Acuson x300

ACUSON X300TM Ultrasound System
XXXXXXXXXXXXxxXXXXXXXXXXXXXXXXXX
DICOM Conformance Statement
Version 5.0 25-May-2009
© Siemens Healthcare 2009

All rights reserved
Siemens Healthcare,
Henkestr. 127, D-91052 Erlangen, Germany
Headquarters: Berlin and Munich

Siemens AG, Wittelsbacher Platz 2, D-80333 Munich, Germany
ACUSON X300TM is a trademark of Siemens Healthcare.

CONFORMANCE STATEMENT OVERVIEW
The ACUSON X300TM Ultrasound System supports the following DICOM Application Entities:
- Verification
o Verification AE
- Transfer
o Storage AE
o Storage Commitment AE
- Workflow Management
o Worklist AE
o MPPS AE
- Print Management
o Print AE
Table 1: Network Services
Service Class User Service Class Provider
SOP Classes
(SCU) (SCP)
VERIFICATION
Verification AE
Verification Yes Yes
TRANSFER
Storage AE
Ultrasound Image Storage (Retired) Yes Yes
Ultrasound Image Storage Yes Yes
Ultrasound Multi-frame Image Storage (Retired) Yes Yes
Ultrasound Multi-frame Image Storage Yes Yes
Secondary Capture Image Storage Yes Yes
Comprehensive SR Yes Yes
Storage Commitment AE
Storage Commitment Push Model Yes No
WORKFLOW MANAGEMENT
Worklist AE
Modality Worklist Yes No
MPPS AE
Modality Performed Procedure Step Yes No
PRINT MANAGEMENT
Print AE
Basic Grayscale Print Management Meta SOP Class Yes No
Basic Color Print Management Meta SOP Class Yes No
Basic Grayscale Image Box SOP Class Yes No
Basic Color Image Box SOP Class Yes No
Print Job SOP Class Yes No
© Siemens Healthcare, 2009 Version 5.0 Page 2 of 139

Table 2: UID Values

SOP Class Name SOP Class UID Category
Verification AE
Verification 1.2.840.10008.1.1 Verification
Storage AE
Ultrasound Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.6 Transfer
Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1 Transfer
Ultrasound Multi-frame Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.3 Transfer
Ultrasound Multi-frame Image Storage 1.2.840.10008.5.1.4.1.1.3.1 Transfer
Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 Transfer
Comprehensive SR 1.2.840.10008.5.1.4.1.1.88.33 Transfer
Storage Commitment AE
Storage Commitment Push Model 1.2.840.10008.1.20.1 Transfer
Worklist AE
Modality Worklist 1.2.840.10008.5.1.4.31 Workflow Management
MPPS AE
Modality Performed Procedure Step 1.2.840.10008. 3.1.2.3.3 Workflow Management
Print AE
Basic Grayscale Print Management Meta SOP Class 1.2.840.10008.5.1.1.9 Print Management
Basic Color Print Management Meta SOP Class 1.2.840.10008.5.1.1.18 Print Management
Basic Grayscale Image Box SOP Class 1.2.840.10008.5.1.1.4 Print Management
Basic Color Image Box SOP Class 1.2.840.10008.5.1.1.4.1 Print Management
Print Job SOP Class 1.2.840.10008.5.1.1.14 Print Management
The ISO Images generated by the X300 may be used to realize real DICOM Profiles (See DICOM
PS3.11). These Profiles shall be described in Chapter 5. The supported Profiles are listed in the
table below.
Table 3: MEDIA Services

Media Storage Application
Write Files (FSC or FSU) Read Files (FSR)
Profile
DVD—Recordable
STD-US-ID-SF-DVD
Yes Yes
STD-US-ID-MF-DVD
STD-US-SC-SF-DVD
Yes No
STD-US-SC-MF-DVD
Compact Disk—Recordable
STD-US-ID-SF-CDR
Yes Yes
STD-US-ID-MF-CDR
STD-US-SC-SF-CDR
Yes No
STD-US-SC-MF-CDR

Table of Contents
1.0 PURPOSE............................................................................................................... 9
1.1 SCOPE ............................................................................................................................ 9
2.0 DEFINITIONS ......................................................................................................... 9
3.0 IMPLEMENTATION MODEL ................................................................................ 11
3.1 APPLICATION DATAFLOW DIAGRAM....................................................................... 11
3.1.1 Verification ................................................................................................................................ 12
3.1.2 DICOM Store ............................................................................................................................ 13
3.1.3 DICOM Print ............................................................................................................................. 14
3.1.4 Patient Registration using Worklist........................................................................................... 14
3.1.5 Modality Performed Procedure Step ........................................................................................ 17
3.1.6 Removable Media Storage ....................................................................................................... 17
3.1.7 Storage Commitment................................................................................................................ 17
3.2 AE FUNCTIONAL DEFINITION .................................................................................... 18
3.2.1 Verification Real-World Activities.............................................................................................. 18
3.2.2 Store Real-World Activities....................................................................................................... 18
3.2.3 Storage Commitment - Push Model Real-World Activities ....................................................... 18
3.2.4 Print Real-World Activities ........................................................................................................ 18
3.2.5 Modality Worklist Real-World Activities .................................................................................... 18
3.2.6 Modality Performed Procedure Step Real-World Activities ...................................................... 19
3.2.7 Removable Media Storage Real-World Activities..................................................................... 19
3.2.8 Sequencing of Real-World Activities ........................................................................................ 19
4.0 AE SPECIFICATIONS .......................................................................................... 20
4.1 ACUSON X300 AE SPECIFICATION ........................................................................... 20
4.2 ASSOCIATION ESTABLISHMENT POLICIES............................................................. 20
4.2.1 General ..................................................................................................................................... 20
4.2.2 Association Establishment Order ............................................................................................. 21
4.2.3 Asynchronous Nature ............................................................................................................... 21
4.2.4 Implementation Identifying Information..................................................................................... 21
4.3 ASSOCIATION INITIATION BY REAL-WORLD ACTIVITIES...................................... 21
4.3.1 Real World Activity – Verification.............................................................................................. 21
4.3.2 Real World Activity – Store....................................................................................................... 22
4.3.3 Real World Activity - Print......................................................................................................... 68
4.3.4 Real World Activity – Modality Worklist .................................................................................... 73
4.3.5 Real World Activity - Modality Performed Procedure Step....................................................... 76
4.3.6 Real-World Activity - Storage Commitment.............................................................................. 81
5.0 REMOVABLE MEDIA INTERCHANGE SPECIFICATIONS................................. 83
5.1 SUPPORTED APPLICATION PROFILES .................................................................... 83
5.2 SUPPORTED SOP CLASSES ...................................................................................... 83
5.2.1 Supported SOP Classes and Transfer Syntaxes ..................................................................... 83
5.3 INFORMATION OBJECT DEFINITION AND DICOMDIR KEYS .................................. 84
5.3.1 DICOM File Meta Information................................................................................................... 84
5.3.2 Basic Directory Information Object Definitions - File-set Identification Module........................ 85
5.3.3 Basic Directory Information Object Definitions - Directory Identification Module ..................... 86
5.3.4 Physical Storage Media and Media Formats............................................................................ 86

6.0 COMMUNICATION PROFILES ............................................................................ 86

6.1 TCP/IP STACK SUPPORTED....................................................................................... 86
6.2 PHYSICAL MEDIA SUPPORTED................................................................................. 86
6.3 CHAPTER EXTENSIONS/SPECIALIZATIONS/PRIVATIZATIONS ............................. 87
7.0 CONFIGURATION ................................................................................................ 87
7.1 GENERAL SYSTEM CONFIGURATION ...................................................................... 87
7.1.1 Hospital Name .......................................................................................................................... 87
7.2 DICOM NETWORK CONFIGURATION ........................................................................ 87
7.2.1 Local ......................................................................................................................................... 88
7.2.2 Remote ..................................................................................................................................... 88
7.3 EXTERNAL EQUIPMENT CONFIGURATION.............................................................. 91
7.4 SUPPORT OF EXTENDED CHARACTER SETS......................................................... 91
8.0 SECURITY ............................................................................................................ 91
8.1 SECURITY PROFILES.................................................................................................. 91
8.2 ASSOCIATION LEVEL SECURITY .............................................................................. 91
8.3 APPLICATION LEVEL SECURITY............................................................................... 91
8.4 VIRUS PROTECTION ................................................................................................... 91
9.0 APPENDIX A: OB-GYN STRUCTURED REPORT MEASUREMENTS ............... 93
9.1 PATIENT CHARACTERISTICS .................................................................................... 93
9.2 OB-GYN SUMMARY ..................................................................................................... 93
9.3 FETUS SUMMARY........................................................................................................ 94
9.3.1 Composite Ultrasound Age Authors ......................................................................................... 94
9.3.2 EFW Authors ............................................................................................................................ 95
9.3.3 EFW Gestational Age Authors.................................................................................................. 95
9.4 FETAL BIOMETRY RATIOS......................................................................................... 96
9.5 FETAL BIOMETRY MEASUREMENTS........................................................................ 97
9.5.1 AC Gestational Age Authors................................................................................................... 101
9.5.2 BPD Gestational Age Authors ................................................................................................ 101
9.5.3 BPD Area Corrected Gestational Age Authors....................................................................... 102
9.5.4 FL Gestational Age Authors ................................................................................................... 102
9.5.5 HC Gestational Age Authors .................................................................................................. 103
9.6 FETAL LONG BONES BIOMETRY MEASUREMENTS............................................. 103
9.7 FETAL CRANIUM ....................................................................................................... 104
9.7.1 BN Gestational Age Authors................................................................................................... 105
9.8 AMNIOTIC SAC........................................................................................................... 105
9.9 EARLY GESTATION BIOMETRY MEASUREMENTS ............................................... 106
9.9.1 CRL Gestational Age Authors ................................................................................................ 107
9.10 FETAL BIOPHYSICAL PROFILE ............................................................................... 108
9.11 PELVIS AND UTERUS................................................................................................ 108

9.12 PELVIC VASCULATURE............................................................................................ 108

9.13 FETAL VASCULATURE ............................................................................................. 109
9.14 PRIVATE SECTION: OVARIES .................................................................................. 110
9.15 PRIVATE SECTIONS: LEFT AND RIGHT FOLLICLES............................................. 110
10.0 APPENDIX B: VASCULAR STRUCTURED REPORT....................................... 111
10.1 PATIENT CHARACTERISTICS .................................................................................. 112
10.2 BLOOD VESSEL OF HEAD (LEFT INTRACRANIAL CEREBRAL VESSELS)......... 112
10.3 BLOOD VESSEL OF HEAD (RIGHT INTRACRANIAL CEREBRAL VESSELS) ...... 113
10.4 BLOOD VESSEL OF HEAD (UNILATERAL INTRACRANIAL CEREBRAL
VESSELS) ............................................................................................................................. 114
10.5 ARTERY OF NECK (LEFT EXTRACRANIAL ARTERIES, CAROTID RATIOS) ....... 114
10.6 ARTERY OF NECK (RIGHT EXTRACRANIAL ARTERIES, CAROTID RATIOS) ..... 115
10.7 ARTERY OF LOWER EXTREMITY (LEFT SIDE) ...................................................... 116
10.8 ARTERY OF LOWER EXTREMITY (RIGHT SIDE) .................................................... 117
11.0 APPENDIX C: ADULT ECHOCARDIOGRAPHY STRUCTURED REPORT...... 119
11.1 PATIENT CHARACTERISTICS .................................................................................. 119
11.2 LEFT VENTRICLE....................................................................................................... 119
11.3 RIGHT VENTRICLE .................................................................................................... 129
11.4 LEFT ATRIUM ............................................................................................................. 130
11.5 RIGHT ATRIUM........................................................................................................... 131
11.6 AORTIC VALVE .......................................................................................................... 131
11.7 MITRAL VALVE .......................................................................................................... 133
11.8 PULMONIC VALVE..................................................................................................... 137
11.9 TRICUSPID VALVE..................................................................................................... 137
11.10 AORTA ........................................................................................................................ 138
11.11 PULMONARY ARTERY .............................................................................................. 138
11.12 PULMONARY VENOUS STRUCTURE ...................................................................... 138

List of Tables
Table 1: Network Services ............................................................................................................................ 2
Table 2: UID Values ...................................................................................................................................... 3
Table 3: MEDIA Services .............................................................................................................................. 3
Table 4: Terms, Acronyms, and Descriptions ............................................................................................... 9
Table 5: Supported SOP Classes ............................................................................................................... 20
Table 6: Verification Presentation Context.................................................................................................. 22
Table 7: Store Presentation Context........................................................................................................... 23
Table 8: Supported SOP Classes ............................................................................................................... 24
Table 9: Ultrasond Image and Ultrasound Retired Image IOD attributes ................................................... 24
Table 10: Ultrasound MultiFrame and Ultrasound MultiFrame Retired Image IOD Attributes .................. 32
Table 11: Ultrasound MultiFrame IOD Attributes – 3D Volumetric Data .................................................... 43
Table 12: Secondary Capture Image IOD Attributes .................................................................................. 59
Table 13: Comprehensive SR IOD Attributes ............................................................................................. 64
Table 14: C-STORE Status Responses...................................................................................................... 67
Table 15: Grayscale Print Presentation Context......................................................................................... 68
Table 16: Conformance to Grayscale Print Meta SOP Class ..................................................................... 69
Table 17: Supported DIMSE Services for Basic Film Session SOP Class................................................. 69
Table 18: Supported DIMSE Services for Basic Film Box SOP Class ....................................................... 70
Table 19: Attributes set for the Basic Film Box SOP Class ........................................................................ 70
Table 20: Supported DIMSE Services for the Basic Grayscale Image Box SOP....................................... 71
Table 21: Attributes set for the Basic Grayscale Image Box SOP Class.................................................... 71
Table 22: Supported DIMSE Services for the Printer SOP......................................................................... 71
Table 23: Supported Printer SOP Class Element ....................................................................................... 71
Table 24: Color Print Server Presentation Context..................................................................................... 72
Table 25: Conformance to Color Print Meta SOP Class............................................................................. 72
Table 26: Supported DIMSE Services for the Basic Color Image Box SOP Class .................................... 73
Table 27: Attributes set for the Basic Color Image Box SOP Class ........................................................... 73
Table 28: Supported Error Codes for Printer Classes ................................................................................ 73
Table 29: Worklist Presentation Context Table........................................................................................... 73
Table 30: Worklist Supported SOP Classes ............................................................................................... 74
Table 31: Modality Worklist Information Model Attributes........................................................................... 74
Table 32: MPPS Presentation Context Table ............................................................................................. 77
Table 33: Supported SOP Class................................................................................................................. 77
Table 34: Modality Performed Procedure Step Attributes in N-CREATE ................................................... 77
Table 35: Modality Performed Procedure Step Attributes in N-SET........................................................... 80
Table 36: Storage Commitment Presentation Context Table ..................................................................... 82
Table 37: Supported SOP Class................................................................................................................. 82
Table 38: Storage Commitment Request Attributes in N-ACTION REQUEST .......................................... 82
Table 39: Application Profiles, Real-World Activities, and Roles................................................................ 83
Table 40: Transfer Syntaxes for Media Interchange................................................................................... 83
Table 41: US Image Attributes Used (Refer Table 6 for additional attributes used)................................... 84
Table 42: USMF Image Attributes Used (Refer Table 10 for additional attributes used) ........................... 84
Table 43: Comprehensive SR Attributes Used (Refer Table 12 for additional attributes used) ................. 85
Table 44: Private Attributes......................................................................................................................... 87
Table 45: User-Configurable Printer Parameters ....................................................................................... 89

List of Figures
Figure 1. Implementation Model ................................................................................................................. 12

Figure 2. Verification Model. ....................................................................................................................... 13
Figure 3. Store Model. ................................................................................................................................ 13
Figure 4. Print Model................................................................................................................................... 14
Figure 5. Modality Worklist Model............................................................................................................... 15
Figure 6. MPPS Model................................................................................................................................ 17
Figure 7. Storage Commitment Model ........................................................................................................ 18

1.0 Purpose
This document describes the conformance to the ACR-NEMA DICOM 3.0 Standard by the ACUSON
X300 ultrasound system software version 5.0 from Siemens Medical Solutions USA, Inc. Ultrasound
Division. It shall establish the conformance specifications for this system only, and does not apply to other
products offered by Siemens Medical Solutions USA, Inc., or its affiliates.
The ACUSON X300 is a device that generates ultrasound images that can be sent using DICOM
standard protocols and definitions to other DICOM compliant devices that support SOP classes as
defined in Table 2 in this document.
1.1 Scope
The DICOM standard provides a well-defined set of structures and protocols that allow inter-operability to
a wide variety of medical imaging devices.
When configured with the DICOM option, the ACUSON X300 systems provide support for essential
services related to ultrasound scanning and connectivity to DICOM compliant devices. ACUSON X300
system products will not support all features supported by the DICOM standard. This document clearly
states the DICOM services and data classes that are supported by the applications included with the
ACUSON X300. The intent of this document is to allow users and other vendors who also conform to the
DICOM standard to exchange information within the specific context of those elements of the DICOM
standard that ACUSON X300 system supports.
This document is written with respect to the adopted portions of the DICOM standard, Revision 3. The
following sections of this document follow the outline specified in the DICOM Standard NEMA publication
PS3.2.1
2.0 Definitions
The following table provides a list of terms, their acronyms (if applicable), and their descriptions.
Table 4: Terms, Acronyms, and Descriptions
Term Acronym Description
American College of ACR- The American College of Radiology (ACR) and

Radiology - National NEMA the National Electrical Manufacturers Association
Electrical Manufacturer's (NEMA) formed a joint committee to develop a
Association standard for Digital Imaging and Communications
in Medicine (DICOM).
Application Entity AE An application that supports DICOM

communication with other DICOM applications.
1
Second part of the DICOM standard: NEMA Standards Publication PS 3.2-2008, Digital
Imaging and Communications in Medicine (DICOM), Part 2: Conformance

DICOM Conformance DCS A formal statement associated with a specific

Statement implementation of the DICOM Standard. It
specifies the Service Classes, Information
Objects, Communications Protocols and Media
Storage Application Profiles supported by the
implementation.
DICOM Message Service DIMSE Defines an Application Service Element (both the
Element service and protocol) used by peer DICOM
Application Entities for the purpose of exchanging
medical images and related information.
Digital Imaging and DICOM A well-defined set of structures and protocols that
Communications in 3.0 allow inter-operability to a wide variety of medical
Medicine, Version 3.0 imaging devices.
Ethernet - Network methodology devised in 1976 by Digital

Equipment Corporation, Intel and Xerox which is
the most common in practice today. Ethernet is
the IEEE standard 802.3
Information Object IOD A data abstraction of a class of similar Real-World

Definition Objects which defines the nature and attributes
relevant to the class of Real-World objects
represented.
Integrating the Healthcare IHE An initiative sponsored by the Radiological

Enterprise Society of North America (RSNA) to document
and demonstrate standards-based methods of
sharing information in support of optimal patient
care. For additional information see
www.rsna.org/ihe.
Picture Archiving and PACS A DICOM server that accepts medical images
Communications Systems from another DICOM system and stores the
images for later retrieval.
Protocol Data Unit PDU The PDUs are message formats exchanged
between peer entities within a layer. A PDU shall
consist of protocol control information and user
data.
Real-World Activity RWA That which exists in the real world which pertains
to specific area of information processing within
the area of interest of the DICOM Standard. Such
a Real-World Activity may be represented by one
or more computer information metaphors called
SOP Classes.
Request RQ A request from one DICOM AE for service from

another DICOM AE

Response RSP A response from one DICOM AE to the request

for service from another DICOM AE
Service Class Provider SCP The role played by a DICOM Application Entity
(DIMSE-Service-User) which performs operations
and invokes notifications on a specific
Association.
Service Class User SCU The role played by a DICOM Application Entity
(DIMSE-Service-User) which invokes notifications
and performs operations on a specific
Association.
Service-Object Pairs SOP The union of a specific set of DIMSE Services and
one related Information Object Definition which
completely defines a precise context for
communication.
Structured Report SR Also called Procedure Report. A DICOM object

which contains measurement, calculations,
diagnoses, image references and other
information concerning a patient exam.
Unique identifier UID A series of digits and periods (.) used to uniquely
identify an object such as an Ultrasound image in
DICOM.
VA Hospital Information VISTA DICOM requirements document of the US

System Technology Department of Veteran’s Affairs (VA) Hospital
Architecture DICOM Information System Technology Architecture. For
Conformance additional information see www.va.gov/imaging.
Requirements
3.0 Implementation Model

ACUSON X300 system users can store images and other data directly on the ACUSON X300 system
hard disk. Images and structured reports can be exported to a DICOM archive server or workstation on a
network. In the following sections, ACUSON X300 system Real World Activities are indicated by “Real
World Activity” name while “X300 AE” indicates the invoked Application Entity. Similarly, the activities
associated with service providers are indicated as “Real World Service Activity.”
3.1 Application Dataflow diagram

Figure 1 illustrates the ACUSON X300 system’s Application Entity (AE), which is shown in the box.
Relationships between user invoked activities (in the circles at the left of the AE) and the DICOM services
(depicted in the circles at the right of the AE)

Figure 1. Implementation Model
3.1.1 Verification
Verification is a part of the DICOM configuration located on the ‘DICOM’ page of the System Presets.
Verification can be used to send a DICOM Verification request to a remote Application Entity (AE) and
listen for a response.
When used as a diagnostic tool, Verification returns the following messages to the user:
• If the verification succeeds: “DICOM - Successfully contacted system”
• If the verification fails: “DICOM - Unable to communicate with system”

Figure 2. Verification Model.
3.1.2 DICOM Store

When requested, the ACUSON X300 sends images and/or structured reports to the preconfigured
DICOM Storage server.
DICOM Store can be seen as two sub-operations:
• queueing images and/or structured reports for transfer
• Transferring images and/or structured reports to the storage server.
Queuing images and structured reports for transfer:
ACUSON X300 can be configured to automatically queue up images and structured reports for transfer
as they are being created. “AutoStore to DICOM” option in DICOM presets has to be set for this.
Alternatively, user can select exams or individual images and manually queue them up from Review
mode. When an exam is selected for DICOM store all images and structured reports (generally zero or
one) will be queued. Structured reports can’t be selected individually for store, the entire exam must be
stored.
Transfer of images and structured reports to the storage server:
Further, once images and/or structured reports are queued they may be immediately transferred or
delayed till the end of study using the transfer storage configuration.
ACUSON X300 supports two storage configurations: “Store At End of Exam” and “Store During Exam”.
If the storage configuration is set to “Store At End of Exam” transfer attempts begin when the user selects
“Close Study” or “New Patient”.
If the storage configuration is set to “Store during Exam”, transfer attempts to destination devices begin
immediately after they are queued.
For both “Store At End of Exam” and “Store During Exam” settings, image and/or structured report
transfer will be delayed if the ACUSON X300 is busy performing another DICOM Store operation.
Figure 3. Store Model.

3.1.3 DICOM Print

ACUSON X300 system is capable of grayscale (B/W) and color printing.
When requested, single frame images will be printed to a pre-configured DICOM network printer.
DICOM Print can be seen as two sub-operations:
• paging images for transfer
• transferring pages to printer
Paging images for transfer:
ACUSON X300 can be configured to automatically queue up images to be printed on B/W Printer and/or
Color printer as they are being created.
Alternatively, user can select exams or individual images and manually queue them up from Review
mode for print.
Every image queued up is added into a page in the respective printer layout (DICOM B/W Printer Layout
or DICOM Color Printer Layout).
Transfer of pages to the Printer:
Further, pages may be immediately transferred to the printer or delayed till the end of study based on the
transfer configuration.
ACUSON X300 supports two configurations: “Print At End of Exam” and “Print When Page Full”.
If the configuration is set to “Print At End of Exam,” transfer attempts of all pages to the destination
DICOM printer begin as a batch when the user ends the exam.
If the configuration is set to “Print When Page Full”, transfer attempt of a page to the destination DICOM
printer begins as soon as it becomes full.
For both “Print At End of Exam” and “Print when page full” settings, page transfer will be delayed if the
ACUSON X300 is busy performing another DICOM Print operation.
Figure 4. Print Model.
3.1.4 Patient Registration using Worklist

Patient registration can be automated by using the 'Worklist' Real World Activity. Pressing the 'New
Patient' key on the keyboard initiates the patient data registration process and closes the previous active
study. Pressing the 'Worklist' button on the patient data display screen invokes the Worklist query screen.
The Worklist query screen can also be initiated from the Study screen.

Pressing the 'Search' button will attempt to find all matching patient data using the information entered on
the Worklist Query screen. Patient name fields that are partially filled or empty will be treated as though
an implicit wildcard was appended at the end of each field. Patient ID, Requested Procedure ID and
Accession number will be exact match only. If no matches are found, a message will be presented to the
operator indicating so. If more that one matching patient is found, a pick list of patient procedures will be
presented to the user to select from. Each of the fields will be sortable in ascending and descending
order.
The pick list of patient procedures will be limited to a number of preset entries. If more than this number of
matching records are found in the query, the search will terminate and a the user will be notified. The
search list criteria will contain:
• Patient name
• Patient ID
• Accession number
• Exam start date/time range

• Requested Procedure ID
• US/All modalities
• Scheduled station AE title
Figure 5. Modality Worklist Model
Once a Worklist query is initiated, a “Retrieving worklist, please wait ...” dialog will be presented to the
user. The user will only have one option, “Cancel,” which will abort the query operation.
The following data fields in Modality Worklist Screen are initially populated from the New Patient Screen,
if filled in, and can be used for query:
Attribute Name Tag
Patient’s Full Name (0010,0010)
Patient ID (0010,0020)
Accession Number (0008,0050)

The following data fields will be populated on the worklist screen for each return:
Attribute Name Tag
Patient’s Full Name (0010,0010)
Accession Number (0008,0050)
Exam Start Date/Time (0040,0002), (0040,0003)
Scheduled Procedure Step Sequence (0040,0100)*
>Scheduled Procedure Step Description (0040,0007)
>Scheduled Protocol Code Sequence (0040,0008)
>>Code Value (0008,0100)
Requested Procedure Description (0032,1060)
Exam Type (0008,1030)**
*<code1>, …,<codeN>: <sched1>,…,<schedn>

where:
code<i> = Sequence item code value(0008,0100)
for a given sequence or value multiplicity
sched<i> = Scheduled procedure step(0040,0007)
for a given sequence or value multiplicity
**if a value exists for (0008,1030). Otherwise,

Exam Type is set to value of Scheduled procedure
step (0040,0007). If (0040,0007) is also empty,
Exam Type is set to Requested procedure
Description (0032,1060) if it exists.
The user will have the option to select a patient procedure step, or cancel the operation. Selection of a
procedure step from the list will cause demographic information for the patient to be loaded in to the
patient data fields.
The following data fields will be populated on the patient data screen:
Attribute Name Tag
Patient Name (first,middle,last) (0010,0010)
Accession number (0008,0050)

Attribute Name Tag
Exam start date/time (0040,0002), (0040,0003)
DOB (0010,0030)
Sex (0010,0040)
Weight (0010,1030)
Height (0010,1020)
Physician (0008,0090)
Indication (0080,1080)
LMP (0010,21D0)
3.1.5 Modality Performed Procedure Step

The ACUSON X300 System supports reporting of Modality Performed Procedure Step (MPPS) orders
when the patient registration process utilizes the ‘Worklist’ Real World Activity. Procedure steps are
presented to the operator after successful query of a server that supports the MPPS option. A detail
window allows the operator access to individual scheduled procedure steps. Pressing the ‘Procedures’
push button on the Review Screen actualizes the detail window when multiple procedure steps are listed
for the patient.
Figure 6. MPPS Model
3.1.6 Removable Media Storage

The ACUSON X300 can perform DICOM operations to its standard on-board 120mm CD/DVD disk drive.
The ACUSON X300 performs the File Set Creator and File Set Reader Roles for CD and DVD disks. The
File Set Reader functionality does not support import of DICOM Structured Reports or measurements of
imported images. Both limitations are overcome when DICOM and TIFF/AVI format is exported to
CD/DVD. A DICOM conforming CD/DVD media is created when the user saves studies in DICOM format
to the CD/DVD. A DICOM 3.0 conforming DICOMDIR file is created together with the directory structures,
image files and structured reports (if any exist).
3.1.7 Storage Commitment

The user can exercise the Storage Commitment option by configuring and selecting a Storage
Commitment server from the DICOM Presets menu. The ACUSON X300 system requests commitment of
images and structured reports (if any exist) and upon successful acknowledgment from the Storage
server marks the study on the system hard drive as ‘Archived’.

Figure 7. Storage Commitment Model
3.2 AE Functional Definition

3.2.1 Verification Real-World Activities
The ACUSON X300 application entity performs Verification Service Class as an SCU and SCP allowing
the operator to verify the ability of an application on a remote device to receive DICOM messages and
allowing the operator of a remote DICOM device to verify the ACUSON X300 system’s ability to receive
DICOM messages. (C-ECHO DIMSE)
3.2.2 Store Real-World Activities

The ACUSON X300 Application Entity (AE) performs all of the functions to transmit ultrasound images,
structured reports and associated data to network servers or workstations. The ACUSON X300 AE
supports the Ultrasound Image, Ultrasound Multi-Frame Image, Ultrasound Image (Retired), Ultrasound
Multi-Frame (Retired) and Secondary Capture storage SOP classes SOP classes as an SCU.
The ACUSON X300 AE also supports Structured Reports, for Obstetric-GYN, Vascular and Cardiac
studies, using the Comprehensive SR SOP Class as an SCU.
The ACUSON X300 AE initiates an association for C-STORE Requests to store providers when the user
invokes “DICOM Store”. The association may be used to store multiple images, clips and structured
reports and is closed when no images, clips or structured reports are available to be stored to the remote
device for five seconds.
3.2.3 Storage Commitment - Push Model Real-World Activities

The ACUSON X300 AE supports Storage Commitment Push Model SOP class to inform servers when all
the store operations for a study have been completed. The Storage Commitment SCU uses the N-
ACTION primitive to request safekeeping of a set of SOP Instances. The Storage Commitment SCU also
processes the N-EVENT-REPORT primitives that are received from the SCP indicating ‘successful’ or
‘non-successful’ commitment status. The N-EVENT-REPORT information is used to mark a study as
being successfully archived to a DICOM SCP.
The successful commit status and archival indication on the X300 does not ensure permanent archival of
the images and Structured Reports. The operations performed by the SCP are dependent on its
capabilities and configuration.
3.2.4 Print Real-World Activities

The ACUSON X300 AE provides all aspects of the Print Management SCU. The ACUSON X300 AE
initiates an association to the printer when the user invokes “DICOM Print”. The association may be used
to print multiple pages and is closed when no pages are available to be printed to the remote device for
five seconds.
3.2.5 Modality Worklist Real-World Activities

The ACUSON X300 AE supports the DICOM Basic Worklist Management Service as an SCU. The AE
initiates an association to the active Worklist server when a Worklist query is selected (via the “Worklist”

button). The association is closed upon the completion of each query. A preset maximum number of
matching results is accepted, at which point, the ACUSON X300 AE issues a C-CANCEL-RQ request.
3.2.6 Modality Performed Procedure Step Real-World Activities

The ACUSON X300 AE supports Modality Performed Procedure Step (MPPS) in the role of SCU. The
ACUSON X300 is capable of displaying scheduled procedure steps via the User Interface (UI) for
Modality Performed Procedure Step. The operator can select a single PPS. The operator can notify the
MPPS server that a MPPS is ‘In Progress’, ‘Discontinued’ or ‘Completed’. The user is also allowed to
append procedure steps to existing or previously completed procedure steps.
3.2.7 Removable Media Storage Real-World Activities

The ACUSON X300 AE provides a standard implementation of DICOM Store to CD or DVD. The
ACUSON X300 AE selects one or more studies and exports the same to CD or DVD. ACUSON X300 AE
creates a DICOM File Format Image File for every image, clip and structured report in each of the
selected studies.
A DICOMDIR file is created along with the files.
Measurements are not supported on imported images unless TIFF/AVI format is exported.
The DICOM SR cannot be imported from media unless the TIFF/AVI format is exported along with the
DICOM SR.
3.2.8 Sequencing of Real-World Activities

Print, Store, Echo, Worklist, Storage Commit and MPPS commands can be transmitted simultaneously
within the limits described below.
Storage Commit
The Storage Commitment (if enabled) command is sent in the following situations:
a. On series close, when all images have previously stored successfully.
b. The series is closed before all images are stored successfully, all previous stores have succeeded and
the last image stores successfully.
c. The series is closed before all images are stored successfully, at least one store has succeeded, at
least one store has failed and the last store with non-zero retry count fails or succeeds.
d. A series has been partially committed as in c. Later, due to "Retry Job” button press on the Store
Status UI screen the store jobs are retried. Another Storage Commit is sent when at least one store has
succeeded and the last store with non-zero retry count fails or succeeds.
MPPS
The MPPS (if enabled) command is sent in the following situations:
a. N-CREATE command is sent whenever a new procedure step is selected or an unscheduled
procedure is created on the system. The state of the MPPS command is set to “In-Progress”.
b. N-SET command is sent when the Procedure Step is closed by the user pressing either the Completed
or Discontinued button on the Close Procedure dialog. The state of the MPPS command is set, according
to the state (Completed or Discontinued) set by the user.

4.0 AE Specifications
The following specifications apply to the ACUSON X300 AE as depicted in Figure 1.
4.1 ACUSON X300 AE Specification

The ACUSON X300 AE provides conformance to the following DICOM Service SOP Classes as an SCU.
Table 5: Supported SOP Classes
Service SOP Class Name SOP Class UID
Verification 1.2.840.10008.1.1
Ultrasound Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.6
Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1
Ultrasound Multi-Frame Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.3
Ultrasound Multi-Frame Image Storage 1.2.840.10008.5.1.4.1.1.3.1
Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7
Storage Commitment - Push Model 1.2.840.10008.1.20.1
Basic Grayscale Print Management Meta SOP Class 1.2.840.10008.5.1.1.9
Basic Color Print Management Meta SOP Class 1.2.840.10008.5.1.1.18
Basic Grayscale Image Box SOP Class 1.2.840.10008.5.1.1.4
Basic Color Image Box SOP Class 1.2.840.10008.5.1.1.4.1
Printer SOP Class 1.2.840.10008.5.1.1.16
Modality Worklist Information Model C- FIND 1.2.840.10008.5.1.4.31
Modality Performed Procedure Step 1.2.840.10008.3.1.2.3.3
Comprehensive SR 1.2.840.10008.5.1.4.1.1.88.33
4.2 Association Establishment Policies

4.2.1 General
The ACUSON X300 system utilizes TCP/IP. The Maximum Length PDU negotiation is included in all
association establishment requests. The maximum length PDU offered for an association initiated by
ACUSON X300 is:
• Maximum PDU Offered: 28672

4.2.2 Association Establishment Order

ACUSON X300 initiates each C-Store Request one at a time, one for each transfer request being
processed.
Image format on ACUSON X300 can be set to one of “Automatic”, “Old Ultrasound” or “Secondary
Capture”.
For the “Automatic” setting, ACUSON X300 proposes Ultrasound Multi-Frame Image, Ultrasound Image,
Ultrasound Multi-Frame Image (Retired), Ultrasound Image (Retired), Secondary Capture Image and
Comprehensive SR sequentially.
For the “Old Ultrasound” setting, ACUSON X300 proposes Ultrasound Multi-Frame Image (Retired),
Ultrasound Image (Retired), Secondary Capture and Comprehensive SR Image to be negotiated
sequentially.
For the “Secondary Capture” setting, ACUSON X300 proposes Secondary Capture Image and
Comprehensive SR to be negotiated sequentially.
4.2.3 Asynchronous Nature

All associations use the default synchronous mode of operation. Asynchronous Operations Window
negotiations are not supported on the ACUSON X300 system.
4.2.4 Implementation Identifying Information

• Implementation Class UID: “1.3.12.2.1107.5.5.5” (See below).
• Implementation Version Name: “MergeCOM3_351”
Siemens has provided registration for all Siemens Medical Solutions Groups. This unique Class UID is
defined as:
“1.3.12.2.1107.5.5.product”
Where the interpretation is:
1. = International Standards Organization (ISO)
3. = International branch of ISO
12.2.1107.5. = Assigned to Siemens-UB MED
5. = Ultrasound Modality (SMS-UG)
Product = 5 - DICOM implementation for SONOLINE G20, G40, G50, G60S, Acuson X300 and CV70
4.3 Association Initiation by Real-World Activities

4.3.1 Real World Activity – Verification
The ACUSON X300 is capable of supporting Verification service class as SCU or SCP. Verification can
be initiated as a singular event from the Systems Presets menu to any configured SCP that supports
Verification.
Proposed Presentation Contexts – Verification
The ACUSON X300 will propose Presentation contexts as shown in table 3.

Table 6: Verification Presentation Context.
Abstract Syntax Transfer Syntax

Extended
Role
Negotiation
Name UID Name List UID List
Verification 1.2.840.10008.1.1 Implicit VR Little 1.2.840.10008.1.2 SCU/S None

Endian CP
Verification 1.2.840.10008.1.1 Explicit VR Little 1.2.840.10008.1.2.1 SCU/S None

Endian CP
Verification 1.2.840.10008.1.1 Explicit VR Big 1.2.840.10008.1.2.2 SCU/S None

Endian CP
4.3.2 Real World Activity – Store

ACUSON X300 facilitates users to store images and structured reports as they are being created or later
in review mode.
Queuing images during acquisition
“Autostore to DICOM” option in DICOM presets has to be set. One or more of “Print/Store 1”, “Print/Store
2” and “Clip Store” keys on the control panel can be configured for Store (Disk Store, D.Store, Clip
capture). When the user presses one of the configured keys, an image or clip is acquired, stored on the
hard disk and queued up to be transferred to the storage server. Structured reports, if any, will be stored
automatically after the study is closed and each time the report is modified after study close.
Queueing images and structured reports in Review mode
User can select one or more closed studies and queue them up for Storage. The DICOM Store button is
available in Review screen for this operation. All images and structured reports (if any) are stored. The
study must be closed to generate a structured report.
Transfer of images to the storage server
See section 3.1.2
Associated Real World Activities
When images and/or structured reports are transferred from the hard disk to a DICOM Store SCP, the
system establishes an association between the ACUSON X300 AE and the configured DICOM device.
The association may be used to store multiple images and/or structured reports and is closed when no
images or structured reports are available to be stored to the remote device for five seconds.
Proposed Presentation Context
The following Presentation Contexts are presented to the SCP in an A-ASSOCIATE-RQ for DIMSE C-
STORE storage services. The storage services utilize C-STORE services, as defined by the DICOM
Standard. Table 4 represents all “Store” presentation contexts.

Table 7: Store Presentation Context

Extended
Role
Negotiation
Ultrasound Multi- 1.2.840.10008.5.1.4.1.1.3.1 Lossy JPEG 8 Bit 1.2.840.10008.1.2.4.50 SCU None

Frame Image Image
Storage Compression
Ultrasound Multi- 1.2.840.10008.5.1.4.1.1.3.1 DICOM Explicit 1.2.840.10008.1.2.1 SCU None

Frame Image VR Little Endian
Storage
Ultrasound Multi- 1.2.840.10008.5.1.4.1.1.3.1 DICOM Implicit 1.2.840.10008.1.2 SCU None

Storage
Ultrasound Multi- 1.2.840.10008.5.1.4.1.1.3 DICOM Explicit 1.2.840.10008.1.2.1 SCU None

Storage (Retired)
Ultrasound Multi- 1.2.840.10008.5.1.4.1.1.3 DICOM Implicit 1.2.840.10008.1.2 SCU None

Storage (Retired)
Ultrasound Image 1.2.840.10008.5.1.4.1.1.6.1 DICOM Explicit 1.2.840.10008.1.2.1 SCU None

Storage VR Little Endian
Ultrasound Image 1.2.840.10008.5.1.4.1.1.6.1 DICOM Implicit 1.2.840.10008.1.2 SCU None

Storage VR Little Endian
Ultrasound Image 1.2.840.10008.5.1.4.1.1.6 DICOM Explicit 1.2.840.10008.1.2.1 SCU None

Storage (Retired) VR Little Endian
Ultrasound Image 1.2.840.10008.5.1.4.1.1.6 DICOM Implicit 1.2.840.10008.1.2 SCU None

Storage (Retired) VR Little Endian
Secondary 1.2.840.10008.5.1.4.1.1.7 DICOM Explicit 1.2.840.10008.1.2.1 SCU None

Capture Image VR Little Endian
Storage
Secondary 1.2.840.10008.5.1.4.1.1.7 DICOM Implicit 1.2.840.10008.1.2 SCU None
Capture Image VR Little Endian
Storage
Comprehensive 1.2.840.10008.5.1.4.1.1.88. DICOM Explicit 1.2.840.10008.1.2.1 SCU None
SR 33 VR Little Endian
The ACUSON X300 always acts as an SCU for store and is the client in a client-server model.
Stress-Echo multi-frame images are only stored using Ultrasound Multi-Frame Image Storage with Lossy
JPEG 8 Bit Image Compression. All other single and mullti-frame images can be stored using other SOP
classes and transfer syntaxes as described above.

SOP Specific Conformance to Storage Service SOP Classes

The Store Real World Activity provides standard extended conformance as an SCU for the following
standard Storage Service Class SOP:
Table 8: Supported SOP Classes
Service SOP Class Name SOP Class UID Conformance Level
Ultrasound Multi-Frame 1.2.840.10008.5.1.4.1.1.3.1 Standard Extended

Image Storage
Service SOP Class Name SOP Class UID Conformance Level
Ultrasound Multi-Frame 1.2.840.10008.5.1.4.1.1.3 Standard Extended

Image Storage (Retired)
Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1 Standard Extended
Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6 Standard Extended

(Retired)
Secondary Capture Image 1.2.840.10008.5.1.4.1.1.7 Standard Extended

Storage
Comprehensive SR 1.2.840.10008.5.1.4.1.1.88.33 Standard Extended
This is accomplished using the DIMSE C-STORE Service. The SCU issues a service request with a SOP
instance that meets the requirements of the desired ultrasound, secondary capture, or structured report
IOD.
The following Structured Report Templates are supported by the ACUSON X300:
• TID 5000 “OB-GYN Ultrasound Procedure Report”
• TID 5100 “Vascular Ultrasound Procedure Report”
• TID 5200 “Adult Echocardiography Ultrasound Procedure Report”
The following table denotes the attributes included in the Ultrasound Image Object as implemented on the
ACUSON X300. Attributes not listed are not used.
Table 9: Ultrasond Image and Ultrasound Retired Image IOD attributes
Module Attribute Tag Notes
Patient Patient's Name (0010,0010) X300 Patient Data Screen – Last

Identification Name, First & Middle fields
Populated from Modality Worklist if
used.

Patient ID (0010,0020) X300 Patient Data Screen –

ID field. Default is today’s date &
time (e.g., 03_04_2003_17_54_43
= Apr. 3, 2003 at 5:54:43 PM).
used.
Patient Patient's Birth Date (0010,0030) X300 Patient Data Screen –

Demographic DOB field. Default is a zero length
attribute. Populated from Modality
Worklist if used.
Patient's Sex (0010,0040) X300 Patient Data Screen –

Gender field. M = male
F = female. O = Other
Default is a zero length attribute.
used.
Patient’s Age (0010,1010) Calculated from Patient Data

Screen DOB field.
Patient’s Size (0010,1020) X300 Patient Data Screen –

Height field. Populated from
Modality Worklist if used.
Patient’s Weight (0010,1030) X300 Patient Data Screen –

Weight field. Populated from
Other Patient IDs (0010,1000) Populated from Worklist
Patient Study Admitting (0008,1080) X300 Patient Data Screen –

Diagnosis Indication field. Populated from
Description Modality Worklist if used.
General Study Study Instance (0020,000D) Populated from Modality Worklist if

UID used; generated by X300 otherwise
Image Type (0008,0008) Example value:

ORIGINAL\PRIMARY\TEE\0001
Value 1:
ORIGINAL or DERIVED
Value 2:
PRIMARY or SECONDARY
Value 3:
Set to value by exam type
Value 4:
It is constructed as a modality bit
map to allow for a description of
multi-modality displays.
In using this bit map, the sum of
the values of the various modalities
will unambiguously
Determine the constituent

modalities.
0001 = 2D Imaging
0002 = M-Mode
0004 = CW Doppler
0008 = PW Doppler
0010 = Color Doppler
0020 = Color M-Mode
0040 = 3D Rendering
0100 = Color Power Mode
Study Date (0008,0020) Date the exam started.
Study Time (0008,0030) Time the exam started.
Referring (0008,0090) X300 Patient Data Screen –

Physician's Name Physician field. Populated from
Study ID (0020,0010) Generated by X300
Accession Number (0008,0050) X300 Patient Data Screen –

Accession # field. Populated from
Study Description (0008,1030) Populated with the first attribute

from Modality Worklist in this list
that contains a valid value: Study
Description (0008,1030),
Scheduled Procedure Step
Requested Procedure Description
(0032,1060). If Modality Worklist
was not used or none of the
attributes contains a valid value
X300 Patient Data Screen –
Indication field is used.
General Series Modality (0008,0060) Always set to “US”
Series Instance (0020,000E) Generated by X300

UID
Series Number (0020,0011) Series Number in study (1-n).
Laterality (0020,0060) Always sent as 0 length attribute
(b)
Series Date (0008,0021) Date the series started.
(b)
Series Time (0008,0031) Time the series started.
(b)
Series (0008,103E) Populated with Scheduled
Description Procedure Step Description if a
value was provided by Modality
Worklist.

(b)
Protocol Name (0018,1030) The exam type of the most recent
image stored in a particular series.
If no images are stored for a series
then the value is set to
“Ultrasound”.
(b)
Request (0040,0275) Populated with Scheduled
Attributes Procedure Step Sequence (0040,
Sequence 0100) if provided by Modality
Worklist.
>(b)Scheduled (0040,0007) Populated with Scheduled

Procedure Step Procedure Step Description (0040,
Description 0007) from Scheduled Procedure
Step Sequence (0040, 0100) if
provided by Modality Worklist.
>(b)Scheduled (0040,0008) Populated with Scheduled Protocol

Protocol Code Code Sequence (0040, 0008) from
Sequence Scheduled Procedure Step
Sequence (0040, 0100) if provided
by Modality Worklist.
>Requested (0032,1060) Populated from Requested

Procedure Procedure Description in MWL query
Description

Procedure Step ID Procedure Step ID (0040, 0009)
from Scheduled Procedure Step
>(b)Requested (0040,1001) Populated with Requested

Procedure ID Procedure ID (0040, 1001) from
(b)
Performed (0040,0244) Date the Performed Procedure
Procedure Step Step was started.
Start Date
(b)
Performed (0040,0245) Time the Performed Procedure
Start Time
(b)
Performed (0040,0253) Populated with Scheduled
Procedure Step ID Procedure Step ID (0040, 0009) if

(b)
Procedure Step Procedure Step Description
Description (0040,0007) if provided by Modality
Worklist.
(b)
Performed (0040,0260) Populated with Scheduled Protocol
Procedure Protocol Code Sequence (0040,0008) if
Code Sequence provided by Modality Worklist.
(b)
Comments on (0040,0280) Populated with Comments on the
the Performed Scheduled Procedure Step
Procedure Step (0040,0400) if provided by Modality
Worklist.
Referenced (0008,1111) Populated with MPPS SOP Class

Performed UID and MPPS SOP instance UID
Procedure Step of MPPS command sent for the
Sequence procedure step(s) performed.
General Manufacturer (0008,0070) Set to “SIEMENS”

Equipment
Station Name (0008, 1010) Station AE title
Institution Name (0008,0080) X300 System Presets –

Organization Name field.
Software Versions (0018,1020) Set to the DICOM Software

Version
Manufacturer’s (0008,1090) Set to “ACUSON X300”
Model Name
General Image Instance Number (0020,0013) Image number in study (1 – n)
Patient Orientation (0020,0020) Always sent as 0 length attribute
Image Pixel Samples per Pixel (0028,0002) Set to 1 for MONOCHROME2

images, 3 for RGB images.
Photometric (0028,0004) Set to “MONOCHROME2“or “RGB“

Interpretation
Planar (0028,0006) Color-by-pixel. Set to 0 for RGB

Configuration images, not provided for
MONOCHROME2 images.
Rows (0028,0010) Set to 480 for NTSC; 547 for PAL.

For post-processed images and
screen captures, this value may be
up to 600.

Columns (0028,0011) Set to 640 for NTSC; 692 for PAL.

For post-processed images and
screen captures, this value may be
up to 800.
Bits Allocated (0028,0100) Set to 8.
Bits Stored (0028,0101) Set to 8.
High Bit (0028,0102) Set to 7.
Pixel (0028,0103) Set to 0

Representation
Pixel Data (7FE0, 0010)
US Image Heart Rate (0018,1088) Only provided if heart rate is > 0
Lossy Image (0028,2110) “00”

Compression
SOP Common SOP Class UID (0008,0016) 1.2.840.10008.5.1.4.1.1.6.1 or

1.2.840.10008.5.1.4.1.1.6
SOP Instance UID (0008,0018) Generated by X300
Specific Character (0008,0005) Set to values as defined in Section

Set 8.4 of this document
Image Plane Pixel Spacing (0028,0030) Pixel Spacing information is only

provided for single, full screen, 2D
image types (2D image types are
B-mode, B-mode with color, B-
mode with power).
(c)
Region Sequence of (0018,6011)
Calibration Ultrasound
Regions
>(c)Region Spatial (0018,6012) B-Mode (Tissue or Color) = 0001H

Format M-Mode (Tissue or Color) = 0002H
Spectral (CW/PW) Doppler =
0003H
>(c)Region Data (0018,6014) B-Mode, M-Mode = 0001H (Tissue)

Type Spectral Doppler = 0004H (CW
Spectral Doppler)
Spectral Doppler = 0003H (PW
Spectral Doppler)

>(c)Region Flags (0018,6016) 1st Bit (LSB) = 1 (All images

acquired are transparent)
2nd Bit = 1 (All images acquired
are automatically scaled)
3rd Bit = 1 for frequency scale 3rd
Bit = 0 for velocity scale.
The value of the 3rd bit is
undefined for any mode other than
Doppler. The value for 3rd bit is
undefined if both frequency and
velocity scales are selected on the
Doppler image. 4th Bit is Reserved
and value is always 0
>(c)Region Location (0018,6018)

Min X0
>(c)Region Location (0018,601A)

Min Y0
>(c)Region Location (0018,601C)

Max X1
>(c)Region Location (0018,601E)

Max Y1
>(c)Physical Units X (0018,6024) B-Mode (Tissue or Color) = 0003H

direction (cm)
M-Mode (Tissue or Color) = 0004H
(seconds)
0004H (seconds)
>(c)Physical Units Y (0018,6026) B-Mode (Tissue or Color) = 0003H

direction (cm)
(cm)
0007H (cm/sec)
>(c)Physical Delta (0018,602C)

X
>(c)Physical Delta (0018,602E)

Y
>(c)Reference Pixel (0018,6020) Attribute only set for Spectral

X0 Doppler Regions

Y0 Doppler Regions


Physical Value X Doppler Regions
When provided, value is always 0.
>(c)Reference Pixel (0018,602A) Attribute only set for Spectral

Physical Value Y Doppler Regions
(a)
Private Attributes Private Creator (0011,0010) Reserves tags 0011,1000 through
0011,10FF for use as private tags.
(a)
Siemens Medical (0011,1010) Always set to “ACUSON X300”.
Solutions Model
Name
(a)
DIMAQ Software (0011,1011) Set to version of DIMAQ software
Version installed.
(a)
Private Data (0011,1020) For internal X300 use only.
(a)
(a)
Private Creator (0013,0010) Reserves tags 0013, 1000 through
0013, 10FF for use as private tags.
(a)
Solutions Model
Name
(a)
Version installed.
(a)
(a)
Private Creator (0015,0010) This group is populated only if data
is available. Reserves tags 0015,
1000 through 0015, 10FF for use
as private tags.
(a)
Solutions Model
Name
(a)
Version installed.
(a)
(a)
1000 through 0017, 10FF for use
as private tags.

(a)
Solutions Model
Name
(a)
Version installed.
(a)

Import Structured (0019,1020) Set to “O” if Obstetric or

Reports
cardiac SR options was
purchased and SR
generation was configured.
Otherwise set to “No”.
Instructs SCP that it should
attempt to import
measurements from SR.
(a)
The Attribute is only provided if the image is written to media.
(b)
The Attribute is only provided if the procedure step is queried from the MWL server.
(c)
Region Calibration is provided only for 2D (B-Mode), M-Mode and Spectral Doppler Regions.
Region Calibration is not supported on Ultrasound RETIRED images, Screen Captures and
post-processed images. Region Calibration is not supported for M-Mode or Spectral Doppler
still images taken from Live Imaging.
Table 10: Ultrasound MultiFrame and Ultrasound MultiFrame Retired

Image IOD Attributes

Identification Name, First & Middle fields.
used.

time (e.g., 03_04_2003_17_54_43
= Apr. 3, 2003 at 5:54:43 PM).
used.


Worklist if used.

F = female. O= Other
used.

Screen DOB field.




UID used; generated by X300
otherwise.
Value 1:
ORIGINAL or DERIVED
Value 2:
Value 3:
Value 4:
In using this bit map, the sum of the
values of the various modalities will
unambiguously
determine the constituent
modalities.
0001 = 2D Imaging
0002 = M-Mode
0004 = CW Doppler
0008 = PW Doppler
0020 = Color M-Mode

0040 = 3D Rendering



Description (0008, 1030),
(0032, 1060). If Modality Worklist

UID
(b)
(b)
(b)
Worklist.
(b)
“Ultrasound”.

(b)
Worklist.




>Requested (0032,1060) Populated from Requested Procedure

Procedure Description in MWL query
Description
(b)
Start Date
(b)
Start Time
(b)
Procedure Step ID Procedure Step ID (0040,0009) if
(b)
Worklist.

(b)
(b)
Worklist.


Equipment

Software Versions (0018,1020) Set to the DICOM Software Version
Manufacturer’s (0008,1090) Set to “ACUSON X300”.

Model Name
General Image Instance Number (0020,0013) Image number in study (1 - n)

images, 3 for RGB and
YBR_FULL_422 images.
Photometric (0028,0004) “YBR_FULL_422” if sent

Interpretation compressed, “RGB” or
“MONOCHROME2“
if sent uncompressed.

Configuration and YBR_FULL_422 images, not
provided for MONOCHROME2
images.

For Stress Echo clips this value
may be from 228 to 288.


Pixel (0028,0103) Set to 0.

Representation
US Image Image Type (0008,0008) Sent as a 0 length attribute.
(a)
View List (0009,212A) Private attribute
>(a)View Name (0009,2120) Private attribute
(a)
Stage Name (0008,2120)
(a)
Stage Number (0008,2122)
(a)
Number of (0008,2124)
Stages
(a)
View Name (0008,2127)
(a)
View Number (0008,2128)
(a)
Number of Views (0008,212A)
in Stage
(a)
Trigger Time (0018,1060)
(a)
Nominal Interval (0018,1062)
Heart Rate (0018,1088) Only provided if heart rate is > 0
Lossy Image (0028,2110) Always set to “01”

Compression

1.2.840.10008.5.1.4.1.1.3



B-Mode, B-Mode Color, B-Mode
with power).
Cine Frame Time (0018,1063)
Multi-Frame Number of Frames (0028,0008)
Frame Increment (0028,0009) 00181063H

Pointer
(c)
Regions

0003H
Spectral Doppler)
Spectral Doppler)

2nd Bit = 1 (All images acquired are
automatically scaled)

Min X0

Min Y0

Max X1

Max Y1


direction (cm)
(seconds)
0004H (seconds)

direction (cm)
(cm)
0007H (cm/sec)

X

Y

X0 Doppler Regions

Y0 Doppler Regions


>(a,c)Transducer (0018,6030)
Frequency
>(a,c)Pulse (0018,6032)
Repetition
Frequency
>(a,c)Doppler (0018,6034)
Correction Angle
(d)
Private Attributes Private Creator (0011,0010) Reserves tags 0011, 1000 through
(d)
Solutions Model
Name
(d)
Version installed.

(d)
(d)
(d)
(d)
Solutions Model
Name
(d)
Version installed.
(d)
(d)
1000 through 0015,10FF for use as
private tags.
(d)
Solutions Model
Name
(d)
Version installed.
(d)
(d)
private tags.
(d)
Solutions Model
Name
(d)
Version installed.
(d)


Import Structured (0019,1020) Set to “O” if SR options were

Reports purchased and SR generation was
configured. Otherwise set to “No”.
Instructs SCP that it should attempt
to import measurements from SR.
Private Creator (7FDF,0010) Reserved tags 7FDF,1000 through

7FDF,FE00 for use as private tags
Private Creator (7FDF,0011)
Microseconds in unit (7FDF,1083) Set to 20 microsecond

timestamp
Acoustic Frame (7FDF,1085) Time corresponding to the end of

Timestamp ultrasound data collection at the end
of each acoustic frame.
R-Wave Timestamp (7FDF,1086) The absolute 64-bit timestamp of R-

Wave events.
ECG Reference (7FDF,1089) Always set to time stamp of acoustics’

Timestamp first frame
ECG Sampling (7FDF,108a) It depends on ECG sample count

Interval

ECG Sample Count (7FDF,108b) Set to count of ECG data value
ECG Sample Size (7FDF,108c) Always set to 128
ECG Data Value (7FDF,108d) Set to ECG data value that each
value is a 32-bit signed integer.
(a)
The Attribute is only provided for Stress Echo Images.
(b
(c)
Region Calibration is provided only for 2D (B-Mode), M-Mode and Spectral Doppler
Regions. Region Calibration is not supported on Ultrasound Retired images, Screen Captures and
post-processed images. Region Calibration is not supported for M-Mode or Spectral Doppler still
images taken from Live Imaging.
(d)

This table denotes the attributes included in the Ultrasound Multi-Frame Image IOD as
implemented on the ACUSON X300 system, when used for 3D volumetric data sets. Each frame
represents a single slice from the 3D volume.
Table 11: Ultrasound MultiFrame IOD Attributes – 3D Volumetric Data

used.

time (e.g., 03_04_2003_17_54_43
= Apr. 3, 2003 at 5:54:43 PM).
used.

Worklist if used.

used.

Screen DOB field.




otherwise.
Value 1:
ORIGINAL or DERIVED

Value 2:
Value 3:
Value 4:
In using this bit map, the sum of the
values of the various modalities will
unambiguously
determine the constituent
modalities.
0001 = 2D Imaging
0002 = M-Mode
0004 = CW Doppler
0008 = PW Doppler
0020 = Color M-Mode
0040 = 3D Rendering



(0032, 1060). If Modality Worklist

UID

(b)
(b)
(b)
Worklist.
(b)
“Ultrasound”.
(b)
Worklist.





Description
(b)
Start Date

(b)
Start Time
(b)
(b)
Worklist.
(b)
(b)
Worklist.


Equipment

Manufacturer’s (0008,1090) Set to “ACUSON X300”.

Model Name
General Image Instance Number (0020,0013) Image number in study (1 - n)

images, 3 for RGB and
YBR_FULL_422 images.

Photometric (0028,0004) “YBR_FULL_422” if sent

Interpretation compressed, “RGB” or
“MONOCHROME2“
if sent uncompressed.

Configuration and YBR_FULL_422 images, not
provided for MONOCHROME2
images.


Pixel (0028,0103) Set to 0.

Representation
US Image Image Type (0008,0008) Sent as a 0 length attribute.
(a)
View List (0009,212A) Private attribute
>(a)View Name (0009,2120) Private attribute
(a)
Stage Name (0008,2120)
(a)
Stage Number (0008,2122)
(a)
Number of (0008,2124)
Stages
(a)
View Name (0008,2127)
(a)
View Number (0008,2128)
(a)
Number of Views (0008,212A)
in Stage
(a)
Trigger Time (0018,1060)
(a)
Nominal Interval (0018,1062)

Heart Rate (0018,1088) Only provided if heart rate is > 0
Lossy Image (0028,2110) Always set to “01”

Compression

1.2.840.10008.5.1.4.1.1.3


B-Mode, B-Mode Color, B-Mode
with power).
Cine Frame Time (0018,1063)
Multi-Frame Number of Frames (0028,0008)
Frame Increment (0028,0009) 00181063H

Pointer
(c)
Regions

0003H
Spectral Doppler)
Spectral Doppler)

2nd Bit = 1 (All images acquired are
automatically scaled)


Min X0

Min Y0

Max X1

Max Y1

direction (cm)
(seconds)
0004H (seconds)

direction (cm)
(cm)
0007H (cm/sec)

X

Y

X0 Doppler Regions

Y0 Doppler Regions


>(a,c)Transducer (0018,6030)
Frequency
>(a,c)Pulse (0018,6032)
Repetition
Frequency

>(a,c)Doppler (0018,6034)
Correction Angle
(d)
(d)
Solutions Model
Name
(d)
Version installed.
(d)
(d)
(d)
(d)
Solutions Model
Name
(d)
Version installed.
(d)
(d)
private tags.
(d)
Solutions Model
Name
(d)
Version installed.
(d)
(d)
private tags.
(d)
Solutions Model
Name

(d)
Version installed.
(d)

Import Structured (0019,1020) Set to “O” if SR options were

Private Creator (7FDF,0010) Reserved tags 7FDF,1000 through

7FDF,FE00 for use as private tags
Private Creator (7FDF,0011)
Microseconds in unit (7FDF,1083) Set to 20 microsecond

timestamp
Acoustic Frame (7FDF,1085) Time corresponding to the end of

Timestamp ultrasound data collection at the end
of each acoustic frame.
R-Wave Timestamp (7FDF,1086) The absolute 64-bit timestamp of R-

Wave events.

ECG Reference (7FDF,1089) Always set to time stamp of acoustics’

Timestamp first frame
ECG Sampling (7FDF,108a) It depends on ECG sample count

Interval
ECG Sample Count (7FDF,108b) Set to count of ECG data value
ECG Sample Size (7FDF,108c) Always set to 128
ECG Data Value (7FDF,108d) Set to ECG data value that each
value is a 32-bit signed integer.

X300 Private Creator (0039,0010) SIEMENS MED SMS USG
Private Antares 3D VOLUME
Attributes Release Version (0039,1000) 3.0.3
VolumeRawDataType (0039,1004) Data Type (Cartesian/Scan-

Converted/PreScanConverte
d Format
ScanType (0039,1005)
ZlateralMin (0039,1006) Minimum span along the
depth (wobble min.)
ZlateralSpan (0039,1007) Span along the depth
(wobble span)
ZRadiusOfCurvature (0039,1008) Radius of curvature, in
(wobble)
WobbleCorrection (0039,1009) Wobbling shear correction
factor (0.0 to 1.0)
ScaleAlongWidth (0039,1010) Width scaling mm/pixel


ScaleAlongHeight (0039,1011) Height scaling mm/pixel
ScaleAlongDepth (0039,1012) Depth scaling mm/pixel
BufferSize (0039,1013)
AcquisitionRate (0039,1014) Time required to acquire one
volume
DepthMinCm (0039,1015) The min/start depth for the
BImage
IsLeftRightFlippedEn (0039,1016) Whether the acquired
images were Left/Right
flipped
IsUpDownFlippedEn (0039,1017) Whether the acquired
images were up/down flipped
IsVolumeGeomAccurate (0039,1018) Is the volume passed is
geometrically accurate (In
order to display ruler)
BByteMaskOffset (0039,1019) Bytemasks is the offset fro
Mask data which is used for
space leaping optimization in
renderer
X300 BByteMaskSize (0039,1020) Size of the byte mask data
Private DepthMaxCm (0039,1021) The max/end depth for the
Attributes BImage
AcqPlaneRotationDeg (0039,1022) Angle by which the volume
is to be rotated around,
normal to the Aquisition
plane (Z axis) (in degrees)
BeamAxialSpan (0039,1023) beam span, in mm
BeamLateralMin (0039,1024) Min lateral angle
BeamLateralSpan (0039,1025) Angular span
BeamAxialMin (0039,1026) Axial min or radius of
curvature in 2d
NumDisplaySamples (0039,1027) Number of actual samples
along each beam
DVolumeWidth (0039,1028) Volume Width of the
Power/Doppler Volume
DVolumeDepth (0039,1029) Volume Depth of the
DVolumeHeight (0039,1030) Volume Height of the
DVolumePosX (0039,1031)
DVolumePosY (0039,1032)
DVolumePosZ (0039,1033
DBeamAxialMin (0039,1034) Axial min or radius of
curvature in 2d for
Power/Doppler
DBeamAxialSpan (0039,1035)
DBeamLateralMin (0039,1036) Min lateral angle for
Power/Doppler
DBeamLateralSpan (0039,1037) Angular span from
Power/Doppler


NumOfVolumesInSequence (0039,1038) Number Of Volumes In
Sequence
DByteMaskOffset (0039,1039) Bytemasks is the offset for
the mask data which is used
for space leaping
optimization in renderer
when in Power/Doppler
DByteMaskSize (0039,1040) Size of the byte mask data
when in Power/Doppler
PrivateCreatorVersionOfBookmark (0039,1050) 3.6.0
X300 BCutPlaneEnable (0039,1051) Cut-plane volume rendering
Private for B data
Attributes BMprColorMapIndex (0039,1052) Index of the tint colormap for
MPR B data
X300 BMprDynamicRangeDb (0039,1053) dB value of dynamic range
Private curve for MPR B data
Attributes BMprGrayMapIndex (0039,1054) Index of the image
enhancement LUT for the
MPR B data
BVolumeRenderMode (0039,1055) Volume rendering mode for
B data
BVrBrightness (0039,1056) Brightness value for the
volume rendered B data
BVrContrast (0039,1057) Contrast value for the
BVrColorMapIndex (0039,1058) Index of the tint colormap for
the volume rendered B data
BVrDynamicRangeDb (0039,1059) dB value of dynamic range
curve for the volume
rendered B data
BVrGrayMapIndex (0039,105a) Index of the image
enhancement LUT for the
BVrOpacity (0039,105b) Opacity percentage of the
opacity curve used for the
BVrThresholdHigh (0039,105c) High threshold of the opacity
curve used for the volume
rendered B data
BVrThresholdLow (0039,105d) Low threshold of the opacity
rendered B data
BPreProcessFilterMix (0039,105e) Mix percentage used for
mixing filtered data for the
CCutPlaneEnable (0039,105f) Cut-plane volume rendering
for B data
CFrontClipMode (0039,1060) Flag indicating whether
Niche and Parallel Cut edit
operation will clip power
data.


CMprColorMapIndex (0039,1061) Index of the tint colormap for
MPR power data
CMprColorFlowPriorityIndex (0039,1062) Threshold representing
amount of power data cut
from the MPR power data
CVolumeRenderMode (0039,1063) Volume rendering mode for
power data
CVrColorMapIndex (0039,1064) Index of the tint colormap for
the volume rendered power
data
CVrColorFlowPriorityIndex (0039,1065) Threshold representing
amount of power data cut
from the volume rendered
power data
X300 CVrOpacity (0039,1066) Opacity percentage of the
Private opacity curve used for the
Attributes volume rendered power data
CVrThresholdHigh (0039,1067) High threshold of the opacity
rendered power data
CVrThresholdLow (0039,1068) Low threshold of the opacity
rendered power data
VoiMode (0039,1069) Flag indicating whether VOI
is on or off
VoiRotationOffsetDeg (0039,106a) Fixed rotation applied to VOI
VoiSizeRatioX (0039,106b) Width of VOI in relative units
VoiSizeRatioY (0039,106c) Length of VOI in relative
units
VoiSizeRatioZ (0039,106d) Height of VOI in relative
units
VoiSyncPlane (0039,106e) Plane synced to the VOI
VoiViewMode (0039,106f) Type indicating whether the
rendering is synced to the
front or back of the VOI
VrOrientationA (0039,1070) Matrix representing the
oritentation of the volume
rendered image
MprOrientationA (0039,1071) Matrix representing the
oritentation of the MPRs
VrOffsetVector (0039,1072 Vector representing the
vertical and horizontal offset
of the volume on the display
BlendingRatio (0039,1073) Value indicating the amount
of blending between B and
power data when blend is on
FusionBlendMode (0039,1074) Mode for fusing in one
display power and B volume
rendered data
QualityFactor (0039,1075) Factor determining the
volume rendering quality


RendererType (0039,1076) Type of the rendererer
engine used
SliceMode (0039,1077) Mode for displaying the
textured map MPRs in the
3D quadrant
ActiveQuad (0039,1078) Value indicating which
quadrant in the display is
active
ScreenMode (0039,1079) Value indicating which
screen layout is applied
CutPlaneSide (0039,107a) Value indicating which half
space of the cut-plane is
used for volume rendering
X300 WireframeMode (0039,107b) Flag indicating whether
Private wireframe around rendered
Attributes data is on or off
CrossmarkMode (0039,107c) Flag indicating whether
crossmark is shown on the
display
MprDisplayType (0039,107d) Value indicating whether B
or power or B+power data
are displayed in the MPRs
VolumeDisplayType (0039,107e) Value indicating whether B
or power or B+power data
are displayed in the volume
rendered image
LastReset (0039,107f) Value indicating the last
reset
LastNonFullScreenMode (0039,1080) Value indicating the last
active quadrant before
entering full screen
MprToolIndex (0039,1081) Index indicating which tool
(rotation, pan, resizing) is
used on the MPRs
VoiToolIndex (0039,1082) Index indicating which tool
used on the volume
rendered image when VOI is
on
ToolLoopMode (0039,1083) Value indicating in which
loop
VolumeArbMode (0039,1084) Index indicating whether
volume or MPR rotation is
active on the 3D display
window
MprZoomEn (0039,1085) Flag indicating whether
zoom is enabled in the MPR
IsVolumeZoomEn (0039,1086) Flag indicating whether
zoom is enabled in the
rendered volume


ZoomLevelMpr (0039,1087) Value indicating the amount
of zoom (in relative units)
applied in the MPR
ZoomLevelVolume (0039,1088) Value indicating the amount
of zoom (in relative units)
applied in the rendered
volume
IsAutoRotateEn (0039,1089) Flag indicating whether
animation is enabled
AutoRotateAxis (0039,108a) Value indicating the axis of
rotation for the animation
AutoRotateRangeIndex (0039,108b) Value indicating the total
angle range for the
animation
AutoRotateSpeedIndex (0039,108c) Value indicating the speed
(in relative units) for the
animation
X300 CVrBrightness (0039,108d) Brightness value for the

Private volume rendered power data
Attributes CFlowStateIndex (0039,108e) Index for flow state of power
data (low, medium, high)
BSubmodeIndex (0039,108f) Index for indicating the B
submode (THI, B, etc...)
CSubmodeIndex (0039,1090) Index for indicating the C
submode
DICOMAttrNameCutPlane (0039,1091 Quadrant used to cut
volume when colume cut
enabled
BookmarkChunkId (0039,1092) Index of Bookmark
SequenceMinChunkId (0039,1093) Begin range index of volume
sequence
SequenceMaxChunkId (0039,1094) End range index of volume
sequence
VolumeRateHz (0039,1095) Rate at which volumes are
rendered
VoiPositionOffsetX (0039,109a) Offset in the x dimension
between the center of the
VOI and center of volume in
relative units
VoiPositionOffsetY (0039,109b) Offset in the y dimension
relative units
VoiPositionOffsetZ (0039,109c) Offset in the z dimension
relative units


VrToolIndex (0039,109d) Index indicating which tool
used on the volume
rendered image
ShadingPercent (0039,109e) Value indicating the amount
of shading in the volume
rendered image
VolumeType (0039,109f) Value indicating the type of
volume (B or B and Power)
VolumeRateHz (0039,1095) Rate at which volumes are
rendered
DICOMAttrNameVrQuadDisplayTyp (0039,10a0) The type of display to show
e in the volume quadrant
DICOMAttrNameMprCenterLocatio (0039,10a1) Offset location of slice
n centerpoint with respect to
quadrant center
DICOMAttrNameSliceMode (0039,1077) Value indicating that system
in multislice mode
DICOMAttrNameSliceRangeType (0039,10e0) Value indicating type of slice
mode (horizontal/vertical)
DICOMAttrNameSliceMPRPlane (0039,10e1) Value indicating selected
MPR for slice mode
(Acquisition/Elevation/Coron
al)
X300 DICOMAttrNameSliceLayout (0039,10e2) Selected layout for slice
Private mode (2x2, 3x3, 4x4, 6x6)
Attributes DICOMAttrNameSliceSpacing (0039,10e3) Value indicates the spacing
between MPR slices
DICOMAttrNameVoiPivotX (0039,10e6) Curved TOP VOI pivot x
DICOMAttrNameVoiPivotY (0039,10e7) Curved TOP VOI pivot y
DICOMAttrNameVoiPivotZ (0039,10e8) Curved TOP VOI pivot z
DICOMAttrNameCTopVoiQuad (0039,10e9) Curved TOP VOI Quad
The following private attributes get added to the X300 Multiframe Object header when
FourSight TEE ™ product is used:
Attrubute Group Element Notes
Acuson Image Apex X 0x7fdf 0x100b
Acuson Image Apex Y 0x7fdf 0x100c
Left Angle 0x7fdf 0x1020
Right Angle 0x7fdf 0x1022
B-Color-On Flag 0x7fdf 0x100D
Color Map Family 0x7fdf 0x1024
Full Colormap 0x7fdf 0x1025
Color Baseline 0x7fdf 0x1027
CD Velocity Scale Min 0x7fdf 0x1063
CD Velocity Scale Max 0x7fdf 0x1064
3DCard Step Angle 0x7fdf 0x1070
3DCard Xdcr Angle 0x7fdf 0x1071
Acquisition Type 0x7fdf 0x1010 String value, e.g

Attrubute Group Element Notes

"3D_CARDIOVIEW"
3DCard Clipset ID 0x7fdf 0x1090
Application Name (fourSight TEE
Application Name 0x7fdf 0x5050
or MVA)
MVA Bookmark
0x7fdf 0x5051 bookmark information for MVA
Filename
Table 12: Secondary Capture Image IOD Attributes

used.

time (e.g., 03_04_2003_17_54_43
= Apr. 3, 2003 at 5:54:43 PM).
used.

Worklist if used.

used.

Screen DOB field.





otherwise.




UID
(b)
(b)
(b)
Worklist.
(b)
“Ultrasound”.

(b)
Attributes Procedure Step Sequence
Sequence (0040,0100) if provided by Modality
Worklist.

Description (0040,0007) from Scheduled
Procedure Step Sequence
(0040,0100) if provided by Modality
Worklist.

Protocol Code Code Sequence (0040,0008) from
Sequence (0040,0100) if provided

Procedure Step ID Procedure Step ID (0040,0009)

Procedure ID Procedure ID (0040,1001) from

Description
(b)
Start Date
(b)
Start Time
(b)
(b)
Worklist.

(b)
(b)
Worklist.

SC Equipment Conversion Type (0008,0064) Set to “WSD”

Module

Equipment

Manufacturer’s (0008,1090) Set to “X300”.

Model Name
General Image Instance Number (0020,0013) Image number in study (1 – n)
Patient Orientation (0020,0020) Always sent as 0 length attribute.

images, 3 for RGB images.
Photometric (0028,0004) “RGB” or “MONOCHROME2“

Interpretation

Configuration images, not provided for
MONOCHROME2 images.

Pixel (0028,0103) Set to 0.

Representation
Pixel Data (7FE0,0010)
SOP Common SOP Class UID (0008,0016) 1.2.840.10008.5.1.4.1.1.7

(a)
(a)
Solutions Model
Name
(a)
Version installed.
(a)
(a)
(a)
Private Creator (0013,0010) Reserves tags 0013,1000 through
(a)
Solutions Model
Name
(a)
Version installed.
(a)
(a)
is available. Reserves tags
0015,1000 through 0015,10FF for
use as private tags.
(a)
Solutions Model
Name
(a)
Version installed.

(a)
(a)
is available. Reserves tags
0017,1000 through 0017,10FF for
use as private tags.
(a)
Solutions Model
Name
(a)
Version installed.
(a)
Private Creator (0019,0010) Reserves tags 0019,1000 through

Import Structured (0019,1020) Set to “O” if Obstetric SR options

Reports was purchased and SR generation
was configured. Otherwise set to
“No”. Instructs SCP that it should
attempt to import Obstetric
measurements from SR.
(a)
(b)
The following table denotes the attributes included in the Comprehensive SR Object as implemented on
the ACUSON X300. Attributes not listed are not used.
Table 13: Comprehensive SR IOD Attributes

Name, First & Middle fields.
used.

time (e.g., 03_04_2003_17_54_43
= Apr. 3, 2003 at 5:54:43 PM).
used.

Patient's Birth Date (0010,0030) X300 Patient Data Screen –

DOB field. Default is a zero length
Worklist if used.

F = female. O = Other
used.




UID used; generated by X300 otherwise



SR Document Modality (0008,0060) Always set to “SR”

Series


UID


Equipment

Software Versions (0018,1020) Set to the DICOM Software

Version
Manufacturer’s (0008,1090) Set to “ACUSON X300”
Model Name
SR Document Content Date (0008,0023) Date the report was created

General
Content Time (0008,0033) Time the report was created
Instance Number (0020,0013) Always set to 0.
Completion Flag (0040,A491) Always set to “PARTIAL”
Verification Flag (0040,A493) Always set to “UNVERIFIED”
Predecessor (0040,A360) Supplied if a previous SR was

Documents generated for the study. Populated
Sequence with SOP Class UID and SOP
Instance UID of the previous
Obstetric SRs for the study, if any.
See table C17-2 in PS 3.3-2004 for
sequence definition.
Performed (0040,A372) Populated with contents of

Procedure Code Procedure Code Sequence from
Sequence Modality Worklist if available,
empty otherwise. See table C17-2
in PS 3.3-2004 for sequence
definition.
Current Requested (0040,A375) Lists all images and clips in the
Procedure study. See table C17-2 in PS 3.3-
Evidence 2004 for sequence definition.
Sequence

SOP Common SOP Class UID (0008,0016) 1.2.840.10008.5.1.4.1.1.88.33
SOP Instance UID (0008,0018) Generated by X300.

Set 8.4 of this document.
Instance Creation (0008,0012) Date the SOP Instance was

Date created.
Instance Creation (0008,0013) Time the SOP Instance was

Time created.
Instance Creator (0008,0014)

UID
Private Attributes Private Creator (0019,0010) Reserves tags 0019,1000 through

Import Structured (0019,1020) Set to “O” if SR options was

Error Handling
The following table indicates the response status codes that are handled by the ACUSON X300 AE,
which a SCP may return following the SCU’s C-STORE-RSP command.
A successful C-STORE operation will allow the ACUSON X300 AE to continue to the next action desired
by the user.
Table 14: C-STORE Status Responses
Service Status Further Meaning Protocol Codes Related Fields
Refused Out of resources. A7xx None
Error Data set does not A9xx None

match SOP Class.
Cannot understand. Cxxx
Warning Coercion of data B000 None

Elements.
Data set does not B007
match SOP Class.
Elements discarded. B006
Success 0000 None

If the C-STORE operation is not successful, the image(s) and Structured Report(s), if any, are spooled on
the ACUSON X300 hard drive. A user-configured number of additional attempts are made to store the
image(s) and Structured Report(s). If these attempts fail, the user must select the job and press “Retry
Job” on the Store Status page to complete the C-STORE operation.
All image and Structured Report storage on the ACUSON X300 system hard drive is temporary in nature.
If an attempt is made to store images on a full ACUSON X300 system hard drive, the system will attempt
to delete studies archived to CD or DICOM. If no delete able data exists, a “DISK FULL” message is
displayed on the ACUSON X300 system display. The user must then delete studies not archived in order
to store additional images.
4.3.3 Real World Activity - Print

ACUSON X300 facilitates user to print images as they are being created or later in review mode.
Paging images during acquisition

One or more of “Print/Store 1” and “Print/Store 2” keys on the control panel can be configured for Print
(DICOM B/W Print and/or DICOM Color Print). When the user presses one of the configured keys on the
control panel, the image is acquired, stored on the hard disk and placed in a page under the respective
printer layout (DICOM B/W Printer Layout or DICOM Color Printer Layout).
Paging images in Review mode

User can select either individual images from open or closed studies, or one or more closed studies and
queue them up for print. DICOM B/W Printer and DICOM Color Printer buttons are available in Review
screen for this operation. When a study is selected for print, all single-frame images belonging to the
study will be printed.
Transfer of pages to the Printer

Pages may be immediately transferred or delayed till the end of study using the transfer configuration.
ACUSON X300 supports two configurations: “Print At End of Exam” and “Print When Page Is Full”.
If the configuration is set to “Print At End of Exam”, all pages queued to destination devices will be
transferred as a batch when the user selects “Close Study” or “New Patient”.
If the configuration is set to “Print When Page Is Full”, a page is transferred to destination devices
immediately after it is full.
For both “Print At End of Exam”, and “Print When Page Is Full” settings, image transfer will be delayed if
the ACUSON X300 is busy performing another DICOM Command (Store/Print/Echo).
Associated Real World Activities

An association is established when the user initiates a “B/W Print” or “Color Print” operation from the
Review screen. Individual images or entire exams can be transferred to the selected DICOM Print device.
The association is closed no pages are available to be printed for five seconds. An association may also
be opened after a network outage or when the system is powered-on if images are queued to be printed.
Proposed Presentation Context to a Grayscale Print Server
Table 15: Grayscale Print Presentation Context

Extended
Role
Negotiation

Basic Grayscale 1.2.840.10008.5.1.1.9 DICOM Explicit 1.2.840.10008.1.2.1 SCU None

Print Management VR Little Endian
Meta SOP Class
Basic Grayscale 1.2.840.10008.5.1.1.9 DICOM Implicit 1.2.840.10008.1.2 SCU None

Print Management VR Little Endian
Meta SOP Class
SOP Specific Conformance to Basic Grayscale Print Management Meta SOP Class
The ACUSON X300 AE provides standard conformance of the Grayscale Meta SOP classes as an SCU.
Specifically, with respect to the Basic Grayscale Print Management Meta SOP Class this means
conformance to the underlying SOP classes:
Table 16: Conformance to Grayscale Print Meta SOP Class
SOP Class Name SOP Class UID Conformance Level
Basic Film Session SOP Class 1.2.840.10008.5.1.1.1 Standard
Basic Film Box SOP Class 1.2.840.10008.5.1.1.2 Standard
Basic Grayscale Image Box SOP Class 1.2.840.10008.5.1.1.4 Standard
Printer SOP Class 1.2.840.10008.5.1.1.16 Standard
All mandatory elements of these classes are supported.
Specific Conformance to Basic Film Session SOP Class

DICOM specified usage - M = Mandatory; U = User Option
Table 17: Supported DIMSE Services for Basic Film Session SOP
Class
Name Usage Description
N-Create M Creates the Film Session.
N-Set U Not used.
N-Delete U Deletes the Film Session.
N-Action U Not used.

SOP Specific Conformance to Basic Film Box SOP Class
Table 18: Supported DIMSE Services for Basic Film Box SOP Class
N-Create M Creates the Film Box.
N-Set U Not used.
N-Delete U Deletes the Film Box. Issued after each film is printed.
N-Action M PRINT. Sent after each Film Box is filled, and at the end
of the exam to force a print of partially filled Film Box.
Table 19: Attributes set for the Basic Film Box SOP Class
Attribute Name Attribute Tag Usage Range Description
Image Display (2010,0010) M STANDARD\ X,Y Where X, Y can be

Format configured/ selected as
1*1, 1*2, 2*2, 2*3, 3*2,
3*3, 3*5, 4*5, 4*6, 5*6
Film Orientation (2010,0040) U PORTRAIT Range may be limited

LANDSCAPE by print server/printer.
Film Size ID (2010,0050) U 8INX10IN Range may be limited

8.5INX11IN by print server/printer.
10INX12IN
10INX14IN
11INX14IN
11INX17IN
14INX14IN
14INX17IN
24CMX24CM
24CMX30CM
A3
A4
Magnification (2010,0060) U REPLICATE

Type BILINEAR
CUBIC
NONE
Min. Density (2010,0120) U 0-99,999,999 Printer specific
Max Density (2010,0130) U 0-99,999,999 Printer specific
Configuration (2010,0150) U Printer specific

Information
Smoothing Type (2010,0080) U Printer specific

Border Density (2010,0100) U BLACK

WHITE
Empty Image (2010,0110) U BLACK

Density WHITE
Trim (2010,0140) U YES

NO
SOP Specific Conformance to Basic Grayscale Image Box SOP Class
Table 20: Supported DIMSE Services for the Basic Grayscale Image
Box SOP
N-Set M The SCP for each potential image of the film box creates an
image box instance. Only those instances, which actually
contain images, will be updated with the N-SET message.
Table 21: Attributes set for the Basic Grayscale Image Box SOP Class
Name Attribute Range Description
Image (2020,0010) 1-30 Value according to Image

Position Display Format
Polarity (2020,0020) NORMAL, REVERSE Intensity mapping between

display and print
Table 22: Supported DIMSE Services for the Printer SOP
N-Event-Report M Ignored and not handled.
N-Get U May be issued by this device at any time to get printer status.
Table 23: Supported Printer SOP Class Element
Name Usage Range Description
Printer Status U WARNING During a “Failure” the Print job will be

FAILURE displayed as “Failed”

Printer Status U Vendor specific Reported to user if printer status =

Information WARNING or FAILURE.
Proposed Presentation Context to a Color Print Server
Table 24: Color Print Server Presentation Context

Extended
Role
Negotiation
Basic Color Print 1.2.840.10008.5.1.1.18 DICOM Explicit 1.2.840.10008.1.2.1 SCU None

Management Meta VR Little Endian
SOP Class
Basic Color Print 1.2.840.10008.5.1.1.18 DICOM Implicit 1.2.840.10008.1.2 SCU None

Management Meta VR Little Endian
SOP Class
SOP Specific Conformance to Basic Color Print Management Meta SOP Class
The ACUSON X300 Print AE provides standard conformance to the color printing Meta SOP classes as
an SCU. Specifically, with respect to the Basic Color Print Management Meta SOP Class this means
conformance to the underlying SOP classes:
Table 25: Conformance to Color Print Meta SOP Class
SOP Class Name SOP Class UID Conformance Level
Basic Film Session SOP Class 1.2.840.10008.5.1.1.1 Standard
Basic Film Box SOP Class 1.2.840.10008.5.1.1.2 Standard
Basic Color Image Box SOP Class 1.2.840.10008.5.1.1.4.1 Standard
Printer SOP Class 1.2.840.10008.5.1.1.16 Standard
SOP Specific Conformance to Basic Color Image Box SOP Class

The Basic Color Print Management Meta SOP Class makes identical use of the Basic Film Session SOP
Class, Basic Film Box SOP Class and Printer SOP Class elements, which have been previously
described for grayscale image printing. Therefore, these will not be described again in this section on
color printing. However, it should be noted that certain attributes, such as Medium Type which is defined
in the Basic Film Session SOP Class, are highly likely to require printer/print server specific media.

Table 26: Supported DIMSE Services for the Basic Color Image Box
SOP Class
N-Set M The SCP for each potential image of the film box
creates an image box instance. Only those instances,
which actually contain images, will be updated with the
N-SET message.
Table 27: Attributes set for the Basic Color Image Box SOP Class
Name Attribute Range Description
Planar Configuration (0028,0006) Color-by-plane Red plane, Green plane,

Blue plane.
The Printer SOP Class behavior is identical to that used for grayscale printing.
Error Handling
The ACUSON X300 Print AE supports the following error codes and reports failures to the user.
Table 28: Supported Error Codes for Printer Classes
Service Status Further Meaning Protocol Codes
Success Film accepted for Printing 0000
Warning Film accepted for Printing, one or 107,116,B600,B605

more settings ignored.
Failure Printing not successful C602, C603, C613
If the print operation is not successful, the image(s) are spooled on the ACUSON X300 hard drive. A
user-configured number of additional attempts are made to print the image(s). If these attempts fail, the
user must select the job and press “Retry Job” on the Print Status page to complete the print operation.
4.3.4 Real World Activity – Modality Worklist

A separate Network association is established by the AE for each Worklist query operation, with only one
active query at a time. The association is closed at completion of the query.
Table 29: Worklist Presentation Context Table
Abstract Syntax Transfer Syntax Role Extended

Negotiation

Modality Worklist 1.2.840.10008. Implicit VR 1.2.840.10008. SCU None

Information Model 5.1.4.31 Little 1.2
- FIND Endian
The ACUSON X300 will always act as an SCU and as the client in a client-server model.
SOP Specific Conformance to Modality Worklist Service SOP Classes

The Worklist AE provides conformance to the following DICOM Service SOP Classes as an SCU all at a
standard extended level of conformance:
Table 30: Worklist Supported SOP Classes
Supported SOP Class SOP Class UID Conformance Level

Name
Modality Worklist 1.2.840.10008.5.1.4.31 Standard Extended

Information Model - FIND
The following table provides the list of attributes requested in the Modality Worklist Query.
Table 31: Modality Worklist Information Model Attributes
Attribute Name Tag
Specific Character Set (0008,0005)
Accession number (0008,0050)*
Referring Physician’s Name (0008,0090)
Study Description (0008,1030)
Admitting Diagnoses Description (0008,1030)
Referenced Study Sequence (0008,1110)
>Referenced SOP Class UID (0008,1150)
>Referenced SOP Instance UID (0008,1155)
Patient’s Name (0010,0010)*
Patient ID (0010,0020)*
Patient’s Birth Date (0010,0030)
Patient’s Sex (0010,0040)
Patient’s Size (0010,1020)
Patient’s Weight (0010,1030)

Attribute Name Tag
Medical Alerts (0010,2000)
Contrast Allergies (0010,2110)
Pregnancy Status (0010,21C0)
Last Menstrual Date (0010,21D0)
Patient Comments (0010,4000)
Study Instance UID (0020,000D)
Requesting Physician (0032,1032)
Requested Procedure Description (0032,1060)
Requested Procedure Code Sequence (0040,0008)
>Code Value (0008,0100)
>Coding Scheme Designator (0008,0102)
>Coding Scheme Version (0008,0103)
>Code Meaning (0008,0104)
Special Needs (0038,0050)
Patient State (0038,0500)
Scheduled Procedure Step Sequence (0040,0100)
>Modality (0008,0060)
>Scheduled Station AE Title (0040,0001)*
>Scheduled Procedure Step Start Date (0040,0002)
>Scheduled Procedure Step Start Time (0040,0003)
>Scheduled Performing Physician’s Name (0040,0006)
>Scheduled Procedure Step Description (0040,0007)
>Scheduled Protocol Code Sequence (0040,0008)
>>Code Value (0008,0100)
>>Coding Scheme Designator (0008,0102)
>>Coding Scheme Version (0008,0103)
>>Code Meaning (0008,0104)

Attribute Name Tag
>Scheduled Procedure Step ID (0040,0009)
>Comments on the Scheduled Procedure Step (0040,0400)
Requested Procedure ID (0040,1001)*
Reason for the Requested Procedure (0040,1002)
*Indicates parameter may be populated for

query.
4.3.5 Real World Activity - Modality Performed Procedure Step

This operation allows the AE to create an instance of the Modality Performed Procedure Step SOP Class
(MPPS) and provide information about a specific real world Performed Procedure Step that is under
control of the SCU. This operation is invoked through the DIMSE N-CREATE and N-SET services.
The ACUSON X300 conforms to the IHE Scheduled Workflow use case.
A list of scheduled procedures and procedure steps will be accessible from the Worklist and Procedure
screens. The Performed Procedure Step User Interface allows the operator to set the status of the
performed procedure step. The system shall establish an association for N-CREATE and N-SET, if
another N-CREATE or N-SET is available within 5 seconds, it will be sent using the same association.
Starting a Performed Procedure Step
When the user depresses the ‘OK’ button on the New Patient Screen a performed procedure SOP Class
instance will be created using the N-CREATE DIMSE service for the selected scheduled procedure.
Ending a Performed Procedure Step
When the user selects ‘Completed’ or ‘Discontinued’ from the MPPS User Interface, the performed
procedure step will be closed using the N-SET DIMSE service.
New Patient Request
If the ‘New Patient’ button is selected and there are opened performed procedure steps, the user shall be
prompted for a closure status for the opened procedure step by the MPPS User Interface. Any opened
procedure steps must be closed before any ‘new patient’ data can be entered.
System Shutdown
If the user requests ‘System Shutdown’ and there is an open performed procedure step, the user will be
prompted for a closure status for the open procedure step. All procedure steps should be closed before
the system can be shutdown. Failure to close a procedure step will result in the procedure step being set
to Discontinued.
Error Handling
If the MPPS operation is not successful, the MPPS command is spooled on the ACUSON X300 hard
drive. A user-configured number of additional attempts are made to complete the MPPS Commands. If
these attempts fail, the user must select this job and press “Retry Job” on the Store Status page to
complete the MPPS operation.


Table 32: MPPS Presentation Context Table
Abstract Syntax Transfer Syntax Role Extended

Negotiation
Modality 1.2.840.10008. Implicit VR 1.2.840.10008. SCU None

Performed 3.1.2.3.3 Little 1.2
Procedure Step Endian
The ACUSON X300 system will always act as an SCU and be the client in a client – server model.
SOP Specific Conformance to Modality Performed Procedure Step SOP Classes

The Modality Performed Procedure Step AE provides a conforming implementation of the following
DICOM Service SOP Class as an SCU at a standard extended level of conformance.
Table 33: Supported SOP Class

Name
Modality Performed 1.2.840.10008.3.1.2.3.3 Standard Extended

Procedure Step
The following tables provide the list of attributes supported by the AE in the implementation of MPPS
SOP Class including N-CREATE, N-SET and Final State attributes. The ACUSON X300 sends N-SET
only at final state.
Table 34: Modality Performed Procedure Step Attributes in N-CREATE
Attribute Tag Notes
Specific Character Set (0008,0005) Created from values as defined in

Section 8.4 of this document or as
received from MWL
Scheduled Step Attribute (0040,0270)
Sequence
>Study Instance UID (0020,000D) Value obtained from Modality WorkList;

generated by X300 in some cases
>Referenced Study Sequence (0008,1110) Populated with contents of Referenced

Study Sequence from Modality Worklist if
used, created otherwise. See table
F.7.2-1 in PS 3.4-2004 for sequence
definition.
>>Referenced SOP Class UID (0008,1150) Populated with contents of Referenced

Study Sequence from Modality Worklist if
definition.
>>Referenced SOP Instance (0008,1155) Populated with contents of Referenced

UID Study Sequence from Modality Worklist if

Attribute Tag Notes

definition.
>Accession Number (0008,0050) Value obtained from Modality WorkList

or user input
>Requested Procedure ID (0040,1001) Value obtained from Modality WorkList

or created
>Requested Procedure (0032,1060) From Modality WorkList or zero length

Description
>Scheduled Procedure Step ID (0040,0009) From Modality WorkList or zero length
>Scheduled Procedure Step (0040,0007) From Modality WorkList or zero length

Description
>Scheduled Protocol Code (0040,0008) From Modality WorkList or zero length

Sequence
>>Code Value (0008,0100)
>>Coding Scheme Designator (0008,0102)
>>Coding Scheme Version (0008,0103)
>>Code Meaning (0008,0104) Value obtained from Modality WorkList
Patient’s Name (0010,0010) Value obtained from Modality WorkList

or user input
Patient ID (0010,0020) Value obtained from Modality WorkList

or user input
Patient’s Birth Date (0010,0030) Value obtained from Modality WorkList

or user input
Patient’s Sex (0010,0040) Value obtained from Modality WorkList

or user input
Referenced Patient Sequence (0008,1120) Zero length
>Referenced SOP Class UID (0008,1150)
>Referenced Instance UID (0008,1155)
Performed Station Name (0040,0242) Own hostname
Performed Location (0040,0243) From institution name
Performed Procedure Step (0040,0244) The start date of the performed

Start Date procedure step.
Performed Procedure Step (0040,0245) The start time of the performed

Start Time procedure step.

Attribute Tag Notes
Performed Procedure Step (0040,0252) Always set to “In-Progress”.

Status
Performed Procedure Step (0040,0254) Value obtained from Modality WorkList

Description or sent as zero length
Performed Procedure Type (0040,0255) sent as zero length

Description
Procedure Code Sequence (0008,1032) Populated with contents of Requested

Procedure Code Sequence from
Modality Worklist if used, empty
otherwise. See table F.7.2-1 in PS 3.4-
2004 for sequence definition.
>Code Value (0008,0100) -
>Coding Scheme Designator (0008,0102) -
>Coding Scheme Version (0008,0103) -
>Code Meaning (0008,0104) -
Performed Procedure Step End (0040,0250) Always sent as 0 length attribute

Date
Performed Procedure Step End (0040,0251) Always sent as 0 length attribute

Time
Modality (0008,0060) Always set to US
Study ID (0020,0010) Populated from Requested Procedure ID

(0040,1001) if Modality Worklist is used;
created by X300 otherwise
Performed Protocol Code (0040,0260) Obtained from Scheduled Action Item

Sequence Code Sequence (MWL query) or sent as
zero length
Performed Series Sequence (0040,0340) Always empty

Attribute Tag Notes
Performed Series Sequence (0040,0340)
>Performing Physician’s Name (0008,1050) From MWL or user input
>Protocol Name (0018,1030) Set to exam type
>Operators’ Name (0008,1070) Zero length
>Series Instance UID (0020,000E) Created
>Series Description (0008,103E) Zero length
>Retrieve AE Title (0008,0054) Zero length
>Referenced Image Sequence (0008,1140) Zero length
>>Referenced SOP Class UID (0008,1150) -
>>Referenced SOP Instance (0008,1155) -

UID
>Referenced Standalone SOP (0040,0220) Zero length

Instance Sequence
Table 35: Modality Performed Procedure Step Attributes in N-SET
Attribute Tag Notes
Performed Procedure (0040,0252) Set to “Discontinued” or “Completed” based

Step Status on user selection.
Performed Procedure (0040,0250) Date the procedure step was completed

Step End Date
Performed Procedure (0040,0251) Time the procedure step was completed

Step End Time
Performed Action Item (0040,0260) From Scheduled Action Item Code Sequence
Code Sequence
>Code Value (0008,0100)
>Coding Scheme (0008,0102)

Designator
>Coding Scheme (0008,0103)

Version
>Code Meaning (0008,0104)

Attribute Tag Notes
Performed Series (0040,0340) Shall contain only one series

Sequence
>Performing (0008,1050) Zero length

Physician’s Name
>Protocol Name (0008,1030) Exam type specified by the operator.
>Operator’s Name (0008,1070) Zero length
>Series Instance UID (0020,000E) The Instance UID of the series to which the
procedure belongs.
>Series Description (0008,103E) Always sent as 0 length attribute
>Retrieve AE Title (0008,0054) Always sent as 0 length attribute
>Referenced Image (0008,1140) List of all the images in the series.

Sequence
>>Referenced SOP (0008,1150) The SOP class UID can be one of:
Class UID Ultrasound Multi-Frame Image Storage
1.2.840.10008.5.1.4.1.1.3.1
Ultrasound Multi-Frame Image Storage
(Retired) 1.2.840.10008.5.1.4.1.1.3
Ultrasound Image Storage
1.2.840.10008.5.1.4.1.1.6.1
Ultrasound Image Storage (Retired)
1.2.840.10008.5.1.4.1.1.6
Secondary Capture Image Storage
1.2.840.10008.5.1.4.1.1.7
>>Referenced SOP (0008,1155) The SOP instance UID of the image.

Instance UID
> Referenced (0040,0220) Always empty

Standalone SOP
Instance Sequence
4.3.6 Real-World Activity - Storage Commitment

This operation allows the AE to create an instance of the Storage Commitment SOP Class and to provide
information about a specific Real World Activity that is under the control of the SCU. The AE invokes a
request for safekeeping of images by the N-ACTION REQUEST. Referenced in the N-ACTION Request
are the SOP class UID(s) and SOP instance UID(s) for all STORE Class objects requesting commitment
by the SCU.
Storage Commit
The Storage Commitment (if enabled) command is sent in the following situations:
a. On series close, when all images and Structured Reports have previously stored successfully.
b. The series was previously closed, all previous stores have succeeded and the last image or Structured
Report stores successfully.

c. The series was previously closed, at least one store has succeeded, at least one store has failed and
the last store with non-zero retry count fails or succeeds.
d. A series has been partially committed as in c. Later, due to "Retry Job” button press on the Store
Status UI screen the store jobs are retried. Another Storage Commit is sent when at least one store has
succeeded and the last store with non-zero retry count fails or succeeds.
The ACUSON X300 waits for the return of a successful N-ACTION RESPONSE Status Code applicable
for the associated request indicating whether the commitment request was successful or a failure. The
ACUSON X300 waits for the N-EVENT REPORT from the SCP for at most 48 hours. The ACUSON X300
is capable of accepting the N-EVENT REPORT on the association it initiates for the N-ACTION or one
initiated by the SCP. Studies with all SOP instances marked as ‘successful’ in the N-EVENT REPORT will
be eligible for deletion from the system hard drive.
The ACUSON X300 allows the user to configure a Storage Commitment Server which may be different
from the Storage Server. Thus, the Storage Commitment SCP must wait for an appropriate time for the
stored images to arrive from the Storage server.
Image-By-Image and Batch Storage Commitment are supported as specified in “Vista DICOM
Conformance Requirements for Image Modalities in radiology, Cardiology, Dental, Ophthalmology and
other specialities” (Version 2.3).
Storage Commitment of Structured Reports is supported.

Table 36: Storage Commitment Presentation Context Table
Transfer Syntax Role Extended

Negotiation
Storage 1.2.840.10008. Implicit VR 1.2.840.10008. SCU None

Commitment Push 1.20.1 Little 1.2
Model Endian
The ACUSON X300 system will act as an SCU in the ‘Push Model” Storage Commitment SOP Class.
SOP Specific Conformance to Storage Commitment SOP Class

The Storage Commitment AE provides conformance to the following DICOM Service SOP Class as an
SCU at a standard level of conformance.
Table 37: Supported SOP Class

Name
Storage Commitment Push 1.2.840.10008.1.20.1 Standard

Model
Storage Commitment to Storage Media (CD) is not supported.

The following table provides the list of attributes supported by the AE in the implementation of Storage
Commitment SOP Class:
Table 38: Storage Commitment Request Attributes in N-ACTION REQUEST
Attribute Tag Notes

Transaction UID (0008,1195) Generated by X300
Referenced SOP (0008,1199)

Sequence
>Referenced SOP (0008,1150)

Class UID
>Referenced SOP (0008,1155)

Instance UID
Error Handling
If the storage commitment operation is not successful, a user-configured number of additional attempts
are made. If these attempts fail, the user must select the job and press “Retry Job” on the DICOM Store
Queue page to complete the storage commitment operation.
5.0 Removable Media Interchange Specifications

This implementation supports 120mm CD and DVD medium.
5.1 Supported Application Profiles

ACUSON X300 provides standard conformance to the following four Ultrasound Application Profiles. A
DICOM 3.0 conformant DICOMDIR file is created together with the directory structures and image files.
Table 39: Application Profiles, Real-World Activities, and Roles
Supported AP Real-World Activity Roles SC Option
STD-US-ID-SF-CDR Create CD-R FSC, FSR Interchange

STD-US-ID-MF-CDR Create CD-R FSC, FSR Interchange
STD-US-SC-SF-CDR Create CD-R FSC Interchange
STS-US-SC-MF-CDR Create CD-R FSC Interchange
STD-US-ID-SF-DVD Create DVD FSC, FSR Interchange
STD-US-ID-MF-DVD Create DVD FSC, FSR Interchange
STD-US-SC-SF-DVD Create DVD FSC Interchange
STS-US-SC-MF-DVD Create DVD FSC Interchange
5.2 Supported SOP Classes

5.2.1 Supported SOP Classes and Transfer Syntaxes
This implementation provides standard conformance to the following DICOM 3.0 SOP Classes.
Table 40: Transfer Syntaxes for Media Interchange
Transfer Syntax UID

Service SOP Class Name SOP Class UID Transfer Syntax Name
List

Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1 DICOM Explicit VR 1.2.840.10008.1.2.1

Little Endian
Ultrasound Multi-Frame Image 1.2.840.10008.5.1.4.1.1.3.1 Lossy JPEG 8 Bit 1.2.840.10008.1.2.4.50

Storage Image Compression
Comprehensive SR 1.2.840.10008.5.1.4.1.1.88.33 DICOM Explicit VR 1.2.840.10008.1.2.1

Little Endian
5.3 Information Object Definition and DICOMDIR Keys

5.3.1 DICOM File Meta Information
The following table denotes the attributes included in the Ultrasound Image Object as implemented on the
ACUSON X300 in addition to the attributes listed in Table 6.
Table 41: US Image Attributes Used (Refer Table 6 for additional attributes used)
Attribute Name Tag Notes
File Preamble No Tag or Length fields All bytes are set to 00H
DICOM Prefix No Tag or Length fields Set to DICOM Prefix “DICM”
Group length (0002,0000)
File Meta Information Version (0002,0001) Always set to 0001H
Media Storage SOP Class UID (0002,0002) Always Ultrasound Image

1.2.840.10008.5.1.4.1.1.6.1
Media Storage SOP Instance UID (0002,0003)
Transfer Syntax UID (0002,0010) Always Explicit VR Little Endian

1.2.840.10008.1.2.1
Implementation Class UID (0002,0012) Always set to 1.3.12.2.1107.5.5.5
Implementation Version Name (0002,0013) Always set to MergeCOM3_351
The following table denotes the attributes included in the Ultrasound Multi-Frame Image Object as
implemented on the ACUSON X300 in addition to the attributes listed in Table 7.
Table 42: USMF Image Attributes Used (Refer Table 10 for additional attributes used)
Attribute Tag Notes
File Preamble No Tag or Length fields All bytes are set to 0
DICOM Prefix No Tag or Length fields Set to “DICM”

Attribute Tag Notes
Media Storage SOP Class UID (0002,0002) Always Ultrasound Multi-Frame Image
1.2.840.10008.5.1.4.1.1.3.1
Transfer Syntax UID (0002,0010) Always Lossy JPEG 8 Bit Compression

1.2.840.10008.1.2.4.50
The following table denotes the attributes included in the Comprehensive SR Object as implemented on
the ACUSON X300 in addition to the attributes listed in Table 12.
Table 43: Comprehensive SR Attributes Used (Refer Table 12 for additional attributes used)
Attribute Tag Notes
File Preamble No Tag or Length fields All bytes are set to 0
DICOM Prefix No Tag or Length fields Set to “DICM”
Media Storage SOP Class UID (0002,0002) Always Comprehensive SR

1.2.840.10008.5.1.4.1.1.88.33
Transfer Syntax UID (0002,0010) Always Explicit VR Little Endian

1.2.840.10008.1.2.1
5.3.2 Basic Directory Information Object Definitions - File-set Identification

Module
Attribute Tag Notes
File-Set ID (0004,1130) Set to serial number + YYMMDD + 3 digit

counter. Volume Label has this same value.

5.3.3 Basic Directory Information Object Definitions - Directory

Identification Module
Attribute Tag Notes
Offset of the First Directory Record (0004,1200)

of the Root Directory Entry
Offset of the Last Directory Record (0004,1202)

of the Root Directory Entry
File-set Consistency Flag (0004,1212)
Directory Record Sequence (0004,1220)
>Offset of the Next Directory (0004,1400)

Record
>Record In-use Flag (0004,1410)
>Offset of Referenced Lower-Level (0004,1420)

Directory Entity
>Directory Record Type (0004,1430)
>Referenced File ID (0004,1500)
>Referenced SOP Class UID in (0004,1510)

File
>Referenced SOP Instance UID in (0004,1511)

File
5.3.4 Physical Storage Media and Media Formats

The physical storage media supported are 120mm CD-R, CD-RW, DVD-R, DVD+R, DVD-RW, and
DVD+RW medium.
6.0 Communication Profiles

All ACUSON X300 system application entities utilize the DICOM 3.0 TCP/IP communication support as
defined in PS3.8 (Part 8) of the DICOM 3.0 Standard.
6.1 TCP/IP Stack Supported

Each process inherits its TCP/IP stack from the ACUSON X300’s operating systems TCP/IP stack. The
local AE Port number is always set to 104.
6.2 Physical Media Supported

Standard representations of IEEE 802.3 10BaseT/100BaseT (“twisted pair”) is supported

6.3 Chapter Extensions/Specializations/Privatizations

Pixel Spacing information is only provided for single, full screen, and 2D image types (B-mode, B-mode
with color, and B-mode with power).
The private attributes listed in the following table are used by the ACUSON X300 AE with Stress Echo
images.
Table 44: Private Attributes
Attribute Name Tag VR Description
View List (0009,212A) SQ Names of all views represented in the study

>View Name (0009,2120) SH Name of a view
Appendix A lists the DICOM SR mappings used by the ACUSON X300 AE in Obstetric Structured
Reports. All private concept names use the Coding Scheme Designator “SIEMENS”.
7.0 Configuration
ACUSON X300 Networking and DICOM parameters can be configured through the ACUSON X300
System Presets Menu screens. The following configuration is supported:
• General system
• Network (local and remote)
• DICOM Store
• DICOM Print
• DICOM Modality Worklist
• DICOM Storage Commitment

• DICOM Modality Performed Procedure Step
7.1 General System Configuration

The following system parameter can be configured via the ACUSON X300 System Presets Basic Menu
screens. This parameter is mapped to a DICOM image attribute:
• Hospital Name
7.1.1 Hospital Name

The user can enter the organization (i.e. hospital, clinic, etc.) as a text string in the Hospital Name field of
the System Presets - General menu. The Organization Name field is transferred to DICOM devices as
Institution Name - DICOM data element (0008, 0080).
7.2 DICOM Network Configuration

DICOM and networking parameters can be configured for both the local ACUSON X300 device and
remote DICOM service class providers through the System Presets DICOM Menu.

7.2.1 Local
The ACUSON X300 local network parameters are configurable. The following network parameters can be
configured for a ACUSON X300 device:
• Host Name
• IP address
• Subnet IP mask
• Default Gateway
• DICOM Application Entity Title
7.2.2 Remote
Multiple DICOM service class providers can be configured through the system presets. The following
network parameters can be configured for each remote device:
• DICOM Device Application Entity Title

• IP address
• Port Number
7.2.2.1 DICOM Store Configuration

Several configuration settings are provided in addition to those described in Section 7.2.2.
The Image Format setting provides control over the Presentation Contexts proposed during Association
negotiation. This is documented in Section Association Establishment Order.
Configuration options are provided to control the Photometric Interpretation of grayscale images stored to
a DICOM Store SCP. Grayscale images can be stored as RGB, YBR-FULL-422 or MONOCHROME2.
Many ACUSON X300 B-Mode and M-Mode images contain no significant color, the only color is in the
Acuson ‘a’ transducer position marker and the ECG trace, if used. When “Store grayscale images as
Monochrome” is selected, single-frame images with no significant color content will be stored as
MONOCHROME2. When “Store grayscale images as Monochrome” is selected, all multi-frame images
are stored as RGB or YBR-FULL-422. When “Store grayscale images and clips as Monochrome” is
selected, B-Mode and M-Mode single- and multi-frame images with no significant color content will be
stored as MONOCHROME2.
7.2.2.2 DICOM Storage Commitment Configuration

Configuration of DICOM Storage Commitment remote devices must be performed separately from
DICOM Store Configuration. The ACUSON X300 supports Storage Commitment to the same remote
device as Store or to a different device.
7.2.2.3 DICOM Modality Worklist Configuration

Configuration of DICOM Modality Worklist remote devices is enabled in X300.
7.2.2.4 DICOM Modality Performed Procedure Step Configuration

Configuration of DICOM Modality Performed Procedure Step remote devices must be performed
separately from DICOM Modality Worklist Configuration. The ACUSON X300 supports MPPS to the same
remote device as Modality Worklist or to a different device.
The “Store Image Format” setting controls the Referenced SOP Class UID (0008,1150) in the Referenced

Image Sequence (0008,1140) of the MPPS N-SET sent by the ACUSON X300. Due to the ACUSON
X300’s ability to select from multiple Presentation Contexts during Association Negotiation, it is necessary
to use this setting.
In the majority of installations the “Store Image Format” should be left at the default setting of “New
Ultrasound”. There are two cases when the “Store Image Format” must be set to “Old Ultrasound” or
“Secondary Capture”:
• When the active Storage Server “Image Format” is set to “Old Ultrasound” or “Secondary
Capture”.
• When the active Storage Server “Image Format” is set to “Automatic”, but the Storage Server
does not support US Image and US Multi-frame Image.
In both cases the correct setting can be determined by reviewing the DICOM Conformance Statement of
the Storage Server and following the instructions below. DICOM Conformance Statements are usually
available on the manufacturer’s Web site.
• If at least one of US Image and US Multi-frame Image are listed in the DICOM Conformance
Statement and the active Storage Server “Image Format” is set to “Automatic” then “New
Ultrasound” is the correct setting for “Store Image Format”.
• If the above is not true and at least one of US Image (Retired) and US Multi-frame Image
(Retired) are listed in the DICOM Conformance Statement then “Old Ultrasound” is the correct
setting for “Store Image Format”.
• If neither of the above are true then “Secondary Capture” is the correct setting for “Store Image
Format”.
7.2.2.5 DICOM Print Configuration

For each DICOM Print server, the following data is configurable by the user using the System Presets
DICOM Print User Interface. The effect of changing parameters of the DICOM Print server will be seen at
the next created film sheet. The current film sheet is not affected by changing these parameters.
Table 45: User-Configurable Printer Parameters
Parameter Description
Printer Type: Color or Black and White - depends on printer
Film Size Select the size of the film - 8x10 inches, 8.5x11 inches,
10x12 inches, 10x14 inches, 11x14 inches, 11x17 inches,
14x14 inches, 14x17 inches, 24x24 centimeters, 24x30
centimeters, A3, or A4.

Film Orientation
Select from Portrait:
or Landscape:
Display Format You must supply the number of rows and columns of
images on the printed sheet.
For example, a 6 on 1 print with Landscape mode should
have 3 columns and 2
rows:
A 6 on 1 with Portrait mode would have 2 columns and 3
rows:
Print Priority HIGH, MEDIUM or LOW
Medium Type PAPER, CLEAR FILM, BLUE FILM, TRANSPARENCY or

CURRENT (to use the currently loaded media)
Film Destination MAGAZINE, PROCESSOR or CURRENT
Max. Density Used to define the Black value - printer specific
Min. Density Used to define the White value - printer specific
Smoothing Type Printer specific value
Border Density BLACK or WHITE
Empty Image Density BLACK or WHITE

Trim YES/NO to having a border around each image
Polarity Normal/reverse. Normal means black is printed as black.

Reverse means the grayscale is inverted so that black
comes out as white and white as black.
Magnification Replicate, Bilinear, Cubic, None
Configuration Information: Printer Specific values
7.3 External Equipment Configuration

The ACUSON X300 user can configure “Hard Key” to “Output Device” mapping through the System
Presets - Customize Keys. Print images are acquired and sent to the assigned device when the user
presses the associated key. The following key assignments are supported:
• Clip Store – This key can be assigned to Multi-frame Store Capture, Cine Store or Disk Store
• Print/Store 1 – This key can be assigned to any configured DICOM Printer, DICOM Store or
OEM printer device.
• Print/Store 2 – This key can be assigned to any configured DICOM Printer, DICOM Store or
OEM printer device.
7.4 Support of Extended Character Sets

The “ISO-IR 100”, "GB18030", "ISO_IR 144" character sets are supported by the ACUSON X300 system
based on the following language selections:
English, French, Italian, German, Spanish: "ISO_IR 100"
Chinese: "GB18030"
Russian: "ISO_IR 144"
8.0 Security
8.1 Security Profiles
None supported.
8.2 Association Level Security

None supported.
8.3 Application Level Security

None supported.
8.4 Virus Protection

The ACUSON X300 computer system's networking has been configured to significantly reduce the
possibility of virus and hacking vulnerabilities. On the X300 computer system, all ingress TCP and UDP
ports are closed and/or absent of any type of server. The only exception to this is due to the necessity of
a DICOM server available at ingress TCP port 104. Additionally, all non-essential computer services and

components are disabled to minimize X300 egress network footprint.
Outside of some minimal network exchanges required by the X300's commercial computer operating
system, the only network connections initiated by the X300 are for DICOM connectivity and network-
share export function.

9.0 Appendix A: OB-GYN Structured Report Measurements

This appendix lists the DICOM Structured Report (SR) mappings used in the Obstetric and Gynecologic Structured Reports of X300 DICOM SR
files.
The mappings are organized in a manner similar to the DICOM SR Templates as described in PS 3.16-2004 of the DICOM Standard. The “Label”
column identifies the on-screen label associated with a measurement. All private code values use the Coding Scheme Designator “99SIEMENS”.
The OB-GYN Report mappings follow the DICOM SR Template TID 5000: OB-GYN Ultrasound Procedure Report, except where noted. Ovaries
and Follicles are private sections in this release.
Notation:
<…> indicates that the description is not the actual text displayed
[…] is additional information
TID5000: OB-GYN Ultrasound Procedure Report
9.1 Patient Characteristics

Label Code Meaning Modifiers Measurement References
(Coding Scheme Designator, Code Value)
Patient Characteristics Container: Patient Characteristics (DCM,
121118)
Height Patient Height (LN, 8302-2)
Weight Patient Weight (LN, 29463-7)
Gravida Gravida (LN, 11996-6)
Para Para (LN, 11977-6)
AB Aborta (LN, 11612-9)
Ectopic Ectopic Pregnancies (LN, 33065-4)
LMP IVF Date Time (99SIEMENS, IVFDateTime)
9.2 OB-GYN Summary

OB-GYN Summary Container: Summary (DCM, 121111)
LMP LMP (LN, 11955-2)

9.3 Fetus Summary

Heading: Measurement (Coding Scheme Designator, Code Value)
Fetus Summary Container: Fetus Summary (DCM, 125008)
Gestational Age Gestational Age (LN, 18185-9)
US MA, MA Based ON Composite Ultrasound Age (LN, 11888-5)
(AVERAGE)
US MA, MA Based ON Composite Ultrasound Age (LN, 11888-5) <Composite Ultrasound Age Author
(<Author Label> Information>
Estimated Fetal Weight: Estimated Weight (LN, 11727-5) <EFW Author Information>
EFW1 <Author>
2 Sigma Upper Value of Population (SRT, R- Estimated Weight (LN, 11727-5)
00387) <EFW Author Information>
2 Sigma Lower Value of Population (SRT, R- Estimated Weight (LN, 11727-5)
Estimated Fetal Weight: Estimated Weight (LN, 11727-5) <EFW Author Information>
EFW2 (<Author Label>)
2 Sigma Upper Value of Population (SRT, R- Estimated Weight (LN, 11727-5)
2 Sigma Lower Value of Population (SRT, R- Estimated Weight (LN, 11727-5)
9.3.1 Composite Ultrasound Age Authors

Author Label Composite Ultrasound Age Author Information Comments
Hadlock1 Equation: Ultrasound MA Hadlock1 (99SIEMENS, USMAHadlock1)

9.3.2 EFW Authors

Author Label EFW Author Information Population Statistical Descriptors
HANSMANN (BPD, ATC) Equation: EFW by BPD, TTD, Hansmann 1986 (LN, 33139-7) 2 Sigma Upper Value of Population (SRT, R-00387)
2 Sigma Lower Value of Population (SRT, R-00388)
OSAKA (BPD, FTA, FL) Equation: EFW by BPD, FTA, FL, Osaka 1990 (LN, 33140-5) 1 Sigma Upper Value of Population (SRT, R-00346)
SHEPARD (AC, BPD) Equation: EFW by AC, BPD, Shepard 1982 (LN, 11739-0) 2 Sigma Upper Value of Population (SRT, R-00387)
TOKYO (BPD, APAD, Equation: EFW by BPD, APAD, TAD, FL, Tokyo 1987 (LN, 33144-7) 1 Sigma Upper Value of Population (SRT, R-00346)
TAD, FL) 1 Sigma Lower Value of Population (SRT, R-00347)
HADLOCK1 (AC, FL) Equation: EFW by AC, FL, Hadlock 1984 (LN, 11750-7) 2 Sigma Upper Value of Population (SRT, R-00387)
HADLOCK2 (BPD, AC, Equation: EFW by AC, BPD, FL, Hadlock 1985 (LN, 11735-8) 2 Sigma Upper Value of Population (SRT, R-00387)
FL) 2 Sigma Lower Value of Population (SRT, R-00388)
HADLOCK3 (HC, AC, FL) Equation: EFW by AC, FL, HC, Hadlock 1985 (LN, 11746-5) 2 Sigma Upper Value of Population (SRT, R-00387)
HADLOCK4 (BPD, HC, Equation: EFW by AC, BPD, FL, HC, Hadlock 1985 (LN, 11732-5) 2 Sigma Upper Value of Population (SRT, R-00387)
AC, FL) 2 Sigma Lower Value of Population (SRT, R-00388)
JSUM (BPD, AC, FL) Equation: EFW JSUM (99SIEMENS, EFWJSUM) No Population Statistical Description
MERZ (BPD, AC) Equation: EFW Merz (99SIEMENS, EFWMerz) 2 Sigma Upper Value of Population (SRT, R-00387)
9.3.3 EFW Gestational Age Authors

Author Label EFW Gestational Age Author Information Population Statistical Descriptors
Tokyo(BPD, APAD, TAD, Equation: EFW1 MA Tokyo (99SIEMENS, MAEFW1Tokyo) 1 Sigma Upper Value of Population (SRT, R-00346)
Osaka(BPD, FTA, FL) Equation: EFW1 MA Osaka (99SIEMENS, MAEFW1Osaka) 1 Sigma Upper Value of Population (SRT, R-00346)
JSUM(BPD, AC, FL) Equation: EFW1 MA JSUM (99SIEMENS, MAEFW1JSUM) No Population Statistical Descriptors
Tokyo(BPD, APAD, TAD, Equation: EFW2 MA Tokyo (99SIEMENS, MAEFW2Tokyo) 1 Sigma Upper Value of Population (SRT, R-00346)
Osaka(BPD, FTA, FL) Equation: EFW2 MA Osaka (99SIEMENS, MAEFW2Osaka) 1 Sigma Upper Value of Population (SRT, R-00346)
JSUM(BPD, AC, FL) Equation: EFW2 MA JSUM (99SIEMENS, MAEFW2JSUM) No Population Statistical Descriptors

9.4 Fetal Biometry Ratios

Fetal Biometry Ratios Container: Fetal Biometry Ratios
(DCM, 125001)
Ratio: HC/AC, <Value> HC/AC Campbell (99SIEMENS, Equation: HC/AC Campbell
(<Lower Limit> – <Upper HCACCampbell) (99SIEMENS, HCACCampbell)
Limit>), CAMPBELL
Normal Range Upper Limit (SRT, R-0038B) HC/AC Campbell (99SIEMENS,
HCACCampbell)
Normal Range Lower Limit (SRT, R-10041) HC/AC Campbell (99SIEMENS,
HCACCampbell)
Ratio: FL/AC, <Value> FL/AC Hadlock (99SIEMENS, FLACHadlock) Equation: FL/AC Hadlock
(<Lower Limit> – <Upper (99SIEMENS, FLACHadlock)
Limit>), HADLOCK
Normal Range Upper Limit (SRT, R-0038B) FL/AC Hadlock (99SIEMENS, FLACHadlock)
Normal Range Lower Limit (SRT, R-10041) FL/AC Hadlock (99SIEMENS, FLACHadlock)
Ratio: FL/BPD, <Value> FL/BPD Hohler (99SIEMENS, FLBPDHohler) Equation: FL/BPD Hohler
(<Lower Limit> – <Upper (99SIEMENS, FLBPDHohler)
Limit>), HOHLER
Normal Range Upper Limit (SRT, R-0038B) FL/BPD Hohler (99SIEMENS, FLBPDHohler)
Normal Range Lower Limit (SRT, R-10041) FL/BPD Hohler (99SIEMENS, FLBPDHohler)
Ratio: TCD/AC, <Value> TCD/AC Meyer (99SIEMENS, TCDACMeyer) Equation: TCD/AC Meyer
(<Lower Limit> – <Upper (99SIEMENS, TCDACMeyer)
Limit>), MEYER
Normal Range Upper Limit (SRT, R-0038B) TCD/AC Meyer (99SIEMENS, TCDACMeyer)
Normal Range Lower Limit (SRT, R-10041) TCD/AC Meyer (99SIEMENS, TCDACMeyer)
Ratio: LVW/HW, <Value> LVW/HW Johnson Equation: LVW/HW Johnson
(<Lower Limit> – <Upper (99SIEMENS, LVWHWJohnson) (99SIEMENS, LVWHWJohnson)
Limit>), JOHNSON
Normal Range Upper Limit (SRT, R-0038B) LVW/HW Johnson
(99SIEMENS, LVWHWJohnson)
Normal Range Lower Limit (SRT, R-10041) LVW/HW Johnson
(99SIEMENS, LVWHWJohnson)
Ratio: CI, <Value> (<Lower CI Ratio Hadlock (99SIEMENS, CIHadlock) Equation: CI Ratio Hadlock
Limit> – <Upper Limit>), (99SIEMENS, CIHadlock)
HADLOCK
Normal Range Upper Limit (SRT, R-0038B) CI Ratio Hadlock (99SIEMENS, CIHadlock)
Normal Range Lower Limit (SRT, R-10041) CI Ratio Hadlock (99SIEMENS, CIHadlock)


Ratio: CI, <Value> (<Lower CI Ratio Chitty (99SIEMENS, CIChitty) Equation: CI Ratio Chitty (99SIEMENS,
Limit> – <Upper Limit>), CIChitty)
CHITTY
Normal Range Upper Limit (SRT, R-0038B) CI Ratio Chitty (99SIEMENS, CIChitty)
Normal Range Lower Limit (SRT, R-10041) CI Ratio Chitty (99SIEMENS, CIChitty)
9.5 Fetal Biometry Measurements

Fetal Biometry Container: Fetal Biometry (DCM, 125002)
Measurements
Measurement: AC, <Author Abdominal Circumference (LN, 11979-2)
Label>, <Gestational Age>
±<Population Statistical
Descriptor>, <Value>
Gestational Age (LN, 18185-9) <AC Gestational Age Author Information> Abdominal Circumference (LN, 11979-2)
1 Sigma Upper Value of Population (SRT, R- Gestational Age (LN, 18185-9)
00346) Abdominal Circumference (LN, 11979-2)
<AC Gestational Age Author Information>
1 Sigma Lower Value of Population (SRT, R- Gestational Age (LN, 18185-9)
2 Sigma Upper Value of Population (SRT, R- Gestational Age (LN, 18185-9)
2 Sigma Lower Value of Population (SRT, R- Gestational Age (LN, 18185-9)
Measurement: APTD, Anterior-Posterior Trunk Diameter (LN,
<Value> 11819-0)
Measurement: ASD, Anterior-Posterior Abdominal Diameter (LN,
<Author Label>, 11818-2)
<Gestational Age>,
<Value>
<Author Label>: MERZ Gestational Age (LN, 18185-9) Equation: ASD MA Merz
(99SIEMENS, ASDMAMerz)


Measurement: ATD, Transverse Abdominal Diameter (LN, 11818-
<Author Label>, 2)
<Gestational Age>,
<Value>
<Author Label>: MERZ Gestational Age (LN, 18185-9) Equation: ATD MA Merz Transverse Abdominal Diameter (LN, 11818-
(99SIEMENS, ATDMAMerz) 2)
Measurement: BPD, Biparietal Diameter (LN, 11820-8)
<Author Label>,
<Gestational Age>
Gestational Age (LN, 18185-9) <BPD Gestational Age Author Information> Biparietal Diameter (LN, 11820-8)
1 Sigma Upper Value of Population Gestational Age (LN, 18185-9)
(SRT, R-00346) Biparietal Diameter (LN, 11820-8)
<BPD Gestational Age Author Information>
1 Sigma Lower Value of Population Gestational Age (LN, 18185-9)
Measurement: CorBPD, BPD Area Corrected (LN, 11824-0)
<Author Label>,
<Gestational Age>
(SRT, R-00346) BPD Area Corrected (LN, 11824-0)


Measurement: FL, <Author Femur Length (LN, 11963-6)
Gestational Age (LN, 18185-9) <FL Gestational Age Author Information> Femur Length (LN, 11963-6)
(SRT, R-00346) Femur Length (LN, 11963-6)
<FL Gestational Age Author Information>
Measurement: FT, <Author Foot Length (LN, 11965-1)
<Author Label>: Gestational Age (LN, 18185-9) Equation: Foot Length, Mercer 1987 Foot Length (LN, 11965-1)
MERCER (LN, 11926-3)
(SRT, R-00387) Foot Length (LN, 11965-1)
Equation: Foot Length, Mercer 1987
(LN, 11926-3)
(SRT, R-00388) Foot Length (LN, 11965-1)
Equation: Foot Length, Mercer 1987
(LN, 11926-3)
Measurement: FTA, Thoracic Area (LN, 33068-8)
<Author Label>,
<Gestational Age>


<Author Label>: OSAKA Gestational Age (LN, 18185-9) Equation: FTA MA Osaka Thoracic Area (LN, 33068-8)
(99SIEMENS, FTAMAOsaka)
Measurement: HC, Head Circumference (LN, 11984-2)
<Author Label>,
<Gestational Age>
Gestational Age (LN, 18185-9) <HC Gestational Age Author Information> Head Circumference (LN, 11984-2)
(SRT, R-00387) Head Circumference (LN, 11984-2)
<HC Gestational Age Author Information>
(SRT, R-00388) Head Circumference (LN, 11984-2)
<HC Gestational Age Author Information>
Measurement: OFD, Occipital-Frontal Diameter (LN, 11851-3)
<Author Label>,
<Gestational Age>
<Author Label>: ASUM Gestational Age (LN, 18185-9) Equation: OFD, ASUM 2000 Occipital-Frontal Diameter (LN, 11851-3)
(LN, 33119-9)
<Author Label>: MERZ Gestational Age (LN, 18185-9) Equation: OFD MA Merz Occipital-Frontal Diameter (LN, 11851-3)
(99SIEMENS, OFDMAMerz)
Measurement: TC, Thoracic Circumference (LN, 11988-3)
<Value>
Measurement: TTD, Transverse Thoracic Diameter (LN, 11864-6)
<Value>
Measurement: AXT, APAD * TAD (LN, 33191-8)
<Author Label>,
<Gestational Age>
<Author Label>: TOKYO Gestational Age (LN, 18185-9) Equation: AXT MA Tokyo (99SIEMENS, APAD * TAD (LN, 33191-8)
MAAXTTokyo)
(SRT, R-00346) APAD * TAD (LN, 33191-8)
Equation: AXT MA Tokyo (99SIEMENS,
MAAXTTokyo)


(SRT, R-00347) APAD * TAD (LN, 33191-8)
Equation: AXT MA Tokyo (99SIEMENS,
MAAXTTokyo)
Measurement: Left RL, Left Kidney Length (LN, 11834-9)
<Value>
Measurement: Left RAP, Left Kidney Thickness (LN, 11853-9)
<Value>
Measurement: Right RL, Right Kidney Length (LN, 11836-4)
<Value>
Measurement: Right RAP, Right Kidney Thickness (LN, 11855-4)
<Value>
9.5.1 AC Gestational Age Authors

Author Label AC Gestational Age Author Information Population Statistical Descriptors
HADLOCK Equation: AC, Hadlock 1984 (LN, 11892-7) 2 Sigma Upper Value of Population (SRT, R-00387)
MERZ Equation: AC, Mertz 1988 (LN, 33075-3) 2 Sigma Upper Value of Population (SRT, R-00387)
LASSER Equation: AC MA Lasser (99SIEMENS, ACMALasser) 2 Sigma Upper Value of Population (SRT, R-00387)
JSUM Equation: AC MA JSUM (99SIEMENS, ACMAJSUM) 1 Sigma Upper Value of Population (SRT, R-00346)
9.5.2 BPD Gestational Age Authors

Author Label BPD Gestational Age Author Information Population Statistical Descriptors
ASUM Equation: BPD, ASUM 1989 (LN, 33079-5) No Population Statistical Descriptors
HADLOCK Equation: BPD, Hadlock 1984 (LN, 11902-4) 2 Sigma Upper Value of Population (SRT, R-00387)
MERZ Equation: BPD, Mertz 1988 (LN, 33081-1) 2 Sigma Upper Value of Population (SRT, R-00387)
REMPEN Equation: BPD, Rempen 1991 (LN, 33083-7) 2 Sigma Upper Value of Population (SRT, R-00387)
TOKYO Equation: BPD, Tokyo 1986 (LN, 33085-2) 1 Sigma Upper Value of Population (SRT, R-00346)

Author Label BPD Gestational Age Author Information Population Statistical Descriptors
OSAKA Equation: BPD, Osaka 1989 (LN, 33082-9) 1 Sigma Upper Value of Population (SRT, R-00346)
JSUM Equation: BPD MA JSUM (99SIEMENS, BPDMAJSUM) 1 Sigma Upper Value of population (SRT, R-00346)
LASSER Equation: BPD MA Lasser (99SIEMENS, BPDMALasser) 2 Sigma Upper Value of Population (SRT, R-00387)
9.5.3 BPD Area Corrected Gestational Age Authors

Author Label BPD Area Corrected Gestational Age Author Information Population Statistical Descriptors
HADLOCK Equation: BPD, Hadlock 1984 (LN, 11902-4) 2 Sigma Upper Value of Population (SRT, R-00387)
MERZ Equation: BPD, Mertz 1988 (LN, 33081-1) 2 Sigma Upper Value of Population (SRT, R-00387)
REMPEN Equation: BPD, Rempen 1991 (LN, 33083-7) 2 Sigma Upper Value of Population (SRT, R-00387)
ASUM Equation: BPD, ASUM 1989 (LN, 33079-5) No Population Statistical Descriptors
TOKYO Equation: BPD, Tokyo 1986 (LN, 33085-2) 1 Sigma Upper Value of Population (SRT, R-00346)
OSAKA Equation: BPD, Osaka 1989 (LN, 33082-9) 1 Sigma Upper Value of Population (SRT, R-00346)
JSUM Equation: CorBPD MA JSUM (99SIEMENS, CorBPDJsum) 1 Sigma Upper Value of population (SRT, R-00346)
LASSER Equation: CorBPD MA Lasser (99SIEMENS, CorBPDLasser) 2 Sigma Upper Value of Population (SRT, R-00387)
9.5.4 FL Gestational Age Authors

Author Label FL Gestational Age Author Information Population Statistical Descriptors
JEANTY Equation: FL, Jeanty 1984 (LN, 11923-0) 2 Sigma Upper Value of Population (SRT, R-00387)
HADLOCK Equation: FL, Hadlock 1984 (LN, 11920-6) 2 Sigma Upper Value of Population (SRT, R-00387)
MERZ Equation: FL, Merz 1988 (LN, 33542-2) 2 Sigma Upper Value of Population (SRT, R-00387)
TOKYO Equation: FL, Tokyo 1986 (LN, 33103-3) 1 Sigma Upper Value of Population (SRT, R-00346)
OSAKA Equation: FL, Osaka 1989 (LN, 33101-7) 1 Sigma Upper Value of Population (SRT, R-00346)

Author Label FL Gestational Age Author Information Population Statistical Descriptors

JSUM Equation: FL MA JSUM (99SIEMENS, FLMAJSUM) 1 Sigma Upper Value of Population (SRT, R-00346)
9.5.5 HC Gestational Age Authors

Author Label HC Gestational Age Author Information Population Statistical Descriptors
HADLOCK Equation: HC, Hadlock 1984 (LN, 11932-1) 2 Sigma Upper Value of Population (SRT, R-00387)
MERZ Equation: HC, Merz 1988 (LN, 33115-7) 2 Sigma Upper Value of Population (SRT, R-00387)
LASSER Equation: HC MA Lasser (99SIEMENS, HCMALasser) 2 Sigma Upper Value of Population (SRT, R-00387)
9.6 Fetal Long Bones Biometry Measurements

Fetal Long Bones Container: Fetal Long Bones (DCM, 125003)
Biometry Measurements
CL, <Value> Clavicle Length (LN, 11962-8)
HL, <Author Label>, Humerus Length (LN, 11966-9)
<Gestational Age>
<Author Label>: Gestational Age (LN, 18185-9) Equation: Humerus, Jeanty 1984 Humerus Length (LN, 11966-9)
JEANTY (LN, 11936-2)
2 Sigma Upper Value of population Gestational Age (LN, 18185-9)
(SRT, R-00387) Humerus Length (LN, 11966-9)
Equation: Humerus, Jeanty 1984 (LN,
11936-2)
2 Sigma Lower Value of population Gestational Age (LN, 18185-9)
Equation: Humerus, Jeanty 1984 (LN,
11936-2)
<Author Label>: Gestational Age (LN, 18185-9) Equation: Humerus Length, Osaka 1989 (LN, Humerus Length (LN, 11966-9)
OSAKA 33117-3)


Equation: Humerus Length, Osaka 1989
(LN, 33117-3)
Equation: Humerus Length, Osaka 1989
(LN, 33117-3)
TL, <Author Label>, Tibia Length (LN, 11968-5)
<Gestational Age>
<Author Label>: Gestational Age (LN, 18185-9) Equation: Tibia, Jeanty 1984
(SRT, R-00387) Tibia Length (LN, 11968-5)
Equation: Tibia, Jeanty 1984 (LN, 11941-2)
(SRT, R-00388) Tibia Length (LN, 11968-5)
Equation: Tibia, Jeanty 1984 (LN, 11941-2)
UL, <Author Label>, Ulna Length (LN, 11969-3)
<Gestational Age>
<Author Label>: Gestational Age (LN, 18185-9) Equation: Ulna, Jeanty 1984
(SRT, R-00387) Ulna Length (LN, 11969-3)
Equation: Ulna, Jeanty 1984 (LN, 11944-6)
(SRT, R-00388) Ulna Length (LN, 11969-3)
Equation: Ulna, Jeanty 1984 (LN, 11944-6)
9.7 Fetal Cranium

Fetal Cranium Container: Fetal Cranium (DCM, 125004)


BN, <Author Label>, Outer Orbital Diameter (LN, 11629-3)
<Gestational Age>
Gestational Age (LN, 18185-9) Outer Orbital Diameter (LN, 11629-3)
(SRT, R-00387) Outer Orbital Diameter (LN, 11629-3)
(SRT, R-00388) Outer Orbital Diameter (LN, 11629-3)
HW, <Value> Width of Hemisphere (LN, 12170-7)
TCD, <Value> Trans Cerebellar Diameter (LN, 11863-8)
LVW, <Value> Lateral Ventrical Width (LN, 12171-5)
Cist Magna, <Value> Cisterna Magna Length (LN, 11860-4)
NT, <Value> Nuchal Fold Thickness (LN, 12146-7)
9.7.1 BN Gestational Age Authors

Author Label BN Gestational Age Author Information Population Statistical Descriptors
JEANTY Equation: BN MA Jeanty (99SIEMENS, BNMAJeanty) 2 Sigma Upper Value of population (SRT, R-00387)
2 Sigma Lower Value of population (SRT, R-00388)
TONGSONG Equation: BN MA Tongsong (99SIEMENS, BNMATongsong) 2 Sigma Upper Value of population (SRT, R-00387)
2 Sigma Lower Value of population (SRT, R-00388)
9.8 Amniotic Sac

Amniotic Sac Finding Site: Amniotic Sac (SRT, T-F1300)
AFI Amniotic Fluid Index (LN, 11627-7)
Q1 First Quadrant Diameter (LN, 11624-4)
Q2 Second Quadrant Diameter (LN, 11626-9)
Q3 Third Quadrant Diameter (LN, 11625-1)
Q4 Fourth Quadrant Diameter (LN, 11623-6)

9.9 Early Gestation Biometry Measurements

Early Gestation Biometry Container: Early Gestation (DCM, 125009)
Measurements
Early OB: CRL, <Author Crown Rump Length (LN, 11957-8)
Label>, <Mean Value>,
<Gestational Age>
Gestational Age (LN, 18185-9) <CRL Author Information> Crown Rump Length (LN, 11957-8)
Early OB: GS, <Author Gestational Sac Diameter (LN, 11850-5)
<Gestational Age>
<Author Label>: Gestational Age (LN, 18185-9) Equation: GS, Tokyo 1986 (LN, 33108-2) Gestational Sac Diameter (LN, 11850-5)
TOKYO
(SRT, R-00346) Gestational Sac Diameter (LN, 11850-5)
Equation: GS, Tokyo 1986 (LN, 33108-2)
Equation: GS, Tokyo 1986 (LN, 33108-2)


Early OB: MSD, <Author Gestational Sac Diameter (LN, 11850-5)
<Gestational Age>
<Author Label>: Gestational Age (LN, 18185-9) Equation: GS, Rempen 1991 Gestational Sac Diameter (LN, 11850-5)
REMPEN (LN, 11929-7)
Equation: GS, Rempen 1991 (LN, 11929-7)
Equation: GS, Rempen 1991 (LN, 11929-7)
<Author Label>: Gestational Age (LN, 18185-9) Equation: GS, Hellman 1969 Gestational Sac Diameter (LN, 11850-5)
HELLMAN (LN, 11928-9)
Early OB: Yolk Sac Yolk Sac Length (LN, 11816-6)
9.9.1 CRL Gestational Age Authors

Author Label CRL Gestational Age Author Information Population Statistical Descriptors
ASUM Equation: CRL, ASUM 2000 (LN, 33090-2) No Population Statistical Descriptors
HADLOCK Equation: CRL, Hadlock 1992 (LN, 11910-7) 2 Sigma Upper Value of Population (SRT, R-00387)
HANSMANN Equation: CRL, Hansmann 1986 (LN, 33540-6) 2 Sigma Upper Value of Population (SRT, R-00387)
OSAKA Equation: CRL, Osaka 1989 (LN, 33093-6) 1 Sigma Upper Value of Population (SRT, R-00346)
ROBINSON Equation: CRL, Robinson 1975 (LN, 11914-9) 2 Sigma Upper Value of Population (SRT, R-00387)
TOKYO Equation: CRL, Tokyo 1986 (LN, 33096-9) 1 Sigma Upper Value of Population (SRT, R-00346)
JSUM Equation: CRL MA JSUM (99SIEMENS, CRLMAJSUM) 1 Sigma Upper Value of Population (SRT, R-00346)
LASSER Equation: CRL MA Lasser (99SIEMENS, CRLMALasser) 2 Sigma Upper Value of Population (SRT, R-00387)

9.10 Fetal Biophysical Profile

Fetal Biophysical Profile Container: Biophysical Profile (DCM,
125006)
Movement Gross Body Movement (LN, 11631-0)
Breathing Fetal Breathing (LN, 11632-7)
Tone Fetal Tone (LN, 11635-0)
AFV Amniotic Fluid Volume (LN, 11630-1)
9.11 Pelvis and Uterus

Pelvis and Uterus Container: Pelvis and Uterus (DCM, 125011)
Cervix or Cervix Len Cervix Length (LN, 11961-0)
Endometrium Endometrium Thickness (LN, 12145-9)
Uterus Container: Uterus (SRT, T-83000)
Length Uterus Length (LN, 11842-2)
Width Uterus Width (LN, 11865-3)
Depth Uterus Height (LN, 11859-6)
9.12 Pelvic Vasculature

Pelvic Vasculature Finding Site: Pelvic Vascular Structure
(SRT, T-D6007)
Doppler: Lt Ovarian A Location: Ovarian Artery (SRT, T-46980) Laterality: Left (SRT, G-A101)
Systole Peak Systolic Velocity (LN, 11726-7)
Diastole End Diastolic Velocity (LN, 11653-3)
S/D Systolic to Diastolic Velocity Ratio
(LN, 12144-2)
RI Resistivity Index (LN, 12023-8)
PI Pulsatility Index (LN, 12008-9)
Doppler: Rt Ovarian A Location: Ovarian Artery (SRT, T-46980) Laterality: Right (SRT, G-A100)


(LN, 12144-2)
Doppler: Uterine A Location: Uterine Artery (SRT, T-F1810)
(LN, 12144-2)
(LN, 12144-2)
Measurement: Umb VD Vessel Lumen Diameter (SRT, G-0364)
9.13 Fetal Vasculature

Measurement Label Code Meaning Modifiers Measurement References
Fetal Vasculature Finding Site: Embryonic Vascular Structure
(SRT, T-F6800)
Location(Proximal, Middle, Location: Middle Cerebral Artery
Distal) (SRT, T-45600)
(LN, 12144-2)

9.14 Private Section: Ovaries

Ovaries Container: Ovaries Section (99SIEMENS,
Ovaries)
2D-Mode: Lt Ovary, Width Left Ovary Width (LN, 11829-9)
2D-Mode: Lt Ovary, Length Left Ovary Length (LN, 11840-6)
2D-Mode: Lt Ovary, Depth Left Ovary Height (LN, 11857-0)
2D-Mode: Lt Ovary, Left Ovary Volume (LN, 12164-0)
Volume
2D-Mode: Rt Ovary, Width Right Ovary Width (LN, 11830-7)
2D-Mode: Rt Ovary, Right Ovary Length (LN, 11841-4)
Length
2D-Mode: Rt Ovary, Depth Right Ovary Height (LN, 11858-8)
2D-Mode: Rt Ovary, Right Ovary Volume (LN, 12165-7)
Volume
9.15 Private Sections: Left and Right Follicles

Follicles Container: Follicles Section Laterality: Left (SRT, G-A101)
<n> = 1 to 15 (99SIEMENS, Follicles) or Laterality: Right (SRT, G-A100)
<Lt or Rt> Follicle, #<n> Container: Follicle <n> (99SIEMENS,
Follicle<n>)
Distance Follicle Diameter (LN, 11793-7)
2Dist_Average Volume (SRT, G-D705)
3Dist_Average Follicle Diameter2 Mean Derivation: Mean (SRT, R-00317)
(99SIEMENS, FollicleDiam2Mn)
Area Follicle Diameter3 Mean Derivation: Mean (SRT, R-00317)
(99SIEMENS, FollicleDiam3Mn)
Circum Follicle Area (99SIEMENS, FollicleArea)
Volume Follicle Circumference
(99SIEMENS, FollicleCircum)

10.0 Appendix B: Vascular Structured Report

This appendix lists the DICOM Structured Report (SR) mappings used in the Vascular Structured Reports of X300 DICOM SR files.
column identifies the on-screen label associated with a measurement. All private code values use the Coding Scheme Designator “99SIEMENS”.
The Vascular Report mappings follow the DICOM SR Template TID 5100: Vascular Ultrasound Report.
Notation:
Measurement List 1 [L1] Measurement List 2 [L2]

Measurement Label Code Meaning Measurement Label Code Meaning
(Coding Scheme Designator, (Coding Scheme Designator,
Code Value) Code Value)
Diastole End Diastolic Velocity Systole Peak Systolic Velocity
(LN, 11653-3) (LN, 11726-7)
Systole Peak Systolic Velocity PI Pulsatility Index (LN, 12008-9)
(LN, 11726-7)
PI Pulsatility Index (LN, 12008-9) RI Resistivity Index (LN, 12023-8)
(LN, 12144-2)
%Stenosis Percent_Area_Reduction
(SRT, G-0371)
%Stenosis Percent_Diameter_Reduction
(SRT, G-0372)
Measurement List 3 [L3]

Diastole End Diastolic Velocity %Stenosis Percent_Diameter_Reduction
(LN, 11653-3) (SRT, G-0372)
Systole Peak Systolic Velocity Acceleration Acceleration Index (LN, 20167-3)
(LN, 11726-7)


PI Pulsatility Index (LN, 12008-9) Distance Distance (9999SIEMENS,
Distance)
RI Resistivity Index (LN, 12023-8) Velocity Velocity (9999SIEMENS, Velocity)
S/D Systolic to Diastolic Velocity Ratio Flow Volume Volume Flow by Area
(LN, 12144-2) (99SIEMENS, VolFByArea)
%Stenosis Percent_Area_Reduction Flow Volume Volume Flow by Diameter
(SRT, G-0371) (99SIEMENS, VolFByDiam)
TID5100: Vascular Ultrasound Report

Label Code Meaning Modifiers
Patient Characteristics Container: Patient Characteristics
(DCM, 121118)
Age Subject Age (DCM, 121033)
Sex Subject Sex (DCM, 121032)
HR Heart Rate (LN, 8867-4)
BP Systolic Blood Pressure (SRT, F-008EC)
Diastolic Blood Pressure (SRT, F-008ED)
10.2 Blood Vessel of Head (Left Intracranial Cerebral Vessels)

Report: Vessel or (Coding Scheme Designator, Code Value)
Measurement
Blood Vessel of Head Finding Site: Blood Vessel of Head (SRT, T-40501) Laterality: Left (SRT, G-A101)
(Left Intracranial
Cerebral Vessels)
TCD Vascular Report: Location: Carotid Siphon (SRT, T-45308) Laterality: Left (SRT, G-A101)
Left, ICA-Siphon [Measurements List: L3]

Private Vessels and Measurements

TCD Vascular Report: Location: Anterior Cerebral Artery A1 99SIEMENS, AntCerebAA1) Laterality: Left (SRT, G-A101)
Left, ACA-A1 [Measurements List: L3]
TCD Vascular Report: Location: Anterior Cerebral Artery A2 (99SIEMENS, AntCerebAA2) Laterality: Left (SRT, G-A101)
Left, ACA-A2 [Measurements List: L3]
Location: Posterior Cerebral Artery (SRT, T-45900) Laterality: Left (SRT, G-A100)
[Measurements List: L3]
TCD Vascular Report: Location: Posterior Cerebral Artery P1 (99SIEMENS, PostCerebAP1) Laterality: Left (SRT, G-A101)
Left PCA-P1 [Measurements List: L3]
TCD Vascular Report: Location: Posterior Cerebral Artery P2 (99SIEMENS, PostCerebAP2) Laterality: Left (SRT, G-A101)
Left PCA-P2 [Measurements List: L3]
TCD Vascular Report: Measurement: “MCA/ICA Siphon” Laterality: Left (SRT, G-A101)
Ratio, Left, MCA/ICA (99SIEMENS, McaIcaSRatio)
Velocity
10.3 Blood Vessel of Head (Right Intracranial Cerebral Vessels)

Measurement
Blood Vessel of Head Finding Site: Blood Vessel of Head (SRT, T-40501) Laterality: Right (SRT, G-A100)
(Right Intracranial
Cerebral Vessels)
TCD Vascular Report: Location: Carotid Siphon (SRT, T-45308) Laterality: Right (SRT, G-A100)
Right ICA-Siphon [Measurements List: L3]
TCD Vascular Report: Location: Anterior Cerebral Artery A1 (99SIEMENS, AntCerebAA1) Laterality: Right (SRT, G-A100)
Right, ACA-A1 [Measurements List: L3]
TCD Vascular Report: Location: Anterior Cerebral Artery A2 (99SIEMENS, AntCerebAA2) Laterality: Right (SRT, G-A100)
Right, ACA-A2 [Measurements List: L3]
Right PCA Location: Posterior Cerebral Artery (SRT, T-45900) Laterality: Right (SRT, G-A100)
[Measurements List: L3]
TCD Vascular Report: Location: Posterior Cerebral Artery P1 (99SIEMENS, PostCerebAP1) Laterality: Right (SRT, G-A100)
Right PCA-P1 [Measurements List: L3]
TCD Vascular Report: Location: Posterior Cerebral Artery P2 (99SIEMENS, PostCerebAP2) Laterality: Right (SRT, G-A100)
Right PCA-P2 [Measurements List: L3]


Measurement
TCD Vascular Report: Measurement: “MCA/ICA Siphon” Laterality: Right (SRT, G-A100)
Ratio, Right, MCA/ICA (99SIEMENS, McaIcaSRatio)
Velocity
10.4 Blood Vessel of Head (Unilateral Intracranial Cerebral Vessels)

Measurement
Blood Vessel of Head Finding Site: Blood Vessel of Head (SRT, T-40501) Laterality: Unilateral (SRT, G-A103)
(Unilateral Intracranial
Cerebral Vessels)
TCD Vascular Report: Location: Basilar Artery (SRT, T-45800) Laterality: Unilateral (SRT, G-A103)
Basilar A [Measurements List: L3]
TCD Vascular Report: Location: Anterior Communicating Artery (SRT, T-45530) Laterality: Unilateral (SRT, G-A103)
ACoA [Measurements List: L3]
TCD Vascular Report: Location: Posterior Communicating Artery (SRT, T-45320) Laterality: Unilateral (SRT, G-A103)
PCoA [Measurements List: L3]
10.5 Artery of Neck (Left Extracranial Arteries, Carotid Ratios)

Measurement
Artery of Neck Finding Site: Artery of Neck (SRT, T-45005) Laterality: Left (SRT, G-A101)
(Left Extracranial
Arteries, Carotid Ratios)
Cerebro Vascular Report: ICA/CCA velocity ratio (LN, 33868-1) Laterality: Left (SRT, G-A101)
Ratio, Left, ICA/CCA
Systole
Cerebro Vascular Report: Location: Common Carotid Artery (SRT, T-45100) Laterality: Left (SRT, G-A101)
Left, CCA [Measurements List: L1]
Cerebro Vascular Report: Location: External Carotid Artery (SRT, T-45200) Laterality: Left (SRT, G-A101)
Left, ECA [Measurements List: L1]


Measurement
Cerebro Vascular Prox Location: Internal Carotid Artery (SRT, T-45300) Laterality: Left (SRT, G-A101)
Report: Left, ICA [Measurements List: L1] Topographical Modifier: Proximal (SRT, G-A118)
Mid Location: Internal Carotid Artery (SRT, T-45300) Laterality: Left (SRT, G-A101)
Use the biggest
[Measurements List: L1] Topographical Modifier: Mid-longitudinal (SRT, G-A188)
value(Prox, Mid,
Distal) for ratio Distal Location: Internal Carotid Artery (SRT, T-45300) Laterality: Left (SRT, G-A101)
[Measurements List: L1] Topographical Modifier: Distal (SRT, G-A119)
Cerebro Vascular Report: Location: Vertebral Artery (SRT, T-45700) Laterality: Left (SRT, G-A101)
Left, VA [Measurements List: L3]
TCD Vascular Report:
Left, VA
Private Measurements
Cerebro Vascular Report: Measurement: “End Diastole: ICA/CCA” Laterality: Left (SRT, G-A101)
Ratio, Left, ICA/CCA (99SIEMENS, EDIcaCCARatio)
Diastole
10.6 Artery of Neck (Right Extracranial Arteries, Carotid Ratios)

Exam: Headings -- (Coding Scheme Designator, Code Value)
Measurements
Artery of Neck Finding Site: Artery of Neck (SRT, T-45005) Laterality: Right (SRT, G-A100)
(Right Extracranial
Arteries, Carotid Ratios)
Cerebro Vascular Report: ICA/CCA velocity ratio (LN, 33868-1) Laterality: Right (SRT, G-A100)
Ratio, Right, ICA/CCA
Systole
Cerebro Vascular Report: Location: Common Carotid Artery (SRT, T-45100) Laterality: Right (SRT, G-A100)
Right, CCA [Measurements List: L1]
Cerebro Vascular Report: Location: External Carotid Artery (SRT, T-45200) Laterality: Right (SRT, G-A100)
Right, ECA [Measurements List: L1]
Cerebro Prox Location: Internal Carotid Artery (SRT, T-45300) Laterality: Right (SRT, G-A100)
Vascular [Measurements List: L1] Topographical Modifier: Proximal (SRT, G-A118)
Report: Right,
Mid Location: Internal Carotid Artery (SRT, T-45300) Laterality: Right (SRT, G-A100)


Measurements
ICA Distal Location: Internal Carotid Artery (SRT, T-45300) Laterality: Right (SRT, G-A100)
Use the biggest
value(Prox, Mid,
Distal) for ratio
Cerebro Vascular Report: Location: Vertebral Artery (SRT, T-45700) Laterality: Right (SRT, G-A100)
Right, VA [Measurements List: L3]
TCD Vascular Report:
Right, VA
Private Measurements
Cerebro Vascular Report: Measurement: “End Diastole: ICA/CCA” Laterality: Right (SRT, G-A100)
Ratio, Right, ICA/CCA (99SIEMENS, EDIcaCCARatio)
Diastole
10.7 Artery of Lower Extremity (Left Side)

Measurements
Artery of Lower Finding Site: Artery of Lower Extremity Laterality: Left (SRT, G-A101)
Extremity (SRT, T-47040)
(Left Side)
Peripheral Vascular Location: Anterior Tibial Artery (SRT, T-47700) Laterality: Left (SRT, G-A101)
Report: Left, ATA [Measurements List: L2]
Peripheral Vascular Location: Common Femoral Artery (SRT, T-47400) Laterality: Left (SRT, G-A101)
Report: Left, CFA [Measurements List: L2]
Peripheral Vascular Location: Common Iliac Artery (SRT, T-46710) Laterality: Left (SRT, G-A101)
Report: Left, CIA [Measurements List: L2]
Peripheral Vascular Location: Dorsalis Pedis Artery (SRT, T-47741) Laterality: Left (SRT, G-A101)
Report: Left, DPA [Measurements List: L2]
Peripheral Vascular Location: External Iliac Artery (SRT, T-46910) Laterality: Left (SRT, G-A101)
Report: Left, EIA [Measurements List: L2]
Peripheral Vascular Location: Peroneal Artery (SRT, T-47630) Laterality: Left (SRT, G-A101)
Report: Left, PER A [Measurements List: L2]
Peripheral Vascular Location: Popliteal Artery (SRT, T-47500) Laterality: Left (SRT, G-A101)
Report: Left, POP A [Measurements List: L2]


Measurements
Peripheral Vascular Location: Posterior Tibial Artery (SRT, T-47600) Laterality: Left (SRT, G-A101)
Report: Left, PTA [Measurements List: L2]
Peripheral Vascular Location: Profunda Femoris Artery (SRT, T-47440) Laterality: Left (SRT, G-A101)
Report: Left, PFA [Measurements List: L2]
Peripheral Prox Location: Superficial Femoral Artery (SRT, T-47403) Laterality: Left (SRT, G-A101)
Vascular Report: [Measurements List: L2] Topographical Modifier: Proximal (SRT, G-A118)
Left, SFA
Mid Location: Superficial Femoral Artery (SRT, T-47403) Laterality: Left (SRT, G-A101)
Distal Location: Superficial Femoral Artery (SRT, T-47403) Laterality: Left (SRT, G-A101)
10.8 Artery of Lower Extremity (Right Side)

Measurements
Artery of Lower Finding Site: Artery of Lower Extremity Laterality: Right (SRT, G-A100)
Extremity (SRT, T-47040)
(Left Side)
Peripheral Vascular Location: Anterior Tibial Artery (SRT, T-47700) Laterality: Right (SRT, G-A100)
Report: Right, ATA [Measurements List: L2]
Peripheral Vascular Location: Common Femoral Artery (SRT, T-47400) Laterality: Right (SRT, G-A100)
Report: Right, CFA [Measurements List: L2]
Peripheral Vascular Location: Common Iliac Artery (SRT, T-46710) Laterality: Right (SRT, G-A100)
Report: Right, CIA [Measurements List: L2]
Peripheral Vascular Location: Dorsalis Pedis Artery (SRT, T-47741) Laterality: Right (SRT, G-A100)
Report: Right, DPA [Measurements List: L2]
Peripheral Vascular Location: External Iliac Artery (SRT, T-46910) Laterality: Right (SRT, G-A100)
Report: Right, EIA [Measurements List: L2]
Peripheral Vascular Location: Peroneal Artery (SRT, T-47630) Laterality: Right (SRT, G-A100)
Report: Right, PER A [Measurements List: L2]
Peripheral Vascular Location: Popliteal Artery (SRT, T-47500) Laterality: Right (SRT, G-A100)
Report: Right, POP A [Measurements List: L2]
Peripheral Vascular Location: Posterior Tibial Artery (SRT, T-47600) Laterality: Right (SRT, G-A100)
Report: Right, PTA [Measurements List: L2]
Peripheral Vascular Location: Profunda Femoris Artery (SRT, T-47440) Laterality: Right (SRT, G-A100)
Report: Right, PFA [Measurements List: L2]


Measurements
Peripheral Prox Location: Superficial Femoral Artery (SRT, T-47403) Laterality: Right (SRT, G-A100)
Vascular [Measurements List: L2] Topographical Modifier: Proximal (SRT, G-A118)
Report:
Mid Location: Superficial Femoral Artery (SRT, T-47403) Laterality: Right (SRT, G-A100)
Right, SFA
Distal Location: Superficial Femoral Artery (SRT, T-47403) Laterality: Right (SRT, G-A100)

11.0 Appendix C: Adult Echocardiography Structured Report

This appendix lists the DICOM Structured Report (SR) mappings used in the Echocardiography Structured Reports of X300 DICOM SR files.
column identifies the on-screen label associated with a measurement. All private code values use the Coding Scheme Designator
“99SIEMENSUS”.
The Adult Echocardiography Report mappings follow the DICOM SR Template TID 5200: Echocardiography Procedure Report, except where
noted.
Notation:
TID5200: Adult Echocardiography Ultrasound Procedure Report

Patient Characteristics Container: Patient Characteristics (DCM, 121118)
BP Systolic Blood Pressure (SRT, F-008EC)
Diastolic Blood Pressure (SRT, F-008ED)
BSA Body Surface Area (LN, 8277-6)
11.2 Left Ventricle

Label (Heading: Measurement) Code Meaning Modifiers
Left Ventricle Finding Site: Left Ventricle (SRT, T-32600)
Aortic Valve: CI Cardiac Index (SRT, F-32110) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
Measurement Method: Doppler Volume Flow (DCM,
125219)
Aortic Valve: CO Cardiac Output (SRT, F-32100) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
125219)
Aortic Valve: IVRT Left Ventricular Isovolumic Relaxation Time (LN, 18071-1)
Mitral Valve: IVRT


Aortic Valve: LVOT diam Cardiovascular Orifice Diameter (SRT, G-038F) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
Mitral Valve: LVOT diam
Aortic Valve: LVOT PGmax Peak Gradient (LN, 20247-3) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
Direction of Flow: Antegrade Flow (SRT, R-42047)
Aortic Valve: LVOT PGmean Mean Gradient (LN, 20256-4) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
Aortic Valve: LVOT Vmax Peak Systolic Velocity (LN, 11726-7) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
Aortic Valve: LVOT Vmean Mean Velocity (LN, 20352-1) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
Aortic Valve: LVOT VTI Velocity Time Integral (LN, 20354-7) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
Mitral Valve: LVOT VTI Direction of Flow: Antegrade Flow (SRT, R-42047)
Aortic Valve: SI Stroke Index (SRT, F-00078) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
125219)
Aortic Valve: SV Stroke Volume (SRT, F-32120) Finding Site: Left Ventricle Outflow Tract (SNM3, T-32650)
125219)
Aortic Valve: VSD PGmax Peak Gradient (LN, 20247-3) Finding Site: Ventricular Septal Defect (SRT, D4-31150)
Aortic Valve: VSD Vmax Peak Systolic Velocity (LN, 11726-7) Finding Site: Ventricular Septal Defect (SRT, D4-31150)
Mitral Valve: CO Cardiac Output (SRT, F-32100) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
125219)
Mitral Valve: MV LVIMP Left Ventricular Index of Myocardial Performance (SRT, G-037F)
Mitral Valve: SV Stroke Volume (SRT, F-32120) Finding Site: Left Ventricle Outflow Tract (SRT, T-32650)
Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
125219)
Cubed(2D): CI Cardiac Index (SRT, F-32110) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Cube Method (DCM, 125206)
Cubed(2D): CO Cardiac Output (SRT, F-32100) Image Mode: 2D mode (SRT, G-03A2)
Cubed(2D): EDV Left Ventricular End Diastolic Volume (LN, 18026-5) Image Mode: 2D mode (SRT, G-03A2)
Cubed(2D): EF Left Ventricular Ejection Fraction (LN, 18043-0) Image Mode: 2D mode (SRT, G-03A2)


Cubed(2D): ESV Left Ventricular End Systolic Volume (LN, 18148-7) Image Mode: 2D mode (SRT, G-03A2)
Cubed(2D): FS Left Ventricular Fractional Shortening (LN, 18051-3) Image Mode: 2D mode (SRT, G-03A2)
Cubed(2D): HR Heart Rate (LN, 8867-4) Image Mode: 2D mode (SRT, G-03A2)
Cubed(2D): IVSd Interventricular Septum Diastolic Thickness (LN, 18154-5) Image Mode: 2D mode (SRT, G-03A2)
Cubed(2D): IVSs Interventricular Septum Systolic Thickness (LN, 18158-6) Image Mode: 2D mode (SRT, G-03A2)
Cubed(2D): LVIDd Left Ventricle Internal End Diastolic Dimension (LN, 29436-3) Image Mode: 2D mode (SRT, G-03A2)
Cubed(2D): LVIDs Left Ventricle Internal Systolic Dimension (LN, 29438-9) Image Mode: 2D mode (SRT, G-03A2)
Cubed(2D): LVPWd Left Ventricle Posterior Wall Diastolic Thickness (LN, 18152-9) Image Mode: 2D mode (SRT, G-03A2)
Cubed(2D): LVPWs Left Ventricle Posterior Wall Systolic Thickness (LN, 18156-0) Image Mode: 2D mode (SRT, G-03A2)
Cubed(2D): SI Stroke Index (SRT, F-00078) Image Mode: 2D mode (SRT, G-03A2)
Cubed(2D): SV Stroke Volume (SRT, F-32120) Image Mode: 2D mode (SRT, G-03A2)
DTI: Aa(l) LV Peak Diastolic Tissue Velocity During Atrial Systole Finding Site: Lateral Mitral Annulus (SRT, G-0392)
(SRT, G-037C)
DTI: Aa(m) LV Peak Diastolic Tissue Velocity During Atrial Systole Finding Site: Medial Mitral Annulus (SRT, G-0391)
(SRT, G-037C)
DTI: ARa(l) Mitral Valve DTI acceleration rate of Ea Finding Site: Lateral Mitral Annulus (SRT, G-0392)
(99SIEMENSUS, CA_MV_ARa)
DTI: ARa(m) Mitral Valve DTI acceleration rate of Ea Finding Site: Medial Mitral Annulus (SRT, G-0391)
(99SIEMENSUS, CA_MV_ARa)
DTI: ATa(l) Mitral Valve DTI acceleration time of Ea Finding Site: Lateral Mitral Annulus (SRT, G-0392)
(99SIEMENSUS, CA_MV_ATa)
DTI: ATa(m) Mitral Valve DTI acceleration time of Ea Finding Site: Medial Mitral Annulus (SRT, G-0391)
(99SIEMENSUS, CA_MV_ATa)
DTI: DRa(l) Mitral Valve DTI deceleration rate of Ea Finding Site: Lateral Mitral Annulus (SRT, G-0392)
(99SIEMENSUS, CA_MV_DRa)


DTI: DRa(m) Mitral Valve DTI deceleration rate of Ea Finding Site: Medial Mitral Annulus (SRT, G-0391)
(99SIEMENSUS, CA_MV_DRa)
DTI: DTa(l) Mitral Valve DTI deceleration time of Ea Finding Site: Lateral Mitral Annulus (SRT, G-0392)
(99SIEMENSUS, CA_MV_DTa)
DTI: DTa(m) Mitral Valve DTI deceleration time of Ea Finding Site: Medial Mitral Annulus (SRT, G-0391)
(99SIEMENSUS, CA_MV_DTa)
DTI: E/Ea(l) Ratio of MV Peak Velocity to LV Peak Tissue Velocity E-Wave Finding Site: Lateral Mitral Annulus (SRT, G-0392)
(SRT, G-037B)
DTI: E/Ea(m) Ratio of MV Peak Velocity to LV Peak Tissue Velocity E-Wave Finding Site: Medial Mitral Annulus (SRT, G-0391)
(SRT, G-037B)
DTI: Ea(l) Left Ventricular Peak Early Diastolic Tissue Velocity (SRT, G-037A) Finding Site: Lateral Mitral Annulus (SRT, G-0392)
DTI: Ea(m) Left Ventricular Peak Early Diastolic Tissue Velocity (SRT, G-037A) Finding Site: Medial Mitral Annulus (SRT, G-0391)
DTI: Ea/Aa(l) Mitral Valve DTI Ea to Aa Ratio (99SIEMENSUS, CA_MV_Ea2Aa) Finding Site: Lateral Mitral Annulus (SRT, G-0392)
DTI: Ea/Aa(m) Mitral Valve DTI Ea to Aa Ratio (99SIEMENSUS, CA_MV_Ea2Aa) Finding Site: Medial Mitral Annulus (SRT, G-0391)
DTI: Sa(l) Left Ventricular Peak Systolic Tissue Velocity (SRT, G-037D) Finding Site: Lateral Mitral Annulus (SRT, G-0392)
DTI: Sa(m) Left Ventricular Peak Systolic Tissue Velocity (SRT, G-037D) Finding Site: Medial Mitral Annulus (SRT, G-0391)
LV/Cubed(M): CI Cardiac Index (SRT, F-32110) Image Mode: M-Mode (SRT, G-0394)
LV/Cubed(M): CO Cardiac Output (SRT, F-32100) Image Mode: M-Mode (SRT, G-0394)
LV/Cubed(M): EDV Left Ventricular End Diastolic Volume (LN, 18026-5) Image Mode: M-Mode (SRT, G-0394)
LV/Cubed(M): EF Left Ventricular Ejection Fraction (LN, 18043-0) Image Mode: M-Mode (SRT, G-0394)
LV/Cubed(M): ESV Left Ventricular End Systolic Volume (LN, 18148-7) Image Mode: M-Mode (SRT, G-0394)
LV/Cubed(M): FS Left Ventricular Fractional Shortening (LN, 18051-3) Image Mode: M-Mode (SRT, G-0394)
LV/Cubed(M): HR Heart Rate (LN, 8867-4) Image Mode: M-Mode (SRT, G-0394)
LV/Cubed(M): IVSd Interventricular Septum Diastolic Thickness (LN, 18154-5) Image Mode: M-Mode (SRT, G-0394)
LV/Cubed(M): IVSs Interventricular Septum Systolic Thickness (LN, 18158-6) Image Mode: M-Mode (SRT, G-0394)
LV/Cubed(M): LV MASS Left Ventricle Mass (LN, 18087-7) Image Mode: M-Mode (SRT, G-0394)


LV/Cubed(M): LV MASS-c Left Ventricle Mass corrected (99SIEMENSUS, CA_LV_MASSc) Image Mode: M-Mode (SRT, G-0394)
LV/Cubed(M): LV MASS-l Left Ventricle Mass (LN, 18087-7) Image Mode: M-Mode (SRT, G-0394)
Index: Body Surface Area (LN, 8277-6)
LV/Cubed(M): LVIDd Left Ventricle Internal End Diastolic Dimension (LN, 29436-3) Image Mode: M-Mode (SRT, G-0394)
LV/Cubed(M): LVIDs Left Ventricle Internal Systolic Dimension (LN, 29438-9) Image Mode: M-Mode (SRT, G-0394)
LV/Cubed(M): LVPWd Left Ventricle Posterior Wall Diastolic Thickness (LN, 18152-9) Image Mode: M-Mode (SRT, G-0394)
LV/Cubed(M): LVPWs Left Ventricle Posterior Wall Systolic Thickness (LN, 18156-0) Image Mode: M-Mode (SRT, G-0394)
LV/Cubed(M): mVcf Systolic Index (99SIEMENSUS, CA_LF_VCF) Image Mode: M-Mode (SRT, G-0394)
LV/Cubed(M): SI Stroke Index (SRT, F-00078) Image Mode: M-Mode (SRT, G-0394)
LV/Cubed(M): SV Stroke Volume (SRT, F-32120) Image Mode: M-Mode (SRT, G-0394)
LV/Teichholz(M): CI Cardiac Index (SRT, F-32110) Image Mode: M-Mode (SRT, G-0394)
Measurement Method: Teichholz (DCM, 125209)
LV/Teichholz(M): CO Cardiac Output (SRT, F-32100) Image Mode: M-Mode (SRT, G-0394)
LV/Teichholz(M): EDV Left Ventricular End Diastolic Volume (LN, 18026-5) Image Mode: M-Mode (SRT, G-0394)
LV/Teichholz(M): EF Left Ventricular Ejection Fraction (LN, 18043-0) Image Mode: M-Mode (SRT, G-0394)
LV/Teichholz(M): ESV Left Ventricular End Systolic Volume (LN, 18148-7) Image Mode: M-Mode (SRT, G-0394)
LV/Teichholz(M): FS Left Ventricular Fractional Shortening (LN, 18051-3) Image Mode: M-Mode (SRT, G-0394)
LV/Teichholz(M): HR Heart Rate (LN, 8867-4) Image Mode: M-Mode (SRT, G-0394)
LV/Teichholz(M): IVSd Interventricular Septum Diastolic Thickness (LN, 18154-5) Image Mode: M-Mode (SRT, G-0394)
LV/Teichholz(M): IVSs Interventricular Septum Systolic Thickness (LN, 18158-6) Image Mode: M-Mode (SRT, G-0394)


LV/Teichholz(M): LV MASS Left Ventricle Mass (LN, 18087-7) Image Mode: M-Mode (SRT, G-0394)
LV/Teichholz(M): LV MASS-c Left Ventricle Mass corrected (99SIEMENSUS, CA_LV_MASSc) Image Mode: M-Mode (SRT, G-0394)
LV/Teichholz(M): LV MASS-l Left Ventricle Mass (LN, 18087-7) Image Mode: M-Mode (SRT, G-0394)
LV/Teichholz(M): LVIDd Left Ventricle Internal End Diastolic Dimension (LN, 29436-3) Image Mode: M-Mode (SRT, G-0394)
LV/Teichholz(M): LVIDs Left Ventricle Internal Systolic Dimension (LN, 29438-9) Image Mode: M-Mode (SRT, G-0394)
LV/Teichholz(M): LVPWd Left Ventricle Posterior Wall Diastolic Thickness (LN, 18152-9) Image Mode: M-Mode (SRT, G-0394)
LV/Teichholz(M): LVPWs Left Ventricle Posterior Wall Systolic Thickness (LN, 18156-0) Image Mode: M-Mode (SRT, G-0394)
LV/Teichholz(M): mVcf Systolic Index (99SIEMENSUS, CA_LF_VCF) Image Mode: M-Mode (SRT, G-0394)
LV/Teichholz(M): SI Stroke Index (SRT, F-00078) Image Mode: M-Mode (SRT, G-0394)
LV/Teichholz(M): SV Stroke Volume (SRT, F-32120) Image Mode: M-Mode (SRT, G-0394)
LV MASS A-L: A Sax Endo Left Ventricular Diastolic Area (SRT, G-0375) Image Mode: 2D mode (SRT, G-03A2)
Image View: Parasternal Short Axis at the Papillary Muscle
Level (SRT, G-039B)
Measurement Method: Left Ventricle Mass by Area Length
(99SIEMENSUS, LVMassAL)
LV MASS A-L: A Sax Epi Left Ventricle Epicardial Diastolic Area, psax pap view (SRT, G-0379) Image Mode: 2D mode (SRT, G-03A2)
LV MASS A-L: LV MASS Left Ventricle Mass (LN, 18087-7) Image Mode: 2D mode (SRT, G-03A2)
LV MASS A-L: LV MASS-l Left Ventricle Mass (LN, 18087-7) Image Mode: 2D mode (SRT, G-03A2)
LV MASS A-L: LVL Left Ventricle Diastolic Major Axis (LN, 18077-8) Image Mode: 2D mode (SRT, G-03A2)


LV MASS A-L: t Myocardial Thickness calculated from Short Axis Epicardial and Image Mode: 2D mode (SRT, G-03A2)
Cavity Areas (99SIEMENSUS, CA_LV_MyoTh)
LV MASS T-E: a Left Ventricle Semi-major Axis Diastolic Dimension (SRT, G-0377) Measurement Method: Left Ventricle Mass by Truncated
Ellipse (DCM, 125222)
LV MASS T-E: A Sax Endo Left Ventricular Diastolic Area (SRT, G-0375) Image View: Parasternal Short Axis at the Papillary Muscle
Level (SRT, G-039B)
Measurement Method: Left Ventricle Mass by Truncated
LV MASS T-E: A Sax Epi Left Ventricle Epicardial Diastolic Area, psax pap view (SRT, G-0379) Measurement Method: Left Ventricle Mass by Truncated
LV MASS T-E: b Short axis radius calculated from short axis cavity area Measurement Method: Left Ventricle Mass by Truncated
(99SIEMENSUS, CA_LV_RadSAX) Ellipse (DCM, 125222)
LV MASS T-E: d Left Ventricle Truncated Semi-major Axis Diastolic Dimension Measurement Method: Left Ventricle Mass by Truncated
(SRT, G-0378) Ellipse (DCM, 125222)
LV MASS T-E: LV Mass Left Ventricle Mass (LN, 18087-7) Measurement Method: Left Ventricle Mass by Truncated
LV MASS T-E: LV Mass-l Left Ventricle Mass (LN, 18087-7) Index: Body Surface Area (LN, 8277-6)
Measurement Method: Left Ventricle Mass by Truncated
LV MASS T-E: t Myocardial Thickness calculated from short axis epicardial and cavity Measurement Method: Left Ventricle Mass by Truncated
areas (99SIEMENSUS, CA_LV_MyoTh) Ellipse (DCM, 125222)
Simpson BP: CI Cardiac Index (SRT, F-32110) Measurement Method: Method of Disks, Biplane (DCM,
125207)
Simpson BP: CI2 Cardiac Index (SRT, F-32110) Image View: Apical Two Chamber (SRT, G-A19B)
Measurement Method: Method of Disks, Biplane (DCM,
125207)
Simpson BP: CI4 Cardiac Index (SRT, F-32110) Image View: Apical Four Chamber (SRT, G-A19C)
125207)
Simpson BP: CO Cardiac Output (SRT, F-32100) Measurement Method: Method of Disks, Biplane (DCM,
125207)
Simpson BP: CO2 Cardiac Output (SRT, F-32100) Image View: Apical Two Chamber (SRT, G-A19B)
125207)
Simpson BP: CO4 Cardiac Output (SRT, F-32100) Image View: Apical Four Chamber (SRT, G-A19C)
125207)


Simpson BP: difD LV Difference (99SIEMENSUS, CA_LV_DIF) Cardiac Cycle Point: End Diastole (SRT, F-32011)
125207)
Simpson BP: difS LV Difference (99SIEMENSUS, CA_LV_DIF) Cardiac Cycle Point: F-32011, SRT, End Systole
125207)
Simpson BP: EDV Left Ventricular End Diastolic Volume (LN, 18026-5) Measurement Method: Method of Disks, Biplane (DCM,
125207)
Simpson BP: EDV2 Left Ventricular End Diastolic Volume (LN, 18026-5) Image View: Apical Two Chamber (SRT, G-A19B)
Measurement Method: Method of Disks,Biplane (DCM,
125207)
Simpson BP: EDV4 Left Ventricular End Diastolic Volume (LN, 18026-5) Image View: Apical Four Chamber (SRT, G-A19C)
125207)
Simpson BP: EF Left Ventricular Ejection Fraction (LN, 18043-0) Measurement Method: Method of Disks, Biplane (DCM,
125207)
Simpson BP: EF2 Left Ventricular Ejection Fraction (LN, 18043-0) Image View: Apical Two Chamber (SRT, G-A19B)
125207)
Simpson BP: EF4 Left Ventricular Ejection Fraction (LN, 18043-0) Image View: Apical Four Chamber (SRT, G-A19C)
125207)
Simpson BP: ESV Left Ventricular End Systolic Volume (LN, 18148-7) Measurement Method: Method of Disks, Biplane (DCM,
125207)
Simpson BP: ESV2 Left Ventricular End Systolic Volume (LN, 18148-7) Image View: Apical Two Chamber (SRT, G-A19B)
125207)
Simpson BP: ESV4 Left Ventricular End Systolic Volume (LN, 18148-7) Image View: Apical Four Chamber (SRT, G-A19C)
125207)
Simpson BP: HR Heart Rate (LN, 8867-4) Measurement Method: Method of Disks, Biplane (DCM,
125207)
Simpson BP: SI Stroke Index (SRT, F-00078) Measurement Method: Method of Disks, Biplane (DCM,
125207)
Simpson BP: SI2 Stroke Index (SRT, F-00078) Image View: Apical Two Chamber (SRT, G-A19B)
125207)


Simpson BP: SI4 Stroke Index (SRT, F-00078) Image View: Apical Four Chamber (SRT, G-A19C)
125207)
Simpson BP: SV Stroke Volume (SRT, F-32120) Measurement Method: Method of Disks, Biplane (DCM,
125207)
Simpson BP: SV2 Stroke Volume (SRT, F-32120) Image View: Apical Two Chamber (SRT, G-A19B)
125207)
Simpson BP: SV4 Stroke Volume (SRT, F-32120) Image View: Apical Four Chamber (SRT, G-A19C)
125207)
Simpson SP: CI Cardiac Index (SRT, F-32110) Image View: Apical Four Chamber (SRT, G-A19C)
Measurement Method: Method of Disks, Single Plane (DCM,
125208)
Simpson SP: CO Cardiac Output (SRT, F-32100) Image View: Apical Four Chamber (SRT, G-A19C)
125208)
Simpson SP: EDV Left Ventricular End Diastolic Volume (LN, 18026-5) Image View: Apical Four Chamber (SRT, G-A19C)
125208)
Simpson SP: EF Left Ventricular Ejection Fraction (LN, 18043-0) Image View: Apical Four Chamber (SRT, G-A19C)
125208)
Simpson SP: ESV Left Ventricular End Systolic Volume (LN, 18148-7) Image View: Apical Four Chamber (SRT, G-A19C)
125208)
Simpson SP: HR Heart Rate (LN, 8867-4) Measurement Method: Method of Disks, Single Plane (DCM,
125208)
Simpson SP: SI Stroke Index (SRT, F-00078) Image View: Apical Four Chamber (SRT, G-A19C)
125208)
Simpson SP: SV Stroke Volume (SRT, F-32120) Image View: Apical Four Chamber (SRT, G-A19C)
125208)
Teichholz(2D): CI Cardiac Index (SRT, F-32110) Image Mode: 2D mode (SRT, G-03A2)
Teichholz(2D): CO Cardiac Output (SRT, F-32100) Image Mode: 2D mode (SRT, G-03A2)


Teichholz(2D): EDV Left Ventricular End Diastolic Volume (LN, 18026-5) Image Mode: 2D mode (SRT, G-03A2)
Teichholz(2D): EF Left Ventricular Ejection Fraction (LN, 18043-0) Image Mode: 2D mode (SRT, G-03A2)
Teichholz(2D): ESV Left Ventricular End Systolic Volume (LN, 18148-7) Image Mode: 2D mode (SRT, G-03A2)
Teichholz(2D): FS Left Ventricular Fractional Shortening (LN, 18051-3) Image Mode: 2D mode (SRT, G-03A2)
Teichholz(2D): HR Heart Rate (LN, 8867-4) Image Mode: 2D mode (SRT, G-03A2)
Teichholz(2D): IVSd Interventricular Septum Diastolic Thickness (LN, 18154-5) Image Mode: 2D mode (SRT, G-03A2)
Teichholz(2D): IVSs Interventricular Septum Systolic Thickness (LN, 18158-6) Image Mode: 2D mode (SRT, G-03A2)
Teichholz(2D): LVIDd Left Ventricle Internal End Diastolic Dimension (LN, 29436-3) Image Mode: 2D mode (SRT, G-03A2)
Teichholz(2D): LVIDs Left Ventricle Internal Systolic Dimension (LN, 29438-9) Image Mode: 2D mode (SRT, G-03A2)
Teichholz(2D): LVPWd Left Ventricle Posterior Wall Diastolic Thickness (LN, 18152-9) Image Mode: 2D mode (SRT, G-03A2)
Teichholz(2D): LVPWs Left Ventricle Posterior Wall Systolic Thickness (LN, 18156-0) Image Mode: 2D mode (SRT, G-03A2)
Teichholz(2D): SI Stroke Index (SRT, F-00078) Image Mode: 2D mode (SRT, G-03A2)
Teichholz(2D): SV Stroke Volume (SRT, F-32120) Image Mode: 2D mode (SRT, G-03A2)
Image View: Apical Two Chamber (SRT, G-A19B)
125207)
Auto Left Heart: LV EDV2 2D Auto Left Heart Package (99SIEMENSUS,
Left Ventricular End Diastolic Volume (LN, 18026-5) MP2DAutoLeftHeart)
Image View: Apical Four Chamber (SRT, G-A19C)
125207)
Auto Left Heart: LV EDV4 2D Auto Left Heart Package (99SIEMENSUS,
Left Ventricular End Diastolic Volume (LN, 18026-5) MP2DAutoLeftHeart)


Left Ventricular Ejection Fraction (LN, 18043) Image View: Apical Two Chamber (SRT, G-A19B)
125207)
Auto Left Heart: LV EF2 2D Auto Left Heart Package (99SIEMENSUS,
MP2DAutoLeftHeart)
Left Ventricular Ejection Fraction (LN, 18043) Image View: Apical Four Chamber (SRT, G-A19C)
125207)
Auto Left Heart: LV EF4 2D Auto Left Heart Package (99SIEMENSUS,
MP2DAutoLeftHeart)
Left Ventricular End Systolic Volume (LN, 18148 Image View: Apical Two Chamber (SRT, G-A19B)
125207)
Auto Left Heart: LV ESV2 2D Auto Left Heart Package (99SIEMENSUS,
MP2DAutoLeftHeart)
Left Ventricular End Systolic Volume (LN, 18148 Image View: Apical Four Chamber (SRT, G-A19C)
125207)
2D Auto Left Heart Package (99SIEMENSUS,
Auto Left Heart: LV ESV4 MP2DAutoLeftHeart)
11.3 Right Ventricle

Right Ventricle Finding Site: Right Ventricle (SRT, T-32500)
AV/LA(2D): RV diam Right Ventricular Internal Diastolic Dimension at AV/LA
(99SIEMENSUS, CA_RV_INTDIA_AV2LA)
AV/LA(M): RV diam Right Ventricular Internal Diastolic Dimension at AV/LA
(99SIEMENSUS, CA_RV_INTDIA_AV2LA)
Cubed(2D): RVAWd Right Ventricle Anterior Wall Diastolic Thickness (LN, 18153-7) Image Mode: 2D mode (SRT, G-03A2)
Cubed(2D): RVDd Right Ventricular Internal Diastolic Dimension (LN, 20304-2) Image Mode: 2D mode (SRT, G-03A2)
LV/Cubed(M): RVDd Right Ventricular Internal Diastolic Dimension (LN, 20304-2) Image Mode: M-Mode (SRT, G-0394)
LV/Teichholz(M): RVDd Right Ventricular Internal Diastolic Dimension (LN, 20304-2) Image Mode: M-Mode (SRT, G-0394)


Pulmonary Valve: CI Cardiac Index (SRT, F-32110) Finding Site: Right Ventricle Outflow Tract (SRT, T-32550)
125219)
Pulmonary Valve: CO Cardiac Output (SRT, F-32100) Finding Site: Right Ventricle Outflow Tract (SRT, T-32550)
125219)
Pulmonary Valve: RVOT diam Cardiovascular Orifice Diameter (SRT, G-038F) Finding Site: Right Ventricle Outflow Tract (SRT, T-32550)
Image Mode:2D mode (SRT, G-03A2)
Pulmonary Valve: SI Stroke Index (SRT, F-00078) Finding Site: Right Ventricle Outflow Tract (SRT, T-32550)
125219)
Pulmonary Valve: SV Stroke Volume (SRT, F-32120) Finding Site: Right Ventricle Outflow Tract (SRT, T-32550)
125219)
RV: RV diam Right Ventricular Internal Diastolic Dimension (LN, 20304-2)
[for 2D and M-Mode]
Teichholz(2D): RVAWd Right Ventricle Anterior Wall Diastolic Thickness (LN, 18153-7) Image Mode: 2D mode (SRT, G-03A2)
Teichholz(2D): RVDd Right Ventricular Internal Diastolic Dimension (LN, 20304-2) Image Mode: 2D mode (SRT, G-03A2)
TR: RVSP Right Ventricular Peak Systolic Pressure (SRT, G-0380)
Tricuspid Valve: RVIMP Right Ventricular Index of Myocardial Performance (SRT, G-0381)
11.4 Left Atrium

Left Atrium Finding Site: Left Atrium (SRT, T-32300)
AV/LA(2D): LA diam Left Atrium Antero-posterior Systolic Dimension (LN, 29469-4)
AV/LA(M): LA diam Left Atrium Antero-posterior Systolic Dimension (LN, 29469-4)
125207)
Auto Left Heart: LA EF2 2D Auto Left Heart Package (99SIEMENSUS,
Left Atrium Ejection Fraction (99SIEMENSUS, CA_LA_EF) MP2DAutoLeftHeart)


125207)
Auto Left Heart: LA EF4 2D Auto Left Heart Package (99SIEMENSUS,
Left Atrium Ejection Fraction (99SIEMENSUS, CA_LA_EF) MP2DAutoLeftHeart)
125207)
Auto Left Heart: LA EDV2 2D Auto Left Heart Package (99SIEMENSUS,
Left Atrial ED Volume (DCM, 122407) MP2DAutoLeftHeart)
125207)
Auto Left Heart: LA EDV4 2D Auto Left Heart Package (99SIEMENSUS,
Left Atrial ED Volume (DCM, 122407) MP2DAutoLeftHeart)
125207)
Auto Left Heart: LA ESV2 2D Auto Left Heart Package (99SIEMENSUS,
Left Atrial ES Volume (DCM, 122408) MP2DAutoLeftHeart)
125207)
Auto Left Heart: LA ESV4 2D Auto Left Heart Package (99SIEMENSUS,
Left Atrial ES Volume (DCM, 122408) MP2DAutoLeftHeart)
11.5 Right Atrium

Right Atrium Finding Site: Right Atrium (SRT, T-32200)
PR: RAP Right Atrium Systolic Pressure (LN, 18070-3)
TR: RAP
or not shown on report
11.6 Aortic Valve

Aortic Valve Finding Site: Aortic Valve (SRT, T-35400)


Aortic Valve: AV PGmax Peak Gradient (LN, 20247-3) Direction of Flow: Antegrade Flow (SRT, R-42047)
Aortic Valve: AV PGmean Mean Gradient (LN, 20256-4) Direction of Flow: Antegrade Flow (SRT, R-42047)
Aortic Valve: AV Vmax Peak Systolic Velocity (LN, 11726-7) Direction of Flow: Antegrade Flow (SRT, R-42047)
Aortic Valve: AV Vmean Mean Velocity (LN, 20352-1) Direction of Flow: Antegrade Flow (SRT, R-42047)
Aortic Valve: AV VTI Velocity Time Integral (LN, 20354-7) Direction of Flow: Antegrade Flow (SRT, R-42047)
Aortic Valve: AVA(Trace) Cardiovascular Orifice Area (SRT, G-038E) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Planimetry (DCM, 125220)
Aortic Valve: AVA(Vmax) Cardiovascular Orifice Area (SRT, G-038E) Direction of Flow: Antegrade Flow (SRT, R-42047)
Measurement Method: Continuity Equation by Peak Velocity
(DCM, 125214);
Aortic Valve: AVA(VTI) Cardiovascular Orifice Area (SRT, G-038E) Direction of Flow: Antegrade Flow (SRT, R-42047)
Measurement Method: Continuity Equation by Velocity Time
Integral (DCM, 125215)
Aortic Valve: HR Heart Rate (LN, 8867-4) Finding Site: Aortic Valve (SRT, T-35400)
Aortic Valve: LVET Aortic Valve Ejection Time (LN, 18041-4) Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
Aortic Valve: LVPEP Pre-Ejection Period (LN, 18068-7)
Aortic Valve: LVSTI Aortic Valve Pre-ejection Period to Ejection Time Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
(99SIEMENSUS, CA-AV_PEP2ET)
AR: AI Dec Slope Deceleration Slope (LN, 20216-8) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
Measurement Method: Area by Pressure Half-Time (DCM,
125210)
AR: AI Dec Time Deceleration Time ( LN, 20217-6) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
125210)
AR: AI PGmax Peak Gradient (LN, 20247-3) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
125210)
AR: AI PHT Pressure Half-Time (LN, 20280-4) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
125210)
AR: AI Vmax Maximum Velocity (LN, 20351-3) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
125210)
AR: AR PGmax Peak Gradient (LN, 20247-3) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
AR: AR Time Aortic Valve Regurgitant Diastolic Deceleration Time (LN, 17998-6)
AR: AR V ed End Diastolic Velocity (LN, 11653-3) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
AR: AR Vmax Maximum Velocity (LN, 20351-3) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
AR: Decel Rate Deceleration Slope (LN, 20216-8) Direction of Flow: Regurgitant Flow (SRT, R-42E61)


AV/LA(2D): ACS Aortic Valve Cusp Separation (LN, 17996-0) Image Mode: 2D mode (SRT, G-03A2)
AV/LA(2D): AO/LA Aortic Root Diameter to Left Atrium Diameter Ratio Image Mode: 2D mode (SRT, G-03A2)
(99SIEMENSUS, CA_LA_AO2LA)
AV/LA(M): ACS Aortic Valve Cusp Separation (LN, 17996-0) Image Mode: M-Mode (SRT, G-0394)
AV/LA(M): AO/LA Aortic Root Diameter to Left Atrium Diameter Ratio Image Mode: M-Mode (SRT, G-0394)
(99SIEMENSUS, CA_LA_AO2LA)
AV/LA(2D): LVET Aortic Valve Ejection Time (LN, 18041-4) Image Mode: M-Mode (SRT, G-0394)
AV/LA(M): LVET
AV/LA(2D): LVPEP Pre-Ejection Period (LN, 18068-7) Image Mode: M-Mode (SRT, G-0394)
AV/LA(M): LVPEP
AV/LA(2D): LVSTI Aortic Valve Pre-ejection Period to Ejection Time Image Mode: M-Mode (SRT, G-0394)
AV/LA(M): LVSTI (99SIEMENSUS, CA-AV_PEP2ET)
LV/Teichholz(M): LVET Aortic Valve Ejection Time (LN, 18041-4) Image Mode: M-Mode (SRT, G-0394)
LV/Cubed(M): LVET Aortic Valve Ejection Time (LN, 18041-4) Image Mode: M-Mode (SRT, G-0394)
Aortic Valve: LVOT/AV VTI Left Ventricle Outflow Tract VTI to Aortic Valve VTI Ratio Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
(99SIEMENSUS, CA_LVOT2AV_VTI)
11.7 Mitral Valve

Mitral Valve Finding Site: Mitral Valve (SRT, T-35300)
Mitral Valve: A/E Mitral Valve A to E Ratio (99SIEMENSUS, CA_MV_A2E)
Mitral Valve: A duration Mitral Valve A-Wave Duration (SRT, G-0385)
Mitral Valve: CA/CE Mitral Valve A to E Ratio Image Mode: M-Mode (SRT, G-0394)
(99SIEMENSUS, CA_MV_A2E)
Mitral Valve: CA amp Amplitude A Wave Mmode Image Mode: M-Mode (SRT, G-0394)
(99SIEMENSUS, CA_MV_AwaveAmpl)
Mitral Valve: CE amp Amplitude E Wave Mmode Image Mode: M-Mode (SRT, G-0394)
(99SIEMENSUS, CA_MV_EwaveAmpl)
Mitral Valve: CI Cardiac Index (SRT, F-32110) Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
125219)


Mitral Valve: DE amp Amplitude D-E Wave Mmode Image Mode: M-Mode (SRT, G-0394)
(99SIEMENSUS, CA_MV_DEWaveAmpl)
Mitral Valve: DE excursion Mitral Valve D-E Excursion (LN, 17997-8) Image Mode: M-Mode (SRT, G-0394)
Mitral Valve: Dec Slope Deceleration Slope (LN, 20216-8) Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
Mitral Valve: Dec Time Mitral Valve E-Wave Deceleration Time (SRT, G-0384)
Mitral Valve: E/A Mitral Valve E to A Ratio (LN, 18038-0) Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
Mitral Valve: E duration Mitral Valve E-Wave Duration (99SIEMENSUS, CA_MV_DURe)
Mitral Valve: EF slope Mitral Valve E-F Slope by M-Mode (LN, 18040-6) Image Mode: M-Mode (SRT, G-0394)
Mitral Valve: EPSS Mitral Valve EPSS, E wave (LN, 18036-4) Image Mode: 2D mode (SRT, G-03A2)
Mitral Valve: EPSS Mitral Valve EPSS, E wave (LN, 18036-4) Image Mode: M-Mode (SRT, G-0394)
Mitral Valve: HR Heart Rate (LN, 8867-4)
Mitral Valve: MV A pt Mitral Valve A-Wave Peak Velocity (LN, 17978-8)
Mitral Valve: MV C-Odur Mitral Valve Closure to Opening Time (SRT, G-0387)
Mitral Valve: MV diam Cardiovascular Orifice Diameter (SRT, G-038F)
Mitral Valve: MV E pt Mitral Valve E-Wave Peak Velocity (LN, 18037-2)
Mitral Valve: MV LVET Aortic Valve Ejection Time (LN, 18041-4) Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
Mitral Valve: MV PGmax Mitral Valve Diastolic Peak Instantaneous Gradient (LN, 18057-0)
Mitral Valve: MV PGmean Mean Gradient (LN, 20256-4) Direction of Flow: Antegrade Flow (SRT, R-42047)
Mitral Valve: MV PHT Pressure Half-Time (LN, 20280-4) Direction of Flow: Antegrade Flow (SRT, R-42047)
Mitral Valve: MV Vmax Maximum Velocity (LN, 20351-3) Direction of Flow: Antegrade Flow (SRT, R-42047)
Mitral Valve: MV Vmean Mean Velocity (LN, 20352-1) Direction of Flow: Antegrade Flow (SRT, R-42047)
Mitral Valve: MV VTI Velocity Time Integral (LN, 20354-7) Direction of Flow: Antegrade Flow (SRT, R-42047)
Mitral Valve: MVA(PHT) Cardiovascular Orifice Area (SRT, G-038E) Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
125210)
Mitral Valve: MVA(Trace) Cardiovascular Orifice Area (SRT, G-038E) Image Mode: 2D mode (SRT, G-03A2)
Measurement Method: Planimetry (DCM, 125220);
Mitral Valve: MVA(VTI) Cardiovascular Orifice Area (SRT, G-038E) Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
Measurement Method: Continuity Equation (DCM, 125212)
Mitral Valve: SI Stroke Index (SRT, F-00078) Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
MR: dP/dt Mitral Regurgitation dP/dt derived from Mitral Regurgitation Velocity
(LN, 18035-6)
MR: dt Deceleration Time (LN, 20217-6) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
MR: MR PGmax Peak Gradient (LN, 20247-3) Direction of Flow: Regurgitant Flow (SRT, R-42E61)


MR: MR Vmax Peak Systolic Velocity (LN, 11726-7) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
PISA(MR): Aliasing Vel Mean Velocity (LN, 20252-1) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
Measurement Method: Proximal Isovelocity Surface Area
(DCM, 125216)
Derivation: Estimated (DCM, 121427)
PISA(MR): EO Area Cardiovascular Orifice Area (SRT, G-038E) Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
Direction of Flow: Regurgitant Flow (SRT, R-42E61)
(DCM, 125216)
PISA(MR): Flow Rate Peak Instantaneous Flow Rate (LN, 34141-2) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
(DCM, 125216)
PISA(MR): Flow Vol Volume Flow (LN, 33878-0) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
(DCM, 125216)
PISA(MR): MR Vmax Peak Systolic Velocity (LN, 11726-7) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
(DCM, 125216)
PISA(MR): MR VTI Velocity Time Integral (LN, 20354-7) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
(DCM, 125216)
PISA(MR): Radius Dome Radius (99SIEMENSUS, CA_DOME) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
(DCM, 125216)
PISA(MS): Aliasing Vel Mean Velocity (LN, 20252-1) Direction of Flow: Antegrade Flow (SRT, R-42047)
(DCM, 125216)
Derivation: Estimated (DCM, 121427)
PISA(MS): Angle Angle measured at Mitral Valve Stenosis (99SIEMENSUS, Direction of Flow: Antegrade Flow (SRT, R-42047)
CA_MS_Angle) Measurement Method: Proximal Isovelocity Surface Area
(DCM, 125216)
PISA(MS): Flow Rate Peak Instantaneous Flow Rate (LN, 34141-2) Direction of Flow: Antegrade Flow (SRT, R-42047)
(DCM, 125216)
PISA(MS): Flow Vol Volume Flow (LN, 33878-0) Direction of Flow: Antegrade Flow (SRT, R-42047)
(DCM, 125216)


PISA(MS): MS PGmax Peak Gradient (LN, 20247-3) Direction of Flow: Antegrade Flow (SRT, R-42047)
(DCM, 125216)
PISA(MS): MS Vmax Maximum Velocity (LN, 20351-3) Direction of Flow: Antegrade Flow (SRT, R-42047)
(DCM, 125216)
PISA(MS): MS VTI Velocity Time Integral (LN, 20354-7) Direction of Flow: Antegrade Flow (SRT, R-42047)
(DCM, 125216)
PISA(MS): MS MVA Cardiovascular Orifice Area (SRT, G-038E) Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
(DCM, 125216)
PISA(MS): Radius Dome Radius (99SIEMENSUS, CA_DOME) Direction of Flow: Antegrade Flow (SRT, R-42047)
(DCM, 125216)
3D Mitral Valve Analysis Package (99SIEMENSUS,
MVA: Annulus Area(2D) Annulus 2D area (99SIEMENSUS, CA_AREA_ANN) MP3DMVA)
Anterior-lateral Posterior-medial 3D diameter (99SIEMENSUS, 3D Mitral Valve Analysis Package (99SIEMENSUS,
MVA: AP Diameter CA_DIA_ALAP) MP3DMVA)
MVA: AL-PM Diameter Anterior-Posterior 3D diameter (99SIEMENSUS, CA_DIA_AP) MP3DMVA)
MVA: Commissural Diam Commissural 3D diameter (99SIEMENSUS, CA_DIA_CC) MP3DMVA)
MVA: Anterior Annulus Anterior annulus 3D length (99SIEMENSUS, CA_LENGTH_AA) MP3DMVA)
MVA: Annulus Circum Annulus 3D circumference (99SIEMENSUS, CA_LENGTH_ANN) MP3DMVA)
MVA: CL Length(2D) Closure line 2D length (99SIEMENSUS, CA_LENGTH_CL_2D) MP3DMVA)
MVA: CL Length Closure line 3D length (99SIEMENSUS, CA_LENGTH_CL_3D) MP3DMVA)
MVA: Posterior Annulus Posterior annulus 3D length (99SIEMENSUS, CA_LENGTH_PA) MP3DMVA)
MVA: Non-planar Angle NPA Non-planar angle (99SIEMENSUS, CA_NPA) MP3DMVA)
MVA: Sphericity Index Sphericity Index 3D (99SIEMENSUS, CA_SPHER_IND) MP3DMVA)

11.8 Pulmonic Valve

Pulmonic Valve Finding Site: Pulmonic Valve (SRT, T-35200)
PR: PR PGmax Peak Gradient (LN, 20247-3) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
PR: PR PGmean Mean Gradient (LN, 20256-4) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
PR: PR Ved End Diastolic Velocity (LN, 11653-3) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
PR: PR Vmax Maximum Velocity (LN, 20351-3) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
PR: PR Vmean Mean Velocity (LN, 20352-1) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
PR: PR VTI Velocity Time Integral (LN, 20354-7) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
Pulmonary Valve: HR Heart Rate (LN, 8867-4)
Pulmonary Valve: PV PGmax Peak Gradient (LN, 20247-3) Direction of Flow: Antegrade Flow (SRT, R-42047)
Pulmonary Valve: PV PGmean Mean Gradient (LN, 20256-4) Direction of Flow: Antegrade Flow (SRT, R-42047)
Pulmonary Valve: PV Vmax Peak Systolic Velocity (LN, 11726-7) Direction of Flow: Antegrade Flow (SRT, R-42047)
Pulmonary Valve: PV Vmean Mean Velocity (LN, 20352-1) Direction of Flow: Antegrade Flow (SRT, R-42047)
Pulmonary Valve: RV Acc T/ET Ratio of Pulmonic Valve Acceleration Time to Ejection Time Direction of Flow: Antegrade Flow (SRT, R-42047)
(SRT, G-0388)
Pulmonary Valve: RV Acc Time Acceleration Time (LN, 20168-1) Direction of Flow: Antegrade Flow (SRT, R-42047)
Pulmonary Valve: RVET Pulmonic Valve Ejection Time (LN, 18042-2)
Tricuspid Valve: RVET
Pulmonary Valve: RVOT VTI Velocity Time Integral (LN, 20354-7) Direction of Flow: Antegrade Flow (SRT, R-42047)
Pulmonary Valve: RVPEP Right Ventricle Pre-Ejection Period (LN, 20301-8) Image Mode: M-Mode (SRT, G-0394)
Pulmonary Valve: RVSTI Pulmonic Valve Pre-ejection Period to Ejection Time Image Mode: Doppler Mode (99SIEMENSUS, DOPPLER)
(99SIEMENSUS, CA_PV_PEP2ET)
11.9 Tricuspid Valve

Tricuspid Valve Finding Site: Tricuspid Valve (SRT, T-35100)
TR: TR PGmax Peak Gradient (LN, 20247-3) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
TR: TR PGmean Mean Gradient (LN, 20256-4) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
TR: TR Vmax Peak Systolic Velocity (LN, 11726-7) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
TR: TR Vmean Mean Velocity (LN, 20352-1) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
TR: TR VTI Velocity Time Integral (LN, 20354-7) Direction of Flow: Regurgitant Flow (SRT, R-42E61)
Tricuspid Valve: E/A Tricuspid Valve E to A Ratio (LN, 18039-8) Direction of Flow: Antegrade Flow (SRT, R-42047)


Tricuspid Valve: TV A pt Tricuspid Valve A Wave Peak Velocity (LN, 18030-7) Direction of Flow: Antegrade Flow (SRT, R-42047)
Tricuspid Valve: TV C-Odur Tricuspid Valve Closure to Opening Time (SRT, G-0389)
Tricuspid Valve: TV E pt Tricuspid Valve E Wave Peak Velocity (LN, 18031-5) Direction of Flow: Antegrade Flow (SRT, R-42047)
Tricuspid Valve: TV PGmax Peak Gradient (LN, 20247-3) Direction of Flow: Antegrade Flow (SRT, R-42047)
Tricuspid Valve: TV PGmean Mean Gradient (LN, 20256-4) Direction of Flow: Antegrade Flow (SRT, R-42047)
Tricuspid Valve: TV Vmax Maximum Velocity (LN, 20351-3) Direction of Flow: Antegrade Flow (SRT, R-42047)
Tricuspid Valve: TV Vmean Mean Velocity (LN, 20352-1) Direction of Flow: Antegrade Flow (SRT, R-42047)
Tricuspid Valve: TV VTI Velocity Time Integral (LN, 20354-7) Direction of Flow: Antegrade Flow (SRT, R-42047)
11.10 Aorta
Aorta Finding Site: Aorta (SRT, T-42000)
AV/LA(2D): AO Aortic Root Diameter (LN, 18015-8) Cardiac Cycle Point: Systole (SRT, F-32020)
AV/LA(M): AO Aortic Root Diameter (LN, 18015-8) Cardiac Cycle Point: Systole (SRT, F-32020)
11.11 Pulmonary Artery

Pulmonary Artery Finding Site: Pulmonary Artery (SRT, T-44000)
PR: PAEDP Pulmonary Artery Pressure (SRT, F-0212C) Cardiac Cycle Point: End Diastole (SRT, F-32011)
Pulmonary Valve: PA Acc Time Acceleration Time (LN, 20168-1) Direction of Flow: Antegrade Flow (SRT, R-42047)
11.12 Pulmonary Venous Structure

Pulmonary Venous Structure Finding Site: Pulmonary Venous Structure (SRT, T-48581)
Pulmonary Vein: PVa Dur Pulmonary Vein A-Wave Duration (SRT, G-038B)
Pulmonary Vein: PVa Vel Pulmonary Vein Atrial Contraction Reversal Peak Velocity Cardiac Cycle Point: Diastole (SRT, F-32010)
(LN, 29453-8)
Pulmonary Vein: PVd Decel T Deceleration Time (LN, 20217-6) Cardiac Cycle Point: Diastole (SRT, F-32010)
Pulmonary Vein: PVd Vel Pulmonary Vein Diastolic Peak Velocity (LN, 29451-2) Cardiac Cycle Point: Diastole (SRT, F-32010)


Pulmonary Vein: PVd VTI Pulmonary Vein D-Wave Velocity Time Integral (SRT, G-038D)
Pulmonary Vein: PVs VTI Pulmonary Vein S-Wave Velocity Time Integral (SRT, G-038C)
Pulmonary Vein: PVs1 Vel Pulmonary Vein Systolic Peak Velocity (LN, 29450-4) Topographical Modifier: Peak1 (99SIEME, Peak1)
Pulmonary Vein: PVs2/PVd Pulmonary Vein Systolic to Diastolic Ratio (LN, 29452-0)
Pulmonary Vein: PVs2 Vel Pulmonary Vein Systolic Peak Velocity (LN, 29450-4) Topographical Modifier: Peak2 (99SIEME, Peak2)
Pulmonary Vein: Sys Fraction Pulmonary Vein Systolic Fraction (99SIEMENSUS, CA_PVE_SF)

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ACUSON X300TM Ultrasound System

DICOM Conformance Statement

Version 5.0 25-May-2009

© Siemens Healthcare 2009

Headquarters: Berlin and Munich

ACUSON X300TM is a trademark of Siemens Healthcare.

CONFORMANCE STATEMENT OVERVIEW

© Siemens Healthcare, 2009 Version 5.0 Page 2 of 139

Table 2: UID Values

Table 3: MEDIA Services

© Siemens Healthcare, 2009 Version 5.0 Page 3 of 139

© Siemens Healthcare, 2009 Version 5.0 Page 4 of 139

6.0 COMMUNICATION PROFILES ............................................................................ 86

© Siemens Healthcare, 2009 Version 5.0 Page 5 of 139

9.12 PELVIC VASCULATURE............................................................................................ 108

© Siemens Healthcare, 2009 Version 5.0 Page 6 of 139

© Siemens Healthcare, 2009 Version 5.0 Page 7 of 139

Figure 1. Implementation Model ................................................................................................................. 12

© Siemens Healthcare, 2009 Version 5.0 Page 8 of 139

Term Acronym Description

American College of ACR- The American College of Radiology (ACR) and

Application Entity AE An application that supports DICOM

© Siemens Healthcare, 2009 Version 5.0 Page 9 of 139

DICOM Conformance DCS A formal statement associated with a specific

Ethernet - Network methodology devised in 1976 by Digital

Information Object IOD A data abstraction of a class of similar Real-World

Integrating the Healthcare IHE An initiative sponsored by the Radiological

Request RQ A request from one DICOM AE for service from

© Siemens Healthcare, 2009 Version 5.0 Page 10 of 139

Response RSP A response from one DICOM AE to the request

Structured Report SR Also called Procedure Report. A DICOM object

VA Hospital Information VISTA DICOM requirements document of the US

3.0 Implementation Model

3.1 Application Dataflow diagram

© Siemens Healthcare, 2009 Version 5.0 Page 11 of 139

Figure 1. Implementation Model

© Siemens Healthcare, 2009 Version 5.0 Page 12 of 139

Figure 2. Verification Model.

3.1.2 DICOM Store

Figure 3. Store Model.

© Siemens Healthcare, 2009 Version 5.0 Page 13 of 139

3.1.3 DICOM Print

Figure 4. Print Model.

3.1.4 Patient Registration using Worklist

© Siemens Healthcare, 2009 Version 5.0 Page 14 of 139

• Exam start date/time range

Figure 5. Modality Worklist Model

Attribute Name Tag

Patient’s Full Name (0010,0010)

Accession Number (0008,0050)

© Siemens Healthcare, 2009 Version 5.0 Page 15 of 139

Attribute Name Tag

Patient’s Full Name (0010,0010)

Accession Number (0008,0050)

Exam Start Date/Time (0040,0002), (0040,0003)

Scheduled Procedure Step Sequence (0040,0100)*

>Scheduled Procedure Step Description (0040,0007)

>Scheduled Protocol Code Sequence (0040,0008)

>>Code Value (0008,0100)