Philips Hd9 Owners Manual

							 
 
DICOM 
 
 
 
 
Conformance Statement  
 
 HD9 1.1.x 
                                      
989605375630044 Rev. B  
2010-06-29 
© Koninklijke Philips Electronics N.V. 2010 
All rights are reserved.  
						

							HD9 1.1.x DICOM Conformance Statement 989605375630044 Rev. B Page 2   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Company Name: Philips Ultrasound 
Product Name: HD9 
Version: 1.1.x 
Internal Document Number: 989605375630044 
Date: June 29, 2010 
  
						

							HD9 1.1.x DICOM Conformance Statement 989605375630044 Rev. B Page 3   
   
1 
CONFORMANCE STATEMENT OVERVIEW 
The Philips HD9 1.1.x Ultrasound syst em implements the necessary DICOM® services to download worklists from 
information systems, save acquired US Images and Structured Reports to a network storage device, CD/DVD or USB, 
print to a networked hardcopy device and inform  the information system about the work actually done. 
Table 1-1  provides an overview of the net work services supported by HD9. 
Table 1-1   
NETWORK SERVICES 
SOP Classes  User of Service (SCU) Provider of Service (SCP) 
Transfer 
Ultrasound Image Storage  Yes* No 
Ultrasound Multi-frame Image Storage  Yes* No 
Storage Commitment Push Model  Yes* No 
Comprehensive SR  Yes* No 
Workflow Management 
Modality Worklist  Yes* No 
Modality Performed Procedure Step  Yes* No 
Print Management 
Basic Grayscale Print Management  Yes* No 
Basic Color Print Management  Yes* No 
    * Purchasable option.     
                                                     
 
 
® DICOM is the registered trademark of the Na tional Electrical Manufacturers Association for its standards publications relating  to digital 
communications of medical information.  
						

							HD9 1.1.x DICOM Conformance Statement 989605375630044 Rev. B Page 4   
   
Table 1-2
 provides an overview of the Media Stor age Application Profiles supported by HD9. 
Table 1-2 
MEDIA SERVICES 
Media Storage Application Profile  Write Files (FSC or 
FSU)  Read Files (FSR) 
Compact Disk – Recordable 
STD-US-SC-MF(
1 )-CD-R 
for Ultrasound images, compressed and uncompressed  Ye s  /  Ye s(
2 ) No 
STD-GEN-CD 
for Structured Reports  Ye s  /  Ye s(2) No 
DVD
 
STD-US-SC-MF(1)-DVD 
for Ultrasound images, compressed and uncompressed  Ye s  /  Ye s(2) No 
STD-GEN-DVD 
for Structured Reports Ye s  /  Ye s(2) No 
USB Devices
 
STD-GEN-USB-JPEG 
for Ultrasound images, compressed and uncompressed 
and Structured Reports  Ye s  /  Ye s(2) No 
 
Table 1-3 
STRUCTURED REPORT TEMPLATES SUPPORTED 
OB-GYN Ultrasound Procedure  Report (Template ID 5000) 
Vascular Ultrasound Procedure Report (Template ID 5100) 
Echocardiography Procedure Report (Template ID 5200) 
 
 
                                                     
 
 
(1) Note that the “MF” designator includes both Singl e Frame (SF) and Mullti-frame (MF) ultrasound image (2) Only acts as a FSU for media that may be written to multiple times  
						

							HD9 1.1.x DICOM Conformance Statement 989605375630044 Rev. B Page 5   
   
2 
TABLE OF CONTENTS 
1  .......................................................................\
...................................... 3 CONFORMANCE STATEMENT OVERVIEW
2
  .......................................................................\
....................................................... ................ 5 TABLE OF CONTENTS
3
  .......................................................................\
....................................................... ........................... 9 INTRODUCTION
3.1
   ........................................................................\
....................................................... ............. 9 REVISION HISTORY
3.2
  .......................................................................\
....................................................... ............................. 9 AUDIENCE
3.3
  .......................................................................\
....................................................... .............................. 9 REMARKS
3.4
  .......................................................................\
.................................................... 9 IMPORTANT NOTE TO THE READER
3.5  .......................................................................\
......................... 10 DEFINITIONS, TERMS AND ABBREVIATIONS
3.6
  .......................................................................\
....................................................... ..................... 10 REFERENCES
4
  .......................................................................\
....................................................... ............................ 11 NETWORKING
4.1
  .......................................................................\
.......................................................  11 IMPLEMENTATION MODEL
4.1.1
  .......................................................................\
....................................................... ... 11 Application Data Flow
4.1.2
  .......................................................................\
................................................ 12 Functional Definition of AE’s
4.1.2.1  .......................................................................\
...........................  12 Functional Definition of Storage Application Entity
4.1.2.2
  .......................................................................\
.........................  12 Functional Definition of Workflow Application Entity
4.1.2.3
  .......................................................................\
........................  13 Functional Definition of Hardcopy Application Entity
4.1.3  .......................................................................\
.................................... 14 Sequencing of Real-World Activities
4.2
  .......................................................................\
....................................................... .......... 16 AE SPECIFICATIONS
4.2.1
  .......................................................................\
............................... 16 Storage Application Entity Specification
4.2.1.1  .......................................................................\
....................................................... ............................. 16 SOP Classes
4.2.1.2
  .......................................................................\
....................................................... .................. 16 Association Policies
4.2.1.2.1
  .......................................................................\
....................................................... ............................... 16 General
4.2.1.2.2
  .......................................................................\
....................................................... ...... 16 Number of Associations
4.2.1.2.3
  .......................................................................\
....................................................... ......... 16 Asynchronous Nature
4.2.1.2.4
  .......................................................................\
......................................  17 Implementation Identifying Information
4.2.1.3
  .......................................................................\
....................................................... ....... 17 Association Initiation Policy
4.2.1.3.1
  .....................................................  17 Activity – Send Images and Structured Reports and Request Commitment
4.2.1.4
  .......................................................................\
....................................................... .. 22 Association Acceptance  Policy
4.2.1.4.1
  .......................................................................\
...................  22 Activity – Receive Storage Commitment Response
4.2.2   ........................................................................\
............................ 24 Workflow Application Entity Specification
4.2.2.1  .......................................................................\
....................................................... ............................. 24 SOP Classes
4.2.2.2
  .......................................................................\
.....................................................  2 4 Association Establishment Policy
4.2.2.2.1
  .......................................................................\
....................................................... ............................... 24 General
4.2.2.2.2
  .......................................................................\
....................................................... ...... 24 Number of Associations 
						

							HD9 1.1.x DICOM Conformance Statement 989605375630044 Rev. B Page 6   
   
4.2.2.2.3  .......................................................................\
.......................................................
......... 24 Asynchronous Nature
4.2.2.2.4
  .......................................................................\
......................................  24 Implementation Identifying Information
4.2.2.3
  .......................................................................\
....................................................... ....... 25 Association Initiation Policy
4.2.2.3.1
  .......................................................................\
....................................................... ... 25 Activity – Worklist Update
4.2.2.3.2
   ........................................................................\
....................................................... ... 28 Activity – Acquire Images
4.2.2.4
  .......................................................................\
....................................................... .. 33 Association Acceptance  Policy
4.2.3  .......................................................................\
............................ 33 Hardcopy Application Entity Specification
4.2.3.1  .......................................................................\
.................................................................................... 33 SOP Classes
4.2.3.2
  .......................................................................\
....................................................... .................. 33 Association Policies
4.2.3.2.1
  .......................................................................\
....................................................... ............................... 33 General
4.2.3.2.2
  .......................................................................\
....................................................... ........ 33 Number of Association
4.2.3.2.3
  .......................................................................\
....................................................... ......... 34 Asynchronous Nature
4.2.3.2.4
  .......................................................................\
......................................  34 Implementation Identifying Information
4.2.3.3
  .......................................................................\
....................................................... ....... 34 Association Initiation Policy
4.2.3.3.1
  .......................................................................\
....................................................... ......... 34 Activity – Film Images
4.2.3.4
  .......................................................................\
....................................................... .. 40 Association Acceptance  Policy
4.3  .......................................................................\
............................................................. 40 NETWORK INTERFACE
4.3.1
  .......................................................................\
.................................................. 40 Physical Network Interface
4.4
  .......................................................................\
....................................................... ............... 41 CONFIGURATION
4.4.1
   ........................................................................\
.............................. 41 AE Title/Presentation Address Mapping
4.4.1.1  .......................................................................\
....................................................... .......................... 41 Local AE Titles
4.4.1.2
  .......................................................................\
..............................  41 Remote AE Title/Presentation Address  Mapping
4.4.1.2.1
  .......................................................................\
....................................................... ............................... 41 Storage
4.4.1.2.2
  .......................................................................\
....................................................... ............................. 41 Workflow
4.4.1.2.3
  .......................................................................\
....................................................... ............................ 41 Hardcopy
4.4.2  .......................................................................\
........................................................................... 42 Parameters
5
  .......................................................................\
....................................................... .............. 44 MEDIA INTERCHANGE
5.1
  .......................................................................\
.......................................................  44 IMPLEMENTATION MODEL
5.1.1
  .......................................................................\
....................................................... ... 44 Application Data Flow
5.1.2
  .......................................................................\
................................................. 44 Functional Definition of AEs
5.1.2.1  .......................................................................\
........................................ 44 Functional Definition of Application Entity
5.1.3  .......................................................................\
.................................... 44 Sequencing of Real-World Activities
5.1.4
  .......................................................................\
.............................................. 44 File Meta Information Options
5.2
  .......................................................................\
....................................................... .......... 45 AE SPECIFICATIONS
5.2.1
  .......................................................................\
...................... 45 Offline Media Application Entity Specification
5.2.1.1  .......................................................................\
................................  45 File Meta Information for the Application Entity 
						

							HD9 1.1.x DICOM Conformance Statement 989605375630044 Rev. B Page 7   
   
5.2.1.2  .......................................................................\
.......................................................
................. 45 Real-World Activities
5.2.1.2.1
  .......................................................................\
....................................................... ................ 45 Activity – Backup
6  .......................................................................\
.................................................. 47 SUPPORT OF CHARACTER SETS
7
   ........................................................................\
....................................................... .................................. 48 SECURITY
8
  .......................................................................\
....................................................... ................................... 49 ANNEXES
8.1
  .......................................................................\
....................................................... .................. 49 IOD CONTENTS
8.1.1
  .......................................................................\
.......................................................  49 Created SOP Instances
8.1.1.1  .......................................................................\
......................................................  50 US or US Multiframe Image IOD
8.1.1.2
 ........................................................................\
........................................... 50 Comprehensive Structured Report IOD
8.1.1.3
  .......................................................................\
....................................................... ..................... 51 Common Modules
8.1.1.4
  .......................................................................\
................................................ 53 US or US Multiframe Image Module
8.1.1.5
  .......................................................................\
.................................... 57 Comprehensive Structured Report Modules
8.1.2  .......................................................................\
......................... 59 Used Fields in received IOD by application
8.1.3
  .......................................................................\
....................................................... .......... 59 Attribute mapping
8.1.4
  .......................................................................\
......................................................  60 Coerced/Modified Fields
8.2
  .......................................................................\
........................ 60 DATA DICTIONARY OF P R I VAT E AT T R I B U T E S
8.3
  .......................................................................\
.............................. 60 CODED TERMINOLOGY AND TEMPLATES
8.4
  .......................................................................\
....................................... 60 GRAYSCALE IMAGE CONSISTENCY
8.5
  .............................................................. 60 STANDARD EXTENDED / SPECIALIZED / P R I VAT E SOP CLASSES
8.5.1
  ...................................................................... \
60 US OR US MULTIFRAME IMAGE STORAGE SOP CLASS
8.6
   ........................................................................\
............................................. 60 P R I VAT E TRANSFER SYNTAXES
9
  .......................................................................\
............................................ 61 STRUCTURED REPORT TEMPLATES
9.1
  .......................................................................\
....................................................... .... 61 TEMPLATES USED IN HD9
9.1.1
  .......................................................................\
................. 62 OB-GYN STRUCTURED REPORT TEMPLATE
9.1.1.1  .......................................................................\
......................... 62 OB-GYN Ultrasound Procedure Report (TID 5000)
9.1.1.2
  .......................................................................\
......................................................  63 Observation Context (TID 1001)
9.1.1.3
  .......................................................................\
...................................................  64 Patient Characteristics (TID 5001)
9.1.1.4
  .......................................................................\
..........................  65 OB-GYN Procedure Summary Section (TID 5002)
9.1.1.5
   ........................................................................\
......................................... 67 Fetal Biometry Ratio Section (TID 5004)
9.1.1.6
  .......................................................................\
...................................................  68 Fetal Biometry Section (TID 5005)
9.1.1.7
  .......................................................................\
.......................................................  70 Long Bones Section (TID 5006)
9.1.1.8
   ........................................................................\
................................................... 72 Fetal Cranium Section (TID 5007)
9.1.1.9
  .......................................................................\
....................................  73 Fetal Biophysical Profile Section (TID 5009)
9.1.1.10
  .......................................................................\
..............................................  74 Early Gestation Section (TID 5011)
9.1.1.11
  .......................................................................\
.................................................  76 Amniotic Sac Section (TID 5010)
9.1.1.12
  .......................................................................\
..........................................  77 Pelvis and Uterus Section (TID 5015)
9.1.1.13
  .......................................................................\
....................................................... ... 78 Ovaries Section (TID 5012) 
						

							HD9 1.1.x DICOM Conformance Statement 989605375630044 Rev. B Page 8   
   
9.1.1.14  .......................................................................\
................................................  80 Follicles Section - Left (TID 5013)
9.1.1.15
  .......................................................................\
.............................................  81 Follicles Section – Right (TID 5013)
9.1.1.16
 ........................................................................\
........... 82 OB-GYN Fetal Vascular Measurement Group (TID 5025)
9.1.1.17
  .......................................................................\
..........  84 OB-GYN Pelvic Vascular Measurement Group (TID 5026)
9.2  .......................................................................\
........................................ 86 DCMR CONTEXT GROUPS USED IN HD9
9.2.1
  ................................................................. 86 Gestational Age Equations and Tables (Context Group 12013)
9.2.2
  ............................................................. 87 OB Fetal Body Weight Equations and Tables (Context ID 12014)
9.2.3
  .......................................................................\
..... 88 Fetal Growth Equations and Tables (Context ID 12015)
9.2.4
  ........................................... 88 Estimated Fetal Weight Percentile E quations and Tables (Context ID 12016)
9.3
  .......................................................................\
.................................. 90 VASCULAR STRUCTURED REPORT TEMPLATE
9.3.1  .......................................................................\
................. 90 Vascular Ultrasound Report (Template ID 5100)
9.3.1.1  .......................................................................\
....................................................... ........... 90 Vascular PDE/Study Info
9.3.1.2
  .......................................................................\
............................................  90 Vascular Summary Section (TID 5102)
9.3.1.3
  .......................................................................\
..........................................  91 Vascular Ultrasound Section (TID 5103)
9.3.1.3.1
   ........................................................................\
.................... 94 Key to the tables used in the Vascular SR section
9.3.1.4
  .......................................................................\
..........  95 Vascular Measurement and Calculation used in Vascular SR
9.4  ........................................................ 104 ADULT ECHOCARDIOGRAPHY STRUCTURED REPORT TEMPLATE
9.4.1
 ............................................................... 104 Adult Echocardiography Procedure Report (Template ID 5200)
9.4.1.1  .......................................................................\
....................................................... ..... 104 Adult Echo PDE/Study Info
9.4.1.2
  .......................................................................\
........ 104 Echo Section Template (TID 5202) (Example: Left Ventricle)
9.4.1.3
  .......................................................................\
.................  105 Supported Echo Measurement Sections fromTID 5200
9.4.1.3.1
  .........................................  106 Adult Echo Measurements and Calculations used in Adult Echocardiography SR
 
 
  
						

							HD9 1.1.x DICOM Conformance Statement 989605375630044 Rev. B Page 9   
   
3 
INTRODUCTION 
3.1  REVISION HISTORY 
Document Version  Date of Issue Author  Description 
A June 17, 2010  M. Leif Addition of support for Vascular and 
Echocardography Structured Reports; 
other minor corrections 
B 
June 29, 2010  M. Leif Corrections and updates to several 
locations 
 
 
3.2 
AUDIENCE 
This document is intended for hospital staff, health system  integrators, software designers or implementers. It is 
assumed that the reader has a working understanding of DICOM. 
3.3  REMARKS 
DICOM, by itself, does not guarantee interoperability. Howe ver, the Conformance Statement facilitates a first-level 
validation for interoperability between different applic ations supporting the same DICOM functionality. 
This Conformance Statement is not intended to replac e validation with other DICOM equipment to ensure proper 
exchange of information intended. 
The scope of this Conformance Statem ent is to facilitate communication between the Philips HD9 1.1.x Ultrasound 
system and other vendors’ Medical equipment. The C onformance Statement should be read and understood in 
conjunction with the DICOM Standard [DICOM]. However, by  itself it is not guaranteed to ensure the desired 
interoperability and successf ul interconnectivity. 
The user should be aware of the following important issues: 
—  The comparison of different conformance statements is  the first step towards assessing interconnectivity between 
Philips Healthcare and non - Philips Healthcare equipment. 
—  Test procedures should be defined to vali date the desired level of connectivity. 
—      The DICOM standard will evolve to m eet the users’ future requirements. Philips Healthcare is actively involved in 
developing the standard further and therefore reserves the ri ght to make changes to its products or to discontinue 
its delivery. 
3.4    Important Note to the Reader 
Interoperability 
Interoperability refers to the ability of application functions, di stributed over two or more systems, to work successfully 
together. The integration of medical devices into an IT  environment may require application functions that are not 
specified within the scope of DICOM.  Consequently, using only the information provided by this Conformance 
Statement does not guarantee interoperability of Philips equipment with non-Philips equipment.    It is the user’s 
responsibility to analyze thoroughly the application requirem ents and to specify a solution that integrates Philips 
equipment with non-Philips equipment. 
  
						

							HD9 1.1.x DICOM Conformance Statement 989605375630044 Rev. B Page 10   
   
Validation 
Philips equipment has been carefully tested to assure t
hat the actual implementation of the DICOM interface 
corresponds with this Conformance Statement. Where Philip s equipment is linked to non-Philips equipment, the first 
step is to compare the relevant Conformance Statements. If the Conformance Statements indicate that successful 
information exchange should be possible, additional validation tests will be necessary to ensure the functionality, 
performance, accuracy and stability of image and image related  data. It is the responsibility of the user (or user’s 
agent) to specify the appropriate test suite and to carry out the additional validation tests. 
 
New versions of the DICOM Standard 
The DICOM Standard will evolve in future to meet the user ’s growing requirements and to incorporate new features 
and technologies. Philips is actively involved in this evoluti on and plans to adapt its equipment to future versions of the 
DICOM Standard. In order to do so, Philips reserves the right  to make changes to its products or to discontinue its 
delivery.    The user should ensure that any non-Philips provider linking to Philips equipment also adapts to future 
versions of the DICOM Standard. If not, the incorporati on of DICOM enhancements into Philips equipment may lead to 
loss of connectivity (in case of networki ng) and incompatibility (in case of media). 
3.5   DEFINITIONS, TERMS AND ABBREVIATIONS 
Definitions, terms and abbreviations used in this document are defined within the different parts of the DICOM standard. 
Abbreviations and terms are as follows: 
AE  DICOM Application Entity 
AET  Application Entity Title 
CD-R  Compact Disk Recordable 
DICOM  Digital Imaging and Communications in Medicine 
FSC File-Set Creator 
FSU File-Set Updater 
FSR File-Set Reader 
GSDF  Grayscale Standard Display Function 
IOD  (DICOM) Information Object Definition 
ISO International Standard Organization 
LOINC  Logical Observation Identifiers Names and Codes 
MPPS  Modality Performed Procedure Step 
MWL Modality Worklist 
R  Required Key Attribute for Modality Worklist Query Matching 
O  Optional Key Attribute for Modality Worklist Query Matching 
PDU  DICOM Protocol Data Unit 
PDE Patient Data Entry 
SCP  DICOM Service Class Pr ovider (DICOM server) 
SCU  DICOM Service Class User (DICOM client) 
SOP  DICOM Service-Object Pair 
SNOMED  Systematized Nomenclature of Medicine (SRT) 
U  Unique Key Attribute for Modality Worklist  Query Matching, or Optional Attribute 
US Ultrasound 
3.6  REFERENCES 
[DICOM] Digital Imaging and Communications in Medicine (DICOM), NEMA PS 3.1–3.18, 2007