Hitachi-aloka-F37-Ver-3-0-DCS

[Page 1] DICOM Conformance Statement for Company Name : Hitachi, Ltd. Product Name : Diagnostic Ultrasound System Hitachi F37 Version : Version 3. 0 Date : 2016. 04. 01 Internal document number : ASE- 52695 Copyright © Hitachi, Ltd. 2016. All rights reserved. The equipment described in this document has been validated in accordance with the DICOM standard. Hitachi, Ltd. shall not be liable for errors contained herein or consequential damages in connection with the furnishing, performance or use of this document. Hitachi, Ltd. reserves the right to revise this document and to make changes to its contents at any time, without obligation to notify any person or entity of such revisions and changes. Page 1 of 172

[Page 2] 1. CONFORMANCE STATEMENT OVERVIEW Hitachi F37 implements the necessary DICOM services to download worklists from an information system, save acquired Ultrasound and Ultrasound Multi-frame images to a network storage device or storage media, print Ultrasound images to a networked hardcopy device and inform the information system about the work actually done. Table1-1 provides an overview of the network services supported by Hitachi F37. Table 1-1 NETWORK SERVICES SOP Classes User of Service Provider of Service (SCU) (SCP) Transfer Ultrasound Image Storage Yes No Ultrasound Multi-frame Image Storage Yes No Ultrasound Line Data Storage (Private) Yes No Comprehensive SR Yes No Workflow Management Modality Worklist Yes No Modality Performed Procedure Step Yes No Storage Commitment Push Model Yes No Verification Yes Yes Print Management Basic Grayscale Print Management Meta Yes No Basic Color Print Management Meta Yes No Note : 1. Optional SR feature needs installed. Table 1-2 provides an overview of the Media Storage Application Profiles supported by Hitachi F37. Table 1-2 Media Services Media Storage Application Profile Write Files Read Files (FSC or FSU) (FSR) DVD-RAM & Compact Disk – Recordable Ultrasound Image Display Yes Yes Ultrasound Image Spatial Calibration Yes Yes Ultrasound Image Combined Calibration Yes Yes Ultrasound Multi-frame Image Display Yes Yes Ultrasound Multi-frame Image Spatial Calibration Yes Yes Ultrasound Multi-frame Image Combined Calibration No Yes Note : 1. Structured Reports cannot be imported. Page 2 of 172

[Page 3] 2 TABLE OF CONTENTS 1. CONFORMANCE STATEMENT OVERVIEW 2 2 TABLE OF CONTENTS 3 3 INTRODUCTION 6 3. 1 REVISION HISTORY 6 3. 2 AUDIENCE 6 3. 3 REMARKS 6 3. 4 DEFINITIONS, TERMS AND ABBREVIATIONS 6 3. 5 REFERENCES 7 4 NETWORKING 8 4. 1 IMPLEMENTATION MODEL 8 4. 1. 1 Application Data Flow 8 4. 1. 2 Functional Definition of AEs 9 4. 1. 2. 1 Functional Definition of Workflow Application Entity 9 4. 1. 2. 2 Functional Definition of Storage Application Entity 9 4. 1. 2. 3 Functional Definition of Hardcopy Application Entity 9 4. 1. 3 Sequencing of Real-World Activities 10 4. 2 AE SPECIFICATIONS 11 4. 2. 1 Workflow Application Entity Specification 11 4. 2. 1. 1 SOP Classes 11 4. 2. 1. 2 Association Policies 11 4. 2. 1. 2. 1 General 11 4. 2. 1. 2. 2 Number of Associations 11 4. 2. 1. 2. 3 Asynchronous Nature 11 4. 2. 1. 2. 4 Implementation Identifying Information 12 4. 2. 1. 3 Association Initiation Policy 12 4. 2. 1. 3. 1 Activity – Find Worklist 12 4. 2. 1. 3. 2 Activity – End Study 16 4. 2. 1. 4 Association Acceptance Policy 23 4. 2. 1. 4. 1 Activity – Receive Storage Commitment Response 24 4. 2. 2 Storage Application Entity Specification 26 4. 2. 2. 1 SOP Classes 26 4. 2. 2. 2 Association Policies 26 4. 2. 2. 2. 1 General 26 4. 2. 2. 2. 2 Number of Associations 26 4. 2. 2. 2. 3 Asynchronous Nature 26 4. 2. 2. 2. 4 Implementation Identifying Information 27 4. 2. 2. 3 Association Initiation Policy 27 4. 2. 2. 3. 1 Activity – Send Images and Structured Reports 27 4. 2. 3 Hardcopy Application Entity Specification 31 4. 2. 3. 1 SOP Classes 31 4. 2. 3. 2 Association Policies 31 4. 2. 3. 2. 1 General 31 4. 2. 3. 2. 2 Number of Associations 31 4. 2. 3. 2. 3 Asynchronous Nature 31 4. 2. 3. 2. 4 Implementation Identifying Information 31 4. 2. 3. 3 Association Initiation Policy 32 4. 2. 3. 3. 1 Activity – Print Images 32 4. 2. 3. 4 Association Acceptance Policy 41 4. 3 NETWORK INTERFACES 41 Page 3 of 172

[Page 4] 4. 3. 1 Physical Network Interface 41 4. 3. 2 Additional Protocols 41 4. 3. 3 IPv4 and IPv6 Support 41 4. 4 CONFIGURATION 41 4. 4. 1 AE Title/Presentation Address Mapping 41 4. 4. 1. 1 Local AE Titles 41 4. 4. 1. 2 Remote AE Title/Presentation Address Mapping 42 4. 4. 1. 2. 1 Workflow 42 4. 4. 1. 2. 2 Storage 42 4. 4. 1. 2. 3 Hardcopy 42 4. 4. 2 Parameters 42 5 MEDIA INTERCHANGE 45 5. 1 IMPLEMENTATION MODEL 45 5. 1. 1 Application Data Flow 45 5. 1. 2 Functional Definition of AEs 45 5. 1. 2. 1 Functional Definition of Offline-Media Application Entity 45 5. 1. 3 Sequencing of Real-World Activities 45 5. 1. 4 File Meta Information Options 45 5. 2 AE SPECIFICATIONS 46 5. 2. 1 Offline-Media Application Entity Specification 46 5. 2. 1. 1 File Meta Information for the Application Entity 46 5. 2. 1. 2 Real-World Activities 46 5. 2. 1. 2. 1 Activity – Export to Media 46 5. 3 AUGMENTED AND PRIVATE APPLICATION PROFILES 47 5. 4 MEDIA CONFIGURATION 47 6 SUPPORT OF CHARACTER SETS 48 7 SECURITY 49 8 ANNEXES 50 8. 1 IOD CONTENTS 50 8. 1. 1 Created SOP Instances 50 8. 1. 1. 1 Ultrasound and Ultrasound Multi-frame Image IODs 50 8. 1. 1. 2 Ultrasound Line Data IOD 51 8. 1. 1. 3 Comprehensive SR IOD 52 8. 1. 1. 4 Common Modules 52 8. 1. 1. 5 Ultrasound Modules 60 8. 1. 1. 6 SR Document Modules 64 8. 1. 2 Used Fields in received IOD by application 66 8. 1. 3 Attribute mapping 66 8. 1. 4 Coerced/Modified Fields 68 8. 2 DATA DICTIONARY OF PRIVATE ATTRIBUTES 68 8. 3 CODED TERMINOLOGY AND TEMPLATES 69 8. 4 STANDARD EXTENDED / SPECIALIZED / PRIVATE SOP CLASSES 69 8. 4. 1 Ultrasound and Ultrasound Multi-frame Image Storage SOP Class 69 8. 4. 2 Ultrasound Line Data Storage SOP Class 70 8. 5 PRIVATE TRANSFER SYNTAXES 70 8. 6 STRUCTURED REPORTS 70 8. 6. 1 Applications and Generated Templates 70 8. 6. 2 Templates 71 8. 6. 2. 1 TID 5000 OB-GYN Ultrasound Procedure Report 71 8. 6. 2. 2 TID 5100 Vascular Ultrasound Report 80 8. 6. 2. 3 TID 5200 Echocardiography Procedure Report 87 8. 6. 3 Context Groups 116 8. 6. 4 Private Code Definitions 144 8. 6. 5 Standard Extended and Private Template Definitions 158 Page 4 of 172

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[Page 6] 3 INTRODUCTION 3. 1 REVISION HISTORY Document Date of Issue Version 1. 0 Jan 05, 2012 1. 1 May 25, 2012 2. 0 Oct 03, 2012 3. 0 May 20, 2013 3. 0. 1 Apr 01, 2016 3. 2 AUDIENCE This document is intended for hospital staff, health system integrators, software designers or implementers. It is assumed that the reader has a working understanding of DICOM. 3. 3 REMARKS DICOM, by itself, does not guarantee interoperability. However, the Conformance Statement facilitates a first-level validation for interoperability between different applications supporting the same DICOM functionality. This Conformance Statement is not intended to replace validation with other DICOM equipment to ensure proper exchange of information intended. The scope of this Conformance Statement is to facilitate communication with Hitachi F37 and other vendors’ Medical equipment. The Conformance Statement should be read and understood in conjunction with the DICOM Standard [DICOM]. However, by itself it is not guaranteed to ensure the desired interoperability and a successful interconnectivity. The user should be aware of the following important issues : — The comparison of different conformance statements is the first step towards assessing interconnectivity between the equipments produced by different manufacturers. — Test procedures should be defined to validate the desired level of connectivity. — The DICOM standard will evolve to meet the users’ future requirements. Hitachi, Ltd. reserves the right to make changes to its products or to discontinue its delivery. 3. 4 DEFINITIONS, TERMS AND ABBREVIATIONS Definitions, terms and abbreviations used in this document are defined within the different parts of the DICOM standard. Abbreviations and terms are as follows : AE DICOM Application Entity Page 6 of 172

[Page 7] AET Application Entity Title ACSE Association Control Service Element CD-R Compact Disk Recordable CSE Customer Service Engineer DVD A trademark of the DVD Forum that is not an abbreviation DVD-RAM DVD Random Access Memory FSC File-Set Creator FSU File-Set Updater FSR File-Set Reader GUI Graphical User Interface HDD Hard Disk Drive IOD (DICOM) Information Object Definition ISO International Standard Organization MPPS Modality Performed Procedure Step MSPS Modality Scheduled Procedure Step R Required Key Attribute O Optional Key Attribute PDU DICOM Protocol Data Unit PHI Protected Health Information SCU DICOM Service Class User (DICOM client) SCP DICOM Service Class Provider (DICOM server) SOP DICOM Service-Object Pair SR Structured Reporting U Unique Key Attribute USB Universal Serial Bus NTP Network Time Protocol 3. 5 REFERENCES [DICOM]Digital Imaging and Communications in Medicine (DICOM) , NEMA PS 3. 1-3. 18, 2009 Page 7 of 172

[Page 8] 4 NETWORKING 4. 1 IMPLEMENTATION MODEL 4. 1. 1 Application Data Flow Remote Application Entity Provides Find Worklist Worklist Items Workflow Application Entity Remote Application End Study Entity Receives MPPS Create/Update Remote Storage Application Application Send Images, Entity Receives Entity Reports Images, Reports & Storage Commitment Remote Hardcopy Application Print Images Application Entity Prints Film Entity Sheets DICOM Standard Interface Figure 4. 1-1 APPLICATION DATA FLOW DIAGRAM — The Workflow Application Entity receives Worklist information from and sends MPPS information to a remote AE. It is associated with the local real-world activities “Find Worklist” and “End Study”. When the “Find Worklist” local real-world activity is requested by an operator the Workflow Application Entity queries a remote AE for worklist items and provides the set of worklist items matching the query request. When "Acquire Images" local real-world activity is performed on the selected patient for the first time, the Workflow Application Entity automatically creates Modality Performed Procedure Step instance managed by a remote AE. When "End Study" local real-world activity is requested by the operator, the MPPS Completed or Discontinued updates the MPPS instance managed by the remote AE. If the remote AE is configured as an archive device the Workflow AE will request Storage Commitment and if a commitment is successfully obtained the Workflow AE will record this information in the local database. — The Storage Application Entity stores Ultrasound and/or Ultrasound Multi-frames images, and Structured Reports to a remote AE. It is associated with the local real-world activity “Send Images” and “Send Structured Reports”, respectively. An ultrasound modality displays image in real-time, and the operator acquires it by pressing the freeze button. A "Frozen" image may be sent to a remote AE Page 8 of 172

[Page 9] or may be stored in the local HDD, CD-R Buffer, DVD-RAM or USB storage devices for review and batch send. “Send Images” is performed upon user request for each study completed or for specific images selected. "Sending Structured Reports" is performed automatically at "End Study" local real- world activity. — The Hardcopy Application Entity prints images on a remote AE (Printer) . It is associated with the local real-world activity “Print Images”. “Print Images” creates a print-session within the print queue containing one or more virtual film sheets composed from images selected by the user. 4. 1. 2 Functional Definition of AEs 4. 1. 2. 1 Functional Definition of Workflow Application Entity The "Find Worklist" local activity is provided in the New Patient Registration GUI initiated by pressing the "NEW PATIENT" button on the console. The Patient ID, Patient Name, Accession Number and/or Requested Procedure ID may optionally be supplied before clicking the "Find" button in the GUI. Other default keys are the Modality (US) , Scheduled Station AE Title (local AET) , and Scheduled Procedure Step Start Date (Date of the day) . When the "Find" button is clicked, the Workflow AE tries to open an association to a remote AE. If the Workflow AE establishes an association to a remote AE, it will transfer all worklist items via the open Association. During receiving the worklist response, the Workflow AE counts items and cancels the query processing, if the built-in limit of items (500) is reached. The results will be displayed in a separate list, which will be cleared with the next "Find Worklist" activity. The Workflow AE automatically creates MPPS Instance when an image is sent to remote AE or stored in local drive for the first time in an examination. Further updates on the MPPS data can be performed from the "End Study" user interface. The MPPS “Completed” or “Discontinued” states can only be set by the operator interaction. After a successful update of the MPPS Completed, the Workflow AE will issue a Storage Commitment request on images and Structured Reports already sent in the examination. 4. 1. 2. 2 Functional Definition of Storage Application Entity The Storage Application Entity can be requested in two modes. After the proper Worklist Item is selected or the patient identification is supplied by the operator, pressing the "STORE" button will directly send an image to the remote storage AE when it is configured to send to network. Or when it is configured to store the image in the local drive, the image is written in the drive for later reference. By pressing the "REVIEW" button, the images are displayed in icons. By clicking the icon the operator may select or deselect images to send to the remote storage AE. A storage association for sending Structured Reports will be automatically initiated at the end of an examination if reports have been created in the examination. When measurements are performed under specific applications, Structured Reports will be created automatically at the end of the examination. Structured Reports can also be created manually by the operator. The color of I-mark overlaid on an image icon or that of R-mark overlaid on a report icon indicates the status of the image or report, respectively : Green - original, Light Blue - stored to media, Orange - sent to an Image Archive, and Blue - storage committed. 4. 1. 2. 3 Functional Definition of Hardcopy Application Entity The Hardcopy Application Entity also locates in the "REVIEW" GUI displayed by pressing the "REVIEW" button. By clicking the icon the operator may select or deselect images to be printed by the remote AE. A print association will be initiated by clicking the "DICOM" - "DICOM Printer" After an association is established with the printer, its status is determined. If the printer is operating normally, the film sheets composed of selected images will be printed. If the printer is not operating normally, or the print returns a failure status during the association, the error is reported to the user. Page 9 of 172

[Page 10] 4. 1. 3 Sequencing of Real-World Activities Hardcopy Image Workflow Department Image Printer Storage Scheduler Manager 1. Query Worklist 2. Receive Worklist 3. Select Workitem (MSPS) 5. Create MPPS 4. Acquire Images 6. Store Acquired Images 7. End Study 8. Store Structured Reports 9. Complete Acquisition (Finalize MPPS) 10. Commit Acquired Images and Reports 11. Print Acquired Images Figure 4. 1-2 SEQUENCING CONSTRAINTS Under normal scheduled workflow conditions the sequencing constraints illustrated in Figure 4. 1-2 apply : 1. Query Worklist 2. Receive Worklist of Modality Scheduled Procedure Steps (MSPS) 3. Select Workitem (MSPS) from Worklist 4. Acquire Images 5. Create MPPS at the first Image Acquisition 6. Store acquired image instances 7. Select Complete or Discontinue in "End Study" user interface Page 10 of 172

[Page 11] 8. Create and store Structured Report instances (depends on conditions) 9. Complete acquisition and finalize MPPS 10. The Workflow AE will request Storage Commitment for the image instances, if the Image Manager is configured as an archive device. 11. Print acquired images (optional step) Other workflow situations (e. g. unscheduled procedure steps) will have other sequencing constraints. Printing could equally take place after the acquired images have been stored. Printing could be omitted completely if no printer is connected or hardcopies are not required. 4. 2 AE SPECIFICATIONS 4. 2. 1 Workflow Application Entity Specification 4. 2. 1. 1 SOP Classes This product provides Standard Conformance to the following SOP Classes : Table 4. 2-1 SOP CLASSES FOR AE WORKFLOW SOP Class Name SOP Class UID SCU SCP Modality Worklist Information Model – FIND 1. 2. 840. 10008. 5. 1. 4. 31 Yes No Modality Performed Procedure Step 1. 2. 840. 10008. 3. 1. 2. 3. 3 Yes No Storage Commitment Push Model 1. 2. 840. 10008. 1. 20. 1 Yes No Verification 1. 2. 840. 10008. 1. 1 Yes Yes 4. 2. 1. 2 Association Policies 4. 2. 1. 2. 1 General The DICOM standard application context name for DICOM 3. 0 is always proposed : Table 4. 2-2 DICOM APPLICATION CONTEXT FOR AE WORKFLOW Application Context Name 1. 2. 840. 10008. 3. 1. 1. 1 4. 2. 1. 2. 2 Number of Associations This product initiates one Association at a time for a Workflow requests. Table 4. 2-3 NUMBER OF ASSOCIATIONS INITIATED FOR AE WORKFLOW Maximum number of simultaneous Associations 1 4. 2. 1. 2. 3 Asynchronous Nature This product does not support asynchronous communication (multiple outstanding transactions over a single Association) . Page 11 of 172

[Page 12] Table 4. 2-4 ASYNCHRONOUS NATURE AS A SCU FOR AE WORKFLOW Maximum number of outstanding asynchronous transactions 1 4. 2. 1. 2. 4 Implementation Identifying Information The implementation information for this Application Entity is : Table 4. 2-5 DICOM IMPLEMENTATION CLASS AND VERSION FOR AE WORKFLOW Implementation Class UID 1. 2. 392. 200039. 110 Implementation Version Name ADLib 20120427 (subject to change without notice) 4. 2. 1. 3 Association Initiation Policy 4. 2. 1. 3. 1 Activity – Find Worklist 4. 2. 1. 3. 1. 1 Description and Sequencing of Activities An interactive query for Worklist is initiated by pressing the "Find" button in the "NEW PATIENT" Registration GUI. The built-in query keys are the Modality (US) , Scheduled Procedure Step Start Date (actual date) . The Scheduled Station AE Title may be excluded by the configuration. Additional "Patient- based" query keys, Patient's ID, Patient Name, Accession Number, and/or Requested Procedure ID, may be supplied in the dialog by the operator. Upon initiation of the request, this product will build an Identifier for the C-FIND request, will initiate an Association to send the request and will wait for Worklist responses. After retrieval of all responses, this product will access the local database to update patient demographic data. To protect the system from overflow, this product will limit the number of processed worklist responses to 500. During receiving the worklist response items are counted and the query processing is canceled by issuing a C-FIND-CANCEL if the limit of items is reached. The results will be displayed in a separate list. The retrieved Worklist items are stored locally during the day, which will be cleared with the next worklist update. If the list is a latest and additional examination is to be performed on a patient, or the equipment is disconnected for mobile examination, the stored worklist items may be referenced by pressing "Worklist" button in the "NEW PATIENT" Registration GUI. The additional examination using the same MSPS generates a second series of images coping with the Append Case among the IHE use cases. Page 12 of 172

[Page 13] Workflow Department AE Scheduler 1. Open Association 2. C-FIND Request (Worklist Query) 3. C-FIND Response (Worklist Item) - Status = Pending 4. C-FIND Response (Worklist Item) - Status = Pending 5. C-FIND Response - Status = Success 6. Close Association Figure 4. 2-1 SEQUENCING OF ACTIVITY – WORKLIST QUERY A possible sequence of interactions between the Workflow AE and a Departmental Scheduler (e. g. a device such as a RIS or HIS which supports the Modality Worklist SOP Class as an SCP) is illustrated in the Figure above : 1. The Workflow AE opens an association with the Department Scheduler. 2. The Workflow AE sends a C-FIND request to the Department Scheduler containing the Worklist Query attributes. 3. The Department Scheduler returns a C-FIND response containing the requested attributes of the first matching Worklist Item. 4. The Department Scheduler returns another C-FIND response containing the requested attributes of the second matching Worklist Item. 5. The Department Scheduler returns another C-FIND response with status Success indicating that no further matching Worklist Items exist. This example assumes that only 2 Worklist items match the Worklist Query. 6. The Workflow AE closes the association with the Department Scheduler. 7. The user selects a Worklist Item from the Worklist database and prepares to acquire images. 4. 2. 1. 3. 1. 2 Proposed Presentation Contexts This product will propose Presentation Contexts as shown in the following table : Page 13 of 172

[Page 14] Table 4. 2-6 PROPOSED PRESENTATION CONTEXTS FOR ACTIVITY WORKLIST QUERY Presentation Context Table Abstract Syntax Transfer Syntax Ext. Role Name UID Name List UID List Neg. Modality Worklist 1. 2. 840. 10008. 5. Implicit VR Little Endian 1. 2. 840. 10008. 1. SCU None Information Model – 1. 4. 31 2 Explicit VR Little Endian FIND 1. 2. 840. 10008. 1. 2. 1 Verification 1. 2. 840. 10008. 1. Implicit VR Little Endian 1. 2. 840. 10008. 1. SCU None 1 2 Explicit VR Little Endian 1. 2. 840. 10008. 1. 2. 1 4. 2. 1. 3. 1. 3 SOP Specific Conformance for Modality Worklist The behavior of this product when encountering status codes in a Modality Worklist C-FIND response is summarized in the Table below. If any other SCP response status than "Success" or "Pending" is received by this product, a Worklist Error Message will appear on the user interface. Table 4. 2-7 MODALITY WORKLIST C-FIND RESPONSE STATUS HANDLING BEHAVIOR Service Error Further Meaning Behavior Status Code Success Matching is 0000 The SCP has completed the matches. Worklist items are complete available for display or further processing. Refused Out of Resources A700 The Association is aborted using A-ABORT and the worklist query is failed. Failed Identifier does not A900 The Association is aborted using A-ABORT and the worklist match SOP Class query is failed. Failed Unable to Process C000 – The Association is aborted using A-ABORT and the worklist CFFF query is failed. Cancel Matching FE00 If the query was cancelled due to too may worklist items then the terminated due to SCP has completed the matches. Worklist items are available for Cancel request display or further processing. Otherwise, the Association is aborted using A-ABORT and the worklist query is failed. Pending Matches are FF00 The worklist item contained in the Identifier is collected for later continuing display or further processing. Pending Matches are FF01 The worklist item contained in the Identifier is collected for later continuing – display or further processing. Warning that one or more Optional Keys were not supported * * Any The Association is aborted using A-ABORT and the worklist is other failed. status code. Page 14 of 172

[Page 15] The behavior of this product during communication failure is summarized in the Table below. Table 4. 2-8 MODALITY WORKLIST COMMUNICATION FAILURE BEHAVIOR Exception Behavior Timeout The Association is aborted using A-ABORT and the worklist query is failed. A Worklist Error is reported to the user. Association aborted by the SCP The worklist query is failed. A Worklist Error is reported to the user. or network layers Acquired images will always use the Study Instance UID specified for the Scheduled Procedure Step (if available) . If an acquisition is unscheduled, a Study Instance UID will be generated locally. The Table below provides a description of the Worklist Request Identifier of this product and specifies the attributes that are copied into the images. Unexpected attributes returned in a C-FIND response are ignored. Requested return attributes not supported by the SCP are set to have no value. Non-matching responses returned by the SCP due to unsupported optional matching keys are ignored. No attempt is made it filter out possible duplicate entries. Table 4. 2-9 WORKLIST REQUEST IDENTIFIERS Module Name Tag VR M R Q D IOD Attribute Name SOP Common Specific Character Set (0008, 0005) CS x x Scheduled Procedure Step Scheduled Procedure Step Sequence (0040, 0100) SQ x > Modality (0008, 0060) CS (S) x x x > Requested Contrast Agent (0032, 1070) LO x x > Scheduled Station AET (0040, 0001) AE (S) x > Scheduled Procedure Step Start Date (0040, 0002) DA R x x x > Scheduled Procedure Step Start Time (0040, 0003) TM x x x > Scheduled Procedure Step Description (0040, 0007) LO x x x > Scheduled Protocol Code Sequence (0040, 0008) SQ x x x > Scheduled Procedure Step ID (0040, 0009) SH x x x Requested Procedure Referenced Study Sequence (0008, 1110) SQ x x Study Instance UID (0020, 000D) UI x x Requested Procedure Description (0032, 1060) LO x x x Requested Procedure Code Sequence (0032, 1064) SQ x x x Requested Procedure ID (0040, 1001) SH x x x x Imaging Service Request Accession Number (0008, 0050) SH x x x x Referring Physician's Name (0008, 0090) PN x x x Requesting Physician (0032, 1032) PN x x Patient Identification Patient Name (0010, 0010) PN x x x x Patient ID (0010, 0020) LO x x x x Page 15 of 172

[Page 16] Patient Demographic Patient’s Birth Date (0010, 0030) DA x x x Patient’s Sex (0010, 0040) CS x x x Patient’s Size (0010, 1020) DS x x x Patient’s Weight (0010, 1030) DS x x x Occupation (0010, 2180) SH x x x Patient Medical Medical Alerts (0010, 2000) LO x x x Contrast Allergies (0010, 2110) LO x x x Pregnancy Status (0010, 21C0) US x x Last Menstrual Date (0010, 21D0) DA x x x Special Needs (0038, 0050) LO x x The above table should be read as follows : Module Name : The name of the associated module for supported worklist attributes. Attribute Name : Attributes supported to build a Worklist Request Identifier of this product. Tag : DICOM tag for this attribute. VR : DICOM VR for this attribute. M : Matching keys for Worklist Query. An "S" will indicate that this product will supply an attribute value for Single Value Matching, an “ (S) ” will indicate that keys are configurable either Single Value Matching or Universal Matching, an “R” will indicate Range Matching, and an “*” will denote wildcard matching. . R : Return keys. An "x" will indicate that this product will supply this attribute as Return Key with zero length for Universal Matching. Q : Interactive Query Key. An “x” " will indicate that this product will supply this attribute as matching key, if entered in the New Patient dialog. For example, the Patient Name can be entered thereby restricting Worklist responses to Procedure Steps scheduled for the patient. D : Displayed keys. An “x” indicates that this worklist attribute is displayed to the user during a patient registration dialog. For example, Patient Name will be displayed when registering the patient prior to an examination. IOD : An "x" indicates that this Worklist attribute is included into all Object Instances created during performance of the related Procedure Step. The Modality (0008, 0060) matching key is configurable to "US” or zero length (Universal matching) , the Scheduled Station AET (0040, 0001) key is configurable to the local AET (ex. "F37") or zero length, and the Scheduled Procedure Start Date (0040, 0002) key is configurable to a date, date range, or zero length. 4. 2. 1. 3. 2 Activity – End Study 4. 2. 1. 3. 2. 1 Description and Sequencing of Activities After the "NEW PATIENT" Registration, this product is awaiting local image storage or image transmission to remote Archive. The trigger to create a MPPS SOP Instance is derived from this event. An Association to the configured MPPS SCP system is established immediately and the related MPPS SOP Instance will be created. The MPPS user interface is initiated by pressing the "END STUDY" button on the console. Only a manual update can be performed by the operator where is it possible to set the final state of the MPPS to Page 16 of 172

[Page 17] “COMPLETED” or “DISCONTINUED”. In the “Discontinued” case the user can also select the discontinuation reason from a pick list corresponding to Context Group 9300. An MPPS Instance that has been sent with a state of “COMPLETED” or “DISCONTINUED” can no longer be updated. This product will support creation of “unscheduled cases” by allowing MPPS Instances to be communicated for locally registered Patients. This product only supports a 0-to-1 relationship between Scheduled and Performed Procedure Steps. This product will initiate an Association to issue an : — N-CREATE request according to the CREATE Modality Performed Procedure Step SOP Instance operation or a — N-SET request to update the contents and state of the MPPS according to the SET Modality Performed Procedure Step Information operation. Workflow Department Image AE Scheduler Manager 1. Acquire Images 2. Open Association 3. N-CREATE (MPPS) - IN PROGRESS 4. Close Association 5. End Study 6. Open Association 7. N-SET (MPPS) - COMPLETED 8. Close Association 9. Open Association 10. N-ACTION (Storage Commitment Request) 11. Close Association Figure 4. 2-2 SEQUENCING OF ACTIVITY – ACQUIRE IMAGES AND END STUDY A possible sequence of interactions between the Workflow AE and a Department Scheduler (e. g. a device such as a RIS or HIS which supports the MPPS SOP Class as an SCP) is illustrated in Figure 4. 2-2 : 1. First image is acquired for the MSPS. 2. The Workflow AE opens an association with the Department Scheduler. Page 17 of 172

[Page 18] 3. The Workflow AE sends an N-CREATE request to the Department Scheduler to create an MPPS instance with status of “IN PROGRESS” and create all necessary attributes. The Department Scheduler acknowledges the MPPS creation with an N-CREATE response (status success) . 4. The Workflow AE closes the association with the Department Scheduler. 5. After all images are sent to Image Archive or stored in the local database, the operator requests "End Study" and closes database the examination. At this time Structured Reports, if created, are sent to Image Archive automatically. 6. The Workflow AE opens a second association with the Department Scheduler. 7. The Workflow AE sends an N-SET request to the Department Scheduler to update the MPPS instance with status of “COMPLETED” and set all necessary attributes. The Department Scheduler acknowledges the MPPS update with an N-SET response (status success) . 8. The Workflow AE closes the association with the Department Scheduler. 9. If the images/reports associated with the examination have been sent to the Image Manager, the Workflow AE opens independent association with the Image Manager. 10. The Workflow AE sends an N-ACTION request to the Image Manager to request the Images/ reports be storage-committed. The Image Manager acknowledges the Storage Commitment Request with an N-ACTION response (status success) . 11. The Workflow AE closes the association with the Image Manager. 4. 2. 1. 3. 2. 2 Proposed Presentation Contexts This product will propose Presentation Contexts as shown in the following table : Table 4. 2-10 PROPOSED PRESENTATION CONTEXTS FOR REAL-WORLD ACTIVITY Presentation Context Table Abstract Syntax Transfer Syntax Ext. Role Name UID Name List UID List Neg. Modality Performed 1. 2. 840. 10008. 3. Implicit VR Little Endian 1. 2. 840. 10008. 1. SCU None Procedure Step 1. 2. 3. 3 2 Explicit VR Little Endian 1. 2. 840. 10008. 1. 2. 1 Verification 1. 2. 840. 10008. 1. Implicit VR Little Endian 1. 2. 840. 10008. 1. SCU None 1 2 Explicit VR Little Endian 1. 2. 840. 10008. 1. 2. 1 4. 2. 1. 3. 2. 3 SOP Specific Conformance for MPPS The behavior of this product when encountering status codes in an MPPS N-CREATE or N–SET response is summarized in Table 4. 2-11. If any other SCP response status than "Success" is received by this product, a message “Network communication error" will appear on the user interface. Page 18 of 172

[Page 19] Table 4. 2-11 MPPS N-CREATE / N-SET RESPONSE STATUS HANDLING BEHAVIOR Service Further Meaning Error Code Behavior Status Success Success 0000 The SCP has completed the operation successfully. Failure Processing Failure – Performed 0110 The Association is closed using A- Procedure Step Object may no RELEASE. The error status is reported to longer be updated the user. Warning Attribute Value Out of Range 0116H The Association is closed using A- RELEASE. The error status is reported to the user. * * Any other The Association is closed using A- status RELEASE. The error status is reported to code. the user. The behavior of this product during communication failure is summarized in the Table below : Table 4. 2-12 MPPS COMMUNICATION FAILURE BEHAVIOR Exception Behavior Timeout The Association is aborted using A-ABORT and the timeout status is reported to the user. Association aborted by the SCP or The MPPS is failed and the status is reported to the user. network layers Table 4. 2-13 provides a description of the MPPS N-CREATE and N-SET request identifiers sent by this product. Empty cells in the N-CREATE and N-SET columns indicate that the attribute is not sent. An “x” indicates that an appropriate value will be sent. A “Zero length” attribute will be sent with zero length. Table 4. 2-13 MPPS N-CREATE / N-SET REQUEST IDENTIFIER Attribute Name Tag VR N-CREATE N-SET Specific Character Set (0008, CS ISO_IR 100 - 0005) Referenced Patient (0008, SQ Zero length - Sequence 1120) Patient’s Name (0010, PN From Modality Worklist or - 0010) user input. The user can modify values provided via Modality Worklist. Patient ID (0010, LO From Modality Worklist or - 0020) user input. The user can modify values provided via Modality Worklist. Patient’s Birth Date (0010, DA From Modality Worklist or - 0030) user input. The user can modify values provided via Modality Worklist. Patient’s Sex (0010, CS From Modality Worklist or - 0040) user input. The user can Page 19 of 172

[Page 20] modify values provided via Modality Worklist. Scheduled Step (0040, SQ If the procedure step creates - Attributes Sequence 0270) an SOP Instance > Accession Number (0008, SH From Modality Worklist or - 0050) user input. The user can modify values provided via Modality Worklist. > Referenced Study (0008, SQ From Modality Worklist - Sequence 1110) > > Referenced SOP (0008, UI From Modality Worklist - Class UID 1150) > > Referenced SOP (0008, UI From Modality Worklist - Instance UID 1155) > Study Instance UID (0020, UI From Modality Worklist or - 000D) internally generated > Requested Procedure (0032, LO From Modality Worklist - Description 1060) > Scheduled Procedure (0040, LO From Modality Worklist - Step Description 0007) > Scheduled Protocol (0040, SQ From Modality Worklist - Code Sequence 0008) > Scheduled Procedure (0040, SH From Modality Worklist - Step ID 0009) > Requested Procedure (0040, SH From Modality Worklist - ID 1001) Procedure Code (0008, SQ From Modality Worklist, - Sequence 1032) mapped from Requested Procedure Code Sequence (0032, 1064) Performed Station AE (0040, AE AE Title of the Equipment - Title 0241) Performed Station (0040, SH Station Name of the - Name 0242) Equipment Performed Location (0040, SH Zero length - 0243) Performed Procedure (0040, DA Actual start date - Step Start Date 0244) Performed Procedure (0040, TM Actual start time - Step Start Time 0245) Performed Procedure (0040, DA Zero length Actual end date Step End Date 0250) Performed Procedure (0040, TM Zero length Actual end time Step End Time 0251) Performed Procedure (0040, CS IN PROGRESS COMPLETED or Step Status 0252) DISCONTINUED Performed Procedure (0040, SH Automatically created. - Step ID 0253) Page 20 of 172

[Page 21] Performed Procedure (0040, LO Input by the user at "Reason - Step Description 0254) for Study" in New Patient Registration. Performed Procedure (0040, LO Zero length - Type Description 0255) Performed Procedure (0040, SQ Zero length If Performed Procedure Step Step Discontinuation 0281) Status (0040, 0252) is Reason Code Sequence “DISCONTINUED” and a discontinuation reason is selected by the user, then a single item will be present containing a user-selected entry drawn from Context Group 9300. Modality (0008, CS US - 0060) Study ID (0020, SH Copied from Requested - 0010) Procedure ID (0040, 1001) in MWL. The user can modify values provided via Modality Worklist. Performed Protocol (0040, SQ Zero length Zero or more items Code Sequence 0260) Performed Series (0040, SQ Zero length One or more items Sequence 0340) > Retrieve AE Title (0008, AE Zero length 0054) > Series Description (0008, LO x 103E) > Performing (0008, PN x Physician’s Name 1050) > Operator’s Name (0008, PN x 1070) > Referenced Image (0008, SQ Zero or more items Sequence 1140) > > Referenced SOP (0008, UI x Class UID 1150) > > Referenced SOP (0008, UI x Instance UID 1155) > Protocol Name (0018, LO x 1030) > Series Instance UID (0020, UI x 000E) > Referenced Non- (0040, SQ Zero or more items image Composite SOP 0220) Instance Sequence > > Referenced SOP (0008, UI x Class UID 1150) > > Referenced SOP (0008, UI x Instance UID 1155) Page 21 of 172

[Page 22] 4. 2. 1. 3. 2. 4 SOP Specific Conformance for Storage Commitment SOP Class 4. 2. 1. 3. 2. 4. 1 Storage Commitment Operations (N-ACTION) The Workflow AE will request storage commitment for instances of the Ultrasound Image, Ultrasound Multi-frame Image and Structured Report Storage Classes, if the remote AE is configured as an Archive Device and a presentation context for the Storage Commitment Push Model has been accepted. The Workflow AE will consider Storage Commitment failed if no N-EVENT-REPORT is received for a Transaction UID within a configurable time period after receiving a successful N-ACTION response (duration of applicability for a Transaction UID) . The Workflow AE does not send the optional Storage Media File Set ID & UID Attributes or the Referenced Performed Procedure Step Sequence Attribute in the N-ACTION. The behavior of Storage AE when encountering status codes in an N-ACTION response is summarized in the Table below : Table 4. 2-14 STORAGE COMMITMENT N-ACTION RESPONSE STATUS HANDLING BEHAVIOR Service Further Error Behavior Status Meaning Code Success Success 0000 The request for storage commitment is considered successfully sent. A timer is started which will expire if no N-EVENT-REPORT for the Transaction UID is received within a configurable timeout period. * * Any other The Association is closed using A-RELEASE and the failure is status reported to the user. code. The behavior of Workflow AE during communication failure is summarized in the Table below : Table 4. 2-15 STORAGE COMMITMENT COMMUNICATION FAILURE BEHAVIOR Exception Behavior Timeout The Association is aborted using A-ABORT and the timeout error is reported to the user. Association aborted by the SCP or The association failure is reported to the user. network layers 4. 2. 1. 3. 2. 4. 2 Storage Commitment Notifications (N-EVENT-REPORT) The Workflow AE is capable of receiving an N-EVENT-REPORT notification if it has successfully negotiated a Presentation Context for the Storage Commitment Push Model (i. e. only associations established with archive devices) . Upon receipt of an N-EVENT-REPORT the timer associated with the Transaction UID will be canceled. The behavior of Workflow AE when receiving Event Types within the N-EVENT-REPORT is summarized in the Table below. Page 22 of 172

[Page 23] Table 4. 2-16 STORAGE COMMITMENT N-EVENT-REPORT BEHAVIOUR Event Type Event Behavior Name Type ID Storage 1 The Referenced SOP Instances under Referenced SOP Sequence (0008, Commitment 1199) are marked within the database as committed. Successfully Request committed SOP Instances are candidates for deletion from the local Successful database. The least recently accessed SOP Instances are deleted first. Storage 2 The Referenced SOP Instances under Referenced SOP Sequence (0008, Commitment 1199) are treated in the same way as in the success case (Event Type 1) . Request The Referenced SOP Instances under Failed SOP Sequence (0008, 1198) Complete – are not marked as committed within the database. Failures Exist The reasons for returning specific status codes in an N-EVENT-REPORT response are summarized in the Table below. Table 4. 2-17 STORAGE COMMITMENT N-EVENT-REPORT RESPONSE STATUS REASONS Service Further Error Reasons Status Meaning Code Success Success 0000 The storage commitment result has been successfully received. Failure Unrecognized 0211H The Transaction UID in the N-EVENT-REPORT request is not Operation recognized (was never issued within an N-ACTION request) . Failure Resource 0213H The Transaction UID in the N-EVENT-REPORT request has Limitation expired (no N-EVENT-REPORT was received within a configurable time limit) . Failure No Such Event 0113H An invalid Event Type ID was supplied in the N-EVENT-REPORT Type request. Failure Processing 0110H An internal error occurred during processing of the N-EVENT- Failure REPORT. A short description of the error will be returned in Error Comment (0000, 0902) . Failure Invalid 0115H One or more SOP Instance UIDs with the Referenced SOP Argument Sequence (0008, 1199) or Failed SOP Sequence (0008, 1198) was Value not included in the Storage Commitment Request associated with this Transaction UID. The unrecognized SOP Instance UIDs will be returned within the Event Information of the N-EVENT-REPORT response. 4. 2. 1. 4 Association Acceptance Policy This product accepts Associations to receive N-EVENT-REPORT notifications for the Storage Commitment Push Model SOP Class. Table 4. 2-18 NUMBER OF ASSOCIATIONS ACCEPTED FOR WORKFLOW AE Maximum number of simultaneous Associations accepted 1 Page 23 of 172

[Page 24] 4. 2. 1. 4. 1 Activity – Receive Storage Commitment Response 4. 2. 1. 4. 1. 1 Description and Sequencing of Activities The Workflow AE will accept associations in order to receive responses to a Storage Commitment N- EVENT-REPORT Request. Workflow Image AE Manager 1. Open Association 2. N-EVENT-REPORT (Storage Commitment Response) 3. Close Association Figure 4. 2-3 SEQUENCING OF ACTIVITY - RECEIVE STORAGE COMMITMENT RESPONSE A possible sequence of interactions between the Workflow AE and an Image Manager (e. g. a storage or archive device supporting Storage Commitment SOP Classes as an SCP) is illustrated in the Figure above : 1. The Image Manager opens a new association with the Workflow AE. 2. The Image Manager sends an N-EVENT-REPORT request notifying the Workflow AE of the status of a previous Storage Commitment Request. The Workflow AE replies with an N-EVENT- REPORT response confirming receipt. 3. The Image Manager closes the association with the Workflow AE. The Workflow AE may reject association attempts as shown in the Table below. The Result, Source and Reason/Diag columns represent the values returned in the appropriate fields of an ASSOCIATE-RJ PDU (see PS 3. 8, Section 9. 3. 4) . The contents of the Source column is abbreviated to save space and the meaning of the abbreviations are : a) 1 – DICOM UL service-user b) 2 – DICOM UL service-provider (ASCE related function) c) 3 – DICOM UL service-provider (Presentation related function) Table 4. 2-19 ASSOCIATION REJECTION REASONS Result Sourc Reason/Diag Explanation 2 – c 2 – local-limit- The maximum number of simultaneous associations has rejected- exceeded been reached. An association request with the same transient parameters may succeed at a later time. 2 – c 1 – temporary- No associations can be accepted at this time because rejected- congestion insufficient resources are available (e. g. memory, transient processes, or threads) . An association request with the same parameters may succeed at a later time. 1 – a 2 – application- The association request contained an unsupported rejected- context-name- Application Context Name. An association request with the Page 24 of 172

[Page 25] permanent not-supported same parameters will not succeed at a later time. 1 – a 7 – called-AE- The association request contained an unrecognized Called rejected- title-not- AE Title. An association request with the same parameters permanent recognized will not succeed at a later time unless configuration changes are made. This rejection reason normally occurs when the association initiator is incorrectly configured and attempts to address the association acceptor using the wrong AE Title. 1 – a 3 – calling-AE- The association request contained an unrecognized Calling rejected- title-not- AE Title. An association request with the same parameters permanent recognized will not succeed at a later time unless configuration changes are made. This rejection reason normally occurs when the association acceptor has not been configured to recognize the AE Title of the association initiator. 1 – b 1 – no-reason- The association request could not be parsed. An rejected- given association request with the same format will not succeed at permanent a later time. 4. 2. 1. 4. 1. 2 Accepted Presentation Contexts The Workflow AE will accept Presentation Contexts as shown in the Table below. Table 4. 2-20 ACCEPTABLE PRESENTATION CONTEXTS FOR ACTIVITY RECEIVE STORAGE COMMITMENT RESPONSE Presentation Context Table Abstract Syntax Transfer Syntax Ext. Role Name UID Name List UID List Neg. Storage 1. 2. 840. 10008. 1. Implicit VR Little Endian 1. 2. 840. 10008. 1. SCU None Commitment Push 20. 1 2 Explicit VR Little Endian Model 1. 2. 840. 10008. 1. 2. 1 Verification 1. 2. 840. 10008. 1. Implicit VR Little Endian 1. 2. 840. 10008. 1. SCP None 1 2 Explicit VR Little Endian 1. 2. 840. 10008. 1. 2. 1 The Workflow AE will prefer to select the Explicit VR Little Endian Transfer Syntax if multiple transfer syntaxes are offered. The Workflow AE will only accept the SCU role (which must be proposed via SCP/SCU Role Selection Negotiation) within a Presentation Context for the Storage Commitment Push Model SOP Class. 4. 2. 1. 4. 1. 3 SOP Specific Conformance for Storage Commitment SOP Class 4. 2. 1. 4. 1. 3. 1 Storage Commitment Notifications (N-EVENT-REPORT) Upon receipt of an N-EVENT-REPORT the timer associated with the Transaction UID will be canceled. The behavior of Workflow AE when receiving Event Types within the N-EVENT-REPORT is summarized in Table 4. 2-16. The reasons for returning specific status codes in an N-EVENT-REPORT response are summarized in Table 4. 2-17. Page 25 of 172

[Page 26] 4. 2. 1. 4. 1. 4 SOP Specific Conformance for Verification SOP Class The Workflow AE provides standard conformance to the Verification SOP Class as an SCP. If the C- ECHO request was successfully received, a 0000 (Success) status code will be returned in the C-ECHO response. Otherwise, the Association is aborted by A-ABORT by the Verification SCP. 4. 2. 2 Storage Application Entity Specification 4. 2. 2. 1 SOP Classes This product provides the following Conformance to the SOP Classes listed below. The private Ultrasound Line Data Storage SOP Class is not normally presented, but may be included by the CSE : Table 4. 2-21 SOP CLASSES FOR AE STORAGE SOP Class Name SOP Class UID Conformance SCU SCP Ultrasound Image Storage 1. 2. 840. 10008. 5. 1. 4. 1. 1. Standard Extended Yes No 6. 1 Ultrasound Multi-frame 1. 2. 840. 10008. 5. 1. 4. 1. 1. Standard Extended Yes No Image Storage 3. 1 Ultrasound Line Data 1. 2. 392. 200039. 110. 9. 2 Private Yes No Storage Comprehensive SR 1. 2. 840. 10008. 5. 1. 4. 1. 1. Standard Yes No 88. 33 Verification 1. 2. 840. 10008. 1. 1 Standard Yes No 4. 2. 2. 2 Association Policies 4. 2. 2. 2. 1 General The DICOM standard application context name for DICOM 3. 0 is always proposed : Table 4. 2-22 DICOM APPLICATION CONTEXT FOR AE STORAGE Application Context Name 1. 2. 840. 10008. 3. 1. 1. 1 4. 2. 2. 2. 2 Number of Associations This product initiates one Association at a time for the destination to which a transfer request is being processed. It does not automatically request associations to multiple destinations. Table 4. 2-23 NUMBER OF ASSOCIATIONS INITIATED FOR AE STORAGE Maximum number of simultaneous Associations initiated 1 Note : However, the AEs for image storage and Structured Report storage are independent. Therefore two associations for image storage and report storage may be initiated simultaneously. 4. 2. 2. 2. 3 Asynchronous Nature This product does not support asynchronous communication (multiple outstanding transactions over a single Association) . Table 4. 2-24 ASYNCHRONOUS NATURE AS A SCU FOR AE STORAGE Maximum number of outstanding asynchronous transactions 1 Page 26 of 172

[Page 27] 4. 2. 2. 2. 4 Implementation Identifying Information The implementation information for this Application Entity is : Table 4. 2-25 DICOM IMPLEMENTATION CLASS AND VERSION FOR AE STORAGE Implementation Class UID 1. 2. 392. 200039. 110 Implementation Version Name ADLib 20120427 (subject to change without notice) 4. 2. 2. 3 Association Initiation Policy 4. 2. 2. 3. 1 Activity – Send Images and Structured Reports 4. 2. 2. 3. 1. 1 Description and Sequencing of Activities The Storage AE for sending images may be invoked in two ways. After the New Patient registration is completed selecting the worklist MSPS or by manual entry, ultrasound image is displayed in real-time. When the operator presses the "FREEZE" button on the console, the image is frozen and ready to send the image to remote storage AE or to store in a local drive. The "STORE" button may be configured for either "NET (DICOM) ", HDD, DVD-RAM, CD-R buffer or USB storage devices. When it is configured for "NET (DICOM) " storage, pressing the "STORE" button will open an association to the remote Storage SCP. If the association is accepted by the SCP, local Storage AE will send a single Image Instance to the SCP, and if the SCP responds with a success status the association is closed normally. If the association is rejected or it is not responded within the configured time interval, or the Storage AE receives failure status, the association is aborted and the failure is reported to the user. The Storage AE will retain a copy of the Image Instance sent directly from the "STORE" button. When the "STORE" button is configured for HDD storage, an Image Instance will be stored in the local HDD each time it is pressed. The Image Instances are review by pressing the "REVIEW" button on the console. After the user selects more than one image in the Review GUI, clicking the "DICOM" – "Server" will open a storage association to the remote Archive. If the association is accepted, the Storage AE will send the all instances of the selected images to the remote Storage SCP within the single association. Each Instance successfully stored is indicated by an orange I-mark on the icon, and the storage- committed Instance is indicated by a blue I-mark. If an Image Instance is not responded by the successful status, or the Storage SCP does not respond within the configured interval, the association is aborted and the status is reported to the user. The Storage AE can be configured to retry automatically. Structured Reports are sent to remote storage AE over a separate association from image storage. Page 27 of 172

[Page 28] Storage AE Image (Image) Manager 1. Open Association 2. C-STORE (US Image) 3. C-STORE (US-mf Image) 4. C-STORE (US Line Data) 5. Close Association Storage AE (Report) 6. Open Association 7. C-STORE (Structured Reports) 8. Close Association Figure 4. 2-4 SEQUENCING OF ACTIVITY – SEND IMAGES AND REPORTS A possible sequence of interactions between the Storage AE and an Image Manager (e. g. a storage or archive device supporting the Storage SOP Classes as an SCP) is illustrated in Figure 4. 2-4 : 1. The Storage AE opens an association with the Image Manager 2. An acquired US image is transmitted to the Image Manager using a C-STORE request and the Image Manager replies with a C-STORE response (status success) . 3. Another acquired US Multi-frame image is transmitted to the Image Manager using a C-STORE request and the Image Manager replies with a C-STORE response (status success) . 4. Optional acquired US Line data may be transmitted to the Image Manager using a C-STORE request and the Image Manager replies with a C-STORE response (status success) , if it supports the private SOP Class. 5. The Storage AE closes the association with the Image Manager. 6. The Storage AE opens another association with the Image Manager. 7. Structured Reports are transmitted to the Image Manager using C-STORE request and the Image Manager replies with a C-STORE response (status success) . 8. The Storage AE closes the association with the Image Manager. Page 28 of 172

[Page 29] 4. 2. 2. 3. 1. 2 Proposed Presentation Contexts This product is capable of proposing the Presentation Contexts shown in the following table : Table 4. 2-26 PROPOSED PRESENTATION CONTEXTS FOR ACTIVITY SEND IMAGES / REPORTS Send Image Presentation Context Table Abstract Syntax Transfer Syntax Ext. Role Name UID Name List UID List Neg. Ultrasound 1. 2. 840. Implicit VR Little Endian 1. 2. 840. 10008. 1. 2 SCU None Image Storage 10008. 5. 1. 4. Explicit VR Little Endian 1. 2. 840. 10008. 1. 2. 1 1. 1. 6. 1 JPEG Baseline Compression 1. 2. 840. 10008. 1. 2. 4. 50 RLE Lossless Compression 1. 2. 840. 10008. 1. 2. 5 Ultrasound 1. 2. 840. Implicit VR Little Endian 1. 2. 840. 10008. 1. 2 SCU None 10008. 5. 1. 4. Multi-frame Explicit VR Little Endian 1. 2. 840. 10008. 1. 2. 1 1. 1. 3. 1 Image Storage JPEG Baseline Compression 1. 2. 840. 10008. 1. 2. 4. 50 RLE Lossless Compression 1. 2. 840. 10008. 1. 2. 5 Ultrasound Line 1. 2. 392. Explicit VR Little Endian 1. 2. 840. 10008. 1. 2. 1 SCU None Data Storage 200039. 110. 9. Verification 1. 2. 840. Implicit VR Little Endian 1. 2. 840. 10008. 1. 2 SCU None 10008. 1. 1 Explicit VR Little Endian 1. 2. 840. 10008. 1. 2. 1 Send Report Presentation Context Table Abstract Syntax Transfer Syntax Ext. Role Name UID Name List UID List Neg. Comprehensive 1. 2. 840. Implicit VR Little Endian 1. 2. 840. 10008. 1. 2 SCU None SR 10008. 5. 1. 4. Explicit VR Little Endian 1. 2. 840. 10008. 1. 2. 1 1. 1. 88. 33 Enhanced SR 1. 2. 840. Implicit VR Little Endian 1. 2. 840. 10008. 1. 2 SCU None 10008. 5. 1. 4. Explicit VR Little Endian 1. 2. 840. 10008. 1. 2. 1 1. 1. 88. 22 Verification 1. 2. 840. Implicit VR Little Endian 1. 2. 840. 10008. 1. 2 SCU None 10008. 1. 1 Explicit VR Little Endian 1. 2. 840. 10008. 1. 2. 1 Presentation Contexts for Ultrasound Image Storage, Ultrasound Multi-frame Image Storage, and Verification will always be proposed. Presentation Contexts for Ultrasound Line Data Storage may be included by the CSE. An error message will be issued at sending the SOP Instance of the Presentation Context of which Abstract Syntax has been rejected by the remote AE. Presentation Contexts for Comprehensive SR Storage, Enhanced SR Storage, and Verification will always be proposed. When the remote AE accepts Comprehensive SR the reports will be sent as the original SOP Class (Comprehensive SR) , or if the remote AE rejects Comprehensive SR the reports may be sent as Enhanced SR with the value for Original Specialized SOP Class (0008, 001B) set to Comprehensive SR. Page 29 of 172

[Page 30] 4. 2. 2. 3. 1. 3 SOP Specific Conformance for Image and Report Storage SOP Classes All Image and Structured Report Storage SOP Classes supported by the Storage AE exhibit the same behavior, except where stated, and are described together in this section. If Ultrasound Multi-frame Image Storage SOP Instances are included in the Send Job and a corresponding Presentation Context is not accepted then the Association is aborted using A-ABORT and the send job is marked as failed. The job failure is reported to the user via the dialog window. The remaining Ultrasound (single frame) Image Storage SOP Instances should be selected and retried by the operator. Table 4. 2-27 STORAGE C-STORE RESPONSE STATUS HANDLING BEHAVIOR Service Error Further Meaning Behavior Status Code Success Success 0000 The SCP has successfully stored the SOP Instance. Refused Out of Resources A700- The Association is aborted using A-ABORT and the failure A7FF is reported to the user. This is a transient failure. Error Data Set does not A900- The Association is aborted using A-ABORT and the failure match SOP Class A9FF is reported to the user. Error Cannot C000- The Association is aborted using A-ABORT and the failure Understand CFFF is reported to the user. Warning Coercion of Data B000 Image transmission is considered successful therefore the Elements warning is not reported to the user. Warning Data Set does not B007 Image transmission is considered successful therefore the match SOP Class warning is not reported to the user. Warning Elements B006 Image transmission is considered successful therefore the Discarded warning is not reported to the user. Warning Attribute list error 0107 Object instance transmission is considered successful therefore the warning is not reported to the user. Warning Attribute Value Out 0116 Object instance transmission is considered successful of Range therefore the warning is not reported to the user. * * Any other The Association is aborted using A-ABORT and the failure status is reported to the user. code. Note : 1. Image storage excepted. The behavior of Storage AE during communication failure is summarized in the Table below : Table 4. 2-28 STORAGE COMMUNICATION FAILURE BEHAVIOR Exception Behavior Timeout The Association is aborted using A-ABORT and the timeout error is reported to the user. Association aborted by the SCP or network The association failure is reported to the user. layers A failed storage association may automatically be restarted if so configured. Page 30 of 172

[Page 31] 4. 2. 3 Hardcopy Application Entity Specification 4. 2. 3. 1 SOP Classes This product provides Standard Conformance to the following SOP Classes : Table 4. 2-29 SOP CLASSES FOR AE HARDCOPY SOP Class Name SOP Class UID SCU SCP Basic Grayscale Print Management Meta 1. 2. 840. 10008. 5. 1. 1. 9 Yes No Basic Color Print Management Meta 1. 2. 840. 10008. 5. 1. 1. 18 Yes No Verification 1. 2. 840. 10008. 1. 1 Yes No 4. 2. 3. 2 Association Policies 4. 2. 3. 2. 1 General The DICOM standard application context name for DICOM 3. 0 is always proposed : Table 4. 2-30 DICOM APPLICATION CONTEXT FOR AE HARDCOPY Application Context Name 1. 2. 840. 10008. 3. 1. 1. 1 4. 2. 3. 2. 2 Number of Associations This product initiates one Association at a time for each configured hardcopy device. Table 4. 2-31 NUMBER OF ASSOCIATIONS INITIATED FOR AE HARDCOPY Maximum number of simultaneous Associations 1 4. 2. 3. 2. 3 Asynchronous Nature This product does not support asynchronous communication (multiple outstanding transactions over a single Association) . Table 4. 2-32 ASYNCHRONOUS NATURE AS A SCU FOR AE HARDCOPY Maximum number of outstanding asynchronous transactions 1 4. 2. 3. 2. 4 Implementation Identifying Information The implementation information for this Application Entity is : Table 4. 2-33 DICOM IMPLEMENTATION CLASS AND VERSION FOR AE HARDCOPY Implementation Class UID 1. 2. 392. 200039. 110 Implementation Version Name ADLib 20120427 (subject to change without notice) Page 31 of 172

[Page 32] 4. 2. 3. 3 Association Initiation Policy 4. 2. 3. 3. 1 Activity – Print Images 4. 2. 3. 3. 1. 1 Description and Sequencing of Activities When a user selects images and requests to print them in the "REVIEW" GUI, the images are sent to the PRINTER_QUEUE folder. The virtual film sheets are composed according to the pre-defined film format. The film sheets are requests to be sent to a specific hardcopy device. The user can select the desired film format, number of copies, and other printing conditions in the Print Property GUI. H ardcopy P rinter A E 1. O pen A ssociation 2. N -G E T (P rinter) 3. N -C R E A T E (F ilm S ession) 4. N -C R E A T E (F ilm B ox) 5. N -S E T (Im age B ox) 6. N -A C T IO N (F ilm B ox) 7. P rint film sheets 8. N -E V E N T -R E P O R T (P rinter) 9. N -D E LE T E (F ilm S ession) 10. C lose A ssociation Figure 4. 2-5 SEQUENCING OF ACTIVITY – FILM IMAGES A typical sequence of DIMSE messages sent over an association between Hardcopy AE and a Printer is illustrated in Figure 4. 2-5 : 1. Hardcopy AE opens an association with the Printer 2. N-GET on the Printer SOP Class is used to obtain current printer status information. If the Printer reports a status of FAILURE, the print-job is switched to a failed state and the user informed. 3. N-CREATE on the Film Session SOP Class creates a Film Session. 4. N-CREATE on the Film Box SOP Class creates a Film Box linked to the Film Session. Pre- configured number of Image Boxes will be created as the result of this operation. 5. Each N-SET on Image Box SOP Class transfers the requested image to the printer at the successive position on the film sheet. The Hardcopy does not support the Presentation LUT SOP Class. 6. N-ACTION on the Film Box SOP Class instructs the printer to print the Film Box Page 32 of 172

[Page 33] 7. The printer prints the requested number of film sheets. The sequence 4 through 6 may be repeated when the single film sheet is not enough to contain the requested images. 8. The Printer asynchronously reports its status via N-EVENT-REPORT notification (Printer SOP Class) . The printer can send this message at any time. Hardcopy AE does not require the N- EVENT-REPORT to be sent. Hardcopy AE is capable of receiving an N-EVENT-REPORT notification at any time during an association. If the Printer reports a status of FAILURE, the Print Session is terminated and the user informed. 9. N-DELETE on the Film Session SOP Class deletes the complete Film Session SOP Instance hierarchy. 10. Hardcopy AE closes the association with the Printer. If any Response from the remote Application contains a status other than Success or Warning, the Association is aborted and the related Film Session is terminated and the status is user informed. 4. 2. 3. 3. 1. 2 Proposed Presentation Contexts This product is capable of proposing the Presentation Contexts shown in the Table below : Table 4. 2-34 PROPOSED PRESENTATION CONTEXTS FOR ACTIVITY PRINT IMAGES Presentation Context Table Abstract Syntax Transfer Syntax Ext. Role Name UID Name List UID List Neg. Basic Grayscale Print 1. 2. 840. Implicit VR Little Endian 1. 2. 840. 10008. 1. SCU None Management Meta 10008. 5. 1. 1. 9 2 Explicit VR Little Endian 1. 2. 840. 10008. 1. 2. 1 Basic Color Print 1. 2. 840. Implicit VR Little Endian 1. 2. 840. 10008. 1. SCU None Management Meta 10008. 5. 1. 1. 2 Explicit VR Little Endian 1. 2. 840. 10008. 1. 2. 1 Verification 1. 2. 840. Implicit VR Little Endian 1. 2. 840. 10008. 1. SCU None 10008. 1. 1 2 Explicit VR Little Endian 1. 2. 840. 10008. 1. 2. 1 4. 2. 3. 3. 1. 3 Common SOP Specific Conformance for all Print SOP Classes The general behavior of Hardcopy AE during communication failure is summarized in the Table below. This behavior is common for all SOP Classes supported by Hardcopy AE. Table 4. 2-35 HARDCOPY COMMUNICATION FAILURE BEHAVIOR Exception Behavior Timeout The Association is aborted using A-ABORT and the print-job is terminated. The reason is reported to the user. Association aborted by the SCP or The print-job is terminated and the print-job is terminated. The network layers reason is reported to the user. Page 33 of 172

[Page 34] 4. 2. 3. 3. 1. 4 SOP Specific Conformance for the Printer SOP Class Hardcopy AE supports the following DIMSE operations and notifications for the Printer SOP Class : — N-GET — N-EVENT-REPORT 4. 2. 3. 3. 1. 4. 1 Printer SOP Class Operations (N-GET) Hardcopy AE uses the Printer SOP Class N-GET operation to obtain information about the current printer status. The attributes obtained via N-GET are listed in the Table below : Table 4. 2-36 PRINTER SOP CLASS N-GET REQUEST ATTRIBUTES Manufacturer (0008, LO Provided by Printer ANAP Printer 0070) Manufacturer's Model Name (0008, LO Provided by Printer ANAP Printer 1090) Device Serial Number (0018, LO Provided by Printer ANAP Printer 1000) Software Versions (0018, LO Provided by Printer ANAP Printer 1020) Printer Status (2110, CS Provided by Printer ALWAYS Printer Printer Status Info (2110, CS Provided by Printer ALWAYS Printer Printer Name (2110, LO Provided by Printer ANAP Printer 0030) The Printer Status information is evaluated as follows : 1. If Printer status (2110, 0010) is FAILURE, the Hardcopy AE is terminated and status is user informed. 2. If Printer status (2110, 0010) is NORMAL or WARNING, the Hardcopy AE continues to print. The behavior of Hardcopy AE when encountering status codes in a N-GET response is summarized in the Table below : Table 4. 2-37 PRINTER SOP CLASS N-GET RESPONSE STATUS HANDLING BEHAVIOR Service Further Error Code Behavior Status Meaning Success Success 0000 The request to get printer status information was success. * * Any other The Association is aborted using A-ABORT and the print-job status code. is terminated. The status is reported to the user. 4. 2. 3. 3. 1. 4. 2 Printer SOP Class Notifications (N-EVENT-REPORT) Hardcopy AE is capable of receiving an N-EVENT-REPORT request at any time during an association. Page 34 of 172

[Page 35] The behavior of Hardcopy AE when receiving Event Types within the N-EVENT-REPORT is summarized Table 4. 2-38 PRINTER SOP CLASS N-EVENT-REPORT BEHAVIOUR Event Type Event Type Behavior Name ID Normal 1 The print session continues to be printed. Warning 2 The print session continues to be printed. The Warning status is not reported to user. Failure 3 The print session is terminated. The Failure is reported to user. * * The print session is terminated. The Failure is reported to user. The reasons for returning specific status codes in an N-EVENT-REPORT response are summarized in the Table below : Table 4. 2-39 PRINTER SOP CLASS N-EVENT-REPORT RESPONSE STATUS REASONS Service Further Error Reasons Status Meaning Code Success Success 0000 The notification event has been successfully received. Failure No Such 0113H An invalid Event Type ID was supplied in the N-EVENT-REPORT Event Type request. Failure Processing 0110H An internal error occurred during processing of the N-EVENT- Failure REPORT. A short description of the error will be returned in Error Comment (0000, 0902) . 4. 2. 3. 3. 1. 5 SOP Specific Conformance for the Film Session SOP Class Hardcopy AE supports the following DIMSE operations for the Film Session SOP Class : — N-CREATE — N-DELETE 4. 2. 3. 3. 1. 5. 1 Film Session SOP Class Operations (N-CREATE) The attributes supplied in an N-CREATE Request are listed in the Table below. The values are typical and may be configured by the CSE : Table 4. 2-40 FILM SESSION SOP CLASS N-CREATE REQUEST ATTRIBUTES Number of Copies (2000, IS 1 . . 9 ALWAYS CONFIG Print Priority (2000, CS HIGH, MED, or LOW ALWAYS CONFIG Medium Type (2000, CS BLUE FILM, CLEAR FILM, or ALWAYS CONFIG 0030) PAPER Film Destination (2000, CS MAGAZINE or PROCESSOR ALWAYS CONFIG 0040) Page 35 of 172

[Page 36] Memory Allocation (2000, IS ANAP CONFIG 0060) The behavior of Hardcopy AE when encountering status codes in an N-CREATE response is summarized in the Table below : Table 4. 2-41 FILM SESSION SOP CLASS N-CREATE RESPONSE STATUS HANDLING BEHAVIOR Service Further Meaning Error Code Behavior Status Success Success 0000 The SCP has completed the operation successfully. Warning Attribute Value 0116H The N-CREATE operation is considered successful and Out of Range the status is not reported to the user. Warning Attribute List 0107H The N-CREATE operation is considered successful and Error the status is not reported to the user. * * Any other The Association is aborted using A-ABORT and the print status code. session is terminated. The status is reported to the user. 4. 2. 3. 3. 1. 5. 2 Film Session SOP Class Operations (N-DELETE) The behavior of Hardcopy AE when encountering status codes in an N-DELETE response is summarized Table 4. 2-42 FILM SESSION SOP CLASS N-DELETE RESPONSE STATUS HANDLING BEHAVIOR Service Further Error Code Behavior Status Meaning Success Success 0000 The SCP has completed the operation successfully. * * Any other status The Association is aborted using A-ABORT and the code. print session is terminated. 4. 2. 3. 3. 1. 6 SOP Specific Conformance for the Film Box SOP Class Hardcopy AE supports the following DIMSE operations for the Film Box SOP Class : — N-CREATE — N-ACTION 4. 2. 3. 3. 1. 6. 1 Film Box SOP Class Operations (N-CREATE) The attributes supplied in an N-CREATE Request are listed in the Table below. The values are typical and may be configured by the CSE : Table 4. 2-43 FILM BOX SOP CLASS N-CREATE REQUEST ATTRIBUTES Image Display Format (2010, ST STANDARD\m, n ALWAYS CONFIG Film Orientation (2010, CS PORTRAIT or LANDSCAPE ALWAYS CONFIG 0040) Page 36 of 172

[Page 37] Film Size ID (2010, CS 14INX17IN, 14INX14IN, ALWAYS CONFIG 0050) 11INX14IN, 11INX11IN, 8_5INX11IN, 8INX10IN Magnification Type (2010, CS REPLICATE, BILINEAR, ALWAYS CONFIG 0060) CUBIC or NONE Smoothing Type (2010, CS ANAP CONFIG 0080) Border Density (2010, CS BLACK or WHITE ALWAYS CONFIG Empty Image Density (2010, CS BLACK or WHITE ALWAYS CONFIG 0110) Min Density (2010, US 0 . . 329 ALWAYS CONFIG 0120) Max Density (2010, US 1 . . 330 ALWAYS CONFIG 0130) Trim (2010, CS YES or NO ANAP CONFIG 0140) Configuration Information (2010, ST Set if requested by Printer ANAP CONFIG 0150) Referenced Film Session (2010, SQ ALWAYS AUTO Sequence 0500) > Referenced SOP Class (0008, UI 1. 2. 840. 10008. 5. 1. 1. 1 ALWAYS AUTO UID 1150) > Referenced SOP Instance (0008, UI From created Film Session ALWAYS AUTO UID 1155) SOP Instance The behavior of Hardcopy AE when encountering status codes in an N-CREATE response is summarized in the Table below : Table 4. 44 FILM BOX SOP CLASS N-CREATE RESPONSE STATUS HANDLING BEHAVIOR Service Further Meaning Error Code Behavior Status Success Success 0000 The SCP has completed the operation successfully. Warning Requested Min Density or Max B605H The N-CREATE operation is considered Density outside of printer’s successful l and the status is not reported to operating range the user. * * Any other The Association is aborted using A-ABORT status and the print-job is terminated. The status is code. reported to the user. 4. 2. 3. 3. 1. 6. 2 Film Box SOP Class Operations (N-ACTION) An N-ACTION Request is issued to instruct the Print SCP to print the contents of the Film Box. The Action Reply argument in an N-ACTION response is not evaluated. The behavior of Hardcopy AE when encountering status codes in an N-ACTION response is summarized Page 37 of 172

[Page 38] Table 4. 2-45 FILM BOX SOP CLASS N-ACTION RESPONSE STATUS HANDLING BEHAVIOR Service Error Further Meaning Behavior Status Code Success Success 0000 The SCP has completed the operation successfully. The film has been accepted for printing. Warning Film Box SOP Instance hierarchy does not B603H The Association is aborted using A- contain Image Box SOP Instances (empty ABORT and the print-job is page) terminated. The status is reported to the user. Warning Image size is larger than Image Box size. B604H The N-ACTION operation is The image has been demagnified. considered successful and the status is not reported to the user. Warning Image size is larger than Image Box size. B609H The N-ACTION operation is The image has been cropped to fit. considered successful and the status is not reported to the user. Warning Image size or Combined Print Image Size B60AH The N-ACTION operation is is larger than Image Box size. The image considered successful and the or combined Print Image has been status is not reported to the user. decimated to fit. Failure Unable to create Print Job SOP Instance ; C602 The Association is aborted using A- print queue is full. ABORT and the status is reported to the user. Failure Image size is larger than Image Box size. C603 The Association is aborted using A- ABORT and the status is reported to the user. Failure Combined Print Image Size is larger than C613 The Association is aborted using A- Image Box size. ABORT and the status is reported to the user. * * Any other The Association is aborted using A- status ABORT and the status is reported to code. the user. 4. 2. 3. 3. 1. 7 SOP Specific Conformance for the Image Box SOP Class Hardcopy AE supports the following DIMSE operations for the Basic Grayscale and Basic Color Image Box SOP Classes : — N-SET 4. 2. 3. 3. 1. 7. 1 Basic Grayscale Image Box SOP Class Operations (N-SET) The attributes supplied in an N-SET Grayscale Image Box Request are listed in the Table below : Page 38 of 172

[Page 39] Table 4. 2-46 BASIC GRAYSCALE IMAGE BOX SOP CLASS N-SET REQUEST ATTRIBUTES Image Position (2020, US 1 to maximum image ALWAYS AUTO 0010) position allowed for the Image Display Format (2010, 0010) Polarity (2020, CS NORMAL or REVERSE ALWAYS CONFIG Basic Grayscale Image (2020, SQ ALWAYS AUTO Sequence 0110) > Samples Per Pixel (0028, US 1 ALWAYS AUTO 0002) > Photometric Interpretation (0028, CS MONOCHROME2 ALWAYS AUTO 0004) > Rows (0028, US Copied from source image ALWAYS AUTO > Columns (0028, US Copied from source image ALWAYS AUTO 0011) > Pixel Aspect Ratio (0028, IS Copied from source image ANAP AUTO 0034) > Bits Allocated (0028, US 8 ALWAYS AUTO > Bits Stored (0028, US 8 ALWAYS AUTO 0101) > High Bit (0028, US 7 ALWAYS AUTO > Pixel Representation (0028, US 0 ALWAYS AUTO 0103) > Pixel Data (7FE0, OW Pixels from source image ALWAYS AUTO The behavior of Hardcopy AE when encountering status codes in an N-SET response is summarized in Table 4. 2-48. 4. 2. 3. 3. 1. 7. 2 Basic Color Image Box SOP Class Operations (N-SET) The attributes supplied in an N-SET Color Image Box Request are listed in the Table below : Table 4. 2-47 BASIC COLOR IMAGE BOX SOP CLASS N-SET REQUEST ATTRIBUTES Image Position (2020, US 1 to maximum image position ALWAYS AUTO 0010) allowed for the Image Display Format (2010, 0010) Page 39 of 172

[Page 40] Polarity (2020, CS Printer may ignore the value ALWAYS AUTO Preformatted Color Image (2020, SQ ALWAYS AUTO Sequence 0111) > Samples Per Pixel (0028, US 3 ALWAYS AUTO 0002) > Photometric Interpretation (0028, CS RGB ALWAYS AUTO 0004) [* > Planar Configuration (0028, US 0 or 1 (default is 1) ALWAYS CONFIG 0006) > Rows (0028, US Copied from source image ALWAYS AUTO > Columns (0028, US Copied from source image ALWAYS AUTO 0011) > Pixel Aspect Ratio (0028, IS Copied from source image ANAP AUTO 0034) > Bits Allocated (0028, US 8 ALWAYS AUTO > Bits Stored (0028, US 8 ALWAYS AUTO 0101) > High Bit (0028, US 7 ALWAYS AUTO > Pixel Representation (0028, US 0 ALWAYS AUTO 0103) > Pixel Data (7FE0, OW Pixels from source image ALWAYS AUTO [*] The Planar Configuration could be configured by the CSE referencing the DICOM Conformance Statement of the remote printer. The behavior of Hardcopy AE when encountering status codes in an N-SET response is summarized in Table 4. 2-48. Table 4. 2-48 IMAGE BOX SOP CLASSES N-SET RESPONSE STATUS HANDLING BEHAVIOR Service Error Further Meaning Behavior Status Code Success Success 0000 The SCP has completed the operation successfully. Image successfully stored in Image Box. Warning Image size is larger than Image Box size. B604 The N-SET operation is The image has been demagnified. considered successful and the status is not reported. Warning Requested Min Density or Max Density B605 The N-SET operation is outside of printer’s operating range. considered successful and the status is not reported. Warning Image size is larger than Image Box size. B609 The N-SET operation is The image has been cropped to fit. considered successful and the status is not reported. Warning Image size or Combined Print Image Size is B60A The N-SET operation is larger than Image Box size. The image or considered successful and the combined Print Image has been decimated to status is not reported. Page 40 of 172

[Page 41] fit. Failure Image size is larger than Image Box size. C603 The Association is aborted using A-ABORT and the status is reported to the user. Failure Insufficient memory in printer to store the C605 The Association is aborted using image. A-ABORT and the status is reported to the user. Failure Combined Print Image Size is larger than C613 The Association is aborted using Image Box size. A-ABORT and the status is reported to the user. * * Any other The Association is aborted using status A-ABORT and the status is code. reported to the user. 4. 2. 3. 4 Association Acceptance Policy The Hardcopy Application Entity does not accept Associations. 4. 3 NETWORK INTERFACES 4. 3. 1 Physical Network Interface This product supports a single network interface and the 100baseTX or 10base is automatically detected by the interface. Table 4. 3-1 SUPPORTED PHYSICAL NETWORK INTERFACES Ethernet 100baseTX or 10baseT is automatically detected 4. 3. 2 Additional Protocols This product may be configured to get the local configuration via the DHCP and to synchronize the system time with the NTP server. However it does not conforms to other System Management Profiles as DNS nor LDAP. 4. 3. 3 IPv4 and IPv6 Support This product supports IPv4 connections only. 4. 4 CONFIGURATION 4. 4. 1 AE Title/Presentation Address Mapping 4. 4. 1. 1 Local AE Titles All local applications share the same AE Titles and TCP/IP Address configured at the Local AET registry in the DICOM Store/Send GUI. The AE Title, Station Name, IP Address, and Port Number must be configured during installation, since no default values are provided and not automatically configured. Page 41 of 172

[Page 42] Table 4. 4-1 AE TITLE CONFIGURATION TABLE Application Entity Default AE Title Default TCP/IP Port Storage No Default Not Applicable Workflow same as Storage 104 Hardcopy same as Storage Not Applicable 4. 4. 1. 2 Remote AE Title/Presentation Address Mapping The AE Titles, Station Names, IP Addresses, and Port numbers of remote applications are configured through the DICOM Store/Send, Printer, SR, and IHE GUI. Some characters allowed for VR AE may not be used to represent the local and remote AE Titles as shown in the table below : Table 4. 4-2 FORBIDDEN CHARACTERS FOR AE TITLE Forbidden characters for AE Title ; : " < > * \ | ? , 4. 4. 1. 2. 1 Workflow The Application Entity Title, Station Name, IP Address, and the Port Number of the remote Modality Worklist SCP are registered at the Worklist row of DICOM-Server GUI. Optionally the Application Entity Titles, Station Names, IP Addresses, and the Port numbers of remote MPPS server and Storage Commitment (Image Manager) should be registered in the IHE/Auto Delete GUI before each service is used. Only one Storage Commitment server can be activated although the destinations of image storage and SR storage may be registered separately. 4. 4. 1. 2. 2 Storage The Application Entity Titles, Station Names, IP Addresses, and the Port Numbers of the remote Storage SCPs receiving images are registered at the Remote1 to Remote5 rows of DICOM-Server GUI. The Multiple storage destinations can be activated by pressing the "1" through "5" button in the GUI. The Application Entity Titles, Station Names, IP Addresses, and the Port Numbers of the remote Storage SCPs receiving Structured Reports are registered at DICOM-SR GUI. The destinations of Structured Report storage may not be same as the destinations of image storage. 4. 4. 1. 2. 3 Hardcopy The Application Entity Titles, Station Names, IP Addresses, and the Port Numbers of the remote Hardcopy SCPs are registered in the DICOM Printer GUI. Although the Multiple Hardcopy destinations may be registered, only one destination must be activated by pressing the "1" through "5" button in the GUI. The same Application Entity may be registered to configure different Hardcopy settings for selections by the user's preference. 4. 4. 2 Parameters A large number of parameters related to acquisition and general operation can be configured using the DICOM configuration user interface. The Table below shows those configuration parameters relevant to DICOM communication. Page 42 of 172

[Page 43] Table 4. 4-10 CONFIGURATION PARAMETERS TABLE Parameter Configurable Default Value (Yes/No) General Parameters Max PDU Receive Size Yes : between 28K bytes 8K - 128K bytes Max PDU Send Size No 128K Bytes (larger PDUs will never be sent, even if the receiver supports a larger Max PDU Receive Size. If the receiver supports a smaller Max PDU Receive Size then the Max PDU Send Size will be reduced accordingly for the duration of the Association. Max PDU Receive Size information is exchanged during DICOM Association Negotiation in the Maximum Length Sub-Item of the A-ASSOCIATION-RQ and A-ASSOCIATE-AC) Time-out waiting for a acceptance or rejection response to Yes 30 s an Association Request (Application Level Timeout) Time-out waiting for a response to an Association release Yes 30 s request (Application Level Timeout) Time-out waiting for completion of a TCP/IP connect No 20 s request (Low-level timeout) Time-out awaiting a Response to a DIMSE Request (Low- Yes 30 s Level Timeout) Time-out for waiting for data between TCP/IP-packets (Low Yes 30 s Level Timeout) Modality Worklist Parameters Modality Worklist SCU time-out waiting for the final Yes 30 s response to a C-FIND-RQ Maximum number of Worklist Items No 500 Supported Transfer Syntaxes for Modality Worklist Yes Implicit VR Little Endian Explicit VR Little Endian Query Worklist for specific Scheduled Station AE Title Yes No default Query Worklist for specific Modality Value No US MPPS Parameters MPPS SCU time-out waiting for a response to a N- Yes 30 s CREATE-RQ MPPS SCU time-out waiting for a response to a N-SET-RQ Yes 30 s Supported Transfer Syntaxes for MPPS Yes Implicit VR Little Endian Explicit VR Little Endian Storage Commitment Parameters Timeout waiting for a Storage Commitment Notification Yes 1 hours (maximum duration of applicability for a Storage Commitment Transaction UID) . Maximum number of simultaneously accepted Associations No 1 Page 43 of 172

[Page 44] Parameter Configurable Default Value (Yes/No) by the Storage AE Delay association release after sending a Storage No 5 s Commitment Request (wait for a Storage Commitment Notification over the same association) . Storage Parameters Storage SCU time-out waiting for a response to a C- Yes 30 s STORE-RQ Maximum number of simultaneously initiated Associations Yes 1 by the Storage AE Supported Transfer Syntaxes Yes Implicit VR Little Endian (separately configurable for each Presentation Context) Explicit VR Little Endian RLE Lossless JPEG Baseline Print Parameters Print SCU time-out waiting for a response to a N-CREATE- Yes 30 s RQ Print SCU time-out waiting for a response to a N-SET-RQ Yes 30 s Print SCU time-out waiting for a response to a N-ACTION- Yes 30 s RQ Supported Transfer Syntaxes Yes Implicit VR Little Endian Explicit VR Little Endian Note : 1. RLE or JPEG is not used for Structured Report storage. Page 44 of 172

[Page 45] 5 MEDIA INTERCHANGE 5. 1 IMPLEMENTATION MODEL 5. 1. 1 Application Data Flow Export Offline-Media DICOM to Media Application Storage Entity Medium Figure 5. 1-1 APPLICATION DATA FLOW DIAGRAM FOR MEDIA STORAGE — The Offline-Media Application Entity exports Ultrasound and Ultrasound Multi-frame images, and Structured Reports to some kinds of media. It is associated with the local real-world activity "STORE" button or "DICOM" button. 5. 1. 2 Functional Definition of AEs 5. 1. 2. 1 Functional Definition of Offline-Media Application Entity The Media Application Entity can be requested in two modes. After the patient identification is supplied by the operator, pressing the "STORE" button will directly pass an image to the Offline-Media Application Entity. Or when it is configured to store the image in the local drive, the image is buffered in the drive for later reference. By pressing the "DICOM" button in the "REVIEW" GUI, the images selected by the operator will be sent to the Offline-Media Application Entity. "CD-R" button will export the images to the CD-R media from CD-R Buffer. 5. 1. 3 Sequencing of Real-World Activities At least one object instance must exist and be selected before the Offline-Media Application Entity can be invoked. The operator can insert DVD-RAM, a new CD-R media, or a USB storage device at any time before or after invocation of the Offline-Media Application Entity. The Offline-Media Application Entity will wait indefinitely for a media to be inserted before starting to write to the CD-R device. If no CD-R media is available the export job can be canceled from the job queue. 5. 1. 4 File Meta Information Options The implementation information written to the File Meta Header in each file is : Table 5. 1-1 DICOM IMPLEMENTATION CLASS AND VERSION FOR MEDIA STORAGE Implementation Class UID 1. 2. 392. 200039. 110 Page 45 of 172

[Page 46] Implementation Version Name ALOKA20120525 (subject to change without notice) 5. 2 AE SPECIFICATIONS 5. 2. 1 Offline-Media Application Entity Specification The Offline-Media Application Entity provides standard conformance to the DICOM Interchange Option of the Media Storage Service Class. The Application Profiles and roles are listed below : Table 5. 2-1 APPLICATION PROFILES AND ROLES FOR OFFLINE-MEDIA Application Profiles Single Multi- Role Supported Frame Frame Image Display STD-US-ID-SF- STD-US-ID-MF- FSC 1 1 CDR/DVD-RAM/USB CDR/DVD-RAM/USB Spatial Calibration STD-US-SC-SF- STD-US-SC-MF- 1 1 CDR/DVD-RAM/USB CDR/DVD-RAM/USB Combined Calibration STD-US-CC-SF- STD-US-CC-MF- 1 1 CDR/DVD-RAM/USB CDR/DVD-RAM/USB Note : 1. USB is an extended media sub class. 5. 2. 1. 1 File Meta Information for the Application Entity The Source Application Entity Title included in the File Meta Header is same that of local Storage AET. 5. 2. 1. 2 Real-World Activities 5. 2. 1. 2. 1 Activity – Export to Media The Offline-Media Application Entity acts as an FSC using the interchange option when requested to export SOP Instances from the local database to a DVD-RAM or CD-R media. Object Instances can be added to a DVD-RAM medium and if it reaches full, the user will be prompted to replace to an empty medium. The DICOMDIR will be updated each time an object instance is successfully written to it. When the object instance is exported to CD-R, the user will be prompted to insert an empty CD-R for each export. The contents of the export job will be written together with a corresponding DICOMDIR to a single-session CD-R. Writing in multi-session mode is not supported. 5. 2. 1. 2. 1. 1 Media Storage Application Profiles The supported Offline-Media Application Profiles are listed in Table 5. 2-1. 5. 2. 1. 2. 1. 1. 1 Options The Offline-Media Application Entity supports the SOP Classes and Transfer Syntaxes listed in the Table below : Page 46 of 172

[Page 47] Table 5. 2-2 IODS, SOP CLASSES AND TRANSFER SYNTAXES FOR OFFLINE MEDIA Information Object SOP Class UID Transfer Syntax Transfer Syntax UID Definition Media Storage Directory 1. 2. 840. 10008. 1. 3. Explicit VR Little Endian 1. 2. 840. 10008. 1. 2. Storage 10 1 Ultrasound Image 1. 2. 840. 10008. 5. 1. Explicit VR Little Endian 1. 2. 840. 10008. 1. 2. Storage 4. 1. 1. 6. 1 1 Implicit VR Little Endian 1. 2. 840. 10008. 1. 2 JPEG Baseline Compression 1. 2. 840. 10008. 1. 2. RLE Lossless Compression 4. 50 1. 2. 840. 10008. 1. 2. Ultrasound Multi-frame 1. 2. 840. 10008. 5. 1. Explicit VR Little Endian 1. 2. 840. 10008. 1. 2. Image Storage 4. 1. 1. 3. 1 1 Implicit VR Little Endian 1. 2. 840. 10008. 1. 2 JPEG Baseline Compression 1. 2. 840. 10008. 1. 2. RLE Lossless Compression 4. 50 1. 2. 840. 10008. 1. 2. Ultrasound Line Data 1. 2. 392. 200039. Explicit VR Little Endian 1. 2. 840. 10008. 1. 2. Storage 110. 9. 2 1 Comprehensive SR 1. 2. 840. 10008. 5. 1. Explicit VR Little Endian 1. 2. 840. 10008. 1. 2. 4. 1. 1. 88. 33 1 5. 3 AUGMENTED AND PRIVATE APPLICATION PROFILES This product may create Ultrasound Line Data Storage objects of Private SOP Class according to operator's instruction. The IODs in Table 5. 2-2 may be written to the USB storage devices. 5. 4 MEDIA CONFIGURATION The Application Entity Title for Media Services is same that is configured for Storage Service : Table 5. 4-1 AE TITLE CONFIGURATION TABLE Application Entity Default AE Title Offline-Media No default Page 47 of 172

[Page 48] 6 SUPPORT OF CHARACTER SETS All DICOM applications of this product support the ISO_IR 100 (ISO 8859-1 : 1987 Latin Alphabet No. 1 supplementary set) Page 48 of 172

[Page 49] 7 SECURITY The product supports a limitted security measures described below. It is still assumed that it is used within a secured environment. a. The software system can optionally be protected against the malware, such as worms, viruses, Trojans and buffer-overflow threats. b. Most TCP packets to ports other than the standard DICOM 104 are normally blocked. c. It is recommended that any communication with external hosts and services outside the locally secured environment use appropriate secure network channels (e. g. such as a Virtual Private Network (VPN) ) Other network security procedures such as automated intrusion detection may be appropriate in some environments. Additional security features may be established by the local security policy and are beyond the scope of this conformance statement. Page 49 of 172

[Page 50] 8 ANNEXES 8. 1 IOD CONTENTS 8. 1. 1 Created SOP Instances Table 8. 1-1 specifies the attributes of an Ultrasound and Ultrasound Multi-frame Image transmitted by the storage application of this product. Table 8. 1-2 specifies the attributes of an Ultrasound Line Data transmitted by the storage application of this product. Table 8. 1-3 specifies the attributes of a Structured Report transmitted by the storage application of this product. The following tables use a number of abbreviations. The abbreviations used in the “Presence of …” column are : ALWAYS Always Present ANAP Attribute Not Always Present VNAP Value Not Always Present (attribute sent zero length if no value is present) EMPTY Attribute is sent without a value The abbreviations used in the “Source” column : MWL the attribute value source Modality Worklist USER the attribute value source is from User input AUTO the attribute value is generated automatically MPPS the attribute value is the same as that use for Modality Performed Procedure Step CONFIG the attribute value source is a configurable parameter Attributes in Italic are additions to the Standard Information Entity Modules. 8. 1. 1. 1 Ultrasound and Ultrasound Multi-frame Image IODs Table 8. 1-1 IOD OF ULTRASOUND AND ULTRASOUND MULTI-FRAME IMAGE SOP INSTANCES Presence of Module IE Module Reference US US-mf Patient Patient Table 8. 1-4 ALWAYS ALWAYS Clinical Trial Subject - Not used Not used Study General Study Table 8. 1-5 ALWAYS ALWAYS Patient Study Table 8. 1-6 ALWAYS ALWAYS Clinical Trial Study - Not used Not used Series General Series Table 8. 1-7 ALWAYS ALWAYS Page 50 of 172

[Page 51] Clinical Trial Series - Not used Not used Frame of Frame of Reference - Not used Not used Reference Synchronization - Not used Not used Equipment General Equipment Table 8. 1-8 ALWAYS ALWAYS Image General Image Table 8. 1-9 ALWAYS ALWAYS Contrast/bolus Table 8. 1-10 ANAP ANAP Cine Table 8. 1-11 Not used ALWAYS Frame Pointers Table 8. 1-12 Not used ALWAYS Multi-Frame Table 8. 1-13 Not used ALWAYS US Region Calibration Table 8. 1-18 ANAP ANAP US Image Table 8. 1-19 ALWAYS ALWAYS Palette Color Lookup Table 8. 1-14 Only if (0028, 0004) Only if (0028, 0004) Table equals to equals to "PALETTE "PALETTE COLOR" COLOR" Image Pixel Table 8. 1-15 ALWAYS ALWAYS Overlay Plane - Not used Not used VOI LUT Table 8. 1-16 Only if (0028, 0004) Only if (0028, 0004) equals to equals to "MONOCHROME2" "MONOCHROME2" SOP Common Table 8. 1-17 ALWAYS ALWAYS 8. 1. 1. 2 Ultrasound Line Data IOD Table 8. 1-2 IOD OF CREATED ULTRASOUND LINE DATA STORAGE SOP INSTANCES IE Module Reference Presence of Module Patient Patient Table 8. 1-4 ALWAYS Study General Study Table 8. 1-5 ALWAYS Patient Study Table 8. 1-6 ALWAYS Series General Series Table 8. 1-7 ALWAYS Equipment General Equipment Table 8. 1-8 ALWAYS Image General Image Table 8. 1-9 ALWAYS Cine Table 8. 1-11 ALWAYS Frame Pointers Table 8. 1-12 ALWAYS Multi-Frame Table 8. 1-13 ALWAYS US Region Calibration Table 8. 1-18 ANAP US Image Table 8. 1-19 ALWAYS Palette Color Lookup Table Table 8. 1-14 ALWAYS Image Pixel Table 8. 1-15 ANAP Private Application Table 8. 2-1 ALWAYS SOP Common Table 8. 1-17 ALWAYS Page 51 of 172

[Page 52] 8. 1. 1. 3 Comprehensive SR IOD Table 8. 1-3 IOD OF CREATED COMPREHENSIVE SR SOP INSTANCES IE Module Reference Presence of Module Patient Patient Table 8. 1-4 ALWAYS Specimen Identification - Not used Clinical Trial Subject - Not used Study General Study Table 8. 1-5 ALWAYS Patient Study Table 8. 1-6 ALWAYS Clinical Trial Study - Not used Series SR Document Series Table 8. 1-20 ALWAYS Clinical Trial Series - Not used Frame of Reference Frame of Reference - Not used Synchronization - Not used Equipment General Equipment Table 8. 1-8 ALWAYS Document SR Document General Table 8. 1-21 ALWAYS SR Document Content Table 8. 1-22 ALWAYS SOP Common Table 8. 1-17 ALWAYS 8. 1. 1. 4 Common Modules Table 8. 1-4 PATIENT MODULE OF CREATED SOP INSTANCES (0010, 0010) PN Patient’s Name From Modality Worklist or input by VNAP MWL/ user. Values supplied via Modality USER Worklist will be entered as received. Values supplied via user input will contain all 5 components (some possibly empty) . Maximum 64 characters. (0010, 0020) LO Patient ID From Modality Worklist or input by ALWAYS MWL/ user. Maximum 64 characters. USER (0010, 0030) DA Patient’s Birth From Modality Worklist or input by VNAP MWL/ Date user USER (0010, 0040) CS Patient’s Sex From Modality Worklist or input by VNAP MWL/ user USER Table 8. 1-5 GENERAL STUDY MODULE OF CREATED SOP INSTANCES (0008, 0020) DA Study Date "yyyymmdd" ALWAYS AUTO (0008, 0030) TM Study Time "hhmmss" ALWAYS AUTO (0008, 0050) SH Accession Number From Modality Worklist or VNAP MWL/ input by user USER Page 52 of 172

[Page 53] (0008, 0090) PN Referring Physician’s Name From Modality Worklist or VNAP MWL/ Input by user (0008, 1030) LO Study Description User input : Comment text ANAP USER/ box in study list. Maximum MWL 64 bytes. From Modality Worklist : Get from (0032, 1060) Requested Procedure Description (0040, 0007) or Scheduled Procedure Step Description. (This function works only when the setting is turned on in "ID Option". ) (0008, 1032) SQ Procedure Code Sequence From Modality Worklist, ANAP MWL mapped from Requested Procedure Code Sequence (0032, 1064) > Include "Code Sequence Macro" (0008, 1110) SQ Referenced Study From Modality Worklist ANAP MWL > (0008, 1150) UI Referenced SOP Class UID From Modality Worklist VNAP MWL > (0008, 1155) UI Referenced SOP Instance From Modality Worklist VNAP MWL UID (0008, 1060) PN Name of Physician (s) Entered as "Reporting ANAP USER reading Study. Phys" in the New Patient Registration (0020, 000D) UI Study Instance UID From Modality Worklist or ALWAYS MWL/ generated by device AUTO (0020, 0010) SH Study ID Copied from Requested ALWAYS MWL/ Procedure ID (0040, 1001) AUTO/ in Worklist or generated by USER device. User may modify the value. (0032, 1060) LO Requested Procedure From Modality Worklist VNAP MWL Description Note : 1. Attribute Not Present in Structured Report. Table 8. 1-6 PATIENT STUDY MODULE OF CREATED SOP INSTANCES Tag Presence VR Attribute Name Value Source (0010, 1010) AS Patient’s Age Calculated from DoB input ANAP AUTO on base of actual Date (0010, 1020) DS Patient's Size From Modality Worklist or ANAP MWL/ user input USER (0010, 1030) DS Patient’s Weight From Modality Worklist or ANAP MWL/ user input USER Page 53 of 172

[Page 54] (0010, 2000) LO Medical Alerts From Modality Worklist VNAP MWL (0010, 2110) LO Contrast Allergies From Modality Worklist VNAP MWL (0010, 2180) SH Occupation From Modality Worklist or ANAP MWL/ User input USER (0010, 21D0) DA Last Menstrual Date From Modality Worklist or ANAP MWL/ User input USER (0038, 0050) LO Special Needs From Modality Worklist VNAP MWL Note : 1. Attribute Not Present in Structured Report. Table 8. 1-7 GENERAL SERIES MODULE OF CREATED SOP INSTANCES (0008, 0021) DA Series Date "yyyymmdd" ALWAYS AUTO (updated if re-acquired (0008, 0031) TM Series Time "hhmmss" ALWAYS AUTO (updated if re-acquired (0008, 0060) CS Modality "US" ALWAYS AUTO (0008, 103E) LO Series Description User input : Maximum 64 ANAP USER/ bytes. MWL From Modality Worklist : Get from (0040, 0007) Scheduled Procedure Step Description or (0032, 1060) Requested Procedure Description. (This function works only when the setting is turned on in "ID Option". ) (0008, 1070) PN Operator’s Name Operator field in Study list. ANAP USER Maximum 64 characters. (0008, 1111) SQ Referenced Performed Identifies the MPPS SOP ANAP MPPS Procedure Step Sequence Instance to which this image is related (absent if re-acquired from > (0008, 1150) UI Referenced SOP Class UID MPPS SOP Class UID ALWAYS MPPS > (0008, 1155) UI Referenced SOP Instance MPPS SOP Instance UID ALWAYS MPPS UID (0018, 0015) CS Body Part Examined Set by user from a pick list ANAP USER (0018, 1030) LO Protocol Name Application type selected ALWAYS AUTO by user (0020, 000E) UI Series Instance UID Generated by device ALWAYS AUTO (updated if re-acquired Page 54 of 172

[Page 55] (0020, 0011) IS Series Number Generated by device ALWAYS AUTO (0020, 0060) CS Laterality Set by user from a pick list ANAP USER (0032, 1032) PN Requesting Physician From Modality Worklist VNAP MWL (0040, 0244) DA Performed Procedure Step Same as Series Date ALWAYS MPPS Start Date (0008, 0021) (absent if re-acquired from (0040, 0245) TM Performed Procedure Step Same as Series Time ALWAYS MPPS Start Time (0008, 0031) (absent if re-acquired from (0040, 0253) SH Performed Procedure Step Sequence Number ALWAYS AUTO ID (absent if re-acquired from (0040, 0254) LO Performed Procedure Step Input by user Same as ANAP USER Description MPPS. From user input. Maximum 64 characters. (absent if re-acquired from (0040, 0260) SQ Performed Protocol Code Derived from Scheduled ANAP AUTO Sequence Protocol Code Sequence. May be modified by user. (absent if re-acquired from > Include "Code Sequence Macro" (0040, 0275) SQ Request Attributes Zero or 1 item will be ANAP AUTO Sequence present > (0032, 1060) LO Requested Procedure From Modality Worklist ANAP MWL Description > (0040, 0007) LO Scheduled Procedure Step From Modality Worklist ANAP MWL Description > (0040, 0008) SQ Scheduled Protocol Code From Modality Worklist ANAP MWL > > Include "Code Sequence Macro" > (0040, 0009) SH Scheduled Procedure Step From Modality Worklist VNAP MWL ID > (0040, 1001) SH Requested Procedure ID From Modality Worklist or VNAP MWL/ Input by user. USER Page 55 of 172

[Page 56] Table 8. 1-8 GENERAL EQUIPMENT MODULE OF CREATED SOP INSTANCES (0008, 0070) LO Manufacturer Hitachi Aloka Medical, Ltd. ALWAYS AUTO (0008, 0080) LO Institution Name From Configuration VNAP CONFIG (0008, 0081) ST Institution Address From Configuration ANAP CONFIG (0008, 1010) SH Station Name From Configuration ALWAYS CONFIG (0008, 1040) LO Institutional Department From Configuration ANAP CONFIG Name (0008, 1090) LO Manufacturer’s Model Name F37 ALWAYS AUTO (0018, 1000) LO Device Serial Number Built-in ANAP AUTO (0018, 1020) LO Software Version (s) Built-in ALWAYS AUTO Table 8. 1-9 GENERAL IMAGE MODULE OF CREATED SOP INSTANCES (0008, 0008) CS Image Type ORIGINAL or DERIVED ALWAYS AUTO for value 1, PRIMARY or SECONDARY for value 2. See Table 8. 1-19 for value 3 and 4. (0008, 0023) DA Content Date "yyyymmdd" ALWAYS AUTO (0008, 0033) TM Content Time "hhmmss" ALWAYS AUTO (0020, 0013) IS Instance Number Generated by device ALWAYS AUTO (0020, 0020) CS Patient Orientation From Pull Down Menu or ANAP USER Input by user. (0028, 2110) CS Lossy Image Compression Generated by device ANAP AUTO (0088, 0200) SQ Icon Image Sequence If Private US Line Data ANAP AUTO Storage IOD Instance. Table 8. 1-10 CONTRAST/BOLUS MODULE OF CREATED SOP INSTANCES (0018, 0010) LO Contrast/Bolus Agent From MWL or Input by ANAP MWL/ user (0018, 1040) LO Contrast/Bolus Route May be input by user ANAP USER (0018, 1041) DS Contrast/Bolus Volume May be input by user ANAP USER (0018, 1042) TM Contrast/Bolus Start Time Generated by device ANAP AUTO (0018, 1043) TM Contrast/Bolus Stop Time Generated by device ANAP AUTO (0018, 1044) DS Contrast/Bolus Total Dose May be input by user ANAP USER Page 56 of 172

[Page 57] Table 8. 1-11 CINE MODULE OF CREATED SOP INSTANCES (0008, 2142) IS Start Trim recommended loop start ALWAYS AUTO frame number (0008, 2143) IS Stop Trim recommended loop stop ALWAYS AUTO frame number (0008, 2144) IS Recommended Display frames per second [fps] ALWAYS AUTO Frame Rate (0018, 0040) IS Cine Rate frames per second [fps] ALWAYS AUTO (may change if re-acquired (0018, 0072) DS Effective Duration 0 ALWAYS AUTO (0018, 1063) DS Frame Time If Frame Increment Pointer ANAP AUTO (0028, 0009) is Frame Time (may change if re-acquired (0018, 1065) DS Frame Time Vector If Frame Increment Pointer ANAP AUTO (0028, 0009) is Frame Time Vector (0018, 1066) DS Frame Delay 0 ALWAYS AUTO (0018, 1242) IS Actual Frame Duration (may change if re-acquired ALWAYS AUTO (0018, 1244) US Preferred Playback 0=Loop ALWAYS AUTO (0028, 6040) US R Wave Pointer ANAP AUTO Table 8. 1-12 FRAME POINTERS MODULE OF CREATED SOP INSTANCES (0028, 6010) US Representative Frame May be used in multi-frame ANAP AUTO Number image (may change if re-acquired Table 8. 1-13 MULTI-FRAME MODULE OF CREATED SOP INSTANCES (0028, 0008) IS Number of Frames ALWAYS AUTO (0028, 0009) AT Frame Increment Pointer (0018, 1063) or (0018, ALWAYS AUTO 1065) Page 57 of 172

[Page 58] Table 8. 1-14 PALETTE COLOR LOOKUP TABLE MODULE OF CREATED SOP INSTANCES (0028, 1101) US Red Palette Color Lookup Only if (0028, 0004) equals ANAP AUTO Table Descriptor to "PALETTE COLOR" (0028, 1102) US Green Palette Color Only if (0028, 0004) equals ANAP AUTO Lookup Table Descriptor to "PALETTE COLOR" (0028, 1103) US Blue Palette Color Lookup Only if (0028, 0004) equals ANAP AUTO Table Descriptor to "PALETTE COLOR" (0028, 1199) UI Palette Color Lookup Table Only if (0028, 0004) equals ANAP AUTO UID to "PALETTE COLOR" (0028, 1221) OW Segmented Red Palette Only if (0028, 0004) equals ANAP AUTO Color Lookup Table Data to "PALETTE COLOR" (0028, 1222) OW Segmented Green Palette Only if (0028, 0004) equals ANAP AUTO Color Lookup Table Data to "PALETTE COLOR" (0028, 1223) OW Segmented Blue Palette Only if (0028, 0004) equals ANAP AUTO Color Lookup Table Data to "PALETTE COLOR" Table 8. 1-15 IMAGE PIXEL MODULE OF CREATED SOP INSTANCES (0028, 0002) US Samples per Pixel 1=PALETTE COLOR, ALWAYS AUTO 3=RGB, YBR_FULL_422 (0028, 0004) CS Photometric Interpretation "PALETTE COLOR", "RGB", ALWAYS AUTO/ "YBR_FULL_422", CONFIG "MONOCHROME2" (MONOCHROME2 is not applicable to media storage. ) (0028, 0006) US Planar Configuration 0=color-by-pixel for ANAP AUTO/ YBR_FULL_422, RGB CONFIG 1=color-by-plane for RGB (0=color-by-pixel for RGB is not applicable to compression transfer syntax or media storage. ) (0028, 0010) US Rows 600 ALWAYS AUTO (0028, 0011) US Columns 800 ALWAYS AUTO (0028, 0100) US Bits Allocated 8 for RGB, ALWAYS AUTO 16 for PALETTE COLOR (0028, 0101) US Bits Stored 8 for RGB, ALWAYS AUTO 16 for PALETTE COLOR (0028, 0102) US High Bits 7 for RGB, ALWAYS AUTO Page 58 of 172

[Page 59] 15 for PALETTE COLOR (0028, 0103) US Pixel Representation 0 ALWAYS AUTO (7FE0, 0010) OW Pixel Data The Pixel Data contains ALWAYS AUTO burned-in annotation /OB (Patient ID, Patient's Name, Scale Mark etc. ) Table 8. 1-16 VOI LUT MODULE OF CREATED SOP INSTANCES (0028, 3010) SQ VOI LUT Sequence One item ANAP AUTO > (0028, 3002) US LUT Descriptor <256, 0, 8> ALWAYS AUTO > (0028, 3006) US LUT Data LUT ALWAYS AUTO (0028, 1050) DS Window Center 0-255 ANAP USER (0028, 1051) DS Window Width 1-256 ANAP USER Table 8. 1-17 SOP COMMON MODULE OF CREATED SOP INSTANCES From Modality Worklist or MWL/ (0008, 0005) CS Specific Character Set ANAP ISO_IR 100 AUTO (0008, 0012) DA Instance Creation Date Instance Date ANAP AUTO (0008, 0013) TM Instance Creation Time Instance Time ANAP AUTO (0008, 0014) UI Instance Creator UID Built-in ANAP AUTO (0008, 0016) UI SOP Class UID 1. 2. 840. 10008. 5. 1. 4. 1. ALWAYS AUTO 1. 6. 1 1. 2. 840. 10008. 5. 1. 4. 1. 1. 3. 1 1. 2. 840. 10008. 5. 1. 4. 1. 1. 88. 33 (0008, 0018) UI SOP Instance UID Generated by device ALWAYS AUTO (updated if re-acquired from (0008, 001B) UI Original Specialized SOP 1. 2. 840. 10008. 5. 1. 4. 1. ANAP AUTO Class UID 1. 88. 33 Only if SR is sent as Enhanced SR, otherwise attribute is not included. Note : 1. Attribute Not Present in Structured Report. 2. Attribute Not Present in image. Page 59 of 172

[Page 60] 8. 1. 1. 5 Ultrasound Modules Table 8. 1-18 US REGION CALIBRATOIN MODULE OF CREATED SOP INSTANCES Presenc Tag VR Attribute Name Value e of Source Value (0018, 6011) SQ Sequence of Ultrasound If Region Calibration is turned ANAP CONFIG Regions on (attributes in item are updated if re-acquired from DICOM file ; may be absent if DICOM file from other product) > (0018, 6012) US Region Spatial Format 0=none, 1=cross section, ALWAYS AUTO 2=M-mode, 3=spectral > (0018, 6014) US Region Data Type 0=none, 1=tissue, 2=color ALWAYS AUTO flow velocity, 3=PW, 4=CW, D=Gray Scale, E=Color Scale > (0018, 6016) UL Region Flag 1=transparent, 2=scale ALWAYS AUTO protected, 4=Doppler represented in frequency. > (0018, 6018) UL Region Location Min. x0 X and Y coordinates of upper ALWAYS AUTO left corner of the region > (0018, 601A) UL Region Location Min. y0 ALWAYS AUTO > (0018, 601C) UL Region Location Max. x1 X and Y coordinates of lower ALWAYS AUTO right corner of the region > (0018, 601E) UL Region Location Max. y1 ALWAYS AUTO > (0018, 6020) SL Referenced Pixel X0 B : Transducer surface ANAP AUTO center, M : Transducer > (0018, 6022) SL Referenced Pixel Y0 ANAP AUTO surface left, and D : Baseline left > (0018, 6024) US Physical Unit X Direction Physical units for X and Y ALWAYS AUTO directions > (0018, 6026) US Physical Unit Y Direction ALWAYS AUTO > (0018, 6028) FD Referenced Pixel Physical Reference pixel physical ANAP AUTO Value X values in X and Y direction physical units, respectively > (0018, 602A) FD Referenced Pixel Physical ANAP AUTO Value Y (may be absent if re-acquired > (0018, 602C) FD Physical Delta X Physical values in X and Y ALWAYS AUTO direction physical units, > (0018, 602E) FD Physical Delta Y ALWAYS AUTO respectively > (0018, 6030) UL Transducer Frequency In [kHz] ANAP AUTO > (0018, 6032) UL Pulse Repetition PRF in [kHz] ANAP AUTO Frequency > (0018, 6034) FD Doppler Correction Angle Used if Doppler image [deg] ANAP AUTO Page 60 of 172

[Page 61] > (0018, 6036) FD Steering Angle Used if Color Flow image ANAP AUTO [deg] > (0018, 6039) SL Doppler Sample Volume X Used in B-mode image, if PW ANAP AUTO Position Doppler region accompanies > (0018, 603B) SL Doppler Sample Volume Y (may be absent if re-acquired ANAP AUTO Position from DICOM file) > (0018, 603D) SL TM-Line Position X0 Used in B-mode image, if M- ANAP AUTO mode or CW Doppler region > (0018, 603F) SL TM-Line Position Y0 ANAP AUTO accompanies > (0018, 6041) SL TM-Line Position X1 ANAP AUTO > (0018, 6043) SL TM-Line Position Y1 from DICOM file) ANAP AUTO > (0018, 6044) US Pixel Component Only if Combined Calibration ANAP AUTO Organization is requested and (0028, 0004) equals to "PALETTE COLOR". > (0018, 6046) UL Pixel Component Mask Only if (0028, 0004) equals to ANAP AUTO "PALETTE COLOR". > (0018, 604C) US Pixel Component Physical If (0018, 6044) is sent. ANAP AUTO Unit > (0018, 604E) US Pixel Component Data If (0018, 6044) is sent. ANAP AUTO Type > (0018, 6050) UL Number of Table Break If (0018, 6044) is sent. ANAP AUTO Points > (0018, 6052) UL Table of X Break Points If (0018, 6044) is sent. ANAP AUTO > (0018, 6054) FD Table of Y Break Points If (0018, 6044) is sent. ANAP AUTO > (0019, 0010) LO Private Identification Code ALOKA : 1. 2. 392. 200039. ANAP AUTO > (0019, 1008) FD Private attribute without PHI ANAP AUTO > (0019, 100C) CS Private attribute without PHI ANAP AUTO > (0019, 100E) DS Private attribute without PHI ANAP AUTO > (0019, 1018) SL Private attribute without PHI ANAP AUTO > (0019, 101A) SL Private attribute without PHI ANAP AUTO > (0019, 1040) SS Private attribute without PHI ANAP AUTO > (0019, 1046) US Private attribute without PHI ANAP AUTO > (0019, 1050) SL Private attribute without PHI ANAP AUTO > (0019, 1052) DS Private attribute without PHI ANAP AUTO > (0019, 1054) DS Private attribute without PHI ANAP AUTO > (0019, 1056) FD Private attribute without PHI ANAP AUTO > (0019, 1060) US Private attribute without PHI ANAP AUTO > (0019, 1061) UL Private attribute without PHI ANAP AUTO Page 61 of 172

[Page 62] > (0019, 1062) US Private attribute without PHI ANAP AUTO > (0019, 1064) US Private attribute without PHI ANAP AUTO > (0019, 1066) US Private attribute without PHI ANAP AUTO > (0019, 106C) FD Private attribute without PHI ANAP AUTO > (0019, 106E) FD Private attribute without PHI ANAP AUTO Table 8. 1-19 US IMAGE MODULE OF CREATED SOP INSTANCES (0008, 0008) CS Image Type Value 3 is picked by the user VNAP AUTO from the Pull Down List, and Value 4 is set automatically. (0008, 2129) IS Number of Event Timers If multi-frame and ECG Sync ANAP AUTO (absent if re-acquired from (0008, 2130) DS Event Elapsed Time (s) (absent if re-acquired from ANAP AUTO (0008, 2132) LO Event Timer Name (s) (absent if re-acquired from ANAP AUTO (0009, 0010) LO Private Identification Code ALOKA : 1. 2. 392. 200039. ANAP AUTO (0009, 1000) SH Private attribute without PHI ANAP AUTO (0009, 1004) US Private attribute without PHI ANAP AUTO (0009, 1006) US Private attribute without PHI ANAP AUTO (0009, 100A) SH Private attribute without PHI ANAP AUTO (0009, 1012) US Private attribute without PHI ANAP AUTO (0009, 1014) FD Private attribute without PHI ANAP AUTO (0009, 1020) CS Private attribute without PHI ANAP AUTO (0009, 1022) CS Private attribute without PHI ANAP AUTO (0009, 1024) CS Private attribute without PHI ANAP AUTO (0009, 1026) IS Private attribute without PHI ANAP AUTO (0009, 1028) IS Private attribute without PHI ANAP AUTO (0009, 102A) DS Private attribute without PHI ANAP AUTO (0009, 102C) FD Private attribute without PHI ANAP AUTO (0009, 102E) FD Private attribute without PHI ANAP AUTO (0009, 1030) FD Private attribute without PHI ANAP AUTO (0009, 1032) DS Private attribute without PHI ANAP AUTO (0009, 1034) CS Private attribute without PHI ANAP AUTO (0009, 1036) FD Private attribute without PHI ANAP AUTO (0009, 1038) CS Private attribute without PHI ANAP AUTO (0009, 103A) FD Private attribute without PHI ANAP AUTO Page 62 of 172

[Page 63] (0009, 103C) FD Private attribute without PHI ANAP AUTO (0009, 103E) FD Private attribute without PHI ANAP AUTO (0009, 1040) FD Private attribute without PHI ANAP AUTO (0009, 1042) FD Private attribute without PHI ANAP AUTO (0009, 1044) FD Private attribute without PHI ANAP AUTO (0009, 1046) US Private attribute without PHI ANAP AUTO (0009, 1048) FD Private attribute without PHI ANAP AUTO (0009, 104A) FD Private attribute without PHI ANAP AUTO (0009, 104C) FD Private attribute without PHI ANAP AUTO (0009, 104E) FD Private attribute without PHI ANAP AUTO (0009, 1050) US Private attribute without PHI ANAP AUTO (0009, 1052) US Private attribute without PHI ANAP AUTO (0009, 1054) LO Private attribute without PHI ANAP AUTO (0009, 1058) CS Private attribute without PHI ANAP AUTO (0018, 1060) DS Trigger Time If ECG is connected ANAP AUTO (0018, 1062) IS Nominal Interval If ECG is connected ANAP AUTO (0018, 1088) IS Heart Rate If ECG signal is input ANAP AUTO (0018, 5000) SH Output Power ANAP AUTO (0018, 5010) LO Transducer Data ALWAYS AUTO (0018, 5022) DS Mechanical Index ANAP AUTO (0018, 5024) DS Bone Thermal Index ANAP AUTO (0018, 5026) DS Cranial Thermal Index ANAP AUTO (0018, 5027) DS Soft Tissue Thermal Index ANAP AUTO (0018, 5050) IS Depth of Scan Field ANAP AUTO (0018, 6031) CS Transducer Type ALWAYS AUTO (0028, 0002) US Samples per Pixel 3= RGB, YBR_FULL_422 ALWAYS AUTO 1= PALETTE COLOR, MONOCHROME2 (0028, 0004) CS Photometric Interpretation PALETTE COLOR, RGB, ALWAYS AUTO/ CONFIG MONOCHROME2 (MONOCHROME2 is not applicable to media storage. ) (0028, 0014) US Ultrasound Color Data Only if color image acquired ANAP AUTO Present (0028, 0100) US Bits Allocated 8= RGB, YBR_FULL_422, ALWAYS AUTO 16= PALETTE COLOR (0028, 0101) US Bits Stored 8= RGB, YBR_FULL_422, ALWAYS AUTO 16= PALETTE COLOR Page 63 of 172

[Page 64] (0028, 0102) US High Bit 7= RGB, YBR_FULL_422, ALWAYS AUTO 15= PALETTE COLOR (0028, 0103) US Pixel Representation 0000H ALWAYS AUTO (0028, 2110) CS Lossy Image If lossy image compression ANAP AUTO Compression applied (0028, 6040) US R Wave Pointer Only if multi-frame ANAP AUTO (53FF, 0010) LO Private Identification Code ALOKA : 1. 2. 392. 200039. ANAP AUTO (53FF, 1040) LO Private attribute without PHI ANAP AUTO (53FF, 1042) UL Private attribute without PHI ANAP AUTO (53FF, 104F) OB Private attribute without PHI ANAP AUTO (830F, 1000) US Private attribute without PHI ANAP AUTO (830F, 10FF) OB Private attribute without PHI ANAP AUTO (833D, 0010) LO ALOKA : 1. 2. 392. 200039. ANAP AUTO 108. 2 (833D, 1040) LO Private attribute without PHI ANAP AUTO (833D, 1042) UL Private attribute without PHI ANAP AUTO (833D, 104F) OB Private attribute without PHI ANAP AUTO (833D, 105F) OB Private attribute without PHI ANAP AUTO (833D, 106F) OB Private attribute without PHI ANAP AUTO 8. 1. 1. 6 SR Document Modules Table 8. 1-20 SR DOCUMENT SERIES MODULE OF CREATED SOP INSTANCES (0008, 0060) CS Modality "SR" ALWAYS AUTO (0008, 1111) SQ Referenced Performed Identifies the MPPS SOP VNAP MPPS Procedure Step Sequence Instance to which this SOP instance is related > (0008, 1150) UI Referenced SOP Class UID MPPS SOP Class UID ALWAYS MPPS > (0008, 1155) UI Referenced SOP Instance MPPS SOP Instance UID ALWAYS MPPS UID (0020, 000E) UI Series Instance UID Generated by device ALWAYS AUTO (0020, 0011) IS Series Number Generated by device ALWAYS AUTO Table 8. 1-21 SR DOCUMENT GENERAL MODULE OF CREATED SOP INSTANCES (0008, 0023) DA Content Date "yyyymmdd" ALWAYS AUTO Page 64 of 172

[Page 65] (0008, 0033) TM Content Time "hhmmss" ALWAYS AUTO (0020, 0013) IS Instance Number Generated by device ALWAYS AUTO (0040, A370) SQ Referenced Request From Modality Worklist, or ANAP AUTO Sequence absent if unscheduled case > (0008, 0050) SH Accession Number From Modality Worklist VNAP MWL > (0008, 1110) SQ Referenced Study From Modality Worklist VNAP MWL > > (0008, UI Referenced SOP Class UID From Modality Worklist ALWAYS MWL 1150) > > (0008, UI Referenced SOP Instance From Modality Worklist ALWAYS MWL 1155) UID > (0020, 000D) UI Study Instance UID From Modality Worklist ALWAYS MWL > (0032, 1060) LO Requested Procedure From Modality Worklist VNAP MWL Description > (0032, 1064) SQ Requested Procedure Code From Modality Worklist VNAP MWL > (0040, 1001) SH Requested Procedure ID From Modality Worklist VNAP MWL > (0040, 2016) LO Placer Order Number / Zero length EMPTY AUTO Imaging Service Request > (0040, 2017) LO Filler Order Number / Zero length EMPTY AUTO Imaging Service Request (0040, A372) SQ Performed Procedure Code From Modality Worklist, VNAP MWL Sequence mapped from Requested Procedure Code Sequence (0032, 1064) (0040, A491) CS Completion Flag PARTIAL ALWAYS AUTO (0040, A493) CS Verification Flag UNVERIFIED ALWAYS AUTO Table 8. 1-22 SR DOCUMENT CONTENT MODULE OF CREATED SOP INSTANCES (0040, A040) CS Value Type CONTAINER ALWAYS AUTO (0040, A043) SQ Concept Name Code Document Title ALWAYS AUTO > (0008, 0100) SH Code Value 125000, 125100 or 125200 ALWAYS AUTO > (0008, 0102) SH Coding Scheme Designator DCM ALWAYS AUTO > (0008, 0104) LO Code Meaning "OB-GYN Ultrasound ALWAYS AUTO Procedure Report", "Vascular Ultrasound Procedure Report" or "Adult Echocardiography Procedure Report" (0040, A050) CS Continuity of Content SEPARATE ALWAYS AUTO (0040, A504) SQ Content Template ALWAYS AUTO Page 65 of 172

[Page 66] > (0008, 0105) CS Mapping Resource DCMR ALWAYS AUTO > (0040, CS Template Identifier 5000, 5100 or 5200 ALWAYS AUTO DB00) (0040, A032) DT Observation Date Time "yyyymmddhhmmss" ALWAYS AUTO Same as Study Date, Study Time (0040, A730) SQ Content Sequence ALWAYS AUTO > (0040, A010) CS Relationship Type See TID 5000 OB-GYN ALWAYS AUTO Ultrasound Procedure Report, TID 5100 Vascular Ultrasound Report and TID 5200 Echocardiography Procedure Report > . . . Document Relationship See TID 5000 OB-GYN ALWAYS AUTO Macro Ultrasound Procedure Report, TID 5100 Vascular Ultrasound Report and TID 5200 Echocardiography Procedure Report > . . . Document Content Macro See TID 5000 OB-GYN ALWAYS AUTO Ultrasound Procedure Report, TID 5100 Vascular Ultrasound Report and TID 5200 Echocardiography Procedure Report > (0040, UL Referenced Content Item Not used - - DB73) Identifier 8. 1. 2 Used Fields in received IOD by application The storage application of this product does not receive SOP Instances. The usage of attributes received via Modality Worklist is described in section 4. 2. 1. 3. 1. 3. 8. 1. 3 Attribute mapping The relationships between attributes received via Modality Worklist, stored in acquired images and communicated via MPPS are summarized in Table 8. 1-23. Page 66 of 172

[Page 67] Table 8. 1-23 ATTRIBUTE MAPPING BETWEEN MODALITY WORKLIST, IMAGE AND MPPS Modality Worklist Image IOD MPPS IOD Patient Name Patient Name Patient Name Patient ID Patient ID Patient ID Patient’s Birth Date Patient’s Birth Date Patient’s Birth Date Patient’s Sex Patient’s Sex Patient’s Sex Patient’s Weight Patient’s Weight Referring Physician’s Name Referring Physician’s Name ---- ---- Scheduled Step Attributes Study Instance UID Study Instance UID > Study Instance UID Referenced Study Sequence Referenced Study Sequence > Referenced Study Sequence Accession Number Accession Number > Accession Number ---- Request Attributes Sequence ---- Requested Procedure ID > Requested Procedure ID > Requested Procedure ID Requested Procedure > Requested Procedure > Requested Procedure Description Description Description Scheduled Procedure Step ID > Scheduled Procedure Step ID > Scheduled Procedure Step ID Scheduled Procedure Step > Scheduled Procedure Step > Scheduled Procedure Step Description Description Description Scheduled Protocol Code > Scheduled Protocol Code > Scheduled Protocol Code Sequence Sequence Sequence ---- Performed Protocol Code Performed Protocol Code Sequence Sequence ---- Study ID Study ID ---- Performed Procedure Step ID Performed Procedure Step ID ---- Performed Procedure Step Start Performed Procedure Step Start Date Date ---- Performed Procedure Step Start Performed Procedure Step Start Time Time ---- Performed Procedure Step Performed Procedure Step Description Description ---- ---- Performed Series Sequence ---- Name of Physician’s Reading > Performing Physician’s Name Study Requested Procedure Code Procedure Code Sequence Procedure Code Sequence ---- Referenced Performed Procedure ---- Step Sequence ---- > Referenced SOP Class UID SOP Class UID ---- > Referenced SOP Instance UID SOP Instance UID ---- Protocol Name Protocol Name Page 67 of 172

[Page 68] 8. 1. 4 Coerced/Modified Fields The Modality Worklist AE will truncate attribute values received in the response to a Modality Worklist Query if the value length is longer than the maximum length permitted by the attribute’s VR. 8. 2 DATA DICTIONARY OF PRIVATE ATTRIBUTES The Private Attributes added to create SOP Instances are listed in the Table below. This product reserves blocks of private attributes in groups 0009, 0019 and 53FF. Further details on usage of these private attributes are contained in Section 8. 1. Table 8. 2-1 DATA DICTIONARY OF PRIVATE ATTRIBUTES Tag VR VM Attribute Name (0009, 0010) LO 1 (0009, 1000) SH 1 (0009, SH 1 100A) (0009, 1012) US 1 (0009, 1014) FD 1 (0019, 0010) LO 1 (0019, 1008) FD 1 (0019, CS 1 100C) (0019, DS 1 100E) (0019, 1018) SL 1 (0019, SL 1 101A) (0019, 1040) SS 1 (0019, 1046) US 1 (0019, 1050) SL 1 (0019, 1052) DS 1 (0019, 1054) DS 1 (0019, 1056) FD 1 (0019, 1060) US 1 (0019, 1061) UL 1 (0019, 1062) US 1 (0019, 1064) US 1 (0019, 1066) US 1 (0019, FD 1 106C) (0019, FD 1 106E) (53FF, LO 1 Page 68 of 172

[Page 69] Tag VR VM Attribute Name (53FF, US 1 1000) (53FF, SH 1 1002) (53FF, TM 1-n 1004) (53FF, SQ 1 1010) (53FF, OB 1 1011) (53FF, OB 1 101D) (53FF, SH 1 101E) (53FF, SQ 1 1020) (53FF, OB 1 1021) (53FF, UL 1-n 102F) 8. 3 CODED TERMINOLOGY AND TEMPLATES The contents of Performed Procedure Step Discontinuation Reason Code Sequence (0040, 0281) for a discontinued MPPS will be filled with a code selected by the user from a fixed list corresponding to Context Group 9300. The Structured Reports use the Standard Templates and Context Groups supplied by DCMR (DICOM Content Mapping Resource) . In the extension of Context Groups, 99ALOKA (Hitachi Aloka Medical private definition) is used. There are no private Context Groups, extensions to Standard Templates or private Templates that are used. See section 8. 6 for details. 8. 4 STANDARD EXTENDED / SPECIALIZED / PRIVATE SOP CLASSES The Ultrasound Line Data Storage SOP Class is an optional private SOP Class. It is not normally presented and should be activated by CSE upon the customers purchase. Since it is a Private SOP Class, a dedicated storage server is necessary to receive and browse the image. 8. 4. 1 Ultrasound and Ultrasound Multi-frame Image Storage SOP Class The Ultrasound and Ultrasound Multi-frame Image Storage SOP Classes are extended to create a Standard Extended SOP Classes by addition of standard and private attributes to the created SOP Instances as documented in section 8. 1. Page 69 of 172

[Page 70] 8. 4. 2 Ultrasound Line Data Storage SOP Class The Ultrasound Line Data Storage SOP Class is a Private SOP Class by addition of standard and private attributes to the created SOP Instances as documented in section 8. 1. 8. 5 PRIVATE TRANSFER SYNTAXES No Private Transfer Syntaxes are supported. 8. 6 STRUCTURED REPORTS The equipment supports Standard Templates TID 5000 OB-GYN, TID 5100 Vascular and TID 5200 Echocardiography. TIDs are described in DICOM Part 16. 8. 6. 1 Applications and Generated Templates Application Template ID Template Name OB 5000 OB-GYN Ultrasound Procedure Report GYN 5000 OB-GYN Ultrasound Procedure Report Vascular 5100 Vascular Ultrasound Report Abdomen 5100 Vascular Ultrasound Report Cardio 5200 Echocardiography Procedure Report other applications SR is not generated. - OB application generates an OB-GYN Ultrasound Procedure Report for OB measurements, GYN application generates an OB-GYN Ultrasound Procedure Report for GYN measurements. Vascular application generates a Vascular Ultrasound Report for peripheral vascular measurements, Abdomen application generates a Vascular Ultrasound Report for abdominal vascular measurements. Cardio application generates an Echocardiography Procedure Report. No SR is generated for any other applications. Note that DICOM Standard provides TID 5200 for an "Adult" Echocardiography Procedure Report, however Cardio application will generate TID 5200 Adult Echocardiography Procedure Report regardless of patient's age or the Preset Application like "P. HEART" (Pediatric Heart) . Some user-defined measurement items or user-defined tables/equations are not included in SR. Page 70 of 172

[Page 71] 8. 6. 2 Templates 8. 6. 2. 1 TID 5000 OB-GYN Ultrasound Procedure Report TID 5000 row 3 - TID 1001 Observation Context Patient Name DCM 121029 Subject Name TID 1001 row 3 - TID 1006 row 2 - TID 1007 row 2 TID 5000 row 4 - TID 5001 OB-GYN Ultrasound Procedure Report Height LN 8302-2 Patient Height TID 5001 row 3 Weight LN 29463-7 Patient Weight TID 5001 row 4 GRAV LN 11996-6 Gravida TID 5001 row 5 PARA LN 11977-6 Para TID 5001 row 6 AB LN 11612-9 Aborta TID 5001 row 7 ECTO LN 33065-4 Ectopic Pregnancies TID 5001 row 8 TID 5000 row 7 - TID 5002 OB-GYN Procedure Summary Section LMP LN 11955-2 LMP TID 5002 row 2 BBT LN 11976-8 Ovulation date TID 5002 row 2 LMP-EDC LN 11779-6 EDD from LMP TID 5002 row 2 BBT-EDC LN 11780-4 EDD from ovulation date TID 5002 row 2 Composite LN 11781-2 EDD from average TID 5002 row 2 US-EDC ultrasound age - LN 11878-6 Number of Fetuses TID 5002 row 3 Comments DCM 121106 Comment TID 5002 row 4 LMP-GA LN 11885-1 Gestational Age by LMP TID 5002 row 6 - TID 5003 row 5 Page 71 of 172

[Page 72] Composite US-GA LN 11888-5 Composite Ultrasound Age TID 5002 row 6 - TID 5003 row 5 Note : 1. The earliest Composite US-EDC is included when more than one fetus are observed. OB measurements : TID 5000 row 7 - TID 5002 row 6 - TID 5003 OB-GYN Fetus Summary TID 5000 row 8 - TID 5004 Fetal Biometry Ratio Section TID 5000 row 9 - TID 5005 Fetal Biometry Section TID 5000 row 10 - TID 5006 Fetal Long Bones Section TID 5000 row 11 - TID 5007 Fetal Cranium Section TID 5000 row 12 - TID 5009 Fetal Biophysical Profile Section TID 5000 row 13 - TID 5011 Early Gestation Section TID 5000 row 14 - TID 5010 Amniotic Sac Section TID 5000 row 15 - TID 5015 Pelvis and Uterus Section TID 5000 row 21 - TID 5025 OB-GYN Fetal Vascular Ultrasound Measurement Group TID 5000 row 24 - TID 5026 OB-GYN Pelvic Vascular Ultrasound Measurement Group TID 5000 row 25 (Extension) - TID ALOKA-5001 OB-GYN Original Measurement Section TID 5000 row 26 (Extension) - TID ALOKA-5000 OB Original Fetal Measurement Section TID 5000 row 27 (Extension) - TID ALOKA-5000 OB Original Fetal Measurement Section TID 5000 row 28 (Extension) - TID ALOKA-5002 OB User Defined Equation Section FHR LN 11948-7 Fetal Heart Rate TID 5003 row 5 PreHR (Amnio) 99ALOKA A12019-001 Fetal Heart Rate before TID 5003 row 5 Biopsy PstHR (Amnio) 99ALOKA A12019-002 Fetal Heart Rate after TID 5003 row 5 Biopsy FW LN 11727-5 Estimated Weight TID 5003 row 5 (up to 5 items) - (FW %ile rank by LN 11767-1 EFW percentile rank TID 5003 row 5 Doubilet) CI (BPD/OFD) LN 11823-2 Cephalic Index TID 5004 row 3 CI (BPDo/OFDo) 99ALOKA A12004-001 Cephalic Index TID 5004 row 3 (BPDo/OFDo) FL/AC LN 11871-1 FL/AC TID 5004 row 3 FL/BPD LN 11872-9 FL/BPD TID 5004 row 3 FL/HC LN 11873-7 FL/HC TID 5004 row 3 Page 72 of 172

[Page 73] HC/AC LN 11947-9 HC/AC TID 5004 row 3 LVW/HW 99ALOKA A12004-002 LVW/HW TID 5004 row 3 AC LN 11979-2 Abdominal Circumference TID 5005 row 3 AD 99ALOKA A12005-006 Abdominal Diameter TID 5005 row 3 AF Pocket 99ALOKA A12005-009 Amniotic Fluid Volume TID 5005 row 3 AFV 99ALOKA A12005-009 Amniotic Fluid Volume TID 5005 row 3 APD LN 11818-2 Anterior-Posterior TID 5005 row 3 Abdominal Diameter APTD LN 11818-2 Anterior-Posterior TID 5005 row 3 Abdominal Diameter AXT LN 33191-8 APAD * TAD TID 5005 row 3 BD 99ALOKA A12005-001 Binocular Distance TID 5005 row 3 BPD LN 11820-8 Biparietal Diameter TID 5005 row 3 BPDo 99ALOKA A12005-002 Biparietal Diameter outer- TID 5005 row 3 to-outer CD LN 11863-8 Trans Cerebellar Diameter TID 5007 row 3 CRL LN 11957-8 Crown Rump Length TID 5011 row 3 EES 99ALOKA A12009-001 Early Embryonic Size TID 5011 row 3 FIB LN 11964-4 Fibula length TID 5006 row 3 FL LN 11963-6 Femur Length TID 5006 row 3 FTA 99ALOKA A12005-003 Fetal Trunk Cross TID 5005 row 3 Sectional Area GS LN 11850-5 Gestational Sac Diameter TID 5011 row 3 HC LN 11984-2 Head Circumference TID 5005 row 3 HC2 99ALOKA A12005-008 Head Circumference for TID 5005 row 3 Merz, Hansmann HL LN 11966-9 Humerus length TID 5006 row 3 HW LN 12170-7 Width of Hemisphere TID 5007 row 3 IOD LN 33070-4 Inner Orbital Diameter TID 5007 row 3 LV 99ALOKA A12005-004 Length of Vertebrae TID 5005 row 3 LVW LN 12171-5 Lateral Ventrical width TID 5007 row 3 mGS, D1 99ALOKA A12009-002 Gestational Sac Diameter TID 5011 row 3 mGS, D2 99ALOKA A12009-003 Gestational Sac Diameter TID 5011 row 3 mGS, D3 99ALOKA A12009-004 Gestational Sac Diameter TID 5011 row 3 Page 73 of 172

[Page 74] mGS, mGS 99ALOKA A12009-005 Mean Gestational Sac TID 5011 row 3 Diameter NBL 99ALOKA A12006-001 Nasal Bone Length TID 5006 row 3 NT LN 33069-6 Nuchal Translucency TID 5011 row 3 OFD LN 11851-3 Occipital-Frontal Diameter TID 5005 row 3 OFDo 99ALOKA A12005-005 Occipital-Frontal Diameter TID 5005 row 3 outer-to-outer OOD LN 11629-3 Outer Orbital Diameter TID 5007 row 3 RAD LN 11967-7 Radius length TID 5006 row 3 TAD LN 11862-0 Tranverse Abdominal TID 5005 row 3 Diameter TC LN 11988-3 Thoracic Circumference TID 5005 row 3 TIB LN 11968-5 Tibia length TID 5006 row 3 TL 99ALOKA A12005-007 Thoracic Length TID 5005 row 3 TTD LN 11862-0 Tranverse Abdominal TID 5005 row 3 Diameter ULNA LN 11969-3 Ulna length TID 5006 row 3 BPP, Breathing LN 11632-7 Fetal Breathing TID 5009 row 4 BPP, Movement LN 11631-9 Gross Body Movement TID 5009 row 3 BPP, Tone LN 11635-0 Fetal Tone TID 5009 row 5 BPP, Fluid LN 11630-1 Amniotic Fluid Volume TID 5009 row 7 BPP, Non-Stress LN 11635-5 Fetal Heart Reactivity TID 5009 row 6 Test BPP, Total Score LN 11634-3 Biophysical Profile Sum TID 5009 row 8 Score AFI, AFI LN 11627-7 Amniotic Fluid Index TID 5010 row 3 AFI, Q1 LN 11624-4 First Quadrant Diameter TID 5010 row 4 AFI, Q2 LN 11626-9 Second Quadrant TID 5010 row 4 Diameter AFI, Q3 LN 11625-1 Third Quadrant Diameter TID 5010 row 4 AFI, Q4 LN 11623-6 Fourth Quadrant Diameter TID 5010 row 4 Cervix LN 11961-0 Cervix Length TID 5015 row 3 MCA SRT T-45600 Middle Cerebral Artery TID 5025 row 1 MCA, PI LN 12008-9 Pulsatility Index TID 5025 row 4 MCA, RI LN 12023-8 Resistivity Index TID 5025 row 4 Page 74 of 172

[Page 75] MCA, S/D LN 12144-2 Systolic to Diastolic TID 5025 row 4 MCA, PSV LN 11726-7 Peak Systolic Velocity TID 5025 row 4 MCA, EDV LN 11653-3 End Diastolic Velocity TID 5025 row 4 MCA, MnV LN 11692-1 Time averaged peak TID 5025 row 4 UmA SRT T-F1810 Umbilical Artery TID 5026 row 1, TID ALOKA-5000 row3 - TID ALOKA- 300 row1 UmA, PI LN 12008-9 Pulsatility Index TID 5026 row 4, TID ALOKA-300 row3 UmA, RI LN 12023-8 Resistivity Index TID 5026 row 4, TID ALOKA-300 row3 UmA, S/D LN 12144-2 Systolic to Diastolic TID 5026 row 4, TID ALOKA-300 row3 UmA, PSV LN 11726-7 Peak Systolic Velocity TID 5026 row 4, TID ALOKA-300 row3 UmA, EDV LN 11653-3 End Diastolic Velocity TID 5026 row 4, TID ALOKA-300 row3 UmA, MnV LN 11692-1 Time averaged peak TID 5026 row 4, TID ALOKA-300 row3 Rt. UtA SRT T-46820 Uterine Artery TID ALOKA-5001 row2 -TID ALOKA- 300 row1 Rt. UtA, PI LN 12008-9 Pulsatility Index TID ALOKA-300 row3 Rt. UtA, RI LN 12023-8 Resistivity Index TID ALOKA-300 row3 Rt. UtA, S/D LN 12144-2 Systolic to Diastolic TID ALOKA-300 row3 Rt. UtA, PSV LN 11726-7 Peak Systolic Velocity TID ALOKA-300 row3 Rt. UtA, EDV LN 11653-3 End Diastolic Velocity TID ALOKA-300 row3 Rt. UtA, MnV LN 11692-1 Time averaged peak TID ALOKA-300 row3 Lt. UtA SRT T-46820 Uterine Artery TID ALOKA-5001 row2 -TID ALOKA- 300 row1 Lt. UtA, PI LN 12008-9 Pulsatility Index TID ALOKA-300 row3 Lt. UtA, RI LN 12023-8 Resistivity Index TID ALOKA-300 row3 Lt. UtA, S/D LN 12144-2 Systolic to Diastolic TID ALOKA-300 row3 Page 75 of 172

[Page 76] Lt. UtA, PSV LN 11726-7 Peak Systolic Velocity TID ALOKA-300 row3 Lt. UtA, EDV LN 11653-3 End Diastolic Velocity TID ALOKA-300 row3 Lt. UtA, MnV LN 11692-1 Time averaged peak TID ALOKA-300 row3 D-Ao SRT T-D0765 Descending Aorta TID 5025 row 1 D-Ao, PI LN 12008-9 Pulsatility Index TID 5025 row 4 D-Ao, RI LN 12023-8 Resistivity Index TID 5025 row 4 D-Ao, S/D LN 12144-2 Systolic to Diastolic TID 5025 row 4 D-Ao, PSV LN 11726-7 Peak Systolic Velocity TID 5025 row 4 D-Ao, EDV LN 11653-3 End Diastolic Velocity TID 5025 row 4 D-Ao, MnV LN 11692-1 Time averaged peak TID 5025 row 4 OB Dop1 99ALOKA ALOKA_001- OB User Definition TID ALOKA-5000 001 Doppler1 row3 -TID ALOKA- 300 row1 OB Dop1, PI LN 12008-9 Pulsatility Index TID ALOKA-300 row3 OB Dop1, RI LN 12023-8 Resistivity Index TID ALOKA-300 row3 OB Dop1, S/D LN 12144-2 Systolic to Diastolic TID ALOKA-300 row3 OB Dop1, PSV LN 11726-7 Peak Systolic Velocity TID ALOKA-300 row3 OB Dop1, EDV LN 11653-3 End Diastolic Velocity TID ALOKA-300 row3 OB Dop1, MnV LN 11692-1 Time averaged peak TID ALOKA-300 row3 OB Dop2 99ALOKA ALOKA_001- OB User Definition TID ALOKA-5000 002 Doppler2 row3 -TID ALOKA- 300 row1 OB Dop2, PI LN 12008-9 Pulsatility Index TID ALOKA-300 row3 OB Dop2, RI LN 12023-8 Resistivity Index TID ALOKA-300 row3 OB Dop2, S/D LN 12144-2 Systolic to Diastolic TID ALOKA-300 row3 OB Dop2, PSV LN 11726-7 Peak Systolic Velocity TID ALOKA-300 row3 OB Dop2, EDV LN 11653-3 End Diastolic Velocity TID ALOKA-300 row3 OB Dop2, MnV LN 11692-1 Time averaged peak TID ALOKA-300 row3 OB Dop3 99ALOKA ALOKA_001- OB User Definition TID ALOKA-5000 003 Doppler3 row3 -TID ALOKA- 300 row1 OB Dop3, PI LN 12008-9 Pulsatility Index TID ALOKA-300 row3 OB Dop3, RI LN 12023-8 Resistivity Index TID ALOKA-300 row3 Page 76 of 172

[Page 77] OB Dop3, S/D LN 12144-2 Systolic to Diastolic TID ALOKA-300 row3 OB Dop3, PSV LN 11726-7 Peak Systolic Velocity TID ALOKA-300 row3 OB Dop3, EDV LN 11653-3 End Diastolic Velocity TID ALOKA-300 row3 OB Dop3, MnV LN 11692-1 Time averaged peak TID ALOKA-300 row3 User-defined 99ALOKA ALOKA_002- Calculated result. TID ALOKA-5002 Equation Result 001 row2 -TID ALOKA- Parameter 301 row4 -TID ALOKA-302 row1 User-defined 99ALOKA ALOKA_002- Equation parameter TID ALOKA-5002 Equation Parameter 002 row2 -TID ALOKA- 301 row4 -TID ALOKA-302 row1 Note : UmA is included in both TID 5026 (not TID 5025) and TID ALOKA-5000. When UmA is measured on multiple fetuses, the precedence to be included in TID 5026 is Fetus a, b, then c. TID ALOKA-5000 includes UmA measured on each fetus. . TID 1008 Subject Context, Fetus Fetus a/b/c LN 11951-1 Fetus ID TID 1008 row 4 Note : Fetus ID is included in Structured Report as "A", "B", "C". When singleton fetus, Fetus ID is always "A". GYN measurements : TID 5000 row 15 - TID 5015 Pelvis and Uterus Section TID 5000 row 16 - TID 5012 Ovaries Section TID 5000 row 17 - TID 5013 Follicles Section TID 5000 row 18 - TID 5013 Follicles Section TID 5000 row 29 (Extension) - TID ALOKA-301 User Defined Equation Section Uterus, Length LN 11842-2 Uterus Length TID 5015 row 2 - TID 5016 row 3 Page 77 of 172

[Page 78] Uterus, AP LN 11859-6 Uterus Height TID 5015 row 2 - TID 5016 row 5 Uterus, Width LN 11865-3 Uterus Width TID 5015 row 2 - TID 5016 row 4 Uterus, Volume LN 33192-6 Uterus Volume TID 5015 row 2 - TID 5016 row 2 Cervix, Length LN 11961-0 Cervix Length TID 5015 row 3 Cervix, AP 99ALOKA A12011-002 Cervix Antero-Posterior TID 5015 row 3 Diameter Cervix, Width 99ALOKA A12011-001 Cervix Width TID 5015 row 3 Endom-T LN 12145-9 Endometrium Thickness TID 5015 row 3 Pre Bldrvol, Length 99ALOKA A12011-003 Pre Void Bladder Length TID 5015 row 3 Pre Bldrvol, AP 99ALOKA A12011-004 Pre Void Bladder Antero- TID 5015 row 3 Posterior Diameter Pre Bldrvol, Width 99ALOKA A12011-005 Pre Void Bladder Width TID 5015 row 3 Pre Bldrvol, Volume 99ALOKA A12011-006 Pre Void Bladder Volume TID 5015 row 3 Pst Bldrvol, Length 99ALOKA A12011-007 Post Void Bladder Length TID 5015 row 3 Pst Bldrvol, AP 99ALOKA A12011-008 Post Void Bladder Antero- TID 5015 row 3 Posterior Diameter Pst Bldrvol, Width 99ALOKA A12011-009 Post Void Bladder Width TID 5015 row 3 Pst Bldrvol, Volume 99ALOKA A12011-010 Post Void Bladder Volume TID 5015 row 3 Void Volume 99ALOKA A12011-011 Bladder Void Volume TID 5015 row 3 Left Ovary, Length LN 11840-6 Left Ovary Length TID 5012 row 3 - TID 5016 row 3 Left Ovary, AP LN 11857-0 Left Ovary Height TID 5012 row 3 - TID 5016 row 5 Left Ovary, Width LN 11829-9 Left Ovary Width TID 5012 row 3 - TID 5016 row 4 Left Ovary, Volume LN 12164-0 Left Ovary Volume TID 5012 row 3 - TID 5016 row 2 Right Ovary, Length LN 11841-4 Right Ovary Length TID 5012 row 4 - TID 5016 row 3 Right Ovary, AP LN 11858-8 Right Ovary Height TID 5012 row 4 - TID 5016 row 5 Right Ovary, Width LN 11830-7 Right Ovary Width TID 5012 row 4 - TID 5016 row 4 Right Ovary, LN 12165-7 Right Ovary Volume TID 5012 row 4 - Volume TID 5016 row 2 Page 78 of 172

[Page 79] Follicles - - - - (up to 10 items) Left Follicles, D1 LN 11793-7 Follicle Diameter TID 5013 row 5 - TID 5014 row 4 Left Follicles, D2 LN 11793-7 Follicle Diameter TID 5013 row 5 - TID 5014 row 4 Left Follicles, LN 11793-7 Follicle Diameter TID 5013 row 5 - Average TID 5014 row 4 Left Follicles, SRT G-D705 Volume TID 5013 row 5 - Volume TID 5014 row 3 Right Follicles, D1 LN 11793-7 Follicle Diameter TID 5013 row 5 - TID 5014 row 4 Right Follicles, D2 LN 11793-7 Follicle Diameter TID 5013 row 5 - TID 5014 row 4 Right Follicles, LN 11793-7 Follicle Diameter TID 5013 row 5 - Average TID 5014 row 4 Right Follicles, SRT G-D705 Volume TID 5013 row 5 - Volume TID 5014 row 3 Follicles Volume - - - - (up to 10 items) Left Follicles, D1 LN 11793-7 Follicle Diameter TID 5013 row 5 - TID 5014 row 4 Left Follicles, D2 LN 11793-7 Follicle Diameter TID 5013 row 5 - TID 5014 row 4 Left Follicles, D3 LN 11793-7 Follicle Diameter TID 5013 row 5 - TID 5014 row 4 Left Follicles, LN 11793-7 Follicle Diameter TID 5013 row 5 - Average TID 5014 row 4 Left Follicles, SRT G-D705 Volume TID 5013 row 5 - Volume TID 5014 row 3 Right Follicles, D1 LN 11793-7 Follicle Diameter TID 5013 row 5 - TID 5014 row 4 Right Follicles, D2 LN 11793-7 Follicle Diameter TID 5013 row 5 - TID 5014 row 4 Right Follicles, D3 LN 11793-7 Follicle Diameter TID 5013 row 5 - TID 5014 row 4 Right Follicles, LN 11793-7 Follicle Diameter TID 5013 row 5 - Average TID 5014 row 4 Right Follicles, SRT G-D705 Volume TID 5013 row 5 - Volume TID 5014 row 3 Page 79 of 172

[Page 80] User-defined 99ALOKA ALOKA_002- Calculated result. TID ALOKA-301 row4 Equation Result 001 -TID ALOKA-302 Parameter row1 User-defined 99ALOKA ALOKA_002- Equation parameter TID ALOKA-301 row4 Equation Parameter 002 -TID ALOKA-302 row1 8. 6. 2. 2 TID 5100 Vascular Ultrasound Report TID 5100 row 4 - TID 1001 Observation Context Patient Name DCM 121029 Subject Name TID 1001 row 3 - TID 1006 row 2 - TID 1007 row 2 TID 5100 row 5 - TID 5101 Vascular Patient Characteristics Age DCM 121033 Subject Age TID 5101 row 2 Sex DCM 121032 Subject Sex TID 5101 row 3 TID 5100 row 8 - TID 5102 Vascular Procedure Summary Section Comments DCM 121106 Comment TID 5102 row 2 Page 80 of 172

[Page 81] Vascular measurements : TID 5100 row 9 - TID 5103 Vascular Ultrasound Section (Blood Vessel of Head, Left) TID 5100 row 10 - TID 5103 Vascular Ultrasound Section (Blood Vessel of Head, Right) TID 5100 row 11 - TID 5103 Vascular Ultrasound Section (Blood Vessel of Head, Unilateral) TID 5100 row 12 - TID 5103 Vascular Ultrasound Section (Artery of neck, Left) TID 5100 row 13 - TID 5103 Vascular Ultrasound Section (Artery of neck, Right) TID 5100 row 14 - TID 5103 Vascular Ultrasound Section (Artery of Lower Extremity, Left) TID 5100 row 15 - TID 5103 Vascular Ultrasound Section (Artery of Lower Extremity, Right) TID 5100 row 16 - TID 5103 Vascular Ultrasound Section (Vein of Lower Extremity, Left) TID 5100 row 17 - TID 5103 Vascular Ultrasound Section (Vein of Lower Extremity, Right) TID 5100 row 18 - TID 5103 Vascular Ultrasound Section (Artery Of Upper Extremity, Left) TID 5100 row 19 - TID 5103 Vascular Ultrasound Section (Artery Of Upper Extremity, Right) TID 5100 row 20 - TID 5103 Vascular Ultrasound Section (Vein Of Upper Extremity, Left) TID 5100 row 21 - TID 5103 Vascular Ultrasound Section (Vein Of Upper Extremity, Right) TID 5100 row 31 (Extension) - TID ALOKA-301 User Defined Equation Section (Modifier) Left SRT G-A101 Left TID 5103 row 3 Right SRT G-A100 Right TID 5103 row 3 - SRT G-A103 Unilateral TID 5103 row 3 - (prox) SRT G-A118 Proximal TID 5103 row 4 - TID 5104 row 2 - (mid) SRT G-A188 Mid-longitudinal TID 5103 row 4 - TID 5104 row 2 - (distal) SRT G-A119 Distal TID 5103 row 4 - TID 5104 row 2 (Measurements) PSV LN 11726-7 Peak Systolic Velocity TID 5103 row 4 - pV EDV LN 11653-3 End Diastolic Velocity TID 5103 row 4 - MnV LN 11692-1 Time averaged peak TID 5103 row 4 - velocity TID 5104 row 4 PI LN 12008-9 Pulsatility Index TID 5103 row 4 - RI LN 12023-8 Resistivity Index TID 5103 row 4 - S/D LN 12144-2 Systolic to Diastolic TID 5103 row 4 - Velocity Ratio TID 5104 row 4 Page 81 of 172

[Page 82] (Vessels) (row 9, 10) ACA SRT T-45540 Anterior Cerebral Artery TID 5103 row 4 - MCA SRT T-45600 Middle Cerebral Artery TID 5103 row 4 - PCA SRT T-45900 Posterior Cerebral Artery TID 5103 row 4 - PCoA SRT T-45320 Posterior Communicating TID 5103 row 4 - Artery TID 5104 row 1 TICA SRT R-102BD Terminal internal carotid TID 5103 row 4 - artery TID 5104 row 1 (row 11) ACoA SRT T-45530 Anterior Communicating TID 5103 row 4 - Artery TID 5104 row 1 BA SRT T-45800 Basilar Artery TID 5103 row 4 - (row 12, 13) BIFUR SRT T-45160 Carotid Bifurcation TID 5103 row 4 - CCA prox SRT T-45100 Common Carotid Artery TID 5103 row 4 - CCA mid CCA distal ECA SRT T-45200 External Carotid Artery TID 5103 row 4 - ICA SRT T-45300 Internal Carotid Artery TID 5103 row 4 - ICA prox ICA mid ICA distal VA SRT T-45700 Vertebral Artery TID 5103 row 4 - VERT (row 14, 15) ATA SRT T-47700 Anterior Tibial Artery TID 5103 row 4 - CFA SRT T-47400 Common Femoral Artery TID 5103 row 4 - CIA SRT T-46710 Common Iliac Artery TID 5103 row 4 - DFA (Deep Femoral SRT T-47440 Profunda Femoris Artery TID 5103 row 4 - Artery) TID 5104 row 1 Page 82 of 172

[Page 83] DPA SRT T-47741 Dorsalis Pedis Artery TID 5103 row 4 - EIA SRT T-46910 External Iliac Artery TID 5103 row 4 - IIA SRT T-46740 Internal Iliac Artery TID 5103 row 4 - PerA SRT T-47630 Peroneal Artery TID 5103 row 4 - PopA SRT T-47500 Popliteal Artery TID 5103 row 4 - PTA SRT T-47600 Posterior Tibial Artery TID 5103 row 4 - SFA SRT T-47403 Superficial Femoral Artery TID 5103 row 4 - (row 16, 17) ATV SRT T-49630 Anterior Tibial Vein TID 5103 row 4 - CFV SRT G-035B Common Femoral Vein TID 5103 row 4 - CIV SRT T-48920 Common Iliac Vein TID 5103 row 4 - DFV (Deep Femoral SRT T-49660 Profunda Femoris Vein TID 5103 row 4 - Vein) TID 5104 row 1 EIV SRT T-48930 External Iliac Vein TID 5103 row 4 - GSV SRT T-49530 Great Saphenous Vein TID 5103 row 4 - IIV SRT T-48940 Internal iliac vein TID 5103 row 4 - LSV SRT T-49550 Lesser Saphenous Vein TID 5103 row 4 - PerV SRT T-49650 Peroneal Vein TID 5103 row 4 - PopV SRT T-49640 Popliteal Vein TID 5103 row 4 - PTV SRT T-49620 Posterior Tibial Vein TID 5103 row 4 - SFV SRT G-035A Superficial Femoral Vein TID 5103 row 4 - (row 18, 19) AA SRT T-47100 Axillary Artery TID 5103 row 4 - Page 83 of 172

[Page 84] BA SRT T-47160 Brachial Artery TID 5103 row 4 - BasA 99ALOKA A12107-002 Basilic Artery TID 5103 row 4 - DBA 99ALOKA A12107-001 Deep Brachial Artery TID 5103 row 4 - RA SRT T-47300 Radial Artery TID 5103 row 4 - ScA SRT T-46100 Subclavian Artery TID 5103 row 4 - SPA SRT T-47240 Superficial Palmar Arch TID 5103 row 4 - UA SRT T-47200 Ulnar Artery TID 5103 row 4 - (row 20, 21) AV SRT T-49110 Axillary vein TID 5103 row 4 - BasV SRT T-48052 Basilic vein TID 5103 row 4 - BV SRT T-49350 Brachial vein TID 5103 row 4 - CV SRT T-49240 Cephalic vein TID 5103 row 4 - DBV 99ALOKA A12108-001 Deep Brachial vein TID 5103 row 4 - IJV SRT T-48170 Internal Jugular vein TID 5103 row 4 - RV SRT T-49340 Radial vein TID 5103 row 4 - ScV SRT T-48330 Subclavian vein TID 5103 row 4 - UV SRT T-49330 Ulnar vein TID 5103 row 4 - User-defined 99ALOKA ALOKA_002- Calculated result. TID ALOKA-301 row4 Equation Result 001 -TID ALOKA-302 Parameter row1 User-defined 99ALOKA ALOKA_002- Equation parameter TID ALOKA-301 row4 Equation Parameter 002 -TID ALOKA-302 row1 Note : 1. Prox / mid / distal is included in Structured Report only for the measurements of CCA prox, CCA mid, CCA distal, ICA prox, ICA mid and ICA distal. Otherwise not included. 2. PSV, EDV, MnV, PI, RI and S/D are included in Structured Report for the measurements of artery, pV for the measurements of vein. Page 84 of 172

[Page 85] 3. Although DICOM Standard defines ACoA (Anterior Communicating Artery) in CID 12105, it has no laterality and is included in row 11 "Unilateral" section of TID 5100. 4. When both VA and VERT are measured, only VERT is included in Structured Report, not VA. Abdomen measurements : TID 5100 row 22 - TID 5103 Vascular Ultrasound Section (Vascular Structure Of Kidney, Left) TID 5100 row 23 - TID 5103 Vascular Ultrasound Section (Vascular Structure Of Kidney, Right) TID 5100 row 24 - TID 5103 Vascular Ultrasound Section (Artery of Abdomen, Left) TID 5100 row 25 - TID 5103 Vascular Ultrasound Section (Artery of Abdomen, Right) TID 5100 row 26 - TID 5103 Vascular Ultrasound Section (Artery of Abdomen, Unilateral) TID 5100 row 29 - TID 5103 Vascular Ultrasound Section (Vein of Abdomen, Unilateral) TID 5100 row 31 (Extension) - TID ALOKA-301 User Defined Equation Section (Modifier) Left SRT G-A101 Left TID 5103 row 3 Right SRT G-A100 Right TID 5103 row 3 - SRT G-A103 Unilateral TID 5103 row 3 - (prox) SRT G-A118 Proximal TID 5103 row 4 - TID 5104 row 2 - (mid) SRT G-A188 Mid-longitudinal TID 5103 row 4 - TID 5104 row 2 - (distal) SRT G-A119 Distal TID 5103 row 4 - TID 5104 row 2 Pre Prandial 99ALOKA A-001 Pre-prandial TID 5103 row 4 - TID 5104 row 6 Post Prandial SRT G-A491 Post-prandial TID 5103 row 4 - TID 5104 row 6 (Measurements) PSV LN 11726-7 Peak Systolic Velocity TID 5103 row 4 - pV EDV LN 11653-3 End Diastolic Velocity TID 5103 row 4 - MnV LN 11692-1 Time averaged peak TID 5103 row 4 - velocity TID 5104 row 4 PI LN 12008-9 Pulsatility Index TID 5103 row 4 - RI LN 12023-8 Resistivity Index TID 5103 row 4 - S/D LN 12144-2 Systolic to Diastolic TID 5103 row 4 - Velocity Ratio TID 5104 row 4 Page 85 of 172

[Page 86] AccT LN 20168-1 Acceleration Time TID 5103 row 4 - ACC LN 20167-3 Acceleration Index TID 5103 row 4 - FlowT 99ALOKA A12122-001 Flow Time TID 5103 row 4 - AccT/FlowT 99ALOKA A12121-001 Acceleration Time to Flow TID 5103 row 4 - Time Ratio TID 5104 row 4 (Vessels) (row 22, 23) Renal-A SRT T-46600 Renal Artery TID 5103 row 4 - (row 24, 25) CIA SRT T-46710 Common Iliac Artery TID 5103 row 4 - (row 26) A-Ao SRT T-42000 Aorta TID 5103 row 4 - CA SRT T-46400 Celiac Axis TID 5103 row 4 - CHA SRT T-46421 Common Hepatic Artery TID 5103 row 4 - SA SRT T-46460 Splenic Artery TID 5103 row 4 - SMA SRT T-46510 Superior Mesenteric Artery TID 5103 row 4 - Prandial SMA IMA SRT T-46520 Inferior Mesenteric Artery TID 5103 row 4 - HA, Left SRT T-46427 Left Branch of Hepatic TID 5103 row 4 - Artery TID 5104 row 1 HA, Right SRT T-46423 Right Branch of Hepatic TID 5103 row 4 - Artery TID 5104 row 1 (row 29) Main PV SRT T-48810 Portal Vein TID 5103 row 4 - Lt. PV SRT T-4881F Left Main Branch of Portal TID 5103 row 4 - Vein TID 5104 row 1 Rt. PV SRT T-4882A Right Main Branch of TID 5103 row 4 - Portal Vein TID 5104 row 1 Page 86 of 172

[Page 87] Prox Shunt SRT G-036C Transjugular Intrahepatic TID 5103 row 4 - Portosystemic Shunt TID 5104 row 1 Mid Shunt Distal Shunt User-defined 99ALOKA ALOKA_002- Calculated result. TID ALOKA-301 row4 Equation Result 001 -TID ALOKA-302 Parameter row1 User-defined 99ALOKA ALOKA_002- Equation parameter TID ALOKA-301 row4 Equation Parameter 002 -TID ALOKA-302 row1 Note : 1. Prox / mid / distal is included in Structured Report only for the measurements of Prox Shunt, Mid Shunt and Distal Shunt. Otherwise not included. Pre Prandial / Post Prandial is included only for the measurement of Prandial SMA. Otherwise not included. 2. PSV, EDV, MnV, PI, RI, S/D, AccT, ACC, FlowT and AccT/FlowT are included in Structured Report for the measurements of renal artery (TID 5100 row 22, 23) . PSV, EDV, MnV, PI, RI, S/D, AccT and ACC are included for the measurements of Artery of Abdomen (TID 5100 row 24, 25, 26) . pV is included for the measurements of Vein of Abdomen (TID 5100 row 29) . 3. Although DICOM Standard defines CIA (Common Iliac Artery) in CID 12112 (unilateral) , it has laterality and is included in row 24 "Left" and row 25 "Right" sections of TID 5100. 8. 6. 2. 3 TID 5200 Echocardiography Procedure Report TID 5200 row 3 - TID 1001 Observation Context Patient Name DCM 121029 Subject Name TID 1001 row 3 - TID 1006 row 2 - TID 1007 row 2 TID 5200 row 4 - TID 5201 Echocardiography Patient Characteristics Age DCM 121033 Subject Age TID 5201 row 2 Sex DCM 121032 Subject Sex TID 5201 row 3 BSA LN 8277-6 Body Surface Area TID 5201 row 7 Page 87 of 172

[Page 88] BSA Equation, DCM 122241 BSA = 0. 007184*WT^0. TID 5201 row 8 DuBois 425*HT^0. 725 BSA Equation, 99ALOKA A3663-001 BSA = 0. 0003207*WT^ (0. TID 5201 row 8 Boyd 7285-0. 0188 log (WT) ) *HT^0. 3 BSA Equation, 99ALOKA A3663-002 BSA = 0. 007358*HT^0. TID 5201 row 8 Shintani 725*WT^0. 425 Cardio measurements : TID 5200 row 7 - TID 5202 Echo Section (Left Ventricle) TID 5200 row 8 - TID 5202 Echo Section (Right Ventricle) TID 5200 row 9 - TID 5202 Echo Section (Left Atrium) TID 5200 row 10 - TID 5202 Echo Section (Right Atrium) TID 5200 row 11 - TID 5202 Echo Section (Aortic Valve) TID 5200 row 12 - TID 5202 Echo Section (Mitral Valve) TID 5200 row 13 - TID 5202 Echo Section (Pulmonic Valve) TID 5200 row 14 - TID 5202 Echo Section (Tricuspid Valve) TID 5200 row 15 - TID 5202 Echo Section (Aorta) TID 5200 row 17 - TID 5202 Echo Section (Vena Cava) TID 5200 row 18 - TID 5202 Echo Section (Pulmonary Venous Structure) TID 5200 row 19 - TID 5202 Echo Section (Cardiac Shunt Study) TID 5200 row 24 (Extension) - TID ALOKA-301 User Defined Equation Section The rightmost column "row" denotes the row number of TID 5200. In the "Modifier" column, "Image Mode (Group) " means TID 5202 row 4, "Image Mode" means TID 5203 row 5. (Area-Length, BP- Ellipse, Bullet, M. Simpson) LVLd (18077-8, LN, "Left Ventricle Image Mode (Group) = (G-03A2, SRT, "2D 7 diastolic major axis") mode") , Cardiac Cycle Point= (F-32011, SRT, "End Diastole") , Image Mode= (G- 03A2, SRT, "2D mode") LVLs (18076-0, LN, "Left Ventricle Image Mode (Group) = (G-03A2, SRT, "2D 7 systolic major axis") mode") , Cardiac Cycle Point= (109070, 03A2, SRT, "2D mode") Page 88 of 172

[Page 89] LVL2d (18077-8, LN, "Left Ventricle Image Mode (Group) = (G-03A2, SRT, "2D 7 diastolic major axis") mode") , Cardiac Cycle Point= (F-32011, SRT, "End Diastole") , Image Mode= (G- LVL2s (18076-0, LN, "Left Ventricle Image Mode (Group) = (G-03A2, SRT, "2D 7 systolic major axis") mode") , Cardiac Cycle Point= (109070, LVL4d (18077-8, LN, "Left Ventricle Image Mode (Group) = (G-03A2, SRT, "2D 7 diastolic major axis") mode") , Cardiac Cycle Point= (F-32011, SRT, "End Diastole") , Image Mode= (G- A19C, SRT, "Apical four chamber") LVL4s (18076-0, LN, "Left Ventricle Image Mode (Group) = (G-03A2, SRT, "2D 7 systolic major axis") mode") , Cardiac Cycle Point= (109070, A19C, SRT, "Apical four chamber") (Pombo, Teichholz, Gibson) LVIDd (29436-3, LN, "Left Ventricle Cardiac Cycle Point= (F-32011, SRT, "End 7 Internal End Diastolic Diastole") Dimension") LVIDs (29438-9, LN, "Left Ventricle Cardiac Cycle Point= (109070, DCM, "End 7 Internal Systolic Dimension") Systole") (BP-Ellipse) LVSLMVd (A12201-001, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 7 "Left Ventricular Short Axis mode") , Cardiac Cycle Point= (F-32011, Length at Mitral Valve") SRT, "End Diastole") , Image Mode= (G- 039A, SRT, "Parasternal short axis at the Mitral Valve level") LVSLMVs (A12201-001, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 7 "Left Ventricular Short Axis mode") , Cardiac Cycle Point= (109070, Length at Mitral Valve") DCM, "End Systole") , Image Mode= (G- 039A, SRT, "Parasternal short axis at the Mitral Valve level") (Area-Length, BP- Ellipse) LVLAd (G-0375, SRT, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Mode= (G-03A2, SRT, "2D mode") Page 89 of 172

[Page 90] LVLAs (G-0374, SRT, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Ventricular Systolic Area") mode") , Measurement Method= (125220, (109070, DCM, "End Systole") , Image Mode= (G-03A2, SRT, "2D mode") LVLA2d (G-0375, SRT, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Mode= (G-03A2, SRT, "2D mode") , Image LVLA2s (G-0374, SRT, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Ventricular Systolic Area") mode") , Measurement Method= (125220, (109070, DCM, "End Systole") , Image Mode= (G-03A2, SRT, "2D mode") , Image LVLA4d (G-0375, SRT, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Mode= (G-03A2, SRT, "2D mode") , Image View= (G-A19C, SRT, "Apical four LVLA4s (G-0374, SRT, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Ventricular Systolic Area") mode") , Measurement Method= (125220, (109070, DCM, "End Systole") , Image Mode= (G-03A2, SRT, "2D mode") , Image View= (G-A19C, SRT, "Apical four (BP-Ellipse, M. Simpson) LVSAMVd (G-0375, SRT, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Mode= (G-03A2, SRT, "2D mode") , Image View= (G-039A, SRT, "Parasternal short axis at the Mitral Valve level") LVSAMVs (G-0374, SRT, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Ventricular Systolic Area") mode") , Measurement Method= (125220, (109070, DCM, "End Systole") , Image Mode= (G-03A2, SRT, "2D mode") , Image View= (G-039A, SRT, "Parasternal short axis at the Mitral Valve level") (Bullet, M. Simpson) Page 90 of 172

[Page 91] LVSAPMd (G-0375, SRT, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Mode= (G-03A2, SRT, "2D mode") , Image View= (G-039B, SRT, "Parasternal short axis at the Papillary Muscle level") LVSAPMs (G-0374, SRT, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Ventricular Systolic Area") mode") , Measurement Method= (125220, (109070, DCM, "End Systole") , Image Mode= (G-03A2, SRT, "2D mode") , Image View= (G-039B, SRT, "Parasternal short axis at the Papillary Muscle level") (LV Mass (AL) ) Aepi (G-0379, SRT, "Left Ventricle Image Mode (Group) = (G-03A2, SRT, "2D 7 Epicardial Diastolic Area, mode") , Measurement Method= (125220, psax pap view") DCM, "Planimetry") , Cardiac Cycle Point= Mode= (G-03A2, SRT, "2D mode") , Image View= (G-039B, SRT, "Parasternal short axis at the Papillary Muscle level") Aend (G-0375, SRT, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Mode= (G-03A2, SRT, "2D mode") , Image View= (G-039B, SRT, "Parasternal short axis at the Papillary Muscle level") thick (A12201-002, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 7 "Mean Wall Thickness") mode") LVM (AL) (18087-7, LN, "Left Ventricle Image Mode (Group) = (G-03A2, SRT, "2D 7 Mass") mode") , Measurement Method= (A12232- 001, 99ALOKA, "Left Ventricle Mass by Area Length") LVM (AL) /BSA (A12203-001, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 7 "Left Ventricular Mass Index") mode") (LV Mass (Devereux) ) LVM (Devereux) (18087-7, LN, "Left Ventricle Image Mode (Group) = (G-0394, SRT, "M 7 Mass") mode") , Measurement Method= (A12232- 002, 99ALOKA, "Left Ventricle Mass by Penn") LVM (Devereux) (A12203-001, 99ALOKA, Image Mode (Group) = (G-0394, SRT, "M 7 /BSA "Left Ventricular Mass Index") mode") (LV Mass (ASE) ) LVM (ASE) (18087-7, LN, "Left Ventricle Image Mode (Group) = (G-0394, SRT, "M 7 Mass") mode") , Measurement Method= (125221, DCM, "Left Ventricle Mass by M-mode") , Image Mode= (G-0394, SRT, "M mode") Page 91 of 172

[Page 92] LVM (ASE) /BSA (A12203-001, 99ALOKA, Image Mode (Group) = (G-0394, SRT, "M 7 "Left Ventricular Mass Index") mode") , Image Mode= (G-0394, SRT, "M mode") Ventricular End Diastolic mode") , Measurement Method= (125207, Volume") DCM, "Method of Disks, Biplane") , Cardiac Ventricular End Systolic mode") , Measurement Method= (125207, Volume") DCM, "Method of Disks, Biplane") , Cardiac Cycle Point= (109070, DCM, "End Systole") Volume") mode") , Measurement Method= (125207, DCM, "Method of Disks, Biplane") Index") mode") , Measurement Method= (125207, DCM, "Method of Disks, Biplane") Output") mode") , Measurement Method= (125207, DCM, "Method of Disks, Biplane") Index") mode") , Measurement Method= (125207, DCM, "Method of Disks, Biplane") Ventricular Ejection Fraction") mode") , Measurement Method= (125207, DCM, "Method of Disks, Biplane") EDV (ap4C) (18026-5, LN, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Ventricular End Diastolic mode") , Measurement Method= (125208, Volume") DCM, "Method of Disks, Single Plane") , Cardiac Cycle Point= (F-32011, SRT, "End Diastole") , Image View= (G-A19C, SRT, "Apical four chamber") ESV (ap4C) (18148-7, LN, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Ventricular End Systolic mode") , Measurement Method= (125208, Volume") DCM, "Method of Disks, Single Plane") , Systole") , Image View= (G-A19C, SRT, "Apical four chamber") EDV (ap2C) (18026-5, LN, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Ventricular End Diastolic mode") , Measurement Method= (A12228- Volume") 001, 99ALOKA, "Method of Disks, Single Plane with Apical two chamber") , Cardiac Diastole") , Image View= (G-A19B, SRT, "Apical two chamber") Page 92 of 172

[Page 93] ESV (ap2C) (18148-7, LN, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Ventricular End Systolic mode") , Measurement Method= (A12228- Volume") 001, 99ALOKA, "Method of Disks, Single Plane with Apical two chamber") , Cardiac Cycle Point= (109070, DCM, "End Systole") , Image View= (G-A19B, SRT, "Apical two chamber") SV (ap4C) (F-32120, SRT, "Stroke Image Mode (Group) = (G-03A2, SRT, "2D 7 Volume") mode") , Measurement Method= (125208, DCM, "Method of Disks, Single Plane") , Image View= (G-A19C, SRT, "Apical four SVI (ap4C) (F-00078, SRT, "Stroke Image Mode (Group) = (G-03A2, SRT, "2D 7 Index") mode") , Measurement Method= (125208, DCM, "Method of Disks, Single Plane") , Image View= (G-A19C, SRT, "Apical four CO (ap4C) (F-32100, SRT, "Cardiac Image Mode (Group) = (G-03A2, SRT, "2D 7 Output") mode") , Measurement Method= (125208, DCM, "Method of Disks, Single Plane") , Image View= (G-A19C, SRT, "Apical four COI (ap4C) (F-32110, SRT, "Cardiac Image Mode (Group) = (G-03A2, SRT, "2D 7 Index") mode") , Measurement Method= (125208, DCM, "Method of Disks, Single Plane") , Image View= (G-A19C, SRT, "Apical four EF (ap4C) (18043-0, LN, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Ventricular Ejection Fraction") mode") , Measurement Method= (125208, DCM, "Method of Disks, Single Plane") , Image View= (G-A19C, SRT, "Apical four areaEF4 (G-0376, SRT, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Ventricular Fractional Area mode") , Measurement Method= (125208, Change") DCM, "Method of Disks, Single Plane") , Image View= (G-A19C, SRT, "Apical four SV (ap2C) (F-32120, SRT, "Stroke Image Mode (Group) = (G-03A2, SRT, "2D 7 001, 99ALOKA, "Method of Disks, Single Plane with Apical two chamber") , Image SVI (ap2C) (F-00078, SRT, "Stroke Image Mode (Group) = (G-03A2, SRT, "2D 7 001, 99ALOKA, "Method of Disks, Single Plane with Apical two chamber") , Image Page 93 of 172

[Page 94] CO (ap2C) (F-32100, SRT, "Cardiac Image Mode (Group) = (G-03A2, SRT, "2D 7 001, 99ALOKA, "Method of Disks, Single Plane with Apical two chamber") , Image COI (ap2C) (F-32110, SRT, "Cardiac Image Mode (Group) = (G-03A2, SRT, "2D 7 001, 99ALOKA, "Method of Disks, Single Plane with Apical two chamber") , Image EF (ap2C) (18043-0, LN, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 001, 99ALOKA, "Method of Disks, Single Plane with Apical two chamber") , Image areaEF2 (G-0376, SRT, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Change") 001, 99ALOKA, "Method of Disks, Single Plane with Apical two chamber") , Image %difD (A12203-003, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 7 "Long Axis (at End Diastole or mode") , Cardiac Cycle Point= (F-32011, End Systole) Length % SRT, "End Diastole") Difference") %difS (A12203-003, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 7 "Long Axis (at End Diastole or mode") , Cardiac Cycle Point= (109070, End Systole) Length % DCM, "End Systole") Difference") (Teichholz) EDV (18026-5, LN, "Left Measurement Method= (125209, DCM, 7 Ventricular End Diastolic "Teichholz") , Cardiac Cycle Point= (F- Volume") 32011, SRT, "End Diastole") ESV (18148-7, LN, "Left Measurement Method= (125209, DCM, 7 Ventricular End Systolic "Teichholz") , Cardiac Cycle Point= Volume") (109070, DCM, "End Systole") SV (F-32120, SRT, "Stroke Measurement Method= (125209, DCM, 7 Volume") "Teichholz") SVI (F-00078, SRT, "Stroke Measurement Method= (125209, DCM, 7 Index") "Teichholz") CO (F-32100, SRT, "Cardiac Measurement Method= (125209, DCM, 7 Output") "Teichholz") COI (F-32110, SRT, "Cardiac Measurement Method= (125209, DCM, 7 Index") "Teichholz") EF (18043-0, LN, "Left Measurement Method= (125209, DCM, 7 Ventricular Ejection Fraction") "Teichholz") Page 94 of 172

[Page 95] (Pombo, Teichholz, Gibson) FS (18051-3, LN, "Left 7 Ventricular Fractional Shortening") mFS (A12203-004, 99ALOKA, 7 "Midwall Fractional Shortening") (Pombo) EDV (18026-5, LN, "Left Measurement Method= (125206, DCM, 7 Ventricular End Diastolic "Cube Method") , Cardiac Cycle Point= (F- Volume") 32011, SRT, "End Diastole") ESV (18148-7, LN, "Left Measurement Method= (125206, DCM, 7 Ventricular End Systolic "Cube Method") , Cardiac Cycle Point= Volume") (109070, DCM, "End Systole") SV (F-32120, SRT, "Stroke Measurement Method= (125206, DCM, 7 Volume") "Cube Method") SVI (F-00078, SRT, "Stroke Measurement Method= (125206, DCM, 7 Index") "Cube Method") CO (F-32100, SRT, "Cardiac Measurement Method= (125206, DCM, 7 Output") "Cube Method") COI (F-32110, SRT, "Cardiac Measurement Method= (125206, DCM, 7 Index") "Cube Method") EF (18043-0, LN, "Left Measurement Method= (125206, DCM, 7 Ventricular Ejection Fraction") "Cube Method") (Gibson) EDV (18026-5, LN, "Left Measurement Method= (A12228-002, 7 Ventricular End Diastolic 99ALOKA, "Gibson") , Cardiac Cycle Point= Volume") (F-32011, SRT, "End Diastole") ESV (18148-7, LN, "Left Measurement Method= (A12228-002, 7 Ventricular End Systolic 99ALOKA, "Gibson") , Cardiac Cycle Point= Volume") (109070, DCM, "End Systole") SV (F-32120, SRT, "Stroke Measurement Method= (A12228-002, 7 Volume") 99ALOKA, "Gibson") SVI (F-00078, SRT, "Stroke Measurement Method= (A12228-002, 7 Index") 99ALOKA, "Gibson") CO (F-32100, SRT, "Cardiac Measurement Method= (A12228-002, 7 Output") 99ALOKA, "Gibson") COI (F-32110, SRT, "Cardiac Measurement Method= (A12228-002, 7 Index") 99ALOKA, "Gibson") EF (18043-0, LN, "Left Measurement Method= (A12228-002, 7 Ventricular Ejection Fraction") 99ALOKA, "Gibson") (Area-Length) Ventricular End Diastolic mode") , Measurement Method= (125205, Volume") DCM, "Area-Length Single Plane") , Cardiac Page 95 of 172

[Page 96] Ventricular End Systolic mode") , Measurement Method= (125205, Volume") DCM, "Area-Length Single Plane") , Cardiac Cycle Point= (109070, DCM, "End Systole") Volume") mode") , Measurement Method= (125205, DCM, "Area-Length Single Plane") Index") mode") , Measurement Method= (125205, DCM, "Area-Length Single Plane") Output") mode") , Measurement Method= (125205, DCM, "Area-Length Single Plane") Index") mode") , Measurement Method= (125205, DCM, "Area-Length Single Plane") Ventricular Ejection Fraction") mode") , Measurement Method= (125205, DCM, "Area-Length Single Plane") areaEF (G-0376, SRT, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Ventricular Fractional Area mode") , Measurement Method= (125205, Change") DCM, "Area-Length Single Plane") (BP-Ellipse) Ventricular End Diastolic mode") , Measurement Method= (125204, Volume") DCM, "Area-Length Biplane") , Cardiac Ventricular End Systolic mode") , Measurement Method= (125204, Volume") DCM, "Area-Length Biplane") , Cardiac Cycle Point= (109070, DCM, "End Systole") Volume") mode") , Measurement Method= (125204, DCM, "Area-Length Biplane") Index") mode") , Measurement Method= (125204, DCM, "Area-Length Biplane") Output") mode") , Measurement Method= (125204, DCM, "Area-Length Biplane") Index") mode") , Measurement Method= (125204, DCM, "Area-Length Biplane") Ventricular Ejection Fraction") mode") , Measurement Method= (125204, DCM, "Area-Length Biplane") areaEFlx (A12203-005, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 7 "Area Ejection Fraction at mode") , Measurement Method= (125204, Long Axis View") DCM, "Area-Length Biplane") Page 96 of 172

[Page 97] areaEFsx (A12203-006, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 7 "Area Ejection Fraction at mode") , Measurement Method= (125204, Short Axis View") DCM, "Area-Length Biplane") (M. Simpson) Ventricular End Diastolic mode") , Measurement Method= (A12228- Volume") 003, 99ALOKA, "Modified Simpson's") , Cardiac Cycle Point= (F-32011, SRT, "End Ventricular End Systolic mode") , Measurement Method= (A12228- Volume") 003, 99ALOKA, "Modified Simpson's") , 003, 99ALOKA, "Modified Simpson's") 003, 99ALOKA, "Modified Simpson's") 003, 99ALOKA, "Modified Simpson's") 003, 99ALOKA, "Modified Simpson's") 003, 99ALOKA, "Modified Simpson's") areaEFmv (G-0376, SRT, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Change") 003, 99ALOKA, "Modified Simpson's") , Image View= (G-039A, SRT, "Parasternal short axis at the Mitral Valve level") areaEFpm (G-0376, SRT, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Change") 003, 99ALOKA, "Modified Simpson's") , Image View= (G-039B, SRT, "Parasternal short axis at the Papillary Muscle level") (Bullet) Ventricular End Diastolic mode") , Measurement Method= (A12228- Volume") 004, 99ALOKA, "Bullet") , Cardiac Cycle Point= (F-32011, SRT, "End Diastole") Ventricular End Systolic mode") , Measurement Method= (A12228- Volume") 004, 99ALOKA, "Bullet") , Cardiac Cycle Point= (109070, DCM, "End Systole") Page 97 of 172

[Page 98] 004, 99ALOKA, "Bullet") 004, 99ALOKA, "Bullet") 004, 99ALOKA, "Bullet") 004, 99ALOKA, "Bullet") 004, 99ALOKA, "Bullet") areaEF (G-0376, SRT, "Left Image Mode (Group) = (G-03A2, SRT, "2D 7 Change") 004, 99ALOKA, "Bullet") (LV Volume, LV Function) HR (LV Volume (8867-4, LN, "Heart rate") 7 (Simpson (Disc) ) ) HR (LV Volume) (8867-4, LN, "Heart rate") 7 HR (LV Function) (8867-4, LN, "Heart rate") 7 (LV Function (Pombo, Teichholz, Gibson) ) ET (18041-4, LN, "Aortic Valve Image Mode (Group) = (G-0394, SRT, "M 11 Ejection Time") mode") MVCF (A12203-009, 99ALOKA, Image Mode (Group) = (G-0394, SRT, "M 7 "Mean Velocity of mode") Circumferential Fiber Shortening") (MVA) MVA (G-038E, SRT, Image Mode (Group) = (G-03A2, SRT, "2D 12 "Cardiovascular Orifice Area") mode") , Measurement Method= (125220, DCM, "Planimetry") , Flow Direction= (R- 42047, SRT, "Antegrade Flow") , Image Mode= (G-03A2, SRT, "2D mode") , Image View= (G-039A, SRT, "Parasternal short axis at the Mitral Valve level") (AVA) Page 98 of 172

[Page 99] AVA (G-038E, SRT, Image Mode (Group) = (G-03A2, SRT, "2D 11 "Cardiovascular Orifice Area") mode") , Measurement Method= (125220, DCM, "Planimetry") , Flow Direction= (R- 42047, SRT, "Antegrade Flow") , Image Mode= (G-03A2, SRT, "2D mode") , Image View= (G-0398, SRT, "Parasternal short axis at the aortic valve level") (RVD, Pombo, Teichholz, Gibson) RVDd (20304-2, LN, "Right Cardiac Cycle Point= (F-32011, SRT, "End 8 Ventricular Internal Diastolic Diastole") Dimension") RVDs (20305-9, LN, "Right Cardiac Cycle Point= (109070, DCM, "End 8 Ventricular Internal Systolic Systole") Dimension") (Ratio, Pombo, Teichholz, Gibson) IVSd (18154-5, LN, Cardiac Cycle Point= (F-32011, SRT, "End 7 "Interventricular Septum Diastole") Diastolic Thickness") IVSs (18158-6, LN, Cardiac Cycle Point= (109070, DCM, "End 7 "Interventricular Septum Systole") Systolic Thickness") %IVSTF (18054-7, LN, 7 "Interventricular Septum % Thickening") LVPWd (18152-9, LN, "Left Ventricle Cardiac Cycle Point= (F-32011, SRT, "End 7 Posterior Wall Diastolic Diastole") Thickness") LVPWs (18156-0, LN, "Left Ventricle Cardiac Cycle Point= (109070, DCM, "End 7 Posterior Wall Systolic Systole") Thickness") %PWTF (18053-9, LN, "Left Ventricle 7 Posterior Wall % Thickening") IVS/LVPW (18155-2, LN, 7 "Interventricular Septum to Posterior Wall Thickness Ratio") (LVOT Flow) LVOT (G-038F, SRT, Image Mode (Group) = (G-03A2, SRT, "2D 7 "Cardiovascular Orifice mode") , Finding Site= (T-32650, SRT, "Left Diameter") Ventricle Outflow Tract") CSA (LVOT) (G-038E, SRT, Image Mode (Group) = (G-03A2, SRT, "2D 7 "Cardiovascular Orifice Area") mode") , Finding Site= (T-32650, SRT, "Left Ventricle Outflow Tract") (RVOT Flow) Page 99 of 172

[Page 100] RVOT (G-038F, SRT, Image Mode (Group) = (G-03A2, SRT, "2D 8 "Cardiovascular Orifice mode") , Finding Site= (T-32550, SNM3, Diameter") "Right Ventricle Outflow Tract") , Image Mode= (G-03A2, SRT, "2D mode") CSA (RVOT) (G-038E, SRT, Image Mode (Group) = (G-03A2, SRT, "2D 8 "Cardiovascular Orifice Area") mode") , Finding Site= (T-32550, SNM3, "Right Ventricle Outflow Tract") (RVD) RVAWd (18153-7, LN, "Right Image Mode (Group) = (G-03A2, SRT, "2D 8 Ventricular Anterior Wall mode") , Cardiac Cycle Point= (F-32011, Diastolic Thickness") SRT, "End Diastole") RVAWs (18157-8, LN, "Right Image Mode (Group) = (G-03A2, SRT, "2D 8 Ventricular Anterior Wall mode") , Cardiac Cycle Point= (109070, Systolic Thickness") DCM, "End Systole") (IVC) Insp (18006-7, LN, "Inferior Vena Respiratory Cycle Point= (F-20010, SRT, 17 Cava Diameter") "During Inspiration") Exp (18006-7, LN, "Inferior Vena Respiratory Cycle Point= (F-20020, SRT, 17 Cava Diameter") "During Expiration") %Collapse (18050-5, LN, "Inferior Vena 17 Cava % Collapse") (LA/AO) LADd (A12205-001, 99ALOKA, Cardiac Cycle Point= (F-32011, SRT, "End 9 "Left Atrium Antero-posterior Diastole") Diastolic Dimension") LADs (29469-4, LN, "Left Atrium Cardiac Cycle Point= (109070, DCM, "End 9 Antero-posterior Systolic Systole") Dimension") AODd (18015-8, LN, "Aortic Root Cardiac Cycle Point= (F-32011, SRT, "End 15 Diameter") Diastole") AODs (18015-8, LN, "Aortic Root Cardiac Cycle Point= (109070, DCM, "End 15 Diameter") Systole") AVDs (G-038F, SRT, Finding Site= (T-35410, SRT, "Aortic Valve 11 "Cardiovascular Orifice Ring") , Flow Direction= (R-42047, SRT, Diameter") "Antegrade Flow") , Cardiac Cycle Point= (F-32020, SRT, "Systole") LADs/AODd (17985-3, LN, "Left Atrium to 9 Aortic Root Ratio") (Mitral V) C-Eamp (A12207-001, 99ALOKA, Image Mode (Group) = (G-0394, SRT, "M 12 "Mitral Valve Dimension of C mode") , Image Mode= (G-0394, SRT, "M point to E point by M-Mode") mode") C-Aamp (A12207-002, 99ALOKA, Image Mode (Group) = (G-0394, SRT, "M 12 "Mitral Valve Dimension of C mode") , Image Mode= (G-0394, SRT, "M point to A point by M-Mode") mode") Page 100 of 172

[Page 101] EPSS (18036-4, LN, "Mitral Valve Image Mode (Group) = (G-0394, SRT, "M 12 EPSS, E wave") mode") , Image Mode= (G-0394, SRT, "M mode") E-Fslop (18040-6, LN, "Mitral Valve Image Mode (Group) = (G-0394, SRT, "M 12 E-F Slope by M-Mode") mode") , Image Mode= (G-0394, SRT, "M mode") A/E (A12207-003, 99ALOKA, Image Mode (Group) = (G-0394, SRT, "M 12 "Mitral Valve C-A Dimension mode") to C-E Dimension Ratio by M- Mode") E/A (A12207-004, 99ALOKA, Image Mode (Group) = (G-0394, SRT, "M 12 "Mitral Valve C-E Dimension mode") to C-A Dimension Ratio by M- Mode") (Tricuspid V) C-Eamp (A12208-001, 99ALOKA, Image Mode (Group) = (G-0394, SRT, "M 14 "Tricuspid Valve Dimension of mode") , Image Mode= (G-0394, SRT, "M C point to E point by M- mode") Mode") C-Aamp (A12208-002, 99ALOKA, Image Mode (Group) = (G-0394, SRT, "M 14 "Tricuspid Valve Dimension of mode") , Image Mode= (G-0394, SRT, "M C point to A point by M- mode") Mode") D-Eamp (A12208-003, 99ALOKA, Image Mode (Group) = (G-0394, SRT, "M 14 "Tricuspid Valve Dimension of mode") , Image Mode= (G-0394, SRT, "M D point to E point by M- mode") Mode") E-Fslop (A12208-004, 99ALOKA, Image Mode (Group) = (G-0394, SRT, "M 14 "Tricuspid Valve Velocity from mode") , Image Mode= (G-0394, SRT, "M E point to F point by M- mode") Mode") D-Eslop (A12208-005, 99ALOKA, Image Mode (Group) = (G-0394, SRT, "M 14 "Tricuspid Valve Velocity from mode") , Image Mode= (G-0394, SRT, "M D point to E point by M- mode") Mode") A/E (A12208-006, 99ALOKA, Image Mode (Group) = (G-0394, SRT, "M 14 "Tricuspid Valve C-A mode") Dimension to C-E Dimension Ratio by M-Mode") E/A (A12208-007, 99ALOKA, Image Mode (Group) = (G-0394, SRT, "M 14 "Tricuspid Valve C-E mode") Dimension to C-A Dimension Ratio by M-Mode") (Pulmonary V) A wave amp (A12209-001, 99ALOKA, Image Mode (Group) = (G-0394, SRT, "M 13 "Pulmonic Valve Dimension of mode") , Image Mode= (G-0394, SRT, "M F point to A point by M- mode") Mode") Page 101 of 172

[Page 102] B-Camp (A12209-002, 99ALOKA, Image Mode (Group) = (G-0394, SRT, "M 13 "Pulmonic Valve Dimension of mode") , Image Mode= (G-0394, SRT, "M B point to C point by M- mode") Mode") E-Fslop (A12209-003, 99ALOKA, Image Mode (Group) = (G-0394, SRT, "M 13 "Pulmonic Valve Velocity from mode") , Image Mode= (G-0394, SRT, "M E point to F point by M- mode") Mode") B-Cslop (A12209-004, 99ALOKA, Image Mode (Group) = (G-0394, SRT, "M 13 "Pulmonic Valve Velocity from mode") , Image Mode= (G-0394, SRT, "M B point to C point by M- mode") Mode") (LVOT Flow) pV (11726-7, LN, "Peak Finding Site= (T-32650, SRT, "Left Ventricle 7 Velocity") Outflow Tract") MnV (20352-1, LN, "Mean Finding Site= (T-32650, SRT, "Left Ventricle 7 Velocity") Outflow Tract") MPG (20256-4, LN, "Mean Measurement Method= (125218, DCM, 7 Gradient") "Simplified Bernoulli") , Finding Site= (T- 32650, SRT, "Left Ventricle Outflow Tract") VTI (20354-7, LN, "Velocity Time Finding Site= (T-32650, SRT, "Left Ventricle 7 Integral") Outflow Tract") AccT (20168-1, LN, "Acceleration Finding Site= (T-32650, SRT, "Left Ventricle 7 Time") Outflow Tract") PEP (A12222-001, 99ALOKA, Finding Site= (T-32650, SRT, "Left Ventricle 7 "Pre-Ejection Period") Outflow Tract") ET (18041-4, LN, "Aortic Valve Finding Site= (T-32650, SRT, "Left Ventricle 11 Ejection Time") Outflow Tract") HR (8867-4, LN, "Heart rate") Finding Site= (T-32650, SRT, "Left Ventricle 7 Outflow Tract") AccT/ET (G-0382, SRT, "Ratio of Finding Site= (T-32650, SRT, "Left Ventricle 11 Aortic Valve Acceleration Outflow Tract") Time to Ejection Time") PG (20247-3, LN, "Peak Measurement Method= (125218, DCM, 7 Gradient") "Simplified Bernoulli") , Finding Site= (T- 32650, SRT, "Left Ventricle Outflow Tract") SV (LVOT) (F-32120, SRT, "Stroke Finding Site= (T-32650, SRT, "Left Ventricle 7 Volume") Outflow Tract") CO (LVOT) (F-32100, SRT, "Cardiac Finding Site= (T-32650, SRT, "Left Ventricle 7 Output") Outflow Tract") PEP/ET (A12222-002, 99ALOKA, Finding Site= (T-32650, SRT, "Left Ventricle 7 "PEP/ET") Outflow Tract") SVI (LVOT) (F-00078, SRT, "Stroke Finding Site= (T-32650, SRT, "Left Ventricle 7 Index") Outflow Tract") COI (LVOT) (F-32110, SRT, "Cardiac Finding Site= (T-32650, SRT, "Left Ventricle 7 Index") Outflow Tract") (RVOT Flow) Page 102 of 172

[Page 103] pV (11726-7, LN, "Peak Finding Site= (T-32550, SNM3, "Right 8 Velocity") Ventricle Outflow Tract") MnV (20352-1, LN, "Mean Finding Site= (T-32550, SNM3, "Right 8 Velocity") Ventricle Outflow Tract") MPG (20256-4, LN, "Mean Measurement Method= (125218, DCM, 8 Gradient") "Simplified Bernoulli") , Finding Site= (T- 32550, SNM3, "Right Ventricle Outflow Tract") VTI (20354-7, LN, "Velocity Time Finding Site= (T-32550, SNM3, "Right 8 Integral") Ventricle Outflow Tract") AccT (20168-1, LN, "Acceleration Finding Site= (T-32550, SNM3, "Right 8 Time") Ventricle Outflow Tract") PEP (A12222-001, 99ALOKA, Finding Site= (T-32550, SNM3, "Right 8 "Pre-Ejection Period") Ventricle Outflow Tract") ET (18042-2, LN, "Pulmonic Finding Site= (T-32550, SNM3, "Right 13 Valve Ejection Time") Ventricle Outflow Tract") HR (8867-4, LN, "Heart rate") Finding Site= (T-32550, SNM3, "Right 8 Ventricle Outflow Tract") AccT/ET (G-0388, SRT, "Ratio of Finding Site= (T-32550, SNM3, "Right 13 Pulmonic Valve Acceleration Ventricle Outflow Tract") Time to Ejection Time") PG (20247-3, LN, "Peak Measurement Method= (125218, DCM, 8 Gradient") "Simplified Bernoulli") , Finding Site= (T- 32550, SNM3, "Right Ventricle Outflow Tract") SV (RVOT) (F-32120, SRT, "Stroke Finding Site= (T-32550, SNM3, "Right 8 Volume") Ventricle Outflow Tract") CO (RVOT) (F-32100, SRT, "Cardiac Finding Site= (T-32550, SNM3, "Right 8 Output") Ventricle Outflow Tract") PEP/ET (A12222-002, 99ALOKA, Finding Site= (T-32550, SNM3, "Right 8 "PEP/ET") Ventricle Outflow Tract") Qp/Qs (29462-9, LN, "Pulmonary-to- 19 Systemic Shunt Flow Ratio") SVI (RVOT) (F-00078, SRT, "Stroke Finding Site= (T-32550, SNM3, "Right 8 Index") Ventricle Outflow Tract") COI (RVOT) (F-32110, SRT, "Cardiac Finding Site= (T-32550, SNM3, "Right 8 Index") Ventricle Outflow Tract") (Trans M Flow) eV (18037-2, LN, "Mitral Valve 12 E-Wave Peak Velocity") aV (17978-8, LN, "Mitral Valve 12 A-Wave Peak Velocity") MnV (20352-1, LN, "Mean Image Mode (Group) = (R-409E4, SRT, 12 Velocity") "Doppler Pulsed") , Flow Direction= (R- Page 103 of 172

[Page 104] MPG (20256-4, LN, "Mean Image Mode (Group) = (R-409E4, SRT, 12 Gradient") "Doppler Pulsed") , Measurement Method= (125218, DCM, "Simplified Bernoulli") , Flow AccT (20168-1, LN, "Acceleration 12 Time") P1/2T (20280-4, LN, "Pressure Half- Image Mode (Group) = (R-409E4, SRT, 12 Time") "Doppler Pulsed") , Flow Direction= (R- IRT (18071-1, LN, "Left 7 Ventricular Isovolumic Relaxation Time") DecT (G-0384, SRT, "Mitral Valve 12 E-Wave Deceleration Time") Edur (A12207-005, 99ALOKA, Flow Direction= (R-42047, SRT, "Antegrade 12 "Mitral Valve E-Wave Flow") Duration") Adur (G-0385, SRT, "Mitral Valve Flow Direction= (R-42047, SRT, "Antegrade 12 A-Wave Duration") Flow") VTI (20354-7, LN, "Velocity Time Flow Direction= (R-42047, SRT, "Antegrade 12 Integral") Flow") LVDFT (A12203-010, 99ALOKA, 7 "Left Ventricle Diastole Filling Time") RR (122182, DCM, "R-R 7 interval") MVA (P1/2T) (G-038E, SRT, Image Mode (Group) = (R-409E4, SRT, 12 "Cardiovascular Orifice Area") "Doppler Pulsed") , Measurement Method= (125210, DCM, "Area by Pressure Half- Time") , Flow Direction= (R-42047, SRT, E/A (18038-0, LN, "Mitral Valve E 12 to A Ratio") A/E (A12207-006, 99ALOKA, 12 "Mitral Valve A to E Ratio") EPG (A12207-007, 99ALOKA, Measurement Method= (125218, DCM, 12 "Mitral Valve E-wave Peak "Simplified Bernoulli") Pressure Gradient") APG (A12207-008, 99ALOKA, Measurement Method= (125218, DCM, 12 "Mitral Valve A-wave Peak "Simplified Bernoulli") Pressure Gradient") E/Em (A12203-011, 99ALOKA, 7 "Ratio of MV E-Wave Peak Vel. to Early Diastolic Myocardium Vel. ") Page 104 of 172

[Page 105] PVAdur-Adur (A12207-009, 99ALOKA, 12 "Subtraction of A-wave Duration from PVA-wave Duration") LVDFT/RR (A12203-012, 99ALOKA, 7 "Ratio of Left Ventricle Diastole Filling Time to R-R interval") (AS Flow) pV (11726-7, LN, "Peak Flow Direction= (R-42047, SRT, "Antegrade 11 Velocity") Flow") MnV (20352-1, LN, "Mean Flow Direction= (R-42047, SRT, "Antegrade 11 Velocity") Flow") MPG (20256-4, LN, "Mean Measurement Method= (125218, DCM, 11 VTI (20354-7, LN, "Velocity Time Flow Direction= (R-42047, SRT, "Antegrade 11 Integral") Flow") AVA (G-038E, SRT, Measurement Method= (125215, DCM, 11 "Cardiovascular Orifice Area") "Continuity Equation by Velocity Time Integral") , Flow Direction= (R-42047, SRT, PG (20247-3, LN, "Peak Measurement Method= (125218, DCM, 11 (PS Flow) pV (11726-7, LN, "Peak Flow Direction= (R-42047, SRT, "Antegrade 13 Velocity") Flow") MnV (20352-1, LN, "Mean Flow Direction= (R-42047, SRT, "Antegrade 13 Velocity") Flow") MPG (20256-4, LN, "Mean Measurement Method= (125218, DCM, 13 PG (20247-3, LN, "Peak Measurement Method= (125218, DCM, 13 (MS Flow) pV (11726-7, LN, "Peak Flow Direction= (R-42047, SRT, "Antegrade 12 Velocity") Flow") MnV (20352-1, LN, "Mean Image Mode (Group) = (R-409E3, SRT, 12 Velocity") "Doppler Continuous Wave") , Flow MPG (20256-4, LN, "Mean Image Mode (Group) = (R-409E3, SRT, 12 Gradient") "Doppler Continuous Wave") , Measurement Method= (125218, DCM, "Simplified Bernoulli") , Flow Direction= (R-42047, SRT, Page 105 of 172

[Page 106] FlowT (A12222-003, 99ALOKA, Flow Direction= (R-42047, SRT, "Antegrade 12 "Flow Time") Flow") P1/2T (20280-4, LN, "Pressure Half- Image Mode (Group) = (R-409E3, SRT, 12 Time") "Doppler Continuous Wave") , Flow PG (20247-3, LN, "Peak Measurement Method= (125218, DCM, 12 MVA (P1/2T) (G-038E, SRT, Image Mode (Group) = (R-409E3, SRT, 12 "Cardiovascular Orifice Area") "Doppler Continuous Wave") , Measurement Method= (125210, DCM, "Area by Pressure Half-Time") , Flow Direction= (R-42047, SRT, "Antegrade Flow") (TS Flow) pV (11726-7, LN, "Peak Flow Direction= (R-42047, SRT, "Antegrade 14 Velocity") Flow") MnV (20352-1, LN, "Mean Flow Direction= (R-42047, SRT, "Antegrade 14 Velocity") Flow") MPG (20256-4, LN, "Mean Measurement Method= (125218, DCM, 14 FlowT (A12222-003, 99ALOKA, Flow Direction= (R-42047, SRT, "Antegrade 14 "Flow Time") Flow") P1/2T (20280-4, LN, "Pressure Half- Flow Direction= (R-42047, SRT, "Antegrade 14 Time") Flow") PG (20247-3, LN, "Peak Measurement Method= (125218, DCM, 14 (AR Flow) pV (11726-7, LN, "Peak Flow Direction= (R-42E61, SRT, 11 Velocity") "Regurgitant Flow") MnV (20352-1, LN, "Mean Flow Direction= (R-42E61, SRT, 11 Velocity") "Regurgitant Flow") MPG (20256-4, LN, "Mean Measurement Method= (125218, DCM, 11 42E61, SRT, "Regurgitant Flow") P1/2T (20280-4, LN, "Pressure Half- Flow Direction= (R-42E61, SRT, 11 Time") "Regurgitant Flow") PG (20247-3, LN, "Peak Measurement Method= (125218, DCM, 11 42E61, SRT, "Regurgitant Flow") (MR Flow) pV (11726-7, LN, "Peak Flow Direction= (R-42E61, SRT, 12 Velocity") "Regurgitant Flow") MnV (20352-1, LN, "Mean Flow Direction= (R-42E61, SRT, 12 Velocity") "Regurgitant Flow") Page 106 of 172

[Page 107] MPG (20256-4, LN, "Mean Measurement Method= (125218, DCM, 12 42E61, SRT, "Regurgitant Flow") FlowT (A12222-003, 99ALOKA, Flow Direction= (R-42E61, SRT, 12 "Flow Time") "Regurgitant Flow") PG (20247-3, LN, "Peak Measurement Method= (125218, DCM, 12 42E61, SRT, "Regurgitant Flow") dP/dt (18035-6, LN, "Mitral 12 Regurgitation dP/dt derived from Mitral Reg. velocity") (TR Flow) pV (11726-7, LN, "Peak Flow Direction= (R-42E61, SRT, 14 Velocity") "Regurgitant Flow") MnV (20352-1, LN, "Mean Flow Direction= (R-42E61, SRT, 14 Velocity") "Regurgitant Flow") MPG (20256-4, LN, "Mean Measurement Method= (125218, DCM, 14 42E61, SRT, "Regurgitant Flow") FlowT (A12222-003, 99ALOKA, Flow Direction= (R-42E61, SRT, 14 "Flow Time") "Regurgitant Flow") RAP (18070-3, LN, "Right Atrium 10 Systolic Pressure") PG (20247-3, LN, "Peak Measurement Method= (125218, DCM, 14 42E61, SRT, "Regurgitant Flow") RVSP (G-0380, SRT, "Right Cardiac Cycle Point= (F-32020, SRT, 8 Ventricular Peak Systolic "Systole") Pressure") dP/dt (18034-9, LN, "Tricuspid 14 Regurgitation dP/dt") (PR Flow) pV (11726-7, LN, "Peak Flow Direction= (R-42E61, SRT, 13 Velocity") "Regurgitant Flow") MnV (20352-1, LN, "Mean Flow Direction= (R-42E61, SRT, 13 Velocity") "Regurgitant Flow") MPG (20256-4, LN, "Mean Measurement Method= (125218, DCM, 13 42E61, SRT, "Regurgitant Flow") PG (20247-3, LN, "Peak Measurement Method= (125218, DCM, 13 42E61, SRT, "Regurgitant Flow") (PV Flow) PVS (29450-4, LN, "Pulmonary 18 Vein Systolic Peak Velocity") PVD (29451-2, LN, "Pulmonary 18 Vein Diastolic Peak Velocity") Page 107 of 172

[Page 108] PVA (29453-8, LN, "Pulmonary 18 Vein Atrial Contraction Reversal Peak Velocity") S-VTI (G-038C, SRT, "Pulmonary 18 Vein S-Wave Velocity Time Integral") D-VTI (G-038D, SRT, "Pulmonary 18 Vein D-Wave Velocity Time Integral") PVAdur (G-038B, SRT, "Pulmonary 18 Vein A-Wave Duration") DecT (A12214-001, 99ALOKA, 18 "Deceleration Time of D- Wave Flow") S/D (29452-0, LN, "Pulmonary 18 Vein Systolic to Diastolic Ratio") SF (A12214-002, 99ALOKA, 18 "Systolic Fraction") (AR Vol. PISA) PISA Radius (A12222-004, 99ALOKA, 11 AR Alias V (Vr) (A12222-005, 99ALOKA, 11 Angle (PISA) (A12222-006, 99ALOKA, 11 VTI (AR) (A12211-001, 99ALOKA, Flow Direction= (R-42E61, SRT, 11 Aortic Regurgitant Flow") AR Vol (33878-0, LN, "Volume Measurement Method= (125216, DCM, 11 Finding Site= (T-35410, SRT, "Aortic Valve Ring") , Flow Direction= (R-42E61, SRT, AR EROA (G-038E, SRT, Measurement Method= (125216, DCM, 11 AR Flow Rt (34141-2, LN, "Peak Measurement Method= (125216, DCM, 11 AR PISA (A12211-003, 99ALOKA, Measurement Method= (125216, DCM, 11 "Aortic Regurgitant Proximal "Proximal Isovelocity Surface Area") , Flow Isovelocity Surface Area") Direction= (R-42E61, SRT, "Regurgitant Page 108 of 172

[Page 109] AR RF (G-0390, SRT, "Regurgitant Measurement Method= (125216, DCM, 11 (MR Vol. PISA) PISA Radius (A12222-004, 99ALOKA, 12 MR Alias V (Vr) (A12222-005, 99ALOKA, 12 Angle (PISA) (A12222-006, 99ALOKA, 12 VTI (MR) (A12207-010, 99ALOKA, Flow Direction= (R-42E61, SRT, 12 Mitral Regurgitant Flow") MV Diam (G-038F, SRT, Finding Site= (T-35313, SRT, "Mitral 12 "Cardiovascular Orifice Annulus") , Flow Direction= (R-42047, SRT, Diameter") "Antegrade Flow") VTI (MVannu) (20354-7, LN, "Velocity Time Finding Site= (T-35313, SRT, "Mitral 12 Integral") Annulus") , Flow Direction= (R-42047, SRT, MR Vol (33878-0, LN, "Volume Measurement Method= (125216, DCM, 12 Finding Site= (T-35313, SRT, "Mitral Annulus") , Flow Direction= (R-42E61, SRT, MR EROA (G-038E, SRT, Measurement Method= (125216, DCM, 12 MR Flow Rt (34141-2, LN, "Peak Measurement Method= (125216, DCM, 12 MR PISA (A12207-012, 99ALOKA, Measurement Method= (125216, DCM, 12 "Mitral Regurgitant Proximal "Proximal Isovelocity Surface Area") , Flow Isovelocity Surface Area") Direction= (R-42E61, SRT, "Regurgitant MR RF (G-0390, SRT, "Regurgitant Measurement Method= (125216, DCM, 12 SV (MV) (A12207-013, 99ALOKA, Measurement Method= (125219, DCM, 12 "Flow Volume of Mitral Valve "Doppler Volume Flow") Annulus in Flow") (TR Vol. PISA) Page 109 of 172

[Page 110] PISA Radius (A12222-004, 99ALOKA, 14 TR Alias V (Vr) (A12222-005, 99ALOKA, 14 Angle (PISA) (A12222-006, 99ALOKA, 14 VTI (TR) (A12208-008, 99ALOKA, Flow Direction= (R-42E61, SRT, 14 Tricuspid Regurgitant Flow") TV Diam (G-038F, SRT, Finding Site= (T-35111, SRT, "Tricuspid 14 "Cardiovascular Orifice Annulus") , Flow Direction= (R-42047, SRT, Diameter") "Antegrade Flow") VTI (TVannu) (20354-7, LN, "Velocity Time Finding Site= (T-35111, SRT, "Tricuspid 14 Integral") Annulus") , Flow Direction= (R-42047, SRT, TR Vol (33878-0, LN, "Volume Measurement Method= (125216, DCM, 14 Finding Site= (T-35111, SRT, "Tricuspid Annulus") , Flow Direction= (R-42E61, SRT, TR EROA (G-038E, SRT, Measurement Method= (125216, DCM, 14 TR Flow Rt (34141-2, LN, "Peak Measurement Method= (125216, DCM, 14 TR PISA (A12208-010, 99ALOKA, Measurement Method= (125216, DCM, 14 "Tricuspid Regurgitant "Proximal Isovelocity Surface Area") , Flow Proximal Isovelocity Surface Direction= (R-42E61, SRT, "Regurgitant Area") Flow") TR RF (G-0390, SRT, "Regurgitant Measurement Method= (125216, DCM, 14 SV (TV) (A12208-011, 99ALOKA, Measurement Method= (125219, DCM, 14 "Flow Volume of Tricuspid "Doppler Volume Flow") Valve Annulus in Flow") (PR Vol. PISA) PISA Radius (A12222-004, 99ALOKA, 13 PR Alias V (Vr) (A12222-005, 99ALOKA, 13 Page 110 of 172

[Page 111] Angle (PISA) (A12222-006, 99ALOKA, 13 VTI (PR) (A12209-005, 99ALOKA, Flow Direction= (R-42E61, SRT, 13 Pulmonic Regurgitant Flow") PR Vol (33878-0, LN, "Volume Measurement Method= (125216, DCM, 13 Flow") "Proximal Isovelocity Surface Area") , Flow PR EROA (G-038E, SRT, Measurement Method= (125216, DCM, 13 PR Flow Rt (34141-2, LN, "Peak Measurement Method= (125216, DCM, 13 PR PISA (A12209-007, 99ALOKA, Measurement Method= (125216, DCM, 13 "Pulmonic Regurgitant "Proximal Isovelocity Surface Area") , Flow Proximal Isovelocity Surface Direction= (R-42E61, SRT, "Regurgitant Area") Flow") PR RF (G-0390, SRT, "Regurgitant Measurement Method= (125216, DCM, 13 (LA Volume Simpson (Disc) ) LAL4s (A12205-002, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 9 "Left Atrium systolic major mode") , Measurement Method= (A12228- axis") 005, 99ALOKA, "Method of Disks, Biplane of LA") , Cardiac Cycle Point= (109070, A19C, SRT, "Apical four chamber") LALA4s (17977-0, LN, "Left Atrium Image Mode (Group) = (G-03A2, SRT, "2D 9 005, 99ALOKA, "Method of Disks, Biplane of LA") , Cardiac Cycle Point= (109070, A19C, SRT, "Apical four chamber") LAL2s (A12205-002, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 9 "Left Atrium systolic major mode") , Measurement Method= (A12228- axis") 005, 99ALOKA, "Method of Disks, Biplane of LA") , Cardiac Cycle Point= (109070, Page 111 of 172

[Page 112] LALA2s (A12205-003, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 9 "Left Atrium Systolic Area by mode") , Measurement Method= (A12228- Apical two chamber") 005, 99ALOKA, "Method of Disks, Biplane of LA") , Cardiac Cycle Point= (109070, LA Volume (Bi- (A12205-004, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 9 plane) "Left Atrial Volume") mode") , Measurement Method= (A12228- 005, 99ALOKA, "Method of Disks, Biplane of LA") , Cardiac Cycle Point= (109070, LA Volume/BSA (A12205-005, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 9 (Bi-plane) "Left Atrial Volume divided by mode") , Measurement Method= (A12228- Body Surface Area") 005, 99ALOKA, "Method of Disks, Biplane of LA") , Cardiac Cycle Point= (109070, LA Volume (ap4C) (A12205-004, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 9 "Left Atrial Volume") mode") , Measurement Method= (A12228- 006, 99ALOKA, "Method of Disks, Single Plane with Apical four chamber of LA") , Systole") , Image View= (G-A19C, SRT, "Apical four chamber") LA Volume/BSA (A12205-005, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 9 (ap4C) "Left Atrial Volume divided by mode") , Measurement Method= (A12228- Body Surface Area") 006, 99ALOKA, "Method of Disks, Single Plane with Apical four chamber of LA") , LA Volume (ap2C) (A12205-004, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 9 "Left Atrial Volume") mode") , Measurement Method= (A12228- 007, 99ALOKA, "Method of Disks, Single Plane with Apical two chamber of LA") , Systole") , Image View= (G-A19B, SRT, "Apical two chamber") LA Volume/BSA (A12205-005, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 9 (ap2C) "Left Atrial Volume divided by mode") , Measurement Method= (A12228- Body Surface Area") 007, 99ALOKA, "Method of Disks, Single Plane with Apical two chamber of LA") , %difS (A12205-006, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 9 Length % Difference of Left 005, 99ALOKA, "Method of Disks, Biplane Atrium") of LA") , Cardiac Cycle Point= (109070, (RA Volume Simpson (Disc) ) Page 112 of 172

[Page 113] RAL4s (A12206-001, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 10 "Right Atrium systolic major mode") , Measurement Method= (A12228- axis") 008, 99ALOKA, "Method of Disks, Biplane of RA") , Cardiac Cycle Point= (109070, A19C, SRT, "Apical four chamber") RALA4s (17988-7, LN, "Right Atrium Image Mode (Group) = (G-03A2, SRT, "2D 10 008, 99ALOKA, "Method of Disks, Biplane of RA") , Cardiac Cycle Point= (109070, A19C, SRT, "Apical four chamber") RAL2s (A12206-001, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 10 "Right Atrium systolic major mode") , Measurement Method= (A12228- axis") 008, 99ALOKA, "Method of Disks, Biplane of RA") , Cardiac Cycle Point= (109070, RALA2s (A12206-002, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 10 "Right Atrium Systolic Area by mode") , Measurement Method= (A12228- Apical two chamber") 008, 99ALOKA, "Method of Disks, Biplane of RA") , Cardiac Cycle Point= (109070, RA Volume (Bi- (A12206-003, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 10 plane) "Right Atrial Volume") mode") , Measurement Method= (A12228- 008, 99ALOKA, "Method of Disks, Biplane of RA") , Cardiac Cycle Point= (109070, (Bi-plane) "Right Atrial Volume divided mode") , Measurement Method= (A12228- by Body Surface Area") 008, 99ALOKA, "Method of Disks, Biplane of RA") , Cardiac Cycle Point= (109070, RA Volume (ap4C) (A12206-003, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 10 009, 99ALOKA, "Method of Disks, Single Plane with Apical four chamber of RA") , Systole") , Image View= (G-A19C, SRT, "Apical four chamber") (ap4C) "Right Atrial Volume divided mode") , Measurement Method= (A12228- by Body Surface Area") 009, 99ALOKA, "Method of Disks, Single Plane with Apical four chamber of RA") , Page 113 of 172

[Page 114] RA Volume (ap2C) (A12206-003, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 10 010, 99ALOKA, "Method of Disks, Single Plane with Apical two chamber of RA") , Systole") , Image View= (G-A19B, SRT, "Apical two chamber") (ap2C) "Right Atrial Volume divided mode") , Measurement Method= (A12228- by Body Surface Area") 010, 99ALOKA, "Method of Disks, Single Plane with Apical two chamber of RA") , %difS (A12206-005, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 10 Length % Difference of Right 008, 99ALOKA, "Method of Disks, Biplane Atrium") of RA") , Cardiac Cycle Point= (109070, (LA Volume Area- Length) LAL4s (A12205-002, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 9 "Left Atrium systolic major mode") , Measurement Method= (A12228- axis") 011, 99ALOKA, "Area-Length Biplane of Left Atrium") , Cardiac Cycle Point= (109070, DCM, "End Systole") , Image Mode= (G-03A2, SRT, "2D mode") , Image View= (G-A19C, SRT, "Apical four LALA4s (17977-0, LN, "Left Atrium Image Mode (Group) = (G-03A2, SRT, "2D 9 011, 99ALOKA, "Area-Length Biplane of Left Atrium") , Cardiac Cycle Point= (109070, DCM, "End Systole") , Image Mode= (G-03A2, SRT, "2D mode") , Image View= (G-A19C, SRT, "Apical four LAL2s (A12205-002, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 9 "Left Atrium systolic major mode") , Measurement Method= (A12228- axis") 011, 99ALOKA, "Area-Length Biplane of Left Atrium") , Cardiac Cycle Point= (109070, DCM, "End Systole") , Image Mode= (G-03A2, SRT, "2D mode") , Image LALA2s (A12205-003, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 9 "Left Atrium Systolic Area by mode") , Measurement Method= (A12228- Apical two chamber") 011, 99ALOKA, "Area-Length Biplane of Left Atrium") , Cardiac Cycle Point= (109070, DCM, "End Systole") , Image Mode= (G-03A2, SRT, "2D mode") , Image Page 114 of 172

[Page 115] LA Volume (A12205-004, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 9 "Left Atrial Volume") mode") , Measurement Method= (A12228- 011, 99ALOKA, "Area-Length Biplane of Left Atrium") , Cardiac Cycle Point= (109070, DCM, "End Systole") LA Volume/BSA (A12205-005, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 9 "Left Atrial Volume divided by mode") , Measurement Method= (A12228- Body Surface Area") 011, 99ALOKA, "Area-Length Biplane of Left Atrium") , Cardiac Cycle Point= (109070, DCM, "End Systole") %difS (A12205-006, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 9 Length % Difference of Left 011, 99ALOKA, "Area-Length Biplane of Atrium") Left Atrium") , Cardiac Cycle Point= (109070, DCM, "End Systole") (RA Volume Area- Length) RAL4s (A12206-001, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 10 "Right Atrium systolic major mode") , Measurement Method= (A12228- axis") 012, 99ALOKA, "Area-Length Biplane of Right Atrium") , Cardiac Cycle Point= (109070, DCM, "End Systole") , Image Mode= (G-03A2, SRT, "2D mode") , Image View= (G-A19C, SRT, "Apical four RALA4s (17988-7, LN, "Right Atrium Image Mode (Group) = (G-03A2, SRT, "2D 10 012, 99ALOKA, "Area-Length Biplane of Right Atrium") , Cardiac Cycle Point= (109070, DCM, "End Systole") , Image Mode= (G-03A2, SRT, "2D mode") , Image View= (G-A19C, SRT, "Apical four RAL2s (A12206-001, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 10 "Right Atrium systolic major mode") , Measurement Method= (A12228- axis") 012, 99ALOKA, "Area-Length Biplane of Right Atrium") , Cardiac Cycle Point= (109070, DCM, "End Systole") , Image Mode= (G-03A2, SRT, "2D mode") , Image RALA2s (A12206-002, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 10 "Right Atrium Systolic Area by mode") , Measurement Method= (A12228- Apical two chamber") 012, 99ALOKA, "Area-Length Biplane of Right Atrium") , Cardiac Cycle Point= (109070, DCM, "End Systole") , Image Mode= (G-03A2, SRT, "2D mode") , Image Page 115 of 172

[Page 116] RA Volume (A12206-003, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 10 012, 99ALOKA, "Area-Length Biplane of Right Atrium") , Cardiac Cycle Point= (109070, DCM, "End Systole") "Right Atrial Volume divided mode") , Measurement Method= (A12228- by Body Surface Area") 012, 99ALOKA, "Area-Length Biplane of Right Atrium") , Cardiac Cycle Point= (109070, DCM, "End Systole") %difS (A12206-005, 99ALOKA, Image Mode (Group) = (G-03A2, SRT, "2D 10 Length % Difference of Right 012, 99ALOKA, "Area-Length Biplane of Atrium") Right Atrium") , Cardiac Cycle Point= (109070, DCM, "End Systole") Note : 1. When these HRs are measured at a time, only one HR is included in Structured Report. The precedence is LV Volume (Simpson (Disc) ) , LV Volume, then LV Function. 8. 6. 3 Context Groups The Context Groups used in Structured Reports are shown below. Terms in Italic are extensions to the Standard Context Groups. In the Context Group extension, the next attributes are always included besides CV/CSD/CM. (Attributes are not included for a term which is not an extension. ) Attributes used in Context Group Extension Tag VR Attribute Name Value (0008, 0105) CS Mapping Resource "DCMR" (0008, 0106) DT Context Group Version Described in PS 3. 16 (0008, 0107) DT Context Group Local Version "YYYYMMDD" Described in each of Context Groups below (0008, 010B) CS Context Group Extension Flag "Y" (0008, 010D) UI Context Group Extension Creator UID 1. 2. 392. 200039. 106 (0008, 010F) CS Context Identifier Identifies Context Group to which a term is added CID 42 Numeric Value Qualifier - DCM 114007 Measurement not attempted - DCM 114009 Value out of range Page 116 of 172

[Page 117] CID 223 Normal Range Values - SRT R-0038B Normal Range Upper Limit - SRT R-10041 Normal Range Lower Limit CID 227 Sample Statistical Descriptors - DCM 121416 Z-Score of measurement CID 228 Equation or Table - DCM 121421 Equation Citation - DCM 121422 Table of Values Citation CID 244 Laterality Right SRT G-A100 Right Left SRT G-A101 Left CID 271 Observation Subject Class - DCM 121025 Patient CID 3627 Measurement Type - SRT R-00317 Mean - SRT R-41D2D Calculated - SRT G-A437 Maximum Page 117 of 172

[Page 118] CID 3663 Body Surface Area Equations (Local Version : 20060807) BSA Equation, DCM 122241 BSA = 0. 007184*WT^0. 425*HT^0. 725 DuBois BSA Equation, 99ALOKA A3663-001 BSA = 0. 0003207*WT^ (0. 7285-0. 0188 log Boyd (WT) ) *HT^0. 3 BSA Equation, 99ALOKA A3663-002 BSA = 0. 007358*HT^0. 725*WT^0. 425 Shintani CID 7455 Sex Male DCM M Male Female DCM F Female Other DCM 121103 Undetermined sex CID 7456 Units of Measure for Age - (Y) UCUM a year - (M) UCUM mo month - (W) UCUM wk week - (D) UCUM d day CID 12003 OB-GYN Dates LMP-EDC LN 11779-6 EDD from LMP Composite US- LN 11781-2 EDD from average ultrasound age EDC BBT-EDC LN 11780-4 EDD from ovulation date LMP LN 11955-2 LMP BBT LN 11976-8 Ovulation date Page 118 of 172

[Page 119] CID 12004 Fetal Biometry Ratios (Local Version : 20051202) HC/AC LN 11947-9 HC/AC FL/AC LN 11871-1 FL/AC FL/BPD LN 11872-9 FL/BPD CI (BPD/OFD) LN 11823-2 Cephalic Index FL/HC LN 11873-7 FL/HC CI (BPDo/OFDo) 99ALOKA A12004-001 Cephalic Index (BPDo/OFDo) LVW/HW 99ALOKA A12004-002 LVW/HW CID 12005 Fetal Biometry Measurements (Local Version : 20051202) AC LN 11979-2 Abdominal Circumference APD LN 11818-2 Anterior-Posterior Abdominal Diameter APTD LN 11818-2 Anterior-Posterior Abdominal Diameter BPD LN 11820-8 Biparietal Diameter HC LN 11984-2 Head Circumference OFD LN 11851-3 Occipital-Frontal Diameter TC LN 11988-3 Thoracic Circumference TAD LN 11862-0 Tranverse Abdominal Diameter TTD LN 11862-0 Tranverse Abdominal Diameter AXT LN 33191-8 APAD * TAD BD 99ALOKA A12005-001 Binocular Distance BPDo 99ALOKA A12005-002 Biparietal Diameter outer-to-outer FTA 99ALOKA A12005-003 Fetal Trunk Cross Sectional Area LV 99ALOKA A12005-004 Length of Vertebrae OFDo 99ALOKA A12005-005 Occipital-Frontal Diameter outer-to-outer AD 99ALOKA A12005-006 Abdominal Diameter TL 99ALOKA A12005-007 Thoracic Length HC2 99ALOKA A12005-008 Head Circumference for Merz, Hansmann AF Pocket 99ALOKA A12005-009 Amniotic Fluid Volume AFV 99ALOKA A12005-009 Amniotic Fluid Volume Page 119 of 172

[Page 120] CID 12006 Fetal Long Bones Biometry Measurements (Local Version : 20051202) HL LN 11966-9 Humerus length RAD LN 11967-7 Radius length ULNA LN 11969-3 Ulna length TIB LN 11968-5 Tibia length FIB LN 11964-4 Fibula length FL LN 11963-6 Femur Length NBL 99ALOKA A12006-001 Nasal Bone Length CID 12007 Fetal Cranium LVW LN 12171-5 Lateral Ventrical width IOD LN 33070-4 Inner Orbital Diameter OOD LN 11629-3 Outer Orbital Diameter CD LN 11863-8 Trans Cerebellar Diameter HW LN 12170-7 Width of Hemisphere CID 12008 OB-GYN Amniotic Sac AFI, Q1 LN 11624-4 First Quadrant Diameter AFI, Q2 LN 11626-9 Second Quadrant Diameter AFI, Q3 LN 11625-1 Third Quadrant Diameter AFI, Q4 LN 11623-6 Fourth Quadrant Diameter CID 12009 Early Gestation Biometry Measurements (Local Version : 20051202) CRL LN 11957-8 Crown Rump Length GS LN 11850-5 Gestational Sac Diameter NT LN 33069-6 Nuchal Translucency EES 99ALOKA A12009-001 Early Embryonic Size Page 120 of 172

[Page 121] mGS, D1 99ALOKA A12009-002 Gestational Sac Diameter 1 mGS, D2 99ALOKA A12009-003 Gestational Sac Diameter 2 mGS, D3 99ALOKA A12009-004 Gestational Sac Diameter 3 mGS, mGS 99ALOKA A12009-005 Mean Gestational Sac Diameter CID 12011 Ultrasound Pelvis and Uterus (Local Version : 20051202) Cervix LN 11961-0 Cervix Length Cervix, Length LN 11961-0 Cervix Length Endom-T LN 12145-9 Endometrium Thickness Cervix, Width 99ALOKA A12011-001 Cervix Width Cervix, AP 99ALOKA A12011-002 Cervix Antero-Posterior Diameter Pre Bldrvol, 99ALOKA A12011-003 Pre Void Bladder Length Length Pre Bldrvol, AP 99ALOKA A12011-004 Pre Void Bladder Antero-Posterior Diameter Pre Bldrvol, 99ALOKA A12011-005 Pre Void Bladder Width Width Pre Bldrvol, 99ALOKA A12011-006 Pre Void Bladder Volume Volume Pst Bldrvol, 99ALOKA A12011-007 Post Void Bladder Length Length Pst Bldrvol, AP 99ALOKA A12011-008 Post Void Bladder Antero-Posterior Diameter Pst Bldrvol, 99ALOKA A12011-009 Post Void Bladder Width Width Pst Bldrvol, 99ALOKA A12011-010 Post Void Bladder Volume Volume Void Volume 99ALOKA A12011-011 Bladder Void Volume CID 12013 Gestational Age Equations and Tables (Local Version : 20051202) AC (Had-90%) LN 11892-7 AC, Hadlock 1984 AC (Hadlock84) LN 11892-7 AC, Hadlock 1984 AC (Hansmann) LN 33073-8 AC, Hansmann1985 AC (Shinozuka) LN 33076-1 AC, Shinozuka 1996 AXT (Shinozuka) LN 33078-7 AxT, Shinozuka 1996 Page 121 of 172

[Page 122] BPD LN 11902-4 BPD, Hadlock 1984 (Hadlock84) BPD LN 11903-2 BPD, Hansmann 1985 BPD (Kurtz) LN 11906-5 BPD, Kurtz 1980 BPD (Rempen) LN 33083-7 BPD, Rempen 1991 BPD LN 33084-5 BPD, Shinozuka 1996 (Shinozuka) BPD (Tokyo U) LN 33085-2 BPD, Tokyo 1986 CRL (Daya) LN 33091-0 CRL, Daya 1993 CRL (Hadlock) LN 11910-7 CRL, Hadlock 1992 CRL LN 11911-5 CRL, Hansmann 1985 CRL (Nelson) LN 11913-1 CRL, Nelson 1981 CRL (Rempen) LN 33094-4 CRL, Rempen 1991 CRL (Robinson) LN 11914-9 CRL, Robinson 1975 FL (Had-90%) LN 11920-6 FL, Hadlock 1984 FL (Hadlock84) LN 11920-6 FL, Hadlock 1984 FL (Hansmann) LN 11921-4 FL, Hansmann 1985 FL (Hohler) LN 11922-2 FL, Hohler 1982 FL (Jeanty) LN 11923-0 FL, Jeanty 1984 FL (Shinozuka) LN 33102-5 FL, Shinozuka 1996 FL (Tokyo U) LN 33103-3 FL, Tokyo 1986 mGS (Hellman) LN 11928-9 GS, Hellman 1969 mGS (Rempen) LN 11929-7 GS, Rempen 1991 HC (Had-90%) LN 11932-1 HC, Hadlock 1984 HC (Hadlock84) LN 11932-1 HC, Hadlock 1984 HC2 LN 33112-4 HC, Hansmann 1985 HL (Jeanty) LN 11936-2 Humerus, Jeanty 1984 LV (Tokyo U) LN 33118-1 Length of Vertebra, Tokyo 1986 OFD LN 33544-8 OFD, Hansmann 1985 RAD (Jea-95%) LN 33126-4 Radius, Jeanty 1983 TIB (Jeanty) LN 11941-2 Tibia, Jeanty 1984 TC (Chitkara U) LN 33131-4 ThC, Chitkara 1987 CD (Goldstein) LN 33133-0 TCD, Goldstein 1987 CD (Hill) LN 33134-8 TCD, Hill 1990 ULNA (Jeanty) LN 11944-6 Ulna, Jeanty 1984 AC (Campbell) 99ALOKA A12013-001 AC, Campbell Page 122 of 172

[Page 123] AC (Chitty) 99ALOKA A12013-002 AC, Chitty 1994 AC (Hadlock) 99ALOKA A12013-003 AC, Hadlock 1982 AC (Merz) 99ALOKA A12013-005 AC, Merz 1996 APTD (Merz) 99ALOKA A12013-006 APAD, Merz 1996 AXT (Tokyo U) 99ALOKA A12013-007 AxT, Tokyo BD (Jeanty) 99ALOKA A12013-008 BD, Jeanty 1984 BPD (Campbell) 99ALOKA A12013-009 BPD, Campbell BPD (Chitty) 99ALOKA A12013-010 BPD-oi, Chitty 1994 BPD (Hadlock) 99ALOKA A12013-011 BPD, Hadlock 1982 BPD (Merz) 99ALOKA A12013-012 BPD, Merz 1996 BPD (Sabbagha) 99ALOKA A12013-013 BPD, Sabbagha 1976 CRL (JSUM'03) 99ALOKA A12013-016 CRL, JSUM 2003 CRL (Tokyo U) 99ALOKA A12013-017 CRL, Tokyo EES (Goldstein) 99ALOKA A12013-018 EES, Goldstein 1994 FIB (Merz) 99ALOKA A12013-019 FIB, Merz 1996 FL (Campbell) 99ALOKA A12013-020 FL, Campbell FL (Chitty) 99ALOKA A12013-021 FL, Chitty 1994 FL (Hadlock) 99ALOKA A12013-022 FL, Hadlock 1982 FL (Jea-95%) 99ALOKA A12013-025 FL, Jeanty 95% 1983 FL (Merz) 99ALOKA A12013-026 FL, Merz 1996 FL (Warda) 99ALOKA A12013-027 FL, Warda 1985 GS (Tokyo U) 99ALOKA A12013-028 GS, Tokyo HC (Campbell) 99ALOKA A12013-029 HC, Campbell HC (Chitty) 99ALOKA A12013-030 HC, Chitty 1994 HC (Hadlock) 99ALOKA A12013-031 HC, Hadlock 1982 HC2 (Merz) 99ALOKA A12013-033 HC, Merz 1996 HL (Hansmann) 99ALOKA A12013-034 Humerus, Hansmann 1985 HL (Jea-95%) 99ALOKA A12013-035 Humerus, Jeanty 95% 1983 HL (Merz) 99ALOKA A12013-036 Humerus, Merz 1996 NBL (Sonek) 99ALOKA A12013-037 NBL, Sonek 2003 OFD (Merz) 99ALOKA A12013-038 OFD, Merz 1996 RAD (Merz) 99ALOKA A12013-039 Radius, Merz 1996 TIB (Jea-95%) 99ALOKA A12013-040 Tibia, Jeanty 95% 1983 TIB (Merz) 99ALOKA A12013-041 Tibia, Merz 1996 TL (Chitkara U) 99ALOKA A12013-042 TL, Chitkara 1987 TTD 99ALOKA A12013-043 TAD, Hansmann 1985 TTD (Merz) 99ALOKA A12013-044 TAD, Merz 1996 ULNA (Jea-95%) 99ALOKA A12013-045 Ulna, Jeanty 95% 1983 Page 123 of 172

[Page 124] ULNA (Merz) 99ALOKA A12013-046 Ulna, Merz 1996 AC (JSUM'03) 99ALOKA A12013-047 AC, JSUM 2003 BPD (JSUM'03) 99ALOKA A12013-048 BPD, JSUM 2003 BPD (Osaka U) 99ALOKA A12013-049 BPD, Osaka CRL (Osaka U) 99ALOKA A12013-050 CRL, Osaka FL (JSUM'03) 99ALOKA A12013-051 FL, JSUM 2003 FL (O'Brien) 99ALOKA A12013-052 FL, O'Brien 1981 FL (Osaka U) 99ALOKA A12013-053 FL, Osaka FTA (Osaka U) 99ALOKA A12013-054 FTA, Osaka HL (Osaka U) 99ALOKA A12013-055 Humerus, Osaka CID 12014 OB Fetal Body Weight Equations and Tables (Local Version : 20051202) FW Equation LN 11756-4 EFW by AC, Campbell 1975 (Campbell) FW Equation LN 11732-5 EFW by AC, BPD, FL, HC, Hadlock 1985 (Hadlock5) FW Equation LN 11751-5 EFW by AC, FL, Hadlock 1985 (Hadlock1) FW Equation LN 11746-5 EFW by AC, FL, HC, Hadlock 1985 (Hadlock2) FW Equation LN 11754-9 EFW by AC, HC Hadlock 1984 (Hadlock4) FW Equation LN 33139-7 EFW by BPD, TTD, Hansmann 1986 FW Equation LN 11739-0 EFW by AC and BPD, Shepard 1982 (Shepard) FW Equation LN 33142-1 EFW2 by Shinozuka 1996 (Shinozuka) FW Equation LN 33144-7 EFW by BPD, APAD, TAD, FL, Tokyo 1987 (Tokyo U) FW Equation 99ALOKA A12014-001 EFW by BPD, AC, FL, Hadlock (Hadlock3) FW Equation 99ALOKA A12014-002 EFW by BPD, AC, FL, JSUM 2003 (JSUM'03) FW Equation 99ALOKA A12014-003 EFW by BPD, FTA, FL, Osaka (Osaka U) FW Equation 99ALOKA A12014-004 EFW by BPD, AC, Warsof 1977 (Warsof) Page 124 of 172

[Page 125] CID 12015 Fetal Growth Equations and Tables (Local Version : 20051202) CI (BPDo/OFDo) LN 33158-7 Cephalic Index by GA, Hadlock 1981 (Hadlock) HC/AC LN 33182-7 HC/AC by GA, Campbell 1977 (Campbell) FL/AC (Hadlock) 99ALOKA A12015-001 FL/AC by GA, Hadlock 1983 FL/HC (Hadlock) 99ALOKA A12015-002 FL/HC by GA, Hadlock 1984 FL/BPD (Hohler) 99ALOKA A12015-003 FL/BPD by GA, Hohler 1981 AFI (Jeng) 99ALOKA A12015-004 AFI by GA, Jeng et al. AFI (Moore) 99ALOKA A12015-005 AFI by GA, Moore et al. AFI (Phelan) 99ALOKA A12015-006 AFI by GA, Phelan et al. AC (JSUM'03) 99ALOKA A12015-007 AC by GA, JSUM 2003 BPD (JSUM'03) 99ALOKA A12015-008 BPD by GA, JSUM 2003 BPD (Osaka U) 99ALOKA A12015-009 BPD by GA, Osaka CRL (Osaka U) 99ALOKA A12015-010 CRL by GA, Osaka FL (JSUM'03) 99ALOKA A12015-011 FL by GA, JSUM 2003 FL (O'Brien) 99ALOKA A12015-012 FL by GA, O'Brien 1981 FL (Osaka U) 99ALOKA A12015-013 FL by GA, Osaka FTA (Osaka U) 99ALOKA A12015-014 FTA by GA, Osaka HL (Osaka U) 99ALOKA A12015-015 Humerus by GA, Osaka CID 12016 Estimated Fetal Weight Percentile Equations and Tables (Local Version : 20051202) FW Growth LN 33183-5 FWP by GA, Hadlock 1991 (Hadlock) FW Growth LN 33189-2 FWP by GA, Brenner 1976 (Brenner) FW Growth 99ALOKA A12016-001 FW, Doubilet 1997 (Doubilet) FW Growth 99ALOKA A12016-005 Twins FW, Yarkoni 1987 (Yarkoni (Twins) ) CID 12017 Growth Distribution Rank - DCM 125013 Growth Z-score Page 125 of 172

[Page 126] CID 12018 OB-GYN Summary - LN 11878-6 Number of Fetuses CID 12019 OB-GYN Fetus Summary (Local Version : 20051202) Composite US- LN 11888-5 Composite Ultrasound Age GA LMP-GA LN 11885-1 Gestational Age by LMP FW LN 11727-5 Estimated Weight - (FW %ile rank LN 11767-1 EFW percentile rank by Doubilet) FHR LN 11948-7 Fetal Heart Rate PreHR (Amnio) 99ALOKA A12019-001 Fetal Heart Rate before Biopsy PstHR (Amnio) 99ALOKA A12019-002 Fetal Heart Rate after Biopsy CID 12101 Vascular Summary Comments DCM 121106 Comment CID 12104 Extracranial Arteries BIFUR SRT T-45160 Carotid Bifurcation CCA prox SRT T-45100 Common Carotid Artery CCA mid CCA distal ECA SRT T-45200 External Carotid Artery ICA SRT T-45300 Internal Carotid Artery ICA prox ICA mid ICA distal Page 126 of 172

[Page 127] VA SRT T-45700 Vertebral Artery VERT CID 12105 Intracranial Cerebral Vessels ACA SRT T-45540 Anterior Cerebral Artery TICA SRT R-102BD Terminal internal carotid artery MCA SRT T-45600 Middle Cerebral Artery PCA SRT T-45900 Posterior Cerebral Artery PCoA SRT T-45320 Posterior Communicating Artery CID 12106 Intracranial Cerebral Vessels (unilateral) (Local Version : 20060807) BA SRT T-45800 Basilar Artery ACoA SRT T-45530 Anterior Communicating Artery CID 12107 Upper Extremity Arteries (Local Version : 20060807) AA SRT T-47100 Axillary Artery BA SRT T-47160 Brachial Artery RA SRT T-47300 Radial Artery ScA SRT T-46100 Subclavian Artery SPA SRT T-47240 Superficial Palmar Arch UA SRT T-47200 Ulnar Artery DBA 99ALOKA A12107-001 Deep Brachial Artery BasA 99ALOKA A12107-002 Basilic Artery Upr Art. 1 99ALOKA A12107-003 User Definition Artery1 Upr Art. 2 99ALOKA A12107-004 User Definition Artery2 Upr Art. 3 99ALOKA A12107-005 User Definition Artery3 Upr Art. 4 99ALOKA A12107-006 User Definition Artery4 Upr Art. 5 99ALOKA A12107-007 User Definition Artery5 Upr Art. 6 99ALOKA A12107-008 User Definition Artery6 Page 127 of 172

[Page 128] Upr Art. 7 99ALOKA A12107-009 User Definition Artery7 Upr Art. 8 99ALOKA A12107-010 User Definition Artery8 CID 12108 Upper Extremity Veins (Local Version : 20060807) AV SRT T-49110 Axillary vein BasV SRT T-48052 Basilic vein BV SRT T-49350 Brachial vein CV SRT T-49240 Cephalic vein IJV SRT T-48170 Internal Jugular vein RV SRT T-49340 Radial vein ScV SRT T-48330 Subclavian vein UV SRT T-49330 Ulnar vein DBV 99ALOKA A12108-001 Deep Brachial vein Upr Vein. 1 99ALOKA A12108-002 User Definition Vein1 Upr Vein. 2 99ALOKA A12108-003 User Definition Vein2 Upr Vein. 3 99ALOKA A12108-004 User Definition Vein3 Upr Vein. 4 99ALOKA A12108-005 User Definition Vein4 Upr Vein. 5 99ALOKA A12108-006 User Definition Vein5 Upr Vein. 6 99ALOKA A12108-007 User Definition Vein6 Upr Vein. . 7 99ALOKA A12108-008 User Definition Vein7 Upr Vein. 8 99ALOKA A12108-009 User Definition Vein8 CID 12109 Lower Extremity Arteries CIA SRT T-46710 Common Iliac Artery ATA SRT T-47700 Anterior Tibial Artery CFA SRT T-47400 Common Femoral Artery DPA SRT T-47741 Dorsalis Pedis Artery EIA SRT T-46910 External Iliac Artery IIA SRT T-46740 Internal Iliac Artery PerA SRT T-47630 Peroneal Artery PopA SRT T-47500 Popliteal Artery PTA SRT T-47600 Posterior Tibial Artery Page 128 of 172

[Page 129] DFA (Deep SRT T-47440 Profunda Femoris Artery Femoral Artery) SFA SRT T-47403 Superficial Femoral Artery Lwr Art. 1 99ALOKA A12109-001 User Definition Artery1 Lwr Art. 2 99ALOKA A12109-002 User Definition Artery2 Lwr Art. 3 99ALOKA A12109-003 User Definition Artery3 Lwr Art. 4 99ALOKA A12109-004 User Definition Artery4 Lwr Art. 5 99ALOKA A12109-005 User Definition Artery5 Lwr Art. 6 99ALOKA A12109-006 User Definition Artery6 Lwr Art. 7 99ALOKA A12109-007 User Definition Artery7 Lwr Art. 8 99ALOKA A12109-008 User Definition Artery8 CID 12110 Lower Extremity Veins ATV SRT T-49630 Anterior Tibial Vein CFV SRT G-035B Common Femoral Vein CIV SRT T-48920 Common Iliac Vein EIV SRT T-48930 External Iliac Vein GSV SRT T-49530 Great Saphenous Vein LSV SRT T-49550 Lesser Saphenous Vein PerV SRT T-49650 Peroneal Vein PopV SRT T-49640 Popliteal Vein PTV SRT T-49620 Posterior Tibial Vein DFV (Deep SRT T-49660 Profunda Femoris Vein Femoral Vein) SFV SRT G-035A Superficial Femoral Vein IIV SRT T-48940 Internal iliac vein Lwr Vein. 1 99ALOKA A12110-001 User Definition Vein1 Lwr Vein. 2 99ALOKA A12110-002 User Definition Vein2 Lwr Vein. 3 99ALOKA A12110-003 User Definition Vein3 Lwr Vein. 4 99ALOKA A12110-004 User Definition Vein4 Lwr Vein. 5 99ALOKA A12110-005 User Definition Vein5 Lwr Vein. 6 99ALOKA A12110-006 User Definition Vein6 Lwr Vein. 7 99ALOKA A12110-007 User Definition Vein7 Lwr Vein. 8 99ALOKA A12110-008 User Definition Vein8 Page 129 of 172

[Page 130] CID 12111 Abdominal Arteries (lateral) (Local Version : 20070424) CIA SRT T-46710 Common Iliac Artery CID 12112 Abdominal Arteries (unilateral) A-Ao SRT T-42000 Aorta CA SRT T-46400 Celiac Axis CHA SRT T-46421 Common Hepatic Artery IMA SRT T-46520 Inferior Mesenteric Artery HA, Right SRT T-46423 Right Branch of Hepatic Artery HA, Left SRT T-46427 Left Branch of Hepatic Artery SA SRT T-46460 Splenic Artery SMA SRT T-46510 Superior Mesenteric Artery Prandial SMA CID 12114 Abdominal Veins (unilateral) Main PV SRT T-48810 Portal Vein Lt. PV SRT T-4881F Left Main Branch of Portal Vein Rt. PV SRT T-4882A Right Main Branch of Portal Vein Prox Shunt SRT G-036C Transjugular Intrahepatic Portosystemic Shunt Mid Shunt Distal Shunt Artery1 99ALOKA A12112-001 User Definition Artery1 Artery2 99ALOKA A12112-002 User Definition Artery2 Artery3 99ALOKA A12112-003 User Definition Artery3 CID 12115 Renal Vessels Renal-A SRT T-46600 Renal Artery Page 130 of 172

[Page 131] CID 12116 Vessel Segment Modifiers - (distal) SRT G-A119 Distal - (mid) SRT G-A188 Mid-longitudinal - (prox) SRT G-A118 Proximal CID 12120 Blood Velocity Measurements EDV LN 11653-3 End Diastolic Velocity PSV LN 11726-7 Peak Systolic Velocity pV MnV LN 11692-1 Time averaged peak velocity CID 12121 Vascular Indices and Ratios (Local Version : 20070424) ACC LN 20167-3 Acceleration Index PI LN 12008-9 Pulsatility Index RI LN 12023-8 Resistivity Index S/D LN 12144-2 Systolic to Diastolic Velocity Ratio AccT/FlowT 99ALOKA A12121-001 Acceleration Time to Flow Time Ratio CID 12122 Other Vascular Properties (Local Version : 20070424) AccT LN 20168-1 Acceleration Time FlowT 99ALOKA A12122-001 Flow Time CID 12140 Pelvic Vasculature Anatomical Location UmA SRT T-F1810 Umbilical Artery Page 131 of 172

[Page 132] CID 12141 Fetal Vasculature Anatomical Location MCA SRT T-45600 Middle Cerebral Artery D-Ao SRT T-D0765 Descending Aorta CID 12201 Left Ventricle Linear (Local Version : 20060807) LVIDd LN 29436-3 Left Ventricle Internal End Diastolic LVIDs LN 29438-9 Left Ventricle Internal Systolic Dimension FS LN 18051-3 Left Ventricular Fractional Shortening IVSd LN 18154-5 Interventricular Septum Diastolic Thickness IVS/LVPW LN 18155-2 Interventricular Septum to Posterior Wall Thickness Ratio %IVSTF LN 18054-7 Interventricular Septum % Thickening IVSs LN 18158-6 Interventricular Septum Systolic Thickness %PWTF LN 18053-9 Left Ventricle Posterior Wall % Thickening LVLd LN 18077-8 Left Ventricle diastolic major axis LVL4d LVL2d LVLs LN 18076-0 Left Ventricle systolic major axis LVL4s LVL2s LVPWs LN 18156-0 Left Ventricle Posterior Wall Systolic Thickness LVPWd LN 18152-9 Left Ventricle Posterior Wall Diastolic Thickness LVSLMVd 99ALOKA A12201-001 Left Ventricular Short Axis Length at Mitral Valve LVSLMVs thick 99ALOKA A12201-002 Mean Wall Thickness CID 12202 Left Ventricle Volume EDV LN 18026-5 Left Ventricular End Diastolic Volume ESV LN 18148-7 Left Ventricular End Systolic Volume EF LN 18043-0 Left Ventricular Ejection Fraction Page 132 of 172

[Page 133] CID 12203 Left Ventricle Other (Local Version : 20060807) LVM LN 18087-7 Left Ventricle Mass IRT LN 18071-1 Left Ventricular Isovolumic Relaxation Time LVM/BSA 99ALOKA A12203-001 Left Ventricular Mass Index %difD 99ALOKA A12203-003 Long Axis (at End Diastole or End Systole) Length % Difference %difS mFS 99ALOKA A12203-004 Midwall Fractional Shortening areaEFlx 99ALOKA A12203-005 Area Ejection Fraction at Long Axis View areaEFsx 99ALOKA A12203-006 Area Ejection Fraction at Short Axis View MVCF 99ALOKA A12203-009 Mean Velocity of Circumferential Fiber Shortening LVDFT 99ALOKA A12203-010 Left Ventricle Diastole Filling Time E/Em 99ALOKA A12203-011 Ratio of MV E-Wave Peak Vel. to Early Diastolic Myocardium Vel. LVDFT/RR 99ALOKA A12203-012 Ratio of Left Ventricle Diastole Filling Time to R-R interval CID 12204 Echocardiography Right Ventricle RVDd LN 20304-2 Right Ventricular Internal Diastolic Dimension RVDs LN 20305-9 Right Ventricular Internal Systolic Dimension RVSP SRT G-0380 Right Ventricular Peak Systolic Pressure RVAWd LN 18153-7 Right Ventricular Anterior Wall Diastolic Thickness RVAWs LN 18157-8 Right Ventricular Anterior Wall Systolic Thickness CID 12205 Echocardiography Left Atrium (Local Version : 20060807) LADs LN 29469-4 Left Atrium Antero-posterior Systolic LADs/AODd LN 17985-3 Left Atrium to Aortic Root Ratio LALA4s LN 17977-0 Left Atrium Systolic Area Page 133 of 172

[Page 134] LADd 99ALOKA A12205-001 Left Atrium Antero-posterior Diastolic LAL4s 99ALOKA A12205-002 Left Atrium systolic major axis LAL2s LALA2s 99ALOKA A12205-003 Left Atrium Systolic Area by Apical two chamber LA Volume 99ALOKA A12205-004 Left Atrial Volume LA Volume/BSA 99ALOKA A12205-005 Left Atrial Volume divided by Body Surface Area %difS 99ALOKA A12205-006 Long Axis at End Systole Length % Difference of Left Atrium CID 12206 Echocardiography Right Atrium (Local Version : 20060807) RAP LN 18070-3 Right Atrium Systolic Pressure RALA4s LN 17988-7 Right Atrium Systolic Area RAL4s 99ALOKA A12206-001 Right Atrium systolic major axis RAL2s RALA2s 99ALOKA A12206-002 Right Atrium Systolic Area by Apical two chamber RA Volume 99ALOKA A12206-003 Right Atrial Volume RA Volume/BSA 99ALOKA A12206-004 Right Atrial Volume divided by Body Surface Area %difS 99ALOKA A12206-005 Long Axis at End Systole Length % Difference of Right Atrium CID 12207 Echocardiography Mitral Valve (Local Version : 20060807) aV LN 17978-8 Mitral Valve A-Wave Peak Velocity eV LN 18037-2 Mitral Valve E-Wave Peak Velocity E/A (Doppler) LN 18038-0 Mitral Valve E to A Ratio DecT SRT G-0384 Mitral Valve E-Wave Deceleration Time E-Fslop LN 18040-6 Mitral Valve E-F Slope by M-Mode EPSS LN 18036-4 Mitral Valve EPSS, E wave Adur SRT G-0385 Mitral Valve A-Wave Duration Page 134 of 172

[Page 135] dP/dt LN 18035-6 Mitral Regurgitation dP/dt derived from Mitral Reg. velocity C-Eamp 99ALOKA A12207-001 Mitral Valve Dimension of C point to E point by M-Mode C-Aamp 99ALOKA A12207-002 Mitral Valve Dimension of C point to A point by M-Mode A/E 99ALOKA A12207-003 Mitral Valve C-A Dimension to C-E Dimension Ratio by M-Mode E/A 99ALOKA A12207-004 Mitral Valve C-E Dimension to C-A Dimension Ratio by M-Mode Edur 99ALOKA A12207-005 Mitral Valve E-Wave Duration A/E (Doppler) 99ALOKA A12207-006 Mitral Valve A to E Ratio EPG 99ALOKA A12207-007 Mitral Valve E-wave Peak Pressure Gradient APG 99ALOKA A12207-008 Mitral Valve A-wave Peak Pressure Gradient PVAdur-Adur 99ALOKA A12207-009 Subtraction of A-wave Duration from PVA- wave Duration VTI (MR) 99ALOKA A12207-010 Velocity Time Integral of Mitral Regurgitant Flow MR PISA 99ALOKA A12207-012 Mitral Regurgitant Proximal Isovelocity Surface Area SV (MV) 99ALOKA A12207-013 Flow Volume of Mitral Valve Annulus in Flow CID 12208 Echocardiography Tricuspid Valve (Local Version : 20060807) dP/dt LN 18034-9 Tricuspid Regurgitation dP/dt C-Eamp 99ALOKA A12208-001 Tricuspid Valve Dimension of C point to E point by M-Mode C-Aamp 99ALOKA A12208-002 Tricuspid Valve Dimension of C point to A point by M-Mode D-Eamp 99ALOKA A12208-003 Tricuspid Valve Dimension of D point to E point by M-Mode E-Fslop 99ALOKA A12208-004 Tricuspid Valve Velocity from E point to F point by M-Mode D-Eslop 99ALOKA A12208-005 Tricuspid Valve Velocity from D point to E point by M-Mode A/E 99ALOKA A12208-006 Tricuspid Valve C-A Dimension to C-E Dimension Ratio by M-Mode E/A 99ALOKA A12208-007 Tricuspid Valve C-E Dimension to C-A Dimension Ratio by M-Mode VTI (TR) 99ALOKA A12208-008 Velocity Time Integral of Tricuspid Regurgitant Flow Page 135 of 172

[Page 136] TR PISA 99ALOKA A12208-010 Tricuspid Regurgitant Proximal Isovelocity Surface Area SV (TV) 99ALOKA A12208-011 Flow Volume of Tricuspid Valve Annulus in Flow CID 12209 Echocardiography Pulmonic Valve (Local Version : 20060807) ET LN 18042-2 Pulmonic Valve Ejection Time AccT/ET SRT G-0388 Ratio of Pulmonic Valve Acceleration Time to Ejection Time A wave amp 99ALOKA A12209-001 Pulmonic Valve Dimension of F point to A point by M-Mode B-Camp 99ALOKA A12209-002 Pulmonic Valve Dimension of B point to C point by M-Mode E-Fslop 99ALOKA A12209-003 Pulmonic Valve Velocity from E point to F point by M-Mode B-Cslop 99ALOKA A12209-004 Pulmonic Valve Velocity from B point to C point by M-Mode VTI (PR) 99ALOKA A12209-005 Velocity Time Integral of Pulmonic Regurgitant Flow PR PISA 99ALOKA A12209-007 Pulmonic Regurgitant Proximal Isovelocity Surface Area CID 12211 Echocardiography Aortic Valve (Local Version : 20060807) ET LN 18041-4 Aortic Valve Ejection Time AccT/ET SRT G-0382 Ratio of Aortic Valve Acceleration Time to Ejection Time VTI (AR) 99ALOKA A12211-001 Velocity Time Integral of Aortic Regurgitant Flow AR PISA 99ALOKA A12211-003 Aortic Regurgitant Proximal Isovelocity Surface Area Page 136 of 172

[Page 137] CID 12212 Echocardiography Aorta AODd LN 18015-8 Aortic Root Diameter AODs CID 12214 Echocardiography Pulmonary Veins (Local Version : 20060807) PVS LN 29450-4 Pulmonary Vein Systolic Peak Velocity PVD LN 29451-2 Pulmonary Vein Diastolic Peak Velocity S/D LN 29452-0 Pulmonary Vein Systolic to Diastolic Ratio PVA LN 29453-8 Pulmonary Vein Atrial Contraction Reversal Peak Velocity PVAdur SRT G-038B Pulmonary Vein A-Wave Duration D-VTI SRT G-038D Pulmonary Vein D-Wave Velocity Time Integral S-VTI SRT G-038C Pulmonary Vein S-Wave Velocity Time Integral DecT 99ALOKA A12214-001 Deceleration Time of D-Wave Flow SF 99ALOKA A12214-002 Systolic Fraction CID 12215 Echocardiography Vena Cavae Insp LN 18006-7 Inferior Vena Cava Diameter Exp %Collapse LN 18050-5 Inferior Vena Cava % Collapse CID 12217 Echocardiography Cardiac Shunt Qp/Qs LN 29462-9 Pulmonary-to-Systemic Shunt Flow Ratio Page 137 of 172

[Page 138] CID 12220 Echocardiography Common Measurements (Local Version : 20060807) HR LN 8867-4 Heart rate RR DCM 122182 R-R interval CID 12221 Flow Direction - SRT R-42047 Antegrade Flow - SRT R-42E61 Regurgitant Flow CID 12222 Orifice Flow Properties (Local Version : 20060807) MR Vol LN 33878-0 Volume Flow TR Vol PR Vol AR Vol MR Flow Rt LN 34141-2 Peak Instantaneous Flow Rate TR Flow Rt PR Flow Rt AR Flow Rt CSA (LVOT) SRT G-038E Cardiovascular Orifice Area CSA (RVOT) MVA MVA (P1/2T) AVA MR EROA TR EROA PR EROA AR EROA LVOT SRT G-038F Cardiovascular Orifice Diameter RVOT MV Diam TV Diam AVDs Page 138 of 172

[Page 139] MR RF SRT G-0390 Regurgitant Fraction TR RF PR RF AR RF pV LN 11726-7 Peak Velocity MnV LN 20352-1 Mean Velocity PG LN 20247-3 Peak Gradient MPG LN 20256-4 Mean Gradient VTI LN 20354-7 Velocity Time Integral VTI (MVannu) VTI (TVannu) P1/2T LN 20280-4 Pressure Half-Time AccT LN 20168-1 Acceleration Time PEP 99ALOKA A12222-001 Pre-Ejection Period PEP/ET 99ALOKA A12222-002 PEP/ET FlowT 99ALOKA A12222-003 Flow Time PISA Radius 99ALOKA A12222-004 Radius of Flow Convergence MR Alias V (Vr) 99ALOKA A12222-005 Aliasing Velocity TR Alias V (Vr) PR Alias V (Vr) AR Alias V (Vr) Angle (PISA) 99ALOKA A12222-006 Proximal Isovelocity Surface Area Angle CID 12223 Echocardiography Stroke Volume Origin - SNM3 T-32650 Left Ventricle Outflow Tract - SNM3 T-32550 Right Ventricle Outflow Tract Note : 1. Actually "SRT" described in CID 12243 is included in Structured Report, not "SNM3". CID 12224 Ultrasound Image Modes - SRT G-03A2 2D mode - SRT G-0394 M mode - SRT R-409E4 Doppler Pulsed Page 139 of 172

[Page 140] - SRT R-409E3 Doppler Continuous Wave CID 12226 Echocardiography Image View - SRT G-A19B Apical two chamber - SRT G-A19C Apical four chamber - SRT G-0398 Parasternal short axis at the aortic valve level - SRT G-039A Parasternal short axis at the Mitral Valve level - SRT G-039B Parasternal short axis at the Papillary Muscle level CID 12228 Volume Methods (Local Version : 20060807) - DCM 125204 Area-Length Biplane - DCM 125205 Area-Length Single Plane - DCM 125206 Cube Method - DCM 125207 Method of Disks, Biplane - DCM 125208 Method of Disks, Single Plane - DCM 125209 Teichholz - 99ALOKA A12228-001 Method of Disks, Single Plane with Apical two chamber - 99ALOKA A12228-002 Gibson - 99ALOKA A12228-003 Modified Simpson's - 99ALOKA A12228-004 Bullet - 99ALOKA A12228-005 Method of Disks, Biplane of LA - 99ALOKA A12228-006 Method of Disks, Single Plane with Apical four chamber of LA - 99ALOKA A12228-007 Method of Disks, Single Plane with Apical two chamber of LA - 99ALOKA A12228-008 Method of Disks, Biplane of RA - 99ALOKA A12228-009 Method of Disks, Single Plane with Apical four chamber of RA - 99ALOKA A12228-010 Method of Disks, Single Plane with Apical two chamber of RA - 99ALOKA A12228-011 Area-Length Biplane of Left Atrium Page 140 of 172

[Page 141] - 99ALOKA A12228-012 Area-Length Biplane of Right Atrium CID 12229 Area Methods - DCM 125210 Area by Pressure Half-Time - DCM 125215 Continuity Equation by Velocity Time Integral - DCM 125216 Proximal Isovelocity Surface Area - DCM 125220 Planimetry CID 12230 Gradient Methods - DCM 125218 Simplified Bernoulli CID 12231 Volume Flow Methods - DCM 125219 Doppler Volume Flow - DCM 125216 Proximal Isovelocity Surface Area CID 12232 Myocardium Mass Methods (Local Version : 20060807) - DCM 125221 Left Ventricle Mass by M-mode - 99ALOKA A12232-001 Left Ventricle Mass by Area Length - 99ALOKA A12232-002 Left Ventricle Mass by Penn CID 12233 Cardiac Phase - SRT F-32020 Systole Page 141 of 172

[Page 142] - SRT F-32011 End Diastole - DCM 109070 End Systole CID 12234 Respiration State - SRT F-20010 During Inspiration - SRT F-20020 During Expiration CID 12235 Mitral Valve Anatomic Sites - SRT T-35313 Mitral Annulus CID 12239 Cardiac Output Properties SV SRT F-32120 Stroke Volume SV (LVOT) SV (RVOT) CO SRT F-32100 Cardiac Output CO (LVOT) CO (RVOT) COI SRT F-32110 Cardiac Index COI (LVOT) COI (RVOT) SVI SRT F-00078 Stroke Index SVI (LVOT) SVI (RVOT) Page 142 of 172

[Page 143] CID 12240 Left Ventricle Area LVLAs SRT G-0374 Left Ventricular Systolic Area LVLA4s LVLA2s LVSAMVs LVSAPMs LVLAd SRT G-0375 Left Ventricular Diastolic Area LVLA4d LVLA2d LVSAMVd LVSAPMd Aend areaEF SRT G-0376 Left Ventricular Fractional Area Change areaEF4 areaEF2 areaEFmv areaEFpm Aepi SRT G-0379 Left Ventricle Epicardial Diastolic Area, psax pap view CID 12241 Tricuspid Valve Finding Sites - SRT T-35111 Tricuspid Annulus CID 12242 Aortic Valve Finding Sites - SRT T-35410 Aortic Valve Ring CID 12243 Left Ventricle Finding Sites - SRT T-32650 Left Ventricle Outflow Tract Page 143 of 172

[Page 144] CID ALOKA_001 OB Original Vascular Measurement Group This Context Group is private definition. OB Dop1 99ALOKA ALOKA_001-001 OB User Definition Doppler1 OB Dop2 99ALOKA ALOKA_001-002 OB User Definition Doppler2 OB Dop3 99ALOKA ALOKA_001-003 OB User Definition Doppler3 CID ALOKA_002 User Defined Equation Group This Context Group is private definition. User defined 99ALOKA ALOKA_002-001 Calculated result equation result parameter User defined 99ALOKA ALOKA_002-002 Equation parameter equation parameter 8. 6. 4 Private Code Definitions This section specifies the meanings of private codes used in Structured Reports. Private Code Definitions (Coding Scheme Designator : "99ALOKA", Coding Scheme Version : not specified) A-001 Pre-prandial Pre-prandial A-002 OB Original Fetal Concept Name of TID ALOKA-5000 row1. Measurement Group A-003 OB-GYN Original Concept Name of TID ALOKA-5001 row1. Measurement Group A-004 User Defined Equation Concept Name of TID ALOKA-301 row1. A-005 User Defined Equation Concept Name of TID ALOKA-301 row2. Group Number A-006 User Defined Equation Concept Name of TID ALOKA-301 row3. Group Name A-007 User Defined Parameter Concept Name of TID ALOKA-302 row2. Number A-008 User Defined Parameter Concept Name of TID ALOKA-302 row3. Name Page 144 of 172

[Page 145] A-009 User Defined Equation Concept Name of TID ALOKA-302 row4. A3663-001 BSA = 0. 0003207*WT^ (0. BSA = 0. 0003207*WT^ (0. 7285-0. 0188 log (WT) ) 7285-0. 0188 log (WT) ) *HT^0. 3 *HT^0. 3 Body Surface Area computed from patient height (HT) and weight (WT) . The formula is derived by Boyd : BSA = 0. 0003207*WT[g]^ (0. 7285-0. 0188 log (WT[g]) ) *HT[cm]^0. 3 Reference : Boyd E. The growth of the surface area of the human body. Minneapolis : university of Minnesota Press, 1935. A3663-002 BSA = 0. 007358*HT^0. BSA = 0. 007358*HT^0. 725*WT^0. 425 725*WT^0. 425 Body Surface Area computed from patient height (HT) and weight (WT) . The formula is derived by Shintani : BSA = 0. 007358*HT[cm]^0. 725*WT[kg]^0. 425 Reference : 臨床検査法概要 29 版 , 金井泉 著 , 金原出版 A12004-001 Cephalic Index Cephalic Index = BPDo/OFDo (BPDo/OFDo) A12004-002 LVW/HW LVW/HW A12005-001 Binocular Distance Binocular Distance A12005-002 Biparietal Diameter outer-to- Biparietal Diameter outer-to-outer outer A12005-003 Fetal Trunk Cross Sectional Fetal Trunk Cross Sectional Area Area A12005-004 Length of Vertebrae Length of Vertebrae A12005-005 Occipital-Frontal Diameter Occipital-Frontal Diameter outer-to-outer outer-to-outer A12005-006 Abdominal Diameter Abdominal Diameter A12005-007 Thoracic Length Thoracic Length A12005-008 Head Circumference for Head Circumference for Merz, Hansmann Merz, Hansmann A12005-009 Amniotic Fluid Volume Amniotic Fluid Volume A12006-001 Nasal Bone Length Nasal Bone Length A12009-001 Early Embryonic Size Early Embryonic Size A12009-002 Gestational Sac Diameter 1 Gestational Sac Diameter 1 A12009-003 Gestational Sac Diameter 2 Gestational Sac Diameter 2 A12009-004 Gestational Sac Diameter 3 Gestational Sac Diameter 3 A12009-005 Mean Gestational Sac Mean Gestational Sac Diameter Diameter A12011-001 Cervix Width Cervix Width A12011-002 Cervix Antero-Posterior Cervix Antero-Posterior Diameter Diameter A12011-003 Pre Void Bladder Length Pre Void Bladder Length Page 145 of 172

[Page 146] A12011-004 Pre Void Bladder Antero- Pre Void Bladder Antero-Posterior Diameter Posterior Diameter A12011-005 Pre Void Bladder Width Pre Void Bladder Width A12011-006 Pre Void Bladder Volume Pre Void Bladder Volume A12011-007 Post Void Bladder Length Post Void Bladder Length A12011-008 Post Void Bladder Antero- Post Void Bladder Antero-Posterior Diameter Posterior Diameter A12011-009 Post Void Bladder Width Post Void Bladder Width A12011-010 Post Void Bladder Volume Post Void Bladder Volume A12011-011 Bladder Void Volume Bladder Void Volume A12013-001 AC, Campbell Materials provided : Professor Campbell's Group at A12013-002 AC, Chitty 1994 Charts of fetal size : 3. Abdominal measurements Lyn S Chitty. British Journal of Obstetrics and Gynaecology February 1994, Vol. 101, pp. 125-131 <Table 4> A12013-003 AC, Hadlock 1982 Fetal Abdominal Circumference as a Predictor of Menstrual Age. Hadlock FP, Deter RL, Harrist RB, Park SK. AJR 139 : 367-370, August 1982 A12013-005 AC, Merz 1996 Das normale fetale Wachstumsprofil - ein einheitliches A12013-006 APAD, Merz 1996 Das normale fetale Wachstumsprofil - ein einheitliches A12013-007 AxT, Tokyo 胎児生理の総合的解析による新しい周産期管理へのアプ A12013-008 BD, Jeanty 1984 Estimation of Gestational Age from Measurements of Fetal Long Bones. Jeanty P, Rodesch F, Delbeke D, Dumont JE. Journal of Ultrasound in Medicine 3 : 75-79, February 1984 A12013-009 BPD, Campbell Materials provided : Professor Campbell's Group at A12013-010 BPD-oi, Chitty 1994 Charts of fetal size : 2. Head measurements. Lyn S Chitty. British Journal of Obstetrics and Gynaecology February 1994, Vol. 101, pp. 35-43 <Table 4, 7> A12013-011 BPD, Hadlock 1982 Fetal Biparietal Diameter : A Critical Re-evaluation of the Relation to Menstrual Age by means of Real-time Ultrasound. Hadlock FP, Deter RL, Harrist RB, Park SK : Journal of Ultrasound in Medicine 1 : 97, 97-104 Page 146 of 172

[Page 147] A12013-012 BPD, Merz 1996 Das normale fetale Wachstumsprofil - ein einheitliches A12013-013 BPD, Sabbagha 1976 Sonar Biparietal Diameter : I. Analysis of Percentile Growth Differences in Two Normal Populations Using Same Methodology. Sabbagha RE, Barton FB, Barton BA. American Journal of Obstetrics and Gynecology 126 : 479-484, October 1976 A12013-016 CRL, JSUM 2003 超音波胎児計測の標準化と日本人の基準値の公示につい A12013-017 CRL, Tokyo 胎児生理の総合的解析による新しい周産期管理へのアプ A12013-018 EES, Goldstein 1994 Endovaginal Ultrasonographic Measurement of Early Embryonic Size as a Means of Assessing Gestational Age. Steven R. Goldstein, MD, Robert Wolfson, MD, PhD. J. Ultrasound Med. 13 : 27-31, 1994. <Figure 3> A12013-019 FIB, Merz 1996 Das normale fetale Wachstumsprofil - ein einheitliches A12013-020 FL, Campbell Materials provided : Professor Campbell's Group at A12013-021 FL, Chitty 1994 Charts of fetal size : 4. Femur length. Lyn S Chitty. British Journal of Obstetrics and Gynaecology February 1994, Vol. 101, pp. 132-135 <Table 2> A12013-022 FL, Hadlock 1982 Fetal Femur Length as a Predictor of Menstrual Age : Sonographically Measured. Hadlock FP, Deter RL, Harrist RB, Park SK. AJR 138 : 875-878, May 1982 A12013-025 FL, Jeanty 95% 1983 『 Fetal limb biometry 』 Radiology 1983 ; 147 : 602. A12013-026 FL, Merz 1996 Das normale fetale Wachstumsprofil - ein einheitliches A12013-027 FL, Warda 1985 Fetal Femur Length : A Critical Reevaluation of the Relationship to Menstrual Age. Warda AH, Deter RL, Rossavik IK, Carpenter RJ, Hadlock FP. American Journal of Obstetrics and Gynecology 66 (1) : 69-75, July Page 147 of 172

[Page 148] A12013-028 GS, Tokyo 胎児生理の総合的解析による新しい周産期管理へのアプ A12013-029 HC, Campbell Materials provided : Professor Campbell's Group at A12013-030 HC, Chitty 1994 Charts of fetal size : 2. Head measurements. Lyn S Chitty. British Journal of Obstetrics and Gynaecology February 1994, Vol. 101, pp. 35-43 <Table 4, 7> A12013-031 HC, Hadlock 1982 Fetal Head Circumference : Relation to Menstrual Age. Hadlock FP, Deter RL, Harrist RB, Park SK. AJR 138 : 649-653, April 1982 A12013-033 HC, Merz 1996 Das normale fetale Wachstumsprofil - ein einheitliches A12013-034 Humerus, Hansmann 1985 Ultrasound Diagnosis in Obstetrics and Gynecology. Hansmann M. , Hackeloer B. J. and Staudach A. Springer-Verlag, Berlin, Heidelberg, New York, Tokyo A12013-035 Humerus, Jeanty 95% 1983 『 Fetal limb biometry 』 Radiology 1983 ; 147 : 602. A12013-036 Humerus, Merz 1996 Das normale fetale Wachstumsprofil - ein einheitliches A12013-037 NBL, Sonek 2003 Nasal bone length throughout gestation : normal ranges based on 3537 fetal ultrasound measurements. J. D. SONEK. Ultrasound Obstet Gynecol 2003 ; 21 ; 152-155 A12013-038 OFD, Merz 1996 Das normale fetale Wachstumsprofil - ein einheitliches A12013-039 Radius, Merz 1996 Das normale fetale Wachstumsprofil - ein einheitliches A12013-040 Tibia, Jeanty 95% 1983 『 Fetal limb biometry 』 Radiology 1983 ; 147 : 602. Page 148 of 172

[Page 149] A12013-041 Tibia, Merz 1996 Das normale fetale Wachstumsprofil - ein einheitliches A12013-042 TL, Chitkara 1987 Prenatal sonographic assessment of the fetal thorax : Normal values. Usha Chitkara, M. D. , Joanne Rosenberg, R. D. M. S. , Frank A. Chervenak, M. D. , Gertrud S. Berkowitz, Ph. D. , Rebecca Levine, M. A. , Richard M. Fagerstrom, Ph. D. , Barbara Walker, R. D. M. S. , and Richard L. Berkowitz, M. D. American Journal of Obstetrics and Gynecology, Volume 156, Number 5, May 1987, pp. 1069-1074. <Table 2> A12013-043 TAD, Hansmann 1985 Ultrasound Diagnosis in Obstetrics and Gynecology. Hansmann M. , Hackeloer B. J. and Staudach A. Springer-Verlag, Berlin, Heidelberg, New York, Tokyo A12013-044 TAD, Merz 1996 Das normale fetale Wachstumsprofil - ein einheitliches A12013-045 Ulna, Jeanty 95% 1983 『 Fetal limb biometry 』 Radiology 1983 ; 147 : 602. A12013-046 Ulna, Merz 1996 Das normale fetale Wachstumsprofil - ein einheitliches A12013-047 AC, JSUM 2003 超音波胎児計測の標準化と日本人の基準値の公示につい A12013-048 BPD, JSUM 2003 超音波胎児計測の標準化と日本人の基準値の公示につい A12013-049 BPD, Osaka 超音波胎児体格計測による IUGR 診断 . 青木 嶺夫 . A12013-050 CRL, Osaka 超音波胎児体格計測による IUGR 診断 . 青木 嶺夫 . A12013-051 FL, JSUM 2003 超音波胎児計測の標準化と日本人の基準値の公示につい A12013-052 FL, O'Brien 1981 Assessment of Gestational Age in the Second Trimester by Real-Time Ultrasound Measurement of the Femur Length. O'Brien GD, Queenan JT, Campbell S (American Journal of Obstetrics & Gynecology 139 : 540- 545, Mar. 1981) Table Data : 《 Growth format 》 Page 149 of 172

[Page 150] A12013-053 FL, Osaka 超音波胎児体格計測による IUGR 診断 . 青木 嶺夫 . A12013-054 FTA, Osaka 超音波胎児体格計測による IUGR 診断 . 青木 嶺夫 . A12013-055 Humerus, Osaka 超音波胎児体格計測による IUGR 診断 . 青木 嶺夫 . A12014-001 EFW by BPD, AC, FL, Estimation of fetal weight with the use of head, body, and Hadlock femur measurement - A prospective study. Frank P. Hadlock, R. B. Harrist, Ralph S. Sharman, Russel L Deter, and Seung K. Park. Am J Obstet Gynecol : Volume151 Number3 : 333-337, Febrary1, 1985. Sonographic Estimation of Fetal weight. Frank P. Hadlock, R. B. Harrist, Robert J. Carpenter, Russel L Deter, Seung K. Park. Radiology Volume150 Number2 : 535-540 A12014-002 EFW by BPD, AC, FL, 超音波胎児計測の標準化と日本人の基準値の公示につい JSUM 2003 て . J Med Ultrasonics Vol. 30 No. 3 2003 A12014-003 EFW by BPD, FTA, FL, 超音波胎児体格計測による IUGR 診断 . 青木 嶺夫 . Osaka Perinatal Care Vol. 9 No. 5, (407-422) A12014-004 EFW by BPD, AC, Warsof The estimation of fetal weight by computer-assisted 1977 analysis. Steven L. Warsof, Parviz Gohari, Richard L. Berkowitz, John C. Hobbins. Am J Obstet Gynecol : Volume 128 Number 8 : 881-892, August 15, 1977 A12015-001 FL/AC by GA, Hadlock 1983 A Date-Independent Predictor of Intrauterine Growth Retardation : Femur Length/Abdominal Circumference Ratio. Hadlock FP, Deter RL, Harrist RB, Roecker E, Park SK. American Journal of Roentgenology 141 : 979- 984, November 1983 A12015-002 FL/HC by GA, Hadlock 1984 The Femur Length/Head Circumference Relation in Obstetric Sonography. Frank P. Hadlock, MD, Ronald B. Harrist, PhD, Yogesh Shah, MD, Seung K. Park, MD. Journal of Ultrasound in Medicine, Volume 3, October 1984, pp. 439-442. <Table 1> A12015-003 FL/BPD by GA, Hohler 1981 Comparison of Ultrasound Femur Length and Biparietal Diameter in Late Pregnancy. Hohler CW, Quetel TA. American Journal of Obstetrics and Gynecology 141 : 759-762, December 1981 A12015-004 AFI by GA, Jeng et al. Amniotic Fluid Index Measurement with the Four- Quadrant Technique During Pregnancy. Cherng-Jye Jeng, M. D. , Tian-Jii Jou, M. D. , Kuo-Gon Wang, M. D. , Yuh-Cheng Yang, M. D. , Yi-Nan Lee, M. D. , Chung-Chi Lan, M. D. The Journal of Reproductive Medicine, Volume 35, Number 7, July 1990, pp. 674-677. <Table 1> A12015-005 AFI by GA, Moore et al. The amniotic fluid index in normal human pregnancy. Thomas R. Moore, MD, and Jonathan E. Cayle, MD. American Journal of Obstetrics and Gynecology, Volume 162, Number 5, May 1990, pp. 1168-1173. <Table 6> Page 150 of 172

[Page 151] A12015-006 AFI by GA, Phelan et al. Amniotic Fluid Volume Assessment with the Four- Quadrant Technique at 36-42 Weeks' Gestation. Jeffrey P. Phelan, M. D. , Carl Vernon Smith, M. D. , Paula Broussard, R. N. , Mary Small, M. D. The Journal of Reproductive Medicine, Volume 32, Number 7, July 1987, pp. 540-542. <Table 1> A12015-007 AC by GA, JSUM 2003 超音波胎児計測の標準化と日本人の基準値の公示につい A12015-008 BPD by GA, JSUM 2003 超音波胎児計測の標準化と日本人の基準値の公示につい A12015-009 BPD by GA, Osaka 超音波胎児体格計測による IUGR 診断 . 青木 嶺夫 . A12015-010 CRL by GA, Osaka 超音波胎児体格計測による IUGR 診断 . 青木 嶺夫 . A12015-011 FL by GA, JSUM 2003 超音波胎児計測の標準化と日本人の基準値の公示につい A12015-012 FL by GA, O'Brien 1981 Assessment of Gestational Age in the Second Trimester by Real-Time Ultrasound Measurement of the Femur Length. O'Brien GD, Queenan JT, Campbell S (American Journal of Obstetrics & Gynecology 139 : 540- 545, Mar. 1981) Table Data : 《 Growth format 》 A12015-013 FL by GA, Osaka 超音波胎児体格計測による IUGR 診断 . 青木 嶺夫 . A12015-014 FTA by GA, Osaka 超音波胎児体格計測による IUGR 診断 . 青木 嶺夫 . A12015-015 Humerus by GA, Osaka 超音波胎児体格計測による IUGR 診断 . 青木 嶺夫 . A12016-001 FW, Doubilet 1997 Improved Birth Weight Table for Neonates Developed from Gestations Dated by Early Ultrasonography : Doubilet PM et al ; J Ultrasound Med 16 ; 241-249, 1997 A12016-005 Twins FW, Yarkoni 1987 Estimated Fetal Weight in the Evaluation of Growth in Twin Gestations : A Prospective Longitudinal Study. Shaul Yarkoni, MD, E. Albert Reece, MD, Theodore Holford, PhD, Theresa Z. O'Connor, MPH, And John C. Hobbins, MD. Obstetrics & Gynecology, Volume 69, Number 4, April 1987, pp. 636-639. A12019-001 Fetal Heart Rate before Fetal Heart Rate before Biopsy Biopsy A12019-002 Fetal Heart Rate after Fetal Heart Rate after Biopsy Biopsy A12107-001 Deep Brachial Artery Deep Brachial Artery A12107-002 Basilic Artery Basilic Artery A12107-003 User Definition Artery1 Upr Art. 1 (User Definition Artery) A12107-004 User Definition Artery2 Upr Art. 2 (User Definition Artery) A12107-005 User Definition Artery3 Upr Art. 3 (User Definition Artery) A12107-006 User Definition Artery4 Upr Art. 4 (User Definition Artery) Page 151 of 172

[Page 152] A12107-007 User Definition Artery5 Upr Art. 5 (User Definition Artery) A12107-008 User Definition Artery6 Upr Art. 6 (User Definition Artery) A12107-009 User Definition Artery7 Upr Art. 7 (User Definition Artery) A12107-010 User Definition Artery8 Upr Art. 8 (User Definition Artery) A12108-001 Deep Brachial vein Deep Brachial Vein A12108-002 User Definition Vein1 Upr Vein. 1 (User Definition Vein) A12108-003 User Definition Vein2 Upr Vein. 2 (User Definition Vein) A12108-004 User Definition Vein3 Upr Vein. 3 (User Definition Vein) A12108-005 User Definition Vein4 Upr Vein. 4 (User Definition Vein) A12108-006 User Definition Vein5 Upr Vein. 5 (User Definition Vein) A12108-007 User Definition Vein6 Upr Vein. 6 (User Definition Vein) A12108-008 User Definition Vein7 Upr Vein. 7 (User Definition Vein) A12108-009 User Definition Vein8 Upr Vein. 8 (User Definition Vein) A12109-001 User Definition Artery1 Lwr Art. 1 (User Definition Artery) A12109-002 User Definition Artery2 Lwr Art. 2 (User Definition Artery) A12109-003 User Definition Artery3 Lwr Art. 3 (User Definition Artery) A12109-004 User Definition Artery4 Lwr Art. 4 (User Definition Artery) A12109-005 User Definition Artery5 Lwr Art. 5 (User Definition Artery) A12109-006 User Definition Artery6 Lwr Art. 6 (User Definition Artery) A12109-007 User Definition Artery7 Lwr Art. 7 (User Definition Artery) A12109-008 User Definition Artery8 Lwr Art. 8 (User Definition Artery) A12110-001 User Definition Vein1 Lwr Vein. 1 (User Definition Vein) A12110-002 User Definition Vein2 Lwr Vein. 2 (User Definition Vein) A12110-003 User Definition Vein3 Lwr Vein. 3 (User Definition Vein) A12110-004 User Definition Vein4 Lwr Vein. 4 (User Definition Vein) A12110-005 User Definition Vein5 Lwr Vein. 5 (User Definition Vein) A12110-006 User Definition Vein6 Lwr Vein. 6 (User Definition Vein) A12110-007 User Definition Vein7 Lwr Vein. 7 (User Definition Vein) A12110-008 User Definition Vein8 Lwr Vein. 8 (User Definition Vein) A12121-001 Acceleration Time to Flow Acceleration Time to Flow Time Ratio Time Ratio A12122-001 Flow Time Flow Time A12201-001 Left Ventricular Short Axis Left Ventricular Short Axis Length at Mitral Valve Length at Mitral Valve A12201-002 Mean Wall Thickness Mean Wall Thickness A12203-001 Left Ventricular Mass Index Left Ventricular Mass Index (LVMI) . LVMI = LVM / BSA LVMI unit is g/m^2, mass unit in gram and BSA unit in m^2. A12203-003 Long Axis (at End Diastole Long Axis (at End Diastole or End Systole) Length or End Systole) Length % Percentage Difference. Length Percentage Difference Difference unit is %. Page 152 of 172

[Page 153] A12203-004 Midwall Fractional Midwall Fractional Shortening (mFS) Shortening A12203-005 Area Ejection Fraction at Area Ejection Fraction at Long Axis View Long Axis View A12203-006 Area Ejection Fraction at Area Ejection Fraction at Short Axis View Short Axis View A12203-009 Mean Velocity of Mean Velocity of Circumferential Fiber Shortening Circumferential Fiber Shortening A12203-010 Left Ventricle Diastole Filling Left Ventricle Diastole Filling Time Time A12203-011 Ratio of MV E-Wave Peak Ratio of Mitral Valve E-Wave Peak Velocity to Early Vel. to Early Diastolic Diastolic Myocardium Velocity Myocardium Vel. A12203-012 Ratio of Left Ventricle Ratio of Left Ventricle Diastole Filling Time to R-R interval Diastole Filling Time to R-R interval A12205-001 Left Atrium Antero-posterior Left Atrium Antero-posterior Diastolic Dimension Diastolic Dimension A12205-002 Left Atrium systolic major Left Atrium systolic major axis axis A12205-003 Left Atrium Systolic Area by Left Atrium Systolic Area by Apical two chamber Apical two chamber A12205-004 Left Atrial Volume Left Atrial Volume A12205-005 Left Atrial Volume divided by Left Atrial Volume divided by Body Surface Area Body Surface Area A12205-006 Long Axis at End Systole Long Axis at End Systole Length Percentage Difference Length % Difference of Left of Left Atrium Atrium A12206-001 Right Atrium systolic major Right Atrium systolic major axis axis A12206-002 Right Atrium Systolic Area Right Atrium Systolic Area by Apical two chamber by Apical two chamber A12206-003 Right Atrial Volume Right Atrial Volume A12206-004 Right Atrial Volume divided Right Atrial Volume divided by Body Surface Area by Body Surface Area A12206-005 Long Axis at End Systole Long Axis at End Systole Length Percentage Difference Length % Difference of of Right Atrium Right Atrium A12207-001 Mitral Valve Dimension of C Mitral Valve Dimension of C point to E point by M-Mode point to E point by M-Mode A12207-002 Mitral Valve Dimension of C Mitral Valve Dimension of C point to A point by M-Mode point to A point by M-Mode A12207-003 Mitral Valve C-A Dimension Mitral Valve C-A Dimension to C-E Dimension Ratio by to C-E Dimension Ratio by M-Mode M-Mode Page 153 of 172

[Page 154] A12207-004 Mitral Valve C-E Dimension Mitral Valve C-E Dimension to C-A Dimension Ratio by to C-A Dimension Ratio by M-Mode M-Mode A12207-005 Mitral Valve E-Wave Mitral Valve E-Wave Duration Duration A12207-006 Mitral Valve A to E Ratio Mitral Valve A to E Ratio A12207-007 Mitral Valve E-wave Peak Mitral Valve E-wave Peak Pressure Gradient Pressure Gradient A12207-008 Mitral Valve A-wave Peak Mitral Valve A-wave Peak Pressure Gradient Pressure Gradient A12207-009 Subtraction of A-wave Subtraction of Mitral A-wave Duration from Pulmonary Duration from PVA-wave Vein Atrial Reversal Duration Duration A12207-010 Velocity Time Integral of Velocity Time Integral of Mitral Regurgitant Flow Mitral Regurgitant Flow A12207-012 Mitral Regurgitant Proximal Mitral Regurgitant Proximal Isovelocity Surface Area Isovelocity Surface Area A12207-013 Flow Volume of Mitral Valve Flow Volume of Mitral Valve Annulus in Flow Annulus in Flow A12208-001 Tricuspid Valve Dimension Tricuspid Valve Dimension of C point to E point by M- of C point to E point by M- Mode Mode A12208-002 Tricuspid Valve Dimension Tricuspid Valve Dimension of C point to A point by M- of C point to A point by M- Mode Mode A12208-003 Tricuspid Valve Dimension Tricuspid Valve Dimension of D point to E point by M- of D point to E point by M- Mode Mode A12208-004 Tricuspid Valve Velocity Tricuspid Valve Velocity from E point to F point by M- from E point to F point by M- Mode Mode A12208-005 Tricuspid Valve Velocity Tricuspid Valve Velocity from D point to E point by M- from D point to E point by M- Mode Mode A12208-006 Tricuspid Valve C-A Tricuspid Valve C-A Dimension to C-E Dimension Ratio Dimension to C-E by M-Mode Dimension Ratio by M-Mode A12208-007 Tricuspid Valve C-E Tricuspid Valve C-E Dimension to C-A Dimension Ratio Dimension to C-A by M-Mode Dimension Ratio by M-Mode A12208-008 Velocity Time Integral of Velocity Time Integral of Tricuspid Regurgitant Flow Tricuspid Regurgitant Flow A12208-010 Tricuspid Regurgitant Tricuspid Regurgitant Proximal Isovelocity Surface Area Proximal Isovelocity Surface Area A12208-011 Flow Volume of Tricuspid Flow Volume of Tricuspid Valve Annulus in Flow Valve Annulus in Flow Page 154 of 172

[Page 155] A12209-001 Pulmonic Valve Dimension Pulmonic Valve Dimension of F point to A point by M- of F point to A point by M- Mode Mode A12209-002 Pulmonic Valve Dimension Pulmonic Valve Dimension of B point to C point by M- of B point to C point by M- Mode Mode A12209-003 Pulmonic Valve Velocity Pulmonic Valve Velocity from E point to F point by M- from E point to F point by M- Mode Mode A12209-004 Pulmonic Valve Velocity Pulmonic Valve Velocity from B point to C point by M- from B point to C point by M- Mode Mode A12209-005 Velocity Time Integral of Velocity Time Integral of Pulmonic Regurgitant Flow Pulmonic Regurgitant Flow A12209-007 Pulmonic Regurgitant Pulmonic Regurgitant Proximal Isovelocity Surface Area Proximal Isovelocity Surface Area A12211-001 Velocity Time Integral of Velocity Time Integral of Aortic Regurgitant Flow Aortic Regurgitant Flow A12211-003 Aortic Regurgitant Proximal Aortic Regurgitant Proximal Isovelocity Surface Area Isovelocity Surface Area A12214-001 Deceleration Time of D- Deceleration Time of D-Wave Flow Wave Flow A12214-002 Systolic Fraction Systolic Fraction = [S-VTI / (S-VTI + D-VTI) ] * 100. Unit is %. A12222-001 Pre-Ejection Period Pre-Ejection Period A12222-002 PEP/ET Ratio of Pre-Ejection Period to Ejection Time A12222-003 Flow Time Flow Time A12222-004 Radius of Flow Radius of Flow Convergence Convergence A12222-005 Aliasing Velocity Aliasing Velocity A12222-006 Proximal Isovelocity Surface Proximal Isovelocity Surface Area Angle Area Angle A12228-001 Method of Disks, Single Method of Disks, Single Plane with Apical two chamber Plane with Apical two chamber A12228-002 Gibson EDV and ESV are calculated as follows. EDV = Π / 6 * LVIDd^2 * (0. 98 * LVIDd + 5. 90) ESV = Π / 6 * LVIDs^2 * (1. 14 * LVIDs + 4. 18) Volume unit is milliliter and length in cm. Reference : Gibson, D. G. Measurement of left ventricular volumes in man by echocardiography – comparison with biplane angiographs. Br. Heart J. 1971 ; 33 : 614. Page 155 of 172

[Page 156] A12228-003 Modified Simpson's Volume = (LVL / 9) * (4 * LVSAMV + 2 * LVSAPM + (LVSAMV * LVSAPM) ^ (1 / 2) ) Volume unit is milliliter, length in cm and area in cm^2. References : Folland, ED, et al. Assessment of Left Ventricular Ejection Fraction and Volumes by Real-Time, Two- Dimensional Echocardiography. Circulation, 1979 ; 60 : 760-766. A. F. Parisi, MD et al. Approaches to Determination of Left Ventricular Volume and Ejection Fraction by Real- Time Two-Dimensional Echocardiography. Clin. Cardiol. 2, 257-263 (1979) . A12228-004 Bullet Volume = (5 * LVSAPM * LVL) / 6 Volume unit is milliliter, length in cm and area in cm^2. A12228-005 Method of Disks, Biplane of Method of Disks, Biplane of Left Atrium LA A12228-006 Method of Disks, Single Method of Disks, Single Plane with Apical four chamber Plane with Apical four of Left Atrium chamber of LA A12228-007 Method of Disks, Single Method of Disks, Single Plane with Apical two chamber Plane with Apical two of Left Atrium chamber of LA A12228-008 Method of Disks, Biplane of Method of Disks, Biplane of Right Atrium RA A12228-009 Method of Disks, Single Method of Disks, Single Plane with Apical four chamber Plane with Apical four of Right Atrium chamber of RA A12228-010 Method of Disks, Single Method of Disks, Single Plane with Apical two chamber Plane with Apical two of Right Atrium chamber of RA A12228-011 Area-Length Biplane of Left Area-Length Biplane of Left Atrium Atrium A12228-012 Area-Length Biplane of Area-Length Biplane of Right Atrium Right Atrium Page 156 of 172

[Page 157] A12232-001 Left Ventricle Mass by Area Mass = 1. 05 * ( (5 * Aepi * (LVLd + thick) / 6) - (5 * Aend Length * LVLd / 6) ) thick = (Aepi / Π ) ^ (1 / 2) - (Aend / Π ) ^ (1 / 2) References : Nelson B. Schiller, MD, et al. Recommendations for Quantitation of the Left Ventricle by Two-Dimensional Echocardiography. American Society of Echocardiography Committee on Standards, Subcommittee on Quantitation of Two-Dimensional Echocardiograms. Journal of the American Society of Echocardiography Vol. 2, No. 5 September-October 1989. 358-367. Nelson B. Schiller, MD, et al. Two-Dimensional Echocardiographic Determination of Left Ventricular Volume, Systolic Function, and Mass : Summary and Discussion of the 1989 Recommendations of the American Society of Echocardiography. Circulation Vol. 84, No. 3 1991 ; 84 [Suppl I] : I -280- I -287. A12232-002 Left Ventricle Mass by Penn Mass = 1. 04 * ( (IVSd + LVIDd + LVPWd) ^3 - LVIDd^3) - 13. 6 Mass unit is grams and length in cm. References : Richard B. Devereux. Detection of Left Ventricular Hypertrophy by M-Mode Echocardiography. Anatomic Validation, Standardization, and Comparison to Other Methods. Hypertension 9 [Suppl II] ; II - 19 - 26, 1987. Donald C. Wallerson and Richard B. Devereux. Reproducibility of Echocardiographic Left Ventricular Measurements. Hypertension 9 [Suppl II] ; II - 6 - 18, 1987. American Society of Echocardiography Committee on Standards, Subcommittee on Quantitation of Two- Dimansional Echocardiograms. Recommendations for Quantitation of the Left Ventricle by Two-Dimansional Echocardiography. Journal of the American Society of Echocardiography Volume 2 Number 5 September- October 1989. ALOKA_001- OB User Definition Doppler1 User Definition Doppler Measurement for OB Application. ALOKA_001- OB User Definition Doppler2 User Definition Doppler Measurement for OB Application. ALOKA_001- OB User Definition Doppler3 User Definition Doppler Measurement for OB Application. ALOKA_002- Calculated result Result Parameter of User Definition Equation 001 Measurement for “User’s calculation function”. ALOKA_002- Equation parameter Parameter of User Definition Equation Measurement for 002 “User’s calculation function”. Page 157 of 172

[Page 158] 8. 6. 5 Standard Extended and Private Template Definitions This section defines the Standard Extended template and Private templates. Extended Template Definitions TID 5000 OB-GYN Ultrasound Procedure Report 1 CONTAINER EV (12500, 1-n M DCM, ”OB-GYN Procedure Report”) 2 > HAS INCLUDE DTID (1204) 1 U CONCEPT MOD 3 > HAS OBS INCLUDE DTID (1001) 1 M CONTEXT 4 > CONTAINS INCLUDE DTID (5001) 1 U 5 > CONTAINS CONTAINER DT (111028, 1 U DCM, ”Image Library”) 6 > > CONTAINS IMAGE No purpose of 1-n M reference 7 > CONTAINS INCLUDE DTID (5002) 1 U 8 > CONTAINS INCLUDE DTID (5004) 1-n U 9 > CONTAINS INCLUDE DTID (5005) 1-n U 10 > CONTAINS INCLUDE DTID (5006) 1-n U 11 > CONTAINS INCLUDE DTID (5007) 1-n U 12 > CONTAINS INCLUDE DTID (5009) 1-n U 13 > CONTAINS INCLUDE DTID (5011) 1-n U 14 > CONTAINS INCLUDE DTID (5010) 1 U 15 > CONTAINS INCLUDE DTID (5015) 1 U 16 > CONTAINS INCLUDE DTID (5012) 1 U 17 > CONTAINS INCLUDE DTID (5013) 1 U $Laterality = EV (G- A101, SRT, ”Left”) $Number = EV (11879-4, LN, ”Number of follicles in left ovary”) 18 > CONTAINS INCLUDE DTID (5013) 1 U $Laterality = EV (G- A100, SRT, ”Right”) $Number = EV (11880-2, LN, ”Number of follicles in right ovary”) Page 158 of 172

[Page 159] 19 > CONTAINS CONTAINER EV (121070, 1 U DCM, ”Finding Site”) 20 > > HAS CODE EV (G-C0E3, 1 M EV (T-F6800, CONCEPT SRT, “Finding SRT, ”Embryonic MOD Site”) Vascular Structure”) 21 > > CONTAINS INCLUDE DTID (5025) 1 M $AnatomyGroup= DCID (12141) 22 > CONTAINS CONTAINER EV (121070, 1 U DCM, ”Findings” 23 > > HAS CODE EV (G-C0E3, 1 M EV (T-D6007, CONCEPT SRT, ”Finding SRT, ”Pelvic MOD Site”) Vascular Structure”) 24 > > CONTAINS INCLUDE DTID (5026) 1 M $AnatomyGroup= DCID (12140) 25 > CONTAINS INCLUDE DTID (ALOKA- 1 U $Anatomy = DCID 5001) (12140) $Meas = DCID (12119) 26 > CONTAINS INCLUDE DTID (ALOKA- 1-n U $Anatomy = DCID 5000) (12140) $Meas = DCID (12119) 27 > CONTAINS INCLUDE DTID (ALOKA- 1-n U $Anatomy = DCID 5000) (ALOKA_001) $Meas = DCID (12119) 28 > CONTAINS INCLUDE DTID (ALOKA- 1-n U 5002) OB User 29 > CONTAINS INCLUDE DTID (ALOKA- 1-n U 301) User Page 159 of 172

[Page 160] Extended Template Definitions TID 5100 Vascular Ultrasound Procedure Report 1 CONTAINER EV (12510, 1 M DCM, ”Vascular Procedure Report”) 2 > HAS OBS CODE EV (R-40FB8, 1 U DCID (12102) CONTEXT SRT, ”Temporal Temporal Periods periods Relating Relating To to Procedure”) Procedure or Therapy 3 > HAS INCLUDE DTID (1204) 1 U CONCEPT Language of MOD Content Item and Descendants 4 > HAS OBS INCLUDE DTID (1001) 1 M Observation CONTEXT Context 5 > CONTAINS INCLUDE DTID (5101) 1 U Vascular Patient Characteristics 6 > CONTAINS EV (111028, 1 U DCM, “Image Library”) 7 > > CONTAINS No purpose of 1-n M reference 8 > CONTAINS INCLUDE DTID (5102) 1 U Vascular Procedure Summary 9 > CONTAINS INCLUDE DTID (5103) 1 U $SectionScope = DT Vascular (T-40501, Ultrasound SRT, ”Blood Vessel of Head”) (12105) Intracranial Cerebral Vessels Page 160 of 172

[Page 161] 10 > CONTAINS INCLUDE DTID (5103) 1 U $SectionScope = Vascular DT (T-40501, Ultrasound SRT, ”Blood Vessel of Head”) (12105) Intracranial Cerebral Vessels 11 > CONTAINS INCLUDE DTID (5103) 1 U $SectionScope = Vascular DT (T-40501, Ultrasound SRT, ”Blood Vessel of Head”) EV (G-A103, SRT, ”Unilateral”) (12106) Intracranial Cerebral Vessels (unilateral) 12 > CONTAINS INCLUDE DTID (5103) 1 U $SectionScope = Vascular DT (T-45005, SRT, ”Artery of neck”) (12104) Extracranial Arteries $AnatomyRatio = DCID (12123) Carotid Ratios 13 > CONTAINS INCLUDE DTID (5103) 1 U $SectionScope = Vascular DT (T-45005, SRT, ”Artery of neck”) (12104) xtracranial Arteries $AnatomyRatio = DCID (12123) Carotid Ratios Page 161 of 172

[Page 162] 14 > CONTAINS INCLUDE DTID (5103) 1 U $SectionScope = Vascular DT (T-47040, SRT, ”Artery of Lower Extremity”) (12109) Lower Extremity Arteries 15 > CONTAINS INCLUDE DTID (5103) 1 U $SectionScope = Vascular DT (T-47040, SRT, ”Artery of Lower Extremity”) (12109) Lower Extremity Arteries 16 > CONTAINS INCLUDE DTID (5103) 1 U $SectionScope = Vascular DT (T-49403, SRT, ”Vein of Lower Extremity”) (12110) Lower Extremity Veins 17 > CONTAINS INCLUDE DTID (5103) 1 U $SectionScope = Vascular DT (T-49403, SRT, ”Vein of Lower Extremity”) (12110) Lower Extremity Veins Page 162 of 172

[Page 163] 18 > CONTAINS INCLUDE DTID (5103) 1 U $SectionScope = Vascular DT (T-47020, SRT, ”Artery Of Upper Extremity”) (12107) Upper Extremity Arteries 19 > CONTAINS INCLUDE DTID (5103) 1 U $SectionScope = Vascular DT (T-47020, SRT, ”Artery Of Upper Extremity”) (12107) Upper Extremity Arteries 20 > CONTAINS INCLUDE DTID (5103) 1 U $SectionScope = Vascular DT (T-49103, SRT, ”Vein Of Upper Extremity”) (12108) Upper Extremity Veins 21 > CONTAINS INCLUDE DTID (5103) 1 U $SectionScope = Vascular DT (T-49103, SRT, ”Vein Of Upper Extremity”) (12108) Upper Extremity Veins Page 163 of 172

[Page 164] 22 > CONTAINS INCLUDE DTID (5103) 1 U $SectionScope = Vascular DT (T-71019, SRT, ”Vascular Structure Of Kidney”) (12115) Renal Vessels $AnatomyRatio = DCID (12124) Renal Ratios 23 > CONTAINS INCLUDE DTID (5103) 1 U $SectionScope = Vascular DT (T-71019, SRT, ”Vascular Structure Of Kidney”) (12115) Renal Vessels $AnatomyRatio = DCID (12124) Renal Ratios 24 > CONTAINS INCLUDE DTID (5103) 1 U $SectionScope = Vascular DT (T-46002, Ultrasound SRT, ”Artery of Abdomen”) (12111) Abdominal Arteries (lateral) 25 > CONTAINS INCLUDE DTID (5103) 1 U $SectionScope = Vascular DT (T-46002, Ultrasound SRT, ”Artery of Section Abdomen”) (12111) Abdominal Arteries (lateral) Page 164 of 172

[Page 165] 26 > CONTAINS INCLUDE DTID (5103) 1 U $SectionScope = Vascular DT (T-46002, Ultrasound SRT, ”Artery of Section Abdomen”) EV (G-A103, SRT, ”Unilateral”) (12112) Abdominal Arteries (unilateral) 27 > CONTAINS INCLUDE DTID (5103) 1 U $SectionScope = Vascular DT (T-487A0, Ultrasound SRT, ”Vein of Section Abdomen”) (12113) Abdominal Veins (lateral) 28 > CONTAINS INCLUDE DTID (5103) 1 U $SectionScope = Vascular DT (T-487A0, Ultrasound SRT, ”Vein of Section Abdomen”) (12113) Abdominal Veins (lateral) 29 > CONTAINS INCLUDE DTID (5103) 1 U $SectionScope = Vascular DT (T-487A0, Ultrasound SRT, ” Vein of Section Abdomen”) EV (G-A103, SRT, ”Unilateral”) (12114) Abdominal Veins (unilateral) 30 > CONTAINS INCLUDE DTID (5105) 1 U Ultrasound Graft 31 > CONTAINS INCLUDE DTID (ALOKA- 1-n U 301) User Page 165 of 172

[Page 166] Extended Template Definitions TID 5200 Echocardiography Ultrasound Procedure Report 1 CONTAINER EV (125200, 1 M DCM, “Adult Echocardiograp hy Procedure Report”) 2 > HAS INCLUDE DTID (1204) 1 U CONCEPT Language of MOD Content Item and Descendants 3 > HAS OBS INCLUDE DTID (1001) 1 M CONTEXT Observation Context 4 > CONTAINS CONTAINER DT (121064, 1 U DCM, “Current Procedure Descriptions”) 5 > > CONTAINS CODE DT (125203, 1-n M BCID (12001) DCM, Ultrasound Protocol “Acquisition Types Protocol”) 6 > CONTAINS INCLUDE DTID (5201) 1 U Echocardiograp hy Patient Characteristics 7 > CONTAINS CONTAINER (111028, DCM, 1 U “Image Library”) 8 > > CONTAINS IMAGE No purpose of 1-n M reference 9 > CONTAINS INCLUDE DTID (5202) 1 U $SectionSubject = Echo Section EV (T-32600, SRT, “Left Ventricle”) (12200) Left Ventricle 10 > CONTAINS INCLUDE DTID (5202) 1 U $SectionSubject = Echo Section EV (T-32500, SRT, “Right Ventricle”) (12204) Right Ventricle Page 166 of 172

[Page 167] 11 > CONTAINS INCLUDE DTID (5202) 1 U $SectionSubject = Echo Section EV (T-32300, SRT, “Left Atrium”) (12205) Left Atrium 12 > CONTAINS INCLUDE DTID (5202) 1 U $SectionSubject = Echo Section EV (T-32200, SRT, “Right Atrium”) (12206) Right Atrium 13 > CONTAINS INCLUDE DTID (5202) 1 U $SectionSubject = Echo Section EV (T-35400, SRT, “Aortic Valve”) (12211) Aortic Valve 14 > CONTAINS INCLUDE DTID (5202) 1 U $SectionSubject = Echo Section EV (T-35300, SRT, “Mitral Valve”) (12207) Mitral Valve 15 > CONTAINS INCLUDE DTID (5202) 1 U $SectionSubject = Echo Section EV (T-35200, SRT, “Pulmonic Valve”) (12209) Pulmonic Valve 16 > CONTAINS INCLUDE DTID (5202) 1 U $SectionSubject = Echo Section EV (T-35100, SRT, “Tricuspid Valve”) (12208) Tricuspid Valve Page 167 of 172

[Page 168] 17 > CONTAINS INCLUDE DTID (5202) 1 U $SectionSubject = Echo Section EV (T-42000, SRT, “Aorta”) $MeasType= DCID (12212) Aorta 18 > CONTAINS INCLUDE DTID (5202) 1 U $SectionSubject = Echo Section EV (T-44000, SRT, “Pulmonary artery”) $MeasType DCID (12210) = Pulmonary Artery 19 > CONTAINS INCLUDE DTID (5202) 1 U $SectionSubject = Echo Section EV (T-48600, SRT, “Vena Cava” (12215) Vena Cavae 20 > CONTAINS INCLUDE DTID (5202) 1 U $SectionSubject = Echo Section EV (T-48581, SRT, “Pulmonary Venous Structure” (12214) Pulmonary Veins 21 > CONTAINS INCLUDE DTID (5202) 1 U $SectionSubject = Echo Section EV (P5-30031, SRT, “Cardiac Shunt Study”) (12217) Cardiac Shunt 22 > CONTAINS INCLUDE DTID (5202) 1 U $SectionSubject = Echo Section EV (D4-30000, SRT, “Congenital Anomaly of Cardiovascular System”) (12218) Congenital Page 168 of 172

[Page 169] 23 > CONTAINS INCLUDE DTID (5204) 1-n U $Procedure = DT Wall Motion (P5-B3121, SRT, Analysis "Echocardiography for Determining Ventricular Contraction") 24 > CONTAINS INCLUDE DTID (ALOKA- 1-n U 301) User TID ALOKA-300 Common Original Measurement Section 1 CONTAINER $AnatomyGroup 1 M 2 > HAS CODE EV (G-C171, 1 U $SectionLaterality CONCEPT SRT, MOD “Laterality”) 3 > CONTAINS INCLUDE DTID (300) 1-n M $Measurement = $ MeasType $Derivation = DCID (3627) Page 169 of 172

[Page 170] TID ALOKA-301 User Defined Equation Section 1 CONTAINER EV (A-004, 1 M 99ALOKA, “User Defined Equation”) 2 > CONTAINS TEXT EV (A-005, 1 U 99ALOKA, “User Defined Equation Group Number”) 3 > CONTAINS TEXT EV (A-006, 1 M 99ALOKA, “User Defined Equation Group Name”) 4 > > HAS INCLUDE DTID (ALOKA- 1-n M PROPERTI 302) User ES Defined Equation Items TID ALOKA-302 User Defined Equation Items Section 1 INCLUDE DTID (300) 1 M $Measurement = Measurement DCID (ALOKA_002) User Group $Derivation = DCID (3627) Measurement Type 2 > INFERRED TEXT EV (A-007, 1 U FROM 99ALOKA, “User Defined Parameter Number”) 3 > INFERRED TEXT EV (A-008, 1 U FROM 99ALOKA, “User Defined Parameter Name”) Page 170 of 172

[Page 171] 4 > INFERRED TEXT EV (A-009, 1 U FROM 99ALOKA, “User Defined Equation”) TID ALOKA-5000 OB Original Fetal Measurement Section 1 CONTAINER EV (A-002, 1 M 99ALOKA, “OB Original Fetal Measurement Group”) 2 > HAS OBS INCLUDE DTID (1008) 1 MC If this CONTEXT template is invoked more than once to describe more than one fetus 3 > CONTAINS INCLUDE DTID (ALOKA- 1-n M $AnatomyGroup = 300) $Anatomy $MeasType = $Meas DCID (244) TID ALOKA-5001 OB-GYN Original Measurement Section 1 CONTAINER EV (A-002, 1 M 99ALOKA, “OB Original Fetal Measurement Group”) 2 > CONTAINS INCLUDE DTID (ALOKA- 1-n M $AnatomyGroup = 300) $Anatomy $MeasType = $Meas DCID (244) Page 171 of 172

[Page 172] TID ALOKA-5002 OB User Defined Equation Section 1 INCLUDE DTID (1008) 1 MC IFF this Subject Context, template is Fetus invoked to describe fetus 2 > CONTAINS INCLUDE DTID (ALOKA- 1-n M 301) User Defined Equation Page 172 of 172