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1 - DICOM I8.2.x.x Conformance Statement EyeSuite
1 - DICOM I8.2.x.x Conformance Statement EyeSuite
1 - DICOM I8.2.x.x Conformance Statement EyeSuite
EyeSuite™ i8.2.x.x
DICOM Conformance
Statement
HAAG-STREIT AG, Switzerland, Phone: (+41-31) 978 0111, Fax: (+41-31) 978 0282, info@haag-streit.com
HAAG-STREIT DEUTSCHLAND GmbH, Germany, Phone: (+49-4103) 709 02, Fax: (+49-4103) 709 370, info@haag-streit.de
HAAG-STREIT FRANCE, France, téléphone (+33-4) 7970 6170, fax (+33-4) 7970 6171, info@haag-streit.fr
HAAG-STREIT UK, United Kingdom, Phone (+44-1279) 414969, Fax (+44-1279) 635232, info@haag-streit-uk.com
HAAG-STREIT USA, INC., USA, Phone: (+1-513) 336 6858, Fax: (+1-513) 336 7828, octopus@haag-streit-usa.com
ID 1187.7220382.02070, © Haag-Streit AG
EyeSuite™ i8.2.x.x – DICOM Conformance Statement
Table 1-1
SOP Classes User of Service Provider of Service
(SCU) (SCP)
Transfer
Encapsulated PDF Storage Yes No
Ophthalmic Photography 8 Bit Image Storage Yes No
Multiframe True Color Secondary Capture Image Storage Yes No
Workflow Management
Modality Worklist Information Model - FIND Yes No
Verification
Verification SOP Class Yes No
Table 1-2
Media Storage Application Profile Write Files Read Files (FSR)
(FSC or FSU)
Not supported
2 TABLE OF CONTENTS
1 Conformance Statement Overview .......................................................................................... 2
2 Table of Contents .................................................................................................................... 3
3 Introduction .............................................................................................................................. 4
3.1 Revision history ................................................................................................................ 4
3.2 Audience........................................................................................................................... 4
3.3 Remarks ........................................................................................................................... 4
3.4 Terms, Definitions and Abbreviations ................................................................................ 5
3.5 References ....................................................................................................................... 5
4 Networking ............................................................................................................................... 6
4.1 Implementation Model....................................................................................................... 6
4.1.1 Application Data Flow ................................................................................................ 6
4.1.2 Functional Definition of EyeSuite™ DICOM Interface ................................................ 6
4.1.3 Sequencing of Real-World Activities .......................................................................... 7
4.2 AE Specifications .............................................................................................................. 8
4.2.1 EyeSuite™ DICOM Interface Specification ................................................................ 8
4.2.1.1 SOP Classes ...................................................................................................... 8
4.2.1.2 Association Policies ............................................................................................ 8
4.2.1.2.1 General ........................................................................................................... 8
4.2.1.2.2 Number of Associations ................................................................................... 8
4.2.1.2.3 Asynchronous Nature ...................................................................................... 8
4.2.1.2.4 Implementation Identifying Information ............................................................ 9
4.2.1.3 Association Initiation Policy ................................................................................. 9
4.2.1.3.1 Activity – Connectivity Verification ................................................................... 9
4.2.1.3.2 Activity – Query Modality Worklist .................................................................. 10
4.2.1.3.3 Activity – Store Encapsulated PDF ................................................................ 14
4.2.1.3.4 Activity – Store Ophthalmic Photography 8 Bit Image .................................... 15
4.2.1.3.5 Activity – Store Multiframe True Color Secondary Capture Image ................. 16
4.2.1.4 Association Acceptance Policy ......................................................................... 17
4.3 Network Interfaces .......................................................................................................... 17
4.3.1 Physical Network Interface ...................................................................................... 17
4.3.2 Additional Protocols ................................................................................................. 17
4.4 Configuration .................................................................................................................. 17
4.4.1 AE Title/Presentation Address Mapping ................................................................... 17
4.4.2 Parameters .............................................................................................................. 17
5 Media Interchange ................................................................................................................. 18
6 Supported Character Sets...................................................................................................... 19
7 Security.................................................................................................................................. 20
8 Annexes ................................................................................................................................. 21
8.1 IOD Contents .................................................................................................................. 21
8.1.1 Created SOP Instances ........................................................................................... 21
8.1.1.1 Encapsulated PDF Information Object Definition .............................................. 21
8.1.1.2 Ophthalmic Photography 8 Bit Image Information Object Definition .................. 24
8.1.1.3 Multi-Frame True Color SC Image Information Object Definition ....................... 35
8.1.2 Used Fields in received IOD by application .............................................................. 40
8.1.3 Coerced/Modified Fields .......................................................................................... 40
8.2 Data Dictionary of Private Attributes ............................................................................... 40
8.3 Coded Terminology and Templates ................................................................................ 40
8.4 Grayscale Image Consistency ........................................................................................ 41
8.5 Standard Extended / Specialized/ Private SOP Classes ................................................. 41
8.6 Private Transfer Syntaxes ............................................................................................... 41
3 INTRODUCTION
3.1 Revision history
3.2 Audience
This document is written for the people that need to understand how EyeSuite™ will integrate into
their healthcare facility and contains some basic DICOM definitions so that any reader may
understand how EyeSuite™ implements DICOM features. However, integrators are expected to
fully understand all the DICOM terminology, how the tables in this document relate to the product’s
functionality, and how that functionality integrates with other devices that support compatible
DICOM features.
3.3 Remarks
The scope of this DICOM Conformance Statement is to facilitate integration between EyeSuite™
and other DICOM products. The Conformance Statement should be read and understood in
conjunction with the DICOM Standard. DICOM by itself does not guarantee interoperability. The
Conformance Statement does, however, facilitate a first-level comparison for interoperability
between different applications supporting compatible DICOM functionality.
This Conformance Statement is not supposed to replace validation with other DICOM equipment to
ensure proper exchange of intended information. In fact, the user should be aware of the following
important issues:
The comparison of different Conformance Statements is just the first step towards assessing
interconnectivity and interoperability between the product and other DICOM conformant
equipment.
Test procedures should be defined and executed to validate the required level of
interoperability with specific compatible DICOM equipment, as established by the healthcare
facility.
3.5 References
NEMA PS3-2011 Digital Imaging and Communications in Medicine (DICOM) Standard,
available free at http://medical.nema.org/
4 NETWORKING
4.1 Implementation Model
4.1.1 Application Data Flow
The EyeSuite DICOM Interface, which is part of the EyeSuite application, receives Worklist
information from a remote AE. It is associated with the local real-world activity “Display Modality
Worklist” which means that the retrieved worklist entries are displayed to the user. The update of
the worklist is performed automatically at an interval of 30 seconds or manually.
After selecting one of the worklist entries the user performs a measurement using one of the
EyeSuite modules (Biometry, Perimetry, IOL, etc.) or captures images using the imaging module.
Under normal scheduled workflow conditions the sequencing constraints illustrated in Figure 4-2
apply:
1. Update Worklist (automatically with a period of 30 seconds, or only manual)
2. Query Worklist
3. Receive Worklist Select Worklist Entry
4. Perform Measurement/image capture on one of the installed EyeSuite™ Modules
(depending on the requested modality)
5. Store Acquired Measurement/image Data (optional step)
Other workflow situations (e.g. unscheduled procedure steps which are also possible as using the
Worklist Feature is optional) will have other sequencing constraints. Furthermore, storing the
acquired measurement data is optional too and only takes place if configured.
4.2 AE Specifications
4.2.1 EyeSuite™ DICOM Interface Specification
1
http://www.dcm4che.org/
Table 4-7 Proposed Presentation Contexts for Activity Query Modality Worklist
Abstract Syntax Transfer Syntax Role Ext.
Name UID Name List UID List Neg.
Modality Worklist 1.2.840.10008.5.1.4.31 ILE 1.2.840.10008.1.2 SCU None
Information Model – FIND ELE 1.2.840.10008.1.2.1
Image storage
Encapsulated
Displayed in
Exported in
Exported in
Imported in
EyeSuite™
EyeSuite™
from MWL
PDF
Patient
(0010,0010) Patient Name Y Y Y Y
(0010,0020) Patient ID Y Y Y Y
(0010,0030) Patient Birth Date Y Y Y Y
(0010,0040) Patient Sex Y Y Y Y
(0010,21C0) Patient Pregnancy Status Y
(0010,4000) Patient Comments Y Y Y Y
(0010,1000) Other Patient IDs Y Y Y
(0010,0021) Issuer of Patient ID Y Y Y
(0010,2160) Ethnic Group Y Y Y
Study
(0008,0050) Accession Number Y Y Y Y
(0008,0090) Referring Physician Name Y Y Y Y
(0020,000D) Study Instance UID Y Y Y Y
(0008,0020) Study Date Y Y Y Y
(0008,0102) Coding Scheme Designator Y
(0008,0104) Code Meaning Y
(0008,0030) Study Time Y Y Y Y
(0008,1110) Referenced Study Sequence Y
>(0008,1150) Referenced SOP Class UID
>(0008,1155) Referenced SOP Instance UID
Requested Procedure
(0040,1001) Requested Procedure ID Y Y Y Y
(0032,1060) Requested Procedure Description Y Y Y Y
(0032,1064) Requested Procedure Code Sequence Y
>(0008,0100) Code Value Y
>(0008,0102) Coding Scheme Designator Y
>(0008,0104) Code Meaning Y
Scheduled Procedure Step (SPS)
(0040,0100) Scheduled Procedure Step Sequence Y
>(0008,0060) Modality Y Y Y Y
>(0040,0002) Scheduled Procedure Step Start Date Y Y
>(0040,0003) Scheduled Procedure Step Start Time Y Y
>(0040,0001) Scheduled Station Application Entity Title Y Y
>(0040,0006) Scheduled Performing Physician’s Name Y
Within the DICOM Modality Worklist preferences the user can define the following settings:
In the worklist tab in the patient manager, the user can query for following patient information:
Displayed in
(result data)
Imported in
EyeSuite™
EyeSuite™
from MWL
Table 4-12 Proposed Presentation Contexts for Activity Store Encapsulated PDF
Abstract Syntax Transfer Syntax Role Ext.
Name UID Name List UID List Neg.
Encapsulated 1.2.840.10008.5.1.4.1.1.104.1 ILE 1.2.840.10008.1.2 SCU None
PDF Storage ELE 1.2.840.10008.1.2.1
4.2.1.3.3.3 SOP Specific Conformance for Encapsulated PDF Storage SOP Class
Table 4-14 Proposed Presentation Contexts for Activity Store Ophthalmic Photography 8 Bit Image
Abstract Syntax Transfer Syntax Role Ext.
Name UID Name UID List Neg.
List
Ophthalmic Photography 8 Bit 1.2.840.10008.5.1.4.1.1.77.1.5.1 1 1.2.840.10008.1.2 SCU None
2 1.2.840.10008.1.2.1
Image Storage 3 1.2.840.10008.1.2.4.50
4 1.2.840.10008.1.2.4.90
4.2.1.3.4.3 SOP Specific Conformance for Ophthalmic Photography 8 Bit Image Storage SOP Class
Figure 4-6 - Sequencing of Activity – Store Multiframe True Color Secondary Capture Image
After completing any image capture depending on whether the image storage is available and
configured as automatic or manual, EyeSuite™ creates a DICOM object and transfers it to the
storage provider automatically or only after the user clicked the corresponding export button. The
storage process takes place in the background. If the process fails, an error dialog is displayed to
the user and an error message is appended to the log file. The job will be queued and
automatically sent, once the storage AE is reachable again.
Table 4-16 Proposed Presentation Contexts for Activity Store Multiframe True Color Secondary
Capture Image
Abstract Syntax Transfer Syntax Role Ext.
Name UID Name List UID List Neg.
Multiframe True Color 1.2.840.10008.5.1.4.1.1.7.4 1 1.2.840.10008.1.2 SCU None
2 1.2.840.10008.1.2.1
Secondary Capture 3 1.2.840.10008.1.2.4.50
Image Storage 4 1.2.840.10008.1.2.4.90
4.2.1.3.5.3 SOP Specific Conformance for Multiframe True Color Secondary Capture Image Storage
SOP Class
4.4 Configuration
4.4.1 AE Title/Presentation Address Mapping
AE Titles of the local application (EyeSuite™), the worklist server and the storage server are
configured in the EyeSuite™ preferences dialog and usually set up by the installation personnel.
The same applies for the host name/IP addresses and TCP/IP ports of the worklist and storage
server. Therefore, the host/IP of the worklist/storage server must be known. The configured default
port is 104, the default local AE Title is “EyeSuite”. There is no default host name/IP address.
4.4.2 Parameters
The table below shows the configuration parameters relevant to DICOM communication which can
be made in the EyeSuite™ preferences.
Table 4-18 – Available options for DICOM connection
Parameter Configurable (Yes/No) Default Value
Max PDU Size Yes 65536 Bytes (64 kB)
Communication Timeout Yes 10 s
5 MEDIA INTERCHANGE
Not supported by EyeSuite™
Latin alphabet No. 1 ISO_IR 100 ISO-IR 100 96 G1 Supplementary set of ISO 8859
ISO-IR 6 94 G0 ISO 646
Latin alphabet No. 2 ISO_IR 101 ISO-IR 101 96 G1 Supplementary set of ISO 8859
ISO-IR 6 94 G0 ISO 646
Latin alphabet No. 3 ISO_IR 109 ISO-IR 109 96 G1 Supplementary set of ISO 8859
ISO-IR 6 94 G0 ISO 646
Latin alphabet No. 4 ISO_IR 110 ISO-IR 110 96 G1 Supplementary set of ISO 8859
ISO-IR 6 94 G0 ISO 646
Cyrillic ISO_IR 144 ISO-IR 144 96 G1 Supplementary set of ISO 8859
ISO-IR 6 94 G0 ISO 646
Arabic ISO_IR 127 ISO-IR 127 96 G1 Supplementary set of ISO 8859
ISO-IR 6 94 G0 ISO 646
Greek ISO_IR 126 ISO-IR 126 96 G1 Supplementary set of ISO 8859
ISO-IR 6 94 G0 ISO 646
Hebrew ISO_IR 138 ISO-IR 138 96 G1 Supplementary set of ISO 8859
ISO-IR 6 94 G0 ISO 646
Latin alphabet No. 5 ISO_IR 148 ISO-IR 148 96 G1 Supplementary set of ISO 8859
ISO-IR 6 94 G0 ISO 646
Japanese ISO_IR 13 ISO-IR 13 94 G1 JIS X 0201: Katakana
ISO-IR 14 94 G0 JIS X 0201: Romaji
ISO 2022 IR 87 ISO-IR 87 94 G0 JIS X 0208: Kanji
ISO 2022 IR ISO-IR 159 94 G0 JIS X 0212: Supplementary Kanji set
159
Thai ISO_IR 166 ISO-IR 166 88 G1 TIS 620-2533 (1990)
ISO-IR 6 94 G0 ISO 646
Korean ISO 2022 IR ISO-IR 149 94 G1 KS X 1001: Hangul and Hanja
149
UTF-8 ISO IR 192 ISO-IR 192 94 G0 / G1 UTF-8
7 SECURITY
EyeSuite™ does not support any specific security measures.
It is assumed that EyeSuite™ is used within a secured environment and that a secured
environment includes at a minimum:
Firewall or router protections to ensure that only approved external hosts have network
access to EyeSuite™.
Firewall or router protections to ensure that EyeSuite™ only has network access to
approved external hosts and services.
Any communication with external hosts and services outside the locally secured
environment use appropriate secure network channels (e.g. such as a Virtual Private
Network (VPN))
Other network security procedures such as automated intrusion detection may be appropriate in
some environments. Additional security features may be established by the local security policy
and are beyond the scope of this conformance statement.
8 ANNEXES
(0008,002A) DT Acquisition Datetime The date and time that the 1 AUTO
original generation of the data in
the document started
(0020,0062) or Frame
Laterality (0020,9072) are not
sent. Enumerated Values:
R = right
L = left
(0008,103E) LO Series Description Description of the Series 3
(0008,0031) TM Series Time Time the Series started. 3
(0008,1050) PN Performing Name of the physician(s) 3
Physicians’ Name administering the Series.
(0018,5100) CS Patient Position Patient position descriptor 2C
relative to the equipment.
Value is always
Value 3:
“MONTAGE" if value 1
is “DERIVED”
“zero”
Value 4:
COLOR
(0008,0022) DA Acquisition Date The date the acquisition of data 3 AUTO
that resulted in this image
started
(0008,0032) TM Acquisition Time The time the acquisition of data 3 AUTO
that resulted in this image
started
(0008,002A) DT Acquisition DateTime The date and time that the 3 AUTO
acquisition of data that resulted
in this image started
Table 8-13 – Information Entity ‘Image’, Module ‘Ophthalmic Photography Acquisition Parameters’
Tag VR Name Value Type Source
(0022,0005) CS Patient Eye Enumerated Values: 2 AUTO
Movement YES
Commanded NO
The value is always “NO”
(0022,001B) SQ Refractive State The refractive state of the 2 AUTO
Sequence imaged eye at the time of
acquisition.
Zero length means the refractive
state was not measured.
The value is always “zero
length”
(0022,000A) FL Emmetropic Emmetropic magnification value 2 AUTO
Magnification (dimensionless).
Zero length means the
emmetropic magnification was
not measured.
The value is always “zero
length”
(0022,000B) FL Intra Ocular Pressure Value of intraocular pressure in 2 AUTO
mmHg.
Zero length means the pressure
was not measured
The value is always “zero
length”
(0022,000D) CS Pupil Dilated Whether or not the patient’s 2 AUTO
pupils were pharmacologically
dilated for this acquisition.
Enumerated Values:
YES
NO
If this tag is empty, no
information is available.
The value is always “zero
length”
(0022,000E) FL Degree of Dialation The degree of the dilation in 2C
mm.
Required if the value of Pupil
Dilated (0022,000D) is YES.
Table 8-14 – Information Entity ‘Image’, Module ‘Ophthalmic Photographic Parameters’
Tag VR Name Value Type Source
(0022,0015) SQ Acquisition Device Describes the type of acquisition
Type Code device.
Sequence
See DICOM PS 3.16 - 2011:
Annex B
(0008,0100) SH Code Value ”A-2B201” 1 AUTO
See DICOM PS 3.16 - 2011:
Annex B
(0008,0102) SH Coding Scheme ”SRT” 1 AUTO
Designator See DICOM PS 3.16 - 2011:
Annex B
(0008,0103) SH Coding Scheme ”20100607” 1C AUTO
Version See DICOM PS 3.16 - 2011:
Annex B
(0008,010F) CS Context Identifier The value of Context Identifier 3
(0008,010F) identifies the
Context Group defined by
Mapping Resource (0008,0105)
from which the values of Code
Value (0008,0100) and Code
Meaning (0008,0104) were
selected , or to which the Code
Value (0008,0100) and Code
Meaning (0008,0104) have been
added as a private Context
Group extension
(0008,0117) UI Context UID The value of Context UID 3
(0008,0117) uniquely identifies
the Context Group.
(0008,0105) CS Mapping Resource Mapping Resource that defines 1C
the template.
(0008,0106) DT Context Group Context Group Version 1C
Version (0008,0106) conveys the version
of the Context Group identified
by Context Identifier
(0008,010F).
A.8.5.3 Multi-frame True Color SC Image IOD Module - Table A.8-5 MULTI-FRAME TRUE COLOR SC
IMAGE IOD MODULES
Table 8-13 – Multi-frame True Color SC Image Information Object Definition
IE Module Reference Usage
Patient Patient C.7.1.1 M
Study General Study C.7.2.1 M
Series General Series C.7.3.1 M
Equipment General Equipment C.7.5.1 U
SC Equipment C8.6.1 M
Image General Image C.8.17.2 M
Image Pixel C.7.6.3 M
Cine C.7.6.5 C
Value 3:
“MONTAGE" if value 1
is “DERIVED”
“zero”
Value 4:
COLOR
(0008,0022) DA Acquisition Date The date the acquisition of 3 AUTO
data that resulted in this image
started
(0008,0032) TM Acquisition Time The time the acquisition of 3 AUTO
data that resulted in this image
started
(0008,002A) DT Acquisition The date and time that the 3 AUTO
DateTime acquisition of data that
resulted in this image started
(0008,2112) SQ Source Image The Image that was used to 3 AUTO
Sequence derive this Image.
(0020,4000) LT Image Comments User-defined comments about 3 USER
the image
(0028,0301) CS Burned In Indicates whether or not image 3 AUTO
Annotation contains sufficient burned in
annotation to identify the
patient and date the image
was acquired.
Enumerated Values:
“YES”
“NO”
(0028,0300) CS Quality Control Indicates whether or not this 3 AUTO
Image image is a quality control or
phantom image.
Enumerated Values:
YES
NO
If this Attribute is absent, then
the image may or may not be
a quality control or phantom
image.
For further questions please contact the HAAG-STREIT Customer Support at:
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