Sidexis 4 with DICOM Conformance Statement

SIDICOM RM (Removable Media)

Sidexis 4 with
Sidicom RM
(RM = Removable Media)

DICOM Conformance Statement

Version 2.0

Released 08/10/2017

for product versions from 4.0 onwards

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SIDICOM RM (Removable Media)

Contents
0 Introduction ...................................................................................................................... 4
0.1 Purpose ...................................................................................................................... 4
0.2 Scope ......................................................................................................................... 4
0.3 Definitions, Abbreviations ............................................................................................ 4
0.3.1 Definitions ............................................................................................................... 4
0.3.2 Abbreviations .......................................................................................................... 5
0.4 References ................................................................................................................. 5
1 Implementation Model ...................................................................................................... 6
1.1 Media Exchange ......................................................................................................... 6
1.1.1 Application Data Flow Diagram ............................................................................... 6
1.1.2 Functional Definitions of AE’s .................................................................................. 6
 Import / FSR .................................................................................................... 6
 Export / FSC .................................................................................................... 6
1.1.3 Implementation Class, Version and Data Identification ............................................ 6
2 AE Specifications ............................................................................................................. 8
2.1 Interface Specification ................................................................................................. 8
2.1.1 Activities, and Roles ................................................................................................ 8
2.1.2 File Meta Information for the Application Entity ....................................................... 8
2.1.3 Import...................................................................................................................... 8
2.1.4 Export ..................................................................................................................... 9
3 Augmented and Private Profiles ...................................................................................... 9
4 Extensions, Specializations, and Privatizations of SOP Classes and Transfer
Syntaxes ................................................................................................................................. 10
5 SIDEXIS 4 Database........................................................................................................ 10
6 Configuration .................................................................................................................. 10
7 Codes and Controlled Terminology .............................................................................. 11
8 Security Profiles ............................................................................................................. 11

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SIDICOM RM (Removable Media)

History
Release Date Author Review Comment
1.0 08/22/2013 Gerd Marmitt Bernhard Schmitt Based on version 3.6 Conformance
Statement Sidicom RM
2.0 08/14/2017 Hanna Busse Bernhard Schmitt Added chapter 7: Support of extended
character sets

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 Sidexis 4 with DICOM Conformance Statement
SIDICOM RM (Removable Media)

0 Introduction
0.1 Purpose
This document refers to the DICOM functionality of Sidexis 4 with “DICOM Removable Media”, Sidicom
RM.
This document is written according to part PS 3.2 of [1].
Sidexis 4 is capable of importing and storing DICOM media in accordance with the DICOM standard.
DICOM directories on file systems as described in Part 10 of the DICOM standard can be imported with
Sidexis 4, while export functionality relies on the DICOM Removable Media PlugIn. The support of the
physical media as described in Part 12 depends on the underlying operation system or on additional
software and hardware support of the special media.

0.2 Scope
This Conformance Statement refers to the Sirona X-Ray products using Sidexis 4 with Sidicom RM
PlugIn version 3.6 or higher.

0.3 Definitions, Abbreviations

0.3.1 Definitions
CT Computer Tomography; specific DICOM Information Object
DX Digital X-Ray; specific DICOM Information Object
IO Intra Oral; specific DICOM Information Object
SC Secondary Capture; specific DICOM Information Object
DD Direct Dental; an open interface of the Sidexis 4 software that opens the possibility
for PlugIns to integrate their functionality into Sidexis 4

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SIDICOM RM (Removable Media)

0.3.2 Abbreviations
ACR American College of Radiology
AE DICOM Application Entity
CT Computer Tomography
DICOM Digital Imaging and Communication in Medicine
DX Digital X-ray
IO Digital intraoral X-ray
IOD DICOM Information Object Definition
IS Information System (HIS, RIS, PACS within hospital)
NEMA National Electrical Manufacturers Association
SC Secondary Capture
FSC File Set Creator
FSR File Set Reader
FSU File Set Updater
Sidexis 4 Sirona Dental X-ray and Imaging System
SOP DICOM Service-Object Pair
UID Unique Identifier, string unique in the whole network

0.4 References
[1] Digital Imaging and Communication in Medicine (DICOM) 3.0, NEMA PS 3.1-3.20, 2011
[2] Sidicom RM User Manual

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SIDICOM RM (Removable Media)

1 Implementation Model
1.1 Media Exchange
1.1.1 Application Data Flow Diagram
Sidexis 4 is capable of importing single DICOM files or DICOM directories respectively and exporting
DICOM directories. The DICOM Removable Media plugIn acts as a FSC (File Set Creater) and
seamlessly integrates into Sidexis 4 offering a specialist user interface to deal with details of the
conversion and image selection. Sidexis 4 acts as a FSR (File Set Reader) when importing DICOM data.
The internal media data base as part of Sidexis 4 makes also use of the DICOM standard.

User request
Dicom Media
Import
SIDEXIS 4 DICOM
FSR
SIDICOM Media
RM FSC
User request
Dicom Media DICOM Standard
Export Interface

1.1.2 Functional Definitions of AE’s

The following functions are supported:

 Import / FSR
- Browsing for a DICOMDIR file and showing the DICOMDIR recognised series elements, e.g.
images. These elements can be selected for import.
- Import single files in DICOM format
 Export / FSC
- Exporting a Sidexis 4 examination of a patient in on go to a DICOM study, including 2D Images.
Optional 3D volumes, detail volumes and raw image data. (A DICOMDIR file is written.)
- Exporting single images to the corresponding DICOM SOP .dcm file. (Without a DICOMDIR)
- Export of adapted 3rd party volumes.
(Because of the needs of some none DICOM conform 3rd party application, we offer an option for
specialized flat exports without DICOMDIR and but with slice-number filename and .dcm file
suffix. Otherwise we write a DICOMDIR file.)

1.1.3 Implementation Class, Version and Data Identification

Name Value
File Meta Information Version 00\01
Implementation Class UID 2.16.840.1.113669.632.12.0.1.200.1

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SIDICOM RM (Removable Media)

Name Value
Implementation Version Name SIRONA_DIR_1
Sirona Company Root UID 1.3.6.1.4.1.25790
(Default only used for 2D IODs)

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SIDICOM RM (Removable Media)

2 AE Specifications
2.1 Interface Specification
2.1.1 Activities, and Roles
Activity Roles SC Option
DICOM Media Import FSR Interchange
DICOM Media Export FSC Interchange

2.1.2 File Meta Information for the Application Entity

Source Application Entity Title not set

2.1.3 Import
Sidexis 4 can read/import following IODs:
SOP Class Name SOP Class UID
Basic Directory Storage 1.2.840.10008.1.3.10
Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7
Digital X-Ray Image Storage – For Presentation 1.2.840.10008.5.1.4.1.1.1.1
Digital Intra-oral X-Ray Image Storage - For 1.2.840.10008.5.1.4.1.1.1.3
Presentation
VL Photographic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.4

Transfer Syntax Transfer Syntax UID

Explicit VR Little Endian 1.2.840.10008.1.2.1

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SIDICOM RM (Removable Media)

2.1.4 Export
Depending on the export options additional 3D administrative data and the corrected raw images can be
stored in Sirona-specific DICOM raw data objects and in private tags of the image IODs.
There is no overlay information of the images or examinations exported.
DICOM Removable Media can export the following IODs:
SOP Class Name SOP Class UID
Basic Directory Storage 1.2.840.10008.1.3.10
Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7
Digital X-Ray Image Storage – For Presentation 1.2.840.10008.5.1.4.1.1.1.1
Digital Intra-oral X-Ray Image Storage - For 1.2.840.10008.5.1.4.1.1.1.3
Presentation
VL Photographic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.4
CT Image Storage 1.2.840.10008.5.1.4.1.1.2

Transfer Syntax Transfer Syntax UID

Explicit VR Little Endian 1.2.840.10008.1.2.1

3 Augmented and Private Profiles

There are no profiles as described in Part 11 of the standard; SOP information is described in chapter 2.x.

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SIDICOM RM (Removable Media)

4 Extensions, Specializations, and Privatizations of

SOP Classes and Transfer Syntaxes
In addition to the standard SC IOD Sidicom RM can supply the following tag as defined in PS3.3, C.7.6.2
of [1].
Attribute Name Tag
Pixel Spacing (0028,0030)

This tag is not transmitted by default (Factory setting). In order to activate the transmission of this tag
please refer to the Sidicom RM user manual [2].
Sidicom RM includes special private data in the image IODs.
All private tag groups are marked as “Sirona - <group description>” in the private tag Creator ID.
The generated DICOM objects can include one or more of the following private data groups.
Private data group Description
8001,10xx Private exam data
8003,10xx Private image data
8005,10xx Private composits data
8101,10xx Private objectmodel data
8101,11xx Private objectmodel data
8201,10xx Private raw image data
8201,12xx Private raw image data
8301,10xx Private Overlay Image Data
8301,12xx Private Overlay Image Data
8401,10xx Private Patient Data
8301,13xx Private Patient Data
In the DICOMDIR Sidicom RM adds entries for special raw series that consists out of private RAW Data
storage objects (1.2.840.10008.5.1.4.1.1.66) that are created during the DICOM export process. All these
objects are marked as “Raw Data Records” (31).
It is recommended not to show these records or the corresponding series in viewers neither to try to
interpret the linked “Raw data objects”.
Sidicom RM can set links to the Raw Data series in normal image IODs in extended sequence
“Referenced Raw Data Sequence (0008,9121)”.
Image-related referenced series can be set in sequence “Referenced Series Sequence (0007,1115)”.

5 Sidexis 4 Database
2D and 3D images will be stored internally in the database.

6 Configuration
No different configurations. The basic installation of the DICOM PlugIn is described in the manual.

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SIDICOM RM (Removable Media)

7 Support of Extended Character Sets

Sidicom RM supports extended character sets under the condition that the underlying Windows
operation system supports the code page used by the chosen char set.

By default use of extended char set is switched off.

It can be switched on for exports by setting entry

[IDDTODICOM]
CharSet=<Character set used>
in DipPlugin.ini

8 Codes and Controlled Terminology

Not supported.

9 Security Profiles
Sidicom RM does not support any specific security measures. It is assumed that Sidicom RM is used
within a secured environment.
All users of the application need to have write access to the installation directory of the application and its
sub-directories.

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