Philips Epiq 5 Manual
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Attribute Name Tag VR Value Presence of Value Source Time(s) Event Timer Name(s) (0008,2132) LO Timer ANAP AUTO View Code Sequence (0054 ,0220) SQ Sequence that describes the view of the patient anatomy in this image. Only a single Item shall be permitted in this Sequence. Acquisition DateTime (0008,002A) DT The date and time that the acquisition of data that resulted in this image started. ALWAYSU A AUTO Trigger Time (0018,1060) DS nnn msec. ANAP AUTO Heart Rate (0018,1088) IS Beats per minute ANAP AUTO Transducer Data (0018,5010) LO Transducer name ALWAYS AUTO Processing Function (0018,5020) LO Imaging optimization name. ALWAYS AUTO * View name and View Number attributes are also in use by General Imaging Protocol Table 9.17 VOI LUT MODULE OF CREATED US SOP INSTANCES Attribute Name Tag VR Value Presence of Value Source Window Center (0028,1050) DS Fixed at 127 ANAP AUTO Window W idth (0028,1051) DS Fixed at 254 ANAP AUTO Table 9.18 SOP COMMON MODULE OF CREATED US IMAGE OR US MULTIFRAME IMAGE SOP INSTANCES Attribute Name Tag VR Value Presence of Value Source SOP Class UID (0008,0016) UI 1.2.840.10008.5.1.4.1.1.6.1 or 1.2.840.10008.5.1.4.1.1.6 for US Image 1.2.840.10008.5.1.4.1.1.3.1 or 1.2.840.10008.5.1.4.1.1.3 for US Multiframe Image ALWAYS AUTO SOP Instance UID (0008,0018) UI Generated by device ALWAYS AUTO Specific Character Set (0008,0005) CS Attribute only sent if an Extended or Replacement Character Set is used ANAP AUTO Instance Creation Date (0008,0012) DA ALWAYSUA AUTO Instance Creation Time (0008,0013) TM ALWAYS AUTO E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 81
9.1.1.5.3 Secondary Capture Image Modules Table 9.19 GENERAL IMAGE MODULE OF CREATED SECONDARY CAPTURE SOP INSTANCES Attribute Name Tag VR Value Presence of Value Source Instance Number** (0020,0013) IS Generated by device, increments from “1” in each Secondary Capture series ALWAYS AUTO Content Date (0008,0023) DA ALWAYSUA AUTO Content Time (0008,0033) TM ALWAYS AUTO Image Type (0008,0008) CS DERIVED/PRIMARY/ ALWAYS CONFIG Acquisition DateTime (0008,002A) DT The date and time that the acquisition of data that resulted in this image started. ALWAYSUA AUTO Derivation Description (0008,2111) ST “Uncompressed” for SC Image or “Low”, “Medium” or “High” for USMF Image based on configuration setting ALWAYS AUTO Burned In Annotation (0028,0301) CS See SC Multi -Frame Image Module Table 9.22 ALWAYS AUTO Lossy Image Compression (0028,2110) CS “01” if image is lossy compressed, “00” if not. ALWAYS AUTO Lossy Image Compression Ratio (0028,2112) DS For Lossy Compressed images, the following is sent: Lossy Low = 100 Lossy Med = 95 Lossy High = 90 ANAP AUTO Lossy Image Compression Method (0028,2114) CS For Lossy Compressed images, the attribute is set to “ISO_10918_1” ANAP AUTO Table 9.20 IMAGE PIXEL MODULE OF CREATED SECONDARY CAPTURE SOP INSTANCES Attribute Name Tag VR Value Presence of Value Source Samples per Pixel (0028,0002) US Set to 1 for Secondary Capture Images, Set to 3 for Multi- frame True Color SC Images ALWAYS AUTO Photometric Interpretation (0028,0004) CS Uncompressed: “MONOCHROME2” or “RGB” Compressed: “YBR_FULL_422” ALWAYS AUTO Rows (0028,0010) US Image height in pixels : 983 or 1050 for Secondary Capture Images 983 for Multi -frame True Color SC Images ALWAYS CONFIG Columns (0028,0011) US Image width in pixels: 1593 or 1920 for Secondary Capture Images 1593 for Multi -frame True Color SC Images ALWAYS CONFIG Bits Allocated (0028,0100) US 8 Bits per pixel. ALWAYS AUTO Bits Stored (0028,0101) US 8 Bits per pixel. ALWAYS AUTO E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 82
Attribute Name Tag VR Value Presence of Value Source High Bit (0028,0102) US High bit is 7 ALWAYS AUTO Pixel Representation (0028,0103) US “0” pixels are Unsigned I ntegers ALWAYS AUTO Pixel Data (7FE0,0010) OW / OB ALWAYS AUTO Planar Configuration (0028,0006) US Present when image is RGB. Value is “0”. ANAP AUTO Table 9.21 SC EQUIPMENT MODULE OF CREATED SECONDARY CAPTURE SOP INSTANCES Attribute Name Tag VR Value Presence of Value Source Conversion T ype (0008,0064) CS WSD = Workstation ALWAYS AUTO Modality (0008,0060) CS Determined by the image modality being viewed at the time of acquisition. ALWAYS AUTO Table 9.22 SC MULTI -FRAM E IM AG E MODULE OF CREATED SECONDARY CAPTURE SOP INSTANCES Attribute Name Tag VR Value Presence of Value Source Burned In Annotation (0028,0301) CS Set to “ NO”. Set to “YES” if “Burn Patient Information Into Images” is set. ALWAYS AUTO Frame Increment Pointer (0028,0009) AT 0x00181063: Frame Time only ALWAYS AUTO Table 9.23 SOP COMMON MODULE OF CREATED SECONDARY CAPTURE SOP INSTANCES Attribute Name Tag VR Value Presence of Value Source SOP Class UID (0008,0016) UI 1.2.840.10008.5.1.4.1.1.7 for Secondary Capture Image 1.2.840.10008.5.1.4.1.1.7.4 for Multi -frame True Color Secondary Capture Image ALWAYS AUTO SOP Instance UID (0008,0018) UI Generated by device ALWAYS AUTO Specific Character Set (0008,0005) CS Attribute only sent if an Extended or Replacement Character Set is used ANAP AUTO E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 83
Attribute Name Tag VR Value Presence of Value Source Instance Creation Date (0008,0012) DA ALWAYSUA AUTO Instance Creation Time (0008,0013) TM ALWAYS AUTO 9.1.1.5.4 Comprehensive Structured Report Modules Table 9.24 SR DOCUMENT SERIES MODULE OF CREATED COMPREHENSIVE SR SOP INSTANCES Attribute Name Tag VR Value Presence of Value Source Modality (0008,0060) CS “SR” ALWAYS AUTO Series Instance UID ( 0020,000E ) UI Auto -generated ALWAYS AUTO Series Number (0020,0011) IS A number unique within the Study ALWAYS AUTO Referenced Performed Procedure Step Sequence (0008,1111) SQ Identifies the MPPS SOP Instance to which this image is related ALWAYS MPPS >Referenced SOP Class UID (0008,1150) UI PPS SOP Class = “1.2.840.10008.3.1.2.3.3” ALWAYS MPPS > Referenced SOP Instance UID (0008,1155) UI PPS Instance UID of the PPS generating this document ALWAYS MPPS Table 9.25 SR DOCUMENT GENERAL MODULE OF CREATED COMPREHENSIVE SR SOP INSTANCES Attribute Name Tag VR Value Presence of Value Source Instance Number (0020,0013) IS Unique number ALWAYS AUTO Completion Flag (0040,A491) CS PARTIAL ALWAYS AUTO Verification Flag (0040,A493) CS UNVERIFIED ALWAYS AUTO Content Date (0008,0023) DA Date content created. ALWAYSUA AUTO Content Time (0008,0033) TM Time content created. ALWAYS AUTO Predecessor Documents Sequence (0040,A360) SQ Used when Send of Demand is used and Send Structured Reports with Send on Demand is selected. Will indicate the preceding SR sent in the study. ANAP AUTO >Study Instance UID (0020,000D ) UI Study’s UID ANAP AUTO E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 84
Attribute Name Tag VR Value Presence of Value Source >Referenced Series Sequence (0008,1115) SQ Identifies the Series containing the referenced SR ALWAYS AUTO >>Referenced SOP Sequence (0008,1199) SQ SOP Instance UID for SR Series in the study ALWAYS AUTO >>> Referenced SOP Class (0008,1150) UI Comprehensive SR SOP Class 1.2.840.10008.5.1.4.1.1.88.33 ALWAYS AUTO >>> Referenced SOP Instance UID (0008,1155) UI SOP Instance UID of the preceding SR in the study ALWAYS AUTO Referenced Request Sequence (0040,A370) SQ Identifies Requested Procedures being fulfilled (completely or partially) by creation of this Document. ANAP AUTO >Study Instance UID (0020,000D ) UI Same value as in MWL or auto generated ALWAYS MW L/ AUTO >Referenced Study Sequence (0008,1110) SQ 1 item per item in MW L, zero length if unscheduled ANAP VNAP MW L >>Referenced SOP Class UID (0008,1150) UI Identifies the Referenced SOP Class ANAP MW L >>Referenced SOP Instance UID (0008,1155) UI Instance UID ANAP MW L >Accession Number (0008,0050) SH Same attribute of MWL or user PDE input. VNAP MW L/ USER >Placer Order Number/Imaging Service Request (0040,2016) LO Order Number of Imaging Service Request assigned by placer VNAP MW L >Filler Order Number/Imaging Service Request (0040,2017) LO Order Number of Imaging Service Request assigned by filler VNAP MW L >Requested Procedure ID (0040,1001) SH 1 item per item in MW L, absent if unscheduled ANAP MW L >Requested Procedure Description (0032,1060) LO 1 item per item in MW L, absent if unscheduled ANAP MW L >Requested Procedure Code Sequence (0032,1064) SQ 1 item per item in MW L, zero length if unscheduled VNAP MW L Performed Procedure Code Sequence (0040,A372) SQ Codes of the performed procedure, zero length if unscheduled VNAP AUTO/ MW L E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 85
Table 9.26 SR DOCUMENT CONTENT MODULE OF CREATED COMPREHENSIVE SR SOP INSTANCES Attribute Name Tag VR Value Presence of Value Source Content Template Sequence (0040,A504) SQ ALWAYS AUTO >Template Identifier (0040,DB00) CS The Root Content Item identifies TID 5000 (OB - GYN), 5100 (Vascular). 5200 (Echo), TID 5220 or 995300 (Ped Echo) , TID 995400 (Small Parts) ALWAYS AUTO >Mapping Resource (0008,0105) CS DCMR ALWAYS AUTO Content Sequence (0040,A730) SQ ALWAYS AUTO >Relationship Type (0040,A010) CS Template ID 5000 for OB -GYN Template ID 5100 for Vascular Template ID 5200 for Adult Echo Template ID 5220 for Ped,Fetal,Congenital Template ID 995300 for private Ped Template ID 995400 for private Small Parts ALWAYS AUTO Document Relationship Macro Table Template ID 5000 for OB -GYN Template ID 5100 for Vascular Template ID 5200 for Adult Echo Template ID 5220 for Ped,Fetal,Congenital Template ID 995300 for private Ped Template ID 995400 for private Small Parts ANAP AUTO Document Content Macro Template ID 5000 for OB -GYN Template ID 5100 for Vascular Template ID 5200 for Adult Echo Template ID 5220 for Ped,Fetal,Congenital Template ID 995300 for private Ped Template ID 995400 for private Small Parts ALWAYS AUTO Value Type (0040,A040) CS CONTAINER, always first attribute of SR Additional values used: TEXT, NUM, DATE, CODE, IMAGE, SCOORD ALWAYS AUTO Concept Name Code Sequence (0040,A043) SQ ALWAYS AUTO >Code Value (0008,0100) 125000, 125100, 125200, 125195, 995300, or 995400 ALWAYS AUTO >Coding Scheme Designator (0008,0102) DCM ALWAYS AUTO >Code Meaning (0008,0104) “OB -GYN Ultrasound Procedure Report”, “Vascular Ultrasound Procedure Report”, “Adult Echocardiography Procedure Report” “Pediatric Ultrasound Procedure Report” “ Pediatric Echocardiography Procedure Report ” or “Small Parts Ultrasound Procedure Report” ALWAYS AUTO Continuity of Content (0040,A050) CS SEPARATE ALWAYS AUTO Spatial Coordinates Macro If and only if Value Type (0040,A040) = SCOORD ANAP AUTO E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 86
Attribute Name Tag VR Value Presence of Value Source Graphic Data (0070,0022) Order set of Column \ Row pairs defining positions in a reference image ANAP AUTO Graphic Type (0070,0023) Polyline ANAP AUTO Numeric Measurement Macro Template ID 5000 for OB-GYN Template ID 5100 for Vascular Template ID 5200 for Adult Echo Template ID 5220 for Ped,Fetal,Congenital Template ID 995300 for private Ped Template ID 995400 for private Small Parts ALWAYS AUTO Code Macro Template ID 5000 for OB-GYN Template ID 5100 for Vascular Template ID 5200 for Adult Echo Template ID 5220 for Ped,Fetal,Congenital Template ID 995300 for private Ped Template ID 995400 for private Small Parts ALWAYS AUTO Table 9.27 SOP COMMON MODULE OF CREATED CO MPOSITE SR SOP INSTANCES Attribute Name Tag VR Value Presence of Value Source SOP Class UID (0008,0016) UI 1.2.840.10008.5.1.4.1.1.88.33 ALWAYS AUTO SOP Instance UID (0008,0018) UI Generated by device ALWAYS AUTO Specific Character Set (0008,0005) CS “None”, unless required by characters used ALWAYS CONFIG 9.1.2 Usage of Attributes from Received IOD’s The attributes of images imported to EPIQ/Affiniti are stored with level 2 conformance, are used in the display of these images, and are exported if the imported images are exported from EPIQ/Affiniti . The usage of attributes received via Modality W orklist C-FIND is described in Section 4.2.2.3.1.3 . 9.1.3 Attribute Mapping Table 9.28 summarizes the relationships between attributes received via MWL, stored in acquired images and communicated via MPPS. The format and conventions used in Table 9.28 are the same as the corresponding table in I HE Technical Framework, Rev. 11.0 07- 24-2012, vol. II: Transactions. E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 87
Table 9.28 ATTRIBUTE MAPPING BETWEEN MODALITY WORKLIST, IMAGE AND MPPS Modality Worklist Image IOD MPPS IOD Patient’s Name Patient’s Name Patient’s Name Patient ID Patient ID Patient ID Patient’s Birth Date Patient’s Birth Date Patient’s Birth Date Patient’s Sex Patient’s Sex Patient’s Sex Patient’s W eight Patient’s W eight Referring Physician’s Name Referring Physician’s Name ---- ---- Scheduled Step Attributes Sequence Study Instance UID Study Instance UID >Study Instance UID Referenced Study Sequence Referenced Study Sequence >Referenced Study Sequence Accession Number Accession Number >Accession Number ---- Request Attributes Sequence ---- Requested Procedure ID >Requested Procedure ID >Requested Procedure ID Requested Procedure Description >Requested Procedure Description >Requested Procedure Description Scheduled Procedure Step ID >Scheduled Procedure Step ID >Scheduled Procedure Step ID Scheduled Procedure Step Description >Scheduled Procedure Step Description > Series Description > Performed Procedure Step Description >Scheduled Procedure Step Description Scheduled Protocol Code Sequence >Scheduled Protocol Code Sequence ---- ---- Performed Protocol Code Sequence Performed Protocol Code Sequence ---- Study ID – Requested Procedure ID from MWL, else generated Study ID – Requested Procedure ID from MWL, else generated ---- Performed Procedure Step ID Performed Procedure Step ID ---- Performed Procedure Step Start Date Performed Procedure Step Start Date ---- Performed Procedure Step Start Time Performed Procedure Step Start Time ---- Performed Procedure Step Description Performed Procedure Step Description ---- ---- Performed Series Sequence Requested Procedure Code Sequence Procedure Code Sequence Procedure Code Sequence ---- Referenced Performed Procedure Step Sequence ---- ---- >Referenced SOP Class UID SOP Class UID ---- >Referenced SOP Instance UID SOP Instance UID ---- Protocol Name Protocol Name 9.1.4 Coerced/Modified Fields The MWL AE will truncate attribute values received in the response to a MW L Query if the value length is longer than the maximum length permitted by the attribute’s VR. E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 88
9.1.5 Attribute Anonymization The EPIQ/Affiniti supports basic anonymization in that a set of identifying DICOM attributes that are stored to media wil l be either removed or replaced with non- identifying data, according to the HIPAA guidelines for anonymization. The option to de- identify is available at the time of export for the manual send to media workflows. Table 9.29 contains a list of attributes containing patient identification and how EPIQ/Affiniti processing the attribute value when DICOM de- identification is selected on export. This table i s derived from DICOM 2007 PS3.15 Annex E, Table E.1- 1. N ote most attributes are labeled ‘Keep’ because they are not classified as identifying by the United States Health Insurance Portability and Accountability Act of 1996 (HIPAA) Safe- Harbor De-Identification Guidelines . Table 9.29 DICOM ATTRIBUTES CONTAINING PATIENT IDENTIFYING INFORMATION Attribute Name Tag Delete / Replace? Instance Creation Date (0008,0012) Delete Instance Creation Time (0008,0013) Delete SOP Instance UID (0008,0018) Replace Study Date (0008,0020) Replace Series Date (0008,0021) Delete Content Date (0008,0023) Delete Acquisition DateTime (0008,002A) Delete Study Time (0080,0030) Replace Series Time (0008,0031) Delete Content Time (0008,0033) Delete Accession Number (0008,0050) Delete Institution Name (0008,0080) Delete Referring Physician’s Name (0008,0090) Delete Code Meaning (0008,0104) Delete Station Name (0008,1010) Delete Study Description (0008,1030) Delete Series Description (0008,103E) Delete Physicians of Record (0008,1048) Delete Operators’ Name (0008,1070) Delete Admitting Diagnosis Description (0008,1080) Delete Referenced SOP Instance UID (0008,1155) Replace Derivation Description (0008,2111) Delete Patient’s Name (0010,0010) Replace Patient ID (0010,0020) Replace Patient’s Birth Date (0010,0030) Delete Patient’s Sex (0010,0040) Delete Other Patient IDs (0010,1000) Delete Patient’s Size (0010,1020) Replace E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 89
Attribute Name Tag Delete / Replace? Patient’s W eight (0010,1030) Replace Pregnancy Status (0010,10C0) Replace Medical Alerts (0010,2000) Delete Alergies (0010,2110) Delete Ethnic Group (0010,2160) Delete Additional Patient History (0010,21B0) Delete Patient Comments (0010,4000) Delete Device Serial Number (0018,1000) Delete Protocol Name (0018,1030) Delete Study Instance UID (0020,000D) Replace Series Instance UID (0020,000E) Replace Study ID (0020,0010) Delete Requesting Physician (0032,1032) Delete Scheduled Procedure Step Description (0040,0007) Delete Performed Procedure Step Start Date (0040,0244) Delete Performed Procedure Step Start Time (0040,0245) Delete Performed Procedure Step ID (0040,0253) Delete Performed Procedure Step Description (0040,0254) Delete Comments on Performed Procedure Step (0040,0280) Delete Names of Intended Recipients of Results (0040,1010) Delete o We will replace the Patient Name with an unidentifiable string composed of a prefix ‘DeId- ‘ and followed by a unique numeric sequence, o We will replace the Patient ID with a new generated unique ID. o All noted Instance UIDs are modified because the Voyager generated instance UID’s are generated at the time of the start of the procedure and suffixed with a date/time string noting the current date and time. Because all manner of dates are considered identifying, the date and time portion of these strings is replaced with a new date and time at the time of export. In this way we can be sure that they cannot be linked back to the original date and time of the study. Referenced SOP instance UID links are maintained. o The Study ID and Performed Procedure Step ID on Voyager include date strings, and thus must be removed. 9.2 DATA DICTIONARY OF P RIVATE ATTRIBUTES Philips private attributes in groups 0x2001 and 0x200 D may be included in objects created by EPIQ/Affiniti. 9.3 CODED TERMINOLOGY AN D TEMPLATES The Workflow AE is capable of supporting arbitrary coding schemes for Procedure and Protocol Codes. The contents of Requested Procedure Code Sequence (0032,1064) and Scheduled Protocol Code Sequence (0040,0008) supplied in Worklist Items will be mapped to Image IOD and MPPS attributes as described in Table 9.28. E7 and E5/A70 and A50 1.5.x.x DICOM Conformance Statement 000490000000111 Rev A Page 90