GE Healthcare

Lunar
DICOM Configuration Supplement
Revision 6 – Part: LU17719
February-2019
DICOM Configuration Supplement

Table Of Contents
1.0 Overview ........................................................................................................ 2
Hardware Requirements .................................................................................................................................... 2
Customer IT Support Requirements ................................................................................................................... 2
2.0 DICOM Store .................................................................................................. 2
2.1. DICOM Store Application ............................................................................................................................ 2
2.2 DICOM Store Configuration......................................................................................................................... 6
2.3 DICOM Store Connectivity Options ........................................................................................................... 11
2.4 enCORE DICOM Archive .......................................................................................................................... 12
3.0 DICOM Query / Retrieve ............................................................................... 13
3.1 DICOM Store Query/Retrieve Feature ....................................................................................................... 13
3.2 Query / Retrieve Configuration SCP ........................................................................................................... 13
3.3 Query / Retrieve Configuration SCU........................................................................................................... 14
3.4 Query / Retrieve Procedure ........................................................................................................................ 15
4 DICOM Worklist ............................................................................................... 17
4.1 enCORE DICOM Worklist Application ....................................................................................................... 17
4.2 Creating a Worklist Query ......................................................................................................................... 18
4.3 Worklist SCP Configuration ........................................................................................................................ 20
4.4 Mapping HIS/ RIS codes .......................................................................................................................... 23
5 DICOM MPPS .................................................................................................. 24
5.1 MPPS Application ..................................................................................................................................... 24
5.2 MPPS Configuration.................................................................................................................................. 24
5.3 Mapping HIS/RIS MPPS Codes ................................................................................................................ 24
6 DICOM Print .................................................................................................... 26
6.1 Print Options ............................................................................................................................................. 26
6.2 Print SCP Configuration ............................................................................................................................ 26
6.3 Test DICOM Print ...................................................................................................................................... 27
6.4 DICOM Print Application ........................................................................................................................... 28
6.5 Previewing an Image................................................................................................................................. 30
7.0 Troubleshooting ........................................................................................... 33
7.1 DICOM Store and DICOM Print Troubleshooting....................................................................................... 33
7.2 Worklist and MPPS Troubleshooting .......................................................................................................... 34
7.3 Default TLS Certificates ............................................................................................................................. 35
DICOM Information Form.................................................................................... 36
Requirements .................................................................................................................................................. 36
Index ................................................................................................................... 39
The information in this manual is subject to change without notice. You may use or copy the software
described in this manual only in accordance with the terms of your software license, product warranty, or
service contract agreements. No part of this publication may be reproduced for any purpose whatsoever,
stored in a retrieval system, or transmitted in any form or by any means, mechanical, photocopying, recording
or otherwise, without the express written permission of GE Healthcare.
GE Healthcare makes no warranty of any kind with regard to this material, and shall not be held liable for
errors contained herein or for incidental or consequential damages in connection with the furnishings or use of
this manual.
Read this manual thoroughly before using the system or attempting to service any components. Unauthorized
service may void system warranties or service contracts. Consult GE Healthcare Lunar Support before
attempting any service: 800-437-1171.
LUNAR is a registered trademark of GE Healthcare. All other product and brand names are registered
trademarks or trademarks of their respective companies.
Copyright© 1999-2019
GE Healthcare, Madison, Wisconsin. All rights reserved.

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1.0 Overview

DICOM (Digital Imaging and Communications in Medicine) is a standard for transmitting medical imaging information
between devices. It includes a file format definition and a network communications protocol. enCORE's DICOM
Conformance Statement defines which DICOM classes it supports:
http://www.gehealthcare.com/usen/interoperability/dicom/products/boneden_dicom.html

There are seven DICOM services that are supported by the enCORE DICOM software. Store, Storage Commitment,
Modality Worklist, Modality Performed Procedure Step, Print, Query/Retrieve, and Verification. Store, Storage
Commitment, and Print are handled by the Lunar DICOM application. Modality Worklist, Modality Performed Procedure
Step, and Query/Retrieve are handled by the enCORE application.

enCORE is an SCU (Service Class User) for all services it supports. The PACS and RIS/HIS are the SCP (Service Class
Provider).

Hardware Requirements

The customer is expected to have the necessary network/ PACS/RIS/HIS infrastructure to utilize the enCORE DICOM
software.
• enCORE DICOM Store, Print, and Query/Retrieve features requires a networked, DICOM compliant, PACS.
DICOM Print requires a radiographic film printer.
• enCORE DICOM Worklist feature , requires a DICOM compliant Radiology or Hospital Information Server. In
some cases, the customer may need a PACS broker to convert the Information Server protocols into DICOM
Standard protocols before the Information Server can deliver patient information to the enCORE DICOM
program.

Customer IT Support Requirements

• The customer PACS administrator is expected to review the enCORE DICOM Conformance Statement
document to determine the compatibility of the enCORE DICOM components with the existing equipment.
• The customer PACS administrator must prepare the network connection and supply the AE Title, the IP
address, and the port number needed to communicate with their PACS or Information Server.
• The customer PACS administrator or IT personnel must be present during enCORE DICOM setup and
testing.

2.0 DICOM Store

2.1. DICOM Store Application

The DICOM Store service is used to send images or reports to a PACS. DICOM store is handled by the Lunar DICOM
application. This application is designed as two separate processes, Lunar DICOM and DICOM Queue. The Lunar
DICOM process automatically detects when new images are ready to send to the PACS. The DICOM Queue process
manages the queue of all store jobs, and sends the jobs on to the appropriate remote device. When enCORE software is
installed on your computer, the enCORE installation program will also install a Lunar Image Plus Printer driver into your
printers folder. Do not delete this driver.
Note: If you purchase the DICOM option for an existing system, rerun the installation program and enter the updated
feature code to install the Lunar DICOM application.

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 4.0 enCORE DICOM Store

2.1.1 Start Lunar DICOM

The Lunar DICOM program should be started from the computer Desktop icon before starting the
enCORE program. Double click the Lunar DICOM icon to open the two windows of the program.
Note: Lunar DICOM and DICOM Queue must be running in order for images created by the enCORE application
to reach the PACS.

Two program bars will be seen in the taskbar of the desktop screen. Both the Lunar DICOM and the DICOM
Queue processes are running.

The DICOM Store feature allows you to send a variety of images or reports to the PACS system. enCORE
DICOM Store option converts the bone density report or image into a DICOM file format before pushing it out to
the customer's PACS.

Images/ Reports are initially created as TIFF

images by enCORE.

Lunar DICOM checks the Reports folder and

sends any pending jobs on to DICOM Queue.

The file is then exported

out of the DICOM Queue in a DICOM file format (
*.dcm) to the PACS.

Store Software Process

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enCORE DICOM Configuration

2.1.2 Accession Number

An Accession number is a database record identifier used to identify a patient study. If the customer desires to
have an accession number associated with the DICOM report, the number must appear in the enCORE Edit
Information screen of the exam. Select the Secondary information tab and assign Exam ID with the appropriate
accession number.

2.1.3 Sending an Image or Report to DICOM

To send an image to DICOM storage, the user presses the Report button within enCORE after opening an exam.

Place a check in front of the DICOM option in the Report Center.

It is strongly recommended that you acquire scans using OneVision in order to save all scans and reports as one
exam folder.

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 4.0 enCORE DICOM Store

DICOM
Measurement Screen Directory Screen Report Selections

enCORE Exam to Lunar DICOM Overview

2.1.4 Viewing the Job Status

As the report is sent, a progress indicator will appear briefly. The DICOM Queue window will provide the status of
the job.

The job queue shows all store requests.

The queue processes sequentially through all jobs, logging errors or completion status in the Job Status field.

Halt
The user can halt or resume queue processing in the lower right corner of the DICOM Queue window.

Delete
The user can delete jobs manually from a halted queue.
In the DICOM Queue select File / Delete...

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enCORE DICOM Configuration

2.2 DICOM Store Configuration

2.2.1 DICOM Queue Window

In order to send files successfully, enCORE needs to know the AE Title, IP address, and Port Number of the
remote DICOM node. From the DICOM Queue menu, configure the remote store node.

Click on the DICOM Queue bar.

At the top of the DICOM Queue window, select Nodes/ Edit Node List.

Click on the Add button.

The DICOM Queue can be configured with multiple store nodes

The setup screen will require the correct PACS information from the customer's IT or PACS
administrator:

A. Name – Assign a name to uniquely identify this node.

B. IP address – Enter the TCP/IP address or host name of the PACS
C. AE Title – Enter the application entity title of the PACS (case sensitive)
D. Port Number – Enter the port number of the PACS
E. Images can be stored in either RGB, Palette Color, or Monochrome

F. The DICOM Storage Commitment service is used to confirm that an image

has been permanently stored by a DICOM archive.
AE Title - Enter the application entity title of the DICOM archive (case sensitive)
Port Number - Enter the port number of the DICOM archive

Click on Save.

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 4.0 enCORE DICOM Store

2.2.2 DICOM Store TLS Configuration

TLS for DICOM Store operations can be enabled and configured in the Report Node Information dialog. The
workstation will always ask for the destination node’s certificate and authenticate it before establishing a secure
connection.

Click on the Configure TLS button.

• Send Certificate to Server. Enable this checkbox to allow enCORE to

send a selected certificate to the DICOM destination node for
authentication. This is referred to as mutual TLS authentication (mTLS).
For this to work, the server needs to know about the certificate you are
choosing to send (i.e. add this certificate to the server’s trust store).
• Import Certificate. Pressing this button will open a window for the user to
choose a .PFX certificate file stored on the computer that they wish to add
to the personal certificate store of the current user.

See section 7.3 Default TLS Certificates

2.2.3 DICOM Store Connection Verification

The DICOM Verification service is used to test communications between Lunar DICOM and the
PACS.

From the DICOM Queue menu select Nodes/Edit Node List. Select the SCP from the list, you
wish to test from.
Click the Test button.

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enCORE DICOM Configuration

Click on the Get Status From Node button that appears on the right side of the screen.

A Popup window will indicate the status of the connection to the PACS server. A
message box will indicate one of the following:
• The server is not available.
• The remote node responded normally.

2.2.4 DICOM Store SCU Configuration Settings

The Lunar DICOM application is referred to as an SCU.
If necessary, the Lunar DICOM's AE title can be changed by selecting Configure
SCU Settings from the DICOM Queue File menu.

In the DICOM Queue window select File/ Configure SCU Settings.

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 4.0 enCORE DICOM Store

• AE Title The default Application Entity Title for Lunar DICOM is

GELUNAR. It may be edited with the approval of your PACS
administrator.
• Modality OT is the default modality. If OT is not compatible with the
PACS specifications, it may be changed to one of the modalities identified
in the DICOM Standard.
• Max PDU size 16384 is a standard packet size and should not be edited
unless the PACS administrator has requested it.
• Timeout These are the network timeouts These may be increased if
network speeds are slow.
• Enable Transaction Log Check this box to enable the details of the
DICOM transactions to be stored in a MergeStore.log file for
troubleshooting purposes ( Program Files\LUNAR\DICOM\Config ). For
more information see the Chapter 9 on Troubleshooting.
• Use Extended Character Sets Check this box to enable the use of
alternative character sets other than the base ASCII set.
• Use GB18030 Encoding for Chinese Characters (UTF8 if Unchecked)
If the system locale is set to China, check this box to encode characters
using GB18030 rather than UTF8 (ISO_IR 192).
• Enable ISO-IR 13 for Japanese Characters If the system locale is set to
Japan, check this box to enable Katakana character encoding. Kanji and
Hiragana are enabled by default and not dependent on this checkbox.

The PACS must also be configured to accept information from Lunar DICOM's AE
title and TCP/IP address and port number.

2.2.5 Lunar DICOM Window

The Lunar DICOM process can be configured to automatically detect when new images are ready to send to the
PACS.

A. Report Transfer Setup

From the Lunar DICOM menu, you can select the active DICOM storage node.
Click on the Lunar DICOM bar at the bottom of the screen to view the Lunar DICOM window.

Click on File /Report Folder Setup to open the Report Transfer Installation Settings dialog.

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enCORE DICOM Configuration

• Show Report Status at Startup. This option will prompt the user if the last DICOM job was
not sent and remains in the DICOM Queue.
• Report Folder Location is a temporary location for enCORE *.tif files before they are
pushed out as *.dcm files. Click on the Browse button to view or change the location of
these files.

• Report Node should display the current destination name of the remote node(s). If the
correct destination node is not visible, click on the Change Node button.
• Report Transfers feature provides the option to send transfers manually. The default is to
Automatically check for new reports. The frequency of the automatic check can be edited
by entering in the desired polling rate.

• Emergency clear for semaphore flags. A semaphore is a variable with a value that
indicates the status of a common resource. It is used to lock the resource that is being used.

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 4.0 enCORE DICOM Store

Lunar DICOM and enCORE use semaphores ( in the form text files ) to signal each other
when either application is busy. enCORE creates a semaphore file during acquisition to lock
out any DICOM store requests. Lunar DICOM creates a semaphore file during image
storage to lock out any image acquisitions. Normally these files will be automatically deleted
when the application is finished performing its process. The semaphore emergency clear
button in Lunar DICOM can be used if the semaphore is not cleared properly. This could
happen if there is an error during a semaphore deletion attempt or user reboots in middle of
a process.

2.3 DICOM Store Connectivity Options

The enCORE application allows the user to configure the type of images or reports that will be sent
to DICOM storage. Access the configuration settings through Tools/Connectivity Options.

2.3.1. Store Image option will send the scan image only. Include ROIs option will draw ROIs on the
image.

2.3.2. Include XML tags checkbox will add all the DXA results to the image comments tag (0020, 4000) within
the DICOM file in XML format. These values can be used by custom reporting software.

2.3.3. Update UID when reanalyze. Every time you send a new report or image to PACS a unique identifier or
UID is sent along in the DICOM file. If you resend the same report or image to PACS, the second set may
overwrite the first set on the server or be rejected by the server. To avoid data loss when more than one analysis
has taken place, check the Update UID option.

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enCORE DICOM Configuration

2.3.4. Store Structured Report option requires that the PACS is capable of receiving DICOM SR data. DICOM
SR documents contain hierarchically structured content of DXA results. The PACS DICOM viewer must be
capable of displaying Enhanced SR to properly display the structured report.

2.3.5. Store report option will send any reports that are selected in the Report Center. Reports can be
sent in either Secondary Capture or Encapsulated PDF DICOM format.

2.3.6. Store Report graphics only selection will send a DICOM image for each image on the report. All report
images can also be sent as one DICOM image with the Compress report graphics into a single DICOM image
option. The user also has control over the height and width of the images.

2.3.7. Restrict IP Type to IPv4 option should be checked if IPv6 addresses for SCP providers are not used. If
IPv6 support is required, uncheck this option. Some older SCP providers with an IPv4 address will not function
appropriately with this unchecked. This will change both Lunar DICOM and enCORE settings.

Note: Increasing the size of a DICOM image will also increase the file size that is sent.

2.4 enCORE DICOM Archive

enCORE image files can be Archived in a standard DICOM format to PACS as part of the DICOM Store process.

1. Go to the Directory screen.

2. Find the Edit Database tool in the left panel. If these tools are not visible, click the "More>>"
button.

3. Select the Archive/Backup settings.

4. Check the "Store to DICOM" option.

5. Select the correct DICOM Archive Node from the drop-down menu.

DICOM Archive to PACS is a "Copy" of the original image. The original image is left in the enCORE database.
DICOM Archive is labeled as; DICOM (Copy) : Node name in Directory.

Note: The Node list is pulled from the DICOM Store setup.

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3.0 DICOM Query / Retrieve
3.1 DICOM Store Query/Retrieve Feature

The DICOM Query/Retrieve service allows an enCORE workstation to query the PACS for a list of enCORE
exams previously archived to PACS and retrieve them.

The following Q/R parameters are configurable:

• Q/R SCP AE title, IP address, port
• Timeouts
• Maximum number of query responses accepted
• Q/R attributes used
When a standard storage SCP is configured in Lunar DICOM, it may also be selected as the enCORE image
archive location. See 2.4 DICOM Archive/Copy section for more information.

3.2 Query / Retrieve Configuration SCP

1. Start the DICOM Store application.

2. Open the DICOM Queue window and select Nodes.

3. Fill in the additional information in section B to enable Query/Retrieve scans from PACS .

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enCORE DICOM Configuration

Store

Query/
Retrieve

3.3 Query / Retrieve Configuration SCU

1. In the enCORE application, go to Tools/ Connectivity Options. Select the DICOM tab.
2. Click on the Configure Connections button.

3. Check the option box for Enable Q/R Store SCP.

4. The default enCORE Q/R port is 104 and is configurable. This needs to match what is entered on the PACS.

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 4.5 DICOM Query/ Retrieve

3.4 Query / Retrieve Procedure

Initiate a DICOM Patient/Study Query from the Directory screen.

1. Select Directory / DICOM Q/R from the enCORE menu bar to work through the Query sequence. The
DICOM Q/R step 1 window will open. Enter desired patient information for query and then click Next.

2. The results will list the Studies available in the PACS. Highlight your study choice.
Click Next for further selection options. Click Finish to retrieve All images for this study.

3. Click Next to view the Series list. Highlight the specific Series.
Click Next for further selection options. Click Finish to retrieve all the images linked to the selected Series.

4. Click Next to view the Image list. Select the specific image to be retrieved.

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enCORE DICOM Configuration

5. Click the Finish button at any time to retrieve the image.

The operator may cancel the Q/R by pressing a cancel button on the screen during the Q/R operation.

After retrieving a DICOM file, enCORE will extract the scan data and restore the scan into the enCORE system
in its native format.

Note: If the exam being retrieved is not a new version of the exam, but is the same version or earlier version than
already resides in the local database, no retrieval takes place.

DICOM Q/R is also possible by a right-click on the Patient or Exam List in the Directory screen:

1. Right click the Patient or the Exam to be retrieved.

2. Select DICOM Q/R from the drop-down menu.

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4 DICOM Worklist

4.1 enCORE DICOM Worklist Application

The DICOM Worklist service allows enCORE to obtain details of patients and scheduled exams from a RIS/HIS system,
avoiding the need to enter such information multiple times.

The enCORE DICOM Worklist feature is part of the enCORE program. After DICOM Worklist is
configured, it will pull the patients who have been entered into the HIS/RIS and are scheduled for a
bone density exam when the Measure tool is selected. The requirements and configuration details
are covered within this chapter.

4.1.1 Using the Worklist Application

A. To query a worklist provider, for scheduled exams, press the Measure button.

The list that appears is a direct result of the Query used.

See 4.2 Creating a Worklist Query. Some queries require the user to enter information,
while other queries do not. The Worklist Wizard is displayed with the worklist items returned
from the RIS/HIS that matched your query criteria.

Click the More Info button to

see the complete list of data
elements that were requested
for the selected worklist item.

The RIS/HIS will return all

return key attributes you
specify in addition to the
matching key attributes
specified by your query.

The list of return key attributes

is configurable. See 4.4
Mapping HIS/ RIS Codes.

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enCORE DICOM Configuration

B. Verify the Patient information

If the patient name and birth date or patient ID do not match what is in the current database, the software will
assume it is a new patient. If a match exists in the current database, the software presents the user with the
opportunity to select the patient already in the database or create a new patient.

C. Click Next to continue.

4.2 Creating a Worklist Query

The enCORE application allows the user to configure the matching key attributes which are used to
determine whether an entity matches the query. A single default query if provided, Today’s Patients,
which specifies all patients scheduled to be scanned with today's date and scheduled as an OT modality.

A. To examine the default query, or create a new query, select

Tools/Connectivity Options/Dicom tab within the enCORE software.

Enable DICOM Worklist by checking Directory in Worklist Mode.

Click on the Configure Queries button.

Click on the Add button. The right side of the button is a quick link to select an existing query
from an existing template.

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 5.0 DICOM Worklist

1. Name the new Query so that

it may be selected later.

2. Describe the condition(s)

used for the query.

3. The conditions selected will

appear in the lower window.

Click on Add button.

Conditions are created by selecting from two to three criteria.

Highlight the desired query conditions.

Date queries support range of date matching. Name queries support wildcard matching ( i.e. "W* ). All other
queries support single value matching only. If a query is setup using Patient Name, Patient ID, or Accession
Number, you will be prompted to type in a specific value when you query for the Worklist.

Click OK when the conditions for the query are completed.

Highlight your new Query and click on the Save button to make this query the new default.

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enCORE DICOM Configuration

A prompt will appear when this query is used.

4.3 Worklist SCP Configuration

The Worklist is provided by a RIS/HIS. To configure the Worklist SCP, select Tools/Connectivity
Options/DICOM tab.
Click on the Configure Connections button.

Click Add in the Worklist SCP Settings section to add a new Worklist SCP. The AE Title, Name, TCP/IP Address
and Port # must always be supplied by the customer's IT department. Note: The AE Title is case sensitive.

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 5.0 DICOM Worklist

The SCP Settings dialog allows the user to enter a name, AE title, TCP/IP address and port number for the
remote DICOM worklist SCP (HIS/RIS).

The DICOM Verification service is used to test communications between enCORE and the RIS/HIS. Click the
DICOM Echo Test button in the Worklist SCP Settings dialog.

4.3.1 SCU Configuration Settings

If necessary, enCORE’s SCU settings can be changed in the DICOM Connections
dialog.

• AE Title. The default Application Entity Title for enCORE is GELUNAR. It

may be edited with the approval of your PACS administrator.
• Modality. OT is the default modality. If OT is not compatible with the
RIS/HIS specifications, it may be changed to one of the modalities
identified in the DICOM Standard.
• Max PDU size. 16384 is a standard packet size and should not be edited
unless the RIS/HIS administrator has requested it.
• Timeout. These are the network timeouts These may be increased if
network speeds are slow.
• Enable Transaction Log. Check this box to enable the details of the
DICOM transactions to be stored in a MergeWorklist.log file for
troubleshooting purposes ( Program Files\LUNAR\enCore\Config ). For
more information see the Chapter 9 on Troubleshooting.
• Enable Character Encoding. Check this box to enable the character set
tag to be sent when necessary for worklist queries, Q/R retrieval, or MPPS
messaging.
• For systems with the locale set to China, an additional check box asking
which type of encoding to use is present. When checked, GB18030 (Big 5)
encoding is used. When unchecked, UTF8 is used.
• For systems with the locale set to Japan, an additional check box asking to
enable or disable Katakana (ISO-IR 13) encoding is present. When
enabled, it is used in place of ASCII encoding. Kanji and Hiragana are
enabled by default and not dependent on this checkbox.

The RIS/HIS must also be configured to accept information from enCORE's AE

title and TCP/IP address.

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enCORE DICOM Configuration

4.3.2 SCU TLS Settings

If necessary, enCORE’s TLS settings can be changed in the DICOM Connections dialog as well. If TLS is
enabled, the workstation will always ask for the destination node’s certificate and authenticate it before
establishing a secure connection.

• Use TLS Encrypted Connection. Enable this checkbox to use TLS

connection which includes encryption and node authentication between
DICOM nodes when performing a Worklist Query or Procedure Step call.
• Send Certificate to Server. Enable this checkbox to allow enCORE to
send a selected certificate to the DICOM destination node for
authentication. This is referred to as mutual TLS authentication (mTLS).
For this to work, the server needs to know about the certificate you are
choosing to send (i.e. add this certificate to the server’s trust store).
• Import Certificate. Pressing this button will open a window for the user to
choose a .PFX certificate file stored on the computer that they wish to add
to the personal certificate store of the current user.

See Section 7.3 Default TLS Certificates

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 5.0 DICOM Worklist

4.4 Mapping HIS/ RIS codes

The customer HIS/ RIS may use a specific coding standard to identify procedures or specify patient attributes.
For example; the server may use the code bd0010 for an AP Spine scan. These codes need to be "mapped" to
the enCORE program so that enCORE can exchange information correctly with the SCP. The list of modality
worklist query return key attributes is configurable. This specifies which DICOM attributes, in addition to the
matching key attributes are to be returned by the SCP.

Click on the Configure Attributes button.

Select an attribute to map or uncheck attributes that are not used by the SCP.

Note: Some attributes are mandatory and cannot be unchecked.

To map an attribute, highlight the attribute and click on the Map HIS Codes button at the bottom of the screen.

Note: Only certain attributes can be mapped. These are:

Patient Sex, Ethnic Group, Requested Procedure, Scheduled Protocol, Performed Procedure and Performed
Protocol.

The attributes and mappings are stored in the ProtocolQuery.xml file in the enCORE Config folder.

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5 DICOM MPPS

5.1 MPPS Application

The DICOM Modality Performed Procedure Step (MPPS) service is used to indicate that a procedure has been
performed. The MPPS message indicates to the PACS or RIS/HIS when a DXA exam is started and when it is
completed.

When an exam is completed, the RIS/HIS may remove the scheduled procedure from the DICOM Worklist.
MPPS is not supported by all HIS/RIS systems. Therefore, the MPPS SCP settings should only be filled in if
HIS/RIS supports this feature.

5.2 MPPS Configuration

To configure the MPPS SCP, select Tools/Connectivity Options/DICOM tab.

Click on the Configure Connections button.

Click Add in the MPPS SCP Settings section to add a new MPPS SCP. The AE Title, Name, TCP/IP Address
and Port # must always be supplied by the customer's IT department. Note: The AE Title is case sensitive.

The SCP Settings dialog allows the user to enter a name, AE title, TCP/IP address and port number for the
remote DICOM MPPS SCP (PACS or HIS/RIS).

The DICOM Verification service is used to test communications between enCORE and the MPPS SCP. Click
the DICOM Echo Test button in the MPPS SCP Settings dialog.

5.3 Mapping HIS/RIS MPPS Codes

The customer HIS/ RIS may use a specific coding standard to identify procedures or specify patient attributes.
For example; the server may use the code bd0010 for an AP Spine scan. These codes need to be "mapped" to

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 6.0 DICOM MPPS

the enCORE program so that enCORE can exchange information correctly with the SCP. The list of MPPS
attributes is configurable. This specifies which DICOM MPPS attributes are sent to the SCP.

Click on the Configure Attributes button.

Select an attribute to map or uncheck attributes that are not used by the SCP.

These are the attributes that will be sent to the SCP in the MPPS N-CREATE message when an exam is started.

These are the attributes that will be sent to the SCP in the MPPS N-SET message when an exam is completed.

To map an attribute, highlight the attribute and click on the Map HIS Codes button at the bottom of the screen.

Note: Only certain attributes can be mapped. These are:

Patient Sex, Ethnic Group, Requested Procedure, Scheduled Protocol, Performed Procedure and Performed
Protocol.

The attributes and mappings are stored in the ProtocolQuery.xml file in the enCORE Config folder.

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6 DICOM Print

The DICOM Print service is used to send images to a DICOM printer A film printer is required.

6.1 Print Options

The enCORE application allows the user to configure if they want to send an image to a DICOM printer. Access the
configuration through Tools/Connectivity Options/ DICOM tab.

Place a check in the Send image to DICOM printer to enable the DICOM print feature.

The print folder may be reconfigured to hold the image file where needed. The default location is: D:\Program
Files\LUNAR\DICOM\LunarImages

When printing images from enCORE, the scan ROIs can be included or excluded.
To include ROIs on the scan image, check the Include ROIs checkbox.

The Image DPI is configurable. This should be changed to match the requirements of the film printer. Note:
Increasing the DPI will also increase the image file size.

6.2 Print SCP Configuration

DICOM print is handled by the Lunar DICOM application. The Lunar DICOM process is used to open an image and send
it to a DICOM printer. The DICOM Queue process manages the queue of all print jobs and sends the jobs on to the
appropriate remote device.

1. From the DICOM Queue menu, you can configure the remote print SCP.
Select Printers/Edit Printer List to open the DICOM Printer dialog.

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 8.0 DICOM Structured Report Application

2. Click the Add button to add a new printer.

The Printer Information dialog allows you user to enter a name, AE title, TCP/IP address and port number for the
remote DICOM printer. The TCP/IP address is often in dotted quad notation. If the customer site is running DNS,
a user friendly name can be assigned to the store node instead.

3. Click on the Save button.

6.3 Test DICOM Print

The Printer Test dialog allows the user to test communications with a print SCP or send a test ramp image to the SCP.

1. Select the Test button to open the Printer Test window..

There is a Print Test Image option in the upper portion of the screen and a Printer Status option in the lower
portion of the screen.

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enCORE DICOM Configuration

2. Click on the Get Printer Status button to verify the connection with the film printer.

If there is a connection with the printer, the status will be reported as "Normal". If the connection is not made, a
warning message will appear in a pop-up window.

3. Enter the desired printer test options for image gamma and print size.

4. Click on the Print Test Image button.

This will send a default test image to the assigned film printer. The DICOM Queue will display the status of the
print job.
Close the Print Test window to view the DICOM Queue.

The DICOM Queue process manages the queue of all print jobs and sends the jobs on to the appropriate
remote device.

6.4 DICOM Print Application

1. Open the enCORE image on screen.

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 8.0 DICOM Structured Report Application

Click the Reports button within enCORE.

2. Check the DICOM checkbox. Click OK to send the image to the D:\Program
Files\LUNAR\DICOM\LunarImages folder.

A progress window opens.

3. Maximize the Lunar DICOM window.

4. Preview an Image. Click on File / Open in the Lunar DICOM window.

5. All queued requests will be displayed.

Highlight the image to preview.

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enCORE DICOM Configuration

6. Click on the Preview button.

7. Click on the film printer button located in the right display window. A message above the button will
confirm it was "sent to printer".

8. The process may be monitored from the DICOM queue window. DICOM queue processes sequentially
through all jobs, logging errors or completion status in the Job Status field. The user can halt or resume
queue processing and delete entries from a halted queue.

6.5 Previewing an Image

You can preview DICOM images before sending them to the DICOM printer. Set the Transfer option to Manual to use the
viewer. Select File / Report Folder Setup to configure the transfer options.

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 8.0 DICOM Structured Report Application

1. Click on File / Open in the Lunar DICOM window.

All queued requests will be displayed.

Note: Use the Browse button to navigate to the folder where the TIF images reside.

2. Highlight the image to preview.

3. Click on the Preview button.

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enCORE DICOM Configuration

4. Click on the film printer button located in the right display window. A message above the button will
confirm it was "sent to printer".

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7.0 Troubleshooting

7.1 DICOM Store and DICOM Print Troubleshooting

From the DICOM Queue window select Nodes/ Edit Node List.
A. "Get Status from Node" test fails.
AE Title, IP address or Port number are incorrect. If verified correct, check the PACS to confirm it is
configured to receive associations from Lunar DICOM.
The network connection has failed.

B. Enable the DICOM Transaction log before continuing.

Enabling this option will provide the details of each transaction and it's syntax. This is useful in
determining where a transaction failure occurs.
Go to the DICOM Queue window.
Click on File/ Configure SCU Settings.
Check the Enable Transaction Log checkbox.

Restart the program and attempt to send to DICOM Store or DICOM Print.

C. Information to Retrieve when problems occur:

enCORE software version. Click on Help/ About in enCORE.

The DICOM feature (s) in use.

The exact description of problem. What is seen on screen and when it occurs.

In enCORE, go to Tools\Send Configuration.

Check Error Log, Configuration Files and DICOM Logs.

The Image file (s) that fail. Retrieve either the *.tif or *.dcm file. A *.tif file is found in
the D:\Program Files\LUNAR\DICOM\ Reports folder and a *.dcm file is retrieved
from the PACS server.

The PACS server log in ASCII format if possible. enCORE does not have access to
the SCP log file. The customer's PACS administrator is needed to review this
information.

D. Viewing the Store/Print Log File

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enCORE DICOM Configuration

The file “MergeStore.log” is located in the directory where Lunar DICOM was installed to.
By default it will be installed at D:\Program Files\LUNAR\DICOM\Config The MergeStore.log contains
error information for failed jobs.

E. Other Errors
If there are unsent reports still in the Queue as you start DICOM, a window providing several
options will appear.

Send Manually Later will continue to hold the message in the Queue.
The Change Destination button will open a window to select a new destination node.
Send Reports Now will resend the pending job.

Important: Leaving unsent messages in the Queue will continue to utilize system resources.
A warning is generated if DICOM images remain in the Reports Folder as the DICOM program
closes.

If an attempt is made to close the DICOM program while there are still unsent jobs in the Queue,
you will receive the above message. Press DELETE to remove these reports or RETRY to save
them for retry later.

7.2 Worklist and MPPS Troubleshooting

From enCORE's Tools/ Connectivity Options/ DICOM tab, click on the DICOM Worklist Configure Connection
button.

A. "DICOM Echo Test" fails.

• The network connection
• AE Title, IP address or Port # are incorrect. If verified correct, check the HIS/RIS to
confirm it is configured to receive associations from enCORE.

B. Enable the DICOM Transaction log before continuing.

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 9.0 Troubleshooting

Go to the Configure Connection window.

Click on File/ Configure SCU Settings.
Check the Enable Transaction Log checkbox.
You can increase the Timeout settings to 60 for slower networks.
Click OK and restart enCORE. Run a Worklist query.

C. Information to Retrieve when problems occur.

enCORE software version. Click on Help/ About in enCORE.

The DICOM Worklist feature (s) in use. Is MPPS used?

The exact description of problem. What is seen on screen and when it occurs.

In enCORE, go to Tools\Send Configuration.

Check Error Log, Configuration Files and DICOM Logs.

The HIS/RIS server log in ASCII format if possible. enCORE does not have access to
the SCP log file. The customer's IS administrator is needed to review this
information.

D. Viewing the Worklist and MPPS Log Files

The MergeWorklist.log contains the transaction information for enCORE Worklist and MPPS.
The MergeWorklist.log file found in D:\Program Files\LUNAR\encore\Config folder.

7.3 Default TLS Certificates

Default client certificates used for establishing a TLS connection are located in the enCORE installation folder.
The folder contains a default certificate authority (CA), and a user certificate signed by the CA to establish a
chain of trust. These certificates can be imported using the TLS setup dialog in enCORE or Lunar DICOM. The
import function will place these certificates in the appropriate Microsoft certificate stores.

• enCORE_CA.p12 – Importing this certificate will place it in the user’s Trusted Root Certification
Authorities.
• enCORE_USER.p12 – Importing this certificate will place it in the user’s Personal Certificates

For a successful connection to be established, the remote system will have to have knowledge of these
certificates to verify they are valid.

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DICOM Information Form
Dear Customer,
Thank you for inquiring about the GE Healthcare Lunar DICOM option on your Bone Densitometer. Below is a list of the
settings required by the GE Healthcare Lunar Field Engineer for DICOM setup. On the following pages, you will find
some key information and requirements. Please carefully review and fill out the required fields prior to the Field Engineers
arrival on site. To insure a smooth installation this form should be faxed back to Lunar headquarters.
Fax: 608-826-7107, attention: DICOM Configuration. Service will call you to confirm your settings and provide any additional
information needed to complete the setup of your DICOM User PC. Refer to DICOM Configuration Manual for additional details.

Requirements

PC Network Interface Card setup

1. TCP/IP configuration (DHCP or Static Address)
2. If static provide the IP address, Subnet mask and Default gateway.
PACS
1. The Server name or its IP address.
2. PACS AE Title
3. The Port #.
4. Does the PACS provider require RGB color converted to Monochrome or can
it manage
RGB color converted to Palette color? The default setting is Palette color
conversion enabled.
5. Image DPI. Number from 80 to 150. Default is 100 DPI.
6. Modality (Default is OT.)
DICOM Worklist Setup
1. Broker name
2. AE Title
3. IP Address
4. Port #
5. Modality (Default is OT.)
DICOM Worklist MPPS Setup (if required)
1. Broker name
2. AE Title
3. IP Address
4. Port #

The GE Healthcare Field Engineer will:

• Enable and configure network connection on Lunar computer.

• Install required software.
• Enter required information into DICOM software.
• Test communication with server, after entering required fields, via DICOM
software.

Prior to Service, the Customer Should:

• Answer the below questions.

• Have all required hardware installed prior to service
• Have faxed this back to GE Lunar.
• If required coordinate with any third party’s that need to be involved.
• Set aside time for configuration and testing of new Modality connection.

Does the server accept “OT” modalities? Yes _____ No _____

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 10 DICOM Fax Back Form

Is the server able to accept a new Modality? Yes _____ No _____

Is there an active or live RG45 network connection located in the room with the Lunar
computer?
Yes _____ No _____
Is there a cable from the network jack to the Lunar computer? Yes _____ No _____ (The
customer is to provide the cable and connect the PC to the network.)

Please fill out the following information:

Contact Information
Primary Contact: _________________________
Telephone: ______________________________
Fax: ______________________________
Address: ______________________________
______________________________

Project Manager / IS-IT dept:

Telephone: _________________________
Fax: _________________________
Other: _________________________

Lunar PC Network Interface Card setup (if static address required):

1. IP address: ____________________

2. Subnet mask: ____________________

3. Default gateway: ____________________

PACS DICOM Store SCP Information

1. SCP TCP/IP address or network name: _______________________

2. SCP AE Title: __________________________

3. SCP Port #: __________

4. Do you require RGB image format? Yes ____ No ____ (If you don’t know default is no.)

5. Image DPI. Number from 80 to 150: _____ (Default is 100)

6. Modality: _____ (if specific modality is required) (Default is OT)

7. Transport Layer Security (TLS) Enabled? Yes_____No_____

If Yes, Use Customer Default Certificates? Yes_____No_____

8. IPv6 Enabled? Yes_____No_____

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enCORE DICOM Configuration

DICOM Worklist (DMWL) SCP checklist DMWL MPPS SCP checklist (if required)

1. SCP AE Title: __________________ 1. AE Title: ________________

2. SCP Name: ___________________ 2. Name: __________________

3. SCP TCP/IP address: __________________ 3. TCP/IP address: ________________

4. SCP Port Number: __________________ 4. Port Number: __________________

5. Transport Layer Security (TLS) Enabled? 6. IPv6 Enabled?

Yes_____No_____ Yes_____No_____

CO#L11347 10/2005

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 10 DICOM Fax Back Form

Index
A P
Application Entity ......................................................... 8 PDF .......................................................................... 10
Archive ...................................................................... 11 Previewing an Image................................................. 29
C Print
Customer Requirements .............................................. 2 Preview ................................................................. 28
D Q
DICOM Print .............................................................. 25 Query / Retrieve ........................................................ 12
DICOM Queue ............................................................. 5 port ........................................................................ 13
DICOM Store ...............................................................2 SCP ....................................................................... 12
Accession Number ................................................... 3 SCU ...................................................................... 13
AE Title ................................................................ 6, 8 R
Configuration............................................................ 5 Report Node................................................................ 9
Edit Node .................................................................6 Report Transfers ......................................................... 9
Enable Transaction Log ........................................... 8 S
IP address ................................................................6 Service Class Provider (SCP) ..................................... 2
Job Status ................................................................5 Service Class User (SCU) ........................................... 2
Max PDU size .......................................................... 8 Store Image .............................................................. 10
Modality ................................................................... 8 Store Report.............................................................. 10
Port Number.............................................................6 Store Report graphics only ........................................ 10
Report Transfer Setup .............................................. 8 Store Structured Report ............................................ 10
SCU Configuration ................................................... 7 T
Storage Commitment ............................................... 6 TIFF ............................................................................ 3
Timeout .................................................................... 8 Troubleshooting ........................................................ 32
Verification ............................................................... 6 U
E Update UID when reanalyze...................................... 10
Emergency clear for semaphore flags .......................... 9 W
Exam ID.......................................................................4 Worklist ..................................................................... 16
F AE Title.................................................................. 21
Fax Back Form .......................................................... 35 Enable Transaction Log ......................................... 21
H HIS/RIS codes ....................................................... 21
Hardware Requirements .............................................. 2 Max PDU size........................................................ 21
I Modality ................................................................. 21
Include XML tags ....................................................... 10 SCP ....................................................................... 20
M SCU ...................................................................... 20
Modality Performed Procedure Step (MPPS) ............. 23 Timeout ................................................................. 21
Configuration.......................................................... 23 Worklist Query .......................................................... 18
Mapping HIS/RIS MPPS Codes ............................. 23

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