)
AV/LA(M): AO Aortic Root Diameter (LN, 18015-8) Image Mode: M-Mode (SRT, G-0394)
Cardiac Cycle Point: Systole (SRT, F-32020)

13.10 Pulmonary Artery

Label (Heading: Measurement) Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
PR: PAEDP Pulmonary Artery Pressure (SRT, F-0212C) Cardiac Cycle Point: End Diastole (SRT, F-32011)
Pulmonary Valve: PA Acc Time Acceleration Time (LN, 20168-1) Direction of Flow: Antegrade Flow (SRT, R-42047)

13.11 Pulmonary Venous Structure

Label (Heading: Measurement) Code Meaning Modifiers
(Coding Scheme Designator, Code Value)
Pulmonary Vein: PVa Dur Pulmonary Vein A-Wave Duration (SRT, G-038B)
Pulmonary Vein: PVa Vel Pulmonary Vein Atrial Contraction Reversal Peak Velocity Cardiac Cycle Point: Diastole (SRT, F-32010)
(LN, 29453-8)
Pulmonary Vein: PVd Decel T Deceleration Time (LN, 20217-6) Cardiac Cycle Point: Diastole (SRT, F-32010)
Pulmonary Vein: PVd Vel Pulmonary Vein Diastolic Peak Velocity (LN, 29451-2) Cardiac Cycle Point: Diastole (SRT, F-32010)
Pulmonary Vein: PVd VTI Pulmonary Vein D-Wave Velocity Time Integral (SRT, G-038D)
Pulmonary Vein: PVs VTI Pulmonary Vein S-Wave Velocity Time Integral (SRT, G-038C)
Pulmonary Vein: PVs1 Vel Pulmonary Vein Systolic Peak Velocity (LN, 29450-4) Topographical Modifier: Peak1 (99SIEME, Peak1)
Pulmonary Vein: PVs2/PVd Pulmonary Vein Systolic to Diastolic Ratio (LN, 29452-0)

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 ACUSON S2000TM Ultrasound System
DICOM Conformance Statement

Label (Heading: Measurement) Code Meaning Modifiers

(Coding Scheme Designator, Code Value)
Pulmonary Vein: PVs2 Vel Pulmonary Vein Systolic Peak Velocity (LN, 29450-4) Topographical Modifier: Peak2 (99SIEME, Peak2)
Pulmonary Vein: Sys Fraction Pulmonary Vein Systolic Fraction (99SIEMENSUS, CA_PVE_SF)

© Siemens Healthcare, 2009 Version VA16 Page 171 of 171