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Document DOC3075145

Revision 1

Senographe Pristina™ 9.x

and options: Senographe Pristina™ 3D, SenoBright™ HD, Pristina Serena™, Pristina
Serena™ 3D, Pristina SerenaBright™

DICOM CONFORMANCE STATEMENT

© 2024 by GE HealthCare
 Senographe Pristina 9.x
GE HealthCare DICOM CONFORMANCE STATEMENT
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1 Overview
Senographe Pristina is a digital mammography imaging system. It provides DICOM 3.0 support to receive scheduled procedures from RIS and
update status of procedures, to transfer and/or archive images to PACS or Review Workstation, to print images, and to export data on media.

This DICOM Conformance Statement documents capabilities of product(s) identified below:

Software Product version Product Name Software Full Version

9.x Senographe Pristina 9.x

Figure 1-1 Overview of Implemented Services

1.1 Content and Transfer

Table 1-1 lists all Storage SOP Classes and the supported transfer mechanisms as well as the usage scenarios for those instances.

The "Transfer Syntax Set" column lists the sets of Transfer Syntaxes defined in Table 1-2 that are applicable to each SOP Class. The "DIMSE",
"DICOM Web" and "Media Services" columns indicate the roles supported for each SOP Class.

The "Function" columns indicate how the instances are used by the system:

• Create: The system creates instances of the SOP Class. The type of the created SOP Class is indicated by one of the following abbreviations:

• S: Standard SOP Class

• SE: Standard Extended SOP Class

• SP: Specialized SOP Class

• P: Private SOP Class

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• Display: The system displays the instances of the SOP Class to the user, either by displaying the SOP Instances natively or by applying
instances of another suitable SOP Class to the image instances (e.g., a Presentation State or CAD SR).

• Process: The system processes the instances of the SOP Class to derive some further information that is made available to the user (e.g., a CAD
processing algorithm, or a 3D Rendering).

• Archive: The system stores the instances of the SOP Class and makes them available again.

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Table 1-1 Storage SOP Classes
SOP Classes Transfer Syntax Set DIMSE DICOM Web Media Services Function
SCU SCP UA OS FSC FSU FSR Create Display Process Archive
Media Storage Directory 1.2.840.10008.1.3.10 BD N N N N Y N Y S Y N N
Storage
Breast Tomosynthesis 1.2.840.10008.5.1.4.1.1.13.1.3 LL; L; U Y Y (*) N N Y N Y SE Y N N
Image Storage
CT Image Storage 1.2.840.10008.5.1.4.1.1.2 LL; U Y N N N N N N SE N N N
Digital Mammography X- 1.2.840.10008.5.1.4.1.1.1.2 U Y Y N N Y N Y SE Y N N
Ray Image Storage - For
Presentation
Digital Mammography X- 1.2.840.10008.5.1.4.1.1.1.2.1 U Y Y N N Y N Y SE Y N N
Ray Image Storage - For
Processing
Grayscale Softcopy 1.2.840.10008.5.1.4.1.1.11.1 NI Y Y N N Y N Y S Y N N
Presentation State
Storage
Secondary Capture Image 1.2.840.10008.5.1.4.1.1.7 U Y Y N N Y N Y N Y N N
Storage
X-Ray Radiation Dose SR 1.2.840.10008.5.1.4.1.1.88.67 NI Y Y N N Y N Y See Table 1-3
Storage
(*) As an SCP for Breast Tomosynthesis Image Storage, the system supports only the 3 uncompressed and the JPEG Lossless, Non-Hierarchical, First-Order Prediction (Process 14
[Selection Value 1]) transfer syntaxes.

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Table 1-2 Supported Transfer Syntaxes

Transfer Syntax Set Transfer Syntax Name Transfer Syntax UID DICOM Web Service Bulkdata Media
Type
Lossless Compressed Transfer JPEG Lossless, Non-Hierarchical, 1.2.840.10008.1.2.4.70 image/jpeg
Syntax Set (LL) First-Order Prediction (Process 14
[Selection Value 1])
JPEG-LS Lossless Image 1.2.840.10008.1.2.4.80 image/jls
Compression
JPEG 2000 Image Compression 1.2.840.10008.1.2.4.90 image/jp2
(Lossless Only)
Lossy Compressed Transfer JPEG Extended (Process 2 & 4) 1.2.840.10008.1.2.4.51 image/jpeg
Syntax Set (L)
Non-Image Transfer Syntax Set Implicit VR Little Endian 1.2.840.10008.1.2 N/A
(NI)
Explicit VR Little Endian 1.2.840.10008.1.2.1 application/octet-stream
Explicit VR Big Endian (Retired) 1.2.840.10008.1.2.2 N/A
Uncompressed Transfer Syntax Implicit VR Little Endian 1.2.840.10008.1.2 N/A
Set (U)
Explicit VR Little Endian 1.2.840.10008.1.2.1 application/octet-stream
Explicit VR Big Endian (Retired) 1.2.840.10008.1.2.2 N/A
Basic Directory Transfer Syntax Explicit VR Little Endian 1.2.840.10008.1.2.1 N/A
Set (DICOMDIR) (BD)

1.1.1 Structured Reporting Root Template IDs

Table 1-3 lists all Template IDs (TID) of Root Templates that are supported by the system. The "Function" column indicates how the system uses
the content of the DICOM SR:

• CREATE: The system creates instances using the specified TID.

• RENDER: The system displays the content of the SR, without using the data for any processing.

• EXTRACT_DATA: The system can extract structured data from the content and use the data for subsequent processing (e.g., reporting).

• OVERLAY: The system uses the information in the SR to display information directly on the images (e.g., Mammography CAD markers).

• ARCHIVE: The system stores instances for later retrieval.

The "SOP Class UID" column indicates which of the SR Storage SOP Classes are used to encode the information or to store it. If multiple SOP
Classes are supported the "Condition" column describes the conditions for using the different SOP Classes.

Table 1-3 Supported Root SR Template IDs (TIDs)

Name Root TID Function SOP Classes Condition
Projection X-Ray 10001 CREATE; X-Ray Radiation Dose 1.2.840.10008.5.1.4.1.1.88.67
Radiation Dose EXTRACT_DATA SR Storage

1.2 DIMSE Services

1.2.1 Verification
Table 1-4 lists support for the Verification SOP Class.

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Table 1-4 Verification SOP Class

SOP Classes Transfer Syntax SCU SCP
Verification 1.2.840.10008.1.1 Implicit VR Little Endian 1.2.840.10008.1.2 Y Y

1.2.2 Storage
For details on supported Storage SOP Classes see Section 1.1.

1.2.3 Workflow Management

Table 1-5 lists all supported Workflow Management SOP Classes.

Table 1-5 Workflow Management SOP Classes

SOP Classes Transfer Syntax SCU SCP
Modality Worklist 1.2.840.10008.5.1.4.31 Implicit VR Little Endian 1.2.840.10008.1.2 Y N
Information Model -
Explicit VR Little Endian 1.2.840.10008.1.2.1 Y N
FIND
Explicit VR Big Endian 1.2.840.10008.1.2.2 Y N
Modality Performed 1.2.840.10008.3.1.2.3.3 Implicit VR Little Endian 1.2.840.10008.1.2 Y N
Procedure Step SOP
Explicit VR Little Endian 1.2.840.10008.1.2.1 Y N
Class
Explicit VR Big Endian 1.2.840.10008.1.2.2 Y N
Storage 1.2.840.10008.1.20.1 Implicit VR Little Endian 1.2.840.10008.1.2 Y N
Commitment Push
Explicit VR Little Endian 1.2.840.10008.1.2.1 Y N
Model SOP Class
Explicit VR Big Endian 1.2.840.10008.1.2.2 Y N

1.2.4 Query/Retrieve
Table 1-6 lists all supported Query/Retrieve SOP Classes.

Table 1-6 Query/Retrieve SOP Classes

SOP Classes Transfer Syntax SCU SCP
Study Root Q/R - 1.2.840.10008.5.1.4.1.2.2.1 Implicit VR Little Endian 1.2.840.10008.1.2 Y N
Information Model -
Explicit VR Little Endian 1.2.840.10008.1.2.1 Y N
FIND
Explicit VR Big Endian 1.2.840.10008.1.2.2 Y N
Study Root Q/R - 1.2.840.10008.5.1.4.1.2.2.2 Implicit VR Little Endian 1.2.840.10008.1.2 Y N
Information Model -
Explicit VR Little Endian 1.2.840.10008.1.2.1 Y N
MOVE
Explicit VR Big Endian 1.2.840.10008.1.2.2 Y N

1.2.5 Printing
Table 1-7 lists all supported Printing SOP Classes.

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Table 1-7 Printing SOP Classes
SOP Classes Transfer Syntax SCU SCP
Basic Grayscale Print 1.2.840.10008.5.1.1.9 Implicit VR Little Endian 1.2.840.10008.1.2 Y N
Management Meta
Explicit VR Little Endian 1.2.840.10008.1.2.1 Y N
Explicit VR Big Endian 1.2.840.10008.1.2.2 Y N
Basic Film Session 1.2.840.10008.5.1.1.1 Implicit VR Little Endian 1.2.840.10008.1.2 Y N
Explicit VR Little Endian 1.2.840.10008.1.2.1 Y N
Explicit VR Big Endian 1.2.840.10008.1.2.2 Y N
Basic Film Box 1.2.840.10008.5.1.1.2 Implicit VR Little Endian 1.2.840.10008.1.2 Y N
Explicit VR Little Endian 1.2.840.10008.1.2.1 Y N
Explicit VR Big Endian 1.2.840.10008.1.2.2 Y N
Basic Grayscale 1.2.840.10008.5.1.1.4 Implicit VR Little Endian 1.2.840.10008.1.2 Y N
Image Box
Explicit VR Little Endian 1.2.840.10008.1.2.1 Y N
Explicit VR Big Endian 1.2.840.10008.1.2.2 Y N
Printer 1.2.840.10008.5.1.1.16 Implicit VR Little Endian 1.2.840.10008.1.2 Y N
Explicit VR Little Endian 1.2.840.10008.1.2.1 Y N
Explicit VR Big Endian 1.2.840.10008.1.2.2 Y N

1.3 DICOM Web Services - N/A

N/A

1.4 Media Services

Table 1-8 lists all supported Media Application Profiles.

Table 1-8 Supported Media Application Profiles

Media Storage Application Profile Write Files (FSC) Read Files (FSR) Update Files (FSU)
Compact Disk - Recordable
STD-GEN-CD Y Y N
DVD
STD-GEN-DVD-JPEG Y Y N
USB
STD-GEN-USB-JPEG Y Y N

1.5 Real-Time Video Service - N/A

N/A

1.6 De-identification Profiles - N/A

N/A

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1.7 Specific Character Sets

Table 1-9 Supported Specific Character Sets
Defined Term IANA Description
Single-Byte Character Sets without Code Extensions
ISO_IR 6 ISO-646 Default Repertoire (ASCII)
ISO_IR 100 ISO-8859-1 Latin Alphabet No.1 (Western Europe)

2 Table of Contents
Contents
1 Overview ..................................................................................................................................................................................... 2
1.1 Content and Transfer ............................................................................................................................................. 2
1.1.1 Structured Reporting Root Template IDs ........................................................................................................... 5
1.2 DIMSE Services........................................................................................................................................................ 5
1.2.1 Verification ........................................................................................................................................................... 5
1.2.2 Storage................................................................................................................................................................. 6
1.2.3 Workflow Management ....................................................................................................................................... 6
1.2.4 Query/Retrieve..................................................................................................................................................... 6
1.2.5 Printing ................................................................................................................................................................ 6
1.3 DICOM Web Services - N/A ...................................................................................................................................... 7
1.4 Media Services ........................................................................................................................................................ 7
1.5 Real-Time Video Service - N/A ................................................................................................................................ 7
1.6 De-identification Profiles - N/A ............................................................................................................................... 7
1.7 Specific Character Sets ........................................................................................................................................... 8
2 Table of Contents ....................................................................................................................................................................... 8
3 Introduction ............................................................................................................................................................................. 11
3.1 Audience ............................................................................................................................................................... 11
3.2 Remarks ................................................................................................................................................................ 11
3.3 Trademarks ........................................................................................................................................................... 12
3.4 Omissions and Errors............................................................................................................................................ 12
3.5 Copyrights............................................................................................................................................................. 12
3.6 Terms and Definitions .......................................................................................................................................... 12
3.7 Abbreviations........................................................................................................................................................ 14
3.8 References ............................................................................................................................................................ 16
4 Implementation Model............................................................................................................................................................. 17
4.1 Application Entities and Data Flow ...................................................................................................................... 17
4.1.1 Functional Definition of DICOM Service Application Entity .............................................................................. 18
4.1.2 Functional Definition of Media Interchange Application Entity ....................................................................... 19
5 Service and Interoperability Description ................................................................................................................................. 19
5.1 Mapping of Services to Application Entities ........................................................................................................ 19
5.2 DIMSE Services...................................................................................................................................................... 19

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5.2.1 Basic Worklist Management Service ................................................................................................................. 19
5.2.2 Modality Performed Procedure Step Service .................................................................................................... 27
5.2.3 Unified Worklist and Procedure Step Service - N/A .......................................................................................... 31
5.2.4 Instance Availability Notification Service - N/A ................................................................................................ 31
5.2.5 Storage Service .................................................................................................................................................. 31
5.2.6 Storage Commitment Service ........................................................................................................................... 32
5.2.7 Query/Retrieve Service Class ............................................................................................................................ 34
5.2.8 Print Management Service ................................................................................................................................ 37
5.3 DICOM Web Services - N/A .................................................................................................................................... 41
5.4 Media Services ...................................................................................................................................................... 41
5.4.1 File Set Creator (FSC) ......................................................................................................................................... 41
5.4.2 File Set Reader (FSR) ......................................................................................................................................... 41
5.4.3 File Set Updater (FSU) - N/A .............................................................................................................................. 41
5.5 Real-Time Video Services - N/A ............................................................................................................................ 41
5.6 Cross Service Considerations – N/A ..................................................................................................................... 41
5.7 Specific Character Sets ......................................................................................................................................... 41
6 Configuration ........................................................................................................................................................................... 42
6.1 General Configuration Parameters ...................................................................................................................... 42
6.2 Configuration of DIMSE Services .......................................................................................................................... 43
6.2.1 Basic Worklist Management Service Configuration .......................................................................................... 43
6.2.2 Modality Performed Procedure Step Service Configuration ............................................................................ 43
6.2.3 Unified Worklist and Procedure Step Service Configuration - N/A .................................................................. 44
6.2.4 Instance Availability Notification Service Configuration - N/A ......................................................................... 44
6.2.5 Storage Service Configuration .......................................................................................................................... 44
6.2.6 Storage Commitment Service Configuration ................................................................................................... 45
6.2.7 Query/Retrieve Service Configuration .............................................................................................................. 46
6.2.8 Print Management Service Configuration......................................................................................................... 46
6.3 Configuration of DICOM Web Services - N/A ........................................................................................................ 47
6.4 Configuration of Media Storage Service .............................................................................................................. 47
6.5 Configuration of Real-Time Video Service - N/A .................................................................................................. 47
6.6 Configuration of Audit Trail - Syslog .................................................................................................................... 47
7 Network and Media Communication Details ........................................................................................................................... 48
7.1 General .................................................................................................................................................................. 48
7.1.1 General Association Parameters ....................................................................................................................... 48
7.2 Specifications ....................................................................................................................................................... 48
7.2.1 DICOM Service Application Entity ..................................................................................................................... 48
7.3 Status Codes ......................................................................................................................................................... 58
7.3.1 General AE Communication and Failure Behavior and Handling .................................................................... 58
7.3.2 DIMSE Services .................................................................................................................................................. 59
7.3.3 DICOM Web Services - N/A ................................................................................................................................. 72
8 Security ..................................................................................................................................................................................... 73
8.1 Introduction .......................................................................................................................................................... 73
8.2 External Network Requirements .......................................................................................................................... 73
8.3 TCP Port Configuration ........................................................................................................................................ 73
8.4 DICOM Security Profiles Support ......................................................................................................................... 73
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8.4.1 Secure Use and User Identity Profiles ............................................................................................................... 73
8.4.2 Secure Transport Connection Profiles .............................................................................................................. 74
8.4.3 Media Storage Security Profiles ........................................................................................................................ 74
8.4.4 Attribute Confidentiality Profiles - N/A ............................................................................................................. 74
8.4.5 Digital Signature Profiles – N/A ......................................................................................................................... 74
8.4.6 Additional DICOM Security Profiles – N/A ......................................................................................................... 74
8.5 User Identity Negotiation Support – N/A ............................................................................................................. 74
8.6 Web Services Security Features – N/A .................................................................................................................. 75
8.7 Other Security Features ........................................................................................................................................ 75
8.7.1 Media Storage Security – N/A ............................................................................................................................ 75
8.7.2 Network Security – N/A ..................................................................................................................................... 75
8.7.3 Other Security Features – N/A ........................................................................................................................... 75
A Information Object Definitions (IODs) ..................................................................................................................................... 76
A.1 Information Shared Across Multiple IODs ............................................................................................................ 77
A.1.1 Common Modules ............................................................................................................................................. 77
A.1.2 Common Functional Group Macros - N/A ......................................................................................................... 86
A.1.3 Common Private Modules – N/A ....................................................................................................................... 86
A.1.4 Coded Values ..................................................................................................................................................... 86
A.2 Breast Tomosynthesis Image IOD ........................................................................................................................ 87
A.2.1 Breast Tomosynthesis Image IOD Specific Modules ......................................................................................... 89
A.2.2 Breast Tomosynthesis Image IOD Specific Functional Group Macros ............................................................. 97
A.2.3 Breast Tomosynthesis Image IOD Specific Private Modules .......................................................................... 101
A.2.4 Breast Tomosynthesis Image IOD Specific Values and Code Sets ................................................................. 105
A.3 CT Image IOD ...................................................................................................................................................... 105
A.3.1 CT Image IOD Specific Modules ....................................................................................................................... 106
A.3.2 CT Image IOD Specific Functional Group Macros – N/A .................................................................................. 108
A.3.3 CT Image IOD Specific Private Modules .......................................................................................................... 108
A.3.4 CT Image IOD Specific Values and Code Sets – N/A ........................................................................................ 110
A.4 Digital Mammography X-Ray Image IOD ............................................................................................................ 110
A.4.1 Digital Mammography X-Ray Image IOD Specific Modules ............................................................................ 112
A.4.2 Digital Mammography X-Ray Image IOD Specific Functional Group Macros – N/A ....................................... 121
A.4.3 Digital Mammography X-Ray Image IOD Specific Private Modules ................................................................ 122
A.4.4 Digital Mammography X-Ray Image IOD Specific Values and Code Sets ....................................................... 126
A.5 Grayscale Softcopy Presentation State IOD....................................................................................................... 127
A.5.1 Grayscale Softcopy Presentation State IOD Specific Modules ....................................................................... 128
A.5.2 Grayscale Softcopy Presentation State IOD Specific Functional Group Macros – N/A .................................. 131
A.5.3 Grayscale Softcopy Presentation State IOD Specific Private Modules – N/A ................................................. 131
A.5.4 Grayscale Softcopy Presentation State IOD Specific Values and Code Sets – N/A ........................................ 131
A.6 X-Ray Radiation Dose SR IOD ............................................................................................................................. 132
A.6.1 X-Ray Radiation Dose SR IOD Specific Modules .............................................................................................. 132
A.6.2 X-Ray Radiation Dose SR IOD Specific Functional Group Macros – N/A ......................................................... 135
A.6.3 X-Ray Radiation Dose SR IOD Specific Private Modules – N/A ........................................................................ 135
A.6.4 X-Ray Radiation Dose SR IOD Specific Values and Code Sets – N/A ............................................................... 135
A.7 Basic Directory IOD ............................................................................................................................................. 135
B Structured Report Content Encoding .................................................................................................................................... 140
B.1 Projection X-Ray Radiation Dose (TID 10001) .................................................................................................... 140
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B.1.1 Code Sets ......................................................................................................................................................... 145
B.1.2 Measurement Encoding – N/A ......................................................................................................................... 146
C Security Details....................................................................................................................................................................... 147
C.1 External Network Requirement Details ............................................................................................................. 147
C.1.1 Basic Time Synchronization ............................................................................................................................ 147
C.1.2 Basic Network Address Management ............................................................................................................. 147
C.1.3 Application Configuration Management......................................................................................................... 147
C.1.4 DNS Service Discovery – N/A ........................................................................................................................... 147
C.2 DICOM Security Profile Details ........................................................................................................................... 147
C.2.1 Online Electronic Storage Secure Use – N/A ................................................................................................... 147
C.2.2 Audit Trail Messages ........................................................................................................................................ 147
C.2.3 Audit Trail Message Transmission Profile - SYSLOG - TLS .............................................................................. 158
C.2.4 Audit Trail Message Transmission Profile - SYSLOG - UDP ............................................................................. 159
C.2.5 Secure Transport Connection Details – N/A ................................................................................................... 159
C.2.6 Attribute Confidentiality Details - N/A ............................................................................................................ 159
C.2.7 Digital Signature Details – N/A ........................................................................................................................ 159
C.2.8 Additional DICOM Security Profile Details – N/A ............................................................................................. 159
D Mapping of Attributes............................................................................................................................................................. 159
D.1 Mapping Between Modality Worklist Instances and MPPS ............................................................................... 159
E Code Set Usage....................................................................................................................................................................... 161

3 Introduction
3.1 Audience
This document is intended for the audience listed below. It is assumed that the reader has a working knowledge of the DICOM Standard.

The document structure was designed for easier access to relevant information for different user groups:

• Clinical Users, who want to get an overview of the implemented interoperability features of the system can see Section 4 Implementation
Model.

• Personnel involved in Sales can use the information in Section 1 to assess the compatibility between different systems involved in a sales
situation.

• System Integrators can use information in Section 6 during system installation and also information from Section 5 Service and
Interoperability Description for details regarding the implemented services.

• Field Service Engineers can use the details from Section 5 Service and Interoperability Description and from Section 7 Network and Media
Communication Details for troubleshooting.

• Hospital IT staff focusing on security can use the details provided in Section 8 Security regarding implemented Security features.

• Research Personnel may be interested in using information provided in Annex A Information Object Definitions (IODs) or Annex B Structured
Report Content Encoding to get detailed imaging and measurement information.

3.2 Remarks
The scope of this DICOM Conformance Statement is to facilitate integration between Senographe Pristina and other DICOM products. The
Conformance Statement should be read and understood in conjunction with the DICOM Standard [1] . DICOM by itself does not guarantee
interoperability.
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• The Conformance Statement does, however, facilitate a first-level comparison for interoperability between different applications supporting
compatible DICOM functionality.

• This Conformance Statement should not replace validation with other DICOM equipment to ensure proper exchange of intended information.
In fact, it is the user's responsibility to perform the following validation activities:

• The comparison of Conformance Statements from Senographe Pristina and other DICOM conformant equipment is the first step towards
assessing interconnectivity and interoperability between those systems.

• Test procedures should be defined and executed to validate the required level of interoperability with specific DICOM conformant
equipment, as established by the healthcare facility.

Senographe Pristina has participated in an industry-wide testing program sponsored by Integrating the Healthcare Enterprise (IHE). The IHE
Integration Statement of Senographe Pristina together with the IHE Technical Framework may facilitate the process of validation testing.

3.3 Trademarks
All products and their name brands are trademarks of their respective holders.

3.4 Omissions and Errors

Customers, please contact your GE HealthCare Sales or Service representatives.

GE HealthCare personnel, please use the GE HealthCare PQR Process to report all omissions, errors, and defects in this publication.

3.5 Copyrights
GE is a trademark of General Electric Company used under trademark license.

3.6 Terms and Definitions

The following list includes DICOM Terms, that are used throughout this Conformance Statement:

Abstract Syntax The information agreed to be exchanged between applications, generally equivalent to a
Service/Object Pair (SOP) Class. Examples: Verification SOP Class, Modality Worklist
Information Model Find SOP Class, Computed Radiography Image Storage SOP Class.

Application Entity (AE) A representation of the external behavior of an application process in terms of DICOM
Network Services, Web Services and/or media exchange capabilities implemented in one or
more roles. A single device may have multiple Application Entities.

Application Entity Title (AET) The externally known name of an Application Entity, used to identify a DICOM application to
other DICOM applications on the network.

Application Context The specification of the type of communication used between Application Entities. Example:
DICOM network protocol.

Association A network communication channel set up between Application Entities.

Attribute A unit of information in an Information Object Definition; a Data Element identified by a tag.
The information may be a complex data structure (Sequence), itself composed of lower-level
data elements. Examples: Patient ID (0010,0020), Accession Number (0008,0050),
Photometric Interpretation (0028,0004), Procedure Code Sequence (0008,1032).

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Data Element A unit of information as defined by a single entry in the data dictionary. An encoded
Information Object Definition (IOD) Attribute that is composed of, at a minimum, three fields:
a Data Element Tag, a Value Length, and a Value Field. For some specific Transfer Syntaxes, a
Data Element also contains a VR Field where the Value Representation of that Data Element is
specified explicitly

Information Object Definition (IOD) The specified set of Attributes that comprise a type of data object; does not represent a
specific instance of the data object, but rather a class of similar data objects that have the
same properties. Examples: MR Image IOD, CT Image IOD, Print Job IOD. The Attributes within
an IOD may be specified as Mandatory (Type 1), Required but possibly unknown (Type 2), or
Optional (Type 3), and there may be conditions associated with the use of an Attribute (Types
1C and 2C).

Media Application Profile The specification of DICOM information objects and encoding exchanged on removable
media (e.g., CDs).

Module A set of Attributes within an Information Object Definition that are logically related to each
other. Example: Patient Module includes Patient's Name, Patient ID, Patient' Birth Date, and
Patient's Sex.

Negotiation First phase of Association establishment that allows Application Entities to agree on the types
of data to be exchanged and how that data will be encoded.

Origin Server Refers to the program that can originate authoritative responses to HTTP requests for a given
Target Resource. The term "server" refers to any implementation that receives a web service
request message from a user agent.

Presentation Context The set of DICOM Network Services used over an Association, as negotiated between
Application Entities; includes Abstract Syntaxes and Transfer Syntaxes.

Private SOP Class A SOP Class that is not defined in the DICOM Standard but is published in an
implementation's Conformance Statement.

Protocol Data Unit (PDU) A packet (piece) of a DICOM message sent across the network. Devices must specify the
maximum size packet they can receive for DICOM messages.

Security Profile A set of mechanisms, such as encryption, user authentication, or digital signatures, used by
an Application Entity to ensure confidentiality, integrity, and/or availability of exchanged
DICOM data.

Service Class Provider (SCP) Role of an Application Entity that provides a DICOM network service; typically, a server that
performs operations requested by another Application Entity (Service Class User). Examples:
Picture Archiving and Communication System (image storage SCP, and image query/retrieve
SCP), Radiology Information System (modality worklist SCP).

Service Class User (SCU) Role of an Application Entity that uses a DICOM Network Service; typically, a client. Examples:
imaging modality (image storage SCU, and modality worklist SCU), imaging workstation
(image query/retrieve SCU).

Service/Object Pair Class (SOP Class) The specification of the network or media transfer (service) of a particular type of data
(object) ; the fundamental unit of a DICOM interoperability specification. Examples:
Ultrasound Image Storage Service, Basic Grayscale Print Management.

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Service/Object Pair Instance (SOP Instance) An information object; a specific occurrence of information exchanged in a SOP Class. E.g., a
specific X-ray image.

Specialized SOP Class A SOP Class that is derived from the Standard that is specialized by additional type 1, 1C, 2,
2C, or 3 Attributes, by enumeration of specific permitted Values for Attributes, or by
enumeration of specific permitted Templates. The additional Attributes may either be drawn
from the Data Dictionary in PS3.6 or may be Private Attributes.

Standard SOP Class A SOP Class defined in the Standard, and that is implemented and used without any
modifications.

Standard Extended SOP Class A SOP Class that is defined in the standard, and that is extended by additional type 3
Attributes. The additional Attributes may either be drawn from the DICOM Data Dictionary in
PS3.6 or may be Private Attributes.

Tag A 32-bit identifier for a Data Element, represented as a pair of four-digit hexadecimal
numbers, the "group" and the "element". If the "group" number is odd, the tag is for a private
(manufacturer-specific) data element. Examples: (0010,0020) [Patient ID], (07FE,0010) [Pixel
Data], (0019,0210) [private data element].

Transfer Syntax The encoding used for exchange of DICOM information objects and messages. Examples:
JPEG compressed (images), Little Endian Explicit Value Representation.

TLS-Secured Port TCP port on which an implementation accepts TLS connections to exchange DICOM
information.

Unique Identifier (UID) A globally unique "dotted decimal" string that identifies a specific object or a class of objects;
an ISO-8824 Object Identifier. Examples: Study Instance UID, SOP Class UID, SOP Instance
UID.

User Agent A client in a network protocol used in communications within a client-server distributed
computing system. In particular, the Hypertext Transfer Protocol (HTTP) identifies the client
software originating the request, using a user-agent header, even when the client is not
operated by a user.

Value Representation (VR) The format type of an individual DICOM data element, such as text, an integer, a person's
name, or a code. DICOM information objects can be transmitted with either explicit
identification of the type of each data element (Explicit VR), or without explicit identification
(Implicit VR) ; with Implicit VR, the receiving application must use a DICOM data dictionary to
look up the format of each data element.

The following list includes product specific definitions used throughout this Conformance Statement:

CESM Contrast Enhanced Spectral Mammography

DBT Digital Breast Tomosynthesis

3.7 Abbreviations
Abbreviations that are used in this DICOM Conformance Statement are listed here.

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AE Application Entity

AET Application Entity Title

CAD Computer Aided Detection

CDA Clinical Document Architecture

CID Context Identifier

DCS DICOM Conformance Statement

DHCP Dynamic Host Configuration Protocol

DICOM Digital Imaging and Communications in Medicine

ELE Explicit VR Little Endian

FSC File-Set Creator

FSU File-Set Updater

FSR File-Set Reader

IANA Internet Assigned Numbers Authority

IHE Integrating the Healthcare Enterprise

ILE Implicit VR Little Endian

IOD Information Object Definition

IPv4 Internet Protocol version 4

IPv6 Internet Protocol version 6

ISO International Organization for Standardization

MPPS Modality Performed Procedure Step

MWL Modality Worklist

NEMA National Electrical Manufacturers Association

NTP Network Time Protocol

OID Object Identifier

OS Origin Server

PDU Protocol Data Unit

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PHI Protected Health Information

PPS Performed Procedure Step

QIDO-RS Query based on ID for DICOM Objects by RESTful Services

RTV Real-Time Video

SCP Service Class Provider

SCU Service Class User

SDP Service Description Protocol

SOP Service-Object Pair

SPS Scheduled Procedure Step

SR Structured Reporting

STOW-RS STore Over the Web by RESTful Services

TCP/IP Transmission Control Protocol/Internet Protocol

TID Template Identifier

UA User Agent

UI User Interface

UID Unique Identifier

UL Upper Layer

UPS Unified Procedure Step

UPS-RS Unified Procedure Step by RESTful Services

VR Value Representation

WADO-RS Web Access to DICOM Objects by RESTful Services

WADO-URI Web Access to DICOM Objects by URI

3.8 References
[1] National Electrical Manufacturers Association (NEMA), Rosslyn, VA USA. PS3 / ISO 12052 Digital Imaging and Communications in Medicine
(DICOM) Standard. http://www.dicomstandard.org .

[2] Integrating the Healthcare Enterprise (IHE). IHE Radiology Technical Framework.
http://www.ihe.net/Resources/technical_frameworks/#radiology .

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4 Implementation Model
This DICOM Conformance Statement covers all versions 9.x of Senographe Pristina, including its options Senographe Pristina 3D, SenoBright HD,
Pristina Serena, Pristina Serena 3D, and Pristina SerenaBright.

4.1 Application Entities and Data Flow

The network and media interchange application model for the Senographe Pristina is shown in Figure 4-1 Senographe Pristina Application Data
Flow Diagram.

Figure 4-1 Senographe Pristina Application Data Flow Diagram

This section describes the organization of the supported Services into Application Entities based on the default configuration of the system. This
may change based on the actual setup at the customer site. See Section 6 for details about the configurability of Services into AEs.

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4.1.1 Functional Definition of DICOM Service Application Entity

The DICOM Service AE is invoked by the following Real-World Activities:

• Modality Worklist Query

The user or the system initiates a modality worklist query to the modality worklist SCP with a given set of query parameters. The worklist
query can be manual or automatic. The modality worklist SCP returns responses matching the query parameters. Worklist items from the
returned worklist query responses are presented to the user. The user then chooses the desired worklist item and begins the image
acquisition process.

• Send Modality Performed Procedure Step Notification

When the user begins the image acquisition process and generates the first image, the DICOM Service AE sends a N-CREATE message to the
configured MPPS SCP to indicate that the image acquisition process has been started for the requested procedure.

The user can close the acquisition session either by completing the acquisition process or discontinuing the ongoing procedure. On closing
the acquisition session, the DICOM Service AE sends N-SET message to the configured MPPS SCP to indicate the acquisition state of the
requested procedure, with appropriate MPPS status (COMPLETED or DISCONTINUED).

• Push Images

For this operation, the user selects some studies, series or images on the browser and then sends the selected studies, series, or images to
one or several remote DICOM AE. The transfer activity is displayed on a specific icon. The declaration of remote DICOM AE is done through a
configuration tool.
Push of images can also be automatic. This can be configured in Image preference.

• Archive Images

For this operation, the user selects some studies, series or images on the browser and sends them to the wanted remote DICOM AE. This
initiates the DICOM push of the selected exam/series/images to the remote AE. After the successful storage of the selected
exam/series/images on the remote AE, a storage commitment request is sent to the remote DICOM AE. The transfer/storage commit activity
is displayed in the job management queue.

The declaration of remote DICOM AE with archiving support is done through the configuration tool.

Push of images can also be automatic. This can be configured in Image preference. After every successful storage of the automatic pushed
exam/series/images to the remote AE, a storage commitment request is sent to the remote DICOM AE, and the storage commit activity is
displayed in the job management queue.

The DICOM Service AE is indefinitely listening for association requests and no user action is required to receive the Storage Commitment
notification (N-EVENT-REPORT) from the remote AE.

• Query / Retrieve

For this operation, the user queries one or a set of remote DICOM databases to obtain a list of data at Study/Series/Image level by clicking
on the icon that represents the wanted remote DICOM AE.

Once the remote browser has displayed query results, the user can retrieve the study/series/images from the remote DICOM AE.

• Receive Images

When remote DICOM hosts sends DICOM images to DICOM Service AE, images are stored in the local database, the browser displays the
content of the local database.
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• Print

The Film composer allows the user to select printers. Direct print from the viewer is also supported. When user presses the "Print" Button,
the DICOM Service AE tries to establish the association with requested printer and sends the images for printing. It is possible to set the print
in an automatic mode. DBT volume cannot be printed.

• Verify Connectivity

The user can choose to verify a remote Application Entity. Upon user’s request, DICOM Service AE sends out a verification request to a
Remote AE.

The DICOM Service AE also acts as an SCP for incoming Verification requests. No user action is required to process Verification requests from
Remote AEs.

4.1.2 Functional Definition of Media Interchange Application Entity

The DICOM Media Interchange AE supports the following functions:

• Generate and write a DICOM File Set (FSC) in a one-shot activity. (SAVE).
• Read a DICOM File Set (FSR) on an Interchange Media (QUERY).
• It can copy SOP instances from the media onto local storage. (RESTORE).

5 Service and Interoperability Description

5.1 Mapping of Services to Application Entities
Table 5-1 provides an overview of the Application Entities and the Services supported by each AE.

Table 5-1 Service to AE Mapping

Application Entity Supported Services Role
DIMSE DICOM Web DICOM Media Real-Time Video
SCU SCP Origin Server User Agent FSC FSU FSR SCU SCP
DICOM Service AE Basic Worklist Management Y N N N N N N N N
MPPS Y N N N N N N N N
Storage Y Y N N N N N N N
Storage Commitment Y N N N N N N N N
Query/Retrieve Y N N N N N N N N
Print Management Y N N N N N N N N
Media Interchange AE Media Storage N N N N Y N Y N N

5.2 DIMSE Services

5.2.1 Basic Worklist Management Service
5.2.1.1 SCU of the Modality Worklist Information Model - FIND SOP Class

As a Service Class User of the Modality Worklist Information Model - FIND SOP Class, the Senographe Pristina uses the C-FIND-RQ message to
query the SCP. It supports the Query Keys listed in Table 5-2.

In the "Matching Type" column, the following Values can be used:

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• SINGLE_VALUE: SCU can request single Value matching on this Attribute.

• UID: SCU can request List of UID matching on this Attribute.

• WILDCARD: SCU can request Wildcard matching on this Attribute.

• RANGE: SCU can request Range matching on this Attribute.

• SEQUENCE: SCU can request sequence matching on this Attribute.

• UNIVERSAL: SCU can request that the Attribute be a return Value (universal matching).

In the "Query Value Source" column, the following Values can be used:

• FIXED: The query Value cannot be modified by the user or by configuration.

• GENERATED: The query Value is generated by the system (e.g., current date as the study date).

• CONFIGURATION: The query Value is dependent on system configuration.

• USER: The query Value is entered by the user.

• SCANNED: The query Value is read from a barcode scanner or similar device.

• EMPTY: The query Value is sent with a zero-length Value to indicate it is a return key only.

In the "Display on UI" column the following Values can be used:

• D: the return Value is displayed on the main UI by default.

• C: the return Value is displayed on the main UI if configured.

• N: the return Value is never displayed.

Table 5-2 Supported C-FIND Query Parameters for Modality Worklist - SCU
Attribute Name Tag Matching Type Query Value Value Display Comments
Source on UI
Scheduled Procedure Step
Scheduled Procedure Step (0040,0100) SEQUENCE FIXED N
Sequence
>Scheduled Station AE Title (0040,0001) SINGLE_VALUE; USER; N Matching is supported as follows:
UNIVERSAL EMPTY 1. Worklist AET is supplied for matching (Single
value matching).
2. No AE title is supplied (universal matching),
In case of universal matching, if attribute is absent
or empty in response, the SPS is accepted
>Scheduled Procedure Step (0040,0002) UNIVERSAL; EMPTY; D Matching is supported as one of the following:
Start date SINGLE_VALUE; USER 1. No date is supplied (universal matching).
RANGE 2. One date is supplied for matching (Single value
matching).
3. A start date and an end date are supplied for
matching (Range of date matching).

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Attribute Name Tag Matching Type Query Value Value Display Comments
Source on UI
>Scheduled Procedure Step (0040,0003) UNIVERSAL EMPTY D Requested in the MWL queries with zero-length
Start Time value.
If attribute is absent or empty in answer, the SPS
is accepted.
If value is outside of a valid range, the value will
be set to zero length
>Modality (0008,0060) UNIVERSAL; EMPTY; MG N Matching is supported as follows:
SINGLE_VALUE FIXED 1. No modality is supplied (universal matching).
2. Single Value MG is supplied for matching (Single
value matching).
If attribute is absent or empty in answer, the SPS
is accepted.
>Scheduled Performing (0040,0006) UNIVERSAL EMPTY D If value does not meet DICOM encoding
Physician's Name requirements, it will be corrected before usage.
Value is copied into image in attribute Performing
Physician’s Name (0008,1050).
If element is absent or empty in response, the SPS
is accepted, and attribute is not copied into image
(except if edited by the user beforehand).
>Scheduled Procedure Step (0040,0007) UNIVERSAL EMPTY N If value does not meet DICOM encoding
Description requirements, it will be corrected before usage.
If element is absent or empty in answer, the SPS is
accepted, and attribute value is not copied into
images.
Attribute is copied into images into Request
Attribute Sequence (0040,0275).
If Requested Procedure Description (0032,1060)
and Requested Procedure Code Seq. (0032,1064)
code meaning tag values are absent or empty, the
value is also copied to Study description
(0008,1030) in images.
>Scheduled Protocol Code (0040,0008) SEQUENCE FIXED N Sequence is copied into images within sequence
Sequence Request Attribute Sequence (0040,0275)

If the sequence is absent or empty in answer, the

SPS is accepted, and attribute is not copied into
images.

If sequence is present but incomplete in answer

(missing a mandatory attribute) the SPS is
accepted, and correction will be applied for image
correctness.
>>Code Value (0008,0100) UNIVERSAL EMPTY N If answer is received with absent or empty code
value in code sequence, the SPS is accepted.
Sequence will be corrected at image creation.
>>Coding Scheme Designator (0008,0102) UNIVERSAL EMPTY N If answer is received with absent or empty code
value in code sequence, the SPS is accepted.
Sequence will be corrected at image creation.

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Attribute Name Tag Matching Type Query Value Value Display Comments
Source on UI
>>Coding Scheme Version (0008,0103) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
>>Code Meaning (0008,0104) UNIVERSAL EMPTY N If answer is received with absent or empty code
value in code sequence, the SPS is accepted.
Sequence will be corrected at image creation.
>Pre-Medication (0040,0012) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
>Scheduled Procedure Step (0040,0009) UNIVERSAL EMPTY N If value does not meet DICOM encoding
ID requirements, SPS is accepted, and value will be
corrected before usage.

If absent or empty in answer, replaced by

Requested Procedure ID (0040,1001) value before
usage. If it is also absent or empty, replaced by
value # before usage.

Copied to images in Request Attribute Sequence

(0040,0275).
>Requested Contrast Agent (0032,1070) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
>Scheduled Procedure Step (0040,0020) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Status
Requested Procedure
Requested Procedure ID (0040,1001) UNIVERSAL; EMPTY; D Matching is supported as follows:
SINGLE_VALUE USER 1. No value is supplied (universal matching).
2. ID value is supplied for matching (Single value
matching).

If absent or empty in answer, the SPS is accepted,

and value is replaced by #.
If value does not meet DICOM encoding
requirements, it will be corrected before usage.

Attribute is copied into image in Request Attribute

Sequence (0040,0275) and its value is copied into
Study ID (0020,0010).
Requested Procedure (0032,1060) UNIVERSAL EMPTY D If value does not meet DICOM encoding
Description requirements, it will be corrected before usage.
If absent or empty in answer, the SPS is accepted,
and other values might be used for copy to image.

Attribute is copied to image within Request

Attribute Sequence (0040,0275) and its value is
copied into Study Description (0008,1030).

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Attribute Name Tag Matching Type Query Value Value Display Comments
Source on UI
Requested Procedure Code (0032,1064) UNIVERSAL EMPTY N If sequence is absent or empty in answer, the SPS
Sequence is accepted, and sequence not copied to image.

If sequence is present but incomplete in answer

(missing a mandatory attribute), the SPS is
accepted, and correction will be applied for image
correctness.

Sequence content is copied in images in

Procedure Code Sequence (0008,1032).
>Code Value (0008,0100) UNIVERSAL EMPTY N If answer is received with absent or empty code
value in code sequence, the SPS is accepted.
Sequence will be corrected at image creation.
>Coding Scheme Designator (0008,0102) UNIVERSAL EMPTY N If answer is received with absent or empty coding
scheme designator in code sequence, the SPS is
accepted. Sequence will be corrected at image
creation.
>Coding Scheme Version (0008,0103) UNIVERSAL EMPTY N If answer is received with absent or empty coding
scheme version in code sequence, the SPS is
accepted.
>Code Meaning (0008,0104) UNIVERSAL EMPTY N If answer is received with absent or empty code
meaning in code sequence, the SPS is accepted.
Sequence will be corrected at image creation.
Study Instance UID (0020,000D) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted, and
value is autogenerated.
If value does not meet DICOM encoding
requirements, it will be corrected before usage.
Study Date (0008,0020) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Study Time (0008,0030) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Referenced Study Sequence (0008,1110) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted, and
sequence is not copied to images.

If sequence is incomplete (missing a mandatory

attribute), the SPS is accepted, and sequence is
not copied into images.
>Referenced SOP Class UID (0008,1150) UNIVERSAL EMPTY N If value does not meet DICOM encoding
requirements, it will be corrected before usage.

If absent or empty in sequence, SPS is accepted,

and the sequence is not copied into images.
>Referenced SOP Instance (0008,1155) UNIVERSAL EMPTY N If value does not meet DICOM encoding
UID requirements, it will be corrected before usage.

If absent or empty in sequence, SPS is accepted,

and the sequence is not copied into images.

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Attribute Name Tag Matching Type Query Value Value Display Comments
Source on UI
Names of Intended (0040,1010) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Recipients of Results
Imaging Service Request
Accession Number (0008,0050) UNIVERSAL; EMPTY; D Matching is supported as follows:
SINGLE_VALUE USER 1. No value is supplied (universal matching).
2. one value is supplied for matching (Single value
matching).

If absent or empty in answer, the SPS is accepted,

attribute will be empty in images.
If value does not meet DICOM encoding
requirements, it will be corrected before usage.
Requesting Physician (0032,1032) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Referring Physician's Name (0008,0090) UNIVERSAL EMPTY D If absent or empty in answer, the SPS is accepted,
and attribute is created empty in images.

If value does not meet DICOM encoding

requirements, it will be corrected before usage.
Requesting Service (0032,1033) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Imaging Service Request (0040,2400) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Comments
Placer Order Number / (0040,2016) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Imaging Service Request
Filler Order Number / (0040,2017) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Imaging Service Request
Visit Identification
Admission ID (0038,0010) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Issuer of Admission ID (0038,0011) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Visit Status
Current Patient Location (0038,0300) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Patient Identification
Patient's Name (0010,0010) UNIVERSAL; EMPTY; D Matching is supported as follows:
SINGLE VALUE; USER No value is supplied (universal matching).
WILDCARD one value is supplied for matching (Single value
matching).
Part of name with leading and trailing * (wild card
matching).
If value does not meet DICOM encoding
requirements, it will be corrected before usage.
If absent or empty in answer, the SPS is accepted,
and the user will have to edit its value.

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Attribute Name Tag Matching Type Query Value Value Display Comments
Source on UI
Patient ID (0010,0020) UNIVERSAL; EMPTY; D Matching is supported as follows:
SINGLE VALUE USER No value is supplied (universal matching)
one value is supplied for matching (Single value
matching).
If value does not meet DICOM encoding
requirements, it will be corrected before usage.
If absent or empty in answer, the SPS is accepted,
and attribute will be created empty in images.
Issuer of Patient ID (0010,0021) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Other Patient IDs (0010,1000) UNIVERSAL EMPTY N If value does not meet DICOM encoding
requirements, it will be corrected before usage.
If absent or empty in answer, the SPS is accepted,
and attribute is not copied to images.
Patient Demographics
Patients Birth Date (0010,0030) UNIVERSAL EMPTY D If absent or empty in answer, the SPS is accepted,
and attribute is not copied to images.
If value does not meet DICOM encoding
requirements, it will be corrected before usage.
Patient's Sex (0010,0040) UNIVERSAL EMPTY D If absent or empty in answer, the SPS is accepted,
and attribute is created empty in images.
If value does not meet DICOM encoding
requirements, it will be corrected before usage.
Patient's Weight (0010,1030) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Confidentiality constraint on (0040,3001) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
patient data Description
Patient’s Size (0010,1020) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Patient’s Address (0010,1040) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Patient’s Telephone (0010,2154) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Numbers
Patient Comments (0010,4000) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Patient Medical
Patient State (0038,0500) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Pregnancy Status (0010,21C0) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Medical Alerts (0010,2000) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Allergies (0010,2110) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Special Needs (0038,0050) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Additional Patient History (0010,21B0) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Standard Extended
Study Description (0008,1030) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
NOTE: The study description in image is copied
from Requested Procedure Description.

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Attribute Name Tag Matching Type Query Value Value Display Comments
Source on UI
Name of Physician(s) (0008,1060) UNIVERSAL EMPTY N If absent or empty in answer, SPS is accepted.
Reading Study
Operator’s Name (0008,1070) UNIVERSAL EMPTY D If absent or empty in answer, SPS is accepted.
Breast Implant Present (0028,1300) UNIVERSAL EMPTY D If absent or empty in answer, SPS is accepted.
User can cancel the ongoing worklist query by clicking on the Cancel button in the UI. Upon cancel, the Senographe Pristina will send a C-FIND-
CANCEL request to the Modality Worklist SCP.

This implementation can receive multiple C-FIND results over a single association. Only one association is opened at a time.

Each C-FIND response received from the remote AE is parsed to verify the length/type of the items in the response. The DICOM Service AE has a
lenient policy regarding the rejection of the MWL. In case any parameters retrieved from the MWL are invalid, the system will correct
automatically or require/allow the user to enter the value through the UI.

Following acceptance and correction policy is applied on the received worklist items in order to be lenient on DICOM technical violations by
the remote AE:

• Trailing space in UI element value will be changed to trailing null.

• Study Instance UID will be locally generated if the Study Instance UID in the worklist item is absent or invalid (for example if it is
more than 64 characters).

• Strings (SH, LO) that are VM=1 and contain \ characters will be processed for HL7v2 escape character conversion:

o \F\ replaced by |

o \S\ replaced by ^

o \T\ replaced by &

o \E\ replaced by #

o Any other use of \ be replaced by # and the rest of the string will be truncated.

• Strings (CS, SH, LO) that are too long will be truncated. Last character in each truncated value will be set to # (except for CS)

• Replaces individual <CR>, individual <LF>, <CR><LF> combination, and <LF><CR> combination with a canonical NewLine control in
Text (ST, LT) . The NewLine control set is appropriate to the display environment (e.g., a single <LF> character in Unix).

• Text (ST, LT) that is too long will be truncated. Last character in each truncated value will be set to #.

• Names (PN) will be truncated at 64 characters per name component group or after the 5th caret.

• Date/Time (DA, DT, TM) that are Type 2 or 3 and are outside a valid range will be set to zero length.

• CS characters that are lower case will be set to upper case, and – changed to _.

• Any missing Type 2 attributes in the query response will be added in with zero length.

• Any invalid Type 2 attribute after the above processing will be set to zero length.

• Any invalid Type 3 attribute after the above processing will be discarded.

Worklist item that does not comply to this acceptance policy is discarded and the next response (if any) is considered.

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In case of ERROR, persisted worklist item(s) got from previous request to the configured SCP would be shown.

ISO_IR_100 is the Specific Character Set (0008, 0005) value sent during worklist query and while interpreting response.

5.2.1.2 SCP of the Modality Worklist Information Model - FIND SOP Class - N/A

N/A

5.2.2 Modality Performed Procedure Step Service

5.2.2.1 SCU of the Modality Performed Procedure Step SOP Class

As a Service Class User of the Modality Performed Procedure Step SOP Class, the Senographe Pristina supports the Attributes listed in Table 5-3
in the N-CREATE-RQ and N-SET-RQ messages, if it creates the message.

In the "Source" column the following Values can be used:

• FIXED: the Value is pre-defined and cannot be modified.

• GENERATED: the Value is generated by the system.

• CONFIGURATION: the Value is copied from system configuration.

• MWL: the Value is copied from modality worklist entry.

• USER: the Value is entered by the user.

• SCANNED: the Value is read from a barcode scanner or similar device.

• EMPTY: The Attribute is sent with a zero-length Value

Table 5-3 Supported N-CREATE and N-SET Attributes for Modality Performed Procedure Step - SCU
Attribute Name Tag Source Value N-CREATE Value N-SET Comments
Specific Character Set (0008,0005) FIXED ISO_IR 100 ISO_IR 100
Performed Procedure Step Relationship
Scheduled Step Attributes (0040,0270) Not sent
Sequence
>Study Instance UID (0020,000D) MWL; Copied from SPS if received, Not sent
GENERATED else generated.
>Referenced Study (0008,1110) MWL; EMPTY Copied from SPS if received, Not sent
Sequence else sent empty.
>>Referenced SOP Class UID (0008,1150) MWL Copied from SPS if received, Not sent
else not sent.
>>Referenced SOP Instance (0008,1155) MWL Copied from SPS if received, Not sent
UID else not sent.
>Accession Number (0008,0050) MWL; USER; Copied from SPS if received, Not sent
EMPTY or user input if entered, else
sent empty.
>Requested Procedure ID (0040,1001) MWL; EMPTY Copied from SPS if received, Not sent
else sent empty.

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Attribute Name Tag Source Value N-CREATE Value N-SET Comments

>Requested Procedure (0032,1060) MWL; EMPTY Copied from SPS if received, Not sent
Description else sent empty.
>Scheduled Procedure Step (0040,0009) MWL; EMPTY Copied from SPS if received, Not sent
ID else sent empty.
>Scheduled Procedure Step (0040,0007) MWL; EMPTY Copied from SPS if received, Not sent
Description else sent empty.
>Scheduled Protocol Code (0040,0008) MWL; EMPTY Copied from SPS if received, Not sent
Sequence else sent empty.
>>Code Value (0008,0100) MWL Copied from SPS if received, Not sent
else not sent.
>>Coding Scheme (0008,0102) MWL Copied from SPS if received, Not sent
Designator else not sent.
>>Code Meaning (0008,0104) MWL Copied from SPS if received, Not sent
else not sent.
Patient's Name (0010,0010) MWL; USER Copied from SPS if received, Not sent
else user input.
Patient ID (0010,0020) MWL; USER Copied from SPS if received, Not sent
else user input.
Patient's Birth Date (0010,0030) MWL; USER; Copied from SPS if received, Not sent
EMPTY or user input if entered, else
sent empty.
Patient's Sex (0010,0040) MWL; USER; Copied from SPS if received, Not sent
EMPTY or user input if entered, else
sent empty.
Referenced Patient (0008,1120) EMPTY Not sent
Sequence
Performed Procedure Step Information
Performed Procedure Step (0040,0253) GENERATED Unique string generated by Not sent
ID the modality for entire
session. It starts at 1 and be
one unit incremented for
each new PPS instance. It is
reinitiated when the system
reboots.
Performed Station AE Title (0040,0241) CONFIGURATION Local system’s AE Title. Not sent
Performed Station Name (0040,0242) CONFIGURATION Local system’s hostname Not sent
Performed Location (0040,0243) EMPTY Not sent
Performed Procedure Step (0040,0244) GENERATED Date of the first image Not sent
Start Date acquisition
Performed Procedure Step (0040,0245) GENERATED Time of the first image Not sent
Start Time acquisition
Performed Procedure Step (0040,0252) GENERATED IN PROGRESS COMPLETED;
Status DISCONTINUED

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Attribute Name Tag Source Value N-CREATE Value N-SET Comments

Performed Procedure Step (0040,0254) MWL; USER Copied from SPS Scheduled Copied from SPS Scheduled
Description procedure Step Description procedure Step Description
(0040,0007), or user input. (0040,0007), or user input.
Performed Procedure Type (0040,0255) EMPTY Empty Not sent
Description
Procedure Code Sequence (0008,1032) MWL; EMPTY Copied from SPS Procedure Not sent
Code Sequence (0032,1064)
if received.
>Code Value (0008,0100) MWL Copied from SPS if received, Not sent
else not sent.
>Coding Scheme Designator (0008,0102) MWL Copied from SPS if received, Not sent
else not sent.
>Code Meaning (0008,0104) MWL Copied from SPS if received, Not sent
else not sent.
Performed Procedure Step (0040,0250) GENERATED Empty Date when the user pushes
End Date the CLOSE EXAM button of
the viewer
Performed Procedure Step (0040,0251) GENERATED Empty Time when the user pushes
End Time the CLOSE EXAM button of
the viewer
Performed Procedure Step (0040,0281) FIXED Empty Sent only if PPS is
Discontinuation Reason discontinued
Code Sequence
>Code Value (0008,0100) FIXED Not sent 110513
>Coding Scheme Designator (0008,0102) FIXED Not sent DCM
>Coding Scheme Version (0008,0103) FIXED Not sent 01
>Code Meaning (0008,0104) FIXED Not sent “Discontinued for
unspecified reason”
Image Acquisition Results
Modality (0008,0060) FIXED MG Not sent
Study ID (0020,0010) MWL; Copied from SPS Requested Not sent
GENERATED Procedure ID (0040,1001) if
received, else generated.
Performed Protocol Code (0040,0260) MWL Empty Copied from SPS Scheduled
Sequence Protocol code sequence
(0040,0008) if received, else
not sent
>Code Value (0008,0100) MWL Not sent
>Coding Scheme Designator (0008,0102) MWL Not sent
>Code Meaning (0008,0104) MWL Not sent
Performed Series Sequence (0040,0340) EMPTY; Empty Contains as many items as
GENERATED corresponding series
acquired during exam.

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Attribute Name Tag Source Value N-CREATE Value N-SET Comments

>Performing Physician's (0008,1050) MWL; USER; Not sent Copied from SPS Scheduled
Name EMPTY Performing Physician's
Name (0040,0006) if
received, or from User input
if provided, else empty.
>Protocol Name (0018,1030) GENERATED Not sent ROUTINE; STEREO; CESM;
3D_ROUTINE;
3D_ROUTINE+2D_ROUTINE;
3D_BIOPSY; CESM_BIOPSY;
SAMPLE
>Operator’s Name (0008,1070) MWL; USER; Not sent Copied from SPS Operator’s
EMPTY Name (0008,1070) if
received, or from User input
if provided, else empty.
>Series Instance UID (0020,000E) GENERATED Not sent Series Instance UID of the
referenced series
>Series Description (0008,103E) GENERATED Not sent Series Description of the
referenced series.
>Retrieve AE Title (0008,0054) EMPTY Not sent Empty
>Referenced Image (0008,1140) GENEREATED Not sent 1 item per image created in
Sequence the series.
>>Referenced SOP Class UID (0008,1150) GENEREATED Not sent SOP Class UID of the
created image.
>>Referenced SOP Instance (0008,1155) GENEREATED Not sent SOP Instance UID of the
UID created image.
>Referenced Non-Image (0040,0220) EMPTY Not sent
Composite SOP Instance
Sequence
Standard Extended
Total Number of Exposures (0040,0301) GENERATED Empty Total number of exposures
performed during exam
Organ Dose (0040,0316) GENERATED Empty Sum of the "Organ Dose"
for the 2D images, DBT
sequences and organ doses
of incomplete exams
(repeated, rejected and
aborted)
Entrance dose in mGy (0040,8302) GENERATED Empty Sum of “Entrance dose in
mGy" for the 2D images,
DBT sequences and
entrance dose of
incomplete exam
(repeated, rejected and
aborted)
The N-CREATE is sent when starting image acquisition and N-SET is sent when the study is closed.

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5.2.2.2 SCP of the Modality Performed Procedure Step SOP Class - N/A

N/A

5.2.3 Unified Worklist and Procedure Step Service - N/A

N/A

5.2.4 Instance Availability Notification Service - N/A

N/A

5.2.5 Storage Service

5.2.5.1 SCU of the Storage SOP Classes

As a Service Class User of the Storage Service Class, the Senographe Pristina uses the C-STORE-RQ message to request storage of DICOM objects
by a remote SCP. See Section 1.1 Content and Transfer in the Overview for the list of supported SOP Classes.

For details regarding the content of SOP Instances that are created by the system, see Annex A, which describes the underlying IOD of the
supported SOP Classes.
Storage requests can be triggered by the user when he first selects the exam/series/image on the local database browser and clicks on the
Remote DICOM AE to which the user desires to send the exam/series/image to.

The user can also trigger storage request of a particular image during the exam session (push-on-demand).

The product can be configured to automatically send acquired exam upon study closure by the user.

The product can be configured to automatically send acquired image upon acquisition of the next image (push-on-the-fly).

All instances that have been created using the same worklist entry are grouped in the same study.

The Senographe Pristina creates one series per mammography view and per type of image.

5.2.5.1.1 Transcoding of Transfer Syntaxes – N/A

N/A

5.2.5.2 SCP of the Storage SOP Classes

As a Service Class Provider of the Storage Service Class, the Senographe Pristina receives the C-STORE-RQ message from remote SCUs. See
Section 1.1 Content and Transfer in the Section 1 for the list of supported SOP Classes.
Table 5-4 defines the conformance levels of Senographe Pristina.

Table 5-4 Levels of Conformance

Levels of Conformance 2
Level of Digital Signature Support 1

No coercion is applied by Senographe Pristina.

Table 5-5 lists any limitations on displaying or processing instances, e.g., display or processing of the respective SOP Instances is prevented by
an unsupported Value for an Attribute or the absence of that Attribute.

The "Effect" column describes what happens if the limitation is encountered. The following Values are used:

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• ND: Display is not possible

• LD: Display is limited

• NP: Processing is not possible

• LP: Processing is limited

• OT: Other effects described in the "Comments" column

Table 5-5 Display and Processing Limitations for Storage SCP

Limitation Case Effect Comments
Attribute Name Tag Value
Secondary Capture Image Storage (1.2.840.10008.5.1.4.1.1.7)
Photometric Interpretation (0028,0004) Other than MONOCHROME1 or ND
MONOCHROME2

Table 5-6 lists the actions performed upon receiving instances from a remote AE and the system behavior when certain conditions are
encountered.

Table 5-6 Behavior when storing Instances

Action upon Receiving Condition System Behavior
Perform Attribute Validation Duplicate Instance Overwrite Instances
Success Instances are stored in an internal database
Add to an existing study Mismatch in study / series detected Send failure code in storage response
Success Instances are stored in a local database

The SCP stores all instances in uncompressed format.

In case of a successful C-STORE operation:

- The stored SOP Instance can be accessed by pushing it from the Senographe Pristina to another device.
- The storage duration is 2 days by default and configurable by the user. After that delay a SOP Instance received from a C-STORE
operation is automatically deleted.

The meaning of each case of an unsuccessful C-STORE response status is described in chapter 7.3.2.5.2 SCP of the Storage SOP Classes - C-
STORE.

The SCP doesn’t return warning C-STORE responses.

5.2.6 Storage Commitment Service

5.2.6.1 SCU of the Storage Commitment SOP Class

As a Service Class User of the Storage Commitment SOP Class, the Senographe Pristina uses the N-ACTION-RQ message to request storage
commitment from a remote SCP. In turn, it receives N-EVENT-REPORT-RQ messages from the SCP indicating success or failure of the request.

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As a Service Class User of the Storage Commitment Push Model SOP Classes the product supports committing all Storage SOP Classes listed in
Section 1.1 Content and Transfer are supported.
The Senographe Pristina doesn’t support the Storage Media File Set ID and UID attributes in the N-ACTION-Request.

N-EVENT-REPORT can be received by the Senographe Pristina on the same Association as the N-ACTION, or on a different one.

If the received N-ACTION Response from the SCP has a success status, the Senographe Pristina waits 10 seconds for an N-EVENT-REPORT on the
same association. This time-out is not configurable. If the N-EVENT-REPORT request is not received in this time, it closes the association and
changes the Job state to ”Waiting” indicating the job is waiting for the response from commitment provider. Then it can receive a N-EVENT-
REPORT from the SCP at any time on a different association.

Up receiving an N-EVENT-REPORT with an Event Type of 1, the “Archived” flag information in the browser for all the successfully archived
exam/series will be updated. The archive status column in the browser will be changed to display “Archived” icon to indicate that the
exam/series has been archived successfully. The job queue entry will be removed.

Table 5-7 lists the behavior of Senographe Pristina for each possible Failure Reason (0008,1197) in the Failed SOP Sequence (0008,1198) upon
receiving an N-EVENT-REPORT request from the SCP with an Event Type ID of 2 (Storage Commitment Request Complete - Failures Exist).

Table 5-7 Failure Behavior for Storage Commitment SCU

Status Code Description Behavior

0110 Processing failure: A general failure in processing the operation The system displays the appropriate error message in the job
was encountered. manager user interface and job is paused.
0112 No such object instance: One or more of the elements in the The system displays the appropriate error message in the job
Referenced SOP Instance Sequence was not available. manager user interface and job is paused.
0119 Class / Instance conflict: The SOP Class of an element in the The system displays the appropriate error message in the job
Referenced SOP Instance Sequence did not correspond to the manager user interface and job is paused.
SOP Class registered for this SOP Instance at the SCP.
0122 Referenced SOP Class not supported: Storage Commitment has The system displays the appropriate error message in the job
been requested for a SOP Instance with a SOP Class that is not manager user interface and job is paused.
supported by the SCP.
0131 Duplicate Transaction UID: The Transaction UID of the Storage The system displays the appropriate error message in the job
Commitment Request is already in use. manager user interface and job is paused.
0213 Resource limitation: The SCP does not currently have enough The system displays the appropriate error message in the job
resources to store the requested SOP Instance(s). manager user interface and job is paused.

Jobs paused because of a failure of the storage commitment are not automatically retried. However, the user can manually retry the failed jobs
from the job queue. Such requests will be treated as new requests. This will go through the complete sequence of operations once again.

5.2.6.2 SCP of the Storage Commitment SOP Class - N/A

N/A

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5.2.7 Query/Retrieve Service Class

5.2.7.1 SCU of the Study Root Q/R Information Model - FIND SOP Class

As a Service Class User of the Study Root Q/R - Information Model - FIND SOP Class, the Senographe Pristina uses the C-FIND-RQ message and
supports the Query Keys listed in Table 5-8 for hierarchical queries.

In the "Matching Type" column the following Values can be used:

• SINGLE_VALUE: SCU can request Single Value matching on this Attribute.

• UID: SCU can request List of UID matching on this Attribute.

• WILDCARD: SCU can request Wildcard matching on this Attribute.

• RANGE: SCU can request Range matching on this Attribute.

• SEQUENCE: SCU can request Sequence matching on this Attribute.

• UNIVERSAL: SCU can request that the Attribute be a return Value (universal matching).

In the "Query Value Source" column the following Values can be used:

• FIXED: The query Value cannot be modified by the user or by configuration.

• GENERATED: The query Value is generated by the system (e.g., current date as the study date).

• CONFIGURATION: The query Value is dependent on system configuration.

• USER: The query Value is entered by the user.

• SCANNED: The query Value is read from a barcode scanner or similar device.

• EMPTY: The query Value is sent with a zero-length value to indicate it is a return key only.

In the "Display on UI" column the following Values can be used:

• D: the return Value is displayed on the main UI by default.

• C: the return Value is displayed on the main UI if configured.

• N: the return Value is never displayed.

Table 5-8 Supported C-FIND Attribute Matching for Study Root Q/R Model -SCU
Attribute Name Tag Matching Type Query Value Source Value Display on UI Comments
Study Level
Study Date (0008,0020) SINGLE_VALUE; USER D
RANGE
Study Time (0008,0030) UNIVERSAL EMPTY N
Accession Number (0008,0050) SINGLE_VALUE; USER N
WILDCARD
Patient's Name (0010,0010) SINGLE_VALUE; USER D
WILDCARD
Patient ID (0010,0020) SINGLE_VALUE; USER D
WILDCARD
Study ID (0020,0010) SINGLE_VALUE; USER N
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Attribute Name Tag Matching Type Query Value Source Value Display on UI Comments
WILDCARD
Study Instance UID (0020,000D) UNIVERSAL EMPTY N
Modalities in Study (0008,0061) UNIVERSAL EMPTY D
Station Name (0008,1010) UNIVERSAL EMPTY N
Study Description (0008,1030) UNIVERSAL EMPTY D
Patient’s Birth Date (0010,0030) UNIVERSAL EMPTY N
Patient’s Sex (0010,0040) UNIVERSAL EMPTY N
Patient’s Birth Time (0010,0032) UNIVERSAL EMPTY N
Number of Study Related (0020,1208) UNIVERSAL EMPTY N
Instances
Series Level
Series Number (0008,0011) UNIVERSAL EMPTY D
Modality (0008,0060) UNIVERSAL EMPTY N
Series Instance UID (0020,000E) UNIVERSAL EMPTY N
Series Description (0008,103E) UNIVERSAL EMPTY D
Series Date (0008,0021) UNIVERSAL EMPTY D
Series Time (0008,0031) UNIVERSAL EMPTY N
Series Type (0054,1000) UNIVERSAL EMPTY D
Manufacturer (0008,0070) UNIVERSAL EMPTY N
Number Of Series Related (0020,1209) UNIVERSAL EMPTY N
Instances
Requested Attributes (0040,0275) UNIVERSAL EMPTY N
Sequence
Scheduled Procedure Step (0040,0007) UNIVERSAL EMPTY N
Description
Study Instance UID (0020,000D) UID GENERATED N
Image Type (0008,0008) UNIVERSAL EMPTY N
Instance Level
Instance Number (0020,0013) UNIVERSAL EMPTY D
SOP Instance UID (0008,0018) UNIVERSAL EMPTY N
Image Type (0008,0008) UNIVERSAL EMPTY N
Acquisition Time (0008,0032) UNIVERSAL EMPTY D
Modality (0008,0060) UNIVERSAL EMPTY N
Contrast / Bolus Agent (0018,0010) UNIVERSAL EMPTY N
Slice Thickness (0018,0050) UNIVERSAL EMPTY N
Repetition Time (0018,0080) UNIVERSAL EMPTY N
Echo Time (0018,0081) UNIVERSAL EMPTY N

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Attribute Name Tag Matching Type Query Value Source Value Display on UI Comments
Inversion Time (0018,0082) UNIVERSAL EMPTY N
Number Of Averages (0018,0083) UNIVERSAL EMPTY N
Echo Number (0018,0086) UNIVERSAL EMPTY N
Spacing Between Slices (0018,0088) UNIVERSAL EMPTY N
Data Collection Diameter (0018,0090) UNIVERSAL EMPTY N
Trigger Time (0018,1060) UNIVERSAL EMPTY N
Reconstruction Diameter (0018,1100) UNIVERSAL EMPTY N
Gantry / Detector Tilt (0018,1120) UNIVERSAL EMPTY N
Convolution Kernel (0018,1210) UNIVERSAL EMPTY N
Flip Angle (0018,1314) UNIVERSAL EMPTY N
Image Position (Patient) (0020,0032) UNIVERSAL EMPTY N
Image Orientation (0020,0037) UNIVERSAL EMPTY N
(Patient)
Slice Location (0020,1041) UNIVERSAL EMPTY N
Rows (0028,0010) UNIVERSAL EMPTY N
Columns (0028,0011) UNIVERSAL EMPTY N
Pixel Spacing (0028,0030) UNIVERSAL EMPTY N
Units (0054,1001) UNIVERSAL EMPTY N
Reconstruction Method (0054,1103) UNIVERSAL EMPTY N
Image ID (0054,0400) UNIVERSAL EMPTY N
Specific Character Set (0008,0005) UNIVERSAL EMPTY N
Detector Secondary Angle (0018,1531) UNIVERSAL EMPTY D
Study Instance UID (0020,000D) UID GENERATED N
Series Instance UID (0020,000E) UID GENERATED N

ISO_IR_100 is the Specific Character Set (0008, 0005) value sent during query and while interpreting response.

5.2.7.2 SCU of the Patient Root Q/R Information Model - FIND SOP Class - N/A

N/A

5.2.7.3 SCU of the Study Root Q/R Information Model - MOVE SOP Class
When the user initiates a Move operation at any level (Study, Series, Image) the DICOM Service AE will initiate a C-MOVE-RQ request to the
Remote AE with the DICOM Service AE as the Destination AE. The Storage SCP will handle the incoming images.

Each C-MOVE SCU supports an “Association Timer” and an “Operation Inactivity Timer”. These timers are set to 60 and 300 seconds respectively.

The C-MOVE SCU supports only the Baseline behavior and does not negotiate for Extended behavior during association. During the move
operations, Unique Key values for all levels above the Query/Retrieve Level specified will be supplied in the C-MOVE request.

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The DICOM Service AE does not send a C-MOVE request with List of UIDs. If the user chooses multiple exams from the remote browser for
retrieval, it creates separate association and send one C-MOVE request with single exam UID, for each study. The system works the same way
when the user tries to retrieve multiple series.

An individual retrieve-job is created in the job management queue for each exam/series request.

If the user tries to retrieve multiple images within a series, it will create single association and sends multiple C-MOVE requests; one C-MOVE
request per image within the same association.

However, for each user request, a single retrieve-job is created in the job management queue.

If the C-MOVE SCU receives a status different from success (0x0000) or pending (0xFF00) during the association, the DICOM Service AE will release
the association. This information will be logged in the system log files and the network/job manager queue will be updated accordingly.

During Retrieve, the DICOM Service AE is able to generate a C-MOVE-CANCEL.

When a Cancel response (0xFE00) is received, the DICOM Service AE will release the association. This information will be logged in the system log
files and the network queue will be updated accordingly.

5.2.7.4 SCU of the Patient Root Q/R Information Model - MOVE SOP Class - N/A

N/A

5.2.7.5 SCP of the Study Root Q/R Information Model - FIND SOP Class - N/A

N/A

5.2.7.6 SCP of the Patient Root Q/R Information Model - FIND SOP Class - N/A

N/A

5.2.7.7 SCP of the Study Root Q/R Information Model - MOVE SOP Class - N/A

N/A

5.2.7.8 SCP of the Patient Root Q/R - Information Model - MOVE SOP Class - N/A

N/A

5.2.8 Print Management Service

5.2.8.1 SCU of the Basic Grayscale Print Management Meta SOP Class

The Basic Grayscale Print Management Meta SOP Class is composed of the mandatory SOP Classes listed in Table 5-9.

Table 5-9 Basic Grayscale Print Management Meta SOP Classes - SCU
SOP Class Name SOP Class UID
Basic Film Session 1.2.840.10008.5.1.1.1
Basic Film Box 1.2.840.10008.5.1.1.2
Basic Grayscale Image Box 1.2.840.10008.5.1.1.4
Printer 1.2.840.10008.5.1.1.16

5.2.8.1.1 Basic Film Session SOP Class

Table 5-10 lists the supported DIMSE Services for the Basic Film Session SOP Class:

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Table 5-10 Services for the Basic Film Session SOP Class - SCU
DIMSE Service Element Purpose
N-CREATE Create the Film Session

Table 5-11 lists the supported N-CREATE and N-SET Attributes for Basic Film Session:

Table 5-11 Supported N-CREATE and N-SET Attributes for the Basic Film Session SOP Class - SCU
Attribute Name Tag Values Default
Number of Copies (2000,0010) [1…99] 1
Medium Type (2000,0030) BLUE FILM
Film Destination (2000,0040) PROCESSOR

5.2.8.1.2 Basic Film Box SOP Class

Table 5-12 lists the supported DIMSE Services for the Basic Film Box SOP Class:

Table 5-12 Supported Services for the Basic Film Box SOP Classes
DIMSE Service Element Purpose
N-CREATE Create the Film Box in a previously created Film Session
N-ACTION Print the Film Box
N-DELETE Delete the Film Box

Table 5-13 lists the supported N-CREATE and N-SET Attributes for Basic Film Box:

Table 5-13 Supported N-CREATE and N-SET Attributes for the Basic Film Box SOP Class - SCU
Attribute Name Tag Values Default
Image Display Format (2010,0010) STANDARD\C,R STANDARD\1,1
Film Orientation (2010,0040) PORTRAIT; LANDSCAPE PORTRAIT
Film Size ID (2010,0050) 14INX17IN; 8INX10IN; 10INX12IN; 10INX14IN; 11INX14IN;
14INX14IN; 24CMX24CM; 24CMX30CM
Magnification Type (2010,0060) REPLICATE; BILINEAR; CUBIC; NONE CUBIC
Smoothing Type (2010,0080) SMOOTH; SHARP SMOOTH
Border Density (2010,0100) BLACK
Trim (2010,0140) YES; NO YES
Configuration Information (2010,0150)
Referenced Film Session Sequence (2010,0500)
>Referenced SOP Class UID (0008,1150) 1.2.840.10008.5.1.1.1
>Referenced SOP Instance UID (0008,1155)

5.2.8.1.3 Basic Grayscale Image Box SOP Class

Table 5-14 lists the supported DIMSE Service for the Basic Grayscale Image Box SOP Class:

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Table 5-14 Services for the Basic Grayscale Image Box SOP Class
DIMSE Service Element Purpose
N-SET Set Image Attributes for a previously created Film Box

Table 5-15 lists the supported N-SET Attributes for Basic Grayscale Image Box:

Table 5-15 Supported N-SET Attributes for the Basic Grayscale Image Box SOP Class -SCU
Attribute Name Tag Values Default
Image Box Position (2020,0010)
Requested Image Size (2020,0030)
Requested Decimate/Crop Behavior (2020,0040) DECIMATE; CROP; FAIL
Basic Grayscale Image Sequence (2020,0110)
>Samples per Pixel (0028,0002) 1
>Photometric Interpretation (0028,0004) MONOCHROME2
>Rows (0028,0010)
>Columns (0028,0011)
>Bits Allocated (0028,0100) 8; 16
>Bits Stored (0028,0101) 8; 12
>High Bit (0028,0102) 7; 11
>Pixel Representation (0028,0103) 0
>Pixel Data (7FE0,0010)

5.2.8.1.4 Printer SOP Class

Table 5-16 lists the supported DIMSE Services for the Printer SOP Class:

Table 5-16 Services for the Printer SOP Class

DIMSE Service Element Purpose
N-EVENT-REPORT Report the printer status in an asynchronous way
N-GET Retrieve printer information and status.

An N-EVENT-REPORT request can be received by the SCU at any time during an Association.
Table 5-17 summarizes the behavior of the SCU when receiving Event Types within the N-EVENT-REPORT.

Table 5-17 Printer SOP Class N-EVENT-REPORT Behavior

Event Type Name Event Type ID Behavior
Normal 1 Ignored
Warning 2 Ignored
Failure 3 Ignored
If an N-EVENT-REPORT is received when the association is active, the DICOM Service AE handles the relevant states, but the received data is
ignored.
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Table 5-18 lists the supported N-GET Attributes for Printer SOP Class:

Table 5-18 Supported N-GET Attributes for the Printer SOP Class - SCU
Attribute Name Tag Behavior
Printer Status (2110,0010) NORMAL: Status is logged and sends Film
Session N-CREATE request.
WARNING: Status is logged. and sends
Film Session N-CREATE request.
FAILURE: Status is logged. Fails the print
job and displays print failure message on
the Job Manager UI.
Printer Status Info (2110,0020) Logs the message.
Printer Name (2110,0030) Logged if sent by SCP.
Manufacturer (0008,0070) Logged if sent by SCP.
Manufacturer Model Name (0008,1090) Logged if sent by SCP.
Device Serial Number (0018,1000) Logged if sent by SCP.
Software Versions (0018,1020) Logged if sent by SCP.

N-Get request is sent when the user initiates the print activity by clicking on the Print button. Based on the N-Get response, the DICOM
Service AE continues to send the Film Session’s N-CREATE request if status is NORMAL, else pauses the print job and displays the error
message on the Film Job Manager UI.

5.2.8.2 SCU of the Basic Color Print Management Meta SOP Class – N/A
N/A

5.2.8.3 SCU of the Basic Annotation Box SOP Class - N/A

N/A

5.2.8.4 SCU of the Print Job SOP Class - N/A

N/A

5.2.8.5 SCU of the Presentation LUT SOP Class - N/A

N/A

5.2.8.6 SCU of the Printer Configuration Retrieval SOP Class - N/A

N/A

5.2.8.7 SCP of the Basic Grayscale Print Management Meta SOP Class - N/A

N/A

5.2.8.8 SCP of the Basic Color Print Management Meta SOP Class - N/A

N/A

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5.2.8.9 SCP of the Basic Annotation Box SOP Class - N/A

N/A

5.2.8.10 SCP of the Print Job SOP Class - N/A

N/A

5.2.8.11 SCP of the Presentation LUT SOP Class - N/A

N/A

5.2.8.12 SCP of the Printer Configuration Retrieval SOP Class - N/A

N/A

5.3 DICOM Web Services - N/A

N/A

5.4 Media Services

5.4.1 File Set Creator (FSC)
Senographe Pristina supports creating the Basic Directory IOD as a File Set Creator as defined in Annex A.7.

For a list of supported Media Application Profiles, see Section 1.4 in the Overview.

For a list of supported SOP Classes, see Section 1.1 in the Overview.

5.4.2 File Set Reader (FSR)

Senographe Pristina supports the Media Application Profiles listed in Section 1.4 in the Overview.

For a list of supported SOP Classes, see Section 1.1 in the Overview.

To display or process DICOM Instances contained on the Media, see Section 5.2.5.2.

5.4.3 File Set Updater (FSU) - N/A

N/A

5.5 Real-Time Video Services - N/A

N/A

5.6 Cross Service Considerations – N/A

N/A

5.7 Specific Character Sets

For Specific Character Sets supported in addition to the default character repertoire, refer to Section 1.7 for the Values for Specific Character Set
(0008,0005).
The system generates data with only the Specific Character Set ISO_IR 100.

As a Query SCU, it will accept response items with any value of Specific Character Set. However, it will display in the user interface only
characters specified as within ISO_IR 6 (ASCII) or ISO_IR 100.
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The product user interface will allow the user to enter characters that are within ASCII or ISO_IR 100.

As a Modality Worklist SCU, it only uses ISO_IR 100 Specific Character Set in the worklist query requests.

Generic configuration for Specific Character Sets is covered in Section 6.1. Service specific configuration for Specific Character Sets is addressed
in respective subsections of Section 6.2 or Section 6.3.

6 Configuration
Parameters that can be configured can be accessed through the Service User Interface in the Service Desktop.

Throughout all subsections the following Values can be used in the "Configurable" column:

• USER: The parameter is configurable by the user.

• SERVICE: The parameter is configurable by service personnel.

• FIXED: The parameter is not configurable (it has a fixed Value). The Value is required for the configuration of the remote system.

• N/A: The parameter is not applicable for the local or the remote system.

6.1 General Configuration Parameters

Table 6-1 lists general configuration parameters applicable across all supported DICOM Services.

Table 6-1 General Configuration Parameters

Parameter Configurable Default Value Comments
General Parameters
Timeout waiting for acceptance or FIXED 20 seconds This value applies to all supported DICOM
rejection Response to an Association Open Services except for SCU of Storage of Breast
Request. (Application-Level timeout) Tomosynthesis Image SOP Class
Timeout waiting for a response to an FIXED 20 seconds This value applies to all supported DICOM
Association release request (Application- Services except for SCU of Storage of Breast
Level Timeout) Tomosynthesis Image SOP Class
Timeout waiting for acceptance or SERVICE 30 seconds This value applies only to SCU of Storage of
rejection Response to an Association Open Breast Tomosynthesis Image SOP Class
Request. (Application-Level timeout) for
BTO Storage
Timeout waiting for a response to an SERVICE 15 seconds This value applies only to SCU of Storage of
Association release request (Application- Breast Tomosynthesis Image SOP Class
Level Timeout) for BTO Storage
TCP/IP Settings
TCP/IP Send Buffer FIXED 131400 Bytes
TCP/IP Receive Buffer FIXED 131400 Bytes
Inactivity timeout FIXED 15 seconds Time waiting for TCP/IP packets
DICOM Services Parameters
Maximum number of simultaneous FIXED 4
Associations accepted

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Parameter Configurable Default Value Comments

Specific Character Set FIXED ISO_IR 100
AE Title SERVICE Pristina System AE Title that is used for all services.

6.2 Configuration of DIMSE Services

The tables in the following subsections show the configuration parameters required for DIMSE Services.

In order to identify whether Senographe Pristina is an SCP and / or an SCU, the following applies:

• SCP: The (Secured) Local Called AET and Remote Calling AET parameters are present.

• SCU: The (Secured) Local Calling AET and Remote Called AET parameters are present.

6.2.1 Basic Worklist Management Service Configuration

Table 6-2 lists Worklist Service configuration parameters:

Table 6-2 Worklist Service Parameters

Local Worklist Configuration Parameters - Worklist Service
Parameter Configurable Default Value Comments
Calling AE Title (SCU) SERVICE Pristina The Calling AE Title is the one configured
globally for the system and is the same for all
services.
Default Modality type USER MG Used to query the remote MWL SCP. Possible
choices are MG or empty (universal
matching).
Default Scheduled Station AE Title USER Used to query the remote MWL SCP.
Default Scheduled Procedure Step USER Used to query the remote MWL SCP.
Start Date
Auto-refresh interval USER 15 minutes Interval between two automatic queries of
the remote MWL SCP.
Association timeout FIXED 30 seconds
Inactivity timeout FIXED 180 seconds
Remote Configuration Parameters - Worklist Service
Parameter Configurable Default Value Comments
Called AE Title (SCP) SERVICE
Port SERVICE
Host SERVICE
Auto-query SERVICE On or Off setting to automatically query the
remote MWL SCP at regular interval.

6.2.2 Modality Performed Procedure Step Service Configuration

Table 6-3 lists Modality Performed Procedure Step Service configuration parameters:

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Table 6-3 MPPS Service Parameters
Local Configuration Parameters - MPPS Service
Parameter Configurable Default Value Comments
Calling AE Title (SCU) SERVICE The Calling AE Title is the one configured
globally for the system and is the same for all
services.
Remote Configuration Parameters - MPPS Service
Parameter Configurable Default Value Comments
Called AE Title (SCP) SERVICE
Port SERVICE
Host SERVICE

6.2.3 Unified Worklist and Procedure Step Service Configuration - N/A

N/A

6.2.4 Instance Availability Notification Service Configuration - N/A

N/A

6.2.5 Storage Service Configuration

Table 6-4 lists Storage Service configuration parameters:

Table 6-4 Storage Service Parameters

Local Configuration Parameters - Storage Service
Parameter Configurable Default Value Comments
Calling AE Title (SCU) SERVICE The Calling AE Title is the one configured
globally for the system and is the same for all
services.
Called AE Title (SCP) SERVICE The Called AE Title is the one configured
globally for the system and is the same for all
services.
Port FIXED 4006
Supported Transfer Syntax as SCP SERVICE See Table 1-2
Supported Storage SOP Classes as SERVICE See Table 1-1
SCP
Inactivity timeout as SCP FIXED 300 seconds
Association timeout as SCU, except FIXED 60 seconds
for BTO SOP Class.
Inactivity timeout as SCU, except FIXED 300 seconds
BTO SOP Class.
Network connection timeout as SCU SERVICE 15 seconds Timeout waiting for the establishment of the
for BTO SOP Class. TCP/IP connection, when pushing BTO
images.

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Local Configuration Parameters - Storage Service

Parameter Configurable Default Value Comments
Association reply timeout as SCU for SERVICE 30 seconds Timeout waiting for the association accept
BTO SOP Class. message from the remote host, when pushing
BTO images.
Message read timeout as SCU for SERVICE 15 seconds Inactivity timeout during C-STORE operation,
BTO SOP Class. when pushing BTO images.
Association release timeout as SCU SERVICE 15 seconds Timeout waiting for the association release
for BTO SOP Class. accept message from the remote host, when
pushing BTO images.
Remote Configuration Parameters - Storage Service
Parameter Configurable Default Value Comments
Called AE Title (SCP) SERVICE
Port SERVICE
Host SERVICE
Transfer syntaxes for BTO SOP Class SERVICE List and order of transfer syntaxes that will be
proposed when pushing BTO images to this
remote host.

6.2.6 Storage Commitment Service Configuration

Table 6-5 lists Storage Commitment Service configuration parameters:

Table 6-5 Storage Commitment Service Parameters

Local Configuration Parameters - Storage Commitment Service
Parameter Configurable Default Value Comments
Calling AE Title (SCU) SERVICE The Calling AE Title is the one configured
globally for the system and is the same for all
services.
Port FIXED 4006 Used for receiving the N-EVENT-REPORT from
the remote SCP.
Inactivity timeout FIXED 15 seconds
N-ACTION response timeout FIXED 600 seconds If N-ACTION response is not received after
timeout, the job is marked failed.
N-EVENT-REPORT waiting on same FIXED 10 seconds The system waits for the N-EVENT-REPORT
association during 10 seconds on the same association
used for the N-ACTION. If not received before
timeout, then it will close the association and
wait for the SCP to send the N-EVENT-REPORT
in a new association at any time later.

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Remote Configuration Parameters - Storage commitment Service

Parameter Configurable Default Value Comments
Called AE Title (SCP) SERVICE
Port SERVICE
Host SERVICE

6.2.7 Query/Retrieve Service Configuration

Table 6-6 lists Query/Retrieve Service configuration parameters:

Table 6-6 Query/Retrieve Service Parameters

Local Configuration Parameters - Query/Retrieve Service
Parameter Configurable Default Value Comments
Calling AE Title (SCU) SERVICE The Calling AE Title is the one configured
globally for the system and is the same for all
services.
C-FIND association timeout FIXED 30 seconds
C-FIND inactivity timeout FIXED 300 seconds
C-MOVE association timeout FIXED 60 seconds
C-MOVE inactivity timeout FIXED 300 seconds
Remote Configuration Parameters - Query/Retrieve Service
Parameter Configurable Default Value Comments
Called AE Title (SCP) SERVICE
Port SERVICE
Host SERVICE

6.2.8 Print Management Service Configuration

Table 6-7 lists Print Management Service configuration parameters:

Table 6-7 Print Management Service Parameters

Local Configuration Parameters - Print Management Service
Parameter Configurable Default Value Comments
Calling AE Title (SCU) SERVICE The system uses the same Calling AE Title as
the one configured globally for the system.
Print association timeout FIXED 60 seconds
Print service request timeout FIXED 60 seconds
Print N-ACTION response timeout FIXED 600 seconds
Remote Configuration Parameters - Print Management Service
Parameter Configurable Default Value Comments
Called AE Title (SCP) SERVICE

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Port SERVICE
Host SERVICE
Pixel depth SERVICE 8 Values: 8; 12
Film sizes supported by the Print SCP SERVICE Selection of film sizes that are supported by
the Printer
Default film composer film size SERVICE
Default film composer film SERVICE
orientation
Configuration information SERVICE
Magnification Type SERVICE CUBIC Values: CUBIC; BILINEAR; NONE; REPLICATE
Requested Decimate Crop Behavior SERVICE None Values: None; DECIMATE; CROP; FAIL
Smoothing Factor SERVICE SMOOTH Values: SMOOTH; SHARP
Trim SERVICE YES Values: YES; NO

6.3 Configuration of DICOM Web Services - N/A

N/A

6.4 Configuration of Media Storage Service

No configuration is possible on Media Storage Service.

6.5 Configuration of Real-Time Video Service - N/A

N/A

6.6 Configuration of Audit Trail - Syslog

Table 6-8 lists configuration parameters for the Audit Trail Originator.

Table 6-8 Audit Trail Originator Parameters

Originator Audit Trail Message Transmission-SYSLOG Parameters
Parameter Configurable Default Value Comments
Remote Port number SERVICE
Remote Host name/IP SERVICE
Protocol SERVICE Values:
TCP – Without Syslog
UDP – Without Syslog
TCP BSD Syslog
UDP BSD Syslog
TCP IETF Syslog
UDP IETF Syslog
TLS IETF Syslog
TLS BSD Syslog

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7 Network and Media Communication Details

7.1 General
The Senographe Pristina implement only one network AE, and thus doesn’t have cross AE interactions.

7.1.1 General Association Parameters

Table 7-1 lists Association parameters applicable to all AEs on the system.

Table 7-1 General Association Parameters

Name Value
Networking Services Application Context Name 1.2.840.10008.3.1.1.1
Implementation Class UID 1.2.826.0.1.3680043.2.60.0.1 (*)
Implementation Version Name as SCU jdt280_6387 (*)
Implementation Version Name as SCP NUEVO_1_0
Maximum PDU Length 64234
ARTIM Timeout 30s
Maximum number of simultaneous Associations as Association Initiator 2
Maximum number of simultaneous Associations as Association Acceptor 4
Maximum number of outstanding asynchronous Transactions 0
Media Services File Meta Information Version 1
Implementation Class UID 1.2.826.0.1.3680043.2.60.0.1
Implementation Version Name MEDIACREATOR_V1
(*) For the specific case of establishing an association for a C-STORE operation of a Breast Tomosynthesis Image Storage, the Implementation
Class UID is “1.2.840.113619.6.401” and Implementation Version Name is “MergeCOM3_5_18_0”

7.2 Specifications
7.2.1 DICOM Service Application Entity
7.2.1.1 Sequencing of Real-World Activities for DICOM Service
Following figures describes sequencing of real-world activities during a typical mammography examination with the Senographe Pristina.

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Figure 7-1 Sequencing of Real-World Activities for DICOM Service AE – Before starting an exam

The Figure 7-1 describes the sequencing of real-world activities before performing an examination:

- The Senographe Pristina query the worklist from the RIS to get a list of Scheduled Procedure Steps
- The Senographe Pristina can query the PACS to retrieve images of prior study for the patient for which an exam will be performed.

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Figure 7-2 Sequencing of Real-World Activities for DICOM Service AE – During and after an exam

The Figure 7-2 describes the sequencing of real-world activities that occurs when an exam is started and until its closure:

- The Senographe Pristina sends a MPPS N-CREATE (in progress) to the PPS Manager when the first image is acquired.
- The Senographe Pristina sends a MPPS N-SET (completed or discontinued) to the PPS Manager when the exam is close.
- At exam closure, or at user request during the exam, the Senographe Pristina pushes the images to a Review System and/or a CAD
(Computer Aided Detection) system using a C-STORE request.
- At exam closure, or at user request during the exam, the Senographe Pristina archive the images to a PACS using a C-STORE request
followed by a Storage Commitment N-ACTION request. Then Senographe Pristina receives the Storage commitment N-EVENT-REPORT
from the PACS.

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Figure 7-3 Sequencing of Real-World Activities for DICOM Service AE – Printing

The Figure 7-3 describes the sequencing of the real-world activity of Printing. This activity can occur at user request when the Medical
Application is opened, or automatically at exam closure.

7.2.1.2 Association Parameters of DICOM Service AE – N/A

N/A

7.2.1.3 Association Initiation

This section details the Association policies of the Application Entity when it is initiating an Association.

7.2.1.3.1 Real-World Activity Modality Worklist Query

The user of Senographe Pristina initiates a query for a modality worklist by pressing the Refresh button or by using the HISRIS Search menu. The
refresh can also be automatic and the time between 2 refreshes is configurable. The DICOM Service AE will then initiate an association with the
remote AE in order to query for the worklist. The association is closed upon receipt of the final query response from the remote AE. The
association can also be closed by the DICOM Service AE upon receipt of error status from the remote AE or upon expiration of association timers.

If the remote AE does not support the proposed Presentation Context, an appropriate error is logged, and the user is notified.

This implementation can receive multiple C-FIND results over a single association. Only one association is opened at a time.

In case of ERROR, persisted worklist item(s) got from previous request to the configured SCP would be shown.

User can cancel the ongoing worklist query by clicking on the Cancel button in the UI. Upon cancel, the DICOM Service AE will send C-FIND-
CANCEL request to the Modality Worklist SCP.

Extended Negotiation

The Extended Negotiation parameters for all services that are supported by the Application Entity for the Real-World Activity Modality Worklist
Query are described in Table 7-2.
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Table 7-2 Extended Negotiation for Modality Worklist Query of DICOM Service AE - Association Initiation
SOP Class Extended Negotiation Support Requested Value
Modality Worklist
Modality Worklist Information Model - FIND Fuzzy semantic matching of person names N
Timezone query adjustment N

Role Negotiation – N/A

N/A

7.2.1.3.2 Real-World Activity Modality Performed Procedure Step Notification

The DICOM Service AE initiates association to the remote MPPS SCP AE for the following functions during real world activity Modality Performed
Procedure Step Notification:

• Start PPS: Initiates a DICOM association to create a DICOM Modality Performed Procedure Step SOP instance in the remote AE via the
N-CREATE service.
• Complete PPS: Initiates a DICOM association to update a DICOM Modality Performed Step instance that is already created with the
remote AE via the N-SET service. The PPS Status is set to ‘COMPLETED’.
• Discontinue PPS: Initiates a DICOM association to update a DICOM Modality Performed Step instance that is already created with the
remote AE via the N-SET service. The PPS Status is set to ‘DISCONTINUED’.

Only one association is opened at a time. The association is open until the response message is returned from the SCP or a network error occurs.

If the remote AE does not support the proposed Presentation context, an appropriate error message is logged.

Extended Negotiation – N/A

N/A

Role Negotiation – N/A

N/A

7.2.1.3.3 Real-World Activity Push Images

The user first selects the exam/series/image on the local database browser and clicks on the Remote DICOM AE to which the user desires to send
the exam/series/image to.

If multiple exams/series are chosen to be pushed, one association will be established for each of the exam/series. A single association will be
used for multiple C-STORE operations necessary for the images in an individual series for 2D and non-image SOP instances. For 3D SOP
instances, there are multiple separate associations.

This implementation can perform multiple C-STORE operations over a single association.

Upon receiving a C-STORE confirmation containing a successful status, this implementation will perform the next C-STORE operation. The
association will be maintained if possible.

Upon receiving a C-STORE confirmation containing a Refused status, this implementation will consider the current request to be a failure and
will terminate the association.

For all C-STORE statuses other than success or warnings received, this implementation will consider the current request to be a failure and will
terminate the association, except if the C-STORE is invoked from a C-MOVE SCP. In this case it will continue to attempt to send the remaining
images in the request on the same association. The error details will be logged in the log files.

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Extended Negotiation

The Extended Negotiation parameters for all services that are supported by the Application Entity for the Real-World Activity Push Images are
described in Table 7-3.

Table 7-3 Extended Negotiation for Push Images of DICOM Service AE - Association Initiation
SOP Class Extended Negotiation Support Requested Value
Storage
Applicable to all Storage SOP Classes listed under Section 5. Level of support N
Level of Digital Signature support N
Element Coercion N

Role Negotiation – N/A

N/A

7.2.1.3.4 Real-World Activity Archive Images

This activity is triggered after Push Images if the remote host was declared on the system with an associated Storage Commitment Provider:

1. If images are successfully sent, then the N-ACTION-RQ request is sent to Storage Commitment Provider in a new association.
(Remote host and storage commitment provider may have different configurations).
2. The system waits for N-ACTION-RSP from Storage Commitment Provider. N-ACTION is on different association than the C-
STORE request.
3. On reception of failure in N-ACTION-RSP, the corresponding job has a failed status in the job management queue.
4. On reception of success, Storage Commitment AE is ready to receive at any time from Storage Commitment Provider the N-
EVENT-REPORT-RQ notification. N-EVENT-REPORT can be in the same association than the N-ACTION or in a new one.
5. On reception of the N-EVENT-REPORT-RQ notification from Storage Commitment Provider, system flags the images in the
database as committed.
6. When all images are flagged, Storage Commitment AE sends a N-EVENT-REPORT-RSP to the Storage Commitment Provider.

Extended Negotiation – N/A

N/A

Role Negotiation – N/A

N/A

7.2.1.3.5 Real-World Activity Query/Retrieve

The user queries a Remote database by clicking on the corresponding icon on the Senographe Pristina browser source dropdown.

The “Query” operation will cause a “Filter Data” menu to appear. The user can enter values for Patient name, Patient Id, Study Id, Accession
number, Study date and Modality. Not entering a value will result in universal match for that field (all possible values). For Study date, the user
selects a date matching type from the "Exam date" pull down menu, where the choices are Today, This Week, 30 days, Date Range. If the user
selects Date Range, the menu will allow entering a start date and an end date. Once the desired parameters are entered, the user chooses
"Search".

The “Query” operation will cause the DICOM Service AE to initiate an association to the selected Remote AE.

On successful query, the list of corresponding study is displayed.

The user can also get the detailed content of one or several study displayed by selecting it, the DICOM Service AE to initiate an association to the
selected Remote AE with the Study Instance UID as a matching key (same at series level with Series Instance UID).
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The “Filter” menu contains a “Clear” button. If the user selects it, it will empty all the field in the menu and will cause the DICOM Service AE to
initiate an association to the selected Remote AE, without any matching key.

The user can cancel the current C-FIND request by initiating Query activity to another network node or clicking on the local database. If a query
operation is in progress, the DICOM Service AE will issue a C-FIND-CANCEL message to the remote AE to discontinue the ongoing C-FIND
operation.

If a “Failure” status is returned from the Remote AE, the association is closed, and the operation terminated.

When the user initiates a Retrieve operation at any level (Study, Series, Image) the DICOM Service AE will initiate a C-MOVE-RQ request to the
Remote AE with the DICOM Service AE as the Destination AE. The Storage SCP will handle the incoming images.

The C-MOVE SCU supports only the Baseline behavior and does not negotiate for Extended behavior during association. During the move
operations, Unique Key values for all levels above the Query/Retrieve Level specified will be supplied in the C-MOVE request.

The DICOM Service AE does not send a C-MOVE request with List of UIDs. If the user chooses multiple exams from the remote browser for
retrieval, it creates separate association and send one C-MOVE request with single exam UID, for each study. The system works the same way
when the user tries to retrieve multiple series.

An individual retrieve-job is created in the job management queue for each exam/series request.

If the user tries to retrieve multiple images within a series, it will create single association and sends multiple C-MOVE requests; one C-MOVE
request per image within the same association.

However, for each user request, a single retrieve-job is created in the job management queue.

If the C-MOVE SCU receives a status different from success (0x0000) or pending (0xFF00) during the association, the DICOM Service AE will release
the association. This information will be logged in the system log files and the network/job manager queue will be updated accordingly.

During Retrieve operation, the DICOM Service AE is able to generate a C-MOVE-CANCEL.

When a Cancel response (0xFE00) is received, the DICOM Service AE will release the association. This information will be logged in the system log
files and the network queue will be updated accordingly.

Extended Negotiation

The Extended Negotiation parameters for all services that are supported by the Application Entity for the Real-World Activity Query/Retrieve are
described in Table 7-4.

Table 7-4 Extended Negotiation for Query/Retrieve of DICOM Service AE - Association Initiation
SOP Class Extended Negotiation Support Requested Value
Query
Applicable to all Query Retrieve - FIND SOP Classes Relational queries N
mentioned under Section 5.
Date-time matching N
Fuzzy semantic matching of person names N
Timezone query adjustment N
Enhanced Multi-Frame Image Conversion N
Retrieve
Applicable to all Query Retrieve - MOVE SOP Classes Relational retrieval N

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SOP Class Extended Negotiation Support Requested Value

mentioned under Section 5. Enhanced Multi-Frame Image Conversion N
Timezone query adjustment N

Role Negotiation – N/A

N/A

7.2.1.3.6 Real-World Activity Print

Print application can be used in different ways:

• Autoprint feature.
• Manual print.
• Film composer.

To print automatically, the user must configure it in Image preferences.

To print manually, the user must select the DICOM printer, from Viewing Applications, and press Print Button.

To print with the Film Composer:

1. User must select the DICOM printer from the Film Composer Interface.
2. The images to be printed shall be selected into Film Composer slots from Viewing Applications.
3. The user must press the Print Button to print the images.

The DICOM Service AE will start the Print Session. The Print Session involves establishing association with the printer followed by the next
sequence of activities:

a. The DICOM Service AE gets the Printer status using N-GET service. If the Printer returns FAILURE status the print session will be
terminated, and the requester will be notified of the printer status.
b. The film session is created using N-CREATE service. In case of error, the print session will be terminated. The attribute values for the
Film session will be specified with the film session request.
c. The film box is created using N-CREATE service. The print session will be terminated if the printer fails to create the film box. The film
box attribute values will be sent in the film box create request.
d. The image attributes for the images to be printed in this session will be set using the N-SET service. If the printer fails to accommodate
the images in the image set, the print session will be terminated. If the user used “film composer”, they will be as many N-SET box as
images in the film.
e. The film will be printed using the N-ACTION service. Only film box printing is supported. In case of error, the print session will be
terminated.
f. The Film Box instance will be deleted using the N-DELETE service.
g. The SCU does not wait for N-EVENT-REPORT from the Printer after deleting the film box instance. The N-EVENT-REPORT received when
the association was still active is handled, but the data received will be ignored.
h. Finally, the association will be terminated and if all the above operations are successful the requester will be notified of the successful
print session. This status just indicates that the images to be printed have been successfully sent to the printer.

Extended Negotiation - N/A

N/A

Role Negotiation – N/A

N/A

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7.2.1.3.7 Real-World Activity Verify Connectivity
The user can choose to verify a remote Application Entity. Upon user’s request, DICOM Service AE sends out a verification request to a Remote
AE.

The DICOM Service AE provides standard conformance. In case of failure, the verification is not retried.

Each C-ECHO operation supports an “Association Timer”. This timer starts when the association request is sent and stops when the association
is established. Time-out is 20 seconds. If the remote AE does not respond with the association time-out, the verification operation is considered
as failed.

Extended Negotiation - N/A

N/A

Role Negotiation – N/A

N/A

7.2.1.4 Association Acceptance

This section details the Association policies of the Application Entity when it is the acceptor of an Association.

7.2.1.4.1 Real-World Activity Receive Images

Any remote AE can open an association to the local DICOM Service AE to push images.

Extended Negotiation

The Extended Negotiation parameters for all services that are requested by the Application Entity for the Real-World Activity Receive Images are
described in Table 7-5.

Table 7-5 Extended Negotiation for Receive Images of DICOM Service AE - Association Acceptance
SOP Class Extended Negotiation Support Requested Value
Storage
Applicable to all Storage SOP Classes listed under Section 5. Level of support N
Level of Digital Signature support N
Element Coercion N

Transfer Syntax Selection Policies

This section provides tables that describe the Transfer Syntax preference for different SOP Classes or SOP Class groups when there are multiple
Transfer Syntaxes provided by the Association initiator for Real-World Activity Receive images of DICOM Service AE of the system.
When there are multiple Transfer Syntax provided by the Association initiator, selection of the Transfer Syntax by the DICOM Service AE is not
based on a preference order, but DICOM Service AE will select the first in the presentation context that is supported.

Table 7-6 Transfer Syntax Selection Preference Order - Image SOP Classes for DICOM Service AE
Preference Order Transfer Syntax UID Comments
0 Explicit VR Little-Endian Transfer Syntax 1.2.840.10008.1.2.1 Chosen if it is the first in the Presentation Context
among the supported Transfer Syntaxes.
0 Implicit VR Little-Endian Transfer Syntax 1.2.840.10008.1.2 Chosen if it is the first in the Presentation Context
among the supported Transfer Syntaxes.
0 Explicit VR Big-Endian Transfer Syntax 1.2.840.10008.1.2.2 Chosen if it is the first in the Presentation Context
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Preference Order Transfer Syntax UID Comments

among the supported Transfer Syntaxes.
0 JPEG Lossless, Hierarchical, First-Order 1.2.840.10008.1.2.4.70 Chosen if it is the first in the Presentation Context
Prediction Transfer Syntax among the supported Transfer Syntaxes. It is
supported only for Breast Tomosynthesis Image
Storage SOP Class.

Table 7-7 Transfer Syntax Selection Preference Order - Non-Image SOP Classes for DICOM Service AE
Preference Order Transfer Syntax UID Comments
0 Explicit VR Little-Endian Transfer Syntax 1.2.840.10008.1.2.1 Chosen if it is the first in the Presentation Context
among the supported Transfer Syntaxes.
0 Implicit VR little-Endian Transfer Syntax 1.2.840.10008.1.2 Chosen if it is the first in the Presentation Context
among the supported Transfer Syntaxes.
0 Explicit VR Big-Endian Transfer Syntax 1.2.840.10008.1.2.2 Chosen if it is the first in the Presentation Context
among the supported Transfer Syntaxes.

7.2.1.4.2 Real-World Activity Archive images

The DICOM Service AE is indefinitely listening for associations. No operator action is required to receive a Storage Commitment notification (N-
EVENT-REPORT).

N-EVENT-REPORT can be received by the Senographe Pristina on the same Association as the N-ACTION, or on a different one.

If the received N-ACTION Response from the SCP has a success status, the Senographe Pristina waits 10 seconds for an N-EVENT-REPORT on the
same association. This time-out is not configurable. If the N-EVENT-REPORT request is not received in this time, it closes the association and
changes the Job state to ”Waiting” indicating the job is waiting for the response from commitment provider. Then it can receive a N-EVENT-
REPORT from the SCP at any time on a different association.

Transfer Syntax Selection Policies

This section provides tables that describe the Transfer Syntax preference for different SOP Classes or SOP Class groups when there are multiple
Transfer Syntaxes provided by the Association initiator for Real-World Activity Receive images of DICOM Service AE of the system.
When there are multiple Transfer Syntax provided by the Association initiator, selection of the Transfer Syntax by the DICOM Service AE is not
based on a preference order, but DICOM Service AE will select the first in the presentation context that is supported.

Table 7-8 Transfer Syntax Selection Preference Order - Non-Image SOP Classes for DICOM Service AE
Preference Order Transfer Syntax UID Comments
0 Explicit VR Little-Endian Transfer Syntax 1.2.840.10008.1.2.1 Chosen if it is the first in the Presentation Context
among the supported Transfer Syntaxes.
0 Implicit VR little-Endian Transfer Syntax 1.2.840.10008.1.2 Chosen if it is the first in the Presentation Context
among the supported Transfer Syntaxes.
0 Explicit VR Big-Endian Transfer Syntax 1.2.840.10008.1.2.2 Chosen if it is the first in the Presentation Context
among the supported Transfer Syntaxes.

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Role negotiation

The Storage Commitment Provider initiating the association must use the role selection negotiation.

7.2.1.4.3 Real-World Activity Verify Connectivity

The DICOM Service AE provides standard conformance.

Any remote AE can open an association to the DICOM Service AE for the purpose of verification.

The DICOM Service AE monitors an “Operation Inactivity” timer. The connection with the SCU will be terminated if it is inactive for the time-out
interval. Time-out is 15 seconds and is not configurable.

Transfer Syntax Selection Policies

This section provides tables that describe the Transfer Syntax preference for different SOP Classes or SOP Class groups when there are multiple
Transfer Syntaxes provided by the Association initiator for Real-World Activity Receive images of DICOM Service AE of the system.
When there are multiple Transfer Syntax provided by the Association initiator, selection of the Transfer Syntax by the DICOM Service AE is not
based on a preference order, but DICOM Service AE will select the first in the presentation context that is supported.

Table 7-9 Transfer Syntax Selection Preference Order - Non-Image SOP Classes for DICOM Service AE
Preference Order Transfer Syntax UID Comments
0 Explicit VR Little-Endian Transfer Syntax 1.2.840.10008.1.2.1 Chosen if it is the first in the Presentation Context
among the supported Transfer Syntaxes.
0 Implicit VR little-Endian Transfer Syntax 1.2.840.10008.1.2 Chosen if it is the first in the Presentation Context
among the supported Transfer Syntaxes.
0 Explicit VR Big-Endian Transfer Syntax 1.2.840.10008.1.2.2 Chosen if it is the first in the Presentation Context
among the supported Transfer Syntaxes.

7.3 Status Codes

The following sections describe the Status Codes supported by the system for each implemented service as well as the reason for issuing specific
Status codes or the associated behavior when receiving it.

7.3.1 General AE Communication and Failure Behavior and Handling

7.3.1.1 Communication Failure Behavior as Association Initiator
Table 7-10 describes behavior of the AE if a communication failure occurs when it initiated an Association.

Table 7-10 DICOM Communication Failure Behavior as Association Initiator

Failure Failure Behavior
Timeout The job is marked as failed. The reason is logged and reported to the user.
Association aborted The job is marked as failed. The reason is logged and reported to the user.
Network Disconnect The job is marked as failed. The reason is logged and reported to the user.

7.3.1.2 Communication Failure Handling as Association Acceptor

Table 7-11 describes how the AE responds when it receives an Association request that leads to a failure in communication.
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Table 7-11 DICOM Communication Failure Handling as Association Acceptor

Exception Failure response
Failure during processing of an Association request ABORT message is sent out and the connection is closed
Unrecognized Called AE AE responds with Association-RJ
Exceed limit for number of connections supported AE responds with Association-RJ

7.3.2 DIMSE Services

7.3.2.1 Basic Worklist Management Service
7.3.2.1.1 SCU of the Modality Worklist Information Model Find SOP Class - C-FIND
Table 7-12 lists the Status Codes that the SCU of the Modality Worklist Information Model Find SOP Class supports for the C-FIND message and
defines the application behavior when encountering the listed Status Codes.

Table 7-12 Status Codes for C-FIND of the Modality Worklist Information Model SOP Class - SCU
Service Status Further Meaning Status Code Behavior
Success Matching is complete - No final identifier is supplied 0000 Displays all the worklists items obtained from
the SCP.
Failure Refused: Out of Resources A700 Logs the error and displays all the persisted
worklists.
SOP Class Not Supported 0122 Worklist query operation is considered as failure
and the error message is displayed to the user.
Persisted worklist item(s) got from previous
request to the SCP will be shown.
Error: Data Set does not match SOP Class A900 Logs the error and displays all the persisted
worklists.
Error: Unable to process C000-CFFF Logs the error and displays all the persisted
worklists.
Cancel Matching terminated due to cancel FE00 Closes the association.
Pending Matches are continuing - Current Match is supplied and any FF00 Continues to wait for worklists items from SCP.
Optional Keys were supported in the same manner as
Required Keys.
Matches are continuing - Warning that one or more Optional FF01 Continues to wait for worklists items from SCP.
Keys were not supported for existence for this Identifier
- Other status codes anything else Worklist query operation is considered as failure
and the error message is displayed to the user.
Persisted worklist item(s) got from previous
request to the SCP will be shown.

7.3.2.1.2 SCP of the Modality Worklist Information Model Find SOP Class - C-FIND - N/A

N/A

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7.3.2.2 Modality Performed Procedure Step Service

7.3.2.2.1 SCU of the Modality Performed Procedure Step SOP Class - N-CREATE
Table 7-13 lists the Status Codes that the SCU of the Modality Performed Procedure Step SOP Class supports for the N-CREATE message and
defines the application behavior when encountering the listed Status Codes.

Table 7-13 Status Codes for N-CREATE of the Modality Performed Procedure Step SOP Class - SCU
Service Status Further Meaning Status Code Behavior
Success Success 0000 The system updates the state and indicates the same on the
user interface.
Failure No Such Attribute 0105 Error message is logged into the system log-file and indicates
the status on the user interface.
Invalid Attribute Value 0106 Error message is logged into the system log-file and indicates
the status on the user interface.
Processing Failure 0110 Error message is logged into the system log-file and indicates
the status on the user interface. Retries the operation after the
configured time is elapsed.
Invalid SOP Instance 0117 Error message is logged into the system log-file and indicates
the status on the user interface.
No Such SOP Class 0118 Error message is logged into the system log-file and indicates
the status on the user interface.
Missing Attribute 0120 Error message is logged into the system log-file and indicates
the status on the user interface.
Duplicate Invocation 0210 Error message is logged into the system log-file and indicates
the status on the user interface.
Unrecognized Operation 0211 Error message is logged into the system log-file and indicates
the status on the user interface.
Mistyped Argument 0212 Error message is logged into the system log-file and indicates
the status on the user interface.
Resource Limitation 0213 Error message is logged into the system log-file and indicates
the status on the user interface. Retries the operation after the
configured time is elapsed.
- Other status codes anything else The operation is deemed ‘Failed’. Detailed message is logged
into the system log-file and indicates the status on the user
interface. Retries the operation after the configured time is
elapsed.

7.3.2.2.2 SCU of the Modality Performed Procedure Step SOP Class - N-SET
Table 7-14 lists the Status Codes that the SCU of the Modality Performed Procedure Step SOP Class supports for the N-SET message and defines
the application behavior when encountering the listed Status Codes.

Table 7-14 Status Codes for N-SET of the Modality Performed Procedure Step SOP Class - SCU
Service Status Further Meaning Status Code Behavior
Success Success 0000 The system updates the state and indicates the same on the
user interface.

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Service Status Further Meaning Status Code Behavior

Failure No Such Attribute 0105 Error message is logged into the system log-file and indicates
the status on the user interface.
Invalid Attribute Value 0106 Error message is logged into the system log-file and indicates
the status on the user interface.
Processing Failure 0110 Error message is logged into the system log-file and indicates
the status on the user interface.
Invalid SOP Instance 0117 Error message is logged into the system log-file and indicates
the status on the user interface.
No Such SOP Class 0118 Error message is logged into the system log-file and indicates
the status on the user interface.
Class-Instance Conflict 0119 Error message is logged into the system log-file and indicates
the status on the user interface.
Duplicate Invocation 0210 Error message is logged into the system log-file and indicates
the status on the user interface.
Unrecognized Operation 0211 Error message is logged into the system log-file and indicates
the status on the user interface.
Mistyped Argument 0212 Error message is logged into the system log-file and indicates
the status on the user interface.
Resource Limitation 0213 Error message is logged into the system log-file and indicates
the status on the user interface.
- Other status codes anything else The operation is deemed ‘Failed’. Detailed message is logged
into the system log-file and indicates the status on the user
interface. Retries the operation after the configured time is
elapsed.

7.3.2.2.3 SCP of the Modality Performed Procedure Step SOP Class - N-CREATE - N/A

N/A

7.3.2.2.4 SCP of the Modality Performed Procedure Step SOP Class - N-SET - N/A

N/A

7.3.2.3 Unified Worklist und Procedure Step Service - N/A

N/A

7.3.2.4 Instance Availability Notification Service - N/A

N/A

7.3.2.5 Storage Service

7.3.2.5.1 SCU of the Storage SOP Classes - C-STORE
Table 7-15 lists the Status Codes that the SCU of the Storage SOP Class supports for the C-STORE message and defines the application behavior
when encountering the listed Status Codes.

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Table 7-15 Status Codes C-STORE for the Storage SOP Classes - SCU
Service Status Further Meaning Status Code Behavior
Success Success 0000 Success status displayed in the Network status and browser job
manager queue. Log files updated.
Warning Coercion of Data Elements B000 Operation considered as successful. Warning is logged in the log files.
Data Set does not match SOP Class B007 Operation considered as successful. Warning is logged in the log files.
Elements Discarded B006 Operation considered as successful. Warning is logged in the log files.
Failure Error: Processing Failure 0110 Operation considered as failed. Error displayed in the Network status
and browser job manager queue. Log-files updated.
Push job is retried
Out of Resources A700-A7FF Operation considered as failed. Error displayed in the Network status
and browser job manager queue. Log-files updated.
Push job is retried
Data Set does not match SOP Class A900-A9FF Operation considered as failed. Error displayed in the Network status
and browser job manager queue. Log-files updated.
Push job is not retried
Cannot Understand C000-CFFF Operation considered as failed. Error displayed in the Network status
and browser job manager queue. Log-files updated.
Push job is retried
- Other status codes anything else Operation considered as failed. Error displayed in the Network status
and browser job manager queue. Log-files updated.

7.3.2.5.2 SCP of the Storage SOP Classes - C-STORE

Table 7-16 lists the Status Codes that the SCP of the Storage SOP Classes supports for the C-STORE message and defines conditions in which the
listed Status Codes are sent.

Table 7-16 Status Codes C-STORE of the Storage SOP Classes - SCP
Service Status Further Meaning Status Codes Related Fields Condition (and Comments on Related
fields)
Success Success 0000 N/A DICOM instance stored successfully.
Refused Refused: Out of Resources A700 (0000,0902) Not enough diskspace to store the DICOM
object.
Refused: Out of Resources A711 (0000,0902) Unable to connect to local database for
storage (such as maximum connection limit
reached).
Failure Error: Data Set does not match SOP Class A900 (0000,0902) Storage of the DICOM object failed due to
corrupt/invalid dataset.
Error: Cannot understand C000 (0000,0902) Error while storing DICOM object in the
repository.

7.3.2.6 Storage Commitment Service

7.3.2.6.1 SCU of the Storage Commitment Push Model SOP Class - N-ACTION
Table 7-17 lists the Status Codes that the SCU of the Storage Commitment Push Model SOP Class supports for the N-ACTION message and
defines the application behavior when encountering the listed Status Codes.

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Table 7-17 Status Codes for N-ACTION of the Storage Commitment Push Model SOP Class - SCU
Service Status Further Meaning Status Code Behavior
Success 0000 The request for storage comment is considered successfully sent.
System displays “waiting” message in the job manager user interface.
Failure Processing failure 0110 The system displays the appropriate error message in the job
manager user interface.
No such argument 0114 The system displays the appropriate error message in the job
manager user interface.
Invalid argument Value 0115 The system displays the appropriate error message in the job
manager user interface.
Invalid Object instance 0117 The system displays the appropriate error message in the job
manager user interface.
No such SOP Class 0118 The system displays the appropriate error message in the job
manager user interface.
Class-instance conflict 0119 The system displays the appropriate error message in the job
manager user interface.
Unrecognized operation 0211 The system displays the appropriate error message in the job
manager user interface.
Mistyped argument 0212 The system displays the appropriate error message in the job
manager user interface.
Resource limitation 0213 The system logs the appropriate error message and retries the
operation after the configured time is elapsed.
- Other status codes anything else The system displays the appropriate error message in the job
manager user interface.

7.3.2.6.2 SCU of the Storage Commitment Push Model SOP Class - N-EVENT-REPORT
Table 7-18 lists the Status Codes that the SCU of the Storage Commitment Push Model SOP Class supports for the N-EVENT-REPORT message
and defines the application behavior when encountering the listed Status Codes.

Table 7-18 Status Codes for N-EVENT-REPORT for the Storage Commitment Push Model SOP Class - SCU
Service Status Further Meaning Status Code Behavior
Success 0000 The storage commitment result received successfully.
Failure Processing failure 0110 Indicates that an internal error occurred while processing.

7.3.2.6.3 SCP of the Storage Commitment Push Model SOP Class - N-ACTION - N/A

N/A

7.3.2.6.4 SCP of the Storage Commitment Push Model SOP Class - N-EVENT-REPORT - N/A

N/A

7.3.2.7 Query/Retrieve Service

7.3.2.7.1 SCU of the Query/Retrieve FIND SOP Classes - C-FIND
Table 7-19 lists the Status Codes that the SCU of any of the Query/Retrieve FIND SOP Class supports for the C-FIND message and defines the
application behavior when encountering the listed Status Codes.

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Table 7-19 Status Codes C-FIND for Query/Retrieve FIND SOP Classes - SCU
Service Status Further Meaning Status Code Behavior
Success Matching is complete - No final identifier is 0000 Processed and gracefully exits the C-FIND request
supplied processing.
Failure Refused: Out of Resources A700 Browser displays appropriate error to user.
Error: Data Set does not match SOP Class A900 Browser displays appropriate error to user.
Error: Unable to process C000-CFFF Browser displays appropriate error to user.
Cancel Matching terminated due to cancel FE00 1. Considered as invalid status and the operation is
terminated if the query CANCEL was not requested.
2. If the query CANCEL was requested by the SCU, then
system gracefully exits the C-FIND request processing.
Pending Matches are continuing - Current Match is FF00 Processed and the data is displayed in the Browser.
supplied and any Optional Keys were supported
in the same manner as Required Keys.
Matches are continuing - Warning that one or FF01 Processed and the data is displayed in the Browser.
more Optional Keys were not supported for
existence for this Identifier
- Other status codes anything else Operation terminated and the association is closed.
Browser displays appropriate error to user.

7.3.2.7.2 SCU of the Query/Retrieve MOVE SOP Classes - C-MOVE

Table 7-20 lists the Status Codes that the SCU of any of the Query/Retrieve MOVE SOP Class supports for the C-MOVE message and defines the
application behavior when encountering the listed Status Codes.

Table 7-20 Status Codes C-MOVE for Query/Retrieve MOVE SOP Classes - SCU
Service Status Further Meaning Status Codes Related Fields Behavior
Success Sub-operations Complete - No Failures 0000 (0000,1020) Processed and gracefully exits C-MOVE request
(0000,1021) processing.
(0000,1022)
(0000,1023)
Warning Sub-operations Complete - One or more B000 (0000,1020) The system will display the failure message in
Failures (0000,1022) the job manager user interface.
(0000,1023)
Failed Out of Resources - Unable to calculate A701 (0000,0902) The system will display the failure message in
number of matches job manager user interface and retry the
operation after time is elapsed.
Out of Resources - Unable to perform sub- A702 (0000,1020) The system will display the failure message and
operations (0000,1021) retry the operation after configured time is
(0000,1022) elapsed.
(0000,1023)
Move Destination unknown A801 (0000,0902) The system will display the failure message in
job manager user interface.
Data Set does not match SOP Class A900 (0000,0901) The system will display the failure message in
(0000,0902) job manager user interface.

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Service Status Further Meaning Status Codes Related Fields Behavior

Unable to process Cxxx (0000,0901) The system will display the failure message in
(0000,0902) job manager user interface.

Cancel Sub-operations terminated due to Cancel FE00 (0000,1020) 1. Considered as invalid status and the
Indication (0000,1021) operation is terminated if the Move CANCEL
(0000,1022) was not requested.
(0000,1023) 2. If the Move CANCEL was requested by the
SCU, then the system gracefully exits the C-
MOVE request processing.
Pending Sub-operations are continuing FF00 (0000,1020) The system processes the information and
(0000,1021) displays the progress in the job manager UI.
(0000,1022)
(0000,1023)
- Other status codes anything else - C-MOVE operation is considered as failure. The
system will display the failure message in the
job manager user interface and log the
information in the log files.

7.3.2.7.3 SCP of the Query/Retrieve FIND SOP Classes - C-FIND - N/A

N/A

7.3.2.7.4 SCP of the Query/Retrieve MOVE SOP Classes - C-MOVE - N/A

N/A

7.3.2.8 Print Management Service

7.3.2.8.1 SCU of the Basic Film Session SOP Class

7.3.2.8.1.1 SCU of the Basic Film Session SOP Class - N-CREATE

Table 7-21 lists the Status Codes that the SCU of the Basic Film Session SOP Class supports for the N-CREATE message and defines the
application behavior when encountering the listed Status Codes.

Table 7-21 Status Codes for N-CREATE of the Basic Film Session SOP Class - SCU
Service Status Further Meaning Status Code Behavior
Success Success 0000 Logs film session instance UID and proceeds for creating film box.
Warning Memory allocation not supported B600 Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.
Failure No Such Attribute 0105 Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.
Invalid Attribute Value 0106 Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.
Duplicate SOP Instance 0111 Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.
Invalid SOP Instance 0117 Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.
No Such SOP Class 0118 Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.

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Service Status Further Meaning Status Code Behavior

Missing Attribute 0120 Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.
Missing Attribute Value 0121 Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.
Unrecognized Operation 0211 Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.
Mistyped Argument 0212 Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.
Resource Limitation 0213 Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.
- Other status codes anything else Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.

7.3.2.8.1.2 SCU of the Basic Film Session SOP Class - N-SET – N/A
N/A

7.3.2.8.1.3 SCU of the Basic Film Session SOP Class - N-DELETE – N/A
N/A

7.3.2.8.1.4 SCU of the Basic Film Session SOP Class - N-ACTION – N/A
N/A

7.3.2.8.2 SCU of the Basic Film Box Session SOP Class

7.3.2.8.2.1 SCU of the Basic Film Box Session SOP Class - N-CREATE
Table 7-21 lists the Status Codes that the SCU of the Basic Film Box SOP Class supports for the N-CREATE message and defines the application
behavior when encountering the listed Status Codes.

Table 7-22 Status Codes for N-CREATE of the Basic Film Box SOP Class - SCU
Service Status Further Meaning Status Code Behavior
Success Success 0000 Proceed for setting image box.
Warning Requested Min Density or Max Density outside B605 Fails print job and displays print failure message on Job
of printer’s operating range. The printer will use Manager UI. Error details along with the status code is logged.
its respective minimum or maximum density
value instead.
Failure No such attributes 0105 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Invalid Attribute Value 0106 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Processing Failure 0110 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Duplicate SOP Instance 0111 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Invalid SOP Instance 0117 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.

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Service Status Further Meaning Status Code Behavior

No Such SOP Class 0118 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Missing Attribute 0120 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Missing Attribute Value 0121 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Duplicate Invocation 0210 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Unrecognized Operation 0211 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Mistyped Argument 0212 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Resource Limitation 0213 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
There is an existing Film Box that has not been C616 Fails print job and displays print failure message on Job
printed and N-ACTION at the Film Session level Manager UI. Error details along with the status code is logged.
is not supported. A new Film Box will not be
created when a previous Film Box has not been
printed
- Other status codes anything Fails print job and displays print failure message on Job
else Manager UI. Error details along with the status code is logged.

7.3.2.8.2.2 SCU of the Basic Film Box Session SOP Class - N-SET -N/A
N/A

7.3.2.8.2.3 SCU of the Basic Film Box Session SOP Class - N-DELETE
Table 7-23 lists the Status Codes that the SCU of the Basic Film Box SOP Class supports for the N-DELETE message and defines the application
behavior when encountering the listed Status Codes.

Table 7-23 Status Codes for N-DELETE of the Basic Film Box SOP Class - SCU
Service Status Further Meaning Status Code Behavior
Success Success 0000 Log the success message.
Failure Processing Failure 0110 Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.
Invalid SOP Instance 0117 Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.
No Such SOP Class 0118 Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.
Class Instance Conflict 0119 Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.
Refused: Not Authorized 0124 Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.
Duplicate Invocation 0210 Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.

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Unrecognized Operation 0211 Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.
Mistyped Argument 0212 Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.
Resource Limitation 0213 Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.
- Other status codes anything else Fails print job and displays print failure message on Job Manager UI.
Error details along with the status code is logged.

7.3.2.8.2.4 SCU of the Basic Film Box Session SOP Class - N-ACTION
Table 7-24 lists the Status Codes that the SCU of the Basic Film Box SOP Class supports for the N-ACTION message and defines the application
behavior when encountering the listed Status Codes.

Table 7-24 Status Codes for N-ACTION of the Basic Film Box SOP Class - SCU
Service Status Further Meaning Status Code Behavior
Success Success 0000 Proceed in parsing N-Action response.
Warning Film Box SOP Instance hierarchy does not B603 Fails print job and displays print failure message on Job
contain Image Box SOP Instances (empty page) Manager UI. Error details along with the status code is logged.
Image size is larger than Image Box size. The B604 Fails print job and displays print failure message on Job
image has been demagnified. Manager UI. Error details along with the status code is logged.
Image size is larger than Image Box size. The B609 Fails print job and displays print failure message on Job
image has been cropped to fit. Manager UI. Error details along with the status code is logged.
Image size or Combined Print Image Size is larger B60A Fails print job and displays print failure message on Job
than Image Box size. The image or combined Manager UI. Error details along with the status code is logged.
Print Image has been decimated to fit.
Failure Processing failure 0110 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
No such SOP Instance 0112 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
No Such Argument 0114 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Invalid argument Value 0115 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Invalid SOP Instance 0117 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
No Such SOP Class 0118 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Class-Instance Conflict 0119 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
No Such Action 0123 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Refused: Not Authorized 0124 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.

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Duplicate Invocation 0210 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Unrecognized Operation 0211 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Mistyped Argument 0212 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Resource Limitation 0213 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Unable to create Print Job SOP Instance; print C602 Fails print job and displays print failure message on Job
queue is full. Manager UI. Error details along with the status code is logged.
Image size is larger than Image Box size. C603 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Combined Print Image Size is larger than Image C613 Fails print job and displays print failure message on Job
Box size. Manager UI. Error details along with the status code is logged.
- Other status codes anything Fails print job and displays print failure message on Job
else Manager UI. Error details along with the status code is logged.

7.3.2.8.3 SCU of the Basic Grayscale Image Box SOP Class - N-SET
Table 7-25 lists the Status Codes that the SCU of the Basic Grayscale Image Box SOP Class supports for the N-SET message and defines the
application behavior when encountering the listed Status Codes.

Table 7-25 Status Codes for N-SET of the Grayscale Image Box SOP Class - SCU
Service Status Further Meaning Status Code Behavior
Success Success 0000 Continues setting image box if more images are there, else
sends N-Action request.
Warning Image size is larger than Image Box size. The B604 Fails print job and displays print failure message on Job
image has been demagnified. Manager UI. Error details along with the status code is logged.
Requested Min Density or Max Density outside of B605 Fails print job and displays print failure message on Job
printer's operating range. Manager UI. Error details along with the status code is logged.
Image size is larger than Image Box size. The B609 Fails print job and displays print failure message on Job
image has been cropped to fit. Manager UI. Error details along with the status code is logged.
Image size or Combined Print Image Size is larger B60A Fails print job and displays print failure message on Job
than Image Box size. The image or combined Manager UI. Error details along with the status code is logged.
Print Image has been decimated to fit.
Failure No Such Attribute 0105 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Invalid Attribute Value 0106 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Processing Failure 0110 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Duplicate SOP Instance 0111 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.

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Invalid SOP Instance 0117 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
No Such SOP Class 0118 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Class Instance Conflict 0119 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Missing Attribute 0120 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Missing Attribute Value 0121 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Refused: Not Authorized 0124 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Duplicate Invocation 0210 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Unrecognized Operation 0211 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Mistyped Argument 0212 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Resource Limitation 0213 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Image size is larger than Image Box size. C603 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Insufficient memory in printer to store the image. C605 Fails print job and displays print failure message on Job
Manager UI. Error details along with the status code is logged.
Combined Print Image Size is larger than Image C613 Fails print job and displays print failure message on Job
Box size. Manager UI. Error details along with the status code is logged.
- Other status codes anything Fails print job and displays print failure message on Job
else Manager UI. Error details along with the status code is logged.

7.3.2.8.4 SCU of the Basic Color Image Box SOP Class - N-SET - N/A

N/A

7.3.2.8.5 SCU of the Printer SOP Class

7.3.2.8.5.1 SCU of the Printer SOP Class - N-EVENT-REPORT

Table 7-26 lists the Status Codes that the SCU of Printer SOP Class supports for the N-EVENT-REPORT message and defines the application
behavior when encountering the listed Status Codes.

Table 7-26 Status Codes for N-EVENT-REPORT of the Printer SOP Class - SCU
Service Status Further Meaning Status Code Behavior
Success Success 0000
Failure Processing Failure 0110
No Such SOP Instance 0112

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No Such Event Type 0113
No Such Argument 0114
Invalid Argument Value 0115
Invalid SOP Instance 0117
No Such SOP Class 0118
Class-Instance Conflict 0119
Duplicate Invocation 0210
Unrecognized Operation 0211
Mistyped Argument 0212
Resource Limitation 0213
- Other status codes anything else

7.3.2.8.5.2 SCU of the Printer SOP Class - N-GET

Table 7-27 lists the Status Codes that the SCU of the Printer SOP Class supports for the N-GET message and defines the application behavior
when encountering the listed Status Codes.

Table 7-27 Status Codes for N-GET of the Printer SOP Class - SCU
Service Status Further Meaning Status Code Behavior
Success Success 0000 Proceed with parsing dataset returned from N-Get response and perform
appropriate operations.
Warning Attribute List Error 0107 Fails print job and displays print failure message on Job Manager UI. Error
details along with the status code is logged.
Failure Processing Failure 0110 Fails print job and displays print failure message on Job Manager UI. Error
details along with the status code is logged.
No Such SOP Instance 0112 Fails print job and displays print failure message on Job Manager UI. Error
details along with the status code is logged.
Invalid SOP Instance 0117 Fails print job and displays print failure message on Job Manager UI. Error
details along with the status code is logged.
No Such SOP Class 0118 Fails print job and displays print failure message on Job Manager UI. Error
details along with the status code is logged.
Class-Instance Conflict 0119 Fails print job and displays print failure message on Job Manager UI. Error
details along with the status code is logged.
Refused: Not Authorized 0124 Fails print job and displays print failure message on Job Manager UI. Error
details along with the status code is logged.
Duplicate Invocation 0210 Fails print job and displays print failure message on Job Manager UI. Error
details along with the status code is logged.
Unrecognized Operation 0211 Fails print job and displays print failure message on Job Manager UI. Error
details along with the status code is logged.
Mistyped Argument 0212 Fails print job and displays print failure message on Job Manager UI. Error
details along with the status code is logged.
Resource Limitation 0213 Fails print job and displays print failure message on Job Manager UI. Error

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details along with the status code is logged.
- Other status codes anything else Fails print job and displays print failure message on Job Manager UI. Error
details along with the status code is logged.

7.3.2.8.6 SCU of the Basic Annotation Box SOP Class - N-SET - N/A

N/A

7.3.2.8.7 SCU of the Print Job SOP Class - N/A

N/A

7.3.2.8.8 SCU of the Presentation LUT SOP Class - N/A

N/A

7.3.2.8.9 SCU of the Printer Configuration Retrieval SOP Class - N-GET - N/A

N/A

7.3.2.8.10 SCP of the Basic Film Session SOP Class - N/A

N/A

7.3.2.8.11 SCP of the Basic Film Box SOP Class - N/A

N/A

7.3.2.8.12 SCP of the Basic Grayscale Image Box SOP Class - N-SET - N/A

N/A

7.3.2.8.13 SCP of the Basic Color Image Box SOP Class - N-SET - N/A

N/A

7.3.2.8.14 SCP of the Printer SOP Class - N/A

N/A

7.3.2.8.15 SCP the Basic Annotation Box SOP Class - N-SET - N/A

N/A

7.3.2.8.16 SCP of the Print Job SOP Class - N/A

N/A

7.3.2.8.17 SCP of the Presentation LUT SOP Class - N/A

N/A

7.3.2.8.18 SCP of the Printer Configuration Retrieval SOP Class - N-GET - N/A

N/A

7.3.3 DICOM Web Services - N/A

N/A

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8 Security
8.1 Introduction
The security section describes security features implemented by this product. It includes descriptions of non-DICOM network protocols,
information to configure firewalls and application whitelists, lists of supported DICOM security profiles as well as Web Security features.
Additionally, secured media storage, VPN, etc. are also specified in this security section.

8.2 External Network Requirements

Table 8-1 describes additional non-DICOM network protocols that are used by Senographe Pristina.

Table 8-1 External Network Requirements

Profile Actor Transaction Protocol Used RFCs Security Support Reference
Basic Time Synchronization NTP Client Maintain Time NTP RFC5905 N C.1.1
Basic Network Address DHCP Client Find and Use DHCP DHCP RFC2131; N C.1.2
Management Server RFC2132;
RFC2563
Maintain Lease DHCP RFC2131; N C.1.2
RFC2132
Application Configuration LDAP Client Query LDAP Server LDAP RFC2251 Y C.1.3
Management

8.3 TCP Port Configuration

See Section 6 Configuration for information on the usage of ports for DICOM and other protocols. This section contains helpful information for
product administrators to configure firewalls, application whitelists, etc.

8.4 DICOM Security Profiles Support

8.4.1 Secure Use and User Identity Profiles
Table 8-2 lists the Secure Use and User Identity Profiles:

Table 8-2 Secure Use and User Identity Profiles

Profile Creator/Sender Consumer/Receiver Reference
Online Electronic Storage Secure Use N N C.2.1
Audit Trail Message Format Y N C.2.2
Audit Trail Message Transmission Profile - SYSLOG-TLS Y N C.2.3
Audit Trail Message Transmission Profile - SYSLOG-UDP Y N C.2.4
Basic User Identity Association N N 8.5
User Identity Plus Passcode Association N N 8.5
Kerberos Identity Negotiation Association N N 8.5
Generic SAML Assertion Identity Negotiation Association N N 8.5

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8.4.2 Secure Transport Connection Profiles

Table 8-3 describes the Secure Transport Connection Profiles supported by the product. Accepted cipher suites are described in the section
listed in the "Reference" column.

Table 8-3 Secure Transport Connection Profiles

Profile Secured AE Sender Receiver Reference
BCP 195 RFC 8996 TLS Secure Transport Connection Profile N/A N N C.2.5
Modified BCP 195 RFC 8996 TLS Secure Transport Connection Profile N/A N N C.2.5

8.4.3 Media Storage Security Profiles

See Section 1.4 Media Services for information on supported secured Application Profiles and secured media.
Table 8-4 details the encryption mechanisms that are supported with secure media.

Table 8-4 Content Encryption used for Secured Media

Encryption File Set Creator/File Set Updater File Set Reader
AES N N
Triple-DES N N

Table 8-5 Content Types used for Secured Media

Content Types File Set Creator/File Set Updater File Set Reader
Signed-data N N
Digested-data N N

Table 8-6 Digest Algorithms used for Secured Media

Digest Algorithms File Set Creator/File Set Updater File Set Reader
SHA-1 N N
SHA256 N N
SHA384 N N
SHA512 N N

8.4.4 Attribute Confidentiality Profiles - N/A

N/A

8.4.5 Digital Signature Profiles – N/A

N/A

8.4.6 Additional DICOM Security Profiles – N/A

N/A

8.5 User Identity Negotiation Support – N/A

N/A

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8.6 Web Services Security Features – N/A

N/A

8.7 Other Security Features

8.7.1 Media Storage Security – N/A
N/A

8.7.2 Network Security – N/A

N/A

8.7.3 Other Security Features – N/A

N/A

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Annexes
A Information Object Definitions (IODs)
This section describes all the SOP Instances natively created by Senographe Pristina , e.g., images created by an acquisition modality or evidence documents created on a review
workstation (i.e., all SOP Classes that are marked in the "Created" column in Table 1-1). Details on Attribute coercion are defined in Section 5.2.5.2.

In the "Source" column, the following Values can be used:

• FIXED: The Value is pre-defined and cannot be modified.

• GENERATED: The Value is generated by the system.

• CONFIGURATION: The Value is copied from the system configuration.

• MWL: The Value is copied from a Modality Worklist entry.

• QUERY: The Value is determined by performing a query of any of the supported Query/Retrieve Services.

• USER: The Value is entered by the user.

• SCANNED: The Value is read from a barcode scanner or similar device.

• EMPTY: The Attribute is sent with a zero-length Value.

• SRC_INSTANCE: The Value is copied from previously created/received SOP Instances.

The "Presence" columns reflect the usage of the Module, Functional Group Macro, Attributes, or Value in the Senographe Pristina Implementation and is not necessarily the same
as defined in the DICOM Standard. For the "Presence" column the following Values can be used:

• ALWAYS: the module, functional group macro, Attributes or Value is always present.

• CONDITIONAL: the presence of the module, functional group macro, Attributes or Value is dependent on a condition. The condition must be listed in the "Conditions" column.

• SRC_COPY: The presence of the Attributes and Values depends on the availability of these in the source instances, which are used for copying this information.

• EMPTY: The Attribute is present but without a Value (zero length).

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A.1 Information Shared Across Multiple IODs

A.1.1 Common Modules
All SOP Instances generated by the system use the common modules listed in Table A-1 to Table A-10 or a subset of them, as defined in the IOD specific subsections below.

Table A-1 Patient Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Patient's Name (0010,0010) MWL; USER ALWAYS CONDITIONAL If received from RIS or
entered by user.
Patient ID (0010,0020) MWL; USER ALWAYS CONDITIONAL If received from RIS or
entered by user.
Patient's Birth Date (0010,0030) MWL; USER ALWAYS CONDITIONAL If received from RIS or
entered by user.
Patient's Sex (0010,0040) MWL; USER ALWAYS CONDITIONAL M; F; O If received from RIS or
entered by user.
Other Patient IDs (0010,1000) MWL CONDITIONAL CONDITIONAL If received from RIS.

Table A-2 General Study Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Study Instance UID (0020,000D) MWL; GENERATED ALWAYS ALWAYS
Study Date (0008,0020) GENERATED ALWAYS ALWAYS Current date
Study Time (0008,0030) GENERATED ALWAYS ALWAYS Current time
Referring Physician's Name (0008,0090) MWL; USER ALWAYS CONDITIONAL If received from RIS or
entered by user.
Study ID (0020,0010) MWL; GENERATED ALWAYS ALWAYS If Study ID is missing in
the SPS from RIS, value is
filled with “#”.
Accession Number (0008,0050) MWL; USER ALWAYS CONDITIONAL If received from RIS or
entered by user.
Study Description (0008,1030) MWL; USER CONDITIONAL CONDITIONAL If received from RIS or
entered by user.
Referenced Study Sequence (0008,1110) MWL CONDITIONAL ALWAYS One or more items may If received from RIS
be present
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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
>Referenced SOP Class UID (0008,1150) MWL CONDITIONAL ALWAYS If received from RIS
>Referenced SOP Instance (0008,1155) MWL CONDITIONAL ALWAYS If received from RIS
UID
Procedure Code Sequence (0008,1032) MWL CONDITIONAL ALWAYS One or more items may If received from RIS If sequence is received
be present incomplete, it will be
corrected as described
below in sequence
elements
>Code Value (0008,0100) MWL CONDITIONAL ALWAYS If received from RIS If missing in sequence,
copied with code
meaning
>Coding Scheme Designator (0008,0102) MWL CONDITIONAL ALWAYS If received from RIS If missing in sequence,
value is set to
”99LOCAL”.
>Code Meaning (0008,0104) MWL CONDITIONAL ALWAYS If received from RIS If missing in sequence,
value is set to the code
value.

Table A-3 Patient Study Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Patient's Age (0010,1010) GENERATED CONDITIONAL ALWAYS Generated by the system
when the patient’s birth
date (0010,0030) is
provided

Table A-4 General Series Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Modality (0008,0060) FIXED ALWAYS ALWAYS MG
Series Instance UID (0020,000E) GENERATED ALWAYS ALWAYS
Series Number (0020,0011) GENERATED ALWAYS ALWAYS
Series Date (0008,0021) GENERATED ALWAYS ALWAYS Date when generating
new series
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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Series Time (0008,0031) GENERATED ALWAYS ALWAYS Time when generating
new series
Performing Physician's (0008,1050) MWL; USER CONDITIONAL CONDITIONAL If received from RIS or
Name entered by user.
Protocol Name (0018,1030) GENERATED ALWAYS ALWAYS ROUTINE; 3D_ROUTINE;
CESM;
3D_ROUTINE+2D_ROUT
INE; STEREO;
3D_BIOPSY; SAMPLE;
CESM_BIOPSY
Series Description (0008,103E) GENERATED ALWAYS ALWAYS
Operators' Name (0008,1070) MWL; USER CONDITIONAL CONDITIONAL If received from RIS or
entered by user.
Referenced Performed (0008,1111) GENERATED CONDITIONAL ALWAYS Only one item is If a PPS manager has
Procedure Step Sequence present been declared.
>Referenced SOP Class UID (0008,1150) FIXED ALWAYS ALWAYS 1.2.840.10008.3.1.2.3.3
>Referenced SOP Instance (0008,1155) GENERATED ALWAYS ALWAYS
UID
Body Part Examined (0018,0015) FIXED CONDITIONAL ALWAYS BREAST Not sent for specimen
images.
Patient Position (0018,5100) EMPTY CONDITIONAL EMPTY Only in CT images. Sent empty in CT images,
not sent otherwise
Request Attributes (0040,0275) MWL CONDITIONAL ALWAYS One or more items may If received from RIS.
Sequence be present
>Requested Procedure ID (0040,1001) MWL CONDITIONAL ALWAYS If received from RIS.
>Requested Procedure (0032,1060) MWL CONDITIONAL ALWAYS If received from RIS.
Description
>Scheduled Procedure Step (0040,0009) MWL CONDITIONAL ALWAYS If received from RIS.
ID
>Scheduled Procedure Step (0040,0007) MWL CONDITIONAL CONDITIONAL If received from RIS.
Description

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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
>Scheduled Protocol Code (0040,0008) MWL CONDITIONAL ALWAYS One or more items may If received from RIS. If sequence is received
Sequence be present incomplete, it will be
corrected as described
below in sequence
elements
>>Code Value (0008,0100) MWL CONDITIONAL ALWAYS If received from RIS If missing in sequence,
copied with code
meaning
>>Coding Scheme (0008,0102) MWL CONDITIONAL ALWAYS If received from RIS If missing in sequence,
Designator value is set to ”99LOCAL”.
>>Code Meaning (0008,0104) MWL CONDITIONAL ALWAYS If received from RIS If missing in sequence,
value is set to the code
value.
Performed Procedure Step (0040,0253) GENERATED CONDITIONAL ALWAYS If a PPS manager has
ID been declared.
Performed Procedure Step (0040,0244) GENERATED CONDITIONAL ALWAYS If a PPS manager has
Start Date been declared.
Performed Procedure Step (0040,0245) GENERATED CONDITIONAL ALWAYS If a PPS manager has
Start Time been declared.
Performed Procedure Step (0040,0254) CONDITIONAL ALWAYS If a PPS manager has
Description been declared.

Table A-5 Frame of Reference Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Frame of Reference UID (0020,0052) GENERATED CONDITIONAL ALWAYS Not sent for specimen Same frame of reference
images. UID for all images
acquired under the same
breast compression.
After compression is
released a new frame of
reference UID is
generated by the system.
Position Reference (0020,1040) EMPTY CONDITIONAL EMPTY Not sent for specimen
Indicator images.

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Table A-6 General Equipment Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Manufacturer (0008,0070) FIXED ALWAYS ALWAYS GE HEALTHCARE
Institution Name (0008,0080) CONFIGURATION ALWAYS ALWAYS
Institution Address (0008,0081) CONFIGURATION ALWAYS ALWAYS
Station Name (0008,1010) CONFIGURATION ALWAYS ALWAYS
Institutional Department (0008,1040) CONFIGURATION ALWAYS ALWAYS
Name
Manufacturer's Model Name (0008,1090) FIXED ALWAYS ALWAYS Senographe Pristina
Device Serial Number (0018,1000) GENERATED ALWAYS ALWAYS MAC address of the
workstation
Software Versions (0018,1020) GENERATED ALWAYS ALWAYS System software
version
Pixel Padding Value (0028,0120) GENERATED CONDITIONAL ALWAYS if For Presentation image
or 3D volumes.

Table A-7 Enhanced General Equipment Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Manufacturer (0008,0070) FIXED ALWAYS ALWAYS GE HEALTHCARE
Manufacturer's Model Name (0008,1090) FIXED ALWAYS ALWAYS Senographe Pristina
Device Serial Number (0018,1000) GENERATED ALWAYS ALWAYS MAC address of the
workstation
Software Versions (0018,1020) GENERATED ALWAYS ALWAYS System software
version

Table A-8 Image Pixel Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Samples per Pixel (0028,0002) FIXED ALWAYS ALWAYS 1

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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Photometric Interpretation (0028,0004) GENERATED ALWAYS ALWAYS MONOCHROME1; MONOCHROME1 in For
MONOCHROME2; Processing images,
MONOCHROME2 in For
Presentation and BTO
images.
Rows (0028,0010) GENERATED ALWAYS ALWAYS
Columns (0028,0011) GENERATED ALWAYS ALWAYS
Bits Allocated (0028,0100) FIXED ALWAYS ALWAYS 16
Bits Stored (0028,0101) GENERATED ALWAYS ALWAYS 14; 12 14 in For Processing
images, 12 in For
Presentation images.
High Bit (0028,0102) GENERATED ALWAYS ALWAYS 13; 11 13 in For Processing
images, 11 in For
Presentation images.
Pixel Representation (0028,0103) FIXED ALWAYS ALWAYS 0000H
Pixel Data (7FE0,0010) GENERATED ALWAYS ALWAYS
Pixel Padding Range Limit (0028,0121) GENERATED CONDITIONAL ALWAYS if For Presentation image.

Table A-9 Acquisition Context Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Acquisition Context (0040,0555) EMPTY ALWAYS EMPTY
Sequence

Table A-10 SOP Common Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
SOP Class UID (0008,0016) GENERATED ALWAYS ALWAYS
SOP Instance UID (0008,0018) GENERATED ALWAYS ALWAYS
Specific Character Set (0008,0005) FIXED ALWAYS ALWAYS ISO_IR 100
Instance Creation Date (0008,0012) GENERATED CONDITIONAL ALWAYS Sent only for GSPS
Instance Creation Time (0008,0013) GENERATED CONDITIONAL ALWAYS Sent only for GSPS

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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Content Qualification (0018,9004) FIXED CONDITIONAL ALWAYS PRODUCT Sent only for BTO

Table A-11 General Acquisition Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Acquisition Date (0008,0022) GENERATED ALWAYS ALWAYS
Acquisition Time (0008,0032) GENERATED ALWAYS ALWAYS
Images in Acquisition (0020,1002) GENERATED CONDITIONAL ALWAYS If DBT Projections or CT For DBT projections, set
image. to the number of
projections for this DBT
acquisition.
For CT images, set to the
number of frames in the
series.
Irradiation Event UID (0008,3010) GENERATED ALWAYS ALWAYS

Table A-12 General Image Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Instance Number (0020,0013) GENERATED ALWAYS ALWAYS
Patient Orientation (0020,0020) GENERATED CONDITIONAL ALWAYS Not sent for specimen
images and CT images.
Content Date (0008,0023) GENERATED ALWAYS ALWAYS
Content Time (0008,0033) GENERATED ALWAYS ALWAYS
Image Type (0008,0008) GENERATED ALWAYS ALWAYS See Section A.1.4
Quality Control Image (0028,0300) FIXED CONDITIONAL ALWAYS NO Not sent for CT images.
Burned In Annotation (0028,0301) FIXED ALWAYS ALWAYS NO
Lossy Image Compression (0028,2110) FIXED ALWAYS ALWAYS 00
Presentation LUT Shape (2050,0020) GENERATED ALWAYS ALWAYS IDENTITY; INVERSE MG For Processing:
INVERSE
MG For Presentation and
CT: IDENTITY.

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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Image Laterality (0020,0062) USER ALWAYS ALWAYS R; L; B
Anatomic Region Sequence (0008,2218) FIXED ALWAYS ALWAYS Only one item is
present
>Code Value (0008,0100) FIXED ALWAYS ALWAYS T-04000
>Coding Scheme Designator (0008,0102) FIXED ALWAYS ALWAYS SRT
>Code Meaning (0008,0104) FIXED ALWAYS ALWAYS Breast

Table A-13 General Reference Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Referenced Image Sequence (0008,1140) GENERATED CONDITIONAL ALWAYS One or more items may If Biopsy stx+ or stx- Reference other images
be present image. in the biopsy pair (stx+
and stx-)
>Referenced SOP Class UID (0008,1150) SRC_INSTANCE ALWAYS ALWAYS
>Referenced SOP Instance (0008,1155) SRC_INSTANCE ALWAYS ALWAYS
UID
>Purpose of Reference Code (0040,A170) FIXED ALWAYS ALWAYS Only one item is
Sequence present
>>Code Value (0008,0100) FIXED ALWAYS ALWAYS 121315
>>Coding Scheme (0008,0102) FIXED ALWAYS ALWAYS DCM
Designator
>>Code Meaning (0008,0104) FIXED ALWAYS ALWAYS Other image of
stereoscopic pair
Source Image Sequence (0008,2112) GENERATED CONDITIONAL ALWAYS One or more items may If For Presentation image
be present
>Referenced SOP Class UID (0008,1150) SRC_INSTANCE ALWAYS ALWAYS
>Referenced SOP Instance (0008,1155) SRC_INSTANCE ALWAYS ALWAYS
UID
>Spatial Locations (0028,135A) FIXED ALWAYS ALWAYS YES
Preserved

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Table A-14 Contrast/Bolus Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Contrast/Bolus Agent (0018,0010) USER CONDITIONAL ALWAYS If CESM image with
injection.
Contrast/Bolus Volume (0018,1041) USER CONDITIONAL ALWAYS If CESM image with
injection.
Contrast/Bolus Start Time (0018,1042) GENERATED CONDITIONAL ALWAYS If CESM image with
injection.
Contrast/Bolus Ingredient (0018,1049) USER CONDITIONAL ALWAYS If CESM image with
Concentration injection.

Table A-15 VOI LUT Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
VOI LUT Sequence (0028,3010) GENERATED CONDITIONAL ALWAYS One to 4 items may be If VOI LUT Function 1 item per Window
present (0028,1056) is SIGMOID Center values (0028,1050)
>LUT Descriptor (0028,3002) GENERATED ALWAYS ALWAYS
>LUT Explanation (0028,3003) GENERATED ALWAYS ALWAYS NORMAL; SOFTER;
HARDER; USER
>LUT Data (0028,3006) GENERATED ALWAYS ALWAYS
Window Center (0028,1050) GENERATED CONDITIONAL ALWAYS If For Presentation image 1 to 4 values
Window Width (0028,1051) GENERATED CONDITIONAL ALWAYS If For Presentation image 1 to 4 values
Window Center & Width (0028,1055) GENERATED CONDITIONAL ALWAYS NORMAL; SOFTER; If For Presentation image 1 to 4 values
Explanation HARDER; USER
VOI LUT Function (0028,1056) GENERATED CONDITIONAL ALWAYS LINEAR; SIGMOID If For Presentation image

Table A-16 Display Shutter Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Shutter Shape (0018,1600) FIXED ALWAYS ALWAYS POLYGONAL
Vertices of the Polygonal (0018,1620) GENERATED ALWAYS ALWAYS
Shutter

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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Shutter Presentation Value (0018,1622) FIXED ALWAYS ALWAYS 0

A.1.2 Common Functional Group Macros - N/A

N/A

A.1.3 Common Private Modules – N/A

N/A

A.1.4 Coded Values

Table A-17 lists Coded Values referenced from the "Value" column of the tables above.

Table A-17 Values and Code Sets shared across IODs

Attribute Name Tag Value/Code Condition Comments
Image Type (0008,0008) ORIGINAL\PRIMARY\ 2D Routine Raw image
DERIVED\PRIMARY\ 2D Routine Processed image
DERIVED\SECONDARY\ 2D Routine Re-processed image
ORIGINAL\PRIMARY\POST_CONTRAST\LOW_ENERGY\LOW_ENERGY 2D CESM Raw low energy image
DERIVED\PRIMARY\POST_CONTRAST\LOW_ENERGY\LOW_ENERGY 2D CESM Processed low energy image
DERIVED\SECONDARY\POST_CONTRAST\LOW_ENERGY\LOW_ENERGY 2D CESM Re-processed low energy image
ORIGINAL\PRIMARY\POST_CONTRAST\HIGH_ENERGY\HIGH_ENERGY 2D CESM Raw high energy image
DERIVED\PRIMARY\POST_CONTRAST\SUBTRACTION\\RECOMBINED 2D CESM Recombined image
DERIVED\SECONDARY\POST_CONTRAST\SUBTRACTION\\RECOMBINED 2D CESM Re-recombined image
ORIGINAL\PRIMARY\STEREO_SCOUT 2D Biopsy Raw scout image
DERIVED\PRIMARY\STEREO_SCOUT 2D Biopsy Processed scout image
ORIGINAL\PRIMARY\STEREO_PLUS 2D Biopsy Raw stx+ image
DERIVED\PRIMARY\STEREO_PLUS 2D Biopsy Processed stx+ image

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Attribute Name Tag Value/Code Condition Comments

ORIGINAL\PRIMARY\STEREO_MINUS 2D Biopsy Raw stx- image
DERIVED\PRIMARY\STEREO_MINUS 2D Biopsy Processed stx- image
ORIGINAL\PRIMARY\STEREO_SCOUT\\LOW_ENERGY 2D CESM-Biopsy Raw scout low energy image
DERIVED\PRIMARY\STEREO_SCOUT\\LOW_ENERGY 2D CESM-Biopsy Processed scout low energy image
ORIGINAL\PRIMARY\STEREO_PLUS\\LOW_ENERGY 2D CESM-Biopsy Raw stx+ low energy image
DERIVED\PRIMARY\STEREO_PLUS\\LOW_ENERGY 2D CESM-Biopsy Processed stx+ low energy image
ORIGINAL\PRIMARY\STEREO_MINUS\\LOW_ENERGY 2D CESM-Biopsy Raw stx- low energy image
DERIVED\PRIMARY\STEREO_MINUS\\LOW_ENERGY 2D CESM-Biopsy Processed stx- low energy image
ORIGINAL\PRIMARY\STEREO_SCOUT\\HIGH_ENERGY 2D CESM-Biopsy Raw scout high energy image
DERIVED\PRIMARY\STEREO_SCOUT\SUBTRACTION 2D CESM-Biopsy Recombined scout image
ORIGINAL\PRIMARY\STEREO_PLUS\\HIGH_ENERGY 2D CESM-Biopsy Raw stx+ high energy image
DERIVED\PRIMARY\STEREO_PLUS\SUBTRACTION 2D CESM-Biopsy Recombined stx+ image
ORIGINAL\PRIMARY\STEREO_MINUS\\HIGH_ENERGY 2D CESM-Biopsy Raw stx- high energy image
DERIVED\PRIMARY\STEREO_MINUS\SUBTRACTION 2D CESM-Biopsy Recombined stx- image
ORIGINAL\PRIMARY\TOMO_PROJ\PROJECTION 3D Routine projection image
ORIGINAL\PRIMARY\TOMO_SCOUT 3D Biopsy projection image
DERIVED\PRIMARY\TOMO\PLANES 3D Routine Planes CT image Applicable to CT
Image IOD only.
DERIVED\PRIMARY\TOMO\SLABS 3D Routine Slabs CT image Applicable to CT
Image IOD only.

A.2 Breast Tomosynthesis Image IOD

The following table defines the structure of Breast Tomosynthesis Image IOD.

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Table A-18 Breast Tomosynthesis Image IOD
IE Module Name Presence (Module) Condition Reference
Patient Patient ALWAYS Table A-1
Study General Study ALWAYS Table A-2
Patient Study ALWAYS Table A-3
Series General Series ALWAYS Table A-4
Enhanced Mammography Series ALWAYS Table A-20
Frame of Reference Frame of Reference ALWAYS Table A-5
Equipment General Equipment ALWAYS Table A-6
Enhanced General Equipment ALWAYS Table A-7
Image Image Pixel ALWAYS Table A-8
Acquisition Context ALWAYS Table A-9
Multi-frame Functional Groups ALWAYS Table A-21
X-Ray 3D Image ALWAYS Table A-22
Breast Tomosynthesis Contributing Sources ALWAYS Table A-23
Breast Tomosynthesis Acquisition ALWAYS Table A-24
X-Ray 3D Reconstruction ALWAYS Table A-25
Breast View ALWAYS Table A-26
SOP Common ALWAYS Table A-10
Standard Extended Module for Breast Tomosynthesis Image IOD ALWAYS Table A-36
Private Module for Breast Tomosynthesis Image IOD ALWAYS Table A-37

Table A-19 lists the Functional group macros used in Breast Tomosynthesis Image IOD. The usage column defines whether a Macro is used as a shared macro, on a per Frame base
or whether depending on the acquisition context can be used in both contexts. The following values are supported:

• PER_FRAME: The macro is used on a per frame basis, the attributes are included in the Shared Functional Group Sequence (5200,9229)
• SHARED: The macro is shared across all frames; the attributes are included in the Per-Frame Functional Group Sequence (5200,9230)
• CONTEXT_DEPENDENT: depending on the acquisition context the macro can either be used on a per frame basis or be shared across all frames.

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Table A-19 Functional Group Macros used in Breast Tomosynthesis Image IOD
Functional Group Macro Presence Condition Usage Reference
Pixel Measures ALWAYS SHARED Table A-27
Frame Content ALWAYS PER_FRAME Table A-28
Plane Position (Patient) ALWAYS PER_FRAME Table A-29
Plane Orientation (Patient) ALWAYS SHARED Table A-30
Derivation Image CONDITIONAL Present in slabs and in volumes when SHARED Table A-31
lossy compression is applied
Frame Anatomy ALWAYS SHARED Table A-32
Identity Pixel Value Transformation ALWAYS SHARED Table A-33
Frame VOI LUT With LUT ALWAYS SHARED Table A-34
X-Ray 3D Frame Type ALWAYS PER_FRAME Table A-35

A.2.1 Breast Tomosynthesis Image IOD Specific Modules

All SOP Instances generated by the system use the common modules listed in Table A-1 to Table A-10 or a subset of them, as defined in the IOD specific subsections below.

Table A-20 Enhanced Mammography Series Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Modality (0008,0060) FIXED ALWAYS ALWAYS MG
Referenced Performed (0008,1111) GENERATED CONDITIONAL ALWAYS Only one item is If a PPS manager has
Procedure Step Sequence present been declared.
>Referenced SOP Class UID (0008,1150) FIXED ALWAYS ALWAYS 1.2.840.10008.3.1.2.3.3
>Referenced SOP Instance (0008,1155) GENERATED ALWAYS ALWAYS
UID
Request Attributes (0040,0275) MWL CONDITIONAL ALWAYS One or more items may If received from RIS.
Sequence be present
>Requested Procedure ID (0040,1001) MWL CONDITIONAL ALWAYS If received from RIS.
>Requested Procedure (0032,1060) MWL CONDITIONAL ALWAYS If received from RIS.
Description

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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
>Scheduled Procedure Step (0040,0009) MWL CONDITIONAL CONDITIONAL If received from RIS.
ID
>Scheduled Procedure Step (0040,0007) MWL CONDITIONAL ALWAYS One or more items may If received from RIS. If sequence is received
Description be present incomplete, it will be
corrected as described
below in sequence
elements
>Scheduled Protocol Code (0040,0008) MWL CONDITIONAL ALWAYS If received from RIS If missing in sequence,
Sequence copied with code
meaning
>>Code Value (0008,0100) MWL CONDITIONAL ALWAYS If received from RIS If missing in sequence,
value is set to ”99LOCAL”.
>>Coding Scheme (0008,0102) MWL CONDITIONAL ALWAYS If received from RIS If missing in sequence,
Designator value is set to the code
value.

Table A-21 Multi-frame Functional Groups Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Shared Functional Groups (5200,9229) GENERATED ALWAYS ALWAYS Only one item is See Table A-19 for
Sequence present content of the sequence.
Per-Frame Functional (5200,9230) GENERATED ALWAYS ALWAYS One or more items may See Table A-19 for
Groups Sequence be present content of the sequence.
Instance Number (0020,0013) GENERATED ALWAYS ALWAYS
Content Date (0008,0023) GENERATED ALWAYS ALWAYS
Content Time (0008,0033) GENERATED ALWAYS ALWAYS
Number of Frames (0028,0008) GENERATED ALWAYS ALWAYS

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Table A-22 X-Ray 3D Image Module
Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Image Type (0008,0008) GENERATED ALWAYS ALWAYS See Section A.2.4
Pixel Presentation (0008,9205) FIXED ALWAYS ALWAYS MONOCHROME
Volumetric Properties (0008,9206) GENERATED ALWAYS ALWAYS VOLUME; SAMPLED VOLUME for Planes,
SAMPLED for Slabs.
Volume Based Calculation (0008,9207) FIXED ALWAYS ALWAYS TOMOSYNTHESIS
Technique
Bits Allocated (0028,0100) FIXED ALWAYS ALWAYS 16
Bits Stored (0028,0101) FIXED ALWAYS ALWAYS 12
High Bit (0028,0102) FIXED ALWAYS ALWAYS 11
Samples per Pixel (0028,0002) FIXED ALWAYS ALWAYS 1
Photometric Interpretation (0028,0004) FIXED ALWAYS ALWAYS MONOCHROME2
Content Qualification (0018,9004) FIXED ALWAYS ALWAYS PRODUCT
Burned In Annotation (0028,0301) FIXED ALWAYS ALWAYS NO
Lossy Image Compression (0028,2110) GENERATED ALWAYS ALWAYS 00; 01
Lossy Image Compression (0028,2112) GENERATED CONDITIONAL ALWAYS When lossy compression
Ratio applied
Lossy Image Compression (0028,2114) FIXED CONDITIONAL ALWAYS ISO_10918_1 When lossy compression
Method applied
Presentation LUT Shape (2050,0020) FIXED ALWAYS ALWAYS IDENTITY

Table A-23 Breast Tomosynthesis Contributing Sources Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Contributing Sources (0018,9506) GENERATED ALWAYS ALWAYS Only one item is
Sequence present
>Contributing SOP (0020,9529) GENERATED ALWAYS ALWAYS Only one item is
Instances Reference present
Sequence
>>Study Instance UID (0020,000D) SRC_INSTANCE ALWAYS ALWAYS

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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
>>Referenced Series (0008,1115) GENERATED ALWAYS ALWAYS Only one item is
Sequence present
>>>Series Instance UID (0020,000E) SRC_INSTANCE ALWAYS ALWAYS
>>>Series Number (0020,0011) SRC_INSTANCE ALWAYS ALWAYS
>>>Referenced Instance (0008,114A) GENERATED ALWAYS ALWAYS 1 item per projection
Sequence image
>>>>Referenced SOP Class (0008,1150) SRC_INSTANCE ALWAYS ALWAYS
UID
>>>>Referenced SOP (0008,1155) SRC_INSTANCE ALWAYS ALWAYS
Instance UID
>>>>Instance Number (0020,0013) SRC_INSTANCE ALWAYS ALWAYS
>Manufacturer (0008,0070) SRC_INSTANCE ALWAYS ALWAYS
>Manufacturer's Model (0008,1090) SRC_INSTANCE ALWAYS ALWAYS
Name
>Device Serial Number (0018,1000) SRC_INSTANCE ALWAYS ALWAYS
>Software Versions (0018,1020) SRC_INSTANCE ALWAYS ALWAYS
>Acquisition DateTime (0008,002A) SRC_INSTANCE ALWAYS ALWAYS
>Station Name (0008,1010) SRC_INSTANCE ALWAYS ALWAYS
>Operators' Name (0008,1070) SRC_INSTANCE ALWAYS ALWAYS
>Protocol Name (0018,1030) SRC_INSTANCE ALWAYS ALWAYS
>Acquisition Protocol Name (0018,9423) SRC_INSTANCE ALWAYS ALWAYS
>Rows (0028,0010) SRC_INSTANCE ALWAYS ALWAYS
>Columns (0028,0011) SRC_INSTANCE ALWAYS ALWAYS
>Bits Stored (0028,0101) SRC_INSTANCE ALWAYS ALWAYS
>Lossy Image Compression (0028,2110) SRC_INSTANCE ALWAYS ALWAYS
>Detector Type (0018,7004) SRC_INSTANCE ALWAYS ALWAYS
>Detector ID (0018,700A) SRC_INSTANCE ALWAYS ALWAYS
>Date of Last Detector (0018,700C) SRC_INSTANCE ALWAYS ALWAYS
Calibration
>Time of Last Detector (0018,700E) SRC_INSTANCE ALWAYS ALWAYS
Calibration
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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
>Detector Element Spacing (0018,7022) SRC_INSTANCE ALWAYS ALWAYS

Table A-24 Breast Tomosynthesis Acquisition Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
X-Ray 3D Acquisition (0018,9507) ALWAYS ALWAYS Only one item is
Sequence present
>Field of View Shape (0018,1147) FIXED ALWAYS ALWAYS RECTANGLE
>X-Ray Receptor Type (0018,9420) FIXED ALWAYS ALWAYS DIGITAL_DETECTOR
>Source Image Sequence (0008,2112) GENERATED ALWAYS ALWAYS One item per projection
image.
>>Referenced SOP Class UID (0008,1150) SRC_INSTANCE ALWAYS ALWAYS
>>Referenced SOP Instance (0008,1155) SRC_INSTANCE ALWAYS ALWAYS
UID
>Field of View Dimension(s) (0018,9461) GENERATED ALWAYS ALWAYS
in Float
>Field of View Origin (0018,7030) GENERATED ALWAYS ALWAYS
>Field of View Rotation (0018,7032) GENERATED ALWAYS ALWAYS 270; 180; 90; 0
>Field of View Horizontal (0018,7034) GENERATED ALWAYS ALWAYS NO; YES
Flip
>Grid (0018,1166) GENERATED ALWAYS ALWAYS
>KVP (0018,0060) GENERATED ALWAYS ALWAYS Set to the average of the
source images KVP
(0018,0060).
>X-Ray Tube Current in mA (0018,9330) GENERATED ALWAYS ALWAYS Set to the average of
source images X-Ray
Tube Current
(0018,1151).
>Exposure Time in ms (0018,9328) GENERATED ALWAYS ALWAYS Set the converted total of
the source images
Exposure Time
(0018,1150).

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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
>Exposure in mAs (0018,9332) GENERATED ALWAYS ALWAYS Set to the converted total
of the individual
projections’ values
(0018,1153).
>Start Acquisition DateTime (0018,9516) GENERATED ALWAYS ALWAYS
>Primary Positioner Scan (0018,9508) GENERATED ALWAYS ALWAYS
Arc
>Primary Positioner Scan (0018,9510) GENERATED ALWAYS ALWAYS
Start Angle
>Primary Positioner (0018,9514) GENERATED ALWAYS ALWAYS
Increment
>Distance Source to (0018,1110) GENERATED ALWAYS ALWAYS Distance from source to
Detector image plane at 0°
>Distance Source to Patient (0018,1111) GENERATED ALWAYS ALWAYS Distance from source to
breast support at 0°
>Estimated Radiographic (0018,1114) FIXED ALWAYS ALWAYS 1
Magnification Factor
>Anode Target Material (0018,1191) GENERATED ALWAYS ALWAYS
>Body Part Thickness (0018,11A0) GENERATED ALWAYS ALWAYS
>Exposure Control Mode (0018,7060) GENERATED ALWAYS ALWAYS MANUAL; AUTOMATIC
>Exposure Control Mode (0018,7062) GENERATED ALWAYS ALWAYS
Description
>Half Value Layer (0040,0314) GENERATED ALWAYS ALWAYS
>Organ Dose (0040,0316) GENERATED ALWAYS ALWAYS
>Entrance Dose in mGy (0040,8302) GENERATED ALWAYS ALWAYS Total entrance dose of
the acquisition sequence.
>Focal Spot(s) (0018,1190) GENERATED ALWAYS ALWAYS
>Detector Temperature (0018,7001) GENERATED ALWAYS ALWAYS
>Filter Type (0018,1160) GENERATED ALWAYS ALWAYS
>Filter Material (0018,7050) GENERATED ALWAYS ALWAYS
>Compression Force (0018,11A2) GENERATED ALWAYS ALWAYS
>Paddle Description (0018,11A4) GENERATED ALWAYS ALWAYS

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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
>Per Projection Acquisition (0018,9538) GENERATED ALWAYS ALWAYS On item per projection
Sequence image.
>>KVP (0018,0060) GENERATED ALWAYS ALWAYS
>>X-Ray Tube Current in mA (0018,9330) GENERATED ALWAYS ALWAYS Set to conversion from
attribute X-Ray Tube
Current (0018,1151) in
source image.
>>Collimator Shape (0018,1700) GENERATED ALWAYS ALWAYS
>>Collimator Left Vertical (0018,1702) GENERATED ALWAYS ALWAYS
Edge
>>Collimator Right Vertical (0018,1704) GENERATED ALWAYS ALWAYS
Edge
>>Collimator Upper (0018,1706) GENERATED ALWAYS ALWAYS
Horizontal Edge
>>Collimator Lower (0018,1708) GENERATED ALWAYS ALWAYS
Horizontal Edge
>>Positioner Primary Angle (0018,1510) GENERATED ALWAYS ALWAYS
>>Positioner Primary Angle (0018,9559) FIXED ALWAYS ALWAYS CC
Direction
>>Exposure Time in ms (0018,9328) GENERATED ALWAYS ALWAYS Set to the conversion
from attribute Exposure
Time (0018,1150) in
source image.
>>Exposure in mAs (0018,9332) GENERATED ALWAYS ALWAYS Set to the convention
from attribute Exposure
(0018,1152) in source
image.
>>Relative X-Ray Exposure (0018,1405) GENERATED ALWAYS ALWAYS
>>Organ Dose (0040,0316) GENERATED ALWAYS ALWAYS
>>Entrance Dose in mGy (0040,8302) GENERATED ALWAYS ALWAYS
>>Irradiation Event UID (0008,3010) GENERATED ALWAYS ALWAYS

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Table A-25 X-Ray 3D Reconstruction Module
Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
X-Ray 3D Reconstruction (0018,9530) GENERATED ALWAYS ALWAYS One or more items may
Sequence be present
>Reconstruction Description (0018,9531) GENERATED ALWAYS ALWAYS Description of algorithm
used for 3D
reconstruction
>Application Name (0018,9524) GENERATED ALWAYS ALWAYS
>Application Version (0018,9525) GENERATED ALWAYS ALWAYS
>Application Manufacturer (0018,9526) FIXED ALWAYS ALWAYS GE HEALTHCARE
>Algorithm Type (0018,9527) FIXED ALWAYS ALWAYS ITERATIVE
>Acquisition Index (0020,9518) FIXED ALWAYS ALWAYS 1

Table A-26 Breast View Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Image Type (0008,0008) GENERATED ALWAYS ALWAYS See Section A.2.4
View Code Sequence (0054,0220) GENERATED ALWAYS ALWAYS Only one item is
present
>Code Value (0008,0100) GENERATED ALWAYS ALWAYS See Section A.4.4
>Coding Scheme Designator (0008,0102) GENERATED ALWAYS ALWAYS See Section A.4.4
>Code Meaning (0008,0104) GENERATED ALWAYS ALWAYS See Section A.4.4
>View Modifier Code (0054,0222) GENERATED ALWAYS SRC_COPY Zero or more items may If view modifier has been
Sequence be present selected by the user.
>>Code Value (0008,0100) GENERATED SRC_COPY ALWAYS See Section A.4.4
>>Coding Scheme (0008,0102) GENERATED SRC_COPY ALWAYS See Section A.4.4
Designator
>>Code Meaning (0008,0104) GENERATED SRC_COPY ALWAYS See Section A.4.4
Breast Implant Present (0028,1300) MWL; USER SRC_COPY SRC_COPY YES; NO

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A.2.2 Breast Tomosynthesis Image IOD Specific Functional Group Macros

The tables below list the Common Functional Group Macros that can either be used as part of the Shared Functional Groups Sequence (5200,9229) or as part of the Per-frame
Functional Groups Sequence (5200,9230) of enhanced image IODs.

Table A-27 Pixel Measures Macro

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Pixel Measures Sequence (0028,9110) GENERATED ALWAYS ALWAYS Only one item is
present
>Pixel Spacing (0028,0030) FIXED ALWAYS ALWAYS 0.1\0.1
>Slice Thickness (0018,0050) GENERATED ALWAYS ALWAYS For slabs, value set to
slab thickness.
For planes, value set to
the distance between 2
planes.

Table A-28 Frame Content Macro

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Frame Content Sequence (0020,9111) GENERATED ALWAYS ALWAYS Only one item is
present
>Frame Reference DateTime (0018,9151) GENERATED ALWAYS ALWAYS Set to date and time
when 5th DBT exposure
was made to acquire the
image
>Frame Acquisition (0018,9074) GENERATED ALWAYS ALWAYS Set to the date and time
DateTime when the first exposure
was made to acquire the
image.
>Frame Acquisition Duration (0018,9220) GENERATED ALWAYS ALWAYS Set to the time elapsed
between first and last
exposures made to
acquire the image

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Table A-29 Plane Position (Patient) Macro
Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Plane Position Sequence (0020,9113) GENERATED ALWAYS ALWAYS Only one item is
present
>Image Position (Patient) (0020,0032) GENERATED ALWAYS ALWAYS

Table A-30 Plane Orientation (Patient) Macro

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Plane Orientation Sequence (0020,9116) GENERATED ALWAYS ALWAYS Only one item is
present
>Image Orientation (0020,0037) GENERATED CONDITIONAL CONDITIONAL
(Patient)

Table A-31 Derivation Image Macro

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Derivation Image Sequence (0008,9124) GENERATED ALWAYS CONDITIONAL Zero or more items may For slabs: value always
be present present
For planes: value present
only if lossy compression
applied
>Derivation Code Sequence (0008,9215) GENERATED ALWAYS ALWAYS One or 2 items may be
present
>>Code Value (0008,0100) GENERATED ALWAYS ALWAYS 113078; 113040
>>Coding Scheme (0008,0102) FIXED ALWAYS ALWAYS DCM
Designator
>>Code Meaning (0008,0104) GENERATED ALWAYS ALWAYS Maximum intensity
projection; Lossy
Compression

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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
>Source Image Sequence (0008,2112) GENERATED ALWAYS ALWAYS One or 2 items may be For Slabs, an item is sent
present with reference to the
corresponding Planes
image.
For Planes and Slabs
when lossy compression
is applied, an item is sent
with reference to the
corresponding
uncompressed image.
>>Referenced SOP Class UID (0008,1150) SRC_INSTANCE ALWAYS ALWAYS
>>Referenced SOP Instance (0008,1155) SRC_INSTANCE ALWAYS ALWAYS
UID
>>Purpose of Reference (0040,A170) GENERATED ALWAYS ALWAYS Only one item is
Code Sequence present.
>>>Code Value (0008,0100) GENERATED ALWAYS ALWAYS 121322; 121320
>>>Coding Scheme (0008,0102) FIXED ALWAYS ALWAYS DCM
Designator
>>>Code Meaning (0008,0104) GENERATED ALWAYS ALWAYS Source image for image
processing operation;
Uncompressed
predecessor

Table A-32 Frame Anatomy Macro

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Frame Anatomy Sequence (0020,9071) GENERATED ALWAYS ALWAYS Only one item is
present
>Frame Laterality (0020,9072) GENERATED ALWAYS ALWAYS R; L; B
>Anatomic Region Sequence (0008,2218) FIXED ALWAYS ALWAYS Only one item is
present
>>Code Value (0008,0100) FIXED ALWAYS ALWAYS T-04000

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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
>>Coding Scheme (0008,0102) FIXED ALWAYS ALWAYS SRT
Designator
>>Code Meaning (0008,0104) FIXED ALWAYS ALWAYS BREAST

Table A-33 Identity Pixel Value Transformation Macro

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Pixel Value Transformation (0028,9145) FIXED ALWAYS ALWAYS Only one item is
Sequence present
>Rescale Intercept (0028,1052) FIXED ALWAYS ALWAYS 0
>Rescale Slope (0028,1053) FIXED ALWAYS ALWAYS 1
>Rescale Type (0028,1054) FIXED ALWAYS ALWAYS US

Table A-34 Frame VOI LUT With LUT Macro

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Frame VOI LUT Sequence (0028,9132) GENERATED ALWAYS ALWAYS Only one item is
present
>Window Center (0028,1050) GENERATED ALWAYS ALWAYS Up to 4 values are
present
>Window Width (0028,1051) GENERATED ALWAYS ALWAYS Up to 4 values are
present
>Window Center & Width (0028,1055) GENERATED ALWAYS ALWAYS NORMAL; HARDER; Up to 4 values are
Explanation SOFTER; USER present
>VOI LUT Function (0028,1056) GENERATED ALWAYS ALWAYS LINEAR; SIGMOID

Table A-35 X-Ray 3D Frame Type Macro

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
X-Ray 3D Frame Type (0018,9504) ALWAYS ALWAYS Only one item is
Sequence present
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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
>Frame Type (0008,9007) GENERATED ALWAYS ALWAYS See Section A.2.4
>Pixel Presentation (0008,9205) FIXED ALWAYS ALWAYS MONOCHROME
>Volumetric Properties (0008,9206) GENERATED ALWAYS ALWAYS VOLUME; SAMPLED VOLUME for Planes,
SAMPLED for Slabs
>Volume Based Calculation (0008,9207) FIXED ALWAYS ALWAYS TOMOSYNTHESIS
Technique
>Reconstruction Index (0020,9536) FIXED ALWAYS ALWAYS 1

A.2.3 Breast Tomosynthesis Image IOD Specific Private Modules

The tables below list private Attributes that are used in multiple IODs generated by the system. For documentation convenience and readability, they are organized in modules,
although the concept of modules does not exist in the standard for private Attributes.
Table A-36 Standard Extended Module for Breast Tomosynthesis Image IOD
Attribute Name Tag VR VM Identifiable Source Presence of Presence of Value Conditions Comments
Information Attribute Value
Biopsy Target (0018,2041) SQ 1-n SAFE GENERATED CONDITIONAL CONDITIONAL One or more items Only present for
Sequence may be present Biopsy procedure
>Target UID (0018,2042) UI 1 UNSAFE GENERATED ALWAYS ALWAYS
>Localizing Cursor (0018,2043) FL 2 SAFE GENERATED ALWAYS ALWAYS
Position
>Calculated Target (0018,2044) FL 3 SAFE GENERATED ALWAYS ALWAYS
Position
>Target Label (0018,2045) SH 1 SAFE GENERATED ALWAYS ALWAYS Target ID that is
displayed in the
Viewer.
>Displayed Z Value (0018,2046) FL 1 SAFE GENERATED ALWAYS ALWAYS
>Private Creator (0045,0010) LO 1 SAFE FIXED ALWAYS ALWAYS GEMS_SENO_02

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Attribute Name Tag VR VM Identifiable Source Presence of Presence of Value Conditions Comments
Information Attribute Value
>Biopsy device ID (0045,10AF) SH 1 SAFE GENERATED ALWAYS ALWAYS Set to the needle ID
used during the
medical procedure
when target is sent.
X-Ray 3D (0018,9507) SQ 1 SAFE GENERATED ALWAYS ALWAYS
Acquisition
Sequence
>Per Projection (0018,9538) SQ 1-n SAFE GENERATED ALWAYS ALWAYS
Acquisition
Sequence
>>Detector (0018,1531) DS 1 SAFE SRC_INSTANCE ALWAYS ALWAYS
Secondary angle
>>Detector active (0018,7026) DS 1-2 SAFE SRC_INSTANCE ALWAYS ALWAYS
dimension

Table A-37 Private Module for Breast Tomosynthesis Image IOD

Attribute Name Tag VR VM Identifiable Source Presence of Presence of Value Conditions Comments
Information Attribute Value
Private Creator (0045,0010) LO 1 SAFE FIXED ALWAYS ALWAYS GEMS_SENO_02
Clinical View (0045,101B) CS 1 SAFE GENERATED ALWAYS ALWAYS
Radiological (0045,1049) DS 1 SAFE SRC_INSTANCE ALWAYS ALWAYS
Thickness
Breast ROI X (0045,1060) IS 4 SAFE GENERATED ALWAYS ALWAYS
Breast ROI Y (0045,1061) IS 4 SAFE GENERATED ALWAYS ALWAYS
SOP Instance UID for (0045,10A6) UI 1 UNSAFE GENERATED ALWAYS ALWAYS
the lossy
compression
Reconstruction (0045,10A7) LT 1 SAFE GENERATED ALWAYS ALWAYS
parameters

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Attribute Name Tag VR VM Identifiable Source Presence of Presence of Value Conditions Comments
Information Attribute Value
Paddle Properties (0045,10AD) LO 1-n SAFE GENERATED ALWAYS ALWAYS
Biopsy Tool (0045,10B0) SQ 1-n SAFE GENERATED CONDITIONAL ALWAYS Only for Biopsy
Sequence procedure.
>Private Creator (0045,0010) LO 1 SAFE FIXED ALWAYS ALWAYS GEMS_SENO_02
>ID of the Biopsy (0045,10AF) SH 1 SAFE GENERATED ALWAYS ALWAYS
Device
>Biopsy Tool Name (0045,10B1) ST 1 SAFE USER ALWAYS ALWAYS
>Needle Post Fire (0045,10B2) IS 1 SAFE USER ALWAYS ALWAYS Length of the needle
post fire in 1/100 mm
>Needle Notch (0045,10B3) IS 1 SAFE USER ALWAYS ALWAYS Length of the needle
notch in 1/100 mm
>Needle Tip (0045,10B4) IS 1 SAFE USER ALWAYS ALWAYS Length of the needle
tip in 1/100 mm
>Needle Diameter (0045,10B5) IS 1 SAFE USER ALWAYS ALWAYS Needle diameter
value in gauge
>Needle guide head (0045,10B6) IS 1 SAFE USER ALWAYS ALWAYS Needle guide
thickness thickness value in
1/100 mm. Used only
in case of micro
biopsy. Otherwise,
value is set to 0.
>Name of the body (0045,10B7) ST 1 SAFE USER ALWAYS ALWAYS Revolve; ST; Magnum;
Vacora; Eviva; EnCor;
Generic; FNA and
HOOK; Calibration
Tool
>Interface type (0045,10B8) ST 1 SAFE USER ALWAYS ALWAYS H; V
>Body length (0045,10B9) IS 1 SAFE USER ALWAYS ALWAYS Length of the body in
1/100 mm.

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Attribute Name Tag VR VM Identifiable Source Presence of Presence of Value Conditions Comments
Information Attribute Value
>Device Type (0045,10BA) ST 1 SAFE USER ALWAYS ALWAYS CB; VAD; CALIB; FNA;
GENERIC
>Coaxial Cannula's (0045,10BB) IS 1 SAFE USER ALWAYS ALWAYS Coaxial cannula's
Length upper length in 1/100
mm
>Needle guide total (0045,10BC) IS 1 SAFE USER ALWAYS ALWAYS Full length of the
length needle in 1/100 mm
>Body Model Image (0045,10BD) ST 1 SAFE GENERATED ALWAYS ALWAYS
Path
> Needle Axis To (0045,10BE) IS 1 SAFE USER CONDITIONAL ALWAYS When Biopsy Tool Distance between
Body Bottom Width is Generic the closest gun part
Distance to breast support in
horizontal position
and the needle in
1/100mm
>Needle Axis To Body (0045,10BF) IS 1 SAFE USER CONDITIONAL ALWAYS When Biopsy Tool Distance between
Top Width Distance is Generic the furthest gun part
to breast support in
horizontal position
and the needle in
1/100mm
>Needle Spacer (0045,10C0) IS 1 SAFE USER ALWAYS ALWAYS Needle spacer in
length 1/100mm

CTO reserved series (0045,10C5) UI 1 UNSAFE GENERATED ALWAYS ALWAYS

instance UID
CTO reserved SOP (0045,10C6) SQ 1-n UNSAFE GENERATED ALWAYS ALWAYS
instance UIDs
sequence
>Referenced SOP (0008,1155) UI 1 UNSAFE GENERATED ALWAYS ALWAYS
Instance UID

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Attribute Name Tag VR VM Identifiable Source Presence of Presence of Value Conditions Comments
Information Attribute Value
Sigmoid Windowing (0045,10C7) DS 2 SAFE GENERATED CONDITIONAL ALWAYS If VOI LUT
parameters Function
(0028,1056) is
LINEAR

A.2.4 Breast Tomosynthesis Image IOD Specific Values and Code Sets
Table A-17 lists Coded Values referenced from the "Value" column of the tables above.

Table A-38 Values and Code Sets for Breast Tomosynthesis Image IOD
Attribute Name Tag Value/Code Condition Comments
Image Type (0008,0008) DERIVED\PRIMARY\TOMOSYNTHESIS\MAXIMUM 3D Routine Slabs image
ORIGINAL\PRIMARY\TOMOSYNTHESIS\NONE 3D Routine Planes image
DERIVED\PRIMARY\TOMOSYNTHESIS\NONE 3D Routine Lossy compressed Planes image
ORIGINAL\PRIMARY\TOMO_SCOUT\NONE 3D Biopsy Planes image
DERIVED\PRIMARY\TOMO_SCOUT\NONE 3D Biopsy Lossy compressed Planes image

A.3 CT Image IOD

The following table defines the structure of CT Image IOD.

Table A-39 CT Image IOD

IE Module Name Presence (Module) Condition Reference
Patient Patient ALWAYS Table A-1
Study General Study ALWAYS Table A-2
Patient Study ALWAYS Table A-3
Series General Series ALWAYS Table A-4
Frame of Reference Frame of Reference ALWAYS Table A-5
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Equipment General Equipment ALWAYS Table A-6

Acquisition General Acquisition ALWAYS Table A-11
Image General Image ALWAYS Table A-12
General Reference ALWAYS Table A-13
Image Plane ALWAYS Table A-40
Image Pixel ALWAYS Table A-8
CT Image ALWAYS Table A-41
VOI LUT ALWAYS Table A-15
SOP Common ALWAYS Table A-10
Standard Extended Module ALWAYS Table A-42
Private Module ALWAYS Table A-43

A.3.1 CT Image IOD Specific Modules

All SOP Instances generated by the system use the common modules listed in Table A-1 to Table A-10 or a subset of them, as defined in the IOD specific subsections below.

Table A-40 Image Plane Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Pixel Spacing (0028,0030) FIXED ALWAYS ALWAYS 0.1\0.1
Image Orientation (Patient) (0020,0037) GENERATED ALWAYS ALWAYS
Image Position (Patient) (0020,0032) GENERATED ALWAYS ALWAYS
Slice Thickness (0018,0050) GENERATED ALWAYS ALWAYS
Slice Location (0020,1041) GENERATED ALWAYS ALWAYS Set to Instance Number x
Slice thickness

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Table A-41 CT Image Module
Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Image Type (0008,0008) GENERATED ALWAYS ALWAYS See Section A.3.4
Samples per Pixel (0028,0002) FIXED ALWAYS ALWAYS 1
Photometric Interpretation (0028,0004) FIXED ALWAYS ALWAYS MONOCHROME2
Bits Allocated (0028,0100) FIXED ALWAYS ALWAYS 16
Bits Stored (0028,0101) FIXED ALWAYS ALWAYS 12
High Bit (0028,0102) FIXED ALWAYS ALWAYS 11
Rescale Intercept (0028,1052) FIXED ALWAYS ALWAYS 0
Rescale Slope (0028,1053) FIXED ALWAYS ALWAYS 1
Rescale Type (0028,1054) FIXED ALWAYS ALWAYS US
KVP (0018,0060) GENERATED ALWAYS ALWAYS Set to the average of the
source images attribute
KVP (0018,0060).
Acquisition Number (0020,0012) GENERATED ALWAYS ALWAYS Set to frame number,
starting at 0
Distance Source to Detector (0018,1110) GENERATED ALWAYS ALWAYS Distance in mm from the
source to the image
plane at 0°.
Distance Source to Patient (0018,1111) GENERATED ALWAYS ALWAYS Distance in mm from the
source to the breast
support plane at 0°.
Exposure Time (0018,1150) GENERATED ALWAYS ALWAYS Set to the converted total
of the source images
Exposure Time
(0018,1150).
X-Ray Tube Current (0018,1151) GENERATED ALWAYS ALWAYS Set to the average of
source images X-Ray
Tube Current
(0018,1151).
Exposure (0018,1152) GENERATED ALWAYS ALWAYS Set the total of the
individual projections’
values from projections
tags (0018,1152).

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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Exposure in microAs (0018,1153) GENERATED ALWAYS ALWAYS Set the total of the
individual projections’
values from projections
tags (0018,1153).
Filter Type (0018,1160) SRC_INSTANCE ALWAYS ALWAYS
Focal Spot(s) (0018,1190) SRC_INSTANCE ALWAYS ALWAYS
Anatomic Region Sequence (0008,2218) FIXED ALWAYS ALWAYS Only one item is
present
>Code Value (0008,0100) FIXED ALWAYS ALWAYS T-04000
>Coding Scheme Designator (0008,0102) FIXED ALWAYS ALWAYS SRT
>Code Meaning (0008,0104) FIXED ALWAYS ALWAYS Breast
View Code Sequence (0054,0220) SRC_INSTANCE ALWAYS ALWAYS Only one item is
present
>Code Value (0008,0100) SRC_INSTANCE ALWAYS ALWAYS
>Coding Scheme Designator (0008,0102) SRC_INSTANCE ALWAYS ALWAYS
>Code Meaning (0008,0104) SRC_INSTANCE ALWAYS ALWAYS
>View Modifier Code (0054,0222) SRC_INSTANCE ALWAYS SRC_COPY Zero or more items may
Sequence be present
>>Code Value (0008,0100) SRC_INSTANCE SRC_COPY ALWAYS
>>Coding Scheme (0008,0102) SRC_INSTANCE SRC_COPY ALWAYS
Designator
>>Code Meaning (0008,0104) SRC_INSTANCE SRC_COPY ALWAYS

A.3.2 CT Image IOD Specific Functional Group Macros – N/A

N/A

A.3.3 CT Image IOD Specific Private Modules

The tables below list private Attributes that are used in multiple IODs generated by the system. For documentation convenience and readability, they are organized in modules,
although the concept of modules does not exist in the standard for private Attributes.

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Table A-42 Standard Extended Module
Attribute Name Tag VR VM Identifiable Source Presence of Presence of Value Conditions Comments
Information Attribute Value
Acquisition Date (0008,002A) DT 1 SAFE SRC_INSTANCE ALWAYS ALWAYS
Time
Field of View Shape (0018,1147) CS 1 SAFE SRC_INSTANCE ALWAYS ALWAYS
Field of View (0018,9461) FL 1-2 SAFE SRC_INSTANCE ALWAYS ALWAYS
Dimension(s) in Float
Field of View Origin (0018,7030) DS 2 SAFE SRC_INSTANCE ALWAYS ALWAYS
Field of View (0018,7032) DS 1 SAFE SRC_INSTANCE ALWAYS ALWAYS
Rotation
Field of View (0018,7034) CS 1 SAFE SRC_INSTANCE ALWAYS ALWAYS
Horizontal Flip
Grid (0018,1166) CS 1 SAFE SRC_INSTANCE ALWAYS ALWAYS
Anode Target (0018,1191) CS 1 SAFE SRC_INSTANCE ALWAYS ALWAYS
Material
Body Part Thickness (0018,11A0) DS 1 SAFE SRC_INSTANCE ALWAYS ALWAYS
Compression Force (0018,11A2) DS 1 SAFE SRC_INSTANCE ALWAYS ALWAYS
Paddle Description (0018,11A4) LO 1 SAFE SRC_INSTANCE ALWAYS ALWAYS
Exposure Control (0018,7060) CS 1 SAFE SRC_INSTANCE ALWAYS ALWAYS
Mode
Exposure Control (0018,7062) LT 1 SAFE SRC_INSTANCE ALWAYS ALWAYS
Mode Description
Half Value Layer (0040,0314) DS 1 SAFE SRC_INSTANCE ALWAYS ALWAYS
Detector (0018,7001) DS 1 SAFE SRC_INSTANCE ALWAYS ALWAYS
Temperature
Positioner Primary (0018,1510) DS 1 SAFE SRC_INSTANCE ALWAYS ALWAYS
Angle
Detector ID (0018,700A) SH 1 UNSAFE SRC_INSTANCE ALWAYS ALWAYS

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Attribute Name Tag VR VM Identifiable Source Presence of Presence of Value Conditions Comments
Information Attribute Value
Filter Material (0018,7050) CS 1 SAFE SRC_INSTANCE ALWAYS ALWAYS
Organ Dose (0040,0316) DS 1 SAFE SRC_INSTANCE ALWAYS ALWAYS
Entrance Dose in (0040,8302) DS 1 SAFE SRC_INSTANCE ALWAYS ALWAYS
mGy
Acquisition Device (0018,1401) LO 1 SAFE GENERATED ALWAYS ALWAYS
Processing Code

Table A-43 Private Module

Attribute Name Tag VR VM Identifiable Source Presence of Presence of Value Conditions Comments
Information Attribute Value
Private Creator (0045,0010) LO 1 SAFE
Breast ROI X (0045,1060) IS 4 SAFE GENERATED ALWAYS ALWAYS
Breast ROI Y (0045,1061) IS 4 SAFE GENERATED ALWAYS ALWAYS
Radiological (0045,1049) DS 1 SAFE SRC_INSTANCE ALWAYS ALWAYS
Thickness
Reconstruction (0045,10A7) LT 1-n SAFE GENERATED ALWAYS ALWAYS
parameters
Sigmoid Windowing (0045,10C7) DS 2 SAFE GENERATED CONDITIONAL ALWAYS If VOI LUT
parameters Function
(0028,1056) is
LINEAR

A.3.4 CT Image IOD Specific Values and Code Sets – N/A

N/A

A.4 Digital Mammography X-Ray Image IOD

The following table defines the structure of Digital Mammography X-Ray Image IOD.

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Table A-44 Digital Mammography X-Ray Image IOD
IE Module Name Presence (Module) Condition Reference
Patient Patient ALWAYS Table A-1
Study General Study ALWAYS Table A-2
Patient Study ALWAYS Table A-3
Series General Series ALWAYS Table A-4
DX Series ALWAYS Table A-45
Mammography Series ALWAYS Table A-46
Frame of Reference Frame of Reference ALWAYS Table A-5
Equipment General Equipment ALWAYS Table A-6
Acquisition General Acquisition ALWAYS Table A-11
Image General Image ALWAYS Table A-12
General Reference ALWAYS Table A-13
Image Pixel ALWAYS Table A-8
Contrast/Bolus CONDITIONAL Used only in CESM Table A-14
Display Shutter CONDITIONAL Used only in 3D projections Table A-16
DX Anatomy Imaged ALWAYS Table A-47
DX Image ALWAYS Table A-48
DX Detector ALWAYS Table A-49
X-Ray Collimator ALWAYS Table A-50
DX Positioning ALWAYS Table A-51
X-Ray Acquisition Dose ALWAYS Table A-52
X-Ray Generation ALWAYS Table A-53
X-Ray Filtration ALWAYS Table A-54
X-Ray Grid ALWAYS Table A-55
Mammography Image ALWAYS Table A-56
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IE Module Name Presence (Module) Condition Reference

VOI LUT ALWAYS Table A-15
Acquisition Context ALWAYS Table A-9
SOP Common ALWAYS Table A-10
Private Module ALWAYS Table A-57

A.4.1 Digital Mammography X-Ray Image IOD Specific Modules

All SOP Instances generated by the system use the common modules listed in Table A-1 to Table A-10 or a subset of them, as defined in the IOD specific subsections below.

Table A-45 DX Series Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Modality (0008,0060) FIXED ALWAYS ALWAYS MG
Referenced Performed (0008,1111) GENERATED CONDITIONAL ALWAYS Only one item is If a PPS manager has
Procedure Step Sequence present been declared.
>Referenced SOP Class UID (0008,1150) FIXED ALWAYS ALWAYS 1.2.840.10008.3.1.2.3.3
>Referenced SOP Instance (0008,1155) GENERATED ALWAYS ALWAYS
UID
Presentation Intent Type (0008,0068) GENERATED ALWAYS ALWAYS FOR PRESENTATION;
FOR PROCESSING

Table A-46 Mammography Series Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Modality (0008,0060) FIXED ALWAYS ALWAYS MG
Request Attributes (0040,0275) MWL CONDITIONAL ALWAYS One or more items may If received from RIS.
Sequence be present
>Requested Procedure ID (0040,1001) MWL CONDITIONAL ALWAYS If received from RIS.
>Requested Procedure (0032,1060) MWL CONDITIONAL ALWAYS If received from RIS.
Description

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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
>Scheduled Procedure Step (0040,0009) MWL CONDITIONAL ALWAYS If received from RIS.
ID
>Scheduled Procedure Step (0040,0007) MWL CONDITIONAL CONDITIONAL If received from RIS.
Description
>Scheduled Protocol Code (0040,0008) MWL CONDITIONAL ALWAYS One or more items may If received from RIS. If sequence is received
Sequence be present incomplete, it will be
corrected as described
below in sequence
elements
>>Code Value (0008,0100) MWL CONDITIONAL ALWAYS If received from RIS If missing in sequence,
copied with code
meaning
>>Coding Scheme (0008,0102) MWL CONDITIONAL ALWAYS If received from RIS If missing in sequence,
Designator value is set to ”99LOCAL”.
>>Code Meaning (0008,0104) MWL CONDITIONAL ALWAYS If received from RIS If missing in sequence,
value is set to the code
value.

Table A-47 DX Anatomy Imaged Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Image Laterality (0020,0062) USER ALWAYS ALWAYS R; L; B
Anatomic Region Sequence (0008,2218) FIXED ALWAYS ALWAYS One item is present
>Code Value (0008,0100) FIXED ALWAYS ALWAYS T-04000
>Coding Scheme Designator (0008,0102) FIXED ALWAYS ALWAYS SRT
>Code Meaning (0008,0104) FIXED ALWAYS ALWAYS Breast

Table A-48 DX Image Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Image Type (0008,0008) GENERATED ALWAYS ALWAYS See Section A.1.4

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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Samples per Pixel (0028,0002) FIXED ALWAYS ALWAYS 1
Photometric Interpretation (0028,0004) GENERATED ALWAYS ALWAYS MONOCHROME1; For Processing:
MONOCHROME2 MONOCHROME1.
For Presentation:
MONOCHROME2.
Bits Allocated (0028,0100) FIXED ALWAYS ALWAYS 16
Bits Stored (0028,0101) GENERATED ALWAYS ALWAYS 12; 14 For Processing: 14.
For Presentation: 12.
High Bit (0028,0102) GENERATED ALWAYS ALWAYS 11; 13 For Processing: 13.
For Presentation: 11.
Pixel Representation (0028,0103) FIXED ALWAYS ALWAYS 0000H
Pixel Intensity Relationship (0028,1040) GENERATED ALWAYS ALWAYS LIN; LOG For Processing: LIN.
For Presentation: MG.
Pixel Intensity Relationship (0028,1041) GENERATED ALWAYS ALWAYS +1; -1 For Processing: +1.
Sign For Presentation: -1.
Rescale Intercept (0028,1052) FIXED ALWAYS ALWAYS 0
Rescale Slope (0028,1053) FIXED ALWAYS ALWAYS 1
Rescale Type (0028,1054) FIXED ALWAYS ALWAYS US
Presentation LUT Shape (2050,0020) GENERATED ALWAYS ALWAYS IDENTITY; INVERSE For Processing: INVERSE
For Presentation: -
IDENTITY.
Lossy Image Compression (0028,2110) FIXED ALWAYS ALWAYS 00
Acquisition Device (0018,1400) GENERATED CONDITIONAL ALWAYS Only in For Presentation
Processing Description images
Acquisition Device (0018,1401) GENERATED CONDITIONAL ALWAYS Only in For Presentation
Processing Code images
Patient Orientation (0020,0020) GENERATED CONDITIONAL ALWAYS Not sent for specimen
images
Burned In Annotation (0028,0301) FIXED ALWAYS ALWAYS NO
VOI LUT Sequence (0028,3010) GENERATED CONDITIONAL ALWAYS One to 4 items may be If VOI LUT Function 1 item per Window
present (0028,1056) is SIGMOID Center values (0028,1050)
>LUT Descriptor (0028,3002) GENERATED ALWAYS ALWAYS

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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
>LUT Explanation (0028,3003) GENERATED ALWAYS ALWAYS NORMAL; SOFTER;
HARDER; USER
>LUT Data (0028,3006) GENERATED ALWAYS ALWAYS
Window Center (0028,1050) GENERATED CONDITIONAL CONDITIONAL If For Presentation image
Window Width (0028,1051) GENERATED CONDITIONAL CONDITIONAL If For Presentation image
Window Center & Width (0028,1055) GENERATED CONDITIONAL ALWAYS NORMAL; SOFTER; If For Presentation image
Explanation HARDER; USER

Table A-49 DX Detector Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Detector Type (0018,7004) FIXED ALWAYS ALWAYS SCINTILLATOR
Detector Configuration (0018,7005) FIXED ALWAYS ALWAYS AREA
Detector Description (0018,7006) GENERATED ALWAYS ALWAYS
Detector ID (0018,700A) GENERATED ALWAYS ALWAYS
Date of Last Detector (0018,700C) GENERATED ALWAYS ALWAYS
Calibration
Time of Last Detector (0018,700E) GENERATED ALWAYS ALWAYS
Calibration
Detector Binning (0018,701A) FIXED ALWAYS ALWAYS 1.0\1.0
Detector Conditions (0018,7000) GENERATED ALWAYS ALWAYS YES; NO
Nominal Flag
Detector Temperature (0018,7001) GENERATED ALWAYS ALWAYS
Sensitivity (0018,6000) GENERATED ALWAYS ALWAYS
Detector Element Physical (0018,7020) FIXED ALWAYS ALWAYS 0.1\0.1
Size
Detector Element Spacing (0018,7022) FIXED ALWAYS ALWAYS 0.1\0.1
Detector Active Shape (0018,7024) FIXED ALWAYS ALWAYS RECTANGLE
Detector Active (0018,7026) FIXED ALWAYS ALWAYS 286.0\240.0
Dimension(s)
Field of View Shape (0018,1147) FIXED ALWAYS ALWAYS RECTANGLE
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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Field of View Dimension(s) (0018,1149) GENERATED ALWAYS ALWAYS
Field of View Origin (0018,7030) GENERATED ALWAYS ALWAYS
Field of View Rotation (0018,7032) GENERATED ALWAYS ALWAYS 270; 180; 90; 0
Field of View Horizontal Flip (0018,7034) GENERATED ALWAYS ALWAYS YES; NO
Imager Pixel Spacing (0018,1164) FIXED ALWAYS ALWAYS 0.1\0.1
Pixel Spacing (0028,0030) GENERATED ALWAYS ALWAYS

Table A-50 X-Ray Collimator Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Collimator Shape (0018,1700) FIXED ALWAYS ALWAYS RECTANGULAR
Collimator Left Vertical Edge (0018,1702) GENERATED ALWAYS ALWAYS
Collimator Right Vertical (0018,1704) GENERATED ALWAYS ALWAYS
Edge
Collimator Upper Horizontal (0018,1706) GENERATED ALWAYS ALWAYS
Edge
Collimator Lower Horizontal (0018,1708) GENERATED ALWAYS ALWAYS
Edge

Table A-51 DX Positioning Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
View Position (0018,5101) GENERATED ALWAYS ALWAYS
View Code Sequence (0054,0220) GENERATED ALWAYS ALWAYS Only one item is
present
>Code Value (0008,0100) GENERATED ALWAYS ALWAYS See Section A.4.4
>Coding Scheme Designator (0008,0102) GENERATED ALWAYS ALWAYS See Section A.4.4
>Code Meaning (0008,0104) GENERATED ALWAYS ALWAYS See Section A.4.4
>View Modifier Code (0054,0222) GENERATED ALWAYS CONDITIONAL Zero or one items may If view modifier has been
Sequence be present selected by the user.
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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
>>Code Value (0008,0100) GENERATED ALWAYS ALWAYS See Section A.4.4
>>Coding Scheme (0008,0102) GENERATED ALWAYS ALWAYS See Section A.4.4
Designator
>>Code Meaning (0008,0104) GENERATED ALWAYS ALWAYS See Section A.4.4
Distance Source to Patient (0018,1111) GENERATED CONDITIONAL ALWAYS Not sent for specimen Distance in mm from the
images. source to the breast
support.
Distance Source to Detector (0018,1110) GENERATED ALWAYS ALWAYS Distance in mm from the
source to the image
plane.
Estimated Radiographic (0018,1114) GENERATED ALWAYS ALWAYS Set to SID/(SOD – 20 mm)
Magnification Factor for all images except
breast spacer and
specimen images.
Set to SID/(SOD – 40mm)
for images with breast
spacer.
Set to SID/SOD for
specimen images.
Positioner Type (0018,1508) FIXED ALWAYS ALWAYS MAMMOGRAPHIC
Positioner Primary Angle (0018,1510) GENERATED ALWAYS ALWAYS
Detector Secondary Angle (0018,1531) GENERATED ALWAYS ALWAYS
Body Part Thickness (0018,11A0) GENERATED ALWAYS ALWAYS
Compression Force (0018,11A2) GENERATED ALWAYS ALWAYS
Paddle Description (0018,11A4) GENERATED CONDITIONAL ALWAYS Not sent for specimen
images.

Table A-52 X-Ray Acquisition Dose Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
KVP (0018,0060) GENERATED CONDITIONAL ALWAYS Not sent for CESM
Recombined.

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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
X-Ray Tube Current (0018,1151) GENERATED CONDITIONAL ALWAYS Not sent for CESM
Recombined.
Exposure Time (0018,1150) GENERATED CONDITIONAL ALWAYS Not sent for CESM
Recombined.
Exposure (0018,1152) GENERATED CONDITIONAL ALWAYS Not sent for CESM
Recombined.
Exposure in microAs (0018,1153) GENERATED CONDITIONAL ALWAYS Not sent for CESM
Recombined.
Distance Source to Detector (0018,1110) GENERATED ALWAYS ALWAYS Distance in mm from the
source to the image
plane.
Distance Source to Patient (0018,1111) GENERATED CONDITIONAL ALWAYS Not sent for specimen Distance in mm from the
images. source to the breast
support.
Body Part Thickness (0018,11A0) GENERATED CONDITIONAL ALWAYS Not sent for specimen
images.
Relative X-Ray Exposure (0018,1405) GENERATED CONDITIONAL ALWAYS Not sent for CESM
Recombined and
specimen images.
Entrance Dose (0040,0302) GENERATED CONDITIONAL ALWAYS Not sent for CESM
Recombined and
specimen images.
Entrance Dose in mGy (0040,8302) GENERATED CONDITIONAL ALWAYS Not sent for CESM
Recombined and
specimen images.
Distance Source to Entrance (0040,0306) GENERATED ALWAYS ALWAYS Distance in mm from the
source to the
compression paddle.
Value is set to the at 0°
for all TOMO projections.
Comments on Radiation (0040,0310) GENERATED CONDITIONAL ALWAYS Not sent for specimen Breast glandularity in %.
Dose images.
Half Value Layer (0040,0314) GENERATED CONDITIONAL ALWAYS Not sent for CESM
Recombined and
specimen images.
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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Organ Dose (0040,0316) GENERATED CONDITIONAL ALWAYS Not sent for CESM
Recombined and
specimen images.
Organ Exposed (0040,0318) FIXED ALWAYS ALWAYS BREAST
Anode Target Material (0018,1191) GENERATED ALWAYS ALWAYS MOLYBDENUM;
RHODIUM
Filter Type (0018,1160) FIXED CONDITIONAL ALWAYS STRIP Not sent for CESM
Recombined.
Filter Material (0018,7050) GENERATED CONDITIONAL ALWAYS MOLYBDENUM; SILVER; Not sent for CESM
COPPER Recombined.

Table A-53 X-Ray Generation Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
KVP (0018,0060) GENERATED CONDITIONAL ALWAYS Not sent for CESM
Recombined.
X-Ray Tube Current (0018,1151) GENERATED CONDITIONAL ALWAYS Not sent for CESM
Recombined.
Exposure Time (0018,1150) GENERATED CONDITIONAL ALWAYS Not sent for CESM
Recombined.
Exposure (0018,1152) GENERATED CONDITIONAL ALWAYS Not sent for CESM
Recombined.
Exposure in microAs (0018,1153) GENERATED CONDITIONAL ALWAYS Not sent for CESM
Recombined.
Exposure Control Mode (0018,7060) GENERATED ALWAYS ALWAYS MANUAL; AUTOMATIC
Exposure Control Mode (0018,7062) GENERATED ALWAYS ALWAYS
Description
Exposure Status (0018,7064) GENERATED ALWAYS ALWAYS NORMAL; ABORTED
Focal Spot(s) (0018,1190) GENERATED ALWAYS ALWAYS 0.1; 0.3
Anode Target Material (0018,1191) GENERATED ALWAYS ALWAYS MOLYBDENUM;
RHODIUM

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Table A-54 X-Ray Filtration Module
Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Filter Type (0018,1160) FIXED CONDITIONAL ALWAYS STRIP Not sent for CESM
Recombined.
Filter Material (0018,7050) GENERATED CONDITIONAL ALWAYS MOLYBDENUM; SILVER; Not sent for CESM
COPPER Recombined.

Table A-55 X-Ray Grid Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Grid (0018,1166) GENERATED ALWAYS ALWAYS RECIPROCATING\FOCU
SED

Table A-56 Mammography Image Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Image Type (0008,0008) GENERATED ALWAYS ALWAYS See Section A.1.4
Positioner Type (0018,1508) FIXED ALWAYS ALWAYS MAMMOGRAPHIC
Distance Source to Detector (0018,1110) GENERATED ALWAYS ALWAYS Distance in mm from the
source to the image
plane.
Distance Source to Patient (0018,1111) GENERATED CONDITIONAL ALWAYS Not sent for specimen Distance in mm from the
images. source to the breast
support.
Positioner Primary Angle (0018,1510) GENERATED ALWAYS ALWAYS
Positioner Primary Angle (0018,9559) FIXED ALWAYS ALWAYS CC
Direction
Image Laterality (0020,0062) USER ALWAYS ALWAYS R; L; B
Organ Exposed (0040,0318) FIXED ALWAYS ALWAYS BREAST
Breast Implant Present (0028,1300) MWL; USER CONDITIONAL ALWAYS YES; NO Not sent for specimen
images

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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Anatomic Region Sequence (0008,2218) FIXED ALWAYS ALWAYS Only one item is
present
>Code Value (0008,0100) FIXED ALWAYS ALWAYS T-04000
>Coding Scheme Designator (0008,0102) FIXED ALWAYS ALWAYS SRT
>Code Meaning (0008,0104) FIXED ALWAYS ALWAYS Breast
View Code Sequence (0054,0220) GENERATED ALWAYS ALWAYS Only one item is
present
>Code Value (0008,0100) GENERATED ALWAYS ALWAYS See Section A.4.4
>Coding Scheme Designator (0008,0102) GENERATED ALWAYS ALWAYS See Section A.4.4
>Code Meaning (0008,0104) GENERATED ALWAYS ALWAYS See Section A.4.4
>View Modifier Code (0054,0222) GENERATED ALWAYS CONDITIONAL Zero or one items may If view modifier has been
Sequence be present selected by the user.
>>Code Value (0008,0100) GENERATED ALWAYS ALWAYS See Section A.4.4
>>Coding Scheme (0008,0102) GENERATED ALWAYS ALWAYS See Section A.4.4
Designator
>>Code Meaning (0008,0104) GENERATED ALWAYS ALWAYS See Section A.4.4
Biopsy Target Sequence (0018,2041) GENERATED CONDITIONAL ALWAYS One or more items may Only for Biopsy
be present procedure, in “For
Presentation” images,
except specimen images.
>Target UID (0018,2042) GENERATED ALWAYS ALWAYS
>Localizing Cursor Position (0018,2043) GENERATED ALWAYS ALWAYS
>Calculated Target Position (0018,2044) GENERATED ALWAYS ALWAYS
>Displayed Z Value (0018,2046) GENERATED ALWAYS ALWAYS
>Target Label (0018,2045) GENERATED ALWAYS ALWAYS

A.4.2 Digital Mammography X-Ray Image IOD Specific Functional Group Macros – N/A
N/A

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A.4.3 Digital Mammography X-Ray Image IOD Specific Private Modules

The tables below list private Attributes that are used in multiple IODs generated by the system. For documentation convenience and readability, they are organized in modules,
although the concept of modules does not exist in the standard for private Attributes.
Table A-57 Private Module
Attribute Name Tag VR VM Identifiable Source Presence of Presence of Value Value Conditions Comments
Information Attribute
Biopsy Target (0018,2041) SQ 1-n SAFE GENERATED CONDITIONAL CONDITIONAL One or more items may Only present for
Sequence be present Biopsy
procedure
>Private Creator (0045,0010) LO 1 SAFE FIXED ALWAYS ALWAYS GEMS_SENO_02
>Biopsy device ID (0045,10AF) SH 1 SAFE GENERATED ALWAYS ALWAYS Set to the
needle ID used
during the
medical
procedure when
target is sent.
Private Creator (0045,0010) LO 1 SAFE FIXED ALWAYS ALWAYS GEMS_SENO_02
Angulation (0045,1006) DS 1 SAFE GENERATED ALWAYS ALWAYS
Clinical View (0045,101B) CS 1 SAFE GENERATED ALWAYS ALWAYS
Radiological (0045,1049) DS 1 SAFE GENERATED ALWAYS ALWAYS
Thickness
Mu (0045,1058) DS 1 SAFE GENERATED CONDITIONAL ALWAYS if For
Presentation
image.
Threshold (0045,1059) IS 1 SAFE GENERATED CONDITIONAL ALWAYS if For
Presentation
image.
Breast ROI X (0045,1060) IS 4 SAFE GENERATED CONDITIONAL ALWAYS if For
Presentation
image.

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Attribute Name Tag VR VM Identifiable Source Presence of Presence of Value Value Conditions Comments
Information Attribute
Breast ROI Y (0045,1061) IS 4 SAFE GENERATED CONDITIONAL ALWAYS If For
Presentation
image.
User Window (0045,1062) IS 1 SAFE GENERATED ALWAYS ALWAYS
Center
User Window (0045,1063) IS 1 SAFE GENERATED ALWAYS ALWAYS
Width
Segmentation (0045,1064) IS 1 SAFE GENERATED CONDITIONAL ALWAYS If For Processing
Threshold image.
Image Crop point (0045,1072) DS 2 SAFE GENERATED ALWAYS ALWAYS
Signal Average (0045,10A0) DS 1 SAFE GENERATED CONDITIONAL ALWAYS Only for CESM
Factor procedure
Organ dose for (0045,10A1) DS 2-n SAFE GENERATED CONDITIONAL ALWAYS Only for CESM
source images procedure
Entrance dose in (0045,10A2) DS 2-n SAFE GENERATED CONDITIONAL ALWAYS Only for CESM
mGy for source procedure
images
X-ray Source (0045,10A3) DS 3 SAFE GENERATED CONDITIONAL ALWAYS Only for Biopsy
Position procedure
Cumulative (0045,10AB) DS 1 SAFE GENERATED CONDITIONAL ALWAYS If DBT projection
organ dose image.
Cumulative (0045,10AC) DS 1 SAFE GENERATED CONDITIONAL ALWAYS If DBT projection
entrance dose image.
Paddle (0045,10AD) LO 1-n SAFE GENERATED CONDITIONAL ALWAYS Not sent for
Properties specimen
images
Biopsy Tool (0045,10B0) SQ 1-n SAFE GENERATED CONDITIONAL ALWAYS Only for Biopsy
Sequence procedure.
>Private Creator (0045,0010) LO 1 SAFE FIXED ALWAYS ALWAYS GEMS_SENO_02

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Attribute Name Tag VR VM Identifiable Source Presence of Presence of Value Value Conditions Comments
Information Attribute
>ID of the Biopsy (0045,10AF) SH 1 SAFE GENERATED ALWAYS ALWAYS
device
>Biopsy Device (0045,10B1) ST 1 SAFE USER ALWAYS ALWAYS
Name
>Needle Post Fire (0045,10B2) IS 1 SAFE USER ALWAYS ALWAYS Length of the
needle post fire
in 1/100 mm
>Needle Notch (0045,10B3) IS 1 SAFE USER ALWAYS ALWAYS Length of the
needle notch in
1/100 mm
>Needle Tip (0045,10B4) IS 1 SAFE USER ALWAYS ALWAYS Length of the
needle tip in
1/100 mm
>Needle (0045,10B5) IS 1 SAFE USER ALWAYS ALWAYS Needle
Diameter diameter value
in gauge
>Needle guide (0045,10B6) IS 1 SAFE USER ALWAYS ALWAYS Needle guide
head thickness thickness value
in 1/100 mm.
Used only in
case of micro
biopsy.
Otherwise,
value is set to 0.
>Name of the (0045,10B7) ST 1 SAFE USER ALWAYS ALWAYS Revolve; ST; Magnum;
body Vacora; Eviva; EnCor;
Generic; FNA and
HOOK; Calibration Tool
>Interface type (0045,10B8) ST 1 SAFE USER ALWAYS ALWAYS H; V
>Body length (0045,10B9) IS 1 SAFE USER ALWAYS ALWAYS Length of the
body in 1/100
mm.

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Attribute Name Tag VR VM Identifiable Source Presence of Presence of Value Value Conditions Comments
Information Attribute
>Device Type (0045,10BA) ST 1 SAFE USER ALWAYS ALWAYS CB; VAD; CALIB; FNA;
GENERIC
>Coaxial (0045,10BB) IS 1 SAFE USER ALWAYS ALWAYS Coaxial
Cannula's Length cannula's upper
length in 1/100
mm
>Needle guide (0045,10BC) IS 1 SAFE USER ALWAYS ALWAYS Full length of
total length the needle in
1/100 mm
>Body Model (0045,10BD) ST 1 SAFE GENERATED ALWAYS ALWAYS
Image Path
> Needle Axis To (0045,10BE) IS 1 SAFE USER CONDITIONAL ALWAYS When Biopsy Distance
Body Bottom Tool is Generic between the
Width Distance closest gun part
to breast
support in
horizontal
position and the
needle in
1/100mm
>Needle Axis To (0045,10BF) IS 1 SAFE USER CONDITIONAL ALWAYS When Biopsy Distance
Body Top Width Tool is Generic between the
Distance furthest gun
part to breast
support in
horizontal
position and the
needle in
1/100mm
>Needle Spacer (0045,10C0) IS 1 SAFE USER ALWAYS ALWAYS Needle spacer in
length 1/100mm

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Attribute Name Tag VR VM Identifiable Source Presence of Presence of Value Value Conditions Comments
Information Attribute
Distance image (0045,10C1) DS 1 SAFE GENERATED CONDITIONAL ALWAYS Only for Biopsy
plan to breast images, except
support specimen.
Breast Support (0045,10C3) LO 2-7 SAFE GENERATED ALWAYS ALWAYS
Properties
IFF inputs (0045,10C4) LO 6 SAFE GENERATED ALWAYS ALWAYS
Sigmoid (0045,10C7) DS 2 SAFE GENERATED CONDITIONAL ALWAYS If VOI LUT
Windowing Function
parameters (0028,1056) is
LINEAR

A.4.4 Digital Mammography X-Ray Image IOD Specific Values and Code Sets
Table A-17 lists Coded Values referenced from the "Value" column of the tables above.

Table A-58 Values and Code Sets for Digital Mammography X-Ray Image IOD
Attribute Name Tag Value/Code Condition Comments
View Code Sequence (0054,0220) (R-10224, SRT, “medio-lateral”) ML view
(R-10226, SRT, “medio-lateral oblique”) MLO view
(R-10228, SRT, “latero-medial”) LM view
(R-10230, SRT, “latero-medial oblique”) LMO view
(R-10242, SRT, “cranio-caudal”) CC view
(R-10244, SRT, “caudo-cranial (from below) ”) FB view
(R-102D0, SRT, “superolateral to inferomedial oblique”) SIO view
(R-40AAA, SRT, “inferomedial to superolateral oblique”) ISO view
(R-1024A, SRT, “cranio-caudal exaggerated laterally”) XCCL view
(R-1024B, SRT, “cranio-caudal exaggerated medially”) XCCM view

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Attribute Name Tag Value/Code Condition Comments

(G-8310, SRT, “tissue specimen from breast”) Specimen image
View Modifier Code Sequence (0054,0222) (R-102D2, SRT, “Cleavage”) CV view modifier
(R-102D1, SRT, “Axillary Tail”) AT view modifier
(R-102D3, SRT, “Rolled Lateral”) RL view modifier
(R-102D4, SRT, “Rolled Medial”) RM view modifier
(R-102CA, SRT, “Rolled Inferior”) RI view modifier
(R-102C9, SRT, “Rolled Superior”) RS view modifier
(R-102D5, SRT, “Implant Displaced”) ID view modifier
(R-102D6, SRT, “Magnification”) Mag view
(R-102D7, SRT, “Spot Compression”) S view modifier
(R-102C2, SRT, “Tangential”) TAN view modifier
(R-40AB3, SRT, “Nipple in profile”) NP view modifier
(P2-00161, SRT, “Anterior compression”) AC view Modifier
(R-40ABE, SRT, “Infra-mammary fold”) IMF view modifier
(R-40AB2, SRT, “Axillary tissue”) AX view modifier

A.5 Grayscale Softcopy Presentation State IOD

The following table defines the structure of Grayscale Softcopy Presentation State IOD.

Table A-59 Grayscale Softcopy Presentation State IOD

IE Module Name Presence (Module) Condition Reference
Patient Patient ALWAYS Table A-1
Study General Study ALWAYS Table A-2
Patient Study ALWAYS Table A-3
Series General Series ALWAYS Table A-4
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IE Module Name Presence (Module) Condition Reference

Presentation Series ALWAYS Table A-60
Equipment General Equipment ALWAYS Table A-6
Presentation State Presentation State Identification ALWAYS Table A-61
Presentation State Relationship ALWAYS Table A-62
Displayed Area ALWAYS Table A-63
Graphic Annotation ALWAYS Table A-64
Graphic Layer ALWAYS Table A-65
Softcopy Presentation LUT ALWAYS Table A-66
SOP Common ALWAYS Table A-10

A.5.1 Grayscale Softcopy Presentation State IOD Specific Modules

All SOP Instances generated by the system use the common modules listed in Table A-1 to Table A-10 or a subset of them, as defined in the IOD specific subsections below.

Table A-60 Presentation Series Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Modality (0008,0060) FIXED ALWAYS ALWAYS PR

Table A-61 Presentation State Identification Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Presentation Creation Date (0070,0082) GENERATED ALWAYS ALWAYS
Presentation Creation Time (0070,0083) GENERATED ALWAYS ALWAYS
Instance Number (0020,0013) GENERATED ALWAYS ALWAYS
Content Label (0070,0080) FIXED ALWAYS ALWAYS USER ANNOTATION
Content Description (0070,0081) GENERATED ALWAYS ALWAYS

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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Content Creator's Name (0070,0084) GENERATED ALWAYS ALWAYS

Table A-62 Presentation State Relationship Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Referenced Series Sequence (0008,1115) GENERATED ALWAYS ALWAYS Only one item is
present.
>Series Instance UID (0020,000E) SRC_INSTANCE ALWAYS ALWAYS
>Referenced Image (0008,1140) GENERATED ALWAYS ALWAYS Only one item is
Sequence present.
>>Referenced SOP Class UID (0008,1150) SRC_INSTANCE ALWAYS ALWAYS
>>Referenced SOP Instance (0008,1155) SRC_INSTANCE ALWAYS ALWAYS
UID
>>Referenced Frame (0008,1160) GENERATED CONDITIONAL CONDITIONAL If GSPS refers to a BTO
Number image.

Table A-63 Displayed Area Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Displayed Area Selection (0070,005A) GENERATED ALWAYS ALWAYS Only one item is
Sequence present
>Displayed Area Top Left (0070,0052) FIXED ALWAYS ALWAYS 1\1
Hand Corner
>Displayed Area Bottom (0070,0053) GENERATED ALWAYS ALWAYS Set to number of
Right Hand Corner columns and rows of the
associated image.
>Presentation Size Mode (0070,0100) FIXED ALWAYS ALWAYS SCALE TO FIT
>Presentation Pixel Aspect (0070,0102) FIXED ALWAYS ALWAYS 1\1
Ratio

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Table A-64 Graphic Annotation Module
Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Graphic Annotation (0070,0001) GENERATED ALWAYS ALWAYS One or more items may
Sequence be present
>Referenced Image (0008,1140) GENERATED CONDITIONAL ALWAYS One or more items may If GSPS is referencing a 3D
Sequence be present volume. Not sent if
referencing a 2D image.
>>Referenced SOP Class UID (0008,1150) SRC_INSTANCE ALWAYS ALWAYS
>>Referenced SOP Instance (0008,1155) SRC_INSTANCE ALWAYS ALWAYS
UID
>>Referenced Frame (0008,1160) GENERATED ALWAYS ALWAYS
Number
>Graphic Layer (0070,0002) FIXED ALWAYS ALWAYS GEHC
>Text Object Sequence (0070,0008) GENERATED CONDITIONAL ALWAYS One or more items may Sent if annotation has
be present text.
>>Bounding Box Annotation (0070,0003) FIXED ALWAYS ALWAYS PIXEL
Units
>>Anchor Point Annotation (0070,0004) FIXED ALWAYS ALWAYS PIXEL
Units
>>Unformatted Text Value (0070,0006) USER ALWAYS ALWAYS
>>Bounding Box Top Left (0070,0010) GENERATED ALWAYS ALWAYS
Hand Corner
>>Bounding Box Bottom (0070,0011) GENERATED ALWAYS ALWAYS
Right Hand Corner
>>Bounding Box Text (0070,0012) FIXED ALWAYS ALWAYS LEFT
Horizontal Justification
>>Anchor Point (0070,0014) GENERATED ALWAYS ALWAYS
>>Anchor Point Visibility (0070,0015) GENERATED ALWAYS ALWAYS Y; N
>Graphic Object Sequence (0070,0009) GENERATED CONDITIONAL ALWAYS One or more items may Sent if annotation has
be present graphic
>>Graphic Annotation Units (0070,0005) FIXED ALWAYS ALWAYS PIXEL
>>Graphic Dimensions (0070,0020) FIXED ALWAYS ALWAYS 2
>>Number of Graphic Points (0070,0021) GENERATED ALWAYS ALWAYS

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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
>>Graphic Data (0070,0022) GENERATED ALWAYS ALWAYS
>>Graphic Type (0070,0023) GENERATED ALWAYS ALWAYS POLYLINE; ELLIPSE
>>Graphic Filled (0070,0024) FIXED CONDITIONAL CONDITIONAL N

Table A-65 Graphic Layer Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Graphic Layer Sequence (0070,0060) FIXED ALWAYS ALWAYS Only one item is
present
>Graphic Layer (0070,0002) FIXED ALWAYS ALWAYS GEHC
>Graphic Layer Order (0070,0062) FIXED ALWAYS ALWAYS 1
>Graphic Layer Description (0070,0068) FIXED ALWAYS ALWAYS User’s annotation

Table A-66 Softcopy Presentation LUT Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Presentation LUT Shape (2050,0020) FIXED ALWAYS ALWAYS IDENTITY

A.5.2 Grayscale Softcopy Presentation State IOD Specific Functional Group Macros – N/A
N/A

A.5.3 Grayscale Softcopy Presentation State IOD Specific Private Modules – N/A
N/A

A.5.4 Grayscale Softcopy Presentation State IOD Specific Values and Code Sets – N/A
N/A

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A.6 X-Ray Radiation Dose SR IOD

The following table defines the structure of X-Ray Radiation Dose SR IOD.

Table A-67 X-Ray Radiation Dose SR IOD

IE Module Name Presence (Module) Condition Reference
Patient Patient ALWAYS Table A-1
Study General Study ALWAYS Table A-2
Patient Study ALWAYS Table A-3
Series SR Document Series ALWAYS Table A-68
Equipment General Equipment ALWAYS Table A-6
Enhanced General Equipment ALWAYS Table A-7
SR Document SR Document General ALWAYS Table A-69
SR Document Content ALWAYS Table A-70
SOP Common ALWAYS Table A-10

A.6.1 X-Ray Radiation Dose SR IOD Specific Modules

All SOP Instances generated by the system use the common modules listed in Table A-1 to Table A-10 or a subset of them, as defined in the IOD specific subsections below.

Table A-68 SR Document Series Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Modality (0008,0060) FIXED ALWAYS ALWAYS SR
Series Instance UID (0020,000E) GENERATED ALWAYS ALWAYS
Series Number (0020,0011) GENERATED ALWAYS ALWAYS
Series Date (0008,0021) GENERATED ALWAYS ALWAYS
Series Time (0008,0031) GENERATED ALWAYS ALWAYS
Series Description (0008,103E) FIXED ALWAYS ALWAYS Radiation Dose
Structured Report
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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Referenced Performed (0008,1111) GENERATED ALWAYS CONDITIONAL Zero or one item may If a PPS manager has
Procedure Step Sequence be present been declared.
>Referenced SOP Class UID (0008,1150) FIXED ALWAYS ALWAYS 1.2.840.10008.3.1.2.3.3
>Referenced SOP Instance (0008,1155) GENERATED ALWAYS ALWAYS
UID

Table A-69 SR Document General Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Instance Number (0020,0013) FIXED ALWAYS ALWAYS 1
Preliminary Flag (0040,A496) FIXED ALWAYS ALWAYS FINAL
Completion Flag (0040,A491) FIXED ALWAYS ALWAYS COMPLETE
Verification Flag (0040,A493) FIXED ALWAYS ALWAYS UNVERIFIED
Content Date (0008,0023) GENERATED ALWAYS ALWAYS Set to the date the
document is created.
Content Time (0008,0033) GENERATED ALWAYS ALWAYS Set to the time the
document is created.
Referenced Request (0040,A370) GENERATED CONDITIONAL ALWAYS One or more items may If SPS is received from the
Sequence be present RIS.
>Study Instance UID (0020,000D) MWL ALWAYS ALWAYS
>Referenced Study (0008,1110) MWL ALWAYS CONDITIONAL Zero or one item may If received from RIS
Sequence be present
>>Referenced SOP Class UID (0008,1150) MWL ALWAYS ALWAYS
>>Referenced SOP Instance (0008,1155) MWL ALWAYS ALWAYS
UID
>Accession Number (0008,0050) MWL ALWAYS CONDITIONAL If received from RIS
>Placer Order Number / (0040,2016) EMPTY ALWAYS EMPTY
Imaging Service Request
>Filler Order Number / (0040,2017) EMPTY ALWAYS EMPTY
Imaging Service Request
>Requested Procedure ID (0040,1001) MWL ALWAYS CONDITIONAL If received from RIS

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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
>Requested Procedure (0032,1060) MWL ALWAYS CONDITIONAL If received from RIS
Description
>Requested Procedure Code (0032,1064) MWL ALWAYS CONDITIONAL Zero or one item may If received from RIS
Sequence be present
>>Code Value (0008,0100) MWL ALWAYS ALWAYS
>>Coding Scheme (0008,0102) MWL ALWAYS ALWAYS
Designator
>>Code Meaning (0008,0104) MWL ALWAYS ALWAYS
Performed Procedure Code (0040,A372) EMPTY ALWAYS EMPTY
Sequence
Current Requested (0040,A375) GENERATED ALWAYS ALWAYS One or more items may References to all the
Procedure Evidence be present acquired and stored x-ray
Sequence images of the study.
>Study Instance UID (0020,000D) SRC_INSTANCE ALWAYS ALWAYS
>Referenced Series (0008,1115) SRC_INSTANCE ALWAYS ALWAYS One or more items may
Sequence be present
>>Series Instance UID (0020,000E) SRC_INSTANCE ALWAYS ALWAYS
>>Referenced SOP (0008,1199) GENERATED ALWAYS ALWAYS One or more items may
Sequence be present
>>>Referenced SOP Class (0008,1150) SRC_INSTANCE ALWAYS ALWAYS
UID
>>>Referenced SOP (0008,1155) SRC_INSTANCE ALWAYS ALWAYS
Instance UID

Table A-70 SR Document Content Module

Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
Value Type (0040,A040) FIXED ALWAYS ALWAYS CONTAINER
Concept Name Code (0040,A043) GENERATED ALWAYS ALWAYS Only one item is
Sequence present
>Code Value (0008,0100) FIXED ALWAYS ALWAYS 113701
>Coding Scheme Designator (0008,0102) FIXED ALWAYS ALWAYS DCM
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Presence of Presence of
Attribute Name Tag Source Value Conditions Comments
Attribute Value
>Code Meaning (0008,0104) FIXED ALWAYS ALWAYS X-Ray Radiation Dose
Report
Continuity Of Content (0040,A050) FIXED ALWAYS ALWAYS SEPARATE
Content Template Sequence (0040,A504) GENERATED ALWAYS ALWAYS See Annex B for
encoding on supported
TIDs

A.6.2 X-Ray Radiation Dose SR IOD Specific Functional Group Macros – N/A
N/A

A.6.3 X-Ray Radiation Dose SR IOD Specific Private Modules – N/A

N/A

A.6.4 X-Ray Radiation Dose SR IOD Specific Values and Code Sets – N/A
N/A

A.7 Basic Directory IOD

Table A-71 defines the structure of the Basic Directory IOD.

Table A-71 Basic Directory IOD

Attribute Name Tag Source Presence of Presence of Value Conditions Comments
Attribute Value
File Set Identification Module
File-set ID (0004,1130) GENERATED

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Attribute Name Tag Source Presence of Presence of Value Conditions Comments

Attribute Value
Directory Information Module
Offset of the First Directory (0004,1200) GENERATED ALWAYS ALWAYS
Record of the Root
Directory Entity
Offset of the Last Directory (0004,1202) GENERATED ALWAYS ALWAYS
Record of the Root
Directory Entity
File-set Consistency Flag (0004,1212) FIXED ALWAYS ALWAYS 0000H
Directory Record Sequence (0004,1220) GENERATED ALWAYS ALWAYS Zero or more items may
be present
>Offset of the Next (0004,1400) GENERAETD ALWAYS ALWAYS
Directory Record
>Record In-use Flag (0004,1410) FIXED ALWAYS ALWAYS FFFFH
>Offset of Referenced (0004,1420) GENERATED ALWAYS ALWAYS
Lower-Level Directory
Entity
>Directory Record Type (0004,1430) GENERATED ALWAYS ALWAYS PATIENT; STUDY; SERIES;
IMAGE; PRESENTATION;
SR DOCUMENT
>Referenced File ID (0004,1500) GENERATED CONDITIONAL ALWAYS Generated only for Image Starts with A/A/A/A/Z01
Directory Record
>Referenced SOP Class UID (0004,1510) SRC_INSTANCE SRC_COPY ALWAYS
in File
>Referenced SOP Instance (0004,1511) SRC_INSTANCE SRC_COPY ALWAYS
UID in File
>Referenced Transfer (0004,1512) SRC_INSTANCE SRC_COPY ALWAYS
Syntax UID in File
Patient Keys
>Specific Character Set (0008,0005) SRC_INSTANCE SRC_COPY SRC_COPY

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Attribute Name Tag Source Presence of Presence of Value Conditions Comments

Attribute Value
>Patient's Name (0010,0010) SRC_INSTANCE SRC_COPY SRC_COPY
>Patient ID (0010,0020) SRC_INSTANCE SRC_COPY SRC_COPY
>Patient Birth Date (0010,0030) SRC_INSTANCE SRC_COPY SRC_COPY
>Patient Sex (0010,0040) SRC_INSTANCE SRC_COPY SRC_COPY
Study Keys
>Specific Character Set (0008,0005) SRC_INSTANCE SRC_COPY SRC_COPY
>Study Date (0008,0020) SRC_INSTANCE SRC_COPY SRC_COPY
>Study Time (0008,0030) SRC_INSTANCE SRC_COPY SRC_COPY
>Study Description (0008,1030) SRC_INSTANCE SRC_COPY SRC_COPY
>Study Instance UID (0020,000D) SRC_INSTANCE SRC_COPY SRC_COPY
>Study ID (0020,0010) SRC_INSTANCE SRC_COPY SRC_COPY
>Accession Number (0008,0050) SRC_INSTANCE SRC_COPY SRC_COPY
Series Keys
>Specific Character Set (0008,0005) SRC_INSTANCE SRC_COPY SRC_COPY
>Modality (0008,0060) SRC_INSTANCE SRC_COPY SRC_COPY
>Series Instance UID (0020,000E) SRC_INSTANCE SRC_COPY SRC_COPY
>Series Number (0020,0011) SRC_INSTANCE SRC_COPY SRC_COPY
>Manufacturer (0008,0070) SRC_INSTANCE SRC_COPY SRC_COPY
>Manufacturer’s Model (0008,1090) SRC_INSTANCE SRC_COPY SRC_COPY
Name
>Performing Physician’s (0008,1050) SRC_INSTANCE SRC_COPY SRC_COPY
Name
>Institution Name (0008,0080) SRC_INSTANCE SRC_COPY SRC_COPY
>Institution Address (0008,0081) SRC_INSTANCE SRC_COPY SRC_COPY
>Image Type (0008,0008) SRC_INSTANCE SRC_COPY SRC_COPY

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Attribute Name Tag Source Presence of Presence of Value Conditions Comments

Attribute Value
Image Keys
>Specific Character Set (0008,0005) SRC_INSTANCE SRC_COPY SRC_COPY
>Instance Number (0020,0013) SRC_INSTANCE SRC_COPY SRC_COPY
>Rows (0028,0010) SRC_INSTANCE SRC_COPY SRC_COPY
>Columns (0028,0011) SRC_INSTANCE SRC_COPY SRC_COPY
>SOP Instance UID (0008,0018) SRC_INSTANCE SRC_COPY SRC_COPY
>Acquisition Time (0008,0032) SRC_INSTANCE SRC_COPY SRC_COPY
>Acquisition Datetime (0008,002A) SRC_INSTANCE SRC_COPY SRC_COPY
>Image Type (0008,0008) SRC_INSTANCE SRC_COPY SRC_COPY
>Referenced Image (0008,1140) SRC_INSTANCE SRC_COPY SRC_COPY
Sequence
>Slice Thickness (0018,0050) SRC_INSTANCE SRC_COPY SRC_COPY
>Spacing between slices (0018,0088) SRC_INSTANCE SRC_COPY SRC_COPY
>Data Collection Diameter (0018,0090) SRC_INSTANCE SRC_COPY SRC_COPY
>Contrast/Bolus Route (0018,1040) SRC_INSTANCE SRC_COPY SRC_COPY
>Trigger Time (0018,1060) SRC_INSTANCE SRC_COPY SRC_COPY
>Reconstruction Diameter (0018,1100) SRC_INSTANCE SRC_COPY SRC_COPY
>Gantry/Detector Tilt (0018,1120) SRC_INSTANCE SRC_COPY SRC_COPY
>Convolution Kernel (0018,1210) SRC_INSTANCE SRC_COPY SRC_COPY
>Flip Angle (0018,1314) SRC_INSTANCE SRC_COPY SRC_COPY
>Acquisition Time (0018,1800) SRC_INSTANCE SRC_COPY SRC_COPY
Synchronized
>Image Position (Patient) (0020,0032) SRC_INSTANCE SRC_COPY SRC_COPY
>Image Orientation (0020,0037) SRC_INSTANCE SRC_COPY SRC_COPY
(Patient)

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Attribute Name Tag Source Presence of Presence of Value Conditions Comments

Attribute Value
>Frame of Reference UID (0020,0052) SRC_INSTANCE SRC_COPY SRC_COPY
>Slice Location (0020,1041) SRC_INSTANCE SRC_COPY SRC_COPY
>Synchronization Frame of (0020,0200) SRC_INSTANCE SRC_COPY SRC_COPY
Reference UID
>Pixel Spacing (0028,0030) SRC_INSTANCE SRC_COPY SRC_COPY
>Number of Frames (0028,0008) SRC_INSTANCE SRC_COPY SRC_COPY
>Calibration Image (0050,0004) SRC_INSTANCE SRC_COPY SRC_COPY
>Units (0054,1001) SRC_INSTANCE SRC_COPY SRC_COPY
>Attenuation Correction (0054,1101) SRC_INSTANCE SRC_COPY SRC_COPY
Method
>Reconstruction Method (0054,1103) SRC_INSTANCE SRC_COPY SRC_COPY
SR Document Keys
>Specific Character Set (0008,0005) SRC_INSTANCE SRC_COPY SRC_COPY
>Instance Number (0020,0013) SRC_INSTANCE SRC_COPY SRC_COPY
>Completion Flag (0040, A491) SRC_INSTANCE SRC_COPY SRC_COPY
>Verification Flag (0040, A493) SRC_INSTANCE SRC_COPY SRC_COPY
>Content Date (0008,0023) SRC_INSTANCE SRC_COPY SRC_COPY
>Content Time (0008,0033) SRC_INSTANCE SRC_COPY SRC_COPY
>Concept Name Code (0040,A043) SRC_INSTANCE SRC_COPY SRC_COPY
Sequence
>>Code Value (0008,1000) SRC_INSTANCE SRC_COPY SRC_COPY
>>Coding Scheme (0008,1002) SRC_INSTANCE SRC_COPY SRC_COPY
Designator
>>Code Meaning (0008,1004) SRC_INSTANCE SRC_COPY SRC_COPY
>SOP Instance UID (0008,0018) SRC_INSTANCE SRC_COPY SRC_COPY

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B Structured Report Content Encoding

This section provides the detailed content encoding for all TIDs supported by Senographe Pristina.

Throughout the tables listed in Annex B the following codes are used for the "Source" and "Presence of Content Item" columns.

In the "Source" column, the following Values can be used:

• FIXED: The Value is pre-defined and cannot be modified.

• GENERATED: The Value is generated by the system.

• CONFIGURATION: The Value is copied from the system configuration.

• MWL: The Value is copied from a Modality Worklist entry.

• QUERY: The Value is determined by performing a query of any of the supported Query/Retrieve Services.

• USER: The Value is entered by the user.

• SCANNED: The Value is read from a barcode scanner or similar device.

• EMPTY: The Attribute is sent with a zero-length Value.

• SRC_INSTANCE: The Value is copied from previously created/received SOP Instances.

In the "Presence of Content Item" the following Values can be used:

• ALWAYS: the module, functional group macro, Attributes or Value is always present.

• CONDITIONAL: the presence of the module, functional group macro, Attributes or Value is dependent on a condition. The condition must be listed in the "Comments" column.

• SRC_COPY: The presence of the Attributes and Values depends on the availability of these in the source instances, which are used for copying this information.

• EMPTY: The Attribute is present but without a Value (zero length).

B.1 Projection X-Ray Radiation Dose (TID 10001)

TableB-1shows the encoding of content of a Projection X-Ray Radiation Dose (TID 10001)

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TableB-1 Projection X-Ray Radiation Dose (TID 10001)
NL Rel with Parent VT Concept Name Source Presence of Values TID Comments
Content Item
CONTAINER (113701, DCM, "X-Ray 10001
Radiation Dose Report")
> HAS CONCEPT MOD CODE (121058, DCM, "Procedure FIXED ALWAYS (P5-40010, SRT, "Mammography") 10001
reported")
>> HAS CONCEPT MOD CODE (G-C0E8, SRT, "Has Intent") FIXED ALWAYS (R-408C3, SRT, “Diagnostic Intent”) 10001
> HAS OBS CONTEXT CODE (121005, DCM, "Observer FIXED ALWAYS (121007, DCM, "Device") 1002
Type")
> HAS OBS CONTEXT UIDREF (121012, DCM, "Device GENEREATED ALWAYS Unique identifier of the equipment 1004
Observer UID")
> HAS OBS CONTEXT TEXT (121013, DCM, "Device GENERATED ALWAYS Same as Station Name (0008,1010) 1004
Observer Name")
> HAS OBS CONTEXT TEXT (121014, DCM, "Device FIXED ALWAYS GE HEALTHCARE 1004
Observer Manufacturer")
> HAS OBS CONTEXT TEXT (121015, DCM, "Device FIXED ALWAYS Senographe Pristina 1004
Observer Model Name")
> HAS OBS CONTEXT TEXT (121016, DCM, "Device GENERATED ALWAYS Same as Device Serial Number 1004
Observer Serial Number") (0008,1000)
> HAS OBS CONTEXT CODE (113876, DCM, "Device Role FIXED ALWAYS (113859, DCM, “Irradiating Device”) 1004
in Procedure")
> HAS OBS CONTEXT TEXT (110119, DCM, "Station AE CONFIGURATION ALWAYS AE Title of the acquisition device 1004
Title")
> HAS OBS CONTEXT CODE (113705, DCM, "Scope of FIXED ALWAYS (113014, DCM, “Study”) 10001
Accumulation")
>> HAS PROPERTIES UIDREF (110180, DCM, “Study GENERATED ALWAYS Same as Study Instance UID 10001
Instance UID”) (00020,000D)
> CONTAINS CODE (113945, DCM, "X-Ray FIXED ALWAYS (R-0038D, SRT, “Yes”) 10001
Detector Data Available")
> CONTAINS CODE (113943, DCM, "X-Ray Source FIXED ALWAYS (R-0038D, SRT, “Yes”) 10001

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NL Rel with Parent VT Concept Name Source Presence of Values TID Comments
Content Item
Data Available")
> CONTAINS CODE (113944, DCM, "X-Ray FIXED ALWAYS (R-0038D, SRT, “Yes”) 10001
Mechanical Data Available")
> CONTAINS CONTAINER (113702, DCM, "Accumulated GENERATED ALWAYS 10002
X-Ray Dose Data")
>> HAS CONCEPT MOD CODE (113764, DCM, "Acquisition FIXED ALWAYS (113622, DCM, "Single Plane") 10002
Plane")
>> CONTAINS NUM (111637, DCM, "Accumulated GENERATED ALWAYS UNITS=(mGy, UCUM, "mGy") 10005
Average Glandular Dose") Value=left breast dose
>>> HAS CONCEPT MOD CODE (272741003, SCT, FIXED ALWAYS (T-04030, SRT, ”Left Breast”) 10005
"Laterality")
>> CONTAINS NUM (111637, DCM, "Accumulated GENERATED ALWAYS UNITS=(mGy, UCUM, "mGy") 10005
Average Glandular Dose") Value=right breast dose
>>> HAS CONCEPT MOD CODE (272741003, SCT, FIXED ALWAYS (T-04020, SRT, ”Right Breast”) 10005
"Laterality")
> CONTAINS CONTAINER (113706, DCM, "Irradiation GENERATED ALWAYS 10003 Repeated for each
Event X-Ray Data") irradiation event
>> HAS CONCEPT MOD CODE (113764, DCM, "Acquisition FIXED ALWAYS (113622, DCM, “Single Plane”) 10003
Plane")
>> CONTAINS UIDREF (113769, DCM, "Irradiation GENERATED ALWAYS 10003
Event UID")
>> CONTAINS DATETIME (111526, DCM, "DateTime GENERATED ALWAYS 10003
Started")
>> CONTAINS CODE (113721, DCM, "Irradiation GENERATED ALWAYS (113611, DCM, “Stationary 10003
Event Type") Acquisition”); (113613, DCM,
“Rotational Acquisition”)
>> CONTAINS TEXT (125203, DCM, "Acquisition GENERATED ALWAYS ROUTINE; 3D_ROUTINE; CESM; 10003
Protocol") 3D_ROUTINE+2D_ROUTINE;
STEREO; 3D_BIOPSY; SAMPLE;

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NL Rel with Parent VT Concept Name Source Presence of Values TID Comments
Content Item
CESM_BIOPSY
>> CONTAINS CODE (T-D0005, SRT, "Anatomical FIXED ALWAYS (T-04000, SRT, “Breast”) 10003* Standard Extended
structure")
>>> HAS CONCEPT MOD CODE (G-C171, SRT, "Laterality") GENERATED ALWAYS (G-A100, SRT, “Right”); 10003* Standard Extended
(G-A101, SRT, “Left”);
(G-A102, SRT, “Right and left")
>> CONTAINS CODE (111031, DCM, "Image View") GENERATED ALWAYS See Table B-2 10003
>>> HAS CONCEPT MOD CODE (111032, DCM, "Image View GENERATED CONDITIONAL See Table B-3 10003 If view modifier
Modifier") applied.
>> CONTAINS CODE (123014, DCM, "Target FIXED ALWAYS (T-04000, SRT, “Breast”) 10003
Region")
>> CONTAINS NUM (111634, DCM, "Half Value GENERATED ALWAYS UNITS=(mm, UCUM, "mm") 10003
Layer")

>> CONTAINS NUM (111636, DCM, "Entrance GENERATED ALWAYS UNITS=(mGy, UCUM, "mGy") 10003
Exposure at RP")
>> CONTAINS CODE (113780, DCM, "Reference FIXED ALWAYS (13964, DCM, “At Surface of 10003
Point Definition") Patient”)
>> CONTAINS IMAGE (113795, DCM, "Acquired SRC_INSTANCE ALWAYS Reference (SOP Class and SOP 10003A Row repeated for
Image") instance UID) to the images part of each image to be
this irradiation event. referenced.
>> CONTAINS NUM (111631, DCM, "Average GENERATED ALWAYS UNITS=(mGy, UCUM, "mGy") 10003B
Glandular Dose")
>> CONTAINS NUM (113768, DCM, "Number of GENERATED ALWAYS UNITS=(1, UCUM, "no units") 10003B
Pulses")
>> CONTAINS NUM (113793, DCM, "Pulse Width") GENERATED ALWAYS UNITS=(ms, UCUM, "ms") 10003B Row repeated for
each pulse in the
irradiation event.
>> CONTAINS NUM (113742, DCM, "Irradiation GENERATED ALWAYS UNITS=(s, UCUM, "s") 10003B
Duration")

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NL Rel with Parent VT Concept Name Source Presence of Values TID Comments
Content Item
>> CONTAINS NUM (113733, DCM, "KVP") GENERATED ALWAYS UNITS=(kV, UCUM, "kV") 10003B Row repeated for
each pulse in the
irradiation event.
>> CONTAINS NUM (113734, DCM, "X-Ray Tube GENERATED ALWAYS UNITS=(mA, UCUM, "mA") 10003B Row repeated for
Current") each pulse in the
irradiation event.
>> CONTAINS NUM (113824, DCM, "Exposure GENERATED ALWAYS UNITS=(ms, UCUM, "ms") 10003B
Time")
>> CONTAINS NUM (113766, DCM, "Focal Spot GENERATED ALWAYS UNITS=(mm, UCUM, "mm") 10003B
Size")
>> CONTAINS CODE (111632, DCM, "Anode Target GENERATED ALWAYS (C-150F9, SRT, “Molybdenum or 10003B
Material") Molybdenum compound”);
(C-167F9, SRT, “Rhodium or
Rhodium compound”)
>> CONTAINS CONTAINER (113771, DCM, "X-Ray GENERATED ALWAYS 10003B This container and
Filters") its nested items are
repeated for each
pulse of the
irradiation event.
>>> CONTAINS CODE (113772, DCM, "X-Ray Filter FIXED ALWAYS (113650, DCM, “Strip filter”) 10003B
Type")
>>> CONTAINS CODE (113757, DCM, "X-Ray Filter GENERATED ALWAYS (C-150F9, SRT, “Molybdenum or 10003B
Material") Molybdenum compound”);
(C-137F9, SRT, “Silver or Silver
compound”);
(C-127F9, SRT, “Copper or Copper
compound”)
>> CONTAINS NUM (113790, DCM, "Collimated GENERATED ALWAYS UNITS=(m2, UCUM, "m2") 10003B
Field Area")
>> CONTAINS NUM (113788, DCM, "Collimated GENERATED ALWAYS UNITS=(mm, UCUM, "mm") 10003B
Field Height")

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NL Rel with Parent VT Concept Name Source Presence of Values TID Comments
Content Item
>> CONTAINS NUM (113789, DCM, "Collimated GENERATED ALWAYS UNITS=(mm, UCUM, "mm") 10003B
Field Width")
>> CONTAINS CODE (111635, DCM, "X-Ray Grid") FIXED ALWAYS (111643, DCM, “Reciprocating grid”) 10003B
>> CONTAINS CODE (113956, DCM, "CR/DR FIXED ALWAYS (113954, DCM, “Upright Stand 10003C
Mechanical Configuration") Mount”)
>> CONTAINS NUM (112011, DCM, "Positioner GENERATED ALWAYS UNITS=(deg, UCUM, "deg") 10003C
Primary Angle")
>> CONTAINS NUM (111633, DCM, "Compression GENERATED ALWAYS UNITS=(mm, UCUM, "mm") 10003C
Thickness")
>> CONTAINS NUM (111647, DCM, "Compression GENERATED ALWAYS UNITS=(N, UCUM, "Newton") 10003C
Force")
>> CONTAINS NUM (113737, DCM, “Distance GENERATED ALWAYS UNITS=(mm, UCUM, "mm") 10003C
Source to Reference Point”)
> CONTAINS CODE (113854, DCM, "Source of FIXED ALWAYS (113856, DCM, “Automated Data 10001
Dose Information") Collection”)

B.1.1 Code Sets

The following tables list specific code sets referenced from the Projection X-Ray Radiation Dose (TID 10001)

Table B-2 Projection X-Ray Radiation Dose (TID 10001) – Image View
Coding Scheme Designator Code Value Code Meaning
SRT R-10224 medio-lateral
SRT R-10226 medio-lateral oblique
SRT R-10228 latero-medial
SRT R-10230 latero-medial oblique
SRT R-10242 cranio-caudal
SRT R-10244 caudo-cranial (from below)
SRT R-102D0 superolateral to inferomedial oblique

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Coding Scheme Designator Code Value Code Meaning

SRT R-40AAA inferomedial to superolateral oblique
SRT R-1024A cranio-caudal exaggerated laterally
SRT R-1024B cranio-caudal exaggerated medially

Table B-3 Projection X-Ray Radiation Dose (TID 10001) – Image View Modifier
Coding Scheme Designator Code Value Code Meaning
SRT R-102D2 Cleavage
SRT R-102D1 Axillary Tail
SRT R-102D3 Rolled Lateral
SRT R-102D4 Rolled Medial
SRT R-102CA Rolled Inferior
SRT R-102C9 Rolled Superior
SRT R-102D5 Implant Displaced
SRT R-102D6 Magnification
SRT R-102D7 Spot Compression
SRT R-102C2 Tangential
SRT R-40AB3 Nipple in profile
SRT P2-00161 Anterior compression
SRT R-40ABE Infra-mammary fold
SRT R-40AB2 Axillary tissue

B.1.2 Measurement Encoding – N/A

N/A

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C Security Details
This section provides additional details about security features that are formally described in Section 8.

C.1 External Network Requirement Details

C.1.1 Basic Time Synchronization
Senographe Pristina is not able to find NTP server. The NTP server IP address must be entered in the Service User Interface.

C.1.2 Basic Network Address Management

Senographe Pristina can discover automatically the DCHP server at boot and obtain an IP address from it.

C.1.3 Application Configuration Management

Table C-1 defines the security patterns supported:

Table C-1 LDAP Security Patterns

Actor LDAP Security Pattern Supported Comments
LDAP Client TLS Y
TLS-Manual Y
Basic Y
Basic-Manual Y
Anonymous N
Anonymous-Manual N

C.1.4 DNS Service Discovery – N/A

N/A

C.2 DICOM Security Profile Details

C.2.1 Online Electronic Storage Secure Use – N/A
N/A

C.2.2 Audit Trail Messages

Table C-2 specifies the DICOM Audit Messages that Senographe Pristina can detect and report. It defines the list of triggers that will cause the
Audit Message to be generated and if these triggers can be configured or not. It also specifies whether the content of the Audit Message can be
configured or not.

Table C-2 DICOM Specific Audit Messages

Audit Message Used Supported Triggers Configurable Configurable Comments
Triggers Message
Application Activity Y 1. Application start N N Event ID 110100
2. Application stop
Audit Log Used N Event ID 110101

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Audit Message Used Supported Triggers Configurable Configurable Comments

Triggers Message
Begin Transferring DICOM Instances Y DICOM SOP instance transferred to N N Event ID 110102
remote host starts
Data Export Y Image transfer to media device N N Event ID 110106
Data Import N Event ID 110107
DICOM Instance Accessed Y DICOM SOP instance viewed, N N Event ID 110103
updated, deleted
DICOM Instance Transferred Y DICOM SOP instance transferred to N N Event ID 110104
remote host ends
DICOM Study Deleted Y Deletion of one or more studies N N Event ID 110105
Network Entry N Event ID 110108
Query N Event ID 110112
Security Alert Y 1. Unix user password updates from N N Event ID 110113
Service interface.
2. Network configuration
3. Login user password updates from
Admin UI
4. Add / Remove of login user from
Admin UI
User Authentication Y 1. User login N N Event ID 110114
2. User logout
Order Record N Event ID 110109
Patient Record N Event ID 110110
Procedure Record N Event ID 110111
Table C-3 specifies the implementation details of each audit message supported by this product.

Table C-3 Audit Message Details

Real-World Entities Field Name Supported Value Constraints
Application Activity Message
Event EventID Y EV (110100, DCM, "Application Activity")
EventActionCode Y Enumerated Value
E = Execute
EventDateTime Y Internally generated in UTC format
EventOutcomeIndicator Y If application start or stop successfully, the value will be 0
EventTypeCode Y DT (110120, DCM, "Application Start")
DT (110121, DCM, "Application Stop")
Active Participant: UserID Y Process ID
Application started (1)
AlternativeUserID N Not used
UserName Y Process Name
UserIsRequestor Y Value is "false"

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RoleIDCode Y EV (110150, DCM, "Application")
NetworkAccessPointTypeCode N Not used
NetworkAccessPointID N Not used
Active Participant: UserID Y User ID of the user who logs into the system
Persons and or processes that
AlternativeUserID N Not used
started the Application (0..N)
UserName N Not used
UserIsRequestor Y Value is "true"
RoleIDCode Y EV (110151, DCM, "Application Launcher")
NetworkAccessPointTypeCode N Not used
NetworkAccessPointID N Not used
Begin Transferring DICOM Instances
Event EventID Y EV (110102, DCM, "Begin Transferring DICOM Instances")
EventActionCode Y E = Execute
EventDateTime Y Internally generated in UTC format
EventOutcomeIndicator Y 0 for Success
EventTypeCode N Not used
Active Participant: UserID Y Login user
Process Sending the Data (1)
AlternativeUserID N Not used
UserName Y System name
UserIsRequestor Y Value is "true"
RoleIDCode Y EV (110153, DCM, "Source Role ID")
NetworkAccessPointTypeCode N Not used
NetworkAccessPointID N Not used
Active Participant: UserID Y Destination host IP
Process receiving the data (1)
AlternativeUserID Y Destination host AETitle
UserName Y Destination host name
UserIsRequestor Y Value is "false"
RoleIDCode Y EV (110152, DCM, "Destination Role ID")
NetworkAccessPointTypeCode N Not used
NetworkAccessPointID N Not used
Active Participant: UserID N Not used
Other Participants (0..N)
AlternativeUserID N Not used
UserName N Not used
UserIsRequestor N Not used
RoleIDCode N Not used

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NetworkAccessPointTypeCode N Not used
NetworkAccessPointID N Not used
Participating Object: ParticipantObjectTypeCode Y Value is 2 (System object)
Studies being transferred (1..N)
ParticipantObjectTypeCodeRole Y Value is 3 (Report)
ParticipantObjectDataLifeCycle N Not used
ParticipantObjectIDTypeCode Y EV (110180, DCM, "Study Instance UID")
ParticipantObjectSensitivity N Not used
ParticipantObjectID Y The Study Instance UID of study/studies transferred
ParticipantObjectName N Not used
ParticipantObjectQuery N Not used
ParticipantObjectDetail N Not used
ParticipantObjectDescription Y Details of SOP class with one or more SOP class UID values
SOPClass Y One or more SOP class UID values
Accession N Not used
NumberOfInstances Y Number of SOP Instance UIDs
Instances Y List of SOP Instance UIDs
Encrypted N Not used
Anonymized N Not used
Participating Object: ParticipantObjectTypeCode Y Value is 1 (Person)
Patient (1)
ParticipantObjectTypeCodeRole Y Value is 1 (Patient)
ParticipantObjectDataLifeCycle N Not used
ParticipantObjectIDTypeCode Y Value is 2 (Patient Number)
ParticipantObjectSensitivity N Not used
ParticipantObjectID Y The Patient ID
ParticipantObjectName N Not used
ParticipantObjectDetail N Not used
ParticipantObjectDescription N Not used
Data Export
Event EventID Y EV (110106, DCM, "Export")
EventActionCode Y R = Read
EventDateTime Y Internally generated in UTC format
EventOutcomeIndicator Y 0 for Success
EventTypeCode N Not used
Active Participant: UserID N Not used
Remote Users and Processes
AlternativeUserID N Not used

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(0..n) UserName N Not used
UserIsRequestor N Not used
RoleIDCode N Not used
NetworkAccessPointTypeCode N Not used
NetworkAccessPointID N Not used
Active Participant: UserID Y Login id
User or Process Exporting the
AlternativeUserID Y Not used
data(1..2)
UserName Y Process Name
UserIsRequestor Y Value is "true"
RoleIDCode Y EV (110153, DCM, "Source Role ID")
NetworkAccessPointTypeCode N Not used
NetworkAccessPointID N Not used
Active Participant: UserID Y Media ID
Media (1)
AlternativeUserID Y Media Name
UserName N Not used
UserIsRequestor Y Value is "false"
RoleIDCode Y EV (110154, DCM, "Destination Media")
NetworkAccessPointTypeCode N Not used
NetworkAccessPointID N Not used
MediaIdentifier N Not used
MediaType Y (110030, DCM, “USB Disk Emulation”)
(110031, DCM, “Email”)
(110032, DCM, “CD”)
(110033, DCM, “DVD”)
(110034, DCM, “Compact Flash”)
(110035, DCM, “Multi-media Card”)
(110036, DCM, “Secure Digital Card”)
(110037, DCM, “URI”)
(110010, DCM, “Film”)
(110038, DCM, “Paper Document”)
Participating Object: ParticipantObjectTypeCode Y Value is 2 (System object)
Studies (0..N)
ParticipantObjectTypeCodeRole Y Value is 3 (Report)
ParticipantObjectDataLifeCycle N Not used
ParticipantObjectIDTypeCode Y EV (110180, DCM, "Study Instance UID")
ParticipantObjectSensitivity N Not used
ParticipantObjectID Y The Study Instance UID of study/studies exported
ParticipantObjectName N Not used
ParticipantObjectQuery N Not used

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ParticipantObjectDetail N Not used
ParticipantObjectDescription Y Details of SOP class with one or more SOP class UID values
SOPClass Y One or more SOP class UID values
Accession N Not used
NumberOfInstances Y Number of SOP Instance UIDs
Instances Y List of SOP Instance UIDs
Encrypted Y Value is either true or false
Anonymized Y Value is either true or false
Participating Object: ParticipantObjectTypeCode Y Value is 1 (Person)
Patient (1..N)
ParticipantObjectTypeCodeRole Y Value is 1 (Patient)
ParticipantObjectDataLifeCycle N Not used
ParticipantObjectIDTypeCode Y Value is 2 (Patient Number)
ParticipantObjectSensitivity N Not used
ParticipantObjectID Y The Patient ID of patient / patients
ParticipantObjectName N Not used
ParticipantObjectDetail N Not used
ParticipantObjectDescription N Not used
DICOM Instance Accessed
Event EventID Y EV (110103, DCM, "DICOM Instances Accessed")
EventActionCode Y Enumerated value:
C = Create
R = Read
U = Update
D = Delete
EventDateTime Y Internally generated in UTC format
EventOutcomeIndicator Y 0 for Success
EventTypeCode N Not used
Active Participant: UserID Y Process ID
Person and or Process
AlternativeUserID N Not used
manipulating the data (1..2)
UserName Y Process Name
UserIsRequestor Y Value is "false"
RoleIDCode N Not used
NetworkAccessPointTypeCode N Not used
NetworkAccessPointID N Not used
Active Participant: UserID Y Login id
Person and or Process
AlternativeUserID Y Not used

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manipulating the data (1..2) UserName Y Not used
UserIsRequestor Y Value is "true"
RoleIDCode Y Not used
NetworkAccessPointTypeCode N Not used
NetworkAccessPointID N Not used
Participating Object: ParticipantObjectTypeCode Y Value is 2 (System object)
Studies (1..N)
ParticipantObjectTypeCodeRole Y Value is 3 (Report)
ParticipantObjectDataLifeCycle N Not used
ParticipantObjectIDTypeCode Y EV (110180, DCM, "Study Instance UID")
ParticipantObjectSensitivity N Not used
ParticipantObjectID Y The Study Instance UID of study/studies accessed
ParticipantObjectName N Not used
ParticipantObjectQuery N Not used
ParticipantObjectDetail N Not used
ParticipantObjectDescription Y Details of SOP class with one or more SOP class UID values
SOPClass Y One or more SOP class UID values
Accession N Not used
NumberOfInstances Y Number of SOP Instance UIDs
Instances Y List of SOP Instance UIDs
Encrypted N Not used
Anonymized N Not used
Participating Object: ParticipantObjectTypeCode Y Value is 1 (Person)
Patient (1)
ParticipantObjectTypeCodeRole Y Value is 1 (Patient)
ParticipantObjectDataLifeCycle N Not used
ParticipantObjectIDTypeCode Y Value is 2 (Patient Number)
ParticipantObjectSensitivity N Not used
ParticipantObjectID Y The Patient ID
ParticipantObjectName N Not used
ParticipantObjectDetail N Not used
ParticipantObjectDescription N Not used
DICOM Instance Transferred
Event EventID Y EV (110104, DCM, "DICOM Instances Transferred")
EventActionCode Y R = Read
EventDateTime Y Internally generated in UTC format
EventOutcomeIndicator Y 0 for Success

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EventTypeCode N Not used
Active Participant: UserID Y Login user
Process that sent the data (1)
AlternativeUserID Y System name
UserName Y System name
UserIsRequestor Y If the transfer of the DICOM instance is initiated by the user,
the value will be “false”.
If the transfer of the DICOM instance is initiated by the
system, the value will be “true”.
RoleIDCode Y EV (110153, DCM, "Source Role ID")
NetworkAccessPointTypeCode N Not used
NetworkAccessPointID N Not used
Active Participant: UserID Y Destination host IP
Process that received the data
AlternativeUserID Y Destination host AETitle
(1)
UserName Y Destination host name
UserIsRequestor Y Value is "true"
RoleIDCode Y EV (110152, DCM, "Destination Role ID")
NetworkAccessPointTypeCode N Not used
NetworkAccessPointID N Not used
Active Participant: UserID N Not used
Other participants that are
AlternativeUserID N Not used
known, especially third parties
that are the requestor (0..N) UserName N Not used
UserIsRequestor N Not used
RoleIDCode N Not used
NetworkAccessPointTypeCode N Not used
NetworkAccessPointID N Not used
Participating Object: ParticipantObjectTypeCode Y Value is 2 (System object)
Studies being transferred (1..N)
ParticipantObjectTypeCodeRole Y Value is 3 (Report)
ParticipantObjectDataLifeCycle N Not used
ParticipantObjectIDTypeCode Y EV (110180, DCM, "Study Instance UID")
ParticipantObjectSensitivity N Not used
ParticipantObjectID Y The Study Instance UID of study/studies transferred
ParticipantObjectName N Not used
ParticipantObjectQuery N Not used
ParticipantObjectDetail N Not used
ParticipantObjectDescription Y Details of SOP class with one or more SOP class UID values
SOPClass Y One or more SOP class UID values

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Accession N Not used
NumberOfInstances Y Number of SOP Instance UIDs
Instances Y List of SOP Instance UIDs
Encrypted N Not used
Anonymized N Not used
Participating Object: ParticipantObjectTypeCode Y Value is 1 (Person)
Patient (1)
ParticipantObjectTypeCodeRole Y Value is 1 (Patient)
ParticipantObjectDataLifeCycle N Not used
ParticipantObjectIDTypeCode Y Value is 2 (Patient Number)
ParticipantObjectSensitivity N Not used
ParticipantObjectID Y The Patient ID
ParticipantObjectName N Not used
ParticipantObjectDetail N Not used
ParticipantObjectDescription N Not used
DICOM Study Deleted
Event EventID Y EV (110105, DCM, "DICOM Study Deleted")
EventActionCode Y Enumerated value:
D = Delete
EventDateTime Y Internally generated in UTC format
EventOutcomeIndicator Y 0 for Success
EventTypeCode N Not used
Active Participant: UserID Y Login ID
the person or process deleting
AlternativeUserID N Not used
the study (1..2)
UserName Y Process Name
UserIsRequestor Y Value is "true"
RoleIDCode N Not used
NetworkAccessPointTypeCode N Not used
NetworkAccessPointID N Not used
Participating Object: ParticipantObjectTypeCode Y Value is 2 (System object)
Studies being deleted (1..N)
ParticipantObjectTypeCodeRole Y Value is 3 (Report)
ParticipantObjectDataLifeCycle N Not used
ParticipantObjectIDTypeCode Y EV (110180, DCM, "Study Instance UID")
ParticipantObjectSensitivity N Not used
ParticipantObjectID Y The Study Instance UID of study/studies deleted
ParticipantObjectName N Not used

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ParticipantObjectQuery N Not used
ParticipantObjectDetail N Not used
ParticipantObjectDescription Y Details of SOP class with one or more SOP class UID values
SOPClass Y One or more SOP class UID values
Accession N Not used
NumberOfInstances Y Number of SOP Instance UIDs
Instances Y List of SOP Instance UIDs
Encrypted N Not used
Anonymized N Not used
Participating Object: ParticipantObjectTypeCode Y Value is 1 (Person)
Patient (1)
ParticipantObjectTypeCodeRole Y Value is 1 (Patient)
ParticipantObjectDataLifeCycle N Not used
ParticipantObjectIDTypeCode Y Value is 2 (Patient Number)
ParticipantObjectSensitivity N Not used
ParticipantObjectID Y The Patient ID
ParticipantObjectName N Not used
ParticipantObjectDetail N Not used
ParticipantObjectDescription N Not used
Security Alert
Event EventID Y EV (110113, DCM, "Security Alert")
EventActionCode Y Enumerated Value
E = Execute
EventDateTime Y Internally generated in UTC format
EventOutcomeIndicator Y 0 for Success
EventTypeCode Y - EV (110137, DCM, "User Security Attributes Changed")
when performing update of the username or password,
adding or removing users, adding or removing users
from groups, enterprise authentication with invalid user,
user lock enable or disable, password reset on next
logon enable or disable
- EV (110128, DCM, "Network Configuration") when DICOM
remote host configuration is changed
- EV (110130, DCM, "Hardware Configuration") when date,
time, time zone configuration is changed
- EV (110131, DCM, "Software Configuration") upon
software integrity check success, failure and update
Active Participant: UserID Y Process ID
Reporting Person and/or
AlternativeUserID N Not used
Process (1..2)
UserName N Not used

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UserIsRequestor Y Value is "true"
RoleIDCode N Not used
NetworkAccessPointTypeCode Y not specialized
NetworkAccessPointID Y not specialized
Active Participant: UserID Y User ID of the user who logs into the system
Performing Persons or
AlternativeUserID N Not used
Processes (0..N)
UserName N Not used
UserIsRequestor Y Value is "true"
RoleIDCode N Not used
NetworkAccessPointTypeCode Y not specialized
NetworkAccessPointID Y not specialized
Participating Object: ParticipantObjectTypeCode Y Value is 2 (system object)
Alert Subject (0..N)
ParticipantObjectTypeCodeRole Y Value is 13 (Security Resource)
ParticipantObjectDataLifeCycle N Not used
ParticipantObjectIDTypeCode Y Value is 12 (URI)
ParticipantObjectSensitivity N Not used
ParticipantObjectID Y Local System IP Address or User ID
ParticipantObjectName N Not used
ParticipantObjectDetail Y Type = “Alert Description” and Value = Text description about
the alert
ParticipantObjectDescription N Not used
SOPClass N Not used
Accession N Not used
NumberOfInstances N Not used
Instances N Not used
Encrypted N Not used
Anonymized N Not used
User Authentication
Event EventID Y EV (110114, DCM, "User Authentication")
EventActionCode Y E = Execute
EventDateTime Y Internally generated in UTC format
EventOutcomeIndicator Y 0 for Success
EventTypeCode Y EV (110122, DCM, "Login")
EV (110123, DCM, "Logout")

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Real-World Entities Field Name Supported Value Constraints

Active Participant: UserID Y Sent with value as the “User ID@localhost” when a local user
Person Authenticated or logs in or logs out from the system. Sent with value as the
claimed (1) “User ID@localhost” when an enterprise user logs into the
system. Sent the value as the “User ID” when an enterprise
user log in fails.
AlternativeUserID N Not used
UserName N Not used
UserIsRequestor Y Value is "true"
RoleIDCode Y EV (110150, DCM, “Application”)
NetworkAccessPointTypeCode Y not specialized
NetworkAccessPointID Y not specialized
Active Participant: UserID Y localhost
Node or System performing
AlternativeUserID N Not used
authentication (0..1)
UserName N Not used
UserIsRequestor Y Value is "true"
RoleIDCode N Not used
NetworkAccessPointTypeCode Y not specialized
NetworkAccessPointID Y not specialized
Participating Object: ParticipantObjectTypeCode N Not used
Alert Subject (0..N)
ParticipantObjectTypeCodeRole N Not used
ParticipantObjectDataLifeCycle N Not used
ParticipantObjectIDTypeCode Y Value is empty
ParticipantObjectSensitivity N Not used
ParticipantObjectID Y Value is "Detail"
ParticipantObjectName N Not used
ParticipantObjectDetail Y Type = “Detail” and Value = Text description
ParticipantObjectDescription N Not used
SOPClass N Not used
Accession N Not used
NumberOfInstances N Not used
Instances N Not used
Encrypted N Not used
Anonymized N Not used

C.2.3 Audit Trail Message Transmission Profile - SYSLOG - TLS

See Section 6.6 Audit Trail Syslog Configuration for information about Syslog-TLS parameters.

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C.2.4 Audit Trail Message Transmission Profile - SYSLOG - UDP

See Section 6.6 Audit Trail Syslog Configuration for information about Syslog-UDP parameters.

C.2.5 Secure Transport Connection Details – N/A

N/A

C.2.6 Attribute Confidentiality Details - N/A

N/A

C.2.7 Digital Signature Details – N/A

N/A

C.2.8 Additional DICOM Security Profile Details – N/A

N/A

D Mapping of Attributes
D.1 Mapping Between Modality Worklist Instances and MPPS
Table D-1 describes the mapping of Attributes between Modality Worklist Instances and MPPS messages.

In the "Scenario" column the following Values are used:

• SCHEDULED: The image acquisition was scheduled at the RIS and procedure details have been communicated in the MWL query)

• UNSCHEDULED: The image acquisition was performed without Modality Worklist information

• APPEND: Instances acquired are added to an existing study after the initial procedure was finalized

In the "Value Source" columns, the following Values are used. The column cell may additionally contain an Attribute Tag if the value is copied
from a different Attribute.

• GENERATED: The Value is generated by the system.

• SRC_INSTANCE: The Value is copied from previously created instances.

• MWL: The Value is copied from a Modality Worklist entry.

• USER: The Value is entered by the user.

• EMPTY: The Attribute is sent with a zero-length Value.

The "Destination" columns either contain TOP, if the Attribute is added to the top level Data Set of the Instance, or contain the Attribute Tag of
the Sequence the Attribute will be added to. The "Comments" column can be used to provide additional information regarding the Values added
to the Instance or MPPS.

Table D-1 Mapping of Attributes from Modality Worklist to Instance and MPPS
Attribute Name in Tag Scenario Image MPPS Comments
Image/MPPS
Value Source Destination Value Source Destination
Performing (0008,1050) SCHEDULED MWL (0040,0006); TOP SRC_INSTANCE (0040,0340) (0040,0006) is
Physician’s Name USER Scheduled Performing
Physician Name
(0040,0340) is
UNSCHEDULED USER TOP SRC_INSTANCE (0040,0340)
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Attribute Name in Tag Scenario Image MPPS Comments

Image/MPPS
Value Source Destination Value Source Destination
APPEND SRC_INSTANCE TOP SRC_INSTANCE (0040,0340) Performed Series
Sequence
Scheduled (0040,0007) SCHEDULED MWL; USER (0040,0275) SRC_INSTANCE (0040,0270) Scheduled Procedure
Procedure Step (0040,0254) (0040,0254) Step Description
Description (0040,0007) is copied
APPEND SRC_INSTANCE (0040,0275) SRC_INSTANCE (0040,0270) into Performed
(0040,0254) (0040,0254) Procedure Step
Description (0040,0254)
if user has not modified
the procedure
description in UI
(0040,0270) is
Scheduled Step
Attribute Sequence
Scheduled (0040,0008) SCHEDULED MWL (0040,0275) SRC_INSTANCE (0040,0270) (0040,0270) is
Protocol Code Scheduled Step
APPEND SRC_INSTANCE (0040,0275) SRC_INSTANCE (0040,0270)
Sequence Attribute Sequence
Scheduled (0040,0009) SCHEDULED MWL (0040,0275) SRC_INSTANCE (0040,0270) (0040,0270) is
Procedure Step ID Scheduled Step
APPEND SRC_INSTANCE (0040,0275) SRC_INSTANCE (0040,0270)
Attribute Sequence
Referenced Study (0008,1110) SCHEDULED MWL TOP SRC_INSTANCE (0040,0270) (0040,0270) is
Sequence Scheduled Step
APPEND SRC_INSTANCE TOP SRC_INSTANCE (0040,0270)
Attribute Sequence
Study Instance UID (0020,000D) SCHEDULED MWL TOP SRC_INSTANCE (0040,0270) (0040,0270) is
Scheduled Step
UNSCHEDULED GENERATED TOP SRC_INSTANCE (0040,0270)
Attribute Sequence
APPEND SRC_INSTANCE TOP SRC_INSTANCE (0040,0270)
Requested (0032,1060) SCHEDULED MWL (0040,0275) SRC_INSTANCE (0040,0270) (0040,0270) is
Procedure (0008,1030) Scheduled Step
Description Attribute Sequence
APPEND SRC_INSTANCE (0040,0275) SRC_INSTANCE (0040,0270)
(0008,1030) is study
(0008,1030) description
Procedure Code (0008,1032) SCHEDULED MWL (0040,0275) SRC_INSTANCE TOP
Sequence (0032,1064)
APPEND SRC_INSTANCE (0040,0275) SRC_INSTANCE TOP
Requested (0040,1001) SCHEDULED MWL (0040,0275) SRC_INSTANCE (0040,0270) (0040,0270) is
Procedure ID (0020,0010) (0020,0010) Scheduled Step
Attribute Sequence
APPEND SRC_INSTANCE (0040,0275) SRC_INSTANCE (0040,0270)
(0020,0010) (0020,0010)
(0020,0010) is Study ID
Accession Number (0008,0050) SCHEDULED MWL; USER TOP SRC_INSTANCE (0040,0270) (0040,0270) is
Scheduled Step
UNSCHEDULED USER TOP SRC_INSTANCE (0040,0270)
Attribute Sequence
APPEND SRC_INSTANCE TOP SRC_INSTANCE (0040,0270)
Referring (0008,0090) SCHEDULED MWL; USER TOP Attribute not mapped

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Attribute Name in Tag Scenario Image MPPS Comments

Image/MPPS
Value Source Destination Value Source Destination
Physician’s Name UNSCHEDULED USER TOP in MPPS

APPEND SRC_INSTANCE TOP

Patient Name (0010,0010) SCHEDULED MWL; USER TOP SRC_INSTANCE TOP
UNSCHEDULED USER TOP SRC_INSTANCE TOP
APPEND SRC_INSTANCE TOP SRC_INSTANCE TOP
Patient ID (0010,0020) SCHEDULED MWL; USER TOP SRC_INSTANCE TOP
UNSCHEDULED USER TOP SRC_INSTANCE TOP
APPEND SRC_INSTANCE TOP SRC_INSTANCE TOP
Other Patient ID (0010,1000) SCHEDULED MWL TOP Attribute not mapped
in MPPS
APPEND SRC_INSTANCE TOP
Patient Birth Date (0010,0030) SCHEDULED MWL; USER TOP SRC_INSTANCE TOP
UNSCHEDULED USER TOP SRC_INSTANCE TOP
APPEND SRC_INSTANCE TOP SRC_INSTANCE TOP
Patient Sex (0010,0040) SCHEDULED MWL; USER TOP SRC_INSTANCE TOP
UNSCHEDULED USER TOP SRC_INSTANCE TOP
APPEND SRC_INSTANCE TOP SRC_INSTANCE TOP
Breast Implant (0028,1300) SCHEDULED MWL; USER TOP Attribute not mapped
Present in MPPS
UNSCHEDULED USER TOP
APPEND SRC_INSTANCE TOP
Operator Name (0008,1070) SCHEDULED MWL; USER TOP SRC_INSTANCE (0040,0340) (0040,0340) is
Performed Series
UNSCHEDULED USER TOP SRC_INSTANCE (0040,0340)
Sequence
APPEND SRC_INSTANCE TOP SRC_INSTANCE (0040,0340)
Study ID (0020,0010) SCHEDULED MWL (0040,1001) TOP SRC_INSTANCE TOP (0040,1001) is
Requested Procedure
ID
UNSCHEDULED GENERATED TOP SRC_INSTANCE TOP
APPEND SRC_INSTANCE TOP SRC_INSTANCE TOP
Study Description (0008,1030) SCHEDULED MWL (0032,1060) TOP Attribute not mapped
in MPPS
UNSCHEDULED USER TOP
APPEND SRC_INSTANCE TOP

E Code Set Usage

The Senographe Pristina is using the SNOMED RT codes for the data it generates. However, it can display images that are using either the
SNOMED RT or the SNOMED CT codes and properly display their view names.

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