DICOM PS3.2标准概述与一致性定义

DICOM3

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本文档是关于DICOM（Digital Imaging and Communications in Medicine）标准的第三部分，具体关注于DICOMPS3.2版本的2014b Conformance。DICOM是一种广泛应用于医学图像和患者健康信息交换的标准，它定义了一系列协议、服务、数据结构和交换机制，以支持医疗保健行业的信息化。 "PS3.2: DICOMPS3.22014b-Conformance"这一部分主要涵盖了以下知识点： 1. **范围和应用领域**：这部分首先定义了标准的适用范围，包括哪些医疗场景和技术设备需要遵循此版本的DICOM标准，以及其在不同医疗机构和信息系统中的角色和功能。 2. **规范性引用**：列举了所有与本标准相关的其他标准或技术文档，这些引用提供了制定和理解DICOM协议的基础。 3. **定义**： - **参考模型定义**：详细解释了DICOM中的关键概念，如通信模型、服务层次结构等。 - **ACSE服务定义**：Application Context Switching Environment (ACSE)是DICOM的核心组成部分，这部分定义了如何在不同应用上下文中进行服务交互。 - **展示服务定义**：涉及图像呈现、查询和存储等方面的服务。 - **DICOM介绍和概述定义**：对DICOM的整体框架和核心元素进行简要介绍。 - **信息对象定义**：包括医学图像、元数据等数据结构的标准化定义。 - **服务类规格定义**：规定了不同类型的SOP（Structured Operational Picture）类别的行为和功能。 - **数据结构和编码定义**：明确了数据的表示形式和编码规则。 - **消息交换定义**：描述了DICOM通信过程中的请求-响应模型。 - **上层服务定义**：包括媒体存储、文件格式、访问控制等方面的细节。 - **媒体存储和文件格式**：针对存储和传输的数据格式提供指导。 - **DICOM一致性**：强调标准实现的必要性和测试方法，包括符合声明、标准和扩展SOP类、专用SOP类等。 - **标准和私有属性**：区分了标准属性，确保互操作性，以及允许定制的私有属性。 - **应用配置文件**：包括标准应用配置文件、增强应用配置文件和专用应用配置文件，定义了特定应用环境下的行为和功能扩展。整个PS3.2章节是对DICOM3规范中关于服务和一致性要求的深入解析，旨在确保不同系统之间的兼容性和数据共享的有效性。对于医疗IT专业人士来说，理解和遵循这些定义是至关重要的，以确保在医疗影像和健康信息的数字化过程中实现高效、安全的信息交流。

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H.3.3. Additional Remarks for This Example ..................................................................................................... 284

H.4. Networking .............................................................................................................................................. 284

H.4.1. Implementation Model ......................................................................................................................... 284

H.4.1.1. Application Data Flow ................................................................................................................... 284

H.4.1.2. Functional Definition of AEs ........................................................................................................... 285

H.4.1.2.1. Functional Definition of PHARMACY-SCP Application Entity .......................................................... 285

H.4.1.2.2. Functional Definition of MAR-SCP Application Entity .................................................................... 285

H.4.1.3. Sequencing of Real-World Activities ................................................................................................ 285

H.4.2. AE Specifications ............................................................................................................................... 286

H.4.2.1. PHARMACY-SCP Application Entity Specification .............................................................................. 286

H.4.2.1.1. SOP Classes ....................................................................................................................... 286

H.4.2.1.2. Association Policies ............................................................................................................... 286

H.4.2.1.2.1. General ........................................................................................................................ 286

H.4.2.1.2.2. Number of Associations ................................................................................................... 286

H.4.2.1.2.3. Asynchronous Nature ...................................................................................................... 286

H.4.2.1.2.4. Implementation Identifying Information ................................................................................ 286

H.4.2.1.3. Association Initiation Policy ..................................................................................................... 287

H.4.2.1.4. Association Acceptance Policy ................................................................................................ 287

H.4.2.1.4.1. Activity - Handling Query Requests .................................................................................... 287

H.4.2.1.4.1.1. Description and Sequencing of Activity ......................................................................... 287

H.4.2.1.4.1.2. Accepted Presentation Contexts ................................................................................. 288

H.4.2.1.4.1.3. SOP Specific Conformance for Verification SOP Class .................................................... 288

H.4.2.1.4.1.4. SOP Specific Conformance for Product Characteristics Query SOP Class ........................... 289

H.4.2.1.4.1.5. SOP Specific Conformance for Substance Approval Query SOP Class ............................... 289

H.4.2.1.4.1.6. PHARMACY-SCP AE C-FIND Response Behavior ......................................................... 290

H.4.2.2. MAR-SCP Application Entity Specification ........................................................................................ 291

H.4.2.2.1. SOP Classes ....................................................................................................................... 291

H.4.2.2.2. Association Policies ............................................................................................................... 291

H.4.2.2.2.1. General ........................................................................................................................ 291

H.4.2.2.2.2. Number of Associations ................................................................................................... 291

H.4.2.2.2.3. Asynchronous Nature ...................................................................................................... 291

H.4.2.2.2.4. Implementation Identifying Information ................................................................................ 292

H.4.2.2.3. Association Initiation Policy ..................................................................................................... 292

H.4.2.2.4. Association Acceptance Policy ................................................................................................ 292

H.4.2.2.4.1. Activity - Handling Substance Administration Logging Requests ............................................... 292

H.4.2.2.4.1.1. Description and Sequencing of Activity ......................................................................... 292

H.4.2.2.4.1.2. Accepted Presentation Contexts ................................................................................. 293

H.4.2.2.4.1.3. SOP Specific Conformance for Verification SOP Class .................................................... 294

H.4.2.2.4.1.4. SOP Specific Conformance for Substance Administration Logging SOP Classes .................. 294

H.4.3. Network Interfaces ............................................................................................................................. 295

H.4.3.1. Physical Network Interface ............................................................................................................ 295

H.4.3.2. Additional Protocols ..................................................................................................................... 295

H.4.3.2.1. DHCP ................................................................................................................................. 295

H.4.3.2.2. DNS ................................................................................................................................... 296

H.4.4. Configuration .................................................................................................................................... 296

H.4.4.1. AE Title/Presentation Address Mapping ........................................................................................... 296

H.4.4.1.1. Local AE Titles ..................................................................................................................... 296

H.4.4.1.2. Remote AE Title/Presentation Address Mapping ......................................................................... 296

H.4.4.2. Parameters ................................................................................................................................ 296

H.5. Media Interchange .................................................................................................................................... 297

H.6. Support of Extended Character Sets ............................................................................................................ 297

H.7. Security .................................................................................................................................................. 297

H.7.1. Security Profiles ................................................................................................................................ 297

H.7.2. Association Level Security ................................................................................................................... 297

I. Conformance Statement Sample WADO Service (Informative) .................................................................................. 299

I.0. Cover Page .............................................................................................................................................. 299

I.1. Conformance Statement Overview ................................................................................................................ 299

I.2. Table of Contents ...................................................................................................................................... 300

I.3. Introduction .............................................................................................................................................. 300

I.3.1. Revision History .................................................................................................................................. 300

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I.3.2. Audience, Remarks, Terms and Definitions, Basics of DICOM Communication, Abbreviations, References ........... 300

I.3.3. Additional Remarks for This Example ...................................................................................................... 300

I.4. Networking ............................................................................................................................................... 300

I.4.1. Implementation Model .......................................................................................................................... 300

I.4.1.1. Application Data Flow .................................................................................................................... 300

I.4.1.2. Functional Definition of AEs ............................................................................................................ 301

I.4.1.2.1. Functional Definition of WADO Service Application ....................................................................... 301

I.4.2. AE Specifications ................................................................................................................................ 301

I.4.2.1. WADO-WS Specifications .............................................................................................................. 301

I.4.2.1.1. WADO-WS Retrieve Imaging Document Set ................................................................................ 301

I.4.2.1.2. WADO-WS Retrieve Rendered Imaging Document Set .................................................................. 301

I.4.2.1.3. WADO-WS Retrieve Imaging Document Set Metadata ................................................................... 302

I.4.2.1.4. Connection Policies ................................................................................................................ 302

I.4.2.1.4.1. General ......................................................................................................................... 302

I.4.2.1.4.2. Number of Connections .................................................................................................... 302

I.4.2.1.4.3. Asynchronous Nature ....................................................................................................... 302

I.4.2.2. WADO-URI Specification ................................................................................................................ 302

I.4.2.2.1. WADO-URI Retrieve Imaging Document Set ................................................................................ 302

I.4.2.2.2. WADO-WS Retrieve Rendered Imaging Document Set .................................................................. 302

I.4.2.2.3. WADO-URI Retrieve Imaging Document Set Metadata .................................................................. 303

I.4.2.2.4. Connection Policies ................................................................................................................ 303

I.4.2.2.4.1. General ......................................................................................................................... 303

I.4.2.2.4.2. Number of Connections .................................................................................................... 303

I.4.2.2.4.3. Asynchronous Nature ....................................................................................................... 303

I.4.2.3. WADO-RS Specifications ............................................................................................................... 303

I.4.2.3.1. WADO-RS Retrieve Study ....................................................................................................... 303

I.4.2.3.2. WADO-RS Retrieve Series ....................................................................................................... 303

I.4.2.3.3. WADO-RS Retrieve Instance .................................................................................................... 304

I.4.2.3.4. WADO-RS Retrieve Frames ..................................................................................................... 304

I.4.2.3.5. WADO-RS Retrieve Bulk Data .................................................................................................. 304

I.4.2.3.6. WADO-RS Retrieve Metadata ................................................................................................... 304

I.4.2.3.7. Connection Policies ................................................................................................................ 305

I.4.2.3.7.1. General ......................................................................................................................... 305

I.4.2.3.7.2. Number of Connections .................................................................................................... 305

I.4.2.3.7.3. Asynchronous Nature ....................................................................................................... 305

I.4.3. Network Interfaces .............................................................................................................................. 305

I.4.3.1. Physical Network Interface ............................................................................................................. 305

I.4.3.2. Additional Protocols ...................................................................................................................... 305

I.4.3.3. IPv4 and IPv6 Support ................................................................................................................... 305

I.4.4. Configuration ...................................................................................................................................... 305

I.4.4.1. HTTP URI Interface ....................................................................................................................... 305

I.4.4.2. WS Interface ................................................................................................................................ 305

I.4.4.3. RS Interface ................................................................................................................................ 306

I.5. Media Interchange ..................................................................................................................................... 306

I.6. Support of Character Sets ........................................................................................................................... 306

I.7. Security ................................................................................................................................................... 306

I.8. Annexes .................................................................................................................................................. 306

I.8.1. IOD Contents ..................................................................................................................................... 306

I.8.3. Coded Terminology and Templates ......................................................................................................... 306

I.8.4. Grayscale Image Consistency ................................................................................................................ 306

I.8.5. Standard Extended / Specialized / Private SOP Classes ............................................................................. 307

I.8.6. Private Transfer Syntaxes ..................................................................................................................... 307

J. Conformance Statement Sample STOW Service (Informative) .................................................................................. 309

J.0. Cover Page ............................................................................................................................................. 309

J.1. Conformance Statement Overview ............................................................................................................... 309

J.2. Table of Contents ...................................................................................................................................... 309

J.3. Introduction .............................................................................................................................................. 309

J.3.1. Revision History ................................................................................................................................. 309

J.3.2. Audience, Remarks, Terms and Definitions, Basics of DICOM Communication, Abbreviations, References ........... 310

J.3.3. Additional Remarks for This Example ..................................................................................................... 310

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J.4. Networking .............................................................................................................................................. 310

J.4.1. Implementation Model ......................................................................................................................... 310

J.4.1.1. Application Data Flow ................................................................................................................... 310

J.4.1.2. Functional Definition of AEs ........................................................................................................... 310

J.4.1.2.1. Functional Definition of STOW Service Application ....................................................................... 310

J.4.2. AE Specifications ............................................................................................................................... 310

J.4.2.1. STOW-RS Specifications ............................................................................................................... 311

J.4.2.1.1. STOW-RS Store Instance ....................................................................................................... 311

J.4.2.2.4. Connection Policies ............................................................................................................... 311

J.4.2.2.4.1. General ......................................................................................................................... 311

J.4.2.2.4.2. Number of Connections .................................................................................................... 311

J.4.2.2.4.3. Asynchronous Nature ...................................................................................................... 311

J.4.2.2.4.4. SOP Specific Conformance for SOP Class(Es) ..................................................................... 311

J.4.3. Network Interfaces .............................................................................................................................. 313

J.4.3.1. Physical Network Interface ............................................................................................................. 313

J.4.3.2. Additional Protocols ...................................................................................................................... 313

J.4.3.3. IPv4 and IPv6 Support .................................................................................................................. 313

J.4.4. Configuration ..................................................................................................................................... 313

J.4.4.1. STOW-RS Interface ...................................................................................................................... 313

J.5. Media Interchange .................................................................................................................................... 313

J.6. Support of Character Sets ........................................................................................................................... 313

J.7. Security .................................................................................................................................................. 313

J.8. Annexes .................................................................................................................................................. 314

J.8.1. IOD Contents ..................................................................................................................................... 314

J.8.2. Data Dictionary of Private Attributes ....................................................................................................... 314

J.8.3. Coded Terminology and Templates ........................................................................................................ 314

J.8.4. Standard Extended / Specialized / Private SOP Classes ............................................................................. 314

J.8.5. Private Transfer Syntaxes .................................................................................................................... 314

K. Conformance Statement Sample QIDO-RS Provider (Informative) ............................................................................ 315

K.0. Cover Page ............................................................................................................................................. 315

K.1. Conformance Statement Overview ............................................................................................................... 315

K.2. Table of Contents ..................................................................................................................................... 315

K.3. Introduction ............................................................................................................................................. 316

K.3.1. Revision History ................................................................................................................................. 316

K.3.2. Audience, Remarks, Terms and Definitions, Basics of DICOM Communication, Abbreviations, References .......... 316

K.3.3. Additional Remarks for This Example ..................................................................................................... 316

K.4. Networking .............................................................................................................................................. 316

K.4.1. Implementation Model ......................................................................................................................... 316

K.4.1.1. Application Data Flow ................................................................................................................... 316

K.4.1.2. Functional Definition of AEs ........................................................................................................... 316

K.4.1.2.1. Functional Definition of QIDO Service Application ........................................................................ 316

K.4.2. AE Specifications ............................................................................................................................... 316

K.4.2.1. QIDO-RS Specifications ................................................................................................................ 317

K.4.2.1.1. QIDO-RS Search for Studies ................................................................................................... 317

K.4.2.1.2. QIDO-RS Search for Series .................................................................................................... 318

K.4.2.1.3. QIDO-RS Search for Instances ................................................................................................ 319

K.4.2.1.4. Connection Policies ............................................................................................................... 319

K.4.2.1.4.1. General ........................................................................................................................ 319

K.4.2.1.4.2. Number of Connections ................................................................................................... 320

K.4.2.1.4.3. Asynchronous Nature ...................................................................................................... 320

K.4.2.1.4.4. Response Status ............................................................................................................ 320

K.4.2.2. Extended Negotiation ................................................................................................................... 320

K.4.3. Network Interfaces ............................................................................................................................. 320

K.4.3.1. Physical Network Interface ............................................................................................................ 320

K.4.3.2. Additional Protocols ..................................................................................................................... 321

K.4.3.3. IPv4 and IPv6 Support .................................................................................................................. 321

K.4.4. Configuration .................................................................................................................................... 321

K.4.4.1. QIDO-RS Interface ...................................................................................................................... 321

K.5. Media Interchange .................................................................................................................................... 321

K.6. Support of Character Sets .......................................................................................................................... 321

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DICOM PS3.2 2014b - ConformancePage 18