DRX Evo Evoplus V5 7 Dicom 9K2451

Carestream DRX-Evolution and DRX-Evolution Plus
Software Version 5.7
DICOM Conformance Statement
October 19, 2016
Document # 9K2451
TITLE: 9K2451 DRX-Evolution and DRX-Evolution Plus DICOM Conformance Statement V5_7
PART #: 9K2451 VERSION # 0.1 Unrestricted Internal Use (U)
PAGE 1 of 88
Table of Contents
INTRODUCTION ....................................................................................................................................................... 4
1.1 EXECUTIVE OVERVIEW ................................................................................................................................ 4
1.2 SCOPE AND FIELD OF APPLICATION............................................................................................................ 5
1.3 IMPORTANT CONSIDERATIONS FOR THE READER ..................................................................................... 5
1.4 ACCESSING THIS CONFORMANCE STATEMENT ON THE WORLD WIDE WEB ......................................... 6
1.5 DEFINITIONS, ACRONYMS, ABBREVIATIONS ............................................................................................. 6
2 IMPLEMENTATION MODEL........................................................................................................................ 7
2.1 FUNCTIONAL DEFINITIONS .......................................................................................................................... 7
2.2 SEQUENCING OF REAL-WORLD ACTIVITIES .............................................................................................. 8
3 APPLICATION ENTITY SPECIFICATIONS ............................................................................................... 8
3.1 ASSOCIATION ESTABLISHMENT POLICIES.................................................................................................. 8
3.1.1 General .................................................................................................................................................. 8
3.1.2 Number of Associations ......................................................................................................................... 9
3.1.3 Asynchronous Nature............................................................................................................................. 9
3.1.4 Implementation Identifying Information ................................................................................................ 9
3.2 ASSOCIATION INITIATION POLICY ............................................................................................................ 10
3.2.1 Associated Real-World Activity ........................................................................................................... 10
3.2.2 Presentation Context Table ................................................................................................................. 10
3.2.3 SOP Specific Conformance .................................................................................................................. 12
3.3 ASSOCIATION ACCEPTANCE POLICY ........................................................................................................ 12
3.4 BASIC PRINT MANAGEMENT META SOP CLASS ...................................................................................... 12
3.4.1 Basic Film Session SOP Class ............................................................................................................. 13
3.4.2 Basic Film Box SOP Class................................................................................................................... 14
3.4.3 Basic Image Box SOP Class ................................................................................................................ 15
3.4.4 Printer SOP Class ................................................................................................................................ 16
3.5 STORE SERVICE CLASSES ........................................................................................................................... 18
3.5.1 Digital X-Ray Image Storage............................................................................................................... 19
3.5.2 Computed Radiography Image Storage ............................................................................................... 32
3.5.3 Grayscale Softcopy Presentation State IOD ........................................................................................ 39
3.5.4 X-Ray Radiation Dose SR .................................................................................................................... 44
3.6 BASIC WORK LIST SERVICE ....................................................................................................................... 48
3.6.1 Modality Work List IOD ...................................................................................................................... 49
3.6.2 Procedure Mapping ............................................................................................................................. 51
3.7 MODALITY PERFORMED PROCEDURE STEP SOP CLASS......................................................................... 52
3.7.1 Modality Performed Procedure Step IOD ........................................................................................... 52
3.8 STORAGE COMMITMENT PUSH MODEL SOP CLASS ................................................................................ 56
3.8.1 DIMSE Service N-ACTION.................................................................................................................. 57
3.8.2 DIMSE Service N-EVENT-REPORT ................................................................................................... 57
3.9 PRIORS .......................................................................................................................................................... 58
3.9.1 DICOM Query C-FIND ....................................................................................................................... 58
3.9.2 DICOM Retrieve C-MOVE .................................................................................................................. 61
3.10 STRUCTURED REPORTS.......................................................................................................................... 61
4 COMMUNICATION PROFILES .................................................................................................................. 73
4.1 SUPPORTED COMMUNICATIONS STACKS ................................................................................................. 73
4.2 PHYSICAL MEDIA ........................................................................................................................................ 73
5 EXTENSIONS/SPECIALIZATIONS/PRIVATIZATIONS ......................................................................... 73
5.1 COMPUTED RADIOGRAPHY IOD ................................................................................................................ 73
PAGE 2 of 88
5.1.1 Specialization of Pixel Spacing............................................................................................................ 73
5.1.2 Alternate Image Display Spaces .......................................................................................................... 73
5.1.3 Extension for P-Value Encoding.......................................................................................................... 74
5.1.4 Extension to Body part Examined, View Position and Patient Position .............................................. 74
6 CONFIGURATION ......................................................................................................................................... 74
7 SUPPORT OF EXTENDED CHARACTER SETS ...................................................................................... 75
8 ERROR HANDLING ...................................................................................................................................... 76
ADDENDUM A SUPPORTED SNOMED CODE VALUES ............................................................................ 77
ADDENDUM B INPUT FIELD/DICOM TAG CROSS REFERENCE .......................................................... 85
PAGE 3 of 88
Introduction
1.1 Executive Overview

This document applies to the Carestream DRX-Evolution and DRX-Evolution Plus product that
utilizes the version 5.7 software.
The following DICOM SOP Classes are supported:

Table 1.1 Supported DICOM SOP Classes
SOP Class Name SOP Class UID Service Class Role

Verification SOP Class 1.2.840.10008.1.1 SCU, SCP
Basic Grayscale Print Management Meta 1.2.840.10008.5.1.1.9 SCU
SOP Class
Modality Work List 1.2.840.10008.5.1.4.31 SCU
Information Model – FIND
Computed Radiography Image Storage 1.2.840.10008.5.1.4.1.1.1 SCU
Digital X-Ray Image Storage – For 1.2.840.10008.5.1.4.1.1.1.1 SCU
Presentation
Digital X-Ray Image Storage – For 1.2.840.10008.5.1.4.1.1.1.1.1 SCU
Processing
Modality Performed Procedure Step SOP 1.2.840.10008.3.1.2.3.3 SCU
Class
Storage Commitment Push Model SOP 1.2.840.10008.1.20.1 SCU
Class
Grayscale Softcopy Presentation State 1.2.840.10008.5.1.4.1.1.11.1 SCU
Storage SOP Class
Table 1.2 Supported DICOM SOP Classes for Prior Image Recall Feature Only

Study Root Query Retrieve Information 1.2.840.10008.5.1.4.1.2.2.1 SCU
Model - FIND
Study Root Query Retrieve Information 1.2.840.10008.5.1.4.1.2.2.2 SCU
Model - MOVE
CR Image Storage 1.2.840.10008.5.1.4.1.1.1.1 SCP
PAGE 4 of 88
Digital X-Ray Image Storage – For 1.2.840.10008.5.1.4.1.1.1 SCP
Presentation
Grayscale Softcopy Presentation State 1.2.840.10008.5.1.4.1.1.11.1 SCP
Storage SOP Class
Table 1.3 Supported DICOM SOP Classes for Dose SR Storage

X-Ray Radiation Dose SR 1.2.840.10008.5.1.4.1.1.88.67 SCU
1.2 Scope and Field of Application

This document describes the DICOM functionality of Carestream DRX-Evolution and DRX-
Evolution Plus. The Carestream DRX-Evolution and DRX-Evolution Plus is capable of
performing projection radiographic examinations and producing a digital image. Throughout the
remainder of this document the term DR System shall refer to the Carestream DRX-Evolution
and DRX-Evolution Plus product.
The DR System acts as a DICOM Service Class User (SCU) that performs transactions over a
TCP/IP network via the DICOM messages exchange protocol.
1.3 Important Considerations for the Reader

This DICOM Conformance Statement by itself is not sufficient to guarantee successful
connectivity between the DR System and equipment from other vendors. The following
considerations should be made:
 The integration of equipment from different vendors (including Carestream Health) goes
beyond the scope of the DICOM 3.0 standard and the DICOM Conformance Statements from
Carestream Health and other vendors. It is the responsibility of the user (or user’s agent) to
assess the application requirements and to design a solution that integrates Carestream Health
equipment with equipment from other vendors.
 When the comparison of this DICOM Conformance Statement with a DICOM Conformance
Statement from another vendor indicates that connectivity should be possible, it is the
responsibility of the user (or user’s agent) to verify this by carrying out validation tests and to
check whether all required functionality is met.
 With regard to the future evolution of the DICOM 3.0 standard Carestream Health, Inc. reserves
the right to make changes to the DR System architecture described in this document. The user
(or user’s agent) should ensure that any equipment connected via DICOM to Carestream
equipment also follows the future evolution of the DICOM 3.0 standard. Failure to do so may
result in (partial) loss of connectivity.
PAGE 5 of 88
1.4 Accessing this Conformance Statement on the World Wide Web
As the DR System product changes, changes to this DICOM Conformance Statement are
inevitable. To obtain the most recent revision of this DICOM Conformance Statement, access the
following URL:
http://www.carestreamhealth.com/dicom.html
1.5 Definitions, Acronyms, Abbreviations

The following symbols and abbreviations are used in this document.
ASCII American Standard Code for Information Interchange

AE Application Entity
CR Computed Radiography
DICOM Digital Imaging and Communications in Medicine
DIMSE DICOM Message Service Element
DR Digital Radiography
DX Digital X-Ray
GSPS Grayscale Softcopy Presentation State
HIS/RIS Hospital Information System / Radiology Information System.
ISO International Standards Organization
LUT Look-up Table
MPPS Modality Performed Procedure Step SOP Class
MWL Modality Work List
PDU Protocol Data Unit
PLUT Presentation Look-up Table
REM Radiation Exposure Monitoring
RDSR Radiation Dose Structured Report
SC Secondary Capture
SCP Service Class Provider
SCPM Storage Commitment Push Model SOP Class
SCU Service Class User
SOP Service-Object Pair
SR Structured Report
TCP/IP Transmission Control Protocol/Internet Protocol
UID Unique Identifier
PAGE 6 of 88
2 Implementation Model
This implementation model uses the DICOM Basic Print Management Meta SOP Class to
deliver studies to remote printers. The DX Image Storage SOP Class is used to deliver studies to
archives. Basic Work List Management service is used for the acquisition of patient
demographics. DICOM Query/Retrieve service is used to retrieve prior images. The X-Ray
Radiation Dose SR SOP Class is used to deliver dose information to archives and dose
information consumers.
DR Images,
Storage Commitment Push Model SOP
CFIND, CMOVE for Prior Images
Interface
DICOM
(DRX-1 System is SCU),
Archive/ C-STORE for Prior Images
Workstation (DRX-1 System is SCP), DR
And C-STORE and Storage Commitment Config
Push Model SOP for RDSR
(DRX-1 System is SCU)
MPPS Server MPPS Notification

(DRX-1 System is SCU) Modality
DRX-1 System
Images
Basic Work List

Modality (DRX-1 System is SCU),
Worklist
Provider
Dose Reports
Dose Report (RDSR) (RDSR)
(DRX-1 System is SCU)
Dose
Information Basic Grayscale Print
Consumer (DRX-1 System is SCU)
Remote
Printer
Figure 2.1 Implementation Model
2.1 Functional Definitions
The DR System is a digital radiographic image acquisition product utilizing a digital X-Ray
detector. The system allows the technologist to acquire and identify images, review images for
placement and motion, add markers, adjust image processing, manipulate images (flip, rotate,
etc.), pan/zoom and route images to their final destinations. The system is capable of obtaining
patient demographic information manually from the user interface, the Remote Patient Data
PAGE 7 of 88
Entry System (RPDES) or via a DICOM Work List. The RPDES allows patient demographic
data to be entered from remote computers for sites that do not support the DICOM Work List.
The system is capable of automatic or on demand querying for and retrieving of prior
radiographic images for any exams in the DICOM Work List and displaying those images to the
technologist. The DR System is also capable of collecting individual procedure dose information
related to specific patients and storing this dose information to Image Archive/ Image Manager
and/or Dose Information Consumers.
2.2 Sequencing of Real-World Activities

If a HIS/RIS service is present and polling is enabled in DR System, the DR System establishes an
association when the DR System application is started to obtain a modality Work List. The Work
List is used as a source of patient demographics. The DR System establishes an association with a
selected SCP when it has collected sufficient information to begin sending images.
3 Application Entity Specifications

The DR System provides Standard Conformance to the SOP Classes depicted in Table 1.1 as an
SCU.
3.1 Association Establishment Policies

3.1.1 General
3.1.1.1 Delivery
An Association may be attempted whenever a valid destination is selected and at least one image
has been acquired.
The maximum PDU size, which the DR System will negotiate, is 128 Kbytes.
3.1.1.2 HIS/RIS
The DR System may be configured to poll the HIS/RIS broker at periodic intervals and/or
asynchronously on demand from the user. If periodic polling is enabled, an association for Basic
Work List will be attempted when the DR System application is started and then periodically
thereafter.
3.1.1.3 Priors
The DR System may be configured to retrieve Prior images from the PACS as soon as the
HIS/RIS record is retrieved, when the exam is started, or only when specifically requested by the
Technologist.
PAGE 8 of 88
3.1.1.4 Structured Reports
The DR System may be configured to deliver dose information to a PACS or any other system
configured to receive Radiation Dose Structured Reports at the completion or discontinuation of
an exam where irradiation events occurred.
The RDSR will be composed and sent on the completion or discontinuation of a procedure step
not upon the completion of an irradiation event.
If an irradiation event occurs after the completion of an existing procedure step, the procedure
step will be re-opened and a new RDSR will be composed and sent on the completion or
discontinuation of the amended procedure step. The irradiation events will duplicate events
reported in the subsequent RDSR, but this can be detected by a PACS or any other system
configured to receive the RDSR since the same irradiation event UID will appear in both
RDSR’s that were sent.
3.1.2 Number of Associations

3.1.2.1 Delivery
Associations are initiated with the default limitation that no more than three total SCU delivery
associations may be open at any given time to a print or a store destination. The default
limitation for each class of destination may be increased to 6 by the service provider.
3.1.2.2 HIS/RIS
Two associations may be initiated at a time. The DR System will close each association after
receiving a C-FIND response.
3.1.2.3 Priors
One C-FIND associations may be initiated at a time. The DR System will close each association
after receiving a C-FIND response.
Two C-MOVE associations may be initiated at a time. The DR System will close each association
after receiving a C-MOVE response.
3.1.2.4 Storage Commitment

Associations are initiated with the default limitation that no more than three total SCU storage
commitment associations may be open at any given time. The default limitation may be
increased to 6 by the service provider.
3.1.3 Asynchronous Nature

The DR System allows up to 1 invoked and 1 performed operation on an Association (it is
synchronous).
3.1.4 Implementation Identifying Information

The DR System provides the Implementation Class UID of “1.2.840.113564.3.4.1”.
PAGE 9 of 88
The implementation version name attribute is optional and is not used by the DR System.
The DR System establishes an Association using its network node name for the calling DICOM
Application Entity title. The network node name is configurable through the DR System Service
Application.
The DR System stores a called DICOM Application Entity Title and socket number for each
DICOM compatible network destination it knows about.
3.2 Association Initiation Policy

3.2.1 Associated Real-World Activity
3.2.1.1 Delivery
The DR System initiates Associations for the purpose of sending images and associated
information for printing to a Basic Grayscale Print Management SCP and archiving to an SC
Image Storage SCP.
The default and well-known socket 5040 will be used for making the Association, unless a
product service provider configures a different one.
3.2.1.2 HIS/RIS
The DR System initiates Associations for the purpose of obtaining the current Modality Work
List IOD.
3.2.1.3 Priors
The DR System initiates Associations for the purpose of determining whether there are any prior
images to be retrieved. If the DR System determines that there are prior images to be retrieved
then another association is initiated for each image that is actually to be retrieved.
3.2.1.4 Structured Reports

The DR System initiates Associations for the purpose of sending Radiation Dose Structured
Reports.
3.2.2 Presentation Context Table

The DR System proposes the Presentation Contexts shown in Table 3.1.
Table 3.1 Presentation Context Table
PAGE 10 of 88
Presentation Context Table
Abstract Syntax Transfer Syntax Ext.
Name UID Name List UID Role Negot
Verification 1.2.840.10008.1.1 DICOM Implicit 1.2.840.10008.1.2 SCU None
VR Little Endian
Basic 1.2.840.10008.5.1.1.9 DICOM Explicit 1.2.840.10008.1.2.1 SCU None
Grayscale VR Little Endian
Print DICOM Implicit
Management 1.2.840.10008.1.2
VR Little Endian
Modality 1.2.840.10008.5.1.4.31 DICOM Implicit 1.2.840.10008.1.2 SCU None
Work List VR Little Endian
Computed 1.2.840.10008.5.1.4.1.1.1 DICOM Explicit 1.2.840.10008.1.2.1 SCU None
Radiography VR Little Endian
Image DICOM Implicit
Storage 1.2.840.10008.1.2
VR Little Endian
Digital X- 1.2.840.10008.5.1.4.1.1.1. DICOM Explicit 1.2.840.10008.1.2.1 SCU None
Ray Image 1 VR Little Endian
Storage – DICOM Implicit
For 1.2.840.10008.1.2
VR Little Endian
Presentation
Digital X- 1.2.840.10008.5.1.4.1.1.1. DICOM Explicit 1.2.840.10008.1.2.1 SCU None
Ray Image 1.1 VR Little Endian
Storage – DICOM Implicit
For 1.2.840.10008.1.2
VR Little Endian
Processing
Modality 1.2.840.10008.3.1.2.3.3 DICOM Explicit 1.2.840.10008.1.2.1 SCU None
Performed VR Little Endian
Procedure DICOM Implicit 1.2.840.10008.1.2
Step SOP VR Little Endian
Class
1.2.840.10008.1.20.1 DICOM Explicit 1.2.840.10008.1.2.1 SCU None
Storage
Commitment VR Little Endian
Push Model DICOM Implicit 1.2.840.10008.1.2
SOP Class VR Little Endian
1.2.840.10008.5.1.4.1.1.1 DICOM Explicit 1.2.840.10008.1.2.1 SCU None
Grayscale
1.1 VR Little Endian
Softcopy
Presentation DICOM Implicit 1.2.840.10008.1.2
State Storage VR Little Endian
SOP Class
1.2.840.10008.5.1.4.1.1.8 DICOM Explicit 1.2.840.10008.1.2.1 SCU None
X-Ray
8.67
Radiation
PAGE 11 of 88
Presentation Context Table
Abstract Syntax Transfer Syntax Ext.
Dose SR VR Little Endian
DICOM Implicit 1.2.840.10008.1.2
VR Little Endian
3.2.3 SOP Specific Conformance

3.2.3.1 Verification
The DR System provides standard conformance to the DICOM Verification Service Class:
 When prompted by a user, the DR System will request verification of communication to
a remote DICOM AE using the C-ECHO primitive.
 Upon receipt from an SCU of a verification of communication request, the DR will issue
confirmation.
3.2.3.2 Delivery
Association attempts will be retried if the SCP rejects the request with the RESULT = 2 (rejected
transient) and the REASON = 1 (temporary congestion). If all Association attempts fail, then the
user will be notified and the Film Session or Study is saved for resending or deletion. No
undelivered image files are deleted without manual user direction.
3.3 Association Acceptance Policy

Upon receipt from an SCU of a verification of communication request, the DR will issue
confirmation.
3.4 Basic Print Management Meta SOP Class

The Meta SOP Class is defined by the set of supported SOP Classes depicted in Table 3.2.
PAGE 12 of 88
Table 3.2 Meta SOP Class
SOP Class UID Value

Basic Film Session SOP Class 1.2.840.10008.5.1.1.1
Basic Film Box SOP Class 1.2.840.10008.5.1.1.2
Basic Grayscale Image Box SOP 1.2.840.10008.5.1.1.4
Class
Printer SOP Class 1.2.840.10008.5.1.1.16
3.4.1 Basic Film Session SOP Class

3.4.1.1 DIMSE Service N-CREATE
Table 3.3 Basic Film Session SOP Class – Supported Attributes
Attribute SCU Tag Possible Values

Usage
Number of Copies U (2000,0010) 1 –> 99
Print Priority U (2000,0020) HIGH, MED, LOW
Medium Type U (2000,0030) PAPER, CLEAR FILM, BLUE FILM, NONE
Film Destination U (2000,0040) MAGAZINE, PROCESSOR, BIN_n (where n=1 to 9)
Film Session Label U (2000,0050) Up to 64 characters may be provided
Memory Allocation U (2000,0060) Not used
3.4.1.2 DIMSE Service N-Action

The DR System uses the N-ACTION to instruct the SCP to print all films in the session. The DR
System is configurable (when the destination is installed) to issue the N-ACTION at the Film
Session for destinations known to support this optional service. If the destination is not known to
support collation, the DR System will only issue the N-ACTION on the Film Box. For Print
SCPs that conform to the N-ACTION specification in Part 4 section H.4.1.2.4 of the DICOM
standard, the DR System expects that all film boxes will be collated when printed.
3.4.1.3 DIMSE Service N-SET

This service is not used.
3.4.1.4 DIMSE Service N-DELETE

PAGE 13 of 88
3.4.2 Basic Film Box SOP Class
3.4.2.1 DIMSE Service N-CREATE
Table 3.4 Basic Film Box SOP Class – Supported Attributes

Usage
Image Display Format M (2010,0010) With no annotation being present, these formats may be used:
STANDARD\C,R
For LANDSCAPE Film Orientation, (C,R) may =
(1,1), (1,2), (2,1), (2,2), (1,3), (3,1), (2,3), (3,2), (3,3)
For PORTRAIT Film Orientation, (C,R) may =
(1,1), (1,2), (2,1), (2,2) , (3,1), (2,3), (3,2), (3,3)
With annotation, the ROW Symmetric format is being used as following:
With Image annotations alone: ROW\n,m,.., (n,m..) may =
(1,1), (1,1,1,1), (1,1,1,1,1,1), (2,2), (2,2,2,2), (2,2,2,2,2,2), (3,3),
(3,3,3,3), (3,3,3,3,3,3)
With Page annotations alone: ROW\n,m,.., (n,m..) may =
(1,1), (1,1,1), (2,1), (2,2,1), (3,1), (3,3,1), (3,3,3,1)
With Image and Page annotation combined: ROW\n,m,.., (n,m..) may =
(1,1,1), (1,1,1,1,1), (1,1,1,1,1,1,1), (2,2,1), (2,2,2,2,1), (2,2,2,2,2,2,1),
(3,3,1), (3,3,3,3,1), (3,3,3,3,3,3,1)
Referenced Film Session M (2010,0500)
Sequence
>Referenced SOP Class UID M (0008,1150)
>Referenced SOP Instance UID M (0008,1155)
Referenced Basic Image Box - (2010,0510) Not sent.
Sequence
Referenced Basic Annotation - (2010,0520) Not used.
Box Sequence
Film Orientation U (2010,0040) PORTRAIT, LANDSCAPE
8INX10IN
Film Size ID U (2010,0050) 8.5INX11IN
8.5INX12IN
10INX12IN
11INX14IN
14INX14IN
14INX17IN
10INX12IN
A4
Magnification Type U (2010,0060) REPLICATE, BILINEAR, CUBIC, NONE
Will be constant for the entire Film Box.
Max Density U (2010,0130) 0-450 Configurable for Destination
Configuration Information U (2010,0150) Not used.
Annotation Display Format ID U (2010,0030) Not used
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Usage
Smoothing Type U (2010,0080) NORMAL (minimum cubic convolution error)
ENHANCED
ENHANCED1
Valid only for Magnification Type CUBIC.
0-15
Border Density U (2010,0100) 410 Configurable for Destination
Empty Image Density U (2010,0110) Not used
Min Density U (2010,0120) 0-410 (Value must be less than Max Density (2010,0130)) Configurable
for Destination
Illumination MC (2010,015E) Positive integer in units of cd/m2 Configurable for Destination
Reflective Ambient Light MC (2010,0160) Positive integer in units of cd/m2 Configurable for Destination
Trim U (2010,0140) YES and NO
3.4.2.2 DIMSE Service N-ACTION

The DR System uses the N-ACTION to instruct the SCP to print the current film in the session.

3.4.2.4 DIMSE Service N-DELETE

3.4.3 Basic Image Box SOP Class

Table 3.5 Basic Image Box SOP Class – Supported Attributes
Attribute & Usage SCU Tag Supported Values

Usage
Image Position M (2020,0010) All values within the range of Image Display Format
Preformatted Grayscale Image M (2020,0110)
Sequence
>Samples Per Pixel M (0028,0002) 1
>Photometric M (0028,0004) MONOCHROME1, MONOCHROME2
Interpretation
(If the image space configured on the destination is set to density,
MONOCHROME1 is set. If the image space configured on the destination
is p-values or luminance, MONOCHROME2 is set.
See section 5.1.3 for more information.
PAGE 15 of 88
Attribute & Usage SCU Tag Supported Values
Usage
>Rows M (0028,0010) Minimum Value 64
Maximum Values:
Known for all Carestream printers, configurable for others. The
aspect ratio is used with the printer’s page extents, display format,
etc. to calculate this value.
>Columns M (0028,0011) Minimum Value 64
Maximum Values:
Known for all Carestream printers, configurable for others. The
aspect ratio is used with the printer’s page extents, display format,
etc. to calculate this value.
>Pixel Aspect Ratio MC (0028,0034) R\C
R, C = 1 to 9999 (Integer)
Note: This attribute is always included, even if it is 1\1. It’s value will
always be 1\1 if Magnification Type is NONE
>Bits Allocated M (0028,0100) 16
>Bits Stored M (0028,0101) 12
>High Bit M (0028,0102) Bits Stored -1
>Pixel Representation M (0028,0103) 0000H (unsigned integer)
>Pixel Data M (7FE0,0010) All values consistent with Bits Stored
Polarity U (2020,0020) NORMAL
Magnification Type U (2010,0060) REPLICATE, BILINEAR, CUBIC,NONE
Note: Is always the same as the Magnification Type specified for the Film
Box.
Smoothing Type U (2010,0080) NORMAL, ENHANCED, ENHANCED1
Valid only for Magnification Type CUBIC.
0-15
Must be the same as the Smoothing Type specified for the Film Box.
Configuration Information U (2010,0150) Not used.
Requested Image Size U (2020,0030) Row length in mm up to the size of the printable image, which is a function
of Image Display Format and Film Size ID.
3.4.4 Printer SOP Class

3.4.4.1 DIMSE Service N-EVENT-REPORT
The DR System will process the indication of the N-EVENT-REPORT operation. Any string sent
by the SCP is accepted and displayed on the DR System user interface. In this translation, all
characters that are not space characters or in the ASCII range “A” - “Z” are stripped.
The DR System translates Attributes as described in Table 3.6. Other strings are not translated
but may be displayed on a DR System user interface.
PAGE 16 of 88
Table 3.6 Basic Image Box SOP Class – Supported Attributes
Attribute SCU Tag Expected Values

Usage
Printer Status U (2110,0010) NORMAL
WARNING
FAILURE
Printer Status Info U (2110,0020) Any valid string including the following.
for NORMAL conditions:
“NORMAL”
for WARNING conditions:
“RECEIVER FULL”,
“FILM JAM”,
“PRINTER NOT RDY”,
“PROCESSOR DOWN”,
“CHECK PROCESSOR”,
“PROC NOT READY”,
“NO RECEIVE MGZ”,
“NO SUPPLY MGZ”,
“NO TONER”,
“NO STATE”,
“CHECK RIBBON”,
“PRINTER BUSY”,
“OFFLINE”,
“PRINTER STOPPED”,
“CHECK SUPPLY MAG”,
“COVER OPEN”,
“PRINTER OFFLINE”,
“EXPOSURE FAILURE”,
“CHECK R MAG”,
“PROC NOT RDY”,
“STATE UNKNOWN”,
"CHECK INK CART",
"INK OUT",
"QUEUED",
"SUPPLY EMPTY",
"SUPPLY LOW",
"BAD RECEIVE MGZ",
"BAD SUPPLY MGZ",
"FILM TRANSP ERR",
"CHECK CHEMISTRY",
"CHECK SORTER",
"CHEMICALS LOW",
"CHEMICALS EMPTY",
PAGE 17 of 88
Attribute SCU Tag Expected Values
Usage
Printer Status Info "FINISHER EMPTY",
(continued from previous page) "FINISHER ERROR",
"FINISHER LOW",
"CHECK PROC",
“PRINTER BUSY”,
"PROC DOWN",
"PROC INIT",
"PROC OVERFLOW FL",
"PROC OVERFLOW HI",
"PRINTER DOWN",
"PRINTER INIT",
"CALIBRATING",
"CALIBRATION ERR",
"ELEC CONFIG ERR",
"ELEC DOWN",
"ELEC SW ERROR",
"EXPOSURE FAILURE",
"REQ MED NOT INST",
"REQ MED NOT AVAI",
"RIBBON ERROR",
"NO RIBBON",
"UNKNOWN"
for FAILURE conditions:
"FATAL”,
"INVALID PAGE DES",
"INSUFFIC MEMORY",
“FATAL ERROR”,
“CHECK PRINTER”,
"PRINTER DOWN",
“NO RESPONSE”,
“RIBBON MISMATCH”,
“TIME OUT”,
“UNKNOWN STATUS
Printer Name U (2110,0030) Any valid string
Manufacturer U (0008,0070) Any valid string
Manufacturer Model Name U (0008,1090) Any valid string
Device Serial Number U (0018,1000) Any valid string
Software Version U (0018,1020) Any valid string
Date of Last Calibration U (0018,1200) Ignored
Time of Last Calibration U (0018,1201) Ignored
3.5 Store Service Classes

Table 1.1 lists all the Storage SOP Classes that are supported by the DR System. The following
tables list, for each Storage SOP Class, the attributes that the DR System supports.
PAGE 18 of 88
3.5.1 Digital X-Ray Image Storage
The DR System provides standard conformance to the Digital X-Ray Image Storage SOP Class as
an SCU.
Table 3.7 Digital X-Ray Image SOP Class – For Presentation
SOP Class SOP Class UID

Digital X-Ray Image Storage – For
1.2.840.10008.5.1.4.1.1.1.1
Presentation
Table 3.8 Digital X-Ray Image SOP Class – For Processing

Digital X-Ray Image Storage – For
1.2.840.10008.5.1.4.1.1.1.1.1
Processing
Table 3.9 Digital X-Ray Image SOP Class – Supported Attributes
Attribute Name Tag DICOM Supported Values

Type
Patient Module
Patient Name (0010,0010) 2 Refer to Addendum B
Patient ID (0010,0020) 2 Refer to Addendum B
Patient Birth Date (0010,0030) 2 Refer Addendum B
Patient Sex (0010,0040) 2 Refer to Addendum B
Patient Birth Time (0010,0032) 3
Other Patient IDs (0010,1000) 3 This value will be sent only
if it has been received from
the DICOM modality work
list (MWL).
Other Patient Names (0010,1001) 3 This value will be sent only
list (MWL).
Ethnic Group (0010,2160) 3 This value will be sent only
list (MWL).
Patient Comments (0010,4000) 3
Allergies (0010,2210) 3
General Study
Study Instance UID (0020,000D) 1
Study Date (0008,0020) 2 Refer to Addendum B
Study Time (0008,0030) 2 Refer to Addendum B
Referring Physician Name (0008,0090) 2 Refer to Addendum B
Study ID (0020,0010) 2
PAGE 19 of 88
Type
Accession Number (0008,0050) 2 Refer to Addendum B
Study Description (0008,1030) 3 Refer to Addendum B
Referenced Study Sequence (0008,1110) 3
>Referenced SOP Class UID (0008,1150) 1C
>Referenced SOP Instance (0008,1155) 1C
UID
Procedure Code Sequence (0008,1032) 3
> Code Value (0008,0100) 1C Refer to Addendum B
> Coding Scheme (0008,0102) 1C
Designator
> Coding Scheme Version (0008,0103) 1C
> Code Meaning (0008,0104) 1C
Patient Study
Admitting Diagnoses (0008,1080) 3
Description
Patient’s Age (0010,1010) 3
Patient’s Size (0010,1020) 3
Patient’s Weight (0010,1030) 3
Occupation (0010,2180) 3
Additional Patient’s History (0010,21B0) 3
General Series
Modality (0008,0060) 1 DX
Series Instance UID (0020,000E) 1
Series Number (0020,0011) 2
Laterality (0020,0060) 2C L
R
Series Date (0008,0021) 3
Protocol Name (0008,1030) 3
Series Time (0008,0031) 3
Series Description (0008,103E) 3 Same value as tag
(0018,5101)
Operator Name (0008,1070) 3 Refer to Addendum B
Body Part Examined (0018,0015) 3 Refer to Addendum B
Performed Procedure Step (0040,0244) 3
Start Date
Start Time
PAGE 20 of 88
Type
ID
Performed Procedure Step (0040,0254) 3 Refer to Addendum B
Description
Performed Protocol Code (0040,0260) 3
Sequence
>Code Value (0008,0100) 1C
>Coding Scheme Designator (0008,0102) 1C
>Coding Scheme Version (0008,0103) 1C
>Code Meaning (0008,0104) 1C
Request Attributes Sequence (0040,0275) 3
>Requested Procedure (0032,1060) 3 Refer to Addendum B
Description
>Reason for the Requested (0040,1002) 3
Procedure
>Scheduled Procedure Step (0040,0007) 3 Refer to Addendum B
Description
>Scheduled Protocol Code (0040,0008) 3
Sequence
>> Code Value (0008,0100) 1C Refer to Addendum B
>> Coding Scheme (0008,0102) 1C
Designator
>> Coding Scheme Version (0008,0103) 1C
>> Code Meaning (0008,0104) 1C Refer to Addendum B
>Scheduled Procedure Step (0040,0009) 1C
ID
>Requested Procedure ID (0040,1001) 1C Refer to Addendum B
DX Series
Modality (0008,0060) 1 DX
Referenced Performed (0008,1111) 1C
Procedure Step Sequence
UID
Presentation Intent Type (0008,0068) 1 Enumerated Values:
FOR PRESENTATION,
FOR PROCESSING
General Equipment
Manufacturer (0008,0070) 2 CARESTREAM
PAGE 21 of 88
Type
Institution Name (0008,0080) 3 For this value to be
populated and sent, the DR
System user needs to enter
the value on the Delivery
Preferences screen.
Institution Address (0008,0081) 3 For this value to be
Preferences screen.
Station Name (0008,1010) 3
Institutional Department (0008,1040) 3 Refer to Addendum B
Name
Manufacturer Model Name (0008,1090) 3 DRX Evolution
Device Serial Number (0018,1000) 3
Software Versions (0018,1020) 3
General Image
Instance Number (0020,0013) 2
Patient Orientation (0020,0020) 2C
Image Type (0008,0008) 3
Content Date (0008,0023) 2C
Content Time (0008,0033) 2C
Acquisition Number (0020,0012) 3
Acquisition Date (0008,0022) 3
Acquisition Time (0008,0032) 3
Referenced Image Sequence (0008,1140) 3
> Referenced SOP Class (0008,1150) 1C Only populated for
UID companion images and will
contain Referenced SOP
Class UID of the standard
image associated with the
companion image.
> Referenced SOP Instance (0008,1155) 1C Only populated for
Instance UID of standard
companion image.
Derivation Description (0008,2111) 3
PAGE 22 of 88
Type
companion image.
companion image.
Source Image Sequence (0008,2112) 3 Note: This is sent for the
FOR_PRESENTATION
image, with the UID to the
FOR_PROCESSING image,
even if the
FOR_PROCESSING image
was not sent to store
destination.
UID
Images In Acquisition (0020,1002) 3
Image Comments (0020,4000) 3 Refer to Addendum B
Lossy Image Compression (0028,2110) 3
00 = No Compression
Irradiation Event UID (0008,3010) 3 If the IHE Dose Reporting

Option is enabled on the DR
System, the value for this
field will be sent.
This field represents the
unique identification of the
irradiation event(s)
associated with the
acquisition of this image. It
will be used by receiving
systems to determine
duplicate events reported in
a Dose Report for a
particular procedure
step/study.
Image Pixel
Samples per Pixel (0028,0002) 1 1
PAGE 23 of 88
Type
Photometric Interpretation (0028,0004) 1 MONOCHROME1
MONOCHROME2
(If the image space
configured on the destination
is set to density,
MONOCHROME1 is set. If
the image space configured
on the destination is p-values
or luminance,
MONOCHROME2 is set.
See section 5.1.3 for more
information.
Rows (0028,0010) 1 Max Value for a DRX-1
(GOS) is 3056
Max Value for a DRX-1C
(CsI) is 3032
Max Value for a V4343R is
3024
Max Value for a T4600 is
3000
Max Value for a DRX2530C
is 2136
Max Value for DRX-Plus
3543(GOS) is 3056
3543C (CsI) is 3032
4343 is (GOS) is 3056
4343C (CsI) is 3056
Max Value for DRX-Core
3543 (GOS) is 3056
3543C (CsI) is 3032
4343 (GOS) is 3056
4343C (CsI) is 3056
(if the user crops the image,
the supported rows value
may be less than max value.
Some auto-cropping will
take place if Black Surround
is enabled and the DR image
is going to a store device.)
PAGE 24 of 88
Type
Columns (0028,0011) 1 Max Value for a DRX-1
(GOS) is 2544
(CsI) is 2520
3024
3000
is 1752
3543(GOS) is 2544
3543C (CsI) is 2520
4343 is (GOS) is 3056
4343C (CsI) is 3056
3543 (GOS) is 2544
3543C (CsI) is 2520
4343 (GOS) is 3056
4343C (CsI) is 3056
the supported columns value
Pixel Aspect Ratio (0028,0034) 1C 1\1
Bits Allocated (0028,0100) 1 16
Bits Stored (0028,0101) 1 12
High Bit (0028,0102) 1 11
Pixel Representation (0028,0103) 1 0
Smallest Image Pixel Value (0028,0106) 1 0
Largest Image Pixel Value (0028,0107) 1 4095
Pixel Data (7FE0,0010) 1
Contrast/Bolus
Contrast/Bolus Agent (0018,0010) 2 Refer to Addendum B
PAGE 25 of 88
Type
DX Anatomy Imaged
Image Laterality (0020,0062) 1 L
R
Anatomic Region Sequence (0008,2218) 2 Refer to Context Identifier
4031 in Addendum A for
supported SNOMED Code
Values
>Code Value (0008,0100) 1C
>Mapping Resource (0008,0105) 1C
>Context Group Version (0008,0106) 1C
>Context Identifier (0008,010f) 3
DX Image
Image Type (0008,0008) 1
MONOCHROME2
(If the image space
is set to density,
or luminance,
MONOCHROME2 is set.
information.
Bits Stored (0028,0101) 1 12
High Bit (0028,0102) 1 11
Pixel Intensity Relationship (0028,1040) 1 LOG
Pixel Intensity Relationship (0028,1041) 1 -1 if output is p-values or
Sign luminance
+1 if output is density
Rescale Intercept (0028,1052) 1 0
Rescale Slope (0028,1053) 1 1
Rescale Type (0028,1054) 1 US
PAGE 26 of 88
Type
Presentation LUT Shape (2050,0020) 1 If FOR_PRESENTATION
image, IDENTITY
If FOR_PROCESSING
image, INVERSE
Lossy Image Compression (0028,2110) 1 00 = No Compression
Patient Orientation (0020,0020) 1

Calibration Image (0050,0004) 3
Burned In Annotation (0028,0301) 1 NO
VOI LUT Sequence (0028,3010) 1C
>LUT Descriptor (0028,3002) 1C
>LUT Explanation (0028,3003) 3
>LUT Data (0028,3006) 1C
Window Center (0028,1050) 1C
Window Width (0028,1051) 1C
Window Center & Width (0028,1055) 3
Explanation
DX Detector
Detector Type (0018,7004) 2 DIRECT
Detector Configuration (0018,7005) 3 AREA
Detector Description (0018,7006) 3
Detector Mode (0018,7008) 3
Detector ID (0018,700A) 3
Date of Last Detector (0018,700C) 3
Calibration
Time of Last Detector (0018,700E) 3
Calibration
Exposures on Detector Since (0018,7010) 3
Last Calibration
Exposures on Detector Since (0018,7011) 3 NOT AVAILABLE FOR
Manufactured DRX
Detector Manufacturer Name (0018,702A) 3 CARESTREAM
VARIAN
TRIXELL
PAGE 27 of 88
Type
Detector Manufacturer’s
Model Name (0018,702B) 3 DRX-1 if the scintillator is
GOS
DRX-1C if the scintillator is
CsI
DRX2530C if detector is
25x30C
T4600
V4343R
DRXPlus3543 if the
scintillator is GOS
DRXPlus3543C if the
scintillator is CsI
DRXPlus4343 if the
scintillator is GOS
DRXPlus4343C if the
scintillator is CsI
DRXCore3543 if the
scintillator is GOS
DRXCore3543C if the
scintillator is CsI
DRXCore4343 if the
scintillator is GOS
DRXCore4343C if the
scintillator is CsI
Detector Time Since Last (0018,7012) 3
Exposure
Detector Binning (0018,701A) 3 1\1
Detector Manufacturer’s (0018,702B) 3
Model Name
Detector Temperature (0018,7001) 3
Sensitivity (0018,6000) 3
Field of View Shape (0018,1147) 3 RECTANGLE
Field of View Dimension(s) (0018,1149) 3
Imager Pixel Spacing (0018,1164) 1 “0.139\0.139”
Detector Element Physical (0018,7020) 3
Size
Detector Element Spacing (0018,7022) 3
X-Ray Collimator
Collimator Shape (0018,1700) 1 RECTANGULAR
Vertices of the Polygonal (0018,1720) 1C
Collimator
DX Positioning
PAGE 28 of 88
Type
View Position (0018,5101) 3
View Code Sequence (0054,0220) 3 Refer to Context Identifier
4010 in Addendum A for
Values
>Code Value (0008,0100) 1C
>View Modifier Code (0054,0222) 2 Refer to Context Identifier
Sequence 4010 in Addendum A for
Values
>>Code Value (0008,0100) 1C
>>Coding Scheme (0008,0102) 1C
Designator
>>Code Meaning (0008,0104) 1C
>>Mapping Resource (0008,0105) 1C
>>Context Group Version (0008,0106) 1C
>>Context Identifier (0008,010f) 3
Patient Orientation Code (0054,0410) 3 Refer to Context Identifier
Values
>Code Value (0008,0100) 1C
>Patient Orientation (0054,0412) 2 Refer to Context Identifier
Modifier Code Sequence 20 in Addendum A for
Values
>>Code Value (0008,0100) 1C
>>Coding Scheme (0008,0102) 1C
Designator
>>Code Meaning (0008,0104) 1C
PAGE 29 of 88
Type
>>Mapping Resource (0008,0105) 1C
>>Context Group Version (0008,0106) 1C
>>Context Identifier (0008,010f) 3
Positioner Type (0018,1508) 2
X-Ray Acquisition
Dose
KVP (0018,0060) 3
X-Ray Tube Current (0018,1151) 3
Exposure Time (0018,1150) 3
Exposure (0018,1152) 3
Exposure in μAs (0018,1153) 3
Distance Source to Detector (0018,1110) 3
Distance Source to Patient (0018,1111) 3 If LLI Feature is enabled
Image and Fluoroscopy Area (0018,115E) 3
Dose Product
Relative X-Ray Exposure (0018,1405) 3
Exposure Index (0018,1411) 3 Defined in IEC 62494-1
Target Exposure Index (0018,1412) 3 Defined in IEC 62494-1
Deviation Index (0018,1413) 3 Defined in IEC 62494-1
Entrance Dose (0040,0302) 3 This value will be calculated
if Image Area Dose is
available, otherwise a value
of zero will be sent.
It will be measured at
reference point “In Detector
Plane” when Distance
Source to Detector and
Distance Source to Patient
are NOT available.
Refer to Addendum B
Entrance Dose in mGy (0040,8302) 3 This value will be calculated
if Image Area Dose is
available, otherwise value
will be zero.
are NOT available.
Refer to Addendum B
Exposed Area (0040,0303) 3
PAGE 30 of 88
Type
Distance Source to Entrance (0040,0306) 3
Anode Target Material (0018,1191) 3 “TUNGSTEN”
“ALUMINUM”, or
Filter Material (0018,7050) 3 “ALUMINUM\COPPER”
“0.94”,
Filter Thickness Minimum (0018,7052) 3 “0.94\0.098”, or
“0.94\0.198”
“1.06”,
Filter Thickness Maximum (0018,7054) 3 “1.06\0.102”, or
“1.06\0.202”
Rectification Type (0018,1156) 3 “THREE PHASE”
X-Ray Tomography
Acquisition
Tomo Layer Height (0018,1460) 3 For this value to be
populated and sent, the
Linear Tomography Option
must be enabled on the
system.
Tomo Angle (0018,1470) 3 For this value to be
system.
Tomo Time (0018,1480) 3 For this value to be
system.
Tomo Type (0018,1490) 1C "LINEAR"
For this value to be

system.
Tomo Class (0018,1491) 1C "MOTION"
For this value to be

system.
Number of Tomosynthesis (0018,1495) 3 For this value to be
Source Images populated and sent, the
system.
X-Ray Filtration
PAGE 31 of 88
Type
“NONE”,
Filter Type (0018,1160) 3 “WEDGE”, or
“MULTIPLE”
“ALUMINUM”, or
Filter Material (0018,7050) 3 “ALUMINUM\COPPER”
“0.94”,
Filter Thickness Minimum (0018,7052) 3 “0.94\0.098”, or
“0.94\0.198”
“1.06”,
Filter Thickness Maximum (0018,7054) 3 “1.06\0.102”, or
“1.06\0.202”
X-Ray Grid
“FOCUSED\RECIPROCAT
Grid (0018,1166) 3 ING”, or
“NONE”
Grid Absorbing Material (0018,7040) 3
Grid Spacing Material (0018,7041) 3
Grid Thickness (0018,7042) 3
Grid Pitch (0018,7044) 3
Grid Aspect Ratio (0018,7046) 3
Grid Period (0018,7048) 3
Grid Focal Distance (0018,704C) 3
VOI LUT
VOI LUT Sequence (0028,3010) 3
>LUT Explanation (0028,3003) 1C
>LUT Data (0028,3006) 1C
Window Center (0028,1050) 1C 2048
Window Width (0028,1051) 1C 4096
Acquisition Context
Acquisition Context (0040,0555) 2 Empty Sequence
Sequence
SOP Common
SOP Class UID (0008,0016) 1
SOP Instance UID (0008,0018) 1
Specific Character Set (0008,0005) 1C
3.5.2 Computed Radiography Image Storage

The DR System provides standard conformance to the Computed Radiography Image Storage
SOP Class as an SCU.
Table 3.13 Computed Radiography Image SOP Class
PAGE 32 of 88
Computed Radiography Image Storage 1.2.840.10008.5.1.4.1.1.1
Table 3.14 Computed Radiography Image SOP Class – Supported Attributes

Type
Patient Module
Patient Birth Date (0010,0030) 2 Refer to Addendum B
list (MWL).
list (MWL).
list (MWL).
Patient Comments (0010,4000) 3
Allergies (0010,2210) 3
General Study
Study ID (0020,0010) 2
UID
Designator
PAGE 33 of 88
Type
Patient Study
Description
Patient’s Age (0010,1010) 3
General Series
Modality (0008,0060) 1 CR
R
Start Date
Start Time
ID
Description
Sequence
>Code Value (0008,0100) 1C
>Requested Procedure (0032,1060) 3 Refer to Addendum B
Description
PAGE 34 of 88
Type
Procedure
>Scheduled Procedure Step (0040,0007) 3 Refer to Addendum B
Description
Sequence
>> Code Value (0008,0100) 1C Refer to Addendum B
Designator
>> Code Meaning (0008,0104) 1C Refer to Addendum B
ID
CR Series
Body Part Examined (0018,0015) 2
General Equipment
Preferences screen.
Preferences screen.
Name
General Image
Patient Orientation (0020,0020) 2C
Image Type (0008,0008) 3
Content Date (0008,0023) 2C
Content Time (0008,0033) 2C
PAGE 35 of 88
Type
Acquisition Number (0020,0012) 3
Acquisition Date (0008,0022) 3
Acquisition Time (0008,0032) 3
companion image.
companion image.
Derivation Description (0008,2111) 3
Images In Acquisition (0020,1002) 3
Image Comments (0020,4000) 3 Refer to Addendum B
Lossy Image Compression (0028,2110) 3
00 = No Compression
Irradiation Event UID (0008,3010) 3 If the IHE Dose Reporting

Option is enabled on the DR
System, the value for this
field will be sent.
unique identification of the
irradiation event(s)
associated with the
acquisition of this image. It
will be used by receiving
systems to determine
duplicate events reported in
a Dose Report for a
particular procedure
step/study.
Image Plane
Pixel Spacing (0028,0030) 3 “0.139\0.139”
Image Pixel
PAGE 36 of 88
Type
MONOCHROME2
(If the image space
is set to density,
or luminance,
MONOCHROME2 is set.
information.
Planar Configuration (0028,0006) 1C
Rows (0028,0010) 1 Max Value for a DRX-1
(GOS) is 3056
(CsI) is 3032
3024
3000
is 2136
3543(GOS) is 3056
3543C (CsI) is 3032
4343 is (GOS) is 3056
4343C (CsI) is 3056
3543 (GOS) is 3056
3543C (CsI) is 3032
4343 (GOS) is 3056
4343C (CsI) is 3056
the supported rows value
PAGE 37 of 88
Type
Columns (0028,0011) 1 Max Value for a DRX-1
(GOS) is 2544
(CsI) is 2520
3024
3000
is 1752
3543(GOS) is 2544
3543C (CsI) is 2520
4343 is (GOS) is 3056
4343C (CsI) is 3056
3543 (GOS) is 2544
3543C (CsI) is 2520
4343 (GOS) is 3056
4343C (CsI) is 3056
the supported columns value
Pixel Aspect Ratio (0028,0034) 1C
Bits Stored (0028,0101) 1 12
High Bit (0028,0102) 1 11
Smallest Image Pixel Value (0028,0106) 1 0
Largest Image Pixel Value (0028,0107) 1 4095
Pixel Data (7FE0,0010) 1
CR Image
KVP (0018,0060) 3
PAGE 38 of 88
Type
Plate ID (0018,1004) 3
Distance Source to Detector (0018,1110) 3
Distance Source to Patient (0018,1111) 3 Refer to Addendum B
Exposure (0018,1152) 3
Exposure in As (0018,1153) 3
(0018,1164)
Imager Pixel Spacing 3 “0.139\0.139”
Relative X-Ray Exposure (0018,1405) 3 0 to 4095
Exposure Index (0018,1411) 3
Target Exposure Index (0018,1412) 3
Deviation Index (0018,1413) 3
Sensitivity (0018,6000) 3
Contrast/Bolus
Contrast/Bolus Agent (0018,0010) 2 Refer to Addendum B
VOI LUT
VOI LUT Sequence (0028,3010) 3
>LUT Explanation (0028,3003) 1C
>LUT Data (0028,3006) 1C
Window Center (0028,1050) 1C 2048
Window Width (0028,1051) 1C 4096
SOP Common
3.5.3 Grayscale Softcopy Presentation State IOD

The DR System provides standard conformance to the Grayscale Softcopy Presentation State
Storage SOP Class as an SCU.
Table 3.15 Grayscale Softcopy Presentation State SOP Class

Grayscale Softcopy Presentation State Storage 1.2.840.10008.5.1.4.1.1.11.1
Table 3.16 Grayscale Softcopy Presentation State SOP Class Attributes
PAGE 39 of 88
Type
Patient Module
Patient Birth Date (0010,0030) 2 Refer to Addendum B
list (MWL).
list (MWL).
list (MWL).
Patient Comments (0010,4000) 3 Refer to Addendum B
Allergies (0010,2210) 3
General Study
Study ID (0020,0010) 2
UID
Procedure Code Sequence (0008,1032) 3 Refer to Addendum B
> Code Value (0008,0100) 1C
Designator
Patient Study
PAGE 40 of 88
Type
Description
Patient’s Age (0010,1010) 3 Refer to Addendum B
General Series
Modality (0008,0060) 1 PR
R
Refer to Addendum B
Start Date
Start Time
ID
Description
>Requested Procedure (0032,1060) 3
Description
Procedure
>Scheduled Procedure Step (0040,0007) 3
Description
Sequence
>> Code Value (0008,0100) 1C
Designator
PAGE 41 of 88
Type
>> Code Meaning (0008,0104) 1C
ID
Presentation Series
Modality (0008,0060) 1
General Equipment
Preferences screen.
Preferences screen.
Name
Presentation State
Content Label (0070,0080) 1
Content Description (0070,0081) 2
Presentation Creation Date (0070,0082) 1
Presentation Creation Time (0070,0083) 1
Content Creator’s Name (0070,0084) 2
(0008,1115)
Reference Series Sequence 1
> Series Instance UID (0020,000E) 1
> Referenced Image (0008,1140) 1
Sequence
>> Referenced SOP Class (0008,1150) 1
UID
>> Referenced SOP Instance (0008,1155) 1
UID
PAGE 42 of 88
Type
>> Referenced Frame (0008,1160) 1
Number
Shutter Presentation Value (0018,1622) 1C
Shutter Presentation Value (0018,1622) 1C
Display Shutter
Shutter Shape (0018,1600) 1 POLYGONAL
Vertices of the Polygonal (0018,1620) 1C
Shutter
Shutter Presentation Value (0018,1622) 3
Overlay Plane Only sent if measurement

tools are added to the image
and the image is sent to an
SCP configured as supports
overlays in the DRX-1
System configuration.
Overlay Rows (60xx,0010) 1
Overlay Columns (60xx,0011) 1
Overlay Type (60xx,0040) 1 G = GRAPHICS
Overlay Origin (60xx,0050) 1 1/1
Overlay Bits Allocated (60xx,0040) 1 1
Overlay Bit Position (60xx,0102) 1 1
Overlay Data (60xx,3000) 1
Displayed Area
Displayed Area Selection (0070,005A) 1
Sequence
> Referenced Image (0008,1140) 1C
Sequence
> > Referenced SOP Class (0008,1150) 1C
UID
>> Referenced SOP Instance (0008,1155) 1C
UID
>> Referenced Frame (0008,1160) 1C
Number
> Displayed Area Top Left (0070,0052) 1 1\1
Hand Corner
> Displayed Area Bottom (0070,0053) 1
Hand Corner
> Presentation Size Mode (0070,0100) 1
> Presentation Pixel Spacing (0070,0101) 1C
> Presentation Pixel Aspect (0070,0102) 1C
Ratio
PAGE 43 of 88
Type
Spatial
Transformation
Image Rotation (0070,0042) 1 Always 0 (no rotation)
Image Horizontal Flip (0070,0041) 1 Always N (no flip)
Softcopy VOI LUT

Softcopy VOI LUT (0028,3110) 1
Sequence
Sequence
>> Referenced SOP Class (0008,1150) 1C
UID
UID
>> Referenced Frame (0008,1160) 1C
Number
> VOI LUT Sequence (0028,3010) 1C
>> LUT Descriptor (0028,3002) 1C
>> LUT Explanation (0028,3003) 3
>> LUT Data (0028,3006) 1C
> Window Center (0028,1050) 1C
> Window Width (0028,1051) 1C
Softcopy Presentation
LUT
Presentation LUT Sequence (2050,0010) 1C
Presentation LUT Shape (2050,0020) 1C
SOP Common
3.5.4 X-Ray Radiation Dose SR

The DR System provides standard conformance to the X-Ray Radiation Dose SR SOP Class as an
SCU.
Table 3.17 X-Ray Radiation Dose SR SOP Class

X-Ray Radiation Dose SR 1.2.840.10008.5.1.4.1.1.88.67
PAGE 44 of 88
Table 3.18 X-Ray Radiation Dose SR SOP Class – Supported Attributes
Attribute Name Tag DICO Supported Values

M
Type
Patient Module
Patient Birth Date (0010,0030) 2 Refer Addendum B
Other Patient IDs (0010,1000) 3 This value will be sent only if it
has been received from the
DICOM modality work list
(MWL).
Other Patient Names (0010,1001) 3 This value will be sent only if it
(MWL).
Ethnic Group (0010,2160) 3 This value will be sent only if it
(MWL).
Patient Comments (0010,4000) 3 Refer to Addendum B
Allergies (0010,2210) 3
General Study
Study ID (0020,0010) 2
>Referenced SOP Instance UID (0008,1155) 1C
> Coding Scheme Designator (0008,0102) 1C
Patient Study
PAGE 45 of 88
M
Type
Description
Patient’s Age (0010,1010) 3 Refer to Addendum B
SR Document Series
Modality (0008,0060) 1 SR
Series Number (0020,0011) 2 1
Series Date (0008,0021) 3 Populated with current date of
creation.
The date the procedure step/study
was ended.
Series Time (0008,0031) 3 Populated with current time of
creation.
The time the procedure step/study
was ended.
Series Description (0008,103E) 3 Radiation Dose Information
This will be translated.
Referenced Performed (0008,1111) 2
Procedure Step Sequence
>Referenced SOP Class UID (0008,1150) 1C 1.2.840.10008.3.1.2.3.3
>Referenced SOP Instance UID (0008,1155) 1C
General Equipment
Institution Name (0008,0080) 3 For this value to be populated and
sent, the DR System user needs to
enter the value on the Delivery
Preferences screen.
Institution Address (0008,0081) 3 For this value to be populated and
sent, the DR System user needs to
enter the value on the Delivery
Preferences screen.
Institutional Department Name (0008,1040) 3 Refer to Addendum B
PAGE 46 of 88
M
Type
Gantry ID (0018,1008) 3
SR Document General
Instance Number (0020,0013) 1 1
Completion Flag (0040,A491) 1 This field defines the estimated
degree of completeness of the SR
document content of the Dose
Report.
We populate this field with a value
of "COMPLETE" when a
procedure step/study is ended.
Verification Flag (0040,A493) 1 We do not provide a means to
verify the content of the Dose
Report.
Therefore, we populate this field
with a value of "UNVERIFIED".
Content Date (0008,0023) 1 Populated with current date of
creation.
The date the procedure step/study
was ended.
Content Time (0008,0033) 1 Populated with current time of
creation.
The time the procedure step/study
was ended.
Predecessor Documents (0040,A360) 1C This field may be present if the
Sequence Dose Report includes content from
a previously delivered Dose
Report.
Referenced Request Sequence (0040,A370) 1C
>Accession Number (0008,0050) 2 Refer to Addendum B
>Referenced Study Sequence (0008,1110) 2
>Study Instance UID (0020,000D) 1
>Requested Procedure (0032,1060) 2
Description
>Requested Procedure Code (0032,1064) 2
Sequence
Procedure
>Requested Procedure ID (0040,1001) 2
>Placer Order Number / (0040,2016) 2
Imaging Service Request
>Filler Order Number / Imaging (0040,2017) 2
Service Request
PAGE 47 of 88
M
Type
Performed Procedure Code (0040,A372) 2
Sequence
>Code Value (0008,0100) 1C Refer to Addendum B
SR Document Content
Value Type (0040,A040) 1 CONTAINER
Concept Name Code Sequence (0040,A043) 1C
>Code Value (0008,0100) 1C 113701
>Coding Scheme Designator (0008,0102) 1C DCM
>Code Meaning (0008,0104) 1C X-Ray Radiation Dose Report
Continuity of Content (0040,A050) 1 SEPARATE
Content Template Sequence (0040,A504) 1C
>Mapping Resource (0008,0105) 1 DCMR
>Template Identifier (0040,DB00) 1 10001
Content Sequence (0040,A730) 1C
SOP Common Module

SOP Class UID (0008,0016) 1 1.2.840.10008.5.1.4.1.1.88.67
3.6 Basic Work List Service

The C-FIND request for a Modality Work List sends an Identifier object that contains all the
attributes of the Modality Work List Information Model. Table 3.17 shows the Matching Key
attributes that may optionally contain a non-NULL value in the request.
Table 3.17 Matching Key Attributes
Attribute name Tag

Accession Number (0008,0050)
Modality (0008,0060)
Patient’s Name (0010,0010)
Patient ID (0010,0020)
Scheduled Station AE Title (0040,0001)
Scheduled Procedure Step Start Date (0040,0002)
Scheduled Procedure Step Start Time (0040,0003)
PAGE 48 of 88
Attribute name Tag
Requested Procedure ID (0040,0101)
Scheduled Station Name (0040,0010)
This is intended to produce a series of responses from the Work List SCP for all matching
Scheduled Procedures on the said Station.
The system can be configured to send this request periodically at an interval of 1 to 720 minutes.
The user may also issue a non-periodic C-FIND request to obtain information for a patient
recently added by the site’s information system.
3.6.1 Modality Work List IOD

The DR System provides standard conformance to the Modality Work List Information Model –
FIND SOP Class as an SCU.
For additional information on the Modality Work List Information Model, refer to the DICOM
specification, Part 4, Table K.6-1. The DR will accept any valid character set for the Specific
Character Set attribute (0008,0005).
Table 3.18 Modality Work List SOP Class

Modality Work List Information Model – FIND 1.2.840.10008.5.1.4.31
Table 3.19 Modality Work List SOP Class – Required Attributes
Attribute Name Tag Matching

Key
SOP Common
SOP Class UID (0008,0016)
SOP Instance UID (0008,0018)
Specific Character Set (0008,0005)
Scheduled
Procedure Step
Scheduled Procedure Step (0040,0100) Required
Sequence
PAGE 49 of 88
Key
> Scheduled Station AE (0040,0001) Required
Title
> Scheduled Procedure Step (0040,0002) Required
Start Date
> Scheduled Procedure Step (0040,0003) Required
Start Time
> Modality (0008,0060) Required
>Requested Contrast Agent (0032,1070)
> Scheduled Performing (0040,0006) Required
Physician’s Name
>Scheduled Procedure Step (0040,0007)
Description
>Scheduled Station Name (0040,0010)
>Scheduled Protocol Code (0040,0008)
Sequence
>>Code Value (0008,0100)
>>Coding Scheme (0008,0102)
Designator
>>Code Meaning (0008,0104)
>Scheduled Procedure Step (0040,0009)
ID
Requested
Procedure
Requested Procedure ID (0040,1001)
Requested Procedure (0032,1060)
Description
Requested Procedure Code (0032,0164)
Sequence
>Code Value (0008,0100)
>Coding Scheme Designator (0008,0102)
>Code Meaning (0008,0104)
Study Instance UID (0020,000D)
Referenced Study Sequence (0008,1110)
>Referenced SOP Class UID (0008,1150)
>Referenced SOP Instance (0008,1155)
UID
Priority
Location
PAGE 50 of 88
Key
Imaging Service
Request
Referring Physicians Name (0008,0090)
Accession Number (0008,0050)
Requesting Service (0032,1033)
Visit Status
Visit Status ID (0038,0008)
Patient’s Institution (0038,0400)
Residence
Patient
Identification
Patient’s Name (0010,0010)
Patient ID (0010,0020)
Other Patient Ids* (0010,1000)
Other Patient Names (0010,1001)
Patient
Demographic
Patient’s Birth Date (0010,0030)
Patient’s Birth Time (0010,0032)
Patient’s Sex (0010,0040)
Patient’s Age (0010,1010)
Patient’s Size (0010,1020)
Patient’s Weight (0010,1030)
Ethnic Group (0010,2160)
Occupation (0010,2180)
Patient Medical
Additional Patient’s History (0010,21B0)
* Accept only one value (the first value) from the Modality Work List with a maximum length
of 64 characters
3.6.2 Procedure Mapping

The procedure mapping feature of the DR products automatically builds the image icons and pre-
populates fields such as body/part and projections from information supplied by the key operator.
This eliminates the need for the technologists to supply this information for every image created.
PAGE 51 of 88
For the procedure mapping to function properly the DR must receive the correct code in the code
in any of the following:
 Code value (0008,0100) element of the requested procedure code sequence (0032,1064) –
this is the factory default
 Requested procedure ID (0040, 1001)
 Code value (0008,0100) element of the performed code sequence (0040,0008) of the
scheduled procedure step sequence (0040, 0100)
3.7 Modality Performed Procedure Step SOP Class

The Modality Performed Procedure Step (MPPS) commands N-CREATE and N-SET will be
sent to the HIS/RIS or PACS by the DR System operator to signal the start and end of a study,
respectively.
3.7.1 Modality Performed Procedure Step IOD

The DR System provides standard conformance to the Modality Performed Procedure Step SOP
Class as an SCU.
Table 3.20 Modality Performed Procedure Step SOP Class

Modality Performed Procedure Step 1.2.840.10008.3.1.2.3.3
Table 3.21 Modality Performed Procedure Step Attributes

Type
SOP Common
Performed Procedure
Step Relationship
Patient Name (0010,0010) 2
Patient ID (0010,0020) 2
Patient Birth Date (0010,0030) 2
Patient Sex (0010,0040) 2
Scheduled Step Attribute (0040,0270) 1
Sequence
> Study Instance UID (0020,000D) 1
PAGE 52 of 88
Type
> Referenced Study (0008,1110) 2
Sequence
UID
UID
> Accession Number (0008,0050) 2
> Requested Procedure ID (0040,1001) 2
> Requested Procedure (0032,1060) 2
Description
> Scheduled Procedure Step (0040,0009) 2
ID
> Scheduled Procedure Step (0040,0007) 2
Description
> Scheduled Protocol Code (0040,0008) 2
Sequence
>> Code Value (0008,0100) 1C
Designator
>> Coding Scheme Version (0008,0103) 3
>> Code Meaning (0008,0104) 3
Referenced Patient Sequence (0008,1120) 2 Empty Sequence
Performed Procedure
Step Information
ID
Performed Station AE Title (0040,0241) 1
Performed Station Name (0040,0242) 2
Performed Location (0040,0243) 2
Start Date
Start Time
Status
Description
Performed Procedure Type (0040,0255) 2
Description
> Code Value (0008,0100) 1C
PAGE 53 of 88
Type
Designator
> Code Meaning (0008,0104) 3

End Date
End Time
Image Acquisition
Results
Modality (0008,0060) 1
Study ID (0020,0010) 3
Sequence
> Code Value (0008,0100) 1C
Designator
> Code Meaning (0008,0104) 3
Performed Series Sequence (0040,0340) 2
> Performing Physician’s (0008,1050) 2C
Name
> Protocol Name (0008,1050) 1C
> Operator’s Name (0008,1070) 2C
> Series Instance UID (0020,000E) 1C
> Series Description (0008,103E) 2C
> Retrieve AE Title (0008,0054) 2C
Sequence
UID
UID
>Referenced Non-Image (0040,0220) 2 If the IHE Dose Reporting
Composite SOP Instance Option is enabled on the
Sequence system, the value for this
field will be sent.

unique identification of
Dose Report(s) associated
with this procedure step.
PAGE 54 of 88
Type
Radiation Dose
Anatomic Structure (0008,2229) Refer to Context Identifier
Values
>Code Value (0008,0100)
>Coding Scheme Designator (0008,0102)
>Coding Scheme Version (0008,0103)
>Code Meaning (0008,0104)
>Mapping Resource (0008,0105)
>Context Group Version (0008,0106)
>Context Identifier (0008,010f)
Total Number of Exposures (0040,0301)
Distance Source to Detector (0018,1110)

Distance Source to Entrance (0040,0306)
Entrance Dose (0040,0302) This value will be
calculated if Image Area
Dose is available, otherwise
value will be zero.
are NOT available.
Refer to Addendum B
Entrance Dose in mGy (0040,8302) This value will be
Dose is available, otherwise
value will be zero.
are NOT available.
Refer to Addendum B
Exposed Area (0040,0303)
Image Dose Product (0018,115E)
Exposure Dose Sequence (0040,030E)
>Radiation Mode (0018,115A)
>KVp (0018,0060)
>X-ray Tube Current in uA (0018,8151)
PAGE 55 of 88
Type
>Exposure Time (0018,1150)
“NONE”,
>Filter Type (0018,1160) 3 “WEDGE”, or
“MULTIPLE”
“ALUMINUM”, or
>Filter Material (0018,7050) 3 “ALUMINUM\COPPER”
3.8 Storage Commitment Push Model SOP Class

The DR System provides standard conformance to the Storage Commitment Push Model SOP
Class as an SCU.
PAGE 56 of 88
Table 3.22 Storage Commitment SOP Class

Storage Commitment Push Model 1.2.840.10008.1.20.1
The SCPM N-Action command is sent by the DR System at the end of a storage session or at a
separate session if configured to do so. The Storage Commitment N-Event-Report is received
and processed anytime providing the Port Number is configured correctly between the DR System
and the Storage SCP.
3.8.1 DIMSE Service N-ACTION

The DR System uses the N-ACTION to instruct the Storage SCP to commit the images of the
study and/or RDSR’s.
3.8.1.1 Storage Commitment N-ACTION IOD

Table 3.23 Storage Commitment N-ACTION Attributes
Attribute Tag
Transaction UID (0008,1195)
Referenced SOP Sequence (0008,1199)
>Referenced SOP Class UID (0008,1150)
> Referenced SOP Instance UID (0008,1155)
3.8.2 DIMSE Service N-EVENT-REPORT

The DR System will process the indication of the N-EVENT-REPORT from the Storage
Commitment operation. Table 3.24 lists the attributes that are processed by the DR.
3.8.1.1 Storage Commitment N-EVENT-REPORT IOD

Table 3.24 Storage Commitment N-EVENT-REPORT Attributes
Attribute Tag
Transaction UID (0008,1195)
Failed SOP Sequence* (0008,1198)
> Referenced SOP Class UID (0008,1150)
> Failure Reason (0008, 1197)
Referenced SOP Sequence (0008,1199)
> Referenced SOP Class UID (0008,1150)
PAGE 57 of 88
* For Event Type ID 2 only.
3.9 Priors
The Priors feature will send separate C-FIND and C-MOVE commands N- to the PACS to
request a list of studies/images for a given patient, and to them request the transfer of those
images respectively.
3.9.1 DICOM Query C-FIND

Study Root Query Retrieve Information Model - FIND 1.2.840.10008.5.1.4.1.2.2.1
Study Level Key Attributes (C-Find):

First we look for studies that we might be interested in.
Attribute Name Tag Value

Specific Character Set (0008,0005) Used by the device to properly decode DICOM fields subject to this
e.g. ISO_IR 100, GB18030 value, e.g. Patient Name.
Study Date (0008,0020) We populate this field with the date range of interest in the format:
yyyyMMdd-yyyyMMdd. This is a required field by the DICOM
standard. We expect matching to occur on this field. i.e. We
expect any C-Find response to have study dates within this range.
Study Time (0008,0030) We populate this field with an empty string. This is a required
field by the DICOM standard, so this should be filled in by the
PACS in the response. If not filled in, we can still handle this.
Accession Number (0008,0050) We populate this field with an empty string. This is a required field
by the DICOM standard, so this should be filled in by the PACS in
the response. We do not currently use this field.
Query/Retrieve Level (0008,0052) We populate this field with: "STUDY"
Patient Name (0010,0010) We fill this field with the Patient's Last Name + '*' (wild card).
e.g. If the Patient's Last Name is Smith, we fill this value with
"Smith*". This is a required field by the DICOM standard, and it is
expected that the PACS will match on this value.
Patient Id (0010,0020) We fill this field with the Patient Id. This is a required field by the
DICOM standard, and it is expected that the PACS will match on
this value.
Patient's Birth Date (0010,0030) This is an optional tag by the DICOM standard. We will only pass
this tag if the "Date of Birth" must match checkbox is checked on
the Key Op Configuration for priors. If we pass this tag, we fill
this in the patient's birth date. We will then look at the value in the
response returned to see if it matches the patient's birth date. A
device could treat this as a matching field.
Study Instance UID (0020,000D) This is defined as a "Unique Key" by the DICOM standard. In this
case, this uniquely identifies an instance of a study. We populate
this field with an empty string. The PACS will fill in this value in
the response.
PAGE 58 of 88
Study Id (0020,0010) We populate this field with an empty string. This is a required
field by the DICOM standard, so this should be filled in by the
PACS in the response.
Modalities in Study (0008,0061) We populate this field with an empty string. This is an optional tag
by the DICOM standard. If supported by the PACS, the PACS will
return the list of modalities used in the study.
Study Description (0008,1030) We populate this field with an empty string. This is an optional tag
Series Level Key Attributes (C-Find):

From the list of matching studies found, we look for matching series.

Modality (0008,0060) We populate this field with an empty string. This is a required field
the response. The returned value is then used to determine whether
this series is associated with one of the modalities that we are
configured to retrieve priors for. If so, we will continue to query on
this series. If not, we won't.
Query/Retrieve Level (0008,0052) We populate this field with "SERIES".
Body Part Examined (0018,0015) We populate this field with an empty string. This is an optional tag
by the DICOM standard, but the prior image retrieval feature will
not work optimally if this tag is not supported. If returned by the
PACS, this tag is used to determine if this series is for the body part
that we are interested in. If this field is empty or not returned we
will treat this as a body part match even though we really don't know
if it is.
Patient Position (0018,5100) We populate this field with an empty string. This is an optional tag
return the Patient Position.
View Position (0018,5101) We populate this field with an empty string. This is an optional tag
return the View Position. If this series is retrieved, the view
position value will be used for determining how well the prior
matches the image for which it was retrieved. It will also be
displayed with the Body Part on the Prior Information Panel.
Study Instance UID (0020,000D) This is the Study Instance UID returned in the Study Level C-Find
command. This value is treated as a matching value. The PACS
will only return responses to this query that match this Study
Instance UID.
Series Instance UID (0020,000E) This is defined as a "Unique Key" by the DICOM standard. In this
case, this uniquely identifies an instance of a series. We populate
the response.
Series Number (0020,0011) We populate this field with an empty string. This is a required field
PAGE 59 of 88
the response. This is used to help us determine which series record
is most recent.
Series Description (0008,103E) We populate this field with an empty string. This is an optional tag
Image Level Key Attributes (C-Find):

From the list of matching series, we look for matching images.

Query/Retrieve Level (0008,0052) We populate this field with "IMAGE".
Study Instance UID (0020,000D) This is the Study Instance UID returned in the Study Level C-Find
will only return responses to this query that match this Study
Instance UID.
Series Instance UID (0020,000E) This is the Series Instance UID returned in the Series Level C-Find
will only return responses to this query that match this Series
Instance UID.
SOP Instance UID (0008,0018) This is defined as a "Unique Key" by the DICOM standard. In this
case, this uniquely identifies an instance of an image. We populate
the response.
Acquisition Date (0008,0022) We populate this field with an empty string. This is an optional tag
return the acquisition date of the image.
Acquisition Time (0008,0032) We populate this field with an empty string. This is an optional tag
return the acquisition time of the image.
Instance Number (0020,0013) We populate this field with an empty string. This is a required field
the response. This is used to help us determine which image record
is most recent.
SOP Class UID (0008,0016) We populate this field with an empty string. This is an optional tag
return the SOP Class UID of the image. This helps us to determine
whether or not we are interested in this image. Perhaps this is a type
of image that we do not support, e.g. Secondary Capture.
PAGE 60 of 88
3.9.2 DICOM Retrieve C-MOVE
Study Root Query Retrieve Information Model - MOVE 1.2.840.10008.5.1.4.1.2.2.2
From the list of matching images, will send a C-MOVE command for each image:
Description Tag Usage
Query/Retrieve Level (0008,0052) "IMAGE"

Study Instance UID (0020,000D) Study Instance UID associated with this image.
Series Instance UID (0020,000E) Series Instance UID associated with this image.
SOP Instance UID (0008,0018) SOP Instance UID that uniquely identifies this image.
Act as a Store SCP for the following Store Services:
SOP Class UID Transfer Syntax Name Transfer Syntax Role

UID
Computed 1.2.840.10008. Implicit VR Little Endian (Default 1.2.840.10008.1.2 SCP
Radiography Image 5.1.4.1.1.1 Transfer Syntax for DICOM)
Storage SOP Class
UID Explicit VR Little Endian 1.2.840.10008.1.2.1 SCP
Grayscale Softcopy 1.2.840.10008. Implicit VR Little Endian (Default 1.2.840.10008.1.2 SCP

Presentation State 5.1.4.1.1.11.1 Transfer Syntax for DICOM)
Storage
Explicit VR Little Endian 1.2.840.10008.1.2.1 SCP
Digital X-Ray Image 1.2.840.10008. Implicit VR Little Endian (Default 1.2.840.10008.1.2 SCP
Storage - For 5.1.4.1.1.1.1 Transfer Syntax for DICOM)
Presentation
Explicit VR Little Endian 1.2.840.10008.1.2.1 SCP
Digital Mammography 1.2.840.10008. Implicit VR Little Endian (Default 1.2.840.10008.1.2 SCP
Image Storage - For 5.1.4.1.1.1.2 Transfer Syntax for DICOM)
Presentation
Explicit VR Little Endian 1.2.840.10008.1.2.1
3.10 Structured Reports

The IHE Dose Reporting feature will enable the creation and delivery (e.g. Store Dose
Information, Storage Commitment) of a Radiation Dose Structured Report on completion or
discontinuation of a procedure step where irradiation events occurred.
PAGE 61 of 88
Radiation Dose Structured Report
X-Ray Radiation Dose SR IOD Template Structure
Note: Terminology used in the following TID table(s) for the column “Presence of Value”:
ALWAYS If the attribute is a “Mandatory” attribute then it will always be present

with a value or included with no value.
If the attribute is a “Mandatory Conditional” attribute and the condition

was satisfied, then it will always be present with a value or included with
no value.
If the attribute is a “User Option” attribute and the attribute has a value
then it will be included.
If the attribute is a “User Option Conditional” attribute and the condition

was satisfied and the attribute has a value then it will be included.
CONDITIONAL The attribute is present under specified condition.
PAGE 62 of 88
TID 10001 Projection X-Ray Radiation Dose
NL Relation with Concept Name VM Presence of Value(s)

Parent Value
(113701, DCM, “X-Ray 1 ALWAYS
Radiation Dose Report”)
> HAS (121058, DCM, ”Procedure 1 ALWAYS (113704, DCM,

CONCEPT reported”) “Projection X-Ray”)
MOD for Digital and
Computed Radiography
(P5-40010, SRT,
“Mammography”)
for Mammography
>> HAS (G-C0E8, SRT, “Has Intent”) 1 ALWAYS (R-408C3, SRT,

CONCEPT “Diagnostic Intent”)
MOD
> CONTAINS (122142, DCM, 1 ALWAYS (113958, DCM,

“Acquisition Device Type”) “Integrated Projection
Radiography System”)
for Digital Radiography
(113959, DCM,
“Cassette-based
Projection Radiography
System”)
for Computed
Radiography
> DTID (1002) Observer 1-n ALWAYS Will have one Device
Context Observer and one
Person Observer
> HAS (113705, DCM, “Scope of 1 ALWAYS (113016, DCM,

OBS Accumulation”) “Performed Procedure
CONTEXT Step”)
>> HAS DCID (10001) UID Types 1 ALWAYS (121126, DCM,

PROPERTIES “Performed Procedure
Step SOP Instance UID”)
> CONTAINS (113945, DCM, “X-Ray 1 ALWAYS (R-0038D, SRT, “Yes”)
PAGE 63 of 88
Detector Data Available”)

Source Data Available”) if X-Ray Source Data is
available; otherwise
(R-00339, SRT, “No”)

Mechanical Data for Digital Radiography
Available”) Systems
(R-00339, SRT, “No”) for

Systems who do not
have a Livingston box
> CONTAINS DTID (10002) Accumulated 1 ALWAYS (113622, DCM, “Single

X-Ray Plane”
Dose
> CONTAINS DTID (10003) Irradiation 1-n ALWAYS

Event
X-Ray Data
> CONTAINS (113854, DCM, “Source of 1-n ALWAYS (113857, DCM, ”Manual
Dose Information”) Entry”)
for Non-integrated
Systems
(113856, DCM, ”
Automated Data
Collection”)
for Integrated Systems
TID 10002 Accumulated X-Ray Dose Data

Parent Value
(113702, DCM, 1 ALWAYS
”Accumulated X-Ray Dose
Data”)
HAS (113764, DCM, 1 ALWAYS (113622, DCM, “Single

>
CONCEPT “Acquisition Plane” Plane”
MOD
CONTAINS DTID (10005) Accumulated 1 CONDITIONAL

>
Mammography X-Ray Dose
PAGE 64 of 88
>
Integrated Projection
Radiography Dose

>
Cassette-based Projection
Radiography Dose
TID 10003 Irradiation Event X-Ray Data

Parent Value
(113706, DCM, 1 ALWAYS
”Irradiation Event X-Ray
Data”)
HAS (113764, DCM, 1 ALWAYS (113622, DCM, “Single

>
CONCEPT “Acquisition Plane” Plane”
MOD
CONTAINS (113769, DCM, 1 ALWAYS

>
“Irradiation Event UID”)

>
“DateTime Started”)
CONTAINS (113721, DCM, 1 ALWAYS (113611, DCM,

>
“Irradiation Event “Stationary
Type”) Acquisition”)

>
“Acquisition Protocol”)
CONTAINS (T-D0005, SRT, 1 ALWAYS DCID (4009) DX

>
“Anatomical structure”) Anatomy Imaged
Refer to Addendum A
CONTAINS (111031, DCM, “Image 1 ALWAYS DCID (4010) DX View

>
View”) DCID (4014) View for
Mammography
Refer to Addendum A
HAS CONCEPT (111032, DCM, “Image 1 ALWAYS DCID (4011) DX View

>>
MOD View Modifier”) Modifier
DCID (4015) View
PAGE 65 of 88
Modifier for
Mammography
Refer to Addendum A
CONTAINS (123014 , DCM, ”Target 1 ALWAYS DCID (4031) Common

>
Region”) Anatomic Regions
Refer to Addendum A
CONTAINS (122130, DCM, “Dose 1 CONDITIONAL For non-integrated

>
Area Product” systems in order for this
value to be populated
and sent, the system
user needs to enter the
value manually.
Value is present for

Projection X-Ray.
Refer to Addendum B
CONTAINS (111636, DCM, 1 CONDITIONAL Value is present for

>
“Entrance Exposure at Mammography
RP”) Computed Radiography;
Value may be present
otherwise.
Refer to Addendum B
CONTAINS (113780, DCM, 1 ALWAYS (113941, DCM, “In

>
“Reference Point Detector Plane”)
Definition”)
CONTAINS DTID (10003a) 1 CONDITIONAL

>
Irradiation Event X-Ray
Detector Data
CONTAINS DTID (10003b) 1 CONDITIONAL

>
Source Data
CONTAINS DTID (10003c) 1 CONDITIONAL

>
Mechanical Data
TID 10003a Irradiation Event X-Ray Detector Data
PAGE 66 of 88
Parent Value
(113845, DCM, 1 ALWAYS Units = (1,UCUM, “no
“Exposure Index”) units”)
This will always be the

IEC Exposure Index
except for
Mammography
Computed Radiography.
For Mammography
Computed Radiography,
we will use the
Carestream Health
Exposure Index.
(113846, DCM, “Target 1 ALWAYS Units = (1,UCUM, “no

Exposure Index”) units”)
This will not be

populated for
Mammography
(113847, DCM, 1 ALWAYS Units = (1,UCUM, “no

“Deviation Index”) units”)
This will not be

populated for
Mammography
(113795, DCM, 1-n ALWAYS Referenced SOP Class

“Acquired Image”) UID and Instance UID of
Image Object created
for this irradiation
event.
TID 10003b Irradiation Event X-Ray Source Data

Parent Value
(113738, DCM, “Dose 1 CONDITIONAL Dose at the Reference
(RP)”) Point.
PAGE 67 of 88
This value will be
Dose is available,
otherwise value will be
zero.
Note: If the system user

manually enters the
value for Entrance Dose
it is assumed that the
dose information
entered is "at the
surface of the patient"
based on the DICOM
Specification for tags
Entrance Dose
((0040,0302) and
(0040,8302)). Even if
this is the case, the
Reference Point
Definition tag value
(113780, DCM,
“Reference Point
Definition”) will still be
reported as (113941,
DCM, “In Detector
Plane”).
Value is present for

Projection X-Ray.
Refer to Addendum B
(113780, DCM, 1 ALWAYS (113941, DCM, “In

Definition”)
(111631, DCM, 1 CONDITIONAL Value is present for

“Average Glandular Mammography
Dose”) Computed Radiography
(113733, DCM, “KVP”) 1-n ALWAYS For non-integrated

systems in order for this
value to be populated
and sent, the system
user needs to enter the
value manually.
PAGE 68 of 88
Refer to Addendum B
(113734, DCM, “X-Ray 1-n ALWAYS Units = EV (mA, UCUM,

Tube Current”) “mA”)
(113824, DCM, 1 ALWAYS Time in milliseconds

“Exposure Time”)
(113736, DCM, 1-n ALWAYS Units = EV (uAs, UCUM,

“Exposure”) “uAs”)
TID 10003c Irradiation Event X-Ray Mechanical Data

Parent Value
DCID (10008) Dose 1-n CONDITIONAL (113750, DCM,
Related Distance “Distance Source to
Measurements Detector”)
Value is present if SID

value is used in dose
calculations.
TID 10005 Accumulated Mammography X-Ray Dose

Parent Value
(111637, DCM, 2 ALWAYS Value is present for
“Accumulated Average Mammography
Glandular Dose”) Computed Radiography.
A value multiplicity of 2
will be returned – one
for left breast and one
for right breast. If no
laterality is specified,
the dose value will be
divided between the
left and right breast.
HAS (G-C171, SRT, 1 ALWAYS DCID (6022) Side

>
CONCEPT “Laterality")
MOD Value is present for
Mammography
PAGE 69 of 88
TID 10006 Accumulated Cassette-based Projection Radiography Dose

Parent Value
(113947, DCM, 1 CONDITIONAL (113949, DCM,
“Detector Type”) “Indirect Detector “) for
Digital Radiography
(113950, DCM, “Storage

Detector”) for
and Mammography
(113731, DCM, “Total 1 CONDITIONAL Value represents the

Number of number of images in
Radiographic Frames”) the procedure
step/study that have
been exposed.
TID 10007 Accumulated Integrated Projection Radiography Dose

Parent Value
(113722, DCM, “Dose 1 ALWAYS The value will be the
Area Product Total”) sum of the Dose Area
Product values for the
procedure step.
Units = EV (Gy.m2,
UCUM, “Gy.m2”)
(113725, DCM, “Dose 1 ALWAYS The value will be the

(RP) Total”) sum of the Dose (RP)
values for the
procedure step.
Units = EV (Gy, UCUM,

“Gy”)
(113731, DCM, “Total 1 ALWAYS Value represents the

Number of number of images in
Radiographic Frames”) the procedure
step/study that have
been exposed.
PAGE 70 of 88
(113780, DCM, 1 ALWAYS (113941, DCM, “In
Definition”)
TID 1002 Observer Context

Parent Value
HAS OBS (121005,DCM, 1 ALWAYS (121006, DCM,
CONTEXT “Observer “Person”)
Type”)
(121007, DCM,
“Device”)
HAS OBS DTID (1003) Person 1 ALWAYS

CONTEXT observer identifying
attributes
HAS OBS DTID (1004) Device 1 ALWAYS

CONTEXT observer identifying
attributes
TID 1004 Device Observer Identifying Attributes

Parent Value
(121012,DCM, “Device 1 ALWAYS This field will be
Observer UID”) populated.
(121013,DCM, “Device 1 ALWAYS Defaults to value of

Observer Name”) Station Name
(0008,1010) in General
Equipment Module

Observer Manufacturer
Manufacturer”) (0008,0070) in General
Equipment Module

Observer Model Manufacturer’s Model
Name”) Name (0008,1090) in
General Equipment
Module
PAGE 71 of 88
Observer Serial Device Serial Number
Number”) (0018,1000) in General
Equipment Module
(113876, DCM, “Device 1-n ALWAYS (113859, DCM,

Role in Procedure”) “Irradiating Device”)
TID 1003 Person Participant

Parent Value
(121008,DCM, “Person 1 ALWAYS The system user needs
Observer Name”) to enter the value
manually, otherwise a
blank value will be sent.
Refer to Addendum B
(121009,DCM, “Person 1 ALWAYS Defaults to Institution

Observer’s Organization Name (0008,0080) of
Name”) the General Equipment
Module
(121010,DCM, “Person 1 ALWAYS (121083, DCM,

Observer’s Role in the ”Technologist”)
Organization”)
(121011,DCM, “Person 1 ALWAYS (121094, DCM,

Observer’s Role in this “Performing”)
Procedure”)
PAGE 72 of 88
4 Communication Profiles
4.1 Supported Communications Stacks

The DR System provides TCP/IP Network Communication Support as defined in Part 8 of the
DICOM standard.
The DR System normally issues a network echo prior to delivering a job to a qualified DICOM
Print or DICOM Store destination to ensure that the device is active.
4.2 Physical Media

The DR System supports Ethernet with the following physical connectors:
 Unshielded Twisted pair (10BaseT, 100BaseT and 1000BaseT).
5 Extensions/Specializations/Privatizations
Tables 5.2 list a number of extensions to the DICOM Store Service Class, which the DR System
supports. The extensions are all optional attributes.
5.1 Computed Radiography IOD

5.1.1 Specialization of Pixel Spacing
The DR System optionally allows the Pixel Spacing (0028,0030) attribute to be used from the
Image Plane Module. This is done to support workstations that incorrectly use this field rather
than Imager Pixel Spacing (0018,1164), as defined in the DICOM standard. If this field is used,
the actual size of any objects displayed on the workstation (scales, etc.) may be in error.
5.1.2 Alternate Image Display Spaces
In addition to supporting P-Values (DICOM Grayscale Display Function perceptually linear

output), the DR systems also support the following display spaces:
 Density
Pixel data is linearly related to optical film density. With a photometric interpretation of
MONOCHROME1, a value of 0 represents minimum density and a value of 4095 represents
maximum density.
PAGE 73 of 88
 Luminance
Pixel data is perceptually linear in brightness according to a proprietary model of the human
visual system response developed by Kodak. Despite the name used, the pixel data is not
linearly related to luminance or log luminance.
This option should only be used in support of legacy Kodak display products.
The DR supports the use of the Density, Luminance or P-Value display spaces with the CR IOD,
DX IOD.
5.1.3 Extension for P-Value Encoding

If the destination supports VOI LUT, a VOI LUT converting image pixel values to P-Values will
be sent. Otherwise, the VOI LUT will be rendered into the image.
The Photometric Interpretation will be always MONOCHROME2 and an additional tag of
Presentation LUT Shape as IDENTITY will be sent.
Table 5.2 Extension Attributes for P-Value Encoding
Attribute Name Tag DICOM DR System Supported Values

Type Type
Photometric Interpretation (0028,0004) 1 1 MONOCHROME2
Only MONOCHROME2 is sent
when P-Value Encoding flag is
turned on
Presentation LUT Shape (2050,0020) N/A 1C IDENTITY
Sent only when P-Value Encoding
flag is turned on
5.1.4 Extension to Body part Examined, View Position and Patient Position
The user may define additional labels that may be used to populate the Body Part Examined
(0018,0015), View Position (0018,5101) attributes. The software enforces the use of valid
characters for the additional labels created by the user.
6 Configuration
Table 6.1 lists the network attributes that are configurable by a qualified service provider.
PAGE 74 of 88
Table 6.1 Configurable Network Attributes
Configurable Network Attributes

IP address
Subnet Mask
Local Network Host Name (DR System AE
Title)
SCP DICOM Called Application Entity Title
Socket number
Router Address (Gateway)
DICOM Service(s) available
Private Tag Support
P-Value Encoding Support
Other destination properties
SCPM separate association support
GSPS support
Alternate IOD (Secondary Capture) for the
SCP that does not support CR
7 Support of Extended Character Sets

The DR System will support any valid character set for the Specific Character Set attribute
(0008,0005).
Possible Values of Description

(0008,0005)
blank ISO-IR 6 the Default character set
ISO 2022 IR 6
ISO_IR 100 Latin 1 character set
ISO 2022 IR 100
GB18030 Simplified and Traditional Chinese
ISO 2022 IR 13 Japanese (JIS X 0201: Katakana and Romaji)
ISO 2022 IR 87 Japanese (JIS X 0208: Kanji)
ISO_IR 101 Polish, Hungarian, Romanian, and Czech
PAGE 75 of 88
Possible Values of Description
(0008,0005)
ISO_IR 126 Greek (Supplementary set of ISO 8859)
ISO_IR 144 Ukrainian and Russian
ISO_IR 148 Turkish
ISO 2022 IR 149 Korean (KS X 1001: Hangul and Hanja)
ISO 2022 IR 159 Japanese (JIS X 0212: Supplemental Kanji set)
Note: The Extended Character Sets mentioned above do not apply to the Work List.
8 Error Handling
If communication errors are encountered, retries will be attempted based on configurable retry
intervals and maximum number of retries. If the communication cannot be achieved, the job will
be considered failed and set for retrial after a configurable time period (default of 5 minutes).
All errors and warnings received from the SCPs will be logged and job status will be reported to
the user.
PAGE 76 of 88
Addendum A Supported SNOMED Code Values
Table A.1 describes the SNOMED Code Values that are supported by the DR System.
Table A.1 Supported SNOMED Code Values
Context Identifier
19
Coding Scheme Designator (0008,0102) Coding Scheme Version (0008,0103)
SRT 20020904
Code Value (0008,0100) Code Meaning (0008,0104)
F-10440 erect
F-10450 recumbent
F-10460 semi-erect
Context Identifier
20
SRT 20070524
F-10310 prone
F-10316 semi-prone
F-10317 right lateral decubitus
F-10318 lateral decubitus
F-10319 left lateral decubitus
F-10320 standing
F-10326 anatomical
F-10330 kneeling
F-10336 knee-chest
PAGE 77 of 88
F-10340 supine
F-10346 lithotomy
F-10348 Trendelenburg
F-10349 inverse Trendelenburg
F-10380 frog
F-10390 stooped-over
F-103A0 sitting
F-10410 curled-up
R-40799 lordotic
Context Identifier
4010
SRT 20090119
R-10202 frontal
R-10204 frontal oblique
R-10206 antero-posterior
R-10208 antero-posterior oblique
R-10210 right posterior oblique
R-10212 left posterior oblique
R-10214 postero-anterior
R-10216 postero-anterior oblique
R-10218 right anterior oblique
R-10220 left anterior oblique
R-10222 sagittal
R-10224 medial-lateral
R-40783 lateral oblique
R-10228 lateral-medial
PAGE 78 of 88
R-40782 medial oblique
R-10232 right lateral
R-10234 right oblique
R-10236 left lateral
R-10238 left oblique
R-10241 axial
R-10242 cranio-caudal
R-10244 caudo-cranial
R-10246 oblique axial
R-10248 oblique cranio-caudal
R-10250 oblique caudo-cranial
R-10252 frontal-oblique axial
R-10254 sagittal-oblique axial
R-102C1 oblique
R-102CD lateral
R-102C2 tangential
R-10256 submentovertical
R-10257 verticosubmental
R-102C3 plantodorsal
R-102C4 dorsoplantar
R-102C5 parietoacanthial
R-102C6 acanthioparietal
R-102C7 orbitoparietal
R-102C8 parieto-orbital
R-10230 latero-medial oblique
R-10226 medio-lateral oblique
G-8300 tissue specimen
Context Identifier
PAGE 79 of 88
4011
SRT 20070524
R-10244 cephalad
R-10242 caudad
R-40885 transthoracic
R-4087B transforamenal
G-D00B transoral
R-40554 transorbital
111069 Crosstable
R-421A4 Mouth closed
Context Identifier
4014
SRT 20090717
R-10224 medio-lateral
R-10226 medio-lateral oblique
R-10228 latero-medial
R-10230 latero-medial oblique
R-10242 cranio-caudal
R-10244 caudo-cranial (from below)
R-102D0 superolateral to inferomedial oblique
R-40AAA inferomedial to superolateral oblique
R-1024A cranio-caudal exaggerated laterally
R-1024B cranio-caudal exaggerated medially
G-8310 tissue specimen from breast
PAGE 80 of 88
Context Identifier
4015
SRT 20090717
R-102D2 Cleavage
R-102D1 Axillary Tail
R-102D3 Rolled Lateral
R-102D4 Rolled Medial
R-102CA Rolled Inferior
R-102C9 Rolled Superior
R-102D5 Implant Displaced
R-102D6 Magnification
R-102D7 Spot Compression
R-102C2 Tangential
R-40AB3 Nipple in profile
P2-00161 Anterior compression
R-40ABE Infra-mammary fold
R-40AB2 Axillary tissue
Context Identifier
4031
SRT 20091021
T-D4000 Abdomen
T-15420 Acromioclavicular joint
T-15750 Ankle joint
T-280A0 Apex of Lung
PAGE 81 of 88
T-D8200 Arm
T-60610 Bile duct
T-74000 Bladder
T-04000 Breast
T-26000 Bronchus
T-12770 Calcaneus
T-11501 Cervical spine
T-D3000 Chest
T-12310 Clavicle
T-11BF0 Coccyx
T-58200 Duodenum
T-D8300 Elbow
T-56000 Esophagus
T-D0300 Extremity
T-D0801 Eye region
T-11196 Facial bones
T-12710 Femur
T-D8800 Finger
T-D9700 Foot
T-12402 Forearm bone
T-63000 Gall bladder
T-D8700 Hand
T-D1100 Head
T-32000 Heart
T-15710 Hip joint
T-12410 Humerus
T-D1213 Jaw region
T-D9200 Knee
PAGE 82 of 88
T-59000 Large intestine
T-24100 Larynx
T-D9400 Leg
T-11503 Lumbar spine
T-11180 Mandible
T-11133 Mastoid bone
T-11170 Maxilla
T-D3300 Mediastinum
T-11149 Nasal bone
T-D1600 Neck
T-11102 Optic canal
T-22000 Paranasal sinus
T-61100 Parotid gland
T-12730 Patella
T-D6000 Pelvis
T-59600 Rectum
T-11300 Rib
T-15680 Sacroiliac joint
T-11AD0 Sacrum
T-12280 Scapula
T-D1460 Sella turcica
T-12980 Sesamoid bones of foot
T-D2220 Shoulder
T-11100 Skull
T-58000 Small intestine
T-D0146 Spine
T-15610 Sternoclavicular joint
T-11210 Sternum
PAGE 83 of 88
T-57000 Stomach
T-61300 Submandibular gland
T-15770 Tarsal joint
T-15290 Temporomandibular joint
T-11502 Thoracic spine
T-D8810 Thumb
T-D9800 Toe
T-25000 Trachea
T-70010 Upper urinary tract
T-75000 Urethra
T-88920 Uterus and fallopian tubes
T-15460 Wrist joint
T-11167 Zygomatic arch
PAGE 84 of 88
Addendum B Input Field/DICOM Tag Cross
Reference
Table B.1 describes the DICOM Image attributes and Patient/Exam information flow through the
product. The first column describes the Patient/Exam information fields supported by the DR
products. The second column indicates the MWL IOD Attribute that the system will use to
populate the field if a DICOM Work List SCP is present. The third column identifies the CR
Image IOD Attribute containing the data in the system’s output and, if applicable, the TID
Concept Name contained in the Dose Report.
Table B.1 Patient/Exam Input and MWL/CR Image Attributes Cross Reference
User Interface Associated DICOM MWL Associated DICOM IOD
Input field Label IOD Element Element/ TID Concept Name
Accession Number Accession Number Accession Number
(0008,0050) (0008,0050)
Body Part NA Body Part Examined
(0018,0015)
Cassette ID NA Plate ID
(0018,1004)
input via bar code scanner
Contrast Agent Requested Contrast Agent Contrast/Bolus Agent
(0032,1070) (0018,0010)
Date Of Birth Patient’s Birth Date Patient’s Birth Date
(0010,0030) (0010,0030)
Department Name Requesting Service Institutional Department Name
(0032,1033) (0008,1040)
Entrance Dose NA Entrance Dose
(0040,0302)
May be received from X-ray
interface depending on equipment or Entrance Dose in mGy
input via GUI.
(0040,8302)
(113738, DCM, “Dose (RP)”)

Gender Patient Sex Patient Sex
(0010,0040) (0010,0040)
Image Area Dose NA Image and Fluoroscopy Area
Dose Product
May be received from X-ray (0018,115E)
interface depending on equipment or
input via GUI.
(122130, DCM, “Dose Area Product”
PAGE 85 of 88
Image Comments NA Image Comments
(0020,4000)
Laterality NA Laterality
(0020,0060)
kVp NA kVp
(0018,0060)
interface depending on equipment or (113733, DCM, “KVP”)
input via GUI.
Modality Modality Modality
(0008,0060) (0008,0060)
Orientation NA Cassette Orientation
(0018,1402)
Patient Age Patient’s age Patient’s age
(0010,1010) (0010,1010)
Read only value
Patient Comments NA Patient Comments (0010,4000)
Patient First Name Patient’s Name Patient’s Name
Patient Last Name (0010,0010) (0010,0010)
Patient Middle Name
Patient Location Patient’s Institution Residence Patient’s Institution Residence
(0038,0400) (0038,0400)
Patient Position NA NA
Priority Requested Procedure Priority N/A

(0040,1003)
Study Date & Time Initial Value: Study Date
Scheduled Procedure Step Start (0008,0020)
Read only value Date Study Time
(0040,0002) (0008,0030)
Scheduled Procedure Step Start
Time
Performed Procedure Step Start Date
(0040,0003)
(0040,0244)
These values will be updated to the
time/date that the technologist began Performed Procedure Step Start Time
the first procedure step for a study. (0040,0245)
Tech ID NA Operator’s Name
(0008,1070)
(121008,DCM, “Person
Observer Name”)
Organ Dose NA Organ Dose
(0040,0316)
interface depending on equipment or (111636, DCM, “Entrance Exposure at
input via GUI. RP”)
PAGE 86 of 88
Patient ID Patient ID Patient ID
(0010,0020) (0010,0020)
Procedure Code Requested Procedure ID Procedure Code Sequence (0008,1032)
(0040,1001) > code value (0008,0100)
or
Requested Procedure Code

Sequence (0032,1064) > code value
(0008,0100)
or
Scheduled Protocol Code Sequence

(0040,0008) > code Value
(0008,0100)
Procedure ID Requested Procedure ID Requested Procedure ID (0040,1001)
(0040,1001)
Procedure Name Requested Procedure Description Procedure Code Sequence (0008,1032)
(0032,1060) wil be used if > code meaning (0008,0104)
Requested Procedure ID or
Requested Procedure Code
Sequence (0032,1064) > code value
is used to populate the Procedure
code field
or
Scheduled Procedure Step Sequence

(0040,0100) > Scheduled Protocol
Code Sequence (0040,0008) > Code
Meaning (0008,0104) will be used if
Scheduled Protocol Code Sequence
> code Value is used to populate
Procedure Code field)
if the above fields are blank, the first

non-blank field in the following list
will be used.
Requested Procedure Description

(0032,1060)
or
Scheduled Procedure Step Sequence
(0040,100) > Scheduled Procedure
Step Description (0040,0007)
or
Procedure Code Sequence
(0008,1032) > code value
(0008,0100)
PAGE 87 of 88
Procedure Step Description Scheduled Procedure Step Sequence Request Attributes Sequence
(0040,0100) >Scheduled Procedure (0040,0275 >Scheduled Procedure Step
Step Description (0040,0007) Description (0040,0007)
If the Procedure Step Description field

is modified by the user the changes will
be stored in:
Performed Procedure Step Description
(0040,0254)
Referring Physician Referring Physician’s Name Referring Physician’s Name
(0008,0090) (0008,0090)
Requested Procedure Description Requested Procedure Description Study Description
(0032,1060) (0008,1030)
Source to Image (cm) NA Source to Image Distance (SID)
(0018,1110)
Study Date Initial Value: Study Date
Scheduled Procedure Step Start (0008,0020)
Date Study Time
(0040,0002) (0008,0030)
Scheduled Procedure Step Start
Time
(0040,0003)
These values will be updated to the
time/date that the technologist began
the first procedure step for a study.
View Name NA NA
View Position NA View Position

(0018,5101)
PAGE 88 of 88

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Carestream DRX-Evolution and DRX-Evolution Plus

Software Version 5.7

DICOM Conformance Statement

October 19, 2016

7 SUPPORT OF EXTENDED CHARACTER SETS ...................................................................................... 75

8 ERROR HANDLING ...................................................................................................................................... 76

ADDENDUM A SUPPORTED SNOMED CODE VALUES ............................................................................ 77

ADDENDUM B INPUT FIELD/DICOM TAG CROSS REFERENCE .......................................................... 85

1.1 Executive Overview

The following DICOM SOP Classes are supported:

SOP Class Name SOP Class UID Service Class Role

SOP Class Name SOP Class UID Service Class Role

Table 1.3 Supported DICOM SOP Classes for Dose SR Storage

SOP Class Name SOP Class UID Service Class Role

1.2 Scope and Field of Application

1.3 Important Considerations for the Reader

1.5 Definitions, Acronyms, Abbreviations

ASCII American Standard Code for Information Interchange

MPPS Server MPPS Notification

Basic Work List

Figure 2.1 Implementation Model

2.1 Functional Definitions

2.2 Sequencing of Real-World Activities

3 Application Entity Specifications

3.1 Association Establishment Policies

3.1.2 Number of Associations

3.1.2.4 Storage Commitment

3.1.3 Asynchronous Nature

3.1.4 Implementation Identifying Information

3.2 Association Initiation Policy

3.2.1.4 Structured Reports

3.2.2 Presentation Context Table

3.2.3 SOP Specific Conformance

3.3 Association Acceptance Policy

3.4 Basic Print Management Meta SOP Class

SOP Class UID Value

3.4.1 Basic Film Session SOP Class

Attribute SCU Tag Possible Values

3.4.1.2 DIMSE Service N-Action

3.4.1.3 DIMSE Service N-SET

3.4.1.4 DIMSE Service N-DELETE

Attribute SCU Tag Possible Values

3.4.2.2 DIMSE Service N-ACTION

3.4.2.3 DIMSE Service N-SET

3.4.2.4 DIMSE Service N-DELETE

3.4.3 Basic Image Box SOP Class

Attribute & Usage SCU Tag Supported Values

3.4.4 Printer SOP Class

Attribute SCU Tag Expected Values

3.5 Store Service Classes

SOP Class SOP Class UID

Table 3.8 Digital X-Ray Image SOP Class – For Processing

SOP Class SOP Class UID

Table 3.9 Digital X-Ray Image SOP Class – Supported Attributes

Attribute Name Tag DICOM Supported Values

Irradiation Event UID (0008,3010) 3 If the IHE Dose Reporting

Patient Orientation (0020,0020) 1

For this value to be

For this value to be