anniversary conference & workshop dcspower/dwightasimon/merge-efilm - 1 dicom conformance...

DCSPower/DwightASimon/Merge-eFilm - 1

Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop

DICOM Conformance Statement

(DCS)A Proven Power within DICOM

DICOM Conformance Statement

(DCS)A Proven Power within DICOM

Dwight A. Simon,Medical Standards Director & Senior Integration Specialist

Merge eFilm

Dwight A. Simon,Medical Standards Director & Senior Integration Specialist

Merge eFilm


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop

A 10 year Proven track record of Power

A 10 year Proven track record of Power

• It is Required• It is a Public document• It describes the DICOM Features /

Functions implemented in a Product• It allows connectivity comparisons• It defines the information that is

required to perform specific functions

• It is Required• It is a Public document• It describes the DICOM Features /

Functions implemented in a Product• It allows connectivity comparisons• It defines the information that is

required to perform specific functions


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop Content of DCS

Using 2003 Publication of Std Content of DCS

Using 2003 Publication of Std

• A brief introduction that is specified in general terms

• A simple data flow diagram and description

• The functional definition of each DICOM feature • More detail on specifics later

• How this product communicates to another product

• A brief introduction that is specified in general terms

• A simple data flow diagram and description

• The functional definition of each DICOM feature • More detail on specifics later

• How this product communicates to another product


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop

Content of DCS Using 2003 Std continued

Content of DCS Using 2003 Std continued

• Specification of any enhancements or changes to standard DICOM features

• A list of configurable parameters • A list of character sets that are

supported (i.e., Japanese or French)• Any codes and controlled

terminology• A specification of all DICOM security

features

• Specification of any enhancements or changes to standard DICOM features

• A list of configurable parameters • A list of character sets that are

supported (i.e., Japanese or French)• Any codes and controlled

terminology• A specification of all DICOM security

features


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop Functional Definitions … more

detailFunctional Definitions … more

detail

• Specification of each feature/function within the application

• Utilizes specific terminology of DICOM• Benefit - defined in an unambiguous way• Disadvantage - must understand the

terminology in order to get all the information one needs to:• Understand the products DICOM features• Compare this DICOM product with another

• Specification of each feature/function within the application

• Utilizes specific terminology of DICOM• Benefit - defined in an unambiguous way• Disadvantage - must understand the

terminology in order to get all the information one needs to:• Understand the products DICOM features• Compare this DICOM product with another


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop Almost Everyone follows the

Templates from the Standard for writing a DCS

Almost Everyone follows the Templates from the Standard for

writing a DCS

• The common format is a huge benefit• Easy to find information, because

always in same place• Easy to compare one DICOM product

with another

• The common format is a huge benefit• Easy to find information, because

always in same place• Easy to compare one DICOM product

with another


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop Who has ability to use this

information with a high degree of understanding?

Who has ability to use this information with a high degree

of understanding?

• Those that have taken DICOM training

• Those that have read and understood the DICOM Standard

• Unfortunately, the common healthcare user who does not have this background can probably only understand less than 40% of the information in the DCS

• Those that have taken DICOM training

• Those that have read and understood the DICOM Standard

• Unfortunately, the common healthcare user who does not have this background can probably only understand less than 40% of the information in the DCS


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop Presentation Context Tables

Association AcceptanceAssociation Acceptance

Presentation Context Table - AcceptedPresentation Context Table - AcceptedAbstract SyntaxAbstract Syntax Transfer SyntaxTransfer Syntax RoleRole ExpandedExpanded

NameName UIDUID Name ListName List UID ListUID List NegotiationNegotiation

Study RootStudy RootQuery/Retrieve - FINDQuery/Retrieve - FIND

1.2.840.10008.5.1.4.1.1.2.840.10008.5.1.4.1.2.2.12.2.1

Implicit VR LEImplicit VR LE1.2.840.10008.1.21.2.840.10008.1.2 SCPSCP NoneNone

Study RootStudy RootQuery/Retrieve -Query/Retrieve -MOVEMOVE

1.2.840.10008.5.1.4.1.1.2.840.10008.5.1.4.1.2.2.22.2.2

Implicit VR LEImplicit VR LE1.2.840.10008.1.21.2.840.10008.1.2 SCPSCP NoneNone

VerificationVerification 1.2.840.10008.1.11.2.840.10008.1.1 Implicit VR LEImplicit VR LE1.2.840.10008.1.21.2.840.10008.1.2 SCPSCP NoneNone

Presentation Context Table - ProposedPresentation Context Table - Proposed

Abstract SyntaxAbstract Syntax Transfer SyntaxTransfer Syntax RoleRole ExpandedExpanded

NameName UIDUID Name ListName List UID ListUID List NegotiationNegotiation

X-ray RF ImageX-ray RF ImageStorageStorage

1.2.840.10008.1.2.840.10008.5.1.4.1.1.12.25.1.4.1.1.12.2

Implicit VR LEImplicit VR LEJPEG-14JPEG-14Lossless (70)Lossless (70)

1.2.840.10008.1.21.2.840.10008.1.21.2.840.1001.2.840.10008.08.1.2.4.701.2.4.70

SCUSCU NoneNone

SecondarySecondaryCapture ImageCapture ImageStorageStorage

1.2.840.10008.1.2.840.10008.5.1.4.1.1.75.1.4.1.1.7

Implicit VR LEImplicit VR LEExplicit VR BEExplicit VR BE

1.2.840.10008.1.21.2.840.10008.1.21.2.840.10008.1.2.21.2.840.10008.1.2.2

SCUSCU NoneNone

Association InitiationAssociation Initiation


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop

Other Likely Unknown Terms Other Likely Unknown Terms

• AE Specification• Application Entity Title• Application Profile • SOP Class• SOP Instance• Standard Extended SOP Class • Unique Identifier (UID)

• AE Specification• Application Entity Title• Application Profile • SOP Class• SOP Instance• Standard Extended SOP Class • Unique Identifier (UID)


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop After 10 years

DICOM Conformance Statement has become even more Powerful

After 10 yearsDICOM Conformance Statement has become even more Powerful

• It includes an enhanced template • It has a wider range of examples

that deal with the majority of possible DICOM features

• It has grown from 50 pages to over 330 pages

• It includes an enhanced template • It has a wider range of examples

that deal with the majority of possible DICOM features

• It has grown from 50 pages to over 330 pages


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop

Enhancement is called Supplement 64

Enhancement is called Supplement 64

• Already balloted and approved to become part of the DICOM Standard

• Minor corrections and editing still to be done by Working Group 6 prior to making it a final document

• Already balloted and approved to become part of the DICOM Standard

• Minor corrections and editing still to be done by Working Group 6 prior to making it a final document


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop

Supplement 64 Enhancements (Sup64)

Supplement 64 Enhancements (Sup64)

• Will benefit the non-DICOM literate user directly

• Will enable the DICOM literate user to more easily find and compare DICOM features

• Will be additive to most of what is in the current 2003 publication

• Will benefit the non-DICOM literate user directly

• Will enable the DICOM literate user to more easily find and compare DICOM features

• Will be additive to most of what is in the current 2003 publication


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop

Sup64 – New AdditionsSup64 – New Additions

• DICOM Conformance Statement Overview• Includes a description of the

implementation in "layman's terms“• Requires that the tables for both

Networking and Media Storage• List all used DICOM features (SOP

Classes) • List be organized and grouped by

categories

• DICOM Conformance Statement Overview• Includes a description of the

implementation in "layman's terms“• Requires that the tables for both

Networking and Media Storage• List all used DICOM features (SOP

Classes) • List be organized and grouped by

categories


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop

Sup64 – New Additions … continued


• Requires a Table of Contents (some vendors already do this)

• New "Introduction" section • The "Definitions, Terms and

Abbreviations" item will be one key addition for the non-DICOM literate • If vendors do a good job with this item,

then these users should be able to have an 80% or higher understanding of the DCS

• Requires a Table of Contents (some vendors already do this)

• New "Introduction" section • The "Definitions, Terms and

Abbreviations" item will be one key addition for the non-DICOM literate • If vendors do a good job with this item,

then these users should be able to have an 80% or higher understanding of the DCS


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop



• Enhancements to "Sequencing of Real-World Activities" • Defines interactions between this

product’s various DICOM connections and other products

• It is strongly recommended to incorporate UML Sequence Diagrams • Sequence diagrams emphasize the sequence

of the DICOM messages between two products • Even without a formal understanding of the

Unified Modeling Language (UML) the average user should be able to interpret the diagrams

• Enhancements to "Sequencing of Real-World Activities" • Defines interactions between this

product’s various DICOM connections and other products

• It is strongly recommended to incorporate UML Sequence Diagrams • Sequence diagrams emphasize the sequence

of the DICOM messages between two products • Even without a formal understanding of the

Unified Modeling Language (UML) the average user should be able to interpret the diagrams


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop UML Sequencing DiagramUML Sequencing Diagram

2. C-STORE (CT Image) [1 to N images to be sent]

StorageApplication

4. N-ACTION (Storage Commitment Request for Images & GSPS) [Are they reliably stored]

Image / Info Manager

3. C-STORE (GSPS) [1 to N grayscale image consistency information sets to be sent]

5. N-EVENT-REPORT (Storage Commitment Response) [Each are or are not reliably stored]

1. Open Association

6. Close Association


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop



• The "Configuration" section has also been enhanced. • Requires a much more definitive description

of the configurable parameters that the application will utilize when it is running• The parameters refer to application name(s),

networking relationships, remote application connectivity, node level security, etc.

• There is a recommended set of operational parameters that are required to be represented

• The "Configuration" section has also been enhanced. • Requires a much more definitive description

of the configurable parameters that the application will utilize when it is running• The parameters refer to application name(s),

networking relationships, remote application connectivity, node level security, etc.

• There is a recommended set of operational parameters that are required to be represented


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop



• The powerful "Annexes" section helps define some of the operational aspects of the product

• Within the Annexes one must describe • the data that is created,• put in the DICOM message and • sent to another product.

• The powerful "Annexes" section helps define some of the operational aspects of the product

• Within the Annexes one must describe • the data that is created,• put in the DICOM message and • sent to another product.


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop



• Within the Annexes" each piece of information (called an attribute) must be specified• by name and • DICOM identifier (called attribute tag), • range of values that might be present• type of value

• person name• date• time• floating point double precision number• integer number

• Within the Annexes" each piece of information (called an attribute) must be specified• by name and • DICOM identifier (called attribute tag), • range of values that might be present• type of value

• person name• date• time• floating point double precision number• integer number


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop



• Within the Annexes each attribute must be defined • whether it will or will not exist within a

DICOM message and under what conditions it will exist

• If its value is present, then from where will it come• from user input• be generated automatically• come from functional information like a work list • be a configurable parameter.

• Within the Annexes each attribute must be defined • whether it will or will not exist within a

DICOM message and under what conditions it will exist

• If its value is present, then from where will it come• from user input• be generated automatically• come from functional information like a work list • be a configurable parameter.


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop



• other important items within "Annexes" • specification of attributes that are required • mapping of attributes between different

information sets• HL7 mapped into a DICOM work list• DICOM work list mapped into a CT image

• specify whether key attributes are allowed to be modified• patient name• patient identifier• study instance UID

• other important items within "Annexes" • specification of attributes that are required • mapping of attributes between different

information sets• HL7 mapped into a DICOM work list• DICOM work list mapped into a CT image

• specify whether key attributes are allowed to be modified• patient name• patient identifier• study instance UID


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop



• A data dictionary of all private attributes• The support of coded terminology and/or

templates, if utilized• The support for "Grayscale Image

Consistency", if applicable• A definition of any enhancements or

changes to standard DICOM features that have been implemented, including feature specialization or new private features

• All private encoding of information that is support, if applicable

• A data dictionary of all private attributes• The support of coded terminology and/or

templates, if utilized• The support for "Grayscale Image

Consistency", if applicable• A definition of any enhancements or

changes to standard DICOM features that have been implemented, including feature specialization or new private features

• All private encoding of information that is support, if applicable


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop Sup64 – New Additions …

continuedSup64 – New Additions …

continued• Many informative sections in PS3.2

• specifically to give examples of DICOM Conformance Statements for various types of products

• a huge benefit to both the vendors and the users• for the vendors, they are used as a

guideline for interpreting the DCS template for a specific kind of product

• for the user, it will insure that multiple vendors with similar products will have DCSes that look alike.

• Many informative sections in PS3.2• specifically to give examples of

DICOM Conformance Statements for various types of products

• a huge benefit to both the vendors and the users• for the vendors, they are used as a

guideline for interpreting the DCS template for a specific kind of product

• for the user, it will insure that multiple vendors with similar products will have DCSes that look alike.


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop

DCS Examples available in Sup64DCS Examples available in Sup64

• A DICOM modality that has connectivity to an archive, a workflow manager and a print server, along with have the capability to create a DICOM generic CD-Rs

• A product that interfaces to a Radiology Information System via DICOM

• A DICOM image viewer that can handle a wide range of modality images, including radiation therapy planning information. It also can query and retrieve information from a remote application and can read both DICOM generic CD-R and DVD-RAM

• A DICOM print server• A DICOM query/retrieve server

• A DICOM modality that has connectivity to an archive, a workflow manager and a print server, along with have the capability to create a DICOM generic CD-Rs

• A product that interfaces to a Radiology Information System via DICOM

• A DICOM image viewer that can handle a wide range of modality images, including radiation therapy planning information. It also can query and retrieve information from a remote application and can read both DICOM generic CD-R and DVD-RAM

• A DICOM print server• A DICOM query/retrieve server


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop

DICOM would truly only have Half the Power

it currently has without the DICOM Conformance

Statement!

DICOM would truly only have Half the Power

it currently has without the DICOM Conformance

Statement!


Ann

iver

sary

Con

fere

nce

& W

orks

hop

Ann

iver

sary

Con

fere

nce

& W

orks

hop

With the Enhanced DICOM Conformance Statement

With the Enhanced DICOM Conformance Statement

• ability to better understand how products connect to each other via DICOM• what information they communicate and

under what conditions• what information must be received for the

application to function properly• how parameters must be configured to make

the application function in specific ways• a formal way to describe the sequencing of

messages between DICOM applications

• ability to better understand how products connect to each other via DICOM• what information they communicate and

under what conditions• what information must be received for the

application to function properly• how parameters must be configured to make

the application function in specific ways• a formal way to describe the sequencing of

messages between DICOM applications

anniversary conference & workshop dcspower/dwightasimon/merge-efilm - 1 dicom conformance...

Documents

dicom product

standard dicom

dicom features functions

dicom dwight

products dicom features

product slide

controlled terminology

specific functions