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Date: Sep, 15th 2015
Version 6.0
www.zeiss.com/med
This document is structured as suggested in the DICOM Standard (PS 3.2 Conformance).
3.2 Audience
This document is written for the people that need to understand how VISUCAM will integrate into
their healthcare facility. This includes both those responsible for overall imaging network policy and
architecture, as well as integrators who need to have a detailed understanding of the DICOM
features of the product. This document contains some basic DICOM definitions so that any reader
may understand how this product implements DICOM features. However, integrators are expected
to fully understand all the DICOM terminology, how the tables in this document relate to the
product's functionality, and how that functionality integrates with other devices that support
compatible DICOM features.
3.3 Remarks
The scope of this DICOM Conformance Statement is to facilitate integration between VISUCAM and
other DICOM products. The Conformance Statement should be read and understood in conjunction
with the DICOM Standard. DICOM by itself does not guarantee interoperability. The Conformance
Statement does, however, facilitate a first-level comparison for interoperability between different
applications supporting compatible DICOM functionality.
This Conformance Statement is not supposed to replace validation with other DICOM equipment to
ensure proper exchange of intended information. In fact, the user should be aware of the following
important issues:
The comparison of different Conformance Statements is just the first step towards assessing
interconnectivity and interoperability between the product and other DICOM conformant
equipment.
Test procedures should be defined and executed to validate the required level of
interoperability with specific compatible DICOM equipment, as established by the healthcare
facility.
Integrating the Healthcare Enterprise (IHE) EYECARE Technical Framework, rev 3.7, 2010
(available free at http://www.ihe.net/Technical_Framework/index.cfm.
The VISUCAM Software works together with the Network Broker. Both software applications are
hosted on same machine. Thus the User Interface of the Network Broker can be used by an
operator which works with the VISUCAM Application.
In addition to this networked mode the VISUCAM Software offers a DICOM Offline Media Storage
service which provides the possibility of writing and reading single DICOM files. It provides an
interface to CD-R/RW, other mass storage devices and network connected file systems. The
VISUCAM software includes a database for configuring and managing parameters for this Offline
Media Storage operation.
4.2.1.2.1 General
DICOM standard Application Context Name is DICOM 3.0.
Application Context Name 1.2.840.10008.3.1.1.1
VISUCAM
Application
The activity “Query Modality Worklist” can be triggered at any time during the session by the
operator. It is meaningful to perform the query when the patient comes to the modality, then the
worklist contains the latest information.
After triggering the worklist query, the operator can fill in search criteria in the shown dialog. The
operator triggers the search after having filled in the search criteria. The Network Broker sends a
DICOM request, containing the search criteria as matching query keys. Network Broker waits for
the response from the remote Application Entity. After receiving the response, Network Broker
updates the pick list with the information included in the Modality Worklist response. The pick list
instantly shows the received information. The Network Broker will wait for additional responses as
long as the Worklist Provider sends a message status “pending” and the number of already
received responses does not overstep 50.
After receiving all responses, the operator can select up to a certain number of items to create a
new visit for. The number of selectable items can be configured. The operator finally finishes the
worklist query by confirming the selection.
The VISUCAM Application takes over the selected items. For patients who relate to existing data
sets of the local database, the VISUCAM Application asks the operator to update or to keep the
information. For patients who do not relate to existing data sets, the VISUCAM Application creates
new data sets. Data on Patient, Study and Procedure level are kept in the database. After having
selected the scheduled patient, the operator can start the examination and acquire images for the
respective studies.
The VISUCAM is capable to deal with the first component group of multi-component group names.
When the operator triggers a search of a worklist containing multi-component group names the
search will be performed using the first component group only. When the response from the
modality worklist provider contains a multi-component group name the pick list will show all the
three component groups but just the first component group content will be imported at the
modality.
Displayed in
Exported in
Imported in
editable by
Query key,
ImageIOD
App from
operator
Editable
MWL
Patient App
(0008,1120) Referenced Patient Sequence no no no no
(0010,0010) Patients Name Yes Yes yes yes yes
(4)
Study
(0008,0050) Accession Number Yes yes yes no yes
(0008,0090) Referring Physicians Name yes yes no yes
Requested Procedure
(1)
(0008,1110) Referenced Study Sequence yes yes no yes
(1)
(1)
(0032,1060) Requested Procedure Description yes yes no yes
(1)
The operator can fill in search criteria as query keys. Network Broker offers two input masks for it.
Following tags are editable as search criteria in input mask "Patient Based Query".
Tag Description
(0010,0010) Patients Name
(0010,0020) Patient ID
(0008,0050) Accession Number
(0040,1001) Requested Procedure ID
Following tags are editable as search criteria in input mask "Broad Query".
Tag Description
(0040,0100) Scheduled Procedure Step Sequence
>(0040,0002) Scheduled Procedure Step Start Date
>(0008,0060) Modality
>(0040,0001) Scheduled Station AE Title
VISUCAM
Application
After finishing the examination, the whole Study can be submitted. The operator can initiate
sending images at any time to storage entities.
The VISUCAM Application passes data to the Network Broker. The Network Broker creates
immediately DICOM objects and puts a send-job for that DICOM object in a queue. The
transmission of the DICOM objects is processed in the background (that means it is performed
while operator can continue work with VISUCAM Application).
The storage progress is reflected in a dialog. The operator can even control the storage progress.
It’s up to the operator if the storage progress dialog is visible or not.
4.4 Configuration
4.4.2 Parameters
#Pre-Medication
(0040,0100)[0]>(0040,0012)
#Scheduled Procedure Step ID
(0040,0100)[0]>(0040,0009)
#Requested Contrast Agent
(0040,0100)[0]>(0032,1070)
#Requested Procedure Step Status
(0040,0100)[0]>(0040,0020)
#Requested Procedure ID
(0040,1001)
#Requested Procedure Description
(0032,1060)
#Patient's Name
(0010,0010)
#Patient ID
(0010,0020)
#Issuer of Patient ID
(0010,0021)
#Other Patient IDs
(0010,1000)
#Other Patient Names
(0010,1001)
#Patients Birth Date
(0010,0030)
#Patients Birth Time
(0010,0032)
#Patient's Sex
(0010,0040)
#Patients's Weight
(0010,1030)
#Confidentiality constraint on patient data
(0040,3001)
#Patient State
(0038,0500)
#Ethnic Group
(0010,2160)
#Patient Comments
(0010,4000)
#Pregnancy Status
(0010,21C0)
#Medical Alerts
(0010,2000)
#Contrast Allergies
(0010,2110)
#Special Needs
(0038,0050)
[Import/Export]
VISUPAC=0/1
Meaning:
VISUPAC DICOM Compatibility
0: VISUPAC 3.5 and older -> Coding Scheme Version VP3.2
1: VISUPAC 4.0 and newer -> Coding Scheme Version VP4.0
Default Value: 1
[Import/Export]
DICOMTransferSyntax=0/1
Meaning:
0: Little Endian uncompressed -> Transfer Syntax: 1.2.840.10008.1.2
1: JPEG Baseline compressed -> Transfer Syntax: 1.2.840.10008.1.2.4.50
Default Value: 0
User-defined description of
the conditions under which
the Series was performed.
Note: This attribute conveys
series-specific protocol
(0018,1030) LO Protocol Name EMPTY
identification and may or
may not be identical to the
one presented in the
Performed Protocol Code
Sequence (0040,0260).
Patient position descriptor
relative to the equipment.
Required for CT and MR
images; shall not be present
(0018,5100) CS Patient Position if Patient Orientation Code EMPTY
Sequence (0054,0410) is
present; may be present
otherwise. See C.7.3.1.1.2
for Defined Terms and
Always “L/F”
User-defined comments
(0020,4000) LT Image Comments VNAP USER
about the image
Module 'Image Pixel'
Number of rows in the
(0028,0010) US Rows ALWAYS AUTO
image.
Number of columns in the
(0028,0011) US Columns ALWAYS AUTO
image.
(0028,0100) US Bits Allocated “8” ALWAYS AUTO
(0028,0101) US Bits Stored “8” ALWAYS AUTO
(0028,0102) US High Bit “7” ALWAYS AUTO
OW
(7FE0,0010) /O Pixel Data ALWAYS AUTO
B
Module 'Acquisition Context'
A sequence of Items that
describes the conditions
present during the
Acquisition Context
(0040,0555) SQ acquisition of the data of the ALWAYS AUTO
Sequence
SOP Instance. Zero or more
items may be included in
this sequence.
Units of measurement. Only
a single Item shall be
permitted in this Sequence.
Required if Numeric Value
Measurement Units
>(0040,08EA) SQ (0040,A30A) is sent. Shall ANAP AUTO
Code Sequence
not be present otherwise.
Included macro 'Code
Sequence Macro', context
'Baseline Context ID is 82. '
See Section 8.3. Required if
>>(0008,0100) SH Code Value ALWAYS AUTO
a sequence item is present.
Coding Scheme See Section 8.3. Required if
>>(0008,0102) SH ALWAYS AUTO
Designator a sequence item is present.
See Section 8.3. Required if
a sequence item is present
Coding Scheme and the value of Coding
>>(0008,0103) SH ANAP AUTO
Version Scheme Designator
(0008,0102) is not sufficient
to identify the Code Value
Required if Date
Concept Code (0040,A121), Time
>(0040,A168) SQ ANAP AUTO
Sequence (0040,A122), Person Name
(0040,A123), Text Value
(0040,A160), and the pair of
Numeric Value (0040,A30A)
and Measurement Units
Code Sequence (0040,08EA)
are not present.
“0”
Module 'Multi-frame'
“1” – the VISUCAM does not
(0028,0008) IS Number of Frames ALWAYS AUTO
create multi-frame images
Frame Increment
(0028,0009) AT “(0018,1063)” ALWAYS AUTO
Pointer
Module 'Ophthalmic Photography Image'
Image identification
characteristics.
Multi-value attribute
containing 4 values:
1) Pixel Data Characteristics
• “ORIGINAL” for original
acquired images
• “DERIVED” for any
derived image
2) Patient Examination
Characteristics
• “PRIMARY” or
“SECONDARY”
(0008,0008) CS Image Type ALWAYS AUTO
3) Modality Specific
Characteristics
• “MONTAGE” for
panorama images
• empty otherwise
4) Implementation specific
identifiers(according to
selected capture mode)
• “COLOR”, “REDFREE”,
“RED”, “BLUE”, “AF”, “FA”1,
“ICG”1
1
: only available for
VISUCAM 524
The date the image pixel
(0008,0023) DA Content Date ALWAYS AUTO
data creation started.
The date and time that the
(0008,002A) DT Acquisition Datetime acquisition of data started. ALWAYS AUTO
Note: The synchronization of
User-defined description of
the conditions under which
the Series was performed.
Note: This attribute conveys
series-specific protocol
(0018,1030) LO Protocol Name EMPTY
identification and may or
may not be identical to the
one presented in the
Performed Protocol Code
Sequence (0040,0260).
Patient position descriptor
relative to the equipment.
Required for CT and MR
images; shall not be present
if Patient Orientation Code
(0018,5100) CS Patient Position EMPTY
Sequence (0054,0410) is
present; may be present
otherwise. See C.7.3.1.1.2
for Defined Terms and
further explanation.
VISUCAM uses a constant
prefix of
„1.2.276.0.75.2.1.20.0.2.“
(0020,000E) UI Series Instance UID ALWAYS AUTO
followed by a date/time
stamp and a machine
specific identifier.
A number that identifies this
(0020,0011) IS Series Number ALWAYS AUTO
Series.
Laterality of (paired) body
(0020,0060) CS Laterality part examined. Required if ALWAYS AUTO
the body part examined is a
Always “L/F”
User-defined comments
(0020,4000) LT Image Comments VNAP USER
about the image
Burned In “NO”
(0028,0301) CS ALWAYS AUTO
Annotation
Describes the approximate
lossy compression ratio(s)
that have been applied to
this image. See C.7.6.1.1.5
for further explanation. May
be multivalued if successive
lossy compression steps
have been applied. Notes: 1.
For example, a compression
ratio of 30:1 would be
Lossy Image described in this Attribute CONFIG
(0028,2112) DS ANAP
Compression Ratio with a single value of 30. 2. AUTO
For historical reasons, the
lossy compression ratio may
also be described in
Derivation Description
(0008,2111). Required if
Lossy Image Compression
(0028,2110) has a value of
"01".
Lossy Image
“ISO_10918_1” CONFIG
(0028,2114) CS Compression ANAP
AUTO
Method
Module 'Image Pixel '
OW
(7FE0,0010) /O Pixel Data ALWAYS AUTO
B
Number of rows in the
(0028,0010) US Rows ALWAYS AUTO
image.
Number of columns in the
(0028,0011) US Columns ALWAYS AUTO
image.
Module 'Acquisition Context'
Acquisition Context A sequence of Items that
(0040,0555) SQ ALWAYS AUTO
Sequence describes the conditions
Note
The purpose or role of the
time value could be specified
in Concept Name Code
>(0040,A122) TM Time ANAP AUTO
Sequence (0040,A043).
Required if Date
Concept Code (0040,A121), Time
>(0040,A168) SQ ANAP AUTO
Sequence (0040,A122), Person Name
(0040,A123), Text Value
(0040,A160), and the pair of
Numeric Value (0040,A30A)
and Measurement Units
Code Sequence (0040,08EA)
are not present.
Multi-value attribute
containing 4 values:
1) Pixel Data Characteristics
• “ORIGINAL” for original
acquired images
• “DERIVED” for any
derived image
2) Patient Examination
Characteristics
• “PRIMARY” or
“SECONDARY”
Image Type
(0008,0008) CS ALWAYS AUTO
3) Modality Specific
Characteristics
• “MONTAGE” for
panorama images
• empty otherwise
4) Implementation specific
identifiers(according to
selected capture mode)
• “COLOR”, “REDFREE”,
“RED”, “BLUE”, “AF”, “FA”1,
“ICG”1
1
: only available for
VISUCAM 524
The time the image pixel
(0008,0033) TM Content Time ALWAYS AUTO
data creation started.
A Sequence that references
other images significantly
related to this image. One or
more items may be included
in this sequence. Required if
Referenced Image Image Type (0008,0008)
(0008,1140) SQ ANAP AUTO
Sequence Value 3 is present and has a
value of "STEREO L" or
"STEREO R". May also be
present otherwise. See
Section C.8.12.1.1.7.
Included macro 'Image SOP
Required if Date
Concept Code (0040,A121), Time
>(0040,A168) SQ ANAP AUTO
Sequence (0040,A122), Person Name
(0040,A123), Text Value
(0040,A160), and the pair of
Numeric Value (0040,A30A)
and Measurement Units
Code Sequence (0040,08EA)
are not present.
Multi-value attribute
containing 4 values:
1) Pixel Data Characteristics
• “ORIGINAL” for original
acquired images
• “DERIVED” for any
derived image
2) Patient Examination
Characteristics
• “PRIMARY” or
“SECONDARY”
(0008,0008) CS Image Type ALWAYS AUTO
3) Modality Specific
Characteristics
• “MONTAGE” for
panorama images
• empty otherwise
4) Implementation specific
identifiers(according to
selected capture mode)
• “COLOR”, “REDFREE”,
“RED”, “BLUE”, “AF”, “FAG”1,
“ICG”1
1
: only available for
VISUCAM 524
The time the image pixel
(0008,0033) TM Content Time ALWAYS AUTO
data creation started.
“1” for monochrome images
(0028,0002) US Samples per Pixel ALWAYS AUTO
“3” for color images
“MONOCHROME2” for
monochrome images,
compressed or not
Photometric compressed.
(0028,0004) CS ALWAYS AUTO
Interpretation “RGB” for color images not
compressed.
“YBR_422_FULL” for color
images, compressed.
“0” for color images.
(0028,0006) US Planar Configuration ANAP AUTO
Meaning is color-by-pixel
Nominal physical distance
between the center of each
pixel, specified by a numeric
(0028,0030) DS Pixel Spacing pair - adjacent row spacing ANAP AUTO
(delimiter) adjacent column
spacing in mm.
For exact information in fundus images, a few additional parameters, not defined in the VL-IOD,
are used. These parameters are stored in a private Acquisition Context Sequence as defined below.
The used Coding Scheme Designator is “99HIKO”, the Coding Scheme Version is "VP4.0".
Hint: Relative angiography times (FA or ICG) have to be computed as difference between FA start
time / ICG start time and Acquisition Datetime (0008, 002A)
Coding Name Coding Type Meas. Units Code / Code Meaning / Comments
Values