GE OEC DICOM User manual
DICOM Network Questionnaire
The purpose of this questionnaire is to collect and document information needed to complete
the installation
Answer all questions.
Site Name:
Network Contact Person:
Phone #: ( )
E-mail address:
Network
1. Is there currently a network at the site? Yes No
2. Does the site currently have a method for assigning IP addresses?
Yes No
If yes, describe the method.
3. Is there a subnet router or Gateway on the network? Yes No
If yes, what is the IP address of the router? . . .
What is the subnet mask? . . .
4. Will there be devices off site or in another department that are connected through a
router to the main site?
Yes No
If yes, list the router IP addresses and subnet mask for each remote site.
Router . . . Mask . . .
Router . . . Mask . . .
Router . . . Mask . . .
Installation Contents
1
PACs Server or Image Review Stations
1. List the server make(s) and model(s)
2. Server/Image Review Contact Person
Phone #: ( )
E-mail address:
3. List the information below for all PACs and/or Image Review Stations.
Commo
n or
Alias
Name
IP Address Port#AE
Title
. . . . . .
. . . . . .
. . . . . .
. . . . . .
. . . . . .
. . . . . .
. . . . . .
. . . . . .
Gateway Address (if
applicable)
. . . . . .
. . . . . .
4. Possible modalities: RF XA SC
2
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